| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
18,917 |
15,088 |
$7.30M |
| 99284 |
|
17,831 |
15,092 |
$4.69M |
| 99283 |
|
22,507 |
19,860 |
$4.37M |
| 97110 |
|
59,519 |
15,568 |
$3.05M |
| 96374 |
|
11,890 |
9,926 |
$1.47M |
| 96365 |
|
10,577 |
7,136 |
$1.29M |
| 90834 |
|
31,045 |
15,937 |
$1.26M |
| G0463 |
Hospital outpt clinic visit |
18,253 |
11,013 |
$942K |
| 74177 |
|
5,268 |
4,489 |
$920K |
| 45380 |
|
1,322 |
1,173 |
$815K |
| U0003 |
Cov-19 amp prb hgh thruput |
10,038 |
9,196 |
$771K |
| 95810 |
|
1,044 |
1,003 |
$747K |
| 0241U |
|
7,392 |
6,371 |
$733K |
| 43239 |
|
1,497 |
1,280 |
$571K |
| 71046 |
|
10,911 |
9,457 |
$563K |
| 66984 |
|
921 |
615 |
$542K |
| 70450 |
|
5,396 |
4,568 |
$518K |
| 93306 |
|
2,685 |
2,440 |
$502K |
| 77067 |
|
4,419 |
4,254 |
$482K |
| 99214 |
|
8,716 |
7,362 |
$479K |
| 97140 |
|
20,468 |
7,106 |
$476K |
| 99282 |
|
3,967 |
3,630 |
$463K |
| 96361 |
|
10,111 |
7,850 |
$451K |
| 92507 |
|
4,843 |
1,334 |
$421K |
| 96360 |
|
3,118 |
2,614 |
$407K |
| 80307 |
|
18,235 |
14,287 |
$377K |
| 70553 |
|
1,481 |
1,323 |
$375K |
| 96375 |
|
10,832 |
8,241 |
$366K |
| 99291 |
|
588 |
474 |
$356K |
| 59025 |
|
2,291 |
1,279 |
$344K |
| 62323 |
|
929 |
851 |
$328K |
| 96413 |
|
1,912 |
948 |
$321K |
| 97530 |
|
8,377 |
3,991 |
$313K |
| 71045 |
|
6,929 |
5,693 |
$285K |
| 76856 |
|
3,082 |
2,840 |
$282K |
| 76830 |
|
2,822 |
2,601 |
$277K |
| 90791 |
|
4,694 |
3,895 |
$273K |
| 87491 |
|
9,802 |
8,888 |
$264K |
| 87591 |
|
9,787 |
8,879 |
$263K |
| 95811 |
|
405 |
384 |
$259K |
| 84443 |
|
23,655 |
21,581 |
$254K |
| 74176 |
|
1,826 |
1,569 |
$235K |
| 45385 |
|
542 |
479 |
$232K |
| 99281 |
|
3,628 |
3,260 |
$231K |
| 86900 |
|
4,225 |
3,447 |
$218K |
| 97161 |
|
3,526 |
3,220 |
$195K |
| 97112 |
|
7,781 |
3,329 |
$184K |
| 80053 |
|
36,084 |
29,230 |
$184K |
| 72148 |
|
1,324 |
1,213 |
$183K |
| 71275 |
|
1,865 |
1,566 |
$183K |
| U0005 |
Infec agen detec ampli probe |
8,293 |
7,573 |
$183K |
| 77065 |
Tomosynthesis, mammo |
1,784 |
1,535 |
$180K |
| 76700 |
|
1,949 |
1,780 |
$177K |
| 81220 |
|
561 |
498 |
$175K |
| 80061 |
|
20,669 |
18,720 |
$174K |
| 85025 |
|
64,307 |
49,563 |
$170K |
| 82306 |
|
8,520 |
7,844 |
$165K |
| 90832 |
|
4,976 |
3,520 |
$155K |
| 97162 |
|
3,153 |
2,905 |
$154K |
| 87635 |
|
5,142 |
4,254 |
$152K |
| 88305 |
|
8,048 |
7,031 |
$149K |
| 71260 |
|
1,129 |
1,001 |
$142K |
| 36415 |
|
98,637 |
74,007 |
$126K |
| 87798 |
|
3,873 |
3,081 |
$119K |
| 86003 |
|
2,499 |
1,245 |
$114K |
| G0480 |
Drug test def 1-7 classes |
12,517 |
9,454 |
$112K |
| 76770 |
|
1,483 |
1,340 |
$110K |
| 87389 |
|
8,019 |
7,243 |
$109K |
| 93350 |
|
