| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
23,389 |
21,307 |
$8.35M |
| 99284 |
|
37,362 |
34,368 |
$8.00M |
| J9271 |
Inj pembrolizumab |
1,032 |
734 |
$6.38M |
| 74177 |
|
10,836 |
10,207 |
$5.30M |
| 99283 |
|
23,887 |
22,648 |
$4.43M |
| 80053 |
|
95,232 |
62,669 |
$1.93M |
| 88185 |
|
3,918 |
2,029 |
$1.77M |
| 74176 |
|
4,301 |
4,029 |
$1.51M |
| J9144 |
Daratumumab, hyaluronidase |
322 |
180 |
$1.32M |
| J9299 |
Injection, nivolumab |
324 |
187 |
$1.19M |
| 78815 |
|
1,691 |
1,562 |
$1.09M |
| 81455 |
|
257 |
227 |
$927K |
| 43239 |
|
2,800 |
2,647 |
$873K |
| 36430 |
|
4,285 |
1,704 |
$845K |
| J2505 |
Injection, pegfilgrastim 6mg |
274 |
187 |
$763K |
| 96365 |
|
16,341 |
11,211 |
$731K |
| 99282 |
|
6,545 |
6,243 |
$709K |
| Q5111 |
Injection, udenyca 0.5 mg |
305 |
197 |
$591K |
| 70450 |
|
5,906 |
5,529 |
$570K |
| 96375 |
|
42,161 |
27,373 |
$556K |
| 93306 |
|
1,845 |
1,725 |
$481K |
| 87633 |
|
518 |
402 |
$386K |
| 77334 |
|
458 |
329 |
$375K |
| 72125 |
|
1,408 |
1,343 |
$328K |
| 99213 |
|
3,326 |
2,950 |
$296K |
| 70553 |
|
1,044 |
979 |
$290K |
| 88341 |
|
3,510 |
2,052 |
$289K |
| 71275 |
|
1,766 |
1,652 |
$263K |
| 47562 |
|
70 |
67 |
$256K |
| J9355 |
Inj trastuzumab excl biosimi |
237 |
91 |
$243K |
| 43235 |
|
662 |
617 |
$233K |
| J0897 |
Denosumab injection |
340 |
281 |
$202K |
| 70491 |
|
1,268 |
1,194 |
$197K |
| 77386 |
|
1,189 |
102 |
$197K |
| 45380 |
|
694 |
639 |
$174K |
| 71250 |
|
1,568 |
1,470 |
$165K |
| 88305 |
|
13,166 |
8,244 |
$160K |
| 45385 |
|
497 |
482 |
$143K |
| 99203 |
|
1,601 |
1,576 |
$143K |
| G0378 |
Hospital observation per hr |
10,388 |
5,186 |
$132K |
| 71260 |
|
4,291 |
4,047 |
$127K |
| 99212 |
|
1,699 |
1,373 |
$121K |
| C9399 |
Unclassified drugs or biolog |
971 |
871 |
$116K |
| 99214 |
|
1,108 |
969 |
$115K |
| J9035 |
Bevacizumab injection |
49 |
24 |
$115K |
| J1756 |
Iron sucrose injection |
2,510 |
1,224 |
$110K |
| C1769 |
Guide wire |
1,644 |
1,479 |
$95K |
| 88377 |
|
1,139 |
724 |
$95K |
| 36561 |
|
67 |
64 |
$95K |
| 87799 |
|
1,767 |
568 |
$92K |
| J9263 |
Oxaliplatin |
161 |
77 |
$91K |
| 93971 |
|
1,914 |
1,793 |
$89K |
| J1453 |
Fosaprepitant injection |
3,849 |
2,275 |
$82K |
| 80307 |
|
5,635 |
5,098 |
$67K |
| 81268 |
|
238 |
154 |
$64K |
| 0225U |
|
137 |
117 |
$54K |
| 93970 |
|
282 |
267 |
$53K |
| 93005 |
|
23,980 |
20,631 |
$50K |
| 93975 |
|
2,167 |
2,028 |
$47K |
| G0463 |
Hospital outpt clinic visit |
3,508 |
2,252 |
$44K |
| 84443 |
|
8,737 |
7,347 |
$44K |
| Q5107 |
