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$2887.54
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Treatment Room - Removal Of Tissue From Wounds, Per Session (7605001517) | $425.00 |
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Viral Meningitis W Cc/mcc (075) | $65,520.00 |
N/A
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Pharmacy - Zosyn Injection, Solution (Beta Lactamase Inhibitors ) (44622) | $136.98 |
N/A
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Treatment Room - Removal Of Tissue From Wounds, Per Session (7605001513) | $315.00 |
N/A
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Viral Illness W/o Mcc (866) | $41,999.00 |
N/A
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Pharmacy - Zidovudine Syrup (Hiv Nucleoside Analog Reverse Transcriptase Inhibitor ) (20684) | $1.17 |
N/A
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Treatment Room - Initiation Of Lowering Head Or Total Body Temperature In Neonate (3415002899) | $644.00 |
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Vaginal Delivery W/o Sterilization/d&c W/o Cc/mcc (807) | $14,897.00 |
N/A
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Pharmacy - Ziagen Solution (Hiv Nucleoside Analog Reverse Transcriptase Inhibitor ) (38107) | $879.04 |
N/A
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Treatment Room - Exam Of Vagina And Cervix Using Endoscope (6105057452) | $452.00 |
N/A
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Vaginal Delivery W/o Complicating Diagnoses (775) | $14,355.00 |
N/A
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Pharmacy - Xylocaine Injection, Solution (Local Anesthetic) (20667) | $22.75 |
N/A
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Treatment Room - Exam Of The Vagina Using Endoscope (6105057420) | $599.00 |
N/A
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Vaginal Delivery W Sterilization &/or D&c (767) | $28,986.00 |
N/A
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Pharmacy - Visipaque Injection, Solution (Radiographic Contrast Agent ) (34251) | $832.33 |
N/A
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Treatment Room - Exam Of Genital And Anal Region Of Child Using Endoscope, Suspected Trauma (6105099170) | $1,529.00 |
N/A
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Vaginal Delivery W Complicating Diagnoses (774) | $15,119.00 |
N/A
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Pharmacy - Visipaque Injection, Solution (Radiographic Contrast Agent ) (34252) | $634.23 |
N/A
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Treatment Room - Exam Of External Female Genitals Using Endoscope (6105056820) | $1,676.00 |
N/A
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Uterine & Adnexa Proc For Non-Malignancy W/o Cc/mcc (743) | $46,102.00 |
N/A
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Pharmacy - Vimpat Solution (Antiseizure Agent) (186860) | $4,002.60 |
N/A
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Treatment Room - Diagnostic Exam Of Anus And Cell Collection Using Endoscope (6105046600) | $1,183.00 |
N/A
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Uterine & Adnexa Proc For Non-Malignancy W Cc/mcc (742) | $74,034.00 |
N/A
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Pharmacy - Vazculep Injection (Alpha-1 Adrenergic Agonist ) (11055) | $132.16 |
N/A
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Treatment Room - Care Of Artificial Abdominal Opening (7606001315) | $277.00 |
N/A
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Urinary Stones W/o Esw Lithotripsy W/o Mcc (694) | $52,075.00 |
N/A
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Pharmacy - Vasostrict Injection (Hormone) (208676) | $1,001.47 |
N/A
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Trauma Response - Level 3 Trauma With Prior Notification (7616000162) | $3,021.00 |
N/A
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Traumatic Stupor & Coma, Coma >1 Hr W Mcc (082) | $165,983.00 |
N/A
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Pharmacy - Tylenol Tablet, Film Coated (Non-Opioid Pain Reliever) (22517) | $0.29 |
N/A
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Trauma Response - Level 2 Trauma With Prior Notification (7616000161) | $9,203.00 |
