| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
53,337 |
45,831 |
$8.55M |
| 99284 |
|
38,882 |
31,821 |
$5.77M |
| 96361 |
|
18,044 |
12,804 |
$4.30M |
| 99285 |
|
23,546 |
18,654 |
$3.36M |
| 41899 |
|
1,622 |
1,571 |
$2.33M |
| 99282 |
|
14,604 |
13,108 |
$2.17M |
| 97110 |
|
42,125 |
10,590 |
$1.97M |
| 74177 |
|
9,583 |
8,273 |
$1.85M |
| 70450 |
|
8,937 |
7,449 |
$1.53M |
| G0378 |
Hospital observation per hr |
4,689 |
3,367 |
$930K |
| 43239 |
|
1,602 |
1,470 |
$829K |
| 93306 |
|
2,882 |
2,549 |
$774K |
| 78452 |
|
1,333 |
1,150 |
$711K |
| 74176 |
|
3,797 |
3,295 |
$697K |
| 11042 |
|
6,361 |
2,279 |
$684K |
| 99211 |
|
7,004 |
5,210 |
$679K |
| 71275 |
|
2,863 |
2,525 |
$666K |
| 96366 |
|
2,243 |
1,460 |
$551K |
| 96360 |
|
5,372 |
4,466 |
$532K |
| 70553 |
|
1,453 |
1,312 |
$480K |
| 62323 |
|
1,262 |
1,100 |
$473K |
| 72148 |
|
2,793 |
2,529 |
$473K |
| 0241U |
|
6,167 |
5,805 |
$465K |
| 96365 |
|
5,252 |
3,597 |
$445K |
| 45380 |
|
758 |
680 |
$441K |
| 96413 |
|
3,902 |
2,114 |
$413K |
| 73721 |
|
2,081 |
1,847 |
$388K |
| 80307 |
|
9,561 |
8,008 |
$373K |
| G0463 |
Hospital outpt clinic visit |
21,828 |
13,582 |
$356K |
| 76705 |
|
3,805 |
3,411 |
$318K |
| 97162 |
|
2,738 |
2,483 |
$289K |
| 70551 |
|
1,307 |
1,157 |
$285K |
| 97112 |
|
16,733 |
4,969 |
$282K |
| 0240U |
|
4,207 |
3,947 |
$256K |
| 97161 |
|
3,281 |
2,748 |
$245K |
| 97530 |
|
8,319 |
3,362 |
$242K |
| 97140 |
|
18,883 |
5,914 |
$224K |
| 72141 |
|
1,152 |
1,035 |
$205K |
| 71046 |
|
11,441 |
10,075 |
$203K |
| 76642 |
|
2,025 |
1,671 |
$200K |
| 93971 |
|
2,201 |
1,856 |
$191K |
| 59025 |
|
972 |
730 |
$183K |
| 80053 |
|
46,235 |
35,750 |
$180K |
| J3490 |
Drugs unclassified injection |
179,370 |
53,438 |
$173K |
| 93976 |
|
1,684 |
1,477 |
$169K |
| 93017 |
|
1,873 |
1,645 |
$157K |
| 94640 |
|
4,813 |
3,063 |
$156K |
| 20610 |
|
2,057 |
1,337 |
$154K |
| 95810 |
|
278 |
253 |
$145K |
| 73562 |
|
4,938 |
3,412 |
$137K |
| 77067 |
|
3,608 |
3,468 |
$135K |
| 70496 |
|
538 |
487 |
$135K |
| 80048 |
|
41,224 |
31,354 |
$134K |
| 47562 |
|
41 |
39 |
$130K |
| U0004 |
Cov-19 test non-cdc hgh thru |
4,682 |
4,106 |
$127K |
| 72100 |
|
4,471 |
3,983 |
$112K |
| 73030 |
|
5,072 |
4,033 |
$111K |
| 76830 |
|
1,496 |
1,348 |
$109K |
| 73110 |
|
4,006 |
3,116 |
$107K |
| 71260 |
|
1,340 |
1,149 |
$97K |
| 82306 |
|
5,188 |
4,746 |
$93K |
| 73610 |
|
4,685 |
3,880 |
$93K |
| 59050 |
|
445 |
273 |
$91K |
| 76536 |
|
793 |
753 |
$88K |
| 96374 |
|
29,256 |
22,082 |
$86K |
| 73630 |
|
4,568 |
3,794 |
$86K |
| 72125 |
|
2,269 |
1,923 |
