| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpt clinic visit |
157,022 |
119,176 |
$10.87M |
| 99284 |
|
19,489 |
17,547 |
$3.61M |
| 99285 |
|
4,766 |
4,496 |
$1.59M |
| 99283 |
|
11,102 |
10,622 |
$1.49M |
| 96374 |
|
6,792 |
6,093 |
$708K |
| 99282 |
|
7,724 |
7,296 |
$668K |
| 92507 |
|
15,179 |
3,994 |
$646K |
| 90471 |
|
13,897 |
13,596 |
$532K |
| 74177 |
|
3,620 |
3,503 |
$442K |
| 43239 |
|
1,253 |
1,240 |
$414K |
| 97110 |
|
18,015 |
7,295 |
$375K |
| 97530 |
|
12,677 |
5,030 |
$371K |
| 96365 |
|
3,966 |
3,006 |
$341K |
| 96413 |
|
2,111 |
1,461 |
$301K |
| 99392 |
|
4,996 |
4,958 |
$300K |
| 90834 |
|
3,101 |
2,342 |
$290K |
| 93306 |
|
1,587 |
1,555 |
$285K |
| 71046 |
|
7,498 |
7,036 |
$276K |
| 45385 |
|
514 |
509 |
$273K |
| 97112 |
|
9,472 |
4,138 |
$270K |
| 99393 |
|
4,235 |
4,194 |
$260K |
| 20610 |
|
2,510 |
2,141 |
$257K |
| 97140 |
|
13,273 |
5,342 |
$244K |
| 90832 |
|
2,170 |
1,646 |
$238K |
| 99391 |
|
4,649 |
4,387 |
$236K |
| 70450 |
|
2,992 |
2,818 |
$233K |
| 96360 |
|
2,280 |
1,943 |
$226K |
| 99396 |
|
2,939 |
2,860 |
$196K |
| G0008 |
Admin influenza virus vac |
8,290 |
8,218 |
$195K |
| 99394 |
|
2,988 |
2,968 |
$194K |
| 99395 |
|
2,969 |
2,904 |
$193K |
| 87636 |
|
2,672 |
2,563 |
$190K |
| 96375 |
|
5,511 |
4,605 |
$182K |
| 96361 |
|
5,135 |
4,487 |
$181K |
| C9803 |
Hopd covid-19 spec collect |
14,682 |
13,288 |
$158K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,233 |
2,943 |
$156K |
| 71260 |
|
1,200 |
1,181 |
$148K |
| 96372 |
|
8,140 |
6,049 |
$144K |
| 77067 |
|
2,380 |
2,362 |
$126K |
| 94060 |
|
875 |
873 |
$125K |
| 90791 |
|
1,164 |
1,144 |
$117K |
| 74176 |
|
1,237 |
1,196 |
$108K |
| 76705 |
|
1,616 |
1,584 |
$107K |
| 76830 |
|
1,173 |
1,152 |
$97K |
| 97535 |
|
3,544 |
1,869 |
$94K |
| 70551 |
|
741 |
733 |
$91K |
| 80061 |
|
11,393 |
11,199 |
$86K |
| 97161 |
|
2,572 |
2,492 |
$86K |
| 90677 |
|
1,044 |
1,026 |
$84K |
| 80053 |
|
40,559 |
35,063 |
$83K |
| 84443 |
|
13,086 |
12,672 |
$79K |
| 97162 |
|
1,837 |
1,799 |
$65K |
| 90837 |
|
652 |
478 |
$62K |
| 71275 |
|
755 |
735 |
$60K |
| 82306 |
|
4,757 |
4,671 |
$56K |
| G0480 |
Drug test def 1-7 classes |
5,555 |
5,104 |
$56K |
| 86900 |
|
1,971 |
1,828 |
$50K |
| G0009 |
Admin pneumococcal vaccine |
2,048 |
2,026 |
$50K |
| 71045 |
|
1,516 |
1,410 |
$47K |
| 90686 |
|
8,472 |
8,392 |
$46K |
| 85025 |
|
37,648 |
31,658 |
$46K |
| 80307 |
|
5,674 |
5,287 |
$45K |
| 77063 |
|
2,150 |
2,138 |
$45K |
| 87635 |
|
1,895 |
1,799 |
$44K |
| 76856 |
|
550 |
536 |
$44K |
| 71250 |
|
1,019 |
1,001 |
$43K |
| 90847 |
|
355 |
275 |
$43K |
| 99291 |
|
103 |
100 |
$42K |
| 90792 |
|
355 |
