| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
53,926 |
40,911 |
$9.11M |
| 99281 |
|
32,584 |
25,297 |
$5.24M |
| 99282 |
|
29,365 |
23,169 |
$5.16M |
| 99284 |
|
26,360 |
19,007 |
$4.91M |
| G0378 |
Hospital observation per hr |
22,854 |
8,364 |
$4.53M |
| 74177 |
|
8,772 |
6,511 |
$2.93M |
| 99285 |
|
17,126 |
11,194 |
$2.53M |
| 85025 |
|
116,585 |
74,908 |
$1.77M |
| 93005 |
|
40,413 |
27,790 |
$1.77M |
| G0463 |
Hospital outpt clinic visit |
27,571 |
17,638 |
$1.72M |
| 70450 |
|
12,008 |
8,588 |
$1.49M |
| 87633 |
|
2,747 |
2,306 |
$1.28M |
| 96375 |
|
18,806 |
11,867 |
$1.17M |
| 71045 |
|
35,743 |
24,728 |
$1.14M |
| 96374 |
|
27,142 |
18,381 |
$1.13M |
| 93306 |
|
1,764 |
1,442 |
$1.10M |
| 80053 |
|
89,187 |
61,019 |
$1.07M |
| 0241U |
|
4,609 |
3,591 |
$1.03M |
| 0240U |
|
9,539 |
5,449 |
$981K |
| 76819 |
|
25,874 |
10,107 |
$937K |
| 71275 |
|
2,767 |
1,968 |
$795K |
| 96365 |
|
8,120 |
4,975 |
$784K |
| 96361 |
|
11,658 |
8,421 |
$763K |
| 36415 |
|
148,928 |
93,937 |
$743K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
14,471 |
10,347 |
$731K |
| G0480 |
Drug test def 1-7 classes |
14,425 |
9,241 |
$681K |
| 93975 |
|
3,276 |
2,412 |
$664K |
| 59025 |
|
4,227 |
2,016 |
$618K |
| 76816 |
|
14,131 |
8,823 |
$605K |
| 84484 |
|
28,976 |
18,492 |
$549K |
| 72125 |
|
3,755 |
2,640 |
$530K |
| 11042 |
|
2,593 |
1,102 |
$510K |
| 96360 |
|
8,001 |
5,446 |
$500K |
| 93976 |
|
2,604 |
1,441 |
$490K |
| 87502 |
|
5,820 |
4,662 |
$473K |
| 81001 |
|
47,368 |
33,802 |
$413K |
| 87486 |
|
2,486 |
2,096 |
$406K |
| 76811 |
|
6,755 |
4,293 |
$397K |
| 74176 |
|
3,096 |
2,163 |
$383K |
| 83690 |
|
20,349 |
14,199 |
$380K |
| 94640 |
|
7,999 |
3,255 |
$373K |
| U0004 |
Cov-19 test non-cdc hgh thru |
5,717 |
4,186 |
$364K |
| 96413 |
|
2,362 |
938 |
$351K |
| 97110 |
|
8,724 |
2,108 |
$347K |
| 99213 |
|
10,605 |
8,323 |
$346K |
| 99214 |
|
6,231 |
4,688 |
$343K |
| 87631 |
|
2,367 |
2,004 |
$329K |
| 83735 |
|
39,012 |
24,084 |
$311K |
| 88305 |
|
3,633 |
2,067 |
$301K |
| 80050 |
|
5,948 |
4,802 |
$288K |
| 84703 |
|
10,673 |
7,424 |
$269K |
| 97140 |
|
5,036 |
1,244 |
$265K |
| 90792 |
|
2,418 |
1,681 |
$236K |
| 71260 |
|
1,518 |
1,188 |
$232K |
| 93971 |
|
1,810 |
1,533 |
$228K |
| 76805 |
|
4,210 |
2,830 |
$222K |
| 96372 |
|
8,648 |
5,843 |
$221K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
628 |
195 |
$208K |
| 80048 |
|
31,051 |
18,967 |
$206K |
| 76817 |
|
4,757 |
2,619 |
$191K |
| 80061 |
|
15,154 |
11,547 |
$189K |
| 93970 |
|
978 |
772 |
$182K |
| 76821 |
|
5,384 |
2,426 |
$181K |
| 71046 |
|
12,783 |
10,641 |
$180K |
