| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
61,158 |
55,652 |
$9.05M |
| 96361 |
|
24,553 |
19,748 |
$7.55M |
| 99211 |
|
46,047 |
42,936 |
$6.43M |
| 99284 |
|
43,465 |
39,591 |
$6.17M |
| 99285 |
|
41,183 |
35,650 |
$5.82M |
| 45385 |
|
4,339 |
4,245 |
$2.88M |
| 43239 |
|
5,599 |
5,423 |
$2.87M |
| 45378 |
|
2,762 |
2,676 |
$2.09M |
| 62323 |
|
4,937 |
4,789 |
$1.78M |
| G0463 |
Hospital outpt clinic visit |
63,647 |
58,589 |
$1.63M |
| 99212 |
|
9,174 |
8,902 |
$1.53M |
| 99282 |
|
10,399 |
9,800 |
$1.48M |
| 74177 |
|
9,867 |
9,252 |
$1.45M |
| 70450 |
|
11,530 |
10,579 |
$1.31M |
| 96365 |
|
12,756 |
8,825 |
$1.31M |
| 45380 |
|
2,242 |
2,152 |
$1.15M |
| 97110 |
|
25,645 |
7,116 |
$1.09M |
| 11042 |
|
10,335 |
5,323 |
$1.09M |
| 92507 |
|
8,004 |
2,701 |
$1.01M |
| 64493 |
|
1,796 |
1,630 |
$753K |
| 95810 |
|
948 |
932 |
$722K |
| 96413 |
|
7,832 |
4,688 |
$708K |
| 96360 |
|
6,460 |
5,599 |
$704K |
| U0003 |
Cov-19 amp prb hgh thruput |
12,214 |
10,656 |
$654K |
| 96366 |
|
4,057 |
2,733 |
$654K |
| 99213 |
|
7,262 |
6,759 |
$580K |
| 64483 |
|
1,581 |
1,494 |
$580K |
| 72148 |
|
3,173 |
3,067 |
$564K |
| 94640 |
|
7,896 |
7,127 |
$561K |
| 74176 |
|
3,932 |
3,706 |
$556K |
| 70551 |
|
2,217 |
2,091 |
$551K |
| S9485 |
Crisis intervention mental h |
866 |
811 |
$550K |
| 20610 |
|
4,288 |
3,517 |
$527K |
| 43235 |
|
1,035 |
990 |
$469K |
| 85025 |
|
95,984 |
76,091 |
$445K |
| 80307 |
|
11,826 |
10,358 |
$437K |
| 73721 |
|
1,939 |
1,821 |
$390K |
| 97530 |
|
5,140 |
2,067 |
$375K |
| 93306 |
|
2,508 |
2,326 |
$366K |
| 70553 |
|
1,442 |
1,381 |
$353K |
| 71275 |
|
1,989 |
1,878 |
$351K |
| G0378 |
Hospital observation per hr |
11,218 |
4,583 |
$342K |
| 62321 |
|
839 |
800 |
$335K |
| 99281 |
|
2,351 |
2,213 |
$332K |
| 71046 |
|
24,813 |
23,254 |
$323K |
| 69436 |
|
237 |
223 |
$318K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
420 |
333 |
$316K |
| J0585 |
Injection,onabotulinumtoxina |
462 |
438 |
$274K |
| 99214 |
|
7,187 |
6,255 |
$258K |
| 72141 |
|
1,325 |
1,274 |
$252K |
| 29848 |
|
173 |
140 |
$244K |
| 93971 |
|
1,697 |
1,557 |
$233K |
| Q0138 |
Ferumoxytol, non-esrd |
887 |
584 |
$233K |
| G0480 |
Drug test def 1-7 classes |
7,613 |
6,630 |
$225K |
| U0005 |
Infec agen detec ampli probe |
11,770 |
10,335 |
$211K |
| 76700 |
|
1,474 |
1,415 |
$201K |
| 77067 |
|
5,841 |
5,762 |
$191K |
| 73221 |
|
929 |
882 |
$191K |
| 77063 |
|
4,146 |
4,097 |
$190K |
| 96367 |
|
5,025 |
3,115 |
$187K |
| 87428 |
|
3,634 |
3,507 |
$183K |
| 96415 |
|
1,208 |
862 |
$179K |
| 80053 |
|
46,996 |
38,091 |
$171K |
