| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97110 |
|
78,361 |
31,430 |
$17.43M |
| 99285 |
|
46,090 |
40,880 |
$10.05M |
| 99284 |
|
45,458 |
41,180 |
$9.96M |
| 99283 |
|
37,835 |
33,003 |
$8.50M |
| 96361 |
|
15,158 |
13,018 |
$8.03M |
| 70450 |
|
12,350 |
11,288 |
$3.34M |
| 43239 |
|
3,814 |
3,494 |
$2.81M |
| 97140 |
|
34,837 |
15,011 |
$2.81M |
| 19083 |
|
1,584 |
1,482 |
$2.62M |
| 97535 |
|
10,880 |
7,414 |
$2.51M |
| 45380 |
|
3,329 |
3,079 |
$2.25M |
| 77386 |
|
4,740 |
422 |
$2.24M |
| 74177 |
|
9,816 |
9,107 |
$2.20M |
| C9803 |
Hopd covid-19 spec collect |
25,995 |
22,631 |
$2.16M |
| 59025 |
|
6,302 |
4,809 |
$1.97M |
| 97530 |
|
20,147 |
10,406 |
$1.92M |
| 97161 |
|
9,582 |
8,983 |
$1.85M |
| 45378 |
|
2,195 |
2,053 |
$1.81M |
| 66984 |
|
1,251 |
1,136 |
$1.73M |
| 11042 |
|
5,379 |
2,629 |
$1.71M |
| 0241U |
|
15,394 |
13,856 |
$1.64M |
| 99213 |
|
7,200 |
6,353 |
$1.59M |
| 97112 |
|
13,429 |
6,999 |
$1.59M |
| G0463 |
Hospital outpt clinic visit |
14,905 |
11,252 |
$1.52M |
| 71275 |
|
4,517 |
4,161 |
$1.37M |
| 45385 |
|
1,636 |
1,505 |
$1.30M |
| 99281 |
|
9,156 |
6,641 |
$1.28M |
| 96360 |
|
5,979 |
5,491 |
$1.28M |
| U0003 |
Cov-19 amp prb hgh thruput |
11,961 |
10,435 |
$1.19M |
| 96366 |
|
3,358 |
2,798 |
$1.17M |
| 76642 |
|
5,578 |
5,390 |
$1.09M |
| 76856 |
|
6,954 |
6,702 |
$1.09M |
| 97597 |
|
5,790 |
3,610 |
$1.08M |
| G0378 |
Hospital observation per hr |
7,295 |
6,211 |
$1.03M |
| 96365 |
|
7,364 |
6,549 |
$980K |
| 70553 |
|
2,084 |
1,965 |
$935K |
| 97016 |
|
7,893 |
3,224 |
$906K |
| 97162 |
|
4,360 |
4,092 |
$897K |
| 76830 |
|
7,702 |
7,393 |
$806K |
| 77063 |
|
10,294 |
10,070 |
$790K |
| 74176 |
|
2,849 |
2,672 |
$780K |
| 97116 |
|
6,763 |
3,660 |
$736K |
| 93306 |
|
2,004 |
1,818 |
$701K |
| 64483 |
|
565 |
545 |
$690K |
| 99282 |
|
4,798 |
3,950 |
$684K |
| 70551 |
|
2,467 |
2,325 |
$674K |
| 72197 |
|
1,401 |
1,352 |
$673K |
| 72148 |
|
2,559 |
2,374 |
$632K |
| 99212 |
|
3,188 |
2,514 |
$629K |
| 71260 |
|
4,054 |
3,765 |
$628K |
| 97165 |
|
2,758 |
2,577 |
$582K |
| 70496 |
|
1,595 |
1,490 |
$546K |
| 76705 |
|
4,329 |
4,086 |
$543K |
| 78815 |
|
484 |
447 |
$518K |
| 71046 |
|
23,801 |
21,887 |
$490K |
| 80307 |
|
13,573 |
11,204 |
$480K |
| 64493 |
|
649 |
548 |
$478K |
| 77412 |
|
562 |
78 |
$453K |
| 93971 |
|
3,391 |
3,146 |
$445K |
