| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpt clinic visit |
103,560 |
76,149 |
$5.04M |
| 96361 |
|
6,390 |
5,137 |
$1.55M |
| 99283 |
|
10,484 |
9,087 |
$904K |
| 99284 |
|
12,274 |
10,738 |
$863K |
| 99285 |
|
12,408 |
10,780 |
$830K |
| J0585 |
Injection,onabotulinumtoxina |
1,899 |
1,540 |
$660K |
| 74177 |
|
5,306 |
4,814 |
$649K |
| U0003 |
Cov-19 amp prb hgh thruput |
7,382 |
5,912 |
$535K |
| 43239 |
|
2,398 |
2,222 |
$480K |
| 96366 |
|
2,184 |
1,664 |
$450K |
| 70450 |
|
3,800 |
3,389 |
$419K |
| 96365 |
|
4,778 |
3,657 |
$391K |
| 45380 |
|
1,100 |
1,045 |
$341K |
| 11043 |
|
1,828 |
899 |
$281K |
| 99282 |
|
3,392 |
2,855 |
$277K |
| 80053 |
|
61,593 |
50,281 |
$273K |
| 96413 |
|
3,926 |
2,247 |
$257K |
| 80307 |
|
10,178 |
9,157 |
$251K |
| 99281 |
|
2,508 |
2,252 |
$234K |
| 96360 |
|
2,601 |
2,283 |
$224K |
| 93306 |
|
1,339 |
1,227 |
$195K |
| 52000 |
|
536 |
502 |
$192K |
| G0378 |
Hospital observation per hr |
9,443 |
3,224 |
$178K |
| 87635 |
|
5,530 |
4,429 |
$129K |
| 74176 |
|
977 |
890 |
$116K |
| 11042 |
|
1,216 |
630 |
$112K |
| 96415 |
|
1,049 |
708 |
$110K |
| 67028 |
|
1,004 |
879 |
$106K |
| 45385 |
|
417 |
397 |
$101K |
| 76942 |
|
2,586 |
2,228 |
$100K |
| 20610 |
|
999 |
810 |
$99K |
| 71275 |
|
713 |
645 |
$93K |
| 84443 |
|
18,588 |
17,592 |
$92K |
| 88305 |
|
13,052 |
11,465 |
$90K |
| 85025 |
|
61,065 |
48,122 |
$86K |
| 97110 |
|
3,896 |
2,451 |
$81K |
| 78815 |
|
210 |
186 |
$76K |
| 70553 |
|
517 |
470 |
$75K |
| 80048 |
|
14,774 |
12,021 |
$62K |
| 93971 |
|
894 |
806 |
$62K |
| 87591 |
|
5,785 |
5,096 |
$60K |
| 83036 |
|
18,125 |
17,175 |
$56K |
| 82306 |
|
6,952 |
6,660 |
$53K |
| 80061 |
|
15,623 |
14,958 |
$52K |
| 71260 |
|
2,603 |
2,366 |
$52K |
| 97161 |
|
1,660 |
1,451 |
$49K |
| G0480 |
Drug test def 1-7 classes |
7,667 |
6,689 |
$49K |
| 96367 |
|
1,644 |
1,128 |
$42K |
| 92557 |
|
958 |
929 |
$42K |
| 87491 |
|
6,296 |
5,582 |
$41K |
| J2469 |
Palonosetron hcl |
1,163 |
685 |
$41K |
| 82607 |
|
6,810 |
6,501 |
$40K |
| 88175 |
|
3,071 |
2,979 |
$40K |
| 93321 |
|
329 |
299 |
$39K |
| 82728 |
|
8,247 |
7,844 |
$39K |
| 86140 |
|
12,140 |
11,137 |
$38K |
| 87624 |
|
2,714 |
2,632 |
$37K |
| 97530 |
|
2,014 |
1,000 |
$32K |
| 84484 |
|
9,193 |
5,993 |
$31K |
| 76830 |
|
426 |
410 |
$29K |
| 87536 |
|
1,120 |
1,055 |
$29K |
| 86780 |
