| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
46,342 |
38,985 |
$2.86M |
| 99284 |
|
29,623 |
24,234 |
$1.89M |
| 96361 |
|
15,651 |
11,827 |
$1.41M |
| 99282 |
|
18,953 |
16,569 |
$1.20M |
| 99285 |
|
14,727 |
12,090 |
$862K |
| 80053 |
|
45,005 |
36,127 |
$713K |
| 0241U |
|
14,837 |
12,858 |
$485K |
| 90837 |
|
7,581 |
4,974 |
$473K |
| 99214 |
|
15,035 |
12,671 |
$465K |
| 80048 |
|
28,175 |
21,760 |
$452K |
| 43239 |
|
2,453 |
2,176 |
$399K |
| 87491 |
|
12,965 |
11,096 |
$385K |
| 87591 |
|
13,065 |
11,180 |
$385K |
| 85025 |
|
64,121 |
48,339 |
$385K |
| 81001 |
|
42,276 |
34,046 |
$350K |
| 96365 |
|
10,933 |
5,679 |
$338K |
| 87651 |
|
9,607 |
8,516 |
$319K |
| 87635 |
|
8,533 |
7,343 |
$318K |
| 99213 |
|
13,467 |
11,131 |
$289K |
| 99211 |
|
8,002 |
4,146 |
$285K |
| 96360 |
|
4,293 |
3,587 |
$276K |
| 45380 |
|
2,154 |
1,918 |
$271K |
| G0463 |
Hospital outpt clinic visit |
41,180 |
23,867 |
$269K |
| 74177 |
|
6,387 |
5,596 |
$263K |
| 84443 |
|
18,461 |
16,162 |
$251K |
| G0480 |
Drug test def 1-7 classes |
6,945 |
5,641 |
$250K |
| 70450 |
|
6,022 |
5,191 |
$233K |
| 80061 |
|
13,775 |
12,311 |
$198K |
| 94640 |
|
6,105 |
4,193 |
$193K |
| 45385 |
|
1,303 |
1,131 |
$187K |
| 87426 |
|
5,359 |
4,555 |
$177K |
| 81025 |
|
17,469 |
14,617 |
$176K |
| 93306 |
|
2,210 |
1,939 |
$172K |
| 90834 |
|
2,874 |
2,081 |
$168K |
| 84702 |
|
5,935 |
4,122 |
$146K |
| 59025 |
|
2,453 |
1,593 |
$136K |
| 99212 |
|
3,344 |
2,742 |
$133K |
| 88175 |
|
4,982 |
4,420 |
$132K |
| 82948 |
|
12,416 |
7,035 |
$130K |
| 87086 |
|
19,890 |
16,401 |
$130K |
| 83036 |
|
13,997 |
12,466 |
$127K |
| 96366 |
|
2,068 |
1,472 |
$127K |
| 87624 |
|
3,654 |
3,232 |
$126K |
| 80306 |
|
7,333 |
6,096 |
$120K |
| 87502 |
|
1,623 |
1,469 |
$119K |
| 71275 |
|
2,617 |
2,271 |
$113K |
| 82306 |
|
4,391 |
3,885 |
$112K |
| 74176 |
|
2,680 |
2,302 |
$110K |
| 80055 |
|
1,956 |
1,560 |
$101K |
| 84484 |
|
17,824 |
12,120 |
$96K |
| 78452 |
|
836 |
720 |
$95K |
| 87631 |
|
1,008 |
890 |
$94K |
| 87150 |
|
1,280 |
1,149 |
$84K |
| 97110 |
|
10,149 |
3,351 |
$81K |
| 80076 |
|
7,512 |
6,383 |
$79K |
| 83880 |
|
4,874 |
3,973 |
$78K |
| 85610 |
|
10,986 |
8,138 |
$73K |
| 87210 |
|
9,705 |
8,370 |
$72K |
| 76856 |
|
2,224 |
1,940 |
$69K |
| 84439 |
|
6,338 |
5,562 |
$63K |
| 85027 |
|
13,347 |
9,609 |
$61K |
| 87081 |
|
2,303 |
2,108 |
$59K |
| 83690 |
|
15,713 |
12,352 |
$59K |
| 86235 |
|
706 |
631 |
$57K |
| 86703 |
|
4,307 |
3,673 |
$57K |
| 83735 |
|
14,647 |