526 |
464 |
$108K |
| 76536 |
|
1,439 |
1,334 |
$107K |
| 76705 |
|
1,292 |
1,168 |
$106K |
| 94060 |
|
710 |
640 |
$106K |
| 72100 |
|
2,892 |
2,643 |
$105K |
| 76642 |
|
1,524 |
1,439 |
$101K |
| 87660 |
|
6,507 |
5,914 |
$98K |
| 87480 |
|
6,498 |
5,909 |
$98K |
| 87510 |
|
6,498 |
5,909 |
$98K |
| 97035 |
|
3,748 |
1,467 |
$96K |
| 87624 |
|
3,417 |
3,269 |
$95K |
| 83036 |
|
16,182 |
14,680 |
$92K |
| 93971 |
|
1,455 |
1,282 |
$90K |
| 71250 |
|
1,410 |
1,307 |
$87K |
| 78452 |
|
297 |
248 |
$85K |
| 96366 |
|
3,057 |
1,616 |
$84K |
| 86317 |
|
3,871 |
2,828 |
$84K |
| 77066 |
Tomosynthesis, mammo |
738 |
685 |
$80K |
| 73564 |
|
2,643 |
2,413 |
$78K |
| 93017 |
|
2,056 |
1,807 |
$78K |
| 96367 |
|
2,055 |
1,305 |
$77K |
| 97165 |
|
1,121 |
1,003 |
$67K |
| 88142 |
|
5,091 |
4,798 |
$66K |
| 80048 |
|
31,890 |
25,161 |
$66K |
| 96372 |
|
9,199 |
5,657 |
$65K |
| 97014 |
|
852 |
363 |
$64K |
| 82607 |
|
6,752 |
6,138 |
$63K |
| C9803 |
Hopd covid-19 spec collect |
10,522 |
9,319 |
$60K |
| 86803 |
|
7,623 |
6,838 |
$60K |
| 73630 |
|
3,050 |
2,712 |
$58K |
| 87086 |
|
17,211 |
14,241 |
$56K |
| 87088 |
|
17,184 |
14,240 |
$56K |
| U0004 |
Cov-19 test non-cdc hgh thru |
1,668 |
1,498 |
$55K |
| 83655 |
|
5,104 |
4,775 |
$54K |
| 82728 |
|
6,368 |
5,603 |
$54K |
| 76641 |
|
677 |
627 |
$51K |
| 77063 |
|
3,373 |
3,267 |
$50K |
| 73030 |
|
2,498 |
2,191 |
$49K |
| 70551 |
|
311 |
287 |
$48K |
| 85027 |
|
19,024 |
15,193 |
$47K |
| 73721 |
|
239 |
219 |
$44K |
| 73610 |
|
2,337 |
2,080 |
$42K |
| 93005 |
|
16,972 |
12,357 |
$41K |
| 82746 |
|
4,270 |
3,879 |
$40K |
| 87400 |
|
5,294 |
4,352 |
$40K |
| 11042 |
|
303 |
200 |
$39K |
| 72141 |
|
203 |
188 |
$37K |
| 83550 |
|
6,900 |
6,089 |
$36K |
| 74018 |
|
1,154 |
1,007 |
$36K |
| 73130 |
|
1,971 |
1,747 |
$35K |
| 72052 |
|
466 |
433 |
$34K |
| 84439 |
|
5,382 |
4,914 |
$33K |
| 86704 |
|
3,706 |
3,309 |
$32K |
| 73110 |
|
1,600 |
1,382 |
$31K |
| J1439 |
Inj ferric carboxymaltos 1mg |
67 |
40 |
$31K |
| 99213 |
|
1,441 |
1,221 |
$29K |
| 86618 |
|
3,310 |
2,887 |
$29K |
| 73502 |
|
1,728 |
1,554 |
$28K |
| 84146 |
|
2,259 |
2,039 |
$28K |
| 87081 |
|
6,857 |
6,298 |
$28K |
| 87340 |
|
5,500 |
4,899 |
$28K |
| 83718 |
|
3,843 |
3,627 |
$28K |
| 83540 |
|
6,969 |
6,150 |
$28K |
| 29581 |
|
486 |
105 |
$27K |
| 97163 |
|
984 |
798 |
$26K |
| 70496 |
|
208 |
187 |
$26K |
| 86708 |
|
3,010 |
2,655 |
$26K |
| 90792 |
|
291 |
258 |
$25K |
| 73560 |
|
630 |
564 |
$25K |
| 97116 |
|
1,949 |
989 |
$23K |
| 84403 |
|
1,140 |
1,049 |
$23K |
| 83970 |
|
1,047 |
923 |
$23K |
| 87077 |
|
5,912 |
5,081 |
$21K |
| 83516 |
|
1,546 |
1,114 |
$21K |
| 71271 |
|
243 |
226 |
