| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
28,797 |
25,527 |
$8.52M |
| G0463 |
Hospital outpt clinic visit |
94,983 |
75,283 |
$4.18M |
| 99284 |
|
15,845 |
14,502 |
$2.87M |
| 99283 |
|
20,981 |
19,696 |
$2.64M |
| 96374 |
|
17,302 |
14,996 |
$1.58M |
| 87636 |
|
12,366 |
11,883 |
$969K |
| 45380 |
|
2,057 |
2,045 |
$817K |
| 43239 |
|
2,576 |
2,554 |
$761K |
| 96361 |
|
16,003 |
12,613 |
$701K |
| U0003 |
Cov-19 amp prb hgh thruput |
10,773 |
10,400 |
$609K |
| 87491 |
|
28,292 |
27,686 |
$581K |
| 87591 |
|
27,091 |
26,549 |
$555K |
| H0005 |
Alcohol and/or drug services |
10,961 |
2,634 |
$522K |
| 74177 |
|
4,448 |
4,322 |
$502K |
| 96365 |
|
5,783 |
4,285 |
$483K |
| 96360 |
|
4,619 |
4,150 |
$449K |
| 87661 |
|
21,227 |
20,608 |
$428K |
| 70450 |
|
4,142 |
3,940 |
$419K |
| G0378 |
Hospital observation per hr |
3,263 |
2,807 |
$418K |
| 71046 |
|
11,918 |
11,178 |
$417K |
| 96375 |
|
13,800 |
10,908 |
$403K |
| 80061 |
|
31,248 |
31,066 |
$369K |
| 96413 |
|
2,190 |
1,281 |
$343K |
| 97110 |
|
17,819 |
6,096 |
$337K |
| 90837 |
|
3,081 |
2,026 |
$315K |
| 99282 |
|
4,066 |
3,958 |
$313K |
| 80053 |
|
63,758 |
58,236 |
$305K |
| 84443 |
|
32,395 |
31,710 |
$302K |
| 87635 |
|
6,778 |
6,535 |
$260K |
| 85025 |
|
77,275 |
66,005 |
$227K |
| 81513 |
|
2,459 |
2,405 |
$219K |
| 99291 |
|
470 |
461 |
$212K |
| 20610 |
|
1,651 |
1,323 |
$208K |
| 87481 |
|
6,819 |
6,657 |
$203K |
| 45385 |
|
613 |
606 |
$197K |
| 87389 |
|
13,853 |
13,786 |
$193K |
| 80307 |
|
10,328 |
9,657 |
$192K |
| U0005 |
Infec agen detec ampli probe |
9,744 |
9,406 |
$186K |
| 97161 |
|
3,184 |
3,113 |
$168K |
| 83036 |
|
28,093 |
27,918 |
$163K |
| 76705 |
|
2,830 |
2,752 |
$160K |
| 77067 |
|
3,238 |
3,234 |
$154K |
| 69436 |
|
254 |
250 |
$151K |
| 90791 |
|
2,911 |
2,668 |
$146K |
| 76856 |
|
2,893 |
2,838 |
$143K |
| 76830 |
|
2,603 |
2,552 |
$143K |
| H2027 |
Psychoed svc, per 15 min |
3,975 |
839 |
$139K |
| 97112 |
|
6,270 |
2,576 |
$138K |
| 93975 |
|
1,277 |
1,236 |
$135K |
| 76816 |
|
3,127 |
2,729 |
$132K |
| 74176 |
|
1,372 |
1,345 |
$129K |
| 71260 |
|
1,555 |
1,534 |
$124K |
| 82306 |
|
6,895 |
6,862 |
$124K |
| G0480 |
Drug test def 1-7 classes |
4,236 |
3,850 |
$119K |
| 97530 |
|
5,391 |
2,426 |
$108K |
| 88175 |
|
6,536 |
6,527 |
$105K |
| 70553 |
|
547 |
543 |
$103K |
| 87624 |
|
4,796 |
4,789 |
$101K |
| H0001 |
Alcohol and/or drug assess |
734 |
734 |
$99K |
| 97140 |
|
6,926 |
2,894 |
$99K |
| 64721 |
|
124 |
118 |
$94K |
| 80074 |
|
3,326 |
3,316 |
$92K |
| 90460 |
|
2,682 |
2,663 |
$91K |
| 76801 |
