| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
|
15,334 |
13,393 |
$757K |
| 99283 |
|
22,695 |
20,052 |
$299K |
| 99284 |
|
19,791 |
16,710 |
$276K |
| 70450 |
|
10,637 |
9,394 |
$238K |
| 97530 |
|
17,289 |
6,579 |
$228K |
| 99213 |
|
4,112 |
3,065 |
$184K |
| 71046 |
|
17,162 |
16,079 |
$122K |
| 71045 |
|
23,838 |
20,550 |
$114K |
| 99285 |
|
9,219 |
7,605 |
$108K |
| 93010 |
|
15,298 |
13,882 |
$95K |
| 92507 |
|
11,943 |
4,436 |
$94K |
| 87502 |
|
14,168 |
12,698 |
$94K |
| 99282 |
|
5,374 |
5,004 |
$74K |
| 99214 |
|
1,071 |
813 |
$70K |
| 97110 |
|
24,145 |
8,932 |
$69K |
| 71275 |
|
2,817 |
2,395 |
$69K |
| 87633 |
|
1,665 |
1,508 |
$68K |
| 77067 |
|
3,916 |
3,879 |
$53K |
| G0378 |
Hospital observation per hr |
4,474 |
1,885 |
$50K |
| 99223 |
Prolong inpt eval add15 m |
326 |
314 |
$44K |
| 85025 |
|
74,276 |
57,422 |
$39K |
| 99232 |
|
871 |
378 |
$37K |
| 96374 |
|
15,277 |
12,212 |
$35K |
| 87651 |
|
8,194 |
7,764 |
$35K |
| 87635 |
|
14,376 |
12,851 |
$32K |
| 74018 |
|
3,906 |
3,506 |
$32K |
| 77063 |
|
2,744 |
2,725 |
$32K |
| 96365 |
|
4,272 |
3,178 |
$30K |
| 80053 |
|
64,326 |
51,427 |
$28K |
| 76705 |
|
2,888 |
2,644 |
$27K |
| 99281 |
|
3,150 |
2,937 |
$26K |
| 80050 |
|
7,326 |
6,708 |
$25K |
| 80307 |
|
9,945 |
7,863 |
$24K |
| 72125 |
|
1,918 |
1,614 |
$23K |
| 70553 |
|
1,220 |
965 |
$21K |
| 94640 |
|
3,880 |
2,431 |
$20K |
| 99215 |
Prolong outpt/office vis |
224 |
138 |
$19K |
| 81001 |
|
33,280 |
27,320 |
$19K |
| 71260 |
|
1,921 |
1,503 |
$18K |
| 96361 |
|
5,661 |
4,714 |
$18K |
| 76856 |
|
2,033 |
1,883 |
$16K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
10,189 |
9,164 |
$16K |
| 93976 |
|
1,383 |
1,300 |
$15K |
| 99233 |
Prolong inpt eval add15 m |
218 |
102 |
$14K |
| 82306 |
|
10,235 |
9,826 |
$14K |
| 73630 |
|
3,489 |
3,184 |
$13K |
| 73110 |
|
2,421 |
2,131 |
$13K |
| 36415 |
|
81,832 |
65,353 |
$13K |
| 96375 |
|
10,183 |
7,682 |
$13K |
| 73610 |
|
3,157 |
2,805 |
$12K |
| 96366 |
|
1,261 |
771 |
$12K |
| 84439 |
|
10,144 |
9,312 |
$12K |
| 73130 |
|
2,488 |
2,240 |
$11K |
| 88304 |
|
1,614 |
1,335 |
$11K |
| 97112 |
|
6,197 |
2,827 |
$10K |
| 93005 |
|
16,365 |
13,261 |
$10K |
| 83690 |
|
11,923 |
9,734 |
$10K |
| 94010 |
|
372 |
363 |
$10K |
| 99239 |
|
110 |
109 |
$9K |
| 76642 |
|
1,445 |
1,345 |
$9K |
| 74176 |
|
1,752 |
1,593 |
$9K |
| 96360 |
|
1,906 |
1,610 |
$9K |
| J7120 |
Ringers lactate infusion |
11,343 |
5,811 |
$9K |
| 43239 |
|
1,410 |
1,329 |
$9K |
| 84703 |
|
7,621 |
6,563 |
$8K |
| 86140 |
|
12,461 |
10,802 |
$7K |
| 80061 |
|
14,424 |
13,720 |
$7K |
| 0202U |
|
178 |
163 |
$7K |
| 87491 |
|
6,501 |
6,160 |
$7K |
