| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
91,292 |
80,837 |
$46.57M |
| 99284 |
|
128,457 |
117,346 |
$41.98M |
| 99283 |
|
100,818 |
94,772 |
$28.47M |
| 74177 |
|
20,889 |
19,448 |
$16.40M |
| 74176 |
|
12,923 |
11,939 |
$6.77M |
| 44970 |
|
1,405 |
1,337 |
$6.28M |
| 70450 |
|
35,245 |
32,158 |
$5.02M |
| C1713 |
Anchor/screw bn/bn,tis/bn |
3,232 |
2,998 |
$4.38M |
| 47562 |
|
945 |
882 |
$3.91M |
| 99282 |
|
29,950 |
28,685 |
$3.75M |
| 72125 |
|
12,468 |
11,467 |
$2.56M |
| G0378 |
Hospital observation per hr |
66,640 |
31,846 |
$2.29M |
| 99291 |
|
2,174 |
2,038 |
$2.23M |
| 70553 |
|
2,321 |
2,196 |
$1.60M |
| 93306 |
|
4,593 |
4,211 |
$1.27M |
| 70496 |
|
2,290 |
2,124 |
$1.26M |
| 95810 |
|
1,692 |
1,651 |
$1.25M |
| 74174 |
|
1,355 |
1,225 |
$1.22M |
| L8699 |
Prosthetic implant nos |
1,017 |
954 |
$1.04M |
| 92552 |
|
3,275 |
3,203 |
$932K |
| 88305 |
|
10,853 |
7,078 |
$893K |
| 71275 |
|
8,865 |
8,157 |
$834K |
| 42820 |
|
355 |
350 |
$830K |
| 43239 |
|
2,571 |
2,468 |
$817K |
| 72131 |
|
2,170 |
2,012 |
$798K |
| J1745 |
Infliximab not biosimil 10mg |
290 |
218 |
$789K |
| 95811 |
|
1,141 |
1,079 |
$730K |
| 80053 |
|
177,543 |
142,386 |
$714K |
| 99213 |
|
5,712 |
4,852 |
$700K |
| 99214 |
|
2,511 |
2,166 |
$552K |
| 70491 |
|
1,334 |
1,270 |
$549K |
| 93458 |
|
329 |
296 |
$499K |
| 70486 |
|
5,244 |
4,951 |
$493K |
| 70551 |
|
4,070 |
3,785 |
$428K |
| 93970 |
|
1,784 |
1,657 |
$422K |
| 36430 |
|
1,894 |
1,487 |
$395K |
| 97530 |
|
12,661 |
6,089 |
$388K |
| C1776 |
Joint device (implantable) |
368 |
341 |
$385K |
| 96365 |
|
26,885 |
21,764 |
$362K |
| 95782 |
|
397 |
389 |
$312K |
| 80307 |
|
44,387 |
36,456 |
$302K |
| 49083 |
|
697 |
383 |
$299K |
| 54161 |
|
206 |
201 |
$291K |
| 99203 |
|
2,100 |
2,044 |
$275K |
| 92582 |
|
763 |
742 |
$257K |
| 95812 |
|
1,487 |
1,456 |
$242K |
| J0585 |
Injection,onabotulinumtoxina |
133 |
115 |
$231K |
| 45380 |
|
1,145 |
1,101 |
$227K |
| 52356 |
|
61 |
50 |
$216K |
| 71250 |
|
2,058 |
1,896 |
$215K |
| 92507 |
|
4,512 |
1,586 |
$215K |
| 93798 |
|
2,867 |
455 |
$213K |
| 87633 |
|
1,342 |
1,280 |
$211K |
| 93971 |
|
4,608 |
4,112 |
$210K |
| 99212 |
|
1,921 |
1,592 |
$193K |
| C8929 |
Tte w or wo fol wcon,doppler |
180 |
177 |
$193K |
| U0003 |
Cov-19 amp prb hgh thruput |
11,330 |
10,828 |
$190K |
| 72148 |
|
1,428 |
1,181 |
$184K |
| 76770 |
|
3,028 |
2,910 |
$160K |
| 92611 |
|
1,035 |
995 |
$145K |
| 10060 |
|
1,503 |
1,424 |
$145K |
| 72146 |
|
750 |
679 |
$122K |
| 99204 |
|
495 |
481 |
$111K |
| 93005 |
|
76,439 |
58,702 |
$105K |
| 74230 |
|
1,055 |
1,016 |
