| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpt clinic visit |
97,815 |
84,560 |
$10.25M |
| 99283 |
|
56,130 |
50,838 |
$6.13M |
| 99284 |
|
45,726 |
38,686 |
$5.16M |
| 99285 |
|
27,003 |
21,761 |
$3.26M |
| 99282 |
|
19,279 |
18,297 |
$2.15M |
| 41899 |
|
1,594 |
1,120 |
$1.83M |
| 96361 |
|
5,934 |
3,308 |
$1.79M |
| 74177 |
|
5,469 |
3,993 |
$1.34M |
| 70450 |
|
5,196 |
4,163 |
$1.16M |
| 97110 |
|
16,345 |
4,129 |
$996K |
| 96366 |
|
3,196 |
1,510 |
$792K |
| 96365 |
|
6,065 |
3,486 |
$706K |
| 93306 |
|
3,250 |
2,781 |
$589K |
| G0378 |
Hospital observation per hr |
8,460 |
2,467 |
$523K |
| 64635 |
|
1,212 |
1,017 |
$511K |
| 92507 |
|
7,175 |
2,269 |
$471K |
| 97530 |
|
7,545 |
2,823 |
$442K |
| 95810 |
|
815 |
745 |
$429K |
| 94640 |
|
3,824 |
2,253 |
$424K |
| 74176 |
|
1,542 |
1,156 |
$411K |
| 78452 |
|
1,384 |
1,105 |
$400K |
| 99213 |
|
3,973 |
3,676 |
$371K |
| 80053 |
|
52,048 |
43,245 |
$356K |
| 71275 |
|
1,427 |
1,112 |
$350K |
| 64493 |
|
534 |
442 |
$266K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,488 |
1,446 |
$251K |
| 87636 |
|
13,484 |
10,691 |
$219K |
| 97140 |
|
4,073 |
1,405 |
$186K |
| 99212 |
|
2,089 |
2,006 |
$172K |
| 80048 |
|
26,986 |
20,828 |
$152K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,097 |
635 |
$151K |
| 70553 |
|
750 |
621 |
$150K |
| 99281 |
|
1,184 |
1,145 |
$141K |
| 43239 |
|
413 |
311 |
$132K |
| 71046 |
|
15,530 |
13,499 |
$132K |
| 93303 |
|
447 |
384 |
$129K |
| 76705 |
|
1,638 |
1,240 |
$127K |
| 80307 |
|
9,940 |
8,408 |
$127K |
| 95811 |
|
227 |
201 |
$126K |
| 93017 |
|
1,831 |
1,515 |
$122K |
| 96360 |
|
1,406 |
1,081 |
$116K |
| 70496 |
|
544 |
431 |
$111K |
| 76770 |
|
709 |
566 |
$109K |
| 96413 |
|
1,278 |
621 |
$104K |
| 76642 |
|
855 |
706 |
$103K |
| 87651 |
|
10,023 |
8,404 |
$101K |
| 85025 |
|
89,823 |
71,755 |
$92K |
| 94726 |
|
850 |
747 |
$91K |
| 99214 |
|
948 |
908 |
$87K |
| 84443 |
|
8,732 |
7,328 |
$86K |
| 70491 |
|
343 |
266 |
$85K |
| 87635 |
|
15,200 |
14,200 |
$78K |
| 97535 |
|
2,502 |
1,219 |
$73K |
| 84484 |
|
25,975 |
18,765 |
$70K |
| 93005 |
|
39,280 |
31,279 |
$69K |
| 70551 |
|
481 |
409 |
$68K |
| 77067 |
|
1,779 |
1,601 |
$65K |
| 36415 |
|
98,655 |
76,097 |
$61K |
| 93971 |
|
873 |
717 |
$61K |
| 76536 |
|
614 |
534 |
$61K |
| 71250 |
|
686 |
617 |
$59K |
| 93325 |
|
597 |
516 |
$57K |
| 97113 |
|
800 |
251 |
$56K |
| 72148 |
|
426 |
371 |
$56K |
| 93975 |
|
424 |
269 |
$56K |
| 97112 |
|
1,440 |
657 |
$55K |
| 97162 |
|
1,357 |
1,118 |
$55K |
| 12001 |
|
350 |
293 |
$53K |
| 62323 |
|
152 |
99 |
$53K |
| 71271 |
|
