| Code | Description | Claims | Beneficiaries | Total Paid |
| 43239 |
|
3,440 |
3,278 |
$528K |
| 99283 |
|
21,072 |
19,293 |
$480K |
| 99284 |
|
19,883 |
17,221 |
$366K |
| 97530 |
|
12,773 |
4,386 |
$338K |
| 88305 |
|
14,574 |
9,342 |
$313K |
| 74177 |
|
5,030 |
4,551 |
$310K |
| G0378 |
Hospital observation per hr |
4,121 |
3,585 |
$288K |
| A0431 |
Rotary wing air transport |
195 |
180 |
$273K |
| A0430 |
Fixed wing air transport |
195 |
166 |
$255K |
| 99285 |
|
6,210 |
5,413 |
$234K |
| A0435 |
Fixed wing air mileage |
185 |
154 |
$201K |
| 92507 |
|
9,594 |
3,265 |
$197K |
| 42820 |
|
407 |
383 |
$193K |
| 80053 |
|
69,409 |
57,029 |
$152K |
| 70551 |
|
1,002 |
958 |
$150K |
| 70450 |
|
3,536 |
3,231 |
$139K |
| A0436 |
Rotary wing air mileage |
198 |
180 |
$139K |
| 85025 |
|
68,875 |
54,458 |
$136K |
| 93306 |
|
2,618 |
2,475 |
$131K |
| 70553 |
|
1,370 |
1,310 |
$129K |
| 45380 |
|
1,195 |
1,133 |
$125K |
| 87633 |
|
1,062 |
1,012 |
$108K |
| 69436 |
|
279 |
264 |
$101K |
| 88342 |
|
4,076 |
3,727 |
$94K |
| 96413 |
|
6,330 |
3,536 |
$82K |
| 73721 |
|
1,212 |
1,173 |
$81K |
| 87635 |
|
19,017 |
16,664 |
$80K |
| 97110 |
|
14,418 |
4,736 |
$78K |
| 99282 |
|
4,905 |
4,656 |
$78K |
| 80050 |
|
11,184 |
10,734 |
$74K |
| 82306 |
|
15,730 |
15,195 |
$74K |
| 72148 |
|
1,403 |
1,372 |
$72K |
| 96375 |
|
17,647 |
11,892 |
$71K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
9,786 |
9,073 |
$70K |
| 96361 |
|
10,903 |
7,846 |
$68K |
| 76705 |
|
2,123 |
1,978 |
$67K |
| H0035 |
Mh partial hosp tx under 24h |
3,414 |
244 |
$64K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
537 |
458 |
$62K |
| 96365 |
|
14,615 |
7,433 |
$61K |
| 96374 |
|
15,251 |
12,378 |
$59K |
| 82728 |
|
9,482 |
8,918 |
$58K |
| 86140 |
|
11,713 |
9,905 |
$53K |
| 87631 |
|
1,470 |
1,404 |
$48K |
| 93320 |
|
914 |
858 |
$48K |
| 87086 |
|
16,510 |
14,586 |
$45K |
| 93325 |
|
1,769 |
1,645 |
$43K |
| 93303 |
|
170 |
155 |
$39K |
| 87491 |
|
10,940 |
10,319 |
$39K |
| 93005 |
|
14,893 |
12,362 |
$39K |
| 84443 |
|
23,929 |
22,630 |
$38K |
| 72125 |
|
872 |
800 |
$38K |
| A0428 |
Bls |
327 |
280 |
$35K |
| A0434 |
Specialty care transport |
112 |
88 |
$35K |
| 87591 |
|
10,818 |
10,224 |
$35K |
| 74018 |
|
1,649 |
1,407 |
$34K |
| 87651 |
|
2,419 |
2,316 |
$34K |
| 76700 |
|
950 |
918 |
$33K |
| 87798 |
|
2,596 |
1,410 |
$31K |
| 71260 |
|
1,347 |
1,231 |
$31K |
| G0480 |
