| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97110 |
|
29,178 |
8,886 |
$1.03M |
| 74177 |
|
6,937 |
6,453 |
$854K |
| D9999 |
|
825 |
825 |
$798K |
| 80053 |
|
54,469 |
45,316 |
$775K |
| 96365 |
|
9,925 |
6,939 |
$718K |
| 70450 |
|
7,554 |
7,001 |
$676K |
| 70553 |
|
1,935 |
1,795 |
$649K |
| 72148 |
|
2,366 |
2,184 |
$575K |
| 62323 |
|
3,510 |
3,395 |
$532K |
| U0003 |
Cov-19 amp prb hgh thruput |
8,675 |
6,716 |
$511K |
| 85025 |
|
75,221 |
59,129 |
$497K |
| 99285 |
|
7,907 |
6,777 |
$472K |
| 80307 |
|
6,852 |
6,078 |
$463K |
| 0241U |
|
4,152 |
3,949 |
$442K |
| 73721 |
|
1,549 |
1,356 |
$413K |
| 11042 |
|
3,656 |
2,143 |
$391K |
| U0002 |
Covid-19 lab test non-cdc |
7,380 |
7,127 |
$326K |
| 72125 |
|
2,943 |
2,748 |
$315K |
| 36415 |
|
30,476 |
21,501 |
$312K |
| 99283 |
|
3,863 |
3,272 |
$294K |
| 93306 |
|
1,912 |
1,742 |
$290K |
| 78815 |
|
725 |
641 |
$285K |
| 42820 |
|
865 |
846 |
$278K |
| 80048 |
|
22,207 |
17,733 |
$272K |
| 99284 |
|
3,977 |
3,424 |
$270K |
| 71260 |
|
2,150 |
2,016 |
$254K |
| 97530 |
|
7,172 |
2,379 |
$248K |
| 88305 |
|
5,467 |
5,004 |
$246K |
| 71275 |
|
1,429 |
1,352 |
$241K |
| 80050 |
|
6,125 |
5,654 |
$241K |
| J0897 |
Denosumab injection |
904 |
808 |
$216K |
| 72141 |
|
945 |
872 |
$210K |
| 77067 |
|
4,103 |
3,865 |
$207K |
| 96413 |
|
1,995 |
1,040 |
$198K |
| 93005 |
|
20,696 |
17,940 |
$189K |
| 43239 |
|
1,847 |
1,719 |
$188K |
| 71045 |
|
18,352 |
16,376 |
$155K |
| 96367 |
|
1,358 |
780 |
$148K |
| 78452 |
|
932 |
887 |
$146K |
| 87491 |
|
3,491 |
3,242 |
$142K |
| 87591 |
|
3,498 |
3,249 |
$141K |
| 74176 |
|
2,519 |
2,374 |
$141K |
| J1100 |
Dexamethasone sodium phos |
16,767 |
13,838 |
$133K |
| 71046 |
|
7,477 |
7,002 |
$126K |
| 72131 |
|
1,080 |
1,029 |
$120K |
| 97162 |
|
1,514 |
1,437 |
$118K |
| 62321 |
|
711 |
691 |
$116K |
| 80081 |
|
1,302 |
1,220 |
$114K |
| 87086 |
|
14,607 |
13,114 |
$113K |
| 84484 |
|
14,517 |
9,688 |
$111K |
| 84443 |
|
9,830 |
8,916 |
$110K |
| 69436 |
|
728 |
712 |
$105K |
| 70551 |
|
533 |
486 |
$103K |
| 71250 |
|
1,653 |
1,562 |
$99K |
| 83880 |
|
5,218 |
4,665 |
$98K |
| 96361 |
|
1,591 |
1,312 |
$95K |
| 80061 |
|
10,724 |
9,978 |
$93K |
| 82306 |
|
4,559 |
4,190 |
$93K |
| 87081 |
|
11,433 |
10,895 |
$88K |
| 87631 |
|
974 |
926 |
$85K |
| 93458 |
|
404 |
382 |
$84K |
| 59025 |
|
411 |
362 |
$80K |
| J2405 |
Ondansetron hcl injection |
24,402 |
19,616 |
$79K |
| A9577 |
Inj multihance |
3,535 |
3,031 |
$77K |
| 87804 |
|
3,901 |
3,351 |
$74K |
| 82947 |
|
6,334 |
4,125 |
$73K |
| 70498 |
|
561 |
523 |
$73K |
| 81025 |
|
8,062 |
7,351 |
$71K |
| 87653 |
|
1,598 |