| 76700 |
|
2,052 |
1,939 |
$435K |
| 29581 |
|
2,043 |
714 |
$416K |
| 92507 |
|
1,801 |
740 |
$408K |
| 73721 |
|
1,301 |
1,247 |
$381K |
| 76641 |
|
1,481 |
1,418 |
$366K |
| 72141 |
|
1,560 |
1,462 |
$362K |
| 71250 |
|
3,437 |
3,161 |
$359K |
| 73630 |
|
7,746 |
7,235 |
$356K |
| 76536 |
|
2,159 |
2,070 |
$349K |
| 97166 |
|
1,830 |
1,679 |
$348K |
| 77066 |
Tomosynthesis, mammo |
5,507 |
5,302 |
$335K |
| 74183 |
|
801 |
732 |
$330K |
| 76775 |
|
2,319 |
2,220 |
$312K |
| 97018 |
|
2,571 |
1,091 |
$311K |
| 97150 |
|
2,976 |
1,384 |
$295K |
| 77336 |
|
2,729 |
1,238 |
$289K |
| 77065 |
Tomosynthesis, mammo |
4,745 |
4,335 |
$264K |
| 80048 |
|
52,938 |
40,240 |
$252K |
| 93970 |
|
1,343 |
1,254 |
$233K |
| 93975 |
|
1,643 |
1,528 |
$217K |
| 76801 |
|
2,683 |
2,411 |
$214K |
| 77014 |
|
6,228 |
621 |
$192K |
| 99214 |
|
932 |
683 |
$189K |
| 93005 |
|
48,352 |
39,791 |
$187K |
| 76815 |
|
3,581 |
3,113 |
$185K |
| 70486 |
|
3,020 |
2,782 |
$166K |
| 80053 |
|
32,549 |
26,851 |
$154K |
| 99203 |
|
799 |
780 |
$149K |
| 20610 |
|
478 |
407 |
$146K |
| 99291 |
|
541 |
499 |
$145K |
| 19081 |
|
83 |
77 |
$144K |
| 99215 |
Prolong outpt/office vis |
416 |
365 |
$144K |
| 77280 |
|
522 |
430 |
$142K |
| 77067 |
|
10,159 |
9,943 |
$130K |
| 10060 |
|
498 |
441 |
$127K |
| 87635 |
|
8,024 |
6,477 |
$126K |
| 87591 |
|
6,050 |
5,629 |
$121K |
| 74174 |
|
838 |
764 |
$121K |
| 73221 |
|
481 |
460 |
$120K |
| 99211 |
|
587 |
519 |
$119K |
| 76817 |
|
2,710 |
2,395 |
$117K |
| 73130 |
|
4,327 |
3,978 |
$109K |
| 72125 |
|
4,745 |
4,391 |
$108K |
| 90715 |
|
3,548 |
3,359 |
$108K |
| 73030 |
|
4,272 |
3,941 |
$104K |
| G0465 |
Autolog prp diab wound ulcer |
60 |
25 |
$103K |
| 73562 |
|
2,836 |
2,661 |
$101K |
| 70491 |
|
469 |
436 |
$98K |
| 72100 |
|
2,444 |
2,300 |
$90K |
| 83880 |
|
9,445 |
8,470 |
$79K |
| 73564 |
|
3,339 |
3,150 |
$75K |
| G0279 |
Tomosynthesis, mammo |
6,198 |
6,042 |
$74K |
| 76870 |
|
676 |
643 |
$73K |
| 73610 |
|
3,694 |
3,359 |
$72K |
| 58571 |
|
13 |
12 |
$70K |
| 97163 |
|
437 |
404 |
$67K |
| 85025 |
|
79,904 |
61,325 |
$66K |
| 72040 |
|
1,283 |
1,208 |
$62K |
| 10160 |
|
216 |
202 |
$61K |
| 74178 |
|
213 |
198 |
$57K |
| 77290 |
|
172 |
147 |
$56K |
| 71045 |
|
15,227 |
13,167 |
$55K |
| 71271 |
|
299 |
297 |
$54K |
| 88305 |
|
11,763 |
9,213 |
$54K |
| 15271 |
|
