| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
48,708 |
45,470 |
$21.41M |
| 99284 |
|
80,309 |
76,306 |
$16.24M |
| 99283 |
|
112,413 |
105,340 |
$13.82M |
| G0463 |
Hospital outpt clinic visit |
123,629 |
102,652 |
$7.30M |
| G0378 |
Hospital observation per hr |
16,812 |
15,464 |
$6.69M |
| 96374 |
|
38,189 |
35,535 |
$2.78M |
| 74177 |
|
7,173 |
7,044 |
$2.02M |
| 43239 |
|
5,448 |
5,407 |
$1.92M |
| 99282 |
|
15,343 |
14,240 |
$1.26M |
| 45380 |
|
2,299 |
2,279 |
$1.12M |
| G0121 |
Colon ca scrn not hi rsk ind |
2,853 |
2,834 |
$1.10M |
| 70450 |
|
13,009 |
12,602 |
$1.05M |
| 71045 |
|
34,998 |
32,920 |
$994K |
| 58558 |
|
632 |
624 |
$925K |
| 20610 |
|
5,515 |
4,385 |
$921K |
| 45385 |
|
1,492 |
1,481 |
$636K |
| 99281 |
|
10,490 |
10,003 |
$625K |
| 87637 |
|
10,069 |
9,750 |
$601K |
| 96375 |
|
27,700 |
24,035 |
$593K |
| 11042 |
|
2,272 |
1,037 |
$590K |
| 80061 |
|
9,102 |
8,924 |
$553K |
| 71046 |
|
18,629 |
18,188 |
$541K |
| 45378 |
|
1,525 |
1,506 |
$488K |
| 96365 |
|
7,200 |
6,708 |
$471K |
| 76830 |
|
7,693 |
7,640 |
$431K |
| 77067 |
|
9,115 |
9,099 |
$430K |
| 76856 |
|
7,891 |
7,835 |
$407K |
| 93306 |
|
3,485 |
3,445 |
$365K |
| 76801 |
|
7,337 |
6,741 |
$363K |
| U0003 |
Cov-19 amp prb hgh thruput |
8,489 |
8,225 |
$310K |
| 87491 |
|
29,025 |
28,437 |
$307K |
| 87591 |
|
29,026 |
28,450 |
$295K |
| 96413 |
|
1,951 |
1,148 |
$293K |
| 96372 |
|
47,142 |
40,293 |
$272K |
| 93975 |
|
2,856 |
2,817 |
$267K |
| H0032 |
Mh svc plan dev by non-md |
1,979 |
1,814 |
$232K |
| 74176 |
|
2,229 |
2,202 |
$229K |
| 99213 |
|
2,197 |
2,086 |
$219K |
| 71260 |
|
3,985 |
3,924 |
$211K |
| 72148 |
|
1,541 |
1,533 |
$205K |
| 72125 |
|
6,868 |
6,757 |
$199K |
| 80048 |
|
62,953 |
51,918 |
$191K |
| T1017 |
Targeted case management |
1,147 |
745 |
$184K |
| 76700 |
|
2,707 |
2,702 |
$182K |
| 99395 |
|
3,047 |
3,029 |
$182K |
| 76811 |
|
1,599 |
1,597 |
$181K |
| 99218 |
|
744 |
397 |
$174K |
| 10060 |
|
1,807 |
1,787 |
$158K |
| 76816 |
|
3,170 |
3,031 |
$150K |
| 72141 |
|
760 |
747 |
$140K |
| 76705 |
|
2,656 |
2,613 |
$132K |
| 73721 |
|
992 |
949 |
$130K |
| 70553 |
|
694 |
688 |
$128K |
| 99396 |
|
2,126 |
2,110 |
$125K |
| 90837 |
|
983 |
632 |
$120K |
| 86780 |
|
13,482 |
13,283 |
$120K |
| 76770 |
|
2,030 |
2,022 |
$115K |
| 81025 |
|
55,039 |
52,182 |
$101K |
| 87635 |
|
4,205 |
4,132 |
$99K |
| 70486 |
|
3,420 |
3,379 |
$99K |
| 90791 |
|
908 |
887 |
$97K |
| 93970 |
|
1,131 |
1,114 |
