| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
50,039 |
42,781 |
$7.42M |
| 99284 |
|
25,100 |
20,650 |
$5.57M |
| 74177 |
|
11,324 |
9,840 |
$3.99M |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,585 |
1,174 |
$3.07M |
| 41899 |
|
2,476 |
2,317 |
$2.77M |
| 0202U |
|
8,551 |
7,940 |
$2.26M |
| 99285 |
|
7,064 |
5,477 |
$2.01M |
| G0378 |
Hospital observation per hr |
5,785 |
4,507 |
$1.63M |
| 70450 |
|
9,361 |
7,812 |
$1.58M |
| 93306 |
|
3,943 |
3,332 |
$1.42M |
| 96365 |
|
12,274 |
7,901 |
$1.13M |
| 11042 |
|
9,716 |
3,206 |
$1.13M |
| 74176 |
|
3,317 |
2,843 |
$996K |
| U0004 |
Cov-19 test non-cdc hgh thru |
14,468 |
12,726 |
$912K |
| 43239 |
|
2,792 |
2,182 |
$867K |
| 69436 |
|
1,824 |
1,633 |
$861K |
| 71275 |
|
3,986 |
3,401 |
$860K |
| 96372 |
|
26,621 |
13,266 |
$824K |
| 93005 |
|
27,510 |
20,504 |
$779K |
| 96375 |
|
20,078 |
15,293 |
$760K |
| 99282 |
|
7,614 |
6,871 |
$754K |
| 80053 |
|
77,927 |
55,891 |
$739K |
| 70553 |
|
2,502 |
1,971 |
$719K |
| 93017 |
|
2,970 |
2,491 |
$688K |
| 96374 |
|
32,149 |
18,334 |
$675K |
| 72148 |
|
2,644 |
2,414 |
$647K |
| 72125 |
|
3,445 |
3,006 |
$611K |
| 42820 |
|
698 |
655 |
$538K |
| 96413 |
|
2,406 |
1,044 |
$530K |
| 45385 |
|
1,351 |
1,015 |
$501K |
| 96361 |
|
7,967 |
5,059 |
$498K |
| 71045 |
|
19,308 |
16,032 |
$496K |
| 87635 |
|
13,364 |
11,542 |
$488K |
| 45378 |
|
1,107 |
960 |
$462K |
| 36415 |
|
133,071 |
62,833 |
$462K |
| 85025 |
|
69,954 |
55,600 |
$457K |
| 71260 |
|
3,120 |
2,071 |
$455K |
| 96367 |
|
5,080 |
1,879 |
$452K |
| 71046 |
|
14,975 |
13,195 |
$434K |
| 74018 |
|
6,646 |
5,768 |
$410K |
| 93350 |
|
1,480 |
1,333 |
$405K |
| 72131 |
|
2,228 |
1,908 |
$399K |
| U0003 |
Cov-19 amp prb hgh thruput |
5,497 |
5,127 |
$388K |
| 87636 |
|
4,523 |
3,952 |
$382K |
| 72141 |
|
1,569 |
1,363 |
$372K |
| 73630 |
|
4,439 |
3,951 |
$365K |
| G0330 |
Facility svs dental rehab |
415 |
400 |
$362K |
| 72110 |
|
2,964 |
2,601 |
$358K |
| 93971 |
|
2,280 |
2,068 |
$353K |
| 87491 |
|
9,783 |
8,651 |
$324K |
| 88305 |
|
8,536 |
5,780 |
$321K |
| 70486 |
|
1,730 |
1,541 |
$318K |
| 95886 |
|
1,223 |
1,030 |
$310K |
| 87637 |
|
3,335 |
3,087 |
$309K |
| 77067 |
|
4,037 |
3,879 |
$297K |
| 87798 |
|
8,870 |
3,711 |
$296K |
| 78452 |
|
867 |
358 |
$289K |
| 76705 |
|
3,548 |
3,145 |
$283K |
| Q9957 |
Inj perflutren lip micros,ml |
2,699 |
2,289 |
