| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
35,068 |
29,327 |
$4.33M |
| 99284 |
|
25,929 |
21,546 |
$3.93M |
| G0378 |
Hospital observation per hr |
8,724 |
5,656 |
$2.90M |
| 99285 |
|
13,439 |
11,245 |
$2.33M |
| 96374 |
|
16,987 |
13,907 |
$1.28M |
| 99282 |
|
15,627 |
13,212 |
$1.21M |
| 74177 |
|
9,354 |
7,784 |
$1.06M |
| J9271 |
Inj pembrolizumab |
492 |
242 |
$1.01M |
| 93306 |
|
7,441 |
6,213 |
$913K |
| 96413 |
|
8,841 |
3,902 |
$876K |
| 78815 |
|
2,371 |
2,005 |
$828K |
| 99281 |
|
18,709 |
15,291 |
$804K |
| 96372 |
|
26,338 |
17,574 |
$790K |
| 94640 |
|
9,247 |
5,189 |
$595K |
| 95810 |
|
1,323 |
1,159 |
$591K |
| 96365 |
|
8,544 |
6,274 |
$590K |
| 96361 |
|
8,566 |
5,101 |
$570K |
| 93005 |
|
34,512 |
26,764 |
$554K |
| 11042 |
|
5,871 |
2,830 |
$551K |
| 71045 |
|
17,885 |
14,170 |
$539K |
| 71046 |
|
15,246 |
12,879 |
$537K |
| 78431 |
|
1,036 |
823 |
$525K |
| 80053 |
|
69,158 |
53,833 |
$447K |
| 86900 |
|
10,500 |
7,950 |
$417K |
| D7140 |
|
1,170 |
288 |
$415K |
| 43239 |
|
1,220 |
1,012 |
$389K |
| 99211 |
|
47,647 |
34,630 |
$368K |
| 71260 |
|
5,015 |
4,246 |
$337K |
| U0002 |
Covid-19 lab test non-cdc |
11,007 |
8,746 |
$324K |
| 88305 |
|
8,333 |
4,850 |
$320K |
| G0463 |
Hospital outpt clinic visit |
23,696 |
20,639 |
$290K |
| 96375 |
|
14,020 |
10,064 |
$283K |
| 74176 |
|
3,513 |
2,955 |
$281K |
| 95811 |
|
739 |
629 |
$278K |
| 85025 |
|
65,630 |
48,823 |
$276K |
| 96367 |
|
6,890 |
3,232 |
$262K |
| 70450 |
|
6,824 |
5,613 |
$260K |
| 88307 |
|
2,190 |
1,266 |
$245K |
| D2930 |
|
3,862 |
487 |
$240K |
| 47563 |
|
120 |
91 |
$229K |
| 87804 |
|
20,748 |
8,967 |
$209K |
| 86850 |
|
10,667 |
8,056 |
$204K |
| J2357 |
Omalizumab injection |
563 |
198 |
$188K |
| 87491 |
|
6,948 |
6,025 |
$188K |
| 87591 |
|
6,945 |
6,017 |
$186K |
| 36415 |
|
103,973 |
70,330 |
$186K |
| 71275 |
|
2,898 |
2,365 |
$183K |
| 70553 |
|
1,381 |
1,126 |
$177K |
| 83880 |
|
9,799 |
7,893 |
$176K |
| C9803 |
Hopd covid-19 spec collect |
13,128 |
10,765 |
$176K |
| 11043 |
|
1,283 |
592 |
$161K |
| 80307 |
|
3,902 |
3,264 |
$160K |
| 84443 |
|
16,039 |
13,505 |
$150K |
| 78492 |
|
455 |
409 |
$149K |
| 96366 |
|
3,466 |
1,799 |
$146K |
| 96360 |
|
1,723 |
1,476 |
$145K |
| 82306 |
|
9,420 |
8,016 |
$142K |
| 93017 |
|
2,747 |
2,300 |
$141K |
| U0004 |
Cov-19 test non-cdc hgh thru |
2,597 |
2,293 |
$137K |
| J2469 |
Palonosetron hcl |
4,672 |
2,124 |
$132K |
| 86901 |
|
10,553 |
7,957 |
$127K |
| 87635 |
|
3,672 |
3,271 |
$126K |
| 74018 |
|
3,249 |
2,611 |
$123K |
| 77067 |
|
2,033 |
1,793 |
$121K |
| 88342 |
|
2,903 |
1,704 |
$121K |
| 81025 |
|
19,943 |
16,441 |
