| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96361 |
|
17,327 |
14,251 |
$4.83M |
| U0003 |
Cov-19 amp prb hgh thruput |
42,588 |
40,469 |
$3.01M |
| 99284 |
|
40,612 |
36,831 |
$2.97M |
| 99283 |
|
33,367 |
30,101 |
$2.94M |
| G0463 |
Hospital outpt clinic visit |
34,501 |
24,923 |
$2.56M |
| 11042 |
|
19,737 |
8,729 |
$2.40M |
| 99285 |
|
26,748 |
24,207 |
$2.08M |
| 97110 |
|
65,908 |
23,857 |
$1.51M |
| 74177 |
|
8,971 |
8,547 |
$1.23M |
| 70450 |
|
10,487 |
9,820 |
$1.23M |
| 96366 |
|
5,136 |
3,551 |
$1.04M |
| 96365 |
|
11,190 |
7,701 |
$993K |
| 99282 |
|
10,547 |
9,379 |
$899K |
| 11045 |
|
3,938 |
1,942 |
$824K |
| 93306 |
|
3,942 |
3,845 |
$729K |
| 97530 |
|
35,668 |
16,835 |
$708K |
| 78452 |
|
2,166 |
2,094 |
$686K |
| 43239 |
|
2,115 |
1,978 |
$599K |
| G0382 |
Lev 3 hosp type b ed visit |
3,981 |
3,610 |
$565K |
| 93458 |
|
514 |
491 |
$507K |
| 96360 |
|
5,351 |
4,728 |
$487K |
| 71275 |
|
3,330 |
3,196 |
$482K |
| 97140 |
|
29,775 |
13,161 |
$475K |
| 80307 |
|
16,698 |
14,902 |
$433K |
| G0383 |
Lev 4 hosp type b ed visit |
2,984 |
2,766 |
$425K |
| 74176 |
|
2,922 |
2,801 |
$419K |
| 70553 |
|
2,126 |
2,066 |
$401K |
| 87635 |
|
5,162 |
4,997 |
$353K |
| G0384 |
Lev 5 hosp type b ed visit |
2,472 |
2,276 |
$352K |
| 97161 |
|
8,011 |
7,850 |
$347K |
| 58571 |
|
163 |
152 |
$317K |
| 76830 |
|
3,357 |
3,298 |
$276K |
| 76705 |
|
3,736 |
3,593 |
$274K |
| G0378 |
Hospital observation per hr |
7,744 |
6,351 |
$251K |
| 70496 |
|
1,800 |
1,740 |
$244K |
| 29848 |
|
193 |
183 |
$239K |
| 97803 |
|
8,246 |
6,464 |
$236K |
| 97112 |
|
12,546 |
5,603 |
$222K |
| 76700 |
|
2,320 |
2,294 |
$203K |
| 96413 |
|
3,062 |
1,945 |
$201K |
| 76856 |
|
3,567 |
3,511 |
$189K |
| 93017 |
|
2,290 |
2,225 |
$187K |
| 96415 |
|
903 |
685 |
$167K |
| 99281 |
|
1,836 |
1,558 |
$162K |
| 97802 |
|
2,453 |
2,429 |
$150K |
| 62323 |
|
487 |
475 |
$144K |
| 93971 |
|
1,885 |
1,816 |
$142K |
| 76536 |
|
1,782 |
1,753 |
$135K |
| 71046 |
|
14,170 |
13,417 |
$134K |
| 29581 |
|
903 |
466 |
$131K |
| 72148 |
|
1,168 |
1,135 |
$129K |
| 97162 |
|
3,401 |
3,334 |
$127K |
| 45380 |
|
580 |
545 |
$127K |
| 84484 |
|
31,724 |
21,651 |
$124K |
| 76770 |
|
1,594 |
1,574 |
$123K |
| 45385 |
|
392 |
352 |
$121K |
| 76801 |
|
2,246 |
2,093 |
$114K |
| 80053 |
|
27,403 |
24,050 |
$108K |
| 97165 |
|
2,786 |
