| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
44,233 |
38,565 |
$6.72M |
| 99284 |
|
36,332 |
31,217 |
$5.94M |
| 96361 |
|
18,752 |
15,302 |
$4.72M |
| 99285 |
|
17,366 |
15,199 |
$3.06M |
| 99282 |
|
16,208 |
14,045 |
$2.23M |
| G0463 |
Hospital outpt clinic visit |
14,562 |
12,614 |
$2.00M |
| 74177 |
|
7,728 |
6,858 |
$1.44M |
| 70450 |
|
7,198 |
6,169 |
$1.07M |
| G0378 |
Hospital observation per hr |
9,596 |
7,985 |
$1.06M |
| 59025 |
|
6,408 |
4,206 |
$1.04M |
| 96365 |
|
8,859 |
6,471 |
$999K |
| 43239 |
|
1,973 |
1,847 |
$893K |
| 45385 |
|
1,318 |
1,230 |
$812K |
| 45380 |
|
1,140 |
1,075 |
$691K |
| 97110 |
|
16,137 |
4,504 |
$643K |
| 96360 |
|
5,525 |
4,786 |
$556K |
| 93306 |
|
1,884 |
1,692 |
$533K |
| 80307 |
|
11,342 |
9,858 |
$532K |
| 96366 |
|
3,601 |
2,277 |
$511K |
| 71260 |
|
3,272 |
3,017 |
$423K |
| 74176 |
|
2,214 |
1,977 |
$387K |
| 45378 |
|
459 |
441 |
$331K |
| 11042 |
|
2,089 |
945 |
$329K |
| 99281 |
|
2,573 |
2,386 |
$309K |
| 70553 |
|
948 |
887 |
$304K |
| 76642 |
|
2,824 |
2,233 |
$284K |
| 94640 |
|
5,831 |
3,973 |
$261K |
| G0121 |
Colon ca scrn not hi rsk ind |
298 |
296 |
$253K |
| 76705 |
|
2,712 |
2,514 |
$248K |
| 78815 |
|
209 |
199 |
$218K |
| 77063 |
|
4,400 |
4,232 |
$214K |
| 80053 |
|
47,949 |
40,619 |
$210K |
| 93971 |
|
2,207 |
1,950 |
$201K |
| 76830 |
|
2,468 |
2,295 |
$199K |
| 0241U |
|
2,486 |
2,391 |
$192K |
| 78452 |
|
366 |
315 |
$186K |
| 71046 |
|
19,324 |
17,038 |
$185K |
| 93976 |
|
2,265 |
2,041 |
$173K |
| U0003 |
Cov-19 amp prb hgh thruput |
6,232 |
5,674 |
$172K |
| 71275 |
|
1,040 |
874 |
$171K |
| 76937 |
|
3,261 |
2,511 |
$154K |
| 58558 |
|
166 |
150 |
$145K |
| 93017 |
|
1,362 |
1,216 |
$139K |
| 77067 |
|
5,644 |
5,323 |
$135K |
| 70551 |
|
660 |
602 |
$129K |
| 82306 |
|
11,284 |
10,503 |
$121K |
| 80048 |
|
28,403 |
22,755 |
$118K |
| 76817 |
|
2,134 |
1,855 |
$115K |
| 97162 |
|
1,739 |
1,525 |
$107K |
| 87591 |
|
9,960 |
8,831 |
$103K |
| 85025 |
|
75,160 |
59,731 |
$101K |
| 58662 |
|
44 |
38 |
$99K |
| 93005 |
|
27,865 |
23,559 |
$97K |
| 80061 |
|
15,453 |
14,404 |
$96K |
| 70496 |
|
378 |
347 |
$87K |
| 76815 |
|
1,263 |
1,148 |
$84K |
| 87635 |
|
3,334 |
2,986 |
$77K |
| 0240U |
|
1,233 |
1,186 |
$71K |
| 58661 |
|
27 |
24 |
$68K |
| 97530 |
|
2,429 |
1,044 |
$66K |
| 84443 |
|
12,351 |
11,517 |
$66K |
| G0480 |
Drug test def 1-7 classes |
5,189 |
4,448 |
$61K |
| 83036 |
|
15,403 |
14,293 |
$61K |
| 72125 |
|
2,661 |
2,293 |
$61K |
| 97140 |
|
5,376 |
1,651 |
$60K |
| G0299 |
