| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
75,732 |
70,474 |
$8.91M |
| G0463 |
Hospital outpt clinic visit |
67,624 |
59,860 |
$6.32M |
| 99284 |
|
43,583 |
39,145 |
$5.24M |
| 99285 |
|
22,459 |
19,388 |
$2.95M |
| 99282 |
|
28,473 |
27,223 |
$2.87M |
| 96361 |
|
6,334 |
4,489 |
$2.11M |
| 70450 |
|
8,735 |
7,686 |
$2.10M |
| 74177 |
|
7,267 |
6,254 |
$1.93M |
| 59025 |
|
4,416 |
1,306 |
$757K |
| 43239 |
|
1,496 |
1,353 |
$713K |
| 80053 |
|
54,777 |
45,452 |
$550K |
| G0378 |
Hospital observation per hr |
5,848 |
2,744 |
$495K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,800 |
2,733 |
$481K |
| 71275 |
|
1,447 |
1,236 |
$412K |
| 96366 |
|
1,501 |
936 |
$376K |
| 74176 |
|
1,431 |
1,191 |
$369K |
| 96365 |
|
3,054 |
1,937 |
$338K |
| 94640 |
|
2,701 |
2,049 |
$324K |
| 11042 |
|
3,391 |
1,586 |
$266K |
| 64483 |
|
578 |
503 |
$240K |
| 95811 |
|
308 |
289 |
$189K |
| 99212 |
|
2,079 |
2,008 |
$176K |
| 96413 |
|
1,438 |
766 |
$174K |
| 95810 |
|
250 |
232 |
$164K |
| 87502 |
|
9,470 |
8,441 |
$158K |
| 85025 |
|
69,289 |
57,468 |
$156K |
| 80048 |
|
18,559 |
15,821 |
$140K |
| 96360 |
|
1,848 |
1,549 |
$138K |
| 64493 |
|
239 |
195 |
$135K |
| 76705 |
|
1,498 |
1,314 |
$133K |
| 97110 |
|
2,103 |
605 |
$132K |
| 71046 |
|
14,906 |
13,711 |
$108K |
| 76856 |
|
607 |
526 |
$106K |
| 84443 |
|
5,328 |
4,763 |
$101K |
| 83605 |
|
18,219 |
14,674 |
$100K |
| 93306 |
|
389 |
353 |
$95K |
| G0382 |
Lev 3 hosp type b ed visit |
1,311 |
1,255 |
$88K |
| 70553 |
|
357 |
324 |
$81K |
| 36415 |
|
63,080 |
51,984 |
$81K |
| 12001 |
|
493 |
422 |
$79K |
| 47563 |
|
36 |
25 |
$75K |
| 84484 |
|
21,873 |
16,933 |
$73K |
| G0381 |
Lev 2 hosp type b ed visit |
958 |
914 |
$73K |
| 00731 |
|
1,712 |
1,554 |
$72K |
| 70491 |
|
234 |
193 |
$72K |
| 71271 |
|
406 |
378 |
$61K |
| 93970 |
|
430 |
383 |
$61K |
| 85027 |
|
9,638 |
8,572 |
$61K |
| 99213 |
|
622 |
581 |
$58K |
| 71250 |
|
654 |
579 |
$57K |
| 80307 |
|
3,847 |
3,168 |
$56K |
| 93971 |
|
916 |
785 |
$56K |
| 93005 |
|
24,011 |
20,908 |
$54K |
| 80061 |
|
4,533 |
4,224 |
$51K |
| 77067 |
|
1,157 |
1,075 |
$50K |
| 76816 |
|
1,856 |
1,647 |
$50K |
| 95800 |
|
151 |
143 |
$49K |
| 0202U |
|
340 |
295 |
$49K |
| H0015 |
Alcohol and/or drug services |
399 |
70 |
$49K |
| 82306 |
|
2,475 |
2,321 |
$49K |
| 72148 |
|
324 |
307 |
$48K |
| 87651 |
|
4,086 |
3,789 |
$43K |
| 99211 |
|
495 |
431 |
$43K |
| 71260 |
|
604 |
525 |
$43K |
| 96374 |
|
31,073 |
26,386 |
$42K |
| 70496 |
|
154 |
