| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
|
708,485 |
605,423 |
$56.02M |
| 99283 |
|
47,255 |
45,780 |
$11.34M |
| 99284 |
|
14,964 |
14,007 |
$7.98M |
| 99212 |
|
81,509 |
77,422 |
$6.18M |
| 99214 |
|
67,857 |
59,507 |
$6.06M |
| U0004 |
Cov-19 test non-cdc hgh thru |
68,458 |
65,882 |
$5.28M |
| 87502 |
|
36,143 |
35,324 |
$3.60M |
| 76816 |
|
22,895 |
21,726 |
$2.74M |
| 42820 |
|
451 |
436 |
$2.09M |
| 87651 |
|
56,065 |
54,429 |
$2.07M |
| 87491 |
|
66,602 |
61,980 |
$2.03M |
| 87591 |
|
66,595 |
61,973 |
$2.03M |
| 76817 |
|
16,585 |
15,840 |
$1.66M |
| 76811 |
|
9,353 |
9,186 |
$1.63M |
| 93303 |
|
5,922 |
5,171 |
$1.60M |
| 76805 |
|
11,810 |
11,649 |
$1.42M |
| U0005 |
Infec agen detec ampli probe |
55,223 |
53,686 |
$1.32M |
| 87389 |
|
61,260 |
57,612 |
$1.23M |
| 81513 |
|
10,246 |
9,790 |
$1.22M |
| 76825 |
|
4,140 |
3,966 |
$1.19M |
| 99282 |
|
6,502 |
6,381 |
$1.17M |
| 93325 |
|
10,901 |
9,969 |
$1.17M |
| 76801 |
|
9,452 |
9,070 |
$1.10M |
| 87661 |
|
33,251 |
29,399 |
$931K |
| 86850 |
|
25,031 |
23,203 |
$908K |
| 97110 |
|
14,543 |
6,487 |
$866K |
| 99285 |
|
2,026 |
1,842 |
$839K |
| 59025 |
|
7,255 |
3,652 |
$778K |
| 93320 |
|
6,157 |
5,403 |
$756K |
| 95810 |
|
762 |
758 |
$738K |
| 85025 |
|
119,197 |
108,353 |
$731K |
| 86780 |
|
59,338 |
54,195 |
$681K |
| 81002 |
|
215,349 |
151,744 |
$679K |
| 69436 |
|
929 |
904 |
$668K |
| 93005 |
|
11,993 |
10,959 |
$638K |
| C9803 |
Hopd covid-19 spec collect |
34,842 |
33,462 |
$610K |
| U0002 |
Covid-19 lab test non-cdc |
16,175 |
15,479 |
$606K |
| 59430 |
|
5,504 |
5,386 |
$570K |
| 99203 |
|
7,563 |
7,225 |
$544K |
| 92587 |
|
2,669 |
2,639 |
$464K |
| 20610 |
|
2,400 |
1,998 |
$463K |
| 92579 |
|
4,572 |
4,459 |
$438K |
| 93306 |
|
789 |
773 |
$420K |
| 81025 |
|
44,512 |
40,534 |
$407K |
| 76815 |
|
4,434 |
3,978 |
$375K |
| 97530 |
|
4,942 |
2,643 |
$372K |
| G0463 |
Hospital outpt clinic visit |
35,852 |
25,651 |
$358K |
| 87811 |
|
6,523 |
6,453 |
$335K |
| 92567 |
|
9,765 |
9,552 |
$331K |
| 87086 |
|
46,284 |
42,712 |
$319K |
| 99215 |
Prolong outpt/office vis |
3,665 |
3,014 |
$315K |
| 74177 |
|
1,615 |
1,560 |
$301K |
| 87653 |
|
9,549 |
9,292 |
$291K |
| 76770 |
|
2,187 |
2,009 |
$277K |
| 95004 |
|
1,455 |
1,423 |
$274K |
| 88142 |
|
15,645 |