| 87591 |
|
6,463 |
6,127 |
$7K |
| 70486 |
|
633 |
580 |
$7K |
| 84443 |
|
22,548 |
20,676 |
$7K |
| 73562 |
|
1,756 |
1,614 |
$7K |
| 87086 |
|
10,844 |
9,533 |
$6K |
| 76770 |
|
612 |
575 |
$6K |
| 80048 |
|
12,782 |
11,074 |
$6K |
| 84702 |
|
5,069 |
3,911 |
$6K |
| 73030 |
|
3,190 |
2,796 |
$6K |
| 83036 |
|
14,610 |
13,828 |
$5K |
| 97140 |
|
10,489 |
4,099 |
$5K |
| 82728 |
|
5,290 |
4,941 |
$5K |
| 73721 |
|
417 |
388 |
$5K |
| 97162 |
|
2,449 |
2,112 |
$5K |
| J7030 |
Normal saline solution infus |
13,267 |
10,409 |
$5K |
| 87486 |
|
648 |
581 |
$5K |
| 97161 |
|
1,388 |
1,166 |
$5K |
| 87581 |
|
648 |
582 |
$4K |
| 76830 |
|
1,381 |
1,298 |
$4K |
| 73080 |
|
774 |
686 |
$4K |
| G0279 |
Tomosynthesis, mammo |
1,092 |
1,052 |
$4K |
| 93306 |
|
1,554 |
1,410 |
$4K |
| 73564 |
|
2,103 |
1,839 |
$4K |
| 73140 |
|
968 |
852 |
$4K |
| 70491 |
|
101 |
92 |
$4K |
| 99222 |
|
26 |
26 |
$4K |
| 97113 |
|
3,219 |
1,171 |
$3K |
| 84484 |
|
11,670 |
7,578 |
$3K |
| 84146 |
|
1,876 |
1,657 |
$3K |
| 81025 |
|
5,856 |
5,187 |
$3K |
| J1100 |
Dexamethasone sodium phos |
7,009 |
4,889 |
$3K |
| 96372 |
|
6,703 |
5,412 |
$3K |
| 85652 |
|
8,525 |
7,674 |
$3K |
| 96376 |
|
2,588 |
1,937 |
$3K |
| 88305 |
|
6,131 |
5,283 |
$3K |
| A4649 |
Surgical supplies |
1,445 |
1,014 |
$3K |
| 12001 |
|
193 |
183 |
$3K |
| 95816 |
|
26 |
26 |
$3K |
| 99291 |
|
216 |
166 |
$3K |
| 83550 |
|
5,000 |
4,715 |
$2K |
| 45385 |
|
366 |
338 |
$2K |
| 45380 |
|
669 |
630 |
$2K |
| 87186 |
|
4,589 |
4,119 |
$2K |
| 87040 |
|
3,236 |
1,679 |
$2K |
| 82784 |
|
2,233 |
2,057 |
$2K |
| 83735 |
|
9,809 |
7,397 |
$2K |
| 99238 |
|
28 |
25 |
$2K |
| 82803 |
|
1,828 |
1,480 |
$2K |
| 73502 |
|
1,664 |
1,534 |
$2K |
| 84145 |
|
2,210 |
1,832 |
$2K |
| 83605 |
|
4,187 |
2,889 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
8,719 |
6,760 |
$2K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
245 |
149 |
$2K |
| 70551 |
|
224 |
191 |
$2K |
| 85379 |
|
3,792 |
3,348 |
$2K |
| 87506 |
|
326 |
297 |
$2K |
| 87070 |
|
3,169 |
2,876 |
$2K |
| 83516 |
|
1,530 |
1,207 |
$2K |
| 87801 |
|
180 |
172 |
$2K |
| 87081 |
|
1,211 |
1,146 |
$2K |
| 87510 |
|
4,635 |
4,305 |
$2K |
| 87480 |
|
4,636 |
4,306 |
$2K |
| 86308 |
|
1,423 |
1,354 |
$2K |
| 83540 |
|
5,388 |
5,082 |
$2K |
| 87660 |
|
4,637 |
4,306 |
$2K |
| 72148 |
|
1,144 |
1,095 |
$2K |
| 77065 |
Tomosynthesis, mammo |
491 |
447 |
$2K |
| 71250 |
|
304 |
277 |
$2K |
| 87077 |
|
3,108 |
2,784 |
$2K |
| J0690 |
Cefazolin sodium injection |
3,814 |
2,471 |
$2K |
| 76700 |
|
255 |
240 |
$1K |
| 72110 |
|
1,551 |
1,490 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
1,566 |
1,299 |
$1K |
