| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpt clinic visit |
166,332 |
129,378 |
$12.19M |
| 99285 |
|
8,901 |
7,989 |
$5.02M |
| 99284 |
|
21,346 |
18,397 |
$4.42M |
| 99283 |
|
12,428 |
11,432 |
$1.68M |
| 90853 |
|
14,603 |
3,859 |
$1.06M |
| 96374 |
|
10,080 |
8,798 |
$1.02M |
| J0585 |
Injection,onabotulinumtoxina |
1,241 |
858 |
$667K |
| 74177 |
|
3,392 |
3,256 |
$527K |
| 99282 |
|
5,861 |
5,469 |
$508K |
| 97110 |
|
22,582 |
8,396 |
$500K |
| 90471 |
|
12,395 |
11,976 |
$441K |
| U0003 |
Cov-19 amp prb hgh thruput |
7,473 |
7,044 |
$419K |
| 99214 |
|
11,854 |
10,940 |
$362K |
| 96365 |
|
3,956 |
2,724 |
$349K |
| 90832 |
|
4,096 |
2,813 |
$338K |
| 93306 |
|
1,853 |
1,819 |
$318K |
| 43239 |
|
1,027 |
1,009 |
$303K |
| 71046 |
|
8,273 |
7,721 |
$294K |
| 97140 |
|
16,459 |
6,171 |
$275K |
| 64450 |
|
1,191 |
1,026 |
$272K |
| 99213 |
|
11,701 |
10,215 |
$256K |
| 96360 |
|
2,561 |
2,305 |
$251K |
| 96361 |
|
7,423 |
6,051 |
$249K |
| 80307 |
|
16,907 |
11,606 |
$229K |
| 96375 |
|
7,594 |
5,884 |
$209K |
| 70450 |
|
3,297 |
3,117 |
$209K |
| 99291 |
|
396 |
378 |
$206K |
| 45385 |
|
387 |
380 |
$205K |
| 74176 |
|
2,130 |
2,040 |
$201K |
| G0480 |
Drug test def 1-7 classes |
10,807 |
7,221 |
$201K |
| 90791 |
|
1,892 |
1,784 |
$184K |
| 76819 |
|
1,954 |
1,152 |
$168K |
| 20610 |
|
1,398 |
1,280 |
$161K |
| 76705 |
|
2,349 |
2,268 |
$155K |
| 59025 |
|
1,258 |
845 |
$146K |
| 99391 |
|
2,338 |
2,208 |
$144K |
| 99392 |
|
2,191 |
2,161 |
$139K |
| 92507 |
|
3,304 |
1,052 |
$134K |
| 76830 |
|
1,594 |
1,555 |
$124K |
| C9803 |
Hopd covid-19 spec collect |
14,122 |
12,908 |
$122K |
| 99393 |
|
1,816 |
1,799 |
$116K |
| 76856 |
|
1,536 |
1,505 |
$115K |
| 87635 |
|
6,143 |
5,655 |
$113K |
| C8929 |
Tte w or wo fol wcon,doppler |
538 |
530 |
$112K |
| 77067 |
|
2,071 |
2,042 |
$110K |
| G0008 |
Admin influenza virus vac |
3,739 |
3,675 |
$107K |
| 69436 |
|
121 |
120 |
$104K |
| 76801 |
|
1,206 |
1,100 |
$103K |
| 90834 |
|
1,184 |
883 |
$100K |
| 78452 |
|
295 |
284 |
$98K |
| 66984 |
|
175 |
155 |
$91K |
| 99396 |
|
1,338 |
1,308 |
$90K |
| 96413 |
|
778 |
621 |
$86K |
| 99395 |
|
1,258 |
1,231 |
$85K |
| 99212 |
|
4,916 |
3,188 |
$82K |
| 80053 |
|
41,058 |
34,754 |
$82K |
| 84443 |
|
12,060 |
11,560 |
$81K |
| 99394 |
|
1,168 |
1,149 |
$78K |
| 97530 |
|
4,282 |
2,545 |
$77K |
| 71045 |
|
2,276 |
2,108 |
$76K |
| 86900 |
|
2,425 |
2,189 |
$76K |
| 96372 |
|
6,262 |
4,959 |
$72K |
| 72148 |
|
672 |
664 |
$71K |
| 80061 |
|
9,000 |
8,752 |
$70K |
| 97161 |