15,392 |
$272K |
| 92507 |
|
6,408 |
2,900 |
$262K |
| 87631 |
|
1,894 |
1,852 |
$252K |
| 90715 |
|
9,083 |
8,914 |
$250K |
| 17110 |
|
2,001 |
1,956 |
$248K |
| 86762 |
|
20,221 |
18,999 |
$232K |
| 99202 |
|
3,309 |
3,119 |
$230K |
| 90471 |
|
8,864 |
8,528 |
$227K |
| 80053 |
|
20,313 |
18,601 |
$223K |
| 76827 |
|
2,869 |
2,777 |
$223K |
| 86769 |
|
6,271 |
5,957 |
$218K |
| 92557 |
|
2,347 |
2,292 |
$214K |
| 90834 |
|
2,631 |
2,045 |
$213K |
| 97162 |
|
3,557 |
3,456 |
$213K |
| 87624 |
|
6,608 |
6,461 |
$186K |
| 86787 |
|
17,253 |
16,127 |
$178K |
| J1050 |
Medroxyprogesterone acetate |
3,873 |
3,781 |
$173K |
| 87798 |
|
11,054 |
10,278 |
$172K |
| 87634 |
|
2,546 |
2,455 |
$168K |
| 87340 |
|
21,417 |
20,112 |
$153K |
| 84702 |
|
11,631 |
9,986 |
$150K |
| 87481 |
|
10,372 |
9,912 |
$149K |
| 83036 |
|
20,985 |
20,054 |
$145K |
| 92523 |
|
738 |
716 |
$144K |
| 54162 |
|
57 |
56 |
$141K |
| 95782 |
|
196 |
196 |
$136K |
| 87635 |
|
3,339 |
3,298 |
$136K |
| 92014 |
|
2,167 |
2,137 |
$133K |
| 80050 |
|
1,904 |
1,829 |
$131K |
| 90837 |
|
1,647 |
1,306 |
$131K |
| 95812 |
|
676 |
669 |
$124K |
| 92650 |
|
1,062 |
1,047 |
$120K |
| 92550 |
|
1,431 |
1,403 |
$113K |
| 99204 |
|
1,130 |
1,115 |
$113K |
| 94640 |
|
713 |
471 |
$111K |
| 92582 |
|
1,148 |
1,127 |
$109K |
| 84443 |
|
9,788 |
9,571 |
$109K |
| 82105 |
|
7,245 |
7,003 |
$106K |
| 0001A |
|
4,728 |
4,685 |
$104K |
| 86803 |
|
11,701 |
11,144 |
$104K |
| 0002A |
|
4,443 |
4,398 |
$99K |
| 82947 |
|
29,756 |
28,161 |
$96K |
| 70450 |
|
1,777 |
1,687 |
$94K |
| 88305 |
|
2,460 |
1,743 |
$91K |
| 76830 |
|
899 |
884 |
$90K |
| 82677 |
|
4,138 |
4,034 |
$89K |
| 54161 |
|
98 |
94 |
$88K |
| 77067 |
|
1,545 |
1,543 |
$83K |
| 96365 |
|
1,628 |
1,388 |
$82K |
| 97166 |
|
1,366 |
1,317 |
$80K |
| 76856 |
|
930 |
915 |
$80K |
| 96374 |
|
2,566 |
2,358 |
$80K |
| 96361 |
|
1,403 |
1,289 |
$71K |
| 97112 |
|
1,730 |
1,011 |
$66K |
| 80307 |
|
1,529 |
1,369 |
$66K |
| 86900 |
|
25,392 |
23,191 |
$65K |
| M0243 |
Casirivi and imdevi inj |
270 |
267 |
$64K |
| 85055 |
|
3,173 |
2,850 |
$64K |
| 81001 |
|
21,451 |
19,596 |
$63K |
| 86901 |
|
25,398 |
23,195 |
$63K |
| 97140 |
|
1,335 |
748 |
$60K |
| 92555 |
|
1,441 |
1,419 |
$59K |
| 86336 |
|
4,141 |
4,037 |
$57K |
| 71046 |
|
