| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
77,312 |
69,115 |
$35.28M |
| 99284 |
|
95,763 |
88,694 |
$28.00M |
| 99283 |
|
75,768 |
71,794 |
$18.53M |
| 74177 |
|
18,569 |
17,394 |
$11.72M |
| 99291 |
|
6,497 |
5,835 |
$5.69M |
| 74176 |
|
9,942 |
9,181 |
$4.16M |
| 47562 |
|
1,101 |
1,039 |
$3.90M |
| 70450 |
|
24,168 |
21,985 |
$3.06M |
| 44970 |
|
736 |
703 |
$2.59M |
| G0378 |
Hospital observation per hr |
76,659 |
35,747 |
$2.54M |
| 99282 |
|
22,930 |
22,013 |
$2.30M |
| 70553 |
|
2,349 |
2,248 |
$1.60M |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,554 |
1,428 |
$1.49M |
| 58571 |
|
316 |
285 |
$1.36M |
| 72125 |
|
7,744 |
7,125 |
$1.10M |
| 70496 |
|
2,061 |
1,904 |
$948K |
| 70551 |
|
2,882 |
2,665 |
$780K |
| 99213 |
|
7,703 |
6,731 |
$752K |
| 93306 |
|
4,099 |
3,822 |
$708K |
| 93458 |
|
317 |
280 |
$707K |
| 88305 |
|
7,897 |
5,401 |
$618K |
| 71275 |
|
6,050 |
5,664 |
$545K |
| 74174 |
|
710 |
681 |
$518K |
| 93970 |
|
2,938 |
2,719 |
$488K |
| 96365 |
|
32,469 |
27,085 |
$464K |
| 80053 |
|
160,891 |
127,321 |
$456K |
| 36430 |
|
2,804 |
2,069 |
$411K |
| 78452 |
|
524 |
466 |
$407K |
| 99214 |
|
2,441 |
2,097 |
$361K |
| 58670 |
|
135 |
118 |
$344K |
| 75574 |
|
915 |
845 |
$340K |
| 70491 |
|
911 |
859 |
$329K |
| 99203 |
|
2,937 |
2,882 |
$327K |
| 72131 |
|
879 |
835 |
$309K |
| 11042 |
|
1,915 |
1,064 |
$300K |
| 54161 |
|
266 |
254 |
$288K |
| 49083 |
|
1,461 |
734 |
$282K |
| 43239 |
|
1,665 |
1,609 |
$267K |
| 72146 |
|
922 |
838 |
$240K |
| 90378 |
|
475 |
413 |
$238K |
| J1745 |
Infliximab not biosimil 10mg |
135 |
99 |
$232K |
| 99212 |
|
3,468 |
2,744 |
$228K |
| 95812 |
|
1,683 |
1,661 |
$228K |
| 80307 |
|
34,637 |
29,173 |
$191K |
| 71250 |
|
1,877 |
1,749 |
$186K |
| 93798 |
|
3,050 |
448 |
$181K |
| 59025 |
|
2,520 |
1,614 |
$180K |
| 96372 |
|
37,270 |
24,376 |
$157K |
| 93971 |
|
4,916 |
4,479 |
$156K |
| 87633 |
|
1,739 |
1,683 |
$142K |
| U0003 |
Cov-19 amp prb hgh thruput |
7,604 |
7,221 |
$139K |
| 70486 |
|
2,603 |
2,441 |
$133K |
| 70487 |
|
263 |
257 |
$127K |
| 99215 |
Prolong outpt/office vis |
949 |
850 |
$126K |
| L8699 |
Prosthetic implant nos |
206 |
188 |
$118K |
| A9585 |
Gadobutrol injection |
2,166 |
2,033 |
$115K |
| 80320 |
|
24,031 |
21,876 |
$114K |
| J1756 |
Iron sucrose injection |
2,828 |
1,187 |
$113K |
| 93005 |
|
72,096 |
56,161 |
$104K |
| 96374 |
|
67,126 |
58,978 |
$104K |
| 77012 |
|
145 |
116 |
$101K |
| 96413 |
|
3,777 |
2,174 |
$101K |
| 88307 |
