| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87502 |
|
11,078 |
9,793 |
$1.09M |
| 74177 |
|
6,921 |
6,056 |
$866K |
| 70450 |
|
8,945 |
7,873 |
$823K |
| 80053 |
|
54,243 |
42,353 |
$761K |
| 96365 |
|
9,973 |
6,630 |
$726K |
| 87631 |
|
6,899 |
6,386 |
$698K |
| 97110 |
|
17,390 |
5,067 |
$586K |
| T1015 |
Clinic service |
43,537 |
36,903 |
$515K |
| 59025 |
|
3,504 |
1,985 |
$512K |
| 87428 |
|
8,516 |
7,615 |
$505K |
| 72148 |
|
1,975 |
1,816 |
$466K |
| 72125 |
|
4,043 |
3,595 |
$448K |
| 93306 |
|
3,846 |
3,489 |
$417K |
| 64493 |
|
2,311 |
1,710 |
$401K |
| 87632 |
|
3,066 |
2,830 |
$384K |
| U0004 |
Cov-19 test non-cdc hgh thru |
5,053 |
4,678 |
$367K |
| 85025 |
|
56,059 |
40,819 |
$365K |
| 87651 |
|
7,603 |
6,811 |
$335K |
| 64635 |
|
2,030 |
1,458 |
$332K |
| 87486 |
|
6,686 |
6,173 |
$309K |
| 96413 |
|
3,720 |
2,018 |
$304K |
| 74176 |
|
4,694 |
4,112 |
$296K |
| G0463 |
Hospital outpt clinic visit |
19,773 |
16,604 |
$282K |
| 71260 |
|
2,014 |
1,813 |
$251K |
| 96374 |
|
18,384 |
13,360 |
$250K |
| 70553 |
|
744 |
648 |
$246K |
| 73721 |
|
782 |
702 |
$231K |
| 78452 |
|
1,626 |
1,478 |
$224K |
| 96372 |
|
21,275 |
15,237 |
$208K |
| 80307 |
|
3,145 |
2,631 |
$200K |
| 71275 |
|
1,173 |
1,059 |
$198K |
| 99283 |
|
9,217 |
7,545 |
$193K |
| J0717 |
Certolizumab pegol inj 1mg |
521 |
375 |
$191K |
| 87581 |
|
3,633 |
3,303 |
$166K |
| 87503 |
|
6,214 |
5,781 |
$162K |
| 71046 |
|
10,139 |
8,861 |
$160K |
| 83880 |
|
9,246 |
7,652 |
$159K |
| 97162 |
|
2,558 |
2,210 |
$154K |
| 93005 |
|
18,668 |
14,449 |
$149K |
| 80050 |
|
3,199 |
3,005 |
$144K |
| 36415 |
|
69,204 |
47,781 |
$133K |
| 96375 |
|
16,702 |
11,480 |
$131K |
| 80048 |
|
15,089 |
11,258 |
$126K |
| 84484 |
|
20,497 |
11,462 |
$121K |
| 80305 |
|
13,668 |
11,180 |
$115K |
| 51701 |
|
1,190 |
1,030 |
$111K |
| 72141 |
|
476 |
440 |
$107K |
| 97530 |
|
3,191 |
1,290 |
$107K |
| 77067 |
|
2,345 |
2,222 |
$104K |
| A9502 |
Tc99m tetrofosmin |
1,616 |
1,463 |
$103K |
| 71045 |
|
15,324 |
12,936 |
$102K |
| 72131 |
|
1,122 |
994 |
$102K |
| 87086 |
|
13,164 |
11,191 |
$99K |
| 64490 |
|
597 |
397 |
$97K |
| 84443 |
|
9,710 |
8,705 |
$95K |
| 87633 |
|
478 |
387 |
$90K |
| 87150 |
|
1,880 |
1,762 |
$88K |
| 99282 |
|
2,993 |
2,562 |
$88K |
| U0002 |
Covid-19 lab test non-cdc |
2,469 |
2,288 |
$87K |
| 36591 |
|
2,591 |
1,432 |
$87K |
| 62323 |
|
888 |
579 |
$86K |
| 81001 |
|
29,117 |
23,682 |
$86K |
| 85027 |
|
17,920 |
14,279 |
$82K |
| 86901 |
|
3,351 |
2,809 |
$82K |
| 71250 |
|
1,118 |
1,013 |
$81K |
| 80061 |
|
8,069 |
7,404 |
$77K |
| 62370 |
|