Inj mvasi 10 mg |
111 |
37 |
$43K |
| 96367 |
|
6,003 |
3,832 |
$41K |
| 76642 |
|
919 |
883 |
$41K |
| J2997 |
Alteplase recombinant |
628 |
471 |
$39K |
| 96366 |
|
5,449 |
3,293 |
$39K |
| 45378 |
|
164 |
147 |
$37K |
| 97140 |
|
1,216 |
483 |
$37K |
| 96413 |
|
17,010 |
7,992 |
$35K |
| 88307 |
|
1,946 |
1,288 |
$35K |
| 77301 |
|
14 |
14 |
$34K |
| 77336 |
|
1,944 |
820 |
$34K |
| 77066 |
Tomosynthesis, mammo |
545 |
520 |
$33K |
| 96401 |
|
1,506 |
547 |
$32K |
| 76536 |
|
498 |
483 |
$31K |
| 77067 |
|
486 |
452 |
$30K |
| J2506 |
Inj pegfilgrast ex bio 0.5mg |
29 |
25 |
$29K |
| 96411 |
|
1,664 |
1,070 |
$29K |
| 87497 |
|
2,903 |
883 |
$28K |
| 96374 |
|
33,143 |
27,490 |
$27K |
| 74174 |
|
41 |
39 |
$27K |
| 96417 |
|
5,445 |
2,976 |
$25K |
| 99211 |
|
375 |
325 |
$25K |
| 96361 |
|
11,179 |
8,440 |
$24K |
| 96402 |
|
1,287 |
1,119 |
$24K |
| 36591 |
|
17,832 |
8,815 |
$23K |
| 70496 |
|
45 |
42 |
$21K |
| J1439 |
Inj ferric carboxymaltos 1mg |
47 |
24 |
$21K |
| 99204 |
|
188 |
185 |
$21K |
| 74183 |
|
99 |
97 |
$20K |
| 97535 |
|
2,080 |
1,232 |
$20K |
| 82728 |
|
5,061 |
4,280 |
$19K |
| 74230 |
|
169 |
163 |
$19K |
| J9070 |
Cyclophosphamide 100 mg inj |
158 |
38 |
$18K |
| 80048 |
|
11,575 |
9,600 |
$18K |
| 71046 |
|
10,401 |
9,696 |
$18K |
| 99291 |
|
15 |
15 |
$16K |
| 76705 |
|
3,173 |
2,991 |
$14K |
| 78306 |
|
200 |
196 |
$13K |
| 76856 |
|
2,015 |
1,913 |
$11K |
| 96376 |
|
9,766 |
6,005 |
$11K |
| J3490 |
Drugs unclassified injection |
44,934 |
19,438 |
$11K |
| 96372 |
|
16,376 |
11,905 |
$10K |
| J9206 |
Irinotecan injection |
19 |
12 |
$9K |
| 86850 |
|
6,280 |
3,919 |
$9K |
| 85025 |
|
98,849 |
67,474 |
$8K |
| P9037 |
Plate pheres leukoredu irrad |
584 |
232 |
$8K |
| 77065 |
Tomosynthesis, mammo |
403 |
349 |
$8K |
| J9201 |
In gemcitabine hcl nos 200mg |
43 |
13 |
$8K |
| J9202 |
Goserelin acetate implant |
15 |
14 |
$7K |
| 80320 |
|
3,637 |
3,357 |
$7K |
| 97110 |
|
746 |
355 |
$7K |
| 88374 |
|
500 |
356 |
$7K |
| 96415 |
|
5,064 |
2,600 |
$6K |
| 70486 |
|
104 |
97 |
$6K |
| 86923 |
|
2,274 |
1,079 |
$6K |
| 93976 |
|
1,249 |
1,190 |
$6K |
| 36592 |
|
10,841 |
2,060 |
$6K |
| 96360 |
|
4,142 |
3,347 |
$6K |
| 86900 |
|
7,090 |
4,553 |
$5K |
| 94060 |
|
58 |
50 |
$5K |
| J1750 |
Inj iron dextran |
29 |
12 |
$5K |
| 86635 |
|
1,535 |
738 |
$5K |
| 82784 |
|
6,001 |
2,545 |
$5K |
| 92611 |
|
168 |
162 |
$4K |
| 36593 |
|
442 |
327 |
$4K |
| 87631 |
|
2,501 |
2,439 |
$4K |
| 31579 |
|
13 |
13 |
$4K |
| 72131 |
|
12 |
12 |
$3K |