|
2,288 |
1,731 |
$98K |
| 96366 |
|
10,353 |
6,913 |
$93K |
| 95810 |
|
126 |
124 |
$82K |
| 70498 |
|
2,069 |
1,919 |
$81K |
| 92611 |
|
494 |
465 |
$68K |
| 74455 |
|
260 |
256 |
$68K |
| 95816 |
|
578 |
555 |
$60K |
| 71260 |
|
2,601 |
2,378 |
$57K |
| C1769 |
Guide wire |
3,593 |
3,102 |
$56K |
| 96375 |
|
67,901 |
51,871 |
$55K |
| J1439 |
Inj ferric carboxymaltos 1mg |
111 |
64 |
$54K |
| 96376 |
|
34,174 |
18,670 |
$49K |
| C1776 |
Joint device (implantable) |
74 |
67 |
$46K |
| 99204 |
|
260 |
255 |
$45K |
| 10060 |
|
691 |
665 |
$43K |
| 12001 |
|
2,027 |
1,944 |
$41K |
| 97110 |
|
1,378 |
674 |
$38K |
| 12011 |
|
2,075 |
1,997 |
$35K |
| 72148 |
|
1,287 |
1,041 |
$34K |
| G0257 |
Unsched dialysis esrd pt hos |
1,964 |
1,047 |
$34K |
| 93303 |
|
74 |
67 |
$33K |
| 86920 |
|
1,393 |
753 |
$32K |
| 82728 |
|
3,159 |
2,852 |
$31K |
| 76819 |
|
1,263 |
1,058 |
$31K |
| 96361 |
|
21,257 |
18,295 |
$30K |
| 96360 |
|
7,654 |
6,825 |
$27K |
| 74230 |
|
499 |
469 |
$25K |
| 76705 |
|
10,230 |
9,608 |
$25K |
| J2357 |
Omalizumab injection |
346 |
92 |
$25K |
| 97113 |
|
367 |
112 |
$24K |
| 72141 |
|
1,241 |
1,072 |
$24K |
| 80048 |
|
32,258 |
24,301 |
$24K |
| 36561 |
|
14 |
13 |
$23K |
| J0696 |
Ceftriaxone sodium injection |
24,750 |
18,914 |
$23K |
| G0463 |
Hospital outpt clinic visit |
3,170 |
1,360 |
$23K |
| 93976 |
|
6,563 |
6,096 |
$23K |
| 85025 |
|
172,166 |
137,835 |
$22K |
| 97112 |
|
498 |
182 |
$21K |
| C1889 |
Implant/insert device, noc |
29 |
26 |
$21K |
| 76770 |
|
703 |
671 |
$20K |
| 97530 |
|
8,574 |
4,295 |
$19K |
| 76775 |
|
2,251 |
2,097 |
$18K |
| 86923 |
|
3,296 |
1,715 |
$17K |
| 76815 |
|
3,600 |
3,168 |
$17K |
| 12002 |
|
1,202 |
1,145 |
$16K |
| 20680 |
|
14 |
12 |
$15K |
| 71046 |
|
20,270 |
18,952 |
$14K |
| 76805 |
|
404 |
382 |
$14K |
| 11045 |
|
20 |
12 |
$14K |
| 76856 |
|
5,269 |
4,974 |
$13K |
| 95714 |
|
136 |
134 |
$13K |
| G0390 |
Trauma respons w/hosp criti |
14 |
14 |
$13K |
| 97140 |
|
615 |
178 |
$12K |
| 36591 |
|
4,257 |
2,447 |
$12K |
| C1781 |
Mesh (implantable) |
336 |
312 |
$12K |
| 96367 |
|
5,772 |
4,863 |
$12K |
| 82657 |
|
183 |
175 |
$11K |
| 45380 |
|
109 |
108 |
$11K |
| 86850 |
|
12,182 |
10,837 |
$11K |
| 0225U |
|
298 |
294 |
$11K |
| 99281 |
|
214 |
204 |
$11K |
| J0897 |
Denosumab injection |
28 |
25 |
$10K |
| 11043 |
|
15 |
12 |
$9K |
| 82947 |
|
63,727 |
30,230 |
$9K |
| 71045 |
|
47,720 |
42,565 |
$8K |
| 76700 |
|
482 |
455 |
$8K |
| 97161 |
|
4,493 |
3,910 |
