| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
208,636 |
187,375 |
$10.59M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
203,638 |
182,308 |
$6.78M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28,421 |
27,157 |
$2.10M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
36,528 |
33,189 |
$1.62M |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
2,147 |
1,153 |
$919K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
4,291 |
3,918 |
$914K |
| 99215 |
Prolong outpt/office vis |
10,003 |
9,132 |
$547K |
| J0178 |
Injection, aflibercept, 1 mg |
670 |
527 |
$539K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
13,966 |
12,803 |
$493K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
8,899 |
7,577 |
$475K |
| 20610 |
|
13,633 |
11,365 |
$369K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
7,215 |
6,881 |
$281K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
13,387 |
5,594 |
$268K |
| 59025 |
Fetal non-stress test |
5,944 |
4,305 |
$266K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
9,550 |
9,034 |
$263K |
| 17311 |
|
1,745 |
1,530 |
$260K |
| 64483 |
|
4,279 |
4,059 |
$235K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
63,810 |
53,923 |
$220K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
10,961 |
9,171 |
$213K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
4,041 |
3,898 |
$210K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,939 |
6,222 |
$209K |
| 99243 |
|
2,731 |
2,487 |
$207K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
3,288 |
2,224 |
$181K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
6,531 |
6,010 |
$171K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,026 |
2,823 |
$168K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,603 |
2,449 |
$167K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,406 |
5,617 |
$157K |
| 73564 |
|
8,818 |
6,540 |
$151K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
6,076 |
5,903 |
$148K |
| 95886 |
|
3,354 |
3,145 |
$140K |
| 20611 |
|
3,142 |
2,532 |
$130K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,183 |
1,134 |
$128K |
| 76801 |
|
1,039 |
927 |
$128K |
| 99233 |
Prolong inpt eval add15 m |
4,328 |
1,744 |
$126K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
1,083 |
992 |
$124K |
| 71046 |
Radiologic examination, chest; 2 views |
22,747 |
21,422 |
$118K |
| 70450 |
Computed tomography, head or brain; without contrast material |
7,543 |
6,815 |
$114K |
| 73630 |
|
9,876 |
7,244 |
$112K |
| 0002A |
|
2,861 |
2,830 |
$111K |
| 93975 |
|
2,317 |
2,196 |
$110K |
| 0001A |
|
2,910 |
2,866 |
$108K |
| 31579 |
|
1,343 |
1,258 |
$107K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,417 |
2,011 |
$107K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
5,815 |
5,653 |
$100K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
10,429 |
9,107 |
$93K |
| 76830 |
Ultrasound, transvaginal |
3,442 |
3,227 |
$85K |
| 99205 |
Prolong outpt/office vis |
1,010 |
940 |
$85K |
| 92083 |
|
2,644 |
2,436 |
$79K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
1,155 |
1,088 |
$79K |
| 62323 |
|
1,575 |
1,526 |
$77K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
10,874 |
9,782 |
$77K |
| 90686 |
|
5,201 |
4,776 |
$76K |
| 20550 |
|
3,259 |
2,597 |
$75K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
877 |
848 |
$73K |
| 99223 |
Prolong inpt eval add15 m |
1,374 |
1,245 |
$73K |
| 72110 |
|
7,618 |
7,329 |
$73K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,348 |
1,276 |
$73K |
| 92133 |
|
3,908 |
3,596 |