$279K |
| 80307 |
|
6,407 |
5,565 |
$275K |
| 87591 |
|
9,438 |
8,578 |
$272K |
| 70551 |
|
1,083 |
952 |
$256K |
| 71250 |
|
2,227 |
1,921 |
$251K |
| 87481 |
|
7,503 |
3,138 |
$249K |
| 96376 |
|
5,919 |
3,833 |
$246K |
| 77336 |
|
2,915 |
619 |
$242K |
| 96366 |
|
2,947 |
1,694 |
$239K |
| 73610 |
|
3,124 |
2,739 |
$238K |
| 93880 |
|
2,091 |
1,628 |
$236K |
| 87661 |
|
8,167 |
7,268 |
$225K |
| 96360 |
|
2,440 |
1,779 |
$221K |
| 76775 |
|
1,673 |
1,444 |
$220K |
| 97597 |
|
1,751 |
927 |
$217K |
| 73030 |
|
3,205 |
2,623 |
$217K |
| 73562 |
|
2,772 |
2,431 |
$211K |
| 97110 |
|
4,660 |
1,179 |
$209K |
| 73130 |
|
2,801 |
2,472 |
$202K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
23,203 |
17,255 |
$198K |
| C1889 |
Implant/insert device, noc |
2,180 |
1,510 |
$194K |
| 80050 |
|
5,349 |
4,979 |
$184K |
| 87507 |
|
619 |
563 |
$181K |
| 84484 |
|
18,879 |
11,420 |
$179K |
| 72082 |
|
656 |
578 |
$179K |
| 93970 |
|
891 |
805 |
$173K |
| 83880 |
|
5,784 |
5,013 |
$172K |
| C1769 |
Guide wire |
1,402 |
1,210 |
$169K |
| 73110 |
|
2,223 |
1,894 |
$166K |
| C9803 |
Hopd covid-19 spec collect |
20,021 |
15,366 |
$163K |
| 97140 |
|
3,055 |
975 |
$157K |
| 80061 |
|
13,218 |
11,330 |
$157K |
| 87804 |
|
5,661 |
5,187 |
$154K |
| 77300 |
|
760 |
153 |
$146K |
| A9577 |
Inj multihance |
2,858 |
2,624 |
$142K |
| G0463 |
Hospital outpt clinic visit |
7,735 |
5,612 |
$136K |
| 72100 |
|
1,891 |
1,644 |
$135K |
| 84443 |
|
9,700 |
8,797 |
$132K |
| 87512 |
|
3,445 |
3,060 |
$123K |
| 82306 |
|
5,086 |
4,711 |
$123K |
| 87624 |
|
4,261 |
3,817 |
$119K |
| 72040 |
|
1,375 |
1,053 |
$116K |
| 0100U |
|
560 |
434 |
$114K |
| 92507 |
|
2,224 |
549 |
$110K |
| 88304 |
|
3,216 |
2,886 |
$107K |
| 87086 |
|
14,194 |
12,644 |
$104K |
| 74178 |
|
200 |
155 |
$103K |
| 80048 |
|
14,379 |
10,324 |
$103K |
| 94640 |
|
4,334 |
3,842 |
$101K |
| 72114 |
|
717 |
655 |
$100K |
| 78815 |
|
368 |
221 |
$98K |
| 76536 |
|
1,172 |
1,065 |
$96K |
| 77412 |
|
458 |
38 |
$95K |
| 95816 |
|
362 |
330 |
$94K |
| 95911 |
|
232 |
216 |
$93K |
| 73502 |
|
1,822 |
1,464 |
$92K |
| 83690 |
|
16,934 |
14,641 |
$92K |
| 87880 |
|
6,792 |
6,428 |
$92K |
| 72050 |
|
918 |
754 |
$92K |
| 76642 |
|
1,076 |
1,012 |
$91K |
| 83605 |
|
10,772 |
8,674 |
$90K |
| 72128 |
|
556 |
496 |
$88K |
| 83036 |
|
11,092 |
10,362 |
$87K |
| G0123 |
Screen cerv/vag thin layer |