Hhs/hospice of rn ea 15 min |
1,486 |
349 |
$58K |
| 97161 |
|
394 |
377 |
$55K |
| 43235 |
|
96 |
89 |
$54K |
| 29125 |
|
417 |
370 |
$52K |
| 80050 |
|
5,351 |
4,923 |
$52K |
| 71250 |
|
676 |
621 |
$52K |
| 36430 |
|
245 |
185 |
$51K |
| 71045 |
|
10,628 |
9,031 |
$47K |
| 87633 |
|
1,232 |
1,173 |
$45K |
| 76805 |
|
398 |
391 |
$43K |
| 93970 |
|
397 |
355 |
$41K |
| 36415 |
|
39,562 |
34,069 |
$41K |
| 87491 |
|
9,900 |
8,776 |
$38K |
| 77065 |
Tomosynthesis, mammo |
1,165 |
1,047 |
$36K |
| 84439 |
|
6,869 |
6,333 |
$36K |
| 96374 |
|
24,833 |
20,489 |
$35K |
| 0223U |
|
344 |
323 |
$35K |
| 97112 |
|
2,120 |
657 |
$34K |
| 77066 |
Tomosynthesis, mammo |
1,579 |
1,446 |
$34K |
| 76770 |
|
292 |
270 |
$32K |
| 96375 |
|
19,908 |
15,305 |
$32K |
| 97116 |
|
1,923 |
935 |
$32K |
| 97163 |
|
483 |
441 |
$32K |
| 88305 |
|
9,666 |
7,538 |
$32K |
| 76536 |
|
293 |
280 |
$31K |
| 88307 |
|
1,392 |
1,117 |
$31K |
| 77062 |
|
864 |
814 |
$31K |
| 83880 |
|
3,784 |
3,160 |
$31K |
| 81025 |
|
25,012 |
21,985 |
$30K |
| 86885 |
|
7,317 |
6,398 |
$27K |
| 97035 |
|
526 |
217 |
$26K |
| 87806 |
|
1,514 |
1,430 |
$26K |
| 90715 |
|
1,292 |
1,210 |
$25K |
| 12001 |
|
159 |
147 |
$25K |
| P9016 |
Rbc leukocytes reduced |
117 |
95 |
$25K |
| 76856 |
|
204 |
190 |
$24K |
| 71271 |
|
213 |
211 |
$24K |
| 82607 |
|
4,240 |
3,690 |
$24K |
| 84484 |
|
19,616 |
12,469 |
$23K |
| 80047 |
|
6,994 |
6,184 |
$22K |
| 97165 |
|
265 |
253 |
$22K |
| J1200 |
Diphenhydramine hcl injectio |
5,206 |
4,166 |
$21K |
| 96372 |
|
15,548 |
9,509 |
$21K |
| J7050 |
Normal saline solution infus |
3,949 |
2,952 |
$20K |
| 82728 |
|
3,321 |
2,954 |
$19K |
| 97802 |
|
181 |
178 |
$18K |
| G0279 |
Tomosynthesis, mammo |
885 |
845 |
$17K |
| 83970 |
|
891 |
768 |
$17K |
| 85379 |
|
3,112 |
2,774 |
$17K |
| 81003 |
|
44,342 |
37,204 |
$17K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
14,333 |
12,610 |
$17K |
| 76700 |
|
134 |
123 |
$17K |
| 86900 |
|
10,280 |
7,167 |
$16K |
| 87086 |
|
9,802 |
8,521 |
$16K |
| 73030 |
|
1,762 |
1,503 |
$16K |
| 76801 |
|
201 |
194 |
$16K |
| 85014 |
|
8,023 |
7,020 |
$16K |
| 94726 |
|
340 |
322 |
$15K |
| 86901 |
|
10,270 |
7,167 |
$15K |
| 85610 |
|
7,206 |
5,928 |
$15K |
| 87661 |
|
1,141 |
1,070 |
$15K |
| 83655 |
|
1,899 |
1,862 |
$15K |
| 72148 |
|
75 |
73 |
$15K |
| 72100 |
|
1,012 |
946 |
$15K |
| 72110 |
|
502 |
485 |
$15K |
| 82948 |
|
15,578 |
8,797 |
$15K |
| 93350 |
|
48 |
42 |
$14K |
| 87502 |
|
1,232 |
1,083 |
$14K |
| 86803 |
|
1,333 |
1,233 |
$14K |
| 96376 |