| 95810 |
|
44 |
44 |
$1K |
| 84600 |
|
45 |
39 |
$1K |
| 87205 |
|
3,213 |
2,874 |
$1K |
| A9576 |
Inj prohance multipack |
1,843 |
1,526 |
$1K |
| J3010 |
Fentanyl citrate injection |
7,053 |
5,410 |
$1K |
| 90839 |
|
254 |
210 |
$1K |
| G0480 |
Drug test def 1-7 classes |
2,355 |
1,949 |
$1K |
| 82948 |
|
6,051 |
3,433 |
$1K |
| 93000 |
|
1,292 |
1,115 |
$1K |
| J2405 |
Ondansetron hcl injection |
11,090 |
8,349 |
$1K |
| 74019 |
|
206 |
192 |
$1K |
| 72050 |
|
777 |
752 |
$1K |
| J7040 |
Normal saline solution infus |
603 |
395 |
$1K |
| 84100 |
|
2,457 |
1,684 |
$1K |
| 97166 |
|
145 |
131 |
$1K |
| 85730 |
|
3,218 |
2,662 |
$1K |
| 85027 |
|
3,743 |
3,392 |
$943.40 |
| 36591 |
|
2,961 |
1,599 |
$923.12 |
| 86364 |
|
759 |
702 |
$904.58 |
| 86901 |
|
3,810 |
3,065 |
$903.46 |
| 93971 |
|
1,190 |
1,091 |
$897.24 |
| 82248 |
|
4,455 |
3,387 |
$895.12 |
| 80329 |
|
2,876 |
2,183 |
$864.13 |
| 86038 |
|
1,731 |
1,660 |
$855.17 |
| J0330 |
Succinycholine chloride inj |
1,799 |
1,323 |
$847.45 |
| 90471 |
|
1,280 |
1,117 |
$832.89 |
| 90832 |
|
149 |
122 |
$774.50 |
| J2710 |
Neostigmine methylslfte inj |
673 |
475 |
$774.28 |
| J2704 |
Inj, propofol, 10 mg |
4,750 |
3,434 |
$761.01 |
| J7050 |
Normal saline solution infus |
3,545 |
1,588 |
$753.76 |
| 86900 |
|
3,762 |
3,037 |
$733.39 |
| 95819 |
|
12 |
12 |
$704.75 |
| 82607 |
|
2,627 |
2,488 |
$679.36 |
| 76857 |
|
28 |
24 |
$671.14 |
| 72170 |
|
382 |
340 |
$666.89 |
| 80076 |
|
1,511 |
1,385 |
$625.62 |
| J1170 |
Hydromorphone injection |
8,375 |
5,164 |
$606.68 |
| 73590 |
|
344 |
317 |
$606.00 |
| 83880 |
|
2,604 |
2,134 |
$585.08 |
| 85610 |
|
8,187 |
5,833 |
$552.91 |
| 83615 |
|
1,417 |
1,050 |
$525.49 |
| J2250 |
Inj midazolam hydrochloride |
6,506 |
5,079 |
$519.90 |
| 0352U |
|
104 |
98 |
$518.31 |
| 97116 |
|
1,316 |
604 |
$515.26 |
| 80320 |
|
4,002 |
3,298 |
$511.54 |
| 87507 |
|
195 |
179 |
$508.64 |
| 82274 |
|
188 |
180 |
$482.12 |
| 84403 |
|
1,244 |
1,167 |
$480.73 |
| 73090 |
|
140 |
126 |
$480.58 |
| J1200 |
Diphenhydramine hcl injectio |
3,173 |
2,542 |
$468.68 |
| G0472 |
Hep c screen high risk/other |
1,000 |
974 |
$461.71 |
| 80178 |
|
1,273 |
1,069 |
$461.03 |
| 90715 |
|
665 |
619 |
$440.88 |
| 83970 |
|
325 |
305 |
$435.51 |
| 82150 |
|
1,160 |
1,039 |
$397.66 |
| 72141 |
|
228 |
213 |
$387.96 |
| 87340 |
|
2,007 |
1,908 |
$386.41 |
| 82550 |
|
772 |
639 |
$383.37 |
| 86235 |
|
151 |
103 |
$372.07 |
| 72072 |
|
54 |
52 |
$362.95 |
| 87427 |
|
306 |
179 |
$321.96 |
| 87046 |
|
238 |
216 |
$314.82 |
| 76801 |
|
107 |
94 |
$312.81 |
| 76817 |
|
71 |
65 |
$312.81 |
| 82570 |
|
3,183 |
2,775 |
$306.55 |
| 86592 |
|
