| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
42,876 |
37,926 |
$18.51M |
| J9271 |
Inj pembrolizumab |
2,295 |
1,653 |
$14.22M |
| 99283 |
|
33,887 |
31,489 |
$8.65M |
| 99284 |
|
36,566 |
33,792 |
$6.75M |
| 74177 |
|
20,589 |
18,865 |
$4.89M |
| J9306 |
Injection, pertuzumab, 1 mg |
895 |
631 |
$4.78M |
| J9355 |
Inj trastuzumab excl biosimi |
3,106 |
1,267 |
$4.09M |
| G0378 |
Hospital observation per hr |
50,920 |
19,726 |
$3.72M |
| 72125 |
|
8,096 |
7,297 |
$2.88M |
| J9035 |
Bevacizumab injection |
1,118 |
452 |
$2.59M |
| 97110 |
|
33,845 |
11,891 |
$2.24M |
| 99282 |
|
18,967 |
17,379 |
$2.05M |
| 96361 |
|
42,528 |
28,534 |
$2.02M |
| 96413 |
|
26,125 |
13,854 |
$1.66M |
| 74176 |
|
7,840 |
7,142 |
$1.60M |
| J2505 |
Injection, pegfilgrastim 6mg |
647 |
425 |
$1.60M |
| J0897 |
Denosumab injection |
1,593 |
1,368 |
$1.34M |
| 70450 |
|
18,790 |
16,731 |
$1.18M |
| J9299 |
Injection, nivolumab |
388 |
225 |
$1.18M |
| J1439 |
Inj ferric carboxymaltos 1mg |
2,079 |
1,261 |
$1.15M |
| 96365 |
|
29,449 |
20,795 |
$1.08M |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,351 |
1,263 |
$985K |
| 70498 |
|
2,177 |
2,022 |
$841K |
| 72131 |
|
1,940 |
1,808 |
$841K |
| 11042 |
|
4,680 |
2,233 |
$700K |
| Q5107 |
Inj mvasi 10 mg |
1,014 |
410 |
$663K |
| 78452 |
|
452 |
409 |
$640K |
| 74174 |
|
745 |
685 |
$495K |
| 71275 |
|
7,748 |
7,017 |
$474K |
| 99214 |
|
41,149 |
34,256 |
$437K |
| 85025 |
|
128,352 |
99,358 |
$377K |
| J1750 |
Inj iron dextran |
1,937 |
1,241 |
$372K |
| J0185 |
Inj., aprepitant, 1 mg |
1,820 |
1,184 |
$366K |
| 96366 |
|
19,244 |
11,001 |
$355K |
| 96416 |
|
1,765 |
961 |
$350K |
| 43239 |
|
765 |
691 |
$346K |
| 76700 |
|
4,555 |
4,346 |
$337K |
| J1756 |
Iron sucrose injection |
10,833 |
3,573 |
$330K |
| 76801 |
|
1,628 |
1,470 |
$325K |
| 97140 |
|
19,027 |
7,155 |
$314K |
| J1453 |
Fosaprepitant injection |
4,292 |
2,611 |
$311K |
| J1561 |
Gamunex-c/gammaked |
435 |
128 |
$274K |
| 97112 |
|
6,752 |
2,320 |
$264K |
| 70553 |
|
565 |
525 |
$239K |
| Q5111 |
Injection, udenyca 0.5 mg |
122 |
90 |
$239K |
| 76830 |
|
2,653 |
2,530 |
$234K |
| 99213 |
|
24,183 |
19,780 |
$213K |
| 71046 |
|
14,027 |
13,063 |
$211K |
| 71250 |
|
3,812 |
3,442 |
$211K |
| 36430 |
|
2,038 |
1,394 |
$193K |
| 72148 |
|
1,358 |
1,257 |
$193K |
| Q5117 |
Inj., kanjinti, 10 mg |
527 |
345 |
$192K |
| 99204 |
|
7,749 |
7,571 |
$182K |
| J9395 |
Injection, fulvestrant |
398 |
313 |
$166K |
| 36591 |
|
11,574 |
7,179 |
$157K |
| 71260 |
|
4,110 |
3,774 |
$151K |
| J9312 |
Inj., rituximab, 10 mg |
82 |
26 |
$147K |
| 94060 |
|
582 |
559 |
$145K |
| J0585 |