$70K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
1,953 |
1,867 |
$66K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,828 |
1,756 |
$63K |
| 71045 |
Radiologic examination, chest; single view |
18,458 |
13,367 |
$62K |
| 73030 |
|
5,349 |
4,550 |
$61K |
| 99385 |
|
792 |
711 |
$56K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
3,064 |
2,888 |
$53K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
1,587 |
1,481 |
$53K |
| 76813 |
|
767 |
690 |
$52K |
| 71250 |
|
2,616 |
2,514 |
$51K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,296 |
1,207 |
$51K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
765 |
712 |
$49K |
| 99442 |
|
1,536 |
1,442 |
$49K |
| 92015 |
Determination of refractive state |
2,188 |
1,747 |
$47K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
976 |
737 |
$47K |
| 73610 |
|
3,595 |
3,172 |
$47K |
| 17110 |
|
1,491 |
1,363 |
$46K |
| 31231 |
|
515 |
492 |
$45K |
| 76641 |
|
1,719 |
1,634 |
$45K |
| J0897 |
Injection, denosumab, 1 mg |
132 |
105 |
$44K |
| 92134 |
|
3,299 |
2,839 |
$43K |
| 81025 |
|
8,584 |
7,815 |
$42K |
| 76820 |
|
948 |
523 |
$41K |
| 76642 |
|
2,133 |
2,034 |
$40K |
| 99443 |
|
905 |
850 |
$39K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
2,882 |
2,757 |
$39K |
| 73221 |
|
1,233 |
1,125 |
$39K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
3,077 |
1,297 |
$39K |
| 88307 |
|
847 |
796 |
$38K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
586 |
258 |
$37K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
1,233 |
1,175 |
$36K |
| 99245 |
|
227 |
227 |
$35K |
| 95806 |
|
844 |
814 |
$34K |
| 72100 |
|
4,921 |
4,617 |
$34K |
| 0004A |
|
816 |
808 |
$32K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
1,426 |
1,357 |
$32K |
| 73502 |
|
1,951 |
1,842 |
$32K |
| 0012A |
|
853 |
833 |
$30K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,526 |
3,087 |
$30K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
909 |
777 |
$28K |
| 0011A |
|
897 |
859 |
$28K |
| 76536 |
|
2,318 |
2,182 |
$28K |
| 72141 |
|
761 |
729 |
$28K |
| 95117 |
|
2,433 |
1,742 |
$26K |
| 77065 |
Tomosynthesis, mammo |
1,383 |
1,261 |
$26K |
| 83020 |
|
5,696 |
4,955 |
$26K |
| 88141 |
|
1,848 |
1,762 |
$23K |
| 92250 |
|
654 |
605 |
$23K |
| 69210 |
|
1,289 |
1,239 |
$23K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,063 |
1,024 |
$22K |
| 73110 |
|
1,544 |
1,313 |
$21K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,326 |
1,293 |
$21K |
| 72050 |
|
2,105 |
2,028 |
$20K |
| 31575 |
|
458 |
434 |
$20K |
| 73130 |
|
2,691 |
1,837 |
$19K |
| 99070 |
|
130 |
105 |
$19K |
| 92557 |
|
1,414 |
1,101 |
$18K |
| 95251 |
|
1,454 |
1,409 |
$17K |
| 88342 |
|
801 |
700 |
$17K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,098 |
2,796 |
$16K |
| 0064A |
|
408 |
403 |
$16K |
| 70496 |
|
425 |
402 |
$16K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
541 |
509 |
$15K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
331 |
322 |
$14K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
302 |
215 |
$14K |
| 0071A |
|
348 |
346 |
$14K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
761 |
720 |
$14K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
338 |
320 |
$13K |
| 74018 |
|
3,125 |
2,382 |
$13K |
| 0054A |
|
415 |
330 |
$13K |
| 0072A |
|
320 |
318 |
$13K |
| 36512 |
|
437 |
399 |
$12K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
525 |
479 |
$12K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
1,777 |
1,591 |
$12K |
| 72040 |
|
1,702 |
1,605 |
$12K |
| 77080 |
|
2,432 |
2,349 |
$12K |
| 94060 |
|
1,926 |
