| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
128,922 |
121,138 |
$14.97M |
| 96361 |
|
43,004 |
37,132 |
$13.26M |
| 99285 |
|
97,657 |
89,330 |
$7.62M |
| 99284 |
|
79,663 |
74,239 |
$7.08M |
| 74177 |
|
22,845 |
21,815 |
$4.15M |
| 99282 |
|
31,839 |
30,696 |
$3.59M |
| 70450 |
|
15,888 |
15,174 |
$2.26M |
| G0463 |
Hospital outpt clinic visit |
29,913 |
18,920 |
$1.39M |
| 74176 |
|
7,975 |
7,616 |
$1.38M |
| 96360 |
|
10,770 |
10,294 |
$1.27M |
| 96365 |
|
12,594 |
11,840 |
$1.12M |
| 96366 |
|
4,499 |
3,687 |
$1.01M |
| 59025 |
|
6,909 |
5,374 |
$965K |
| 95810 |
|
1,916 |
1,888 |
$897K |
| 71275 |
|
5,386 |
5,169 |
$847K |
| 12001 |
|
3,410 |
3,341 |
$645K |
| 87635 |
|
17,661 |
16,779 |
$628K |
| 76705 |
|
7,537 |
7,119 |
$602K |
| 78815 |
|
980 |
968 |
$561K |
| 70496 |
|
3,162 |
3,060 |
$547K |
| 10060 |
|
3,033 |
2,926 |
$545K |
| 80307 |
|
20,173 |
15,851 |
$505K |
| 80053 |
|
118,149 |
103,627 |
$460K |
| 97110 |
|
21,492 |
6,325 |
$446K |
| 12011 |
|
2,155 |
2,122 |
$440K |
| 97530 |
|
15,966 |
6,036 |
$432K |
| J0475 |
Baclofen 10 mg injection |
1,733 |
1,636 |
$373K |
| 76856 |
|
5,623 |
5,392 |
$352K |
| 93971 |
|
4,186 |
4,013 |
$351K |
| 76830 |
|
4,540 |
4,334 |
$351K |
| 99281 |
|
3,504 |
3,338 |
$345K |
| U0003 |
Cov-19 amp prb hgh thruput |
4,466 |
4,211 |
$343K |
| 95800 |
|
1,395 |
1,390 |
$342K |
| 64493 |
|
670 |
652 |
$336K |
| 12002 |
|
1,584 |
1,551 |
$286K |
| 29125 |
|
2,030 |
1,931 |
$247K |
| 70491 |
|
1,637 |
1,588 |
$243K |
| 97130 |
|
1,535 |
643 |
$215K |
| 97127 |
|
730 |
267 |
$210K |
| 70551 |
|
1,273 |
1,226 |
$201K |
| 95811 |
|
480 |
469 |
$197K |
| 84484 |
|
45,664 |
34,474 |
$188K |
| 97112 |
|
7,925 |
3,480 |
$183K |
| 64635 |
|
469 |
332 |
$176K |
| 76801 |
|
4,861 |
4,373 |
$176K |
| 93306 |
|
691 |
668 |
$176K |
| 92507 |
|
6,072 |
2,262 |
$158K |
| 29581 |
|
1,219 |
484 |
$143K |
| 78452 |
|
333 |
324 |
$140K |
| 97535 |
|
4,799 |
2,614 |
$140K |
| 97140 |
|
5,292 |
1,763 |
$134K |
| 62369 |
|
1,705 |
1,606 |
$122K |
| 49083 |
|
304 |
140 |
$114K |
| 93970 |
|
1,140 |
1,096 |
$107K |
| 76770 |
|
1,074 |
1,028 |
$101K |
| G0378 |
Hospital observation per hr |
13,211 |
6,366 |
$98K |
| 83605 |
|
23,793 |
21,583 |
$97K |
| 76870 |
|
1,153 |
1,096 |
$96K |
| 87636 |
|
30,990 |
29,723 |
$95K |
| 87591 |
|
11,133 |
10,654 |
$95K |
| 76817 |
|
4,229 |
3,844 |
$90K |
| 93005 |
|
60,619 |
52,102 |
$84K |
| 97597 |
|
1,828 |
1,244 |
$82K |
| 64400 |
|
292 |
280 |
$81K |
| 99291 |
|
1,804 |
1,725 |
