Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MONTEFIORE MEDICAL CENTER

NPI: 1063525152 · BRONX, NY 10467 · 207X00000X

$398.40M
Total Medicaid Paid
6,356,829
Total Claims
5,789,939
Beneficiaries
710
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 684,262 $44.01M
2019 796,563 $50.21M
2020 679,938 $43.79M
2021 1,069,585 $62.90M
2022 1,081,408 $71.70M
2023 1,160,693 $70.74M
2024 884,380 $55.05M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 586,031 560,498 $61.54M
99213 788,434 748,014 $60.25M
99284 197,487 194,164 $24.74M
99204 104,761 104,012 $15.83M
99283 154,298 151,876 $11.10M
99285 63,567 62,050 $10.96M
01967 6,402 6,375 $10.43M
99203 99,234 98,681 $10.37M
99215 Prolong outpt/office vis 64,570 60,356 $8.49M
99233 Prolong inpt eval add15 m 72,136 26,878 $7.08M
88305 74,656 73,463 $6.07M
99392 71,704 71,314 $5.82M
99232 78,722 36,827 $5.38M
99393 62,169 61,725 $5.37M
93306 61,906 61,293 $5.02M
99291 19,071 10,056 $4.35M
76816 32,766 30,223 $4.10M
77067 57,612 57,369 $3.90M
74177 41,858 41,357 $3.87M
99223 Prolong inpt eval add15 m 21,896 20,041 $3.51M
90460 119,854 115,417 $3.49M
99391 55,086 53,599 $3.49M
99394 31,511 31,382 $3.31M
96127 332,139 326,401 $3.29M
76811 14,799 14,743 $3.22M
97110 83,724 34,226 $2.65M
99212 50,334 47,187 $2.61M
76817 29,548 28,575 $2.53M
20610 43,134 35,294 $2.50M
76830 23,359 23,249 $2.33M
99396 15,303 15,166 $2.21M
97112 65,193 26,673 $2.17M
99222 17,279 15,101 $2.10M
70450 48,188 45,952 $1.97M
71046 153,290 151,076 $1.92M
99205 Prolong outpt/office vis 10,372 10,242 $1.85M
97530 43,800 18,387 $1.69M
70553 8,455 8,360 $1.68M
92014 17,533 17,334 $1.64M
59409 1,078 1,074 $1.56M
97140 68,599 27,631 $1.54M
99238 21,518 21,133 $1.47M
92551 101,956 100,938 $1.47M
93010 197,555 172,685 $1.46M
78815 1,068 1,063 $1.43M
90832 19,751 16,027 $1.38M
71045 147,278 105,311 $1.34M
76801 9,958 9,698 $1.32M
92004 10,336 10,309 $1.28M
70551 11,522 11,403 $1.20M
99282 25,223 24,832 $1.20M
90792 7,507 7,167 $1.19M
99442 17,274 15,930 $1.19M
76818 17,573 14,092 $1.14M
90472 46,776 46,442 $1.14M
99395 7,443 7,381 $1.14M
90471 54,564 54,061 $1.12M
73721 7,589 7,362 $1.10M
93970 24,796 23,238 $1.09M
99443 10,403 9,830 $1.07M
G8510 Scr dep neg, no plan reqd 101,731 99,907 $1.07M
76857 21,577 21,425 $1.01M
31231 7,793 7,671 $995K
00731 4,303 3,578 $922K
90791 6,439 6,329 $912K
99239 9,926 9,618 $909K
99472 1,906 589 $867K
76770 21,752 21,513 $860K
95004 6,110 6,029 $857K
76813 5,995 5,977 $845K
78452 4,633 4,608 $835K
93000 46,178 45,609 $789K
73562 26,344 20,623 $782K
88141 28,660 28,621 $780K
99460 8,352 8,316 $776K
00170 1,979 1,924 $776K
88307 6,605 6,504 $769K
92012 11,128 10,743 $755K
99221 8,087 7,194 $748K
76705 23,891 23,119 $738K
76700 14,632 14,447 $734K
71275 7,735 7,670 $672K
74176 7,657 7,555 $665K
43775 492 488 $656K
88342 11,018 10,717 $641K
77063 18,962 18,910 $631K
76825 2,227 2,113 $608K