340 |
$40K |
| 72148 |
|
371 |
364 |
$39K |
| 45380 |
|
89 |
87 |
$37K |
| 87591 |
|
3,367 |
3,248 |
$36K |
| 87491 |
|
3,367 |
3,249 |
$36K |
| 17110 |
|
608 |
572 |
$35K |
| 92557 |
|
470 |
462 |
$33K |
| 11102 |
|
295 |
291 |
$33K |
| 90651 |
|
2,170 |
2,147 |
$33K |
| U0005 |
Infec agen detec ampli probe |
2,397 |
2,194 |
$31K |
| 78452 |
|
86 |
84 |
$31K |
| 70496 |
|
192 |
187 |
$30K |
| 91322 |
|
738 |
721 |
$30K |
| 11721 |
|
2,994 |
2,971 |
$29K |
| 36415 |
|
38,444 |
34,217 |
$29K |
| 87798 |
|
1,925 |
1,863 |
$29K |
| 83036 |
|
11,598 |
11,329 |
$27K |
| D0145 |
|
1,394 |
1,383 |
$27K |
| 93971 |
|
481 |
448 |
$25K |
| 97597 |
|
334 |
216 |
$24K |
| 97165 |
|
583 |
565 |
$24K |
| 82607 |
|
4,655 |
4,554 |
$23K |
| 87624 |
|
1,687 |
1,650 |
$20K |
| 97116 |
|
1,491 |
815 |
$19K |
| 76819 |
|
216 |
92 |
$19K |
| 93017 |
|
467 |
462 |
$19K |
| 76816 |
|
669 |
575 |
$19K |
| 82728 |
|
3,857 |
3,732 |
$19K |
| 0001A |
|
601 |
600 |
$18K |
| 85027 |
|
10,628 |
9,422 |
$18K |
| 93005 |
|
11,411 |
9,903 |
$18K |
| 99188 |
|
763 |
745 |
$17K |
| 0002A |
|
643 |
576 |
$17K |
| 94664 |
|
184 |
169 |
$17K |
| 87389 |
|
2,411 |
2,364 |
$17K |
| 90732 |
|
318 |
317 |
$16K |
| D1206 |
|
1,355 |
1,344 |
$16K |
| 0012A |
|
743 |
738 |
$16K |
| 76801 |
|
180 |
158 |
$16K |
| 72100 |
|
771 |
761 |
$15K |
| C8928 |
Tte w or w/o fol w/con,stres |
49 |
46 |
$15K |
| 11056 |
|
376 |
373 |
$15K |
| 95908 |
|
88 |
88 |
$15K |
| 97035 |
|
2,854 |
1,147 |
$15K |
| 88142 |
|
1,551 |
1,540 |
$15K |
| 0011A |
|
776 |
776 |
$14K |
| M0245 |
Bamlan and etesev infusion |
47 |
47 |
$14K |
| 92508 |
|
760 |
221 |
$13K |
| 86780 |
|
1,162 |
1,133 |
$13K |
| 80048 |
|
7,880 |
6,328 |
$13K |
| 36591 |
|
607 |
438 |
$12K |
| 86618 |
|
3,327 |
3,235 |
$12K |
| 97113 |
|
123 |
63 |
$12K |
| 90480 |
|
880 |
857 |
$12K |
| 87481 |
|
2,126 |
1,043 |
$12K |
| M0243 |
Casirivi and imdevi inj |
50 |
50 |
$12K |
| 86803 |
|
2,883 |
2,816 |
$12K |
| 70553 |
|
50 |
50 |
$12K |
| 73562 |
|
1,953 |
1,879 |
$11K |
| 83655 |
|
1,948 |
1,896 |
$11K |
| 82746 |
|
2,319 |
2,266 |
$11K |
| 85610 |
|
13,985 |
7,510 |
$10K |
| 84439 |
|
2,409 |
2,299 |
$10K |
| 83550 |
|
3,575 |
3,462 |
$10K |
| 92523 |
|
74 |
73 |
$10K |
| 90688 |
|
941 |
933 |
$9K |
| 73030 |
|
1,813 |
1,681 |
$9K |
| 87086 |
|
8,747 |
7,996 |
$9K |
| 95910 |
|
47 |
47 |
$8K |
| 73630 |
|
1,628 |
1,513 |
$8K |
| 83540 |
|
3,737 |
3,616 |
$8K |
| 73721 |
|
58 |
57 |
$8K |
| 96415 |
|
168 |
134 |
$7K |
| 96366 |
|
270 |
233 |
$7K |
| Q3014 |
Telehealth facility fee |
484 |
454 |
$7K |
| 73502 |
|
1,148 |
1,125 |
$7K |
| 90670 |
|
2,627 |
2,613 |
$7K |
| 72125 |
|
899 |