127 |
$41K |
| 87635 |
|
10,810 |
9,526 |
$39K |
| 94060 |
|
338 |
316 |
$38K |
| 86900 |
|
1,917 |
1,551 |
$38K |
| 96415 |
|
256 |
144 |
$37K |
| 62323 |
|
97 |
94 |
$37K |
| 78815 |
|
76 |
67 |
$36K |
| 99281 |
|
267 |
256 |
$35K |
| 90853 |
|
2,639 |
365 |
$34K |
| 82728 |
|
2,162 |
1,976 |
$34K |
| 97530 |
|
1,435 |
475 |
$34K |
| 83036 |
|
3,335 |
3,040 |
$34K |
| 78452 |
|
70 |
64 |
$34K |
| 76642 |
|
284 |
257 |
$34K |
| 76819 |
|
1,636 |
1,292 |
$33K |
| 72131 |
|
563 |
481 |
$33K |
| 93976 |
|
338 |
301 |
$33K |
| 72125 |
|
2,316 |
1,983 |
$33K |
| 71045 |
|
9,534 |
8,325 |
$32K |
| 87636 |
|
677 |
671 |
$31K |
| 76536 |
|
284 |
254 |
$30K |
| 76770 |
|
181 |
166 |
$29K |
| 93975 |
|
301 |
226 |
$28K |
| 90791 |
|
157 |
138 |
$27K |
| 76817 |
|
1,408 |
1,222 |
$27K |
| 76811 |
|
825 |
764 |
$25K |
| 81001 |
|
35,321 |
31,061 |
$24K |
| 82607 |
|
1,751 |
1,606 |
$24K |
| 76830 |
|
558 |
463 |
$22K |
| 96372 |
|
18,831 |
15,640 |
$22K |
| 72100 |
|
1,159 |
1,041 |
$21K |
| 84439 |
|
2,059 |
1,856 |
$21K |
| 80305 |
|
2,095 |
796 |
$21K |
| 99204 |
|
355 |
350 |
$19K |
| 96367 |
|
398 |
256 |
$18K |
| 74018 |
|
936 |
812 |
$18K |
| 80320 |
|
1,296 |
1,094 |
$18K |
| 94729 |
|
316 |
299 |
$18K |
| 94726 |
|
307 |
290 |
$17K |
| 86850 |
|
1,587 |
1,294 |
$17K |
| 73130 |
|
1,742 |
1,506 |
$16K |
| 73030 |
|
1,145 |
1,036 |
$15K |
| 99201 |
|
273 |
263 |
$15K |
| 83540 |
|
1,523 |
1,372 |
$15K |
| 73562 |
|
1,019 |
918 |
$15K |
| 88305 |
|
2,477 |
2,097 |
$15K |
| 90714 |
|
1,029 |
856 |
$15K |
| 87880 |
|
6,758 |
6,409 |
$14K |
| 83880 |
|
3,705 |
2,845 |
$14K |
| 97161 |
|
492 |
415 |
$14K |
| 73630 |
|
1,868 |
1,657 |
$14K |
| 96375 |
|
17,710 |
14,287 |
$13K |
| 12011 |
|
73 |
71 |
$13K |
| 77063 |
|
1,155 |
1,073 |
$13K |
| 12002 |
|
91 |
79 |
$13K |
| 87086 |
|
2,964 |
2,542 |
$13K |
| 70486 |
|
369 |
301 |
$12K |
| 83735 |
|
6,085 |
4,797 |
$12K |
| 82950 |
|
819 |
786 |
$12K |
| 86803 |
|
561 |
502 |
$12K |
| 36591 |
|
339 |
211 |
$11K |
| 84630 |
|
769 |
718 |
$11K |
| 83690 |
|
15,704 |
13,587 |
$11K |
| 73502 |
|
672 |
605 |
$11K |
| 83550 |
|
1,440 |
1,296 |
$10K |
| 10060 |
|
64 |
53 |
$10K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
471 |
375 |
$10K |
| 84702 |
|
1,220 |
913 |
$10K |
| 86140 |
|
1,026 |
814 |
$9K |
| 87491 |
|
2,583 |
2,315 |
$9K |
| 87389 |
|
463 |
411 |
$9K |
| 93017 |
|
103 |
96 |
$9K |
| 87591 |
|
2,580 |
2,314 |
$8K |
| 87088 |
|
4,378 |
3,896 |
$8K |
| 90832 |
|
69 |
25 |
$8K |
| 83970 |
|
328 |
