| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
119,380 |
105,131 |
$35.84M |
| 99284 |
|
172,814 |
155,542 |
$29.37M |
| 99283 |
|
117,137 |
106,825 |
$15.84M |
| 96374 |
|
50,059 |
40,641 |
$7.14M |
| G0463 |
Hospital outpt clinic visit |
80,124 |
51,482 |
$4.85M |
| 97110 |
|
109,853 |
33,188 |
$4.82M |
| 74177 |
|
19,496 |
17,396 |
$3.47M |
| 71046 |
|
42,559 |
38,080 |
$2.27M |
| 96365 |
|
18,742 |
12,666 |
$2.27M |
| 96361 |
|
46,064 |
34,718 |
$2.25M |
| 96360 |
|
14,457 |
11,883 |
$1.95M |
| J1745 |
Infliximab not biosimil 10mg |
1,112 |
913 |
$1.62M |
| 59025 |
|
10,450 |
3,112 |
$1.61M |
| H0035 |
Mh partial hosp tx under 24h |
10,039 |
1,308 |
$1.60M |
| 96375 |
|
35,284 |
27,447 |
$1.56M |
| 93306 |
|
6,097 |
5,616 |
$1.46M |
| 99282 |
|
12,922 |
11,853 |
$1.41M |
| 96413 |
|
7,152 |
4,073 |
$1.40M |
| 97010 |
|
31,733 |
12,496 |
$1.35M |
| 74176 |
|
9,619 |
8,549 |
$1.18M |
| 78452 |
|
2,859 |
2,507 |
$1.14M |
| U0004 |
Cov-19 test non-cdc hgh thru |
18,050 |
15,508 |
$1.14M |
| 99291 |
|
1,946 |
1,776 |
$1.10M |
| 70450 |
|
17,186 |
15,061 |
$1.08M |
| 72125 |
|
7,813 |
6,922 |
$1.06M |
| 78815 |
|
1,744 |
1,611 |
$1.05M |
| 43239 |
|
2,811 |
2,612 |
$1.00M |
| 77067 |
|
8,690 |
8,399 |
$938K |
| U0003 |
Cov-19 amp prb hgh thruput |
10,942 |
9,785 |
$903K |
| 0241U |
|
7,526 |
6,832 |
$793K |
| 11042 |
|
7,956 |
3,993 |
$766K |
| 71260 |
|
5,792 |
5,173 |
$742K |
| S9480 |
Intensive outpatient psychia |
7,169 |
897 |
$739K |
| 71045 |
|
14,041 |
12,473 |
$715K |
| 45380 |
|
1,118 |
1,042 |
$687K |
| 76700 |
|
7,808 |
7,324 |
$667K |
| 99214 |
|
28,997 |
18,700 |
$659K |
| 97161 |
|
12,711 |
11,607 |
$647K |
| 93975 |
|
3,312 |
2,941 |
$644K |
| J0897 |
Denosumab injection |
1,631 |
1,302 |
$631K |
| J1439 |
Inj ferric carboxymaltos 1mg |
1,155 |
684 |
$627K |
| 87637 |
|
5,974 |
5,642 |
$597K |
| 72148 |
|
4,230 |
3,958 |
$584K |
| 70553 |
|
2,764 |
2,436 |
$583K |
| 52356 |
|
183 |
174 |
$574K |
| 71275 |
|
4,264 |
3,873 |
$521K |
| 95810 |
|
784 |
733 |
$501K |
| 73721 |
|
2,845 |
2,645 |
$480K |
| J3380 |
Inj vedolizumab iv 1 mg |
90 |
81 |
$424K |
| 64483 |
|
2,324 |
1,530 |
$420K |
| 72141 |
|
2,358 |
2,224 |
$415K |
| 90791 |
|
8,791 |
7,293 |
$395K |
| 47562 |
|
88 |
81 |
$392K |
| 77334 |
|
1,413 |
879 |
$367K |
| 76830 |
|
3,858 |
3,507 |
$361K |
| 76770 |
|
4,951 |
4,634 |
$355K |
| 90837 |
|
5,675 |
3,830 |
$354K |
| 76856 |
|
4,099 |
3,718 |
$353K |
| 45385 |
|
709 |
653 |
$340K |
| 93971 |
|
5,242 |
4,772 |
$337K |
| 99213 |
|
21,643 |
12,733 |
$336K |
| 97014 |
|
6,923 |
2,451 |
$326K |
| 71250 |
|
6,605 |
6,149 |
$324K |
| 77386 |
|
1,543 |
104 |
$318K |
| 70551 |
|
2,727 |
2,445 |
$313K |
| 77336 |
|
4,180 |
1,559 |
$291K |
| U0005 |
