| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99395 |
|
333 |
333 |
$0.00 |
| 90710 |
|
148 |
147 |
$0.00 |
| 84100 |
|
508 |
479 |
$0.00 |
| 99212 |
|
5,872 |
5,370 |
$0.00 |
| 86431 |
|
600 |
597 |
$0.00 |
| 81025 |
|
606 |
585 |
$0.00 |
| 83026 |
|
27 |
27 |
$0.00 |
| 85014 |
|
662 |
660 |
$0.00 |
| 92081 |
|
1,736 |
1,735 |
$0.00 |
| A0130 |
Noner transport wheelch van |
5,065 |
593 |
$0.00 |
| 3725F |
|
1,690 |
1,525 |
$0.00 |
| 84295 |
|
181 |
181 |
$0.00 |
| 84156 |
|
124 |
123 |
$0.00 |
| 92015 |
|
2,116 |
2,116 |
$0.00 |
| 92340 |
|
646 |
646 |
$0.00 |
| 87186 |
|
726 |
707 |
$0.00 |
| 99204 |
|
278 |
270 |
$0.00 |
| 83721 |
|
1,353 |
1,352 |
$0.00 |
| 86003 |
|
362 |
355 |
$0.00 |
| 86200 |
|
197 |
196 |
$0.00 |
| 80061 |
|
13,604 |
13,542 |
$0.00 |
| 81002 |
|
1,216 |
1,151 |
$0.00 |
| 3078F |
|
3,232 |
2,937 |
$0.00 |
| A0424 |
Extra ambulance attendant |
148 |
131 |
$0.00 |
| 99394 |
|
1,747 |
1,739 |
$0.00 |
| 86038 |
|
693 |
688 |
$0.00 |
| 84450 |
|
493 |
492 |
$0.00 |
| 99173 |
|
3,423 |
3,419 |
$0.00 |
| 1159F |
|
1,207 |
1,020 |
$0.00 |
| 85049 |
|
1,892 |
1,868 |
$0.00 |
| 84460 |
|
641 |
639 |
$0.00 |
| V2020 |
Vision svcs frames purchases |
653 |
653 |
$0.00 |
| 87177 |
|
86 |
85 |
$0.00 |
| A0425 |
Ground mileage |
1,614 |
1,420 |
$0.00 |
| G0270 |
Mnt subs tx for change dx |
532 |
532 |
$0.00 |
| 93010 |
|
616 |
566 |
$0.00 |
| 80076 |
|
1,639 |
1,503 |
$0.00 |
| 82947 |
|
779 |
778 |
$0.00 |
| 84439 |
|
2,840 |
2,817 |
$0.00 |
| 87491 |
|
5,892 |
5,826 |
$0.00 |
| 99392 |
|
1,470 |
1,462 |
$0.00 |
| 82948 |
|
319 |
236 |
$0.00 |
| 71046 |
|
515 |
508 |
$0.00 |
| 99401 |
|
1,109 |
1,073 |
$0.00 |
| 73630 |
|
50 |
42 |
$0.00 |
| 90658 |
|
167 |
167 |
$0.00 |
| 76642 |
|
98 |
95 |
$0.00 |
| E1390 |
Oxygen concentrator |
292 |
281 |
$0.00 |
| 92552 |
|
1,190 |
1,189 |
$0.00 |
| 86696 |
|
177 |
177 |
$0.00 |
| 84520 |
|
202 |
202 |
$0.00 |
| 96160 |
|
2,503 |
2,499 |
$0.00 |
| 82570 |
|
2,356 |
2,336 |
$0.00 |
| 84550 |
|
1,418 |
1,408 |
$0.00 |
| 99393 |
|
2,478 |
2,465 |
$0.00 |
| 90734 |
|
411 |
408 |
$0.00 |
| 97110 |
|
1,039 |
398 |
$0.00 |
| 82274 |
|
1,216 |
1,192 |
$0.00 |
| 86900 |
|
320 |
270 |
$0.00 |
| 85610 |
|
1,578 |
1,370 |
$0.00 |
| 87660 |
|
194 |