28 |
12 |
$52K |
| 73110 |
|
2,466 |
2,244 |
$51K |
| 77334 |
|
340 |
261 |
$51K |
| 97598 |
|
710 |
496 |
$49K |
| 73502 |
|
2,216 |
2,088 |
$48K |
| 36561 |
|
13 |
13 |
$47K |
| 84484 |
|
27,812 |
20,826 |
$46K |
| 77080 |
|
464 |
456 |
$43K |
| 36415 |
|
99,726 |
69,753 |
$40K |
| 72110 |
|
700 |
668 |
$39K |
| 80076 |
|
15,548 |
13,295 |
$38K |
| 70498 |
|
1,354 |
1,276 |
$37K |
| 12001 |
|
128 |
126 |
$35K |
| 86923 |
|
1,202 |
835 |
$35K |
| 87040 |
|
3,763 |
2,454 |
$34K |
| 97032 |
|
119 |
64 |
$34K |
| 43235 |
|
59 |
51 |
$33K |
| 97164 |
|
111 |
109 |
$33K |
| 86850 |
|
11,055 |
9,670 |
$32K |
| 78306 |
|
92 |
87 |
$31K |
| 96372 |
|
14,950 |
12,834 |
$30K |
| 84702 |
|
7,565 |
6,632 |
$30K |
| P9016 |
Rbc leukocytes reduced |
77 |
55 |
$27K |
| 87502 |
|
1,595 |
1,414 |
$27K |
| 70544 |
|
61 |
55 |
$25K |
| 64454 |
|
46 |
40 |
$24K |
| 88307 |
|
770 |
548 |
$24K |
| 72131 |
|
368 |
346 |
$23K |
| 20553 |
|
85 |
76 |
$23K |
| 94640 |
|
138 |
116 |
$23K |
| 12011 |
|
85 |
80 |
$22K |
| 85379 |
|
3,515 |
3,175 |
$21K |
| 87651 |
|
1,572 |
1,485 |
$21K |
| M0243 |
Casirivi and imdevi inj |
84 |
83 |
$21K |
| 88341 |
|
1,172 |
939 |
$20K |
| U0005 |
Infec agen detec ampli probe |
4,177 |
3,688 |
$19K |
| 86900 |
|
12,018 |
10,475 |
$19K |
| 72070 |
|
555 |
528 |
$18K |
| 82962 |
|
28,949 |
17,782 |
$18K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,308 |
1,185 |
$18K |
| 87633 |
|
677 |
604 |
$17K |
| 81001 |
|
42,386 |
36,300 |
$17K |
| 88342 |
|
3,655 |
3,186 |
$17K |
| 73080 |
|
1,359 |
1,261 |
$17K |
| 85027 |
|
8,652 |
6,587 |
$16K |
| 72120 |
|
204 |
192 |
$16K |
| 83735 |
|
25,964 |
16,960 |
$16K |
| 83605 |
|
10,057 |
7,917 |
$16K |
| 92523 |
|
116 |
106 |
$16K |
| 20560 |
|
128 |
68 |
$15K |
| 80197 |
|
4,498 |
2,404 |
$15K |
| 97022 |
|
189 |
93 |
$15K |
| 86901 |
|
12,037 |
10,491 |
$14K |
| 77300 |
|
194 |
172 |
$13K |
| 73522 |
|
390 |
373 |
$12K |
| 73590 |
|
1,488 |
1,344 |
$12K |
| 97542 |
|
47 |
38 |
$12K |
| 77001 |
|
75 |
75 |
$12K |
| 87491 |
|
5,907 |
5,493 |
$11K |
| 77338 |
|
14 |
13 |
$11K |
| 74018 |
|
357 |
302 |
$11K |
| 72050 |
|
153 |
147 |
$10K |
| 87086 |
|
8,587 |
7,413 |
$10K |
| 80051 |
|
2,670 |
2,412 |
$10K |
| 96374 |
|
25,369 |
22,571 |
$10K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
16,801 |
15,657 |
$10K |
| 12002 |
|
43 |
39 |
$10K |
