Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › BAKERSFIELD › SAN JOAQUIN COMMUNITY HOSPITAL

SAN JOAQUIN COMMUNITY HOSPITAL

NPI: 1538157508 · BAKERSFIELD, CA 93301 · General Acute Care Hospital · NPI assigned 10/12/2005

$107.31M
Total Medicaid Paid
2,507,860
Total Claims
1,955,585
Beneficiaries
467
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWELLS, JASON (PRESIDENT)
NPI Enumeration Date10/12/2005

Related Entities

Other providers sharing the same authorized official: WELLS, JASON

ProviderCityStateTotal Paid
ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI TEHACHAPI CA $17.97M
ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI MOJAVE CA $4.47M
ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI TEHACHAPI CA $3.98M
ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI CALIFORNIA CITY CA $3.93M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 386,255 $14.10M
2019 396,961 $13.90M
2020 283,761 $9.81M
2021 298,477 $11.11M
2022 331,123 $13.42M
2023 399,525 $20.10M
2024 411,758 $24.88M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 83,404 59,689 $25.20M
99283 Emergency department visit for the evaluation and management, moderate severity 46,904 41,322 $17.29M
0762 8,267 3,119 $7.48M
0450 Emergency room services 47,763 41,636 $7.00M
J9271 Injection, pembrolizumab, 1 mg 346 272 $6.23M
78815 Positron emission tomography (PET) for limited area imaging 3,704 3,646 $4.15M
99284 Emergency department visit for the evaluation and management, high severity 7,203 6,478 $3.37M
Q5118 Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg 303 128 $1.84M
74176 Computed tomography, abdomen and pelvis; without contrast material 34,581 30,990 $1.75M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 34,030 25,576 $1.55M
J9306 Injection, pertuzumab, 1 mg 74 53 $1.22M
74177 Computed tomography, abdomen and pelvis; with contrast material 14,639 13,537 $1.13M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 8,682 4,255 $1.10M
70450 Computed tomography, head or brain; without contrast material 33,942 31,295 $1.02M
93458 453 414 $982K
0360 3,837 2,460 $869K
Q5116 Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg 82 52 $789K
80053 Comprehensive metabolic panel 140,759 111,672 $663K
70551 Magnetic resonance imaging, brain; without contrast material 7,143 6,873 $604K
71046 Radiologic examination, chest; 2 views 57,669 52,362 $555K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 2,817 2,718 $509K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12,205 10,764 $506K
71045 Radiologic examination, chest; single view 87,687 71,584 $499K
71260 Computed tomography, thorax, diagnostic; with contrast material 11,023 10,384 $486K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 157,093 122,515 $436K
72141 3,885 3,788 $404K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 456 340 $400K
77067 Screening mammography, bilateral, including computer-aided detection 5,441 5,147 $397K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 2,297 2,064 $387K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 39,266 32,107 $382K
G0378 Hospital observation service, per hour 650 488 $370K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 18,191 4,523 $348K
C1776 Joint device (implantable) 53 52 $348K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 3,270 3,094 $339K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 18,549 4,565 $339K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,995 1,825 $331K
J3490 Unclassified drugs 50,029 24,595 $331K
96549 330 180 $330K
Z7502 8,701 8,521 $326K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 11,161 9,538 $319K
97530 Therapeutic activities, direct patient contact, each 15 minutes 17,951 4,722 $317K
96375 Therapeutic injection; each additional sequential IV push 40,125 27,884 $312K