Drug test def 1-7 classes |
5,277 |
4,190 |
$31K |
| 95810 |
|
626 |
614 |
$30K |
| 83690 |
|
11,298 |
9,615 |
$30K |
| 82784 |
|
3,777 |
2,932 |
$29K |
| J2704 |
Inj, propofol, 10 mg |
12,738 |
11,406 |
$29K |
| 72141 |
|
641 |
620 |
$29K |
| 76856 |
|
1,400 |
1,302 |
$28K |
| 87502 |
|
2,145 |
2,018 |
$28K |
| 87186 |
|
8,681 |
7,045 |
$28K |
| J3010 |
Fentanyl citrate injection |
17,484 |
11,892 |
$28K |
| 96360 |
|
2,966 |
2,357 |
$27K |
| 85379 |
|
2,975 |
2,715 |
$27K |
| 84703 |
|
7,036 |
6,286 |
$26K |
| 71046 |
|
5,006 |
4,657 |
$25K |
| 97112 |
|
5,632 |
1,976 |
$25K |
| 71045 |
|
6,460 |
5,612 |
$24K |
| 80307 |
|
4,521 |
3,956 |
$23K |
| 84439 |
|
8,814 |
8,243 |
$22K |
| 81025 |
|
3,916 |
3,521 |
$21K |
| 87077 |
|
10,573 |
8,242 |
$20K |
| 80048 |
|
12,517 |
10,304 |
$20K |
| 87040 |
|
2,647 |
1,334 |
$20K |
| 85652 |
|
10,236 |
8,817 |
$19K |
| 36415 |
|
38,380 |
31,897 |
$18K |
| 92526 |
|
810 |
383 |
$17K |
| 83550 |
|
6,157 |
5,849 |
$16K |
| C9290 |
Inj, bupivacaine liposome |
848 |
697 |
$16K |
| 83540 |
|
6,496 |
6,168 |
$16K |
| 76775 |
|
429 |
413 |
$16K |
| 83036 |
|
14,707 |
14,198 |
$15K |
| 36000 |
|
4,679 |
4,357 |
$15K |
| 71275 |
|
978 |
877 |
$15K |
| 80061 |
|
19,194 |
18,613 |
$15K |
| J2405 |
Ondansetron hcl injection |
18,021 |
13,183 |
$15K |
| 81003 |
|
10,807 |
9,592 |
$13K |
| J1100 |
Dexamethasone sodium phos |
14,352 |
10,742 |
$13K |
| 81001 |
|
9,708 |
8,365 |
$13K |
| 96366 |
|
3,961 |
2,359 |
$13K |
| 82803 |
|
2,488 |
1,814 |
$12K |
| 73221 |
|
223 |
219 |
$12K |
| 76536 |
|
395 |
384 |
$12K |
| 96415 |
|
2,664 |
1,747 |
$12K |
| 74183 |
|
559 |
530 |
$12K |
| 88112 |
|
1,196 |
1,029 |
$12K |
| 87070 |
|
3,318 |
2,997 |
$12K |
| 83880 |
|
2,163 |
1,901 |
$11K |
| 88304 |
|
1,104 |
1,012 |
$11K |
| 86364 |
|
1,706 |
1,090 |
$11K |
| 88341 |
|
312 |
266 |
$11K |
| 73110 |
|
667 |
618 |
$11K |
| 83735 |
|
8,324 |
5,983 |
$11K |
| 81513 |
|
2,489 |
2,363 |
$10K |
| 73610 |
|
1,055 |
954 |
$10K |
| 83970 |
|
1,871 |
1,766 |
$10K |
| 77002 |
|
842 |
775 |
$10K |
| 30140 |
|
60 |
56 |
$9K |
| 96376 |
|
4,509 |
3,267 |
$9K |
| J2250 |
Inj midazolam hydrochloride |
9,516 |
7,817 |
$9K |
| 74176 |
|
669 |
626 |
$9K |
| A0425 |
Ground mileage |
145 |
116 |
$9K |
| 97116 |
|
2,114 |
980 |
$8K |
| 97140 |
|
5,638 |
1,917 |
$8K |
| 82948 |
|
9,941 |
5,814 |
$8K |
| 73222 |
|
118 |
110 |
$8K |
| 78815 |
|
146 |
132 |
$8K |
