| Code | Description | Claims | Beneficiaries | Total Paid |
| G0378 |
Hospital observation per hr |
8,593 |
8,111 |
$10.32M |
| J3380 |
Inj vedolizumab iv 1 mg |
1,662 |
1,528 |
$10.11M |
| 99283 |
|
34,803 |
32,405 |
$8.70M |
| 99284 |
|
37,456 |
35,389 |
$8.09M |
| 99285 |
|
40,426 |
38,296 |
$7.23M |
| 43239 |
|
10,274 |
10,165 |
$7.09M |
| Q5104 |
Injection, renflexis |
1,529 |
1,216 |
$6.03M |
| G0463 |
Hospital outpt clinic visit |
37,833 |
33,573 |
$5.88M |
| 97110 |
|
69,961 |
26,879 |
$5.85M |
| 45380 |
|
7,209 |
7,131 |
$5.75M |
| C1889 |
Implant/insert device, noc |
17,347 |
15,384 |
$5.67M |
| 99282 |
|
19,763 |
16,647 |
$4.96M |
| 96361 |
|
21,914 |
18,748 |
$4.61M |
| 93458 |
|
2,403 |
2,378 |
$4.40M |
| 93306 |
|
19,245 |
18,601 |
$3.76M |
| J9271 |
Inj pembrolizumab |
405 |
296 |
$3.32M |
| 96413 |
|
12,653 |
8,902 |
$2.99M |
| C1874 |
Stent, coated/cov w/del sys |
1,230 |
1,207 |
$2.76M |
| J2323 |
Natalizumab injection |
355 |
345 |
$2.55M |
| J1745 |
Infliximab not biosimil 10mg |
1,676 |
980 |
$2.53M |
| 96365 |
|
13,677 |
10,105 |
$2.51M |
| 45378 |
|
3,107 |
3,084 |
$2.47M |
| U0003 |
Cov-19 amp prb hgh thruput |
32,898 |
30,968 |
$2.36M |
| 93454 |
|
1,300 |
1,282 |
$2.22M |
| 78452 |
|
3,484 |
2,940 |
$2.13M |
| S2900 |
Robotic surgical system |
1,305 |
1,290 |
$2.11M |
| J2350 |
Injection, ocrelizumab, 1 mg |
67 |
63 |
$2.06M |
| C9600 |
Perc drug-el cor stent sing |
1,112 |
1,022 |
$2.03M |
| 74177 |
|
8,111 |
7,930 |
$1.93M |
| 80053 |
|
184,723 |
166,433 |
$1.86M |
| 45385 |
|
3,495 |
3,447 |
$1.86M |
| 70450 |
|
7,965 |
7,726 |
$1.80M |
| 93320 |
|
5,638 |
5,340 |
$1.78M |
| 82306 |
|
84,686 |
84,004 |
$1.70M |
| 96360 |
|
9,140 |
8,330 |
$1.63M |
| 67311 |
|
748 |
600 |
$1.49M |
| C1725 |
Cath, translumin non-laser |
18,593 |
2,368 |
$1.46M |
| 97161 |
|
12,407 |
12,264 |
$1.45M |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,002 |
997 |
$1.42M |
| 87633 |
|
10,364 |
10,094 |
$1.39M |
| 97530 |
|
9,916 |
3,681 |
$1.36M |
| 87491 |
|
56,385 |
54,713 |
$1.34M |
| 87591 |
|
56,460 |
54,772 |
$1.30M |
| 96415 |
|
3,527 |
2,758 |
$1.28M |
| 80050 |
|
39,135 |
38,855 |
$1.28M |
| C1769 |
Guide wire |
7,173 |
6,256 |
$1.28M |
| 69436 |
|
979 |
829 |
$1.26M |
| 97140 |
|
44,312 |
18,028 |
$1.25M |
| 10E0XZZ |
|
1,461 |
205 |
$1.22M |
| 93975 |
|
2,986 |
2,926 |
$1.20M |
| 66984 |
|
700 |
607 |
$1.15M |
| 80061 |
|
123,064 |
121,978 |
$1.13M |
| 76700 |
|
4,037 |
3,962 |
$1.12M |
| 42820 |
|
724 |
724 |
$1.12M |
| 86480 |
|
21,166 |
20,987 |
$1.06M |
| 99212 |
|
12,069 |
11,464 |
$1.02M |
| 84443 |
|
77,576 |
76,162 |
$1.01M |
| Q5103 |
Injection, inflectra |
397 |
291 |
$997K |
| 88305 |
|
27,321 |
24,095 |
$972K |
| C1732 |
Cath, ep, diag/abl, 3d/vect |
173 |
169 |
$955K |
| 95708 |
|
2,442 |
1,508 |
$929K |
| 85025 |
|
247,377 |
217,048 |
$918K |
| Q5107 |
Inj mvasi 10 mg |
212 |
134 |
$865K |
| Q5121 |
Inj. avsola, 10 mg |
812 |
448 |
$861K |
| 80048 |
|
94,086 |
83,450 |
$852K |
| 99281 |
|
3,632 |
3,135 |
$829K |
| J1439 |
Inj ferric carboxymaltos 1mg |
645 |
432 |
$811K |
| C1760 |
Closure dev, vasc |
2,195 |
1,976 |
$791K |
| 76825 |
|
2,598 |
2,462 |
$746K |
| 87389 |
|
43,484 |
43,155 |
$734K |
| 80076 |
|
54,955 |
50,093 |
$732K |
| 97112 |
|
10,043 |
5,097 |
$728K |
| J3490 |
Drugs unclassified injection |
57,192 |
36,536 |
$725K |
| C1887 |
Catheter, guiding |
3,304 |
3,223 |
$712K |
| 86769 |
|
19,035 |
18,321 |
$693K |
| 92507 |
|
3,792 |
1,071 |
$650K |
| 93017 |
|
7,010 |
6,903 |
$649K |
| 95816 |
|
1,980 |
1,935 |
$629K |
| 76856 |
|
4,395 |
4,283 |
$625K |
| 83036 |
|
99,717 |
98,620 |
$624K |
| 70553 |
|
2,036 |
1,984 |
$582K |
| 86900 |
|
21,678 |
19,895 |
$580K |
| 87624 |
|
20,254 |
20,178 |
$569K |
| 82607 |
|
46,734 |
46,370 |
$568K |
| 93970 |
|
2,126 |
2,069 |
$563K |
| 93976 |
|
1,410 |
1,381 |
$528K |
| C1894 |
Intro/sheath, non-laser |
6,179 |
5,862 |
$513K |
| 88175 |
|
21,020 |
20,938 |
$512K |
| 87497 |
|
12,496 |
6,557 |
$487K |
| 77067 |
|
5,295 |
5,240 |
$485K |
| 99202 |
|
6,179 |
6,080 |
$484K |
| 71275 |
|
1,969 |
1,926 |
$475K |
| 87635 |
|
25,569 |
24,318 |
$457K |
| J0585 |
