| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
293,566 |
277,947 |
$16.29M |
| 99284 |
|
15,370 |
14,105 |
$11.69M |
| 99285 |
|
8,879 |
8,261 |
$7.54M |
| 99213 |
|
139,828 |
130,584 |
$7.26M |
| 87633 |
|
14,331 |
14,015 |
$7.12M |
| 99215 |
Prolong outpt/office vis |
115,680 |
108,869 |
$6.37M |
| U0004 |
Cov-19 test non-cdc hgh thru |
26,561 |
25,690 |
$2.28M |
| 90471 |
|
135,302 |
130,975 |
$2.04M |
| 99212 |
|
42,209 |
39,506 |
$1.93M |
| 76816 |
|
13,265 |
12,433 |
$1.85M |
| 90472 |
|
132,959 |
65,260 |
$1.79M |
| 87637 |
|
7,579 |
7,433 |
$1.20M |
| 69210 |
|
1,531 |
1,405 |
$999K |
| C9803 |
Hopd covid-19 spec collect |
42,806 |
41,550 |
$964K |
| 87636 |
|
6,415 |
6,229 |
$904K |
| 99283 |
|
13,422 |
12,897 |
$716K |
| 59025 |
|
4,545 |
4,064 |
$673K |
| 76805 |
|
4,825 |
4,633 |
$667K |
| U0005 |
Infec agen detec ampli probe |
23,642 |
22,839 |
$648K |
| 76830 |
|
4,736 |
4,260 |
$634K |
| 76819 |
|
5,550 |
3,868 |
$630K |
| 81513 |
|
5,096 |
4,812 |
$598K |
| 93005 |
|
8,580 |
7,914 |
$561K |
| 95810 |
|
862 |
846 |
$554K |
| G0378 |
Hospital observation per hr |
845 |
793 |
$483K |
| 87635 |
|
6,569 |
6,417 |
$445K |
| 87591 |
|
12,823 |
12,178 |
$443K |
| 87491 |
|
12,822 |
12,177 |
$442K |
| 99281 |
|
9,088 |
8,613 |
$432K |
| 80053 |
|
46,656 |
39,200 |
$413K |
| 92587 |
|
3,009 |
2,929 |
$403K |
| 86850 |
|
9,063 |
8,369 |
$397K |
| 96372 |
|
6,356 |
5,806 |
$353K |
| 74177 |
|
1,440 |
1,378 |
$333K |
| G0463 |
Hospital outpt clinic visit |
43,071 |
32,734 |
$322K |
| 87389 |
|
13,324 |
12,869 |
$316K |
| 76801 |
|
2,143 |
2,052 |
$300K |
| 81003 |
|
90,945 |
71,810 |
$274K |
| 96413 |
|
1,838 |
1,145 |
$273K |
| 97110 |
|
5,574 |
2,274 |
$262K |
| 93306 |
|
374 |
370 |
$256K |
| 71046 |
|
6,089 |
5,826 |
$243K |
| 85025 |
|
38,039 |
31,326 |
$237K |
| 90474 |
|
16,078 |
15,787 |
$234K |
| 42820 |
|
103 |
103 |
$229K |
| 87430 |
|
10,785 |
10,527 |
$224K |
| 92567 |
|
5,518 |
5,365 |
$217K |
| J0585 |
Injection,onabotulinumtoxina |
491 |
471 |
$203K |
| 84703 |
|
24,813 |
23,011 |
$193K |
| 96361 |
|
2,508 |
2,193 |
$192K |
| 90715 |
|
10,528 |
10,151 |
$175K |
| 87661 |
|
5,085 |
4,809 |
$174K |
| 87086 |
|
20,281 |
18,513 |
$168K |
| 76770 |
|
1,207 |
1,190 |
$163K |
| 87070 |
|
12,040 |
11,664 |
$156K |
| 96374 |
|
3,223 |
2,880 |
$153K |
| 96415 |
|
966 |
606 |
$150K |
| 87481 |
|
5,102 |
4,809 |
$145K |
| 85027 |
|
23,737 |
21,427 |
$139K |
| 11042 |
|
995 |
645 |
$137K |
| Q3014 |
Telehealth facility fee |
12,944 |
12,226 |
$130K |
| 83036 |
|
17,286 |
16,774 |
$126K |