1,812 |
$11K |
| 77002 |
|
1,037 |
975 |
$11K |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
984 |
951 |
$11K |
| 88312 |
|
608 |
560 |
$10K |
| 76770 |
|
693 |
674 |
$10K |
| 88304 |
|
1,411 |
1,335 |
$10K |
| 73560 |
|
1,452 |
1,286 |
$10K |
| 93971 |
|
523 |
499 |
$10K |
| 64615 |
|
265 |
242 |
$10K |
| 77066 |
Tomosynthesis, mammo |
413 |
395 |
$9K |
| 94727 |
|
1,930 |
1,819 |
$9K |
| 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) |
7,405 |
6,993 |
$9K |
| 99242 |
|
193 |
148 |
$9K |
| 73140 |
|
645 |
545 |
$9K |
| 27130 |
|
12 |
12 |
$8K |
| 0124A |
|
215 |
212 |
$8K |
| 11102 |
|
362 |
337 |
$8K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
60 |
58 |
$8K |
| 76942 |
|
152 |
148 |
$8K |
| 94729 |
|
2,396 |
2,272 |
$8K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
79 |
78 |
$8K |
| 95909 |
|
130 |
126 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
652 |
527 |
$7K |
| 72156 |
|
120 |
113 |
$7K |
| 99219 |
|
195 |
185 |
$7K |
| 27447 |
|
13 |
12 |
$7K |
| 70498 |
|
171 |
164 |
$6K |
| 73700 |
|
240 |
236 |
$6K |
| 36573 |
|
171 |
154 |
$6K |
| 17312 |
|
66 |
64 |
$6K |
| 20553 |
|
205 |
121 |
$6K |
| 99402 |
|
102 |
90 |
$6K |
| 91322 |
|
57 |
55 |
$6K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
43 |
43 |
$5K |
| 73562 |
|
419 |
332 |
$5K |
| 95800 |
|
160 |
152 |
$5K |
| 51798 |
|
796 |
715 |
$5K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
365 |
323 |
$5K |
| 93298 |
|
292 |
269 |
$5K |
| 11900 |
|
296 |
263 |
$4K |
| 92002 |
|
137 |
126 |
$4K |
| 99459 |
|
429 |
401 |
$4K |
| 99417 |
Prolong home eval add 15m |
189 |
170 |
$4K |
| 72082 |
|
438 |
431 |
$4K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
220 |
199 |
$4K |
| 72131 |
|
159 |
155 |
$4K |
| 76981 |
|
249 |
236 |
$4K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
26 |
26 |
$4K |
| 51701 |
|
128 |
114 |
$4K |
| 93016 |
|
329 |
319 |
$3K |
| 90651 |
|
14 |
13 |
$3K |
| 11100 |
|
231 |
199 |
$3K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
412 |
383 |
$3K |
| 64642 |
|
148 |
130 |
$3K |
| 93272 |
|
295 |
283 |
$3K |
| 80305 |
|
560 |
532 |
$3K |
| 0031A |
|
85 |
84 |
$3K |
| 36569 |
|
133 |
104 |
$3K |
| 95910 |
|
39 |
38 |
$3K |
| 0134A |
|
79 |
79 |
$3K |
| 51725 |
|
28 |
28 |
$3K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
515 |
396 |
$3K |
| 62321 |
|
55 |
54 |
$3K |
| 70486 |
|
110 |
109 |
$3K |
| 77092 |
|
886 |
791 |
$3K |
| 88189 |
|
73 |
69 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,120 |
7,132 |
$3K |
| 17000 |
|
278 |
244 |
$3K |
| 72170 |
|
427 |
405 |
$3K |
| 77062 |
|
153 |
150 |
$2K |
| 88112 |
|
88 |
80 |
$2K |
| 93018 |
|
341 |
332 |
$2K |
| 52000 |
|
26 |
25 |
$2K |
| 77061 |
|
142 |
135 |
$2K |
| 0052A |
|
78 |
53 |
$2K |
| 72197 |
|
38 |
38 |
$2K |
| 11730 |
|
55 |
50 |
$2K |
| 92550 |
|
594 |
469 |
$2K |
| 20600 |
|
87 |
77 |
$2K |
| 74183 |
|
42 |
42 |
$2K |
| 90715 |
|
67 |
60 |
$2K |
| 49083 |
|
44 |
26 |
$2K |
| 93227 |
|
149 |
141 |
$2K |
| 51729 |
|
42 |
38 |
$2K |
| 95911 |
|
26 |
26 |
$2K |
| 11721 |
|
303 |
178 |
$2K |
| 99386 |
|
21 |
12 |
$2K |
| 90480 |
|
57 |
55 |
$2K |
| 20526 |
|
41 |
40 |
$1K |
| 99201 |
|
145 |
134 |
$1K |
| 90691 |
|
13 |
13 |
$1K |
| 77073 |
|
63 |
63 |
$1K |
| 70491 |
|
45 |
44 |
$1K |
| 76825 |
|
14 |
12 |
$1K |
| 95874 |
|
246 |
225 |
$1K |
| 0003A |
|
32 |
31 |
$1K |
| 95811 |
|
13 |
13 |
$1K |
| 72070 |
|
180 |
172 |
$1K |
| 12032 |
|
16 |
13 |
$1K |
| 93297 |
|
153 |
141 |
$1K |
| 51797 |
|
30 |
26 |
$1K |
| 98929 |
|
29 |
24 |
$1K |
| 90961 |
|
15 |
15 |
$1K |
| 90732 |
