| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
|
113,159 |
103,711 |
$12.14M |
| 99212 |
|
65,284 |
54,395 |
$8.06M |
| 99214 |
|
62,570 |
58,641 |
$7.09M |
| 99283 |
|
16,874 |
15,950 |
$2.52M |
| 99284 |
|
16,092 |
15,353 |
$1.89M |
| 99285 |
|
12,151 |
11,526 |
$1.51M |
| 96361 |
|
5,250 |
4,507 |
$1.40M |
| 97110 |
|
16,197 |
5,717 |
$1.38M |
| 36415 |
|
38,339 |
31,319 |
$1.26M |
| 99391 |
|
10,897 |
10,138 |
$1.09M |
| 90834 |
|
6,828 |
3,982 |
$1.03M |
| 99392 |
|
9,257 |
9,173 |
$970K |
| 99215 |
Prolong outpt/office vis |
6,772 |
6,219 |
$916K |
| 80053 |
|
33,588 |
29,385 |
$913K |
| 74177 |
|
3,161 |
3,072 |
$753K |
| 99393 |
|
6,372 |
6,337 |
$697K |
| U0003 |
Cov-19 amp prb hgh thruput |
10,434 |
9,199 |
$688K |
| 81025 |
|
8,144 |
7,803 |
$667K |
| 90837 |
|
4,075 |
2,665 |
$572K |
| 99282 |
|
3,010 |
2,911 |
$549K |
| 99395 |
|
4,077 |
4,041 |
$521K |
| 96365 |
|
3,729 |
2,966 |
$509K |
| G0397 |
Alcohol/subs interv >30 min |
3,284 |
1,848 |
$495K |
| 96372 |
|
8,974 |
7,981 |
$481K |
| 70450 |
|
1,799 |
1,755 |
$468K |
| 99203 |
|
5,987 |
5,977 |
$431K |
| 20610 |
|
2,124 |
1,603 |
$410K |
| 99396 |
|
3,275 |
3,247 |
$408K |
| 74176 |
|
1,469 |
1,422 |
$404K |
| 45380 |
|
311 |
309 |
$399K |
| 43239 |
|
615 |
608 |
$380K |
| 99394 |
|
2,672 |
2,655 |
$315K |
| 93306 |
|
1,556 |
1,539 |
$311K |
| 87635 |
|
8,652 |
7,722 |
$299K |
| 99211 |
|
9,804 |
9,222 |
$296K |
| 76856 |
|
695 |
684 |
$287K |
| G0463 |
Hospital outpt clinic visit |
9,588 |
7,939 |
$272K |
| 96360 |
|
1,333 |
1,129 |
$266K |
| 90832 |
|
2,245 |
1,718 |
$240K |
| 97140 |
|
7,967 |
3,071 |
$223K |
| 97162 |
|
1,574 |
1,568 |
$217K |
| 59025 |
|
1,844 |
1,250 |
$214K |
| 96110 |
|
6,456 |
6,294 |
$209K |
| 71260 |
|
796 |
776 |
$203K |
| 87491 |
|
4,258 |
4,166 |
$201K |
| 17110 |
|
655 |
611 |
$198K |
| 92014 |
|
2,102 |
1,948 |
$171K |
| 29848 |
|
314 |
151 |
$169K |
| G0396 |
Alcohol/subs interv 15-30mn |
1,463 |
989 |
$166K |
| 87486 |
|
1,891 |
1,839 |
$153K |
| 82306 |
|
4,769 |
4,746 |
$151K |
| 71275 |
|
507 |
500 |
$148K |
| 76816 |
|
2,128 |
1,942 |
$142K |
| 88305 |
|
3,385 |
3,313 |
$140K |
| 80048 |
|
5,149 |
4,690 |
$127K |
| 80307 |
|
3,699 |
3,091 |
$125K |
| 99202 |
|
1,157 |
1,152 |
$122K |
| 96366 |
|
778 |
534 |
$122K |
| 77067 |
|
1,744 |
1,742 |
$120K |
| 97161 |
|
1,075 |
1,067 |
$116K |
| 90460 |
|
7,902 |
7,838 |
$116K |
| 96413 |
|
1,313 |
871 |
$113K |
| 87651 |
|
2,473 |
2,418 |
$107K |
| 87502 |
|
1,438 |
1,412 |
$105K |
| 88142 |
|
3,462 |
3,461 |
$103K |
| 86850 |
|
2,674 |
2,526 |
$99K |
| U0002 |