$85K |
| 84443 |
|
14,156 |
12,441 |
$77K |
| 77063 |
|
1,718 |
1,674 |
$77K |
| 71250 |
|
1,203 |
1,028 |
$73K |
| 73130 |
|
3,504 |
2,788 |
$73K |
| G0108 |
Diab manage trn per indiv |
2,198 |
1,848 |
$73K |
| 85025 |
|
58,763 |
43,340 |
$70K |
| 93005 |
|
31,605 |
24,779 |
$66K |
| 74018 |
|
3,126 |
2,672 |
$66K |
| 76817 |
|
1,552 |
1,302 |
$63K |
| 12001 |
|
301 |
285 |
$62K |
| 95806 |
|
292 |
276 |
$60K |
| 76856 |
|
657 |
624 |
$60K |
| 73221 |
|
373 |
342 |
$60K |
| 85027 |
|
33,170 |
25,765 |
$59K |
| 71045 |
|
22,613 |
18,477 |
$58K |
| 73564 |
|
3,514 |
2,812 |
$57K |
| 73502 |
|
3,142 |
2,517 |
$56K |
| 69436 |
|
49 |
42 |
$55K |
| 73140 |
|
1,989 |
1,658 |
$53K |
| 99212 |
|
501 |
392 |
$49K |
| 76815 |
|
691 |
626 |
$48K |
| 76770 |
|
442 |
395 |
$47K |
| 73080 |
|
2,105 |
1,691 |
$46K |
| 94726 |
|
916 |
792 |
$45K |
| 77066 |
Tomosynthesis, mammo |
1,129 |
1,040 |
$44K |
| 45385 |
|
89 |
84 |
$44K |
| 93970 |
|
364 |
326 |
$43K |
| 72050 |
|
1,204 |
1,085 |
$43K |
| 93922 |
|
654 |
554 |
$40K |
| G0283 |
Elec stim other than wound |
2,226 |
812 |
$40K |
| 96372 |
|
17,734 |
10,872 |
$37K |
| 87651 |
|
5,587 |
5,281 |
$37K |
| 83036 |
|
8,202 |
7,465 |
$37K |
| 80061 |
|
8,267 |
7,539 |
$36K |
| 83880 |
|
5,326 |
4,145 |
$36K |
| 87635 |
|
513 |
444 |
$36K |
| 97113 |
|
748 |
186 |
$36K |
| 29125 |
|
346 |
311 |
$35K |
| 97597 |
|
773 |
472 |
$34K |
| 36415 |
|
25,543 |
21,536 |
$32K |
| 96415 |
|
139 |
105 |
$31K |
| 97163 |
|
612 |
574 |
$31K |
| 87502 |
|
2,237 |
1,991 |
$30K |
| 97165 |
|
497 |
406 |
$29K |
| 97116 |
|
2,123 |
961 |
$28K |
| 88305 |
|
4,813 |
4,290 |
$28K |
| 85379 |
|
7,145 |
6,313 |
$28K |
| 64493 |
|
42 |
39 |
$28K |
| 84484 |
|
26,463 |
15,241 |
$28K |
| G0480 |
Drug test def 1-7 classes |
3,433 |
2,173 |
$27K |
| C8929 |
Tte w or wo fol wcon,doppler |
104 |
95 |
$27K |
| 76700 |
|
210 |
202 |
$26K |
| 94010 |
|
761 |
660 |
$26K |
| 66984 |
|
72 |
39 |
$26K |
| 73590 |
|
1,491 |
1,150 |
$25K |
| U0002 |
Covid-19 lab test non-cdc |
3,140 |
2,967 |
$24K |
| 99281 |
|
145 |
133 |
$23K |
| 87040 |
|
5,535 |
2,766 |
$23K |
| 87591 |
|
2,546 |
2,320 |
$22K |
| 94729 |
|
1,139 |
979 |
$20K |
| 90715 |
|
1,176 |
1,088 |
$20K |
| 96375 |
|
18,686 |
13,458 |
$20K |
| 95816 |
|
78 |
74 |
$19K |
| 71271 |
|
181 |
174 |
$19K |
| 82607 |
|
2,898 |
2,562 |
$19K |
| 97535 |
|
686 |
532 |
$19K |
| 73560 |
|
925 |
686 |
$18K |
| 70486 |
|
507 |
460 |
$18K |
| 84439 |
|
3,325 |
2,982 |
$18K |
| 77002 |
|
531 |
425 |
$17K |
| 99213 |
|
166 |
150 |
$17K |
| 87086 |
|
15,078 |
12,555 |
$17K |
