| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
|
66,087 |
58,993 |
$10.11M |
| 99212 |
|
63,254 |
53,713 |
$10.08M |
| G0463 |
Hospital outpt clinic visit |
89,545 |
69,205 |
$10.06M |
| 96361 |
|
7,624 |
5,708 |
$2.67M |
| 99284 |
|
19,934 |
18,021 |
$2.33M |
| 99283 |
|
15,441 |
14,310 |
$2.09M |
| 96365 |
|
13,126 |
8,584 |
$1.88M |
| U0003 |
Cov-19 amp prb hgh thruput |
23,634 |
21,796 |
$1.86M |
| 99285 |
|
18,210 |
16,166 |
$1.65M |
| 99214 |
|
11,430 |
10,683 |
$1.61M |
| 74177 |
|
6,456 |
6,166 |
$1.38M |
| 99211 |
|
9,379 |
6,481 |
$1.32M |
| 96366 |
|
4,364 |
3,021 |
$1.22M |
| 70450 |
|
5,795 |
5,441 |
$906K |
| 92507 |
|
18,996 |
7,034 |
$832K |
| 59025 |
|
3,716 |
1,857 |
$789K |
| 93306 |
|
2,629 |
2,590 |
$741K |
| 97110 |
|
34,789 |
15,450 |
$674K |
| 99282 |
|
4,322 |
3,867 |
$522K |
| 20610 |
|
2,727 |
1,977 |
$465K |
| 74176 |
|
2,264 |
2,178 |
$455K |
| 80053 |
|
69,563 |
58,456 |
$449K |
| 80307 |
|
11,456 |
9,951 |
$446K |
| 76705 |
|
3,675 |
3,551 |
$420K |
| 71275 |
|
2,188 |
2,114 |
$410K |
| G0382 |
Lev 3 hosp type b ed visit |
2,353 |
2,246 |
$399K |
| 43239 |
|
824 |
811 |
$392K |
| 70553 |
|
1,261 |
1,243 |
$383K |
| 96127 |
|
3,722 |
3,111 |
$373K |
| C9803 |
Hopd covid-19 spec collect |
8,218 |
7,632 |
$346K |
| 45385 |
|
562 |
552 |
$316K |
| 76830 |
|
2,628 |
2,564 |
$306K |
| 96413 |
|
3,066 |
1,913 |
$285K |
| 96360 |
|
2,397 |
1,845 |
$268K |
| G0383 |
Lev 4 hosp type b ed visit |
1,524 |
1,477 |
$260K |
| 87635 |
|
3,241 |
2,979 |
$239K |
| 97140 |
|
15,018 |
7,533 |
$237K |
| 36415 |
|
102,076 |
83,522 |
$231K |
| 84443 |
|
24,792 |
23,692 |
$199K |
| 97530 |
|
8,303 |
4,679 |
$198K |
| 93971 |
|
1,652 |
1,573 |
$180K |
| 43235 |
|
369 |
366 |
$180K |
| 90471 |
|
15,569 |
15,275 |
$174K |
| 76805 |
|
1,780 |
1,736 |
$173K |
| 70551 |
|
834 |
816 |
$172K |
| 76817 |
|
2,606 |
2,264 |
$172K |
| 76856 |
|
2,658 |
2,591 |
$162K |
| 71046 |
|
10,999 |
10,413 |
$161K |
| 72148 |
|
1,046 |
1,029 |
$160K |
| 87591 |
|
7,478 |
7,233 |
$156K |
| 97162 |
|
3,502 |
3,430 |
$147K |
| 78452 |
|
323 |
315 |
$147K |
| 76816 |
|
1,666 |
1,524 |
$146K |
| 77067 |
|
2,294 |
2,277 |
$140K |
| 76642 |
|
1,299 |
1,206 |
$137K |
| 97161 |
|
2,918 |
2,849 |
$134K |
| 85025 |
|
66,141 |
53,581 |
$133K |
| 80061 |
|
13,359 |
13,082 |
$125K |
| 17110 |
|
287 |
258 |
$124K |
| 76700 |
|
906 |
899 |
$120K |
| 45378 |
|
148 |
144 |
$117K |
| G0384 |