|
3,663 |
3,497 |
$28K |
| 70551 |
|
248 |
227 |
$28K |
| 83970 |
|
2,195 |
2,018 |
$25K |
| 93005 |
|
18,039 |
14,613 |
$24K |
| 36415 |
|
41,972 |
31,397 |
$23K |
| 84439 |
|
3,634 |
3,424 |
$23K |
| 64615 |
|
144 |
130 |
$22K |
| 97165 |
|
739 |
669 |
$22K |
| 83880 |
|
3,611 |
3,208 |
$21K |
| J3490 |
Drugs unclassified injection |
27,211 |
9,786 |
$21K |
| 71046 |
|
3,768 |
3,356 |
$20K |
| 76856 |
|
358 |
350 |
$19K |
| 84403 |
|
2,090 |
1,971 |
$19K |
| 93017 |
|
418 |
365 |
$19K |
| 87389 |
|
6,376 |
6,090 |
$18K |
| 83605 |
|
3,977 |
3,101 |
$18K |
| 85652 |
|
10,377 |
9,643 |
$18K |
| 76700 |
|
279 |
244 |
$17K |
| 86803 |
|
5,439 |
5,136 |
$17K |
| 86301 |
|
2,393 |
1,651 |
$17K |
| 83550 |
|
6,247 |
5,923 |
$16K |
| 90686 |
|
1,648 |
1,567 |
$16K |
| 82784 |
|
2,909 |
2,181 |
$16K |
| 82570 |
|
5,970 |
5,343 |
$15K |
| 87637 |
|
702 |
663 |
$15K |
| 87040 |
|
2,199 |
1,197 |
$14K |
| 86481 |
|
1,030 |
987 |
$14K |
| 83540 |
|
6,331 |
5,994 |
$14K |
| 88342 |
|
2,815 |
2,425 |
$14K |
| 11102 |
|
54 |
53 |
$14K |
| 90471 |
|
2,420 |
2,311 |
$14K |
| 31579 |
|
51 |
51 |
$13K |
| 43248 |
|
28 |
24 |
$12K |
| 92202 |
|
1,219 |
1,143 |
$12K |
| 90715 |
|
834 |
809 |
$12K |
| 87088 |
|
9,468 |
8,375 |
$12K |
| 86480 |
|
891 |
852 |
$12K |
| 97140 |
|
762 |
357 |
$12K |
| 87086 |
|
6,983 |
6,284 |
$11K |
| 92134 |
|
2,623 |
2,404 |
$11K |
| 96372 |
|
6,464 |
4,355 |
$10K |
| 86360 |
|
1,045 |
989 |
$10K |
| 51798 |
|
1,394 |
1,147 |
$10K |
| 87340 |
|
3,737 |
3,478 |
$10K |
| 81001 |
|
16,146 |
13,980 |
$10K |
| 80076 |
|
2,196 |
2,046 |
$9K |
| 85610 |
|
11,531 |
8,739 |
$9K |
| 82105 |
|
1,475 |
1,368 |
$9K |
| 93242 |
|
288 |
279 |
$9K |
| 11100 |
|
28 |
26 |
$9K |
| 82670 |
|
817 |
774 |
$9K |
| 83735 |
|
9,804 |
6,542 |
$8K |
| 96374 |
|
7,968 |
6,644 |
$8K |
| 87205 |
|
5,507 |
4,713 |
$8K |
| 86706 |
|
3,253 |
2,995 |
$8K |
| 86038 |
|
2,172 |
2,017 |
$8K |
| 94640 |
|
1,055 |
810 |
$7K |
| 87799 |
|
1,463 |
954 |
$7K |
| 85007 |
|
5,640 |
4,229 |
$7K |
| 43264 |
|
28 |
24 |
$7K |
| 31231 |
|
51 |
49 |
$7K |
| 80197 |
|
3,154 |
1,668 |
$7K |
| 77063 |
|
196 |
192 |
$7K |
| 82746 |
|
2,349 |
2,214 |
$6K |
| 82947 |
|
19,700 |
9,880 |
$6K |
| 83516 |
|
1,987 |
1,477 |
$6K |
| J1453 |
Fosaprepitant injection |
120 |
68 |
$6K |
| 71045 |
|
6,983 |
5,966 |
$6K |
| 91010 |
|
50 |
43 |