397 |
364 |
$52K |
| 94060 |
|
849 |
745 |
$50K |
| 97161 |
|
821 |
693 |
$48K |
| 71260 |
|
778 |
644 |
$48K |
| 99211 |
|
575 |
411 |
$46K |
| 70486 |
|
709 |
584 |
$45K |
| 96367 |
|
1,240 |
655 |
$45K |
| 87804 |
|
34,439 |
16,705 |
$44K |
| 94729 |
|
874 |
766 |
$43K |
| 97166 |
|
687 |
559 |
$41K |
| 82306 |
|
1,661 |
1,471 |
$40K |
| 74018 |
|
1,635 |
1,324 |
$39K |
| 86900 |
|
2,053 |
1,455 |
$37K |
| J1756 |
Iron sucrose injection |
1,020 |
351 |
$37K |
| 92557 |
|
541 |
465 |
$36K |
| 97035 |
|
1,003 |
296 |
$36K |
| 80061 |
|
2,961 |
2,574 |
$35K |
| 72100 |
|
1,375 |
1,122 |
$34K |
| 99203 |
|
356 |
344 |
$33K |
| 86140 |
|
3,615 |
2,866 |
$33K |
| 78815 |
|
104 |
89 |
$33K |
| 76830 |
|
706 |
483 |
$32K |
| 93226 |
|
383 |
291 |
$31K |
| 72131 |
|
370 |
291 |
$30K |
| 97165 |
|
494 |
404 |
$29K |
| J3490 |
Drugs unclassified injection |
351 |
131 |
$28K |
| 80047 |
|
5,681 |
3,496 |
$27K |
| 83036 |
|
2,218 |
1,898 |
$27K |
| 77063 |
|
1,730 |
1,560 |
$27K |
| 0202U |
|
228 |
183 |
$27K |
| 71045 |
|
10,787 |
9,032 |
$27K |
| 87086 |
|
8,184 |
6,610 |
$26K |
| 93970 |
|
207 |
175 |
$26K |
| 87070 |
|
14,095 |
12,437 |
$25K |
| 70498 |
|
589 |
463 |
$25K |
| 64490 |
|
42 |
32 |
$24K |
| 72125 |
|
1,542 |
1,247 |
$24K |
| 87507 |
|
233 |
179 |
$24K |
| 80320 |
|
1,801 |
1,575 |
$24K |
| 86850 |
|
1,949 |
1,368 |
$22K |
| 85027 |
|
5,027 |
3,312 |
$20K |
| 73030 |
|
1,328 |
1,064 |
$20K |
| 73630 |
|
1,799 |
1,533 |
$20K |
| 96372 |
|
17,743 |
12,167 |
$19K |
| 80076 |
|
7,222 |
5,167 |
$19K |
| 97116 |
|
997 |
455 |
$18K |
| 84439 |
|
2,210 |
1,809 |
$18K |
| 72040 |
|
538 |
464 |
$17K |
| 92523 |
|
264 |
238 |
$17K |
| 72141 |
|
140 |
124 |
$17K |
| 93458 |
|
13 |
13 |
$17K |
| 82728 |
|
1,916 |
1,674 |
$16K |
| 73130 |
|
1,472 |
1,230 |
$16K |
| 93225 |
|
390 |
296 |
$16K |
| 77065 |
Tomosynthesis, mammo |
600 |
486 |
$16K |
| 76870 |
|
165 |
126 |
$16K |
| 73502 |
|
890 |
715 |
$15K |
| 82607 |
|
1,513 |
1,320 |
$15K |
| 86803 |
|
621 |
519 |
$15K |
| 96374 |
|
27,272 |
21,531 |
$15K |
| 81001 |
|
25,508 |
21,367 |
$14K |
| 90715 |
|
947 |
675 |
$14K |
| 83880 |
|
7,081 |
5,804 |
$14K |
| 87491 |
|
2,249 |
1,674 |
$14K |
| 73564 |
|
1,392 |
1,141 |
$14K |
| 84702 |
|
1,495 |
954 |
$13K |
| 73721 |
|
62 |
52 |
$12K |
| 83735 |
|
14,141 |
10,720 |
$12K |
| 93270 |
|
245 |
206 |
$12K |
| 83970 |
|
392 |
329 |
$12K |
| 77336 |
|
70 |
27 |
$12K |
| 99152 |
|
1,626 |
1,276 |
$12K |
| 73610 |
|
1,568 |
1,302 |
$11K |
| 81003 |
|
10,197 |
8,455 |
$11K |
| 73110 |
|
910 |
771 |
$11K |
| 92567 |
|
950 |
823 |
$11K |
| 73562 |
|