Lev 5 hosp type b ed visit |
677 |
656 |
$115K |
| 93017 |
|
991 |
952 |
$114K |
| 76536 |
|
994 |
970 |
$113K |
| 80048 |
|
15,447 |
13,707 |
$112K |
| 10060 |
|
393 |
375 |
$107K |
| 12001 |
|
377 |
372 |
$105K |
| 76770 |
|
776 |
741 |
$105K |
| 83036 |
|
15,203 |
14,925 |
$102K |
| G0380 |
Lev 1 hosp type b ed visit |
652 |
621 |
$102K |
| G0378 |
Hospital observation per hr |
2,111 |
1,937 |
$100K |
| 97112 |
|
4,959 |
2,909 |
$96K |
| 84484 |
|
16,919 |
11,821 |
$94K |
| 11042 |
|
521 |
269 |
$91K |
| 90651 |
|
1,307 |
1,299 |
$89K |
| 71250 |
|
1,316 |
1,280 |
$86K |
| 70498 |
|
602 |
577 |
$86K |
| 99281 |
|
553 |
517 |
$84K |
| 73721 |
|
376 |
362 |
$80K |
| 95810 |
|
128 |
128 |
$79K |
| 76801 |
|
1,101 |
965 |
$76K |
| 88175 |
|
4,006 |
3,954 |
$75K |
| 96367 |
|
2,391 |
1,789 |
$72K |
| 97597 |
|
778 |
373 |
$71K |
| 85027 |
|
14,832 |
13,665 |
$70K |
| 45380 |
|
174 |
173 |
$68K |
| 73630 |
|
4,932 |
4,290 |
$68K |
| 76815 |
|
974 |
720 |
$66K |
| 73030 |
|
3,812 |
3,481 |
$65K |
| 71260 |
|
1,913 |
1,879 |
$65K |
| 73110 |
|
4,141 |
3,175 |
$64K |
| 84439 |
|
6,884 |
6,640 |
$62K |
| 87040 |
|
7,211 |
4,279 |
$61K |
| 73610 |
|
4,128 |
3,555 |
$59K |
| 87631 |
|
726 |
707 |
$59K |
| 90715 |
|
2,858 |
2,825 |
$57K |
| 94060 |
|
1,247 |
1,221 |
$57K |
| 90686 |
|
5,013 |
4,961 |
$57K |
| G0480 |
Drug test def 1-7 classes |
4,662 |
4,185 |
$55K |
| 73130 |
|
3,402 |
2,908 |
$55K |
| 87624 |
|
2,962 |
2,918 |
$54K |
| 93246 |
|
784 |
767 |
$53K |
| 95806 |
|
96 |
96 |
$52K |
| 87491 |
|
7,517 |
7,271 |
$52K |
| 86803 |
|
6,630 |
6,463 |
$51K |
| 73562 |
|
2,938 |
2,700 |
$50K |
| 72110 |
|
1,432 |
1,398 |
$50K |
| 96415 |
|
227 |
189 |
$48K |
| J0585 |
Injection,onabotulinumtoxina |
206 |
147 |
$48K |
| 96372 |
|
10,807 |
8,114 |
$47K |
| 87637 |
|
6,917 |
6,533 |
$46K |
| 73564 |
|
2,462 |
2,226 |
$45K |
| 73502 |
|
2,358 |
2,257 |
$45K |
| 82607 |
|
4,042 |
3,971 |
$44K |
| 87086 |
|
12,782 |
11,726 |
$41K |
| 87502 |
|
2,109 |
2,054 |
$41K |
| 70496 |
|
622 |
596 |
$38K |
| 82306 |
|
3,141 |
3,091 |
$38K |
| 83605 |
|
8,139 |
6,875 |
$38K |
| 90472 |
|
7,939 |
7,823 |
$36K |
| 87389 |
|
5,469 |
5,345 |
$36K |
| 72100 |
|
1,637 |
1,605 |
$35K |
| 84702 |
|
3,969 |
3,064 |
$34K |
| 93005 |
|
25,419 |
20,779 |
$33K |
| 82728 |
|
4,176 |
4,027 |
$33K |
| 72125 |
|
2,185 |
2,098 |
$33K |
| 86140 |
|
9,383 |
8,506 |
$33K |
| 29075 |
|
113 |
96 |
$31K |
| 72141 |
|
147 |