$103K |
| C1769 |
Guide wire |
4,596 |
4,112 |
$102K |
| 20680 |
|
85 |
76 |
$101K |
| 71260 |
|
3,915 |
3,631 |
$100K |
| 80320 |
|
28,450 |
25,388 |
$89K |
| G0390 |
Trauma respons w/hosp criti |
100 |
90 |
$88K |
| 92523 |
|
348 |
332 |
$87K |
| 74455 |
|
340 |
323 |
$85K |
| 96361 |
|
24,803 |
21,029 |
$84K |
| 76705 |
|
13,300 |
12,086 |
$77K |
| 96372 |
|
37,409 |
26,050 |
$77K |
| 96366 |
|
9,156 |
6,276 |
$75K |
| J0696 |
Ceftriaxone sodium injection |
21,594 |
16,847 |
$73K |
| 41899 |
|
415 |
406 |
$72K |
| 93976 |
|
9,404 |
8,713 |
$70K |
| 70498 |
|
2,640 |
2,464 |
$69K |
| 92557 |
|
227 |
224 |
$66K |
| 92587 |
|
4,967 |
4,852 |
$63K |
| 95819 |
|
477 |
450 |
$61K |
| 92526 |
|
969 |
470 |
$59K |
| G0257 |
Unsched dialysis esrd pt hos |
1,726 |
981 |
$57K |
| 97110 |
|
2,115 |
1,078 |
$57K |
| 69436 |
|
92 |
90 |
$56K |
| 96375 |
|
71,688 |
56,868 |
$54K |
| 88341 |
|
825 |
516 |
$54K |
| 70487 |
|
124 |
120 |
$53K |
| 94640 |
|
21,511 |
13,601 |
$52K |
| 86920 |
|
1,944 |
1,076 |
$51K |
| 70544 |
|
1,132 |
1,010 |
$51K |
| C1887 |
Catheter, guiding |
732 |
658 |
$50K |
| 96374 |
|
88,385 |
77,651 |
$47K |
| 29827 |
|
47 |
37 |
$44K |
| 71046 |
|
25,738 |
24,232 |
$42K |
| 96409 |
|
558 |
397 |
$42K |
| 99281 |
|
656 |
640 |
$41K |
| J8540 |
Oral dexamethasone |
5,745 |
4,675 |
$41K |
| 36821 |
|
31 |
30 |
$39K |
| 82728 |
|
2,915 |
2,697 |
$35K |
| 96360 |
|
9,742 |
8,510 |
$35K |
| 0225U |
|
515 |
504 |
$34K |
| 96376 |
|
31,359 |
18,690 |
$32K |
| 36561 |
|
13 |
13 |
$31K |
| 96413 |
|
1,945 |
1,360 |
$29K |
| 72141 |
|
1,423 |
1,255 |
$28K |
| 85025 |
|
184,779 |
148,656 |
$27K |
| 95800 |
|
235 |
234 |
$27K |
| 12011 |
|
2,724 |
2,608 |
$27K |
| 93303 |
|
59 |
51 |
$26K |
| 72128 |
|
1,070 |
982 |
$25K |
| 92585 |
|
110 |
100 |
$24K |
| 74240 |
|
125 |
124 |
$24K |
| 58662 |
|
15 |
12 |
$24K |
| 51600 |
|
347 |
331 |
$23K |
| 80048 |
|
25,608 |
19,986 |
$23K |
| 92556 |
|
237 |
236 |
$21K |
| 92610 |
|
250 |
237 |
$20K |
| 99215 |
Prolong outpt/office vis |
53 |
49 |
$18K |
| J1756 |
Iron sucrose injection |
367 |
188 |
$18K |
| 76816 |
|
2,286 |
2,138 |
$18K |
| J1439 |
Inj ferric carboxymaltos 1mg |
22 |
14 |
$18K |
| 90378 |
|
175 |
149 |
$17K |
| 76819 |
|
1,682 |
1,374 |
$17K |
| 76856 |
|
5,800 |
5,482 |
$16K |
| 76700 |
|
262 |
242 |
$16K |
| 86923 |
|
1,748 |
1,028 |
$16K |
| 87631 |
|
15,106 |
14,754 |
$15K |
| 95816 |
|
199 |
181 |
$15K |
| 10061 |
|
40 |
38 |
$14K |
| 64642 |
|
88 |
86 |
$14K |
| 12001 |
|
2,812 |
2,716 |
$12K |
| 76801 |
|
5,288 |
4,724 |
$11K |
| 76885 |
|
224 |
213 |
$10K |
| 0450 |
|
236 |
220 |