Injection,onabotulinumtoxina |
918 |
795 |
$444K |
| J1756 |
Iron sucrose injection |
4,948 |
2,317 |
$440K |
| 96375 |
|
20,609 |
15,748 |
$432K |
| C1766 |
Intro/sheath,strble,non-peel |
786 |
781 |
$427K |
| 88342 |
|
8,901 |
8,585 |
$425K |
| 88185 |
|
3,442 |
3,312 |
$417K |
| 99211 |
|
28,975 |
27,046 |
$410K |
| 74176 |
|
1,637 |
1,611 |
$399K |
| 86803 |
|
36,404 |
36,058 |
$399K |
| U0005 |
Infec agen detec ampli probe |
21,754 |
20,511 |
$391K |
| 84439 |
|
54,428 |
53,432 |
$390K |
| 42830 |
|
251 |
249 |
$388K |
| 86850 |
|
21,682 |
19,865 |
$387K |
| 76641 |
|
3,966 |
3,533 |
$384K |
| 96450 |
|
642 |
510 |
$377K |
| J0485 |
Belatacept injection |
238 |
179 |
$374K |
| 29580 |
|
2,157 |
918 |
$366K |
| 94060 |
|
2,466 |
2,397 |
$363K |
| 81507 |
|
794 |
772 |
$354K |
| 83970 |
|
7,675 |
7,434 |
$354K |
| 78815 |
|
259 |
258 |
$344K |
| 96374 |
|
22,973 |
20,885 |
$336K |
| 87661 |
|
13,086 |
12,896 |
$335K |
| 80307 |
|
9,433 |
8,388 |
$332K |
| 82728 |
|
32,321 |
31,636 |
$329K |
| 87798 |
|
4,259 |
2,987 |
$320K |
| 70551 |
|
1,803 |
1,784 |
$318K |
| J0185 |
Inj., aprepitant, 1 mg |
1,047 |
656 |
$314K |
| 96900 |
|
5,925 |
1,176 |
$314K |
| 76770 |
|
1,307 |
1,293 |
$313K |
| 97162 |
|
2,182 |
2,170 |
$312K |
| 96366 |
|
2,713 |
1,942 |
$298K |
| 95700 |
|
1,812 |
1,789 |
$295K |
| 93325 |
|
8,834 |
8,103 |
$288K |
| C1753 |
Cath, intravas ultrasound |
283 |
279 |
$280K |
| 87481 |
|
4,181 |
3,860 |
$278K |
| 88307 |
|
3,099 |
2,966 |
$275K |
| 87536 |
|
3,616 |
3,549 |
$268K |
| 82746 |
|
23,381 |
23,191 |
$264K |
| 86235 |
|
6,053 |
5,816 |
$263K |
| 36430 |
|
909 |
577 |
$262K |
| 97165 |
|
2,907 |
2,870 |
$261K |
| 95004 |
|
1,193 |
1,166 |
$259K |
| 81220 |
|
826 |
816 |
$249K |
| 86003 |
|
4,724 |
3,644 |
$247K |
| 86901 |
|
21,605 |
19,809 |
$243K |
| P9016 |
Rbc leukocytes reduced |
715 |
527 |
$235K |
| 97116 |
|
2,649 |
1,289 |
$234K |
| J2785 |
Regadenoson injection |
1,674 |
1,656 |
$230K |
| 87799 |
|
4,243 |
2,686 |
$228K |
| 87507 |
|
1,206 |
1,187 |
$228K |
| 36415 |
|
78,742 |
71,005 |
$223K |
| 90834 |
|
1,670 |
834 |
$222K |
| Q5111 |
Injection, udenyca 0.5 mg |
65 |
49 |
$218K |
| 93880 |
|
1,399 |
1,381 |
$213K |
| J7030 |
Normal saline solution infus |
38,496 |
26,966 |
$213K |
| 31624 |
|
301 |
294 |
$211K |
| J2469 |
Palonosetron hcl |
3,015 |
1,729 |
$211K |
| G0283 |
Elec stim other than wound |
12,676 |
4,169 |
$210K |
| 77336 |
|
523 |
226 |
$210K |
| J0583 |
Bivalirudin |
1,326 |
1,256 |
$209K |
| 81001 |
|
78,401 |
74,015 |
$209K |
| 83516 |
|
12,096 |
9,692 |
$207K |
| 62323 |
|
316 |
310 |
$207K |
| 83880 |
|
9,379 |
8,994 |
$205K |
| 84403 |
|
8,624 |
8,501 |
$205K |
| 88184 |
|
3,246 |
3,120 |
$204K |
| 11102 |
|
378 |
370 |
$204K |
| 94726 |
|
2,485 |
2,406 |
$202K |
| 93303 |
|
3,324 |
3,125 |
$199K |
| 96372 |
|
15,412 |
12,493 |
$197K |
| 86780 |
|
20,813 |
20,635 |
$196K |
| 86706 |
|
22,961 |
22,655 |
$195K |
| 87340 |
|
25,865 |
25,455 |
$193K |
| 97535 |
|
1,884 |
1,078 |
$193K |
| 82803 |
|
14,596 |
13,511 |
$193K |
| 99213 |
|
1,810 |
1,560 |
$189K |
| 76830 |
|
3,912 |
3,790 |
$188K |
| 10005 |
|
320 |
318 |
$186K |
| 84153 |
|
13,044 |
12,918 |
$183K |
| J7120 |
Ringers lactate infusion |
39,213 |
35,059 |
$181K |
| 76536 |
|
1,977 |
1,968 |
$180K |
| 87086 |
|
33,721 |
32,219 |
$180K |
| 85027 |
|
38,361 |
37,414 |
$179K |
| J0897 |
Denosumab injection |
83 |
77 |
$178K |
| 83655 |
|
13,623 |
13,512 |
$177K |
| 92526 |
|
1,047 |
660 |
$175K |
| 94010 |
|
2,946 |
2,583 |
$172K |
| 88341 |
|
3,505 |
3,280 |
$168K |
| 82784 |
|
14,164 |
12,751 |
$168K |
| 77300 |
|
497 |
419 |
$166K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
16,625 |
16,149 |
$164K |
| 82670 |
|
6,445 |
6,389 |
$163K |
| 59025 |
|
1,868 |
1,582 |
$163K |
| 87517 |
|
4,052 |
3,667 |
$162K |
| C1781 |
Mesh (implantable) |
216 |
216 |
$160K |
| 71250 |
|
1,496 |
1,482 |
$160K |
| 11900 |
|
463 |
452 |
$157K |
| 87522 |
Neg quan hep c or qual rna |
4,274 |
3,631 |
$156K |
| 83540 |
|
33,849 |
33,323 |
$154K |
| 83550 |
|
27,411 |
26,982 |
$153K |
| J7050 |
Normal saline solution infus |
31,107 |
24,445 |
$151K |
| 99201 |
|
1,796 |
1,748 |
