| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
39,353 |
35,394 |
$7.29M |
| 99285 |
|
20,774 |
18,941 |
$7.06M |
| 99283 |
|
32,556 |
29,978 |
$3.76M |
| 96374 |
|
25,828 |
23,091 |
$2.38M |
| 74177 |
|
7,767 |
7,480 |
$1.13M |
| G0463 |
Hospital outpt clinic visit |
60,359 |
52,447 |
$966K |
| 96375 |
|
24,643 |
19,643 |
$741K |
| 43239 |
|
2,359 |
2,319 |
$726K |
| 96361 |
|
25,493 |
21,014 |
$720K |
| 70450 |
|
7,871 |
7,491 |
$717K |
| 96365 |
|
8,909 |
7,481 |
$698K |
| 96360 |
|
6,654 |
6,304 |
$627K |
| 71046 |
|
17,918 |
16,695 |
$593K |
| 45385 |
|
1,217 |
1,197 |
$570K |
| 45380 |
|
1,291 |
1,271 |
$547K |
| 93306 |
|
2,810 |
2,694 |
$506K |
| 99282 |
|
7,395 |
7,068 |
$502K |
| 74176 |
|
4,661 |
4,513 |
$477K |
| 87637 |
|
6,026 |
5,876 |
$414K |
| 78452 |
|
845 |
822 |
$406K |
| 99291 |
|
620 |
587 |
$372K |
| 96413 |
|
2,608 |
1,558 |
$362K |
| 82947 |
|
12,067 |
7,822 |
$326K |
| 95810 |
|
653 |
647 |
$318K |
| 77067 |
|
5,280 |
5,220 |
$250K |
| 76830 |
|
3,976 |
3,882 |
$221K |
| 71275 |
|
2,517 |
2,419 |
$220K |
| 76856 |
|
3,887 |
3,802 |
$209K |
| 11042 |
|
1,087 |
662 |
$195K |
| 71045 |
|
5,657 |
5,338 |
$182K |
| 76801 |
|
2,946 |
2,650 |
$167K |
| G0378 |
Hospital observation per hr |
6,527 |
4,192 |
$162K |
| 87491 |
|
19,721 |
18,950 |
$151K |
| 87591 |
|
19,761 |
18,974 |
$148K |
| 94060 |
|
1,189 |
1,159 |
$144K |
| 80061 |
|
17,741 |
17,400 |
$144K |
| 45378 |
|
442 |
437 |
$140K |
| 87635 |
|
6,626 |
6,360 |
$136K |
| 70553 |
|
724 |
687 |
$133K |
| 76700 |
|
2,378 |
2,310 |
$128K |
| 76705 |
|
2,367 |
2,299 |
$127K |
| 93971 |
|
2,503 |
2,271 |
$124K |
| 97110 |
|
6,891 |
2,014 |
$121K |
| 59025 |
|
1,210 |
862 |
$111K |
| 72148 |
|
1,068 |
1,047 |
$109K |
| 71260 |
|
1,176 |
1,152 |
$108K |
| 95811 |
|
227 |
221 |
$107K |
| 90460 |
|
4,224 |
4,158 |
$103K |
| 96372 |
|
17,119 |
14,549 |
$93K |
| 73721 |
|
700 |
659 |
$83K |
| 93970 |
|
912 |
803 |
$80K |
| 41899 |
|
381 |
373 |
$77K |
| 64450 |
|
257 |
155 |
$68K |
| J0585 |
Injection,onabotulinumtoxina |
257 |
154 |
$65K |
| 71250 |
|
1,364 |
1,321 |
$64K |
| 96366 |
|
3,503 |
2,279 |
$63K |
| 96367 |
|
2,205 |
1,722 |
$59K |
| 47562 |
|
26 |
25 |
$54K |
| 76642 |
|
1,436 |
1,333 |
$50K |
| 76805 |
|
883 |
848 |
$49K |
| 76536 |
|
995 |
969 |
$46K |
| 77063 |
|
3,604 |
3,588 |
$44K |
| 97140 |
|
3,267 |
1,208 |
$42K |
| 76811 |
|
310 |
306 |
$40K |
| 43235 |
|
109 |
109 |
$40K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,070 |
1,969 |
$36K |
| 93975 |
|
298 |
292 |
$35K |
| G0480 |
