| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
56,892 |
46,933 |
$7.77M |
| G0378 |
Hospital observation per hr |
4,908 |
4,321 |
$5.88M |
| 99283 |
|
21,574 |
20,879 |
$3.86M |
| 99284 |
|
19,748 |
19,128 |
$3.29M |
| 99285 |
|
18,778 |
17,907 |
$2.84M |
| J9271 |
Inj pembrolizumab |
303 |
212 |
$2.64M |
| 96361 |
|
11,765 |
10,805 |
$2.37M |
| 99282 |
|
12,108 |
11,700 |
$2.17M |
| 43239 |
|
2,691 |
2,684 |
$1.80M |
| C1889 |
Implant/insert device, noc |
5,682 |
5,550 |
$1.71M |
| G0463 |
Hospital outpt clinic visit |
13,162 |
10,065 |
$1.58M |
| J1745 |
Infliximab not biosimil 10mg |
578 |
325 |
$1.44M |
| 99391 |
|
11,215 |
9,912 |
$1.39M |
| 99392 |
|
10,163 |
10,138 |
$1.33M |
| 96413 |
|
6,642 |
4,546 |
$1.18M |
| Q5103 |
Injection, inflectra |
174 |
153 |
$1.14M |
| 96360 |
|
6,095 |
5,826 |
$1.01M |
| 99393 |
|
7,315 |
7,297 |
$990K |
| 70450 |
|
4,766 |
4,648 |
$963K |
| 74177 |
|
4,556 |
4,478 |
$945K |
| 45380 |
|
1,049 |
1,043 |
$833K |
| 92552 |
|
10,493 |
10,471 |
$794K |
| 96365 |
|
6,221 |
4,917 |
$793K |
| 96415 |
|
2,463 |
2,076 |
$791K |
| U0003 |
Cov-19 amp prb hgh thruput |
10,838 |
10,350 |
$785K |
| 93975 |
|
1,543 |
1,511 |
$737K |
| 95810 |
|
1,058 |
1,033 |
$719K |
| 76700 |
|
1,961 |
1,924 |
$711K |
| 99394 |
|
3,715 |
3,687 |
$504K |
| 93970 |
|
1,079 |
1,057 |
$453K |
| 88305 |
|
7,533 |
7,423 |
$435K |
| 99281 |
|
2,279 |
2,171 |
$407K |
| 0202U |
|
8,349 |
8,123 |
$375K |
| 80048 |
|
33,347 |
30,102 |
$371K |
| 99212 |
|
3,049 |
2,796 |
$309K |
| 80076 |
|
19,008 |
17,752 |
$308K |
| 76816 |
|
3,387 |
3,024 |
$282K |
| 86850 |
|
11,415 |
10,348 |
$279K |
| J3490 |
Drugs unclassified injection |
20,257 |
12,279 |
$277K |
| 76815 |
|
4,139 |
3,185 |
$266K |
| 76819 |
|
4,068 |
2,889 |
$261K |
| 87636 |
|
16,741 |
16,331 |
$261K |
| 76856 |
|
2,519 |
2,471 |
$249K |
| 99173 |
|
9,327 |
9,300 |
$247K |
| 86900 |
|
11,663 |
10,355 |
$246K |
| J2323 |
Natalizumab injection |
38 |
37 |
$246K |
| 99177 |
|
7,797 |
7,773 |
$241K |
| 90460 |
|
18,814 |
18,696 |
$226K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
248 |
247 |
$224K |
| 96375 |
|
11,615 |
8,808 |
$223K |
| 93976 |
|
648 |
604 |
$222K |
| 87491 |
|
7,569 |
7,512 |
$219K |
| 99214 |
|
1,525 |
1,407 |
$219K |
| 59025 |
|
3,415 |
2,296 |
$215K |
| 80053 |
|
16,023 |
12,662 |
$214K |
| 76817 |
|
3,307 |
2,810 |
$209K |
| P9016 |
Rbc leukocytes reduced |
590 |
428 |
$208K |
| 86901 |
|
11,676 |
10,364 |
$206K |
| 76641 |
|
1,910 |
1,611 |
$194K |
| 36430 |
|
807 |
512 |
$189K |
| 90834 |
|
1,356 |
1,114 |
$167K |
| S2900 |
Robotic surgical system |