Injection,onabotulinumtoxina |
350 |
270 |
$129K |
| 97530 |
|
11,741 |
5,435 |
$129K |
| J9217 |
Leuprolide acetate suspnsion |
392 |
373 |
$126K |
| 76705 |
|
3,294 |
3,064 |
$122K |
| 96372 |
|
45,714 |
26,687 |
$121K |
| C8929 |
Tte w or wo fol wcon,doppler |
964 |
914 |
$120K |
| 99281 |
|
2,234 |
2,110 |
$119K |
| 97161 |
|
7,922 |
7,332 |
$110K |
| 96375 |
|
58,729 |
41,919 |
$110K |
| 76536 |
|
1,510 |
1,423 |
$108K |
| J9041 |
Injection, bortezomib, 0.1mg |
337 |
64 |
$108K |
| 99205 |
Prolong outpt/office vis |
5,134 |
4,994 |
$106K |
| 99215 |
Prolong outpt/office vis |
7,730 |
6,676 |
$105K |
| 93970 |
|
3,301 |
3,046 |
$103K |
| Q5106 |
Inj retacrit non-esrd use |
1,218 |
488 |
$100K |
| 72141 |
|
818 |
739 |
$100K |
| 72100 |
|
2,975 |
2,855 |
$100K |
| J9264 |
Paclitaxel protein bound |
80 |
24 |
$100K |
| 70491 |
|
203 |
190 |
$90K |
| G0463 |
Hospital outpt clinic visit |
22,605 |
16,870 |
$90K |
| 96360 |
|
11,188 |
8,068 |
$89K |
| 93976 |
|
1,210 |
1,161 |
$88K |
| J2506 |
Inj pegfilgrast ex bio 0.5mg |
66 |
38 |
$86K |
| 96417 |
|
8,778 |
5,233 |
$85K |
| C1776 |
Joint device (implantable) |
64 |
56 |
$83K |
| 73030 |
|
4,388 |
4,017 |
$83K |
| 80053 |
|
74,516 |
54,525 |
$77K |
| 93306 |
|
2,479 |
2,265 |
$72K |
| 99195 |
|
1,005 |
770 |
$71K |
| 93458 |
|
79 |
69 |
$70K |
| 70551 |
|
1,723 |
1,605 |
$70K |
| 96415 |
|
7,007 |
4,322 |
$67K |
| 72050 |
|
426 |
411 |
$67K |
| 64483 |
|
139 |
131 |
$65K |
| 52332 |
|
27 |
27 |
$64K |
| J9310 |
Rituximab injection |
51 |
25 |
$64K |
| 70496 |
|
1,953 |
1,800 |
$63K |
| J9358 |
Inj fam-trastu deru-nxki 1mg |
21 |
12 |
$63K |
| 73130 |
|
4,049 |
3,829 |
$63K |
| U0003 |
Cov-19 amp prb hgh thruput |
10,623 |
9,469 |
$62K |
| 93971 |
|
4,502 |
4,163 |
$61K |
| 11045 |
|
262 |
132 |
$60K |
| 99203 |
|
1,675 |
1,605 |
$57K |
| 52356 |
|
31 |
27 |
$52K |
| 10060 |
|
441 |
418 |
$50K |
| 76770 |
|
1,207 |
1,127 |
$50K |
| J2469 |
Palonosetron hcl |
3,555 |
1,914 |
$47K |
| 72040 |
|
1,146 |
1,081 |
$46K |
| 49083 |
|
146 |
88 |
$41K |
| 73560 |
|
1,644 |
1,495 |
$40K |
| 73110 |
|
2,656 |
2,480 |
$39K |
| 73562 |
|
4,375 |
4,101 |
$38K |
| 72128 |
|
285 |
255 |
$38K |
| 73610 |
|
3,533 |
3,306 |
$37K |
| 96401 |
|
1,461 |
429 |
$37K |
| J0881 |
Darbepoetin alfa, non-esrd |
164 |
106 |
$36K |
| 73630 |
|
4,511 |
4,276 |
$35K |
| 99291 |
|
42 |
39 |
$34K |
| 77067 |
|
738 |
701 |
$34K |
| 96367 |
|
15,021 |
9,089 |
$31K |
| 73721 |
|
252 |
225 |
$31K |
| M0243 |
Casirivi and imdevi inj |
160 |
156 |
$31K |
| 58661 |
|
13 |
13 |
$30K |
| 72072 |
|
550 |
532 |
$30K |
| 93798 |
|
502 |
95 |
$29K |
| 73564 |
|
637 |
608 |
