| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
109,312 |
102,448 |
$8.61M |
| 99284 |
|
27,639 |
25,579 |
$5.88M |
| G0463 |
Hospital outpt clinic visit |
69,165 |
57,227 |
$5.75M |
| 99285 |
|
15,619 |
14,231 |
$4.44M |
| 99283 |
|
26,478 |
25,051 |
$4.14M |
| 99213 |
|
79,323 |
73,045 |
$4.12M |
| 74177 |
|
7,190 |
6,844 |
$2.41M |
| 70450 |
|
7,651 |
7,195 |
$1.47M |
| 93005 |
|
22,631 |
19,967 |
$1.31M |
| 93306 |
|
6,731 |
6,261 |
$1.20M |
| 80053 |
|
58,225 |
49,412 |
$1.18M |
| 96374 |
|
19,409 |
16,927 |
$1.02M |
| 11043 |
|
9,622 |
3,484 |
$961K |
| 71045 |
|
20,066 |
18,489 |
$885K |
| 96375 |
|
16,439 |
14,009 |
$869K |
| G0378 |
Hospital observation per hr |
3,210 |
1,972 |
$816K |
| 96365 |
|
8,333 |
6,606 |
$796K |
| 87631 |
|
8,184 |
7,710 |
$792K |
| 99391 |
|
7,491 |
6,565 |
$783K |
| 96361 |
|
19,397 |
16,822 |
$770K |
| 78452 |
|
1,872 |
1,702 |
$756K |
| 87635 |
|
18,907 |
17,322 |
$744K |
| 85025 |
|
62,066 |
52,070 |
$733K |
| 87502 |
|
9,869 |
9,393 |
$731K |
| 74176 |
|
2,664 |
2,528 |
$607K |
| G0480 |
Drug test def 1-7 classes |
7,418 |
6,638 |
$521K |
| 90853 |
|
4,731 |
1,220 |
$508K |
| 99392 |
|
4,799 |
4,733 |
$501K |
| 43239 |
|
1,613 |
1,446 |
$496K |
| 87804 |
|
28,693 |
15,550 |
$466K |
| 94640 |
|
4,045 |
2,980 |
$466K |
| 71275 |
|
1,598 |
1,541 |
$452K |
| 72125 |
|
2,273 |
2,170 |
$442K |
| 87880 |
|
27,599 |
26,370 |
$435K |
| 0241U |
|
3,069 |
2,854 |
$430K |
| 99215 |
Prolong outpt/office vis |
4,471 |
4,070 |
$395K |
| 99282 |
|
4,114 |
3,909 |
$389K |
| 88305 |
|
6,713 |
6,504 |
$389K |
| 95811 |
|
853 |
763 |
$368K |
| 87426 |
|
10,328 |
9,494 |
$357K |
| 71046 |
|
5,616 |
5,402 |
$355K |
| 99232 |
|
6,432 |
2,890 |
$341K |
| 96360 |
|
4,677 |
4,329 |
$323K |
| 96372 |
|
11,669 |
10,235 |
$316K |
| C9803 |
Hopd covid-19 spec collect |
15,599 |
14,237 |
$316K |
| 84443 |
|
13,123 |
12,473 |
$287K |
| 87651 |
|
6,923 |
6,701 |
$284K |
| 99204 |
|
2,607 |
2,497 |
$270K |
| 36415 |
|
62,160 |
51,770 |
$265K |
| 71260 |
|
1,051 |
1,009 |
$262K |
| 76816 |
|
3,183 |
2,440 |
$260K |
| 90834 |
|
1,611 |
1,060 |
$259K |
| 76805 |
|
2,865 |
2,467 |
$249K |
| 90471 |
|
13,625 |
13,315 |
$235K |
| 99203 |
|
2,997 |
2,922 |
$235K |
| 93010 |
|
31,113 |
26,416 |
