| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J9271 |
Inj pembrolizumab |
1,850 |
1,439 |
$24.52M |
| 0450 |
|
125,650 |
112,093 |
$11.28M |
| 0510 |
|
226,873 |
180,117 |
$8.06M |
| 78815 |
|
5,499 |
5,443 |
$7.54M |
| J9035 |
Bevacizumab injection |
3,421 |
1,702 |
$7.02M |
| 70553 |
|
9,046 |
8,953 |
$6.93M |
| 77386 |
|
12,482 |
1,337 |
$6.20M |
| 74177 |
|
21,794 |
21,223 |
$5.80M |
| 99284 |
|
10,536 |
9,389 |
$5.50M |
| J9299 |
Injection, nivolumab |
798 |
433 |
$5.18M |
| J2505 |
Injection, pegfilgrastim 6mg |
1,148 |
830 |
$4.98M |
| 80053 |
|
219,562 |
164,799 |
$4.51M |
| J2350 |
Injection, ocrelizumab, 1 mg |
158 |
144 |
$4.28M |
| 87637 |
|
26,840 |
25,796 |
$4.10M |
| J9355 |
Inj trastuzumab excl biosimi |
867 |
564 |
$3.99M |
| U0004 |
Cov-19 test non-cdc hgh thru |
49,751 |
44,307 |
$3.87M |
| J0897 |
Denosumab injection |
1,966 |
1,866 |
$3.81M |
| J0585 |
Injection,onabotulinumtoxina |
4,107 |
3,396 |
$3.77M |
| Q3014 |
Telehealth facility fee |
174,959 |
141,554 |
$3.45M |
| 99283 |
|
7,155 |
5,979 |
$3.13M |
| J1745 |
Infliximab not biosimil 10mg |
1,170 |
795 |
$2.98M |
| J2506 |
Inj pegfilgrast ex bio 0.5mg |
1,258 |
962 |
$2.91M |
| 93306 |
|
12,209 |
12,012 |
$2.77M |
| J2323 |
Natalizumab injection |
379 |
350 |
$2.72M |
| 99281 |
|
8,254 |
7,556 |
$2.68M |
| 99211 |
|
67,625 |
56,033 |
$2.67M |
| 71260 |
|
12,260 |
12,106 |
$2.58M |
| G0463 |
Hospital outpt clinic visit |
114,658 |
87,268 |
$2.54M |
| 96374 |
|
31,784 |
28,175 |
$2.40M |
| J0178 |
Aflibercept injection |
2,470 |
2,319 |
$2.35M |
| 85025 |
|
207,403 |
153,249 |
$2.35M |
| 96365 |
|
20,505 |
16,133 |
$2.12M |
| 78816 |
|
1,191 |
1,179 |
$1.97M |
| 74183 |
|
5,316 |
5,251 |
$1.86M |
| 71275 |
|
5,298 |
5,176 |
$1.82M |
| 96375 |
|
33,200 |
25,344 |
$1.75M |
| 96413 |
|
26,730 |
17,355 |
$1.73M |
| J1569 |
Gammagard liquid injection |
958 |
296 |
$1.73M |
| 70450 |
|
9,535 |
9,149 |
$1.72M |
| 93005 |
|
51,868 |
47,024 |
$1.66M |
| 99285 |
|
6,478 |
5,822 |
$1.54M |
| 99202 |
|
2,657 |
2,102 |
$1.54M |
| A9552 |
F18 fdg |
5,186 |
5,127 |
$1.51M |
| 70551 |
|
2,971 |
2,923 |
$1.46M |
| 72197 |
|
3,769 |
3,645 |
$1.35M |
| 74174 |
|
2,060 |
2,033 |
$1.32M |
| 99070 |
|
162,369 |
56,759 |
$1.21M |
| 77300 |
|
2,747 |
2,432 |
$1.20M |
| 72156 |
|
1,211 |
1,203 |
$1.20M |
| J9144 |
Daratumumab, hyaluronidase |
151 |
78 |
$1.19M |
| 77295 |
|
1,386 |
1,146 |
$1.18M |
| U0003 |
Cov-19 amp prb hgh thruput |
16,047 |
14,956 |
$1.13M |
| 77301 |
|
924 |
869 |
$1.09M |
| 72148 |
|
2,987 |
2,970 |
$1.07M |
| 77373 |
|
710 |
254 |
$1.06M |
| J1459 |
Inj ivig privigen 500 mg |
365 |
120 |
$1.06M |
| 71250 |
|
6,142 |
6,077 |
$1.06M |
| 72157 |
|
1,198 |
1,188 |
$1.03M |
| 96361 |
|
18,402 |
13,112 |
$997K |
| 72125 |
|
3,503 |
3,414 |
$866K |
| 93975 |
|
3,654 |
3,587 |
$845K |
| 71046 |
|
26,050 |
24,000 |
$829K |
| 72158 |
|
931 |
920 |
$823K |
| 96360 |
|
9,002 |
6,583 |
$817K |
| 77334 |
|
3,594 |
2,349 |
$755K |
| 72141 |
|
1,697 |
1,687 |
$746K |
| 70543 |
|
1,687 |
1,675 |
$736K |
| 99201 |
|
1,539 |
1,258 |
$712K |
| 97139 |
|
33,873 |
10,758 |
$692K |
| 83735 |
|
43,619 |
26,834 |
$690K |
| 84443 |
|
33,209 |
30,667 |
$686K |
| P9040 |
Rbc leukoreduced irradiated |
2,670 |
1,889 |
$683K |
| C9803 |
Hopd covid-19 spec collect |
32,283 |
28,877 |
$681K |
| 73721 |
|
1,845 |
1,733 |
$673K |
| 96372 |
|
21,920 |
15,838 |
$649K |
| 87632 |
|
3,711 |
3,609 |
$633K |
| 0762 |
|
8,427 |
5,450 |
$617K |
| 95810 |
|
2,028 |
2,026 |
$591K |
| 70498 |
|
1,579 |
1,557 |
$579K |
| J1453 |
Fosaprepitant injection |
4,396 |
3,000 |
$577K |
| 84484 |
|
28,980 |
24,685 |
$565K |
| J9305 |
Inj. pemetrexed nos 10mg |
283 |
106 |
$562K |
| 99231 |
|
9,491 |
7,748 |
