| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
97,541 |
89,683 |
$11.90M |
| 99284 |
|
70,540 |
63,058 |
$10.00M |
| 96361 |
|
27,133 |
21,322 |
$8.24M |
| 99211 |
|
72,325 |
54,456 |
$8.16M |
| J9271 |
Inj pembrolizumab |
861 |
569 |
$6.83M |
| 99213 |
|
42,849 |
33,293 |
$5.24M |
| 96365 |
|
16,773 |
8,530 |
$3.43M |
| 0241U |
|
14,464 |
12,385 |
$1.79M |
| 59025 |
|
9,995 |
6,162 |
$1.59M |
| 99285 |
|
11,884 |
9,541 |
$1.54M |
| J9173 |
Inj., durvalumab, 10 mg |
514 |
88 |
$1.49M |
| 74177 |
|
5,734 |
4,572 |
$1.37M |
| 70450 |
|
5,689 |
4,742 |
$1.32M |
| 96413 |
|
7,298 |
3,826 |
$944K |
| 96360 |
|
4,097 |
2,413 |
$813K |
| J9299 |
Injection, nivolumab |
208 |
77 |
$778K |
| 96366 |
|
3,102 |
1,706 |
$732K |
| 99282 |
|
6,197 |
5,359 |
$658K |
| G0378 |
Hospital observation per hr |
8,254 |
3,092 |
$622K |
| 99212 |
|
4,574 |
4,125 |
$594K |
| 76816 |
|
4,685 |
3,744 |
$557K |
| 74176 |
|
1,971 |
1,561 |
$537K |
| 94640 |
|
4,921 |
3,154 |
$531K |
| 93306 |
|
1,938 |
1,700 |
$485K |
| J1459 |
Inj ivig privigen 500 mg |
340 |
116 |
$469K |
| 64483 |
|
722 |
645 |
$419K |
| G0463 |
Hospital outpt clinic visit |
8,809 |
7,073 |
$408K |
| 71275 |
|
1,634 |
1,322 |
$393K |
| 99214 |
|
3,301 |
3,148 |
$389K |
| 96415 |
|
1,472 |
983 |
$380K |
| 43239 |
|
928 |
720 |
$370K |
| 45385 |
|
649 |
528 |
$345K |
| 11042 |
|
3,292 |
1,465 |
$344K |
| 80047 |
|
18,309 |
16,998 |
$331K |
| 45380 |
|
613 |
492 |
$321K |
| 97110 |
|
4,470 |
1,646 |
$319K |
| J1756 |
Iron sucrose injection |
10,113 |
3,602 |
$302K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,567 |
1,454 |
$296K |
| 76811 |
|
1,991 |
1,818 |
$285K |
| 76818 |
|
2,657 |
1,154 |
$280K |
| J1745 |
Infliximab not biosimil 10mg |
200 |
170 |
$258K |
| 86850 |
|
12,012 |
10,608 |
$250K |
| J0897 |
Denosumab injection |
250 |
203 |
$233K |
| 11043 |
|
933 |
476 |
$233K |
| 95810 |
|
323 |
293 |
$232K |
| 96367 |
|
2,332 |
1,449 |
$208K |
| 71260 |
|
960 |
858 |
$206K |
| 80053 |
|
31,013 |
22,141 |
$180K |
| 80048 |
|
72,723 |
58,261 |
$172K |
| 70553 |
|
620 |
552 |
$160K |
| 85025 |
|
136,188 |
106,677 |
$159K |
| 97530 |
|
3,043 |
1,982 |
$156K |
| 96374 |
|
47,045 |
38,413 |
$153K |
| 70496 |
|
845 |
680 |
$151K |
| 87591 |
|
18,371 |
16,466 |
$146K |
| 76856 |
|
802 |
697 |
$142K |
| 80307 |
|
10,666 |
9,141 |
$135K |
| 76815 |
|
4,165 |
2,896 |
$134K |
