NPI: 1295785285 · WAYNE, MI 48184 · General Acute Care Hospital · NPI assigned 05/11/2006
Authorized official COX, MATTHEW controls 20+ related entities in our dataset. Read more
| Authorized Official | COX, MATTHEW (CHIEF FINANCIAL OFFICER) |
| NPI Enumeration Date | 05/11/2006 |
Other providers sharing the same authorized official: COX, MATTHEW
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 192,884 | $8.78M |
| 2019 | 186,181 | $8.43M |
| 2020 | 133,206 | $5.71M |
| 2021 | 171,933 | $7.99M |
| 2022 | 185,736 | $9.15M |
| 2023 | 179,961 | $8.91M |
| 2024 | 152,967 | $6.47M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99285 | Emergency department visit for the evaluation and management, high severity with immediate threat to life | 64,351 | 59,268 | $18.31M |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 122,827 | 109,581 | $7.07M |
| 99284 | Emergency department visit for the evaluation and management, high severity | 30,896 | 29,950 | $5.69M |
| 99283 | Emergency department visit for the evaluation and management, moderate severity | 20,880 | 20,372 | $2.81M |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 27,840 | 25,085 | $2.42M |
| 71046 | Radiologic examination, chest; 2 views | 22,497 | 21,874 | $1.09M |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 7,090 | 6,940 | $1.08M |
| G0378 | Hospital observation service, per hour | 5,498 | 4,932 | $884K |
| 70450 | Computed tomography, head or brain; without contrast material | 8,297 | 8,088 | $714K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 6,354 | 6,275 | $598K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 6,532 | 5,532 | $585K |
| 96361 | Intravenous infusion, hydration; each additional hour | 15,127 | 13,469 | $578K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 10,160 | 10,141 | $501K |
| 96375 | Therapeutic injection; each additional sequential IV push | 19,781 | 17,177 | $494K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 1,337 | 1,336 | $462K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 11,844 | 2,904 | $445K |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | 1,792 | 1,787 | $399K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 7,776 | 7,672 | $394K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | 3,203 | 3,155 | $357K |
| 76830 | Ultrasound, transvaginal | 5,685 | 5,622 | $345K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1,985 | 1,973 | $339K |
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | 3,665 | 3,532 | $337K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | 4,516 | 4,507 | $334K |
| 93975 | 2,638 | 2,600 | $303K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 28,982 | 28,683 | $291K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 20,039 | 16,878 | $274K |
| 19083 | 312 | 312 | $263K | |
| 90670 | 4,400 | 4,395 | $249K | |
| 82947 | 7,060 | 5,445 | $234K | |
| 90651 | 2,412 | 2,402 | $228K | |
| 76642 | 5,486 | 5,439 | $226K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 13,366 | 13,313 | $212K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 2,985 | 2,942 | $208K |
| 80061 | Lipid panel | 1,223 | 1,210 | $205K |
| 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 | 10,502 | 9,306 | $204K |
| 71275 | Computed tomographic angiography, chest, with contrast material | 2,276 | 2,252 | $201K |
| 76801 | 3,318 | 3,044 | $200K | |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | 2,121 | 2,118 | $199K |