191 |
$0.00 |
| 90633 |
|
212 |
212 |
$0.00 |
| 1160F |
|
1,318 |
1,146 |
$0.00 |
| 86480 |
|
229 |
229 |
$0.00 |
| 99391 |
|
246 |
246 |
$0.00 |
| 99284 |
|
2,045 |
1,939 |
$0.00 |
| 85007 |
|
1,094 |
1,017 |
$0.00 |
| 83516 |
|
144 |
144 |
$0.00 |
| 81003 |
|
3,434 |
3,356 |
$0.00 |
| T1003 |
Lpn/lvn services up to 15min |
93 |
81 |
$0.00 |
| 90700 |
|
219 |
219 |
$0.00 |
| 82565 |
|
315 |
314 |
$0.00 |
| T4527 |
Adult size pull-on lg |
202 |
202 |
$0.00 |
| 3077F |
|
390 |
362 |
$0.00 |
| S9083 |
Urgent care center global |
280 |
262 |
$0.00 |
| S9999 |
Sales tax |
367 |
350 |
$0.00 |
| 82977 |
|
795 |
789 |
$0.00 |
| 85048 |
|
187 |
186 |
$0.00 |
| 99396 |
|
195 |
194 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
261 |
252 |
$0.00 |
| P9604 |
One-way allow prorated trip |
64 |
44 |
$0.00 |
| 82374 |
|
169 |
169 |
$0.00 |
| 0502F |
|
57 |
38 |
$0.00 |
| 85045 |
|
95 |
94 |
$0.00 |
| 86235 |
|
160 |
159 |
$0.00 |
| 90833 |
|
181 |
178 |
$0.00 |
| 90649 |
|
230 |
230 |
$0.00 |
| 77067 |
|
898 |
898 |
$0.00 |
| 90713 |
|
144 |
144 |
$0.00 |
| 74176 |
|
93 |
92 |
$0.00 |
| 83013 |
|
89 |
89 |
$0.00 |
| S3005 |
Eval self-assess depression |
371 |
316 |
$0.00 |
| 92014 |
|
405 |
403 |
$0.00 |
| 2028F |
|
13 |
12 |
$0.00 |
| 59425 |
|
1,139 |
625 |
$0.00 |
| 86708 |
|
241 |
241 |
$0.00 |
| 83655 |
|
1,727 |
1,725 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
12 |
12 |
$0.00 |
| 82248 |
|
486 |
478 |
$0.00 |
| 90460 |
|
1,309 |
1,302 |
$0.00 |
| 84481 |
|
423 |
420 |
$0.00 |
| 97039 |
|
863 |
254 |
$0.00 |
| 99203 |
|
458 |
449 |
$0.00 |
| 2022F |
|
30 |
30 |
$0.00 |
| E0601 |
Cont airway pressure device |
103 |
103 |
$0.00 |
| 90715 |
|
236 |
236 |
$0.00 |
| 87806 |
|
42 |
42 |
$0.00 |
| 88175 |
|
1,270 |
1,270 |
$0.00 |
| 86703 |
|
68 |
68 |
$0.00 |
| 87880 |
|
462 |
456 |
$0.00 |
| 83037 |
|
66 |
66 |
$0.00 |
| T1015 |
Clinic service |
534 |
498 |
$0.00 |
| 84146 |
|
158 |
158 |
$0.00 |
| 95144 |
|
390 |
202 |
$0.00 |
| A0429 |
Bls-emergency |
512 |
465 |
$0.00 |
| T4541 |
Large disposable underpad |
831 |
831 |
$0.00 |
| 99001 |
|
119 |
87 |
$0.00 |
| 80164 |
|
14 |
13 |
$0.00 |
| 3016F |
|
69 |
69 |
$0.00 |
| T4522 |
Adult size brief/diaper med |
89 |
89 |
$0.00 |
| 82785 |
