| Code | Description | Claims | Beneficiaries | Total Paid |
| 80307 |
|
15,143 |
12,878 |
$1.07M |
| 74177 |
|
6,684 |
6,092 |
$896K |
| 59025 |
|
6,950 |
3,260 |
$826K |
| 70450 |
|
7,440 |
6,754 |
$715K |
| 96365 |
|
5,861 |
4,963 |
$629K |
| 80048 |
|
35,468 |
27,503 |
$483K |
| 93306 |
|
4,475 |
4,036 |
$448K |
| 70553 |
|
1,429 |
1,254 |
$447K |
| 85025 |
|
55,843 |
44,719 |
$446K |
| 11042 |
|
4,123 |
2,115 |
$440K |
| 72148 |
|
1,742 |
1,516 |
$392K |
| 97110 |
|
15,212 |
4,633 |
$392K |
| 72125 |
|
3,007 |
2,752 |
$342K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
4,132 |
3,897 |
$337K |
| T1015 |
Clinic visit/encounter, all-inclusive |
38,531 |
19,954 |
$321K |
| 80053 |
|
19,486 |
16,721 |
$308K |
| 78452 |
|
1,960 |
1,702 |
$304K |
| 71260 |
|
1,774 |
1,645 |
$271K |
| 36415 |
|
25,245 |
17,977 |
$261K |
| 0241U |
|
2,272 |
2,143 |
$256K |
| 71275 |
|
1,311 |
1,213 |
$228K |
| 99283 |
|
5,779 |
5,003 |
$222K |
| 70551 |
|
1,041 |
927 |
$217K |
| 99284 |
|
8,327 |
7,131 |
$198K |
| 87491 |
|
4,504 |
4,177 |
$195K |
| 87591 |
|
4,505 |
4,177 |
$195K |
| 80081 |
|
1,871 |
1,721 |
$172K |
| 74176 |
|
2,529 |
2,351 |
$166K |
| 93005 |
|
18,084 |
15,898 |
$165K |
| 72141 |
|
639 |
569 |
$137K |
| 71045 |
|
15,739 |
13,868 |
$135K |
| 87086 |
|
16,115 |
14,423 |
$133K |
| 73721 |
|
476 |
414 |
$130K |
| 80047 |
|
2,059 |
1,809 |
$123K |
| 84484 |
|
11,445 |
8,315 |
$119K |
| 99285 |
|
3,696 |
3,194 |
$116K |
| 77067 |
|
2,021 |
1,960 |
$107K |
| 86901 |
|
4,412 |
3,891 |
$106K |
| J2785 |
Injection, regadenoson, 0.1 mg |
1,414 |
1,238 |
$90K |
| 81025 |
|
10,456 |
9,202 |
$89K |
| 87653 |
|
1,926 |
1,806 |
$89K |
| 78815 |
|
189 |
171 |
$85K |
| 97161 |
|
2,027 |
1,836 |
$82K |
| 87088 |
|
8,625 |
7,829 |
$77K |
| 83880 |
|
2,951 |
2,644 |
$75K |
| 69436 |
|
377 |
359 |
$68K |
| 83690 |
|
9,338 |
8,118 |
$67K |
| 87804 |
|
3,034 |
2,576 |
$60K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
19,432 |
15,117 |
$57K |
| 71250 |
|
782 |
730 |
$57K |
| 80074 |
|
1,292 |
1,148 |
$56K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
2,000 |
1,733 |
$56K |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
2,452 |
1,241 |
$55K |
| 73221 |
|
208 |
174 |
$53K |
| 90715 |
|
2,470 |
2,350 |
$50K |
| 82077 |
|
3,161 |
2,685 |
$50K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
7,777 |
6,483 |
$49K |
| 42820 |
|
147 |
141 |
$49K |
| 84443 |
|
3,065 |
2,784 |
$46K |
| 82947 |
|
6,843 |
4,758 |
$45K |
| 80061 |
|
3,413 |
3,037 |
$45K |
| 97530 |
|
2,456 |
1,074 |
$45K |
| 87077 |
|
5,599 |
5,148 |
$45K |
| 95811 |
|
310 |
286 |
$41K |
| 82105 |
|
2,037 |
1,885 |
$41K |
| 82803 |
|
2,264 |
2,003 |
$41K |
| 94760 |
|
2,474 |
1,555 |
$40K |
| 84702 |
|
3,864 |
3,113 |
$39K |
| 82677 |
|
1,268 |
1,175 |
$39K |
| 80320 |
|
2,572 |
2,199 |
$37K |
| 70486 |
|
339 |
323 |
$37K |
| 86003 |
|
382 |
351 |
$37K |
| 74420 |
|
685 |
576 |
$37K |
| 97001 |
|
1,275 |
1,119 |
$36K |
| 81001 |
|
11,320 |
10,197 |
$36K |
| 81003 |
|
15,289 |
13,287 |
$35K |
| 93017 |
