| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
49,035 |
45,925 |
$10.23M |
| 99283 |
|
28,709 |
26,363 |
$5.98M |
| G0378 |
Hospital observation per hr |
4,948 |
2,784 |
$3.77M |
| 99282 |
|
9,792 |
8,325 |
$1.88M |
| 77067 |
|
9,811 |
9,692 |
$1.48M |
| U0004 |
Cov-19 test non-cdc hgh thru |
10,453 |
10,013 |
$1.36M |
| 99285 |
|
8,093 |
7,322 |
$1.35M |
| 95810 |
|
2,632 |
2,609 |
$1.28M |
| J9271 |
Inj pembrolizumab |
1,404 |
1,129 |
$1.12M |
| 93306 |
|
4,696 |
4,621 |
$693K |
| 77386 |
|
1,824 |
161 |
$686K |
| J2323 |
Natalizumab injection |
836 |
813 |
$669K |
| 96413 |
|
4,347 |
2,281 |
$623K |
| J1745 |
Infliximab not biosimil 10mg |
1,019 |
864 |
$542K |
| T1015 |
Clinic service |
7,805 |
4,612 |
$468K |
| 96365 |
|
7,356 |
5,063 |
$415K |
| 77063 |
|
9,809 |
9,637 |
$389K |
| J2350 |
Injection, ocrelizumab, 1 mg |
255 |
231 |
$361K |
| 43239 |
|
722 |
703 |
$279K |
| 45380 |
|
464 |
452 |
$217K |
| 78452 |
|
726 |
709 |
$198K |
| 87635 |
|
4,365 |
4,136 |
$198K |
| 96375 |
|
8,156 |
4,696 |
$181K |
| 85025 |
|
34,127 |
26,518 |
$178K |
| 70553 |
|
404 |
396 |
$161K |
| 74183 |
|
235 |
233 |
$138K |
| 0002A |
|
1,755 |
1,753 |
$134K |
| J9299 |
Injection, nivolumab |
34 |
25 |
$121K |
| 80048 |
|
23,854 |
20,281 |
$110K |
| 45378 |
|
170 |
164 |
$106K |
| 99214 |
|
5,191 |
4,763 |
$106K |
| 99281 |
|
835 |
714 |
$103K |
| Q5108 |
Injection, fulphila |
81 |
63 |
$100K |
| 96417 |
|
989 |
638 |
$95K |
| 93005 |
|
9,916 |
8,710 |
$92K |
| 0001A |
|
1,933 |
1,932 |
$88K |
| 77301 |
|
95 |
90 |
$88K |
| Q5113 |
Inj herzuma 10 mg |
37 |
26 |
$84K |
| 74177 |
|
1,054 |
1,000 |
$82K |
| 76642 |
|
1,045 |
954 |
$80K |
| 77066 |
Tomosynthesis, mammo |
487 |
471 |
$79K |
| 76830 |
|
1,018 |
991 |
$78K |
| 94729 |
|
1,619 |
1,594 |
$77K |
| 70450 |
|
2,275 |
2,061 |
$75K |
| Q5111 |
Injection, udenyca 0.5 mg |
33 |
25 |
$73K |
| 45385 |
|
156 |
152 |
$72K |
| 80053 |
|
8,767 |
6,137 |
$70K |
| 76641 |
|
631 |
411 |
$70K |
| J1439 |
Inj ferric carboxymaltos 1mg |
593 |
408 |
$69K |
| 96374 |
|
5,406 |
4,576 |
$67K |
| 77412 |
|
1,006 |
135 |
$64K |
| 92557 |
|
1,335 |
1,320 |
$64K |
| 77334 |
|
474 |
318 |
$62K |
| 94726 |
|
1,424 |
1,401 |
$61K |
| 80307 |
|
2,239 |
1,538 |
$57K |
| 96366 |
|
2,032 |
1,399 |
$55K |
| 77336 |
|
820 |
423 |
$53K |
| 93970 |
|
566 |
545 |
$52K |
| 88185 |
|
242 |
146 |
$52K |
| OP370 |
|
503 |
429 |
$52K |
| 77065 |
Tomosynthesis, mammo |
445 |
414 |
$50K |
| G0399 |
Home sleep test/type 3 porta |
513 |
509 |