| 86900 |
|
12,258 |
10,719 |
$131K |
| 97112 |
|
2,274 |
1,124 |
$131K |
| 78452 |
|
291 |
235 |
$129K |
| 10060 |
|
706 |
590 |
$114K |
| J1439 |
Inj ferric carboxymaltos 1mg |
145 |
90 |
$111K |
| 76805 |
|
761 |
692 |
$105K |
| 72148 |
|
663 |
601 |
$103K |
| 76801 |
|
744 |
669 |
$100K |
| 36415 |
|
148,906 |
121,226 |
$98K |
| 80076 |
|
32,360 |
27,077 |
$95K |
| 76817 |
|
2,037 |
1,463 |
$94K |
| 76642 |
|
848 |
766 |
$94K |
| 76705 |
|
930 |
785 |
$93K |
| 77063 |
|
1,883 |
1,736 |
$93K |
| 19318 |
|
22 |
14 |
$92K |
| 84484 |
|
21,153 |
17,060 |
$91K |
| 96372 |
|
23,423 |
16,013 |
$89K |
| 71271 |
|
528 |
479 |
$87K |
| 94060 |
|
690 |
631 |
$86K |
| 70491 |
|
325 |
269 |
$83K |
| 43235 |
|
176 |
140 |
$80K |
| 99291 |
|
642 |
485 |
$79K |
| 71045 |
|
23,883 |
20,688 |
$77K |
| 71250 |
|
816 |
739 |
$77K |
| 93005 |
|
35,727 |
30,726 |
$74K |
| 70551 |
|
504 |
418 |
$74K |
| 76820 |
|
1,128 |
497 |
$72K |
| 77067 |
|
2,786 |
2,533 |
$72K |
| 93971 |
|
886 |
770 |
$71K |
| 71046 |
|
7,929 |
7,295 |
$71K |
| 90677 |
|
445 |
396 |
$70K |
| 82306 |
|
4,059 |
3,705 |
$63K |
| 82607 |
|
5,783 |
5,229 |
$63K |
| 84443 |
|
6,830 |
5,858 |
$61K |
| 36430 |
|
344 |
207 |
$61K |
| C9290 |
Inj, bupivacaine liposome |
640 |
410 |
$60K |
| 70498 |
|
986 |
794 |
$59K |
| 80061 |
|
8,656 |
7,912 |
$57K |
| 93017 |
|
640 |
550 |
$56K |
| 83970 |
|
2,190 |
2,009 |
$54K |
| 99395 |
|
478 |
434 |
$51K |
| 93970 |
|
335 |
292 |
$50K |
| J0561 |
Penicillin g benzathine inj |
297 |
203 |
$49K |
| 83036 |
|
11,462 |
10,497 |
$47K |
| 96375 |
|
37,109 |
27,995 |
$47K |
| 86780 |
|
5,817 |
5,082 |
$46K |
| 99281 |
|
443 |
390 |
$45K |
| 87491 |
|
18,445 |
16,529 |
$44K |
| 72141 |
|
299 |
274 |
$44K |
| 73721 |
|
233 |
196 |
$44K |
| 85027 |
|
15,984 |
13,353 |
$43K |
| 94727 |
|
691 |
633 |
$43K |
| 88307 |
|
557 |
378 |
$42K |
| 92507 |
|
617 |
263 |
$40K |
| 90715 |
|
2,682 |
2,281 |
$39K |
| 76536 |
|
371 |
329 |
$39K |
| 87086 |
|
23,263 |
20,397 |
$38K |
| 97163 |
|
1,071 |
884 |
$38K |
| 90853 |
|
616 |
52 |
$38K |
| 70486 |
|
563 |
480 |
$38K |
| 97140 |
|
1,343 |
637 |
$37K |
| 12001 |
|
265 |
221 |
$37K |
| P9016 |
Rbc leukocytes reduced |
181 |
116 |
$37K |
| J2506 |
Inj pegfilgrast ex bio 0.5mg |
63 |
38 |
$37K |
| C9803 |
Hopd covid-19 spec collect |
870 |
822 |
$37K |
| 82728 |
|
7,256 |
6,353 |
$37K |
| 99215 |