|
9,241 |
5,097 |
$14K |
| 70491 |
|
68 |
64 |
$13K |
| 94060 |
|
216 |
207 |
$13K |
| 87040 |
|
2,358 |
1,436 |
$13K |
| 73630 |
|
1,894 |
1,617 |
$13K |
| 87650 |
|
3,759 |
3,503 |
$13K |
| U0002 |
Covid-19 lab test non-cdc |
1,750 |
1,536 |
$13K |
| 76819 |
|
293 |
236 |
$12K |
| 90471 |
|
2,373 |
2,151 |
$12K |
| 80329 |
|
1,321 |
1,041 |
$12K |
| J7030 |
Normal saline solution infus |
23,869 |
18,784 |
$12K |
| 94729 |
|
355 |
336 |
$12K |
| 85018 |
|
1,559 |
1,341 |
$12K |
| 95810 |
|
26 |
25 |
$11K |
| J7120 |
Ringers lactate infusion |
16,846 |
13,224 |
$11K |
| M0243 |
Casirivi and imdevi inj |
55 |
54 |
$11K |
| 10060 |
|
76 |
75 |
$11K |
| 73564 |
|
1,057 |
859 |
$10K |
| 80143 |
|
1,940 |
1,683 |
$10K |
| 88142 |
|
1,159 |
1,074 |
$10K |
| 87581 |
|
1,269 |
1,202 |
$10K |
| 83550 |
|
1,867 |
1,745 |
$10K |
| 83540 |
|
2,875 |
2,666 |
$10K |
| 86922 |
|
730 |
441 |
$9K |
| 99214 |
|
180 |
167 |
$9K |
| 90674 |
|
433 |
385 |
$9K |
| 77061 |
|
204 |
202 |
$9K |
| 87798 |
|
1,407 |
1,310 |
$9K |
| 84153 |
|
881 |
824 |
$9K |
| 73610 |
|
1,631 |
1,424 |
$9K |
| 10061 |
|
42 |
38 |
$8K |
| 87389 |
|
1,198 |
1,141 |
$8K |
| 80320 |
|
2,553 |
2,141 |
$8K |
| 80076 |
|
3,106 |
2,765 |
$8K |
| 83735 |
|
8,008 |
6,226 |
$8K |
| 85027 |
|
4,338 |
3,774 |
$8K |
| 82746 |
|
2,013 |
1,768 |
$8K |
| 83605 |
|
4,276 |
3,274 |
$8K |
| 84145 |
|
1,050 |
932 |
$8K |
| 87503 |
|
1,219 |
1,072 |
$7K |
| 86592 |
|
2,249 |
2,089 |
$7K |
| 70498 |
|
259 |
232 |
$7K |
| 99406 |
|
371 |
345 |
$7K |
| 87070 |
|
2,395 |
2,134 |
$7K |
| 97803 |
|
32 |
32 |
$7K |
| 82043 |
|
2,203 |
2,081 |
$7K |
| 99213 |
|
77 |
73 |
$7K |
| 97597 |
|
63 |
40 |
$7K |
| 73130 |
|
978 |
842 |
$7K |
| 84702 |
|
3,705 |
3,107 |
$7K |
| 73502 |
|
1,082 |
948 |
$7K |
| 86923 |
|
216 |
126 |
$6K |
| 99291 |
|
27 |
24 |
$6K |
| 80069 |
|
1,555 |
1,102 |
$6K |
| 85525 |
|
1,382 |
1,198 |
$6K |
| J2704 |
Inj, propofol, 10 mg |
17,536 |
12,344 |
$6K |
| 29505 |
|
57 |
52 |
$6K |
| 74240 |
|
41 |
41 |
$6K |
| 86140 |
|
1,455 |
1,109 |
$6K |
| 70486 |
|
117 |
108 |
$6K |
| 72197 |
|
13 |
13 |
$6K |
| 97535 |
|
404 |
314 |
$5K |
| 83690 |
|
16,893 |
14,178 |
$5K |
| 74018 |
|
429 |
367 |
$5K |
| 80179 |
|
1,751 |
1,536 |
$5K |
| 77080 |
|
96 |
92 |
$5K |
| 73562 |
|
515 |
445 |
$5K |
| G0297 |
Ldct for lung ca screen |
50 |
44 |
$5K |
| 88342 |
|
2,016 |
1,866 |
$5K |
| 93880 |
|
116 |
90 |
$4K |
| 77336 |
|
41 |
24 |
$4K |
| 90935 |
|
35 |
12 |
$4K |
| 90656 |
|
152 |
150 |
$4K |
| 82565 |
|
2,405 |
2,096 |
$4K |
