| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
36,977 |
31,444 |
$14.48M |
| 99285 |
|
22,890 |
19,090 |
$11.29M |
| 99283 |
|
38,414 |
33,587 |
$8.07M |
| 96374 |
|
25,035 |
18,890 |
$3.24M |
| U0003 |
Cov-19 amp prb hgh thruput |
130,810 |
59,916 |
$3.16M |
| 97110 |
|
57,509 |
15,220 |
$2.80M |
| 74177 |
|
7,070 |
6,248 |
$1.46M |
| 43239 |
|
2,753 |
2,561 |
$1.37M |
| 95810 |
|
1,689 |
1,605 |
$1.36M |
| 45380 |
|
1,851 |
1,709 |
$1.26M |
| H0015 |
Alcohol and/or drug services |
9,029 |
1,438 |
$1.20M |
| 99214 |
|
14,705 |
12,341 |
$1.19M |
| G0463 |
Hospital outpt clinic visit |
18,612 |
12,712 |
$1.11M |
| 93306 |
|
4,738 |
4,255 |
$1.08M |
| S9480 |
Intensive outpatient psychia |
8,522 |
1,272 |
$1.04M |
| 71046 |
|
17,128 |
15,065 |
$927K |
| 77067 |
|
7,795 |
7,453 |
$825K |
| 95811 |
|
1,063 |
991 |
$811K |
| 70450 |
|
8,186 |
7,015 |
$780K |
| 74176 |
|
5,423 |
4,717 |
$760K |
| 97010 |
|
11,963 |
4,803 |
$741K |
| 96375 |
|
15,935 |
12,512 |
$706K |
| U0005 |
Infec agen detec ampli probe |
64,363 |
31,128 |
$697K |
| J9312 |
Inj., rituximab, 10 mg |
138 |
103 |
$591K |
| 96365 |
|
4,657 |
2,937 |
$556K |
| 45378 |
|
739 |
686 |
$490K |
| 82306 |
|
24,621 |
22,538 |
$474K |
| 99282 |
|
3,562 |
3,198 |
$434K |
| 80307 |
|
24,444 |
16,402 |
$409K |
| 96413 |
|
1,876 |
1,545 |
$406K |
| 84443 |
|
40,981 |
36,696 |
$406K |
| 90853 |
|
24,775 |
6,979 |
$383K |
| 78452 |
|
570 |
503 |
$378K |
| 90791 |
|
3,559 |
3,265 |
$376K |
| 80053 |
|
99,372 |
81,745 |
$366K |
| 76641 |
|
3,940 |
3,688 |
$350K |
| 0001A |
|
10,977 |
10,348 |
$348K |
| 85025 |
|
128,380 |
96,693 |
$338K |
| J9310 |
Rituximab injection |
69 |
47 |
$314K |
| 0002A |
|
9,286 |
8,770 |
$309K |
| 81220 |
|
1,206 |
1,078 |
$307K |
| 80061 |
|
34,282 |
31,282 |
$306K |
| 90834 |
|
7,560 |
4,852 |
$303K |
| 11042 |
|
1,902 |
1,006 |
$287K |
| 76705 |
|
3,323 |
2,947 |
$286K |
| 96361 |
|
7,555 |
6,158 |
$282K |
| 76536 |
|
3,675 |
3,395 |
$280K |
| 45385 |
|
338 |
312 |
$273K |
| 99213 |
|
4,319 |
3,714 |
$266K |
| 71045 |
|
6,162 |
5,100 |
$246K |
| 87491 |
|
9,899 |
8,846 |
$242K |
| 87591 |
|
9,898 |
8,844 |
$241K |
| 86900 |
|
5,315 |
4,371 |
$236K |
| 99291 |
|
404 |
343 |
$217K |
| 99231 |
|
12,317 |
3,378 |
$211K |
| 96360 |
|
1,747 |
1,474 |
$209K |
| 36415 |
|
185,564 |
