| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
53,084 |
41,636 |
$8.88M |
| 99283 |
|
50,758 |
41,554 |
$6.46M |
| 99285 |
|
31,300 |
23,972 |
$5.25M |
| 96374 |
|
27,086 |
19,553 |
$1.90M |
| 96372 |
|
48,168 |
34,488 |
$1.75M |
| A0429 |
Bls-emergency |
12,871 |
8,322 |
$1.46M |
| A0425 |
Ground mileage |
18,638 |
11,492 |
$1.28M |
| G0378 |
Hospital observation per hr |
3,481 |
2,316 |
$1.26M |
| 99282 |
|
15,178 |
13,043 |
$1.23M |
| 71045 |
|
32,061 |
24,378 |
$1.16M |
| 74177 |
|
9,376 |
7,285 |
$1.12M |
| 94640 |
|
10,734 |
7,537 |
$1.04M |
| 96413 |
|
9,001 |
3,836 |
$991K |
| A0427 |
Als1-emergency |
10,835 |
7,746 |
$945K |
| J9271 |
Inj pembrolizumab |
212 |
131 |
$705K |
| 96375 |
|
29,033 |
17,821 |
$679K |
| J0897 |
Denosumab injection |
1,603 |
1,131 |
$664K |
| 96365 |
|
9,173 |
6,579 |
$644K |
| 92507 |
|
13,125 |
2,359 |
$634K |
| 93306 |
|
4,279 |
3,648 |
$628K |
| 87804 |
|
53,612 |
22,450 |
$607K |
| 80053 |
|
96,800 |
65,159 |
$590K |
| 96361 |
|
16,770 |
11,547 |
$588K |
| 93005 |
|
33,890 |
23,414 |
$526K |
| U0002 |
Covid-19 lab test non-cdc |
16,483 |
12,638 |
$507K |
| 78815 |
|
1,413 |
1,105 |
$462K |
| 85025 |
|
100,754 |
67,295 |
$435K |
| 70450 |
|
9,738 |
7,568 |
$418K |
| 87651 |
|
16,953 |
14,036 |
$413K |
| J2357 |
Omalizumab injection |
717 |
236 |
$403K |
| 71046 |
|
10,664 |
9,118 |
$399K |
| 97110 |
|
12,774 |
2,170 |
$395K |
| 97530 |
|
10,264 |
1,922 |
$363K |
| 99281 |
|
7,883 |
6,779 |
$340K |
| 93458 |
|
384 |
342 |
$335K |
| 96360 |
|
4,367 |
3,362 |
$327K |
| C9803 |
Hopd covid-19 spec collect |
23,337 |
18,417 |
$325K |
| 87635 |
|
9,788 |
8,406 |
$318K |
| G0480 |
Drug test def 1-7 classes |
4,897 |
3,750 |
$284K |
| 80307 |
|
7,339 |
5,761 |
$274K |
| U0004 |
Cov-19 test non-cdc hgh thru |
4,642 |
3,948 |
$271K |
| J2505 |
Injection, pegfilgrastim 6mg |
142 |
92 |
$262K |
| 78452 |
|
853 |
740 |
$260K |
| 74176 |
|
3,201 |
2,563 |
$256K |
| 36415 |
|
118,948 |
78,423 |
$248K |
| 71260 |
|
3,791 |
2,848 |
$235K |
| D7140 |
|
725 |
220 |
$231K |
| 99214 |
|
9,887 |
7,788 |
$214K |
| D0272 |
|
352 |
323 |
$208K |
| 36902 |
|
214 |
186 |
$196K |
| 86900 |
|
4,788 |
3,397 |
$194K |
| 11042 |
|
1,691 |
676 |
$193K |
| 36430 |
|
1,972 |
1,239 |
$180K |
| 96366 |
|
4,218 |
2,289 |
$172K |
| 84484 |
|
23,772 |
13,963 |
$158K |
| 76801 |
|
2,034 |
1,535 |
$137K |
| 72100 |
|
2,963 |
2,487 |
$132K |
| J2469 |
Palonosetron hcl |
4,267 |
1,729 |
$132K |
| 87880 |
|
10,412 |
8,974 |
$131K |
| 99223 |
Prolong inpt eval add15 m |
1,931 |
1,434 |
$127K |
| P9016 |