| 82728 |
|
3,936 |
3,445 |
$17K |
| 12011 |
|
81 |
76 |
$16K |
| 45378 |
|
14 |
14 |
$16K |
| 81001 |
|
37,114 |
30,506 |
$16K |
| 87636 |
|
941 |
854 |
$15K |
| 94060 |
|
561 |
425 |
$15K |
| 80076 |
|
10,191 |
8,704 |
$14K |
| 80047 |
|
3,637 |
3,054 |
$14K |
| 73090 |
|
691 |
582 |
$13K |
| 76870 |
|
149 |
137 |
$13K |
| 86140 |
|
4,528 |
3,925 |
$12K |
| 81025 |
|
16,938 |
14,442 |
$12K |
| 10060 |
|
84 |
63 |
$12K |
| 72072 |
|
547 |
494 |
$12K |
| 86850 |
|
3,586 |
2,920 |
$11K |
| 87631 |
|
465 |
437 |
$11K |
| 70498 |
|
548 |
492 |
$11K |
| 97802 |
|
158 |
150 |
$11K |
| 11045 |
|
22 |
13 |
$11K |
| 93880 |
|
129 |
110 |
$11K |
| 87634 |
|
668 |
614 |
$11K |
| G0279 |
Tomosynthesis, mammo |
938 |
891 |
$10K |
| 72040 |
|
410 |
348 |
$10K |
| 86901 |
|
5,410 |
4,106 |
$10K |
| 82962 |
|
19,563 |
7,879 |
$10K |
| 93296 |
|
1,363 |
1,061 |
$10K |
| 77065 |
Tomosynthesis, mammo |
261 |
225 |
$10K |
| H0035 |
Mh partial hosp tx under 24h |
93 |
13 |
$10K |
| 84112 |
|
339 |
282 |
$9K |
| 87491 |
|
2,544 |
2,318 |
$9K |
| 85610 |
|
6,738 |
4,657 |
$9K |
| 83516 |
|
844 |
442 |
$8K |
| 62321 |
|
14 |
12 |
$8K |
| 80143 |
|
1,916 |
1,672 |
$8K |
| 83735 |
|
8,288 |
5,403 |
$8K |
| 99234 |
|
264 |
230 |
$8K |
| 86803 |
|
844 |
775 |
$8K |
| 70491 |
|
72 |
64 |
$7K |
| J1756 |
Iron sucrose injection |
871 |
356 |
$7K |
| 83550 |
|
3,139 |
2,798 |
$7K |
| 94799 |
|
2,191 |
1,050 |
$7K |
| J3010 |
Fentanyl citrate injection |
12,650 |
9,789 |
$7K |
| 82746 |
|
1,592 |
1,376 |
$7K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
20,121 |
15,503 |
$7K |
| 83690 |
|
17,604 |
14,383 |
$6K |
| 86235 |
|
481 |
223 |
$6K |
| 88342 |
|
994 |
911 |
$6K |
| 85652 |
|
4,563 |
3,897 |
$6K |
| 83540 |
|
3,236 |
2,891 |
$6K |
| 90471 |
|
1,546 |
1,289 |
$6K |
| 87077 |
|
6,110 |
4,737 |
$6K |
| 87186 |
|
5,169 |
4,019 |
$6K |
| 96367 |
|
153 |
110 |
$6K |
| M0243 |
Casirivi and imdevi inj |
16 |
16 |
$5K |
| 84702 |
|
2,975 |
2,376 |
$5K |
| 87081 |
|
2,018 |
1,812 |
$5K |
| 96376 |
|
7,947 |
4,601 |
$5K |
| 85730 |
|
3,076 |
2,480 |
$5K |
| 86900 |
|
5,405 |
4,105 |
$5K |
| 12002 |
|
29 |
27 |
$5K |
| 82784 |
|
731 |
522 |
$4K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
179 |
159 |
$4K |
| 72120 |
|
141 |
124 |
$4K |
| 83605 |
|
5,342 |
4,115 |
$4K |
| 76801 |
|
159 |
152 |
$4K |
| 82565 |
|
2,597 |
2,156 |
$4K |
| 84153 |
|
512 |
453 |
$4K |
| 80179 |
|
1,863 |
1,637 |
$4K |
| 74019 |
|
143 |
135 |
$4K |
| J1644 |
Inj heparin sodium per 1000u |
5,644 |
2,546 |
$4K |
| J0897 |
Denosumab injection |
15 |
12 |
$4K |
