| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| U0003 |
Cov-19 amp prb hgh thruput |
42,096 |
36,281 |
$2.88M |
| 99283 |
|
14,742 |
13,302 |
$953K |
| 96361 |
|
10,327 |
8,078 |
$880K |
| 99285 |
|
20,256 |
17,329 |
$722K |
| 99284 |
|
13,581 |
12,068 |
$625K |
| 80053 |
|
26,482 |
22,373 |
$587K |
| 87507 |
|
1,393 |
1,333 |
$481K |
| 80048 |
|
24,040 |
20,502 |
$414K |
| G0463 |
Hospital outpt clinic visit |
70,524 |
52,356 |
$386K |
| 99282 |
|
4,359 |
4,011 |
$367K |
| 87491 |
|
10,683 |
9,910 |
$339K |
| 87591 |
|
10,670 |
9,902 |
$334K |
| U0005 |
Infec agen detec ampli probe |
30,911 |
26,142 |
$293K |
| 74177 |
|
5,511 |
4,987 |
$266K |
| 70450 |
|
5,196 |
4,579 |
$251K |
| 88305 |
|
8,223 |
6,705 |
$221K |
| 85025 |
|
47,581 |
38,419 |
$219K |
| 84443 |
|
16,004 |
14,744 |
$175K |
| 0241U |
|
4,818 |
4,370 |
$168K |
| 93306 |
|
2,191 |
2,052 |
$168K |
| 43239 |
|
1,225 |
1,125 |
$158K |
| 96360 |
|
3,605 |
3,058 |
$152K |
| 87389 |
|
5,887 |
5,525 |
$125K |
| 87631 |
|
1,115 |
1,036 |
$121K |
| 85610 |
|
14,557 |
8,952 |
$115K |
| 87086 |
|
14,798 |
13,533 |
$113K |
| 96365 |
|
4,002 |
3,110 |
$111K |
| 64483 |
|
787 |
729 |
$105K |
| 87480 |
|
5,645 |
5,166 |
$101K |
| 93005 |
|
18,446 |
15,530 |
$98K |
| 87660 |
|
5,645 |
5,166 |
$94K |
| 87510 |
|
5,647 |
5,167 |
$94K |
| H2012 |
Behav hlth day treat, per hr |
1,724 |
206 |
$92K |
| M0243 |
Casirivi and imdevi inj |
224 |
215 |
$91K |
| 80061 |
|
8,776 |
8,354 |
$89K |
| 93308 |
|
879 |
806 |
$85K |
| 71260 |
|
1,915 |
1,752 |
$84K |
| C9803 |
Hopd covid-19 spec collect |
5,876 |
5,235 |
$81K |
| 11721 |
|
1,977 |
1,936 |
$81K |
| 87653 |
|
2,403 |
2,268 |
$79K |
| G0123 |
Screen cerv/vag thin layer |
4,550 |
4,378 |
$77K |
| 99214 |
|
6,740 |
5,902 |
$75K |
| 45385 |
|
694 |
655 |
$74K |
| 71046 |
|
6,845 |
6,204 |
$73K |
| 87070 |
|
6,826 |
6,242 |
$73K |
| 71275 |
|
1,381 |
1,228 |
$72K |
| 87636 |
|
847 |
741 |
$69K |
| 87651 |
|
1,634 |
1,534 |
$69K |
| 83036 |
|
10,379 |
9,886 |
$69K |
| 94640 |
|
3,204 |
2,440 |
$68K |
| 80307 |
|
1,891 |
1,533 |
$67K |
| 82948 |
|
7,532 |
3,206 |
$67K |
| 96366 |
|
1,250 |
950 |
$66K |
| 87077 |
|
7,759 |
6,661 |
$63K |
| 99211 |
|
2,186 |
1,250 |
$57K |
| 99213 |
|
4,495 |
3,981 |
$56K |
| 82728 |
|
4,936 |
4,675 |
$56K |
| 87624 |
|
1,837 |
1,774 |
$55K |
| 74176 |
|
1,208 |
1,092 |
$52K |
| 45380 |
|
452 |
400 |
$52K |
| 93296 |
|
2,753 |
2,655 |
$50K |
| 84484 |