|
271 |
271 |
$0.00 |
| 87210 |
|
26 |
25 |
$0.00 |
| 83718 |
|
147 |
147 |
$0.00 |
| T4530 |
Ped size brief/diaper lg |
48 |
48 |
$0.00 |
| 80307 |
|
582 |
549 |
$0.00 |
| 97803 |
|
490 |
480 |
$0.00 |
| 90472 |
|
219 |
217 |
$0.00 |
| 82465 |
|
579 |
567 |
$0.00 |
| 83020 |
|
30 |
30 |
$0.00 |
| 73610 |
|
14 |
13 |
$0.00 |
| 87799 |
|
88 |
87 |
$0.00 |
| 70450 |
|
139 |
138 |
$0.00 |
| 80074 |
|
490 |
486 |
$0.00 |
| 83540 |
|
1,063 |
1,053 |
$0.00 |
| 1158F |
|
41 |
36 |
$0.00 |
| H1003 |
Prenatal at risk education |
67 |
49 |
$0.00 |
| 74177 |
|
62 |
57 |
$0.00 |
| 99051 |
|
77 |
75 |
$0.00 |
| 87075 |
|
13 |
13 |
$0.00 |
| 76705 |
|
134 |
127 |
$0.00 |
| 90648 |
|
63 |
63 |
$0.00 |
| 82776 |
|
15 |
15 |
$0.00 |
| 90746 |
|
53 |
53 |
$0.00 |
| 76856 |
|
150 |
150 |
$0.00 |
| 82310 |
|
184 |
184 |
$0.00 |
| A4927 |
Non-sterile gloves |
27 |
27 |
$0.00 |
| 82247 |
|
168 |
168 |
$0.00 |
| 84702 |
|
474 |
416 |
$0.00 |
| 83525 |
|
57 |
57 |
$0.00 |
| 84155 |
|
169 |
169 |
$0.00 |
| 81220 |
|
71 |
71 |
$0.00 |
| H0046 |
Mental health service, nos |
2,566 |
416 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
41 |
32 |
$0.00 |
| 87512 |
|
85 |
85 |
$0.00 |
| 74018 |
|
47 |
42 |
$0.00 |
| 83970 |
|
107 |
105 |
$0.00 |
| 87338 |
|
275 |
274 |
$0.00 |
| 73562 |
|
33 |
28 |
$0.00 |
| 87209 |
|
84 |
83 |
$0.00 |
| 90707 |
|
73 |
73 |
$0.00 |
| 82652 |
|
73 |
73 |
$0.00 |
| 90461 |
|
179 |
179 |
$0.00 |
| S5111 |
Family homecare train/sessio |
1,779 |
276 |
$0.00 |
| 77066 |
Tomosynthesis, mammo |
12 |
12 |
$0.00 |
| 11721 |
|
77 |
77 |
$0.00 |
| A6250 |
Skin seal protect moisturizr |
222 |
222 |
$0.00 |
| 86039 |
|
182 |
181 |
$0.00 |
| T4526 |
Adult size pull-on med |
178 |
178 |
$0.00 |
| 99152 |
|
49 |
48 |
$0.00 |
| E0443 |
Portable 02 contents, gas |
161 |
161 |
$0.00 |
| A0100 |
Nonemergency transport taxi |
11,884 |
1,362 |
$0.00 |
| 87045 |
|
35 |
33 |
$0.00 |
| G0444 |
Depression screen annual |
109 |
99 |
$0.00 |
| 85041 |
|
29 |
29 |
$0.00 |
| 90670 |
|
275 |
275 |
$0.00 |
| 86644 |
|
29 |
27 |
$0.00 |
| 99223 |
Prolong inpt eval add15 m |
12 |
12 |
$0.00 |
| 87798 |
|
12 |
12 |
$0.00 |
| 97530 |
|
83 |
50 |
$0.00 |
| A9901 |
Delivery/set up/dispensing |
13 |
13 |
$0.00 |
| G8511 |
