| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpt clinic visit |
183,442 |
153,309 |
$8.87M |
| 99285 |
|
23,777 |
21,486 |
$7.57M |
| 99284 |
|
24,848 |
23,009 |
$4.71M |
| 99283 |
|
27,195 |
25,451 |
$3.44M |
| 96374 |
|
15,809 |
14,115 |
$1.40M |
| 93306 |
|
3,661 |
3,609 |
$777K |
| 78452 |
|
1,494 |
1,464 |
$753K |
| 74177 |
|
5,333 |
5,155 |
$748K |
| 97110 |
|
23,338 |
7,682 |
$572K |
| 71046 |
|
11,574 |
11,027 |
$416K |
| 96361 |
|
11,444 |
9,784 |
$412K |
| 82947 |
|
10,925 |
7,733 |
$409K |
| G0378 |
Hospital observation per hr |
4,605 |
4,079 |
$405K |
| 70553 |
|
1,822 |
1,790 |
$399K |
| 99282 |
|
5,345 |
5,240 |
$390K |
| 90791 |
|
7,662 |
6,981 |
$390K |
| 93458 |
|
344 |
330 |
$341K |
| 70450 |
|
4,188 |
4,035 |
$331K |
| 71045 |
|
8,158 |
7,697 |
$329K |
| 96360 |
|
3,079 |
2,964 |
$301K |
| 95810 |
|
589 |
587 |
$278K |
| 93975 |
|
2,128 |
2,076 |
$249K |
| A0425 |
Ground mileage |
3,110 |
2,746 |
$249K |
| 43239 |
|
727 |
716 |
$247K |
| 87635 |
|
8,597 |
8,201 |
$247K |
| G0379 |
Direct refer hospital observ |
390 |
363 |
$240K |
| 90834 |
|
3,692 |
2,742 |
$209K |
| 59025 |
|
2,456 |
1,327 |
$204K |
| 82465 |
|
5,536 |
5,415 |
$200K |
| 96365 |
|
2,258 |
1,822 |
$198K |
| Q3014 |
Telehealth facility fee |
11,575 |
10,871 |
$198K |
| A0427 |
Als1-emergency |
750 |
692 |
$189K |
| 74176 |
|
1,648 |
1,620 |
$184K |
| 96375 |
|
7,876 |
6,378 |
$179K |
| 76856 |
|
3,267 |
3,206 |
$178K |
| 76830 |
|
3,045 |
2,993 |
$177K |
| 97140 |
|
12,153 |
4,136 |
$172K |
| 71275 |
|
1,996 |
1,911 |
$163K |
| 87591 |
|
12,186 |
11,812 |
$158K |
| 87491 |
|
12,200 |
11,816 |
$156K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,136 |
2,974 |
$156K |
| 76801 |
|
2,697 |
2,441 |
$156K |
| 72148 |
|
1,318 |
1,308 |
$146K |
| 90471 |
|
14,797 |
14,387 |
$140K |
| 73721 |
|
1,061 |
1,044 |
$134K |
| 96372 |
|
17,615 |
14,664 |
$132K |
| 71260 |
|
1,034 |
1,018 |
$130K |
| 76705 |
|
2,286 |
2,215 |
$127K |
| 80053 |
|
49,994 |
44,814 |
$125K |
| 95910 |
|
863 |
861 |
$123K |
| 97161 |
|
2,496 |
2,441 |
$121K |
| 77067 |
|
2,448 |
2,445 |
$120K |
| 87636 |
|
1,601 |
1,574 |
$115K |
| 84443 |
|
19,644 |
19,053 |
$114K |
| 94060 |
|
714 |
710 |
$104K |
| 20610 |
|
784 |
673 |
$104K |
| 82306 |
|
7,557 |
7,424 |
$101K |
| 76805 |
|
1,677 |
1,648 |
$99K |
| A0429 |
Bls-emergency |
551 |
517 |
$97K |
| 90792 |
|
1,450 |
1,446 |
$94K |
| 97162 |
|
2,004 |
1,929 |
$92K |
| 85025 |
|
58,906 |
51,430 |
$82K |
| 87633 |
|
470 |
464 |
$82K |
| 80061 |
|
