| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
79,578 |
71,391 |
$25.25M |
| 99284 |
|
96,355 |
89,106 |
$20.37M |
| 74177 |
|
24,299 |
22,815 |
$13.98M |
| 99283 |
|
57,198 |
54,061 |
$10.47M |
| 47562 |
|
1,843 |
1,742 |
$6.20M |
| 74176 |
|
11,350 |
10,540 |
$4.10M |
| 70450 |
|
22,607 |
20,893 |
$2.07M |
| 99291 |
|
2,033 |
1,886 |
$1.97M |
| 99282 |
|
17,950 |
17,193 |
$1.94M |
| 71275 |
|
7,372 |
6,902 |
$1.91M |
| 70496 |
|
3,015 |
2,812 |
$1.87M |
| C1713 |
Anchor/screw bn/bn,tis/bn |
920 |
851 |
$1.40M |
| 72125 |
|
5,564 |
5,250 |
$1.35M |
| 58661 |
|
338 |
318 |
$1.06M |
| G0378 |
Hospital observation per hr |
47,461 |
23,098 |
$1.02M |
| 99213 |
|
9,843 |
8,627 |
$921K |
| 43239 |
|
2,202 |
2,069 |
$906K |
| 49083 |
|
3,985 |
1,753 |
$768K |
| 99214 |
|
4,914 |
4,212 |
$735K |
| 74174 |
|
1,040 |
981 |
$599K |
| 93306 |
|
5,758 |
5,279 |
$533K |
| 44970 |
|
124 |
119 |
$479K |
| 99212 |
|
6,003 |
4,911 |
$400K |
| 70551 |
|
2,304 |
2,109 |
$399K |
| 99203 |
|
4,369 |
4,294 |
$394K |
| 70491 |
|
1,206 |
1,139 |
$386K |
| 93458 |
|
264 |
243 |
$332K |
| 93970 |
|
2,129 |
1,997 |
$331K |
| P9047 |
Albumin (human), 25%, 50ml |
1,065 |
485 |
$312K |
| L8699 |
Prosthetic implant nos |
343 |
304 |
$283K |
| C1776 |
Joint device (implantable) |
179 |
153 |
$262K |
| 72131 |
|
685 |
645 |
$245K |
| 72193 |
|
579 |
552 |
$222K |
| 96365 |
|
24,714 |
22,226 |
$221K |
| 58558 |
|
148 |
146 |
$212K |
| 99204 |
|
1,315 |
1,272 |
$207K |
| 70487 |
|
701 |
666 |
$206K |
| 76819 |
|
4,679 |
3,849 |
$199K |
| 70486 |
|
2,605 |
2,509 |
$197K |
| 58571 |
|
28 |
27 |
$170K |
| 96366 |
|
6,994 |
5,441 |
$160K |
| C1769 |
Guide wire |
4,093 |
3,578 |
$157K |
| 93971 |
|
4,826 |
4,446 |
$151K |
| 43235 |
|
349 |
329 |
$132K |
| 71260 |
|
1,800 |
1,715 |
$130K |
| 50590 |
|
62 |
60 |
$108K |
| 93005 |
|
81,631 |
65,320 |
$105K |
| 59025 |
|
3,252 |
2,432 |
$101K |
| 70553 |
|
148 |
143 |
$98K |
| J1756 |
Iron sucrose injection |
1,996 |
1,166 |
$98K |
| 88341 |
|
1,116 |
710 |
$96K |
| 80053 |
|
141,167 |
115,009 |
$90K |
| 58670 |
|
26 |
26 |
$87K |
| 71250 |
|
1,065 |
987 |
$85K |
| 77012 |
|
330 |
277 |
$85K |
| 45380 |
|
221 |
193 |
$84K |
| 52332 |
|
46 |
42 |
$78K |
| 70498 |
|
3,037 |
2,838 |
$69K |
| 88307 |
|
1,762 |
1,343 |
$66K |
| J0716 |
Centruroides immune f(ab) |
16 |
14 |
$66K |
| 99215 |
Prolong outpt/office vis |
197 |
186 |
$60K |
| 10060 |
|
1,215 |
1,144 |
$57K |
| 88305 |
|
9,419 |
6,955 |
$48K |
| 76818 |
|