| 73630 |
|
896 |
835 |
$8K |
| 84484 |
|
8,734 |
5,846 |
$7K |
| 83605 |
|
2,187 |
1,493 |
$7K |
| 97162 |
|
1,378 |
1,218 |
$7K |
| 95812 |
|
108 |
107 |
$7K |
| 82533 |
|
1,531 |
1,226 |
$7K |
| J7030 |
Normal saline solution infus |
1,950 |
907 |
$7K |
| J1885 |
Ketorolac tromethamine inj |
11,350 |
9,053 |
$7K |
| 85730 |
|
3,665 |
3,218 |
$7K |
| 99152 |
|
1,970 |
1,630 |
$7K |
| 86850 |
|
4,228 |
3,750 |
$7K |
| 94640 |
|
2,258 |
1,504 |
$7K |
| 86900 |
|
4,326 |
3,799 |
$7K |
| 97163 |
|
772 |
710 |
$7K |
| 83516 |
|
973 |
541 |
$7K |
| G0463 |
Hospital outpt clinic visit |
51,867 |
38,520 |
$6K |
| 82274 |
|
929 |
903 |
$6K |
| 84100 |
|
4,416 |
3,561 |
$6K |
| 76830 |
|
1,140 |
1,050 |
$6K |
| 82607 |
|
4,755 |
4,568 |
$6K |
| 93017 |
|
1,650 |
1,422 |
$6K |
| 87481 |
|
4,957 |
2,364 |
$6K |
| 85610 |
|
9,673 |
7,529 |
$6K |
| 73562 |
|
757 |
722 |
$5K |
| 36430 |
|
35 |
25 |
$5K |
| 85027 |
|
14,693 |
13,114 |
$5K |
| 76937 |
|
1,598 |
1,316 |
$5K |
| 80076 |
|
1,723 |
1,622 |
$5K |
| 87205 |
|
2,553 |
2,260 |
$5K |
| J2270 |
Morphine sulfate injection |
2,067 |
1,492 |
$5K |
| 73030 |
|
1,022 |
923 |
$5K |
| J0585 |
Injection,onabotulinumtoxina |
479 |
267 |
$5K |
| 97597 |
|
545 |
384 |
$5K |
| J2930 |
Methylprednisolone injection |
1,071 |
815 |
$5K |
| 82570 |
|
3,965 |
3,425 |
$4K |
| A9577 |
Inj multihance |
3,024 |
2,810 |
$4K |
| 88307 |
|
714 |
574 |
$4K |
| 30520 |
|
13 |
13 |
$4K |
| 84436 |
|
678 |
648 |
$4K |
| 86003 |
|
46 |
27 |
$4K |
| 99231 |
|
98 |
37 |
$4K |
| 73080 |
|
130 |
120 |
$4K |
| 83993 |
|
152 |
148 |
$4K |
| 73502 |
|
610 |
569 |
$4K |
| 83520 |
|
254 |
237 |
$4K |
| 86901 |
|
4,343 |
3,815 |
$4K |
| 87510 |
|
2,942 |
2,775 |
$4K |
| 87480 |
|
2,941 |
2,774 |
$4K |
| 96372 |
|
6,047 |
4,496 |
$4K |
| 87660 |
|
2,941 |
2,774 |
$4K |
| 45385 |
|
793 |
776 |
$4K |
| 96367 |
|
4,307 |
2,254 |
$4K |
| 71250 |
|
699 |
674 |
$3K |
| 12001 |
|
131 |
124 |
$3K |
| J0330 |
Succinycholine chloride inj |
1,185 |
1,040 |
$3K |
| 86803 |
|
5,279 |
5,068 |
$3K |
| 73130 |
|
450 |
422 |
$3K |
| J1170 |
Hydromorphone injection |
5,880 |
3,850 |
$3K |
| 76870 |
|
100 |
95 |
$3K |
| 84403 |
|
1,496 |
1,435 |
$3K |
| J0690 |
Cefazolin sodium injection |
3,424 |
2,069 |
$3K |
| 96411 |
|
137 |
75 |
$3K |
| J0171 |
Adrenalin epinephrine inject |
2,555 |
1,917 |
$3K |
| 99153 |
Mod sedat endo service >5yrs |
1,781 |
1,459 |
$3K |
| 84702 |
|