Drug test def 1-7 classes |
10,003 |
5,859 |
$35K |
| 87480 |
|
10,480 |
10,141 |
$35K |
| 87510 |
|
10,479 |
10,141 |
$35K |
| 87660 |
|
10,473 |
10,135 |
$34K |
| 90471 |
|
3,671 |
3,499 |
$33K |
| 97530 |
|
1,684 |
672 |
$32K |
| 52356 |
|
12 |
12 |
$31K |
| 97112 |
|
1,748 |
731 |
$31K |
| 87661 |
|
3,064 |
3,007 |
$30K |
| 85025 |
|
87,223 |
72,409 |
$30K |
| 99391 |
|
2,024 |
2,002 |
$30K |
| 93005 |
|
26,550 |
23,257 |
$29K |
| 66984 |
|
44 |
40 |
$29K |
| 80053 |
|
77,477 |
67,458 |
$29K |
| 64405 |
|
319 |
212 |
$29K |
| 72141 |
|
211 |
210 |
$28K |
| 93017 |
|
1,500 |
1,456 |
$27K |
| 82306 |
|
12,428 |
12,171 |
$27K |
| 76816 |
|
653 |
615 |
$26K |
| 97161 |
|
441 |
408 |
$26K |
| 76770 |
|
510 |
499 |
$26K |
| 36415 |
|
61,219 |
53,159 |
$25K |
| 73564 |
|
1,541 |
1,255 |
$25K |
| 72100 |
|
1,005 |
986 |
$24K |
| 84443 |
|
27,316 |
26,196 |
$23K |
| G0121 |
Colon ca scrn not hi rsk ind |
55 |
54 |
$23K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
2,868 |
2,693 |
$22K |
| 70486 |
|
844 |
809 |
$22K |
| 90686 |
|
1,448 |
1,418 |
$22K |
| J1439 |
Inj ferric carboxymaltos 1mg |
61 |
41 |
$21K |
| 73030 |
|
2,446 |
2,212 |
$21K |
| 77065 |
Tomosynthesis, mammo |
507 |
469 |
$21K |
| 72125 |
|
2,639 |
2,551 |
$21K |
| 73221 |
|
167 |
161 |
$20K |
| G0482 |
Drug test def 15-21 classes |
1,627 |
1,542 |
$20K |
| 87390 |
|
6,131 |
5,995 |
$20K |
| G0008 |
Admin influenza virus vac |
2,235 |
2,192 |
$20K |
| 72110 |
|
1,328 |
1,298 |
$19K |
| 80307 |
|
8,008 |
7,481 |
$19K |
| 77066 |
Tomosynthesis, mammo |
329 |
328 |
$18K |
| 87086 |
|
22,245 |
20,816 |
$17K |
| 97535 |
|
777 |
605 |
$15K |
| M0245 |
Bamlan and etesev infusion |
58 |
58 |
$15K |
| 93798 |
|
227 |
41 |
$14K |
| 70551 |
|
114 |
112 |
$13K |
| 73630 |
|
2,671 |
2,330 |
$13K |
| 86900 |
|
5,802 |
5,359 |
$13K |
| 64493 |
|
24 |
24 |
$13K |
| 73130 |
|
2,473 |
2,030 |
$13K |
| 88305 |
|
7,814 |
7,523 |
$12K |
| 29881 |
|
15 |
15 |
$12K |
| 99460 |
|
224 |
224 |
$12K |
| 70491 |
|
107 |
105 |
$11K |
| 86702 |
|
6,185 |
6,037 |
$11K |
| 59409 |
|
14 |
13 |
$11K |
| G0108 |
Diab manage trn per indiv |
148 |
147 |
$11K |
| 74018 |
|
1,392 |
1,324 |
$10K |
| 99238 |
|
265 |
258 |
$10K |
| 73562 |
|
1,511 |
1,327 |
$10K |
| 87624 |
|
2,555 |
2,440 |
$10K |
| 73610 |
|
1,938 |
1,793 |
$9K |
| 99392 |
|
1,671 |
1,666 |
$9K |
| 99281 |
|
253 |
242 |
$9K |
| G0279 |
Tomosynthesis, mammo |
831 |
824 |
$9K |
| 86803 |
|
4,039 |
4,009 |
$9K |
| 78815 |
|
12 |
12 |
$9K |
| 99395 |
|
1,519 |
1,502 |
$8K |
| 64721 |
|
14 |
13 |
$8K |
| 99396 |
|