Covid-19 lab test non-cdc |
2,040 |
1,960 |
$98K |
| 90686 |
|
4,443 |
4,419 |
$97K |
| 80061 |
|
10,238 |
10,166 |
$97K |
| 87624 |
|
2,294 |
2,293 |
$94K |
| 96415 |
|
211 |
193 |
$88K |
| 99281 |
|
652 |
640 |
$85K |
| 87591 |
|
4,267 |
4,175 |
$81K |
| 97530 |
|
1,149 |
546 |
$77K |
| 45378 |
|
94 |
94 |
$77K |
| 87633 |
|
1,477 |
1,436 |
$76K |
| 76830 |
|
1,595 |
1,487 |
$74K |
| 87798 |
|
3,053 |
2,068 |
$72K |
| 90715 |
|
2,567 |
2,559 |
$69K |
| 90791 |
|
391 |
354 |
$68K |
| 99204 |
|
563 |
563 |
$67K |
| 84443 |
|
12,388 |
12,038 |
$66K |
| H0001 |
Alcohol and/or drug assess |
400 |
296 |
$66K |
| U0004 |
Cov-19 test non-cdc hgh thru |
911 |
889 |
$65K |
| 97010 |
|
3,090 |
1,021 |
$64K |
| 97035 |
|
1,343 |
645 |
$61K |
| 76705 |
|
1,490 |
1,447 |
$61K |
| 95886 |
|
699 |
653 |
$60K |
| G0378 |
Hospital observation per hr |
1,583 |
1,276 |
$57K |
| 93010 |
|
7,804 |
7,435 |
$56K |
| J1050 |
Medroxyprogesterone acetate |
1,936 |
1,930 |
$54K |
| 86900 |
|
2,088 |
1,951 |
$54K |
| S5161 |
Emer rspns sys serv permonth |
1,793 |
1,761 |
$51K |
| 97112 |
|
782 |
405 |
$50K |
| 72148 |
|
173 |
172 |
$49K |
| 83880 |
|
1,655 |
1,573 |
$49K |
| 83036 |
|
7,893 |
7,832 |
$47K |
| 85025 |
|
32,775 |
28,217 |
$46K |
| 76801 |
|
548 |
525 |
$44K |
| 90647 |
|
2,505 |
2,500 |
$43K |
| 70551 |
|
141 |
139 |
$43K |
| 90651 |
|
713 |
712 |
$40K |
| 77063 |
|
1,641 |
1,640 |
$37K |
| 87581 |
|
1,891 |
1,839 |
$36K |
| 95004 |
|
154 |
154 |
$36K |
| 76805 |
|
595 |
585 |
$35K |
| 83655 |
|
2,508 |
2,490 |
$35K |
| 0202U |
|
2,693 |
2,627 |
$34K |
| 97165 |
|
323 |
323 |
$34K |
| 90677 |
|
1,049 |
1,049 |
$31K |
| 93017 |
|
413 |
409 |
$31K |
| 31231 |
|
358 |
338 |
$30K |
| 90792 |
|
288 |
287 |
$30K |
| 73721 |
|
89 |
89 |
$29K |
| H0005 |
Alcohol and/or drug services |
502 |
157 |
$29K |
| 82607 |
|
3,177 |
3,154 |
$29K |
| 90633 |
|
1,968 |
1,965 |
$26K |
| 90723 |
|
2,579 |
2,573 |
$26K |
| 86901 |
|
1,571 |
1,471 |
$25K |
| 88342 |
|
119 |
118 |
$25K |
| 84439 |
|
4,950 |
4,834 |
$25K |
| 99442 |
|
391 |
382 |
$24K |
| 76819 |
|
466 |
269 |
$24K |
| 99385 |
|
162 |
162 |
$24K |
| 86480 |
|
365 |
361 |
$23K |
| 71250 |
|
189 |
187 |
$22K |
| 90750 |
|
148 |
148 |
$22K |
| 99443 |
|
336 |
324 |
$22K |
| 82728 |
|
2,657 |
2,521 |
$22K |
| H0002 |
Alcohol and/or drug screenin |
110 |
102 |
$22K |
| 92004 |
|
210 |
206 |
$21K |
| 76641 |
|
624 |
620 |
$21K |
| 99406 |
|
466 |
461 |
$20K |
| 99441 |
|
471 |
453 |
$20K |
| 87389 |
|
2,805 |
2,782 |
$20K |
| 69436 |
|
12 |
12 |
$20K |
| 87086 |
|
8,070 |
7,411 |
$18K |
| 86618 |