97802 3,084 2,858 $308K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 2,250 2,089 $287K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 60,784 46,487 $285K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 9,951 3,056 $284K
76700 Ultrasound, abdominal, real time with image documentation; complete 5,992 5,556 $279K
71250 5,369 5,204 $269K
76641 4,266 4,026 $269K
76705 Ultrasound, abdominal, real time with image documentation; limited 13,526 12,424 $264K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 17,405 14,901 $236K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 4,753 4,266 $209K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 9,241 8,333 $206K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 6,648 5,081 $201K
J0185 Injection, aprepitant, 1 mg 867 564 $199K
77066 Tomosynthesis, mammo 1,896 1,802 $189K
99233 Prolong inpt eval add15 m 3,923 1,463 $188K
84443 Thyroid stimulating hormone (TSH) 17,416 15,272 $176K
93970 4,105 3,931 $174K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 116 113 $173K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 39,983 31,897 $166K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,577 2,364 $158K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 306 209 $157K
J0897 Injection, denosumab, 1 mg 78 77 $156K
93454 83 82 $156K
96367 4,308 2,964 $155K
Z9725 3,709 3,686 $147K
96417 3,044 1,712 $145K
99215 Prolong outpt/office vis 2,160 1,983 $143K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 4,572 2,947 $141K
96361 Intravenous infusion, hydration; each additional hour 19,518 15,677 $138K
77063 Screening digital breast tomosynthesis, bilateral 5,297 5,014 $134K
G6015 Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session 281 24 $132K
73221 1,025 966 $131K
81001 80,132 67,009 $130K
J9171 Injection, docetaxel, 1 mg 33 26 $129K
J2785 Injection, regadenoson, 0.1 mg 1,702 1,485 $128K
74246 1,591 1,582 $128K
0202U Oncology (prostate), multianalyte, gene expression profiling 1,879 1,871 $127K
76830 Ultrasound, transvaginal 5,076 4,438 $123K
97803 1,925 1,868 $115K
93971 4,763 4,394 $114K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 235 139 $112K
76770 2,915 2,717 $111K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 30,563 30,070 $108K
97804 3,238 3,156 $107K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 2,825 2,556 $102K
80061 Lipid panel 13,602 12,059 $101K
J7030 Infusion, normal saline solution , 1000 cc 37,959 28,258 $101K
76801 6,027 4,885 $101K
97162 1,591 1,583 $97K
80074 2,921 2,665 $96K
84484 52,661 36,652 $94K
76536 2,102 1,952 $93K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 1,423 1,245 $89K
84702 25,893 20,280 $88K
77049 357 355 $82K
72125 Computed tomography, cervical spine; without contrast material 2,546 2,334 $81K
74178 338 335 $77K
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 7,704 7,510 $74K
74018 6,932 6,379 $74K
78227 198 198 $73K
83880 25,013 21,543 $72K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 2,983 2,791 $72K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 561 529 $72K
80048 Basic metabolic panel (calcium, ionized) 17,819 13,740 $71K
83036 Hemoglobin; glycosylated (A1C) 11,827 10,769 $70K
27447 26 25 $70K
J2405 Injection, ondansetron hydrochloride, per 1 mg 35,533 24,842 $69K
70486 1,702 1,535 $69K
82607 6,028 5,266 $68K
83690 40,135 33,152 $67K
36905 18 12 $66K
0270 9,348 5,407 $66K
86803 27,829 27,627 $64K
82728 5,870 5,415 $63K
70496 1,020 982 $62K
J9070 Cyclophosphamide, 100 mg 18 13 $61K
86780 29,997 29,243 $60K
76642 1,108 972 $59K
93017 1,782 1,552 $58K
99205 Prolong outpt/office vis 634 629 $58K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,137 2,052 $58K
83970 1,843 1,701 $58K
73562 5,040 4,550 $57K
96368 1,113 645 $54K
96523 2,461 1,701 $53K
77336 1,051 416 $53K
70544 474 463 $52K
75571 1,686 1,628 $51K
77427 412 207 $51K