6,978 |
6,941 |
$81K |
| 97530 |
|
4,535 |
3,249 |
$79K |
| 93971 |
|
1,379 |
1,216 |
$76K |
| 90472 |
|
5,090 |
5,003 |
$73K |
| 87661 |
|
4,602 |
4,474 |
$72K |
| 93017 |
|
2,114 |
2,081 |
$69K |
| 76816 |
|
2,070 |
1,929 |
$68K |
| 87624 |
|
3,399 |
3,368 |
$66K |
| 86900 |
|
4,030 |
3,866 |
$60K |
| 71250 |
|
1,036 |
1,033 |
$60K |
| 72141 |
|
448 |
444 |
$59K |
| G0108 |
Diab manage trn per indiv |
949 |
799 |
$58K |
| 93005 |
|
23,886 |
20,721 |
$57K |
| 90670 |
|
1,981 |
1,952 |
$56K |
| 95908 |
|
368 |
366 |
$54K |
| 70496 |
|
384 |
371 |
$51K |
| 80307 |
|
10,356 |
9,561 |
$50K |
| 83036 |
|
15,353 |
14,995 |
$49K |
| 90686 |
|
5,126 |
5,037 |
$49K |
| 97165 |
|
1,097 |
1,052 |
$43K |
| 87797 |
|
2,668 |
2,595 |
$41K |
| 77066 |
Tomosynthesis, mammo |
673 |
659 |
$40K |
| 73221 |
|
335 |
330 |
$40K |
| U0005 |
Infec agen detec ampli probe |
2,772 |
2,619 |
$39K |
| 76641 |
|
666 |
663 |
$39K |
| 72100 |
|
1,815 |
1,790 |
$38K |
| 70551 |
|
251 |
249 |
$35K |
| 88305 |
|
5,802 |
5,006 |
$33K |
| 73630 |
|
4,945 |
4,472 |
$32K |
| 87389 |
|
3,039 |
2,984 |
$32K |
| 76642 |
|
781 |
770 |
$30K |
| 87480 |
|
2,668 |
2,596 |
$28K |
| 87510 |
|
2,664 |
2,593 |
$28K |
| 99281 |
|
709 |
686 |
$28K |
| 76536 |
|
551 |
548 |
$28K |
| 87651 |
|
2,800 |
2,746 |
$28K |
| 81513 |
|
978 |
944 |
$27K |
| 74246 |
|
277 |
277 |
$27K |
| 77063 |
|
1,768 |
1,767 |
$25K |
| 73610 |
|
3,275 |
3,003 |
$25K |
| M0243 |
Casirivi and imdevi inj |
100 |
100 |
$25K |
| 82607 |
|
3,828 |
3,756 |
$24K |
| 99406 |
|
1,708 |
1,620 |
$23K |
| 97803 |
|
1,585 |
1,533 |
$22K |
| 72158 |
|
120 |
118 |
$22K |
| 74018 |
|
1,599 |
1,536 |
$21K |
| 73130 |
|
2,833 |
2,631 |
$21K |
| 96366 |
|
581 |
439 |
$21K |
| 80048 |
|
12,389 |
10,617 |
$21K |
| 43235 |
|
49 |
49 |
$20K |
| 87086 |
|
10,302 |
9,768 |
$20K |
| 93296 |
|
992 |
988 |
$20K |
| 73030 |
|
2,646 |
2,528 |
$19K |
| 90674 |
|
775 |
731 |
$18K |
| G0123 |
Screen cerv/vag thin layer |
1,844 |
1,823 |
$18K |
| 77065 |
Tomosynthesis, mammo |
405 |
392 |
$18K |
| 87801 |
|
463 |
455 |
$18K |
| 99291 |
|
26 |
26 |
$18K |
| 96127 |
|
3,380 |
3,172 |
$18K |
| G2066 |
Inter devc remote 30d |
886 |
885 |
$17K |
| 72125 |
|
1,479 |
1,439 |
$17K |
| 73110 |
|
2,248 |
2,070 |
$16K |
| 87798 |
|
761 |
750 |
$16K |
| 87430 |
|
2,931 |
2,853 |
$16K |
| 82728 |
|
2,546 |
2,489 |
$16K |
| 81025 |
|
18,218 |
17,159 |
$16K |
| 73562 |
|
2,285 |
2,180 |
$15K |
| 83880 |
|
3,481 |
3,206 |
$15K |
| 76819 |
|
236 |
138 |
$15K |
| G0480 |