2,547 |
1,769 |
$3K |
| 82565 |
|
1,161 |
828 |
$3K |
| 87507 |
|
651 |
601 |
$3K |
| 86038 |
|
1,515 |
1,470 |
$3K |
| 86780 |
|
4,382 |
4,201 |
$3K |
| 87661 |
|
2,489 |
2,363 |
$3K |
| 59025 |
|
2,233 |
1,468 |
$3K |
| 82248 |
|
1,064 |
641 |
$3K |
| 76642 |
|
1,090 |
1,067 |
$3K |
| 95811 |
|
72 |
69 |
$3K |
| J7050 |
Normal saline solution infus |
1,410 |
781 |
$3K |
| 84146 |
|
1,614 |
1,482 |
$3K |
| 83615 |
|
2,232 |
1,915 |
$3K |
| 74160 |
|
85 |
75 |
$2K |
| 84402 |
|
764 |
734 |
$2K |
| 70491 |
|
71 |
69 |
$2K |
| 86431 |
|
1,815 |
1,772 |
$2K |
| 87081 |
|
627 |
571 |
$2K |
| 84481 |
|
1,878 |
1,821 |
$2K |
| J2710 |
Neostigmine methylslfte inj |
1,326 |
1,140 |
$2K |
| 86376 |
|
581 |
567 |
$2K |
| 81015 |
|
2,374 |
2,241 |
$2K |
| 83001 |
|
1,230 |
1,186 |
$2K |
| 97161 |
|
228 |
205 |
$2K |
| 85046 |
|
335 |
286 |
$2K |
| 96417 |
|
1,319 |
761 |
$2K |
| 87340 |
|
3,687 |
3,534 |
$2K |
| 82330 |
|
227 |
183 |
$2K |
| 86231 |
|
160 |
152 |
$2K |
| 72100 |
|
593 |
576 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
2,846 |
1,500 |
$2K |
| 86481 |
|
569 |
551 |
$2K |
| 84156 |
|
1,963 |
1,648 |
$2K |
| 84550 |
|
2,885 |
2,527 |
$2K |
| 82043 |
|
1,916 |
1,842 |
$2K |
| G0432 |
Eia hiv-1/hiv-2 screen |
1,530 |
1,458 |
$2K |
| A9552 |
F18 fdg |
228 |
223 |
$2K |
| 86200 |
|
900 |
865 |
$2K |
| 97166 |
|
214 |
183 |
$2K |
| 82550 |
|
2,086 |
1,552 |
$2K |
| 96409 |
|
19 |
12 |
$2K |
| 84145 |
|
493 |
414 |
$1K |
| 87529 |
|
214 |
109 |
$1K |
| J2060 |
Lorazepam injection |
3,835 |
2,825 |
$1K |
| 92523 |
|
56 |
48 |
$1K |
| 82746 |
|
1,480 |
1,419 |
$1K |
| 87389 |
|
2,137 |
2,095 |
$1K |
| 87999 |
|
33 |
28 |
$1K |
| 93976 |
|
159 |
148 |
$1K |
| 82670 |
|
946 |
883 |
$1K |
| 84480 |
|
181 |
176 |
$1K |
| 87075 |
|
341 |
280 |
$1K |
| 93971 |
|
832 |
778 |
$1K |
| 82977 |
|
419 |
389 |
$1K |
| 82150 |
|
540 |
484 |
$1K |
| 90471 |
|
1,065 |
972 |
$1K |
| 70486 |
|
28 |
28 |
$1K |
| 43235 |
|
29 |
27 |
$1K |
| 72110 |
|
65 |
63 |
$1K |
| 85014 |
|
2,099 |
1,686 |
$1K |
| 80074 |
|
591 |
573 |
$970.47 |
| 90715 |
|
568 |
532 |
$967.22 |
| 51701 |
|
540 |
455 |
$922.85 |
| 86255 |
|
164 |
144 |
$832.11 |
| 23350 |
|
112 |
102 |
$821.92 |
| 78452 |
|
464 |
382 |
$821.81 |
| 86706 |
|
1,395 |
1,345 |
$806.53 |
| 83002 |
|
226 |
219 |
$805.33 |
| 89051 |
|
152 |
136 |
$787.21 |
| 12002 |
|
29 |
27 |
$779.82 |
| J3490 |
Drugs unclassified injection |
