NPI: 1477616571 · NEW YORK, NY 10075 · Psychiatric Hospital Unit · NPI assigned 12/19/2006
Authorized official CUSACK, MICHELE controls 20+ related entities in our dataset. Read more
| Authorized Official | CUSACK, MICHELE (SENIOR VICE PRESIDENT & CFO) |
| NPI Enumeration Date | 12/19/2006 |
Other providers sharing the same authorized official: CUSACK, MICHELE
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12,525 | $554K |
| 2019 | 58,736 | $3.79M |
| 2020 | 132,735 | $8.29M |
| 2021 | 186,616 | $13.47M |
| 2022 | 167,699 | $12.20M |
| 2023 | 176,717 | $14.18M |
| 2024 | 134,342 | $10.69M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99283 | Emergency department visit for the evaluation and management, moderate severity | 37,645 | 33,744 | $6.94M |
| 99284 | Emergency department visit for the evaluation and management, high severity | 33,088 | 30,877 | $5.51M |
| 19318 | 733 | 722 | $3.59M | |
| 99285 | Emergency department visit for the evaluation and management, high severity with immediate threat to life | 17,512 | 15,975 | $3.33M |
| 93458 | 1,179 | 1,161 | $2.58M | |
| 90834 | Psychotherapy, 45 minutes with patient | 11,586 | 3,632 | $2.10M |
| C1889 | Implantable/insertable device, not otherwise classified | 3,850 | 3,791 | $2.04M |
| 70450 | Computed tomography, head or brain; without contrast material | 7,218 | 6,968 | $1.94M |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 6,135 | 5,959 | $1.69M |
| C1713 | Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) | 807 | 759 | $1.48M |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 7,827 | 7,118 | $1.46M |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 12,323 | 3,861 | $1.30M |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 2,185 | 2,151 | $1.17M |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 6,191 | 5,072 | $1.13M |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 10,630 | 10,237 | $1.01M |
| 80053 | Comprehensive metabolic panel | 42,064 | 37,725 | $971K |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | 1,580 | 1,569 | $855K |
| 96361 | Intravenous infusion, hydration; each additional hour | 3,192 | 2,994 | $800K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 1,294 | 1,288 | $789K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 447 | 441 | $730K |
| 95800 | 1,020 | 992 | $640K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 379 | 379 | $637K |
| J1745 | Injection, infliximab, excludes biosimilar, 10 mg | 102 | 78 | $606K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | 2,125 | 2,069 | $571K |
| 58558 | 367 | 367 | $559K | |
| 42830 | 303 | 303 | $507K | |
| 71275 | Computed tomographic angiography, chest, with contrast material | 1,823 | 1,779 | $475K |
| C9600 | Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch | 70 | 67 | $449K |
| 36415 | Collection of venous blood by venipuncture | 60,608 | 44,869 | $447K |
| C1769 | Guide wire | 2,771 | 2,711 | $434K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | 3,045 | 2,224 | $412K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 6,610 | 6,002 | $412K |
| 30140 | 263 | 245 | $403K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 621 | 616 | $390K |
| 99215 | Prolong outpt/office vis | 1,897 | 1,610 | $390K |
| 96375 | Therapeutic injection; each additional sequential IV push | 12,660 | 11,192 | $383K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 18,534 | 17,369 | $381K |
| 70551 | Magnetic resonance imaging, brain; without contrast material | 821 | 812 | $370K |
| 72197 | 723 | 718 | $368K | |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 2,572 | 2,171 | $365K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 8,402 | 2,716 | $332K |