$119K |
| J1453 |
Fosaprepitant injection |
2,361 |
1,104 |
$115K |
| 80048 |
|
23,652 |
16,924 |
$108K |
| 76801 |
|
1,566 |
1,269 |
$105K |
| 86922 |
|
2,792 |
1,029 |
$105K |
| 80061 |
|
13,238 |
11,103 |
$102K |
| 73560 |
|
3,006 |
2,442 |
$99K |
| 36430 |
|
1,143 |
720 |
$98K |
| 81001 |
|
44,565 |
36,277 |
$96K |
| 84484 |
|
15,597 |
9,721 |
$96K |
| 93923 |
|
3,026 |
2,298 |
$95K |
| 87086 |
|
15,041 |
12,738 |
$81K |
| 72148 |
|
1,137 |
999 |
$81K |
| 96417 |
|
3,142 |
1,548 |
$78K |
| 96415 |
|
2,734 |
1,366 |
$77K |
| 76642 |
|
2,314 |
1,910 |
$76K |
| 72100 |
|
1,790 |
1,469 |
$75K |
| 87389 |
|
4,356 |
3,646 |
$74K |
| 93970 |
|
1,358 |
1,129 |
$74K |
| 71250 |
|
2,477 |
2,105 |
$73K |
| 85027 |
|
19,905 |
14,105 |
$71K |
| P9016 |
Rbc leukocytes reduced |
965 |
585 |
$70K |
| 78452 |
|
197 |
177 |
$70K |
| 73721 |
|
443 |
388 |
$65K |
| 83036 |
|
15,216 |
12,351 |
$65K |
| 99213 |
|
2,405 |
1,490 |
$64K |
| 88304 |
|
2,747 |
2,006 |
$63K |
| 93971 |
|
2,097 |
1,694 |
$62K |
| U0003 |
Cov-19 amp prb hgh thruput |
949 |
839 |
$61K |
| 73030 |
|
1,888 |
1,553 |
$56K |
| 73630 |
|
1,569 |
1,348 |
$56K |
| 87880 |
|
4,691 |
4,089 |
$55K |
| 76705 |
|
1,141 |
981 |
$55K |
| Q5111 |
Injection, udenyca 0.5 mg |
206 |
116 |
$55K |
| 77065 |
Tomosynthesis, mammo |
1,671 |
1,227 |
$54K |
| 87633 |
|
254 |
202 |
$51K |
| 93880 |
|
1,200 |
917 |
$50K |
| 73610 |
|
1,215 |
1,010 |
$46K |
| 45380 |
|
102 |
86 |
$45K |
| 73130 |
|
1,036 |
879 |
$43K |
| 88312 |
|
1,798 |
1,057 |
$43K |
| 83970 |
|
2,317 |
1,798 |
$43K |
| 77412 |
|
656 |
61 |
$42K |
| 87186 |
|
8,309 |
5,861 |
$42K |
| 10060 |
|
414 |
361 |
$38K |
| 83690 |
|
8,650 |
6,900 |
$37K |
| 73502 |
|
1,469 |
1,171 |
$36K |
| 77066 |
Tomosynthesis, mammo |
742 |
581 |
$36K |
| 70551 |
|
463 |
397 |
$33K |
| 36830 |
|
46 |
40 |
$33K |
| 84702 |
|
2,913 |
2,293 |
$31K |
| 82607 |
|
4,323 |
3,554 |
$31K |
| 87070 |
|
5,946 |
4,666 |
$31K |
| 82565 |
|
11,446 |
9,429 |
$30K |
| 76817 |
|
443 |
346 |
$30K |
| 82550 |
|
5,962 |
4,346 |
$29K |
| 76856 |
|
527 |
455 |
$28K |
| 86140 |
|
10,699 |
8,192 |
$28K |
| 82728 |
|
4,144 |
3,378 |
$28K |
| 93296 |
|
2,754 |
2,474 |
$28K |
| 90471 |
|
1,395 |
1,177 |
$27K |
| 97162 |
|
1,506 |
1,120 |
$27K |
| 82553 |
|
3,587 |
2,707 |
$27K |
| 84439 |
|
4,614 |
3,969 |
$26K |
| 76536 |
|
700 |
586 |
$26K |
| 36600 |
|
1,106 |
878 |
$26K |
| 80074 |
|
1,008 |
811 |
$26K |
| J0561 |
Penicillin g benzathine inj |
229 |
183 |
$26K |
| 83735 |
|
7,220 |
4,786 |
$26K |
| 86480 |
|
849 |
718 |
$24K |
| 87040 |
|
4,411 |
2,010 |
$24K |
| J0585 |
Injection,onabotulinumtoxina |
111 |
55 |
$23K |
