| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
48,324 |
43,177 |
$11.07M |
| 99284 |
|
39,779 |
35,696 |
$8.82M |
| 99282 |
|
34,679 |
30,519 |
$6.95M |
| 70450 |
|
17,782 |
16,463 |
$6.14M |
| 99285 |
|
30,525 |
27,642 |
$5.61M |
| 97110 |
|
24,307 |
9,238 |
$4.88M |
| 66984 |
|
2,910 |
2,646 |
$3.75M |
| 43239 |
|
4,526 |
4,315 |
$2.97M |
| 45380 |
|
4,010 |
3,843 |
$2.66M |
| 59025 |
|
8,121 |
4,480 |
$2.39M |
| 97140 |
|
19,389 |
7,603 |
$2.37M |
| 45378 |
|
2,138 |
2,066 |
$2.07M |
| 45385 |
|
2,046 |
1,954 |
$1.84M |
| 74177 |
|
6,454 |
6,091 |
$1.77M |
| 74176 |
|
5,298 |
4,963 |
$1.69M |
| 96361 |
|
3,395 |
2,075 |
$1.66M |
| 93306 |
|
3,545 |
3,285 |
$1.54M |
| 94640 |
|
7,838 |
5,406 |
$1.46M |
| G0378 |
Hospital observation per hr |
7,778 |
6,611 |
$1.24M |
| 97530 |
|
10,288 |
5,322 |
$1.21M |
| 97010 |
|
13,960 |
5,994 |
$1.18M |
| 99281 |
|
5,896 |
5,340 |
$1.10M |
| 76856 |
|
4,604 |
4,416 |
$1.08M |
| 0241U |
|
7,266 |
6,848 |
$1.02M |
| 97162 |
|
3,749 |
3,563 |
$1.01M |
| 95810 |
|
1,128 |
1,035 |
$997K |
| 71275 |
|
1,865 |
1,745 |
$702K |
| G0480 |
Drug test def 1-7 classes |
19,390 |
17,105 |
$675K |
| 76641 |
|
3,296 |
3,135 |
$642K |
| G0463 |
Hospital outpt clinic visit |
6,082 |
5,499 |
$622K |
| 76816 |
|
5,209 |
4,793 |
$618K |
| 97164 |
|
2,586 |
2,435 |
$611K |
| 97112 |
|
6,018 |
3,240 |
$595K |
| 77067 |
|
8,655 |
8,181 |
$569K |
| 71046 |
|
23,156 |
21,705 |
$567K |
| 99291 |
|
5,240 |
4,823 |
$546K |
| 95811 |
|
678 |
602 |
$540K |
| 76700 |
|
2,417 |
2,304 |
$484K |
| 99215 |
Prolong outpt/office vis |
1,738 |
1,662 |
$463K |
| 99213 |
|
3,129 |
2,877 |
$438K |
| 76805 |
|
3,344 |
3,190 |
$389K |
| 80307 |
|
13,689 |
12,506 |
$383K |
| 93970 |
|
2,023 |
1,903 |
$375K |
| 76815 |
|
6,301 |
4,140 |
$368K |
| 99214 |
|
1,600 |
1,513 |
$363K |
| 93971 |
|
2,485 |
2,333 |
$358K |
| 76770 |
|
1,844 |
1,727 |
$349K |
| 96367 |
|
3,769 |
1,926 |
$345K |
| 96365 |
|
2,222 |
1,497 |
$337K |
| 87635 |
|
14,460 |
12,913 |
$314K |
| 76801 |
|
3,698 |
3,345 |
$301K |
| 94060 |
|
2,924 |
2,361 |
$289K |
| 71250 |
|
3,519 |
3,302 |
$279K |
| 73564 |
|
6,884 |
6,513 |
$274K |
| 96360 |
|
1,327 |
1,091 |
$261K |
| 73630 |
|
6,775 |
6,343 |
$258K |
| 76705 |
|
1,808 |
1,721 |
$258K |
| 77063 |
|
7,483 |
7,073 |
$249K |
| 76536 |
|
1,529 |
1,453 |
$249K |
| 80048 |
|
60,166 |
48,504 |
$248K |
| 72125 |
|
7,423 |
6,933 |
$235K |
| 76830 |
|
4,001 |
3,872 |
$216K |
| 76811 |
|
1,357 |
1,304 |
$194K |
| 97163 |
|
628 |
604 |
$183K |
| 96415 |
|
811 |
593 |