11,025 |
$57K |
| 82805 |
|
3,190 |
2,370 |
$56K |
| 77067 |
|
2,106 |
1,922 |
$55K |
| 76705 |
|
2,417 |
2,110 |
$55K |
| 85007 |
|
13,074 |
9,432 |
$54K |
| 12001 |
|
585 |
515 |
$52K |
| 93017 |
|
1,303 |
1,130 |
$49K |
| 70553 |
|
561 |
501 |
$48K |
| 81220 |
|
525 |
419 |
$47K |
| 82565 |
|
5,167 |
4,115 |
$46K |
| 82105 |
|
1,102 |
952 |
$45K |
| 82728 |
|
2,780 |
2,419 |
$44K |
| 87186 |
|
6,359 |
5,469 |
$43K |
| 86803 |
|
3,046 |
2,671 |
$42K |
| 76801 |
|
1,653 |
1,354 |
$41K |
| 72125 |
|
2,633 |
2,298 |
$39K |
| 84145 |
|
3,465 |
2,889 |
$39K |
| 87070 |
|
2,739 |
2,247 |
$39K |
| 71260 |
|
642 |
569 |
$36K |
| 87880 |
|
2,497 |
2,289 |
$36K |
| 99281 |
|
581 |
488 |
$35K |
| 86140 |
|
8,595 |
6,952 |
$35K |
| 93971 |
|
1,360 |
1,148 |
$34K |
| 76830 |
|
1,288 |
1,130 |
$33K |
| 83605 |
|
5,870 |
4,453 |
$32K |
| 80307 |
|
627 |
519 |
$32K |
| 76815 |
|
1,010 |
842 |
$31K |
| 84703 |
|
4,385 |
3,835 |
$31K |
| 88142 |
|
1,194 |
1,016 |
$31K |
| 82607 |
|
2,439 |
2,159 |
$31K |
| 85379 |
|
4,804 |
4,110 |
$30K |
| 83520 |
|
1,641 |
1,214 |
$27K |
| G0378 |
Hospital observation per hr |
1,753 |
1,459 |
$25K |
| 85730 |
|
6,279 |
5,091 |
$24K |
| 99001 |
|
1,215 |
1,104 |
$23K |
| 82247 |
|
550 |
294 |
$22K |
| 87040 |
|
3,743 |
2,001 |
$21K |
| 81003 |
|
2,990 |
2,646 |
$20K |
| 86038 |
|
2,182 |
1,927 |
$20K |
| 71046 |
|
9,459 |
8,124 |
$20K |
| 84153 |
|
1,481 |
1,299 |
$20K |
| 96372 |
|
16,214 |
11,569 |
$19K |
| 72148 |
|
380 |
340 |
$19K |
| 85652 |
|
7,310 |
6,207 |
$18K |
| 82570 |
|
4,119 |
3,565 |
$18K |
| 76816 |
|
431 |
367 |
$18K |
| 87340 |
|
1,802 |
1,558 |
$18K |
| 82043 |
|
2,876 |
2,582 |
$17K |
| 90792 |
|
422 |
341 |
$17K |
| 71250 |
|
756 |
677 |
$17K |
| 77063 |
|
1,270 |
1,149 |
$16K |
| 82550 |
|
2,966 |
2,433 |
$16K |
| 94664 |
|
1,145 |
982 |
$15K |
| 36415 |
|
111,478 |
73,712 |
$15K |
| 93005 |
|
24,311 |
18,642 |
$15K |
| 90471 |
|
2,199 |
1,874 |
$14K |
| 86850 |
|
3,743 |
3,145 |
$14K |
| 86592 |
|
2,135 |
1,849 |
$14K |
| 83540 |
|
2,625 |
2,297 |
$13K |
| 82950 |
|
1,384 |
1,150 |
$12K |
| 87205 |
|
2,732 |
2,216 |
$12K |
| 82677 |
|
479 |
401 |
$11K |
| 76805 |
|
217 |
194 |
$11K |
| 96367 |
|
396 |
305 |
$11K |
| 84460 |
|
2,430 |
2,009 |
$11K |
| 83970 |
|
505 |
441 |
$11K |
| 83516 |
|
1,077 |
843 |
$11K |
| 86901 |
|
4,342 |
3,649 |
$10K |
| 73721 |
|
177 |
148 |
$10K |
| 84132 |
|
1,263 |
928 |
$10K |
| 86003 |
|
119 |
100 |
$10K |
| 82248 |
|
3,252 |
2,468 |
$9K |
| 99203 |
|
791 |
756 |