Prolong outpt/office vis |
282 |
275 |
$36K |
| 84702 |
|
3,671 |
2,362 |
$36K |
| 94729 |
|
690 |
632 |
$36K |
| 97116 |
|
1,641 |
871 |
$36K |
| 86901 |
|
12,250 |
10,719 |
$36K |
| 72100 |
|
2,358 |
2,004 |
$36K |
| 90686 |
|
2,051 |
1,938 |
$36K |
| 97162 |
|
886 |
744 |
$35K |
| Q0138 |
Ferumoxytol, non-esrd |
233 |
134 |
$35K |
| 83735 |
|
13,760 |
8,927 |
$32K |
| 77386 |
|
151 |
14 |
$32K |
| 81025 |
|
53,451 |
47,471 |
$31K |
| 83540 |
|
8,173 |
7,229 |
$30K |
| 76830 |
|
785 |
685 |
$29K |
| 80320 |
|
2,749 |
2,172 |
$28K |
| G0472 |
Hep c screen high risk/other |
3,580 |
3,334 |
$28K |
| 96416 |
|
532 |
309 |
$27K |
| 87389 |
|
7,159 |
6,664 |
$27K |
| Q5106 |
Inj retacrit non-esrd use |
314 |
128 |
$27K |
| 77336 |
|
224 |
82 |
$25K |
| 72125 |
|
1,470 |
1,244 |
$24K |
| 97167 |
|
692 |
544 |
$23K |
| 80069 |
|
1,745 |
1,181 |
$23K |
| 86762 |
|
4,057 |
3,792 |
$23K |
| 82525 |
|
1,536 |
1,409 |
$21K |
| 81001 |
|
43,734 |
38,172 |
$21K |
| 82746 |
|
3,283 |
2,940 |
$20K |
| 11045 |
|
74 |
38 |
$20K |
| 73560 |
|
1,955 |
1,549 |
$19K |
| 77334 |
|
62 |
42 |
$19K |
| 73630 |
|
1,942 |
1,606 |
$19K |
| G0121 |
Colon ca scrn not hi rsk ind |
38 |
26 |
$18K |
| 84439 |
|
1,553 |
1,334 |
$18K |
| 73030 |
|
1,705 |
1,415 |
$18K |
| 12002 |
|
126 |
113 |
$18K |
| 96523 |
|
416 |
259 |
$17K |
| S9470 |
Nutritional counseling, diet |
189 |
142 |
$17K |
| 96376 |
|
4,793 |
2,237 |
$16K |
| 83550 |
|
6,636 |
5,804 |
$16K |
| 72040 |
|
1,005 |
848 |
$16K |
| 81002 |
|
33,812 |
23,570 |
$16K |
| 74183 |
|
72 |
59 |
$16K |
| 76775 |
|
177 |
163 |
$16K |
| 88175 |
|
3,195 |
3,039 |
$15K |
| 87510 |
|
537 |
516 |
$15K |
| 77062 |
|
405 |
367 |
$15K |
| 82570 |
|
3,779 |
3,158 |
$15K |
| J1453 |
Fosaprepitant injection |
975 |
586 |
$15K |
| 73130 |
|
1,446 |
1,225 |
$15K |
| 84425 |
|
1,523 |
1,443 |
$15K |
| 73610 |
|
1,503 |
1,287 |
$15K |
| 12011 |
|
92 |
86 |
$14K |
| J7030 |
Normal saline solution infus |
13,492 |
7,859 |
$14K |
| 74018 |
|
506 |
425 |
$14K |
| 83880 |
|
4,440 |
3,522 |
$13K |
| J0640 |
Leucovorin calcium injection |
768 |
381 |
$13K |
| 84630 |
|
1,532 |
1,415 |
$13K |
| 86140 |
|
2,961 |
2,318 |
$13K |
| 88185 |
|
197 |
74 |
$13K |
| J1642 |
Inj heparin sodium per 10 u |
9,017 |
3,709 |
$12K |
| 96368 |
|
1,041 |
562 |
$12K |
| 97535 |
|
644 |
403 |
$12K |
| 87340 |
|
1,634 |
1,456 |
$12K |
| 93325 |
|
131 |