Rbc leukocytes reduced |
1,936 |
1,122 |
$120K |
| 73560 |
|
3,472 |
2,893 |
$117K |
| 99232 |
|
5,018 |
1,334 |
$117K |
| 71275 |
|
1,737 |
1,326 |
$112K |
| 81001 |
|
47,760 |
36,617 |
$106K |
| D2930 |
|
1,811 |
317 |
$106K |
| 99211 |
|
15,594 |
10,099 |
$95K |
| G0463 |
Hospital outpt clinic visit |
9,314 |
7,547 |
$93K |
| 83735 |
|
25,915 |
17,330 |
$87K |
| A0428 |
Bls |
3,663 |
2,666 |
$85K |
| 83880 |
|
4,562 |
3,644 |
$84K |
| 94726 |
|
1,193 |
1,051 |
$79K |
| 73630 |
|
2,032 |
1,709 |
$78K |
| 36600 |
|
3,038 |
2,326 |
$78K |
| 86850 |
|
4,139 |
2,856 |
$77K |
| 73610 |
|
1,868 |
1,594 |
$77K |
| 99213 |
|
5,190 |
3,960 |
$76K |
| 84443 |
|
8,365 |
6,766 |
$76K |
| 73030 |
|
2,271 |
1,875 |
$75K |
| 74018 |
|
1,669 |
1,459 |
$73K |
| 47562 |
|
30 |
25 |
$73K |
| 85027 |
|
19,157 |
13,633 |
$72K |
| 93010 |
|
28,093 |
21,105 |
$72K |
| 93017 |
|
1,202 |
1,029 |
$72K |
| 93971 |
|
2,107 |
1,769 |
$71K |
| 76805 |
|
1,138 |
911 |
$71K |
| 87807 |
|
6,937 |
5,932 |
$71K |
| 76705 |
|
1,394 |
1,169 |
$70K |
| 95811 |
|
209 |
184 |
$69K |
| 99291 |
|
203 |
171 |
$69K |
| 87086 |
|
13,371 |
10,751 |
$67K |
| 96367 |
|
2,710 |
1,503 |
$66K |
| 87491 |
|
2,854 |
2,353 |
$65K |
| 87591 |
|
2,855 |
2,354 |
$65K |
| 83690 |
|
15,104 |
11,669 |
$63K |
| 73130 |
|
1,572 |
1,320 |
$59K |
| 86901 |
|
4,788 |
3,396 |
$58K |
| A0380 |
Basic life support mileage |
135 |
121 |
$57K |
| 71250 |
|
1,821 |
1,373 |
$56K |
| 80048 |
|
10,373 |
7,769 |
$54K |
| 86923 |
|
1,464 |
610 |
$51K |
| 80061 |
|
5,878 |
5,081 |
$50K |
| 83605 |
|
9,319 |
6,282 |
$50K |
| 72125 |
|
1,483 |
1,145 |
$49K |
| 87040 |
|
8,462 |
3,815 |
$46K |
| 81025 |
|
8,143 |
6,660 |
$44K |
| 82803 |
|
3,079 |
2,311 |
$42K |
| 73502 |
|
1,532 |
1,213 |
$42K |
| 94060 |
|
481 |
428 |
$41K |
| 93798 |
|
1,819 |
244 |
$40K |
| 99231 |
|
4,174 |
1,072 |
$40K |
| 96417 |
|
1,509 |
739 |
$40K |
| 84702 |
|
3,848 |
2,736 |
$40K |
| 76700 |
|
791 |
699 |
$38K |
| 69436 |
|
29 |
27 |
$38K |
| 77067 |
|
576 |
518 |
$36K |
| 82306 |
|
2,643 |
2,152 |
$36K |
| J0185 |
Inj., aprepitant, 1 mg |
509 |
247 |
$36K |
| 86300 |
|
4,658 |
2,549 |
$35K |
| 82728 |
|
6,241 |
4,725 |
$34K |
| 10060 |
|
372 |
323 |
$34K |
| 99212 |
|
2,090 |
1,533 |
$33K |
| 97161 |
|
1,084 |
824 |
$32K |
| 73110 |
|
818 |
679 |
$31K |
| Q3014 |
Telehealth facility fee |
1,892 |
1,447 |
$30K |
| 72040 |
|
899 |
766 |
$30K |
| 77300 |
|
100 |
63 |
$29K |
| A9270 |
Non-covered item or service |
12,804 |
8,943 |
$28K |
| 96523 |
|
1,535 |
1,091 |
$28K |
| M0243 |
Casirivi and imdevi inj |
223 |