| 76856 |
|
3,262 |
2,684 |
$177K |
| 70486 |
|
1,141 |
949 |
$172K |
| 82550 |
|
22,775 |
15,650 |
$171K |
| 83036 |
|
10,805 |
8,222 |
$170K |
| 82306 |
|
5,117 |
3,758 |
$168K |
| 77067 |
|
2,667 |
2,317 |
$167K |
| 76801 |
|
3,974 |
2,508 |
$166K |
| 76830 |
|
2,737 |
2,208 |
$164K |
| 78815 |
|
282 |
248 |
$162K |
| 71250 |
|
1,653 |
1,404 |
$153K |
| 96366 |
|
2,433 |
1,334 |
$150K |
| 87491 |
|
4,581 |
3,483 |
$150K |
| 93458 |
|
47 |
41 |
$149K |
| 87086 |
|
14,481 |
10,582 |
$145K |
| 81025 |
|
10,462 |
7,518 |
$138K |
| 84443 |
|
9,144 |
6,860 |
$137K |
| 85730 |
|
19,343 |
13,680 |
$136K |
| 87591 |
|
4,581 |
3,482 |
$133K |
| 76820 |
|
6,950 |
3,151 |
$129K |
| 96376 |
|
2,667 |
1,664 |
$127K |
| J1100 |
Dexamethasone sodium phos |
8,563 |
4,010 |
$127K |
| 84439 |
|
6,356 |
4,454 |
$126K |
| 11045 |
|
58 |
25 |
$119K |
| 87798 |
|
2,421 |
2,033 |
$116K |
| J2469 |
Palonosetron hcl |
911 |
389 |
$116K |
| 99204 |
|
1,637 |
1,394 |
$114K |
| 76700 |
|
2,170 |
1,809 |
$112K |
| 00170 |
|
275 |
240 |
$112K |
| 87581 |
|
2,486 |
2,096 |
$110K |
| 76815 |
|
3,333 |
1,866 |
$104K |
| 76705 |
|
1,572 |
1,304 |
$102K |
| 87040 |
|
4,560 |
3,045 |
$101K |
| 73564 |
|
4,717 |
3,183 |
$101K |
| 41899 |
|
98 |
87 |
$100K |
| 93017 |
|
510 |
394 |
$100K |
| 99203 |
|
1,875 |
1,697 |
$100K |
| 43239 |
|
342 |
279 |
$99K |
| 99222 |
|
1,879 |
1,377 |
$93K |
| 84702 |
|
3,417 |
2,292 |
$88K |
| 83880 |
|
3,406 |
2,169 |
$88K |
| 78452 |
|
334 |
243 |
$84K |
| J3490 |
Drugs unclassified injection |
12,772 |
5,501 |
$83K |
| 94664 |
|
3,497 |
1,391 |
$80K |
| 85027 |
|
12,677 |
7,423 |
$80K |
| 70551 |
|
598 |
458 |
$80K |
| 87070 |
|
5,069 |
4,202 |
$77K |
| 85610 |
|
23,057 |
15,663 |
$77K |
| 87661 |
|
2,382 |
1,961 |
$77K |
| J1439 |
Inj ferric carboxymaltos 1mg |
160 |
76 |
$73K |
| 76642 |
|
2,470 |
1,663 |
$73K |
| 97161 |
|
2,193 |
1,289 |
$72K |
| 97112 |
|
1,629 |
468 |
$69K |
| J2704 |
Inj, propofol, 10 mg |
11,017 |
4,588 |
$66K |
| 94762 |
|
996 |
324 |
$64K |
| 82553 |
|
6,701 |
4,553 |
$64K |
| J0131 |
Inj, acetaminophen (nos) |
5,946 |
1,940 |
$64K |
| 73130 |
|
3,094 |
2,203 |
$63K |
| 82728 |
|
4,161 |
3,145 |
$63K |
| 87507 |
|
311 |
276 |
$62K |
| J1756 |
Iron sucrose injection |
668 |
262 |
$62K |
| 82962 |
|
22,594 |
8,777 |
$62K |
| C1769 |
Guide wire |
1,004 |
475 |
$62K |
| 73030 |
|
3,322 |
2,408 |
$61K |
| 73610 |
|
2,877 |
2,092 |
$59K |
| 97530 |
|
1,947 |
676 |
$55K |
| J1650 |
Inj enoxaparin sodium |
2,326 |
663 |
$55K |
| 73630 |
|
2,881 |
2,192 |
$54K |
| 96367 |
|
932 |
536 |
$53K |
| 99233 |
Prolong inpt eval add15 m |