Scr dep pos, no plan doc rng |
30 |
30 |
$0.00 |
| 92134 |
|
12 |
12 |
$0.00 |
| 92012 |
|
61 |
61 |
$0.00 |
| 87427 |
|
19 |
18 |
$0.00 |
| 73110 |
|
12 |
12 |
$0.00 |
| 80299 |
|
18 |
18 |
$0.00 |
| 99211 |
|
52 |
50 |
$0.00 |
| 92557 |
|
14 |
14 |
$0.00 |
| 99199 |
|
136 |
100 |
$0.00 |
| 86787 |
|
31 |
31 |
$0.00 |
| 81420 |
|
43 |
43 |
$0.00 |
| 90832 |
|
230 |
176 |
$0.00 |
| 84403 |
|
174 |
174 |
$0.00 |
| 90685 |
|
68 |
68 |
$0.00 |
| 43239 |
|
14 |
14 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
24 |
24 |
$0.00 |
| A6402 |
Sterile gauze <= 16 sq in |
12 |
12 |
$0.00 |
| 99244 |
|
27 |
27 |
$0.00 |
| 86765 |
|
14 |
14 |
$0.00 |
| 99501 |
|
17 |
17 |
$0.00 |
| 99307 |
|
18 |
18 |
$0.00 |
| 92588 |
|
14 |
14 |
$0.00 |
| 87502 |
|
12 |
12 |
$0.00 |
| 90621 |
|
17 |
17 |
$0.00 |
| 73130 |
|
16 |
14 |
$0.00 |
| 86709 |
|
12 |
12 |
$0.00 |
| G0483 |
Drug test def 22+ classes |
18 |
18 |
$0.00 |
| 90655 |
|
17 |
17 |
$0.00 |
| 86735 |
|
14 |
14 |
$0.00 |
| 87481 |
|
12 |
12 |
$0.00 |
| 84165 |
|
13 |
13 |
$0.00 |
| 2010F |
|
1,598 |
1,348 |
$0.00 |
| 92002 |
|
13 |
13 |
$0.00 |
| 80053 |
|
17,508 |
16,340 |
$0.00 |
| 99214 |
|
5,869 |
5,436 |
$0.00 |
| 80048 |
|
3,335 |
2,656 |
$0.00 |
| H0049 |
Alcohol/drug screening |
4,158 |
3,990 |
$0.00 |
| 95115 |
|
389 |
201 |
$0.00 |
| 81001 |
|
7,831 |
7,611 |
$0.00 |
| 84443 |
|
10,240 |
10,152 |
$0.00 |
| 99213 |
|
36,647 |
32,323 |
$0.00 |
| 92499 |
|
906 |
905 |
$0.00 |
| 3080F |
|
218 |
206 |
$0.00 |
| 99285 |
|
1,699 |
1,577 |
$0.00 |
| 99383 |
|
153 |
153 |
$0.00 |
| 94760 |
|
910 |
824 |
$0.00 |
| 90471 |
|
2,085 |
2,068 |
$0.00 |
| 99000 |
|
1,607 |
1,537 |
$0.00 |
| 81000 |
|
2,417 |
2,387 |
$0.00 |
| 87624 |
|
1,047 |
1,044 |
$0.00 |
| 84479 |
|
1,151 |
1,149 |
$0.00 |
| 82040 |
|
181 |
181 |
$0.00 |
| 85018 |
|
5,571 |
5,548 |
$0.00 |
| 83036 |
|
11,040 |
10,991 |
$0.00 |
| 80069 |
|
133 |
133 |
$0.00 |
| 3008F |
|
4,392 |
3,946 |
$0.00 |
| 3351F |
|
2,281 |
1,935 |
$0.00 |
| 84153 |
|
983 |
977 |
$0.00 |
| 92004 |
|
458 |
450 |
$0.00 |
| 3074F |
|
3,204 |
2,902 |
$0.00 |
| 83690 |
|
695 |
654 |
$0.00 |
| 3075F |
|
323 |
306 |
$0.00 |
| 84436 |
|
1,631 |
1,628 |
$0.00 |
| 86225 |
|
152 |
151 |
$0.00 |
| 92551 |
|
6,116 |
6,113 |
