| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 36415 |
|
79,310 |
61,672 |
$6.31M |
| 99212 |
|
44,386 |
41,871 |
$4.76M |
| 80048 |
|
50,678 |
39,133 |
$3.86M |
| J7120 |
Ringers lactate infusion |
10,120 |
8,731 |
$3.25M |
| 87880 |
|
38,689 |
37,330 |
$3.24M |
| 80053 |
|
55,927 |
46,127 |
$3.22M |
| J7030 |
Normal saline solution infus |
14,147 |
10,459 |
$2.77M |
| 97110 |
|
46,171 |
15,506 |
$2.61M |
| 70553 |
|
2,129 |
2,028 |
$2.36M |
| 99282 |
|
10,401 |
9,771 |
$1.76M |
| 87070 |
|
31,333 |
30,193 |
$1.47M |
| 87491 |
|
16,643 |
15,701 |
$1.38M |
| G2023 |
Specimen collect covid-19 |
15,340 |
13,989 |
$1.31M |
| 99283 |
|
43,579 |
38,182 |
$1.21M |
| 92507 |
|
26,393 |
9,228 |
$1.20M |
| 97530 |
|
45,979 |
15,131 |
$1.11M |
| 81001 |
|
45,881 |
40,584 |
$990K |
| 97112 |
|
24,762 |
9,227 |
$984K |
| 94060 |
|
2,577 |
2,500 |
$983K |
| 87486 |
|
3,984 |
3,832 |
$963K |
| 99213 |
|
63,062 |
59,080 |
$933K |
| 87804 |
|
8,217 |
6,833 |
$909K |
| 93306 |
|
5,899 |
5,664 |
$861K |
| 96372 |
|
20,822 |
14,508 |
$821K |
| 99211 |
|
13,488 |
10,655 |
$783K |
| J3490 |
Drugs unclassified injection |
29,801 |
12,776 |
$779K |
| 82565 |
|
3,522 |
3,205 |
$767K |
| 78452 |
|
2,387 |
2,309 |
$730K |
| 71046 |
|
18,168 |
17,177 |
$664K |
| 87400 |
|
9,420 |
8,669 |
$656K |
| A9552 |
F18 fdg |
409 |
391 |
$639K |
| 71260 |
|
2,831 |
2,713 |
$637K |
| 82962 |
|
24,439 |
11,845 |
$574K |
| 93971 |
|
2,065 |
1,973 |
$509K |
| 77336 |
|
1,471 |
600 |
$480K |
| 71250 |
|
2,124 |
2,034 |
$443K |
| 81025 |
|
17,050 |
15,526 |
$408K |
| 80307 |
|
16,084 |
13,428 |
$407K |
| 76830 |
|
3,605 |
3,507 |
$404K |
| 93922 |
|
1,248 |
1,211 |
$395K |
| 87636 |
|
4,670 |
4,572 |
$372K |
| 99214 |
|
12,018 |
9,634 |
$371K |
| 73721 |
|
488 |
474 |
$367K |
| 0241U |
|
2,318 |
2,247 |
$341K |
| U0003 |
Cov-19 amp prb hgh thruput |
18,498 |
17,561 |
$320K |
| 73610 |
|
4,190 |
3,950 |
$308K |
| 93005 |
|
39,880 |
32,616 |
$308K |
| C9803 |
Hopd covid-19 spec collect |
4,599 |
4,447 |
$295K |
| 70450 |
|
9,952 |
9,083 |
$290K |
| 74177 |
|
6,946 |
6,571 |
$290K |
| 93296 |
|
1,473 |
1,411 |
$262K |
| 92526 |
|
3,762 |
1,662 |
$257K |
| 73630 |
|
4,503 |
4,150 |
$254K |
| 94010 |
|
1,329 |
1,291 |
$252K |
| 95886 |
|
1,731 |
1,699 |
$251K |
| 36600 |
|
1,657 |
1,401 |
$247K |
| 93970 |
|
1,179 |
1,130 |
$245K |
| 72148 |
|
544 |
530 |
$242K |
| 74018 |
|
7,301 |
6,999 |
$241K |
| 73130 |
|
3,399 |
2,917 |
$236K |
| J7040 |
Normal saline solution infus |
2,508 |
2,182 |
$231K |
| 77063 |
|
2,040 |
2,027 |
