| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
57,830 |
47,042 |
$11.70M |
| 99284 |
|
49,867 |
40,049 |
$8.87M |
| G0378 |
Hospital observation per hr |
21,139 |
16,161 |
$8.56M |
| 99283 |
|
37,280 |
31,581 |
$5.28M |
| 96374 |
|
36,294 |
27,947 |
$3.05M |
| J9271 |
Inj pembrolizumab |
676 |
419 |
$2.26M |
| 94640 |
|
22,744 |
11,191 |
$2.03M |
| 96365 |
|
23,275 |
18,373 |
$1.90M |
| 77386 |
|
10,789 |
830 |
$1.64M |
| 74177 |
|
10,301 |
8,835 |
$1.52M |
| 96413 |
|
9,759 |
5,623 |
$1.43M |
| J9299 |
Injection, nivolumab |
813 |
278 |
$1.27M |
| 71045 |
|
36,916 |
29,770 |
$1.19M |
| 78452 |
|
3,688 |
3,225 |
$1.06M |
| 87637 |
|
11,008 |
9,640 |
$1.06M |
| 96361 |
|
26,729 |
20,404 |
$958K |
| 93005 |
|
54,183 |
42,581 |
$956K |
| 70450 |
|
18,809 |
16,020 |
$881K |
| 71046 |
|
21,217 |
18,239 |
$825K |
| 93458 |
|
831 |
734 |
$769K |
| 96372 |
|
30,590 |
20,158 |
$729K |
| 96360 |
|
8,001 |
6,842 |
$716K |
| 90935 |
|
4,377 |
1,872 |
$699K |
| 96375 |
|
37,826 |
26,211 |
$665K |
| 86900 |
|
15,101 |
11,612 |
$657K |
| 93306 |
|
6,518 |
5,782 |
$650K |
| 80307 |
|
16,721 |
13,503 |
$632K |
| J2505 |
Injection, pegfilgrastim 6mg |
552 |
378 |
$618K |
| 97110 |
|
17,602 |
4,373 |
$601K |
| 77301 |
|
1,129 |
856 |
$567K |
| 85025 |
|
114,817 |
76,200 |
$536K |
| 74176 |
|
5,755 |
5,047 |
$508K |
| 99291 |
|
1,812 |
1,531 |
$491K |
| 77334 |
|
1,722 |
1,040 |
$423K |
| 36430 |
|
4,187 |
2,877 |
$411K |
| 49083 |
|
1,922 |
1,268 |
$381K |
| 77300 |
|
2,310 |
1,719 |
$364K |
| 99282 |
|
4,312 |
3,882 |
$363K |
| 80048 |
|
57,425 |
43,930 |
$334K |
| 92507 |
|
6,206 |
2,074 |
$302K |
| 93303 |
|
877 |
769 |
$293K |
| 96366 |
|
7,424 |
5,169 |
$291K |
| 77336 |
|
5,599 |
2,105 |
$283K |
| 86850 |
|
14,070 |
10,730 |
$279K |
| 99213 |
|
8,705 |
6,142 |
$274K |
| 84484 |
|
34,556 |
24,104 |
$269K |
| 71275 |
|
3,550 |
3,061 |
$265K |
| 82553 |
|
32,422 |
23,214 |
$252K |
| 80053 |
|
41,089 |
31,392 |
$246K |
| U0002 |
Covid-19 lab test non-cdc |
7,426 |
6,376 |
$240K |
| J2506 |
Inj pegfilgrast ex bio 0.5mg |
378 |
206 |
$229K |
| 72125 |
|
6,073 |
5,247 |
$223K |
| 99214 |
|
4,038 |
3,263 |
$208K |
| 70553 |
|
1,185 |
1,014 |
$206K |
| 36415 |
|
96,790 |
66,013 |
$199K |
| 86901 |
|
15,321 |
11,814 |
$198K |
| 71260 |
|
2,717 |
2,297 |
$194K |
| P9016 |
Rbc leukocytes reduced |
3,618 |
2,660 |
$189K |
| 97530 |
|
5,118 |
1,760 |
$188K |
| J2469 |
Palonosetron hcl |
3,598 |
1,790 |
$171K |
| 77412 |
|
2,344 |
232 |
$170K |
| 76801 |
|
2,594 |
2,108 |
$169K |
| 86923 |
|