| J2785 |
Regadenoson injection |
674 |
575 |
$4K |
| 74178 |
|
12 |
12 |
$3K |
| 82043 |
|
1,463 |
1,344 |
$3K |
| A9500 |
Tc99m sestamibi |
1,479 |
1,269 |
$3K |
| 90686 |
|
326 |
278 |
$3K |
| 86618 |
|
275 |
250 |
$3K |
| M0245 |
Bamlan and etesev infusion |
16 |
12 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
13,761 |
11,664 |
$3K |
| 84100 |
|
3,382 |
2,121 |
$3K |
| 70320 |
|
1,041 |
1,006 |
$3K |
| 86703 |
|
309 |
293 |
$3K |
| 87210 |
|
1,998 |
1,811 |
$3K |
| 85014 |
|
3,378 |
2,409 |
$2K |
| J2405 |
Ondansetron hcl injection |
21,457 |
16,826 |
$2K |
| 81003 |
|
6,951 |
5,971 |
$2K |
| 87070 |
|
2,365 |
1,868 |
$2K |
| 71101 |
|
348 |
310 |
$2K |
| 72070 |
|
188 |
146 |
$2K |
| 86160 |
|
365 |
226 |
$2K |
| 85018 |
|
1,903 |
1,168 |
$2K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
2,735 |
2,106 |
$2K |
| 88304 |
|
795 |
723 |
$2K |
| 86431 |
|
523 |
487 |
$2K |
| Q0162 |
Ondansetron oral |
6,612 |
5,483 |
$2K |
| J1642 |
Inj heparin sodium per 10 u |
2,512 |
1,339 |
$2K |
| 84703 |
|
4,071 |
3,616 |
$2K |
| 86225 |
|
330 |
309 |
$2K |
| Q0243 |
Casirivimab and imdevimab |
12 |
12 |
$2K |
| 86038 |
|
262 |
249 |
$2K |
| 99291 |
|
13 |
13 |
$2K |
| 76819 |
|
16 |
14 |
$2K |
| 84550 |
|
868 |
651 |
$2K |
| 94760 |
|
9,112 |
4,948 |
$1K |
| 84481 |
|
263 |
245 |
$1K |
| 82550 |
|
1,240 |
952 |
$1K |
| 96523 |
|
41 |
36 |
$1K |
| 87340 |
|
341 |
316 |
$1K |
| 87637 |
|
285 |
274 |
$1K |
| 76882 |
|
15 |
13 |
$1K |
| 87449 |
|
460 |
384 |
$1K |
| 77336 |
|
53 |
28 |
$1K |
| 80050 |
|
186 |
183 |
$1K |
| 87522 |
Neg quan hep c or qual rna |
56 |
53 |
$1K |
| 74246 |
|
12 |
12 |
$1K |
| 87427 |
|
356 |
318 |
$1K |
| J8540 |
Oral dexamethasone |
781 |
350 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
6,349 |
3,935 |
$1K |
| 83970 |
|
58 |
52 |
$1K |
| 76775 |
|
16 |
12 |
$1K |
| 87205 |
|
2,554 |
2,009 |
$1K |
| 80164 |
|
168 |
135 |
$1K |
| 72131 |
|
12 |
12 |
$1K |
| 82077 |
|
4,194 |
3,483 |
$1K |
| J2550 |
Promethazine hcl injection |
2,419 |
1,748 |
$1K |
| G0008 |
Admin influenza virus vac |
219 |
184 |
$965.33 |
| 92610 |
|
13 |
12 |
$955.72 |
| 86200 |
|
206 |
185 |
$951.75 |
| J1200 |
Diphenhydramine hcl injectio |
3,541 |
2,727 |
$942.31 |
| J1100 |
Dexamethasone sodium phos |
8,569 |
7,722 |
$941.99 |
| 73660 |
|
33 |
29 |
$904.20 |
| J2060 |
Lorazepam injection |
2,334 |
1,730 |
$872.27 |
| 82570 |
|
304 |
255 |
$865.23 |
| J2250 |
Inj midazolam hydrochloride |
4,602 |
4,191 |
$857.70 |
| J1170 |
Hydromorphone injection |
3,896 |
2,660 |
$836.21 |
| J1040 |
Methylprednisolone 80 mg inj |