$0.00 |
| 87088 |
|
1,519 |
1,475 |
$0.00 |
| 85025 |
|
20,484 |
18,277 |
$0.00 |
| 87077 |
|
549 |
534 |
$0.00 |
| 1126F |
|
1,963 |
1,735 |
$0.00 |
| 97802 |
|
1,382 |
1,363 |
$0.00 |
| 86580 |
|
622 |
621 |
$0.00 |
| S9088 |
Services provided in urgent |
301 |
283 |
$0.00 |
| 87480 |
|
194 |
191 |
$0.00 |
| 71045 |
|
957 |
712 |
$0.00 |
| A0428 |
Bls |
286 |
251 |
$0.00 |
| 2000F |
|
608 |
525 |
$0.00 |
| 99283 |
|
2,972 |
2,866 |
$0.00 |
| 1036F |
|
338 |
308 |
$0.00 |
| S9451 |
Exercise class |
959 |
951 |
$0.00 |
| 82044 |
|
13 |
13 |
$0.00 |
| G0439 |
Ppps, subseq visit |
269 |
269 |
$0.00 |
| 82962 |
|
794 |
715 |
$0.00 |
| E0431 |
Portable gaseous 02 |
188 |
187 |
$0.00 |
| 85730 |
|
898 |
838 |
$0.00 |
| 90651 |
|
606 |
593 |
$0.00 |
| 36416 |
|
66 |
66 |
$0.00 |
| 36415 |
|
8,944 |
8,416 |
$0.00 |
| 82746 |
|
688 |
686 |
$0.00 |
| G0447 |
Behavior counsel obesity 15m |
562 |
549 |
$0.00 |
| 86317 |
|
121 |
120 |
$0.00 |
| 90732 |
|
12 |
12 |
$0.00 |
| 97112 |
|
401 |
218 |
$0.00 |
| 88142 |
|
689 |
686 |
$0.00 |
| 97140 |
|
583 |
273 |
$0.00 |
| T4523 |
Adult size brief/diaper lg |
116 |
115 |
$0.00 |
| 87340 |
|
743 |
742 |
$0.00 |
| 86850 |
|
211 |
203 |
$0.00 |
| 97162 |
|
42 |
40 |
$0.00 |
| 93000 |
|
172 |
171 |
$0.00 |
| 4559F |
|
396 |
325 |
$0.00 |
| 82550 |
|
127 |
123 |
$0.00 |
| 86592 |
|
3,336 |
3,316 |
$0.00 |
| G0283 |
Elec stim other than wound |
67 |
40 |
$0.00 |
| 86803 |
|
1,038 |
1,037 |
$0.00 |
| 87591 |
|
5,854 |
5,789 |
$0.00 |
| 99344 |
|
50 |
50 |
$0.00 |
| 82306 |
|
4,218 |
4,200 |
$0.00 |
| T4535 |
Disposable liner/shield/pad |
475 |
449 |
$0.00 |
| 82728 |
|
706 |
700 |
$0.00 |
| H2019 |
Ther behav svc, per 15 min |
4,523 |
401 |
$0.00 |
| 87536 |
|
232 |
229 |
$0.00 |
| 76700 |
|
188 |
188 |
$0.00 |
| 86140 |
|
628 |
595 |
$0.00 |
| 83615 |
|
276 |
268 |
$0.00 |
| E0562 |
Humidifier heated used w pap |
197 |
197 |
$0.00 |
| 85652 |
|
1,240 |
1,219 |
$0.00 |
| 0001F |
|
63 |
45 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
378 |
378 |
$0.00 |
| 84478 |
|
159 |
159 |
$0.00 |
| 86704 |
|
248 |
248 |
$0.00 |
| 90698 |
|
59 |
59 |
$0.00 |
| 87510 |
|
194 |
191 |
$0.00 |
| 2001F |
|
695 |
592 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
155 |
