Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

THE LOWELL GENERAL HOSPITAL

NPI: 1407804669 · LOWELL, MA 01854 · 3336I0012X

$159.91M
Total Medicaid Paid
4,669,409
Total Claims
4,068,559
Beneficiaries
619
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 815,860 $27.43M
2019 757,078 $23.32M
2020 617,566 $17.34M
2021 759,981 $20.94M
2022 738,123 $22.05M
2023 606,421 $25.96M
2024 374,380 $22.87M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 100,893 90,290 $16.11M
99284 98,215 88,118 $14.82M
96361 41,169 35,063 $14.18M
99285 55,764 49,654 $9.54M
59025 14,419 7,403 $3.44M
G0378 Hospital observation per hr 44,592 17,297 $2.78M
74177 18,528 17,567 $2.64M
70450 22,190 20,400 $2.60M
43239 3,538 3,428 $2.60M
45385 2,592 2,543 $2.57M
99212 17,149 14,830 $2.42M
S9485 Crisis intervention mental h 5,923 3,228 $2.41M
99211 17,679 14,499 $2.41M
99282 13,785 13,155 $2.10M
96365 17,657 13,900 $2.05M
J9271 Inj pembrolizumab 212 158 $2.03M
77063 32,540 32,244 $1.99M
76700 12,970 12,613 $1.96M
U0003 Cov-19 amp prb hgh thruput 32,201 28,579 $1.93M
45380 1,917 1,880 $1.91M
80307 57,348 44,657 $1.84M
0241U 24,797 22,617 $1.68M
99213 10,850 9,586 $1.59M
96360 11,534 10,394 $1.52M
76815 12,656 7,973 $1.47M
71046 59,776 55,851 $1.34M
76856 11,744 11,403 $1.30M
74176 8,344 7,887 $1.22M
76816 8,028 7,255 $1.20M
99214 7,343 6,704 $1.11M
93971 6,147 5,844 $1.06M
87591 43,284 41,694 $1.05M
87491 43,090 41,553 $1.05M
80053 209,406 181,256 $1.02M
11042 5,064 3,095 $1.01M
85025 225,951 187,488 $983K
76770 6,554 6,366 $968K
76830 10,913 10,602 $966K
93306 6,084 5,735 $955K
G0463 Hospital outpt clinic visit 37,347 29,282 $945K
97110 20,561 6,082 $928K
76801 8,436 7,451 $914K
45378 646 632 $893K
96413 9,310 5,497 $856K
96366 4,010 3,117 $845K
94640 13,971 10,642 $832K
76819 12,834 6,443 $820K
71275 4,323 4,124 $815K
76642 8,184 7,949 $802K
87502 12,902 12,442 $699K
82306 39,532 38,810 $607K
77067 32,662 32,386 $592K
66984 566 549 $571K
G0480 Drug test def 1-7 classes 14,983 11,868 $557K
29075 2,148 1,625 $546K
93975 4,649 4,490 $544K
84443 62,924 61,211 $534K
87635 13,694 12,394 $525K
U0004 Cov-19 test non-cdc hgh thru 8,966 7,774 $501K
87389 29,061 28,581 $493K
99291 2,471 2,316 $468K
97140 17,154 5,020 $455K
76811 2,464 2,453 $450K
76536 3,978 3,890 $446K
94060 4,631 4,424 $444K
12001 1,899 1,869 $428K
J0875 Injection, dalbavancin 114 65 $419K
U0005 Infec agen detec ampli probe 22,064 20,284 $406K
76805 2,881 2,835 $403K
71250 6,442 6,098 $390K
93005 77,019 63,990 $388K
93970 1,915 1,821 $378K
77065 Tomosynthesis, mammo 6,635 6,060 $373K
A0427 Als1-emergency 12,376 11,437 $362K
80050 25,861 25,261 $354K
96374 54,151 45,781 $348K
87086 64,917 59,494 $344K
83036 71,626 70,035 $328K
85027 77,958 71,018 $312K
76705 2,861 2,727 $310K
71260 4,122 3,986 $306K
84484 48,398 36,979 $296K
80061 87,704 85,882 $294K