$149K |
| 99214 |
|
1,293 |
1,210 |
$147K |
| 93971 |
|
2,033 |
1,992 |
$145K |
| 80197 |
|
15,456 |
8,664 |
$145K |
| 83001 |
|
8,679 |
8,590 |
$143K |
| 84146 |
|
8,140 |
7,978 |
$142K |
| A9585 |
Gadobutrol injection |
4,932 |
3,419 |
$140K |
| 83735 |
|
42,171 |
30,407 |
$139K |
| 87636 |
|
1,047 |
1,029 |
$138K |
| 93451 |
|
86 |
67 |
$138K |
| 93304 |
|
543 |
479 |
$137K |
| 77334 |
|
443 |
402 |
$135K |
| 77066 |
Tomosynthesis, mammo |
1,153 |
1,141 |
$133K |
| 86762 |
|
10,597 |
10,520 |
$132K |
| 77063 |
|
5,290 |
5,232 |
$130K |
| 31575 |
|
453 |
441 |
$130K |
| 86765 |
|
11,482 |
11,395 |
$129K |
| 83520 |
|
5,718 |
5,635 |
$128K |
| 84270 |
|
5,609 |
5,477 |
$128K |
| G0108 |
Diab manage trn per indiv |
1,649 |
1,475 |
$127K |
| 12001 |
|
324 |
320 |
$127K |
| 10060 |
|
378 |
366 |
$124K |
| 83002 |
|
7,663 |
7,583 |
$124K |
| C1776 |
Joint device (implantable) |
12 |
12 |
$124K |
| 76000 |
|
2,007 |
1,961 |
$123K |
| 0002A |
|
3,368 |
3,358 |
$123K |
| 95800 |
|
600 |
595 |
$121K |
| G0480 |
Drug test def 1-7 classes |
3,297 |
2,723 |
$120K |
| A9502 |
Tc99m tetrofosmin |
1,756 |
1,710 |
$120K |
| 77065 |
Tomosynthesis, mammo |
1,237 |
1,197 |
$117K |
| 83013 |
|
1,854 |
1,842 |
$117K |
| 86787 |
|
11,941 |
11,831 |
$116K |
| 86360 |
|
2,846 |
2,809 |
$116K |
| 86160 |
|
7,842 |
6,215 |
$116K |
| J2327 |
Inj risankizumab-rzaa 1 mg |
13 |
13 |
$114K |
| 0001A |
|
3,748 |
3,740 |
$113K |
| 84702 |
|
18,904 |
17,403 |
$113K |
| 86140 |
|
32,811 |
31,713 |
$112K |
| 86704 |
|
12,815 |
12,702 |
$112K |
| 93005 |
|
42,876 |
39,043 |
$111K |
| J2704 |
Inj, propofol, 10 mg |
50,955 |
36,963 |
$108K |
| 87801 |
|
2,132 |
2,104 |
$107K |
| 84481 |
|
8,778 |
8,608 |
$104K |
| 87070 |
|
19,254 |
18,014 |
$104K |
| 70496 |
|
482 |
471 |
$100K |
| 71260 |
|
511 |
504 |
$98K |
| 96417 |
|
2,365 |
1,409 |
$96K |
| 93350 |
|
986 |
960 |
$95K |
| 86376 |
|
7,628 |
7,534 |
$94K |
| 76815 |
|
1,255 |
1,164 |
$94K |
| 0241U |
|
11,175 |
10,838 |
$94K |
| 76642 |
|
1,217 |
1,182 |
$93K |
| 86735 |
|
8,446 |
8,381 |
$92K |
| 82248 |
|
17,240 |
14,698 |
$92K |
| 86200 |
|
5,899 |
5,877 |
$92K |
| V2632 |
Post chmbr intraocular lens |
548 |
478 |
$90K |
| 92978 |
|
344 |
337 |
$90K |
| 82627 |
|
4,639 |
4,597 |
$89K |
| 84445 |
|
1,685 |
1,668 |
$89K |
| 76827 |
|
2,591 |
2,460 |
$89K |
| 92610 |
|
618 |
613 |
$89K |
| 77080 |
|
1,667 |
1,631 |
$88K |
| 96367 |
|
1,480 |
1,224 |
$86K |
| 86147 |
|
2,378 |
2,083 |
$84K |
| 82570 |
|
18,547 |
18,006 |
$82K |
| 87651 |
|
2,893 |
2,864 |
$79K |
| J1437 |
Inj. fe derisomaltose 10 mg |
25 |
25 |
$78K |
| 93613 |
|
51 |
51 |
$78K |
| 83021 |
|
4,972 |
4,929 |
$78K |
| 84100 |
|
21,085 |
15,374 |
$77K |
| 86800 |
|
6,123 |
5,941 |
$77K |
| C1726 |
Cath, bal dil, non-vascular |
173 |
171 |
$76K |
| 84480 |
|
8,441 |
8,275 |
$76K |
| 85610 |
|
32,771 |
29,340 |
$75K |
| 99291 |
|
414 |
412 |
$75K |
| 49083 |
|
125 |
67 |
$75K |
| 86334 |
|
3,672 |
3,594 |
$74K |
| 49650 |
|
29 |
29 |
$73K |
| 97166 |
|
502 |
495 |
$73K |
| J0131 |
Inj, acetaminophen (nos) |
5,202 |
4,040 |
$72K |
| 82105 |
|
6,929 |
6,449 |
$72K |
| 86225 |
|
8,586 |
8,220 |
$72K |
| 86695 |
|
4,918 |
4,888 |
$71K |
| 71046 |
|
18,869 |
18,035 |
$71K |
| 17110 |
|
133 |
130 |
$71K |
| 58558 |
|
49 |
49 |
$70K |
| 87511 |
|
1,993 |
1,965 |
$70K |
| A9500 |
Tc99m sestamibi |
1,069 |
1,034 |
$69K |
| 86696 |
|
4,944 |
4,887 |
$69K |
| 97802 |
|
1,141 |
1,123 |
$68K |
| J1561 |
Gamunex-c/gammaked |
15 |
12 |
$68K |
| 97803 |
|
1,697 |
1,521 |
$68K |
| 86359 |
|
2,508 |
2,474 |
$67K |
| 82043 |
|
14,618 |
14,494 |
$67K |
| 93798 |
|
857 |
151 |
$67K |
| 82024 |
|
1,821 |
1,770 |
$66K |
| 88112 |
|
1,731 |
1,678 |
$66K |
| 81401 |
|
640 |
624 |
$66K |
| C1731 |
Cath, ep, 20 or more elec |
28 |
28 |
$65K |
| 76942 |
|
490 |
468 |
$65K |
| 93925 |
|
762 |
754 |
$65K |
| 0004A |
|
1,758 |
1,755 |
$65K |
| 45381 |
|
130 |
128 |
$64K |
| 87186 |
|
10,458 |
9,739 |
$63K |
| 74230 |
|
477 |
475 |
$63K |
| 85730 |
|
22,427 |
20,996 |
$62K |
| 70486 |
|
894 |
878 |
$61K |
| 86708 |
|
5,995 |
5,955 |
$60K |
| 83615 |
|
16,697 |
13,038 |
$59K |
| 85652 |
|
32,087 |
31,228 |
$59K |