2,680 |
2,567 |
$306.17 |
| 76816 |
|
49 |
46 |
$291.54 |
| 12002 |
|
14 |
13 |
$289.67 |
| 72040 |
|
105 |
101 |
$279.17 |
| 36416 |
|
334 |
208 |
$277.13 |
| 86850 |
|
3,997 |
3,336 |
$267.82 |
| 76536 |
|
78 |
77 |
$261.63 |
| 88342 |
|
308 |
253 |
$254.40 |
| 84550 |
|
1,808 |
1,576 |
$253.02 |
| 82140 |
|
582 |
481 |
$250.91 |
| 94060 |
|
210 |
202 |
$246.38 |
| 87389 |
|
2,856 |
2,794 |
$245.39 |
| 84436 |
|
182 |
157 |
$230.50 |
| 87147 |
|
445 |
417 |
$226.60 |
| 76819 |
|
15 |
14 |
$223.28 |
| 87075 |
|
130 |
117 |
$220.00 |
| 83993 |
|
65 |
64 |
$219.15 |
| J3490 |
Drugs unclassified injection |
11,788 |
4,673 |
$213.49 |
| 80069 |
|
1,797 |
1,525 |
$211.56 |
| J2270 |
Morphine sulfate injection |
816 |
521 |
$210.81 |
| G0237 |
Therapeutic procd strg endur |
268 |
237 |
$208.77 |
| 82670 |
|
252 |
249 |
$204.60 |
| 80324 |
|
235 |
200 |
$203.49 |
| J2060 |
Lorazepam injection |
2,350 |
1,859 |
$203.46 |
| 72100 |
|
409 |
388 |
$200.15 |
| 76815 |
|
45 |
42 |
$198.12 |
| J2930 |
Methylprednisolone injection |
380 |
294 |
$177.31 |
| 82247 |
|
636 |
504 |
$174.23 |
| 87634 |
|
35 |
35 |
$171.34 |
| 87529 |
|
19 |
14 |
$170.40 |
| 87631 |
|
38 |
37 |
$167.44 |
| G0463 |
Hospital outpt clinic visit |
33,241 |
23,949 |
$161.01 |
| 82310 |
|
757 |
683 |
$158.83 |
| 83001 |
|
274 |
264 |
$158.53 |
| 86430 |
|
1,038 |
1,008 |
$158.52 |
| 87045 |
|
233 |
217 |
$157.44 |
| 84450 |
|
558 |
513 |
$156.05 |
| 84460 |
|
540 |
500 |
$152.41 |
| 83520 |
|
147 |
129 |
$147.22 |
| 83630 |
|
28 |
26 |
$146.08 |
| C1769 |
Guide wire |
19 |
13 |
$145.84 |
| 81003 |
|
3,531 |
2,919 |
$139.82 |
| 87653 |
|
1,300 |
1,247 |
$139.34 |
| 86039 |
|
283 |
269 |
$136.09 |
| 94729 |
|
131 |
127 |
$123.34 |
| A7521 |
Trach/laryn tube cuffed |
257 |
193 |
$122.22 |
| 82565 |
|
546 |
467 |
$122.17 |
| 84156 |
|
1,308 |
1,001 |
$116.22 |
| 84075 |
|
411 |
374 |
$114.02 |
| J1790 |
Droperidol injection |
813 |
656 |
$113.70 |
| J0131 |
Inj, acetaminophen (nos) |
50 |
39 |
$113.56 |
| J0780 |
Prochlorperazine injection |
965 |
778 |
$105.73 |
| 86200 |
|
604 |
587 |
$105.10 |
| 85007 |
|
77 |
73 |
$101.64 |
| 82746 |
|
431 |
409 |
$99.12 |
| G0432 |
Eia hiv-1/hiv-2 screen |
165 |
161 |
$90.63 |
| 87522 |
Neg quan hep c or qual rna |
681 |
655 |
$89.58 |
| 84155 |
|
418 |
381 |
$89.49 |
| 86376 |
|
87 |
83 |
$88.63 |
| 80051 |
|
336 |
291 |
$82.74 |
| 71101 |
|
125 |
118 |
$81.51 |
| 82040 |
|
417 |
380 |
$81.43 |
| 59025 |
|
1,712 |
1,220 |
$79.64 |
| A4217 |
Sterile water/saline, 500 ml |
304 |
265 |
$73.60 |
| J2765 |
Metoclopramide hcl injection |
892 |
770 |
$73.34 |
| 84481 |
|
339 |
314 |
$68.76 |
| 82977 |
|
320 |