$9K |
| 86900 |
|
4,344 |
3,650 |
$9K |
| 86481 |
|
126 |
112 |
$9K |
| 99204 |
|
997 |
934 |
$9K |
| 84550 |
|
1,603 |
1,333 |
$8K |
| 83550 |
|
1,443 |
1,256 |
$8K |
| 99215 |
Prolong outpt/office vis |
767 |
660 |
$8K |
| 20610 |
|
607 |
491 |
$8K |
| 86200 |
|
823 |
721 |
$8K |
| 76775 |
|
331 |
293 |
$8K |
| 97162 |
|
984 |
806 |
$8K |
| 86225 |
|
769 |
683 |
$7K |
| 86336 |
|
479 |
401 |
$7K |
| 93975 |
|
197 |
176 |
$7K |
| 96374 |
|
18,902 |
14,730 |
$7K |
| 83655 |
|
327 |
305 |
$7K |
| 71045 |
|
11,207 |
9,346 |
$7K |
| 84146 |
|
269 |
223 |
$7K |
| 86787 |
|
912 |
744 |
$7K |
| 85018 |
|
1,737 |
1,351 |
$7K |
| 90715 |
|
1,219 |
1,083 |
$6K |
| 70486 |
|
311 |
264 |
$6K |
| 73564 |
|
2,341 |
1,833 |
$6K |
| 0012A |
|
432 |
334 |
$6K |
| 82746 |
|
524 |
471 |
$6K |
| 84112 |
|
73 |
54 |
$6K |
| 0011A |
|
446 |
364 |
$5K |
| 76817 |
|
681 |
539 |
$5K |
| 84450 |
|
1,133 |
901 |
$5K |
| 86696 |
|
273 |
219 |
$5K |
| 82947 |
|
954 |
752 |
$5K |
| 86160 |
|
223 |
199 |
$5K |
| 87798 |
|
191 |
148 |
$5K |
| 73030 |
|
2,277 |
1,862 |
$5K |
| 94060 |
|
174 |
147 |
$4K |
| 73630 |
|
3,046 |
2,468 |
$4K |
| 84403 |
|
163 |
143 |
$4K |
| 87077 |
|
802 |
703 |
$4K |
| 90688 |
|
388 |
346 |
$4K |
| G0482 |
Drug test def 15-21 classes |
43 |
40 |
$4K |
| 97140 |
|
574 |
247 |
$4K |
| 73610 |
|
2,271 |
1,898 |
$4K |
| 84100 |
|
1,546 |
1,129 |
$4K |
| 92014 |
|
256 |
245 |
$4K |
| 80329 |
|
818 |
666 |
$4K |
| 90791 |
|
245 |
166 |
$3K |
| 84481 |
|
307 |
259 |
$3K |
| 86308 |
|
343 |
305 |
$3K |
| 83615 |
|
717 |
565 |
$3K |
| 95806 |
|
24 |
24 |
$3K |
| 90853 |
|
84 |
14 |
$3K |
| 92507 |
|
477 |
148 |
$3K |
| 93458 |
|
13 |
12 |
$3K |
| 86480 |
|
47 |
44 |
$3K |
| 97161 |
|
352 |
299 |
$3K |
| 82150 |
|
662 |
532 |
$3K |
| 10060 |
|
37 |
36 |
$3K |
| 85014 |
|
848 |
677 |
$3K |
| 86812 |
|
178 |
158 |
$3K |
| 96413 |
|
664 |
417 |
$2K |
| 70551 |
|
63 |
59 |
$2K |
| 11720 |
|
433 |
405 |
$2K |
| 11721 |
|
594 |
541 |
$2K |
| 70498 |
|
57 |
49 |
$2K |
| 74018 |
|
801 |
666 |
$2K |
| 86695 |
|
112 |
91 |
$2K |
| 87506 |
|
12 |
12 |
$2K |
| 82010 |
|
511 |
385 |
$2K |
| 96375 |
|
14,618 |
10,774 |
$2K |
| 83921 |
|
132 |
108 |
$2K |
| 73130 |
|
1,681 |
1,386 |
$2K |
| 70491 |
|
52 |
41 |
$2K |
| 82784 |
|
100 |
89 |
$2K |
| 92134 |
|
725 |
636 |
$2K |
| 85045 |
|
208 |
122 |
$2K |
| 86431 |
|
438 |
281 |
$2K |
| 90832 |
|
123 |
89 |
$2K |
| 88305 |
|
2,523 |
2,050 |
$1K |
| 0064A |
|
264 |
174 |
$1K |
| 87641 |
|
67 |
63 |
$1K |
| 12011 |
|
27 |