246 |
213 |
$11K |
| 87880 |
|
9,598 |
8,691 |
$11K |
| 52000 |
|
31 |
27 |
$11K |
| 96415 |
|
67 |
30 |
$10K |
| 88307 |
|
101 |
54 |
$10K |
| 99394 |
|
110 |
99 |
$10K |
| 72072 |
|
324 |
265 |
$10K |
| 82248 |
|
15,360 |
12,897 |
$10K |
| 87641 |
|
499 |
412 |
$9K |
| 83540 |
|
1,906 |
1,673 |
$9K |
| 83550 |
|
1,798 |
1,581 |
$9K |
| 95819 |
|
76 |
66 |
$8K |
| J2790 |
Rho d immune globulin inj |
122 |
64 |
$8K |
| 83690 |
|
21,168 |
17,370 |
$8K |
| 82746 |
|
1,349 |
1,178 |
$8K |
| 92558 |
|
125 |
106 |
$8K |
| 93660 |
|
90 |
72 |
$8K |
| 85651 |
|
2,677 |
2,136 |
$8K |
| 87389 |
|
548 |
441 |
$8K |
| 82948 |
|
7,898 |
3,829 |
$8K |
| 86592 |
|
542 |
404 |
$8K |
| 82077 |
|
4,893 |
3,662 |
$7K |
| 87591 |
|
2,249 |
1,674 |
$7K |
| 96375 |
|
15,543 |
10,964 |
$7K |
| 77066 |
Tomosynthesis, mammo |
268 |
214 |
$7K |
| 76817 |
|
538 |
381 |
$7K |
| 12011 |
|
52 |
48 |
$7K |
| 83605 |
|
3,949 |
2,549 |
$7K |
| 84703 |
|
11,284 |
8,815 |
$7K |
| 82565 |
|
1,518 |
1,229 |
$6K |
| 87340 |
|
425 |
333 |
$6K |
| 96376 |
|
2,816 |
1,346 |
$6K |
| G0279 |
Tomosynthesis, mammo |
935 |
767 |
$5K |
| 85610 |
|
5,786 |
3,840 |
$5K |
| 84156 |
|
612 |
496 |
$5K |
| 92579 |
|
62 |
55 |
$5K |
| 84153 |
|
329 |
290 |
$5K |
| 87807 |
|
2,586 |
2,183 |
$5K |
| 20610 |
|
57 |
25 |
$5K |
| 86901 |
|
2,049 |
1,455 |
$5K |
| 87077 |
|
2,887 |
2,084 |
$5K |
| 45380 |
|
17 |
12 |
$4K |
| 73080 |
|
472 |
393 |
$4K |
| 87205 |
|
2,793 |
2,016 |
$4K |
| 86038 |
|
270 |
226 |
$4K |
| 97597 |
|
169 |
117 |
$4K |
| 87522 |
Neg quan hep c or qual rna |
102 |
82 |
$4K |
| 87420 |
|
151 |
145 |
$4K |
| 87186 |
|
2,327 |
1,746 |
$4K |
| J0702 |
Betamethasone acet&sod phosp |
413 |
384 |
$4K |
| C1769 |
Guide wire |
876 |
657 |
$4K |
| U0002 |
Covid-19 lab test non-cdc |
190 |
172 |
$3K |
| V5266 |
Battery for hearing device |
491 |
430 |
$3K |
| 71101 |
|
515 |
427 |
$3K |
| 85730 |
|
2,499 |
1,943 |
$3K |
| 74174 |
|
13 |
12 |
$3K |
| 77080 |
|
50 |
36 |
$3K |
| 94010 |
|
97 |
79 |
$3K |
| G0260 |
Inj for sacroiliac jt anesth |
39 |
31 |
$3K |
| 84425 |
|
233 |
201 |
$3K |
| 73140 |
|
349 |
291 |
$3K |
| 12002 |
|
15 |
12 |
$3K |
| 82043 |
|
457 |
422 |
$3K |
| 74183 |
|
15 |
13 |
$3K |
| C1894 |
Intro/sheath, non-laser |
707 |
558 |
$3K |
| 64495 |
|
150 |
145 |
$3K |
| 93880 |
|
46 |
36 |
$3K |
| 36591 |
|
1,493 |
742 |
$3K |
| 97163 |
|
56 |
45 |
$3K |
| 92610 |
|
61 |
44 |
$3K |
| 73590 |
|
345 |
290 |
$3K |
| 82570 |
|
673 |
537 |
$3K |
| 85014 |
|
710 |
417 |
$2K |
| 90471 |
|
1,025 |
712 |
$2K |
| 87040 |
|
2,812 |
1,325 |
$2K |
| 86762 |
|
95 |
68 |
$2K |