$179K |
| 96413 |
|
3,528 |
2,059 |
$169K |
| 70486 |
|
5,173 |
4,810 |
$162K |
| 93005 |
|
29,340 |
25,069 |
$159K |
| 12001 |
|
543 |
516 |
$159K |
| 72131 |
|
2,894 |
2,747 |
$148K |
| 76817 |
|
3,300 |
2,909 |
$144K |
| 72110 |
|
3,439 |
3,290 |
$129K |
| 90714 |
|
3,796 |
3,608 |
$122K |
| 80053 |
|
31,053 |
26,415 |
$119K |
| 74178 |
|
456 |
428 |
$118K |
| 73130 |
|
5,600 |
5,121 |
$117K |
| D7140 |
|
1,412 |
717 |
$116K |
| 73610 |
|
4,700 |
4,311 |
$112K |
| 77066 |
Tomosynthesis, mammo |
1,883 |
1,761 |
$111K |
| 73030 |
|
4,779 |
4,421 |
$107K |
| 97161 |
|
269 |
257 |
$99K |
| P9016 |
Rbc leukocytes reduced |
281 |
219 |
$99K |
| 92550 |
|
995 |
934 |
$94K |
| 92587 |
|
560 |
519 |
$91K |
| 12002 |
|
328 |
316 |
$85K |
| D0140 |
|
1,882 |
1,728 |
$78K |
| 71260 |
|
2,799 |
2,646 |
$78K |
| 70491 |
|
277 |
259 |
$76K |
| 76813 |
|
912 |
881 |
$68K |
| 73562 |
|
1,307 |
1,243 |
$68K |
| 71045 |
|
15,779 |
14,026 |
$65K |
| 87591 |
|
6,126 |
5,817 |
$63K |
| 77065 |
Tomosynthesis, mammo |
1,318 |
1,220 |
$63K |
| 99203 |
|
476 |
468 |
$60K |
| 10060 |
|
191 |
185 |
$59K |
| 94727 |
|
1,596 |
1,511 |
$54K |
| 73502 |
|
2,093 |
1,968 |
$53K |
| 73590 |
|
2,986 |
2,823 |
$52K |
| 12011 |
|
200 |
188 |
$52K |
| 73721 |
|
186 |
171 |
$50K |
| 99211 |
|
282 |
268 |
$49K |
| 80047 |
|
7,946 |
7,261 |
$47K |
| 77081 |
|
811 |
746 |
$46K |
| 96372 |
|
5,237 |
4,228 |
$45K |
| 85025 |
|
88,800 |
67,995 |
$43K |
| 72148 |
|
199 |
189 |
$43K |
| 78580 |
|
26 |
26 |
$43K |
| 73110 |
|
3,213 |
2,916 |
$41K |
| 84484 |
|
23,268 |
19,126 |
$40K |
| G0279 |
Tomosynthesis, mammo |
2,586 |
2,402 |
$37K |
| 83880 |
|
5,118 |
4,472 |
$36K |
| 76882 |
|
201 |
192 |
$36K |
| 99219 |
|
1,982 |
1,683 |
$34K |
| 87040 |
|
2,721 |
2,360 |
$33K |
| 78451 |
|
155 |
134 |
$32K |
| G0390 |
Trauma respons w/hosp criti |
2,905 |
2,716 |
$32K |
| 93976 |
|
211 |
195 |
$31K |
| D0330 |
|
499 |
437 |
$30K |
| 97116 |
|
453 |
257 |
$30K |
| 87400 |
|
1,803 |
1,701 |
$28K |
| D7210 |
|
187 |
92 |
$28K |
| 94729 |
|
1,557 |
1,472 |
$26K |
| 97014 |
|
884 |
518 |
$24K |
| 70551 |
|
88 |
87 |
$24K |
| 95813 |
|
31 |
28 |
$23K |
| 96040 |
|
119 |
117 |
$23K |
| 71271 |
|
164 |
161 |
$21K |
| 99204 |
|
88 |
86 |
$20K |
| 83605 |
|
11,996 |
8,185 |
$20K |
| 99212 |
|
78 |
74 |
$19K |
| 72052 |
|
407 |
395 |
$19K |
| D9223 |
|
120 |
89 |
$19K |
| 76870 |
|
253 |
236 |
$18K |
| 70553 |
|
53 |
52 |
$17K |
| D9310 |
|
176 |
176 |
$17K |
| 73090 |
|
1,832 |
1,678 |
$16K |
| 83874 |
|
4,842 |
4,348 |
$16K |
| 97032 |
|
102 |
