| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
75,106 |
62,864 |
$4.69M |
| 99284 |
|
43,741 |
37,008 |
$2.59M |
| 96361 |
|
14,362 |
11,731 |
$1.48M |
| 80053 |
|
75,774 |
57,470 |
$1.47M |
| 97110 |
|
39,919 |
10,823 |
$1.41M |
| 90999 |
|
45,640 |
2,878 |
$1.17M |
| 87502 |
|
13,125 |
11,630 |
$1.17M |
| U0004 |
Cov-19 test non-cdc hgh thru |
13,542 |
11,724 |
$999K |
| 96360 |
|
9,757 |
8,387 |
$599K |
| 96365 |
|
8,425 |
5,335 |
$566K |
| 80307 |
|
12,638 |
10,121 |
$550K |
| 43239 |
|
3,219 |
2,964 |
$542K |
| 85025 |
|
86,928 |
63,294 |
$526K |
| 87651 |
|
13,338 |
11,874 |
$513K |
| 70450 |
|
9,209 |
8,091 |
$512K |
| 87491 |
|
11,965 |
10,423 |
$430K |
| 74177 |
|
7,007 |
6,288 |
$429K |
| 97140 |
|
18,263 |
5,285 |
$384K |
| 99282 |
|
5,372 |
4,823 |
$370K |
| 80048 |
|
16,867 |
12,687 |
$342K |
| 99285 |
|
6,052 |
5,224 |
$340K |
| 87591 |
|
11,964 |
10,425 |
$338K |
| 97113 |
|
5,500 |
1,816 |
$306K |
| 80061 |
|
14,382 |
12,916 |
$294K |
| 45380 |
|
1,815 |
1,693 |
$282K |
| 0241U |
|
6,551 |
5,729 |
$277K |
| 87661 |
|
10,411 |
9,019 |
$275K |
| 96366 |
|
2,593 |
1,765 |
$270K |
| 94640 |
|
7,694 |
5,170 |
$217K |
| 93306 |
|
2,462 |
2,246 |
$200K |
| 84443 |
|
12,095 |
10,619 |
$192K |
| G0378 |
Hospital observation per hr |
6,675 |
5,141 |
$183K |
| 87086 |
|
14,938 |
13,065 |
$174K |
| 71275 |
|
2,656 |
2,375 |
$174K |
| 74176 |
|
2,833 |
2,538 |
$166K |
| 76700 |
|
3,652 |
3,373 |
$154K |
| 87481 |
|
3,324 |
2,734 |
$148K |
| 83036 |
|
12,471 |
11,181 |
$145K |
| 84484 |
|
18,775 |
12,512 |
$142K |
| 81025 |
|
19,396 |
16,622 |
$142K |
| 84702 |
|
4,921 |
3,343 |
$140K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,156 |
1,844 |
$137K |
| U0005 |
Infec agen detec ampli probe |
11,467 |
10,072 |
$134K |
| 87624 |
|
3,749 |
3,344 |
$134K |
| 96413 |
|
2,369 |
1,234 |
$133K |
| 99281 |
|
1,793 |
1,585 |
$126K |
| 97530 |
|
7,202 |
2,716 |
$126K |
| 76856 |
|
3,139 |
2,858 |
$125K |
| 0240U |
|
3,912 |
3,561 |
$122K |
| 82306 |
|
4,720 |
4,185 |
$119K |
| 81001 |
|
35,705 |
30,609 |
$119K |
| 97162 |
|
4,073 |
3,365 |
$118K |
| 87801 |
|
3,278 |
2,878 |
$117K |
| 82728 |
|
6,354 |
5,333 |
$117K |
| 97112 |
|
4,338 |
1,605 |
$114K |
| 80050 |
|
5,527 |
4,948 |
$107K |
| 77067 |
|
3,240 |
3,021 |
$103K |
| 76830 |
|
3,021 |
2,752 |
$101K |
| 82565 |
|
8,051 |
6,855 |
$99K |
| 71046 |
|
18,822 |
16,526 |
$99K |
| 93976 |
|
2,677 |
2,390 |
$98K |
| 71260 |
|
1,535 |
1,379 |
$96K |
| 87077 |
|
5,683 |
5,051 |
$94K |
| 70553 |
|
1,019 |
929 |
$93K |
| 85027 |
|
9,295 |
7,725 |
$91K |
| 87088 |