3,066 |
2,509 |
$76K |
| A9579 |
Gad-base mr contrast nos,1ml |
1,653 |
1,448 |
$73K |
| 87040 |
|
8,813 |
4,411 |
$72K |
| 43239 |
|
620 |
552 |
$72K |
| 20610 |
|
709 |
609 |
$70K |
| 73630 |
|
3,107 |
2,662 |
$67K |
| U0001 |
2019-ncov diagnostic p |
2,665 |
2,415 |
$67K |
| 99284 |
|
4,174 |
3,643 |
$65K |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
2,407 |
1,886 |
$65K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
8,627 |
7,605 |
$64K |
| 83690 |
|
10,022 |
8,218 |
$63K |
| 73221 |
|
266 |
244 |
$63K |
| 80377 |
|
4,102 |
3,423 |
$63K |
| 82306 |
|
2,647 |
2,446 |
$62K |
| 87637 |
|
720 |
660 |
$62K |
| 64633 |
|
458 |
280 |
$62K |
| 87880 |
|
6,627 |
5,541 |
$61K |
| 83605 |
|
7,656 |
5,847 |
$58K |
| 69436 |
|
445 |
341 |
$57K |
| 82962 |
|
16,521 |
5,674 |
$56K |
| 64494 |
|
1,938 |
1,397 |
$55K |
| 93458 |
|
829 |
702 |
$54K |
| 84145 |
|
4,046 |
3,332 |
$53K |
| 12001 |
|
250 |
223 |
$52K |
| C1760 |
Closure dev, vasc |
1,622 |
1,369 |
$51K |
| 99285 |
|
2,271 |
1,975 |
$51K |
| 74018 |
|
2,781 |
2,432 |
$51K |
| 70486 |
|
450 |
415 |
$50K |
| 81025 |
|
6,636 |
5,527 |
$50K |
| 70551 |
|
239 |
214 |
$50K |
| 82550 |
|
12,007 |
8,436 |
$48K |
| 87077 |
|
6,507 |
5,488 |
$48K |
| 73562 |
|
1,777 |
1,473 |
$48K |
| 64636 |
|
1,793 |
1,154 |
$48K |
| J1100 |
Dexamethasone sodium phos |
14,148 |
9,253 |
$47K |
| G0378 |
Hospital observation per hr |
4,850 |
3,939 |
$46K |
| 96401 |
|
525 |
381 |
$45K |
| 73130 |
|
2,153 |
1,864 |
$45K |
| 87426 |
|
1,473 |
1,155 |
$42K |
| 73610 |
|
2,737 |
2,403 |
$42K |
| 73030 |
|
2,498 |
2,155 |
$41K |
| 73110 |
|
2,046 |
1,772 |
$40K |
| J2405 |
Ondansetron hcl injection |
20,313 |
14,215 |
$39K |
| C1769 |
Guide wire |
1,114 |
828 |
$38K |
| 93971 |
|
1,095 |
986 |
$38K |
| M0243 |
Casirivi and imdevi inj |
174 |
168 |
$36K |
| 83036 |
|
5,869 |
5,394 |
$36K |
| 82728 |
|
3,205 |
2,923 |
$36K |
| 84703 |
|
4,170 |
3,550 |
$35K |
| 73560 |
|
1,884 |
1,528 |
$34K |
| 96361 |
|
9,253 |
7,386 |
$34K |
| 76700 |
|
829 |
729 |
$33K |
| 87804 |
|
3,552 |
1,766 |
$33K |
| J0696 |
Ceftriaxone sodium injection |
6,770 |
5,037 |
$31K |
| 87634 |
|
388 |
372 |
$31K |
| 11042 |
|
319 |
247 |
$30K |
| 87807 |
|
2,733 |
2,359 |
$30K |
| 87186 |
|
6,232 |
5,320 |
$30K |
| 95886 |
|
612 |
498 |
$29K |
| 87635 |
|
1,898 |
1,771 |
$28K |
| G0482 |
Drug test def 15-21 classes |
2,473 |
2,390 |
$28K |
| 82150 |
|
4,863 |
4,008 |
$28K |
| 86140 |
|
4,427 |
3,618 |
$28K |
| Q9957 |
Inj perflutren lip micros,ml |
668 |
597 |
$28K |
| 96360 |
|
3,111 |
2,655 |
$28K |
| 85610 |
|
11,486 |
8,936 |
