| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
|
81,528 |
73,983 |
$10.23M |
| 99070 |
|
15,687 |
8,114 |
$5.15M |
| 80053 |
|
61,054 |
55,090 |
$2.33M |
| J3490 |
Drugs unclassified injection |
47,979 |
26,293 |
$1.64M |
| J7030 |
Normal saline solution infus |
25,895 |
23,358 |
$1.55M |
| 80307 |
|
7,583 |
7,034 |
$1.06M |
| 87635 |
|
13,194 |
12,509 |
$1.02M |
| 99199 |
|
12,349 |
10,746 |
$915K |
| 84484 |
|
33,169 |
27,045 |
$861K |
| J1885 |
Ketorolac tromethamine inj |
13,268 |
12,591 |
$730K |
| J2270 |
Morphine sulfate injection |
9,971 |
8,408 |
$725K |
| 99285 |
|
5,814 |
5,544 |
$706K |
| 70450 |
|
9,651 |
9,400 |
$664K |
| 0250 |
|
10,511 |
7,138 |
$620K |
| 99281 |
|
11,211 |
9,718 |
$605K |
| 81025 |
|
20,609 |
19,339 |
$579K |
| 74177 |
|
7,156 |
6,981 |
$565K |
| J0696 |
Ceftriaxone sodium injection |
7,939 |
7,444 |
$560K |
| G0463 |
Hospital outpt clinic visit |
20,194 |
17,849 |
$546K |
| 99284 |
|
7,894 |
7,554 |
$515K |
| 71045 |
|
29,319 |
27,909 |
$508K |
| 76815 |
|
2,281 |
847 |
$478K |
| U0003 |
Cov-19 amp prb hgh thruput |
5,530 |
5,315 |
$476K |
| 96374 |
|
22,418 |
20,981 |
$469K |
| 92507 |
|
19,702 |
4,620 |
$456K |
| 59025 |
|
3,959 |
1,371 |
$451K |
| 0762 |
|
4,286 |
2,468 |
$434K |
| 93005 |
|
46,668 |
40,513 |
$415K |
| 0360 |
|
5,833 |
4,723 |
$411K |
| 96361 |
|
18,161 |
16,582 |
$395K |
| 93306 |
|
7,701 |
6,798 |
$382K |
| 0206 |
|
522 |
499 |
$374K |
| 97530 |
|
15,172 |
5,777 |
$361K |
| 83605 |
|
48,272 |
42,468 |
$349K |
| 99283 |
|
5,906 |
5,585 |
$344K |
| 97110 |
|
30,884 |
8,877 |
$337K |
| 96365 |
|
11,565 |
10,729 |
$323K |
| J2405 |
Ondansetron hcl injection |
16,756 |
15,020 |
$322K |
| 87086 |
|
14,946 |
14,256 |
$317K |
| 96375 |
|
18,785 |
16,880 |
$315K |
| 73562 |
|
4,050 |
3,832 |
$301K |
| 87637 |
|
2,658 |
2,567 |
$286K |
| 80048 |
|
15,228 |
14,117 |
$282K |
| 86901 |
|
3,838 |
3,487 |
$280K |
| 0121 |
|
346 |
332 |
$273K |
| 97140 |
|
17,476 |
5,614 |
$272K |
| 83880 |
|
8,845 |
8,424 |
$271K |
| 87502 |
|
7,971 |
7,760 |
$261K |
| 81001 |
|
46,375 |
43,501 |
$249K |
| 73610 |
|
2,228 |
2,147 |
$239K |
| 96360 |
|
6,589 |
6,321 |
$236K |
| 99214 |
|
13,959 |
13,513 |
$229K |
| 71046 |
|
7,672 |
7,453 |
$214K |
| J1100 |
Dexamethasone sodium phos |
5,119 |
4,632 |
$208K |
| 74176 |
|
4,691 |
4,599 |
$205K |
| J2060 |
Lorazepam injection |
3,361 |
3,060 |
$194K |
| 96372 |
|
9,413 |
8,570 |
$184K |
| G0480 |
Drug test def 1-7 classes |
4,963 |
4,513 |
$182K |
| 87081 |
|
2,557 |
2,489 |
$181K |
| 0510 |
|
7,330 |
6,561 |
$176K |
| 77067 |
|