5,463 |
4,992 |
$83K |
| 81025 |
|
15,132 |
13,393 |
$82K |
| 87081 |
|
10,995 |
10,273 |
$79K |
| 88307 |
|
1,281 |
966 |
$78K |
| 84145 |
|
3,874 |
3,470 |
$74K |
| 87040 |
|
9,317 |
4,941 |
$73K |
| A9552 |
F18 fdg |
290 |
206 |
$73K |
| J2704 |
Inj, propofol, 10 mg |
20,051 |
17,458 |
$71K |
| 95810 |
|
94 |
89 |
$71K |
| 80306 |
|
5,412 |
4,772 |
$70K |
| 72072 |
|
813 |
679 |
$69K |
| 0097U |
|
331 |
233 |
$68K |
| 70491 |
|
290 |
263 |
$68K |
| 73590 |
|
1,102 |
953 |
$67K |
| 81001 |
|
24,040 |
19,671 |
$66K |
| 80074 |
|
1,475 |
1,343 |
$66K |
| 85027 |
|
11,236 |
9,894 |
$64K |
| 83735 |
|
10,230 |
7,956 |
$59K |
| 82607 |
|
4,352 |
3,998 |
$57K |
| 93923 |
|
732 |
652 |
$56K |
| 87563 |
|
2,077 |
1,851 |
$55K |
| 85379 |
|
6,704 |
6,040 |
$55K |
| C1894 |
Intro/sheath, non-laser |
1,092 |
969 |
$54K |
| 94060 |
|
593 |
487 |
$53K |
| 82728 |
|
4,510 |
3,984 |
$52K |
| J3490 |
Drugs unclassified injection |
627 |
553 |
$51K |
| 73090 |
|
731 |
628 |
$51K |
| 71271 |
|
1,021 |
925 |
$50K |
| 84439 |
|
5,907 |
5,426 |
$47K |
| 84702 |
|
3,659 |
2,874 |
$47K |
| 86850 |
|
5,415 |
4,620 |
$46K |
| 85730 |
|
8,773 |
7,774 |
$45K |
| J7050 |
Normal saline solution infus |
1,924 |
890 |
$45K |
| 85610 |
|
13,536 |
11,501 |
$44K |
| 87186 |
|
5,293 |
4,496 |
$39K |
| 84466 |
|
3,749 |
3,390 |
$39K |
| 97530 |
|
1,297 |
353 |
$38K |
| 93975 |
|
200 |
181 |
$38K |
| 82803 |
|
2,081 |
1,725 |
$37K |
| J0330 |
Succinycholine chloride inj |
1,804 |
1,572 |
$37K |
| 77080 |
|
957 |
717 |
$37K |
| 87070 |
|
5,984 |
3,321 |
$36K |
| 76856 |
|
531 |
495 |
$36K |
| J1756 |
Iron sucrose injection |
934 |
415 |
$36K |
| 58661 |
|
29 |
24 |
$35K |
| 84703 |
|
5,591 |
5,104 |
$34K |
| 90715 |
|
1,405 |
1,296 |
$34K |
| 47562 |
|
27 |
25 |
$32K |
| 74022 |
|
295 |
279 |
$31K |
| 81003 |
|
14,943 |
13,353 |
$31K |
| 94726 |
|
900 |
751 |
$30K |
| 82077 |
|
2,688 |
2,350 |
$30K |
| 77066 |
Tomosynthesis, mammo |
393 |
328 |
$29K |
| 73080 |
|
491 |
403 |
$29K |
| 82746 |
|
2,209 |
2,065 |
$28K |
| 82962 |
|
8,524 |
3,774 |
$28K |
| 36600 |
|
1,936 |
1,658 |
$28K |
| 59025 |
|
316 |
233 |
$28K |
| 83540 |
|
4,921 |
4,473 |
$27K |
| 77334 |
|
61 |
42 |
$27K |
| 86140 |
|
6,686 |
5,924 |
$26K |
| 86803 |
|
2,137 |
2,001 |
$25K |
| 77063 |
|
4,701 |
4,194 |
$24K |
| 70496 |
|
98 |
86 |
$24K |
| J3010 |
Fentanyl citrate injection |