1,404 |
1,389 |
$8K |
| 80055 |
|
1,264 |
1,226 |
$8K |
| 83036 |
|
15,168 |
14,867 |
$8K |
| 76815 |
|
251 |
202 |
$8K |
| C9803 |
Hopd covid-19 spec collect |
734 |
706 |
$8K |
| 86701 |
|
6,165 |
6,025 |
$7K |
| 73502 |
|
755 |
733 |
$7K |
| 94640 |
|
5,844 |
4,440 |
$7K |
| G0123 |
Screen cerv/vag thin layer |
876 |
857 |
$7K |
| 64400 |
|
55 |
50 |
$7K |
| 90472 |
|
500 |
437 |
$6K |
| 82607 |
|
5,045 |
4,945 |
$6K |
| 73110 |
|
907 |
835 |
$6K |
| 10060 |
|
70 |
65 |
$6K |
| 82728 |
|
5,274 |
5,120 |
$6K |
| 87186 |
|
6,075 |
5,813 |
$6K |
| 72131 |
|
140 |
138 |
$6K |
| 94726 |
|
1,186 |
1,161 |
$6K |
| 87077 |
|
5,977 |
5,721 |
$6K |
| 76817 |
|
2,423 |
2,184 |
$6K |
| 80074 |
|
1,027 |
1,003 |
$5K |
| 87340 |
|
2,986 |
2,959 |
$5K |
| 70496 |
|
187 |
181 |
$5K |
| 97165 |
|
83 |
81 |
$5K |
| 87070 |
|
3,639 |
3,446 |
$5K |
| U0005 |
Infec agen detec ampli probe |
578 |
568 |
$5K |
| 84702 |
|
6,237 |
5,064 |
$5K |
| 71271 |
|
81 |
81 |
$5K |
| 90670 |
|
200 |
193 |
$5K |
| 64615 |
|
37 |
36 |
$5K |
| 87529 |
|
276 |
270 |
$4K |
| 90688 |
|
270 |
268 |
$4K |
| 99393 |
|
772 |
772 |
$4K |
| 86706 |
|
1,541 |
1,527 |
$4K |
| 10061 |
|
28 |
27 |
$4K |
| G0103 |
Psa screening |
1,786 |
1,760 |
$4K |
| 90651 |
|
31 |
31 |
$4K |
| J7030 |
Normal saline solution infus |
26,299 |
21,671 |
$3K |
| 84439 |
|
5,290 |
5,066 |
$3K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
13,257 |
12,516 |
$3K |
| 80048 |
|
12,290 |
9,509 |
$3K |
| 81025 |
|
16,625 |
15,560 |
$3K |
| 83550 |
|
3,751 |
3,655 |
$3K |
| 29505 |
|
41 |
40 |
$3K |
| 99394 |
|
627 |
627 |
$3K |
| Q9969 |
Non-heu tc-99m add-on/dose |
440 |
430 |
$3K |
| 86592 |
|
2,908 |
2,874 |
$3K |
| 99406 |
|
189 |
187 |
$3K |
| 83540 |
|
4,919 |
4,762 |
$3K |
| G0481 |
Drug test def 8-14 classes |
783 |
778 |
$3K |
| 77080 |
|
45 |
45 |
$3K |
| 83880 |
|
5,794 |
5,433 |
$2K |
| 99213 |
|
138 |
134 |
$2K |
| 72050 |
|
149 |
139 |
$2K |
| 74022 |
|
829 |
800 |
$2K |
| 82746 |
|
1,712 |
1,686 |
$2K |
| 74019 |
|
148 |
144 |
$2K |
| 94660 |
|
33 |
28 |
$2K |
| 70498 |
|
178 |
170 |
$2K |
| 85027 |
|
6,560 |
6,047 |
$2K |
| 88342 |
|
543 |
524 |
$2K |
| 81001 |
|
27,028 |
24,688 |
$2K |
| 99462 |
|
77 |
69 |
$2K |
| 83735 |
|
23,004 |
20,273 |
$2K |
| J7120 |
Ringers lactate infusion |
20,376 |
16,928 |
$2K |
| 99496 |
|
170 |
162 |
$2K |
| 88341 |
|
137 |
134 |
$2K |
| 74420 |
|
287 |
268 |
$2K |
| 87081 |
|
4,271 |
4,140 |
$2K |
| 97162 |
|
41 |
41 |
$2K |
| P9016 |
Rbc leukocytes reduced |
15 |
12 |
$2K |
| 88307 |
|
446 |
438 |
$2K |
| 54150 |