303 |
$8K |
| 82746 |
|
1,557 |
1,432 |
$8K |
| 96376 |
|
2,119 |
1,246 |
$8K |
| 72040 |
|
242 |
226 |
$7K |
| 49083 |
|
31 |
12 |
$7K |
| 73610 |
|
1,417 |
1,245 |
$7K |
| 85610 |
|
2,499 |
2,026 |
$7K |
| 83516 |
|
250 |
128 |
$7K |
| 73560 |
|
722 |
611 |
$6K |
| 84425 |
|
753 |
704 |
$6K |
| 73221 |
|
42 |
40 |
$6K |
| 86901 |
|
1,892 |
1,549 |
$6K |
| 82947 |
|
1,486 |
1,285 |
$6K |
| 73721 |
|
31 |
28 |
$6K |
| 84703 |
|
2,043 |
1,776 |
$6K |
| 82570 |
|
799 |
709 |
$6K |
| P9016 |
Rbc leukocytes reduced |
18 |
13 |
$6K |
| 86592 |
|
435 |
397 |
$6K |
| 86038 |
|
322 |
268 |
$6K |
| 88307 |
|
42 |
29 |
$6K |
| 82784 |
|
464 |
297 |
$5K |
| 87040 |
|
2,571 |
1,154 |
$5K |
| A9609 |
F18 fdg, 15 millicuries |
32 |
29 |
$5K |
| M0243 |
Casirivi and imdevi inj |
21 |
19 |
$5K |
| 84134 |
|
604 |
555 |
$5K |
| 87340 |
|
357 |
317 |
$5K |
| 82525 |
|
327 |
294 |
$5K |
| 73110 |
|
868 |
767 |
$5K |
| 90471 |
|
1,335 |
1,051 |
$5K |
| 76820 |
|
428 |
331 |
$5K |
| 97165 |
|
160 |
137 |
$5K |
| U0005 |
Infec agen detec ampli probe |
1,265 |
1,241 |
$5K |
| 97803 |
|
48 |
46 |
$5K |
| 70551 |
|
42 |
39 |
$5K |
| 81003 |
|
4,194 |
3,784 |
$5K |
| 86039 |
|
192 |
157 |
$5K |
| 11045 |
|
25 |
15 |
$4K |
| 84550 |
|
682 |
593 |
$4K |
| 76937 |
|
398 |
327 |
$4K |
| 86703 |
|
130 |
115 |
$4K |
| J2790 |
Rho d immune globulin inj |
59 |
26 |
$4K |
| 82962 |
|
4,786 |
2,836 |
$4K |
| 84100 |
|
1,263 |
909 |
$4K |
| 84520 |
|
1,244 |
1,124 |
$4K |
| 70498 |
|
73 |
67 |
$3K |
| 83615 |
|
359 |
269 |
$3K |
| 80074 |
|
149 |
133 |
$3K |
| 73590 |
|
543 |
468 |
$3K |
| 87081 |
|
497 |
448 |
$3K |
| 76821 |
|
188 |
150 |
$3K |
| 76801 |
|
106 |
94 |
$3K |
| 81025 |
|
3,972 |
3,632 |
$3K |
| 85730 |
|
1,450 |
1,186 |
$2K |
| 77336 |
|
24 |
12 |
$2K |
| 72072 |
|
118 |
104 |
$2K |
| 85652 |
|
727 |
609 |
$2K |
| J2800 |
Methocarbamol injection |
890 |
720 |
$2K |
| 80051 |
|
837 |
751 |
$2K |
| 72220 |
|
54 |
51 |
$2K |
| 80143 |
|
1,667 |
1,379 |
$2K |
| 84590 |
|
309 |
281 |
$2K |
| 72128 |
|
83 |
77 |
$2K |
| 76805 |
|
140 |
116 |
$2K |
| 73700 |
|
21 |
14 |
$2K |
| 82043 |
|
448 |
433 |
$2K |
| 71101 |
|
227 |
195 |
$2K |
| 84153 |
|
109 |
98 |
$2K |
| 82565 |
|
1,241 |
1,115 |
$2K |
| 72141 |
|
13 |
13 |
$2K |
| 97014 |
|
81 |
28 |
$2K |
| 93880 |
|
25 |
24 |
$2K |
| 80076 |
|
549 |
421 |
$2K |
| 82248 |
|
1,116 |
969 |
$2K |
| 88342 |
|
536 |
479 |
$2K |
| G0279 |
Tomosynthesis, mammo |
228 |
209 |
$2K |
| 84436 |
|
482 |
425 |
$2K |
| 82465 |
|
234 |
226 |
