NPI: 1023097771 · ALMA, MI 48801 · Specialty Pharmacy · NPI assigned 01/11/2006
Authorized official JAMES, SARAH controls 20+ related entities in our dataset. Read more
| Authorized Official | JAMES, SARAH (MANAGER, PROVIDER ENROLLMENT) |
| NPI Enumeration Date | 01/11/2006 |
Other providers sharing the same authorized official: JAMES, SARAH
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 129,488 | $3.24M |
| 2019 | 154,776 | $3.51M |
| 2020 | 137,117 | $3.21M |
| 2021 | 181,406 | $4.63M |
| 2022 | 196,505 | $5.14M |
| 2023 | 118,100 | $3.37M |
| 2024 | 69,902 | $2.22M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99284 | Emergency department visit for the evaluation and management, high severity | 25,961 | 24,072 | $4.91M |
| 99283 | Emergency department visit for the evaluation and management, moderate severity | 28,486 | 27,092 | $3.43M |
| 99285 | Emergency department visit for the evaluation and management, high severity with immediate threat to life | 10,155 | 9,358 | $3.22M |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 14,146 | 12,754 | $1.39M |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 5,925 | 5,693 | $837K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 8,596 | 6,714 | $795K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 9,846 | 9,553 | $723K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 27,689 | 8,515 | $652K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 12,100 | 9,624 | $622K |
| 70450 | Computed tomography, head or brain; without contrast material | 4,785 | 4,609 | $492K |
| 96361 | Intravenous infusion, hydration; each additional hour | 15,019 | 12,768 | $482K |
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | 4,446 | 4,126 | $443K |
| 96375 | Therapeutic injection; each additional sequential IV push | 13,313 | 11,394 | $420K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 17,693 | 16,951 | $388K |
| 71046 | Radiologic examination, chest; 2 views | 9,914 | 9,428 | $353K |
| 59025 | Fetal non-stress test | 3,735 | 2,176 | $338K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1,472 | 1,447 | $319K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | 2,733 | 2,626 | $285K |
| 71045 | Radiologic examination, chest; single view | 5,532 | 5,290 | $228K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 5,602 | 1,890 | $228K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 1,184 | 554 | $215K |
| 71275 | Computed tomographic angiography, chest, with contrast material | 2,150 | 2,059 | $211K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 437 | 430 | $205K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 14,187 | 5,007 | $199K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 3,469 | 3,451 | $173K |
| 76830 | Ultrasound, transvaginal | 2,696 | 2,650 | $161K |
| 80061 | Lipid panel | 10,420 | 10,303 | $144K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | 2,369 | 2,307 | $139K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 2,758 | 2,198 | $138K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 4,832 | 1,779 | $137K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 2,293 | 2,266 | $129K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 5,215 | 2,435 | $125K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 352 | 346 | $124K |
| 94060 | 817 | 807 | $109K | |