|
2,247 |
2,210 |
$18K |
| 12001 |
|
41 |
40 |
$18K |
| 90670 |
|
2,710 |
2,705 |
$17K |
| 76817 |
|
192 |
171 |
$17K |
| 93971 |
|
386 |
376 |
$17K |
| 17000 |
|
70 |
69 |
$16K |
| 84153 |
|
1,076 |
1,069 |
$16K |
| 76700 |
|
77 |
77 |
$16K |
| 90656 |
|
707 |
707 |
$16K |
| S9480 |
Intensive outpatient psychia |
140 |
33 |
$15K |
| 84702 |
|
3,182 |
2,615 |
$15K |
| 90681 |
|
1,630 |
1,627 |
$15K |
| 88304 |
|
600 |
596 |
$15K |
| 82803 |
|
940 |
865 |
$14K |
| 90696 |
|
592 |
592 |
$14K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,317 |
4,177 |
$13K |
| 97803 |
|
480 |
447 |
$13K |
| 20553 |
|
187 |
179 |
$13K |
| 90619 |
|
413 |
413 |
$13K |
| 20550 |
|
47 |
41 |
$12K |
| 95117 |
|
483 |
211 |
$12K |
| 11102 |
|
25 |
25 |
$12K |
| 90707 |
|
843 |
842 |
$11K |
| 76815 |
|
127 |
118 |
$11K |
| 76770 |
|
41 |
41 |
$11K |
| 90710 |
|
697 |
695 |
$11K |
| 82962 |
|
2,917 |
2,370 |
$10K |
| 85610 |
|
4,126 |
3,470 |
$10K |
| 86803 |
|
2,397 |
2,378 |
$10K |
| 87468 |
|
295 |
293 |
$10K |
| 97535 |
|
156 |
111 |
$9K |
| 86140 |
|
8,085 |
7,486 |
$9K |
| 86780 |
|
1,964 |
1,932 |
$9K |
| 71046 |
|
4,562 |
4,380 |
$9K |
| Q5103 |
Injection, inflectra |
15 |
12 |
$9K |
| G0008 |
Admin influenza virus vac |
726 |
726 |
$9K |
| 83540 |
|
2,482 |
2,378 |
$8K |
| 80076 |
|
602 |
577 |
$8K |
| 90716 |
|
737 |
735 |
$8K |
| 94060 |
|
69 |
69 |
$7K |
| 84403 |
|
408 |
391 |
$7K |
| 84481 |
|
1,295 |
1,283 |
$7K |
| 87340 |
|
1,776 |
1,758 |
$7K |
| 72141 |
|
25 |
25 |
$7K |
| 83550 |
|
2,103 |
2,004 |
$7K |
| 85027 |
|
3,301 |
3,165 |
$7K |
| 90675 |
|
39 |
12 |
$6K |
| A9577 |
Inj multihance |
173 |
170 |
$6K |
| 82570 |
|
2,326 |
2,239 |
$6K |
| Q9957 |
Inj perflutren lip micros,ml |
51 |
51 |
$6K |
| 90700 |
|
753 |
750 |
$6K |
| 94010 |
|
72 |
71 |
$6K |
| 83735 |
|
3,543 |
2,981 |
$6K |
| 86481 |
|
143 |
142 |
$6K |
| H0038 |
Self-help/peer svc per 15min |
50 |
16 |
$6K |
| 86666 |
|
1,444 |
805 |
$6K |
| 74018 |
|
1,274 |
1,173 |
$6K |
| 90688 |
|
155 |
155 |
$6K |
| 86762 |
|
887 |
881 |
$6K |
| 87469 |
|
294 |
292 |
$6K |
| 87484 |
|
295 |
293 |
$6K |
| 87186 |
|
2,727 |
2,579 |
$6K |
| 82746 |
|
756 |
742 |
$5K |
| 86812 |
|
128 |
128 |
$5K |
| 76536 |
|
193 |
192 |
$5K |
| 87478 |
|
281 |
279 |
$5K |
| 82043 |
|
1,669 |
1,653 |
$5K |
| 95911 |
|
63 |
62 |
$5K |
| 96367 |
|
67 |
53 |
$5K |
| 82670 |
|
293 |
278 |
$5K |
| 87070 |
|
1,284 |
1,223 |
$4K |
| 73110 |
|
1,541 |
1,372 |
$4K |
| 73221 |
|
13 |
12 |
$4K |
| 87077 |
|
1,437 |
1,327 |
$4K |
| 94640 |
|
1,435 |
1,103 |
$4K |
| 90697 |
|
163 |
163 |
$4K |
