| Code | Description | Claims | Beneficiaries | Total Paid |
| G0378 |
Hospital observation per hr |
16,631 |
14,169 |
$15.40M |
| 99283 |
|
40,302 |
37,375 |
$14.99M |
| 99284 |
|
28,868 |
26,451 |
$11.74M |
| T2034 |
Crisis interven waiver/diem |
8,618 |
7,644 |
$7.39M |
| 99285 |
|
16,830 |
15,185 |
$7.06M |
| 41899 |
|
2,067 |
2,025 |
$5.04M |
| OP250 |
|
95,214 |
53,803 |
$3.98M |
| S9480 |
Intensive outpatient psychia |
3,837 |
3,510 |
$3.06M |
| 99282 |
|
8,815 |
8,389 |
$2.29M |
| 96413 |
|
4,331 |
2,439 |
$2.06M |
| H0035 |
Mh partial hosp tx under 24h |
9,286 |
941 |
$1.76M |
| 80053 |
|
51,719 |
41,759 |
$1.58M |
| 93306 |
|
1,772 |
1,720 |
$1.55M |
| 43239 |
|
825 |
753 |
$1.49M |
| 77067 |
|
7,422 |
7,350 |
$921K |
| 76819 |
|
3,505 |
2,683 |
$898K |
| OP370 |
|
9,720 |
9,179 |
$891K |
| 96365 |
|
5,598 |
3,908 |
$871K |
| 96367 |
|
2,804 |
1,378 |
$861K |
| 96361 |
|
14,325 |
11,550 |
$737K |
| 71046 |
|
11,194 |
10,739 |
$732K |
| 99213 |
|
7,758 |
6,769 |
$653K |
| 90834 |
|
11,641 |
7,229 |
$636K |
| G0463 |
Hospital outpt clinic visit |
18,062 |
14,020 |
$561K |
| 74177 |
|
3,199 |
3,059 |
$549K |
| 99211 |
|
9,773 |
8,786 |
$506K |
| 76811 |
|
1,766 |
1,749 |
$501K |
| 85025 |
|
56,927 |
45,175 |
$480K |
| OP710 |
|
10,016 |
9,400 |
$476K |
| 96375 |
|
12,735 |
9,943 |
$473K |
| 76817 |
|
2,678 |
2,503 |
$470K |
| 96372 |
|
12,623 |
10,146 |
$458K |
| 90837 |
|
6,213 |
3,324 |
$439K |
| 90791 |
|
5,523 |
4,826 |
$435K |
| 76642 |
|
2,594 |
2,532 |
$425K |
| 93017 |
|
818 |
796 |
$422K |
| 76816 |
|
3,535 |
3,171 |
$377K |
| 71045 |
|
6,656 |
6,139 |
$375K |
| 96374 |
|
19,114 |
16,451 |
$371K |
| 87636 |
|
16,206 |
15,110 |
$369K |
| 77063 |
|
5,958 |
5,881 |
$366K |
| 36415 |
|
62,072 |
50,770 |
$365K |
| 76705 |
|
2,961 |
2,840 |
$345K |
| 95714 |
|
162 |
98 |
$321K |
| 93005 |
|
15,536 |
13,903 |
$319K |
| 70450 |
|
4,807 |
4,455 |
$314K |
| J2426 |
Inj, invega sustenna, 1 mg |
498 |
449 |
$308K |
| 76700 |
|
2,250 |
2,195 |
$306K |
| 70553 |
|
308 |
297 |
$303K |
| 96360 |
|
5,416 |
4,969 |
$299K |
| OP272 |
|
11,788 |
10,909 |
$294K |
| 99203 |
|
2,840 |
2,557 |
$289K |
| U0004 |
Cov-19 test non-cdc hgh thru |
5,549 |
4,329 |
$285K |
| 76856 |
|
2,441 |
2,366 |
$285K |
| 76830 |
|
2,241 |
2,155 |
$249K |
| 99214 |
|
2,926 |
2,616 |
$235K |
| 90853 |
|
4,442 |
1,400 |
$234K |
| 93975 |
|
630 |
608 |
$225K |
| G0379 |
Direct refer hospital observ |
4,569 |
3,986 |
$217K |
| 76820 |
|
1,128 |
791 |
$202K |
| 77066 |
Tomosynthesis, mammo |
1,170 |
1,148 |
$199K |
| 88305 |
|
3,808 |
3,594 |
$180K |
| 90832 |
|
3,105 |
2,061 |
$180K |
| 95700 |
|
971 |
925 |
$179K |