146 |
$31K |
| 96523 |
|
606 |
535 |
$30K |
| 94640 |
|
3,907 |
2,925 |
$30K |
| 90714 |
|
1,234 |
1,220 |
$28K |
| 83880 |
|
4,672 |
4,199 |
$26K |
| 88305 |
|
5,167 |
4,956 |
$26K |
| 74018 |
|
1,503 |
1,421 |
$25K |
| 87522 |
Neg quan hep c or qual rna |
1,188 |
1,151 |
$25K |
| 94729 |
|
1,197 |
1,172 |
$25K |
| 97750 |
|
1,346 |
1,287 |
$24K |
| 76870 |
|
183 |
177 |
$24K |
| 94726 |
|
1,038 |
1,018 |
$24K |
| 36591 |
|
3,721 |
2,200 |
$23K |
| 92523 |
|
187 |
183 |
$23K |
| 76882 |
|
280 |
244 |
$23K |
| 97113 |
|
784 |
357 |
$22K |
| 90670 |
|
3,336 |
3,299 |
$22K |
| 85379 |
|
3,394 |
3,245 |
$22K |
| 99215 |
Prolong outpt/office vis |
176 |
170 |
$22K |
| 12011 |
|
64 |
64 |
$21K |
| 87070 |
|
7,598 |
7,223 |
$21K |
| 78815 |
|
29 |
29 |
$21K |
| 77063 |
|
2,291 |
2,274 |
$20K |
| 73080 |
|
1,492 |
1,292 |
$20K |
| 29125 |
|
63 |
61 |
$19K |
| 83550 |
|
3,812 |
3,691 |
$18K |
| 97116 |
|
1,336 |
888 |
$18K |
| 70486 |
|
343 |
332 |
$18K |
| 82105 |
|
1,253 |
1,233 |
$18K |
| 82570 |
|
3,859 |
3,507 |
$18K |
| 71045 |
|
12,072 |
10,631 |
$17K |
| 73140 |
|
1,495 |
1,356 |
$17K |
| 94664 |
|
943 |
923 |
$17K |
| 84403 |
|
1,392 |
1,314 |
$16K |
| 86592 |
|
3,327 |
3,257 |
$16K |
| 72050 |
|
440 |
431 |
$15K |
| 84481 |
|
1,303 |
1,270 |
$15K |
| 77066 |
Tomosynthesis, mammo |
435 |
430 |
$15K |
| 85652 |
|
7,292 |
6,764 |
$15K |
| 96374 |
|
12,932 |
10,947 |
$14K |
| 87340 |
|
3,155 |
3,098 |
$14K |
| 11721 |
|
638 |
631 |
$14K |
| 83540 |
|
4,051 |
3,914 |
$14K |
| 83735 |
|
7,647 |
5,889 |
$14K |
| 82677 |
|
529 |
521 |
$14K |
| 95813 |
|
38 |
37 |
$14K |
| 95886 |
|
1,012 |
993 |
$13K |
| 84153 |
|
1,596 |
1,540 |
$13K |
| G0381 |
Lev 2 hosp type b ed visit |
148 |
145 |
$12K |
| C8929 |
Tte w or wo fol wcon,doppler |
103 |
100 |
$12K |
| 87077 |
|
9,197 |
8,722 |
$12K |
| 82746 |
|
1,775 |
1,740 |
$12K |
| 74174 |
|
41 |
39 |
$11K |
| 99177 |
|
51 |
51 |
$11K |
| 81001 |
|
20,654 |
18,465 |
$11K |
| 82784 |
|
1,107 |
1,067 |
$11K |
| 0071A |
|
275 |
275 |
$11K |
| 73590 |
|
982 |
835 |
$11K |
| 93970 |
|
93 |
88 |
$11K |
| 90677 |
|
684 |
670 |
$11K |
| 86900 |
|
3,487 |
3,243 |
$11K |
| 73090 |
|
693 |
545 |
$10K |
| 97533 |
|
347 |
143 |
$10K |
| 0072A |
|
248 |
248 |
$10K |
| 64615 |
|
38 |
38 |
$10K |
| 86762 |
|
1,642 |
1,617 |
$10K |
| 83690 |
|
13,054 |
11,640 |
$9K |
| 80076 |
|
1,404 |
1,309 |
$9K |
| 98929 |
|
349 |
317 |
$9K |
| 87186 |
|
5,883 |