$222K |
| 90472 |
|
7,547 |
7,388 |
$219K |
| 99442 |
|
2,952 |
2,780 |
$216K |
| 93017 |
|
1,577 |
1,529 |
$214K |
| 73562 |
|
2,089 |
2,019 |
$208K |
| 84484 |
|
13,101 |
10,029 |
$205K |
| 95810 |
|
409 |
375 |
$196K |
| 90792 |
|
1,609 |
1,389 |
$193K |
| 76830 |
|
1,666 |
1,547 |
$187K |
| 73610 |
|
1,794 |
1,674 |
$187K |
| 64635 |
|
384 |
344 |
$178K |
| 81001 |
|
31,660 |
28,715 |
$173K |
| 99231 |
|
4,637 |
2,021 |
$169K |
| 76801 |
|
1,737 |
1,465 |
$169K |
| 64493 |
|
544 |
491 |
$167K |
| 73130 |
|
2,200 |
2,036 |
$166K |
| 11042 |
|
1,867 |
945 |
$166K |
| 83690 |
|
13,009 |
11,873 |
$165K |
| 99393 |
|
1,589 |
1,552 |
$165K |
| 76705 |
|
1,757 |
1,714 |
$162K |
| 73030 |
|
2,001 |
1,887 |
$156K |
| 87428 |
|
2,186 |
2,153 |
$151K |
| 99212 |
|
4,158 |
4,015 |
$147K |
| 45380 |
|
370 |
354 |
$146K |
| 73630 |
|
1,902 |
1,845 |
$140K |
| 82306 |
|
4,791 |
4,713 |
$134K |
| 87086 |
|
9,796 |
8,978 |
$131K |
| 80306 |
|
9,239 |
8,464 |
$129K |
| 59025 |
|
1,498 |
1,082 |
$121K |
| 72100 |
|
1,356 |
1,333 |
$118K |
| 64636 |
|
592 |
330 |
$113K |
| 71250 |
|
713 |
676 |
$113K |
| 80061 |
|
6,681 |
6,558 |
$111K |
| 64483 |
|
407 |
349 |
$109K |
| 99443 |
|
1,034 |
981 |
$109K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
10,387 |
9,730 |
$102K |
| 84703 |
|
7,903 |
7,373 |
$102K |
| 76856 |
|
852 |
817 |
$97K |
| 73110 |
|
1,466 |
1,315 |
$94K |
| 96366 |
|
1,674 |
1,306 |
$94K |
| 83605 |
|
4,967 |
4,307 |
$89K |
| 93971 |
|
920 |
883 |
$87K |
| 99233 |
Prolong inpt eval add15 m |
1,089 |
508 |
$83K |
| 87070 |
|
5,307 |
5,092 |
$81K |
| A9502 |
Tc99m tetrofosmin |
1,027 |
990 |
$79K |
| 72131 |
|
306 |
295 |
$77K |
| 83880 |
|
3,754 |
3,447 |
$77K |
| 90960 |
|
1,635 |
1,581 |
$76K |
| 77067 |
|
455 |
448 |
$71K |
| 70486 |
|
372 |
359 |
$68K |
| 99177 |
|
1,831 |
1,802 |
$66K |
| 87641 |
|
2,365 |
2,036 |
$66K |
| 83036 |
|
6,596 |
6,448 |
$65K |
| 99223 |
Prolong inpt eval add15 m |
409 |
395 |
$65K |
| 85610 |
|
11,725 |
9,605 |
$64K |
| 64494 |
|
584 |
423 |
$63K |
| 99309 |
|
2,026 |
1,659 |
$62K |
| 87040 |
|
4,125 |
2,849 |
$61K |
| 94726 |
|
578 |
540 |
$56K |
| 94060 |
|
699 |
651 |
$55K |
| 86140 |
|
5,578 |
5,181 |
$55K |
| 99239 |
|
553 |
527 |
$54K |
| 93000 |
|
4,937 |
