| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
38,240 |
33,282 |
$20.08M |
| 99284 |
|
46,915 |
41,247 |
$14.18M |
| 99283 |
|
47,800 |
42,874 |
$9.83M |
| 96374 |
|
27,110 |
23,242 |
$3.92M |
| 78452 |
|
4,762 |
4,379 |
$2.58M |
| 74177 |
|
9,810 |
8,805 |
$2.01M |
| 93306 |
|
7,754 |
7,165 |
$1.89M |
| 96360 |
|
9,631 |
7,829 |
$1.31M |
| 70450 |
|
13,368 |
11,782 |
$1.21M |
| 95810 |
|
1,604 |
1,454 |
$1.16M |
| 71046 |
|
21,500 |
19,230 |
$1.13M |
| 99282 |
|
9,168 |
8,507 |
$1.12M |
| H0015 |
Alcohol and/or drug services |
8,292 |
1,336 |
$1.03M |
| 96365 |
|
7,462 |
5,843 |
$978K |
| G0463 |
Hospital outpt clinic visit |
13,233 |
7,741 |
$970K |
| 0241U |
|
8,670 |
8,044 |
$970K |
| S9480 |
Intensive outpatient psychia |
7,744 |
1,073 |
$962K |
| 87635 |
|
23,746 |
21,013 |
$912K |
| 74176 |
|
6,274 |
5,724 |
$911K |
| 58661 |
|
176 |
173 |
$891K |
| 93975 |
|
3,430 |
3,123 |
$724K |
| 80307 |
|
34,480 |
18,903 |
$705K |
| 96375 |
|
15,957 |
13,736 |
$697K |
| 96361 |
|
17,773 |
14,882 |
$692K |
| 71045 |
|
12,010 |
10,451 |
$561K |
| 80053 |
|
82,373 |
72,354 |
$517K |
| 11042 |
|
2,986 |
1,402 |
$457K |
| 87491 |
|
13,543 |
12,864 |
$378K |
| 87591 |
|
13,519 |
12,840 |
$378K |
| 76811 |
|
1,560 |
1,471 |
$343K |
| 86900 |
|
12,805 |
8,493 |
$332K |
| 36415 |
|
182,325 |
132,757 |
$328K |
| 82306 |
|
16,134 |
15,071 |
$308K |
| 84443 |
|
30,112 |
27,840 |
$307K |
| 99291 |
|
441 |
400 |
$303K |
| 45378 |
|
559 |
520 |
$297K |
| 93458 |
|
244 |
196 |
$264K |
| 76705 |
|
2,937 |
2,672 |
$247K |
| 76816 |
|
2,764 |
2,315 |
$247K |
| 80061 |
|
27,552 |
25,556 |
$246K |
| 71260 |
|
2,817 |
2,522 |
$240K |
| 43239 |
|
471 |
438 |
$238K |
| 80048 |
|
46,734 |
37,446 |
$223K |
| 70486 |
|
1,554 |
1,414 |
$222K |
| 95816 |
|
1,320 |
1,199 |
$217K |
| 71275 |
|
2,099 |
1,861 |
$217K |
| C8929 |
Tte w or wo fol wcon,doppler |
981 |
877 |
$205K |
| 59025 |
|
1,388 |
882 |
$182K |
| 71250 |
|
3,305 |
3,047 |
$172K |
| 85025 |
|
103,733 |
86,213 |
$171K |
| C9803 |
Hopd covid-19 spec collect |
30,549 |
27,246 |
$167K |
| G0480 |
Drug test def 1-7 classes |
16,313 |
9,333 |
$163K |
| 93971 |
|
2,243 |
1,991 |
$158K |
| 76830 |
|
1,570 |
1,460 |
$157K |
| 95811 |
|
234 |
215 |
$154K |
| 88305 |
|
6,663 |
6,039 |
$143K |
| 99281 |
|
2,096 |
1,924 |
$142K |
| 96372 |
|
16,903 |
13,972 |
$137K |
| 93017 |
|
6,438 |
5,900 |
$137K |
| 70498 |
|
1,017 |
915 |
$132K |
| 87637 |
|
1,505 |
1,418 |