93303 9,701 9,328 $603K
73630 27,134 23,527 $545K
72148 4,401 4,385 $544K
87536 5,476 5,417 $529K
67028 5,386 4,791 $506K
99231 11,451 6,720 $493K
71250 9,241 9,122 $465K
76642 10,870 10,585 $464K
77014 10,684 4,299 $456K
99202 7,386 7,340 $454K
74183 2,147 2,139 $451K
A9552 F18 fdg 1,850 1,847 $418K
J1439 Inj ferric carboxymaltos 1mg 581 480 $379K
90686 82,530 82,391 $377K
77062 2,430 2,428 $373K
46607 1,304 1,202 $343K
77066 Tomosynthesis, mammo 5,241 5,222 $335K
43239 2,149 2,089 $312K
93976 4,673 4,474 $305K
92557 9,024 9,014 $298K
99469 685 254 $297K
73610 14,802 13,646 $284K
J0585 Injection,onabotulinumtoxina 518 328 $279K
95720 1,359 794 $279K
77065 Tomosynthesis, mammo 5,788 5,654 $275K
42820 825 819 $275K
45380 1,450 1,419 $273K
73030 13,678 12,149 $271K
90960 1,272 1,272 $265K
66984 550 517 $260K
64615 1,684 1,680 $258K
76641 3,808 3,444 $256K
95165 5,387 3,854 $256K
54150 2,457 2,456 $256K
84165 17,406 16,935 $253K
00142 2,543 2,490 $251K
92134 9,552 9,207 $249K
99462 5,857 4,980 $246K
74018 23,853 16,435 $238K
H0049 Alcohol/drug screening 12,314 12,287 $237K
71260 4,010 3,962 $236K
86360 4,720 4,687 $232K
97161 2,959 2,955 $232K
90834 2,420 1,542 $231K
72082 5,059 5,023 $228K
92567 16,103 16,071 $227K
76815 5,875 5,664 $220K
36415 59,110 57,158 $219K
76536 5,179 5,140 $218K
76821 2,096 1,304 $218K
76820 4,288 3,023 $217K
95810 1,636 1,634 $214K
93320 10,843 10,414 $212K
99385 1,765 1,760 $206K
72141 1,646 1,642 $204K
31575 2,225 2,179 $203K
88304 14,601 14,516 $201K
86359 4,727 4,695 $201K
99292 1,494 1,009 $199K
99479 1,409 520 $197K
97802 3,008 2,996 $189K
99441 3,890 3,541 $188K
73221 1,634 1,599 $186K
85390 6,202 5,971 $186K
58340 616 616 $185K
97803 3,146 2,991 $185K
93297 10,992 10,919 $183K
76819 1,759 1,283 $182K
J1030 Methylprednisolone 40 mg inj 25,718 25,353 $181K
90671 1,073 1,066 $178K
76805 1,438 1,434 $177K
95951 504 218 $174K
92083 4,778 4,701 $171K
87591 2,665 2,594 $169K
76827 2,188 2,147 $169K
00812 1,060 848 $168K
72100 9,262 9,178 $165K
76942 5,950 5,911 $164K
G2211 Complex e/m visit add on 12,966 12,520 $160K
99480 1,216 473 $154K
20550 3,059 2,675 $154K
88341 1,190 1,138 $152K
93325 17,240 16,464 $152K
73130 10,267 8,632 $150K
80307 2,198 1,774 $149K
76376 3,136 3,126 $149K
A9500 Tc99m sestamibi 770 765 $145K
93015 2,086 2,074 $143K
95117 11,249 8,110 $141K
72125 2,920 2,877 $139K
73110 6,583 5,814 $139K
00790 230 173 $137K
90833 2,357 2,125 $130K
92015 7,810 7,800 $130K
99072 116,325 111,371 $128K
95816 2,034 2,013 $127K
92133 5,409 5,337 $127K
87491 1,829 1,782 $122K
96365 1,908 1,605 $120K
88112 2,212 1,874 $117K
54161 526 521 $114K
00811 730 479 $113K
76506 3,064 2,687 $110K
87880 8,574 8,499 $110K
96156 1,122 966 $110K
95782 829 828 $109K
59514 80 80 $107K
73560 7,770 6,414 $106K
77061 989 989 $106K
70544 1,256 1,243 $103K
99451 2,595 2,581 $97K
45378 481 480 $95K
86480 1,365 1,355 $94K
