| Code | Description | Claims | Beneficiaries | Total Paid |
| H0020 |
Alcohol and/or drug services |
984,362 |
58,853 |
$27.03M |
| G2067 |
Med assist tx meth wk |
41,319 |
10,591 |
$8.51M |
| 99284 |
|
30,842 |
29,205 |
$7.00M |
| 90832 |
|
67,102 |
38,408 |
$6.68M |
| 99283 |
|
31,159 |
29,588 |
$6.07M |
| G0378 |
Hospital observation per hr |
5,635 |
3,502 |
$5.68M |
| G0463 |
Hospital outpt clinic visit |
41,507 |
35,802 |
$4.46M |
| 96361 |
|
15,169 |
12,175 |
$1.78M |
| 36415 |
|
137,798 |
67,951 |
$1.05M |
| G0396 |
Alcohol/subs interv 15-30mn |
10,657 |
6,787 |
$1.03M |
| 99282 |
|
6,481 |
6,140 |
$983K |
| 99211 |
|
37,210 |
31,580 |
$940K |
| 93976 |
|
2,628 |
2,548 |
$787K |
| 74177 |
|
4,102 |
4,009 |
$751K |
| 99213 |
|
20,581 |
19,203 |
$679K |
| 76856 |
|
2,254 |
2,235 |
$677K |
| 70450 |
|
3,208 |
3,142 |
$652K |
| 80053 |
|
53,454 |
47,763 |
$598K |
| 87491 |
|
21,445 |
20,467 |
$585K |
| 99285 |
|
3,301 |
3,173 |
$547K |
| 80307 |
|
19,793 |
16,815 |
$536K |
| U0003 |
Cov-19 amp prb hgh thruput |
12,022 |
10,089 |
$519K |
| 99214 |
|
12,362 |
12,000 |
$443K |
| 76700 |
|
1,566 |
1,544 |
$433K |
| 96365 |
|
4,728 |
3,972 |
$425K |
| 87591 |
|
19,880 |
19,337 |
$387K |
| 74176 |
|
1,805 |
1,776 |
$362K |
| H0050 |
Alcohol/drug service 15 min |
7,691 |
4,604 |
$361K |
| 71275 |
|
1,792 |
1,772 |
$360K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
575 |
472 |
$339K |
| 43239 |
|
469 |
469 |
$328K |
| 76816 |
|
8,246 |
7,191 |
$292K |
| 96360 |
|
2,622 |
2,518 |
$280K |
| 76801 |
|
4,102 |
3,859 |
$257K |
| 93306 |
|
2,146 |
2,033 |
$239K |
| H0005 |
Alcohol and/or drug services |
4,813 |
1,444 |
$239K |
| 80048 |
|
20,750 |
16,721 |
$230K |
| 76819 |
|
6,729 |
3,830 |
$224K |
| 82306 |
|
7,915 |
7,857 |
$212K |
| 76805 |
|
3,660 |
3,578 |
$195K |
| 87631 |
|
4,510 |
4,389 |
$168K |
| 86850 |
|
8,748 |
8,262 |
$162K |
| 93010 |
|
21,999 |
20,138 |
$160K |
| 96372 |
|
15,307 |
7,156 |
$149K |
| G0397 |
Alcohol/subs interv >30 min |
1,265 |
939 |
$146K |
| 76811 |
|
1,873 |
1,864 |
$142K |
| 76817 |
|
2,878 |
2,593 |
$134K |
| 84443 |
|
17,288 |
17,024 |
$128K |
| 87502 |
|
4,143 |
4,046 |
$120K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
10,240 |
6,315 |
$114K |
| U0005 |
Infec agen detec ampli probe |
7,830 |
7,026 |
$114K |
| 96366 |
|
1,461 |
1,194 |
$112K |
| 93970 |
|
458 |
452 |
$112K |
| 83036 |
|
15,203 |
14,991 |
$110K |
| 81025 |
|
30,756 |
28,294 |
$106K |
| 80061 |
|
14,892 |
14,826 |
$101K |
| 99212 |
|
1,314 |
1,279 |
$100K |
| 90853 |
|
1,821 |
633 |
$97K |
| 87481 |
|