2,710 |
$104K |
| 80048 |
|
28,194 |
23,120 |
$97K |
| 80047 |
|
15,571 |
13,944 |
$93K |
| 96367 |
|
1,640 |
1,207 |
$85K |
| 71260 |
|
1,967 |
1,912 |
$80K |
| 10060 |
|
379 |
368 |
$75K |
| 76937 |
|
2,556 |
2,316 |
$74K |
| 72100 |
|
4,145 |
4,031 |
$70K |
| 70498 |
|
1,880 |
1,811 |
$67K |
| G0480 |
Drug test def 1-7 classes |
10,186 |
9,360 |
$62K |
| 71250 |
|
1,365 |
1,325 |
$60K |
| P9016 |
Rbc leukocytes reduced |
271 |
224 |
$58K |
| 76817 |
|
1,805 |
1,643 |
$56K |
| 80076 |
|
19,700 |
18,153 |
$55K |
| 70551 |
|
380 |
373 |
$54K |
| G0381 |
Lev 2 hosp type b ed visit |
469 |
454 |
$53K |
| 83605 |
|
10,036 |
8,082 |
$50K |
| 52356 |
|
25 |
24 |
$48K |
| 97116 |
|
4,385 |
2,346 |
$47K |
| 87040 |
|
7,853 |
4,094 |
$46K |
| 90715 |
|
2,522 |
2,449 |
$45K |
| 93970 |
|
505 |
484 |
$44K |
| 75574 |
|
258 |
251 |
$43K |
| 64483 |
|
105 |
102 |
$42K |
| 72141 |
|
333 |
322 |
$41K |
| 70486 |
|
1,664 |
1,609 |
$41K |
| 73560 |
|
4,303 |
3,702 |
$41K |
| 83880 |
|
9,240 |
8,354 |
$40K |
| 88307 |
|
2,526 |
1,847 |
$39K |
| 72040 |
|
1,822 |
1,780 |
$39K |
| 72125 |
|
4,278 |
4,086 |
$39K |
| 97605 |
|
379 |
148 |
$38K |
| 36430 |
|
597 |
464 |
$37K |
| 73030 |
|
3,374 |
3,056 |
$35K |
| 73630 |
|
3,342 |
3,003 |
$34K |
| 85025 |
|
73,045 |
59,891 |
$34K |
| 87641 |
|
3,698 |
3,521 |
$33K |
| 78264 |
|
171 |
170 |
$32K |
| 74018 |
|
1,582 |
1,476 |
$31K |
| 97597 |
|
1,362 |
981 |
$31K |
| 76815 |
|
692 |
665 |
$31K |
| 73721 |
|
230 |
216 |
$30K |
| 12001 |
|
166 |
161 |
$30K |
| 94640 |
|
4,562 |
3,782 |
$30K |
| 64721 |
|
57 |
56 |
$29K |
| 73130 |
|
3,031 |
2,613 |
$28K |
| 84145 |
|
3,219 |
2,913 |
$27K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,490 |
1,424 |
$27K |
| 87591 |
|
2,514 |
2,423 |
$27K |
| 76819 |
|
706 |
637 |
$26K |
| 73502 |
|
2,415 |
2,212 |
$24K |
| J1745 |
Infliximab not biosimil 10mg |
33 |
26 |
$23K |
| 59409 |
|
12 |
12 |
$22K |
| 97607 |
|
317 |
164 |
$22K |
| 73610 |
|
2,554 |
2,336 |
$22K |
| 71045 |
|
18,592 |
16,953 |
$22K |
| 85379 |
|
4,741 |
4,508 |
$22K |
| 96372 |
|
13,446 |
9,119 |
$22K |
| 36415 |
|
27,531 |
20,770 |
$21K |
| 93005 |
|
32,349 |
28,485 |
$21K |
| 76870 |
|
258 |
248 |
$20K |
| 30520 |
|
15 |
15 |
$19K |
| 96374 |
|
28,502 |
25,708 |
$17K |
| 12002 |
|
109 |
105 |
$17K |
| 62321 |
|
57 |
54 |
$15K |
| 84112 |
|
2,278 |
2,071 |
