| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
30,652 |
27,670 |
$17.05M |
| 99284 |
|
36,646 |
34,061 |
$7.04M |
| G0463 |
Hospital outpt clinic visit |
90,100 |
79,059 |
$4.84M |
| 99283 |
|
33,571 |
31,567 |
$4.26M |
| G0378 |
Hospital observation per hr |
23,680 |
18,862 |
$4.09M |
| 96374 |
|
21,947 |
19,895 |
$1.15M |
| 99282 |
|
9,590 |
9,239 |
$826K |
| 74177 |
|
8,602 |
8,332 |
$772K |
| 43239 |
|
1,902 |
1,837 |
$660K |
| 96361 |
|
17,288 |
13,683 |
$488K |
| 70450 |
|
9,202 |
8,785 |
$484K |
| 71046 |
|
16,706 |
15,949 |
$480K |
| 82947 |
|
17,288 |
10,874 |
$476K |
| 45385 |
|
840 |
822 |
$453K |
| 97110 |
|
21,824 |
5,506 |
$449K |
| 93306 |
|
2,594 |
2,553 |
$379K |
| 59025 |
|
4,109 |
2,772 |
$365K |
| 64483 |
|
644 |
619 |
$360K |
| 99392 |
|
5,843 |
5,821 |
$358K |
| 96365 |
|
6,419 |
5,899 |
$351K |
| 45380 |
|
700 |
667 |
$336K |
| 99391 |
|
5,443 |
5,391 |
$334K |
| 78452 |
|
1,118 |
1,088 |
$321K |
| 70553 |
|
1,562 |
1,541 |
$286K |
| 80061 |
|
22,652 |
22,345 |
$276K |
| 99395 |
|
4,216 |
4,181 |
$268K |
| 99393 |
|
4,060 |
4,056 |
$257K |
| 96375 |
|
17,462 |
13,963 |
$245K |
| 76856 |
|
5,296 |
5,186 |
$237K |
| 77067 |
|
4,844 |
4,831 |
$236K |
| 87637 |
|
4,761 |
4,671 |
$223K |
| 71045 |
|
9,625 |
9,165 |
$221K |
| 74176 |
|
3,020 |
2,922 |
$209K |
| 96360 |
|
3,672 |
3,536 |
$209K |
| 99396 |
|
3,284 |
3,257 |
$201K |
| 84443 |
|
32,793 |
31,925 |
$178K |
| 99394 |
|
2,781 |
2,775 |
$178K |
| 20610 |
|
1,132 |
1,020 |
$177K |
| 97140 |
|
13,325 |
3,679 |
$170K |
| 82306 |
|
16,423 |
16,233 |
$166K |
| 87491 |
|
12,987 |
12,710 |
$161K |
| 76830 |
|
3,272 |
3,209 |
$155K |
| 95810 |
|
313 |
310 |
$154K |
| 87591 |
|
12,501 |
12,241 |
$153K |
| 80053 |
|
59,934 |
54,461 |
$151K |
| 72148 |
|
1,407 |
1,396 |
$142K |
| 85025 |
|
109,790 |
91,114 |
$140K |
| 90460 |
|
4,958 |
4,822 |
$136K |
| 97162 |
|
2,459 |
2,387 |
$131K |
| 71275 |
|
3,010 |
2,909 |
$129K |
| 43235 |
|
356 |
344 |
$126K |
| 76801 |
|
2,961 |
2,711 |
$126K |
| 76700 |
|
1,846 |
1,832 |
$124K |
| 78815 |
|
152 |
152 |
$118K |
| 76705 |
|
2,731 |
2,650 |
$116K |
| 76805 |
|
1,901 |
1,888 |
$114K |
| 97112 |
|
5,762 |
1,800 |
$107K |
| 96366 |
|
4,480 |
3,243 |
$104K |
| 87635 |
|
8,535 |
7,893 |
$102K |
| 76815 |
|
2,426 |
2,341 |
$101K |
| 70496 |
|
1,541 |
1,509 |
$99K |
| 97530 |
|
5,382 |
1,820 |
$97K |
| 93970 |
|
1,153 |
1,137 |
$95K |
| 71260 |
|
1,168 |
1,145 |
$91K |
| 96372 |
|
21,600 |
16,846 |
$77K |
| 90471 |
|
7,751 |
7,653 |
$76K |
| 90472 |
|
5,492 |
5,422 |
$74K |
| 99385 |
|
1,142 |
1,140 |
$74K |
| 80307 |
|
16,242 |
15,051 |
$70K |
| 58661 |
|
26 |
26 |
$70K |
| 72141 |
|
557 |