| 72141 | 1,374 | 1,372 | $195K | |
| 78815 | Positron emission tomography (PET) for limited area imaging | 254 | 250 | $188K |
| 77066 | Tomosynthesis, mammo | 3,127 | 3,106 | $185K |
| U0003 | 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, making use of high throughput technologies as described by cms-2020-01-r | 4,106 | 4,056 | $181K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 249 | 244 | $159K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | 2,570 | 2,526 | $158K |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | 1,130 | 1,125 | $155K |
| 93458 | 90 | 90 | $138K | |
| 76770 | 2,116 | 2,096 | $133K | |
| 90686 | 9,205 | 9,185 | $130K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 217 | 217 | $125K |
| 71045 | Radiologic examination, chest; single view | 2,745 | 2,692 | $119K |
| 77065 | Tomosynthesis, mammo | 2,537 | 2,347 | $114K |
| 93971 | 2,317 | 2,289 | $111K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 432 | 428 | $110K |
| 96366 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour | 2,724 | 2,024 | $108K |
| 90732 | 1,100 | 1,096 | $104K | |
| 76536 | 1,932 | 1,920 | $96K | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | 1,733 | 1,677 | $95K |
| 59025 | Fetal non-stress test | 1,042 | 498 | $94K |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | 605 | 604 | $89K |
| 73630 | 4,709 | 4,420 | $78K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 188 | 188 | $78K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 950 | 936 | $77K |
| 87428 | 2,692 | 2,664 | $77K | |
| 74022 | 3,435 | 3,363 | $76K | |
| 72110 | 2,567 | 2,553 | $73K | |
| 73564 | 2,833 | 2,690 | $73K | |
| 93970 | 674 | 670 | $72K | |
| 72131 | 1,280 | 1,272 | $70K | |
| 90677 | 428 | 428 | $70K | |
| 70486 | 1,725 | 1,715 | $67K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 136 | 136 | $67K |
| 73610 | 3,247 | 3,091 | $64K | |
| 70551 | Magnetic resonance imaging, brain; without contrast material | 504 | 504 | $63K |
| 72125 | Computed tomography, cervical spine; without contrast material | 2,510 | 2,483 | $60K |
| 80048 | Basic metabolic panel (calcium, ionized) | 32,937 | 29,225 | $56K |
| 73221 | 368 | 367 | $55K | |
| 77063 | Screening digital breast tomosynthesis, bilateral | 4,122 | 4,121 | $54K |
| 97162 | 778 | 775 | $54K | |
| 73130 | 3,378 | 3,270 | $52K | |
| 99496 | 824 | 813 | $52K | |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | 309 | 198 | $52K |
| 73030 | 3,043 | 2,937 | $48K | |
| 10060 | 542 | 530 | $42K | |
| 71271 | 719 | 719 | $41K | |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 3,269 | 3,265 | $41K |
| 90716 | 1,169 | 1,168 | $41K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 19,684 | 18,513 | $40K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 83 | 83 | $38K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 2,770 | 922 | $37K |
| 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 | 2,390 | 2,366 | $36K |
| 90734 | 1,789 | 1,782 | $35K | |
| 74018 | 1,716 | 1,655 | $34K | |
| 99495 | 539 | 536 | $33K | |
| 20611 | 227 | 169 | $33K | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 10,218 | 9,786 | $30K |
| 73562 | 1,676 | 1,578 | $29K | |
| 71250 | 478 | 476 | $28K | |
| 97161 | 456 | 455 | $28K | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 3,658 | 3,604 | $27K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 3,654 | 3,599 | $27K |