$554K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
38,669 |
36,939 |
$552K |
| 93970 |
|
3,280 |
3,218 |
$551K |
| J9312 |
Inj., rituximab, 10 mg |
129 |
53 |
$544K |
| 0370 |
|
3,133 |
2,965 |
$533K |
| 82803 |
|
14,258 |
13,153 |
$526K |
| 70496 |
|
1,608 |
1,588 |
$519K |
| J3490 |
Drugs unclassified injection |
52,858 |
20,196 |
$513K |
| 80197 |
|
27,871 |
14,346 |
$508K |
| 96366 |
|
6,859 |
4,549 |
$506K |
| 96367 |
|
7,742 |
5,631 |
$500K |
| 0250 |
|
25,049 |
10,083 |
$491K |
| G0480 |
Drug test def 1-7 classes |
7,202 |
6,407 |
$491K |
| 87507 |
|
1,103 |
1,085 |
$490K |
| 76700 |
|
6,449 |
6,401 |
$485K |
| 88305 |
|
9,489 |
9,231 |
$470K |
| A9577 |
Inj multihance |
11,514 |
11,187 |
$460K |
| 76705 |
|
6,403 |
6,205 |
$436K |
| 96417 |
|
7,214 |
4,845 |
$430K |
| 77412 |
|
5,547 |
836 |
$429K |
| 87497 |
|
8,399 |
5,193 |
$422K |
| 96415 |
|
7,253 |
5,342 |
$419K |
| 0270 |
|
77,702 |
21,585 |
$411K |
| 93976 |
|
2,641 |
2,620 |
$408K |
| 82306 |
|
14,625 |
14,303 |
$401K |
| 67028 |
|
9,768 |
8,537 |
$401K |
| 93350 |
|
3,081 |
3,047 |
$396K |
| 70544 |
|
1,476 |
1,443 |
$394K |
| 86850 |
|
25,112 |
19,011 |
$388K |
| 70486 |
|
1,719 |
1,703 |
$375K |
| 92557 |
|
6,976 |
6,911 |
$365K |
| 86832 |
|
2,480 |
2,399 |
$365K |
| 86923 |
|
3,301 |
2,740 |
$360K |
| 93971 |
|
3,295 |
3,193 |
$359K |
| 81382 |
|
471 |
401 |
$358K |
| 81001 |
|
58,224 |
53,905 |
$356K |
| 88185 |
|
862 |
794 |
$351K |
| 77338 |
|
1,018 |
913 |
$351K |
| 72131 |
|
1,504 |
1,490 |
$348K |
| 74160 |
|
1,389 |
1,376 |
$347K |
| 93325 |
|
3,156 |
3,102 |
$344K |
| 93017 |
|
3,968 |
3,908 |
$341K |
| 71045 |
|
18,022 |
17,014 |
$332K |
| 87633 |
|
1,190 |
1,109 |
$332K |
| 97750 |
|
7,978 |
5,407 |
$323K |
| 77336 |
|
5,486 |
3,049 |
$322K |
| Z7502 |
|
8,981 |
8,265 |
$321K |
| 95811 |
|
1,174 |
1,166 |
$316K |
| 99291 |
|
583 |
566 |
$310K |
| 93308 |
|
2,795 |
2,716 |
$309K |
| J9217 |
Leuprolide acetate suspnsion |
617 |
591 |
$306K |
| 87591 |
|
5,476 |
5,361 |
$303K |
| 76856 |
|
3,906 |
3,861 |
$303K |
| 76830 |
|
4,026 |
3,954 |
$297K |
| 87491 |
|
5,475 |
5,361 |
$296K |
| 70491 |
|
1,203 |
1,190 |
$290K |
| 88341 |
|
1,594 |
1,545 |
$283K |
| 99199 |
|
5,283 |
4,427 |
$279K |
| 86833 |
|
2,461 |
2,380 |
$278K |
| 72128 |
|
966 |
957 |
$273K |
| 87040 |
|
6,938 |
6,362 |
$272K |
| 87086 |
|
22,532 |
21,324 |
$271K |
| 93303 |
|
1,259 |
1,243 |
$269K |
| 85027 |
|
30,413 |
26,810 |
$267K |
| 75574 |
|
1,002 |
1,001 |
$265K |
| 83605 |
|
15,462 |
13,840 |
$264K |
| 81378 |
|
621 |
498 |
$262K |
| 80061 |
|
21,863 |
21,170 |
$261K |
| 93320 |
|
2,969 |
2,920 |
$258K |
| 87799 |
|
4,706 |
3,540 |
$258K |
| 86900 |
|
26,731 |
20,315 |
$254K |
| 86480 |
|
5,402 |
5,298 |
$253K |
| 80307 |
|
2,755 |
2,606 |
$253K |
| 83970 |
|
6,090 |
5,897 |
$251K |
| 74176 |
|
2,042 |
1,988 |
$251K |
| 83036 |
|
27,148 |
26,419 |
$250K |
| 86901 |
|
26,219 |
19,918 |
$250K |
| Q5107 |
Inj mvasi 10 mg |
141 |
44 |
$249K |
| 0272 |
|
1,921 |
1,666 |
$248K |
| 83880 |
|
9,102 |
8,526 |
$246K |
| V5298 |
Hearing aid noc |
182 |
182 |
$245K |
| 83690 |
|
21,348 |
19,589 |
$244K |
| 80048 |
|
22,602 |
19,877 |
$244K |
| 94640 |
|
7,406 |
5,035 |
$242K |
| 77290 |
|
1,242 |
1,110 |
$240K |
| J1610 |
Glucagon hydrochloride/1 mg |
1,130 |
1,122 |
$240K |
| 74178 |
|
978 |
961 |
$239K |
| 73221 |
|
648 |
629 |
$234K |
| 94375 |
|
5,207 |
4,742 |
$231K |
| 85610 |
|
35,237 |
29,120 |
$231K |
| 84100 |
|
26,410 |
15,855 |
$219K |
| 77470 |
|
790 |
767 |
$218K |
| 77067 |
|
3,395 |
3,382 |
$213K |
| 82728 |
|
13,128 |
11,323 |
$206K |
| 85730 |
|
17,395 |
15,783 |
$205K |
| 76536 |
|
3,148 |
3,123 |
$205K |
| 77049 |
|
354 |
354 |
$202K |
| 78830 |
|
431 |
421 |
$197K |
| 97799 |
|
9,816 |
3,129 |
