| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
143,428 |
137,282 |
$17.78M |
| 99214 |
|
213,571 |
196,072 |
$13.72M |
| 99284 |
|
114,554 |
110,955 |
$10.91M |
| 99213 |
|
164,692 |
151,417 |
$8.06M |
| 99233 |
Prolong inpt eval add15 m |
107,389 |
41,509 |
$7.09M |
| 99232 |
|
131,577 |
54,379 |
$6.04M |
| 99291 |
|
36,381 |
13,936 |
$5.20M |
| 99283 |
|
83,155 |
81,159 |
$4.70M |
| 99215 |
Prolong outpt/office vis |
44,298 |
39,524 |
$3.94M |
| 74177 |
|
41,402 |
39,478 |
$3.09M |
| 93306 |
|
37,772 |
35,331 |
$2.25M |
| 99204 |
|
22,060 |
21,112 |
$2.22M |
| 70450 |
|
49,115 |
45,413 |
$1.64M |
| J0585 |
Injection,onabotulinumtoxina |
5,223 |
3,337 |
$1.60M |
| 99469 |
|
4,101 |
884 |
$1.59M |
| 88305 |
|
24,454 |
22,986 |
$1.41M |
| 99223 |
Prolong inpt eval add15 m |
11,579 |
11,043 |
$1.40M |
| 71045 |
|
172,532 |
133,548 |
$1.30M |
| 99480 |
|
10,698 |
2,926 |
$1.25M |
| 99391 |
|
13,970 |
13,502 |
$1.25M |
| 70553 |
|
11,682 |
10,563 |
$1.21M |
| 74183 |
|
12,571 |
11,426 |
$1.20M |
| 92014 |
|
11,811 |
10,934 |
$1.20M |
| 99203 |
|
17,747 |
16,899 |
$1.19M |
| 99392 |
|
11,370 |
11,175 |
$1.09M |
| 90471 |
|
52,781 |
50,474 |
$1.01M |
| 71260 |
|
20,383 |
19,108 |
$980K |
| 99238 |
|
17,711 |
16,967 |
$864K |
| 90472 |
|
24,889 |
23,121 |
$850K |
| 99479 |
|
6,781 |
1,651 |
$825K |
| 76816 |
|
7,533 |
7,136 |
$823K |
| 99393 |
|
8,212 |
7,972 |
$804K |
| 92004 |
|
5,347 |
5,016 |
$721K |
| 93010 |
|
111,100 |
89,539 |
$714K |
| 88307 |
|
7,428 |
6,955 |
$670K |
| 99239 |
|
8,529 |
8,278 |
$646K |
| 93303 |
|
4,333 |
3,899 |
$615K |
| 99222 |
|
6,427 |
6,238 |
$549K |
| 76805 |
|
4,142 |
4,050 |
$542K |
| 72125 |
|
12,600 |
12,169 |
$530K |
| 72197 |
|
5,663 |
5,169 |
$514K |
| 99472 |
|
1,223 |
209 |
$485K |
| 74176 |
|
7,409 |
6,945 |
$471K |
| 93975 |
|
8,459 |
8,138 |
$459K |
| 76811 |
|
2,730 |
2,661 |
$455K |
| 78815 |
|
1,736 |
1,503 |
$438K |
| 99205 |
Prolong outpt/office vis |
3,880 |
3,796 |
$436K |
| 77067 |
|
6,620 |
5,878 |
$436K |
| G9678 |
Oncology care model service |
4,145 |
3,913 |
$426K |
| 71046 |
|
39,471 |
37,218 |
$407K |
| 59025 |
|
8,863 |
4,988 |
$377K |
| 90460 |
|
8,731 |
8,582 |
$377K |
| 31231 |
|
2,330 |
2,096 |
$370K |
| 71275 |
|
5,568 |
5,445 |
$370K |
| 71250 |
|
8,992 |
8,216 |