$229K |
| J7050 |
Normal saline solution infus |
2,264 |
1,636 |
$222K |
| 94664 |
|
1,035 |
1,016 |
$221K |
| 73110 |
|
2,872 |
2,669 |
$219K |
| 82803 |
|
2,616 |
2,265 |
$219K |
| 71045 |
|
22,849 |
19,747 |
$218K |
| 87088 |
|
34,097 |
30,720 |
$218K |
| 84702 |
|
7,947 |
6,101 |
$212K |
| 76705 |
|
3,034 |
2,928 |
$204K |
| 74176 |
|
4,109 |
3,887 |
$201K |
| 87077 |
|
15,720 |
13,862 |
$199K |
| 12001 |
|
1,007 |
982 |
$195K |
| 76700 |
|
1,805 |
1,744 |
$194K |
| 73030 |
|
3,634 |
3,344 |
$193K |
| 99281 |
|
1,078 |
997 |
$178K |
| 99284 |
|
30,488 |
26,759 |
$178K |
| 97116 |
|
13,042 |
6,151 |
$177K |
| 96365 |
|
10,704 |
8,587 |
$174K |
| 72100 |
|
4,230 |
4,074 |
$174K |
| 88305 |
|
6,128 |
5,052 |
$172K |
| 87624 |
|
3,854 |
3,717 |
$164K |
| 85025 |
|
98,731 |
76,622 |
$160K |
| 73140 |
|
1,350 |
1,313 |
$159K |
| 73562 |
|
3,504 |
2,863 |
$159K |
| 76641 |
|
2,640 |
2,066 |
$158K |
| 11042 |
|
179 |
134 |
$154K |
| 70551 |
|
627 |
584 |
$154K |
| 87653 |
|
3,504 |
3,432 |
$142K |
| 77067 |
|
4,727 |
4,596 |
$138K |
| G2066 |
Inter devc remote 30d |
1,129 |
1,075 |
$137K |
| 93880 |
|
654 |
623 |
$136K |
| 73560 |
|
2,703 |
2,412 |
$131K |
| 76536 |
|
1,446 |
1,410 |
$130K |
| G0378 |
Hospital observation per hr |
14,293 |
8,484 |
$127K |
| 72141 |
|
236 |
227 |
$121K |
| 73090 |
|
1,066 |
1,017 |
$117K |
| 71275 |
|
2,603 |
2,443 |
$113K |
| 72040 |
|
1,756 |
1,677 |
$111K |
| 84443 |
|
23,192 |
21,793 |
$110K |
| 87210 |
|
2,507 |
2,378 |
$110K |
| 99285 |
|
16,787 |
14,753 |
$106K |
| 93299 |
|
423 |
417 |
$102K |
| 97162 |
|
2,892 |
2,699 |
$100K |
| 94618 |
|
1,851 |
1,793 |
$98K |
| 87340 |
|
6,263 |
5,866 |
$98K |
| 73080 |
|
1,250 |
1,191 |
$98K |
| 12011 |
|
480 |
465 |
$95K |
| 93925 |
|
1,040 |
1,009 |
$92K |
| 87633 |
|
4,460 |
4,325 |
$86K |
| 97140 |
|
13,639 |
4,419 |
$86K |
| 73502 |
|
2,271 |
2,140 |
$85K |
| 81003 |
|
3,241 |
2,921 |
$83K |
| 96374 |
|
19,569 |
16,806 |
$80K |
| 94640 |
|
17,720 |
12,328 |
$78K |
| 76770 |
|
871 |
844 |
$74K |
| 70486 |
|
624 |
594 |
$72K |
| 73590 |
|
1,467 |
1,334 |
$72K |
| 80074 |
|
1,579 |
1,476 |
$65K |
| 76856 |
|
1,943 |
1,897 |
$60K |
| 72050 |
|
761 |
736 |
$57K |
| A9597 |
Pet, dx, for tumor id, noc |
415 |
393 |
$56K |
| 86762 |
|
4,875 |
4,554 |
$55K |
| 98960 |
|
767 |
754 |
$55K |
| 87635 |
|
6,186 |
5,596 |
$54K |
| 97161 |
|
2,425 |
2,254 |
$54K |
| 96361 |
|
19,697 |
14,375 |
$54K |
| 77062 |
|
257 |
249 |
$52K |
| 92508 |
|
1,189 |
447 |
$51K |
| 76817 |
|
1,843 |
1,595 |
$51K |
| 97535 |
|
8,629 |
4,898 |