$47K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
6,554 |
6,169 |
$46K |
| J1756 |
Iron sucrose injection |
4,744 |
1,855 |
$46K |
| 92507 |
|
889 |
400 |
$43K |
| 70551 |
|
132 |
129 |
$43K |
| G0279 |
Tomosynthesis, mammo |
1,158 |
1,114 |
$42K |
| 96415 |
|
833 |
483 |
$42K |
| 76700 |
|
401 |
396 |
$40K |
| J0585 |
Injection,onabotulinumtoxina |
772 |
687 |
$39K |
| 85027 |
|
4,466 |
4,045 |
$39K |
| 76856 |
|
804 |
768 |
$37K |
| 93017 |
|
672 |
655 |
$37K |
| 71046 |
|
3,682 |
3,366 |
$35K |
| 88305 |
|
1,657 |
1,568 |
$34K |
| 86832 |
|
225 |
209 |
$34K |
| 77300 |
|
294 |
263 |
$32K |
| C1769 |
Guide wire |
706 |
668 |
$32K |
| 70544 |
|
126 |
122 |
$31K |
| OP710 |
|
820 |
662 |
$30K |
| A9270 |
Non-covered item or service |
59,526 |
18,584 |
$30K |
| 96367 |
|
1,075 |
605 |
$29K |
| 86833 |
|
228 |
210 |
$28K |
| 96372 |
|
4,290 |
2,634 |
$28K |
| 59025 |
|
1,215 |
1,035 |
$28K |
| 99213 |
|
2,574 |
2,435 |
$28K |
| Q5118 |
Inj., zirabev, 10 mg |
315 |
141 |
$27K |
| 84443 |
|
1,830 |
1,701 |
$26K |
| 97162 |
|
695 |
671 |
$26K |
| J0185 |
Inj., aprepitant, 1 mg |
928 |
632 |
$26K |
| 93351 |
|
25 |
25 |
$26K |
| J2785 |
Regadenoson injection |
489 |
483 |
$25K |
| P9016 |
Rbc leukocytes reduced |
199 |
175 |
$25K |
| 0004A |
|
278 |
278 |
$25K |
| 76770 |
|
360 |
344 |
$24K |
| 92588 |
|
379 |
375 |
$24K |
| 77295 |
|
61 |
59 |
$24K |
| A9585 |
Gadobutrol injection |
1,635 |
1,461 |
$23K |
| 72148 |
|
128 |
123 |
$23K |
| 71260 |
|
420 |
406 |
$22K |
| 93971 |
|
295 |
280 |
$22K |
| 76536 |
|
250 |
244 |
$22K |
| 97110 |
|
1,754 |
808 |
$22K |
| 20611 |
|
225 |
214 |
$22K |
| J2469 |
Palonosetron hcl |
5,396 |
3,274 |
$21K |
| 87491 |
|
1,376 |
1,254 |
$21K |
| 36561 |
|
13 |
13 |
$21K |
| 87591 |
|
1,376 |
1,254 |
$20K |
| 71250 |
|
263 |
256 |
$20K |
| 86480 |
|
445 |
380 |
$20K |
| 72125 |
|
832 |
773 |
$20K |
| 93880 |
|
198 |
195 |
$20K |
| 87636 |
|
2,208 |
2,085 |
$19K |
| 76705 |
|
429 |
418 |
$19K |
| 86803 |
|
924 |
872 |
$19K |
| 74176 |
|
318 |
299 |
$19K |
| 96360 |
|
721 |
533 |
$19K |
| 82784 |
|
670 |
529 |
$19K |
| 80076 |
|
4,258 |
3,584 |
$18K |
| 96402 |
|
385 |
321 |
$18K |
| 99215 |
Prolong outpt/office vis |
1,083 |
998 |
$18K |
| 83735 |
|
5,390 |
3,105 |
$18K |
| 80061 |
|
1,399 |
1,364 |
$17K |
| J9070 |
Cyclophosphamide 100 mg inj |
127 |
82 |
$17K |
| 88342 |
|
755 |
692 |
$17K |
| 85730 |
|
3,955 |
3,249 |
$17K |
| 92567 |
|
886 |
873 |
$17K |
| 93975 |
|
243 |
230 |
$17K |
| 86900 |
|
3,934 |
3,204 |
$16K |
| 96411 |
|
185 |
118 |