$349K |
| 76830 |
|
3,707 |
3,615 |
$337K |
| 93976 |
|
9,361 |
8,981 |
$323K |
| 99394 |
|
2,965 |
2,865 |
$321K |
| 72131 |
|
7,814 |
7,577 |
$314K |
| 99443 |
|
5,572 |
5,318 |
$306K |
| 72128 |
|
6,500 |
6,319 |
$260K |
| 43239 |
|
2,297 |
2,209 |
$258K |
| 92012 |
|
3,862 |
3,395 |
$250K |
| 31237 |
|
818 |
711 |
$243K |
| 74018 |
|
32,221 |
24,087 |
$241K |
| 11042 |
|
3,057 |
2,101 |
$236K |
| 00731 |
|
2,424 |
2,362 |
$236K |
| 99212 |
|
9,405 |
7,874 |
$232K |
| 01967 |
|
488 |
458 |
$214K |
| 76705 |
|
8,997 |
8,542 |
$214K |
| 90837 |
|
2,014 |
1,156 |
$207K |
| 99244 |
|
1,068 |
1,060 |
$197K |
| 95004 |
|
1,417 |
1,382 |
$178K |
| 73630 |
|
19,226 |
15,760 |
$175K |
| 90961 |
|
1,230 |
1,184 |
$172K |
| 76770 |
|
5,852 |
5,552 |
$167K |
| 70486 |
|
3,958 |
3,755 |
$161K |
| M0243 |
Casirivi and imdevi inj |
490 |
471 |
$150K |
| 90792 |
|
1,483 |
1,438 |
$150K |
| 97802 |
|
1,327 |
1,289 |
$147K |
| 93320 |
|
4,343 |
3,832 |
$146K |
| 86077 |
|
5,104 |
4,356 |
$140K |
| 0002A |
|
4,017 |
3,936 |
$136K |
| 73610 |
|
13,850 |
12,398 |
$133K |
| 20610 |
|
3,171 |
2,507 |
$130K |
| 95810 |
|
1,103 |
1,004 |
$128K |
| 0001A |
|
4,036 |
3,926 |
$126K |
| 94010 |
|
4,080 |
4,027 |
$125K |
| 76700 |
|
3,208 |
3,072 |
$123K |
| 49083 |
|
1,646 |
1,020 |
$118K |
| 99460 |
|
1,631 |
1,577 |
$117K |
| 73562 |
|
13,963 |
12,051 |
$116K |
| 45385 |
|
649 |
612 |
$113K |
| 76817 |
|
1,372 |
1,262 |
$112K |
| 92083 |
|
2,871 |
2,566 |
$109K |
| 93325 |
|
9,405 |
8,283 |
$109K |
| 31575 |
|
1,144 |
1,076 |
$109K |
| 92015 |
|
5,694 |
5,481 |
$107K |
| 96112 |
|
860 |
859 |
$105K |
| 70498 |
|
1,512 |
1,459 |
$105K |
| J2357 |
Omalizumab injection |
85 |
55 |
$104K |
| 73030 |
|
12,183 |
10,867 |
$103K |
| 93971 |
|
5,860 |
5,608 |
$102K |
| 77063 |
|
6,647 |
5,507 |
$99K |
| 90686 |
|
22,641 |
20,410 |
$97K |
| 42820 |
|
357 |
343 |
$97K |
| 76642 |
|
1,757 |
1,502 |
$97K |
| 90960 |
|
754 |
705 |
$94K |
| 93970 |
|
3,646 |
3,413 |
$94K |
| 73130 |
|
10,822 |
8,824 |
$90K |
| 88342 |
|
2,983 |
2,792 |
$87K |
| 70551 |
|
1,307 |
1,165 |
$86K |
| A9577 |
Inj multihance |
4,858 |
4,324 |
$84K |
| 95886 |
|
695 |
636 |
$84K |
| 64615 |
|
857 |
718 |
$81K |
| 90461 |
|
3,803 |
3,640 |
$80K |
| 77066 |
Tomosynthesis, mammo |
796 |
716 |
