| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
75,093 |
65,578 |
$19.18M |
| 99284 |
|
51,719 |
44,416 |
$9.44M |
| 99283 |
|
62,332 |
56,217 |
$9.34M |
| 96374 |
|
25,346 |
19,984 |
$3.59M |
| 43239 |
|
5,124 |
4,687 |
$2.54M |
| 45380 |
|
3,218 |
2,980 |
$2.35M |
| 97110 |
|
48,685 |
14,334 |
$2.12M |
| G0463 |
Hospital outpt clinic visit |
21,517 |
16,852 |
$1.76M |
| 74177 |
|
8,831 |
7,771 |
$1.63M |
| 96413 |
|
6,077 |
3,327 |
$1.24M |
| 45385 |
|
1,577 |
1,440 |
$952K |
| 96361 |
|
17,274 |
13,670 |
$917K |
| 96365 |
|
7,415 |
5,031 |
$907K |
| 77067 |
|
8,431 |
8,127 |
$904K |
| 70450 |
|
9,195 |
7,939 |
$883K |
| 96360 |
|
6,224 |
5,048 |
$819K |
| 45378 |
|
1,472 |
1,360 |
$815K |
| 96375 |
|
18,434 |
13,742 |
$797K |
| 87637 |
|
6,254 |
5,734 |
$782K |
| 93306 |
|
2,805 |
2,406 |
$670K |
| 93975 |
|
3,139 |
2,834 |
$654K |
| 71046 |
|
10,984 |
9,731 |
$635K |
| 71045 |
|
13,039 |
10,917 |
$624K |
| 95810 |
|
705 |
682 |
$590K |
| 97014 |
|
10,355 |
3,332 |
$579K |
| 92507 |
|
6,202 |
1,451 |
$556K |
| 99282 |
|
3,518 |
3,313 |
$459K |
| 76641 |
|
4,507 |
4,269 |
$414K |
| 76705 |
|
3,928 |
3,576 |
$391K |
| 97161 |
|
6,615 |
6,135 |
$389K |
| 74176 |
|
2,859 |
2,534 |
$388K |
| 71275 |
|
2,572 |
2,179 |
$364K |
| 76830 |
|
3,426 |
3,148 |
$348K |
| 97112 |
|
9,945 |
3,070 |
$330K |
| 76856 |
|
3,509 |
3,221 |
$329K |
| 71260 |
|
1,889 |
1,668 |
$304K |
| 77065 |
Tomosynthesis, mammo |
2,274 |
1,982 |
$269K |
| 76816 |
|
4,165 |
3,278 |
$264K |
| 97035 |
|
7,945 |
3,125 |
$253K |
| 97140 |
|
21,518 |
7,450 |
$249K |
| 97530 |
|
6,229 |
2,444 |
$248K |
| 70553 |
|
1,119 |
982 |
$245K |
| 97010 |
|
7,831 |
2,584 |
$230K |
| 76819 |
|
2,084 |
1,209 |
$223K |
| S9480 |
Intensive outpatient psychia |
1,772 |
284 |
$218K |
| 87635 |
|
6,565 |
5,276 |
$214K |
| 19318 |
|
26 |
25 |
$211K |
| 76801 |
|
2,066 |
1,536 |
$193K |
| J1745 |
Infliximab not biosimil 10mg |
119 |
91 |
$187K |
| 92557 |
|
1,779 |
1,600 |
$184K |
| 72148 |
|
1,208 |
1,119 |
$177K |
| 77066 |
Tomosynthesis, mammo |
1,454 |
1,370 |
$177K |
| 90834 |
|
6,928 |
3,324 |
$170K |
| 76642 |
|
2,566 |
2,411 |
$166K |
| 99214 |
|
1,855 |
1,657 |
$159K |
| U0004 |
Cov-19 test non-cdc hgh thru |
2,257 |
2,111 |
$157K |
| 71250 |
|
2,603 |
2,370 |
$148K |
| 74183 |
|
580 |
514 |
$146K |
| 76811 |
|
649 |
600 |
$139K |
| 0241U |
|
1,511 |
1,410 |
$125K |
| 93971 |
|
1,934 |
1,688 |
$125K |
| 99213 |
|
2,264 |
2,085 |
$123K |
| 96367 |
|
2,812 |
1,433 |
$122K |
| 76536 |
|
1,517 |
1,423 |
$118K |
| 82947 |
|
43,794 |
31,667 |
$107K |
| 77080 |
|
906 |
877 |
$95K |
| 87591 |
|
3,132 |
2,928 |
$90K |
| 77063 |