| 97161 | 1,912 | 1,892 | $103K | |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | 635 | 342 | $100K |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | 830 | 815 | $96K |
| 96366 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour | 3,040 | 2,198 | $88K |
| 97162 | 1,568 | 1,530 | $78K | |
| 76801 | 1,222 | 1,100 | $75K | |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | 346 | 345 | $72K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 1,166 | 1,158 | $70K |
| G0378 | Hospital observation service, per hour | 2,998 | 1,878 | $70K |
| G0379 | Direct admission of patient for hospital observation care | 107 | 104 | $69K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 6,433 | 6,325 | $66K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 6,377 | 6,278 | $66K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | 1,429 | 1,401 | $64K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 15,383 | 13,692 | $54K |
| 93971 | 943 | 911 | $53K | |
| 84443 | Thyroid stimulating hormone (TSH) | 17,270 | 16,607 | $51K |
| 80053 | Comprehensive metabolic panel | 50,866 | 44,189 | $50K |
| 96367 | 1,328 | 850 | $50K | |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | 427 | 423 | $48K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 55,151 | 46,370 | $39K |
| 72100 | 1,125 | 1,112 | $37K | |
| 73630 | 3,081 | 2,878 | $36K | |
| 76857 | 648 | 636 | $36K | |
| 77063 | Screening digital breast tomosynthesis, bilateral | 2,486 | 2,479 | $33K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 3,764 | 3,725 | $30K |
| 76770 | 505 | 491 | $29K | |
| 76536 | 521 | 516 | $28K | |
| 72125 | Computed tomography, cervical spine; without contrast material | 1,739 | 1,700 | $27K |
| 36591 | 512 | 311 | $27K | |
| 72131 | 531 | 526 | $26K | |
| 73030 | 1,829 | 1,757 | $26K | |
| 73564 | 1,566 | 1,480 | $26K | |
| 86900 | 3,319 | 3,020 | $26K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 4,553 | 4,318 | $25K |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 532 | 465 | $23K |
| 73610 | 2,208 | 2,082 | $22K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 57 | 53 | $22K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1,032 | 1,016 | $22K |
| G0433 | Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening | 2,716 | 2,709 | $21K |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | 145 | 144 | $20K |
| 73130 | 2,194 | 2,068 | $20K | |
| 93225 | 468 | 465 | $19K | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 3,569 | 3,452 | $18K |
| 83036 | Hemoglobin; glycosylated (A1C) | 8,213 | 8,138 | $18K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 8,825 | 7,614 | $18K |
| 76642 | 387 | 383 | $17K | |
| 82607 | 4,407 | 4,280 | $17K | |
| 97116 | 1,201 | 557 | $16K | |
| 73110 | 1,342 | 1,258 | $16K | |
| 36415 | Collection of venous blood by venipuncture | 53,636 | 46,037 | $16K |
| L4350 | Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf | 285 | 282 | $15K |
| 74018 | 1,157 | 1,111 | $14K | |
| 82728 | 4,416 | 4,237 | $14K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | 11,736 | 11,061 | $14K |
| 71271 | 202 | 202 | $13K | |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | 1,991 | 1,990 | $13K |
| 87653 | 1,216 | 1,213 | $12K | |
| 97597 | 181 | 74 | $12K | |
| 73562 | 453 | 438 | $12K | |
| 73502 | 699 | 658 | $11K | |
