| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
51,849 |
43,486 |
$26.79M |
| 99284 |
|
59,523 |
51,528 |
$17.12M |
| 99283 |
|
48,440 |
42,401 |
$9.97M |
| G0463 |
Hospital outpt clinic visit |
97,092 |
82,197 |
$9.78M |
| 96374 |
|
34,873 |
29,493 |
$5.13M |
| 74177 |
|
12,146 |
10,787 |
$2.53M |
| 43239 |
|
5,836 |
5,422 |
$2.43M |
| 45380 |
|
3,226 |
2,980 |
$2.22M |
| 96361 |
|
31,753 |
25,350 |
$1.77M |
| 11042 |
|
12,529 |
5,048 |
$1.76M |
| 95810 |
|
3,166 |
2,907 |
$1.34M |
| 71046 |
|
22,868 |
20,465 |
$1.31M |
| U0004 |
Cov-19 test non-cdc hgh thru |
20,292 |
17,438 |
$1.29M |
| 96360 |
|
8,984 |
7,878 |
$1.20M |
| 96375 |
|
25,360 |
20,350 |
$1.17M |
| 0241U |
|
10,632 |
8,790 |
$1.12M |
| 99213 |
|
39,690 |
38,588 |
$1.03M |
| 96365 |
|
8,464 |
5,888 |
$1.00M |
| 99282 |
|
7,776 |
7,116 |
$944K |
| 95811 |
|
2,158 |
1,950 |
$907K |
| 99214 |
|
21,468 |
20,588 |
$905K |
| U0003 |
Cov-19 amp prb hgh thruput |
11,200 |
9,977 |
$903K |
| 70450 |
|
13,129 |
11,489 |
$764K |
| 74176 |
|
5,127 |
4,608 |
$718K |
| 77067 |
|
6,694 |
6,419 |
$706K |
| 47562 |
|
161 |
147 |
$647K |
| 71045 |
|
13,018 |
11,399 |
$643K |
| 93975 |
|
3,125 |
2,779 |
$640K |
| 99291 |
|
1,201 |
933 |
$602K |
| 70553 |
|
1,987 |
1,761 |
$595K |
| 87637 |
|
5,545 |
5,242 |
$591K |
| 72125 |
|
4,561 |
4,012 |
$582K |
| 11043 |
|
3,021 |
1,525 |
$533K |
| 45385 |
|
1,140 |
1,069 |
$505K |
| 96413 |
|
2,918 |
1,244 |
$498K |
| 59025 |
|
2,804 |
1,897 |
$446K |
| 27447 |
|
297 |
237 |
$437K |
| 76641 |
|
4,549 |
4,249 |
$397K |
| U0005 |
Infec agen detec ampli probe |
18,580 |
16,071 |
$393K |
| 76830 |
|
3,277 |
3,016 |
$334K |
| 76700 |
|
3,457 |
3,241 |
$327K |
| 77065 |
Tomosynthesis, mammo |
3,112 |
2,714 |
$320K |
| 76856 |
|
3,309 |
3,031 |
$314K |
| 52356 |
|
93 |
78 |
$282K |
| 72148 |
|
1,935 |
1,755 |
$278K |
| 77066 |
Tomosynthesis, mammo |
2,321 |
2,117 |
$264K |
| 71275 |
|
2,040 |
1,858 |
$254K |
| 93306 |
|
1,043 |
913 |
$252K |
| 90791 |
|
6,277 |
5,234 |
$233K |
| 76642 |
|
3,495 |
3,218 |
$212K |
| 71260 |
|
1,587 |
1,402 |
$202K |
| 93971 |
|
2,903 |
2,653 |
$193K |
| 76705 |
|
2,219 |
2,031 |
$192K |
| J1439 |
Inj ferric carboxymaltos 1mg |
419 |
246 |
$186K |
| 76801 |
|
1,774 |
1,487 |
$178K |
| 73721 |
|
964 |
863 |
$175K |
| U0002 |
Covid-19 lab test non-cdc |
4,162 |
3,812 |
$169K |
| 70551 |
|
1,369 |
1,203 |
$168K |
| 76770 |
|
1,991 |
1,851 |
$162K |
| 10060 |
|
951 |
870 |
$152K |
| 58558 |
|
83 |
79 |
$149K |
| 27130 |
|
78 |
65 |