$10K |
| Q9964 |
Hocm>= 400mg/ml iodine, 1ml |
348 |
320 |
$10K |
| J3370 |
Vancomycin hcl injection |
4,017 |
2,461 |
$9K |
| 76805 |
|
427 |
403 |
$9K |
| 71045 |
|
47,671 |
42,516 |
$9K |
| 97116 |
|
5,594 |
3,986 |
$8K |
| J1200 |
Diphenhydramine hcl injectio |
13,455 |
11,362 |
$8K |
| 97112 |
|
285 |
80 |
$8K |
| 96367 |
|
4,057 |
2,906 |
$8K |
| 29826 |
|
45 |
39 |
$8K |
| 74018 |
|
5,029 |
4,703 |
$7K |
| 92567 |
|
6,118 |
5,946 |
$7K |
| 76830 |
|
3,420 |
3,249 |
$7K |
| 72158 |
|
28 |
25 |
$7K |
| 73700 |
|
39 |
38 |
$7K |
| 74181 |
|
17 |
13 |
$7K |
| G0480 |
Drug test def 1-7 classes |
2,713 |
2,420 |
$7K |
| 84702 |
|
15,445 |
14,124 |
$6K |
| 87086 |
|
47,174 |
43,862 |
$6K |
| 88307 |
|
2,173 |
1,748 |
$6K |
| 84443 |
|
11,150 |
10,068 |
$6K |
| 97140 |
|
337 |
91 |
$6K |
| 97802 |
|
202 |
170 |
$6K |
| 86850 |
|
14,037 |
12,586 |
$5K |
| 76536 |
|
130 |
125 |
$5K |
| J1885 |
Ketorolac tromethamine inj |
49,089 |
42,204 |
$5K |
| 72100 |
|
2,571 |
2,398 |
$5K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
37,826 |
34,781 |
$5K |
| 36591 |
|
1,294 |
820 |
$5K |
| J3490 |
Drugs unclassified injection |
143,793 |
65,839 |
$5K |
| 82803 |
|
5,256 |
4,350 |
$5K |
| 12002 |
|
1,774 |
1,694 |
$5K |
| 97161 |
|
4,785 |
4,225 |
$5K |
| 95806 |
|
40 |
40 |
$4K |
| 76815 |
|
1,413 |
1,279 |
$4K |
| 73562 |
|
7,000 |
6,048 |
$4K |
| 73130 |
|
4,897 |
4,417 |
$4K |
| 87636 |
|
7,869 |
7,509 |
$4K |
| 97165 |
|
2,601 |
2,299 |
$4K |
| 92553 |
|
13 |
12 |
$4K |
| 87635 |
|
16,702 |
16,321 |
$4K |
| 73630 |
|
5,158 |
4,725 |
$4K |
| 59025 |
|
786 |
658 |
$4K |
| 88342 |
|
1,924 |
1,627 |
$4K |
| 73090 |
|
3,780 |
3,164 |
$3K |
| J2405 |
Ondansetron hcl injection |
84,382 |
68,690 |
$3K |
| J2270 |
Morphine sulfate injection |
45,989 |
33,667 |
$3K |
| 73610 |
|
4,919 |
4,488 |
$3K |
| 76800 |
|
30 |
30 |
$3K |
| 82784 |
|
1,110 |
716 |
$3K |
| 81025 |
|
32,125 |
29,746 |
$3K |
| 83690 |
|
60,006 |
53,289 |
$3K |
| 87040 |
|
21,477 |
13,154 |
$3K |
| 84484 |
|
47,183 |
28,748 |
$3K |
| 74021 |
|
11,276 |
10,588 |
$3K |
| J8499 |
Oral prescrip drug non chemo |
137,467 |
56,419 |
$3K |
| 81001 |
|
82,905 |
75,188 |
$3K |
| 76870 |
|
1,883 |
1,764 |
$2K |
| 87491 |
|
8,009 |
7,568 |
$2K |
| 97162 |
|
1,178 |
1,072 |
$2K |
| J0171 |
Adrenalin epinephrine inject |
2,688 |
2,421 |
$2K |
| 82947 |
|
67,218 |
38,463 |
$2K |
| 87591 |
|
8,011 |
7,574 |
$2K |
| 70360 |
|
143 |
128 |
$2K |
| 75574 |
|
27 |
27 |
$2K |
| 92652 |
|
12 |
12 |
$2K |
| 73030 |
|
5,183 |
4,553 |
$2K |
| 81003 |
|
36,561 |
33,713 |
$2K |
| 72040 |
|
828 |
705 |
$2K |