$8K |
| C1894 |
Intro/sheath, non-laser |
2,407 |
2,094 |
$8K |
| 97166 |
|
1,407 |
1,190 |
$6K |
| 73630 |
|
3,892 |
3,556 |
$6K |
| 97162 |
|
1,419 |
1,247 |
$6K |
| J3490 |
Drugs unclassified injection |
103,176 |
46,360 |
$6K |
| 87040 |
|
26,256 |
13,960 |
$6K |
| G0480 |
Drug test def 1-7 classes |
3,135 |
2,773 |
$6K |
| 97165 |
|
2,098 |
1,843 |
$6K |
| 80329 |
|
3,114 |
2,759 |
$6K |
| 87086 |
|
29,890 |
27,845 |
$6K |
| 88341 |
|
83 |
53 |
$6K |
| 29581 |
|
564 |
181 |
$5K |
| 87636 |
|
13,292 |
12,636 |
$5K |
| 76801 |
|
5,376 |
4,817 |
$5K |
| J8540 |
Oral dexamethasone |
2,945 |
2,258 |
$5K |
| 74018 |
|
5,560 |
5,111 |
$5K |
| 84702 |
|
21,658 |
19,975 |
$5K |
| 97535 |
|
5,757 |
3,611 |
$5K |
| J2405 |
Ondansetron hcl injection |
66,702 |
53,093 |
$5K |
| 92507 |
|
75 |
34 |
$4K |
| 82805 |
|
2,417 |
2,139 |
$4K |
| 45378 |
|
13 |
12 |
$4K |
| 84484 |
|
58,621 |
34,332 |
$4K |
| 0450 |
|
89 |
76 |
$4K |
| 87491 |
|
6,338 |
6,077 |
$4K |
| 87591 |
|
6,385 |
6,115 |
$4K |
| 73610 |
|
3,649 |
3,323 |
$4K |
| 94640 |
|
18,323 |
12,082 |
$3K |
| 99211 |
|
1,311 |
752 |
$3K |
| 76817 |
|
3,453 |
3,165 |
$3K |
| 84443 |
|
13,492 |
12,180 |
$3K |
| 87631 |
|
8,365 |
8,077 |
$3K |
| 92526 |
|
101 |
56 |
$3K |
| 99195 |
|
58 |
56 |
$3K |
| 51600 |
|
260 |
257 |
$3K |
| 96523 |
|
185 |
160 |
$3K |
| 83690 |
|
44,244 |
39,239 |
$3K |
| 88304 |
|
3,271 |
3,062 |
$3K |
| 76830 |
|
3,182 |
3,027 |
$3K |
| 87075 |
|
1,280 |
966 |
$3K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
33,054 |
30,061 |
$3K |
| 73562 |
|
5,309 |
4,613 |
$3K |
| 73130 |
|
3,442 |
3,151 |
$2K |
| 72100 |
|
3,064 |
2,840 |
$2K |
| 81025 |
|
15,878 |
14,950 |
$2K |
| 97163 |
|
15 |
13 |
$2K |
| 94762 |
|
5,267 |
3,403 |
$2K |
| 84703 |
|
27,479 |
25,530 |
$2K |
| J2765 |
Metoclopramide hcl injection |
3,994 |
3,258 |
$2K |
| 73080 |
|
1,706 |
1,604 |
$2K |
| 95819 |
|
15 |
15 |
$2K |
| 81001 |
|
52,314 |
47,818 |
$2K |
| 73502 |
|
2,518 |
2,227 |
$2K |
| 72128 |
|
54 |
54 |
$1K |
| 73030 |
|
4,220 |
3,680 |
$1K |
| 83880 |
|
12,179 |
10,891 |
$1K |
| P9016 |
Rbc leukocytes reduced |
1,842 |
1,409 |
$1K |
| J3475 |
Inj magnesium sulfate |
3,379 |
2,521 |
$1K |
| 93017 |
|
528 |
466 |
$1K |
| 76870 |
|
1,127 |
1,062 |
$1K |
| J2370 |
Phenylephrine hcl injection |
2,230 |
1,752 |
$1K |
| 83735 |
|
32,499 |
24,557 |
$1K |
| 92610 |
|
63 |
53 |
$1K |
| 73110 |
|
2,378 |
2,149 |
$985.78 |
| 87635 |
|
4,487 |
4,366 |
$963.50 |
| C9113 |
Inj pantoprazole sodium, via |