| 76705 |
|
1,886 |
1,832 |
$59K |
| 86146 |
|
1,953 |
1,781 |
$59K |
| 97035 |
|
2,966 |
1,257 |
$59K |
| 12011 |
|
153 |
149 |
$58K |
| 86038 |
|
7,271 |
7,202 |
$58K |
| J3535 |
Metered dose inhaler drug |
2,367 |
2,088 |
$58K |
| 96416 |
|
177 |
95 |
$58K |
| 84154 |
|
3,443 |
3,415 |
$55K |
| 81514 |
|
522 |
382 |
$55K |
| 86790 |
|
3,208 |
3,150 |
$55K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
2,266 |
2,266 |
$55K |
| J1642 |
Inj heparin sodium per 10 u |
5,425 |
2,837 |
$54K |
| 80081 |
|
700 |
700 |
$54K |
| C1759 |
Cath, intra echocardiography |
14 |
14 |
$54K |
| 82550 |
|
9,108 |
8,843 |
$53K |
| 83883 |
|
2,662 |
2,491 |
$52K |
| 72125 |
|
1,443 |
1,410 |
$52K |
| 72148 |
|
329 |
319 |
$51K |
| 86592 |
|
17,630 |
17,498 |
$51K |
| 95886 |
|
863 |
843 |
$51K |
| 88360 |
|
800 |
776 |
$50K |
| 74183 |
|
186 |
184 |
$50K |
| 94729 |
|
1,785 |
1,741 |
$50K |
| 82378 |
|
3,932 |
3,499 |
$47K |
| 84425 |
|
2,841 |
2,822 |
$47K |
| 84550 |
|
12,628 |
12,194 |
$47K |
| 87077 |
|
6,406 |
5,692 |
$47K |
| 88304 |
|
2,031 |
2,011 |
$46K |
| 82533 |
|
3,128 |
2,891 |
$46K |
| 96402 |
|
663 |
603 |
$45K |
| 86618 |
|
2,994 |
2,925 |
$44K |
| 67312 |
|
27 |
26 |
$44K |
| 70491 |
|
171 |
167 |
$43K |
| 95911 |
|
244 |
239 |
$43K |
| 86617 |
|
2,615 |
1,745 |
$42K |
| 84402 |
|
1,632 |
1,607 |
$41K |
| 90715 |
|
1,908 |
1,884 |
$40K |
| 84432 |
|
2,306 |
2,218 |
$40K |
| 86665 |
|
2,142 |
1,875 |
$40K |
| 84305 |
|
2,474 |
2,439 |
$39K |
| G0481 |
Drug test def 8-14 classes |
1,058 |
1,014 |
$39K |
| 82785 |
|
3,312 |
3,265 |
$39K |
| 84436 |
|
9,591 |
9,470 |
$39K |
| 84165 |
|
4,877 |
4,759 |
$39K |
| C1714 |
Cath, trans atherectomy, dir |
287 |
67 |
$38K |
| 83498 |
|
1,512 |
1,505 |
$38K |
| J2001 |
Lidocaine injection |
17,987 |
16,328 |
$37K |
| 76817 |
|
709 |
669 |
$37K |
| 86923 |
|
1,166 |
976 |
$37K |
| 87631 |
|
922 |
910 |
$36K |
| 86747 |
|
2,322 |
1,361 |
$36K |
| 90471 |
|
3,273 |
3,137 |
$36K |
| 86357 |
|
1,262 |
1,242 |
$36K |
| 82088 |
|
939 |
877 |
$35K |
| 81003 |
|
27,713 |
26,002 |
$35K |
| J0690 |
Cefazolin sodium injection |
11,608 |
10,627 |
$35K |
| 82948 |
|
28,613 |
19,507 |
$34K |
| 88313 |
|
1,159 |
1,114 |
$34K |
| 93623 |
|
41 |
38 |
$34K |
| 86039 |
|
4,515 |
4,489 |
$33K |
| 95953 |
|
101 |
54 |
$33K |
| 86355 |
|
1,143 |
1,127 |
$33K |
| 87493 |
|
1,305 |
1,106 |
$32K |
| 86812 |
|
1,108 |
1,104 |
$32K |
| 88141 |
|
3,039 |
3,022 |
$32K |
| 82652 |
|
942 |
933 |
$31K |
| 76098 |
|
126 |
114 |
$31K |
| 87081 |
|
6,287 |
6,191 |
$31K |
| 86255 |
|
3,174 |
3,108 |
$31K |
| 86021 |
|
2,032 |
1,573 |
$30K |
| J3010 |
Fentanyl citrate injection |
31,753 |
28,522 |
$30K |
| 77295 |
|
86 |
85 |
$30K |
| 36591 |
|
596 |
444 |
$30K |
| 86694 |
|
1,977 |
1,961 |
$30K |
| 0124A |
|
707 |
707 |
$30K |
| 87660 |
|
1,842 |
1,802 |
$29K |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
4,964 |
4,848 |
$28K |
| 86256 |
|
1,118 |
1,077 |
$28K |
| 95812 |
|
100 |
99 |
$28K |
| 84144 |
|
1,405 |
1,334 |
$27K |
| 30140 |
|
13 |
12 |
$27K |
| 83690 |
|
22,301 |
21,039 |
$27K |
| 67314 |
|
48 |
40 |
$27K |
| 86300 |
|
1,663 |
1,504 |
$26K |
| C1729 |
Cath, drainage |
407 |
272 |
$26K |
| 84703 |
|
24,749 |
23,266 |
$26K |
| 86430 |
|
5,222 |
5,205 |
$26K |
| 86707 |
|
2,642 |
2,616 |
$25K |
| J1100 |
Dexamethasone sodium phos |
24,647 |
19,822 |
$25K |
| 82977 |
|
5,181 |
4,636 |
$25K |
| 77386 |
|
141 |
12 |
$25K |
| 85613 |
|
1,930 |
1,894 |
$24K |
| 72141 |
|
128 |
127 |
$24K |
| 88108 |
|
679 |
522 |
$24K |
| 87510 |
|
1,578 |
1,549 |
$24K |
| 82274 |
|
2,655 |
2,633 |
$24K |
| 87480 |
|
1,541 |
1,513 |
$23K |
| 87350 |
|
2,451 |
2,433 |
$23K |
| 72131 |
|
203 |
202 |
$23K |
| 84207 |
|
879 |
875 |
$23K |
| 99203 |
|
185 |
184 |
$22K |
| 84484 |
|
19,639 |
15,996 |
$22K |
| 81513 |
|
460 |
459 |
$22K |
| 82164 |
|
1,474 |
1,466 |
$22K |
| 82951 |
|
2,581 |
2,370 |
$22K |
| 84156 |
|
7,587 |
6,820 |
$22K |
| 86664 |
|
1,896 |
1,865 |
$22K |
| 83695 |
|
1,652 |
1,642 |
$22K |
| 87502 |
|
564 |
550 |
$22K |
| J7060 |
5% dextrose/water |
3,711 |
2,324 |
$22K |
| J0640 |
Leucovorin calcium injection |
164 |
89 |
$21K |
| 81243 |
|