87624 13,874 13,585 $290K
86481 4,994 4,903 $286K
97803 3,882 3,628 $279K
76817 4,791 4,035 $278K
96415 1,739 1,164 $278K
77066 Tomosynthesis, mammo 4,595 4,448 $272K
12011 948 941 $266K
ATP14 38,036 32,938 $262K
87634 4,320 4,198 $254K
99215 Prolong outpt/office vis 1,559 1,320 $249K
19083 185 183 $243K
77080 4,954 4,876 $242K
73630 9,523 8,357 $232K
87651 8,387 8,129 $229K
82728 28,209 27,276 $227K
73562 9,238 7,951 $226K
80048 65,068 55,912 $224K
72100 7,762 7,499 $219K
86803 22,803 22,383 $214K
88305 17,301 15,982 $211K
93017 2,207 2,104 $209K
70496 1,340 1,264 $206K
84702 17,349 13,983 $205K
47562 64 62 $204K
43235 238 236 $199K
J1756 Iron sucrose injection 3,260 1,311 $198K
81025 36,268 33,163 $197K
73610 8,254 7,575 $193K
83690 40,584 36,334 $182K
0002A 6,139 5,740 $182K
74246 977 972 $174K
94727 3,827 3,644 $174K
0001A 6,351 5,930 $173K
29065 622 487 $170K
G2023 Specimen collect covid-19 12,222 10,943 $165K
96372 34,222 25,051 $160K
81001 82,280 75,320 $159K
82607 20,471 20,042 $155K
83880 11,160 10,100 $154K
76870 1,249 1,223 $152K
87070 24,201 22,941 $151K
73030 7,058 6,337 $149K
77062 2,151 2,081 $147K
10060 765 744 $145K
J0585 Injection,onabotulinumtoxina 543 430 $144K
86003 2,150 1,896 $140K
J0131 Inj, acetaminophen (nos) 4,318 4,066 $139K
96367 3,114 2,426 $136K
87522 Neg quan hep c or qual rna 4,568 4,461 $136K
83550 25,984 25,234 $133K
97602 739 515 $133K
94664 2,451 2,405 $132K
83735 38,624 31,687 $132K
87340 18,970 18,570 $132K
86480 3,608 3,469 $131K
70486 2,426 2,346 $130K
87636 1,158 1,122 $130K
69436 80 80 $129K
97162 3,329 3,056 $127K
74018 4,240 3,974 $126K
G0121 Colon ca scrn not hi rsk ind 139 128 $118K
87186 21,063 19,502 $117K
J0897 Denosumab injection 303 276 $116K
90715 4,598 4,428 $111K
73110 4,924 4,356 $110K
93976 919 891 $110K
95816 448 432 $108K
88307 1,283 1,205 $108K
95886 470 456 $107K
87653 3,611 3,579 $106K
73130 5,945 5,448 $106K
Q9967 Locm 300-399mg/ml iodine,1ml 29,589 23,884 $105K
87081 17,852 17,311 $102K
77061 1,404 1,393 $100K
85610 52,339 36,090 $96K
73502 4,711 4,360 $96K
83540 24,668 23,976 $95K
94729 3,824 3,641 $94K
71271 2,416 2,361 $91K
86850 14,255 13,211 $90K
84439 16,997 16,420 $88K
73140 3,156 2,983 $88K
82948 31,183 18,965 $86K
29125 694 618 $86K
36415 201,845 164,736 $83K
87040 11,101 7,368 $83K
12002 397 386 $83K
70491 453 445 $82K
86140 25,679 22,447 $82K
83970 6,139 5,886 $82K
97802 1,003 994 $81K
87902 560 544 $81K
92507 454 100 $81K
C1713 Anchor/screw bn/bn,tis/bn 646 625 $80K
99281 535 481 $79K
86706 11,803 11,538 $76K
88142 5,015 4,961 $74K
82105 6,261 6,124 $73K
96375 38,580 32,451 $71K
84703 12,708 11,976 $70K
87880 6,398 6,219 $69K
87147 12,558 11,556 $68K
93880 886 830 $67K
86762 6,005 5,855 $67K
64483 80 79 $65K
88342 4,888 4,570 $65K
87077 13,540 12,288 $64K
J1642 Inj heparin sodium per 10 u 6,835 4,106 $64K
87517 2,102 2,061 $64K