$50K |
| 10060 |
|
298 |
282 |
$50K |
| 93458 |
|
464 |
420 |
$48K |
| 88142 |
|
7,756 |
7,401 |
$48K |
| 97166 |
|
1,729 |
1,550 |
$48K |
| 95810 |
|
156 |
154 |
$47K |
| 76775 |
|
773 |
736 |
$45K |
| 72125 |
|
2,996 |
2,811 |
$41K |
| 95816 |
|
252 |
239 |
$40K |
| 87807 |
|
943 |
933 |
$38K |
| 77066 |
Tomosynthesis, mammo |
680 |
657 |
$37K |
| 93017 |
|
2,536 |
2,448 |
$36K |
| 97597 |
|
818 |
642 |
$34K |
| 85007 |
|
7,033 |
5,670 |
$33K |
| 86850 |
|
9,463 |
8,582 |
$33K |
| J1650 |
Inj enoxaparin sodium |
7,766 |
3,069 |
$33K |
| 87801 |
|
702 |
654 |
$32K |
| 93225 |
|
252 |
235 |
$32K |
| 77061 |
|
215 |
210 |
$31K |
| 72072 |
|
498 |
483 |
$31K |
| 77065 |
Tomosynthesis, mammo |
1,055 |
1,013 |
$30K |
| 85610 |
|
7,653 |
6,742 |
$30K |
| 73221 |
|
50 |
50 |
$30K |
| 96375 |
|
16,434 |
12,416 |
$30K |
| 88304 |
|
789 |
731 |
$29K |
| 71101 |
|
462 |
433 |
$28K |
| 43239 |
|
1,814 |
1,758 |
$28K |
| 86592 |
|
2,261 |
2,165 |
$27K |
| 87641 |
|
2,804 |
2,589 |
$27K |
| 87389 |
|
6,716 |
6,360 |
$27K |
| A9270 |
Non-covered item or service |
36,621 |
19,765 |
$26K |
| 96376 |
|
8,026 |
4,648 |
$26K |
| 80061 |
|
14,374 |
13,708 |
$25K |
| 45378 |
|
994 |
964 |
$25K |
| 82306 |
|
5,599 |
5,413 |
$25K |
| J2704 |
Inj, propofol, 10 mg |
16,150 |
12,777 |
$25K |
| 43235 |
|
1,423 |
1,373 |
$24K |
| 96360 |
|
6,729 |
5,966 |
$23K |
| J2270 |
Morphine sulfate injection |
13,703 |
9,215 |
$22K |
| 99202 |
|
221 |
217 |
$21K |
| 84439 |
|
5,654 |
5,314 |
$21K |
| 83516 |
|
793 |
749 |
$21K |
| 99215 |
Prolong outpt/office vis |
761 |
739 |
$20K |
| 97533 |
|
4,293 |
1,998 |
$20K |
| S9152 |
Speech therapy, re-eval |
501 |
481 |
$19K |
| 82728 |
|
4,462 |
4,172 |
$19K |
| 82607 |
|
3,432 |
3,255 |
$18K |
| 87505 |
|
282 |
269 |
$18K |
| 84484 |
|
20,779 |
15,422 |
$17K |
| 87420 |
|
1,258 |
1,205 |
$17K |
| 84132 |
|
950 |
688 |
$17K |
| 97016 |
|
129 |
57 |
$17K |
| J2405 |
Ondansetron hcl injection |
19,038 |
14,743 |
$17K |
| 85027 |
|
13,110 |
10,755 |
$16K |
| 70496 |
|
222 |
206 |
$14K |
| 29581 |
|
595 |
316 |
$14K |
| 97168 |
|
476 |
464 |
$14K |
| 80076 |
|
9,418 |
8,679 |
$14K |
| 96366 |
|
4,531 |
2,735 |
$14K |
| 93242 |
|
92 |
91 |
$13K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
18,394 |
14,937 |
$13K |
| 85379 |
|
4,689 |
4,392 |
$13K |
| 87661 |
|
5,530 |
5,288 |
$13K |
| 76805 |
|
144 |
136 |
$13K |
| 83735 |
|
12,594 |
9,349 |
$13K |
| J1815 |
Insulin injection |
5,170 |
2,160 |
$12K |
| 76937 |
|
547 |
486 |
$12K |
| 80069 |
|
1,067 |
991 |
$12K |
| 83880 |
