| Code | Description | Claims | Beneficiaries | Total Paid |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
88,387 |
21,049 |
$10.01M |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
146,840 |
33,519 |
$9.48M |
| T1015 |
Clinic visit/encounter, all-inclusive |
35,811 |
33,628 |
$6.09M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
107,332 |
97,797 |
$5.83M |
| 41899 |
Unlisted procedure, dentoalveolar structures |
1,780 |
1,762 |
$2.94M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
67,297 |
63,371 |
$2.47M |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
17,408 |
4,913 |
$1.14M |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
4,336 |
4,308 |
$569K |
| 99215 |
Prolong outpt/office vis |
5,721 |
5,191 |
$443K |
| 92523 |
|
3,155 |
3,119 |
$431K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,343 |
3,321 |
$374K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
395 |
392 |
$312K |
| 64493 |
|
629 |
482 |
$303K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
354 |
353 |
$278K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,350 |
800 |
$278K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
1,566 |
1,548 |
$264K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,849 |
3,824 |
$257K |
| 64483 |
|
597 |
576 |
$218K |
| 64636 |
|
478 |
347 |
$194K |
| 62323 |
|
911 |
890 |
$190K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
28,619 |
20,965 |
$182K |
| 64635 |
|
407 |
392 |
$175K |
| 76942 |
|
12,215 |
7,852 |
$169K |
| 20553 |
|
6,551 |
3,526 |
$160K |
| 97166 |
|
1,665 |
1,662 |
$117K |
| 97113 |
|
1,122 |
703 |
$103K |
| 64494 |
|
598 |
423 |
$103K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,962 |
1,908 |
$99K |
| G0481 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed |
1,421 |
1,340 |
$90K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,058 |
2,046 |
$85K |
| 87428 |
|
1,556 |
1,549 |
$84K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
2,858 |
909 |
$79K |
| 64640 |
|
175 |
88 |
$71K |
| 80053 |
Comprehensive metabolic panel |
11,504 |
9,769 |
$69K |
| J0897 |
Injection, denosumab, 1 mg |
100 |
94 |
$67K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,908 |
1,804 |
$64K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
854 |
329 |
$63K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13,550 |
11,027 |
$62K |
| J1453 |
Injection, fosaprepitant, 1 mg |
291 |
185 |
$58K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
1,537 |
537 |
$57K |
| 64490 |
|
102 |
80 |
$51K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
440 |
413 |
$50K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
342 |
207 |
$45K |
| 99152 |
|
2,907 |
2,700 |
$44K |
| 97162 |
|
610 |
608 |
$40K |
| 97116 |
|
1,167 |
471 |
$39K |
| 84443 |
Thyroid stimulating hormone (TSH) |
3,393 |
3,233 |
$39K |
| 27096 |
|
283 |
281 |
$39K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
286 |
284 |
$37K |
| 92526 |
|
629 |
180 |
$36K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,704 |
2,657 |
$36K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
318 |
309 |
$35K |
| 96415 |
|
418 |
294 |
$35K |
| G0482 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed |
312 |
295 |
$35K |
| 62321 |
|
137 |
134 |
$34K |
| 64405 |
|
377 |
362 |
$33K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,560 |
1,270 |
$32K |
| 62370 |
|
1,514 |
1,471 |
$32K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
102 |
62 |
$31K |
| 64450 |
|
374 |
353 |
$30K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