| 77076 |
|
431 |
417 |
$2K |
| 97803 |
|
90 |
89 |
$2K |
| 73590 |
|
3,444 |
2,980 |
$2K |
| J1100 |
Dexamethasone sodium phos |
38,552 |
35,564 |
$2K |
| 97535 |
|
6,675 |
4,470 |
$2K |
| 76817 |
|
4,037 |
3,681 |
$2K |
| 87430 |
|
18,456 |
17,640 |
$2K |
| 83880 |
|
10,344 |
9,266 |
$2K |
| 80329 |
|
2,532 |
2,270 |
$2K |
| G0379 |
Direct refer hospital observ |
1,567 |
1,492 |
$1K |
| 73552 |
|
1,715 |
1,495 |
$1K |
| 82550 |
|
16,569 |
14,008 |
$1K |
| J2704 |
Inj, propofol, 10 mg |
28,320 |
26,053 |
$1K |
| J7030 |
Normal saline solution infus |
48,584 |
40,622 |
$1K |
| M0243 |
Casirivi and imdevi inj |
442 |
430 |
$1K |
| 73080 |
|
2,585 |
2,380 |
$1K |
| J8597 |
Antiemetic drug oral nos |
20,142 |
18,177 |
$1K |
| 84703 |
|
21,313 |
19,971 |
$1K |
| 73502 |
|
2,623 |
2,286 |
$1K |
| 76882 |
|
46 |
41 |
$1K |
| 83605 |
|
19,058 |
15,108 |
$1K |
| 90715 |
|
6,060 |
5,767 |
$1K |
| 72156 |
|
13 |
12 |
$1K |
| 83735 |
|
23,851 |
17,884 |
$1K |
| 70547 |
|
676 |
609 |
$1K |
| 87186 |
|
11,056 |
9,903 |
$989.05 |
| 80061 |
|
3,376 |
2,941 |
$975.02 |
| 85610 |
|
40,133 |
34,701 |
$942.78 |
| 85027 |
|
19,819 |
14,780 |
$929.96 |
| C1725 |
Cath, translumin non-laser |
38 |
36 |
$929.01 |
| 87088 |
|
29,668 |
26,344 |
$921.35 |
| 85730 |
|
20,068 |
18,086 |
$920.65 |
| 73140 |
|
1,857 |
1,744 |
$910.27 |
| 73110 |
|
2,774 |
2,485 |
$856.65 |
| 87081 |
|
10,546 |
10,129 |
$843.16 |
| J0360 |
Hydralazine hcl injection |
3,955 |
2,884 |
$836.13 |
| 82657 |
|
282 |
270 |
$793.33 |
| J1170 |
Hydromorphone injection |
10,367 |
8,582 |
$648.42 |
| J3010 |
Fentanyl citrate injection |
30,641 |
27,392 |
$647.17 |
| 83021 |
|
138 |
135 |
$645.07 |
| J2060 |
Lorazepam injection |
8,688 |
7,291 |
$630.03 |
| 87804 |
|
7,499 |
3,812 |
$604.60 |
| 86901 |
|
17,102 |
15,532 |
$550.88 |
| C2617 |
Stent, non-cor, tem w/o del |
327 |
289 |
$540.17 |
| 85379 |
|
5,573 |
5,171 |
$535.82 |
| J7040 |
Normal saline solution infus |
7,015 |
6,321 |
$534.27 |
| J0561 |
Penicillin g benzathine inj |
24 |
20 |
$524.95 |
| 87651 |
|
4,248 |
4,180 |
$517.37 |
| 76010 |
|
600 |
571 |
$515.43 |
| 87070 |
|
4,023 |
3,284 |
$512.01 |
| J9370 |
Vincristine sulfate 1 mg inj |
633 |
436 |
$477.35 |
| P9016 |
Rbc leukocytes reduced |
819 |
707 |
$468.18 |
| 74420 |
|
369 |
341 |
$465.38 |
| 87075 |
|
2,578 |
2,036 |
$451.79 |
| 72170 |
|
2,457 |
2,225 |
$450.79 |
| 90471 |
|
6,173 |
5,868 |
$445.98 |
| 85055 |
|
4,480 |
2,833 |
$444.39 |
| 86900 |
|
15,578 |
14,152 |
$430.35 |
| 94760 |
|
8,112 |
3,848 |
$392.76 |
| 87077 |
|
14,010 |
11,931 |
$366.73 |
| 73600 |
|
239 |
203 |
