| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
54,427 |
44,360 |
$7.55M |
| 99284 |
|
26,598 |
21,269 |
$4.29M |
| G0378 |
Hospital observation per hr |
6,757 |
4,663 |
$2.03M |
| 99285 |
|
9,273 |
7,675 |
$2.01M |
| 69436 |
|
1,448 |
1,235 |
$1.51M |
| 96374 |
|
14,231 |
11,123 |
$1.31M |
| 42820 |
|
402 |
334 |
$1.20M |
| 96365 |
|
11,933 |
7,949 |
$1.19M |
| 99282 |
|
11,456 |
9,941 |
$970K |
| 74177 |
|
6,730 |
5,694 |
$938K |
| 96372 |
|
25,243 |
16,943 |
$855K |
| 43239 |
|
2,878 |
2,597 |
$793K |
| 96413 |
|
5,252 |
2,629 |
$781K |
| 87633 |
|
2,419 |
2,148 |
$754K |
| 93306 |
|
4,156 |
3,742 |
$725K |
| 71046 |
|
16,562 |
14,006 |
$672K |
| 78452 |
|
1,400 |
1,250 |
$576K |
| D7140 |
|
1,540 |
584 |
$540K |
| 94640 |
|
7,468 |
2,675 |
$534K |
| J0897 |
Denosumab injection |
945 |
710 |
$488K |
| 97110 |
|
14,240 |
2,914 |
$483K |
| D2930 |
|
6,714 |
1,371 |
$480K |
| 96375 |
|
17,507 |
11,125 |
$479K |
| 71045 |
|
14,132 |
11,356 |
$440K |
| 70450 |
|
8,666 |
7,524 |
$421K |
| 99291 |
|
1,713 |
1,438 |
$419K |
| 96360 |
|
4,106 |
3,316 |
$406K |
| 74176 |
|
4,100 |
3,574 |
$406K |
| 87635 |
|
12,240 |
10,370 |
$401K |
| 59025 |
|
3,601 |
2,400 |
$368K |
| 80307 |
|
8,770 |
7,035 |
$364K |
| 76815 |
|
5,465 |
3,934 |
$350K |
| 80053 |
|
52,591 |
37,962 |
$350K |
| 93005 |
|
17,368 |
13,474 |
$334K |
| 86900 |
|
5,579 |
4,393 |
$322K |
| 85025 |
|
66,176 |
45,201 |
$301K |
| 96361 |
|
9,317 |
7,119 |
$294K |
| 87804 |
|
13,866 |
10,470 |
$270K |
| 87636 |
|
2,846 |
2,442 |
$270K |
| 88305 |
|
7,055 |
5,186 |
$238K |
| J1439 |
Inj ferric carboxymaltos 1mg |
743 |
466 |
$215K |
| 45385 |
|
599 |
546 |
$206K |
| 71260 |
|
2,531 |
2,221 |
$203K |
| J2505 |
Injection, pegfilgrastim 6mg |
115 |
83 |
$203K |
| 45378 |
|
587 |
516 |
$195K |
| 87491 |
|
7,758 |
6,323 |
$189K |
| 76801 |
|
2,878 |
2,231 |
$188K |
| 87591 |
|
7,739 |
6,313 |
$185K |
| 93458 |
|
165 |
156 |
$173K |
| 96367 |
|
3,570 |
2,118 |
$157K |
| 66984 |
|
275 |
221 |
$157K |
| 93017 |
|
1,892 |
1,674 |
$147K |
| 78815 |
|
339 |
293 |
$146K |
| 96366 |
|
3,555 |
1,900 |
$144K |
| 93976 |
|
2,365 |
1,949 |
$142K |
| 83880 |
|
7,685 |
6,150 |
$139K |
| 77067 |
|
1,716 |
1,570 |
$137K |
| 43248 |
|
581 |
526 |
$136K |
| 36415 |
|
53,792 |
34,445 |
$132K |
| 86850 |
|
5,430 |
4,281 |
$131K |
| 76819 |
|
1,838 |
1,102 |
$128K |
| 76817 |
|