G0279 Tomosynthesis, mammo 6,243 6,115 $62K
85730 19,126 16,888 $61K
71045 13,970 12,632 $61K
80076 24,596 21,638 $60K
72050 880 871 $58K
83655 5,266 5,233 $57K
82746 7,648 7,460 $57K
86618 5,318 5,185 $57K
82570 24,755 23,574 $57K
86592 18,669 18,317 $57K
74019 1,608 1,563 $56K
86038 7,394 7,212 $54K
87535 2,617 2,554 $53K
85379 7,965 7,573 $53K
72125 6,710 6,300 $52K
73080 2,218 2,088 $52K
84403 2,973 2,897 $52K
97161 1,147 1,079 $51K
97112 1,176 486 $51K
83021 3,408 3,368 $51K
G0297 Ldct for lung ca screen 690 681 $48K
82652 2,134 2,104 $48K
88175 2,850 2,800 $48K
82784 6,801 5,064 $46K
82043 20,260 19,689 $46K
0012A 1,941 1,837 $46K
G0108 Diab manage trn per indiv 593 496 $46K
87536 1,019 999 $45K
87205 15,108 13,740 $45K
42820 24 24 $44K
81003 30,658 28,757 $43K
83605 6,923 5,733 $43K
72040 1,482 1,441 $43K
86900 15,165 13,897 $43K
86360 1,965 1,938 $42K
ATP08 13,111 11,168 $42K
C9803 Hopd covid-19 spec collect 10,283 9,379 $42K
0011A 2,095 1,918 $41K
83001 3,167 3,106 $41K
84146 2,974 2,915 $40K
83516 4,573 3,880 $40K
77336 709 311 $39K
84112 560 490 $38K
84425 2,689 2,652 $37K
85652 24,252 21,650 $36K
84402 2,028 1,984 $35K
62323 67 66 $35K
90471 5,460 5,200 $35K
87338 3,671 3,599 $35K
86359 1,965 1,938 $34K
77386 294 27 $34K
84153 3,980 3,870 $33K
J0702 Betamethasone acet&sod phosp 611 335 $33K
76818 530 366 $33K
J1650 Inj enoxaparin sodium 4,242 2,171 $33K
86901 12,851 11,862 $33K
87210 8,852 8,476 $32K
76882 268 265 $31K
A0425 Ground mileage 12,868 11,896 $31K
86708 4,027 3,951 $31K
97530 1,440 782 $30K
ATP15 6,763 5,349 $30K
87808 3,373 3,309 $30K
72072 743 733 $29K
J7120 Ringers lactate infusion 15,465 14,226 $29K
J2405 Ondansetron hcl injection 39,109 33,449 $29K
J2704 Inj, propofol, 10 mg 24,617 23,238 $29K
86694 2,309 1,180 $28K
88304 5,220 4,962 $28K
J7040 Normal saline solution infus 2,996 2,080 $28K
80051 7,138 5,884 $27K
86704 3,560 3,478 $27K
82565 16,759 13,670 $27K
J1885 Ketorolac tromethamine inj 36,338 30,848 $26K
J3010 Fentanyl citrate injection 20,244 17,269 $26K
73590 1,289 1,183 $26K
84480 2,865 2,729 $26K
G0123 Screen cerv/vag thin layer 2,884 2,865 $26K
G0105 Colorectal scrn; hi risk ind 25 25 $25K
78452 68 63 $25K
87088 4,948 4,472 $25K
83002 1,570 1,542 $25K
82670 1,003 982 $23K
81511 598 591 $23K
70498 1,180 1,119 $23K
86235 502 437 $22K
29405 85 62 $22K
ATP17 11,258 10,332 $21K
86376 1,799 1,764 $20K
82731 325 302 $20K
84270 1,136 1,112 $20K
0031A 678 630 $20K
J1100 Dexamethasone sodium phos 16,799 15,686 $20K
82951 1,705 1,650 $20K
84156 10,178 8,964 $20K
86780 1,993 1,952 $19K
86787 2,122 1,997 $19K
83721 4,657 4,586 $19K
J2250 Inj midazolam hydrochloride 13,491 12,372 $19K
80164 2,937 2,632 $18K
71101 1,240 1,203 $18K
G0399 Home sleep test/type 3 porta 135 126 $18K
J2543 Piperacillin/tazobactam 849 364 $18K
86709 2,743 2,688 $18K
73564 665 587 $18K