553 |
$68K |
| 76536 |
|
1,257 |
1,236 |
$64K |
| C8929 |
Tte w or wo fol wcon,doppler |
433 |
424 |
$63K |
| 86900 |
|
7,773 |
7,400 |
$63K |
| 80048 |
|
47,802 |
37,920 |
$60K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,650 |
1,621 |
$60K |
| 87086 |
|
19,392 |
17,789 |
$59K |
| 93971 |
|
1,358 |
1,326 |
$56K |
| 83036 |
|
17,393 |
17,157 |
$55K |
| 88175 |
|
4,272 |
4,256 |
$54K |
| 87624 |
|
4,011 |
3,973 |
$53K |
| 87070 |
|
14,816 |
14,168 |
$51K |
| 84439 |
|
15,949 |
15,552 |
$51K |
| 99381 |
|
808 |
808 |
$50K |
| 93005 |
|
34,045 |
29,481 |
$49K |
| 87390 |
|
6,091 |
6,021 |
$47K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
3,855 |
3,797 |
$44K |
| 99291 |
|
92 |
90 |
$44K |
| 77063 |
|
3,417 |
3,410 |
$43K |
| 90686 |
|
3,847 |
3,827 |
$43K |
| 70486 |
|
1,809 |
1,764 |
$42K |
| G0008 |
Admin influenza virus vac |
4,192 |
4,170 |
$41K |
| 76816 |
|
707 |
682 |
$39K |
| 99281 |
|
614 |
590 |
$38K |
| 71250 |
|
721 |
711 |
$38K |
| 88305 |
|
6,197 |
5,928 |
$36K |
| 87808 |
|
7,595 |
7,450 |
$36K |
| 73130 |
|
4,575 |
3,983 |
$35K |
| 82607 |
|
7,046 |
6,920 |
$35K |
| 73610 |
|
3,375 |
3,118 |
$34K |
| 73630 |
|
3,996 |
3,666 |
$34K |
| 84702 |
|
9,874 |
8,362 |
$33K |
| 82728 |
|
7,120 |
6,946 |
$33K |
| 94060 |
|
234 |
232 |
$31K |
| 84703 |
|
22,531 |
20,771 |
$30K |
| 73030 |
|
3,128 |
2,869 |
$29K |
| 86702 |
|
6,244 |
6,170 |
$29K |
| 70498 |
|
1,624 |
1,592 |
$27K |
| 73562 |
|
2,735 |
2,488 |
$27K |
| 76642 |
|
660 |
631 |
$26K |
| 73721 |
|
192 |
181 |
$26K |
| 86780 |
|
3,519 |
3,459 |
$26K |
| 20553 |
|
267 |
221 |
$25K |
| 45378 |
|
74 |
71 |
$25K |
| 82670 |
|
2,170 |
2,150 |
$24K |
| 36415 |
|
44,159 |
39,672 |
$24K |
| 10060 |
|
313 |
301 |
$24K |
| 84403 |
|
2,410 |
2,369 |
$23K |
| 73110 |
|
2,490 |
2,241 |
$23K |
| 86701 |
|
6,235 |
6,163 |
$23K |
| 86803 |
|
4,830 |
4,779 |
$23K |
| 72100 |
|
1,630 |
1,611 |
$22K |
| 93017 |
|
1,850 |
1,793 |
$22K |
| 70551 |
|
191 |
190 |
$22K |
| 73502 |
|
1,689 |
1,597 |
$21K |
| 87502 |
|
5,558 |
5,414 |
$21K |
| 83001 |
|
2,581 |
2,556 |
$20K |
| 97035 |
|
3,465 |
1,085 |
$20K |
| 71271 |
|
307 |
307 |
$18K |
| G0009 |
Admin pneumococcal vaccine |
2,286 |
2,284 |
$18K |
| 84144 |
|
2,212 |
2,098 |
$18K |
| 83550 |
|
5,894 |
5,750 |
$18K |
| 99383 |
|
259 |
258 |
$17K |
| 83002 |
|
2,216 |
2,192 |
$17K |
| 87636 |
|
252 |
249 |
$17K |
| 90671 |
|
67 |
67 |
$17K |
| 83540 |
|
7,598 |
7,372 |
$17K |
| 72125 |
|
3,069 |
2,974 |
$17K |
| 76817 |
|
3,121 |
2,823 |
$17K |
| G0482 |
Drug test def 15-21 classes |
645 |
630 |
$16K |
| 80074 |
|
967 |
961 |
$16K |
| 73564 |
|
1,439 |
1,297 |
$16K |
| 76775 |
|
827 |
793 |