1,859 |
1,411 |
$123K |
| 71275 |
|
1,827 |
1,567 |
$122K |
| 88312 |
|
3,954 |
2,928 |
$121K |
| 87880 |
|
10,217 |
8,709 |
$118K |
| 74018 |
|
2,809 |
2,441 |
$117K |
| 74019 |
|
1,920 |
1,665 |
$116K |
| 87651 |
|
4,507 |
3,766 |
$109K |
| 84443 |
|
10,404 |
8,838 |
$109K |
| 87661 |
|
4,893 |
4,208 |
$107K |
| 87637 |
|
1,054 |
863 |
$106K |
| 76805 |
|
1,599 |
1,428 |
$106K |
| 84484 |
|
16,537 |
10,116 |
$105K |
| J9271 |
Inj pembrolizumab |
30 |
24 |
$104K |
| 86901 |
|
5,575 |
4,391 |
$97K |
| 72125 |
|
2,235 |
1,943 |
$95K |
| 72100 |
|
1,738 |
1,509 |
$90K |
| 81025 |
|
15,365 |
12,415 |
$89K |
| 73560 |
|
2,312 |
1,963 |
$87K |
| 41899 |
|
622 |
552 |
$85K |
| 93226 |
|
3,265 |
1,670 |
$85K |
| U0004 |
Cov-19 test non-cdc hgh thru |
1,006 |
947 |
$76K |
| 36430 |
|
652 |
416 |
$76K |
| 80048 |
|
14,077 |
10,309 |
$76K |
| 81001 |
|
37,591 |
29,805 |
$74K |
| G0463 |
Hospital outpt clinic visit |
11,206 |
7,547 |
$72K |
| 73630 |
|
1,790 |
1,548 |
$71K |
| J1453 |
Fosaprepitant injection |
849 |
435 |
$69K |
| 82553 |
|
11,682 |
7,187 |
$67K |
| 87086 |
|
12,203 |
10,298 |
$65K |
| 80061 |
|
7,108 |
6,310 |
$65K |
| 76700 |
|
1,160 |
1,072 |
$65K |
| 88313 |
|
3,497 |
2,880 |
$64K |
| 43235 |
|
224 |
205 |
$64K |
| 87389 |
|
4,053 |
3,518 |
$64K |
| 93925 |
|
877 |
794 |
$60K |
| 73610 |
|
1,422 |
1,211 |
$59K |
| 86003 |
|
513 |
385 |
$58K |
| 36600 |
|
1,939 |
1,570 |
$58K |
| 76705 |
|
1,034 |
909 |
$57K |
| 80074 |
|
1,709 |
1,489 |
$56K |
| 73030 |
|
1,452 |
1,252 |
$52K |
| 82550 |
|
12,436 |
7,824 |
$51K |
| Q5111 |
Injection, udenyca 0.5 mg |
44 |
25 |
$50K |
| 82805 |
|
1,627 |
1,271 |
$49K |
| 52214 |
|
34 |
34 |
$48K |
| 99211 |
|
7,122 |
4,885 |
$47K |
| C1726 |
Cath, bal dil, non-vascular |
271 |
250 |
$46K |
| 76856 |
|
782 |
690 |
$45K |
| 82728 |
|
5,359 |
4,665 |
$43K |
| 73130 |
|
984 |
855 |
$42K |
| J0561 |
Penicillin g benzathine inj |
502 |
400 |
$41K |
| 93971 |
|
995 |
864 |
$40K |
| 86140 |
|
14,499 |
11,295 |
$39K |
| 83615 |
|
10,304 |
6,894 |
$39K |
| 88304 |
|
1,342 |
1,137 |
$38K |
| 97602 |
|
1,030 |
232 |
$38K |
| 71250 |
|
965 |
850 |
$37K |
| 99281 |
|
878 |
771 |
$37K |
| 84702 |
|
3,453 |
2,445 |
$37K |
| 70551 |
|
444 |
392 |
$36K |
| 76642 |
|
1,072 |
928 |
$35K |
| 87807 |
|
3,238 |
2,829 |
$35K |
| 83690 |
|
8,397 |
6,707 |
$35K |
| J0517 |
Inj., benralizumab, 1 mg |