| C1887 | Catheter, guiding (may include infusion/perfusion capability) | 1,960 | 1,933 | $325K |
| G0378 | Hospital observation service, per hour | 1,819 | 1,445 | $323K |
| 96415 | 892 | 775 | $322K | |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | 673 | 670 | $289K |
| 75574 | 1,407 | 1,398 | $276K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 2,965 | 942 | $262K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 5,978 | 5,567 | $258K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 6,017 | 5,940 | $249K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 156 | 138 | $248K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1,118 | 1,098 | $237K |
| 71250 | 1,607 | 1,589 | $227K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 2,075 | 2,065 | $222K |
| 93970 | 465 | 457 | $221K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | 1,248 | 1,243 | $218K |
| 76641 | 2,021 | 1,902 | $210K | |
| 70486 | 1,855 | 1,828 | $206K | |
| 90832 | Psychotherapy, 30 minutes with patient | 1,580 | 845 | $202K |
| 70498 | 769 | 747 | $188K | |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1,042 | 931 | $188K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 194 | 194 | $182K |
| 86900 | 4,194 | 3,988 | $175K | |
| C9290 | Injection, bupivacaine liposome, 1 mg | 768 | 763 | $175K |
| 80048 | Basic metabolic panel (calcium, ionized) | 8,188 | 7,885 | $173K |
| J0561 | Injection, penicillin g benzathine, 100,000 units | 371 | 350 | $172K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 7,594 | 7,334 | $164K |
| J3490 | Unclassified drugs | 15,570 | 14,487 | $162K |
| C1874 | Stent, coated/covered, with delivery system | 109 | 108 | $157K |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | 332 | 307 | $156K |
| 71046 | Radiologic examination, chest; 2 views | 10,933 | 10,587 | $141K |
| 86901 | 4,592 | 4,365 | $139K | |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | 885 | 872 | $139K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 1,262 | 1,100 | $138K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 3,884 | 3,794 | $138K |
| 74183 | 278 | 276 | $128K | |
| 83880 | 4,464 | 4,315 | $126K | |
| C1894 | Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser | 2,244 | 2,027 | $126K |
| 97161 | 1,239 | 1,228 | $125K | |
| 76830 | Ultrasound, transvaginal | 2,188 | 2,154 | $123K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 7,885 | 7,326 | $115K |
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | 570 | 538 | $113K |
| 76536 | 1,423 | 1,417 | $111K | |
| 72141 | 249 | 247 | $107K | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 4,145 | 4,052 | $103K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 161 | 160 | $102K |
| 93971 | 1,269 | 1,242 | $102K | |
| 86850 | 4,592 | 4,364 | $101K | |
| A9585 | Injection, gadobutrol, 0.1 ml | 3,036 | 2,993 | $101K |
| C8908 | Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral | 83 | 83 | $99K |
| 30520 | 183 | 180 | $93K | |
| 70496 | 729 | 714 | $91K | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | 504 | 472 | $87K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 1,521 | 588 | $85K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 3,909 | 3,820 | $84K |
| 76801 | 1,022 | 879 | $83K | |
| A4648 | Tissue marker, implantable, any type, each | 237 | 228 | $77K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | 1,320 | 1,299 | $77K |
| 88307 | 910 | 904 | $76K | |
| 73564 | 2,776 | 2,675 | $75K | |
| 76770 | 416 | 409 | $75K | |
| C1725 | Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) | 251 | 245 | $71K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 519 | 373 | $66K |
| J0131 | Injection, acetaminophen, not otherwise specified,10 mg | 3,216 | 3,147 | $64K |
| 72125 | Computed tomography, cervical spine; without contrast material | 1,626 | 1,600 | $64K |