14,708 |
9,843 |
$24K |
| 73560 |
|
306 |
260 |
$24K |
| 87077 |
|
3,035 |
2,585 |
$22K |
| G0432 |
Eia hiv-1/hiv-2 screen |
1,698 |
1,339 |
$22K |
| J1453 |
Fosaprepitant injection |
125 |
88 |
$22K |
| 76817 |
|
285 |
239 |
$22K |
| 82150 |
|
3,815 |
3,414 |
$21K |
| 70498 |
|
118 |
103 |
$21K |
| 86900 |
|
5,642 |
4,816 |
$21K |
| 86901 |
|
5,614 |
4,812 |
$21K |
| 87147 |
|
3,010 |
2,076 |
$20K |
| 74019 |
|
339 |
322 |
$20K |
| 95909 |
|
100 |
89 |
$20K |
| 76942 |
|
325 |
265 |
$20K |
| J2405 |
Ondansetron hcl injection |
30,365 |
23,983 |
$20K |
| 87807 |
|
1,395 |
1,312 |
$19K |
| 76830 |
|
244 |
221 |
$17K |
| 97161 |
|
423 |
385 |
$17K |
| 87634 |
|
230 |
225 |
$17K |
| 45380 |
|
42 |
39 |
$17K |
| 78226 |
|
67 |
56 |
$17K |
| J7120 |
Ringers lactate infusion |
4,299 |
3,576 |
$17K |
| J1100 |
Dexamethasone sodium phos |
20,737 |
15,183 |
$17K |
| 87801 |
|
274 |
260 |
$17K |
| 84146 |
|
867 |
824 |
$16K |
| 93246 |
|
466 |
445 |
$16K |
| 90471 |
|
1,600 |
1,388 |
$16K |
| 87633 |
|
51 |
49 |
$16K |
| 82550 |
|
2,595 |
2,251 |
$15K |
| 76870 |
|
210 |
190 |
$15K |
| 72052 |
|
93 |
85 |
$15K |
| 80143 |
|
906 |
823 |
$15K |
| 87529 |
|
210 |
188 |
$15K |
| M0245 |
Bamlan and etesev infusion |
58 |
54 |
$14K |
| 84481 |
|
963 |
876 |
$14K |
| 94729 |
|
455 |
432 |
$14K |
| J2270 |
Morphine sulfate injection |
8,323 |
6,715 |
$14K |
| J1170 |
Hydromorphone injection |
4,309 |
3,194 |
$14K |
| 84403 |
|
681 |
616 |
$13K |
| J1885 |
Ketorolac tromethamine inj |
11,179 |
9,399 |
$13K |
| 0012A |
|
687 |
575 |
$13K |
| J2710 |
Neostigmine methylslfte inj |
836 |
712 |
$13K |
| 73140 |
|
195 |
174 |
$12K |
| 87205 |
|
3,332 |
2,893 |
$12K |
| 82948 |
|
2,718 |
1,180 |
$12K |
| M0243 |
Casirivi and imdevi inj |
66 |
58 |
$12K |
| 76815 |
|
165 |
154 |
$11K |
| 77065 |
Tomosynthesis, mammo |
207 |
155 |
$11K |
| J1790 |
Droperidol injection |
2,359 |
2,030 |
$11K |
| 0011A |
|
795 |
578 |
$11K |
| 80179 |
|
835 |
765 |
$11K |
| 86038 |
|
906 |
829 |
$10K |
| 12001 |
|
115 |
103 |
$10K |
| 94760 |
|
1,369 |
770 |
$10K |
| J2930 |
Methylprednisolone injection |
2,253 |
1,877 |
$10K |
| 71101 |
|
118 |
97 |
$10K |
| 93356 |
|
474 |
437 |
$10K |
| 87210 |
|
2,264 |
2,104 |
$10K |
| 87522 |
Neg quan hep c or qual rna |
279 |
230 |
$9K |
| J7030 |
Normal saline solution infus |
4,051 |
2,308 |
$9K |
| 93225 |
|
124 |
106 |