| 93005 |
|
7,908 |
7,159 |
$4K |
| 86753 |
|
413 |
412 |
$4K |
| 82784 |
|
534 |
410 |
$4K |
| 82947 |
|
1,691 |
1,525 |
$4K |
| 70553 |
|
12 |
12 |
$4K |
| 84146 |
|
386 |
375 |
$4K |
| 87081 |
|
2,517 |
2,465 |
$4K |
| 90833 |
|
129 |
125 |
$3K |
| 83001 |
|
312 |
307 |
$3K |
| 71271 |
|
92 |
92 |
$3K |
| 73030 |
|
1,391 |
1,323 |
$3K |
| 73630 |
|
2,172 |
1,913 |
$3K |
| 87426 |
|
473 |
461 |
$3K |
| 87637 |
|
41 |
41 |
$3K |
| 81001 |
|
4,487 |
4,042 |
$3K |
| 85730 |
|
3,038 |
2,770 |
$3K |
| 87507 |
|
27 |
27 |
$3K |
| 86038 |
|
1,160 |
1,155 |
$3K |
| 86431 |
|
1,193 |
1,186 |
$3K |
| 87522 |
Neg quan hep c or qual rna |
76 |
74 |
$3K |
| 91320 |
|
25 |
25 |
$3K |
| 97760 |
|
52 |
50 |
$3K |
| 73610 |
|
1,674 |
1,540 |
$3K |
| 84144 |
|
170 |
126 |
$3K |
| 81015 |
|
4,423 |
3,986 |
$3K |
| 64493 |
|
46 |
12 |
$3K |
| 87480 |
|
1,554 |
1,516 |
$3K |
| 96374 |
|
5,161 |
4,774 |
$3K |
| 73130 |
|
1,469 |
1,301 |
$3K |
| 87660 |
|
1,590 |
1,552 |
$3K |
| 64635 |
|
104 |
12 |
$3K |
| 90620 |
|
64 |
63 |
$2K |
| 86787 |
|
753 |
738 |
$2K |
| 99383 |
|
12 |
12 |
$2K |
| C9803 |
Hopd covid-19 spec collect |
455 |
431 |
$2K |
| 94618 |
|
13 |
12 |
$2K |
| 86003 |
|
459 |
263 |
$2K |
| 78452 |
|
16 |
16 |
$2K |
| 73564 |
|
577 |
552 |
$2K |
| 85652 |
|
2,422 |
2,355 |
$2K |
| 58300 |
|
14 |
14 |
$2K |
| 76775 |
|
29 |
29 |
$2K |
| 90680 |
|
83 |
83 |
$2K |
| 72125 |
|
77 |
77 |
$2K |
| 99386 |
|
14 |
14 |
$2K |
| 87510 |
|
1,520 |
1,483 |
$2K |
| 92133 |
|
26 |
24 |
$2K |
| G0009 |
Admin pneumococcal vaccine |
169 |
168 |
$2K |
| 90734 |
|
316 |
316 |
$2K |
| 86329 |
|
232 |
229 |
$2K |
| J0131 |
Inj, acetaminophen (nos) |
3,643 |
3,308 |
$2K |
| 84550 |
|
768 |
725 |
$2K |
| 96375 |
|
4,826 |
3,966 |
$2K |
| 85651 |
|
1,849 |
1,743 |
$2K |
| 82248 |
|
770 |
547 |
$2K |
| 85379 |
|
1,650 |
1,600 |
$2K |
| 83690 |
|
6,645 |
6,142 |
$2K |
| 86160 |
|
537 |
284 |
$2K |
| J1040 |
Methylprednisolone 80 mg inj |
795 |
775 |
$2K |
| 69210 |
|
51 |
50 |
$2K |
| 70486 |
|
12 |
12 |
$1K |
| 87631 |
|
28 |
28 |
$1K |
| A9500 |
Tc99m sestamibi |
15 |
15 |
$1K |
| 36591 |
|
61 |
38 |
$1K |
| 0001A |
|
117 |
117 |
$1K |
| 73140 |
|
609 |
545 |
$1K |
| 62323 |
|
24 |
14 |
$1K |
| 94727 |
|
81 |
80 |
$1K |
| 86039 |
|
473 |
470 |
$1K |
| 83615 |
|
583 |
535 |
$1K |
| 72110 |
|
103 |
100 |
$1K |
| 86617 |
|
158 |
114 |
$1K |
| 99460 |
|
13 |
13 |
$1K |
| 67028 |
|
29 |
12 |
$1K |
| 73502 |
|
493 |
478 |
$1K |
| 81003 |
|
3,703 |
3,531 |
$1K |
| 99382 |
|
12 |
12 |
$1K |
| 11721 |
|
50 |
46 |
$1K |
| 86709 |
|
254 |
252 |
$1K |
| 17004 |