1,269 |
654 |
$53K |
| 84466 |
|
3,037 |
2,342 |
$51K |
| 83605 |
|
5,224 |
3,361 |
$50K |
| 85379 |
|
2,500 |
1,910 |
$50K |
| 86850 |
|
4,890 |
3,096 |
$49K |
| 77065 |
Tomosynthesis, mammo |
1,116 |
861 |
$48K |
| 99212 |
|
1,874 |
1,533 |
$48K |
| 87389 |
|
1,670 |
1,272 |
$47K |
| 82607 |
|
2,361 |
1,683 |
$47K |
| 76770 |
|
1,019 |
878 |
$46K |
| 86901 |
|
6,134 |
4,024 |
$45K |
| A9552 |
F18 fdg |
327 |
287 |
$45K |
| C9803 |
Hopd covid-19 spec collect |
3,740 |
2,968 |
$45K |
| 97165 |
|
1,686 |
1,031 |
$45K |
| 83540 |
|
3,880 |
2,977 |
$43K |
| 99221 |
|
1,158 |
959 |
$43K |
| 88304 |
|
1,660 |
624 |
$42K |
| 70553 |
|
202 |
169 |
$41K |
| 93880 |
|
263 |
221 |
$40K |
| 83655 |
|
1,725 |
1,423 |
$39K |
| 76536 |
|
949 |
854 |
$39K |
| J1885 |
Ketorolac tromethamine inj |
15,228 |
9,397 |
$39K |
| 86140 |
|
4,950 |
3,664 |
$38K |
| 99223 |
Prolong inpt eval add15 m |
544 |
435 |
$37K |
| 77066 |
Tomosynthesis, mammo |
652 |
497 |
$37K |
| 94760 |
|
3,358 |
1,314 |
$37K |
| 90715 |
|
1,708 |
1,428 |
$36K |
| 87880 |
|
3,438 |
2,973 |
$36K |
| 73110 |
|
2,025 |
1,516 |
$36K |
| 77063 |
|
2,602 |
2,269 |
$36K |
| 88307 |
|
1,173 |
717 |
$35K |
| A9500 |
Tc99m sestamibi |
428 |
315 |
$35K |
| 86900 |
|
5,107 |
3,241 |
$35K |
| 99232 |
|
1,155 |
637 |
$35K |
| 77336 |
|
603 |
121 |
$34K |
| J0696 |
Ceftriaxone sodium injection |
3,481 |
1,851 |
$32K |
| 87186 |
|
3,262 |
2,439 |
$31K |
| 87651 |
|
773 |
559 |
$30K |
| 82746 |
|
1,426 |
983 |
$30K |
| 87077 |
|
3,642 |
2,716 |
$28K |
| 73140 |
|
1,090 |
884 |
$28K |
| U0002 |
Covid-19 lab test non-cdc |
727 |
515 |
$27K |
| J2785 |
Regadenoson injection |
242 |
163 |
$27K |
| 82570 |
|
3,885 |
2,764 |
$27K |
| J1453 |
Fosaprepitant injection |
116 |
66 |
$27K |
| 82043 |
|
2,473 |
2,013 |
$27K |
| 36591 |
|
2,336 |
1,017 |
$26K |
| 97010 |
|
1,861 |
596 |
$26K |
| 72100 |
|
1,608 |
1,339 |
$25K |
| 83874 |
|
4,680 |
3,461 |
$25K |
| 88342 |
|
855 |
446 |
$25K |
| 87522 |
Neg quan hep c or qual rna |
439 |
349 |
$24K |
| 84100 |
|
5,118 |
2,898 |
$24K |
| 80307 |
|
352 |
219 |
$24K |
| 88341 |
|
342 |
179 |
$23K |
| 80076 |
|
3,138 |
2,459 |
$23K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
1,003 |
830 |
$23K |
| J1644 |
Inj heparin sodium per 1000u |
10,487 |
2,356 |
$23K |
| C1894 |
Intro/sheath, non-laser |
596 |
355 |
$23K |
| 72148 |
|
387 |
350 |
$23K |
| 76813 |
|
563 |
262 |
$22K |
| J2791 |
Rhophylac injection |
173 |
144 |
$22K |
| 96415 |
|
103 |
58 |
$22K |
| 97116 |
|
996 |
302 |
$22K |
| 84112 |
|
274 |
154 |
$21K |
| J2270 |
Morphine sulfate injection |
10,121 |
4,516 |