1,545 |
1,396 |
$47K |
| G0257 |
Unsched dialysis esrd pt hos |
2,810 |
1,583 |
$46K |
| 94060 |
|
156 |
153 |
$41K |
| 96374 |
|
75,173 |
67,731 |
$38K |
| 52356 |
|
12 |
12 |
$36K |
| 93976 |
|
7,019 |
6,594 |
$35K |
| 45378 |
|
126 |
121 |
$35K |
| 93798 |
|
675 |
103 |
$33K |
| 78452 |
|
30 |
26 |
$31K |
| 71045 |
|
46,996 |
42,765 |
$29K |
| 80320 |
|
11,504 |
10,766 |
$28K |
| 76705 |
|
10,190 |
9,543 |
$28K |
| 71046 |
|
25,440 |
23,673 |
$27K |
| 99281 |
|
522 |
499 |
$26K |
| 93975 |
|
221 |
200 |
$24K |
| 96361 |
|
16,674 |
14,716 |
$23K |
| 36561 |
|
13 |
12 |
$20K |
| 96376 |
|
28,395 |
16,788 |
$18K |
| 96375 |
|
64,862 |
52,401 |
$18K |
| 0450 |
|
363 |
314 |
$15K |
| 76801 |
|
8,047 |
7,289 |
$15K |
| 87636 |
|
13,632 |
12,881 |
$14K |
| 96372 |
|
29,860 |
21,901 |
$14K |
| 73700 |
|
71 |
66 |
$13K |
| 85025 |
|
158,332 |
130,082 |
$13K |
| C1781 |
Mesh (implantable) |
386 |
342 |
$12K |
| 76856 |
|
5,460 |
5,182 |
$12K |
| 76815 |
|
4,008 |
3,621 |
$12K |
| 76817 |
|
7,423 |
6,786 |
$11K |
| 87631 |
|
3,567 |
3,454 |
$11K |
| J3490 |
Drugs unclassified injection |
87,371 |
39,551 |
$10K |
| 88185 |
|
19 |
13 |
$10K |
| 72146 |
|
41 |
38 |
$8K |
| 12001 |
|
2,049 |
1,982 |
$8K |
| 80307 |
|
15,573 |
13,366 |
$8K |
| 84484 |
|
59,990 |
36,268 |
$8K |
| 72141 |
|
208 |
190 |
$8K |
| 80048 |
|
40,627 |
31,740 |
$7K |
| 36430 |
|
1,636 |
1,307 |
$7K |
| 73701 |
|
13 |
12 |
$7K |
| 96360 |
|
5,777 |
5,360 |
$7K |
| 73130 |
|
4,233 |
3,910 |
$7K |
| 73030 |
|
4,990 |
4,387 |
$6K |
| U0003 |
Cov-19 amp prb hgh thruput |
5,878 |
5,558 |
$6K |
| 73562 |
|
6,085 |
5,334 |
$6K |
| 72100 |
|
2,848 |
2,692 |
$5K |
| A9585 |
Gadobutrol injection |
862 |
812 |
$5K |
| J2405 |
Ondansetron hcl injection |
62,189 |
51,237 |
$5K |
| 87086 |
|
34,412 |
31,953 |
$5K |
| 83690 |
|
48,596 |
43,770 |
$5K |
| 73610 |
|
4,011 |
3,706 |
$4K |
| 82803 |
|
2,920 |
2,420 |
$4K |
| 81025 |
|
45,649 |
42,317 |
$4K |
| 72148 |
|
131 |
114 |
$4K |
| 73630 |
|
4,433 |
4,100 |
$4K |
| 76805 |
|
1,440 |
1,373 |
$4K |
| 72128 |
|
75 |
74 |
$4K |
| 76830 |
|
4,340 |
4,123 |
$4K |
| 82731 |
|
340 |
304 |
$3K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
40,839 |
37,728 |
$3K |
| 45385 |
|
13 |
12 |
$3K |
| 81001 |
|
61,925 |
56,604 |
$3K |
| J8540 |
Oral dexamethasone |
1,726 |
1,382 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
44,555 |
39,584 |
$3K |
| 80329 |
|
1,970 |
1,759 |
$3K |
| 87880 |
|
6,032 |
5,820 |
$3K |
| 76770 |
|
438 |
402 |