77427 487 282 $93K
64400 1,074 753 $90K
94010 6,473 6,213 $89K
99281 912 848 $88K
76831 552 552 $88K
80053 6,560 6,196 $87K
78306 505 504 $86K
31579 576 561 $85K
0071A 2,042 2,042 $85K
01961 117 117 $84K
93880 1,399 1,387 $84K
90847 787 661 $84K
00840 134 98 $82K
93295 2,589 2,578 $81K
11900 1,399 1,347 $81K
97804 3,616 3,563 $80K
93971 3,034 2,962 $79K
93298 3,956 3,943 $78K
97535 3,168 2,571 $78K
99464 1,087 1,083 $78K
64450 2,112 1,938 $78K
96167 1,415 1,185 $76K
99254 443 341 $76K
87636 566 527 $74K
0241U 819 800 $74K
81002 25,797 21,244 $74K
J2785 Regadenoson injection 497 495 $74K
U0004 Cov-19 test non-cdc hgh thru 824 782 $73K
88291 2,375 2,128 $73K
46600 773 768 $73K
25600 168 167 $71K
90651 2,023 2,016 $71K
93925 1,914 1,852 $71K
99381 851 849 $71K
11901 1,017 958 $70K
88189 909 851 $70K
73502 3,225 3,130 $70K
70486 1,386 1,360 $69K
96372 4,149 3,615 $68K
99459 2,924 2,898 $67K
75574 604 604 $66K
83020 3,719 3,599 $66K
20611 775 737 $65K
78582 1,062 1,059 $64K
93923 2,075 2,042 $63K
93886 814 525 $63K
11721 2,508 2,501 $61K
93016 3,248 3,246 $61K
96154 2,082 1,934 $61K
85025 7,638 7,060 $59K
27447 50 50 $59K
J9035 Bevacizumab injection 1,114 991 $59K
93308 2,623 2,247 $58K
00797 118 118 $58K
90715 1,598 1,595 $58K
88108 2,624 2,539 $58K
59025 1,392 1,247 $57K
64415 793 790 $56K
90935 1,094 690 $55K
93227 2,506 2,489 $55K
J1750 Inj iron dextran 178 174 $53K
99417 Prolong home eval add 15m 1,941 1,911 $53K
99308 1,029 443 $52K
86780 2,989 2,945 $52K
76856 1,084 1,083 $52K
96110 5,041 5,020 $51K
94726 4,529 4,514 $51K
64405 993 680 $50K
31237 152 111 $50K
96900 2,808 726 $50K
99243 385 383 $49K
88188 856 750 $49K
0012A 1,175 1,172 $49K
78816 39 39 $48K
99383 475 475 $48K
72110 3,321 3,317 $48K
92060 833 820 $48K
74019 3,816 3,551 $48K
J3301 Triamcinolone acet inj nos 10,510 10,380 $46K
0064A 1,075 1,075 $46K
93351 220 219 $45K
93248 1,885 1,882 $44K
99386 338 337 $44K
57454 216 216 $44K
99211 1,664 1,528 $43K
99051 19,680 19,452 $43K
0072A 962 962 $43K
80061 2,880 2,856 $43K
71271 934 934 $43K
99244 221 218 $42K
93798 1,816 360 $42K
45385 168 168 $42K
83036 4,112 4,079 $41K
93018 3,273 3,271 $41K
77334 404 377 $41K
0001A 1,007 1,007 $41K
84166 2,571 2,536 $40K
94729 4,719 4,700 $40K
93458 123 120 $40K
92020 1,710 1,703 $40K
G2067 Med assist tx meth wk 329 163 $40K
70491 573 572 $39K
95024 557 522 $38K
90474 2,957 2,948 $36K
G0121 Colon ca scrn not hi rsk ind 180 179 $36K
51798 3,280 3,254 $36K
59410 25 25 $36K
72156 236 235 $36K
90750 185 183 $35K
73564 1,429 1,016 $35K
76604 1,385 1,121 $34K
95806 314 314 $32K
99382 332 332 $32K
94060 2,574 2,565 $32K
72157 191 189 $31K
72040 1,817 1,803 $31K
73140 1,577 1,468 $31K
76882 732 713 $31K
0011A 887 887 $30K
73590 2,205 2,001 $30K
72146 269 269 $30K
A9585 Gadobutrol injection 2,069 1,350 $30K
90461 39,184 36,428 $29K
93244 1,299 1,295 $28K
69210 1,181 1,171 $28K
87490 1,307 1,285 $27K