$87K |
| 76536 |
|
1,637 |
1,635 |
$87K |
| 80053 |
|
29,134 |
27,083 |
$87K |
| 72131 |
|
2,659 |
2,623 |
$85K |
| J1100 |
Dexamethasone sodium phos |
9,813 |
9,107 |
$79K |
| 76805 |
|
1,310 |
1,299 |
$77K |
| 96361 |
|
3,006 |
2,374 |
$69K |
| C8929 |
Tte w or wo fol wcon,doppler |
589 |
581 |
$68K |
| J1200 |
Diphenhydramine hcl injectio |
10,851 |
9,372 |
$68K |
| 59025 |
|
838 |
307 |
$68K |
| 90471 |
|
8,902 |
8,770 |
$66K |
| 84484 |
|
26,832 |
22,755 |
$66K |
| 76642 |
|
2,155 |
1,882 |
$62K |
| 72128 |
|
2,112 |
2,086 |
$61K |
| H0031 |
Mh health assess by non-md |
444 |
436 |
$61K |
| G0123 |
Screen cerv/vag thin layer |
5,367 |
5,353 |
$61K |
| 96360 |
|
930 |
865 |
$58K |
| U0002 |
Covid-19 lab test non-cdc |
2,917 |
2,824 |
$58K |
| 95810 |
|
125 |
123 |
$54K |
| 97162 |
|
1,065 |
1,020 |
$52K |
| 99212 |
|
763 |
673 |
$49K |
| 80307 |
|
25,503 |
23,574 |
$49K |
| 77066 |
Tomosynthesis, mammo |
868 |
864 |
$49K |
| 87661 |
|
19,113 |
18,807 |
$48K |
| 72100 |
|
3,090 |
3,056 |
$47K |
| 73564 |
|
7,861 |
6,669 |
$47K |
| 87389 |
|
11,008 |
10,867 |
$47K |
| C8928 |
Tte w or w/o fol w/con,stres |
273 |
267 |
$47K |
| 93971 |
|
930 |
913 |
$43K |
| 94640 |
|
10,610 |
9,477 |
$43K |
| 85025 |
|
62,899 |
53,881 |
$42K |
| 82962 |
|
29,021 |
25,072 |
$42K |
| 86900 |
|
18,909 |
18,246 |
$40K |
| 12001 |
|
2,114 |
2,103 |
$39K |
| 90832 |
|
620 |
480 |
$39K |
| 36430 |
|
296 |
276 |
$38K |
| 87625 |
|
2,136 |
2,130 |
$37K |
| 29515 |
|
376 |
368 |
$37K |
| 70496 |
|
470 |
468 |
$37K |
| 31575 |
|
219 |
216 |
$37K |
| 73030 |
|
6,737 |
6,196 |
$36K |
| 71271 |
|
643 |
643 |
$35K |
| 87480 |
|
5,315 |
5,267 |
$35K |
| 82306 |
|
4,411 |
4,378 |
$35K |
| J1642 |
Inj heparin sodium per 10 u |
1,057 |
751 |
$35K |
| 74178 |
|
225 |
225 |
$35K |
| P9016 |
Rbc leukocytes reduced |
462 |
397 |
$35K |
| 87660 |
|
5,200 |
5,153 |
$35K |
| 70491 |
|
337 |
333 |
$35K |
| 78452 |
|
133 |
133 |
$34K |
| 58661 |
|
12 |
12 |
$34K |
| 93458 |
|
25 |
24 |
$34K |
| 84443 |
|
9,268 |
9,014 |
$33K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
12,514 |
12,095 |
$33K |
| 87510 |
|
5,113 |
5,067 |
$32K |
| J2704 |
Inj, propofol, 10 mg |
19,457 |
18,941 |
$32K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
674 |
627 |
$30K |
| T1001 |
Nursing assessment/evaluatn |
309 |
305 |
$29K |
| 92557 |
|
467 |
464 |
$29K |
| 73700 |
|
493 |
491 |
$28K |
| 81003 |
|
36,270 |
34,093 |
$28K |
| 97166 |
|
874 |
848 |
$28K |