Infec agen detec ampli probe |
14,185 |
12,261 |
$290K |
| 93005 |
|
57,019 |
48,658 |
$290K |
| 97112 |
|
32,555 |
11,777 |
$284K |
| 73221 |
|
1,721 |
1,618 |
$284K |
| 76811 |
|
1,516 |
1,367 |
$284K |
| 77412 |
|
2,900 |
256 |
$270K |
| 77065 |
Tomosynthesis, mammo |
2,671 |
2,419 |
$269K |
| 77066 |
Tomosynthesis, mammo |
2,236 |
2,121 |
$258K |
| 96372 |
|
22,492 |
15,281 |
$251K |
| 76641 |
|
2,916 |
2,762 |
$243K |
| 97140 |
|
52,285 |
18,318 |
$237K |
| 72110 |
|
6,038 |
5,557 |
$225K |
| 97162 |
|
4,834 |
4,556 |
$221K |
| 76536 |
|
2,936 |
2,804 |
$221K |
| 70496 |
|
1,524 |
1,386 |
$218K |
| 97035 |
|
4,416 |
1,862 |
$214K |
| 93970 |
|
1,785 |
1,631 |
$214K |
| 74183 |
|
1,068 |
978 |
$202K |
| 70491 |
|
1,250 |
1,134 |
$183K |
| 76642 |
|
3,058 |
2,903 |
$182K |
| 76705 |
|
1,897 |
1,723 |
$182K |
| 97165 |
|
3,067 |
2,798 |
$177K |
| 73564 |
|
7,429 |
6,815 |
$173K |
| Q5103 |
Injection, inflectra |
302 |
287 |
$171K |
| J2505 |
Injection, pegfilgrastim 6mg |
98 |
57 |
$164K |
| 96415 |
|
3,029 |
2,237 |
$162K |
| 96366 |
|
5,857 |
3,373 |
$158K |
| J0129 |
Abatacept injection |
64 |
61 |
$158K |
| 77300 |
|
901 |
716 |
$156K |
| U0002 |
Covid-19 lab test non-cdc |
3,742 |
3,418 |
$143K |
| 72050 |
|
2,298 |
2,137 |
$134K |
| 90834 |
|
3,695 |
2,896 |
$132K |
| 36430 |
|
794 |
434 |
$127K |
| 93308 |
|
852 |
773 |
$113K |
| 76801 |
|
1,192 |
1,016 |
$113K |
| 77080 |
|
1,207 |
1,156 |
$112K |
| 74178 |
|
560 |
521 |
$111K |
| 73700 |
|
1,847 |
1,691 |
$108K |
| J2357 |
Omalizumab injection |
626 |
198 |
$107K |
| 87811 |
|
3,288 |
2,949 |
$107K |
| 10061 |
|
332 |
297 |
$103K |
| 77063 |
|
6,962 |
6,713 |
$100K |
| 99204 |
|
3,341 |
2,426 |
$99K |
| 10060 |
|
629 |
598 |
$99K |
| 93017 |
|
3,918 |
3,476 |
$97K |
| 0202U |
|
247 |
244 |
$96K |
| 90832 |
|
3,663 |
2,831 |
$92K |
| 52332 |
|
68 |
65 |
$90K |
| 0002A |
|
2,658 |
2,476 |
$87K |
| 0001A |
|
2,839 |
2,662 |
$87K |
| 74246 |
|
614 |
583 |
$86K |
| 86900 |
|
8,859 |
7,196 |
$83K |
| 92507 |
|
1,248 |
346 |
$79K |
| 97012 |
|
1,397 |
554 |
$77K |
| P9016 |
Rbc leukocytes reduced |
736 |
436 |
$77K |
| 70486 |
|
2,020 |
1,866 |
$77K |
| 72131 |
|
1,686 |
1,519 |
$75K |
| 73030 |
|
5,752 |
5,244 |
$75K |
| 97535 |
|
3,057 |
2,025 |
$68K |
| C8929 |
Tte w or wo fol wcon,doppler |
246 |
225 |
$68K |
| 99244 |
|
695 |
550 |
$67K |
| 93798 |
|
1,047 |
141 |
$65K |
| 96367 |
|
2,021 |
1,450 |
$65K |
| 73630 |
|
6,999 |
6,389 |
$64K |
| 43235 |
|
112 |
105 |
$60K |
| 49083 |
|
173 |
82 |
$60K |
| 20610 |
|
739 |
545 |
$59K |
| 74018 |
|
3,974 |
3,442 |
$59K |
| 99232 |
|
3,201 |
1,109 |
$58K |
| 71271 |
|
605 |
591 |
$58K |
| 15275 |
|
125 |
50 |
$57K |
| 90853 |
|
5,170 |
1,559 |
$52K |
| 73130 |
|
5,246 |
4,795 |
$51K |
| 72040 |
