| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
29,460 |
21,728 |
$3.91M |
| G0378 |
Hospital observation per hr |
16,190 |
11,791 |
$3.72M |
| 99285 |
|
21,604 |
16,386 |
$3.34M |
| 99283 |
|
20,448 |
15,026 |
$1.96M |
| 96413 |
|
12,282 |
5,825 |
$1.32M |
| 96374 |
|
18,976 |
13,621 |
$1.22M |
| 96365 |
|
15,303 |
10,259 |
$1.06M |
| 74177 |
|
7,866 |
6,396 |
$885K |
| 71045 |
|
27,853 |
20,296 |
$710K |
| J9271 |
Inj pembrolizumab |
961 |
312 |
$698K |
| 93005 |
|
43,141 |
28,232 |
$604K |
| J2505 |
Injection, pegfilgrastim 6mg |
532 |
351 |
$573K |
| 86900 |
|
12,918 |
8,793 |
$534K |
| 78815 |
|
1,638 |
1,306 |
$494K |
| 86885 |
|
7,391 |
5,376 |
$467K |
| 96372 |
|
18,588 |
11,154 |
$459K |
| 94640 |
|
9,381 |
4,020 |
$451K |
| 70450 |
|
12,926 |
9,918 |
$426K |
| 93306 |
|
4,210 |
3,307 |
$423K |
| 96375 |
|
21,453 |
13,096 |
$421K |
| 85025 |
|
97,320 |
61,735 |
$405K |
| 96366 |
|
8,916 |
4,239 |
$398K |
| 77412 |
|
8,473 |
607 |
$397K |
| 83880 |
|
17,801 |
13,491 |
$329K |
| 70553 |
|
2,828 |
2,258 |
$329K |
| 93458 |
|
473 |
382 |
$323K |
| 74176 |
|
4,573 |
3,518 |
$311K |
| 80048 |
|
56,578 |
38,033 |
$294K |
| 99215 |
Prolong outpt/office vis |
4,222 |
2,867 |
$294K |
| 80307 |
|
8,498 |
6,269 |
$282K |
| 80053 |
|
54,774 |
35,459 |
$257K |
| 71275 |
|
3,669 |
2,906 |
$250K |
| 97110 |
|
15,939 |
3,581 |
$244K |
| 71046 |
|
8,438 |
6,552 |
$237K |
| 78431 |
|
273 |
213 |
$211K |
| 78492 |
|
557 |
450 |
$206K |
| 84484 |
|
33,625 |
19,268 |
$206K |
| J0897 |
Denosumab injection |
592 |
409 |
$205K |
| 76815 |
|
3,643 |
2,427 |
$198K |
| 71260 |
|
3,043 |
2,531 |
$191K |
| 80076 |
|
31,121 |
23,657 |
$171K |
| 87635 |
|
6,550 |
4,756 |
$166K |
| G0480 |
Drug test def 1-7 classes |
2,644 |
2,005 |
$165K |
| 99282 |
|
2,506 |
1,929 |
$164K |
| 86901 |
|
12,912 |
8,788 |
$163K |
| 93970 |
|
2,463 |
1,964 |
$155K |
| 88305 |
|
5,998 |
4,319 |
$153K |
| 88307 |
|
1,653 |
925 |
$153K |
| 36415 |
|
96,608 |
55,683 |
$149K |
| J2469 |
Palonosetron hcl |
4,610 |
2,159 |
$148K |
| 70551 |
|
2,571 |
1,987 |
$145K |
| J1453 |
Fosaprepitant injection |
2,682 |
1,284 |
$136K |
| 93454 |
|
211 |
152 |
$128K |
| 84443 |
|
13,895 |
10,705 |
$125K |
| 72100 |
|
2,987 |
2,420 |
$125K |
| 99214 |
|
2,664 |
1,748 |
$114K |
| 72125 |
|
3,477 |
2,731 |
$110K |
| 76801 |
|
1,883 |
1,381 |
$109K |
| 96361 |
|
3,597 |
2,546 |
$107K |
| 72148 |
|
1,678 |
1,400 |
$105K |
| 96415 |
|
2,935 |
1,604 |
$104K |
| 76705 |
|
2,347 |
1,905 |
$104K |
| 93971 |
|
3,171 |
2,523 |
$98K |
| 58571 |
|
60 |
37 |
$98K |
| 76817 |
|
1,651 |
1,210 |
$96K |
| 59025 |
|
977 |
716 |
$95K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,731 |
