| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
178,512 |
152,378 |
$30.71M |
| 99284 |
|
100,125 |
83,799 |
$15.89M |
| 99282 |
|
41,961 |
37,490 |
$7.06M |
| 70450 |
|
22,558 |
19,803 |
$3.90M |
| 74177 |
|
22,006 |
19,460 |
$3.81M |
| 99285 |
|
23,176 |
20,242 |
$3.68M |
| G0378 |
Hospital observation per hr |
31,384 |
15,847 |
$3.44M |
| 71275 |
|
10,767 |
9,706 |
$2.47M |
| 99281 |
|
12,677 |
11,702 |
$2.24M |
| 43239 |
|
4,326 |
3,924 |
$2.10M |
| 96361 |
|
4,815 |
4,252 |
$1.30M |
| 45385 |
|
1,603 |
1,468 |
$1.11M |
| 76816 |
|
12,376 |
10,438 |
$1000K |
| 74176 |
|
6,062 |
5,209 |
$994K |
| 76818 |
|
13,055 |
5,548 |
$894K |
| 80307 |
|
21,836 |
18,684 |
$893K |
| 45380 |
|
1,629 |
1,500 |
$871K |
| 93306 |
|
2,545 |
2,282 |
$832K |
| 94640 |
|
16,848 |
12,433 |
$680K |
| U0003 |
Cov-19 amp prb hgh thruput |
27,331 |
24,122 |
$663K |
| 70553 |
|
2,279 |
2,060 |
$659K |
| 87635 |
|
8,843 |
8,226 |
$609K |
| 97163 |
|
4,814 |
3,832 |
$446K |
| 12001 |
|
1,960 |
1,825 |
$430K |
| 76811 |
|
5,027 |
4,679 |
$426K |
| 97150 |
|
11,791 |
2,950 |
$410K |
| 12011 |
|
1,815 |
1,693 |
$406K |
| G0383 |
Lev 4 hosp type b ed visit |
2,602 |
2,143 |
$393K |
| 97597 |
|
3,577 |
1,397 |
$385K |
| 93458 |
|
257 |
218 |
$384K |
| 97110 |
|
12,290 |
4,362 |
$378K |
| 76705 |
|
5,257 |
4,754 |
$373K |
| 76830 |
|
4,926 |
4,461 |
$354K |
| 76801 |
|
7,048 |
6,000 |
$344K |
| 45378 |
|
556 |
520 |
$337K |
| 76805 |
|
4,391 |
4,021 |
$314K |
| 19318 |
|
30 |
28 |
$306K |
| 15002 |
|
427 |
307 |
$302K |
| 10060 |
|
2,192 |
1,939 |
$301K |
| 76856 |
|
5,648 |
5,118 |
$301K |
| 97602 |
|
1,434 |
857 |
$261K |
| 72148 |
|
1,579 |
1,440 |
$255K |
| 76642 |
|
2,042 |
1,895 |
$252K |
| 70551 |
|
1,197 |
1,068 |
$251K |
| 80053 |
|
80,173 |
64,160 |
$251K |
| 93971 |
|
2,821 |
2,503 |
$244K |
| 59025 |
|
1,461 |
1,186 |
$234K |
| G0121 |
Colon ca scrn not hi rsk ind |
270 |
265 |
$234K |
| 80048 |
|
56,245 |
42,292 |
$230K |
| G0283 |
Elec stim other than wound |
8,523 |
2,261 |
$230K |
| 58661 |
|
85 |
65 |
$230K |
| 93005 |
|
68,359 |
52,356 |
$191K |
| 96360 |
|
1,384 |
1,246 |
$187K |
| 72125 |
|
8,444 |
7,532 |
$186K |
| 77063 |
|
4,468 |
4,254 |
$183K |
| 47562 |
|
59 |
54 |
$183K |
| 97530 |
|
5,077 |
2,228 |
$181K |
| 41899 |
|
285 |
196 |
$176K |
| 97161 |
|
1,359 |
1,256 |
$169K |
| 70491 |
|
1,064 |
978 |
$163K |
| 97140 |
|
10,062 |
2,942 |
$163K |
| 76820 |
|
3,034 |
1,413 |
$155K |
| 76700 |
|
1,421 |
1,295 |
$154K |
| 73721 |
|
702 |
668 |
$152K |
| 71046 |
|
29,438 |
26,225 |
$150K |
| 96374 |
|
67,748 |
56,064 |
$146K |
| 74174 |
|
650 |
604 |
$140K |
| 76817 |
|
5,208 |
4,378 |
$138K |
| 70498 |
|
823 |
762 |
$130K |
| S9480 |
Intensive outpatient psychia |