|
1,864 |
1,691 |
$50K |
| 73610 |
|
5,825 |
5,344 |
$48K |
| 72070 |
|
1,465 |
1,322 |
$46K |
| 76813 |
|
491 |
442 |
$45K |
| 87635 |
|
1,206 |
1,101 |
$42K |
| C8908 |
Mri w/o fol w/cont, breast, |
223 |
174 |
$41K |
| 97116 |
|
3,151 |
1,719 |
$41K |
| 87491 |
|
4,235 |
3,798 |
$41K |
| 87591 |
|
4,236 |
3,799 |
$41K |
| 73502 |
|
3,383 |
3,121 |
$40K |
| 95811 |
|
81 |
72 |
$39K |
| 97530 |
|
5,800 |
2,957 |
$39K |
| 73110 |
|
3,915 |
3,499 |
$35K |
| Q0138 |
Ferumoxytol, non-esrd |
158 |
93 |
$30K |
| 76870 |
|
937 |
856 |
$29K |
| 96417 |
|
611 |
347 |
$29K |
| 76882 |
|
469 |
426 |
$29K |
| 93880 |
|
383 |
351 |
$28K |
| M0245 |
Bamlan and etesev infusion |
68 |
63 |
$26K |
| 72100 |
|
1,613 |
1,477 |
$25K |
| 99222 |
|
531 |
455 |
$22K |
| 77295 |
|
25 |
24 |
$22K |
| 36561 |
|
14 |
14 |
$22K |
| 74174 |
|
130 |
119 |
$21K |
| 78431 |
|
34 |
33 |
$21K |
| 19083 |
|
25 |
25 |
$21K |
| 93225 |
|
336 |
309 |
$19K |
| 94060 |
|
136 |
122 |
$18K |
| 77338 |
|
148 |
121 |
$18K |
| 73080 |
|
2,157 |
1,976 |
$17K |
| 73140 |
|
2,268 |
2,002 |
$17K |
| P9047 |
Albumin (human), 25%, 50ml |
215 |
99 |
$17K |
| 97166 |
|
321 |
295 |
$16K |
| 99238 |
|
986 |
702 |
$16K |
| 92610 |
|
174 |
157 |
$15K |
| L4360 |
Pneumat walking boot pre cst |
259 |
236 |
$15K |
| 77301 |
|
37 |
29 |
$15K |
| G0283 |
Elec stim other than wound |
1,686 |
611 |
$15K |
| 77280 |
|
149 |
108 |
$15K |
| 99281 |
|
212 |
194 |
$14K |
| 72158 |
|
72 |
68 |
$14K |
| 85025 |
|
122,279 |
94,273 |
$14K |
| 99205 |
Prolong outpt/office vis |
270 |
159 |
$13K |
| 76816 |
|
205 |
164 |
$13K |
| 96402 |
|
630 |
501 |
$12K |
| 80053 |
|
97,595 |
78,861 |
$12K |
| 99239 |
|
346 |
321 |
$12K |
| J0185 |
Inj., aprepitant, 1 mg |
85 |
49 |
$11K |
| 99243 |
|
316 |
128 |
$11K |
| 76970 |
|
118 |
114 |
$10K |
| 94640 |
|
13,676 |
10,758 |
$10K |
| 74240 |
|
94 |
87 |
$10K |
| 97163 |
|
250 |
234 |
$10K |
| 0004A |
|
267 |
265 |
$10K |
| 99215 |
Prolong outpt/office vis |
318 |
252 |
$9K |
| 99233 |
Prolong inpt eval add15 m |
447 |
190 |
$9K |
| 77290 |
|
31 |
29 |
$9K |
| 99223 |
Prolong inpt eval add15 m |
140 |
123 |
$8K |
| 45378 |
|
13 |
12 |
$8K |
| 80307 |
|
14,163 |
12,272 |
$8K |
| 0064A |
|
218 |
214 |
$8K |
| 98968 |
|
241 |
81 |
$8K |
| 0031A |
|
220 |
209 |
$7K |
| 70498 |
|
1,353 |
1,235 |
$7K |
| 99212 |
|
796 |
467 |
$7K |
| G0279 |
Tomosynthesis, mammo |
2,504 |
2,358 |
$7K |
| 96523 |
|
206 |
165 |
$6K |
| M0247 |
Sotrovimab infusion |
23 |
19 |
$6K |
| J2469 |
Palonosetron hcl |
62 |
25 |
$6K |
| 72197 |
|
15 |
13 |
$6K |
| 99241 |
|
241 |
197 |
$6K |
| 73590 |
|
1,414 |
1,275 |
$6K |
| 98967 |
|
242 |
102 |
$6K |
| 94726 |
|
215 |
195 |
$6K |
| 90792 |
|
91 |
75 |
$6K |
| 72146 |
|
26 |
26 |
$5K |