96361 98 93 $27K
95028 143 141 $27K
90961 113 113 $27K
76870 765 756 $27K
92082 780 757 $27K
90670 17,015 16,965 $26K
88313 1,898 1,867 $25K
88173 283 268 $25K
93975 376 367 $25K
77080 3,367 3,359 $24K
G0463 Hospital outpt clinic visit 202 173 $24K
95913 124 124 $24K
77072 1,957 1,954 $23K
93294 1,302 1,298 $23K
95811 61 60 $23K
0742T 533 532 $23K
0002A 524 524 $23K
99471 25 25 $23K
H0020 Alcohol and/or drug services 1,528 266 $23K
99173 5,560 5,532 $23K
99201 473 469 $22K
99384 182 182 $22K
73080 1,366 1,241 $22K
96112 233 228 $21K
94664 1,566 1,504 $21K
81025 1,933 1,912 $21K
82306 613 606 $20K
99236 Prolong inpt eval add15 m 95 55 $20K
93228 1,046 1,042 $20K
72158 138 135 $20K
88312 543 538 $20K
92285 1,390 1,377 $20K
70496 263 260 $20K
77300 175 158 $19K
77073 739 737 $19K
64413 178 155 $19K
96151 704 673 $18K
81003 6,599 5,741 $18K
64999 140 118 $18K
92002 271 271 $18K
52000 105 104 $18K
95251 593 586 $17K
J1010 Inj, methylpred acetate 1 mg 3,276 3,146 $17K
92136 513 501 $17K
80048 1,407 1,349 $16K
99421 1,254 1,177 $16K
86803 1,056 1,045 $16K
99152 1,130 1,076 $15K
77263 99 99 $15K
84443 842 829 $15K
64447 331 329 $15K
74178 163 163 $15K
90656 1,839 1,838 $14K
91200 1,176 1,175 $14K
97014 1,323 475 $14K
90837 99 92 $14K
29876 28 24 $13K
00920 52 52 $13K
G0283 Elec stim other than wound 1,414 467 $13K
70498 187 185 $12K
J7307 Etonogestrel implant system 15 15 $12K
99447 455 338 $12K
82330 871 803 $12K
72081 323 318 $12K
19083 83 83 $12K
97165 158 158 $12K
M0239 Bamlanivimab-xxxx infusion 41 41 $12K
90732 77 77 $11K
87522 Neg quan hep c or qual rna 224 218 $11K
99476 29 12 $11K
73090 766 660 $11K
82375 869 801 $11K
85610 2,518 2,131 $11K
82948 2,334 2,232 $10K
93990 628 586 $10K
84484 820 735 $10K
94618 624 593 $10K
83605 866 798 $10K
95714 50 33 $10K
01810 98 97 $10K
99253 90 73 $10K
99188 681 680 $10K
99255 45 38 $10K
01480 43 43 $10K
73522 463 463 $10K
95700 43 41 $9K
99454 226 225 $9K
74240 227 226 $9K
11056 211 211 $9K
36620 202 192 $9K
70547 190 190 $9K
17110 83 79 $9K
G0296 Visit to determ ldct elig 653 652 $9K
90691 70 70 $8K
86850 652 601 $8K
78832 13 13 $8K
74230 323 314 $8K
90937 116 59 $8K
92587 399 381 $8K
74328 264 253 $8K
95018 232 231 $8K
72195 55 55 $8K
62323 76 75 $8K
93229 29 29 $8K
G6002 Stereoscopic x-ray guidance 416 199 $7K
72070 528 527 $7K
88300 1,521 1,505 $7K
73521 490 489 $7K
76775 231 230 $7K
17000 96 90 $7K
83050 868 800 $7K
92235 105 105 $7K
72197 27 27 $7K
00145 24 24 $7K
82010 1,102 1,080 $7K
83735 1,038 950 $7K
86592 1,630 1,599 $7K
94640 228 213 $7K
82800 660 613 $7K
01402 28 27 $7K
92579 150 149 $7K
87651 269 269 $7K
58301 51 51 $7K
90962 38 38 $6K
81001 1,637 1,582 $6K
85018 2,106 2,099 $6K
99100 96 86 $6K
98968 156 142 $6K
90662 326 326 $6K
85730 993 940 $6K
72050 379 379 $6K
95180 43 41 $6K
82550 841 764 $6K
72131 130 130 $6K
96366 211 199 $6K
01400 20 12 $6K
00400 22 12 $5K
77301 13 12 $5K
