| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
72,387 |
65,511 |
$34.58M |
| 99284 |
|
89,970 |
80,196 |
$26.17M |
| 99283 |
|
81,460 |
71,283 |
$24.51M |
| J9271 |
Inj pembrolizumab |
3,207 |
2,284 |
$17.83M |
| OP250 |
|
316,512 |
193,044 |
$16.51M |
| 43239 |
|
13,858 |
13,123 |
$16.35M |
| G0378 |
Hospital observation per hr |
40,356 |
21,649 |
$15.57M |
| A0429 |
Bls-emergency |
45,720 |
35,960 |
$8.85M |
| 96375 |
|
43,075 |
27,001 |
$7.82M |
| 96413 |
|
26,503 |
16,343 |
$6.93M |
| 95810 |
|
2,927 |
2,872 |
$6.65M |
| 64483 |
|
5,662 |
5,329 |
$5.84M |
| J2505 |
Injection, pegfilgrastim 6mg |
1,993 |
1,539 |
$5.33M |
| 45380 |
|
7,303 |
6,837 |
$5.14M |
| C1713 |
Anchor/screw bn/bn,tis/bn |
3,855 |
3,507 |
$4.54M |
| 70553 |
|
7,533 |
7,325 |
$3.44M |
| 59025 |
|
10,531 |
6,043 |
$3.40M |
| 45378 |
|
3,679 |
3,487 |
$3.06M |
| A0427 |
Als1-emergency |
13,419 |
12,031 |
$2.91M |
| 77386 |
|
13,954 |
1,259 |
$2.89M |
| OP710 |
|
32,213 |
29,638 |
$2.54M |
| 87635 |
|
67,027 |
59,530 |
$2.51M |
| 64493 |
|
2,110 |
2,014 |
$2.33M |
| 77067 |
|
23,151 |
22,696 |
$2.28M |
| J1745 |
Infliximab not biosimil 10mg |
1,236 |
1,075 |
$2.25M |
| J9299 |
Injection, nivolumab |
459 |
296 |
$2.24M |
| J2506 |
Inj pegfilgrast ex bio 0.5mg |
1,153 |
782 |
$2.14M |
| Q5115 |
Inj truxima 10 mg |
1,204 |
545 |
$2.13M |
| 93458 |
|
905 |
866 |
$2.10M |
| 62321 |
|
2,034 |
1,908 |
$2.09M |
| 99282 |
|
19,406 |
16,259 |
$1.98M |
| 74177 |
|
18,601 |
17,170 |
$1.97M |
| 45385 |
|
4,651 |
4,257 |
$1.96M |
| J9305 |
Inj. pemetrexed nos 10mg |
1,005 |
482 |
$1.92M |
| 96417 |
|
6,791 |
4,385 |
$1.90M |
| 96415 |
|
8,117 |
5,588 |
$1.85M |
| OP272 |
|
36,249 |
33,132 |
$1.74M |
| Q5107 |
Inj mvasi 10 mg |
1,533 |
674 |
$1.73M |
| 87636 |
|
24,743 |
23,015 |
$1.72M |
| 78815 |
|
2,612 |
2,481 |
$1.72M |
| 96411 |
|
3,806 |
2,476 |
$1.70M |
| Q5111 |
Injection, udenyca 0.5 mg |
1,041 |
794 |
$1.67M |
| J0897 |
Denosumab injection |
1,659 |
1,491 |
$1.46M |
| 62323 |
|
1,604 |
1,518 |
$1.42M |
| 95816 |
|
3,730 |
3,625 |
$1.39M |
| 64635 |
|
1,220 |
1,163 |
$1.35M |
| 73721 |
|
3,616 |
3,488 |
$1.34M |
| 76856 |
|
7,974 |
7,745 |
$1.31M |
| OP278 |
|
1,261 |
1,198 |
$1.30M |
| 99212 |
|
29,841 |
24,739 |
$1.30M |
| 72148 |
|
4,321 |
4,215 |
$1.27M |
| 70551 |
|
4,359 |
4,216 |
$1.24M |
| C9803 |
Hopd covid-19 spec collect |
55,683 |
50,722 |
$1.18M |
| J9312 |
Inj., rituximab, 10 mg |
278 |
194 |
$1.16M |
| 43235 |
|
1,033 |
975 |
$1.12M |
| 96365 |
|
23,054 |
14,731 |
$1.11M |
| J9355 |
Inj trastuzumab excl biosimi |
411 |
242 |
$1.08M |
| 96361 |
|
17,546 |
9,977 |
$1.08M |
| 36415 |
|
159,478 |
123,937 |
$1.04M |
| 71260 |
|
10,443 |
9,799 |
$1.02M |
| 64490 |
|
971 |
919 |
$1.02M |
| 99213 |
|
12,309 |
10,198 |
$916K |
| 94070 |
|
1,538 |
1,501 |
$908K |
| 71046 |
|
48,478 |
44,708 |
$876K |
| C1776 |
Joint device (implantable) |
912 |
775 |
$852K |
| 74183 |
|
2,375 |
2,311 |
$849K |
| 96416 |
|
3,639 |
2,184 |
$848K |
| 36561 |
|
733 |
674 |
$837K |
| 69436 |
|
723 |
686 |
$817K |
| 41899 |
|
939 |
816 |
$812K |
| 95806 |
|
2,777 |
2,765 |
$806K |
| 92557 |
|
3,914 |
3,867 |
$795K |
| 88305 |
|
33,089 |
30,374 |
$766K |
| A0431 |
Rotary wing air transport |
434 |
390 |
$754K |
| 77412 |
|
10,476 |
1,251 |
$752K |
| 70450 |
|
18,681 |
17,117 |
$739K |
| 64721 |
|
742 |
707 |
$728K |
| 72141 |
|
2,662 |
2,586 |
$724K |
| 94060 |
|
2,590 |
2,539 |
$692K |
| 19083 |
|
689 |
663 |
$690K |
| 93971 |
|
4,044 |
3,821 |
$680K |
| 77334 |
|
2,756 |
2,053 |
$676K |
| 96360 |
|
7,626 |
4,833 |
$672K |
| 94010 |
|
2,946 |
2,844 |
$669K |
| 96374 |
|
30,775 |
24,859 |
$655K |
| 96372 |
|
46,702 |
29,347 |
$652K |
| 42820 |
|
412 |
397 |
$639K |
| 92507 |
|
11,502 |
4,921 |
$637K |
| 76705 |
|
11,544 |
10,969 |
$629K |
| 93005 |
|
60,410 |
50,506 |
$617K |
| 71250 |
|
5,343 |
5,172 |
$584K |
| 93970 |
|
2,765 |
2,609 |
$576K |
| 82948 |
|
57,506 |
39,506 |
$575K |
| 94750 |
|
2,022 |
2,019 |
$568K |
| J3380 |
Inj vedolizumab iv 1 mg |
118 |