| 97597 |
|
81 |
54 |
$5K |
| G0378 |
Hospital observation per hr |
13,772 |
8,021 |
$5K |
| 90847 |
|
81 |
52 |
$5K |
| 73560 |
|
570 |
539 |
$5K |
| 10005 |
|
14 |
12 |
$5K |
| 36591 |
|
303 |
209 |
$5K |
| 99255 |
|
80 |
40 |
$5K |
| 74220 |
|
58 |
50 |
$4K |
| 99236 |
Prolong inpt eval add15 m |
31 |
28 |
$4K |
| 12011 |
|
986 |
919 |
$4K |
| 29515 |
|
29 |
28 |
$4K |
| 0012A |
|
148 |
135 |
$4K |
| 0003A |
|
100 |
99 |
$4K |
| 0011A |
|
163 |
146 |
$4K |
| 12001 |
|
2,199 |
2,018 |
$4K |
| M0243 |
Casirivi and imdevi inj |
14 |
12 |
$3K |
| 94618 |
|
83 |
83 |
$3K |
| 99254 |
|
44 |
35 |
$3K |
| 70544 |
|
17 |
13 |
$3K |
| 80048 |
|
24,014 |
19,181 |
$3K |
| 73090 |
|
693 |
624 |
$3K |
| 74241 |
|
13 |
13 |
$3K |
| C9803 |
Hopd covid-19 spec collect |
31,899 |
27,503 |
$3K |
| 64484 |
|
413 |
277 |
$3K |
| 80061 |
|
446 |
399 |
$3K |
| 71101 |
|
146 |
129 |
$3K |
| 73562 |
|
241 |
223 |
$3K |
| 95251 |
|
306 |
281 |
$2K |
| 95806 |
|
24 |
24 |
$2K |
| 72192 |
|
62 |
57 |
$2K |
| L1830 |
Ko immob canvas long pre ots |
98 |
88 |
$2K |
| 0071A |
|
63 |
62 |
$2K |
| 74247 |
|
16 |
12 |
$2K |
| 71100 |
|
360 |
339 |
$2K |
| 0072A |
|
58 |
58 |
$2K |
| J0881 |
Darbepoetin alfa, non-esrd |
82 |
37 |
$2K |
| 73200 |
|
25 |
24 |
$2K |
| 20552 |
|
12 |
12 |
$2K |
| 90674 |
|
131 |
120 |
$2K |
| 87502 |
|
2,517 |
2,344 |
$2K |
| 99203 |
|
79 |
78 |
$2K |
| 86923 |
|
64 |
41 |
$2K |
| 36415 |
|
33,455 |
24,584 |
$2K |
| 76805 |
|
17 |
14 |
$2K |
| 99220 |
|
18 |
17 |
$2K |
| G0399 |
Home sleep test/type 3 porta |
12 |
12 |
$2K |
| 72128 |
|
29 |
27 |
$2K |
| 84443 |
|
4,434 |
3,944 |
$1K |
| 72170 |
|
240 |
221 |
$1K |
| 76817 |
|
1,655 |
1,364 |
$1K |
| 88342 |
|
1,718 |
1,515 |
$1K |
| 86850 |
|
8,767 |
7,128 |
$1K |
| 92611 |
|
13 |
12 |
$1K |
| 85027 |
|
4,700 |
3,740 |
$1K |
| 0054A |
|
39 |
38 |
$1K |
| 83735 |
|
18,980 |
14,923 |
$1K |
| 74181 |
|
14 |
12 |
$1K |
| 99442 |
|
87 |
43 |
$1K |
| J2785 |
Regadenoson injection |
2,521 |
2,212 |
$1K |
| 99253 |
|
46 |
16 |
$1K |
| G0297 |
Ldct for lung ca screen |
15 |
15 |
$1K |
| 99234 |
|
27 |
17 |
$1K |
| 90686 |
|
100 |
91 |
$1K |
| 12002 |
|
522 |
489 |
$972.80 |
| 87641 |
|
406 |
388 |
$968.67 |
| 74230 |
|
13 |
12 |
$951.44 |
| 76857 |
|
14 |
13 |
$877.72 |
| 88305 |
|
9,037 |
8,116 |
$872.70 |
| 99443 |
|
55 |
25 |
$872.19 |
| 83036 |
|
3,117 |
2,833 |
$859.35 |
| L3809 |
Whfo w/o joints pre ots |
13 |
12 |
$830.09 |
| 70490 |
|
14 |
13 |
$801.09 |
| 81025 |
|
24,280 |
21,127 |
$798.15 |
| 87086 |
|
15,668 |
13,611 |
$775.44 |
| 84484 |
|
21,299 |
14,537 |
$756.31 |
| 83690 |
|
35,219 |
29,951 |
$750.91 |
| 87798 |
|
1,377 |
1,249 |
$748.77 |
| G0480 |
Drug test def 1-7 classes |
14,928 |
12,213 |
$644.28 |
| 73552 |
|
38 |
37 |