180 |
$27K |
| 84703 |
|
5,105 |
4,198 |
$26K |
| 83036 |
|
4,662 |
4,034 |
$26K |
| J0561 |
Penicillin g benzathine inj |
307 |
195 |
$26K |
| U0005 |
Infec agen detec ampli probe |
1,476 |
1,217 |
$25K |
| 93925 |
|
436 |
374 |
$24K |
| 90471 |
|
1,241 |
1,005 |
$23K |
| 82375 |
|
2,905 |
2,159 |
$21K |
| 76856 |
|
372 |
326 |
$20K |
| 85007 |
|
8,081 |
5,745 |
$20K |
| 85610 |
|
8,711 |
6,229 |
$20K |
| J2997 |
Alteplase recombinant |
183 |
133 |
$19K |
| 96411 |
|
779 |
316 |
$18K |
| 70486 |
|
403 |
329 |
$18K |
| 82150 |
|
3,811 |
3,162 |
$18K |
| 83550 |
|
5,537 |
4,197 |
$16K |
| 97112 |
|
899 |
207 |
$16K |
| 84439 |
|
3,411 |
2,687 |
$16K |
| 99239 |
|
437 |
342 |
$15K |
| 82607 |
|
2,370 |
1,889 |
$15K |
| 85379 |
|
2,729 |
2,191 |
$15K |
| 77336 |
|
248 |
98 |
$14K |
| 86140 |
|
4,934 |
3,937 |
$14K |
| 97116 |
|
1,276 |
341 |
$13K |
| 70491 |
|
187 |
119 |
$13K |
| 83050 |
|
2,893 |
2,159 |
$13K |
| 83540 |
|
5,550 |
4,207 |
$12K |
| 87070 |
|
2,235 |
1,806 |
$12K |
| 93970 |
|
189 |
170 |
$12K |
| 82378 |
|
2,019 |
1,274 |
$12K |
| 85730 |
|
3,060 |
2,373 |
$10K |
| 80069 |
|
3,041 |
1,950 |
$10K |
| 93922 |
|
259 |
230 |
$10K |
| 70553 |
|
64 |
53 |
$9K |
| 99215 |
Prolong outpt/office vis |
196 |
160 |
$9K |
| 75716 |
|
14 |
13 |
$9K |
| 74178 |
|
84 |
73 |
$8K |
| 83615 |
|
2,634 |
1,832 |
$7K |
| 93880 |
|
132 |
118 |
$7K |
| 82550 |
|
2,093 |
1,582 |
$7K |
| J1439 |
Inj ferric carboxymaltos 1mg |
39 |
12 |
$7K |
| 82746 |
|
1,306 |
1,057 |
$7K |
| 73140 |
|
167 |
132 |
$6K |
| 87205 |
|
2,271 |
1,755 |
$6K |
| 84550 |
|
2,325 |
1,781 |
$6K |
| 82570 |
|
2,074 |
1,729 |
$6K |
| 85045 |
|
2,969 |
2,047 |
$6K |
| 85652 |
|
4,132 |
3,238 |
$6K |
| 73080 |
|
152 |
125 |
$6K |
| 76000 |
|
39 |
33 |
$5K |
| 70498 |
|
138 |
99 |
$5K |
| 72131 |
|
158 |
132 |
$5K |
| 82784 |
|
2,535 |
767 |
$5K |
| 82565 |
|
2,395 |
1,805 |
$5K |
| 99238 |
|
271 |
173 |
$5K |
| 84153 |
|
926 |
647 |
$5K |
| 73590 |
|
112 |
96 |
$5K |
| 87389 |
|
447 |
318 |
$5K |
| 88305 |
|
298 |
185 |
$5K |
| 80164 |
|
544 |
416 |
$4K |
| J2800 |
Methocarbamol injection |
889 |
796 |
$4K |
| 80074 |
|
231 |
169 |
$4K |
| J7030 |
Normal saline solution infus |
24,541 |
16,928 |
$4K |
| 97162 |
|
111 |
89 |
$4K |
| 87210 |
|
1,129 |
978 |
$4K |
| 82043 |
|
1,145 |
1,021 |
$4K |
| 72070 |
|
59 |
53 |
$4K |
| 94010 |
|
66 |
61 |
$4K |
| G0008 |
Admin influenza virus vac |
257 |
206 |
$3K |
| 83883 |
|
1,005 |
335 |
$3K |
| 76642 |
|
86 |
72 |
$3K |
| 77065 |
Tomosynthesis, mammo |
74 |
64 |
$3K |
| 78227 |
|
13 |
13 |
$3K |
| J7050 |