1,528 |
$91K |
| 70496 |
|
1,304 |
1,016 |
$86K |
| 47562 |
|
53 |
38 |
$86K |
| 86850 |
|
5,041 |
3,359 |
$84K |
| 97140 |
|
8,899 |
1,885 |
$83K |
| 85730 |
|
26,194 |
19,563 |
$82K |
| 29581 |
|
1,989 |
419 |
$81K |
| 81025 |
|
16,809 |
12,170 |
$81K |
| 99212 |
|
4,173 |
3,263 |
$79K |
| 85610 |
|
35,893 |
25,897 |
$77K |
| 74018 |
|
2,699 |
2,025 |
$77K |
| 96417 |
|
3,240 |
1,609 |
$73K |
| 96360 |
|
1,034 |
770 |
$69K |
| 93017 |
|
974 |
782 |
$69K |
| 80061 |
|
8,697 |
6,917 |
$67K |
| J9299 |
Injection, nivolumab |
500 |
25 |
$66K |
| 71250 |
|
2,358 |
1,905 |
$63K |
| 36902 |
|
73 |
63 |
$62K |
| 76819 |
|
1,066 |
588 |
$57K |
| 77300 |
|
553 |
393 |
$57K |
| 77336 |
|
1,649 |
546 |
$56K |
| 72141 |
|
773 |
661 |
$56K |
| 77334 |
|
248 |
171 |
$55K |
| P9016 |
Rbc leukocytes reduced |
983 |
543 |
$53K |
| 73560 |
|
1,960 |
1,550 |
$52K |
| 64450 |
|
913 |
450 |
$51K |
| 43239 |
|
361 |
242 |
$51K |
| 83690 |
|
13,766 |
10,051 |
$51K |
| 80074 |
|
1,894 |
1,491 |
$51K |
| 87086 |
|
11,009 |
8,612 |
$50K |
| 87491 |
|
1,932 |
1,640 |
$49K |
| 87591 |
|
1,917 |
1,631 |
$48K |
| 36430 |
|
627 |
391 |
$47K |
| 88304 |
|
2,007 |
1,486 |
$47K |
| 82306 |
|
2,455 |
2,108 |
$46K |
| 93979 |
|
2,026 |
1,526 |
$46K |
| 77295 |
|
123 |
88 |
$45K |
| 82805 |
|
1,196 |
872 |
$43K |
| 97162 |
|
1,872 |
1,427 |
$43K |
| 81003 |
|
32,489 |
23,590 |
$43K |
| 97163 |
|
2,068 |
1,502 |
$42K |
| 83036 |
|
8,636 |
6,776 |
$42K |
| 84702 |
|
4,439 |
3,113 |
$40K |
| 93978 |
|
888 |
710 |
$40K |
| 96367 |
|
1,668 |
1,087 |
$40K |
| 86923 |
|
1,044 |
454 |
$39K |
| 99213 |
|
2,311 |
1,120 |
$39K |
| 73030 |
|
1,427 |
1,180 |
$38K |
| 87400 |
|
2,403 |
1,783 |
$38K |
| 76770 |
|
1,028 |
802 |
$36K |
| G0463 |
Hospital outpt clinic visit |
5,241 |
3,599 |
$35K |
| 83735 |
|
11,854 |
7,608 |
$34K |
| 70498 |
|
880 |
680 |
$33K |
| 86780 |
|
3,634 |
2,746 |
$33K |
| 97530 |
|
4,376 |
1,553 |
$30K |
| 87186 |
|
5,390 |
4,047 |
$28K |
| 11042 |
|
438 |
206 |
$28K |
| 37238 |
|
16 |
13 |
$28K |
| 82565 |
|
9,141 |
7,688 |
$28K |
| 85027 |
|
13,306 |
7,282 |
$27K |
| 88342 |
|
644 |
443 |
$26K |
| J2506 |
Inj pegfilgrast ex bio 0.5mg |
230 |
111 |
$25K |
| 73630 |
|
891 |
745 |
$25K |
| 87389 |
|
1,605 |
1,253 |
$24K |
| 76000 |
|
558 |
377 |
$24K |
| 82607 |
|
2,719 |
2,243 |
$24K |
| 87502 |
|
691 |
388 |
$24K |
| 74019 |
|
552 |
433 |
$23K |
| 72040 |
|
749 |
662 |
$23K |
| 87040 |
|
3,978 |
2,197 |
$23K |
| U0005 |
Infec agen detec ampli probe |
1,330 |
1,159 |
$22K |
| 87070 |
|
4,497 |
3,335 |
$21K |
| 76642 |
|
590 |
496 |
$21K |
| 97113 |
|
503 |
120 |
$20K |
| 78195 |
|
130 |
111 |
$20K |
| 73721 |