33 |
25 |
$34K |
| 87070 |
|
5,139 |
4,305 |
$34K |
| P9016 |
Rbc leukocytes reduced |
508 |
352 |
$33K |
| D4355 |
|
939 |
759 |
$33K |
| 83036 |
|
5,204 |
4,555 |
$32K |
| 96415 |
|
802 |
452 |
$32K |
| 87186 |
|
5,340 |
4,216 |
$32K |
| 87040 |
|
5,864 |
3,121 |
$31K |
| 78264 |
|
195 |
188 |
$31K |
| 83735 |
|
9,138 |
6,408 |
$31K |
| 87150 |
|
1,186 |
1,034 |
$31K |
| 95811 |
|
90 |
76 |
$30K |
| 96417 |
|
847 |
450 |
$30K |
| 97162 |
|
706 |
635 |
$29K |
| 82607 |
|
3,053 |
2,687 |
$29K |
| 90471 |
|
1,139 |
982 |
$29K |
| 93922 |
|
726 |
670 |
$28K |
| D1120 |
|
1,974 |
1,647 |
$28K |
| 85027 |
|
6,326 |
4,945 |
$27K |
| 73110 |
|
617 |
492 |
$25K |
| 97161 |
|
629 |
552 |
$25K |
| 83550 |
|
5,222 |
4,573 |
$25K |
| 80081 |
|
427 |
381 |
$24K |
| 76830 |
|
345 |
314 |
$24K |
| 10060 |
|
225 |
197 |
$23K |
| 94762 |
|
464 |
352 |
$23K |
| Q5120 |
Inj pegfilgrastim-bmez 0.5mg |
24 |
12 |
$23K |
| 83605 |
|
4,458 |
3,337 |
$22K |
| 93970 |
|
255 |
236 |
$21K |
| 76816 |
|
290 |
260 |
$21K |
| 70553 |
|
121 |
97 |
$21K |
| J2469 |
Palonosetron hcl |
213 |
120 |
$19K |
| 87088 |
|
3,645 |
3,003 |
$19K |
| 73502 |
|
590 |
551 |
$19K |
| 82962 |
|
10,275 |
6,131 |
$19K |
| 80076 |
|
3,547 |
2,936 |
$18K |
| 77066 |
Tomosynthesis, mammo |
292 |
266 |
$18K |
| 84439 |
|
3,457 |
2,657 |
$17K |
| 85379 |
|
3,492 |
2,958 |
$17K |
| 77065 |
Tomosynthesis, mammo |
394 |
353 |
$17K |
| 82746 |
|
2,023 |
1,789 |
$16K |
| 82306 |
|
824 |
715 |
$16K |
| 86762 |
|
1,558 |
1,346 |
$16K |
| 95810 |
|
51 |
45 |
$16K |
| D2392 |
|
306 |
126 |
$16K |
| G0382 |
Lev 3 hosp type b ed visit |
687 |
385 |
$15K |
| 82105 |
|
1,271 |
1,130 |
$15K |
| M0243 |
Casirivi and imdevi inj |
97 |
77 |
$15K |
| 88300 |
|
736 |
618 |
$15K |
| J0185 |
Inj., aprepitant, 1 mg |
98 |
53 |
$15K |
| 52224 |
|
14 |
13 |
$14K |
| 77412 |
|
105 |
12 |
$14K |
| 83540 |
|
3,737 |
3,211 |
$14K |
| 77336 |
|
200 |
78 |
$13K |
| 85610 |
|
5,968 |
4,908 |
$13K |
| 87507 |
|
63 |
56 |
$13K |
| 82077 |
|
1,273 |
1,056 |
$13K |
| 70486 |
|
248 |
218 |
$13K |
| 84153 |
|
1,496 |
1,284 |
$12K |
| 86592 |
|
3,906 |
3,422 |
$12K |
| D1208 |
|
1,123 |
905 |
$12K |
| 99213 |
|
719 |
315 |
$12K |
| 72131 |
|
311 |
261 |
$11K |
| 87077 |
|
1,649 |
1,210 |
$11K |
| 99214 |
|
509 |
230 |
$10K |
| 93880 |
|
172 |
156 |
$10K |
| 72040 |
|
325 |
245 |
$10K |
| 86300 |
|
750 |
