| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
50,010 |
39,295 |
$13.40M |
| 99284 |
|
44,047 |
38,056 |
$7.00M |
| 74176 |
|
15,381 |
11,877 |
$5.20M |
| 99283 |
|
24,569 |
22,334 |
$2.88M |
| 93458 |
|
3,194 |
1,887 |
$2.88M |
| 74177 |
|
6,436 |
5,005 |
$2.51M |
| G0378 |
Hospital observation per hr |
8,655 |
6,406 |
$2.17M |
| 70450 |
|
10,824 |
8,057 |
$1.85M |
| 96374 |
|
38,249 |
27,288 |
$1.57M |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
20,270 |
17,669 |
$1.47M |
| 93005 |
|
35,722 |
30,055 |
$1.41M |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,797 |
1,450 |
$1.33M |
| 96375 |
|
23,230 |
17,127 |
$1.15M |
| 93306 |
|
3,701 |
3,206 |
$997K |
| 88305 |
|
10,889 |
9,655 |
$992K |
| 71046 |
|
21,267 |
17,108 |
$826K |
| 80053 |
|
107,936 |
69,973 |
$782K |
| 72125 |
|
3,533 |
3,055 |
$734K |
| 71045 |
|
25,897 |
16,444 |
$733K |
| 36415 |
|
149,010 |
74,932 |
$708K |
| 72148 |
|
2,193 |
2,036 |
$689K |
| 96372 |
|
28,171 |
19,849 |
$688K |
| 62323 |
|
2,913 |
2,210 |
$668K |
| 80307 |
|
13,220 |
11,478 |
$638K |
| 96365 |
|
14,992 |
6,302 |
$638K |
| 73721 |
|
1,637 |
1,500 |
$593K |
| 85025 |
|
87,688 |
68,323 |
$565K |
| 99282 |
|
7,115 |
6,636 |
$522K |
| 96361 |
|
30,126 |
14,973 |
$508K |
| 97110 |
|
10,938 |
2,588 |
$493K |
| 76705 |
|
5,168 |
4,751 |
$470K |
| 71275 |
|
2,515 |
1,900 |
$469K |
| 43239 |
|
3,183 |
2,616 |
$443K |
| J7030 |
Normal saline solution infus |
23,294 |
19,476 |
$435K |
| 71250 |
|
3,641 |
3,282 |
$422K |
| 71260 |
|
2,699 |
2,005 |
$401K |
| 99218 |
|
1,478 |
1,241 |
$390K |
| 70553 |
|
1,297 |
1,013 |
$383K |
| 70551 |
|
1,338 |
1,127 |
$382K |
| 95810 |
|
805 |
741 |
$368K |
| 70498 |
|
1,487 |
1,084 |
$360K |
| 11042 |
|
7,010 |
2,818 |
$350K |
| 74178 |
|
840 |
564 |
$334K |
| 99211 |
|
4,477 |
3,604 |
$331K |
| 78452 |
|
1,331 |
976 |
$326K |
| 41899 |
|
450 |
430 |
$316K |
| 72131 |
|
1,807 |
1,396 |
$310K |
| 47563 |
|
432 |
325 |
$303K |
| 94640 |
|
7,975 |
4,987 |
$295K |
| 70486 |
|
1,490 |
1,366 |
$280K |
| 73564 |
|
4,703 |
3,642 |
$271K |
| 84484 |
|
20,467 |
16,922 |
$269K |
| 72141 |
|
759 |
667 |
$259K |
| 87804 |
|
9,877 |
8,999 |
$243K |
| 73630 |
|
4,082 |
3,575 |
$239K |
| 96360 |
|
8,967 |
3,966 |
$238K |
| 45380 |
|
1,122 |
959 |
$236K |
| 93017 |
|
1,229 |
1,115 |
$223K |
| 72110 |
|
2,389 |
1,983 |
$220K |
| 70496 |
|
1,035 |
820 |
$217K |
| 73221 |
|
626 |
573 |
$216K |
| A9552 |
F18 fdg |
1,320 |
795 |
$213K |
| 93971 |
|
1,794 |
1,638 |
