| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
66,949 |
58,322 |
$5.37M |
| 99283 |
|
70,453 |
63,824 |
$4.68M |
| 99285 |
|
33,531 |
27,826 |
$3.73M |
| 97530 |
|
65,514 |
23,047 |
$3.46M |
| 97110 |
|
63,494 |
26,715 |
$2.93M |
| 80053 |
|
100,322 |
74,253 |
$2.51M |
| 96361 |
|
22,947 |
18,015 |
$2.07M |
| 54161 |
|
2,455 |
2,326 |
$2.04M |
| 92507 |
|
21,706 |
8,008 |
$1.74M |
| 0241U |
|
16,652 |
15,708 |
$1.69M |
| 77386 |
|
7,220 |
573 |
$1.52M |
| 42820 |
|
1,454 |
1,386 |
$1.49M |
| 93306 |
|
8,350 |
7,406 |
$1.46M |
| J1745 |
Infliximab not biosimil 10mg |
2,986 |
2,455 |
$1.43M |
| 96365 |
|
19,207 |
14,971 |
$1.37M |
| 96375 |
|
36,803 |
26,974 |
$1.36M |
| 74177 |
|
15,256 |
12,878 |
$1.34M |
| 96413 |
|
16,473 |
10,591 |
$1.29M |
| 93303 |
|
3,181 |
2,989 |
$1.09M |
| 36415 |
|
32,524 |
23,393 |
$1.04M |
| 95810 |
|
2,312 |
2,208 |
$1.02M |
| 69436 |
|
1,848 |
1,773 |
$981K |
| 99282 |
|
14,642 |
13,473 |
$942K |
| 93304 |
|
3,062 |
2,820 |
$920K |
| J3380 |
Inj vedolizumab iv 1 mg |
991 |
841 |
$847K |
| 0202U |
|
5,100 |
4,809 |
$835K |
| 41899 |
|
1,810 |
1,625 |
$825K |
| 70450 |
|
12,677 |
10,578 |
$817K |
| 80048 |
|
58,816 |
41,841 |
$814K |
| 97162 |
|
10,066 |
9,222 |
$796K |
| 96360 |
|
8,419 |
6,886 |
$771K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
35,116 |
28,646 |
$765K |
| 92557 |
|
9,559 |
8,916 |
$760K |
| 95782 |
|
1,342 |
1,326 |
$690K |
| 96372 |
|
11,327 |
8,449 |
$659K |
| 97116 |
|
11,746 |
5,389 |
$657K |
| 70553 |
|
4,902 |
4,067 |
$635K |
| J9312 |
Inj., rituximab, 10 mg |
849 |
573 |
$606K |
| 97112 |
|
15,429 |
7,619 |
$604K |
| 94060 |
|
7,999 |
7,394 |
$571K |
| 96374 |
|
31,604 |
25,424 |
$535K |
| 43239 |
|
3,485 |
3,075 |
$511K |
| J9271 |
Inj pembrolizumab |
642 |
416 |
$507K |
| 86850 |
|
15,537 |
12,320 |
$503K |
| 85025 |
|
164,500 |
118,809 |
$498K |
| 97535 |
|
12,139 |
7,860 |
$485K |
| 96415 |
|
5,592 |
4,384 |
$469K |
| G0463 |
Hospital outpt clinic visit |
10,033 |
8,414 |
$441K |
| 74176 |
|
4,446 |
3,687 |
$419K |
| 71046 |
|
32,379 |
27,228 |
$411K |
| 70551 |
|
3,531 |
3,143 |
$407K |
| G0378 |
Hospital observation per hr |
6,806 |
4,680 |
$406K |
| J1561 |
Gamunex-c/gammaked |
971 |
512 |
$405K |
| 97140 |
|
16,766 |
7,284 |
$369K |
| 76775 |
|
6,430 |
5,815 |
$353K |
| 80307 |
|
7,152 |
5,834 |
$343K |
| 77336 |
|
3,190 |
1,291 |
$338K |
| 45380 |
|
2,051 |
1,794 |
$333K |
| 93308 |
|
2,779 |
2,354 |
$326K |
| 73721 |
|
2,419 |
2,216 |
$318K |
| 92552 |
|
4,254 |
4,171 |
$302K |
| 97166 |
|
4,629 |
4,242 |
$299K |
| U0003 |
Cov-19 amp prb hgh thruput |
12,703 |
11,248 |
$287K |
| 92579 |
|
4,893 |
4,798 |
$283K |
| 99211 |
|
7,471 |
6,047 |
$273K |
| U0001 |
2019-ncov diagnostic p |
15,819 |
13,769 |
$268K |
| 73564 |
|
9,753 |
8,436 |
$260K |
| 76700 |
|
4,254 |
3,826 |
$258K |
| 97163 |
|
3,292 |
2,982 |
$249K |
| 94010 |
|
7,363 |
6,170 |
$249K |
| A9552 |
F18 fdg |
2,093 |
1,753 |
$242K |
| A9270 |
Non-covered item or service |
21,362 |
11,650 |
$236K |
| 45385 |
|
1,079 |
916 |
$225K |
| 11042 |
|
2,680 |
1,211 |
$223K |
| 70491 |
|
2,324 |
1,935 |
$209K |
| 71275 |
|
5,134 |
4,365 |
$203K |
| 71260 |
|
6,656 |
5,583 |
$201K |
| 73110 |
|
7,906 |
6,317 |
$198K |
| 93005 |
|
52,348 |
43,661 |
$198K |
| 97113 |
|
4,266 |
1,640 |
$198K |
| 73610 |
|
7,812 |
6,626 |
$197K |
| 45378 |
|
767 |
690 |
$196K |
| 66984 |
|
673 |
503 |
$188K |
| 99212 |
|
3,631 |
2,961 |
$188K |
| 42830 |
|
101 |
100 |
$186K |
| 76830 |
|
4,416 |
3,885 |
$186K |
| 72148 |
|
2,566 |
2,235 |
$179K |
| 78264 |
|
1,016 |
926 |
$178K |
| 95812 |
|
648 |
616 |
$176K |
| 73130 |
|
7,051 |
5,926 |
$175K |
| 97165 |
|
2,078 |
1,902 |
$173K |
| 94640 |
|
6,833 |
5,417 |
$170K |
| 82947 |
|
23,956 |
13,316 |
$170K |
| 78816 |
|
1,248 |
1,059 |
$169K |
| 74183 |
|
1,381 |
1,128 |