$21K |
| J2710 |
Neostigmine methylslfte inj |
2,440 |
869 |
$20K |
| 12001 |
|
343 |
294 |
$19K |
| 97597 |
|
477 |
253 |
$19K |
| 82150 |
|
2,758 |
1,797 |
$19K |
| 74018 |
|
1,530 |
1,239 |
$19K |
| 84436 |
|
2,667 |
1,862 |
$19K |
| 73721 |
|
240 |
207 |
$18K |
| 85652 |
|
4,725 |
3,566 |
$18K |
| J3480 |
Inj potassium chloride |
1,869 |
846 |
$18K |
| J2920 |
Methylprednisolone injection |
1,573 |
516 |
$18K |
| J3010 |
Fentanyl citrate injection |
10,250 |
4,455 |
$18K |
| 87635 |
|
317 |
251 |
$18K |
| 73502 |
|
1,395 |
1,158 |
$18K |
| 72110 |
|
1,169 |
1,013 |
$18K |
| 96417 |
|
90 |
48 |
$18K |
| J3475 |
Inj magnesium sulfate |
1,080 |
541 |
$17K |
| 97162 |
|
351 |
295 |
$17K |
| J0360 |
Hydralazine hcl injection |
1,770 |
873 |
$17K |
| 86803 |
|
961 |
779 |
$17K |
| 99215 |
Prolong outpt/office vis |
173 |
150 |
$15K |
| 84479 |
|
1,801 |
1,202 |
$15K |
| 87210 |
|
2,220 |
1,632 |
$15K |
| 73080 |
|
871 |
691 |
$15K |
| J0690 |
Cefazolin sodium injection |
2,808 |
793 |
$15K |
| 84550 |
|
1,998 |
1,316 |
$14K |
| G0279 |
Tomosynthesis, mammo |
1,144 |
891 |
$14K |
| J2930 |
Methylprednisolone injection |
2,572 |
1,490 |
$14K |
| 87205 |
|
2,005 |
1,495 |
$14K |
| 10060 |
|
395 |
297 |
$13K |
| 00731 |
|
278 |
233 |
$13K |
| 73590 |
|
724 |
577 |
$13K |
| 80074 |
|
362 |
281 |
$13K |
| C1751 |
Cath, inf, per/cent/midline |
522 |
368 |
$13K |
| 84460 |
|
1,377 |
847 |
$13K |
| 36430 |
|
210 |
113 |
$13K |
| J1170 |
Hydromorphone injection |
5,248 |
1,567 |
$13K |
| 70544 |
|
49 |
41 |
$13K |
| 86038 |
|
772 |
644 |
$12K |
| 93010 |
|
13,382 |
9,155 |
$12K |
| 84450 |
|
1,235 |
724 |
$12K |
| 84156 |
|
1,706 |
992 |
$12K |
| J2405 |
Ondansetron hcl injection |
22,349 |
11,719 |
$12K |
| 80069 |
|
1,868 |
835 |
$11K |
| 76870 |
|
220 |
190 |
$11K |
| G0297 |
Ldct for lung ca screen |
91 |
85 |
$10K |
| J3370 |
Vancomycin hcl injection |
508 |
199 |
$10K |
| 82803 |
|
748 |
416 |
$10K |
| 82248 |
|
1,064 |
780 |
$10K |
| 86618 |
|
344 |
294 |
$10K |
| 82565 |
|
1,412 |
889 |
$10K |
| 72040 |
|
684 |
581 |
$10K |
| J2310 |
Inj naloxone hydrochloride |
468 |
248 |
$10K |
| 73090 |
|
582 |
462 |
$10K |
| P9016 |
Rbc leukocytes reduced |
102 |
61 |
$10K |
| 74022 |
|
648 |
518 |
$9K |
| 80143 |
|
645 |
446 |
$9K |
| 84520 |
|
1,374 |
857 |
$9K |
| 94799 |
|
1,129 |
217 |
$9K |
| 96523 |
|
604 |
315 |
$9K |
| C1887 |
Catheter, guiding |
290 |
118 |
$9K |
| 86780 |
|
399 |
346 |
$9K |
| 86617 |
|
204 |
166 |
$9K |
| 80179 |
|
586 |
414 |
$9K |
| 84403 |
|
226 |
198 |
$9K |
| 97113 |
|
105 |
33 |
$9K |
| 82247 |
|
747 |
557 |
$8K |
| 83970 |
|