1,504 |
$71K |
| 74018 |
|
3,137 |
2,789 |
$70K |
| 66984 |
|
369 |
292 |
$68K |
| 86901 |
|
3,501 |
3,165 |
$68K |
| 70496 |
|
554 |
517 |
$67K |
| 82565 |
|
4,628 |
4,317 |
$64K |
| 81001 |
|
20,377 |
18,207 |
$62K |
| 83735 |
|
10,675 |
8,476 |
$62K |
| 83690 |
|
9,372 |
8,366 |
$61K |
| 73630 |
|
2,029 |
1,884 |
$60K |
| 76700 |
|
1,612 |
1,522 |
$59K |
| 97161 |
|
1,309 |
1,193 |
$59K |
| 45385 |
|
499 |
462 |
$58K |
| 87502 |
|
595 |
560 |
$58K |
| 77066 |
Tomosynthesis, mammo |
887 |
861 |
$57K |
| 97001 |
|
1,972 |
1,791 |
$56K |
| A9552 |
F18 fdg |
310 |
260 |
$54K |
| 83036 |
|
9,043 |
8,416 |
$52K |
| J1650 |
Inj enoxaparin sodium |
3,365 |
1,916 |
$51K |
| 76705 |
|
2,836 |
2,701 |
$51K |
| J1885 |
Ketorolac tromethamine inj |
12,973 |
9,908 |
$51K |
| 87880 |
|
4,298 |
4,163 |
$50K |
| 88342 |
|
1,516 |
1,399 |
$48K |
| J2469 |
Palonosetron hcl |
1,103 |
617 |
$48K |
| 88304 |
|
1,162 |
1,108 |
$48K |
| 93971 |
|
1,346 |
1,244 |
$47K |
| 82962 |
|
6,848 |
4,427 |
$46K |
| T1015 |
Clinic service |
4,074 |
2,968 |
$46K |
| 80074 |
|
1,024 |
951 |
$44K |
| 76536 |
|
1,286 |
1,247 |
$44K |
| 73221 |
|
195 |
178 |
$43K |
| 70486 |
|
393 |
378 |
$42K |
| 72128 |
|
361 |
348 |
$42K |
| 72100 |
|
1,619 |
1,516 |
$41K |
| 85610 |
|
14,209 |
11,428 |
$40K |
| 87040 |
|
3,424 |
2,555 |
$40K |
| 82077 |
|
2,563 |
2,265 |
$39K |
| 73030 |
|
1,518 |
1,391 |
$39K |
| 73560 |
|
1,176 |
1,089 |
$39K |
| 77063 |
|
3,254 |
3,061 |
$38K |
| 85730 |
|
6,312 |
5,610 |
$38K |
| 87070 |
|
2,741 |
2,472 |
$35K |
| J2785 |
Regadenoson injection |
643 |
602 |
$35K |
| 87077 |
|
4,815 |
4,448 |
$33K |
| 87426 |
|
864 |
783 |
$33K |
| 82728 |
|
3,276 |
3,036 |
$32K |
| 76856 |
|
1,003 |
963 |
$32K |
| 84702 |
|
3,362 |
2,852 |
$32K |
| 80143 |
|
1,673 |
1,487 |
$32K |
| J1815 |
Insulin injection |
2,540 |
1,873 |
$32K |
| 83605 |
|
3,358 |
2,944 |
$31K |
| 76642 |
|
1,028 |
997 |
$30K |
| 87147 |
|
1,961 |
1,834 |
$30K |
| 80179 |
|
1,603 |
1,439 |
$30K |
| 97597 |
|
1,523 |
1,002 |
$28K |
| 82677 |
|
987 |
927 |
$28K |
| 84439 |
|
3,801 |
3,500 |
$28K |
| 76770 |
|
951 |
908 |
$28K |
| 76830 |
|
567 |
544 |
$27K |
| 81003 |
|
11,846 |
10,819 |
$27K |
| 93880 |
|
673 |
646 |
$27K |
| 76801 |
|
796 |
705 |
$26K |
| 73610 |
|
1,326 |
1,248 |
$26K |
| 82805 |
|
1,101 |
980 |
$25K |
| J0696 |
Ceftriaxone sodium injection |
4,900 |
3,737 |
$25K |
| 95810 |
|
224 |
215 |
$24K |
| 80320 |
|
1,753 |
1,478 |
$24K |
| 94729 |
|
1,267 |
1,210 |
$24K |
| A9500 |
Tc99m sestamibi |
979 |
940 |
$23K |
| 36591 |
|
706 |
404 |
$23K |
| 87389 |
|
1,016 |
945 |
$23K |
| 87186 |
|
4,596 |
4,250 |
$22K |
| 82105 |