$146K |
| 45378 |
|
340 |
318 |
$134K |
| 74183 |
|
653 |
600 |
$130K |
| 72110 |
|
3,516 |
3,271 |
$115K |
| 96366 |
|
3,455 |
2,159 |
$102K |
| 99212 |
|
7,264 |
7,051 |
$99K |
| 77063 |
|
6,400 |
6,136 |
$91K |
| 73564 |
|
4,776 |
4,354 |
$86K |
| 87811 |
|
2,474 |
2,239 |
$85K |
| 78815 |
|
139 |
132 |
$85K |
| 72141 |
|
482 |
414 |
$77K |
| 97597 |
|
1,115 |
686 |
$76K |
| Q0138 |
Ferumoxytol, non-esrd |
276 |
158 |
$74K |
| 86900 |
|
5,834 |
5,051 |
$71K |
| 0001A |
|
2,287 |
2,124 |
$71K |
| 70496 |
|
520 |
467 |
$69K |
| 0002A |
|
2,140 |
2,006 |
$69K |
| 99232 |
|
3,599 |
1,487 |
$64K |
| 76816 |
|
718 |
626 |
$63K |
| 71250 |
|
1,347 |
1,223 |
$63K |
| 97161 |
|
2,697 |
2,227 |
$58K |
| 87635 |
|
1,450 |
1,365 |
$56K |
| 93005 |
|
44,688 |
37,233 |
$53K |
| 73221 |
|
277 |
243 |
$50K |
| 93970 |
|
361 |
334 |
$49K |
| 96372 |
|
10,611 |
7,932 |
$43K |
| 99233 |
Prolong inpt eval add15 m |
1,611 |
744 |
$43K |
| 96367 |
|
1,076 |
594 |
$40K |
| 72050 |
|
620 |
577 |
$39K |
| 74018 |
|
2,722 |
2,295 |
$34K |
| 76817 |
|
2,126 |
1,731 |
$34K |
| 76536 |
|
424 |
392 |
$33K |
| 19083 |
|
27 |
26 |
$31K |
| 87491 |
|
3,703 |
3,348 |
$30K |
| 88305 |
|
11,534 |
10,494 |
$30K |
| 87591 |
|
3,704 |
3,350 |
$30K |
| 73030 |
|
3,750 |
3,337 |
$30K |
| 99223 |
Prolong inpt eval add15 m |
547 |
522 |
$28K |
| 74220 |
|
283 |
267 |
$27K |
| 62323 |
|
80 |
77 |
$26K |
| 76811 |
|
215 |
186 |
$25K |
| 73630 |
|
4,357 |
4,012 |
$25K |
| 85025 |
|
92,768 |
71,244 |
$25K |
| 20553 |
|
344 |
307 |
$24K |
| J2469 |
Palonosetron hcl |
246 |
116 |
$24K |
| 36561 |
|
12 |
12 |
$24K |
| 10061 |
|
67 |
64 |
$23K |
| 80053 |
|
75,647 |
60,448 |
$23K |
| 99239 |
|
711 |
687 |
$22K |
| 96415 |
|
499 |
280 |
$21K |
| 93798 |
|
389 |
48 |
$21K |
| 97116 |
|
1,501 |
911 |
$21K |
| 73502 |
|
2,427 |
2,090 |
$20K |
| 73130 |
|
3,392 |
3,097 |
$19K |
| 43235 |
|
52 |
52 |
$19K |
| 70486 |
|
1,116 |
997 |
$19K |
| 97162 |
|
796 |
665 |
$19K |
| 76805 |
|
169 |
156 |
$19K |
| 73110 |
|
2,632 |
2,338 |
$19K |
| 74019 |
|
954 |
868 |
$18K |
| 72131 |
|
518 |
476 |
$17K |
| 0202U |
|
46 |
43 |
$17K |
| 96417 |
|
508 |
225 |
$17K |
| 77336 |
|
330 |
108 |
$17K |
| 99281 |
|
253 |
220 |
$16K |
| 73610 |
|
4,198 |
3,852 |
$16K |
| 77334 |
|
73 |
39 |
$13K |
| 93017 |
|
247 |
222 |
$13K |
| G0498 |
Chemo extend iv infus w/pump |
110 |
43 |
$12K |
| 99231 |
|
1,135 |
403 |
$12K |
| 76813 |
|
134 |
120 |
$12K |
| 99222 |
|
269 |
261 |
$11K |
| 72040 |
|
538 |
455 |
$11K |
| J0185 |