9,636 |
6,017 |
$946.67 |
| J8499 |
Oral prescrip drug non chemo |
148,697 |
50,378 |
$911.09 |
| J1885 |
Ketorolac tromethamine inj |
34,976 |
28,969 |
$864.49 |
| M0243 |
Casirivi and imdevi inj |
267 |
258 |
$864.10 |
| 83605 |
|
20,379 |
15,173 |
$779.52 |
| 87661 |
|
2,106 |
2,032 |
$722.52 |
| J2270 |
Morphine sulfate injection |
38,495 |
26,659 |
$718.04 |
| 85610 |
|
29,547 |
24,218 |
$716.57 |
| 85027 |
|
23,058 |
17,486 |
$701.88 |
| 93880 |
|
126 |
106 |
$696.90 |
| 73090 |
|
2,769 |
2,352 |
$678.69 |
| 85384 |
|
1,553 |
1,319 |
$661.71 |
| 73140 |
|
939 |
877 |
$652.98 |
| G0379 |
Direct refer hospital observ |
2,069 |
1,985 |
$635.12 |
| J7030 |
Normal saline solution infus |
39,182 |
31,359 |
$632.85 |
| 87651 |
|
2,555 |
2,500 |
$595.74 |
| J2704 |
Inj, propofol, 10 mg |
17,431 |
15,962 |
$583.47 |
| J0702 |
Betamethasone acet&sod phosp |
365 |
203 |
$577.06 |
| 94760 |
|
14,474 |
8,098 |
$557.91 |
| 85730 |
|
12,860 |
11,292 |
$556.83 |
| 90715 |
|
3,424 |
3,276 |
$468.19 |
| 87880 |
|
7,111 |
6,885 |
$461.68 |
| 86635 |
|
759 |
386 |
$459.48 |
| 73620 |
|
520 |
450 |
$458.82 |
| 87186 |
|
7,165 |
6,397 |
$454.77 |
| J1650 |
Inj enoxaparin sodium |
13,231 |
6,792 |
$444.93 |
| 80061 |
|
3,153 |
2,814 |
$438.46 |
| 86900 |
|
14,643 |
13,271 |
$430.21 |
| 87210 |
|
6,929 |
6,614 |
$424.09 |
| 76882 |
|
269 |
252 |
$421.99 |
| 86901 |
|
14,831 |
13,424 |
$418.04 |
| 73590 |
|
2,695 |
2,356 |
$411.82 |
| 87088 |
|
17,135 |
15,277 |
$410.82 |
| J8597 |
Antiemetic drug oral nos |
17,502 |
15,246 |
$410.07 |
| 72072 |
|
785 |
723 |
$408.96 |
| J3010 |
Fentanyl citrate injection |
29,862 |
24,770 |
$402.68 |
| 87070 |
|
3,400 |
2,669 |
$390.00 |
| J0500 |
Dicyclomine injection |
1,984 |
1,851 |
$372.60 |
| 74021 |
|
3,749 |
3,609 |
$366.75 |
| 82784 |
|
264 |
153 |
$361.63 |
| J2543 |
Piperacillin/tazobactam |
6,225 |
3,211 |
$358.45 |
| 85379 |
|
3,176 |
2,936 |
$349.17 |
| A9270 |
Non-covered item or service |
163,961 |
17,887 |
$316.00 |
| 73600 |
|
315 |
263 |
$312.00 |
| J7120 |
Ringers lactate infusion |
3,561 |
2,802 |
$301.04 |
| 73060 |
|
709 |
617 |
$299.17 |
| 81003 |
|
22,723 |
21,162 |
$297.46 |
| 76604 |
|
250 |
216 |
$292.91 |
| 73552 |
|
981 |
854 |
$291.15 |
| 84145 |
|
4,486 |
4,120 |
$280.61 |
| 84112 |
|
2,061 |
1,894 |
$279.88 |
| 85240 |
|
12 |
12 |
$270.64 |
| 87077 |
|
8,558 |
7,346 |
$258.22 |
| 74022 |
|
1,391 |
1,265 |
$247.84 |
| J0780 |
Prochlorperazine injection |
4,332 |
3,964 |