|
1,236 |
1,160 |
$22K |
| 64493 |
|
112 |
100 |
$22K |
| 87624 |
|
643 |
617 |
$21K |
| 73130 |
|
915 |
855 |
$21K |
| 36416 |
|
3,764 |
2,423 |
$21K |
| 88307 |
|
232 |
208 |
$20K |
| 87807 |
|
1,666 |
1,620 |
$20K |
| 87088 |
|
3,279 |
3,045 |
$20K |
| 82803 |
|
1,156 |
1,020 |
$20K |
| 84145 |
|
1,121 |
1,054 |
$20K |
| 88175 |
|
1,225 |
1,179 |
$20K |
| 93017 |
|
1,180 |
1,119 |
$19K |
| 83970 |
|
781 |
722 |
$19K |
| 94727 |
|
1,289 |
1,230 |
$19K |
| 86336 |
|
1,004 |
943 |
$18K |
| 87210 |
|
3,305 |
3,025 |
$17K |
| 96374 |
|
9,447 |
7,995 |
$17K |
| 86140 |
|
3,610 |
3,311 |
$17K |
| 96366 |
|
396 |
254 |
$16K |
| 73562 |
|
555 |
522 |
$16K |
| 42830 |
|
56 |
52 |
$15K |
| 86850 |
|
3,196 |
2,902 |
$15K |
| 85014 |
|
2,686 |
2,318 |
$15K |
| 17250 |
|
143 |
107 |
$14K |
| 82607 |
|
1,543 |
1,454 |
$14K |
| 84481 |
|
1,152 |
1,111 |
$14K |
| 82330 |
|
1,166 |
1,030 |
$14K |
| 73110 |
|
584 |
550 |
$13K |
| 87641 |
|
652 |
596 |
$13K |
| 72170 |
|
487 |
462 |
$13K |
| J2704 |
Inj, propofol, 10 mg |
21,011 |
13,167 |
$12K |
| 86900 |
|
3,475 |
3,141 |
$12K |
| 71020 |
|
848 |
796 |
$12K |
| 76817 |
|
264 |
240 |
$12K |
| 12001 |
|
57 |
57 |
$11K |
| 73502 |
|
534 |
502 |
$11K |
| 82746 |
|
1,081 |
988 |
$11K |
| J7030 |
Normal saline solution infus |
7,371 |
6,192 |
$11K |
| 43235 |
|
106 |
102 |
$11K |
| 85379 |
|
1,188 |
1,114 |
$11K |
| 87522 |
Neg quan hep c or qual rna |
314 |
290 |
$10K |
| 93922 |
|
643 |
617 |
$10K |
| 97165 |
|
194 |
183 |
$10K |
| 97003 |
|
319 |
294 |
$10K |
| 83550 |
|
1,879 |
1,742 |
$10K |
| 96372 |
|
8,295 |
6,204 |
$10K |
| J3010 |
Fentanyl citrate injection |
14,975 |
13,042 |
$10K |
| 80329 |
|
686 |
565 |
$10K |
| 70491 |
|
77 |
74 |
$10K |
| 85027 |
|
2,528 |
2,213 |
$9K |
| J1453 |
Fosaprepitant injection |
160 |
100 |
$9K |
| 96360 |
|
290 |
259 |
$9K |
| M0243 |
Casirivi and imdevi inj |
48 |
45 |
$9K |
| 97166 |
|
121 |
116 |
$9K |
| 95811 |
|
73 |
66 |
$9K |
| 94060 |
|
336 |
319 |
$8K |
| 83540 |
|
2,152 |
1,981 |
$8K |
| 85018 |
|
2,405 |
2,039 |
$8K |
| 86696 |
|
365 |
325 |
$8K |
| 84132 |
|
1,689 |
1,496 |
$8K |
| 86803 |
|
558 |
521 |
$8K |
| 82950 |
|
1,386 |
1,338 |
$8K |
| 72040 |
|
292 |
272 |
$8K |
| G0463 |
Hospital outpt clinic visit |
1,062 |
845 |
$8K |
| 85652 |
|
3,399 |
3,141 |
$8K |
| C1769 |
Guide wire |
160 |
154 |
$8K |
| 99152 |
|
348 |
333 |
$8K |
| 94640 |
|
2,333 |
2,053 |
$7K |
| 43450 |
|
206 |
194 |
$7K |
| 82570 |
|
2,366 |
2,200 |
$7K |
| 84703 |
|
774 |
711 |
$7K |
| 87205 |
|
2,105 |
1,853 |
$7K |
| G0260 |
Inj for sacroiliac jt anesth |
94 |
91 |
$7K |
| 90715 |
|
461 |
441 |
$6K |
| 84112 |