$29K |
| 45378 |
|
54 |
54 |
$29K |
| J9070 |
Cyclophosphamide 100 mg inj |
316 |
164 |
$28K |
| 93975 |
|
114 |
106 |
$27K |
| 73080 |
|
1,356 |
1,278 |
$27K |
| 99244 |
|
3,207 |
2,900 |
$26K |
| 96374 |
|
49,087 |
41,621 |
$26K |
| 97535 |
|
7,733 |
5,289 |
$26K |
| 73502 |
|
2,237 |
2,049 |
$25K |
| Q5130 |
Inj, fylnetra, 0.5 mg |
14 |
12 |
$25K |
| 96523 |
|
2,524 |
1,670 |
$25K |
| 45380 |
|
57 |
55 |
$25K |
| 97162 |
|
2,714 |
2,334 |
$24K |
| 64615 |
|
248 |
226 |
$23K |
| 58558 |
|
27 |
25 |
$22K |
| 76856 |
|
4,077 |
3,886 |
$22K |
| 77012 |
|
33 |
29 |
$22K |
| 58571 |
|
14 |
12 |
$21K |
| 76882 |
|
643 |
599 |
$21K |
| G0257 |
Unsched dialysis esrd pt hos |
44 |
25 |
$20K |
| J3489 |
Zoledronic acid 1mg |
969 |
867 |
$20K |
| 88185 |
|
13 |
13 |
$20K |
| Q5101 |
Injection, zarxio |
91 |
31 |
$18K |
| 70487 |
|
56 |
51 |
$18K |
| 93005 |
|
48,772 |
39,411 |
$18K |
| 73590 |
|
2,320 |
2,184 |
$17K |
| 96376 |
|
23,183 |
13,386 |
$17K |
| 58662 |
|
12 |
12 |
$16K |
| 97165 |
|
2,955 |
2,609 |
$15K |
| 94618 |
|
188 |
177 |
$15K |
| 88305 |
|
4,681 |
3,306 |
$14K |
| 74183 |
|
26 |
24 |
$13K |
| 71101 |
|
508 |
490 |
$13K |
| 72170 |
|
686 |
596 |
$13K |
| 76870 |
|
741 |
701 |
$13K |
| 73521 |
|
408 |
382 |
$12K |
| 74178 |
|
30 |
29 |
$12K |
| J0885 |
Epoetin alfa, non-esrd |
167 |
76 |
$11K |
| 74018 |
|
1,615 |
1,460 |
$11K |
| 99245 |
|
781 |
697 |
$10K |
| 73552 |
|
702 |
640 |
$10K |
| 45385 |
|
34 |
32 |
$9K |
| 95819 |
|
92 |
85 |
$8K |
| 85027 |
|
36,333 |
21,862 |
$8K |
| 72114 |
|
56 |
55 |
$8K |
| J9190 |
Fluorouracil injection |
5,758 |
1,632 |
$8K |
| 70486 |
|
2,601 |
2,417 |
$7K |
| 62323 |
|
27 |
27 |
$7K |
| 71045 |
|
37,232 |
32,579 |
$6K |
| 72110 |
|
95 |
92 |
$6K |
| 73090 |
|
1,435 |
1,329 |
$6K |
| 87502 |
|
2,342 |
2,187 |
$6K |
| 99211 |
|
732 |
680 |
$6K |
| 73140 |
|
632 |
593 |
$6K |
| J2997 |
Alteplase recombinant |
153 |
131 |
$6K |
| 97116 |
|
4,822 |
3,193 |
$5K |
| 74019 |
|
362 |
345 |
$5K |
| 96411 |
|
2,595 |
1,634 |
$5K |
| 12002 |
|
510 |
486 |
$4K |
| 99243 |
|
361 |
344 |
$4K |
| 12001 |
|
676 |
645 |
$3K |
| C1781 |
Mesh (implantable) |
117 |
105 |
$3K |
| 0241U |
|
8,364 |
7,941 |
$3K |
| 87206 |
|
207 |
123 |
$3K |
| 96402 |
|
2,296 |
1,974 |
$3K |
| 72146 |
|
16 |
16 |
$2K |
| 99212 |
|
381 |
308 |
$2K |
| 84484 |
|
43,027 |
27,605 |
$2K |
| 86850 |
|
6,496 |
5,499 |
$2K |
| 0202U |
|
88 |
84 |
$2K |
| 94669 |
|
56 |
25 |
$2K |
| C1769 |
Guide wire |
2,967 |
2,656 |
$2K |
| 87635 |
|
3,777 |
3,424 |
$2K |
| 80048 |
|
41,458 |
30,253 |
$2K |
| 95816 |
|
27 |
24 |
$2K |
| 73060 |
|
361 |
327 |
$2K |
| 93880 |
|
33 |
28 |
$2K |