$167K |
| 95811 |
|
510 |
460 |
$166K |
| 96366 |
|
7,869 |
6,095 |
$164K |
| 97161 |
|
2,186 |
1,962 |
$161K |
| 96402 |
|
1,264 |
1,007 |
$161K |
| 88305 |
|
15,301 |
9,227 |
$161K |
| 71250 |
|
5,142 |
4,276 |
$161K |
| J2405 |
Ondansetron hcl injection |
45,469 |
33,766 |
$156K |
| 83735 |
|
46,473 |
28,316 |
$155K |
| 74230 |
|
1,844 |
1,611 |
$153K |
| 73030 |
|
7,809 |
6,509 |
$152K |
| 86900 |
|
17,477 |
13,801 |
$152K |
| 96368 |
|
1,960 |
1,399 |
$151K |
| 36430 |
|
2,372 |
1,317 |
$148K |
| 76536 |
|
2,783 |
2,480 |
$147K |
| J3490 |
Drugs unclassified injection |
41,109 |
21,209 |
$145K |
| 76825 |
|
838 |
782 |
$145K |
| 73630 |
|
7,948 |
6,793 |
$140K |
| 96367 |
|
2,807 |
2,231 |
$137K |
| 70496 |
|
2,087 |
1,744 |
$137K |
| A0434 |
Specialty care transport |
588 |
515 |
$136K |
| 74018 |
|
5,404 |
4,628 |
$133K |
| 76705 |
|
5,747 |
5,081 |
$129K |
| 72082 |
|
2,907 |
2,786 |
$129K |
| 78452 |
|
582 |
477 |
$129K |
| 73140 |
|
4,179 |
3,552 |
$128K |
| 72141 |
|
1,628 |
1,415 |
$128K |
| 87070 |
|
5,926 |
4,815 |
$125K |
| J2704 |
Inj, propofol, 10 mg |
39,168 |
27,177 |
$123K |
| 92523 |
|
971 |
957 |
$121K |
| 80069 |
|
5,072 |
3,939 |
$120K |
| 76642 |
|
3,071 |
2,688 |
$118K |
| 64493 |
|
418 |
371 |
$116K |
| 87086 |
|
19,088 |
16,035 |
$115K |
| 92567 |
|
17,368 |
16,544 |
$114K |
| 16020 |
|
1,329 |
917 |
$112K |
| 84484 |
|
36,368 |
18,470 |
$111K |
| 73100 |
|
3,369 |
2,805 |
$110K |
| 73590 |
|
5,049 |
4,201 |
$109K |
| 99213 |
|
2,165 |
1,857 |
$109K |
| 70487 |
|
2,003 |
1,681 |
$108K |
| 84100 |
|
34,977 |
21,784 |
$107K |
| 73090 |
|
4,535 |
3,561 |
$102K |
| 87081 |
|
8,221 |
7,612 |
$102K |
| J3010 |
Fentanyl citrate injection |
29,615 |
23,653 |
$99K |
| 81001 |
|
37,231 |
30,223 |
$99K |
| 73070 |
|
3,900 |
3,326 |
$98K |
| 93798 |
|
1,703 |
373 |
$98K |
| 95816 |
|
639 |
598 |
$97K |
| 86141 |
|
27,717 |
23,223 |
$96K |
| 64483 |
|
458 |
415 |
$95K |
| 73560 |
|
5,850 |
4,784 |
$95K |
| 78815 |
|
280 |
239 |
$93K |
| 84443 |
|
18,493 |
15,350 |
$93K |
| 88307 |
|
2,352 |
1,698 |
$91K |
| 89051 |
|
1,283 |
1,005 |
$91K |
| J0490 |
Belimumab injection |
78 |
51 |
$91K |
| P9016 |
Rbc leukocytes reduced |
1,512 |
1,116 |
$91K |
| 80076 |
|
7,623 |
5,930 |
$89K |
| J1100 |
Dexamethasone sodium phos |
22,400 |
17,323 |
$88K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,982 |
1,717 |
$84K |
| 72197 |
|
891 |
767 |
$83K |
| 82306 |
|
9,049 |
7,922 |
$82K |
| 71045 |
|
12,956 |
10,731 |
$82K |
| 92553 |
|
717 |
699 |
$82K |
| 93325 |
|
11,029 |
9,944 |
$81K |
| 80197 |
|
11,954 |
6,690 |
$80K |
| 93976 |
|
5,075 |
4,416 |
$80K |
| 72100 |
|
3,977 |
3,525 |
$79K |
| L3906 |
Who w/o joints cf |
818 |
704 |
$79K |
| 83605 |
|
14,220 |
9,290 |
$78K |
| J2250 |
Inj midazolam hydrochloride |
18,935 |
15,097 |
$77K |
| 85610 |
|
21,030 |
15,707 |
$77K |
| 81025 |
|
19,185 |
16,059 |
$77K |
| J0585 |
Injection,onabotulinumtoxina |
494 |
361 |
$76K |
| C1769 |
Guide wire |
6,386 |
5,144 |
$75K |
| 77300 |
|
1,126 |
873 |
$75K |
| 87077 |
|
11,989 |
8,750 |
$74K |
| 83690 |
|
21,424 |
17,740 |
$73K |
| 74174 |
|
921 |
766 |
$73K |
| 83880 |
|
15,119 |
12,308 |
$73K |
| 87507 |
|
556 |
518 |
$73K |
| 93971 |
|
3,805 |
3,148 |
$71K |
| 70543 |
|
424 |
373 |
$71K |
| 87804 |
|
3,268 |
3,122 |
$71K |
| J1644 |
Inj heparin sodium per 1000u |
9,303 |
4,092 |
$71K |
| 11043 |
|
681 |
350 |
$70K |
| 86832 |
|
1,768 |
1,470 |
$70K |
| J1602 |
Golimumab for iv use 1mg |
55 |
54 |
$68K |
| 36592 |
|
10,668 |
7,473 |
$68K |
| 74240 |
|
1,010 |
943 |
$68K |
| 74178 |
|
1,080 |
921 |
$67K |
| 82728 |
|
12,082 |
10,299 |
$67K |
| 62323 |
|
154 |
137 |
$66K |
| 72040 |
|
2,264 |
1,988 |
$66K |
| J1200 |
Diphenhydramine hcl injectio |
13,555 |
10,019 |
$66K |
| 76856 |
|
2,328 |
2,133 |
$65K |
| 70486 |
|
1,755 |