|
2,093 |
1,824 |
$35K |
| 72131 |
|
322 |
291 |
$35K |
| 87880 |
|
2,805 |
2,671 |
$35K |
| 93971 |
|
1,030 |
965 |
$34K |
| J1815 |
Injection, insulin, per 5 units |
2,002 |
1,357 |
$34K |
| 87081 |
|
4,189 |
3,960 |
$34K |
| 87389 |
|
1,387 |
1,265 |
$33K |
| 80076 |
|
3,846 |
3,395 |
$32K |
| 80143 |
|
1,606 |
1,420 |
$32K |
| 80179 |
|
1,600 |
1,427 |
$30K |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
1,607 |
1,410 |
$30K |
| 74018 |
|
1,787 |
1,676 |
$30K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
689 |
663 |
$29K |
| 86900 |
|
4,286 |
3,782 |
$29K |
| 95810 |
|
264 |
257 |
$29K |
| 87186 |
|
5,594 |
5,145 |
$29K |
| 86850 |
|
4,000 |
3,511 |
$28K |
| 83605 |
|
2,704 |
2,335 |
$27K |
| 76705 |
|
1,962 |
1,819 |
$27K |
| 93458 |
|
191 |
163 |
$27K |
| 72100 |
|
1,090 |
1,003 |
$27K |
| 97597 |
|
2,338 |
1,163 |
$27K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
570 |
504 |
$25K |
| 87070 |
|
2,553 |
2,334 |
$25K |
| 86336 |
|
1,268 |
1,175 |
$25K |
| 94726 |
|
1,193 |
1,133 |
$25K |
| 97165 |
|
805 |
714 |
$24K |
| 85610 |
|
7,143 |
6,224 |
$24K |
| 73030 |
|
990 |
900 |
$23K |
| 94761 |
|
1,687 |
1,499 |
$21K |
| 83036 |
|
2,899 |
2,604 |
$21K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
7,942 |
5,951 |
$21K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
3,560 |
2,629 |
$21K |
| 72170 |
|
1,186 |
1,099 |
$21K |
| 80050 |
|
742 |
647 |
$20K |
| 76642 |
|
783 |
752 |
$20K |
| 84703 |
|
1,995 |
1,816 |
$20K |
| 73630 |
|
732 |
675 |
$20K |
| 82962 |
|
4,885 |
2,942 |
$19K |
| 86592 |
|
3,859 |
3,493 |
$19K |
| 77063 |
|
1,421 |
1,368 |
$19K |
| 87040 |
|
1,531 |
1,172 |
$19K |
| 73560 |
|
816 |
734 |
$18K |
| 80329 |
|
1,199 |
1,014 |
$18K |
| 83735 |
|
3,541 |
2,885 |
$18K |
| 12001 |
|
80 |
78 |
$17K |
| 73130 |
|
681 |
636 |
$17K |
| 94729 |
|
1,187 |
1,130 |
$17K |
| 77066 |
Tomosynthesis, mammo |
264 |
246 |
$17K |
| C1769 |
Guide wire |
320 |
292 |
$16K |
| 77336 |
|
328 |
136 |
$16K |
| 71046 |
|
1,027 |
938 |
$16K |
| 87147 |
|
1,612 |
1,488 |
$16K |
| 73610 |
|
801 |
757 |
$16K |
| 99282 |
|
760 |
709 |
$16K |
| 88305 |
|
485 |
430 |
$15K |
| 80164 |
|
1,140 |
960 |
$14K |
| P9612 |
Catheterization for collection of specimen, single patient, all places of service |
723 |
670 |
$14K |
| 85730 |
|
2,809 |
2,408 |
$14K |
| 86803 |
|
766 |
694 |
$13K |
| 85027 |
|
3,252 |
2,477 |
$13K |
| 85379 |
|
1,342 |
1,236 |
$12K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
57 |
54 |
$12K |
| 84439 |
|
1,558 |
1,389 |
$11K |
| 94640 |
|
3,182 |
2,679 |
$11K |
| 76801 |
|
322 |
293 |
$11K |
| 90471 |
|
1,809 |
1,630 |
$11K |
| 87807 |
|
877 |
844 |
$11K |
| 87210 |
|
1,946 |
1,780 |
$11K |
| 77334 |
|
60 |
37 |
$10K |
| 77065 |
Tomosynthesis, mammo |
224 |
215 |
$10K |
| G0480 |
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; 1-7 drug class(es), including metabolite(s) if performed |
222 |
208 |
$9K |
| 76817 |
|
178 |
161 |
$9K |
| 87641 |
|
447 |
386 |
$8K |
| 36600 |
|
396 |
349 |
$8K |
| 73110 |
|
325 |