867 |
$7K |
| 90853 |
|
138 |
127 |
$7K |
| 84702 |
|
944 |
745 |
$6K |
| 0031A |
|
258 |
258 |
$6K |
| 76805 |
|
66 |
65 |
$6K |
| 87511 |
|
1,093 |
1,043 |
$6K |
| 93010 |
|
1,680 |
1,313 |
$6K |
| 0064A |
|
900 |
895 |
$6K |
| 88175 |
|
430 |
400 |
$6K |
| 83970 |
|
509 |
502 |
$6K |
| 90656 |
|
714 |
707 |
$5K |
| 86140 |
|
5,745 |
5,260 |
$5K |
| 87661 |
|
1,107 |
1,057 |
$5K |
| 73610 |
|
1,324 |
1,191 |
$5K |
| 87468 |
|
996 |
972 |
$5K |
| 87469 |
|
996 |
972 |
$5K |
| 76642 |
|
102 |
99 |
$5K |
| 72141 |
|
54 |
54 |
$5K |
| 0124A |
|
429 |
424 |
$5K |
| 0054A |
|
250 |
245 |
$5K |
| 73110 |
|
984 |
844 |
$5K |
| 73130 |
|
915 |
754 |
$5K |
| 83880 |
|
3,007 |
2,670 |
$5K |
| 0134A |
|
432 |
422 |
$5K |
| 88305 |
|
4,933 |
4,783 |
$5K |
| 84153 |
|
777 |
745 |
$5K |
| 99231 |
|
261 |
105 |
$5K |
| M0222 |
Bebtelovimab injection |
34 |
32 |
$5K |
| 99232 |
|
186 |
64 |
$4K |
| 83735 |
|
6,212 |
5,116 |
$4K |
| 82784 |
|
1,227 |
1,177 |
$4K |
| 87070 |
|
5,325 |
5,093 |
$4K |
| 84403 |
|
270 |
260 |
$4K |
| 87186 |
|
3,411 |
3,257 |
$4K |
| M0247 |
Sotrovimab infusion |
13 |
13 |
$4K |
| 73221 |
|
26 |
25 |
$4K |
| 45378 |
|
14 |
14 |
$4K |
| 82043 |
|
2,473 |
2,436 |
$3K |
| 81001 |
|
9,165 |
8,468 |
$3K |
| 31575 |
|
39 |
37 |
$3K |
| D0191 |
|
80 |
76 |
$3K |
| 87522 |
Neg quan hep c or qual rna |
144 |
141 |
$3K |
| 92587 |
|
12 |
12 |
$3K |
| 99214 |
|
123 |
109 |
$3K |
| 96110 |
|
374 |
363 |
$3K |
| 87340 |
|
1,335 |
1,302 |
$3K |
| 87077 |
|
3,537 |
3,379 |
$3K |
| 69210 |
|
188 |
188 |
$3K |
| 86038 |
|
619 |
607 |
$3K |
| 90734 |
|
1,734 |
1,716 |
$3K |
| 87502 |
|
978 |
958 |
$3K |
| 85651 |
|
2,549 |
2,381 |
$3K |
| 70498 |
|
255 |
249 |
$2K |
| 93242 |
|
272 |
251 |
$2K |
| 99213 |
|
142 |
113 |
$2K |
| 80076 |
|
674 |
631 |
$2K |
| 76775 |
|
42 |
40 |
$2K |
| 99495 |
|
37 |
37 |
$2K |
| 80050 |
|
80 |
77 |
$2K |
| 83516 |
|
441 |
390 |
$2K |
| 94640 |
|
2,302 |
1,841 |
$2K |
| 90662 |
|
657 |
653 |
$2K |
| 83690 |
|
4,513 |
4,098 |
$2K |
| 10060 |
|
14 |
14 |
$2K |
| 85018 |
|
2,267 |
2,118 |
$2K |
| 97803 |
|
46 |
43 |
$1K |
| 20553 |
|
13 |
12 |
$1K |
| 76815 |
|
172 |
95 |
$1K |
| 74018 |
|
54 |
52 |
$1K |
| 87880 |
|
4,288 |
4,138 |
$1K |
| 84100 |
|
1,341 |
1,111 |
$1K |
| 0013A |
|
50 |
50 |
$1K |
| 77066 |
Tomosynthesis, mammo |
18 |
15 |
$1K |
| 86617 |
|
306 |
178 |
$1K |
| 99406 |
|
66 |
65 |
$1K |
| 96127 |
|
113 |
109 |
$1K |
| 82570 |
|
613 |
589 |
$1K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
7,265 |
6,477 |
$1K |
| 17000 |
|
39 |
39 |
$1K |
| U0002 |
Covid-19 lab test non-cdc |
39 |
38 |
$1K |
| 96367 |
|
29 |
25 |
$1K |
| 81003 |
|
5,482 |
5,156 |