| 78452 |
|
418 |
408 |
$177K |
| 77065 |
Tomosynthesis, mammo |
1,642 |
1,493 |
$174K |
| OP258 |
|
37,005 |
25,744 |
$173K |
| 76770 |
|
1,203 |
1,178 |
$170K |
| 87086 |
|
11,839 |
11,156 |
$166K |
| 86850 |
|
6,888 |
6,004 |
$163K |
| 0202U |
|
1,070 |
1,033 |
$159K |
| 80061 |
|
6,507 |
6,301 |
$157K |
| 73560 |
|
2,715 |
2,532 |
$156K |
| 70551 |
|
285 |
276 |
$156K |
| 74176 |
|
1,393 |
1,311 |
$154K |
| 76536 |
|
947 |
920 |
$149K |
| 87633 |
|
1,710 |
1,690 |
$143K |
| 73110 |
|
1,873 |
1,671 |
$137K |
| G0279 |
Tomosynthesis, mammo |
2,341 |
2,233 |
$135K |
| 96417 |
|
416 |
266 |
$134K |
| 73630 |
|
2,302 |
2,190 |
$133K |
| 73130 |
|
2,224 |
2,016 |
$131K |
| 87651 |
|
3,712 |
3,468 |
$129K |
| 77080 |
|
876 |
861 |
$128K |
| J0401 |
Inj, abilify maintena, 1 mg |
277 |
265 |
$127K |
| 84443 |
|
7,689 |
7,053 |
$124K |
| 87081 |
|
6,068 |
5,929 |
$123K |
| 87635 |
|
3,100 |
2,562 |
$122K |
| 93971 |
|
868 |
798 |
$119K |
| 82962 |
|
13,717 |
9,915 |
$118K |
| 81001 |
|
17,373 |
16,218 |
$118K |
| 76813 |
|
917 |
911 |
$117K |
| 72148 |
|
226 |
218 |
$114K |
| 97802 |
|
936 |
888 |
$113K |
| 96415 |
|
329 |
239 |
$113K |
| 76805 |
|
613 |
603 |
$112K |
| 73030 |
|
1,735 |
1,647 |
$112K |
| 73610 |
|
2,370 |
2,201 |
$110K |
| 90792 |
|
1,383 |
1,267 |
$107K |
| 82306 |
|
3,363 |
3,234 |
$105K |
| 72110 |
|
842 |
821 |
$104K |
| 99202 |
|
1,547 |
1,456 |
$100K |
| 59820 |
|
39 |
36 |
$89K |
| 71250 |
|
505 |
486 |
$88K |
| 80307 |
|
3,851 |
3,528 |
$86K |
| 87491 |
|
2,057 |
2,013 |
$83K |
| 71260 |
|
336 |
313 |
$81K |
| 93970 |
|
325 |
306 |
$78K |
| 95708 |
|
80 |
58 |
$77K |
| 95810 |
|
26 |
26 |
$74K |
| 95713 |
|
73 |
71 |
$72K |
| 76641 |
|
285 |
267 |
$71K |
| 80048 |
|
5,422 |
4,702 |
$70K |
| U0005 |
Infec agen detec ampli probe |
3,603 |
3,341 |
$69K |
| 87040 |
|
5,753 |
5,434 |
$68K |
| 83036 |
|
6,007 |
5,730 |
$66K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
170 |
145 |
$63K |
| Q3014 |
Telehealth facility fee |
5,017 |
3,236 |
$61K |
| 99212 |
|
961 |
795 |
$59K |
| U0003 |
Cov-19 amp prb hgh thruput |
805 |
783 |
$58K |
| 72100 |
|
1,353 |
1,299 |
$56K |
| 95800 |
|
65 |
65 |
$54K |
| C1776 |
Joint device (implantable) |
12 |
12 |
$53K |
| 73590 |
|
672 |
601 |
$53K |
| 74022 |
|
895 |
853 |
$52K |
| 86900 |
|
7,006 |
6,196 |
$52K |
| 83655 |
|
1,367 |
1,351 |
$51K |
| 94640 |
|
2,053 |
1,563 |
$49K |
| 87804 |
|
2,807 |
2,750 |
$49K |
| 10060 |
|
55 |
54 |
$47K |
| 85027 |
|
8,830 |
7,563 |
$44K |
| J1100 |
Dexamethasone sodium phos |
8,837 |
7,513 |
$44K |
| 84439 |
|
3,043 |
2,866 |
$43K |
| 99205 |
Prolong outpt/office vis |
252 |
225 |
$41K |