56 |
$15K |
| 73560 |
|
571 |
523 |
$15K |
| 99205 |
Prolong outpt/office vis |
68 |
66 |
$15K |
| 85378 |
|
2,774 |
2,573 |
$14K |
| D9222 |
|
134 |
116 |
$14K |
| 73080 |
|
1,196 |
1,108 |
$13K |
| 83735 |
|
12,514 |
7,510 |
$13K |
| 80061 |
|
3,005 |
2,663 |
$12K |
| 73551 |
|
863 |
786 |
$12K |
| 82728 |
|
2,127 |
1,868 |
$11K |
| 94762 |
|
3,069 |
2,240 |
$10K |
| 76642 |
|
46 |
44 |
$10K |
| 95819 |
|
54 |
52 |
$9K |
| 84443 |
|
2,963 |
2,619 |
$9K |
| 45384 |
|
37 |
37 |
$9K |
| 73140 |
|
393 |
362 |
$9K |
| 97166 |
|
25 |
25 |
$8K |
| 73521 |
|
156 |
154 |
$8K |
| 97016 |
|
59 |
25 |
$8K |
| 97018 |
|
102 |
28 |
$8K |
| 76820 |
|
82 |
60 |
$8K |
| 88341 |
|
594 |
555 |
$7K |
| 88307 |
|
278 |
266 |
$7K |
| 85730 |
|
15,821 |
13,112 |
$7K |
| 82306 |
|
674 |
634 |
$7K |
| U0002 |
Covid-19 lab test non-cdc |
1,772 |
1,677 |
$7K |
| 90715 |
|
272 |
261 |
$7K |
| 82553 |
|
5,469 |
4,889 |
$7K |
| 72100 |
|
210 |
205 |
$6K |
| 96374 |
|
9,949 |
8,997 |
$6K |
| 96523 |
|
78 |
77 |
$6K |
| 86900 |
|
6,243 |
5,690 |
$6K |
| 72128 |
|
1,803 |
1,690 |
$6K |
| 73060 |
|
957 |
885 |
$6K |
| 72040 |
|
179 |
169 |
$6K |
| 88305 |
|
8,571 |
8,131 |
$6K |
| G0121 |
Colon ca scrn not hi rsk ind |
14 |
12 |
$5K |
| 99220 |
|
479 |
428 |
$5K |
| 92557 |
|
202 |
195 |
$5K |
| 77336 |
|
73 |
26 |
$5K |
| 82607 |
|
1,511 |
1,363 |
$5K |
| 76818 |
|
44 |
38 |
$5K |
| 82948 |
|
27,210 |
20,484 |
$5K |
| 73620 |
|
274 |
256 |
$5K |
| 82248 |
|
6,867 |
6,306 |
$5K |
| 86923 |
|
69 |
62 |
$5K |
| 86850 |
|
6,090 |
5,589 |
$5K |
| 84100 |
|
9,252 |
5,231 |
$5K |
| 99201 |
|
30 |
30 |
$4K |
| 85014 |
|
8,394 |
7,598 |
$4K |
| 77014 |
|
104 |
12 |
$4K |
| 81003 |
|
22,742 |
20,882 |
$4K |
| 76819 |
|
22 |
15 |
$4K |
| 85610 |
|
15,718 |
13,194 |
$4K |
| J1815 |
Insulin injection |
2,978 |
2,028 |
$4K |
| 81001 |
|
15,203 |
13,977 |
$4K |
| 70490 |
|
15 |
15 |
$4K |
| 88342 |
|
4,635 |
4,397 |
$3K |
| 85045 |
|
4,146 |
2,715 |
$3K |
| 72170 |
|
3,007 |
2,778 |
$3K |
| 93226 |
|
77 |
75 |
$3K |
| 84702 |
|
7,004 |
6,172 |
$3K |
| 95816 |
|
12 |
12 |
$3K |
| 83615 |
|
2,330 |
1,919 |
$3K |
| 97802 |
|
30 |
24 |
$3K |
| 41800 |
|
15 |
12 |
$3K |
| 86901 |
|
6,236 |
5,686 |
$3K |
| 76937 |
|
60 |
53 |
$3K |
| 73221 |
|
14 |
13 |
$3K |
| 83690 |
|
14,980 |
13,345 |
$3K |
| 83036 |
|
1,094 |
910 |
$3K |
| 84703 |
|
7,152 |
6,645 |
$2K |
| 72070 |
|
139 |
134 |
$2K |
| 82550 |
|
9,716 |
8,497 |
$2K |
| 73600 |
|
198 |
184 |
$2K |
| G2066 |
Inter devc remote 30d |
103 |
96 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