298 |
$8K |
| 36416 |
|
2,300 |
1,746 |
$8K |
| 86140 |
|
1,921 |
1,734 |
$8K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
2,160 |
1,617 |
$7K |
| 70498 |
|
79 |
67 |
$7K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
5,223 |
3,625 |
$7K |
| 96366 |
|
452 |
305 |
$7K |
| 71010 |
|
922 |
839 |
$6K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
7,987 |
6,717 |
$6K |
| 86038 |
|
820 |
741 |
$6K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
11,693 |
8,993 |
$6K |
| 84145 |
|
385 |
344 |
$6K |
| 77412 |
|
145 |
14 |
$6K |
| 71271 |
|
57 |
53 |
$6K |
| 82565 |
|
461 |
411 |
$6K |
| 97602 |
|
249 |
160 |
$6K |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
2,286 |
1,345 |
$6K |
| 96374 |
|
16,662 |
14,194 |
$6K |
| 87205 |
|
1,559 |
1,383 |
$6K |
| 90686 |
|
384 |
366 |
$6K |
| 76856 |
|
165 |
157 |
$5K |
| 72040 |
|
313 |
274 |
$5K |
| 36430 |
|
75 |
52 |
$5K |
| 12011 |
|
25 |
25 |
$5K |
| 86762 |
|
272 |
240 |
$5K |
| 82785 |
|
297 |
266 |
$5K |
| 82550 |
|
756 |
649 |
$5K |
| J1644 |
Injection, heparin sodium, per 1000 units |
4,685 |
2,605 |
$5K |
| 88300 |
|
286 |
262 |
$4K |
| 97003 |
|
162 |
147 |
$4K |
| 83721 |
|
663 |
635 |
$4K |
| 88304 |
|
201 |
179 |
$4K |
| 76770 |
|
153 |
141 |
$4K |
| 94010 |
|
279 |
272 |
$4K |
| 86920 |
|
67 |
55 |
$4K |
| 87400 |
|
311 |
296 |
$4K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
6,636 |
5,429 |
$4K |
| 87635 |
|
6,134 |
5,669 |
$4K |
| 43239 |
|
38 |
36 |
$4K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
9,416 |
6,925 |
$3K |
| 93976 |
|
59 |
50 |
$3K |
| 93798 |
|
295 |
62 |
$3K |
| 94060 |
|
192 |
163 |
$3K |
| 99152 |
|
232 |
217 |
$3K |
| 83525 |
|
212 |
198 |
$3K |
| 93880 |
|
113 |
105 |
$3K |
| J2060 |
Injection, lorazepam, 2 mg |
2,241 |
1,750 |
$3K |
| J2704 |
Injection, propofol, 10 mg |
8,725 |
7,371 |
$3K |
| 84481 |
|
260 |
238 |
$3K |
| 71020 |
|
197 |
189 |
$3K |
| 99406 |
|
655 |
562 |
$3K |
| 87075 |
|
202 |
184 |
$3K |
| 70496 |
|
33 |
26 |
$3K |
| 74178 |
|
42 |
39 |
$3K |
| 88175 |
|
138 |
128 |
$3K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
4,071 |
3,447 |
$2K |
| 82731 |
|
28 |
26 |
$2K |
| 84156 |
|
630 |
478 |
$2K |
| 47562 |
|
15 |
12 |
$2K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
5,785 |
4,035 |
$2K |
| 87428 |
|
48 |
47 |
$2K |
| 84132 |
|
294 |
250 |
$2K |
| 74000 |
|
118 |
113 |
$2K |
| 77300 |
|
16 |
12 |
$2K |
| 96372 |
|
8,881 |
5,873 |
$2K |
| 73070 |
|
91 |
88 |
$2K |
| 64721 |
|
14 |
12 |
$2K |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
1,496 |
1,227 |
$2K |
| 86696 |
|
66 |
56 |
$1K |
| 70491 |
|
13 |
12 |
$1K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
381 |
357 |
$1K |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
1,860 |
1,608 |
$1K |
| 86376 |
|
162 |
143 |
$1K |
| 82553 |
|
146 |
126 |
$1K |
| 96361 |
|
115 |
95 |
$1K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
880 |
752 |
$1K |
| 96375 |
|
13,511 |
11,035 |
$1K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
4,822 |