4,704 |
$51K |
| 90791 |
|
334 |
324 |
$51K |
| 74021 |
|
410 |
395 |
$49K |
| 81025 |
|
5,323 |
5,111 |
$49K |
| 73721 |
|
146 |
136 |
$48K |
| 87807 |
|
3,640 |
3,464 |
$48K |
| 74018 |
|
681 |
659 |
$47K |
| 99308 |
|
2,699 |
2,198 |
$46K |
| 80048 |
|
3,481 |
3,158 |
$43K |
| 87186 |
|
4,875 |
4,563 |
$42K |
| 86900 |
|
2,858 |
2,645 |
$41K |
| J2704 |
Inj, propofol, 10 mg |
7,006 |
6,650 |
$40K |
| J7040 |
Normal saline solution infus |
2,285 |
1,934 |
$39K |
| 83735 |
|
4,754 |
3,754 |
$38K |
| 20610 |
|
919 |
847 |
$38K |
| 96376 |
|
2,595 |
2,171 |
$36K |
| 90474 |
|
2,134 |
2,095 |
$36K |
| J7050 |
Normal saline solution infus |
1,791 |
1,345 |
$36K |
| 87591 |
|
1,035 |
996 |
$36K |
| 87491 |
|
1,036 |
996 |
$36K |
| 73560 |
|
1,049 |
888 |
$35K |
| J2785 |
Regadenoson injection |
558 |
542 |
$35K |
| 86850 |
|
2,347 |
2,213 |
$35K |
| 87077 |
|
4,941 |
4,632 |
$34K |
| 87640 |
|
1,210 |
971 |
$33K |
| 99173 |
|
1,246 |
1,207 |
$32K |
| 76817 |
|
317 |
277 |
$32K |
| 84702 |
|
1,414 |
1,091 |
$31K |
| 73502 |
|
628 |
589 |
$31K |
| 99441 |
|
642 |
611 |
$29K |
| 76815 |
|
472 |
346 |
$29K |
| G0260 |
Inj for sacroiliac jt anesth |
81 |
80 |
$28K |
| 96413 |
|
91 |
49 |
$28K |
| 72148 |
|
79 |
76 |
$28K |
| 99238 |
|
460 |
446 |
$27K |
| 90832 |
|
160 |
121 |
$27K |
| 82607 |
|
1,788 |
1,749 |
$27K |
| 90837 |
|
212 |
141 |
$26K |
| 99394 |
|
239 |
232 |
$25K |
| 86769 |
|
1,080 |
920 |
$25K |
| 99291 |
|
56 |
56 |
$25K |
| 82550 |
|
1,463 |
1,291 |
$25K |
| 99395 |
|
246 |
246 |
$25K |
| M0243 |
Casirivi and imdevi inj |
108 |
107 |
$25K |
| 84439 |
|
2,207 |
2,129 |
$23K |
| 72040 |
|
269 |
266 |
$23K |
| 76700 |
|
184 |
178 |
$22K |
| 73565 |
|
580 |
512 |
$21K |
| 76813 |
|
342 |
313 |
$21K |
| 82728 |
|
1,361 |
1,315 |
$21K |
| 36591 |
|
614 |
316 |
$21K |
| 85379 |
|
1,649 |
1,579 |
$20K |
| J1100 |
Dexamethasone sodium phos |
5,104 |
4,608 |
$20K |
| J1885 |
Ketorolac tromethamine inj |
8,782 |
7,847 |
$20K |
| 96367 |
|
573 |
489 |
$20K |
| 94729 |
|
596 |
551 |
$18K |
| 76641 |
|
138 |
136 |
$18K |
| J0696 |
Ceftriaxone sodium injection |
3,145 |
2,561 |
$18K |
| 99211 |
|
1,754 |
1,606 |
$17K |
| 82962 |
|
6,561 |
3,828 |
$17K |
| J7030 |
Normal saline solution infus |
14,612 |