$16K |
| 87340 |
|
4,008 |
3,954 |
$16K |
| 70491 |
|
189 |
183 |
$15K |
| 72131 |
|
544 |
538 |
$15K |
| 82746 |
|
2,943 |
2,893 |
$15K |
| 87186 |
|
5,118 |
4,922 |
$15K |
| 77334 |
|
34 |
27 |
$14K |
| 72110 |
|
607 |
606 |
$14K |
| 84481 |
|
2,051 |
2,021 |
$14K |
| 84146 |
|
1,701 |
1,664 |
$13K |
| G0103 |
Psa screening |
1,816 |
1,808 |
$13K |
| 86376 |
|
2,259 |
2,249 |
$13K |
| 82105 |
|
1,752 |
1,734 |
$13K |
| 81001 |
|
28,504 |
26,333 |
$12K |
| 77336 |
|
186 |
95 |
$12K |
| 86762 |
|
2,424 |
2,387 |
$12K |
| 87077 |
|
5,127 |
4,930 |
$11K |
| 86038 |
|
2,722 |
2,691 |
$11K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
10,708 |
10,239 |
$11K |
| G0480 |
Drug test def 1-7 classes |
9,850 |
7,476 |
$11K |
| 86800 |
|
1,661 |
1,650 |
$11K |
| 85027 |
|
8,091 |
7,428 |
$11K |
| 62321 |
|
28 |
26 |
$10K |
| 74018 |
|
1,055 |
1,010 |
$10K |
| 82270 |
|
189 |
177 |
$10K |
| 84480 |
|
1,675 |
1,653 |
$9K |
| 83516 |
|
795 |
749 |
$9K |
| 87661 |
|
873 |
863 |
$9K |
| 86235 |
|
398 |
393 |
$9K |
| 81025 |
|
3,744 |
3,639 |
$9K |
| 87081 |
|
3,849 |
3,737 |
$8K |
| 87634 |
|
1,266 |
1,248 |
$8K |
| 73590 |
|
1,717 |
1,572 |
$8K |
| 88342 |
|
648 |
631 |
$8K |
| 76770 |
|
149 |
148 |
$8K |
| 82247 |
|
4,848 |
4,310 |
$8K |
| 83735 |
|
12,517 |
10,933 |
$8K |
| 90670 |
|
2,514 |
2,505 |
$8K |
| 87880 |
|
1,672 |
1,609 |
$7K |
| 86140 |
|
5,589 |
5,189 |
$7K |
| G0481 |
Drug test def 8-14 classes |
329 |
323 |
$7K |
| 73080 |
|
1,137 |
1,069 |
$7K |
| 83655 |
|
1,727 |
1,712 |
$7K |
| 86787 |
|
1,499 |
1,474 |
$7K |
| 82785 |
|
883 |
864 |
$7K |
| 86003 |
|
241 |
198 |
$7K |
| 74178 |
|
38 |
38 |
$7K |
| 73090 |
|
1,291 |
1,173 |
$6K |
| 81003 |
|
10,125 |
9,923 |
$6K |
| 69210 |
|
809 |
791 |
$6K |
| 83880 |
|
4,285 |
4,037 |
$6K |
| 86696 |
|
672 |
629 |
$6K |
| 87653 |
|
463 |
449 |
$6K |
| G0121 |
Colon ca scrn not hi rsk ind |
13 |
13 |
$6K |
| 84402 |
|
716 |
707 |
$6K |
| 87147 |
|
2,862 |
2,757 |
$6K |
| 90620 |
|
259 |
258 |
$6K |
| 82043 |
|
3,032 |
2,991 |
$6K |
| 82570 |
|
2,963 |
2,803 |
$6K |
| 94640 |
|
7,842 |
5,505 |
$6K |
| 96367 |
|
635 |
573 |
$6K |
| 88307 |
|
275 |
268 |
$5K |
| 83970 |
|
353 |
337 |
$5K |
| 80055 |
|
295 |
295 |
$5K |
| 84450 |
|
8,733 |
8,129 |
$5K |
| 95811 |
|
12 |
12 |
$5K |
| 99382 |
|
77 |
77 |
$5K |
| 99386 |
|
87 |
86 |
$5K |
| 97116 |
|
813 |
441 |
$5K |
| 82950 |
|
2,127 |
2,110 |
$5K |
| 86592 |
|
1,903 |
1,890 |
$5K |
| 77080 |
|
82 |
80 |
$5K |
| 97014 |
|
652 |
204 |
$5K |
| 83690 |
|
15,248 |
13,922 |
$5K |
| 85652 |
|
6,108 |
5,676 |
$4K |
| 87075 |
|
1,946 |
1,687 |
$4K |
| 82565 |
|
3,531 |
3,273 |
$4K |
| 95819 |
|
105 |
97 |
$4K |