$6K |
| 92567 |
|
1,065 |
1,027 |
$6K |
| G0103 |
Psa screening |
1,906 |
1,834 |
$6K |
| C1769 |
Guide wire |
3,485 |
2,843 |
$6K |
| 72125 |
|
868 |
784 |
$6K |
| 86704 |
|
2,401 |
2,197 |
$6K |
| 92133 |
|
1,067 |
1,019 |
$6K |
| 87081 |
|
1,741 |
1,633 |
$6K |
| 95886 |
|
39 |
37 |
$6K |
| 93325 |
|
634 |
561 |
$6K |
| 93243 |
|
288 |
279 |
$5K |
| 86160 |
|
2,596 |
1,413 |
$5K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
10,949 |
9,449 |
$5K |
| 87077 |
|
4,878 |
3,434 |
$5K |
| 97802 |
|
214 |
189 |
$5K |
| 82043 |
|
3,642 |
3,483 |
$5K |
| 87070 |
|
3,062 |
2,553 |
$5K |
| 97535 |
|
479 |
279 |
$5K |
| 43235 |
|
13 |
13 |
$5K |
| 43237 |
|
13 |
12 |
$4K |
| 71250 |
|
142 |
117 |
$4K |
| 93296 |
|
478 |
454 |
$4K |
| 70496 |
|
46 |
39 |
$4K |
| 85379 |
|
978 |
913 |
$4K |
| 87186 |
|
4,519 |
3,674 |
$4K |
| 73030 |
|
901 |
747 |
$4K |
| 76882 |
|
56 |
51 |
$4K |
| 83690 |
|
7,509 |
6,504 |
$4K |
| 82565 |
|
7,473 |
6,332 |
$4K |
| 96127 |
|
86 |
75 |
$4K |
| 85027 |
|
5,909 |
4,326 |
$4K |
| 73630 |
|
1,085 |
897 |
$4K |
| 45378 |
|
12 |
12 |
$4K |
| 97116 |
|
348 |
241 |
$4K |
| 82550 |
|
2,167 |
1,848 |
$4K |
| 51600 |
|
40 |
39 |
$4K |
| 92014 |
|
289 |
282 |
$4K |
| 76642 |
|
51 |
43 |
$3K |
| 70486 |
|
91 |
86 |
$3K |
| 86850 |
|
2,271 |
1,900 |
$3K |
| G0481 |
Drug test def 8-14 classes |
80 |
73 |
$3K |
| 87497 |
|
325 |
270 |
$3K |
| 86431 |
|
1,435 |
1,377 |
$3K |
| 94010 |
|
470 |
449 |
$3K |
| 84165 |
|
1,191 |
1,134 |
$3K |
| 87522 |
Neg quan hep c or qual rna |
236 |
221 |
$3K |
| 86900 |
|
2,848 |
1,989 |
$3K |
| 77067 |
|
371 |
359 |
$3K |
| 87502 |
|
305 |
271 |
$3K |
| 17110 |
|
50 |
49 |
$3K |
| 51729 |
|
26 |
26 |
$3K |
| 88304 |
|
865 |
824 |
$3K |
| 10060 |
|
12 |
12 |
$3K |
| 73564 |
|
376 |
277 |
$2K |
| 88341 |
|
925 |
722 |
$2K |
| 84550 |
|
1,619 |
1,518 |
$2K |
| 0124A |
|
199 |
190 |
$2K |
| 88112 |
|
515 |
436 |
$2K |
| 88307 |
|
236 |
203 |
$2K |
| 86200 |
|
1,061 |
1,011 |
$2K |
| 99291 |
|
61 |
55 |
$2K |
| 82274 |
|
556 |
543 |
$2K |
| 84702 |
|
571 |
480 |
$2K |
| 82378 |
|
1,437 |
1,125 |
$2K |
| 84156 |
|
2,384 |
2,073 |
$2K |
| 88312 |
|
443 |
405 |
$2K |
| 72100 |
|
322 |
303 |
$2K |
| 94761 |
|
26,682 |
22,263 |
$2K |
| 0296T |
|
183 |
165 |
$2K |
| 84100 |
|
4,312 |
2,672 |
$2K |
| C9257 |
Bevacizumab injection |
95 |
48 |
$2K |
| 74455 |
|