111 |
$11K |
| 85610 |
|
6,201 |
4,709 |
$11K |
| 93880 |
|
163 |
140 |
$11K |
| 62323 |
|
30 |
27 |
$11K |
| J3490 |
Drugs unclassified injection |
6,666 |
2,729 |
$11K |
| 84590 |
|
1,431 |
1,348 |
$11K |
| J2997 |
Alteplase recombinant |
91 |
70 |
$11K |
| 77300 |
|
22 |
12 |
$11K |
| 20610 |
|
88 |
67 |
$11K |
| 64493 |
|
21 |
13 |
$10K |
| 36591 |
|
480 |
361 |
$10K |
| 84144 |
|
500 |
392 |
$10K |
| 82951 |
|
457 |
417 |
$10K |
| 88305 |
|
4,328 |
3,119 |
$10K |
| 82565 |
|
3,147 |
2,555 |
$10K |
| G0480 |
Drug test def 1-7 classes |
1,519 |
1,305 |
$10K |
| 82962 |
|
9,238 |
5,193 |
$9K |
| U0005 |
Infec agen detec ampli probe |
740 |
658 |
$9K |
| 86481 |
|
490 |
449 |
$9K |
| 95816 |
|
49 |
41 |
$9K |
| 93976 |
|
77 |
56 |
$9K |
| 45378 |
|
24 |
13 |
$9K |
| 73502 |
|
921 |
773 |
$9K |
| 83690 |
|
22,855 |
19,192 |
$9K |
| 72070 |
|
531 |
452 |
$9K |
| 87522 |
Neg quan hep c or qual rna |
468 |
406 |
$9K |
| 87653 |
|
849 |
777 |
$8K |
| 77080 |
|
123 |
108 |
$8K |
| 77065 |
Tomosynthesis, mammo |
397 |
347 |
$8K |
| 36593 |
|
90 |
70 |
$8K |
| 73110 |
|
922 |
759 |
$8K |
| 87635 |
|
1,904 |
1,845 |
$8K |
| 87660 |
|
551 |
529 |
$8K |
| 82950 |
|
2,841 |
2,683 |
$8K |
| 97802 |
|
88 |
78 |
$8K |
| 90471 |
|
2,968 |
2,477 |
$8K |
| Q0111 |
Wet mounts/ w preparations |
6,958 |
6,119 |
$7K |
| 88341 |
|
148 |
108 |
$7K |
| 95811 |
|
13 |
13 |
$7K |
| J2791 |
Rhophylac injection |
104 |
101 |
$6K |
| J1726 |
Makena, 10 mg |
13 |
12 |
$6K |
| 77066 |
Tomosynthesis, mammo |
468 |
420 |
$6K |
| 97166 |
|
156 |
104 |
$6K |
| 82952 |
|
455 |
415 |
$6K |
| 91322 |
|
226 |
203 |
$6K |
| 84156 |
|
3,116 |
2,450 |
$6K |
| 73562 |
|
467 |
381 |
$6K |
| 81003 |
|
17,994 |
16,335 |
$6K |
| 72131 |
|
69 |
67 |
$5K |
| 84100 |
|
1,860 |
1,317 |
$5K |
| 88184 |
|
137 |
74 |
$5K |
| 97014 |
|
197 |
56 |
$5K |
| 80349 |
|
299 |
274 |
$5K |
| 86038 |
|
426 |
369 |
$5K |
| 93925 |
|
40 |
38 |
$5K |
| 87210 |
|
6,503 |
5,546 |
$5K |
| 84550 |
|
3,351 |
2,589 |
$5K |
| 90832 |
|
74 |
26 |
$5K |
| 84153 |
|
781 |
688 |
$5K |
| 83615 |
|
4,265 |
3,197 |
$5K |
| 71100 |
|
494 |
416 |
$5K |
| 92558 |
|
86 |
80 |
$4K |
| 83605 |
|
4,123 |
2,999 |
$4K |
| 82784 |
|
1,279 |
851 |
$4K |
| 73070 |
|
563 |
466 |
$4K |
| 73140 |
|
401 |
326 |
$4K |
| 73221 |
|
17 |
12 |
$4K |
| 77061 |
|
129 |
115 |
$4K |
| 85652 |
|
1,699 |
1,357 |
$4K |
