Calhoun Procedures

Location Px Code
CAL BMH-Calhoun Hospital 3000002588

Procedure Name
OPIATES
ALCOHOL
BARBITURATES
COCAINE
ALKALOIDS NOS
HC SMOKE/TOBACCO CESSATION INTERMED VISIT 3-10 MIN
HC SMOKE/TOBACCO CESSATION INTENSIVE VISIT >10 MIN
IMMUNOASSAY ANALYTE QUAL/SEMIQUAL MULTIPLE STEP
HC SWING BED TELEMETRY PRIVATE
HC PF 10060-I&D ABSCESS SIMPLE
HC ED 41800-DRAINAGE OF GUM LESION
HC PF 10061-I&D ABCESS COMPLICATED
HC PF 10080-I&D PILONIDAL CYST SIM
HC PF 10120-INCIS&REM FB SUB-Q SIM
HC PF 10140-I&D HEMTOMA FLUD COLLE
HC PF 10160-PUNCT ASPRATN ABSES/CY
HC PF 11042-DEBRID SKIN SUB-Q TISS
HC PF 11730-AVULSN NAIL PLATE SING
HC PF 11732-AVULSN NAIL PLATE EA A
HC PF 11740-EVACU SUBUNGAL HEMATOM
HC PF 11750-EXCIS NAIL & MATRIX
HC ED 42960-CONTROL THROAT BLEEDING
HC PF 16000-BURN INITIL TX 1ST DEG
HC PF 16020-BURN DSG/DEBRID SMALL
HC PF 16025-BURN DSG/DEBRID MEDIUM
HC PF 16030-BURN DSG/DEBRID LARGE
HC PF 20102-EXPL PNTRTNG WD ABD/FL
HC PF 20103-EXPL PNTRTNG WD EXTREM
HC PF 20520-REM FB MUSC/TNDN SH SI
HC PF 20525-REM FB MUSC/TNDN SH CM
HC PF 20605-ARH/ASP/INJ INTRMD JNT
HC PF 20610-ART/ASP/INJ MAJR JOINT
HC ED 43753 - GASTRIC INTUBATION LAV
HC PF 21480-CLSD TX TM DISCLC INTL
HC PF 23330-REM FB SHOULDER S/Q BL
HC PF 23500-CLSD TX CLVC FX WO/MAN
HC PF 23650-CLSD TX DS SHLDR W/MN
HC PF 24200-REM FB UPR ARM/ELBW SQ
HC PF 24600-CLSD TX ELBW DIS WO/AN
HC PF 24640-CLSD TX RDL H SB WO/MN
HC PF 26010-DRAIN FNGER ABSC SMPLE
HC PF 26600-CLSD TX MTCFL FX WO/MN
HC PF 26700-CLSD TX MTFL DIS W/MAN
HC ED 46050-INCISION OF ANAL ABSCESS
HC PF 26770-CLSD TX INTFL DIS W/MN
HC PF 26951-AMP FNGR/TB PHL CLS BL
HC PF 27560-CLSD TX PATELLAR DIS B
HC PF 28190-REM FB FOOT SUB-Q BL
HC PF 28490-CLD TX FX GRT TE WO/MN
HC PF 28510-CLD TX FX TOE WO/MN EA
HC PF 28630-CLD TX MT FLN DS WO/AN
HC PF 28660-CLD TX INTFLN DS WO/AN
HC PF 29105-APP SPLINT LONG ARM BL
HC PF 29125-APP SPLINT SHORT ARM B
HC ED 51700-IRRIGATION OF BLADDER
HC PF 29130-APP SPLNT FNGR STATIC
HC PF 29240-STRAP SHOULDER BL
HC PF 29260-STRAP ELBOW/WRIST BL
HC PF 29280-STRAP HAND/FINGER BL
HC PF 29505 APP SPLINT LONG LEG BL
HC PF 29515-APP SPLNT SHRT LEG LT
HC PF 29530-STRAP KNEE BL
HC PF 29540-STRAP ANKLE/FOOT BL
HC PF 29550-STRAP TOES BL
HC PF 29799-AP DNS-BRWN SPLNT STRP
HC ED 51702 - INSRT INDWL BLDR CATH
HC PF 30300-REM FB INTRANASAL BL
HC PF 31500-INTUBATN ENDOTRACHEL E
HC PF 31502-TRACHEOSTOMY TUBE CHNG
HC PF 36430-TRANSFUSION BLOOD 2ND
HC PF 36600-ARTERIAL PUNCTURE
HC PF 40830-RPR LAC VEST MOUTH <1.
HC PF 41250-RPR LAC <2.5CM ANT TON
HC PF 41800-I&D DNTL ABSES/CYST/HM
HC PF 42809-REM FB PHARYNX
HC PF 43753-GASTRIC INTUBATION LAV
HC ED 51705-CHANGE OF BLADDER TUBE
HC PF 46050-I&D PERIANL ABCES SUPR
HC PF 46600-ANASCOPY DIAGNOSTIC
HC PF 51700-BLADDR HEMORRHGE IRRIG
HC PF 51701-INSRT NON-INDWL BLDR C
HC PF 51702-INSRT INDWL BLDR CATH
HC PF 56405-I&D VULVA ABSCESS
HC PF 56420-I&D BATHLNS GLND ABSES
HC PF 58301-REM IUD
HC PF 59409-VAGINAL DELIVERY
HC PF 62270-SPINAL PUNCTURE LUMBAR
HC ED 56405-ID OF VULVA PERINEUM
HC PF 65205-REM FB EYE CNJNCT SUPF
HC PF 65210-REM FB EYE CNJNT/SCLRL
HC PF 65220-REM FB EYE CRNL WO/SLT
HC PF 69000-I&D EAR ABSC SIMPLE BL
HC PF 69200-REM FB AUDTRY CANAL BL
HC PF 69210-REM IMPACTED CERUMEN
HC PF 92950-CARDIOPLMONRY RESUSCIT
HC PF 92960-CARDIOVERSION EXTERNAL
HC PF 92977-THROMBOLYSIS CORNARY I
HC PF 99281-PHYSICIAN ED VISIT I
HC ED 56420-DRAINAGE OF GLAND ABSCESS
HC PF 99282-PHYSICIAN ED VISIT 2
HC PF 99291-PHYSICIAN CRITICAL CAR
HC PF 13120-RPR COMPLX WOUND EXTEN
HC PF 13100-RPR COMPLX WOUND MINOR
HC PF 13101-RPR COMPLX WOUND MOD
HC PF 11760-REPAIR NAIL BED
HC PF 12007-RPR SIMPLE WOUND EXTEN
HC ED 58301-REMOVE INTRAUTERINE DEVICE
HC COLLAR PHIL TRACH HOLE 5.25"
HC PF 12001-RPR SIMPLE WOUND MINOR
HC PF 12005-RPR SIMPLE WOUND MOD
HC PF 99304-INIT SB
HC PF 99305-INIT SB
HC PF 99306-INIT SB
HC PF 99307-SUB SB
HC PF 99308-SUB SB
HC PF 99309-SUB SB
HC PF 99315-D/C SB
HC PF 99316-D/C SB
HC ED 62270 - SPINAL PUNCTURE LUMBAR
HC ED 21315 CLOSED TX, NASAL FX,WO STABILIZTN
ANTIEPILEPTICS, NOS 1-3
HC ED 69209-REMOV IMPACTED CERUMEN IRRIG UNI
HC ED 51703 INSERT TEMP INDWELL BLADD CATH CMPLX
HC SPLINT WRIST SOFTSHELL SAM
HC SPLINT FOREARM PLAS ADLT LEFT
HC SPLINT FOREARM PLAS YOUTH LEFT
HC AMBU INFANT DISP 1272
HC C-COLLAR PHIL PEDIATRIC
HC BRACE ANKLE HONEYCOMB PD RIGHT
HC ED 64450-INJECTION FOR NERVE BLOCK
HC BRACE ANKLE HONEYCOMB PD LEFT
HC PF 99292-CRITICAL CARE ADDL 30 MINS
HC PF-99310 SUBSEQUENT NURSING FACILITY CARE IV
HC PF 99217 OBSERVATION D/C
HC PF 99239 HOSPITAL D/C >30 MIN
HC PF 12004 SIMPLE RPR SUPERFICIAL WND 7.6-12.5CM
HC PF 27550 CLOSED TX KNEE DISC WOUT ANES
HC PF 30901 CONTROL NOSEBLEED
HC PF 12002 REPAIR SUPERFICIAL WOUND
HC PF 12011 - RPR SUPERFICIAL WND FACE,EYES,EARS
HC ED 65205-REMOVE FOREIGN BODY FROMEYE
GI PATHOGEN MULTIPLEX PROBE TQ12-25
HC 51702-INSERT TEMP INDWELL BLADDER CATH SIMPLE
HC PF 99291 - PHYSICIAN CRITICAL CARE
HC ED 10081 - I&D PILONIDAL CYST COMP
HC PF 12020-CLOSURE OF SPLIT WOUND
HC PF 12006-REPAIR SUPERFICIAL WOUND
HC PF 12036-LAYER CLOSURE OF WOUND
DRUG TEST PRSMV INSTRMNT
HC ED 65220-REMOVE FOREIGN BODY FROM EYE
DRUG TEST PRSMV CHEM ANLYZR
TESTOSTERONE BIOAVAILABLE
CNS DNA AMP PROBE TYPE 12-25
APPLICATON ON-BODY INJECTOR
HC ED 99151-MOD SED SAME MD < 5YR 1ST 15 MIN
HC ED 99152-MOD SED SAME MD 5 YR+ 1ST 15 MIN
HC ED 99153-MOD SED SAME MD EA ADDL 15 MIN
DRUG TEST PRSMV DIR OPT OBS
HC AAA SCREENING US
HC PT EVALUATION MOD COMPLEXITY 30 MIN
HC ED 69000-DRAIN EXTERNAL EAR LESION
HC PT EVALUATION HIGH COMPLEXITY 45 MIN
HC OT EVALUATION LOW COMPLEXITY 30 MIN
HC OT EVALUATION MOD COMPLEXITY 45 MIN
HC OT EVALUATION HIGH COMPLEXITY 60 MIN
HC OT RE-EVALUATION ESTABLISHED PLAN CARE
HC ED 99155-MOD SED DIFF MD <5Y 1ST 15 MIN
HC PT EVALUATION LOW COMPLEXITY 20 MIN
HC PT RE-EVALUATION ESTABLISHED PLAN CARE
DRUG OR SUBSTANCE, DEF QUAL OR QUAN NOS1-3
HC ED 99156-MOD SED DIFF MD 5 YR+ 1ST 15 MIN
HC ED 69200-CLEAR OUTER EAR CANAL
HC ED 99157-MOD SED DIFF MD EA ADDL 15 MIN
OPIOIDS/ANALOGS 3 OR 4
HC ASSESSMENT OF APHASIA
HC PF ER 12035-LAYER CLOSURE OF WOUND
HC ED 27197 CLOSED TX POST PELV RNG FX WO MNP
HC PF 27197 CLOSED TX POST PELV RNG FX WO MNP
HC ED 27198 CLOSED TX POST PELV RNG FX W MNP
HC PF 27198 CLOSED TX POST PELV RNG FX W MNP
DRUG SCREENING OPIOIDS AND OPIATE ANALOGS 1 OR 2
HC ED 36620 ARTERIAL LINE INSERTION
HC ED 69210-REMOVE IMPACTED EAR WAX
HC PF 36620 ARTERIAL LINE INSERTION
HC PF 55100-DRAINAGE OF SCROTUM ABSCESS
HC INSERT PERIPH MIDLINE DX OR THERAPEUTIC
HC ED 36568 INSERT PICC LINE WO PORT <5YR
HC ED 36410 INSERT PERIPH MIDLINE DX OR THERAPEUTIC
HC ED 52281 CYSTOSCOPY W/CALIBRATE/DILATE
HC GUN BIOPSY MONOPTY 18X9 11MM
QUANTITATION DRUG NOT ELSEWHERE SPECIFIED
CHG ENZYME CELL ACTIVITY, EACH SPEC NES
HC ED 59414 DELIVERY OF PLACENTA
HC ED 92977-THROMBOLYSIS CORON IV INFUS
HC PF 59414 DELIVERY OF PLACENTA
HC 636 SUPPLY BIOLOGICAL Q4174 PALINGEN OR PROMATRX .36MG PER .25CC
HC ED-51100 ASPIRATION OF BLADDER NEEDLE
HC ED-27301 I&D DEEP ABSCESS/BURSA/HEMAT TH/LEG
HC TUBE JEJUNAL FEEDING 16FR 2.0
HC PF-32556 INSERT CATH PLEURAL WO IMAGING
HC PF-32550 INSERT INDWELLING TUNNELED PLEURAL CATH
HC EC-32550 INSERT INDWELLING TUNNELED PLEURAL CATH
PF 29799 - IMMOBILIZATION KNEE
AMINO ACIDS SINGLE,QUAN EA SPEC
HC ED 96360-HYDRATION IV INIT 31-60 MIN
HC OT ORTHIC/PROSTIC MGMT SUBSQ EA 15 MIN
ALCOHOL MARKERS 1 OR 2 URINE
STIMULANTS, SYNTHETIC
HC XR CHEST AP SINGLE VW
HC XR CHEST 2 VWS
HC XR ABDOMEN 1 VW
HC XR ABDOMEN 2 VWS
HC XR ABDOMEN 3+ VS
HC EXER TST BRONSPSM P/P SPIRO
HC PULMONARY STRESS(6 MIN WLK) HRT RATE
HC ED 96361-HYDRATION IV EA ADDL HR
NBS SMN1 GENE DOS/DELETION ALYS
HC OBSERVATION SPECIAL BED RC 762
ALLERGEN SPEC IGE RECOMBINANT/PURIFIED COMPNT EA
HC ED REPAIR LIP,<1/2 VERT HEIGHT
ASSAY TYROSINE
HC ED 54450 FORESKIN MANIP INCLDG LYSIS ADHESIONS
NBS COL-CHR/MS NONDRUG ANALYTE QUAN EA SPEC
HC 320 DX RAD OBS CARVE OUT
HC 343 NM RAD OBS CARVE OUT
HC 350 CT RAD OBS CARVE OUT
HC 361 EP OBS CARVE OUT
HC ED 96365-THER PRO DIA IV INITIAL 1HR
HC 480 CARDIOLOGY OBS CARVE OUT
HC 481 CATH OBS CARVE OUT
HC 402 ULTRASOUND RAD OBS CARVE OUT
HC 921 PERIPHERAL LAB OBS CARVE OUT
HC 420 PHYSICAL THERAPY OBS CARVE OUT
HC 430 OCCUPTIONAL THERAPY OBS CARVE OUT
HC 440 SPEECH THERAPY OBS CARVE OUT
HC 610 MRI/MRA OBS CARVE OUT
HC 750 GI LAB OBS CARVE OUT
HC 821 DIALYSIS OBS CARVE OUT
HC ED 96366-THER PRO DIAG IV ADDL HR
HC 710 RECOVERY ROOM OBS CARVE OUT
HC 360 O R OBS CARVE OUT
HC ED 41251 REPAIR LAC 2.5 OR <, POST 1/3 TONGUE
HC 801 DIALYSIS OBS CARVE OUT
HC ED 25270 REPR TENDON MUSCLE FOREARM AND/OR WRIST SGLE
HC PF 40652 REPAIR LIP,<1/2 VERT HEIGHT
POC CREATININE
HC ER 27552:CLOSED TX OF KNEE DISLOCATION;REQUIRING ANESTHESIA
HC PF 27552:CLOSED TXT OF KNEE DISLOCATION; REQUIRING ANESTHESIA
HC ED 36592-COLLECT BLD CVC OR PICC
HC ED 96367-THER PRO DIAG IV SEQ 1 HR
TRICHROME SPECIAL SMEAR
SP 88312 SPEC STAIN GROUP I EA
HC INSERT PICC ALL INCLUSIVE <5YRS
HC INSERT PICC ALL INCLUSIVE >5YRS
HC REPLACE GTUBE PERQ INCLD REMOVAL W/O IMAGE NO REVJ TRC
HC REPLACE GTUBE PERQ INCLD REMOVAL W/ REVISION GSTRST TRC
HC ED 20950-MONITORING INTERSTITIAL FLD PRESS DETEC MCS
HC ED-43762 REPLACE GTUBE PERQ INCLD REMOVAL W/O IMAGE
HSV TYPE 1
HSV TYPE 2
HC ED 96368-THER PRO DIAG IV CONC
HC ER 36590 REMOVE TUNNELED CV ACCESS DEVICE W PORT/PUMP
HC ED 46608-ANOSCOPY W/REMOVAL FB
HC ED 16035 ESCHAROTOMY 1ST INCISION
HC ED 16036 ESCHAROTOMY EA ADDL INCISON
HC ED 32100-THORACOTOMY WITH EXPLORATION
SICKLE CELL SCREEN
HC ED 96372-INJECTION IM OR SQ
HC ED 96374-IV PUSH SINGLE OR INITIAL
HC ED 96375-IV PUSH EA ADDL NEW DRUG
HC ED 96376-IV PUSH EA SEQ SAME DRUG
HC ED LEVEL ONE
HC ED LEVEL TWO
HC ED 64999 INJECT ANESTHETIC AGENT CERVICAL PLEXUS
HC ED LEVEL THREE
HC ED LEVEL FOUR
HC ED LEVEL FIVE
HC ED CRITICAL CARE FIRST 30-74 MINS
HC ED CRITICAL CARE ADDL 30 MINS
VENIPUNCTURE
CAPILLARY BLOOD COLLECT
BASIC METABOLIC PANEL
ELECTROLYTES
COMPREHENSIVE METABOLIC PANEL
HC SMALL INTESTINE FOLLOW-THROUGH W/MULTIPLE SERIAL IMAGES
LIPID PANEL
RENAL FUNCTION PANEL
HEPATITIS ACUTE PANEL
HEPATIC FUNCTION PANEL
AMIKACIN LEVEL
CARBAMAZEPINE LEVEL TOTAL
CYCLOSPORIN LEVEL
DIGOXIN LEVEL
VALPROIC ACID LEVEL
GENTAMICIN LEVEL
HC OT COGNITIVE FUNCTION INITIAL 15 MIN
LITHIUM LEVEL
PHENOBARBITAL LEVEL
PHENYTOIN LEVEL TOTAL
PRIMIDONE LEVEL
PROCAINAMIDE NAPA LEVEL
QUINIDINE LEVEL
SIROLIMUS LEVEL
TACROLIMUS LEVEL
THEOPHYLLINE LEVEL
TOBRAMYCIN LEVEL
HC OT COGNITIVE FUNCTION EA ADD 15 MIN
TOPIRAMATE LEVEL
VANCOMYCIN LEVEL
DIGITOXIN LEVEL
URINALYSIS AUTO MICROSCOPIC