3,511 |
3,436 |
$174K |
| 73030 |
|
2,936 |
2,775 |
$174K |
| 0300 |
|
4,179 |
3,615 |
$167K |
| 73630 |
|
2,354 |
2,262 |
$162K |
| 80143 |
|
1,427 |
1,355 |
$154K |
| 72148 |
|
1,039 |
1,009 |
$149K |
| 71275 |
|
2,011 |
1,961 |
$144K |
| 85025 |
|
67,402 |
59,666 |
$139K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
14,361 |
13,915 |
$138K |
| 71260 |
|
731 |
711 |
$126K |
| 76856 |
|
4,806 |
4,625 |
$118K |
| 87400 |
|
3,288 |
3,033 |
$117K |
| 97139 |
|
15,989 |
3,286 |
$114K |
| 72100 |
|
3,181 |
3,126 |
$114K |
| 78452 |
|
1,680 |
1,480 |
$114K |
| 72125 |
|
1,961 |
1,921 |
$111K |
| 71250 |
|
1,566 |
1,537 |
$110K |
| 76705 |
|
4,598 |
4,463 |
$109K |
| J2930 |
Methylprednisolone injection |
1,069 |
1,013 |
$109K |
| J1170 |
Hydromorphone injection |
3,668 |
2,962 |
$107K |
| 70496 |
|
1,708 |
1,676 |
$107K |
| 72131 |
|
1,546 |
1,523 |
$106K |
| 97116 |
|
6,630 |
2,594 |
$105K |
| 73130 |
|
1,683 |
1,594 |
$104K |
| 86850 |
|
2,177 |
1,965 |
$104K |
| S0119 |
Ondansetron 4 mg |
588 |
579 |
$103K |
| A9500 |
Tc99m sestamibi |
842 |
824 |
$101K |
| 0160 |
|
2,850 |
1,562 |
$96K |
| 84703 |
|
6,044 |
5,851 |
$96K |
| J7040 |
Normal saline solution infus |
2,619 |
2,413 |
$95K |
| 76830 |
|
4,000 |
3,843 |
$94K |
| 72040 |
|
1,337 |
1,300 |
$93K |
| 93970 |
|
1,775 |
1,732 |
$93K |
| 70498 |
|
1,603 |
1,571 |
$90K |
| 0729 |
|
1,161 |
962 |
$88K |
| 90715 |
|
1,299 |
1,285 |
$86K |
| 70551 |
|
746 |
720 |
$85K |
| 76700 |
|
2,292 |
2,217 |
$85K |
| 75574 |
|
1,089 |
1,019 |
$84K |
| 80076 |
|
3,939 |
3,829 |
$82K |
| 99204 |
|
3,719 |
3,695 |
$82K |
| 88305 |
|
2,738 |
2,569 |
$81K |
| Z9725 |
|
2,698 |
2,680 |
$81K |
| 87491 |
|
1,301 |
1,240 |
$80K |
| 76817 |
|
2,423 |
2,086 |
$78K |
| 73721 |
|
367 |
318 |
$78K |
| 87880 |
|
4,838 |
4,705 |
$74K |
| J0131 |
Inj, acetaminophen (nos) |
1,342 |
1,253 |
$73K |
| S0164 |
Injection pantroprazole |
960 |
842 |
$73K |
| 93971 |
|
2,418 |
2,361 |
$73K |
| 99213 |
|
6,712 |
6,457 |
$72K |
| 76641 |
|
1,652 |
1,566 |
$72K |
| 73110 |
|
1,549 |
1,422 |
$70K |
| 76770 |
|
2,029 |
1,973 |
$69K |
| J1815 |
Insulin injection |
1,396 |
889 |
$68K |
| J2765 |
Metoclopramide hcl injection |
2,687 |
2,503 |
$67K |
| 76801 |
|
2,169 |
1,834 |
$67K |
| 97750 |
|
3,518 |
1,979 |
$65K |
| 70486 |
|
636 |
626 |
$60K |
| 87040 |
|
16,420 |
10,009 |
$58K |
| 77066 |
Tomosynthesis, mammo |
925 |
890 |
$57K |
| 0258 |
|
4,238 |
3,567 |
$55K |
| 74018 |
|
2,100 |
2,035 |
$55K |
| 73080 |
|
797 |
746 |
$54K |
| 87070 |
|
1,949 |
1,846 |
$49K |
| 76536 |
|
1,463 |
1,421 |
$47K |
