| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90832 |
Psychotherapy, 30 minutes with patient |
186,112 |
86,119 |
$26.23M |
| 90791 |
Psychiatric diagnostic evaluation |
19,887 |
14,968 |
$13.16M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
64,630 |
55,665 |
$10.81M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
44,737 |
40,326 |
$9.71M |
| H2012 |
Behavioral health day treatment, per hour |
82,861 |
5,720 |
$8.43M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31,114 |
28,895 |
$6.25M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
34,616 |
31,525 |
$5.87M |
| 90834 |
Psychotherapy, 45 minutes with patient |
26,461 |
13,954 |
$5.04M |
| 36415 |
Collection of venous blood by venipuncture |
111,489 |
53,269 |
$4.94M |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
19,212 |
5,795 |
$2.26M |
| G0378 |
Hospital observation service, per hour |
6,601 |
3,965 |
$2.19M |
| S9485 |
Crisis intervention mental health services, per diem |
1,786 |
1,679 |
$2.04M |
| 96361 |
Intravenous infusion, hydration; each additional hour |
9,381 |
8,935 |
$1.96M |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
13,286 |
11,908 |
$1.87M |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
12,583 |
8,662 |
$1.74M |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
3,856 |
3,778 |
$1.71M |
| H0037 |
Community psychiatric supportive treatment program, per diem |
1,370 |
1,287 |
$1.68M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
6,934 |
6,506 |
$1.61M |
| 70450 |
Computed tomography, head or brain; without contrast material |
6,244 |
5,964 |
$1.50M |
| G0397 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes |
7,879 |
3,461 |
$1.28M |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,136 |
1,132 |
$1.10M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
7,160 |
6,883 |
$1.05M |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
8,362 |
2,572 |
$1.04M |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
6,907 |
6,744 |
$1.02M |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
750 |
747 |
$1.00M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
5,009 |
4,844 |
$989K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
4,067 |
3,924 |
$867K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
3,468 |
3,290 |
$842K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
2,545 |
2,250 |
$764K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
8,604 |
1,955 |
$760K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,761 |
3,555 |
$750K |
| J2426 |
Injection, paliperidone palmitate extended release (invega sustenna), 1 mg |
439 |
393 |
$728K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16,577 |
14,750 |
$711K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
19,023 |
16,439 |
$689K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,571 |
4,335 |
$669K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
2,421 |
1,954 |
$638K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
10,393 |
1,976 |
$631K |
| 80053 |
Comprehensive metabolic panel |
37,491 |
34,483 |
$618K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,571 |
3,511 |
$602K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,338 |
3,088 |
$594K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,042 |
3,029 |
$522K |
| 93970 |
|
1,363 |
1,332 |
$509K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
10,131 |
3,295 |
$492K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,583 |
2,577 |
$479K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,764 |
2,425 |
$453K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
9,278 |
8,852 |
$438K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
5,059 |
4,792 |
$419K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
2,552 |
2,169 |
$404K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,074 |
1,065 |
$381K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,623 |
1,587 |
$365K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,986 |
1,982 |
$342K |
| 86850 |
|
7,095 |
6,601 |
$326K |
| H0038 |
Self-help/peer services, per 15 minutes |
6,899 |
1,958 |
$307K |