|
29 |
29 |
$2K |
| 86140 |
|
10,215 |
9,496 |
$2K |
| 86780 |
|
520 |
504 |
$2K |
| 84481 |
|
840 |
800 |
$1K |
| 73590 |
|
290 |
258 |
$1K |
| 85610 |
|
21,919 |
19,055 |
$1K |
| 81003 |
|
16,229 |
15,320 |
$1K |
| 96127 |
|
124 |
122 |
$1K |
| 96417 |
|
46 |
29 |
$1K |
| 83615 |
|
2,072 |
1,742 |
$1K |
| 84403 |
|
634 |
614 |
$1K |
| 86038 |
|
1,589 |
1,544 |
$1K |
| 36591 |
|
54 |
40 |
$1K |
| 82043 |
|
3,393 |
3,344 |
$1K |
| 83001 |
|
674 |
663 |
$1K |
| 87205 |
|
2,358 |
2,209 |
$1K |
| 90656 |
|
61 |
61 |
$1K |
| 85046 |
|
1,325 |
1,166 |
$1K |
| 87502 |
|
4,526 |
4,361 |
$1K |
| 82950 |
|
1,516 |
1,480 |
$1K |
| 87147 |
|
1,811 |
1,755 |
$995.11 |
| 83970 |
|
205 |
201 |
$967.30 |
| J2272 |
Inj, morphine (fresenius) |
614 |
529 |
$965.61 |
| 88175 |
|
1,597 |
1,596 |
$880.31 |
| 82570 |
|
2,264 |
2,090 |
$878.52 |
| 90662 |
|
45 |
41 |
$847.29 |
| 73080 |
|
226 |
211 |
$838.31 |
| 85730 |
|
14,943 |
13,447 |
$807.24 |
| G0009 |
Admin pneumococcal vaccine |
114 |
113 |
$782.87 |
| 82652 |
|
333 |
330 |
$671.77 |
| 86850 |
|
5,195 |
4,801 |
$663.16 |
| 85652 |
|
3,048 |
2,804 |
$640.24 |
| 64447 |
|
71 |
66 |
$639.88 |
| 84146 |
|
246 |
234 |
$629.72 |
| 84550 |
|
1,561 |
1,450 |
$607.95 |
| 82670 |
|
259 |
248 |
$607.80 |
| 99490 |
Ccm add 20min |
15 |
15 |
$602.93 |
| 82784 |
|
146 |
137 |
$598.79 |
| 77073 |
|
12 |
12 |
$596.40 |
| 84100 |
|
2,404 |
1,979 |
$592.59 |
| 99385 |
|
59 |
54 |
$588.68 |
| 96415 |
|
19 |
12 |
$577.93 |
| 72040 |
|
52 |
52 |
$550.77 |
| 87210 |
|
4,011 |
3,839 |
$526.23 |
| 99464 |
|
12 |
12 |
$504.00 |
| 84156 |
|
1,524 |
1,319 |
$471.25 |
| 84165 |
|
297 |
276 |
$466.14 |
| 83690 |
|
16,058 |
14,548 |
$464.55 |
| 84703 |
|
3,811 |
3,662 |
$456.09 |
| Q2036 |
Flulaval vacc, 3 yrs & >, im |
56 |
56 |
$454.74 |
| 71101 |
|
72 |
70 |
$426.16 |
| 99381 |
|
12 |
12 |
$423.90 |
| 83002 |
|
243 |
228 |
$419.66 |
| 96376 |
|
6,571 |
4,486 |
$417.70 |
| 88304 |
|
1,801 |
1,750 |
$369.20 |
| 76870 |
|
160 |
154 |
$368.45 |
| 87634 |
|
751 |
733 |
$361.35 |
| 76000 |
|
42 |
39 |
$354.75 |
| 83721 |
|
470 |
460 |
$308.21 |
| 87880 |
|
2,761 |
2,685 |
$272.84 |
| 83605 |
|
12,311 |
10,394 |
$266.69 |
| 82550 |
|
2,185 |
1,990 |
$265.26 |
| 83516 |
|
223 |
187 |
$262.69 |
| 85651 |
|
3,018 |
2,877 |
$232.78 |
| 86901 |
|
5,956 |
5,486 |
$216.26 |
| 86431 |
|
608 |
592 |
$211.56 |
| C9399 |
Unclassified drugs or biolog |
91 |
82 |
$208.32 |
| 84484 |
|
20,608 |
15,041 |
$195.32 |
| 87075 |
|
717 |
655 |
$188.35 |
| 85379 |
|
4,421 |
4,281 |
$183.23 |
| 73140 |
|
43 |