|
6,139 |
5,062 |
$49K |
| 97110 |
|
7,110 |
4,035 |
$49K |
| 76705 |
|
1,863 |
1,676 |
$48K |
| 86803 |
|
3,675 |
3,488 |
$46K |
| 84439 |
|
6,013 |
5,609 |
$45K |
| 80306 |
|
3,114 |
2,775 |
$45K |
| 78815 |
|
452 |
432 |
$44K |
| 83605 |
|
6,835 |
5,877 |
$42K |
| 81025 |
|
4,418 |
3,964 |
$42K |
| 86780 |
|
4,555 |
4,248 |
$41K |
| 72125 |
|
2,268 |
2,030 |
$41K |
| 80050 |
|
1,007 |
835 |
$41K |
| 85027 |
|
9,410 |
8,405 |
$40K |
| 87798 |
|
710 |
400 |
$39K |
| 87186 |
|
5,902 |
5,356 |
$38K |
| 93321 |
|
624 |
582 |
$37K |
| 95886 |
|
1,366 |
1,192 |
$37K |
| 84702 |
|
2,402 |
1,985 |
$37K |
| 82306 |
|
1,638 |
1,556 |
$36K |
| G0378 |
Hospital observation per hr |
5,358 |
2,665 |
$35K |
| 70553 |
|
328 |
302 |
$35K |
| 81001 |
|
10,919 |
9,761 |
$34K |
| 86850 |
|
4,101 |
3,530 |
$34K |
| 87340 |
|
3,939 |
3,676 |
$34K |
| 82607 |
|
3,079 |
2,937 |
$34K |
| 86480 |
|
715 |
663 |
$33K |
| 88142 |
|
1,607 |
1,543 |
$32K |
| 90834 |
|
7,807 |
5,613 |
$32K |
| 83970 |
|
1,365 |
1,283 |
$32K |
| 83880 |
|
2,570 |
2,309 |
$31K |
| 86618 |
|
2,116 |
1,999 |
$31K |
| 82947 |
|
6,046 |
4,504 |
$31K |
| 83735 |
|
7,910 |
6,445 |
$28K |
| 86140 |
|
7,827 |
6,990 |
$28K |
| 82805 |
|
1,588 |
1,391 |
$28K |
| 82565 |
|
5,746 |
5,094 |
$27K |
| 76856 |
|
711 |
651 |
$27K |
| 83690 |
|
6,834 |
5,984 |
$27K |
| 87635 |
|
674 |
632 |
$27K |
| 82077 |
|
3,136 |
2,689 |
$26K |
| Q3014 |
Telehealth facility fee |
4,261 |
3,685 |
$26K |
| 92507 |
|
1,272 |
594 |
$25K |
| 94060 |
|
1,030 |
978 |
$25K |
| 97140 |
|
4,659 |
2,329 |
$24K |
| 93225 |
|
866 |
766 |
$23K |
| 99212 |
|
1,043 |
941 |
$23K |
| 86762 |
|
1,848 |
1,680 |
$23K |
| 69436 |
|
41 |
39 |
$23K |
| V5011 |
Hearing aid fitting/checking |
113 |
107 |
$22K |
| 87103 |
|
2,400 |
2,113 |
$22K |
| 97112 |
|
2,214 |
1,449 |
$21K |
| 87801 |
|
490 |
467 |
$20K |
| 87040 |
|
4,445 |
2,112 |
$20K |
| 71250 |
|
905 |
849 |
$20K |
| 88342 |
|
1,320 |
1,187 |
$20K |
| 20610 |
|
1,391 |
1,234 |
$20K |
| 80143 |
|
1,957 |
1,719 |
$19K |
| 80179 |
|
1,930 |
1,696 |
$19K |
| 83550 |
|
2,977 |
2,831 |
$18K |
| 74018 |
|
967 |
866 |
$18K |
| 82570 |
|
4,306 |
3,737 |
$17K |
| 72100 |
|
1,124 |
1,050 |
$16K |
| 85379 |
|
2,867 |
2,586 |
$16K |
| 93971 |
|
863 |
804 |
$15K |
| 93017 |
|
654 |
610 |
$15K |
| 76830 |
|
579 |
532 |
$15K |
| 93976 |
|
525 |
483 |
$14K |
| 81003 |
|
6,119 |
5,624 |
$14K |
| 93325 |
|
780 |
727 |
$14K |
| 83540 |