| 99291 |
|
78 |
70 |
$22K |
| 82803 |
|
1,807 |
1,343 |
$21K |
| 87147 |
|
6,176 |
3,216 |
$21K |
| 85610 |
|
10,098 |
7,492 |
$21K |
| 87077 |
|
4,317 |
3,045 |
$20K |
| 77334 |
|
167 |
90 |
$19K |
| 94060 |
|
255 |
211 |
$19K |
| Q5120 |
Inj pegfilgrastim-bmez 0.5mg |
24 |
12 |
$19K |
| 82746 |
|
2,842 |
2,345 |
$19K |
| 85007 |
|
8,613 |
6,271 |
$19K |
| 86235 |
|
2,747 |
451 |
$18K |
| 72125 |
|
734 |
600 |
$17K |
| 77290 |
|
142 |
48 |
$17K |
| 85379 |
|
2,872 |
2,374 |
$16K |
| 78306 |
|
99 |
90 |
$15K |
| 99212 |
|
592 |
508 |
$15K |
| M0243 |
Casirivi and imdevi inj |
68 |
68 |
$15K |
| 83605 |
|
2,634 |
1,964 |
$15K |
| 83550 |
|
3,606 |
2,996 |
$15K |
| 88175 |
|
677 |
633 |
$14K |
| 84703 |
|
2,770 |
2,219 |
$14K |
| 86038 |
|
1,937 |
1,559 |
$14K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
22,775 |
16,373 |
$14K |
| 78264 |
|
75 |
62 |
$14K |
| 86592 |
|
4,472 |
3,812 |
$13K |
| U0005 |
Infec agen detec ampli probe |
798 |
656 |
$13K |
| D0272 |
|
13 |
12 |
$13K |
| 70486 |
|
258 |
214 |
$13K |
| 73221 |
|
111 |
103 |
$13K |
| 82570 |
|
5,013 |
3,999 |
$13K |
| 84132 |
|
5,579 |
4,098 |
$12K |
| 77370 |
|
223 |
104 |
$12K |
| 94726 |
|
231 |
193 |
$12K |
| 87807 |
|
1,082 |
1,019 |
$12K |
| 87210 |
|
3,212 |
2,805 |
$12K |
| 82375 |
|
1,800 |
1,340 |
$12K |
| 83540 |
|
3,709 |
3,088 |
$12K |
| 85652 |
|
7,952 |
6,538 |
$11K |
| 83655 |
|
1,283 |
1,066 |
$11K |
| 87205 |
|
4,893 |
3,726 |
$11K |
| 74174 |
|
92 |
80 |
$11K |
| 77336 |
|
300 |
117 |
$11K |
| 80069 |
|
2,789 |
1,768 |
$10K |
| 96411 |
|
466 |
231 |
$10K |
| J7030 |
Normal saline solution infus |
14,486 |
10,265 |
$10K |
| 80076 |
|
1,865 |
1,595 |
$10K |
| 99214 |
|
418 |
187 |
$10K |
| 97116 |
|
1,215 |
581 |
$10K |
| 86160 |
|
2,106 |
865 |
$9K |
| 88300 |
|
716 |
577 |
$9K |
| 85730 |
|
2,982 |
2,242 |
$9K |
| 73110 |
|
224 |
180 |
$8K |
| 72141 |
|
130 |
101 |
$8K |
| 86803 |
|
1,031 |
883 |
$8K |
| 82043 |
|
2,330 |
2,045 |
$8K |
| J2405 |
Ondansetron hcl injection |
27,095 |
16,778 |
$8K |
| 87651 |
|
246 |
241 |
$8K |
| 82378 |
|
406 |
320 |
$7K |
| 76815 |
|
106 |
97 |
$7K |
| J1100 |
Dexamethasone sodium phos |
16,826 |
11,001 |
$7K |
| 74022 |
|
117 |
105 |
$7K |
| 97166 |
|
259 |
215 |
$7K |
| 99204 |
|
94 |
68 |
$7K |
| 83050 |
|
1,761 |
1,321 |
$7K |
| 15004 |
|
35 |
30 |
$7K |
| 84450 |
|
2,558 |
2,123 |
$7K |
| 72040 |
|
170 |
156 |
$7K |
| 84460 |
|
2,578 |
2,134 |
$6K |
| 84156 |
|
3,126 |
2,510 |
$6K |
| 87340 |
|
1,147 |
918 |
$6K |
| 76770 |
|
209 |
181 |
$6K |
| 19083 |
|
13 |
12 |
$6K |
| 77300 |
|
46 |
37 |
$6K |
| 97161 |
|
275 |
185 |
$6K |
| 84100 |
|
2,669 |
1,575 |
$6K |