1,664 |
1,388 |
$829.19 |
| J0702 |
Betamethasone acet&sod phosp |
354 |
257 |
$789.62 |
| 72170 |
|
69 |
53 |
$786.30 |
| 87045 |
|
378 |
335 |
$709.14 |
| 73552 |
|
82 |
51 |
$681.14 |
| J2704 |
Inj, propofol, 10 mg |
7,688 |
7,137 |
$645.82 |
| 87899 |
|
171 |
154 |
$642.62 |
| 82785 |
|
69 |
63 |
$641.30 |
| G8979 |
Mobility goal status |
443 |
260 |
$614.96 |
| 86039 |
|
109 |
99 |
$609.72 |
| 99214 |
|
30 |
26 |
$609.13 |
| G8978 |
Mobility current status |
389 |
228 |
$591.00 |
| 87804 |
|
1,147 |
858 |
$583.92 |
| J2270 |
Morphine sulfate injection |
6,414 |
4,652 |
$577.24 |
| 77080 |
|
27 |
24 |
$576.06 |
| 84145 |
|
527 |
447 |
$532.84 |
| J7613 |
Albuterol non-comp unit |
1,717 |
1,409 |
$527.00 |
| A9585 |
Gadobutrol injection |
519 |
406 |
$510.86 |
| J3535 |
Metered dose inhaler drug |
365 |
321 |
$508.87 |
| 84403 |
|
41 |
37 |
$507.33 |
| C1894 |
Intro/sheath, non-laser |
342 |
267 |
$431.40 |
| U0005 |
Infec agen detec ampli probe |
215 |
206 |
$380.34 |
| 86147 |
|
35 |
15 |
$346.68 |
| 86705 |
|
68 |
65 |
$339.76 |
| 82805 |
|
618 |
473 |
$329.11 |
| 82247 |
|
42 |
26 |
$317.91 |
| 97803 |
|
13 |
13 |
$315.78 |
| J2765 |
Metoclopramide hcl injection |
480 |
403 |
$313.79 |
| J0690 |
Cefazolin sodium injection |
3,418 |
2,837 |
$305.14 |
| 82803 |
|
646 |
548 |
$285.71 |
| 73060 |
|
65 |
55 |
$278.02 |
| 83655 |
|
15 |
15 |
$260.33 |
| 86706 |
|
64 |
61 |
$258.23 |
| 80177 |
|
52 |
43 |
$253.31 |
| 86376 |
|
12 |
12 |
$251.75 |
| 77073 |
|
18 |
14 |
$236.28 |
| J0171 |
Adrenalin epinephrine inject |
279 |
180 |
$218.49 |
| J2930 |
Methylprednisolone injection |
1,428 |
1,035 |
$218.22 |
| Q9969 |
Non-heu tc-99m add-on/dose |
1,354 |
1,204 |
$211.20 |
| 86146 |
|
28 |
12 |
$207.70 |
| 84156 |
|
134 |
104 |
$188.92 |
| 83615 |
|
295 |
238 |
$186.26 |
| J7030 |
Normal saline solution infus |
1,791 |
1,212 |
$186.15 |
| 86003 |
|
26 |
13 |
$179.84 |
| J0780 |
Prochlorperazine injection |
1,766 |
1,488 |
$173.76 |
| 87807 |
|
248 |
225 |
$161.22 |
| 85613 |
|
23 |
15 |
$152.74 |
| 87880 |
|
803 |
708 |
$147.52 |
| 86704 |
|
27 |
25 |
$140.59 |
| 86256 |
|
20 |
13 |
$140.03 |
| 87046 |
|
218 |
182 |
$132.49 |
| J1030 |
Methylprednisolone 40 mg inj |
508 |
441 |
$127.62 |
| 86780 |
|
13 |
12 |
$112.81 |
| 51702 |
|
21 |
12 |
$110.00 |
| 83721 |
|
38 |
36 |
$106.66 |
| 86308 |
|
69 |
63 |
$97.99 |
| 80178 |
|
13 |
13 |
$94.53 |
| C1769 |
Guide wire |
801 |
649 |
$74.96 |
| 74022 |
|
21 |
16 |
$73.08 |
| 86920 |
|
39 |
24 |
$72.25 |
| 82310 |
|
103 |
95 |
$63.39 |
| 82010 |
|
314 |
246 |
$51.75 |