|
192 |
168 |
$20K |
| 72131 |
|
599 |
477 |
$20K |
| 83605 |
|
4,322 |
2,984 |
$19K |
| 97167 |
|
1,130 |
798 |
$19K |
| 77290 |
|
173 |
128 |
$18K |
| 86140 |
|
6,457 |
4,730 |
$18K |
| 97750 |
|
1,919 |
1,152 |
$18K |
| 84703 |
|
3,995 |
2,862 |
$18K |
| 81001 |
|
13,624 |
9,551 |
$18K |
| 87077 |
|
3,471 |
2,602 |
$17K |
| M0243 |
Casirivi and imdevi inj |
116 |
101 |
$17K |
| 88720 |
|
4,086 |
3,234 |
$17K |
| 96402 |
|
867 |
526 |
$17K |
| C9803 |
Hopd covid-19 spec collect |
2,429 |
1,508 |
$16K |
| 82077 |
|
1,974 |
1,316 |
$16K |
| 82728 |
|
2,203 |
1,765 |
$15K |
| 99281 |
|
443 |
368 |
$15K |
| 88112 |
|
684 |
556 |
$15K |
| 97166 |
|
686 |
549 |
$14K |
| 36569 |
|
52 |
46 |
$13K |
| 84146 |
|
1,523 |
1,140 |
$12K |
| 97161 |
|
609 |
495 |
$12K |
| 97116 |
|
2,933 |
1,342 |
$12K |
| 85007 |
|
9,930 |
5,403 |
$12K |
| 87430 |
|
1,296 |
952 |
$12K |
| 77067 |
|
145 |
137 |
$11K |
| 86038 |
|
1,195 |
987 |
$10K |
| 82962 |
|
18,328 |
3,592 |
$10K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
2,449 |
1,886 |
$10K |
| 88175 |
|
511 |
449 |
$10K |
| 87651 |
|
467 |
416 |
$10K |
| 99211 |
|
1,554 |
1,099 |
$10K |
| J1439 |
Inj ferric carboxymaltos 1mg |
144 |
53 |
$9K |
| Q5106 |
Inj retacrit non-esrd use |
343 |
164 |
$9K |
| 97165 |
|
470 |
370 |
$9K |
| 74178 |
|
105 |
80 |
$9K |
| 78452 |
|
13 |
12 |
$8K |
| 76856 |
|
171 |
132 |
$8K |
| 82746 |
|
1,104 |
898 |
$8K |
| 0241U |
|
2,220 |
1,914 |
$8K |
| 73501 |
|
263 |
236 |
$8K |
| 84439 |
|
1,427 |
1,159 |
$8K |
| 36600 |
|
398 |
260 |
$8K |
| 75820 |
|
29 |
26 |
$7K |
| 73502 |
|
457 |
331 |
$7K |
| 87804 |
|
1,495 |
427 |
$7K |
| 77066 |
Tomosynthesis, mammo |
131 |
107 |
$7K |
| 93880 |
|
178 |
150 |
$7K |
| 78264 |
|
41 |
37 |
$7K |
| 84550 |
|
2,665 |
1,821 |
$7K |
| J2997 |
Alteplase recombinant |
111 |
80 |
$7K |
| 85045 |
|
2,759 |
1,478 |
$7K |
| J2405 |
Ondansetron hcl injection |
25,612 |
15,980 |
$7K |
| 84100 |
|
3,964 |
2,572 |
$7K |
| 87147 |
|
1,909 |
1,473 |
$7K |
| 77065 |
Tomosynthesis, mammo |
201 |
148 |
$6K |
| 85651 |
|
2,652 |
1,899 |
$6K |
| 70486 |
|
163 |
138 |
$6K |
| 85014 |
|
5,207 |
3,265 |
$6K |
| 83615 |
|
1,667 |
1,087 |
$6K |
| 82550 |
|
2,372 |
1,591 |
$6K |
| J1200 |
Diphenhydramine hcl injectio |
5,875 |
3,148 |
$6K |
| 85652 |
|
4,232 |
3,100 |
$6K |
| 82247 |
|
1,896 |
1,076 |
$6K |
| L8000 |
Mastectomy bra |
118 |
115 |
$6K |
| J2930 |
Methylprednisolone injection |
3,309 |
1,844 |
$6K |
| 84460 |
|
1,370 |
1,221 |
$6K |
| 84450 |
|
1,360 |
1,211 |
$6K |
| J3010 |
Fentanyl citrate injection |
14,843 |
10,638 |
$6K |
| M0245 |
Bamlan and etesev infusion |
35 |
31 |
$5K |
| 97014 |
|
854 |
218 |