|
3,012 |
2,864 |
$14K |
| 82043 |
|
3,168 |
3,026 |
$13K |
| 92014 |
|
3,290 |
3,161 |
$13K |
| 82746 |
|
1,271 |
1,207 |
$13K |
| 96372 |
|
9,432 |
6,772 |
$12K |
| 97162 |
|
2,009 |
1,899 |
$12K |
| 86481 |
|
202 |
186 |
$12K |
| 99215 |
Prolong outpt/office vis |
1,760 |
1,636 |
$12K |
| 84153 |
|
909 |
870 |
$12K |
| 72040 |
|
362 |
342 |
$12K |
| 87999 |
|
310 |
258 |
$12K |
| 82248 |
|
4,496 |
3,967 |
$12K |
| 80076 |
|
1,559 |
1,463 |
$11K |
| 84450 |
|
3,497 |
3,100 |
$11K |
| 84460 |
|
3,048 |
2,702 |
$11K |
| 86376 |
|
1,012 |
894 |
$10K |
| 83516 |
|
1,103 |
669 |
$10K |
| 84165 |
|
981 |
695 |
$9K |
| 82784 |
|
845 |
739 |
$9K |
| 84146 |
|
538 |
509 |
$9K |
| J0248 |
Inj, remdesivir, 1 mg |
254 |
24 |
$9K |
| 73721 |
|
94 |
78 |
$8K |
| 86038 |
|
886 |
829 |
$8K |
| 72148 |
|
187 |
176 |
$8K |
| 97161 |
|
577 |
541 |
$7K |
| 80047 |
|
322 |
285 |
$7K |
| 86787 |
|
1,130 |
1,021 |
$7K |
| 86706 |
|
827 |
788 |
$7K |
| 87880 |
|
382 |
369 |
$7K |
| 86900 |
|
3,525 |
3,019 |
$7K |
| 84132 |
|
2,157 |
1,800 |
$7K |
| 42820 |
|
17 |
15 |
$7K |
| 70498 |
|
91 |
88 |
$7K |
| 86901 |
|
3,514 |
3,016 |
$6K |
| 20553 |
|
143 |
138 |
$6K |
| 73502 |
|
1,459 |
1,352 |
$6K |
| 73630 |
|
2,824 |
2,281 |
$6K |
| 95812 |
|
38 |
36 |
$6K |
| 85018 |
|
3,076 |
2,746 |
$6K |
| 86769 |
|
362 |
342 |
$5K |
| 94726 |
|
843 |
805 |
$5K |
| 99203 |
|
686 |
655 |
$5K |
| 80164 |
|
513 |
466 |
$5K |
| 82950 |
|
1,160 |
1,095 |
$5K |
| 90853 |
|
646 |
293 |
$5K |
| 78452 |
|
62 |
52 |
$5K |
| 96413 |
|
1,724 |
1,055 |
$5K |
| 70496 |
|
64 |
63 |
$5K |
| 94729 |
|
1,018 |
971 |
$5K |
| G0124 |
Screen c/v thin layer by md |
274 |
264 |
$5K |
| 99204 |
|
731 |
687 |
$5K |
| 88304 |
|
645 |
580 |
$5K |
| 67028 |
|
2,223 |
1,751 |
$5K |
| 92134 |
|
3,946 |
3,790 |
$5K |
| 82803 |
|
300 |
269 |
$5K |
| 90471 |
|
922 |
863 |
$5K |
| 93226 |
|
748 |
671 |
$5K |
| 87075 |
|
1,008 |
855 |
$5K |
| 71045 |
|
6,770 |
5,897 |
$4K |
| 86334 |
|
306 |
223 |
$4K |
| 97530 |
|
546 |
411 |
$4K |
| 80178 |
|
752 |
658 |
$4K |
| 85652 |
|
2,311 |
2,146 |
$4K |
| 84100 |
|
1,564 |
1,324 |
$4K |
| 82550 |
|
871 |
745 |
$4K |
| 73030 |
|
1,862 |
1,591 |
$4K |
| 86364 |
|
237 |
219 |
$3K |
| 64635 |
|
14 |
14 |
$3K |
| 82105 |
|
300 |
270 |
$3K |
| G0249 |
Provide inr test mater/equip |
765 |
651 |
$3K |
| 96374 |
|
11,615 |
9,350 |
$3K |
| 90715 |
|
670 |
630 |
$3K |
| 73130 |
|
1,117 |
871 |
$3K |
| 88341 |