Drug test def 1-7 classes |
5,335 |
4,872 |
$14K |
| 88307 |
|
380 |
342 |
$14K |
| 84439 |
|
3,665 |
3,547 |
$14K |
| 72110 |
|
685 |
680 |
$14K |
| G0279 |
Tomosynthesis, mammo |
1,086 |
1,081 |
$14K |
| 90460 |
|
360 |
359 |
$14K |
| 84481 |
|
1,718 |
1,678 |
$14K |
| 95909 |
|
91 |
91 |
$13K |
| J0585 |
Injection,onabotulinumtoxina |
44 |
24 |
$13K |
| 83921 |
|
1,305 |
1,291 |
$13K |
| 36415 |
|
29,397 |
26,640 |
$13K |
| 87481 |
|
1,092 |
1,053 |
$13K |
| 73560 |
|
1,292 |
1,256 |
$13K |
| 84478 |
|
5,590 |
5,467 |
$12K |
| 90620 |
|
228 |
226 |
$12K |
| A0428 |
Bls |
62 |
58 |
$12K |
| 90677 |
|
227 |
226 |
$11K |
| 97602 |
|
124 |
67 |
$11K |
| 73140 |
|
1,227 |
1,132 |
$11K |
| 87186 |
|
3,973 |
3,761 |
$11K |
| 87880 |
|
1,595 |
1,505 |
$11K |
| 70498 |
|
368 |
354 |
$10K |
| 86803 |
|
1,729 |
1,705 |
$10K |
| 73502 |
|
1,763 |
1,636 |
$10K |
| 97597 |
|
108 |
63 |
$10K |
| 64721 |
|
13 |
13 |
$10K |
| 81001 |
|
26,504 |
24,471 |
$10K |
| 83540 |
|
3,424 |
3,352 |
$10K |
| 84702 |
|
3,004 |
2,462 |
$10K |
| 98941 |
|
872 |
461 |
$10K |
| 93226 |
|
164 |
162 |
$10K |
| 83718 |
|
5,482 |
5,394 |
$10K |
| G0103 |
Psa screening |
866 |
853 |
$9K |
| 45378 |
|
24 |
24 |
$9K |
| 85610 |
|
10,622 |
8,917 |
$9K |
| C9803 |
Hopd covid-19 spec collect |
7,975 |
7,632 |
$9K |
| 83690 |
|
11,416 |
10,339 |
$9K |
| 84484 |
|
12,635 |
9,768 |
$9K |
| 83735 |
|
7,800 |
6,449 |
$9K |
| M0247 |
Sotrovimab infusion |
34 |
34 |
$8K |
| 86850 |
|
3,966 |
3,820 |
$8K |
| 85027 |
|
5,698 |
4,772 |
$8K |
| 87631 |
|
659 |
649 |
$8K |
| 70486 |
|
124 |
124 |
$8K |
| 83550 |
|
1,956 |
1,917 |
$8K |
| M0245 |
Bamlan and etesev infusion |
40 |
36 |
$8K |
| 81000 |
|
4,281 |
4,148 |
$8K |
| 87502 |
|
825 |
796 |
$8K |
| 72040 |
|
924 |
893 |
$8K |
| 87340 |
|
2,278 |
2,230 |
$8K |
| 87634 |
|
223 |
221 |
$8K |
| 90688 |
|
495 |
492 |
$8K |
| 95819 |
|
64 |
61 |
$8K |
| 97112 |
|
362 |
176 |
$8K |
| 96161 |
|
668 |
649 |
$8K |
| 84425 |
|
789 |
782 |
$8K |
| 87486 |
|
507 |
500 |
$7K |
| 87581 |
|
507 |
500 |
$7K |
| 90734 |
|
575 |
566 |
$7K |
| 45385 |
|
13 |
13 |
$7K |
| 82746 |
|
935 |
922 |
$7K |
| 87070 |
|
2,039 |
1,949 |
$7K |
| 93970 |
|
72 |
71 |
$7K |
| 80074 |
|
415 |
399 |
$7K |
| 72050 |
|
316 |
315 |
$7K |
| 95811 |
|
14 |
14 |
$7K |
| 99496 |
|
111 |
107 |
$7K |
| 87077 |
|
2,466 |
2,288 |
$6K |
| 45380 |
|
12 |
12 |
$6K |
| 96376 |
|
3,990 |
2,522 |
$6K |
| 93225 |
|
106 |
106 |
$6K |
| 90474 |
|
1,255 |
1,233 |
$6K |
| 83525 |
|
1,051 |
1,041 |
$6K |
| 86592 |
|