$210K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,438 |
3,037 |
$208K |
| 74018 |
|
4,205 |
3,406 |
$202K |
| 73130 |
|
3,868 |
3,122 |
$202K |
| 73610 |
|
3,765 |
3,185 |
$198K |
| A9500 |
Tc99m sestamibi |
740 |
673 |
$197K |
| 99281 |
|
5,372 |
4,807 |
$194K |
| J7120 |
Ringers lactate infusion |
7,311 |
5,336 |
$185K |
| 73030 |
|
4,241 |
3,252 |
$181K |
| 76700 |
|
1,165 |
1,077 |
$172K |
| 95811 |
|
437 |
390 |
$170K |
| A9579 |
Gad-base mr contrast nos,1ml |
1,845 |
1,709 |
$161K |
| 87880 |
|
11,989 |
11,324 |
$160K |
| 0241U |
|
1,202 |
1,138 |
$154K |
| 87428 |
|
5,718 |
4,935 |
$146K |
| G0480 |
Drug test def 1-7 classes |
1,940 |
1,601 |
$146K |
| J7050 |
Normal saline solution infus |
9,701 |
6,224 |
$145K |
| J2270 |
Morphine sulfate injection |
9,585 |
7,227 |
$144K |
| 73110 |
|
2,955 |
2,379 |
$143K |
| 77067 |
|
2,757 |
2,622 |
$141K |
| 45385 |
|
629 |
464 |
$139K |
| C1769 |
Guide wire |
3,045 |
2,701 |
$137K |
| 72128 |
|
748 |
633 |
$136K |
| 88304 |
|
3,743 |
3,287 |
$132K |
| 84443 |
|
9,544 |
8,703 |
$125K |
| 80048 |
|
17,784 |
11,540 |
$123K |
| 96366 |
|
4,682 |
2,033 |
$121K |
| 81025 |
|
18,368 |
16,064 |
$121K |
| 78226 |
|
726 |
584 |
$118K |
| 76641 |
|
1,454 |
1,357 |
$115K |
| 83605 |
|
12,303 |
10,821 |
$115K |
| 83690 |
|
19,584 |
17,281 |
$113K |
| 99213 |
|
2,942 |
2,610 |
$112K |
| 76770 |
|
1,336 |
1,232 |
$111K |
| C9803 |
Hopd covid-19 spec collect |
15,294 |
10,332 |
$110K |
| 76536 |
|
1,378 |
1,291 |
$109K |
| 62321 |
|
429 |
342 |
$108K |
| 76000 |
|
1,943 |
1,582 |
$107K |
| 96376 |
|
8,171 |
4,273 |
$100K |
| C1760 |
Closure dev, vasc |
1,061 |
949 |
$97K |
| 72100 |
|
1,961 |
1,619 |
$97K |
| 78815 |
|
210 |
165 |
$96K |
| 73080 |
|
1,563 |
1,306 |
$93K |
| 0240U |
|
1,159 |
1,030 |
$91K |
| G0379 |
Direct refer hospital observ |
1,203 |
1,064 |
$91K |
| 83735 |
|
14,885 |
12,424 |
$86K |
| 12001 |
|
1,729 |
1,514 |
$82K |
| 42820 |
|
158 |
154 |
$82K |
| 82962 |
|
23,232 |
16,650 |
$82K |
| 81001 |
|
31,208 |
27,337 |
$80K |
| 77336 |
|
845 |
250 |
$75K |
| 97161 |
|
3,899 |
1,584 |
$74K |
| 87081 |
|
12,686 |
11,654 |
$73K |
| 73502 |
|
1,607 |
1,153 |
$71K |
| 83880 |
|
2,441 |
2,153 |
$68K |
| 87086 |
|
9,389 |
8,278 |
$66K |
| 82803 |
|
3,525 |
3,052 |
$66K |
| 73590 |
|
1,489 |
1,227 |
$66K |
| 97140 |
|
1,518 |
534 |
$65K |
| 76856 |
|
669 |
632 |
$65K |
| J2360 |
Orphenadrine injection |
2,280 |
2,137 |
$65K |
| 93975 |
|
450 |
424 |
$64K |
| 80061 |
|
7,052 |
5,323 |
$61K |
| 71101 |
|
908 |
720 |