5,574 |
$9K |
| 99001 |
|
552 |
534 |
$9K |
| 85610 |
|
11,168 |
9,011 |
$9K |
| 80178 |
|
643 |
581 |
$8K |
| 72040 |
|
346 |
342 |
$8K |
| 77065 |
Tomosynthesis, mammo |
207 |
197 |
$8K |
| J7324 |
Orthovisc inj per dose |
75 |
36 |
$8K |
| 86038 |
|
1,470 |
1,449 |
$8K |
| 93296 |
|
487 |
479 |
$8K |
| 99291 |
|
329 |
310 |
$8K |
| G0279 |
Tomosynthesis, mammo |
1,298 |
1,285 |
$8K |
| 83001 |
|
520 |
508 |
$8K |
| 97163 |
|
155 |
154 |
$8K |
| 86850 |
|
3,252 |
3,052 |
$7K |
| 90647 |
|
432 |
427 |
$7K |
| Q3014 |
Telehealth facility fee |
809 |
751 |
$7K |
| 96368 |
|
697 |
555 |
$7K |
| 82043 |
|
2,190 |
2,148 |
$7K |
| 80305 |
|
3,098 |
2,587 |
$7K |
| 0296T |
|
446 |
438 |
$7K |
| 70491 |
|
37 |
37 |
$7K |
| 69209 |
|
393 |
374 |
$6K |
| 84146 |
|
382 |
366 |
$6K |
| 58300 |
|
37 |
37 |
$6K |
| 90734 |
|
785 |
779 |
$6K |
| 81003 |
|
10,986 |
10,166 |
$6K |
| 36430 |
|
82 |
63 |
$6K |
| 97535 |
|
391 |
257 |
$6K |
| 97165 |
|
137 |
137 |
$6K |
| 82565 |
|
1,130 |
1,064 |
$5K |
| 97166 |
|
143 |
137 |
$5K |
| 84156 |
|
1,392 |
1,149 |
$5K |
| 87205 |
|
4,601 |
4,227 |
$5K |
| 86901 |
|
3,489 |
3,243 |
$5K |
| 0002A |
|
126 |
124 |
$5K |
| 82274 |
|
703 |
699 |
$5K |
| J3490 |
Drugs unclassified injection |
663 |
615 |
$5K |
| 72072 |
|
269 |
262 |
$5K |
| 0004A |
|
117 |
117 |
$5K |
| 97035 |
|
655 |
404 |
$5K |
| 0001A |
|
110 |
110 |
$4K |
| D0120 |
|
30 |
28 |
$4K |
| 71271 |
|
40 |
39 |
$4K |
| 90707 |
|
999 |
983 |
$4K |
| 84703 |
|
5,183 |
4,851 |
$4K |
| 81025 |
|
7,554 |
7,188 |
$4K |
| 74019 |
|
175 |
166 |
$4K |
| 84550 |
|
1,440 |
1,344 |
$4K |
| 87210 |
|
2,165 |
2,064 |
$3K |
| 83970 |
|
134 |
126 |
$3K |
| 83516 |
|
659 |
474 |
$3K |
| 84100 |
|
1,532 |
1,177 |
$3K |
| 86704 |
|
593 |
576 |
$3K |
| 84402 |
|
216 |
208 |
$3K |
| 51798 |
|
1,211 |
1,109 |
$3K |
| 96375 |
|
12,766 |
10,006 |
$3K |
| 87798 |
|
180 |
174 |
$3K |
| 82550 |
|
1,647 |
1,457 |
$3K |
| 86706 |
|
546 |
532 |
$3K |
| 90732 |
|
201 |
199 |
$3K |
| 90480 |
|
101 |
100 |
$2K |
| 86336 |
|
497 |
490 |
$2K |
| 86593 |
|
401 |
391 |
$2K |
| 85018 |
|
3,753 |
3,435 |
$2K |
| 94770 |
|
12 |
12 |
$2K |
| 87147 |
|
1,147 |
1,120 |
$2K |
| 72131 |
|
53 |
53 |
$2K |
| 77336 |
|
28 |
13 |
$2K |
| G0297 |
Ldct for lung ca screen |
16 |
16 |
$2K |
| 87880 |
|
5,941 |
5,732 |
$2K |
| 86364 |
|
353 |
350 |
$2K |
| 90688 |
|
714 |
708 |
$2K |
| 86431 |
|
366 |
361 |
$2K |
| 90460 |
|
29 |
29 |
$2K |