| A4648 |
Implantable tissue marker |
50 |
47 |
$3K |
| 87636 |
|
7,107 |
6,821 |
$3K |
| 81267 |
|
268 |
165 |
$3K |
| 70551 |
|
26 |
25 |
$2K |
| J8499 |
Oral prescrip drug non chemo |
35,399 |
16,155 |
$2K |
| 72100 |
|
736 |
695 |
$2K |
| 73562 |
|
1,624 |
1,472 |
$2K |
| J1100 |
Dexamethasone sodium phos |
20,459 |
13,617 |
$2K |
| 88342 |
|
4,125 |
3,367 |
$2K |
| 87086 |
|
11,059 |
10,034 |
$2K |
| 77412 |
|
238 |
26 |
$2K |
| 76819 |
|
57 |
48 |
$2K |
| 88344 |
|
84 |
58 |
$2K |
| J9190 |
Fluorouracil injection |
1,921 |
914 |
$2K |
| 71045 |
|
11,690 |
10,708 |
$2K |
| 10060 |
|
39 |
38 |
$1K |
| 81025 |
|
15,657 |
14,538 |
$1K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
16,152 |
15,012 |
$1K |
| 76775 |
|
279 |
258 |
$1K |
| 88237 |
|
1,411 |
1,219 |
$1K |
| 74018 |
|
1,720 |
1,599 |
$1K |
| 84153 |
|
551 |
450 |
$1K |
| 76830 |
|
1,638 |
1,555 |
$1K |
| 84702 |
|
3,914 |
3,450 |
$1K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,099 |
1,046 |
$1K |
| J8597 |
Antiemetic drug oral nos |
5,014 |
3,852 |
$1K |
| 87040 |
|
7,561 |
3,730 |
$976.08 |
| J2405 |
Ondansetron hcl injection |
38,924 |
27,853 |
$896.72 |
| 83690 |
|
17,523 |
15,658 |
$828.42 |
| 77080 |
|
12 |
12 |
$820.95 |
| 87081 |
|
825 |
786 |
$778.10 |
| P9040 |
Rbc leukoreduced irradiated |
1,670 |
764 |
$760.50 |
| 94640 |
|
4,351 |
2,998 |
$740.04 |
| 73130 |
|
688 |
655 |
$739.79 |
| 73030 |
|
980 |
895 |
$707.16 |
| 84484 |
|
13,345 |
9,600 |
$685.34 |
| 88361 |
|
22 |
13 |
$649.64 |
| 76801 |
|
1,864 |
1,707 |
$634.58 |
| 82378 |
|
2,385 |
1,713 |
$631.70 |
| 97165 |
|
190 |
178 |
$586.33 |
| 96409 |
|
460 |
197 |
$581.28 |
| 73610 |
|
1,057 |
983 |
$561.30 |
| 80061 |
|
662 |
587 |
$536.74 |
| J1885 |
Ketorolac tromethamine inj |
18,876 |
16,590 |
$514.31 |
| 81001 |
|
23,054 |
20,466 |
$499.65 |
| 82947 |
|
18,478 |
12,234 |
$495.00 |
| 76700 |
|
14 |
12 |
$490.83 |
| 96523 |
|
69 |
53 |
$483.28 |
| A9552 |
F18 fdg |
1,875 |
1,724 |
$480.99 |
| 84112 |
|
905 |
817 |
$455.06 |
| 76815 |
|
578 |
549 |
$451.31 |
| 97161 |
|
776 |
689 |
$427.09 |
| P9016 |
Rbc leukocytes reduced |
119 |
96 |
$370.30 |
| 73630 |
|
1,279 |
1,214 |
$367.69 |
| 85379 |
|
2,547 |
2,112 |
$363.43 |
| 83605 |
|
8,825 |
7,039 |
$351.83 |
| J2704 |
Inj, propofol, 10 mg |
14,681 |
13,054 |
$348.04 |
| 87880 |
|
1,770 |
1,709 |
$338.39 |
| 87491 |
|
1,159 |
1,115 |
$322.89 |
| 99152 |
|
1,017 |
915 |
$322.86 |
| 87591 |
|
1,159 |
1,115 |
$322.47 |
| 87804 |
|
2,460 |
1,211 |
$315.12 |
| G0480 |