| A9609 |
F18 fdg, 15 millicuries |
13 |
12 |
$2K |
| 10060 |
|
13 |
13 |
$2K |
| 95816 |
|
17 |
14 |
$2K |
| 76856 |
|
15 |
12 |
$2K |
| 85018 |
|
822 |
514 |
$2K |
| J0571 |
Buprenorphine oral 1mg |
517 |
149 |
$2K |
| 86430 |
|
140 |
119 |
$2K |
| 80143 |
|
1,781 |
1,396 |
$2K |
| 84146 |
|
278 |
223 |
$2K |
| 83516 |
|
67 |
36 |
$2K |
| 81025 |
|
3,139 |
2,231 |
$2K |
| 84403 |
|
101 |
92 |
$2K |
| 87640 |
|
80 |
61 |
$2K |
| 64636 |
|
1,184 |
963 |
$2K |
| 84134 |
|
124 |
104 |
$2K |
| 82947 |
|
419 |
346 |
$2K |
| J2270 |
Morphine sulfate injection |
3,899 |
2,083 |
$2K |
| 84550 |
|
364 |
302 |
$2K |
| 84100 |
|
994 |
564 |
$2K |
| 93242 |
|
45 |
41 |
$2K |
| 84520 |
|
825 |
559 |
$2K |
| 73090 |
|
474 |
379 |
$2K |
| 80329 |
|
239 |
115 |
$1K |
| 82330 |
|
566 |
320 |
$1K |
| J1170 |
Hydromorphone injection |
2,736 |
1,270 |
$1K |
| 73560 |
|
44 |
29 |
$1K |
| 86308 |
|
286 |
209 |
$1K |
| 72170 |
|
264 |
233 |
$1K |
| 85379 |
|
1,622 |
1,240 |
$1K |
| J1650 |
Inj enoxaparin sodium |
2,593 |
907 |
$1K |
| 82784 |
|
154 |
86 |
$1K |
| 86706 |
|
53 |
40 |
$1K |
| J2543 |
Piperacillin/tazobactam |
415 |
130 |
$1K |
| 82140 |
|
393 |
291 |
$1K |
| 87808 |
|
738 |
601 |
$1K |
| 82803 |
|
874 |
621 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
19,069 |
14,097 |
$1K |
| 80179 |
|
1,770 |
1,403 |
$1K |
| 84145 |
|
1,520 |
1,147 |
$974.95 |
| 82550 |
|
878 |
642 |
$965.69 |
| J0500 |
Dicyclomine injection |
48 |
28 |
$916.44 |
| 84132 |
|
577 |
422 |
$890.81 |
| 76775 |
|
13 |
12 |
$862.07 |
| J2469 |
Palonosetron hcl |
181 |
67 |
$857.65 |
| 93246 |
|
12 |
12 |
$852.55 |
| 80051 |
|
182 |
143 |
$824.43 |
| 00170 |
|
1,907 |
1,327 |
$812.27 |
| C1725 |
Cath, translumin non-laser |
16 |
12 |
$791.73 |
| 99153 |
Mod sedat endo service >5yrs |
219 |
180 |
$773.71 |
| 87210 |
|
767 |
512 |
$772.24 |
| 87147 |
|
679 |
509 |
$743.28 |
| J1953 |
Levetiracetam injection |
119 |
64 |
$686.28 |
| 82374 |
|
472 |
278 |
$681.57 |
| 83615 |
|
336 |
272 |
$627.52 |
| J2360 |
Orphenadrine injection |
1,259 |
896 |
$593.65 |
| 87220 |
|
608 |
400 |
$537.96 |
| 88305 |
|
2,468 |
1,251 |
$511.07 |
| 82272 |
|
317 |
233 |
$505.63 |
| J1642 |
Inj heparin sodium per 10 u |
2,773 |
1,280 |
$467.77 |
| 69209 |
|
15 |
13 |
$461.94 |
| J0690 |
Cefazolin sodium injection |
2,361 |
1,184 |
$459.61 |
| 84460 |
|
66 |
49 |
$451.84 |
| 00731 |
|
504 |
373 |
$401.92 |
| 01936 |
|
1,675 |
1,525 |
$399.24 |
| 76376 |
|
473 |
257 |
$392.48 |
| J2704 |
Inj, propofol, 10 mg |
12,104 |
7,325 |
$371.90 |
| 84450 |
|
51 |
25 |
$344.04 |
| J3010 |
Fentanyl citrate injection |