| 73630 |
|
8,328 |
7,370 |
$28K |
| 77065 |
Tomosynthesis, mammo |
617 |
615 |
$27K |
| 73221 |
|
187 |
182 |
$26K |
| 99214 |
|
211 |
202 |
$26K |
| 96367 |
|
972 |
762 |
$25K |
| 95811 |
|
53 |
53 |
$25K |
| 73610 |
|
7,662 |
6,856 |
$25K |
| 70551 |
|
262 |
259 |
$25K |
| 93005 |
|
28,708 |
26,211 |
$25K |
| 73130 |
|
7,495 |
6,914 |
$24K |
| 90834 |
|
254 |
222 |
$24K |
| J7040 |
Normal saline solution infus |
8,179 |
7,358 |
$23K |
| 93797 |
|
392 |
80 |
$21K |
| 72170 |
|
5,632 |
5,526 |
$21K |
| 72110 |
|
533 |
528 |
$21K |
| 94726 |
|
387 |
386 |
$21K |
| 12002 |
|
1,480 |
1,472 |
$21K |
| 85027 |
|
34,811 |
32,037 |
$20K |
| 12011 |
|
1,411 |
1,406 |
$20K |
| 71275 |
|
213 |
207 |
$20K |
| 93017 |
|
994 |
980 |
$19K |
| 83036 |
|
9,163 |
9,014 |
$19K |
| 77063 |
|
1,462 |
1,461 |
$19K |
| 73562 |
|
3,101 |
2,782 |
$19K |
| 73590 |
|
4,085 |
3,740 |
$17K |
| 96366 |
|
1,114 |
937 |
$17K |
| 70498 |
|
462 |
462 |
$17K |
| 88305 |
|
11,318 |
11,149 |
$14K |
| J7050 |
Normal saline solution infus |
3,438 |
2,543 |
$14K |
| 73110 |
|
4,136 |
3,801 |
$14K |
| 73560 |
|
1,204 |
1,007 |
$14K |
| 73502 |
|
2,876 |
2,810 |
$14K |
| A9270 |
Non-covered item or service |
140,383 |
102,942 |
$13K |
| 76817 |
|
5,971 |
5,513 |
$13K |
| 31500 |
|
38 |
37 |
$13K |
| J3480 |
Inj potassium chloride |
1,822 |
1,506 |
$13K |
| 84702 |
|
13,012 |
11,876 |
$13K |
| 85610 |
|
22,160 |
19,710 |
$12K |
| 76870 |
|
730 |
718 |
$12K |
| G0482 |
Drug test def 15-21 classes |
73 |
73 |
$12K |
| 83880 |
|
5,149 |
4,880 |
$12K |
| 97530 |
|
2,542 |
1,321 |
$12K |
| 72070 |
|
980 |
973 |
$12K |
| 87340 |
|
7,602 |
7,473 |
$11K |
| 87467 |
|
2,130 |
2,109 |
$11K |
| J7030 |
Normal saline solution infus |
25,931 |
22,046 |
$11K |
| 94060 |
|
94 |
94 |
$11K |
| 82951 |
|
1,429 |
1,416 |
$10K |
| 83735 |
|
45,982 |
38,356 |
$10K |
| 66984 |
|
13 |
13 |
$10K |
| 81001 |
|
20,185 |
19,481 |
$10K |
| 72156 |
|
27 |
27 |
$10K |
| 86850 |
|
18,859 |
18,197 |
$10K |
| 29125 |
|
1,165 |
1,134 |
$10K |
| 86870 |
|
125 |
117 |
$10K |
| 87086 |
|
7,255 |
7,091 |
$10K |
| Q9957 |
Inj perflutren lip micros,ml |
1,271 |
1,245 |
$9K |
| 73080 |
|
2,503 |
2,355 |
$9K |
| 82550 |
|
3,565 |
3,233 |
$9K |
| 71250 |
|
169 |
167 |
$9K |
| 86901 |
|
18,861 |
18,200 |
$9K |
| 77336 |
|
149 |
66 |
$9K |
| 74174 |
|
75 |
74 |
$9K |
| 84100 |
|
7,184 |
5,737 |
$8K |
| 86803 |
|
1,489 |
1,479 |
$7K |
| 77080 |
|
122 |
122 |
$7K |
| 73090 |
|
2,718 |
2,510 |
$7K |