| 95816 |
|
30 |
29 |
$4K |
| 72141 |
|
30 |
26 |
$4K |
| J3490 |
Drugs unclassified injection |
21,242 |
8,009 |
$4K |
| G0151 |
Hhcp-serv of pt,ea 15 min |
84 |
38 |
$4K |
| Q0244 |
Casirivi and imdevi 1200 mg |
59 |
29 |
$4K |
| 87624 |
|
336 |
319 |
$4K |
| 96160 |
|
196 |
181 |
$4K |
| 96367 |
|
484 |
411 |
$4K |
| 95886 |
|
25 |
24 |
$4K |
| 88304 |
|
994 |
865 |
$4K |
| J1885 |
Ketorolac tromethamine inj |
11,544 |
9,457 |
$4K |
| 87186 |
|
3,531 |
3,021 |
$3K |
| 80074 |
|
228 |
211 |
$3K |
| 85651 |
|
1,689 |
1,316 |
$3K |
| 84112 |
|
446 |
402 |
$3K |
| 86038 |
|
409 |
374 |
$3K |
| 95819 |
|
31 |
27 |
$3K |
| 84425 |
|
773 |
634 |
$3K |
| 72040 |
|
131 |
126 |
$3K |
| 99152 |
|
885 |
802 |
$3K |
| J2405 |
Ondansetron hcl injection |
23,607 |
17,985 |
$3K |
| 87340 |
|
994 |
882 |
$3K |
| 82570 |
|
1,903 |
1,646 |
$2K |
| 87088 |
|
3,187 |
2,733 |
$2K |
| J0131 |
Inj, acetaminophen (nos) |
5,989 |
5,029 |
$2K |
| J1650 |
Inj enoxaparin sodium |
2,919 |
1,171 |
$2K |
| J3010 |
Fentanyl citrate injection |
11,653 |
8,049 |
$2K |
| 87631 |
|
104 |
86 |
$2K |
| 87210 |
|
5,697 |
5,032 |
$2K |
| 97166 |
|
27 |
26 |
$2K |
| 73110 |
|
315 |
292 |
$2K |
| 84550 |
|
1,459 |
1,279 |
$2K |
| 87205 |
|
1,245 |
1,051 |
$2K |
| J8540 |
Oral dexamethasone |
915 |
773 |
$2K |
| 0042T |
|
13 |
12 |
$2K |
| 84481 |
|
252 |
231 |
$2K |
| 82731 |
|
92 |
80 |
$2K |
| 96413 |
|
13 |
12 |
$2K |
| 80164 |
|
339 |
269 |
$2K |
| J0702 |
Betamethasone acet&sod phosp |
472 |
341 |
$2K |
| 82977 |
|
310 |
301 |
$1K |
| 84703 |
|
560 |
527 |
$1K |
| 73560 |
|
307 |
278 |
$1K |
| J2270 |
Morphine sulfate injection |
9,079 |
6,425 |
$1K |
| 74220 |
|
27 |
26 |
$1K |
| 93975 |
|
22 |
20 |
$1K |
| 87077 |
|
1,124 |
955 |
$1K |
| 84156 |
|
1,536 |
1,262 |
$1K |
| 84403 |
|
99 |
96 |
$1K |
| 87653 |
|
42 |
41 |
$837.57 |
| 82550 |
|
712 |
505 |
$814.80 |
| J7512 |
Prednisone ir or dr oral 1mg |
2,241 |
1,680 |
$797.15 |
| 84630 |
|
88 |
80 |
$794.35 |
| J1170 |
Hydromorphone injection |
7,355 |
4,766 |
$754.45 |
| 97014 |
|
38 |
12 |
$726.23 |
| 85730 |
|
665 |
598 |
$672.48 |
| 51798 |
|
66 |
52 |
$667.39 |
| J0500 |
Dicyclomine injection |
721 |
642 |
$653.55 |
| J1100 |
Dexamethasone sodium phos |
8,281 |
7,079 |
$646.88 |
| J2250 |
Inj midazolam hydrochloride |
8,215 |
7,207 |
$619.28 |
| A9585 |
Gadobutrol injection |
2,239 |
2,074 |
$537.28 |
| Q9957 |
Inj perflutren lip micros,ml |
75 |
64 |
$515.32 |
| J7040 |
Normal saline solution infus |
2,280 |
1,773 |
$485.02 |
| J0690 |
Cefazolin sodium injection |