Drug test def 1-7 classes |
81 |
74 |
$295.72 |
| 87635 |
|
1,367 |
1,312 |
$278.12 |
| 83880 |
|
2,377 |
2,066 |
$274.53 |
| J0696 |
Ceftriaxone sodium injection |
5,561 |
4,720 |
$261.93 |
| 85055 |
|
12,666 |
4,106 |
$260.40 |
| J7030 |
Normal saline solution infus |
22,191 |
16,392 |
$257.68 |
| 88184 |
|
3,070 |
2,032 |
$251.76 |
| 84550 |
|
2,566 |
1,915 |
$239.05 |
| 84703 |
|
4,265 |
4,038 |
$237.04 |
| 86920 |
|
229 |
94 |
$236.02 |
| 76817 |
|
1,192 |
1,097 |
$231.38 |
| J2370 |
Phenylephrine hcl injection |
1,382 |
1,109 |
$211.80 |
| J2270 |
Morphine sulfate injection |
13,211 |
10,327 |
$192.60 |
| A9270 |
Non-covered item or service |
28,209 |
6,443 |
$191.14 |
| 84439 |
|
4,303 |
3,483 |
$189.38 |
| J7999 |
Compounded drug, noc |
1,031 |
969 |
$184.42 |
| 81003 |
|
12,131 |
11,135 |
$177.36 |
| 83970 |
|
17 |
15 |
$174.39 |
| 85610 |
|
10,759 |
8,894 |
$173.93 |
| 82607 |
|
2,333 |
2,135 |
$171.59 |
| 85027 |
|
10,817 |
7,132 |
$170.98 |
| 82805 |
|
428 |
366 |
$170.69 |
| 83735 |
|
33,751 |
16,684 |
$160.19 |
| 85730 |
|
4,489 |
3,549 |
$160.05 |
| 87070 |
|
1,221 |
896 |
$157.38 |
| 97530 |
|
718 |
349 |
$156.66 |
| 86140 |
|
3,751 |
3,183 |
$153.76 |
| J1200 |
Diphenhydramine hcl injectio |
11,174 |
7,000 |
$138.65 |
| 90715 |
|
1,135 |
1,091 |
$136.16 |
| 88264 |
|
1,339 |
1,162 |
$136.13 |
| 84403 |
|
538 |
456 |
$134.78 |
| 87088 |
|
8,418 |
7,366 |
$133.50 |
| 87075 |
|
89 |
81 |
$133.19 |
| J8540 |
Oral dexamethasone |
2,685 |
1,449 |
$121.84 |
| 86901 |
|
7,732 |
5,143 |
$119.52 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
412 |
391 |
$111.79 |
| 88313 |
|
3,045 |
1,393 |
$110.64 |
| 73502 |
|
155 |
127 |
$103.15 |
| 73110 |
|
215 |
198 |
$100.95 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,118 |
991 |
$97.53 |
| J2765 |
Metoclopramide hcl injection |
3,670 |
3,303 |
$94.06 |
| 77280 |
|
16 |
14 |
$88.13 |
| 82550 |
|
2,241 |
1,894 |
$87.62 |
| 87186 |
|
3,397 |
2,927 |
$85.50 |
| J1170 |
Hydromorphone injection |
8,890 |
6,129 |
$82.82 |
| 86803 |
|
159 |
131 |
$81.61 |
| 88368 |
|
302 |
234 |
$77.64 |
| 83615 |
|
21,115 |
8,087 |
$75.05 |
| 90471 |
|
1,255 |
1,196 |
$74.00 |
| J2930 |
Methylprednisolone injection |
1,365 |
1,135 |
$67.94 |
| 87077 |
|
4,267 |
3,474 |
$65.09 |
| J1642 |
Inj heparin sodium per 10 u |
7,609 |
3,558 |
$63.31 |
| 82565 |
|
831 |
736 |
$62.99 |
| 76870 |
|
27 |
24 |
$59.78 |
| J0690 |
Cefazolin sodium injection |
5,433 |
4,505 |
$45.40 |
| J2001 |
Lidocaine injection |
4,112 |
3,593 |
$44.90 |
| J2060 |