$80K |
| A9552 |
F18 fdg |
606 |
472 |
$78K |
| 97803 |
|
1,306 |
1,263 |
$74K |
| 73110 |
|
6,820 |
6,011 |
$72K |
| 73590 |
|
9,930 |
8,493 |
$72K |
| 69436 |
|
343 |
336 |
$67K |
| 92551 |
|
12,653 |
11,161 |
$65K |
| 99243 |
|
515 |
505 |
$65K |
| 11721 |
|
3,713 |
3,362 |
$65K |
| 95720 |
|
386 |
191 |
$64K |
| 92134 |
|
2,339 |
2,225 |
$64K |
| 99442 |
|
2,007 |
1,866 |
$64K |
| 88112 |
|
2,862 |
2,674 |
$63K |
| 95811 |
|
580 |
514 |
$62K |
| 78452 |
|
1,193 |
1,059 |
$60K |
| 77014 |
|
1,810 |
404 |
$58K |
| 92133 |
|
2,684 |
2,423 |
$58K |
| 00811 |
|
633 |
627 |
$56K |
| 99221 |
|
853 |
829 |
$55K |
| 93272 |
|
2,702 |
2,608 |
$54K |
| 99217 |
|
1,397 |
1,265 |
$53K |
| 99231 |
|
1,953 |
999 |
$52K |
| 51798 |
|
6,648 |
6,054 |
$51K |
| 52000 |
|
560 |
484 |
$51K |
| 80504 |
|
1,151 |
1,088 |
$47K |
| 99202 |
|
869 |
817 |
$46K |
| 88304 |
|
4,304 |
4,129 |
$46K |
| G0279 |
Tomosynthesis, mammo |
1,543 |
1,429 |
$45K |
| 99242 |
|
488 |
470 |
$45K |
| 96110 |
|
1,772 |
1,735 |
$44K |
| 99417 |
Prolong home eval add 15m |
1,532 |
1,512 |
$43K |
| 72170 |
|
6,151 |
5,893 |
$43K |
| 99220 |
|
429 |
411 |
$43K |
| 77080 |
|
2,992 |
2,795 |
$39K |
| 73502 |
|
4,080 |
3,734 |
$38K |
| 92250 |
|
1,234 |
1,123 |
$37K |
| 73721 |
|
556 |
510 |
$36K |
| 93308 |
|
1,855 |
1,739 |
$35K |
| 99310 |
Prolong nursin fac eval 15m |
1,198 |
919 |
$34K |
| 99254 |
|
234 |
222 |
$34K |
| 0012A |
|
1,222 |
1,195 |
$34K |
| 70496 |
|
519 |
497 |
$34K |
| 99385 |
|
318 |
300 |
$34K |
| 77427 |
|
257 |
129 |
$34K |
| 99441 |
|
1,353 |
1,224 |
$32K |
| 72100 |
|
2,789 |
2,631 |
$31K |
| 76857 |
|
1,210 |
1,177 |
$31K |
| 43235 |
|
339 |
328 |
$31K |
| 92504 |
|
1,294 |
1,131 |
$30K |
| 73090 |
|
3,805 |
3,411 |
$30K |
| 00732 |
|
228 |
222 |
$29K |
| 83036 |
|
3,373 |
3,105 |
$29K |
| 00813 |
|
276 |
273 |
$29K |
| 99309 |
|
1,390 |
913 |
$29K |
| 72148 |
|
431 |
393 |
$29K |
| 93000 |
|
1,669 |
1,627 |
$28K |
| 95117 |
|
2,443 |
1,427 |
$28K |
| 96372 |
|
1,339 |
1,098 |
$28K |
| 73552 |
|
3,723 |
3,259 |
$27K |
| 96111 |
|
236 |
220 |
$27K |
| 76856 |
|
778 |
747 |
$27K |
| 88341 |
|
449 |
430 |
$27K |
| 99219 |
|
357 |
321 |
$26K |
| 95806 |
|
669 |
631 |
$26K |
| 99177 |
|
3,268 |
3,174 |
$26K |
| 70491 |
|
400 |
369 |
$25K |
| 90716 |
|