112 |
$550K |
| 77063 |
|
21,057 |
20,593 |
$538K |
| J9144 |
Daratumumab, hyaluronidase |
162 |
87 |
$516K |
| J2469 |
Palonosetron hcl |
9,158 |
5,767 |
$512K |
| 92567 |
|
6,883 |
6,785 |
$508K |
| 77066 |
Tomosynthesis, mammo |
4,014 |
3,895 |
$507K |
| A0425 |
Ground mileage |
58,459 |
44,818 |
$497K |
| 93306 |
|
1,813 |
1,697 |
$493K |
| 94729 |
|
6,207 |
6,027 |
$478K |
| 73221 |
|
1,754 |
1,693 |
$471K |
| 95950 |
|
271 |
120 |
$461K |
| 31575 |
|
710 |
621 |
$456K |
| J0185 |
Inj., aprepitant, 1 mg |
2,619 |
1,618 |
$455K |
| 92579 |
|
2,109 |
2,081 |
$444K |
| 76830 |
|
7,044 |
6,856 |
$434K |
| 74176 |
|
4,993 |
4,726 |
$426K |
| 76770 |
|
5,956 |
5,774 |
$420K |
| 77336 |
|
6,280 |
2,840 |
$417K |
| 99214 |
|
6,531 |
5,633 |
$407K |
| 73030 |
|
10,008 |
9,127 |
$397K |
| J9310 |
Rituximab injection |
104 |
78 |
$394K |
| 95708 |
|
1,788 |
735 |
$393K |
| 49083 |
|
458 |
238 |
$382K |
| 76700 |
|
4,228 |
4,118 |
$376K |
| 92587 |
|
2,569 |
2,548 |
$375K |
| 76536 |
|
5,042 |
4,898 |
$370K |
| 72125 |
|
9,230 |
8,454 |
$366K |
| 99281 |
|
3,671 |
3,469 |
$365K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
35,642 |
31,319 |
$360K |
| 80048 |
|
124,411 |
90,700 |
$355K |
| J2704 |
Inj, propofol, 10 mg |
83,770 |
66,513 |
$350K |
| 85025 |
|
107,363 |
85,990 |
$348K |
| 87637 |
|
10,063 |
9,517 |
$346K |
| 94726 |
|
3,951 |
3,786 |
$331K |
| 77300 |
|
1,783 |
1,444 |
$318K |
| P9040 |
Rbc leukoreduced irradiated |
2,137 |
1,554 |
$312K |
| 58300 |
|
233 |
219 |
$306K |
| 94640 |
|
16,257 |
10,227 |
$306K |
| 96523 |
|
3,976 |
3,116 |
$303K |
| 73630 |
|
11,996 |
10,789 |
$302K |
| 10005 |
|
326 |
301 |
$301K |
| 70486 |
|
4,104 |
3,828 |
$301K |
| J2350 |
Injection, ocrelizumab, 1 mg |
14 |
12 |
$301K |
| J1756 |
Iron sucrose injection |
7,032 |
3,098 |
$298K |
| 76642 |
|
6,300 |
6,103 |
$298K |
| 77065 |
Tomosynthesis, mammo |
4,068 |
3,751 |
$297K |
| 76815 |
|
5,889 |
5,231 |
$296K |
| 73130 |
|
8,910 |
8,070 |
$293K |
| C1889 |
Implant/insert device, noc |
2,516 |
2,188 |
$292K |
| C1760 |
Closure dev, vasc |
651 |
506 |
$285K |
| 87491 |
|
19,703 |
18,469 |
$279K |
| OP259 |
|
86,333 |
44,034 |
$275K |
| J9217 |
Leuprolide acetate suspnsion |
802 |
699 |
$271K |
| 74178 |
|
1,181 |
1,091 |
$267K |
| 80307 |
|
14,578 |
12,477 |
$264K |
| 71271 |
|
1,633 |
1,537 |
$263K |
| 70496 |
|
3,033 |
2,702 |
$255K |
| 85027 |
|
70,566 |
54,374 |
$239K |
| 73564 |
|
5,896 |
5,084 |
$238K |
| 72110 |
|
5,233 |
5,112 |
$233K |
| 80053 |
|
36,722 |
32,115 |
$232K |
| 76641 |
|
2,852 |
2,787 |
$227K |
| 87591 |
|
19,692 |
18,476 |
$225K |
| 77301 |
|
427 |
384 |
$224K |
| 86900 |
|
26,188 |
21,571 |
$222K |
| 81025 |
|
24,632 |
22,930 |
$221K |
| 70498 |
|
3,112 |
2,793 |
$213K |
| 84443 |
|
24,676 |
22,882 |
$212K |
| J7120 |
Ringers lactate infusion |
61,449 |
51,312 |
$208K |
| 88341 |
|
4,505 |
3,798 |
$207K |
| 96401 |
|
2,144 |
1,055 |
$206K |
| 99202 |
|
4,807 |
4,505 |
$205K |
| 70491 |
|
1,783 |
1,659 |
$202K |
| C1769 |
Guide wire |
8,305 |
7,232 |
$198K |
| 96402 |
|
3,152 |
2,780 |
$196K |
| 73610 |
|
7,899 |
7,131 |
$194K |
| A9585 |
Gadobutrol injection |
16,754 |
14,307 |
$193K |
| 27096 |
|
158 |
145 |
$189K |
| J9202 |
Goserelin acetate implant |
475 |
437 |
$185K |
| 96366 |
|
10,410 |
6,678 |
$184K |
| 73110 |
|
5,464 |
4,855 |
$184K |
| 99215 |
Prolong outpt/office vis |
2,164 |
1,970 |
$180K |
| 20553 |
|
190 |
177 |
$175K |
| 71275 |
|
2,941 |
2,616 |
$173K |
| 20680 |
|
122 |
117 |
$172K |
| 88307 |
|
3,374 |
3,001 |
$170K |
| 77049 |
|
478 |
472 |
$168K |
| 86850 |
|
25,302 |
20,510 |
$167K |
| J7030 |
Normal saline solution infus |
25,455 |
20,712 |
$163K |
| 73560 |
|
8,379 |
7,552 |
$161K |
| 88342 |
|
8,983 |
8,243 |
$157K |
| 74240 |
|
1,384 |
1,355 |
$156K |
| 92588 |
|
847 |
839 |
$154K |
| 87536 |
|
3,172 |
2,965 |
$154K |
| J0640 |
Leucovorin calcium injection |
3,860 |
1,798 |
$151K |
| 92523 |
|
2,192 |
2,129 |
$148K |
| OP681 |
|
1,061 |
960 |
$145K |
| 52000 |
|
174 |