J0690 Cefazolin sodium injection 11,445 9,125 $18K
86765 2,136 2,060 $18K
80055 763 763 $17K
19081 15 14 $17K
86431 5,061 4,960 $17K
86200 2,219 2,186 $17K
95800 76 76 $16K
86800 1,377 1,356 $16K
82550 10,562 9,555 $16K
80074 387 384 $16K
84460 9,370 8,823 $15K
87045 2,231 2,129 $15K
87899 1,689 1,608 $15K
95810 29 24 $14K
J0185 Inj., aprepitant, 1 mg 56 36 $14K
J2270 Morphine sulfate injection 14,398 10,458 $14K
96523 486 336 $14K
86735 1,638 1,571 $14K
84450 7,452 6,930 $14K
96417 952 616 $14K
82150 3,070 2,937 $13K
82803 850 762 $13K
84100 13,654 10,357 $13K
ATP03 5,744 5,279 $13K
72081 121 121 $13K
J7050 Normal saline solution infus 5,867 3,223 $13K
84520 12,965 10,333 $13K
76942 42 40 $12K
87046 1,793 1,700 $12K
87209 783 694 $12K
73090 740 686 $12K
84550 8,905 8,450 $11K
J1170 Hydromorphone injection 6,819 4,807 $11K
73660 258 251 $11K
82785 813 793 $11K
82465 3,930 3,894 $11K
82950 2,443 2,421 $11K
83883 1,009 742 $11K
J2790 Rho d immune globulin inj 66 66 $10K
82248 7,890 7,078 $10K
J0696 Ceftriaxone sodium injection 9,084 6,458 $10K
86308 2,258 2,220 $10K
93798 224 36 $10K
86141 1,562 1,510 $10K
85007 4,516 3,669 $10K
J7030 Normal saline solution infus 14,486 11,811 $9K
G0103 Psa screening 5,486 5,427 $9K
71100 236 227 $9K
82627 453 448 $9K
J2274 Inj morphine pf epid ithc 140 131 $9K
J1644 Inj heparin sodium per 1000u 8,758 3,705 $9K
87272 1,000 976 $8K
85018 5,815 5,234 $8K
J3490 Drugs unclassified injection 5,691 4,837 $8K
96376 7,910 5,429 $8K
82247 2,357 1,738 $8K
J2358 Olanzapine long-acting inj 230 167 $8K
72110 161 161 $8K
84436 2,201 2,161 $7K
J0134 Inj acetaminophen -fresenius 1,130 1,058 $7K
80299 1,048 963 $7K
88112 72 62 $7K
94761 5,675 5,075 $7K
A4648 Implantable tissue marker 723 705 $7K
72170 953 874 $7K
72020 3,927 3,715 $7K
86696 390 384 $7K
29105 71 65 $7K
82985 996 969 $7K
74178 54 54 $7K
77334 51 38 $7K
83615 4,573 3,956 $7K
84144 361 304 $7K
85014 4,649 4,222 $7K
82947 4,648 4,488 $6K
97163 152 150 $6K
80178 1,713 1,553 $6K
J1815 Insulin injection 4,437 1,384 $6K
86617 505 255 $6K
87641 345 333 $6K
94618 141 127 $6K
82533 461 425 $6K
J1200 Diphenhydramine hcl injectio 9,787 8,347 $6K
20553 25 25 $6K
87177 783 693 $6K
88341 709 636 $6K
82077 1,383 1,222 $6K
84165 1,430 1,344 $6K
86160 307 294 $6K
83520 542 516 $6K
80159 652 532 $6K
J1453 Fosaprepitant injection 495 307 $5K
92586 16 16 $5K
76885 37 37 $5K
Q0162 Ondansetron oral 2,713 2,301 $5K
84145 412 392 $5K
86665 200 157 $5K
86361 390 376 $5K
85045 1,692 1,577 $5K
97116 149 93 $5K
ATP09 2,151 1,718 $5K
29515 36 36 $5K
86695 387 382 $5K
82272 2,361 2,251 $5K
94760 5,131 4,677 $4K
87427 560 537 $4K
87350 475 468 $4K
87328 459 440 $4K
ATP02 1,618 1,459 $4K
87329 459 440 $4K
84132 1,868 1,664 $4K
90686 205 195 $4K
J1572 Flebogamma injection 16 16 $4K
J2060 Lorazepam injection 9,772 8,000 $4K
72052 59 59 $4K