$80K |
| 70498 |
|
3,279 |
3,177 |
$77K |
| 95806 |
|
144 |
143 |
$76K |
| 94640 |
|
10,450 |
9,610 |
$75K |
| 88175 |
|
4,987 |
4,827 |
$73K |
| 70553 |
|
319 |
310 |
$72K |
| 72125 |
|
4,837 |
4,677 |
$72K |
| 76815 |
|
1,809 |
1,694 |
$65K |
| 70486 |
|
2,215 |
2,150 |
$63K |
| 92609 |
|
1,460 |
557 |
$62K |
| G0108 |
Diab manage trn per indiv |
2,199 |
1,797 |
$61K |
| 80048 |
|
16,069 |
13,082 |
$61K |
| 11042 |
|
444 |
250 |
$59K |
| 97116 |
|
4,240 |
2,018 |
$59K |
| 97162 |
|
1,883 |
1,795 |
$57K |
| 83880 |
|
12,400 |
11,470 |
$57K |
| 87040 |
|
10,320 |
5,891 |
$56K |
| 71260 |
|
2,350 |
2,285 |
$53K |
| 85379 |
|
12,886 |
12,342 |
$51K |
| 64494 |
|
739 |
615 |
$51K |
| 29515 |
|
548 |
527 |
$51K |
| 29848 |
|
37 |
36 |
$50K |
| 64483 |
|
112 |
107 |
$50K |
| 96374 |
|
74,874 |
67,396 |
$48K |
| 70487 |
|
280 |
277 |
$47K |
| 52356 |
|
24 |
24 |
$47K |
| 88305 |
|
5,929 |
4,851 |
$47K |
| 43239 |
|
141 |
138 |
$44K |
| 75574 |
|
214 |
209 |
$43K |
| 87400 |
|
4,480 |
2,203 |
$42K |
| 69209 |
|
414 |
409 |
$41K |
| 90715 |
|
2,289 |
2,241 |
$41K |
| 71046 |
|
33,643 |
31,970 |
$41K |
| 90714 |
|
2,357 |
2,316 |
$40K |
| 87631 |
|
922 |
887 |
$36K |
| 93017 |
|
332 |
326 |
$34K |
| 47562 |
|
13 |
13 |
$33K |
| 85025 |
|
147,875 |
126,983 |
$33K |
| 72131 |
|
996 |
975 |
$33K |
| 44970 |
|
12 |
12 |
$31K |
| 86756 |
|
5,244 |
5,090 |
$30K |
| 87624 |
|
2,020 |
1,963 |
$28K |
| 97166 |
|
865 |
823 |
$28K |
| 87633 |
|
594 |
583 |
$28K |
| J0561 |
Penicillin g benzathine inj |
414 |
405 |
$22K |
| 16020 |
|
228 |
209 |
$22K |
| 80143 |
|
6,310 |
5,813 |
$22K |
| 71045 |
|
25,283 |
23,702 |
$22K |
| 97803 |
|
551 |
431 |
$22K |
| 0002A |
|
562 |
561 |
$21K |
| 87505 |
|
376 |
359 |
$20K |
| 36415 |
|
32,897 |
24,576 |
$19K |
| 96375 |
|
54,660 |
47,040 |
$19K |
| 84145 |
|
2,078 |
1,973 |
$19K |
| 0001A |
|
659 |
657 |
$19K |
| 10061 |
|
137 |
133 |
$18K |
| 74175 |
|
94 |
90 |
$16K |
| 29105 |
|
285 |
277 |
$15K |
| 96372 |
|
25,261 |
20,902 |
$15K |
| 82247 |
|
18,889 |
17,447 |
$14K |
| 71250 |
|
343 |
333 |
$13K |
| 36430 |
|
69 |
61 |
$13K |
| 97129 |
|
1,549 |
647 |
$13K |
| 87491 |
|
11,122 |
10,642 |
$12K |
| 72148 |
|
116 |
115 |
$12K |
| J3490 |
Drugs unclassified injection |
539 |
490 |
$11K |
| 87661 |
|
3,788 |
3,706 |
$11K |
| 95819 |
|
52 |
51 |
$11K |
| 80179 |
|
6,182 |
5,748 |
$11K |
| 0012A |
|
293 |
293 |
$11K |
| 51702 |
|
983 |
893 |
$10K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
39,179 |
36,613 |
$10K |