657 |
635 |
$21K |
| J1885 |
Ketorolac tromethamine inj |
24,139 |
21,503 |
$21K |
| 82085 |
|
1,546 |
1,511 |
$21K |
| 64644 |
|
49 |
49 |
$21K |
| 84681 |
|
1,138 |
1,130 |
$20K |
| 87512 |
|
502 |
490 |
$20K |
| 87329 |
|
2,046 |
1,743 |
$20K |
| 73562 |
|
1,573 |
1,380 |
$19K |
| 86663 |
|
1,943 |
1,912 |
$19K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
1,384 |
1,345 |
$19K |
| 85240 |
|
1,499 |
1,487 |
$19K |
| 82985 |
|
1,565 |
1,545 |
$19K |
| 83921 |
|
1,020 |
1,010 |
$19K |
| 88312 |
|
901 |
869 |
$19K |
| 86141 |
|
1,794 |
1,775 |
$19K |
| 95913 |
|
100 |
100 |
$19K |
| 84244 |
|
835 |
817 |
$19K |
| 83993 |
|
1,317 |
1,305 |
$18K |
| 96401 |
|
269 |
114 |
$18K |
| 86777 |
|
1,412 |
1,400 |
$18K |
| J2250 |
Inj midazolam hydrochloride |
19,376 |
18,696 |
$18K |
| 86778 |
|
1,411 |
1,399 |
$18K |
| 64642 |
|
26 |
26 |
$18K |
| 73564 |
|
1,610 |
1,442 |
$17K |
| 87177 |
|
2,137 |
1,825 |
$17K |
| 87338 |
|
1,813 |
1,795 |
$17K |
| J2930 |
Methylprednisolone injection |
1,275 |
1,089 |
$17K |
| 73630 |
|
2,461 |
2,287 |
$17K |
| 0054A |
|
440 |
432 |
$17K |
| 86304 |
|
1,464 |
1,346 |
$17K |
| 77002 |
|
72 |
68 |
$17K |
| 82397 |
|
1,536 |
1,517 |
$16K |
| 83010 |
|
1,769 |
1,719 |
$16K |
| A9541 |
Tc99m sulfur colloid |
75 |
66 |
$16K |
| 82157 |
|
615 |
612 |
$16K |
| 87147 |
|
3,546 |
3,454 |
$16K |
| 86335 |
|
496 |
484 |
$16K |
| J1815 |
Insulin injection |
3,341 |
1,957 |
$16K |
| 81329 |
|
172 |
162 |
$16K |
| 93656 |
|
14 |
14 |
$16K |
| 87205 |
|
6,412 |
5,972 |
$16K |
| 90677 |
|
78 |
75 |
$15K |
| 80069 |
|
1,986 |
1,718 |
$15K |
| 85379 |
|
5,868 |
5,669 |
$15K |
| 86431 |
|
3,161 |
3,143 |
$15K |
| 86644 |
|
1,267 |
1,248 |
$15K |
| 87045 |
|
2,068 |
1,406 |
$15K |
| 96411 |
|
283 |
163 |
$14K |
| 80074 |
|
386 |
382 |
$14K |
| C1730 |
Cath, ep, 19 or few elect |
24 |
24 |
$14K |
| 94640 |
|
902 |
786 |
$14K |
| 83525 |
|
1,387 |
1,355 |
$14K |
| 86645 |
|
1,399 |
1,353 |
$14K |
| J3370 |
Vancomycin hcl injection |
2,195 |
1,824 |
$14K |
| 88142 |
|
768 |
766 |
$14K |
| 73030 |
|
1,845 |
1,735 |
$14K |
| 73130 |
|
1,995 |
1,825 |
$14K |
| J0330 |
Succinycholine chloride inj |
2,362 |
2,271 |
$14K |
| 82150 |
|
3,002 |
2,787 |
$13K |
| 0003A |
|
365 |
365 |
$13K |
| 80177 |
|
1,516 |
1,476 |
$13K |
| 86709 |
|
1,599 |
1,583 |
$13K |
| 93308 |
|
69 |
65 |
$13K |
| 82610 |
|
899 |
874 |
$13K |
| J1170 |
Hydromorphone injection |
4,264 |
3,259 |
$13K |
| L8699 |
Prosthetic implant nos |
12 |
12 |
$13K |
| 88262 |
|
151 |
149 |
$12K |
| 71045 |
|
5,854 |
5,538 |
$12K |
| P9047 |
Albumin (human), 25%, 50ml |
34 |
12 |
$12K |
| 83721 |
|
3,288 |
3,252 |
$12K |
| 86885 |
|
124 |
124 |
$12K |
| 72156 |
|
72 |
68 |
$12K |
| 90686 |
|
972 |
953 |
$12K |
| 86317 |
|
219 |
212 |
$12K |
| 83521 |
|
97 |
96 |
$12K |
| J9263 |
Oxaliplatin |
115 |
70 |
$12K |
| 87102 |
|
2,054 |
1,957 |
$12K |
| 87209 |
|
1,075 |
914 |
$12K |
| 76870 |
|
609 |
593 |
$12K |
| J2710 |
Neostigmine methylslfte inj |
2,276 |
2,234 |
$12K |
| 72100 |
|
669 |
655 |
$11K |
| 87328 |
|
1,060 |
901 |
$11K |
| J1644 |
Inj heparin sodium per 1000u |
9,134 |
6,271 |
$11K |
| 84460 |
|
2,873 |
2,676 |
$11K |
| J2405 |
Ondansetron hcl injection |
27,452 |
24,595 |
$11K |
| 86364 |
|
430 |
417 |
$11K |
| 84479 |
|
2,817 |
2,792 |
$11K |
| 82950 |
|
2,495 |
2,487 |
$11K |
| 93505 |
|
24 |
14 |
$10K |
| 82668 |
|
708 |
700 |
$10K |
| 81376 |
|
216 |
209 |
$10K |
| 85045 |
|
4,641 |
4,322 |
$10K |
| 54161 |
|
12 |
12 |
$10K |
| 87116 |
|
1,626 |
1,388 |
$10K |
| 80164 |
|
955 |
905 |
$10K |
| 64493 |
|
15 |
12 |
$10K |
| 78306 |
|
47 |
41 |
$10K |
| 81383 |
|
176 |
174 |
$10K |
| 82103 |
|
849 |
830 |
$10K |
| 82390 |
|
1,154 |
1,144 |
$10K |
| 83835 |
|
600 |
573 |
$10K |
| 86301 |
|
816 |
733 |
$9K |
| 74174 |
|
111 |
109 |
$9K |
| J1030 |
Methylprednisolone 40 mg inj |
1,058 |
1,028 |
$9K |
| 73110 |
|
1,395 |
1,258 |
$9K |
| A9552 |
F18 fdg |
382 |
380 |
$9K |
| 73721 |
|
48 |
44 |
$9K |
| J9190 |
Fluorouracil injection |
212 |
116 |
$9K |
| 64643 |
|
85 |
39 |
$9K |
| 87272 |
|
827 |
706 |
$9K |
| 70498 |
|
301 |
300 |
$9K |
| 73610 |
|
1,979 |
1,869 |
$8K |
| 83951 |
|
148 |