$187K |
| 94729 |
|
4,024 |
3,958 |
$186K |
| G0378 |
Hospital observation per hr |
3,057 |
2,675 |
$186K |
| J2469 |
Palonosetron hcl |
3,317 |
1,993 |
$184K |
| 0121 |
|
18 |
18 |
$182K |
| 86140 |
|
19,168 |
17,256 |
$181K |
| 0760 |
|
5,857 |
5,026 |
$180K |
| 76770 |
|
2,394 |
2,356 |
$180K |
| Q5119 |
Inj ruxience, 10 mg |
123 |
43 |
$176K |
| 77066 |
Tomosynthesis, mammo |
1,808 |
1,796 |
$173K |
| 76642 |
|
2,803 |
2,442 |
$173K |
| 93296 |
|
5,034 |
5,022 |
$170K |
| 84439 |
|
13,452 |
11,991 |
$168K |
| 73630 |
|
5,444 |
4,792 |
$160K |
| T1999 |
Noc retail items andsupplies |
38,748 |
12,007 |
$159K |
| 73610 |
|
4,271 |
3,999 |
$153K |
| 73030 |
|
5,346 |
4,911 |
$148K |
| 88342 |
|
3,430 |
3,355 |
$147K |
| 0681 |
|
283 |
283 |
$146K |
| 70549 |
|
365 |
361 |
$144K |
| 93880 |
|
1,143 |
1,123 |
$141K |
| 82378 |
|
6,176 |
4,657 |
$140K |
| 87631 |
|
2,596 |
2,532 |
$138K |
| 0710 |
|
1,657 |
1,520 |
$137K |
| 96416 |
|
1,451 |
924 |
$136K |
| 78452 |
|
372 |
366 |
$136K |
| 83615 |
|
13,857 |
9,470 |
$134K |
| 82962 |
|
16,812 |
13,418 |
$134K |
| 87798 |
|
1,750 |
1,626 |
$130K |
| 96401 |
|
3,425 |
1,694 |
$130K |
| 99152 |
|
2,721 |
2,591 |
$129K |
| 94060 |
|
2,377 |
2,342 |
$128K |
| 87517 |
|
3,233 |
3,060 |
$126K |
| 81455 |
|
57 |
57 |
$125K |
| 87635 |
|
2,430 |
2,343 |
$123K |
| 80306 |
|
3,730 |
3,505 |
$122K |
| P9073 |
Platelets pheresis path redu |
242 |
105 |
$118K |
| 83550 |
|
13,499 |
12,511 |
$118K |
| 85379 |
|
4,964 |
4,274 |
$109K |
| 82024 |
|
2,681 |
2,163 |
$107K |
| 87340 |
|
6,757 |
6,584 |
$106K |
| 87186 |
|
7,724 |
7,389 |
$105K |
| 90677 |
|
699 |
698 |
$104K |
| V2632 |
Post chmbr intraocular lens |
901 |
863 |
$104K |
| 82533 |
|
4,064 |
3,374 |
$104K |
| 87077 |
|
11,272 |
10,585 |
$103K |
| 87150 |
|
3,990 |
3,890 |
$103K |
| 96402 |
|
3,498 |
3,266 |
$102K |
| 87486 |
|
3,488 |
3,407 |
$101K |
| 76817 |
|
1,342 |
1,162 |
$101K |
| 87581 |
|
3,486 |
3,406 |
$101K |
| 92507 |
|
2,762 |
1,962 |
$101K |
| 86803 |
|
5,771 |
5,660 |
$101K |
| 83540 |
|
13,938 |
12,897 |
$101K |
| 84403 |
|
3,257 |
3,066 |
$100K |
| 87389 |
|
4,890 |
4,795 |
$98K |
| 97110 |
|
12,170 |
6,905 |
$98K |
| 80180 |
|
8,576 |
3,689 |
$98K |
| 99153 |
Mod sedat endo service >5yrs |
1,993 |
1,926 |
$97K |
| 78264 |
|
402 |
402 |
$96K |
| 93246 |
|
3,936 |
3,883 |
$95K |
| 96411 |
|
1,961 |
1,430 |
$94K |
| 73590 |
|
2,070 |
1,948 |
$94K |
| Z7500 |
|
4,207 |
3,431 |
$94K |
| 0761 |
|
1,113 |
946 |
$94K |
| 92550 |
|
4,269 |
4,247 |
$94K |
| 72146 |
|
230 |
230 |
$93K |
| 82784 |
|
7,458 |
6,712 |
$93K |
| 73110 |
|
2,991 |
2,780 |
$93K |
| J2405 |
Ondansetron hcl injection |
15,475 |
12,712 |
$91K |
| 97165 |
|
2,426 |
2,048 |
$90K |
| 73700 |
|
389 |
363 |
$89K |
| 86704 |
|
4,858 |
4,748 |
$89K |
| 73562 |
|
3,501 |
3,035 |
$88K |
| 84153 |
|
4,629 |
4,250 |
$88K |
| 75561 |
|
167 |
166 |
$88K |
| 94618 |
|
2,421 |
2,375 |
$88K |
| 73130 |
|
2,647 |
2,403 |
$87K |
| 77080 |
|
3,453 |
3,442 |
$87K |
| J9045 |
Carboplatin injection |
1,900 |
1,373 |
$87K |
| J9395 |
Injection, fulvestrant |
175 |
150 |
$86K |
| 87070 |
|
4,734 |
4,468 |
$85K |
| 82977 |
|
8,362 |
5,202 |
$84K |
| 74018 |
|
2,758 |
2,597 |
$84K |
| 76937 |
|
1,716 |
1,412 |
$84K |
| 93454 |
|
93 |
93 |
$84K |
| 87522 |
Neg quan hep c or qual rna |
1,737 |
1,665 |
$83K |
| J2182 |
Injection, mepolizumab, 1mg |
26 |
24 |
$82K |
| 36415 |
|
52,324 |
40,188 |
$80K |
| 93990 |
|
472 |
452 |
$80K |
| J0131 |
Inj, acetaminophen (nos) |
1,709 |
1,602 |
$80K |
| 82105 |
|
4,806 |
4,409 |
$79K |
| 77073 |
|
3,506 |
3,437 |
$78K |
| Q5118 |
Inj., zirabev, 10 mg |
93 |
27 |
$78K |
| 0001A |
|
2,191 |
2,187 |
$78K |
| J1750 |
Inj iron dextran |
420 |
195 |
$78K |
| 0002A |
|
1,966 |