| 0225U | 2,522 | 2,486 | $63K | |
| 88321 | 408 | 403 | $62K | |
| 10060 | 159 | 155 | $60K | |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,057 | 816 | $60K |
| 82803 | 2,774 | 2,670 | $56K | |
| 88304 | 1,856 | 1,843 | $52K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 19,641 | 17,892 | $51K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1,154 | 550 | $47K |
| J7030 | Infusion, normal saline solution , 1000 cc | 17,180 | 15,781 | $45K |
| 90715 | 1,585 | 1,576 | $43K | |
| 74174 | 145 | 143 | $43K | |
| 96366 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour | 187 | 181 | $42K |
| 87631 | 707 | 698 | $41K | |
| 76000 | 690 | 671 | $40K | |
| 86360 | 1,122 | 1,104 | $39K | |
| 73030 | 2,082 | 2,001 | $38K | |
| 77063 | Screening digital breast tomosynthesis, bilateral | 2,076 | 2,066 | $38K |
| 85610 | 13,132 | 12,634 | $38K | |
| 77336 | 315 | 144 | $37K | |
| 77065 | Tomosynthesis, mammo | 359 | 327 | $37K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 555 | 415 | $36K |
| 12001 | 73 | 73 | $35K | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 630 | 258 | $34K |
| J2704 | Injection, propofol, 10 mg | 4,367 | 4,315 | $32K |
| Q3014 | Telehealth originating site facility fee | 1,197 | 519 | $32K |
| 70491 | 124 | 123 | $32K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 36,362 | 33,564 | $29K |
| 73610 | 1,930 | 1,857 | $29K | |
| 87536 | 1,409 | 1,373 | $28K | |
| 82962 | 15,223 | 13,714 | $28K | |
| 80061 | Lipid panel | 2,926 | 2,882 | $27K |
| 73630 | 2,026 | 1,955 | $27K | |
| 78815 | Positron emission tomography (PET) for limited area imaging | 53 | 53 | $27K |
| 96376 | 1,910 | 1,821 | $25K | |
| 73562 | 1,858 | 1,781 | $25K | |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | 4,372 | 4,027 | $24K |
| 76870 | 284 | 280 | $24K | |
| 86359 | 1,344 | 1,319 | $24K | |
| 93454 | 13 | 12 | $24K | |
| 77066 | Tomosynthesis, mammo | 197 | 195 | $22K |
| 86703 | 1,590 | 1,563 | $22K | |
| 96367 | 234 | 170 | $22K | |
| 77085 | 87 | 86 | $21K | |
| 72131 | 147 | 147 | $21K | |
| 86480 | 313 | 311 | $21K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 4,362 | 3,645 | $21K |
| J0171 | Injection, adrenalin, epinephrine, 0.1 mg | 447 | 438 | $20K |
| 88341 | 575 | 572 | $19K | |
| S2900 | Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) | 134 | 133 | $19K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 29 | 29 | $19K |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 547 | 543 | $19K |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 12,556 | 11,914 | $18K |
| C9399 | Unclassified drugs or biologicals | 474 | 474 | $18K |
| 73130 | 1,575 | 1,514 | $18K | |
| 73502 | 1,056 | 1,038 | $18K | |
| 72110 | 478 | 475 | $18K | |
| 72100 | 911 | 896 | $18K | |
| J7050 | Infusion, normal saline solution, 250 cc | 4,753 | 3,605 | $16K |
| 73110 | 946 | 897 | $16K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 97 | 96 | $15K |
| 77080 | 161 | 160 | $15K | |
| 71045 | Radiologic examination, chest; single view | 6,978 | 6,708 | $14K |
| V2632 | Posterior chamber intraocular lens | 143 | 124 | $14K |
| 70544 | 36 | 36 | $14K | |
| 81025 | 4,217 | 4,094 | $14K | |
| 84702 | 7,262 | 6,697 | $13K | |
| J1756 | Injection, iron sucrose, 1 mg | 209 | 107 | $13K |
| 80076 | 880 | 856 | $13K | |
| 85730 | 11,965 | 11,538 | $12K | |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | 210 | 207 | $12K |
| C1782 | Morcellator | 25 | 25 | $12K |
| C1781 | Mesh (implantable) | 25 | 25 | $12K |
| 74240 | 202 | 202 | $12K | |
| C8937 | Computer-aided detection, including computer algorithm analysis of breast mri image data for lesion detection/characterization, pharmacokinetic analysis, with further physician review for interpretation (list separately in addition to code for primary procedure) | 86 | 86 | $12K |