2,368 |
2,289 |
$57K |
| 92060 |
|
1,579 |
1,545 |
$54K |
| 80061 |
|
7,393 |
7,211 |
$51K |
| 80048 |
|
12,600 |
9,889 |
$50K |
| 29065 |
|
131 |
122 |
$50K |
| S8101 |
Spacer with mask |
1,062 |
986 |
$49K |
| 71045 |
|
3,257 |
2,974 |
$47K |
| 73630 |
|
1,680 |
1,332 |
$47K |
| 51798 |
|
644 |
592 |
$44K |
| 76705 |
|
616 |
601 |
$44K |
| 74176 |
|
495 |
477 |
$43K |
| 97163 |
|
771 |
757 |
$41K |
| 97161 |
|
669 |
661 |
$39K |
| 92652 |
|
168 |
163 |
$38K |
| 83880 |
|
2,764 |
2,385 |
$37K |
| 94760 |
|
8,481 |
8,295 |
$35K |
| 90674 |
|
5,007 |
4,872 |
$34K |
| 87088 |
|
5,261 |
4,975 |
$34K |
| 73110 |
|
645 |
554 |
$33K |
| 87637 |
|
402 |
391 |
$33K |
| 73610 |
|
947 |
797 |
$33K |
| 96110 |
|
254 |
199 |
$31K |
| 82728 |
|
2,884 |
2,727 |
$29K |
| 77063 |
|
1,064 |
1,062 |
$29K |
| 96900 |
|
668 |
296 |
$29K |
| 92552 |
|
352 |
348 |
$26K |
| 82306 |
|
2,277 |
2,227 |
$26K |
| 82951 |
|
2,355 |
2,184 |
$25K |
| 99281 |
|
338 |
328 |
$25K |
| 76813 |
|
233 |
224 |
$25K |
| 84439 |
|
4,590 |
4,474 |
$24K |
| 43239 |
|
26 |
26 |
$24K |
| 73130 |
|
647 |
547 |
$23K |
| 84484 |
|
4,460 |
3,103 |
$22K |
| 73562 |
|
823 |
640 |
$22K |
| J0561 |
Penicillin g benzathine inj |
181 |
165 |
$22K |
| 97164 |
|
471 |
459 |
$20K |
| 90651 |
|
173 |
169 |
$19K |
| 96413 |
|
112 |
75 |
$19K |
| 88720 |
|
4,295 |
3,209 |
$19K |
| 69210 |
|
366 |
361 |
$19K |
| J1040 |
Methylprednisolone 80 mg inj |
1,559 |
1,397 |
$19K |
| J3490 |
Drugs unclassified injection |
733 |
603 |
$18K |
| 99000 |
|
1,454 |
1,067 |
$16K |
| 80076 |
|
3,712 |
3,375 |
$16K |
| 87536 |
|
292 |
277 |
$16K |
| 87186 |
|
3,917 |
3,512 |
$16K |
| 83690 |
|
3,936 |
3,606 |
$15K |
| 87563 |
|
476 |
461 |
$14K |
| 98960 |
|
543 |
530 |
$14K |
| 76820 |
|
271 |
201 |
$14K |
| 83735 |
|
6,111 |
4,557 |
$14K |
| 72125 |
|
324 |
318 |
$14K |
| 96360 |
|
228 |
203 |
$13K |
| 86833 |
|
402 |
383 |
$13K |
| 90677 |
|
124 |
123 |
$13K |
| 87081 |
|
1,466 |
1,435 |
$13K |
| 87077 |
|
3,301 |
2,867 |
$13K |
| 45385 |
|
12 |
12 |
$12K |
| 76885 |
|
139 |
137 |
$12K |
| 86832 |
|
403 |
383 |
$12K |
| 96160 |
|
537 |
511 |
$12K |
| 72081 |
|
251 |
244 |
$12K |
| 29075 |
|
35 |
31 |
$12K |
| 71260 |
|
146 |
145 |
$12K |
| 83970 |
|
889 |
862 |
$11K |
| 92526 |
|
219 |
143 |
$11K |
| 72170 |
|