|
6,181 |
5,968 |
$89K |
| 87491 |
|
3,128 |
2,924 |
$89K |
| 97165 |
|
1,276 |
1,180 |
$85K |
| 96415 |
|
1,458 |
939 |
$83K |
| 86900 |
|
5,389 |
3,923 |
$81K |
| 76770 |
|
735 |
674 |
$71K |
| 59025 |
|
452 |
340 |
$70K |
| 94726 |
|
559 |
531 |
$62K |
| 93017 |
|
1,480 |
1,272 |
$62K |
| 73721 |
|
319 |
286 |
$61K |
| 76700 |
|
549 |
516 |
$61K |
| 76805 |
|
550 |
508 |
$59K |
| 80053 |
|
17,604 |
13,819 |
$59K |
| 96366 |
|
1,745 |
1,242 |
$58K |
| 73562 |
|
3,224 |
2,371 |
$57K |
| J9271 |
Inj pembrolizumab |
18 |
12 |
$56K |
| 72100 |
|
1,971 |
1,816 |
$54K |
| 41899 |
|
271 |
167 |
$53K |
| 88305 |
|
10,756 |
9,700 |
$49K |
| 85025 |
|
64,159 |
46,780 |
$49K |
| U0003 |
Cov-19 amp prb hgh thruput |
628 |
611 |
$46K |
| 72125 |
|
2,868 |
2,514 |
$45K |
| 70551 |
|
521 |
411 |
$45K |
| 78452 |
|
108 |
90 |
$44K |
| 97022 |
|
653 |
220 |
$43K |
| 96372 |
|
13,262 |
8,511 |
$43K |
| 99291 |
|
61 |
54 |
$41K |
| 87507 |
|
811 |
728 |
$38K |
| 73030 |
|
2,723 |
2,278 |
$38K |
| 97162 |
|
1,113 |
911 |
$38K |
| 93005 |
|
28,127 |
21,518 |
$37K |
| 93798 |
|
636 |
102 |
$37K |
| 11042 |
|
255 |
152 |
$37K |
| 80061 |
|
3,462 |
3,224 |
$36K |
| 84443 |
|
6,321 |
5,480 |
$36K |
| 94060 |
|
233 |
210 |
$35K |
| Q0138 |
Ferumoxytol, non-esrd |
187 |
125 |
$34K |
| 73130 |
|
2,648 |
2,004 |
$32K |
| 73630 |
|
2,577 |
2,123 |
$30K |
| 72141 |
|
197 |
176 |
$30K |
| 93970 |
|
242 |
193 |
$28K |
| 87389 |
|
1,787 |
1,641 |
$28K |
| 73610 |
|
2,464 |
2,156 |
$27K |
| 92587 |
|
106 |
102 |
$27K |
| 83036 |
|
4,554 |
3,943 |
$25K |
| 82728 |
|
3,396 |
2,876 |
$23K |
| 74018 |
|
1,292 |
1,135 |
$23K |
| 97116 |
|
2,980 |
1,274 |
$22K |
| 87624 |
|
756 |
730 |
$21K |
| 86480 |
|
485 |
448 |
$21K |
| 70486 |
|
579 |
532 |
$21K |
| 73110 |
|
1,494 |
1,266 |
$19K |
| U0005 |
Infec agen detec ampli probe |
911 |
867 |
$18K |
| 73564 |
|
1,104 |
908 |
$17K |
| 29515 |
|
294 |
277 |
$17K |
| 73221 |
|
83 |
78 |
$16K |
| 73502 |
|
1,288 |
1,163 |
$16K |
| 82306 |
|
720 |
676 |
$16K |
| 90853 |
|
2,124 |
727 |
$16K |
| 96417 |
|
307 |
158 |
$14K |
| 70496 |
|
85 |
65 |
$13K |
| 88142 |
|
996 |
952 |
$13K |
| 87510 |
|
720 |
686 |
$12K |
| 87660 |
|
718 |
686 |
$12K |
| 87480 |
|
719 |
686 |
$12K |
| 93976 |
|
123 |
115 |
$12K |
| 83550 |
|
2,678 |
2,262 |
$12K |
| 86780 |
|
1,019 |
952 |
$12K |
| 97535 |
|
1,020 |
566 |
$11K |
| 36415 |
|
18,974 |
12,358 |
$10K |
| 76815 |
|
405 |
324 |
$10K |
| 94010 |
|
546 |
523 |
$10K |
| 72110 |
|
136 |
131 |
$10K |
| 64483 |
|
14 |
14 |
$10K |
| 87086 |
|
10,288 |
9,026 |
$9K |
| 73140 |
|
778 |
727 |
$9K |
| 83540 |
|
2,828 |
2,381 |
$9K |
| 80307 |