$3K |
| 87491 |
|
5,691 |
5,452 |
$3K |
| 94640 |
|
11,178 |
6,900 |
$3K |
| 82947 |
|
58,109 |
30,927 |
$2K |
| 73110 |
|
2,846 |
2,585 |
$2K |
| 12011 |
|
1,457 |
1,392 |
$2K |
| 83605 |
|
24,148 |
18,701 |
$2K |
| 88342 |
|
2,421 |
2,056 |
$2K |
| 87591 |
|
5,726 |
5,487 |
$2K |
| 83735 |
|
28,070 |
22,168 |
$2K |
| J2270 |
Morphine sulfate injection |
35,445 |
26,288 |
$2K |
| 84702 |
|
15,992 |
14,778 |
$2K |
| C1887 |
Catheter, guiding |
122 |
108 |
$2K |
| 73080 |
|
1,873 |
1,744 |
$2K |
| 83880 |
|
11,413 |
10,144 |
$2K |
| 74018 |
|
2,639 |
2,488 |
$2K |
| 87635 |
|
2,955 |
2,876 |
$2K |
| 84443 |
|
11,624 |
10,687 |
$2K |
| 87081 |
|
2,658 |
2,594 |
$2K |
| 87040 |
|
18,524 |
9,271 |
$2K |
| 82550 |
|
7,023 |
5,831 |
$1K |
| J1200 |
Diphenhydramine hcl injectio |
13,123 |
11,733 |
$1K |
| 76700 |
|
65 |
56 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
19,522 |
15,988 |
$1K |
| 73590 |
|
2,249 |
2,035 |
$1K |
| 86850 |
|
10,665 |
9,889 |
$1K |
| 87633 |
|
139 |
127 |
$1K |
| 73090 |
|
1,872 |
1,641 |
$1K |
| 76775 |
|
58 |
53 |
$1K |
| 73502 |
|
2,390 |
2,159 |
$1K |
| 87088 |
|
23,798 |
21,527 |
$1K |
| 97535 |
|
5,413 |
3,285 |
$1K |
| 76870 |
|
1,101 |
1,042 |
$1K |
| 81003 |
|
24,875 |
23,293 |
$988.33 |
| 71101 |
|
1,028 |
980 |
$971.70 |
| 87804 |
|
6,851 |
3,402 |
$955.36 |
| 82010 |
|
3,144 |
2,751 |
$945.91 |
| 73140 |
|
886 |
842 |
$934.60 |
| 87186 |
|
9,098 |
8,223 |
$918.65 |
| 85379 |
|
6,587 |
6,163 |
$904.61 |
| 86923 |
|
1,466 |
879 |
$887.68 |
| J0690 |
Cefazolin sodium injection |
9,394 |
7,533 |
$859.32 |
| J7030 |
Normal saline solution infus |
31,106 |
25,956 |
$833.16 |
| 87075 |
|
2,646 |
1,737 |
$824.78 |
| 84703 |
|
9,993 |
9,602 |
$808.48 |
| 72040 |
|
794 |
746 |
$804.38 |
| 90715 |
|
4,547 |
4,405 |
$780.73 |
| 12002 |
|
1,169 |
1,125 |
$779.30 |
| J8597 |
Antiemetic drug oral nos |
9,529 |
8,385 |
$749.13 |
| Q9957 |
Inj perflutren lip micros,ml |
861 |
799 |
$741.80 |
| 97161 |
|
4,244 |
3,740 |
$668.57 |
| 86901 |
|
14,617 |
13,492 |
$660.16 |
| 73060 |
|
458 |
391 |
$630.39 |
| 85027 |
|
25,168 |
19,180 |
$628.99 |
| 87210 |
|
8,613 |
8,036 |
$628.51 |
| 84100 |
|
4,066 |
3,352 |
$613.76 |
| C1729 |
Cath, drainage |
1,963 |
1,090 |
$600.82 |
| J8499 |
Oral prescrip drug non chemo |
101,823 |
38,455 |
$590.75 |
| J1100 |
Dexamethasone sodium phos |
17,236 |
15,909 |
$588.71 |
| 96367 |
|
3,308 |
3,005 |
$573.79 |
| M0243 |
Casirivi and imdevi inj |
237 |
232 |
$560.17 |
| 87077 |