| 87070 |
|
1,840 |
1,769 |
$40K |
| 82542 |
|
1,312 |
1,253 |
$39K |
| 87591 |
|
2,057 |
2,013 |
$39K |
| 87807 |
|
1,737 |
1,688 |
$38K |
| G0480 |
Drug test def 1-7 classes |
2,454 |
2,127 |
$38K |
| 76801 |
|
519 |
490 |
$37K |
| 73080 |
|
765 |
679 |
$36K |
| 71275 |
|
266 |
244 |
$36K |
| 72050 |
|
332 |
326 |
$35K |
| A9270 |
Non-covered item or service |
13,108 |
5,752 |
$35K |
| 83880 |
|
3,686 |
2,963 |
$34K |
| 96376 |
|
4,024 |
2,470 |
$34K |
| 84484 |
|
8,041 |
6,578 |
$33K |
| A9500 |
Tc99m sestamibi |
370 |
361 |
$32K |
| 73502 |
|
977 |
913 |
$32K |
| G0108 |
Diab manage trn per indiv |
201 |
177 |
$32K |
| 82728 |
|
1,929 |
1,774 |
$31K |
| 81003 |
|
9,132 |
8,753 |
$31K |
| 73090 |
|
515 |
441 |
$30K |
| 90833 |
|
552 |
405 |
$30K |
| 85610 |
|
6,879 |
6,062 |
$30K |
| 74018 |
|
622 |
596 |
$29K |
| 99204 |
|
218 |
218 |
$29K |
| J0131 |
Inj, acetaminophen (nos) |
10,235 |
8,537 |
$29K |
| 99281 |
|
124 |
117 |
$29K |
| 87798 |
|
1,197 |
1,186 |
$28K |
| 97803 |
|
346 |
333 |
$27K |
| 86901 |
|
7,161 |
6,260 |
$27K |
| 87880 |
|
4,553 |
4,467 |
$26K |
| OP278 |
|
124 |
117 |
$26K |
| 99215 |
Prolong outpt/office vis |
285 |
278 |
$26K |
| 0241U |
|
468 |
447 |
$25K |
| 92587 |
|
113 |
113 |
$25K |
| 59025 |
|
117 |
81 |
$24K |
| 96366 |
|
242 |
193 |
$24K |
| 83735 |
|
6,295 |
4,718 |
$24K |
| 85007 |
|
5,178 |
4,256 |
$23K |
| 73562 |
|
314 |
293 |
$22K |
| 45380 |
|
48 |
44 |
$22K |
| 36430 |
|
55 |
38 |
$22K |
| 85730 |
|
5,834 |
5,335 |
$20K |
| 86703 |
|
896 |
885 |
$20K |
| 20610 |
|
30 |
25 |
$20K |
| J2704 |
Inj, propofol, 10 mg |
7,969 |
7,059 |
$19K |
| 76870 |
|
161 |
157 |
$19K |
| J2405 |
Ondansetron hcl injection |
11,084 |
9,414 |
$17K |
| C8929 |
Tte w or wo fol wcon,doppler |
30 |
26 |
$17K |
| 86592 |
|
1,096 |
1,063 |
$17K |
| 83690 |
|
8,841 |
8,065 |
$16K |
| 76815 |
|
107 |
101 |
$16K |
| 82248 |
|
4,377 |
3,191 |
$15K |
| 81025 |
|
2,947 |
2,685 |
$15K |
| 77336 |
|
82 |
38 |
$15K |
| J1756 |
Iron sucrose injection |
376 |
136 |
$14K |
| 93351 |
|
12 |
12 |
$13K |
| 86141 |
|
1,542 |
1,429 |
$13K |
| 12001 |
|
169 |
164 |
$13K |
| 36591 |
|
164 |
128 |
$13K |
| 82247 |
|
1,004 |
761 |
$13K |
| J1642 |
Inj heparin sodium per 10 u |
1,254 |
681 |
$13K |
| J3010 |
Fentanyl citrate injection |
7,221 |
6,664 |
$12K |
| 82607 |
|
1,029 |
963 |
$12K |
| 83550 |
|
1,399 |
1,291 |
$12K |
| 84702 |
|
1,807 |
1,581 |
$11K |
| G0270 |
Mnt subs tx for change dx |
83 |
82 |
$11K |
| 73721 |
|
15 |
14 |
$11K |
| 76937 |
|
57 |
49 |
$11K |
| 97166 |
|
186 |
186 |
$11K |
| 86140 |
|
7,193 |
6,640 |
$11K |
| J2469 |
Palonosetron hcl |
148 |
78 |
$10K |
| 83540 |