118,950 |
$186K |
| 87635 |
|
5,126 |
4,499 |
$180K |
| 77065 |
Tomosynthesis, mammo |
1,634 |
1,476 |
$178K |
| 77066 |
Tomosynthesis, mammo |
1,581 |
1,479 |
$177K |
| 83036 |
|
29,908 |
27,068 |
$173K |
| 94060 |
|
1,010 |
952 |
$173K |
| 71260 |
|
1,218 |
1,107 |
$167K |
| 71275 |
|
1,200 |
1,029 |
$167K |
| 76775 |
|
2,816 |
2,538 |
$167K |
| 72148 |
|
1,348 |
1,222 |
$166K |
| 97140 |
|
26,819 |
8,789 |
$166K |
| 50590 |
|
63 |
54 |
$165K |
| 0071A |
|
4,853 |
4,474 |
$163K |
| 76700 |
|
1,655 |
1,531 |
$149K |
| 97112 |
|
7,349 |
2,851 |
$147K |
| 76642 |
|
2,252 |
2,116 |
$141K |
| 93971 |
|
2,107 |
1,853 |
$137K |
| 76830 |
|
1,419 |
1,279 |
$135K |
| 82607 |
|
14,481 |
13,010 |
$131K |
| 71250 |
|
2,480 |
2,205 |
$129K |
| 0072A |
|
3,704 |
3,451 |
$128K |
| 93010 |
|
31,267 |
25,219 |
$123K |
| 90832 |
|
3,353 |
2,486 |
$119K |
| 0004A |
|
3,362 |
3,277 |
$114K |
| 94726 |
|
1,852 |
1,717 |
$113K |
| 77063 |
|
7,723 |
7,382 |
$111K |
| 0054A |
|
3,270 |
3,182 |
$110K |
| 99215 |
Prolong outpt/office vis |
860 |
771 |
$105K |
| 99281 |
|
1,671 |
1,393 |
$103K |
| 0064A |
|
3,082 |
3,012 |
$100K |
| 97161 |
|
5,324 |
4,630 |
$98K |
| 80048 |
|
31,620 |
20,048 |
$96K |
| 87624 |
|
3,416 |
3,170 |
$88K |
| 87389 |
|
6,824 |
6,259 |
$88K |
| 87481 |
|
1,479 |
1,169 |
$84K |
| 72100 |
|
1,963 |
1,806 |
$83K |
| 80074 |
|
2,890 |
2,628 |
$82K |
| 84439 |
|
15,129 |
13,451 |
$81K |
| 88142 |
|
6,247 |
5,893 |
$79K |
| 0012A |
|
2,584 |
2,432 |
$79K |
| 71271 |
|
768 |
734 |
$79K |
| 93017 |
|
1,322 |
1,201 |
$77K |
| 87086 |
|
24,892 |
20,743 |
$76K |
| 93005 |
|
30,053 |
22,878 |
$74K |
| 87799 |
|
901 |
833 |
$73K |
| 73564 |
|
1,885 |
1,685 |
$72K |
| 73721 |
|
374 |
346 |
$72K |
| 93798 |
|
1,374 |
219 |
$69K |
| 0011A |
|
2,334 |
2,123 |
$67K |
| G0480 |
Drug test def 1-7 classes |
12,324 |
9,258 |
$66K |
| 77080 |
|
655 |
628 |
$65K |
| 72110 |
|
1,445 |
1,312 |
$63K |
| 87661 |
|
2,178 |
1,973 |
$58K |
| 87502 |
|
12,077 |
10,331 |
$57K |
| 96366 |
|
1,296 |
738 |
$55K |
| 97165 |
|
972 |
860 |
$55K |
| 84480 |
|
6,132 |
5,513 |
$55K |
| 73030 |
|
3,065 |
2,754 |
$52K |
| 81513 |
|
549 |
480 |
$52K |
| 97530 |
|
4,593 |
2,342 |
$51K |
| 86803 |
|
6,213 |
5,683 |
$51K |
| 82728 |
|
6,073 |
5,403 |
$50K |
| 99238 |
|
1,484 |
1,388 |
$49K |
