Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PA › PHILADELPHIA › THOMAS JEFFERSON UNIVERSITY HOSPITALS INC

THOMAS JEFFERSON UNIVERSITY HOSPITALS INC

NPI: 1215916002 · PHILADELPHIA, PA 19107 · General Acute Care Hospital · NPI assigned 01/11/2006

$40.28M
Total Medicaid Paid
670,173
Total Claims
515,759
Beneficiaries
452
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLUBARSKY, NEIL (SENIOR VICE PRESIDENT FOR FINANCE)
NPI Enumeration Date01/11/2006

Related Entities

Other providers sharing the same authorized official: LUBARSKY, NEIL

ProviderCityStateTotal Paid
METHODIST HOSPITAL PHILADELPHIA PA $10.65M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,644 $133K
2019 14,789 $480K
2020 111,348 $5.51M
2021 262,530 $17.85M
2022 84,720 $5.68M
2023 99,015 $6.19M
2024 94,127 $4.44M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 49,035 45,925 $10.23M
99283 Emergency department visit for the evaluation and management, moderate severity 28,709 26,363 $5.98M
G0378 Hospital observation service, per hour 4,948 2,784 $3.77M
99282 Emergency department visit for the evaluation and management, low to moderate severity 9,792 8,325 $1.88M
77067 Screening mammography, bilateral, including computer-aided detection 9,811 9,692 $1.48M
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 10,453 10,013 $1.36M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 8,093 7,322 $1.35M
95810 Polysomnography; sleep staging with 4 or more additional parameters 2,632 2,609 $1.28M
J9271 Injection, pembrolizumab, 1 mg 1,404 1,129 $1.12M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 4,696 4,621 $693K
77386 1,824 161 $686K
J2323 Injection, natalizumab, 1 mg 836 813 $669K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 4,347 2,281 $623K
J1745 Injection, infliximab, excludes biosimilar, 10 mg 1,019 864 $542K
T1015 Clinic visit/encounter, all-inclusive 7,805 4,612 $468K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 7,356 5,063 $415K
77063 Screening digital breast tomosynthesis, bilateral 9,809 9,637 $389K
J2350 Injection, ocrelizumab, 1 mg 255 231 $361K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 722 703 $279K
45380 Colonoscopy, flexible; with biopsy, single or multiple 464 452 $217K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 726 709 $198K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 4,365 4,136 $198K
96375 Therapeutic injection; each additional sequential IV push 8,156 4,696 $181K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 34,127 26,518 $178K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 404 396 $161K
74183 235 233 $138K
0002A 1,755 1,753 $134K
J9299 Injection, nivolumab, 1 mg 34 25 $121K
80048 Basic metabolic panel (calcium, ionized) 23,854 20,281 $110K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 170 164 $106K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,191 4,763 $106K
99281 Emergency department visit for the evaluation and management, self-limited or minor 835 714 $103K
Q5108 Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg 81 63 $100K
96417 989 638 $95K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 9,916 8,710 $92K
0001A 1,933 1,932 $88K
77301 95 90 $88K
Q5113 Injection, trastuzumab-pkrb, biosimilar, (herzuma), 10 mg 37 26 $84K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,054 1,000 $82K
76642 1,045 954 $80K
77066 Tomosynthesis, mammo 487 471 $79K
76830 Ultrasound, transvaginal 1,018 991 $78K
94729 1,619 1,594 $77K
70450 Computed tomography, head or brain; without contrast material 2,275 2,061 $75K
Q5111 Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg 33 25 $73K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 156 152 $72K
80053 Comprehensive metabolic panel 8,767 6,137 $70K
76641 631 411 $70K
J1439 Injection, ferric carboxymaltose, 1 mg 593 408 $69K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 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 Drug test(s), presumptive, any number of drug classes; immunoassay 2,239 1,538 $57K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 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 (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation 513 509 $47K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 6,554 6,169 $46K
J1756 Injection, iron sucrose, 1 mg 4,744 1,855 $46K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 889 400 $43K
70551 Magnetic resonance imaging, brain; without contrast material 132 129 $43K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 1,158 1,114 $42K
96415 833 483 $42K
76700 Ultrasound, abdominal, real time with image documentation; complete 401 396 $40K
J0585 Injection, onabotulinumtoxina, 1 unit 772 687 $39K
85027 4,466 4,045 $39K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 804 768 $37K
93017 672 655 $37K
71046 Radiologic examination, chest; 2 views 3,682 3,366 $35K
88305 Level IV - Surgical pathology, gross and microscopic examination 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 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4,290 2,634 $28K
59025 Fetal non-stress test 1,215 1,035 $28K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,574 2,435 $28K
Q5118 Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg 315 141 $27K
84443 Thyroid stimulating hormone (TSH) 1,830 1,701 $26K