86769 185 185 $5K
64483 48 48 $5K
00402 12 12 $5K
99401 413 409 $5K
87631 34 34 $5K
87661 131 128 $5K
J0561 Penicillin g benzathine inj 42 40 $5K
86900 678 627 $5K
99448 112 98 $5K
90620 41 40 $5K
83690 720 668 $5K
95873 111 111 $5K
84295 959 880 $5K
87086 579 551 $5K
31500 31 28 $5K
58300 27 26 $5K
95885 160 160 $4K
20526 55 53 $4K
73720 13 12 $4K
90836 47 43 $4K
01922 12 12 $4K
43235 29 29 $4K
97010 3,095 1,331 $4K
87635 89 87 $4K
G0108 Diab manage trn per indiv 475 436 $4K
90846 40 32 $4K
76937 384 338 $4K
88365 108 99 $4K
82947 970 890 $4K
90734 1,370 1,370 $4K
78264 59 59 $4K
86901 677 626 $4K
M0243 Casirivi and imdevi inj 12 12 $4K
00140 24 24 $4K
77049 13 13 $4K
84132 754 700 $4K
28470 13 13 $4K
43264 13 13 $4K
92588 120 119 $4K
77085 368 368 $4K
86593 780 761 $3K
J1756 Iron sucrose injection 87 54 $3K
73552 213 191 $3K
99406 181 150 $3K
82803 109 99 $3K
G0396 Alcohol/subs interv 15-30mn 163 110 $3K
87563 84 83 $3K
S9470 Nutritional counseling, diet 526 520 $3K
S9441 Asthma education 390 390 $3K
G0439 Ppps, subseq visit 93 93 $3K
99457 155 155 $3K
88360 19 12 $3K
96150 87 87 $3K
95886 31 28 $3K
76886 88 87 $3K
0124A 130 130 $3K
62328 24 24 $3K
36556 19 15 $3K
67840 12 12 $3K
73718 28 25 $3K
36569 26 25 $3K
51728 12 12 $3K
98967 138 137 $3K
69436 13 13 $3K
00813 21 12 $3K
86580 94 90 $3K
87340 241 233 $2K
86706 228 226 $2K
73700 53 51 $2K
90853 119 37 $2K
87624 56 55 $2K
64445 37 37 $2K
19281 12 12 $2K
0298T 173 173 $2K
00300 12 12 $2K
83880 53 52 $2K
76514 470 466 $2K
20553 100 66 $2K
93304 52 51 $2K
57456 13 13 $2K
70360 206 206 $2K
96375 108 94 $2K
G0397 Alcohol/subs interv >30 min 32 29 $2K
90716 210 210 $2K
64644 13 13 $2K
84403 68 68 $2K
92555 90 90 $2K
84100 381 349 $2K
0004A 72 72 $2K
G2012 Brief check in by md/qhp 115 111 $2K
88302 166 164 $2K
96401 28 25 $2K
74221 58 58 $2K
11982 12 12 $2K
A9503 Tc99m medronate 54 54 $2K
72170 115 113 $2K
96374 231 212 $1K
29580 23 12 $1K
93985 43 42 $1K
95800 37 37 $1K
97116 52 25 $1K
J3420 Vitamin b12 injection 898 835 $1K
51797 12 12 $1K
92025 65 64 $1K
91322 62 62 $1K
90680 8,458 8,430 $1K
29075 13 12 $1K
76981 32 32 $1K
93005 778 710 $1K
78708 14 14 $1K
0134A 48 48 $1K
97162 12 12 $1K
96168 33 30 $1K
11104 14 13 $1K
L3908 Who cock-up nonmolde pre ots 14 14 $1K
93321 151 141 $1K
92201 44 44 $1K
97032 106 60 $1K
98960 917 853 $1K
90633 4,493 4,487 $980.82
J1040 Methylprednisolone 80 mg inj 75 73 $953.03
99497 37 29 $866.78
S0190 Mifepristone, oral, 200 mg 12 12 $864.50
0003A 18 18 $824.94
95807 12 12 $823.96
93978 27 27 $821.06
J7050 Normal saline solution infus 1,375 1,179 $805.29
58100 12 12 $804.93
71101 39 39 $796.94
85097 15 15 $755.35
96360 18 18 $744.81
3078F 9,554 9,363 $743.23
93272 38 38 $702.56
84402 25 25 $700.50
11730 13 13 $695.20
99140 77 68 $640.00
86708 56 53 $633.91
90480 24 24 $632.63
93246 64 64 $625.35
87389 24 24 $609.27
G0008 Admin influenza virus vac 328 328 $598.55