$2K |
| 77080 |
|
39 |
37 |
$2K |
| 86308 |
|
318 |
272 |
$2K |
| 36430 |
|
47 |
37 |
$2K |
| J0500 |
Dicyclomine injection |
111 |
89 |
$2K |
| 73070 |
|
301 |
264 |
$2K |
| 85651 |
|
405 |
298 |
$2K |
| 82044 |
|
220 |
204 |
$2K |
| 72050 |
|
36 |
26 |
$2K |
| 87210 |
|
665 |
560 |
$2K |
| 73090 |
|
297 |
261 |
$2K |
| 76641 |
|
13 |
12 |
$1K |
| 87634 |
|
739 |
660 |
$1K |
| 81002 |
|
8,562 |
3,674 |
$1K |
| 80164 |
|
131 |
118 |
$1K |
| 85378 |
|
744 |
618 |
$1K |
| 82378 |
|
120 |
89 |
$1K |
| 84478 |
|
301 |
290 |
$1K |
| 87077 |
|
941 |
747 |
$1K |
| 86481 |
|
29 |
25 |
$1K |
| 82077 |
|
657 |
472 |
$1K |
| 77065 |
Tomosynthesis, mammo |
55 |
49 |
$1K |
| J2270 |
Morphine sulfate injection |
3,062 |
2,052 |
$1K |
| J1642 |
Inj heparin sodium per 10 u |
3,301 |
1,222 |
$1K |
| 82550 |
|
915 |
713 |
$1K |
| 80179 |
|
1,646 |
1,369 |
$1K |
| 86762 |
|
63 |
58 |
$1K |
| 84156 |
|
256 |
209 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
20,975 |
17,880 |
$1K |
| J2704 |
Inj, propofol, 10 mg |
13,202 |
9,481 |
$1K |
| 85014 |
|
395 |
257 |
$903.41 |
| 82805 |
|
35 |
25 |
$890.24 |
| 86706 |
|
35 |
29 |
$886.10 |
| 82977 |
|
86 |
84 |
$880.23 |
| 77066 |
Tomosynthesis, mammo |
44 |
37 |
$878.78 |
| 99202 |
|
15 |
15 |
$871.64 |
| 86317 |
|
48 |
39 |
$852.75 |
| J1650 |
Inj enoxaparin sodium |
1,488 |
616 |
$822.47 |
| 85379 |
|
1,202 |
1,082 |
$815.93 |
| 97162 |
|
12 |
12 |
$769.89 |
| 64494 |
|
221 |
183 |
$729.84 |
| 87522 |
Neg quan hep c or qual rna |
14 |
13 |
$728.78 |
| J0696 |
Ceftriaxone sodium injection |
2,636 |
1,755 |
$705.20 |
| 87807 |
|
756 |
701 |
$700.25 |
| 84145 |
|
180 |
149 |
$673.70 |
| 00840 |
|
106 |
78 |
$610.84 |
| 88304 |
|
1,100 |
926 |
$607.43 |
| 87186 |
|
405 |
276 |
$606.82 |
| J2469 |
Palonosetron hcl |
127 |
64 |
$583.12 |
| 72170 |
|
133 |
98 |
$578.36 |
| 85018 |
|
396 |
258 |
$568.93 |
| 97535 |
|
15 |
12 |
$531.50 |
| J1170 |
Hydromorphone injection |
1,539 |
1,045 |
$522.10 |
| 82140 |
|
155 |
137 |
$509.21 |
| 84460 |
|
72 |
70 |
$505.25 |
| 82105 |
|
68 |
60 |
$498.66 |
| 86431 |
|
29 |
24 |
$497.97 |
| 73552 |
|
44 |
39 |
$473.27 |
| C1781 |
Mesh (implantable) |
134 |
111 |
$456.16 |
| 94618 |
|
14 |
14 |
$436.34 |
| J1953 |
Levetiracetam injection |
125 |
88 |
$426.07 |
| 86787 |
|
15 |
12 |
$392.45 |
| 87070 |
|
665 |
495 |
$372.80 |
| J2405 |
Ondansetron hcl injection |
16,414 |
13,067 |
$366.49 |
| J3010 |
Fentanyl citrate injection |
11,238 |
8,414 |
$350.28 |
| 87205 |
|
598 |
435 |
$325.90 |