6,206 |
5,722 |
$2K |
| 93017 |
|
13 |
13 |
$2K |
| 87086 |
|
2,620 |
2,409 |
$2K |
| 74019 |
|
110 |
105 |
$2K |
| 76802 |
|
40 |
40 |
$2K |
| 82150 |
|
10,452 |
9,419 |
$2K |
| 82805 |
|
1,285 |
1,090 |
$2K |
| 87661 |
|
1,975 |
1,901 |
$2K |
| 93225 |
|
77 |
75 |
$1K |
| G0108 |
Diab manage trn per indiv |
138 |
118 |
$1K |
| 87491 |
|
856 |
817 |
$1K |
| 99218 |
|
205 |
191 |
$1K |
| 86592 |
|
1,358 |
1,281 |
$1K |
| 84075 |
|
5,399 |
5,007 |
$1K |
| 81025 |
|
7,586 |
7,080 |
$1K |
| 80185 |
|
158 |
132 |
$1K |
| 99222 |
|
279 |
250 |
$1K |
| J2405 |
Ondansetron hcl injection |
16,412 |
13,659 |
$1K |
| 36415 |
|
37,214 |
33,387 |
$1K |
| 82533 |
|
36 |
35 |
$1K |
| 86140 |
|
1,314 |
1,188 |
$990.44 |
| 86703 |
|
1,126 |
1,056 |
$963.46 |
| G0297 |
Ldct for lung ca screen |
13 |
13 |
$962.50 |
| 85651 |
|
1,786 |
1,635 |
$926.69 |
| 74174 |
|
16 |
12 |
$907.22 |
| 74018 |
|
77 |
74 |
$894.96 |
| 77080 |
|
19 |
19 |
$845.44 |
| 82010 |
|
2,547 |
2,197 |
$835.63 |
| 87070 |
|
633 |
559 |
$828.45 |
| 71101 |
|
180 |
170 |
$785.93 |
| 84145 |
|
168 |
135 |
$753.92 |
| J0690 |
Cefazolin sodium injection |
3,675 |
3,195 |
$703.43 |
| 85007 |
|
3,711 |
3,051 |
$700.22 |
| 96375 |
|
4,771 |
4,349 |
$696.57 |
| 93296 |
|
12 |
12 |
$680.73 |
| 84550 |
|
1,206 |
1,050 |
$656.28 |
| 87081 |
|
270 |
243 |
$635.26 |
| 84439 |
|
354 |
316 |
$598.77 |
| 82040 |
|
5,469 |
5,061 |
$523.13 |
| J1626 |
Granisetron hcl injection |
363 |
184 |
$490.40 |
| 81002 |
|
11,596 |
10,772 |
$455.62 |
| C1758 |
Catheter, ureteral |
692 |
619 |
$437.14 |
| 83540 |
|
669 |
619 |
$427.65 |
| C1780 |
Lens, intraocular (new tech) |
2,424 |
2,193 |
$425.04 |
| J1885 |
Ketorolac tromethamine inj |
20,263 |
18,157 |
$424.88 |
| J3490 |
Drugs unclassified injection |
6,841 |
5,294 |
$420.46 |
| 83021 |
|
73 |
55 |
$402.77 |
| 82043 |
|
205 |
190 |
$384.69 |
| 80177 |
|
28 |
26 |
$379.64 |
| C1769 |
Guide wire |
606 |
509 |
$372.68 |
| 87186 |
|
278 |
231 |
$364.65 |
| 94760 |
|
3,156 |
2,613 |
$359.82 |
| 90471 |
|
631 |
587 |
$339.18 |
| 82570 |
|
438 |
366 |
$332.23 |
| J2250 |
Inj midazolam hydrochloride |
14,123 |
12,850 |
$329.64 |
| J1650 |
Inj enoxaparin sodium |
4,670 |
2,137 |
$305.25 |
| J1170 |
Hydromorphone injection |
2,978 |
1,815 |
$299.72 |
| 84153 |
|
129 |
124 |
$289.90 |
| 82746 |
|
93 |
82 |
$278.20 |
| J0696 |
Ceftriaxone sodium injection |
4,921 |
4,156 |
$268.50 |
| 36600 |
|
81 |
75 |
$268.28 |
| 84466 |
|
437 |
391 |
$260.24 |
| J1953 |
Levetiracetam injection |
1,113 |