$630.54 |
| A9500 |
Tc99m sestamibi |
1,416 |
1,180 |
$614.44 |
| L3908 |
Who cock-up nonmolde pre ots |
15 |
14 |
$594.72 |
| 29125 |
|
1,021 |
928 |
$587.84 |
| 81003 |
|
60,315 |
51,483 |
$576.87 |
| 93270 |
|
27 |
27 |
$532.46 |
| 87880 |
|
7,094 |
6,611 |
$502.80 |
| 87400 |
|
6,623 |
6,106 |
$495.21 |
| 85610 |
|
38,163 |
17,083 |
$486.32 |
| 90471 |
|
3,427 |
2,897 |
$481.34 |
| 96376 |
|
9,399 |
6,646 |
$446.51 |
| 90715 |
|
4,571 |
4,141 |
$422.44 |
| 73660 |
|
39 |
37 |
$417.32 |
| 73060 |
|
112 |
101 |
$412.11 |
| 82962 |
|
32,857 |
16,847 |
$363.48 |
| 83605 |
|
13,119 |
9,865 |
$356.29 |
| 83880 |
|
3,388 |
2,992 |
$321.71 |
| 82947 |
|
129 |
120 |
$312.48 |
| 88307 |
|
1,097 |
956 |
$293.96 |
| 87651 |
|
1,777 |
1,657 |
$285.21 |
| 86901 |
|
8,864 |
7,196 |
$282.50 |
| 87081 |
|
6,804 |
6,334 |
$272.68 |
| 84439 |
|
275 |
245 |
$272.12 |
| J3371 |
Inj, vancomycin hcl (mylan) |
236 |
183 |
$265.40 |
| 87077 |
|
8,019 |
7,213 |
$258.47 |
| J2272 |
Inj, morphine (fresenius) |
372 |
308 |
$242.87 |
| A9502 |
Tc99m tetrofosmin |
1,491 |
1,372 |
$233.90 |
| 87040 |
|
14,019 |
6,675 |
$230.57 |
| 84703 |
|
10,800 |
9,590 |
$215.93 |
| 83550 |
|
670 |
541 |
$203.40 |
| 85379 |
|
10,185 |
9,248 |
$193.66 |
| 85730 |
|
3,097 |
2,532 |
$180.59 |
| 76937 |
|
2,212 |
1,857 |
$180.16 |
| 11045 |
|
65 |
36 |
$177.92 |
| 82728 |
|
119 |
99 |
$173.79 |
| 87186 |
|
5,776 |
5,208 |
$172.34 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
33,381 |
29,459 |
$168.28 |
| 88360 |
|
96 |
77 |
$160.64 |
| 84702 |
|
3,079 |
2,528 |
$153.20 |
| 83540 |
|
697 |
563 |
$150.52 |
| 86140 |
|
6,435 |
5,549 |
$144.62 |
| 99219 |
|
120 |
110 |
$121.51 |
| 82077 |
|
2,751 |
2,351 |
$119.33 |
| 73522 |
|
12 |
12 |
$116.21 |
| J7030 |
Normal saline solution infus |
72,249 |
48,058 |
$115.10 |
| 86780 |
|
13 |
12 |
$113.76 |
| 86618 |
|
4,087 |
3,671 |
$96.58 |
| 80076 |
|
853 |
683 |
$93.47 |
| G2211 |
Complex e/m visit add on |
34 |
33 |
$90.09 |
| 87389 |
|
776 |
722 |
$86.72 |
| Q3014 |
Telehealth facility fee |
12 |
12 |
$85.94 |
| 85652 |
|
5,007 |
4,241 |
$80.10 |
| 82803 |
|
1,070 |
888 |
$77.73 |
| 88304 |
|
1,946 |
1,817 |
$73.36 |
| 87070 |
|
3,862 |
3,208 |
$69.26 |
| 72202 |
|
13 |
13 |
$58.93 |
| 87205 |
|
5,551 |
4,629 |
$52.35 |
| 82570 |
|
385 |
218 |
$49.40 |
| 80179 |
|
445 |
407 |
$49.32 |
| 87088 |
|
505 |
448 |
$47.06 |
| J0136 |
Inj, acetaminophen (b braun) |
633 |
462 |
$43.65 |
| 87808 |
|
1,043 |
961 |
$40.19 |
| 84156 |
|
501 |
290 |
$35.00 |
| 87807 |
|
927 |
890 |
$34.56 |
| 84100 |
|
887 |
571 |
$32.24 |
| 90839 |
|
281 |
213 |
$29.80 |
| 82550 |
|
2,519 |
2,078 |
$28.73 |
| J1836 |
Inj, metronidazole, 10 mg |
437 |
262 |
$26.50 |
| J0134 |
Inj acetaminophen -fresenius |