1,963 |
$77K |
| J1170 |
Hydromorphone injection |
7,357 |
5,706 |
$75K |
| 77065 |
Tomosynthesis, mammo |
871 |
857 |
$75K |
| 86334 |
|
4,828 |
4,410 |
$75K |
| 86665 |
|
2,066 |
2,036 |
$74K |
| J3010 |
Fentanyl citrate injection |
9,115 |
7,937 |
$74K |
| 82565 |
|
12,124 |
11,882 |
$74K |
| 83883 |
|
4,783 |
4,280 |
$74K |
| 87624 |
|
2,201 |
2,186 |
$71K |
| 76870 |
|
948 |
919 |
$70K |
| 84702 |
|
3,892 |
3,404 |
$70K |
| 82746 |
|
3,700 |
3,648 |
$68K |
| 72195 |
|
237 |
211 |
$67K |
| 73552 |
|
1,525 |
1,418 |
$65K |
| 82570 |
|
13,900 |
12,692 |
$65K |
| 93925 |
|
448 |
443 |
$65K |
| 81003 |
|
15,629 |
9,825 |
$65K |
| 73564 |
|
1,484 |
1,381 |
$64K |
| 96409 |
|
1,158 |
820 |
$64K |
| 87536 |
|
828 |
801 |
$63K |
| 73502 |
|
2,049 |
1,946 |
$63K |
| 86706 |
|
3,715 |
3,619 |
$62K |
| J9190 |
Fluorouracil injection |
2,764 |
1,464 |
$62K |
| 90715 |
|
2,036 |
2,018 |
$61K |
| J1885 |
Ketorolac tromethamine inj |
10,660 |
9,644 |
$61K |
| 43239 |
|
438 |
430 |
$60K |
| 72100 |
|
2,228 |
2,165 |
$59K |
| 86301 |
|
3,868 |
2,811 |
$58K |
| A9595 |
Piflu f-18, dia 1 millicurie |
15 |
14 |
$57K |
| 72170 |
|
1,962 |
1,927 |
$57K |
| 97112 |
|
4,750 |
3,051 |
$56K |
| 96910 |
|
1,586 |
264 |
$56K |
| J9263 |
Oxaliplatin |
1,499 |
554 |
$56K |
| 81479 |
|
498 |
405 |
$55K |
| 97140 |
|
5,543 |
3,167 |
$55K |
| J9267 |
Paclitaxel injection |
1,276 |
715 |
$54K |
| 82550 |
|
5,362 |
4,878 |
$54K |
| 77387 |
|
666 |
131 |
$54K |
| 90686 |
|
2,605 |
2,577 |
$53K |
| 86360 |
|
1,282 |
1,252 |
$52K |
| 87880 |
|
3,236 |
3,197 |
$52K |
| A9585 |
Gadobutrol injection |
6,998 |
6,789 |
$51K |
| 93922 |
|
659 |
656 |
$51K |
| 73080 |
|
1,543 |
1,478 |
$50K |
| 86304 |
|
2,834 |
2,286 |
$50K |
| 82805 |
|
1,176 |
1,104 |
$49K |
| Z7610 |
|
15,256 |
5,578 |
$49K |
| 82670 |
|
1,064 |
1,015 |
$47K |
| 93321 |
|
1,138 |
1,096 |
$46K |
| J9202 |
Goserelin acetate implant |
37 |
37 |
$46K |
| J1100 |
Dexamethasone sodium phos |
5,858 |
4,914 |
$46K |
| J9201 |
In gemcitabine hcl nos 200mg |
1,459 |
585 |
$46K |
| 95700 |
|
109 |
91 |
$46K |
| 95708 |
|
56 |
56 |
$45K |
| 86359 |
|
1,308 |
1,276 |
$45K |
| 86235 |
|
1,056 |
1,011 |
$44K |
| 95913 |
|
112 |
112 |
$44K |
| 77280 |
|
543 |
516 |
$44K |
| 86160 |
|
2,245 |
2,122 |
$44K |
| 85652 |
|
11,316 |
10,833 |
$44K |
| 96139 |
|
206 |
205 |
$43K |
| 93926 |
|
413 |
406 |
$43K |
| 81025 |
|
4,593 |
4,427 |
$43K |
| 88184 |
|
907 |
856 |
$43K |
| J2930 |
Methylprednisolone injection |
1,980 |
1,465 |
$42K |
| 73560 |
|
1,618 |
1,484 |
$41K |
| J2704 |
Inj, propofol, 10 mg |
3,863 |
3,288 |
$41K |
| 82607 |
|
5,174 |
5,053 |
$41K |
| G0500 |
Mod sedat endo service >5yrs |
615 |
612 |
$40K |
| J9171 |
Docetaxel injection |
271 |
188 |
$40K |
| 95886 |
|
531 |
526 |
$40K |
| 99213 |
|
655 |
389 |
$40K |
| J3475 |
Inj magnesium sulfate |
5,103 |
3,632 |
$40K |
| 88360 |
|
763 |
735 |
$40K |
| J1200 |
Diphenhydramine hcl injectio |
6,897 |
5,254 |
$39K |
| 82248 |
|
5,340 |
4,533 |
$39K |
| 86038 |
|
2,891 |
2,854 |
$39K |
| 93225 |
|
761 |
747 |
$39K |
| 85384 |
|
1,753 |
1,063 |
$39K |
| 77370 |
|
187 |
185 |
$38K |
| 91122 |
|
429 |
428 |
$38K |
| 73501 |
|
1,516 |
1,487 |
$38K |
| 66984 |
|
237 |
216 |
$38K |
| 36430 |
|
419 |
270 |
$38K |
| 86977 |
|
717 |
693 |
$38K |
| J3111 |
Inj. romosozumab-aqqg 1 mg |
24 |
24 |
$37K |
| 74019 |
|
639 |
622 |
$37K |
| 86708 |
|
2,181 |
2,130 |
$36K |
| 84550 |
|
5,103 |
4,210 |
$36K |
| 64615 |
|
1,247 |
1,241 |
$36K |
| 87661 |
|
929 |
920 |
$36K |
| J0696 |
Ceftriaxone sodium injection |
4,792 |
4,236 |
$35K |
| 0012A |
|
913 |
911 |
$35K |
| 74220 |
|
708 |
705 |
$35K |
| 72040 |
|
1,121 |
1,099 |
$35K |
| J9075 |
Inj, cyclophosphamide, nos |
201 |
64 |
$34K |
| J1815 |