2,940 |
2,858 |
$93K |
| 96374 |
|
24,173 |
18,147 |
$91K |
| 86900 |
|
9,078 |
8,414 |
$91K |
| J1439 |
Inj ferric carboxymaltos 1mg |
298 |
189 |
$90K |
| 83880 |
|
4,438 |
4,124 |
$89K |
| 85025 |
|
67,310 |
59,360 |
$85K |
| 77067 |
|
1,513 |
1,512 |
$81K |
| 99460 |
|
1,657 |
1,656 |
$78K |
| 99201 |
|
689 |
686 |
$74K |
| 76830 |
|
2,772 |
2,748 |
$72K |
| 82607 |
|
7,037 |
6,987 |
$69K |
| 87651 |
|
2,732 |
2,700 |
$68K |
| 88305 |
|
3,350 |
2,989 |
$68K |
| 99396 |
|
1,033 |
1,032 |
$68K |
| 87660 |
|
13,776 |
13,033 |
$65K |
| 99238 |
|
1,514 |
1,502 |
$64K |
| 87635 |
|
5,645 |
5,040 |
$64K |
| 10E0XZZ |
|
121 |
12 |
$61K |
| 99406 |
|
2,623 |
2,586 |
$59K |
| 90715 |
|
2,009 |
2,000 |
$53K |
| 87086 |
|
16,608 |
15,712 |
$51K |
| H0001 |
Alcohol and/or drug assess |
520 |
426 |
$51K |
| 84439 |
|
6,425 |
6,342 |
$48K |
| 59426 |
|
410 |
293 |
$48K |
| 92551 |
|
949 |
319 |
$46K |
| 97110 |
|
1,628 |
537 |
$44K |
| 87389 |
|
5,447 |
5,409 |
$42K |
| 93005 |
|
17,547 |
16,079 |
$42K |
| 80076 |
|
5,923 |
5,649 |
$42K |
| 93975 |
|
110 |
105 |
$39K |
| 85027 |
|
13,989 |
12,146 |
$37K |
| 82746 |
|
4,112 |
4,084 |
$36K |
| 59425 |
|
420 |
347 |
$35K |
| G2023 |
Specimen collect covid-19 |
2,803 |
2,700 |
$35K |
| 81003 |
|
4,952 |
4,345 |
$35K |
| 76813 |
|
766 |
758 |
$34K |
| 90460 |
|
2,845 |
2,726 |
$34K |
| 86701 |
|
3,946 |
3,901 |
$33K |
| 83655 |
|
2,646 |
2,636 |
$33K |
| 93971 |
|
644 |
637 |
$32K |
| 81001 |
|
30,474 |
28,502 |
$31K |
| 71046 |
|
4,073 |
4,045 |
$31K |
| 87661 |
|
1,960 |
1,918 |
$30K |
| 82728 |
|
3,164 |
3,117 |
$30K |
| 99281 |
|
210 |
200 |
$29K |
| H0004 |
Alcohol and/or drug services |
598 |
381 |
$29K |
| 86803 |
|
4,457 |
4,429 |
$28K |
| 59025 |
|
1,267 |
1,078 |
$28K |
| 86762 |
|
2,794 |
2,763 |
$26K |
| 84702 |
|
5,854 |
4,917 |
$26K |
| 86901 |
|
1,952 |
1,646 |
$25K |
| 90686 |
|
1,550 |
1,378 |
$25K |
| 97161 |
|
528 |
528 |
$25K |
| J1756 |
Iron sucrose injection |
383 |
193 |
$24K |
| 10060 |
|
99 |
96 |
$23K |
| 99393 |
|
482 |
480 |
$23K |
| 90837 |
|
189 |
99 |
$23K |
| 96375 |
|
13,384 |
11,027 |
$22K |
| 99395 |
|
377 |
376 |
$21K |
| 99000 |
|
1,364 |
1,319 |
$21K |
| 72125 |
|
367 |
359 |
$19K |
| 77063 |
|
1,506 |
1,505 |
$19K |
| 87563 |
|
1,142 |
1,125 |
$19K |
| 87340 |
|
2,736 |
2,722 |
$18K |
| 71045 |
|
10,841 |
10,224 |
$18K |
| 90471 |
|
6,855 |
6,743 |
$18K |
| 85610 |
|
12,364 |
10,695 |
$17K |
| 99441 |
|
637 |
601 |
$17K |
| 82803 |
|
1,892 |
1,624 |
$17K |
| 86780 |
|
2,029 |
1,994 |
$17K |
| 76641 |
|
516 |
515 |
$16K |
| 83021 |
|
1,394 |