39 |
$176.28 |
| 72070 |
|
20 |
19 |
$174.78 |
| 80076 |
|
419 |
388 |
$168.56 |
| 80143 |
|
2,626 |
2,472 |
$166.25 |
| 72072 |
|
12 |
12 |
$159.15 |
| 82077 |
|
4,114 |
3,799 |
$158.08 |
| 80179 |
|
2,562 |
2,431 |
$155.16 |
| 82533 |
|
108 |
90 |
$145.64 |
| 73090 |
|
150 |
136 |
$136.62 |
| J0690 |
Cefazolin sodium injection |
5,300 |
4,423 |
$133.74 |
| 90734 |
|
12 |
12 |
$128.85 |
| 82105 |
|
65 |
64 |
$122.34 |
| 86376 |
|
110 |
109 |
$114.25 |
| 87040 |
|
3,386 |
2,168 |
$106.75 |
| 82565 |
|
90 |
86 |
$97.75 |
| 86696 |
|
32 |
27 |
$96.87 |
| 84144 |
|
42 |
42 |
$91.65 |
| 87651 |
|
775 |
766 |
$88.76 |
| 86762 |
|
183 |
182 |
$86.91 |
| J1050 |
Medroxyprogesterone acetate |
1,217 |
1,202 |
$84.00 |
| 82330 |
|
146 |
137 |
$74.12 |
| 82150 |
|
804 |
775 |
$66.88 |
| 86695 |
|
31 |
27 |
$58.15 |
| 87522 |
Neg quan hep c or qual rna |
12 |
12 |
$55.48 |
| 86708 |
|
49 |
48 |
$45.30 |
| J1885 |
Ketorolac tromethamine inj |
20,697 |
18,419 |
$44.56 |
| J2250 |
Inj midazolam hydrochloride |
12,093 |
11,200 |
$43.16 |
| J2704 |
Inj, propofol, 10 mg |
16,696 |
15,961 |
$39.70 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
1,164 |
990 |
$39.54 |
| 85384 |
|
51 |
44 |
$39.42 |
| J2405 |
Ondansetron hcl injection |
27,453 |
22,038 |
$37.56 |
| 87046 |
|
26 |
25 |
$37.46 |
| 84436 |
|
192 |
189 |
$32.76 |
| 83010 |
|
13 |
13 |
$30.60 |
| 82248 |
|
41 |
40 |
$29.42 |
| J1170 |
Hydromorphone injection |
6,125 |
4,491 |
$25.80 |
| 97116 |
|
12 |
12 |
$25.18 |
| 84480 |
|
26 |
25 |
$25.18 |
| 81000 |
|
53 |
49 |
$24.48 |
| 83930 |
|
449 |
431 |
$20.50 |
| J1100 |
Dexamethasone sodium phos |
14,466 |
12,687 |
$18.94 |
| 87045 |
|
26 |
25 |
$18.73 |
| 84445 |
|
13 |
13 |
$17.83 |
| A9270 |
Non-covered item or service |
96,310 |
40,369 |
$17.25 |
| 82803 |
|
62 |
55 |
$17.16 |
| 87427 |
|
12 |
12 |
$14.62 |
| 84466 |
|
38 |
38 |
$14.24 |
| 84145 |
|
71 |
66 |
$13.69 |
| 82040 |
|
26 |
26 |
$12.94 |
| 86364 |
|
13 |
13 |
$12.87 |
| 82010 |
|
1,237 |
1,094 |
$12.59 |
| 82140 |
|
154 |
145 |
$10.66 |
| 84153 |
|
15 |
13 |
$10.36 |
| J3010 |
Fentanyl citrate injection |
14,541 |
11,948 |
$9.44 |
| 87804 |
|
111 |
102 |
$8.39 |
| J2765 |
Metoclopramide hcl injection |
4,743 |
4,070 |
$7.73 |
| J1200 |
Diphenhydramine hcl injectio |
9,583 |
7,739 |
$6.61 |
| 82800 |
|
461 |
413 |
$6.44 |
| 84460 |
|
24 |
24 |
$5.98 |
| 84132 |
|
194 |
124 |
$4.98 |
| 81015 |
|
26 |
26 |
$4.64 |
| J0780 |
Prochlorperazine injection |
1,099 |
935 |
$3.55 |
| 84450 |
|
12 |
12 |
$2.92 |
| J0137 |
Inj, acetaminophen (hikma) |
