| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
72,852 |
70,302 |
$9.81M |
| T1015 |
Clinic service |
117,147 |
92,226 |
$6.63M |
| U0003 |
Cov-19 amp prb hgh thruput |
48,717 |
46,790 |
$4.31M |
| G0378 |
Hospital observation per hr |
3,844 |
3,572 |
$3.76M |
| 99283 |
|
32,425 |
31,569 |
$3.12M |
| 90834 |
|
37,963 |
22,028 |
$2.40M |
| 99285 |
|
14,058 |
13,189 |
$2.36M |
| 87631 |
|
13,573 |
13,334 |
$1.96M |
| X0621 |
|
6,150 |
3,677 |
$1.38M |
| 99391 |
|
7,920 |
7,227 |
$791K |
| 99215 |
Prolong outpt/office vis |
10,601 |
8,012 |
$715K |
| 99392 |
|
6,622 |
6,579 |
$692K |
| J9271 |
Inj pembrolizumab |
223 |
181 |
$631K |
| 74177 |
|
4,045 |
3,920 |
$617K |
| 80307 |
|
9,490 |
8,822 |
$539K |
| 99211 |
|
18,108 |
16,373 |
$502K |
| 87491 |
|
17,640 |
17,256 |
$502K |
| 99393 |
|
4,406 |
4,373 |
$468K |
| 85025 |
|
91,132 |
81,030 |
$466K |
| 80053 |
|
43,689 |
39,115 |
$457K |
| 76816 |
|
7,088 |
6,723 |
$323K |
| 87591 |
|
15,560 |
15,200 |
$313K |
| 96413 |
|
3,183 |
2,154 |
$309K |
| 96374 |
|
10,537 |
10,059 |
$305K |
| 99213 |
|
17,296 |
16,477 |
$304K |
| 71046 |
|
19,926 |
19,151 |
$303K |
| 93005 |
|
33,040 |
29,657 |
$297K |
| 94640 |
|
3,305 |
2,653 |
$277K |
| 87536 |
|
2,465 |
2,423 |
$276K |
| G9012 |
Other specified case mgmt |
1,200 |
1,171 |
$262K |
| 87481 |
|
3,853 |
2,639 |
$260K |
| 70450 |
|
4,380 |
4,191 |
$259K |
| 96365 |
|
8,132 |
6,082 |
$259K |
| 80050 |
|
4,891 |
4,745 |
$247K |
| 95811 |
|
477 |
449 |
$244K |
| 99394 |
|
2,361 |
2,325 |
$243K |
| 90832 |
|
6,346 |
4,630 |
$230K |
| 95810 |
|
828 |
796 |
$230K |
| 99214 |
|
6,650 |
6,237 |
$227K |
| 80048 |
|
24,296 |
22,121 |
$211K |
| 80061 |
|
14,322 |
13,897 |
$203K |
| 71275 |
|
1,136 |
1,091 |
$198K |
| 82306 |
|
4,780 |
4,689 |
$179K |
| G0480 |
Drug test def 1-7 classes |
3,023 |
2,772 |
$176K |
| 87086 |
|
21,317 |
20,133 |
$172K |
| 76811 |
|
1,654 |
1,632 |
$167K |
| 77067 |
|
1,863 |
1,825 |
$163K |
| 84443 |
|
7,673 |
7,365 |
$161K |
| 87624 |
|
3,835 |
3,775 |
$155K |
| 99282 |
|
4,081 |
3,613 |
$151K |
| 90792 |
|
681 |
637 |
$138K |
| 86360 |
|
2,173 |
2,136 |
$137K |
| 96372 |
|
11,630 |
9,101 |
$133K |
| 87389 |
|
4,659 |
4,554 |
$132K |
| 96375 |
|
7,860 |
6,218 |
$132K |
| J7298 |
Mirena, 52 mg |
432 |
422 |
$131K |
| 70553 |
|
576 |
565 |
$127K |
| 88175 |
|
3,928 |
3,846 |
$127K |
| J7307 |
Etonogestrel implant system |
439 |
439 |
$120K |
| 84484 |
|
15,742 |
13,471 |
$119K |
| 86780 |
|
7,471 |
7,287 |
$119K |
| 93306 |
|
1,671 |
1,627 |
$114K |
| 93975 |
|
977 |
934 |
$110K |
| 90853 |
|
2,979 |
1,232 |
$109K |
| 62323 |
|
344 |
339 |
$107K |
| 76817 |
|
1,822 |
1,613 |
$107K |
| 87661 |
|
4,927 |
4,827 |
$106K |
| 86359 |
|
2,174 |
2,138 |