| J3010 |
Fentanyl citrate injection |
11,104 |
8,267 |
$6K |
| 86431 |
|
1,669 |
1,369 |
$5K |
| 84550 |
|
2,267 |
1,840 |
$5K |
| 85045 |
|
2,491 |
1,944 |
$5K |
| 84165 |
|
1,015 |
857 |
$5K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
214 |
176 |
$5K |
| 97165 |
|
136 |
127 |
$5K |
| 90686 |
|
697 |
588 |
$5K |
| 87420 |
|
421 |
338 |
$4K |
| D2330 |
|
309 |
98 |
$4K |
| 76830 |
|
63 |
58 |
$4K |
| 70496 |
|
60 |
52 |
$4K |
| 88112 |
|
251 |
166 |
$4K |
| J7040 |
Normal saline solution infus |
5,838 |
3,654 |
$4K |
| 70498 |
|
77 |
65 |
$4K |
| 86003 |
|
1,519 |
110 |
$4K |
| 82657 |
|
247 |
191 |
$4K |
| 87116 |
|
586 |
447 |
$4K |
| 77080 |
|
159 |
120 |
$4K |
| G0480 |
Drug test def 1-7 classes |
70 |
53 |
$4K |
| D1120 |
|
500 |
429 |
$4K |
| 85018 |
|
2,131 |
1,273 |
$3K |
| 86225 |
|
454 |
371 |
$3K |
| 86334 |
|
371 |
306 |
$3K |
| 94010 |
|
104 |
87 |
$3K |
| 99203 |
|
89 |
71 |
$3K |
| 87206 |
|
1,652 |
691 |
$3K |
| A9270 |
Non-covered item or service |
8,746 |
5,131 |
$3K |
| 83615 |
|
817 |
620 |
$3K |
| 82040 |
|
1,399 |
1,140 |
$3K |
| J2785 |
Regadenoson injection |
2,251 |
1,881 |
$3K |
| 88173 |
|
146 |
121 |
$3K |
| 73590 |
|
84 |
66 |
$3K |
| J7050 |
Normal saline solution infus |
10,074 |
3,902 |
$3K |
| 64450 |
|
34 |
24 |
$3K |
| A9552 |
F18 fdg |
2,108 |
1,757 |
$3K |
| 87015 |
|
997 |
686 |
$3K |
| 86147 |
|
207 |
143 |
$3K |
| 96416 |
|
24 |
12 |
$2K |
| 97530 |
|
455 |
229 |
$2K |
| 85014 |
|
2,461 |
1,427 |
$2K |
| 87102 |
|
694 |
545 |
$2K |
| 45385 |
|
12 |
12 |
$2K |
| 86255 |
|
321 |
218 |
$2K |
| G0103 |
Psa screening |
257 |
208 |
$2K |
| 86769 |
|
92 |
86 |
$2K |
| 88313 |
|
99 |
54 |
$2K |
| 82044 |
|
825 |
727 |
$2K |
| A9555 |
Rb82 rubidium |
1,537 |
1,259 |
$2K |
| 70491 |
|
16 |
13 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
14,816 |
11,214 |
$2K |
| J9045 |
Carboplatin injection |
412 |
207 |
$2K |
| J0185 |
Inj., aprepitant, 1 mg |
48 |
33 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
10,258 |
7,489 |
$2K |
| 74230 |
|
95 |
79 |
$2K |
| 90662 |
|
555 |
435 |
$2K |
| 83516 |
|
236 |
129 |
$2K |
| 90935 |
|
18 |
13 |
$2K |
| 93246 |
|
142 |
105 |
$2K |
| 64447 |
|
25 |
15 |
$2K |
| 99490 |
Ccm add 20min |
141 |
128 |
$2K |
| G8979 |
Mobility goal status |
107 |
89 |
$2K |
| 95816 |
|
30 |
24 |
$2K |
| 74220 |
|
27 |
27 |
$2K |
| 84480 |
|
159 |
141 |
$2K |
| J0131 |
Inj, acetaminophen (nos) |
4,642 |
2,902 |
$2K |
| 84146 |
|
119 |
86 |
$2K |
| 84155 |
|
978 |
829 |
$2K |
| 82947 |
|
615 |
498 |
$1K |
| 73120 |
|
27 |
25 |
$1K |
| D1208 |
|
491 |
420 |
$1K |
| J2550 |
Promethazine hcl injection |
3,090 |
2,192 |