Lorazepam injection |
3,325 |
2,668 |
$43.29 |
| J0780 |
Prochlorperazine injection |
2,788 |
2,169 |
$41.98 |
| 87651 |
|
532 |
531 |
$41.37 |
| 74022 |
|
213 |
199 |
$39.42 |
| 86800 |
|
218 |
200 |
$36.56 |
| 88112 |
|
37 |
28 |
$33.72 |
| A9585 |
Gadobutrol injection |
2,316 |
2,132 |
$32.96 |
| A9577 |
Inj multihance |
302 |
289 |
$30.93 |
| 85652 |
|
2,083 |
1,917 |
$29.53 |
| J2550 |
Promethazine hcl injection |
3,996 |
2,907 |
$29.43 |
| 96368 |
|
3,048 |
1,803 |
$28.95 |
| 87210 |
|
368 |
356 |
$26.92 |
| J3010 |
Fentanyl citrate injection |
12,430 |
10,637 |
$26.18 |
| 87807 |
|
334 |
323 |
$24.58 |
| J7120 |
Ringers lactate infusion |
8,757 |
7,847 |
$24.30 |
| U0005 |
Infec agen detec ampli probe |
331 |
311 |
$22.50 |
| 83036 |
|
468 |
436 |
$19.76 |
| 87340 |
|
227 |
192 |
$18.24 |
| 84100 |
|
20,092 |
8,535 |
$16.39 |
| J0360 |
Hydralazine hcl injection |
309 |
256 |
$15.16 |
| J2919 |
Inj, methylpred sod succ 5mg |
173 |
142 |
$15.00 |
| 85018 |
|
1,487 |
1,131 |
$14.42 |
| A9503 |
Tc99m medronate |
188 |
184 |
$14.33 |
| J1790 |
Droperidol injection |
412 |
377 |
$12.88 |
| 85014 |
|
1,225 |
994 |
$12.76 |
| 85046 |
|
906 |
714 |
$11.02 |
| 88304 |
|
1,275 |
1,185 |
$10.27 |
| J2360 |
Orphenadrine injection |
96 |
91 |
$9.13 |
| 85007 |
|
3,606 |
1,650 |
$8.72 |
| 88311 |
|
1,649 |
1,403 |
$7.81 |
| 85384 |
|
267 |
176 |
$7.63 |
| G0279 |
Tomosynthesis, mammo |
1,350 |
1,274 |
$6.83 |
| J2543 |
Piperacillin/tazobactam |
693 |
344 |
$5.68 |
| C9113 |
Inj pantoprazole sodium, via |
2,152 |
1,402 |
$5.39 |
| J1940 |
Furosemide injection |
456 |
340 |
$4.70 |
| J2175 |
Meperidine hydrochl /100 mg |
2,046 |
1,856 |
$4.34 |
| J1630 |
Haloperidol injection |
601 |
513 |
$3.68 |
| J3475 |
Inj magnesium sulfate |
4,418 |
2,188 |
$2.70 |
| J1815 |
Insulin injection |
3,267 |
1,780 |
$2.61 |
| J2250 |
Inj midazolam hydrochloride |
8,863 |
8,006 |
$0.81 |
| S0028 |
Injection, famotidine, 20 mg |
1,410 |
965 |
$0.66 |
| J1650 |
Inj enoxaparin sodium |
750 |
402 |
$0.00 |
| 84466 |
|
3,107 |
2,865 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
122 |
75 |
$0.00 |
| 96416 |
|
1,648 |
864 |
$0.00 |
| 84155 |
|
546 |
455 |
$0.00 |
| J0640 |
Leucovorin calcium injection |
1,381 |
719 |
$0.00 |
| 84165 |
|
1,902 |
1,413 |
$0.00 |
| 86360 |
|
1,071 |
911 |
$0.00 |
| J3489 |
Zoledronic acid 1mg |
610 |
559 |
$0.00 |
| 84156 |
|
1,311 |
977 |
$0.00 |
| 83540 |
|
3,120 |
2,872 |
$0.00 |
| 84145 |
|
91 |
79 |
$0.00 |
| 88367 |
|
165 |
154 |
$0.00 |
| 76376 |
|