| 76770 |
|
1,420 |
1,371 |
$170K |
| 84484 |
|
26,363 |
18,753 |
$160K |
| 87635 |
|
3,745 |
3,494 |
$159K |
| 95811 |
|
207 |
199 |
$154K |
| J1561 |
Gamunex-c/gammaked |
147 |
74 |
$145K |
| 97161 |
|
3,016 |
2,818 |
$144K |
| 76830 |
|
1,462 |
1,406 |
$140K |
| 76705 |
|
1,312 |
1,238 |
$136K |
| ATP14 |
|
15,553 |
11,962 |
$131K |
| 81025 |
|
20,485 |
19,062 |
$127K |
| J2704 |
Inj, propofol, 10 mg |
33,956 |
26,962 |
$125K |
| 96374 |
|
27,766 |
23,418 |
$125K |
| 80048 |
|
47,303 |
39,476 |
$124K |
| J9271 |
Inj pembrolizumab |
48 |
37 |
$119K |
| 93005 |
|
40,200 |
34,416 |
$116K |
| 12001 |
|
555 |
529 |
$110K |
| 36415 |
|
46,900 |
34,245 |
$108K |
| 96372 |
|
15,654 |
12,628 |
$107K |
| 76642 |
|
1,120 |
1,000 |
$107K |
| 76856 |
|
1,102 |
1,040 |
$106K |
| 74183 |
|
640 |
617 |
$103K |
| 92526 |
|
1,115 |
501 |
$102K |
| 20552 |
|
789 |
762 |
$94K |
| ATP08 |
|
13,667 |
10,694 |
$93K |
| 71260 |
|
1,592 |
1,511 |
$91K |
| 20553 |
|
768 |
737 |
$90K |
| 77412 |
|
719 |
79 |
$90K |
| 88305 |
|
15,171 |
14,669 |
$90K |
| J1756 |
Iron sucrose injection |
2,000 |
960 |
$89K |
| 82947 |
|
25,174 |
15,674 |
$79K |
| 77336 |
|
1,613 |
644 |
$79K |
| J2405 |
Ondansetron hcl injection |
33,847 |
26,689 |
$78K |
| 83690 |
|
15,641 |
13,401 |
$77K |
| J1100 |
Dexamethasone sodium phos |
20,108 |
16,706 |
$77K |
| 64484 |
|
549 |
508 |
$72K |
| J3010 |
Fentanyl citrate injection |
19,274 |
15,192 |
$70K |
| J0690 |
Cefazolin sodium injection |
9,861 |
8,122 |
$69K |
| J2250 |
Inj midazolam hydrochloride |
13,714 |
12,041 |
$69K |
| 93270 |
|
1,775 |
1,715 |
$69K |
| 97140 |
|
4,719 |
1,623 |
$67K |
| 64494 |
|
2,289 |
1,549 |
$66K |
| J2001 |
Lidocaine injection |
19,026 |
16,695 |
$64K |
| 97165 |
|
996 |
937 |
$63K |
| 72125 |
|
4,565 |
4,258 |
$62K |
| 82805 |
|
2,187 |
1,761 |
$61K |
| 88342 |
|
6,578 |
6,025 |
$61K |
| 87591 |
|
2,367 |
2,231 |
$61K |
| 87086 |
|
9,998 |
9,196 |
$59K |
| 97802 |
|
1,040 |
889 |
$58K |
| 87491 |
|
2,252 |
2,121 |
$58K |
| 87426 |
|
2,769 |
2,579 |
$56K |
| ATP15 |
|
6,855 |
5,595 |
$56K |
| 87880 |
|
5,149 |
4,985 |
$55K |
| 87502 |
|
891 |
845 |
$53K |
| 83735 |
|
12,849 |
9,854 |
$53K |
| 0241U |
|
1,795 |
1,744 |
$52K |
| 84600 |
|
4,690 |
3,970 |
$52K |
| 73610 |
|
3,333 |
3,174 |
$50K |
| 81001 |
|
20,392 |
18,522 |
$50K |
| 82728 |
|
8,293 |
7,606 |
$49K |
| 72100 |
|
2,006 |
1,922 |
$49K |
| 73630 |
|
3,498 |
3,311 |
$48K |
| 92523 |
|
366 |
360 |
$47K |
| 78264 |
|
206 |
203 |
$46K |
| 84703 |
|
8,047 |
7,212 |
$44K |
| 84466 |
|
7,734 |
7,082 |
$44K |
| 71045 |
|
10,312 |
9,397 |
$43K |