| 96415 |
|
528 |
412 |
$48K |
| 93970 |
|
388 |
326 |
$48K |
| 0124A |
|
1,374 |
1,341 |
$47K |
| 86480 |
|
1,299 |
1,171 |
$47K |
| 83970 |
|
2,292 |
1,990 |
$47K |
| 72125 |
|
2,982 |
2,631 |
$43K |
| 84153 |
|
3,322 |
3,090 |
$42K |
| 96372 |
|
12,280 |
9,062 |
$40K |
| 82746 |
|
4,665 |
4,110 |
$40K |
| 73610 |
|
2,778 |
2,499 |
$40K |
| 73630 |
|
2,925 |
2,627 |
$39K |
| 97116 |
|
4,734 |
2,068 |
$39K |
| 73110 |
|
1,919 |
1,683 |
$38K |
| 86769 |
|
1,054 |
1,003 |
$37K |
| 70551 |
|
286 |
234 |
$36K |
| 84403 |
|
1,924 |
1,756 |
$36K |
| 87798 |
|
751 |
676 |
$33K |
| 97113 |
|
561 |
191 |
$33K |
| 73562 |
|
1,958 |
1,749 |
$33K |
| 72141 |
|
210 |
190 |
$32K |
| 99221 |
|
730 |
673 |
$30K |
| 70486 |
|
710 |
648 |
$30K |
| 99212 |
|
711 |
585 |
$29K |
| 87660 |
|
1,900 |
1,710 |
$29K |
| 83550 |
|
5,547 |
4,942 |
$29K |
| 87480 |
|
1,900 |
1,710 |
$29K |
| 87510 |
|
1,900 |
1,710 |
$29K |
| 82670 |
|
1,357 |
1,224 |
$29K |
| 97597 |
|
252 |
161 |
$28K |
| 74018 |
|
1,774 |
1,552 |
$27K |
| 83516 |
|
1,494 |
1,103 |
$27K |
| 0134A |
|
789 |
770 |
$26K |
| 83540 |
|
6,598 |
5,826 |
$25K |
| 87186 |
|
6,658 |
5,667 |
$25K |
| 73502 |
|
1,776 |
1,502 |
$25K |
| 73130 |
|
2,365 |
2,101 |
$24K |
| P9604 |
One-way allow prorated trip |
19,558 |
9,903 |
$24K |
| G0123 |
Screen cerv/vag thin layer |
1,808 |
1,744 |
$24K |
| 0051A |
|
669 |
642 |
$24K |
| 97035 |
|
353 |
180 |
$23K |
| 86696 |
|
1,583 |
1,163 |
$23K |
| 83001 |
|
1,628 |
1,499 |
$23K |
| 81001 |
|
29,749 |
25,094 |
$23K |
| 87512 |
|
670 |
631 |
$23K |
| 87070 |
|
4,964 |
4,332 |
$23K |
| 72050 |
|
387 |
349 |
$23K |
| 84702 |
|
5,194 |
3,836 |
$22K |
| 0052A |
|
590 |
573 |
$21K |
| 83880 |
|
4,915 |
3,704 |
$21K |
| 86592 |
|
5,898 |
5,376 |
$20K |
| 86003 |
|
312 |
283 |
$20K |
| 73140 |
|
590 |
529 |
$19K |
| 87077 |
|
5,550 |
4,762 |
$19K |
| 80076 |
|
6,662 |
5,736 |
$19K |
| 83735 |
|
13,308 |
9,770 |
$18K |
| 70496 |
|
89 |
81 |
$18K |
| 86038 |
|
2,468 |
2,236 |
$18K |
| 84146 |
|
1,602 |
1,446 |
$18K |
| 87625 |
|
728 |
689 |
$17K |
| 83655 |
|
1,583 |
1,504 |
$17K |
| 82570 |
|
6,193 |
5,453 |
$16K |
| G0378 |
Hospital observation per hr |
9,722 |
7,026 |
$16K |
| 97166 |
|
281 |
247 |
$16K |
| 95806 |
|
116 |
110 |
$16K |
| 84402 |
|
833 |
759 |
$15K |
| 86140 |
|
6,137 |
4,985 |