|
1,785 |
1,722 |
$69K |
| 92014 |
|
1,157 |
1,129 |
$68K |
| J1745 |
Infliximab not biosimil 10mg |
35 |
26 |
$67K |
| 92004 |
|
866 |
842 |
$65K |
| 85025 |
|
44,619 |
36,318 |
$62K |
| 97162 |
|
2,233 |
2,146 |
$62K |
| 87591 |
|
4,245 |
4,126 |
$61K |
| 87491 |
|
4,240 |
4,121 |
$61K |
| 42820 |
|
13 |
13 |
$61K |
| 70551 |
|
512 |
499 |
$60K |
| G0009 |
Admin pneumococcal vaccine |
1,780 |
1,743 |
$57K |
| 92012 |
|
968 |
905 |
$55K |
| 71250 |
|
1,416 |
1,380 |
$55K |
| 64405 |
|
799 |
691 |
$54K |
| 71260 |
|
893 |
877 |
$54K |
| U0005 |
Infec agen detec ampli probe |
3,579 |
3,391 |
$54K |
| 82306 |
|
3,649 |
3,545 |
$51K |
| 45380 |
|
109 |
106 |
$49K |
| 90677 |
|
995 |
975 |
$49K |
| 97112 |
|
2,650 |
1,159 |
$48K |
| 92587 |
|
225 |
221 |
$46K |
| 77063 |
|
1,754 |
1,733 |
$42K |
| 36415 |
|
64,917 |
51,508 |
$41K |
| 76816 |
|
1,560 |
1,380 |
$41K |
| 73564 |
|
1,965 |
1,750 |
$40K |
| 64615 |
|
402 |
380 |
$40K |
| 0001A |
|
1,386 |
1,345 |
$37K |
| 0002A |
|
1,293 |
1,260 |
$37K |
| 87481 |
|
4,005 |
1,925 |
$36K |
| 83036 |
|
11,076 |
10,757 |
$36K |
| 94060 |
|
387 |
361 |
$36K |
| 93971 |
|
732 |
689 |
$35K |
| 90686 |
|
5,446 |
5,355 |
$35K |
| 94726 |
|
997 |
939 |
$35K |
| 87624 |
|
2,258 |
2,212 |
$35K |
| 99307 |
|
3,654 |
1,717 |
$34K |
| 87510 |
|
2,272 |
2,164 |
$33K |
| 87480 |
|
2,272 |
2,164 |
$33K |
| 87660 |
|
2,272 |
2,164 |
$33K |
| 87636 |
|
368 |
358 |
$31K |
| 82728 |
|
4,209 |
4,045 |
$29K |
| 92588 |
|
129 |
127 |
$27K |
| 72141 |
|
209 |
206 |
$27K |
| G0410 |
Grp psych php/iop 45-50 |
2,301 |
362 |
$24K |
| 72100 |
|
959 |
933 |
$24K |
| 93010 |
|
6,947 |
5,847 |
$24K |
| 76805 |
|
276 |
268 |
$24K |
| 90670 |
|
2,553 |
2,519 |
$24K |
| 82607 |
|
3,745 |
3,630 |
$24K |
| 99232 |
|
985 |
353 |
$24K |
| 93017 |
|
638 |
617 |
$24K |
| 73630 |
|
1,490 |
1,342 |
$23K |
| 87798 |
|
705 |
580 |
$23K |
| 88175 |
|
1,288 |
1,275 |
$22K |
| 90473 |
|
551 |
544 |
$20K |
| 86780 |
|
1,770 |
1,709 |
$20K |
| 87086 |
|
9,148 |
8,269 |
$19K |
| 87389 |
|
2,901 |
2,817 |
$19K |
| 80048 |
|
9,324 |
7,706 |
$19K |
| 74018 |
|
904 |
820 |
$19K |
| 73030 |
|
1,487 |
1,323 |
$19K |
| 90847 |
|
237 |
160 |
$18K |
| 87511 |
|
2,039 |
1,925 |
$18K |
| 88142 |
|
1,325 |
1,289 |
$18K |
| 87661 |
|
2,052 |
1,938 |
$17K |
| 84702 |
|
2,413 |
1,854 |
$17K |
| 88305 |
|
3,850 |
3,722 |
$17K |
| 73610 |
|
1,244 |
1,162 |
$16K |
| 73110 |
|
940 |
850 |
$16K |
| 90480 |
|
832 |
808 |
$15K |
| G0400 |
Home sleep test/type 4 porta |
82 |
79 |
$15K |
| 76642 |
|
292 |