2,749 |
2,115 |
$156K |
| 96367 |
|
5,344 |
3,479 |
$155K |
| 93017 |
|
3,355 |
2,941 |
$153K |
| 88307 |
|
1,159 |
777 |
$153K |
| J2357 |
Omalizumab injection |
242 |
100 |
$151K |
| 87651 |
|
5,885 |
5,319 |
$151K |
| G0480 |
Drug test def 1-7 classes |
2,458 |
1,839 |
$147K |
| 74018 |
|
3,448 |
2,929 |
$143K |
| 82550 |
|
38,300 |
23,668 |
$141K |
| 77338 |
|
1,308 |
971 |
$136K |
| 87502 |
|
2,377 |
2,126 |
$136K |
| 87804 |
|
11,730 |
5,143 |
$130K |
| 36600 |
|
4,230 |
3,487 |
$130K |
| 83880 |
|
7,186 |
5,981 |
$125K |
| G0463 |
Hospital outpt clinic visit |
14,476 |
10,894 |
$124K |
| 85730 |
|
36,548 |
29,850 |
$123K |
| 73562 |
|
3,414 |
2,960 |
$122K |
| 81001 |
|
58,658 |
47,497 |
$121K |
| 70551 |
|
1,690 |
1,472 |
$119K |
| 76705 |
|
2,131 |
1,883 |
$119K |
| 94762 |
|
1,572 |
754 |
$118K |
| 72100 |
|
2,302 |
2,074 |
$118K |
| 99281 |
|
2,379 |
2,067 |
$113K |
| 99212 |
|
7,578 |
6,721 |
$108K |
| 76817 |
|
1,615 |
1,330 |
$107K |
| 85610 |
|
45,709 |
35,558 |
$106K |
| 73630 |
|
2,721 |
2,405 |
$102K |
| 86920 |
|
1,311 |
960 |
$100K |
| 87426 |
|
3,764 |
3,343 |
$99K |
| 88305 |
|
4,337 |
2,802 |
$96K |
| 87491 |
|
3,801 |
3,337 |
$95K |
| 87591 |
|
3,794 |
3,330 |
$95K |
| 82962 |
|
41,134 |
19,783 |
$92K |
| 80069 |
|
19,790 |
13,134 |
$89K |
| 87040 |
|
9,836 |
7,837 |
$89K |
| 73030 |
|
2,623 |
2,233 |
$88K |
| 95816 |
|
643 |
518 |
$86K |
| 93971 |
|
2,288 |
2,055 |
$85K |
| 73130 |
|
2,128 |
1,806 |
$84K |
| 73610 |
|
2,036 |
1,816 |
$82K |
| 87086 |
|
14,251 |
12,221 |
$80K |
| 96417 |
|
2,486 |
1,393 |
$77K |
| 82803 |
|
5,476 |
4,490 |
$76K |
| 70486 |
|
1,547 |
1,330 |
$75K |
| 93970 |
|
1,010 |
913 |
$73K |
| 84443 |
|
7,367 |
6,376 |
$72K |
| 96415 |
|
1,715 |
1,104 |
$70K |
| 81025 |
|
12,730 |
10,822 |
$70K |
| D2930 |
|
536 |
449 |
$69K |
| 97112 |
|
2,513 |
650 |
$67K |
| 80076 |
|
11,679 |
9,820 |
$66K |
| 83690 |
|
14,475 |
12,133 |
$64K |
| 87581 |
|
2,834 |
2,501 |
$64K |
| 86922 |
|
856 |
600 |
$62K |
| 90471 |
|
2,709 |
2,231 |
$60K |
| 97161 |
|
2,359 |
1,939 |
$59K |
| 97597 |
|
1,402 |
881 |
$59K |
| 87077 |
|
9,356 |
7,958 |
$59K |
| 87186 |
|
8,968 |
7,653 |
$59K |
| 76805 |
|
877 |
754 |
$59K |
| 87641 |
|
2,395 |
2,017 |
$58K |
| Q5107 |
Inj mvasi 10 mg |
88 |
24 |
$57K |
| 76856 |
|
931 |
827 |
$56K |
| 77470 |
|
363 |
312 |
$54K |
| 77385 |
|
232 |
12 |
$54K |
| 73590 |
|
1,467 |
1,272 |
$52K |
| 84703 |
|
9,778 |
8,329 |
$52K |
| 74019 |
|
854 |
745 |
$51K |
| 83605 |
|
8,808 |
6,995 |
$49K |
| 84702 |
|
4,810 |
3,794 |
$48K |