$355.00 |
| 84145 |
|
5,161 |
4,773 |
$345.04 |
| 94644 |
|
979 |
933 |
$343.01 |
| 29505 |
|
113 |
105 |
$318.00 |
| 84550 |
|
2,369 |
2,039 |
$307.48 |
| 82565 |
|
5,676 |
5,018 |
$304.30 |
| 86140 |
|
14,315 |
12,893 |
$301.07 |
| 82607 |
|
1,881 |
1,660 |
$300.76 |
| 29125 |
|
825 |
766 |
$299.04 |
| 97166 |
|
758 |
698 |
$280.48 |
| 87210 |
|
5,082 |
4,831 |
$277.70 |
| 84100 |
|
8,579 |
5,875 |
$269.29 |
| A9270 |
Non-covered item or service |
126,322 |
14,620 |
$267.90 |
| 93880 |
|
13 |
12 |
$266.54 |
| 92555 |
|
4,048 |
3,968 |
$259.31 |
| 73060 |
|
1,151 |
965 |
$257.79 |
| 80051 |
|
1,561 |
1,392 |
$237.60 |
| 84450 |
|
1,328 |
1,110 |
$220.00 |
| 72192 |
|
16 |
12 |
$207.89 |
| J1953 |
Levetiracetam injection |
2,151 |
1,689 |
$205.72 |
| 84520 |
|
5,131 |
4,553 |
$203.43 |
| 84460 |
|
1,564 |
1,325 |
$203.00 |
| J1650 |
Inj enoxaparin sodium |
12,793 |
6,351 |
$197.18 |
| 80164 |
|
627 |
501 |
$181.65 |
| 73120 |
|
158 |
143 |
$179.08 |
| J1644 |
Inj heparin sodium per 1000u |
8,717 |
4,167 |
$178.02 |
| 88304 |
|
3,885 |
3,596 |
$175.11 |
| 82533 |
|
25 |
17 |
$171.39 |
| 86592 |
|
1,149 |
1,055 |
$167.22 |
| J0690 |
Cefazolin sodium injection |
16,711 |
13,037 |
$167.05 |
| 94762 |
|
15 |
13 |
$163.12 |
| 84132 |
|
6,581 |
5,365 |
$156.04 |
| 86635 |
|
849 |
434 |
$153.18 |
| 70250 |
|
32 |
29 |
$152.90 |
| 96368 |
|
818 |
618 |
$151.68 |
| J2920 |
Methylprednisolone injection |
1,192 |
592 |
$151.10 |
| J1956 |
Levofloxacin injection |
2,055 |
1,466 |
$151.02 |
| 72072 |
|
162 |
151 |
$149.04 |
| 85384 |
|
1,306 |
1,207 |
$148.50 |
| 73560 |
|
989 |
849 |
$130.71 |
| 87661 |
|
1,573 |
1,519 |
$129.32 |
| J2543 |
Piperacillin/tazobactam |
4,897 |
2,748 |
$126.32 |
| 84466 |
|
2,298 |
2,147 |
$122.22 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
3,749 |
2,242 |
$121.75 |
| 84156 |
|
2,143 |
1,787 |
$117.81 |
| 94761 |
|
33 |
25 |
$115.65 |
| J3535 |
Metered dose inhaler drug |
2,002 |
1,899 |
$114.23 |
| J2930 |
Methylprednisolone injection |
3,506 |
2,983 |
$114.04 |
| 71101 |
|
86 |
77 |
$113.03 |
| 85018 |
|
7,306 |
5,970 |
$112.50 |
| 73000 |
|
529 |
491 |
$110.21 |
| 86780 |
|
176 |
166 |
$103.00 |
| 84112 |
|
413 |
381 |
$99.55 |
| 82140 |
|
2,350 |
2,015 |
$98.44 |
| 84439 |
|
2,887 |
2,593 |
$95.13 |
| J2765 |
Metoclopramide hcl injection |
6,448 |
5,647 |
$92.46 |
| 82330 |
|
4,705 |
4,029 |
$91.63 |
| J2550 |
Promethazine hcl injection |
6,517 |
5,308 |
$88.84 |
| J7120 |
Ringers lactate infusion |
14,906 |
13,041 |
$88.26 |
| J3475 |
Inj magnesium sulfate |
4,993 |
4,047 |
$86.93 |
| J0692 |
Cefepime hcl for injection |