12,421 |
$17K |
| 11046 |
|
74 |
40 |
$16K |
| 92551 |
|
1,427 |
1,389 |
$16K |
| 88342 |
|
444 |
435 |
$16K |
| 82803 |
|
495 |
401 |
$16K |
| 99205 |
Prolong outpt/office vis |
126 |
120 |
$16K |
| 83550 |
|
1,512 |
1,470 |
$16K |
| J2001 |
Lidocaine injection |
13,024 |
7,906 |
$15K |
| J1050 |
Medroxyprogesterone acetate |
268 |
267 |
$15K |
| 73080 |
|
266 |
260 |
$15K |
| 83970 |
|
616 |
594 |
$15K |
| 77063 |
|
453 |
446 |
$15K |
| 93016 |
|
971 |
953 |
$14K |
| 64484 |
|
147 |
101 |
$14K |
| 86592 |
|
1,848 |
1,825 |
$14K |
| 76536 |
|
118 |
115 |
$14K |
| 88307 |
|
165 |
158 |
$13K |
| 86703 |
|
964 |
954 |
$13K |
| J0131 |
Inj, acetaminophen (nos) |
2,678 |
2,465 |
$13K |
| J3301 |
Triamcinolone acet inj nos |
3,041 |
2,815 |
$13K |
| 96110 |
|
713 |
657 |
$13K |
| 36600 |
|
399 |
369 |
$13K |
| 73090 |
|
154 |
135 |
$13K |
| 99245 |
|
57 |
57 |
$13K |
| 85652 |
|
2,090 |
1,915 |
$13K |
| 85730 |
|
1,767 |
1,652 |
$12K |
| 87653 |
|
292 |
291 |
$12K |
| 73140 |
|
207 |
179 |
$12K |
| 84436 |
|
1,334 |
1,297 |
$11K |
| 97602 |
|
186 |
102 |
$11K |
| 83540 |
|
1,309 |
1,281 |
$11K |
| 88304 |
|
839 |
813 |
$11K |
| 01935 |
|
139 |
139 |
$11K |
| 77066 |
Tomosynthesis, mammo |
69 |
63 |
$11K |
| 99460 |
|
121 |
119 |
$11K |
| 81002 |
|
5,191 |
4,998 |
$11K |
| 84153 |
|
573 |
559 |
$11K |
| 87389 |
|
597 |
591 |
$11K |
| 86803 |
|
472 |
466 |
$10K |
| 76770 |
|
91 |
88 |
$10K |
| 99244 |
|
60 |
60 |
$10K |
| 90715 |
|
598 |
587 |
$10K |
| 82570 |
|
1,418 |
1,362 |
$9K |
| 93018 |
|
971 |
953 |
$9K |
| 87340 |
|
772 |
763 |
$9K |
| 80074 |
|
229 |
219 |
$9K |
| 72110 |
|
92 |
92 |
$9K |
| 82043 |
|
1,126 |
1,091 |
$9K |
| 87205 |
|
1,957 |
1,793 |
$8K |
| J2405 |
Ondansetron hcl injection |
12,139 |
10,459 |
$8K |
| 70491 |
|
25 |
24 |
$8K |
| 86038 |
|
475 |
465 |
$8K |
| C9290 |
Inj, bupivacaine liposome |
719 |
671 |
$8K |
| 93976 |
|
51 |
50 |
$8K |
| J1815 |
Insulin injection |
562 |
304 |
$7K |
| 01992 |
|
72 |
71 |
$7K |
| G0279 |
Tomosynthesis, mammo |
184 |
173 |
$7K |
| 82140 |
|
495 |
449 |
$7K |
| 95165 |
|
15 |
12 |
$7K |
| 64495 |
|
85 |
65 |
$6K |
| 97530 |
|
205 |
80 |
$6K |
| 45378 |
|
13 |
13 |
$6K |
| 80305 |
|
550 |
518 |
$6K |
| 86756 |
|
310 |
297 |
$6K |
| J0561 |