363 |
359 |
$166K |
| 77067 |
|
1,603 |
1,559 |
$164K |
| 96366 |
|
1,399 |
891 |
$162K |
| D1110 |
|
3,528 |
2,972 |
$162K |
| 96374 |
|
12,243 |
11,391 |
$156K |
| J7050 |
Normal saline solution infus |
22,208 |
17,770 |
$156K |
| 87633 |
|
1,507 |
1,475 |
$146K |
| 71275 |
|
767 |
753 |
$139K |
| U0005 |
Infec agen detec ampli probe |
7,385 |
7,050 |
$136K |
| 95800 |
|
472 |
468 |
$135K |
| 87591 |
|
7,567 |
7,511 |
$133K |
| 76770 |
|
481 |
477 |
$130K |
| 88342 |
|
2,501 |
2,473 |
$130K |
| 54161 |
|
120 |
120 |
$125K |
| 90471 |
|
6,034 |
5,939 |
$125K |
| J1439 |
Inj ferric carboxymaltos 1mg |
160 |
104 |
$123K |
| C1769 |
Guide wire |
1,173 |
1,110 |
$120K |
| 76830 |
|
1,935 |
1,888 |
$113K |
| J2469 |
Palonosetron hcl |
2,061 |
1,198 |
$110K |
| 85025 |
|
60,066 |
51,141 |
$109K |
| 95806 |
|
253 |
251 |
$103K |
| D0120 |
|
4,121 |
3,926 |
$103K |
| 96372 |
|
7,310 |
6,080 |
$98K |
| 99395 |
|
707 |
707 |
$96K |
| 74176 |
|
410 |
405 |
$96K |
| 36416 |
|
3,747 |
3,391 |
$95K |
| D1120 |
|
2,464 |
2,407 |
$95K |
| J7030 |
Normal saline solution infus |
22,239 |
15,294 |
$93K |
| 96417 |
|
1,592 |
1,019 |
$91K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
7,154 |
6,807 |
$90K |
| 95811 |
|
131 |
129 |
$90K |
| 45385 |
|
167 |
167 |
$88K |
| 90791 |
|
553 |
553 |
$87K |
| 88307 |
|
1,020 |
1,010 |
$86K |
| 80061 |
|
5,001 |
4,949 |
$82K |
| 90651 |
|
1,713 |
1,711 |
$82K |
| 70551 |
|
425 |
419 |
$81K |
| J0485 |
Belatacept injection |
84 |
50 |
$80K |
| 76000 |
|
1,129 |
1,098 |
$79K |
| 90832 |
|
748 |
717 |
$78K |
| 78815 |
|
68 |
66 |
$77K |
| 82803 |
|
5,326 |
4,977 |
$77K |
| 77336 |
|
346 |
179 |
$73K |
| D1206 |
|
2,691 |
2,677 |
$70K |
| 90715 |
|
2,868 |
2,854 |
$67K |
| 76818 |
|
769 |
470 |
$67K |
| T2101 |
Breast milk proc/store/dist |
240 |
35 |
$66K |
| 88142 |
|
2,395 |
2,388 |
$63K |
| D2392 |
|
924 |
753 |
$62K |
| 87661 |
|
1,894 |
1,859 |
$59K |
| 81513 |
|
1,893 |
1,858 |
$58K |
| 58558 |
|
43 |
43 |
$57K |
| 96367 |
|
841 |
642 |
$56K |
| 36415 |
|
23,966 |
21,344 |
$55K |
| 76705 |
|
1,845 |
1,809 |
$55K |
| 93306 |
|
643 |
626 |
$53K |
| J0185 |
Inj., aprepitant, 1 mg |
308 |
198 |
$53K |
| 99211 |
|
3,013 |
2,790 |
$51K |
| 71046 |
|
7,547 |
7,376 |
$51K |
| C1760 |
Closure dev, vasc |
136 |
133 |
$50K |
| J0131 |
Inj, acetaminophen (nos) |
3,066 |
2,905 |
$50K |
| 93458 |
|
28 |
28 |
$49K |
| D0274 |
|
1,821 |
1,716 |
$46K |
| 81025 |
|
17,576 |
16,772 |
$46K |
| 87624 |
|
2,058 |
2,048 |
$46K |
| 87481 |
|
1,876 |
1,842 |
$46K |
| 90847 |
|
310 |
309 |
$44K |
| 77063 |
|
1,587 |
1,544 |