| 80348 |
|
205 |
176 |
$4K |
| J9045 |
Carboplatin injection |
634 |
295 |
$4K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
12,011 |
9,912 |
$4K |
| 82533 |
|
239 |
189 |
$4K |
| 82247 |
|
2,373 |
1,837 |
$4K |
| 83883 |
|
1,003 |
592 |
$4K |
| 82043 |
|
1,255 |
1,124 |
$4K |
| 83020 |
|
346 |
304 |
$4K |
| G0008 |
Admin influenza virus vac |
2,288 |
2,176 |
$3K |
| 82664 |
|
308 |
248 |
$3K |
| 87040 |
|
2,076 |
1,385 |
$3K |
| 90656 |
|
395 |
392 |
$3K |
| 87077 |
|
2,968 |
2,297 |
$3K |
| 83516 |
|
335 |
213 |
$3K |
| 82550 |
|
996 |
740 |
$3K |
| 87070 |
|
2,889 |
2,378 |
$3K |
| J3489 |
Zoledronic acid 1mg |
246 |
202 |
$3K |
| 76819 |
|
148 |
104 |
$3K |
| 72110 |
|
61 |
55 |
$3K |
| 86431 |
|
289 |
264 |
$3K |
| 87624 |
|
1,217 |
1,127 |
$3K |
| 86923 |
|
101 |
67 |
$3K |
| J2800 |
Methocarbamol injection |
1,053 |
715 |
$3K |
| J7050 |
Normal saline solution infus |
17,244 |
7,115 |
$3K |
| 84450 |
|
2,479 |
1,935 |
$3K |
| 90480 |
|
224 |
202 |
$3K |
| 84460 |
|
2,469 |
1,922 |
$3K |
| 76700 |
|
15 |
14 |
$3K |
| 29515 |
|
609 |
527 |
$3K |
| 73590 |
|
388 |
302 |
$3K |
| 80074 |
|
367 |
324 |
$3K |
| 87186 |
|
2,745 |
2,178 |
$3K |
| 83001 |
|
164 |
136 |
$3K |
| 85730 |
|
4,007 |
3,149 |
$2K |
| 88342 |
|
653 |
501 |
$2K |
| J2405 |
Ondansetron hcl injection |
30,172 |
21,363 |
$2K |
| 85045 |
|
2,091 |
1,683 |
$2K |
| 73700 |
|
33 |
25 |
$2K |
| 86706 |
|
269 |
232 |
$2K |
| 84165 |
|
672 |
533 |
$2K |
| 97597 |
|
20 |
14 |
$2K |
| 96402 |
|
303 |
245 |
$2K |
| J2272 |
Inj, morphine (fresenius) |
4,574 |
3,113 |
$2K |
| 84520 |
|
1,834 |
1,419 |
$2K |
| 29125 |
|
415 |
348 |
$2K |
| J1650 |
Inj enoxaparin sodium |
2,303 |
881 |
$2K |
| 87536 |
|
123 |
101 |
$2K |
| 90837 |
|
18 |
12 |
$2K |
| 99396 |
|
15 |
12 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
5,786 |
4,104 |
$2K |
| 85379 |
|
1,957 |
1,589 |
$2K |
| 97803 |
|
18 |
14 |
$2K |
| J9263 |
Oxaliplatin |
238 |
119 |
$2K |
| 83525 |
|
73 |
65 |
$2K |
| 84403 |
|
143 |
134 |
$2K |
| 74019 |
|
164 |
123 |
$2K |
| J0702 |
Betamethasone acet&sod phosp |
108 |
91 |
$2K |
| 84145 |
|
708 |
539 |
$1K |
| 82803 |
|
1,923 |
1,478 |
$1K |
| 84146 |
|
101 |
86 |
$1K |
| 93225 |
|
15 |
14 |
$1K |
| 88304 |
|
615 |
446 |
$1K |
| 00840 |
|
114 |
80 |
$1K |
| 88360 |
|
17 |
13 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
14,983 |
11,974 |
$1K |