308 |
265 |
$25K |
| 0011A |
|
1,279 |
1,235 |
$25K |
| 45378 |
|
140 |
130 |
$23K |
| 90935 |
|
584 |
323 |
$23K |
| 90473 |
|
1,260 |
1,195 |
$23K |
| 73564 |
|
2,118 |
1,643 |
$23K |
| 99468 |
|
24 |
24 |
$23K |
| 88173 |
|
304 |
301 |
$22K |
| 90832 |
|
505 |
380 |
$22K |
| M0247 |
Sotrovimab infusion |
112 |
82 |
$21K |
| 93798 |
|
2,116 |
414 |
$20K |
| 88350 |
|
150 |
126 |
$20K |
| 90651 |
|
890 |
821 |
$20K |
| 0071A |
|
304 |
239 |
$19K |
| 90746 |
|
341 |
296 |
$19K |
| 0072A |
|
286 |
223 |
$18K |
| 95012 |
|
844 |
829 |
$18K |
| 72141 |
|
280 |
259 |
$18K |
| 21085 |
|
35 |
27 |
$18K |
| 90474 |
|
930 |
913 |
$17K |
| 45380 |
|
127 |
118 |
$17K |
| 99152 |
|
1,759 |
1,664 |
$16K |
| 94060 |
|
1,324 |
1,254 |
$16K |
| 00812 |
|
159 |
158 |
$16K |
| 73560 |
|
2,115 |
1,879 |
$15K |
| 99255 |
|
79 |
74 |
$15K |
| 99308 |
|
365 |
128 |
$15K |
| 95819 |
|
312 |
289 |
$14K |
| 99173 |
|
8,657 |
7,708 |
$14K |
| 76825 |
|
72 |
68 |
$14K |
| 95816 |
|
304 |
282 |
$14K |
| 99292 |
|
161 |
93 |
$14K |
| 92002 |
|
156 |
153 |
$13K |
| 43264 |
|
62 |
60 |
$13K |
| 90715 |
|
518 |
471 |
$13K |
| 66984 |
|
34 |
25 |
$12K |
| 77065 |
Tomosynthesis, mammo |
157 |
153 |
$12K |
| 77049 |
|
57 |
49 |
$12K |
| 99211 |
|
911 |
856 |
$12K |
| 95251 |
|
344 |
342 |
$12K |
| 70546 |
|
230 |
211 |
$12K |
| 36558 |
|
49 |
49 |
$11K |
| 90632 |
|
238 |
213 |
$11K |
| 88108 |
|
670 |
543 |
$11K |
| 73700 |
|
284 |
264 |
$10K |
| 99383 |
|
104 |
96 |
$10K |
| 70548 |
|
172 |
156 |
$10K |
| 76801 |
|
162 |
157 |
$10K |
| 93321 |
|
1,189 |
1,108 |
$10K |
| 90480 |
|
359 |
358 |
$9K |
| Q0091 |
Obtaining screen pap smear |
264 |
258 |
$9K |
| 76536 |
|
310 |
299 |
$9K |
| 73080 |
|
1,204 |
1,099 |
$9K |
| 92020 |
|
549 |
469 |
$9K |
| 94729 |
|
1,120 |
1,065 |
$9K |
| 76506 |
|
270 |
221 |
$9K |
| 90791 |
|
70 |
67 |
$9K |
| 99403 |
|
126 |
126 |
$9K |
| 93922 |
|
1,116 |
1,033 |
$9K |
| 95911 |
|
41 |
40 |
$8K |
| 90707 |
|
159 |
142 |
$8K |
| 11102 |
|
126 |
120 |
$8K |
| 00520 |
|
74 |
73 |
$8K |
| 95951 |
|
42 |
12 |
$8K |
| 95885 |
|
98 |
94 |
$8K |
| 94726 |
|
813 |
771 |
$8K |
| 99462 |
|
258 |
209 |
$8K |
| 97156 |
|
222 |
172 |
$8K |
| 81003 |
|
5,627 |
4,791 |
$8K |
| 73060 |
|
1,119 |
999 |
$8K |
| 88313 |
|
359 |
322 |
$8K |
| 76377 |
|