$41K |
| 83655 |
|
2,860 |
2,848 |
$41K |
| D0150 |
|
1,371 |
1,249 |
$41K |
| 93005 |
|
15,193 |
13,801 |
$37K |
| J1200 |
Diphenhydramine hcl injectio |
2,949 |
2,163 |
$36K |
| 90686 |
|
9,603 |
9,585 |
$36K |
| J1050 |
Medroxyprogesterone acetate |
414 |
414 |
$36K |
| J3535 |
Metered dose inhaler drug |
2,104 |
1,915 |
$36K |
| 72125 |
|
1,348 |
1,326 |
$35K |
| 71260 |
|
193 |
187 |
$34K |
| 83880 |
|
1,780 |
1,727 |
$33K |
| G0008 |
Admin influenza virus vac |
2,188 |
2,174 |
$33K |
| D0220 |
|
3,132 |
3,017 |
$33K |
| J2704 |
Inj, propofol, 10 mg |
16,406 |
11,253 |
$33K |
| D0210 |
|
760 |
724 |
$33K |
| 77072 |
|
399 |
398 |
$33K |
| 82306 |
|
1,453 |
1,440 |
$33K |
| 77412 |
|
109 |
12 |
$33K |
| 86481 |
|
690 |
683 |
$32K |
| J7120 |
Ringers lactate infusion |
5,937 |
5,219 |
$30K |
| D2391 |
|
622 |
489 |
$30K |
| 88341 |
|
961 |
933 |
$30K |
| J1642 |
Inj heparin sodium per 10 u |
4,183 |
2,157 |
$29K |
| 70553 |
|
83 |
82 |
$28K |
| 88304 |
|
1,088 |
1,082 |
$27K |
| 87651 |
|
834 |
816 |
$27K |
| 12001 |
|
58 |
56 |
$26K |
| 82728 |
|
3,866 |
3,544 |
$24K |
| 90472 |
|
1,378 |
1,372 |
$23K |
| 76805 |
|
202 |
198 |
$23K |
| 87635 |
|
1,026 |
974 |
$23K |
| G0481 |
Drug test def 8-14 classes |
590 |
535 |
$20K |
| 84443 |
|
5,986 |
5,655 |
$20K |
| 77065 |
Tomosynthesis, mammo |
244 |
234 |
$20K |
| 0241U |
|
534 |
522 |
$20K |
| 84703 |
|
5,192 |
4,933 |
$20K |
| C1894 |
Intro/sheath, non-laser |
631 |
610 |
$20K |
| G0379 |
Direct refer hospital observ |
93 |
84 |
$19K |
| 87389 |
|
3,630 |
3,617 |
$19K |
| 51701 |
|
44 |
43 |
$18K |
| 86780 |
|
5,852 |
5,720 |
$18K |
| D7140 |
|
264 |
133 |
$17K |
| 96402 |
|
402 |
357 |
$16K |
| 81003 |
|
15,092 |
12,267 |
$16K |
| J0690 |
Cefazolin sodium injection |
4,872 |
4,610 |
$16K |
| 80069 |
|
1,963 |
1,340 |
$16K |
| 87086 |
|
8,135 |
7,696 |
$16K |
| 90670 |
|
4,752 |
4,745 |
$16K |
| 94640 |
|
4,200 |
3,634 |
$15K |
| 77066 |
Tomosynthesis, mammo |
116 |
112 |
$15K |
| 83036 |
|
5,856 |
5,781 |
$15K |
| 76801 |
|
152 |
147 |
$15K |
| 84702 |
|
5,330 |
4,769 |
$15K |
| Q3014 |
Telehealth facility fee |
649 |
603 |
$14K |
| 70486 |
|
314 |
309 |
$14K |
| 85610 |
|
9,652 |
9,030 |
$14K |
| 96158 |
|
98 |
85 |
$14K |
| 90647 |
|
5,857 |
5,851 |
$12K |
| D0140 |
|
708 |
643 |
$12K |
| J1100 |
Dexamethasone sodium phos |
11,715 |
9,740 |
$12K |
| 96156 |
|
133 |
132 |
$12K |
| J1756 |
Iron sucrose injection |
146 |
66 |
$12K |
| 77300 |
|
60 |
53 |
$12K |
| 75574 |
|
89 |
87 |
$12K |
| 76536 |
|
125 |
124 |
$11K |
| A9585 |
Gadobutrol injection |
408 |
290 |
$11K |
| J7060 |