Inj., aprepitant, 1 mg |
120 |
57 |
$11K |
| 99254 |
|
119 |
115 |
$11K |
| 88342 |
|
2,583 |
2,343 |
$11K |
| 99203 |
|
427 |
407 |
$11K |
| G0279 |
Tomosynthesis, mammo |
3,950 |
3,642 |
$10K |
| 76857 |
|
108 |
105 |
$10K |
| 70491 |
|
59 |
54 |
$9K |
| 99204 |
|
406 |
375 |
$9K |
| 0031A |
|
423 |
293 |
$9K |
| 97165 |
|
227 |
208 |
$8K |
| G0121 |
Colon ca scrn not hi rsk ind |
13 |
13 |
$8K |
| 82728 |
|
1,310 |
1,189 |
$8K |
| J0897 |
Denosumab injection |
13 |
12 |
$8K |
| 72197 |
|
13 |
13 |
$7K |
| 73140 |
|
2,023 |
1,835 |
$7K |
| 78264 |
|
24 |
24 |
$7K |
| 72158 |
|
28 |
25 |
$7K |
| 72100 |
|
228 |
209 |
$7K |
| 76970 |
|
64 |
61 |
$6K |
| G0378 |
Hospital observation per hr |
10,792 |
7,023 |
$6K |
| 73080 |
|
1,282 |
1,156 |
$6K |
| M0245 |
Bamlan and etesev infusion |
21 |
16 |
$6K |
| 91040 |
|
28 |
26 |
$6K |
| 76870 |
|
183 |
165 |
$6K |
| 36415 |
|
22,278 |
15,666 |
$6K |
| 72070 |
|
164 |
155 |
$6K |
| G0260 |
Inj for sacroiliac jt anesth |
29 |
27 |
$5K |
| 0011A |
|
185 |
178 |
$5K |
| J1442 |
Inj filgrastim excl biosimil |
74 |
12 |
$5K |
| 29515 |
|
49 |
40 |
$5K |
| 83550 |
|
1,249 |
1,135 |
$5K |
| 73560 |
|
649 |
552 |
$5K |
| 78226 |
|
27 |
19 |
$5K |
| 0012A |
|
172 |
156 |
$5K |
| 96411 |
|
150 |
77 |
$5K |
| 12001 |
|
1,708 |
1,558 |
$4K |
| 97530 |
|
470 |
320 |
$4K |
| 95806 |
|
53 |
46 |
$4K |
| 73700 |
|
111 |
98 |
$4K |
| 83540 |
|
1,259 |
1,141 |
$4K |
| 80307 |
|
11,013 |
9,533 |
$4K |
| C9803 |
Hopd covid-19 spec collect |
34,402 |
29,710 |
$4K |
| 92610 |
|
58 |
52 |
$4K |
| 43450 |
|
14 |
13 |
$3K |
| 99253 |
|
68 |
44 |
$3K |
| 74240 |
|
28 |
27 |
$3K |
| 0064A |
|
77 |
77 |
$3K |
| 87651 |
|
10,055 |
9,258 |
$3K |
| 72081 |
|
29 |
29 |
$3K |
| 93308 |
|
13 |
13 |
$2K |
| 97535 |
|
115 |
87 |
$2K |
| 70498 |
|
483 |
441 |
$2K |
| 80048 |
|
16,019 |
12,655 |
$2K |
| 0004A |
|
57 |
57 |
$2K |
| 94640 |
|
8,909 |
7,126 |
$2K |
| 95816 |
|
13 |
13 |
$2K |
| 73590 |
|
625 |
561 |
$2K |
| J1447 |
Inj tbo filgrastim 1 microg |
40 |
12 |
$2K |
| 88184 |
|
14 |
14 |
$2K |
| 99241 |
|
60 |
57 |
$2K |
| 93880 |
|
14 |
14 |
$2K |
| 74181 |
|
13 |
13 |
$2K |
| 74174 |
|
15 |
12 |
$2K |
| 83735 |
|
21,457 |
16,772 |
$2K |
| 82378 |
|
326 |
268 |
$2K |
| 71100 |
|
380 |
357 |
$2K |
| 76882 |
|
24 |
24 |
$1K |
| 83036 |
|
2,558 |
2,260 |
$1K |
| 85610 |
|
14,567 |
10,996 |
$1K |
| 80061 |
|
231 |
205 |
$1K |
| 83615 |
|
1,377 |
1,055 |
$1K |
| 82784 |
|
206 |
185 |
$1K |
| 87502 |
|
2,368 |
2,210 |
$1K |
| 93976 |