Normal saline solution infus |
13,311 |
4,585 |
$3K |
| D1120 |
|
395 |
360 |
$3K |
| 70496 |
|
64 |
53 |
$3K |
| J1100 |
Dexamethasone sodium phos |
19,232 |
13,556 |
$3K |
| 12001 |
|
28 |
27 |
$3K |
| D1208 |
|
68 |
60 |
$3K |
| 84165 |
|
1,125 |
856 |
$2K |
| M0247 |
Sotrovimab infusion |
25 |
21 |
$2K |
| 92523 |
|
32 |
25 |
$2K |
| 73090 |
|
64 |
49 |
$2K |
| 76775 |
|
52 |
43 |
$2K |
| D1206 |
|
357 |
320 |
$2K |
| 41899 |
|
14 |
14 |
$2K |
| 90686 |
|
284 |
210 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
10,850 |
8,157 |
$2K |
| C1887 |
Catheter, guiding |
1,182 |
902 |
$2K |
| 99204 |
|
55 |
39 |
$2K |
| 36589 |
|
13 |
13 |
$2K |
| 36416 |
|
695 |
502 |
$2K |
| J2405 |
Ondansetron hcl injection |
28,258 |
19,404 |
$1K |
| 96415 |
|
32 |
24 |
$1K |
| 84156 |
|
590 |
461 |
$1K |
| M0222 |
Bebtelovimab injection |
17 |
12 |
$1K |
| 86803 |
|
167 |
136 |
$1K |
| 96416 |
|
20 |
12 |
$1K |
| C1894 |
Intro/sheath, non-laser |
4,752 |
3,610 |
$1K |
| M0239 |
Bamlanivimab-xxxx infusion |
21 |
16 |
$1K |
| 76770 |
|
15 |
14 |
$1K |
| 83970 |
|
60 |
50 |
$1K |
| 74019 |
|
13 |
13 |
$1K |
| J1200 |
Diphenhydramine hcl injectio |
12,431 |
7,794 |
$1K |
| 84480 |
|
90 |
81 |
$997.36 |
| 86003 |
|
623 |
14 |
$951.52 |
| 84100 |
|
500 |
358 |
$947.71 |
| J8540 |
Oral dexamethasone |
712 |
308 |
$930.30 |
| 82009 |
|
407 |
267 |
$929.98 |
| J0640 |
Leucovorin calcium injection |
280 |
61 |
$913.59 |
| A0426 |
Als 1 |
173 |
128 |
$846.69 |
| 36591 |
|
391 |
265 |
$716.38 |
| 80177 |
|
76 |
66 |
$667.12 |
| 83516 |
|
186 |
80 |
$663.78 |
| C1769 |
Guide wire |
4,563 |
3,466 |
$660.49 |
| 86480 |
|
31 |
24 |
$631.02 |
| G1004 |
Cdsm ndsc |
8,187 |
4,429 |
$608.12 |
| 76536 |
|
13 |
12 |
$598.58 |
| J7120 |
Ringers lactate infusion |
5,720 |
3,890 |
$591.07 |
| 74022 |
|
15 |
12 |
$580.97 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
20,128 |
15,340 |
$579.23 |
| 85014 |
|
321 |
211 |
$554.97 |
| 76830 |
|
12 |
12 |
$529.71 |
| A9552 |
F18 fdg |
1,298 |
1,022 |
$508.27 |
| J2780 |
Ranitidine hydrochloride inj |
190 |
90 |
$484.76 |
| J2550 |
Promethazine hcl injection |
8,769 |
6,557 |
$474.89 |
| 86038 |
|
90 |
67 |
$464.82 |
| J2930 |
Methylprednisolone injection |
3,830 |
2,858 |
$459.62 |
| 96377 |
|
111 |
77 |
$454.56 |
| D0230 |
|
832 |
208 |
$433.24 |
| J3475 |
Inj magnesium sulfate |
1,373 |
834 |
$410.22 |
| C1760 |
Closure dev, vasc |
212 |
171 |
$399.05 |
| J3010 |
Fentanyl citrate injection |
10,638 |
8,138 |
$388.22 |
| 0012A |
|
17 |
16 |
$387.65 |
| J9190 |
Fluorouracil injection |