| 87631 |
|
7,026 |
6,894 |
$7K |
| 82607 |
|
2,152 |
2,112 |
$7K |
| 97161 |
|
85 |
81 |
$7K |
| 90686 |
|
439 |
437 |
$7K |
| 83690 |
|
18,414 |
17,162 |
$7K |
| 80074 |
|
1,026 |
1,001 |
$6K |
| J2405 |
Ondansetron hcl injection |
24,831 |
22,017 |
$6K |
| J3475 |
Inj magnesium sulfate |
5,221 |
4,646 |
$6K |
| 97116 |
|
1,426 |
1,100 |
$6K |
| 85730 |
|
18,235 |
17,305 |
$6K |
| J2270 |
Morphine sulfate injection |
14,207 |
11,880 |
$5K |
| J7120 |
Ringers lactate infusion |
16,283 |
14,854 |
$5K |
| 92588 |
|
45 |
45 |
$5K |
| 73060 |
|
1,532 |
1,424 |
$5K |
| 76815 |
|
514 |
433 |
$5K |
| 84439 |
|
2,834 |
2,749 |
$5K |
| 0011A |
|
221 |
221 |
$5K |
| C1729 |
Cath, drainage |
1,492 |
1,443 |
$5K |
| 87077 |
|
3,833 |
3,573 |
$5K |
| 90732 |
|
60 |
57 |
$5K |
| 0012A |
|
156 |
156 |
$5K |
| J0696 |
Ceftriaxone sodium injection |
14,617 |
13,462 |
$5K |
| 73552 |
|
2,256 |
2,091 |
$4K |
| 74018 |
|
732 |
699 |
$4K |
| 93880 |
|
84 |
83 |
$4K |
| 83605 |
|
5,142 |
4,586 |
$4K |
| 20600 |
|
30 |
25 |
$4K |
| 82652 |
|
1,015 |
1,013 |
$4K |
| G0008 |
Admin influenza virus vac |
596 |
592 |
$4K |
| 20605 |
|
36 |
33 |
$4K |
| 97597 |
|
48 |
41 |
$4K |
| 72040 |
|
265 |
261 |
$4K |
| 93925 |
|
39 |
39 |
$4K |
| Q3014 |
Telehealth facility fee |
234 |
228 |
$3K |
| 86762 |
|
1,565 |
1,552 |
$3K |
| 80051 |
|
1,040 |
993 |
$3K |
| 76819 |
|
54 |
30 |
$3K |
| 97535 |
|
692 |
556 |
$3K |
| 86787 |
|
1,070 |
1,065 |
$3K |
| G0297 |
Ldct for lung ca screen |
94 |
92 |
$3K |
| 71101 |
|
799 |
792 |
$3K |
| 82728 |
|
1,158 |
1,120 |
$3K |
| J1953 |
Levetiracetam injection |
1,330 |
1,174 |
$3K |
| J1644 |
Inj heparin sodium per 1000u |
16,655 |
8,150 |
$3K |
| 82746 |
|
751 |
743 |
$3K |
| 72050 |
|
65 |
63 |
$2K |
| J0690 |
Cefazolin sodium injection |
5,656 |
5,294 |
$2K |
| Q2037 |
Fluvirin vacc, 3 yrs & >, im |
145 |
145 |
$2K |
| 90715 |
|
7,467 |
7,403 |
$2K |
| 90674 |
|
217 |
210 |
$2K |
| J2920 |
Methylprednisolone injection |
3,729 |
2,415 |
$2K |
| 87651 |
|
3,506 |
3,461 |
$2K |
| J3301 |
Triamcinolone acet inj nos |
3,733 |
3,680 |
$2K |
| 90935 |
|
25 |
12 |
$2K |
| 87081 |
|
2,076 |
2,042 |
$2K |
| 86923 |
|
307 |
282 |
$2K |
| 76813 |
|
40 |
40 |
$2K |
| 87040 |
|
1,671 |
1,557 |
$2K |
| 74019 |
|
335 |
331 |
$2K |
| 88307 |
|
187 |
183 |
$2K |
| 10061 |
|
13 |
13 |
$2K |
| 87529 |
|
801 |
432 |
$2K |
| 87502 |
|
1,447 |
1,431 |
$2K |
| 94660 |
|
263 |
165 |
$2K |
| J1170 |
Hydromorphone injection |