|
14,923 |
13,052 |
$89K |
| 86140 |
|
20,079 |
16,415 |
$86K |
| 87653 |
|
1,784 |
1,587 |
$85K |
| 87634 |
|
1,440 |
1,292 |
$85K |
| 85610 |
|
12,765 |
9,567 |
$83K |
| 88175 |
|
3,664 |
3,272 |
$82K |
| 76805 |
|
1,383 |
1,240 |
$81K |
| 97161 |
|
2,126 |
1,811 |
$80K |
| 80081 |
|
883 |
751 |
$77K |
| 76816 |
|
1,625 |
1,431 |
$77K |
| 84439 |
|
4,540 |
4,085 |
$76K |
| 82607 |
|
4,041 |
3,618 |
$75K |
| 83735 |
|
14,260 |
9,702 |
$73K |
| 45378 |
|
388 |
367 |
$72K |
| 82950 |
|
2,009 |
1,799 |
$72K |
| 62323 |
|
541 |
461 |
$71K |
| 72148 |
|
1,173 |
1,105 |
$69K |
| 80076 |
|
2,672 |
2,348 |
$68K |
| 93017 |
|
1,821 |
1,644 |
$66K |
| 83880 |
|
3,418 |
2,908 |
$64K |
| 99213 |
|
1,009 |
354 |
$64K |
| U0002 |
Covid-19 lab test non-cdc |
1,723 |
1,520 |
$64K |
| 83690 |
|
12,306 |
10,329 |
$63K |
| 12001 |
|
738 |
679 |
$62K |
| 66984 |
|
405 |
310 |
$61K |
| 87480 |
|
2,678 |
2,360 |
$61K |
| 93971 |
|
2,087 |
1,882 |
$59K |
| 72125 |
|
2,820 |
2,552 |
$58K |
| 82947 |
|
9,206 |
5,399 |
$58K |
| 59025 |
|
725 |
330 |
$57K |
| J0606 |
Inj, etelcalcetide, 0.1 mg |
7,598 |
566 |
$57K |
| 78452 |
|
417 |
376 |
$55K |
| 87636 |
|
1,335 |
1,086 |
$55K |
| 87635 |
|
1,154 |
1,002 |
$55K |
| 82805 |
|
2,523 |
2,118 |
$54K |
| 92557 |
|
946 |
868 |
$52K |
| 45385 |
|
320 |
292 |
$51K |
| 87506 |
|
298 |
275 |
$48K |
| 87510 |
|
2,678 |
2,360 |
$47K |
| 87389 |
|
2,566 |
2,237 |
$46K |
| 80074 |
|
905 |
786 |
$44K |
| 86481 |
|
527 |
482 |
$43K |
| 73721 |
|
650 |
573 |
$42K |
| 86592 |
|
1,774 |
1,511 |
$41K |
| 87081 |
|
2,169 |
1,924 |
$39K |
| 85378 |
|
5,856 |
5,193 |
$39K |
| 88142 |
|
1,968 |
1,733 |
$37K |
| 94770 |
|
1,150 |
1,036 |
$37K |
| 82043 |
|
2,883 |
2,620 |
$37K |
| 82105 |
|
873 |
755 |
$37K |
| 80069 |
|
954 |
783 |
$36K |
| 96372 |
|
13,110 |
9,329 |
$36K |
| 87426 |
|
1,165 |
950 |
$35K |
| 76801 |
|
1,569 |
1,387 |
$34K |
| 87070 |
|
1,865 |
1,600 |
$33K |
| 93350 |
|
372 |
338 |
$33K |
| 83605 |
|
4,459 |
3,756 |
$31K |
| 96367 |
|
528 |
317 |
$31K |
| 87186 |
|
4,905 |
4,370 |
$31K |
| 93005 |
|
26,811 |
21,249 |
$30K |
| 87040 |
|
4,141 |
2,320 |
$28K |
| P9016 |
Rbc leukocytes reduced |
65 |
37 |
$28K |
| 88305 |
|
10,279 |
6,388 |
$28K |
| 96375 |
|
13,567 |
10,770 |
$28K |
| 73630 |
|
3,527 |
3,023 |
$27K |
| 82550 |
|
3,048 |
2,440 |
$26K |
| 86850 |
|
3,736 |
2,935 |
$26K |
| 84145 |
|
1,834 |
1,595 |
$26K |
| 83874 |
|
1,798 |
1,454 |
$24K |
| 72100 |
|
2,213 |
2,042 |
$23K |
| 12011 |
|
294 |
270 |
$23K |
| 76642 |
|
645 |
565 |
$23K |
| 85730 |
|
6,453 |
5,354 |
$23K |
| 71250 |