| 97165 | 119 | 118 | $11K | |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 55 | 55 | $11K |
| 95811 | 13 | 13 | $11K | |
| 85027 | 6,215 | 5,996 | $10K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | 7,767 | 7,470 | $10K |
| 86769 | 487 | 475 | $10K | |
| 84999 | 82 | 80 | $10K | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | 295 | 292 | $9K |
| 83690 | 10,828 | 10,229 | $9K | |
| 88173 | 185 | 177 | $9K | |
| 70543 | 12 | 12 | $9K | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | 11,551 | 10,858 | $9K |
| 36000 | 259 | 259 | $8K | |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | 4,003 | 3,919 | $8K |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | 709 | 632 | $7K |
| J0690 | Injection, cefazolin sodium, 500 mg | 2,364 | 2,306 | $7K |
| 74178 | 24 | 24 | $7K | |
| 81001 | 11,972 | 11,446 | $7K | |
| 84484 | 11,437 | 10,580 | $7K | |
| J3010 | Injection, fentanyl citrate, 0.1 mg | 6,104 | 6,025 | $7K |
| 96417 | 102 | 68 | $7K | |
| 76818 | 76 | 68 | $7K | |
| 72170 | 384 | 382 | $7K | |
| J2270 | Injection, morphine sulfate, up to 10 mg | 3,112 | 2,880 | $6K |
| 82565 | 1,322 | 1,300 | $6K | |
| J3370 | Injection, vancomycin hcl, 500 mg | 665 | 613 | $6K |
| 83735 | 8,699 | 8,309 | $6K | |
| J1170 | Injection, hydromorphone, up to 4 mg | 2,207 | 2,092 | $6K |
| 59025 | Fetal non-stress test | 89 | 77 | $6K |
| 88342 | 111 | 110 | $6K | |
| 72082 | 122 | 121 | $6K | |
| 78195 | 13 | 13 | $6K | |
| J3475 | Injection, magnesium sulfate, per 500 mg | 1,062 | 944 | $6K |
| 82542 | 237 | 226 | $6K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 82 | 58 | $6K |
| 88360 | 75 | 75 | $5K | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 5,395 | 4,701 | $5K |
| 81003 | 7,544 | 7,311 | $5K | |
| 86140 | 2,674 | 2,570 | $5K | |
| 83605 | 4,832 | 4,598 | $5K | |
| J0330 | Injection, succinylcholine chloride, up to 20 mg | 313 | 308 | $5K |
| J7120 | Ringers lactate infusion, up to 1000 cc | 2,535 | 2,462 | $5K |
| 73521 | 194 | 194 | $4K | |
| 72158 | 12 | 12 | $4K | |
| 99152 | 939 | 927 | $4K | |
| 99153 | Mod sedat endo service >5yrs | 513 | 494 | $4K |
| 87486 | 223 | 220 | $4K | |
| 87581 | 223 | 220 | $4K | |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | 4,490 | 4,408 | $4K |
| 87070 | 1,181 | 1,155 | $4K | |
| 84443 | Thyroid stimulating hormone (TSH) | 2,141 | 2,099 | $4K |
| 83036 | Hemoglobin; glycosylated (A1C) | 2,779 | 2,735 | $4K |
| Q9963 | High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml | 472 | 466 | $4K |
| A0425 | Ground mileage, per statute mile | 2,299 | 1,664 | $3K |
| 86780 | 1,970 | 1,938 | $3K | |
| 88112 | 52 | 52 | $3K | |
| J2469 | Injection, palonosetron hcl, 25 mcg | 402 | 253 | $3K |
| 73590 | 236 | 230 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 156 | 152 | $3K |
| J2765 | Injection, metoclopramide hcl, up to 10 mg | 3,421 | 3,293 | $3K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 2,954 | 2,867 | $3K |
| A9541 | Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries | 13 | 13 | $3K |
| 92978 | 12 | 12 | $3K | |
| C1760 | Closure device, vascular (implantable/insertable) | 13 | 13 | $3K |
| 90791 | Psychiatric diagnostic evaluation | 13 | 13 | $2K |
| J7040 | Infusion, normal saline solution, sterile (500 ml = 1 unit) | 1,012 | 840 | $2K |
| 73080 | 251 | 242 | $2K | |
| 76098 | 12 | 12 | $2K | |
| 87040 | 2,398 | 2,334 | $2K | |
| J7060 | 5% dextrose/water (500 ml = 1 unit) | 942 | 838 | $2K |
| 93975 | 19 | 19 | $2K | |
| 76377 | 13 | 13 | $2K | |
| 94760 | 101 | 97 | $2K | |
| 87529 | 46 | 45 | $2K | |