$246.36 |
| 82731 |
|
187 |
181 |
$239.54 |
| 82550 |
|
10,892 |
8,817 |
$238.84 |
| J2930 |
Methylprednisolone injection |
4,496 |
3,635 |
$236.00 |
| J1100 |
Dexamethasone sodium phos |
21,745 |
19,443 |
$232.50 |
| 86140 |
|
11,899 |
10,938 |
$229.18 |
| 74420 |
|
84 |
72 |
$228.94 |
| 85460 |
|
748 |
682 |
$214.49 |
| 85055 |
|
4,861 |
2,837 |
$212.55 |
| J2785 |
Regadenoson injection |
431 |
374 |
$212.47 |
| 97116 |
|
5,556 |
3,686 |
$198.36 |
| J1200 |
Diphenhydramine hcl injectio |
14,020 |
11,482 |
$193.30 |
| 87081 |
|
4,149 |
3,996 |
$190.84 |
| 90732 |
|
57 |
53 |
$190.60 |
| 82565 |
|
4,129 |
3,663 |
$187.87 |
| 83036 |
|
4,507 |
4,130 |
$181.45 |
| J1953 |
Levetiracetam injection |
1,420 |
1,061 |
$166.96 |
| 73564 |
|
39 |
36 |
$161.12 |
| 88342 |
|
834 |
736 |
$151.77 |
| C2617 |
Stent, non-cor, tem w/o del |
68 |
57 |
$151.60 |
| 72170 |
|
1,478 |
1,338 |
$151.32 |
| J2920 |
Methylprednisolone injection |
3,022 |
1,629 |
$141.41 |
| U0005 |
Infec agen detec ampli probe |
3,808 |
3,544 |
$139.88 |
| 62270 |
|
33 |
26 |
$136.80 |
| J2060 |
Lorazepam injection |
7,608 |
5,983 |
$127.98 |
| 70360 |
|
144 |
142 |
$126.52 |
| 73120 |
|
390 |
333 |
$121.82 |
| 82248 |
|
260 |
210 |
$113.00 |
| C1758 |
Catheter, ureteral |
141 |
121 |
$112.94 |
| J0690 |
Cefazolin sodium injection |
11,527 |
8,859 |
$112.55 |
| 84100 |
|
9,145 |
6,593 |
$111.68 |
| 72040 |
|
500 |
450 |
$108.13 |
| 90471 |
|
3,833 |
3,650 |
$105.19 |
| J0360 |
Hydralazine hcl injection |
5,149 |
3,483 |
$104.79 |
| 86870 |
|
72 |
55 |
$102.50 |
| 96368 |
|
1,501 |
1,295 |
$101.02 |
| J2550 |
Promethazine hcl injection |
5,248 |
3,938 |
$98.32 |
| 84132 |
|
9,112 |
7,324 |
$93.33 |
| 86308 |
|
890 |
867 |
$92.26 |
| 51702 |
|
292 |
259 |
$91.64 |
| J3480 |
Inj potassium chloride |
4,676 |
3,168 |
$88.36 |
| 82607 |
|
1,501 |
1,352 |
$79.06 |
| 84466 |
|
2,828 |
2,597 |
$78.08 |
| 87502 |
|
660 |
607 |
$74.08 |
| 43235 |
|
16 |
13 |
$72.00 |
| 85046 |
|
2,622 |
2,246 |
$67.64 |
| 87449 |
|
957 |
785 |
$67.21 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
2,369 |
1,366 |
$53.77 |
| 83615 |
|
1,524 |
1,193 |
$51.59 |
| J1940 |
Furosemide injection |
3,161 |
1,986 |
$48.57 |
| 85014 |
|
3,489 |
2,901 |
$48.47 |
| J2360 |
Orphenadrine injection |
2,655 |
2,517 |
$48.36 |
| 71101 |
|
304 |
289 |
$47.94 |
| 86769 |
|
491 |
483 |
$42.96 |
| 85652 |
|
4,483 |
4,087 |
$41.73 |
| 82140 |
|
2,151 |
1,758 |
$39.55 |
| 84439 |
|
2,535 |
2,323 |
$39.35 |
| 87205 |