| 88307 |
|
719 |
614 |
$10K |
| 80050 |
|
1,791 |
1,759 |
$10K |
| 73630 |
|
7,174 |
6,853 |
$9K |
| 74018 |
|
3,440 |
3,276 |
$9K |
| 95813 |
|
27 |
27 |
$9K |
| J1885 |
Ketorolac tromethamine inj |
39,574 |
36,510 |
$8K |
| 76937 |
|
225 |
210 |
$8K |
| 97802 |
|
112 |
110 |
$8K |
| 73130 |
|
6,223 |
5,885 |
$8K |
| 73610 |
|
6,740 |
6,439 |
$8K |
| 87420 |
|
564 |
547 |
$8K |
| J2405 |
Ondansetron hcl injection |
48,880 |
42,449 |
$7K |
| 36592 |
|
50,458 |
45,917 |
$7K |
| 73562 |
|
5,690 |
5,417 |
$7K |
| 74420 |
|
46 |
43 |
$7K |
| 85027 |
|
7,060 |
6,042 |
$7K |
| 90471 |
|
5,141 |
5,023 |
$6K |
| 72193 |
|
38 |
36 |
$6K |
| 62323 |
|
12 |
12 |
$6K |
| 87086 |
|
26,600 |
24,755 |
$6K |
| E0604 |
Hosp grade elec breast pump |
80 |
78 |
$5K |
| 93798 |
|
887 |
241 |
$5K |
| 83735 |
|
9,624 |
8,226 |
$5K |
| 84703 |
|
20,352 |
18,666 |
$5K |
| 84702 |
|
14,567 |
12,474 |
$5K |
| 86140 |
|
23,792 |
22,002 |
$5K |
| 72128 |
|
234 |
227 |
$5K |
| 12013 |
|
37 |
36 |
$5K |
| 73701 |
|
27 |
26 |
$5K |
| 80061 |
|
1,896 |
1,689 |
$5K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,724 |
1,601 |
$5K |
| 81025 |
|
27,908 |
26,120 |
$5K |
| 88304 |
|
1,956 |
1,774 |
$5K |
| 93797 |
|
975 |
306 |
$4K |
| 73030 |
|
5,001 |
4,642 |
$4K |
| 84443 |
|
4,004 |
3,687 |
$4K |
| J2270 |
Morphine sulfate injection |
17,584 |
14,508 |
$4K |
| P9016 |
Rbc leukocytes reduced |
50 |
42 |
$4K |
| 72100 |
|
3,327 |
3,207 |
$4K |
| A9552 |
F18 fdg |
1,110 |
1,092 |
$4K |
| 73110 |
|
4,724 |
4,445 |
$4K |
| 73700 |
|
65 |
65 |
$4K |
| 82803 |
|
20,142 |
17,283 |
$4K |
| 77001 |
|
68 |
64 |
$4K |
| 0011A |
|
153 |
152 |
$4K |
| 83036 |
|
2,550 |
2,375 |
$4K |
| 76816 |
|
118 |
108 |
$4K |
| 81003 |
|
58,420 |
54,223 |
$4K |
| 81001 |
|
30,563 |
28,165 |
$4K |
| 76536 |
|
43 |
42 |
$4K |
| J0696 |
Ceftriaxone sodium injection |
15,153 |
13,381 |
$3K |
| 82962 |
|
12,746 |
6,783 |
$3K |
| 74230 |
|
57 |
52 |
$3K |
| J1170 |
Hydromorphone injection |
19,919 |
14,976 |
$3K |
| J2310 |
Inj naloxone hydrochloride |
76 |
52 |
$3K |
| 85610 |
|
26,360 |
18,771 |
$3K |
| 73502 |
|
2,446 |
2,364 |
$3K |
| 80051 |
|
20,443 |
19,210 |
$3K |
| 96376 |
|
18,059 |
13,714 |
$3K |
| 83690 |
|
19,618 |
17,866 |
$3K |
| 87637 |
|
2,239 |
2,199 |
$3K |
| 96367 |
|
719 |
676 |
$2K |
| 87186 |
|
8,651 |
8,068 |
$2K |
| 82553 |
|
401 |
382 |
$2K |
| 73080 |
|
2,528 |
2,427 |
$2K |
| 82550 |
|
22,747 |
21,160 |
$2K |
| 73590 |
|
2,299 |
2,150 |
$2K |
| 90686 |
|
206 |
203 |
$2K |