|
88 |
79 |
$6K |
| 84295 |
|
1,303 |
1,172 |
$6K |
| 86592 |
|
1,341 |
1,255 |
$6K |
| 82550 |
|
1,009 |
883 |
$6K |
| 80076 |
|
930 |
840 |
$6K |
| J1642 |
Inj heparin sodium per 10 u |
7,917 |
3,287 |
$6K |
| 84153 |
|
411 |
377 |
$5K |
| J2250 |
Inj midazolam hydrochloride |
8,760 |
7,716 |
$5K |
| 82248 |
|
925 |
701 |
$5K |
| 82043 |
|
1,654 |
1,564 |
$5K |
| J7050 |
Normal saline solution infus |
4,977 |
2,396 |
$5K |
| G0279 |
Tomosynthesis, mammo |
638 |
617 |
$5K |
| G0480 |
Drug test def 1-7 classes |
142 |
130 |
$5K |
| 97140 |
|
930 |
355 |
$5K |
| 96417 |
|
54 |
40 |
$5K |
| 82010 |
|
691 |
602 |
$5K |
| 80069 |
|
877 |
765 |
$5K |
| 45378 |
|
29 |
25 |
$5K |
| 87634 |
|
54 |
54 |
$5K |
| 71010 |
|
600 |
543 |
$4K |
| J0690 |
Cefazolin sodium injection |
6,794 |
5,590 |
$4K |
| 77334 |
|
37 |
24 |
$4K |
| 93970 |
|
166 |
153 |
$4K |
| 81002 |
|
1,228 |
1,019 |
$4K |
| 82247 |
|
596 |
426 |
$4K |
| 86039 |
|
467 |
442 |
$4K |
| 86695 |
|
364 |
325 |
$4K |
| 77065 |
Tomosynthesis, mammo |
96 |
92 |
$4K |
| 96375 |
|
10,427 |
7,809 |
$4K |
| 84480 |
|
345 |
302 |
$3K |
| 83615 |
|
803 |
707 |
$3K |
| 80164 |
|
364 |
309 |
$3K |
| 86038 |
|
348 |
319 |
$3K |
| 84550 |
|
1,001 |
928 |
$3K |
| 77412 |
|
123 |
12 |
$3K |
| 76805 |
|
80 |
72 |
$3K |
| 84146 |
|
130 |
122 |
$3K |
| J1200 |
Diphenhydramine hcl injectio |
5,601 |
4,123 |
$3K |
| 12011 |
|
15 |
15 |
$3K |
| 80047 |
|
43 |
38 |
$3K |
| 74000 |
|
157 |
149 |
$3K |
| 73590 |
|
100 |
92 |
$3K |
| J2060 |
Lorazepam injection |
2,184 |
1,873 |
$3K |
| 36600 |
|
219 |
191 |
$3K |
| 87340 |
|
243 |
231 |
$2K |
| 12002 |
|
15 |
12 |
$2K |
| 87428 |
|
37 |
37 |
$2K |
| 84156 |
|
865 |
776 |
$2K |
| 82784 |
|
140 |
124 |
$2K |
| 87899 |
|
270 |
225 |
$2K |
| 78306 |
|
28 |
26 |
$2K |
| 36430 |
|
25 |
24 |
$2K |
| 73070 |
|
135 |
131 |
$2K |
| 88341 |
|
14 |
14 |
$2K |
| A9270 |
Non-covered item or service |
5,790 |
4,140 |
$2K |
| 87493 |
|
81 |
72 |
$2K |
| 92507 |
|
124 |
36 |
$2K |
| 97112 |
|
436 |
155 |
$2K |
| 86431 |
|
385 |
360 |
$2K |
| J2710 |
Neostigmine methylslfte inj |
1,520 |
1,271 |
$2K |
| 93226 |
|
44 |
44 |
$2K |
| 81000 |
|
489 |
472 |
$2K |
| 84403 |
|
72 |
68 |
$2K |
| 90471 |
|
258 |
232 |
$2K |
| 84100 |
|
381 |
304 |
$2K |
| J2930 |
Methylprednisolone injection |
1,061 |
873 |
$2K |
| 83655 |
|
93 |
93 |
$2K |
| 87798 |
|
31 |
26 |
$2K |
| 77336 |
|
57 |
24 |
$1K |
| 82140 |
|
298 |
264 |
$1K |
| 87075 |
|
133 |
117 |
$1K |
| 97164 |
|
46 |
41 |
$1K |
| J2270 |
Morphine sulfate injection |
4,752 |
3,873 |
$1K |
| J3475 |
Inj magnesium sulfate |
1,566 |
1,113 |
$1K |
| 77080 |
|
16 |
13 |