388 |
264 |
$8K |
| 72050 |
|
479 |
416 |
$8K |
| 94060 |
|
49 |
41 |
$8K |
| 76827 |
|
222 |
104 |
$8K |
| 29125 |
|
114 |
108 |
$8K |
| J3411 |
Thiamine hcl 100 mg |
966 |
341 |
$7K |
| 87147 |
|
987 |
755 |
$7K |
| 90471 |
|
1,181 |
305 |
$7K |
| 87340 |
|
717 |
586 |
$7K |
| 71101 |
|
473 |
315 |
$7K |
| C1725 |
Cath, translumin non-laser |
15 |
13 |
$7K |
| J2543 |
Piperacillin/tazobactam |
79 |
26 |
$7K |
| 76942 |
|
58 |
39 |
$7K |
| 70491 |
|
169 |
148 |
$7K |
| C1760 |
Closure dev, vasc |
43 |
35 |
$6K |
| 72072 |
|
588 |
511 |
$6K |
| 86592 |
|
653 |
534 |
$6K |
| 73560 |
|
344 |
223 |
$6K |
| 86923 |
|
106 |
69 |
$6K |
| 90686 |
|
411 |
324 |
$6K |
| 01961 |
|
70 |
69 |
$6K |
| J0330 |
Succinycholine chloride inj |
872 |
300 |
$6K |
| 29505 |
|
56 |
56 |
$6K |
| 12011 |
|
134 |
116 |
$5K |
| 83615 |
|
593 |
476 |
$5K |
| G0103 |
Psa screening |
347 |
281 |
$5K |
| 82009 |
|
1,027 |
654 |
$5K |
| 83883 |
|
181 |
81 |
$5K |
| J2250 |
Inj midazolam hydrochloride |
8,455 |
3,622 |
$5K |
| 97802 |
|
76 |
76 |
$4K |
| J1953 |
Levetiracetam injection |
267 |
83 |
$4K |
| 92507 |
|
49 |
18 |
$4K |
| 93925 |
|
31 |
25 |
$4K |
| 84153 |
|
223 |
206 |
$4K |
| C9113 |
Inj pantoprazole sodium, via |
1,870 |
538 |
$4K |
| 73221 |
|
84 |
69 |
$4K |
| 86665 |
|
86 |
67 |
$4K |
| J1940 |
Furosemide injection |
316 |
155 |
$4K |
| J0780 |
Prochlorperazine injection |
366 |
225 |
$4K |
| 84480 |
|
317 |
259 |
$4K |
| 80164 |
|
421 |
312 |
$4K |
| 99202 |
|
74 |
68 |
$3K |
| 99205 |
Prolong outpt/office vis |
28 |
27 |
$3K |
| 99442 |
|
58 |
52 |
$3K |
| 83516 |
|
119 |
101 |
$3K |
| J2060 |
Lorazepam injection |
2,631 |
1,400 |
$3K |
| 73060 |
|
150 |
121 |
$3K |
| 86308 |
|
311 |
248 |
$3K |
| 36600 |
|
292 |
142 |
$3K |
| 0002A |
|
134 |
95 |
$3K |
| G0416 |
Prostate biopsy, any mthd |
15 |
15 |
$3K |
| 96411 |
|
26 |
12 |
$3K |
| 85018 |
|
910 |
647 |
$2K |
| J2765 |
Metoclopramide hcl injection |
2,474 |
1,448 |
$2K |
| 87493 |
|
169 |
131 |
$2K |
| 82977 |
|
205 |
166 |
$2K |
| 82533 |
|
77 |
64 |
$2K |
| A9577 |
Inj multihance |
277 |
222 |
$2K |
| 82784 |
|
98 |
79 |
$2K |
| 86431 |
|
481 |
403 |
$2K |
| J2550 |
Promethazine hcl injection |
1,646 |
816 |
$2K |
| 0001A |
|
167 |
104 |
$2K |
| 85014 |
|
840 |
515 |
$2K |
| 99231 |
|
348 |
144 |
$2K |
| J1956 |
Levofloxacin injection |
233 |
98 |
$2K |
| J7512 |
Prednisone ir or dr oral 1mg |
2,615 |
1,762 |
$2K |
| 73552 |
|
167 |
131 |
$2K |
| 00840 |
|
28 |
13 |
$2K |
| J3301 |
Triamcinolone acet inj nos |
34 |
27 |
$2K |
| 82272 |
|
362 |
304 |
$2K |
| 74183 |
|
35 |
26 |
$1K |
| 81003 |
|
236 |
151 |