|
9,001 |
6,633 |
$9K |
| 82607 |
|
1,401 |
1,162 |
$9K |
| 80048 |
|
7,837 |
6,473 |
$9K |
| 90832 |
|
457 |
306 |
$8K |
| 72131 |
|
156 |
143 |
$8K |
| 87811 |
|
395 |
341 |
$8K |
| 86803 |
|
707 |
649 |
$8K |
| 85027 |
|
9,543 |
7,435 |
$8K |
| 92523 |
|
30 |
29 |
$8K |
| 81220 |
|
47 |
43 |
$7K |
| 87340 |
|
871 |
798 |
$7K |
| 70491 |
|
44 |
39 |
$7K |
| 87633 |
|
119 |
109 |
$7K |
| 36430 |
|
29 |
15 |
$6K |
| 88342 |
|
890 |
775 |
$6K |
| 78451 |
|
14 |
12 |
$6K |
| 84439 |
|
1,139 |
1,038 |
$6K |
| G0279 |
Tomosynthesis, mammo |
2,419 |
2,305 |
$6K |
| 92555 |
|
366 |
337 |
$5K |
| 76817 |
|
1,020 |
817 |
$5K |
| 84702 |
|
2,085 |
1,634 |
$5K |
| 72050 |
|
104 |
98 |
$5K |
| 99281 |
|
75 |
66 |
$5K |
| 86706 |
|
560 |
509 |
$5K |
| 87081 |
|
7,512 |
6,934 |
$4K |
| 82746 |
|
730 |
590 |
$4K |
| 73080 |
|
446 |
410 |
$4K |
| 98968 |
|
200 |
104 |
$4K |
| 96402 |
|
105 |
88 |
$4K |
| G0378 |
Hospital observation per hr |
6,130 |
4,411 |
$4K |
| 36592 |
|
372 |
192 |
$4K |
| 81001 |
|
16,191 |
13,903 |
$4K |
| P9016 |
Rbc leukocytes reduced |
25 |
14 |
$4K |
| 88304 |
|
684 |
628 |
$3K |
| 83615 |
|
1,810 |
1,423 |
$3K |
| 73700 |
|
50 |
40 |
$3K |
| 90792 |
|
21 |
21 |
$3K |
| 98967 |
|
98 |
68 |
$3K |
| 82247 |
|
22,977 |
18,478 |
$3K |
| 86762 |
|
259 |
233 |
$3K |
| 86787 |
|
280 |
252 |
$3K |
| 85046 |
|
1,150 |
876 |
$2K |
| 87077 |
|
2,787 |
2,509 |
$2K |
| 83020 |
|
201 |
191 |
$2K |
| 84153 |
|
200 |
185 |
$2K |
| 85610 |
|
7,030 |
5,478 |
$2K |
| 77336 |
|
24 |
13 |
$2K |
| 76882 |
|
31 |
26 |
$2K |
| 87186 |
|
2,653 |
2,390 |
$2K |
| 86140 |
|
4,896 |
3,573 |
$2K |
| 87502 |
|
1,484 |
1,334 |
$2K |
| 97533 |
|
86 |
40 |
$2K |
| 92567 |
|
2,646 |
2,376 |
$2K |
| 82043 |
|
439 |
406 |
$2K |
| 80050 |
|
54 |
52 |
$2K |
| 73590 |
|
180 |
145 |
$2K |
| 85730 |
|
3,869 |
3,239 |
$2K |
| J0185 |
Inj., aprepitant, 1 mg |
21 |
12 |
$2K |
| 85007 |
|
5,047 |
3,619 |
$2K |
| 83525 |
|
156 |
150 |
$2K |
| 82784 |
|
236 |
189 |
$2K |
| 82570 |
|
469 |
418 |
$2K |
| 83735 |
|
18,484 |
13,566 |
$1K |
| C9803 |
Hopd covid-19 spec collect |
6,274 |
5,606 |
$1K |
| 71271 |
|
13 |
12 |
$1K |
| 86618 |
|
333 |
310 |
$1K |
| 80051 |
|
30,853 |
21,812 |
$1K |
| 93880 |
|
15 |
12 |
$1K |
| 72070 |
|
26 |
25 |
$1K |
| 97166 |
|
18 |
15 |
$1K |
| 88307 |
|
677 |
573 |
$1K |
| 94640 |
|
5,695 |
3,390 |
$960.85 |
| 83690 |
|
12,753 |
10,680 |
$933.28 |
| 85652 |
|
2,293 |
1,756 |
$903.62 |
| 82950 |
|
206 |
201 |
$903.46 |
| 12001 |
|
632 |
609 |
$892.98 |
| 86039 |
|
112 |
106 |
$884.78 |
| 82105 |
|
64 |
61 |
$829.87 |
| 83883 |
|
118 |
91 |
$807.71 |
| 72040 |
|
31 |
26 |
$799.00 |