523 |
515 |
$0.00 |
| 84460 |
|
743 |
654 |
$0.00 |
| 84520 |
|
298 |
254 |
$0.00 |
| 88173 |
|
292 |
236 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
769 |
515 |
$0.00 |
| 86359 |
|
1,072 |
912 |
$0.00 |
| 97116 |
|
190 |
147 |
$0.00 |
| 82570 |
|
130 |
115 |
$0.00 |
| J0692 |
Cefepime hcl for injection |
91 |
50 |
$0.00 |
| 86038 |
|
14 |
12 |
$0.00 |
| 84450 |
|
403 |
348 |
$0.00 |
| J1580 |
Garamycin gentamicin inj |
96 |
75 |
$0.00 |
| 82232 |
|
677 |
575 |
$0.00 |
| 93356 |
|
636 |
613 |
$0.00 |
| 88373 |
|
170 |
154 |
$0.00 |
| J0736 |
Inj, clindamycin phosp 300mg |
159 |
128 |
$0.00 |
| 82652 |
|
85 |
78 |
$0.00 |
| Q9961 |
Hocm 250-299mg/ml iodine,1ml |
149 |
133 |
$0.00 |
| J3105 |
Terbutaline sulfate inj |
235 |
194 |
$0.00 |
| 76937 |
|
304 |
256 |
$0.00 |
| Q0114 |
Fern test |
70 |
69 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
72 |
60 |
$0.00 |
| 94664 |
|
395 |
291 |
$0.00 |
| 81265 |
|
66 |
38 |
$0.00 |
| 97803 |
|
141 |
120 |
$0.00 |
| J7040 |
Normal saline solution infus |
2,963 |
1,906 |
$0.00 |
| 86334 |
|
630 |
454 |
$0.00 |
| J0694 |
Cefoxitin sodium injection |
291 |
204 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
164 |
135 |
$0.00 |
| 82248 |
|
151 |
109 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
383 |
320 |
$0.00 |
| 94729 |
|
59 |
51 |
$0.00 |
| 86644 |
|
56 |
25 |
$0.00 |
| 12011 |
|
30 |
28 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
746 |
573 |
$0.00 |
| J1956 |
Levofloxacin injection |
72 |
55 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
150 |
145 |
$0.00 |
| 82747 |
|
328 |
311 |
$0.00 |
| C1788 |
Port, indwelling, imp |
40 |
39 |
$0.00 |
| 85048 |
|
120 |
91 |
$0.00 |
| 82731 |
|
39 |
37 |
$0.00 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
114 |
78 |
$0.00 |
| 87798 |
|
13 |
12 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
13 |
13 |
$0.00 |
| 82010 |
|
67 |
57 |
$0.00 |
| J9060 |
Cisplatin 10 mg injection |
25 |
12 |
$0.00 |
| 94726 |
|
40 |
38 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
14 |
14 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
48 |
42 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
12 |
12 |
$0.00 |
| 80195 |
|
52 |
13 |
$0.00 |
| 88302 |
|
18 |
13 |
$0.00 |
| 77338 |
|
14 |
14 |
$0.00 |
| 73080 |
|
14 |
13 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
13 |
12 |
$0.00 |
| 82310 |
|
19 |
12 |
$0.00 |
| 87102 |
|
15 |
12 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
1,636 |
1,495 |
$0.00 |
| 84132 |
|
731 |