| 73502 | 1,660 | 1,630 | $26K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 5,584 | 3,657 | $25K |
| 91322 | 193 | 190 | $25K | |
| 73110 | 1,553 | 1,503 | $24K | |
| 99406 | 1,537 | 1,522 | $23K | |
| 47562 | 12 | 12 | $22K | |
| 96367 | 695 | 538 | $21K | |
| 92587 | 266 | 266 | $20K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 275 | 275 | $19K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 266 | 266 | $18K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 261 | 254 | $18K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 253 | 252 | $18K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 618 | 610 | $17K |
| 36415 | Collection of venous blood by venipuncture | 14,001 | 11,927 | $17K |
| 76882 | 417 | 411 | $16K | |
| 72050 | 385 | 385 | $16K | |
| 90474 | 3,209 | 3,208 | $16K | |
| 77080 | 261 | 261 | $16K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 494 | 488 | $16K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 215 | 215 | $15K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 592 | 569 | $15K |
| 74183 | 72 | 72 | $15K | |
| 90671 | 270 | 270 | $14K | |
| 70491 | 117 | 116 | $13K | |
| 20610 | 108 | 102 | $13K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 182 | 182 | $13K |
| 93017 | 596 | 592 | $12K | |
| 86900 | 3,508 | 3,316 | $11K | |
| 83036 | Hemoglobin; glycosylated (A1C) | 3,254 | 3,217 | $11K |
| 73080 | 568 | 558 | $11K | |
| 90480 | 269 | 269 | $10K | |
| 72072 | 401 | 400 | $10K | |
| 0124A | 321 | 321 | $10K | |
| 81025 | 12,721 | 12,338 | $9K | |
| 72100 | 519 | 519 | $9K | |
| 90746 | 133 | 133 | $8K | |
| 73590 | 677 | 662 | $8K | |
| 71101 | 399 | 394 | $8K | |
| 0054A | 204 | 204 | $7K | |
| 70496 | 298 | 297 | $7K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 53,646 | 46,620 | $7K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 369 | 364 | $7K |
| 17110 | 126 | 115 | $7K | |
| 73090 | 567 | 556 | $7K | |
| 12001 | 766 | 764 | $7K | |
| 80053 | Comprehensive metabolic panel | 19,564 | 17,650 | $7K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 6,080 | 5,821 | $7K |
| 84443 | Thyroid stimulating hormone (TSH) | 4,245 | 4,175 | $6K |
| A9577 | Injection, gadobenate dimeglumine (multihance), per ml | 2,305 | 2,272 | $6K |
| C1769 | Guide wire | 1,305 | 1,276 | $6K |
| 72070 | 224 | 224 | $5K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 1,708 | 1,560 | $5K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3,115 | 3,098 | $4K |
| 72040 | 417 | 417 | $4K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 73 | 73 | $4K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 322 | 318 | $4K |
| 87631 | 1,608 | 1,598 | $4K | |
| 90682 | 70 | 70 | $4K | |
| 0004A | 103 | 103 | $4K | |
| 0071A | 88 | 88 | $3K | |
| 97166 | 74 | 74 | $3K | |
| 99385 | 47 | 47 | $3K | |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 151 | 151 | $3K |
| 20552 | 24 | 24 | $3K | |
| 81003 | 19,370 | 18,666 | $3K | |
| 76881 | 51 | 51 | $3K | |
| 0001A | 79 | 79 | $3K | |
| 90656 | 219 | 219 | $3K | |
| 94060 | 24 | 24 | $3K | |
| G0008 | Administration of influenza virus vaccine | 310 | 307 | $3K |
| 70498 | 210 | 209 | $3K | |
| 76870 | 337 | 333 | $3K | |
| 72197 | 12 | 12 | $3K | |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | 263 | 256 | $3K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 798 | 791 | $2K |