|
3,986 |
3,113 |
$38.84 |
| 87340 |
|
505 |
464 |
$37.17 |
| A9577 |
Inj multihance |
138 |
134 |
$36.60 |
| 73070 |
|
398 |
325 |
$36.31 |
| 87427 |
|
408 |
210 |
$35.28 |
| J7040 |
Normal saline solution infus |
6,084 |
5,411 |
$33.38 |
| 86592 |
|
615 |
574 |
$32.80 |
| J0330 |
Succinycholine chloride inj |
3,249 |
2,994 |
$32.77 |
| J0456 |
Azithromycin |
2,219 |
1,609 |
$32.41 |
| 82010 |
|
2,655 |
2,292 |
$32.10 |
| J1170 |
Hydromorphone injection |
6,555 |
4,763 |
$31.67 |
| J7512 |
Prednisone ir or dr oral 1mg |
4,192 |
2,967 |
$31.49 |
| J1815 |
Insulin injection |
17,541 |
7,245 |
$29.22 |
| 87045 |
|
549 |
526 |
$29.09 |
| 86803 |
|
132 |
128 |
$27.40 |
| J0692 |
Cefepime hcl for injection |
1,519 |
955 |
$26.41 |
| J3535 |
Metered dose inhaler drug |
778 |
758 |
$25.99 |
| 82270 |
|
497 |
485 |
$25.27 |
| J1630 |
Haloperidol injection |
2,175 |
1,765 |
$24.09 |
| 99152 |
|
2,062 |
1,859 |
$23.32 |
| 84156 |
|
2,328 |
1,877 |
$23.07 |
| 94761 |
|
622 |
390 |
$22.83 |
| 84460 |
|
1,279 |
1,139 |
$22.44 |
| 82570 |
|
426 |
371 |
$19.63 |
| J2710 |
Neostigmine methylslfte inj |
3,558 |
3,206 |
$19.56 |
| 82378 |
|
180 |
157 |
$19.33 |
| J2250 |
Inj midazolam hydrochloride |
16,349 |
14,988 |
$18.57 |
| J1644 |
Inj heparin sodium per 1000u |
10,087 |
4,730 |
$18.01 |
| 83540 |
|
2,874 |
2,628 |
$17.29 |
| 82553 |
|
594 |
487 |
$16.65 |
| 94664 |
|
447 |
301 |
$15.32 |
| 82746 |
|
490 |
440 |
$14.52 |
| J3370 |
Vancomycin hcl injection |
5,796 |
3,319 |
$14.40 |
| 73560 |
|
409 |
352 |
$14.07 |
| 84550 |
|
2,365 |
2,061 |
$12.30 |
| G0008 |
Admin influenza virus vac |
1,175 |
1,068 |
$11.86 |
| 96415 |
|
1,605 |
986 |
$11.53 |
| 87147 |
|
1,050 |
951 |
$9.98 |
| 80164 |
|
1,185 |
1,006 |
$9.78 |
| 87807 |
|
431 |
421 |
$8.57 |
| 90686 |
|
1,217 |
1,106 |
$7.73 |
| 96417 |
|
512 |
307 |
$7.67 |
| 87116 |
|
323 |
245 |
$7.23 |
| 84295 |
|
3,688 |
3,216 |
$7.07 |
| J1642 |
Inj heparin sodium per 10 u |
2,830 |
1,307 |
$6.96 |
| 82435 |
|
2,092 |
1,850 |
$6.67 |
| J2175 |
Meperidine hydrochl /100 mg |
4,914 |
4,538 |
$6.48 |
| 84520 |
|
3,681 |
3,264 |
$6.38 |
| J7999 |
Compounded drug, noc |
2,451 |
2,247 |
$5.90 |
| 87102 |
|
423 |
332 |
$5.89 |
| 85018 |
|
5,612 |
4,531 |
$5.84 |
| 84450 |
|
584 |
510 |
$5.06 |
| J1790 |
Droperidol injection |
939 |
894 |
$4.21 |
| 82945 |
|
336 |
273 |
$4.05 |
| J2469 |
Palonosetron hcl |
215 |
134 |
$3.91 |
| 84157 |
|
382 |
313 |
$3.77 |
| 84300 |
|
71 |
64 |
$3.50 |
| S0028 |