|
101 |
95 |
$3K |
| 95910 |
|
77 |
77 |
$3K |
| 82310 |
|
694 |
608 |
$3K |
| 73564 |
|
2,377 |
1,903 |
$3K |
| 82247 |
|
431 |
349 |
$3K |
| 73110 |
|
939 |
765 |
$3K |
| 83521 |
|
159 |
149 |
$3K |
| 0240U |
|
113 |
100 |
$3K |
| 73610 |
|
1,502 |
1,291 |
$3K |
| 88307 |
|
141 |
118 |
$3K |
| 88738 |
|
129 |
126 |
$3K |
| 90837 |
|
998 |
669 |
$3K |
| 93229 |
|
164 |
144 |
$3K |
| 76770 |
|
66 |
66 |
$3K |
| 93923 |
|
133 |
128 |
$3K |
| 62323 |
|
13 |
12 |
$3K |
| 96375 |
|
8,465 |
6,547 |
$3K |
| 64636 |
|
17 |
13 |
$3K |
| 84156 |
|
974 |
837 |
$3K |
| 72110 |
|
118 |
112 |
$3K |
| 36415 |
|
30,757 |
23,949 |
$2K |
| 97165 |
|
205 |
191 |
$2K |
| 99291 |
|
60 |
53 |
$2K |
| 80069 |
|
575 |
545 |
$2K |
| 99024 |
|
859 |
683 |
$2K |
| 70486 |
|
67 |
61 |
$2K |
| 87478 |
|
97 |
88 |
$2K |
| 86704 |
|
206 |
202 |
$2K |
| 84550 |
|
907 |
823 |
$2K |
| 83001 |
|
125 |
119 |
$2K |
| 95800 |
|
41 |
39 |
$2K |
| 76700 |
|
40 |
36 |
$2K |
| 64493 |
|
14 |
13 |
$2K |
| 77002 |
|
128 |
115 |
$2K |
| 92557 |
|
203 |
200 |
$2K |
| 86235 |
|
28 |
26 |
$2K |
| 83615 |
|
659 |
590 |
$2K |
| 97535 |
|
208 |
147 |
$2K |
| 12001 |
|
24 |
24 |
$2K |
| 70551 |
|
28 |
25 |
$2K |
| 94762 |
|
27 |
26 |
$1K |
| 66984 |
|
16 |
13 |
$1K |
| J0585 |
Injection,onabotulinumtoxina |
654 |
427 |
$1K |
| 84155 |
|
672 |
616 |
$1K |
| 95908 |
|
31 |
31 |
$1K |
| 82378 |
|
105 |
75 |
$1K |
| 76882 |
|
69 |
61 |
$1K |
| 88141 |
|
76 |
74 |
$1K |
| 74174 |
|
16 |
13 |
$1K |
| 82533 |
|
84 |
72 |
$1K |
| 86696 |
|
56 |
50 |
$1K |
| 86431 |
|
223 |
215 |
$1K |
| 93280 |
|
97 |
92 |
$948.31 |
| 64566 |
|
20 |
12 |
$943.67 |
| 84295 |
|
262 |
226 |
$881.33 |
| 93351 |
|
14 |
13 |
$858.74 |
| 95885 |
|
53 |
40 |
$798.32 |
| 91322 |
|
179 |
163 |
$767.48 |
| 99205 |
Prolong outpt/office vis |
170 |
168 |
$755.98 |
| 97116 |
|
102 |
72 |
$747.89 |
| J0178 |
Aflibercept injection |
739 |
570 |
$736.91 |
| 85730 |
|
267 |
243 |
$718.55 |
| 87529 |
|
26 |
13 |
$705.72 |
| 86695 |
|
56 |
50 |
$702.14 |
| 82657 |
|
25 |
25 |
$623.54 |
| 29581 |
|
661 |
231 |
$617.25 |
| 51702 |
|
322 |
288 |
$612.74 |
| 84075 |
|
196 |
154 |
$583.78 |
| 94618 |
|
53 |
51 |
$559.25 |
| 90686 |
|
559 |
535 |
$556.59 |
| 72050 |
|
26 |
26 |
$535.01 |
| 77091 |
|
115 |
112 |
$504.08 |
| 76942 |
|
768 |
707 |
$486.55 |
| 69210 |
|
73 |
69 |
$472.03 |
| 36591 |
|
421 |
289 |
$467.03 |
| 93970 |
|
27 |
25 |
$435.06 |
| 82977 |
|
25 |
24 |