4,718 |
3,152 |
$445.37 |
| J0696 |
Ceftriaxone sodium injection |
4,315 |
2,828 |
$423.20 |
| Q0111 |
Wet mounts/ w preparations |
637 |
603 |
$398.19 |
| J1815 |
Insulin injection |
5,271 |
1,345 |
$362.31 |
| J1644 |
Inj heparin sodium per 1000u |
5,877 |
2,225 |
$360.19 |
| 84402 |
|
30 |
28 |
$355.23 |
| 83615 |
|
479 |
403 |
$347.77 |
| 94010 |
|
16 |
13 |
$347.72 |
| 73140 |
|
106 |
100 |
$335.85 |
| 86677 |
|
145 |
82 |
$311.09 |
| 86762 |
|
70 |
62 |
$310.51 |
| 88341 |
|
17 |
13 |
$290.87 |
| Q9969 |
Non-heu tc-99m add-on/dose |
1,446 |
1,332 |
$280.67 |
| J2060 |
Lorazepam injection |
3,131 |
2,236 |
$273.24 |
| A9270 |
Non-covered item or service |
46,631 |
11,626 |
$270.75 |
| 87486 |
|
283 |
267 |
$270.03 |
| 82248 |
|
118 |
87 |
$260.67 |
| 87430 |
|
330 |
298 |
$259.85 |
| J2930 |
Methylprednisolone injection |
1,786 |
1,380 |
$258.49 |
| 86430 |
|
61 |
52 |
$257.92 |
| 90653 |
|
19 |
18 |
$236.53 |
| 73080 |
|
29 |
26 |
$236.14 |
| 94760 |
|
1,416 |
970 |
$226.51 |
| 82670 |
|
15 |
15 |
$217.78 |
| J2550 |
Promethazine hcl injection |
2,408 |
1,833 |
$207.21 |
| 99153 |
Mod sedat endo service >5yrs |
251 |
225 |
$200.76 |
| J2370 |
Phenylephrine hcl injection |
2,053 |
1,620 |
$193.50 |
| 86706 |
|
42 |
41 |
$186.48 |
| C1769 |
Guide wire |
896 |
794 |
$185.87 |
| 87081 |
|
100 |
93 |
$158.42 |
| 90662 |
|
13 |
12 |
$158.16 |
| 73590 |
|
101 |
82 |
$129.55 |
| J0780 |
Prochlorperazine injection |
1,299 |
1,164 |
$126.14 |
| J2001 |
Lidocaine injection |
2,279 |
1,614 |
$122.05 |
| 87641 |
|
32 |
27 |
$121.25 |
| J0330 |
Succinycholine chloride inj |
1,518 |
1,360 |
$105.06 |
| J2765 |
Metoclopramide hcl injection |
1,705 |
1,442 |
$101.61 |
| C9113 |
Inj pantoprazole sodium, via |
1,429 |
596 |
$98.47 |
| A9500 |
Tc99m sestamibi |
403 |
340 |
$87.86 |
| 82947 |
|
634 |
214 |
$87.52 |
| 84590 |
|
13 |
12 |
$82.72 |
| J3480 |
Inj potassium chloride |
800 |
438 |
$81.47 |
| 82247 |
|
19 |
15 |
$77.41 |
| 87651 |
|
233 |
223 |
$73.09 |
| 88302 |
|
13 |
12 |
$68.58 |
| 87507 |
|
45 |
42 |
$54.92 |
| 84100 |
|
47 |
38 |
$46.38 |
| 94761 |
|
1,030 |
777 |
$38.89 |
| J1630 |
Haloperidol injection |
593 |
459 |
$30.75 |
| 84132 |
|
14 |
13 |
$30.35 |
| 82951 |
|
15 |
13 |
$15.81 |
| J3475 |
Inj magnesium sulfate |
311 |
238 |
$15.28 |
| J1642 |
Inj heparin sodium per 10 u |
426 |
151 |
$13.32 |
| 82803 |
|
128 |
112 |
$12.02 |
| 36600 |
|
18 |
13 |
$10.96 |
| C1894 |
Intro/sheath, non-laser |
600 |
535 |
$10.57 |
| J1940 |
Furosemide injection |
129 |