| 86304 |
|
252 |
186 |
$1K |
| 86870 |
|
49 |
39 |
$1K |
| J1100 |
Dexamethasone sodium phos |
9,905 |
6,107 |
$1K |
| J7120 |
Ringers lactate infusion |
6,877 |
4,672 |
$1K |
| 97161 |
|
60 |
57 |
$1K |
| 87480 |
|
537 |
516 |
$1K |
| 87430 |
|
2,328 |
1,913 |
$987.61 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
1,486 |
1,279 |
$966.54 |
| 87205 |
|
950 |
797 |
$954.35 |
| J2930 |
Methylprednisolone injection |
1,454 |
917 |
$953.52 |
| J1170 |
Hydromorphone injection |
3,219 |
1,822 |
$938.73 |
| C9113 |
Inj pantoprazole sodium, via |
858 |
375 |
$928.45 |
| J2704 |
Inj, propofol, 10 mg |
9,934 |
5,018 |
$925.08 |
| 86200 |
|
104 |
97 |
$921.63 |
| 87088 |
|
931 |
737 |
$910.51 |
| U0002 |
Covid-19 lab test non-cdc |
30 |
30 |
$899.25 |
| 73090 |
|
118 |
93 |
$847.87 |
| 93242 |
|
14 |
13 |
$839.35 |
| 86920 |
|
25 |
15 |
$808.93 |
| 87493 |
|
32 |
24 |
$796.24 |
| J1644 |
Inj heparin sodium per 1000u |
2,746 |
1,151 |
$792.72 |
| 85018 |
|
329 |
170 |
$783.56 |
| Q0114 |
Fern test |
744 |
637 |
$778.59 |
| J3420 |
Vitamin b12 injection |
1,757 |
811 |
$770.49 |
| 82105 |
|
96 |
70 |
$738.25 |
| 76937 |
|
19 |
13 |
$717.00 |
| 92523 |
|
12 |
12 |
$709.94 |
| 80358 |
|
72 |
53 |
$693.11 |
| 87804 |
|
1,890 |
1,784 |
$686.23 |
| 92567 |
|
112 |
107 |
$683.81 |
| 80306 |
|
358 |
328 |
$668.85 |
| 82378 |
|
402 |
284 |
$651.45 |
| 86704 |
|
81 |
74 |
$641.02 |
| 85014 |
|
399 |
246 |
$600.81 |
| 86235 |
|
61 |
42 |
$579.21 |
| 87661 |
|
92 |
78 |
$535.40 |
| 82627 |
|
14 |
12 |
$508.47 |
| J2274 |
Inj morphine pf epid ithc |
207 |
170 |
$506.57 |
| 86361 |
|
59 |
54 |
$499.55 |
| J0360 |
Hydralazine hcl injection |
629 |
398 |
$492.27 |
| J1953 |
Levetiracetam injection |
75 |
51 |
$491.91 |
| 84402 |
|
30 |
28 |
$488.44 |
| 92582 |
|
16 |
16 |
$476.26 |
| J3370 |
Vancomycin hcl injection |
616 |
396 |
$440.88 |
| J2360 |
Orphenadrine injection |
1,108 |
849 |
$438.43 |
| 83010 |
|
218 |
173 |
$416.36 |
| J2550 |
Promethazine hcl injection |
3,369 |
1,969 |
$415.95 |
| 82010 |
|
721 |
541 |
$414.45 |
| 86160 |
|
71 |
66 |
$387.57 |
| J3475 |
Inj magnesium sulfate |
1,528 |
824 |
$381.42 |
| 87481 |
|
45 |
44 |
$379.54 |
| 82947 |
|
58 |
54 |
$367.02 |
| J0690 |
Cefazolin sodium injection |
2,522 |
1,625 |
$359.22 |
| J3301 |
Triamcinolone acet inj nos |
1,404 |
1,205 |
$347.34 |
| 86161 |
|
40 |
38 |
$345.45 |