| 99215 |
Prolong outpt/office vis |
1,372 |
1,334 |
$278K |
| 12001 |
|
524 |
524 |
$252K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,548 |
1,535 |
$245K |
| 76818 |
|
1,400 |
1,115 |
$233K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
2,533 |
2,455 |
$231K |
| 97161 |
|
1,346 |
1,330 |
$207K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
3,470 |
3,414 |
$202K |
| 81025 |
|
9,435 |
9,012 |
$186K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
1,228 |
1,197 |
$185K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,970 |
1,800 |
$178K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
9,793 |
8,432 |
$172K |
| 86901 |
|
7,114 |
6,617 |
$157K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
533 |
526 |
$152K |
| 87800 |
|
2,777 |
2,716 |
$152K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
2,609 |
2,544 |
$151K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,239 |
363 |
$137K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
3,859 |
1,481 |
$134K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
873 |
856 |
$130K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
3,963 |
3,753 |
$129K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,312 |
1,266 |
$113K |
| 86900 |
|
7,082 |
6,590 |
$113K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
686 |
680 |
$107K |
| 76830 |
Ultrasound, transvaginal |
2,025 |
1,929 |
$105K |
| 12011 |
|
224 |
222 |
$102K |
| 90686 |
|
5,130 |
5,118 |
$101K |
| 80061 |
Lipid panel |
7,550 |
7,491 |
$94K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,180 |
9,125 |
$91K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
2,697 |
2,667 |
$73K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
2,734 |
1,020 |
$71K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
470 |
423 |
$71K |
| 83880 |
|
3,381 |
3,185 |
$68K |
| J1631 |
Injection, haloperidol decanoate, per 50 mg |
2,613 |
1,605 |
$66K |
| H0035 |
Mental health partial hospitalization, treatment, less than 24 hours |
446 |
51 |
$66K |
| 67924 |
|
38 |
38 |
$63K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
411 |
411 |
$62K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
2,014 |
1,943 |
$57K |
| 90715 |
|
2,604 |
2,587 |
$56K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
356 |
348 |
$56K |
| 85027 |
|
41,696 |
35,814 |
$52K |
| 29540 |
|
204 |
202 |
$49K |
| 70486 |
|
1,036 |
1,013 |
$49K |
| 88312 |
|
1,030 |
1,016 |
$46K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
6,827 |
6,716 |
$44K |
| 85610 |
|
11,028 |
10,581 |
$43K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
37 |
37 |
$43K |
| 83655 |
|
3,346 |
3,334 |
$42K |
| 99402 |
|
654 |
614 |
$42K |
| 12002 |
|
91 |
91 |
$42K |
| 90651 |
|
1,030 |
1,029 |
$42K |
| 72131 |
|
401 |
395 |
$41K |
| 86703 |
|
2,840 |
2,817 |
$40K |
| 86480 |
|
634 |
629 |
$39K |
| 10060 |
|
94 |
89 |
$39K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
322 |
293 |
$37K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
11,342 |
10,321 |
$37K |
| 71046 |
Radiologic examination, chest; 2 views |
6,284 |
6,131 |
$35K |
| 82803 |
|
2,302 |
2,101 |
$35K |
| 96112 |
|
510 |
410 |
$34K |
| 76775 |
|
371 |
366 |
$32K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
143 |
141 |
$32K |
| 76801 |
|
274 |
254 |
$31K |
| 3E0234Z |
|
40 |
15 |
$31K |
| 92015 |
Determination of refractive state |
711 |
694 |
$31K |
| 87631 |
|
684 |
678 |
$30K |
| 90670 |
|
1,764 |
1,763 |
$30K |
| 92523 |
|
125 |
125 |
$30K |
| 84443 |
Thyroid stimulating hormone (TSH) |
4,983 |
4,933 |
$30K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
512 |
439 |
$28K |
| 81220 |
CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants |
80 |
80 |
$27K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
337 |
302 |
$26K |
| 11721 |
|
208 |
197 |
$22K |
| 58558 |
|
14 |
14 |
$22K |
| 80076 |
|
2,282 |
2,232 |
$21K |
| H2011 |
Crisis intervention service, per 15 minutes |
209 |
188 |
$21K |
| 85730 |
|
9,281 |
8,888 |
$20K |
| 88304 |
|
379 |
379 |
$18K |
| 76536 |
|
377 |
372 |
$18K |
| 90633 |
|
890 |
890 |
$18K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