| 88342 |
|
570 |
538 |
$2K |
| 87880 |
|
12,291 |
11,893 |
$2K |
| 64636 |
|
452 |
317 |
$2K |
| 97167 |
|
45 |
43 |
$2K |
| J1200 |
Diphenhydramine hcl injectio |
13,085 |
11,793 |
$2K |
| 85652 |
|
3,226 |
3,005 |
$2K |
| 74022 |
|
746 |
697 |
$2K |
| 97165 |
|
44 |
41 |
$2K |
| 86901 |
|
5,769 |
5,294 |
$2K |
| 72040 |
|
1,061 |
1,043 |
$2K |
| 82077 |
|
9,451 |
8,274 |
$2K |
| 82248 |
|
662 |
535 |
$2K |
| 86900 |
|
5,148 |
4,796 |
$2K |
| 99152 |
|
4,609 |
4,143 |
$2K |
| 86780 |
|
874 |
862 |
$2K |
| 92523 |
|
13 |
13 |
$2K |
| 87801 |
|
3,802 |
3,721 |
$2K |
| 82075 |
|
2,528 |
2,297 |
$2K |
| 73090 |
|
2,279 |
2,060 |
$2K |
| 73140 |
|
2,550 |
2,424 |
$2K |
| 82565 |
|
20,674 |
19,411 |
$2K |
| U0002 |
Covid-19 lab test non-cdc |
302 |
285 |
$2K |
| 82150 |
|
17,567 |
16,665 |
$2K |
| 86850 |
|
3,776 |
3,525 |
$2K |
| 82977 |
|
17,537 |
16,629 |
$1K |
| 85014 |
|
1,978 |
1,399 |
$1K |
| A4649 |
Surgical supplies |
3,097 |
2,788 |
$1K |
| 86923 |
|
168 |
150 |
$1K |
| 81002 |
|
2,475 |
2,199 |
$1K |
| 87070 |
|
9,043 |
8,428 |
$1K |
| 84100 |
|
1,836 |
1,341 |
$1K |
| 80305 |
|
7,208 |
6,859 |
$1K |
| J2765 |
Metoclopramide hcl injection |
11,096 |
10,119 |
$1K |
| J1100 |
Dexamethasone sodium phos |
13,608 |
12,454 |
$1K |
| 73560 |
|
596 |
552 |
$1K |
| 76819 |
|
32 |
26 |
$1K |
| J2060 |
Lorazepam injection |
6,652 |
5,825 |
$1K |
| 87804 |
|
4,201 |
4,081 |
$1K |
| 97542 |
|
54 |
52 |
$1K |
| J1630 |
Haloperidol injection |
4,588 |
4,072 |
$990.64 |
| 87808 |
|
3,062 |
2,922 |
$978.85 |
| 51798 |
|
606 |
526 |
$965.58 |
| J2250 |
Inj midazolam hydrochloride |
13,625 |
12,414 |
$921.03 |
| 82947 |
|
20,739 |
19,498 |
$917.53 |
| 80076 |
|
475 |
410 |
$888.33 |
| 87481 |
|
4,449 |
3,705 |
$878.82 |
| J2930 |
Methylprednisolone injection |
3,829 |
3,513 |
$871.59 |
| 87205 |
|
7,425 |
6,914 |
$866.11 |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
61 |
59 |
$827.60 |
| 84075 |
|
17,374 |
16,505 |
$826.84 |
| J3010 |
Fentanyl citrate injection |
15,467 |
13,742 |
$810.52 |
| 84450 |
|
17,422 |
16,523 |
$806.53 |
| 90674 |
|
75 |
75 |
$802.22 |
| 84460 |
|
17,421 |
16,520 |
$800.59 |
| 84439 |
|
825 |
747 |
$798.70 |
| 82040 |
|
17,456 |
16,554 |
$784.11 |
| J7512 |
Prednisone ir or dr oral 1mg |
6,301 |
4,690 |
$775.34 |
| J1790 |
Droperidol injection |
2,353 |
2,156 |
$766.31 |
| 36416 |
|
10,499 |
9,004 |
$763.57 |
| 84520 |
|
20,646 |
19,399 |
$762.74 |
| 73660 |
|
425 |
410 |
$708.20 |
| J2704 |
Inj, propofol, 10 mg |
11,902 |