$15K |
| 87081 |
|
5,784 |
5,359 |
$15K |
| 87801 |
|
525 |
482 |
$15K |
| 82043 |
|
4,422 |
4,036 |
$15K |
| 84144 |
|
1,042 |
866 |
$14K |
| 86618 |
|
1,641 |
1,478 |
$14K |
| 85651 |
|
7,377 |
6,033 |
$14K |
| 85610 |
|
16,959 |
11,405 |
$13K |
| 77062 |
|
895 |
861 |
$13K |
| 87631 |
|
630 |
564 |
$13K |
| 86376 |
|
1,514 |
1,381 |
$13K |
| 72040 |
|
550 |
505 |
$13K |
| 86800 |
|
1,290 |
1,181 |
$13K |
| 97535 |
|
1,261 |
835 |
$12K |
| 73221 |
|
61 |
60 |
$11K |
| 97162 |
|
1,502 |
1,315 |
$11K |
| 73080 |
|
555 |
478 |
$11K |
| 87340 |
|
2,959 |
2,675 |
$10K |
| 77061 |
|
692 |
654 |
$10K |
| 82947 |
|
5,610 |
2,975 |
$10K |
| 82465 |
|
2,658 |
2,512 |
$10K |
| 70553 |
|
46 |
39 |
$10K |
| 86695 |
|
995 |
697 |
$10K |
| 82105 |
|
788 |
728 |
$10K |
| 82652 |
|
685 |
634 |
$10K |
| 0031A |
|
284 |
279 |
$10K |
| 87015 |
|
1,902 |
1,741 |
$9K |
| 84703 |
|
9,534 |
8,416 |
$9K |
| 80164 |
|
1,493 |
1,159 |
$9K |
| 85730 |
|
7,509 |
6,280 |
$8K |
| 83721 |
|
1,284 |
1,160 |
$8K |
| 87205 |
|
3,430 |
2,965 |
$8K |
| 81374 |
|
147 |
134 |
$8K |
| 86762 |
|
2,283 |
2,048 |
$8K |
| 87147 |
|
3,645 |
3,181 |
$8K |
| 81003 |
|
11,807 |
10,445 |
$8K |
| 82550 |
|
3,491 |
2,959 |
$8K |
| 72202 |
|
140 |
126 |
$8K |
| 86787 |
|
1,813 |
1,536 |
$8K |
| 82784 |
|
997 |
879 |
$7K |
| 86765 |
|
1,602 |
1,420 |
$7K |
| 0074A |
|
309 |
194 |
$7K |
| 93225 |
|
95 |
91 |
$7K |
| 86706 |
|
884 |
781 |
$6K |
| 72131 |
|
187 |
160 |
$6K |
| 0034A |
|
203 |
192 |
$6K |
| 83690 |
|
16,427 |
13,791 |
$6K |
| 70491 |
|
32 |
29 |
$6K |
| J9070 |
Cyclophosphamide 100 mg inj |
64 |
55 |
$6K |
| 87804 |
|
5,859 |
2,870 |
$6K |
| 84481 |
|
602 |
526 |
$5K |
| 0003A |
|
166 |
156 |
$5K |
| 73590 |
|
326 |
287 |
$5K |
| 98968 |
|
122 |
82 |
$5K |
| 90686 |
|
291 |
278 |
$5K |
| 0111A |
|
131 |
129 |
$5K |
| 90837 |
|
82 |
49 |
$5K |
| 86431 |
|
1,602 |
1,464 |
$5K |
| 82747 |
|
384 |
351 |
$5K |
| 98967 |
|
138 |
104 |
$5K |
| 84436 |
|
1,358 |
1,178 |
$5K |
| C9399 |
Unclassified drugs or biolog |
452 |
374 |
$5K |
| 0081A |
|
209 |
119 |
$5K |
| 73090 |
|
176 |
147 |
$4K |
| 83525 |
|
484 |
442 |
$4K |
| 76870 |
|
82 |
75 |
$4K |
| 59025 |
|
56 |
25 |
$4K |
| 90756 |
|
178 |
153 |
$4K |
| 10061 |
|
17 |
14 |
$4K |
| G0483 |
Drug test def 22+ classes |
69 |
43 |
$4K |
| 0154A |
|