| 84702 |
|
2,987 |
2,535 |
$47K |
| 70553 |
|
130 |
128 |
$46K |
| 76805 |
|
373 |
353 |
$43K |
| P9016 |
Rbc leukocytes reduced |
465 |
395 |
$42K |
| G0378 |
Hospital observation per hr |
390 |
289 |
$41K |
| 97535 |
|
2,204 |
1,419 |
$41K |
| 83690 |
|
18,274 |
17,198 |
$41K |
| J2785 |
Regadenoson injection |
309 |
300 |
$40K |
| 97162 |
|
1,523 |
1,450 |
$40K |
| 97112 |
|
6,864 |
2,601 |
$38K |
| 86900 |
|
2,578 |
2,348 |
$36K |
| 0710 |
|
4,385 |
4,210 |
$36K |
| 0440 |
|
860 |
249 |
$36K |
| J7050 |
Normal saline solution infus |
2,042 |
1,773 |
$35K |
| 20610 |
|
3,029 |
2,622 |
$35K |
| J1200 |
Diphenhydramine hcl injectio |
3,659 |
3,337 |
$34K |
| 96367 |
|
1,546 |
1,335 |
$34K |
| 0420 |
|
2,122 |
1,051 |
$33K |
| 84145 |
|
708 |
687 |
$33K |
| 73502 |
|
1,008 |
966 |
$33K |
| J7120 |
Ringers lactate infusion |
2,079 |
1,815 |
$33K |
| 0259 |
|
11,017 |
4,663 |
$32K |
| 0270 |
|
25,677 |
12,621 |
$32K |
| 0720 |
|
205 |
179 |
$32K |
| 72141 |
|
194 |
184 |
$29K |
| 87186 |
|
4,324 |
4,104 |
$28K |
| 93010 |
|
7,425 |
6,766 |
$27K |
| Z7502 |
|
727 |
723 |
$27K |
| 87077 |
|
3,840 |
3,563 |
$26K |
| 71101 |
|
172 |
170 |
$26K |
| 96366 |
|
1,354 |
1,088 |
$26K |
| 82962 |
|
4,341 |
2,336 |
$25K |
| 82948 |
|
4,129 |
2,635 |
$25K |
| 87591 |
|
1,430 |
1,354 |
$25K |
| J2704 |
Inj, propofol, 10 mg |
1,475 |
1,060 |
$25K |
| 85610 |
|
13,438 |
11,976 |
$24K |
| U0005 |
Infec agen detec ampli probe |
3,406 |
3,268 |
$24K |
| 73140 |
|
576 |
548 |
$24K |
| 87798 |
|
2,281 |
2,237 |
$23K |
| 97113 |
|
758 |
223 |
$22K |
| 99215 |
Prolong outpt/office vis |
886 |
847 |
$22K |
| 99282 |
|
509 |
492 |
$22K |
| 97161 |
|
936 |
845 |
$21K |
| 84443 |
|
6,674 |
6,498 |
$21K |
| 76818 |
|
915 |
295 |
$20K |
| 93017 |
|
790 |
760 |
$20K |
| 73560 |
|
1,701 |
1,389 |
$20K |
| 93880 |
|
290 |
287 |
$20K |
| 97755 |
|
499 |
469 |
$19K |
| 86308 |
|
2,219 |
2,165 |
$19K |
| 83735 |
|
9,651 |
8,979 |
$18K |
| 94640 |
|
2,427 |
2,106 |
$17K |
| 36415 |
|
5,374 |
4,870 |
$17K |
| 0001A |
|
513 |
511 |
$17K |
| A9579 |
Gad-base mr contrast nos,1ml |
951 |
909 |
$17K |
| 76857 |
|
828 |
804 |
$17K |
| 97163 |
|
343 |
338 |
$16K |
| 93458 |
|
265 |
262 |
$16K |
| 73700 |
|
200 |
168 |
$15K |
| 82306 |
|
1,959 |
1,920 |
$15K |
| 70491 |
|
96 |
96 |
$15K |
| 74174 |
|
83 |
81 |
$14K |
| 85379 |
|
3,973 |
3,863 |
$14K |
| 99203 |
|
627 |
625 |
$13K |
| J3475 |
Inj magnesium sulfate |
432 |
382 |
$13K |
| 85730 |
|
8,150 |
7,693 |
$13K |
| 82550 |
|
5,322 |
5,094 |
$13K |
| 80179 |
|
1,416 |
1,351 |
$13K |
| J3370 |