|
1,606 |
1,592 |
$91K |
| 93306 |
|
428 |
426 |
$91K |
| 96372 |
|
13,876 |
11,149 |
$90K |
| 99281 |
|
1,779 |
1,732 |
$89K |
| 90677 |
|
638 |
635 |
$88K |
| 87511 |
|
4,136 |
4,035 |
$87K |
| 42820 |
|
39 |
38 |
$87K |
| 76805 |
|
1,494 |
1,485 |
$83K |
| 85027 |
|
25,634 |
23,722 |
$83K |
| 80048 |
|
31,492 |
26,647 |
$81K |
| C8929 |
Tte w or wo fol wcon,doppler |
280 |
279 |
$76K |
| 99396 |
|
1,182 |
1,177 |
$74K |
| 87086 |
|
17,050 |
16,264 |
$71K |
| 86803 |
|
7,994 |
7,968 |
$68K |
| 86780 |
|
8,049 |
7,998 |
$68K |
| U0002 |
Covid-19 lab test non-cdc |
2,680 |
2,550 |
$67K |
| 96366 |
|
2,572 |
1,638 |
$66K |
| 84702 |
|
11,731 |
9,843 |
$64K |
| 88305 |
|
8,045 |
7,899 |
$60K |
| 82728 |
|
7,135 |
7,026 |
$59K |
| 82607 |
|
6,427 |
6,384 |
$57K |
| 97165 |
|
1,166 |
1,142 |
$57K |
| 87880 |
|
8,251 |
8,073 |
$56K |
| 87653 |
|
2,546 |
2,539 |
$53K |
| J0585 |
Injection,onabotulinumtoxina |
161 |
113 |
$52K |
| 87081 |
|
14,696 |
14,497 |
$50K |
| 99395 |
|
810 |
808 |
$50K |
| 59025 |
|
586 |
284 |
$49K |
| 71045 |
|
1,593 |
1,532 |
$49K |
| 95810 |
|
125 |
125 |
$47K |
| 77063 |
|
3,225 |
3,222 |
$47K |
| 71275 |
|
584 |
577 |
$46K |
| 83970 |
|
1,782 |
1,759 |
$44K |
| 84439 |
|
8,047 |
7,893 |
$43K |
| 86003 |
|
503 |
492 |
$40K |
| 99391 |
|
675 |
668 |
$40K |
| 83880 |
|
2,546 |
2,288 |
$39K |
| 83550 |
|
7,172 |
7,077 |
$38K |
| 87634 |
|
2,089 |
2,041 |
$37K |
| 93971 |
|
750 |
728 |
$37K |
| Q3014 |
Telehealth facility fee |
2,219 |
2,083 |
$36K |
| 86900 |
|
7,000 |
6,676 |
$36K |
| 87502 |
|
1,539 |
1,504 |
$36K |
| 76770 |
|
673 |
669 |
$35K |
| 99392 |
|
612 |
612 |
$35K |
| G0121 |
Colon ca scrn not hi rsk ind |
84 |
83 |
$34K |
| 85610 |
|
16,465 |
11,189 |
$34K |
| 96367 |
|
1,044 |
765 |
$34K |
| 76642 |
|
841 |
835 |
$33K |
| 92507 |
|
815 |
324 |
$33K |
| 88142 |
|
2,489 |
2,487 |
$32K |
| 87077 |
|
5,532 |
5,404 |
$32K |
| 86480 |
|
836 |
828 |
$32K |
| 90834 |
|
341 |
286 |
$32K |
| 84403 |
|
1,948 |
1,919 |
$31K |
| 73630 |
|
3,850 |
3,697 |
$30K |
| 90471 |
|
2,920 |
2,797 |
$30K |
| G0008 |
Admin influenza virus vac |
2,771 |
2,760 |
$30K |
| 83540 |
|
7,654 |
7,553 |
$30K |
| 84146 |
|
2,483 |
2,457 |
$30K |
| 76819 |
|
590 |
332 |
$29K |
| 82570 |
|
9,140 |
8,793 |
$28K |
| 82746 |
|
3,281 |
3,262 |
$28K |
| 83735 |
|
14,416 |
11,472 |
$28K |
| 86235 |
|
733 |
726 |
$28K |
| 72148 |
|
314 |
312 |
$27K |
| 87529 |
|
873 |
872 |
$27K |
| 87186 |
|
5,533 |
5,389 |
$27K |
| 86850 |
|
7,280 |
6,947 |
$26K |
| 81001 |
|
25,502 |
23,713 |
$26K |
| G0103 |
Psa screening |
2,169 |