26 |
$1K |
| 90899 |
|
19 |
14 |
$1K |
| C9803 |
Hopd covid-19 spec collect |
138 |
121 |
$1K |
| 82272 |
|
109 |
100 |
$1K |
| 86318 |
|
96 |
87 |
$1K |
| 12002 |
|
13 |
12 |
$1K |
| 86704 |
|
109 |
96 |
$1K |
| 96376 |
|
5,788 |
3,758 |
$1K |
| J2001 |
Lidocaine injection |
13,756 |
7,011 |
$1K |
| 84295 |
|
95 |
72 |
$1K |
| 90833 |
|
18 |
16 |
$1K |
| 76641 |
|
52 |
38 |
$1K |
| 0071A |
|
84 |
51 |
$943.86 |
| 73502 |
|
663 |
593 |
$889.77 |
| 73110 |
|
1,287 |
1,051 |
$861.22 |
| 84156 |
|
299 |
237 |
$838.89 |
| 70496 |
|
31 |
25 |
$823.88 |
| 84155 |
|
61 |
49 |
$787.62 |
| J2270 |
Morphine sulfate injection |
2,872 |
2,014 |
$759.76 |
| 95816 |
|
16 |
15 |
$758.80 |
| J2250 |
Inj midazolam hydrochloride |
6,778 |
4,904 |
$748.55 |
| G0103 |
Psa screening |
57 |
50 |
$727.00 |
| 82553 |
|
142 |
123 |
$708.06 |
| 0072A |
|
84 |
48 |
$680.53 |
| P9021 |
Red blood cells unit |
19 |
15 |
$668.35 |
| 76700 |
|
14 |
13 |
$627.66 |
| 73562 |
|
514 |
410 |
$621.64 |
| 83721 |
|
94 |
79 |
$572.59 |
| 97530 |
|
149 |
71 |
$568.21 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
12,042 |
10,234 |
$537.23 |
| G0481 |
Drug test def 8-14 classes |
17 |
16 |
$525.08 |
| 99397 |
|
49 |
49 |
$519.01 |
| 36430 |
|
16 |
14 |
$514.92 |
| 80164 |
|
28 |
24 |
$473.38 |
| 36591 |
|
281 |
119 |
$466.58 |
| 82785 |
|
30 |
27 |
$453.56 |
| 86039 |
|
44 |
38 |
$452.64 |
| 83001 |
|
27 |
26 |
$430.10 |
| 73140 |
|
581 |
482 |
$425.95 |
| 0004A |
|
47 |
35 |
$418.71 |
| 90662 |
|
491 |
425 |
$406.58 |
| 87661 |
|
16 |
13 |
$400.89 |
| 85049 |
|
29 |
24 |
$395.35 |
| 93296 |
|
75 |
64 |
$385.86 |
| 86162 |
|
17 |
14 |
$332.43 |
| 72110 |
|
12 |
12 |
$329.73 |
| G2066 |
Inter devc remote 30d |
13 |
12 |
$319.78 |
| 80050 |
|
155 |
141 |
$316.07 |
| 99396 |
|
41 |
41 |
$313.25 |
| 86255 |
|
12 |
12 |
$292.02 |
| 80320 |
|
967 |
737 |
$275.22 |
| J7030 |
Normal saline solution infus |
19,292 |
14,307 |
$250.39 |
| 73080 |
|
327 |
267 |
$242.83 |
| A9577 |
Inj multihance |
1,506 |
1,300 |
$232.27 |
| 84165 |
|
28 |
24 |
$229.12 |
| J2704 |
Inj, propofol, 10 mg |
12,879 |
6,352 |
$221.96 |
| 72100 |
|
83 |
78 |
$214.03 |
| 84238 |
|
14 |
12 |
$213.46 |
| 86762 |
|
15 |
13 |
$180.80 |
| 94762 |
|
14 |
14 |
$168.37 |
| J1100 |
Dexamethasone sodium phos |
7,521 |
5,752 |
$165.28 |
| 0001A |
|
59 |
40 |
$154.12 |
| 86708 |
|
14 |
12 |
$142.16 |
| 0002A |
|
57 |
36 |
$141.79 |
| J1030 |
Methylprednisolone 40 mg inj |
336 |
299 |
$136.96 |
| 91322 |
|
36 |
31 |
$128.73 |