491 |
82 |
$127K |
| G0480 |
Drug test def 1-7 classes |
8,047 |
7,052 |
$124K |
| 97016 |
|
5,796 |
1,544 |
$123K |
| 71250 |
|
1,980 |
1,744 |
$122K |
| 85027 |
|
147,571 |
107,508 |
$121K |
| 83880 |
|
15,104 |
12,862 |
$119K |
| 78815 |
|
139 |
128 |
$117K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,126 |
987 |
$115K |
| 12002 |
|
558 |
522 |
$110K |
| 71260 |
|
1,761 |
1,533 |
$109K |
| 36430 |
|
684 |
483 |
$106K |
| 97162 |
|
1,105 |
988 |
$102K |
| 78452 |
|
150 |
129 |
$100K |
| 76770 |
|
980 |
891 |
$99K |
| 93798 |
|
1,286 |
202 |
$98K |
| 72141 |
|
625 |
585 |
$97K |
| 97167 |
|
2,254 |
1,953 |
$94K |
| G0463 |
Hospital outpt clinic visit |
2,629 |
1,723 |
$93K |
| 70486 |
|
2,506 |
2,248 |
$93K |
| 71045 |
|
34,617 |
29,208 |
$92K |
| 87591 |
|
11,801 |
10,488 |
$89K |
| 70496 |
|
461 |
419 |
$88K |
| 99213 |
|
619 |
500 |
$88K |
| H0035 |
Mh partial hosp tx under 24h |
1,171 |
153 |
$83K |
| 97116 |
|
2,705 |
1,784 |
$83K |
| P9016 |
Rbc leukocytes reduced |
322 |
243 |
$82K |
| 93970 |
|
745 |
662 |
$81K |
| 72131 |
|
1,880 |
1,695 |
$81K |
| 99212 |
|
622 |
497 |
$79K |
| 95816 |
|
401 |
363 |
$76K |
| 87040 |
|
9,943 |
8,034 |
$75K |
| 76870 |
|
939 |
854 |
$73K |
| 77067 |
|
4,749 |
4,485 |
$72K |
| 97535 |
|
2,675 |
2,021 |
$72K |
| 96372 |
|
18,714 |
15,136 |
$65K |
| 84484 |
|
47,322 |
34,811 |
$65K |
| 76536 |
|
609 |
566 |
$64K |
| 96365 |
|
655 |
563 |
$62K |
| 90715 |
|
3,633 |
3,356 |
$61K |
| 99211 |
|
499 |
408 |
$61K |
| 96375 |
|
30,484 |
24,943 |
$60K |
| 69436 |
|
49 |
45 |
$58K |
| G0279 |
Tomosynthesis, mammo |
1,813 |
1,695 |
$55K |
| 94660 |
|
266 |
112 |
$55K |
| 29125 |
|
369 |
345 |
$55K |
| 93017 |
|
459 |
411 |
$52K |
| 74018 |
|
5,384 |
4,778 |
$51K |
| 97166 |
|
888 |
785 |
$50K |
| 80076 |
|
19,331 |
16,575 |
$49K |
| 77336 |
|
592 |
251 |
$47K |
| 77065 |
Tomosynthesis, mammo |
1,169 |
1,012 |
$44K |
| 85379 |
|
11,976 |
10,704 |
$44K |
| 76937 |
|
1,180 |
1,006 |
$43K |
| 73610 |
|
6,104 |
5,314 |
$40K |
| 93325 |
|
220 |
203 |
$38K |
| 77412 |
|
98 |
12 |
$34K |
| 73030 |
|
5,220 |
4,471 |
$31K |
| 77300 |
|
316 |
253 |
$31K |
| 80051 |
|
13,314 |
10,722 |
$31K |
| 88307 |
|
1,823 |
1,499 |
$26K |
| G0410 |
Grp psych php/iop 45-50 |
337 |
61 |
$26K |
| 15004 |
|
30 |
26 |
$26K |
| 92610 |
|
445 |
391 |
$26K |
| 73560 |
|
1,860 |
1,509 |
$25K |
| 83605 |
|
15,249 |
12,358 |
$24K |
| C1776 |
Joint device (implantable) |
224 |
193 |
$24K |
| 73564 |
|
6,153 |
5,118 |
$24K |
| 76813 |
|
342 |
297 |
$24K |
| 73110 |
|
3,666 |
3,188 |
$23K |
| 58558 |
|
15 |
14 |
$22K |
| 83735 |
|
40,658 |
31,171 |
$21K |
| 76825 |
|
146 |
136 |
$20K |
| 86850 |
|
10,762 |
9,264 |
$20K |
| 73630 |
|
5,846 |
5,076 |
$20K |