ACETONE KETONE URINE
REDUCING SUBSTANCE URINE
URINALYSIS
BETA HCG URINE
VOLUME MEASURE TIMED COLLECT
FACTOR 5 LEIDEN
HC SP COGNITIVE FUNCTION INITIAL 15 MIN
ACETONE BLOOD QUALITATIVE
BETA HYDROXYBUTYRATE LEVEL
ACTH LEVEL
ALBUMIN SERUM
MICROALBUMIN URINE 24 HR
MICROALBUMIN URINE RANDOM
ALDOLASE LEVEL
ALDOSTERONE SERUM
ALPHA 1 ANTITRYPSIN
ALPHA FETOPROTEIN SERUM
HC SP COGNITIVE FUNCTION EA ADD 15 MIN
ALPHA FETOPROTEIN TUMOR MARKER
AMMONIA LEVEL
AMMONIA URINE 24 HR
AMYLASE LEVEL
AMYLASE LEVEL FLUID
ANDROSTENEDIONE LEVEL
ANGIOTENSIN CONV ENZYME
ARSENIC LEVEL
ARSENIC LEVEL URINE 24 HR
BETA 2 MICROGLOBULIN
BLOOD COMPONENT/PRODUCT NOC
BILIRUBIN TOTAL
BILIRUBIN DIRECT
OCCULT BLOOD SCREENING
OCCULT BLOOD OTHER SOURCES
OCCULT BLOOD DIAGNOSTIC
VITAMIN D 25OH LEVEL
VITAMIN D2 AND D3 LEVEL
CALCIUM LEVEL
CALCIUM LEVEL IONIZED
CALCIUM LEVEL URINE
HC ED 11421 EXCISION LESN BENGN SCALP/HAND/FT/GEN 0.6-1.0CM
CHG RESP SYNCYTIAL AG, DFA
STONE ANALYSIS
CARBOXYHEMOGLOBIN LEVEL
CARCINOEMBRYONIC ANTIGEN
CATECHOLAMINES URINE 24 HR
CATECHOLAMINE URINE RANDOM
CERULOPLASMIN
CHLORIDE LEVEL
CHLORIDE URINE
CHOLESTEROL
CHOLINESTERASE SERUM
SARS-COV-2 (COVID-19) BY RT-PCR CDC
COPPER LEVEL
COPPER LEVEL URINE
CORTISOL URINE 24 HR
CORTISOL URINE RANDOM FREE
CORTISOL TOTAL
CK
CKMB
CREATININE
CREATININE URINE 24 HR
CREATININE URINE
SARS-COV-2 (COVID-19) NON CDC TEST
CREATININE CLEARANCE
CRYOGLOBULIN
VITAMIN B12 LEVEL
DHEA BLOOD
DHEAS SERUM
VITAMIN D 1-25OH LEVEL
ERYTHROPOIETIN LEVEL
ESTRADIOL LEVEL
ESTRONE LEVEL
FECAL FAT
COVID-19 CONVALESCENT PLASMA FOR PLASMA PHERESIS
FERRITIN LEVEL
FOLIC ACID LEVEL
FOLIC ACID RBC
IMMUNOGLOBULIN IGA IGD IGG IGM EACH
IMMUNOGLOBULIN IGE
BLOOD GAS ANALYSIS
ABG W O2 SAT
O2 SATURATION DIRECT MEASUREMENT
GLUCOSE QUANTITATIVE BLOOD
TOLERANCE UP TO 3 SPECIMENS
SARS-COV-2-COVID-19 AMP PRB
TOLERANCE EA ADDL BEYOND 3 SPECIMENS
G6PD QUANTITATIVE
GGT
FRUCTOSAMINE LEVEL
FOLLICLE STIMULATING HORMONE
LUTEINIZING HORMONE SERUM
GROWTH HORMONE
HEMOGLOBIN ELECTROPHORESIS
HEMOGLOBIN A1C
METHEMOGLOBIN
JCV STRATIFY INHIBITION ASSAY -REFLEX ONLY
HOMOCYSTEINE LEVEL
5 HIAA URINE RANDOM
ANTI MITOCHONDRIAL AB
ANTI SMOOTH MUSCLE AB
TISSUE TRANSGLUTAMINASE IGA
ACETYLCHOLINE RECEPTOR BINDING AB
ELASTASE STOOL
TRYPTASE
IMMUNOASSAY ANALYTE QN NOS
INSULIN LEVEL
SARS-COV-2 COVID-19 ANTIBODY
IRON LEVEL SERUM
TOTAL IRON BINDING CAPACITY
LACTIC ACID LEVEL
LDH FLUID
LDH
LDH ISOENZYMES
LACTOFERRIN FECAL QUAL
LEAD BLOOD
LEAD URINE
LIPASE LE
DNA/RNA SARS-COV-2/COVID-19 AMP PROBE
LIPOPROTEIN A
MAGNESIUM LEVEL
METANEPHRINE PLASMA
METHYLMALONIC ACID LEVEL
LACOSAMIDE LEVEL
MERCURY BLOOD
MERCURY URINE
MYOGLOBIN URINE
MYOGLOBIN BLOOD
PRO BNP
SARS-COV-2/COVID-19 ALL TARGETS NON-CDC
BRAIN NATRIURETIC PEPTIDE
NEPHELOMETRY BENCE JONES
FREE KAPPA LIGHT CHAINS
FREE LAMBDA LIGHT CHAINS
OSMOLALITY BLOOD
OSMOLALITY URINE
PARATHYROID HORMONE
PH BODY FLUID
ALKALINE PHOSPHATASE
ALKALINE PHOSPHATASE ISOENZYME
IMMUNOASSAY INF AGT ANTIBODY SARS-COV-2 COVID-19
PHOSPHORUS LEVEL
PORPHYRINS URINE FRACTIONATED
POTASSIUM LEVEL BLOOD
POTASSIUM URINE
PREALBUMIN
PROGESTERONE LEVEL
PROCALCITONIN
PROLACTIN LEVEL
PSA DIAGNOSTIC
PSA FREE
HC ED 10060-DRAINAGE OF SKIN ABSCESS
HC ED 11900-INJ,INTRALESIONAL,UP TO AND INCLUDING 7 LESIONS
PROTEIN TOTAL
PROTEIN URINE
PROTEIN CSF
PROTEIN BODY FLUID
PROTEIN ELECTRO SERUM
PROTEIN ELECTRO URINE
VITAMIN B6 LEVEL
RENIN
SEX HORMONE BINDING GLOBULIN
SODIUM LEVEL BLOOD
HC ED 10061-DRAINAGE OF SKIN ABSCESS
SODIUM URINE
SODIUM FECAL
INSULIN LIKE GROWTH FACTOR 1
REDUCING SUBSTANCE STOOL
TESTOSTERONE SERUM
VITAMIN B1 LEVEL
THYROGLOBULIN
T4 (THYROXINE) TOTAL
T4 (THYROXINE) FREE
THYROID STIMULATING HORMONE
HC ED 10080-DRAINAGE OF PILONIDAL CYST
VITAMIN E LEVEL
AST
ALT
TRANSFERRIN LEVEL
TRIGLYCERIDES BLOOD
T3 UPTAKE
T3 TOTAL
T3 FREE
T3 REVERSE
TROPONIN QUANTITATIVE
HC ED 10120-REMOVE FOREIGN BODY
UREA NITROGEN BLOOD
UREA NITROGEN URINE
URIC ACID BLOOD
URIC ACID URINE
VMA URINE
ANTIDIURETIC HORMONE
ZINC LEVEL
C-PEPTIDE
TA HCG SERUM QUANT
BETA HCG SERUM QUAL
HC ED 10160-PUNCTURE DRAINAGE OF LESION
POTASSIUM FECAL
MANUAL DIFF
BLOOD SMEAR MICRO ONLY
HEMATOCRIT
HEMOGLOBIN
CBC WITH DIFF
CBC WITHOUT DIFF
RETICULOCYTE COUNT AUTO
WHITE CELL COUNT AUTO
PLATELET AUTOMATED COUNT
HC ED 11042-DEBRIDE SQ TISS 1ST 20 SQCM
FACTOR VIII ASSAY
RISTOCETIN QUANTITATIVE
VW FACTOR ANTIGEN
ANTI THROMBIN III LEVEL
PROTEIN C FUNCTIONAL
PROTEIN S FUNCTIONAL
D DIMER QUANT
FIBRINOGEN QUANTITATIVE
ANTI XA ASSAY
PROTHROMBIN TIME
HC ED 11730-REMOVAL OF NAIL PLATE
PROTIME WITH CORRECTION
SEDIMENTATION RATE NONAUTO
SEDIMENTATION RATE AUTO
PTT
PTT WITH CORRECTION
FEBRILE AGGLUTININS EACH ANTIGEN
ALLERGEN SPECIFIC IGE EACH
ANTI NUCLEAR ANTIBODY
ANTI STREPTOLYSIN O
C REACTIVE PROTEIN
HC ED 11740-DRAIN BLOOD FROM UNDER NAIL
C REACTIVE PROTEIN HIGH SENSITIVITY
BETA 2 GLYCOPROTEIN IGA
BETA 2 GLYCOPROTEIN IGG
BETA 2 GLYCOPROTEIN IGM
ANTI CARDIOLIPIN IGM
ANTI CARDIOLIPIN IGA
ANTI CARDIOLIPIN IGG
COLD AGGLUTININ TITER
C1 ESTERASE INHIB QUAN
C3 COMPLEMENT COMPONENT
HC ED 11750-REMOVAL OF NAIL BED
C4 COMPLEMENT COMPONENT
CYCLIC CITRULLINATED PEPT IGG
ANTI DS DNA ANTIBODY
ANTI JO1 ANTIBODY
ANTI HISTONE ANTIBODY
ANTI SCL 70 ANTIBODY
ANTI RNP ANTIBODY
ANTI SM ANTIBODY
ANTI SSB ANTIBODY
ANTI SSA ANTIBODY
HC ED 11760-REPAIR OF NAIL BED
ANTI CENTROMERE AB
CA 15-3
CA 19-9
CA 125
MONO SCREEN
CHROMOGRANIN A
TETANUS ANTIBODY
PNEUMOCOCCAL ANTIBODY
C1Q IMMUNE COMPLEX
IMMUNOFIXATION ELECTROPHORESIS SERUM
HC ED 12001 - RPR SIMPLE WOUND MINOR
HC BINDER ABD 12" 4-PANEL 63-74"
IMMUNOFIXATION ELECTROPHORESIS URINE 24 HR
IMMUNOFIXATION ELECTROPHORESIS URINE RANDOM
INSULIN ANTIBODY
THYROID PEROXIDASE ANTIBODY
CRYPTOCOCCAL ANTIGEN
STREPTOZYME SCREEN
RA FACTOR QUALITATIVE
RA FACTOR QUANTITATIVE
QUANTIFERON TB
86580-TB SKIN TEST
HC ED 12002-REPAIR SUPERFICIAL WOUND
RPR QUALITATIVE
RPR QUANTITATIVE
BARTONELLA HENSELAE IGG AB
BARTONELLA HENSELAE IGM AB
BARTONELLA QUINTANA IGG AB
BARTONELLA QUINTANA IGM AB
BORDETELLA PERTUSSIS IGG AB
LYME DISEASE SEROLOGY
CMV IGG AB
CMV IGM AB
EBV NUCLEAR ANTIGEN IGG
EBV VCA AB IGM
EBV VCA AB IGG
H PYLORI ANTIBODY
H PYLORI IGM
STRONGYLOIDIASIS TITER
HTLV 1 SCREEN - STM
HTLV/HIV CONFIRMATORY TEST
HSV IGM TOTAL
HIV ANTIBODY SCREEN
HEP B CORE POLYVALENT
HEP B CORE IGM
HEP B IMMUNIZATION
HEP B SURFACE ANTIBODY
HEP B E ANTIBODY
HEP A IGM
MUMPS ANTIBODY
MYCOPLASMA PNEUMO IGG AB
MYCOPLASMA PNEUMO IGM AB
ROCKY MOUNTAIN SPOTTED FEVER IGG
ROCKY MTN SPOTTED FEVER IGM
RUBELLA IGG ANTIBODY
RUBELLA IGM ANTIBODY
RUBELLA ANTIBODY SCREEN
RUBEOLA IGM ANTIBODY
RUBEOLA IGG ANTIBODY
TREPONEMA PALLIDUM AB
VARICELLA ZOSTER IGM AB
VARICELLA ZOSTER IGG AB
WEST NILE VIRUS IGM
WEST NILE CSF IGG
WEST NILE VIRUS IGG
THYROGLOBULIN ANTIBODY
HEP C ANTIBODY
HLA TYPING, A,B,OR C /SINGLE
ANTIBODY SCREEN
ANTIBODY ELUTION
ANTIBODY IDENTIFICATION
ANTIBODY ID FICIN
ANTIBODY ID NEAT
ANTIBODY ID PEG
TIBODY ID LISS
COOMBS DIRECT
INDIRECT COOMBS
ANTIBODY TITER
AUTOLOGOUS BLOOD NOT TRANSFUSED
ABO GROUP ONLY
RH TYPE ONLY
ANTIGEN SCREEN REAGENT
ANTIGEN SCREEN PATIENT
CROSSMATCH IMMEDIATE SPIN
CROSSMATCH AHG
THAW FFP FEE
SPECIMEN CONCENTRATION
CULTURE BLOOD
CULTURE STOOL
CULTURE STOOL ADDL PATHOGEN
CULTURE E COLI 0157
CULTURE AEROBIC SOURCE OTHER THAN BLOOD/URINE/STOOL
CULTURE ANAEROBE
CULTURE ID AEROBE
CULTURE VRE
CULTURE GROUP A BETA STREP
CULTURE GC
CULTURE MRSA
CULTURE THROAT
CULTURE GRP B BETA STREP
CULTURE URINE
CULTURE FUNGUS SKIN HAIR NAILS
CULTURE FUNGUS OTHER
CULTURE FUNGUS BLOOD
CULTURE ID YEAST
CULTURE AFB BLOOD
CULTURE ACID FAST
TYPING SEROLOGIC AGGL
TISSUE GRINDING
OVA AND PARASITES
SENSITIVITY STUDY PER PLATE
MIC EA PER PLATE
EOSINOPHIL STAIN URINE
HC ED 12020-CLOSURE OF SPLIT WOUND
HC SPLINT RESTING HAND LARGE LEFT
GRAM STAIN
EOSINOPHIL STAIN OTHER
AFB STAIN
FUNGUS STAIN
WET PREP
KOH FUNGUS PREP
CULTURE VIRUS
CULTURE HERPES VIRUS
GIARDIA DFA
CRYPTOSPORIDIUM DFA
HC ED 12031-LAYER CLOSURE OF WOUND
C DIFFICILE TOXIN
GIARDIA ANTIGEN
H PYLORI ANTIGEN STOOL
HEP B SURFACE AG
HEP B E AG
ROTAVIRUS ANTIGEN
SHIGA TOXIN
C DIFFICILE ANTIGEN
CHLAMYDIA AMP PROBE GCCTA
C DIFFICILE TOXIN B PCR
CMV DNA PCR
HEP B VIRAL DNA
HEP C RNA PCR
HEP C VIRAL LOAD
HIV VIRAL LOAD
GC AMPLIFIED PROBE
GC AMPLIFIED PROBE GCCTA
BORDETELLA PERTUSSIS AMP PROB
VARICELLA ZOSTER PCR
BK VIRUS QUANT PCR PLASMA
BK VIRUS QUANT PCR URINE
INFLUENZA ANTIGEN
RESPIRATORY SYNCYTIAL VIRUS ANTIGEN
STREP A SCREEN
HIV GENOTYPE
MOLECULAR CYTOGENETICS DNA PROBE FISH
EOSINOPHIL COUNT BODY FLUID
CELL COUNT CSF
CELL COUNT BODY FLUID
LEUKOCYTE COUNT FECAL
CRYSTALS BODY FLUID
PSA SCREENING
88142-CP THIN PREP CERVICAL/VAGINAL
HC RBC LEUKOREDUCED EACH UNIT
HC FFP FROZEN IN 8 HR EACH UNIT
HC PLATELET CONCENTRATE EACH UNIT
HC RBC EACH UNIT
HC PLATELETPHERESIS EACH UNIT
HC PLATELETPHERESIS LEUKOREDUCED EACH UNIT
HC PLATELETPHERESIS LEUKOREDUCED IRRADIATED EACH UNIT
HC RBC IRRADIATED EACH UNIT
HC FFP BETWEEN 8-24 HRS EACH UNIT
HC BLOOD ADMINISTRATION
HC AMB GROUND MILEAGE PER MILE
HC AMB ALS LEVEL 1 NON EMER TRANSPORT
HC AMB ALS LEVEL 1 EMERGENCY TRANSPORT
HC AMB BLS NON EMERGENCY TRANSPORT
HC AMB BLS EMERGENCY TRANSPORT
HC AMB ALS LEVEL 2
HC AMB SPECIALTY CARE TRANSPORT
HC AMB NON COVERED MILEAGE PER MILE
HC AMB NON TRANSPORT
HC EKG 12 LEAD
HC EKG RHYTHM 1-3 LEADS
HC HOLTER UP TO 48 HR TRACING
HC HOLTER UP TO 48 HR TRACING W REPORT
HC ECHO 2D TRANSTHORACIC W DOPPLER COMPLETE
HC ECHO 2D TRANSTHORACIC WO DOPPLER
HC CARDIOPULMONARY RESUSCITATION
HC 92960-CARDIOVERSION ELECTIVE
HC ED 13121-REPAIR OF WOUND OR LESION
HC EEG AWAKE DROWSY
HC EEG AWAKE ASLEEP
HC 96360-HYDRATION IV INITIAL 31-60 MIN
HC 96361-HYDRATION IV EA ADDL HR
HC 96365-THER/DIAG IV INITIAL 1 HR
HC 96366-THER/DIAG IV EA ADDL HR
HC 96367-THER/DIAG IV SEQ UP TO 1 HR
HC 96368-THER/DIAG IV CONCURRENT
HC 96374-IV PUSH SINGLE OR INITIAL
HC 96375-IV PUSH EA ADDL NEW DRUG
HC 96376-IV PUSH EA SEQ SAME DRUG
HC PF 93010AQ-EKG INTERPRETATION ONLY
HC PF 93016AQ-CV STRESS TEST SUPERVISION ONLY
HC PF 93018AQ-CV STRESS INTERP/REPORT ONLY
HC PF 93227AQ-HOLTER UP TO 48 HR INTERP
HC XR MANDIBLE PARTIAL< 4VWS
HC XR MANDIBLE COMPLETE 4 VWS
HC XR FACIAL BONES <3 VWS
HC XR FACIAL BONES MIN 3 VWS
HC XR NASAL BONES MIN 3 VWS
HC XR ORBITS MIN 4 VWS
HC XR SINUSES MIN 3 VWS
HC XR SKULL SERIES <4 VWS
HC XR SKULL SERIES MIN 4 VWS
HC XR TMJ OPEN/CLOSED BILATERAL
HC XR NECK SOFT TISSUE
HC MR ORBIT/FACE AND/OR NECK WO CONTRAST
HC MR MRA OR MRV HEAD WO CONTRAST
HC MR MRA OR MRV NECK WO CONTRAST
HC MR MRA OR MRV NECK W CONTRAST
HC ED 13133-REPAIR WOUND LESION ADD ON
HC SPLINT RESTING HAND MED LEFT