$103K |
| 78815 |
|
128 |
126 |
$101K |
| 87651 |
|
5,344 |
5,269 |
$99K |
| G0008 |
Admin influenza virus vac |
12,549 |
12,323 |
$97K |
| 87480 |
|
3,945 |
3,816 |
$96K |
| 76830 |
|
2,020 |
1,961 |
$96K |
| 36415 |
|
17,558 |
15,285 |
$92K |
| 43239 |
|
501 |
488 |
$91K |
| 96361 |
|
7,438 |
6,296 |
$90K |
| 74176 |
|
1,130 |
1,086 |
$90K |
| 82248 |
|
15,443 |
14,534 |
$89K |
| 84702 |
|
5,021 |
4,176 |
$86K |
| 83735 |
|
15,978 |
13,541 |
$86K |
| 87660 |
|
3,565 |
3,458 |
$85K |
| 81003 |
|
26,588 |
22,354 |
$85K |
| J1750 |
Inj iron dextran |
3,634 |
2,326 |
$82K |
| Q5108 |
Injection, fulphila |
91 |
57 |
$81K |
| 72125 |
|
1,405 |
1,341 |
$80K |
| 82728 |
|
6,791 |
6,510 |
$79K |
| 81001 |
|
26,691 |
25,190 |
$78K |
| 83970 |
|
1,754 |
1,722 |
$76K |
| 0241U |
|
1,446 |
1,429 |
$74K |
| 86803 |
|
3,706 |
3,603 |
$72K |
| 87150 |
|
1,557 |
1,523 |
$70K |
| 71260 |
|
1,110 |
1,082 |
$69K |
| T1001 |
Nursing assessment/evaluatn |
1,002 |
995 |
$69K |
| 83036 |
|
10,172 |
9,904 |
$67K |
| 88305 |
|
3,463 |
3,244 |
$65K |
| 99188 |
|
3,336 |
3,318 |
$65K |
| 90847 |
|
1,273 |
989 |
$64K |
| 70551 |
|
307 |
301 |
$64K |
| 76700 |
|
1,159 |
1,131 |
$63K |
| J7030 |
Normal saline solution infus |
22,397 |
19,067 |
$62K |
| 87510 |
|
3,633 |
3,518 |
$62K |
| 77066 |
Tomosynthesis, mammo |
706 |
690 |
$62K |
| 81513 |
|
947 |
942 |
$60K |
| 72148 |
|
390 |
380 |
$57K |
| 93971 |
|
948 |
871 |
$54K |
| 82607 |
|
4,372 |
4,292 |
$54K |
| H0039 |
Asser com tx face-face/15min |
514 |
128 |
$53K |
| 81025 |
|
13,323 |
12,787 |
$51K |
| 76705 |
|
1,443 |
1,413 |
$51K |
| J1745 |
Infliximab not biosimil 10mg |
87 |
63 |
$51K |
| 76642 |
|
1,229 |
1,191 |
$51K |
| 97162 |
|
1,156 |
1,120 |
$49K |
| G0009 |
Admin pneumococcal vaccine |
6,279 |
6,145 |
$48K |
| 85610 |
|
15,016 |
13,459 |
$47K |
| 83880 |
|
1,730 |
1,599 |
$46K |
| 74183 |
|
128 |
126 |
$46K |
| 99429 |
|
228 |
228 |
$46K |
| 90651 |
|
978 |
958 |
$45K |
| 88342 |
|
1,082 |
1,038 |
$44K |
| 92551 |
|
4,742 |
4,687 |
$44K |
| 58558 |
|
66 |
66 |
$43K |
| 99291 |
|
222 |
209 |
$43K |
| 77063 |
|
1,789 |
1,749 |
$41K |
| 97161 |
|
1,139 |
1,099 |
$41K |
| 72141 |
|
189 |
184 |
$40K |
| 77065 |
Tomosynthesis, mammo |
544 |
519 |
$38K |
| 96360 |
|
1,616 |
1,480 |
$37K |
| 99173 |
|
5,625 |
5,581 |
$37K |
| 86850 |
|
4,765 |
4,522 |
$37K |
| 78452 |
|
247 |
243 |
$36K |
| 96376 |
|
1,255 |
909 |
$36K |
| 86762 |
|
1,898 |
1,683 |
$36K |
| 76770 |
|
884 |
862 |
$36K |
| 76815 |
|
810 |
665 |
$35K |
| 83540 |
|
4,240 |
4,080 |
$35K |
| 90715 |
|
2,917 |
2,849 |
$35K |
| 70496 |
|
264 |
255 |
$35K |
| 87635 |
|
1,047 |
988 |
$35K |
| 87633 |
|
93 |
89 |
$34K |
| 85730 |
|
5,963 |
5,521 |
$34K |
| G0463 |