| 81002 | 1,630 | 1,550 | $2K | |
| 86580 | 351 | 331 | $2K | |
| 97014 | 302 | 120 | $2K | |
| 86850 | 3,176 | 3,000 | $2K | |
| 0052A | 58 | 58 | $2K | |
| 0051A | 57 | 57 | $2K | |
| 0072A | 51 | 51 | $2K | |
| 93880 | 39 | 39 | $2K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | 3,774 | 3,687 | $2K |
| 78226 | 12 | 12 | $2K | |
| 82607 | 304 | 298 | $2K | |
| 85027 | 2,786 | 2,205 | $2K | |
| 0002A | 47 | 46 | $2K | |
| 99382 | 27 | 27 | $2K | |
| 82270 | 53 | 51 | $2K | |
| 85610 | 12,985 | 12,155 | $2K | |
| 92250 | 94 | 93 | $1K | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 3,879 | 3,741 | $1K |
| 72170 | 25 | 25 | $1K | |
| 12011 | 156 | 156 | $1K | |
| 84702 | 4,471 | 4,086 | $1K | |
| G0009 | Administration of pneumococcal vaccine | 85 | 85 | $1K |
| 74019 | 151 | 149 | $1K | |
| 87480 | 169 | 169 | $1K | |
| 87660 | 170 | 170 | $1K | |
| 87510 | 169 | 169 | $1K | |
| 83735 | 19,131 | 16,864 | $1K | |
| 84439 | 509 | 499 | $1K | |
| 82728 | 199 | 190 | $989.89 | |
| 96127 | 294 | 290 | $988.62 | |
| 80305 | 5,121 | 4,812 | $974.64 | |
| 12002 | 77 | 77 | $939.96 | |
| 85018 | 962 | 921 | $891.08 | |
| 99384 | 13 | 13 | $842.51 | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 35 | 17 | $819.07 |
| 82746 | 116 | 114 | $818.73 | |
| 84484 | 16,065 | 12,520 | $802.85 | |
| 81001 | 14,736 | 14,094 | $790.84 | |
| 96417 | 19 | 12 | $779.71 | |
| 84466 | 198 | 196 | $764.60 | |
| 82565 | 3,299 | 2,863 | $756.06 | |
| G0297 | Low dose ct scan (ldct) for lung cancer screening | 16 | 16 | $724.58 |
| 86901 | 3,369 | 3,183 | $704.08 | |
| 73523 | 13 | 13 | $695.68 | |
| 90473 | 82 | 82 | $694.33 | |
| 29515 | 13 | 13 | $692.04 | |
| 83690 | 15,078 | 14,130 | $659.59 | |
| 83880 | 3,586 | 3,417 | $587.06 | |
| 95816 | 25 | 25 | $572.64 | |
| 85730 | 9,930 | 9,378 | $548.57 | |
| 86780 | 60 | 60 | $486.86 | |
| 73060 | 44 | 43 | $417.01 | |
| 83540 | 247 | 244 | $415.10 | |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | 43 | 43 | $394.59 |
| 80050 | General health panel | 15 | 15 | $375.70 |
| 82962 | 5,551 | 3,784 | $374.14 | |
| 92551 | 42 | 42 | $343.62 | |
| 87077 | 1,400 | 1,369 | $339.39 | |
| 87186 | 1,285 | 1,257 | $337.88 | |
| 82550 | 2,976 | 2,777 | $333.24 | |
| 73620 | 111 | 109 | $332.80 | |
| 73560 | 25 | 24 | $325.80 | |
| 80076 | 4,569 | 4,343 | $325.44 | |
| 82248 | 6,015 | 5,780 | $321.24 | |
| 82570 | 135 | 133 | $316.14 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 94 | 94 | $294.61 |
| 84520 | 2,566 | 2,328 | $293.31 | |
| 90688 | 22 | 21 | $291.86 | |
| G0475 | Hiv antigen/antibody, combination assay, screening | 26 | 26 | $289.74 |
| 90662 | 13 | 13 | $278.26 | |
| 84550 | 263 | 239 | $262.88 | |
| 88342 | 276 | 275 | $245.83 | |
| 80051 | 1,790 | 1,609 | $238.22 | |
| 87070 | 1,640 | 1,563 | $209.46 | |
| 82043 | 72 | 71 | $207.74 | |
| 84460 | 53 | 52 | $175.21 | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1,284 | 1,272 | $172.80 |
| 84450 | 53 | 52 | $170.98 | |
| 83605 | 5,374 | 4,873 | $165.55 | |
| 90744 | 16 | 16 | $156.86 | |
| 84100 | 2,354 | 2,048 | $149.28 | |
| 83615 | 160 | 136 | $144.68 | |
| 85379 | 3,342 | 3,300 | $141.49 | |
| 87807 | 48 | 48 | $131.84 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 86 | 84 | $116.93 |
| 87430 | 1,927 | 1,907 | $111.04 | |
| 84481 | 12 | 12 | $106.44 | |
| 92552 | 17 | 17 | $79.89 | |
| 86038 | 12 | 12 | $73.37 | |
| 90715 | 4,808 | 4,794 | $72.48 | |