| 82378 |
|
203 |
171 |
$782.44 |
| 76813 |
|
773 |
606 |
$715.27 |
| G0480 |
Drug test def 1-7 classes |
671 |
552 |
$707.55 |
| 83021 |
|
51 |
45 |
$706.84 |
| 83880 |
|
2,963 |
2,442 |
$692.17 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
15,422 |
12,909 |
$690.27 |
| A0425 |
Ground mileage |
481 |
246 |
$664.80 |
| A0429 |
Bls-emergency |
170 |
73 |
$660.97 |
| A0427 |
Als1-emergency |
248 |
132 |
$656.22 |
| 94664 |
|
13 |
12 |
$640.77 |
| 87798 |
|
137 |
124 |
$635.19 |
| 72170 |
|
112 |
101 |
$624.15 |
| 85651 |
|
478 |
404 |
$596.64 |
| 87581 |
|
119 |
109 |
$569.67 |
| 87486 |
|
119 |
109 |
$569.67 |
| 87631 |
|
1,638 |
1,496 |
$554.02 |
| 84165 |
|
142 |
119 |
$536.01 |
| 83001 |
|
39 |
38 |
$532.20 |
| 74019 |
|
87 |
79 |
$529.53 |
| 84481 |
|
49 |
47 |
$517.76 |
| 82565 |
|
45,957 |
32,763 |
$516.65 |
| 87070 |
|
1,282 |
1,129 |
$513.71 |
| 87503 |
|
1,484 |
1,334 |
$512.84 |
| 81003 |
|
8,034 |
7,003 |
$500.35 |
| 87338 |
|
42 |
40 |
$494.28 |
| 84075 |
|
22,772 |
18,349 |
$493.21 |
| 70498 |
|
51 |
39 |
$481.82 |
| 76870 |
|
54 |
50 |
$479.27 |
| G0103 |
Psa screening |
32 |
32 |
$474.12 |
| 82550 |
|
1,952 |
1,505 |
$432.76 |
| 80074 |
|
13 |
12 |
$409.41 |
| 81025 |
|
11,748 |
10,262 |
$405.13 |
| 83010 |
|
70 |
55 |
$372.74 |
| 80076 |
|
120 |
113 |
$335.40 |
| 84146 |
|
34 |
28 |
$333.18 |
| 86923 |
|
25 |
15 |
$327.66 |
| 29505 |
|
12 |
12 |
$310.40 |
| 84484 |
|
18,106 |
12,846 |
$302.47 |
| 90471 |
|
2,444 |
2,094 |
$301.39 |
| 96376 |
|
4,694 |
3,462 |
$271.49 |
| 29125 |
|
189 |
178 |
$270.61 |
| 84703 |
|
3,477 |
2,987 |
$261.47 |
| 82977 |
|
2,787 |
2,242 |
$256.23 |
| 85380 |
|
3,595 |
3,110 |
$255.23 |
| 86695 |
|
14 |
12 |
$252.00 |
| 87040 |
|
4,097 |
2,803 |
$251.25 |
| J7030 |
Normal saline solution infus |
14,217 |
11,455 |
$246.55 |
| 90715 |
|
1,712 |
1,570 |
$238.53 |
| 82962 |
|
12,589 |
7,450 |
$236.00 |
| 86901 |
|
5,390 |
3,924 |
$214.26 |
| 82374 |
|
14,557 |
10,912 |
$209.11 |
| 86038 |
|
20 |
20 |
$207.72 |
| 84520 |
|
45,903 |
32,738 |
$204.23 |
| 84460 |
|
22,874 |
18,370 |
$199.95 |
| 83521 |
|
44 |
26 |
$197.76 |
| 84550 |
|
107 |
96 |
$195.33 |
| 84450 |
|
22,861 |
18,359 |
$191.63 |
| 88300 |
|
15 |
15 |
$191.40 |
| J2405 |
Ondansetron hcl injection |
17,178 |
13,522 |
$190.94 |
| 73560 |
|
36 |
24 |
$187.39 |
| 84100 |
|
2,484 |
1,439 |
$185.97 |
| 86696 |
|
13 |
12 |
$184.80 |
| 87880 |
|
3,061 |
2,855 |
$172.33 |
| J7120 |
Ringers lactate infusion |
18,176 |
13,762 |
$163.42 |
| 76377 |
|
1,035 |
901 |
$156.18 |
| 86850 |
|
5,021 |
3,744 |
$141.38 |
| 83605 |
|
8,789 |
6,487 |
$136.08 |
| 82310 |
|
7,733 |
6,511 |