| 77080 |
|
13 |
13 |
$1K |
| 82950 |
|
284 |
281 |
$1K |
| 0297T |
|
57 |
57 |
$1K |
| 86430 |
|
286 |
282 |
$1K |
| 74022 |
|
76 |
75 |
$1K |
| 85730 |
|
3,095 |
2,768 |
$1K |
| 85014 |
|
695 |
526 |
$1K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
12,296 |
11,517 |
$1K |
| 71101 |
|
94 |
92 |
$1K |
| 86376 |
|
76 |
75 |
$1K |
| 82803 |
|
2,294 |
1,874 |
$1K |
| 0074A |
|
32 |
30 |
$1K |
| 87081 |
|
372 |
364 |
$1K |
| U0002 |
Covid-19 lab test non-cdc |
104 |
99 |
$1K |
| 72170 |
|
94 |
86 |
$1K |
| 80164 |
|
89 |
75 |
$995.16 |
| 90656 |
|
220 |
218 |
$941.85 |
| 87480 |
|
260 |
251 |
$939.64 |
| 82785 |
|
56 |
55 |
$930.87 |
| 83615 |
|
551 |
486 |
$928.11 |
| 82670 |
|
73 |
70 |
$916.94 |
| 82140 |
|
283 |
252 |
$785.63 |
| 87045 |
|
140 |
138 |
$652.30 |
| 88720 |
|
2,572 |
1,712 |
$604.80 |
| 87660 |
|
258 |
249 |
$530.23 |
| 87510 |
|
260 |
251 |
$526.25 |
| 86200 |
|
64 |
63 |
$525.82 |
| 96381 |
|
97 |
97 |
$515.35 |
| 80050 |
|
98 |
93 |
$506.58 |
| 0081A |
|
13 |
13 |
$500.00 |
| 87493 |
|
108 |
106 |
$455.47 |
| J3480 |
Inj potassium chloride |
410 |
280 |
$439.71 |
| 0241U |
|
881 |
805 |
$438.97 |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
18 |
18 |
$434.17 |
| 73000 |
|
18 |
13 |
$427.50 |
| 73560 |
|
31 |
29 |
$393.35 |
| 87899 |
|
157 |
97 |
$377.52 |
| 83721 |
|
52 |
52 |
$376.56 |
| 86003 |
|
43 |
42 |
$369.47 |
| 83002 |
|
28 |
25 |
$350.16 |
| 87046 |
|
139 |
138 |
$328.33 |
| 86308 |
|
227 |
215 |
$325.71 |
| 86480 |
|
13 |
13 |
$322.23 |
| 76000 |
|
163 |
151 |
$301.03 |
| 96376 |
|
4,441 |
3,485 |
$296.62 |
| 82533 |
|
45 |
39 |
$280.45 |
| 87338 |
|
39 |
39 |
$276.59 |
| 84480 |
|
26 |
26 |
$270.12 |
| 86695 |
|
13 |
12 |
$259.10 |
| 84436 |
|
30 |
28 |
$251.07 |
| 73552 |
|
28 |
24 |
$233.97 |
| 88304 |
|
162 |
160 |
$231.50 |
| 51702 |
|
160 |
150 |
$230.69 |
| 82947 |
|
55 |
54 |
$184.04 |
| 84112 |
|
14 |
12 |
$182.50 |
| 82977 |
|
45 |
44 |
$175.58 |
| U0005 |
Infec agen detec ampli probe |
1,103 |
1,016 |
$175.00 |
| 87804 |
|
945 |
493 |
$173.57 |
| 82150 |
|
43 |
41 |
$166.49 |
| 80177 |
|
15 |
12 |
$163.19 |
| 87209 |
|
14 |
14 |
$153.57 |
| 84165 |
|
31 |
29 |
$152.99 |
| 83655 |
|
54 |
50 |
$136.09 |
| 90648 |
|
1,755 |
1,735 |
$131.36 |
| 87811 |
|
1,490 |
1,439 |
$113.38 |
| 86800 |
|
12 |
12 |
$107.31 |
| 82248 |
|
16 |
13 |
$105.62 |
| 87177 |
|
14 |
14 |
$94.31 |
| 86696 |
|
15 |
12 |
$85.93 |
| 84145 |
|
310 |