188 |
142 |
$24.00 |
| J2270 |
Morphine sulfate injection |
3,956 |
3,133 |
$23.36 |
| J1885 |
Ketorolac tromethamine inj |
30,005 |
24,894 |
$22.16 |
| J2405 |
Ondansetron hcl injection |
29,761 |
23,836 |
$21.87 |
| J7040 |
Normal saline solution infus |
6,679 |
4,501 |
$20.34 |
| 86308 |
|
904 |
847 |
$19.99 |
| 87484 |
|
251 |
229 |
$19.34 |
| J2704 |
Inj, propofol, 10 mg |
23,692 |
16,667 |
$18.08 |
| J2930 |
Methylprednisolone injection |
2,694 |
2,131 |
$17.53 |
| 80143 |
|
465 |
423 |
$16.44 |
| J1170 |
Hydromorphone injection |
18,115 |
12,164 |
$15.22 |
| 82607 |
|
36 |
35 |
$14.39 |
| 82746 |
|
16 |
16 |
$14.04 |
| 87184 |
|
537 |
489 |
$13.71 |
| 87015 |
|
1,233 |
1,013 |
$12.47 |
| J7120 |
Ringers lactate infusion |
25,645 |
20,670 |
$12.43 |
| J1644 |
Inj heparin sodium per 1000u |
4,164 |
2,346 |
$11.88 |
| 80164 |
|
115 |
104 |
$10.00 |
| J0171 |
Adrenalin epinephrine inject |
1,793 |
1,513 |
$9.79 |
| 82565 |
|
270 |
242 |
$9.78 |
| Q0162 |
Ondansetron oral |
22,811 |
18,726 |
$9.49 |
| 87147 |
|
410 |
377 |
$9.39 |
| J1650 |
Inj enoxaparin sodium |
3,638 |
1,782 |
$9.26 |
| 87075 |
|
840 |
587 |
$9.04 |
| J2274 |
Inj morphine pf epid ithc |
108 |
71 |
$9.03 |
| 85045 |
|
14 |
13 |
$9.02 |
| J1200 |
Diphenhydramine hcl injectio |
9,345 |
7,310 |
$8.39 |
| 87207 |
|
657 |
473 |
$7.86 |
| J3490 |
Drugs unclassified injection |
369,624 |
101,356 |
$7.52 |
| 82010 |
|
56 |
53 |
$7.21 |
| Q0163 |
Diphenhydramine hcl 50mg |
7,466 |
5,525 |
$7.10 |
| J1630 |
Haloperidol injection |
2,863 |
2,348 |
$6.50 |
| J3411 |
Thiamine hcl 100 mg |
480 |
379 |
$5.96 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
1,362 |
1,188 |
$5.86 |
| 83615 |
|
164 |
120 |
$5.76 |
| J0696 |
Ceftriaxone sodium injection |
10,982 |
7,494 |
$5.19 |
| J1920 |
Inj, labetalol hcl, 5mg |
123 |
114 |
$5.12 |
| G8979 |
Mobility goal status |
810 |
679 |
$4.35 |
| J3010 |
Fentanyl citrate injection |
16,058 |
13,628 |
$3.90 |
| J2060 |
Lorazepam injection |
7,319 |
5,666 |
$3.89 |
| G8978 |
Mobility current status |
699 |
599 |
$3.57 |
| J2550 |
Promethazine hcl injection |
3,432 |
2,229 |
$2.32 |
| G0008 |
Admin influenza virus vac |
249 |
224 |
$2.00 |
| J2250 |
Inj midazolam hydrochloride |
14,081 |
11,727 |
$1.57 |
| 84132 |
|
1,095 |
902 |
$1.45 |
| G8985 |
Carry goal status |
278 |
236 |
$1.34 |
| J1100 |
Dexamethasone sodium phos |
15,614 |
13,055 |
$1.14 |
| G8984 |
Carry current status |
206 |
182 |
$0.99 |
| G8980 |
Mobility d/c status |
91 |
86 |
$0.63 |
| J2360 |
Orphenadrine injection |
2,822 |
2,512 |
$0.61 |
| G8982 |
Body pos goal status |
41 |
40 |
$0.24 |
| J2001 |
Lidocaine injection |
23,779 |
18,039 |
$0.16 |
| J2765 |
Metoclopramide hcl injection |
5,232 |
4,468 |
$0.12 |
| 84520 |