206 |
200 |
$7K |
| 64616 |
|
97 |
76 |
$7K |
| 51600 |
|
73 |
55 |
$7K |
| 88311 |
|
587 |
545 |
$7K |
| J1050 |
Medroxyprogesterone acetate |
104 |
95 |
$7K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,220 |
1,054 |
$7K |
| J3301 |
Triamcinolone acet inj nos |
1,698 |
1,221 |
$7K |
| 81025 |
|
991 |
921 |
$7K |
| 77001 |
|
523 |
478 |
$7K |
| 88189 |
|
100 |
89 |
$7K |
| 82962 |
|
2,640 |
2,407 |
$7K |
| 93280 |
|
182 |
177 |
$6K |
| 10005 |
|
75 |
67 |
$6K |
| 46600 |
|
65 |
64 |
$6K |
| 93018 |
|
591 |
554 |
$6K |
| 87428 |
|
102 |
94 |
$6K |
| 73701 |
|
116 |
103 |
$6K |
| 73720 |
|
45 |
43 |
$6K |
| 90962 |
|
53 |
51 |
$5K |
| 72040 |
|
517 |
490 |
$5K |
| 74328 |
|
238 |
220 |
$5K |
| 74019 |
|
434 |
328 |
$5K |
| 93228 |
|
258 |
254 |
$5K |
| 20611 |
|
74 |
66 |
$5K |
| 75574 |
|
62 |
56 |
$5K |
| 76813 |
|
38 |
38 |
$5K |
| 78832 |
|
62 |
59 |
$5K |
| 67028 |
|
69 |
56 |
$5K |
| 80503 |
|
189 |
178 |
$4K |
| 72158 |
|
48 |
39 |
$4K |
| 93005 |
|
783 |
745 |
$4K |
| 70543 |
|
40 |
38 |
$4K |
| 11055 |
|
131 |
122 |
$4K |
| 76827 |
|
72 |
68 |
$4K |
| 93288 |
|
281 |
262 |
$4K |
| 99477 |
|
12 |
12 |
$4K |
| 72110 |
|
169 |
162 |
$4K |
| 95782 |
|
15 |
14 |
$4K |
| 96130 |
|
40 |
40 |
$4K |
| 90734 |
|
171 |
149 |
$4K |
| 92060 |
|
50 |
50 |
$4K |
| 92136 |
|
110 |
104 |
$4K |
| 51705 |
|
68 |
58 |
$4K |
| 11056 |
|
82 |
70 |
$4K |
| 51728 |
|
72 |
54 |
$3K |
| 73221 |
|
39 |
38 |
$3K |
| 92025 |
|
123 |
118 |
$3K |
| 69210 |
|
109 |
104 |
$3K |
| 17311 |
|
13 |
12 |
$3K |
| 84703 |
|
490 |
459 |
$3K |
| 76882 |
|
149 |
136 |
$3K |
| 73100 |
|
152 |
137 |
$3K |
| 76815 |
|
82 |
69 |
$3K |
| 93880 |
|
110 |
104 |
$3K |
| 73140 |
|
311 |
298 |
$3K |
| 99382 |
|
36 |
30 |
$3K |
| M0239 |
Bamlanivimab-xxxx infusion |
23 |
17 |
$3K |
| 88302 |
|
294 |
285 |
$3K |
| 43244 |
|
14 |
12 |
$3K |
| 97804 |
|
58 |
57 |
$2K |
| 73620 |
|
312 |
267 |
$2K |
| 93458 |
|
15 |
12 |
$2K |
| 99226 |
|
70 |
53 |
$2K |
| 93298 |
|
139 |
121 |
$2K |
| 15002 |
|
13 |
12 |
$2K |
| 90945 |
|
31 |
13 |
$2K |
| 20553 |
|
58 |
51 |
$2K |
| 51741 |
|
346 |
312 |
$2K |
| 96131 |
|
15 |
15 |
$2K |
| 88346 |
|
89 |
84 |
$2K |
| 93289 |
|
86 |
77 |
$2K |
| 99418 |
Prolong nursin fac eval 15m |
34 |
14 |
$2K |
| 76870 |
|
71 |
68 |
$2K |
| 36589 |
|