595 |
$9K |
| 51702 |
|
311 |
274 |
$9K |
| 83883 |
|
703 |
558 |
$9K |
| 12001 |
|
80 |
74 |
$9K |
| 82565 |
|
2,014 |
1,769 |
$8K |
| 82677 |
|
437 |
381 |
$8K |
| 87810 |
|
309 |
283 |
$8K |
| 86334 |
|
789 |
654 |
$8K |
| 84165 |
|
1,638 |
1,277 |
$7K |
| 85730 |
|
2,288 |
1,943 |
$7K |
| 82784 |
|
786 |
604 |
$6K |
| 72148 |
|
72 |
68 |
$6K |
| 96411 |
|
254 |
128 |
$6K |
| 76770 |
|
109 |
104 |
$6K |
| 73562 |
|
153 |
135 |
$6K |
| D1206 |
|
567 |
503 |
$6K |
| 73590 |
|
182 |
145 |
$6K |
| 86803 |
|
840 |
760 |
$6K |
| 84520 |
|
1,981 |
1,738 |
$6K |
| 86038 |
|
814 |
716 |
$6K |
| 82803 |
|
434 |
351 |
$6K |
| 86336 |
|
437 |
381 |
$5K |
| 87340 |
|
942 |
828 |
$5K |
| G0330 |
Facility svs dental rehab |
34 |
31 |
$5K |
| 73140 |
|
145 |
104 |
$5K |
| 85660 |
|
1,174 |
1,005 |
$5K |
| 83520 |
|
301 |
251 |
$5K |
| 82330 |
|
681 |
547 |
$4K |
| 73090 |
|
114 |
94 |
$4K |
| 86780 |
|
457 |
399 |
$4K |
| 82378 |
|
538 |
356 |
$4K |
| U0002 |
Covid-19 lab test non-cdc |
175 |
161 |
$4K |
| 73070 |
|
112 |
91 |
$4K |
| 82947 |
|
1,933 |
1,665 |
$4K |
| J7050 |
Normal saline solution infus |
7,783 |
3,884 |
$4K |
| D2391 |
|
75 |
39 |
$3K |
| 86923 |
|
60 |
39 |
$3K |
| 85651 |
|
1,255 |
1,050 |
$3K |
| J1100 |
Dexamethasone sodium phos |
10,533 |
7,515 |
$3K |
| 87081 |
|
581 |
525 |
$3K |
| 84703 |
|
533 |
435 |
$3K |
| 87427 |
|
534 |
234 |
$3K |
| 82785 |
|
236 |
200 |
$3K |
| A6266 |
Impreg gauze no h20/sal/yard |
2,434 |
564 |
$2K |
| D3220 |
|
52 |
30 |
$2K |
| 82150 |
|
506 |
429 |
$2K |
| 82010 |
|
461 |
355 |
$2K |
| 87045 |
|
282 |
235 |
$2K |
| 87046 |
|
271 |
223 |
$2K |
| 84550 |
|
638 |
499 |
$2K |
| 96523 |
|
103 |
94 |
$2K |
| 86704 |
|
371 |
322 |
$2K |
| J0640 |
Leucovorin calcium injection |
152 |
61 |
$2K |
| 76775 |
|
52 |
42 |
$2K |
| 85045 |
|
958 |
617 |
$2K |
| 73552 |
|
49 |
39 |
$2K |
| J2405 |
Ondansetron hcl injection |
20,128 |
14,689 |
$2K |
| 84132 |
|
1,195 |
947 |
$2K |
| 81003 |
|
1,026 |
625 |
$2K |
| 85007 |
|
984 |
673 |
$2K |
| D2330 |
|
46 |
24 |
$2K |
| J1756 |
Iron sucrose injection |
376 |
133 |
$2K |
| 72072 |
|
29 |
26 |
$2K |
| 70498 |
|
38 |
37 |
$2K |
| 0202U |
|
430 |
300 |
$2K |
| 0240U |
|
596 |
517 |
$1K |
| A9270 |
Non-covered item or service |
10,992 |
6,851 |
$1K |
| 82375 |
|
315 |
253 |
$1K |
| D1351 |
|
95 |
60 |
$1K |
| J9190 |
Fluorouracil injection |