$122K |
| U0002 |
Covid-19 lab test non-cdc |
2,974 |
2,681 |
$121K |
| 93005 |
|
41,819 |
33,524 |
$118K |
| 87389 |
|
6,508 |
6,176 |
$115K |
| 87624 |
|
3,898 |
3,763 |
$110K |
| 87625 |
|
3,901 |
3,763 |
$99K |
| 58571 |
|
15 |
13 |
$99K |
| 87536 |
|
1,487 |
1,422 |
$96K |
| 72100 |
|
3,965 |
3,696 |
$94K |
| J2357 |
Omalizumab injection |
649 |
287 |
$89K |
| 82607 |
|
9,844 |
9,057 |
$86K |
| 83036 |
|
15,775 |
14,578 |
$86K |
| 58558 |
|
43 |
41 |
$84K |
| 87636 |
|
1,064 |
997 |
$83K |
| 82570 |
|
26,874 |
13,674 |
$82K |
| 86480 |
|
1,879 |
1,786 |
$80K |
| 85027 |
|
33,388 |
28,668 |
$79K |
| 36416 |
|
21,814 |
12,823 |
$78K |
| 84439 |
|
13,421 |
12,503 |
$77K |
| 71271 |
|
688 |
659 |
$71K |
| 97602 |
|
513 |
315 |
$62K |
| 86803 |
|
6,095 |
5,748 |
$62K |
| 88175 |
|
4,638 |
4,464 |
$60K |
| C1769 |
Guide wire |
1,316 |
962 |
$56K |
| 73560 |
|
5,081 |
3,931 |
$55K |
| 72125 |
|
4,762 |
4,232 |
$54K |
| 87086 |
|
15,739 |
14,086 |
$53K |
| 76770 |
|
580 |
511 |
$51K |
| 86360 |
|
1,413 |
1,360 |
$51K |
| 86235 |
|
2,553 |
1,235 |
$50K |
| 86618 |
|
5,014 |
2,383 |
$49K |
| 93970 |
|
389 |
346 |
$48K |
| 73130 |
|
3,903 |
3,025 |
$48K |
| 0202U |
|
143 |
131 |
$46K |
| 73610 |
|
3,375 |
2,944 |
$44K |
| 73030 |
|
4,011 |
3,435 |
$44K |
| 82947 |
|
19,973 |
10,343 |
$42K |
| 83655 |
|
3,905 |
3,771 |
$42K |
| 80076 |
|
18,724 |
16,501 |
$39K |
| 88304 |
|
2,124 |
1,950 |
$39K |
| 76536 |
|
508 |
488 |
$39K |
| 73630 |
|
3,292 |
2,839 |
$39K |
| 96366 |
|
831 |
577 |
$38K |
| 82746 |
|
4,574 |
4,203 |
$38K |
| 82728 |
|
4,522 |
4,122 |
$37K |
| 87070 |
|
6,549 |
6,120 |
$37K |
| 88342 |
|
1,317 |
1,138 |
$36K |
| 87077 |
|
8,383 |
7,701 |
$36K |
| 84403 |
|
1,882 |
1,743 |
$35K |
| 87340 |
|
4,740 |
4,499 |
$35K |
| 81001 |
|
30,876 |
27,510 |
$34K |
| 76700 |
|
378 |
356 |
$33K |
| 73502 |
|
2,574 |
2,140 |
$32K |
| 84153 |
|
3,104 |
2,890 |
$31K |
| 83970 |
|
1,378 |
1,249 |
$31K |
| 73110 |
|
1,975 |
1,688 |
$29K |
| 90853 |
|
1,701 |
510 |
$29K |
| 0001A |
|
1,081 |
913 |
$29K |
| 84480 |
|
2,867 |
2,676 |
$27K |
| 86318 |
|
2,467 |
1,776 |
$27K |
| 83550 |
|
4,886 |
4,474 |
$26K |
| 86592 |
|
7,214 |
6,850 |
$26K |
| 93976 |
|
274 |
247 |
$25K |
| 93308 |
|
209 |
200 |
$25K |
| 87081 |
|
9,163 |
8,650 |
$22K |
| 87502 |
|
694 |
625 |
$22K |
| 96413 |
|
82 |
64 |
$22K |
| 86038 |
|
2,795 |
2,618 |
$22K |
| 83540 |
|
5,278 |
4,833 |
$21K |
| 78431 |
|
68 |
63 |
$20K |
| 87186 |
|