$16K |
| 36415 |
|
10,658 |
8,257 |
$15K |
| 96409 |
|
106 |
81 |
$15K |
| 19083 |
|
24 |
24 |
$15K |
| G0433 |
Elisa hiv-1/hiv-2 screen |
1,258 |
1,176 |
$15K |
| 88341 |
|
320 |
264 |
$14K |
| G0463 |
Hospital outpt clinic visit |
9,651 |
7,968 |
$14K |
| 94060 |
|
778 |
762 |
$14K |
| 84484 |
|
5,046 |
3,831 |
$14K |
| A9502 |
Tc99m tetrofosmin |
580 |
572 |
$13K |
| 86780 |
|
1,042 |
964 |
$13K |
| 86850 |
|
2,817 |
2,284 |
$13K |
| 36430 |
|
446 |
296 |
$13K |
| 97530 |
|
1,303 |
717 |
$12K |
| 71045 |
|
3,234 |
2,793 |
$12K |
| 76881 |
|
91 |
76 |
$12K |
| 97161 |
|
342 |
327 |
$12K |
| 76882 |
|
705 |
624 |
$12K |
| 85610 |
|
5,001 |
4,021 |
$12K |
| 96401 |
|
187 |
77 |
$11K |
| 71275 |
|
114 |
109 |
$11K |
| 76942 |
|
217 |
205 |
$11K |
| 99204 |
|
521 |
507 |
$11K |
| J3490 |
Drugs unclassified injection |
14,373 |
7,762 |
$10K |
| 83615 |
|
1,856 |
1,190 |
$10K |
| 87086 |
|
2,515 |
2,265 |
$10K |
| 96361 |
|
1,374 |
1,051 |
$10K |
| 87340 |
|
702 |
650 |
$10K |
| 77290 |
|
104 |
100 |
$9K |
| 82306 |
|
346 |
332 |
$9K |
| 70486 |
|
295 |
284 |
$9K |
| 93922 |
|
239 |
233 |
$9K |
| 83036 |
|
1,684 |
1,634 |
$9K |
| 31231 |
|
345 |
328 |
$8K |
| 0012A |
|
109 |
109 |
$8K |
| 84100 |
|
1,747 |
1,064 |
$8K |
| 88184 |
|
246 |
185 |
$8K |
| 86901 |
|
3,344 |
2,643 |
$8K |
| C1729 |
Cath, drainage |
206 |
177 |
$8K |
| J2704 |
Inj, propofol, 10 mg |
8,400 |
7,901 |
$8K |
| 87480 |
|
402 |
389 |
$7K |
| 74178 |
|
24 |
24 |
$7K |
| C1887 |
Catheter, guiding |
53 |
51 |
$7K |
| 87660 |
|
401 |
389 |
$7K |
| 86706 |
|
585 |
530 |
$7K |
| 0003A |
|
76 |
76 |
$7K |
| 83880 |
|
751 |
714 |
$7K |
| 94010 |
|
497 |
490 |
$7K |
| 82570 |
|
959 |
899 |
$7K |
| 87633 |
|
15 |
12 |
$6K |
| 86704 |
|
416 |
378 |
$6K |
| 99203 |
|
231 |
223 |
$6K |
| 72110 |
|
247 |
236 |
$6K |
| 96368 |
|
446 |
238 |
$6K |
| 99202 |
|
80 |
71 |
$6K |
| 82728 |
|
651 |
606 |
$6K |
| 0011A |
|
111 |
111 |
$6K |
| 76801 |
|
189 |
178 |
$5K |
| 87077 |
|
1,133 |
1,035 |
$5K |
| 97140 |
|
152 |
78 |
$5K |
| 83883 |
|
424 |
332 |
$5K |
| 82247 |
|
669 |
567 |
$5K |
| 0124A |
|
53 |
53 |
$5K |
| 43235 |
|
13 |
13 |
$5K |
| 84550 |
|
954 |
572 |
$5K |
| 90715 |
|
644 |
608 |
$5K |
| 96376 |
|
1,235 |
693 |
$5K |
| 97163 |
|
132 |
130 |
$5K |
| 87536 |
|
58 |
55 |
$5K |
| 84702 |
|
766 |
657 |
$4K |
| 81001 |
|
3,219 |
2,885 |
$4K |
| 80197 |
|
284 |
175 |
$4K |
| 73030 |
|
437 |
380 |
$4K |
| 87510 |
|
339 |
320 |
$4K |
| 84165 |
|
415 |
358 |
$4K |
| 84153 |
|
261 |
237 |
$4K |
| J9267 |