$27K |
| 64495 |
|
1,280 |
864 |
$26K |
| 97165 |
|
578 |
528 |
$26K |
| 93017 |
|
1,606 |
1,459 |
$26K |
| 83735 |
|
6,737 |
4,566 |
$26K |
| 29125 |
|
105 |
95 |
$25K |
| 69421 |
|
156 |
128 |
$25K |
| 84439 |
|
3,018 |
2,767 |
$25K |
| 76705 |
|
1,492 |
1,366 |
$25K |
| 86900 |
|
3,356 |
2,814 |
$23K |
| 86885 |
|
2,428 |
2,031 |
$23K |
| 73502 |
|
1,445 |
1,285 |
$23K |
| 87070 |
|
2,590 |
2,163 |
$23K |
| 94010 |
|
1,176 |
1,065 |
$22K |
| J1885 |
Ketorolac tromethamine inj |
9,749 |
7,149 |
$22K |
| J2785 |
Regadenoson injection |
1,422 |
1,291 |
$21K |
| 88305 |
|
1,135 |
1,014 |
$21K |
| 95810 |
|
209 |
197 |
$21K |
| 95811 |
|
165 |
147 |
$20K |
| J1650 |
Inj enoxaparin sodium |
4,123 |
2,360 |
$20K |
| 27096 |
|
125 |
70 |
$20K |
| 83550 |
|
2,827 |
2,585 |
$20K |
| 82803 |
|
1,627 |
1,305 |
$19K |
| 87641 |
|
1,118 |
995 |
$19K |
| 90715 |
|
1,191 |
1,083 |
$19K |
| 72110 |
|
657 |
612 |
$19K |
| 82565 |
|
1,496 |
1,211 |
$19K |
| 94640 |
|
6,229 |
3,895 |
$19K |
| 72100 |
|
935 |
835 |
$19K |
| 82607 |
|
1,866 |
1,689 |
$18K |
| 84702 |
|
1,749 |
1,268 |
$18K |
| 77066 |
Tomosynthesis, mammo |
268 |
245 |
$17K |
| 96367 |
|
1,763 |
1,084 |
$17K |
| 85652 |
|
4,758 |
3,930 |
$16K |
| 76642 |
|
567 |
519 |
$16K |
| 64491 |
|
433 |
261 |
$16K |
| 85007 |
|
4,099 |
3,285 |
$15K |
| C1766 |
Intro/sheath,strble,non-peel |
452 |
391 |
$15K |
| 83540 |
|
3,134 |
2,869 |
$15K |
| 82378 |
|
891 |
785 |
$15K |
| M0245 |
Bamlan and etesev infusion |
70 |
68 |
$14K |
| 90697 |
|
881 |
879 |
$13K |
| 77080 |
|
356 |
342 |
$13K |
| 85378 |
|
2,347 |
2,005 |
$12K |
| U0003 |
Cov-19 amp prb hgh thruput |
312 |
236 |
$12K |
| 80364 |
|
518 |
437 |
$12K |
| 86235 |
|
309 |
184 |
$12K |
| 71020 |
|
1,203 |
1,023 |
$11K |
| 84100 |
|
4,887 |
3,183 |
$11K |
| 93922 |
|
570 |
523 |
$11K |
| 99281 |
|
163 |
109 |
$11K |
| 87491 |
|
283 |
262 |
$11K |
| 76815 |
|
539 |
470 |
$11K |
| 87591 |
|
282 |
261 |
$11K |
| 62321 |
|
32 |
25 |
$10K |
| 85384 |
|
1,160 |
926 |
$10K |
| 81002 |
|
4,951 |
4,205 |
$10K |
| 73590 |
|
508 |
429 |
$10K |
| 83655 |
|
639 |
605 |
$10K |
| J2250 |
Inj midazolam hydrochloride |
13,894 |
8,856 |
$10K |
| 77063 |
|
769 |
734 |
$10K |
| 90680 |
|
747 |
745 |
$10K |
| 45378 |
|
74 |
67 |
$9K |
| 80376 |
|
457 |
422 |
$9K |
| 97001 |
|
206 |
188 |
$9K |
| 82746 |
|
827 |
756 |
$9K |
| 64492 |
|
355 |
206 |
$8K |
| 93880 |
|
301 |
268 |
$8K |
| 94060 |
|
280 |
256 |
$8K |
| 94760 |
|
1,067 |
812 |
$8K |
| 72128 |
|
59 |
55 |
$8K |
| 94729 |
|
480 |
441 |
$8K |
| 73090 |
|
472 |
394 |
$7K |
| 64483 |
|
91 |
50 |
$7K |
| 84550 |
