| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpt clinic visit |
160,465 |
126,412 |
$10.48M |
| 99284 |
|
31,134 |
28,116 |
$3.82M |
| 99285 |
|
10,778 |
9,458 |
$2.80M |
| 99283 |
|
26,786 |
24,074 |
$2.26M |
| 99213 |
|
63,157 |
57,167 |
$1.75M |
| 99214 |
|
44,893 |
40,005 |
$1.56M |
| 96374 |
|
8,374 |
7,223 |
$803K |
| 97110 |
|
34,050 |
11,974 |
$766K |
| 43239 |
|
2,298 |
2,129 |
$578K |
| 45380 |
|
1,088 |
1,028 |
$556K |
| 96365 |
|
5,241 |
3,676 |
$474K |
| 90471 |
|
12,707 |
11,704 |
$419K |
| U0004 |
Cov-19 test non-cdc hgh thru |
7,751 |
7,082 |
$409K |
| 97140 |
|
22,157 |
8,023 |
$397K |
| 74177 |
|
2,934 |
2,708 |
$392K |
| 71046 |
|
8,701 |
7,967 |
$318K |
| 99282 |
|
4,567 |
3,948 |
$315K |
| 90834 |
|
3,223 |
2,222 |
$313K |
| 93306 |
|
2,301 |
2,186 |
$294K |
| 11042 |
|
3,299 |
1,875 |
$294K |
| 90837 |
|
2,914 |
1,998 |
$253K |
| 45385 |
|
622 |
575 |
$248K |
| 96375 |
|
6,796 |
5,346 |
$212K |
| 70450 |
|
3,228 |
2,947 |
$210K |
| 87636 |
|
4,205 |
3,874 |
$201K |
| 97161 |
|
5,467 |
5,033 |
$188K |
| 77067 |
|
3,379 |
3,265 |
$174K |
| 90832 |
|
3,158 |
1,942 |
$173K |
| 96361 |
|
5,168 |
4,355 |
$166K |
| 74176 |
|
1,592 |
1,468 |
$159K |
| 76856 |
|
2,224 |
2,067 |
$154K |
| 96360 |
|
1,686 |
1,471 |
$153K |
| 76830 |
|
1,728 |
1,592 |
$123K |
| 93976 |
|
1,798 |
1,649 |
$123K |
| 96413 |
|
879 |
500 |
$122K |
| G0008 |
Admin influenza virus vac |
6,082 |
5,620 |
$112K |
| 99391 |
|
2,061 |
1,966 |
$109K |
| 90791 |
|
1,684 |
1,327 |
$106K |
| 86900 |
|
2,895 |
2,528 |
$97K |
| 99392 |
|
1,778 |
1,750 |
$97K |
| 96372 |
|
7,290 |
5,786 |
$93K |
| G0480 |
Drug test def 1-7 classes |
11,051 |
7,686 |
$82K |
| 76819 |
|
970 |
675 |
$82K |
| 99232 |
|
3,528 |
1,525 |
$81K |
| 76700 |
|
1,326 |
1,259 |
$81K |
| U0005 |
Infec agen detec ampli probe |
5,633 |
5,304 |
$79K |
| 76705 |
|
1,209 |
1,110 |
$75K |
| 80061 |
|
10,184 |
9,722 |
$72K |
| 77063 |
|
3,344 |
3,232 |
$71K |
| 0002A |
|
2,518 |
2,412 |
$70K |
| 0001A |
|
2,695 |
2,598 |
$69K |
| 84443 |
|
12,400 |
11,568 |
$66K |
| 29581 |
|
1,319 |
563 |
$66K |
| 80053 |
|
37,409 |
31,487 |
$65K |
| 97597 |
|
1,332 |
863 |
$62K |
| 93010 |
|
16,171 |
14,547 |
$62K |
| 90686 |
|
7,747 |
7,068 |
$59K |
| 97113 |
|
1,817 |
729 |
$59K |
| J0585 |
Injection,onabotulinumtoxina |
220 |
121 |
$57K |
| 93971 |
|
1,159 |
1,073 |
$56K |
| 99215 |
Prolong outpt/office vis |
1,039 |
998 |
$55K |
| 99309 |
|
2,369 |
1,838 |
$47K |