1,559 |
$65K |
| 36591 |
|
5,047 |
2,718 |
$65K |
| 99291 |
|
406 |
354 |
$65K |
| 73502 |
|
4,162 |
3,516 |
$64K |
| 92587 |
|
6,038 |
5,890 |
$63K |
| 87497 |
|
7,116 |
4,209 |
$63K |
| 97542 |
|
1,207 |
1,067 |
$63K |
| 77067 |
|
3,021 |
2,726 |
$61K |
| 70480 |
|
831 |
759 |
$60K |
| 93970 |
|
2,084 |
1,722 |
$60K |
| 97167 |
|
824 |
747 |
$59K |
| 77301 |
|
134 |
121 |
$59K |
| J2001 |
Lidocaine injection |
14,448 |
11,782 |
$59K |
| 96409 |
|
1,539 |
878 |
$58K |
| 77066 |
Tomosynthesis, mammo |
1,804 |
1,597 |
$57K |
| 64635 |
|
293 |
240 |
$57K |
| 99202 |
|
1,298 |
1,228 |
$56K |
| 77334 |
|
1,148 |
647 |
$55K |
| 20680 |
|
42 |
41 |
$55K |
| 73080 |
|
1,785 |
1,530 |
$55K |
| 85027 |
|
16,937 |
12,760 |
$55K |
| 73221 |
|
541 |
484 |
$54K |
| 93356 |
|
964 |
894 |
$53K |
| 80047 |
|
3,201 |
2,654 |
$53K |
| 93017 |
|
1,256 |
1,065 |
$52K |
| 93923 |
|
1,393 |
1,189 |
$52K |
| L3913 |
Hfo w/o joints cf |
450 |
405 |
$50K |
| 86901 |
|
17,621 |
13,836 |
$50K |
| 80061 |
|
9,500 |
8,201 |
$50K |
| 97597 |
|
1,079 |
575 |
$49K |
| 27447 |
|
15 |
12 |
$48K |
| 73552 |
|
3,074 |
2,622 |
$48K |
| 93226 |
|
1,090 |
1,028 |
$48K |
| 73521 |
|
1,580 |
1,486 |
$48K |
| 49452 |
|
553 |
434 |
$47K |
| J1885 |
Ketorolac tromethamine inj |
22,058 |
17,373 |
$46K |
| L3808 |
Whfo, rigid w/o joints |
539 |
452 |
$46K |
| J0690 |
Cefazolin sodium injection |
9,966 |
7,535 |
$43K |
| 72170 |
|
2,401 |
2,098 |
$43K |
| 73000 |
|
1,243 |
1,072 |
$43K |
| 72125 |
|
5,375 |
4,488 |
$42K |
| 93271 |
|
1,063 |
990 |
$42K |
| 93922 |
|
744 |
660 |
$41K |
| 82248 |
|
25,119 |
19,995 |
$41K |
| 82803 |
|
3,796 |
3,121 |
$41K |
| 43235 |
|
280 |
240 |
$41K |
| 73600 |
|
1,489 |
1,293 |
$41K |
| 76870 |
|
1,074 |
973 |
$41K |
| 82805 |
|
4,870 |
3,746 |
$40K |
| 58661 |
|
18 |
13 |
$40K |
| 76882 |
|
961 |
827 |
$40K |
| 83970 |
|
3,458 |
2,948 |
$39K |
| 86902 |
|
1,335 |
848 |
$39K |
| 72131 |
|
1,862 |
1,558 |
$38K |
| 81003 |
|
8,976 |
7,600 |
$38K |
| 77295 |
|
59 |
41 |
$37K |
| P9040 |
Rbc leukoreduced irradiated |
514 |
297 |
$37K |
| 88142 |
|
2,860 |
2,628 |
$37K |
| 88341 |
|
3,325 |
1,834 |
$37K |
| J1720 |
Hydrocortisone sodium succ i |
7,046 |
5,465 |
$37K |
| 84439 |
|
8,000 |
6,839 |
$37K |
| 84702 |
|
7,987 |
6,526 |
$36K |
| 81000 |
|
5,658 |
4,413 |
$35K |
| 76885 |
|
405 |
390 |
$35K |
| 82570 |
|
7,806 |
6,190 |
$35K |
| 82784 |
|
6,496 |
5,435 |
$35K |
| 73222 |
|
89 |
83 |
$35K |
| G1004 |
Cdsm ndsc |
21,093 |
14,256 |
$35K |
| 88342 |
|
4,896 |
3,647 |
$35K |
| 82607 |
|
6,740 |
5,837 |
$34K |
| 87491 |
|
4,450 |
3,605 |
$34K |
| 81002 |
|
4,391 |
4,119 |
$34K |
| 77072 |
|
967 |
928 |
$33K |
| 77063 |
|
2,411 |
2,168 |
$33K |
| 92555 |
|
5,673 |
5,554 |
$33K |
| L8613 |
Ossicular implant |
1,407 |
1,340 |
$33K |
| 73060 |
|
1,837 |
1,488 |
$32K |
| 88304 |
|
1,637 |
1,288 |
$32K |
| 82565 |
|
4,192 |
3,422 |
$32K |
| Q0138 |
Ferumoxytol, non-esrd |
324 |
154 |
$32K |
| Q5115 |
Inj truxima 10 mg |
20 |
13 |
$32K |
| 73700 |
|
464 |
414 |
$32K |
| 96450 |
|
126 |
102 |
$32K |
| 10060 |
|
567 |
512 |
$31K |
| 85730 |
|
9,032 |
7,355 |
$31K |
| 72156 |
|
444 |
380 |
$31K |
| 12011 |
|
555 |
531 |
$30K |
| 96417 |
|
2,293 |
1,362 |
$30K |
| 86355 |
|
1,702 |
1,429 |
$29K |
| 44970 |
|
13 |
13 |
$29K |
| 96401 |
|
760 |
417 |
$29K |
| A0431 |
Rotary wing air transport |
32 |
29 |
$28K |
| 70498 |
|
1,844 |
1,550 |
$28K |
| J1756 |
Iron sucrose injection |
1,076 |
663 |
$28K |
| 47562 |
|
17 |
14 |
$27K |
| 94726 |
|
3,337 |
2,953 |
$26K |
| 86359 |
|
2,366 |
1,999 |
$26K |
| 83036 |
|
9,922 |
8,607 |
$26K |
| 99152 |
|
4,464 |
3,536 |
$26K |
| 85652 |
|
14,534 |
12,229 |
$26K |
| 87389 |
|
5,551 |
4,997 |
$25K |
| 12001 |
|
493 |
450 |
$24K |
| 87591 |
|
4,447 |
3,603 |
$24K |
| 93451 |
|
58 |
51 |
$24K |
| 73620 |
|
1,439 |