$427.44 |
| 82010 |
|
75 |
68 |
$424.80 |
| 96368 |
|
15 |
13 |
$414.29 |
| 82375 |
|
72 |
66 |
$410.35 |
| 74178 |
|
42 |
41 |
$407.52 |
| C9257 |
Bevacizumab injection |
94 |
78 |
$395.51 |
| 87493 |
|
15 |
14 |
$382.76 |
| 88108 |
|
28 |
25 |
$379.06 |
| 97166 |
|
29 |
28 |
$326.18 |
| 93880 |
|
14 |
14 |
$314.74 |
| J3490 |
Drugs unclassified injection |
3,813 |
2,848 |
$308.00 |
| 51798 |
|
1,388 |
1,311 |
$307.32 |
| 85014 |
|
189 |
171 |
$246.45 |
| 90480 |
|
179 |
163 |
$245.12 |
| 64615 |
|
92 |
81 |
$241.88 |
| 94010 |
|
26 |
26 |
$231.25 |
| 87205 |
|
120 |
95 |
$228.81 |
| 82040 |
|
79 |
75 |
$228.64 |
| 87206 |
|
57 |
40 |
$202.17 |
| 20552 |
|
12 |
12 |
$201.15 |
| 96367 |
|
24 |
16 |
$192.18 |
| 0097U |
|
741 |
703 |
$179.72 |
| 98968 |
|
26 |
20 |
$179.63 |
| 90832 |
|
42 |
41 |
$179.62 |
| G0438 |
Ppps, initial visit |
44 |
43 |
$178.76 |
| 96376 |
|
2,532 |
1,868 |
$175.20 |
| J2001 |
Lidocaine injection |
4,863 |
2,956 |
$159.37 |
| 36416 |
|
7,738 |
4,450 |
$159.17 |
| G0379 |
Direct refer hospital observ |
19 |
16 |
$152.46 |
| 82140 |
|
14 |
12 |
$136.81 |
| 99495 |
|
106 |
105 |
$133.82 |
| 74019 |
|
40 |
38 |
$121.48 |
| 83050 |
|
70 |
65 |
$120.26 |
| 84560 |
|
34 |
28 |
$120.24 |
| 86705 |
|
12 |
12 |
$118.88 |
| 87102 |
|
31 |
25 |
$117.11 |
| J2704 |
Inj, propofol, 10 mg |
21,946 |
7,858 |
$109.38 |
| 84520 |
|
38 |
37 |
$101.93 |
| 76376 |
|
586 |
544 |
$92.53 |
| 84145 |
|
29 |
25 |
$91.00 |
| 90792 |
|
79 |
79 |
$89.21 |
| 73080 |
|
161 |
139 |
$77.53 |
| A9552 |
F18 fdg |
609 |
576 |
$76.47 |
| 77065 |
Tomosynthesis, mammo |
30 |
28 |
$71.30 |
| J3301 |
Triamcinolone acet inj nos |
1,137 |
956 |
$68.90 |
| 72170 |
|
76 |
65 |
$68.69 |
| 97035 |
|
56 |
31 |
$52.25 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
11,607 |
6,198 |
$51.16 |
| 90656 |
|
26 |
24 |
$49.22 |
| 90791 |
|
28 |
28 |
$38.85 |
| C1769 |
Guide wire |
1,470 |
1,295 |
$33.95 |
| G0279 |
Tomosynthesis, mammo |
37 |
37 |
$33.83 |
| 83718 |
|
49 |
48 |
$32.59 |
| J1885 |
Ketorolac tromethamine inj |
9,243 |
7,083 |
$31.18 |
| J1644 |
Inj heparin sodium per 1000u |
1,972 |
1,125 |
$30.56 |
| 73590 |
|
82 |
67 |
$30.41 |
| 90662 |
|
459 |
437 |
$27.93 |
| J2250 |
Inj midazolam hydrochloride |
9,259 |
7,915 |
$21.95 |
| J0171 |
Adrenalin epinephrine inject |
405 |
219 |
$21.80 |
| 0764T |
|
45 |
42 |
$21.42 |
| J2270 |
Morphine sulfate injection |
1,177 |
835 |
$21.24 |
| J1040 |