HC MR BRAIN WO CONTRAST
HC MR BRAIN W CONTRAST
HC MR BRAIN W WO CONTRAST
HC XR RIBS UNILAT 2 VWS
HC XR RIBS 2VW CHEST 1 VW
HC XR RIBS BILATERAL 3 VWS
HC XR RIBS 3 VWS CHEST 1 VW
HC XR STERNUM MIN 2 VWS
HC MR CHEST WO CONTRAST
HC XR SPINE LUMBAR 1 VW
HC ED 16000-INITIAL TREAT OF BURN
HC XR SPINE THORACIC 1 VW
HC XR SPINE CERV 3 VWS OR LESS
HC XR SPINE CERV 4/5 VWS
HC XR SPINE CERV 6+ VWS
HC XR SPINE THORACIC 2 VWS
HC XR SPINE THORACIC 3 VWS
HC XR SPINE THORACIC MIN 4 VWS
HC XR THORACOLUMBAR 2 VWS
HC XR SPINE LUMBAR 2 OR 3 VW
HC XR SPINE LUMBAR MIN 4 VW
HC ED 16020-TREATMENT OF BURN
HC XR SPINE LUMBAR COMP INC BENDING MIN 6 VW
HC XR SPINE LUMBAR INC BENDING ONLY 2/3 VWS
HC MR SPINE CERVICAL WO CONTRAST
HC MR SPINE CERVICAL W CONTRAST
HC MR SPINE THORACIC WO CONTRAST
HC MR SPINE THORACIC W CONTRAST
HC MR SPINE LUMBAR WO CONTRAST
HC MR SPINE LUMBAR W CONTRAST
HC MR SPINE CERVICAL W WO CONTRAST
HC MR SPINE THORACIC W WO CONTRAST
HC ED 20520-REMOVAL OF FOREIGN BODY
HC MR SPINE LUMBAR W WO CONTRAST
HC XR PELVIS 1 OR 2 VWS
HC XR PELVIS COMP MIN 3 VWS
HC MR PELVIS WO CONTRAST
HC MR PELVIS W WO CONTRAST
HC XR SACROILIAC JOINTS < 3 VWS
HC XR SACROILIAC JOINTS 3+ VWS
HC XR SACRUM/COCYX MIN 2 VWS
HC XR CLAVICLE COMPLETE
HC XR SCAPULA 2 VWS
HC ED 20605-DRAIN INJECT JOINT BURSA
HC XR SHOULDER 1 VW
HC XR SHOULDER MIN 2 VWS
HC XR ACOMIOCLAVICULAR JOINT BILATERAL W WO WEIGHT
HC XR HUMERUS 1 VIEW
HC XR HUMERUS 2 VWS
HC XR ELBOW 1 VIEW
HC XR ELBOW 2 VWS
HC XR ELBOW 3 VWS
HC XR FOREARM 2 VWS
HC XR UPPER EXTREMITY INFANT 2V
HC ED 20610-DRAIN INJECT JOINT BURSA
HC XR WRIST 2 VWS
HC XR WRIST MIN 3 VWS
HC XR HAND 1 VIEW
HC XR HAND 2 VWS
HC XR HAND MIN 3 VWS
HC XR FINGERS MIN 2 VWS
HC MR UPPER EXTREM WO CONTRAST
HC MR UPPER EXTREM W WO CONTRAST
HC MR UPPER EXTREM JT WO CONTRAST
HC XR KNEE 1 OR 2 VWS
HC ED 21480-RESET DISLOCATED JAW
HC XR KNEE 3 VWS
HC XR KNEE 4+ VWS
HC XR LEG 2 VWS
HC XR LOWER EXTREMITY INFANT MIN 2V
HC XR ANKLE 2 VWS
HC XR ANKLE MIN 3 VWS
HC XR FOOT 2 VWS
HC XR FOOT MIN 3 VWS
HC XR HEEL/CALCANEUS MIN 2 VWS
HC XR TOES MIN 2 VWS
HC ED 23650-TREAT SHOULDER DISLOCATION
HC MR LOWER EXTREM WO CONTRAST
HC MR LOWER EXTREM W WO CONTRAST
HC MR LOWER EXTREM JOINT WO CONTRAST
HC MR LOWER EXTREM JT W WO CONTRAST
HC XR ABDOMEN ACUTE
HC MR ABDOMEN WO CONTRAST
HC MR ABDOMEN W CONTRAST
HC MR ABDOMEN W WO CONTRAST
HC XR IVP W WO TOMOGRAPHY
HC MR MRA ABDOMEN W CONTRAST
HC ED 23675-TREAT DISLOCATION FRACTURE
HC MR MRA PELVIS W CONTRAST
HC MR MRA PELVIS WO CONTRAST
HC MR MRA PELVIS W WO CONTRAST
HC NM GI BLEED SCAN
HC CT HEAD WO CONTRAST
HC CT HEAD W CONTRAST
HC CT HEAD W WO CONTRAST
HC CT TEMP,ORBIT,SELLA,IAC AX & COR W/O CNTRST A
HC CT MAXILLOFACIAL AX+COR WO CONTRAST
HC CT FACIAL MAXILLARY SINUS W CONTRAST
HC ED 24200-REMOVAL OF ARM FOREIGN BODY
HC CT FACIAL MAXILLARY SINUS W WO CONTRAST
HC CT SOFT TISSUE NECK WO CONTRAST
HC CT SOFT TISSUE NECK W CONTRAST
HC CT SOFT TISSUE NECK W WO CONTRAST
HC CT CTA HEAD W WO CONTRAST
HC CT CTA NECK W WO CONTRAST
HC CT CHEST WO CONTRAST
HC CT CHEST W CONTRAST
HC CT CHEST W WO CONTRAST
HC CT CTA CHEST W WO CONTRAST NONCORNARY
HC ED 24600-TREAT ELBOW DISLOCATION
HC SPLINT RESTING HAND SMALL LEFT
HC CT SPINE CERVICAL WO CONTRAST
HC CT SPINE CERVICAL W CONTRAST
HC CT SPINE THORACIC WO CONTRAST
HC CT SPINE LUMBAR WO CONTRAST
HC CT PELVIS WO CONTRAST
HC CT PELVIS W CONTRAST
HC CT PELVIS W WO CONTRAST
HC CT ABDOMEN WO CONTRAST
HC CT ABDOMEN W CONTRAST
HC CT ABDOMEN W WO CONTRAST
HC ED 24640-TREAT ELBOW DISLOCATION
HC CT CTA ABDOMEN/PELVIS W WO CONTRAST
HC CT ABD AND PELVIS WO CONTRAST
HC CT ABD AND PELVIS W CONTRAST
HC CT ABD AND PELVIS W WO CONTRAST
HC CT CTA ABD AORTA/LOWER EXTERMITY BILATERAL RUNOFF
HC CT SACRUM WO CONTRAST
HC CT UPPER EXTREMITY WO CONTRAST
HC CT UPPER EXTREMITY W CONTRAST
HC CT LOWER EXTREMITY WO CONTRAST
HC CT LOWER EXTREMITY W CONTRAST
HC ED 25565-TREAT FRACT RADIUS ULNA
HC CT LOWER EXTREMITY W WO CONTRAST
HC US NEONATAL HEAD SONOGRAM
HC US THYROID/NECK/SOFT TISSUE HEAD
HC US CHEST/MEDIASTINUM
HC US ABDOMINAL SCAN
HC US SOFT TISSUE LOWER BACK
HC US SOFT TISSUE ABDOMINAL WALL
HC US ABDOMINAL SCAN LIMITED
HC US RETROPERITONEAL ORG
HC US RETROPERITONEAL LIMITED
HC ED 26010-DRAINAGE OF FINGER ABSCESS
HC US 1ST TRIMESTER SINGLE GESTATION<14WK
HC US 1ST TRIMESTER ADDITIONAL GESTATION <14WK
HC US OB PREGNANT SINGLE >OR=14WK
HC US OB TRANSVAGINAL
HC US TRANSVAGINAL NON OB
HC US PELVIC SCAN NON OB
HC US BLADDER SCAN LIMITED FOLLOW UP
HC US PELVIS NON OB LIMITED
HC US TESTICULAR SCAN
HC US SOFT TISSUE AXILLA AREA
HC ED 26700-TREAT KNUCKLE DISLOCATION
HC US SOFT TISSUE GROIN AREA
HC US LIMITED JOINT W IMAGE(OTHER SOFT TISSUE/SOFT TISSUE MASS
HC US CAROTID ARTERY DOPPLER BILATERAL
HC US ARTERIAL EXTREMITY 1-2 LEVELS BILATERAL
HC US ARTERIAL EXTREMITY 3+ LEVELS BILATERAL
HC US DUPLEX SCAN LOWER EXTREMITY ARTERIES BILATERAL
HC US DUPLEX SCAN UPPER EXTREMITY ARTERIES BILATERAL
HC US VENOUS DOPPLER EXTREMITY BILATERAL
HC US ABDOMINAL DOPPLER
HC US ABDOMINAL DOPPLER LIMITED
HC ED 26770-TREAT FINGER DISLOCATION
HC US DUPLEX SCAN LOWER EXTREMITY ARTERIES UNILATERAL/LIMITED
HC US DUPLEX SCAN UPPER EXTREMITY ARTERIES UNILATERAL/LIMITED
HC US VENOUS DOPPLER EXTREMITY UNILATERAL/LIMITED
PRIVATE ROOM ACUTE CARE
HC SWING BED PRIVATE RC 110
HC TELEMETRY BED PRIVATE RC 110
HC MED/SURG BED SEMIPRIVATE RC 120
HC DIRECT ADMIT OBSERVATION
HC INTUBATION EMERGENCY
HC NASOTRACHEAL CATH ASPIRATION MD REQ
HC ED 27508-TREATMENT OF THIGH FRACTURE
HC SP INSERT TUNNELED CV CATH WO PORT/PUMP <5YR
HC INSERT TUNNELED CV CATH WO PORT/PUMP 5YR+
HC INSERT PICC LINE WO PORT <5YR W/O IMAGE
HC INSERT PICC LINE WO PORT 5YR+
HC NASO OR ORO GASTRIC PLACEMENT W FLUORO
HC SP EVALUATION GASTRO/JEJUN TUBE W CONTRAST
HC VENT THERAPY 1ST DAY
HC SPIROMETRY WO BD
HC SPIROMETRY WITH BD
HC INHAL TRMT AEROSOL/IPPB/MDI/SPUTUM INDUC
HC ED 27550-TREAT KNEE DISLOCATION
HC CONT AEROSOL TX 1ST HR
HC BIPAP OR CPAP CONTINUOUS
HC CHEST WALL MANIP INITIAL
HC CHEST WALL MANIP SUBSEQUENT
HC O2 SAT SINGLE
HC O2 SAT MULTIPLE
HC O2 SAT CONT OVERNITE MON
HC LOW FLOW OXYGEN
HC OXYGEN DAILY
HC SURGICEL HEMOSTAT 4 X 8 1952
HC ED 27560-TREAT KNEECAP DISLOCATION
HC COLLAR PHLADELPHIA PED/INFANT 1023-00
HC IMMOBILIZER KNEE SMALL
HC IMMOBILIZER KNEE 18-20 LARGE
HC IMMOBILIZER KNEE XLG 20 INCHES
HC IMMOBILIZER KNEE X-LARGE 7008-04
HC SPLINT POSTERIOR TIBIA/FIBULA MEDIUM
HC SPLINT POSTERIOR TIBIA/FIBULA LARGE
HC BOOT SAMSON SMALL
HC BOOT SAMSON MEDIUM
HC BOOT SAMSON LARGE
HC ED 28190-REMOVAL OF FOOT FOREIGN BOD
HC BAG AMBU 1ST RESPONSE ADULT
HC AMBU BAG PEDIATRIC 5367
COLLAR CERV ASPEN ADULT REGU
HC IMMOBILIZER SHOULDER MED 36""
HC OT APPLY LONG ARM SPLINT
HC OT APPLY SHORT ARM SPLINT STATIC
HC OT APPLY SHORT ARM SPLINT DYNAMIC
HC OT APPLY FINGER SPLINT STATIC
HC OT APPLY FINGER SPLINT DYNAMIC
HC PT APPLICATION UNNA BOOT
HC ED 28515-TREATMENT OF TOE FRACTURE
HC SPLINT RESTING HAND LARGE RT
HC PT APPLY MULTILAYER COMPRESS LEG
HC ST SPEECH INDIVIDUAL TREATMENT
HC ST LARYNGEAL FUNCTION
HC ST SWALLOW TREATMENT
HC ST EVAL FIT VOICE PROSTHETIC DEVICE
HC EVAL SPEECH-GEN DEVICE 1ST HR
HC EVAL SPEECH-GEN DEVICE EACH ADDT'L 30 MIN
HC THERAPEUTIC USE - SPCH/GEN DEVIC PROG/MED
HC ST SWALLOWING FUNCTION EVAL
HC ST MODIFIED BARIUM SWALLOW EVAL
HC ED 28630-TREAT TOE DISLOCATION
HC PT TRACTION MECHANICAL
HC VASOPNEUMATIC TX
HC PARAFFIN BATH
HC PT WHIRLPOOL I
HC PT FLUIDOTHERAPY
HC PT WHIRLPOOL II
HC PT ELECTRICAL STIM MANUAL EA 15 MIN
HC PT IONTOPHORESIS EA 15 MIN
HC PT CONTRAST BATH EA 15 MIN
HC PT ULTRASOUND EA 15 MIN
HC ED 28660-TREAT TOE DISLOCATION
HC PT EXERCISE I EA 15 MIN
HC PT EXERCISE II EA 15 MIN
HC PT MUSCLE RE-EDUCATION BALANCE TRAIN I EA 15 MIN
HC PT MUSCLE RE-EDUCATION BALANCE TRAIN II EA 15 MIN
HC PT AQUATIC THERAPY W EXERCISE I EA 15 MIN
HC PT GAIT TRAINING I EA 15 MIN
HC PT GAIT TRAINING II EA 15 MIN
HC PT MASSAGE EA 15 MIN
HC PT MANUAL THERAPY TECHNIQUES EA 15 MIN
HC PT THERAPEUTIC PROCEDURES GROUP
HC ED 29105-APPLY LONG ARM SPLINT
HC PT THERAPEUTIC ACTIVITIES I EA 15 MIN
HC PT THERAPEUTIC ACTIVITIES II EA 15 MIN
HC OT SENSORY INTEGRATIVE TECHNIQUES EA 15 MIN
HC PT ADL FUNCT ACTIVITY I EA 15 MIN
HC PT COMMUNITY RE-ENTRY EA 15 MIN
HC PT WHEELCHAIR MANAGEMENT/PROPULSION TR EA 15 MIN
HC PT WORK HARDENING/CONDITIONING INITIAL 2 HOURS
HC PT PHYSICAL PERFORMANCE TEST EA 15 MIN
HC PT ORTHOTIC MANAGEMENT/TRAINING I EA 15 MIN
HC PT PROSTHETIC TRAINING EA 15 MIN
HC ED 29125-APPLY FOREARM SPLINT
HC PT ELECTRICAL STIMULATION UNATTENDED
HC ED 90471-IMMUNIZATION ADMINISTRATION
HC 90471-IMMUNIZATION ADMINISTRATION
HC G0008-ADMIN INFLUENZA VAC
HC G0009-ADMIN PNEUMOCOCCAL VAC
HC 36592-COLLECT BLD CVC OR PICC
HC ARTERIAL PUNCTURE
HC 96372-INJECTION IM OR SQ
HC 96523 IRRIGATE IMPLANTED VAD
HC 99195-THERAPEUTIC PHLEBOTOMY
HC ED 29130-APPLY FINGER SPLINT
HC EST PT OP VISIT LEVEL ONE
HC MNT INDIVIDUAL RE-EVAL 1/4 HR
HC DIET EDUCATION PER 1/4 HR
HC OT VASOPNEUMATIC TX
HC OT PARAFFIN BATH
HC OT FLUIDOTHERAPY
HC OT ELECTRICAL STIM MANUAL EA 15 MIN
HC OT IONTOPHORESIS EA 15 MIN
HC OT CONTRAST BATH EA 15 MIN
HC OT ULTRASOUND EA 15 MIN
HC ED 29240-STRAPPING OF SHOULDER
HC OT EXERCISE I EA 15 MIN
HC OT EXERCISE II EA 15 MIN
HC OT MUSCLE RE-EDUCATION BALANCE TRAIN I EA 15 MIN
HC OT MASSAGE EA 15 MIN
HC OT MANUAL THERAPY TECHNIQUES EA 15 MIN
HC OT THERAPEUTIC PROCEDURES GROUP
HC OT THERAPEUTIC ACTIVITIES I EA 15 MIN
HC OT THERAPEUTIC ACTIVITIES II EA 15 MIN
HC OT ADL FUNCT ACTIVITY I EA 15 MIN
HC OT ADL FUNCT ACTIVITY II EA 15 MIN
HC ED 29280-STRAPPING OF HAND OR FINGER
HC OT COMMUNITY RE-ENTRY EA 15 MIN
HC OT WHEELCHAIR MANAGEMENT/PROPULSION TR EA 15 MIN
HC OT WORK HARDENING/CONDITIONING INITIAL 2 HOURS
HC OT WORK HARDENING/CONDITIONING EA ADDL HOUR
HC OT PHYSICAL PERFORMANCE TEST EA 15 MIN
HC OT ORTHOTIC MANAGEMENT/TRAINING I EA 15 MIN
HC OT ORTHOTIC MANAGEMENT/TRAINING II EA 15 MIN
HC OT PROSTHETIC TRAINING EA 15 MIN
HC OT ELECTRICAL STIMULATION UNATTENDED
HC ST DEVELOPMENTAL SCREENING
HC ED 29505-APPLY LONG LEG SPLINT
GENERAL HEALTH PANEL
GLUCOSE REAGENT STICK BLOOD
GLUCOSE BLOOD BY HOME DEVICE
BLOOD COUNT AUTO DIFF WBC
RETICULOCYTE COUNT MANUAL
ANTI NUCLEAR AB TITER
ANTISTREPTOLYSIN O SCREEN
IMMUNOELECTROPHORESIS SERUM
IMMUNOELECTROPHORESIS OTHER FLUID
RSV ANTIGEN EIA
HC ED 29515-APPLY SHORT LEG SPLINT
HC ST SWALLOW CURRENT STATUS
HC ST SWALLOW GOAL STATUS
HC ST SWALLOW D/C STATUS
HC ST MOTOR SPEECH CURRENT STATUS
HC PF 99292-ED CRITICAL CARE ADDL 30 MINS
HC PF 99218-INITIAL OBS LEVEL ONE
HC PF 99219-INITIAL OBS LEVEL TWO
HC PF 99220-INITIAL OBS LEVEL THREE