38 |
38 |
$2.79 |
| J2270 |
Morphine sulfate injection |
9,180 |
7,236 |
$1.09 |
| J0696 |
Ceftriaxone sodium injection |
3,801 |
3,330 |
$0.56 |
| J1630 |
Haloperidol injection |
2,403 |
2,115 |
$0.53 |
| J3475 |
Inj magnesium sulfate |
2,424 |
1,935 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
766 |
673 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
1,817 |
1,030 |
$0.00 |
| 94729 |
|
1,133 |
1,107 |
$0.00 |
| 93356 |
|
671 |
670 |
$0.00 |
| J2930 |
Methylprednisolone injection |
3,370 |
3,119 |
$0.00 |
| 99152 |
|
904 |
854 |
$0.00 |
| 90461 |
|
2,621 |
2,616 |
$0.00 |
| Q0144 |
Azithromycin dihydrate, oral |
1,067 |
1,005 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
1,000 |
948 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,610 |
1,460 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
2,002 |
1,936 |
$0.00 |
| J7040 |
Normal saline solution infus |
2,848 |
2,287 |
$0.00 |
| 90714 |
|
680 |
670 |
$0.00 |
| S5000 |
Prescription drug, generic |
1,899 |
973 |
$0.00 |
| 90715 |
|
1,477 |
1,407 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
1,011 |
707 |
$0.00 |
| 94799 |
|
247 |
118 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
94 |
94 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
142 |
124 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
2,089 |
954 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
271 |
181 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
142 |
104 |
$0.00 |
| 76942 |
|
127 |
101 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
221 |
219 |
$0.00 |
| G1004 |
Cdsm ndsc |
483 |
428 |
$0.00 |
| A9552 |
F18 fdg |
24 |
24 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
34 |
34 |
$0.00 |
| 82805 |
|
57 |
54 |
$0.00 |
| 12011 |
|
24 |
24 |
$0.00 |
| 36600 |
|
27 |
24 |
$0.00 |
| J0136 |
Inj, acetaminophen (b braun) |
14 |
13 |
$0.00 |
| J0134 |
Inj acetaminophen -fresenius |
54 |
52 |
$0.00 |
| 82365 |
|
40 |
40 |
$0.00 |
| 87102 |
|
13 |
12 |
$0.00 |
| 86200 |
|
14 |
14 |
$0.00 |
| 99211 |
|
16 |
16 |
$0.00 |
| Q9950 |
Inj sulf hexa lipid microsph |
12 |
12 |
$0.00 |
| 59426 |
|
15 |
15 |
$0.00 |
| 90681 |
|
30 |
30 |
$0.00 |
| 29125 |
|
29 |
25 |
$0.00 |
| C1751 |
Cath, inf, per/cent/midline |
18 |
13 |
$0.00 |
| 94664 |
|
15 |
12 |
$0.00 |
| 76001 |
|
15 |
14 |
$0.00 |
| J1953 |
Levetiracetam injection |
14 |
12 |
$0.00 |
| 99212 |
|
48 |
48 |
$0.00 |
| J2060 |
Lorazepam injection |
3,043 |
2,484 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
2,233 |
1,266 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