$1K |
| J1630 |
Haloperidol injection |
116 |
97 |
$1K |
| 86664 |
|
64 |
53 |
$1K |
| J0456 |
Azithromycin |
120 |
58 |
$1K |
| 76818 |
|
74 |
50 |
$1K |
| 29515 |
|
13 |
12 |
$1K |
| 99219 |
|
14 |
14 |
$1K |
| 85007 |
|
410 |
272 |
$1K |
| 96368 |
|
15 |
12 |
$1K |
| 70498 |
|
13 |
12 |
$1K |
| G2023 |
Specimen collect covid-19 |
169 |
141 |
$1K |
| 97535 |
|
89 |
36 |
$1K |
| 72141 |
|
49 |
41 |
$1K |
| 12002 |
|
88 |
79 |
$1K |
| 84146 |
|
33 |
27 |
$1K |
| 77427 |
|
85 |
26 |
$935.84 |
| 83010 |
|
45 |
39 |
$916.43 |
| 85045 |
|
383 |
279 |
$914.27 |
| 88173 |
|
70 |
30 |
$887.28 |
| 99441 |
|
31 |
30 |
$860.52 |
| J0171 |
Adrenalin epinephrine inject |
65 |
41 |
$846.62 |
| 94729 |
|
15 |
12 |
$777.75 |
| 0012A |
|
135 |
61 |
$742.30 |
| 84145 |
|
56 |
25 |
$725.70 |
| 86376 |
|
91 |
68 |
$725.70 |
| 77080 |
|
32 |
26 |
$724.30 |
| 80177 |
|
81 |
50 |
$721.66 |
| 0011A |
|
120 |
61 |
$696.65 |
| 86003 |
|
32 |
27 |
$600.48 |
| J0500 |
Dicyclomine injection |
50 |
42 |
$596.53 |
| 70360 |
|
31 |
28 |
$583.62 |
| 99356 |
|
40 |
28 |
$581.89 |
| C1753 |
Cath, intravas ultrasound |
170 |
45 |
$524.44 |
| 84165 |
|
117 |
25 |
$464.35 |
| 73562 |
|
353 |
239 |
$458.67 |
| 84155 |
|
131 |
38 |
$396.35 |
| J7510 |
Prednisolone oral per 5 mg |
513 |
389 |
$386.16 |
| 73522 |
|
28 |
25 |
$375.61 |
| 82270 |
|
501 |
353 |
$360.05 |
| 99358 |
Prolong nursin fac eval 15m |
12 |
12 |
$356.37 |
| 69436 |
|
33 |
26 |
$356.30 |
| 73100 |
|
37 |
25 |
$348.38 |
| 82140 |
|
15 |
12 |
$348.13 |
| 19083 |
|
16 |
12 |
$293.44 |
| 76882 |
|
60 |
51 |
$246.66 |
| 80178 |
|
16 |
15 |
$234.63 |
| 88302 |
|
124 |
28 |
$176.66 |
| J7042 |
5% dextrose/normal saline |
18 |
13 |
$161.78 |
| 84132 |
|
38 |
25 |
$149.94 |
| J2001 |
Lidocaine injection |
50 |
40 |
$140.11 |
| 85347 |
|
16 |
14 |
$117.67 |
| 86225 |
|
14 |
12 |
$115.82 |
| 82785 |
|
46 |
40 |
$100.46 |
| 83001 |
|
12 |
12 |
$94.50 |
| 86762 |
|
19 |
13 |
$82.56 |
| 90714 |
|
18 |
13 |
$49.78 |
| 72170 |
|
16 |
12 |
$36.29 |
| G0008 |
Admin influenza virus vac |
97 |
80 |
$29.46 |
| 93016 |
|
47 |
44 |
$25.02 |
| 89051 |
|
14 |
12 |
$19.59 |
| 86317 |
|
15 |
14 |
$17.66 |
| G1004 |
Cdsm ndsc |
17,898 |
8,915 |
$10.45 |
| 88108 |
|
22 |
16 |
$9.49 |
| 88311 |
|
23 |
15 |
$5.26 |
| 91301 |
|
48 |
48 |
$0.43 |
| 91300 |
|
133 |
123 |
$0.34 |
| G8978 |
Mobility current status |
295 |
155 |
$0.02 |
| G8979 |
Mobility goal status |
348 |
194 |
$0.02 |
| G8988 |
Self care goal status |
47 |
27 |
$0.00 |
| G8987 |
Self care current status |
47 |
27 |
$0.00 |
| 73660 |
|
17 |
15 |
$0.00 |
| 86160 |
|
27 |
24 |
$0.00 |