|
722 |
660 |
$22K |
| 88720 |
|
424 |
329 |
$22K |
| 0002A |
|
885 |
570 |
$22K |
| 85651 |
|
1,770 |
1,583 |
$22K |
| 97802 |
|
1,441 |
1,192 |
$22K |
| 87804 |
|
588 |
524 |
$21K |
| M0245 |
Bamlan and etesev infusion |
70 |
55 |
$21K |
| 86803 |
|
1,855 |
1,641 |
$20K |
| 70486 |
|
662 |
613 |
$20K |
| 83540 |
|
3,695 |
3,106 |
$20K |
| 93970 |
|
564 |
515 |
$20K |
| 0001A |
|
900 |
580 |
$20K |
| 86762 |
|
1,241 |
1,069 |
$20K |
| 92567 |
|
1,201 |
1,089 |
$19K |
| 76536 |
|
469 |
434 |
$19K |
| 64493 |
|
113 |
86 |
$19K |
| 74150 |
|
344 |
314 |
$19K |
| 83550 |
|
3,402 |
2,880 |
$18K |
| 99211 |
|
236 |
119 |
$18K |
| 82746 |
|
1,603 |
1,417 |
$18K |
| 81002 |
|
4,770 |
4,299 |
$17K |
| 76705 |
|
465 |
408 |
$17K |
| 11042 |
|
231 |
121 |
$17K |
| 10060 |
|
211 |
195 |
$17K |
| 84153 |
|
1,042 |
936 |
$17K |
| 84550 |
|
3,091 |
2,281 |
$16K |
| 87660 |
|
1,179 |
1,037 |
$16K |
| 92507 |
|
459 |
111 |
$15K |
| 96374 |
|
20,838 |
17,363 |
$15K |
| 12002 |
|
182 |
165 |
$15K |
| 70498 |
|
217 |
198 |
$15K |
| 87340 |
|
2,451 |
2,088 |
$15K |
| 70496 |
|
197 |
183 |
$15K |
| G0108 |
Diab manage trn per indiv |
408 |
329 |
$14K |
| 73030 |
|
2,374 |
2,111 |
$14K |
| 82784 |
|
678 |
521 |
$14K |
| 87210 |
|
2,343 |
2,099 |
$14K |
| 72141 |
|
244 |
225 |
$13K |
| 76817 |
|
1,971 |
1,572 |
$13K |
| 85652 |
|
5,097 |
4,498 |
$13K |
| 91300 |
|
2,109 |
1,277 |
$13K |
| 77063 |
|
681 |
614 |
$13K |
| 97166 |
|
635 |
491 |
$12K |
| 82553 |
|
1,774 |
1,433 |
$12K |
| 76815 |
|
647 |
567 |
$12K |
| 84100 |
|
4,491 |
2,427 |
$12K |
| 74018 |
|
1,382 |
1,190 |
$11K |
| 82948 |
|
2,605 |
2,252 |
$11K |
| 86901 |
|
4,989 |
3,913 |
$11K |
| 82247 |
|
398 |
222 |
$11K |
| 36415 |
|
37,612 |
29,035 |
$11K |
| 86900 |
|
4,415 |
3,425 |
$11K |
| 86480 |
|
215 |
200 |
$11K |
| 83516 |
|
925 |
756 |
$10K |
| 97803 |
|
500 |
362 |
$10K |
| 73562 |
|
3,103 |
2,707 |
$10K |
| 76770 |
|
224 |
195 |
$10K |
| 64494 |
|
67 |
49 |
$10K |
| 86038 |
|
977 |
837 |
$10K |
| 97116 |
|
881 |
437 |
$9K |
| 92595 |
|
179 |
146 |
$9K |
| 73610 |
|
2,851 |
2,533 |
$8K |
| 0003A |
|
262 |
181 |
$8K |
| 83970 |
|
1,087 |
753 |
$8K |
| C8923 |
2d tte w or w/o fol w/con,co |
107 |
99 |
$8K |
| 73130 |
|
2,280 |
1,968 |
$8K |
| 81003 |
|
3,165 |
2,772 |
$8K |
| J1756 |
Iron sucrose injection |
6,481 |
2,492 |
$8K |
| 87493 |
|
247 |
223 |
$7K |
| 97535 |
|
1,044 |
516 |
$7K |
| 36592 |
|
2,110 |
898 |
$7K |
| 83615 |
|
1,431 |
775 |
$7K |
| 64635 |
|
52 |
42 |
$7K |
| 0031A |
|
254 |
179 |
$7K |
| 64636 |
|
50 |
41 |
$7K |
| M0243 |
Casirivi and imdevi inj |
