| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
92,746 |
81,957 |
$25.65M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
22,850 |
20,310 |
$9.15M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
11,541 |
9,210 |
$6.08M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
35,285 |
31,390 |
$4.28M |
| G0378 |
Hospital observation service, per hour |
6,604 |
3,558 |
$2.98M |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
39,186 |
10,814 |
$2.84M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
3,120 |
2,886 |
$2.38M |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
3,729 |
3,416 |
$2.19M |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
2,642 |
2,124 |
$2.12M |
| 41899 |
Unlisted procedure, dentoalveolar structures |
365 |
295 |
$2.12M |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
22,429 |
7,340 |
$2.08M |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
26,864 |
8,541 |
$1.82M |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
20,407 |
19,136 |
$1.82M |
| J1745 |
Injection, infliximab, excludes biosimilar, 10 mg |
1,168 |
703 |
$1.71M |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
18,847 |
16,828 |
$1.38M |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
941 |
871 |
$1.37M |
| 80053 |
Comprehensive metabolic panel |
25,227 |
18,467 |
$1.36M |
| 93325 |
|
6,472 |
5,814 |
$1.26M |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
2,355 |
2,128 |
$1.06M |
| 93320 |
|
3,739 |
3,420 |
$1.05M |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
991 |
881 |
$1.02M |
| 96361 |
Intravenous infusion, hydration; each additional hour |
4,567 |
2,507 |
$930K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
7,734 |
5,880 |
$868K |
| 92526 |
|
8,242 |
3,306 |
$741K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
1,225 |
773 |
$668K |
| 76770 |
|
4,705 |
4,342 |
$599K |
| A0425 |
Ground mileage, per statute mile |
2,941 |
2,339 |
$571K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
35,344 |
25,867 |
$527K |
| 92587 |
|
8,864 |
8,042 |
$521K |
| 92579 |
|
6,655 |
6,064 |
$505K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,946 |
1,600 |
$496K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
7,913 |
7,462 |
$467K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
8,317 |
7,342 |
$466K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
8,242 |
7,330 |
$466K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
2,760 |
1,852 |
$459K |
| 92567 |
|
13,757 |
12,571 |
$453K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
2,821 |
2,625 |
$439K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
2,631 |
1,642 |
$420K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
5,120 |
3,547 |
$402K |
| 95782 |
|
457 |
409 |
$396K |
| 94664 |
|
3,907 |
3,051 |
$388K |
| 71046 |
Radiologic examination, chest; 2 views |
10,171 |
8,934 |
$385K |
| 72082 |
|
4,326 |
4,083 |
$337K |
| 97162 |
|
2,229 |
2,038 |
$334K |
| OP370 |
|
3,808 |
3,565 |
$333K |
| OP710 |
|
4,263 |
3,944 |
$328K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
717 |
570 |
$325K |
| 94010 |
|
2,267 |
2,118 |
$324K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
2,622 |
2,079 |
$322K |
| 87799 |
|
2,375 |
1,261 |
$290K |
| P9040 |
Red blood cells, leukocytes reduced, irradiated, each unit |
858 |
486 |
$286K |
| 36430 |
|
1,184 |
528 |
$272K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
906 |
768 |
$267K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
6,896 |
5,858 |
$255K |