| 97165 |
|
12 |
12 |
$121.94 |
| 98960 |
|
74 |
61 |
$118.83 |
| G0008 |
Admin influenza virus vac |
724 |
634 |
$108.76 |
| 88313 |
|
879 |
682 |
$107.87 |
| J1170 |
Hydromorphone injection |
9,733 |
6,175 |
$102.61 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,472 |
1,195 |
$100.71 |
| 82533 |
|
13 |
12 |
$88.10 |
| 82310 |
|
68 |
54 |
$82.94 |
| 90480 |
|
37 |
32 |
$79.88 |
| 90677 |
|
14 |
12 |
$77.89 |
| J0696 |
Ceftriaxone sodium injection |
4,853 |
3,571 |
$73.56 |
| J2765 |
Metoclopramide hcl injection |
2,052 |
1,666 |
$59.86 |
| J7050 |
Normal saline solution infus |
3,401 |
1,670 |
$58.43 |
| J7120 |
Ringers lactate infusion |
8,913 |
7,054 |
$57.14 |
| 73590 |
|
118 |
90 |
$56.40 |
| 80178 |
|
14 |
12 |
$55.45 |
| 69210 |
|
57 |
45 |
$53.23 |
| Q0162 |
Ondansetron oral |
4,300 |
3,702 |
$52.92 |
| J2785 |
Regadenoson injection |
447 |
370 |
$43.14 |
| J3475 |
Inj magnesium sulfate |
1,514 |
1,158 |
$40.50 |
| 88312 |
|
793 |
675 |
$33.90 |
| 51701 |
|
57 |
53 |
$33.23 |
| J1885 |
Ketorolac tromethamine inj |
13,350 |
10,387 |
$32.90 |
| 17000 |
|
13 |
12 |
$32.20 |
| 99406 |
|
31 |
27 |
$29.97 |
| J2405 |
Ondansetron hcl injection |
15,354 |
11,114 |
$27.08 |
| 0134A |
|
46 |
32 |
$26.95 |
| C1894 |
Intro/sheath, non-laser |
277 |
198 |
$25.83 |
| 51702 |
|
157 |
116 |
$23.58 |
| J2175 |
Meperidine hydrochl /100 mg |
425 |
369 |
$19.37 |
| 86920 |
|
57 |
42 |
$17.92 |
| 84520 |
|
25 |
12 |
$17.33 |
| C1769 |
Guide wire |
1,149 |
732 |
$14.55 |
| J7040 |
Normal saline solution infus |
2,398 |
1,338 |
$13.66 |
| J0690 |
Cefazolin sodium injection |
3,076 |
2,060 |
$11.80 |
| A4364 |
Adhesive, liquid or equal |
299 |
241 |
$10.99 |
| A9500 |
Tc99m sestamibi |
803 |
696 |
$10.59 |
| J1642 |
Inj heparin sodium per 10 u |
948 |
508 |
$9.23 |
| J3010 |
Fentanyl citrate injection |
8,166 |
6,388 |
$9.07 |
| J3420 |
Vitamin b12 injection |
318 |
253 |
$7.67 |
| J1644 |
Inj heparin sodium per 1000u |
967 |
439 |
$7.47 |
| 85048 |
|
13 |
12 |
$6.95 |
| G0009 |
Admin pneumococcal vaccine |
63 |
56 |
$6.91 |
| J3490 |
Drugs unclassified injection |
6,224 |
3,684 |
$6.43 |
| Q0163 |
Diphenhydramine hcl 50mg |
1,095 |
897 |
$5.49 |
| J1815 |
Insulin injection |
897 |
529 |
$3.76 |
| J2060 |
Lorazepam injection |
2,240 |
1,739 |
$3.64 |
| J0131 |
Inj, acetaminophen (nos) |
3,399 |
2,368 |
$2.94 |
| J1200 |
Diphenhydramine hcl injectio |
3,556 |
2,623 |
$2.16 |
| C9113 |
Inj pantoprazole sodium, via |
62 |
44 |
$2.08 |
| J0780 |