| 96365 |
|
1,857 |
1,397 |
$124K |
| 92579 |
|
1,243 |
1,218 |
$124K |
| 88305 |
|
2,625 |
1,803 |
$109K |
| 86780 |
|
8,131 |
7,746 |
$106K |
| J7307 |
Etonogestrel implant system |
227 |
219 |
$105K |
| 82306 |
|
5,531 |
5,407 |
$104K |
| 92557 |
|
815 |
798 |
$104K |
| 90686 |
|
42,698 |
41,677 |
$104K |
| 84443 |
|
8,993 |
8,667 |
$102K |
| 94640 |
|
1,271 |
1,050 |
$99K |
| 70450 |
|
1,607 |
1,528 |
$93K |
| 96360 |
|
1,047 |
926 |
$86K |
| 71260 |
|
728 |
695 |
$83K |
| 54161 |
|
93 |
92 |
$82K |
| J1050 |
Medroxyprogesterone acetate |
1,134 |
1,098 |
$82K |
| 90739 |
|
1,090 |
1,059 |
$81K |
| 76811 |
|
468 |
420 |
$81K |
| 81001 |
|
24,178 |
21,715 |
$77K |
| 80307 |
|
1,920 |
1,783 |
$77K |
| 97162 |
|
848 |
834 |
$75K |
| 64643 |
|
331 |
312 |
$71K |
| 87340 |
|
7,209 |
7,023 |
$71K |
| 96366 |
|
914 |
715 |
$68K |
| 99211 |
|
1,394 |
1,312 |
$67K |
| 94010 |
|
718 |
682 |
$65K |
| 80061 |
|
10,275 |
10,075 |
$63K |
| 90678 |
|
205 |
193 |
$59K |
| 49083 |
|
218 |
129 |
$58K |
| 76700 |
|
618 |
611 |
$58K |
| 86762 |
|
4,013 |
3,875 |
$57K |
| 88142 |
|
2,841 |
2,721 |
$57K |
| 96375 |
|
3,105 |
2,370 |
$56K |
| 96367 |
|
815 |
554 |
$56K |
| 76705 |
|
756 |
708 |
$53K |
| 11721 |
|
369 |
363 |
$48K |
| 87800 |
|
1,159 |
1,093 |
$48K |
| 83735 |
|
10,949 |
7,833 |
$48K |
| 64642 |
|
230 |
224 |
$46K |
| 76815 |
|
415 |
393 |
$46K |
| 90688 |
|
12,367 |
12,083 |
$46K |
| 71045 |
|
2,685 |
2,520 |
$44K |
| 69436 |
|
110 |
84 |
$42K |
| 86753 |
|
3,433 |
3,284 |
$42K |
| 96417 |
|
455 |
326 |
$41K |
| J7050 |
Normal saline solution infus |
4,305 |
2,065 |
$41K |
| 87880 |
|
1,888 |
1,858 |
$39K |
| 82247 |
|
7,205 |
4,885 |
$39K |
| 97112 |
|
1,241 |
706 |
$39K |
| 20610 |
|
234 |
208 |
$39K |
| 86900 |
|
10,374 |
8,775 |
$39K |
| J7030 |
Normal saline solution infus |
3,415 |
2,679 |
$36K |
| 95782 |
|
50 |
46 |
$35K |
| 87536 |
|
817 |
798 |
$35K |
| CP007 |
|
890 |
789 |
$35K |
| 86901 |
|
10,371 |
8,773 |
$35K |
| 84702 |
|
2,604 |
2,005 |
$34K |
| 96368 |
|
468 |
323 |
$34K |
| 77067 |
|
1,120 |
1,106 |
$34K |
| 90677 |
|
722 |
712 |
$34K |
| 11982 |
|
79 |
78 |
$33K |
| 43239 |
|
106 |
104 |
$33K |
| 80197 |
|
4,801 |
3,005 |
$33K |
| J2469 |
Palonosetron hcl |
508 |
317 |
$31K |
| 90750 |
|
427 |
426 |
$31K |
| 84439 |
|
3,495 |
3,369 |
$30K |
| 87624 |
|
1,007 |
983 |
$29K |
| 69209 |
|
34 |
31 |
$29K |
| 94726 |
|
242 |
242 |
$29K |
| 86803 |
|
3,405 |
3,347 |
$29K |
| 76642 |
|
384 |
373 |
$28K |
| 93017 |
|
159 |
158 |
$28K |
| 93975 |
|
89 |
63 |
$27K |
| 11981 |
|
96 |
93 |
$26K |