| 73130 |
|
2,844 |
2,665 |
$41K |
| 99291 |
|
487 |
456 |
$40K |
| 71250 |
|
903 |
858 |
$39K |
| 83880 |
|
2,943 |
2,508 |
$38K |
| 96375 |
|
20,858 |
16,712 |
$38K |
| 87040 |
|
5,290 |
3,053 |
$36K |
| 90715 |
|
1,805 |
1,753 |
$36K |
| 12011 |
|
183 |
172 |
$36K |
| 77065 |
Tomosynthesis, mammo |
652 |
613 |
$36K |
| 73564 |
|
2,073 |
1,903 |
$33K |
| 47562 |
|
14 |
14 |
$33K |
| U0004 |
Cov-19 test non-cdc hgh thru |
536 |
509 |
$31K |
| 52005 |
|
95 |
92 |
$31K |
| 73030 |
|
2,664 |
2,452 |
$30K |
| 87081 |
|
5,505 |
5,333 |
$30K |
| 83615 |
|
8,945 |
7,393 |
$29K |
| 87804 |
|
3,070 |
1,664 |
$29K |
| J1040 |
Methylprednisolone 80 mg inj |
9,847 |
9,419 |
$29K |
| 84443 |
|
4,398 |
3,916 |
$29K |
| 87651 |
|
1,002 |
987 |
$28K |
| 84702 |
|
2,383 |
2,168 |
$28K |
| 87186 |
|
3,815 |
3,515 |
$28K |
| 97162 |
|
732 |
678 |
$28K |
| 78452 |
|
96 |
89 |
$27K |
| 27096 |
|
30 |
26 |
$27K |
| 80076 |
|
10,858 |
9,861 |
$27K |
| 26055 |
|
27 |
12 |
$27K |
| J1885 |
Ketorolac tromethamine inj |
20,025 |
17,198 |
$26K |
| 83540 |
|
8,220 |
7,423 |
$26K |
| 88341 |
|
1,269 |
1,117 |
$26K |
| J1170 |
Hydromorphone injection |
8,546 |
5,134 |
$26K |
| 93010 |
|
8,251 |
6,611 |
$25K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
9,931 |
9,272 |
$25K |
| 83605 |
|
4,237 |
3,545 |
$24K |
| 76536 |
|
267 |
259 |
$23K |
| 73110 |
|
1,526 |
1,437 |
$23K |
| Q3014 |
Telehealth facility fee |
9,854 |
9,221 |
$22K |
| J0885 |
Epoetin alfa, non-esrd |
155 |
87 |
$22K |
| J1030 |
Methylprednisolone 40 mg inj |
6,009 |
5,616 |
$21K |
| 93970 |
|
144 |
130 |
$21K |
| 85027 |
|
5,873 |
4,580 |
$21K |
| 81003 |
|
11,948 |
10,948 |
$20K |
| 93017 |
|
220 |
206 |
$18K |
| 99203 |
|
137 |
137 |
$18K |
| 85610 |
|
7,770 |
6,145 |
$18K |
| 10060 |
|
105 |
99 |
$17K |
| A9585 |
Gadobutrol injection |
2,844 |
2,526 |
$17K |
| 82607 |
|
2,230 |
2,109 |
$16K |
| J2270 |
Morphine sulfate injection |
8,573 |
5,805 |
$16K |
| 97035 |
|
386 |
111 |
$16K |
| 87070 |
|
3,396 |
2,948 |
$16K |
| 80050 |
|
1,042 |
927 |
$16K |
| 64495 |
|
455 |
338 |
$15K |
| G0108 |
Diab manage trn per indiv |
206 |
180 |
$15K |
| 77334 |
|
183 |
132 |
$15K |
| 85379 |
|
2,325 |
2,156 |
$15K |
| 74018 |
|
848 |
755 |
$15K |
| J2469 |
Palonosetron hcl |
328 |
214 |
$14K |
| 77002 |
|
191 |
181 |
$14K |
| 74246 |
|
109 |
108 |
$14K |
| 97010 |
|
311 |
128 |
$13K |
| 85007 |
|
5,033 |
3,896 |
$13K |
| C1769 |
Guide wire |
1,485 |
1,123 |
$13K |
| 86850 |
|
2,352 |
2,028 |
$13K |
| 82306 |
|
1,014 |
967 |
$12K |
| 93458 |
|
12 |
12 |
$12K |
| 88304 |
|
2,084 |
1,954 |
$12K |
| 88307 |
|