326 |
63 |
$358.18 |
| J2270 |
Morphine sulfate injection |
13,508 |
9,395 |
$350.63 |
| 85018 |
|
220 |
139 |
$350.02 |
| 96376 |
|
5,314 |
3,273 |
$340.35 |
| 0004A |
|
16 |
13 |
$335.13 |
| 97140 |
|
29 |
12 |
$313.81 |
| J0696 |
Ceftriaxone sodium injection |
12,917 |
10,363 |
$305.24 |
| 82785 |
|
29 |
16 |
$290.84 |
| J7040 |
Normal saline solution infus |
920 |
336 |
$288.95 |
| J2272 |
Inj, morphine (fresenius) |
2,933 |
2,199 |
$275.80 |
| 83695 |
|
54 |
42 |
$271.73 |
| 82272 |
|
99 |
87 |
$266.83 |
| 0011A |
|
25 |
23 |
$259.94 |
| C1725 |
Cath, translumin non-laser |
1,930 |
1,487 |
$257.52 |
| 82085 |
|
56 |
42 |
$237.94 |
| 87046 |
|
12 |
12 |
$219.88 |
| 87427 |
|
18 |
12 |
$218.96 |
| D0220 |
|
400 |
365 |
$217.14 |
| G2211 |
Complex e/m visit add on |
254 |
197 |
$209.86 |
| 85384 |
|
34 |
32 |
$195.10 |
| 80076 |
|
31 |
28 |
$189.35 |
| 84681 |
|
16 |
13 |
$179.85 |
| J2919 |
Inj, methylpred sod succ 5mg |
504 |
382 |
$178.66 |
| 83655 |
|
13 |
13 |
$175.76 |
| 82553 |
|
23 |
14 |
$173.77 |
| 86200 |
|
25 |
24 |
$140.52 |
| 86160 |
|
26 |
12 |
$130.48 |
| 85347 |
|
38 |
25 |
$120.28 |
| 87045 |
|
12 |
12 |
$114.69 |
| 83525 |
|
14 |
12 |
$98.81 |
| J1885 |
Ketorolac tromethamine inj |
20,295 |
15,705 |
$93.08 |
| J3420 |
Vitamin b12 injection |
409 |
233 |
$92.98 |
| 86060 |
|
12 |
12 |
$89.93 |
| Q0162 |
Ondansetron oral |
5,179 |
4,032 |
$82.70 |
| G0379 |
Direct refer hospital observ |
13 |
13 |
$82.68 |
| 86308 |
|
17 |
12 |
$62.60 |
| J2175 |
Meperidine hydrochl /100 mg |
992 |
668 |
$53.53 |
| 84132 |
|
13 |
12 |
$50.09 |
| J1170 |
Hydromorphone injection |
6,067 |
4,005 |
$49.32 |
| J0690 |
Cefazolin sodium injection |
5,594 |
3,637 |
$44.15 |
| A9579 |
Gad-base mr contrast nos,1ml |
1,034 |
846 |
$36.84 |
| J2704 |
Inj, propofol, 10 mg |
7,006 |
5,247 |
$33.32 |
| J2060 |
Lorazepam injection |
2,141 |
1,587 |
$23.30 |
| J1644 |
Inj heparin sodium per 1000u |
7,814 |
3,936 |
$22.95 |
| 83521 |
|
1,131 |
429 |
$22.18 |
| C9113 |
Inj pantoprazole sodium, via |
1,640 |
1,002 |
$15.97 |
| J1650 |
Inj enoxaparin sodium |
1,764 |
758 |
$12.80 |
| J1030 |
Methylprednisolone 40 mg inj |
1,525 |
1,337 |
$12.28 |
| 94729 |
|
1,205 |
1,059 |
$11.79 |
| J3370 |
Vancomycin hcl injection |
1,350 |
861 |
$10.50 |
| J0780 |
Prochlorperazine injection |
2,020 |
1,538 |
$8.94 |
| J3480 |
Inj potassium chloride |
89 |
48 |
$7.86 |
| J1940 |
Furosemide injection |
2,290 |
1,552 |
$6.76 |
| 77063 |
|
243 |
213 |
$6.03 |
| J1790 |
Droperidol injection |
556 |
465 |
$4.07 |
| A9503 |
Tc99m medronate |