Prochlorperazine injection |
616 |
519 |
$1.92 |
| J1790 |
Droperidol injection |
363 |
293 |
$1.86 |
| A9270 |
Non-covered item or service |
1,723 |
461 |
$1.56 |
| A4649 |
Surgical supplies |
77 |
62 |
$1.36 |
| J2930 |
Methylprednisolone injection |
235 |
202 |
$0.68 |
| J1040 |
Methylprednisolone 80 mg inj |
159 |
126 |
$0.37 |
| J3480 |
Inj potassium chloride |
105 |
81 |
$0.35 |
| J7060 |
5% dextrose/water |
113 |
81 |
$0.34 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
57 |
45 |
$0.09 |
| G8978 |
Mobility current status |
212 |
148 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
62 |
56 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
164 |
118 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
713 |
313 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
984 |
806 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
67 |
51 |
$0.00 |
| S0119 |
Ondansetron 4 mg |
168 |
150 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
32 |
27 |
$0.00 |
| G8979 |
Mobility goal status |
239 |
169 |
$0.00 |
| G1004 |
Cdsm ndsc |
99 |
78 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
30 |
24 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
36 |
28 |
$0.00 |
| J7643 |
Glycopyrrolate comp unit |
13 |
12 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
13 |
12 |
$0.00 |
| 92083 |
|
25 |
24 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
65 |
48 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
32 |
24 |
$0.00 |
| J3372 |
Inj, vancomycin hcl (xellia) |
24 |
12 |
$0.00 |
| 67028 |
|
12 |
12 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
1,693 |
736 |
$0.00 |
| C9399 |
Unclassified drugs or biolog |
79 |
62 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
52 |
26 |
$0.00 |
| C1773 |
Ret dev, insertable |
39 |
31 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
103 |
72 |
$0.00 |
| A4217 |
Sterile water/saline, 500 ml |
22 |
16 |
$0.00 |
| 88108 |
|
13 |
12 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
167 |
153 |
$0.00 |
| 71101 |
|
35 |
32 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
152 |
81 |
$0.00 |
| J1940 |
Furosemide injection |
14 |
12 |
$0.00 |
| A6222 |
Gauze <=16 in no w/sal w/o b |
63 |
54 |
$0.00 |
| 72170 |
|
57 |
50 |
$0.00 |
| 99496 |
|
18 |
15 |
$0.00 |
| J1630 |
Haloperidol injection |
15 |
12 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
43 |
26 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
49 |
43 |
$0.00 |
| 76819 |
|
19 |
12 |
$0.00 |