| 73700 |
|
163 |
149 |
$2K |
| 88341 |
|
111 |
82 |
$2K |
| 96409 |
|
20 |
13 |
$2K |
| J0640 |
Leucovorin calcium injection |
3,353 |
1,509 |
$2K |
| 86923 |
|
1,581 |
846 |
$2K |
| 82962 |
|
43,408 |
16,294 |
$2K |
| 87651 |
|
3,655 |
3,507 |
$2K |
| J7030 |
Normal saline solution infus |
30,483 |
18,321 |
$1K |
| 82803 |
|
2,301 |
1,979 |
$1K |
| 83735 |
|
32,595 |
20,682 |
$1K |
| 87491 |
|
4,102 |
3,920 |
$1K |
| Q3014 |
Telehealth facility fee |
2,449 |
2,079 |
$1K |
| J9171 |
Docetaxel injection |
426 |
267 |
$1K |
| 97799 |
|
92 |
39 |
$1K |
| 92523 |
|
658 |
522 |
$1K |
| 85610 |
|
25,429 |
21,834 |
$1K |
| G0480 |
Drug test def 1-7 classes |
1,737 |
1,377 |
$1K |
| 80306 |
|
15,725 |
14,343 |
$1K |
| 87040 |
|
12,748 |
6,518 |
$1K |
| 43235 |
|
13 |
13 |
$1K |
| 82248 |
|
22,249 |
19,491 |
$1K |
| 87591 |
|
4,104 |
3,919 |
$1K |
| 94726 |
|
547 |
530 |
$1K |
| 77080 |
|
35 |
29 |
$1K |
| 83690 |
|
29,356 |
25,689 |
$1K |
| 81001 |
|
49,739 |
44,113 |
$1K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
34,172 |
30,478 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
12,117 |
8,329 |
$1K |
| J2270 |
Morphine sulfate injection |
22,202 |
16,208 |
$970.71 |
| 87186 |
|
6,293 |
5,217 |
$966.31 |
| J9263 |
Oxaliplatin |
1,800 |
671 |
$945.77 |
| 94640 |
|
7,759 |
6,001 |
$942.94 |
| 0352U |
|
384 |
376 |
$908.26 |
| 80074 |
|
795 |
743 |
$906.00 |
| J3475 |
Inj magnesium sulfate |
5,371 |
3,198 |
$837.34 |
| 72070 |
|
12 |
12 |
$813.18 |
| 84703 |
|
18,112 |
16,684 |
$756.16 |
| 74230 |
|
18 |
12 |
$711.78 |
| 84443 |
|
6,211 |
5,551 |
$684.37 |
| 81025 |
|
8,764 |
8,288 |
$674.30 |
| 93017 |
|
512 |
463 |
$673.41 |
| 36415 |
|
35,165 |
24,573 |
$632.24 |
| J2405 |
Ondansetron hcl injection |
50,336 |
36,606 |
$570.15 |
| 87086 |
|
17,714 |
15,938 |
$551.90 |
| 86635 |
|
1,870 |
885 |
$539.97 |
| 87631 |
|
244 |
242 |
$528.16 |
| 0012A |
|
18 |
18 |
$521.10 |
| 17250 |
|
15 |
12 |
$512.66 |
| 74022 |
|
144 |
135 |
$489.14 |
| 90686 |
|
226 |
211 |
$446.58 |
| 85730 |
|
14,029 |
12,215 |
$412.98 |
| 36593 |
|
39 |
36 |
$410.05 |
| 83880 |
|
10,621 |
9,274 |
$403.27 |
| 85379 |
|
10,564 |
9,566 |
$391.64 |
| 88184 |
|
42 |
41 |
$388.30 |
| 0042T |
|
234 |
227 |
$381.00 |
| 90715 |
|
4,096 |
3,875 |
$377.32 |
| 97166 |
|
388 |
316 |
$373.73 |
| 87070 |
|
3,375 |
2,721 |
$363.12 |
| 80047 |
|
1,941 |
1,723 |
$360.70 |
| 87510 |
|
2,040 |
1,956 |
$359.11 |
| 87480 |
|
2,041 |
1,956 |
$359.03 |
| 87400 |
|
3,623 |
1,719 |
$357.09 |
| 83605 |
|
13,937 |
10,482 |
$345.48 |
| 86900 |
|
7,708 |
6,413 |
$336.79 |
| 0011A |
|
35 |
35 |
$327.20 |
| J1100 |
Dexamethasone sodium phos |