$125.76 |
| 84132 |
|
14,803 |
10,988 |
$120.44 |
| 10061 |
|
14 |
13 |
$117.38 |
| 82435 |
|
14,557 |
10,911 |
$114.92 |
| 87075 |
|
221 |
201 |
$80.91 |
| 82248 |
|
1,030 |
725 |
$79.91 |
| 86665 |
|
38 |
13 |
$75.34 |
| 86431 |
|
20 |
19 |
$70.46 |
| 82077 |
|
5,627 |
4,285 |
$68.79 |
| J0696 |
Ceftriaxone sodium injection |
5,039 |
3,197 |
$63.99 |
| 87205 |
|
354 |
306 |
$61.44 |
| G0283 |
Elec stim other than wound |
123 |
41 |
$56.84 |
| J2704 |
Inj, propofol, 10 mg |
12,156 |
10,675 |
$52.72 |
| 80179 |
|
1,427 |
1,229 |
$48.85 |
| 84295 |
|
14,572 |
10,916 |
$48.47 |
| 80143 |
|
1,552 |
1,324 |
$41.89 |
| 85379 |
|
82 |
76 |
$38.88 |
| J2270 |
Morphine sulfate injection |
4,070 |
3,175 |
$35.31 |
| 86664 |
|
19 |
13 |
$31.78 |
| 84155 |
|
34 |
25 |
$31.50 |
| 82150 |
|
14 |
13 |
$30.95 |
| 82010 |
|
800 |
593 |
$23.40 |
| J1885 |
Ketorolac tromethamine inj |
13,579 |
11,145 |
$21.61 |
| C9113 |
Inj pantoprazole sodium, via |
1,282 |
789 |
$18.05 |
| J3490 |
Drugs unclassified injection |
30,482 |
17,354 |
$17.64 |
| J1100 |
Dexamethasone sodium phos |
6,981 |
5,016 |
$15.20 |
| 86308 |
|
63 |
54 |
$14.82 |
| J0330 |
Succinycholine chloride inj |
704 |
578 |
$13.95 |
| J1170 |
Hydromorphone injection |
3,165 |
2,280 |
$11.48 |
| J0690 |
Cefazolin sodium injection |
3,708 |
2,988 |
$9.48 |
| J1200 |
Diphenhydramine hcl injectio |
4,232 |
2,905 |
$8.15 |
| J2765 |
Metoclopramide hcl injection |
2,887 |
2,402 |
$7.36 |
| J1650 |
Inj enoxaparin sodium |
3,169 |
1,361 |
$7.30 |
| J8540 |
Oral dexamethasone |
211 |
203 |
$5.22 |
| J7050 |
Normal saline solution infus |
3,606 |
2,235 |
$4.29 |
| J3010 |
Fentanyl citrate injection |
7,184 |
6,158 |
$3.41 |
| 85014 |
|
20 |
12 |
$2.26 |
| 85018 |
|
31 |
13 |
$2.26 |
| G8979 |
Mobility goal status |
287 |
251 |
$2.24 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
697 |
616 |
$2.16 |
| J2710 |
Neostigmine methylslfte inj |
1,721 |
1,484 |
$2.00 |
| G8978 |
Mobility current status |
244 |
221 |
$1.85 |
| J2060 |
Lorazepam injection |
4,310 |
3,065 |
$1.40 |
| J1630 |
Haloperidol injection |
1,395 |
988 |
$0.84 |
| G8994 |
Sub pt/ot goal status |
153 |
135 |
$0.16 |
| G8993 |
Sub pt/ot current status |
87 |
81 |
$0.07 |
| G8991 |
Other pt/ot goal status |
13 |
12 |
$0.01 |
| 88312 |
|
277 |
259 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
341 |
281 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
378 |
343 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
3,868 |
3,252 |
$0.00 |
| J7040 |
Normal saline solution infus |
5,052 |
4,398 |
$0.00 |
| J2930 |
Methylprednisolone injection |
230 |
179 |
$0.00 |