|
6,878 |
5,792 |
$12K |
| 12002 |
|
82 |
79 |
$11K |
| 99203 |
|
371 |
348 |
$11K |
| 87040 |
|
5,251 |
4,132 |
$11K |
| 87798 |
|
4,007 |
3,888 |
$11K |
| J0696 |
Ceftriaxone sodium injection |
7,368 |
5,418 |
$11K |
| 83036 |
|
9,753 |
9,204 |
$10K |
| 82570 |
|
4,611 |
4,180 |
$10K |
| 92610 |
|
183 |
172 |
$10K |
| 36416 |
|
782 |
577 |
$9K |
| 73552 |
|
294 |
275 |
$9K |
| 86780 |
|
5,264 |
4,899 |
$9K |
| 77334 |
|
183 |
128 |
$9K |
| 74019 |
|
443 |
424 |
$9K |
| J2060 |
Lorazepam injection |
2,816 |
2,126 |
$9K |
| 80047 |
|
86 |
79 |
$8K |
| 97165 |
|
440 |
409 |
$8K |
| 86140 |
|
4,793 |
4,418 |
$8K |
| 77300 |
|
48 |
40 |
$8K |
| 72170 |
|
235 |
220 |
$8K |
| 83690 |
|
17,063 |
15,060 |
$8K |
| 73521 |
|
225 |
217 |
$8K |
| 87075 |
|
1,787 |
1,682 |
$7K |
| 73700 |
|
52 |
51 |
$7K |
| J1885 |
Ketorolac tromethamine inj |
10,836 |
9,198 |
$7K |
| 86431 |
|
757 |
682 |
$7K |
| 77412 |
|
1,122 |
111 |
$7K |
| 84550 |
|
2,753 |
2,415 |
$7K |
| 94726 |
|
1,215 |
1,192 |
$7K |
| 82247 |
|
1,317 |
940 |
$7K |
| 74022 |
|
712 |
665 |
$7K |
| 78815 |
|
391 |
374 |
$7K |
| 99152 |
|
2,443 |
2,218 |
$7K |
| 59025 |
|
76 |
66 |
$7K |
| 82043 |
|
1,289 |
1,269 |
$7K |
| 92607 |
|
94 |
58 |
$7K |
| 82270 |
|
53 |
51 |
$7K |
| 83605 |
|
3,630 |
2,912 |
$6K |
| 69209 |
|
51 |
42 |
$6K |
| 87205 |
|
3,363 |
3,130 |
$6K |
| J3590 |
Unclassified biologics |
2,000 |
1,049 |
$6K |
| 85652 |
|
4,800 |
4,415 |
$6K |
| P9016 |
Rbc leukocytes reduced |
299 |
212 |
$6K |
| J1100 |
Dexamethasone sodium phos |
14,951 |
13,206 |
$6K |
| 83540 |
|
4,134 |
3,882 |
$6K |
| 88307 |
|
532 |
410 |
$5K |
| 76642 |
|
91 |
84 |
$5K |
| 97164 |
|
187 |
175 |
$5K |
| J2250 |
Inj midazolam hydrochloride |
6,404 |
5,851 |
$5K |
| 94200 |
|
2,339 |
1,174 |
$5K |
| A9500 |
Tc99m sestamibi |
1,970 |
1,895 |
$5K |
| 95012 |
|
518 |
502 |
$5K |
| 83615 |
|
2,734 |
2,313 |
$5K |
| 87081 |
|
288 |
285 |
$5K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
2,346 |
2,113 |
$5K |
| 87150 |
|
106 |
104 |
$5K |
| 86308 |
|
269 |
263 |
$5K |
| 76870 |
|
67 |
64 |
$5K |
| 99406 |
|
1,060 |
929 |
$4K |
| 85014 |
|
2,548 |
1,823 |
$4K |
| J7060 |
5% dextrose/water |
25 |
13 |
$4K |
| J1940 |
Furosemide injection |
2,223 |
1,174 |
$4K |
| J2930 |
Methylprednisolone injection |
2,752 |
2,232 |
$4K |
| 84100 |
|
3,233 |
2,374 |
$4K |
| J2920 |
Methylprednisolone injection |
205 |
64 |
$4K |
| 51701 |
|
1,286 |
1,224 |
$4K |
| 82150 |
|
1,216 |
1,142 |
$4K |
| 95811 |
|
16 |
15 |
$4K |
| 80164 |
|
651 |
574 |
$4K |
| 76801 |
|
71 |