291 |
$71.93 |
| J3301 |
Triamcinolone acet inj nos |
1,092 |
1,033 |
$68.94 |
| 87426 |
|
56 |
54 |
$63.52 |
| J1200 |
Diphenhydramine hcl injectio |
2,488 |
2,075 |
$58.40 |
| J2405 |
Ondansetron hcl injection |
2,733 |
2,299 |
$56.62 |
| A9270 |
Non-covered item or service |
15,986 |
4,330 |
$54.50 |
| 85007 |
|
12 |
12 |
$54.16 |
| 82010 |
|
271 |
223 |
$53.90 |
| A9585 |
Gadobutrol injection |
2,909 |
2,805 |
$52.42 |
| 81002 |
|
810 |
770 |
$49.93 |
| 88312 |
|
56 |
54 |
$48.86 |
| 86787 |
|
12 |
12 |
$48.41 |
| G0008 |
Admin influenza virus vac |
453 |
448 |
$44.73 |
| 90473 |
|
2,007 |
1,986 |
$43.32 |
| 84520 |
|
12 |
12 |
$41.89 |
| J3010 |
Fentanyl citrate injection |
5,287 |
4,269 |
$40.62 |
| 87329 |
|
12 |
12 |
$35.18 |
| J2765 |
Metoclopramide hcl injection |
2,234 |
1,996 |
$29.71 |
| 36416 |
|
1,563 |
1,198 |
$29.20 |
| J2704 |
Inj, propofol, 10 mg |
2,054 |
1,958 |
$29.16 |
| J1630 |
Haloperidol injection |
1,149 |
913 |
$27.08 |
| J1885 |
Ketorolac tromethamine inj |
2,741 |
2,361 |
$25.42 |
| J1100 |
Dexamethasone sodium phos |
3,710 |
3,444 |
$18.56 |
| J0690 |
Cefazolin sodium injection |
664 |
519 |
$18.42 |
| 88342 |
|
28 |
26 |
$18.32 |
| 87075 |
|
68 |
64 |
$17.13 |
| J3475 |
Inj magnesium sulfate |
1,359 |
740 |
$15.03 |
| J2270 |
Morphine sulfate injection |
1,085 |
806 |
$13.09 |
| J0780 |
Prochlorperazine injection |
93 |
87 |
$12.04 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
400 |
385 |
$11.32 |
| J2543 |
Piperacillin/tazobactam |
258 |
124 |
$10.93 |
| 90680 |
|
2,382 |
2,361 |
$10.85 |
| J2550 |
Promethazine hcl injection |
744 |
634 |
$10.64 |
| J2060 |
Lorazepam injection |
713 |
565 |
$9.94 |
| 82077 |
|
60 |
54 |
$9.33 |
| 90723 |
|
1,519 |
1,498 |
$9.09 |
| J7120 |
Ringers lactate infusion |
1,809 |
1,662 |
$6.91 |
| J0696 |
Ceftriaxone sodium injection |
1,144 |
851 |
$3.63 |
| J1170 |
Hydromorphone injection |
2,020 |
1,408 |
$3.42 |
| J8540 |
Oral dexamethasone |
1,248 |
729 |
$3.32 |
| J2930 |
Methylprednisolone injection |
1,032 |
907 |
$2.91 |
| J3411 |
Thiamine hcl 100 mg |
124 |
103 |
$2.68 |
| Q0162 |
Ondansetron oral |
802 |
453 |
$0.66 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,173 |
985 |
$0.46 |
| G1004 |
Cdsm ndsc |
16,844 |
12,390 |
$0.01 |
| 90716 |
|
844 |
832 |
$0.00 |
| 90697 |
|
300 |
295 |
$0.00 |
| 90698 |
|
1,033 |
1,028 |
$0.00 |
| 90696 |
|
848 |
839 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