7,551 |
6,556 |
$2K |
| 84153 |
|
389 |
376 |
$2K |
| 83037 |
|
513 |
513 |
$2K |
| 84460 |
|
7,228 |
6,952 |
$2K |
| 84703 |
|
3,880 |
3,828 |
$2K |
| 84450 |
|
7,420 |
7,148 |
$2K |
| 73140 |
|
748 |
714 |
$2K |
| S0077 |
Injection, clindamycin phosp |
367 |
318 |
$2K |
| 96376 |
|
8,213 |
6,099 |
$2K |
| J0780 |
Prochlorperazine injection |
3,058 |
2,940 |
$1K |
| 83001 |
|
240 |
240 |
$1K |
| 29750 |
|
15 |
13 |
$1K |
| 92950 |
|
14 |
12 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
27,396 |
25,497 |
$1K |
| 83002 |
|
209 |
209 |
$1K |
| 82248 |
|
4,086 |
3,906 |
$1K |
| 84132 |
|
3,145 |
2,956 |
$1K |
| 96415 |
|
30 |
15 |
$1K |
| 82570 |
|
1,262 |
1,154 |
$1K |
| 82670 |
|
136 |
136 |
$1K |
| 12013 |
|
108 |
108 |
$1K |
| 96523 |
|
51 |
44 |
$1K |
| 83540 |
|
996 |
957 |
$1K |
| 82043 |
|
668 |
666 |
$1K |
| 87804 |
|
2,325 |
1,579 |
$1K |
| 85379 |
|
3,651 |
3,574 |
$995.60 |
| J1630 |
Haloperidol injection |
5,657 |
4,596 |
$987.48 |
| J2060 |
Lorazepam injection |
5,610 |
4,453 |
$969.67 |
| 82803 |
|
437 |
416 |
$883.42 |
| 88304 |
|
833 |
804 |
$878.97 |
| 11721 |
|
939 |
931 |
$866.63 |
| 36415 |
|
2,935 |
2,708 |
$802.56 |
| 97165 |
|
52 |
47 |
$802.09 |
| 96417 |
|
25 |
12 |
$799.97 |
| 74022 |
|
438 |
431 |
$788.63 |
| 29580 |
|
15 |
12 |
$764.77 |
| 88342 |
|
182 |
180 |
$764.06 |
| 84075 |
|
4,353 |
4,186 |
$758.68 |
| 82565 |
|
1,364 |
1,307 |
$750.74 |
| J7060 |
5% dextrose/water |
1,137 |
911 |
$728.13 |
| 84481 |
|
143 |
136 |
$726.10 |
| 87070 |
|
999 |
960 |
$719.01 |
| 90656 |
|
30 |
30 |
$650.48 |
| 86140 |
|
577 |
563 |
$641.47 |
| 94010 |
|
41 |
41 |
$632.81 |
| J1650 |
Inj enoxaparin sodium |
1,022 |
552 |
$631.40 |
| 88312 |
|
2,652 |
2,630 |
$617.88 |
| 85651 |
|
386 |
378 |
$599.79 |
| 82150 |
|
1,092 |
1,060 |
$595.13 |
| 83550 |
|
418 |
404 |
$563.18 |
| 84156 |
|
826 |
760 |
$511.39 |
| 82247 |
|
3,705 |
3,553 |
$504.78 |
| Q0091 |
Obtaining screen pap smear |
37 |
37 |
$499.61 |
| 93922 |
|
129 |
129 |
$486.20 |
| A9500 |
Tc99m sestamibi |
152 |
151 |
$476.28 |
| 82810 |
|
330 |
313 |
$455.66 |
| 11056 |
|
43 |
42 |
$447.50 |
| 84520 |
|
587 |
561 |
$416.92 |
| J3370 |
Vancomycin hcl injection |
1,212 |
792 |
$412.86 |
| 87807 |
|
924 |
897 |
$399.89 |
| 76820 |
|
59 |
38 |
$373.27 |
| 87205 |
|
1,045 |
1,003 |
$369.19 |
| 84403 |
|
60 |
59 |
$362.48 |
| 82010 |
|
1,750 |
1,617 |
$355.43 |
| 70360 |
|
71 |
70 |
$318.40 |
| 74420 |
|
13 |
12 |
$317.97 |
| 99152 |
|