2,676 |
2,605 |
$6K |
| 82043 |
|
1,924 |
1,893 |
$5K |
| 86140 |
|
3,372 |
3,225 |
$5K |
| 86780 |
|
717 |
707 |
$5K |
| 83655 |
|
802 |
738 |
$5K |
| 84403 |
|
360 |
347 |
$5K |
| 87641 |
|
282 |
278 |
$4K |
| 86003 |
|
84 |
68 |
$4K |
| 77080 |
|
71 |
71 |
$4K |
| 20611 |
|
26 |
26 |
$4K |
| 88304 |
|
1,290 |
1,215 |
$4K |
| 83001 |
|
426 |
422 |
$4K |
| 20550 |
|
30 |
28 |
$4K |
| 86762 |
|
1,109 |
1,096 |
$4K |
| 71271 |
|
67 |
67 |
$4K |
| 76770 |
|
69 |
68 |
$4K |
| 76700 |
|
56 |
56 |
$4K |
| 93299 |
|
196 |
195 |
$4K |
| 88342 |
|
315 |
298 |
$4K |
| 72070 |
|
199 |
197 |
$4K |
| 84703 |
|
1,297 |
1,276 |
$3K |
| 82670 |
|
231 |
227 |
$3K |
| 93298 |
|
194 |
193 |
$3K |
| 75574 |
|
39 |
39 |
$3K |
| 87088 |
|
1,331 |
1,292 |
$3K |
| 93351 |
|
12 |
12 |
$3K |
| 0241U |
|
1,557 |
1,535 |
$3K |
| 87210 |
|
3,331 |
3,223 |
$3K |
| 87804 |
|
290 |
247 |
$3K |
| 85730 |
|
6,304 |
5,647 |
$3K |
| 97035 |
|
523 |
200 |
$3K |
| 93880 |
|
30 |
24 |
$3K |
| 90732 |
|
27 |
26 |
$3K |
| 86038 |
|
1,006 |
982 |
$3K |
| 84146 |
|
319 |
310 |
$3K |
| 90651 |
|
54 |
51 |
$3K |
| C8929 |
Tte w or wo fol wcon,doppler |
12 |
12 |
$3K |
| 82950 |
|
1,151 |
1,124 |
$3K |
| 73080 |
|
431 |
399 |
$3K |
| 87081 |
|
970 |
951 |
$3K |
| 0240U |
|
1,121 |
1,109 |
$3K |
| 73700 |
|
53 |
53 |
$3K |
| 76817 |
|
1,220 |
1,062 |
$3K |
| 70491 |
|
25 |
25 |
$2K |
| 87150 |
|
148 |
145 |
$2K |
| 82784 |
|
355 |
302 |
$2K |
| 82747 |
|
396 |
387 |
$2K |
| 90716 |
|
191 |
190 |
$2K |
| 86235 |
|
113 |
94 |
$2K |
| 97802 |
|
93 |
92 |
$2K |
| 86901 |
|
4,022 |
3,869 |
$2K |
| 85651 |
|
1,838 |
1,757 |
$2K |
| 96413 |
|
12 |
12 |
$2K |
| 95806 |
|
24 |
24 |
$2K |
| 82270 |
|
141 |
133 |
$2K |
| 94726 |
|
349 |
347 |
$2K |
| 72156 |
|
13 |
13 |
$2K |
| 87899 |
|
248 |
239 |
$2K |
| 93922 |
|
355 |
276 |
$2K |
| 73590 |
|
308 |
294 |
$2K |
| 64400 |
|
13 |
12 |
$2K |
| 76815 |
|
86 |
80 |
$2K |
| 86703 |
|
850 |
827 |
$2K |
| 99495 |
|
27 |
25 |
$2K |
| 81002 |
|
1,611 |
1,523 |
$2K |
| A9500 |
Tc99m sestamibi |
1,274 |
1,251 |
$2K |
| 11719 |
|
100 |
100 |
$1K |
| 80076 |
|
678 |
605 |
$1K |
| 85652 |
|
1,568 |
1,507 |
$1K |
| 99493 |
|
38 |
38 |
$1K |
| 83521 |
|
80 |
69 |
$1K |
| 73564 |
|
457 |
403 |
$1K |
| 95886 |
|
2,794 |
2,786 |
$1K |
| 84550 |
|
699 |
655 |
$1K |
| 94640 |
|
1,793 |
1,357 |
$1K |
| 71101 |
|
69 |
69 |
$1K |
| 85379 |
|
2,443 |
2,365 |
$1K |
| U0002 |
Covid-19 lab test non-cdc |
46 |
45 |
$1K |
| 86431 |
|
456 |
447 |
$1K |
| 86787 |
|
386 |
381 |
$1K |