15 |
12 |
$1.91 |
| J7060 |
5% dextrose/water |
283 |
60 |
$1.71 |
| J0688 |
Inj cefazolin sodium, hikma |
50 |
31 |
$0.89 |
| J2370 |
Phenylephrine hcl injection |
1,974 |
1,330 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
1,263 |
940 |
$0.00 |
| 94760 |
|
230 |
109 |
$0.00 |
| J2785 |
Regadenoson injection |
507 |
447 |
$0.00 |
| J0592 |
Buprenorphine hydrochloride |
675 |
569 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
76 |
69 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
1,433 |
1,112 |
$0.00 |
| 36410 |
|
13 |
12 |
$0.00 |
| 96368 |
|
662 |
373 |
$0.00 |
| A0888 |
Noncovered ambulance mileage |
2,864 |
1,687 |
$0.00 |
| 77001 |
|
428 |
360 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
946 |
733 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
941 |
364 |
$0.00 |
| A9609 |
F18 fdg, 15 millicuries |
207 |
164 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
343 |
272 |
$0.00 |
| C1750 |
Cath, hemodialysis,long-term |
81 |
77 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
31 |
28 |
$0.00 |
| J2805 |
Sincalide injection |
12 |
12 |
$0.00 |
| J2001 |
Lidocaine injection |
733 |
597 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
413 |
287 |
$0.00 |
| J3490 |
Drugs unclassified injection |
125 |
89 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
30 |
14 |
$0.00 |
| J1630 |
Haloperidol injection |
27 |
25 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
16 |
15 |
$0.00 |
| J0456 |
Azithromycin |
33 |
25 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
853 |
740 |
$0.00 |
| J0595 |
Butorphanol tartrate 1 mg |
33 |
27 |
$0.00 |
| J1953 |
Levetiracetam injection |
451 |
340 |
$0.00 |
| J2300 |
Inj nalbuphine hydrochloride |
282 |
227 |
$0.00 |
| 90715 |
|
629 |
516 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
901 |
825 |
$0.00 |
| 84145 |
|
640 |
505 |
$0.00 |
| C1788 |
Port, indwelling, imp |
476 |
373 |
$0.00 |
| 76937 |
|
415 |
321 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
563 |
440 |
$0.00 |
| J1956 |
Levofloxacin injection |
65 |
41 |
$0.00 |
| G8978 |
Mobility current status |
67 |
56 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
128 |
98 |
$0.00 |
| C1874 |
Stent, coated/cov w/del sys |
59 |
52 |
$0.00 |
| C1729 |
Cath, drainage |
40 |
24 |
$0.00 |
| G8979 |
Mobility goal status |
102 |
80 |
$0.00 |
| A9537 |
Tc99m mebrofenin |
13 |
13 |
$0.00 |
| J1643 |
Inj heparin, pfizer, 1000u |
128 |
62 |
$0.00 |
| J1580 |
Garamycin gentamicin inj |
21 |
14 |
$0.00 |
| G0279 |
Tomosynthesis, mammo |
13 |
12 |
$0.00 |