| J0780 |
Prochlorperazine injection |
1,216 |
904 |
$318.73 |
| 90715 |
|
16 |
13 |
$317.61 |
| 76815 |
|
80 |
59 |
$316.37 |
| 86704 |
|
19 |
14 |
$309.65 |
| J2360 |
Orphenadrine injection |
870 |
725 |
$304.30 |
| 87075 |
|
177 |
116 |
$292.24 |
| 90688 |
|
47 |
43 |
$277.60 |
| J0690 |
Cefazolin sodium injection |
4,484 |
3,454 |
$264.89 |
| 82010 |
|
625 |
519 |
$264.30 |
| 94664 |
|
415 |
331 |
$261.36 |
| 84146 |
|
26 |
26 |
$252.64 |
| 73060 |
|
43 |
39 |
$252.02 |
| 82951 |
|
12 |
12 |
$245.96 |
| J1453 |
Fosaprepitant injection |
18 |
12 |
$228.15 |
| 84481 |
|
15 |
13 |
$224.52 |
| J1200 |
Diphenhydramine hcl injectio |
3,935 |
2,950 |
$215.32 |
| J1100 |
Dexamethasone sodium phos |
10,766 |
8,924 |
$208.03 |
| 01992 |
|
210 |
201 |
$202.68 |
| J2930 |
Methylprednisolone injection |
674 |
493 |
$178.94 |
| U0002 |
Covid-19 lab test non-cdc |
65 |
60 |
$177.27 |
| J1030 |
Methylprednisolone 40 mg inj |
2,309 |
2,082 |
$170.24 |
| 82800 |
|
576 |
482 |
$169.90 |
| J2175 |
Meperidine hydrochl /100 mg |
772 |
596 |
$151.70 |
| 82150 |
|
53 |
49 |
$142.31 |
| J3475 |
Inj magnesium sulfate |
540 |
365 |
$131.45 |
| J2550 |
Promethazine hcl injection |
270 |
192 |
$124.91 |
| J2272 |
Inj, morphine (fresenius) |
295 |
237 |
$124.38 |
| J2710 |
Neostigmine methylslfte inj |
1,249 |
1,092 |
$112.63 |
| 73080 |
|
13 |
12 |
$109.88 |
| 74022 |
|
31 |
27 |
$108.84 |
| J2919 |
Inj, methylpred sod succ 5mg |
409 |
319 |
$106.69 |
| 84165 |
|
17 |
12 |
$101.37 |
| J2765 |
Metoclopramide hcl injection |
1,298 |
1,007 |
$95.81 |
| 84112 |
|
13 |
13 |
$83.84 |
| J2250 |
Inj midazolam hydrochloride |
8,446 |
7,029 |
$73.49 |
| 73521 |
|
14 |
12 |
$70.41 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
13,873 |
11,965 |
$66.72 |
| J2060 |
Lorazepam injection |
598 |
417 |
$65.73 |
| 84155 |
|
17 |
12 |
$64.86 |
| J7030 |
Normal saline solution infus |
606 |
495 |
$62.78 |
| 86923 |
|
16 |
12 |
$60.54 |
| J2470 |
Inj pantoprazole sodium 40mg |
198 |
115 |
$46.57 |
| J2795 |
Ropivacaine hcl injection |
247 |
162 |
$36.76 |
| J3480 |
Inj potassium chloride |
548 |
313 |
$34.77 |
| J0360 |
Hydralazine hcl injection |
110 |
79 |
$30.21 |
| 86403 |
|
35 |
27 |
$30.10 |
| J7050 |
Normal saline solution infus |
368 |
285 |
$27.87 |
| J1921 |
Inj labetalol hcl hikma, 5mg |
68 |
51 |
$25.56 |
| J1790 |
Droperidol injection |
201 |
125 |
$24.91 |
| 84132 |
|
29 |
26 |
$20.98 |
| J3370 |
Vancomycin hcl injection |
173 |
92 |
$20.24 |
| G0008 |
Admin influenza virus vac |