37 |
36 |
$2K |
| 96375 |
|
7,553 |
5,664 |
$2K |
| U0002 |
Covid-19 lab test non-cdc |
185 |
173 |
$2K |
| 74170 |
|
24 |
18 |
$2K |
| 87661 |
|
358 |
337 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
15,088 |
10,325 |
$2K |
| 73502 |
|
388 |
363 |
$2K |
| 0004A |
|
75 |
71 |
$2K |
| C1894 |
Intro/sheath, non-laser |
2,014 |
1,595 |
$2K |
| 83001 |
|
170 |
163 |
$2K |
| 86364 |
|
440 |
420 |
$2K |
| 86901 |
|
2,906 |
2,030 |
$2K |
| 94729 |
|
349 |
334 |
$2K |
| 31575 |
|
12 |
12 |
$2K |
| 96417 |
|
1,168 |
651 |
$2K |
| 83615 |
|
1,357 |
1,186 |
$2K |
| 73610 |
|
417 |
356 |
$2K |
| 72148 |
|
24 |
24 |
$2K |
| 95910 |
|
15 |
13 |
$2K |
| 85014 |
|
1,850 |
1,481 |
$1K |
| 73130 |
|
438 |
372 |
$1K |
| 91200 |
|
18 |
17 |
$1K |
| 93320 |
|
46 |
38 |
$1K |
| 0054A |
|
101 |
97 |
$1K |
| G0008 |
Admin influenza virus vac |
1,192 |
1,120 |
$1K |
| 73110 |
|
336 |
274 |
$1K |
| 0297T |
|
183 |
165 |
$1K |
| 93351 |
|
31 |
31 |
$1K |
| 51728 |
|
14 |
13 |
$1K |
| 84703 |
|
1,429 |
1,328 |
$1K |
| 96523 |
|
29 |
24 |
$1K |
| 87563 |
|
204 |
184 |
$1K |
| 77077 |
|
177 |
124 |
$1K |
| 85730 |
|
2,218 |
1,979 |
$1K |
| 82248 |
|
336 |
316 |
$985.39 |
| 80051 |
|
595 |
381 |
$966.99 |
| 36591 |
|
726 |
641 |
$930.12 |
| 87808 |
|
445 |
431 |
$912.30 |
| 80069 |
|
288 |
215 |
$894.51 |
| 74330 |
|
16 |
13 |
$893.64 |
| J1610 |
Glucagon hydrochloride/1 mg |
30 |
24 |
$878.36 |
| 92250 |
|
352 |
328 |
$854.89 |
| 84146 |
|
115 |
108 |
$850.86 |
| 82150 |
|
223 |
205 |
$848.99 |
| 73721 |
|
13 |
12 |
$817.45 |
| 83520 |
|
183 |
161 |
$763.90 |
| 81025 |
|
5,636 |
5,012 |
$763.14 |
| 81003 |
|
5,458 |
4,902 |
$756.54 |
| 83655 |
|
51 |
46 |
$755.19 |
| 72141 |
|
14 |
13 |
$751.40 |
| 96416 |
|
19 |
12 |
$750.64 |
| 94760 |
|
11,642 |
9,579 |
$740.89 |
| C1889 |
Implant/insert device, noc |
264 |
218 |
$737.09 |
| J1170 |
Hydromorphone injection |
6,229 |
3,980 |
$726.71 |
| 73562 |
|
229 |
180 |
$707.92 |
| 70498 |
|
43 |
38 |
$706.64 |
| 87631 |
|
71 |
61 |
$649.93 |
| 96521 |
|
142 |
61 |
$631.64 |
| 84155 |
|
536 |
507 |
$586.84 |
| 51784 |
|
14 |
13 |
$574.94 |
| 93350 |
|
58 |
50 |
$562.28 |
| 86255 |
|
63 |
39 |
$556.17 |
| 87147 |
|
615 |
504 |
$537.92 |
| 84480 |
|
174 |
165 |
$536.05 |
| C1726 |
Cath, bal dil, non-vascular |
247 |
205 |
$520.05 |
| 84153 |
|
166 |
159 |
$509.34 |
| 99152 |