150 |
$0.00 |
| 90620 |
|
75 |
75 |
$0.00 |
| 90688 |
|
1,277 |
1,277 |
$0.00 |
| 87081 |
|
521 |
518 |
$0.00 |
| 82607 |
|
953 |
951 |
$0.00 |
| 84703 |
|
241 |
233 |
$0.00 |
| 99241 |
|
80 |
80 |
$0.00 |
| 86593 |
|
126 |
122 |
$0.00 |
| 85027 |
|
3,303 |
3,055 |
$0.00 |
| 88305 |
|
374 |
371 |
$0.00 |
| 84132 |
|
170 |
170 |
$0.00 |
| 96150 |
|
113 |
112 |
$0.00 |
| 92082 |
|
83 |
83 |
$0.00 |
| 97750 |
|
114 |
52 |
$0.00 |
| 86706 |
|
504 |
504 |
$0.00 |
| 92507 |
|
270 |
74 |
$0.00 |
| 96110 |
|
563 |
562 |
$0.00 |
| A4335 |
Incontinence supply |
221 |
221 |
$0.00 |
| 82670 |
|
88 |
87 |
$0.00 |
| 87086 |
|
3,206 |
3,081 |
$0.00 |
| 86800 |
|
114 |
109 |
$0.00 |
| A0427 |
Als1-emergency |
498 |
452 |
$0.00 |
| 87070 |
|
1,201 |
1,181 |
$0.00 |
| 3079F |
|
487 |
455 |
$0.00 |
| 97014 |
|
310 |
147 |
$0.00 |
| G9226 |
3 comp foot exam completed |
115 |
115 |
$0.00 |
| 95117 |
|
926 |
316 |
$0.00 |
| Q0092 |
Set up port xray equipment |
61 |
54 |
$0.00 |
| 97010 |
|
207 |
58 |
$0.00 |
| 84480 |
|
493 |
493 |
$0.00 |
| 82043 |
|
2,414 |
2,402 |
$0.00 |
| 3044F |
|
81 |
81 |
$0.00 |
| 92560 |
|
37 |
37 |
$0.00 |
| 83002 |
|
203 |
201 |
$0.00 |
| 88150 |
|
58 |
58 |
$0.00 |
| 83550 |
|
743 |
736 |
$0.00 |
| 80081 |
|
274 |
274 |
$0.00 |
| R0070 |
Transport portable x-ray |
25 |
24 |
$0.00 |
| 87661 |
|
162 |
162 |
$0.00 |
| 84075 |
|
183 |
183 |
$0.00 |
| 85651 |
|
80 |
80 |
$0.00 |
| 86255 |
|
90 |
89 |
$0.00 |
| 86780 |
|
149 |
147 |
$0.00 |
| 82105 |
|
155 |
155 |
$0.00 |
| 84154 |
|
37 |
37 |
$0.00 |
| 83001 |
|
249 |
247 |
$0.00 |
| 92060 |
|
227 |
227 |
$0.00 |
| 76815 |
|
57 |
41 |
$0.00 |
| A0999 |
Unlisted ambulance service |
12 |
12 |
$0.00 |
| 82950 |
|
326 |
325 |
$0.00 |
| B4160 |
Ef ped caloric dense>/=0.7kc |
90 |
90 |
$0.00 |
| 3061F |
|
53 |
53 |
$0.00 |
| 85008 |
|
136 |
135 |
$0.00 |
| 86160 |
|
158 |
157 |
$0.00 |
| 84134 |
|
13 |
12 |
$0.00 |
| 87389 |
|
3,263 |
3,259 |
$0.00 |
| 87147 |
|
291 |
289 |
$0.00 |
| E0143 |
Walker folding wheeled w/o s |
18 |
18 |
$0.00 |
| 90696 |
|
66 |
64 |
$0.00 |
| 83735 |
|
450 |
328 |
$0.00 |
| S9445 |
Pt education noc individ |
13 |
13 |
$0.00 |
| 76830 |
|
42 |
42 |
$0.00 |
| 90680 |
|
38 |
38 |
$0.00 |
| 90656 |
|
58 |
58 |
$0.00 |