HC PF 99221-INITIAL HOSPITAL LEVEL ONE
HC PF 99222-INITIAL HOSPITAL LEVEL TWO
HC ED 29530-STRAPPING OF KNEE
HC SPLINT RESTING HAND MED RT
HC PF 99223-INITIAL HOSPITAL LEVEL THREE
HC PF 99224-SUBSEQUENT OBS LEVEL ONE
HC PF 99225-SUBSEQUENT OBS LEVEL TWO
HC PF 99226-SUBSEQUENT OBS LEVEL THREE
HC PF 99231-SUBSEQUENT HOSPITAL LEVEL ONE
HC PF 99232-SUBSEQUENT HOSPITAL LEVEL TWO
HC PF 99233-SUBSEQUENT HOSPITAL LEVEL THREE
HC PF 99234-OBS/HOSP ADMIT/DC SAME DATE LEVEL ONE
HC PF 99235-OBS/HOSP ADMIT/DC SAME DATE LEVEL TWO
HC PF 99236-OBS/HOSP ADMIT/DC SAME DATE LEVEL THREE
HC ED 29540-STRAPPING OF ANKLE
HC PF 99238-HOSPITAL DC 30 MIN OR LESS
HUNTINGTON DISEASE
CALPROTECTIN FECAL
COMPLEMENT ACTIVITY AH50
H PYLORI IGA
MUMPS IGM AB
MRSA AMP PROBE
HC ED 11732-REMOVAL OF NAIL PLATE EA ADDL
HC ED 26600-TREAT METACARPAL FRACTURE
HC ED 26670-TREAT HAND DISLOCATION
HC ED 29550-STRAPPING OF TOES
HC ED 29365 - APPLY LONG LEG CAST
HC ED 32554-THORACENTESIS WO IMAGING
HC ED 32556-INSERT CATH PLEURAL WO IMAGING
HC ED 42809-REMOVE PHARYNX FOREIGN BODY
INFECTIOUS AGENT PCR EACH
HC CT UPPER EXTREM W/WO
HC ED 23500-TREAT CLAVICLE FRACTURE
HC RBC WASHED
MOLEC CYTO INTER 100-300 CELL 4
DRUG SCREEN QUANTITATIVE GABAPENTIN
HC ED 30300-REMOVE NASAL FOREIGN BODY
DRUG SCREEN QUANTITATIVE LAMOTRIGINE
DRUG SCREEN QUANTITATIVE LEVETIRACETAM
DRUG SCREEN QUANTITATIVE MYCOPHENOLATE
DRUG SCREEN QUANTITATIVE OXCARBAZEPINE
DRUG SCREEN QUANTITATIVE ZONISAMIDE
HC EVALUATION OF SPEECH FLUENCY (STUTTER CLUTTER)
HC EVALUATION OF SPEECH SOUND PRODUCTION ARTICULATE
HC EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION
HC BEHAVIORAL & QUALIT ANALYSIS VOICE AND RESONANCE
NOROVIRUS PCR STOOL
HC ED 30901-CONTROL OF NOSEBLEED
HC MECH CHEST WALL OSCILLATION
HC ED 29799 - IMMOBILIZATION KNEE
HC ED 36680- NEEDLEPLACE FOR IO INFUSIO
HLA B27
CALCIUM URINE 24 HR
HC XR SKULL 1 V
SODIUM URINE 24HR
CHLORIDE URINE 24HR
PROTEIN URINE 24 HR
POLIOVIRUS 1,2,3 ANTIBODY (IMMUNE STATUS)
HC ED 30905-CONTROL OF NOSEBLEED
HC ED 51701-INSERT NON DWELL BLAD CATH
HC ED 10140-DRAINAGE OF HEMATOMA/FLUID
HC OT SCHOOL INDIVIDUAL TREATMENT
HC CONTRACT CHAIN OF CUSTODY COLLECTION
RED BLOOD CELL COUNT
HC ED 92960-CARDIOVERSION ELECTIVE
INFLUENZA A&B EXPERT
INFLUENZA H1N1 XPERT
88360-SP MORPH ANLYS TUMOR MAN
CHLORINATED HYDROCARBONS SCRN
HC ED 31500-INSERT EMERGENCY AIRWAY
AGENT NOS ASSAY W/OPTIC
DIPHTHERIA ANTIBODY
ESTROGEN TOTAL SERUM
CYTOGENETICS 25-99
POOLING BLOOD PLATELETS
HC OT MUSCLE RE-EDUCATION BALANCE TRAIN II EA 15 MIN
HC ED 55100-DRAINAGE OF SCROTUM ABSCESS
EXTRACTABLE NUCLEAR ANTIGEN, AB TO, EACH
AMPHETAMINES 3 OR 4
AMPHETAMINES 5 OR MORE
HC ED 32551-INSERTION OF CHEST TUBE
ANTIDEPRESSANT TRICYCLIC 1/2
HC PT APPLY MULTILAYER COMPRESS ARMS HNDS FNGRS
HC BREAST US INCL AXILA UNILAT COMPLETE
HC BREAST US INCLUDE AXILLA UNILAT LMTD
HC ED Q3014-TELEHEALTH SERVICES
HC 26951 AMP FNGR/THB/JNT W CLS
HIV 1
HIV 2
HIV ANTIGENS W/HIV 1 & 2 AB
HC TELEHEALTH SERVICES
HC ED 36569-INSERT PIC WO PORT PUMP
HC ED 59409 - VAGINAL DELIVERY
CYTOGENETICS-2 25-99
PROTEIN 1433ETA
HC SPLINT FOREARM PLASTER ADLT RIGHT
CANNABINOID CONFIRM MCANN
AMPHETAMINES 1 OR 2
PHENCYCLIDINE CONFIRM PCP
PORPHOBILINOGEN URINE RANDOM QUANT
TISSUE TRANSGLUTAMINASE IGG
IGF BINDING PROTEIN I
HC ED 40830-REPAIR MOUTH LACERATION
IMMUNOFLUORESCENT STUDY EA ADDL
HC SPNE ENIRE THOR & LUMB (SCOLIOSIS EVAL) 4/5 VWS
HC HIP W/PELVIS UNILAT 2-3 VWS
HC HIPS BILAT W/ PELVIS 2 VWS
HC HIPS BILAT WITH PELVIS (IF PERFORMED) 3-4 VWS
HC FEMUR 1 VIEW
HC FEMUR MIN 2 VWS
HC HIP W/PELVIS UNILAT 1 VIEW
ANALGESICS,NON-OPIOID 1 OR 2
BENZODIAZEPINES 1-12
HC ED 41250-REPAIR TONGUE LACERATION
HC SPLINT RESTING HAND SMALL RT
Default Rev Code
LABORATORY - GENERAL CLASSIFICATION [0300]
OTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942]
ROOM & BOARD - PRIVATE (MEDICAL OR GENERAL) - GENERAL CLASSIFICATION [0110]
PROFESSIONAL FEES - EMERGENCY ROOM [0981]
EMERGENCY ROOM - GENERAL CLASSIFICATION [0450]
MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]
PROFESSIONAL FEES - HOSPITAL VISIT [0987]
OPERATING ROOM SERVICES - MINOR SURGERY [0361]
IV THERAPY - GENERAL CLASSIFICATION [0260]
ANESTHESIA - GENERAL CLASSIFICATION [0370]
OTHER IMAGING SERVICES - ULTRASOUND [0402]
PHYSICAL THERAPY - EVALUATION OR RE-EVALUATION [0424]
OCCUPATIONAL THERAPY - EVALUATION OR REEVALUATION [0434]
SPEECH THERAPY - LANGUAGE PATHOLOGY - EVALUATION OR REEVALUATION [0444]
MEDICAL SURGICAL SUPPLIES - EXTENSION OF 027X - SUPPLIES INCIDENT TO RADIOLOGY [0621]
MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]
OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]
RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]
PULMONARY FUNCTION - GENERAL CLASSIFICATION [0460]
LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]
SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - OBSERVATION ROOM (A) [0762]
SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]
ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CL
LABORATORY - IMMUNOLOGY [0302]
ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - ADMINISTRAT
AMBULANCE - GENERAL CLASSIFICATION [0540]
EKG/ECG (ELECTROCARDIOGRAM) - GENERAL CLASSIFICATION [0730]
EKG/ECG (ELECTROCARDIOGRAM) - GENERAL CLASSIFICATION [0730]
EKG/ECG (ELECTROCARDIOGRAM) - HOLTER MONITOR [0731]
EKG/ECG (ELECTROCARDIOGRAM) - HOLTER MONITOR [0731]
CARDIOLOGY - ECHOCARDIOLOGY [0483]
CARDIOLOGY - ECHOCARDIOLOGY [0483]
CARDIOLOGY - GENERAL CLASSIFICATION [0480]
CARDIOLOGY - GENERAL CLASSIFICATION [0480]
EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740]
EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740]
PROFESSIONAL FEES - EKG [0985]
MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]
NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]
CT SCAN - HEAD SCAN [0351]
CT SCAN - BODY SCAN [0352]
OTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921]
ROOM & BOARD - SEMI-PRIVATE TWO BED (MEDICAL OR GENERAL) - GENERAL CLASSIFICATION [0120]
RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410]
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]
MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]
MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]
PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]
PREVENTIVE CARE SERVICES - VACCINE ADMINISTRATION [0771]
OTHER THERAPEUTIC SERVICES - GENERAL CLASSIFICATION [0940]
PATIENT CONVENIENCE ITEMS - OTHER PATIENT CONVENIENCE ITEMS [0999]
TELEMEDICINE - GENERAL CLASSIFICATION [0780]
TELEMEDICINE - GENERAL CLASSIFICATION [0780]
CPT(R)/HCPCS Code Default Mod Fee Schedule Unit Price
80361 CALHOUN PRIMARY FSC 264
CALHOUN PRIMARY FSC 570
10060 AQ CALHOUN PRIMARY FSC 209
59409 AQ CALHOUN PRIMARY FSC 1,975.00
21315 CALHOUN PRIMARY FSC 2,136.00
97162 GP CALHOUN PRIMARY FSC 172
97165 GO CALHOUN PRIMARY FSC 174
Q4174 CALHOUN PRIMARY FSC 2,075.00
G0378 CALHOUN PRIMARY FSC 0.28
P9099 CALHOUN PRIMARY FSC 208
U0001 CALHOUN PRIMARY FSC 108
G0103 CALHOUN PRIMARY FSC 79
P9021 CALHOUN PRIMARY FSC 1,969.00
A0425 CALHOUN PRIMARY FSC 15
A0433 CALHOUN PRIMARY FSC 1,012.00
A0434 CALHOUN PRIMARY FSC 1,114.00
73060 52 CALHOUN PRIMARY FSC 200
C8900 CALHOUN PRIMARY FSC 2,244.00
ATION [0120] CALHOUN PRIMARY FSC 368
92507 GN CALHOUN PRIMARY FSC 172
G0283 GP CALHOUN PRIMARY FSC 38
G0283 GO CALHOUN PRIMARY FSC 38
G0451 GN CALHOUN PRIMARY FSC 74
G8996 GN CALHOUN PRIMARY FSC 0.01
92522 GN CALHOUN PRIMARY FSC 0.01
Q3014 CALHOUN PRIMARY FSC 52
Q3014 CALHOUN PRIMARY FSC 57
Location Px Code Medication ID
CAL BMH-Calhoun Hospital 2500000001 10372
Generic Name
labetaloL 5 mg/mL intravenous solution
norepinephrine bitartrate 1 mg/mL intravenous solution
racepinephrine 2.25 % solution for nebulization
racepinephrine 2.25 % solution for nebulization
tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution
sodium bicarbonate 1 mEq/mL (8.4 %) intravenous solution
dextrose 50 % in water (D50W) intravenous syringe
dextrose 50 % in water (D50W) intravenous syringe
acetylcysteine 200 mg/mL (20 %) solution
lidocaine (PF) 20 mg/mL (2 %) intravenous solution
famotidine (PF) 20 mg/2 mL intravenous solution
famotidine (PF) 20 mg/2 mL intravenous solution
ipratropium bromide 0.02 % solution for inhalation
ipratropium bromide 0.02 % solution for inhalation
calcium chloride 100 mg/mL (10 %) intravenous syringe
nitroglycerin 50 mg/250 mL (200 mcg/mL) in 5 % dextrose intravenous
mvi,adult no.4 with vit K 3300 unit-150 mcg/10 mL intravenous solution
sodium bicarbonate 10 mEq/10 mL (8.4 %) intravenous syringe
mvi, adult no.4, vit K (vial 2 of 2) 600 mcg-60 mcg-5 mcg/5 mL IV soln
etomidate 2 mg/mL intravenous solution
valproate sodium 500 mg/5 mL (100 mg/mL) intravenous solution
tobramycin 300 mg/5 mL in 0.225 % sodium chloride for nebulization
tobramycin 300 mg/5 mL in 0.225 % sodium chloride for nebulization
levalbuteroL 0.63 mg/3 mL solution for nebulization
albuterol sulfate 2.5 mg/3 mL (0.083 %) solution for nebulization
albuterol sulfate 2.5 mg/3 mL (0.083 %) solution for nebulization
albuterol sulfate concentrate 5 mg/mL(0.5 %) solution for nebulization
doxycycline hyclate 100 mg intravenous powder for solution
EPINEPHrine 1 mg/mL injection solution
budesonide 0.25 mg/2 mL suspension for nebulization
esmoloL 2,500 mg/250 mL (10 mg/mL) in sodium chloride (iso-osmotic) IV
albuterol sulfate 1.25 mg/3 mL solution for nebulization
folic acid 5 mg/mL injection solution
flumazeniL 0.1 mg/mL intravenous solution
flumazeniL 0.1 mg/mL intravenous solution
ketamine 50 mg/mL injection solution
ketamine 50 mg/mL injection solution
ammonia aromatic 15 % (w/v) solution for inhalation
lidocaine (PF) 50 mg/5 mL (1 %) intravenous syringe
metoprolol tartrate 5 mg/5 mL intravenous solution
metroNIDAZOLE 500 mg/100 mL-sodium chloride(iso) intravenous piggyback
sodium bicarbonate 8.4 % (1 mEq/mL) intravenous syringe
sodium chloride 0.9 % for nebulization
arformoteroL 15 mcg/2 mL solution for nebulization
clindamycin 150 mg/mL injection solution
tuberculin PPD 5 tub. unit/0.1 mL intradermal injection solution
verapamiL 2.5 mg/mL intravenous solution
verapamiL 2.5 mg/mL intravenous solution
formoterol fumarate 20 mcg/2 mL solution for nebulization
formoterol fumarate 20 mcg/2 mL solution for nebulization
bumetanide 0.25 mg/mL injection solution
ipratropium 0.5 mg-albuteroL 3 mg (2.5 mg base)/3 mL nebulization soln
niCARdipine 40 mg/200 mL in sodium chloride(iso) intravenous piggyback
rocuronium 10 mg/mL intravenous solution
rocuronium 10 mg/mL intravenous solution
clindamycin HCL 300 mg capsule
