| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
49,186 |
44,440 |
$7.70M |
| 96361 |
|
18,010 |
16,133 |
$6.27M |
| 90834 |
|
98,250 |
58,462 |
$5.65M |
| 99284 |
|
40,550 |
37,928 |
$5.11M |
| 99283 |
|
34,283 |
31,689 |
$4.95M |
| 99282 |
|
22,886 |
21,655 |
$3.01M |
| 97110 |
|
49,853 |
15,858 |
$2.68M |
| 99214 |
|
29,930 |
27,337 |
$2.13M |
| 74177 |
|
9,905 |
9,422 |
$1.44M |
| 43239 |
|
1,905 |
1,800 |
$1.33M |
| 96365 |
|
11,628 |
8,783 |
$1.23M |
| 97140 |
|
41,787 |
13,274 |
$1.07M |
| 99213 |
|
18,136 |
15,132 |
$1.00M |
| 70450 |
|
8,320 |
7,791 |
$921K |
| S9485 |
Crisis intervention mental h |
2,186 |
1,450 |
$918K |
| 80307 |
|
24,316 |
17,149 |
$881K |
| U0003 |
Cov-19 amp prb hgh thruput |
12,409 |
10,284 |
$757K |
| 96360 |
|
6,255 |
5,479 |
$721K |
| 97035 |
|
13,593 |
4,710 |
$712K |
| 90791 |
|
7,137 |
6,614 |
$702K |
| G0463 |
Hospital outpt clinic visit |
25,071 |
19,236 |
$689K |
| 87637 |
|
5,796 |
5,504 |
$661K |
| 96366 |
|
3,303 |
2,656 |
$598K |
| 77063 |
|
8,564 |
8,490 |
$595K |
| 93306 |
|
3,875 |
3,706 |
$588K |
| H0020 |
Alcohol and/or drug services |
41,470 |
1,656 |
$545K |
| G0480 |
Drug test def 1-7 classes |
15,256 |
11,263 |
$525K |
| U0002 |
Covid-19 lab test non-cdc |
14,838 |
13,574 |
$521K |
| 85025 |
|
115,018 |
94,453 |
$472K |
| 11042 |
|
2,460 |
1,258 |
$447K |
| 76856 |
|
3,316 |
3,215 |
$429K |
| 76705 |
|
3,856 |
3,705 |
$410K |
| 74176 |
|
2,603 |
2,485 |
$389K |
| 90853 |
|
13,981 |
4,620 |
$388K |
| 82306 |
|
21,434 |
20,997 |
$377K |
| 71046 |
|
22,919 |
21,415 |
$368K |
| G2067 |
Med assist tx meth wk |
2,185 |
667 |
$341K |
| 99291 |
|
1,892 |
1,820 |
$341K |
| 97010 |
|
5,645 |
2,035 |
$328K |
| 94640 |
|
5,810 |
3,830 |
$294K |
| 90847 |
|
3,601 |
2,783 |
$291K |
| 80053 |
|
78,026 |
68,019 |
$284K |
| 99281 |
|
1,878 |
1,784 |
$257K |
| 77067 |
|
9,601 |
9,523 |
$254K |
| 76830 |
|
2,636 |
2,560 |
$253K |
| 93971 |
|
1,923 |
1,813 |
$252K |
| 97162 |
|
3,767 |
3,529 |
$238K |
| 84443 |
|
27,739 |
26,671 |
$234K |
| 45378 |
|
179 |
177 |
$232K |
| 0241U |
|
4,656 |
4,385 |
$222K |
| 87591 |
|
8,518 |
8,195 |
$221K |
| 87491 |
|
8,343 |
8,035 |
$216K |
| 99215 |
Prolong outpt/office vis |
1,943 |
1,844 |
$211K |
| 76642 |
|
1,772 |
1,683 |
$202K |
| 76770 |
|
1,490 |
1,450 |
$200K |
| 93975 |
|
1,994 |