244 |
228 |
$11K |
| 87077 |
|
2,350 |
2,186 |
$11K |
| 85730 |
|
3,535 |
3,309 |
$11K |
| 64490 |
|
16 |
12 |
$11K |
| J1200 |
Diphenhydramine hcl injectio |
7,994 |
5,351 |
$11K |
| 73140 |
|
598 |
563 |
$11K |
| 73562 |
|
1,016 |
924 |
$10K |
| 72131 |
|
389 |
368 |
$10K |
| J1650 |
Inj enoxaparin sodium |
716 |
276 |
$10K |
| 74247 |
|
55 |
53 |
$10K |
| 64635 |
|
12 |
12 |
$9K |
| 87205 |
|
2,807 |
2,399 |
$9K |
| 97166 |
|
174 |
159 |
$9K |
| 99215 |
Prolong outpt/office vis |
206 |
191 |
$9K |
| 82378 |
|
1,291 |
1,154 |
$8K |
| J0131 |
Inj, acetaminophen (nos) |
1,112 |
1,059 |
$8K |
| 87147 |
|
874 |
827 |
$8K |
| J3301 |
Triamcinolone acet inj nos |
1,272 |
1,138 |
$8K |
| 73502 |
|
850 |
801 |
$7K |
| 99202 |
|
60 |
53 |
$7K |
| 82746 |
|
1,142 |
1,070 |
$7K |
| 90471 |
|
2,609 |
2,467 |
$7K |
| Q5106 |
Inj retacrit non-esrd use |
45 |
24 |
$7K |
| 86901 |
|
2,434 |
2,097 |
$6K |
| ATP16 |
|
1,085 |
552 |
$6K |
| J2543 |
Piperacillin/tazobactam |
231 |
141 |
$6K |
| 86900 |
|
2,439 |
2,098 |
$6K |
| 77300 |
|
90 |
77 |
$6K |
| 87798 |
|
260 |
196 |
$6K |
| 80179 |
|
1,046 |
984 |
$6K |
| J7030 |
Normal saline solution infus |
11,440 |
8,628 |
$5K |
| 80143 |
|
1,109 |
1,037 |
$5K |
| 73080 |
|
418 |
387 |
$5K |
| 97803 |
|
78 |
72 |
$5K |
| 77080 |
|
119 |
119 |
$5K |
| 74019 |
|
110 |
104 |
$5K |
| J0696 |
Ceftriaxone sodium injection |
3,884 |
3,022 |
$5K |
| J0574 |
Bupren/nal 6.1 to 10mg bupre |
67 |
39 |
$5K |
| J2710 |
Neostigmine methylslfte inj |
1,015 |
878 |
$5K |
| J1644 |
Inj heparin sodium per 1000u |
2,473 |
1,017 |
$5K |
| 64615 |
|
26 |
26 |
$4K |
| 83036 |
|
1,040 |
872 |
$4K |
| 82565 |
|
2,319 |
2,200 |
$4K |
| 64450 |
|
25 |
24 |
$4K |
| 96376 |
|
3,498 |
2,804 |
$4K |
| J7050 |
Normal saline solution infus |
5,272 |
2,982 |
$4K |
| 74420 |
|
518 |
498 |
$4K |
| J7512 |
Prednisone ir or dr oral 1mg |
3,524 |
2,887 |
$4K |
| 70486 |
|
73 |
66 |
$3K |
| J1453 |
Fosaprepitant injection |
34 |
26 |
$3K |
| 88313 |
|
2,139 |
2,056 |
$3K |
| 76870 |
|
31 |
29 |
$3K |
| 76801 |
|
13 |
13 |
$3K |
| 82140 |
|
459 |
382 |
$3K |
| 64491 |
|
16 |
12 |
$3K |
| J2060 |
Lorazepam injection |
4,851 |
3,470 |
$3K |
| J3490 |
Drugs unclassified injection |
105 |
86 |
$3K |
| 87486 |
|
113 |
109 |
$3K |
| 93272 |
|
208 |
208 |
$3K |
| 76817 |
|
70 |
66 |
$3K |
| 86300 |
|
283 |
192 |
$3K |
| 70544 |
|
30 |
28 |
$3K |
| 87088 |
|
397 |
378 |
$2K |
| J7120 |
Ringers lactate infusion |
1,546 |
1,088 |
$2K |
| G0105 |
Colorectal scrn; hi risk ind |
116 |
115 |
$2K |
| M0243 |
Casirivi and imdevi inj |
15 |
13 |
$2K |
| G0399 |