|
16 |
16 |
$1K |
| 85379 |
|
4,193 |
3,805 |
$1K |
| G0480 |
Drug test def 1-7 classes |
11,613 |
9,724 |
$1K |
| 84443 |
|
2,467 |
2,146 |
$983.80 |
| 81025 |
|
26,717 |
23,389 |
$948.32 |
| 82607 |
|
162 |
150 |
$863.40 |
| 85730 |
|
2,272 |
1,961 |
$824.12 |
| 73090 |
|
274 |
249 |
$813.90 |
| 84703 |
|
2,705 |
2,478 |
$793.12 |
| 87798 |
|
366 |
314 |
$777.27 |
| 71101 |
|
112 |
108 |
$736.48 |
| 83883 |
|
90 |
71 |
$723.88 |
| J0134 |
Inj acetaminophen -fresenius |
1,789 |
1,054 |
$649.02 |
| 0054A |
|
16 |
16 |
$600.00 |
| 73660 |
|
52 |
50 |
$586.11 |
| 90686 |
|
62 |
51 |
$570.90 |
| 86780 |
|
56 |
52 |
$568.80 |
| 99242 |
|
23 |
13 |
$516.24 |
| 84484 |
|
31,180 |
21,632 |
$494.83 |
| 0003A |
|
14 |
14 |
$480.00 |
| 36591 |
|
16 |
14 |
$479.72 |
| 87641 |
|
282 |
246 |
$468.01 |
| 87086 |
|
13,696 |
12,000 |
$463.27 |
| 97150 |
|
396 |
294 |
$457.13 |
| 85045 |
|
274 |
242 |
$445.89 |
| 83690 |
|
26,528 |
22,671 |
$442.38 |
| 83880 |
|
5,469 |
4,818 |
$440.33 |
| 87077 |
|
7,967 |
7,061 |
$379.04 |
| 85652 |
|
1,646 |
1,442 |
$374.55 |
| 97110 |
|
36 |
24 |
$358.60 |
| 72170 |
|
128 |
105 |
$350.88 |
| 88360 |
|
64 |
57 |
$348.60 |
| 87880 |
|
5,695 |
5,305 |
$322.53 |
| 86850 |
|
5,120 |
4,445 |
$306.72 |
| 90715 |
|
3,448 |
3,099 |
$291.11 |
| 90471 |
|
2,436 |
2,139 |
$277.22 |
| 82962 |
|
29,993 |
14,930 |
$247.73 |
| 87186 |
|
5,037 |
4,442 |
$246.30 |
| 81001 |
|
10,587 |
9,170 |
$235.40 |
| 86901 |
|
5,842 |
5,051 |
$224.37 |
| 81003 |
|
30,271 |
26,106 |
$218.37 |
| 83605 |
|
7,985 |
6,116 |
$196.31 |
| 29125 |
|
272 |
247 |
$192.22 |
| 84702 |
|
3,447 |
2,860 |
$181.63 |
| 86140 |
|
605 |
545 |
$161.71 |
| 96376 |
|
6,569 |
4,972 |
$157.22 |
| 73060 |
|
15 |
12 |
$138.30 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
18,577 |
16,255 |
$131.59 |
| 82803 |
|
1,230 |
1,009 |
$121.10 |
| 87070 |
|
5,814 |
5,017 |
$118.25 |
| J3490 |
Drugs unclassified injection |
288,458 |
84,505 |
$118.06 |
| 88304 |
|
1,904 |
1,715 |
$115.47 |
| 99449 |
|
12 |
12 |
$109.20 |
| 93356 |
|
192 |
179 |
$106.10 |
| 80076 |
|
2,679 |
2,308 |
$102.06 |
| 87040 |
|
7,994 |
3,785 |
$101.79 |
| 82746 |
|
14 |
12 |
$98.28 |
| J7030 |
Normal saline solution infus |
47,155 |
34,380 |
$93.72 |
| 84165 |
|
18 |
16 |
$92.34 |
| 87400 |
|
2,898 |
2,671 |
$91.60 |
| 82550 |
|
6,581 |
5,510 |
$90.93 |
| 85027 |
|
3,048 |
2,133 |
$84.66 |
| 87081 |
|
2,964 |
2,798 |
$67.63 |
| 69209 |
|
147 |
135 |
$60.54 |
| 82077 |
|
767 |
699 |
$56.18 |
| 81002 |
|