|
1,465 |
1,352 |
$10K |
| J2250 |
Inj midazolam hydrochloride |
4,532 |
4,115 |
$10K |
| 74183 |
|
12 |
12 |
$10K |
| 87186 |
|
1,218 |
1,128 |
$10K |
| 72125 |
|
182 |
154 |
$10K |
| 83021 |
|
414 |
404 |
$10K |
| 84156 |
|
1,543 |
1,317 |
$9K |
| J0696 |
Ceftriaxone sodium injection |
1,182 |
940 |
$9K |
| 82951 |
|
302 |
278 |
$9K |
| 0001A |
|
243 |
243 |
$9K |
| 83605 |
|
1,458 |
1,320 |
$9K |
| 87088 |
|
1,897 |
1,797 |
$9K |
| 86803 |
|
472 |
472 |
$9K |
| J1885 |
Ketorolac tromethamine inj |
9,976 |
8,691 |
$9K |
| J1650 |
Inj enoxaparin sodium |
594 |
301 |
$8K |
| J2270 |
Morphine sulfate injection |
2,461 |
1,850 |
$8K |
| J2785 |
Regadenoson injection |
62 |
61 |
$8K |
| 0002A |
|
213 |
213 |
$8K |
| 90471 |
|
1,043 |
939 |
$8K |
| 99201 |
|
151 |
140 |
$8K |
| 87486 |
|
1,193 |
1,182 |
$7K |
| 82731 |
|
30 |
30 |
$7K |
| G0008 |
Admin influenza virus vac |
431 |
404 |
$7K |
| C9290 |
Inj, bupivacaine liposome |
177 |
153 |
$7K |
| 82043 |
|
552 |
527 |
$7K |
| 87077 |
|
1,650 |
1,552 |
$7K |
| 82570 |
|
1,756 |
1,525 |
$6K |
| 85651 |
|
2,746 |
2,554 |
$6K |
| 85044 |
|
1,665 |
1,329 |
$6K |
| 84460 |
|
257 |
244 |
$6K |
| 76821 |
|
37 |
27 |
$6K |
| 87581 |
|
1,193 |
1,182 |
$6K |
| 73140 |
|
98 |
89 |
$6K |
| 83615 |
|
1,475 |
1,166 |
$6K |
| 12011 |
|
53 |
50 |
$6K |
| 97162 |
|
108 |
108 |
$6K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
1,083 |
1,004 |
$6K |
| 85045 |
|
1,850 |
1,158 |
$5K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,513 |
2,266 |
$5K |
| J2791 |
Rhophylac injection |
27 |
27 |
$5K |
| 82150 |
|
2,609 |
2,464 |
$5K |
| 88304 |
|
773 |
743 |
$5K |
| 88312 |
|
392 |
353 |
$4K |
| 87426 |
|
66 |
55 |
$4K |
| 88313 |
|
184 |
168 |
$4K |
| 76882 |
|
29 |
28 |
$4K |
| J2060 |
Lorazepam injection |
890 |
766 |
$4K |
| 89230 |
|
105 |
86 |
$4K |
| 84100 |
|
2,165 |
1,760 |
$4K |
| M0222 |
Bebtelovimab injection |
131 |
119 |
$4K |
| 96401 |
|
31 |
25 |
$4K |
| 84436 |
|
415 |
396 |
$4K |
| 90686 |
|
190 |
180 |
$4K |
| 84480 |
|
329 |
273 |
$4K |
| 80320 |
|
559 |
515 |
$3K |
| 86480 |
|
68 |
68 |
$3K |
| 82550 |
|
1,140 |
1,040 |
$3K |
| 84550 |
|
643 |
578 |
$3K |
| J1170 |
Hydromorphone injection |
2,410 |
1,301 |
$3K |
| 82950 |
|
147 |
141 |
$3K |
| A9577 |
Inj multihance |
202 |
188 |
$3K |
| 88342 |
|
176 |
163 |
$3K |
| C7901 |
Hopd mntl hlt, 30-60 min |
296 |
170 |
$3K |
| 87147 |
|
435 |
427 |
$3K |
| Q0222 |
Bebtelovimab 175 mg |
121 |
108 |
$3K |
| 82746 |
|
227 |
209 |
$3K |
| 86664 |
|
92 |
90 |
$3K |
| J2765 |
Metoclopramide hcl injection |
1,422 |
1,244 |
$3K |
| J0690 |
Cefazolin sodium injection |
1,556 |
1,057 |
$3K |