| 84484 |
|
15,029 |
10,475 |
$4K |
| U0005 |
Infec agen detec ampli probe |
492 |
484 |
$4K |
| 86850 |
|
4,444 |
4,268 |
$4K |
| G0328 |
Fecal blood scrn immunoassay |
693 |
688 |
$4K |
| M0245 |
Bamlan and etesev infusion |
22 |
22 |
$4K |
| 74022 |
|
2,781 |
2,651 |
$4K |
| 99384 |
|
63 |
62 |
$4K |
| 85610 |
|
14,209 |
12,781 |
$4K |
| 87660 |
|
358 |
354 |
$4K |
| 87480 |
|
358 |
354 |
$4K |
| 84460 |
|
8,572 |
8,001 |
$4K |
| 80076 |
|
2,129 |
1,933 |
$4K |
| 86695 |
|
594 |
561 |
$4K |
| 90474 |
|
981 |
979 |
$4K |
| 88304 |
|
1,136 |
1,089 |
$4K |
| 72170 |
|
1,219 |
1,183 |
$4K |
| 93975 |
|
38 |
36 |
$4K |
| 31500 |
|
87 |
76 |
$3K |
| 84153 |
|
521 |
504 |
$3K |
| Q9969 |
Non-heu tc-99m add-on/dose |
413 |
410 |
$3K |
| 86901 |
|
7,764 |
7,391 |
$3K |
| 84075 |
|
2,898 |
2,706 |
$3K |
| 95713 |
|
12 |
12 |
$3K |
| 77470 |
|
12 |
12 |
$3K |
| 84550 |
|
1,832 |
1,683 |
$3K |
| J3490 |
Drugs unclassified injection |
19,089 |
9,943 |
$3K |
| 87510 |
|
283 |
279 |
$3K |
| 82550 |
|
4,412 |
3,975 |
$3K |
| 97166 |
|
100 |
96 |
$3K |
| 85730 |
|
10,501 |
9,593 |
$3K |
| 82150 |
|
2,921 |
2,812 |
$3K |
| 90688 |
|
163 |
163 |
$3K |
| 83721 |
|
759 |
749 |
$3K |
| 84520 |
|
2,888 |
2,654 |
$3K |
| 86431 |
|
1,497 |
1,484 |
$3K |
| 83525 |
|
471 |
470 |
$3K |
| 93351 |
|
12 |
12 |
$3K |
| 82248 |
|
8,716 |
7,930 |
$3K |
| 11042 |
|
19 |
13 |
$2K |
| 86200 |
|
544 |
538 |
$2K |
| 86769 |
|
147 |
143 |
$2K |
| 90656 |
|
107 |
107 |
$2K |
| 86706 |
|
633 |
622 |
$2K |
| 72040 |
|
196 |
196 |
$2K |
| 12001 |
|
501 |
489 |
$2K |
| 87205 |
|
2,293 |
2,017 |
$2K |
| 84100 |
|
2,731 |
2,321 |
$2K |
| 10061 |
|
15 |
12 |
$2K |
| 86160 |
|
176 |
173 |
$2K |
| 86300 |
|
153 |
127 |
$2K |
| 95700 |
|
25 |
25 |
$2K |
| 74183 |
|
12 |
12 |
$2K |
| Q9950 |
Inj sulf hexa lipid microsph |
474 |
453 |
$2K |
| 87804 |
|
375 |
259 |
$2K |
| 83615 |
|
1,301 |
1,193 |
$2K |
| 80051 |
|
2,571 |
2,315 |
$2K |
| G2066 |
Inter devc remote 30d |
83 |
83 |
$2K |
| 76811 |
|
13 |
13 |
$2K |
| M0247 |
Sotrovimab infusion |
12 |
12 |
$2K |
| Q9957 |
Inj perflutren lip micros,ml |
49 |
49 |
$2K |
| 94760 |
|
1,795 |
1,130 |
$2K |
| 73552 |
|
241 |
226 |
$2K |
| A9270 |
Non-covered item or service |
80,126 |
20,708 |
$2K |
| Q3014 |
Telehealth facility fee |
300 |
281 |
$2K |
| 84165 |
|
407 |
402 |
$2K |
| G0279 |
Tomosynthesis, mammo |
128 |
127 |
$1K |
| 90651 |
|
1,015 |
1,012 |
$1K |
| 74019 |
|
615 |
590 |
$1K |
| 86225 |
|
239 |
237 |
$1K |
| 80164 |
|
1,052 |
914 |
$1K |
| G0297 |
Ldct for lung ca screen |
40 |
40 |
$1K |
| 86308 |
|
510 |
499 |
$1K |
| 90734 |
|
626 |
625 |
$1K |
| 86480 |
|
38 |
38 |
$1K |
| 82533 |
|