97162 695 671 $26K
J0185 Injection, aprepitant, 1 mg 928 632 $26K
93351 25 25 $26K
J2785 Injection, regadenoson, 0.1 mg 489 483 $25K
P9016 Red blood cells, leukocytes reduced, each unit 199 175 $25K
0004A 278 278 $25K
76770 360 344 $24K
92588 379 375 $24K
77295 61 59 $24K
A9585 Injection, gadobutrol, 0.1 ml 1,635 1,461 $23K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 128 123 $23K
71260 Computed tomography, thorax, diagnostic; with contrast material 420 406 $22K
93971 295 280 $22K
76536 250 244 $22K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,754 808 $22K
20611 225 214 $22K
J2469 Injection, palonosetron hcl, 25 mcg 5,396 3,274 $21K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,376 1,254 $21K
36561 13 13 $21K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,376 1,254 $20K
71250 263 256 $20K
86480 445 380 $20K
72125 Computed tomography, cervical spine; without contrast material 832 773 $20K
93880 198 195 $20K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 2,208 2,085 $19K
76705 Ultrasound, abdominal, real time with image documentation; limited 429 418 $19K
86803 924 872 $19K
74176 Computed tomography, abdomen and pelvis; without contrast material 318 299 $19K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 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 Lipid panel 1,399 1,364 $17K
J9070 Cyclophosphamide, 100 mg 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 Collection of venous blood by venipuncture 10,658 8,257 $15K
96409 106 81 $15K
19083 24 24 $15K
G0433 Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening 1,258 1,176 $15K
88341 320 264 $14K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 9,651 7,968 $14K
94060 778 762 $14K
84484 5,046 3,831 $14K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 580 572 $13K
86780 1,042 964 $13K
86850 2,817 2,284 $13K
36430 446 296 $13K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,303 717 $12K
71045 Radiologic examination, chest; single view 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 Computed tomographic angiography, chest, with contrast material 114 109 $11K
76942 217 205 $11K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 521 507 $11K
J3490 Unclassified drugs 14,373 7,762 $10K
83615 1,856 1,190 $10K
87086 Culture, bacterial; quantitative colony count, urine 2,515 2,265 $10K
96361 Intravenous infusion, hydration; each additional hour 1,374 1,051 $10K
87340 702 650 $10K
77290 104 100 $9K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 346 332 $9K
70486 295 284 $9K
93922 239 233 $9K
83036 Hemoglobin; glycosylated (A1C) 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 Catheter, drainage 206 177 $8K
J2704 Injection, propofol, 10 mg 8,400 7,901 $8K
87480 402 389 $7K
74178 24 24 $7K
C1887 Catheter, guiding (may include infusion/perfusion capability) 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 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 15 12 $6K
86704 416 378 $6K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 231 223 $6K
72110 247 236 $6K
96368 446 238 $6K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 80 71 $6K
82728 651 606 $6K
0011A 111 111 $6K
76801 189 178 $5K
87077 1,133 1,035 $5K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 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 Injection, paclitaxel, 1 mg 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 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 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 Therapeutic procedure(s), group (2 or more individuals) 411 290 $3K
OP258 3,205 1,204 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 198 190 $3K
J9045 Injection, carboplatin, 50 mg 1,201 789 $3K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 178 162 $3K
87040 610 483 $3K
82607 335 320 $3K
73610 382 337 $3K
80320 718 685 $3K
J1453 Injection, fosaprepitant, 1 mg 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 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 565 506 $2K
J3475 Injection, magnesium sulfate, per 500 mg 1,955 1,023 $2K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 124 124 $2K
0064A 27 27 $2K
82378 188 149 $2K
0054A 109 108 $2K
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg 799 681 $2K
74220 64 63 $2K
86762 106 91 $2K
77001 48 44 $2K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,982 1,593 $2K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 406 390 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 9,726 6,483 $2K
83550 532 516 $2K
J3489 Injection, zoledronic acid, 1 mg 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 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 43 41 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 708 660 $2K
73502 142 137 $2K
31575 63 58 $2K
70543 15 15 $2K
87081 288 284 $2K
84439 282 267 $1K
J9201 Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg 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 Injection, ondansetron hydrochloride, per 1 mg 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 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 70 46 $1K
85652 662 638 $1K
81002 597 509 $1K
J3010 Injection, fentanyl citrate, 0.1 mg 8,553 6,800 $995.23
85046 313 224 $977.94
J1170 Injection, hydromorphone, up to 4 mg 3,127 1,983 $960.05