5% dextrose/water |
2,769 |
1,709 |
$11K |
| 45378 |
|
12 |
12 |
$11K |
| D0230 |
|
1,444 |
1,431 |
$11K |
| J3010 |
Fentanyl citrate injection |
9,784 |
8,541 |
$10K |
| 36591 |
|
149 |
125 |
$10K |
| 83021 |
|
983 |
957 |
$10K |
| J0136 |
Inj, acetaminophen (b braun) |
1,959 |
1,898 |
$10K |
| 77290 |
|
25 |
25 |
$10K |
| 83735 |
|
7,758 |
5,517 |
$10K |
| 86703 |
|
663 |
657 |
$10K |
| 71045 |
|
4,820 |
4,639 |
$10K |
| 90723 |
|
4,430 |
4,428 |
$9K |
| J9217 |
Leuprolide acetate suspnsion |
13 |
12 |
$9K |
| J2001 |
Lidocaine injection |
4,122 |
3,813 |
$9K |
| 85027 |
|
5,095 |
4,641 |
$9K |
| 86803 |
|
2,541 |
2,527 |
$9K |
| 90680 |
|
4,212 |
4,210 |
$9K |
| 77334 |
|
38 |
29 |
$9K |
| 90620 |
|
177 |
177 |
$9K |
| 87070 |
|
5,213 |
5,095 |
$9K |
| 83550 |
|
2,733 |
2,567 |
$8K |
| 88112 |
|
211 |
200 |
$8K |
| 90716 |
|
1,496 |
1,493 |
$8K |
| J1885 |
Ketorolac tromethamine inj |
6,136 |
5,837 |
$8K |
| 83540 |
|
3,011 |
2,828 |
$8K |
| 0071A |
|
223 |
222 |
$8K |
| 90461 |
|
7,015 |
7,000 |
$8K |
| 0072A |
|
192 |
192 |
$8K |
| G0009 |
Admin pneumococcal vaccine |
1,082 |
1,080 |
$8K |
| 85730 |
|
8,503 |
8,107 |
$8K |
| 86769 |
|
343 |
340 |
$8K |
| J0696 |
Ceftriaxone sodium injection |
2,568 |
2,344 |
$8K |
| 86923 |
|
251 |
195 |
$8K |
| 99291 |
|
28 |
28 |
$7K |
| 83615 |
|
3,407 |
2,832 |
$7K |
| 84439 |
|
2,417 |
2,348 |
$7K |
| 85045 |
|
4,125 |
3,463 |
$7K |
| 90633 |
|
2,860 |
2,852 |
$7K |
| 99396 |
|
57 |
57 |
$7K |
| 87340 |
|
3,375 |
3,352 |
$6K |
| 12011 |
|
13 |
13 |
$6K |
| J9045 |
Carboplatin injection |
108 |
75 |
$6K |
| 93798 |
|
96 |
13 |
$6K |
| 86003 |
|
339 |
338 |
$6K |
| 70547 |
|
28 |
28 |
$6K |
| 82784 |
|
597 |
555 |
$6K |
| 87522 |
Neg quan hep c or qual rna |
161 |
161 |
$6K |
| 84484 |
|
7,938 |
6,302 |
$6K |
| 82948 |
|
13,131 |
9,157 |
$6K |
| 82947 |
|
1,601 |
1,429 |
$6K |
| 86140 |
|
5,191 |
4,887 |
$6K |
| J2405 |
Ondansetron hcl injection |
13,602 |
12,150 |
$6K |
| 97802 |
|
198 |
195 |
$5K |
| 87880 |
|
6,835 |
6,714 |
$5K |
| 97161 |
|
137 |
135 |
$5K |
| D0272 |
|
387 |
386 |
$5K |
| 76813 |
|
138 |
135 |
$5K |
| 82248 |
|
2,764 |
2,093 |
$5K |
| 84100 |
|
3,107 |
2,301 |
$5K |
| 87480 |
|
1,100 |
1,074 |
$5K |
| 87660 |
|
1,100 |
1,074 |
$5K |
| 87510 |
|
1,100 |
1,074 |
$5K |
| J0134 |
Inj acetaminophen -fresenius |
1,007 |
876 |
$5K |
| 76642 |
|
62 |
53 |
$5K |
| 90707 |
|
1,489 |
1,485 |
$5K |
| 87040 |
|
8,386 |
5,097 |
$5K |
| 76820 |
|
228 |
194 |
$5K |
| 86480 |
|
74 |
74 |
$5K |
| D0270 |
|
324 |
303 |
$4K |
| 73630 |
|
1,310 |
1,250 |
$4K |
| J1170 |
Hydromorphone injection |