| 80050 |
General health panel |
1,857 |
1,657 |
$243K |
| 94060 |
|
1,393 |
1,276 |
$240K |
| A0434 |
Specialty care transport (sct) |
323 |
259 |
$236K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
3,470 |
2,155 |
$224K |
| 96415 |
|
1,828 |
1,173 |
$223K |
| 72170 |
|
3,922 |
3,706 |
$221K |
| 36415 |
Collection of venous blood by venipuncture |
28,288 |
23,662 |
$214K |
| 87631 |
|
6,218 |
4,876 |
$214K |
| 80061 |
Lipid panel |
5,219 |
4,785 |
$213K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
5,534 |
2,352 |
$208K |
| 77073 |
|
2,257 |
2,074 |
$207K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
2,340 |
1,941 |
$189K |
| 92610 |
|
1,029 |
909 |
$182K |
| 97161 |
|
1,496 |
1,347 |
$180K |
| 74019 |
|
4,464 |
3,926 |
$175K |
| 73590 |
|
2,406 |
1,919 |
$174K |
| 74018 |
|
5,724 |
4,928 |
$165K |
| 84439 |
|
4,233 |
3,707 |
$164K |
| 85045 |
|
7,463 |
4,896 |
$160K |
| 92552 |
|
5,845 |
5,321 |
$158K |
| 92523 |
|
885 |
821 |
$155K |
| 84443 |
Thyroid stimulating hormone (TSH) |
3,585 |
3,166 |
$149K |
| 94799 |
|
2,411 |
1,808 |
$147K |
| 82728 |
|
3,391 |
2,629 |
$146K |
| 87077 |
|
3,552 |
2,919 |
$146K |
| 93356 |
|
583 |
549 |
$145K |
| 73080 |
|
2,112 |
1,607 |
$142K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
4,271 |
3,371 |
$141K |
| 73630 |
|
2,945 |
2,642 |
$140K |
| 84100 |
|
5,914 |
3,830 |
$139K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
2,406 |
1,967 |
$137K |
| 86140 |
|
6,632 |
5,334 |
$135K |
| 81001 |
|
5,545 |
4,640 |
$134K |
| 85651 |
|
6,615 |
5,328 |
$132K |
| 93304 |
|
921 |
797 |
$131K |
| 73610 |
|
2,661 |
2,326 |
$130K |
| 83735 |
|
4,537 |
2,849 |
$129K |
| 83516 |
|
1,830 |
1,590 |
$129K |
| 86905 |
|
407 |
296 |
$128K |
| 97116 |
|
2,963 |
1,030 |
$128K |
| 82784 |
|
3,457 |
2,547 |
$127K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,798 |
2,683 |
$127K |
| 70360 |
|
2,459 |
2,159 |
$122K |
| 80197 |
|
1,908 |
956 |
$118K |
| 73090 |
|
3,335 |
2,365 |
$118K |
| 95816 |
|
554 |
504 |
$117K |
| 92588 |
|
1,016 |
909 |
$116K |
| 73110 |
|
1,618 |
1,336 |
$112K |
| J3490 |
Unclassified drugs |
36,333 |
17,699 |
$108K |
| 81003 |
|
4,626 |
4,052 |
$107K |
| 76000 |
|
1,025 |
769 |
$99K |
| 92555 |
|
2,718 |
2,513 |
$95K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
802 |
585 |
$94K |
| 76376 |
|
767 |
623 |
$94K |
| 70450 |
Computed tomography, head or brain; without contrast material |
522 |
462 |
$94K |
| 77072 |
|
1,759 |
1,608 |
$93K |
| 82977 |
|
4,692 |
3,548 |
$92K |
| 73140 |
|
1,773 |
1,510 |
$91K |
| 12011 |
|
876 |
682 |
$90K |
| 93321 |
|
1,313 |
1,150 |
$88K |
| 85610 |
|
3,377 |
2,491 |
$82K |
| 87497 |
|
1,076 |
582 |
$82K |
| 92556 |
|
1,512 |
1,384 |
$79K |
| 97166 |
|
509 |
463 |
$79K |
| 87430 |
|
3,840 |
3,224 |
$78K |
| 93975 |
|
249 |
235 |
$78K |
| 83690 |
|
2,639 |
2,179 |
$77K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,829 |
1,662 |
$74K |
| 73130 |
|
1,328 |
1,126 |
$74K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,303 |
2,979 |
$73K |
| 87040 |
|
1,526 |
1,258 |
$73K |
| 54161 |
|
88 |
69 |
$73K |
| 85730 |
|
2,738 |
2,098 |
$72K |
| 29515 |
|
1,089 |
1,009 |
$70K |
| 86003 |
|
1,225 |
902 |
$69K |
| 76885 |
|
609 |
493 |
$65K |
| 92557 |
|
865 |
772 |
$65K |
| 86900 |
|
2,627 |
1,814 |
$64K |
| OP272 |
|
754 |
687 |
$63K |
| 92550 |
|
1,352 |
1,249 |
$62K |
| 92650 |
|
346 |
294 |
$61K |
| 86850 |
|
2,422 |
1,632 |
$59K |
| J2704 |
Injection, propofol, 10 mg |
18,598 |
13,036 |
$58K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