Injection, famotidine, 20 mg |
1,478 |
1,307 |
$3.13 |
| J1956 |
Levofloxacin injection |
3,376 |
2,326 |
$1.78 |
| J7050 |
Normal saline solution infus |
960 |
674 |
$1.24 |
| 89051 |
|
1,703 |
1,113 |
$0.96 |
| 82330 |
|
1,474 |
1,285 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
635 |
575 |
$0.00 |
| 87276 |
|
58 |
54 |
$0.00 |
| 95700 |
|
187 |
184 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
156 |
147 |
$0.00 |
| 87206 |
|
506 |
320 |
$0.00 |
| P9040 |
Rbc leukoreduced irradiated |
257 |
191 |
$0.00 |
| J1836 |
Inj, metronidazole, 10 mg |
526 |
304 |
$0.00 |
| 86780 |
|
80 |
77 |
$0.00 |
| 76377 |
|
1,669 |
1,582 |
$0.00 |
| 80178 |
|
285 |
241 |
$0.00 |
| 82533 |
|
54 |
38 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
1,161 |
1,041 |
$0.00 |
| C9399 |
Unclassified drugs or biolog |
212 |
188 |
$0.00 |
| G8988 |
Self care goal status |
63 |
58 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
275 |
245 |
$0.00 |
| 87046 |
|
257 |
239 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
177 |
96 |
$0.00 |
| J0571 |
Buprenorphine oral 1mg |
32 |
13 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
422 |
308 |
$0.00 |
| J1920 |
Inj, labetalol hcl, 5mg |
228 |
166 |
$0.00 |
| 36415 |
|
341 |
297 |
$0.00 |
| J7042 |
5% dextrose/normal saline |
67 |
54 |
$0.00 |
| 97010 |
|
177 |
56 |
$0.00 |
| 93320 |
|
59 |
54 |
$0.00 |
| J3360 |
Diazepam injection |
71 |
61 |
$0.00 |
| 87015 |
|
73 |
50 |
$0.00 |
| G8987 |
Self care current status |
61 |
56 |
$0.00 |
| 90632 |
|
14 |
14 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
81 |
76 |
$0.00 |
| 77001 |
|
45 |
42 |
$0.00 |
| 74019 |
|
145 |
145 |
$0.00 |
| U0002 |
Covid-19 lab test non-cdc |
18 |
18 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
44 |
41 |
$0.00 |
| 87280 |
|
16 |
12 |
$0.00 |
| 87632 |
|
42 |
41 |
$0.00 |
| 87184 |
|
54 |
48 |
$0.00 |
| 83930 |
|
43 |
38 |
$0.00 |
| 73660 |
|
52 |
49 |
$0.00 |
| 83021 |
|
13 |
13 |
$0.00 |
| J2001 |
Lidocaine injection |
86 |
76 |
$0.00 |
| 87389 |
|
16 |
13 |
$0.00 |
| 94644 |
|
17 |
15 |
$0.00 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
13 |
13 |
$0.00 |
| 82306 |
|
12 |
12 |
$0.00 |
| J1453 |
Fosaprepitant injection |
40 |
25 |
$0.00 |
| J3105 |
Terbutaline sulfate inj |
126 |
115 |
$0.00 |
| Q9958 |
Hocm <=149 mg/ml iodine, 1ml |
417 |
411 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
505 |
491 |
$0.00 |
| 87899 |
|
366 |
181 |
$0.00 |
| 87324 |
|
172 |
149 |
$0.00 |
| 73000 |