10,831 |
7,645 |
$335.85 |
| J2405 |
Ondansetron hcl injection |
14,566 |
9,039 |
$323.81 |
| J2930 |
Methylprednisolone injection |
965 |
623 |
$322.92 |
| 80305 |
|
208 |
128 |
$315.97 |
| J7050 |
Normal saline solution infus |
602 |
320 |
$313.12 |
| 85046 |
|
272 |
208 |
$274.72 |
| J1040 |
Methylprednisolone 80 mg inj |
2,217 |
1,794 |
$265.78 |
| 82533 |
|
58 |
42 |
$265.71 |
| J0780 |
Prochlorperazine injection |
1,211 |
780 |
$263.60 |
| 01992 |
|
1,373 |
1,190 |
$258.93 |
| 73552 |
|
39 |
28 |
$252.62 |
| U0005 |
Infec agen detec ampli probe |
187 |
176 |
$238.69 |
| 83525 |
|
12 |
12 |
$238.25 |
| 51798 |
|
51 |
40 |
$230.68 |
| 73060 |
|
73 |
58 |
$227.30 |
| 80164 |
|
33 |
26 |
$226.37 |
| 70360 |
|
27 |
17 |
$223.75 |
| J3475 |
Inj magnesium sulfate |
788 |
477 |
$218.53 |
| J1100 |
Dexamethasone sodium phos |
8,187 |
5,227 |
$218.36 |
| 87075 |
|
497 |
298 |
$217.50 |
| 88304 |
|
554 |
344 |
$216.19 |
| 36600 |
|
36 |
25 |
$216.12 |
| 82150 |
|
25 |
15 |
$208.06 |
| 51701 |
|
15 |
13 |
$195.99 |
| 82010 |
|
580 |
399 |
$176.45 |
| J1644 |
Inj heparin sodium per 1000u |
1,075 |
496 |
$174.78 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
587 |
400 |
$173.55 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
12,915 |
10,085 |
$169.88 |
| J0696 |
Ceftriaxone sodium injection |
2,819 |
1,550 |
$169.71 |
| J1790 |
Droperidol injection |
1,560 |
1,017 |
$169.36 |
| J1200 |
Diphenhydramine hcl injectio |
3,085 |
1,810 |
$151.26 |
| J2919 |
Inj, methylpred sod succ 5mg |
425 |
319 |
$146.26 |
| A9500 |
Tc99m sestamibi |
1,423 |
1,138 |
$143.36 |
| 36416 |
|
1,507 |
753 |
$135.05 |
| J1010 |
Inj, methylpred acetate 1 mg |
291 |
233 |
$132.18 |
| 29125 |
|
111 |
102 |
$124.39 |
| J0688 |
Inj cefazolin sodium, hikma |
544 |
406 |
$116.33 |
| J2920 |
Methylprednisolone injection |
92 |
57 |
$106.21 |
| J2795 |
Ropivacaine hcl injection |
1,265 |
1,123 |
$104.49 |
| J2550 |
Promethazine hcl injection |
216 |
109 |
$99.44 |
| J2765 |
Metoclopramide hcl injection |
1,152 |
676 |
$97.30 |
| 83883 |
|
19 |
12 |
$93.22 |
| 82950 |
|
13 |
13 |
$89.16 |
| J3370 |
Vancomycin hcl injection |
409 |
190 |
$76.41 |
| J7030 |
Normal saline solution infus |
838 |
647 |
$76.39 |
| J2060 |
Lorazepam injection |
1,193 |
746 |
$74.55 |
| A9579 |
Gad-base mr contrast nos,1ml |
1,456 |
1,181 |
$66.80 |
| 84295 |
|
25 |
17 |
$66.63 |
| J2250 |
Inj midazolam hydrochloride |
5,106 |
3,451 |
$66.06 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
1,581 |
1,130 |
$65.07 |
| J0171 |
Adrenalin epinephrine inject |
188 |
99 |
$46.13 |