dilTIAZem 5 mg/mL intravenous solution
enalaprilat 1.25 mg/mL intravenous solution
enalaprilat 1.25 mg/mL intravenous solution
potassium chloride 20 mEq/L in 0.9 % sodium chloride intravenous
sodium chloride 0.9 % intravenous piggyback
dextrose 10 % in water (D10W) intravenous solution
sodium chloride 0.9 % intravenous solution
potassium chloride 20 mEq/L in 0.45 % sodium chloride intravenous soln
potassium chloride 20 mEq/L in 0.45 % sodium chloride intravenous soln
sodium chloride 0.9 % IV
dextrose 5% in water (D5W) IV
dextrose 5% in water (D5W) IV
dextrose 5 % and 0.9 % sodium chloride IV
lactated ringers IV
dextrose 5% and lactated ringers IV
lactated Ringers intravenous solution
mannitoL 20 % intravenous solution
dextrose 5 % and lactated ringers intravenous solution
potassium chloride 20 mEq/L in D5-0.9 % sodium chloride intravenous
potassium chloride 20 mEq/L in D5-0.9 % sodium chloride intravenous
potassium chloride 20 mEq/L in dextrose 5 %-0.45 % sodium chloride IV
dextrose 5 % and 0.2 % sodium chloride intravenous solution
fluconazole 400 mg/200 mL in sod. chloride(iso) intravenous piggyback
gentamicin 80 mg/100 mL in sodium chloride(iso) intravenous piggyback
heparin (porcine) 1,000 unit/mL injection solution
pneumococcal 13-val conj vaccine-dip crm (PF) 0.5 mL IM syringe
pneumococcal 13-val conj vaccine-dip crm (PF) 0.5 mL IM syringe
LORazepam 2 mg/mL injection solution
denosumab 60 mg/mL subcutaneous syringe
enoxaparin 30 mg/0.3 mL subcutaneous syringe
enoxaparin 100 mg/mL subcutaneous syringe
diazePAM 5 mg/mL injection syringe
diazePAM 5 mg/mL injection syringe
ondansetron HCl (PF) 4 mg/2 mL injection solution
ondansetron HCL 2 mg/mL intravenous solution
ondansetron HCL 2 mg/mL intravenous solution
penicillin G benzathine 1,200,000 unit/2 mL intramuscular syringe
penicillin G benzathine 1,200,000 unit/2 mL intramuscular syringe
levoFLOXacin 250 mg/50 mL in 5 % dextrose intravenous piggyback
ciprofloxacin 200 mg/100 mL in 5 % dextrose intravenous piggyback
amikacin 1,000 mg/4 mL injection solution
amikacin 1,000 mg/4 mL injection solution
phytonadione (vitamin K1) 10 mg/mL injection solution
phytonadione (vitamin K1) 10 mg/mL injection solution
pneumococcal 23 polyvalent vaccine 25 mcg/0.5 mL injection solution
pneumococcal 23 polyvalent vaccine 25 mcg/0.5 mL injection solution
potassium chloride 10 mEq/100mL in sterile water intravenous piggyback
potassium chloride 10 mEq/100mL in sterile water intravenous piggyback
prednisoLONE 15 mg/5 mL oral solution
ceFAZolin 2 gram/50 mL in dextrose (iso-osmotic) intravenous piggyback
digoxin 250 mcg/mL (0.25 mg/mL) injection solution
digoxin 250 mcg/mL (0.25 mg/mL) injection solution
rabies immune globulin (PF) 150 unit/mL intramuscular solution
rabies immune globulin (PF) 150 unit/mL intramuscular solution
pneumococcal 23 polyvalent vaccine 25 mcg/0.5 mL injection syringe
pneumococcal 23 polyvalent vaccine 25 mcg/0.5 mL injection syringe
linezolid in 5% dextrose in water 600 mg/300 mL intravenous piggyback
EPINEPHrine HCl (PF) 1 mg/mL (1 mL) injection solution
EPINEPHrine HCl (PF) 1 mg/mL (1 mL) injection solution
hepatitis B virus vaccine recomb (PF) 20 mcg/mL intramuscular susp
hepatitis B virus vaccine recomb (PF) 20 mcg/mL intramuscular susp
magnesium sulfate 2 gram/50 mL (4 %) in water intravenous piggyback
methylPREDNISolone sod succ (PF) 40 mg/mL solution for injection
methylPREDNISolone sod succ (PF) 40 mg/mL solution for injection
methylPREDNISolone sod succ (PF) 125 mg/2 mL solution for injection
methylPREDNISolone sod succ (PF) 125 mg/2 mL solution for injection
hydrocortisone sod succinate (PF) 250 mg/2 mL solution for injection
hydrocortisone sod succinate (PF) 250 mg/2 mL solution for injection
calcium gluconate 100 mg/mL (10 %) intravenous solution
calcium gluconate 100 mg/mL (10 %) intravenous solution
ceFAZolin 1 gram solution for injection
epoetin alfa 20,000 unit/mL injection solution
DOPamine 400 mg/250 mL (1,600 mcg/mL) in 5 % dextrose intravenous soln
lidocaine (PF) 4 mg/mL (0.4 %) in 5 % dextrose intravenous solution
heparin (porcine) 25,000 unit/500 mL in 0.45 % sodium chloride IV soln
tetanus,diphtheria toxoid ped (PF) 5 Lf unit-25 Lf unit/0.5 mL IM susp
tetanus,diphtheria toxoid ped (PF) 5 Lf unit-25 Lf unit/0.5 mL IM susp
magnesium sulfate 1 gram/100 mL in dextrose 5 % intravenous piggyback
cefepime 1 gram solution for injection
diphth,pertussis(acel),tetanus 2.5 Lf unit-8 mcg-5 Lf/0.5mL IM syringe
diphth,pertussis(acel),tetanus 2.5 Lf unit-8 mcg-5 Lf/0.5mL IM syringe
diphth,pertussis(acell),tetanus 2.5 Lf unit-8 mcg-5 Lf/0.5 mL IM susp
diphth,pertussis(acell),tetanus 2.5 Lf unit-8 mcg-5 Lf/0.5 mL IM susp
ferric carboxymaltose 50 mg iron/mL intravenous solution
midazolam (PF) 1 mg/mL injection solution
albiglutide 50 mg/0.5 mL subcutaneous pen injector
albiglutide 50 mg/0.5 mL subcutaneous pen injector
meropenem 500 mg intravenous solution
meropenem 1 gram intravenous solution
procainamide 100 mg/mL intravenous syringe
piperacillin-tazobactam 4.5 gram intravenous solution
flu vaccine qs 2019-20(6mos up)(PF) 60 mcg(15 mcgx4)/0.5 mL IM syringe
flu vaccine qs 2019-20(6mos up)(PF) 60 mcg(15 mcgx4)/0.5 mL IM syringe
flu vaccine ts2019-20(65yr up)(PF)180 mcg/0.5 mL intramuscular syringe
flu vaccine ts2019-20(65yr up)(PF)180 mcg/0.5 mL intramuscular syringe
flu vaccine qs 2018-19(6 mos up)(PF)60 mcg(15 mcgx4)/0.5 mL IM syringe
cyanocobalamin (vit B-12) 1,000 mcg/mL injection solution
azithromycin 500 mg intravenous solution
rabies vaccine, purified chicken embryo cell (PF) 2.5 unit IM susp
rabies vaccine, purified chicken embryo cell (PF) 2.5 unit IM susp
ketorolac 30 mg/mL (1 mL) injection solution
eptifibatide 0.75 mg/mL intravenous solution
eptifibatide 2 mg/mL intravenous solution
dexAMETHasone sodium phosphate 4 mg/mL injection solution
dimenhyDRINATE 50 mg/mL injection solution
diphenhydrAMINE 50 mg/mL injection solution
pantoprazole 40 mg intravenous solution
ondansetron 4 mg disintegrating tablet
EPINEPHrine 0.1 mg/mL injection syringe
tenecteplase 50 mg intravenous kit
iron sucrose 100 mg iron/5 mL intravenous solution
prednisoLONE sodium phosphate 15 mg/5 mL (3 mg/mL) oral solution
estradiol valerate 20 mg/mL intramuscular oil
crotalidae polyval immune fab solution for injection
crotalidae polyval immune fab solution for injection
propranoloL 1 mg/mL intravenous solution
morphine (PF) 0.5 mg/mL injection solution
digoxin immune fab 40 mg intravenous solution
ertapenem 1 gram solution for injection
ampicillin-sulbactam 1.5 gram solution for injection
ampicillin-sulbactam 3 gram solution for injection
furosemide 10 mg/mL injection solution
gentamicin 40 mg/mL injection solution
gentamicin 40 mg/mL injection solution
haloperidol lactate 5 mg/mL injection solution
hydrALAZINE 20 mg/mL injection solution
DAPTOmycin 500 mg intravenous solution
acetylcysteine 200 mg/mL (20 %) intravenous solution
adenosine 3 mg/mL intravenous solution
tobramycin 40 mg/mL injection solution
tobramycin 40 mg/mL injection solution
alteplase 100 mg intravenous solution
glucagon (human recombinant) 1 mg injection kit,glucagon (human recombinant) 1 mg solution for in

morphine 2 mg/mL injection syringe,morphine 2 mg/mL intravenous cartridge,morphine 2 mg/mL IV s
morphine 4 mg/mL intravenous cartridge,morphine 4 mg/mL injection syringe,morphine 4 mg/mL i
midazolam 1 mg/mL injection solution
midazolam 1 mg/mL injection solution
lincomycin 300 mg/mL injection solution
ampicillin 1 gram solution for injection
magnesium sulfate 4 mEq/mL (50 %) injection solution
magnesium sulfate 4 mEq/mL (50 %) injection solution
meperidine (PF) 25 mg/mL injection solution
methylPREDNISolone acetate 40 mg/mL suspension for injection
metoclopramide 5 mg/mL injection solution
metoclopramide 5 mg/mL injection solution
naloxone 0.4 mg/mL injection solution
naloxone 1 mg/mL injection syringe
orphenadrine citrate 30 mg/mL injection solution
oxytocin 10 unit/mL injection solution
phenytoin sodium 50 mg/mL intravenous solution
potassium chloride 2 mEq/mL intravenous solution
potassium chloride 2 mEq/mL intravenous solution
procainamide 100 mg/mL injection solution
prochlorperazine Edisylate 10 mg/2 mL (5 mg/mL) injection solution
promethazine 25 mg/mL injection solution
promethazine 25 mg/mL injection solution
protamine 10 mg/mL intravenous solution
protamine 10 mg/mL intravenous solution
atropine 0.1 mg/mL injection syringe
atropine 0.1 mg/mL injection syringe
sodium chloride 3 % intravenous injection solution
sodium chloride 3 % intravenous injection solution
succinylcholine chloride 20 mg/mL injection solution
levETIRAcetam 500 mg/5 mL intravenous solution
thiamine HCl (vitamin B1) 100 mg/mL injection solution
thiamine HCl (vitamin B1) 100 mg/mL injection solution
triamcinolone acetonide 40 mg/mL suspension for injection
triamcinolone acetonide 40 mg/mL suspension for injection
zoledronic acid 5 mg/100 mL in mannitoL 5 %-water intravenous piggybck
zoledronic acid 5 mg/100 mL in mannitoL 5 %-water intravenous piggybck
vancomycin 1,000 mg intravenous injection
vancomycin 500 mg intravenous solution
fosphenytoin 500 mg PE/10 mL injection solution
adenosine 3 mg/mL intravenous syringe
adenosine 3 mg/mL intravenous syringe
ketorolac 60 mg/2 mL intramuscular solution
aztreonam 1 gram solution for injection
aztreonam 1 gram solution for injection
amiodarone 50 mg/mL intravenous solution
cefTAZidime 1 gram solution for injection
cefTAZidime 1 gram solution for injection
cefTRIAXone 1 gram solution for injection
cefTRIAXone 250 mg solution for injection
cefTRIAXone 1 gram/50 mL in dextrose (iso-osmot) intravenous piggyback
imipenem-cilastatin 500 mg intravenous solution
famotidine 20 mg tablet
finasteride 5 mg tablet
fluconazole 100 mg tablet
fludrocortisone 0.1 mg tablet
diclofenac 1 % topical gel
FLUoxetine 10 mg capsule
fluvoxaMINE 100 mg tablet
acetaminophen 325 mg tablet
glipiZIDE 5 mg tablet
glipiZIDE 5 mg tablet
glycopyrrolate 1 mg tablet
glycopyrrolate 1 mg tablet
hydroxychloroquine 200 mg tablet
ibuprofen 100 mg/5 mL oral suspension
betamethasone dipropionate 0.05 % topical cream
betamethasone dipropionate 0.05 % topical cream
insulin NPH isophane U-100 human 100 unit/mL subcutaneous suspension
insulin human U-100 NPH-regulr 70-30 mix 100 unit/mL subcutaneous susp
insulin human U-100 NPH-regulr 70-30 mix 100 unit/mL subcutaneous susp
insulin U-100 regular human 100 unit/mL injection solution
acetaminophen 120 mg rectal suppository