Hospital outpt clinic visit |
1,803 |
1,610 |
$34K |
| 87340 |
|
2,368 |
2,301 |
$33K |
| 76536 |
|
701 |
686 |
$33K |
| 83655 |
|
3,635 |
2,853 |
$33K |
| 86480 |
|
426 |
412 |
$33K |
| 86618 |
|
642 |
622 |
$32K |
| 87040 |
|
1,989 |
1,863 |
$31K |
| 85027 |
|
4,388 |
4,008 |
$31K |
| 99212 |
|
17,996 |
17,108 |
$30K |
| 83690 |
|
6,718 |
6,364 |
$30K |
| H2010 |
Comprehensive med svc 15 min |
1,607 |
1,034 |
$29K |
| 87512 |
|
1,676 |
1,661 |
$29K |
| J0897 |
Denosumab injection |
53 |
51 |
$28K |
| 93970 |
|
391 |
373 |
$28K |
| 71250 |
|
477 |
464 |
$28K |
| 76819 |
|
481 |
320 |
$27K |
| 88142 |
|
1,608 |
1,600 |
$27K |
| 97110 |
|
1,591 |
508 |
$27K |
| 49083 |
|
153 |
82 |
$27K |
| 70498 |
|
202 |
192 |
$25K |
| 82550 |
|
4,311 |
3,839 |
$25K |
| 84439 |
|
2,978 |
2,862 |
$24K |
| 82746 |
|
2,052 |
2,017 |
$24K |
| 82570 |
|
3,186 |
2,955 |
$23K |
| 96417 |
|
389 |
260 |
$22K |
| 87186 |
|
2,642 |
2,519 |
$22K |
| 74019 |
|
1,225 |
1,187 |
$21K |
| 72110 |
|
1,015 |
984 |
$21K |
| 87077 |
|
2,757 |
2,623 |
$20K |
| 84403 |
|
681 |
657 |
$20K |
| 64615 |
|
184 |
182 |
$20K |
| 76820 |
|
760 |
340 |
$19K |
| M0239 |
Bamlanivimab-xxxx infusion |
82 |
82 |
$19K |
| 96415 |
|
584 |
455 |
$19K |
| 90686 |
|
2,907 |
2,799 |
$19K |
| 84630 |
|
1,312 |
1,298 |
$19K |
| 86901 |
|
4,765 |
4,512 |
$18K |
| 86900 |
|
4,819 |
4,562 |
$18K |
| 82565 |
|
3,478 |
3,023 |
$18K |
| 84146 |
|
675 |
652 |
$18K |
| 73564 |
|
925 |
899 |
$18K |
| 84134 |
|
891 |
845 |
$18K |
| M0243 |
Casirivi and imdevi inj |
46 |
46 |
$18K |
| 83550 |
|
3,584 |
3,465 |
$17K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
8,470 |
8,013 |
$17K |
| 82950 |
|
2,424 |
2,382 |
$17K |
| 97140 |
|
863 |
277 |
$17K |
| 76805 |
|
323 |
318 |
$17K |
| 71045 |
|
2,881 |
2,689 |
$17K |
| 84450 |
|
2,639 |
2,404 |
$16K |
| 58661 |
|
19 |
19 |
$16K |
| 87522 |
Neg quan hep c or qual rna |
396 |
381 |
$16K |
| J2785 |
Regadenoson injection |
379 |
374 |
$16K |
| 12011 |
|
167 |
164 |
$16K |
| 83605 |
|
2,594 |
2,330 |
$16K |
| 93017 |
|
461 |
440 |
$16K |
| 84153 |
|
692 |
676 |
$16K |
| 76856 |
|
352 |
340 |
$15K |
| 86140 |
|
4,538 |
4,069 |
$15K |
| 45385 |
|
74 |
73 |
$15K |
| 77062 |
|
642 |
631 |
$14K |
| 73610 |
|
758 |
733 |
$14K |
| 77336 |
|
411 |
183 |
$14K |
| 83525 |
|
1,070 |
1,043 |
$14K |
| 96411 |
|
253 |
162 |
$14K |
| 76870 |
|
319 |
310 |
$14K |
| S9470 |
Nutritional counseling, diet |
430 |
423 |
$14K |
| 82043 |
|
1,579 |
1,536 |
$13K |
| 86038 |
|
796 |
776 |
$13K |
| 82803 |
|
623 |
595 |
$13K |
| 86787 |
|
616 |
436 |
$13K |
| 58300 |
|
151 |
148 |
$13K |
| 87811 |
|
732 |
729 |
$13K |
| 93226 |
|
346 |
342 |
$13K |
| 73030 |
|
866 |
822 |
$13K |
| 74018 |
|
925 |
875 |