|
138 |
128 |
$0.09 |
| G8981 |
Body pos current status |
15 |
14 |
$0.08 |
| G8996 |
Swallow current status |
13 |
13 |
$0.04 |
| G8997 |
Swallow goal status |
13 |
13 |
$0.04 |
| 99152 |
|
2,152 |
1,871 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,630 |
1,360 |
$0.00 |
| C1776 |
Joint device (implantable) |
244 |
226 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
3,850 |
1,847 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
366 |
334 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
333 |
300 |
$0.00 |
| 91300 |
|
5,589 |
4,665 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
1,274 |
1,120 |
$0.00 |
| A9552 |
F18 fdg |
1,613 |
1,493 |
$0.00 |
| 87469 |
|
92 |
83 |
$0.00 |
| 88173 |
|
667 |
502 |
$0.00 |
| C1758 |
Catheter, ureteral |
1,100 |
929 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
2,627 |
1,688 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
374 |
292 |
$0.00 |
| 85014 |
|
989 |
667 |
$0.00 |
| J3260 |
Tobramycin sulfate injection |
113 |
78 |
$0.00 |
| C1729 |
Cath, drainage |
664 |
442 |
$0.00 |
| 84145 |
|
452 |
396 |
$0.00 |
| J3489 |
Zoledronic acid 1mg |
23 |
13 |
$0.00 |
| 82375 |
|
15 |
13 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
1,565 |
1,400 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
76 |
76 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
85 |
77 |
$0.00 |
| 93356 |
|
77 |
70 |
$0.00 |
| J1756 |
Iron sucrose injection |
1,475 |
637 |
$0.00 |
| 94729 |
|
214 |
198 |
$0.00 |
| J1956 |
Levofloxacin injection |
228 |
165 |
$0.00 |
| J0744 |
Ciprofloxacin iv |
47 |
27 |
$0.00 |
| C1788 |
Port, indwelling, imp |
14 |
14 |
$0.00 |
| 88112 |
|
109 |
81 |
$0.00 |
| C1887 |
Catheter, guiding |
87 |
67 |
$0.00 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
765 |
422 |
$0.00 |
| J1953 |
Levetiracetam injection |
131 |
106 |
$0.00 |
| 0055T |
|
55 |
54 |
$0.00 |
| 87102 |
|
29 |
25 |
$0.00 |
| J0780 |
Prochlorperazine injection |
350 |
313 |
$0.00 |
| 93226 |
|
174 |
163 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
458 |
330 |
$0.00 |
| 89051 |
|
199 |
112 |
$0.00 |
| 51702 |
|
53 |
41 |
$0.00 |
| 84550 |
|
68 |
63 |
$0.00 |
| 22853 |
|
16 |
12 |
$0.00 |
| 84295 |
|
107 |
99 |
$0.00 |
| Q0245 |
Bamlanivimab and etesevima |
69 |
64 |
$0.00 |
| 82365 |
|
54 |
49 |
$0.00 |
| 20936 |
|
15 |
12 |
$0.00 |
| 20930 |
|
16 |
12 |
$0.00 |
| 87633 |
|
63 |
60 |
$0.00 |
| 82140 |
|
15 |
14 |
$0.00 |
| 82374 |
|
106 |
98 |
$0.00 |
| 77012 |
|
13 |
12 |
$0.00 |
| 77002 |
|
12 |
12 |
$0.00 |
| 76942 |
|
15 |
12 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
1,752 |
1,439 |
$0.00 |
| J1815 |
Insulin injection |
5,387 |
2,245 |
$0.00 |
| 86617 |
|
525 |
381 |
$0.00 |
| A9585 |
Gadobutrol injection |