283 |
278 |
$10K |
| 86592 |
|
2,600 |
2,456 |
$10K |
| 17250 |
|
101 |
96 |
$10K |
| 92012 |
|
112 |
106 |
$10K |
| J0131 |
Inj, acetaminophen (nos) |
524 |
441 |
$10K |
| 72100 |
|
387 |
375 |
$10K |
| 86003 |
|
161 |
81 |
$10K |
| 96372 |
|
2,380 |
1,864 |
$9K |
| 90678 |
|
100 |
100 |
$9K |
| 92134 |
|
582 |
548 |
$9K |
| 87801 |
|
209 |
198 |
$9K |
| 73090 |
|
210 |
164 |
$9K |
| 90686 |
|
1,319 |
1,259 |
$9K |
| 81003 |
|
3,781 |
3,545 |
$9K |
| 73030 |
|
482 |
431 |
$9K |
| J1100 |
Dexamethasone sodium phos |
5,728 |
4,486 |
$8K |
| 0004A |
|
569 |
568 |
$8K |
| 74018 |
|
414 |
380 |
$8K |
| 11721 |
|
250 |
247 |
$8K |
| 82607 |
|
1,300 |
1,277 |
$8K |
| 84436 |
|
1,105 |
1,081 |
$8K |
| 99152 |
|
160 |
152 |
$7K |
| 90661 |
|
1,258 |
1,237 |
$7K |
| 84481 |
|
1,170 |
1,148 |
$7K |
| 84703 |
|
1,102 |
1,031 |
$7K |
| 0071A |
|
211 |
207 |
$7K |
| 99391 |
|
385 |
369 |
$7K |
| 85610 |
|
3,647 |
3,125 |
$7K |
| 71275 |
|
45 |
45 |
$7K |
| 82570 |
|
3,662 |
2,481 |
$7K |
| 85027 |
|
2,095 |
1,922 |
$7K |
| J1885 |
Ketorolac tromethamine inj |
3,362 |
2,245 |
$6K |
| J3010 |
Fentanyl citrate injection |
5,412 |
4,139 |
$6K |
| 92553 |
|
71 |
71 |
$6K |
| 92556 |
|
182 |
180 |
$6K |
| 87804 |
|
356 |
176 |
$6K |
| 83550 |
|
1,418 |
1,291 |
$6K |
| 93786 |
|
90 |
88 |
$6K |
| 86696 |
|
372 |
362 |
$6K |
| 0011A |
|
319 |
312 |
$6K |
| 0012A |
|
280 |
280 |
$5K |
| 92504 |
|
177 |
163 |
$5K |
| Q9950 |
Inj sulf hexa lipid microsph |
88 |
75 |
$5K |
| 83516 |
|
436 |
326 |
$5K |
| 0054A |
|
243 |
241 |
$5K |
| 85046 |
|
823 |
740 |
$5K |
| 91320 |
|
216 |
215 |
$5K |
| 90792 |
|
51 |
51 |
$5K |
| 0072A |
|
138 |
137 |
$5K |
| J3301 |
Triamcinolone acet inj nos |
651 |
568 |
$5K |
| J2405 |
Ondansetron hcl injection |
5,803 |
4,543 |
$5K |
| J7050 |
Normal saline solution infus |
2,992 |
1,928 |
$4K |
| 82248 |
|
1,329 |
883 |
$4K |
| 86870 |
|
16 |
12 |
$4K |
| 85730 |
|
1,453 |
1,290 |
$4K |
| 73502 |
|
253 |
242 |
$4K |
| J0690 |
Cefazolin sodium injection |
1,265 |
918 |
$4K |
| 73070 |
|
90 |
77 |
$4K |
| 11900 |
|
30 |
30 |
$4K |
| 84100 |
|
3,352 |
2,545 |
$4K |
| 88304 |
|
555 |
273 |
$4K |
| 86376 |
|
281 |
271 |
$4K |
| 83605 |
|
795 |
666 |
$4K |
| 86695 |
|
372 |
362 |
$4K |
| 83540 |
|
1,332 |
1,275 |
$4K |
| 97165 |
|
75 |