4,677 |
4,228 |
$19K |
| 70496 |
|
341 |
311 |
$18K |
| 76817 |
|
2,378 |
2,064 |
$18K |
| 82043 |
|
5,448 |
5,000 |
$17K |
| G0378 |
Hospital observation per hr |
9,627 |
6,690 |
$16K |
| 76819 |
|
151 |
77 |
$16K |
| 85651 |
|
8,481 |
7,678 |
$15K |
| 72040 |
|
857 |
794 |
$15K |
| G0481 |
Drug test def 8-14 classes |
532 |
480 |
$15K |
| 85610 |
|
28,956 |
21,432 |
$15K |
| G0399 |
Home sleep test/type 3 porta |
154 |
143 |
$15K |
| 73562 |
|
734 |
665 |
$15K |
| 88307 |
|
780 |
663 |
$14K |
| 74018 |
|
537 |
468 |
$14K |
| 83880 |
|
11,502 |
10,084 |
$14K |
| G0297 |
Ldct for lung ca screen |
215 |
207 |
$14K |
| 86800 |
|
1,511 |
1,409 |
$14K |
| 77067 |
|
144 |
138 |
$14K |
| 45385 |
|
25 |
25 |
$14K |
| 83721 |
|
2,525 |
2,331 |
$14K |
| 73070 |
|
1,292 |
1,115 |
$13K |
| 84270 |
|
765 |
705 |
$13K |
| 0002A |
|
463 |
375 |
$12K |
| G0103 |
Psa screening |
979 |
908 |
$12K |
| 86706 |
|
1,682 |
1,562 |
$12K |
| G0144 |
Scr c/v cyto,thinlayer,rescr |
905 |
868 |
$12K |
| 97161 |
|
1,683 |
1,443 |
$12K |
| 86376 |
|
1,421 |
1,334 |
$11K |
| 93010 |
|
11,317 |
7,860 |
$11K |
| 83735 |
|
17,030 |
12,965 |
$11K |
| 70551 |
|
159 |
136 |
$11K |
| 86617 |
|
1,170 |
546 |
$11K |
| 87522 |
Neg quan hep c or qual rna |
328 |
303 |
$11K |
| 86200 |
|
1,843 |
1,719 |
$11K |
| 86140 |
|
5,108 |
4,470 |
$11K |
| 88112 |
|
733 |
671 |
$10K |
| 93307 |
|
77 |
71 |
$10K |
| 83525 |
|
1,155 |
1,086 |
$10K |
| 72070 |
|
679 |
631 |
$10K |
| 90675 |
|
37 |
12 |
$9K |
| 81003 |
|
25,760 |
22,970 |
$9K |
| 70491 |
|
60 |
50 |
$9K |
| 84702 |
|
5,055 |
4,317 |
$8K |
| 86703 |
|
975 |
923 |
$8K |
| 86334 |
|
722 |
677 |
$8K |
| 97162 |
|
577 |
506 |
$8K |
| 80074 |
|
245 |
230 |
$8K |
| 86431 |
|
2,562 |
2,401 |
$7K |
| 73590 |
|
739 |
643 |
$7K |
| 81025 |
|
19,103 |
17,057 |
$7K |
| 84484 |
|
32,916 |
23,772 |
$7K |
| 72131 |
|
126 |
113 |
$7K |
| 83516 |
|
682 |
486 |
$7K |
| 84481 |
|
577 |
535 |
$7K |
| 82550 |
|
5,058 |
4,391 |
$7K |
| 84146 |
|
468 |
427 |
$6K |
| 73140 |
|
503 |
447 |
$6K |
| 93880 |
|
97 |
83 |
$6K |
| 86003 |
|
128 |
67 |
$6K |
| 82652 |
|
216 |
205 |
$6K |
| 83690 |
|
22,819 |
19,844 |
$6K |
| 72050 |
|
205 |
191 |
$6K |
| 82565 |
|
4,495 |
4,007 |
$6K |
| 85730 |
|
7,365 |
6,458 |
$6K |
| 85018 |
|
5,163 |
4,392 |
$6K |
| 83021 |
|
371 |
354 |
$6K |
| 82731 |
|
275 |
222 |
$5K |
| 96376 |
|
3,395 |
2,811 |
$5K |
| 10060 |
|
39 |
36 |
$5K |
| 76815 |
|
689 |
602 |
$5K |
| 12001 |
|