N/A
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Traumatic Stupor & Coma, Coma >1 Hr W Cc (083) | $96,116.00 |
N/A
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Pharmacy - Tropicamide Solution/ Drops (Anticholinergic ) (28096) | $53.14 |
N/A
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Trauma Response (7616000160) | $14,229.00 |
N/A
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Traumatic Stupor & Coma, Coma <1 Hr W/o Cc/mcc (087) | $43,271.00 |
N/A
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Pharmacy - Triple Antibiotic Ointment (0) (23037) | $21.24 |
N/A
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Therapeutic Services - Therapeutic Removal Of Whole Blood To Correct Blood Level Imbalance (6795007002) | $262.00 |
N/A
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Traumatic Stupor & Coma, Coma <1 Hr W Cc (086) | $74,955.00 |
N/A
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Pharmacy - Triamcinolone Acetonide Ointment (Corticosteroid ) (28014) | $206.16 |
N/A
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Therapeutic Services - Therapeutic Removal Of Whole Blood To Correct Blood Level Imbalance (6795007014) | $262.00 |
N/A
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Transurethral Procedures W/o Cc/mcc (670) | $18,531.00 |
N/A
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Pharmacy - Triamcinolone Acetonide Cream (Corticosteroid ) (28009) | $27.84 |
N/A
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Therapeutic Services - Therapeutic Removal Of Whole Blood To Correct Blood Level Imbalance (6795007001) | $262.00 |
N/A
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Transurethral Procedures W Cc (669) | $107,920.00 |
N/A
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Pharmacy - Triamcinolone Acetonide Cream (Corticosteroid ) (28008) | $22.23 |
N/A
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Therapeutic Services - Procedure, Service, Or Report (6105099199) | $1,529.00 |
N/A
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Transient Ischemia W/o Thrombolytic (069) | $46,661.00 |
N/A
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Pharmacy - Suprax Powder, For Suspension (Cephalosporin Antibacterial ) (28902) | $1,358.28 |
N/A
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Therapeutic Services - Preparation And Provision Of Whole Body Extract Of Biting Insect Or Arthropod Antigens (0833002974) | $93.59 |
N/A
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Trach W Mv >96 Hrs Or Pdx Exc Face, Mouth & Neck W/o Maj O.r. (004) | $816,862.00 |
N/A
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Pharmacy - Sulfatrim Suspension (Sulfonamide Antimicrobial ) (36800) | $587.71 |
N/A
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Therapeutic Services - Preparation And Provision Of Single Stinging Insect Venom For Allergen Immunotherapy (0833002968) | $78.45 |
N/A
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Tendonitis, Myositis & Bursitis W/o Mcc (558) | $34,622.00 |
N/A
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Pharmacy - Sulfamylon Cream (Methylated Sulfonamide Antibacterial ) (29555) | $362.44 |
N/A
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Therapeutic Services - Preparation And Provision Of Single Or Multiple Antigens For Allergen Immunotherapy (0833002973) | $93.59 |
N/A
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Syncope & Collapse (312) | $46,345.00 |
N/A
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Pharmacy - Sulfamethoxazole And Trimethoprim Injection, Solution, Concentrate (Sulfonamide Antimicrobial ) (91104) | $75.10 |
N/A
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Therapeutic Services - Preparation And Provision Of 5 Single Stinging Insect Venom For Allergen Immunotherapy (0833002972) | $392.25 |
N/A
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Stomach, Esophageal & Duodenal Proc W Mcc (326) | $271,701.00 |
N/A
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Pharmacy - Sterile Water Irrigant (0) (96415) | $19.96 |
N/A
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Therapeutic Services - Preparation And Provision Of 4 Single Stinging Insect Venom For Allergen Immunotherapy (0833002971) | $313.81 |