4,239 |
3,857 |
$48.97 |
| 86618 |
|
580 |
535 |
$48.81 |
| 87389 |
|
863 |
819 |
$43.26 |
| 84155 |
|
18 |
16 |
$34.35 |
| 87640 |
|
12 |
12 |
$33.51 |
| 80143 |
|
280 |
256 |
$33.00 |
| 80179 |
|
265 |
245 |
$33.00 |
| 87205 |
|
4,559 |
3,774 |
$28.51 |
| 82306 |
|
14 |
13 |
$28.28 |
| J2930 |
Methylprednisolone injection |
2,141 |
1,891 |
$28.20 |
| J2060 |
Lorazepam injection |
5,069 |
3,951 |
$25.39 |
| J1790 |
Droperidol injection |
1,737 |
1,496 |
$24.57 |
| 82010 |
|
1,300 |
1,106 |
$22.16 |
| J1885 |
Ketorolac tromethamine inj |
22,832 |
18,120 |
$22.14 |
| 76376 |
|
218 |
200 |
$16.97 |
| J3360 |
Diazepam injection |
444 |
384 |
$16.30 |
| J1630 |
Haloperidol injection |
1,873 |
1,488 |
$15.58 |
| J0696 |
Ceftriaxone sodium injection |
6,607 |
4,916 |
$14.48 |
| 84100 |
|
939 |
741 |
$13.56 |
| J2405 |
Ondansetron hcl injection |
29,467 |
23,253 |
$13.55 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
2,576 |
1,949 |
$12.71 |
| J1836 |
Inj, metronidazole, 10 mg |
312 |
175 |
$12.03 |
| J2765 |
Metoclopramide hcl injection |
6,290 |
5,315 |
$10.98 |
| J0136 |
Inj, acetaminophen (b braun) |
45 |
30 |
$10.00 |
| J1200 |
Diphenhydramine hcl injectio |
8,371 |
6,904 |
$8.98 |
| J1170 |
Hydromorphone injection |
11,535 |
7,986 |
$6.91 |
| G0008 |
Admin influenza virus vac |
64 |
53 |
$6.00 |
| 87184 |
|
443 |
401 |
$5.88 |
| 82570 |
|
91 |
64 |
$4.94 |
| J2270 |
Morphine sulfate injection |
5,516 |
4,610 |
$4.60 |
| 84156 |
|
87 |
64 |
$3.50 |
| J2001 |
Lidocaine injection |
21,274 |
16,808 |
$3.05 |
| J1100 |
Dexamethasone sodium phos |
9,543 |
7,718 |
$2.02 |
| J7040 |
Normal saline solution infus |
1,945 |
1,249 |
$2.00 |
| J7120 |
Ringers lactate infusion |
25,775 |
20,363 |
$1.95 |
| J1920 |
Inj, labetalol hcl, 5mg |
121 |
105 |
$1.09 |
| J7512 |
Prednisone ir or dr oral 1mg |
5,530 |
3,629 |
$1.00 |
| G8978 |
Mobility current status |
467 |
368 |
$0.80 |
| G8979 |
Mobility goal status |
468 |
368 |
$0.79 |
| 84550 |
|
250 |
193 |
$0.46 |
| G8996 |
Swallow current status |
73 |
56 |
$0.09 |
| G8997 |
Swallow goal status |
73 |
56 |
$0.09 |
| Q0162 |
Ondansetron oral |
8,770 |
7,047 |
$0.08 |
| Q0163 |
Diphenhydramine hcl 50mg |
4,582 |
3,043 |
$0.02 |
| J0171 |
Adrenalin epinephrine inject |
430 |
318 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
2,294 |
1,602 |
$0.00 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
82 |
37 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
307 |
274 |
$0.00 |
| J0744 |
Ciprofloxacin iv |