Insulin injection |
1,128 |
709 |
$33K |
| 96377 |
|
809 |
678 |
$33K |
| 86769 |
|
833 |
806 |
$33K |
| J0780 |
Prochlorperazine injection |
2,960 |
2,616 |
$32K |
| 84432 |
|
1,563 |
1,463 |
$32K |
| 94726 |
|
614 |
609 |
$31K |
| 96133 |
|
199 |
197 |
$31K |
| 92014 |
|
2,861 |
2,800 |
$31K |
| 88307 |
|
333 |
326 |
$31K |
| 94644 |
|
758 |
728 |
$30K |
| J2785 |
Regadenoson injection |
171 |
162 |
$30K |
| J0134 |
Inj acetaminophen -fresenius |
769 |
740 |
$30K |
| 87636 |
|
382 |
364 |
$30K |
| U0002 |
Covid-19 lab test non-cdc |
610 |
584 |
$30K |
| 92012 |
|
1,501 |
1,457 |
$29K |
| 0011A |
|
974 |
973 |
$29K |
| 76604 |
|
502 |
499 |
$29K |
| 86225 |
|
1,658 |
1,617 |
$29K |
| 76882 |
|
1,014 |
927 |
$29K |
| 72082 |
|
734 |
720 |
$28K |
| 86664 |
|
1,145 |
1,130 |
$28K |
| J2250 |
Inj midazolam hydrochloride |
5,751 |
5,328 |
$28K |
| 88312 |
|
776 |
759 |
$28K |
| 78306 |
|
169 |
168 |
$27K |
| 90471 |
|
4,804 |
4,643 |
$27K |
| 87205 |
|
3,195 |
2,919 |
$27K |
| 91065 |
|
499 |
463 |
$27K |
| 83525 |
|
1,550 |
1,539 |
$27K |
| J2270 |
Morphine sulfate injection |
2,823 |
2,435 |
$26K |
| 86787 |
|
1,123 |
1,092 |
$26K |
| J3489 |
Zoledronic acid 1mg |
795 |
764 |
$26K |
| 90694 |
|
1,712 |
1,704 |
$26K |
| 83516 |
|
2,211 |
2,160 |
$26K |
| 84132 |
|
2,911 |
2,780 |
$25K |
| 96116 |
|
343 |
339 |
$25K |
| 84425 |
|
1,508 |
1,483 |
$25K |
| 85045 |
|
4,856 |
4,007 |
$25K |
| 80069 |
|
2,791 |
2,564 |
$25K |
| 86870 |
|
695 |
512 |
$24K |
| 70552 |
|
47 |
45 |
$24K |
| A9581 |
Gadoxetate disodium inj |
144 |
139 |
$24K |
| 73090 |
|
816 |
789 |
$24K |
| 84295 |
|
2,711 |
2,610 |
$23K |
| 87102 |
|
1,571 |
1,438 |
$23K |
| 94010 |
|
359 |
345 |
$23K |
| 86780 |
|
2,144 |
2,043 |
$23K |
| 80177 |
|
1,882 |
1,815 |
$23K |
| 84156 |
|
6,425 |
5,638 |
$23K |
| J9070 |
Cyclophosphamide 100 mg inj |
101 |
38 |
$22K |
| 96368 |
|
591 |
478 |
$22K |
| 76512 |
|
444 |
400 |
$22K |
| 82947 |
|
2,979 |
2,869 |
$22K |
| 76801 |
|
282 |
271 |
$21K |
| 82330 |
|
1,174 |
1,027 |
$21K |
| A9502 |
Tc99m tetrofosmin |
284 |
257 |
$21K |
| 86663 |
|
1,134 |
1,119 |
$21K |
| 0003A |
|
517 |
517 |
$21K |
| 92134 |
|
10,730 |
10,341 |
$21K |
| 81373 |
|
135 |
93 |
$20K |
| 88142 |
|
2,184 |
2,178 |
$20K |
| 92567 |
|
1,350 |
1,337 |
$20K |
| 93280 |
|
1,305 |
1,269 |
$20K |
| 87116 |
|
1,271 |
1,056 |
$20K |
| 80076 |
|
1,814 |
1,728 |
$20K |
| 73140 |
|
953 |
892 |
$20K |
| 95819 |
|
93 |
93 |
$20K |
| J2919 |
Inj, methylpred sod succ 5mg |
414 |
311 |
$20K |
| 31231 |
|
1,173 |
1,163 |
$19K |
| 88323 |
|
438 |
430 |
$19K |
| 85014 |
|
3,000 |
2,878 |
$19K |
| 82042 |
|
7,509 |
7,178 |
$19K |
| 83001 |
|
743 |
724 |
$18K |
| J2765 |
Metoclopramide hcl injection |
2,876 |
2,661 |
$18K |
| 86141 |
|
1,654 |
1,619 |
$18K |
| 90732 |
|
344 |
336 |
$18K |
| 97116 |
|
1,290 |
851 |
$18K |
| 80195 |
|
1,182 |
712 |
$18K |
| 11043 |
|
795 |
470 |
$18K |
| 31579 |
|
497 |
494 |
$17K |
| 95911 |
|
52 |
52 |
$17K |
| 36592 |
|
284 |
162 |
$17K |
| 71271 |
|
259 |
258 |
$17K |
| J1644 |
Inj heparin sodium per 1000u |
2,565 |
1,572 |
$17K |
| 82140 |
|
858 |
745 |
$17K |
| 88240 |
|
998 |
890 |
$17K |
| 86255 |
|
629 |
625 |
$17K |
| A9541 |
Tc99m sulfur colloid |
270 |
270 |
$17K |
| 76775 |
|
219 |
215 |
$16K |
| 85651 |
|
1,934 |
1,904 |
$16K |
| 90750 |
|
80 |
80 |
$16K |
| 51798 |
|
1,883 |
1,852 |
$16K |
| 84480 |
|
788 |
743 |
$16K |
| 74230 |
|
300 |
296 |
$16K |
| J2001 |
Lidocaine injection |
3,943 |
3,524 |
$16K |
| 92612 |
|
130 |
128 |
$16K |
| 73060 |
|
519 |
504 |
$15K |
| 94621 |
|
51 |
51 |
$15K |
| 83695 |
|
1,358 |
1,347 |
$15K |
| J3301 |
Triamcinolone acet inj nos |
1,465 |
1,391 |
$15K |
| 83010 |
|
1,031 |
902 |
$15K |
| 92083 |
|
2,959 |
2,909 |
$15K |