1,911 |
$199K |
| 90832 |
|
6,180 |
4,237 |
$193K |
| H0035 |
Mh partial hosp tx under 24h |
769 |
133 |
$190K |
| 71275 |
|
921 |
878 |
$188K |
| ATP14 |
|
23,589 |
18,304 |
$160K |
| G2023 |
Specimen collect covid-19 |
15,182 |
13,580 |
$160K |
| 80050 |
|
9,854 |
9,575 |
$156K |
| 83036 |
|
27,338 |
26,728 |
$147K |
| 70553 |
|
425 |
411 |
$147K |
| 76536 |
|
1,349 |
1,303 |
$147K |
| 97602 |
|
1,404 |
808 |
$146K |
| 96374 |
|
22,930 |
19,799 |
$145K |
| 45380 |
|
153 |
150 |
$142K |
| 84484 |
|
25,359 |
17,115 |
$141K |
| 97163 |
|
2,539 |
2,432 |
$137K |
| 93010 |
|
30,940 |
27,791 |
$137K |
| 71260 |
|
1,649 |
1,585 |
$131K |
| 88305 |
|
6,546 |
6,203 |
$131K |
| 87800 |
|
4,039 |
3,865 |
$129K |
| 72100 |
|
3,042 |
2,933 |
$125K |
| 72148 |
|
578 |
557 |
$124K |
| 99231 |
|
4,343 |
846 |
$124K |
| G0378 |
Hospital observation per hr |
6,696 |
3,453 |
$120K |
| 71250 |
|
2,188 |
2,091 |
$117K |
| 12001 |
|
728 |
698 |
$115K |
| 93005 |
|
36,634 |
31,280 |
$106K |
| 81025 |
|
18,375 |
16,933 |
$102K |
| 99211 |
|
405 |
319 |
$100K |
| 80061 |
|
36,050 |
35,215 |
$99K |
| 70496 |
|
450 |
443 |
$99K |
| 80048 |
|
40,444 |
33,867 |
$96K |
| 73630 |
|
4,793 |
4,569 |
$95K |
| 95886 |
|
359 |
347 |
$90K |
| 87389 |
|
4,957 |
4,870 |
$90K |
| 87086 |
|
18,185 |
16,494 |
$89K |
| 0002A |
|
3,490 |
3,335 |
$88K |
| 87071 |
|
11,238 |
10,766 |
$85K |
| 77080 |
|
1,721 |
1,696 |
$84K |
| 0223U |
|
422 |
411 |
$84K |
| 71271 |
|
1,950 |
1,921 |
$83K |
| 87400 |
|
5,020 |
4,817 |
$83K |
| 88175 |
|
3,361 |
3,344 |
$80K |
| 0001A |
|
3,591 |
3,404 |
$80K |
| 83880 |
|
5,730 |
5,232 |
$80K |
| 83690 |
|
17,900 |
16,139 |
$78K |
| G0297 |
Ldct for lung ca screen |
762 |
758 |
$77K |
| 87635 |
|
1,592 |
1,519 |
$76K |
| 76700 |
|
462 |
448 |
$75K |
| 97530 |
|
2,867 |
1,634 |
$74K |
| 73030 |
|
3,340 |
3,144 |
$74K |
| 87624 |
|
2,984 |
2,955 |
$71K |
| 73130 |
|
3,889 |
3,645 |
$70K |
| 80074 |
|
1,877 |
1,845 |
$69K |
| 84439 |
|
11,942 |
11,647 |
$68K |
| 96372 |
|
15,844 |
11,747 |
$67K |
| 83605 |
|
10,934 |
9,070 |
$65K |
| 73562 |
|
1,976 |
1,897 |
$64K |
| 82607 |
|
7,987 |
7,765 |
$62K |
| 97535 |
|
1,212 |
976 |
$60K |
| 82728 |
|
7,636 |
7,127 |
$59K |
| U0004 |
Cov-19 test non-cdc hgh thru |
1,195 |
1,091 |
$58K |
| G0481 |
Drug test def 8-14 classes |
851 |
557 |
$56K |