7,111 |
6,152 |
$0.00 |
| J7050 |
Normal saline solution infus |
11,787 |
7,243 |
$0.00 |
| 72020 |
|
73 |
65 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
1,197 |
1,102 |
$0.00 |
| C2617 |
Stent, non-cor, tem w/o del |
892 |
756 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
1,546 |
1,347 |
$0.00 |
| C1769 |
Guide wire |
2,676 |
2,180 |
$0.00 |
| 88341 |
|
808 |
705 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
5,618 |
2,272 |
$0.00 |
| A4648 |
Implantable tissue marker |
1,156 |
1,023 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
11,934 |
8,135 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
6,659 |
5,249 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
205 |
178 |
$0.00 |
| 88300 |
|
492 |
428 |
$0.00 |
| J8540 |
Oral dexamethasone |
2,849 |
1,426 |
$0.00 |
| J1940 |
Furosemide injection |
996 |
693 |
$0.00 |
| J3420 |
Vitamin b12 injection |
3,105 |
2,356 |
$0.00 |
| A4217 |
Sterile water/saline, 500 ml |
227 |
190 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
544 |
408 |
$0.00 |
| J2920 |
Methylprednisolone injection |
1,139 |
818 |
$0.00 |
| 77001 |
|
248 |
225 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
273 |
222 |
$0.00 |
| 96368 |
|
227 |
164 |
$0.00 |
| 85018 |
|
886 |
557 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
184 |
160 |
$0.00 |
| J3360 |
Diazepam injection |
942 |
789 |
$0.00 |
| J1790 |
Droperidol injection |
322 |
261 |
$0.00 |
| J7060 |
5% dextrose/water |
170 |
73 |
$0.00 |
| J3480 |
Inj potassium chloride |
2,062 |
1,025 |
$0.00 |
| 87486 |
|
63 |
60 |
$0.00 |
| 87468 |
|
250 |
228 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
632 |
562 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
359 |
251 |
$0.00 |
| A9555 |
Rb82 rubidium |
33 |
32 |
$0.00 |
| 82435 |
|
106 |
98 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
624 |
558 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
110 |
100 |
$0.00 |
| 91305 |
|
44 |
42 |
$0.00 |
| 74420 |
|
185 |
159 |
$0.00 |
| 91301 |
|
350 |
326 |
$0.00 |
| G0410 |
Grp psych php/iop 45-50 |
127 |
15 |
$0.00 |
| J0456 |
Azithromycin |
67 |
54 |
$0.00 |
| C1781 |
Mesh (implantable) |
120 |
111 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
27 |
16 |
$0.00 |
| 76815 |
|
26 |
24 |
$0.00 |
| 87206 |
|
39 |
26 |
$0.00 |
| 87581 |
|
63 |
60 |
$0.00 |
| 91303 |
|
218 |
207 |
$0.00 |
| 87507 |
|
42 |
39 |
$0.00 |
| 91307 |
|
121 |
120 |
$0.00 |
| 91306 |
|
217 |
213 |
$0.00 |
| 0352U |
|
33 |
32 |
$0.00 |
| C9290 |
Inj, bupivacaine liposome |
69 |
67 |
$0.00 |
| A9503 |
Tc99m medronate |
65 |
54 |
$0.00 |
| 80177 |
|
16 |
12 |
$0.00 |
| Q0247 |
Sotrovimab |
22 |
18 |
$0.00 |
| C1889 |
Implant/insert device, noc |
33 |
26 |
$0.00 |