$1K |
| J7040 |
Normal saline solution infus |
3,405 |
2,290 |
$1K |
| J1170 |
Hydromorphone injection |
4,439 |
3,460 |
$1K |
| J0780 |
Prochlorperazine injection |
2,583 |
2,395 |
$1K |
| 73090 |
|
68 |
66 |
$1K |
| 74022 |
|
49 |
45 |
$987.34 |
| 87400 |
|
81 |
80 |
$964.50 |
| J3301 |
Triamcinolone acet inj nos |
3,864 |
3,673 |
$928.71 |
| 82951 |
|
81 |
81 |
$918.92 |
| 94010 |
|
77 |
75 |
$904.82 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
17,859 |
12,416 |
$892.41 |
| 86300 |
|
68 |
61 |
$879.15 |
| 96415 |
|
16 |
13 |
$868.30 |
| J7120 |
Ringers lactate infusion |
9,136 |
8,300 |
$862.13 |
| 87635 |
|
45 |
43 |
$836.48 |
| 80177 |
|
117 |
104 |
$834.77 |
| 85045 |
|
293 |
278 |
$767.46 |
| J1956 |
Levofloxacin injection |
221 |
179 |
$744.41 |
| 88142 |
|
48 |
45 |
$699.33 |
| 0202U |
|
3,156 |
3,053 |
$664.57 |
| C9803 |
Hopd covid-19 spec collect |
274 |
256 |
$660.13 |
| J1644 |
Inj heparin sodium per 1000u |
1,859 |
1,232 |
$655.37 |
| J2765 |
Metoclopramide hcl injection |
2,680 |
2,374 |
$648.42 |
| 87045 |
|
72 |
66 |
$628.51 |
| 90686 |
|
99 |
84 |
$548.76 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
825 |
748 |
$541.52 |
| 87328 |
|
56 |
50 |
$534.61 |
| 87329 |
|
56 |
50 |
$523.78 |
| J0330 |
Succinycholine chloride inj |
654 |
566 |
$518.15 |
| 87046 |
|
72 |
66 |
$500.62 |
| J2175 |
Meperidine hydrochl /100 mg |
2,070 |
1,939 |
$491.37 |
| J2272 |
Inj, morphine (fresenius) |
1,190 |
979 |
$463.73 |
| 82150 |
|
80 |
76 |
$451.54 |
| 29580 |
|
39 |
24 |
$450.85 |
| 86762 |
|
24 |
24 |
$431.55 |
| 92523 |
|
13 |
13 |
$385.52 |
| J3480 |
Inj potassium chloride |
210 |
138 |
$377.90 |
| J1953 |
Levetiracetam injection |
26 |
12 |
$370.00 |
| A9503 |
Tc99m medronate |
40 |
38 |
$355.00 |
| J0670 |
Inj mepivacaine hcl/10 ml |
1,488 |
1,231 |
$350.36 |
| S0028 |
Injection, famotidine, 20 mg |
1,551 |
1,134 |
$316.41 |
| 97116 |
|
360 |
158 |
$314.21 |
| 76870 |
|
12 |
12 |
$304.52 |
| 80349 |
|
16 |
16 |
$298.90 |
| 83001 |
|
13 |
13 |
$292.05 |
| 82952 |
|
81 |
81 |
$287.11 |
| 83516 |
|
16 |
12 |
$253.85 |
| 83930 |
|
30 |
25 |
$227.00 |
| 86200 |
|
29 |
27 |
$225.12 |
| P9612 |
Catheterize for urine spec |
14 |
14 |
$219.00 |
| 99153 |
Mod sedat endo service >5yrs |
86 |
84 |
$218.21 |
| 84165 |
|
27 |
26 |
$204.47 |
| 97535 |
|
28 |
27 |
$185.98 |
| 86923 |
|
46 |
40 |
$183.60 |
| J1630 |
Haloperidol injection |
97 |
80 |
$166.92 |
| 0353U |
|
238 |
225 |
$164.94 |
| J1940 |
Furosemide injection |
372 |
266 |
$164.50 |
| J3370 |
Vancomycin hcl injection |
265 |
137 |
$150.40 |
| G0378 |
Hospital observation per hr |
442 |
382 |
$144.96 |