577 |
$0.00 |
| J0456 |
Azithromycin |
150 |
116 |
$0.00 |
| J9045 |
Carboplatin injection |
1,102 |
589 |
$0.00 |
| J9267 |
Paclitaxel injection |
546 |
222 |
$0.00 |
| 86357 |
|
742 |
640 |
$0.00 |
| J7050 |
Normal saline solution infus |
2,776 |
1,427 |
$0.00 |
| J3420 |
Vitamin b12 injection |
262 |
171 |
$0.00 |
| 83521 |
|
883 |
365 |
$0.00 |
| 83883 |
|
2,283 |
815 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
450 |
401 |
$0.00 |
| J2469 |
Palonosetron hcl |
2,376 |
1,315 |
$0.00 |
| 77063 |
|
454 |
422 |
$0.00 |
| 87147 |
|
31 |
28 |
$0.00 |
| J3480 |
Inj potassium chloride |
3,777 |
2,024 |
$0.00 |
| 80197 |
|
1,581 |
289 |
$0.00 |
| J7060 |
5% dextrose/water |
1,610 |
888 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
369 |
353 |
$0.00 |
| 86320 |
|
523 |
435 |
$0.00 |
| 70498 |
|
45 |
42 |
$0.00 |
| 86355 |
|
743 |
642 |
$0.00 |
| 94760 |
|
746 |
464 |
$0.00 |
| 86300 |
|
1,089 |
489 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
189 |
137 |
$0.00 |
| 88369 |
|
286 |
219 |
$0.00 |
| 77300 |
|
202 |
176 |
$0.00 |
| 80329 |
|
332 |
300 |
$0.00 |
| 87205 |
|
899 |
768 |
$0.00 |
| 74021 |
|
116 |
107 |
$0.00 |
| 87533 |
|
60 |
38 |
$0.00 |
| 84432 |
|
161 |
150 |
$0.00 |
| 86301 |
|
473 |
313 |
$0.00 |
| 82105 |
|
102 |
78 |
$0.00 |
| 82746 |
|
683 |
641 |
$0.00 |
| 86308 |
|
16 |
16 |
$0.00 |
| C1781 |
Mesh (implantable) |
26 |
25 |
$0.00 |
| 87449 |
|
30 |
24 |
$0.00 |
| 83010 |
|
17 |
13 |
$0.00 |
| 88172 |
|
13 |
12 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
321 |
302 |
$0.00 |
| 87632 |
|
13 |
12 |
$0.00 |
| 72040 |
|
56 |
51 |
$0.00 |
| 96377 |
|
20 |
14 |
$0.00 |
| 82330 |
|
64 |
37 |
$0.00 |
| 77001 |
|
76 |
68 |
$0.00 |
| G0008 |
Admin influenza virus vac |
54 |
49 |
$0.00 |
| J3360 |
Diazepam injection |
40 |
39 |
$0.00 |
| 82306 |
|
127 |
120 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
18 |
12 |
$0.00 |
| 90686 |
|
60 |
55 |
$0.00 |
| C2617 |
Stent, non-cor, tem w/o del |
56 |
50 |
$0.00 |
| J1720 |
Hydrocortisone sodium succ i |
72 |
38 |
$0.00 |
| 36415 |
|
14 |
14 |
$0.00 |
| J1920 |
Inj, labetalol hcl, 5mg |
74 |
53 |
$0.00 |
| 86704 |
|
19 |
14 |
$0.00 |
| 97802 |
|
21 |
20 |
$0.00 |
| 12001 |
|
58 |
52 |
$0.00 |
| 71101 |
|
14 |
12 |
$0.00 |
| 36620 |
|
23 |
22 |
$0.00 |
| 86592 |
|
26 |
26 |
$0.00 |
| 82945 |
|
18 |
13 |
$0.00 |
| 84157 |
|
18 |
13 |
$0.00 |
| U0002 |
Covid-19 lab test non-cdc |
20 |
16 |
$0.00 |
| J0461 |
Atropine sulfate injection |
22 |
12 |
$0.00 |
| 87206 |
|
22 |
12 |
$0.00 |