|
412 |
341 |
$467.05 |
| 87633 |
|
54 |
46 |
$463.28 |
| 86807 |
|
47 |
39 |
$455.11 |
| 86812 |
|
27 |
26 |
$451.67 |
| 70491 |
|
13 |
12 |
$451.26 |
| 87075 |
|
1,033 |
870 |
$439.27 |
| C1725 |
Cath, translumin non-laser |
109 |
89 |
$417.65 |
| 87338 |
|
92 |
92 |
$411.29 |
| 84436 |
|
145 |
134 |
$390.15 |
| 74220 |
|
42 |
38 |
$388.34 |
| J3010 |
Fentanyl citrate injection |
11,515 |
9,420 |
$388.05 |
| 84460 |
|
291 |
277 |
$378.05 |
| 86225 |
|
153 |
146 |
$372.26 |
| J1644 |
Inj heparin sodium per 1000u |
10,485 |
4,073 |
$367.93 |
| 87506 |
|
14 |
13 |
$367.86 |
| C1887 |
Catheter, guiding |
268 |
195 |
$361.64 |
| 86003 |
|
61 |
53 |
$351.63 |
| G2066 |
Inter devc remote 30d |
37 |
36 |
$349.93 |
| 90472 |
|
144 |
140 |
$349.12 |
| 84425 |
|
78 |
73 |
$331.69 |
| 83993 |
|
42 |
40 |
$326.91 |
| 86708 |
|
151 |
148 |
$323.23 |
| C2617 |
Stent, non-cor, tem w/o del |
306 |
258 |
$322.07 |
| 87651 |
|
39 |
39 |
$316.46 |
| 95004 |
|
245 |
241 |
$309.05 |
| 86359 |
|
93 |
88 |
$305.99 |
| 92012 |
|
31 |
26 |
$300.44 |
| 83883 |
|
43 |
26 |
$300.37 |
| 84132 |
|
2,021 |
1,525 |
$281.07 |
| 86769 |
|
75 |
73 |
$271.79 |
| 87206 |
|
396 |
254 |
$265.30 |
| 96376 |
|
2,933 |
2,194 |
$257.74 |
| A6021 |
Collagen dressing <=16 sq in |
1,190 |
708 |
$255.40 |
| 82805 |
|
531 |
434 |
$247.36 |
| 87046 |
|
115 |
109 |
$238.94 |
| 11721 |
|
28 |
26 |
$236.99 |
| J2250 |
Inj midazolam hydrochloride |
6,660 |
5,668 |
$235.13 |
| J0690 |
Cefazolin sodium injection |
5,219 |
3,931 |
$226.98 |
| 99153 |
Mod sedat endo service >5yrs |
94 |
70 |
$222.26 |
| 84520 |
|
522 |
330 |
$221.38 |
| C1729 |
Cath, drainage |
968 |
780 |
$213.50 |
| 72040 |
|
29 |
26 |
$211.29 |
| 51741 |
|
81 |
79 |
$203.38 |
| J7040 |
Normal saline solution infus |
265 |
231 |
$200.04 |
| 87798 |
|
30 |
27 |
$195.48 |
| M0220 |
Tixagev and cilgav inj |
72 |
65 |
$189.46 |
| 97162 |
|
14 |
12 |
$174.17 |
| 82785 |
|
24 |
24 |
$166.31 |
| 87181 |
|
255 |
218 |
$156.06 |
| 86762 |
|
29 |
26 |
$142.94 |
| 90670 |
|
12 |
12 |
$133.96 |
| 92226 |
|
406 |
213 |
$131.23 |
| J2405 |
Ondansetron hcl injection |
8,661 |
6,403 |
$127.77 |
| 85018 |
|
187 |
138 |
$124.26 |
| 85651 |
|
76 |
69 |
$123.71 |
| J2310 |
Inj naloxone hydrochloride |
14 |
12 |
$120.24 |
| 88173 |
|
104 |
83 |
$118.92 |
| 90732 |
|
30 |
29 |
$117.80 |
| 80050 |
|