2,162 |
$26K |
| 82043 |
|
7,147 |
7,100 |
$25K |
| 93005 |
|
17,218 |
14,724 |
$25K |
| 73610 |
|
2,856 |
2,707 |
$25K |
| 73564 |
|
1,149 |
1,133 |
$25K |
| 62323 |
|
78 |
78 |
$25K |
| 70496 |
|
367 |
354 |
$25K |
| 72100 |
|
1,162 |
1,156 |
$24K |
| 71271 |
|
415 |
414 |
$24K |
| 90686 |
|
1,761 |
1,756 |
$24K |
| 76536 |
|
470 |
464 |
$23K |
| 83001 |
|
2,004 |
1,992 |
$23K |
| G0472 |
Hep c screen high risk/other |
769 |
769 |
$23K |
| 87340 |
|
3,992 |
3,985 |
$23K |
| 73721 |
|
183 |
183 |
$22K |
| 87631 |
|
768 |
750 |
$22K |
| 91320 |
|
201 |
201 |
$21K |
| 73130 |
|
3,084 |
2,897 |
$20K |
| 87070 |
|
4,401 |
4,297 |
$20K |
| 90682 |
|
349 |
346 |
$19K |
| 86140 |
|
7,144 |
6,266 |
$19K |
| 86039 |
|
2,793 |
2,775 |
$19K |
| 80076 |
|
3,763 |
3,658 |
$18K |
| 87522 |
Neg quan hep c or qual rna |
718 |
703 |
$18K |
| 71250 |
|
378 |
376 |
$18K |
| 99393 |
|
293 |
293 |
$17K |
| 90651 |
|
180 |
180 |
$17K |
| 83655 |
|
2,150 |
2,125 |
$17K |
| 73030 |
|
1,791 |
1,743 |
$16K |
| 29075 |
|
132 |
110 |
$16K |
| 72110 |
|
737 |
732 |
$16K |
| C9803 |
Hopd covid-19 spec collect |
8,349 |
7,886 |
$16K |
| 84112 |
|
345 |
317 |
$15K |
| 73110 |
|
1,721 |
1,652 |
$15K |
| 81025 |
|
10,158 |
9,667 |
$15K |
| 74018 |
|
940 |
927 |
$14K |
| 72125 |
|
1,829 |
1,757 |
$14K |
| 73562 |
|
1,057 |
1,040 |
$14K |
| 20611 |
|
94 |
90 |
$14K |
| 73502 |
|
1,141 |
1,130 |
$13K |
| 36591 |
|
332 |
242 |
$13K |
| 88342 |
|
559 |
554 |
$12K |
| 99394 |
|
184 |
184 |
$12K |
| 90472 |
|
687 |
685 |
$12K |
| 82274 |
|
1,539 |
1,499 |
$12K |
| 86160 |
|
832 |
818 |
$12K |
| 83020 |
|
1,702 |
1,694 |
$11K |
| 70491 |
|
117 |
116 |
$11K |
| 90792 |
|
294 |
289 |
$11K |
| 73140 |
|
900 |
813 |
$11K |
| 93017 |
|
164 |
164 |
$11K |
| 52000 |
|
62 |
61 |
$11K |
| 64400 |
|
94 |
91 |
$11K |
| 86200 |
|
1,411 |
1,403 |
$11K |
| 86762 |
|
1,370 |
1,366 |
$11K |
| 85652 |
|
7,046 |
6,271 |
$10K |
| 76811 |
|
87 |
87 |
$10K |
| 72050 |
|
298 |
298 |
$10K |
| 82731 |
|
346 |
326 |
$10K |
| 82565 |
|
3,230 |
3,081 |
$10K |
| 86255 |
|
1,179 |
1,162 |
$10K |
| 85730 |
|
5,738 |
5,358 |
$10K |
| 87088 |
|
2,325 |
2,287 |
$10K |
| 73560 |
|
1,976 |
1,891 |
$10K |
| 82105 |
|
946 |
938 |
$9K |
| 82947 |
|
3,915 |
3,901 |
$9K |
| 90832 |
|
158 |
93 |
$9K |
| 94726 |
|
67 |
67 |
$9K |
| 83002 |
|
745 |
739 |
$9K |
| 83525 |
|
1,200 |
1,199 |
$9K |
| 83690 |
|
11,015 |
9,998 |
$9K |
| 72141 |
|
74 |
73 |
$9K |
| 73080 |
|
983 |
889 |
$8K |
| 83013 |
|
187 |
186 |
$8K |
| 87808 |
|
1,033 |
1,019 |
$8K |
| 82784 |
|
557 |
547 |
$8K |
| 84425 |
|