| 87491 |
|
4,587 |
4,193 |
$44K |
| 87591 |
|
4,555 |
4,166 |
$44K |
| 99308 |
|
2,392 |
1,679 |
$39K |
| 97530 |
|
4,111 |
2,227 |
$38K |
| 85025 |
|
35,344 |
28,460 |
$38K |
| 97112 |
|
2,315 |
1,292 |
$37K |
| 45378 |
|
66 |
62 |
$36K |
| 97165 |
|
1,728 |
1,486 |
$33K |
| 41899 |
|
143 |
132 |
$33K |
| 76801 |
|
390 |
344 |
$32K |
| Q3014 |
Telehealth facility fee |
3,329 |
2,226 |
$31K |
| 76642 |
|
909 |
774 |
$30K |
| 36415 |
|
44,355 |
36,637 |
$29K |
| 90792 |
|
416 |
379 |
$28K |
| U0002 |
Covid-19 lab test non-cdc |
1,105 |
1,011 |
$27K |
| 94640 |
|
4,412 |
2,848 |
$25K |
| 90677 |
|
746 |
738 |
$24K |
| 72100 |
|
1,641 |
1,520 |
$24K |
| 82306 |
|
2,107 |
2,006 |
$24K |
| 96161 |
|
1,204 |
1,118 |
$23K |
| 96367 |
|
547 |
350 |
$23K |
| 99203 |
|
517 |
501 |
$23K |
| 99396 |
|
334 |
322 |
$23K |
| 99395 |
|
313 |
305 |
$22K |
| C9803 |
Hopd covid-19 spec collect |
2,549 |
2,408 |
$21K |
| 96127 |
|
5,847 |
4,902 |
$21K |
| 20610 |
|
242 |
226 |
$21K |
| 83036 |
|
10,421 |
9,829 |
$21K |
| G0108 |
Diab manage trn per indiv |
1,098 |
947 |
$20K |
| 99393 |
|
298 |
297 |
$20K |
| 73562 |
|
2,361 |
1,969 |
$20K |
| 76815 |
|
558 |
502 |
$19K |
| 72148 |
|
168 |
159 |
$19K |
| 93005 |
|
14,198 |
12,471 |
$19K |
| 96366 |
|
765 |
396 |
$19K |
| 71045 |
|
604 |
553 |
$19K |
| 85027 |
|
9,095 |
7,985 |
$17K |
| 97162 |
|
732 |
673 |
$17K |
| 87081 |
|
8,647 |
8,152 |
$17K |
| 71260 |
|
137 |
122 |
$17K |
| 82728 |
|
3,136 |
2,959 |
$16K |
| 97035 |
|
3,297 |
1,322 |
$16K |
| 80305 |
|
17,352 |
13,193 |
$16K |
| 76816 |
|
1,013 |
876 |
$16K |
| 90732 |
|
250 |
229 |
$15K |
| 72110 |
|
1,037 |
982 |
$15K |
| 96110 |
|
1,863 |
1,762 |
$14K |
| 73630 |
|
2,131 |
1,921 |
$14K |
| 90651 |
|
413 |
372 |
$14K |
| 90473 |
|
356 |
349 |
$14K |
| 99204 |
|
261 |
241 |
$13K |
| 87661 |
|
1,953 |
1,794 |
$12K |
| 69436 |
|
13 |
13 |
$12K |
| 99442 |
|
391 |
364 |
$12K |
| 73610 |
|
1,631 |
1,511 |
$12K |
| 99233 |
Prolong inpt eval add15 m |
408 |
222 |
$12K |
| 87880 |
|
6,572 |
6,314 |
$11K |
| 87086 |
|
8,766 |
7,895 |
$11K |
| 92557 |
|
251 |
233 |
$11K |
| 73030 |
|
1,380 |
1,220 |
$11K |
| 80048 |
|
7,618 |
5,728 |
$11K |
| 91322 |
|
163 |
163 |
$11K |
| 64721 |
|
16 |
13 |
$11K |
| 59025 |
|
82 |
56 |
$10K |
| 12001 |
|
210 |
184 |
$10K |
| 64493 |
|
27 |
26 |
$10K |
| 82607 |
|
1,958 |
1,846 |
$9K |
| Q0138 |
Ferumoxytol, non-esrd |
45 |
25 |
$9K |
| 90480 |
|
569 |
557 |
$9K |
| 76775 |
|
279 |