290 |
$65.96 |
| 97597 |
|
267 |
101 |
$63.78 |
| 84402 |
|
110 |
104 |
$62.16 |
| 82947 |
|
452 |
401 |
$62.04 |
| 86762 |
|
628 |
597 |
$61.70 |
| 82785 |
|
15 |
14 |
$60.27 |
| 87798 |
|
13 |
13 |
$56.80 |
| 84270 |
|
119 |
114 |
$53.04 |
| J1630 |
Haloperidol injection |
199 |
166 |
$52.54 |
| 86706 |
|
518 |
495 |
$52.44 |
| 88142 |
|
4,650 |
4,544 |
$48.80 |
| 82043 |
|
1,515 |
1,463 |
$44.61 |
| 85045 |
|
29 |
28 |
$44.34 |
| 80164 |
|
125 |
117 |
$43.82 |
| 97535 |
|
55 |
37 |
$41.61 |
| 87624 |
|
3,186 |
3,128 |
$39.23 |
| 86160 |
|
126 |
116 |
$38.82 |
| 84520 |
|
130 |
117 |
$38.40 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
342 |
276 |
$38.14 |
| J2550 |
Promethazine hcl injection |
566 |
480 |
$35.94 |
| A4615 |
Cannula nasal |
448 |
353 |
$33.97 |
| 86225 |
|
27 |
25 |
$33.54 |
| A4215 |
Sterile needle |
135 |
109 |
$28.68 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
174 |
158 |
$25.92 |
| 84144 |
|
128 |
108 |
$25.46 |
| A9579 |
Gad-base mr contrast nos,1ml |
202 |
191 |
$24.31 |
| A7002 |
Tubing used w suction pump |
62 |
56 |
$21.68 |
| 90686 |
|
670 |
638 |
$20.42 |
| J7512 |
Prednisone ir or dr oral 1mg |
178 |
159 |
$16.83 |
| 83655 |
|
26 |
26 |
$14.78 |
| 93017 |
|
234 |
188 |
$8.69 |
| 86431 |
|
66 |
64 |
$6.92 |
| 82950 |
|
168 |
158 |
$5.79 |
| C9113 |
Inj pantoprazole sodium, via |
43 |
38 |
$5.25 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
122 |
96 |
$3.46 |
| 85014 |
|
107 |
96 |
$2.89 |
| 86701 |
|
585 |
560 |
$2.67 |
| Q0162 |
Ondansetron oral |
80 |
66 |
$2.63 |
| A4600 |
Sleeve, inter limb comp dev |
47 |
36 |
$0.00 |
| 96413 |
|
2,323 |
1,173 |
$0.00 |
| 99212 |
|
429 |
204 |
$0.00 |
| 87641 |
|
142 |
134 |
$0.00 |
| 86703 |
|
255 |
248 |
$0.00 |
| 84112 |
|
43 |
36 |
$0.00 |
| 11042 |
|
112 |
64 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
26 |
13 |
$0.00 |
| 77066 |
Tomosynthesis, mammo |
129 |
123 |
$0.00 |
| G1004 |
Cdsm ndsc |
111 |
84 |
$0.00 |
| 90662 |
|
13 |
13 |
$0.00 |
| G8978 |
Mobility current status |
213 |
177 |
$0.00 |
| G8979 |
Mobility goal status |
235 |
193 |
$0.00 |
| 99211 |
|
616 |
393 |
$0.00 |
| 87177 |
|
13 |
12 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
341 |
298 |
$0.00 |
| 83721 |
|
62 |
61 |
$0.00 |
| 84165 |
|
71 |
64 |
$0.00 |
| 77080 |
|
122 |
118 |
$0.00 |
| 91322 |
|
62 |
56 |
$0.00 |
| 80074 |
|
77 |
76 |
$0.00 |
| J1750 |
Inj iron dextran |
13 |
12 |
$0.00 |
| 97163 |
|
58 |
56 |
$0.00 |
| 82374 |
|
108 |
102 |
$0.00 |
| A9552 |
F18 fdg |
16 |
14 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
22 |
22 |
$0.00 |
| 62323 |
|
15 |
13 |
$0.00 |
| 85048 |
|
13 |
13 |
$0.00 |