| 97112 |
|
1,679 |
773 |
$51K |
| 97161 |
|
704 |
670 |
$51K |
| 83735 |
|
14,784 |
12,674 |
$49K |
| 85610 |
|
26,930 |
16,115 |
$49K |
| 73610 |
|
3,487 |
3,314 |
$48K |
| 73721 |
|
223 |
206 |
$47K |
| 84153 |
|
4,331 |
4,248 |
$45K |
| ATP08 |
|
11,741 |
8,813 |
$45K |
| 81003 |
|
30,061 |
27,827 |
$45K |
| 93017 |
|
405 |
393 |
$43K |
| 29125 |
|
429 |
405 |
$41K |
| 94060 |
|
1,003 |
926 |
$41K |
| 87186 |
|
8,080 |
7,585 |
$40K |
| 45385 |
|
41 |
41 |
$40K |
| 86780 |
|
3,577 |
3,476 |
$39K |
| J2405 |
Ondansetron hcl injection |
13,733 |
11,636 |
$39K |
| 88342 |
|
696 |
671 |
$39K |
| J2250 |
Inj midazolam hydrochloride |
3,395 |
3,105 |
$36K |
| 86803 |
|
3,623 |
3,571 |
$35K |
| 83550 |
|
6,794 |
6,506 |
$34K |
| 96375 |
|
17,051 |
14,201 |
$34K |
| 73110 |
|
2,009 |
1,903 |
$34K |
| 96367 |
|
741 |
626 |
$34K |
| 82947 |
|
13,817 |
8,747 |
$33K |
| 82746 |
|
4,163 |
4,039 |
$33K |
| 82803 |
|
2,886 |
2,569 |
$32K |
| 84702 |
|
2,656 |
2,282 |
$32K |
| 83540 |
|
8,700 |
8,344 |
$32K |
| G2078 |
Take-home meth |
921 |
307 |
$32K |
| 81001 |
|
19,583 |
15,820 |
$32K |
| 90715 |
|
1,524 |
1,482 |
$31K |
| 85379 |
|
4,737 |
4,514 |
$29K |
| 83970 |
|
2,279 |
2,219 |
$27K |
| 87077 |
|
5,816 |
5,472 |
$26K |
| ATP03 |
|
6,509 |
5,760 |
$26K |
| 73502 |
|
1,245 |
1,169 |
$25K |
| 95004 |
|
72 |
70 |
$24K |
| 82570 |
|
11,287 |
10,855 |
$24K |
| 73564 |
|
1,003 |
922 |
$23K |
| J3010 |
Fentanyl citrate injection |
3,497 |
2,871 |
$23K |
| 86003 |
|
254 |
214 |
$23K |
| 77065 |
Tomosynthesis, mammo |
554 |
503 |
$23K |
| 76775 |
|
267 |
259 |
$23K |
| 87040 |
|
4,119 |
2,281 |
$22K |
| 83655 |
|
2,030 |
2,022 |
$22K |
| 86618 |
|
1,882 |
1,827 |
$22K |
| 82043 |
|
8,821 |
8,597 |
$21K |
| H0015 |
Alcohol and/or drug services |
165 |
31 |
$21K |
| ATP15 |
|
4,087 |
3,324 |
$21K |
| 84703 |
|
3,586 |
3,429 |
$20K |
| 74018 |
|
601 |
560 |
$20K |
| 72040 |
|
365 |
358 |
$20K |
| 97803 |
|
293 |
275 |
$20K |
| 99232 |
|
410 |
112 |
$19K |
| 87070 |
|
2,743 |
2,644 |
$18K |
| 87340 |
|
2,283 |
2,238 |
$18K |
| 86140 |
|
5,632 |
5,036 |
$18K |
| 86480 |
|
404 |
397 |
$18K |
| 72125 |
|
2,563 |
2,413 |
$18K |
| 90792 |
|
208 |
197 |
$17K |
| 87147 |
|
4,014 |
3,881 |
$17K |
| 87081 |
|
3,424 |
3,336 |
$16K |
| 82375 |
|
2,693 |
2,339 |
$16K |
| 99238 |
|
272 |
260 |
$16K |