$60K |
| J0696 |
Ceftriaxone sodium injection |
857 |
735 |
$58K |
| 72170 |
|
1,578 |
1,066 |
$56K |
| J2930 |
Methylprednisolone injection |
3,307 |
2,869 |
$55K |
| 88307 |
|
722 |
551 |
$54K |
| A9502 |
Tc99m tetrofosmin |
130 |
117 |
$54K |
| 88312 |
|
1,537 |
1,463 |
$53K |
| U0005 |
Infec agen detec ampli probe |
2,807 |
2,563 |
$52K |
| 77334 |
|
126 |
78 |
$52K |
| 84702 |
|
3,932 |
2,977 |
$51K |
| 80074 |
|
1,619 |
1,338 |
$51K |
| 87040 |
|
4,020 |
3,440 |
$51K |
| 73090 |
|
1,289 |
1,111 |
$49K |
| 77080 |
|
1,279 |
968 |
$49K |
| 85610 |
|
13,931 |
11,508 |
$48K |
| 88313 |
|
1,254 |
1,161 |
$48K |
| 64493 |
|
276 |
182 |
$48K |
| 71271 |
|
1,846 |
1,681 |
$48K |
| J1040 |
Methylprednisolone 80 mg inj |
2,960 |
2,742 |
$46K |
| 93880 |
|
358 |
300 |
$43K |
| 82306 |
|
2,223 |
1,897 |
$43K |
| 87635 |
|
1,238 |
1,015 |
$43K |
| C1889 |
Implant/insert device, noc |
563 |
426 |
$42K |
| 85379 |
|
4,860 |
4,448 |
$41K |
| 84703 |
|
6,293 |
5,788 |
$40K |
| 87077 |
|
6,696 |
4,852 |
$40K |
| 97530 |
|
3,875 |
1,429 |
$40K |
| 85730 |
|
8,593 |
7,281 |
$38K |
| 77063 |
|
3,789 |
3,067 |
$38K |
| 87186 |
|
4,450 |
4,042 |
$36K |
| 76870 |
|
379 |
350 |
$36K |
| 72050 |
|
452 |
374 |
$35K |
| J1815 |
Insulin injection |
2,207 |
1,610 |
$35K |
| 10060 |
|
464 |
366 |
$34K |
| 90471 |
|
2,830 |
2,479 |
$34K |
| 87522 |
Neg quan hep c or qual rna |
817 |
767 |
$33K |
| 87591 |
|
1,080 |
993 |
$32K |
| 77412 |
|
319 |
25 |
$32K |
| 87491 |
|
1,079 |
992 |
$32K |
| G0279 |
Tomosynthesis, mammo |
1,773 |
1,184 |
$29K |
| 87807 |
|
2,537 |
2,432 |
$29K |
| J1200 |
Diphenhydramine hcl injectio |
3,022 |
2,739 |
$28K |
| C9600 |
Perc drug-el cor stent sing |
113 |
12 |
$28K |
| 83036 |
|
4,264 |
3,786 |
$28K |
| 86850 |
|
4,209 |
3,247 |
$28K |
| 81015 |
|
7,748 |
6,738 |
$27K |
| J2550 |
Promethazine hcl injection |
2,681 |
2,166 |
$26K |
| 73560 |
|
1,174 |
902 |
$26K |
| 36600 |
|
2,343 |
1,821 |
$25K |
| 97112 |
|
1,004 |
448 |
$25K |
| 86140 |
|
5,558 |
4,738 |
$25K |
| J2250 |
Inj midazolam hydrochloride |
1,647 |
1,396 |
$24K |
| 74246 |
|
206 |
202 |
$24K |
| 84146 |
|
1,347 |
1,237 |
$24K |
| 43249 |
|
129 |
77 |
$24K |
| 73140 |
|
582 |
508 |
$23K |
| 69436 |
|
114 |
110 |
$22K |
| 87070 |
|
4,165 |
2,117 |
$22K |
| 90715 |
|
1,772 |
1,659 |
$22K |
| 82565 |
|
1,977 |
1,508 |
$22K |
| 70491 |
|
113 |
75 |
$22K |
| 12002 |
|
386 |
332 |
$21K |
| J0153 |
Adenosine inj 1mg |
143 |
121 |
$21K |
| 82607 |
|
1,822 |
1,530 |
$20K |
| 77300 |
|
146 |