| 95811 |
|
40 |
39 |
$26K |
| 73630 |
|
1,223 |
1,133 |
$26K |
| 99204 |
|
510 |
497 |
$25K |
| 94060 |
|
184 |
183 |
$25K |
| 83690 |
|
4,191 |
3,862 |
$25K |
| 90620 |
|
2,453 |
2,396 |
$24K |
| 91320 |
|
295 |
295 |
$24K |
| 92250 |
|
800 |
795 |
$24K |
| 80048 |
|
4,319 |
3,721 |
$23K |
| 87077 |
|
3,755 |
3,169 |
$22K |
| 90707 |
|
4,047 |
3,805 |
$22K |
| 72125 |
|
433 |
416 |
$22K |
| 84100 |
|
7,895 |
5,655 |
$21K |
| 90480 |
|
996 |
979 |
$21K |
| 82248 |
|
3,963 |
2,843 |
$21K |
| 85610 |
|
8,334 |
7,341 |
$20K |
| 84484 |
|
2,938 |
2,200 |
$20K |
| 73610 |
|
786 |
713 |
$20K |
| 93970 |
|
154 |
145 |
$19K |
| 86832 |
|
350 |
302 |
$19K |
| 99282 |
|
358 |
342 |
$18K |
| 76942 |
|
154 |
143 |
$18K |
| 73130 |
|
737 |
680 |
$18K |
| 82977 |
|
2,702 |
1,935 |
$18K |
| 86704 |
|
1,542 |
1,522 |
$18K |
| 99153 |
Mod sedat endo service >5yrs |
630 |
589 |
$17K |
| 90656 |
|
5,060 |
5,005 |
$17K |
| P9016 |
Rbc leukocytes reduced |
42 |
36 |
$17K |
| 73560 |
|
796 |
745 |
$17K |
| 86706 |
|
1,819 |
1,787 |
$17K |
| 82950 |
|
2,476 |
2,407 |
$17K |
| 78452 |
|
129 |
129 |
$16K |
| 90716 |
|
5,219 |
4,913 |
$16K |
| 0241U |
|
927 |
915 |
$16K |
| 73030 |
|
877 |
825 |
$16K |
| 90714 |
|
1,648 |
1,516 |
$16K |
| 83605 |
|
1,911 |
1,562 |
$15K |
| 73562 |
|
513 |
479 |
$15K |
| 90734 |
|
8,190 |
7,828 |
$15K |
| C8929 |
Tte w or wo fol wcon,doppler |
531 |
531 |
$15K |
| 77072 |
|
363 |
354 |
$15K |
| 74176 |
|
124 |
122 |
$15K |
| 90651 |
|
8,312 |
7,940 |
$15K |
| J1100 |
Dexamethasone sodium phos |
2,443 |
1,956 |
$15K |
| 80050 |
|
292 |
289 |
$14K |
| J2270 |
Morphine sulfate injection |
1,410 |
1,096 |
$14K |
| 82728 |
|
1,622 |
1,528 |
$14K |
| 90670 |
|
18,436 |
17,511 |
$13K |
| 94618 |
|
304 |
297 |
$13K |
| 97140 |
|
616 |
352 |
$13K |
| 86833 |
|
591 |
301 |
$13K |
| 95812 |
|
25 |
25 |
$13K |
| 87186 |
|
2,376 |
1,847 |
$13K |
| 99152 |
|
911 |
862 |
$13K |
| 83520 |
|
1,557 |
1,458 |
$12K |
| 87015 |
|
1,784 |
1,675 |
$12K |
| 96376 |
|
524 |
494 |
$12K |
| 85730 |
|
3,077 |
2,905 |
$12K |
| 99203 |
|
273 |
272 |
$12K |
| 72100 |
|
491 |
478 |
$11K |
| J1170 |
Hydromorphone injection |
1,166 |
820 |
$11K |
| Q0162 |
Ondansetron oral |
964 |
947 |
$11K |
| 30930 |
|
16 |
14 |
$11K |
| 82105 |
|
1,149 |
1,095 |
$11K |
| 87081 |
|
1,468 |
1,410 |
$11K |
| 73502 |
|
434 |
417 |
$10K |
| 82570 |
|
5,497 |
4,749 |
$10K |
| 87522 |
Neg quan hep c or qual rna |
476 |
457 |
$10K |
| 93325 |
|
63 |
62 |
$10K |
| 86140 |
|
2,874 |
2,636 |
$9K |
| 87799 |
|
1,914 |
1,327 |
$9K |
| 90713 |
|
2,941 |