| 80076 |
|
10,328 |
9,678 |
$16K |
| J1094 |
Inj dexamethasone acetate |
1,464 |
1,125 |
$16K |
| 71045 |
|
4,769 |
4,441 |
$15K |
| 94726 |
|
758 |
702 |
$15K |
| 86850 |
|
2,505 |
2,343 |
$15K |
| 87880 |
|
1,095 |
1,065 |
$14K |
| H0001 |
Alcohol and/or drug assess |
96 |
94 |
$14K |
| 96413 |
|
196 |
123 |
$13K |
| 84403 |
|
703 |
675 |
$13K |
| ATP17 |
|
4,838 |
4,234 |
$13K |
| 77061 |
|
122 |
118 |
$13K |
| 95165 |
|
304 |
116 |
$12K |
| 97802 |
|
127 |
127 |
$12K |
| 99222 |
|
116 |
112 |
$12K |
| 87798 |
|
152 |
109 |
$11K |
| 36415 |
|
62,787 |
46,296 |
$11K |
| 86706 |
|
1,293 |
1,273 |
$11K |
| 85652 |
|
6,460 |
5,953 |
$11K |
| 76882 |
|
100 |
91 |
$10K |
| 95885 |
|
98 |
86 |
$10K |
| 77066 |
Tomosynthesis, mammo |
297 |
294 |
$10K |
| 10060 |
|
119 |
111 |
$10K |
| 87480 |
|
621 |
609 |
$10K |
| 87660 |
|
621 |
609 |
$10K |
| 87510 |
|
620 |
608 |
$10K |
| J1650 |
Inj enoxaparin sodium |
1,395 |
646 |
$9K |
| 85027 |
|
2,402 |
2,259 |
$9K |
| 84466 |
|
1,289 |
1,236 |
$9K |
| 97166 |
|
107 |
105 |
$9K |
| 12011 |
|
50 |
48 |
$9K |
| ATP10 |
|
2,330 |
2,087 |
$9K |
| C9803 |
Hopd covid-19 spec collect |
5,278 |
4,796 |
$8K |
| 94727 |
|
583 |
550 |
$8K |
| 87088 |
|
1,910 |
1,821 |
$8K |
| 97018 |
|
126 |
42 |
$8K |
| 93308 |
|
59 |
54 |
$8K |
| 86038 |
|
899 |
882 |
$8K |
| 80179 |
|
961 |
907 |
$8K |
| G0483 |
Drug test def 22+ classes |
48 |
45 |
$8K |
| 88304 |
|
436 |
419 |
$7K |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
10,410 |
9,827 |
$7K |
| 87420 |
|
703 |
683 |
$7K |
| 84146 |
|
521 |
512 |
$7K |
| 0004A |
|
260 |
252 |
$7K |
| 95911 |
|
133 |
121 |
$7K |
| 70491 |
|
14 |
13 |
$7K |
| 85730 |
|
2,118 |
1,909 |
$7K |
| 80164 |
|
1,514 |
1,375 |
$6K |
| 87205 |
|
2,418 |
2,234 |
$6K |
| 82550 |
|
4,340 |
4,008 |
$6K |
| 84450 |
|
5,124 |
4,965 |
$6K |
| 86900 |
|
2,711 |
2,535 |
$6K |
| J0696 |
Ceftriaxone sodium injection |
2,871 |
2,195 |
$6K |
| 84460 |
|
6,121 |
5,936 |
$6K |
| 84100 |
|
7,147 |
6,145 |
$6K |
| 86039 |
|
683 |
669 |
$6K |
| G0482 |
Drug test def 15-21 classes |
90 |
80 |
$5K |
| 77062 |
|
50 |
50 |
$5K |
| 87522 |
Neg quan hep c or qual rna |
200 |
176 |
$5K |
| 86901 |
|
2,699 |
2,522 |
$5K |
| 73080 |
|
323 |
311 |
$5K |
| 87801 |
|
94 |
85 |
$5K |
| J1100 |
Dexamethasone sodium phos |
2,515 |
1,934 |
$5K |