| 81514 |
|
37 |
36 |
$9K |
| 84443 |
|
6,867 |
6,163 |
$9K |
| 97139 |
|
267 |
160 |
$9K |
| 82803 |
|
7,263 |
5,881 |
$8K |
| 77301 |
|
13 |
12 |
$8K |
| 85610 |
|
12,213 |
10,217 |
$7K |
| 96375 |
|
15,783 |
13,261 |
$7K |
| 88304 |
|
875 |
745 |
$7K |
| 85730 |
|
8,626 |
7,415 |
$6K |
| 75574 |
|
13 |
13 |
$6K |
| 96367 |
|
437 |
370 |
$6K |
| 73560 |
|
234 |
211 |
$6K |
| 99201 |
|
25 |
25 |
$6K |
| 81025 |
|
18,049 |
16,657 |
$6K |
| G0297 |
Ldct for lung ca screen |
105 |
85 |
$6K |
| 72170 |
|
582 |
541 |
$6K |
| C1769 |
Guide wire |
2,190 |
1,919 |
$6K |
| 83690 |
|
14,208 |
12,761 |
$6K |
| 90471 |
|
3,675 |
3,408 |
$6K |
| 84100 |
|
8,160 |
4,716 |
$6K |
| 87486 |
|
372 |
310 |
$6K |
| 88312 |
|
549 |
424 |
$5K |
| 62323 |
|
25 |
24 |
$5K |
| G0283 |
Elec stim other than wound |
114 |
63 |
$5K |
| 73700 |
|
33 |
30 |
$5K |
| 87507 |
|
142 |
127 |
$4K |
| 80061 |
|
2,091 |
1,918 |
$4K |
| 96376 |
|
5,113 |
4,134 |
$4K |
| 0202U |
|
13 |
13 |
$4K |
| 87210 |
|
3,746 |
3,520 |
$4K |
| Q0247 |
Sotrovimab |
20 |
19 |
$4K |
| 87077 |
|
3,174 |
2,364 |
$4K |
| 97760 |
|
34 |
28 |
$4K |
| 86803 |
|
401 |
359 |
$4K |
| 73140 |
|
348 |
324 |
$4K |
| J0171 |
Adrenalin epinephrine inject |
2,660 |
2,411 |
$4K |
| 87799 |
|
659 |
470 |
$4K |
| 73090 |
|
708 |
647 |
$3K |
| M0247 |
Sotrovimab infusion |
20 |
19 |
$3K |
| 83036 |
|
2,574 |
2,375 |
$3K |
| 87070 |
|
3,564 |
3,167 |
$3K |
| 62322 |
|
12 |
12 |
$3K |
| 87581 |
|
372 |
310 |
$3K |
| 82565 |
|
10,855 |
10,084 |
$3K |
| 82075 |
|
1,800 |
1,422 |
$3K |
| 77470 |
|
14 |
12 |
$3K |
| 87497 |
|
540 |
448 |
$3K |
| 73552 |
|
315 |
290 |
$3K |
| J2001 |
Lidocaine injection |
12,595 |
10,947 |
$3K |
| 88112 |
|
131 |
114 |
$3K |
| C1776 |
Joint device (implantable) |
41 |
41 |
$3K |
| 87798 |
|
401 |
327 |
$2K |
| 88142 |
|
117 |
112 |
$2K |
| 70547 |
|
30 |
26 |
$2K |
| 86140 |
|
3,184 |
2,811 |
$2K |
| 85014 |
|
4,255 |
3,738 |
$2K |
| 20561 |
|
20 |
12 |
$2K |
| 74420 |
|
28 |
25 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
17,741 |
15,461 |
$2K |
| 80050 |
|
679 |
628 |
$2K |
| 87661 |
|
372 |
339 |
$2K |
| 86592 |
|
1,254 |
1,130 |
$2K |
| 76942 |
|
30 |
26 |
$2K |
| 87804 |
|
2,169 |
1,434 |
$2K |
| C1729 |
Cath, drainage |
1,814 |
1,606 |
$1K |
| C1894 |
Intro/sheath, non-laser |
1,635 |
1,453 |
$1K |
| 72052 |
|
26 |
24 |