586 |
586 |
$8K |
| 82962 |
|
10,319 |
8,275 |
$8K |
| 81003 |
|
7,195 |
6,998 |
$8K |
| 86431 |
|
2,281 |
2,265 |
$8K |
| 86901 |
|
6,986 |
6,666 |
$8K |
| 90480 |
|
235 |
235 |
$7K |
| 90656 |
|
623 |
623 |
$7K |
| 82248 |
|
9,774 |
8,829 |
$7K |
| 76882 |
|
194 |
182 |
$7K |
| 70486 |
|
267 |
267 |
$7K |
| 87205 |
|
3,248 |
3,149 |
$7K |
| 83516 |
|
482 |
467 |
$7K |
| 82670 |
|
384 |
377 |
$7K |
| M0243 |
Casirivi and imdevi inj |
30 |
28 |
$6K |
| 73020 |
|
679 |
639 |
$6K |
| 86706 |
|
956 |
949 |
$6K |
| 84550 |
|
2,350 |
2,249 |
$6K |
| 84484 |
|
9,779 |
8,204 |
$6K |
| 87420 |
|
1,557 |
1,526 |
$6K |
| G0451 |
Devlopment test interpt&rep |
182 |
182 |
$6K |
| 10060 |
|
71 |
69 |
$6K |
| 77066 |
Tomosynthesis, mammo |
99 |
99 |
$5K |
| 82550 |
|
1,994 |
1,700 |
$5K |
| G0009 |
Admin pneumococcal vaccine |
408 |
405 |
$5K |
| 64450 |
|
77 |
76 |
$5K |
| 86376 |
|
584 |
581 |
$5K |
| 84153 |
|
425 |
425 |
$5K |
| 97162 |
|
113 |
111 |
$5K |
| 82805 |
|
1,695 |
1,533 |
$5K |
| 45378 |
|
14 |
12 |
$5K |
| J7120 |
Ringers lactate infusion |
277 |
238 |
$4K |
| 84156 |
|
2,183 |
1,881 |
$4K |
| 78452 |
|
12 |
12 |
$4K |
| 64615 |
|
38 |
38 |
$4K |
| 51798 |
|
1,582 |
1,326 |
$4K |
| 87210 |
|
1,230 |
1,212 |
$4K |
| 73100 |
|
300 |
230 |
$4K |
| 94640 |
|
2,736 |
2,051 |
$4K |
| 90750 |
|
30 |
30 |
$4K |
| 84481 |
|
399 |
394 |
$4K |
| 73590 |
|
571 |
558 |
$4K |
| 0054A |
|
131 |
128 |
$4K |
| 87625 |
|
176 |
176 |
$4K |
| 85018 |
|
2,614 |
2,542 |
$4K |
| 82533 |
|
361 |
342 |
$4K |
| 0124A |
|
153 |
151 |
$4K |
| 99406 |
|
290 |
286 |
$4K |
| 80069 |
|
661 |
605 |
$4K |
| 36415 |
|
4,468 |
3,819 |
$4K |
| 87804 |
|
428 |
418 |
$3K |
| 87147 |
|
729 |
726 |
$3K |
| 84460 |
|
1,073 |
1,048 |
$3K |
| 86038 |
|
457 |
455 |
$3K |
| 88304 |
|
951 |
943 |
$3K |
| 85379 |
|
1,937 |
1,877 |
$3K |
| 83615 |
|
1,061 |
983 |
$3K |
| 0001A |
|
85 |
84 |
$3K |
| 77065 |
Tomosynthesis, mammo |
65 |
57 |
$3K |
| 97760 |
|
80 |
75 |
$3K |
| 85007 |
|
1,956 |
1,744 |
$3K |
| 84100 |
|
2,716 |
2,119 |
$3K |
| 87899 |
|
286 |
286 |
$2K |
| 84520 |
|
994 |
969 |
$2K |
| 90670 |
|
541 |
538 |
$2K |
| 72072 |
|
117 |
117 |
$2K |
| 93970 |
|
28 |
28 |
$2K |
| G0279 |
Tomosynthesis, mammo |
216 |
216 |
$2K |
| 92551 |
|
337 |
337 |
$2K |
| 87045 |
|
399 |
397 |
$2K |
| 0004A |
|
72 |
72 |
$2K |
| 20550 |
|
15 |
14 |
$2K |
| 87046 |
|
399 |
397 |
$2K |
| 0002A |
|
59 |
59 |
$2K |
| 80164 |
|
356 |
339 |
$2K |
| 87040 |
|
1,009 |
957 |
$2K |
| 73090 |
|
421 |
383 |
$2K |
| 17110 |
|
66 |
56 |
$2K |
| 93229 |
|
12 |
12 |
$2K |
| 86147 |