29 |
28 |
$308.90 |
| 88341 |
|
13 |
12 |
$302.94 |
| C1760 |
Closure dev, vasc |
30 |
28 |
$289.05 |
| J2930 |
Methylprednisolone injection |
688 |
593 |
$287.65 |
| C1887 |
Catheter, guiding |
102 |
97 |
$280.38 |
| J2765 |
Metoclopramide hcl injection |
5,031 |
4,411 |
$277.12 |
| 83615 |
|
517 |
487 |
$261.64 |
| 83050 |
|
426 |
414 |
$254.53 |
| 84154 |
|
68 |
67 |
$243.14 |
| J3415 |
Pyridoxine hcl 100 mg |
561 |
491 |
$226.68 |
| 84146 |
|
43 |
43 |
$225.13 |
| 82105 |
|
37 |
37 |
$221.63 |
| J1940 |
Furosemide injection |
945 |
533 |
$213.29 |
| J7042 |
5% dextrose/normal saline |
681 |
611 |
$206.02 |
| 85014 |
|
1,125 |
969 |
$205.71 |
| S0028 |
Injection, famotidine, 20 mg |
909 |
832 |
$200.00 |
| 86592 |
|
94 |
92 |
$187.10 |
| J0171 |
Adrenalin epinephrine inject |
194 |
190 |
$186.41 |
| 80185 |
|
287 |
255 |
$184.77 |
| J1580 |
Garamycin gentamicin inj |
898 |
826 |
$164.11 |
| 73600 |
|
29 |
27 |
$151.44 |
| 82540 |
|
136 |
135 |
$149.11 |
| 80143 |
|
125 |
125 |
$144.73 |
| A9585 |
Gadobutrol injection |
457 |
435 |
$142.58 |
| J2560 |
Phenobarbital sodium inj |
74 |
65 |
$141.80 |
| 86696 |
|
61 |
61 |
$139.40 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
127 |
89 |
$135.52 |
| 87880 |
|
848 |
833 |
$135.10 |
| 99153 |
Mod sedat endo service >5yrs |
14 |
13 |
$134.40 |
| 84295 |
|
533 |
509 |
$131.23 |
| S0020 |
Injection, bupivicaine hydro |
1,475 |
1,435 |
$129.86 |
| 85046 |
|
141 |
134 |
$110.10 |
| 85018 |
|
654 |
529 |
$108.59 |
| 90472 |
|
16 |
16 |
$103.41 |
| 82140 |
|
214 |
185 |
$101.17 |
| 80076 |
|
86 |
85 |
$95.15 |
| 87075 |
|
96 |
89 |
$93.67 |
| 86038 |
|
25 |
25 |
$78.58 |
| J0360 |
Hydralazine hcl injection |
324 |
285 |
$78.20 |
| 81002 |
|
217 |
191 |
$68.77 |
| J7121 |
5% dextrose in lac ringers |
191 |
179 |
$59.36 |
| 84550 |
|
83 |
79 |
$58.03 |
| 85384 |
|
108 |
106 |
$57.73 |
| 86695 |
|
37 |
37 |
$56.23 |
| 82947 |
|
25 |
25 |
$56.20 |
| 82330 |
|
80 |
77 |
$55.50 |
| J0461 |
Atropine sulfate injection |
42 |
41 |
$52.37 |
| 86703 |
|
58 |
56 |
$51.68 |
| 73620 |
|
12 |
12 |
$48.48 |
| 82040 |
|
275 |
266 |
$48.30 |
| 94729 |
|
391 |
390 |
$42.32 |
| 80164 |
|
94 |
88 |
$41.27 |
| 76821 |
|
46 |
27 |
$35.58 |
| J3411 |
Thiamine hcl 100 mg |
280 |
239 |
$31.38 |
| 88302 |
|
13 |
13 |
$30.24 |
| 82747 |
|
13 |
12 |
$29.46 |
| 72190 |
|
14 |
12 |
$29.40 |
| J0153 |
Adenosine inj 1mg |
40 |
38 |
$28.13 |
| J1245 |
Dipyridamole injection |
27 |
26 |
$27.92 |