| 82435 |
|
181 |
181 |
$0.00 |
| 90686 |
|
460 |
444 |
$0.00 |
| 82951 |
|
81 |
81 |
$0.00 |
| 86695 |
|
172 |
172 |
$0.00 |
| 97139 |
|
165 |
40 |
$0.00 |
| 83605 |
|
17 |
15 |
$0.00 |
| 82150 |
|
59 |
59 |
$0.00 |
| 1125F |
|
110 |
108 |
$0.00 |
| 82945 |
|
63 |
63 |
$0.00 |
| 83050 |
|
55 |
55 |
$0.00 |
| 86901 |
|
327 |
277 |
$0.00 |
| 86300 |
|
97 |
90 |
$0.00 |
| 82378 |
|
170 |
159 |
$0.00 |
| D0120 |
|
77 |
77 |
$0.00 |
| K0001 |
Standard wheelchair |
154 |
150 |
$0.00 |
| 82270 |
|
41 |
41 |
$0.00 |
| 88141 |
|
141 |
141 |
$0.00 |
| 96127 |
|
280 |
277 |
$0.00 |
| 82784 |
|
70 |
70 |
$0.00 |
| 1170F |
|
128 |
116 |
$0.00 |
| 92226 |
|
13 |
13 |
$0.00 |
| 90647 |
|
93 |
93 |
$0.00 |
| 90716 |
|
93 |
93 |
$0.00 |
| 90834 |
|
37 |
36 |
$0.00 |
| 3072F |
|
16 |
16 |
$0.00 |
| 86376 |
|
220 |
218 |
$0.00 |
| 96151 |
|
235 |
235 |
$0.00 |
| 86361 |
|
129 |
129 |
$0.00 |
| 83021 |
|
59 |
59 |
$0.00 |
| 88304 |
|
12 |
12 |
$0.00 |
| 90674 |
|
61 |
61 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
55 |
55 |
$0.00 |
| E0776 |
Iv pole |
24 |
24 |
$0.00 |
| A0398 |
Als routine disposble suppls |
26 |
24 |
$0.00 |
| 86880 |
|
13 |
12 |
$0.00 |
| 84484 |
|
110 |
82 |
$0.00 |
| G0442 |
Annual alcohol screen 15 min |
14 |
12 |
$0.00 |
| 86060 |
|
12 |
12 |
$0.00 |
| 86762 |
|
126 |
126 |
$0.00 |
| 87517 |
|
33 |
33 |
$0.00 |
| 1000F |
|
12 |
12 |
$0.00 |
| 3060F |
|
12 |
12 |
$0.00 |
| 87040 |
|
45 |
43 |
$0.00 |
| 84144 |
|
15 |
15 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$0.00 |
| 90744 |
|
26 |
26 |
$0.00 |
| 81015 |
|
26 |
26 |
$0.00 |
| 99202 |
|
13 |
13 |
$0.00 |
| T4537 |
Reusable underpad bed size |
25 |
25 |
$0.00 |
| 77063 |
|
51 |
51 |
$0.00 |
| 86777 |
|
13 |
13 |
$0.00 |
| 83789 |
|
14 |
14 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
15 |
13 |
$0.00 |
| 83498 |
|
14 |
14 |
$0.00 |
| 84402 |
|
27 |
27 |
$0.00 |
| 99385 |
|
12 |
12 |
$0.00 |
| 72148 |
|
28 |
28 |
$0.00 |
| 96161 |
|
17 |
17 |
$0.00 |
| 86141 |
|
13 |
13 |
$0.00 |
| 86304 |
|
29 |
27 |
$0.00 |
| 87046 |
|
19 |
18 |
$0.00 |
| 76641 |
|
20 |
13 |
$0.00 |
| 87205 |
|
15 |
15 |
$0.00 |
| 82261 |
|
14 |
14 |
$0.00 |
| 86430 |
|
12 |
12 |
$0.00 |
| E0570 |
Nebulizer with compression |
14 |
14 |
$0.00 |