| 90653 |
|
100 |
96 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
37 |
24 |
$0.00 |
| 87209 |
|
13 |
12 |
$0.00 |
| 94726 |
|
27 |
24 |
$0.00 |
| 85049 |
|
13 |
13 |
$0.00 |
| 84295 |
|
116 |
104 |
$0.00 |
| 86696 |
|
14 |
14 |
$0.00 |
| 90670 |
|
13 |
12 |
$0.00 |
| J0134 |
Inj acetaminophen -fresenius |
73 |
64 |
$0.00 |
| 86480 |
|
56 |
54 |
$0.00 |
| 90472 |
|
40 |
39 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
16 |
13 |
$0.00 |
| J0585 |
Injection,onabotulinumtoxina |
21 |
17 |
$0.00 |
| 20561 |
|
17 |
12 |
$0.00 |
| 78815 |
|
14 |
13 |
$0.00 |
| 29125 |
|
16 |
15 |
$0.00 |
| 86003 |
|
18 |
16 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
20 |
15 |
$0.00 |
| J0595 |
Butorphanol tartrate 1 mg |
12 |
12 |
$0.00 |
| 82105 |
|
24 |
24 |
$0.00 |
| G0008 |
Admin influenza virus vac |
883 |
853 |
$0.00 |
| G0108 |
Diab manage trn per indiv |
688 |
588 |
$0.00 |
| 86300 |
|
312 |
264 |
$0.00 |
| 84153 |
|
990 |
932 |
$0.00 |
| 82378 |
|
585 |
432 |
$0.00 |
| 86803 |
|
2,882 |
2,800 |
$0.00 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
659 |
614 |
$0.00 |
| J7999 |
Compounded drug, noc |
376 |
243 |
$0.00 |
| 90656 |
|
14 |
14 |
$0.00 |
| 90694 |
|
109 |
105 |
$0.00 |
| 64483 |
|
13 |
12 |
$0.00 |
| A9270 |
Non-covered item or service |
35,519 |
17,542 |
$0.00 |
| 73120 |
|
113 |
107 |
$0.00 |
| G0103 |
Psa screening |
463 |
449 |
$0.00 |
| J2360 |
Orphenadrine injection |
78 |
76 |
$0.00 |
| 83883 |
|
24 |
24 |
$0.00 |
| J2469 |
Palonosetron hcl |
247 |
117 |
$0.00 |
| 73660 |
|
15 |
12 |
$0.00 |
| 86704 |
|
97 |
92 |
$0.00 |
| 73560 |
|
18 |
12 |
$0.00 |
| 86812 |
|
66 |
65 |
$0.00 |
| 92523 |
|
33 |
26 |
$0.00 |
| 88307 |
|
135 |
79 |
$0.00 |
| M0243 |
Casirivi and imdevi inj |
60 |
57 |
$0.00 |
| 84160 |
|
30 |
24 |
$0.00 |
| 70498 |
|
29 |
25 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
54 |
48 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
130 |
98 |
$0.00 |
| 85018 |
|
55 |
47 |
$0.00 |
| 82435 |
|
109 |
103 |
$0.00 |
| Q0240 |
Casirivi and imdevi 600 mg |
32 |
30 |
$0.00 |
| 90792 |
|
49 |
47 |
$0.00 |
| 64615 |
|
17 |
14 |
$0.00 |
| 97035 |
|
73 |
30 |
$0.00 |
| 70496 |
|
16 |
14 |
$0.00 |
| 90480 |
|
61 |
55 |
$0.00 |
| 80055 |
|
15 |
15 |
$0.00 |
| 90732 |
|
14 |
14 |
$0.00 |
| 97750 |
|
32 |
27 |
$0.00 |
| 73221 |
|
54 |
52 |
$0.00 |
| 82533 |
|
18 |
14 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
20 |
15 |
$0.00 |
| 42820 |
|
12 |
12 |
$0.00 |
| 96415 |
|
15 |
12 |
$0.00 |
| 83002 |
|
39 |
38 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
16 |
12 |
$0.00 |
| 84132 |
|
111 |
105 |
$0.00 |
| 97165 |
|
17 |
13 |
$0.00 |