| Code | Description | Claims | Beneficiaries | Total Paid |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
33,334 |
28,687 |
$3.15M |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
32,887 |
29,580 |
$2.05M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
16,771 |
14,646 |
$1.89M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
14,883 |
13,449 |
$1.53M |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
1,276 |
1,157 |
$1.11M |
| 96361 |
Intravenous infusion, hydration; each additional hour |
2,728 |
2,014 |
$741K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
6,022 |
4,961 |
$727K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,966 |
2,298 |
$657K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,474 |
1,332 |
$521K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
2,725 |
2,030 |
$354K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
3,293 |
2,729 |
$341K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
1,300 |
936 |
$325K |
| 64615 |
|
1,229 |
1,138 |
$301K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,906 |
1,501 |
$295K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
1,243 |
1,034 |
$282K |
| 20610 |
|
2,119 |
1,617 |
$271K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,689 |
1,459 |
$236K |
| G0378 |
Hospital observation service, per hour |
2,839 |
1,220 |
$209K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,570 |
881 |
$193K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
617 |
496 |
$143K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
410 |
347 |
$137K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
615 |
491 |
$134K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
339 |
285 |
$133K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
579 |
493 |
$130K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,315 |
1,135 |
$126K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
775 |
665 |
$126K |
| 43235 |
|
320 |
264 |
$109K |
| 62323 |
|
290 |
225 |
$107K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
169 |
155 |
$104K |
| 59025 |
Fetal non-stress test |
680 |
502 |
$104K |
| 70496 |
|
457 |
348 |
$100K |
| 31231 |
|
603 |
540 |
$97K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
14,803 |
12,223 |
$94K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
648 |
465 |
$93K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
766 |
669 |
$92K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,012 |
600 |
$89K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
163 |
131 |
$85K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,265 |
1,066 |
$78K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
487 |
397 |
$75K |
| 71046 |
Radiologic examination, chest; 2 views |
6,420 |
5,563 |
$74K |
| 31579 |
|
327 |
300 |
$71K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
420 |
180 |
$65K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
526 |
465 |
$64K |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
592 |
428 |
$62K |
| 93308 |
|
259 |
210 |
$60K |
| 71250 |
|
710 |
623 |
$58K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
722 |
589 |
$57K |
| 82805 |
|
2,264 |
1,791 |
$54K |
| 76642 |
|
421 |
371 |
$49K |
| 72141 |
|
401 |
341 |
$48K |
| 80053 |
Comprehensive metabolic panel |
10,204 |
7,971 |
$48K |
| 76801 |
|
402 |
324 |
$43K |
| 95811 |
|
66 |
58 |
$41K |
| 76770 |
|
348 |
297 |
$40K |
| 31575 |
|
278 |
239 |
$37K |
| 94060 |
|
390 |
340 |
$37K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
201 |
184 |
$36K |
| 92557 |
|
834 |
728 |
$36K |
| 86850 |
|
2,208 |
1,759 |
$35K |
| 93017 |
|
464 |
397 |
$34K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
273 |
254 |
$34K |
| 72100 |
|
2,386 |
2,187 |
$33K |
| 76000 |
|
540 |
396 |
$32K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
845 |
757 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
318 |
282 |
$31K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
9,900 |
8,175 |
$31K |
| 76830 |
Ultrasound, transvaginal |
737 |
632 |
$30K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
861 |
701 |
$29K |
| 74018 |
|
924 |
765 |
$28K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
62 |
50 |
$26K |
| 93971 |
|
349 |
311 |
$25K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
40 |
39 |
$25K |
| 73630 |
|
1,836 |
1,507 |
$25K |
| 86900 |
|
2,587 |
1,909 |
$25K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
31,609 |
26,480 |
$25K |
| C8929 |
Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography |
108 |
74 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
223 |
186 |
$21K |
| 94729 |
|
498 |
437 |
$21K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,103 |
988 |
$21K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
113 |
112 |
$19K |
| 36415 |
Collection of venous blood by venipuncture |
38,605 |
30,609 |
$19K |
| 73030 |
|
1,332 |
1,092 |
$18K |
| 72040 |
|
848 |
726 |
$18K |
| 84484 |
|
6,371 |
4,974 |
$17K |
| 94726 |
|
365 |
324 |
$17K |
| 76536 |
|
195 |
172 |
$16K |
| 73130 |
|
974 |
741 |
$16K |
| 99215 |
Prolong outpt/office vis |
154 |
115 |
$16K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
403 |
323 |
$15K |
| 77080 |
|
255 |
219 |
$15K |
| 70491 |
|
79 |
68 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
180 |
159 |
$15K |
| 70498 |
|
380 |
291 |
$14K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
747 |
568 |
$13K |
| 73562 |
|
925 |
771 |
$13K |
| 71045 |
Radiologic examination, chest; single view |
3,002 |
2,371 |
$12K |
| 85027 |
|
2,789 |
1,982 |
$12K |
| 73610 |
|
1,125 |
939 |
$12K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
11,019 |
9,228 |
$11K |
| 72156 |
|
115 |
93 |
$11K |
| 73560 |
|
944 |
736 |
$10K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
836 |
679 |
$10K |
| 83880 |
|
3,342 |
2,736 |
$8K |
| 73221 |
|
39 |
39 |
$8K |
| 76937 |
|
282 |
192 |
$8K |
| 73502 |
|
754 |
634 |
$8K |
| 80320 |
|
745 |
567 |
$7K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
6,633 |
5,069 |
$7K |
| 82248 |
|
8,693 |
7,034 |
$7K |
| 62329 |
|
17 |
15 |
$7K |
| 77336 |
|
57 |
26 |
$7K |
| 80069 |
|
563 |
391 |
$7K |
| 73110 |
|
612 |
470 |
$6K |
| 97162 |
|
238 |
153 |
$6K |
| 64483 |
|
15 |
12 |
$6K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
40 |
40 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,142 |
1,016 |
$6K |
| 88307 |
|
57 |
38 |
$6K |
| 74183 |
|
30 |
27 |
$6K |
| 86901 |
|
2,579 |
1,908 |
$6K |
| 81001 |
|
8,917 |
7,510 |
$6K |
| 97165 |
|
185 |
126 |
$6K |
| 73564 |
|
739 |
577 |
$6K |
| 93975 |
|
63 |
46 |
$6K |
| 92550 |
|
63 |
56 |
$5K |
| 95976 |
|
56 |
45 |
$5K |
| C8908 |
Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral |
16 |
12 |
$5K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
216 |
70 |
$5K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
8,339 |
6,478 |
$5K |
| 93296 |
|
257 |
247 |
$5K |
| 70486 |
|
78 |
72 |
$5K |
| 83735 |
|
3,993 |
2,915 |
$5K |
| 95816 |
|
37 |
28 |
$5K |
| 51784 |
|
30 |
24 |
$5K |
| 77065 |
Tomosynthesis, mammo |
269 |
216 |
$5K |
| 51728 |
|
30 |
24 |
$4K |
| 85610 |
|
3,081 |
2,410 |
$4K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
37 |
28 |
$4K |
| 72110 |
|
252 |
232 |
$4K |
| 74240 |
|
30 |
25 |
$4K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,987 |
1,586 |
$4K |
| J3490 |
Unclassified drugs |
263 |
143 |
$4K |
| 81003 |
|
2,565 |
2,072 |
$4K |
| J2704 |
Injection, propofol, 10 mg |
11,050 |
5,660 |
$4K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
3,347 |
2,913 |
$4K |
| 72146 |
|
43 |
38 |
$4K |
| 97161 |
|
107 |
80 |
$3K |
| 90715 |
|
260 |
209 |
$3K |
| 49083 |
|
24 |
13 |
$3K |
| 20550 |
|
23 |
14 |
$3K |
| 72131 |
|
78 |
68 |
$3K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
6,625 |
4,476 |
$3K |
| 92567 |
|
570 |
488 |
$3K |
| 73590 |
|
346 |
282 |
$3K |
| 20553 |
|
29 |
26 |
$3K |
| 72082 |
|
198 |
180 |
$3K |
| 83690 |
|
6,290 |
5,091 |
$3K |
| J2800 |
Injection, methocarbamol, up to 10 ml |
817 |
575 |
$3K |
| 77061 |
|
105 |
87 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,053 |
1,535 |
$2K |
| 77062 |
|
79 |
66 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
912 |
745 |
$2K |
| 81025 |
|
5,356 |
4,436 |
$2K |
| 88738 |
|
377 |
332 |
$2K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
3,680 |
1,932 |
$2K |
| 78264 |
|
12 |
12 |
$2K |
| 93970 |
|
13 |
12 |
$2K |
| 72050 |
|
124 |
119 |
$2K |
| 84100 |
|
1,396 |
1,005 |
$2K |
| 96367 |
|
100 |
75 |
$2K |
| 82565 |
|
461 |
387 |
$2K |
| 72070 |
|
123 |
111 |
$2K |
| 86140 |
|
338 |
271 |
$2K |
| 84439 |
|
689 |
558 |
$2K |
| 72170 |
|
391 |
308 |
$2K |
| 84703 |
|
2,235 |
1,797 |
$2K |
| 83605 |
|
2,008 |
1,489 |
$2K |
| 76820 |
|
60 |
30 |
$2K |
| 85730 |
|
1,198 |
981 |
$2K |
| 84702 |
|
543 |
407 |
$2K |
| 73700 |
|
19 |
13 |
$2K |
| 93299 |
|
84 |
82 |
$2K |
| 74455 |
|
12 |
12 |
$2K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
2,500 |
1,633 |
$1K |
| 72157 |
|
39 |
31 |
$1K |
| 96376 |
|
1,096 |
772 |
$1K |
| 01999 |
|