|
10,985 |
9,489 |
$538.95 |
| 90471 |
|
4,763 |
4,587 |
$528.79 |
| 94729 |
|
150 |
148 |
$527.44 |
| 85610 |
|
27,351 |
22,995 |
$461.29 |
| 84145 |
|
4,166 |
3,795 |
$418.71 |
| 93017 |
|
36 |
29 |
$415.27 |
| 84439 |
|
2,355 |
2,183 |
$397.30 |
| G0480 |
Drug test def 1-7 classes |
1,018 |
923 |
$390.85 |
| G0463 |
Hospital outpt clinic visit |
15 |
12 |
$374.10 |
| 84156 |
|
3,563 |
2,726 |
$361.25 |
| 85730 |
|
13,121 |
11,665 |
$355.08 |
| 97530 |
|
4,996 |
2,894 |
$345.61 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
3,044 |
2,053 |
$344.66 |
| P9016 |
Rbc leukocytes reduced |
1,822 |
1,436 |
$342.15 |
| A9270 |
Non-covered item or service |
117,945 |
17,106 |
$327.66 |
| J1953 |
Levetiracetam injection |
1,143 |
829 |
$316.79 |
| 87651 |
|
1,558 |
1,540 |
$310.16 |
| J1815 |
Insulin injection |
16,801 |
7,342 |
$308.13 |
| J7120 |
Ringers lactate infusion |
14,564 |
12,463 |
$286.90 |
| J0500 |
Dicyclomine injection |
1,902 |
1,779 |
$281.97 |
| 85055 |
|
4,513 |
2,830 |
$281.07 |
| U0005 |
Infec agen detec ampli probe |
3,425 |
3,233 |
$277.88 |
| 86900 |
|
11,709 |
10,898 |
$271.37 |
| J3010 |
Fentanyl citrate injection |
28,487 |
23,998 |
$262.75 |
| J1650 |
Inj enoxaparin sodium |
6,878 |
3,613 |
$257.44 |
| 87661 |
|
1,136 |
1,090 |
$235.02 |
| 93880 |
|
43 |
39 |
$233.00 |
| 73552 |
|
299 |
272 |
$231.19 |
| J2704 |
Inj, propofol, 10 mg |
19,276 |
17,675 |
$231.04 |
| 85018 |
|
4,583 |
3,595 |
$230.10 |
| 85014 |
|
2,934 |
2,442 |
$216.04 |
| 84112 |
|
1,888 |
1,524 |
$209.54 |
| J2765 |
Metoclopramide hcl injection |
10,508 |
9,261 |
$204.30 |
| 97116 |
|
2,727 |
1,962 |
$203.54 |
| 29125 |
|
653 |
620 |
$202.28 |
| 72170 |
|
499 |
456 |
$200.87 |
| 94664 |
|
1,223 |
1,054 |
$199.26 |
| 86140 |
|
7,179 |
6,677 |
$194.15 |
| 80061 |
|
3,610 |
3,260 |
$190.88 |
| 88304 |
|
3,104 |
2,917 |
$169.98 |
| J0702 |
Betamethasone acet&sod phosp |
1,430 |
815 |
$169.81 |
| J2930 |
Methylprednisolone injection |
3,557 |
2,723 |
$160.21 |
| J2919 |
Inj, methylpred sod succ 5mg |
390 |
284 |
$151.30 |
| J3370 |
Vancomycin hcl injection |
3,809 |
2,341 |
$148.95 |
| J2060 |
Lorazepam injection |
6,092 |
5,025 |
$148.36 |
| 83036 |
|
4,505 |
4,143 |
$144.10 |
| J7512 |
Prednisone ir or dr oral 1mg |
4,849 |
4,082 |
$140.31 |
| J1170 |
Hydromorphone injection |
5,341 |
4,628 |
$137.26 |
| 72072 |
|
337 |
323 |
$129.03 |
| 86920 |
|
270 |
153 |
$126.55 |
| J2543 |
Piperacillin/tazobactam |
6,424 |
3,562 |
$117.34 |
| 82140 |