Penicillin g benzathine inj |
70 |
68 |
$6K |
| 95251 |
|
207 |
204 |
$6K |
| 82150 |
|
463 |
441 |
$5K |
| J3490 |
Drugs unclassified injection |
1,596 |
1,363 |
$5K |
| J0690 |
Cefazolin sodium injection |
2,020 |
1,774 |
$5K |
| 73700 |
|
26 |
26 |
$5K |
| 73523 |
|
27 |
27 |
$5K |
| 84100 |
|
831 |
733 |
$5K |
| 80076 |
|
497 |
482 |
$5K |
| 99396 |
|
61 |
57 |
$5K |
| 84480 |
|
337 |
331 |
$5K |
| 82746 |
|
340 |
327 |
$5K |
| J2930 |
Methylprednisolone injection |
1,245 |
1,146 |
$5K |
| 12001 |
|
48 |
48 |
$5K |
| J3010 |
Fentanyl citrate injection |
6,924 |
6,194 |
$5K |
| M0245 |
Bamlan and etesev infusion |
13 |
13 |
$5K |
| 85018 |
|
1,353 |
1,287 |
$5K |
| 86762 |
|
355 |
352 |
$5K |
| 93225 |
|
69 |
68 |
$5K |
| 85014 |
|
1,352 |
1,291 |
$5K |
| 83516 |
|
105 |
95 |
$5K |
| 93226 |
|
69 |
68 |
$5K |
| 73590 |
|
70 |
67 |
$4K |
| 90686 |
|
2,602 |
2,587 |
$4K |
| 97110 |
|
89 |
26 |
$4K |
| 72070 |
|
54 |
53 |
$4K |
| 87634 |
|
63 |
63 |
$4K |
| 01936 |
|
59 |
54 |
$4K |
| 99218 |
|
56 |
49 |
$4K |
| 82950 |
|
646 |
645 |
$4K |
| 84550 |
|
623 |
598 |
$4K |
| 93970 |
|
28 |
26 |
$4K |
| 96127 |
|
607 |
573 |
$4K |
| 84479 |
|
465 |
449 |
$4K |
| J2270 |
Morphine sulfate injection |
4,564 |
3,833 |
$4K |
| 72050 |
|
40 |
39 |
$4K |
| G2211 |
Complex e/m visit add on |
235 |
217 |
$4K |
| 84481 |
|
174 |
171 |
$3K |
| 96161 |
|
789 |
647 |
$3K |
| 74022 |
|
27 |
27 |
$3K |
| J1642 |
Inj heparin sodium per 10 u |
2,924 |
992 |
$3K |
| J2250 |
Inj midazolam hydrochloride |
3,912 |
3,633 |
$3K |
| 87522 |
Neg quan hep c or qual rna |
54 |
52 |
$3K |
| 99383 |
|
17 |
17 |
$3K |
| 84145 |
|
194 |
192 |
$3K |
| 82248 |
|
427 |
270 |
$3K |
| 12002 |
|
26 |
26 |
$3K |
| 96160 |
|
1,053 |
589 |
$3K |
| 0001A |
|
69 |
66 |
$3K |
| 0071A |
|
68 |
68 |
$3K |
| G0444 |
Depression screen annual |
165 |
159 |
$3K |
| 70498 |
|
13 |
13 |
$3K |
| 0002A |
|
63 |
63 |
$3K |
| 86780 |
|
221 |
215 |
$2K |
| 99496 |
|
24 |
24 |
$2K |
| 96368 |
|
145 |
126 |
$2K |
| 85027 |
|
285 |
270 |
$2K |
| 95886 |
|
24 |
24 |
$2K |
| 27096 |
|
21 |
21 |
$2K |
| 82247 |
|
317 |
168 |
$2K |
| 70496 |
|
13 |
12 |
$2K |
| 10060 |
|
14 |
13 |
$2K |
| 71101 |
|
25 |
25 |
$2K |
| 95812 |
|
30 |
24 |
$2K |
| 0072A |
|
40 |
40 |
$2K |