75 |
$4K |
| 82803 |
|
358 |
232 |
$4K |
| J2270 |
Morphine sulfate injection |
1,983 |
1,370 |
$4K |
| M0247 |
Sotrovimab infusion |
27 |
27 |
$4K |
| 72082 |
|
37 |
37 |
$4K |
| 84156 |
|
2,402 |
1,909 |
$4K |
| G0378 |
Hospital observation per hr |
73 |
68 |
$4K |
| J1650 |
Inj enoxaparin sodium |
638 |
344 |
$4K |
| 72148 |
|
27 |
27 |
$4K |
| S0620 |
Routine ophthalmological exa |
212 |
211 |
$4K |
| 92586 |
|
41 |
41 |
$4K |
| 92610 |
|
58 |
56 |
$3K |
| 99153 |
Mod sedat endo service >5yrs |
57 |
51 |
$3K |
| 86800 |
|
224 |
219 |
$3K |
| 90791 |
|
39 |
39 |
$3K |
| 86140 |
|
1,209 |
1,159 |
$3K |
| 82784 |
|
363 |
302 |
$3K |
| 87147 |
|
1,114 |
627 |
$3K |
| 87070 |
|
800 |
695 |
$3K |
| 76775 |
|
44 |
40 |
$3K |
| 87529 |
|
108 |
54 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
1,175 |
998 |
$3K |
| 86481 |
|
58 |
54 |
$3K |
| 87522 |
Neg quan hep c or qual rna |
145 |
139 |
$3K |
| 80197 |
|
988 |
621 |
$3K |
| 87040 |
|
551 |
294 |
$3K |
| 87880 |
|
239 |
234 |
$3K |
| 83615 |
|
653 |
530 |
$3K |
| 93971 |
|
53 |
51 |
$3K |
| 84163 |
|
202 |
192 |
$2K |
| 87205 |
|
971 |
830 |
$2K |
| 95886 |
|
24 |
24 |
$2K |
| 84550 |
|
942 |
827 |
$2K |
| 31231 |
|
13 |
13 |
$2K |
| 92585 |
|
14 |
14 |
$2K |
| 84425 |
|
121 |
119 |
$2K |
| 0124A |
|
186 |
186 |
$2K |
| S0020 |
Injection, bupivicaine hydro |
786 |
709 |
$2K |
| 82746 |
|
312 |
306 |
$2K |
| 73590 |
|
81 |
68 |
$2K |
| 69209 |
|
36 |
36 |
$2K |
| 82043 |
|
1,187 |
1,171 |
$2K |
| 80321 |
|
186 |
166 |
$2K |
| 90480 |
|
240 |
239 |
$2K |
| 87807 |
|
153 |
149 |
$2K |
| 0064A |
|
185 |
184 |
$2K |
| 97535 |
|
73 |
61 |
$2K |
| 70496 |
|
24 |
24 |
$2K |
| 0241U |
|
343 |
334 |
$2K |
| 0003A |
|
187 |
185 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
2,051 |
1,830 |
$2K |
| J0485 |
Belatacept injection |
26 |
12 |
$2K |
| S9152 |
Speech therapy, re-eval |
13 |
13 |
$2K |
| 31575 |
|
13 |
12 |
$2K |
| 97802 |
|
83 |
82 |
$2K |
| 88342 |
|
13 |
12 |
$2K |
| 85660 |
|
392 |
385 |
$2K |
| 82565 |
|
502 |
444 |
$1K |
| 99392 |
|
72 |
72 |
$1K |
| 86706 |
|
257 |
245 |
$1K |
| 99395 |
|
88 |
77 |
$1K |
| 76641 |
|
28 |
18 |
$1K |
| 96375 |
|
1,027 |
920 |
$1K |
| 82550 |
|
442 |
392 |
$1K |
| 87497 |
|
227 |
183 |
$1K |
| 97168 |
|
29 |
29 |
$1K |
| 86593 |
|
759 |