| 87186 | 1,561 | 1,515 | $2K | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 1,077 | 1,064 | $2K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 13 | 13 | $2K |
| 71271 | 31 | 31 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1,397 | 1,343 | $2K |
| 82550 | 4,335 | 4,218 | $1K | |
| 88300 | 395 | 388 | $1K | |
| J2370 | Injection, phenylephrine hcl, up to 1 ml | 169 | 168 | $1K |
| 82553 | 3,136 | 3,070 | $1K | |
| 76642 | 12 | 12 | $1K | |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | 2,096 | 1,754 | $1K |
| J2919 | Injection, methylprednisolone sodium succinate, 5 mg | 177 | 148 | $1K |
| 86481 | 32 | 32 | $1K | |
| S0028 | Injection, famotidine, 20 mg | 923 | 874 | $1K |
| 85379 | 2,898 | 2,841 | $1K | |
| 74241 | 16 | 16 | $1K | |
| J2060 | Injection, lorazepam, 2 mg | 905 | 837 | $984.30 |
| 87081 | 996 | 984 | $956.30 | |
| C9113 | Injection, pantoprazole sodium, per vial | 331 | 329 | $932.57 |
| 93017 | 29 | 29 | $916.10 | |
| 87507 | 13 | 12 | $914.08 | |
| 72050 | 25 | 25 | $840.10 | |
| 96130 | 17 | 15 | $814.80 | |
| 87075 | 182 | 175 | $747.49 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1,221 | 1,205 | $746.88 |
| J1453 | Injection, fosaprepitant, 1 mg | 22 | 17 | $712.06 |
| J1644 | Injection, heparin sodium, per 1000 units | 249 | 227 | $697.09 |
| 82330 | 1,049 | 1,029 | $664.26 | |
| 72052 | 25 | 24 | $661.46 | |
| 86803 | 841 | 831 | $619.94 | |
| 84100 | 1,272 | 1,234 | $606.00 | |
| J0461 | Injection, atropine sulfate, 0.01 mg | 91 | 88 | $510.99 |
| 94060 | 13 | 13 | $499.76 | |
| 87340 | 138 | 137 | $488.53 | |
| J3480 | Injection, potassium chloride, per 2 meq | 143 | 123 | $479.13 |
| 73090 | 39 | 37 | $416.53 | |
| J1596 | Injection, glycopyrrolate, 0.1 mg | 210 | 210 | $410.68 |
| 86592 | 670 | 659 | $403.48 | |
| 84132 | 1,145 | 1,119 | $360.63 | |
| 86593 | 615 | 603 | $350.57 | |
| 84295 | 1,016 | 995 | $318.40 | |
| 87077 | 216 | 210 | $312.09 | |
| 80230 | 52 | 51 | $311.57 | |
| 94729 | 13 | 13 | $296.58 | |
| 94726 | 13 | 13 | $285.63 | |
| G0008 | Administration of influenza virus vaccine | 29 | 29 | $268.40 |
| 90656 | 21 | 21 | $264.41 | |
| 96131 | 18 | 16 | $263.40 | |
| J0295 | Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm | 39 | 36 | $232.03 |
| J2310 | Injection, naloxone hydrochloride, per 1 mg | 15 | 14 | $206.47 |
| 99051 | 13 | 12 | $204.75 | |
| 85652 | 395 | 387 | $179.88 | |
| J1580 | Injection, garamycin, gentamicin, up to 80 mg | 139 | 136 | $169.75 |
| 82728 | 257 | 250 | $166.92 | |
| 73140 | 128 | 126 | $148.56 | |
| 74018 | 12 | 12 | $105.91 | |
| J1630 | Injection, haloperidol, up to 5 mg | 160 | 152 | $101.93 |
| 84145 | 109 | 107 | $100.72 | |
| 87184 | 68 | 68 | $96.38 | |
| 87400 | 13 | 13 | $86.79 | |
| J1642 | Injection, heparin sodium, (heparin lock flush), per 10 units | 123 | 73 | $77.14 |
| 87205 | 130 | 126 | $70.86 | |
| 83615 | 83 | 75 | $70.37 | |
| J1171 | Injection, hydromorphone, 0.1 mg | 30 | 29 | $69.49 |
| J2470 | Injection, pantoprazole sodium, 40 mg | 47 | 47 | $51.13 |
| J2543 | Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) | 15 | 14 | $50.55 |
| 85347 | 80 | 79 | $42.52 | |
| 82248 | 53 | 53 | $40.23 | |
| J2175 | Injection, meperidine hydrochloride, per 100 mg | 13 | 13 | $39.67 |
| J2003 | Injection, lidocaine hydrochloride, 1 mg | 29 | 29 | $36.67 |
| 84550 | 50 | 46 | $34.29 | |
| 85384 | 29 | 26 | $34.00 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 12 | 12 | $33.00 |
| 82570 | 37 | 34 | $30.33 | |
| J0456 | Injection, azithromycin, 500 mg | 12 | 12 | $26.75 |
| 82010 | 99 | 95 | $20.58 | |
| 86706 | 24 | 24 | $20.20 | |
| 88302 | 13 | 13 | $19.31 | |
| 82607 | 12 | 12 | $15.08 | |
| 84156 | 21 | 17 | $11.01 | |
| 73060 | 15 | 15 | $7.97 | |
| 99080 | 1,112 | 194 | $0.00 | |
| 88311 | 58 | 57 | $0.00 |