| 97162 |
|
1,356 |
1,202 |
$48K |
| 83735 |
|
12,610 |
9,246 |
$47K |
| 59025 |
|
426 |
346 |
$44K |
| 73090 |
|
1,120 |
905 |
$44K |
| 87430 |
|
3,646 |
3,209 |
$43K |
| 80061 |
|
4,894 |
4,283 |
$41K |
| 87070 |
|
6,484 |
5,527 |
$41K |
| 73502 |
|
1,479 |
1,289 |
$40K |
| 82247 |
|
4,301 |
2,701 |
$40K |
| 74022 |
|
609 |
551 |
$40K |
| 88304 |
|
1,554 |
1,310 |
$40K |
| 47563 |
|
20 |
17 |
$38K |
| 72131 |
|
855 |
780 |
$37K |
| 70496 |
|
755 |
613 |
$36K |
| 77295 |
|
58 |
52 |
$36K |
| 73700 |
|
865 |
748 |
$36K |
| 73110 |
|
929 |
799 |
$35K |
| D0272 |
|
58 |
55 |
$35K |
| 70498 |
|
764 |
627 |
$35K |
| 77290 |
|
216 |
163 |
$34K |
| 86902 |
|
168 |
108 |
$31K |
| G0390 |
Trauma respons w/hosp criti |
60 |
53 |
$29K |
| 72170 |
|
765 |
675 |
$28K |
| 73552 |
|
877 |
764 |
$28K |
| 87427 |
|
2,792 |
1,480 |
$28K |
| 12001 |
|
322 |
268 |
$27K |
| J1453 |
Fosaprepitant injection |
252 |
137 |
$27K |
| 99211 |
|
3,295 |
2,727 |
$25K |
| 71250 |
|
873 |
743 |
$24K |
| P9047 |
Albumin (human), 25%, 50ml |
718 |
459 |
$24K |
| D3220 |
|
355 |
305 |
$23K |
| 87636 |
|
262 |
242 |
$23K |
| 97116 |
|
2,667 |
1,214 |
$22K |
| D7140 |
|
25 |
25 |
$22K |
| 84146 |
|
1,434 |
1,221 |
$22K |
| 87205 |
|
5,924 |
4,888 |
$22K |
| 85379 |
|
3,899 |
3,366 |
$22K |
| 87420 |
|
1,824 |
1,617 |
$21K |
| 73080 |
|
540 |
478 |
$21K |
| 87081 |
|
3,464 |
3,058 |
$20K |
| D0220 |
|
159 |
142 |
$19K |
| 85027 |
|
3,905 |
2,559 |
$19K |
| 51702 |
|
469 |
419 |
$19K |
| 88112 |
|
959 |
779 |
$18K |
| 97533 |
|
411 |
184 |
$18K |
| 87634 |
|
344 |
312 |
$18K |
| 29581 |
|
817 |
259 |
$18K |
| 99205 |
Prolong outpt/office vis |
242 |
205 |
$18K |
| 27447 |
|
21 |
13 |
$18K |
| J0897 |
Denosumab injection |
59 |
50 |
$17K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
3,434 |
2,543 |
$17K |
| 86738 |
|
1,557 |
1,306 |
$17K |
| C1776 |
Joint device (implantable) |
361 |
291 |
$17K |
| 87493 |
|
846 |
742 |
$17K |
| 83036 |
|
3,104 |
2,671 |
$16K |
| 82150 |
|
3,575 |
3,085 |
$16K |
| 36561 |
|
16 |
14 |
$15K |
| 93880 |
|
317 |
294 |
$15K |
| 96411 |
|
382 |
223 |
$15K |
| 76830 |
|
225 |
205 |
$15K |
| A9270 |
Non-covered item or service |
38,191 |
23,265 |
$15K |
| 86140 |
|
4,673 |
3,494 |
$14K |
| 76700 |
|
194 |
174 |
$14K |
| 87046 |
|
1,838 |
1,581 |
$13K |
| 96416 |
|
86 |
38 |
$13K |
| 31624 |
|
47 |
40 |
$12K |
| 36592 |
|
38,257 |
28,850 |
$12K |
| 88342 |
|
227 |
179 |
$12K |
| 73060 |
|
348 |
294 |
$11K |
| 99202 |
|
554 |
470 |
$11K |
| 72148 |
|
116 |
107 |
$11K |
| 62270 |
|
31 |