39 |
39 |
$18K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
720 |
716 |
$17K |
| 88342 |
|
134 |
131 |
$17K |
| 84439 |
|
2,782 |
2,764 |
$17K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
216 |
214 |
$17K |
| 82962 |
|
5,640 |
4,199 |
$16K |
| 29125 |
|
57 |
55 |
$16K |
| 90734 |
|
693 |
693 |
$16K |
| 0002A |
|
848 |
848 |
$16K |
| 99381 |
|
95 |
94 |
$15K |
| 82607 |
|
1,390 |
1,387 |
$14K |
| 81003 |
|
14,246 |
13,545 |
$14K |
| 90648 |
|
891 |
891 |
$13K |
| 71045 |
Radiologic examination, chest; single view |
6,185 |
5,763 |
$13K |
| H0033 |
Oral medication administration, direct observation |
515 |
464 |
$13K |
| S9484 |
Crisis intervention mental health services, per hour |
15 |
14 |
$13K |
| 93017 |
|
43 |
43 |
$12K |
| 90681 |
|
751 |
751 |
$12K |
| 71250 |
|
95 |
94 |
$12K |
| 36430 |
|
28 |
24 |
$11K |
| M0245 |
Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring |
39 |
39 |
$11K |
| 73630 |
|
1,518 |
1,454 |
$11K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
3,701 |
3,553 |
$11K |
| 73610 |
|
1,335 |
1,257 |
$11K |
| 73562 |
|
1,550 |
1,508 |
$10K |
| 82728 |
|
1,111 |
1,065 |
$10K |
| 90620 |
|
438 |
438 |
$10K |
| M0239 |
Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring |
33 |
33 |
$10K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
3,692 |
3,369 |
$10K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
3,724 |
3,206 |
$9K |
| 86920 |
|
336 |
286 |
$9K |
| 73030 |
|
841 |
804 |
$8K |
| 82746 |
|
836 |
834 |
$8K |
| 0001A |
|
874 |
872 |
$8K |
| 90723 |
|
537 |
537 |
$8K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
12 |
12 |
$7K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
3,737 |
3,613 |
$7K |
| 84702 |
|
3,387 |
2,973 |
$7K |
| 87070 |
|
925 |
914 |
$7K |
| 96130 |
|
174 |
110 |
$6K |
| 73110 |
|
721 |
689 |
$6K |
| 90836 |
|
49 |
49 |
$6K |
| 88341 |
|
39 |
38 |
$5K |
| 73130 |
|
1,105 |
1,062 |
$5K |
| 90698 |
|
358 |
358 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,047 |
2,950 |
$5K |
| 92551 |
|
88 |
88 |
$5K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
98 |
92 |
$5K |
| 29530 |
|
12 |
12 |
$5K |
| J1756 |
Injection, iron sucrose, 1 mg |
226 |
77 |
$5K |
| H2010 |
Comprehensive medication services, per 15 minutes |
64 |
59 |
$5K |
| 90461 |
|
420 |
419 |
$4K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
13 |
13 |
$4K |
| 15853 |
|
71 |
70 |
$4K |
| M0222 |
Intravenous injection, bebtelovimab, includes injection and post administration monitoring |
35 |
35 |
$4K |
| 99173 |
|
94 |
94 |
$4K |
| 92133 |
|
44 |
44 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
15 |
15 |
$4K |
| 87340 |
|
1,356 |
1,349 |
$4K |
| 83735 |
|
8,771 |
7,063 |
$4K |
| 86706 |
|
717 |
713 |
$3K |
| 90707 |
|
204 |
203 |
$3K |
| 90710 |
|
148 |
148 |
$3K |
| 81243 |
|
133 |
132 |
$3K |
| J3490 |
Unclassified drugs |
859 |
848 |
$3K |
| 86592 |
|
2,649 |
2,603 |
$3K |
| 86762 |
|
419 |
401 |
$3K |
| 99205 |
Prolong outpt/office vis |
25 |
25 |
$3K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
5,315 |
5,066 |
$3K |
| 84100 |
|
5,792 |
4,585 |
$3K |
| 83540 |
|
723 |
714 |
$3K |
| 94010 |
|
17 |
16 |
$3K |
| P9040 |
Red blood cells, leukocytes reduced, irradiated, each unit |
12 |
12 |
$3K |
| 72128 |
|
63 |
63 |
$3K |
| 83550 |
|
694 |
685 |
$3K |
| 83690 |
|
7,127 |
6,733 |
$3K |
| 83020 |
|
368 |
350 |
$3K |
| 81401 |
|
108 |
107 |
$3K |
| J2680 |
Injection, fluphenazine decanoate, up to 25 mg |
110 |
36 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
25 |
24 |
$2K |
| A0425 |
Ground mileage, per statute mile |
670 |
601 |
$2K |
| C1769 |
Guide wire |
12 |
12 |
$2K |
| 94760 |
|
19,795 |
17,104 |
$2K |
| 70496 |
|
13 |
13 |
$2K |
| 81244 |
|
133 |
132 |
$2K |
| 96138 |
|
74 |
74 |
$2K |
| 94060 |
|
70 |
70 |
$2K |
| 92250 |
|
27 |
26 |
$2K |
| 87088 |
|
2,927 |
2,808 |
$2K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
10,274 |
8,833 |
$2K |
| 86803 |
|
319 |
317 |
$2K |
| 97165 |
|
15 |
15 |
$2K |
| 0004A |
|
51 |
51 |
$2K |
| G9035 |
Oseltamivir phosphate, oral, brand, per 75 mg (for use in a medicare-approved demonstration project) |