264 |
$8K |
| 76805 |
|
104 |
99 |
$8K |
| 90678 |
|
28 |
28 |
$8K |
| 73502 |
|
1,134 |
1,047 |
$8K |
| 0004A |
|
692 |
637 |
$8K |
| 99394 |
|
110 |
109 |
$8K |
| 86592 |
|
2,181 |
2,022 |
$8K |
| 78452 |
|
27 |
24 |
$7K |
| G0279 |
Tomosynthesis, mammo |
374 |
355 |
$7K |
| 0124A |
|
576 |
537 |
$7K |
| 71250 |
|
170 |
166 |
$7K |
| 97535 |
|
1,886 |
1,156 |
$7K |
| 84439 |
|
2,209 |
2,075 |
$7K |
| 83550 |
|
2,149 |
2,017 |
$7K |
| 77066 |
Tomosynthesis, mammo |
118 |
115 |
$7K |
| 73130 |
|
978 |
869 |
$6K |
| 97166 |
|
353 |
307 |
$6K |
| 84702 |
|
868 |
663 |
$6K |
| 83655 |
|
1,449 |
1,355 |
$6K |
| 80307 |
|
1,041 |
866 |
$6K |
| 72050 |
|
359 |
342 |
$6K |
| 87077 |
|
5,972 |
5,508 |
$6K |
| 90670 |
|
1,995 |
1,797 |
$6K |
| 73110 |
|
908 |
825 |
$6K |
| 97116 |
|
1,361 |
739 |
$5K |
| 83540 |
|
2,267 |
2,131 |
$5K |
| 85610 |
|
6,043 |
4,057 |
$5K |
| 82950 |
|
1,182 |
1,127 |
$5K |
| 71275 |
|
58 |
55 |
$5K |
| 76811 |
|
25 |
25 |
$5K |
| 83735 |
|
9,114 |
6,560 |
$5K |
| 0054A |
|
331 |
324 |
$5K |
| 10060 |
|
37 |
37 |
$5K |
| 77080 |
|
146 |
143 |
$5K |
| 90656 |
|
556 |
555 |
$5K |
| 73140 |
|
341 |
329 |
$5K |
| 64615 |
|
64 |
62 |
$4K |
| 62323 |
|
31 |
30 |
$4K |
| 88305 |
|
4,711 |
4,297 |
$4K |
| 86703 |
|
2,034 |
1,860 |
$4K |
| 87205 |
|
5,247 |
4,816 |
$4K |
| C8929 |
Tte w or wo fol wcon,doppler |
14 |
13 |
$4K |
| 71271 |
|
83 |
82 |
$4K |
| 96160 |
|
170 |
170 |
$4K |
| 86803 |
|
1,668 |
1,549 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
55 |
52 |
$4K |
| 82746 |
|
725 |
681 |
$4K |
| 87186 |
|
3,245 |
3,003 |
$4K |
| C1776 |
Joint device (implantable) |
410 |
381 |
$4K |
| 99024 |
|
287 |
240 |
$4K |
| 72125 |
|
365 |
347 |
$4K |
| M0247 |
Sotrovimab infusion |
16 |
14 |
$4K |
| 86618 |
|
899 |
852 |
$3K |
| 99381 |
|
46 |
45 |
$3K |
| 90662 |
|
657 |
618 |
$3K |
| 86140 |
|
3,682 |
3,169 |
$3K |
| 81025 |
|
7,420 |
6,644 |
$3K |
| 93017 |
|
99 |
94 |
$3K |
| 87798 |
|
224 |
214 |
$3K |
| G0009 |
Admin pneumococcal vaccine |
277 |
251 |
$3K |
| 91320 |
|
284 |
274 |
$3K |
| 0072A |
|
139 |
75 |
$3K |
| 87340 |
|
1,953 |
1,802 |
$3K |
| 0071A |
|
135 |
76 |
$3K |
| G0433 |
Elisa hiv-1/hiv-2 screen |
315 |
307 |
$3K |
| 87631 |
|
609 |
579 |
$3K |
| 84153 |
|
353 |
342 |
$3K |
| 97018 |
|
1,051 |
434 |
$3K |
| 76536 |
|
49 |
49 |
$3K |
| 74018 |
|
172 |
154 |
$3K |
| 82570 |
|
5,105 |
3,484 |
$3K |
| 82043 |
|
2,289 |
2,160 |
$2K |
| U0003 |
Cov-19 amp prb hgh thruput |