2,953 |
2,818 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
2,642 |
2,514 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
1,076 |
1,000 |
$0.00 |
| J8597 |
Antiemetic drug oral nos |
461 |
407 |
$0.00 |
| J7050 |
Normal saline solution infus |
5,405 |
3,226 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
988 |
834 |
$0.00 |
| C1769 |
Guide wire |
1,955 |
1,823 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
87 |
86 |
$0.00 |
| J2360 |
Orphenadrine injection |
2,471 |
2,371 |
$0.00 |
| J3490 |
Drugs unclassified injection |
20,292 |
11,916 |
$0.00 |
| A9500 |
Tc99m sestamibi |
595 |
578 |
$0.00 |
| 94760 |
|
754 |
561 |
$0.00 |
| J1741 |
Ibuprofen injection |
1,403 |
1,356 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
131 |
107 |
$0.00 |
| 95886 |
|
663 |
652 |
$0.00 |
| J0500 |
Dicyclomine injection |
27 |
25 |
$0.00 |
| 97010 |
|
1,777 |
591 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
57 |
51 |
$0.00 |
| A9585 |
Gadobutrol injection |
2,151 |
2,066 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
1,308 |
1,230 |
$0.00 |
| J3420 |
Vitamin b12 injection |
232 |
207 |
$0.00 |
| J3480 |
Inj potassium chloride |
581 |
387 |
$0.00 |
| 86308 |
|
59 |
58 |
$0.00 |
| J3535 |
Metered dose inhaler drug |
80 |
61 |
$0.00 |
| J2785 |
Regadenoson injection |
471 |
463 |
$0.00 |
| 72170 |
|
42 |
40 |
$0.00 |
| 80329 |
|
263 |
137 |
$0.00 |
| 90647 |
|
101 |
101 |
$0.00 |
| 80320 |
|
229 |
211 |
$0.00 |
| 90723 |
|
99 |
99 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
439 |
428 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
69 |
26 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
134 |
133 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
264 |
236 |
$0.00 |
| J1940 |
Furosemide injection |
15 |
12 |
$0.00 |
| 12001 |
|
201 |
198 |
$0.00 |
| C2617 |
Stent, non-cor, tem w/o del |
158 |
143 |
$0.00 |
| 96368 |
|
135 |
123 |
$0.00 |
| C1781 |
Mesh (implantable) |
37 |
36 |
$0.00 |
| J2001 |
Lidocaine injection |
43 |
42 |
$0.00 |
| 99024 |
|
16 |
16 |
$0.00 |
| 99214 |
|
19 |
18 |
$0.00 |
| C1889 |
Implant/insert device, noc |
63 |
56 |
$0.00 |
| J1815 |
Insulin injection |
77 |
54 |
$0.00 |
| 87801 |
|
76 |
75 |
$0.00 |
| 88108 |
|
13 |
12 |
$0.00 |
| 64494 |
|
12 |
12 |
$0.00 |
| G0399 |
Home sleep test/type 3 porta |
12 |
12 |
$0.00 |
| 88300 |
|
26 |
26 |
$0.00 |
| J1836 |
Inj, metronidazole, 10 mg |
21 |
12 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
20 |
13 |
$0.00 |
| 64415 |
|
13 |
12 |
$0.00 |