| 83021 |
|
13 |
13 |
$27.48 |
| 86701 |
|
38 |
38 |
$27.36 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
381 |
377 |
$23.24 |
| J0592 |
Buprenorphine hydrochloride |
19 |
13 |
$21.43 |
| 73070 |
|
13 |
13 |
$17.88 |
| J3010 |
Fentanyl citrate injection |
7,735 |
7,572 |
$15.39 |
| J2250 |
Inj midazolam hydrochloride |
8,798 |
8,426 |
$13.36 |
| 82948 |
|
303 |
152 |
$13.09 |
| 82272 |
|
106 |
104 |
$9.46 |
| 86359 |
|
14 |
13 |
$8.89 |
| 86360 |
|
14 |
13 |
$8.89 |
| 94727 |
|
16 |
16 |
$8.82 |
| 80177 |
|
12 |
12 |
$8.33 |
| J2310 |
Inj naloxone hydrochloride |
27 |
27 |
$7.83 |
| 92567 |
|
13 |
13 |
$7.00 |
| 90632 |
|
61 |
61 |
$4.97 |
| J7512 |
Prednisone ir or dr oral 1mg |
233 |
178 |
$4.20 |
| J2370 |
Phenylephrine hcl injection |
506 |
501 |
$3.52 |
| 85660 |
|
35 |
35 |
$3.46 |
| 90714 |
|
100 |
99 |
$2.26 |
| S0030 |
Injection, metronidazole |
24 |
13 |
$1.07 |
| J1050 |
Medroxyprogesterone acetate |
213 |
212 |
$0.06 |
| J0330 |
Succinycholine chloride inj |
420 |
413 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
613 |
609 |
$0.00 |
| A4648 |
Implantable tissue marker |
29 |
28 |
$0.00 |
| C1781 |
Mesh (implantable) |
13 |
13 |
$0.00 |
| Q0162 |
Ondansetron oral |
101 |
101 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
152 |
120 |
$0.00 |
| C1769 |
Guide wire |
962 |
866 |
$0.00 |
| 96368 |
|
38 |
37 |
$0.00 |
| S2900 |
Robotic surgical system |
12 |
12 |
$0.00 |
| J1790 |
Droperidol injection |
379 |
356 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
79 |
79 |
$0.00 |
| 11045 |
|
78 |
38 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
155 |
153 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
12 |
12 |
$0.00 |
| 11730 |
|
34 |
33 |
$0.00 |
| 76604 |
|
13 |
13 |
$0.00 |
| A9576 |
Inj prohance multipack |
977 |
950 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
331 |
315 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
1,781 |
1,308 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
1,223 |
1,208 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
459 |
456 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
262 |
209 |
$0.00 |
| 92592 |
|
319 |
308 |
$0.00 |
| C1782 |
Morcellator |
348 |
343 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
127 |
111 |
$0.00 |
| 82542 |
|
63 |
62 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
16 |
16 |
$0.00 |
| 73000 |
|
13 |
12 |
$0.00 |
| J0692 |
Cefepime hcl for injection |
21 |
12 |
$0.00 |