|
1,324 |
1,116 |
$115.37 |
| 87147 |
|
1,190 |
1,092 |
$107.05 |
| 96368 |
|
903 |
854 |
$104.26 |
| J2550 |
Promethazine hcl injection |
3,750 |
2,984 |
$99.04 |
| J0360 |
Hydralazine hcl injection |
4,779 |
3,427 |
$97.60 |
| 82330 |
|
913 |
718 |
$96.58 |
| 82565 |
|
6,057 |
5,412 |
$93.87 |
| 86635 |
|
1,045 |
539 |
$92.44 |
| 87070 |
|
4,891 |
3,006 |
$92.24 |
| J1644 |
Inj heparin sodium per 1000u |
6,874 |
3,279 |
$80.52 |
| 94760 |
|
1,612 |
1,166 |
$80.16 |
| J3475 |
Inj magnesium sulfate |
3,838 |
3,247 |
$79.46 |
| 94660 |
|
42 |
27 |
$72.68 |
| 84466 |
|
996 |
921 |
$72.62 |
| 51702 |
|
281 |
238 |
$72.35 |
| J1940 |
Furosemide injection |
4,603 |
2,748 |
$72.26 |
| J2250 |
Inj midazolam hydrochloride |
15,834 |
14,496 |
$70.59 |
| 82728 |
|
690 |
640 |
$69.39 |
| C9399 |
Unclassified drugs or biolog |
458 |
429 |
$63.97 |
| 89051 |
|
3,501 |
1,764 |
$63.74 |
| J7999 |
Compounded drug, noc |
3,065 |
2,819 |
$60.28 |
| J3480 |
Inj potassium chloride |
2,761 |
1,938 |
$58.86 |
| J1790 |
Droperidol injection |
1,688 |
1,554 |
$58.63 |
| 87807 |
|
798 |
768 |
$51.44 |
| J0456 |
Azithromycin |
1,690 |
1,166 |
$44.81 |
| 87205 |
|
5,207 |
3,258 |
$42.45 |
| J7040 |
Normal saline solution infus |
2,863 |
2,629 |
$40.59 |
| 83540 |
|
1,028 |
950 |
$38.60 |
| 84132 |
|
4,294 |
3,483 |
$37.21 |
| A9577 |
Inj multihance |
107 |
103 |
$36.80 |
| P9612 |
Catheterize for urine spec |
676 |
631 |
$36.00 |
| 90686 |
|
707 |
646 |
$33.69 |
| 84550 |
|
3,113 |
2,606 |
$28.70 |
| 85652 |
|
2,765 |
2,557 |
$27.71 |
| J2710 |
Neostigmine methylslfte inj |
3,397 |
3,081 |
$26.86 |
| 80051 |
|
496 |
439 |
$22.39 |
| C9113 |
Inj pantoprazole sodium, via |
5,383 |
3,430 |
$20.82 |
| 84520 |
|
2,848 |
2,431 |
$19.63 |
| J3371 |
Inj, vancomycin hcl (mylan) |
194 |
104 |
$18.90 |
| 82570 |
|
777 |
669 |
$18.01 |
| J3360 |
Diazepam injection |
245 |
214 |
$17.84 |
| 76857 |
|
69 |
67 |
$17.69 |
| 84460 |
|
2,413 |
2,033 |
$17.59 |
| 85046 |
|
582 |
545 |
$17.12 |
| J0780 |
Prochlorperazine injection |
2,457 |
2,306 |
$14.74 |
| J0330 |
Succinycholine chloride inj |
2,606 |
2,398 |
$10.56 |
| 84450 |
|
2,163 |
1,809 |
$10.37 |
| 85384 |
|
820 |
772 |
$8.95 |
| J1956 |
Levofloxacin injection |
1,999 |
1,390 |
$8.91 |
| 84300 |
|
119 |
106 |
$8.64 |
| 82270 |
|
593 |
539 |
$8.59 |
| 86706 |
|
38 |
37 |
$8.59 |
| J2175 |
Meperidine hydrochl /100 mg |
2,709 |
2,566 |
$8.23 |
| J7050 |
Normal saline solution infus |
66 |
46 |
$5.10 |
| J0692 |