$15K |
| 97535 |
|
1,129 |
803 |
$15K |
| M0243 |
Casirivi and imdevi inj |
58 |
58 |
$15K |
| 64493 |
|
30 |
28 |
$15K |
| 73110 |
|
1,509 |
1,351 |
$15K |
| 72197 |
|
81 |
81 |
$14K |
| 80143 |
|
3,390 |
3,134 |
$13K |
| J0696 |
Ceftriaxone sodium injection |
6,360 |
4,236 |
$12K |
| 93923 |
|
205 |
201 |
$11K |
| 70491 |
|
104 |
100 |
$10K |
| 82565 |
|
17,996 |
16,600 |
$10K |
| 96375 |
|
21,684 |
18,026 |
$10K |
| 76882 |
|
133 |
118 |
$9K |
| 95819 |
|
76 |
75 |
$9K |
| 43235 |
|
26 |
26 |
$9K |
| 72131 |
|
413 |
400 |
$8K |
| C1725 |
Cath, translumin non-laser |
1,054 |
959 |
$8K |
| 45378 |
|
24 |
24 |
$8K |
| 72070 |
|
442 |
430 |
$7K |
| 83735 |
|
8,650 |
6,020 |
$7K |
| 86850 |
|
5,590 |
5,077 |
$7K |
| 97166 |
|
234 |
218 |
$7K |
| 80179 |
|
3,252 |
3,022 |
$7K |
| 86923 |
|
769 |
410 |
$7K |
| 85610 |
|
32,011 |
24,588 |
$6K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
21,418 |
19,903 |
$6K |
| 73590 |
|
804 |
706 |
$6K |
| 43264 |
|
12 |
12 |
$6K |
| 93798 |
|
942 |
192 |
$6K |
| 82962 |
|
21,630 |
15,248 |
$6K |
| 49083 |
|
29 |
12 |
$6K |
| 82330 |
|
17,944 |
16,084 |
$6K |
| J2405 |
Ondansetron hcl injection |
33,257 |
26,938 |
$6K |
| 74183 |
|
41 |
40 |
$5K |
| 36569 |
|
13 |
13 |
$5K |
| 80050 |
|
1,024 |
901 |
$5K |
| 86900 |
|
6,711 |
6,172 |
$5K |
| 84702 |
|
8,837 |
8,164 |
$5K |
| 85027 |
|
7,725 |
6,668 |
$5K |
| 29125 |
|
44 |
41 |
$5K |
| 92507 |
|
161 |
64 |
$5K |
| 72110 |
|
195 |
190 |
$5K |
| 88305 |
|
9,007 |
5,855 |
$5K |
| 80051 |
|
14,203 |
13,175 |
$4K |
| A9270 |
Non-covered item or service |
29,924 |
17,315 |
$4K |
| 83036 |
|
4,039 |
3,876 |
$4K |
| 83690 |
|
19,043 |
17,435 |
$4K |
| A9541 |
Tc99m sulfur colloid |
374 |
369 |
$4K |
| G0260 |
Inj for sacroiliac jt anesth |
13 |
13 |
$4K |
| 76942 |
|
45 |
45 |
$4K |
| 81001 |
|
21,923 |
20,275 |
$4K |
| 80061 |
|
1,240 |
1,169 |
$4K |
| 59025 |
|
18 |
16 |
$3K |
| C8929 |
Tte w or wo fol wcon,doppler |
13 |
13 |
$3K |
| 74174 |
|
48 |
44 |
$3K |
| 77001 |
|
52 |
45 |
$3K |
| G0257 |
Unsched dialysis esrd pt hos |
43 |
25 |
$3K |
| 87491 |
|
2,538 |
2,445 |
$3K |
| 87086 |
|
9,156 |
8,521 |
$3K |
| J2785 |
Regadenoson injection |
1,863 |
1,799 |
$3K |
| 86901 |
|
6,887 |
6,329 |
$3K |
| 87633 |
|
86 |
79 |
$3K |
| 73562 |
|
129 |
113 |
$3K |
| 93308 |
|
16 |
15 |
$3K |
| 71271 |
|
38 |
38 |
$3K |