25 |
$11K |
| 76770 |
|
145 |
138 |
$11K |
| D2391 |
|
72 |
59 |
$10K |
| 85007 |
|
3,524 |
2,275 |
$10K |
| 84100 |
|
3,365 |
2,456 |
$9K |
| 82607 |
|
1,323 |
1,129 |
$9K |
| 82140 |
|
1,166 |
931 |
$9K |
| 82565 |
|
2,700 |
1,923 |
$9K |
| 87624 |
|
354 |
331 |
$9K |
| 41899 |
|
89 |
71 |
$9K |
| J3010 |
Fentanyl citrate injection |
19,084 |
15,332 |
$9K |
| 86481 |
|
308 |
258 |
$9K |
| 36573 |
|
26 |
25 |
$8K |
| 31628 |
|
16 |
13 |
$8K |
| 82010 |
|
1,514 |
1,236 |
$8K |
| 97166 |
|
360 |
284 |
$8K |
| 85044 |
|
2,894 |
1,478 |
$7K |
| 85651 |
|
2,712 |
2,208 |
$7K |
| 12002 |
|
87 |
77 |
$7K |
| 81003 |
|
4,418 |
3,733 |
$7K |
| 84439 |
|
1,233 |
1,056 |
$6K |
| 82728 |
|
977 |
840 |
$6K |
| U0003 |
Cov-19 amp prb hgh thruput |
138 |
112 |
$6K |
| 86308 |
|
1,584 |
1,378 |
$6K |
| 92523 |
|
94 |
80 |
$5K |
| 12011 |
|
58 |
51 |
$5K |
| 85049 |
|
1,998 |
1,710 |
$5K |
| 87389 |
|
357 |
296 |
$5K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
21,380 |
17,447 |
$5K |
| 93312 |
|
43 |
39 |
$5K |
| 83615 |
|
1,230 |
919 |
$4K |
| 83550 |
|
1,080 |
928 |
$4K |
| 87147 |
|
168 |
151 |
$4K |
| 85014 |
|
3,094 |
2,022 |
$4K |
| 87102 |
|
746 |
616 |
$4K |
| 84520 |
|
1,662 |
1,135 |
$4K |
| 85018 |
|
2,969 |
1,923 |
$4K |
| 87483 |
|
13 |
12 |
$4K |
| 73560 |
|
149 |
115 |
$4K |
| J0561 |
Penicillin g benzathine inj |
29 |
28 |
$4K |
| 32555 |
|
20 |
14 |
$4K |
| 97014 |
|
495 |
120 |
$4K |
| M0243 |
Casirivi and imdevi inj |
18 |
18 |
$4K |
| 94760 |
|
23,572 |
11,813 |
$4K |
| 51798 |
|
438 |
327 |
$4K |
| J1100 |
Dexamethasone sodium phos |
16,884 |
12,032 |
$4K |
| 83540 |
|
1,180 |
1,008 |
$4K |
| 84550 |
|
1,238 |
960 |
$3K |
| 88312 |
|
157 |
123 |
$3K |
| 84132 |
|
1,422 |
1,149 |
$3K |
| 80202 |
|
363 |
203 |
$3K |
| 76885 |
|
55 |
54 |
$3K |
| 97140 |
|
248 |
68 |
$3K |
| 93798 |
|
54 |
12 |
$3K |
| 80074 |
|
94 |
80 |
$3K |
| 78582 |
|
16 |
16 |
$2K |
| 97165 |
|
97 |
89 |
$2K |
| C1769 |
Guide wire |
4,001 |
3,370 |
$2K |
| 99204 |
|
51 |
41 |
$2K |
| 93296 |
|
385 |
370 |
$2K |
| 90686 |
|
230 |
178 |
$2K |
| 87184 |
|
344 |
296 |
$2K |
| 82306 |
|
134 |
117 |
$2K |
| 82570 |
|
662 |
547 |
$2K |
| 82746 |
|
202 |
186 |
$2K |
| 88142 |
|
149 |
135 |
$2K |
| U0005 |
Infec agen detec ampli probe |
138 |
112 |
$2K |
| D0350 |
|
115 |
105 |
$2K |
| 87635 |
|
50 |
45 |
$2K |
| 99203 |
|
41 |
39 |
$2K |
| 72050 |
|
33 |
27 |
$2K |
| J3480 |
Inj potassium chloride |
857 |
609 |
$2K |
| C1760 |
Closure dev, vasc |
829 |
691 |
$2K |
| 86769 |
|
54 |
50 |
$2K |
| C1894 |