948 |
$254.23 |
| 82247 |
|
5,467 |
5,076 |
$246.39 |
| 84156 |
|
368 |
312 |
$216.28 |
| J2270 |
Morphine sulfate injection |
11,014 |
8,271 |
$207.54 |
| 83010 |
|
41 |
37 |
$196.38 |
| 84450 |
|
5,425 |
5,034 |
$189.73 |
| 84460 |
|
5,423 |
5,032 |
$178.86 |
| Q0144 |
Azithromycin dihydrate, oral |
1,953 |
1,776 |
$163.04 |
| 85018 |
|
1,090 |
984 |
$162.82 |
| 88304 |
|
132 |
128 |
$149.72 |
| J1200 |
Diphenhydramine hcl injectio |
7,925 |
4,808 |
$146.80 |
| 82330 |
|
851 |
827 |
$138.89 |
| 85027 |
|
198 |
180 |
$138.22 |
| 80164 |
|
15 |
13 |
$137.61 |
| J3475 |
Inj magnesium sulfate |
1,442 |
1,011 |
$121.05 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
88 |
82 |
$105.09 |
| J1100 |
Dexamethasone sodium phos |
5,083 |
3,993 |
$83.13 |
| 82747 |
|
102 |
96 |
$78.18 |
| 97124 |
|
34 |
19 |
$76.91 |
| C1729 |
Cath, drainage |
203 |
172 |
$73.06 |
| 84480 |
|
61 |
54 |
$69.89 |
| 76001 |
|
76 |
71 |
$64.62 |
| C9113 |
Inj pantoprazole sodium, via |
350 |
235 |
$61.97 |
| 82947 |
|
841 |
819 |
$55.33 |
| J2001 |
Lidocaine injection |
10,188 |
8,421 |
$54.64 |
| J3010 |
Fentanyl citrate injection |
17,236 |
15,294 |
$46.94 |
| 80051 |
|
775 |
757 |
$35.37 |
| 73552 |
|
13 |
12 |
$29.79 |
| J2930 |
Methylprednisolone injection |
2,806 |
2,427 |
$29.15 |
| J2550 |
Promethazine hcl injection |
1,585 |
1,070 |
$28.47 |
| J1642 |
Inj heparin sodium per 10 u |
3,285 |
1,860 |
$28.13 |
| 84132 |
|
731 |
712 |
$24.80 |
| L0172 |
Cerv col sr foam 2pc pre ots |
571 |
543 |
$24.64 |
| J1940 |
Furosemide injection |
569 |
347 |
$23.46 |
| J2060 |
Lorazepam injection |
2,011 |
1,685 |
$22.88 |
| 84520 |
|
828 |
805 |
$21.80 |
| J7030 |
Normal saline solution infus |
4,146 |
2,773 |
$19.76 |
| J7110 |
Dextran 75 infusion |
1,209 |
1,137 |
$18.92 |
| 87340 |
|
165 |
148 |
$17.68 |
| J2765 |
Metoclopramide hcl injection |
3,075 |
2,731 |
$15.74 |
| 82435 |
|
36 |
32 |
$15.20 |
| J7512 |
Prednisone ir or dr oral 1mg |
4,933 |
4,395 |
$13.61 |
| 82565 |
|
784 |
765 |
$11.39 |
| J3411 |
Thiamine hcl 100 mg |
873 |
700 |
$10.46 |
| J0171 |
Adrenalin epinephrine inject |
1,361 |
1,188 |
$10.27 |
| J0330 |
Succinycholine chloride inj |
1,858 |
1,704 |
$9.51 |
| J2310 |
Inj naloxone hydrochloride |
168 |
159 |
$9.29 |
| J1630 |
Haloperidol injection |
846 |
693 |
$9.00 |
| 84295 |
|
715 |
698 |
$7.81 |
| 86706 |
|
45 |
42 |
$7.25 |
| 85041 |
|
15 |
12 |
$5.83 |
| 87071 |
|
12 |
12 |
$5.61 |
| J2919 |
Inj, methylpred sod succ 5mg |
137 |
133 |
$5.38 |
| 84436 |
|
14 |
12 |
$4.43 |
| J1644 |