338 |
335 |
$29K |
| 95811 |
|
77 |
75 |
$28K |
| 00731 |
|
389 |
387 |
$28K |
| 36591 |
|
2,375 |
1,263 |
$28K |
| J0586 |
Injection, abobotulinumtoxina, 5 units |
91 |
58 |
$27K |
| 36415 |
Collection of venous blood by venipuncture |
16,796 |
14,831 |
$27K |
| 97535 |
Self-care/home management training, each 15 minutes |
654 |
320 |
$26K |
| 92522 |
|
297 |
297 |
$23K |
| 87641 |
|
984 |
955 |
$23K |
| 87400 |
|
899 |
876 |
$22K |
| 64495 |
|
143 |
92 |
$20K |
| 64491 |
|
98 |
75 |
$20K |
| 99205 |
Prolong outpt/office vis |
133 |
133 |
$20K |
| 77002 |
|
606 |
577 |
$19K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,659 |
2,758 |
$17K |
| 97161 |
|
323 |
312 |
$17K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
422 |
411 |
$17K |
| 64400 |
|
835 |
286 |
$17K |
| 64633 |
|
25 |
24 |
$16K |
| 86710 |
|
546 |
529 |
$16K |
| 62368 |
|
332 |
237 |
$13K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
661 |
644 |
$13K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,537 |
2,448 |
$13K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
227 |
224 |
$12K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
563 |
540 |
$12K |
| 80061 |
Lipid panel |
1,770 |
1,712 |
$12K |
| 94060 |
|
1,597 |
1,559 |
$12K |
| 00813 |
|
128 |
128 |
$11K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,285 |
2,109 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
1,090 |
1,045 |
$10K |
| 94726 |
|
1,674 |
1,640 |
$10K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
6,796 |
5,831 |
$9K |
| 95886 |
|
186 |
146 |
$9K |
| 82728 |
|
1,008 |
963 |
$9K |
| 97032 |
|
838 |
236 |
$9K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,461 |
1,357 |
$8K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
2,511 |
2,290 |
$8K |
| 84481 |
|
644 |
601 |
$8K |
| J2780 |
Injection, ranitidine hydrochloride, 25 mg |
1,127 |
541 |
$8K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
178 |
175 |
$8K |
| 94729 |
|
1,711 |
1,677 |
$8K |
| 81025 |
|
1,153 |
1,123 |
$8K |
| 82607 |
|
717 |
690 |
$7K |
| 84439 |
|
1,157 |
1,092 |
$7K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
15 |
14 |
$7K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
2,352 |
2,167 |
$7K |
| 87430 |
|
444 |
431 |
$7K |
| 82948 |
|
1,501 |
949 |
$7K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
232 |
190 |
$6K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
5,788 |
5,129 |
$6K |
| 64642 |
|
96 |
93 |
$6K |
| 96417 |
|
65 |
38 |
$6K |
| 88307 |
|
80 |
79 |
$6K |
| 94761 |
|
74 |
59 |
$6K |
| 73221 |
|
51 |
50 |
$5K |
| 81001 |
|
2,506 |
2,293 |
$5K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,185 |
2,974 |
$5K |
| 86140 |
|
1,419 |
1,199 |
$5K |
| 72141 |
|
44 |
44 |
$5K |
| 83540 |
|
1,153 |
1,110 |
$4K |
| 96367 |
|
128 |
54 |
$4K |
| 87186 |
|
748 |
709 |
$4K |
| 83550 |
|
876 |
848 |
$4K |
| 87070 |
|
576 |
533 |
$4K |
| 83880 |
|
259 |
242 |
$4K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
4,626 |
3,991 |
$4K |
| 86677 |
|
341 |
334 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
67 |
66 |
$4K |
| 64492 |
|
16 |
13 |
$4K |
| 85027 |
|
864 |
774 |
$4K |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
2,122 |
1,606 |
$4K |
| 97167 |
|
55 |
55 |
$4K |
| 81003 |
|
2,933 |
2,598 |
$3K |
| 87077 |
|
664 |
625 |
$3K |
| 70486 |
|
59 |
59 |
$3K |
| 71250 |
|
68 |
65 |
$3K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
4,832 |
4,287 |
$3K |
| J3490 |
Unclassified drugs |
5,464 |
3,905 |
$3K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