$960.24 |
| 92567 |
|
824 |
812 |
$929.86 |
| 82565 |
|
748 |
725 |
$911.87 |
| 93923 |
|
12 |
12 |
$907.45 |
| 86364 |
|
221 |
217 |
$882.24 |
| 80069 |
|
244 |
236 |
$875.89 |
| 76536 |
|
12 |
12 |
$858.66 |
| 86706 |
|
209 |
202 |
$842.73 |
| 84703 |
|
3,663 |
3,451 |
$838.16 |
| 82550 |
|
891 |
819 |
$825.02 |
| 81025 |
|
1,005 |
971 |
$816.93 |
| 90716 |
|
388 |
381 |
$816.70 |
| 85652 |
|
980 |
930 |
$806.17 |
| 11719 |
|
75 |
74 |
$798.12 |
| 86003 |
|
26 |
26 |
$772.77 |
| 99496 |
|
17 |
16 |
$767.76 |
| 77080 |
|
38 |
38 |
$765.82 |
| G0378 |
Hospital observation per hr |
1,437 |
1,258 |
$757.51 |
| 71271 |
|
12 |
12 |
$750.06 |
| 87426 |
|
28 |
26 |
$720.63 |
| 73140 |
|
74 |
69 |
$715.29 |
| 82950 |
|
136 |
135 |
$712.83 |
| 86141 |
|
119 |
116 |
$698.62 |
| 0004A |
|
286 |
283 |
$691.32 |
| G0279 |
Tomosynthesis, mammo |
28 |
27 |
$690.99 |
| 73080 |
|
104 |
94 |
$671.93 |
| 97802 |
|
13 |
13 |
$666.06 |
| 87040 |
|
1,704 |
1,410 |
$665.83 |
| 81002 |
|
3,803 |
3,593 |
$658.04 |
| 84484 |
|
8,376 |
5,316 |
$643.55 |
| 88342 |
|
202 |
197 |
$639.11 |
| 0072A |
|
232 |
232 |
$637.01 |
| 84156 |
|
561 |
525 |
$604.03 |
| 94726 |
|
68 |
68 |
$584.83 |
| 85379 |
|
1,171 |
1,143 |
$548.44 |
| 84550 |
|
782 |
639 |
$538.07 |
| 80305 |
|
729 |
663 |
$524.74 |
| 86762 |
|
281 |
273 |
$521.61 |
| 80164 |
|
170 |
162 |
$507.50 |
| 11720 |
|
68 |
67 |
$497.63 |
| 11055 |
|
26 |
24 |
$485.38 |
| 83615 |
|
511 |
394 |
$480.78 |
| 87205 |
|
1,075 |
990 |
$463.98 |
| 99239 |
|
15 |
12 |
$452.34 |
| 86704 |
|
148 |
141 |
$451.73 |
| 84460 |
|
375 |
366 |
$420.35 |
| 0052A |
|
12 |
12 |
$406.78 |
| 86431 |
|
196 |
190 |
$404.96 |
| 82040 |
|
550 |
532 |
$401.21 |
| 93225 |
|
12 |
12 |
$396.24 |
| S9441 |
Asthma education |
27 |
25 |
$386.91 |
| 86850 |
|
1,978 |
1,846 |
$377.73 |
| 86480 |
|
13 |
13 |
$371.88 |
| 69209 |
|
24 |
24 |
$355.02 |
| 84425 |
|
24 |
24 |
$325.14 |
| 85730 |
|
537 |
488 |
$316.72 |
| 90715 |
|
3,234 |
3,168 |
$300.28 |
| 84450 |
|
267 |
260 |
$293.45 |
| 93246 |
|
28 |
26 |
$283.00 |
| 51702 |
|
25 |
24 |
$265.79 |
| 70486 |
|
12 |
12 |
$240.79 |
| G0328 |
Fecal blood scrn immunoassay |
45 |
44 |
$236.25 |
| J2704 |
Inj, propofol, 10 mg |
6,419 |
6,174 |
$234.14 |
| 83993 |
|
15 |
15 |
$215.93 |
| J3010 |
Fentanyl citrate injection |
4,146 |
3,895 |
$213.69 |
| 85014 |
|
375 |
318 |
$213.57 |
| 87801 |
|
100 |
100 |
$212.96 |
| 84165 |
|
117 |
111 |
$211.82 |
| J2405 |
Ondansetron hcl injection |
6,065 |
5,491 |
$195.20 |
| J1100 |
Dexamethasone sodium phos |
3,180 |
2,915 |
$192.07 |
| 73560 |
|
35 |
33 |
$186.97 |
| 83605 |
|
2,674 |
2,408 |
$183.32 |
| 84402 |
|
17 |