169 |
$144K |
| 90651 |
|
1,232 |
1,196 |
$142K |
| 72158 |
|
475 |
460 |
$136K |
| C1729 |
Cath, drainage |
1,586 |
1,112 |
$136K |
| 72100 |
|
4,100 |
3,973 |
$132K |
| 36430 |
|
3,101 |
1,973 |
$132K |
| 80061 |
|
20,805 |
19,802 |
$131K |
| G0121 |
Colon ca scrn not hi rsk ind |
340 |
295 |
$129K |
| 77290 |
|
605 |
579 |
$127K |
| 95811 |
|
79 |
78 |
$126K |
| 10022 |
|
137 |
134 |
$126K |
| 20610 |
|
224 |
200 |
$124K |
| 52005 |
|
112 |
111 |
$122K |
| 72050 |
|
2,563 |
2,489 |
$119K |
| J9263 |
Oxaliplatin |
2,020 |
1,048 |
$118K |
| 72156 |
|
392 |
379 |
$118K |
| G0463 |
Hospital outpt clinic visit |
25,861 |
20,836 |
$118K |
| J3010 |
Fentanyl citrate injection |
48,781 |
40,453 |
$117K |
| 71045 |
|
9,097 |
8,003 |
$115K |
| 90471 |
|
10,108 |
9,469 |
$114K |
| 73080 |
|
3,274 |
2,983 |
$113K |
| G0279 |
Tomosynthesis, mammo |
4,469 |
4,410 |
$113K |
| 78306 |
|
1,085 |
1,028 |
$112K |
| 97161 |
|
8,166 |
7,064 |
$111K |
| 96376 |
|
14,933 |
8,874 |
$111K |
| A4648 |
Implantable tissue marker |
1,201 |
1,106 |
$110K |
| 82306 |
|
8,396 |
7,935 |
$109K |
| 73700 |
|
1,042 |
973 |
$108K |
| 97110 |
|
2,840 |
819 |
$107K |
| C8929 |
Tte w or wo fol wcon,doppler |
1,633 |
1,402 |
$107K |
| 93041 |
|
13,600 |
12,283 |
$105K |
| 92610 |
|
1,183 |
1,143 |
$105K |
| 88142 |
|
3,471 |
3,406 |
$102K |
| 72040 |
|
2,584 |
2,448 |
$101K |
| 64484 |
|
2,370 |
1,919 |
$100K |
| 73502 |
|
5,041 |
4,616 |
$99K |
| 88185 |
|
1,174 |
729 |
$99K |
| 74420 |
|
1,128 |
1,062 |
$99K |
| 84703 |
|
26,226 |
24,093 |
$98K |
| 47562 |
|
66 |
65 |
$95K |
| J9070 |
Cyclophosphamide 100 mg inj |
285 |
210 |
$95K |
| 64494 |
|
1,304 |
1,111 |
$95K |
| 36000 |
|
14,704 |
12,886 |
$94K |
| 92526 |
|
2,053 |
1,101 |
$93K |
| 90715 |
|
7,574 |
7,290 |
$92K |
| 73590 |
|
4,253 |
3,826 |
$92K |
| 77295 |
|
144 |
133 |
$91K |
| 72197 |
|
229 |
225 |
$91K |
| 72070 |
|
2,419 |
2,341 |
$91K |
| 86360 |
|
3,085 |
2,881 |
$91K |
| J1100 |
Dexamethasone sodium phos |
38,897 |
28,404 |
$90K |
| 76870 |
|
2,051 |
1,969 |
$89K |
| C9290 |
Inj, bupivacaine liposome |
2,871 |
2,589 |
$88K |
| J9190 |
Fluorouracil injection |
5,041 |
2,115 |
$88K |
| 91020 |
|
79 |
75 |
$88K |
| OP252 |
|
19,338 |
12,541 |
$87K |
| 74246 |
|
995 |
953 |
$87K |
| J1439 |
Inj ferric carboxymaltos 1mg |
117 |
70 |
$86K |
| 83036 |
|
22,764 |
21,469 |
$86K |
| J1453 |
Fosaprepitant injection |
402 |
283 |
$83K |
| J0690 |
Cefazolin sodium injection |
18,690 |
15,404 |
$82K |
| 81001 |
|
50,461 |
45,621 |
$82K |
| 88360 |
|
1,853 |
1,595 |
$81K |
| 73562 |
|
2,036 |
1,730 |
$80K |
| 96367 |
|
4,067 |
2,863 |
$79K |
| 10060 |
|
1,054 |
939 |
$79K |
| 86901 |
|
26,659 |
21,690 |
$78K |
| 80076 |
|
40,966 |
33,801 |
$78K |
| A0436 |
Rotary wing air mileage |
432 |
389 |
$78K |
| 92611 |
|
237 |
226 |
$77K |
| 85610 |
|
34,898 |
29,160 |
$77K |
| 73090 |
|
3,020 |
2,637 |
$77K |
| J2250 |
Inj midazolam hydrochloride |
42,245 |
37,510 |
$76K |
| J9045 |
Carboplatin injection |
2,750 |
1,784 |
$75K |
| 78264 |
|
599 |
581 |
$74K |
| 76775 |
|
1,212 |
1,185 |
$74K |
| 83735 |
|
42,664 |
30,258 |
$74K |
| 58558 |
|
77 |
64 |
$72K |
| 73120 |
|
2,073 |
1,636 |
$72K |
| 20552 |
|
68 |
67 |
$70K |
| 86803 |
|
5,215 |
4,933 |
$70K |
| Q5104 |
Injection, renflexis |
60 |
49 |
$69K |
| 85007 |
|
27,705 |
20,524 |
$69K |
| J3490 |
Drugs unclassified injection |
44,697 |
27,228 |
$69K |
| 86359 |
|
3,091 |
2,885 |
$68K |
| 74174 |
|
948 |
868 |
$68K |
| 96368 |
|
3,616 |
2,341 |
$67K |
| 77338 |
|
433 |
376 |
$66K |
| 76818 |
|
797 |
500 |
$65K |
| 74022 |
|
2,959 |
2,813 |
$64K |
| 86480 |
|
1,848 |
1,733 |
$63K |
| 84484 |
|
23,577 |
17,395 |
$63K |
| 76937 |
|
3,132 |
2,719 |
$62K |
| 45381 |
|
212 |
180 |
$61K |
| 87390 |
|
7,490 |
7,113 |
$61K |
| C1781 |
Mesh (implantable) |
278 |
256 |
$61K |
| 77080 |
|
1,817 |
1,693 |
$59K |
| 97530 |
|
5,824 |
3,067 |
$59K |
| Q5117 |
Inj., kanjinti, 10 mg |
54 |
24 |
$59K |
| 93308 |
|
2,529 |
2,279 |
$58K |
| J1815 |
Insulin injection |
5,225 |