277 |
$15K |
| 73130 |
|
1,089 |
906 |
$14K |
| 31575 |
|
149 |
145 |
$14K |
| 91320 |
|
349 |
340 |
$14K |
| 71275 |
|
210 |
200 |
$14K |
| 99188 |
|
552 |
547 |
$14K |
| 86803 |
|
3,577 |
3,438 |
$13K |
| 70553 |
|
57 |
54 |
$13K |
| 93005 |
|
16,298 |
13,789 |
$13K |
| J7298 |
Mirena, 52 mg |
14 |
14 |
$13K |
| 99223 |
Prolong inpt eval add15 m |
207 |
200 |
$13K |
| 90651 |
|
1,418 |
1,393 |
$12K |
| 70496 |
|
130 |
125 |
$12K |
| 76536 |
|
228 |
222 |
$12K |
| 96366 |
|
475 |
366 |
$11K |
| 73721 |
|
68 |
61 |
$10K |
| 84439 |
|
2,089 |
2,007 |
$10K |
| 87070 |
|
3,124 |
2,871 |
$10K |
| 59430 |
|
56 |
56 |
$10K |
| 73140 |
|
591 |
504 |
$9K |
| 92557 |
|
485 |
470 |
$8K |
| 87426 |
|
268 |
250 |
$8K |
| 86140 |
|
6,397 |
5,714 |
$8K |
| 97035 |
|
1,347 |
560 |
$8K |
| 83540 |
|
2,720 |
2,625 |
$8K |
| 85027 |
|
4,150 |
3,673 |
$8K |
| 97116 |
|
1,082 |
606 |
$7K |
| 0124A |
|
512 |
499 |
$7K |
| 99203 |
|
191 |
189 |
$7K |
| 99001 |
|
3,360 |
3,061 |
$7K |
| 83970 |
|
715 |
688 |
$7K |
| 95810 |
|
12 |
12 |
$7K |
| 84466 |
|
1,013 |
979 |
$7K |
| 90460 |
|
303 |
301 |
$7K |
| 72125 |
|
480 |
463 |
$6K |
| 86618 |
|
1,394 |
1,345 |
$6K |
| 87186 |
|
2,984 |
2,814 |
$6K |
| 73502 |
|
550 |
524 |
$6K |
| 99406 |
|
408 |
398 |
$6K |
| 92551 |
|
586 |
567 |
$6K |
| 90837 |
|
68 |
38 |
$6K |
| 91322 |
|
152 |
146 |
$6K |
| 85610 |
|
5,278 |
3,502 |
$6K |
| 99495 |
|
136 |
132 |
$5K |
| 87340 |
|
2,167 |
2,092 |
$5K |
| 90734 |
|
701 |
692 |
$5K |
| 83550 |
|
1,606 |
1,551 |
$5K |
| 0054A |
|
275 |
274 |
$5K |
| 76775 |
|
141 |
139 |
$5K |
| Q3014 |
Telehealth facility fee |
347 |
269 |
$5K |
| 99490 |
Ccm add 20min |
352 |
351 |
$5K |
| 83735 |
|
10,590 |
8,787 |
$5K |
| G0378 |
Hospital observation per hr |
6,285 |
5,375 |
$5K |
| 88342 |
|
593 |
576 |
$4K |
| 96127 |
|
623 |
565 |
$4K |
| 97165 |
|
132 |
126 |
$4K |
| 95911 |
|
14 |
14 |
$4K |
| 94010 |
|
410 |
394 |
$4K |
| 87077 |
|
3,158 |
2,979 |
$4K |
| 93976 |
|
55 |
52 |
$4K |
| 87493 |
|
289 |
264 |
$4K |
| 82950 |
|
917 |
902 |
$4K |
| 85652 |
|
4,171 |
3,842 |
$4K |
| 90678 |
|
13 |
12 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
121 |
53 |
$4K |
| 83516 |
|
638 |
387 |
$4K |
| 83655 |
|
781 |
743 |
$3K |
| 96415 |
|
118 |
104 |
$3K |
| 87502 |
|
3,896 |
3,728 |
$3K |
| 87522 |
Neg quan hep c or qual rna |
236 |
219 |
$3K |
| 82784 |
|
766 |
707 |
$3K |
| 90656 |
|
558 |
552 |
$3K |
| 87081 |
|
1,692 |
1,637 |
$3K |
| 97597 |
|
48 |
40 |
$3K |
| 70486 |
|
52 |
51 |
$3K |
| 81001 |
|
10,667 |
9,590 |
$3K |