| 84165 |
|
16 |
13 |
$49.83 |
| 82248 |
|
259 |
220 |
$46.87 |
| 85046 |
|
48 |
37 |
$40.45 |
| J1650 |
Inj enoxaparin sodium |
550 |
281 |
$38.44 |
| A9577 |
Inj multihance |
740 |
458 |
$36.80 |
| J1815 |
Insulin injection |
287 |
184 |
$35.91 |
| 87493 |
|
35 |
28 |
$33.54 |
| J2795 |
Ropivacaine hcl injection |
830 |
732 |
$28.30 |
| 87185 |
|
74 |
54 |
$27.23 |
| 80320 |
|
27 |
24 |
$23.79 |
| 85045 |
|
32 |
25 |
$18.54 |
| J7612 |
Levalbuterol non-comp con |
131 |
104 |
$10.68 |
| J7644 |
Ipratropium bromide non-comp |
179 |
152 |
$7.15 |
| J1940 |
Furosemide injection |
228 |
133 |
$4.25 |
| 51798 |
|
138 |
90 |
$2.54 |
| J3420 |
Vitamin b12 injection |
122 |
74 |
$1.84 |
| J3301 |
Triamcinolone acet inj nos |
28 |
24 |
$1.38 |
| J2543 |
Piperacillin/tazobactam |
286 |
122 |
$0.96 |
| Q0177 |
Hydroxyzine pamoate 25mg |
413 |
213 |
$0.49 |
| J3370 |
Vancomycin hcl injection |
233 |
92 |
$0.37 |
| C1729 |
Cath, drainage |
158 |
131 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
29 |
26 |
$0.00 |
| G1004 |
Cdsm ndsc |
565 |
464 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
293 |
276 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
322 |
282 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
122 |
86 |
$0.00 |
| C1751 |
Cath, inf, per/cent/midline |
187 |
174 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
210 |
163 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
47 |
37 |
$0.00 |
| A4618 |
Breathing circuits |
152 |
148 |
$0.00 |
| J7614 |
Levalbuterol non-comp unit |
18 |
12 |
$0.00 |
| C1887 |
Catheter, guiding |
52 |
42 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
89 |
61 |
$0.00 |
| A6254 |
Absorpt drg <=16 sq in w/bdr |
12 |
12 |
$0.00 |
| J1817 |
Insulin for insulin pump use |
283 |
124 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
276 |
218 |
$0.00 |
| A4215 |
Sterile needle |
13 |
13 |
$0.00 |
| J8597 |
Antiemetic drug oral nos |
116 |
99 |
$0.00 |
| J3360 |
Diazepam injection |
17 |
14 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
32 |
25 |
$0.00 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
65 |
57 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
184 |
167 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
306 |
237 |
$0.00 |
| C1755 |
Catheter, intraspinal |
95 |
91 |
$0.00 |
| 82330 |
|
54 |
44 |
$0.00 |
| J2360 |
Orphenadrine injection |
15 |
12 |
$0.00 |
| 82150 |
|
17 |
14 |
$0.00 |
| A6222 |
Gauze <=16 in no w/sal w/o b |
12 |
12 |
$0.00 |
| G8980 |
Mobility d/c status |
12 |
12 |
$0.00 |
| 88307 |
|
15 |
15 |
$0.00 |