| J0500 |
Dicyclomine injection |
58 |
42 |
$339.72 |
| G0009 |
Admin pneumococcal vaccine |
449 |
399 |
$317.19 |
| 97750 |
|
13 |
13 |
$293.42 |
| 90678 |
|
55 |
54 |
$288.35 |
| J3010 |
Fentanyl citrate injection |
4,784 |
3,396 |
$278.38 |
| J1940 |
Furosemide injection |
885 |
393 |
$277.71 |
| J2270 |
Morphine sulfate injection |
1,964 |
1,727 |
$276.44 |
| 82670 |
|
25 |
25 |
$275.85 |
| 86593 |
|
161 |
119 |
$272.54 |
| 82140 |
|
149 |
125 |
$270.12 |
| 84703 |
|
149 |
110 |
$267.59 |
| 80329 |
|
220 |
163 |
$267.10 |
| 82150 |
|
245 |
188 |
$262.62 |
| 88720 |
|
29 |
29 |
$256.99 |
| 87651 |
|
260 |
255 |
$250.93 |
| 84270 |
|
14 |
12 |
$230.26 |
| 87801 |
|
45 |
44 |
$229.80 |
| 36416 |
|
1,101 |
1,081 |
$227.61 |
| 0124A |
|
61 |
51 |
$225.96 |
| 86698 |
|
46 |
39 |
$215.85 |
| J1815 |
Insulin injection |
670 |
267 |
$210.10 |
| 29240 |
|
16 |
12 |
$198.73 |
| J0780 |
Prochlorperazine injection |
1,152 |
881 |
$195.60 |
| 82985 |
|
52 |
46 |
$186.74 |
| 86225 |
|
32 |
30 |
$173.82 |
| 87015 |
|
124 |
99 |
$172.44 |
| J3480 |
Inj potassium chloride |
1,458 |
764 |
$168.80 |
| C1889 |
Implant/insert device, noc |
197 |
161 |
$167.87 |
| 86364 |
|
12 |
12 |
$163.04 |
| 83921 |
|
86 |
85 |
$151.86 |
| J2765 |
Metoclopramide hcl injection |
1,892 |
1,305 |
$149.33 |
| 86376 |
|
12 |
12 |
$141.62 |
| J1200 |
Diphenhydramine hcl injectio |
5,292 |
3,324 |
$134.21 |
| 83090 |
|
45 |
45 |
$133.25 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
2,174 |
1,980 |
$132.74 |
| 84132 |
|
53 |
43 |
$132.45 |
| 86147 |
|
14 |
12 |
$130.45 |
| 85612 |
|
28 |
26 |
$128.27 |
| J2919 |
Inj, methylpred sod succ 5mg |
705 |
512 |
$120.15 |
| C1769 |
Guide wire |
317 |
238 |
$118.25 |
| 86301 |
|
18 |
13 |
$111.04 |
| 82272 |
|
226 |
190 |
$107.37 |
| 72220 |
|
17 |
12 |
$105.50 |
| 90750 |
|
23 |
19 |
$101.79 |
| J3411 |
Thiamine hcl 100 mg |
781 |
418 |
$100.20 |
| 86146 |
|
14 |
12 |
$98.67 |
| J1790 |
Droperidol injection |
1,138 |
818 |
$95.72 |
| 80143 |
|
322 |
247 |
$95.03 |
| 82248 |
|
36 |
26 |
$94.11 |
| 84481 |
|
12 |
12 |
$92.62 |
| 87081 |
|
90 |
86 |
$91.47 |
| J0330 |
Succinycholine chloride inj |
1,628 |
1,008 |
$85.17 |
| 81050 |
|
17 |
15 |
$84.60 |
| J2250 |
Inj midazolam hydrochloride |
3,891 |
2,709 |
$72.66 |
| G1004 |
Cdsm ndsc |
717 |
398 |
$72.10 |
| J7040 |
Normal saline solution infus |
1,861 |
1,210 |