$12K |
| 74178 |
|
55 |
53 |
$12K |
| 73721 |
|
51 |
47 |
$12K |
| 96110 |
|
2,701 |
2,579 |
$12K |
| 84145 |
|
651 |
579 |
$12K |
| 82962 |
|
6,838 |
4,950 |
$12K |
| 85379 |
|
1,335 |
1,190 |
$12K |
| 90471 |
|
2,307 |
2,159 |
$12K |
| 82784 |
|
617 |
496 |
$12K |
| 76885 |
|
116 |
114 |
$11K |
| J7120 |
Ringers lactate infusion |
7,423 |
6,200 |
$11K |
| 83520 |
|
586 |
449 |
$11K |
| 84402 |
|
373 |
363 |
$11K |
| G2012 |
Brief check in by md/qhp |
1,111 |
1,040 |
$11K |
| 90677 |
|
1,261 |
1,250 |
$11K |
| 80076 |
|
1,217 |
1,071 |
$11K |
| 82670 |
|
487 |
462 |
$11K |
| 83516 |
|
340 |
297 |
$11K |
| 12001 |
|
209 |
202 |
$11K |
| A9500 |
Tc99m sestamibi |
121 |
116 |
$11K |
| 73630 |
|
1,010 |
979 |
$11K |
| 62321 |
|
28 |
28 |
$10K |
| J1815 |
Insulin injection |
1,749 |
1,091 |
$10K |
| J2916 |
Na ferric gluconate complex |
2,025 |
984 |
$10K |
| 44970 |
|
13 |
13 |
$10K |
| 84460 |
|
1,381 |
1,225 |
$10K |
| 80074 |
|
199 |
198 |
$10K |
| 83615 |
|
1,621 |
1,248 |
$10K |
| 84550 |
|
1,648 |
1,333 |
$10K |
| J2469 |
Palonosetron hcl |
1,816 |
1,131 |
$10K |
| 96366 |
|
1,308 |
823 |
$10K |
| 77061 |
|
432 |
416 |
$10K |
| 84703 |
|
963 |
889 |
$10K |
| 97597 |
|
457 |
253 |
$10K |
| 86765 |
|
761 |
733 |
$10K |
| 72156 |
|
50 |
50 |
$10K |
| 83001 |
|
509 |
489 |
$10K |
| 70486 |
|
144 |
136 |
$9K |
| Q9957 |
Inj perflutren lip micros,ml |
425 |
411 |
$9K |
| J2790 |
Rho d immune globulin inj |
316 |
307 |
$9K |
| 84425 |
|
1,230 |
1,217 |
$9K |
| 84144 |
|
527 |
474 |
$9K |
| 83021 |
|
423 |
407 |
$9K |
| 85652 |
|
2,998 |
2,681 |
$9K |
| J3490 |
Drugs unclassified injection |
6,103 |
4,619 |
$9K |
| 0001A |
|
497 |
476 |
$9K |
| 73130 |
|
740 |
713 |
$8K |
| A9585 |
Gadobutrol injection |
490 |
469 |
$8K |
| 84481 |
|
333 |
317 |
$8K |
| 73502 |
|
458 |
440 |
$8K |
| 88112 |
|
282 |
249 |
$8K |
| 82947 |
|
1,969 |
1,875 |
$8K |
| 83013 |
|
117 |
116 |
$8K |
| 87081 |
|
1,270 |
1,244 |
$8K |
| 84100 |
|
1,758 |
1,350 |
$8K |
| 72070 |
|
353 |
339 |
$7K |
| 77080 |
|
125 |
121 |
$7K |
| 85018 |
|
1,940 |
1,894 |
$7K |
| 96367 |
|
657 |
529 |
$7K |
| 70491 |
|
93 |
90 |
$7K |
| 84156 |
|
1,599 |
1,409 |
$7K |
| 85384 |
|
671 |
576 |
$7K |
| 80164 |
|
378 |
331 |
$7K |
| 87902 |
|
57 |
56 |
$7K |
| 99281 |
|
294 |
290 |
$6K |
| 0002A |
|
324 |
314 |
$6K |
| 82330 |
|
973 |
849 |
$6K |
| 93225 |
|
348 |
344 |
$6K |
| 86706 |
|
424 |
414 |
$6K |
| 72050 |
|
225 |
220 |
$6K |
| 82652 |
|
148 |
146 |
$6K |
| 86665 |
|
228 |
120 |
$6K |
| 86696 |
|
157 |
154 |
$6K |
| J1050 |
Medroxyprogesterone acetate |
806 |
739 |
$6K |
| 82553 |
|
663 |
632 |
$6K |
| 88341 |
|
108 |
104 |
$6K |
| 86003 |
|
70 |
61 |
$5K |
| 84520 |
|
1,176 |
1,018 |
$5K |
| 84590 |
|