J1750 Injection, iron dextran, 50 mg 105 88 $51K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 7,710 6,547 $51K
72110 1,552 1,399 $50K
J7050 Infusion, normal saline solution, 250 cc 11,718 6,456 $49K
73630 4,340 3,943 $49K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 15,761 11,332 $48K
0729 914 696 $48K
J1885 Injection, ketorolac tromethamine, per 15 mg 29,707 25,344 $47K
85730 19,026 16,856 $46K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 3,111 3,047 $46K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 10,072 9,081 $45K
84466 4,820 4,486 $45K
82746 4,064 3,851 $44K
83735 20,353 14,565 $44K
J0696 Injection, ceftriaxone sodium, per 250 mg 11,669 9,771 $43K
76870 1,646 1,442 $43K
72197 200 195 $43K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 6,397 4,810 $42K
96411 1,631 752 $42K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 3,818 3,334 $40K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 3,816 3,334 $40K
73030 3,486 3,145 $40K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 7,860 6,886 $39K
97150 Therapeutic procedure(s), group (2 or more individuals) 3,003 1,388 $39K
85610 23,975 20,882 $39K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 3,464 2,813 $38K
72081 1,356 1,205 $35K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 4,855 4,711 $35K
83540 6,576 6,124 $33K
J0640 Injection, leucovorin calcium, per 50 mg 691 235 $33K
87040 17,076 8,937 $32K
17250 154 91 $32K
72100 2,543 2,322 $32K
73610 2,789 2,476 $32K
C9600 Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch 12 12 $31K
84439 5,002 4,516 $31K
70498 927 899 $31K
83605 23,468 17,362 $31K
73130 2,541 2,242 $31K
87086 Culture, bacterial; quantitative colony count, urine 11,256 9,515 $30K
99223 Prolong inpt eval add15 m 352 345 $29K
P9016 Red blood cells, leukocytes reduced, each unit 440 358 $29K
J2704 Injection, propofol, 10 mg 3,798 3,176 $28K
72131 475 439 $28K
97161 705 698 $26K
84100 10,325 8,098 $25K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 5,649 3,978 $25K
J9263 Injection, oxaliplatin, 0.5 mg 254 103 $25K
99070 87,585 36,608 $24K
J2270 Injection, morphine sulfate, up to 10 mg 26,651 17,599 $23K
59025 Fetal non-stress test 807 544 $23K
J3010 Injection, fentanyl citrate, 0.1 mg 7,773 6,464 $22K
84480 1,924 1,758 $22K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 3,596 3,512 $21K
82378 2,062 1,729 $21K
73110 1,471 1,291 $21K
77065 Tomosynthesis, mammo 348 307 $20K
85379 8,330 7,575 $20K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 588 522 $20K
J0561 Injection, penicillin g benzathine, 100,000 units 417 370 $18K
77300 105 91 $18K
73502 1,115 1,024 $17K
J7120 Ringers lactate infusion, up to 1000 cc 5,564 4,380 $16K
86635 2,951 1,571 $16K
84153 1,555 1,439 $16K
86038 1,669 1,564 $16K
0510 545 440 $16K
45380 Colonoscopy, flexible; with biopsy, single or multiple 12 12 $15K
84425 784 723 $15K
99152 1,422 1,274 $15K
J2250 Injection, midazolam hydrochloride, per 1 mg 5,556 4,706 $15K
85027 5,184 3,697 $15K
81025 7,440 6,798 $14K
73700 173 167 $14K
72052 363 302 $14K
71020 382 172 $13K
87186 4,278 3,632 $13K
96415 1,106 678 $13K
84550 3,749 3,323 $13K
72040 988 939 $12K
0160 287 103 $12K
74022 1,157 949 $12K
86140 4,819 4,236 $12K
96402 684 651 $12K
74247 105 77 $12K
86901 7,936 6,723 $12K
72050 381 303 $12K
J1200 Injection, diphenhydramine hcl, up to 50 mg 8,257 6,072 $11K
99495 454 446 $11K
87631 1,308 927 $11K
C2629 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, laser 348 316 $11K
84403 655 564 $11K
J1953 Injection, levetiracetam, 10 mg 633 446 $10K
99199 Unlisted special service, procedure or report 164 129 $10K
73590 1,074 912 $10K
77080 264 263 $10K
99496 291 288 $10K
87522 Neg quan hep c or qual rna 1,711 1,695 $10K
J1644 Injection, heparin sodium, per 1000 units 3,776 1,905 $10K
71271 91 90 $10K
82948 6,528 3,814 $10K