| 73221 |
|
26 |
24 |
$3K |
| 72050 |
|
85 |
84 |
$3K |
| A9502 |
Tc99m tetrofosmin |
2,928 |
2,184 |
$2K |
| 96376 |
|
8,087 |
5,743 |
$2K |
| J2469 |
Palonosetron hcl |
16 |
12 |
$2K |
| 84443 |
|
2,458 |
2,288 |
$2K |
| C9803 |
Hopd covid-19 spec collect |
90 |
86 |
$2K |
| 86140 |
|
2,107 |
1,723 |
$2K |
| 99152 |
|
3,498 |
3,260 |
$2K |
| 84703 |
|
6,116 |
5,789 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
16,856 |
15,078 |
$2K |
| 84100 |
|
4,576 |
2,801 |
$2K |
| 29515 |
|
13 |
12 |
$2K |
| 82731 |
|
177 |
172 |
$2K |
| 71101 |
|
233 |
226 |
$2K |
| 87070 |
|
6,266 |
5,583 |
$2K |
| 74178 |
|
15 |
14 |
$2K |
| 82075 |
|
3,374 |
2,967 |
$1K |
| 81003 |
|
11,393 |
10,746 |
$1K |
| 82553 |
|
298 |
200 |
$1K |
| 90471 |
|
2,570 |
2,482 |
$1K |
| 99291 |
|
53 |
49 |
$1K |
| A9577 |
Inj multihance |
4,189 |
4,056 |
$1K |
| C1889 |
Implant/insert device, noc |
788 |
717 |
$1K |
| 82947 |
|
14,097 |
13,080 |
$1K |
| 84156 |
|
1,828 |
1,564 |
$1K |
| 90686 |
|
177 |
161 |
$1K |
| 94060 |
|
41 |
40 |
$1K |
| J2270 |
Morphine sulfate injection |
9,326 |
7,268 |
$1K |
| 85014 |
|
1,981 |
1,467 |
$1K |
| 74220 |
|
51 |
50 |
$1K |
| 82570 |
|
1,754 |
1,555 |
$1K |
| 87205 |
|
6,539 |
5,634 |
$1K |
| 85730 |
|
6,482 |
6,129 |
$1K |
| 94729 |
|
76 |
76 |
$1K |
| 74330 |
|
26 |
25 |
$1K |
| 85652 |
|
2,199 |
1,764 |
$1K |
| 83615 |
|
2,005 |
1,741 |
$997.81 |
| 73090 |
|
261 |
240 |
$958.28 |
| 96523 |
|
18 |
12 |
$920.35 |
| 87186 |
|
5,300 |
4,617 |
$893.07 |
| 82550 |
|
1,642 |
1,229 |
$834.04 |
| 82360 |
|
80 |
77 |
$813.79 |
| 81025 |
|
5,603 |
5,346 |
$804.53 |
| 99153 |
Mod sedat endo service >5yrs |
2,682 |
2,531 |
$770.27 |
| 72128 |
|
79 |
77 |
$754.74 |
| 36591 |
|
34 |
24 |
$752.51 |
| 51798 |
|
76 |
66 |
$746.46 |
| 72170 |
|
304 |
296 |
$722.38 |
| 97035 |
|
103 |
51 |
$705.27 |
| 88342 |
|
1,401 |
1,206 |
$691.27 |
| J3010 |
Fentanyl citrate injection |
26,613 |
18,722 |
$660.45 |
| 94726 |
|
48 |
48 |
$658.39 |
| 0240U |
|
2,148 |
2,066 |
$611.89 |
| J7120 |
Ringers lactate infusion |
20,542 |
15,525 |
$600.87 |
| 84550 |
|
1,780 |
1,559 |
$597.41 |
| J3370 |
Vancomycin hcl injection |
1,251 |
775 |
$529.31 |
| 84450 |
|
1,450 |
1,301 |
$515.40 |
| J0690 |
Cefazolin sodium injection |
13,216 |
11,196 |
$514.66 |
| J2704 |
Inj, propofol, 10 mg |
18,467 |
14,861 |
$508.84 |
| 36410 |