2,778 |
$9K |
| 90671 |
|
9,428 |
9,345 |
$9K |
| G0480 |
Drug test def 1-7 classes |
832 |
761 |
$8K |
| 76775 |
|
207 |
203 |
$8K |
| J1885 |
Ketorolac tromethamine inj |
2,261 |
1,991 |
$8K |
| 92582 |
|
77 |
77 |
$8K |
| 87497 |
|
1,316 |
1,039 |
$8K |
| 45385 |
|
39 |
38 |
$8K |
| 82803 |
|
702 |
588 |
$8K |
| 80320 |
|
644 |
584 |
$8K |
| 80179 |
|
631 |
576 |
$7K |
| 85384 |
|
868 |
804 |
$7K |
| 86147 |
|
261 |
257 |
$7K |
| 76536 |
|
92 |
86 |
$7K |
| 73110 |
|
293 |
250 |
$7K |
| 97530 |
|
217 |
138 |
$7K |
| 72082 |
|
69 |
66 |
$7K |
| 85046 |
|
1,356 |
1,201 |
$7K |
| 71250 |
|
138 |
137 |
$7K |
| 86360 |
|
404 |
396 |
$7K |
| 93971 |
|
85 |
83 |
$6K |
| 80143 |
|
539 |
485 |
$6K |
| 83970 |
|
589 |
566 |
$6K |
| J2405 |
Ondansetron hcl injection |
2,908 |
2,411 |
$6K |
| J2785 |
Regadenoson injection |
83 |
83 |
$6K |
| G0279 |
Tomosynthesis, mammo |
219 |
218 |
$6K |
| 93303 |
|
12 |
12 |
$5K |
| 66984 |
|
27 |
26 |
$5K |
| 77063 |
|
436 |
433 |
$5K |
| 77066 |
Tomosynthesis, mammo |
163 |
162 |
$5K |
| 82550 |
|
1,114 |
1,030 |
$5K |
| 94729 |
|
202 |
202 |
$5K |
| 85055 |
|
263 |
195 |
$5K |
| 86359 |
|
404 |
396 |
$5K |
| 97163 |
|
53 |
52 |
$5K |
| J7120 |
Ringers lactate infusion |
698 |
629 |
$5K |
| 82607 |
|
800 |
786 |
$5K |
| 86480 |
|
170 |
169 |
$5K |
| 95851 |
|
431 |
344 |
$5K |
| 76817 |
|
35 |
30 |
$5K |
| 73590 |
|
257 |
237 |
$5K |
| J2930 |
Methylprednisolone injection |
565 |
484 |
$5K |
| 76856 |
|
47 |
41 |
$5K |
| S3620 |
Newborn metabolic screening |
452 |
436 |
$5K |
| 77065 |
Tomosynthesis, mammo |
161 |
155 |
$5K |
| 83550 |
|
1,112 |
1,075 |
$4K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,375 |
2,042 |
$4K |
| 81379 |
|
16 |
16 |
$4K |
| J0131 |
Inj, acetaminophen (nos) |
741 |
684 |
$4K |
| 82043 |
|
2,269 |
2,241 |
$4K |
| 81382 |
|
23 |
16 |
$4K |
| 82951 |
|
304 |
293 |
$4K |
| 36592 |
|
146 |
90 |
$4K |
| 87102 |
|
501 |
462 |
$4K |
| 85652 |
|
2,198 |
2,087 |
$4K |
| 90732 |
|
240 |
239 |
$4K |
| 86038 |
|
397 |
384 |
$3K |
| P9047 |
Albumin (human), 25%, 50ml |
25 |
13 |
$3K |
| 80069 |
|
1,026 |
892 |
$3K |
| J0586 |
Abobotulinumtoxina |
19 |
13 |
$3K |
| 83540 |
|
1,137 |
1,096 |
$3K |
| 74018 |
|
82 |
78 |
$3K |
| 88342 |
|
134 |
116 |
$3K |
| 97161 |
|
55 |
54 |
$3K |
| 93320 |
|
13 |
13 |
$3K |
| 30802 |
|
12 |
12 |
$3K |
| 31575 |
|
39 |
38 |
$3K |
| 92083 |
|
30 |
28 |
$3K |
| 84156 |
|
2,812 |
2,280 |
$3K |
| 87040 |
|
382 |
229 |
$3K |
| 90746 |
|
125 |
112 |
$3K |
| 87206 |
|
608 |
488 |
$3K |
| 82150 |
|
528 |
489 |
$3K |
| 83020 |
|
204 |