|
15 |
14 |
$1K |
| 94010 |
|
358 |
340 |
$1K |
| 71271 |
|
12 |
12 |
$1K |
| 11104 |
|
40 |
39 |
$949.94 |
| 96127 |
|
47 |
46 |
$920.00 |
| 93923 |
|
12 |
12 |
$864.38 |
| 29405 |
|
17 |
14 |
$806.75 |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
44 |
13 |
$770.27 |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
244 |
217 |
$768.66 |
| 99460 |
|
17 |
16 |
$766.35 |
| 72158 |
|
15 |
14 |
$759.44 |
| Q0112 |
All potassium hydroxide (koh) preparations |
235 |
209 |
$750.38 |
| 93325 |
|
14 |
12 |
$730.12 |
| 76937 |
|
170 |
133 |
$723.83 |
| 92587 |
|
26 |
24 |
$707.94 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
30 |
30 |
$694.68 |
| 84165 |
|
239 |
230 |
$692.55 |
| 0051A |
|
34 |
17 |
$680.00 |
| 51784 |
|
42 |
38 |
$652.17 |
| 95885 |
|
56 |
51 |
$643.80 |
| 76827 |
|
14 |
12 |
$639.54 |
| 62328 |
|
14 |
13 |
$623.81 |
| 86334 |
|
117 |
112 |
$608.19 |
| 11301 |
|
30 |
27 |
$593.62 |
| 74019 |
|
95 |
95 |
$580.84 |
| 88341 |
|
14 |
12 |
$564.20 |
| 77001 |
|
109 |
86 |
$560.00 |
| 11901 |
|
26 |
26 |
$534.93 |
| 92567 |
|
206 |
130 |
$533.20 |
| 73080 |
|
52 |
50 |
$506.12 |
| 93880 |
|
12 |
12 |
$495.20 |
| 88173 |
|
13 |
13 |
$473.33 |
| 99307 |
|
25 |
18 |
$457.74 |
| 99217 |
|
13 |
13 |
$452.32 |
| 73718 |
|
12 |
12 |
$441.56 |
| 51741 |
|
42 |
38 |
$431.05 |
| 76377 |
|
24 |
14 |
$428.02 |
| 93970 |
|
31 |
30 |
$411.40 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
14 |
13 |
$404.58 |
| 10022 |
|
18 |
13 |
$394.29 |
| 13132 |
|
12 |
12 |
$390.51 |
| 73200 |
|
14 |
13 |
$352.77 |
| 81003 |
|
1,962 |
1,733 |
$325.44 |
| 95812 |
|
13 |
12 |
$304.47 |
| 82962 |
|
182 |
176 |
$280.78 |
| 10005 |
|
13 |
12 |
$276.48 |
| 99441 |
|
150 |
128 |
$247.58 |
| 73590 |
|
39 |
36 |
$242.35 |
| 73050 |
|
14 |
12 |
$237.65 |
| 64643 |
|
13 |
12 |
$231.96 |
| 11719 |
|
41 |
28 |
$203.57 |
| 92201 |
|
15 |
15 |
$188.28 |
| 92504 |
|
12 |
12 |
$166.76 |
| 74230 |
|
27 |
25 |
$154.96 |
| 17003 |
|
29 |
27 |
$153.73 |
| 87210 |
|
90 |
51 |
$150.06 |
| 93285 |
|
12 |
12 |
$149.67 |
| 93228 |
|
12 |
12 |
$142.02 |
| 51600 |
|
15 |
14 |
$137.07 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
16 |
12 |
$134.36 |
| 92020 |
|
12 |
12 |
$126.64 |
| 74220 |
|
12 |
12 |
$107.92 |
| 74455 |
|
14 |
13 |
$89.82 |
| 83986 |
|
30 |
30 |
$89.32 |
| 36410 |
|
27 |
24 |
$68.15 |
| 90662 |
|
14 |
14 |
$53.37 |
| 94726 |
|
14 |
12 |
$51.87 |
| 87220 |
|
36 |
34 |
$32.94 |
| 94760 |
|
13 |
13 |
$19.92 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
22 |
13 |
$17.81 |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
13 |
12 |
$6.18 |
| G0008 |
Administration of influenza virus vaccine |
155 |
153 |
$4.67 |
| 91300 |
|
6,677 |
6,083 |
$2.01 |
| 1159F |
|
7,479 |
6,961 |
$0.01 |
| 1160F |
|
7,495 |
6,975 |
$0.01 |
| 91306 |
|
405 |
403 |
$0.01 |
| 3078F |
|
29,937 |
28,162 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
4,639 |
3,834 |
$0.00 |
| 3077F |
|
1,728 |
1,649 |
$0.00 |
| 3046F |
|
39 |
39 |
$0.00 |
| 3051F |
|
42 |
42 |
$0.00 |
| 91313 |
|
79 |
79 |
$0.00 |
| 3288F |
|
94 |
92 |
$0.00 |
| 91312 |
|
212 |
211 |
$0.00 |
| 3074F |
|
28,867 |
27,161 |
$0.00 |
| 3079F |
|
7,833 |
7,498 |
$0.00 |
| 99000 |
|
20,869 |
19,354 |
$0.00 |
| 3075F |
|
1,684 |
1,643 |
$0.00 |
| 91301 |
|
1,897 |
1,811 |
$0.00 |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
414 |
119 |
$0.00 |
| 91305 |
|
604 |
470 |
$0.00 |
| 91303 |
|
124 |
122 |
$0.00 |
| 3044F |
|
195 |
189 |
$0.00 |
| 3080F |
|
124 |
122 |
$0.00 |
| 3052F |
|
29 |
27 |
$0.00 |
| 91307 |
|
709 |
637 |
$0.00 |