| G0476 | Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test | 1,167 | 1,165 | $10K |
| 82746 | 2,597 | 2,497 | $9K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | 137 | 132 | $8K |
| 87808 | 2,698 | 2,658 | $8K | |
| 86803 | 2,273 | 2,261 | $8K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 859 | 832 | $8K |
| 70491 | 81 | 76 | $8K | |
| 70496 | 128 | 123 | $8K | |
| 80306 | 5,980 | 5,520 | $8K | |
| 84439 | 4,110 | 4,009 | $8K | |
| 80048 | Basic metabolic panel (calcium, ionized) | 7,010 | 6,137 | $7K |
| 83550 | 3,585 | 3,445 | $7K | |
| 87081 | 10,205 | 9,955 | $7K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 14 | 14 | $7K |
| 71250 | 160 | 158 | $7K | |
| 84702 | 2,798 | 2,118 | $7K | |
| 93017 | 180 | 178 | $7K | |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed | 6,631 | 5,846 | $6K |
| J7030 | Infusion, normal saline solution , 1000 cc | 19,070 | 15,350 | $6K |
| 80074 | 583 | 580 | $6K | |
| 97533 | 210 | 65 | $6K | |
| 64493 | 14 | 12 | $6K | |
| 87186 | 4,208 | 3,975 | $6K | |
| 83540 | 3,950 | 3,792 | $6K | |
| 88342 | 391 | 382 | $6K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 12 | 12 | $6K |
| 85027 | 4,076 | 3,850 | $5K | |
| G0145 | Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision | 343 | 342 | $5K |
| 82951 | 1,097 | 1,067 | $5K | |
| 81001 | 29,805 | 27,036 | $5K | |
| 73080 | 397 | 382 | $4K | |
| 88304 | 1,003 | 983 | $4K | |
| 80055 | 298 | 298 | $4K | |
| 72141 | 24 | 24 | $4K | |
| 70486 | 93 | 92 | $4K | |
| 87088 | 3,181 | 3,058 | $4K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 12 | 12 | $4K |
| 78227 | 14 | 13 | $4K | |
| 87077 | 2,855 | 2,698 | $4K | |
| 82043 | 2,366 | 2,354 | $3K | |
| 83735 | 12,260 | 10,741 | $3K | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 8,805 | 8,347 | $3K |
| 86592 | 1,990 | 1,968 | $3K | |
| G0328 | Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous | 194 | 191 | $3K |
| 87070 | 1,801 | 1,778 | $3K | |
| 74183 | 12 | 12 | $3K | |
| 87075 | 1,947 | 1,816 | $3K | |
| 83880 | 3,491 | 3,238 | $3K | |
| 86140 | 9,006 | 8,077 | $2K | |
| 72040 | 80 | 80 | $2K | |
| 87340 | 1,392 | 1,371 | $2K | |
| 86038 | 807 | 798 | $2K | |
| 84146 | 513 | 497 | $2K | |
| 72110 | 136 | 133 | $2K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 3,349 | 2,723 | $2K |
| 85610 | 8,005 | 6,759 | $2K | |
| 73590 | 347 | 329 | $2K | |
| 87220 | 2,318 | 2,273 | $2K | |
| 87205 | 1,996 | 1,955 | $2K | |
| 80076 | 977 | 855 | $2K | |
| 77066 | Tomosynthesis, mammo | 29 | 29 | $2K |
| 92523 | 12 | 12 | $2K | |
| 83970 | 117 | 113 | $2K | |
| 74019 | 79 | 77 | $2K | |
| 93970 | 14 | 13 | $2K | |
| 85730 | 4,218 | 3,868 | $1K | |
| 83690 | 10,548 | 9,513 | $1K | |
| G0103 | Prostate cancer screening; prostate specific antigen test (psa) | 246 | 246 | $1K |
| 97163 | 28 | 28 | $1K | |
| 87276 | 11,013 | 10,665 | $1K | |
| 82570 | 969 | 945 | $1K | |
| 85652 | 3,735 | 3,528 | $1K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 726 | 634 | $1K |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | 66 | 66 | $1K |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 94 | 94 | $1K |
| 84100 | 1,302 | 1,076 | $1K | |
| 29515 | 14 | 14 | $1K | |
| 96417 | 22 | 12 | $1K | |
| 81025 | 11,272 | 10,521 | $1K | |
| 86850 | 3,053 | 2,776 | $1K | |
| 82784 | 233 | 219 | $1K | |
| 87275 | 11,013 | 10,665 | $1K | |