14 |
$183.06 |
| 96381 |
|
13 |
13 |
$172.64 |
| 84480 |
|
14 |
14 |
$159.39 |
| 80178 |
|
39 |
37 |
$153.35 |
| 83001 |
|
12 |
12 |
$133.85 |
| 82805 |
|
1,035 |
923 |
$124.60 |
| 82105 |
|
13 |
13 |
$117.39 |
| 86376 |
|
12 |
12 |
$103.16 |
| 84207 |
|
12 |
12 |
$99.70 |
| 88720 |
|
99 |
86 |
$95.60 |
| 87804 |
|
26 |
14 |
$93.68 |
| 0071A |
|
234 |
232 |
$85.29 |
| 86901 |
|
2,080 |
1,929 |
$76.33 |
| 83721 |
|
26 |
25 |
$76.09 |
| J3301 |
Triamcinolone acet inj nos |
1,339 |
1,285 |
$67.20 |
| 82948 |
|
4,379 |
1,482 |
$61.86 |
| 87634 |
|
16 |
16 |
$60.66 |
| J2250 |
Inj midazolam hydrochloride |
2,353 |
2,260 |
$60.65 |
| J2060 |
Lorazepam injection |
1,190 |
956 |
$56.74 |
| 51798 |
|
41 |
38 |
$49.61 |
| A9585 |
Gadobutrol injection |
868 |
850 |
$44.86 |
| J1885 |
Ketorolac tromethamine inj |
4,117 |
3,617 |
$42.89 |
| 95886 |
|
477 |
477 |
$41.20 |
| J1170 |
Hydromorphone injection |
482 |
355 |
$39.21 |
| J1200 |
Diphenhydramine hcl injectio |
641 |
518 |
$35.52 |
| C9399 |
Unclassified drugs or biolog |
72 |
68 |
$25.07 |
| J1040 |
Methylprednisolone 80 mg inj |
716 |
691 |
$24.00 |
| 85045 |
|
18 |
17 |
$23.94 |
| J2272 |
Inj, morphine (fresenius) |
248 |
195 |
$22.21 |
| J0134 |
Inj acetaminophen -fresenius |
14 |
13 |
$18.74 |
| J2270 |
Morphine sulfate injection |
1,546 |
1,114 |
$17.14 |
| 96376 |
|
1,092 |
977 |
$15.84 |
| 86787 |
|
14 |
14 |
$12.88 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
325 |
260 |
$12.74 |
| J1790 |
Droperidol injection |
257 |
231 |
$10.00 |
| J3420 |
Vitamin b12 injection |
1,358 |
1,122 |
$9.00 |
| 81000 |
|
18 |
18 |
$6.48 |
| J3475 |
Inj magnesium sulfate |
393 |
314 |
$5.78 |
| 84520 |
|
12 |
12 |
$3.95 |
| J0696 |
Ceftriaxone sodium injection |
853 |
587 |
$2.58 |
| 98928 |
|
13 |
12 |
$1.28 |
| Q0247 |
Sotrovimab |
14 |
14 |
$0.10 |
| 90723 |
|
1,358 |
1,352 |
$0.01 |
| G1004 |
Cdsm ndsc |
1,646 |
1,376 |
$0.00 |
| 90472 |
|
7,353 |
7,266 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
509 |
161 |
$0.00 |
| 91313 |
|
206 |
199 |
$0.00 |
| 90710 |
|
1,038 |
1,033 |
$0.00 |
| 87420 |
|
96 |
95 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
592 |
566 |
$0.00 |
| G8985 |
Carry goal status |
38 |
38 |
$0.00 |
| 90681 |
|
1,039 |
1,030 |
$0.00 |
| 76376 |
|
329 |
317 |
$0.00 |
| 90707 |
|
328 |
321 |
$0.00 |
| 90700 |
|
588 |
585 |
$0.00 |
| 90633 |
|
2,040 |
2,017 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
379 |
366 |
$0.00 |
| 91321 |
|
99 |
93 |
$0.00 |
| 91312 |
|
234 |
231 |
$0.00 |
| 90685 |
|
369 |
369 |
$0.00 |
| 91300 |
|
1,023 |
982 |
$0.00 |
| 94729 |
|
460 |
459 |
$0.00 |
| G8984 |
Carry current status |