| 86431 |
|
228 |
226 |
$2K |
| 86003 |
|
16 |
12 |
$1K |
| 94618 |
|
13 |
13 |
$1K |
| 73564 |
|
98 |
93 |
$1K |
| 86308 |
|
172 |
168 |
$1K |
| 87210 |
|
256 |
253 |
$1K |
| 29125 |
|
12 |
12 |
$1K |
| J1200 |
Diphenhydramine hcl injectio |
2,322 |
2,089 |
$1K |
| 76981 |
|
14 |
13 |
$1K |
| 82784 |
|
83 |
78 |
$1K |
| 86376 |
|
97 |
97 |
$1K |
| 72170 |
|
18 |
18 |
$1K |
| 99318 |
|
71 |
70 |
$1K |
| 87493 |
|
40 |
37 |
$1K |
| 83655 |
|
68 |
67 |
$1K |
| J2060 |
Lorazepam injection |
1,988 |
1,753 |
$1K |
| 88142 |
|
504 |
484 |
$1K |
| 90688 |
|
55 |
53 |
$935.61 |
| 77089 |
|
39 |
37 |
$926.28 |
| 99406 |
|
102 |
100 |
$893.74 |
| 90961 |
|
41 |
40 |
$870.12 |
| 80055 |
|
13 |
13 |
$831.28 |
| 73070 |
|
17 |
13 |
$816.13 |
| Q0162 |
Ondansetron oral |
67 |
60 |
$785.22 |
| 20611 |
|
12 |
12 |
$776.72 |
| 83013 |
|
12 |
12 |
$774.96 |
| J1170 |
Hydromorphone injection |
1,199 |
969 |
$706.62 |
| 73060 |
|
12 |
12 |
$682.05 |
| 90756 |
|
133 |
130 |
$591.60 |
| 83721 |
|
93 |
92 |
$590.05 |
| 88300 |
|
35 |
35 |
$572.83 |
| 99281 |
|
14 |
12 |
$554.18 |
| 80069 |
|
26 |
25 |
$478.46 |
| J2550 |
Promethazine hcl injection |
600 |
517 |
$475.74 |
| 90670 |
|
2,746 |
2,725 |
$472.11 |
| 99459 |
|
33 |
31 |
$462.86 |
| 99072 |
|
41 |
41 |
$460.00 |
| 90633 |
|
1,025 |
1,018 |
$453.80 |
| Q0091 |
Obtaining screen pap smear |
330 |
320 |
$446.67 |
| 0073A |
|
13 |
13 |
$440.00 |
| J2765 |
Metoclopramide hcl injection |
673 |
623 |
$388.62 |
| J0330 |
Succinycholine chloride inj |
255 |
202 |
$379.04 |
| 84403 |
|
12 |
12 |
$373.68 |
| 90648 |
|
1,177 |
1,164 |
$352.94 |
| 93227 |
|
14 |
14 |
$341.03 |
| 99307 |
|
16 |
14 |
$336.28 |
| 80164 |
|
18 |
14 |
$329.16 |
| 51702 |
|
12 |
12 |
$326.49 |
| J2360 |
Orphenadrine injection |
142 |
137 |
$324.18 |
| 96380 |
|
17 |
15 |
$276.90 |
| 84146 |
|
12 |
12 |
$225.16 |
| 90671 |
|
342 |
335 |
$189.86 |
| C1887 |
Catheter, guiding |
12 |
12 |
$185.69 |
| 86580 |
|
24 |
24 |
$184.03 |
| J7120 |
Ringers lactate infusion |
742 |
669 |
$170.74 |
| J7510 |
Prednisolone oral per 5 mg |
138 |
132 |
$163.69 |
| 90680 |
|
2,027 |
2,008 |
$158.12 |
| 94760 |
|
17 |
14 |
$154.83 |
| 87045 |
|
12 |
12 |
$147.72 |
| J1644 |
Inj heparin sodium per 1000u |
321 |
176 |