739 |
$1K |
| 0031A |
|
65 |
65 |
$1K |
| J1010 |
Inj, methylpred acetate 1 mg |
218 |
186 |
$1K |
| 85652 |
|
771 |
731 |
$1K |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
670 |
399 |
$1K |
| G0480 |
Drug test def 1-7 classes |
227 |
218 |
$1K |
| 92015 |
|
54 |
53 |
$1K |
| 96127 |
|
343 |
337 |
$1K |
| 82465 |
|
406 |
393 |
$1K |
| J1644 |
Inj heparin sodium per 1000u |
512 |
265 |
$918.99 |
| S8100 |
Spacer without mask |
155 |
141 |
$918.23 |
| 90472 |
|
92 |
92 |
$908.23 |
| C1889 |
Implant/insert device, noc |
611 |
595 |
$901.17 |
| 70498 |
|
12 |
12 |
$880.25 |
| 96381 |
|
19 |
19 |
$870.10 |
| 84305 |
|
39 |
39 |
$855.16 |
| 93017 |
|
14 |
13 |
$848.78 |
| 85379 |
|
179 |
175 |
$821.72 |
| 74019 |
|
27 |
27 |
$818.74 |
| 11102 |
|
12 |
12 |
$775.98 |
| 99211 |
|
28 |
28 |
$767.38 |
| 97803 |
|
30 |
29 |
$739.60 |
| 99394 |
|
42 |
42 |
$725.66 |
| 84155 |
|
1,341 |
890 |
$714.32 |
| 84153 |
|
107 |
100 |
$704.73 |
| 72131 |
|
14 |
12 |
$696.99 |
| 82977 |
|
91 |
82 |
$680.13 |
| 87102 |
|
101 |
86 |
$655.07 |
| 84146 |
|
165 |
164 |
$643.73 |
| 90732 |
|
25 |
25 |
$641.53 |
| 0134A |
|
60 |
60 |
$624.82 |
| 71250 |
|
14 |
14 |
$615.79 |
| J1200 |
Diphenhydramine hcl injectio |
604 |
479 |
$601.50 |
| 77072 |
|
27 |
27 |
$586.17 |
| L8613 |
Ossicular implant |
297 |
290 |
$562.42 |
| 87420 |
|
81 |
81 |
$548.82 |
| 86580 |
|
12 |
12 |
$523.41 |
| 99393 |
|
31 |
31 |
$522.96 |
| 83655 |
|
37 |
37 |
$504.55 |
| 90460 |
|
92 |
88 |
$489.76 |
| 92133 |
|
30 |
29 |
$481.64 |
| J3480 |
Inj potassium chloride |
124 |
75 |
$475.35 |
| 84460 |
|
144 |
112 |
$475.27 |
| 84450 |
|
145 |
113 |
$464.18 |
| 77080 |
|
75 |
75 |
$458.29 |
| 82150 |
|
132 |
123 |
$435.10 |
| 73521 |
|
12 |
12 |
$424.92 |
| 74022 |
|
14 |
13 |
$421.00 |
| 82785 |
|
32 |
26 |
$411.06 |
| 72040 |
|
12 |
12 |
$407.57 |
| 87799 |
|
136 |
113 |
$403.47 |
| 82340 |
|
70 |
67 |
$402.24 |
| 85018 |
|
145 |
141 |
$350.10 |
| J1170 |
Hydromorphone injection |
217 |
153 |
$349.10 |
| 86038 |
|
59 |
57 |
$348.24 |
| 80306 |
|
25 |
25 |
$345.60 |
| 86255 |
|
57 |
55 |
$326.68 |
| C1769 |
Guide wire |
467 |
438 |
$318.00 |
| 95012 |
|
16 |
16 |
$305.30 |
| 85247 |
|
12 |
12 |
$302.88 |
| 85246 |
|
12 |
12 |
$302.88 |
| 85245 |
|
12 |
12 |
$302.88 |
| 85240 |
|
15 |
13 |