| 93308 |
|
60 |
53 |
$19K |
| 76821 |
|
733 |
369 |
$19K |
| 73590 |
|
3,148 |
2,669 |
$18K |
| 72110 |
|
2,251 |
1,992 |
$18K |
| 73502 |
|
2,568 |
2,238 |
$18K |
| 88305 |
|
9,987 |
8,832 |
$17K |
| J7030 |
Normal saline solution infus |
42,829 |
33,722 |
$16K |
| 77066 |
Tomosynthesis, mammo |
870 |
823 |
$16K |
| 77334 |
|
135 |
98 |
$16K |
| 73552 |
|
1,356 |
1,223 |
$16K |
| 77295 |
|
39 |
27 |
$15K |
| 73130 |
|
5,027 |
4,342 |
$15K |
| 73080 |
|
2,198 |
1,916 |
$15K |
| 87486 |
|
1,010 |
916 |
$14K |
| 87426 |
|
12,923 |
11,737 |
$14K |
| 82565 |
|
17,856 |
14,657 |
$14K |
| 72100 |
|
1,841 |
1,642 |
$14K |
| 81001 |
|
62,599 |
53,096 |
$13K |
| 83036 |
|
4,758 |
4,143 |
$13K |
| J7120 |
Ringers lactate infusion |
20,814 |
16,108 |
$13K |
| 84702 |
|
13,034 |
11,121 |
$13K |
| 86923 |
|
493 |
386 |
$12K |
| 86900 |
|
12,388 |
10,728 |
$12K |
| 73090 |
|
2,196 |
1,919 |
$12K |
| J1885 |
Ketorolac tromethamine inj |
35,066 |
26,693 |
$11K |
| 76819 |
|
290 |
223 |
$11K |
| J2405 |
Ondansetron hcl injection |
39,093 |
29,815 |
$11K |
| 84443 |
|
6,801 |
6,048 |
$11K |
| 83690 |
|
38,408 |
31,975 |
$11K |
| 85610 |
|
23,482 |
19,154 |
$11K |
| 88304 |
|
2,054 |
1,858 |
$10K |
| 64415 |
|
29 |
27 |
$10K |
| G0381 |
Lev 2 hosp type b ed visit |
100 |
88 |
$10K |
| 81025 |
|
35,966 |
31,451 |
$10K |
| 87633 |
|
1,011 |
914 |
$9K |
| 87070 |
|
17,613 |
15,884 |
$9K |
| 87798 |
|
1,114 |
1,005 |
$9K |
| J1650 |
Inj enoxaparin sodium |
9,606 |
4,628 |
$9K |
| 76815 |
|
99 |
81 |
$9K |
| 87581 |
|
1,016 |
917 |
$9K |
| 74019 |
|
1,588 |
1,436 |
$8K |
| 84703 |
|
15,619 |
13,878 |
$8K |
| 72040 |
|
855 |
690 |
$8K |
| 93880 |
|
105 |
93 |
$8K |
| 86140 |
|
5,590 |
4,995 |
$8K |
| 29515 |
|
41 |
38 |
$8K |
| 87086 |
|
18,094 |
15,797 |
$7K |
| 99152 |
|
1,992 |
1,651 |
$7K |
| 86901 |
|
12,370 |
10,719 |
$7K |
| 87804 |
|
35,817 |
30,198 |
$7K |
| 73060 |
|
842 |
758 |
$6K |
| 90471 |
|
4,693 |
4,099 |
$6K |
| 72128 |
|
339 |
325 |
$6K |
| 43235 |
|
18 |
13 |
$6K |
| 87491 |
|
11,287 |
10,004 |
$6K |
| 80061 |
|
2,791 |
2,505 |
$6K |
| 96376 |
|
5,712 |
4,661 |
$6K |
| J1100 |
Dexamethasone sodium phos |
15,347 |
10,191 |
$6K |
| 84112 |
|
392 |
350 |
$5K |
| 78264 |
|
12 |
12 |
$5K |
| Q4100 |
Skin substitute, nos |
202 |
166 |
$5K |
| 82947 |
|
13,595 |
11,001 |
$5K |
| 64447 |
|
37 |
25 |
$5K |
| 72050 |
|
457 |
415 |
$4K |
| J2270 |
Morphine sulfate injection |
19,020 |
13,424 |
$4K |
| 15853 |
|
265 |
257 |
$4K |
| 85730 |
|
16,289 |
13,800 |
$4K |
| 72170 |
|
1,044 |
946 |
$4K |
| J0561 |
Penicillin g benzathine inj |
655 |
601 |
$4K |
| 81003 |
|
26,286 |
23,055 |
$4K |
| 73562 |
|
687 |
560 |
$4K |
| 72070 |
|
539 |
489 |
$4K |
| J1170 |
Hydromorphone injection |