$1K |
| 86200 |
|
265 |
194 |
$1K |
| 93299 |
|
114 |
109 |
$1K |
| 72170 |
|
29 |
24 |
$1K |
| J7120 |
Ringers lactate infusion |
15,313 |
10,166 |
$1K |
| 20610 |
|
15 |
13 |
$1K |
| 77417 |
|
855 |
325 |
$1K |
| 88360 |
|
90 |
41 |
$1K |
| 74019 |
|
14 |
14 |
$1K |
| 72131 |
|
13 |
12 |
$1K |
| 93280 |
|
88 |
83 |
$1K |
| 88172 |
|
13 |
12 |
$1K |
| 87661 |
|
63 |
51 |
$1K |
| J1170 |
Hydromorphone injection |
9,875 |
5,869 |
$1K |
| 95806 |
|
42 |
40 |
$1K |
| 74178 |
|
12 |
12 |
$1K |
| 82784 |
|
167 |
78 |
$984.89 |
| C1769 |
Guide wire |
3,072 |
2,260 |
$974.62 |
| 86738 |
|
64 |
61 |
$888.30 |
| 75574 |
|
15 |
15 |
$879.70 |
| 71270 |
|
12 |
12 |
$875.34 |
| J2930 |
Methylprednisolone injection |
2,659 |
1,858 |
$867.70 |
| 76700 |
|
16 |
12 |
$852.75 |
| 87075 |
|
248 |
188 |
$829.48 |
| 85613 |
|
198 |
146 |
$815.08 |
| A9577 |
Inj multihance |
2,769 |
2,261 |
$801.59 |
| 93289 |
|
43 |
40 |
$750.42 |
| 83519 |
|
60 |
45 |
$736.08 |
| 93288 |
|
58 |
44 |
$731.70 |
| D3220 |
|
38 |
14 |
$724.00 |
| J2704 |
Inj, propofol, 10 mg |
14,205 |
10,769 |
$719.17 |
| 82150 |
|
156 |
121 |
$676.38 |
| 87081 |
|
118 |
89 |
$640.26 |
| 82962 |
|
276 |
110 |
$616.59 |
| 93985 |
|
18 |
17 |
$590.01 |
| 86706 |
|
130 |
111 |
$581.62 |
| 97760 |
|
12 |
12 |
$536.12 |
| J1200 |
Diphenhydramine hcl injectio |
4,174 |
2,417 |
$528.49 |
| 75710 |
|
20 |
13 |
$507.62 |
| 73070 |
|
14 |
14 |
$501.15 |
| 88341 |
|
4,089 |
836 |
$492.19 |
| C1725 |
Cath, translumin non-laser |
275 |
214 |
$449.55 |
| C1768 |
Graft, vascular |
118 |
103 |
$444.30 |
| 82805 |
|
15 |
14 |
$439.16 |
| J0640 |
Leucovorin calcium injection |
79 |
38 |
$435.00 |
| P9045 |
Albumin (human), 5%, 250 ml |
30 |
25 |
$429.27 |
| 72110 |
|
13 |
12 |
$427.70 |
| 86677 |
|
29 |
26 |
$422.72 |
| J9267 |
Paclitaxel injection |
115 |
38 |
$385.05 |
| G0379 |
Direct refer hospital observ |
44 |
36 |
$368.00 |
| 81241 |
|
22 |
14 |
$350.10 |
| 86300 |
|
15 |
14 |
$346.95 |
| C1894 |
Intro/sheath, non-laser |
2,690 |
1,936 |
$346.09 |
| 87046 |
|
28 |
26 |
$343.41 |
| 92611 |
|
76 |
65 |
$338.40 |
| 83020 |
|
36 |
28 |
$321.29 |
| G0442 |
Annual alcohol screen 15 min |
160 |
142 |
$315.68 |
| 96376 |
|
5,122 |
2,461 |
$313.24 |
| 81240 |
|
21 |
13 |
$300.32 |
| 86256 |
|
47 |
42 |
$291.77 |
| 97110 |
|
23 |
13 |
$276.08 |
| D0210 |
|
292 |
248 |
$268.74 |
| 84403 |
|
13 |
12 |
$250.64 |
| 0296T |
|
13 |
13 |
$234.38 |
| 86039 |
|
45 |
39 |
$228.44 |
| 51702 |
|
13 |
12 |
$220.84 |
| 85651 |
|
157 |
134 |
$201.04 |
| C9290 |
Inj, bupivacaine liposome |
944 |
700 |
$200.74 |
| 83883 |
|
32 |
13 |
$192.84 |
| 99495 |
|
32 |
25 |