51 |
$19K |
| 87426 |
|
1,136 |
918 |
$19K |
| 12011 |
|
472 |
427 |
$19K |
| J7799 |
Non-inhalation drug for dme |
782 |
580 |
$19K |
| 80143 |
|
1,231 |
1,077 |
$19K |
| 76001 |
|
148 |
134 |
$19K |
| J7040 |
Normal saline solution infus |
1,137 |
951 |
$19K |
| C1874 |
Stent, coated/cov w/del sys |
18 |
15 |
$18K |
| J1885 |
Ketorolac tromethamine inj |
5,233 |
4,634 |
$18K |
| 72052 |
|
270 |
207 |
$17K |
| G0463 |
Hospital outpt clinic visit |
2,872 |
2,266 |
$17K |
| 84439 |
|
2,385 |
2,172 |
$16K |
| 76801 |
|
421 |
379 |
$16K |
| 80179 |
|
1,071 |
993 |
$16K |
| 77066 |
Tomosynthesis, mammo |
260 |
246 |
$16K |
| 80324 |
|
559 |
488 |
$16K |
| 86901 |
|
5,814 |
4,684 |
$15K |
| 17250 |
|
363 |
190 |
$15K |
| 85027 |
|
2,998 |
2,509 |
$15K |
| 73562 |
|
264 |
199 |
$15K |
| 86900 |
|
6,086 |
4,708 |
$15K |
| 99203 |
|
369 |
361 |
$14K |
| 84153 |
|
1,415 |
1,181 |
$14K |
| J2060 |
Lorazepam injection |
1,428 |
1,223 |
$14K |
| J0690 |
Cefazolin sodium injection |
2,017 |
1,506 |
$14K |
| G0297 |
Ldct for lung ca screen |
524 |
472 |
$13K |
| 88112 |
|
277 |
222 |
$13K |
| 84520 |
|
1,305 |
1,148 |
$13K |
| 72070 |
|
256 |
202 |
$13K |
| A9537 |
Tc99m mebrofenin |
123 |
121 |
$13K |
| G0475 |
Hiv combination assay |
499 |
436 |
$13K |
| 52356 |
|
13 |
12 |
$13K |
| G0399 |
Home sleep test/type 3 porta |
212 |
195 |
$12K |
| 88342 |
|
330 |
301 |
$12K |
| 82010 |
|
1,421 |
1,233 |
$11K |
| J2785 |
Regadenoson injection |
113 |
98 |
$11K |
| 74300 |
|
107 |
104 |
$11K |
| 82728 |
|
1,006 |
866 |
$10K |
| 74420 |
|
108 |
100 |
$10K |
| 82550 |
|
1,565 |
1,271 |
$10K |
| U0002 |
Covid-19 lab test non-cdc |
239 |
214 |
$10K |
| 74021 |
|
188 |
172 |
$10K |
| 0012A |
|
592 |
488 |
$9K |
| 97164 |
|
350 |
333 |
$9K |
| 97165 |
|
383 |
298 |
$9K |
| 72072 |
|
152 |
124 |
$9K |
| 85652 |
|
3,609 |
3,103 |
$9K |
| 93970 |
|
72 |
65 |
$9K |
| 74019 |
|
206 |
187 |
$9K |
| 84100 |
|
1,556 |
1,287 |
$8K |
| 73600 |
|
235 |
182 |
$8K |
| 97116 |
|
887 |
378 |
$8K |
| 82150 |
|
1,441 |
1,301 |
$8K |
| 96367 |
|
732 |
472 |
$8K |
| C1758 |
Catheter, ureteral |
342 |
308 |
$8K |
| 87633 |
|
22 |
22 |
$8K |
| 0011A |
|
666 |
531 |
$8K |
| 84403 |
|
357 |
316 |
$8K |
| 87205 |
|
1,761 |
1,562 |
$7K |
| M0243 |
Casirivi and imdevi inj |
82 |
69 |
$7K |
| J7060 |
5% dextrose/water |
323 |
210 |
$7K |
| 78264 |
|
37 |
25 |
$7K |
| C1887 |
Catheter, guiding |
326 |
290 |
$6K |
| J0583 |
Bivalirudin |
12 |
12 |
$6K |
| J1170 |
Hydromorphone injection |
5,188 |