336 |
291 |
$57K |
| 86901 |
|
2,560 |
1,757 |
$57K |
| 73562 |
|
948 |
857 |
$55K |
| 83540 |
|
1,965 |
1,683 |
$54K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,494 |
670 |
$53K |
| 82657 |
|
701 |
562 |
$53K |
| 87070 |
|
1,579 |
1,282 |
$52K |
| 42830 |
|
225 |
201 |
$52K |
| 93976 |
|
547 |
383 |
$47K |
| 83550 |
|
1,179 |
1,024 |
$46K |
| 87186 |
|
2,087 |
1,830 |
$45K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
2,184 |
2,043 |
$44K |
| 76536 |
|
481 |
426 |
$43K |
| 80076 |
|
1,404 |
1,242 |
$42K |
| 92609 |
|
271 |
110 |
$40K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
15,709 |
9,220 |
$40K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
977 |
584 |
$39K |
| J3535 |
Drug administered through a metered dose inhaler |
3,347 |
2,558 |
$39K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
5,111 |
4,570 |
$38K |
| 92582 |
|
685 |
597 |
$37K |
| 83880 |
|
353 |
322 |
$37K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
1,527 |
1,286 |
$36K |
| 29125 |
|
683 |
606 |
$36K |
| 97535 |
Self-care/home management training, each 15 minutes |
960 |
493 |
$35K |
| 73560 |
|
417 |
363 |
$35K |
| 97542 |
|
481 |
460 |
$35K |
| 92553 |
|
395 |
353 |
$35K |
| 99156 |
|
372 |
182 |
$35K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
21,021 |
16,812 |
$34K |
| 97750 |
|
126 |
126 |
$33K |
| 73521 |
|
713 |
636 |
$33K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
1,109 |
1,016 |
$33K |
| 96409 |
|
646 |
408 |
$33K |
| 83020 |
|
1,200 |
808 |
$31K |
| 82570 |
|
1,001 |
764 |
$31K |
| T1015 |
Clinic visit/encounter, all-inclusive |
208 |
29 |
$31K |
| 76870 |
|
312 |
278 |
$30K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
483 |
447 |
$30K |
| 82785 |
|
993 |
875 |
$29K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
62 |
49 |
$28K |
| 92586 |
|
209 |
184 |
$28K |
| 73552 |
|
619 |
508 |
$27K |
| 93308 |
|
278 |
250 |
$26K |
| 92583 |
|
1,685 |
1,546 |
$26K |
| 83970 |
|
578 |
485 |
$26K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
110 |
107 |
$26K |
| 95812 |
|
148 |
138 |
$25K |
| 95819 |
|
177 |
129 |
$25K |
| 86618 |
|
746 |
635 |
$25K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15,269 |
12,051 |
$25K |
| 84156 |
|
627 |
480 |
$24K |
| 85384 |
|
901 |
647 |
$23K |
| 77075 |
|
179 |
139 |
$22K |
| A9150 |
Non-prescription drugs |
9,411 |
5,750 |
$22K |
| 82962 |
|
3,233 |
2,341 |
$22K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
16,487 |
12,843 |
$21K |
| 81479 |
Unlisted molecular pathology procedure |
412 |
301 |
$21K |
| 86364 |
|
237 |
207 |
$21K |
| 80306 |
|
813 |
667 |
$20K |
| 92585 |
|
146 |
121 |
$20K |
| 85660 |
|
1,111 |
634 |
$19K |
| 12001 |
|
258 |
229 |
$18K |
| 90686 |
|
1,455 |
1,375 |
$18K |
| 82803 |
|
420 |
289 |
$18K |
| 84703 |
|
927 |
749 |
$18K |
| 94644 |
|
137 |
111 |
$17K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
16,879 |
13,103 |
$17K |
| 87481 |
|
333 |
299 |
$16K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
2,488 |
2,030 |
$16K |
| J8540 |
Dexamethasone, oral, 0.25 mg |
7,349 |
5,525 |
$16K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
133 |
87 |
$16K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
2,121 |
1,766 |
$16K |
| 82150 |
|
843 |
650 |
$16K |
| 71045 |
Radiologic examination, chest; single view |
852 |
621 |
$16K |
| 76825 |
|
157 |
117 |
$15K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
10,524 |
8,356 |
$15K |
| 87486 |
|
2,388 |
1,956 |
$15K |
| 93017 |
|