125 |
$8K |
| 73502 |
|
1,030 |
964 |
$8K |
| 93312 |
|
169 |
156 |
$8K |
| 86671 |
|
438 |
435 |
$8K |
| 90460 |
|
435 |
422 |
$8K |
| 87106 |
|
840 |
835 |
$8K |
| 87075 |
|
1,449 |
1,317 |
$8K |
| 90662 |
|
191 |
191 |
$8K |
| 93321 |
|
816 |
726 |
$8K |
| 80175 |
|
776 |
761 |
$8K |
| 84075 |
|
1,998 |
1,817 |
$8K |
| J1200 |
Diphenhydramine hcl injectio |
6,023 |
4,588 |
$8K |
| 84466 |
|
790 |
780 |
$7K |
| 84630 |
|
847 |
842 |
$7K |
| J2795 |
Ropivacaine hcl injection |
1,515 |
1,241 |
$7K |
| G0008 |
Admin influenza virus vac |
399 |
393 |
$7K |
| 87632 |
|
160 |
156 |
$7K |
| 86705 |
|
802 |
797 |
$7K |
| 84446 |
|
617 |
615 |
$7K |
| 83090 |
|
459 |
459 |
$7K |
| 90472 |
|
670 |
647 |
$7K |
| 85670 |
|
1,734 |
1,701 |
$7K |
| 86682 |
|
680 |
672 |
$7K |
| J0561 |
Penicillin g benzathine inj |
54 |
53 |
$7K |
| 86341 |
|
382 |
362 |
$7K |
| J0696 |
Ceftriaxone sodium injection |
3,725 |
3,251 |
$7K |
| 80305 |
|
2,622 |
2,258 |
$7K |
| 87653 |
|
263 |
262 |
$7K |
| 82310 |
|
1,948 |
1,778 |
$7K |
| 95076 |
|
14 |
12 |
$7K |
| 75574 |
|
53 |
53 |
$7K |
| 88237 |
|
77 |
75 |
$7K |
| 84590 |
|
702 |
699 |
$7K |
| 94760 |
|
1,983 |
1,810 |
$7K |
| 82172 |
|
402 |
400 |
$7K |
| 84450 |
|
2,408 |
2,228 |
$7K |
| J9045 |
Carboplatin injection |
124 |
67 |
$6K |
| 85306 |
|
500 |
493 |
$6K |
| J3475 |
Inj magnesium sulfate |
3,712 |
2,614 |
$6K |
| 86870 |
|
70 |
69 |
$6K |
| 82247 |
|
2,412 |
2,177 |
$6K |
| J2270 |
Morphine sulfate injection |
4,514 |
3,742 |
$6K |
| J3250 |
Trimethobenzamide hcl inj |
361 |
340 |
$6K |
| 84155 |
|
2,863 |
2,682 |
$6K |
| 82565 |
|
1,976 |
1,896 |
$6K |
| 85732 |
|
1,135 |
1,119 |
$6K |
| 76826 |
|
43 |
37 |
$6K |
| 88172 |
|
309 |
282 |
$6K |
| 78451 |
|
14 |
14 |
$6K |
| 80299 |
|
389 |
381 |
$6K |
| J2370 |
Phenylephrine hcl injection |
2,774 |
2,716 |
$6K |
| 38222 |
|
13 |
13 |
$5K |
| 87899 |
|
758 |
728 |
$5K |
| 82955 |
|
569 |
568 |
$5K |
| 20553 |
|
26 |
25 |
$5K |
| S0028 |
Injection, famotidine, 20 mg |
6,025 |
4,706 |
$5K |
| 87040 |
|
4,792 |
3,109 |
$5K |
| 82140 |
|
303 |
275 |
$5K |
| 85384 |
|
1,218 |
1,081 |
$5K |
| 87634 |
|
183 |
180 |
$5K |
| 82232 |
|
382 |
372 |
$5K |
| 96376 |
|
3,041 |
2,693 |
$5K |
| 86666 |
|
408 |
405 |
$5K |
| 82787 |
|
209 |
208 |
$5K |
| 78264 |
|
24 |
24 |
$5K |
| 81450 |
|
113 |
111 |
$5K |
| 82040 |
|
1,853 |
1,741 |
$5K |
| C1758 |
Catheter, ureteral |
415 |
405 |
$5K |
| 82947 |
|
1,781 |
1,710 |
$4K |
| C1773 |
Ret dev, insertable |
207 |
199 |
$4K |
| 87150 |
|
163 |
158 |
$4K |
| J0171 |
Adrenalin epinephrine inject |
2,396 |
2,218 |
$4K |
| 82465 |
|
1,701 |
1,670 |
$4K |
| J9267 |
Paclitaxel injection |
89 |
36 |
$4K |
| 73700 |
|
17 |
17 |
$4K |
| 82107 |
|
79 |
77 |
$4K |
| 93225 |
|
48 |
48 |
$4K |
| 88173 |
|
425 |
394 |
$4K |
| 87625 |
|
263 |
263 |
$4K |
| 88189 |
|
131 |
129 |
$4K |
| 87206 |
|
1,469 |
1,199 |
$4K |
| 82525 |
|
371 |
369 |
$4K |
| 88280 |
|
254 |
249 |
$4K |
| J2720 |
Inj protamine sulfate/10 mg |
595 |
592 |
$4K |
| 95819 |
|
12 |
12 |
$4K |
| 89051 |
|
2,055 |
1,831 |
$4K |
| 80195 |
|
550 |
375 |
$4K |
| 85303 |
|
340 |
336 |
$4K |
| 87563 |
|
141 |
140 |
$4K |
| J2765 |
Metoclopramide hcl injection |
4,599 |
4,321 |
$4K |
| 73080 |
|
937 |
901 |
$4K |
| 72170 |
|
764 |
748 |
$4K |
| Q0144 |
Azithromycin dihydrate, oral |
413 |
391 |
$4K |
| 87430 |
|
1,321 |
1,310 |
$4K |
| 72158 |
|
27 |
25 |
$4K |
| 87046 |
|
643 |
614 |
$4K |
| Q3014 |
Telehealth facility fee |
140 |
134 |
$3K |
| 85300 |
|
371 |
369 |
$3K |
| 87640 |
|
166 |
162 |
$3K |
| 86015 |
|
33 |
22 |
$3K |
| 29125 |
|
12 |
12 |
$3K |
| J7042 |
5% dextrose/normal saline |
1,486 |
1,246 |
$3K |
| 0134A |
|
76 |
76 |
$3K |
| 73590 |
|
1,177 |
1,104 |
$3K |
| 85097 |
|
51 |
50 |
$3K |
| 36416 |
|
222 |
218 |
$3K |
| J1650 |
Inj enoxaparin sodium |
1,886 |
1,314 |
$3K |
| 86361 |
|
848 |
844 |
$3K |
| 84166 |
|
216 |
214 |
$3K |
| J2800 |
Methocarbamol injection |
624 |
561 |
$3K |
| 81241 |
|
234 |
233 |
$3K |
| 84145 |
|
1,021 |
983 |
$3K |
| J7040 |
Normal saline solution infus |
579 |
470 |
$3K |
| J7512 |
Prednisone ir or dr oral 1mg |
2,322 |
1,720 |
$3K |
| 86945 |
|
242 |