24,291 |
16,282 |
$323.41 |
| 87660 |
|
2,041 |
1,956 |
$310.71 |
| 87634 |
|
80 |
77 |
$307.96 |
| 82330 |
|
2,188 |
1,881 |
$307.94 |
| 83615 |
|
1,150 |
806 |
$302.41 |
| 82550 |
|
7,501 |
6,035 |
$298.38 |
| J1200 |
Diphenhydramine hcl injectio |
17,070 |
10,909 |
$284.75 |
| J7050 |
Normal saline solution infus |
8,829 |
3,943 |
$263.16 |
| 88307 |
|
517 |
421 |
$252.85 |
| J1885 |
Ketorolac tromethamine inj |
24,153 |
20,546 |
$249.62 |
| 90471 |
|
4,631 |
4,321 |
$241.78 |
| 73120 |
|
14 |
14 |
$236.27 |
| J3370 |
Vancomycin hcl injection |
7,072 |
3,175 |
$234.28 |
| 72220 |
|
13 |
13 |
$230.38 |
| J2785 |
Regadenoson injection |
385 |
349 |
$226.36 |
| 84702 |
|
3,191 |
2,885 |
$225.35 |
| 84100 |
|
13,504 |
8,614 |
$218.93 |
| 90670 |
|
46 |
42 |
$209.57 |
| 82140 |
|
2,590 |
2,042 |
$206.01 |
| 97127 |
|
216 |
133 |
$203.86 |
| C9113 |
Inj pantoprazole sodium, via |
5,029 |
3,162 |
$194.28 |
| 80076 |
|
1,545 |
1,387 |
$192.81 |
| J3420 |
Vitamin b12 injection |
5,716 |
4,420 |
$189.82 |
| J3010 |
Fentanyl citrate injection |
23,079 |
17,710 |
$186.67 |
| 80061 |
|
3,129 |
2,811 |
$184.11 |
| 85007 |
|
3,923 |
2,830 |
$183.65 |
| 83036 |
|
8,818 |
7,690 |
$178.85 |
| 86920 |
|
99 |
68 |
$178.27 |
| J2919 |
Inj, methylpred sod succ 5mg |
499 |
355 |
$173.22 |
| 84439 |
|
1,164 |
1,041 |
$170.66 |
| 84132 |
|
5,690 |
4,334 |
$155.04 |
| 87389 |
|
485 |
460 |
$152.06 |
| 82728 |
|
1,881 |
1,478 |
$150.99 |
| 80051 |
|
992 |
882 |
$148.70 |
| 87077 |
|
7,855 |
6,167 |
$144.37 |
| J3490 |
Drugs unclassified injection |
2,325 |
1,752 |
$134.77 |
| J2060 |
Lorazepam injection |
7,302 |
5,581 |
$133.99 |
| 80069 |
|
2,224 |
1,147 |
$120.55 |
| 94760 |
|
14,701 |
7,717 |
$114.13 |
| J7120 |
Ringers lactate infusion |
12,369 |
10,129 |
$111.91 |
| 82947 |
|
3,054 |
2,769 |
$111.37 |
| 82607 |
|
581 |
520 |
$95.32 |
| P9016 |
Rbc leukocytes reduced |
648 |
492 |
$92.84 |
| 81003 |
|
3,035 |
2,720 |
$90.84 |
| 86901 |
|
7,950 |
6,636 |
$86.70 |
| 84295 |
|
1,119 |
1,002 |
$86.60 |
| 93922 |
|
13 |
12 |
$86.36 |
| 82565 |
|
1,359 |
1,218 |
$84.07 |
| 82435 |
|
956 |
885 |
$70.62 |
| 29580 |
|
23 |
12 |
$69.66 |
| 94729 |
|
565 |
545 |
$62.43 |
| 73600 |
|
15 |
12 |
$59.52 |
| J0360 |
Hydralazine hcl injection |
4,810 |
3,187 |
$55.96 |
| 73565 |
|
15 |
13 |
$51.08 |
| U0005 |
Infec agen detec ampli probe |
145 |
137 |
$50.00 |
| J1790 |
Droperidol injection |
1,511 |
1,408 |
$49.39 |
| 76817 |
|
270 |
249 |
$49.30 |
| 80320 |
|
11,174 |
9,966 |
$49.20 |
| 84145 |
|
1,687 |
1,420 |
$43.51 |
| J1650 |
Inj enoxaparin sodium |
14,889 |
7,508 |
$42.69 |
| 87880 |
|
