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HCPCS Procedure & Supply Codes

Private Payer Codes

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Drugs Administered

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Injections

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S0017 Injection, aminocaproic acid
S0020 Injection, bupivicaine hydro
S0021 Injection, cefoperazone sod
S0023 Injection, cimetidine hydroc
S0028 Injection, famotidine, 20 mg
S0030 Injection, metronidazole
S0032 Injection, nafcillin sodium
S0034 Injection, ofloxacin, 400 mg
S0039 Injection, sulfamethoxazole
S0040 Injection, ticarcillin disod
S0073 Injection, aztreonam, 500 mg
S0074 Injection, cefotetan disodiu
S0077 Injection, clindamycin phosp
S0078 Injection, fosphenytoin sodi
S0080 Injection, pentamidine iseth
S0081 Injection, piperacillin sodi
S0092 Hydromorphone 250 mg
S0093 Morphine 500 mg
S0122 Inj menotropins 75 iu
S0126 Inj follitropin alfa 75 iu
S0128 Inj follitropin beta 75 iu
S0132 Inj ganirelix acetat 250 mcg
S0145 Peg interferon alfa-2a/180
S0148 Peg interferon alfa-2b/10
S0164 Injection pantroprazole
S0166 Inj olanzapine 2.5mg
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