98 |
98 |
$4K |
| 86617 |
|
404 |
277 |
$4K |
| 99232 |
|
133 |
79 |
$4K |
| 86200 |
|
678 |
591 |
$4K |
| 29540 |
|
28 |
28 |
$4K |
| 29580 |
|
79 |
27 |
$4K |
| 84560 |
|
1,866 |
1,514 |
$4K |
| 84425 |
|
212 |
200 |
$3K |
| 76817 |
|
448 |
387 |
$3K |
| U0001 |
2019-ncov diagnostic p |
152 |
139 |
$3K |
| 72070 |
|
68 |
65 |
$3K |
| 90792 |
|
28 |
28 |
$3K |
| G0279 |
Tomosynthesis, mammo |
311 |
291 |
$3K |
| Q9969 |
Non-heu tc-99m add-on/dose |
398 |
370 |
$3K |
| 83002 |
|
257 |
221 |
$3K |
| G0103 |
Psa screening |
287 |
268 |
$3K |
| 82950 |
|
761 |
712 |
$3K |
| 74220 |
|
30 |
24 |
$3K |
| J3101 |
Tenecteplase injection |
414 |
361 |
$3K |
| 0082A |
|
104 |
69 |
$3K |
| 0240U |
|
34 |
26 |
$3K |
| 86235 |
|
69 |
67 |
$3K |
| 0112A |
|
62 |
61 |
$2K |
| 93880 |
|
26 |
25 |
$2K |
| 82140 |
|
294 |
191 |
$2K |
| 88305 |
|
6,375 |
5,889 |
$2K |
| 85380 |
|
5,625 |
4,787 |
$2K |
| 86141 |
|
906 |
803 |
$2K |
| 90656 |
|
119 |
116 |
$2K |
| 84134 |
|
278 |
210 |
$2K |
| 77336 |
|
29 |
12 |
$2K |
| 83020 |
|
1,101 |
965 |
$2K |
| 84156 |
|
1,369 |
1,117 |
$2K |
| 82150 |
|
1,757 |
1,543 |
$2K |
| 82565 |
|
2,639 |
1,863 |
$2K |
| 82668 |
|
187 |
176 |
$2K |
| 86735 |
|
162 |
129 |
$2K |
| 84100 |
|
2,061 |
1,310 |
$2K |
| 96367 |
|
50 |
37 |
$2K |
| 84484 |
|
25,219 |
15,518 |
$2K |
| 71101 |
|
201 |
194 |
$2K |
| C9803 |
Hopd covid-19 spec collect |
78,312 |
27,269 |
$2K |
| 82533 |
|
242 |
171 |
$2K |
| 82785 |
|
194 |
171 |
$2K |
| 87324 |
|
281 |
253 |
$2K |
| G0297 |
Ldct for lung ca screen |
25 |
24 |
$2K |
| 73560 |
|
66 |
60 |
$2K |
| 76881 |
|
12 |
12 |
$1K |
| 87040 |
|
2,997 |
1,633 |
$1K |
| 87449 |
|
278 |
233 |
$1K |
| 94640 |
|
4,388 |
3,114 |
$1K |
| 87338 |
|
123 |
115 |
$1K |
| 83520 |
|
153 |
144 |
$1K |
| 90785 |
|
144 |
23 |
$1K |
| 82951 |
|
128 |
109 |
$1K |
| 73100 |
|
19 |
17 |
$1K |
| 84154 |
|
121 |
110 |
$1K |
| 70498 |
|
86 |
83 |
$1K |
| 81329 |
|
15 |
13 |
$1K |
| 87045 |
|
227 |
204 |
$1K |
| 82627 |
|
67 |
59 |
$1K |
| 81025 |
|
13,446 |
11,795 |
$1K |
| 97014 |
|
21 |
14 |
$993.80 |
| 86334 |
|
173 |
152 |
$981.64 |
| 82248 |
|
594 |
490 |
$964.36 |
| 84479 |
|
295 |
237 |
$927.00 |
| 83993 |
|
67 |
64 |
$925.47 |
| 84445 |
|
32 |
24 |
$874.26 |
| 94010 |
|
371 |
331 |
$829.34 |
| 72170 |
|
68 |
62 |
$755.88 |
| 87329 |