1,738 |
1,502 |
$4K |
| 87507 |
|
63 |
59 |
$4K |
| 81001 |
|
13,991 |
13,450 |
$4K |
| 83690 |
|
9,316 |
8,845 |
$4K |
| 87804 |
|
1,468 |
1,408 |
$4K |
| 88720 |
|
2,497 |
1,687 |
$4K |
| 84550 |
|
2,281 |
1,970 |
$4K |
| 0064A |
|
107 |
107 |
$4K |
| 70496 |
|
24 |
24 |
$4K |
| 87798 |
|
116 |
113 |
$4K |
| 86762 |
|
718 |
714 |
$4K |
| 96376 |
|
1,068 |
944 |
$4K |
| A4648 |
Implantable tissue marker |
12 |
12 |
$4K |
| 90710 |
|
1,271 |
1,269 |
$4K |
| 73610 |
|
1,266 |
1,218 |
$4K |
| 0011A |
|
129 |
126 |
$4K |
| J2270 |
Morphine sulfate injection |
2,069 |
1,872 |
$4K |
| 82378 |
|
447 |
322 |
$4K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
65 |
63 |
$3K |
| J2250 |
Inj midazolam hydrochloride |
6,951 |
6,826 |
$3K |
| 73562 |
|
925 |
882 |
$3K |
| 90734 |
|
581 |
579 |
$3K |
| 87631 |
|
55 |
54 |
$3K |
| 74018 |
|
1,916 |
1,876 |
$3K |
| 84153 |
|
234 |
228 |
$3K |
| 93971 |
|
27 |
26 |
$3K |
| 99203 |
|
26 |
25 |
$3K |
| 73590 |
|
1,096 |
1,052 |
$3K |
| D9230 |
|
107 |
101 |
$3K |
| J1650 |
Inj enoxaparin sodium |
1,202 |
738 |
$3K |
| 88185 |
|
25 |
24 |
$3K |
| J1644 |
Inj heparin sodium per 1000u |
2,050 |
1,596 |
$3K |
| 0124A |
|
78 |
78 |
$3K |
| 76870 |
|
94 |
92 |
$3K |
| C1887 |
Catheter, guiding |
13 |
12 |
$3K |
| S0028 |
Injection, famotidine, 20 mg |
3,521 |
2,762 |
$3K |
| 87186 |
|
2,073 |
2,023 |
$3K |
| J2765 |
Metoclopramide hcl injection |
2,619 |
2,508 |
$3K |
| J7042 |
5% dextrose/normal saline |
1,131 |
990 |
$3K |
| 85384 |
|
1,171 |
985 |
$3K |
| 90700 |
|
1,381 |
1,376 |
$3K |
| 59430 |
|
18 |
18 |
$3K |
| 85652 |
|
3,916 |
3,722 |
$3K |
| 72100 |
|
559 |
553 |
$3K |
| 73130 |
|
980 |
916 |
$3K |
| J0330 |
Succinycholine chloride inj |
463 |
457 |
$2K |
| 90696 |
|
1,249 |
1,248 |
$2K |
| J1815 |
Insulin injection |
635 |
337 |
$2K |
| J2930 |
Methylprednisolone injection |
197 |
177 |
$2K |
| 86787 |
|
687 |
685 |
$2K |
| 73030 |
|
894 |
870 |
$2K |
| Q0144 |
Azithromycin dihydrate, oral |
119 |
117 |
$2K |
| 82105 |
|
599 |
586 |
$2K |
| 83525 |
|
420 |
415 |
$2K |
| 70544 |
|
29 |
29 |
$2K |
| 73110 |
|
763 |
711 |
$2K |
| 74019 |
|
503 |
495 |
$2K |
| 82607 |
|
326 |
320 |
$2K |
| 0012A |
|
81 |
81 |
$2K |
| 82247 |
|
1,553 |
1,265 |
$2K |
| 86706 |
|
537 |
534 |
$2K |
| 82150 |
|
970 |
812 |
$2K |
| 0054A |
|
42 |
42 |
$2K |
| 71250 |
|
14 |
12 |
$2K |
| 86880 |
|
97 |
91 |
$2K |
| 90656 |
|
737 |
737 |
$2K |
| 82465 |
|
1,190 |
1,189 |
$1K |
| 87486 |
|
98 |
96 |
$1K |
| 87581 |
|
98 |
96 |
$1K |
| J2370 |
Phenylephrine hcl injection |
754 |
749 |
$1K |
| 73080 |
|
744 |
706 |
$1K |