12 |
12 |
$0.00 |
| G8979 |
Mobility goal status |
382 |
329 |
$0.00 |
| 94727 |
|
306 |
306 |
$0.00 |
| 90671 |
|
108 |
108 |
$0.00 |
| G8978 |
Mobility current status |
280 |
269 |
$0.00 |
| J7120 |
Ringers lactate infusion |
293 |
268 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
29 |
13 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
48 |
48 |
$0.00 |
| J2550 |
Promethazine hcl injection |
15 |
13 |
$0.00 |
| 91311 |
|
41 |
41 |
$0.00 |
| 93356 |
|
88 |
86 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
26 |
24 |
$0.00 |
| Q0245 |
Bamlanivimab and etesevima |
47 |
47 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
26 |
26 |
$0.00 |
| J2930 |
Methylprednisolone injection |
14 |
12 |
$0.00 |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
14 |
14 |
$0.00 |
| 90713 |
|
18 |
18 |
$0.00 |
| 0003A |
|
12 |
12 |
$0.00 |
| J8540 |
Oral dexamethasone |
401 |
271 |
$0.00 |
| 91303 |
|
162 |
162 |
$0.00 |
| J2001 |
Lidocaine injection |
846 |
815 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
878 |
430 |
$0.00 |
| A9500 |
Tc99m sestamibi |
111 |
109 |
$0.00 |
| J1815 |
Insulin injection |
187 |
81 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
186 |
167 |
$0.00 |
| 90474 |
|
1,509 |
1,497 |
$0.00 |
| 90696 |
|
608 |
604 |
$0.00 |
| 90697 |
|
877 |
866 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
543 |
464 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
245 |
236 |
$0.00 |
| 90647 |
|
1,405 |
1,400 |
$0.00 |
| Q2036 |
Flulaval vacc, 3 yrs & >, im |
521 |
520 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
106 |
102 |
$0.00 |
| 91305 |
|
270 |
261 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
1,864 |
1,563 |
$0.00 |
| 91301 |
|
829 |
787 |
$0.00 |
| J3490 |
Drugs unclassified injection |
276 |
267 |
$0.00 |
| 90680 |
|
463 |
462 |
$0.00 |
| 88304 |
|
26 |
26 |
$0.00 |
| G8980 |
Mobility d/c status |
159 |
152 |
$0.00 |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
287 |
269 |
$0.00 |
| 91306 |
|
423 |
418 |
$0.00 |
| 36416 |
|
82 |
81 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
75 |
69 |
$0.00 |
| 0399T |
|
74 |
72 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
12 |
12 |
$0.00 |
| J1630 |
Haloperidol injection |
56 |
49 |
$0.00 |
| J2785 |
Regadenoson injection |
14 |
13 |
$0.00 |
| J2469 |
Palonosetron hcl |
34 |
24 |
$0.00 |
| 91307 |
|
376 |
362 |
$0.00 |
| 94761 |
|
12 |
12 |
$0.00 |
| Q0222 |
Bebtelovimab 175 mg |
36 |
34 |
$0.00 |
| 90619 |
|
15 |
14 |
$0.00 |
| J1940 |
Furosemide injection |
19 |
12 |
$0.00 |
| 12001 |
|
12 |
12 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
14 |
14 |
$0.00 |