Paclitaxel injection |
1,436 |
747 |
$4K |
| 73564 |
|
418 |
372 |
$4K |
| 83690 |
|
2,305 |
2,048 |
$4K |
| 82248 |
|
545 |
477 |
$4K |
| 91010 |
|
26 |
25 |
$3K |
| 72050 |
|
88 |
85 |
$3K |
| 86787 |
|
165 |
152 |
$3K |
| 93356 |
|
12 |
12 |
$3K |
| 0031A |
|
52 |
52 |
$3K |
| 99291 |
|
31 |
30 |
$3K |
| 73630 |
|
436 |
388 |
$3K |
| 83540 |
|
563 |
546 |
$3K |
| 82803 |
|
583 |
505 |
$3K |
| 73562 |
|
153 |
132 |
$3K |
| 72141 |
|
13 |
13 |
$3K |
| 72131 |
|
121 |
116 |
$3K |
| 97150 |
|
411 |
290 |
$3K |
| OP258 |
|
3,205 |
1,204 |
$3K |
| 99212 |
|
198 |
190 |
$3K |
| J9045 |
Carboplatin injection |
1,201 |
789 |
$3K |
| G0480 |
Drug test def 1-7 classes |
178 |
162 |
$3K |
| 87040 |
|
610 |
483 |
$3K |
| 82607 |
|
335 |
320 |
$3K |
| 73610 |
|
382 |
337 |
$3K |
| 80320 |
|
718 |
685 |
$3K |
| J1453 |
Fosaprepitant injection |
577 |
425 |
$3K |
| 73130 |
|
457 |
379 |
$3K |
| 82043 |
|
449 |
443 |
$3K |
| 99205 |
Prolong outpt/office vis |
140 |
137 |
$3K |
| 87186 |
|
641 |
579 |
$3K |
| 83605 |
|
1,175 |
985 |
$3K |
| 92550 |
|
99 |
96 |
$3K |
| OP272 |
|
326 |
263 |
$2K |
| 99153 |
Mod sedat endo service >5yrs |
294 |
285 |
$2K |
| 61782 |
|
13 |
13 |
$2K |
| 84156 |
|
488 |
446 |
$2K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
565 |
506 |
$2K |
| J3475 |
Inj magnesium sulfate |
1,955 |
1,023 |
$2K |
| 0241U |
|
124 |
124 |
$2K |
| 0064A |
|
27 |
27 |
$2K |
| 82378 |
|
188 |
149 |
$2K |
| 0054A |
|
109 |
108 |
$2K |
| J1720 |
Hydrocortisone sodium succ i |
799 |
681 |
$2K |
| 74220 |
|
64 |
63 |
$2K |
| 86762 |
|
106 |
91 |
$2K |
| 77001 |
|
48 |
44 |
$2K |
| J2930 |
Methylprednisolone injection |
1,982 |
1,593 |
$2K |
| C1894 |
Intro/sheath, non-laser |
406 |
390 |
$2K |
| J1100 |
Dexamethasone sodium phos |
9,726 |
6,483 |
$2K |
| 83550 |
|
532 |
516 |
$2K |
| J3489 |
Zoledronic acid 1mg |
141 |
133 |
$2K |
| 76376 |
|
86 |
84 |
$2K |
| 86709 |
|
131 |
124 |
$2K |
| 96523 |
|
75 |
67 |
$2K |
| 99152 |
|
268 |
259 |
$2K |
| 82746 |
|
221 |
214 |
$2K |
| 85379 |
|
540 |
500 |
$2K |
| 87624 |
|
43 |
41 |
$2K |
| 90471 |
|
708 |
660 |
$2K |
| 73502 |
|
142 |
137 |
$2K |
| 31575 |
|
63 |
58 |
$2K |
| 70543 |
|
15 |
15 |
$2K |
| 87081 |
|
288 |
284 |
$2K |
| 84439 |
|
282 |
267 |
$1K |
| J9201 |
In gemcitabine hcl nos 200mg |
94 |
38 |
$1K |
| 94760 |
|
371 |
336 |
$1K |
| 81003 |
|
1,152 |
1,068 |
$1K |
| 86708 |
|
99 |
96 |
$1K |
| 31579 |
|
166 |
154 |
$1K |
| 94664 |
|
85 |
85 |
$1K |
| 82550 |
|
565 |
516 |
$1K |
| 72128 |
|
55 |
54 |
$1K |