$9K |
| 73721 |
|
39 |
38 |
$9K |
| 93226 |
|
71 |
66 |
$9K |
| 84112 |
|
96 |
86 |
$8K |
| P9612 |
Catheterize for urine spec |
2,102 |
1,340 |
$8K |
| J0696 |
Ceftriaxone sodium injection |
6,367 |
5,273 |
$8K |
| 83615 |
|
1,475 |
1,200 |
$8K |
| G0480 |
Drug test def 1-7 classes |
111 |
78 |
$7K |
| J0690 |
Cefazolin sodium injection |
3,206 |
2,396 |
$7K |
| J1650 |
Inj enoxaparin sodium |
2,204 |
968 |
$7K |
| 85652 |
|
3,087 |
2,763 |
$7K |
| 97162 |
|
193 |
177 |
$7K |
| 76700 |
|
84 |
73 |
$7K |
| 86665 |
|
193 |
176 |
$7K |
| J1642 |
Inj heparin sodium per 10 u |
1,540 |
663 |
$7K |
| A9500 |
Tc99m sestamibi |
51 |
49 |
$7K |
| J2795 |
Ropivacaine hcl injection |
1,315 |
1,057 |
$7K |
| 99211 |
|
473 |
363 |
$7K |
| 73221 |
|
30 |
27 |
$7K |
| 87088 |
|
949 |
884 |
$7K |
| 83550 |
|
738 |
680 |
$6K |
| 70360 |
|
71 |
66 |
$6K |
| 78227 |
|
23 |
17 |
$6K |
| J3370 |
Vancomycin hcl injection |
1,185 |
701 |
$6K |
| J2785 |
Regadenoson injection |
26 |
26 |
$6K |
| 99152 |
|
149 |
132 |
$6K |
| J2469 |
Palonosetron hcl |
76 |
48 |
$6K |
| G0279 |
Tomosynthesis, mammo |
1,330 |
1,152 |
$5K |
| 85651 |
|
1,524 |
1,374 |
$5K |
| J1644 |
Inj heparin sodium per 1000u |
2,042 |
1,046 |
$5K |
| 38222 |
|
15 |
13 |
$5K |
| 82043 |
|
1,092 |
1,017 |
$5K |
| 88112 |
|
120 |
80 |
$5K |
| 94664 |
|
243 |
112 |
$5K |
| 87150 |
|
26 |
25 |
$5K |
| J0780 |
Prochlorperazine injection |
1,149 |
995 |
$5K |
| C1726 |
Cath, bal dil, non-vascular |
17 |
15 |
$5K |
| M0247 |
Sotrovimab infusion |
20 |
15 |
$5K |
| 84100 |
|
1,053 |
804 |
$5K |
| J2250 |
Inj midazolam hydrochloride |
8,707 |
7,458 |
$5K |
| 82570 |
|
1,017 |
938 |
$5K |
| 96368 |
|
36 |
24 |
$5K |
| 96417 |
|
49 |
25 |
$4K |
| 75574 |
|
13 |
13 |
$4K |
| J2272 |
Inj, morphine (fresenius) |
2,404 |
2,047 |
$4K |
| 64447 |
|
30 |
12 |
$4K |
| J7040 |
Normal saline solution infus |
1,711 |
1,299 |
$4K |
| 43235 |
|
19 |
12 |
$4K |
| 77290 |
|
23 |
13 |
$4K |
| J1200 |
Diphenhydramine hcl injectio |
4,727 |
3,809 |
$4K |
| A9537 |
Tc99m mebrofenin |
60 |
55 |
$4K |
| 73552 |
|
56 |
51 |
$4K |
| 86003 |
|
33 |
27 |
$4K |
| 73060 |
|
61 |
51 |
$3K |
| 84550 |
|
908 |
710 |
$3K |
| 93325 |
|
46 |
39 |
$3K |
| 77012 |
|
15 |
13 |
$3K |
| 82731 |
|
50 |
44 |
$3K |
| 86664 |
|
169 |
154 |
$3K |
| 10060 |
|
13 |
12 |
$3K |
| 86308 |
|
637 |
594 |
$3K |
| A9502 |
Tc99m tetrofosmin |