374 |
368 |
$5K |
| 83921 |
|
282 |
274 |
$5K |
| 90732 |
|
253 |
244 |
$5K |
| 97165 |
|
143 |
135 |
$5K |
| 82627 |
|
230 |
223 |
$5K |
| 82105 |
|
248 |
242 |
$5K |
| 87493 |
|
123 |
121 |
$5K |
| 87070 |
|
778 |
748 |
$5K |
| 86695 |
|
158 |
155 |
$5K |
| 92012 |
|
205 |
200 |
$5K |
| 82525 |
|
351 |
346 |
$5K |
| 87252 |
|
113 |
111 |
$5K |
| 82247 |
|
660 |
537 |
$5K |
| 83002 |
|
240 |
226 |
$4K |
| 94762 |
|
93 |
89 |
$4K |
| 72052 |
|
134 |
129 |
$4K |
| 86800 |
|
210 |
208 |
$4K |
| 86431 |
|
475 |
468 |
$4K |
| 72158 |
|
37 |
37 |
$4K |
| 87205 |
|
953 |
925 |
$4K |
| 84165 |
|
326 |
311 |
$4K |
| 97166 |
|
99 |
96 |
$4K |
| 73110 |
|
356 |
348 |
$4K |
| 73590 |
|
287 |
272 |
$4K |
| 87799 |
|
304 |
153 |
$4K |
| 87147 |
|
879 |
853 |
$4K |
| 77412 |
|
119 |
14 |
$4K |
| 84446 |
|
327 |
323 |
$4K |
| 81002 |
|
1,205 |
1,066 |
$4K |
| 87899 |
|
142 |
70 |
$4K |
| 82310 |
|
512 |
501 |
$4K |
| 82378 |
|
261 |
244 |
$4K |
| 86039 |
|
222 |
216 |
$4K |
| 93350 |
|
104 |
98 |
$4K |
| G0472 |
Hep c screen high risk/other |
177 |
169 |
$4K |
| 82951 |
|
349 |
343 |
$3K |
| 72100 |
|
180 |
178 |
$3K |
| 71271 |
|
60 |
59 |
$3K |
| M0245 |
Bamlan and etesev infusion |
17 |
17 |
$3K |
| C1769 |
Guide wire |
360 |
330 |
$3K |
| 93321 |
|
222 |
215 |
$3K |
| 87015 |
|
352 |
322 |
$3K |
| 94729 |
|
119 |
118 |
$3K |
| 74022 |
|
140 |
137 |
$3K |
| 82533 |
|
228 |
219 |
$3K |
| 93296 |
|
288 |
287 |
$3K |
| 93308 |
|
203 |
196 |
$3K |
| 86334 |
|
147 |
140 |
$3K |
| 83498 |
|
131 |
120 |
$3K |
| 84132 |
|
747 |
705 |
$3K |
| 58301 |
|
30 |
30 |
$3K |
| 81511 |
|
29 |
29 |
$3K |
| 86235 |
|
57 |
55 |
$3K |
| 85014 |
|
1,074 |
1,007 |
$3K |
| 73562 |
|
185 |
180 |
$3K |
| G0498 |
Chemo extend iv infus w/pump |
22 |
14 |
$3K |
| 83721 |
|
267 |
263 |
$3K |
| 80051 |
|
519 |
438 |
$3K |
| 10060 |
|
60 |
56 |
$3K |
| 86617 |
|
67 |
62 |
$3K |
| 87253 |
|
85 |
84 |
$3K |
| 78264 |
|
28 |
28 |
$3K |
| 86664 |
|
132 |
120 |
$3K |
| 86376 |
|
297 |
289 |
$3K |
| 82800 |
|
296 |
282 |
$3K |
| 82977 |
|
263 |
215 |
$2K |
| 73080 |
|
235 |
227 |
$2K |
| 84295 |
|
578 |
554 |
$2K |
| J7040 |
Normal saline solution infus |
4,989 |
4,236 |
$2K |
| 99001 |
|
248 |
242 |
$2K |
| H0034 |
Med trng & support per 15min |
108 |
83 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
17,722 |
15,869 |
$2K |
| 95816 |
|
186 |
181 |
$2K |
| 84436 |
|
231 |
225 |
$2K |
| J7050 |
Normal saline solution infus |
23,682 |
12,537 |
$2K |
| 94726 |
|
87 |
87 |
$2K |
| 86255 |
|
121 |
115 |
$2K |
| 86663 |
|
131 |
120 |
$2K |
| 84480 |
|
248 |
237 |
$2K |
| 73090 |
|
199 |
193 |
$2K |
| J0185 |
Inj., aprepitant, 1 mg |
39 |
24 |
$2K |
| J2270 |
Morphine sulfate injection |
4,056 |
3,391 |
$2K |