507 |
455 |
$0.00 |
| 90619 |
|
390 |
388 |
$0.00 |
| 82962 |
|
27 |
27 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
197 |
134 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
74 |
61 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
186 |
177 |
$0.00 |
| 90474 |
|
195 |
195 |
$0.00 |
| 90744 |
|
84 |
83 |
$0.00 |
| J1940 |
Furosemide injection |
535 |
300 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
179 |
173 |
$0.00 |
| J7060 |
5% dextrose/water |
21 |
14 |
$0.00 |
| J2785 |
Regadenoson injection |
162 |
158 |
$0.00 |
| J1920 |
Inj, labetalol hcl, 5mg |
14 |
12 |
$0.00 |
| J7999 |
Compounded drug, noc |
128 |
112 |
$0.00 |
| J2001 |
Lidocaine injection |
205 |
181 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
186 |
176 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
93 |
88 |
$0.00 |
| 94760 |
|
69 |
29 |
$0.00 |
| 72128 |
|
12 |
12 |
$0.00 |
| J1815 |
Insulin injection |
295 |
88 |
$0.00 |
| D9999 |
|
29 |
27 |
$0.00 |
| 90674 |
|
14 |
14 |
$0.00 |
| 90381 |
|
14 |
14 |
$0.00 |
| 90710 |
|
1,075 |
1,064 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
731 |
319 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
57 |
39 |
$0.00 |
| 90633 |
|
2,276 |
2,248 |
$0.00 |
| G8984 |
Carry current status |
13 |
13 |
$0.00 |
| 90700 |
|
961 |
952 |
$0.00 |
| J7040 |
Normal saline solution infus |
578 |
452 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
386 |
268 |
$0.00 |
| J1756 |
Iron sucrose injection |
36 |
14 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
1,242 |
405 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
356 |
333 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
246 |
226 |
$0.00 |
| Q9950 |
Inj sulf hexa lipid microsph |
693 |
669 |
$0.00 |
| 93356 |
|
212 |
208 |
$0.00 |
| G8979 |
Mobility goal status |
299 |
268 |
$0.00 |
| G8978 |
Mobility current status |
211 |
196 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
42 |
38 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
13 |
13 |
$0.00 |
| 96417 |
|
18 |
12 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
155 |
128 |
$0.00 |
| G8985 |
Carry goal status |
16 |
14 |
$0.00 |
| 99173 |
|
32 |
32 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
54 |
27 |
$0.00 |
| A4649 |
Surgical supplies |
18 |
18 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
27 |
27 |
$0.00 |
| A9552 |
F18 fdg |
26 |
26 |
$0.00 |