284 |
185 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
2,072 |
1,742 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
6,568 |
3,329 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
2,007 |
1,275 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
74 |
72 |
$0.00 |
| C1776 |
Joint device (implantable) |
1,081 |
855 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
298 |
242 |
$0.00 |
| 99152 |
|
632 |
538 |
$0.00 |
| 12011 |
|
532 |
510 |
$0.00 |
| 91300 |
|
4,390 |
3,732 |
$0.00 |
| J9190 |
Fluorouracil injection |
225 |
69 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
242 |
216 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
414 |
238 |
$0.00 |
| 84439 |
|
50 |
44 |
$0.00 |
| 87207 |
|
93 |
49 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
113 |
105 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
16 |
13 |
$0.00 |
| 76937 |
|
76 |
70 |
$0.00 |
| J0780 |
Prochlorperazine injection |
68 |
66 |
$0.00 |
| J0670 |
Inj mepivacaine hcl/10 ml |
334 |
264 |
$0.00 |
| 82565 |
|
29 |
24 |
$0.00 |
| C1758 |
Catheter, ureteral |
43 |
38 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
150 |
139 |
$0.00 |
| 87075 |
|
30 |
26 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
114 |
105 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
236 |
163 |
$0.00 |
| A9537 |
Tc99m mebrofenin |
81 |
69 |
$0.00 |
| A9541 |
Tc99m sulfur colloid |
24 |
24 |
$0.00 |
| A9552 |
F18 fdg |
117 |
107 |
$0.00 |
| J0640 |
Leucovorin calcium injection |
119 |
56 |
$0.00 |
| 90840 |
|
47 |
42 |
$0.00 |
| 80164 |
|
32 |
26 |
$0.00 |
| 64447 |
|
21 |
15 |
$0.00 |
| 87633 |
|
100 |
88 |
$0.00 |
| J3260 |
Tobramycin sulfate injection |
30 |
27 |
$0.00 |
| Q0245 |
Bamlanivimab and etesevima |
47 |
30 |
$0.00 |
| 82140 |
|
14 |
13 |
$0.00 |
| 88112 |
|
45 |
38 |
$0.00 |
| J2550 |
Promethazine hcl injection |
14 |
12 |
$0.00 |
| J1953 |
Levetiracetam injection |
38 |
27 |
$0.00 |
| J0688 |
Inj cefazolin sodium, hikma |
12 |
12 |
$0.00 |
| 87469 |
|
13 |
12 |
$0.00 |
| 88312 |
|
13 |
13 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
12,259 |
9,982 |
$0.00 |
| J8540 |
Oral dexamethasone |
3,515 |
1,464 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
3,270 |
1,904 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
11,053 |
9,560 |
$0.00 |
| J3480 |
Inj potassium chloride |
480 |
221 |
$0.00 |
| 11045 |
|
2,063 |
859 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
2,418 |
1,796 |
$0.00 |
| C9290 |