|
37 |
37 |
$2K |
| 86696 |
|
152 |
150 |
$2K |
| 72158 |
|
25 |
25 |
$2K |
| 87798 |
|
62 |
61 |
$2K |
| 72131 |
|
69 |
68 |
$2K |
| 88341 |
|
30 |
30 |
$2K |
| Q0111 |
Wet mounts/ w preparations |
253 |
249 |
$2K |
| 84450 |
|
557 |
537 |
$2K |
| G0123 |
Screen cerv/vag thin layer |
184 |
184 |
$2K |
| 86665 |
|
71 |
71 |
$2K |
| 86704 |
|
218 |
217 |
$2K |
| 72156 |
|
12 |
12 |
$2K |
| C1758 |
Catheter, ureteral |
1,245 |
1,230 |
$2K |
| 73221 |
|
14 |
14 |
$1K |
| 72040 |
|
128 |
127 |
$1K |
| 84165 |
|
202 |
199 |
$1K |
| 85045 |
|
603 |
579 |
$1K |
| 70498 |
|
353 |
341 |
$1K |
| 86695 |
|
152 |
150 |
$1K |
| 70551 |
|
12 |
12 |
$1K |
| 82785 |
|
106 |
106 |
$1K |
| 11721 |
|
142 |
142 |
$1K |
| 82677 |
|
89 |
89 |
$1K |
| 69210 |
|
95 |
93 |
$1K |
| 83520 |
|
91 |
90 |
$1K |
| 29125 |
|
178 |
165 |
$1K |
| 74022 |
|
95 |
95 |
$1K |
| 83993 |
|
81 |
80 |
$936.75 |
| 99385 |
|
12 |
12 |
$832.19 |
| 90461 |
|
1,366 |
1,363 |
$806.99 |
| 25600 |
|
12 |
12 |
$798.93 |
| 84132 |
|
322 |
296 |
$790.71 |
| 84466 |
|
96 |
96 |
$748.40 |
| 76815 |
|
59 |
53 |
$719.30 |
| 86336 |
|
89 |
89 |
$710.68 |
| 86664 |
|
71 |
71 |
$670.24 |
| 88307 |
|
12 |
12 |
$652.96 |
| 87324 |
|
88 |
88 |
$632.61 |
| 87536 |
|
14 |
14 |
$624.93 |
| 86705 |
|
88 |
88 |
$608.77 |
| 97116 |
|
175 |
133 |
$587.72 |
| 82627 |
|
43 |
43 |
$581.51 |
| 87329 |
|
77 |
76 |
$576.81 |
| G0328 |
Fecal blood scrn immunoassay |
66 |
64 |
$550.87 |
| 82525 |
|
65 |
64 |
$531.18 |
| 81002 |
|
304 |
301 |
$524.51 |
| 83014 |
|
104 |
104 |
$515.88 |
| Q2036 |
Flulaval vacc, 3 yrs & >, im |
65 |
65 |
$502.29 |
| 96523 |
|
22 |
15 |
$486.84 |
| 76817 |
|
2,399 |
2,164 |
$466.61 |
| 73700 |
|
12 |
12 |
$461.27 |
| 97535 |
|
68 |
53 |
$444.82 |
| 71101 |
|
39 |
39 |
$444.30 |
| 84681 |
|
38 |
37 |
$443.76 |
| 72080 |
|
16 |
16 |
$426.24 |
| G2066 |
Inter devc remote 30d |
25 |
25 |
$419.36 |
| 86580 |
|
93 |
85 |
$406.93 |
| 86308 |
|
238 |
235 |
$348.92 |
| 12001 |
|
128 |
124 |
$346.28 |
| 82150 |
|
92 |
89 |
$338.39 |
| 93922 |
|
12 |
12 |
$331.11 |
| 94010 |
|
72 |
72 |
$329.72 |
| 84630 |
|
41 |
41 |
$310.20 |
| 83605 |
|
1,368 |
1,258 |
$301.97 |
| 73060 |
|
41 |
40 |
$285.28 |
| 96380 |
|
17 |
17 |
$274.21 |
| 82330 |
|
38 |
38 |
$268.04 |
| 98927 |
|
71 |
60 |
$256.88 |
| 99214 |
|
36 |
33 |
$240.98 |
| 80178 |
|
66 |
59 |
$237.56 |
| 82024 |
|
12 |
12 |
$222.15 |
| 83721 |
|
33 |
32 |
$217.36 |
| 82077 |
|
3,890 |
3,451 |
$215.75 |
| G0010 |
Admin hepatitis b vaccine |
12 |
12 |
$194.85 |
| 90734 |
|
83 |
83 |
$166.23 |
| 86225 |
|
22 |
22 |