$5K |
| Q5107 |
Inj mvasi 10 mg |
29 |
12 |
$5K |
| 82150 |
|
1,501 |
1,147 |
$5K |
| 82948 |
|
1,497 |
1,050 |
$5K |
| 73610 |
|
157 |
136 |
$5K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
690 |
467 |
$5K |
| 73130 |
|
196 |
157 |
$5K |
| 96411 |
|
168 |
87 |
$5K |
| Q0247 |
Sotrovimab |
16 |
14 |
$5K |
| 77280 |
|
121 |
60 |
$4K |
| 97112 |
|
341 |
140 |
$4K |
| J0885 |
Epoetin alfa, non-esrd |
46 |
26 |
$4K |
| 73221 |
|
43 |
38 |
$4K |
| 87205 |
|
2,039 |
1,462 |
$4K |
| 70491 |
|
38 |
37 |
$4K |
| 86431 |
|
934 |
793 |
$4K |
| 87661 |
|
180 |
166 |
$4K |
| 83540 |
|
1,061 |
905 |
$4K |
| 88300 |
|
251 |
204 |
$4K |
| 86592 |
|
1,469 |
1,129 |
$4K |
| 87340 |
|
615 |
507 |
$3K |
| 72156 |
|
40 |
24 |
$3K |
| 95816 |
|
50 |
36 |
$3K |
| 77331 |
|
63 |
36 |
$3K |
| 72070 |
|
59 |
51 |
$3K |
| 70544 |
|
98 |
53 |
$3K |
| A9552 |
F18 fdg |
1,651 |
1,297 |
$3K |
| 86200 |
|
318 |
273 |
$3K |
| J1100 |
Dexamethasone sodium phos |
12,135 |
7,062 |
$3K |
| 84153 |
|
266 |
249 |
$3K |
| 72158 |
|
28 |
26 |
$3K |
| 84466 |
|
479 |
419 |
$3K |
| J9045 |
Carboplatin injection |
1,057 |
472 |
$3K |
| 86235 |
|
38 |
25 |
$3K |
| 87081 |
|
1,054 |
797 |
$3K |
| 92610 |
|
203 |
128 |
$2K |
| 85379 |
|
515 |
391 |
$2K |
| 76700 |
|
46 |
43 |
$2K |
| 84156 |
|
869 |
686 |
$2K |
| 76937 |
|
2,770 |
2,086 |
$2K |
| 90471 |
|
135 |
90 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
15,490 |
9,949 |
$2K |
| 93922 |
|
102 |
69 |
$2K |
| J1815 |
Insulin injection |
2,516 |
1,203 |
$2K |
| 62270 |
|
16 |
12 |
$2K |
| 80164 |
|
219 |
167 |
$2K |
| 83550 |
|
469 |
362 |
$2K |
| C1725 |
Cath, translumin non-laser |
2,622 |
1,991 |
$2K |
| 64447 |
|
12 |
12 |
$2K |
| 76830 |
|
32 |
28 |
$2K |
| 75635 |
|
58 |
42 |
$2K |
| M0247 |
Sotrovimab infusion |
14 |
13 |
$2K |
| 87116 |
|
231 |
200 |
$2K |
| 93923 |
|
40 |
36 |
$2K |
| C1769 |
Guide wire |
5,126 |
3,863 |
$2K |
| 86696 |
|
109 |
94 |
$2K |
| 96376 |
|
15,392 |
6,443 |
$1K |
| 87102 |
|
322 |
255 |
$1K |
| 87536 |
|
28 |
26 |
$1K |
| A9555 |
Rb82 rubidium |
835 |
665 |
$1K |
| 97535 |
|
2,858 |
1,415 |
$1K |
| 73562 |
|
42 |
41 |
$1K |
| 87880 |
|
149 |
95 |
$1K |
| J2370 |
Phenylephrine hcl injection |
1,779 |
1,216 |
$1K |
| G8978 |
Mobility current status |
455 |
379 |
$1K |
| J1642 |
Inj heparin sodium per 10 u |
2,181 |
861 |
$1K |
| J2704 |
Inj, propofol, 10 mg |
13,051 |
8,201 |
$1K |
| C1894 |
Intro/sheath, non-laser |
4,691 |
3,400 |
$1K |
| M0222 |
Bebtelovimab injection |
22 |
15 |
$1K |
| 85018 |
|
2,149 |
1,241 |
$1K |
| J0690 |
Cefazolin sodium injection |
10,373 |
5,611 |
$1K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
15,411 |