| J0137 |
Inj, acetaminophen (hikma) |
214 |
210 |
$1K |
| U0002 |
Covid-19 lab test non-cdc |
33 |
33 |
$1K |
| 95700 |
|
14 |
14 |
$1K |
| 90688 |
|
619 |
617 |
$1K |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
1,821 |
1,522 |
$1K |
| J2272 |
Inj, morphine (fresenius) |
519 |
484 |
$1K |
| 73090 |
|
743 |
709 |
$1K |
| J0171 |
Adrenalin epinephrine inject |
241 |
231 |
$1K |
| 90685 |
|
666 |
662 |
$1K |
| H1010 |
Nonmed family planning ed |
187 |
187 |
$1K |
| 88184 |
|
24 |
24 |
$1K |
| D1351 |
|
36 |
12 |
$1K |
| 84156 |
|
768 |
639 |
$1K |
| J3475 |
Inj magnesium sulfate |
812 |
640 |
$1K |
| 80307 |
|
44 |
39 |
$1K |
| 80305 |
|
1,599 |
1,540 |
$989.01 |
| 86704 |
|
272 |
270 |
$969.05 |
| 82565 |
|
307 |
292 |
$967.21 |
| C1758 |
Catheter, ureteral |
169 |
167 |
$936.50 |
| 85379 |
|
1,911 |
1,860 |
$918.41 |
| 82310 |
|
249 |
241 |
$882.29 |
| 84460 |
|
366 |
341 |
$856.86 |
| G0480 |
Drug test def 1-7 classes |
279 |
257 |
$853.17 |
| 88261 |
|
25 |
25 |
$846.22 |
| 72170 |
|
186 |
171 |
$846.03 |
| 82785 |
|
335 |
309 |
$826.61 |
| 84075 |
|
348 |
325 |
$806.45 |
| 84450 |
|
388 |
362 |
$805.05 |
| 84132 |
|
368 |
358 |
$794.03 |
| 83718 |
|
162 |
162 |
$788.94 |
| D2393 |
|
12 |
12 |
$781.00 |
| 82040 |
|
256 |
246 |
$770.00 |
| 86701 |
|
78 |
78 |
$749.32 |
| 82374 |
|
241 |
233 |
$708.07 |
| 0004A |
|
19 |
19 |
$702.62 |
| 82746 |
|
118 |
115 |
$702.27 |
| 84295 |
|
247 |
239 |
$701.70 |
| 87430 |
|
65 |
65 |
$684.10 |
| 82435 |
|
241 |
233 |
$681.54 |
| 82550 |
|
650 |
609 |
$681.12 |
| 84520 |
|
266 |
254 |
$680.20 |
| 84155 |
|
360 |
339 |
$646.31 |
| Q0163 |
Diphenhydramine hcl 50mg |
2,169 |
1,534 |
$642.23 |
| 84478 |
|
167 |
167 |
$622.59 |
| J7512 |
Prednisone ir or dr oral 1mg |
203 |
138 |
$613.27 |
| J7644 |
Ipratropium bromide non-comp |
1,476 |
1,267 |
$609.10 |
| J0694 |
Cefoxitin sodium injection |
76 |
70 |
$537.55 |
| 96523 |
|
36 |
26 |
$496.57 |
| 87081 |
|
337 |
332 |
$484.81 |
| 83020 |
|
79 |
77 |
$459.28 |
| 73502 |
|
79 |
76 |
$449.44 |
| 0134A |
|
13 |
13 |
$396.20 |
| J9060 |
Cisplatin 10 mg injection |
14 |
12 |
$395.32 |
| 0002A |
|
18 |
18 |
$390.41 |
| J2919 |
Inj, methylpred sod succ 5mg |
68 |
56 |
$389.46 |
| J7510 |
Prednisolone oral per 5 mg |
88 |
87 |
$385.18 |
| 88312 |
|
84 |
81 |
$375.66 |
| 70498 |
|
12 |
12 |
$372.81 |
| 90474 |
|
496 |
495 |
$371.32 |
| 72132 |
|
13 |
13 |
$350.51 |
| 88360 |
|
12 |
12 |
$343.09 |
| 86790 |
|
64 |
64 |
$338.90 |
| 87625 |
|
14 |
14 |
$330.89 |
| 73552 |
|
176 |
170 |
$314.07 |
| 87653 |
|
13 |
13 |
$305.11 |
| 87502 |
|
12 |
12 |