Cefepime hcl for injection |
622 |
384 |
$5.04 |
| 85007 |
|
96 |
87 |
$4.88 |
| J2470 |
Inj pantoprazole sodium 40mg |
418 |
309 |
$3.87 |
| J1630 |
Haloperidol injection |
1,827 |
1,538 |
$3.28 |
| J1836 |
Inj, metronidazole, 10 mg |
326 |
189 |
$2.75 |
| 36415 |
|
34 |
31 |
$2.70 |
| J3105 |
Terbutaline sulfate inj |
1,105 |
986 |
$2.43 |
| S0028 |
Injection, famotidine, 20 mg |
1,654 |
1,504 |
$2.40 |
| J7510 |
Prednisolone oral per 5 mg |
419 |
406 |
$2.20 |
| J1920 |
Inj, labetalol hcl, 5mg |
370 |
237 |
$1.81 |
| J2001 |
Lidocaine injection |
3,649 |
3,273 |
$0.60 |
| Q0244 |
Casirivi and imdevi 1200 mg |
210 |
206 |
$0.01 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
121 |
110 |
$0.00 |
| J1580 |
Garamycin gentamicin inj |
416 |
347 |
$0.00 |
| 0042T |
|
408 |
388 |
$0.00 |
| C1758 |
Catheter, ureteral |
763 |
675 |
$0.00 |
| 85460 |
|
606 |
580 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
982 |
773 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
2,182 |
1,965 |
$0.00 |
| 88112 |
|
199 |
136 |
$0.00 |
| 87899 |
|
50 |
25 |
$0.00 |
| 29515 |
|
294 |
277 |
$0.00 |
| J0744 |
Ciprofloxacin iv |
1,785 |
1,115 |
$0.00 |
| 99152 |
|
82 |
70 |
$0.00 |
| 87254 |
|
17 |
13 |
$0.00 |
| J0694 |
Cefoxitin sodium injection |
210 |
156 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
442 |
384 |
$0.00 |
| J2310 |
Inj naloxone hydrochloride |
55 |
51 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
214 |
211 |
$0.00 |
| 82042 |
|
15 |
13 |
$0.00 |
| 88302 |
|
244 |
222 |
$0.00 |
| 80074 |
|
40 |
40 |
$0.00 |
| 97110 |
|
146 |
115 |
$0.00 |
| 80164 |
|
57 |
38 |
$0.00 |
| 92610 |
|
151 |
150 |
$0.00 |
| 73070 |
|
92 |
81 |
$0.00 |
| 62270 |
|
14 |
12 |
$0.00 |
| 36600 |
|
15 |
14 |
$0.00 |
| 84295 |
|
39 |
26 |
$0.00 |
| C1760 |
Closure dev, vasc |
13 |
12 |
$0.00 |
| J0736 |
Inj, clindamycin phosp 300mg |
82 |
68 |
$0.00 |
| 76376 |
|
97 |
95 |
$0.00 |
| 94726 |
|
139 |
137 |
$0.00 |
| 80076 |
|
12 |
12 |
$0.00 |
| 97163 |
|
12 |
12 |
$0.00 |
| 85049 |
|
42 |
40 |
$0.00 |
| 93041 |
|
206 |
201 |
$0.00 |
| 29505 |
|
14 |
12 |
$0.00 |
| 70360 |
|
25 |
25 |
$0.00 |
| 80202 |
|
12 |
12 |
$0.00 |
| 87324 |
|
84 |
78 |
$0.00 |
| C1788 |
Port, indwelling, imp |
13 |
12 |
$0.00 |
| 31500 |
|
34 |
30 |
$0.00 |
| 93356 |
|
13 |
13 |
$0.00 |
| 87102 |
|
46 |
42 |
$0.00 |
| 87045 |
|
29 |
27 |
$0.00 |
| 73100 |
|
43 |
40 |
$0.00 |
| C1874 |
Stent, coated/cov w/del sys |
16 |
12 |
$0.00 |
| J0688 |
Inj cefazolin sodium, hikma |