14,862 |
8,670 |
$4K |
| 87880 |
|
23,349 |
21,593 |
$4K |
| C1769 |
Guide wire |
2,781 |
2,339 |
$3K |
| 82803 |
|
4,838 |
3,842 |
$3K |
| 97165 |
|
72 |
64 |
$3K |
| G0177 |
Opps/php/iop; train & educ |
529 |
87 |
$3K |
| 85014 |
|
2,130 |
1,600 |
$3K |
| J2704 |
Inj, propofol, 10 mg |
5,506 |
4,226 |
$3K |
| J7040 |
Normal saline solution infus |
6,271 |
5,449 |
$3K |
| 73140 |
|
1,666 |
1,537 |
$3K |
| 84520 |
|
13,565 |
10,923 |
$3K |
| 84100 |
|
4,939 |
3,332 |
$3K |
| 71271 |
|
33 |
29 |
$2K |
| 87077 |
|
5,725 |
5,000 |
$2K |
| 82553 |
|
563 |
333 |
$2K |
| 76000 |
|
1,365 |
1,199 |
$2K |
| J8540 |
Oral dexamethasone |
3,889 |
3,388 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
22,046 |
18,028 |
$2K |
| 82550 |
|
3,658 |
3,108 |
$2K |
| 73221 |
|
13 |
12 |
$2K |
| 87210 |
|
10,476 |
8,106 |
$2K |
| 16020 |
|
15 |
12 |
$2K |
| 92523 |
|
27 |
25 |
$2K |
| 99218 |
|
118 |
54 |
$2K |
| 88341 |
|
382 |
300 |
$2K |
| 15271 |
|
34 |
27 |
$2K |
| J7512 |
Prednisone ir or dr oral 1mg |
6,273 |
5,025 |
$2K |
| 82731 |
|
60 |
53 |
$2K |
| J7050 |
Normal saline solution infus |
5,212 |
3,789 |
$2K |
| 87205 |
|
3,957 |
3,232 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
13,177 |
10,377 |
$2K |
| 99214 |
|
14 |
12 |
$2K |
| J3010 |
Fentanyl citrate injection |
6,840 |
5,376 |
$2K |
| 36415 |
|
1,665 |
960 |
$2K |
| 85018 |
|
2,388 |
1,812 |
$2K |
| 87186 |
|
6,982 |
6,028 |
$2K |
| S0119 |
Ondansetron 4 mg |
10,117 |
9,210 |
$2K |
| 12013 |
|
13 |
12 |
$2K |
| 84439 |
|
965 |
853 |
$2K |
| J2765 |
Metoclopramide hcl injection |
5,285 |
4,298 |
$1K |
| 82728 |
|
502 |
450 |
$1K |
| J2060 |
Lorazepam injection |
4,094 |
3,035 |
$1K |
| 73700 |
|
14 |
13 |
$1K |
| 73000 |
|
106 |
100 |
$1K |
| 85048 |
|
2,321 |
1,921 |
$1K |
| 72192 |
|
28 |
25 |
$1K |
| G0008 |
Admin influenza virus vac |
112 |
103 |
$1K |
| J2250 |
Inj midazolam hydrochloride |
5,152 |
3,533 |
$1K |
| 80164 |
|
200 |
147 |
$1K |
| 87807 |
|
7,984 |
7,524 |
$1K |
| J1200 |
Diphenhydramine hcl injectio |
8,354 |
6,463 |
$1K |
| 71101 |
|
264 |
227 |
$1K |
| 90686 |
|
81 |
73 |
$1K |
| A9270 |
Non-covered item or service |
16,805 |
4,684 |
$1K |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
259 |
179 |
$1K |
| A9579 |
Gad-base mr contrast nos,1ml |
6,326 |
3,316 |
$1K |
| C1894 |
Intro/sheath, non-laser |
1,982 |
1,647 |
$1K |
| 82570 |
|
991 |
826 |
$1K |
| 82010 |
|
1,825 |
1,494 |
$897.45 |
| J1644 |
Inj heparin sodium per 1000u |
6,625 |
2,736 |
$868.16 |
| 83540 |
|
629 |
558 |
$856.24 |
| 83550 |
|
344 |
311 |
$839.66 |
| 93010 |
|
122 |
99 |
$820.65 |
| 70360 |
|
66 |
64 |
$813.36 |
| 73070 |
|
169 |
155 |
$753.54 |
| J0690 |
Cefazolin sodium injection |
5,046 |