921 |
849 |
$5K |
| 94640 |
|
4,820 |
3,694 |
$5K |
| 85007 |
|
3,425 |
3,039 |
$5K |
| 86696 |
|
304 |
277 |
$4K |
| 86160 |
|
312 |
277 |
$4K |
| 80051 |
|
2,251 |
1,957 |
$4K |
| 10061 |
|
13 |
12 |
$4K |
| 87205 |
|
2,174 |
1,898 |
$4K |
| 87804 |
|
11,877 |
5,418 |
$4K |
| 82150 |
|
3,635 |
3,381 |
$4K |
| 82040 |
|
1,185 |
1,096 |
$3K |
| Q9950 |
Inj sulf hexa lipid microsph |
297 |
273 |
$3K |
| 82105 |
|
214 |
213 |
$3K |
| 84460 |
|
1,913 |
1,724 |
$3K |
| 83001 |
|
212 |
201 |
$3K |
| 87088 |
|
842 |
771 |
$3K |
| 74174 |
|
14 |
12 |
$3K |
| 86901 |
|
12,778 |
8,492 |
$3K |
| 80164 |
|
439 |
395 |
$3K |
| 84100 |
|
9,628 |
7,114 |
$3K |
| 82784 |
|
411 |
366 |
$3K |
| 87075 |
|
550 |
457 |
$3K |
| 84550 |
|
3,062 |
2,634 |
$3K |
| 86255 |
|
312 |
293 |
$3K |
| 84156 |
|
1,731 |
1,397 |
$3K |
| 86704 |
|
313 |
298 |
$2K |
| 97597 |
|
35 |
24 |
$2K |
| 76641 |
|
34 |
25 |
$2K |
| 71101 |
|
351 |
310 |
$2K |
| 83020 |
|
207 |
188 |
$2K |
| 80050 |
|
719 |
658 |
$2K |
| 87040 |
|
5,101 |
3,017 |
$2K |
| 86328 |
|
80 |
72 |
$2K |
| 86225 |
|
218 |
201 |
$2K |
| 73090 |
|
299 |
271 |
$2K |
| 84703 |
|
8,189 |
7,457 |
$2K |
| 87634 |
|
39 |
39 |
$2K |
| 12002 |
|
188 |
178 |
$2K |
| 84450 |
|
1,845 |
1,664 |
$2K |
| 87631 |
|
1,076 |
1,004 |
$1K |
| 85379 |
|
4,480 |
4,019 |
$1K |
| 84165 |
|
320 |
295 |
$1K |
| 83605 |
|
9,488 |
7,949 |
$1K |
| 86695 |
|
143 |
128 |
$1K |
| 99213 |
|
480 |
391 |
$1K |
| 76856 |
|
14 |
12 |
$1K |
| 90471 |
|
2,861 |
2,388 |
$1K |
| 96415 |
|
28 |
24 |
$1K |
| 0031A |
|
56 |
56 |
$1K |
| 82977 |
|
247 |
226 |
$1K |
| 90791 |
|
314 |
268 |
$1K |
| J2785 |
Regadenoson injection |
4,010 |
3,668 |
$1K |
| 97116 |
|
167 |
121 |
$1K |
| 87430 |
|
5,802 |
5,430 |
$1K |
| 86665 |
|
78 |
39 |
$1K |
| J3490 |
Drugs unclassified injection |
112,598 |
42,631 |
$1K |
| 84134 |
|
137 |
88 |
$1K |
| 86735 |
|
99 |
91 |
$1K |
| 0012A |
|
60 |
52 |
$1K |
| 74019 |
|
41 |
38 |
$1K |
| 86850 |
|
8,872 |
7,818 |
$1K |
| 86708 |
|
106 |
102 |
$1K |
| 88302 |
|
303 |
286 |
$1K |
| 12011 |
|
324 |
311 |
$972.03 |
| 84432 |
|
88 |
83 |
$966.42 |
| 86765 |
|
90 |
82 |
$935.56 |
| 36430 |
|
14 |
12 |
$917.72 |
| 72170 |
|
116 |
101 |
$879.57 |
| 85014 |
|
531 |
497 |
$874.62 |
| 86790 |
|
570 |
503 |
$838.17 |
| 96367 |
|
15 |
15 |
$837.84 |
| C1781 |
Mesh (implantable) |
13 |
12 |
$827.68 |
| 86308 |
|
799 |
739 |
$818.25 |
| 86039 |
|
112 |
105 |
$755.26 |
| 84132 |
|
417 |
352 |