| 85652 | 183 | 178 | $70.69 | |
| 87040 | 2,310 | 2,033 | $67.22 | |
| 90461 | 299 | 298 | $61.69 | |
| 88304 | 272 | 271 | $57.85 | |
| 84478 | 14 | 12 | $47.88 | |
| 73552 | 26 | 25 | $45.81 | |
| 82150 | 502 | 482 | $40.88 | |
| 87081 | 42 | 42 | $34.50 | |
| 88341 | 13 | 13 | $32.49 | |
| 86140 | 14 | 14 | $30.27 | |
| 84156 | 17 | 16 | $27.31 | |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 347 | 345 | $23.55 |
| 87420 | 481 | 478 | $20.28 | |
| 82140 | 141 | 132 | $20.25 | |
| 87205 | 925 | 862 | $19.03 | |
| 84295 | 851 | 755 | $18.16 | |
| 82435 | 843 | 751 | $17.71 | |
| 84132 | 981 | 871 | $17.53 | |
| 82247 | 84 | 82 | $16.80 | |
| 87400 | 1,318 | 1,290 | $16.48 | |
| 84703 | 179 | 176 | $15.73 | |
| 82374 | 843 | 751 | $15.26 | |
| 96376 | 5,583 | 3,548 | $15.26 | |
| 87075 | 171 | 154 | $12.40 | |
| 87210 | 1,065 | 1,046 | $11.64 | |
| 89051 | 32 | 30 | $10.75 | |
| 85046 | 17 | 13 | $10.39 | |
| J0665 | Injection, bupivicaine, not otherwise specified, 0.5 mg | 346 | 338 | $8.81 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 19,402 | 17,761 | $7.48 |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | 2,379 | 2,078 | $6.67 |
| 82010 | 474 | 427 | $6.23 | |
| 87147 | 30 | 28 | $3.95 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | 16,694 | 14,594 | $2.51 |
| J2060 | Injection, lorazepam, 2 mg | 4,136 | 2,948 | $2.15 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | 9,590 | 7,997 | $1.17 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | 6,540 | 6,244 | $0.82 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 7,348 | 6,984 | $0.77 |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | 4,924 | 4,452 | $0.60 |
| J1644 | Injection, heparin sodium, per 1000 units | 4,479 | 2,075 | $0.37 |
| 36416 | 438 | 434 | $0.20 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 4,724 | 3,904 | $0.08 |
| J2270 | Injection, morphine sulfate, up to 10 mg | 4,559 | 3,400 | $0.05 |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | 1,178 | 1,128 | $0.04 |
| 90680 | 3,219 | 3,216 | $0.02 | |
| J1596 | Injection, glycopyrrolate, 0.1 mg | 367 | 361 | $0.00 |
| J0780 | Injection, prochlorperazine, up to 10 mg | 904 | 864 | $0.00 |
| J1756 | Injection, iron sucrose, 1 mg | 1,298 | 595 | $0.00 |
| J3475 | Injection, magnesium sulfate, per 500 mg | 1,494 | 1,341 | $0.00 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 1,377 | 1,369 | $0.00 |
| J7120 | Ringers lactate infusion, up to 1000 cc | 364 | 347 | $0.00 |
| 90633 | 2,815 | 2,807 | $0.00 | |
| 91312 | 361 | 361 | $0.00 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 173 | 167 | $0.00 |
| 90707 | 1,191 | 1,188 | $0.00 | |
| 80143 | 179 | 170 | $0.00 | |
| J1171 | Injection, hydromorphone, 0.1 mg | 40 | 36 | $0.00 |
| 91300 | 237 | 235 | $0.00 | |
| J3370 | Injection, vancomycin hcl, 500 mg | 604 | 362 | $0.00 |
| 90700 | 802 | 802 | $0.00 | |
| J2919 | Injection, methylprednisolone sodium succinate, 5 mg | 230 | 189 | $0.00 |
| C1894 | Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser | 391 | 389 | $0.00 |
| C9113 | Injection, pantoprazole sodium, per vial | 305 | 219 | $0.00 |
| J2004 | Injection, lidocaine hcl with epinephrine, 1 mg | 18 | 18 | $0.00 |
| 76942 | 212 | 201 | $0.00 | |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 109 | 108 | $0.00 |
| J2710 | Injection, neostigmine methylsulfate, up to 0.5 mg | 358 | 353 | $0.00 |