181 |
162 |
$1K |
| 76870 |
|
108 |
104 |
$1K |
| 87801 |
|
135 |
133 |
$1K |
| 73560 |
|
83 |
72 |
$1K |
| 82784 |
|
121 |
115 |
$1K |
| 12002 |
|
160 |
156 |
$1K |
| 84445 |
|
42 |
41 |
$1K |
| 99406 |
|
64 |
63 |
$994.79 |
| 96376 |
|
11,956 |
6,701 |
$961.45 |
| 83605 |
|
5,610 |
4,784 |
$919.49 |
| 82977 |
|
337 |
332 |
$879.45 |
| 84156 |
|
669 |
599 |
$867.79 |
| 90716 |
|
538 |
537 |
$861.76 |
| A9585 |
Gadobutrol injection |
2,400 |
2,337 |
$810.00 |
| 95861 |
|
12 |
12 |
$796.94 |
| 82140 |
|
807 |
699 |
$781.48 |
| 87046 |
|
174 |
168 |
$706.14 |
| 97161 |
|
14 |
14 |
$695.57 |
| 73700 |
|
12 |
12 |
$605.76 |
| 84436 |
|
183 |
182 |
$603.00 |
| J2272 |
Inj, morphine (fresenius) |
1,671 |
1,122 |
$594.01 |
| G0123 |
Screen cerv/vag thin layer |
50 |
50 |
$585.36 |
| 82077 |
|
8,714 |
7,576 |
$554.31 |
| 82627 |
|
67 |
67 |
$513.93 |
| 73070 |
|
27 |
24 |
$505.73 |
| 85379 |
|
4,807 |
4,633 |
$504.59 |
| 82040 |
|
355 |
346 |
$496.89 |
| 90791 |
|
23 |
23 |
$478.65 |
| 86141 |
|
110 |
104 |
$474.53 |
| 87045 |
|
173 |
168 |
$465.10 |
| 80143 |
|
7,061 |
6,487 |
$464.97 |
| 96380 |
|
34 |
34 |
$462.64 |
| 86364 |
|
45 |
45 |
$441.24 |
| 87807 |
|
116 |
108 |
$430.22 |
| 85046 |
|
313 |
279 |
$418.56 |
| 80179 |
|
6,906 |
6,364 |
$414.15 |
| 12011 |
|
168 |
166 |
$405.00 |
| 97022 |
|
60 |
14 |
$399.82 |
| 93010 |
|
100 |
82 |
$394.29 |
| 88112 |
|
50 |
50 |
$392.18 |
| 73060 |
|
138 |
130 |
$355.80 |
| 71101 |
|
28 |
27 |
$347.64 |
| 72128 |
|
27 |
27 |
$332.31 |
| 81015 |
|
974 |
915 |
$326.83 |
| 83520 |
|
54 |
53 |
$323.86 |
| 86665 |
|
25 |
25 |
$316.86 |
| 82652 |
|
42 |
42 |
$297.85 |
| 72050 |
|
12 |
12 |
$286.28 |
| C9803 |
Hopd covid-19 spec collect |
20 |
20 |
$281.34 |
| 87427 |
|
118 |
114 |
$270.84 |
| 82962 |
|
327 |
290 |
$247.84 |
| J2359 |
Inj. olanzapine, 0.5mg |
408 |
239 |
$234.47 |
| 87651 |
|
710 |
701 |
$231.53 |
| 58300 |
|
12 |
12 |
$216.73 |
| 84466 |
|
59 |
59 |
$216.55 |
| 90710 |
|
334 |
333 |
$208.10 |
| 85613 |
|
42 |
36 |
$194.31 |
| 86765 |
|
41 |
39 |
$188.35 |
| 72070 |
|
13 |
13 |
$180.11 |
| 72072 |
|
18 |
17 |
$177.69 |
| 70480 |
|
12 |
12 |
$173.97 |
| 29125 |
|
315 |
304 |
$167.37 |
| 87798 |
|
12 |
12 |
$161.77 |
| J2785 |
Regadenoson injection |
260 |
259 |
$161.51 |
| 86735 |
|
27 |
25 |
$153.70 |
| G0238 |
Oth resp proc, indiv |
31 |
24 |
$148.50 |
| 96127 |
|
18 |
18 |
$147.98 |
| 73600 |
|
40 |
37 |
$144.02 |
| 87040 |
|
2,677 |
1,914 |
$133.83 |
| 99024 |
|
33 |
31 |
$129.00 |
| 76000 |
|
17 |
17 |
$124.16 |
| 97535 |
|
55 |
50 |
$119.03 |
| 86694 |
|
15 |
15 |
$118.22 |
| 86704 |
|
52 |
52 |
$106.04 |
| 73000 |
|
16 |
13 |
$89.44 |
| 85384 |