| 73552 |
|
132 |
129 |
$2K |
| 90474 |
|
201 |
201 |
$2K |
| 90621 |
|
45 |
42 |
$2K |
| 90837 |
|
14 |
14 |
$2K |
| 86769 |
|
164 |
155 |
$2K |
| 73700 |
|
40 |
38 |
$2K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
1,275 |
1,236 |
$2K |
| 90472 |
|
270 |
206 |
$2K |
| 77334 |
|
50 |
40 |
$2K |
| 73560 |
|
153 |
147 |
$2K |
| 90750 |
|
58 |
55 |
$2K |
| 87045 |
|
265 |
255 |
$2K |
| 88304 |
|
335 |
322 |
$2K |
| Q0114 |
Fern test |
173 |
167 |
$2K |
| 82040 |
|
472 |
445 |
$2K |
| J1170 |
Hydromorphone injection |
2,670 |
1,986 |
$2K |
| 90682 |
|
369 |
360 |
$2K |
| 96040 |
|
29 |
25 |
$2K |
| J2930 |
Methylprednisolone injection |
1,266 |
1,138 |
$2K |
| 96401 |
|
102 |
64 |
$2K |
| 86708 |
|
103 |
101 |
$2K |
| 70360 |
|
155 |
153 |
$2K |
| G0108 |
Diab manage trn per indiv |
36 |
32 |
$2K |
| 88307 |
|
198 |
192 |
$2K |
| 72040 |
|
97 |
96 |
$2K |
| 86481 |
|
26 |
26 |
$2K |
| 97112 |
|
64 |
26 |
$2K |
| 73140 |
|
170 |
169 |
$1K |
| J0702 |
Betamethasone acet&sod phosp |
468 |
369 |
$1K |
| J1100 |
Dexamethasone sodium phos |
8,279 |
6,665 |
$1K |
| 76882 |
|
202 |
182 |
$1K |
| 96160 |
|
2,677 |
2,662 |
$1K |
| 76801 |
|
30 |
29 |
$1K |
| C1894 |
Intro/sheath, non-laser |
158 |
149 |
$1K |
| 82010 |
|
344 |
325 |
$1K |
| 85045 |
|
290 |
269 |
$1K |
| 87625 |
|
39 |
39 |
$1K |
| J3475 |
Inj magnesium sulfate |
2,900 |
2,290 |
$1K |
| 11043 |
|
29 |
25 |
$1K |
| 11982 |
|
12 |
12 |
$1K |
| 72170 |
|
129 |
126 |
$1K |
| 88346 |
|
79 |
73 |
$1K |
| 86704 |
|
80 |
78 |
$1K |
| J2704 |
Inj, propofol, 10 mg |
7,154 |
5,495 |
$1K |
| 11042 |
|
18 |
12 |
$1K |
| 99395 |
|
27 |
27 |
$1K |
| 90633 |
|
136 |
135 |
$1K |
| 93880 |
|
26 |
25 |
$1K |
| 72081 |
|
47 |
47 |
$1K |
| 86160 |
|
34 |
31 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
2,594 |
2,086 |
$1K |
| 87272 |
|
54 |
53 |
$978.63 |
| 73060 |
|
98 |
91 |
$961.20 |
| J1200 |
Diphenhydramine hcl injectio |
5,173 |
4,201 |
$931.49 |
| 59025 |
|
176 |
80 |
$929.83 |
| 84160 |
|
137 |
132 |
$922.07 |
| 87046 |
|
269 |
257 |
$914.57 |
| 80178 |
|
117 |
98 |
$903.42 |
| J2920 |
Methylprednisolone injection |
536 |
406 |
$894.79 |
| 90656 |
|
272 |
270 |
$884.98 |
| 96368 |
|
120 |
88 |
$877.66 |
| 90670 |
|
43 |
38 |
$845.78 |
| 99152 |
|
239 |
226 |
$825.50 |
| 90744 |
|
209 |
203 |
$825.39 |
| 76825 |
|
41 |
38 |
$761.47 |
| J3420 |
Vitamin b12 injection |
2,826 |
2,085 |
$757.84 |
| J0640 |
Leucovorin calcium injection |
21 |
12 |
$755.44 |
| J2405 |
Ondansetron hcl injection |
13,731 |
11,909 |
$750.81 |
| 80197 |
|
76 |
55 |
$738.39 |
| 87269 |
|
54 |
53 |
$733.67 |
| J7060 |
5% dextrose/water |
1,844 |
908 |
$726.94 |
| 86225 |
|
42 |
42 |
$699.25 |
| 87088 |
|
84 |
78 |
$681.31 |