15 |
13 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
12 |
12 |
$0.00 |
| 88313 |
|
95 |
43 |
$0.00 |
| 87798 |
|
22 |
14 |
$0.00 |
| 85347 |
|
15 |
12 |
$0.00 |
| J2590 |
Oxytocin injection |
18 |
12 |
$0.00 |
| J0612 |
Inj, calcium gluconate, nos |
14 |
13 |
$0.00 |
| 97165 |
|
1,464 |
1,310 |
$0.00 |
| J0610 |
Calcium glucon (fresenius) |
163 |
131 |
$0.00 |
| 94762 |
|
590 |
428 |
$0.00 |
| G0008 |
Admin influenza virus vac |
630 |
579 |
$0.00 |
| C2617 |
Stent, non-cor, tem w/o del |
739 |
659 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
1,698 |
1,352 |
$0.00 |
| 74420 |
|
713 |
641 |
$0.00 |
| 97162 |
|
753 |
680 |
$0.00 |
| 73600 |
|
95 |
79 |
$0.00 |
| 82607 |
|
369 |
330 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
135 |
106 |
$0.00 |
| 82945 |
|
226 |
169 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
385 |
331 |
$0.00 |
| 99292 |
|
107 |
106 |
$0.00 |
| J2920 |
Methylprednisolone injection |
196 |
96 |
$0.00 |
| G0379 |
Direct refer hospital observ |
66 |
55 |
$0.00 |
| 87206 |
|
242 |
152 |
$0.00 |
| 73560 |
|
105 |
89 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
28 |
25 |
$0.00 |
| 87116 |
|
131 |
97 |
$0.00 |
| 87449 |
|
220 |
159 |
$0.00 |
| 84157 |
|
573 |
399 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
519 |
476 |
$0.00 |
| 87184 |
|
83 |
78 |
$0.00 |
| 83615 |
|
128 |
106 |
$0.00 |
| 86308 |
|
68 |
66 |
$0.00 |
| 87340 |
|
105 |
104 |
$0.00 |
| 87046 |
|
29 |
27 |
$0.00 |
| A9500 |
Tc99m sestamibi |
45 |
40 |
$0.00 |
| U0002 |
Covid-19 lab test non-cdc |
20 |
20 |
$0.00 |
| 90732 |
|
27 |
24 |
$0.00 |
| J3535 |
Metered dose inhaler drug |
20 |
18 |
$0.00 |
| 74022 |
|
14 |
12 |
$0.00 |
| 82746 |
|
65 |
64 |
$0.00 |
| 86592 |
|
43 |
37 |
$0.00 |
| J2785 |
Regadenoson injection |
17 |
13 |
$0.00 |
| 97166 |
|
25 |
24 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
31 |
27 |
$0.00 |
| 74021 |
|
46 |
40 |
$0.00 |
| 73120 |
|
37 |
36 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
326 |
312 |
$0.00 |
| Q5105 |
Inj retacrit esrd on dialysi |
22 |
16 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
34 |
25 |
$0.00 |
| 73620 |
|
30 |
24 |
$0.00 |
| 88184 |
|
18 |
13 |
$0.00 |
| 86870 |
|
35 |
27 |
$0.00 |
| 29130 |
|
27 |
27 |
$0.00 |
| J7042 |
5% dextrose/normal saline |
15 |
12 |
$0.00 |
| 80177 |
|
13 |
13 |
$0.00 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
12 |
12 |
$0.00 |
| 94644 |
|
12 |
12 |
$0.00 |
| 84478 |
|
17 |
12 |
$0.00 |