Intro/sheath, non-laser |
3,262 |
2,739 |
$2K |
| 94761 |
|
6,353 |
3,891 |
$2K |
| 86592 |
|
698 |
571 |
$2K |
| 92610 |
|
133 |
106 |
$2K |
| 99215 |
Prolong outpt/office vis |
44 |
41 |
$2K |
| 49465 |
|
27 |
25 |
$2K |
| 87206 |
|
310 |
238 |
$1K |
| 10060 |
|
16 |
14 |
$1K |
| 74230 |
|
16 |
12 |
$1K |
| 84157 |
|
689 |
561 |
$1K |
| 87631 |
|
1,947 |
1,675 |
$1K |
| 87116 |
|
213 |
172 |
$1K |
| J1200 |
Diphenhydramine hcl injectio |
15,016 |
8,034 |
$1K |
| 89051 |
|
488 |
404 |
$1K |
| 70360 |
|
28 |
25 |
$1K |
| 87075 |
|
219 |
178 |
$1K |
| 87150 |
|
85 |
68 |
$1K |
| 87210 |
|
388 |
340 |
$1K |
| 86677 |
|
101 |
94 |
$1K |
| 77280 |
|
20 |
13 |
$1K |
| 72158 |
|
14 |
12 |
$1K |
| J1170 |
Hydromorphone injection |
21,022 |
11,912 |
$1K |
| 96368 |
|
2,346 |
1,775 |
$1K |
| 92611 |
|
15 |
13 |
$986.74 |
| J9190 |
Fluorouracil injection |
162 |
38 |
$973.16 |
| 96376 |
|
11,364 |
7,034 |
$964.38 |
| 84156 |
|
408 |
322 |
$908.12 |
| 29125 |
|
17 |
14 |
$895.36 |
| 82272 |
|
515 |
448 |
$894.81 |
| 84145 |
|
5,790 |
4,647 |
$890.98 |
| 71101 |
|
15 |
14 |
$851.17 |
| 82248 |
|
251 |
217 |
$842.08 |
| 72141 |
|
13 |
12 |
$836.02 |
| J9045 |
Carboplatin injection |
95 |
44 |
$779.88 |
| J2405 |
Ondansetron hcl injection |
36,609 |
26,487 |
$758.31 |
| 84450 |
|
228 |
182 |
$723.72 |
| 86706 |
|
110 |
99 |
$714.28 |
| J2785 |
Regadenoson injection |
3,146 |
2,775 |
$699.19 |
| 93225 |
|
41 |
28 |
$634.97 |
| J2930 |
Methylprednisolone injection |
4,951 |
3,193 |
$618.80 |
| J0696 |
Ceftriaxone sodium injection |
14,376 |
10,760 |
$592.84 |
| D0230 |
|
55 |
51 |
$585.84 |
| J2704 |
Inj, propofol, 10 mg |
15,956 |
12,258 |
$543.60 |
| J1885 |
Ketorolac tromethamine inj |
16,516 |
12,488 |
$492.15 |
| D1351 |
|
13 |
12 |
$480.21 |
| 88173 |
|
19 |
16 |
$477.72 |
| 82945 |
|
186 |
154 |
$476.90 |
| J1642 |
Inj heparin sodium per 10 u |
999 |
585 |
$476.70 |
| 93226 |
|
34 |
26 |
$411.94 |
| C1887 |
Catheter, guiding |
588 |
479 |
$363.77 |
| J0690 |
Cefazolin sodium injection |
12,129 |
6,928 |
$363.75 |
| J2250 |
Inj midazolam hydrochloride |
14,483 |
11,866 |
$344.54 |
| J2550 |
Promethazine hcl injection |
13,012 |
6,794 |
$341.45 |
| 82042 |
|
97 |
80 |
$318.51 |
| 87425 |
|
36 |
29 |
$302.74 |
| J3370 |
Vancomycin hcl injection |
7,812 |
3,955 |
$285.83 |
| 72020 |
|
14 |
12 |
$274.04 |
| J2919 |
Inj, methylpred sod succ 5mg |
468 |
324 |
$242.32 |
| J3475 |
Inj magnesium sulfate |
1,876 |
1,325 |
$240.09 |
| 87176 |
|
73 |
55 |
$211.44 |
| J0360 |
Hydralazine hcl injection |