| 94729 |
|
993 |
932 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
908 |
601 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
74 |
65 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
1,482 |
695 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
674 |
458 |
$0.00 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
107 |
76 |
$0.00 |
| 99203 |
|
67 |
67 |
$0.00 |
| J1956 |
Levofloxacin injection |
17 |
15 |
$0.00 |
| C1729 |
Cath, drainage |
38 |
26 |
$0.00 |
| Q0163 |
Diphenhydramine hcl 50mg |
52 |
36 |
$0.00 |
| 99442 |
|
22 |
21 |
$0.00 |
| 12011 |
|
81 |
78 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
30 |
23 |
$0.00 |
| 87210 |
|
29 |
27 |
$0.00 |
| 80164 |
|
16 |
14 |
$0.00 |
| 97803 |
|
46 |
44 |
$0.00 |
| D0220 |
|
18 |
12 |
$0.00 |
| 99152 |
|
64 |
53 |
$0.00 |
| 51701 |
|
29 |
27 |
$0.00 |
| J0780 |
Prochlorperazine injection |
83 |
71 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
59 |
37 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
16 |
12 |
$0.00 |
| 90714 |
|
46 |
43 |
$0.00 |
| J7070 |
D5w infusion |
112 |
78 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
34 |
27 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
6,559 |
5,686 |
$0.00 |
| C1769 |
Guide wire |
250 |
154 |
$0.00 |
| Q0162 |
Ondansetron oral |
138 |
90 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
574 |
501 |
$0.00 |
| A9500 |
Tc99m sestamibi |
96 |
78 |
$0.00 |
| 88341 |
|
349 |
287 |
$0.00 |
| C9290 |
Inj, bupivacaine liposome |
328 |
305 |
$0.00 |
| J3360 |
Diazepam injection |
78 |
65 |
$0.00 |
| J3480 |
Inj potassium chloride |
39 |
25 |
$0.00 |
| J1815 |
Insulin injection |
69 |
43 |
$0.00 |
| 82040 |
|
241 |
175 |
$0.00 |
| J2785 |
Regadenoson injection |
52 |
38 |
$0.00 |
| 99443 |
|
18 |
16 |
$0.00 |
| 94750 |
|
248 |
236 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
219 |
175 |
$0.00 |
| J1790 |
Droperidol injection |
220 |
157 |
$0.00 |
| J3590 |
Unclassified biologics |
3,259 |
1,388 |
$0.00 |
| J7060 |
5% dextrose/water |
229 |
129 |
$0.00 |
| 29130 |
|
27 |
25 |
$0.00 |
| J2469 |
Palonosetron hcl |
709 |
368 |
$0.00 |
| 82553 |
|
27 |
24 |
$0.00 |
| A4648 |
Implantable tissue marker |
30 |
26 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
83 |
59 |
$0.00 |
| D0140 |
|
36 |
26 |
$0.00 |
| 96368 |
|
24 |
13 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
69 |
54 |
$0.00 |
| D0230 |
|
18 |
12 |
$0.00 |
| 86141 |
|
38 |
30 |
$0.00 |
| J2001 |
Lidocaine injection |
44 |
37 |
$0.00 |
| 87430 |
|
132 |
126 |
$0.00 |
| J7042 |
5% dextrose/normal saline |
17 |
14 |
$0.00 |
| 12002 |
|
12 |
12 |
$0.00 |