$295.50 |
| 86160 |
|
23 |
12 |
$277.20 |
| 86361 |
|
14 |
14 |
$265.50 |
| 17000 |
|
12 |
12 |
$248.97 |
| 73552 |
|
14 |
12 |
$248.64 |
| 87220 |
|
48 |
40 |
$234.77 |
| 93296 |
|
18 |
18 |
$223.20 |
| J2765 |
Metoclopramide hcl injection |
208 |
197 |
$212.57 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
385 |
182 |
$211.47 |
| 87641 |
|
14 |
13 |
$183.96 |
| J3535 |
Metered dose inhaler drug |
82 |
75 |
$178.27 |
| J2370 |
Phenylephrine hcl injection |
400 |
366 |
$173.56 |
| J3475 |
Inj magnesium sulfate |
31 |
28 |
$170.51 |
| 87640 |
|
14 |
13 |
$145.34 |
| 0013A |
|
53 |
53 |
$138.88 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,587 |
1,481 |
$138.50 |
| C9399 |
Unclassified drugs or biolog |
207 |
187 |
$125.33 |
| 90633 |
|
21 |
21 |
$114.77 |
| 83001 |
|
17 |
17 |
$104.27 |
| J0171 |
Adrenalin epinephrine inject |
30 |
25 |
$85.02 |
| J2550 |
Promethazine hcl injection |
102 |
85 |
$79.82 |
| 84300 |
|
17 |
14 |
$68.10 |
| J7620 |
Albuterol ipratrop non-comp |
34 |
27 |
$66.01 |
| 84133 |
|
17 |
14 |
$60.30 |
| 81015 |
|
14 |
14 |
$50.12 |
| J2795 |
Ropivacaine hcl injection |
49 |
25 |
$43.12 |
| 86704 |
|
13 |
13 |
$40.48 |
| 96376 |
|
42 |
40 |
$36.16 |
| 36415 |
|
11,182 |
9,416 |
$27.77 |
| 90694 |
|
388 |
385 |
$27.42 |
| 82962 |
|
2,470 |
1,089 |
$6.25 |
| S0028 |
Injection, famotidine, 20 mg |
26 |
24 |
$5.88 |
| J2704 |
Inj, propofol, 10 mg |
1,488 |
822 |
$5.40 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
88 |
62 |
$4.31 |
| J2001 |
Lidocaine injection |
927 |
573 |
$2.43 |
| G1004 |
Cdsm ndsc |
3,929 |
3,012 |
$0.13 |
| G0008 |
Admin influenza virus vac |
1,012 |
1,011 |
$0.00 |
| J1815 |
Insulin injection |
71 |
40 |
$0.00 |
| 36416 |
|
557 |
474 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
43 |
42 |
$0.00 |
| 95806 |
|
13 |
13 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
12 |
12 |
$0.00 |
| 0753T |
|
664 |
461 |
$0.00 |
| 0752T |
|
88 |
43 |
$0.00 |
| J0688 |
Inj cefazolin sodium, hikma |
198 |
137 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
97 |
85 |
$0.00 |
| 90653 |
|
77 |
77 |
$0.00 |
| C1780 |
Lens, intraocular (new tech) |
13 |
13 |
$0.00 |
| J7120 |
Ringers lactate infusion |
13 |
13 |
$0.00 |
| 90461 |
|
17 |
15 |
$0.00 |
| 90380 |
|
12 |
12 |
$0.00 |