1,383 |
$16K |
| 82043 |
|
3,152 |
3,118 |
$14K |
| 72131 |
|
105 |
105 |
$14K |
| 87081 |
|
4,477 |
4,403 |
$14K |
| 58558 |
|
14 |
14 |
$14K |
| 71260 |
|
65 |
64 |
$13K |
| 83550 |
|
3,435 |
3,403 |
$13K |
| 88307 |
|
186 |
178 |
$13K |
| 76820 |
|
915 |
593 |
$13K |
| 87077 |
|
4,583 |
4,075 |
$12K |
| 81220 |
|
41 |
41 |
$12K |
| 81002 |
|
12,246 |
8,152 |
$12K |
| 81513 |
|
3,267 |
3,165 |
$12K |
| 99394 |
|
216 |
216 |
$12K |
| 99462 |
|
542 |
446 |
$12K |
| 83735 |
|
8,788 |
6,865 |
$11K |
| 99392 |
|
220 |
220 |
$11K |
| 86480 |
|
214 |
213 |
$11K |
| 99442 |
|
293 |
281 |
$11K |
| 90656 |
|
849 |
732 |
$10K |
| 86769 |
|
300 |
300 |
$10K |
| 84153 |
|
543 |
542 |
$10K |
| 96376 |
|
4,998 |
2,544 |
$9K |
| 76815 |
|
1,124 |
942 |
$9K |
| 93017 |
|
352 |
347 |
$9K |
| 85730 |
|
9,624 |
9,183 |
$9K |
| 99204 |
|
87 |
87 |
$9K |
| 87522 |
Neg quan hep c or qual rna |
207 |
206 |
$8K |
| 82951 |
|
1,880 |
1,141 |
$8K |
| 90791 |
|
62 |
48 |
$8K |
| 76821 |
|
371 |
211 |
$8K |
| 12001 |
|
24 |
24 |
$8K |
| 82948 |
|
8,730 |
4,482 |
$8K |
| 87186 |
|
3,737 |
3,363 |
$8K |
| 82955 |
|
1,288 |
1,282 |
$7K |
| 83013 |
|
136 |
136 |
$7K |
| 86706 |
|
1,129 |
1,123 |
$7K |
| 86787 |
|
1,525 |
1,504 |
$7K |
| 83001 |
|
485 |
479 |
$7K |
| 99202 |
|
59 |
59 |
$7K |
| 87880 |
|
675 |
341 |
$7K |
| 86140 |
|
2,581 |
2,184 |
$6K |
| 83970 |
|
215 |
213 |
$6K |
| 87480 |
|
1,713 |
1,689 |
$6K |
| 87510 |
|
1,712 |
1,688 |
$6K |
| 87070 |
|
1,617 |
1,534 |
$6K |
| 90651 |
|
245 |
237 |
$6K |
| 92567 |
|
167 |
55 |
$5K |
| 90658 |
|
484 |
480 |
$5K |
| 94640 |
|
2,810 |
2,398 |
$5K |
| 90834 |
|
70 |
48 |
$5K |
| 90714 |
|
269 |
267 |
$5K |
| 99391 |
|
104 |
102 |
$4K |
| 87902 |
|
16 |
14 |
$4K |
| 90746 |
|
129 |
129 |
$4K |
| 99203 |
|
64 |
64 |
$4K |
| 85652 |
|
2,872 |
2,555 |
$4K |
| 86038 |
|
807 |
768 |
$4K |
| 36430 |
|
16 |
12 |
$4K |
| 96127 |
|
92 |
55 |
$4K |
| 84156 |
|
1,641 |
1,430 |
$3K |
| 84146 |
|
252 |
246 |
$3K |
| P9016 |
Rbc leukocytes reduced |
16 |
12 |
$3K |
| 96367 |
|
83 |
70 |
$3K |
| 99173 |
|
401 |
317 |
$3K |
| 82105 |
|
576 |
569 |
$3K |
| 83690 |
|
14,013 |
12,955 |
$3K |
| J1170 |
Hydromorphone injection |
4,713 |
3,436 |
$3K |
| G0103 |
Psa screening |
349 |
347 |
$3K |
| 87210 |
|
916 |
891 |
$3K |
| 73630 |
|
1,013 |
991 |
$3K |
| 90734 |
|
193 |
188 |
$3K |
| 82570 |
|
731 |
686 |
$3K |
| 73030 |
|
619 |
603 |
$2K |
| 73562 |
|
614 |
599 |
$2K |
| 90674 |
|
225 |
225 |
$2K |
| 84550 |
|
767 |
730 |
$2K |
| 83540 |
|
569 |
566 |
$2K |
| 93041 |
|
1,574 |
1,546 |
$2K |
| 84134 |
|
375 |