| 96132 |
|
169 |
168 |
$15K |
| 0064A |
|
412 |
412 |
$15K |
| 87529 |
|
351 |
339 |
$15K |
| 74328 |
|
59 |
58 |
$14K |
| 86705 |
|
983 |
964 |
$14K |
| 99214 |
|
411 |
383 |
$14K |
| 88173 |
|
222 |
219 |
$14K |
| 73718 |
|
73 |
67 |
$14K |
| P9016 |
Rbc leukocytes reduced |
52 |
48 |
$14K |
| 90670 |
|
165 |
159 |
$14K |
| 87493 |
|
458 |
450 |
$14K |
| J1642 |
Inj heparin sodium per 10 u |
1,347 |
668 |
$14K |
| 88304 |
|
582 |
578 |
$14K |
| 92504 |
|
839 |
804 |
$13K |
| 86696 |
|
850 |
824 |
$13K |
| 92526 |
|
467 |
421 |
$13K |
| 86695 |
|
850 |
824 |
$13K |
| 86644 |
|
992 |
978 |
$13K |
| 86003 |
|
115 |
112 |
$13K |
| 70480 |
|
68 |
68 |
$13K |
| 86357 |
|
397 |
385 |
$12K |
| J1650 |
Inj enoxaparin sodium |
1,652 |
1,010 |
$12K |
| 86592 |
|
2,258 |
2,227 |
$12K |
| 90675 |
|
31 |
12 |
$12K |
| 80175 |
|
1,057 |
1,025 |
$12K |
| 83090 |
|
833 |
822 |
$11K |
| 86355 |
|
396 |
384 |
$11K |
| J1790 |
Droperidol injection |
771 |
705 |
$11K |
| 76942 |
|
152 |
143 |
$11K |
| 88112 |
|
270 |
267 |
$11K |
| 82150 |
|
761 |
596 |
$11K |
| 91200 |
|
388 |
388 |
$11K |
| 94727 |
|
305 |
295 |
$11K |
| 95983 |
|
275 |
264 |
$11K |
| 36591 |
|
859 |
692 |
$11K |
| 70481 |
|
24 |
24 |
$10K |
| 86431 |
|
1,377 |
1,356 |
$10K |
| 72110 |
|
294 |
292 |
$10K |
| 92020 |
|
726 |
720 |
$10K |
| J1940 |
Furosemide injection |
1,972 |
1,747 |
$10K |
| 97162 |
|
787 |
771 |
$10K |
| M0222 |
Bebtelovimab injection |
41 |
41 |
$10K |
| J2060 |
Lorazepam injection |
1,652 |
1,312 |
$10K |
| 83993 |
|
637 |
634 |
$10K |
| 99282 |
|
193 |
181 |
$10K |
| 97163 |
|
353 |
352 |
$9K |
| 92136 |
|
862 |
860 |
$9K |
| 97803 |
|
1,230 |
1,185 |
$9K |
| 95800 |
|
62 |
62 |
$9K |
| 83921 |
|
903 |
892 |
$9K |
| J9206 |
Irinotecan injection |
296 |
111 |
$9K |
| 94645 |
|
117 |
113 |
$9K |
| J0640 |
Leucovorin calcium injection |
192 |
90 |
$9K |
| 96138 |
|
204 |
203 |
$9K |
| J0690 |
Cefazolin sodium injection |
1,344 |
1,011 |
$8K |
| 84146 |
|
276 |
271 |
$8K |
| 95910 |
|
29 |
29 |
$8K |
| 82040 |
|
1,443 |
1,402 |
$8K |
| 92523 |
|
64 |
64 |
$8K |
| J0885 |
Epoetin alfa, non-esrd |
110 |
58 |
$8K |
| 82107 |
|
133 |
130 |
$8K |
| 70487 |
|
13 |
13 |
$8K |
| 86308 |
|
696 |
691 |
$7K |
| 89050 |
|
778 |
653 |
$7K |
| 90662 |
|
1,089 |
1,028 |
$7K |
| 84478 |
|
722 |
544 |
$7K |
| 87206 |
|
1,237 |
882 |
$7K |
| 86335 |
|
445 |
438 |
$7K |
| 73200 |
|
41 |
39 |
$7K |
| 95885 |
|
139 |
139 |
$7K |
| 84703 |
|
297 |
272 |
$7K |
| 97161 |
|
735 |
708 |
$7K |
| 45380 |
|
145 |
144 |
$7K |
| M0247 |
Sotrovimab infusion |
19 |
15 |
$7K |
| 97530 |
|
2,025 |
1,576 |
$7K |
| 84630 |
|
496 |
494 |
$6K |
| 88237 |
|
94 |
94 |
$6K |
| 70355 |
|
170 |
170 |
$6K |
| 80074 |
|
65 |
64 |
$6K |
| G0279 |
Tomosynthesis, mammo |
1,142 |
1,134 |
$6K |
| 72190 |
|
116 |
112 |
$6K |
| 92585 |
|
24 |
24 |
$6K |
| 95924 |
|
39 |
39 |
$6K |
| 76519 |
|
170 |
168 |
$6K |
| 87533 |
|
104 |
64 |
$6K |
| 96376 |
|
1,017 |
758 |
$6K |
| 72070 |
|
134 |
131 |
$6K |
| 76815 |
|
66 |
65 |
$6K |
| C1769 |
Guide wire |
187 |
169 |
$5K |
| 86147 |
|
130 |
130 |
$5K |
| M0220 |
Tixagev and cilgav inj |
34 |
34 |
$5K |
| 71020 |
|
104 |
86 |
$5K |
| 73521 |
|
135 |
134 |
$5K |
| 92133 |
|
2,766 |
2,730 |
$5K |
| 86146 |
|
129 |
129 |
$5K |
| 85347 |
|
252 |
233 |
$5K |
| 82010 |
|
395 |
376 |
$5K |
| 73000 |
|
142 |
135 |
$5K |
| 87081 |
|
479 |
456 |
$5K |
| 87015 |
|
471 |
363 |
$5K |
| 82610 |
|
429 |
388 |
$5K |
| 85670 |
|
616 |
321 |
$5K |
| 90656 |
|
200 |
200 |
$5K |
| 82525 |
|
395 |
393 |
$5K |
| 31575 |
|
123 |
119 |
$5K |
| 82785 |
|
227 |
223 |
$5K |
| 92201 |
|
169 |
158 |
$5K |
| 0301 |
|
59 |
53 |
$4K |
| 72050 |
|
99 |
99 |
$4K |
| 80158 |
|
300 |
225 |
$4K |
| 76380 |
|
41 |
41 |
$4K |