2,278 |
$58K |
| 72146 |
|
241 |
229 |
$58K |
| 87088 |
|
21,716 |
19,797 |
$54K |
| A9552 |
F18 fdg |
2,798 |
2,596 |
$53K |
| J9267 |
Paclitaxel injection |
2,188 |
1,115 |
$53K |
| J9201 |
In gemcitabine hcl nos 200mg |
1,414 |
614 |
$53K |
| 74018 |
|
2,114 |
1,938 |
$52K |
| 76882 |
|
2,021 |
1,944 |
$51K |
| J2405 |
Ondansetron hcl injection |
43,965 |
34,253 |
$50K |
| 82728 |
|
7,214 |
6,631 |
$49K |
| 58100 |
|
65 |
63 |
$49K |
| 70544 |
|
233 |
226 |
$49K |
| 58301 |
|
40 |
39 |
$48K |
| 74241 |
|
454 |
453 |
$48K |
| 99395 |
|
567 |
554 |
$48K |
| Q9957 |
Inj perflutren lip micros,ml |
2,131 |
1,852 |
$48K |
| 27447 |
|
65 |
54 |
$47K |
| J3370 |
Vancomycin hcl injection |
5,518 |
3,412 |
$47K |
| 73552 |
|
2,679 |
2,456 |
$47K |
| 88172 |
|
1,304 |
1,205 |
$46K |
| A0998 |
Ambulance response/treatment |
519 |
485 |
$46K |
| J0131 |
Inj, acetaminophen (nos) |
13,847 |
12,396 |
$46K |
| J9171 |
Docetaxel injection |
520 |
347 |
$45K |
| 0011A |
|
1,419 |
1,416 |
$44K |
| J1642 |
Inj heparin sodium per 10 u |
6,420 |
4,210 |
$44K |
| 58661 |
|
48 |
41 |
$44K |
| J0491 |
Inj anifrolumab-fnia 1mg |
15 |
13 |
$43K |
| OP270 |
|
3,035 |
2,645 |
$43K |
| J1626 |
Granisetron hcl injection |
4,109 |
1,954 |
$42K |
| J1200 |
Diphenhydramine hcl injectio |
14,970 |
9,796 |
$41K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
10,186 |
8,362 |
$41K |
| 73523 |
|
854 |
797 |
$41K |
| J9395 |
Injection, fulvestrant |
110 |
89 |
$40K |
| Q0091 |
Obtaining screen pap smear |
869 |
867 |
$39K |
| 73060 |
|
1,637 |
1,492 |
$39K |
| 88304 |
|
4,773 |
4,532 |
$39K |
| 64636 |
|
456 |
358 |
$39K |
| 86702 |
|
5,560 |
5,326 |
$38K |
| OP258 |
|
28,057 |
20,949 |
$38K |
| 74230 |
|
868 |
818 |
$38K |
| 76942 |
|
653 |
629 |
$38K |
| 83880 |
|
6,667 |
5,893 |
$37K |
| 0001A |
|
1,128 |
1,125 |
$37K |
| 74019 |
|
1,223 |
1,166 |
$37K |
| 87081 |
|
5,292 |
5,040 |
$37K |
| 73600 |
|
1,235 |
1,105 |
$37K |
| 84100 |
|
21,910 |
15,435 |
$37K |
| J9041 |
Injection, bortezomib, 0.1mg |
46 |
12 |
$36K |
| 72080 |
|
1,150 |
1,124 |
$36K |
| 86701 |
|
5,532 |
5,322 |
$36K |
| 95886 |
|
440 |
431 |
$36K |
| 72157 |
|
115 |
112 |
$36K |
| 97165 |
|
2,920 |
2,505 |
$36K |
| 85730 |
|
15,330 |
13,674 |
$36K |
| 75574 |
|
158 |
157 |
$35K |
| 97166 |
|
712 |
697 |
$35K |
| J1644 |
Inj heparin sodium per 1000u |
7,029 |
3,231 |
$34K |
| 78816 |
|
40 |
37 |
$33K |
| 88313 |
|
1,347 |
1,176 |
$33K |
| 86923 |
|
2,726 |
1,958 |
$33K |
| C1894 |
Intro/sheath, non-laser |
2,771 |
2,309 |
$33K |
| C1725 |
Cath, translumin non-laser |
283 |
237 |
$32K |
| 76377 |
|
1,234 |
1,052 |
$32K |
| 81003 |
|
16,734 |
15,587 |
$32K |
| C1730 |
Cath, ep, 19 or few elect |
620 |
534 |
$32K |
| 76981 |
|
519 |
462 |
$32K |
| 83021 |
|
1,908 |
1,593 |
$31K |
| 77470 |
|
90 |
85 |
$31K |
| 82607 |
|
5,391 |
5,010 |
$30K |
| 0012A |
|
900 |
896 |
$30K |
| 95800 |
|
141 |
140 |
$30K |
| 0002A |
|
826 |
823 |
$30K |
| OP251 |
|
4,424 |
3,059 |
$30K |
| 72052 |
|
642 |
626 |
$30K |
| 83605 |
|
10,832 |
8,931 |
$30K |
| 83970 |
|
1,800 |
1,688 |
$29K |
| J9206 |
Irinotecan injection |
934 |
491 |
$29K |
| J7040 |
Normal saline solution infus |
4,902 |
3,657 |
$28K |
| 87340 |
|
3,511 |
3,333 |
$28K |
| 64633 |
|
29 |
25 |
$28K |
| 51701 |
|
322 |
291 |
$28K |
| 83690 |
|
21,760 |
19,178 |
$27K |
| 72131 |
|
411 |
370 |
$27K |
| J1650 |
Inj enoxaparin sodium |
18,344 |
8,837 |
$27K |
| 72114 |
|
684 |
670 |
$27K |
| 97164 |
|
1,357 |
1,328 |
$27K |
| J7620 |
Albuterol ipratrop non-comp |
7,445 |
5,700 |
$27K |
| C1892 |
Intro/sheath,fixed,peel-away |
619 |
605 |
$27K |
| 90686 |
|
3,465 |
3,347 |
$27K |
| 12011 |
|
499 |
460 |
$26K |
| J2370 |
Phenylephrine hcl injection |
1,718 |
1,572 |
$25K |
| 76817 |
|
552 |
523 |
$24K |
| 87077 |
|
6,099 |
5,591 |
$24K |
| 95819 |
|
55 |
52 |
$24K |
| 83550 |
|
6,394 |
5,962 |
$23K |
| 84702 |
|
5,729 |
4,795 |
$23K |
| 42830 |
|
14 |
14 |
$23K |
| Q0162 |
Ondansetron oral |
9,258 |
8,145 |
$23K |
| 73522 |
|
657 |
654 |