12 |
12 |
$1K |
| 90716 |
|
115 |
115 |
$1K |
| 73590 |
|
340 |
323 |
$1K |
| 99401 |
|
48 |
46 |
$1K |
| 86140 |
|
1,162 |
1,134 |
$1K |
| 84484 |
|
5,995 |
5,045 |
$1K |
| 84703 |
|
2,068 |
1,995 |
$1K |
| 72170 |
|
502 |
491 |
$1K |
| 94729 |
|
72 |
72 |
$1K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
12 |
12 |
$1K |
| 87040 |
|
698 |
664 |
$1K |
| 90696 |
|
78 |
78 |
$1K |
| 92134 |
|
13 |
12 |
$1K |
| 73090 |
|
188 |
177 |
$1K |
| 96368 |
|
185 |
183 |
$1K |
| J2704 |
Injection, propofol, 10 mg |
1,084 |
1,035 |
$916.31 |
| 90700 |
|
69 |
69 |
$890.41 |
| 73080 |
|
187 |
181 |
$819.40 |
| 80164 |
|
91 |
89 |
$817.76 |
| 96139 |
|
70 |
70 |
$797.18 |
| J1815 |
Injection, insulin, per 5 units |
791 |
544 |
$707.66 |
| 99201 |
|
15 |
13 |
$703.66 |
| 83615 |
|
217 |
161 |
$667.30 |
| 96367 |
|
61 |
61 |
$644.43 |
| 82652 |
|
33 |
32 |
$606.03 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
746 |
719 |
$602.36 |
| 94727 |
|
58 |
58 |
$579.84 |
| 85651 |
|
904 |
882 |
$555.20 |
| 85379 |
|
1,326 |
1,294 |
$482.22 |
| 90647 |
|
34 |
34 |
$464.10 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,997 |
1,867 |
$463.32 |
| 82570 |
|
245 |
225 |
$435.35 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,838 |
1,488 |
$426.07 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
28 |
26 |
$418.58 |
| 80320 |
|
2,529 |
2,391 |
$408.60 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
1,822 |
1,657 |
$397.57 |
| 82550 |
|
1,171 |
1,089 |
$396.63 |
| 94761 |
|
284 |
284 |
$367.96 |
| 83605 |
|
2,098 |
1,963 |
$336.33 |
| 88313 |
|
171 |
171 |
$334.27 |
| 82042 |
|
204 |
186 |
$315.98 |
| 90744 |
|
25 |
25 |
$314.29 |
| 81002 |
|
123 |
108 |
$305.25 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
3,106 |
2,735 |
$297.55 |
| 80329 |
|
837 |
429 |
$275.41 |
| 74018 |
|
66 |
63 |
$275.14 |
| 84436 |
|
74 |
74 |
$247.20 |
| 96127 |
|
160 |
158 |
$202.09 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
8,238 |
7,534 |
$190.47 |
| 84425 |
|
12 |
12 |
$169.70 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
429 |
319 |
$158.76 |
| J1630 |
Injection, haloperidol, up to 5 mg |
423 |
338 |
$120.57 |
| 83527 |
|
14 |
14 |
$112.50 |
| 85045 |
|
61 |
56 |
$111.02 |
| 83525 |
|
15 |
15 |
$87.50 |
| 73502 |
|
26 |
26 |
$74.35 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,746 |
1,426 |
$63.31 |
| 81000 |
|
120 |
75 |
$63.15 |
| J2060 |
Injection, lorazepam, 2 mg |
560 |
511 |
$61.42 |
| 90656 |
|
44 |
44 |
$60.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,025 |
1,842 |
$55.79 |
| J1644 |
Injection, heparin sodium, per 1000 units |
509 |
339 |
$54.91 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,747 |
1,688 |
$54.52 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
588 |
505 |
$52.49 |
| 82947 |
|
27 |
27 |
$45.60 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,017 |
943 |
$42.42 |
| 84479 |
|
27 |
26 |
$39.60 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,796 |
1,753 |
$27.48 |
| 87081 |
|
24 |
24 |
$25.65 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$21.91 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
29 |
25 |
$21.90 |
| 96376 |
|
96 |
94 |
$19.81 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
1,332 |
1,242 |
$12.25 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
306 |
301 |
$8.41 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
392 |
305 |
$6.42 |
| 82565 |
|
14 |
14 |
$5.03 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
731 |
683 |
$4.38 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
108 |
95 |
$2.44 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
340 |
323 |
$2.31 |
| Q0163 |
Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen |
532 |
489 |
$1.03 |
| Q0162 |
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
109 |
106 |
$0.56 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
294 |
275 |
$0.16 |
| 99080 |
|
1,307 |
228 |
$0.00 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
17 |
14 |
$0.00 |
| 73140 |
|
13 |
12 |
$0.00 |
| C9290 |
Injection, bupivacaine liposome, 1 mg |
39 |
37 |
$0.00 |