| 84145 |
|
235 |
218 |
$3K |
| Q9957 |
Inj perflutren lip micros,ml |
110 |
95 |
$3K |
| 87205 |
|
1,749 |
1,672 |
$3K |
| Q0247 |
Sotrovimab |
17 |
13 |
$3K |
| OP255 |
|
949 |
793 |
$3K |
| 92579 |
|
14 |
14 |
$2K |
| 73700 |
|
13 |
13 |
$2K |
| 80055 |
|
40 |
40 |
$2K |
| 29125 |
|
167 |
165 |
$2K |
| 74019 |
|
39 |
39 |
$2K |
| 70360 |
|
36 |
33 |
$2K |
| 80074 |
|
100 |
92 |
$2K |
| 87624 |
|
16 |
16 |
$2K |
| 90715 |
|
519 |
487 |
$2K |
| C1769 |
Guide wire |
246 |
202 |
$2K |
| 85014 |
|
417 |
388 |
$2K |
| 0004A |
|
52 |
52 |
$2K |
| 87637 |
|
17 |
17 |
$2K |
| 87430 |
|
94 |
94 |
$2K |
| 96368 |
|
24 |
12 |
$2K |
| J1940 |
Furosemide injection |
493 |
283 |
$2K |
| OP270 |
|
815 |
815 |
$2K |
| C1894 |
Intro/sheath, non-laser |
153 |
126 |
$2K |
| 84153 |
|
102 |
91 |
$2K |
| 92555 |
|
13 |
13 |
$2K |
| J1644 |
Inj heparin sodium per 1000u |
212 |
123 |
$2K |
| 86920 |
|
14 |
13 |
$1K |
| 85652 |
|
670 |
608 |
$1K |
| 73060 |
|
25 |
25 |
$1K |
| 85378 |
|
1,020 |
971 |
$1K |
| M0245 |
Bamlan and etesev infusion |
38 |
38 |
$1K |
| 86617 |
|
73 |
73 |
$1K |
| 97161 |
|
77 |
64 |
$1K |
| 85018 |
|
356 |
343 |
$1K |
| OP637 |
|
1,175 |
656 |
$1K |
| 73552 |
|
28 |
26 |
$1K |
| 0054A |
|
35 |
35 |
$1K |
| J2795 |
Ropivacaine hcl injection |
697 |
621 |
$1K |
| 87389 |
|
44 |
41 |
$1K |
| 29515 |
|
153 |
150 |
$1K |
| 73070 |
|
28 |
26 |
$1K |
| A9579 |
Gad-base mr contrast nos,1ml |
104 |
102 |
$970.24 |
| 87046 |
|
85 |
79 |
$964.19 |
| 86308 |
|
178 |
173 |
$933.49 |
| J1200 |
Diphenhydramine hcl injectio |
2,313 |
1,371 |
$898.32 |
| 85041 |
|
273 |
264 |
$845.33 |
| 86665 |
|
92 |
90 |
$783.27 |
| 82784 |
|
27 |
25 |
$770.71 |
| M0244 |
Casirivi and imdevi inj hm |
13 |
13 |
$750.00 |
| 82947 |
|
334 |
307 |
$748.01 |
| 90662 |
|
49 |
48 |
$709.58 |
| 87045 |
|
70 |
67 |
$705.28 |
| 73522 |
|
12 |
12 |
$697.12 |
| 87075 |
|
196 |
185 |
$653.36 |
| J1815 |
Insulin injection |
329 |
210 |
$641.34 |
| 0064A |
|
18 |
18 |
$640.00 |
| 75571 |
|
93 |
86 |
$619.24 |
| J0134 |
Inj acetaminophen -fresenius |
725 |
663 |
$611.44 |
| J0702 |
Betamethasone acet&sod phosp |
38 |
34 |
$604.26 |
| 85380 |
|
206 |
188 |
$594.26 |
| C7900 |
Hopd mntl hlt, 15-29 min |
217 |
148 |
$513.60 |
| 0011A |
|
15 |
15 |
$489.53 |
| 0072A |
|
12 |
12 |
$480.00 |
| 0071A |
|
12 |
12 |
$480.00 |
| 82105 |
|
12 |
12 |
$469.54 |
| J7613 |
Albuterol non-comp unit |
618 |
531 |
$463.62 |
| 82565 |
|
386 |
361 |
$459.61 |
| 88341 |
|
12 |
12 |
$442.84 |
| G0382 |
Lev 3 hosp type b ed visit |
13 |
12 |
$404.98 |
| 82310 |
|
338 |
316 |
$377.80 |
| 82378 |
|
29 |
19 |
$341.36 |
| 87661 |
|
12 |
12 |
$336.84 |
| 84295 |