ATP11 2,182 1,972 $4K
ATP18 2,752 2,472 $4K
J7060 5% dextrose/water 2,684 1,243 $4K
82952 1,125 1,122 $4K
ATP07 1,788 1,681 $4K
J0330 Succinycholine chloride inj 1,640 1,554 $4K
76881 33 28 $4K
86334 439 426 $4K
76937 241 202 $3K
81002 1,607 1,554 $3K
83020 342 335 $3K
81220 139 137 $3K
93225 51 51 $3K
J1040 Methylprednisolone 80 mg inj 2,337 2,246 $3K
J7512 Prednisone ir or dr oral 1mg 5,235 3,948 $3K
84432 238 236 $3K
J2710 Neostigmine methylslfte inj 3,880 3,741 $3K
29130 17 16 $3K
87252 116 110 $3K
80069 582 564 $3K
97166 37 37 $3K
ATP10 1,346 1,224 $2K
93226 51 51 $2K
86707 244 240 $2K
ATP04 928 866 $2K
82977 1,036 1,011 $2K
80081 38 38 $2K
80179 248 239 $2K
86147 121 66 $2K
80177 334 311 $2K
73552 71 68 $2K
ATP16 753 611 $2K
82310 1,232 1,037 $2K
87625 77 77 $2K
86664 155 154 $2K
36592 1,000 516 $2K
ATP13 1,017 840 $2K
84481 143 139 $2K
82140 290 240 $2K
86682 197 119 $2K
80143 341 318 $2K
87493 820 769 $2K
82040 862 730 $2K
90472 143 141 $2K
J2930 Methylprednisolone injection 2,084 1,696 $2K
73120 26 24 $2K
81050 695 673 $2K
87804 177 175 $2K
87486 69 67 $2K
86255 194 191 $2K
81015 1,133 1,096 $2K
J3475 Inj magnesium sulfate 1,708 1,176 $2K
74174 13 13 $2K
87253 80 78 $2K
87661 57 56 $2K
G0145 Scr c/v cyto,thinlayer,rescr 5,074 5,027 $2K
90688 113 99 $2K
82010 255 221 $2K
86355 63 62 $1K
86357 63 62 $1K
J7620 Albuterol ipratrop non-comp 192 138 $1K
J2765 Metoclopramide hcl injection 11,295 10,000 $1K
90935 19 12 $1K
86005 200 186 $1K
J1790 Droperidol injection 680 601 $1K
86225 126 126 $1K
86364 185 185 $1K
J1630 Haloperidol injection 2,799 2,258 $1K
76820 38 14 $1K
86039 147 146 $1K
J0881 Darbepoetin alfa, non-esrd 23 12 $1K
J2001 Lidocaine injection 10,702 10,089 $1K
84075 464 446 $1K
J2469 Palonosetron hcl 679 430 $1K
87255 43 43 $1K
88313 977 969 $1K
C9290 Inj, bupivacaine liposome 84 76 $1K
86701 159 152 $1K
C9113 Inj pantoprazole sodium, via 3,944 2,744 $996.36
84154 154 153 $940.07
J1010 Inj, methylpred acetate 1 mg 388 363 $901.30
77072 14 14 $873.73
C1781 Mesh (implantable) 14 14 $873.47
C1887 Catheter, guiding 394 366 $848.50
94690 408 248 $827.88
73060 26 25 $814.27
82378 104 90 $796.25
72070 13 13 $772.03
87801 12 12 $743.04
97597 63 54 $742.41
83498 31 31 $718.62
J1030 Methylprednisolone 40 mg inj 44 43 $687.08
86663 56 55 $684.26
87798 18 16 $674.97
96368 146 95 $667.96
87075 95 89 $660.97
87184 115 111 $656.58
J8540 Oral dexamethasone 3,844 2,132 $655.07
83519 50 49 $621.82
71111 26 26 $567.83
J3370 Vancomycin hcl injection 1,202 654 $511.77
88173 29 26 $484.50
99218 26 12 $458.50
83993 40 39 $431.00
73000 13 12 $427.97
J3480 Inj potassium chloride 806 560 $427.49
87106 44 42 $370.22
86335 28 28 $364.18
82103 33 33 $363.55
81599 162 159 $358.40
84207 13 13 $342.01
J0136 Inj, acetaminophen (b braun) 122 115 $330.28
93923 13 13 $329.10
Q0163 Diphenhydramine hcl 50mg 2,319 1,188 $328.18