116 |
$3K |
| 96116 |
|
13 |
12 |
$3K |
| 86757 |
|
93 |
93 |
$3K |
| 73140 |
|
387 |
372 |
$3K |
| 84134 |
|
288 |
281 |
$3K |
| 86738 |
|
114 |
111 |
$3K |
| J3360 |
Diazepam injection |
517 |
480 |
$3K |
| 85246 |
|
140 |
137 |
$3K |
| 73090 |
|
765 |
729 |
$3K |
| U0002 |
Covid-19 lab test non-cdc |
69 |
68 |
$3K |
| 83718 |
|
644 |
642 |
$3K |
| 87341 |
|
286 |
279 |
$3K |
| 90670 |
|
13 |
12 |
$3K |
| 70544 |
|
24 |
24 |
$3K |
| J0280 |
Aminophyllin 250 mg inj |
355 |
339 |
$3K |
| 76377 |
|
93 |
93 |
$2K |
| 84132 |
|
1,083 |
1,012 |
$2K |
| 85347 |
|
3,027 |
2,099 |
$2K |
| 85576 |
|
56 |
51 |
$2K |
| 82374 |
|
1,048 |
979 |
$2K |
| 93226 |
|
48 |
48 |
$2K |
| 84295 |
|
1,021 |
952 |
$2K |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
3,014 |
2,548 |
$2K |
| 81240 |
|
209 |
207 |
$2K |
| 0031A |
|
74 |
74 |
$2K |
| 87581 |
|
219 |
211 |
$2K |
| 86352 |
|
31 |
26 |
$2K |
| 82435 |
|
1,022 |
953 |
$2K |
| 74018 |
|
648 |
619 |
$2K |
| 72157 |
|
15 |
13 |
$2K |
| 84255 |
|
76 |
76 |
$2K |
| 87486 |
|
198 |
193 |
$2K |
| J2919 |
Inj, methylpred sod succ 5mg |
283 |
243 |
$2K |
| J2305 |
Inj, nitroglycerin, 5 mg |
600 |
594 |
$2K |
| 84520 |
|
1,038 |
969 |
$2K |
| 96368 |
|
294 |
181 |
$2K |
| 95714 |
|
34 |
26 |
$2K |
| 86593 |
|
663 |
654 |
$2K |
| 87210 |
|
964 |
908 |
$2K |
| J2920 |
Methylprednisolone injection |
408 |
316 |
$2K |
| M0247 |
Sotrovimab infusion |
13 |
13 |
$2K |
| J8540 |
Oral dexamethasone |
1,166 |
859 |
$2K |
| 82657 |
|
96 |
94 |
$2K |
| 87529 |
|
39 |
38 |
$2K |
| 86258 |
|
29 |
16 |
$2K |
| 90656 |
|
147 |
146 |
$2K |
| 0072A |
|
50 |
50 |
$2K |
| J0295 |
Ampicillin sulbactam 1.5 gm |
577 |
394 |
$2K |
| 84478 |
|
609 |
606 |
$2K |
| J3480 |
Inj potassium chloride |
1,048 |
581 |
$2K |
| 85307 |
|
125 |
125 |
$2K |
| 88271 |
|
40 |
40 |
$2K |
| 95874 |
|
160 |
159 |
$2K |
| 0071A |
|
69 |
69 |
$2K |
| 81206 |
|
24 |
24 |
$2K |
| 93923 |
|
12 |
12 |
$1K |
| 88275 |
|
28 |
28 |
$1K |
| 81002 |
|
544 |
539 |
$1K |
| G0103 |
Psa screening |
86 |
86 |
$1K |
| 84238 |
|
31 |
30 |
$1K |
| 87449 |
|
182 |
178 |
$1K |
| J1580 |
Garamycin gentamicin inj |
293 |
288 |
$1K |
| 84080 |
|
115 |
110 |
$1K |
| C1751 |
Cath, inf, per/cent/midline |
12 |
12 |
$1K |
| 86215 |
|
97 |
93 |
$1K |
| 0051A |
|
28 |
28 |
$1K |
| J1626 |
Granisetron hcl injection |
93 |
38 |
$1K |
| 88331 |
|
53 |
52 |
$1K |
| 88387 |
|
181 |
162 |
$1K |
| J9250 |
Methotrexate sodium inj |
635 |
436 |
$1K |
| 76885 |
|
12 |
12 |
$1K |
| J3301 |
Triamcinolone acet inj nos |
221 |
217 |
$1K |
| 95887 |
|
26 |
25 |
$1K |
| G0476 |
Hpv combo assay ca screen |
891 |
890 |
$1K |
| J3411 |
Thiamine hcl 100 mg |
804 |
680 |
$1K |
| 82552 |
|
745 |
667 |
$980.61 |
| J2543 |
Piperacillin/tazobactam |
289 |
184 |
$940.26 |
| 87255 |
|
38 |
38 |
$887.04 |
| J1720 |
Hydrocortisone sodium succ i |
77 |
65 |
$873.87 |
| 76828 |
|
43 |
37 |
$869.66 |
| J3489 |
Zoledronic acid 1mg |
12 |
12 |
$840.16 |
| 86692 |
|
54 |
54 |
$833.91 |
| 83014 |
|
107 |
106 |
$831.10 |
| 83519 |
|
43 |
41 |
$800.69 |
| 83605 |
|
577 |
545 |
$800.10 |
| 96132 |
|
13 |
12 |
$797.52 |
| 88365 |
|
12 |
12 |
$796.36 |
| 86231 |
|
26 |
26 |
$758.76 |
| 97014 |
|
12 |
12 |
$734.95 |
| J0136 |
Inj, acetaminophen (b braun) |
129 |
121 |
$732.37 |
| 88311 |
|
159 |
158 |
$720.48 |
| 87185 |
|
166 |
157 |
$715.79 |
| A9503 |
Tc99m medronate |
80 |
79 |
$713.13 |
| 82009 |
|
296 |
271 |
$702.33 |
| 73552 |
|
218 |
208 |
$675.70 |
| 85245 |
|
38 |
38 |
$666.66 |
| J7644 |
Ipratropium bromide non-comp |
2,995 |
2,343 |
$657.63 |
| 80183 |
|
62 |
62 |
$635.03 |
| 86063 |
|
121 |
116 |
$623.20 |
| 94618 |
|
24 |
24 |
$614.64 |
| 82945 |
|
151 |
140 |
$611.83 |
| 80178 |
|
115 |
110 |
$603.21 |
| 86880 |
|
41 |
41 |
$581.52 |
| 86325 |
|
26 |
26 |
$575.21 |
| 81270 |
|
27 |
26 |
$569.70 |
| 97010 |
|
57 |
16 |
$550.19 |
| 88177 |
|
12 |
12 |
$548.97 |
| 80320 |
|
1,115 |
1,005 |
$542.90 |
| J0360 |
Hydralazine hcl injection |
89 |
86 |
$533.73 |
| G0123 |
Screen cerv/vag thin layer |
29 |
29 |
$528.67 |
| 82330 |
|
68 |
68 |
$527.74 |
| 91300 |
|
7,909 |
7,040 |
$523.33 |
| 88285 |
|
26 |
25 |
$516.92 |
| 80321 |