| 97163 |
|
13 |
13 |
$671.90 |
| J2710 |
Neostigmine methylslfte inj |
1,089 |
1,015 |
$661.56 |
| 86645 |
|
29 |
26 |
$650.92 |
| 84466 |
|
40 |
40 |
$647.31 |
| J1630 |
Haloperidol injection |
1,611 |
1,227 |
$611.01 |
| 12002 |
|
14 |
14 |
$607.31 |
| 72131 |
|
15 |
14 |
$600.60 |
| J2060 |
Lorazepam injection |
3,028 |
2,395 |
$598.76 |
| 86308 |
|
76 |
74 |
$598.70 |
| J2765 |
Metoclopramide hcl injection |
2,716 |
2,474 |
$593.07 |
| 85007 |
|
127 |
125 |
$581.90 |
| 99406 |
|
204 |
199 |
$577.72 |
| 85460 |
|
57 |
50 |
$572.45 |
| 93325 |
|
15 |
14 |
$536.72 |
| 90734 |
|
132 |
128 |
$516.20 |
| J0690 |
Cefazolin sodium injection |
2,356 |
2,047 |
$510.75 |
| 83930 |
|
225 |
213 |
$497.35 |
| 87517 |
|
13 |
12 |
$493.74 |
| 99204 |
|
65 |
65 |
$477.92 |
| 99153 |
Mod sedat endo service >5yrs |
253 |
240 |
$466.31 |
| 82785 |
|
31 |
30 |
$435.42 |
| 96523 |
|
28 |
26 |
$397.28 |
| 80177 |
|
35 |
33 |
$392.87 |
| 84305 |
|
14 |
13 |
$379.24 |
| 99203 |
|
61 |
61 |
$377.74 |
| 73522 |
|
17 |
17 |
$371.23 |
| 84155 |
|
111 |
105 |
$368.72 |
| J1650 |
Inj enoxaparin sodium |
3,163 |
1,725 |
$367.96 |
| J3370 |
Vancomycin hcl injection |
288 |
197 |
$361.80 |
| 86592 |
|
85 |
82 |
$356.00 |
| 97530 |
|
25 |
14 |
$347.90 |
| 94760 |
|
225 |
211 |
$343.88 |
| 83010 |
|
27 |
26 |
$342.12 |
| J8540 |
Oral dexamethasone |
1,050 |
1,023 |
$340.19 |
| 94681 |
|
15 |
15 |
$338.93 |
| J3480 |
Inj potassium chloride |
1,261 |
864 |
$331.39 |
| 87880 |
|
52 |
51 |
$320.71 |
| 82140 |
|
89 |
80 |
$312.68 |
| 95819 |
|
26 |
26 |
$310.29 |
| 87102 |
|
32 |
32 |
$298.05 |
| J3010 |
Fentanyl citrate injection |
6,466 |
5,098 |
$297.76 |
| 82390 |
|
26 |
26 |
$293.84 |
| J1644 |
Inj heparin sodium per 1000u |
2,145 |
1,151 |
$293.59 |
| 87641 |
|
13 |
12 |
$277.92 |
| J7512 |
Prednisone ir or dr oral 1mg |
3,467 |
2,514 |
$274.12 |
| G0010 |
Admin hepatitis b vaccine |
69 |
66 |
$266.30 |
| 0071A |
|
493 |
491 |
$265.00 |
| J7042 |
5% dextrose/normal saline |
1,512 |
1,198 |
$264.48 |
| 80069 |
|
47 |
38 |
$260.34 |
| 94010 |
|
42 |
41 |
$259.50 |
| 86580 |
|
47 |
45 |
$258.12 |
| 86644 |
|
13 |
12 |
$257.19 |
| 85041 |
|
75 |
69 |
$256.70 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
544 |
498 |
$244.11 |
| 87209 |
|
13 |
12 |
$235.25 |
| 82103 |
|
12 |
12 |
$228.65 |
| 94060 |
|
24 |
24 |
$218.67 |
| S0119 |
Ondansetron 4 mg |
1,896 |
1,703 |
$217.59 |
| 43775 |
|
12 |
12 |
$211.72 |
| 82150 |
|
40 |
40 |
$210.20 |
| J0131 |
Inj, acetaminophen (nos) |
644 |
592 |
$181.36 |
| J2543 |
Piperacillin/tazobactam |
100 |
64 |
$179.34 |
| 96402 |
|
15 |
12 |
$166.72 |
| J1030 |
Methylprednisolone 40 mg inj |
294 |
285 |
$161.51 |
| 81050 |
|
31 |
31 |
$160.29 |
| OP250 |
|