Home sleep test/type 3 porta |
28 |
26 |
$2K |
| 82784 |
|
230 |
209 |
$2K |
| 84439 |
|
535 |
496 |
$2K |
| J2370 |
Phenylephrine hcl injection |
542 |
512 |
$2K |
| 87808 |
|
120 |
105 |
$2K |
| 74220 |
|
52 |
51 |
$2K |
| 87807 |
|
168 |
166 |
$2K |
| 84100 |
|
1,644 |
1,358 |
$2K |
| 12002 |
|
13 |
12 |
$2K |
| 87661 |
|
77 |
73 |
$2K |
| 84550 |
|
2,511 |
1,899 |
$2K |
| 70496 |
|
43 |
39 |
$2K |
| ATP02 |
|
1,228 |
1,002 |
$2K |
| 98927 |
|
104 |
103 |
$2K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
2,589 |
2,456 |
$2K |
| 83883 |
|
228 |
155 |
$2K |
| 84153 |
|
296 |
285 |
$2K |
| 92610 |
|
14 |
13 |
$1K |
| A9541 |
Tc99m sulfur colloid |
214 |
209 |
$1K |
| 87476 |
|
72 |
65 |
$1K |
| 82010 |
|
291 |
228 |
$1K |
| 82232 |
|
131 |
120 |
$1K |
| 76942 |
|
41 |
36 |
$1K |
| 90674 |
|
210 |
200 |
$1K |
| 97597 |
|
37 |
25 |
$1K |
| 77470 |
|
14 |
13 |
$1K |
| 74178 |
|
12 |
12 |
$1K |
| 85652 |
|
900 |
774 |
$1K |
| 83550 |
|
353 |
339 |
$1K |
| 84165 |
|
229 |
216 |
$1K |
| C1781 |
Mesh (implantable) |
12 |
12 |
$1K |
| 86317 |
|
42 |
34 |
$990.18 |
| 73590 |
|
69 |
62 |
$981.27 |
| 85014 |
|
1,593 |
1,227 |
$955.34 |
| U0002 |
Covid-19 lab test non-cdc |
855 |
795 |
$933.06 |
| 85018 |
|
1,525 |
1,166 |
$902.30 |
| 88173 |
|
12 |
12 |
$869.18 |
| J1010 |
Inj, methylpred acetate 1 mg |
778 |
663 |
$826.49 |
| 70491 |
|
16 |
12 |
$823.95 |
| 84450 |
|
252 |
235 |
$755.54 |
| 86618 |
|
67 |
57 |
$743.12 |
| 98928 |
|
29 |
28 |
$680.67 |
| J3475 |
Inj magnesium sulfate |
937 |
551 |
$675.27 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
630 |
603 |
$646.43 |
| 86140 |
|
296 |
191 |
$636.57 |
| 88312 |
|
455 |
425 |
$628.23 |
| 36591 |
|
414 |
328 |
$582.42 |
| 71101 |
|
94 |
89 |
$574.69 |
| 84145 |
|
43 |
43 |
$492.73 |
| J0330 |
Succinycholine chloride inj |
1,184 |
1,138 |
$482.07 |
| 88112 |
|
14 |
13 |
$476.28 |
| J1630 |
Haloperidol injection |
1,013 |
763 |
$463.28 |
| C1894 |
Intro/sheath, non-laser |
228 |
213 |
$457.64 |
| 87801 |
|
15 |
13 |
$448.21 |
| 97116 |
|
70 |
25 |
$437.50 |
| J2765 |
Metoclopramide hcl injection |
2,896 |
2,188 |
$435.24 |
| 83921 |
|
69 |
68 |
$426.98 |
| 85045 |
|
222 |
198 |
$358.96 |
| 73090 |
|
42 |
41 |
$346.07 |
| 83520 |
|
99 |
64 |
$309.62 |
| 77066 |
Tomosynthesis, mammo |
12 |
12 |
$296.60 |
| J2930 |
Methylprednisolone injection |
303 |
216 |
$279.44 |
| ATP09 |
|
35 |
30 |
$272.70 |
| 90714 |
|
20 |
18 |
$264.24 |
| J0780 |
Prochlorperazine injection |
323 |
204 |
$262.38 |
| G0279 |
Tomosynthesis, mammo |
13 |
13 |
$252.13 |
| 96417 |
|
820 |
531 |
$249.39 |
| J3370 |