A9537 Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries 191 191 $9K
84436 1,666 1,525 $9K
80076 2,210 1,835 $9K
73080 685 584 $9K
86900 4,523 4,173 $9K
84145 2,499 2,381 $9K
J9267 Injection, paclitaxel, 1 mg 108 53 $9K
90715 1,085 985 $9K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 413 368 $9K
82043 1,886 1,714 $9K
J3475 Injection, magnesium sulfate, per 500 mg 2,994 1,854 $8K
87077 3,668 3,121 $8K
82550 4,614 3,893 $8K
82805 1,986 1,771 $8K
86850 4,182 3,577 $8K
0710 2,844 2,304 $8K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 919 904 $8K
83615 2,058 1,796 $7K
36415 Collection of venous blood by venipuncture 6,079 4,385 $7K
71275 Computed tomographic angiography, chest, with contrast material 365 362 $7K
82784 659 568 $7K
82962 6,194 3,354 $7K
85007 4,710 3,239 $7K
85652 4,327 3,647 $7K
J2060 Injection, lorazepam, 2 mg 6,279 5,088 $7K
A9575 Injection, gadoterate meglumine, 0.1 ml 1,116 1,046 $7K
84156 2,373 1,595 $7K
86481 111 95 $6K
72070 431 390 $6K
77338 16 12 $6K
82310 1,501 1,376 $6K
82105 176 169 $6K
97163 45 44 $6K
86300 533 304 $6K
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 1,258 1,240 $6K
V2632 Posterior chamber intraocular lens 452 334 $6K
86431 1,293 1,148 $6K
70491 95 93 $6K
J9190 Injection, fluorouracil, 500 mg 1,329 344 $6K
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 1,944 1,906 $5K
70547 39 39 $5K
97116 619 343 $5K
85384 889 792 $5K
83521 225 212 $5K
82150 3,096 2,827 $5K
86334 409 392 $5K
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml 205 161 $5K
72072 200 189 $5K
84478 1,035 919 $5K
J3489 Injection, zoledronic acid, 1 mg 188 180 $5K
84165 680 657 $5K
84481 393 351 $5K
86301 344 303 $5K
87081 2,267 1,829 $4K
0259 2,449 1,120 $4K
J2765 Injection, metoclopramide hcl, up to 10 mg 4,505 3,779 $4K
87340 777 732 $4K
77002 12 12 $4K
74174 168 167 $4K
S0028 Injection, famotidine, 20 mg 825 623 $4K
93798 198 31 $4K
74183 12 12 $4K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 235 228 $4K
83520 317 182 $4K
76882 279 250 $4K
J3360 Injection, diazepam, up to 5 mg 1,289 1,227 $4K
86769 147 140 $3K
0250 1,271 633 $3K
76937 453 362 $3K
77012 111 78 $3K
86317 393 375 $3K
76818 60 53 $3K
82465 816 786 $3K
J1815 Injection, insulin, per 5 units 3,550 1,877 $3K
0300 87 64 $3K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 2,350 2,053 $3K
82140 1,358 1,223 $3K
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 100 86 $3K
77001 343 236 $3K
S0020 Injection, bupivicaine hydrochloride, 30 ml 704 575 $3K
0324 120 116 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,244 985 $3K
J1120 Injection, acetazolamide sodium, up to 500 mg 397 296 $3K
87070 582 522 $3K
J3370 Injection, vancomycin hcl, 500 mg 1,686 1,335 $3K
99153 Mod sedat endo service >5yrs 471 395 $3K
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 232 222 $3K
82010 2,105 1,865 $3K
73090 362 304 $3K
J1650 Injection, enoxaparin sodium, 10 mg 1,241 612 $3K
86704 334 320 $2K
77334 14 13 $2K
87205 1,811 1,473 $2K
J2919 Injection, methylprednisolone sodium succinate, 5 mg 270 239 $2K
P9011 Blood, split unit 3,321 2,496 $2K
99232 Subsequent hospital care, per day, moderate complexity 52 28 $2K
74170 12 12 $2K
82570 630 562 $2K
0761 101 71 $2K
97597 15 13 $2K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 526 524 $2K
74019 386 287 $2K
85045 627 599 $2K
87210 1,695 1,446 $2K
86331 248 215 $2K
80143 1,005 947 $2K
73552 171 157 $2K
94760 217 101 $2K
32555 17 12 $2K
86923 421 326 $2K
93880 24 24 $2K
86592 1,927 1,905 $2K
S0164 Injection, pantoprazole sodium, 40 mg 1,596 1,055 $2K
76819 Fetal biophysical profile; without non-stress testing 32 25 $2K
87536 40 39 $2K
S0077 Injection, clindamycin phosphate, 300 mg 398 289 $2K
74000 107 103 $2K
86171 236 214 $2K
73564 55 55 $2K
73140 152 121 $1K
71010 121 60 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 25 25 $1K