1,265 |
$24K |
| 77062 |
|
649 |
637 |
$24K |
| C1726 |
Cath, bal dil, non-vascular |
431 |
355 |
$23K |
| C1893 |
Intro/sheath, fixed,non-peel |
591 |
453 |
$23K |
| L3933 |
Fo w/o joints cf |
237 |
200 |
$23K |
| 87186 |
|
8,143 |
6,037 |
$23K |
| 86780 |
|
4,945 |
4,413 |
$23K |
| 73120 |
|
846 |
735 |
$23K |
| 99281 |
|
370 |
314 |
$23K |
| 75574 |
|
313 |
275 |
$22K |
| 99153 |
Mod sedat endo service >5yrs |
3,363 |
2,674 |
$22K |
| 87400 |
|
1,778 |
1,502 |
$22K |
| J1170 |
Hydromorphone injection |
8,185 |
5,519 |
$22K |
| J2270 |
Morphine sulfate injection |
9,083 |
6,745 |
$21K |
| 86833 |
|
1,857 |
1,543 |
$21K |
| 86870 |
|
682 |
537 |
$21K |
| J0131 |
Inj, acetaminophen (nos) |
4,357 |
3,245 |
$21K |
| 83615 |
|
6,537 |
4,401 |
$21K |
| 82105 |
|
2,042 |
1,680 |
$20K |
| 96376 |
|
5,162 |
4,081 |
$20K |
| 93225 |
|
962 |
868 |
$20K |
| 77412 |
|
356 |
46 |
$20K |
| 20610 |
|
423 |
343 |
$20K |
| 87486 |
|
816 |
695 |
$19K |
| 82378 |
|
1,851 |
1,186 |
$19K |
| 0099U |
|
433 |
387 |
$19K |
| 70250 |
|
561 |
471 |
$19K |
| 92611 |
|
1,641 |
1,447 |
$19K |
| 72158 |
|
242 |
218 |
$19K |
| C1887 |
Catheter, guiding |
2,454 |
1,964 |
$18K |
| 77080 |
|
642 |
567 |
$18K |
| 0097U |
|
192 |
176 |
$18K |
| 82330 |
|
2,641 |
1,858 |
$18K |
| 77049 |
|
85 |
81 |
$18K |
| 95819 |
|
141 |
134 |
$18K |
| J0171 |
Adrenalin epinephrine inject |
2,960 |
2,415 |
$17K |
| U0005 |
Infec agen detec ampli probe |
11,480 |
10,004 |
$17K |
| 96411 |
|
1,654 |
1,103 |
$17K |
| 87799 |
|
4,443 |
3,112 |
$17K |
| 73660 |
|
601 |
526 |
$17K |
| 82550 |
|
4,089 |
3,378 |
$17K |
| 76815 |
|
974 |
844 |
$17K |
| 86923 |
|
1,919 |
1,287 |
$17K |
| C1894 |
Intro/sheath, non-laser |
3,187 |
2,541 |
$17K |
| 87040 |
|
4,173 |
2,442 |
$17K |
| 64450 |
|
500 |
437 |
$17K |
| 85014 |
|
3,783 |
3,104 |
$17K |
| 94762 |
|
2,436 |
1,613 |
$16K |
| J1650 |
Inj enoxaparin sodium |
4,430 |
1,741 |
$16K |
| 54163 |
|
12 |
12 |
$16K |
| L3702 |
Eo w/o joints cf |
75 |
67 |
$16K |
| 87210 |
|
3,328 |
2,815 |
$16K |
| 72070 |
|
831 |
749 |
$16K |
| J0696 |
Ceftriaxone sodium injection |
6,496 |
5,176 |
$15K |
| 78306 |
|
111 |
96 |
$15K |
| 96416 |
|
577 |
349 |
$15K |
| A0427 |
Als1-emergency |
86 |
81 |
$15K |
| 29888 |
|
14 |
13 |
$15K |
| J9202 |
Goserelin acetate implant |
155 |
140 |
$15K |
| J2550 |
Promethazine hcl injection |
3,476 |
2,348 |
$15K |
| G0480 |
Drug test def 1-7 classes |
707 |
495 |
$14K |
| 74019 |
|
938 |
887 |
$14K |
| 73522 |
|
694 |
619 |
$14K |
| 72146 |
|
388 |
350 |
$14K |
| 88185 |
|
991 |
557 |
$14K |
| 97760 |
|
1,479 |
1,323 |
$14K |
| 70481 |
|
129 |
116 |
$14K |
| 93975 |
|
403 |
336 |
$14K |
| 86803 |
|
5,639 |
4,995 |
$14K |
| 0399T |
|
83 |
72 |
$14K |
| 94618 |
|
701 |
560 |
$14K |
| J2930 |
Methylprednisolone injection |
4,005 |
3,207 |
$13K |
| 83540 |
|
9,340 |
8,030 |
$13K |
| 82140 |
|
2,089 |
1,756 |
$13K |
| J7512 |
Prednisone ir or dr oral 1mg |
3,999 |
2,203 |
$13K |
| 72128 |
|
629 |
544 |
$13K |
| 87205 |
|
4,371 |
3,492 |
$13K |
| 77002 |
|
607 |
532 |
$13K |
| 77061 |
|
795 |
750 |
$13K |
| 83550 |
|
9,122 |
7,869 |
$13K |
| 87798 |
|
1,966 |
1,427 |
$13K |
| 82043 |
|
4,022 |
3,434 |
$12K |
| 84156 |
|
5,031 |
4,078 |
$12K |
| 84145 |
|
2,970 |
2,576 |
$12K |
| 92586 |
|
111 |
110 |
$12K |
| 93270 |
|
424 |
383 |
$12K |
| 86357 |
|
628 |
541 |
$12K |
| 94729 |
|
4,465 |
3,906 |
$12K |
| 77065 |
Tomosynthesis, mammo |
719 |
640 |
$11K |
| C1725 |
Cath, translumin non-laser |
681 |
508 |
$11K |
| 64415 |
|
446 |
384 |
$11K |
| 80074 |
|
781 |
715 |
$11K |
| 87430 |
|
1,926 |
1,823 |
$11K |
| J2505 |
Injection, pegfilgrastim 6mg |
19 |
12 |
$11K |
| 93926 |
|
349 |
318 |
$11K |
| 75561 |
|
39 |
39 |
$11K |
| 76937 |
|
820 |
615 |
$11K |
| 87340 |
|
5,618 |
4,929 |
$11K |
| 85379 |
|
4,000 |
3,391 |
$11K |