27 |
27 |
$2K |
| 99201 |
|
70 |
65 |
$2K |
| 51797 |
|
64 |
54 |
$2K |
| 74174 |
|
28 |
27 |
$2K |
| 76937 |
|
183 |
178 |
$2K |
| 92201 |
|
66 |
51 |
$2K |
| 93926 |
|
122 |
116 |
$2K |
| 96450 |
|
15 |
13 |
$2K |
| 88312 |
|
79 |
73 |
$2K |
| 85060 |
|
127 |
97 |
$2K |
| 99349 |
|
49 |
27 |
$2K |
| 99384 |
|
13 |
12 |
$2K |
| 93923 |
|
110 |
108 |
$1K |
| 90732 |
|
16 |
14 |
$1K |
| 96161 |
|
518 |
501 |
$1K |
| 93454 |
|
12 |
12 |
$1K |
| 96136 |
|
40 |
40 |
$1K |
| 31579 |
|
13 |
12 |
$1K |
| 93304 |
|
14 |
12 |
$1K |
| 99381 |
|
12 |
12 |
$1K |
| 73600 |
|
130 |
116 |
$1K |
| 95812 |
|
18 |
17 |
$1K |
| 0111A |
|
13 |
13 |
$1K |
| 99225 |
|
41 |
39 |
$1K |
| 99305 |
|
14 |
14 |
$1K |
| 90670 |
|
5,018 |
4,653 |
$1K |
| 88348 |
|
14 |
14 |
$1K |
| 20550 |
|
28 |
26 |
$1K |
| 27096 |
|
14 |
12 |
$1K |
| 0112A |
|
12 |
12 |
$999.33 |
| 11730 |
|
14 |
13 |
$928.70 |
| 93356 |
|
91 |
83 |
$927.04 |
| 99306 |
Prolong nursin fac eval 15m |
12 |
12 |
$903.19 |
| 90714 |
|
52 |
40 |
$876.40 |
| 90674 |
|
39 |
39 |
$875.62 |
| Q0247 |
Sotrovimab |
65 |
52 |
$869.97 |
| 78816 |
|
15 |
13 |
$850.44 |
| 99282 |
|
28 |
28 |
$837.07 |
| 99218 |
|
12 |
12 |
$820.88 |
| 77334 |
|
40 |
12 |
$818.93 |
| 77012 |
|
12 |
12 |
$805.28 |
| 96380 |
|
41 |
41 |
$804.09 |
| 36556 |
|
18 |
16 |
$793.95 |
| 99464 |
|
12 |
12 |
$750.48 |
| 73201 |
|
12 |
12 |
$697.91 |
| 93296 |
|
48 |
37 |
$680.39 |
| 93016 |
|
38 |
38 |
$680.31 |
| 73070 |
|
93 |
80 |
$675.96 |
| 93248 |
|
34 |
33 |
$664.78 |
| 99402 |
|
13 |
13 |
$635.13 |
| 11719 |
|
90 |
82 |
$621.35 |
| 87880 |
|
56 |
43 |
$596.96 |
| 73200 |
|
13 |
13 |
$556.75 |
| 17000 |
|
14 |
14 |
$464.43 |
| 93990 |
|
26 |
25 |
$456.16 |
| 76514 |
|
32 |
29 |
$439.76 |
| 36415 |
|
103 |
100 |
$417.06 |
| 72050 |
|
25 |
25 |
$390.99 |
| 96360 |
|
15 |
14 |
$390.27 |
| 78306 |
|
13 |
12 |
$383.80 |
| 93290 |
|
12 |
12 |
$363.30 |
| J1030 |
Methylprednisolone 40 mg inj |
72 |
70 |
$333.67 |
| 99497 |
|
16 |
15 |
$327.09 |
| 90677 |
|
431 |
416 |
$320.31 |
| 76604 |
|
13 |
13 |
$315.19 |
| J0702 |
Betamethasone acet&sod phosp |
25 |
12 |
$280.90 |
| 76942 |
|
13 |
13 |
$265.09 |
| 51784 |
|
16 |
13 |
$227.43 |
| 90698 |
|
2,858 |
2,611 |
$225.57 |
| 87804 |
|
14 |
14 |
$223.30 |
| 11720 |
|
18 |
17 |
$173.66 |