785 |
469 |
$80.52 |
| J1790 |
Droperidol injection |
2,456 |
2,265 |
$78.64 |
| J3480 |
Inj potassium chloride |
6,471 |
4,342 |
$74.01 |
| 82010 |
|
2,253 |
2,066 |
$71.31 |
| 82570 |
|
282 |
259 |
$69.70 |
| 29515 |
|
558 |
527 |
$69.38 |
| C9113 |
Inj pantoprazole sodium, via |
6,009 |
3,587 |
$66.72 |
| J2310 |
Inj naloxone hydrochloride |
240 |
227 |
$65.76 |
| J2250 |
Inj midazolam hydrochloride |
22,316 |
20,361 |
$65.04 |
| J0694 |
Cefoxitin sodium injection |
1,682 |
1,104 |
$64.90 |
| G0008 |
Admin influenza virus vac |
936 |
846 |
$63.00 |
| J0330 |
Succinycholine chloride inj |
2,442 |
2,261 |
$61.77 |
| 86769 |
|
905 |
876 |
$54.80 |
| 83615 |
|
946 |
780 |
$53.75 |
| 94770 |
|
287 |
263 |
$53.22 |
| J3411 |
Thiamine hcl 100 mg |
1,379 |
1,074 |
$52.83 |
| 87880 |
|
920 |
900 |
$52.27 |
| 80076 |
|
72 |
63 |
$52.16 |
| 85652 |
|
5,570 |
4,909 |
$52.08 |
| U0002 |
Covid-19 lab test non-cdc |
141 |
137 |
$51.31 |
| 83036 |
|
4,812 |
4,367 |
$50.80 |
| 76376 |
|
1,536 |
1,455 |
$50.22 |
| J7512 |
Prednisone ir or dr oral 1mg |
4,010 |
3,180 |
$47.96 |
| A9585 |
Gadobutrol injection |
3,305 |
3,080 |
$46.93 |
| J1630 |
Haloperidol injection |
3,561 |
3,093 |
$45.68 |
| 82731 |
|
288 |
261 |
$44.95 |
| 73620 |
|
636 |
558 |
$44.79 |
| 85046 |
|
3,202 |
2,736 |
$43.02 |
| 87045 |
|
1,397 |
1,322 |
$42.88 |
| C9399 |
Unclassified drugs or biolog |
1,245 |
1,142 |
$41.01 |
| J7999 |
Compounded drug, noc |
2,441 |
2,211 |
$40.61 |
| J0780 |
Prochlorperazine injection |
2,984 |
2,366 |
$40.27 |
| 87340 |
|
378 |
351 |
$39.98 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
719 |
658 |
$35.90 |
| J1940 |
Furosemide injection |
2,584 |
1,610 |
$32.79 |
| 83540 |
|
2,336 |
2,172 |
$32.53 |
| J2710 |
Neostigmine methylslfte inj |
2,516 |
2,287 |
$30.16 |
| 82746 |
|
558 |
513 |
$28.24 |
| J0500 |
Dicyclomine injection |
493 |
463 |
$27.22 |
| 99211 |
|
283 |
274 |
$25.30 |
| J2800 |
Methocarbamol injection |
609 |
584 |
$24.40 |
| 94664 |
|
915 |
770 |
$23.92 |
| J2175 |
Meperidine hydrochl /100 mg |
9,181 |
8,471 |
$22.41 |
| 73070 |
|
658 |
542 |
$21.46 |
| 87427 |
|
1,358 |
695 |
$19.08 |
| 87147 |
|
1,373 |
1,248 |
$18.82 |
| J7042 |
5% dextrose/normal saline |
820 |
645 |
$18.68 |
| J0456 |
Azithromycin |
1,685 |
1,270 |
$18.50 |
| 85014 |
|
6,502 |
5,529 |
$17.93 |
| J1642 |
Inj heparin sodium per 10 u |
2,527 |
1,451 |
$16.68 |
| 87205 |
|
4,530 |
3,601 |
$14.91 |
| U0005 |
Infec agen detec ampli probe |
5,317 |
5,074 |
$14.88 |
| 82553 |
|
1,404 |
1,153 |
$13.89 |
| 84295 |
|
3,112 |
2,749 |
$13.45 |
| J1815 |
Insulin injection |