Vancomycin hcl injection |
186 |
95 |
$224.33 |
| 72070 |
|
13 |
13 |
$221.72 |
| 84460 |
|
239 |
222 |
$204.94 |
| J0171 |
Adrenalin epinephrine inject |
126 |
115 |
$184.10 |
| G2211 |
Complex e/m visit add on |
126 |
116 |
$171.27 |
| 80061 |
|
219 |
180 |
$166.72 |
| 80320 |
|
471 |
407 |
$137.32 |
| 85651 |
|
65 |
55 |
$111.78 |
| ATP10 |
|
14 |
13 |
$107.52 |
| 82550 |
|
147 |
102 |
$107.43 |
| J3420 |
Vitamin b12 injection |
1,062 |
939 |
$103.28 |
| ATP03 |
|
60 |
52 |
$75.35 |
| 97112 |
|
33 |
12 |
$68.75 |
| 72020 |
|
409 |
394 |
$68.10 |
| 77417 |
|
50 |
15 |
$63.35 |
| 85041 |
|
42 |
40 |
$55.20 |
| G0008 |
Admin influenza virus vac |
119 |
116 |
$50.06 |
| 82271 |
|
13 |
13 |
$37.52 |
| 80178 |
|
12 |
12 |
$30.15 |
| J2795 |
Ropivacaine hcl injection |
149 |
144 |
$27.02 |
| J7510 |
Prednisolone oral per 5 mg |
140 |
128 |
$25.42 |
| G8991 |
Other pt/ot goal status |
61 |
53 |
$24.64 |
| G0121 |
Colon ca scrn not hi rsk ind |
26 |
26 |
$8.51 |
| J7613 |
Albuterol non-comp unit |
422 |
273 |
$5.38 |
| C9113 |
Inj pantoprazole sodium, via |
67 |
53 |
$4.86 |
| J1815 |
Insulin injection |
130 |
29 |
$2.88 |
| J8540 |
Oral dexamethasone |
67 |
48 |
$0.56 |
| J2360 |
Orphenadrine injection |
163 |
152 |
$0.00 |
| J7060 |
5% dextrose/water |
365 |
176 |
$0.00 |
| 83521 |
|
57 |
56 |
$0.00 |
| G8980 |
Mobility d/c status |
14 |
13 |
$0.00 |
| 80329 |
|
45 |
43 |
$0.00 |
| A9500 |
Tc99m sestamibi |
78 |
70 |
$0.00 |
| 96411 |
|
115 |
74 |
$0.00 |
| G8988 |
Self care goal status |
56 |
55 |
$0.00 |
| J3480 |
Inj potassium chloride |
113 |
60 |
$0.00 |
| G8987 |
Self care current status |
56 |
55 |
$0.00 |
| 0250 |
|
53 |
24 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
15 |
13 |
$0.00 |
| 82040 |
|
12 |
12 |
$0.00 |
| G8979 |
Mobility goal status |
364 |
345 |
$0.00 |
| C1758 |
Catheter, ureteral |
872 |
803 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
26 |
25 |
$0.00 |
| J7040 |
Normal saline solution infus |
498 |
302 |
$0.00 |
| C1765 |
Adhesion barrier |
85 |
81 |
$0.00 |
| 84520 |
|
103 |
99 |
$0.00 |
| G8978 |
Mobility current status |
324 |
308 |
$0.00 |
| G8990 |
Other pt/ot current status |
40 |
37 |
$0.00 |
| G1004 |
Cdsm ndsc |
49 |
41 |
$0.00 |
| 64636 |
|
19 |
12 |
$0.00 |
| J1580 |
Garamycin gentamicin inj |
25 |
25 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
16 |
14 |
$0.00 |
| 94729 |
|
12 |
12 |
$0.00 |
| G1010 |
Cdsm stanson |
20 |
16 |
$0.00 |
| J1956 |
Levofloxacin injection |
14 |
12 |
$0.00 |
| 94060 |
|
12 |
12 |
$0.00 |
| 43450 |
|
14 |
13 |
$0.00 |
| 94727 |
|
12 |
12 |
$0.00 |