|
286 |
268 |
$331.64 |
| M0239 |
Bamlanivimab-xxxx infusion |
30 |
29 |
$314.37 |
| 85008 |
|
603 |
560 |
$295.42 |
| 87400 |
|
75 |
75 |
$277.28 |
| J3535 |
Metered dose inhaler drug |
397 |
306 |
$277.05 |
| 88185 |
|
13 |
12 |
$269.51 |
| J7510 |
Prednisolone oral per 5 mg |
404 |
351 |
$259.14 |
| 84520 |
|
294 |
277 |
$253.92 |
| 82374 |
|
284 |
266 |
$237.59 |
| 84075 |
|
209 |
198 |
$232.24 |
| J2930 |
Methylprednisolone injection |
234 |
216 |
$231.85 |
| M0247 |
Sotrovimab infusion |
18 |
14 |
$222.32 |
| 82435 |
|
284 |
266 |
$221.59 |
| 88302 |
|
38 |
38 |
$210.40 |
| J3360 |
Diazepam injection |
124 |
99 |
$207.93 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
464 |
422 |
$191.79 |
| 84450 |
|
237 |
225 |
$190.58 |
| 80179 |
|
82 |
73 |
$177.20 |
| J7512 |
Prednisone ir or dr oral 1mg |
837 |
700 |
$151.71 |
| 87493 |
|
39 |
39 |
$150.99 |
| 84155 |
|
264 |
249 |
$129.66 |
| 82040 |
|
221 |
210 |
$128.16 |
| J1630 |
Haloperidol injection |
106 |
89 |
$113.27 |
| 80143 |
|
29 |
24 |
$95.19 |
| 86431 |
|
13 |
12 |
$92.34 |
| 82438 |
|
62 |
61 |
$85.31 |
| 87340 |
|
39 |
39 |
$83.79 |
| 84703 |
|
95 |
94 |
$72.01 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
139 |
128 |
$68.40 |
| 88300 |
|
12 |
12 |
$57.53 |
| J0136 |
Inj, acetaminophen (b braun) |
39 |
33 |
$52.22 |
| 90656 |
|
14 |
14 |
$49.42 |
| J3370 |
Vancomycin hcl injection |
17 |
12 |
$46.88 |
| 84481 |
|
15 |
15 |
$45.00 |
| 82010 |
|
28 |
26 |
$44.76 |
| J0137 |
Inj, acetaminophen (hikma) |
41 |
37 |
$32.44 |
| J2919 |
Inj, methylpred sod succ 5mg |
81 |
70 |
$29.05 |
| J3475 |
Inj magnesium sulfate |
51 |
29 |
$22.13 |
| 82274 |
|
67 |
66 |
$15.92 |
| G0432 |
Eia hiv-1/hiv-2 screen |
12 |
12 |
$15.66 |
| Q0245 |
Bamlanivimab and etesevima |
32 |
32 |
$14.00 |
| J2370 |
Phenylephrine hcl injection |
71 |
56 |
$13.28 |
| J0689 |
Inj cefazolin sodium, baxter |
19 |
15 |
$12.49 |
| 87427 |
|
56 |
53 |
$12.18 |
| 87899 |
|
56 |
53 |
$12.00 |
| J0780 |
Prochlorperazine injection |
12 |
12 |
$6.60 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
55 |
47 |
$5.21 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
35 |
30 |
$4.16 |
| 91300 |
|
173 |
157 |
$3.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
115 |
98 |
$2.00 |
| Q0239 |
Bamlanivimab-xxxx |
12 |
12 |
$1.00 |
| J0688 |
Inj cefazolin sodium, hikma |
31 |
30 |
$0.03 |
| 84132 |
|
29 |
25 |
$0.00 |
| 72040 |
|
14 |
12 |
$0.00 |
| 97165 |
|
13 |
12 |
$0.00 |
| 91301 |
|
13 |
13 |
$0.00 |
| 80329 |
|
13 |
12 |
$0.00 |
| 91305 |
|
16 |
16 |
$0.00 |
| J1643 |
Inj heparin, pfizer, 1000u |
56 |
43 |
$0.00 |
| 71100 |
|
13 |
12 |
$0.00 |