66 |
$4K |
| 73660 |
|
58 |
53 |
$3K |
| 84145 |
|
2,160 |
1,784 |
$3K |
| 93351 |
|
15 |
14 |
$3K |
| 86003 |
|
133 |
106 |
$3K |
| 92523 |
|
12 |
12 |
$3K |
| 86901 |
|
10,225 |
9,228 |
$3K |
| 85018 |
|
5,654 |
4,682 |
$3K |
| J3480 |
Inj potassium chloride |
701 |
433 |
$3K |
| 45385 |
|
149 |
140 |
$3K |
| 82550 |
|
1,824 |
1,471 |
$2K |
| 78264 |
|
12 |
12 |
$2K |
| J1170 |
Hydromorphone injection |
4,385 |
2,622 |
$2K |
| J3475 |
Inj magnesium sulfate |
1,070 |
828 |
$2K |
| J2550 |
Promethazine hcl injection |
3,684 |
2,931 |
$2K |
| J1644 |
Inj heparin sodium per 1000u |
6,153 |
3,011 |
$2K |
| 83655 |
|
1,542 |
1,527 |
$2K |
| 86038 |
|
1,264 |
1,226 |
$2K |
| 93298 |
|
46 |
42 |
$2K |
| J2543 |
Piperacillin/tazobactam |
106 |
41 |
$2K |
| 96523 |
|
15 |
12 |
$2K |
| 96367 |
|
1,766 |
1,338 |
$2K |
| J7512 |
Prednisone ir or dr oral 1mg |
1,465 |
769 |
$2K |
| J0689 |
Inj cefazolin sodium, baxter |
1,159 |
1,029 |
$2K |
| 87591 |
|
16,541 |
15,589 |
$2K |
| 94729 |
|
2,440 |
2,367 |
$2K |
| 93926 |
|
13 |
12 |
$2K |
| 87186 |
|
10,822 |
9,678 |
$2K |
| 99291 |
|
248 |
222 |
$2K |
| 90471 |
|
1,961 |
1,753 |
$2K |
| 86703 |
|
102 |
96 |
$2K |
| 95911 |
|
191 |
190 |
$2K |
| 96413 |
|
651 |
352 |
$2K |
| 84146 |
|
300 |
286 |
$2K |
| 94727 |
|
811 |
784 |
$2K |
| 72070 |
|
26 |
24 |
$2K |
| J3010 |
Fentanyl citrate injection |
11,625 |
9,272 |
$2K |
| 87493 |
|
45 |
42 |
$1K |
| J1200 |
Diphenhydramine hcl injectio |
5,480 |
4,189 |
$1K |
| Q9969 |
Non-heu tc-99m add-on/dose |
2,216 |
2,110 |
$1K |
| 73060 |
|
14 |
14 |
$1K |
| J2785 |
Regadenoson injection |
1,884 |
1,828 |
$1K |
| 82784 |
|
737 |
669 |
$1K |
| 70498 |
|
227 |
211 |
$1K |
| 90686 |
|
176 |
162 |
$1K |
| J0360 |
Hydralazine hcl injection |
380 |
279 |
$1K |
| 83550 |
|
3,584 |
3,385 |
$1K |
| 82533 |
|
258 |
189 |
$1K |
| 86803 |
|
3,499 |
3,366 |
$1K |
| 97163 |
|
41 |
41 |
$1K |
| 83970 |
|
792 |
739 |
$1K |
| 97167 |
|
54 |
52 |
$1K |
| 82950 |
|
3,687 |
3,574 |
$1K |
| 94728 |
|
66 |
66 |
$1K |
| 84153 |
|
639 |
614 |
$987.17 |
| 86580 |
|
1,254 |
1,034 |
$972.92 |
| 86900 |
|
9,580 |
8,621 |
$948.72 |
| 76857 |
|
32 |
30 |
$938.27 |
| J0744 |
Ciprofloxacin iv |
179 |
114 |
$920.12 |
| J2919 |
Inj, methylpred sod succ 5mg |
308 |
212 |
$916.72 |
| 84156 |
|
2,906 |
2,499 |
$883.15 |
| 87581 |
|
3,887 |
3,782 |
$844.36 |
| 86255 |
|
91 |
91 |
$837.17 |
| 85730 |
|
3,698 |
3,319 |
$828.13 |
| 84402 |
|
181 |
178 |
$813.90 |
| 29125 |
|
206 |
200 |
$761.02 |
| 97755 |
|
26 |
12 |
$716.47 |
| 87428 |
|
12 |