72 |
70 |
$3K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
72 |
70 |
$3K |
| 86769 |
|
74 |
74 |
$3K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
15 |
14 |
$3K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
38 |
38 |
$3K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
481 |
409 |
$2K |
| 00811 |
|
39 |
38 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
41 |
41 |
$2K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,443 |
1,295 |
$2K |
| 95874 |
|
165 |
157 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
150 |
149 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
29 |
28 |
$2K |
| 85610 |
|
988 |
595 |
$2K |
| 85007 |
|
945 |
844 |
$2K |
| 83690 |
|
426 |
403 |
$2K |
| 76536 |
|
39 |
39 |
$2K |
| G0260 |
Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography |
70 |
65 |
$2K |
| 64634 |
|
17 |
12 |
$2K |
| 82150 |
|
413 |
392 |
$2K |
| J2704 |
Injection, propofol, 10 mg |
1,887 |
1,612 |
$2K |
| 86756 |
|
136 |
131 |
$2K |
| 64615 |
|
44 |
40 |
$2K |
| 95806 |
|
42 |
42 |
$2K |
| 86850 |
|
293 |
282 |
$2K |
| 87205 |
|
514 |
475 |
$2K |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
935 |
683 |
$2K |
| 83735 |
|
484 |
407 |
$2K |
| 85652 |
|
938 |
748 |
$2K |
| 20611 |
|
29 |
24 |
$2K |
| 20610 |
|
29 |
25 |
$2K |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
78 |
70 |
$2K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
12 |
12 |
$2K |
| 72100 |
|
116 |
116 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
70 |
69 |
$1K |
| 90686 |
|
382 |
378 |
$1K |
| 87075 |
|
129 |
120 |
$1K |
| 92557 |
|
45 |
45 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
27 |
24 |
$1K |
| 73610 |
|
100 |
88 |
$1K |
| 77066 |
Tomosynthesis, mammo |
13 |
13 |
$1K |
| 99406 |
|
351 |
333 |
$1K |
| 87420 |
|
92 |
87 |
$1K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
14 |
13 |
$1K |
| 85730 |
|
222 |
211 |
$1K |
| 86900 |
|
350 |
338 |
$1K |
| 82570 |
|
332 |
318 |
$953.89 |
| 94760 |
|
29 |
21 |
$928.00 |
| 86901 |
|
348 |
336 |
$927.58 |
| 97165 |
|
12 |
12 |
$913.66 |
| 72110 |
|
53 |
53 |
$910.90 |
| 83970 |
|
46 |
44 |
$875.44 |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
13 |
13 |
$868.82 |
| 97163 |
|
14 |
14 |
$826.80 |
| 73110 |
|
51 |
46 |
$822.13 |
| 88304 |
|
87 |
86 |
$781.51 |
| 92567 |
|
60 |
60 |
$757.12 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
28 |
24 |
$732.85 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$726.40 |
| 76642 |
|
19 |
13 |
$718.08 |
| 70450 |
Computed tomography, head or brain; without contrast material |
13 |
13 |
$717.12 |
| 90674 |
|
34 |
34 |
$692.80 |
| 88342 |
|
26 |
25 |
$679.98 |
| 82784 |
|
48 |
42 |
$668.82 |
| 80076 |
|
105 |
78 |
$628.30 |
| 76770 |
|
15 |
15 |
$613.85 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,946 |
2,706 |
$597.99 |
| 94010 |
|
122 |
121 |
$587.69 |
| 29580 |
|
29 |
14 |
$573.05 |
| 99407 |
|
132 |
120 |
$547.15 |
| 83525 |
|
28 |
26 |
$546.10 |
| 73562 |
|
31 |
26 |
$537.50 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
27 |
25 |
$535.20 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
32 |
31 |
$488.64 |
| 74019 |
|
38 |
37 |
$442.50 |
| 73630 |
|
44 |
42 |
$416.85 |
| 99401 |
|
13 |
13 |
$356.20 |
| 87807 |
|
28 |
28 |
$350.14 |
| 82746 |
|
40 |
39 |
$348.52 |
| 84702 |
|
19 |
15 |
$317.87 |
| 87480 |
|
18 |
16 |
$311.92 |
| 90656 |
|
87 |
86 |
$302.43 |
| 87660 |
|
17 |
15 |
$289.64 |
| 87510 |
|
17 |
15 |
$289.64 |
| 99442 |
|
68 |
68 |
$289.43 |
| 88141 |
|
14 |
14 |
$269.22 |