J2470 Inj pantoprazole sodium 40mg 249 168 $325.61
83718 51 51 $321.37
ATP06 147 128 $307.04
C1769 Guide wire 1,113 949 $295.50
G0008 Admin influenza virus vac 307 282 $282.83
95806 13 13 $275.40
82164 26 26 $271.58
82390 30 30 $261.17
85004 99 86 $248.20
85613 31 26 $246.64
86705 39 39 $245.41
81596 83 82 $244.48
86256 16 16 $222.18
94762 86 79 $218.71
87660 12 12 $194.48
87510 12 12 $194.48
87480 12 12 $194.48
85049 42 41 $185.08
86060 27 27 $176.74
J1596 Inj, glycopyrrolate, 0.1 mg 281 266 $176.49
86692 13 13 $174.30
J0571 Buprenorphine oral 1mg 440 136 $155.81
84155 187 174 $152.52
82365 13 12 $147.94
ATP12 93 80 $139.50
80197 74 39 $133.21
87270 12 12 $131.28
80175 59 55 $128.00
G0283 Elec stim other than wound 74 24 $126.67
84478 45 37 $119.33
88172 17 14 $118.77
P9016 Rbc leukocytes reduced 13 12 $113.10
80185 29 26 $109.36
85048 102 88 $102.20
J1171 Inj, hydromorphone, 0.1 mg 98 70 $97.15
90716 12 12 $95.19
ATP05 44 37 $90.89
90734 24 24 $89.90
J0640 Leucovorin calcium injection 23 12 $89.56
J3411 Thiamine hcl 100 mg 14 14 $86.91
J0171 Adrenalin epinephrine inject 23 13 $82.39
86015 13 13 $77.97
87341 12 12 $77.02
70360 14 13 $74.43
89051 24 24 $74.26
80503 21 12 $71.29
84479 52 51 $68.85
86593 14 14 $56.28
J1720 Hydrocortisone sodium succ i 15 15 $49.67
J2370 Phenylephrine hcl injection 1,315 1,243 $47.50
ATP19 12 12 $34.23
82270 13 13 $30.88
80156 43 36 $28.31
84300 14 14 $25.15
J1920 Inj, labetalol hcl, 5mg 12 12 $20.66
J9190 Fluorouracil injection 23 12 $19.78
96411 74 50 $15.90
87269 14 14 $10.94
J2919 Inj, methylpred sod succ 5mg 109 88 $10.22
J3470 Hyaluronidase injection 29 27 $9.33
J7605 Arformoterol non-comp unit 43 17 $8.52
J3420 Vitamin b12 injection 27 25 $7.23
J0295 Ampicillin sulbactam 1.5 gm 34 26 $5.00
J1940 Furosemide injection 134 79 $3.16
J1836 Inj, metronidazole, 10 mg 19 13 $1.88
J7613 Albuterol non-comp unit 18 16 $1.36
91300 3,726 3,367 $0.23
C8929 Tte w or wo fol wcon,doppler 14 14 $0.00
J1956 Levofloxacin injection 125 86 $0.00
Q9966 Locm 200-299mg/ml iodine,1ml 282 238 $0.00
C1780 Lens, intraocular (new tech) 206 202 $0.00
G8978 Mobility current status 301 291 $0.00
G8979 Mobility goal status 317 306 $0.00
A9575 Inj gadoterate meglumi 0.1ml 168 106 $0.00
76376 120 119 $0.00
C1894 Intro/sheath, non-laser 13 12 $0.00
J7510 Prednisolone oral per 5 mg 27 26 $0.00
J8499 Oral prescrip drug non chemo 119 43 $0.00
84080 12 12 $0.00
A9500 Tc99m sestamibi 109 95 $0.00
80320 25 25 $0.00
U0002 Covid-19 lab test non-cdc 367 344 $0.00
91301 816 802 $0.00
77001 15 12 $0.00
C1892 Intro/sheath,fixed,peel-away 79 75 $0.00
V2632 Post chmbr intraocular lens 191 177 $0.00
C1725 Cath, translumin non-laser 57 51 $0.00
87640 99 94 $0.00
99156 13 13 $0.00
91303 187 187 $0.00
36591 32 26 $0.00
G8980 Mobility d/c status 16 16 $0.00
J3360 Diazepam injection 12 12 $0.00