$21K |
| 86706 |
|
2,765 |
2,461 |
$21K |
| 82040 |
|
8,830 |
7,458 |
$21K |
| 81001 |
|
28,753 |
23,571 |
$20K |
| 82247 |
|
8,642 |
7,279 |
$20K |
| 86592 |
|
6,091 |
5,497 |
$20K |
| C8929 |
Tte w or wo fol wcon,doppler |
323 |
255 |
$20K |
| 0011A |
|
593 |
571 |
$20K |
| 87186 |
|
5,586 |
4,745 |
$20K |
| 72072 |
|
471 |
429 |
$19K |
| 0012A |
|
520 |
505 |
$19K |
| 84702 |
|
3,080 |
2,039 |
$19K |
| 19081 |
|
13 |
13 |
$18K |
| 83735 |
|
6,546 |
5,037 |
$17K |
| 87522 |
Neg quan hep c or qual rna |
581 |
508 |
$17K |
| 82105 |
|
1,464 |
1,329 |
$17K |
| 86480 |
|
384 |
349 |
$17K |
| 86038 |
|
2,238 |
1,983 |
$17K |
| 86850 |
|
4,253 |
3,582 |
$15K |
| 73221 |
|
85 |
80 |
$15K |
| 72125 |
|
1,491 |
1,307 |
$15K |
| 88304 |
|
885 |
777 |
$15K |
| 85610 |
|
17,425 |
9,559 |
$14K |
| P9604 |
One-way allow prorated trip |
9,189 |
4,875 |
$14K |
| 80076 |
|
12,977 |
10,582 |
$14K |
| 70486 |
|
230 |
205 |
$12K |
| 82043 |
|
3,599 |
3,273 |
$12K |
| 85651 |
|
6,210 |
5,281 |
$12K |
| 86140 |
|
4,007 |
3,350 |
$11K |
| 82570 |
|
3,923 |
3,421 |
$11K |
| 82310 |
|
8,775 |
7,410 |
$11K |
| 97016 |
|
399 |
94 |
$11K |
| 93271 |
|
185 |
160 |
$10K |
| 82784 |
|
1,168 |
928 |
$10K |
| U0002 |
Covid-19 lab test non-cdc |
412 |
381 |
$10K |
| 85007 |
|
9,836 |
7,401 |
$10K |
| 93010 |
|
3,055 |
2,214 |
$9K |
| 82947 |
|
8,845 |
7,520 |
$9K |
| 97535 |
|
337 |
217 |
$9K |
| 83880 |
|
3,233 |
2,590 |
$9K |
| 83001 |
|
614 |
567 |
$9K |
| 73140 |
|
509 |
440 |
$9K |
| 87071 |
|
1,933 |
1,661 |
$8K |
| 80164 |
|
1,206 |
1,019 |
$8K |
| 84450 |
|
11,280 |
9,720 |
$8K |
| G0103 |
Psa screening |
658 |
615 |
$8K |
| 84402 |
|
369 |
343 |
$7K |
| 97012 |
|
228 |
85 |
$7K |
| 87147 |
|
2,250 |
1,887 |
$7K |
| 84153 |
|
779 |
679 |
$7K |
| 87184 |
|
2,208 |
1,948 |
$7K |
| 88342 |
|
218 |
193 |
$7K |
| 83690 |
|
10,006 |
8,222 |
$7K |
| 82950 |
|
1,719 |
1,575 |
$6K |
| 90785 |
|
791 |
260 |
$6K |
| 87073 |
|
1,570 |
1,365 |
$6K |
| 97166 |
|
175 |
153 |
$6K |
| 82465 |
|
3,858 |
3,641 |
$5K |
| 86431 |
|
1,522 |
1,365 |
$5K |
| 96523 |
|
190 |
153 |
$5K |
| 0001A |
|
132 |
131 |
$5K |
| 74183 |
|
28 |
26 |
$5K |
| 86762 |
|
2,142 |
1,899 |
$5K |
| 85730 |
|
3,481 |
2,687 |
$5K |
| Q3014 |
Telehealth facility fee |
2,447 |
2,096 |
$5K |
| 86709 |
|
651 |
552 |
$5K |
| 0071A |
|
133 |
130 |
$5K |
| 77080 |
|
54 |
53 |
$5K |
| 0002A |
|
128 |
118 |
$5K |
| 0031A |
|
174 |
135 |
$4K |
| 87070 |
|
936 |
845 |
$4K |
| G0279 |
Tomosynthesis, mammo |
1,477 |
1,352 |
$4K |
| 87205 |
|
2,319 |
1,960 |
$4K |
| 82652 |
|
141 |
133 |
$4K |
| 86756 |
|
822 |
753 |
$4K |
| 84550 |
|
3,040 |
2,452 |
$4K |
| 86617 |
|
268 |
203 |
$4K |