487 |
381 |
$762.90 |
| 86403 |
|
536 |
449 |
$698.83 |
| 73140 |
|
39 |
37 |
$678.94 |
| 87150 |
|
1,484 |
1,425 |
$654.53 |
| 84305 |
|
57 |
56 |
$634.95 |
| 84460 |
|
148 |
129 |
$610.46 |
| 82947 |
|
1,930 |
1,828 |
$591.89 |
| 94760 |
|
1,103 |
756 |
$591.73 |
| 86762 |
|
1,668 |
1,563 |
$585.13 |
| J2001 |
Lidocaine injection |
90 |
81 |
$559.83 |
| 83655 |
|
69 |
68 |
$558.46 |
| 97802 |
|
19 |
13 |
$527.85 |
| 51798 |
|
336 |
298 |
$525.29 |
| 84450 |
|
101 |
91 |
$517.15 |
| 87624 |
|
4,736 |
4,589 |
$504.22 |
| 72040 |
|
120 |
113 |
$461.12 |
| 73590 |
|
15 |
12 |
$459.42 |
| 99213 |
|
5,169 |
3,382 |
$436.70 |
| C1769 |
Guide wire |
111 |
87 |
$425.21 |
| 87634 |
|
25 |
24 |
$413.95 |
| 85384 |
|
29 |
26 |
$410.96 |
| 80143 |
|
39 |
37 |
$381.22 |
| 86800 |
|
28 |
26 |
$350.60 |
| 85018 |
|
1,417 |
1,147 |
$343.86 |
| 72050 |
|
12 |
12 |
$338.30 |
| 86480 |
|
128 |
114 |
$337.87 |
| 82105 |
|
294 |
277 |
$325.14 |
| 88175 |
|
6,505 |
6,285 |
$323.18 |
| 29515 |
|
34 |
30 |
$317.14 |
| M0243 |
Casirivi and imdevi inj |
230 |
227 |
$309.60 |
| 90686 |
|
322 |
311 |
$296.74 |
| Q0162 |
Ondansetron oral |
449 |
390 |
$287.98 |
| V2632 |
Post chmbr intraocular lens |
296 |
238 |
$260.73 |
| J1644 |
Inj heparin sodium per 1000u |
627 |
429 |
$228.77 |
| 73090 |
|
31 |
26 |
$227.37 |
| J2550 |
Promethazine hcl injection |
1,819 |
1,448 |
$214.67 |
| 36591 |
|
117 |
98 |
$191.93 |
| J2919 |
Inj, methylpred sod succ 5mg |
98 |
79 |
$190.09 |
| 84132 |
|
369 |
303 |
$187.39 |
| 86708 |
|
168 |
163 |
$150.44 |
| 86160 |
|
51 |
25 |
$149.16 |
| J2370 |
Phenylephrine hcl injection |
460 |
390 |
$138.01 |
| 86141 |
|
14 |
12 |
$127.48 |
| J2765 |
Metoclopramide hcl injection |
465 |
419 |
$121.86 |
| 82247 |
|
172 |
90 |
$120.51 |
| G0103 |
Psa screening |
2,079 |
2,017 |
$103.93 |
| 96368 |
|
376 |
175 |
$102.81 |
| 86308 |
|
35 |
34 |
$101.14 |
| 86696 |
|
286 |
277 |
$99.35 |
| 86695 |
|
286 |
277 |
$91.23 |
| 86704 |
|
338 |
328 |
$81.60 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
125 |
64 |
$79.88 |
| G0279 |
Tomosynthesis, mammo |
1,128 |
1,101 |
$73.08 |
| J7040 |
Normal saline solution infus |
52 |
37 |
$62.89 |
| 80178 |
|
88 |
77 |
$62.89 |
| A9502 |
Tc99m tetrofosmin |
279 |
253 |
$56.84 |
| G0008 |
Admin influenza virus vac |
680 |
662 |
$56.31 |
| 87804 |
|
563 |
285 |
$56.11 |
| J2920 |
Methylprednisolone injection |
191 |
164 |
$54.00 |