$23K |
| 87641 |
|
2,757 |
2,162 |
$23K |
| 87070 |
|
3,908 |
3,575 |
$23K |
| 45330 |
|
26 |
25 |
$22K |
| 88173 |
|
2,231 |
2,010 |
$22K |
| 72120 |
|
675 |
646 |
$22K |
| 73200 |
|
184 |
165 |
$22K |
| 0031A |
|
797 |
794 |
$22K |
| C1788 |
Port, indwelling, imp |
461 |
407 |
$22K |
| C1887 |
Catheter, guiding |
948 |
757 |
$22K |
| 99204 |
|
270 |
254 |
$21K |
| 96377 |
|
1,320 |
940 |
$21K |
| 87186 |
|
5,776 |
5,317 |
$21K |
| 87640 |
|
2,631 |
2,083 |
$21K |
| 0064A |
|
702 |
686 |
$21K |
| 90733 |
|
337 |
315 |
$21K |
| 62322 |
|
30 |
29 |
$21K |
| J7050 |
Normal saline solution infus |
6,646 |
4,550 |
$21K |
| 84439 |
|
4,745 |
4,433 |
$20K |
| 72170 |
|
1,515 |
1,404 |
$20K |
| 77001 |
|
705 |
633 |
$20K |
| 81220 |
|
98 |
98 |
$20K |
| 0004A |
|
691 |
686 |
$20K |
| 87624 |
|
989 |
928 |
$20K |
| 99152 |
|
2,970 |
2,649 |
$19K |
| J1885 |
Ketorolac tromethamine inj |
26,344 |
21,213 |
$19K |
| 84153 |
|
2,361 |
2,237 |
$19K |
| J2270 |
Morphine sulfate injection |
14,896 |
11,162 |
$19K |
| 77059 |
|
39 |
39 |
$19K |
| 99153 |
Mod sedat endo service >5yrs |
2,654 |
2,367 |
$19K |
| 87522 |
Neg quan hep c or qual rna |
1,521 |
1,396 |
$19K |
| 87804 |
|
2,102 |
1,909 |
$18K |
| J1170 |
Hydromorphone injection |
16,065 |
9,779 |
$18K |
| 80329 |
|
3,612 |
2,569 |
$18K |
| 80074 |
|
1,534 |
1,397 |
$18K |
| 88184 |
|
876 |
739 |
$17K |
| 76098 |
|
317 |
296 |
$17K |
| 36590 |
|
13 |
12 |
$17K |
| 77061 |
|
1,577 |
1,319 |
$17K |
| 73100 |
|
482 |
409 |
$17K |
| 82784 |
|
1,785 |
1,592 |
$17K |
| A0433 |
Als 2 |
69 |
66 |
$17K |
| Q0138 |
Ferumoxytol, non-esrd |
38 |
24 |
$17K |
| 86703 |
|
2,394 |
2,141 |
$16K |
| 86706 |
|
2,322 |
2,189 |
$16K |
| 45331 |
|
12 |
12 |
$16K |
| 70360 |
|
725 |
693 |
$16K |
| 64450 |
|
26 |
24 |
$16K |
| 73000 |
|
447 |
370 |
$15K |
| 93017 |
|
66 |
65 |
$15K |
| 81401 |
|
143 |
142 |
$15K |
| 87040 |
|
4,525 |
3,618 |
$15K |
| 64491 |
|
479 |
379 |
$15K |
| 58571 |
|
45 |
26 |
$15K |
| 96409 |
|
54 |
39 |
$15K |
| 83540 |
|
5,859 |
5,412 |
$15K |
| 82746 |
|
2,414 |
2,255 |
$14K |
| 26055 |
|
13 |
12 |
$14K |
| J3420 |
Vitamin b12 injection |
2,089 |
1,712 |
$14K |
| 97802 |
|
1,518 |
1,265 |
$14K |
| A9541 |
Tc99m sulfur colloid |
1,191 |
1,078 |
$14K |
| 82570 |
|
9,587 |
8,972 |
$14K |
| 99203 |
|
177 |
173 |
$14K |
| 86140 |
|
9,085 |
8,147 |
$13K |
| G0480 |
Drug test def 1-7 classes |
1,386 |
950 |
$13K |
| U0003 |
Cov-19 amp prb hgh thruput |
8,973 |
7,789 |
$13K |
| G0379 |
Direct refer hospital observ |
155 |
127 |
$13K |
| 29515 |
|
475 |
451 |
$13K |
| G0297 |
Ldct for lung ca screen |
120 |
120 |
$13K |
| 83520 |
|
876 |
749 |
$13K |
| 82043 |
|
6,638 |
6,385 |
$12K |
| C1726 |
Cath, bal dil, non-vascular |
604 |
511 |
$12K |
| J3475 |
Inj magnesium sulfate |
2,748 |
1,875 |
$12K |
| 29125 |
|
325 |
297 |
$12K |
| 43251 |
|
18 |
14 |
$12K |
| 74220 |
|
92 |
92 |
$12K |
| 82330 |
|
2,485 |
2,055 |
$12K |
| J0696 |
Ceftriaxone sodium injection |
7,856 |
6,589 |
$12K |
| 97162 |
|
399 |
369 |
$12K |
| 86592 |
|
8,583 |
8,139 |
$12K |
| 92609 |
|
199 |
97 |
$12K |
| 12002 |
|
267 |
242 |
$11K |
| 73070 |
|
696 |
571 |
$11K |
| 72082 |
|
238 |
238 |
$11K |
| 38222 |
|
14 |
12 |
$11K |
| J3301 |
Triamcinolone acet inj nos |
9,442 |
8,454 |
$11K |
| 88112 |
|
1,335 |
1,243 |
$11K |
| 86762 |
|
1,556 |
1,488 |
$11K |
| 12001 |
|
480 |
422 |
$11K |
| 77417 |
|
676 |
432 |
$10K |
| 94618 |
|
396 |
385 |
$10K |
| 70487 |
|
217 |
203 |
$10K |
| 86704 |
|
1,411 |
1,308 |
$10K |
| 80320 |
|
5,664 |
5,212 |
$10K |
| 74221 |
|
207 |
191 |
$10K |
| 19301 |
|
18 |
12 |
$10K |
| 73620 |
|
468 |
391 |
$10K |
| J3489 |
Zoledronic acid 1mg |
228 |
201 |
$10K |
| 81000 |
|
5,644 |
4,358 |
$10K |
| 70480 |
|
79 |
78 |
$10K |
| 86235 |
|
338 |
130 |
$10K |
| 83655 |
|
958 |
942 |
$10K |
| 85018 |
|
2,498 |
2,057 |
$10K |
| 87210 |
|
4,908 |
4,362 |
$10K |
| 87147 |
|
3,623 |
2,797 |
$9K |
| 83883 |
|
326 |
267 |
$9K |
| 99396 |
|
145 |
142 |
$9K |
| 77002 |
|
208 |
186 |
$9K |
| J0171 |