38 |
37 |
$2K |
| 69209 |
|
498 |
467 |
$2K |
| 99212 |
|
151 |
134 |
$2K |
| 85651 |
|
2,766 |
2,418 |
$2K |
| 83880 |
|
1,514 |
1,319 |
$2K |
| 0031A |
|
94 |
88 |
$2K |
| 31575 |
|
15 |
15 |
$2K |
| 80076 |
|
657 |
618 |
$2K |
| 83690 |
|
6,305 |
5,463 |
$2K |
| 58300 |
|
52 |
39 |
$2K |
| 87070 |
|
1,510 |
1,389 |
$2K |
| 72141 |
|
12 |
12 |
$2K |
| 87522 |
Neg quan hep c or qual rna |
111 |
101 |
$2K |
| 99205 |
Prolong outpt/office vis |
26 |
24 |
$2K |
| 99490 |
Ccm add 20min |
44 |
43 |
$2K |
| 99202 |
|
52 |
52 |
$2K |
| 93970 |
|
14 |
14 |
$2K |
| 81003 |
|
8,246 |
6,969 |
$2K |
| 82105 |
|
134 |
129 |
$1K |
| 86762 |
|
1,213 |
1,112 |
$1K |
| A9270 |
Non-covered item or service |
8,166 |
6,595 |
$1K |
| 99188 |
|
104 |
96 |
$1K |
| G0103 |
Psa screening |
168 |
163 |
$1K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,770 |
1,595 |
$1K |
| 99307 |
|
96 |
74 |
$1K |
| 90734 |
|
213 |
188 |
$1K |
| 84403 |
|
105 |
97 |
$1K |
| G0378 |
Hospital observation per hr |
1,145 |
861 |
$968.76 |
| 81002 |
|
3,651 |
3,375 |
$940.28 |
| 0064A |
|
65 |
43 |
$930.46 |
| 71101 |
|
145 |
133 |
$808.27 |
| 92567 |
|
593 |
563 |
$786.45 |
| 97014 |
|
67 |
26 |
$782.11 |
| 87635 |
|
25 |
25 |
$754.32 |
| 99406 |
|
46 |
41 |
$700.80 |
| 81000 |
|
3,311 |
2,958 |
$682.14 |
| 99222 |
|
14 |
13 |
$676.88 |
| D1120 |
|
13 |
13 |
$655.80 |
| 86706 |
|
197 |
183 |
$655.69 |
| 72070 |
|
25 |
25 |
$653.75 |
| 92504 |
|
298 |
283 |
$649.00 |
| 87280 |
|
475 |
437 |
$648.19 |
| 99310 |
Prolong nursin fac eval 15m |
22 |
22 |
$641.49 |
| 90461 |
|
29 |
19 |
$639.36 |
| 90460 |
|
54 |
40 |
$638.40 |
| 82962 |
|
7,984 |
4,766 |
$633.21 |
| 77065 |
Tomosynthesis, mammo |
14 |
12 |
$592.81 |
| 81001 |
|
4,190 |
3,545 |
$552.14 |
| 87804 |
|
1,290 |
1,191 |
$549.37 |
| 82784 |
|
193 |
184 |
$529.68 |
| 72040 |
|
129 |
123 |
$523.79 |
| 83001 |
|
50 |
49 |
$500.87 |
| 90716 |
|
325 |
299 |
$490.02 |
| 76817 |
|
42 |
38 |
$486.82 |
| 90715 |
|
3,261 |
3,019 |
$470.73 |
| 87641 |
|
72 |
70 |
$445.49 |
| 85018 |
|
1,140 |
993 |
$439.19 |
| 74022 |
|
89 |
83 |
$429.95 |
| 99496 |
|
15 |
12 |
$428.80 |
| 96381 |
|
32 |
32 |
$424.96 |
| 87484 |
|
81 |
79 |
$424.68 |
| 86850 |
|
2,960 |
2,580 |
$423.62 |
| 0012A |
|
25 |
25 |
$423.24 |
| 83986 |
|
2,135 |
1,155 |
$422.92 |
| 87469 |
|
81 |
79 |
$421.68 |
| 87468 |
|
81 |
79 |
$421.68 |
| 88342 |
|
509 |
468 |
$414.65 |
| 87430 |
|
373 |
358 |