73100 15 15 $597.85
99235 13 13 $576.82
3074F 6,827 6,732 $554.82
76377 15 15 $548.00
93922 26 26 $546.44
92550 27 27 $541.79
76946 12 12 $503.38
G2078 Take-home meth 40 25 $500.88
97035 60 41 $486.70
72083 27 25 $486.68
99446 23 15 $471.29
36410 250 235 $455.06
99309 15 13 $441.47
11055 12 12 $423.11
76776 16 14 $389.86
84703 57 57 $381.60
G0279 Tomosynthesis, mammo 14 14 $374.85
82150 68 66 $370.60
97597 19 12 $369.30
92225 27 27 $367.11
93986 12 12 $366.26
86704 28 26 $364.83
G8431 Pos clin depres scrn f/u doc 293 290 $362.55
G0180 Md certification hha patient 13 13 $349.92
90698 2,666 2,652 $335.97
90707 206 205 $327.09
51784 12 12 $316.82
90697 995 995 $315.37
73060 27 24 $287.27
72084 12 12 $283.62
Q4032 Cast sup lng leg ped fbrgls 13 12 $276.82
92558 31 29 $257.76
J1050 Medroxyprogesterone acetate 12 12 $252.00
90723 1,942 1,929 $234.20
20552 12 12 $226.08
G0101 Ca screen;pelvic/breast exam 20 20 $220.93
90863 12 12 $213.80
88311 14 14 $209.13
82657 13 13 $207.87
76098 14 13 $202.78
80361 12 12 $202.75
80076 12 12 $191.24
93793 18 15 $182.48
90785 12 12 $177.82
90744 378 373 $175.22
51741 28 28 $144.74
93280 12 12 $138.17
95012 181 171 $130.04
84439 13 13 $128.96
77081 13 13 $125.68
84702 13 12 $115.92
17003 16 12 $113.36
82570 24 24 $103.17
85027 24 24 $96.58
Q9967 Locm 300-399mg/ml iodine,1ml 21 12 $90.00
3079F 1,805 1,783 $63.53
82962 24 24 $63.16
J1020 Methylprednisolone 20 mg inj 12 12 $56.93
J3490 Drugs unclassified injection 126 114 $55.99
85007 24 24 $51.26
96160 27 27 $50.70
90688 66 66 $48.24
90648 1,913 1,902 $47.11
80365 13 13 $35.00
90647 1,598 1,592 $32.86
90674 13 13 $29.23
3075F 709 704 $22.80
90685 658 657 $17.85
J0696 Ceftriaxone sodium injection 43 40 $16.65
Q0144 Azithromycin dihydrate, oral 14 12 $15.99
J7613 Albuterol non-comp unit 74 70 $15.92
S0191 Misoprostol, oral, 200 mcg 12 12 $12.46
J1100 Dexamethasone sodium phos 80 77 $6.40
J7030 Normal saline solution infus 201 181 $6.13
J7644 Ipratropium bromide non-comp 16 12 $5.94
3077F 431 419 $5.54
91312 370 370 $3.93
J1094 Inj dexamethasone acetate 19 19 $3.02
Q4049 Finger splint, static 13 13 $3.00
J1885 Ketorolac tromethamine inj 14 13 $0.90
J3010 Fentanyl citrate injection 121 101 $0.72
J2001 Lidocaine injection 290 275 $0.68
0503F 68 63 $0.38
91313 93 93 $0.11
99080 13,139 1,594 $0.00
90710 744 743 $0.00
90681 31 30 $0.00
99499 1,891 943 $0.00
90672 29 29 $0.00
90700 140 140 $0.00
J2405 Ondansetron hcl injection 119 115 $0.00
J7120 Ringers lactate infusion 71 70 $0.00
G8511 Scr dep pos, no plan doc rng 13 13 $0.00
90687 27 27 $0.00
G2212 Prolong outpt/office vis 14 14 $0.00
J2704 Inj, propofol, 10 mg 167 160 $0.00
90696 257 256 $0.00
J7999 Compounded drug, noc 17 17 $0.00
J2250 Inj midazolam hydrochloride 84 81 $0.00
99024 14 14 $0.00
36000 13 13 $0.00
36416 36 28 $0.00
1005F 55 55 $0.00
76883 12 12 $0.00
J2357 Omalizumab injection 13 12 $0.00