182 |
$3K |
| 72170 |
|
66 |
66 |
$3K |
| 81025 |
|
383 |
367 |
$3K |
| A9585 |
Gadobutrol injection |
170 |
170 |
$2K |
| 36591 |
|
40 |
24 |
$2K |
| 82565 |
|
1,002 |
983 |
$2K |
| 82746 |
|
331 |
326 |
$2K |
| 99205 |
Prolong outpt/office vis |
44 |
43 |
$2K |
| J3301 |
Triamcinolone acet inj nos |
282 |
270 |
$2K |
| 86849 |
|
377 |
198 |
$2K |
| 96381 |
|
177 |
171 |
$2K |
| 73552 |
|
97 |
92 |
$2K |
| 70486 |
|
26 |
25 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
2,809 |
2,484 |
$2K |
| 86682 |
|
102 |
100 |
$2K |
| J1200 |
Diphenhydramine hcl injectio |
629 |
498 |
$2K |
| J1644 |
Inj heparin sodium per 1000u |
624 |
425 |
$2K |
| 73521 |
|
29 |
29 |
$2K |
| J3010 |
Fentanyl citrate injection |
2,969 |
2,680 |
$2K |
| 80074 |
|
186 |
185 |
$2K |
| 98960 |
|
373 |
345 |
$1K |
| 83516 |
|
220 |
143 |
$1K |
| J7040 |
Normal saline solution infus |
324 |
266 |
$1K |
| 87653 |
|
46 |
46 |
$1K |
| 82140 |
|
156 |
143 |
$1K |
| J0690 |
Cefazolin sodium injection |
840 |
654 |
$1K |
| 82952 |
|
288 |
277 |
$1K |
| 36410 |
|
72 |
69 |
$1K |
| 82947 |
|
156 |
152 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
572 |
510 |
$980.71 |
| 80076 |
|
267 |
257 |
$953.34 |
| 87205 |
|
469 |
414 |
$940.95 |
| 92504 |
|
28 |
26 |
$932.18 |
| 83655 |
|
65 |
65 |
$929.81 |
| 93990 |
|
28 |
28 |
$863.10 |
| 72081 |
|
16 |
12 |
$848.53 |
| 73070 |
|
43 |
41 |
$812.43 |
| J3475 |
Inj magnesium sulfate |
37 |
25 |
$811.32 |
| 86160 |
|
53 |
24 |
$806.83 |
| 90658 |
|
38 |
38 |
$805.27 |
| 84550 |
|
907 |
858 |
$748.73 |
| 86787 |
|
43 |
43 |
$747.56 |
| 90381 |
|
78 |
78 |
$713.63 |
| 77080 |
|
93 |
93 |
$686.71 |
| J0780 |
Prochlorperazine injection |
49 |
44 |
$677.00 |
| 92015 |
|
88 |
88 |
$648.15 |
| 86200 |
|
37 |
36 |
$615.06 |
| A9502 |
Tc99m tetrofosmin |
90 |
79 |
$606.19 |
| 93922 |
|
12 |
12 |
$580.63 |
| 74019 |
|
12 |
12 |
$577.06 |
| 84460 |
|
76 |
76 |
$559.87 |
| J2919 |
Inj, methylpred sod succ 5mg |
77 |
64 |
$519.11 |
| 72110 |
|
12 |
12 |
$489.81 |
| 90680 |
|
16,554 |
16,205 |
$474.91 |
| 96523 |
|
17 |
13 |
$456.41 |
| 72040 |
|
14 |
14 |
$446.62 |
| 88313 |
|
26 |
12 |
$423.04 |
| 84450 |
|
80 |
79 |
$418.78 |
| 85014 |
|
625 |
528 |
$415.16 |
| J1790 |
Droperidol injection |
55 |
45 |
$413.48 |
| 88341 |
|
24 |
13 |
$412.62 |
| 95012 |
|
16 |
13 |
$410.41 |
| J2550 |
Promethazine hcl injection |
70 |
53 |
$366.90 |
| 86225 |
|
15 |
13 |
$354.88 |
| 82330 |
|
137 |
119 |
$347.99 |
| 85018 |
|
397 |
344 |
$345.26 |
| 86580 |
|
44 |
42 |
$340.30 |
| 90673 |
|
147 |
147 |
$336.83 |
