|
G0529
|
In home respite care, 4 hr u |
|
A9506
|
Tc-99m graphite crucible |
|
C1605
|
Pmkr, dual, leadless |
|
C1606
|
Adapter, us to endoscope |
|
C9113
|
Inj pantoprazole sodium, via |
|
C9166
|
Injection, secukinumab |
|
C9167
|
Inj, adzynma, 10 iu |
|
C9168
|
Injection, mirikizumab-mrkz |
|
C9787
|
Gastric ep mapg simult pt sx |
|
C9790
|
Kidney histotripsy w/image |
|
G0519
|
New pt-cg dyad dem low cmplx |
|
G0520
|
New pt-cg dyad dem mod cmplx |
|
G0521
|
New pt-cg dyad dem hig cmplx |
|
G0522
|
Mgt nw pt dementia low cmplx |
|
G0523
|
Mgt nw pt dem mod-high cmplx |
|
G0524
|
Est pt-cg dyad dem low cmplx |
|
G0525
|
Est pt-cg dyad dem mod cmplx |
|
G0526
|
Est pt-cg dyad dem hig cmplx |
|
G0527
|
Mgt est pt dmentia low cmplx |
|
G0528
|
Mgt est pt dem mod-hi cmplx |
|
G0530
|
Adult daycare center, 8 hr u |
|
G0531
|
Fclty-based respite, 24 hr u |
|
J0134
|
Inj acetaminophen -fresenius |
|
J0136
|
Inj, acetaminophen (b braun) |
|
J0137
|
Inj, acetaminophen (hikma) |
|
J0175
|
Inj, donanemab-azbt, 2 mg |
|
J0211
|
Inj, nithiodote, 3mg / 125mg |
|
J0401
|
Inj, abilify maintena, 1 mg |
|
J0651
|
Inj, levothyroxine, freskabi |
|
J0652
|
Inj, levothyroxine, hikma |
|
J0687
|
Inj cefazolin (wg crit care) |
|
J0872
|
Daptomycin (xellia) unrefrig |
|
J0893
|
Inj, decitabine (sun pharma) |
|
J0911
|
Inst tauro 1.35mg/hep 100u |
|
J1574
|
Inj, ganciclovir (exela) |
|
J1597
|
Inj glycopyrrolate, glyrx-pf |
|
J1748
|
Inj, zymfentra, 10 mg |
|
J1806
|
Inj esmolol hcl wg crit care |
|
J1921
|
Inj labetalol hcl hikma, 5mg |
|
J2021
|
Inj, linezolid (hospira) |
|
J2184
|
Inj, meropenem (b. braun) |
|
J2246
|
Inj, micafungin (baxter) |
|
J2267
|
Inj, mirikizumab-mrkz, 1 mg |
|
J2272
|
Inj, morphine (fresenius) |
|
J2281
|
Inj moxifloxacin (fres kabi) |
|
J2470
|
Inj pantoprazole sodium 40mg |
|
J2471
|
Inj pantoprazole(hikma) 40mg |
|
J2599
|
Inj vasopressin (am reg) 1 u |
|
J2780
|
Ranitidine hydrochloride inj |
|
J3244
|
Inj. tigecycline (accord) |
|
J3247
|
Inj secukinumab intrav 1mg |
|
J3263
|
Inj, toripalimab-tpzi, 1 mg |
|
J3393
|
Inj, betibeglogene autotemce |
|
J3394
|
Inj, lovotibeglogene autotem |
|
J7171
|
Inj, adzynma, 10 iu |
|
J7355
|
Inj travoprost intra impl |
|
J8611
|
Oral methotrexate (jylamvo) |
|
J8612
|
Oral methotrexate (xatmep) |
|
J9046
|
Inj, bortezomib, dr. reddy's |
|
J9294
|
Inj pemetrexed, hospira 10mg |
|
J9296
|
Inj pemetrexed (accord) 10mg |
|
J9314
|
Inj pemetrexed (teva) 10mg |
|
J9322
|
Inj pemetrexed (bluepoint) |
|
J9361
|
Inj, efbemalenograstim alfa- |
|
J9371
|
Inj, vincristine sul lip 1mg |
|
J9393
|
Inj, fulvestrant (teva) |
|
Q4210
|
Axolotl graf dualgraf sq cm |
|
Q4277
|
Woundplus e-grat, per sq cm |
|
Q5137
|
Inj, wezlana, sub cu, 1 mg |
|
Q5138
|
Inj, wezlana, iv, 1 mg |
|
S0164
|
Injection pantroprazole |