20610 12 12 $1K
J7060 5% dextrose/water (500 ml = 1 unit) 292 183 $1K
J2805 Injection, sincalide, 5 micrograms 90 89 $1K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 274 202 $1K
84155 619 598 $1K
77072 83 82 $1K
82668 82 81 $1K
J0690 Injection, cefazolin sodium, 500 mg 287 257 $1K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 12 12 $1K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 644 353 $1K
86335 57 42 $1K
80179 664 634 $1K
83010 101 99 $1K
J0780 Injection, prochlorperazine, up to 10 mg 812 716 $1K
83013 16 16 $1K
93016 41 41 $986.36
86235 25 15 $924.67
86141 585 462 $920.42
84479 217 209 $903.32
73620 105 105 $890.86
76857 48 48 $873.77
82670 37 25 $829.11
73560 142 139 $806.44
Z9727 26 26 $780.00
87486 413 368 $775.82
87581 413 368 $775.82
87507 13 13 $762.53
86920 119 94 $748.53
86480 16 16 $739.68
Z7610 536 410 $724.41
J1790 Injection, droperidol, up to 5 mg 305 288 $722.57
J0500 Injection, dicyclomine hcl, up to 20 mg 264 149 $702.43
82553 365 262 $654.71
J1940 Injection, furosemide, up to 20 mg 1,256 878 $610.85
84154 38 37 $594.24
J0360 Injection, hydralazine hcl, up to 20 mg 681 506 $569.80
J3105 Injection, terbutaline sulfate, up to 1 mg 226 161 $565.44
82731 31 28 $558.69
84270 26 25 $533.89
77417 34 12 $470.90
47562 12 12 $465.00
82248 183 154 $460.61
74181 13 12 $459.45
Q4051 Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies) 150 102 $455.76
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 36 24 $453.52
85018 106 53 $450.33
85014 103 51 $447.28
86593 737 731 $400.21
94664 301 283 $399.12
86694 38 13 $374.76
93308 13 13 $373.06
83516 41 29 $371.95
74328 17 16 $371.08
83001 23 12 $345.09
J9045 Injection, carboplatin, 50 mg 171 99 $329.76
86701 62 61 $296.07
0258 175 61 $286.99
84166 30 30 $278.11
71101 26 26 $264.15
81003 64 40 $257.33
72170 49 48 $242.51
86880 46 43 $192.61
82533 34 26 $184.60
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 26 25 $178.63
J2470 Injection, pantoprazole sodium, 40 mg 185 148 $169.27
87147 69 69 $164.22
73120 38 37 $161.52
12001 23 12 $159.96
J1170 Injection, hydromorphone, up to 4 mg 511 344 $154.98
J0171 Injection, adrenalin, epinephrine, 0.1 mg 90 69 $151.32
83655 14 13 $148.82
J2003 Injection, lidocaine hydrochloride, 1 mg 119 118 $130.66
84132 313 270 $129.91
83014 16 16 $128.00
86039 16 16 $125.13
J8597 Antiemetic drug, oral, not otherwise specified 146 144 $122.05
74230 13 12 $121.81
76000 25 25 $115.68
C1760 Closure device, vascular (implantable/insertable) 62 54 $98.65
86225 12 12 $93.48
82272 62 26 $81.46
J1920 Injection, labetalol hydrochloride, 5 mg 76 64 $77.14
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 12 12 $63.29
90674 32 19 $59.21
87088 63 57 $56.74
J2550 Injection, promethazine hcl, up to 50 mg 227 132 $49.38
80164 13 12 $41.34
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 38 34 $41.00
J1580 Injection, garamycin, gentamicin, up to 80 mg 56 29 $19.60
A4649 Surgical supply; miscellaneous 551 530 $16.35
86308 14 13 $14.19
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 15 13 $9.90
85347 38 25 $6.89
J0456 Injection, azithromycin, 500 mg 75 65 $1.61
0710R 44 42 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 27 26 $0.00
J9000 Injection, doxorubicin hydrochloride, 10 mg 34 12 $0.00
0258R 108 80 $0.00
J1171 Injection, hydromorphone, 0.1 mg 21 12 $0.00
0370R 88 86 $0.00
J9206 Injection, irinotecan, 20 mg 32 12 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 30 30 $0.00
72128 39 39 $0.00
0250R 61 53 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 92 52 $0.00
0259R 402 154 $0.00
J7042 5% dextrose/normal saline (500 ml = 1 unit) 20 12 $0.00
J7999 Compounded drug, not otherwise classified 52 50 $0.00
87493 13 13 $0.00
J2305 Injection, nitroglycerin, 5 mg 126 92 $0.00
87640 41 39 $0.00
96376 17 12 $0.00
J1836 Injection, metronidazole, 10 mg 15 12 $0.00