205 |
74 |
$1K |
| 82247 |
|
255 |
127 |
$1K |
| J7030 |
Normal saline solution infus |
5,990 |
4,339 |
$1K |
| 80069 |
|
473 |
288 |
$1K |
| 87205 |
|
436 |
373 |
$1K |
| 82435 |
|
661 |
530 |
$1K |
| 12011 |
|
22 |
13 |
$942.26 |
| J2930 |
Methylprednisolone injection |
2,156 |
1,459 |
$931.87 |
| 97165 |
|
21 |
17 |
$922.27 |
| 84295 |
|
686 |
557 |
$918.38 |
| 83050 |
|
315 |
253 |
$883.27 |
| 97163 |
|
13 |
13 |
$801.33 |
| 93242 |
|
66 |
62 |
$795.83 |
| 80143 |
|
62 |
53 |
$788.66 |
| 87210 |
|
227 |
206 |
$767.66 |
| 82570 |
|
330 |
273 |
$754.33 |
| 51701 |
|
16 |
14 |
$746.50 |
| 97014 |
|
69 |
12 |
$733.96 |
| 70496 |
|
13 |
12 |
$731.00 |
| J1200 |
Diphenhydramine hcl injectio |
3,747 |
2,237 |
$681.19 |
| A6253 |
Absorpt drg > 48 sq in w/o b |
892 |
266 |
$652.88 |
| 0241U |
|
221 |
194 |
$641.85 |
| 85014 |
|
442 |
344 |
$628.28 |
| 80179 |
|
44 |
39 |
$553.74 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
10,704 |
8,974 |
$551.15 |
| J2550 |
Promethazine hcl injection |
4,320 |
2,675 |
$500.28 |
| 82533 |
|
150 |
71 |
$483.81 |
| G0381 |
Lev 2 hosp type b ed visit |
14 |
13 |
$477.35 |
| J3475 |
Inj magnesium sulfate |
1,909 |
1,223 |
$471.85 |
| J1885 |
Ketorolac tromethamine inj |
8,827 |
7,241 |
$443.12 |
| C9113 |
Inj pantoprazole sodium, via |
1,785 |
988 |
$441.00 |
| 85018 |
|
542 |
435 |
$441.00 |
| 84100 |
|
295 |
178 |
$432.61 |
| 90756 |
|
40 |
37 |
$398.48 |
| 82043 |
|
139 |
136 |
$390.41 |
| A9502 |
Tc99m tetrofosmin |
1,420 |
1,271 |
$376.92 |
| J7040 |
Normal saline solution infus |
1,340 |
869 |
$374.13 |
| 0077U |
|
938 |
746 |
$353.83 |
| 99212 |
|
16 |
13 |
$321.92 |
| J2270 |
Morphine sulfate injection |
6,942 |
4,882 |
$317.84 |
| 82950 |
|
94 |
77 |
$317.13 |
| J0696 |
Ceftriaxone sodium injection |
7,297 |
5,504 |
$302.95 |
| A6251 |
Absorpt drg <=16 sq in w/o b |
571 |
441 |
$290.40 |
| J2785 |
Regadenoson injection |
1,004 |
909 |
$258.80 |
| 83521 |
|
1,085 |
650 |
$250.15 |
| 90686 |
|
19 |
18 |
$236.72 |
| C1769 |
Guide wire |
2,298 |
1,801 |
$227.33 |
| 91200 |
|
27 |
27 |
$215.26 |
| 82977 |
|
42 |
38 |
$210.71 |
| J2250 |
Inj midazolam hydrochloride |
5,435 |
4,458 |
$201.48 |
| 84145 |
|
3,837 |
2,878 |
$194.91 |
| 84156 |
|
82 |
63 |
$186.10 |
| J3010 |
Fentanyl citrate injection |
6,516 |
5,518 |
$167.25 |
| A9698 |
Non-rad contrast materialnoc |
3,643 |