3,112 |
$740.18 |
| 85049 |
|
2,495 |
2,033 |
$735.91 |
| 83615 |
|
862 |
703 |
$731.51 |
| J1815 |
Insulin injection |
6,961 |
3,256 |
$677.08 |
| 99153 |
Mod sedat endo service >5yrs |
923 |
738 |
$646.96 |
| U0002 |
Covid-19 lab test non-cdc |
143 |
118 |
$601.44 |
| 73600 |
|
174 |
152 |
$545.92 |
| J2930 |
Methylprednisolone injection |
3,536 |
2,836 |
$494.92 |
| 84550 |
|
917 |
778 |
$474.77 |
| J1630 |
Haloperidol injection |
1,871 |
1,488 |
$469.74 |
| 82248 |
|
2,132 |
1,792 |
$469.45 |
| 80069 |
|
131 |
88 |
$467.53 |
| 74022 |
|
134 |
123 |
$466.81 |
| C9113 |
Inj pantoprazole sodium, via |
1,169 |
633 |
$452.48 |
| 84145 |
|
28 |
26 |
$448.65 |
| 88342 |
|
1,185 |
1,046 |
$440.88 |
| 74220 |
|
17 |
13 |
$430.38 |
| 80177 |
|
69 |
66 |
$394.90 |
| J2543 |
Piperacillin/tazobactam |
2,416 |
1,330 |
$381.46 |
| 87088 |
|
1,926 |
1,686 |
$378.55 |
| J7620 |
Albuterol ipratrop non-comp |
3,562 |
2,994 |
$368.04 |
| 82607 |
|
178 |
163 |
$347.29 |
| 80074 |
|
57 |
52 |
$321.00 |
| 84132 |
|
1,511 |
1,321 |
$320.45 |
| 73660 |
|
83 |
75 |
$318.14 |
| 73620 |
|
256 |
216 |
$312.18 |
| J3475 |
Inj magnesium sulfate |
2,334 |
1,910 |
$292.70 |
| J2550 |
Promethazine hcl injection |
2,191 |
1,348 |
$289.33 |
| 85652 |
|
417 |
345 |
$280.54 |
| 73120 |
|
140 |
116 |
$262.39 |
| J3480 |
Inj potassium chloride |
1,398 |
1,091 |
$257.57 |
| J0500 |
Dicyclomine injection |
159 |
141 |
$255.80 |
| 87147 |
|
1,591 |
1,422 |
$242.20 |
| 85007 |
|
191 |
177 |
$152.78 |
| J3490 |
Drugs unclassified injection |
5,456 |
4,335 |
$149.36 |
| 73100 |
|
39 |
37 |
$144.85 |
| J0780 |
Prochlorperazine injection |
2,386 |
1,931 |
$135.63 |
| 86308 |
|
306 |
298 |
$128.52 |
| 84156 |
|
357 |
296 |
$123.15 |
| 85045 |
|
506 |
322 |
$121.54 |
| 82140 |
|
95 |
83 |
$116.28 |
| J0360 |
Hydralazine hcl injection |
774 |
586 |
$108.83 |
| J0692 |
Cefepime hcl for injection |
476 |
249 |
$90.54 |
| J3370 |
Vancomycin hcl injection |
959 |
535 |
$69.24 |
| 86780 |
|
46 |
41 |
$66.20 |
| 82746 |
|
45 |
39 |
$55.61 |
| 87045 |
|
51 |
42 |
$51.63 |
| 93356 |
|
176 |
160 |
$43.34 |
| J0456 |
Azithromycin |
513 |
397 |
$40.76 |
| 87340 |
|
86 |
70 |
$37.94 |
| J3535 |
Metered dose inhaler drug |
3,989 |
2,438 |
$35.89 |
| 87046 |
|
81 |
54 |
$34.74 |
| 88312 |
|
134 |
121 |
$34.00 |
| C1729 |
Cath, drainage |
149 |
123 |
$27.27 |
| 82330 |
|
221 |
200 |
$22.80 |
| 87899 |
|
76 |
53 |
$21.83 |
| 36600 |
|
47 |
37 |
$20.55 |
| J7613 |
Albuterol non-comp unit |
796 |
607 |
$19.32 |
| J7611 |
Albuterol non-comp con |
315 |
252 |
$15.84 |
| J2920 |
Methylprednisolone injection |
108 |
52 |
$14.69 |
| J1940 |
Furosemide injection |
281 |
179 |
$10.55 |
| 87493 |
|
18 |
12 |
$10.51 |
| 85520 |
|
48 |