12 |
$662.92 |
| 90715 |
|
1,741 |
1,667 |
$634.41 |
| 82105 |
|
58 |
56 |
$617.70 |
| 87522 |
Neg quan hep c or qual rna |
38 |
37 |
$614.39 |
| 83001 |
|
156 |
153 |
$595.59 |
| 72082 |
|
12 |
12 |
$576.76 |
| 41899 |
|
379 |
352 |
$487.17 |
| 82044 |
|
175 |
168 |
$478.86 |
| J2791 |
Rhophylac injection |
213 |
209 |
$471.37 |
| J3370 |
Vancomycin hcl injection |
2,038 |
1,233 |
$462.34 |
| J7999 |
Compounded drug, noc |
672 |
591 |
$461.76 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
388 |
333 |
$461.76 |
| 96160 |
|
631 |
622 |
$436.59 |
| J2710 |
Neostigmine methylslfte inj |
208 |
192 |
$401.93 |
| 86706 |
|
14 |
12 |
$370.35 |
| 83520 |
|
13 |
12 |
$340.98 |
| 82746 |
|
2,037 |
1,919 |
$339.54 |
| P9021 |
Red blood cells unit |
67 |
44 |
$335.62 |
| J2360 |
Orphenadrine injection |
1,486 |
1,366 |
$326.86 |
| 82951 |
|
478 |
470 |
$299.48 |
| 88342 |
|
820 |
674 |
$292.42 |
| C1769 |
Guide wire |
1,638 |
1,459 |
$253.72 |
| 74230 |
|
12 |
12 |
$251.27 |
| 84403 |
|
382 |
370 |
$241.14 |
| 82947 |
|
106 |
98 |
$235.54 |
| J3105 |
Terbutaline sulfate inj |
13 |
12 |
$222.72 |
| 86769 |
|
12 |
12 |
$219.77 |
| J0131 |
Inj, acetaminophen (nos) |
1,366 |
1,158 |
$218.58 |
| 91200 |
|
17 |
13 |
$207.04 |
| 82140 |
|
221 |
176 |
$168.31 |
| 89051 |
|
12 |
12 |
$154.32 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
697 |
621 |
$150.95 |
| J0780 |
Prochlorperazine injection |
1,451 |
1,297 |
$141.94 |
| 82652 |
|
55 |
55 |
$109.00 |
| 82010 |
|
829 |
734 |
$78.87 |
| 97113 |
|
33 |
12 |
$77.93 |
| 82378 |
|
155 |
110 |
$72.86 |
| 86664 |
|
14 |
14 |
$69.81 |
| A9698 |
Non-rad contrast materialnoc |
473 |
455 |
$61.25 |
| 82977 |
|
16 |
12 |
$59.98 |
| 84450 |
|
859 |
756 |
$34.13 |
| 85660 |
|
41 |
37 |
$30.55 |
| 88173 |
|
29 |
25 |
$24.02 |
| 82952 |
|
256 |
253 |
$21.54 |
| 87390 |
|
219 |
206 |
$19.34 |
| 94667 |
|
29 |
26 |
$17.85 |
| J1642 |
Inj heparin sodium per 10 u |
1,806 |
881 |
$16.94 |
| J0330 |
Succinycholine chloride inj |
1,773 |
1,633 |
$13.91 |
| 80185 |
|
34 |
26 |
$13.69 |
| J0690 |
Cefazolin sodium injection |
4,477 |
3,674 |
$4.70 |
| 85045 |
|
185 |
123 |
$4.06 |
| 82248 |
|
854 |
650 |
$3.39 |
| J1630 |
Haloperidol injection |
231 |
187 |
$2.63 |
| C1894 |
Intro/sheath, non-laser |
1,673 |
1,503 |
$0.00 |
| 84481 |
|
384 |
367 |
$0.00 |
| 84460 |
|
919 |
814 |
$0.00 |
| C1887 |
Catheter, guiding |
1,056 |
956 |
$0.00 |
| 92611 |
|
12 |
12 |
$0.00 |
| 86235 |
|
71 |
62 |
$0.00 |
| 95028 |
|
34 |
31 |
$0.00 |
| 86200 |
|
13 |
13 |
$0.00 |
| 84520 |
|