| C1889 |
Implant/insert device, noc |
347 |
292 |
$11K |
| 93990 |
|
572 |
423 |
$10K |
| J3370 |
Vancomycin hcl injection |
2,346 |
1,712 |
$10K |
| 86922 |
|
1,335 |
894 |
$10K |
| 86317 |
|
2,489 |
2,111 |
$10K |
| C1758 |
Catheter, ureteral |
620 |
491 |
$10K |
| 84134 |
|
1,874 |
1,435 |
$10K |
| 83655 |
|
807 |
788 |
$10K |
| 95700 |
|
155 |
152 |
$10K |
| J9299 |
Injection, nivolumab |
14 |
12 |
$10K |
| 84550 |
|
7,573 |
5,137 |
$10K |
| J3475 |
Inj magnesium sulfate |
1,555 |
742 |
$10K |
| V2632 |
Post chmbr intraocular lens |
606 |
481 |
$10K |
| 59025 |
|
122 |
108 |
$10K |
| 76817 |
|
1,487 |
1,275 |
$10K |
| 77001 |
|
460 |
353 |
$9K |
| 87102 |
|
2,068 |
1,497 |
$9K |
| 86829 |
|
2,796 |
1,559 |
$9K |
| J2060 |
Lorazepam injection |
2,227 |
1,660 |
$9K |
| 82670 |
|
315 |
288 |
$9K |
| 86235 |
|
1,479 |
1,211 |
$9K |
| 97014 |
|
25 |
12 |
$9K |
| 93880 |
|
227 |
185 |
$9K |
| 80320 |
|
1,933 |
1,556 |
$9K |
| 86308 |
|
1,067 |
953 |
$9K |
| 93321 |
|
5,838 |
5,161 |
$9K |
| 72157 |
|
166 |
144 |
$9K |
| 12002 |
|
235 |
210 |
$9K |
| 82247 |
|
335 |
259 |
$9K |
| J9045 |
Carboplatin injection |
582 |
333 |
$8K |
| 92626 |
|
95 |
89 |
$8K |
| A9585 |
Gadobutrol injection |
8,044 |
6,811 |
$8K |
| 92604 |
|
258 |
217 |
$8K |
| 54300 |
|
15 |
15 |
$8K |
| 72081 |
|
186 |
176 |
$8K |
| 82950 |
|
788 |
750 |
$8K |
| 77338 |
|
135 |
122 |
$8K |
| 83020 |
|
1,991 |
1,780 |
$8K |
| 83516 |
|
2,332 |
1,842 |
$8K |
| 74160 |
|
103 |
91 |
$8K |
| J0897 |
Denosumab injection |
48 |
26 |
$7K |
| 92652 |
|
188 |
181 |
$7K |
| J2795 |
Ropivacaine hcl injection |
3,793 |
3,018 |
$7K |
| 82785 |
|
718 |
685 |
$7K |
| C9399 |
Unclassified drugs or biolog |
1,995 |
1,362 |
$7K |
| 82746 |
|
3,170 |
2,732 |
$7K |
| 88108 |
|
2,279 |
1,763 |
$7K |
| 52332 |
|
28 |
24 |
$7K |
| 85048 |
|
502 |
373 |
$7K |
| 82657 |
|
14 |
13 |
$7K |
| 86762 |
|
1,760 |
1,585 |
$7K |
| 87116 |
|
1,610 |
1,126 |
$7K |
| 87633 |
|
826 |
699 |
$7K |
| A9581 |
Gadoxetate disodium inj |
137 |
101 |
$7K |
| 85045 |
|
7,275 |
5,966 |
$7K |
| 88311 |
|
798 |
615 |
$7K |
| 64490 |
|
14 |
13 |
$7K |
| 73200 |
|
102 |
91 |
$7K |
| J2765 |
Metoclopramide hcl injection |
1,724 |
1,400 |
$7K |
| 43249 |
|
15 |
13 |
$6K |
| 84153 |
|
1,544 |
1,198 |
$6K |
| G0390 |
Trauma respons w/hosp criti |
46 |
39 |
$6K |
| 99201 |
|
115 |
113 |
$6K |
| J0561 |
Penicillin g benzathine inj |
785 |
748 |
$6K |
| 87536 |
|
559 |
439 |
$6K |
| 86480 |
|
1,768 |
1,555 |
$6K |
| 82150 |
|
1,194 |
1,010 |
$6K |
| 97164 |
|
115 |
107 |
$6K |
| 85347 |
|
1,091 |
659 |
$6K |
| 77014 |
|
295 |
43 |
$6K |
| 87206 |
|
1,602 |
1,124 |
$6K |
| 92650 |
|
97 |
95 |
$6K |
| 73020 |
|
352 |
287 |
$6K |
| 92582 |
|
682 |
659 |
$6K |
| 51701 |
|
728 |
608 |
$6K |
| 87880 |
|
3,981 |
3,676 |
$6K |
| 86920 |
|
424 |
280 |
$6K |
| 11045 |
|
39 |
13 |
$5K |
| J1815 |
Insulin injection |
1,262 |
597 |
$5K |
| 86039 |
|
1,879 |
1,595 |
$5K |
| 90715 |
|
1,730 |
1,476 |
$5K |
| 87522 |
Neg quan hep c or qual rna |
667 |
546 |
$5K |
| 88312 |
|
1,320 |
881 |
$5K |
| 72190 |
|
169 |
147 |
$5K |
| J0780 |
Prochlorperazine injection |
2,214 |
1,783 |
$5K |
| J3480 |
Inj potassium chloride |
1,250 |
738 |
$5K |
| J3262 |
Tocilizumab injection |
74 |
53 |
$5K |
| 90471 |
|
2,053 |
1,700 |
$5K |
| 87075 |
|
453 |
337 |
$5K |
| 30930 |
|
27 |
26 |
$5K |
| J1030 |
Methylprednisolone 40 mg inj |
1,067 |
962 |
$5K |
| G8978 |
Mobility current status |
435 |
355 |
$5K |
| 87624 |
|
668 |
589 |
$5K |
| 86644 |
|
1,078 |
913 |
$5K |
| J0330 |
Succinycholine chloride inj |
1,110 |
867 |
$5K |
| 73551 |
|
168 |
145 |
$5K |
| J1750 |
Inj iron dextran |
13 |
13 |
$5K |
| 87581 |
|
815 |
694 |
$5K |
| 96112 |
|
17 |
16 |
$5K |
| 87807 |
|
340 |
327 |
$5K |
| 64400 |
|
88 |
80 |
$5K |
| 73501 |
|
308 |
263 |
$5K |
| 84132 |