N/A
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Stomach, Esophageal & Duodenal Proc W Cc (327) | $121,948.00 |
N/A
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Pharmacy - Sterile Water Injection, Solution (0) (103184) | $29.94 |
N/A
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Therapeutic Services - Preparation And Provision Of 3 Single Stinging Insect Venom For Allergen Immunotherapy (0833002970) | $235.36 |
N/A
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Spinal Fusion Except Cervical W/o Mcc (460) | $132,140.00 |
N/A
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Pharmacy - Sterile Water Injection (0) (95412) | $5.19 |
N/A
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Therapeutic Services - Preparation And Provision Of 2 Single Stinging Insect Venom For Allergen Immunotherapy (0833002969) | $156.90 |
N/A
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Soft Tissue Procedures W Cc (501) | $89,049.00 |
N/A
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Pharmacy - Sodium Polystyrene Sulfonate Suspension (0) (216164) | $424.85 |
N/A
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Therapeutic Services - Needle Biopsy Of Breast Through The Skin Without Imaging Guidance (2522812010) | $2,401.00 |
N/A
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Skin Debridement W Cc (571) | $89,972.00 |
N/A
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Pharmacy - Sodium Chloride Irrigant (Osmotic Laxative ) (1500442) | $9.98 |
N/A
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Therapeutic Services - Needle Biopsy Of Breast Through The Skin Without Imaging Guidance (2522812016) | $2,401.00 |
N/A
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Simple Pneumonia & Pleurisy W/o Cc/mcc (195) | $31,948.00 |
N/A
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Pharmacy - Sodium Chloride Irrigant (Osmotic Laxative ) (30160) | $9.98 |
N/A
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Therapeutic Services - Application Of Ultraviolet Light To Skin (5005002893) | $135.00 |
N/A
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Simple Pneumonia & Pleurisy W Mcc (193) | $60,137.00 |
N/A
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Pharmacy - Sodium Chloride Injection, Solution, Concentrate (Osmotic Laxative ) (130776) | $8.18 |
N/A
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Testing Of Autonomic Nervous System Function At Least 5 Minutes Of Tilt (7689001890) | $37.00 |
N/A
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Simple Pneumonia & Pleurisy W Cc (194) | $39,284.00 |
N/A
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Pharmacy - Sodium Chloride Injection, Solution (Osmotic Laxative ) (1001095) | $24.95 |
N/A
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Testing Of Autonomic Nervous System Function At Least 5 Minutes Of Tilt (7689001892) | $30.00 |
N/A
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Signs & Symptoms W/o Mcc (948) | $57,133.00 |
N/A
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Pharmacy - Sodium Chloride Injection, Solution (Osmotic Laxative ) (1001121) | $24.95 |
N/A
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Testing Of Autonomic Nervous System Function - (6555000680) | $1,053.00 |
N/A
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Septicemia Or Severe Sepsis W/o Mv >96 Hours W/o Mcc (872) | $52,083.00 |
N/A
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Pharmacy - Sodium Chloride Injection, Solution (Osmotic Laxative ) (40586) | $24.95 |
N/A
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Testing Of Autonomic Nervous System Function (7689001891) | $124.00 |
N/A
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Septicemia Or Severe Sepsis W/o Mv >96 Hours W Mcc (871) | $99,954.00 |
N/A
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Pharmacy - Sodium Chloride Injection, Solution (Osmotic Laxative ) (1500596) | $22.46 |
N/A
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Testing Of Autonomic Nervous System Function (7687190600) | $97.00 |
N/A
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Septicemia Or Severe Sepsis W Mv >96 Hours Or Peripheral Extracorporeal Membrane Oxygenation (Ecmo) (870) | $474,669.00 |