betamethasone valerate 0.1 % topical cream
isosorbide mononitrate 10 mg tablet
isosorbide mononitrate 20 mg tablet
itraconazole 100 mg capsule
ketoconazole 2 % topical cream
ketorolac 10 mg tablet
ketorolac 10 mg tablet
ammonium lactate 12 % lotion
Lactobacillus acidophilus, bulgaricus 100 million cell granules packet
tamsulosin 0.4 mg capsule
levothyroxine 88 mcg tablet
bethanechol chloride 10 mg tablet
lisinopriL 10 mg tablet
rifAXIMin 550 mg tablet
loratadine 10 mg tablet
lovastatin 10 mg tablet
magnesium oxide 400 mg (241.3 mg magnesium) tablet
lactulose 20 gram/30 mL oral solution
megestroL 400 mg/10 mL (40 mg/mL) oral suspension
metFORMIN 500 mg tablet
methIMAzole 5 mg tablet
mometasone-formoterol HFA 100 mcg-5 mcg/actuation aerosol inhaler
mometasone-formoterol HFA 200 mcg-5 mcg/actuation aerosol inhaler
metOLazone 2.5 mg tablet
olmesartan 40 mg-amLODIPine 5 mg-hydrochlorothiazide 25 mg tablet
methenamine 81.6 mg-sod phos 40.8 mg-methylene blue 0.12mg-hyos tablet
miconazole nitrate 2 % topical powder
miconazole nitrate 2 % topical powder
miconazole nitrate 100 mg vaginal suppository
midodrine 5 mg tablet
miSOPROStoL 200 mcg tablet
HYDROcodone 10 mg-chlorpheniramine 8 mg/5 mL oral susp extend.rel 12hr
HYDROcodone 10 mg-chlorpheniramine 8 mg/5 mL oral susp extend.rel 12hr
mometasone 0.1 % topical cream
dabigatran etexilate 75 mg capsule
morphine concentrate 100 mg/5 mL (20 mg/mL) oral solution
NIFEdipine ER 30 mg tablet,extended release
niMODipine 30 mg capsule
niMODipine 30 mg capsule
nitrofurantoin monohydrate/macrocrystals 100 mg capsule
norethindrone acetate 5 mg tablet
lurasidone 40 mg tablet
dextromethorphan 20 mg-quinidine 10 mg capsule
bisacodyL 5 mg tablet,delayed release
bisacodyL 10 mg rectal suppository
PARoxetine 20 mg tablet
vitamin E (dl, acetate) 400 unit capsule
bismuth subsalicylate 262 mg/15 mL oral suspension
pentoxifylline ER 400 mg tablet,extended release
pentoxifylline ER 400 mg tablet,extended release
permethrin 5 % topical cream
permethrin 5 % topical cream
permethrin 1 % topical liquid
phenelzine 15 mg tablet
linaGLIPtin 5 mg tablet
phenytoin 50 mg chewable tablet
phytonadione (vitamin K1) 5 mg tablet
rivaroxaban 10 mg tablet
ferrous sulfate 324 mg (65 mg iron) tablet,delayed release
ticagrelor 90 mg tablet
sodium di- and monophosphate-potassium phos monobasic 250 mg tablet
oseltamivir 6 mg/mL oral suspension
oseltamivir 6 mg/mL oral suspension
pravastatin 10 mg tablet
primidone 50 mg tablet
primidone 50 mg tablet
prochlorperazine 25 mg rectal suppository
promethazine 12.5 mg rectal suppository
promethazine 25 mg rectal suppository
promethazine 25 mg rectal suppository
promethazine-DM 6.25 mg-15 mg/5 mL oral syrup
propafenone 150 mg tablet
psyllium husk (aspartame) 3.4 gram oral powder packet
ramipriL 1.25 mg capsule
ramipriL 10 mg capsule
ramipriL 5 mg capsule
raNITIdine 300 mg tablet
raNITIdine 300 mg tablet
sennosides 8.6 mg tablet
sennosides 8.6 mg tablet
sertraline 100 mg tablet
simvastatin 10 mg tablet
sotaloL 80 mg tablet
sucralfate 100 mg/mL oral suspension
sucralfate 1 gram tablet
magnesium 64 mg (magnesium chloride) tablet,delayed release
acetaminophen 120 mg-codeine 12 mg/5 mL oral solution
vancomycin 125 mg capsule
vancomycin 125 mg capsule
dexAMETHasone 1 mg/mL drops (concentrate)
warfarin 1 mg tablet
magnesium hydroxide 400 mg/5 mL oral suspension
zolpidem 10 mg tablet
phenylephrine 1 % nasal spray
loratadine 5 mg-pseudoephedrine ER 120 mg tablet,extended release,12hr
lidocaine HCL 2 % mucosal solution
lidocaine HCL 2 % mucosal solution
carBAMazepine 100 mg/5 mL oral suspension
meclizine 12.5 mg tablet
insulin aspar prt-insulin aspart 100 unit/mL (70-30) subcutaneous soln
insulin aspart (U-100) 100 unit/mL (3 mL) subcutaneous pen
white petrolatum 41 % topical ointment
white petrolatum 41 % topical ointment
venlafaxine 75 mg tablet
activated charcoaL 50 gram/240 mL oral suspension
activated charcoaL 25 gram/120 mL oral suspension
trolamine salicylate-aloe vera 10 % topical cream
lip protectant 0.6 %-0.5 %-1.1 %-0.5 % topical ointment
codeine-butalbital-ASA-caffeine 30 mg-50 mg-325 mg-40 mg capsule
insulin lispro protamine-lispro 100 unit/mL (50-50) subcutaneous susp
insulin glargine (U-100) 100 unit/mL (3 mL) subcutaneous pen
diphenhydrAMINE 12.5 mg/5 mL oral liquid
multivitamin-iron 9 mg-folic acid 400 mcg-calcium and minerals tablet
Lactobacillus acidoph-L.bulgaricus 1 million cell tablet
Lactobacillus acidoph-L.bulgaricus 1 million cell tablet
acetaminophen 160 mg/5 mL (5 mL) oral solution
acetaminophen 325 mg/10.15 mL oral solution
omega 3-dha-epa-fish oil 1,000 mg (120 mg-180 mg) capsule
thiamine mononitrate (vitamin B1) 100 mg tablet
omega 3-dha-epa-fish oil 300 mg-1,000 mg capsule,delayed release
terbinafine HCL 250 mg tablet
calcium carbonate 600 mg calcium (1,500 mg) tablet
lisinopriL 2.5 mg tablet
valACYclovir 1 gram tablet
valACYclovir 500 mg tablet
SUMAtriptan 100 mg tablet
acetaminophen ER 650 mg tablet,extended release
carBAMazepine 100 mg chewable tablet
carbamide peroxide 6.5 % ear drops
carbamide peroxide 6.5 % ear drops
lamoTRIgine 100 mg tablet
acetaminophen 300 mg-codeine 30 mg tablet
ketoconazole 2 % shampoo
terazosin 2 mg capsule
traMADoL 50 mg tablet
tiZANidine 2 mg tablet
losartan 25 mg tablet
losartan 50 mg-hydrochlorothiazide 12.5 mg tablet
diclofenac sodium 75 mg tablet,delayed release
cetirizine 5 mg tablet
calcitonin (salmon) 200 unit/actuation nasal spray
carvediloL 6.25 mg tablet
carvediloL 25 mg tablet
azithromycin 100 mg/5 mL oral suspension
multivitamin with folic acid 400 mcg tablet
sodium hypochlorite 0.25 % solution
mirabegron ER 25 mg tablet,extended release 24 hr
linaCLOtide 145 mcg capsule
linaCLOtide 290 mcg capsule
rivastigmine 13.3 mg/24 hour transdermal patch
fosinopriL 40 mg tablet
megestroL 400 mg/10 mL (10 mL) oral suspension
megestroL 400 mg/10 mL (10 mL) oral suspension
acetaminophen 120 mg-codeine 12 mg/5 mL (5 mL) oral solution
acetaminophen 120 mg-codeine 12 mg/5 mL (5 mL) oral solution
apixaban 2.5 mg tablet
apixaban 2.5 mg tablet
apixaban 5 mg tablet
canagliflozin 100 mg tablet
memantine 28 mg capsule sprinkle,extended release 24hr
anastrozole 1 mg tablet
chlordiazePOXIDE 25 mg capsule
glimepiride 2 mg tablet
chlorothiazide 250 mg tablet
chlorpheniramine 4 mg tablet
fluticasone furoate 100 mcg-vilanteroL 25 mcg/dose inhalation powder
dicyclomine 10 mg/5 mL oral solution
chlorthalidone 25 mg tablet
chlorthalidone 50 mg tablet
chlorzoxazone 500 mg tablet
lanolin 50 % topical cream
umeclidinium 62.5 mcg-vilanteroL 25 mcg/actuation powdr for inhalation
psyllium husk (with sugar) 3.4 gram oral powder packet
psyllium husk (with sugar) 3.4 gram oral powder packet
melatonin 3 mg tablet
guaiFENesin ER 600 mg tablet, extended release 12 hr
hyoscyamine ER 0.375 mg tablet,extended release,12 hr
tiotropium bromide 2.5 mcg/actuation mist for inhalation
ipratropium 20 mcg-albuteroL 100 mcg/actuation mist for inhalation
umeclidinium 62.5 mcg/actuation blister powder for inhalation
chlordiazepoxide-clidinium 5 mg-2.5 mg capsule
insulin lispro (U-100) 100 unit/mL subcutaneous solution
busPIRone 15 mg tablet
mirtazapine 30 mg tablet
clomiPHENE citrate 50 mg tablet
cloNIDine HCL 0.1 mg tablet
clotrimazole 1 % topical cream
albuterol sulfate HFA 90 mcg/actuation aerosol inhaler
OLANZapine 5 mg tablet
sodium polystyrene sulfonate 15 gram-sorbitoL 19.3 g/60 mL oral susp
sodium polystyrene sulfonate 15 gram-sorbitoL 20 gram/60 mL oral susp
colchicine 0.6 mg tablet
bisoprolol 5 mg-hydrochlorothiazide 6.25 mg tablet
torsemide 20 mg tablet
gabapentin 400 mg capsule
risperiDONE 1 mg tablet
lactulose 10 gram oral packet
buPROPion HCL SR 100 mg tablet,12 hr sustained-release
buPROPion HCL SR 150 mg tablet,12 hr sustained-release
donepeziL 5 mg tablet
diphenhydrAMINE 25 mg-acetaminophen 500 mg tablet
diphenhydrAMINE 25 mg-acetaminophen 500 mg tablet
levoFLOXacin 500 mg tablet
topiramate 25 mg tablet
atorvastatin 10 mg tablet
azelastine 137 mcg (0.1 %) nasal spray aerosol
calcium carbonate 500 mg (1,250 mg)-vitamin D3 200 unit tablet
triamcinolone acetonide 55 mcg nasal spray aerosol
cyanocobalamin (vit B-12) 500 mcg tablet
cyclobenzaprine 10 mg tablet
cyproheptadine 4 mg tablet
cyproheptadine 4 mg tablet
meloxicam 7.5 mg tablet
meloxicam 15 mg tablet
azithromycin 250 mg tablet
OLANZapine 2.5 mg tablet
citalopram 20 mg tablet
pramipexole 0.125 mg tablet
pramipexole 1 mg tablet
letrozole 2.5 mg tablet
rOPINIRole 0.25 mg tablet
rOPINIRole 1 mg tablet
rOPINIRole 0.5 mg tablet
doxycycline monohydrate 100 mg tablet
doxycycline monohydrate 100 mg tablet
QUEtiapine 25 mg tablet
irbesartan 300 mg tablet
mometasone 50 mcg/actuation nasal spray
clopidogreL 75 mg tablet
clopidogreL 75 mg tablet
raloxifene 60 mg tablet
glyBURIDE micronized 6 mg tablet
cefdinir 300 mg capsule
montelukast 10 mg tablet
sulfamethoxazole 200 mg-trimethoprim 40 mg/5 mL oral suspension
repaglinide 0.5 mg tablet
repaglinide 2 mg tablet
valsartan 160 mg-hydrochlorothiazide 12.5 mg tablet
ursodioL 250 mg tablet
pramipexole 0.5 mg tablet
tolterodine 2 mg tablet
candesartan 4 mg tablet
dexAMETHasone 4 mg tablet
amoxicillin 875 mg tablet
leflunomide 20 mg tablet
diazePAM 2 mg tablet
dibucaine 1 % topical ointment
dicyclomine 10 mg capsule
dicyclomine 20 mg tablet
isosorbide mononitrate ER 60 mg tablet,extended release 24 hr
telmisartan 80 mg tablet
losartan 100 mg-hydrochlorothiazide 25 mg tablet
metFORMIN 1,000 mg tablet
metFORMIN 1,000 mg tablet
digoxin 125 mcg (0.125 mg) tablet
oxybutynin chloride ER 10 mg tablet,extended release 24 hr
cilostazoL 50 mg tablet
celecoxib 100 mg capsule
cholecalciferol (vitamin D3) 10 mcg (400 unit) tablet
modafiniL 100 mg tablet
dilTIAZem 60 mg tablet
polyethylene glycol 3350 17 gram/dose oral powder
polyethylene glycol 3350 17 gram/dose oral powder
irbesartan 300 mg-hydrochlorothiazide 12.5 mg tablet
diphenhydrAMINE 25 mg capsule
diphenhydrAMINE 12.5 mg/5 mL oral elixir
ciprofloxacin 500 mg tablet
diphenoxylate-atropine 2.5 mg-0.025 mg tablet
diphenoxylate-atropine 2.5 mg-0.025 mg tablet
amoxicillin 400 mg/5 mL oral suspension
polyethylene glycol 3350 17 gram oral powder packet
fexofenadine 180 mg tablet
divalproex 125 mg tablet,delayed release
risperiDONE 0.25 mg tablet
risperiDONE 0.5 mg tablet
pioglitazone 15 mg tablet
docusate sodium 100 mg capsule
RABEprazole 20 mg tablet,delayed release
meclizine 25 mg chewable tablet
doxepin 10 mg capsule
pantoprazole 20 mg tablet,delayed release