$712.14 |
| 83002 |
|
56 |
52 |
$712.07 |
| 86920 |
|
112 |
88 |
$682.58 |
| 82140 |
|
160 |
129 |
$668.16 |
| P9016 |
Rbc leukocytes reduced |
14 |
12 |
$601.80 |
| 80177 |
|
100 |
90 |
$564.23 |
| 88142 |
|
44 |
42 |
$563.34 |
| 84112 |
|
66 |
52 |
$553.68 |
| Q5106 |
Inj retacrit non-esrd use |
37 |
13 |
$553.35 |
| 99211 |
|
1,597 |
688 |
$540.00 |
| C1760 |
Closure dev, vasc |
34 |
28 |
$519.18 |
| 82247 |
|
222 |
175 |
$508.54 |
| 85041 |
|
218 |
209 |
$506.00 |
| 76642 |
|
12 |
12 |
$490.90 |
| 86664 |
|
39 |
39 |
$467.52 |
| 87427 |
|
50 |
25 |
$412.20 |
| 86666 |
|
40 |
27 |
$408.24 |
| 87329 |
|
43 |
39 |
$377.85 |
| 87328 |
|
43 |
39 |
$377.85 |
| 82803 |
|
599 |
490 |
$375.52 |
| 82670 |
|
15 |
14 |
$373.52 |
| 90715 |
|
2,520 |
2,336 |
$338.31 |
| 90792 |
|
35 |
33 |
$318.79 |
| 84520 |
|
2,521 |
2,214 |
$313.38 |
| 82248 |
|
381 |
308 |
$310.60 |
| 74420 |
|
30 |
24 |
$303.66 |
| J8499 |
Oral prescrip drug non chemo |
45,473 |
20,223 |
$289.62 |
| 76870 |
|
42 |
39 |
$274.52 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
17,087 |
14,801 |
$262.69 |
| 83615 |
|
239 |
197 |
$257.90 |
| 97165 |
|
61 |
55 |
$253.94 |
| 86709 |
|
30 |
29 |
$247.25 |
| 84155 |
|
260 |
233 |
$240.01 |
| 87046 |
|
39 |
37 |
$239.73 |
| 93225 |
|
43 |
35 |
$222.54 |
| 87045 |
|
39 |
37 |
$216.48 |
| 87102 |
|
29 |
25 |
$192.48 |
| 86317 |
|
15 |
14 |
$186.16 |
| 0011A |
|
25 |
21 |
$186.00 |
| C1725 |
Cath, translumin non-laser |
36 |
16 |
$182.91 |
| 51702 |
|
33 |
25 |
$176.92 |
| 86812 |
|
15 |
12 |
$172.55 |
| 73552 |
|
59 |
50 |
$164.53 |
| 85045 |
|
77 |
71 |
$157.94 |
| 82785 |
|
15 |
12 |
$157.30 |
| 86753 |
|
18 |
14 |
$153.79 |
| 99215 |
Prolong outpt/office vis |
93 |
83 |
$152.85 |
| 83921 |
|
13 |
13 |
$141.48 |
| J7030 |
Normal saline solution infus |
28,531 |
23,087 |
$136.73 |
| 84145 |
|
105 |
90 |
$127.90 |
| 82010 |
|
801 |
665 |
$124.30 |
| 76937 |
|
41 |
36 |
$121.00 |
| 80143 |
|
1,377 |
1,254 |
$101.64 |
| J3475 |
Inj magnesium sulfate |
1,497 |
1,233 |
$92.16 |
| A9500 |
Tc99m sestamibi |
4,912 |
4,485 |
$89.70 |
| 73060 |
|
13 |
13 |
$88.74 |
| J2704 |
Inj, propofol, 10 mg |
13,254 |
10,333 |
$82.45 |
| 88341 |
|
502 |
411 |
$80.60 |
| 80320 |
|
4,506 |
3,944 |
$80.25 |
| 87420 |
|
528 |
492 |
$80.15 |
| 71100 |
|
15 |
13 |
$69.15 |
| 86705 |
|
12 |
12 |
$67.50 |
| 82085 |
|
15 |
13 |
$64.89 |
| Q0162 |
Ondansetron oral |
3,541 |
3,207 |
$63.84 |
| 84436 |
|
16 |
15 |
$59.04 |