410 |
362 |
$0.00 |
| 84630 |
|
37 |
37 |
$0.00 |
| C1760 |
Closure dev, vasc |
43 |
42 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
326 |
312 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
226 |
220 |
$0.00 |
| 86923 |
|
824 |
521 |
$0.00 |
| Q9954 |
Oral mr contrast, 100 ml |
223 |
103 |
$0.00 |
| J0897 |
Denosumab injection |
12 |
12 |
$0.00 |
| J2274 |
Inj morphine pf epid ithc |
67 |
59 |
$0.00 |
| 82785 |
|
63 |
55 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
14 |
12 |
$0.00 |
| 84425 |
|
107 |
105 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
123 |
120 |
$0.00 |
| 84165 |
|
27 |
26 |
$0.00 |
| 93356 |
|
54 |
53 |
$0.00 |
| 86480 |
|
12 |
12 |
$0.00 |
| 47563 |
|
12 |
12 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
12 |
12 |
$0.00 |
| J7070 |
D5w infusion |
28 |
13 |
$0.00 |
| A9577 |
Inj multihance |
40 |
32 |
$0.00 |
| 74300 |
|
12 |
12 |
$0.00 |
| 88112 |
|
13 |
12 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
38 |
30 |
$0.00 |
| 95909 |
|
14 |
13 |
$0.00 |
| 86665 |
|
14 |
14 |
$0.00 |
| J1953 |
Levetiracetam injection |
57 |
39 |
$0.00 |
| 86039 |
|
13 |
13 |
$0.00 |
| 86231 |
|
15 |
15 |
$0.00 |
| 86696 |
|
12 |
12 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
990 |
861 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
1,970 |
1,686 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
1,032 |
931 |
$0.00 |
| 86225 |
|
84 |
79 |
$0.00 |
| J0456 |
Azithromycin |
136 |
82 |
$0.00 |
| 83002 |
|
14 |
13 |
$0.00 |
| 45380 |
|
117 |
114 |
$0.00 |
| U0005 |
Infec agen detec ampli probe |
1,145 |
979 |
$0.00 |
| J3360 |
Diazepam injection |
45 |
40 |
$0.00 |
| 36430 |
|
497 |
381 |
$0.00 |
| J0561 |
Penicillin g benzathine inj |
321 |
312 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
554 |
415 |
$0.00 |
| 29130 |
|
14 |
14 |
$0.00 |
| 86141 |
|
17 |
12 |
$0.00 |
| C9399 |
Unclassified drugs or biolog |
38 |
28 |
$0.00 |
| A9585 |
Gadobutrol injection |
1,609 |
995 |
$0.00 |
| 80177 |
|
28 |
25 |
$0.00 |
| 86160 |
|
24 |
12 |
$0.00 |
| 83021 |
|
29 |
24 |
$0.00 |
| 86300 |
|
16 |
12 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
28 |
26 |
$0.00 |
| J0500 |
Dicyclomine injection |
13 |
13 |
$0.00 |
| G0481 |
Drug test def 8-14 classes |
25 |
25 |
$0.00 |
| J1335 |
Ertapenem injection |
20 |
12 |
$0.00 |
| 84134 |
|
20 |
13 |
$0.00 |
| 86364 |
|
15 |
15 |
$0.00 |
| 90935 |
|
70 |
28 |
$0.00 |
| G0379 |
Direct refer hospital observ |
14 |
12 |
$0.00 |
| 86258 |
|
15 |
15 |
$0.00 |
| 94668 |
|
35 |
14 |
$0.00 |