| 64615 |
|
43 |
41 |
$1K |
| J2405 |
Ondansetron hcl injection |
11,009 |
8,578 |
$1K |
| 87522 |
Neg quan hep c or qual rna |
47 |
43 |
$1K |
| 87070 |
|
442 |
366 |
$1K |
| 82565 |
|
758 |
626 |
$1K |
| 87075 |
|
353 |
289 |
$1K |
| 95816 |
|
56 |
56 |
$1K |
| 90632 |
|
47 |
46 |
$1K |
| 77417 |
|
73 |
45 |
$1K |
| 90686 |
|
434 |
406 |
$1K |
| 82024 |
|
58 |
51 |
$1K |
| 0072A |
|
13 |
13 |
$1K |
| 0071A |
|
12 |
12 |
$1K |
| 87631 |
|
34 |
29 |
$1K |
| 80069 |
|
284 |
242 |
$1K |
| 86140 |
|
749 |
710 |
$1K |
| 82150 |
|
236 |
213 |
$1K |
| 97112 |
|
70 |
46 |
$1K |
| 85652 |
|
662 |
638 |
$1K |
| 81002 |
|
597 |
509 |
$1K |
| J3010 |
Fentanyl citrate injection |
8,553 |
6,800 |
$995.23 |
| 85046 |
|
313 |
224 |
$977.94 |
| J1170 |
Hydromorphone injection |
3,127 |
1,983 |
$960.05 |
| 88314 |
|
112 |
80 |
$939.24 |
| G0008 |
Admin influenza virus vac |
530 |
518 |
$890.08 |
| 87205 |
|
522 |
424 |
$869.30 |
| 78306 |
|
13 |
12 |
$860.54 |
| 74018 |
|
75 |
70 |
$836.51 |
| 73080 |
|
139 |
130 |
$820.32 |
| 86301 |
|
45 |
36 |
$800.19 |
| 86769 |
|
28 |
27 |
$783.30 |
| 83970 |
|
47 |
46 |
$769.68 |
| 76937 |
|
98 |
89 |
$768.62 |
| J9263 |
Oxaliplatin |
57 |
25 |
$756.64 |
| J2001 |
Lidocaine injection |
10,830 |
9,510 |
$753.92 |
| 92526 |
|
25 |
16 |
$743.36 |
| OP270 |
|
92 |
81 |
$729.31 |
| 86923 |
|
206 |
144 |
$728.43 |
| 86038 |
|
46 |
46 |
$698.52 |
| 82947 |
|
385 |
330 |
$692.19 |
| 84075 |
|
359 |
320 |
$687.08 |
| 70480 |
|
14 |
14 |
$640.82 |
| 97166 |
|
28 |
26 |
$637.90 |
| J0280 |
Aminophyllin 250 mg inj |
353 |
352 |
$636.24 |
| J3301 |
Triamcinolone acet inj nos |
683 |
670 |
$628.20 |
| 76870 |
|
13 |
12 |
$596.01 |
| 88142 |
|
32 |
30 |
$592.95 |
| 88311 |
|
103 |
95 |
$584.69 |
| 73590 |
|
107 |
92 |
$583.96 |
| 84460 |
|
243 |
221 |
$579.37 |
| 80329 |
|
130 |
128 |
$578.47 |
| J1200 |
Diphenhydramine hcl injectio |
5,537 |
3,588 |
$577.65 |
| 86334 |
|
41 |
37 |
$555.53 |
| 0052A |
|
53 |
52 |
$535.40 |
| U0005 |
Infec agen detec ampli probe |
341 |
331 |
$528.25 |
| 97602 |
|
19 |
12 |
$511.32 |
| 51798 |
|
116 |
109 |
$500.46 |
| 84155 |
|
376 |
334 |
$497.20 |
| 84295 |
|
263 |
245 |
$497.07 |
| 86765 |
|
46 |
42 |
$495.60 |
| J0640 |
Leucovorin calcium injection |
386 |
172 |
$488.10 |
| 82310 |
|
299 |
274 |
$474.36 |
| 72100 |
|
40 |
40 |
$456.26 |
| 82164 |
|
56 |
54 |
$440.95 |
| 82435 |
|
260 |
243 |
$424.33 |
| 86300 |
|
13 |
12 |
$396.32 |
| 88307 |
|
203 |
189 |
$383.49 |
| 84520 |
|
300 |
262 |
$370.71 |
| J1885 |