Adrenalin epinephrine inject |
2,441 |
1,948 |
$9K |
| 86922 |
|
273 |
201 |
$9K |
| OP720 |
|
131 |
101 |
$9K |
| 78452 |
|
37 |
37 |
$9K |
| 84403 |
|
484 |
448 |
$9K |
| 86038 |
|
1,653 |
1,517 |
$9K |
| 82550 |
|
4,972 |
4,218 |
$9K |
| 87205 |
|
3,371 |
3,092 |
$9K |
| 88302 |
|
629 |
583 |
$9K |
| J0780 |
Prochlorperazine injection |
4,827 |
4,076 |
$9K |
| 82803 |
|
1,647 |
1,396 |
$9K |
| 85097 |
|
69 |
61 |
$9K |
| 90677 |
|
63 |
57 |
$8K |
| 87075 |
|
2,755 |
2,525 |
$8K |
| 85652 |
|
8,346 |
7,502 |
$8K |
| 0124A |
|
345 |
324 |
$8K |
| 84132 |
|
1,941 |
1,624 |
$8K |
| 88300 |
|
1,199 |
1,083 |
$8K |
| J7060 |
5% dextrose/water |
6,000 |
3,887 |
$8K |
| J2997 |
Alteplase recombinant |
27 |
26 |
$8K |
| C1751 |
Cath, inf, per/cent/midline |
503 |
493 |
$8K |
| 93923 |
|
29 |
28 |
$8K |
| 86160 |
|
1,397 |
923 |
$8K |
| J9000 |
Doxorubicin hcl injection |
298 |
185 |
$8K |
| 76801 |
|
315 |
305 |
$8K |
| 97535 |
|
1,172 |
776 |
$7K |
| G8978 |
Mobility current status |
462 |
453 |
$7K |
| M0222 |
Bebtelovimab injection |
43 |
42 |
$7K |
| 77072 |
|
159 |
158 |
$7K |
| 73718 |
|
27 |
26 |
$7K |
| J2060 |
Lorazepam injection |
2,606 |
2,043 |
$7K |
| J7512 |
Prednisone ir or dr oral 1mg |
6,884 |
4,631 |
$7K |
| 75561 |
|
14 |
14 |
$7K |
| J2930 |
Methylprednisolone injection |
2,766 |
2,102 |
$7K |
| Q0114 |
Fern test |
1,515 |
1,314 |
$7K |
| 84295 |
|
1,618 |
1,348 |
$7K |
| 87502 |
|
573 |
563 |
$7K |
| G8979 |
Mobility goal status |
457 |
449 |
$7K |
| 93975 |
|
26 |
24 |
$7K |
| 0134A |
|
300 |
278 |
$7K |
| 93312 |
|
12 |
12 |
$7K |
| 87880 |
|
3,646 |
3,515 |
$7K |
| J2001 |
Lidocaine injection |
86 |
77 |
$7K |
| 0072A |
|
188 |
187 |
$7K |
| 90832 |
|
166 |
99 |
$6K |
| 80179 |
|
1,881 |
1,672 |
$6K |
| 19081 |
|
14 |
14 |
$6K |
| 88311 |
|
1,109 |
1,015 |
$6K |
| 0054A |
|
225 |
220 |
$6K |
| 80069 |
|
2,358 |
2,015 |
$6K |
| Q0163 |
Diphenhydramine hcl 50mg |
5,906 |
4,588 |
$6K |
| 87798 |
|
641 |
544 |
$6K |
| 97116 |
|
2,258 |
1,516 |
$6K |
| 82248 |
|
1,581 |
1,490 |
$6K |
| 85045 |
|
2,528 |
2,074 |
$6K |
| 82247 |
|
1,452 |
1,187 |
$6K |
| 0071A |
|
147 |
147 |
$6K |
| J1720 |
Hydrocortisone sodium succ i |
655 |
411 |
$5K |
| G0390 |
Trauma respons w/hosp criti |
43 |
39 |
$5K |
| 86870 |
|
216 |
180 |
$5K |
| G0008 |
Admin influenza virus vac |
459 |
439 |
$5K |
| 83615 |
|
2,535 |
1,970 |
$5K |
| 99291 |
|
13 |
13 |
$5K |
| 86905 |
|
737 |
399 |
$5K |
| 38900 |
|
56 |
39 |
$5K |
| J8501 |
Oral aprepitant |
528 |
480 |
$5K |
| 0051A |
|
144 |
139 |
$5K |
| 59200 |
|
13 |
12 |
$5K |
| J8499 |
Oral prescrip drug non chemo |
925 |
600 |
$5K |
| 86255 |
|
1,087 |
969 |
$5K |
| 81329 |
|
48 |
48 |
$5K |
| 84311 |
|
770 |
761 |
$5K |
| 70543 |
|
15 |
15 |
$4K |
| 82105 |
|
482 |
435 |
$4K |
| A9503 |
Tc99m medronate |
1,257 |
1,160 |
$4K |
| 84146 |
|
309 |
295 |
$4K |
| G0439 |
Ppps, subseq visit |
227 |
219 |
$4K |
| J0461 |
Atropine sulfate injection |
1,295 |
739 |
$4K |
| 29888 |
|
15 |
13 |
$4K |
| 84156 |
|
2,097 |
1,782 |
$4K |
| 87661 |
|
724 |
669 |
$4K |
| C1758 |
Catheter, ureteral |
1,289 |
1,126 |
$4K |
| 85379 |
|
3,834 |
3,564 |
$4K |
| 77333 |
|
58 |
58 |
$4K |
| 77387 |
|
242 |
24 |
$4K |
| 83516 |
|
630 |
561 |
$4K |
| 76000 |
|
106 |
105 |
$4K |
| 87389 |
|
358 |
346 |
$4K |
| 77014 |
|
69 |
12 |
$4K |
| J3480 |
Inj potassium chloride |
1,638 |
1,160 |
$3K |
| C2625 |
Stent, non-cor, tem w/del sy |
49 |
40 |
$3K |
| 77012 |
|
40 |
38 |
$3K |
| 87324 |
|
111 |
104 |
$3K |
| 90834 |
|
111 |
58 |
$3K |
| 82272 |
|
620 |
601 |
$3K |
| 97010 |
|
494 |
185 |
$3K |
| 88312 |
|
367 |
341 |
$3K |
| 82805 |
|
1,096 |
951 |
$3K |
| S2900 |
Robotic surgical system |
123 |
81 |
$3K |
| J7297 |
Liletta, 52 mg |
37 |
34 |
$3K |
| J7307 |
Etonogestrel implant system |
31 |
29 |
$3K |
| 82533 |
|
467 |
374 |
$3K |
| 92553 |
|
42 |
40 |
$3K |
| 93325 |
|
12 |
12 |
$3K |
| 80164 |
|
458 |
393 |
$3K |
| J7613 |
Albuterol non-comp unit |
1,777 |
1,360 |
$3K |
| 86769 |
|
367 |
337 |
$3K |
| 87529 |