$1K |
| 87205 |
|
2,512 |
2,103 |
$1K |
| 82570 |
|
2,094 |
1,577 |
$1K |
| 87186 |
|
3,380 |
2,852 |
$1K |
| 76805 |
|
12 |
12 |
$1K |
| 87624 |
|
79 |
72 |
$1K |
| 84439 |
|
793 |
731 |
$1K |
| 73060 |
|
198 |
182 |
$1K |
| 82374 |
|
2,157 |
1,948 |
$1K |
| 74230 |
|
16 |
12 |
$1K |
| 90686 |
|
95 |
83 |
$1K |
| 85018 |
|
4,219 |
3,706 |
$1K |
| 82728 |
|
597 |
491 |
$1K |
| 82550 |
|
2,646 |
2,221 |
$1K |
| G0260 |
Inj for sacroiliac jt anesth |
14 |
12 |
$1K |
| 85651 |
|
2,863 |
2,585 |
$1K |
| 36430 |
|
117 |
86 |
$981.39 |
| 87640 |
|
28 |
28 |
$896.56 |
| 86703 |
|
493 |
454 |
$894.05 |
| G0008 |
Admin influenza virus vac |
94 |
82 |
$883.49 |
| 87430 |
|
798 |
770 |
$800.33 |
| J1885 |
Ketorolac tromethamine inj |
18,527 |
16,205 |
$800.32 |
| J0696 |
Ceftriaxone sodium injection |
5,375 |
4,271 |
$734.79 |
| 84481 |
|
376 |
351 |
$712.21 |
| 83970 |
|
111 |
97 |
$656.41 |
| 92610 |
|
30 |
24 |
$648.73 |
| 83615 |
|
1,349 |
1,053 |
$594.24 |
| J1100 |
Dexamethasone sodium phos |
8,305 |
7,194 |
$592.72 |
| 87389 |
|
862 |
803 |
$563.24 |
| 82607 |
|
246 |
224 |
$553.65 |
| A9585 |
Gadobutrol injection |
5,503 |
5,132 |
$551.30 |
| 87641 |
|
28 |
28 |
$500.78 |
| 87116 |
|
27 |
24 |
$491.97 |
| 73620 |
|
38 |
26 |
$486.89 |
| 72128 |
|
16 |
13 |
$479.71 |
| 84156 |
|
1,462 |
1,051 |
$442.25 |
| 84466 |
|
452 |
402 |
$422.80 |
| J2710 |
Neostigmine methylslfte inj |
836 |
745 |
$384.05 |
| 83540 |
|
518 |
457 |
$377.92 |
| J3473 |
Hyaluronidase recombinant |
14 |
14 |
$348.22 |
| 73660 |
|
18 |
17 |
$323.10 |
| 87653 |
|
31 |
29 |
$299.99 |
| 87340 |
|
492 |
441 |
$297.61 |
| J2250 |
Inj midazolam hydrochloride |
13,233 |
11,605 |
$280.49 |
| C1889 |
Implant/insert device, noc |
14 |
14 |
$263.83 |
| J2405 |
Ondansetron hcl injection |
18,812 |
15,639 |
$239.62 |
| 0353U |
|
818 |
781 |
$231.94 |
| 84132 |
|
998 |
849 |
$228.83 |
| 90714 |
|
13 |
12 |
$225.26 |
| 85045 |
|
442 |
325 |
$213.15 |
| 89051 |
|
119 |
104 |
$200.23 |
| J1630 |
Haloperidol injection |
2,251 |
1,904 |
$197.47 |
| 87503 |
|
24 |
22 |
$185.30 |
| 74019 |
|
13 |
13 |
$174.15 |
| 86706 |
|
260 |
232 |
$169.87 |
| 85576 |
|
31 |
26 |
$164.31 |
| 64495 |
|
182 |
148 |
$163.18 |
| 82248 |
|
304 |
275 |
$152.54 |
| J3010 |
Fentanyl citrate injection |
11,157 |
9,833 |
$146.01 |
| J1650 |
Inj enoxaparin sodium |
5,987 |