17 |
16 |
$7K |
| 84132 |
|
1,047 |
654 |
$7K |
| 87522 |
Neg quan hep c or qual rna |
194 |
166 |
$6K |
| 82150 |
|
460 |
412 |
$6K |
| 29125 |
|
143 |
135 |
$6K |
| 93356 |
|
83 |
77 |
$6K |
| 73502 |
|
1,297 |
1,177 |
$6K |
| 43249 |
|
39 |
31 |
$6K |
| 95806 |
|
98 |
93 |
$6K |
| 82010 |
|
899 |
737 |
$6K |
| 87420 |
|
345 |
310 |
$5K |
| 86039 |
|
590 |
516 |
$5K |
| 87205 |
|
1,840 |
1,576 |
$5K |
| 86430 |
|
1,135 |
1,000 |
$5K |
| 90715 |
|
969 |
889 |
$5K |
| 71045 |
|
8,744 |
7,614 |
$5K |
| 81511 |
|
55 |
46 |
$5K |
| 96415 |
|
66 |
38 |
$5K |
| 82677 |
|
204 |
186 |
$5K |
| 87075 |
|
685 |
582 |
$5K |
| G0109 |
Diab manage trn ind/group |
206 |
141 |
$5K |
| J0882 |
Darbepoetin alfa, esrd use |
6,526 |
2,009 |
$5K |
| G0103 |
Psa screening |
363 |
317 |
$4K |
| 99001 |
|
412 |
341 |
$4K |
| 80177 |
|
259 |
199 |
$4K |
| 93321 |
|
57 |
52 |
$4K |
| 84403 |
|
197 |
181 |
$4K |
| 82951 |
|
86 |
79 |
$4K |
| 90686 |
|
390 |
349 |
$4K |
| 71271 |
|
58 |
53 |
$4K |
| 73110 |
|
1,578 |
1,401 |
$3K |
| 86336 |
|
204 |
186 |
$3K |
| 77080 |
|
54 |
52 |
$3K |
| 82248 |
|
715 |
463 |
$3K |
| 84703 |
|
229 |
200 |
$3K |
| 70551 |
|
62 |
53 |
$3K |
| 74183 |
|
32 |
24 |
$3K |
| 43235 |
|
13 |
12 |
$3K |
| 86780 |
|
282 |
264 |
$3K |
| 93308 |
|
25 |
24 |
$3K |
| 70491 |
|
40 |
37 |
$3K |
| 93923 |
|
60 |
51 |
$3K |
| 85018 |
|
4,399 |
3,025 |
$3K |
| 92591 |
|
14 |
12 |
$3K |
| 84112 |
|
42 |
37 |
$2K |
| 86706 |
|
112 |
101 |
$2K |
| C8928 |
Tte w or w/o fol w/con,stres |
25 |
25 |
$2K |
| G0008 |
Admin influenza virus vac |
387 |
347 |
$2K |
| 72072 |
|
167 |
154 |
$2K |
| 93880 |
|
62 |
57 |
$2K |
| 73564 |
|
120 |
87 |
$2K |
| 88304 |
|
1,118 |
1,019 |
$2K |
| 73221 |
|
39 |
37 |
$2K |
| 73080 |
|
780 |
711 |
$2K |
| 29515 |
|
29 |
24 |
$2K |
| 88342 |
|
2,692 |
2,350 |
$2K |
| 91303 |
|
253 |
178 |
$2K |
| 92552 |
|
17 |
13 |
$2K |
| 83001 |
|
93 |
81 |
$2K |
| 84520 |
|
5,164 |
2,785 |
$2K |
| C8929 |
Tte w or wo fol wcon,doppler |
28 |
26 |
$2K |
| 0124A |
|
74 |
40 |
$2K |
| 97597 |
|
23 |
12 |
$2K |
| 84480 |
|
99 |
91 |
$2K |
| 80164 |
|
89 |
68 |
$1K |
| 86618 |
|
52 |
49 |
$1K |
| 86160 |
|
83 |
76 |
$1K |
| 87324 |
|
102 |
89 |
$1K |
| 76942 |
|
129 |
97 |
$1K |
| 76870 |
|
26 |
25 |
$1K |
| 80175 |
|
25 |
24 |
$1K |
| 86665 |
|
33 |
31 |
$1K |
| 97165 |
|
44 |
31 |
$1K |
| 64488 |
|
45 |
43 |
$1K |
| 82274 |
|
12 |
12 |
$1K |
| 87880 |
|
81 |
61 |
$1K |
| 82952 |
|
100 |
91 |
$1K |
| 83655 |
|
43 |
39 |
$1K |
| 29130 |
|
14 |
12 |
$1K |
| 94010 |
|
53 |
52 |
$1K |
| 86317 |
|
222 |
150 |
$1K |