Vancomycin hcl injection |
247 |
207 |
$13K |
| 77300 |
|
34 |
27 |
$12K |
| 0011A |
|
309 |
309 |
$12K |
| 74022 |
|
275 |
266 |
$11K |
| 73221 |
|
31 |
29 |
$11K |
| J1644 |
Inj heparin sodium per 1000u |
1,867 |
1,197 |
$11K |
| U0002 |
Covid-19 lab test non-cdc |
92 |
88 |
$11K |
| 87807 |
|
616 |
599 |
$11K |
| 77063 |
|
826 |
817 |
$11K |
| J3010 |
Fentanyl citrate injection |
4,671 |
4,455 |
$10K |
| 36430 |
|
87 |
68 |
$10K |
| 76377 |
|
335 |
323 |
$9K |
| 96376 |
|
196 |
152 |
$9K |
| 80061 |
|
5,185 |
5,004 |
$9K |
| 0002A |
|
298 |
297 |
$9K |
| 01967 |
|
41 |
40 |
$9K |
| 77080 |
|
640 |
633 |
$9K |
| 0111 |
|
13 |
13 |
$9K |
| 88342 |
|
782 |
742 |
$9K |
| 84439 |
|
3,275 |
3,200 |
$9K |
| 76870 |
|
289 |
280 |
$8K |
| 82378 |
|
2,631 |
2,453 |
$8K |
| 0760 |
|
2,369 |
1,964 |
$8K |
| 99232 |
|
962 |
373 |
$8K |
| 81003 |
|
613 |
551 |
$8K |
| 84153 |
|
1,064 |
1,054 |
$8K |
| 86769 |
|
152 |
143 |
$8K |
| 88112 |
|
458 |
445 |
$7K |
| 99152 |
|
1,653 |
1,595 |
$7K |
| 83036 |
|
3,327 |
3,239 |
$7K |
| 93351 |
|
145 |
122 |
$7K |
| 29125 |
|
545 |
508 |
$7K |
| 84481 |
|
1,370 |
1,331 |
$7K |
| 82728 |
|
2,724 |
2,615 |
$6K |
| 84550 |
|
1,060 |
1,002 |
$6K |
| J0690 |
Cefazolin sodium injection |
1,438 |
1,212 |
$6K |
| C9803 |
Hopd covid-19 spec collect |
688 |
640 |
$6K |
| 83615 |
|
1,852 |
1,747 |
$6K |
| J2250 |
Inj midazolam hydrochloride |
4,599 |
4,424 |
$6K |
| 73590 |
|
135 |
130 |
$5K |
| 0301 |
|
2,357 |
2,122 |
$5K |
| 77334 |
|
31 |
28 |
$5K |
| 87088 |
|
1,912 |
1,853 |
$5K |
| 77336 |
|
211 |
87 |
$5K |
| 82553 |
|
866 |
794 |
$5K |
| 0012A |
|
128 |
128 |
$5K |
| 90471 |
|
863 |
837 |
$5K |
| J0360 |
Hydralazine hcl injection |
247 |
215 |
$5K |
| 0761 |
|
446 |
360 |
$5K |
| 93016 |
|
594 |
594 |
$5K |
| 85027 |
|
1,865 |
1,721 |
$4K |
| 93798 |
|
187 |
39 |
$4K |
| 94664 |
|
1,340 |
1,057 |
$4K |
| 92526 |
|
101 |
72 |
$4K |
| 0324 |
|
1,167 |
1,119 |
$4K |
| 45378 |
|
27 |
26 |
$4K |
| 88304 |
|
708 |
658 |
$4K |
| 82150 |
|
1,888 |
1,817 |
$3K |
| J1940 |
Furosemide injection |
37 |
27 |
$3K |
| 99153 |
Mod sedat endo service >5yrs |
1,310 |
1,262 |
$3K |
| 82784 |
|
1,062 |
898 |
$3K |
| 72197 |
|
28 |
27 |
$3K |
| 82570 |
|
580 |
532 |
$3K |
| 80320 |
|
15 |
15 |
$3K |
| 84156 |
|
446 |
392 |
$3K |
| 99221 |
|
106 |
79 |
$3K |
| 88307 |
|
80 |
75 |
$3K |
| 85007 |
|
1,829 |
1,691 |
$3K |
| 82607 |
|
1,594 |
1,559 |
$3K |
| 86140 |
|
2,161 |
2,063 |
$2K |
| 93018 |
|
618 |
618 |
$2K |
| G0279 |
Tomosynthesis, mammo |
149 |
145 |
$2K |
| M0243 |
Casirivi and imdevi inj |
41 |
39 |