3,134 |
$145.86 |
| J3490 |
Drugs unclassified injection |
537 |
436 |
$138.74 |
| 96376 |
|
6,948 |
3,550 |
$124.11 |
| J1650 |
Inj enoxaparin sodium |
2,868 |
1,337 |
$98.19 |
| A6197 |
Alginate drsg >16 <=48 sq in |
119 |
42 |
$96.80 |
| J2060 |
Lorazepam injection |
1,380 |
1,089 |
$94.07 |
| J1815 |
Insulin injection |
3,182 |
1,865 |
$91.99 |
| J2175 |
Meperidine hydrochl /100 mg |
1,117 |
807 |
$88.86 |
| 99152 |
|
1,342 |
1,147 |
$87.79 |
| J7512 |
Prednisone ir or dr oral 1mg |
726 |
571 |
$81.77 |
| 88302 |
|
22 |
12 |
$79.24 |
| J7060 |
5% dextrose/water |
156 |
79 |
$78.18 |
| J1170 |
Hydromorphone injection |
4,955 |
2,951 |
$70.94 |
| J0690 |
Cefazolin sodium injection |
2,984 |
2,502 |
$69.39 |
| 84155 |
|
67 |
52 |
$66.00 |
| G8979 |
Mobility goal status |
449 |
378 |
$60.28 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
492 |
418 |
$54.41 |
| 94664 |
|
5,699 |
3,546 |
$47.20 |
| 86308 |
|
13 |
12 |
$46.00 |
| J0702 |
Betamethasone acet&sod phosp |
997 |
840 |
$43.25 |
| J2919 |
Inj, methylpred sod succ 5mg |
226 |
121 |
$42.50 |
| J2765 |
Metoclopramide hcl injection |
215 |
161 |
$41.56 |
| J0131 |
Inj, acetaminophen (nos) |
948 |
643 |
$41.05 |
| 94760 |
|
2,240 |
1,418 |
$39.17 |
| J1642 |
Inj heparin sodium per 10 u |
503 |
320 |
$37.93 |
| J1940 |
Furosemide injection |
1,181 |
639 |
$36.60 |
| J1644 |
Inj heparin sodium per 1000u |
2,016 |
1,540 |
$36.21 |
| 0296T |
|
12 |
12 |
$35.78 |
| 77061 |
|
15 |
12 |
$32.90 |
| J3480 |
Inj potassium chloride |
354 |
224 |
$30.38 |
| J2001 |
Lidocaine injection |
5,188 |
4,195 |
$28.56 |
| J0330 |
Succinycholine chloride inj |
746 |
589 |
$25.68 |
| G0283 |
Elec stim other than wound |
329 |
87 |
$20.95 |
| A6260 |
Wound cleanser any type/size |
43 |
38 |
$19.36 |
| C1760 |
Closure dev, vasc |
688 |
584 |
$18.41 |
| 90715 |
|
885 |
783 |
$18.38 |
| 77063 |
|
1,487 |
1,362 |
$12.16 |
| G8978 |
Mobility current status |
392 |
341 |
$9.77 |
| 77062 |
|
28 |
25 |
$8.58 |
| J2360 |
Orphenadrine injection |
506 |
414 |
$7.47 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
228 |
113 |
$5.64 |
| J2704 |
Inj, propofol, 10 mg |
306 |
156 |
$5.47 |
| J2370 |
Phenylephrine hcl injection |
15 |
12 |
$4.30 |
| J2543 |
Piperacillin/tazobactam |
140 |
71 |
$3.35 |
| J7620 |
Albuterol ipratrop non-comp |
882 |
509 |
$2.79 |
| A6445 |
Conform band s w <3"/yd |