$399.26 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
1,203 |
1,102 |
$396.73 |
| 84484 |
|
4,749 |
4,062 |
$383.33 |
| 83516 |
|
92 |
81 |
$381.20 |
| 87811 |
|
16 |
16 |
$350.00 |
| 84100 |
|
182 |
116 |
$328.37 |
| 99211 |
|
28 |
28 |
$326.25 |
| 84315 |
|
2,124 |
1,146 |
$307.34 |
| 82550 |
|
279 |
249 |
$305.25 |
| 88307 |
|
77 |
68 |
$275.81 |
| J0131 |
Inj, acetaminophen (nos) |
2,744 |
2,429 |
$272.00 |
| J0690 |
Cefazolin sodium injection |
5,411 |
4,388 |
$252.00 |
| 86364 |
|
69 |
68 |
$244.41 |
| 87478 |
|
42 |
40 |
$243.60 |
| 81015 |
|
299 |
282 |
$221.26 |
| 72170 |
|
70 |
69 |
$199.82 |
| 87640 |
|
69 |
68 |
$191.45 |
| J1170 |
Hydromorphone injection |
4,125 |
3,166 |
$183.19 |
| J7050 |
Normal saline solution infus |
2,728 |
2,140 |
$181.36 |
| 0134A |
|
40 |
37 |
$169.50 |
| 87075 |
|
510 |
465 |
$165.92 |
| 84703 |
|
328 |
309 |
$164.74 |
| 88175 |
|
14 |
14 |
$159.66 |
| 86038 |
|
49 |
49 |
$159.23 |
| 76376 |
|
739 |
714 |
$157.03 |
| 85730 |
|
269 |
230 |
$152.21 |
| 99238 |
|
13 |
13 |
$147.98 |
| 97164 |
|
14 |
12 |
$147.48 |
| 86787 |
|
90 |
83 |
$146.84 |
| A9500 |
Tc99m sestamibi |
27 |
24 |
$130.80 |
| J2704 |
Inj, propofol, 10 mg |
10,523 |
9,368 |
$113.79 |
| L3908 |
Who cock-up nonmolde pre ots |
13 |
13 |
$112.90 |
| 69210 |
|
12 |
12 |
$103.70 |
| G2012 |
Brief check in by md/qhp |
53 |
51 |
$102.26 |
| 36591 |
|
23 |
16 |
$102.09 |
| 85379 |
|
758 |
676 |
$100.92 |
| 87624 |
|
12 |
12 |
$99.28 |
| 83993 |
|
12 |
12 |
$98.15 |
| 84146 |
|
13 |
12 |
$96.90 |
| 87449 |
|
53 |
51 |
$96.46 |
| 87040 |
|
445 |
384 |
$84.72 |
| 0111A |
|
13 |
12 |
$74.40 |
| 82075 |
|
586 |
478 |
$73.92 |
| 73560 |
|
35 |
25 |
$72.63 |
| 87807 |
|
16 |
16 |
$70.26 |
| 83605 |
|
894 |
784 |
$62.30 |
| J7620 |
Albuterol ipratrop non-comp |
562 |
492 |
$60.33 |
| J2250 |
Inj midazolam hydrochloride |
7,240 |
6,476 |
$56.63 |
| J7030 |
Normal saline solution infus |
5,269 |
4,397 |
$55.13 |
| J2060 |
Lorazepam injection |
2,219 |
1,808 |
$52.49 |
| 73080 |
|
12 |
12 |
$50.28 |
| 87324 |
|
39 |
39 |
$49.66 |
| Q9969 |
Non-heu tc-99m add-on/dose |
206 |
198 |
$48.84 |
| J3010 |
Fentanyl citrate injection |
8,686 |
7,829 |
$47.13 |
| 87427 |
|
14 |
13 |
$46.84 |
| J7613 |
Albuterol non-comp unit |
524 |
479 |
$45.86 |
| 86901 |
|
2,905 |
2,538 |
$42.60 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,769 |
4,975 |
$39.81 |
| 87045 |
|
14 |
13 |
$37.76 |
| 87046 |
|
14 |
13 |
$37.76 |
| 83721 |
|
15 |
13 |