|
1,422 |
1,058 |
$4K |
| 84295 |
|
1,327 |
996 |
$4K |
| 95012 |
|
443 |
435 |
$4K |
| 80165 |
|
569 |
466 |
$4K |
| 82977 |
|
3,668 |
2,535 |
$4K |
| 97750 |
|
280 |
260 |
$4K |
| 85660 |
|
1,492 |
1,065 |
$4K |
| 87305 |
|
1,630 |
892 |
$4K |
| J2175 |
Meperidine hydrochl /100 mg |
722 |
509 |
$4K |
| J2997 |
Alteplase recombinant |
224 |
154 |
$4K |
| 86828 |
|
478 |
414 |
$4K |
| A0436 |
Rotary wing air mileage |
32 |
29 |
$4K |
| J1580 |
Garamycin gentamicin inj |
1,024 |
725 |
$4K |
| 84703 |
|
1,911 |
1,708 |
$4K |
| 70360 |
|
190 |
182 |
$4K |
| J0640 |
Leucovorin calcium injection |
615 |
197 |
$4K |
| 83883 |
|
1,527 |
629 |
$3K |
| J1630 |
Haloperidol injection |
796 |
648 |
$3K |
| 84403 |
|
1,176 |
993 |
$3K |
| 88184 |
|
737 |
589 |
$3K |
| 86160 |
|
1,754 |
1,481 |
$3K |
| G8979 |
Mobility goal status |
452 |
368 |
$3K |
| 77370 |
|
49 |
43 |
$3K |
| G8984 |
Carry current status |
230 |
192 |
$3K |
| 85520 |
|
569 |
375 |
$3K |
| J3471 |
Ovine, up to 999 usp units |
264 |
204 |
$3K |
| J0692 |
Cefepime hcl for injection |
869 |
442 |
$3K |
| 84165 |
|
1,412 |
1,198 |
$3K |
| 73562 |
|
190 |
160 |
$3K |
| 80164 |
|
516 |
466 |
$3K |
| 64445 |
|
163 |
139 |
$3K |
| 93320 |
|
2,793 |
2,591 |
$3K |
| G8985 |
Carry goal status |
238 |
197 |
$3K |
| 77073 |
|
125 |
123 |
$3K |
| J3301 |
Triamcinolone acet inj nos |
543 |
481 |
$3K |
| 75635 |
|
29 |
26 |
$3K |
| 86880 |
|
110 |
90 |
$3K |
| 86905 |
|
573 |
384 |
$3K |
| 80177 |
|
849 |
735 |
$3K |
| 86665 |
|
1,111 |
894 |
$3K |
| 87184 |
|
1,368 |
1,048 |
$3K |
| 77290 |
|
15 |
13 |
$3K |
| 92610 |
|
26 |
26 |
$3K |
| C2617 |
Stent, non-cor, tem w/o del |
326 |
276 |
$3K |
| 85384 |
|
1,485 |
1,136 |
$3K |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
959 |
826 |
$3K |
| C1751 |
Cath, inf, per/cent/midline |
710 |
623 |
$3K |
| 83001 |
|
717 |
641 |
$2K |
| 76377 |
|
15 |
14 |
$2K |
| 62328 |
|
14 |
12 |
$2K |
| 88313 |
|
1,173 |
649 |
$2K |
| 81378 |
|
125 |
99 |
$2K |
| 84480 |
|
1,089 |
948 |
$2K |
| 82375 |
|
1,651 |
1,315 |
$2K |
| 84146 |
|
276 |
258 |
$2K |
| M0243 |
Casirivi and imdevi inj |
95 |
87 |
$2K |
| 83050 |
|
1,654 |
1,315 |
$2K |
| 86787 |
|
989 |
880 |
$2K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
698 |
597 |
$2K |
| 86706 |
|
409 |
336 |
$2K |
| 82962 |
|
821 |
357 |
$2K |
| A9500 |
Tc99m sestamibi |
391 |
315 |
$2K |
| 94642 |
|
119 |
104 |
$2K |
| 86704 |
|
1,329 |
1,128 |
$2K |
| 81373 |
|
90 |
57 |
$2K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
1,097 |
772 |
$2K |
| C1729 |
Cath, drainage |
215 |
186 |
$2K |
| 86225 |
|
972 |
828 |
$2K |
| J0360 |
Hydralazine hcl injection |
291 |
203 |
$2K |
| 90686 |
|
496 |
415 |
$2K |
| 82085 |
|
418 |
352 |
$2K |
| 36512 |
|
15 |
12 |
$2K |
| 76827 |
|
815 |
763 |
$2K |
| G8987 |
Self care current status |
199 |
162 |
$2K |
| 80195 |
|
667 |
420 |
$2K |
| 72195 |
|
14 |
13 |
$2K |
| 92585 |
|
78 |
78 |
$2K |
| A4648 |
Implantable tissue marker |
29 |
25 |
$2K |
| Q9961 |
Hocm 250-299mg/ml iodine,1ml |
594 |
463 |
$2K |
| C1760 |
Closure dev, vasc |
17 |
12 |
$2K |
| 62321 |
|
13 |
13 |
$2K |
| 96377 |
|
20 |
12 |
$2K |
| 71271 |
|
45 |
39 |
$2K |
| 93886 |
|
44 |
41 |
$2K |
| 86146 |
|
84 |
77 |
$2K |
| J2785 |
Regadenoson injection |
471 |
383 |
$2K |
| J3420 |
Vitamin b12 injection |
61 |
38 |
$2K |
| 93460 |
|
13 |
13 |
$2K |
| 36600 |
|
207 |
172 |
$1K |
| 83520 |
|
208 |
175 |
$1K |
| 73718 |
|
19 |
17 |
$1K |
| 82533 |
|
408 |
323 |
$1K |
| 85018 |
|
346 |
269 |
$1K |
| 86592 |
|
169 |
137 |
$1K |
| 86360 |
|
1,161 |
963 |
$1K |
| A9541 |
Tc99m sulfur colloid |
1,022 |
911 |
$1K |
| 86431 |
|
784 |
675 |
$1K |
| 80321 |
|
403 |
347 |
$1K |
| J7999 |
Compounded drug, noc |
195 |
158 |
$1K |
| 92522 |
|
28 |
26 |
$1K |
| J9190 |
Fluorouracil injection |
86 |
52 |
$1K |