| 83630 |
|
348 |
298 |
$3K |
| 87420 |
|
1,096 |
943 |
$3K |
| 94726 |
|
699 |
630 |
$3K |
| 83721 |
|
508 |
472 |
$3K |
| 86376 |
|
338 |
304 |
$3K |
| 82248 |
|
3,304 |
2,514 |
$3K |
| 84156 |
|
1,876 |
1,464 |
$3K |
| 92523 |
|
22 |
14 |
$3K |
| 0072A |
|
82 |
80 |
$3K |
| 86255 |
|
284 |
258 |
$3K |
| 93018 |
|
456 |
400 |
$3K |
| 82374 |
|
8,285 |
7,026 |
$3K |
| 73080 |
|
204 |
182 |
$3K |
| 70491 |
|
26 |
24 |
$3K |
| 82550 |
|
1,822 |
1,480 |
$3K |
| 74019 |
|
231 |
202 |
$3K |
| 82565 |
|
9,828 |
8,264 |
$3K |
| 80069 |
|
411 |
386 |
$3K |
| 82670 |
|
116 |
107 |
$3K |
| 0064A |
|
72 |
65 |
$2K |
| 83525 |
|
246 |
232 |
$2K |
| 85379 |
|
2,972 |
2,530 |
$2K |
| 87521 |
Neg quan hep c or qual rna |
81 |
77 |
$2K |
| 71101 |
|
241 |
223 |
$2K |
| 80051 |
|
568 |
433 |
$2K |
| 84478 |
|
3,844 |
3,627 |
$2K |
| G0283 |
Elec stim other than wound |
313 |
128 |
$2K |
| 87427 |
|
305 |
261 |
$2K |
| 86200 |
|
200 |
187 |
$2K |
| 99215 |
Prolong outpt/office vis |
86 |
59 |
$2K |
| 85018 |
|
1,139 |
962 |
$2K |
| 0004A |
|
42 |
42 |
$2K |
| 85384 |
|
591 |
431 |
$2K |
| 73590 |
|
141 |
121 |
$1K |
| 87046 |
|
305 |
261 |
$1K |
| 86800 |
|
144 |
126 |
$1K |
| 87045 |
|
307 |
261 |
$1K |
| 81025 |
|
9,413 |
7,809 |
$1K |
| 86780 |
|
132 |
119 |
$1K |
| 84100 |
|
1,727 |
1,443 |
$1K |
| 80178 |
|
365 |
305 |
$1K |
| 82533 |
|
112 |
84 |
$1K |
| 84703 |
|
261 |
233 |
$1K |
| 87040 |
|
4,618 |
2,076 |
$1K |
| 85014 |
|
894 |
752 |
$1K |
| 84460 |
|
11,493 |
9,895 |
$1K |
| 94640 |
|
3,467 |
1,686 |
$1K |
| 84436 |
|
413 |
367 |
$1K |
| 93243 |
|
14 |
13 |
$1K |
| 85045 |
|
559 |
461 |
$1K |
| 94762 |
|
12 |
12 |
$1K |
| 84484 |
|
14,828 |
8,530 |
$1K |
| 83021 |
|
507 |
452 |
$913.72 |
| 99212 |
|
72 |
69 |
$905.70 |
| 36591 |
|
26 |
12 |
$883.97 |
| 83013 |
|
15 |
13 |
$836.16 |
| 73523 |
|
15 |
14 |
$830.93 |
| 83615 |
|
873 |
622 |
$799.11 |
| 93225 |
|
13 |
12 |
$757.92 |
| 70498 |
|
163 |
149 |
$686.48 |
| 88112 |
|
29 |
24 |
$680.50 |
| 86920 |
|
30 |
24 |
$657.20 |
| 84165 |
|
126 |
112 |
$595.04 |
| 83020 |
|
315 |
270 |
$567.34 |
| 83002 |
|
45 |
41 |
$565.76 |
| 82951 |
|
50 |
49 |
$547.10 |
| 73090 |
|
30 |
26 |
$546.54 |
| 87880 |
|
1,635 |
1,461 |
$516.85 |
| 82150 |
|
151 |
131 |
$476.63 |
| 90471 |
|
858 |
700 |
$454.74 |
| 86665 |
|
21 |
12 |
$415.68 |
| 82627 |
|
24 |
24 |
$403.37 |
| G8978 |
Mobility current status |
787 |
509 |
$388.86 |
| 84479 |
|
117 |
97 |
$321.36 |
| 84132 |
|
8,403 |
7,111 |
$317.23 |
| 87449 |
|
90 |
80 |
$305.08 |
| 85660 |
|
525 |
467 |
$283.29 |
| J3490 |
Drugs unclassified injection |
82,334 |
26,468 |
$275.14 |
| J0131 |
Inj, acetaminophen (nos) |
10,798 |