$37.48 |
| 80178 |
|
14 |
14 |
$32.70 |
| 82150 |
|
12 |
12 |
$32.60 |
| 80164 |
|
14 |
12 |
$29.86 |
| 87651 |
|
34 |
34 |
$26.62 |
| 87400 |
|
136 |
135 |
$26.46 |
| 90744 |
|
299 |
253 |
$26.14 |
| 86430 |
|
12 |
12 |
$23.20 |
| 84460 |
|
13 |
12 |
$21.14 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
2,466 |
2,271 |
$20.55 |
| 82565 |
|
25 |
24 |
$19.96 |
| J3370 |
Vancomycin hcl injection |
999 |
734 |
$19.08 |
| G2211 |
Complex e/m visit add on |
48 |
48 |
$14.19 |
| J3301 |
Triamcinolone acet inj nos |
1,472 |
1,339 |
$13.12 |
| J1100 |
Dexamethasone sodium phos |
8,103 |
6,823 |
$12.59 |
| J1885 |
Ketorolac tromethamine inj |
7,279 |
5,932 |
$12.54 |
| 87339 |
|
491 |
430 |
$11.71 |
| 86308 |
|
14 |
12 |
$10.58 |
| 82948 |
|
552 |
394 |
$8.70 |
| A6209 |
Foam drsg <=16 sq in w/o bdr |
697 |
405 |
$8.19 |
| J2405 |
Ondansetron hcl injection |
11,496 |
9,696 |
$6.93 |
| 82272 |
|
12 |
12 |
$6.90 |
| J2370 |
Phenylephrine hcl injection |
1,237 |
1,062 |
$5.30 |
| J7120 |
Ringers lactate infusion |
7,416 |
6,487 |
$5.14 |
| J1200 |
Diphenhydramine hcl injectio |
1,127 |
898 |
$4.24 |
| 82077 |
|
1,341 |
1,210 |
$3.52 |
| J2270 |
Morphine sulfate injection |
915 |
796 |
$3.14 |
| J2001 |
Lidocaine injection |
6,358 |
5,334 |
$1.71 |
| 83615 |
|
22 |
19 |
$1.14 |
| C9113 |
Inj pantoprazole sodium, via |
306 |
210 |
$0.00 |
| 90633 |
|
1,215 |
1,126 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
714 |
674 |
$0.00 |
| A6210 |
Foam drg >16<=48 sq in w/o b |
615 |
332 |
$0.00 |
| A6212 |
Foam drg <=16 sq in w/border |
291 |
206 |
$0.00 |
| 76942 |
|
541 |
476 |
$0.00 |
| 90707 |
|
418 |
400 |
$0.00 |
| 90472 |
|
5,747 |
5,375 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
1,205 |
1,057 |
$0.00 |
| 91300 |
|
6,112 |
3,886 |
$0.00 |
| 90710 |
|
103 |
92 |
$0.00 |
| J0670 |
Inj mepivacaine hcl/10 ml |
41 |
37 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
45 |
38 |
$0.00 |
| G8985 |
Carry goal status |
118 |
99 |
$0.00 |
| G8978 |
Mobility current status |
473 |
433 |
$0.00 |
| J0780 |
Prochlorperazine injection |
121 |
91 |
$0.00 |
| G8979 |
Mobility goal status |
581 |
485 |
$0.00 |
| 90700 |
|
331 |
307 |
$0.00 |
| A6250 |
Skin seal protect moisturizr |
318 |
223 |
$0.00 |
| 91311 |
|
109 |
103 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
102 |
86 |
$0.00 |
| G8984 |
Carry current status |
95 |
82 |
$0.00 |
| 80143 |
|
29 |
25 |
$0.00 |
| 91321 |
|
42 |
42 |