78 |
77 |
$116.95 |
| A9585 |
Gadobutrol injection |
1,683 |
1,496 |
$114.21 |
| 90656 |
|
33 |
31 |
$113.16 |
| 83010 |
|
38 |
36 |
$111.80 |
| 90662 |
|
280 |
268 |
$109.84 |
| 87106 |
|
76 |
63 |
$107.16 |
| 86705 |
|
40 |
39 |
$92.98 |
| 89051 |
|
28 |
25 |
$81.32 |
| J2270 |
Morphine sulfate injection |
2,436 |
1,746 |
$80.21 |
| 84481 |
|
13 |
13 |
$77.08 |
| 73560 |
|
38 |
26 |
$76.30 |
| 87324 |
|
28 |
26 |
$64.47 |
| 73501 |
|
14 |
14 |
$56.55 |
| 87015 |
|
65 |
37 |
$56.46 |
| 88313 |
|
59 |
50 |
$56.39 |
| 86765 |
|
13 |
13 |
$56.01 |
| 74328 |
|
13 |
12 |
$53.23 |
| J1885 |
Ketorolac tromethamine inj |
4,431 |
3,582 |
$50.17 |
| 92285 |
|
13 |
12 |
$42.04 |
| J0171 |
Adrenalin epinephrine inject |
715 |
596 |
$41.84 |
| 90694 |
|
154 |
144 |
$39.14 |
| 86787 |
|
20 |
15 |
$38.05 |
| 51797 |
|
40 |
39 |
$32.68 |
| 36592 |
|
98 |
69 |
$32.59 |
| J1200 |
Diphenhydramine hcl injectio |
1,573 |
1,167 |
$30.95 |
| J1030 |
Methylprednisolone 40 mg inj |
217 |
204 |
$29.99 |
| A9552 |
F18 fdg |
169 |
151 |
$29.41 |
| 0099U |
|
69 |
63 |
$27.25 |
| 86039 |
|
13 |
12 |
$27.08 |
| 82977 |
|
13 |
12 |
$25.32 |
| J1040 |
Methylprednisolone 80 mg inj |
415 |
391 |
$24.97 |
| 84450 |
|
15 |
13 |
$24.60 |
| J3590 |
Unclassified biologics |
146 |
28 |
$24.54 |
| 92083 |
|
12 |
12 |
$24.49 |
| 87102 |
|
47 |
40 |
$24.47 |
| 86235 |
|
19 |
13 |
$22.44 |
| J0696 |
Ceftriaxone sodium injection |
2,157 |
1,453 |
$21.96 |
| J1956 |
Levofloxacin injection |
419 |
318 |
$21.75 |
| J3370 |
Vancomycin hcl injection |
1,828 |
955 |
$20.50 |
| J1630 |
Haloperidol injection |
3,771 |
3,187 |
$20.41 |
| J7030 |
Normal saline solution infus |
2,789 |
2,470 |
$16.75 |
| J1815 |
Insulin injection |
4,116 |
1,399 |
$15.94 |
| 85045 |
|
28 |
26 |
$15.93 |
| J2060 |
Lorazepam injection |
1,901 |
1,379 |
$15.87 |
| J3475 |
Inj magnesium sulfate |
428 |
306 |
$14.39 |
| 82310 |
|
14 |
12 |
$13.80 |
| J8499 |
Oral prescrip drug non chemo |
874 |
387 |
$12.83 |
| J3301 |
Triamcinolone acet inj nos |
486 |
444 |
$12.14 |
| J3480 |
Inj potassium chloride |
127 |
81 |
$12.12 |
| 87184 |
|
33 |
25 |
$9.63 |
| J2930 |
Methylprednisolone injection |
109 |
89 |
$7.09 |
| 36416 |
|
76 |
69 |
$6.86 |
| G0279 |
Tomosynthesis, mammo |
29 |
27 |
$5.23 |
| J1100 |
Dexamethasone sodium phos |
1,519 |
1,115 |
$5.02 |
| J2765 |