3,289 |
$143.50 |
| J3475 |
Inj magnesium sulfate |
4,731 |
3,716 |
$142.32 |
| J2270 |
Morphine sulfate injection |
6,934 |
5,651 |
$136.72 |
| 82306 |
|
86 |
82 |
$135.75 |
| 73600 |
|
13 |
12 |
$131.02 |
| J2765 |
Metoclopramide hcl injection |
4,103 |
3,572 |
$117.53 |
| 87899 |
|
255 |
235 |
$108.87 |
| U0002 |
Covid-19 lab test non-cdc |
88 |
77 |
$96.58 |
| A9579 |
Gad-base mr contrast nos,1ml |
229 |
223 |
$83.62 |
| 86704 |
|
70 |
64 |
$81.36 |
| 84295 |
|
816 |
697 |
$78.19 |
| J2060 |
Lorazepam injection |
2,821 |
2,310 |
$77.40 |
| J2930 |
Methylprednisolone injection |
691 |
598 |
$74.16 |
| 88173 |
|
15 |
14 |
$71.60 |
| J2543 |
Piperacillin/tazobactam |
346 |
224 |
$66.99 |
| 86308 |
|
66 |
64 |
$64.54 |
| J3370 |
Vancomycin hcl injection |
1,158 |
812 |
$57.86 |
| 85384 |
|
146 |
115 |
$57.56 |
| G8980 |
Mobility d/c status |
163 |
152 |
$52.09 |
| J0690 |
Cefazolin sodium injection |
7,382 |
5,857 |
$51.28 |
| 82436 |
|
50 |
41 |
$49.47 |
| A9270 |
Non-covered item or service |
34,493 |
10,348 |
$45.35 |
| J1170 |
Hydromorphone injection |
10,211 |
6,735 |
$39.03 |
| 84300 |
|
136 |
113 |
$32.15 |
| J1200 |
Diphenhydramine hcl injectio |
3,671 |
3,053 |
$30.03 |
| C1780 |
Lens, intraocular (new tech) |
1,159 |
1,037 |
$27.18 |
| 0250 |
|
4,368 |
1,496 |
$24.64 |
| J0360 |
Hydralazine hcl injection |
823 |
724 |
$22.23 |
| J0780 |
Prochlorperazine injection |
489 |
466 |
$17.60 |
| J1644 |
Inj heparin sodium per 1000u |
5,697 |
3,308 |
$15.59 |
| J2370 |
Phenylephrine hcl injection |
1,785 |
1,501 |
$13.25 |
| 87341 |
|
27 |
25 |
$12.72 |
| 84133 |
|
50 |
41 |
$12.37 |
| 87075 |
|
106 |
92 |
$12.10 |
| J7512 |
Prednisone ir or dr oral 1mg |
3,247 |
2,523 |
$9.31 |
| 87102 |
|
63 |
54 |
$5.02 |
| J3490 |
Drugs unclassified injection |
89 |
38 |
$4.27 |
| 87206 |
|
26 |
24 |
$2.51 |
| 84460 |
|
47 |
42 |
$2.13 |
| 84550 |
|
41 |
39 |
$1.96 |
| J1940 |
Furosemide injection |
1,115 |
714 |
$0.87 |
| C9113 |
Inj pantoprazole sodium, via |
187 |
105 |
$0.24 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
71 |
69 |
$0.01 |
| J2550 |
Promethazine hcl injection |
19 |
17 |
$0.01 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
365 |
327 |
$0.01 |
| 0272 |
|
100 |
100 |
$0.00 |
| G8978 |
Mobility current status |
770 |
682 |
$0.00 |
| G8989 |
Self care d/c status |
31 |
29 |