|
360 |
243 |
$3K |
| J0137 |
Inj, acetaminophen (hikma) |
2,432 |
2,069 |
$3K |
| 0052A |
|
87 |
82 |
$3K |
| 84550 |
|
1,877 |
1,515 |
$3K |
| 86708 |
|
281 |
276 |
$3K |
| 64447 |
|
22 |
17 |
$3K |
| 83986 |
|
827 |
816 |
$3K |
| 88331 |
|
134 |
127 |
$3K |
| U0005 |
Infec agen detec ampli probe |
6,869 |
5,893 |
$2K |
| 94660 |
|
107 |
85 |
$2K |
| 84481 |
|
444 |
413 |
$2K |
| M0245 |
Bamlan and etesev infusion |
16 |
16 |
$2K |
| 90732 |
|
208 |
208 |
$2K |
| 87206 |
|
459 |
396 |
$2K |
| 82977 |
|
833 |
755 |
$2K |
| 83010 |
|
271 |
238 |
$2K |
| M0247 |
Sotrovimab infusion |
32 |
29 |
$2K |
| 87102 |
|
408 |
383 |
$2K |
| 91320 |
|
32 |
32 |
$2K |
| 90658 |
|
182 |
179 |
$2K |
| 84165 |
|
535 |
461 |
$2K |
| 72192 |
|
12 |
12 |
$2K |
| 99205 |
Prolong outpt/office vis |
14 |
14 |
$2K |
| 82310 |
|
1,750 |
1,619 |
$2K |
| 93880 |
|
12 |
12 |
$2K |
| 82010 |
|
1,411 |
1,224 |
$2K |
| J0744 |
Ciprofloxacin iv |
282 |
262 |
$2K |
| 82565 |
|
876 |
826 |
$2K |
| 85384 |
|
236 |
194 |
$2K |
| 90792 |
|
100 |
95 |
$2K |
| 84402 |
|
101 |
91 |
$2K |
| J1630 |
Haloperidol injection |
2,964 |
2,434 |
$2K |
| J0330 |
Succinycholine chloride inj |
2,728 |
1,813 |
$2K |
| P9016 |
Rbc leukocytes reduced |
20 |
16 |
$2K |
| 82951 |
|
370 |
347 |
$2K |
| 86618 |
|
186 |
165 |
$2K |
| 0399T |
|
13 |
13 |
$2K |
| 90472 |
|
341 |
328 |
$2K |
| 92552 |
|
12 |
12 |
$2K |
| G8980 |
Mobility d/c status |
122 |
119 |
$2K |
| J1940 |
Furosemide injection |
1,273 |
826 |
$2K |
| 84425 |
|
145 |
133 |
$2K |
| 99211 |
|
57 |
56 |
$2K |
| J9060 |
Cisplatin 10 mg injection |
109 |
52 |
$1K |
| 92524 |
|
25 |
25 |
$1K |
| 86334 |
|
231 |
209 |
$1K |
| 76376 |
|
23 |
23 |
$1K |
| 87807 |
|
138 |
137 |
$1K |
| J2710 |
Neostigmine methylslfte inj |
4,012 |
2,805 |
$1K |
| 87086 |
|
752 |
673 |
$1K |
| OP271 |
|
3,103 |
2,969 |
$1K |
| 82378 |
|
173 |
145 |
$1K |
| J2790 |
Rho d immune globulin inj |
27 |
26 |
$1K |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
2,624 |
2,216 |
$1K |
| 36416 |
|
278 |
229 |
$1K |
| 82270 |
|
173 |
162 |
$1K |
| 38792 |
|
20 |
14 |
$1K |
| 0034A |
|
57 |
55 |
$1K |
| C9113 |
Inj pantoprazole sodium, via |
2,556 |
1,243 |
$1K |
| J2919 |
Inj, methylpred sod succ 5mg |
513 |
323 |
$1K |
| 87045 |
|
200 |
185 |
$1K |
| 64495 |
|
26 |
26 |
$997.43 |
| 99195 |
|
16 |
12 |
$993.85 |
| 84145 |
|
380 |
365 |
$978.77 |
| G0438 |
Ppps, initial visit |
91 |
89 |
$970.66 |
| 86430 |
|
841 |
762 |
$918.71 |
| 72190 |
|
25 |
24 |
$894.53 |
| 89051 |
|
452 |
393 |
$888.57 |
| 76604 |
|
29 |
26 |
$863.13 |
| 82040 |
|
1,050 |
910 |
$856.19 |
| 90739 |
|
26 |
26 |
$843.33 |
| 90670 |
|
38 |
38 |
$841.22 |
| 70355 |
|
110 |
106 |
$823.15 |
| 99385 |
|
12 |
12 |
$806.82 |
| 83001 |
|
79 |
72 |
$799.40 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
5,672 |
4,788 |
$783.37 |
| J7298 |
Mirena, 52 mg |
19 |
12 |
$759.04 |
| J0692 |
Cefepime hcl for injection |
370 |
181 |
$758.50 |
| 83521 |
|
196 |
122 |
$751.91 |
| 90480 |
|
32 |
32 |
$720.00 |
| J7042 |
5% dextrose/normal saline |
1,040 |
847 |
$702.89 |
| 76885 |
|
12 |
12 |
$694.53 |
| 86304 |
|
102 |
88 |
$693.17 |
| 87118 |
|
78 |
72 |
$657.54 |
| 0003A |
|
23 |
23 |
$657.08 |
| J1953 |
Levetiracetam injection |
219 |
171 |
$619.20 |
| 82945 |
|
104 |
94 |
$595.57 |
| J2310 |
Inj naloxone hydrochloride |
530 |
461 |
$574.85 |
| C1782 |
Morcellator |
41 |
25 |
$541.65 |
| 93888 |
|
12 |
12 |
$490.02 |
| J2765 |
Metoclopramide hcl injection |
1,614 |
1,276 |
$476.98 |
| 87899 |
|
111 |
90 |
$460.18 |
| 71101 |
|
12 |
12 |
$451.36 |
| 83921 |
|
44 |
38 |
$440.42 |
| 12013 |
|
16 |
14 |
$422.82 |
| 73140 |
|
26 |
25 |
$409.19 |
| 83993 |
|
27 |
26 |
$408.98 |
| J2785 |
Regadenoson injection |
13 |
13 |
$408.78 |
| 71100 |
|
27 |
27 |
$393.60 |
| 36593 |
|
12 |
12 |
$378.52 |
| A9500 |
Tc99m sestamibi |
58 |
54 |
$373.58 |
| 82140 |
|
172 |
147 |
$373.18 |
| 88333 |
|
62 |
51 |
$372.43 |
| J2272 |
Inj, morphine (fresenius) |
1,393 |
989 |
$359.65 |
| J2795 |