doxycycline hyclate 100 mg tablet
oseltamivir 75 mg capsule
levETIRAcetam 500 mg tablet
benzonatate 200 mg capsule
terbinafine HCL 1 % topical cream
OXcarbazepine 150 mg tablet
OXcarbazepine 150 mg tablet
nitroglycerin 400 mcg/spray translingual
nitroglycerin 400 mcg/spray translingual
dextrose 40 % oral gel
dextrose 40 % oral gel
nitroglycerin 0.2 mg/hr transdermal 24 hour patch
dilTIAZem CD 120 mg capsule,extended release 24 hr
cloNIDine 0.1 mg/24 hr weekly transdermal patch
fexofenadine 60 mg-pseudoephedrine ER 120 mg tablet,ext.release,12 hr
pseudoephedrine-guaifenesin ER 60 mg-600 mg tablet,extend release 12hr
rizatriptan 10 mg disintegrating tablet
carBAMazepine ER 400 mg tablet,extended release,12 hr
aspirin 25 mg-dipyridamole 200 mg capsule,ext.release 12 hr multiphase
omeprazole 20 mg capsule,delayed release
scopolamine 1 mg over 3 days transdermal patch
scopolamine 1 mg over 3 days transdermal patch
venlafaxine ER 75 mg capsule,extended release 24 hr
nicotine 7 mg/24 hr daily transdermal patch
fentaNYL 25 mcg/hr transdermal patch
ferrous fumarate-folic acid 324 mg (106 mg iron)-1 mg tablet
iron-vit C-vit B12-folic acid 100 mg-250 mg-25 mcg-1 mg tablet
OLANZapine 5 mg disintegrating tablet
lidocaine 5 % topical patch
lidocaine 5 % topical patch
linezolid 600 mg tablet
linezolid 600 mg tablet
fenofibrate 160 mg tablet
insulin glargine (U-100) 100 unit/mL subcutaneous solution
colesevelam 625 mg tablet
HYDROcodone 10 mg-acetaminophen 325 mg tablet
insulin aspart U-100 100 unit/mL subcutaneous solution
ergocalciferol (vitamin D2) 1,250 mcg (50,000 unit) capsule
NIFEdipine ER 30 mg tablet,extended release 24 hr
glyBURIDE 5 mg-metformin 500 mg tablet
hydrocortisone 2.5 % topical cream with perineal applicator
hydrocortisone-pramoxine 2.5 %-1 % rectal cream
hydrocortisone 1 %-pramoxine 1 % rectal foam
oxyCODONE 30 mg tablet
metFORMIN ER 500 mg tablet,extended release 24 hr
alendronate 70 mg tablet
clotrimazole-betamethasone 1 %-0.05 % topical cream
clotrimazole-betamethasone 1 %-0.05 % topical cream
tolterodine ER 2 mg capsule,extended release 24 hr
clindamycin 1 %-benzoyl peroxide 5 % topical gel
sodium chloride 0.65 % nasal spray aerosol
esomeprazole magnesium 40 mg capsule,delayed release
esomeprazole magnesium 40 mg capsule,delayed release
ziprasidone 40 mg capsule
galantamine 12 mg tablet
metoprolol succinate ER 25 mg tablet,extended release 24 hr
ferrous fumarate 324 mg (106 mg iron) tablet
ferrous sulfate 300 mg (60 mg iron)/5 mL oral liquid
ferrous sulfate 325 mg (65 mg iron) tablet
ferrous sulfate 325 mg (65 mg iron) tablet
allopurinoL 100 mg tablet
amoxicillin 600 mg-potassium clavulanate 42.9 mg/5 mL oral suspension
valsartan 80 mg tablet
cetirizine 5 mg-pseudoephedrine ER 120 mg tablet,extended release,12hr
budesonide DR - ER 3 mg capsule,delayed,extended release
fluocinonide 0.05 % topical cream
fluocinonide 0.05 % topical ointment
phenytoin sodium extended 200 mg capsule
fluPHENAZine 5 mg tablet
fluPHENAZine 5 mg tablet
folic acid 1 mg tablet
ALPRAZolam 0.25 mg tablet
ALPRAZolam 1 mg tablet
ALPRAZolam 1 mg tablet
olmesartan 20 mg tablet
furosemide 20 mg tablet
amLODIPine 10 mg-benazepriL 20 mg capsule
amoxicillin 500 mg-potassium clavulanate 125 mg tablet
amoxicillin 400 mg-potassium clavulanate 57 mg/5 mL oral suspension
amoxicillin 400 mg-potassium clavulanate 57 mg/5 mL oral suspension
escitalopram 10 mg tablet
insulin aspar prot-insulin aspart 100 unit/mL (70-30) subcutaneous pen
gemfibroziL 600 mg tablet
dutasteride 0.5 mg capsule
ezetimibe 10 mg tablet
ezetimibe 10 mg tablet
ARIPiprazole 10 mg tablet
divalproex ER 250 mg tablet,extended release 24 hr
HYDROcodone 7.5 mg-acetaminophen 325 mg tablet
lansoprazole 15 mg delayed release,disintegrating tablet
neomycin-polymyxin-hydrocort 3.5 mg/mL-10,000 unit/mL-1 % ear solution
glyBURIDE 5 mg tablet
rosuvastatin 10 mg tablet
guaiFENesin 100 mg/5 mL oral liquid
guaiFENesin 100 mg/5 mL oral liquid
metFORMIN ER 750 mg tablet,extended release 24 hr
haloperidoL 0.5 mg tablet
haloperidoL 1 mg tablet
haloperidoL 1 mg tablet
potassium chloride ER 20 mEq tablet,extended release(part/cryst)
olmesartan 40 mg-hydrochlorothiazide 12.5 mg tablet
olmesartan 40 mg-hydrochlorothiazide 25 mg tablet
amantadine HCL 100 mg capsule
ciprofloxacin 0.3 %-dexamethasone 0.1 % ear drops,suspension
levETIRAcetam 100 mg/mL oral solution
buPROPion HCL XL 150 mg 24 hr tablet, extended release
buPROPion HCL XL 300 mg 24 hr tablet, extended release
docusate sodium 50 mg/5 mL oral liquid
docusate sodium 50 mg/5 mL oral liquid
memantine 10 mg tablet
phenol 1.4 % mucosal aerosol spray
hydrALAZINE 10 mg tablet
eplerenone 50 mg tablet
hydroCHLOROthiazide 25 mg tablet
hydroCHLOROthiazide 25 mg tablet
hydrocortisone 1 % topical cream
hydrocortisone 2.5 % topical cream
hydrocortisone acetate 25 mg rectal suppository
metoprolol tartrate 25 mg tablet
clindamycin 75 mg/5 mL oral solution
glipiZIDE ER 5 mg tablet, extended release 24 hr
NIFEdipine ER 90 mg tablet,extended release
hydrOXYzine HCL 10 mg tablet
hydrOXYzine pamoate 25 mg capsule
hydrOXYzine pamoate 25 mg capsule
hyoscyamine sulfate 0.125 mg tablet
hyoscyamine sulfate 0.125 mg tablet
amLODIPine 5 mg-atorvastatin 10 mg tablet
aluminum-mag hydroxide-simethicone 200 mg-200 mg-20 mg/5 mL oral susp
tiotropium bromide 18 mcg capsule with inhalation device
tiotropium bromide 18 mcg capsule with inhalation device
ibuprofen 200 mg tablet
mirtazapine 7.5 mg tablet
indapamide 2.5 mg tablet
telmisartan 80 mg-hydrochlorothiazide 25 mg tablet
indomethacin 25 mg capsule
indomethacin 25 mg capsule
nystatin 100,000 unit/gram topical powder
ezetimibe 10 mg-simvastatin 80 mg tablet
DULoxetine 30 mg capsule,delayed release
cefdinir 250 mg/5 mL oral suspension
isoniazid 300 mg tablet
eszopiclone 2 mg tablet
eszopiclone 2 mg tablet
solifenacin 5 mg tablet
solifenacin 10 mg tablet
darifenacin ER 7.5 mg tablet,extended release 24 hr
isosorbide dinitrate 10 mg tablet
fluticasone propionate 110 mcg/actuation HFA aerosol inhaler
fluticasone propionate 220 mcg/actuation HFA aerosol inhaler
ibandronate 150 mg tablet

ibandronate 150 mg tablet
tiZANidine 4 mg capsule
galantamine ER 16 mg 24 hr capsule,extended release
ipratropium bromide 17 mcg/actuation HFA aerosol inhaler
omega-3 acid ethyl esters 1 gram capsule
pregabalin 50 mg capsule
zolpidem ER 12.5 mg tablet,extended release,multiphase
amitriptyline 10 mg tablet
Lactobacillus acidophilus capsule
chlorpheniramine 4 mg-phenylephrine 10 mg tablet
amoxicillin 500 mg capsule
loperamide 2 mg capsule
LORazepam 2 mg/mL oral concentrate
LORazepam 0.5 mg tablet
LORazepam 1 mg tablet
LORazepam 1 mg tablet
ampicillin 500 mg capsule
magnesium citrate oral solution
magnesium L-lactate ER 84 mg tablet,extended release
medroxyPROGESTERone 2.5 mg tablet
megestroL 40 mg tablet
megestroL 40 mg tablet
methocarbamoL 500 mg tablet
methotrexate sodium 2.5 mg tablet
methotrexate sodium 2.5 mg tablet
methylPREDNISolone 4 mg tablets in a dose pack
methylPREDNISolone 4 mg tablets in a dose pack
metoclopramide 10 mg tablet
metroNIDAZOLE 250 mg tablet
miconazole nitrate 2 % topical cream
minocycline 100 mg capsule
naproxen 250 mg tablet
naproxen sodium 550 mg tablet
nitrofurantoin macrocrystaL 50 mg capsule
nitroglycerin 0.4 mg sublingual tablet
nitroglycerin 2 % transdermal ointment
nystatin 100,000 unit/gram topical cream
nystatin 100,000 unit/mL oral suspension
nystatin-triamcinolone 100,000 unit/g-0.1 % topical cream
oxybutynin chloride 5 mg tablet
oxyCODONE-acetaminophen 5 mg-325 mg tablet
oxymetazoline 0.05 % nasal spray
penicillin V potassium 250 mg tablet
penicillin V potassium 500 mg tablet
perphenazine 2 mg tablet
phenazopyridine 100 mg tablet
PHENobarbitaL 32.4 mg tablet
potassium bicarbonate-citric acid 25 mEq effervescent tablet
potassium chloride 20 mEq/15 mL oral liquid
potassium chloride 20 mEq oral packet
potassium chloride ER 10 mEq tablet,extended release
predniSONE 10 mg tablet
promethazine 25 mg tablet
promethazine 6.25 mg-codeine 10 mg/5 mL syrup
promethazine 6.25 mg-codeine 10 mg/5 mL syrup
ascorbic acid (vitamin C) 500 mg tablet
propranoloL 10 mg tablet
propylthiouraciL 50 mg tablet
pseudoephedrine 30 mg tablet
pyridoxine (vitamin B6) 50 mg tablet
pyridoxine (vitamin B6) 50 mg tablet
aspirin 81 mg chewable tablet
aspirin 325 mg tablet
aspirin 325 mg tablet,delayed release
aspirin 300 mg rectal suppository
aspirin 600 mg rectal suppository
insulin detemir (U-100) 100 unit/mL subcutaneous solution
traMADoL ER 100 mg tablet,extended release 24 hr
traMADoL ER 100 mg tablet,extended release 24 hr
ranolazine ER 500 mg tablet,extended release,12 hr
ranolazine ER 500 mg tablet,extended release,12 hr
fluticasone propionate 50 mcg/actuation nasal spray,suspension
insulin lispro protamine-lispro 100 unit/mL (75-25) subcutaneous susp
insulin lispro protamine-lispro 100 unit/mL (50-50) subcutaneous pen
insulin lispro protamine-lispro 100 unit/mL (50-50) subcutaneous pen
levomefolate calcium 7.5 mg tablet
levETIRAcetam 1,000 mg tablet
cetirizine 1 mg/mL oral solution
atenoloL 100 mg tablet
simethicone 80 mg chewable tablet
sodium bicarbonate 650 mg tablet
sodium bicarbonate 650 mg tablet
sodium polystyrene sulfonate oral powder
spironolactone 25 mg tablet
sulfamethoxazole 800 mg-trimethoprim 160 mg tablet
valsartan 320 mg-hydrochlorothiazide 25 mg tablet
cholecalciferol (vitamin D3) 25 mcg (1,000 unit) tablet
glycerin (child) rectal suppository
hydroCHLOROthiazide 12.5 mg tablet
brompheniramine-phenylephrine-DM 1 mg-2.5 mg-5 mg/5 mL oral solution
temazepam 15 mg capsule
SITagliptin 50 mg tablet
codeine 10 mg-guaifenesin 100 mg/5 mL oral liquid
thiamine HCl (vitamin B1) 100 mg tablet
traZODone 100 mg tablet
triamcinolone acetonide 0.1 % topical cream
triamcinolone acetonide 0.1 % topical ointment
triamcinolone acetonide 0.1 % dental paste
triamcinolone acetonide 0.1 % dental paste
triamterene 37.5 mg-hydrochlorothiazide 25 mg tablet
triamterene 37.5 mg-hydrochlorothiazide 25 mg tablet
triamterene 75 mg-hydrochlorothiazide 50 mg tablet
divalproex ER 500 mg tablet,extended release 24 hr
activated charcoal-sorbitoL 50 gram/240 mL oral suspension
budesonide-formoteroL HFA 80 mcg-4.5 mcg/actuation aerosol inhaler
SITagliptin 50 mg-metformin 1,000 mg tablet
trimethoprim 100 mg tablet
trimethoprim 100 mg tablet
QUEtiapine ER 300 mg tablet,extended release 24 hr
amLODIPine 10 mg-valsartan 320 mg tablet
valproic acid (as sodium salt) 250 mg/5 mL oral solution