$0.00 |
| 91312 |
|
321 |
295 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
193 |
92 |
$0.00 |
| 64447 |
|
109 |
104 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
24 |
24 |
$0.00 |
| Q9950 |
Inj sulf hexa lipid microsph |
35 |
29 |
$0.00 |
| U0001 |
2019-ncov diagnostic p |
821 |
720 |
$0.00 |
| J2930 |
Methylprednisolone injection |
15 |
12 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
38 |
38 |
$0.00 |
| 80179 |
|
14 |
12 |
$0.00 |
| 99152 |
|
29 |
25 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,785 |
1,480 |
$0.00 |
| 90697 |
|
744 |
728 |
$0.00 |
| 96376 |
|
1,963 |
1,320 |
$0.00 |
| J1630 |
Haloperidol injection |
1,452 |
1,263 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
487 |
440 |
$0.00 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
273 |
249 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
1,467 |
1,120 |
$0.00 |
| 90680 |
|
1,657 |
1,531 |
$0.00 |
| J1790 |
Droperidol injection |
207 |
183 |
$0.00 |
| J3490 |
Drugs unclassified injection |
1,596 |
1,431 |
$0.00 |
| 91305 |
|
300 |
288 |
$0.00 |
| C1769 |
Guide wire |
391 |
350 |
$0.00 |
| 90619 |
|
36 |
36 |
$0.00 |
| 90698 |
|
700 |
601 |
$0.00 |
| A6197 |
Alginate drsg >16 <=48 sq in |
539 |
291 |
$0.00 |
| 36416 |
|
563 |
522 |
$0.00 |
| 90474 |
|
1,215 |
1,104 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
322 |
264 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
536 |
477 |
$0.00 |
| C9290 |
Inj, bupivacaine liposome |
14 |
14 |
$0.00 |
| 94760 |
|
77 |
63 |
$0.00 |
| 90696 |
|
40 |
40 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
54 |
53 |
$0.00 |
| 90647 |
|
238 |
192 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
27 |
25 |
$0.00 |
| 1123F |
|
137 |
135 |
$0.00 |
| 91301 |
|
1,742 |
661 |
$0.00 |
| 88341 |
|
15 |
12 |
$0.00 |
| 88304 |
|
15 |
13 |
$0.00 |
| 64494 |
|
25 |
24 |
$0.00 |
| G8988 |
Self care goal status |
33 |
26 |
$0.00 |
| G8980 |
Mobility d/c status |
76 |
72 |
$0.00 |
| Q0162 |
Ondansetron oral |
13 |
13 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
18 |
17 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
47 |
42 |
$0.00 |
| 90381 |
|
31 |
31 |
$0.00 |
| J2469 |
Palonosetron hcl |
20 |
12 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
329 |
239 |
$0.00 |
| G8987 |
Self care current status |
26 |
26 |
$0.00 |
| 64415 |
|
25 |
25 |
$0.00 |
| 91307 |
|
54 |
28 |
$0.00 |
| J2785 |
Regadenoson injection |
15 |
12 |
$0.00 |