|
16 |
13 |
$1K |
| 81002 |
|
6,160 |
4,953 |
$1K |
| 0002A |
|
115 |
114 |
$1K |
| 83002 |
|
83 |
79 |
$988.13 |
| 99222 |
|
12 |
12 |
$979.34 |
| 73562 |
|
817 |
791 |
$976.14 |
| 94729 |
|
84 |
84 |
$969.93 |
| 93246 |
|
12 |
12 |
$953.63 |
| 84484 |
|
6,091 |
4,115 |
$916.96 |
| 84402 |
|
53 |
52 |
$867.73 |
| 82105 |
|
214 |
211 |
$866.64 |
| 73560 |
|
615 |
540 |
$863.93 |
| 71045 |
|
3,993 |
3,798 |
$831.10 |
| 87040 |
|
2,346 |
1,574 |
$827.19 |
| 86706 |
|
159 |
159 |
$817.49 |
| 86225 |
|
513 |
500 |
$810.72 |
| 72100 |
|
280 |
279 |
$774.81 |
| 80320 |
|
1,006 |
949 |
$767.41 |
| 90480 |
|
22 |
22 |
$760.00 |
| 86200 |
|
357 |
354 |
$738.74 |
| 84100 |
|
282 |
211 |
$729.43 |
| 31575 |
|
12 |
12 |
$704.42 |
| 86778 |
|
105 |
104 |
$696.56 |
| 86235 |
|
221 |
133 |
$687.58 |
| 90471 |
|
3,644 |
3,535 |
$684.27 |
| 85018 |
|
536 |
526 |
$675.22 |
| 86705 |
|
168 |
166 |
$663.54 |
| 86704 |
|
152 |
152 |
$658.95 |
| 90381 |
|
31 |
31 |
$602.40 |
| 86777 |
|
75 |
75 |
$599.01 |
| 73080 |
|
110 |
96 |
$515.30 |
| 95251 |
|
25 |
25 |
$513.71 |
| 82550 |
|
460 |
442 |
$513.29 |
| 85007 |
|
610 |
564 |
$501.18 |
| 99407 |
|
39 |
37 |
$485.18 |
| 97750 |
|
16 |
16 |
$436.15 |
| 84703 |
|
3,102 |
2,957 |
$425.14 |
| 85014 |
|
290 |
280 |
$421.06 |
| 87880 |
|
3,567 |
3,413 |
$391.44 |
| 97802 |
|
12 |
12 |
$390.34 |
| 93225 |
|
13 |
13 |
$372.14 |
| 84460 |
|
99 |
94 |
$366.28 |
| 0071A |
|
61 |
60 |
$360.00 |
| 0072A |
|
53 |
53 |
$360.00 |
| 83605 |
|
3,230 |
2,819 |
$354.74 |
| 82950 |
|
151 |
150 |
$334.49 |
| 92083 |
|
12 |
12 |
$333.84 |
| 84450 |
|
83 |
79 |
$307.83 |
| 90380 |
|
13 |
13 |
$301.20 |
| 73090 |
|
57 |
42 |
$260.64 |
| 84156 |
|
247 |
227 |
$259.90 |
| 84155 |
|
228 |
204 |
$231.09 |
| 83516 |
|
91 |
78 |
$228.07 |
| 86769 |
|
16 |
16 |
$206.83 |
| 83520 |
|
43 |
36 |
$185.52 |
| 90662 |
|
15 |
15 |
$176.68 |
| 99173 |
|
2,751 |
2,743 |
$148.21 |
| 84165 |
|
52 |
50 |
$146.98 |
| 87804 |
|
1,142 |
1,127 |
$145.79 |
| J0690 |
Cefazolin sodium injection |
1,309 |
1,230 |
$142.23 |
| 73590 |
|
125 |
116 |
$133.30 |
| 86308 |
|
99 |
98 |
$130.37 |
| J2704 |
Inj, propofol, 10 mg |
1,977 |
1,922 |
$123.76 |
| J1010 |
Inj, methylpred acetate 1 mg |
195 |
177 |
$123.35 |
| 0004A |
|
44 |
43 |
$120.00 |
| J1100 |
Dexamethasone sodium phos |
3,961 |
3,562 |
$118.03 |
| 86376 |
|
24 |
24 |
$116.40 |
| 87807 |
|
172 |
171 |
$115.94 |
| 72040 |
|
52 |
52 |
$114.33 |
| 88141 |
|
18 |
18 |
$113.06 |
| J1885 |
Ketorolac tromethamine inj |
5,906 |
4,423 |
$96.76 |
| 82977 |
|
28 |
26 |
$91.44 |
| 96376 |
|
1,037 |