24 |
$9.64 |
| 87075 |
|
97 |
75 |
$8.64 |
| S4991 |
Nicotine patch nonlegend |
1,918 |
953 |
$8.52 |
| Q0177 |
Hydroxyzine pamoate 25mg |
131 |
92 |
$5.50 |
| 87176 |
|
150 |
121 |
$4.36 |
| J7510 |
Prednisolone oral per 5 mg |
226 |
198 |
$3.96 |
| A6257 |
Transparent film <= 16 sq in |
265 |
247 |
$1.36 |
| J0330 |
Succinycholine chloride inj |
1,069 |
804 |
$1.19 |
| J2370 |
Phenylephrine hcl injection |
925 |
716 |
$0.28 |
| J3486 |
Ziprasidone mesylate |
73 |
41 |
$0.23 |
| J2795 |
Ropivacaine hcl injection |
42 |
27 |
$0.23 |
| J1920 |
Inj, labetalol hcl, 5mg |
105 |
60 |
$0.07 |
| C1887 |
Catheter, guiding |
730 |
577 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
367 |
311 |
$0.00 |
| A9541 |
Tc99m sulfur colloid |
14 |
14 |
$0.00 |
| L3908 |
Who cock-up nonmolde pre ots |
64 |
62 |
$0.00 |
| J1953 |
Levetiracetam injection |
222 |
147 |
$0.00 |
| G1003 |
Cdsm medicalis |
810 |
641 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
1,329 |
1,203 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
129 |
110 |
$0.00 |
| J2800 |
Methocarbamol injection |
464 |
312 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
410 |
284 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
383 |
243 |
$0.00 |
| C1758 |
Catheter, ureteral |
239 |
216 |
$0.00 |
| J7614 |
Levalbuterol non-comp unit |
22 |
17 |
$0.00 |
| A9552 |
F18 fdg |
154 |
143 |
$0.00 |
| 84295 |
|
28 |
28 |
$0.00 |
| C1760 |
Closure dev, vasc |
201 |
171 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
162 |
139 |
$0.00 |
| J8499 |
Oral prescrip drug non chemo |
44 |
14 |
$0.00 |
| J2310 |
Inj naloxone hydrochloride |
33 |
24 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
208 |
164 |
$0.00 |
| 85384 |
|
14 |
12 |
$0.00 |
| 88302 |
|
64 |
51 |
$0.00 |
| 15274 |
|
37 |
13 |
$0.00 |
| C1771 |
Rep dev, urinary, w/sling |
20 |
12 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
29 |
14 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
14 |
13 |
$0.00 |
| 15273 |
|
17 |
13 |
$0.00 |
| 86738 |
|
39 |
39 |
$0.00 |
| C1781 |
Mesh (implantable) |
325 |
282 |
$0.00 |
| S0020 |
Injection, bupivicaine hydro |
12 |
12 |
$0.00 |
| C9363 |
Integra meshed bil wound mat |
16 |
13 |
$0.00 |
| J2785 |
Regadenoson injection |
61 |
52 |
$0.00 |
| A4648 |
Implantable tissue marker |
60 |
53 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
163 |
87 |
$0.00 |
| J7999 |
Compounded drug, noc |
26 |
26 |
$0.00 |
| J3360 |
Diazepam injection |
22 |
12 |
$0.00 |
| 94644 |
|
12 |
12 |
$0.00 |
| 15003 |
|
71 |
24 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
24 |
15 |
$0.00 |
| G1011 |
Cdsm qualified nos |
14 |
13 |
$0.00 |
| C1726 |
Cath, bal dil, non-vascular |
12 |
12 |
$0.00 |