3,012 |
2,223 |
$209.00 |
| J1940 |
Furosemide injection |
4,566 |
2,644 |
$199.99 |
| J2270 |
Morphine sulfate injection |
12,514 |
8,897 |
$197.69 |
| 93282 |
|
13 |
13 |
$196.63 |
| J1650 |
Inj enoxaparin sodium |
12,612 |
7,006 |
$191.38 |
| J0702 |
Betamethasone acet&sod phosp |
586 |
454 |
$186.99 |
| 89050 |
|
48 |
41 |
$166.36 |
| J1815 |
Insulin injection |
1,831 |
1,325 |
$152.75 |
| A9500 |
Tc99m sestamibi |
3,315 |
2,919 |
$150.38 |
| 90653 |
|
16 |
14 |
$148.86 |
| J1756 |
Iron sucrose injection |
149 |
76 |
$121.34 |
| J2060 |
Lorazepam injection |
3,835 |
2,933 |
$115.94 |
| J2175 |
Meperidine hydrochl /100 mg |
1,462 |
1,178 |
$115.27 |
| J2370 |
Phenylephrine hcl injection |
4,728 |
3,236 |
$104.82 |
| J2795 |
Ropivacaine hcl injection |
2,728 |
2,150 |
$97.08 |
| 90714 |
|
1,228 |
1,049 |
$95.43 |
| G0283 |
Elec stim other than wound |
94 |
26 |
$92.43 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
1,447 |
1,100 |
$84.67 |
| J0134 |
Inj acetaminophen -fresenius |
2,793 |
2,197 |
$83.62 |
| 84153 |
|
13 |
12 |
$80.58 |
| 87449 |
|
17 |
14 |
$78.91 |
| J0131 |
Inj, acetaminophen (nos) |
3,914 |
3,083 |
$60.66 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
977 |
696 |
$57.39 |
| J1644 |
Inj heparin sodium per 1000u |
4,379 |
2,697 |
$54.61 |
| C1751 |
Cath, inf, per/cent/midline |
238 |
212 |
$50.93 |
| 94660 |
|
931 |
493 |
$43.56 |
| J2765 |
Metoclopramide hcl injection |
3,290 |
2,405 |
$43.09 |
| A9577 |
Inj multihance |
452 |
395 |
$40.60 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
405 |
329 |
$37.32 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
413 |
268 |
$35.78 |
| J2360 |
Orphenadrine injection |
1,275 |
1,126 |
$31.07 |
| J0780 |
Prochlorperazine injection |
1,517 |
1,256 |
$30.84 |
| 74300 |
|
15 |
13 |
$28.09 |
| J2920 |
Methylprednisolone injection |
841 |
424 |
$27.02 |
| J0736 |
Inj, clindamycin phosp 300mg |
361 |
258 |
$26.80 |
| G0008 |
Admin influenza virus vac |
103 |
97 |
$22.41 |
| 94668 |
|
29 |
17 |
$20.84 |
| J1920 |
Inj, labetalol hcl, 5mg |
507 |
305 |
$19.64 |
| J0461 |
Atropine sulfate injection |
15 |
12 |
$19.20 |
| C9113 |
Inj pantoprazole sodium, via |
2,161 |
1,109 |
$18.00 |
| J0171 |
Adrenalin epinephrine inject |
38 |
35 |
$17.38 |
| J1953 |
Levetiracetam injection |
1,239 |
894 |
$13.92 |
| J1790 |
Droperidol injection |
382 |
312 |
$13.11 |
| J2272 |
Inj, morphine (fresenius) |
471 |
310 |
$12.68 |
| J2543 |
Piperacillin/tazobactam |
4,015 |
1,557 |
$11.73 |
| J0330 |