| 72158 |
|
16 |
12 |
$45.75 |
| J2470 |
Inj pantoprazole sodium 40mg |
98 |
72 |
$44.16 |
| J2175 |
Meperidine hydrochl /100 mg |
29 |
13 |
$43.52 |
| 80074 |
|
16 |
12 |
$42.53 |
| 88342 |
|
137 |
88 |
$40.23 |
| 85520 |
|
82 |
25 |
$39.05 |
| 80177 |
|
28 |
15 |
$35.78 |
| J0687 |
Inj cefazolin (wg crit care) |
123 |
71 |
$34.82 |
| 80365 |
|
25 |
16 |
$19.30 |
| Q0162 |
Ondansetron oral |
439 |
405 |
$19.10 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
141 |
137 |
$12.20 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
73 |
12 |
$11.67 |
| J0360 |
Hydralazine hcl injection |
79 |
42 |
$11.53 |
| J2001 |
Lidocaine injection |
1,899 |
1,246 |
$11.04 |
| J3480 |
Inj potassium chloride |
235 |
124 |
$10.41 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
168 |
79 |
$9.98 |
| J0330 |
Succinycholine chloride inj |
28 |
12 |
$9.63 |
| 82435 |
|
21 |
14 |
$9.47 |
| 84155 |
|
16 |
15 |
$9.19 |
| J2370 |
Phenylephrine hcl injection |
221 |
148 |
$3.34 |
| J7120 |
Ringers lactate infusion |
20 |
12 |
$2.57 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
54 |
46 |
$1.30 |
| 64494 |
|
464 |
391 |
$1.15 |
| J1940 |
Furosemide injection |
34 |
14 |
$0.69 |
| 84165 |
|
14 |
13 |
$0.00 |
| 01940 |
|
127 |
106 |
$0.00 |
| A9552 |
F18 fdg |
74 |
61 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
228 |
183 |
$0.00 |
| J0744 |
Ciprofloxacin iv |
59 |
41 |
$0.00 |
| A4641 |
Radiopharm dx agent noc |
25 |
12 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
15 |
13 |
$0.00 |
| C1887 |
Catheter, guiding |
14 |
13 |
$0.00 |
| C1758 |
Catheter, ureteral |
14 |
12 |
$0.00 |
| 00840 |
|
206 |
89 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
18 |
12 |
$0.00 |
| 76942 |
|
13 |
12 |
$0.00 |
| 64491 |
|
40 |
30 |
$0.00 |
| 94669 |
|
26 |
13 |
$0.00 |
| C2617 |
Stent, non-cor, tem w/o del |
53 |
39 |
$0.00 |
| 94761 |
|
1,438 |
953 |
$0.00 |
| J2785 |
Regadenoson injection |
1,084 |
856 |
$0.00 |
| 93320 |
|
522 |
450 |
$0.00 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
20 |
14 |
$0.00 |
| G0379 |
Direct refer hospital observ |
26 |
21 |
$0.00 |
| 94760 |
|
177 |
103 |
$0.00 |
| 96368 |
|
370 |
202 |
$0.00 |
| C9399 |
Unclassified drugs or biolog |
107 |
87 |
$0.00 |
| J8540 |
Oral dexamethasone |
40 |
24 |
$0.00 |
| C1781 |
Mesh (implantable) |
21 |
13 |
$0.00 |
| A4648 |
Implantable tissue marker |
28 |
26 |
$0.00 |
| J2305 |
Inj, nitroglycerin, 5 mg |
40 |
30 |
$0.00 |
| 64492 |
|
14 |
14 |
$0.00 |
| 84300 |
|
16 |
12 |
$0.00 |
| 00813 |
|
18 |
16 |
$0.00 |
| C1889 |
Implant/insert device, noc |
13 |
12 |
$0.00 |