|
1,574 |
1,286 |
$7K |
| 86038 |
|
613 |
513 |
$6K |
| C8929 |
Tte w or wo fol wcon,doppler |
155 |
117 |
$6K |
| 96415 |
|
350 |
177 |
$6K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
200 |
125 |
$6K |
| 85730 |
|
1,564 |
1,289 |
$6K |
| 87640 |
|
454 |
398 |
$6K |
| 73140 |
|
384 |
332 |
$6K |
| J0690 |
Cefazolin sodium injection |
5,346 |
3,559 |
$6K |
| 90471 |
|
1,097 |
974 |
$6K |
| J3370 |
Vancomycin hcl injection |
1,491 |
891 |
$6K |
| 80320 |
|
413 |
331 |
$6K |
| 74022 |
|
220 |
192 |
$6K |
| 41899 |
|
98 |
52 |
$6K |
| 36430 |
|
118 |
74 |
$5K |
| G0480 |
Drug test def 1-7 classes |
1,077 |
930 |
$5K |
| 80076 |
|
514 |
426 |
$5K |
| 82570 |
|
1,224 |
938 |
$5K |
| J0897 |
Denosumab injection |
53 |
48 |
$5K |
| 90677 |
|
396 |
395 |
$5K |
| 90633 |
|
394 |
390 |
$5K |
| 84156 |
|
1,465 |
1,138 |
$5K |
| 51702 |
|
72 |
57 |
$4K |
| 94761 |
|
779 |
520 |
$4K |
| 76775 |
|
241 |
226 |
$4K |
| 87400 |
|
979 |
732 |
$4K |
| 73080 |
|
225 |
197 |
$4K |
| C1725 |
Cath, translumin non-laser |
49 |
38 |
$4K |
| 76536 |
|
83 |
79 |
$4K |
| 70496 |
|
32 |
24 |
$4K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
917 |
729 |
$4K |
| 86160 |
|
347 |
152 |
$4K |
| 64634 |
|
261 |
160 |
$4K |
| J2704 |
Inj, propofol, 10 mg |
9,930 |
7,226 |
$4K |
| 97166 |
|
116 |
87 |
$3K |
| 73070 |
|
216 |
169 |
$3K |
| 73700 |
|
45 |
41 |
$3K |
| A6248 |
Hydrogel drsg gel filler |
506 |
261 |
$3K |
| J2270 |
Morphine sulfate injection |
9,353 |
5,814 |
$3K |
| 74019 |
|
134 |
122 |
$3K |
| 43235 |
|
23 |
16 |
$3K |
| J2930 |
Methylprednisolone injection |
2,176 |
1,706 |
$3K |
| 96376 |
|
4,413 |
3,158 |
$3K |
| 94618 |
|
173 |
163 |
$3K |
| 20605 |
|
26 |
26 |
$3K |
| 90686 |
|
316 |
270 |
$3K |
| 86431 |
|
586 |
487 |
$3K |
| G0481 |
Drug test def 8-14 classes |
311 |
294 |
$3K |
| 86200 |
|
205 |
176 |
$3K |
| 90710 |
|
200 |
191 |
$2K |
| G0379 |
Direct refer hospital observ |
725 |
617 |
$2K |
| 74000 |
|
230 |
197 |
$2K |
| 86308 |
|
402 |
342 |
$2K |
| 70498 |
|
17 |
13 |
$2K |
| 29580 |
|
287 |
120 |
$2K |
| 71010 |
|
770 |
604 |
$2K |
| G0283 |
Elec stim other than wound |
316 |
105 |
$2K |
| 72170 |
|
140 |
119 |
$2K |
| C1887 |
Catheter, guiding |
185 |
131 |
$2K |
| 86225 |
|
164 |
141 |
$2K |
| J3010 |
Fentanyl citrate injection |
10,746 |
7,432 |
$2K |
| G0260 |
Inj for sacroiliac jt anesth |
69 |
53 |
$2K |
| J1200 |
Diphenhydramine hcl injectio |
4,001 |
2,831 |
$2K |
| 82040 |
|
1,698 |
1,248 |
$2K |
| 87045 |
|
164 |
154 |
$2K |
| 45385 |
|
12 |
12 |
$2K |
| 87340 |
|
143 |
133 |
$2K |
| 88720 |
|
266 |
201 |