Methylprednisolone 80 mg inj |
954 |
893 |
$20.30 |
| J2405 |
Ondansetron hcl injection |
11,372 |
8,658 |
$20.08 |
| 11102 |
|
14 |
12 |
$18.99 |
| J2795 |
Ropivacaine hcl injection |
2,755 |
1,299 |
$16.78 |
| J1100 |
Dexamethasone sodium phos |
10,185 |
7,255 |
$15.86 |
| 82465 |
|
36 |
35 |
$12.74 |
| G1004 |
Cdsm ndsc |
6,646 |
5,114 |
$11.55 |
| J7050 |
Normal saline solution infus |
809 |
527 |
$10.94 |
| J7030 |
Normal saline solution infus |
3,341 |
2,576 |
$10.86 |
| 99496 |
|
92 |
88 |
$8.24 |
| 0004A |
|
38 |
32 |
$5.78 |
| J1170 |
Hydromorphone injection |
3,360 |
2,317 |
$5.70 |
| J0696 |
Ceftriaxone sodium injection |
1,223 |
932 |
$3.57 |
| 0124A |
|
79 |
78 |
$2.02 |
| J1200 |
Diphenhydramine hcl injectio |
1,957 |
1,535 |
$1.20 |
| J2060 |
Lorazepam injection |
990 |
739 |
$0.95 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
209 |
174 |
$0.91 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
901 |
523 |
$0.56 |
| J7040 |
Normal saline solution infus |
770 |
690 |
$0.25 |
| J2765 |
Metoclopramide hcl injection |
417 |
369 |
$0.00 |
| A9585 |
Gadobutrol injection |
767 |
395 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
276 |
238 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
4,363 |
3,642 |
$0.00 |
| J1815 |
Insulin injection |
34 |
26 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
5,566 |
4,270 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
625 |
441 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
848 |
696 |
$0.00 |
| A9270 |
Non-covered item or service |
9,666 |
7,170 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
544 |
503 |
$0.00 |
| Q9969 |
Non-heu tc-99m add-on/dose |
924 |
811 |
$0.00 |
| J1940 |
Furosemide injection |
133 |
94 |
$0.00 |
| 0754T |
|
41 |
36 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
108 |
85 |
$0.00 |
| G8980 |
Mobility d/c status |
80 |
76 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
97 |
92 |
$0.00 |
| A9500 |
Tc99m sestamibi |
91 |
67 |
$0.00 |
| G0008 |
Admin influenza virus vac |
823 |
806 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
100 |
91 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
19 |
18 |
$0.00 |
| C1889 |
Implant/insert device, noc |
25 |
25 |
$0.00 |
| 88300 |
|
41 |
39 |
$0.00 |
| G8981 |
Body pos current status |
21 |
12 |
$0.00 |
| 73552 |
|
15 |
13 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
40 |