| 82043 |
|
1,591 |
1,552 |
$3K |
| 80076 |
|
715 |
657 |
$3K |
| 99308 |
|
169 |
133 |
$3K |
| 81025 |
|
5,863 |
5,396 |
$3K |
| 90461 |
|
196 |
194 |
$3K |
| 96110 |
|
354 |
330 |
$3K |
| 99496 |
|
41 |
41 |
$3K |
| 97802 |
|
40 |
40 |
$2K |
| 82746 |
|
423 |
405 |
$2K |
| 84588 |
|
730 |
683 |
$2K |
| 76000 |
|
165 |
150 |
$2K |
| 83690 |
|
7,548 |
6,669 |
$2K |
| 73562 |
|
179 |
168 |
$2K |
| 84403 |
|
146 |
141 |
$2K |
| 86706 |
|
428 |
417 |
$2K |
| 95800 |
|
26 |
25 |
$2K |
| 58300 |
|
57 |
54 |
$2K |
| G0103 |
Psa screening |
271 |
267 |
$2K |
| 73600 |
|
217 |
177 |
$2K |
| 87468 |
|
434 |
414 |
$2K |
| 80050 |
|
94 |
88 |
$2K |
| 87469 |
|
433 |
413 |
$2K |
| 83880 |
|
894 |
822 |
$2K |
| 72050 |
|
40 |
40 |
$2K |
| U0002 |
Covid-19 lab test non-cdc |
85 |
82 |
$2K |
| 73221 |
|
12 |
12 |
$2K |
| 97803 |
|
73 |
64 |
$2K |
| 69210 |
|
252 |
246 |
$2K |
| 82570 |
|
1,071 |
914 |
$1K |
| 86762 |
|
1,093 |
1,060 |
$1K |
| 77080 |
|
36 |
36 |
$1K |
| 92550 |
|
97 |
93 |
$1K |
| 90662 |
|
276 |
268 |
$1K |
| 81003 |
|
7,133 |
6,653 |
$1K |
| 80178 |
|
485 |
422 |
$1K |
| 97163 |
|
55 |
51 |
$1K |
| 76817 |
|
48 |
41 |
$1K |
| 84156 |
|
1,213 |
952 |
$1K |
| 86850 |
|
2,417 |
2,227 |
$1K |
| 84100 |
|
912 |
778 |
$1K |
| 99174 |
|
84 |
83 |
$1K |
| 90732 |
|
26 |
25 |
$1K |
| G0399 |
Home sleep test/type 3 porta |
14 |
14 |
$1K |
| 87651 |
|
2,394 |
2,296 |
$1K |
| 90674 |
|
213 |
211 |
$1K |
| 77066 |
Tomosynthesis, mammo |
14 |
14 |
$1K |
| G0279 |
Tomosynthesis, mammo |
44 |
44 |
$1K |
| 85018 |
|
1,149 |
1,089 |
$1K |
| 86704 |
|
170 |
167 |
$962.77 |
| 76770 |
|
13 |
12 |
$906.01 |
| 99442 |
|
48 |
47 |
$883.11 |
| 76820 |
|
118 |
71 |
$871.67 |
| 86364 |
|
271 |
263 |
$859.97 |
| 84550 |
|
723 |
588 |
$804.54 |
| 85014 |
|
585 |
545 |
$794.07 |
| 85379 |
|
1,673 |
1,583 |
$793.57 |
| 83993 |
|
57 |
55 |
$776.19 |
| 84153 |
|
67 |
63 |
$771.20 |
| 93225 |
|
13 |
13 |
$750.08 |
| 82550 |
|
476 |
445 |
$693.39 |
| 94640 |
|
2,168 |
1,803 |
$662.87 |
| 86481 |
|
14 |
14 |
$660.50 |
| 51798 |
|
732 |
693 |
$656.77 |
| 97535 |
|
56 |
40 |
$612.83 |
| 72170 |
|
15 |
14 |
$581.19 |
| G0010 |
Admin hepatitis b vaccine |
16 |
16 |
$567.72 |
| J2250 |
Inj midazolam hydrochloride |
5,957 |
5,607 |
$544.56 |
| Q0091 |
Obtaining screen pap smear |
53 |
52 |
$540.49 |
| 82948 |
|
5,223 |
2,027 |
$523.51 |
| 99222 |
|
13 |
13 |
$523.09 |
| J3010 |
Fentanyl citrate injection |
8,056 |
7,474 |
$506.89 |
| 80074 |
|
13 |
13 |
$505.67 |
| 94729 |
|
947 |
918 |
$483.66 |
| 82565 |
|