$2K |
| 0424 |
|
56 |
53 |
$2K |
| 0370 |
|
1,428 |
1,383 |
$2K |
| 0272 |
|
780 |
744 |
$2K |
| 72170 |
|
91 |
90 |
$2K |
| 85384 |
|
446 |
419 |
$2K |
| 84466 |
|
1,816 |
1,748 |
$2K |
| 83970 |
|
174 |
174 |
$2K |
| 77412 |
|
123 |
13 |
$2K |
| 97799 |
|
2,327 |
348 |
$2K |
| 82746 |
|
1,255 |
1,227 |
$2K |
| 73552 |
|
52 |
50 |
$2K |
| 72070 |
|
40 |
38 |
$2K |
| S0020 |
Injection, bupivicaine hydro |
319 |
285 |
$2K |
| 86300 |
|
960 |
656 |
$2K |
| 87210 |
|
114 |
110 |
$2K |
| 87205 |
|
641 |
589 |
$2K |
| 97166 |
|
14 |
14 |
$1K |
| 82043 |
|
515 |
515 |
$1K |
| 99291 |
|
25 |
12 |
$1K |
| 11042 |
|
170 |
69 |
$1K |
| 87641 |
|
272 |
270 |
$1K |
| J2919 |
Inj, methylpred sod succ 5mg |
195 |
168 |
$1K |
| 0430 |
|
315 |
223 |
$1K |
| 85652 |
|
1,720 |
1,661 |
$1K |
| 99222 |
|
130 |
127 |
$1K |
| 95811 |
|
13 |
12 |
$1K |
| 83540 |
|
1,948 |
1,874 |
$1K |
| G8978 |
Mobility current status |
302 |
271 |
$1K |
| 86923 |
|
29 |
26 |
$1K |
| 77065 |
Tomosynthesis, mammo |
26 |
25 |
$1K |
| 82805 |
|
77 |
76 |
$976.87 |
| 0171 |
Inj, epinephrine (belcher) |
270 |
266 |
$960.36 |
| 94644 |
|
113 |
101 |
$954.57 |
| 73660 |
|
14 |
14 |
$953.00 |
| 1159F |
|
4,865 |
4,748 |
$912.94 |
| 99205 |
Prolong outpt/office vis |
27 |
27 |
$850.30 |
| 29130 |
|
61 |
55 |
$738.81 |
| 73565 |
|
92 |
91 |
$701.39 |
| 72128 |
|
12 |
12 |
$698.64 |
| 72110 |
|
60 |
58 |
$681.25 |
| 99223 |
Prolong inpt eval add15 m |
120 |
112 |
$591.54 |
| 86304 |
|
253 |
225 |
$581.41 |
| 99212 |
|
54 |
51 |
$579.20 |
| 74178 |
|
12 |
12 |
$560.23 |
| 92610 |
|
82 |
80 |
$525.05 |
| 84100 |
|
583 |
458 |
$524.39 |
| J1953 |
Levetiracetam injection |
16 |
12 |
$516.14 |
| 74019 |
|
71 |
70 |
$493.69 |
| 82232 |
|
232 |
216 |
$469.39 |
| 86301 |
|
260 |
250 |
$419.93 |
| 96413 |
|
19 |
13 |
$371.67 |
| 43239 |
|
50 |
50 |
$349.05 |
| 73120 |
|
34 |
32 |
$342.43 |
| 92523 |
|
13 |
13 |
$325.15 |
| 99001 |
|
22 |
22 |
$308.75 |
| 84132 |
|
121 |
103 |
$256.69 |
| 76937 |
|
78 |
77 |
$256.64 |
| 87389 |
|
15 |
15 |
$252.12 |
| 0305 |
|
2,461 |
2,271 |
$245.81 |
| 0320 |
|
175 |
169 |
$244.10 |
| C1769 |
Guide wire |
83 |
82 |
$243.90 |
| 99211 |
|
93 |
91 |
$243.25 |
| 84403 |
|
32 |
31 |
$242.95 |
| 87154 |
|
15 |
15 |
$230.38 |
| 93350 |
|
13 |
13 |
$222.44 |
| 93308 |
|
28 |
25 |
$219.31 |
| 0307 |
|
1,050 |
1,014 |
$174.34 |
| 0306 |
|
1,474 |
1,378 |
$172.35 |
| 0636 |
|
205 |
198 |
$170.16 |
| 82248 |
|
34 |
31 |
$147.89 |
| J2305 |
Inj, nitroglycerin, 5 mg |
130 |
128 |
$141.20 |
| 86780 |
|
12 |
12 |
$136.72 |
| 83521 |
|
112 |
59 |
$136.06 |