27 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
18 |
15 |
$0.00 |
| G8998 |
Swallow d/c status |
12 |
12 |
$0.00 |
| Q0162 |
Ondansetron oral |
26 |
17 |
$0.00 |
| G8991 |
Other pt/ot goal status |
14 |
12 |
$0.00 |
| 92567 |
|
12 |
12 |
$0.00 |
| G8982 |
Body pos goal status |
21 |
12 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
69 |
39 |
$0.00 |
| 73090 |
|
17 |
15 |
$0.00 |
| J2920 |
Methylprednisolone injection |
14 |
12 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
18 |
12 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
47 |
36 |
$0.00 |
| J1756 |
Iron sucrose injection |
24 |
12 |
$0.00 |
| 0753T |
|
2,394 |
1,959 |
$0.00 |
| J7120 |
Ringers lactate infusion |
2,306 |
2,093 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
334 |
171 |
$0.00 |
| 0752T |
|
286 |
262 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
510 |
391 |
$0.00 |
| G8979 |
Mobility goal status |
373 |
323 |
$0.00 |
| G8978 |
Mobility current status |
343 |
307 |
$0.00 |
| 0760T |
|
241 |
218 |
$0.00 |
| C1887 |
Catheter, guiding |
31 |
25 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
281 |
211 |
$0.00 |
| 17110 |
|
15 |
15 |
$0.00 |
| 77080 |
|
141 |
138 |
$0.00 |
| 73140 |
|
23 |
17 |
$0.00 |
| A6250 |
Skin seal protect moisturizr |
39 |
39 |
$0.00 |
| 31575 |
|
12 |
12 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
312 |
281 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
27 |
25 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
58 |
53 |
$0.00 |
| J2550 |
Promethazine hcl injection |
49 |
37 |
$0.00 |
| 0054A |
|
30 |
30 |
$0.00 |
| J0780 |
Prochlorperazine injection |
77 |
69 |
$0.00 |
| 0761T |
|
46 |
36 |
$0.00 |
| J0689 |
Inj cefazolin sodium, baxter |
19 |
13 |
$0.00 |
| C2625 |
Stent, non-cor, tem w/del sy |
14 |
12 |
$0.00 |
| J8499 |
Oral prescrip drug non chemo |
1,160 |
475 |
$0.00 |
| 0202U |
|
28 |
27 |
$0.00 |
| 90472 |
|
12 |
12 |
$0.00 |
| G8997 |
Swallow goal status |
28 |
26 |
$0.00 |
| G8984 |
Carry current status |
16 |
14 |
$0.00 |
| 76937 |
|
14 |
12 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
109 |
66 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
25 |
15 |
$0.00 |
| 93010 |
|
17 |
14 |
$0.00 |
| 0003A |
|
16 |
14 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
20 |
12 |
$0.00 |
| G8985 |
Carry goal status |
16 |
15 |
$0.00 |
| G8996 |
Swallow current status |
13 |
13 |
$0.00 |
| 76642 |
|
18 |
18 |
$0.00 |