43 |
38 |
$14K |
| 82550 |
|
702 |
596 |
$14K |
| 87581 |
|
2,386 |
1,955 |
$14K |
| 86923 |
|
317 |
220 |
$13K |
| 88304 |
|
377 |
269 |
$13K |
| 73030 |
|
163 |
137 |
$12K |
| 83655 |
|
1,676 |
1,462 |
$12K |
| 87507 |
|
142 |
114 |
$12K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
3,507 |
2,965 |
$12K |
| 74181 |
|
27 |
24 |
$12K |
| 83930 |
|
251 |
193 |
$12K |
| 92593 |
|
111 |
106 |
$12K |
| 99157 |
|
190 |
88 |
$11K |
| 84403 |
|
427 |
339 |
$11K |
| 97165 |
|
74 |
73 |
$11K |
| 72195 |
|
13 |
12 |
$11K |
| 73000 |
|
106 |
95 |
$11K |
| 86592 |
|
1,190 |
975 |
$11K |
| 83002 |
|
459 |
383 |
$10K |
| 87641 |
|
645 |
417 |
$9K |
| 81229 |
|
149 |
110 |
$9K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
2,064 |
1,678 |
$9K |
| 51741 |
|
168 |
149 |
$9K |
| 96450 |
|
40 |
29 |
$9K |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
5,718 |
4,615 |
$9K |
| 84480 |
|
679 |
579 |
$8K |
| 86039 |
|
182 |
151 |
$8K |
| 51798 |
|
342 |
309 |
$8K |
| 80299 |
|
78 |
64 |
$8K |
| 76827 |
|
157 |
117 |
$8K |
| 87081 |
|
3,007 |
2,490 |
$8K |
| 72081 |
|
223 |
201 |
$8K |
| 84436 |
|
466 |
399 |
$8K |
| 94770 |
|
479 |
443 |
$8K |
| 73070 |
|
92 |
69 |
$7K |
| 83525 |
|
372 |
324 |
$7K |
| 92652 |
|
29 |
26 |
$7K |
| J7050 |
Infusion, normal saline solution, 250 cc |
3,067 |
2,526 |
$7K |
| 94645 |
|
25 |
16 |
$7K |
| 85027 |
|
849 |
574 |
$6K |
| 96376 |
|
161 |
102 |
$6K |
| 82310 |
|
470 |
357 |
$6K |
| 82670 |
|
205 |
174 |
$6K |
| 83001 |
|
376 |
306 |
$6K |
| 82652 |
|
883 |
761 |
$6K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
3,062 |
2,035 |
$5K |
| 86803 |
|
385 |
246 |
$5K |
| 73564 |
|
167 |
145 |
$5K |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
620 |
281 |
$5K |
| 86480 |
|
164 |
142 |
$5K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
1,947 |
867 |
$5K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
4,019 |
2,644 |
$5K |
| 82947 |
|
400 |
340 |
$4K |
| 87512 |
|
317 |
298 |
$4K |
| 84484 |
|
61 |
58 |
$4K |
| 84460 |
|
509 |
447 |
$4K |
| 87102 |
|
301 |
276 |
$4K |
| 86160 |
|
100 |
86 |
$4K |
| 82610 |
|
203 |
153 |
$4K |
| 74455 |
|
34 |
29 |
$3K |
| 97167 |
|
12 |
12 |
$3K |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
2,894 |
1,067 |
$3K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
4,132 |
3,144 |
$3K |
| 87640 |
|
51 |
38 |
$3K |
| J7042 |
5% dextrose/normal saline (500 ml = 1 unit) |
3,167 |
2,143 |
$3K |
| 83615 |
|
122 |
84 |
$3K |
| 80069 |
|
56 |
39 |
$3K |
| 88312 |
|
181 |
123 |
$3K |
| 84450 |
|
419 |
368 |
$3K |
| 29130 |
|
32 |
29 |
$3K |
| 84157 |
|
164 |
123 |
$3K |
| 89050 |
|
93 |
70 |
$3K |
| 73620 |
|
42 |
37 |
$3K |
| 73060 |
|
48 |
41 |
$3K |
| 86376 |
|
164 |
143 |
$2K |
| 72040 |
|
117 |
99 |
$2K |
| 76882 |
|
64 |
54 |
$2K |
| 83520 |
|
95 |
82 |
$2K |
| 95951 |
|
61 |
57 |
$2K |
| 82945 |
|
95 |
71 |
$2K |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
4,767 |
3,248 |
$2K |
| 95700 |
|
14 |
12 |
$2K |
| 36591 |
|
240 |
99 |
$2K |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
1,540 |
973 |
$2K |
| 86665 |
|
352 |
292 |
$2K |
| 92595 |
|
24 |
24 |
$2K |
| 97760 |
|
60 |
41 |
$2K |
| 86359 |
|
179 |
134 |
$2K |
| 73100 |
|
12 |
12 |
$2K |
| 84305 |
|
235 |
199 |
$2K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
12 |
12 |
$2K |
| 85246 |
|
32 |
24 |
$2K |
| 85397 |
|
14 |
12 |
$2K |
| J9370 |
Vincristine sulfate, 1 mg |
644 |
424 |
$2K |
| 86255 |
|
64 |
40 |
$2K |
| 69210 |
|
143 |
111 |
$2K |
| 85240 |
|
34 |
26 |
$1K |