Metoclopramide hcl injection |
972 |
714 |
$4.78 |
| J1010 |
Inj, methylpred acetate 1 mg |
107 |
102 |
$3.84 |
| J2370 |
Phenylephrine hcl injection |
196 |
155 |
$2.70 |
| J1650 |
Inj enoxaparin sodium |
1,448 |
344 |
$2.61 |
| J0689 |
Inj cefazolin sodium, baxter |
838 |
748 |
$2.20 |
| J7512 |
Prednisone ir or dr oral 1mg |
557 |
308 |
$1.01 |
| 95874 |
|
140 |
127 |
$0.84 |
| Q0162 |
Ondansetron oral |
576 |
414 |
$0.64 |
| J2272 |
Inj, morphine (fresenius) |
33 |
26 |
$0.07 |
| 91300 |
|
112 |
92 |
$0.00 |
| 0202U |
|
45 |
41 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
13 |
13 |
$0.00 |
| 87811 |
|
118 |
111 |
$0.00 |
| G8979 |
Mobility goal status |
81 |
72 |
$0.00 |
| J0640 |
Leucovorin calcium injection |
144 |
85 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
156 |
89 |
$0.00 |
| J9190 |
Fluorouracil injection |
164 |
98 |
$0.00 |
| C1760 |
Closure dev, vasc |
17 |
12 |
$0.00 |
| J7120 |
Ringers lactate infusion |
387 |
338 |
$0.00 |
| A6210 |
Foam drg >16<=48 sq in w/o b |
15 |
12 |
$0.00 |
| A6212 |
Foam drg <=16 sq in w/border |
61 |
38 |
$0.00 |
| 93356 |
|
12 |
12 |
$0.00 |
| G8978 |
Mobility current status |
80 |
72 |
$0.00 |
| 51701 |
|
16 |
12 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
119 |
82 |
$0.00 |
| C1758 |
Catheter, ureteral |
14 |
14 |
$0.00 |
| 76000 |
|
17 |
15 |
$0.00 |
| 90653 |
|
17 |
17 |
$0.00 |
| 96411 |
|
106 |
61 |
$0.00 |
| J3535 |
Metered dose inhaler drug |
67 |
56 |
$0.00 |
| U0005 |
Infec agen detec ampli probe |
279 |
105 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
26 |
25 |
$0.00 |
| J3420 |
Vitamin b12 injection |
92 |
77 |
$0.00 |
| J7999 |
Compounded drug, noc |
340 |
300 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
36 |
34 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
25 |
12 |
$0.00 |
| J0461 |
Atropine sulfate injection |
60 |
42 |
$0.00 |
| J1250 |
Inj dobutamine hcl/250 mg |
14 |
13 |
$0.00 |
| C9399 |
Unclassified drugs or biolog |
137 |
39 |
$0.00 |
| A6213 |
Foam drg >16<=48 sq in w/bdr |
17 |
12 |
$0.00 |
| Q9968 |
Visualization adjunct |
31 |
25 |
$0.00 |
| 91305 |
|
13 |
12 |
$0.00 |
| 95911 |
|
13 |
12 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
17 |
15 |
$0.00 |
| 0352U |
|
18 |
18 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
21 |
19 |
$0.00 |
| 96368 |
|
12 |
12 |
$0.00 |