N/A
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Pharmacy - Sodium Chloride Injection, Solution (Osmotic Laxative ) (142493) | $18.71 |
N/A
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Testing Of Autonomic Nervous System Function (7689001889) | $46.00 |
N/A
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Seizures W/o Mcc (101) | $46,866.00 |
N/A
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Pharmacy - Sodium Chloride Injection, Solution (Osmotic Laxative ) (1000299) | $11.23 |
N/A
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Take Home Supplies - Condom For Contraception (5507013360) | $21.00 |
N/A
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Seizures W Mcc (100) | $112,484.00 |
N/A
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Pharmacy - Sodium Chloride Injection, Solution (Osmotic Laxative ) (1500161) | $9.98 |
N/A
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Take Home Supplies - Condom For Contraception (5507113360) | $8.00 |
N/A
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Revision Of Hip Or Knee Replacement W Cc (467) | $113,708.00 |
N/A
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Pharmacy - Sodium Chloride Injection, Solution (0) (11867) | $5.44 |
N/A
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Take Home Supplies - Condom For Contraception (5007013360) | $3.00 |
N/A
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Respiratory System Diagnosis W Ventilator Support >96 Hours Or Peripheral Extracorporeal Membrane Ox (207) | $349,208.00 |
N/A
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Pharmacy - Sodium Chloride Injection, Solution (0) (1700255) | $5.44 |
N/A
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Surgical Dressings - Tubular Dressing (1007021147) | $213.00 |
N/A
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Respiratory System Diagnosis W Ventilator Support <=96 Hours (208) | $117,605.00 |
N/A
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Pharmacy - Sodium Acetate Injection, Solution, Concentrate (0) (89295) | $37.92 |
N/A
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Surgical Dressings - Tubular Dressing (1007021146) | $173.00 |
N/A
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Respiratory Neoplasms W Mcc (180) | $92,921.00 |
N/A
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Pharmacy - Silver Sulfadiazine Cream (Sulfonamide Antibacterial ) (27385) | $75.35 |
N/A
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Surgical Dressings - Tubular Dressing (1007121147) | $172.00 |
N/A
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Respiratory Neoplasms W Cc (181) | $69,897.00 |
N/A
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Pharmacy - Sensorcaine Injection, Solution (Local Anesthetic) (23288) | $28.44 |
N/A
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Surgical Dressings - Tubular Dressing (1007021145) | $160.00 |
N/A
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Respiratory Infections & Inflammations W/o Cc/mcc (179) | $41,966.00 |
N/A
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Pharmacy - Risperidone Solution (Antipsychotic) (34088) | $760.33 |
N/A
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Surgical Dressings - Tubular Dressing (1007021148) | $147.00 |
N/A
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Respiratory Infections & Inflammations W Mcc (177) | $76,910.00 |
N/A
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Pharmacy - Regular Strength Aspirin Ec Tablet, Delayed Release (0) (36457) | $0.10 |
N/A
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Surgical Dressings - Tubular Dressing (1007121146) | $140.00 |
N/A
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Respiratory Infections & Inflammations W Cc (178) | $56,536.00 |
N/A
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Pharmacy - Ranitidine Hydrochloride Injection (Histamine H2 Receptor Antagonists ) (46456) | $266.77 |
N/A
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Surgical Dressings - Surgical Dressing Holder (1007010212) | $117.00 |
N/A
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Renal Failure W/o Cc/mcc (684) | $33,397.00 |
N/A