| 83498 |
|
13 |
13 |
$1K |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
14 |
12 |
$1K |
| 80329 |
|
14 |
12 |
$1K |
| 87205 |
|
1,625 |
1,195 |
$1K |
| J2300 |
Injection, nalbuphine hydrochloride, per 10 mg |
1,931 |
1,222 |
$1K |
| 85018 |
|
441 |
364 |
$1K |
| 80074 |
|
32 |
27 |
$1K |
| 81025 |
|
34 |
28 |
$1K |
| Q9958 |
High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml |
46 |
39 |
$1K |
| 84466 |
|
121 |
102 |
$984.51 |
| Q0162 |
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
1,588 |
1,492 |
$973.17 |
| 86317 |
|
105 |
59 |
$958.53 |
| 86225 |
|
15 |
13 |
$913.48 |
| 86921 |
|
175 |
116 |
$897.17 |
| 87800 |
|
211 |
173 |
$877.07 |
| 90656 |
|
101 |
99 |
$839.35 |
| 86706 |
|
358 |
221 |
$823.66 |
| 80164 |
|
138 |
120 |
$802.80 |
| 84550 |
|
31 |
25 |
$734.42 |
| 86360 |
|
34 |
26 |
$715.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
245 |
194 |
$671.15 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
563 |
440 |
$657.44 |
| 82247 |
|
308 |
189 |
$555.42 |
| 82043 |
|
70 |
65 |
$505.76 |
| A9573 |
Injection, gadopiclenol, 1 ml |
14 |
13 |
$491.72 |
| 51600 |
|
35 |
30 |
$479.57 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
201 |
149 |
$468.74 |
| 87147 |
|
73 |
68 |
$405.25 |
| 82248 |
|
266 |
173 |
$398.51 |
| 86664 |
|
224 |
187 |
$391.12 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
477 |
403 |
$384.23 |
| 86357 |
|
81 |
62 |
$345.35 |
| 86355 |
|
81 |
62 |
$345.35 |
| 86800 |
|
13 |
12 |
$320.76 |
| 86308 |
|
271 |
224 |
$307.26 |
| J7999 |
Compounded drug, not otherwise classified |
254 |
210 |
$304.96 |
| 84146 |
|
116 |
86 |
$297.67 |
| J3480 |
Injection, potassium chloride, per 2 meq |
92 |
76 |
$296.13 |
| V5266 |
Battery for use in hearing device |
12 |
12 |
$295.15 |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
113 |
108 |
$265.32 |
| J0134 |
Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg |
322 |
263 |
$262.11 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
70 |
39 |
$232.33 |
| 85044 |
|
633 |
362 |
$194.21 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
12 |
12 |
$171.20 |
| 84402 |
|
16 |
12 |
$137.43 |
| 86708 |
|
19 |
13 |
$134.82 |
| 94729 |
|
45 |
37 |
$132.99 |
| 82607 |
|
30 |
25 |
$129.36 |
| Q0163 |
Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen |
28 |
27 |
$129.20 |
| 86663 |
|
83 |
71 |
$65.07 |
| 86885 |
|
113 |
81 |
$56.96 |
| 87340 |
|
220 |
117 |
$45.90 |
| J9260 |
Injection, methotrexate sodium, 50 mg |
42 |
27 |
$37.49 |
| J0136 |
Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg |
59 |
56 |
$32.76 |
| 88300 |
|
18 |
13 |
$31.83 |
| 86704 |
|
123 |
26 |
$28.86 |
| 85060 |
|
13 |
12 |
$25.45 |
| J2274 |
Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg |
13 |
12 |
$25.30 |
| 85014 |
|
71 |
49 |
$19.14 |
| 80177 |
|
32 |
24 |
$14.44 |
| 78264 |
|
45 |
39 |
$0.00 |
| 84134 |
|
20 |
16 |
$0.00 |
| 73660 |
|
12 |
12 |
$0.00 |
| 97113 |
|
27 |
12 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
17 |
17 |
$0.00 |
| 93886 |
|
13 |
12 |
$0.00 |
| 83021 |
|
30 |
15 |
$0.00 |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
28 |
25 |
$0.00 |
| 74230 |
|
16 |
12 |
$0.00 |
| 92611 |
|
17 |
13 |
$0.00 |
| 78262 |
|
30 |
24 |
$0.00 |
| 94726 |
|
28 |
24 |
$0.00 |
| 84630 |
|
15 |
12 |
$0.00 |
| A9541 |
Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries |
45 |
39 |
$0.00 |
| 72100 |
|
38 |
38 |
$0.00 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
17 |
12 |
$0.00 |
| 86235 |
|
19 |
12 |
$0.00 |