340 |
$2K |
| 98967 |
|
32 |
32 |
$2K |
| 86376 |
|
167 |
165 |
$2K |
| H0002 |
Alcohol and/or drug screenin |
12 |
12 |
$2K |
| 82150 |
|
5,960 |
5,668 |
$2K |
| 72100 |
|
289 |
288 |
$2K |
| P9604 |
One-way allow prorated trip |
334 |
289 |
$2K |
| 87205 |
|
1,359 |
1,308 |
$2K |
| 83921 |
|
95 |
95 |
$2K |
| J7030 |
Normal saline solution infus |
7,038 |
6,028 |
$2K |
| 85379 |
|
3,195 |
3,093 |
$2K |
| 84484 |
|
13,060 |
8,110 |
$2K |
| 88342 |
|
42 |
41 |
$2K |
| 29125 |
|
13 |
13 |
$2K |
| 90670 |
|
105 |
104 |
$2K |
| 82784 |
|
169 |
108 |
$2K |
| 99443 |
|
61 |
58 |
$2K |
| 87804 |
|
242 |
126 |
$2K |
| 70496 |
|
12 |
12 |
$2K |
| 82550 |
|
1,834 |
1,725 |
$2K |
| 73130 |
|
656 |
640 |
$2K |
| 84100 |
|
520 |
438 |
$2K |
| 85007 |
|
2,559 |
2,254 |
$2K |
| 88304 |
|
354 |
350 |
$2K |
| 90685 |
|
132 |
127 |
$2K |
| 70486 |
|
38 |
38 |
$1K |
| 98968 |
|
23 |
22 |
$1K |
| J2405 |
Ondansetron hcl injection |
12,062 |
10,332 |
$1K |
| 73610 |
|
634 |
619 |
$1K |
| 87798 |
|
47 |
47 |
$1K |
| 72110 |
|
181 |
181 |
$1K |
| J7120 |
Ringers lactate infusion |
10,214 |
9,029 |
$1K |
| 81015 |
|
2,379 |
2,251 |
$1K |
| 90472 |
|
899 |
897 |
$1K |
| 86431 |
|
277 |
268 |
$1K |
| 87040 |
|
3,178 |
1,678 |
$1K |
| 82950 |
|
264 |
263 |
$1K |
| 87075 |
|
539 |
531 |
$1K |
| 82310 |
|
605 |
588 |
$1K |
| 83002 |
|
80 |
80 |
$1K |
| 86765 |
|
98 |
97 |
$1K |
| J3490 |
Drugs unclassified injection |
2,860 |
2,135 |
$1K |
| 84480 |
|
187 |
184 |
$1K |
| 90619 |
|
54 |
14 |
$1K |
| J7050 |
Normal saline solution infus |
2,135 |
1,445 |
$1K |
| 82947 |
|
569 |
547 |
$1K |
| 90633 |
|
86 |
81 |
$910.89 |
| 84403 |
|
42 |
38 |
$879.03 |
| 76828 |
|
44 |
25 |
$855.81 |
| 76818 |
|
42 |
38 |
$840.30 |
| 87624 |
|
30 |
30 |
$814.89 |
| 90672 |
|
45 |
45 |
$803.25 |
| G0480 |
Drug test def 1-7 classes |
58 |
55 |
$795.71 |
| 86580 |
|
148 |
139 |
$733.44 |
| 99464 |
|
24 |
24 |
$692.80 |
| 92586 |
|
13 |
13 |
$643.51 |
| J1885 |
Ketorolac tromethamine inj |
13,339 |
12,117 |
$639.81 |
| 99385 |
|
14 |
14 |
$610.44 |
| 90677 |
|
13 |
13 |
$571.30 |
| G2211 |
Complex e/m visit add on |
323 |
317 |
$570.98 |
| J1815 |
Insulin injection |
274 |
216 |
$557.36 |
| 86735 |
|
79 |
78 |
$550.81 |
| 90660 |
|
50 |
24 |
$537.76 |
| 99239 |
|
15 |
14 |
$525.22 |
| 86141 |
|
65 |
64 |
$521.30 |
| 83605 |
|
3,715 |
3,292 |
$510.20 |
| 73564 |
|
232 |
232 |
$499.91 |
| 86317 |
|
210 |
210 |
$470.67 |
| 74018 |
|
405 |
401 |
$439.88 |
| J3420 |
Vitamin b12 injection |
771 |
615 |
$421.98 |
| J0696 |
Ceftriaxone sodium injection |
3,794 |
3,385 |