| 77066 |
Tomosynthesis, mammo |
624 |
610 |
$52.20 |
| 82465 |
|
16 |
15 |
$48.02 |
| 82272 |
|
14 |
13 |
$46.75 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
149 |
130 |
$42.06 |
| J9370 |
Vincristine sulfate 1 mg inj |
24 |
12 |
$33.99 |
| J3480 |
Inj potassium chloride |
21 |
14 |
$29.12 |
| 87880 |
|
450 |
406 |
$28.06 |
| 10060 |
|
42 |
38 |
$26.43 |
| 84165 |
|
106 |
99 |
$24.01 |
| A9579 |
Gad-base mr contrast nos,1ml |
88 |
81 |
$17.84 |
| 84295 |
|
116 |
97 |
$17.21 |
| 90682 |
|
188 |
185 |
$13.89 |
| 80305 |
|
443 |
427 |
$11.97 |
| 84155 |
|
107 |
100 |
$8.28 |
| 77336 |
|
515 |
213 |
$3.33 |
| 77065 |
Tomosynthesis, mammo |
553 |
508 |
$0.00 |
| 93296 |
|
995 |
961 |
$0.00 |
| 77067 |
|
2,475 |
2,438 |
$0.00 |
| 71271 |
|
171 |
166 |
$0.00 |
| 81002 |
|
1,287 |
1,146 |
$0.00 |
| 43249 |
|
161 |
152 |
$0.00 |
| G8978 |
Mobility current status |
39 |
29 |
$0.00 |
| 77334 |
|
107 |
79 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
94 |
89 |
$0.00 |
| 99490 |
Ccm add 20min |
137 |
125 |
$0.00 |
| 80164 |
|
110 |
94 |
$0.00 |
| 90662 |
|
88 |
85 |
$0.00 |
| G0237 |
Therapeutic procd strg endur |
42 |
12 |
$0.00 |
| 86703 |
|
1,333 |
1,250 |
$0.00 |
| 98929 |
|
472 |
356 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
38 |
28 |
$0.00 |
| P9604 |
One-way allow prorated trip |
216 |
137 |
$0.00 |
| J1453 |
Fosaprepitant injection |
78 |
51 |
$0.00 |
| 36592 |
|
105 |
82 |
$0.00 |
| 77080 |
|
438 |
432 |
$0.00 |
| 93299 |
|
32 |
30 |
$0.00 |
| 51741 |
|
61 |
53 |
$0.00 |
| 86709 |
|
70 |
67 |
$0.00 |
| 93226 |
|
31 |
28 |
$0.00 |
| 76813 |
|
13 |
13 |
$0.00 |
| 96523 |
|
16 |
12 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
12 |
12 |
$0.00 |
| 86923 |
|
17 |
13 |
$0.00 |
| 93321 |
|
15 |
15 |
$0.00 |
| 0124A |
|
13 |
13 |
$0.00 |
| 88360 |
|
13 |
12 |
$0.00 |
| 49083 |
|
82 |
37 |
$0.00 |
| 93970 |
|
12 |
12 |
$0.00 |
| M0239 |
Bamlanivimab-xxxx infusion |
14 |
14 |
$0.00 |
| 93225 |
|
30 |
27 |
$0.00 |
| 91320 |
|
16 |
16 |
$0.00 |
| 72070 |
|
14 |
14 |
$0.00 |
| 95909 |
|
14 |
14 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
25 |
24 |
$0.00 |
| G0444 |
Depression screen annual |
12 |
12 |
$0.00 |
| 93798 |
|
90 |
13 |
$0.00 |
| 94729 |
|
14 |
12 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
32 |
12 |
$0.00 |
| G0121 |
Colon ca scrn not hi rsk ind |
13 |
12 |
$0.00 |
| 72197 |
|
28 |
27 |
$0.00 |
| 88173 |