| 0031A |
|
155 |
150 |
$5K |
| 95910 |
|
148 |
135 |
$5K |
| 82565 |
|
4,355 |
3,931 |
$4K |
| 85018 |
|
3,842 |
3,308 |
$4K |
| 70498 |
|
414 |
405 |
$4K |
| J1200 |
Diphenhydramine hcl injectio |
3,794 |
3,333 |
$4K |
| 82652 |
|
120 |
120 |
$4K |
| 87811 |
|
144 |
140 |
$4K |
| 70486 |
|
54 |
52 |
$4K |
| ATP09 |
|
905 |
702 |
$4K |
| 85014 |
|
3,589 |
3,066 |
$4K |
| 93226 |
|
56 |
56 |
$3K |
| ATP02 |
|
1,485 |
1,118 |
$3K |
| 82150 |
|
679 |
657 |
$3K |
| 90833 |
|
209 |
176 |
$3K |
| 83721 |
|
804 |
768 |
$3K |
| G0283 |
Elec stim other than wound |
921 |
325 |
$3K |
| J1756 |
Iron sucrose injection |
469 |
217 |
$3K |
| 95117 |
|
36 |
12 |
$3K |
| 77081 |
|
125 |
124 |
$3K |
| ATP04 |
|
602 |
502 |
$2K |
| 0072A |
|
55 |
55 |
$2K |
| ATP07 |
|
804 |
715 |
$2K |
| 73221 |
|
12 |
12 |
$2K |
| 72141 |
|
13 |
13 |
$2K |
| 82040 |
|
2,795 |
2,621 |
$2K |
| 90471 |
|
1,952 |
1,781 |
$2K |
| 86704 |
|
260 |
259 |
$2K |
| 84520 |
|
2,988 |
2,630 |
$2K |
| 74021 |
|
91 |
88 |
$2K |
| P9604 |
One-way allow prorated trip |
4,439 |
3,103 |
$2K |
| 99219 |
|
92 |
37 |
$2K |
| 64400 |
|
15 |
13 |
$2K |
| 81015 |
|
2,646 |
2,403 |
$2K |
| 41899 |
|
13 |
12 |
$2K |
| 99204 |
|
12 |
12 |
$2K |
| 0071A |
|
43 |
43 |
$2K |
| 84402 |
|
86 |
83 |
$2K |
| J0131 |
Inj, acetaminophen (nos) |
278 |
260 |
$2K |
| 88313 |
|
55 |
55 |
$2K |
| 0012A |
|
43 |
41 |
$2K |
| 80305 |
|
197 |
191 |
$2K |
| 73140 |
|
109 |
107 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
3,153 |
2,742 |
$1K |
| 84550 |
|
1,156 |
1,101 |
$1K |
| 80051 |
|
1,263 |
1,180 |
$1K |
| 86334 |
|
137 |
125 |
$1K |
| J2930 |
Methylprednisolone injection |
925 |
658 |
$1K |
| 93018 |
|
201 |
196 |
$1K |
| 86431 |
|
342 |
331 |
$1K |
| ATP11 |
|
935 |
789 |
$1K |
| 0011A |
|
61 |
51 |
$1K |
| J2060 |
Lorazepam injection |
2,561 |
1,960 |
$1K |
| 86762 |
|
100 |
98 |
$1K |
| 99406 |
|
55 |
47 |
$1K |
| 83001 |
|
85 |
85 |
$1K |
| 93016 |
|
128 |
122 |
$1K |
| J0690 |
Cefazolin sodium injection |
589 |
434 |
$1K |
| J2704 |
Inj, propofol, 10 mg |
2,495 |
1,500 |
$1K |
| 82077 |
|
905 |
835 |
$1K |
| 80069 |
|
494 |
458 |
$1K |
| 80202 |
|
105 |
27 |
$1K |
| 84156 |
|
721 |
711 |
$1K |
| J2543 |
Piperacillin/tazobactam |
74 |
48 |
$1K |
| 84134 |
|
168 |
156 |
$1K |
| 0054A |
|
41 |
35 |
$1K |
| ATP18 |
|
1,061 |
955 |
$1K |