903 |
860 |
$40.35 |
| J2543 |
Piperacillin/tazobactam |
7,156 |
2,914 |
$37.55 |
| 87205 |
|
4,338 |
3,348 |
$36.96 |
| 88304 |
|
1,146 |
1,019 |
$36.79 |
| 85652 |
|
2,977 |
2,609 |
$34.58 |
| 80050 |
|
262 |
236 |
$34.37 |
| Q9956 |
Inj octafluoropropane mic,ml |
661 |
626 |
$30.52 |
| J0780 |
Prochlorperazine injection |
1,839 |
1,551 |
$29.24 |
| J1920 |
Inj, labetalol hcl, 5mg |
301 |
267 |
$27.58 |
| 82553 |
|
315 |
243 |
$25.98 |
| J2360 |
Orphenadrine injection |
1,370 |
1,299 |
$25.44 |
| C9803 |
Hopd covid-19 spec collect |
977 |
876 |
$22.83 |
| J2930 |
Methylprednisolone injection |
3,915 |
2,910 |
$20.88 |
| 85014 |
|
3,293 |
2,636 |
$20.04 |
| J1644 |
Inj heparin sodium per 1000u |
8,297 |
2,805 |
$19.58 |
| 36600 |
|
212 |
177 |
$18.16 |
| 86141 |
|
655 |
608 |
$17.90 |
| 82150 |
|
2,537 |
2,168 |
$17.88 |
| 87081 |
|
1,433 |
1,348 |
$17.82 |
| 83540 |
|
1,140 |
1,032 |
$15.47 |
| J2765 |
Metoclopramide hcl injection |
7,776 |
6,501 |
$15.34 |
| J0171 |
Adrenalin epinephrine inject |
432 |
374 |
$13.82 |
| 87147 |
|
2,129 |
1,461 |
$13.31 |
| J2704 |
Inj, propofol, 10 mg |
12,639 |
10,844 |
$13.11 |
| J3480 |
Inj potassium chloride |
8,975 |
4,439 |
$11.56 |
| J2250 |
Inj midazolam hydrochloride |
11,386 |
10,110 |
$11.38 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
763 |
334 |
$10.80 |
| 82010 |
|
416 |
366 |
$10.60 |
| 87075 |
|
1,833 |
1,528 |
$10.55 |
| A9270 |
Non-covered item or service |
49,601 |
6,509 |
$9.76 |
| J1626 |
Granisetron hcl injection |
2,292 |
974 |
$9.56 |
| 86140 |
|
2,011 |
1,591 |
$9.42 |
| J0456 |
Azithromycin |
443 |
268 |
$9.19 |
| 82274 |
|
103 |
99 |
$8.36 |
| J1170 |
Hydromorphone injection |
4,718 |
3,234 |
$7.49 |
| 82810 |
|
590 |
486 |
$7.33 |
| 86592 |
|
278 |
237 |
$6.45 |
| J3411 |
Thiamine hcl 100 mg |
2,186 |
1,353 |
$6.00 |
| J1815 |
Insulin injection |
3,327 |
1,090 |
$5.54 |
| 85018 |
|
825 |
515 |
$4.98 |
| Q0162 |
Ondansetron oral |
2,626 |
2,319 |
$3.61 |
| 70544 |
|
14 |
12 |
$3.54 |
| 81002 |
|
619 |
445 |
$3.54 |
| 99152 |
|
2,141 |
1,936 |
$3.08 |
| 82270 |
|
96 |
89 |
$3.06 |
| 99153 |
Mod sedat endo service >5yrs |
1,064 |
956 |
$2.38 |
| J2175 |
Meperidine hydrochl /100 mg |
2,112 |
1,898 |
$2.30 |
| J0690 |
Cefazolin sodium injection |
10,426 |
7,453 |
$1.96 |
| J2550 |
Promethazine hcl injection |
1,641 |
1,192 |
$1.71 |
| J2920 |
Methylprednisolone injection |
389 |
170 |
$1.50 |
| G1004 |
Cdsm ndsc |
5,841 |
3,761 |
$1.00 |
| 82310 |
|
314 |
263 |
$1.00 |
| J2370 |
Phenylephrine hcl injection |
335 |
296 |
$0.00 |
| 84157 |
|
158 |
132 |
$0.00 |
| J1940 |
Furosemide injection |
2,143 |
1,105 |