3,614 |
$6K |
| 76815 |
|
66 |
61 |
$6K |
| 80076 |
|
466 |
340 |
$6K |
| 86255 |
|
398 |
378 |
$6K |
| 82784 |
|
509 |
455 |
$6K |
| C1726 |
Cath, bal dil, non-vascular |
24 |
24 |
$6K |
| 93925 |
|
51 |
42 |
$6K |
| J1580 |
Garamycin gentamicin inj |
349 |
290 |
$6K |
| J2405 |
Ondansetron hcl injection |
6,829 |
5,711 |
$6K |
| 72020 |
|
115 |
102 |
$5K |
| 64635 |
|
12 |
12 |
$5K |
| 94375 |
|
59 |
49 |
$5K |
| 84145 |
|
261 |
237 |
$5K |
| J1030 |
Methylprednisolone 40 mg inj |
253 |
248 |
$5K |
| 82248 |
|
868 |
652 |
$5K |
| A9510 |
Tc99m disofenin |
197 |
187 |
$5K |
| 20553 |
|
15 |
14 |
$5K |
| 83550 |
|
658 |
617 |
$5K |
| 86038 |
|
478 |
444 |
$5K |
| 83540 |
|
925 |
849 |
$5K |
| 76830 |
|
48 |
44 |
$4K |
| 97535 |
|
555 |
279 |
$4K |
| G0103 |
Psa screening |
649 |
315 |
$4K |
| 88302 |
|
126 |
109 |
$4K |
| J1100 |
Dexamethasone sodium phos |
1,087 |
1,022 |
$4K |
| C2617 |
Stent, non-cor, tem w/o del |
54 |
51 |
$4K |
| 45378 |
|
25 |
24 |
$4K |
| 99214 |
|
83 |
78 |
$4K |
| 73552 |
|
71 |
65 |
$4K |
| J0780 |
Prochlorperazine injection |
656 |
563 |
$3K |
| G0433 |
Elisa hiv-1/hiv-2 screen |
225 |
209 |
$3K |
| J1644 |
Inj heparin sodium per 1000u |
425 |
249 |
$3K |
| 83516 |
|
142 |
133 |
$3K |
| C1894 |
Intro/sheath, non-laser |
91 |
85 |
$3K |
| 76811 |
|
24 |
24 |
$3K |
| 77280 |
|
44 |
12 |
$3K |
| 99212 |
|
70 |
50 |
$3K |
| 36430 |
|
27 |
24 |
$3K |
| J2919 |
Inj, methylpred sod succ 5mg |
367 |
316 |
$3K |
| 80305 |
|
251 |
244 |
$2K |
| 92526 |
|
50 |
38 |
$2K |
| 93660 |
|
17 |
17 |
$2K |
| 93922 |
|
13 |
12 |
$2K |
| 83970 |
|
44 |
42 |
$2K |
| 86308 |
|
465 |
435 |
$2K |
| G0260 |
Inj for sacroiliac jt anesth |
34 |
26 |
$2K |
| J1010 |
Inj, methylpred acetate 1 mg |
123 |
120 |
$2K |
| 82746 |
|
155 |
149 |
$2K |
| J2800 |
Methocarbamol injection |
344 |
316 |
$2K |
| 73060 |
|
58 |
42 |
$2K |
| 86706 |
|
201 |
194 |
$2K |
| C1781 |
Mesh (implantable) |
16 |
12 |
$2K |
| 82042 |
|
364 |
321 |
$2K |
| 82308 |
|
81 |
74 |
$2K |
| 95816 |
|
19 |
12 |
$2K |
| 74230 |
|
52 |
24 |
$2K |
| 83520 |
|
89 |
86 |
$2K |
| 82103 |
|
131 |
112 |
$2K |
| J3475 |
Inj magnesium sulfate |
259 |
227 |
$2K |
| 88300 |
|
88 |
86 |
$1K |
| 87210 |
|
314 |
288 |
$1K |
| 82570 |
|
348 |
319 |
$1K |
| 76642 |
|
15 |
14 |
$1K |
| 83010 |
|
76 |
70 |
$1K |
| 94729 |
|
27 |
24 |
$1K |
| 29126 |
|
30 |
29 |
$1K |
| 94727 |
|
27 |
24 |
$1K |
| C1765 |
Adhesion barrier |
22 |
13 |
$1K |
| 84550 |
|
265 |
236 |
$1K |
| 97162 |
|
13 |
13 |
$1K |