| 84165 |
|
148 |
145 |
$988.96 |
| 70551 |
|
13 |
13 |
$985.27 |
| 71101 |
|
40 |
36 |
$974.08 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
320 |
305 |
$926.03 |
| 73590 |
|
53 |
53 |
$861.06 |
| 80143 |
|
610 |
573 |
$792.69 |
| 86255 |
|
80 |
75 |
$767.71 |
| 73090 |
|
55 |
51 |
$743.87 |
| 82784 |
|
151 |
135 |
$737.88 |
| 82310 |
|
1,035 |
984 |
$726.59 |
| 91300 |
|
3,428 |
2,901 |
$710.65 |
| 96376 |
|
3,081 |
2,422 |
$688.63 |
| 90686 |
|
32 |
32 |
$685.57 |
| 96368 |
|
27 |
25 |
$682.95 |
| 83013 |
|
14 |
14 |
$675.84 |
| 97014 |
|
220 |
78 |
$671.58 |
| 87521 |
Neg quan hep c or qual rna |
24 |
24 |
$606.37 |
| 82542 |
|
70 |
61 |
$603.01 |
| 82140 |
|
89 |
77 |
$580.32 |
| 77091 |
|
188 |
182 |
$574.83 |
| 86141 |
|
59 |
54 |
$511.65 |
| 94760 |
|
4,157 |
3,370 |
$482.46 |
| J2270 |
Morphine sulfate injection |
1,007 |
733 |
$471.37 |
| 86308 |
|
129 |
115 |
$461.72 |
| J2001 |
Lidocaine injection |
2,101 |
1,959 |
$461.01 |
| 82977 |
|
182 |
170 |
$445.59 |
| 86787 |
|
38 |
37 |
$443.48 |
| G0279 |
Tomosynthesis, mammo |
28 |
28 |
$425.15 |
| 86200 |
|
39 |
38 |
$405.66 |
| 72202 |
|
12 |
12 |
$404.11 |
| 97597 |
|
279 |
132 |
$403.28 |
| 82105 |
|
28 |
28 |
$397.90 |
| 80178 |
|
189 |
161 |
$397.44 |
| 93227 |
|
24 |
24 |
$340.53 |
| 87181 |
|
99 |
98 |
$280.35 |
| Q0162 |
Ondansetron oral |
545 |
511 |
$268.77 |
| 83883 |
|
28 |
27 |
$251.35 |
| 86708 |
|
27 |
27 |
$248.60 |
| 91307 |
|
109 |
89 |
$234.84 |
| 85007 |
|
142 |
121 |
$231.15 |
| 83002 |
|
13 |
13 |
$229.08 |
| 87207 |
|
38 |
37 |
$224.92 |
| 87899 |
|
50 |
25 |
$224.39 |
| ATP05 |
|
60 |
49 |
$217.62 |
| 84155 |
|
154 |
152 |
$217.51 |
| 86677 |
|
26 |
25 |
$194.61 |
| 84481 |
|
12 |
12 |
$175.95 |
| 86800 |
|
12 |
12 |
$168.36 |
| A9579 |
Gad-base mr contrast nos,1ml |
1,891 |
1,778 |
$158.00 |
| J3475 |
Inj magnesium sulfate |
146 |
118 |
$155.11 |
| 86430 |
|
43 |
42 |
$152.10 |
| 84311 |
|
318 |
292 |
$130.96 |
| ATP13 |
|
571 |
484 |
$130.68 |
| 83010 |
|
14 |
13 |
$128.76 |
| 86709 |
|
14 |
14 |
$123.24 |
| 92567 |
|
12 |
12 |
$122.87 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,455 |
2,136 |
$104.96 |
| 99212 |
|
22 |
17 |
$101.83 |
| J3370 |
Vancomycin hcl injection |
132 |
92 |
$100.80 |
| 94644 |
|
256 |
233 |
$86.27 |
| Q3014 |
Telehealth facility fee |
2,008 |