329 |
248 |
$445.01 |
| 87880 |
|
2,035 |
1,970 |
$440.98 |
| 88304 |
|
401 |
395 |
$435.99 |
| 99000 |
|
121 |
120 |
$428.03 |
| 87653 |
|
1,227 |
1,170 |
$425.92 |
| 86480 |
|
12 |
12 |
$409.31 |
| 73501 |
|
13 |
13 |
$386.41 |
| 76882 |
|
28 |
27 |
$379.37 |
| 70498 |
|
135 |
130 |
$377.91 |
| 96381 |
|
27 |
27 |
$358.56 |
| 81002 |
|
4,816 |
4,520 |
$357.48 |
| 99443 |
|
14 |
14 |
$355.34 |
| 82105 |
|
71 |
68 |
$353.49 |
| J2704 |
Inj, propofol, 10 mg |
7,311 |
6,775 |
$346.04 |
| 99309 |
|
13 |
13 |
$317.48 |
| 86038 |
|
80 |
75 |
$298.30 |
| 87040 |
|
1,127 |
1,007 |
$286.97 |
| 0082A |
|
24 |
24 |
$283.50 |
| 84484 |
|
8,218 |
5,597 |
$282.38 |
| 99239 |
|
12 |
12 |
$280.78 |
| 84450 |
|
211 |
165 |
$273.50 |
| 99173 |
|
423 |
403 |
$266.49 |
| 87205 |
|
513 |
461 |
$266.29 |
| 84703 |
|
1,987 |
1,857 |
$246.33 |
| J1040 |
Methylprednisolone 80 mg inj |
523 |
490 |
$242.73 |
| 92504 |
|
155 |
149 |
$239.93 |
| 80069 |
|
94 |
89 |
$237.72 |
| 83718 |
|
48 |
48 |
$230.86 |
| 90681 |
|
1,372 |
1,346 |
$217.44 |
| 90744 |
|
861 |
849 |
$215.35 |
| 73100 |
|
34 |
25 |
$214.92 |
| 82040 |
|
279 |
266 |
$193.95 |
| 90716 |
|
563 |
560 |
$187.68 |
| 87634 |
|
69 |
65 |
$181.98 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
831 |
512 |
$176.29 |
| 87804 |
|
610 |
308 |
$165.58 |
| 84402 |
|
13 |
12 |
$152.82 |
| 90620 |
|
14 |
12 |
$147.37 |
| D1206 |
|
12 |
12 |
$144.00 |
| 87046 |
|
12 |
12 |
$141.60 |
| 84146 |
|
14 |
13 |
$135.66 |
| 90619 |
|
400 |
396 |
$134.22 |
| 87484 |
|
12 |
12 |
$122.80 |
| G1004 |
Cdsm ndsc |
4,246 |
3,520 |
$121.84 |
| 82465 |
|
49 |
49 |
$120.60 |
| 86003 |
|
12 |
12 |
$120.06 |
| 90649 |
|
98 |
96 |
$120.00 |
| 83605 |
|
1,468 |
1,284 |
$119.63 |
| J2405 |
Ondansetron hcl injection |
9,619 |
8,074 |
$108.89 |
| 80164 |
|
29 |
25 |
$108.32 |
| 84460 |
|
78 |
78 |
$106.65 |
| 92567 |
|
864 |
830 |
$106.05 |
| G0411 |
Interactive grp psyc php/iop |
2,802 |
466 |
$102.24 |
| 0154A |
|
29 |
29 |
$101.70 |
| 85730 |
|
143 |
125 |
$98.77 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
6,290 |
5,944 |
$90.90 |
| 86039 |
|
13 |
13 |
$89.28 |
| J0690 |
Cefazolin sodium injection |
2,766 |
2,418 |
$78.05 |
| 83721 |
|
12 |
12 |
$74.96 |
| 86334 |
|
15 |
14 |
$71.49 |
| 83615 |
|
66 |
50 |
$70.82 |
| 73560 |
|
14 |
13 |
$70.01 |
| 87430 |
|
276 |
271 |
$69.26 |
| 86308 |
|
14 |
14 |
$68.77 |
| J2060 |
Lorazepam injection |
2,766 |
2,101 |
$65.48 |
| J1200 |
Diphenhydramine hcl injectio |
1,809 |
1,448 |
$65.29 |
| 87420 |
|
322 |
313 |
$58.55 |