782 |
$90.16 |
| 87430 |
|
628 |
619 |
$88.13 |
| 82948 |
|
992 |
710 |
$82.19 |
| 86255 |
|
16 |
12 |
$73.64 |
| J7030 |
Normal saline solution infus |
63 |
54 |
$73.46 |
| J2270 |
Morphine sulfate injection |
1,455 |
1,215 |
$65.38 |
| 86708 |
|
14 |
13 |
$63.13 |
| 80305 |
|
420 |
375 |
$60.52 |
| J0696 |
Ceftriaxone sodium injection |
920 |
759 |
$59.95 |
| J3010 |
Fentanyl citrate injection |
3,905 |
3,736 |
$56.65 |
| J2405 |
Ondansetron hcl injection |
3,029 |
2,578 |
$55.30 |
| 71101 |
|
12 |
12 |
$49.22 |
| 82565 |
|
14 |
12 |
$40.24 |
| J7050 |
Normal saline solution infus |
816 |
583 |
$37.82 |
| J1030 |
Methylprednisolone 40 mg inj |
380 |
363 |
$36.29 |
| J1200 |
Diphenhydramine hcl injectio |
487 |
428 |
$36.12 |
| J2795 |
Ropivacaine hcl injection |
107 |
73 |
$31.38 |
| 86141 |
|
13 |
13 |
$30.75 |
| J3301 |
Triamcinolone acet inj nos |
589 |
568 |
$28.42 |
| 90472 |
|
197 |
197 |
$28.00 |
| J1170 |
Hydromorphone injection |
453 |
382 |
$23.50 |
| 80348 |
|
16 |
14 |
$20.00 |
| 84480 |
|
12 |
12 |
$17.10 |
| J0330 |
Succinycholine chloride inj |
194 |
191 |
$16.01 |
| 80143 |
|
112 |
103 |
$13.05 |
| J2250 |
Inj midazolam hydrochloride |
2,696 |
2,591 |
$12.82 |
| J0171 |
Adrenalin epinephrine inject |
27 |
27 |
$7.20 |
| 73070 |
|
15 |
15 |
$6.06 |
| J0134 |
Inj acetaminophen -fresenius |
102 |
98 |
$5.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
1,033 |
580 |
$4.12 |
| J2550 |
Promethazine hcl injection |
168 |
146 |
$3.00 |
| J1642 |
Inj heparin sodium per 10 u |
210 |
106 |
$3.00 |
| A9270 |
Non-covered item or service |
253 |
222 |
$0.90 |
| J7613 |
Albuterol non-comp unit |
85 |
72 |
$0.81 |
| J0702 |
Betamethasone acet&sod phosp |
128 |
119 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
26 |
26 |
$0.00 |
| 94799 |
|
13 |
12 |
$0.00 |
| J2930 |
Methylprednisolone injection |
14 |
12 |
$0.00 |
| 99152 |
|
50 |
49 |
$0.00 |
| 80179 |
|
70 |
63 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
16 |
12 |
$0.00 |
| C1729 |
Cath, drainage |
27 |
27 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
36 |
29 |
$0.00 |
| 84145 |
|
36 |
35 |
$0.00 |
| J2060 |
Lorazepam injection |
128 |
111 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
257 |
243 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
72 |
66 |
$0.00 |
| 80329 |
|
559 |
284 |
$0.00 |
| J8540 |
Oral dexamethasone |
56 |
56 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
64 |
63 |
$0.00 |
| 96380 |
|
16 |
16 |
$0.00 |
| 87205 |
|
12 |
12 |
$0.00 |
| G0399 |
Home sleep test/type 3 porta |
12 |
12 |
$0.00 |