66 |
60 |
$19.81 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
118 |
86 |
$13.24 |
| J7120 |
Ringers lactate infusion |
131 |
93 |
$12.99 |
| J2001 |
Lidocaine injection |
3,220 |
2,679 |
$12.90 |
| Q0162 |
Ondansetron oral |
304 |
273 |
$11.02 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
536 |
498 |
$9.49 |
| J1836 |
Inj, metronidazole, 10 mg |
73 |
39 |
$8.96 |
| J3301 |
Triamcinolone acet inj nos |
91 |
85 |
$8.86 |
| J1630 |
Haloperidol injection |
48 |
38 |
$7.20 |
| J2370 |
Phenylephrine hcl injection |
138 |
91 |
$6.85 |
| J1020 |
Methylprednisolone 20 mg inj |
293 |
272 |
$4.96 |
| J1940 |
Furosemide injection |
85 |
62 |
$4.58 |
| 93010 |
|
14 |
13 |
$4.52 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
208 |
199 |
$4.49 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
1,302 |
1,028 |
$3.46 |
| 82731 |
|
16 |
16 |
$3.22 |
| A9577 |
Inj multihance |
789 |
694 |
$1.84 |
| J1920 |
Inj, labetalol hcl, 5mg |
65 |
56 |
$1.35 |
| Q0243 |
Casirivimab and imdevimab |
34 |
33 |
$0.31 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
1,703 |
1,567 |
$0.18 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
321 |
270 |
$0.00 |
| 00790 |
|
615 |
527 |
$0.00 |
| C1773 |
Ret dev, insertable |
126 |
113 |
$0.00 |
| G0379 |
Direct refer hospital observ |
538 |
424 |
$0.00 |
| A9500 |
Tc99m sestamibi |
82 |
68 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
112 |
101 |
$0.00 |
| 64484 |
|
31 |
25 |
$0.00 |
| 87801 |
|
35 |
34 |
$0.00 |
| 00630 |
|
16 |
14 |
$0.00 |
| 96368 |
|
41 |
24 |
$0.00 |
| 01480 |
|
113 |
95 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
256 |
242 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
31 |
31 |
$0.00 |
| J2785 |
Regadenoson injection |
26 |
26 |
$0.00 |
| 94761 |
|
28 |
26 |
$0.00 |
| 94760 |
|
27 |
27 |
$0.00 |
| 01400 |
|
19 |
12 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
76 |
54 |
$0.00 |
| 29125 |
|
44 |
42 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
275 |
192 |
$0.00 |
| 74300 |
|
36 |
25 |
$0.00 |
| 87804 |
|
14 |
14 |
$0.00 |
| H1000 |
Prenatal care atrisk assessm |
53 |
48 |
$0.00 |
| J0688 |
Inj cefazolin sodium, hikma |
15 |
14 |
$0.00 |
| A9552 |
F18 fdg |
29 |
24 |
$0.00 |
| 00170 |
|
17 |
12 |
$0.00 |
| 76818 |
|
112 |
52 |
$0.00 |
| 64495 |
|
58 |
55 |
$0.00 |
| C1729 |
Cath, drainage |
210 |
103 |
$0.00 |
| C1776 |
Joint device (implantable) |
16 |
12 |
$0.00 |
| 01810 |
|
29 |
25 |
$0.00 |
| 00400 |
|
20 |
14 |
$0.00 |