25 |
25 |
$3K |
| J2360 |
Orphenadrine injection |
975 |
889 |
$3K |
| 82378 |
|
199 |
172 |
$3K |
| 84207 |
|
126 |
121 |
$3K |
| 95812 |
|
12 |
12 |
$3K |
| A9573 |
Inj, gadopiclenol, 1 ml |
61 |
41 |
$3K |
| A9579 |
Gad-base mr contrast nos,1ml |
58 |
50 |
$3K |
| 82805 |
|
56 |
53 |
$3K |
| J2765 |
Metoclopramide hcl injection |
2,128 |
1,698 |
$3K |
| 88300 |
|
139 |
133 |
$3K |
| J2060 |
Lorazepam injection |
1,843 |
1,457 |
$3K |
| 87075 |
|
314 |
272 |
$2K |
| Q9969 |
Non-heu tc-99m add-on/dose |
1,530 |
1,412 |
$2K |
| J2370 |
Phenylephrine hcl injection |
393 |
317 |
$2K |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
664 |
467 |
$2K |
| 86592 |
|
504 |
447 |
$2K |
| 82248 |
|
426 |
232 |
$2K |
| J0500 |
Dicyclomine injection |
35 |
31 |
$2K |
| 74230 |
|
34 |
24 |
$2K |
| 76801 |
|
25 |
24 |
$2K |
| C1760 |
Closure dev, vasc |
13 |
12 |
$2K |
| 97112 |
|
81 |
38 |
$2K |
| J0171 |
Adrenalin epinephrine inject |
184 |
153 |
$2K |
| J2919 |
Inj, methylpred sod succ 5mg |
287 |
226 |
$2K |
| 97535 |
|
103 |
68 |
$2K |
| J3480 |
Inj potassium chloride |
406 |
185 |
$2K |
| 82247 |
|
317 |
170 |
$2K |
| G0103 |
Psa screening |
209 |
116 |
$2K |
| J2550 |
Promethazine hcl injection |
1,193 |
882 |
$2K |
| G0297 |
Ldct for lung ca screen |
31 |
26 |
$2K |
| 88302 |
|
78 |
64 |
$2K |
| 83874 |
|
131 |
104 |
$2K |
| 86431 |
|
291 |
276 |
$2K |
| 86663 |
|
108 |
98 |
$2K |
| J3475 |
Inj magnesium sulfate |
487 |
381 |
$2K |
| 87185 |
|
340 |
305 |
$1K |
| 97032 |
|
90 |
39 |
$1K |
| 87176 |
|
278 |
238 |
$1K |
| 82784 |
|
141 |
128 |
$1K |
| A4648 |
Implantable tissue marker |
13 |
12 |
$1K |
| 72120 |
|
17 |
15 |
$1K |
| 72070 |
|
15 |
12 |
$1K |
| 87493 |
|
51 |
41 |
$1K |
| 87625 |
|
71 |
69 |
$1K |
| 83516 |
|
87 |
51 |
$1K |
| 76981 |
|
16 |
13 |
$995.00 |
| 88142 |
|
43 |
41 |
$927.19 |
| 84156 |
|
248 |
181 |
$919.45 |
| 88311 |
|
87 |
75 |
$918.37 |
| 86780 |
|
85 |
77 |
$900.25 |
| 97803 |
|
167 |
164 |
$869.03 |
| 84630 |
|
103 |
100 |
$868.26 |
| 92610 |
|
13 |
12 |
$792.64 |
| 84425 |
|
50 |
46 |
$790.02 |
| J2543 |
Piperacillin/tazobactam |
93 |
51 |
$778.84 |
| J0736 |
Inj, clindamycin phosp 300mg |
322 |
209 |
$778.71 |
| C1887 |
Catheter, guiding |
15 |
13 |
$778.36 |
| 77417 |
|
34 |
12 |
$765.74 |
| 82553 |
|
81 |
74 |
$695.35 |
| 82525 |
|
66 |
62 |
$672.77 |
| 97802 |
|
202 |
197 |
$630.31 |