| 10060 |
|
12 |
12 |
$1K |
| 84165 |
|
176 |
158 |
$954.90 |
| 73090 |
|
124 |
119 |
$944.69 |
| 88143 |
|
96 |
96 |
$941.04 |
| 85018 |
|
1,104 |
927 |
$843.46 |
| 92551 |
|
117 |
112 |
$773.86 |
| 87254 |
|
61 |
57 |
$773.66 |
| 83605 |
|
4,343 |
3,643 |
$751.00 |
| 86480 |
|
25 |
25 |
$746.13 |
| 82550 |
|
1,423 |
1,282 |
$739.35 |
| 90682 |
|
14 |
13 |
$725.81 |
| 82570 |
|
353 |
309 |
$707.53 |
| 82565 |
|
693 |
659 |
$684.47 |
| 82962 |
|
3,059 |
2,583 |
$663.25 |
| G0008 |
Admin influenza virus vac |
147 |
138 |
$657.18 |
| 83970 |
|
29 |
27 |
$648.68 |
| G0328 |
Fecal blood scrn immunoassay |
63 |
63 |
$633.85 |
| 82785 |
|
75 |
75 |
$625.78 |
| 84100 |
|
1,078 |
833 |
$614.40 |
| 86376 |
|
91 |
90 |
$612.38 |
| 83516 |
|
109 |
98 |
$582.08 |
| 17110 |
|
14 |
12 |
$556.91 |
| S0166 |
Inj olanzapine 2.5mg |
16 |
13 |
$552.57 |
| 84156 |
|
380 |
327 |
$541.92 |
| 97760 |
|
16 |
12 |
$535.98 |
| 90715 |
|
2,709 |
2,651 |
$533.26 |
| 90480 |
|
14 |
14 |
$523.74 |
| 82150 |
|
184 |
167 |
$518.34 |
| 87147 |
|
303 |
278 |
$512.99 |
| 87040 |
|
2,159 |
1,509 |
$463.70 |
| 87338 |
|
50 |
50 |
$462.23 |
| 86334 |
|
49 |
41 |
$453.34 |
| J1050 |
Medroxyprogesterone acetate |
2,428 |
2,417 |
$445.74 |
| 86225 |
|
84 |
83 |
$402.86 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
11,336 |
10,750 |
$383.45 |
| 90473 |
|
32 |
31 |
$373.19 |
| 97804 |
|
77 |
65 |
$354.96 |
| 90661 |
|
47 |
47 |
$344.82 |
| 36592 |
|
144 |
140 |
$336.09 |
| 90461 |
|
117 |
116 |
$308.11 |
| 97116 |
|
33 |
12 |
$291.29 |
| 97535 |
|
134 |
125 |
$291.22 |
| 99214 |
|
175 |
159 |
$276.05 |
| 83002 |
|
24 |
24 |
$274.82 |
| 58300 |
|
15 |
15 |
$271.95 |
| 90647 |
|
1,510 |
1,494 |
$271.00 |
| 72170 |
|
38 |
38 |
$232.87 |
| 82533 |
|
26 |
25 |
$230.60 |
| 83615 |
|
128 |
108 |
$222.53 |
| 90672 |
|
38 |
37 |
$216.38 |
| 96160 |
|
15 |
15 |
$205.80 |
| 12001 |
|
239 |
239 |
$201.29 |
| 80143 |
|
1,288 |
1,212 |
$200.01 |
| 36416 |
|
1,260 |
1,012 |
$192.71 |
| 80179 |
|
1,229 |
1,169 |
$189.11 |
| 88300 |
|
28 |
28 |
$152.26 |
| 82525 |
|
26 |
26 |
$151.62 |
| 94010 |
|
12 |
12 |
$137.86 |
| J2704 |
Inj, propofol, 10 mg |
7,992 |
7,797 |
$136.90 |
| 76942 |
|
1,309 |
1,261 |
$134.13 |
| 69209 |
|
48 |
42 |
$129.11 |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
13 |
12 |
$111.36 |
| 81003 |
|
252 |
245 |
$106.02 |
| 86200 |
|
12 |
12 |
$97.41 |
| J3490 |
Drugs unclassified injection |
4,339 |
3,887 |
$93.50 |
| 99244 |
|
74 |
65 |
$87.00 |
| 86308 |
|
53 |
53 |
$78.67 |