$0.00 |
| A9552 |
F18 fdg |
363 |
328 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
778 |
724 |
$0.00 |
| 99152 |
|
248 |
215 |
$0.00 |
| 77002 |
|
44 |
37 |
$0.00 |
| J1953 |
Levetiracetam injection |
244 |
194 |
$0.00 |
| 84450 |
|
32 |
29 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
169 |
164 |
$0.00 |
| C1765 |
Adhesion barrier |
25 |
24 |
$0.00 |
| J0694 |
Cefoxitin sodium injection |
267 |
213 |
$0.00 |
| G8985 |
Carry goal status |
27 |
27 |
$0.00 |
| 76376 |
|
35 |
35 |
$0.00 |
| 85347 |
|
91 |
81 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
905 |
847 |
$0.00 |
| 88302 |
|
13 |
12 |
$0.00 |
| G8979 |
Mobility goal status |
805 |
715 |
$0.00 |
| C1760 |
Closure dev, vasc |
47 |
39 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
98 |
71 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
26 |
26 |
$0.00 |
| J1580 |
Garamycin gentamicin inj |
16 |
12 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
17 |
15 |
$0.00 |
| G8984 |
Carry current status |
12 |
12 |
$0.00 |
| 76937 |
|
13 |
12 |
$0.00 |
| G0390 |
Trauma respons w/hosp criti |
13 |
13 |
$0.00 |
| 76000 |
|
12 |
12 |
$0.00 |
| 76818 |
|
13 |
13 |
$0.00 |
| A9503 |
Tc99m medronate |
116 |
113 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
185 |
171 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
2,352 |
1,310 |
$0.00 |
| 0710 |
|
283 |
281 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
857 |
780 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
389 |
356 |
$0.00 |
| G8988 |
Self care goal status |
375 |
322 |
$0.00 |
| 64494 |
|
364 |
309 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
165 |
137 |
$0.00 |
| 82330 |
|
15 |
14 |
$0.00 |
| J3480 |
Inj potassium chloride |
135 |
84 |
$0.00 |
| G8987 |
Self care current status |
391 |
337 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
46 |
42 |
$0.00 |
| C1763 |
Conn tiss, non-human |
237 |
219 |
$0.00 |
| J1920 |
Inj, labetalol hcl, 5mg |
27 |
26 |
$0.00 |
| J8501 |
Oral aprepitant |
12 |
12 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
50 |
36 |
$0.00 |
| 77417 |
|
29 |
14 |
$0.00 |
| C1781 |
Mesh (implantable) |
14 |
13 |
$0.00 |
| 64484 |
|
12 |
12 |
$0.00 |
| 36416 |
|
18 |
12 |
$0.00 |
| 0270 |
|
19 |
18 |
$0.00 |
| 85390 |
|
19 |
14 |
$0.00 |
| J0561 |
Penicillin g benzathine inj |
15 |
13 |
$0.00 |