$0.00 |
| J9045 |
Carboplatin injection |
2,828 |
1,856 |
$0.00 |
| 80329 |
|
5,280 |
3,412 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
1,620 |
1,501 |
$0.00 |
| J9267 |
Paclitaxel injection |
3,718 |
1,663 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
3,274 |
2,165 |
$0.00 |
| G8987 |
Self care current status |
415 |
320 |
$0.00 |
| 87015 |
|
445 |
305 |
$0.00 |
| J7042 |
5% dextrose/normal saline |
526 |
327 |
$0.00 |
| A9585 |
Gadobutrol injection |
1,215 |
1,104 |
$0.00 |
| 83050 |
|
364 |
304 |
$0.00 |
| 99407 |
|
556 |
491 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
7,867 |
3,372 |
$0.00 |
| 87116 |
|
123 |
93 |
$0.00 |
| 83550 |
|
1,099 |
1,000 |
$0.00 |
| 88342 |
|
995 |
900 |
$0.00 |
| J7060 |
5% dextrose/water |
695 |
239 |
$0.00 |
| C2617 |
Stent, non-cor, tem w/o del |
226 |
195 |
$0.00 |
| J0500 |
Dicyclomine injection |
220 |
202 |
$0.00 |
| J1630 |
Haloperidol injection |
625 |
513 |
$0.00 |
| 87807 |
|
113 |
112 |
$0.00 |
| 73620 |
|
28 |
27 |
$0.00 |
| 82746 |
|
172 |
168 |
$0.00 |
| 96377 |
|
302 |
201 |
$0.00 |
| G8988 |
Self care goal status |
418 |
320 |
$0.00 |
| 77063 |
|
733 |
696 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
639 |
563 |
$0.00 |
| 76377 |
|
82 |
73 |
$0.00 |
| J0461 |
Atropine sulfate injection |
18 |
12 |
$0.00 |
| J8540 |
Oral dexamethasone |
3,309 |
1,644 |
$0.00 |
| J2373 |
Inj, immphentiv, 20 mcg |
55 |
29 |
$0.00 |
| 87493 |
|
60 |
51 |
$0.00 |
| 88311 |
|
25 |
25 |
$0.00 |
| G8980 |
Mobility d/c status |
309 |
257 |
$0.00 |
| 96368 |
|
828 |
502 |
$0.00 |
| C1755 |
Catheter, intraspinal |
54 |
53 |
$0.00 |
| 84300 |
|
89 |
82 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
269 |
201 |
$0.00 |
| 87088 |
|
51 |
50 |
$0.00 |
| U0002 |
Covid-19 lab test non-cdc |
71 |
65 |
$0.00 |
| J0610 |
Calcium glucon (fresenius) |
15 |
12 |
$0.00 |
| 36410 |
|
84 |
70 |
$0.00 |
| Q0240 |
Casirivi and imdevi 600 mg |
44 |
34 |
$0.00 |
| 77001 |
|
56 |
54 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
281 |
223 |
$0.00 |
| J2305 |
Inj, nitroglycerin, 5 mg |
13 |
12 |
$0.00 |
| 88108 |
|
75 |
62 |
$0.00 |
| G0008 |
Admin influenza virus vac |
38 |
34 |
$0.00 |
| 87046 |
|
30 |
26 |
$0.00 |
| 91301 |
|
47 |
47 |
$0.00 |
| 29581 |
|
22 |
14 |
$0.00 |
| 86885 |
|
13 |
13 |
$0.00 |
| 74420 |
|
18 |
15 |
$0.00 |
| J9049 |
Inj, bortezomib, hospira |
30 |
12 |
$0.00 |
| 94644 |
|
13 |
13 |
$0.00 |
| 87449 |
|
48 |
25 |
$0.00 |
| 90632 |
|
43 |
39 |
$0.00 |
| 64484 |
|
14 |
13 |
$0.00 |
| 95886 |
|
13 |
12 |
$0.00 |
| 82784 |
|
31 |
13 |
$0.00 |
| 64488 |
|
16 |
12 |
$0.00 |
| 87102 |
|
421 |
309 |
$0.00 |