88314 112 80 $939.24
G0008 Administration of influenza virus vaccine 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 Injection, oxaliplatin, 0.5 mg 57 25 $756.64
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 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 Injection, aminophyllin, up to 250 mg 353 352 $636.24
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 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 Injection, diphenhydramine hcl, up to 50 mg 5,537 3,588 $577.65
86334 41 37 $555.53
0052A 53 52 $535.40
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 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 Injection, leucovorin calcium, per 50 mg 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 Injection, ketorolac tromethamine, per 15 mg 5,604 4,461 $369.49
82040 392 345 $367.58
73110 87 79 $361.50
J0696 Injection, ceftriaxone sodium, per 250 mg 1,440 1,225 $359.63
J7060 5% dextrose/water (500 ml = 1 unit) 964 647 $347.74
82374 226 210 $334.21
80348 15 14 $332.33
J2270 Injection, morphine sulfate, up to 10 mg 1,339 1,059 $326.94
94618 14 13 $323.56
0051A 22 22 $321.64
86645 12 12 $311.89
J0690 Injection, cefazolin sodium, 500 mg 2,844 2,334 $293.36
86304 15 12 $292.87
83655 29 29 $290.00
J1815 Injection, insulin, per 5 units 1,864 782 $279.80
86644 12 12 $265.68
J0780 Injection, prochlorperazine, up to 10 mg 372 265 $258.92
J2250 Injection, midazolam hydrochloride, per 1 mg 4,860 4,522 $247.27
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 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 Injection, enoxaparin sodium, 10 mg 1,927 1,004 $200.37
82010 171 145 $187.93
J7030 Infusion, normal saline solution , 1000 cc 81 56 $187.65
86703 14 14 $180.46
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries 12 12 $179.98
90662 391 388 $169.95
85097 14 12 $144.61
71101 33 32 $139.01
J2765 Injection, metoclopramide hcl, up to 10 mg 972 805 $138.78
82977 18 13 $126.73
87184 26 24 $126.31
84145 27 27 $125.04
J1644 Injection, heparin sodium, per 1000 units 1,961 1,042 $122.34
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 2,055 1,386 $115.12
80051 61 28 $111.91
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 985 806 $102.29
88304 91 85 $100.40
J2060 Injection, lorazepam, 2 mg 841 660 $91.27
G0009 Administration of 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 Injection, vancomycin hcl, 500 mg 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 Injection, neostigmine methylsulfate, up to 0.5 mg 87 83 $35.34
J9190 Injection, fluorouracil, 500 mg 116 73 $33.25
J7999 Compounded drug, not otherwise classified 687 400 $33.06
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 1,405 901 $26.13
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 248 200 $20.15
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 294 266 $18.18
J2795 Injection, ropivacaine hydrochloride, 1 mg 39 38 $17.53
J2003 Injection, lidocaine hydrochloride, 1 mg 393 359 $16.90
89051 18 12 $16.32
82962 17 16 $12.20
J0171 Injection, adrenalin, epinephrine, 0.1 mg 183 169 $10.47
J1630 Injection, haloperidol, up to 5 mg 31 26 $9.69
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 15 14 $6.30
J3480 Injection, potassium chloride, per 2 meq 187 111 $4.36
J1171 Injection, hydromorphone, 0.1 mg 167 127 $3.81
91300 237 224 $0.46
00000 1,397 523 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 449 419 $0.00
J1790 Injection, droperidol, up to 5 mg 279 255 $0.00
J1940 Injection, furosemide, up to 20 mg 63 39 $0.00
Q5120 Injection, pegfilgrastim-bmez (ziextenzo), biosimilar, 0.5 mg 83 71 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 188 158 $0.00
J0461 Injection, atropine sulfate, 0.01 mg 45 28 $0.00
J1805 Injection, esmolol hydrochloride, 10 mg 25 25 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 93 90 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 24 17 $0.00
88300 44 42 $0.00
J9395 Injection, fulvestrant, 25 mg 25 25 $0.00
90732 12 12 $0.00
90677 12 12 $0.00
J7297 Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg 13 13 $0.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 55 54 $0.00
J9000 Injection, doxorubicin hydrochloride, 10 mg 40 24 $0.00
J9144 Injection, daratumumab, 10 mg and hyaluronidase-fihj 433 291 $0.00
J0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg 24 12 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 391 384 $0.00
J0897 Injection, denosumab, 1 mg 131 127 $0.00
J9217 Leuprolide acetate (for depot suspension), 7.5 mg 303 286 $0.00
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 337 274 $0.00
J3032 Injection, eptinezumab-jjmr, 1 mg 12 12 $0.00
86735 46 42 $0.00
J2916 Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg 329 137 $0.00
J9075 Injection, cyclophosphamide, not otherwise specified, 5 mg 18 13 $0.00
J1750 Injection, iron dextran, 50 mg 97 70 $0.00
C9113 Injection, pantoprazole sodium, per vial 18 13 $0.00
90653 20 20 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 305 287 $0.00
87899 15 15 $0.00
J9206 Injection, irinotecan, 20 mg 21 14 $0.00
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 15 12 $0.00
Q5119 Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg 24 12 $0.00
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg 31 16 $0.00