Inj heparin sodium per 1000u |
4,347 |
2,075 |
$1.44 |
| J7040 |
Normal saline solution infus |
3,535 |
3,255 |
$0.47 |
| A9585 |
Gadobutrol injection |
814 |
764 |
$0.35 |
| J0744 |
Ciprofloxacin iv |
330 |
251 |
$0.24 |
| J2370 |
Phenylephrine hcl injection |
534 |
481 |
$0.01 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
57 |
54 |
$0.01 |
| L3908 |
Who cock-up nonmolde pre ots |
146 |
134 |
$0.01 |
| 0250 |
|
2,377 |
2,140 |
$0.00 |
| A9500 |
Tc99m sestamibi |
206 |
179 |
$0.00 |
| J1817 |
Insulin for insulin pump use |
709 |
566 |
$0.00 |
| 0270 |
|
1,546 |
1,436 |
$0.00 |
| J3480 |
Inj potassium chloride |
339 |
246 |
$0.00 |
| 0258 |
|
379 |
372 |
$0.00 |
| 0710 |
|
313 |
307 |
$0.00 |
| 96376 |
|
361 |
326 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
136 |
120 |
$0.00 |
| C1893 |
Intro/sheath, fixed,non-peel |
123 |
106 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
43 |
39 |
$0.00 |
| J0456 |
Azithromycin |
51 |
27 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
41 |
39 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
38 |
36 |
$0.00 |
| A9540 |
Tc99m maa |
12 |
12 |
$0.00 |
| J2785 |
Regadenoson injection |
17 |
14 |
$0.00 |
| G8988 |
Self care goal status |
16 |
13 |
$0.00 |
| G8980 |
Mobility d/c status |
13 |
13 |
$0.00 |
| J2920 |
Methylprednisolone injection |
28 |
26 |
$0.00 |
| 0370 |
|
289 |
285 |
$0.00 |
| J7060 |
5% dextrose/water |
16 |
13 |
$0.00 |
| J7050 |
Normal saline solution infus |
14 |
13 |
$0.00 |
| G8987 |
Self care current status |
16 |
13 |
$0.00 |
| J7120 |
Ringers lactate infusion |
1,597 |
1,403 |
$0.00 |
| G8978 |
Mobility current status |
905 |
845 |
$0.00 |
| G8979 |
Mobility goal status |
896 |
837 |
$0.00 |
| J8499 |
Oral prescrip drug non chemo |
949 |
918 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
306 |
287 |
$0.00 |
| J1956 |
Levofloxacin injection |
112 |
77 |
$0.00 |
| J0689 |
Inj cefazolin sodium, baxter |
13 |
12 |
$0.00 |
| 88312 |
|
12 |
12 |
$0.00 |
| G8985 |
Carry goal status |
16 |
15 |
$0.00 |
| J1580 |
Garamycin gentamicin inj |
32 |
27 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
24 |
24 |
$0.00 |
| 0272 |
|
1,490 |
1,399 |
$0.00 |
| G8984 |
Carry current status |
16 |
15 |
$0.00 |
| 73070 |
|
29 |
26 |
$0.00 |
| 96417 |
|
52 |
37 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
25 |
12 |
$0.00 |
| 99223 |
Prolong inpt eval add15 m |
14 |
12 |
$0.00 |
| L4387 |
Non-pneum walk boot pre ots |
28 |
28 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
14 |
12 |
$0.00 |