|
102 |
93 |
$755.70 |
| 87328 |
|
102 |
93 |
$755.70 |
| 80177 |
|
116 |
89 |
$749.26 |
| 87476 |
|
53 |
43 |
$737.22 |
| 99443 |
|
13 |
13 |
$690.37 |
| 86850 |
|
5,257 |
4,330 |
$660.14 |
| 80178 |
|
242 |
190 |
$650.89 |
| J3490 |
Drugs unclassified injection |
37,318 |
20,633 |
$614.47 |
| 0073A |
|
16 |
15 |
$600.00 |
| 66984 |
|
59 |
38 |
$532.56 |
| 0013A |
|
13 |
13 |
$520.00 |
| 87071 |
|
122 |
107 |
$494.31 |
| U0002 |
Covid-19 lab test non-cdc |
13 |
13 |
$461.79 |
| 90471 |
|
2,544 |
2,105 |
$450.35 |
| 87522 |
Neg quan hep c or qual rna |
13 |
12 |
$450.01 |
| 82805 |
|
286 |
232 |
$433.60 |
| 86160 |
|
31 |
28 |
$412.92 |
| 87899 |
|
76 |
34 |
$412.20 |
| 12011 |
|
42 |
36 |
$399.14 |
| 88360 |
|
828 |
784 |
$348.59 |
| 84132 |
|
846 |
463 |
$330.51 |
| G0283 |
Elec stim other than wound |
57 |
27 |
$323.26 |
| 71100 |
|
56 |
53 |
$315.63 |
| 83615 |
|
261 |
203 |
$309.69 |
| 86901 |
|
5,312 |
4,371 |
$303.88 |
| 86225 |
|
27 |
26 |
$301.76 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
10,158 |
8,876 |
$292.67 |
| 84155 |
|
313 |
274 |
$274.75 |
| 90688 |
|
16 |
15 |
$267.60 |
| 12001 |
|
641 |
608 |
$251.21 |
| 74021 |
|
26 |
25 |
$244.41 |
| 87252 |
|
344 |
324 |
$237.45 |
| 86308 |
|
151 |
134 |
$237.12 |
| 84270 |
|
14 |
13 |
$228.36 |
| 80069 |
|
59 |
49 |
$225.60 |
| 87046 |
|
38 |
34 |
$180.40 |
| 85046 |
|
85 |
64 |
$159.45 |
| 83630 |
|
12 |
12 |
$150.56 |
| 87880 |
|
3,244 |
3,023 |
$142.06 |
| 87184 |
|
72 |
67 |
$138.39 |
| 83605 |
|
4,907 |
3,818 |
$134.00 |
| 96376 |
|
3,792 |
2,490 |
$125.90 |
| 84520 |
|
2,224 |
1,552 |
$125.53 |
| 84450 |
|
160 |
104 |
$123.48 |
| 80143 |
|
1,995 |
1,661 |
$113.28 |
| G8979 |
Mobility goal status |
392 |
320 |
$112.00 |
| G8978 |
Mobility current status |
349 |
289 |
$104.00 |
| 87075 |
|
41 |
38 |
$99.44 |
| 82330 |
|
14 |
13 |
$98.92 |
| 80179 |
|
1,919 |
1,618 |
$95.71 |
| 88300 |
|
69 |
63 |
$93.44 |
| 87181 |
|
305 |
261 |
$92.29 |
| 90714 |
|
116 |
106 |
$88.19 |
| 97163 |
|
14 |
13 |
$83.98 |
| 80305 |
|
50 |
35 |
$75.50 |
| 87101 |
|
12 |
12 |
$73.60 |
| 91305 |
|
4,644 |
4,462 |
$70.63 |
| 82436 |
|
627 |
298 |
$67.20 |
| 87280 |
|
84 |
77 |
$65.28 |
| 82977 |
|
28 |
28 |
$63.45 |
| 88304 |
|
831 |
752 |
$58.95 |
| 82952 |
|
15 |
13 |
$48.62 |
| 87807 |
|
206 |
189 |