| 88312 |
|
62 |
45 |
$143.00 |
| 93923 |
|
17 |
15 |
$141.30 |
| 83921 |
|
14 |
12 |
$141.06 |
| Q0138 |
Ferumoxytol, non-esrd |
112 |
78 |
$135.60 |
| 83986 |
|
29 |
27 |
$128.00 |
| 82378 |
|
13 |
12 |
$108.36 |
| J2550 |
Promethazine hcl injection |
206 |
174 |
$81.60 |
| 80178 |
|
13 |
12 |
$66.01 |
| S0020 |
Injection, bupivicaine hydro |
440 |
378 |
$65.64 |
| J2370 |
Phenylephrine hcl injection |
165 |
156 |
$59.89 |
| 83883 |
|
14 |
12 |
$58.26 |
| 84460 |
|
13 |
12 |
$45.36 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
376 |
163 |
$34.99 |
| J2919 |
Inj, methylpred sod succ 5mg |
178 |
133 |
$33.40 |
| J2274 |
Inj morphine pf epid ithc |
21 |
18 |
$27.84 |
| J0171 |
Adrenalin epinephrine inject |
12 |
12 |
$27.40 |
| 82340 |
|
12 |
12 |
$25.86 |
| J7510 |
Prednisolone oral per 5 mg |
206 |
184 |
$24.85 |
| 96376 |
|
2,381 |
1,741 |
$22.44 |
| S0164 |
Injection pantroprazole |
99 |
70 |
$16.61 |
| J0360 |
Hydralazine hcl injection |
19 |
13 |
$15.91 |
| J2001 |
Lidocaine injection |
70 |
39 |
$15.52 |
| J0461 |
Atropine sulfate injection |
62 |
43 |
$14.64 |
| J2795 |
Ropivacaine hcl injection |
2,339 |
1,217 |
$13.56 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
232 |
197 |
$10.68 |
| S0077 |
Injection, clindamycin phosp |
38 |
24 |
$7.61 |
| J0134 |
Inj acetaminophen -fresenius |
405 |
267 |
$5.93 |
| J1030 |
Methylprednisolone 40 mg inj |
228 |
218 |
$5.36 |
| J0736 |
Inj, clindamycin phosp 300mg |
13 |
13 |
$4.83 |
| J2360 |
Orphenadrine injection |
42 |
39 |
$3.27 |
| J0137 |
Inj, acetaminophen (hikma) |
283 |
174 |
$3.20 |
| J2305 |
Inj, nitroglycerin, 5 mg |
56 |
42 |
$2.61 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
391 |
348 |
$1.80 |
| G8979 |
Mobility goal status |
283 |
269 |
$1.10 |
| G8978 |
Mobility current status |
257 |
246 |
$0.96 |
| J0687 |
Inj cefazolin (wg crit care) |
83 |
66 |
$0.14 |
| J0131 |
Inj, acetaminophen (nos) |
673 |
609 |
$0.02 |
| J7512 |
Prednisone ir or dr oral 1mg |
390 |
319 |
$0.01 |
| G0008 |
Admin influenza virus vac |
57 |
45 |
$0.00 |
| 97010 |
|
156 |
57 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
1,283 |
1,255 |
$0.00 |
| U0005 |
Infec agen detec ampli probe |
817 |
560 |
$0.00 |
| J7060 |
5% dextrose/water |
77 |
49 |
$0.00 |
| 94761 |
|
12 |
12 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
18 |
12 |
$0.00 |
| J8540 |
Oral dexamethasone |
189 |
149 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
26 |
26 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
47 |
32 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
50 |
41 |
$0.00 |
| 92610 |
|
14 |
12 |
$0.00 |