| 99195 |
|
578 |
400 |
$1K |
| 84630 |
|
981 |
815 |
$1K |
| 72120 |
|
56 |
52 |
$1K |
| 86256 |
|
1,074 |
921 |
$1K |
| 82397 |
|
480 |
451 |
$1K |
| 83930 |
|
575 |
475 |
$1K |
| 81376 |
|
147 |
110 |
$1K |
| 76857 |
|
37 |
31 |
$1K |
| G8988 |
Self care goal status |
208 |
170 |
$1K |
| 82610 |
|
276 |
266 |
$1K |
| 71101 |
|
52 |
48 |
$1K |
| J0881 |
Darbepoetin alfa, non-esrd |
41 |
14 |
$1K |
| 76800 |
|
12 |
12 |
$1K |
| G8982 |
Body pos goal status |
110 |
89 |
$1K |
| J0744 |
Ciprofloxacin iv |
78 |
52 |
$1K |
| 85246 |
|
58 |
57 |
$1K |
| 84446 |
|
622 |
520 |
$1K |
| 84590 |
|
681 |
576 |
$1K |
| J3489 |
Zoledronic acid 1mg |
68 |
51 |
$1K |
| 87420 |
|
32 |
32 |
$1K |
| 0296T |
|
67 |
62 |
$984.25 |
| 72050 |
|
26 |
24 |
$960.13 |
| 84311 |
|
124 |
99 |
$959.17 |
| 70355 |
|
31 |
26 |
$905.74 |
| 0297T |
|
13 |
12 |
$898.64 |
| G8981 |
Body pos current status |
85 |
72 |
$885.27 |
| 86301 |
|
203 |
141 |
$876.99 |
| 88173 |
|
323 |
217 |
$866.18 |
| 82270 |
|
716 |
621 |
$857.52 |
| 86481 |
|
101 |
86 |
$857.22 |
| 84300 |
|
104 |
93 |
$822.74 |
| 87801 |
|
136 |
126 |
$813.91 |
| 89230 |
|
28 |
28 |
$811.24 |
| 82077 |
|
2,378 |
2,002 |
$780.12 |
| J2543 |
Piperacillin/tazobactam |
642 |
351 |
$764.33 |
| U0002 |
Covid-19 lab test non-cdc |
35 |
29 |
$738.57 |
| 81374 |
|
16 |
14 |
$718.46 |
| 86003 |
|
377 |
344 |
$713.31 |
| 83521 |
|
511 |
249 |
$706.68 |
| 80175 |
|
230 |
199 |
$705.38 |
| 87493 |
|
13 |
13 |
$703.59 |
| 82945 |
|
527 |
445 |
$671.17 |
| 29515 |
|
41 |
26 |
$668.36 |
| 80323 |
|
308 |
268 |
$661.20 |
| Q9957 |
Inj perflutren lip micros,ml |
308 |
259 |
$647.79 |
| 74170 |
|
17 |
12 |
$643.07 |
| 84157 |
|
550 |
460 |
$635.13 |
| 94621 |
|
14 |
12 |
$630.82 |
| 86255 |
|
36 |
25 |
$630.54 |
| 86352 |
|
31 |
18 |
$617.70 |
| 72080 |
|
35 |
27 |
$614.96 |
| C1762 |
Conn tiss, human(inc fascia) |
199 |
177 |
$594.98 |
| 82103 |
|
48 |
39 |
$591.77 |
| 80202 |
|
62 |
39 |
$582.94 |
| 84520 |
|
137 |
122 |
$576.43 |
| 86334 |
|
409 |
344 |
$574.20 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
484 |
322 |
$568.75 |
| J8540 |
Oral dexamethasone |
1,269 |
765 |
$550.33 |
| 84450 |
|
464 |
290 |
$549.98 |
| 80051 |
|
116 |
104 |
$541.89 |
| G0103 |
Psa screening |
216 |
189 |
$538.10 |
| J1940 |
Furosemide injection |
754 |
534 |
$524.78 |
| 80143 |
|
787 |
670 |
$513.95 |
| J0456 |
Azithromycin |
97 |
72 |
$502.19 |
| C1780 |
Lens, intraocular (new tech) |
500 |
343 |
$493.87 |
| 29125 |
|
66 |
61 |
$493.81 |
| 91010 |
|
16 |
14 |
$485.52 |
| 86769 |
|
156 |
148 |
$462.53 |
| 85613 |
|
233 |
207 |
$453.71 |
| 82040 |
|
17 |
15 |
$445.22 |
| 97763 |
|
87 |
65 |
$441.67 |
| 86376 |
|
452 |
389 |
$425.87 |
| J1953 |
Levetiracetam injection |
539 |
405 |
$424.31 |
| 73650 |
|
37 |
27 |
$416.47 |
| 80349 |
|
26 |
12 |
$411.16 |
| A4649 |
Surgical supplies |
151 |
127 |
$409.60 |
| 84425 |
|
584 |
504 |
$405.77 |
| 80299 |
|
18 |
12 |
$382.35 |
| J7510 |
Prednisolone oral per 5 mg |
1,773 |
1,606 |
$382.12 |
| 64447 |
|
13 |
12 |
$378.39 |
| 84155 |
|
576 |
501 |
$364.52 |
| M0247 |
Sotrovimab infusion |
14 |
13 |
$363.92 |
| 87181 |
|
133 |
95 |
$344.89 |
| 72202 |
|
12 |
12 |
$333.84 |
| G8997 |
Swallow goal status |
82 |
68 |
$332.13 |
| G8996 |
Swallow current status |
82 |
68 |
$332.13 |
| 83010 |
|
338 |
264 |
$319.84 |
| 62270 |
|
14 |
12 |
$312.86 |
| C1773 |
Ret dev, insertable |
68 |
58 |
$307.76 |
| 81382 |
|
28 |
24 |
$303.34 |
| 85240 |
|
67 |
56 |
$302.80 |
| Q0162 |
Ondansetron oral |
154 |
108 |
$299.06 |
| 51798 |
|
201 |
176 |
$298.14 |
| 87517 |
|
85 |
68 |
$291.23 |
| 95874 |
|
212 |
165 |
$288.79 |
| A0425 |
Ground mileage |
963 |
849 |
$285.33 |
| 76942 |
|
28 |
26 |
$277.48 |
| 82088 |
|
43 |
38 |
$257.27 |
| 94728 |
|
31 |
28 |
$254.11 |
| 82010 |
|
744 |
601 |
$253.88 |