$48.56 |
| J1885 |
Ketorolac tromethamine inj |
14,528 |
11,801 |
$44.81 |
| 99001 |
|
825 |
558 |
$39.52 |
| 80051 |
|
28 |
24 |
$33.50 |
| J2405 |
Ondansetron hcl injection |
13,735 |
10,254 |
$31.38 |
| J0131 |
Inj, acetaminophen (nos) |
10,566 |
7,887 |
$29.29 |
| 91308 |
|
379 |
238 |
$28.98 |
| 87634 |
|
81 |
73 |
$21.43 |
| 84460 |
|
187 |
128 |
$20.99 |
| J0696 |
Ceftriaxone sodium injection |
3,478 |
2,156 |
$20.82 |
| 82374 |
|
628 |
298 |
$17.38 |
| A9579 |
Gad-base mr contrast nos,1ml |
2,067 |
1,808 |
$12.96 |
| J2930 |
Methylprednisolone injection |
1,534 |
1,213 |
$11.80 |
| 84295 |
|
632 |
302 |
$10.62 |
| 82009 |
|
48 |
38 |
$9.30 |
| J2765 |
Metoclopramide hcl injection |
3,141 |
2,514 |
$5.87 |
| S0119 |
Ondansetron 4 mg |
489 |
455 |
$4.93 |
| J1100 |
Dexamethasone sodium phos |
972 |
726 |
$4.82 |
| J7512 |
Prednisone ir or dr oral 1mg |
2,924 |
2,197 |
$3.33 |
| J1200 |
Diphenhydramine hcl injectio |
3,871 |
2,720 |
$2.11 |
| J2060 |
Lorazepam injection |
2,879 |
1,945 |
$1.19 |
| J2001 |
Lidocaine injection |
3,750 |
3,155 |
$0.98 |
| J1630 |
Haloperidol injection |
882 |
624 |
$0.65 |
| J3360 |
Diazepam injection |
481 |
369 |
$0.57 |
| J0690 |
Cefazolin sodium injection |
5,492 |
3,813 |
$0.44 |
| J2270 |
Morphine sulfate injection |
5,453 |
3,096 |
$0.37 |
| J3010 |
Fentanyl citrate injection |
8,193 |
6,402 |
$0.37 |
| 91300 |
|
23,689 |
21,049 |
$0.07 |
| 91312 |
|
1,365 |
1,332 |
$0.04 |
| 91307 |
|
8,921 |
7,676 |
$0.04 |
| 91306 |
|
3,068 |
2,998 |
$0.03 |
| 91301 |
|
4,972 |
4,611 |
$0.02 |
| 94729 |
|
1,939 |
1,797 |
$0.00 |
| 88312 |
|
1,376 |
1,315 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
2,900 |
998 |
$0.00 |
| J7120 |
Ringers lactate infusion |
5,497 |
4,746 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
523 |
273 |
$0.00 |
| 87220 |
|
27 |
26 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
570 |
503 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
33 |
28 |
$0.00 |
| J9999 |
Chemotherapy drug |
328 |
299 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
1,719 |
550 |
$0.00 |
| 84112 |
|
31 |
27 |
$0.00 |
| J2550 |
Promethazine hcl injection |
214 |
172 |
$0.00 |
| J7040 |
Normal saline solution infus |
1,647 |
1,103 |
$0.00 |
| G1004 |
Cdsm ndsc |
882 |
564 |
$0.00 |
| 91311 |
|
221 |