$414.10 |
| 93000 |
|
28 |
28 |
$408.93 |
| 97140 |
|
29 |
14 |
$396.22 |
| C9803 |
Hopd covid-19 spec collect |
1,014 |
839 |
$393.88 |
| 84481 |
|
44 |
44 |
$359.21 |
| 82565 |
|
256 |
253 |
$356.78 |
| 72050 |
|
43 |
43 |
$345.54 |
| 86800 |
|
31 |
29 |
$329.25 |
| 74019 |
|
331 |
321 |
$305.99 |
| 80074 |
|
25 |
25 |
$272.67 |
| J1100 |
Dexamethasone sodium phos |
4,448 |
4,257 |
$269.13 |
| 84402 |
|
14 |
14 |
$254.70 |
| J1650 |
Inj enoxaparin sodium |
2,040 |
1,244 |
$246.63 |
| C9113 |
Inj pantoprazole sodium, via |
2,880 |
2,061 |
$244.85 |
| 84460 |
|
201 |
197 |
$240.87 |
| 90710 |
|
16 |
16 |
$232.05 |
| 90648 |
|
38 |
38 |
$232.05 |
| 85018 |
|
176 |
165 |
$228.88 |
| 82670 |
|
12 |
12 |
$223.52 |
| 80348 |
|
274 |
271 |
$220.16 |
| 83615 |
|
75 |
57 |
$213.74 |
| 76000 |
|
12 |
12 |
$210.47 |
| 90723 |
|
12 |
12 |
$196.35 |
| J2270 |
Morphine sulfate injection |
2,469 |
2,038 |
$192.90 |
| 82785 |
|
20 |
12 |
$189.45 |
| J1200 |
Diphenhydramine hcl injectio |
3,366 |
2,982 |
$184.17 |
| J2704 |
Inj, propofol, 10 mg |
3,733 |
3,663 |
$183.11 |
| J0690 |
Cefazolin sodium injection |
1,457 |
1,354 |
$168.41 |
| 90696 |
|
12 |
12 |
$160.65 |
| J7121 |
5% dextrose in lac ringers |
831 |
710 |
$155.12 |
| 85460 |
|
12 |
12 |
$152.08 |
| J2250 |
Inj midazolam hydrochloride |
3,595 |
3,539 |
$147.52 |
| 84144 |
|
14 |
13 |
$146.44 |
| J3010 |
Fentanyl citrate injection |
3,748 |
3,693 |
$129.37 |
| J1644 |
Inj heparin sodium per 1000u |
2,181 |
1,385 |
$129.19 |
| 87285 |
|
149 |
148 |
$127.15 |
| 90744 |
|
12 |
12 |
$124.95 |
| 87590 |
|
864 |
849 |
$120.63 |
| 84145 |
|
80 |
78 |
$120.61 |
| 82247 |
|
124 |
119 |
$115.22 |
| J2930 |
Methylprednisolone injection |
823 |
778 |
$110.87 |
| 86308 |
|
223 |
217 |
$108.38 |
| J2765 |
Metoclopramide hcl injection |
3,490 |
2,936 |
$105.35 |
| 72040 |
|
79 |
79 |
$103.78 |
| 97116 |
|
16 |
12 |
$101.72 |
| A9579 |
Gad-base mr contrast nos,1ml |
12 |
12 |
$99.42 |
| J3475 |
Inj magnesium sulfate |
1,040 |
913 |
$93.85 |
| 87147 |
|
151 |
147 |
$92.94 |
| 73502 |
|
51 |
51 |
$80.62 |
| Q9969 |
Non-heu tc-99m add-on/dose |
12 |
12 |
$80.34 |
| 85014 |
|
55 |
51 |
$77.70 |
| 86403 |
|
44 |
42 |
$77.58 |
| 94760 |
|
289 |
209 |
$71.66 |
| 76705 |
|
14 |
13 |
$67.42 |
| 80050 |
|
24 |
24 |
$66.84 |
| 86336 |
|
13 |
13 |
$66.30 |
| 80320 |
|
488 |
456 |
$65.90 |
| 84520 |
|
86 |
84 |
$55.30 |
| 84155 |
|
124 |
122 |
$54.27 |
| J7060 |
5% dextrose/water |
187 |
160 |
$52.03 |
| 82040 |
|
99 |
96 |
$46.90 |
| J2001 |
Lidocaine injection |
1,221 |
1,136 |
$43.89 |
| 90461 |