|
17 |
13 |
$509.29 |
| 84157 |
|
188 |
175 |
$480.84 |
| 82595 |
|
86 |
84 |
$475.79 |
| 0053A |
|
12 |
12 |
$471.87 |
| 86340 |
|
41 |
40 |
$466.97 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
1,193 |
1,182 |
$459.84 |
| 80349 |
|
188 |
178 |
$439.20 |
| 72128 |
|
12 |
12 |
$426.23 |
| 80348 |
|
185 |
156 |
$424.20 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
648 |
627 |
$387.62 |
| 87521 |
Neg quan hep c or qual rna |
12 |
12 |
$378.96 |
| 81015 |
|
1,216 |
1,151 |
$354.52 |
| 87275 |
|
98 |
98 |
$350.47 |
| 81291 |
|
13 |
13 |
$334.54 |
| J0780 |
Prochlorperazine injection |
114 |
104 |
$331.75 |
| J3420 |
Vitamin b12 injection |
111 |
88 |
$329.22 |
| 0107U |
|
60 |
59 |
$323.20 |
| 76376 |
|
104 |
104 |
$319.38 |
| 86308 |
|
95 |
95 |
$309.45 |
| 87324 |
|
31 |
29 |
$304.65 |
| J2060 |
Lorazepam injection |
615 |
512 |
$300.79 |
| A4351 |
Straight tip urine catheter |
50 |
50 |
$296.52 |
| 85018 |
|
140 |
140 |
$295.63 |
| J1940 |
Furosemide injection |
253 |
195 |
$289.37 |
| 73560 |
|
16 |
16 |
$282.60 |
| 82010 |
|
460 |
429 |
$280.04 |
| 82340 |
|
57 |
56 |
$274.45 |
| G0475 |
Hiv combination assay |
13 |
13 |
$260.04 |
| J1010 |
Inj, methylpred acetate 1 mg |
108 |
107 |
$251.72 |
| J1630 |
Haloperidol injection |
360 |
296 |
$249.65 |
| 82530 |
|
15 |
13 |
$249.63 |
| 80230 |
|
14 |
14 |
$241.07 |
| 85014 |
|
139 |
139 |
$239.07 |
| 77062 |
|
18 |
15 |
$232.48 |
| 85247 |
|
12 |
12 |
$230.60 |
| J1836 |
Inj, metronidazole, 10 mg |
284 |
213 |
$216.39 |
| 73010 |
|
38 |
37 |
$212.00 |
| 73060 |
|
152 |
148 |
$203.86 |
| 82542 |
|
12 |
12 |
$195.76 |
| J1040 |
Methylprednisolone 80 mg inj |
44 |
44 |
$192.10 |
| G0009 |
Admin pneumococcal vaccine |
14 |
14 |
$187.69 |
| J1921 |
Inj labetalol hcl hikma, 5mg |
15 |
13 |
$187.62 |
| J7613 |
Albuterol non-comp unit |
4,038 |
3,300 |
$173.51 |
| 81050 |
|
53 |
53 |
$162.00 |
| 80329 |
|
66 |
65 |
$158.66 |
| 91312 |
|
512 |
512 |
$157.50 |
| S0020 |
Injection, bupivicaine hydro |
14 |
13 |
$152.31 |
| 82270 |
|
75 |
75 |
$139.78 |
| A4216 |
Sterile water/saline, 10 ml |
1,443 |
1,294 |
$139.40 |
| 82365 |
|
13 |
13 |
$133.00 |
| 82104 |
|
13 |
13 |
$122.09 |
| 90749 |
|
13 |
12 |
$116.55 |
| J2004 |
Inj, lidocaine w epinephrine |
120 |
120 |
$114.11 |
| 85660 |
|
33 |
33 |
$106.32 |
| J9260 |
Inj methotrexate sodium 50mg |
33 |
29 |
$105.16 |
| J7507 |
Tacrolimus imme rel oral 1mg |
179 |
91 |
$103.57 |
| 96523 |
|
48 |
40 |
$102.82 |
| Q0163 |
Diphenhydramine hcl 50mg |
3,333 |
2,329 |
$95.74 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
306 |
278 |
$88.51 |
| J1805 |
Inj, esmolol hcl, 10mg |
150 |
150 |
$76.43 |
| 91305 |
|
262 |
255 |
$74.41 |
| 94728 |
|
20 |
13 |
$68.42 |
| J2272 |
Inj, morphine (fresenius) |
27 |
27 |
$53.49 |
| J7999 |
Compounded drug, noc |
1,228 |
1,186 |
$46.88 |
| 80346 |
|
27 |
25 |
$44.60 |
| 87184 |
|
13 |
13 |
$43.27 |
| 88300 |
|
38 |
38 |
$38.41 |
| 87541 |
|
116 |
112 |
$35.09 |
| J1953 |
Levetiracetam injection |
12 |
12 |
$33.87 |
| 91307 |
|
114 |
111 |
$33.64 |
| S0077 |
Injection, clindamycin phosp |
16 |
14 |
$32.70 |
| J1597 |
Inj glycopyrrolate, glyrx-pf |
159 |
134 |
$27.73 |
| J7614 |
Levalbuterol non-comp unit |
64 |
52 |
$26.02 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
112 |
75 |
$9.88 |
| 91313 |
|
32 |
32 |
$9.61 |
| J0173 |
Inj, epinephrine (belcher) |
23 |
19 |
$8.54 |
| Q9954 |
Oral mr contrast, 100 ml |
15 |
15 |
$2.70 |
| 91303 |
|
72 |
72 |
$2.00 |
| J7517 |
Mycophenolate mofetil oral |
31 |
14 |
$1.00 |
| G1004 |
Cdsm ndsc |
24 |
24 |
$1.00 |
| G0124 |
Screen c/v thin layer by md |
429 |
429 |
$0.00 |
| G8979 |
Mobility goal status |
150 |
149 |
$0.00 |
| G8978 |
Mobility current status |
143 |
143 |
$0.00 |
| 76857 |
|
24 |
24 |
$0.00 |
| 99080 |
|
550 |
94 |
$0.00 |
| 0202U |
|
17 |
17 |
$0.00 |
| C8937 |
Cad breast mri |
12 |
12 |
$0.00 |
| C2617 |
Stent, non-cor, tem w/o del |
12 |
12 |
$0.00 |
| 64494 |
|
15 |
12 |
$0.00 |
| G8980 |
Mobility d/c status |
12 |
12 |
$0.00 |
| G8988 |
Self care goal status |
31 |
30 |
$0.00 |
| G8987 |
Self care current status |
28 |
27 |
$0.00 |
| 67320 |
|
12 |
12 |
$0.00 |