|
94 |
79 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
543 |
479 |
$0.00 |
| 88112 |
|
623 |
478 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
916 |
808 |
$0.00 |
| 82375 |
|
854 |
779 |
$0.00 |
| 85007 |
|
467 |
377 |
$0.00 |
| J0744 |
Ciprofloxacin iv |
537 |
335 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
549 |
499 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
200 |
198 |
$0.00 |
| 93325 |
|
595 |
549 |
$0.00 |
| G8978 |
Mobility current status |
237 |
188 |
$0.00 |
| 80074 |
|
133 |
117 |
$0.00 |
| 0042T |
|
142 |
133 |
$0.00 |
| C1760 |
Closure dev, vasc |
555 |
478 |
$0.00 |
| G8979 |
Mobility goal status |
262 |
208 |
$0.00 |
| C1887 |
Catheter, guiding |
542 |
467 |
$0.00 |
| 76937 |
|
172 |
159 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
103 |
84 |
$0.00 |
| 82365 |
|
13 |
12 |
$0.00 |
| J3371 |
Inj, vancomycin hcl (mylan) |
55 |
39 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
909 |
673 |
$0.00 |
| A9552 |
F18 fdg |
86 |
81 |
$0.00 |
| 87254 |
|
152 |
96 |
$0.00 |
| Q0245 |
Bamlanivimab and etesevima |
78 |
74 |
$0.00 |
| M0245 |
Bamlan and etesev infusion |
76 |
72 |
$0.00 |
| 29125 |
|
186 |
177 |
$0.00 |
| J1580 |
Garamycin gentamicin inj |
121 |
92 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
248 |
240 |
$0.00 |
| 80202 |
|
234 |
193 |
$0.00 |
| 73100 |
|
61 |
51 |
$0.00 |
| C1788 |
Port, indwelling, imp |
26 |
25 |
$0.00 |
| 76857 |
|
14 |
14 |
$0.00 |
| Q0114 |
Fern test |
446 |
412 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
531 |
358 |
$0.00 |
| 93041 |
|
55 |
43 |
$0.00 |
| 82247 |
|
73 |
50 |
$0.00 |
| J2310 |
Inj naloxone hydrochloride |
28 |
26 |
$0.00 |
| 76000 |
|
29 |
27 |
$0.00 |
| J0736 |
Inj, clindamycin phosp 300mg |
85 |
53 |
$0.00 |
| 96401 |
|
101 |
44 |
$0.00 |
| J0694 |
Cefoxitin sodium injection |
79 |
52 |
$0.00 |
| 86789 |
|
14 |
14 |
$0.00 |
| J2720 |
Inj protamine sulfate/10 mg |
17 |
12 |
$0.00 |
| 85347 |
|
24 |
16 |
$0.00 |
| 93975 |
|
12 |
12 |
$0.00 |
| 87275 |
|
58 |
54 |
$0.00 |
| J2800 |
Methocarbamol injection |
12 |
12 |
$0.00 |
| Q9961 |
Hocm 250-299mg/ml iodine,1ml |
16 |
16 |
$0.00 |
| 85520 |
|
39 |
27 |
$0.00 |
| 88313 |
|
23 |
12 |
$0.00 |
| 94770 |
|
13 |
12 |
$0.00 |
| 87798 |
|
29 |
25 |
$0.00 |
| C1729 |
Cath, drainage |
43 |
37 |
$0.00 |
| 29515 |
|
12 |
12 |
$0.00 |
| A9537 |
Tc99m mebrofenin |
19 |
12 |
$0.00 |
| 86788 |
|
14 |
14 |
$0.00 |
| C1874 |
Stent, coated/cov w/del sys |
16 |
14 |
$0.00 |