$143.27 |
| J3360 |
Diazepam injection |
105 |
88 |
$121.45 |
| J2919 |
Inj, methylpred sod succ 5mg |
192 |
176 |
$119.47 |
| J2543 |
Piperacillin/tazobactam |
153 |
125 |
$116.49 |
| 88302 |
|
12 |
12 |
$109.48 |
| 83037 |
|
12 |
12 |
$106.47 |
| A9585 |
Gadobutrol injection |
46 |
32 |
$90.17 |
| 90619 |
|
13 |
13 |
$74.90 |
| A4216 |
Sterile water/saline, 10 ml |
34 |
33 |
$70.40 |
| 90716 |
|
12 |
12 |
$68.94 |
| 90707 |
|
24 |
24 |
$68.94 |
| 91307 |
|
118 |
118 |
$40.00 |
| 91300 |
|
131 |
117 |
$40.00 |
| J0780 |
Prochlorperazine injection |
116 |
114 |
$37.92 |
| J3370 |
Vancomycin hcl injection |
43 |
37 |
$32.60 |
| J3475 |
Inj magnesium sulfate |
54 |
50 |
$30.25 |
| J7644 |
Ipratropium bromide non-comp |
166 |
155 |
$29.46 |
| G0008 |
Admin influenza virus vac |
33 |
32 |
$24.00 |
| Q2035 |
Afluria vacc, 3 yrs & >, im |
16 |
15 |
$18.24 |
| J3480 |
Inj potassium chloride |
16 |
12 |
$16.41 |
| J7620 |
Albuterol ipratrop non-comp |
138 |
133 |
$13.93 |
| J1940 |
Furosemide injection |
23 |
12 |
$9.64 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
218 |
134 |
$8.35 |
| J7613 |
Albuterol non-comp unit |
152 |
140 |
$8.07 |
| J2710 |
Neostigmine methylslfte inj |
12 |
12 |
$8.00 |
| J1790 |
Droperidol injection |
14 |
12 |
$5.15 |
| Q0245 |
Bamlanivimab and etesevima |
14 |
14 |
$0.90 |
| 90723 |
|
956 |
945 |
$0.00 |
| G8754 |
Dias bp less 90 |
336 |
328 |
$0.00 |
| 90697 |
|
167 |
167 |
$0.00 |
| 90651 |
|
75 |
74 |
$0.00 |
| 90677 |
|
554 |
552 |
$0.00 |
| G8883 |
Rev, comm, track, doc biopsy |
13 |
13 |
$0.00 |
| 90698 |
|
359 |
359 |
$0.00 |
| 1111F |
|
2,225 |
2,136 |
$0.00 |
| 90656 |
|
240 |
240 |
$0.00 |
| 3008F |
|
30 |
29 |
$0.00 |
| 90696 |
|
62 |
62 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
14 |
12 |
$0.00 |
| G8708 |
Antibiotic not pres |
28 |
27 |
$0.00 |
| 90710 |
|
52 |
52 |
$0.00 |
| G8482 |
Flu immunize order/admin |
29 |
29 |
$0.00 |
| G1004 |
Cdsm ndsc |
1,729 |
1,649 |
$0.00 |
| 1160F |
|
58 |
54 |
$0.00 |
| 90685 |
|
99 |
94 |
$0.00 |
| 90734 |
|
59 |
59 |
$0.00 |
| G8752 |
Sys bp less 140 |
139 |
136 |
$0.00 |
| G8483 |
Flu imm no admin doc rea |
38 |
38 |
$0.00 |
| 90966 |
|
36 |
36 |
$0.00 |
| 1159F |
|
58 |
54 |
$0.00 |
| 90380 |
|
15 |
15 |
$0.00 |