| 93246 |
|
15 |
15 |
$170.64 |
| 72070 |
|
13 |
13 |
$167.42 |
| 95970 |
|
13 |
13 |
$155.09 |
| 90697 |
|
511 |
503 |
$152.36 |
| 90680 |
|
1,813 |
1,718 |
$145.22 |
| 72190 |
|
16 |
14 |
$144.78 |
| 93270 |
|
20 |
19 |
$144.23 |
| 87210 |
|
27 |
13 |
$141.47 |
| 94618 |
|
13 |
13 |
$135.79 |
| Q0111 |
Wet mounts/ w preparations |
13 |
12 |
$135.10 |
| 90713 |
|
29 |
28 |
$113.36 |
| 96127 |
|
16 |
14 |
$78.11 |
| 17003 |
|
12 |
12 |
$74.93 |
| 70110 |
|
12 |
12 |
$74.34 |
| Q0112 |
Potassium hydroxide preps |
13 |
12 |
$55.01 |
| 1159F |
|
3,456 |
3,286 |
$15.16 |
| 99499 |
|
2,658 |
1,962 |
$12.55 |
| 85610 |
|
50 |
29 |
$9.30 |
| 36416 |
|
151 |
121 |
$7.99 |
| J7050 |
Normal saline solution infus |
15 |
14 |
$6.41 |
| 90744 |
|
483 |
438 |
$2.82 |
| 90633 |
|
959 |
925 |
$1.92 |
| Q0244 |
Casirivi and imdevi 1200 mg |
135 |
128 |
$0.38 |
| Q0239 |
Bamlanivimab-xxxx |
17 |
16 |
$0.12 |
| Q0240 |
Casirivi and imdevi 600 mg |
29 |
29 |
$0.08 |
| 1170F |
|
4,031 |
3,813 |
$0.05 |
| 1111F |
|
4,486 |
4,274 |
$0.02 |
| 3074F |
|
2,733 |
2,653 |
$0.01 |
| 1126F |
|
270 |
258 |
$0.01 |
| 1160F |
|
4,441 |
4,231 |
$0.01 |
| 4040F |
|
1,714 |
1,602 |
$0.01 |
| 90656 |
|
457 |
419 |
$0.00 |
| 3072F |
|
15 |
15 |
$0.00 |
| 91301 |
|
1,247 |
1,165 |
$0.00 |
| 3079F |
|
190 |
169 |
$0.00 |
| 99024 |
|
134 |
119 |
$0.00 |
| 4037F |
|
52 |
52 |
$0.00 |
| 3066F |
|
129 |
127 |
$0.00 |
| 85027 |
|
41 |
15 |
$0.00 |
| 80053 |
|
129 |
65 |
$0.00 |
| 1125F |
|
202 |
191 |
$0.00 |
| G0108 |
Diab manage trn per indiv |
14 |
14 |
$0.00 |
| 91307 |
|
192 |
179 |
$0.00 |
| 83735 |
|
42 |
12 |
$0.00 |
| U0005 |
Infec agen detec ampli probe |
586 |
532 |
$0.00 |
| 90688 |
|
201 |
191 |
$0.00 |
| 85025 |
|
176 |
108 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 4255F |
|
26 |
26 |
$0.00 |
| 3078F |
|
2,244 |
2,175 |
$0.00 |
| 91300 |
|
5,139 |
4,327 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
360 |
348 |
$0.00 |
| 90685 |
|
419 |
378 |
$0.00 |
| 0502F |
|
156 |
113 |
$0.00 |
| 3077F |
|
53 |
42 |
$0.00 |
| 90681 |
|
45 |
45 |
$0.00 |
| 91321 |
|
46 |
40 |
$0.00 |
| U0003 |
Cov-19 amp prb hgh thruput |
28 |
27 |
$0.00 |
| 2022F |
|
15 |
15 |
$0.00 |
| 84100 |
|
41 |
12 |
$0.00 |
| G9771 |
Anes end, 1 temp >35.5(95.9) |
26 |
26 |
$0.00 |