14,240 |
6,541 |
$13.12 |
| 82435 |
|
1,499 |
1,384 |
$12.37 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
769 |
707 |
$12.25 |
| 86308 |
|
392 |
372 |
$10.71 |
| J0736 |
Inj, clindamycin phosp 300mg |
330 |
225 |
$10.16 |
| 87449 |
|
1,673 |
1,394 |
$9.72 |
| 87807 |
|
909 |
881 |
$8.57 |
| J0744 |
Ciprofloxacin iv |
33 |
24 |
$7.38 |
| J3105 |
Terbutaline sulfate inj |
327 |
284 |
$6.96 |
| J2001 |
Lidocaine injection |
5,700 |
4,919 |
$4.60 |
| J2370 |
Phenylephrine hcl injection |
1,733 |
1,475 |
$4.59 |
| J2470 |
Inj pantoprazole sodium 40mg |
471 |
305 |
$3.87 |
| J7050 |
Normal saline solution infus |
1,012 |
758 |
$0.07 |
| Q0114 |
Fern test |
153 |
145 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
3,171 |
2,886 |
$0.00 |
| C1729 |
Cath, drainage |
247 |
175 |
$0.00 |
| A9577 |
Inj multihance |
230 |
228 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
842 |
592 |
$0.00 |
| 87102 |
|
795 |
589 |
$0.00 |
| 85460 |
|
584 |
564 |
$0.00 |
| 99152 |
|
883 |
817 |
$0.00 |
| 89051 |
|
1,659 |
1,213 |
$0.00 |
| Q9958 |
Hocm <=149 mg/ml iodine, 1ml |
771 |
733 |
$0.00 |
| 64643 |
|
64 |
57 |
$0.00 |
| 73100 |
|
161 |
147 |
$0.00 |
| C1758 |
Catheter, ureteral |
485 |
434 |
$0.00 |
| J2720 |
Inj protamine sulfate/10 mg |
83 |
73 |
$0.00 |
| G8979 |
Mobility goal status |
173 |
148 |
$0.00 |
| G8978 |
Mobility current status |
182 |
151 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
1,408 |
1,203 |
$0.00 |
| 82248 |
|
492 |
420 |
$0.00 |
| C1760 |
Closure dev, vasc |
204 |
190 |
$0.00 |
| 88302 |
|
121 |
105 |
$0.00 |
| 85007 |
|
262 |
223 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
407 |
395 |
$0.00 |
| 80202 |
|
47 |
39 |
$0.00 |
| 93325 |
|
328 |
287 |
$0.00 |
| Q9956 |
Inj octafluoropropane mic,ml |
57 |
56 |
$0.00 |
| J3486 |
Ziprasidone mesylate |
395 |
317 |
$0.00 |
| 83020 |
|
67 |
66 |
$0.00 |
| 86703 |
|
12 |
12 |
$0.00 |
| 85041 |
|
208 |
188 |
$0.00 |
| 87899 |
|
985 |
482 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
441 |
324 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
42 |
41 |
$0.00 |
| C1788 |
Port, indwelling, imp |
14 |
13 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
238 |
153 |
$0.00 |
| M0239 |
Bamlanivimab-xxxx infusion |
13 |
13 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
242 |
214 |
$0.00 |
| 87324 |
|
139 |
118 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
227 |
217 |
$0.00 |
| 88112 |
|
34 |
25 |
$0.00 |
| 29105 |
|
30 |
27 |
$0.00 |
| 76937 |
|
72 |
68 |
$0.00 |
| 85347 |
|
151 |
101 |
$0.00 |
| 51702 |
|
47 |
40 |
$0.00 |
| 82247 |