| J2916 |
Na ferric gluconate complex |
23 |
12 |
$622.44 |
| 86376 |
|
55 |
52 |
$614.82 |
| 88313 |
|
27 |
12 |
$550.46 |
| 36416 |
|
236 |
121 |
$525.66 |
| 87899 |
|
100 |
31 |
$512.99 |
| 93242 |
|
12 |
12 |
$496.10 |
| 82140 |
|
44 |
38 |
$488.72 |
| 82565 |
|
39 |
27 |
$461.36 |
| 82270 |
|
114 |
75 |
$456.85 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
285 |
260 |
$442.27 |
| 82375 |
|
31 |
25 |
$431.68 |
| 83001 |
|
28 |
27 |
$424.55 |
| 83002 |
|
28 |
27 |
$423.18 |
| J2920 |
Methylprednisolone injection |
93 |
40 |
$368.27 |
| 86706 |
|
46 |
39 |
$368.22 |
| G8978 |
Mobility current status |
169 |
37 |
$366.85 |
| 82670 |
|
16 |
15 |
$363.78 |
| J1940 |
Furosemide injection |
313 |
147 |
$350.49 |
| 88342 |
|
15 |
13 |
$345.51 |
| 84402 |
|
16 |
15 |
$337.79 |
| 86618 |
|
13 |
13 |
$332.91 |
| 94761 |
|
52 |
24 |
$330.62 |
| 84446 |
|
33 |
32 |
$328.51 |
| J0461 |
Atropine sulfate injection |
48 |
40 |
$292.60 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
423 |
386 |
$278.21 |
| 82009 |
|
69 |
61 |
$269.46 |
| 84590 |
|
33 |
32 |
$268.54 |
| 99406 |
|
45 |
29 |
$233.69 |
| 84144 |
|
13 |
12 |
$229.88 |
| 87340 |
|
25 |
24 |
$229.41 |
| 86696 |
|
16 |
13 |
$212.85 |
| J0688 |
Inj cefazolin sodium, hikma |
138 |
122 |
$197.80 |
| 82105 |
|
18 |
13 |
$184.47 |
| J2001 |
Lidocaine injection |
308 |
288 |
$179.37 |
| J1956 |
Levofloxacin injection |
93 |
73 |
$170.29 |
| 86300 |
|
13 |
13 |
$166.48 |
| J0689 |
Inj cefazolin sodium, baxter |
66 |
51 |
$164.45 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
81 |
70 |
$161.72 |
| 82947 |
|
48 |
39 |
$156.85 |
| 81050 |
|
38 |
26 |
$150.81 |
| 86695 |
|
15 |
12 |
$131.90 |
| 84153 |
|
12 |
12 |
$128.73 |
| 83050 |
|
26 |
24 |
$125.73 |
| 86708 |
|
17 |
12 |
$123.90 |
| 85045 |
|
29 |
27 |
$104.76 |
| J2598 |
Inj, vasopressin, 1 unit |
69 |
57 |
$104.41 |
| 80076 |
|
12 |
12 |
$99.94 |
| 80164 |
|
15 |
12 |
$94.78 |
| J2004 |
Inj, lidocaine w epinephrine |
89 |
84 |
$94.28 |
| 85007 |
|
40 |
33 |
$91.96 |
| 84460 |
|
18 |
12 |
$89.93 |
| 84450 |
|
18 |
12 |
$87.90 |
| 84165 |
|
12 |
12 |
$85.92 |
| J3411 |
Thiamine hcl 100 mg |
18 |
12 |
$70.84 |
| 81002 |
|
14 |
12 |
$41.81 |
| 85014 |
|
19 |
12 |
$32.31 |
| J1920 |
Inj, labetalol hcl, 5mg |
99 |
83 |
$29.73 |
| J1250 |
Inj dobutamine hcl/250 mg |
15 |
13 |
$24.18 |
| 99499 |
|
64 |
63 |
$9.63 |