| J2997 |
Alteplase recombinant |
15 |
14 |
$4K |
| 82274 |
|
710 |
706 |
$4K |
| 99215 |
Prolong outpt/office vis |
58 |
51 |
$4K |
| 84300 |
|
603 |
563 |
$4K |
| 77399 |
|
84 |
83 |
$4K |
| 0053A |
|
93 |
93 |
$4K |
| 76881 |
|
43 |
41 |
$4K |
| 88365 |
|
38 |
37 |
$4K |
| 80299 |
|
184 |
176 |
$3K |
| 0071A |
|
85 |
85 |
$3K |
| 93284 |
|
101 |
99 |
$3K |
| J0136 |
Inj, acetaminophen (b braun) |
299 |
287 |
$3K |
| 20610 |
|
104 |
98 |
$3K |
| 0305 |
|
67 |
64 |
$3K |
| 84590 |
|
229 |
227 |
$3K |
| 17311 |
|
90 |
89 |
$3K |
| 76805 |
|
30 |
29 |
$3K |
| 82390 |
|
241 |
239 |
$3K |
| 92604 |
|
48 |
47 |
$3K |
| 80164 |
|
216 |
205 |
$3K |
| 88377 |
|
16 |
14 |
$3K |
| 95909 |
|
14 |
14 |
$3K |
| 86777 |
|
166 |
165 |
$3K |
| 93242 |
|
165 |
162 |
$3K |
| G0108 |
Diab manage trn per indiv |
48 |
43 |
$3K |
| 77001 |
|
25 |
25 |
$3K |
| J2371 |
Inj phenylephrine hcl 20 mcg |
192 |
184 |
$3K |
| 0072A |
|
70 |
70 |
$3K |
| 85613 |
|
168 |
102 |
$3K |
| 86200 |
|
485 |
478 |
$3K |
| 76514 |
|
972 |
959 |
$3K |
| A4649 |
Surgical supplies |
17 |
16 |
$3K |
| J2920 |
Methylprednisolone injection |
203 |
166 |
$3K |
| 45385 |
|
56 |
56 |
$3K |
| 11042 |
|
210 |
132 |
$3K |
| 0051A |
|
66 |
66 |
$3K |
| J0173 |
Inj, epinephrine (belcher) |
98 |
88 |
$3K |
| 86376 |
|
182 |
179 |
$3K |
| J0171 |
Adrenalin epinephrine inject |
272 |
254 |
$3K |
| 92225 |
|
59 |
52 |
$3K |
| 73120 |
|
175 |
112 |
$3K |
| 91010 |
|
93 |
93 |
$2K |
| 90999 |
|
13 |
12 |
$2K |
| 83520 |
|
177 |
168 |
$2K |
| J3420 |
Vitamin b12 injection |
564 |
501 |
$2K |
| A9503 |
Tc99m medronate |
129 |
129 |
$2K |
| 90739 |
|
14 |
14 |
$2K |
| 0278 |
|
36 |
36 |
$2K |
| 81002 |
|
776 |
738 |
$2K |
| C1894 |
Intro/sheath, non-laser |
80 |
73 |
$2K |
| 82085 |
|
267 |
257 |
$2K |
| 74240 |
|
38 |
38 |
$2K |
| 20611 |
|
78 |
78 |
$2K |
| 84402 |
|
65 |
65 |
$2K |
| G0498 |
Chemo extend iv infus w/pump |
16 |
12 |
$2K |
| 86148 |
|
78 |
77 |
$2K |
| 82985 |
|
173 |
172 |
$2K |
| 92226 |
|
42 |
27 |
$2K |
| U0005 |
Infec agen detec ampli probe |
5,517 |
4,985 |
$2K |
| 0636 |
|
48 |
38 |
$2K |
| 85390 |
|
172 |
172 |
$2K |
| J2370 |
Phenylephrine hcl injection |
127 |
116 |
$2K |
| J1250 |
Inj dobutamine hcl/250 mg |
137 |
136 |
$2K |
| 84460 |
|
245 |
239 |
$2K |
| 92273 |
|
13 |
13 |
$2K |
| 73100 |
|
118 |
72 |
$2K |
| 88264 |
|
26 |
26 |
$2K |
| 82103 |
|
132 |
132 |
$1K |
| A9500 |
Tc99m sestamibi |
15 |
15 |
$1K |
| 92229 |
|
84 |
84 |
$1K |
| J7040 |
Normal saline solution infus |
256 |
183 |
$1K |
| 93283 |
|
39 |
39 |
$1K |
| 71010 |
|
19 |
18 |
$1K |
| 83002 |
|
53 |
51 |
$1K |
| 88313 |
|
57 |
50 |
$1K |
| J9060 |
Cisplatin 10 mg injection |
44 |
27 |
$1K |
| 80169 |
|
156 |
105 |
$1K |
| 93978 |
|
13 |
13 |
$1K |
| J0137 |
Inj, acetaminophen (hikma) |
83 |
81 |
$1K |
| 31645 |
|
38 |
36 |
$1K |
| 73600 |
|
47 |
41 |
$1K |
| 97802 |
|
165 |
165 |
$1K |
| 82232 |
|
103 |
96 |
$1K |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
173 |
165 |
$1K |
| 92060 |
|
116 |
114 |
$1K |
| 90653 |
|
260 |
260 |
$1K |
| 84134 |
|
64 |
64 |
$1K |
| 92002 |
|
25 |
25 |
$1K |
| 84681 |
|
43 |
41 |
$1K |
| 82747 |
|
55 |
50 |
$1K |
| 64566 |
|
71 |
49 |
$1K |
| 86880 |
|
90 |
76 |
$1K |
| 86036 |
|
44 |
44 |
$1K |
| J2003 |
Inj, lidocaine hcl, 1 mg |
136 |
132 |
$1K |
| 86039 |
|
85 |
85 |
$998.04 |
| 90791 |
|
13 |
13 |
$984.40 |
| 76999 |
|
15 |
13 |
$980.00 |
| J0461 |
Atropine sulfate injection |
54 |
36 |
$974.26 |
| 92025 |
|
577 |
567 |
$931.44 |
| G2066 |
Inter devc remote 30d |
34 |
34 |
$916.45 |
| 91322 |
|
199 |
199 |
$881.81 |
| 82310 |
|
165 |
157 |
$879.00 |
| 83935 |
|
120 |
113 |
$873.88 |
| 82542 |
|
25 |
25 |
$860.88 |
| 84165 |
|
100 |
91 |
$854.84 |
| 0306 |
|
27 |
26 |
$846.53 |