215 |
$0.00 |
| 97803 |
|
291 |
278 |
$0.00 |
| 91313 |
|
787 |
768 |
$0.00 |
| 81243 |
|
13 |
12 |
$0.00 |
| 36592 |
|
216 |
106 |
$0.00 |
| 93226 |
|
96 |
91 |
$0.00 |
| 76000 |
|
17 |
15 |
$0.00 |
| 90658 |
|
59 |
31 |
$0.00 |
| 90611 |
|
83 |
49 |
$0.00 |
| 88173 |
|
12 |
12 |
$0.00 |
| J1245 |
Dipyridamole injection |
170 |
155 |
$0.00 |
| 87210 |
|
28 |
26 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
20 |
14 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
119 |
50 |
$0.00 |
| 29125 |
|
25 |
25 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
21 |
13 |
$0.00 |
| J7060 |
5% dextrose/water |
372 |
277 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
8,527 |
6,822 |
$0.00 |
| J1170 |
Hydromorphone injection |
6,744 |
3,119 |
$0.00 |
| C9290 |
Inj, bupivacaine liposome |
880 |
748 |
$0.00 |
| 91303 |
|
471 |
456 |
$0.00 |
| 94618 |
|
550 |
506 |
$0.00 |
| J1790 |
Droperidol injection |
90 |
76 |
$0.00 |
| 64488 |
|
103 |
91 |
$0.00 |
| J1940 |
Furosemide injection |
827 |
324 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
423 |
293 |
$0.00 |
| 91315 |
|
98 |
98 |
$0.00 |
| J2920 |
Methylprednisolone injection |
602 |
282 |
$0.00 |
| J1720 |
Hydrocortisone sodium succ i |
346 |
244 |
$0.00 |
| 95012 |
|
57 |
57 |
$0.00 |
| G0008 |
Admin influenza virus vac |
146 |
67 |
$0.00 |
| J0456 |
Azithromycin |
360 |
271 |
$0.00 |
| J1815 |
Insulin injection |
1,050 |
186 |
$0.00 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
143 |
129 |
$0.00 |
| A9585 |
Gadobutrol injection |
87 |
78 |
$0.00 |
| S2900 |
Robotic surgical system |
17 |
12 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
121 |
91 |
$0.00 |
| 88311 |
|
57 |
51 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
22 |
12 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
835 |
464 |
$0.00 |
| 12002 |
|
42 |
41 |
$0.00 |
| 97802 |
|
44 |
42 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
15 |
12 |
$0.00 |
| Q2036 |
Flulaval vacc, 3 yrs & >, im |
23 |
20 |
$0.00 |
| C1781 |
Mesh (implantable) |
24 |
24 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
19 |
13 |
$0.00 |
| 81255 |
|
14 |
12 |
$0.00 |
| 80320 |
|
52 |
45 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
40 |
25 |
$0.00 |
| J7042 |
5% dextrose/normal saline |
19 |
13 |
$0.00 |