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Pharmacy - Protamine Sulfate Injection, Solution (Heparin Binding Activity ) (87760) | $220.68 |
N/A
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Surgical Dressings - Surgical Dressing Holder (1009002941) | $117.00 |
N/A
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Renal Failure W Mcc (682) | $70,056.00 |
N/A
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Pharmacy - Proair Aerosol, Metered (Airway Dilator) (46531) | $356.67 |
N/A
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Surgical Dressings - Gel Dressing - Wound Filler (1087100264) | $64.00 |
N/A
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Renal Failure W Cc (683) | $44,770.00 |
N/A
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Pharmacy - Privigen Liquid (Human Immunoglobulin G ) (209914) | $8,143.68 |
N/A
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Surgical Dressings - Gel Dressing - More Than 48 Square Inches (1087201196) | $974.00 |
N/A
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Red Blood Cell Disorders W/o Mcc (812) | $40,989.00 |
N/A
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Pharmacy - Prednisone Tablet (Steroid) (9662) | $1.42 |
N/A
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Surgical Dressings - Gel Dressing - More Than 48 Square Inches (1087201195) | $899.00 |
N/A
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Red Blood Cell Disorders W Mcc (811) | $67,653.00 |
N/A
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Pharmacy - Prednisone Solution (Steroid) (9658) | $1,856.28 |
N/A
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Surgical Dressings - Gel Dressing - More Than 48 Square Inches (1087100223) | $158.00 |
N/A
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Pulmonary Embolism W/o Mcc (176) | $44,109.00 |
N/A
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Pharmacy - Potassium Phosphates Injection, Solution, Concentrate (Potassium Compounds ) (87210) | $87.28 |
N/A
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Surgical Dressings - Gel Dressing - More Than 16 Less Than 48 Square Inches (1087201194) | $198.00 |
N/A
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Pulmonary Embolism W Mcc (175) | $88,719.00 |
N/A
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Pharmacy - Potassium Chloride Injection, Solution, Concentrate (Potassium Compounds ) (130567) | $24.75 |
N/A
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Surgical Dressings - Gel Dressing - More Than 16 Less Than 48 Square Inches (1087100263) | $54.00 |
N/A
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Pulmonary Edema & Respiratory Failure (189) | $85,854.00 |
N/A
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Pharmacy - Potassium Chloride Injection, Solution (Potassium Compounds ) (29914) | $29.94 |
N/A
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Surgical Dressings - Foam Dressing - More Than 48 Square Inches (1007201792) | $390.00 |
N/A
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Psychoses (885) | $57,845.00 |
N/A
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Pharmacy - Potassium Chloride In Sodium Chloride Injection, Solution (Osmotic Laxative ) (45504) | $34.93 |
N/A
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||
Surgical Dressings - Foam Dressing - More Than 48 Square Inches (1007201791) | $345.00 |
N/A
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Prematurity W/o Major Problems (792) | $18,179.00 |
N/A
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||
Pharmacy - Potassium Acetate Injection, Solution, Concentrate (Potassium Compounds ) (89269) | $62.87 |
N/A
|
|
||
Surgical Dressings - Foam Dressing - More Than 48 Square Inches (1087100261) | $320.00 |
N/A
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|
||
Prematurity W Major Problems (791) | $66,652.00 |
N/A
|
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Pharmacy - Polymyxin B Sulfate And Trimethoprim Sulfate Solution/ Drops (Polymyxin-Class Antibacterial ) (100533) | $65.22 |
N/A
|
|
||
Surgical Dressings - Foam Dressing - More Than 48 Square Inches (0943004629) | $224.35 |
N/A
|
|
||
Postoperative Or Post-Traumatic Infections W O.r. Proc W Mcc (856) | $126,010.00 |