11,276 |
$1K |
| 74174 |
|
15 |
15 |
$1K |
| 80069 |
|
721 |
349 |
$981.68 |
| J1170 |
Hydromorphone injection |
17,326 |
9,323 |
$955.79 |
| G0283 |
Elec stim other than wound |
1,477 |
301 |
$888.82 |
| J0330 |
Succinycholine chloride inj |
3,349 |
2,340 |
$863.27 |
| 87075 |
|
148 |
123 |
$860.59 |
| 87206 |
|
231 |
200 |
$825.96 |
| 87210 |
|
430 |
302 |
$821.95 |
| 90937 |
|
40 |
27 |
$763.58 |
| 82570 |
|
180 |
160 |
$761.32 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
2,659 |
2,243 |
$753.23 |
| G0257 |
Unsched dialysis esrd pt hos |
923 |
497 |
$748.28 |
| 86706 |
|
473 |
292 |
$627.50 |
| 87899 |
|
71 |
62 |
$624.03 |
| 73110 |
|
12 |
12 |
$559.94 |
| 84481 |
|
62 |
54 |
$541.38 |
| 82784 |
|
51 |
38 |
$528.05 |
| 86360 |
|
16 |
12 |
$522.10 |
| 96377 |
|
213 |
106 |
$447.41 |
| 86304 |
|
31 |
25 |
$446.52 |
| J9267 |
Paclitaxel injection |
137 |
58 |
$430.50 |
| 89050 |
|
151 |
134 |
$429.65 |
| 86359 |
|
16 |
12 |
$419.20 |
| G0379 |
Direct refer hospital observ |
33 |
15 |
$418.47 |
| J2550 |
Promethazine hcl injection |
9,657 |
5,534 |
$401.96 |
| 82375 |
|
185 |
108 |
$392.80 |
| C1753 |
Cath, intravas ultrasound |
201 |
113 |
$391.32 |
| 82272 |
|
139 |
128 |
$390.38 |
| 72020 |
|
16 |
12 |
$389.91 |
| C1887 |
Catheter, guiding |
1,903 |
1,524 |
$376.14 |
| 37252 |
|
46 |
26 |
$312.69 |
| 85347 |
|
213 |
120 |
$294.13 |
| 86160 |
|
16 |
12 |
$293.26 |
| A9541 |
Tc99m sulfur colloid |
939 |
772 |
$280.16 |
| J1650 |
Inj enoxaparin sodium |
7,634 |
2,834 |
$279.91 |
| 82043 |
|
73 |
70 |
$272.91 |
| 82945 |
|
101 |
88 |
$237.31 |
| 88313 |
|
14 |
12 |
$233.01 |
| 84157 |
|
101 |
88 |
$232.57 |
| 83050 |
|
172 |
96 |
$223.24 |
| 94770 |
|
18 |
15 |
$221.36 |
| J1885 |
Ketorolac tromethamine inj |
7,843 |
5,079 |
$220.08 |
| J2920 |
Methylprednisolone injection |
315 |
114 |
$217.06 |
| J2710 |
Neostigmine methylslfte inj |
2,070 |
1,209 |
$214.83 |
| 84132 |
|
86 |
67 |
$210.00 |
| J2270 |
Morphine sulfate injection |
8,759 |
4,853 |
$200.23 |
| J1644 |
Inj heparin sodium per 1000u |
6,303 |
3,064 |
$198.93 |
| J0171 |
Adrenalin epinephrine inject |
1,151 |
501 |
$194.13 |
| J0131 |
Inj, acetaminophen (nos) |
2,276 |
1,266 |
$182.09 |
| J2175 |
Meperidine hydrochl /100 mg |
1,874 |
1,186 |
$168.57 |
| U0002 |
Covid-19 lab test non-cdc |
115 |
108 |
$164.83 |
| J0360 |
Hydralazine hcl injection |
2,146 |
1,331 |
$148.74 |
| 82009 |
|
48 |
41 |
$146.52 |
| G0103 |
Psa screening |
16 |
13 |
$142.04 |
| C9399 |
Unclassified drugs or biolog |
19 |
12 |
$137.49 |
| 82947 |
|
83 |
63 |
$133.88 |
| A6213 |
Foam drg >16<=48 sq in w/bdr |
68 |
44 |
$130.68 |
| J0696 |
Ceftriaxone sodium injection |