3,753 |
$1K |
| 87045 |
|
130 |
118 |
$1K |
| 73502 |
|
76 |
62 |
$1K |
| 76536 |
|
45 |
41 |
$1K |
| 83550 |
|
182 |
168 |
$1K |
| 80178 |
|
223 |
200 |
$1K |
| 87046 |
|
130 |
118 |
$1K |
| 86431 |
|
396 |
355 |
$1K |
| G0378 |
Hospital observation service, per hour |
1,111 |
843 |
$1K |
| 87899 |
|
137 |
107 |
$1K |
| J3370 |
Injection, vancomycin hcl, 500 mg |
616 |
407 |
$1K |
| 86665 |
|
32 |
25 |
$1K |
| J1956 |
Injection, levofloxacin, 250 mg |
439 |
345 |
$991.90 |
| 51702 |
|
25 |
24 |
$968.00 |
| C1894 |
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser |
44 |
42 |
$935.63 |
| M0245 |
Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring |
29 |
24 |
$932.00 |
| 83540 |
|
184 |
170 |
$928.25 |
| 84681 |
|
64 |
62 |
$919.99 |
| A9270 |
Non-covered item or service |
6,486 |
4,118 |
$877.30 |
| 80055 |
|
26 |
25 |
$876.48 |
| 82330 |
|
66 |
61 |
$859.33 |
| 74022 |
|
44 |
40 |
$822.00 |
| S0028 |
Injection, famotidine, 20 mg |
7,983 |
6,608 |
$814.43 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
1,181 |
1,062 |
$811.85 |
| 97140 |
|
2,079 |
872 |
$807.49 |
| G0008 |
Administration of influenza virus vaccine |
118 |
108 |
$762.29 |
| 77080 |
|
13 |
12 |
$731.58 |
| 85651 |
|
263 |
213 |
$694.87 |
| 83001 |
|
48 |
45 |
$688.62 |
| 86695 |
|
66 |
56 |
$684.82 |
| 87798 |
|
27 |
14 |
$681.68 |
| 99281 |
|
64 |
62 |
$663.84 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
10,929 |
9,736 |
$660.96 |
| C1760 |
Closure device, vascular (implantable/insertable) |
14 |
14 |
$656.00 |
| 82248 |
|
100 |
81 |
$641.78 |
| 82607 |
|
64 |
55 |
$626.78 |
| 75635 |
|
14 |
13 |
$601.97 |
| 76700 |
|
12 |
12 |
$598.69 |
| 86757 |
|
19 |
12 |
$582.66 |
| 73562 |
|
34 |
30 |
$571.15 |
| 76830 |
|
12 |
12 |
$562.36 |
| 82010 |
|
81 |
65 |
$547.09 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
934 |
760 |
$536.65 |
| 81050 |
|
159 |
137 |
$527.60 |
| 81002 |
|
155 |
133 |
$492.42 |
| J2370 |
Injection, phenylephrine hcl, up to 1 ml |
833 |
730 |
$490.72 |
| 97016 |
|
365 |
136 |
$488.97 |
| 86664 |
|
30 |
25 |
$458.64 |
| 86039 |
|
65 |
59 |
$458.20 |
| 84153 |
|
32 |
25 |
$450.36 |
| 84146 |
|
27 |
26 |
$438.52 |
| 96367 |
|
16 |
13 |
$430.88 |
| 76870 |
|
16 |
12 |
$420.11 |
| 86663 |
|
30 |
25 |
$393.33 |
| J2175 |
Injection, meperidine hydrochloride, per 100 mg |
1,302 |
1,123 |
$373.59 |
| 72050 |
|
16 |
15 |
$362.33 |
| 72110 |
|
28 |
26 |
$362.30 |
| 73590 |
|
17 |
16 |
$350.00 |
| 87340 |
|
28 |
26 |
$339.25 |
| 82272 |
|
78 |
75 |
$301.36 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
166 |
141 |
$270.11 |
| 94618 |
|
43 |
41 |
$259.88 |
| 86800 |
|
29 |
25 |
$255.94 |
| 83970 |
|
16 |
12 |
$252.28 |
| 99212 |
|
301 |
174 |
$243.04 |
| 82247 |
|
33 |
26 |
$236.61 |
| 73090 |
|
13 |
13 |
$233.13 |
| 70360 |
|
26 |
25 |
$232.70 |
| 86694 |
|
16 |
13 |
$231.60 |
| 77417 |
|
24 |
13 |
$215.02 |
| 97014 |
|
730 |
301 |
$213.39 |
| 87493 |
|
14 |
12 |
$207.80 |
| 82570 |
|
53 |
40 |
$202.25 |
| 90656 |
|
21 |
18 |
$200.34 |
| 82150 |
|
31 |