| 87651 |
|
1,215 |
1,155 |
$250.27 |
| 92526 |
|
16 |
12 |
$245.52 |
| M0222 |
Bebtelovimab injection |
13 |
12 |
$244.17 |
| J1459 |
Inj ivig privigen 500 mg |
46 |
30 |
$235.57 |
| J9217 |
Leuprolide acetate suspnsion |
16 |
12 |
$235.46 |
| 70470 |
|
18 |
14 |
$224.82 |
| 84207 |
|
360 |
312 |
$222.00 |
| 86708 |
|
191 |
167 |
$219.58 |
| 83002 |
|
333 |
298 |
$216.89 |
| 84305 |
|
126 |
123 |
$203.06 |
| 87635 |
|
28 |
26 |
$193.70 |
| 86200 |
|
269 |
229 |
$193.56 |
| C9113 |
Inj pantoprazole sodium, via |
449 |
260 |
$191.26 |
| Q9956 |
Inj octafluoropropane mic,ml |
113 |
93 |
$184.35 |
| 94750 |
|
53 |
48 |
$181.34 |
| J9370 |
Vincristine sulfate 1 mg inj |
325 |
217 |
$174.37 |
| A9502 |
Tc99m tetrofosmin |
176 |
144 |
$174.13 |
| 85097 |
|
51 |
24 |
$170.50 |
| 87529 |
|
28 |
24 |
$170.37 |
| A9503 |
Tc99m medronate |
77 |
68 |
$169.99 |
| 72192 |
|
17 |
13 |
$157.03 |
| 88300 |
|
103 |
80 |
$153.06 |
| 81050 |
|
145 |
128 |
$145.26 |
| 87631 |
|
76 |
73 |
$139.18 |
| 84460 |
|
147 |
93 |
$135.96 |
| 86664 |
|
25 |
24 |
$130.06 |
| 86694 |
|
86 |
74 |
$129.89 |
| 74022 |
|
32 |
26 |
$119.88 |
| J9263 |
Oxaliplatin |
38 |
25 |
$116.68 |
| 86356 |
|
168 |
125 |
$105.87 |
| G8998 |
Swallow d/c status |
31 |
24 |
$104.91 |
| 85576 |
|
45 |
37 |
$102.14 |
| 72220 |
|
14 |
12 |
$99.29 |
| 94799 |
|
25 |
21 |
$97.39 |
| 80179 |
|
694 |
609 |
$96.62 |
| 84270 |
|
157 |
145 |
$87.16 |
| 86147 |
|
115 |
101 |
$80.41 |
| 82525 |
|
106 |
85 |
$77.36 |
| 91038 |
|
14 |
12 |
$75.05 |
| 64636 |
|
210 |
160 |
$74.01 |
| 94727 |
|
17 |
14 |
$70.24 |
| J1439 |
Inj ferric carboxymaltos 1mg |
42 |
26 |
$65.76 |
| 86304 |
|
20 |
13 |
$63.76 |
| G0279 |
Tomosynthesis, mammo |
12 |
12 |
$63.59 |
| 86800 |
|
25 |
24 |
$49.66 |
| 84244 |
|
69 |
63 |
$43.31 |
| J9267 |
Paclitaxel injection |
51 |
29 |
$43.02 |
| C1788 |
Port, indwelling, imp |
29 |
24 |
$43.02 |
| 86364 |
|
261 |
245 |
$35.83 |
| 87106 |
|
96 |
70 |
$32.19 |
| 64494 |
|
192 |
166 |
$30.78 |
| J9070 |
Cyclophosphamide 100 mg inj |
19 |
12 |
$29.80 |
| J9250 |
Methotrexate sodium inj |
473 |
332 |
$24.90 |
| 97016 |
|
43 |
24 |
$22.85 |
| 84681 |
|
28 |
26 |
$20.93 |
| J2274 |
Inj morphine pf epid ithc |
59 |
45 |
$16.44 |
| J0461 |
Atropine sulfate injection |
17 |
12 |
$14.34 |
| 83935 |
|
13 |
13 |
$11.95 |
| 82627 |
|
27 |
25 |
$11.52 |
| 82104 |
|
30 |
24 |
$7.24 |
| 86777 |
|
22 |
18 |
$6.72 |
| 82310 |
|
15 |
12 |
$3.13 |
| G8980 |
Mobility d/c status |
36 |
28 |
$3.11 |
| 85732 |
|
190 |
166 |
$1.25 |
| J0610 |
Calcium glucon (fresenius) |
35 |
32 |
$0.00 |
| 80230 |
|
104 |
99 |
$0.00 |
| 84478 |
|
40 |
28 |
$0.00 |
| J2920 |
Methylprednisolone injection |
54 |
48 |
$0.00 |
| 82438 |
|
28 |
28 |
$0.00 |
| 88364 |
|
24 |
13 |
$0.00 |
| 86695 |
|
18 |
15 |
$0.00 |
| 85397 |
|
28 |
28 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
41 |
25 |
$0.00 |
| 87625 |
|
17 |
14 |
$0.00 |
| J3360 |
Diazepam injection |
15 |
13 |
$0.00 |
| J1610 |
Glucagon hydrochloride/1 mg |
13 |
12 |
$0.00 |
| 86381 |
|
16 |
12 |
$0.00 |
| 85032 |
|
15 |
13 |
$0.00 |
| C1781 |
Mesh (implantable) |
15 |
12 |
$0.00 |
| J0713 |
Inj ceftazidime per 500 mg |
28 |
26 |
$0.00 |
| 94760 |
|
20 |
14 |
$0.00 |
| 82360 |
|
18 |
12 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
562 |
433 |
$0.00 |
| 23350 |
|
32 |
28 |
$0.00 |
| 89050 |
|
30 |
26 |
$0.00 |
| 87107 |
|
37 |
29 |
$0.00 |
| 88237 |
|
55 |
38 |
$0.00 |
| 88302 |
|
19 |
12 |
$0.00 |
| C1776 |
Joint device (implantable) |
29 |
25 |
$0.00 |
| 38222 |
|
14 |
13 |
$0.00 |
| 86696 |
|
18 |
15 |
$0.00 |
| 86015 |
|
22 |
18 |
$0.00 |
| 88262 |
|
53 |
36 |
$0.00 |
| 64616 |
|
15 |
12 |
$0.00 |
| 88365 |
|
25 |
16 |
$0.00 |
| J0735 |
Clonidine hydrochloride |
14 |
14 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
18 |
13 |
$0.00 |