90 |
39 |
$140.66 |
| J1953 |
Levetiracetam injection |
18 |
14 |
$135.12 |
| 74220 |
|
12 |
12 |
$133.69 |
| 0072A |
|
464 |
463 |
$132.00 |
| C9113 |
Inj pantoprazole sodium, via |
253 |
153 |
$102.62 |
| J2250 |
Inj midazolam hydrochloride |
3,078 |
2,754 |
$99.82 |
| J2001 |
Lidocaine injection |
8,256 |
6,300 |
$99.37 |
| 88302 |
|
31 |
31 |
$93.95 |
| 87075 |
|
13 |
12 |
$91.60 |
| 87177 |
|
13 |
12 |
$87.85 |
| 73660 |
|
14 |
14 |
$76.59 |
| J0692 |
Cefepime hcl for injection |
39 |
26 |
$72.29 |
| 77001 |
|
16 |
14 |
$56.83 |
| 0003A |
|
12 |
12 |
$44.00 |
| 96161 |
|
4,263 |
3,931 |
$42.61 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
334 |
224 |
$41.25 |
| 85651 |
|
15 |
14 |
$40.65 |
| 96127 |
|
1,845 |
1,836 |
$29.68 |
| J3411 |
Thiamine hcl 100 mg |
14 |
14 |
$18.39 |
| 99441 |
|
14 |
14 |
$18.00 |
| 88300 |
|
26 |
25 |
$16.29 |
| J7510 |
Prednisolone oral per 5 mg |
32 |
30 |
$15.15 |
| J1642 |
Inj heparin sodium per 10 u |
716 |
517 |
$14.16 |
| J1940 |
Furosemide injection |
21 |
13 |
$8.38 |
| 99205 |
Prolong outpt/office vis |
25 |
25 |
$0.01 |
| J1756 |
Iron sucrose injection |
807 |
378 |
$0.00 |
| 0124A |
|
188 |
188 |
$0.00 |
| J0585 |
Injection,onabotulinumtoxina |
706 |
563 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
172 |
154 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
592 |
584 |
$0.00 |
| J2323 |
Natalizumab injection |
42 |
39 |
$0.00 |
| J0137 |
Inj, acetaminophen (hikma) |
24 |
24 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
232 |
187 |
$0.00 |
| G1004 |
Cdsm ndsc |
268 |
252 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
696 |
685 |
$0.00 |
| J9217 |
Leuprolide acetate suspnsion |
14 |
13 |
$0.00 |
| 91320 |
|
201 |
197 |
$0.00 |
| J0885 |
Epoetin alfa, non-esrd |
23 |
12 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
90 |
66 |
$0.00 |
| J0736 |
Inj, clindamycin phosp 300mg |
14 |
12 |
$0.00 |
| J3105 |
Terbutaline sulfate inj |
13 |
12 |
$0.00 |
| J9190 |
Fluorouracil injection |
23 |
12 |
$0.00 |
| J7606 |
Formoterol fumarate, inh |
73 |
31 |
$0.00 |
| C1887 |
Catheter, guiding |
13 |
13 |
$0.00 |
| 3046F |
|
38 |
36 |
$0.00 |
| 90619 |
|
140 |
136 |
$0.00 |
| 90673 |
|
21 |
21 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
27 |
27 |
$0.00 |
| 0051A |
|
523 |
522 |
$0.00 |
| 90480 |
|
140 |
129 |
$0.00 |
| 90375 |
|
26 |
25 |
$0.00 |
| 00000 |
|
9,376 |
2,950 |
$0.00 |
| 90698 |
|
229 |
223 |
$0.00 |
| A9150 |
Misc/exper non-prescript dru |
101 |
78 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
327 |
279 |
$0.00 |
| 0082A |
|
12 |
12 |
$0.00 |
| 3044F |
|
14 |
13 |
$0.00 |
| 0052A |
|
47 |
47 |
$0.00 |
| J0561 |
Penicillin g benzathine inj |
26 |
24 |
$0.00 |