| 80179 |
|
1,299 |
1,188 |
$57.91 |
| 87220 |
|
14 |
13 |
$56.98 |
| 82950 |
|
12 |
12 |
$54.48 |
| 80178 |
|
16 |
14 |
$44.17 |
| 85008 |
|
1,201 |
1,049 |
$31.09 |
| A9270 |
Non-covered item or service |
55,411 |
9,137 |
$30.44 |
| J1885 |
Ketorolac tromethamine inj |
22,542 |
19,144 |
$29.56 |
| J2405 |
Ondansetron hcl injection |
21,477 |
17,768 |
$23.83 |
| J2270 |
Morphine sulfate injection |
11,721 |
8,647 |
$20.11 |
| J2001 |
Lidocaine injection |
4,704 |
3,975 |
$19.74 |
| J2930 |
Methylprednisolone injection |
2,047 |
1,833 |
$15.41 |
| 84311 |
|
14 |
12 |
$13.36 |
| J1644 |
Inj heparin sodium per 1000u |
8,293 |
4,165 |
$12.82 |
| J7120 |
Ringers lactate infusion |
8,279 |
6,064 |
$11.50 |
| J0696 |
Ceftriaxone sodium injection |
3,331 |
2,759 |
$10.14 |
| J1200 |
Diphenhydramine hcl injectio |
3,908 |
3,365 |
$9.24 |
| J7620 |
Albuterol ipratrop non-comp |
3,011 |
2,622 |
$8.17 |
| 80305 |
|
309 |
157 |
$7.55 |
| J2765 |
Metoclopramide hcl injection |
4,401 |
3,756 |
$7.33 |
| 83986 |
|
14 |
12 |
$6.84 |
| J1630 |
Haloperidol injection |
2,133 |
1,775 |
$6.40 |
| J2060 |
Lorazepam injection |
3,449 |
2,833 |
$5.93 |
| J1170 |
Hydromorphone injection |
5,881 |
4,159 |
$5.42 |
| 80365 |
|
258 |
210 |
$5.05 |
| J7040 |
Normal saline solution infus |
6,327 |
5,091 |
$3.88 |
| J8540 |
Oral dexamethasone |
737 |
493 |
$3.84 |
| J1100 |
Dexamethasone sodium phos |
8,142 |
7,235 |
$3.07 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,124 |
968 |
$2.62 |
| J0690 |
Cefazolin sodium injection |
5,620 |
4,424 |
$1.88 |
| J3010 |
Fentanyl citrate injection |
11,381 |
9,473 |
$1.60 |
| J7613 |
Albuterol non-comp unit |
858 |
750 |
$1.38 |
| S0164 |
Injection pantroprazole |
819 |
694 |
$0.77 |
| J2250 |
Inj midazolam hydrochloride |
9,939 |
8,578 |
$0.34 |
| G8979 |
Mobility goal status |
759 |
652 |
$0.24 |
| G8978 |
Mobility current status |
759 |
653 |
$0.24 |
| J1815 |
Insulin injection |
1,865 |
994 |
$0.14 |
| G8980 |
Mobility d/c status |
114 |
91 |
$0.02 |
| J7050 |
Normal saline solution infus |
3,014 |
2,249 |
$0.00 |
| A9698 |
Non-rad contrast materialnoc |
489 |
430 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
297 |
252 |
$0.00 |
| J0280 |
Aminophyllin 250 mg inj |
1,253 |
1,167 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
74 |
55 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
2,939 |
2,572 |
$0.00 |
| A9555 |
Rb82 rubidium |
68 |