N/A
|
|
||
Pharmacy - Plasma-Lyte A Injection, Solution (Osmotic Laxative ) (107971) | $72.36 |
N/A
|
|
||
Surgical Dressings - Foam Dressing - More Than 48 Square Inches (0833004629) | $224.35 |
N/A
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Poisoning & Toxic Effects Of Drugs W/o Mcc (918) | $40,405.00 |
N/A
|
|
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Pharmacy - Phenytoin Sodium Injection (Anti-Epileptic Agent ) (26717) | $10.85 |
N/A
|
|
||
Surgical Dressings - Foam Dressing - More Than 48 Square Inches (1087100260) | $149.00 |
N/A
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|
||
Poisoning & Toxic Effects Of Drugs W Mcc (917) | $65,808.00 |
N/A
|
|
||
Pharmacy - Phenylephrine Hydrochloride Solution/ Drops (Alpha-1 Adrenergic Agonist ) (26713) | $202.72 |
N/A
|
|
||
Surgical Dressings - Foam Dressing - More Than 48 Square Inches (1007100382) | $49.00 |
N/A
|
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Pneumothorax W Cc (200) | $61,839.00 |
N/A
|
|
||
Pharmacy - Phenobarbital Liquid (Antiseizure Agent) (26693) | $498.02 |
N/A
|
|
||
Surgical Dressings - Foam Dressing - More Than 16 Less Than 48 Square Inches (0943004627) | $151.73 |
N/A
|
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Pleural Effusion W Mcc (186) | $99,806.00 |
N/A
|
|
||
Pharmacy - Penicillin V Potassium Powder, For Solution (Penicillins ) (6407) | $50.90 |
N/A
|
|
||
Surgical Dressings - Foam Dressing - More Than 16 Less Than 48 Square Inches (0833004627) | $151.73 |
N/A
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||
Permanent Cardiac Pacemaker Implant W/o Cc/mcc (244) | $75,279.00 |
N/A
|
|
||
Pharmacy - Pediatric Infuvite Multiple Vitamins For Infusion Injection, Solution (Vitamin C ) (140096) | $94.69 |
N/A
|
|
||
Surgical Dressings - Foam Dressing - More Than 16 Less Than 48 Square Inches (0833004628) | $132.50 |
N/A
|
|
||
Permanent Cardiac Pacemaker Implant W Mcc (242) | $204,408.00 |
N/A
|
|
||
Pharmacy - Paclitaxel Injection, Solution (Microtubule Inhibition ) (20672) | $386.23 |
N/A
|
|
||
Surgical Dressings - Foam Dressing - More Than 16 Less Than 48 Square Inches (0943004628) | $132.50 |
N/A
|
|
||
Permanent Cardiac Pacemaker Implant W Cc (243) | $132,842.00 |
N/A
|
|
||
Pharmacy - Paclitaxel Injection, Solution (Microtubule Inhibition ) (1500521) | $77.44 |
N/A
|
|
||
Surgical Dressings - Foam Dressing - More Than 16 Less Than 48 Square Inches (1087100259) | $107.00 |
N/A
|
|
||
Peritoneal Adhesiolysis W/o Cc/mcc (337) | $75,094.00 |
N/A
|
|
||
Pharmacy - Oxytocin Injection, Solution (Increased Uterine Smooth Muscle Contraction Or Tone ) (6386) | $46.71 |
N/A
|
|
||
Surgical Dressings - Foam Dressing - More Than 16 Less Than 48 Square Inches (1087100258) | $98.00 |
N/A
|
|
||
Peritoneal Adhesiolysis W Cc (336) | $99,663.00 |
N/A
|
|
||
Pharmacy - Oxycodone Hydrochloride Solution (Full Opioid Agonists ) (29770) | $1,697.90 |
N/A
|
|
||
Surgical Dressings - Foam Dressing - More Than 16 Less Than 48 Square Inches (1007100278) | $40.00 |
N/A
|
|
||
Peripheral Vascular Disorders W/o Cc/mcc (301) | $37,859.00 |
N/A
|
|
||
Pharmacy - Oxybutynin Chloride Tablet (Cholinergic Muscarinic Antagonist ) (26525) | $3.79 |
N/A
|
|
||
Surgical Dressings - Foam Dressing - 16 Square Inches Or Less (0833004626) | $65.49 |
N/A
|
|
||
Peripheral Vascular Disorders W Mcc (299) | $68,436.00 |
N/A
|
|
||
Pharmacy - Onfi Suspension (Benzodiazepine ) (203477) | $5,759.26 |
N/A
|
|
||
Surgical Dressings - Foam Dressing - 16 Square Inches Or Less (0943004626) | $65.49 |
N/A
|
|
||
Peripheral Vascular Disorders W Cc (300) | $47,048.00 |
N/A
|
|
||
Pharmacy - Ondansetron Tablet, Orally Disintegrating (Serotonin 3 Receptor Antagonists ) (40492) | $111.19 |
N/A
|
|
||
Surgical Dressings - Foam Dressing - 16 Square Inches Or Less (1087211283) | $46.00 |
N/A
|
|
||
Percutaneous Intracardiac Procedures W/o Mcc (274) | $174,113.00 |
N/A
|
|
||
Pharmacy - Ondansetron Tablet, Film Coated (Serotonin 3 Receptor Antagonists ) (29747) | $123.46 |
N/A
|
|
||
Surgical Dressings - Collagen Dressing - 16 Square Inches Or Less (1007202387) | $48.00 |
N/A
|
|
||
Percutaneous Intracardiac Procedures W Mcc (273) | $219,132.00 |
N/A
|
|
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