| 94642 |
|
28 |
28 |
$1K |
| 73140 |
|
887 |
834 |
$1K |
| 86308 |
|
70 |
66 |
$1K |
| 72050 |
|
127 |
117 |
$1K |
| 82533 |
|
16 |
12 |
$1K |
| 74230 |
|
13 |
13 |
$989.36 |
| A9502 |
Tc99m tetrofosmin |
516 |
401 |
$967.22 |
| 76000 |
|
94 |
81 |
$934.85 |
| 84460 |
|
594 |
385 |
$920.23 |
| J2405 |
Ondansetron hcl injection |
16,788 |
11,667 |
$907.05 |
| 87449 |
|
124 |
109 |
$895.63 |
| 92555 |
|
21 |
16 |
$861.67 |
| 93225 |
|
25 |
25 |
$848.70 |
| 82310 |
|
577 |
281 |
$805.19 |
| 72110 |
|
27 |
20 |
$799.37 |
| 87899 |
|
62 |
29 |
$797.28 |
| 95886 |
|
12 |
12 |
$796.63 |
| 71101 |
|
488 |
443 |
$756.59 |
| 90471 |
|
1,256 |
1,088 |
$752.57 |
| J1642 |
Inj heparin sodium per 10 u |
3,081 |
1,183 |
$747.39 |
| 74022 |
|
711 |
640 |
$732.87 |
| 82140 |
|
47 |
37 |
$716.14 |
| 73590 |
|
408 |
352 |
$699.65 |
| 76999 |
|
29 |
26 |
$681.60 |
| 84155 |
|
608 |
404 |
$656.98 |
| 82378 |
|
31 |
25 |
$639.80 |
| 94060 |
|
26 |
24 |
$630.85 |
| G0463 |
Hospital outpt clinic visit |
163 |
79 |
$629.15 |
| 82570 |
|
147 |
122 |
$575.03 |
| 86664 |
|
33 |
31 |
$573.99 |
| 96376 |
|
2,048 |
1,644 |
$564.36 |
| 86580 |
|
14 |
12 |
$563.16 |
| 94727 |
|
259 |
244 |
$552.66 |
| 87046 |
|
93 |
87 |
$544.53 |
| 0072A |
|
44 |
12 |
$522.65 |
| 86200 |
|
58 |
55 |
$513.74 |
| L3908 |
Who cock-up nonmolde pre ots |
349 |
327 |
$504.42 |
| 93325 |
|
41 |
40 |
$496.87 |
| 86663 |
|
33 |
31 |
$492.46 |
| 87015 |
|
50 |
47 |
$489.22 |
| 86235 |
|
14 |
14 |
$481.78 |
| 97163 |
|
14 |
12 |
$465.43 |
| 84165 |
|
59 |
50 |
$425.76 |
| 93296 |
|
40 |
39 |
$408.42 |
| 86735 |
|
48 |
41 |
$379.46 |
| 86765 |
|
48 |
41 |
$374.67 |
| 73090 |
|
95 |
82 |
$343.22 |
| 87147 |
|
82 |
72 |
$317.53 |
| 94729 |
|
276 |
260 |
$312.81 |
| J7512 |
Prednisone ir or dr oral 1mg |
3,464 |
1,986 |
$304.85 |
| J2765 |
Metoclopramide hcl injection |
2,957 |
2,346 |
$297.54 |
| J1885 |
Ketorolac tromethamine inj |
12,504 |
9,437 |
$294.54 |
| 86225 |
|
27 |
27 |
$291.48 |
| 83883 |
|
13 |
12 |
$283.26 |
| 90656 |
|
34 |
34 |
$267.73 |
| L1830 |
Ko immob canvas long pre ots |
296 |
269 |
$252.17 |
| 86334 |
|
13 |
12 |
$248.45 |
| J1170 |
Hydromorphone injection |
5,462 |
3,640 |
$225.52 |
| 84156 |
|
89 |
77 |
$221.91 |
| 88307 |
|
104 |
72 |
$219.12 |
| J0696 |
Ceftriaxone sodium injection |
4,496 |
3,152 |
$170.83 |
| 86812 |
|
17 |
14 |
$163.91 |
| J2704 |
Inj, propofol, 10 mg |
8,493 |
6,115 |
$158.05 |
| 77065 |
Tomosynthesis, mammo |
12 |
12 |
$154.76 |
| J2270 |
Morphine sulfate injection |
4,969 |
3,098 |
$145.17 |
| J0690 |
Cefazolin sodium injection |