| 73140 |
|
13 |
12 |
$247.44 |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
29 |
12 |
$240.05 |
| 85060 |
|
17 |
16 |
$207.42 |
| 74018 |
|
14 |
12 |
$190.51 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
26 |
26 |
$158.34 |
| 87340 |
|
18 |
17 |
$137.76 |
| 84100 |
|
54 |
52 |
$127.42 |
| 73130 |
|
15 |
14 |
$125.30 |
| 99443 |
|
13 |
12 |
$124.66 |
| 94664 |
|
35 |
33 |
$120.60 |
| 84550 |
|
39 |
38 |
$117.65 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
214 |
211 |
$116.07 |
| 82043 |
|
42 |
42 |
$110.64 |
| G0008 |
Administration of influenza virus vaccine |
139 |
134 |
$108.14 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
283 |
156 |
$104.05 |
| 82248 |
|
22 |
17 |
$99.04 |
| 85379 |
|
13 |
13 |
$90.40 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
73 |
62 |
$85.35 |
| 36416 |
|
121 |
100 |
$84.00 |
| 82565 |
|
21 |
16 |
$79.80 |
| 86431 |
|
18 |
15 |
$73.75 |
| 82247 |
|
14 |
12 |
$66.84 |
| 87081 |
|
12 |
12 |
$59.70 |
| 73030 |
|
12 |
12 |
$57.99 |
| 80305 |
|
55 |
54 |
$57.13 |
| 84520 |
|
18 |
13 |
$57.07 |
| 82553 |
|
15 |
14 |
$53.53 |
| 84484 |
|
12 |
12 |
$45.59 |
| 82550 |
|
18 |
16 |
$43.90 |
| J7050 |
Infusion, normal saline solution, 250 cc |
123 |
91 |
$43.32 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
179 |
176 |
$20.64 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
16 |
12 |
$19.76 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
14 |
13 |
$5.92 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
27 |
27 |
$2.53 |
| 90461 |
|
1,741 |
1,731 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,955 |
1,919 |
$0.00 |
| 90671 |
|
573 |
572 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,241 |
1,240 |
$0.00 |
| 90633 |
|
60 |
60 |
$0.00 |
| 90681 |
|
102 |
102 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
210 |
181 |
$0.00 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
239 |
222 |
$0.00 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
226 |
214 |
$0.00 |
| 90670 |
|
81 |
81 |
$0.00 |
| 99382 |
|
109 |
108 |
$0.00 |
| A4550 |
Surgical trays |
147 |
131 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
206 |
206 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
68 |
68 |
$0.00 |
| J7642 |
Glycopyrrolate, inhalation solution, compounded product, administered through dme, concentrated form, per milligram |
41 |
41 |
$0.00 |
| A6204 |
Composite dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing |
19 |
12 |
$0.00 |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
42 |
40 |
$0.00 |
| G8990 |
Other physical or occupational therapy primary functional limitation, current status, at therapy episode outset and at reporting intervals |
14 |
12 |
$0.00 |
| A9270 |
Non-covered item or service |
2,153 |
982 |
$0.00 |
| 99381 |
|
140 |
139 |
$0.00 |
| 90723 |
|
451 |
451 |
$0.00 |
| 90647 |
|
467 |
467 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
25 |
24 |
$0.00 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
201 |
190 |
$0.00 |
| Q9965 |
Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml |
51 |
48 |
$0.00 |
| 91301 |
|
15 |
15 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| 99383 |
|
23 |
23 |
$0.00 |
| C9399 |
Unclassified drugs or biologicals |
14 |
13 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
143 |
125 |
$0.00 |
| G8991 |
Other physical or occupational therapy primary functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
14 |
12 |
$0.00 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
459 |
178 |
$-135.11 |