| 83930 |
|
91 |
86 |
$842.56 |
| 86015 |
|
67 |
67 |
$839.46 |
| 73620 |
|
28 |
25 |
$834.56 |
| J1953 |
Levetiracetam injection |
48 |
42 |
$820.62 |
| G0499 |
Hepb screen high risk indiv |
221 |
219 |
$818.90 |
| 88280 |
|
26 |
26 |
$797.16 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
154 |
118 |
$795.06 |
| 90480 |
|
206 |
206 |
$766.65 |
| G0008 |
Admin influenza virus vac |
2,295 |
2,231 |
$765.08 |
| 87184 |
|
63 |
63 |
$723.42 |
| 83519 |
|
108 |
106 |
$689.22 |
| 36600 |
|
105 |
101 |
$658.23 |
| 67228 |
|
12 |
12 |
$641.46 |
| 84207 |
|
41 |
40 |
$637.22 |
| 86635 |
|
44 |
42 |
$606.20 |
| 84520 |
|
109 |
100 |
$606.01 |
| 0949 |
|
33 |
27 |
$604.72 |
| 82465 |
|
67 |
58 |
$600.22 |
| 95836 |
|
13 |
13 |
$595.93 |
| 88172 |
|
49 |
49 |
$587.24 |
| J1010 |
Inj, methylpred acetate 1 mg |
38 |
37 |
$563.20 |
| 93298 |
|
13 |
12 |
$558.04 |
| 88311 |
|
83 |
79 |
$540.39 |
| 84270 |
|
13 |
13 |
$535.94 |
| 82272 |
|
192 |
183 |
$497.81 |
| 99205 |
Prolong outpt/office vis |
13 |
12 |
$493.90 |
| 97003 |
|
13 |
12 |
$492.32 |
| J1720 |
Hydrocortisone sodium succ i |
19 |
12 |
$478.96 |
| 0324 |
|
13 |
12 |
$461.19 |
| 91037 |
|
12 |
12 |
$455.51 |
| 0031A |
|
13 |
13 |
$445.00 |
| 86902 |
|
34 |
24 |
$441.87 |
| 0296T |
|
90 |
85 |
$431.72 |
| 82787 |
|
13 |
12 |
$426.57 |
| 86381 |
|
38 |
38 |
$411.16 |
| 86905 |
|
13 |
12 |
$409.46 |
| 84155 |
|
155 |
142 |
$404.48 |
| J1030 |
Methylprednisolone 40 mg inj |
29 |
28 |
$400.47 |
| G0121 |
Colon ca scrn not hi rsk ind |
12 |
12 |
$392.37 |
| 97535 |
|
96 |
84 |
$385.65 |
| 83721 |
|
38 |
38 |
$378.44 |
| 87338 |
|
112 |
112 |
$335.68 |
| 92004 |
|
24 |
24 |
$334.23 |
| 84450 |
|
27 |
25 |
$327.75 |
| 95874 |
|
14 |
14 |
$317.44 |
| 82340 |
|
45 |
45 |
$302.82 |
| J9370 |
Vincristine sulfate 1 mg inj |
17 |
12 |
$287.79 |
| 17110 |
|
102 |
102 |
$284.37 |
| 92235 |
|
12 |
12 |
$273.64 |
| 92285 |
|
59 |
54 |
$265.14 |
| 82668 |
|
12 |
12 |
$243.31 |
| 11900 |
|
55 |
52 |
$238.45 |
| 84446 |
|
12 |
12 |
$234.84 |
| J3370 |
Vancomycin hcl injection |
20 |
16 |
$225.81 |
| G1004 |
Cdsm ndsc |
4,084 |
3,436 |
$207.44 |
| 89051 |
|
32 |
27 |
$194.10 |
| J1836 |
Inj, metronidazole, 10 mg |
17 |
13 |
$123.35 |
| 96379 |
|
1,036 |
760 |
$112.58 |
| J2305 |
Inj, nitroglycerin, 5 mg |
12 |
12 |
$111.16 |
| Q0162 |
Ondansetron oral |
48 |
44 |
$101.78 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
12 |
12 |
$98.52 |
| J2470 |
Inj pantoprazole sodium 40mg |
20 |
17 |
$74.14 |
| 82247 |
|
14 |
13 |
$73.25 |
| 93010 |
|
36 |
25 |
$64.00 |
| 69210 |
|
12 |
12 |
$61.78 |
| J2795 |
Ropivacaine hcl injection |
78 |
67 |
$60.96 |
| J2550 |
Promethazine hcl injection |
15 |
12 |
$54.70 |
| J7120 |
Ringers lactate infusion |
13 |
12 |
$53.54 |
| 82435 |
|
26 |
26 |
$51.27 |
| J7070 |
D5w infusion |
76 |
44 |
$47.45 |
| 82523 |
|
50 |
50 |
$43.89 |
| 11721 |
|
25 |
25 |
$42.83 |
| 84080 |
|
65 |
65 |
$38.78 |
| 97010 |
|
20 |
12 |
$25.96 |
| C9257 |
Bevacizumab injection |
80 |
78 |
$14.59 |
| 80235 |
|
13 |
13 |
$12.23 |
| G0009 |
Admin pneumococcal vaccine |
351 |
338 |
$9.91 |
| J3480 |
Inj potassium chloride |
19 |
15 |
$0.85 |
| Q0247 |
Sotrovimab |
18 |
14 |
$0.11 |
| 0250R |
|
236 |
198 |
$0.00 |
| G8980 |
Mobility d/c status |
62 |
57 |
$0.00 |
| 0134A |
|
46 |
46 |
$0.00 |
| 91306 |
|
15 |
15 |
$0.00 |
| 91301 |
|
15 |
15 |
$0.00 |
| G8985 |
Carry goal status |
65 |
63 |
$0.00 |
| G8979 |
Mobility goal status |
343 |
327 |
$0.00 |
| G8996 |
Swallow current status |
12 |
12 |
$0.00 |
| G8978 |
Mobility current status |
331 |
315 |
$0.00 |
| G8984 |
Carry current status |
38 |
37 |
$0.00 |
| 0124A |
|
15 |
15 |
$0.00 |
| G8997 |
Swallow goal status |
12 |
12 |
$0.00 |
| 90780 |
|
27 |
24 |
$0.00 |