|
180 |
164 |
$506.88 |
| 97163 |
|
15 |
14 |
$492.30 |
| 76981 |
|
27 |
27 |
$479.63 |
| 87804 |
|
2,548 |
2,439 |
$474.02 |
| 87077 |
|
2,422 |
2,100 |
$472.35 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
2,864 |
2,743 |
$471.58 |
| 73080 |
|
43 |
40 |
$439.29 |
| J1170 |
Hydromorphone injection |
11,448 |
8,105 |
$425.26 |
| 93325 |
|
94 |
89 |
$409.64 |
| J2765 |
Metoclopramide hcl injection |
4,829 |
4,309 |
$399.73 |
| 84520 |
|
1,135 |
1,018 |
$392.62 |
| 94010 |
|
15 |
15 |
$390.77 |
| 85018 |
|
1,571 |
1,053 |
$386.67 |
| 82803 |
|
727 |
529 |
$367.44 |
| 0241U |
|
3,021 |
2,889 |
$366.47 |
| 72114 |
|
13 |
13 |
$355.48 |
| 73140 |
|
27 |
27 |
$340.23 |
| 87798 |
|
89 |
82 |
$333.24 |
| 84460 |
|
797 |
716 |
$322.89 |
| 88304 |
|
1,633 |
1,312 |
$322.26 |
| J2001 |
Lidocaine injection |
29,603 |
24,489 |
$299.96 |
| J1100 |
Dexamethasone sodium phos |
15,703 |
14,271 |
$299.74 |
| 87430 |
|
1,047 |
1,017 |
$291.66 |
| 73070 |
|
89 |
81 |
$272.73 |
| 84132 |
|
651 |
501 |
$260.51 |
| 88112 |
|
165 |
143 |
$260.22 |
| J3480 |
Inj potassium chloride |
1,179 |
903 |
$242.85 |
| 82728 |
|
142 |
129 |
$238.72 |
| J2916 |
Na ferric gluconate complex |
390 |
209 |
$233.85 |
| C1769 |
Guide wire |
5,936 |
5,455 |
$226.68 |
| U0002 |
Covid-19 lab test non-cdc |
171 |
166 |
$224.66 |
| G0008 |
Admin influenza virus vac |
178 |
162 |
$217.90 |
| J2550 |
Promethazine hcl injection |
1,930 |
1,590 |
$212.99 |
| 88341 |
|
624 |
367 |
$210.20 |
| 87661 |
|
24 |
24 |
$206.21 |
| J2250 |
Inj midazolam hydrochloride |
15,435 |
14,074 |
$201.11 |
| J2930 |
Methylprednisolone injection |
1,554 |
1,399 |
$193.76 |
| 97598 |
|
23 |
13 |
$186.66 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
1,083 |
1,005 |
$176.27 |
| 84439 |
|
163 |
155 |
$171.93 |
| U0005 |
Infec agen detec ampli probe |
17,050 |
16,408 |
$166.65 |
| 87808 |
|
518 |
508 |
$144.46 |
| J3475 |
Inj magnesium sulfate |
1,784 |
1,433 |
$142.92 |
| J2060 |
Lorazepam injection |
3,762 |
3,070 |
$133.32 |
| J1644 |
Inj heparin sodium per 1000u |
12,837 |
6,032 |
$132.95 |
| 74022 |
|
36 |
36 |
$121.66 |
| 83540 |
|
244 |
233 |
$120.23 |
| J3301 |
Triamcinolone acet inj nos |
160 |
158 |
$112.43 |
| 73060 |
|
13 |
13 |
$111.96 |
| J0780 |
Prochlorperazine injection |
602 |
544 |
$109.88 |
| 82140 |
|
374 |
322 |
$94.22 |
| 83550 |