$188.49 |
| 87088 |
|
30 |
23 |
$183.27 |
| 87045 |
|
28 |
26 |
$180.29 |
| 77061 |
|
22 |
14 |
$163.54 |
| 86762 |
|
17 |
13 |
$161.85 |
| J0696 |
Ceftriaxone sodium injection |
10,662 |
8,141 |
$155.89 |
| G0444 |
Depression screen annual |
305 |
265 |
$137.17 |
| 90656 |
|
15 |
15 |
$117.70 |
| A9502 |
Tc99m tetrofosmin |
48 |
37 |
$113.90 |
| J2270 |
Morphine sulfate injection |
8,613 |
5,706 |
$105.69 |
| 85598 |
|
19 |
15 |
$97.58 |
| C9113 |
Inj pantoprazole sodium, via |
2,082 |
949 |
$96.62 |
| 80177 |
|
14 |
13 |
$95.44 |
| G0008 |
Admin influenza virus vac |
1,004 |
835 |
$92.91 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
201 |
156 |
$88.28 |
| 82140 |
|
15 |
12 |
$84.42 |
| C1730 |
Cath, ep, 19 or few elect |
40 |
29 |
$81.12 |
| 99497 |
|
114 |
93 |
$75.31 |
| J0136 |
Inj, acetaminophen (b braun) |
982 |
851 |
$74.45 |
| G1004 |
Cdsm ndsc |
4,167 |
2,713 |
$73.71 |
| Q0162 |
Ondansetron oral |
2,378 |
2,014 |
$59.55 |
| J1650 |
Inj enoxaparin sodium |
6,482 |
2,420 |
$56.85 |
| J9190 |
Fluorouracil injection |
131 |
38 |
$52.08 |
| J2919 |
Inj, methylpred sod succ 5mg |
243 |
183 |
$51.31 |
| 85660 |
|
15 |
12 |
$47.48 |
| 76937 |
|
183 |
121 |
$43.66 |
| 84630 |
|
50 |
38 |
$41.21 |
| 74300 |
|
108 |
88 |
$41.03 |
| 82009 |
|
13 |
12 |
$40.68 |
| 94729 |
|
268 |
223 |
$36.78 |
| 82310 |
|
13 |
13 |
$36.12 |
| C1887 |
Catheter, guiding |
913 |
639 |
$34.25 |
| J8540 |
Oral dexamethasone |
62 |
39 |
$31.27 |
| 81000 |
|
26 |
24 |
$30.96 |
| Q9969 |
Non-heu tc-99m add-on/dose |
150 |
147 |
$30.00 |
| G0279 |
Tomosynthesis, mammo |
248 |
224 |
$28.95 |
| J0171 |
Adrenalin epinephrine inject |
202 |
164 |
$26.83 |
| 96368 |
|
273 |
152 |
$26.36 |
| 89051 |
|
12 |
12 |
$25.20 |
| J0690 |
Cefazolin sodium injection |
10,141 |
5,814 |
$24.61 |
| 84145 |
|
439 |
311 |
$24.12 |
| 81003 |
|
12 |
12 |
$23.42 |
| J1940 |
Furosemide injection |
2,052 |
1,188 |
$17.52 |
| C1781 |
Mesh (implantable) |
107 |
78 |
$14.47 |
| A9541 |
Tc99m sulfur colloid |
252 |
180 |
$12.72 |
| J1644 |
Inj heparin sodium per 1000u |
5,159 |
2,927 |
$11.12 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
405 |
372 |
$8.12 |
| J2272 |
Inj, morphine (fresenius) |
17 |
14 |
$7.28 |
| J2175 |
Meperidine hydrochl /100 mg |
1,999 |
1,514 |
$7.08 |
| J2720 |
Inj protamine sulfate/10 mg |
14 |
12 |
$7.01 |
| Q4100 |
Skin substitute, nos |
82 |
66 |
$6.71 |
| J1956 |
Levofloxacin injection |
229 |
166 |
$6.60 |
| J0360 |
Hydralazine hcl injection |
1,394 |
909 |
$5.29 |
| J3301 |
Triamcinolone acet inj nos |
123 |
92 |
$5.23 |
| J0134 |
Inj acetaminophen -fresenius |
66 |
55 |
$5.07 |
| J7512 |