Succinycholine chloride inj |
216 |
186 |
$11.18 |
| J0612 |
Inj, calcium gluconate, nos |
201 |
150 |
$6.97 |
| J1836 |
Inj, metronidazole, 10 mg |
269 |
173 |
$6.58 |
| 90715 |
|
77 |
66 |
$5.85 |
| J2916 |
Na ferric gluconate complex |
18 |
12 |
$4.90 |
| J1956 |
Levofloxacin injection |
1,137 |
768 |
$4.31 |
| J1240 |
Dimenhydrinate injection |
279 |
219 |
$4.20 |
| J3420 |
Vitamin b12 injection |
33 |
25 |
$2.05 |
| J3411 |
Thiamine hcl 100 mg |
722 |
446 |
$1.30 |
| J2471 |
Inj pantoprazole(hikma) 40mg |
201 |
144 |
$1.24 |
| C1729 |
Cath, drainage |
13 |
12 |
$0.64 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
250 |
214 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
2,090 |
1,782 |
$0.00 |
| 88341 |
|
49 |
43 |
$0.00 |
| 36591 |
|
215 |
142 |
$0.00 |
| 77001 |
|
329 |
296 |
$0.00 |
| J0610 |
Calcium glucon (fresenius) |
91 |
63 |
$0.00 |
| J7999 |
Compounded drug, noc |
82 |
68 |
$0.00 |
| C9290 |
Inj, bupivacaine liposome |
145 |
119 |
$0.00 |
| J0456 |
Azithromycin |
177 |
116 |
$0.00 |
| 93320 |
|
43 |
39 |
$0.00 |
| Q0112 |
Potassium hydroxide preps |
19 |
12 |
$0.00 |
| 76377 |
|
162 |
133 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
75 |
66 |
$0.00 |
| 29826 |
|
14 |
12 |
$0.00 |
| G8980 |
Mobility d/c status |
35 |
30 |
$0.00 |
| A9540 |
Tc99m maa |
18 |
17 |
$0.00 |
| J0500 |
Dicyclomine injection |
21 |
14 |
$0.00 |
| J1630 |
Haloperidol injection |
16 |
12 |
$0.00 |
| A9567 |
Technetium tc-99m aerosol |
16 |
16 |
$0.00 |
| 88311 |
|
16 |
13 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
2,343 |
1,825 |
$0.00 |
| J3105 |
Terbutaline sulfate inj |
88 |
68 |
$0.00 |
| J0136 |
Inj, acetaminophen (b braun) |
58 |
50 |
$0.00 |
| G8979 |
Mobility goal status |
175 |
150 |
$0.00 |
| 93325 |
|
44 |
40 |
$0.00 |
| G8978 |
Mobility current status |
141 |
123 |
$0.00 |
| J0692 |
Cefepime hcl for injection |
349 |
158 |
$0.00 |
| J2274 |
Inj morphine pf epid ithc |
56 |
44 |
$0.00 |
| 94667 |
|
16 |
14 |
$0.00 |
| J1580 |
Garamycin gentamicin inj |
32 |
24 |
$0.00 |
| J0595 |
Butorphanol tartrate 1 mg |
190 |
142 |
$0.00 |
| J2300 |
Inj nalbuphine hydrochloride |
24 |
12 |
$0.00 |
| 51701 |
|
15 |
14 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
19 |
16 |
$0.00 |
| J3372 |
Inj, vancomycin hcl (xellia) |
82 |
52 |
$0.00 |
| C1874 |
Stent, coated/cov w/del sys |
14 |
12 |
$0.00 |
| 76937 |
|
17 |
13 |
$0.00 |
| 77387 |
|
762 |
82 |
$0.00 |
| J2720 |
Inj protamine sulfate/10 mg |
27 |
25 |
$0.00 |
| C1788 |
Port, indwelling, imp |
16 |
14 |
$0.00 |