| 99173 | 341 | 337 | $0.00 | |
| J1650 | Injection, enoxaparin sodium, 10 mg | 132 | 72 | $0.00 |
| 80179 | 174 | 169 | $0.00 | |
| J1956 | Injection, levofloxacin, 250 mg | 13 | 13 | $0.00 |
| 90710 | 55 | 55 | $0.00 | |
| 80164 | 189 | 165 | $0.00 | |
| C1713 | Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) | 25 | 24 | $0.00 |
| J7040 | Infusion, normal saline solution, sterile (500 ml = 1 unit) | 136 | 130 | $0.00 |
| J0295 | Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm | 37 | 14 | $0.00 |
| J2272 | Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg | 67 | 51 | $0.00 |
| J7030 | Infusion, normal saline solution , 1000 cc | 1,016 | 883 | $0.00 |
| C1887 | Catheter, guiding (may include infusion/perfusion capability) | 13 | 13 | $0.00 |
| 91321 | 27 | 27 | $0.00 | |
| 36600 | 18 | 18 | $0.00 | |
| 90648 | 44 | 44 | $0.00 | |
| J2765 | Injection, metoclopramide hcl, up to 10 mg | 5,075 | 4,796 | $0.00 |
| A4648 | Tissue marker, implantable, any type, each | 509 | 506 | $0.00 |
| J1170 | Injection, hydromorphone, up to 4 mg | 3,064 | 2,242 | $0.00 |
| J3490 | Unclassified drugs | 518 | 486 | $0.00 |
| 86308 | 78 | 78 | $0.00 | |
| J2704 | Injection, propofol, 10 mg | 7,432 | 6,889 | $0.00 |
| 90723 | 3,244 | 3,243 | $0.00 | |
| J2360 | Injection, orphenadrine citrate, up to 60 mg | 1,382 | 1,355 | $0.00 |
| 82077 | 461 | 411 | $0.00 | |
| 90647 | 3,058 | 3,057 | $0.00 | |
| 94760 | 954 | 709 | $0.00 | |
| 97010 | 773 | 308 | $0.00 | |
| J2785 | Injection, regadenoson, 0.1 mg | 274 | 273 | $0.00 |
| J0330 | Injection, succinylcholine chloride, up to 20 mg | 152 | 151 | $0.00 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 981 | 805 | $0.00 |
| 90632 | 405 | 405 | $0.00 | |
| J0690 | Injection, cefazolin sodium, 500 mg | 2,756 | 2,564 | $0.00 |
| J2370 | Injection, phenylephrine hcl, up to 1 ml | 528 | 512 | $0.00 |
| 90696 | 913 | 911 | $0.00 | |
| J0360 | Injection, hydralazine hcl, up to 20 mg | 106 | 91 | $0.00 |
| J1630 | Injection, haloperidol, up to 5 mg | 2,392 | 1,891 | $0.00 |
| J2470 | Injection, pantoprazole sodium, 40 mg | 16 | 13 | $0.00 |
| 91305 | 318 | 304 | $0.00 | |
| J2795 | Injection, ropivacaine hydrochloride, 1 mg | 963 | 824 | $0.00 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 298 | 281 | $0.00 |
| C1889 | Implantable/insertable device, not otherwise classified | 76 | 76 | $0.00 |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 79 | 28 | $0.00 |
| J7050 | Infusion, normal saline solution, 250 cc | 543 | 336 | $0.00 |
| 91307 | 185 | 175 | $0.00 | |
| 84134 | 14 | 12 | $0.00 | |
| J0500 | Injection, dicyclomine hcl, up to 20 mg | 29 | 27 | $0.00 |
| J2371 | Injection, phenylephrine hydrochloride, 20 micrograms | 241 | 212 | $0.00 |
| J1920 | Injection, labetalol hydrochloride, 5 mg | 13 | 13 | $0.00 |
| A9573 | Injection, gadopiclenol, 1 ml | 226 | 224 | $0.00 |
| J3360 | Injection, diazepam, up to 5 mg | 17 | 16 | $0.00 |
| A9270 | Non-covered item or service | 66 | 12 | $0.00 |
| J7999 | Compounded drug, not otherwise classified | 13 | 12 | $0.00 |
| J1010 | Injection, methylprednisolone acetate, 1 mg | 107 | 103 | $0.00 |
| J2003 | Injection, lidocaine hydrochloride, 1 mg | 273 | 252 | $0.00 |
| J1642 | Injection, heparin sodium, (heparin lock flush), per 10 units | 58 | 46 | $0.00 |
| 96368 | 17 | 13 | $0.00 | |
| J3480 | Injection, potassium chloride, per 2 meq | 33 | 26 | $0.00 |