7,827 |
4,390 |
$127.11 |
| 82800 |
|
20 |
12 |
$108.90 |
| J1940 |
Furosemide injection |
4,584 |
1,791 |
$106.44 |
| 86403 |
|
15 |
12 |
$102.92 |
| 85460 |
|
15 |
12 |
$95.22 |
| 87015 |
|
30 |
24 |
$90.15 |
| 84425 |
|
17 |
16 |
$84.07 |
| J9190 |
Fluorouracil injection |
21 |
12 |
$83.16 |
| 84112 |
|
674 |
501 |
$81.58 |
| 84520 |
|
13 |
12 |
$63.20 |
| J3370 |
Vancomycin hcl injection |
2,078 |
954 |
$58.15 |
| J2919 |
Inj, methylpred sod succ 5mg |
337 |
205 |
$55.48 |
| 77062 |
|
83 |
63 |
$54.78 |
| 82248 |
|
15 |
12 |
$50.73 |
| 83721 |
|
20 |
12 |
$47.25 |
| 77387 |
|
555 |
94 |
$46.20 |
| C1892 |
Intro/sheath,fixed,peel-away |
310 |
250 |
$38.58 |
| J2916 |
Na ferric gluconate complex |
110 |
35 |
$37.93 |
| J0694 |
Cefoxitin sodium injection |
1,571 |
720 |
$35.74 |
| 89051 |
|
16 |
13 |
$35.28 |
| 77061 |
|
14 |
13 |
$25.08 |
| G8979 |
Mobility goal status |
490 |
394 |
$22.57 |
| A9270 |
Non-covered item or service |
7,151 |
3,029 |
$21.39 |
| J3490 |
Drugs unclassified injection |
289 |
209 |
$19.79 |
| J0687 |
Inj cefazolin (wg crit care) |
353 |
228 |
$19.44 |
| J1953 |
Levetiracetam injection |
327 |
132 |
$19.24 |
| C1760 |
Closure dev, vasc |
863 |
659 |
$18.13 |
| 84202 |
|
12 |
12 |
$18.08 |
| 84145 |
|
762 |
585 |
$15.90 |
| J3489 |
Zoledronic acid 1mg |
45 |
41 |
$15.71 |
| J7620 |
Albuterol ipratrop non-comp |
1,826 |
594 |
$15.70 |
| G1004 |
Cdsm ndsc |
7,280 |
2,957 |
$15.61 |
| 84590 |
|
12 |
12 |
$14.62 |
| J2272 |
Inj, morphine (fresenius) |
154 |
95 |
$12.79 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
306 |
253 |
$12.54 |
| J0583 |
Bivalirudin |
71 |
25 |
$10.91 |
| 0441U |
|
95 |
91 |
$9.76 |
| J2060 |
Lorazepam injection |
1,730 |
1,120 |
$8.92 |
| J3475 |
Inj magnesium sulfate |
679 |
350 |
$7.91 |
| S0077 |
Injection, clindamycin phosp |
121 |
54 |
$6.50 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
342 |
214 |
$6.15 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
286 |
231 |
$5.36 |
| J0456 |
Azithromycin |
76 |
27 |
$5.14 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
379 |
285 |
$2.69 |
| J2001 |
Lidocaine injection |
396 |
355 |
$2.48 |
| G8988 |
Self care goal status |
150 |
125 |
$1.01 |
| 96368 |
|
386 |
243 |
$0.69 |
| J2543 |
Piperacillin/tazobactam |
983 |
185 |
$0.63 |
| J2004 |
Inj, lidocaine w epinephrine |
12 |
12 |
$0.62 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
134 |
123 |
$0.60 |
| J1643 |
Inj heparin, pfizer, 1000u |
109 |
102 |
$0.57 |
| J2765 |
Metoclopramide hcl injection |
396 |
222 |
$0.43 |
| J1920 |
Inj, labetalol hcl, 5mg |
54 |
41 |
$0.13 |
| Q0177 |
Hydroxyzine pamoate 25mg |
4,066 |