| 73100 |
|
37 |
24 |
$1K |
| 85007 |
|
357 |
307 |
$1K |
| 81596 |
|
25 |
25 |
$1K |
| P9016 |
Rbc leukocytes reduced |
27 |
12 |
$1K |
| 87899 |
|
43 |
39 |
$1K |
| J2920 |
Methylprednisolone injection |
63 |
40 |
$1K |
| 87340 |
|
93 |
91 |
$924.79 |
| 83615 |
|
213 |
183 |
$918.37 |
| 86708 |
|
83 |
81 |
$906.36 |
| 99499 |
|
73 |
59 |
$900.75 |
| 83883 |
|
73 |
68 |
$898.50 |
| 87661 |
|
40 |
24 |
$882.65 |
| Q0162 |
Ondansetron oral |
1,835 |
1,747 |
$861.37 |
| J0694 |
Cefoxitin sodium injection |
35 |
28 |
$715.02 |
| 87075 |
|
38 |
36 |
$710.41 |
| 82104 |
|
61 |
59 |
$694.78 |
| 77065 |
Tomosynthesis, mammo |
13 |
13 |
$688.12 |
| 70360 |
|
15 |
13 |
$648.05 |
| A9270 |
Non-covered item or service |
2,143 |
567 |
$622.76 |
| 82272 |
|
173 |
161 |
$591.37 |
| 82140 |
|
54 |
52 |
$581.28 |
| 82247 |
|
132 |
93 |
$517.08 |
| 36416 |
|
105 |
67 |
$481.37 |
| 86703 |
|
73 |
68 |
$445.26 |
| 96368 |
|
37 |
31 |
$437.06 |
| 87339 |
|
32 |
29 |
$433.01 |
| 90714 |
|
41 |
38 |
$427.56 |
| 83874 |
|
47 |
39 |
$393.42 |
| 80069 |
|
64 |
38 |
$375.17 |
| 94200 |
|
27 |
24 |
$345.57 |
| 85576 |
|
17 |
15 |
$332.29 |
| 84436 |
|
57 |
48 |
$322.37 |
| 86780 |
|
30 |
27 |
$290.92 |
| 86677 |
|
13 |
13 |
$288.04 |
| 87045 |
|
29 |
27 |
$287.26 |
| 86803 |
|
26 |
24 |
$270.05 |
| 11045 |
|
38 |
12 |
$249.93 |
| 86696 |
|
12 |
12 |
$248.86 |
| 84402 |
|
15 |
12 |
$240.75 |
| 82390 |
|
25 |
24 |
$218.80 |
| 86381 |
|
15 |
14 |
$193.94 |
| C1766 |
Intro/sheath,strble,non-peel |
18 |
17 |
$187.43 |
| J0360 |
Hydralazine hcl injection |
42 |
38 |
$179.20 |
| 80320 |
|
34 |
32 |
$176.83 |
| 86704 |
|
12 |
12 |
$169.44 |
| 80164 |
|
15 |
13 |
$150.52 |
| 86695 |
|
12 |
12 |
$144.81 |
| 82310 |
|
43 |
25 |
$131.02 |
| 87015 |
|
13 |
12 |
$122.31 |
| 88311 |
|
12 |
12 |
$121.28 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
75 |
60 |
$114.69 |
| 86015 |
|
13 |
12 |
$111.37 |
| Q2035 |
Afluria vacc, 3 yrs & >, im |
19 |
14 |
$110.24 |
| G0008 |
Admin influenza virus vac |
18 |
14 |
$103.00 |
| Q9969 |
Non-heu tc-99m add-on/dose |
567 |
541 |
$92.19 |
| Q0177 |
Hydroxyzine pamoate 25mg |
13 |
13 |
$83.43 |
| 87400 |
|
124 |
43 |
$48.25 |
| 86592 |
|
13 |
13 |
$45.94 |
| 91301 |
|
1,278 |
935 |
$27.46 |
| 80050 |
|
27 |
25 |
$10.26 |
| S2900 |
Robotic surgical system |
313 |
235 |
$0.05 |
| 64636 |
|
12 |
12 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
66 |
58 |
$0.00 |
| Q0245 |
Bamlanivimab and etesevima |
16 |
12 |
$0.00 |
| 64494 |
|
52 |
40 |
$0.00 |