|
32 |
27 |
$0.00 |
| 98926 |
|
53 |
35 |
$0.00 |
| 87641 |
|
35 |
29 |
$0.00 |
| 86999 |
|
13 |
12 |
$0.00 |
| J2916 |
Na ferric gluconate complex |
22 |
12 |
$0.00 |
| 20552 |
|
14 |
12 |
$0.00 |
| 90837 |
|
75 |
43 |
$0.00 |
| 84112 |
|
14 |
12 |
$0.00 |
| 17110 |
|
17 |
15 |
$0.00 |
| G8979 |
Mobility goal status |
19 |
16 |
$0.00 |
| 66984 |
|
335 |
269 |
$0.00 |
| 29581 |
|
338 |
126 |
$0.00 |
| J0185 |
Inj., aprepitant, 1 mg |
788 |
457 |
$0.00 |
| G0108 |
Diab manage trn per indiv |
452 |
362 |
$0.00 |
| 95886 |
|
103 |
72 |
$0.00 |
| 77063 |
|
2,461 |
2,425 |
$0.00 |
| G2066 |
Inter devc remote 30d |
140 |
131 |
$0.00 |
| 84144 |
|
71 |
62 |
$0.00 |
| J2469 |
Palonosetron hcl |
1,629 |
961 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
19 |
13 |
$0.00 |
| A4648 |
Implantable tissue marker |
89 |
74 |
$0.00 |
| 20610 |
|
52 |
50 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
68 |
63 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
203 |
195 |
$0.00 |
| J1335 |
Ertapenem injection |
37 |
13 |
$0.00 |
| 76801 |
|
75 |
69 |
$0.00 |
| 77300 |
|
12 |
12 |
$0.00 |
| 84153 |
|
380 |
365 |
$0.00 |
| 76816 |
|
83 |
59 |
$0.00 |
| 83521 |
|
80 |
37 |
$0.00 |
| 64483 |
|
302 |
282 |
$0.00 |
| 82378 |
|
231 |
171 |
$0.00 |
| 64615 |
|
73 |
55 |
$0.00 |
| 97535 |
|
14 |
12 |
$0.00 |
| 86769 |
|
26 |
26 |
$0.00 |
| 76815 |
|
19 |
12 |
$0.00 |
| 99439 |
|
16 |
15 |
$0.00 |
| 72146 |
|
15 |
14 |
$0.00 |
| 97165 |
|
13 |
12 |
$0.00 |
| 73564 |
|
24 |
24 |
$0.00 |
| 86300 |
|
58 |
49 |
$0.00 |
| 76820 |
|
32 |
13 |
$0.00 |
| 45378 |
|
14 |
13 |
$0.00 |
| G0328 |
Fecal blood scrn immunoassay |
15 |
15 |
$0.00 |
| 71101 |
|
17 |
15 |
$0.00 |
| J2360 |
Orphenadrine injection |
41 |
41 |
$0.00 |
| 94010 |
|
28 |
26 |
$0.00 |
| 64493 |
|
31 |
27 |
$0.00 |
| 76811 |
|
55 |
39 |
$0.00 |
| 77001 |
|
15 |
12 |
$0.00 |
| 99495 |
|
12 |
12 |
$0.00 |
| 90480 |
|
20 |
17 |
$0.00 |
| J2785 |
Regadenoson injection |
16 |
16 |
$0.00 |
| 82553 |
|
47 |
38 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
20 |
12 |
$0.00 |
| 76817 |
|
26 |
25 |
$0.00 |
| Q3014 |
Telehealth facility fee |
13 |
12 |
$0.00 |
| G0238 |
Oth resp proc, indiv |
42 |
12 |
$0.00 |
| 87807 |
|
26 |
25 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
13 |
13 |
$0.00 |
| 73120 |
|
13 |
12 |
$0.00 |
| C2617 |
Stent, non-cor, tem w/o del |
15 |
12 |
$0.00 |
| 81005 |
|
66 |
60 |
$0.00 |