|
34 |
26 |
$0.00 |
| 93041 |
|
167 |
151 |
$0.00 |
| 94645 |
|
121 |
118 |
$0.00 |
| 88173 |
|
74 |
62 |
$0.00 |
| 25605 |
|
13 |
13 |
$0.00 |
| J9260 |
Inj methotrexate sodium 50mg |
55 |
36 |
$0.00 |
| 82365 |
|
42 |
39 |
$0.00 |
| 83630 |
|
15 |
12 |
$0.00 |
| Q0239 |
Bamlanivimab-xxxx |
13 |
13 |
$0.00 |
| J2359 |
Inj. olanzapine, 0.5mg |
52 |
38 |
$0.00 |
| 87798 |
|
85 |
44 |
$0.00 |
| 86922 |
|
22 |
15 |
$0.00 |
| 16020 |
|
27 |
24 |
$0.00 |
| A9537 |
Tc99m mebrofenin |
12 |
12 |
$0.00 |
| 0115U |
|
21 |
21 |
$0.00 |
| J0737 |
Inj, clindamycin (baxter) |
19 |
15 |
$0.00 |
| 87206 |
|
1,004 |
576 |
$0.00 |
| J1836 |
Inj, metronidazole, 10 mg |
284 |
154 |
$0.00 |
| 87116 |
|
685 |
500 |
$0.00 |
| 90674 |
|
58 |
55 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
816 |
763 |
$0.00 |
| J1920 |
Inj, labetalol hcl, 5mg |
561 |
385 |
$0.00 |
| 82270 |
|
88 |
86 |
$0.00 |
| 87184 |
|
67 |
59 |
$0.00 |
| 74450 |
|
139 |
116 |
$0.00 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
221 |
180 |
$0.00 |
| 90686 |
|
907 |
821 |
$0.00 |
| 74019 |
|
150 |
150 |
$0.00 |
| 82306 |
|
148 |
140 |
$0.00 |
| 87046 |
|
564 |
507 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
511 |
474 |
$0.00 |
| 82945 |
|
80 |
62 |
$0.00 |
| 93320 |
|
139 |
124 |
$0.00 |
| 85240 |
|
12 |
12 |
$0.00 |
| 96415 |
|
677 |
520 |
$0.00 |
| P9040 |
Rbc leukoreduced irradiated |
93 |
64 |
$0.00 |
| 80177 |
|
52 |
50 |
$0.00 |
| 87015 |
|
72 |
56 |
$0.00 |
| 12013 |
|
81 |
81 |
$0.00 |
| J3360 |
Diazepam injection |
81 |
72 |
$0.00 |
| 97010 |
|
64 |
28 |
$0.00 |
| 87632 |
|
19 |
19 |
$0.00 |
| 86870 |
|
38 |
24 |
$0.00 |
| 77001 |
|
47 |
44 |
$0.00 |
| 73660 |
|
57 |
53 |
$0.00 |
| C1781 |
Mesh (implantable) |
81 |
75 |
$0.00 |
| 87176 |
|
16 |
12 |
$0.00 |
| 86762 |
|
25 |
25 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
87 |
81 |
$0.00 |
| J0610 |
Calcium glucon (fresenius) |
41 |
29 |
$0.00 |
| 83090 |
|
16 |
16 |
$0.00 |
| J2305 |
Inj, nitroglycerin, 5 mg |
27 |
25 |
$0.00 |
| 84157 |
|
97 |
78 |
$0.00 |
| C1889 |
Implant/insert device, noc |
84 |
71 |
$0.00 |
| 76377 |
|
25 |
25 |
$0.00 |
| 88311 |
|
47 |
42 |
$0.00 |
| 87389 |
|
30 |
30 |
$0.00 |
| 96411 |
|
18 |
14 |
$0.00 |
| J0461 |
Atropine sulfate injection |
18 |
13 |
$0.00 |
| 36415 |
|
95 |
78 |
$0.00 |
| 83921 |
|
14 |
14 |
$0.00 |
| P9612 |
Catheterize for urine spec |
15 |
15 |
$0.00 |
| 80178 |
|
41 |
36 |
$0.00 |
| 88331 |
|
14 |
12 |
$0.00 |
| 84300 |
|
14 |
14 |
$0.00 |
| J2360 |
Orphenadrine injection |
12 |
12 |
$0.00 |
| 86803 |
|
12 |
12 |
$0.00 |
| 90632 |
|
12 |
12 |
$0.00 |