| 87427 |
|
12 |
12 |
$58.55 |
| J1170 |
Hydromorphone injection |
1,321 |
929 |
$55.76 |
| 92015 |
|
396 |
384 |
$55.30 |
| J3490 |
Drugs unclassified injection |
611 |
569 |
$47.80 |
| 87045 |
|
12 |
12 |
$47.20 |
| 86708 |
|
12 |
12 |
$46.52 |
| J1885 |
Ketorolac tromethamine inj |
7,308 |
6,236 |
$39.78 |
| 86431 |
|
12 |
12 |
$38.07 |
| 84165 |
|
15 |
14 |
$34.37 |
| 82947 |
|
12 |
12 |
$32.08 |
| J0131 |
Inj, acetaminophen (nos) |
389 |
363 |
$30.62 |
| J2270 |
Morphine sulfate injection |
3,061 |
2,204 |
$30.20 |
| 83037 |
|
247 |
243 |
$29.13 |
| 90715 |
|
3,179 |
3,114 |
$28.69 |
| 12001 |
|
27 |
26 |
$27.54 |
| J3301 |
Triamcinolone acet inj nos |
1,290 |
1,235 |
$23.26 |
| 92134 |
|
59 |
58 |
$15.90 |
| 82805 |
|
43 |
42 |
$15.75 |
| J1100 |
Dexamethasone sodium phos |
4,848 |
4,525 |
$15.07 |
| 85008 |
|
208 |
183 |
$14.67 |
| 87807 |
|
100 |
100 |
$11.71 |
| J0696 |
Ceftriaxone sodium injection |
1,380 |
1,052 |
$10.41 |
| 96376 |
|
2,445 |
1,940 |
$7.29 |
| J0702 |
Betamethasone acet&sod phosp |
657 |
612 |
$6.90 |
| 84132 |
|
15 |
13 |
$4.69 |
| J3370 |
Vancomycin hcl injection |
62 |
54 |
$4.29 |
| J3420 |
Vitamin b12 injection |
596 |
407 |
$2.70 |
| 90723 |
|
806 |
791 |
$2.00 |
| J2765 |
Metoclopramide hcl injection |
851 |
743 |
$0.41 |
| 91305 |
|
277 |
271 |
$0.00 |
| J1630 |
Haloperidol injection |
241 |
200 |
$0.00 |
| 90698 |
|
1,071 |
1,053 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
1,004 |
748 |
$0.00 |
| 90474 |
|
724 |
710 |
$0.00 |
| 86901 |
|
2,425 |
2,210 |
$0.00 |
| C1819 |
Tissue localization-excision |
67 |
62 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
942 |
893 |
$0.00 |
| J1815 |
Insulin injection |
328 |
163 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
920 |
731 |
$0.00 |
| J7060 |
5% dextrose/water |
234 |
188 |
$0.00 |
| 36416 |
|
1,117 |
942 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
548 |
540 |
$0.00 |
| 90696 |
|
228 |
228 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
1,125 |
551 |
$0.00 |
| 90697 |
|
516 |
504 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
237 |
202 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
91 |
89 |
$0.00 |
| J8540 |
Oral dexamethasone |
35 |
35 |
$0.00 |
| C1769 |
Guide wire |
117 |
111 |
$0.00 |
| J1790 |
Droperidol injection |
420 |
365 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
174 |
154 |
$0.00 |
| C9399 |
Unclassified drugs or biolog |
62 |
58 |
$0.00 |
| A9500 |
Tc99m sestamibi |
53 |
52 |
$0.00 |
| J2280 |
Inj, moxifloxacin 100 mg |