$292.38 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
30 |
29 |
$291.15 |
| 88300 |
|
65 |
65 |
$289.86 |
| 90697 |
|
17 |
17 |
$277.10 |
| T1013 |
Sign lang/oral interpreter |
38 |
32 |
$264.13 |
| 73560 |
|
199 |
184 |
$254.65 |
| 73060 |
|
319 |
308 |
$254.00 |
| 87075 |
|
99 |
90 |
$237.17 |
| 84436 |
|
301 |
292 |
$231.87 |
| 87205 |
|
260 |
255 |
$222.19 |
| 82570 |
|
63 |
59 |
$200.73 |
| 87426 |
|
24 |
24 |
$185.10 |
| J1580 |
Garamycin gentamicin inj |
75 |
73 |
$184.97 |
| J3480 |
Inj potassium chloride |
118 |
81 |
$181.92 |
| 0001A |
|
15 |
15 |
$177.85 |
| S0077 |
Injection, clindamycin phosp |
66 |
53 |
$175.72 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
217 |
200 |
$167.11 |
| J2710 |
Neostigmine methylslfte inj |
27 |
27 |
$138.87 |
| 81002 |
|
411 |
394 |
$131.55 |
| J2543 |
Piperacillin/tazobactam |
32 |
28 |
$127.22 |
| 73564 |
|
14 |
12 |
$123.87 |
| 83516 |
|
66 |
65 |
$120.87 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
550 |
545 |
$97.83 |
| 87899 |
|
12 |
12 |
$95.58 |
| 83001 |
|
12 |
12 |
$94.22 |
| 96368 |
|
17 |
12 |
$89.48 |
| A4216 |
Sterile water/saline, 10 ml |
472 |
428 |
$88.12 |
| 88280 |
|
25 |
25 |
$80.24 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
16 |
12 |
$77.52 |
| J7614 |
Levalbuterol non-comp unit |
63 |
48 |
$77.04 |
| 84145 |
|
25 |
25 |
$70.28 |
| 82533 |
|
15 |
13 |
$69.50 |
| J7040 |
Normal saline solution infus |
23 |
21 |
$66.35 |
| 82043 |
|
12 |
12 |
$61.89 |
| J7613 |
Albuterol non-comp unit |
3,018 |
2,546 |
$60.16 |
| 87275 |
|
28 |
28 |
$59.67 |
| 87045 |
|
12 |
12 |
$58.84 |
| 88285 |
|
25 |
25 |
$58.44 |
| 83605 |
|
40 |
38 |
$57.20 |
| 86665 |
|
13 |
12 |
$52.61 |
| J3370 |
Vancomycin hcl injection |
18 |
15 |
$47.44 |
| 86664 |
|
13 |
12 |
$44.34 |
| 90632 |
|
36 |
36 |
$42.85 |
| 82010 |
|
76 |
76 |
$41.02 |
| 94664 |
|
27 |
27 |
$39.03 |
| 86663 |
|
13 |
12 |
$38.05 |
| 82977 |
|
25 |
25 |
$26.64 |
| 89051 |
|
27 |
26 |
$22.64 |
| 82950 |
|
13 |
13 |
$20.97 |
| 84480 |
|
14 |
14 |
$18.46 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
90 |
83 |
$18.08 |
| J2004 |
Inj, lidocaine w epinephrine |
45 |
42 |
$16.76 |
| 91301 |
|
230 |
223 |
$16.73 |
| 91312 |
|
56 |
56 |
$15.16 |
| 91305 |
|
46 |
45 |
$13.56 |
| 83993 |
|
45 |
45 |
$11.39 |
| 91300 |
|
56 |
52 |
$8.94 |
| 85378 |
|
13 |
13 |
$8.75 |
| 86308 |
|
24 |
24 |
$4.73 |
| 80320 |
|
163 |
155 |
$4.55 |
| 91307 |
|
16 |
13 |
$2.80 |
| 99152 |
|
25 |
25 |
$0.00 |
| G1004 |
Cdsm ndsc |
17 |
15 |
$0.00 |
| 82962 |
|
12 |
12 |
$0.00 |
| A4338 |
Indwelling catheter latex |
14 |
14 |
$0.00 |