Ropivacaine hcl injection |
497 |
432 |
$352.21 |
| 87209 |
|
53 |
48 |
$327.65 |
| S0190 |
Mifepristone, oral, 200 mg |
31 |
27 |
$320.60 |
| 82150 |
|
136 |
118 |
$313.50 |
| 90791 |
|
26 |
24 |
$303.16 |
| 87517 |
|
12 |
12 |
$273.29 |
| C2617 |
Stent, non-cor, tem w/o del |
13 |
13 |
$272.85 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
1,580 |
643 |
$263.26 |
| J0689 |
Inj cefazolin sodium, baxter |
198 |
173 |
$262.95 |
| J9370 |
Vincristine sulfate 1 mg inj |
35 |
24 |
$262.29 |
| 83002 |
|
30 |
28 |
$256.51 |
| J0703 |
Inj, cefepime hcl (b braun) |
112 |
64 |
$248.18 |
| J1050 |
Medroxyprogesterone acetate |
446 |
385 |
$244.55 |
| 87563 |
|
102 |
99 |
$224.45 |
| 84157 |
|
158 |
140 |
$222.39 |
| J0134 |
Inj acetaminophen -fresenius |
450 |
344 |
$219.11 |
| G0103 |
Psa screening |
30 |
30 |
$214.64 |
| 87338 |
|
25 |
25 |
$212.85 |
| 90632 |
|
12 |
12 |
$208.09 |
| 86885 |
|
19 |
12 |
$187.67 |
| 86705 |
|
15 |
14 |
$178.40 |
| 87046 |
|
188 |
173 |
$172.54 |
| J0561 |
Penicillin g benzathine inj |
29 |
26 |
$160.46 |
| 87116 |
|
108 |
87 |
$149.86 |
| 80202 |
|
23 |
12 |
$144.00 |
| J0360 |
Hydralazine hcl injection |
298 |
227 |
$142.29 |
| J1817 |
Insulin for insulin pump use |
900 |
472 |
$136.51 |
| 85014 |
|
231 |
167 |
$133.36 |
| 82172 |
|
13 |
12 |
$129.42 |
| 86787 |
|
12 |
12 |
$123.48 |
| 87177 |
|
53 |
48 |
$111.75 |
| 29505 |
|
26 |
25 |
$104.40 |
| J2150 |
Mannitol injection |
58 |
28 |
$99.76 |
| J2920 |
Methylprednisolone injection |
254 |
141 |
$98.95 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
355 |
227 |
$98.56 |
| J2470 |
Inj pantoprazole sodium 40mg |
183 |
98 |
$90.02 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
686 |
538 |
$86.43 |
| 86376 |
|
13 |
13 |
$83.44 |
| 84460 |
|
57 |
55 |
$80.86 |
| 83519 |
|
13 |
12 |
$80.72 |
| J1580 |
Garamycin gentamicin inj |
121 |
91 |
$78.18 |
| 85041 |
|
123 |
83 |
$74.14 |
| J3250 |
Trimethobenzamide hcl inj |
20 |
12 |
$72.08 |
| 82274 |
|
28 |
28 |
$71.00 |
| 80177 |
|
31 |
27 |
$65.72 |
| J0741 |
Inj, cabote rilpivir 2mg 3mg |
182 |
150 |
$64.85 |
| 86880 |
|
25 |
13 |
$61.50 |
| 84300 |
|
29 |
24 |
$58.43 |
| 89060 |
|
14 |
12 |
$55.66 |
| 90656 |
|
19 |
18 |
$55.39 |
| 82657 |
|
23 |
14 |
$51.60 |
| 86593 |
|
17 |
14 |
$51.38 |
| J7510 |
Prednisolone oral per 5 mg |
495 |
445 |
$48.95 |
| 90756 |
|
16 |
16 |
$48.60 |
| 92522 |
|
12 |
12 |
$48.17 |
| J1836 |
Inj, metronidazole, 10 mg |
206 |
140 |
$43.03 |
| J1956 |
Levofloxacin injection |
44 |
38 |
$37.62 |
| A4216 |
Sterile water/saline, 10 ml |
106 |
102 |
$37.19 |
| J3411 |
Thiamine hcl 100 mg |
120 |
71 |
$31.05 |
| 82435 |
|
341 |
256 |
$27.36 |
| 82947 |
|
200 |
161 |
$27.10 |
| 81002 |
|
35 |
35 |
$26.75 |
| A4649 |
Surgical supplies |
22 |
17 |
$25.81 |
| J1643 |
Inj heparin, pfizer, 1000u |
461 |
146 |
$18.47 |
| Q0164 |
Prochlorperazine maleate 5mg |
32 |
24 |
$16.00 |
| J1920 |
Inj, labetalol hcl, 5mg |
232 |
167 |
$15.14 |
| 89050 |
|
37 |
28 |
$9.62 |
| 82962 |
|
18 |
16 |
$7.80 |
| 86308 |
|
12 |
12 |
$7.60 |
| G0123 |
Screen cerv/vag thin layer |
12 |
12 |
$7.47 |
| 91312 |
|
367 |
340 |
$4.00 |
| 91305 |
|
582 |
532 |
$2.00 |
| 91303 |
|
817 |
811 |
$1.00 |
| 91307 |
|
328 |
314 |
$0.01 |
| J0737 |
Inj, clindamycin (baxter) |
14 |
12 |
$0.00 |
| 90611 |
|
96 |
63 |
$0.00 |
| D9230 |
|
16 |
15 |
$0.00 |
| 64634 |
|
15 |
13 |
$0.00 |
| 91313 |
|
299 |
278 |
$0.00 |
| J0585 |
Injection,onabotulinumtoxina |
35 |
24 |
$0.00 |
| 94664 |
|
64 |
60 |
$0.00 |
| 91300 |
|
2,644 |
2,457 |
$0.00 |
| Q0245 |
Bamlanivimab and etesevima |
20 |
20 |
$0.00 |
| J0184 |
Inj, amisulpride, 1 mg |
12 |
12 |
$0.00 |
| 38525 |
|
21 |
15 |
$0.00 |
| 91306 |
|
687 |
666 |
$0.00 |
| 91301 |
|
2,337 |
2,303 |
$0.00 |
| Q0222 |
Bebtelovimab 175 mg |
44 |
41 |
$0.00 |
| 90935 |
|
21 |
13 |
$0.00 |
| Q9992 |
Buprenorphine xr over 100 mg |
15 |
15 |
$0.00 |
| OP637 |
|
345 |
187 |
$0.00 |
| Q9968 |
Visualization adjunct |
16 |
13 |
$0.00 |
| Q0247 |
Sotrovimab |
29 |
27 |
$0.00 |