3,419 |
2,276 |
$142.84 |
| 76376 |
|
55 |
48 |
$135.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
10,144 |
8,796 |
$133.73 |
| 72170 |
|
64 |
60 |
$122.06 |
| J2785 |
Regadenoson injection |
299 |
273 |
$120.44 |
| 73560 |
|
50 |
39 |
$104.83 |
| V2632 |
Post chmbr intraocular lens |
437 |
340 |
$101.77 |
| J1097 |
Phenylep ketorolac opth soln |
24 |
14 |
$101.45 |
| 94760 |
|
1,512 |
1,338 |
$93.23 |
| 76998 |
|
119 |
96 |
$91.69 |
| J2930 |
Methylprednisolone injection |
1,411 |
983 |
$86.81 |
| 77066 |
Tomosynthesis, mammo |
12 |
12 |
$86.66 |
| 84466 |
|
244 |
176 |
$77.70 |
| J7120 |
Ringers lactate infusion |
128 |
88 |
$75.57 |
| 82040 |
|
400 |
231 |
$75.17 |
| J3301 |
Triamcinolone acet inj nos |
913 |
774 |
$70.21 |
| 51798 |
|
120 |
91 |
$62.86 |
| Q0245 |
Bamlanivimab and etesevima |
57 |
46 |
$62.36 |
| 86923 |
|
45 |
24 |
$54.62 |
| 84295 |
|
410 |
237 |
$52.90 |
| Q0162 |
Ondansetron oral |
2,120 |
1,775 |
$49.00 |
| J0171 |
Adrenalin epinephrine inject |
1,198 |
794 |
$48.63 |
| J1200 |
Diphenhydramine hcl injectio |
3,398 |
2,646 |
$46.39 |
| J2250 |
Inj midazolam hydrochloride |
7,906 |
6,477 |
$43.43 |
| J3010 |
Fentanyl citrate injection |
6,103 |
5,121 |
$42.25 |
| 82374 |
|
393 |
224 |
$41.22 |
| J2501 |
Paricalcitol |
23,475 |
1,807 |
$37.68 |
| J3475 |
Inj magnesium sulfate |
1,726 |
888 |
$20.82 |
| C1769 |
Guide wire |
205 |
177 |
$16.77 |
| J1100 |
Dexamethasone sodium phos |
7,086 |
5,549 |
$15.74 |
| J1940 |
Furosemide injection |
98 |
55 |
$12.57 |
| L1906 |
Afo multilig ank sup pre ots |
389 |
360 |
$12.56 |
| V5266 |
Battery for hearing device |
16 |
13 |
$12.35 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
797 |
570 |
$11.61 |
| J1650 |
Inj enoxaparin sodium |
2,919 |
1,119 |
$9.11 |
| J2795 |
Ropivacaine hcl injection |
1,818 |
1,275 |
$7.00 |
| J1644 |
Inj heparin sodium per 1000u |
567 |
287 |
$6.59 |
| A9576 |
Inj prohance multipack |
1,280 |
1,122 |
$6.25 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
2,299 |
1,825 |
$6.25 |
| C9113 |
Inj pantoprazole sodium, via |
1,564 |
782 |
$5.86 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
568 |
503 |
$5.01 |
| J1453 |
Fosaprepitant injection |
19 |
12 |
$2.77 |
| A9579 |
Gad-base mr contrast nos,1ml |
632 |
562 |
$2.05 |
| J3480 |
Inj potassium chloride |
705 |
388 |
$1.49 |
| J2372 |
Inj, biorphen, 20 micrograms |
45 |
42 |
$0.89 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
82 |
57 |
$0.50 |
| Q0243 |
Casirivimab and imdevimab |
17 |
15 |
$0.11 |
| 91312 |
|
68 |
38 |
$0.09 |
| 91305 |
|