8,423 |
$273.63 |
| 86308 |
|
104 |
91 |
$271.70 |
| 84481 |
|
28 |
25 |
$226.52 |
| 87209 |
|
30 |
24 |
$223.25 |
| 73070 |
|
16 |
14 |
$207.38 |
| 87329 |
|
42 |
39 |
$194.65 |
| 87328 |
|
42 |
39 |
$194.65 |
| 12001 |
|
67 |
61 |
$182.41 |
| 86664 |
|
12 |
12 |
$175.32 |
| 87177 |
|
30 |
24 |
$161.50 |
| 86663 |
|
12 |
12 |
$150.36 |
| 83883 |
|
14 |
13 |
$142.78 |
| 86334 |
|
14 |
13 |
$131.51 |
| 84520 |
|
9,446 |
7,947 |
$123.02 |
| 82435 |
|
8,285 |
7,026 |
$112.35 |
| 83605 |
|
1,131 |
807 |
$104.26 |
| 82785 |
|
14 |
12 |
$94.38 |
| 86005 |
|
14 |
12 |
$91.44 |
| 82952 |
|
24 |
24 |
$86.02 |
| 84155 |
|
8,575 |
7,246 |
$80.50 |
| 87324 |
|
31 |
27 |
$80.15 |
| G8979 |
Mobility goal status |
912 |
573 |
$79.86 |
| P9612 |
Catheterize for urine spec |
123 |
103 |
$77.70 |
| 82378 |
|
18 |
12 |
$72.48 |
| 86141 |
|
12 |
12 |
$61.80 |
| 82803 |
|
51 |
39 |
$55.44 |
| 82977 |
|
43 |
38 |
$53.04 |
| 90715 |
|
930 |
739 |
$47.60 |
| 82948 |
|
14,014 |
5,191 |
$44.76 |
| 93270 |
|
185 |
160 |
$41.94 |
| 90839 |
|
394 |
313 |
$22.53 |
| 84075 |
|
8,465 |
7,179 |
$13.70 |
| J7030 |
Normal saline solution infus |
17,197 |
12,894 |
$12.39 |
| 86901 |
|
4,224 |
3,447 |
$10.65 |
| 80047 |
|
6,068 |
4,911 |
$8.17 |
| 84295 |
|
8,291 |
7,031 |
$6.23 |
| G8980 |
Mobility d/c status |
73 |
53 |
$0.32 |
| J2405 |
Ondansetron hcl injection |
11,781 |
9,161 |
$0.20 |
| Q0162 |
Ondansetron oral |
2,558 |
2,086 |
$0.12 |
| 91301 |
|
1,110 |
1,018 |
$0.10 |
| G8988 |
Self care goal status |
21 |
13 |
$0.08 |
| G8985 |
Carry goal status |
21 |
12 |
$0.07 |
| 91300 |
|
344 |
296 |
$0.01 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,548 |
1,231 |
$0.01 |
| Q9957 |
Inj perflutren lip micros,ml |
295 |
256 |
$0.00 |
| J2930 |
Methylprednisolone injection |
1,018 |
855 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
836 |
702 |
$0.00 |
| J7040 |
Normal saline solution infus |
3,589 |
2,923 |
$0.00 |
| J2270 |
Morphine sulfate injection |
3,779 |
2,529 |
$0.00 |
| Q0163 |
Diphenhydramine hcl 50mg |
1,801 |
1,391 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
1,894 |
746 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
1,801 |
1,324 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
11,072 |
9,442 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
645 |
604 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
63 |
58 |
$0.00 |
| 94729 |
|
696 |
628 |
$0.00 |
| J7120 |
Ringers lactate infusion |
5,028 |
3,757 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
92 |
78 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
2,310 |
2,098 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
132 |