63 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
218 |
180 |
$0.00 |
| 77001 |
|
41 |
29 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
91 |
72 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
43 |
41 |
$0.00 |
| 91307 |
|
189 |
166 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
144 |
123 |
$0.00 |
| C2617 |
Stent, non-cor, tem w/o del |
30 |
24 |
$0.00 |
| 51798 |
|
30 |
12 |
$0.00 |
| 80329 |
|
77 |
45 |
$0.00 |
| C9290 |
Inj, bupivacaine liposome |
159 |
134 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
29 |
28 |
$0.00 |
| 99214 |
|
85 |
75 |
$0.00 |
| J3480 |
Inj potassium chloride |
77 |
61 |
$0.00 |
| C1889 |
Implant/insert device, noc |
24 |
24 |
$0.00 |
| Q0247 |
Sotrovimab |
16 |
15 |
$0.00 |
| 93000 |
|
16 |
12 |
$0.00 |
| J1940 |
Furosemide injection |
34 |
25 |
$0.00 |
| J7121 |
5% dextrose in lac ringers |
24 |
14 |
$0.00 |
| J0706 |
Caffeine citrate injection |
14 |
12 |
$0.00 |
| J0780 |
Prochlorperazine injection |
198 |
177 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
1,619 |
1,419 |
$0.00 |
| J1956 |
Levofloxacin injection |
476 |
399 |
$0.00 |
| A4550 |
Surgical trays |
90 |
89 |
$0.00 |
| G1004 |
Cdsm ndsc |
1,516 |
1,366 |
$0.00 |
| 80354 |
|
1,051 |
890 |
$0.00 |
| 88313 |
|
213 |
196 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
187 |
165 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
148 |
117 |
$0.00 |
| 99001 |
|
54 |
50 |
$0.00 |
| 99212 |
|
128 |
116 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
111 |
104 |
$0.00 |
| 87210 |
|
16 |
15 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
223 |
99 |
$0.00 |
| Q0163 |
Diphenhydramine hcl 50mg |
71 |
59 |
$0.00 |
| 80362 |
|
20 |
14 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
15 |
13 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
185 |
113 |
$0.00 |
| J1580 |
Garamycin gentamicin inj |
171 |
102 |
$0.00 |
| 80348 |
|
102 |
75 |
$0.00 |
| 36600 |
|
14 |
13 |
$0.00 |
| 82948 |
|
58 |
30 |
$0.00 |
| 76942 |
|
20 |
12 |
$0.00 |
| J7070 |
D5w infusion |
21 |
16 |
$0.00 |
| 80346 |
|
55 |
50 |
$0.00 |
| 78434 |
|
55 |
50 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
165 |
139 |
$0.00 |
| 81401 |
|
12 |
12 |
$0.00 |
| 91300 |
|
62 |
62 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
105 |
81 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
23 |
19 |
$0.00 |
| J2550 |
Promethazine hcl injection |
16 |
15 |
$0.00 |
| 99152 |
|
37 |
36 |
$0.00 |