61 |
$9.88 |
| A9579 |
Gad-base mr contrast nos,1ml |
42 |
40 |
$6.20 |
| J3370 |
Vancomycin hcl injection |
214 |
89 |
$5.94 |
| J2919 |
Inj, methylpred sod succ 5mg |
133 |
116 |
$5.89 |
| 82270 |
|
14 |
13 |
$5.23 |
| J2272 |
Inj, morphine (fresenius) |
140 |
123 |
$4.56 |
| J0360 |
Hydralazine hcl injection |
137 |
111 |
$1.76 |
| Q0162 |
Ondansetron oral |
243 |
229 |
$1.68 |
| Q9961 |
Hocm 250-299mg/ml iodine,1ml |
99 |
80 |
$0.96 |
| J2300 |
Inj nalbuphine hydrochloride |
23 |
14 |
$0.22 |
| J1805 |
Inj, esmolol hcl, 10mg |
131 |
119 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
707 |
609 |
$0.00 |
| G8980 |
Mobility d/c status |
241 |
146 |
$0.00 |
| C1889 |
Implant/insert device, noc |
30 |
27 |
$0.00 |
| J2785 |
Regadenoson injection |
140 |
123 |
$0.00 |
| G0008 |
Admin influenza virus vac |
92 |
78 |
$0.00 |
| C9399 |
Unclassified drugs or biolog |
114 |
99 |
$0.00 |
| C9290 |
Inj, bupivacaine liposome |
133 |
125 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
352 |
235 |
$0.00 |
| J1920 |
Inj, labetalol hcl, 5mg |
33 |
30 |
$0.00 |
| 94762 |
|
15 |
14 |
$0.00 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
13 |
12 |
$0.00 |
| J7611 |
Albuterol non-comp con |
38 |
30 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
52 |
25 |
$0.00 |
| A4648 |
Implantable tissue marker |
12 |
12 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
13 |
13 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
432 |
412 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
326 |
296 |
$0.00 |
| G8978 |
Mobility current status |
292 |
183 |
$0.00 |
| G8979 |
Mobility goal status |
312 |
199 |
$0.00 |
| A9552 |
F18 fdg |
301 |
288 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
83 |
72 |
$0.00 |
| A4216 |
Sterile water/saline, 10 ml |
1,383 |
870 |
$0.00 |
| J3486 |
Ziprasidone mesylate |
59 |
25 |
$0.00 |
| J1953 |
Levetiracetam injection |
12 |
12 |
$0.00 |
| J0689 |
Inj cefazolin sodium, baxter |
721 |
562 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
661 |
558 |
$0.00 |
| J0137 |
Inj, acetaminophen (hikma) |
52 |
42 |
$0.00 |
| J0134 |
Inj acetaminophen -fresenius |
121 |
99 |
$0.00 |
| C1887 |
Catheter, guiding |
135 |
125 |
$0.00 |
| 99218 |
|
127 |
114 |
$0.00 |
| C1776 |
Joint device (implantable) |
13 |
13 |
$0.00 |
| J0737 |
Inj, clindamycin (baxter) |
18 |
12 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
153 |
81 |
$0.00 |
| J1756 |
Iron sucrose injection |
27 |
13 |
$0.00 |
| C1758 |
Catheter, ureteral |
15 |
12 |
$0.00 |