102 |
$0.00 |
| 88312 |
|
175 |
153 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
340 |
283 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
316 |
147 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
372 |
290 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
88 |
25 |
$0.00 |
| 29125 |
|
33 |
29 |
$0.00 |
| 94664 |
|
61 |
57 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
15 |
12 |
$0.00 |
| J2550 |
Promethazine hcl injection |
53 |
39 |
$0.00 |
| 93226 |
|
13 |
12 |
$0.00 |
| 99211 |
|
35 |
29 |
$0.00 |
| G0378 |
Hospital observation per hr |
2,915 |
2,068 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
210 |
179 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
6,099 |
4,806 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
1,403 |
1,045 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
4,108 |
2,022 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
4,759 |
4,015 |
$0.00 |
| 96376 |
|
3,400 |
1,877 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
9,211 |
7,469 |
$0.00 |
| J7050 |
Normal saline solution infus |
3,347 |
2,149 |
$0.00 |
| J2001 |
Lidocaine injection |
3,830 |
3,247 |
$0.00 |
| J2060 |
Lorazepam injection |
1,043 |
737 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
525 |
446 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
2,198 |
1,724 |
$0.00 |
| J1170 |
Hydromorphone injection |
1,650 |
1,139 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
2,891 |
1,649 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
4,435 |
3,542 |
$0.00 |
| 12002 |
|
16 |
15 |
$0.00 |
| 94750 |
|
500 |
445 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
1,314 |
925 |
$0.00 |
| J2785 |
Regadenoson injection |
112 |
101 |
$0.00 |
| A4648 |
Implantable tissue marker |
60 |
49 |
$0.00 |
| J7042 |
5% dextrose/normal saline |
25 |
12 |
$0.00 |
| J3535 |
Metered dose inhaler drug |
430 |
376 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
660 |
536 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
6,139 |
4,412 |
$0.00 |
| 36416 |
|
73 |
49 |
$0.00 |
| 91306 |
|
72 |
65 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
55 |
51 |
$0.00 |
| 88307 |
|
15 |
12 |
$0.00 |
| J3420 |
Vitamin b12 injection |
110 |
88 |
$0.00 |
| J1630 |
Haloperidol injection |
101 |
68 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
53 |
45 |
$0.00 |
| 88341 |
|
27 |
24 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
166 |
143 |
$0.00 |
| J1250 |
Inj dobutamine hcl/250 mg |
44 |
39 |
$0.00 |
| 91307 |
|
215 |
210 |
$0.00 |
| 93242 |
|
14 |
13 |
$0.00 |
| 91303 |
|
173 |
134 |
$0.00 |
| J2650 |
Prednisolone acetate inj |
13 |
12 |
$0.00 |