| G8979 |
Mobility goal status |
331 |
293 |
$134.75 |
| G1004 |
Cdsm ndsc |
19 |
19 |
$132.33 |
| J2470 |
Inj pantoprazole sodium 40mg |
130 |
111 |
$122.43 |
| J1630 |
Haloperidol injection |
58 |
57 |
$117.05 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
40 |
36 |
$116.68 |
| J3301 |
Triamcinolone acet inj nos |
33 |
32 |
$115.30 |
| 73100 |
|
16 |
13 |
$102.62 |
| 82668 |
|
185 |
179 |
$97.90 |
| 12001 |
|
13 |
12 |
$87.29 |
| 85347 |
|
101 |
58 |
$83.73 |
| A4649 |
Surgical supplies |
437 |
234 |
$77.63 |
| 73501 |
|
13 |
13 |
$64.98 |
| 73060 |
|
16 |
14 |
$60.01 |
| 87045 |
|
38 |
36 |
$58.24 |
| 11721 |
|
12 |
12 |
$57.36 |
| 73090 |
|
27 |
26 |
$56.32 |
| S0028 |
Injection, famotidine, 20 mg |
464 |
410 |
$53.86 |
| 0730 |
|
1,175 |
1,124 |
$53.36 |
| 29515 |
|
12 |
12 |
$52.04 |
| 70360 |
|
13 |
12 |
$50.09 |
| 99072 |
|
192 |
117 |
$49.56 |
| 93246 |
|
39 |
39 |
$42.09 |
| 84436 |
|
118 |
117 |
$41.53 |
| G8984 |
Carry current status |
34 |
28 |
$40.22 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
56 |
55 |
$32.31 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
51 |
35 |
$30.78 |
| 36600 |
|
24 |
24 |
$25.89 |
| 85018 |
|
13 |
12 |
$19.92 |
| 86334 |
|
18 |
16 |
$19.46 |
| 82565 |
|
44 |
42 |
$14.67 |
| 84479 |
|
61 |
60 |
$13.18 |
| 84520 |
|
32 |
30 |
$13.03 |
| 86038 |
|
27 |
27 |
$10.42 |
| 45380 |
|
14 |
14 |
$9.90 |
| 87046 |
|
13 |
12 |
$9.40 |
| 84165 |
|
18 |
16 |
$9.36 |
| 80069 |
|
14 |
14 |
$9.10 |
| 0302 |
|
218 |
212 |
$8.47 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
12 |
12 |
$4.96 |
| 3008F |
|
1,826 |
1,793 |
$0.00 |
| 0350 |
|
122 |
118 |
$0.00 |
| S9445 |
Pt education noc individ |
2,831 |
1,239 |
$0.00 |
| 0310 |
|
190 |
188 |
$0.00 |
| 0949 |
|
75 |
66 |
$0.00 |
| 0410 |
|
297 |
285 |
$0.00 |
| 0352 |
|
101 |
94 |
$0.00 |
| 0255 |
|
98 |
94 |
$0.00 |
| 0721 |
|
95 |
95 |
$0.00 |
| G8980 |
Mobility d/c status |
12 |
12 |
$0.00 |
| 3074F |
|
12 |
12 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
13 |
12 |
$0.00 |
| 0402 |
|
130 |
128 |
$0.00 |
| 1160F |
|
1,068 |
1,036 |
$0.00 |
| 0122 |
|
177 |
177 |
$0.00 |
| 0278 |
|
102 |
98 |
$0.00 |
| 84155 |
|
31 |
27 |
$0.00 |
| 86431 |
|
12 |
12 |
$0.00 |
| 0489 |
|
25 |
25 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
84 |
82 |
$0.00 |
| 3078F |
|
120 |
118 |
$0.00 |
| C1874 |
Stent, coated/cov w/del sys |
12 |
12 |
$0.00 |
| 0351 |
|
12 |
12 |
$0.00 |
| G8985 |
Carry goal status |
55 |
41 |
$0.00 |
| 45385 |
|
12 |
12 |
$0.00 |
| 99442 |
|
12 |
12 |
$0.00 |
| 0460 |
|
17 |
16 |
$0.00 |