1,641 |
1,379 |
$2.65 |
| C1894 |
Intro/sheath, non-laser |
1,024 |
871 |
$1.67 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
106 |
78 |
$0.55 |
| J7613 |
Albuterol non-comp unit |
374 |
220 |
$0.16 |
| A9541 |
Tc99m sulfur colloid |
200 |
191 |
$0.00 |
| G8990 |
Other pt/ot current status |
21 |
17 |
$0.00 |
| A9552 |
F18 fdg |
372 |
319 |
$0.00 |
| A6203 |
Composite drsg <= 16 sq in |
612 |
513 |
$0.00 |
| L8613 |
Ossicular implant |
1,196 |
1,000 |
$0.00 |
| J7120 |
Ringers lactate infusion |
4,106 |
2,973 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
1,542 |
1,296 |
$0.00 |
| 0427U |
|
809 |
732 |
$0.00 |
| A4332 |
Lube sterile packet |
327 |
246 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
464 |
391 |
$0.00 |
| G0279 |
Tomosynthesis, mammo |
198 |
193 |
$0.00 |
| J1956 |
Levofloxacin injection |
15 |
12 |
$0.00 |
| G1004 |
Cdsm ndsc |
380 |
245 |
$0.00 |
| A6403 |
Sterile gauze>16 <= 48 sq in |
75 |
69 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
16 |
12 |
$0.00 |
| Q9962 |
Hocm 300-349mg/ml iodine,1ml |
106 |
79 |
$0.00 |
| 77012 |
|
13 |
12 |
$0.00 |
| C1729 |
Cath, drainage |
24 |
12 |
$0.00 |
| Q9958 |
Hocm <=149 mg/ml iodine, 1ml |
77 |
52 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
30 |
26 |
$0.00 |
| S0077 |
Injection, clindamycin phosp |
27 |
14 |
$0.00 |
| 93356 |
|
25 |
24 |
$0.00 |
| C1887 |
Catheter, guiding |
12 |
12 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
24 |
23 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
39 |
21 |
$0.00 |
| G8987 |
Self care current status |
17 |
13 |
$0.00 |
| 36000 |
|
286 |
213 |
$0.00 |
| G8980 |
Mobility d/c status |
28 |
24 |
$0.00 |
| J0500 |
Dicyclomine injection |
116 |
96 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
328 |
268 |
$0.00 |
| 81511 |
|
16 |
14 |
$0.00 |
| 96377 |
|
46 |
36 |
$0.00 |
| 80050 |
|
66 |
39 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
239 |
195 |
$0.00 |
| G0008 |
Admin influenza virus vac |
13 |
12 |
$0.00 |
| J2920 |
Methylprednisolone injection |
71 |
36 |
$0.00 |
| G8988 |
Self care goal status |
17 |
13 |
$0.00 |
| G8991 |
Other pt/ot goal status |
36 |
29 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
95 |
81 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
97 |
69 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
114 |
100 |
$0.00 |