Prednisone ir or dr oral 1mg |
230 |
148 |
$4.54 |
| J3370 |
Vancomycin hcl injection |
730 |
325 |
$2.62 |
| 90715 |
|
894 |
790 |
$2.61 |
| J3480 |
Inj potassium chloride |
59 |
37 |
$2.56 |
| J0736 |
Inj, clindamycin phosp 300mg |
65 |
49 |
$2.31 |
| J2370 |
Phenylephrine hcl injection |
3,236 |
2,240 |
$2.02 |
| Q9950 |
Inj sulf hexa lipid microsph |
499 |
220 |
$1.96 |
| J3420 |
Vitamin b12 injection |
17 |
13 |
$1.74 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
1,206 |
1,003 |
$1.03 |
| J0330 |
Succinycholine chloride inj |
1,950 |
1,626 |
$0.92 |
| J2060 |
Lorazepam injection |
326 |
242 |
$0.45 |
| 77063 |
|
529 |
469 |
$0.43 |
| J2765 |
Metoclopramide hcl injection |
344 |
227 |
$0.03 |
| C1776 |
Joint device (implantable) |
51 |
30 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
1,123 |
897 |
$0.00 |
| G8978 |
Mobility current status |
108 |
90 |
$0.00 |
| J0780 |
Prochlorperazine injection |
1,165 |
947 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
88 |
70 |
$0.00 |
| Q9961 |
Hocm 250-299mg/ml iodine,1ml |
84 |
71 |
$0.00 |
| J1953 |
Levetiracetam injection |
19 |
13 |
$0.00 |
| C1760 |
Closure dev, vasc |
17 |
12 |
$0.00 |
| A9537 |
Tc99m mebrofenin |
14 |
12 |
$0.00 |
| 93356 |
|
38 |
27 |
$0.00 |
| G8996 |
Swallow current status |
46 |
38 |
$0.00 |
| J0694 |
Cefoxitin sodium injection |
30 |
25 |
$0.00 |
| G8997 |
Swallow goal status |
47 |
39 |
$0.00 |
| 97150 |
|
20 |
12 |
$0.00 |
| 77062 |
|
47 |
26 |
$0.00 |
| A6010 |
Collagen based wound filler |
14 |
13 |
$0.00 |
| A9504 |
Tc99m apcitide |
20 |
17 |
$0.00 |
| D0220 |
|
13 |
12 |
$0.00 |
| 76942 |
|
16 |
12 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
17 |
12 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
317 |
68 |
$0.00 |
| J3490 |
Drugs unclassified injection |
342 |
256 |
$0.00 |
| A9609 |
F18 fdg, 15 millicuries |
262 |
243 |
$0.00 |
| J1815 |
Insulin injection |
39 |
30 |
$0.00 |
| A9503 |
Tc99m medronate |
355 |
334 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
99 |
82 |
$0.00 |
| J7121 |
5% dextrose in lac ringers |
61 |
26 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
151 |
85 |
$0.00 |
| J1920 |
Inj, labetalol hcl, 5mg |
29 |
19 |
$0.00 |
| G8998 |
Swallow d/c status |
28 |
26 |
$0.00 |
| A9500 |
Tc99m sestamibi |
224 |
207 |
$0.00 |
| 11045 |
|
101 |
42 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
53 |
37 |
$0.00 |
| A4648 |
Implantable tissue marker |
54 |
40 |
$0.00 |
| 97802 |
|
26 |
16 |
$0.00 |
| J0280 |
Aminophyllin 250 mg inj |
15 |
12 |
$0.00 |
| A9540 |
Tc99m maa |
16 |
12 |
$0.00 |
| J2001 |
Lidocaine injection |
153 |
113 |
$0.00 |