|
70 |
62 |
$86.97 |
| J2358 |
Olanzapine long-acting inj |
151 |
112 |
$84.82 |
| 80178 |
|
132 |
124 |
$77.65 |
| 85651 |
|
110 |
108 |
$54.02 |
| 87493 |
|
13 |
12 |
$51.36 |
| 86705 |
|
12 |
12 |
$47.88 |
| 98928 |
|
29 |
26 |
$40.56 |
| 87209 |
|
26 |
26 |
$36.42 |
| 90715 |
|
2,974 |
2,949 |
$34.81 |
| 82378 |
|
12 |
12 |
$31.77 |
| J7512 |
Prednisone ir or dr oral 1mg |
2,119 |
1,933 |
$31.50 |
| J7120 |
Ringers lactate infusion |
10,295 |
9,312 |
$30.00 |
| 87389 |
|
15 |
15 |
$25.36 |
| 89055 |
|
27 |
25 |
$21.19 |
| J2405 |
Ondansetron hcl injection |
15,523 |
12,813 |
$18.20 |
| 87177 |
|
26 |
26 |
$18.03 |
| 87185 |
|
14 |
14 |
$15.75 |
| J2250 |
Inj midazolam hydrochloride |
5,489 |
5,185 |
$13.57 |
| J1885 |
Ketorolac tromethamine inj |
15,101 |
13,366 |
$12.00 |
| 82310 |
|
25 |
25 |
$11.70 |
| 81002 |
|
119 |
113 |
$10.63 |
| J2930 |
Methylprednisolone injection |
1,437 |
1,296 |
$10.20 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
176 |
151 |
$9.31 |
| 87449 |
|
283 |
274 |
$7.89 |
| J7030 |
Normal saline solution infus |
18,360 |
14,876 |
$7.15 |
| Q0163 |
Diphenhydramine hcl 50mg |
144 |
118 |
$7.00 |
| J2060 |
Lorazepam injection |
4,580 |
3,056 |
$5.42 |
| 82010 |
|
28 |
26 |
$4.78 |
| 85018 |
|
109 |
67 |
$4.34 |
| J0689 |
Inj cefazolin sodium, baxter |
33 |
33 |
$2.78 |
| J1815 |
Insulin injection |
637 |
300 |
$0.83 |
| J2270 |
Morphine sulfate injection |
8,192 |
5,670 |
$0.82 |
| J1100 |
Dexamethasone sodium phos |
6,748 |
6,345 |
$0.23 |
| 90461 |
|
2,728 |
2,714 |
$0.18 |
| J1644 |
Inj heparin sodium per 1000u |
1,416 |
707 |
$0.00 |
| 90633 |
|
1,140 |
1,137 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
1,163 |
1,148 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
162 |
157 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
325 |
216 |
$0.00 |
| 99152 |
|
1,417 |
1,321 |
$0.00 |
| 90707 |
|
577 |
576 |
$0.00 |
| 90681 |
|
991 |
989 |
$0.00 |
| 90700 |
|
420 |
420 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
3,042 |
1,761 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
263 |
251 |
$0.00 |
| 85014 |
|
27 |
14 |
$0.00 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
348 |
194 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
3,652 |
3,180 |
$0.00 |
| J1953 |
Levetiracetam injection |
71 |
62 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
734 |
381 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
690 |
673 |
$0.00 |
| J7040 |
Normal saline solution infus |
2,170 |
1,953 |
$0.00 |
| A9552 |
F18 fdg |
126 |
126 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
30 |
18 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