Ketorolac tromethamine inj |
5,604 |
4,461 |
$369.49 |
| 82040 |
|
392 |
345 |
$367.58 |
| 73110 |
|
87 |
79 |
$361.50 |
| J0696 |
Ceftriaxone sodium injection |
1,440 |
1,225 |
$359.63 |
| J7060 |
5% dextrose/water |
964 |
647 |
$347.74 |
| 82374 |
|
226 |
210 |
$334.21 |
| 80348 |
|
15 |
14 |
$332.33 |
| J2270 |
Morphine sulfate injection |
1,339 |
1,059 |
$326.94 |
| 94618 |
|
14 |
13 |
$323.56 |
| 0051A |
|
22 |
22 |
$321.64 |
| 86645 |
|
12 |
12 |
$311.89 |
| J0690 |
Cefazolin sodium injection |
2,844 |
2,334 |
$293.36 |
| 86304 |
|
15 |
12 |
$292.87 |
| 83655 |
|
29 |
29 |
$290.00 |
| J1815 |
Insulin injection |
1,864 |
782 |
$279.80 |
| 86644 |
|
12 |
12 |
$265.68 |
| J0780 |
Prochlorperazine injection |
372 |
265 |
$258.92 |
| J2250 |
Inj midazolam hydrochloride |
4,860 |
4,522 |
$247.27 |
| J2543 |
Piperacillin/tazobactam |
262 |
150 |
$240.37 |
| 82105 |
|
26 |
25 |
$237.17 |
| 72170 |
|
43 |
41 |
$225.12 |
| 86592 |
|
66 |
65 |
$217.70 |
| 90670 |
|
14 |
13 |
$216.13 |
| 86618 |
|
53 |
50 |
$210.30 |
| 0352U |
|
12 |
12 |
$201.59 |
| OP250 |
|
77 |
51 |
$201.20 |
| J1650 |
Inj enoxaparin sodium |
1,927 |
1,004 |
$200.37 |
| 82010 |
|
171 |
145 |
$187.93 |
| J7030 |
Normal saline solution infus |
81 |
56 |
$187.65 |
| 86703 |
|
14 |
14 |
$180.46 |
| A9503 |
Tc99m medronate |
12 |
12 |
$179.98 |
| 90662 |
|
391 |
388 |
$169.95 |
| 85097 |
|
14 |
12 |
$144.61 |
| 71101 |
|
33 |
32 |
$139.01 |
| J2765 |
Metoclopramide hcl injection |
972 |
805 |
$138.78 |
| 82977 |
|
18 |
13 |
$126.73 |
| 87184 |
|
26 |
24 |
$126.31 |
| 84145 |
|
27 |
27 |
$125.04 |
| J1644 |
Inj heparin sodium per 1000u |
1,961 |
1,042 |
$122.34 |
| J1642 |
Inj heparin sodium per 10 u |
2,055 |
1,386 |
$115.12 |
| 80051 |
|
61 |
28 |
$111.91 |
| G1004 |
Cdsm ndsc |
985 |
806 |
$102.29 |
| 88304 |
|
91 |
85 |
$100.40 |
| J2060 |
Lorazepam injection |
841 |
660 |
$91.27 |
| G0009 |
Admin pneumococcal vaccine |
34 |
34 |
$74.34 |
| 81025 |
|
30 |
28 |
$72.57 |
| 87102 |
|
33 |
28 |
$59.51 |
| 73090 |
|
30 |
26 |
$58.97 |
| 86430 |
|
16 |
15 |
$54.61 |
| 82945 |
|
15 |
14 |
$52.10 |
| J3370 |
Vancomycin hcl injection |
220 |
129 |
$51.35 |
| 84157 |
|
17 |
15 |
$49.23 |
| 87206 |
|
42 |
38 |
$42.04 |
| 84132 |
|
18 |
16 |
$42.03 |
| 85018 |
|
12 |
12 |
$40.77 |
| J2710 |
Neostigmine methylslfte inj |
87 |
83 |
$35.34 |
| J9190 |
Fluorouracil injection |
116 |
73 |
$33.25 |
| J7999 |
Compounded drug, noc |
687 |
400 |
$33.06 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,405 |
901 |
$26.13 |