| 99213 |
|
51 |
48 |
$73.70 |
| 83695 |
|
44 |
42 |
$68.62 |
| 76870 |
|
37 |
37 |
$68.30 |
| 86706 |
|
13 |
12 |
$66.67 |
| 82248 |
|
29 |
28 |
$65.46 |
| J1885 |
Ketorolac tromethamine inj |
14,662 |
13,383 |
$64.81 |
| 87075 |
|
39 |
38 |
$61.44 |
| 96110 |
|
2,055 |
2,021 |
$60.05 |
| 99152 |
|
1,309 |
1,257 |
$59.71 |
| 69210 |
|
26 |
25 |
$56.63 |
| 84155 |
|
27 |
26 |
$50.64 |
| J2270 |
Morphine sulfate injection |
4,025 |
3,229 |
$40.13 |
| J1030 |
Methylprednisolone 40 mg inj |
694 |
670 |
$39.41 |
| J2930 |
Methylprednisolone injection |
805 |
725 |
$39.10 |
| 87280 |
|
25 |
24 |
$37.65 |
| J0690 |
Cefazolin sodium injection |
3,805 |
3,572 |
$37.44 |
| 86364 |
|
14 |
13 |
$35.78 |
| J1170 |
Hydromorphone injection |
4,463 |
3,606 |
$33.28 |
| 94729 |
|
656 |
653 |
$33.08 |
| 94690 |
|
30 |
27 |
$32.38 |
| J1650 |
Inj enoxaparin sodium |
989 |
626 |
$31.10 |
| 90714 |
|
482 |
475 |
$30.39 |
| 87640 |
|
12 |
12 |
$29.05 |
| J1100 |
Dexamethasone sodium phos |
7,332 |
7,054 |
$28.36 |
| 99153 |
Mod sedat endo service >5yrs |
822 |
782 |
$24.95 |
| 90656 |
|
27 |
27 |
$19.77 |
| 80164 |
|
15 |
13 |
$17.02 |
| 82010 |
|
65 |
63 |
$14.66 |
| J2405 |
Ondansetron hcl injection |
12,714 |
11,419 |
$12.72 |
| J7030 |
Normal saline solution infus |
2,872 |
2,763 |
$10.42 |
| 87205 |
|
12 |
12 |
$8.84 |
| 82140 |
|
37 |
29 |
$8.67 |
| J0696 |
Ceftriaxone sodium injection |
3,203 |
2,787 |
$8.11 |
| J2060 |
Lorazepam injection |
2,481 |
1,991 |
$3.38 |
| 85347 |
|
83 |
52 |
$2.82 |
| J1200 |
Diphenhydramine hcl injectio |
3,943 |
3,420 |
$2.75 |
| J2765 |
Metoclopramide hcl injection |
2,374 |
2,193 |
$2.57 |
| 84520 |
|
15 |
13 |
$2.48 |
| J7050 |
Normal saline solution infus |
2,864 |
2,293 |
$1.36 |
| J7611 |
Albuterol non-comp con |
15 |
12 |
$1.20 |
| J7613 |
Albuterol non-comp unit |
27 |
27 |
$0.41 |
| A9577 |
Inj multihance |
3,089 |
3,007 |
$0.07 |
| C1769 |
Guide wire |
2,354 |
2,217 |
$0.05 |
| J2370 |
Phenylephrine hcl injection |
1,882 |
1,814 |
$0.05 |
| C1894 |
Intro/sheath, non-laser |
1,952 |
1,873 |
$0.04 |
| J3010 |
Fentanyl citrate injection |
8,050 |
7,567 |
$0.03 |
| J2250 |
Inj midazolam hydrochloride |
6,193 |
5,887 |
$0.03 |
| J2795 |
Ropivacaine hcl injection |
2,505 |
2,465 |
$0.03 |
| 94760 |
|
58 |
53 |
$0.03 |
| J1644 |
Inj heparin sodium per 1000u |
3,127 |
2,534 |
$0.03 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,539 |
1,393 |
$0.02 |
| 99173 |
|
121 |
121 |
$0.02 |
| C1760 |
Closure dev, vasc |
241 |
229 |
$0.01 |