| 86703 | 534 | 520 | $968.86 | |
| 87430 | 8,284 | 8,106 | $943.65 | |
| 82550 | 1,372 | 1,225 | $785.19 | |
| 73090 | 245 | 232 | $781.93 | |
| 84481 | 155 | 154 | $754.87 | |
| 77080 | 12 | 12 | $716.77 | |
| 84703 | 3,370 | 3,265 | $668.30 | |
| 84403 | 84 | 82 | $659.52 | |
| 77065 | Tomosynthesis, mammo | 13 | 12 | $600.32 |
| 74022 | 203 | 200 | $600.22 | |
| 87427 | 127 | 107 | $583.48 | |
| 87807 | 3,609 | 3,509 | $547.65 | |
| 86431 | 409 | 403 | $498.46 | |
| 70498 | 102 | 99 | $483.43 | |
| 94726 | 340 | 338 | $442.01 | |
| 84550 | 458 | 430 | $423.28 | |
| 82565 | 298 | 266 | $422.96 | |
| 82947 | 350 | 338 | $416.75 | |
| 72072 | 12 | 12 | $407.82 | |
| 83615 | 427 | 368 | $399.76 | |
| 83516 | 99 | 92 | $367.02 | |
| 85379 | 4,187 | 4,009 | $360.44 | |
| 83001 | 81 | 81 | $335.91 | |
| G0297 | Low dose ct scan (ldct) for lung cancer screening | 14 | 12 | $316.20 |
| 85576 | 40 | 40 | $301.03 | |
| 86901 | 3,317 | 3,019 | $299.09 | |
| 76870 | 13 | 13 | $285.20 | |
| 81002 | 467 | 456 | $270.27 | |
| 90715 | 659 | 657 | $244.44 | |
| 82105 | 42 | 42 | $243.76 | |
| 82140 | 219 | 199 | $241.30 | |
| 87046 | 108 | 108 | $237.12 | |
| 87045 | 108 | 108 | $237.12 | |
| 84153 | 38 | 38 | $236.04 | |
| J7120 | Ringers lactate infusion, up to 1000 cc | 3,505 | 3,225 | $228.00 |
| 86762 | 436 | 423 | $214.84 | |
| 83605 | 10,225 | 9,129 | $153.34 | |
| 87040 | 2,523 | 2,166 | $151.52 | |
| 84480 | 39 | 39 | $148.33 | |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | 14 | 14 | $131.04 |
| 84484 | 9,884 | 8,188 | $130.63 | |
| 71101 | 13 | 12 | $129.68 | |
| 82670 | 12 | 12 | $123.33 | |
| 86141 | 25 | 24 | $116.83 | |
| 82248 | 110 | 78 | $113.81 | |
| 85046 | 74 | 67 | $109.13 | |
| 82962 | 8,175 | 6,120 | $104.84 | |
| 86308 | 431 | 428 | $101.39 | |
| 84145 | 1,948 | 1,839 | $100.62 | |
| 51798 | 290 | 283 | $97.79 | |
| 84156 | 91 | 87 | $88.10 | |
| 80164 | 28 | 28 | $59.72 | |
| 86200 | 12 | 12 | $56.43 | |
| 84520 | 42 | 37 | $52.36 | |
| 87338 | 12 | 12 | $45.45 | |
| 12001 | 551 | 549 | $42.36 | |
| J0665 | Injection, bupivicaine, not otherwise specified, 0.5 mg | 333 | 195 | $36.59 |
| 87449 | 14 | 14 | $30.12 | |
| 87324 | 25 | 25 | $30.12 | |
| 86706 | 12 | 12 | $26.72 | |
| 82310 | 14 | 13 | $22.93 | |
| 80069 | 16 | 13 | $21.03 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 11,686 | 10,332 | $20.76 |
| 82010 | 393 | 361 | $20.13 | |
| 82040 | 13 | 13 | $18.75 | |
| 29125 | 63 | 61 | $17.35 | |
| 85018 | 49 | 42 | $12.15 | |
| 85014 | 32 | 27 | $11.59 | |
| 82803 | 599 | 571 | $10.65 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | 13,295 | 10,840 | $9.00 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 6,810 | 6,245 | $8.99 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | 3,838 | 3,480 | $7.56 |
| J2270 | Injection, morphine sulfate, up to 10 mg | 4,959 | 3,596 | $5.64 |
| J1170 | Injection, hydromorphone, up to 4 mg | 4,789 | 3,420 | $3.86 |
| A9270 | Non-covered item or service | 2,652 | 2,080 | $2.10 |
| J0690 | Injection, cefazolin sodium, 500 mg | 1,233 | 973 | $0.00 |
| Q0162 | Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen | 1,709 | 1,613 | $0.00 |
| J2060 | Injection, lorazepam, 2 mg | 1,273 | 1,045 | $0.00 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | 3,478 | 3,194 | $0.00 |