| J3420 |
Vitamin b12 injection |
248 |
200 |
$20.15 |
| U0002 |
Covid-19 lab test non-cdc |
294 |
266 |
$18.18 |
| J2795 |
Ropivacaine hcl injection |
39 |
38 |
$17.53 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
393 |
359 |
$16.90 |
| 89051 |
|
18 |
12 |
$16.32 |
| 82962 |
|
17 |
16 |
$12.20 |
| J0171 |
Adrenalin epinephrine inject |
183 |
169 |
$10.47 |
| J1630 |
Haloperidol injection |
31 |
26 |
$9.69 |
| 87880 |
|
15 |
14 |
$6.30 |
| J3480 |
Inj potassium chloride |
187 |
111 |
$4.36 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
167 |
127 |
$3.81 |
| 91300 |
|
237 |
224 |
$0.46 |
| 00000 |
|
1,397 |
523 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
449 |
419 |
$0.00 |
| J1790 |
Droperidol injection |
279 |
255 |
$0.00 |
| J1940 |
Furosemide injection |
63 |
39 |
$0.00 |
| Q5120 |
Inj pegfilgrastim-bmez 0.5mg |
83 |
71 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
188 |
158 |
$0.00 |
| J0461 |
Atropine sulfate injection |
45 |
28 |
$0.00 |
| J1805 |
Inj, esmolol hcl, 10mg |
25 |
25 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
93 |
90 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
24 |
17 |
$0.00 |
| 88300 |
|
44 |
42 |
$0.00 |
| J9395 |
Injection, fulvestrant |
25 |
25 |
$0.00 |
| 90732 |
|
12 |
12 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| J7297 |
Liletta, 52 mg |
13 |
13 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
55 |
54 |
$0.00 |
| J9000 |
Doxorubicin hcl injection |
40 |
24 |
$0.00 |
| J9144 |
Daratumumab, hyaluronidase |
433 |
291 |
$0.00 |
| J0688 |
Inj cefazolin sodium, hikma |
24 |
12 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
391 |
384 |
$0.00 |
| J0897 |
Denosumab injection |
131 |
127 |
$0.00 |
| J9217 |
Leuprolide acetate suspnsion |
303 |
286 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
337 |
274 |
$0.00 |
| J3032 |
Inj. eptinezumab-jjmr 1 mg |
12 |
12 |
$0.00 |
| 86735 |
|
46 |
42 |
$0.00 |
| J2916 |
Na ferric gluconate complex |
329 |
137 |
$0.00 |
| J9075 |
Inj, cyclophosphamide, nos |
18 |
13 |
$0.00 |
| J1750 |
Inj iron dextran |
97 |
70 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
18 |
13 |
$0.00 |
| 90653 |
|
20 |
20 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
305 |
287 |
$0.00 |
| 87899 |
|
15 |
15 |
$0.00 |
| J9206 |
Irinotecan injection |
21 |
14 |
$0.00 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
15 |
12 |
$0.00 |
| Q5119 |
Inj ruxience, 10 mg |
24 |
12 |
$0.00 |
| J0689 |
Inj cefazolin sodium, baxter |
31 |
16 |
$0.00 |