|
162 |
155 |
$91.59 |
| 82607 |
|
105 |
97 |
$85.71 |
| 51702 |
|
30 |
26 |
$76.80 |
| 87147 |
|
606 |
576 |
$75.54 |
| J0171 |
Adrenalin epinephrine inject |
665 |
592 |
$74.58 |
| 80164 |
|
19 |
14 |
$74.28 |
| J1650 |
Inj enoxaparin sodium |
3,040 |
1,229 |
$72.44 |
| C1751 |
Cath, inf, per/cent/midline |
2,745 |
2,549 |
$67.42 |
| J1200 |
Diphenhydramine hcl injectio |
4,924 |
4,009 |
$66.28 |
| J3490 |
Drugs unclassified injection |
123 |
89 |
$62.49 |
| C1894 |
Intro/sheath, non-laser |
4,284 |
3,966 |
$57.57 |
| C1887 |
Catheter, guiding |
1,951 |
1,825 |
$57.54 |
| J2710 |
Neostigmine methylslfte inj |
3,497 |
3,289 |
$52.98 |
| 87651 |
|
194 |
190 |
$51.56 |
| J0360 |
Hydralazine hcl injection |
1,819 |
1,398 |
$49.12 |
| 72020 |
|
15 |
14 |
$42.00 |
| J1940 |
Furosemide injection |
1,620 |
1,122 |
$40.70 |
| C1729 |
Cath, drainage |
1,282 |
777 |
$40.60 |
| 82248 |
|
65 |
63 |
$36.56 |
| J0330 |
Succinycholine chloride inj |
3,784 |
3,553 |
$31.51 |
| C1760 |
Closure dev, vasc |
357 |
330 |
$31.00 |
| 82150 |
|
119 |
109 |
$29.95 |
| J1642 |
Inj heparin sodium per 10 u |
4,333 |
2,625 |
$29.75 |
| G0283 |
Elec stim other than wound |
4,251 |
1,847 |
$29.10 |
| J1630 |
Haloperidol injection |
1,243 |
1,103 |
$28.16 |
| G8990 |
Other pt/ot current status |
669 |
658 |
$24.88 |
| 87493 |
|
14 |
13 |
$21.12 |
| 0352U |
|
235 |
232 |
$18.63 |
| 87081 |
|
28 |
27 |
$15.73 |
| J3411 |
Thiamine hcl 100 mg |
202 |
156 |
$15.44 |
| 87428 |
|
177 |
171 |
$12.81 |
| 85651 |
|
19 |
15 |
$11.55 |
| J1580 |
Garamycin gentamicin inj |
310 |
284 |
$5.25 |
| J2370 |
Phenylephrine hcl injection |
489 |
429 |
$4.78 |
| J7613 |
Albuterol non-comp unit |
465 |
403 |
$4.22 |
| 82746 |
|
13 |
13 |
$4.12 |
| 85347 |
|
598 |
331 |
$3.77 |
| 87807 |
|
12 |
12 |
$3.09 |
| J7512 |
Prednisone ir or dr oral 1mg |
2,345 |
1,282 |
$2.93 |
| 87653 |
|
13 |
12 |
$2.77 |
| C1730 |
Cath, ep, 19 or few elect |
38 |
36 |
$2.76 |
| J1790 |
Droperidol injection |
120 |
109 |
$2.41 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
183 |
173 |
$2.20 |
| C9113 |
Inj pantoprazole sodium, via |
449 |
288 |
$1.72 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
646 |
561 |
$0.52 |
| J1815 |
Insulin injection |
1,377 |
932 |
$0.41 |
| 36416 |
|
375 |
332 |
$0.31 |
| P9612 |
Catheterize for urine spec |
220 |
209 |