$2K |
| 64640 |
|
87 |
17 |
$2K |
| 71271 |
|
53 |
50 |
$2K |
| J1030 |
Methylprednisolone 40 mg inj |
1,965 |
1,583 |
$2K |
| 86803 |
|
126 |
115 |
$2K |
| 90698 |
|
102 |
102 |
$2K |
| 84480 |
|
204 |
178 |
$1K |
| 96366 |
|
49 |
29 |
$1K |
| 86317 |
|
126 |
117 |
$1K |
| 85018 |
|
813 |
617 |
$1K |
| J1170 |
Hydromorphone injection |
7,345 |
4,180 |
$1K |
| J1453 |
Fosaprepitant injection |
31 |
14 |
$1K |
| J1040 |
Methylprednisolone 80 mg inj |
1,539 |
1,174 |
$1K |
| 86003 |
|
15 |
13 |
$1K |
| 82247 |
|
227 |
119 |
$1K |
| 76856 |
|
41 |
36 |
$1K |
| J2060 |
Lorazepam injection |
1,552 |
1,134 |
$1K |
| 73120 |
|
122 |
96 |
$1K |
| J2550 |
Promethazine hcl injection |
3,602 |
2,555 |
$1K |
| J1644 |
Inj heparin sodium per 1000u |
1,342 |
765 |
$1K |
| 80074 |
|
12 |
12 |
$1K |
| 86704 |
|
103 |
94 |
$1K |
| J2360 |
Orphenadrine injection |
1,339 |
1,172 |
$1K |
| 90716 |
|
76 |
76 |
$985.50 |
| 83615 |
|
268 |
196 |
$979.89 |
| 90707 |
|
75 |
75 |
$972.36 |
| 82248 |
|
207 |
168 |
$920.51 |
| 82731 |
|
12 |
12 |
$919.80 |
| 72050 |
|
28 |
26 |
$903.27 |
| 97161 |
|
105 |
89 |
$900.66 |
| 90696 |
|
80 |
74 |
$893.52 |
| 71101 |
|
78 |
70 |
$882.52 |
| 95911 |
|
16 |
14 |
$866.40 |
| J2790 |
Rho d immune globulin inj |
13 |
13 |
$858.26 |
| 77065 |
Tomosynthesis, mammo |
14 |
12 |
$851.64 |
| P9016 |
Rbc leukocytes reduced |
82 |
59 |
$845.46 |
| J2920 |
Methylprednisolone injection |
469 |
264 |
$797.13 |
| 36600 |
|
619 |
493 |
$778.09 |
| 72040 |
|
26 |
24 |
$686.66 |
| 76805 |
|
18 |
14 |
$672.00 |
| G0008 |
Admin influenza virus vac |
283 |
239 |
$657.76 |
| 93296 |
|
82 |
82 |
$654.14 |
| 84481 |
|
30 |
28 |
$630.87 |
| 92587 |
|
16 |
13 |
$619.56 |
| J3475 |
Inj magnesium sulfate |
542 |
356 |
$619.08 |
| 73620 |
|
47 |
40 |
$611.00 |
| J0702 |
Betamethasone acet&sod phosp |
160 |
87 |
$593.15 |
| 86592 |
|
156 |
145 |
$586.61 |
| 76870 |
|
14 |
14 |
$555.83 |
| 80069 |
|
49 |
42 |
$511.75 |
| 99213 |
|
14 |
12 |
$508.20 |
| 87046 |
|
163 |
153 |
$474.33 |
| 93308 |
|
18 |
14 |
$445.81 |
| J3490 |
Drugs unclassified injection |
313 |
243 |
$443.40 |
| 93970 |
|
30 |
24 |
$425.92 |
| A6022 |
Collagen drsg>16<=48 sq in |
61 |
24 |
$399.74 |
| 84436 |
|
87 |
83 |
$391.60 |
| J0780 |
Prochlorperazine injection |
590 |
486 |
$382.11 |
| 71100 |
|
32 |
27 |
$369.76 |
| L4387 |
Non-pneum walk boot pre ots |
83 |
78 |
$358.25 |
| J3360 |
Diazepam injection |
532 |
296 |
$352.38 |
| 84165 |
|
44 |
40 |
$341.37 |
| J1010 |
Inj, methylpred acetate 1 mg |
131 |
111 |
$318.41 |
| 83090 |
|
14 |
13 |
$316.45 |
| 82553 |
|
33 |
28 |