2,432 |
$0.00 |
| C1876 |
Stent, non-coa/non-cov w/del |
35 |
26 |
$0.00 |
| 36005 |
|
18 |
15 |
$0.00 |
| C1751 |
Cath, inf, per/cent/midline |
114 |
87 |
$0.00 |
| J3105 |
Terbutaline sulfate inj |
1,615 |
949 |
$0.00 |
| 99152 |
|
1,011 |
903 |
$0.00 |
| J0595 |
Butorphanol tartrate 1 mg |
423 |
204 |
$0.00 |
| J1956 |
Levofloxacin injection |
222 |
106 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
194 |
75 |
$0.00 |
| 37253 |
|
52 |
14 |
$0.00 |
| G0279 |
Tomosynthesis, mammo |
16 |
14 |
$0.00 |
| C1729 |
Cath, drainage |
90 |
55 |
$0.00 |
| C1757 |
Cath, thrombectomy/embolect |
19 |
12 |
$0.00 |
| 78434 |
|
273 |
213 |
$0.00 |
| J0744 |
Ciprofloxacin iv |
36 |
24 |
$0.00 |
| J0688 |
Inj cefazolin sodium, hikma |
269 |
213 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
54 |
47 |
$0.00 |
| 77012 |
|
96 |
77 |
$0.00 |
| C1874 |
Stent, coated/cov w/del sys |
56 |
54 |
$0.00 |
| C1788 |
Port, indwelling, imp |
15 |
12 |
$0.00 |
| J0780 |
Prochlorperazine injection |
68 |
60 |
$0.00 |
| C8929 |
Tte w or wo fol wcon,doppler |
26 |
25 |
$0.00 |
| G8996 |
Swallow current status |
32 |
29 |
$0.00 |
| Q0245 |
Bamlanivimab and etesevima |
70 |
31 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
13 |
12 |
$0.00 |
| J0736 |
Inj, clindamycin phosp 300mg |
13 |
12 |
$0.00 |
| G8997 |
Swallow goal status |
31 |
28 |
$0.00 |
| C1776 |
Joint device (implantable) |
45 |
25 |
$0.00 |
| Q0243 |
Casirivimab and imdevimab |
124 |
53 |
$0.00 |
| J2785 |
Regadenoson injection |
873 |
708 |
$0.00 |
| 94762 |
|
20 |
15 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
424 |
327 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
35 |
25 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
332 |
162 |
$0.00 |
| 77001 |
|
227 |
179 |
$0.00 |
| 77417 |
|
383 |
152 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
324 |
305 |
$0.00 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
39 |
27 |
$0.00 |
| 77063 |
|
56 |
54 |
$0.00 |
| 36410 |
|
100 |
52 |
$0.00 |
| Q0222 |
Bebtelovimab 175 mg |
25 |
16 |
$0.00 |
| G0008 |
Admin influenza virus vac |
71 |
65 |
$0.00 |
| Q0162 |
Ondansetron oral |
74 |
59 |
$0.00 |
| G0269 |
Occlusive device in vein art |
28 |
27 |
$0.00 |
| G8980 |
Mobility d/c status |
18 |
12 |
$0.00 |
| Q2035 |
Afluria vacc, 3 yrs & >, im |
44 |
41 |
$0.00 |
| 88341 |
|
20 |
12 |
$0.00 |
| A9503 |
Tc99m medronate |
18 |
12 |
$0.00 |
| G8987 |
Self care current status |
129 |
112 |
$0.00 |
| 37239 |
|
23 |
12 |
$0.00 |
| C1730 |
Cath, ep, 19 or few elect |
27 |
25 |
$0.00 |
| J3480 |
Inj potassium chloride |
17 |
14 |
$0.00 |
| Q2036 |
Flulaval vacc, 3 yrs & >, im |
30 |
27 |
$0.00 |