|
299 |
289 |
$38.06 |
| 82010 |
|
775 |
681 |
$37.71 |
| 87076 |
|
22 |
15 |
$35.16 |
| Q0144 |
Azithromycin dihydrate, oral |
74 |
69 |
$33.04 |
| 74022 |
|
78 |
78 |
$31.20 |
| J2175 |
Meperidine hydrochl /100 mg |
546 |
540 |
$30.75 |
| 73110 |
|
49 |
49 |
$29.08 |
| 84132 |
|
87 |
82 |
$25.15 |
| J1790 |
Droperidol injection |
505 |
431 |
$23.59 |
| 80177 |
|
16 |
13 |
$21.22 |
| J2800 |
Methocarbamol injection |
475 |
474 |
$18.68 |
| J2272 |
Inj, morphine (fresenius) |
251 |
198 |
$17.84 |
| J2060 |
Lorazepam injection |
859 |
730 |
$11.27 |
| 80354 |
|
16 |
16 |
$10.75 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,446 |
1,276 |
$8.02 |
| 82272 |
|
20 |
17 |
$7.94 |
| J0132 |
Acetylcysteine injection |
203 |
194 |
$7.20 |
| A9270 |
Non-covered item or service |
18,046 |
14,216 |
$7.18 |
| J7040 |
Normal saline solution infus |
37 |
36 |
$6.09 |
| 73590 |
|
12 |
12 |
$6.00 |
| J3480 |
Inj potassium chloride |
132 |
92 |
$5.80 |
| 82374 |
|
40 |
38 |
$4.88 |
| 84295 |
|
40 |
38 |
$4.81 |
| 82435 |
|
40 |
38 |
$4.60 |
| J1956 |
Levofloxacin injection |
27 |
24 |
$3.90 |
| J7620 |
Albuterol ipratrop non-comp |
50 |
34 |
$1.30 |
| J2920 |
Methylprednisolone injection |
27 |
14 |
$1.29 |
| 84075 |
|
41 |
39 |
$1.04 |
| Q0162 |
Ondansetron oral |
58 |
56 |
$0.94 |
| Q0163 |
Diphenhydramine hcl 50mg |
48 |
43 |
$0.24 |
| 99080 |
|
3,496 |
3,351 |
$0.00 |
| 99152 |
|
85 |
85 |
$0.00 |
| 3078F |
|
3,040 |
2,964 |
$0.00 |
| 3077F |
|
577 |
553 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
139 |
104 |
$0.00 |
| J0689 |
Inj cefazolin sodium, baxter |
68 |
66 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
151 |
120 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
73 |
73 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
123 |
116 |
$0.00 |
| G0500 |
Mod sedat endo service >5yrs |
24 |
24 |
$0.00 |
| 3074F |
|
3,687 |
3,587 |
$0.00 |
| 3079F |
|
1,140 |
1,116 |
$0.00 |
| J1836 |
Inj, metronidazole, 10 mg |
109 |
82 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
27 |
27 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
159 |
122 |
$0.00 |
| 3075F |
|
191 |
190 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
145 |
145 |
$0.00 |
| 3080F |
|
165 |
155 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
14 |
14 |
$0.00 |
| S2900 |
Robotic surgical system |
24 |
24 |
$0.00 |
| 1034F |
|
14 |
13 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
15 |
13 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
12 |
12 |
$0.00 |
| J8540 |
Oral dexamethasone |
18 |
12 |
$0.00 |