$281.48 |
| G0237 |
Therapeutic procd strg endur |
997 |
811 |
$267.49 |
| 87209 |
|
12 |
12 |
$259.50 |
| A6210 |
Foam drg >16<=48 sq in w/o b |
23 |
14 |
$256.48 |
| J1626 |
Granisetron hcl injection |
232 |
91 |
$253.71 |
| 93325 |
|
25 |
24 |
$252.96 |
| J3301 |
Triamcinolone acet inj nos |
580 |
535 |
$252.68 |
| 71047 |
|
14 |
12 |
$250.83 |
| 12002 |
|
20 |
14 |
$250.00 |
| A6456 |
Zinc paste band w >=3"<5"/yd |
87 |
40 |
$247.97 |
| C1874 |
Stent, coated/cov w/del sys |
14 |
12 |
$245.76 |
| 85014 |
|
245 |
142 |
$238.94 |
| J2543 |
Piperacillin/tazobactam |
227 |
113 |
$231.85 |
| L1830 |
Ko immob canvas long pre ots |
54 |
51 |
$229.56 |
| J0171 |
Adrenalin epinephrine inject |
382 |
304 |
$213.23 |
| 84630 |
|
29 |
25 |
$201.91 |
| A4344 |
Cath indw foley 2 way silicn |
92 |
57 |
$162.40 |
| J0561 |
Penicillin g benzathine inj |
14 |
14 |
$154.42 |
| J2175 |
Meperidine hydrochl /100 mg |
1,034 |
746 |
$153.15 |
| J1940 |
Furosemide injection |
746 |
367 |
$150.61 |
| 76942 |
|
668 |
551 |
$148.77 |
| 90656 |
|
12 |
12 |
$144.32 |
| J0595 |
Butorphanol tartrate 1 mg |
410 |
223 |
$142.55 |
| 83921 |
|
14 |
13 |
$129.01 |
| 87177 |
|
12 |
12 |
$127.10 |
| P9612 |
Catheterize for urine spec |
60 |
57 |
$116.32 |
| Q9969 |
Non-heu tc-99m add-on/dose |
476 |
419 |
$104.27 |
| 82043 |
|
77 |
72 |
$99.24 |
| 64484 |
|
15 |
12 |
$90.03 |
| 82947 |
|
15 |
13 |
$71.73 |
| 99218 |
|
36 |
29 |
$58.12 |
| J0744 |
Ciprofloxacin iv |
34 |
12 |
$55.62 |
| 82009 |
|
14 |
12 |
$45.22 |
| 86923 |
|
18 |
13 |
$34.00 |
| Q3014 |
Telehealth facility fee |
26 |
22 |
$32.42 |
| J2919 |
Inj, methylpred sod succ 5mg |
284 |
189 |
$30.18 |
| J2765 |
Metoclopramide hcl injection |
45 |
41 |
$22.71 |
| G8978 |
Mobility current status |
134 |
116 |
$16.24 |
| 88342 |
|
18 |
12 |
$16.24 |
| 97140 |
|
51 |
14 |
$15.93 |
| J0360 |
Hydralazine hcl injection |
54 |
40 |
$7.85 |
| C9113 |
Inj pantoprazole sodium, via |
807 |
515 |
$3.14 |
| 97535 |
|
419 |
335 |
$2.13 |
| G8979 |
Mobility goal status |
180 |
135 |
$0.37 |
| G8980 |
Mobility d/c status |
31 |
28 |
$0.02 |
| 96417 |
|
82 |
38 |
$0.00 |
| 82055 |
|
168 |
150 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
55 |
36 |
$0.00 |
| G0424 |
Pulmonary rehab w exer |
109 |
15 |
$0.00 |
| 36592 |
|
16 |
13 |
$0.00 |
| 99394 |
|
21 |
21 |
$0.00 |
| C1776 |
Joint device (implantable) |
13 |
13 |
$0.00 |
| C9290 |
Inj, bupivacaine liposome |
78 |
65 |
$0.00 |
| T1502 |
Medication admin visit |
840 |
746 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
49 |
37 |
$0.00 |
| 96127 |
|
54 |
54 |
$0.00 |