11,061 |
$700.61 |
| 99153 |
Mod sedat endo service >5yrs |
2,200 |
1,999 |
$691.42 |
| 71101 |
|
1,500 |
1,464 |
$690.65 |
| 73552 |
|
357 |
339 |
$688.43 |
| 84155 |
|
17,431 |
16,526 |
$666.12 |
| 92611 |
|
29 |
24 |
$627.03 |
| C1729 |
Cath, drainage |
1,518 |
824 |
$609.20 |
| J7120 |
Ringers lactate infusion |
15,338 |
13,697 |
$584.52 |
| J0500 |
Dicyclomine injection |
117 |
114 |
$572.15 |
| 87641 |
|
86 |
84 |
$560.02 |
| 97161 |
|
13 |
13 |
$541.99 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
1,222 |
930 |
$532.01 |
| 82570 |
|
690 |
599 |
$523.98 |
| C8929 |
Tte w or wo fol wcon,doppler |
13 |
13 |
$510.49 |
| 85018 |
|
1,014 |
677 |
$493.69 |
| 87430 |
|
1,727 |
1,654 |
$492.96 |
| 82728 |
|
257 |
237 |
$481.52 |
| 87088 |
|
3,541 |
3,331 |
$434.79 |
| 85730 |
|
3,721 |
3,436 |
$432.02 |
| 72170 |
|
455 |
444 |
$401.44 |
| J3475 |
Inj magnesium sulfate |
3,065 |
2,712 |
$363.75 |
| 72220 |
|
12 |
12 |
$356.55 |
| A9579 |
Gad-base mr contrast nos,1ml |
821 |
785 |
$356.34 |
| J3370 |
Vancomycin hcl injection |
2,522 |
1,656 |
$339.46 |
| 80074 |
|
313 |
308 |
$325.88 |
| 92610 |
|
12 |
12 |
$319.06 |
| 96368 |
|
442 |
433 |
$315.63 |
| 97760 |
|
15 |
12 |
$313.20 |
| J0780 |
Prochlorperazine injection |
3,552 |
3,329 |
$303.60 |
| 86308 |
|
1,515 |
1,484 |
$287.08 |
| 84132 |
|
695 |
611 |
$281.24 |
| A9500 |
Tc99m sestamibi |
164 |
159 |
$271.76 |
| C1894 |
Intro/sheath, non-laser |
1,810 |
1,521 |
$265.50 |
| 88142 |
|
17 |
16 |
$261.59 |
| 82010 |
|
1,818 |
1,649 |
$248.86 |
| 84156 |
|
536 |
453 |
$244.72 |
| 87077 |
|
2,153 |
2,000 |
$234.44 |
| J8540 |
Oral dexamethasone |
7,070 |
5,732 |
$227.27 |
| 73060 |
|
466 |
452 |
$217.19 |
| C1769 |
Guide wire |
2,551 |
2,355 |
$209.35 |
| 87529 |
|
41 |
40 |
$198.13 |
| 72070 |
|
122 |
120 |
$190.60 |
| J0330 |
Succinycholine chloride inj |
2,157 |
2,058 |
$187.28 |
| 82607 |
|
114 |
105 |
$184.31 |
| 83550 |
|
155 |
144 |
$179.33 |
| 87149 |
|
406 |
277 |
$177.05 |
| 83540 |
|
208 |
193 |
$173.98 |
| J1644 |
Inj heparin sodium per 1000u |
10,226 |
5,073 |
$172.80 |
| J2710 |
Neostigmine methylslfte inj |
2,842 |
2,460 |
$161.13 |
| A9585 |
Gadobutrol injection |
438 |
400 |
$159.30 |
| 82731 |
|
15 |
14 |
$148.67 |
| 84550 |
|
473 |
406 |
$138.34 |
| 85007 |
|
1,033 |
949 |
$133.82 |
| 87389 |
|
286 |
246 |
$130.10 |
| J1815 |
Insulin injection |
4,780 |
2,515 |
$106.95 |
| J1940 |
Furosemide injection |
1,944 |
1,621 |
$104.22 |
| 70360 |
|
42 |
41 |
$97.54 |
| J0153 |