949 |
883 |
$0.00 |
| 98927 |
|
29 |
24 |
$0.00 |
| J2310 |
Inj naloxone hydrochloride |
12 |
12 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
276 |
189 |
$0.00 |
| 90685 |
|
16 |
16 |
$0.00 |
| 84145 |
|
31 |
30 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
61 |
57 |
$0.00 |
| 93356 |
|
13 |
13 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
12 |
12 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
13 |
12 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
53 |
53 |
$0.00 |
| Q0144 |
Azithromycin dihydrate, oral |
15 |
15 |
$0.00 |
| 90647 |
|
1,949 |
1,943 |
$0.00 |
| J1170 |
Hydromorphone injection |
2,430 |
2,092 |
$0.00 |
| 90723 |
|
1,738 |
1,735 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
2,519 |
2,154 |
$0.00 |
| J2001 |
Lidocaine injection |
4,207 |
3,975 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
3,695 |
3,003 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
5,492 |
5,032 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
2,787 |
2,458 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
1,092 |
1,059 |
$0.00 |
| J7050 |
Normal saline solution infus |
1,232 |
956 |
$0.00 |
| J1790 |
Droperidol injection |
46 |
41 |
$0.00 |
| C1769 |
Guide wire |
433 |
421 |
$0.00 |
| G0283 |
Elec stim other than wound |
1,038 |
313 |
$0.00 |
| 96368 |
|
248 |
228 |
$0.00 |
| J3420 |
Vitamin b12 injection |
896 |
748 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
261 |
257 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
13 |
13 |
$0.00 |
| 97010 |
|
1,699 |
586 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
5,469 |
5,340 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
430 |
424 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
27 |
26 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
255 |
175 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
24 |
24 |
$0.00 |
| 99459 |
|
200 |
195 |
$0.00 |
| 90696 |
|
292 |
291 |
$0.00 |
| A9500 |
Tc99m sestamibi |
599 |
575 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
17 |
17 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
61 |
59 |
$0.00 |
| J1741 |
Ibuprofen injection |
14 |
13 |
$0.00 |
| J1630 |
Haloperidol injection |
55 |
49 |
$0.00 |
| 90632 |
|
42 |
42 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
16 |
14 |
$0.00 |
| C1889 |
Implant/insert device, noc |
112 |
112 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
52 |
49 |
$0.00 |
| 36416 |
|
22 |
22 |
$0.00 |
| 99213 |
|
56 |
55 |
$0.00 |
| 95886 |
|
12 |
12 |
$0.00 |
| 99214 |
|
103 |
100 |
$0.00 |
| J3360 |
Diazepam injection |
25 |
18 |
$0.00 |
| 64484 |
|
13 |
12 |
$0.00 |