85 |
70 |
$0.00 |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
475 |
453 |
$0.00 |
| G8980 |
Mobility d/c status |
77 |
72 |
$0.00 |
| 0081A |
|
17 |
17 |
$0.00 |
| G2058 |
Ccm add 20min |
17 |
17 |
$0.00 |
| C9290 |
Inj, bupivacaine liposome |
16 |
15 |
$0.00 |
| 95886 |
|
37 |
37 |
$0.00 |
| J3360 |
Diazepam injection |
59 |
52 |
$0.00 |
| 91307 |
|
29 |
29 |
$0.00 |
| J2785 |
Regadenoson injection |
52 |
50 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
17 |
15 |
$0.00 |
| 87801 |
|
17 |
16 |
$0.00 |
| C1773 |
Ret dev, insertable |
14 |
13 |
$0.00 |
| 82803 |
|
24 |
17 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
918 |
904 |
$0.00 |
| 90633 |
|
2,003 |
1,976 |
$0.00 |
| 76937 |
|
419 |
390 |
$0.00 |
| G8979 |
Mobility goal status |
257 |
225 |
$0.00 |
| 90710 |
|
592 |
584 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
271 |
94 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
1,358 |
715 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
629 |
571 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
383 |
358 |
$0.00 |
| 90700 |
|
673 |
665 |
$0.00 |
| 90472 |
|
6,877 |
6,744 |
$0.00 |
| 76376 |
|
290 |
283 |
$0.00 |
| G0177 |
Opps/php/iop; train & educ |
8,734 |
1,349 |
$0.00 |
| G0176 |
Opps/php/iop; activity thrpy |
2,707 |
503 |
$0.00 |
| 90707 |
|
564 |
556 |
$0.00 |
| 91300 |
|
2,013 |
1,828 |
$0.00 |
| 90648 |
|
527 |
518 |
$0.00 |
| G8978 |
Mobility current status |
199 |
189 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
308 |
277 |
$0.00 |
| 76942 |
|
86 |
81 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
216 |
213 |
$0.00 |
| J2930 |
Methylprednisolone injection |
153 |
129 |
$0.00 |
| 91312 |
|
360 |
351 |
$0.00 |
| 91308 |
|
121 |
114 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
53 |
40 |
$0.00 |
| 99204 |
|
26 |
26 |
$0.00 |
| 90671 |
|
302 |
300 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
240 |
183 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
163 |
104 |
$0.00 |
| 91321 |
|
217 |
208 |
$0.00 |
| 93356 |
|
260 |
255 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
258 |
245 |
$0.00 |
| 77003 |
|
79 |
70 |
$0.00 |
| 90713 |
|
34 |
34 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
33 |
26 |
$0.00 |
| H0015 |
Alcohol and/or drug services |
102 |
13 |
$0.00 |
| 0004A |
|
43 |
43 |
$0.00 |
| J1756 |
Iron sucrose injection |
113 |
43 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
50 |
44 |
$0.00 |
| 92133 |
|
14 |
13 |
$0.00 |
| 93325 |
|
12 |
12 |
$0.00 |