26 |
$191.38 |
| 99213 |
|
145 |
62 |
$182.86 |
| 82533 |
|
24 |
24 |
$180.24 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
179 |
131 |
$177.35 |
| 84100 |
|
96 |
64 |
$175.95 |
| 86141 |
|
13 |
12 |
$161.41 |
| 82728 |
|
14 |
14 |
$156.43 |
| 87430 |
|
13 |
13 |
$151.94 |
| 84295 |
|
30 |
26 |
$149.82 |
| 95816 |
|
14 |
12 |
$141.00 |
| 85014 |
|
55 |
46 |
$128.75 |
| 83520 |
|
13 |
12 |
$112.73 |
| J0360 |
Injection, hydralazine hcl, up to 20 mg |
349 |
277 |
$111.38 |
| 83986 |
|
30 |
24 |
$107.52 |
| 87449 |
|
17 |
12 |
$90.09 |
| J3480 |
Injection, potassium chloride, per 2 meq |
28 |
13 |
$70.86 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
2,008 |
1,741 |
$68.06 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
120 |
110 |
$65.82 |
| J1580 |
Injection, garamycin, gentamicin, up to 80 mg |
105 |
79 |
$65.81 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
199 |
168 |
$61.81 |
| 97112 |
|
42 |
25 |
$45.87 |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
30 |
12 |
$45.45 |
| J1630 |
Injection, haloperidol, up to 5 mg |
85 |
76 |
$44.34 |
| J2470 |
Injection, pantoprazole sodium, 40 mg |
60 |
48 |
$41.52 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
59 |
46 |
$35.37 |
| 97116 |
|
951 |
498 |
$33.39 |
| J1596 |
Injection, glycopyrrolate, 0.1 mg |
292 |
236 |
$27.95 |
| J2371 |
Injection, phenylephrine hydrochloride, 20 micrograms |
69 |
54 |
$27.86 |
| J2305 |
Injection, nitroglycerin, 5 mg |
58 |
45 |
$26.00 |
| 96376 |
|
2,560 |
1,809 |
$25.79 |
| 84460 |
|
13 |
12 |
$22.68 |
| J1940 |
Injection, furosemide, up to 20 mg |
217 |
143 |
$20.28 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
80 |
51 |
$16.29 |
| 97760 |
|
14 |
12 |
$11.07 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
15 |
12 |
$10.59 |
| J7050 |
Infusion, normal saline solution, 250 cc |
148 |
102 |
$10.36 |
| J1920 |
Injection, labetalol hydrochloride, 5 mg |
113 |
88 |
$5.12 |
| J7510 |
Prednisolone oral, per 5 mg |
14 |
12 |
$2.52 |
| J2004 |
Injection, lidocaine hcl with epinephrine, 1 mg |
39 |
38 |
$2.00 |
| 97010 |
|
162 |
62 |
$1.95 |
| G8979 |
Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
236 |
213 |
$0.32 |
| G8978 |
Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals |
249 |
232 |
$0.29 |
| 97802 |
|
27 |
27 |
$0.00 |
| 96373 |
|
12 |
12 |
$0.00 |
| 97535 |
|
47 |
25 |
$0.00 |
| 94762 |
|
345 |
260 |
$0.00 |
| 82043 |
|
14 |
12 |
$0.00 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
29 |
25 |
$0.00 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
46 |
39 |
$0.00 |
| 99291 |
|
14 |
13 |
$0.00 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
30 |
26 |
$0.00 |
| 93356 |
|
64 |
61 |
$0.00 |
| 36592 |
|
13 |
13 |
$0.00 |
| S0077 |
Injection, clindamycin phosphate, 300 mg |
39 |
28 |
$0.00 |
| 94799 |
|
15 |
12 |
$0.00 |
| J1598 |
Injection, glycopyrrolate (fresenius kabi), not therapeutically equivalent to j1596, 0.1 mg |
70 |
57 |
$0.00 |
| S0164 |
Injection, pantoprazole sodium, 40 mg |
24 |
17 |
$0.00 |