25 |
16 |
$0.02 |
| 91307 |
|
51 |
14 |
$0.01 |
| J2370 |
Phenylephrine hcl injection |
98 |
85 |
$0.00 |
| J2060 |
Lorazepam injection |
2,241 |
1,652 |
$0.00 |
| J8540 |
Oral dexamethasone |
264 |
162 |
$0.00 |
| J1250 |
Inj dobutamine hcl/250 mg |
25 |
24 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
148 |
117 |
$0.00 |
| 99406 |
|
67 |
67 |
$0.00 |
| J3360 |
Diazepam injection |
46 |
40 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
59 |
50 |
$0.00 |
| J0500 |
Dicyclomine injection |
43 |
31 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
34 |
28 |
$0.00 |
| J1815 |
Insulin injection |
892 |
219 |
$0.00 |
| J2001 |
Lidocaine injection |
63 |
57 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
242 |
94 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
77 |
48 |
$0.00 |
| J1790 |
Droperidol injection |
17 |
12 |
$0.00 |
| G8991 |
Other pt/ot goal status |
33 |
25 |
$0.00 |
| J1920 |
Inj, labetalol hcl, 5mg |
46 |
36 |
$0.00 |
| G8980 |
Mobility d/c status |
33 |
25 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
17 |
16 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
92 |
75 |
$0.00 |
| P9612 |
Catheterize for urine spec |
26 |
26 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
25 |
21 |
$0.00 |
| J0604 |
Cinacalcet, esrd on dialysis |
14 |
14 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
15 |
12 |
$0.00 |
| J1630 |
Haloperidol injection |
16 |
13 |
$0.00 |
| G8979 |
Mobility goal status |
339 |
241 |
$0.00 |
| G1004 |
Cdsm ndsc |
1,696 |
1,186 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
152 |
137 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
59 |
48 |
$0.00 |
| J0780 |
Prochlorperazine injection |
280 |
223 |
$0.00 |
| G8978 |
Mobility current status |
272 |
210 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
295 |
122 |
$0.00 |
| A9577 |
Inj multihance |
30 |
27 |
$0.00 |
| J0736 |
Inj, clindamycin phosp 300mg |
13 |
12 |
$0.00 |
| C1776 |
Joint device (implantable) |
25 |
24 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
177 |
139 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
57 |
50 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
110 |
88 |
$0.00 |
| J2916 |
Na ferric gluconate complex |
101 |
41 |
$0.00 |
| J0689 |
Inj cefazolin sodium, baxter |
15 |
13 |
$0.00 |
| J0694 |
Cefoxitin sodium injection |
17 |
12 |
$0.00 |
| C1760 |
Closure dev, vasc |
16 |
12 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
96 |
62 |
$0.00 |
| J1580 |
Garamycin gentamicin inj |
19 |
14 |
$0.00 |
| 51701 |
|
14 |
13 |
$0.00 |