$165.91 |
| 86694 |
|
15 |
15 |
$151.11 |
| 96127 |
|
25 |
25 |
$146.30 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
1,037 |
893 |
$138.37 |
| 73552 |
|
42 |
42 |
$133.24 |
| 84145 |
|
175 |
160 |
$116.80 |
| 80143 |
|
824 |
785 |
$116.36 |
| 72170 |
|
58 |
58 |
$114.60 |
| 72128 |
|
12 |
12 |
$114.60 |
| 82951 |
|
14 |
14 |
$112.27 |
| 86787 |
|
13 |
13 |
$107.43 |
| 84590 |
|
13 |
13 |
$102.33 |
| 82977 |
|
25 |
25 |
$98.30 |
| 73000 |
|
12 |
12 |
$94.72 |
| 90662 |
|
14 |
14 |
$81.23 |
| 85347 |
|
13 |
13 |
$79.98 |
| 90723 |
|
616 |
616 |
$65.77 |
| 85384 |
|
13 |
12 |
$61.29 |
| 99213 |
|
21 |
19 |
$60.59 |
| 73620 |
|
12 |
12 |
$51.99 |
| S0077 |
Injection, clindamycin phosp |
12 |
12 |
$48.18 |
| 73600 |
|
23 |
12 |
$48.14 |
| 82010 |
|
176 |
158 |
$47.51 |
| 87075 |
|
26 |
26 |
$39.42 |
| 85049 |
|
15 |
15 |
$35.44 |
| 82952 |
|
14 |
14 |
$34.29 |
| 86593 |
|
13 |
12 |
$27.00 |
| J0137 |
Inj, acetaminophen (hikma) |
155 |
135 |
$16.74 |
| J1100 |
Dexamethasone sodium phos |
7,872 |
6,990 |
$12.25 |
| 90681 |
|
135 |
135 |
$7.00 |
| 90648 |
|
609 |
608 |
$7.00 |
| J1885 |
Ketorolac tromethamine inj |
2,777 |
2,503 |
$5.74 |
| 80179 |
|
756 |
725 |
$5.25 |
| J1836 |
Inj, metronidazole, 10 mg |
36 |
25 |
$4.07 |
| J3490 |
Drugs unclassified injection |
2,335 |
1,967 |
$1.41 |
| A9585 |
Gadobutrol injection |
221 |
212 |
$1.05 |
| G1004 |
Cdsm ndsc |
9,034 |
7,409 |
$0.43 |
| J2250 |
Inj midazolam hydrochloride |
1,647 |
1,598 |
$0.36 |
| J2001 |
Lidocaine injection |
4,195 |
4,085 |
$0.26 |
| J3010 |
Fentanyl citrate injection |
2,431 |
2,165 |
$0.07 |
| J1200 |
Diphenhydramine hcl injectio |
3,521 |
2,951 |
$0.04 |
| C1889 |
Implant/insert device, noc |
263 |
258 |
$0.00 |
| 96376 |
|
3,408 |
2,140 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
511 |
456 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
130 |
82 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
3,512 |
3,282 |
$0.00 |
| 96368 |
|
82 |
68 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
331 |
292 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
286 |
279 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
229 |
191 |
$0.00 |
| Q0162 |
Ondansetron oral |
475 |
445 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
1,051 |
390 |
$0.00 |
| J1170 |
Hydromorphone injection |
1,201 |
953 |
$0.00 |
| C1769 |
Guide wire |
533 |
511 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
526 |
521 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
677 |
520 |
$0.00 |
| 95886 |
|
101 |
101 |
$0.00 |
| A9500 |