Adenosine inj 1mg |
146 |
135 |
$93.54 |
| 73070 |
|
84 |
80 |
$85.59 |
| A9541 |
Tc99m sulfur colloid |
24 |
24 |
$84.77 |
| J0171 |
Adrenalin epinephrine inject |
326 |
304 |
$81.03 |
| J1650 |
Inj enoxaparin sodium |
2,310 |
1,244 |
$79.75 |
| 82270 |
|
958 |
926 |
$77.03 |
| 82306 |
|
34 |
25 |
$75.67 |
| J2543 |
Piperacillin/tazobactam |
251 |
165 |
$74.38 |
| 72072 |
|
39 |
39 |
$69.82 |
| J3480 |
Inj potassium chloride |
1,276 |
986 |
$69.06 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
452 |
351 |
$65.23 |
| 85049 |
|
27 |
27 |
$64.51 |
| J0690 |
Cefazolin sodium injection |
6,734 |
5,853 |
$64.39 |
| J0694 |
Cefoxitin sodium injection |
573 |
336 |
$54.99 |
| J7060 |
5% dextrose/water |
617 |
363 |
$45.91 |
| 87510 |
|
14 |
12 |
$44.40 |
| 87660 |
|
14 |
12 |
$44.40 |
| 73000 |
|
43 |
42 |
$43.24 |
| C1751 |
Cath, inf, per/cent/midline |
241 |
221 |
$37.99 |
| 87493 |
|
129 |
122 |
$37.85 |
| J3360 |
Diazepam injection |
1,365 |
1,271 |
$35.51 |
| 94761 |
|
1,080 |
924 |
$34.25 |
| C9113 |
Inj pantoprazole sodium, via |
557 |
385 |
$33.84 |
| J0702 |
Betamethasone acet&sod phosp |
686 |
563 |
$33.62 |
| 86803 |
|
82 |
70 |
$31.50 |
| 87651 |
|
241 |
236 |
$31.19 |
| 82140 |
|
41 |
39 |
$26.13 |
| 84295 |
|
113 |
104 |
$20.89 |
| 82330 |
|
45 |
39 |
$20.22 |
| 87806 |
|
454 |
448 |
$19.04 |
| J1642 |
Inj heparin sodium per 10 u |
399 |
308 |
$18.09 |
| C1887 |
Catheter, guiding |
306 |
256 |
$15.02 |
| J2550 |
Promethazine hcl injection |
1,169 |
1,093 |
$13.96 |
| 82746 |
|
26 |
25 |
$12.86 |
| 83615 |
|
73 |
54 |
$11.86 |
| 82365 |
|
13 |
12 |
$9.14 |
| J1030 |
Methylprednisolone 40 mg inj |
619 |
498 |
$8.95 |
| 82805 |
|
61 |
50 |
$8.68 |
| J2370 |
Phenylephrine hcl injection |
795 |
740 |
$7.34 |
| 87449 |
|
13 |
13 |
$7.32 |
| 87209 |
|
16 |
13 |
$7.24 |
| 87184 |
|
113 |
106 |
$7.22 |
| 87081 |
|
30 |
24 |
$6.76 |
| 87045 |
|
14 |
13 |
$6.72 |
| A4314 |
Cath w/drainage 2-way latex |
273 |
261 |
$6.01 |
| 87427 |
|
14 |
13 |
$3.66 |
| 87177 |
|
16 |
13 |
$3.62 |
| J2919 |
Inj, methylpred sod succ 5mg |
613 |
552 |
$3.61 |
| J3411 |
Thiamine hcl 100 mg |
449 |
327 |
$3.43 |
| 89051 |
|
339 |
228 |
$2.50 |
| J0689 |
Inj cefazolin sodium, baxter |
132 |
122 |
$1.18 |
| J0456 |
Azithromycin |
200 |
185 |
$1.14 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
1,511 |
1,369 |
$0.94 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
721 |
701 |
$0.83 |
| 94760 |
|
138 |
124 |
$0.70 |
| A4351 |
Straight tip urine catheter |