Inj, bupivacaine liposome |
1,303 |
956 |
$0.00 |
| C1769 |
Guide wire |
1,879 |
1,545 |
$0.00 |
| A4301 |
Implantable access syst perc |
3,078 |
1,249 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
32,684 |
18,975 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
751 |
622 |
$0.00 |
| J1815 |
Insulin injection |
4,450 |
1,953 |
$0.00 |
| 12002 |
|
256 |
235 |
$0.00 |
| A4217 |
Sterile water/saline, 500 ml |
112 |
96 |
$0.00 |
| J7050 |
Normal saline solution infus |
6,535 |
3,251 |
$0.00 |
| 90839 |
|
214 |
180 |
$0.00 |
| 88341 |
|
527 |
489 |
$0.00 |
| A9500 |
Tc99m sestamibi |
15 |
13 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
1,577 |
1,404 |
$0.00 |
| A4648 |
Implantable tissue marker |
551 |
498 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
10,180 |
6,277 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
956 |
736 |
$0.00 |
| J7060 |
5% dextrose/water |
943 |
243 |
$0.00 |
| 88307 |
|
127 |
116 |
$0.00 |
| 86308 |
|
81 |
76 |
$0.00 |
| 87015 |
|
236 |
190 |
$0.00 |
| C2617 |
Stent, non-cor, tem w/o del |
338 |
294 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
3,687 |
1,393 |
$0.00 |
| 77001 |
|
28 |
27 |
$0.00 |
| A9585 |
Gadobutrol injection |
5,147 |
4,449 |
$0.00 |
| A6213 |
Foam drg >16<=48 sq in w/bdr |
116 |
78 |
$0.00 |
| 87808 |
|
153 |
136 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
265 |
218 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
556 |
507 |
$0.00 |
| C1781 |
Mesh (implantable) |
235 |
217 |
$0.00 |
| 91301 |
|
404 |
367 |
$0.00 |
| 36416 |
|
77 |
53 |
$0.00 |
| 88300 |
|
514 |
450 |
$0.00 |
| C1726 |
Cath, bal dil, non-vascular |
213 |
204 |
$0.00 |
| 87486 |
|
100 |
88 |
$0.00 |
| 95885 |
|
68 |
63 |
$0.00 |
| 74420 |
|
30 |
27 |
$0.00 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
196 |
186 |
$0.00 |
| 96368 |
|
208 |
97 |
$0.00 |
| 87484 |
|
65 |
53 |
$0.00 |
| 82553 |
|
200 |
151 |
$0.00 |
| J1940 |
Furosemide injection |
52 |
40 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
204 |
181 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
35 |
27 |
$0.00 |
| 64488 |
|
46 |
42 |
$0.00 |
| 87468 |
|
65 |
53 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
173 |
132 |
$0.00 |
| 87581 |
|
100 |
88 |
$0.00 |
| 91303 |
|
230 |
208 |
$0.00 |
| 87807 |
|
86 |
85 |
$0.00 |
| 83930 |
|
126 |
109 |
$0.00 |
| 91306 |
|
77 |
77 |
$0.00 |
| 88185 |
|
14 |
14 |
$0.00 |
| 86617 |
|
17 |
15 |
$0.00 |
| 91305 |
|
16 |
16 |
$0.00 |
| 11046 |
|
23 |
12 |
$0.00 |