| 84305 |
|
13 |
13 |
$316.09 |
| 90710 |
|
2,867 |
2,769 |
$312.49 |
| 86923 |
|
21 |
13 |
$306.90 |
| 90648 |
|
26,753 |
25,913 |
$305.51 |
| 90723 |
|
19,621 |
19,114 |
$296.81 |
| 80321 |
|
13 |
13 |
$295.76 |
| 82784 |
|
69 |
49 |
$290.41 |
| 88307 |
|
16 |
13 |
$281.66 |
| 87147 |
|
72 |
52 |
$257.40 |
| 82962 |
|
3,465 |
2,340 |
$254.35 |
| 73090 |
|
13 |
12 |
$252.12 |
| 90473 |
|
12 |
12 |
$247.50 |
| 90696 |
|
2,600 |
2,525 |
$244.15 |
| 90633 |
|
13,434 |
12,702 |
$188.70 |
| L8699 |
Prosthetic implant nos |
297 |
284 |
$174.85 |
| J2370 |
Phenylephrine hcl injection |
347 |
320 |
$127.99 |
| J2765 |
Metoclopramide hcl injection |
64 |
60 |
$124.14 |
| J2704 |
Inj, propofol, 10 mg |
2,092 |
1,733 |
$114.91 |
| 36415 |
|
2,735 |
2,325 |
$102.14 |
| 85660 |
|
50 |
24 |
$99.56 |
| 87338 |
|
12 |
12 |
$88.23 |
| 87073 |
|
14 |
13 |
$71.59 |
| 90744 |
|
2,687 |
2,521 |
$70.64 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
168 |
158 |
$66.70 |
| 80051 |
|
27 |
25 |
$60.52 |
| 87517 |
|
13 |
13 |
$51.65 |
| 90662 |
|
33 |
33 |
$47.86 |
| J7644 |
Ipratropium bromide non-comp |
14 |
14 |
$43.05 |
| J7613 |
Albuterol non-comp unit |
25 |
25 |
$41.29 |
| J1940 |
Furosemide injection |
16 |
12 |
$37.00 |
| J0171 |
Adrenalin epinephrine inject |
44 |
42 |
$33.27 |
| J0697 |
Sterile cefuroxime injection |
26 |
25 |
$32.86 |
| 86708 |
|
12 |
12 |
$31.23 |
| 90700 |
|
4,056 |
3,932 |
$22.57 |
| 84132 |
|
24 |
24 |
$17.74 |
| C1769 |
Guide wire |
343 |
330 |
$11.70 |
| G0008 |
Admin influenza virus vac |
1,965 |
1,959 |
$1.71 |
| G1004 |
Cdsm ndsc |
2,584 |
2,213 |
$0.04 |
| Q9957 |
Inj perflutren lip micros,ml |
40 |
40 |
$0.00 |
| 90685 |
|
197 |
194 |
$0.00 |
| 90380 |
|
25 |
25 |
$0.00 |
| 90611 |
|
18 |
16 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
66 |
61 |
$0.00 |
| J0688 |
Inj cefazolin sodium, hikma |
28 |
26 |
$0.00 |
| C1887 |
Catheter, guiding |
18 |
13 |
$0.00 |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
30 |
30 |
$0.00 |
| 90655 |
|
13 |
13 |
$0.00 |
| 36416 |
|
916 |
680 |
$0.00 |
| 90378 |
|
117 |
68 |
$0.00 |
| 90698 |
|
558 |
525 |
$0.00 |
| 91318 |
|
298 |
292 |
$0.00 |
| J1815 |
Insulin injection |
21 |
14 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
295 |
295 |
$0.00 |
| 91319 |
|
104 |
102 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
174 |
102 |
$0.00 |
| G0103 |
Psa screening |
12 |
12 |
$0.00 |
| 88300 |
|
15 |
15 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
47 |
46 |
$0.00 |
| C1892 |
Intro/sheath,fixed,peel-away |
12 |
12 |
$0.00 |