| 82075 |
|
36 |
25 |
$0.01 |
| J1040 |
Methylprednisolone 80 mg inj |
39 |
39 |
$0.00 |
| J1630 |
Haloperidol injection |
1,713 |
1,437 |
$0.00 |
| 90680 |
|
1,539 |
1,519 |
$0.00 |
| J2785 |
Regadenoson injection |
772 |
754 |
$0.00 |
| 90723 |
|
1,716 |
1,690 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
236 |
233 |
$0.00 |
| 90696 |
|
141 |
138 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
107 |
101 |
$0.00 |
| A4355 |
Bladder irrigation tubing |
132 |
130 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
124 |
123 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
14 |
14 |
$0.00 |
| J2001 |
Lidocaine injection |
130 |
120 |
$0.00 |
| 12002 |
|
12 |
12 |
$0.00 |
| S2900 |
Robotic surgical system |
24 |
24 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
27 |
25 |
$0.00 |
| J3420 |
Vitamin b12 injection |
14 |
12 |
$0.00 |
| 84270 |
|
13 |
12 |
$0.00 |
| J1940 |
Furosemide injection |
43 |
30 |
$0.00 |
| 84132 |
|
14 |
12 |
$0.00 |
| J2002 |
Inj, lidocaine in d5w, 1 mg |
15 |
15 |
$0.00 |
| J7040 |
Normal saline solution infus |
562 |
443 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
244 |
236 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
1,029 |
994 |
$0.00 |
| C1887 |
Catheter, guiding |
280 |
244 |
$0.00 |
| 64447 |
|
12 |
12 |
$0.00 |
| A4216 |
Sterile water/saline, 10 ml |
439 |
324 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
873 |
856 |
$0.00 |
| J0780 |
Prochlorperazine injection |
1,053 |
906 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
25 |
25 |
$0.00 |
| 93321 |
|
182 |
181 |
$0.00 |
| 90707 |
|
248 |
247 |
$0.00 |
| J3486 |
Ziprasidone mesylate |
188 |
118 |
$0.00 |
| 93325 |
|
162 |
161 |
$0.00 |
| 90633 |
|
871 |
856 |
$0.00 |
| J7120 |
Ringers lactate infusion |
1,482 |
1,337 |
$0.00 |
| G9002 |
Mccd,maintenance rate |
72 |
66 |
$0.00 |
| 90710 |
|
176 |
173 |
$0.00 |
| 82800 |
|
13 |
13 |
$0.00 |
| 90700 |
|
289 |
288 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
141 |
109 |
$0.00 |
| J2550 |
Promethazine hcl injection |
73 |
59 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
74 |
71 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
29 |
28 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
34 |
26 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
70 |
58 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
64 |
62 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
31 |
28 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
14 |
13 |
$0.00 |