$60.90 |
| J2060 |
Lorazepam injection |
525 |
363 |
$58.76 |
| 90662 |
|
17 |
14 |
$57.24 |
| A9502 |
Tc99m tetrofosmin |
294 |
238 |
$55.03 |
| J7121 |
5% dextrose in lac ringers |
743 |
496 |
$54.41 |
| 87075 |
|
114 |
102 |
$46.49 |
| C1894 |
Intro/sheath, non-laser |
105 |
72 |
$40.50 |
| 80164 |
|
14 |
14 |
$33.92 |
| C1887 |
Catheter, guiding |
72 |
51 |
$31.91 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
22 |
13 |
$27.66 |
| 94760 |
|
1,219 |
860 |
$27.60 |
| 86308 |
|
15 |
12 |
$24.29 |
| 87625 |
|
19 |
16 |
$20.17 |
| J2470 |
Inj pantoprazole sodium 40mg |
179 |
124 |
$19.37 |
| 87102 |
|
42 |
38 |
$16.90 |
| 87206 |
|
42 |
38 |
$16.90 |
| 87116 |
|
42 |
38 |
$16.90 |
| J0134 |
Inj acetaminophen -fresenius |
27 |
12 |
$14.42 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
291 |
186 |
$14.22 |
| 96417 |
|
1,618 |
851 |
$12.46 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
120 |
91 |
$10.81 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
607 |
537 |
$7.64 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
709 |
544 |
$5.30 |
| J1836 |
Inj, metronidazole, 10 mg |
36 |
27 |
$4.55 |
| J1920 |
Inj, labetalol hcl, 5mg |
89 |
79 |
$3.64 |
| J2004 |
Inj, lidocaine w epinephrine |
82 |
75 |
$1.58 |
| 91305 |
|
45 |
45 |
$0.35 |
| J9190 |
Fluorouracil injection |
931 |
398 |
$0.00 |
| H1000 |
Prenatal care atrisk assessm |
45 |
42 |
$0.00 |
| 96401 |
|
29 |
12 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
94 |
66 |
$0.00 |
| J0689 |
Inj cefazolin sodium, baxter |
34 |
33 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
80 |
48 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
24 |
15 |
$0.00 |
| 93356 |
|
16 |
14 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
19 |
12 |
$0.00 |
| 92651 |
|
14 |
12 |
$0.00 |
| 00402 |
|
25 |
16 |
$0.00 |
| C1729 |
Cath, drainage |
15 |
12 |
$0.00 |
| J9267 |
Paclitaxel injection |
736 |
269 |
$0.00 |
| J2785 |
Regadenoson injection |
207 |
164 |
$0.00 |
| 96411 |
|
473 |
266 |
$0.00 |
| A4648 |
Implantable tissue marker |
41 |
36 |
$0.00 |
| 64494 |
|
21 |
13 |
$0.00 |
| 94761 |
|
166 |
80 |
$0.00 |
| 29540 |
|
27 |
24 |
$0.00 |
| J0173 |
Inj, epinephrine (belcher) |
12 |
12 |
$0.00 |
| 00160 |
|
13 |
12 |
$0.00 |
| 51798 |
|
23 |
12 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
25 |
14 |
$0.00 |
| 00790 |
|
18 |
12 |
$0.00 |