| 87899 |
|
25 |
12 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
1,892 |
1,720 |
$0.00 |
| J9201 |
In gemcitabine hcl nos 200mg |
290 |
74 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
755 |
696 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
94 |
92 |
$0.00 |
| J1953 |
Levetiracetam injection |
428 |
298 |
$0.00 |
| G8979 |
Mobility goal status |
1,120 |
882 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
140 |
130 |
$0.00 |
| 96549 |
|
1,256 |
689 |
$0.00 |
| 80202 |
|
218 |
186 |
$0.00 |
| 86709 |
|
140 |
128 |
$0.00 |
| J9000 |
Doxorubicin hcl injection |
416 |
264 |
$0.00 |
| J7040 |
Normal saline solution infus |
3,955 |
2,117 |
$0.00 |
| 82374 |
|
45 |
44 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
823 |
732 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
481 |
410 |
$0.00 |
| 82272 |
|
152 |
145 |
$0.00 |
| 85347 |
|
23 |
13 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
354 |
333 |
$0.00 |
| C1760 |
Closure dev, vasc |
26 |
26 |
$0.00 |
| J1956 |
Levofloxacin injection |
475 |
269 |
$0.00 |
| 89051 |
|
201 |
139 |
$0.00 |
| C1729 |
Cath, drainage |
310 |
289 |
$0.00 |
| Q0163 |
Diphenhydramine hcl 50mg |
1,595 |
1,121 |
$0.00 |
| 84520 |
|
1,070 |
958 |
$0.00 |
| J9206 |
Irinotecan injection |
73 |
25 |
$0.00 |
| J9060 |
Cisplatin 10 mg injection |
543 |
211 |
$0.00 |
| G8978 |
Mobility current status |
1,085 |
853 |
$0.00 |
| 87045 |
|
27 |
26 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
67 |
54 |
$0.00 |
| P9021 |
Red blood cells unit |
656 |
545 |
$0.00 |
| J0692 |
Cefepime hcl for injection |
880 |
336 |
$0.00 |
| 93325 |
|
13 |
12 |
$0.00 |
| J3371 |
Inj, vancomycin hcl (mylan) |
72 |
53 |
$0.00 |
| 82375 |
|
453 |
358 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
503 |
423 |
$0.00 |
| 92610 |
|
54 |
50 |
$0.00 |
| 87799 |
|
18 |
12 |
$0.00 |
| G8996 |
Swallow current status |
54 |
37 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
141 |
96 |
$0.00 |
| 83721 |
|
19 |
16 |
$0.00 |
| 12011 |
|
45 |
43 |
$0.00 |
| C1758 |
Catheter, ureteral |
107 |
87 |
$0.00 |
| 64447 |
|
15 |
14 |
$0.00 |
| 29125 |
|
71 |
67 |
$0.00 |
| 93321 |
|
13 |
12 |
$0.00 |
| M0239 |
Bamlanivimab-xxxx infusion |
28 |
27 |
$0.00 |
| 84550 |
|
53 |
39 |
$0.00 |
| 76937 |
|
12 |
12 |
$0.00 |
| G8997 |
Swallow goal status |
57 |
37 |
$0.00 |
| 97129 |
|
85 |
55 |
$0.00 |
| Q0239 |
Bamlanivimab-xxxx |
28 |
27 |
$0.00 |
| 85384 |
|
15 |
13 |
$0.00 |
| 82570 |
|
13 |
12 |
$0.00 |
| C1751 |
Cath, inf, per/cent/midline |
31 |
26 |
$0.00 |
| 86328 |
|
19 |
15 |
$0.00 |
| 87076 |
|
21 |
12 |
$0.00 |
| 90714 |
|
13 |
12 |
$0.00 |