Tc99m sestamibi |
38 |
38 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
133 |
111 |
$0.00 |
| 76870 |
|
93 |
89 |
$0.00 |
| J1630 |
Haloperidol injection |
450 |
441 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
92 |
91 |
$0.00 |
| J1790 |
Droperidol injection |
384 |
336 |
$0.00 |
| 64415 |
|
44 |
43 |
$0.00 |
| J2060 |
Lorazepam injection |
57 |
52 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
157 |
154 |
$0.00 |
| C1726 |
Cath, bal dil, non-vascular |
13 |
12 |
$0.00 |
| J2785 |
Regadenoson injection |
12 |
12 |
$0.00 |
| J2360 |
Orphenadrine injection |
137 |
130 |
$0.00 |
| 90647 |
|
91 |
91 |
$0.00 |
| 90696 |
|
32 |
32 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
236 |
233 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
563 |
534 |
$0.00 |
| 90716 |
|
29 |
29 |
$0.00 |
| 90381 |
|
13 |
13 |
$0.00 |
| 91305 |
|
145 |
143 |
$0.00 |
| 12002 |
|
12 |
12 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
12 |
12 |
$0.00 |
| 99152 |
|
561 |
541 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
464 |
463 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
3,596 |
3,044 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
831 |
823 |
$0.00 |
| 91300 |
|
222 |
199 |
$0.00 |
| J2270 |
Morphine sulfate injection |
535 |
420 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
862 |
815 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
324 |
314 |
$0.00 |
| J2930 |
Methylprednisolone injection |
284 |
260 |
$0.00 |
| 90715 |
|
929 |
924 |
$0.00 |
| 76376 |
|
49 |
49 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
68 |
60 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
59 |
53 |
$0.00 |
| 94729 |
|
82 |
82 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
120 |
120 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,541 |
1,458 |
$0.00 |
| J1756 |
Iron sucrose injection |
551 |
187 |
$0.00 |
| 90633 |
|
195 |
195 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
584 |
315 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
194 |
188 |
$0.00 |
| 90700 |
|
28 |
28 |
$0.00 |
| 90710 |
|
36 |
36 |
$0.00 |
| 91312 |
|
82 |
82 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
334 |
333 |
$0.00 |
| C1765 |
Adhesion barrier |
116 |
115 |
$0.00 |
| 94150 |
|
49 |
49 |
$0.00 |
| 12011 |
|
17 |
16 |
$0.00 |
| G2212 |
Prolong outpt/office vis |
12 |
12 |
$0.00 |
| 82075 |
|
45 |
36 |
$0.00 |
| 90707 |
|
27 |
27 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
227 |
183 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
53 |
53 |
$0.00 |