| J2360 | Injection, orphenadrine citrate, up to 60 mg | 752 | 719 | $0.00 |
| J7512 | Prednisone, immediate release or delayed release, oral, 1 mg | 998 | 890 | $0.00 |
| 96376 | 3,558 | 2,670 | $0.00 | |
| J2765 | Injection, metoclopramide hcl, up to 10 mg | 1,937 | 1,748 | $0.00 |
| J7050 | Infusion, normal saline solution, 250 cc | 2,711 | 2,003 | $0.00 |
| J1630 | Injection, haloperidol, up to 5 mg | 350 | 314 | $0.00 |
| A9579 | Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml | 1,071 | 1,040 | $0.00 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 3,093 | 2,640 | $0.00 |
| J3480 | Injection, potassium chloride, per 2 meq | 201 | 141 | $0.00 |
| J0131 | Injection, acetaminophen, not otherwise specified,10 mg | 1,248 | 1,084 | $0.00 |
| J2704 | Injection, propofol, 10 mg | 1,308 | 1,291 | $0.00 |
| J0500 | Injection, dicyclomine hcl, up to 20 mg | 174 | 166 | $0.00 |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 16 | 15 | $0.00 |
| 96368 | 243 | 209 | $0.00 | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 28 | 27 | $0.00 |
| J2805 | Injection, sincalide, 5 micrograms | 13 | 12 | $0.00 |
| J0330 | Injection, succinylcholine chloride, up to 20 mg | 105 | 99 | $0.00 |
| J3360 | Injection, diazepam, up to 5 mg | 14 | 12 | $0.00 |
| J2470 | Injection, pantoprazole sodium, 40 mg | 22 | 17 | $0.00 |
| J2543 | Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) | 31 | 13 | $0.00 |
| J2785 | Injection, regadenoson, 0.1 mg | 12 | 12 | $0.00 |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 20 | 12 | $0.00 |
| 64494 | 19 | 12 | $0.00 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 13 | 13 | $0.00 |
| C9113 | Injection, pantoprazole sodium, per vial | 643 | 501 | $0.00 |
| J1756 | Injection, iron sucrose, 1 mg | 372 | 157 | $0.00 |
| J2710 | Injection, neostigmine methylsulfate, up to 0.5 mg | 503 | 478 | $0.00 |
| J7040 | Infusion, normal saline solution, sterile (500 ml = 1 unit) | 991 | 836 | $0.00 |
| 93226 | 468 | 465 | $0.00 | |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | 4,228 | 3,662 | $0.00 |
| J3475 | Injection, magnesium sulfate, per 500 mg | 1,307 | 1,106 | $0.00 |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | 1,804 | 1,604 | $0.00 |
| J0780 | Injection, prochlorperazine, up to 10 mg | 29 | 29 | $0.00 |
| J3370 | Injection, vancomycin hcl, 500 mg | 23 | 12 | $0.00 |
| 94729 | 395 | 393 | $0.00 | |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | 239 | 178 | $0.00 |
| J2550 | Injection, promethazine hcl, up to 50 mg | 68 | 55 | $0.00 |
| 86318 | 26 | 26 | $0.00 | |
| J1644 | Injection, heparin sodium, per 1000 units | 331 | 131 | $0.00 |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | 39 | 39 | $0.00 |
| J1171 | Injection, hydromorphone, 0.1 mg | 102 | 76 | $0.00 |
| A9537 | Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries | 26 | 25 | $0.00 |
| J2919 | Injection, methylprednisolone sodium succinate, 5 mg | 57 | 44 | $0.00 |
| Q0177 | Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen | 35 | 27 | $0.00 |
| L1830 | Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf | 44 | 44 | $0.00 |
| 12011 | 13 | 13 | $0.00 | |
| J1956 | Injection, levofloxacin, 250 mg | 13 | 12 | $0.00 |
| J1650 | Injection, enoxaparin sodium, 10 mg | 17 | 12 | $0.00 |
| J1020 | Injection, methylprednisolone acetate, 20 mg | 14 | 14 | $0.00 |