$0.00 |
| G8991 |
Other pt/ot goal status |
751 |
729 |
$0.00 |
| C1781 |
Mesh (implantable) |
87 |
83 |
$0.00 |
| G8980 |
Mobility d/c status |
38 |
38 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
407 |
375 |
$0.00 |
| J2920 |
Methylprednisolone injection |
262 |
173 |
$0.00 |
| J1805 |
Inj, esmolol hcl, 10mg |
14 |
13 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
17 |
12 |
$0.00 |
| J0610 |
Calcium glucon (fresenius) |
91 |
74 |
$0.00 |
| C2617 |
Stent, non-cor, tem w/o del |
290 |
276 |
$0.00 |
| C1766 |
Intro/sheath,strble,non-peel |
27 |
24 |
$0.00 |
| G8992 |
Other pt/ot d/c status |
29 |
28 |
$0.00 |
| 87426 |
|
55 |
53 |
$0.00 |
| G8988 |
Self care goal status |
36 |
29 |
$0.00 |
| 88309 |
|
15 |
13 |
$0.00 |
| G8987 |
Self care current status |
36 |
29 |
$0.00 |
| 86880 |
|
15 |
13 |
$0.00 |
| 64494 |
|
15 |
14 |
$0.00 |
| J0456 |
Azithromycin |
31 |
14 |
$0.00 |
| 88311 |
|
14 |
12 |
$0.00 |
| J2305 |
Inj, nitroglycerin, 5 mg |
14 |
14 |
$0.00 |
| C1726 |
Cath, bal dil, non-vascular |
15 |
13 |
$0.00 |
| 88331 |
|
30 |
27 |
$0.00 |
| 30140 |
|
13 |
13 |
$0.00 |
| 82010 |
|
14 |
14 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
65 |
63 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
345 |
278 |
$0.00 |
| 88173 |
|
75 |
54 |
$0.00 |
| G0500 |
Mod sedat endo service >5yrs |
254 |
248 |
$0.00 |
| G8979 |
Mobility goal status |
732 |
700 |
$0.00 |
| C1874 |
Stent, coated/cov w/del sys |
14 |
12 |
$0.00 |
| 76000 |
|
26 |
25 |
$0.00 |
| Q0163 |
Diphenhydramine hcl 50mg |
15 |
12 |
$0.00 |
| P9604 |
One-way allow prorated trip |
481 |
314 |
$0.00 |
| G8984 |
Carry current status |
259 |
251 |
$0.00 |
| G8978 |
Mobility current status |
655 |
633 |
$0.00 |
| J1953 |
Levetiracetam injection |
16 |
14 |
$0.00 |
| C1758 |
Catheter, ureteral |
30 |
28 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
198 |
165 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
139 |
109 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
14 |
13 |
$0.00 |
| G8985 |
Carry goal status |
294 |
279 |
$0.00 |
| J1598 |
Inj glycopyrrolate fres kabi |
45 |
45 |
$0.00 |
| J2720 |
Inj protamine sulfate/10 mg |
28 |
25 |
$0.00 |
| 96417 |
|
17 |
12 |
$0.00 |
| 85049 |
|
13 |
12 |
$0.00 |
| J2590 |
Oxytocin injection |
24 |
24 |
$0.00 |
| J1956 |
Levofloxacin injection |
13 |
13 |
$0.00 |