1,038 |
$79.91 |
| J7030 |
Normal saline solution infus |
2,355 |
1,307 |
$78.05 |
| 82950 |
|
16 |
13 |
$77.96 |
| 87015 |
|
25 |
25 |
$75.68 |
| ATP06 |
|
26 |
24 |
$72.72 |
| 80185 |
|
16 |
14 |
$68.35 |
| G8980 |
Mobility d/c status |
27 |
25 |
$68.09 |
| G8978 |
Mobility current status |
249 |
241 |
$68.09 |
| G8979 |
Mobility goal status |
291 |
278 |
$68.09 |
| 82378 |
|
27 |
24 |
$65.09 |
| 87046 |
|
14 |
13 |
$58.44 |
| 82248 |
|
99 |
96 |
$52.37 |
| 91305 |
|
53 |
47 |
$47.76 |
| 82272 |
|
13 |
12 |
$23.52 |
| J2765 |
Metoclopramide hcl injection |
3,846 |
3,377 |
$21.14 |
| 82465 |
|
55 |
55 |
$16.27 |
| 85048 |
|
20 |
15 |
$9.24 |
| 82962 |
|
188 |
184 |
$2.07 |
| J3490 |
Drugs unclassified injection |
54 |
26 |
$0.00 |
| J1790 |
Droperidol injection |
225 |
184 |
$0.00 |
| A9270 |
Non-covered item or service |
1,753 |
493 |
$0.00 |
| G8986 |
Carry d/c status |
14 |
12 |
$0.00 |
| J1815 |
Insulin injection |
51 |
28 |
$0.00 |
| J1170 |
Hydromorphone injection |
129 |
98 |
$0.00 |
| J1630 |
Haloperidol injection |
93 |
79 |
$0.00 |
| 80320 |
|
219 |
167 |
$0.00 |
| A9585 |
Gadobutrol injection |
68 |
65 |
$0.00 |
| 87493 |
|
91 |
86 |
$0.00 |
| G0008 |
Admin influenza virus vac |
26 |
26 |
$0.00 |
| 84478 |
|
13 |
13 |
$0.00 |
| 99292 |
|
12 |
12 |
$0.00 |
| 80329 |
|
43 |
43 |
$0.00 |
| 91301 |
|
34 |
33 |
$0.00 |
| G0103 |
Psa screening |
15 |
15 |
$0.00 |
| J7050 |
Normal saline solution infus |
74 |
45 |
$0.00 |
| 76377 |
|
115 |
109 |
$0.00 |
| 76815 |
|
27 |
25 |
$0.00 |
| 91303 |
|
79 |
78 |
$0.00 |
| 36591 |
|
19 |
12 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
34 |
27 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
14 |
13 |
$0.00 |
| 83986 |
|
18 |
15 |
$0.00 |
| 76376 |
|
643 |
612 |
$0.00 |
| J7120 |
Ringers lactate infusion |
561 |
461 |
$0.00 |
| G8984 |
Carry current status |
39 |
36 |
$0.00 |
| C8929 |
Tte w or wo fol wcon,doppler |
46 |
46 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
411 |
397 |
$0.00 |
| 64550 |
|
29 |
12 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
128 |
86 |
$0.00 |
| 51701 |
|
13 |
12 |
$0.00 |
| G8985 |
Carry goal status |
83 |
77 |
$0.00 |
| 36592 |
|
17 |
12 |
$0.00 |
| J8499 |
Oral prescrip drug non chemo |
23 |
13 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
16 |
15 |
$0.00 |