valproic acid (as sodium salt) 250 mg/5 mL oral solution
baclofen 10 mg tablet
warfarin 2.5 mg tablet
oxyCODONE 10 mg tablet
levocetirizine 5 mg tablet
amLODIPine 5 mg-olmesartan 40 mg tablet
zinc oxide 20 % topical ointment
zinc sulfate 220 mg (50 mg) capsule
sevelamer carbonate 800 mg tablet
nebivoloL 5 mg tablet
acetaminophen 160 mg/5 mL (5 mL) oral suspension
acetaminophen 160 mg/5 mL (5 mL) oral suspension
butalbital-acetaminophen-caffeine 50 mg-325 mg-40 mg tablet
acyclovir 5 % topical cream
acyclovir 200 mg capsule
acyclovir 400 mg tablet
pantoprazole DR 40 mg granules delayed-release for susp in packet
pantoprazole DR 40 mg granules delayed-release for susp in packet
amiodarone 200 mg tablet
amiodarone 200 mg tablet
amLODIPine 10 mg tablet
amLODIPine 2.5 mg tablet
desvenlafaxine succinate ER 50 mg tablet,extended release 24 hr
menthol 0.44 %-zinc oxide 20.6 % topical ointment
lubiprostone 8 mcg capsule
atenoloL 100 mg-chlorthalidone 25 mg tablet
atenoloL 50 mg-chlorthalidone 25 mg tablet
benazepriL 10 mg tablet
bumetanide 1 mg tablet
bumetanide 2 mg tablet
buPROPion HCL 100 mg tablet
buPROPion HCL 100 mg tablet
calcitrioL 0.25 mcg capsule
calcium carbonate 200 mg calcium (500 mg) chewable tablet
captopriL 25 mg tablet
captopriL 50 mg tablet
carbidopa 25 mg-levodopa 100 mg tablet
carbidopa ER 50 mg-levodopa 200 mg tablet,extended release
cefuroxime axetil 250 mg tablet
cephalexin 250 mg capsule
cephalexin 250 mg/5 mL oral suspension
cephalexin 250 mg/5 mL oral suspension
chlorhexidine gluconate 0.12 % mouthwash
cholestyramine (with sugar) 4 gram powder for susp in a packet
cholestyramine (with sugar) 4 gram powder for susp in a packet
clarithromycin 500 mg tablet
clobetasoL 0.05 % topical cream
clobetasoL 0.05 % topical cream
clonazePAM 0.5 mg tablet
clonazePAM 1 mg tablet
clonazePAM 1 mg tablet
budesonide 180 mcg/actuation breath activated powder inhaler
silodosin 8 mg capsule
dexlansoprazole 30 mg capsule,biphase delayed release
dexlansoprazole 60 mg capsule,biphase delayed release
febuxostat 40 mg tablet
iron fumarate,polysac comp 125 mg-vitamin C 40 mg-niacin 3 mg capsule
dextromethorphan-guaifenesin 10 mg-100 mg/5 mL oral syrup
dronedarone 400 mg tablet
diclofenac potassium 50 mg tablet
castor oil 100 % oral
doxazosin 4 mg tablet
dronabinoL 2.5 mg capsule
enalapril maleate 5 mg tablet
sAXagliptin 5 mg tablet
estradioL 1 mg tablet
estradioL 0.01% (0.1 mg/gram) vaginal cream
estradioL 0.01% (0.1 mg/gram) vaginal cream
conjugated estrogens 0.625 mg tablet
conjugated estrogens 0.625 mg/gram vaginal cream
benztropine 1 mg tablet
gadoteridoL 279.3 mg/mL intravenous solution
iohexoL 300 mg iodine/mL intravenous solution
iodixanoL 320 mg iodine/mL intravenous solution
gadodiamide 7.5 mmol/15 mL(287 mg/mL) in 0.9 % sod.chloride IV syringe
diatrizoate meglumine-diatrizoate sodium 66 %-10 % oral solution
hum prothrombin cplx (PCC) 4factor 500 unit (400-620 unit) IV solution
barium sulfate 2.1 % (w/v), 2.0 % (w/w) oral suspension
CPT(R)/HCPCS Code NDC Unit Price Override Bill Code
17478042020 173.55 J3490
409226720 13.95 J3490
143962201 48.6 J3490
47781058656 35.4 J3490
409337504 140.43
703115303 116.31
409337525 138.33
703115301 116.31
67457085200 51.33
67457085204 51.33
143931801 47.19
487590199 1.74
487278401 0.97
55150018810 38.48
409662502 60.38
409490234 59.25
409751716 58.13
409330803 1.13
63323020805 18.94
641602201 5.37 J3490
641602225 5.37 J3490
487980101 0.24
487980160 0.12
409163110 44.85 J3490
409492834 61.5 J3490
76329330401 59.33 J3490
338104902 135 J3490
54643564901 57.98
409490034 84
54643900709 121.46
409669501 38.63 J3490
67457047700 68.1 J3490
67457047710 68.1 J3490
68382054507 43.2 J3490
143950701 27 J3490
143931101 27 J3490
63323049405 46.5
68180096204 40.88
68180096256 40.88
378968144 6.21
378968196 6.21
76204080011 1.85
93414804 6.21
93414864 6.21
378968244 2.46
378968296 2.46
76204090001 1.35
76204090011 1.35
487950101 0.23
487950103 0.12
50383074120 55.88
63323013011 140 J3490
76329906100 381.15
781751514 5.71
93681673 10.26
93681645 10.26
487970130 5.79
10019005561 1,374.38 J3490
487990425 0.83
63323018410 3.2 J3490
143978410 19.05 J3490
143978401 19.05 J3490
143950801 55.25
143950810 55.25
39822990001 0.41
409913705 39.98
143987310 18.71 J3490
47781058720 3.75 J3490
409177815 4.31 J3490
338105548 7.88 J3490
36000000124 5.63 J3490
409781109 6.38 J3490
409781110 6.38 J3490
76329335201 81
487930133 0.14
378698501 0.41
487930103 0.12
63402091130 5.18
63402091164 5.18
63402091101 5.18
63402091104 5.18
9077526 16.65 J3490
9090211 20.16 J3490
25021011506 32.99 J3490
9077520 8.33 J3490
47781046168 9.77 J3490
67457081500 4.85 J3490
67457081504 4.85 J3490
67457081600 4.68 J3490
67457081606 4.68 J3490
49281075278 54.93
49281075298 42.8
99999036101 25.55
49281075221 54.93
49281075222 42.8
409401101 82.95
409114402 114.21
49502060530 5.18
49502060595 5.18
409141210 21.9 J3490
641600701 14.33 J3490
641600801 13.2 J3490
641600810 13.2 J3490
641616101 13.2 J3490
641616110 13.2 J3490
487020101 0.58
76204060001 0.37
76204060030 0.46
10122032501 1,383.00
67457022805 32.96
67457022800 32.96
63304069301 0.5
641601301 10.69 J3490
641601310 10.69 J3490
641601401 16.05 J3490
641601410 16.05 J3490
641921801 3.21 J3490
641921810 3.21 J3490
143978710 24.99 J3490
143978701 24.99 J3490
409711509 92
264786500 92
409711609 92
409710166 48.3
409710167 50.6
J7050 409710104 80.5
409710168 48.3
409710169 50.6
264752020 92
338001702 138
J7060 338001703 138
J7070 338001704 184
338001748 96.6
990792202 126.5
264180032 78.2
J7050 338004902 138
J7040 338004903 161
J7030 338004904 184
338004948 92
338070434 276
409925739 46
J7040 338004903 161
J7030 338004904 184
338004303 161
338004304 184
J7060 338001703 138
J7070 338001704 184
J7042 338008903 161
J7042 338008904 184
338008503 161
338008504 184
J7120 338011704 184
J7121 338012504 184
J7120 338011704 184
409771513 90
338004303 161
338004304 184
J7121 338012504 184
409710709 92
264765200 138
409790209 92
264763500 92
338067104 230
409792409 138
338007704 230
338008503 161
338008504 184
J7042 338008903 161
J7042 338008904 184
J1450 25021018487 30
J1580 338050348 24
J1644 641039112 14.21
J1644 641039137 14.21
J1644 641040012 12.72
J1644 641040037 12.72
J1644 63323026201 9.38
90670 5197101 560.86
90670 5197102 560.86
J2060 409677802 19.44
J2060 641600101 22
J2060 641600125 22
J2060 641604401 5.69
J2060 641604425 5.69
J2060 641604801 5.69
J0897 55513071001 3,550.56
J1650 781313301 96.53
J1650 781313363 96.53
J1650 955100310 154.81
J1650 62037083920 114.64
J1650 63323056883 19.09
J1650 63323056894 19.09
J1650 75062430 172.2
J1650 548560200 41.51
J1650 62037084920 152.86
J1650 703854021 55.11
J1650 60505079200 41.65
J1650 63323053508 25.68
J1650 75062040 229.59
J1650 781335603 183.25
J1650 781335666 183.25
J1650 703856021 82.81
J1650 548560400 83.04
J1650 781342804 285.98
J1650 781342868 285.98
J1650 75062280 459.73
J1650 548560500 103.79
J1650 781350005 305.42
J1650 781350069 305.42
J1650 62037086320 386.27
J1650 63323056884 64
J1650 63323056895 64
J1650 63323060501 64
J1650 63323060584 64
J3360 409127332 275.35
J3360 409127303 275.35
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J2405 36000001225 3.12
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186037228 192.92
186037020 432.31
186037028 192.9
6057762 7.76
50268077515 0.65
50268077511 0.65
310028360 24.5
310028460 28.79
78049115 14.77
47781030403 13.12
781730431 15.64
781730458 15.64
47781030411 13.12
78050261 26.19
47781030503 13.12
781730931 15.64
781730958 15.64
121067516 14.19
603184158 47.89
172409660 0.35
904647561 0.24
172409760 0.57
832121201 0.09
56017001 1.24
832121289 0.09
93171301 0.14
56017075 1.24
68084002701 0.24
68084002711 0.24
56017601 2.05
832121389 0.14
93171401 0.17
62584099401 0.06
62584099411 0.06
56017201 0.54
93172101 0.16
51672403201 0.23
51672403401 0.32
10702005601 1.85
47335017581 0.39
65597011290 10.74
536570098 6.24
904533260 0.03
77333098310 0.23
77333098325 0.23
16714081401 0.74
456140530 5.8
68094058759 1.04
121178105 0.91
603254421 1.3
187099445 976.73
93894001 0.14
63739068210 0.38
68084010901 0.81
68084010911 0.81
8084402 8.24
8084401 8.24
63739038710 0.28
68382022714 0.31
51079045201 0.07
51079045220 0.07
67877019990 0.05
67877019790 0.03
51079045101 0.09
51079045120 0.09
67877019890 0.03
68084025901 0.05
68084025911 0.05
8121130 15.92
64980032212 3.81
64764008060 7.08
378206401 1.05
591578201 0.46
51079014520 0.4
51079014501 0.4
43547033610 0.1
43547033710 0.14
16714083201 0.23
185013001 1.87
378043501 0.77
51079094401 0.93
591065801 0.1
51079098501 0.12
378114001 0.09
591065701 0.06
51079098520 0.12
54000713 1.18
66553000401 0.04
143117201 1.13
378301701 2.18
228253910 0.13
63739004710 0.1
904623761 0.09
93029401 0.3
378009401 0.8
57237005820 1.1
65862069920 2.13
16714040001 1.34
60687027211 3.75
60687027294 3.75
65862070060 2.99
50268015115 0.38
50268015111 0.38
69543010110 0.09
93314701 0.25
68180044101 14.63
93417774 47.5
51079059701 0.08
51079059720 0.08
904585261 0.07
60687016501 0.08
60687016511 0.08
904671761 0.06
116200116 2.37
310028060 37.81
245053660 1.97
245053689 1.97
781196260 1.13
472040045 152.21
52565005145 34.71
228300311 0.35
603294821 0.23
63739026310 0.53
16714075201 0.23
16714047001 0.06
93083301 1.16
186091612 270.74
52544015230 9.62
64764017130 11.11
64764017590 11.11
64764091830 12.73
50268086611 0.26
50268086615 0.26
52747071060 0.42
121063810 1.35
536097085 0.19
121127610 3.04
24414210 12.44
781501701 1.21
395051394 0.77
67877010501 0.35
60687011511 0.54
63739002910 0.49
60687034611 0.54
378402401 0.56
904552461 0.15
51079095901 0.94
51079095920 0.94
Q0167 591359160 54.56
Q0167 17478076106 19.5
Q0167 67877056860 22.84
Q0167 60687037501 53.59
64679092402 0.55
3421511 12.76
555088602 0.09
591048701 0.36
591048801 0.19
430375414 398.86
47781010444 193.48
46110281 6.83
46087221 453.79
603243421 0.19
60687036801 0.24
60687036811 0.24
A9579 270111102 146.7
Q9967 407141363 62.25
Q9967 407222317 272.25
A9579 407069162 609.08
Q9963 270044535 163.8
C9132 63833038602 7,470.00
32909072503 27
32909071503 23.63
32909072301 27
32909075503 23.63
32909077503 23.63

Calhoun Procedures

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Calhoun Procedures

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CAL BMH-Calhoun Hospital 3000002588

glucagon (human recombinant) 1 mg injection kit,glucagon (human recombinant) 1 mg solution for in

ibandronate 150 mg tablet

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