667 |
629 |
$0.33 |
| Q9969 |
Non-heu tc-99m add-on/dose |
378 |
361 |
$0.28 |
| J0744 |
Ciprofloxacin iv |
77 |
74 |
$0.28 |
| J1920 |
Inj, labetalol hcl, 5mg |
260 |
237 |
$0.00 |
| C2617 |
Stent, non-cor, tem w/o del |
64 |
60 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
232 |
225 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
626 |
517 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
113 |
69 |
$0.00 |
| 87480 |
|
14 |
12 |
$0.00 |
| J1836 |
Inj, metronidazole, 10 mg |
310 |
245 |
$0.00 |
| 91301 |
|
459 |
454 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
597 |
531 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
15 |
14 |
$0.00 |
| G8988 |
Self care goal status |
55 |
53 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
44 |
31 |
$0.00 |
| G8987 |
Self care current status |
29 |
27 |
$0.00 |
| J7999 |
Compounded drug, noc |
68 |
64 |
$0.00 |
| A4338 |
Indwelling catheter latex |
53 |
51 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
64 |
51 |
$0.00 |
| J7042 |
5% dextrose/normal saline |
20 |
12 |
$0.00 |
| 64484 |
|
12 |
12 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
27 |
27 |
$0.00 |
| 87340 |
|
33 |
27 |
$0.00 |
| 82435 |
|
14 |
12 |
$0.00 |
| G0008 |
Admin influenza virus vac |
12 |
12 |
$0.00 |
| 86706 |
|
13 |
13 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
109 |
99 |
$0.00 |
| G1004 |
Cdsm ndsc |
22,234 |
18,805 |
$0.00 |
| G8979 |
Mobility goal status |
215 |
199 |
$0.00 |
| G8978 |
Mobility current status |
184 |
174 |
$0.00 |
| C1758 |
Catheter, ureteral |
92 |
89 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
180 |
175 |
$0.00 |
| C1760 |
Closure dev, vasc |
89 |
86 |
$0.00 |
| J3371 |
Inj, vancomycin hcl (mylan) |
36 |
27 |
$0.00 |
| 87210 |
|
29 |
25 |
$0.00 |
| 91300 |
|
1,184 |
1,069 |
$0.00 |
| G0390 |
Trauma respons w/hosp criti |
24 |
24 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
343 |
333 |
$0.00 |
| J1953 |
Levetiracetam injection |
77 |
53 |
$0.00 |
| 0225U |
|
25 |
25 |
$0.00 |
| A4565 |
Slings |
12 |
12 |
$0.00 |
| J0692 |
Cefepime hcl for injection |
40 |
26 |
$0.00 |
| J0737 |
Inj, clindamycin (baxter) |
17 |
15 |
$0.00 |
| J1956 |
Levofloxacin injection |
32 |
30 |
$0.00 |
| G0500 |
Mod sedat endo service >5yrs |
13 |
12 |
$0.00 |
| 88112 |
|
14 |
12 |
$0.00 |
| C1776 |
Joint device (implantable) |
13 |
13 |
$0.00 |
| C2625 |
Stent, non-cor, tem w/del sy |
14 |
12 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
100 |
99 |
$0.00 |