1,015 |
983 |
$1K |
| 87210 |
|
675 |
543 |
$1K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
186 |
148 |
$1K |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
472 |
272 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
196 |
168 |
$1K |
| 77066 |
Tomosynthesis, mammo |
101 |
79 |
$1K |
| 73620 |
|
105 |
87 |
$1K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
5,768 |
4,525 |
$1K |
| 87077 |
|
597 |
498 |
$1K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
4,289 |
3,291 |
$969.37 |
| 97166 |
|
50 |
36 |
$948.98 |
| 51798 |
|
107 |
90 |
$915.82 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
4,528 |
3,823 |
$859.14 |
| 73552 |
|
124 |
92 |
$849.14 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
4,831 |
3,595 |
$843.14 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
7,224 |
4,884 |
$820.04 |
| 97535 |
Self-care/home management training, each 15 minutes |
32 |
14 |
$818.59 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
18 |
12 |
$771.02 |
| J1644 |
Injection, heparin sodium, per 1000 units |
1,801 |
740 |
$738.19 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
2,067 |
1,735 |
$697.59 |
| 93922 |
|
16 |
15 |
$693.31 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
777 |
487 |
$685.36 |
| Q3014 |
Telehealth originating site facility fee |
286 |
213 |
$653.18 |
| 73600 |
|
14 |
14 |
$637.55 |
| C1769 |
Guide wire |
467 |
297 |
$622.46 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
5,631 |
4,371 |
$617.08 |
| 43450 |
|
149 |
141 |
$608.49 |
| 87186 |
|
538 |
420 |
$545.47 |
| 85379 |
|
636 |
539 |
$535.26 |
| 88342 |
|
1,494 |
1,326 |
$484.81 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
133 |
106 |
$469.87 |
| 85652 |
|
342 |
267 |
$461.50 |
| 84520 |
|
269 |
221 |
$443.27 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,153 |
827 |
$439.62 |
| 97116 |
|
28 |
12 |
$435.96 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,872 |
2,017 |
$429.93 |
| 82330 |
|
478 |
380 |
$426.48 |
| 73070 |
|
39 |
29 |
$426.15 |
| 00731 |
|
570 |
465 |
$411.08 |
| 87040 |
|
345 |
225 |
$392.07 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
54 |
51 |
$383.81 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
955 |
616 |
$332.46 |
| 00811 |
|
266 |
199 |
$331.68 |
| 84132 |
|
544 |
425 |
$312.58 |
| 51705 |
|
21 |
15 |
$290.62 |
| 85014 |
|
612 |
474 |
$285.03 |
| 51702 |
|
46 |
37 |
$259.90 |
| J7050 |
Infusion, normal saline solution, 250 cc |
1,902 |
1,065 |
$257.60 |
| 88341 |
|
44 |
29 |
$256.89 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
618 |
404 |
$253.92 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,576 |
1,269 |
$248.17 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
421 |
121 |
$237.81 |
| 80329 |
|
319 |
257 |
$231.99 |
| 85018 |
|
652 |
499 |
$218.51 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
219 |
111 |
$213.12 |
| J1720 |
Injection, hydrocortisone sodium succinate, up to 100 mg |
728 |
621 |
$198.57 |
| U0005 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
61 |
60 |
$196.14 |
| 82550 |
|
165 |
106 |
$193.92 |
| 92504 |
|
878 |
742 |
$187.31 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
250 |
152 |
$181.52 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
139 |
106 |
$176.74 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
54 |
31 |
$171.86 |
| 86780 |
|
30 |
24 |
$164.53 |
| 36591 |
|
18 |
15 |
$146.29 |
| 82607 |
|
44 |
32 |
$145.97 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
891 |
643 |
$143.53 |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
846 |
599 |
$137.77 |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
34 |
26 |
$133.66 |
| 82947 |
|
448 |
359 |
$112.30 |
| J1790 |
Injection, droperidol, up to 5 mg |
702 |
531 |
$111.14 |
| 87070 |
|
341 |
267 |
$99.38 |
| 84295 |
|
433 |
349 |
$89.60 |
| 88304 |
|
62 |
41 |
$77.53 |
| J2543 |
Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) |
20 |
13 |
$77.27 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
1,373 |
1,164 |
$70.07 |
| 87205 |
|
265 |
207 |
$69.47 |
| C9113 |
Injection, pantoprazole sodium, per vial |
28 |
13 |
$67.51 |
| G2066 |
Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results |
44 |
41 |
$63.03 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
286 |
184 |
$57.75 |
| 82746 |
|
31 |
27 |
$56.71 |
| Q9956 |
Injection, octafluoropropane microspheres, per ml |
176 |
137 |
$55.36 |
| 82040 |
|
15 |
13 |
$55.36 |
| J2370 |
Injection, phenylephrine hcl, up to 1 ml |
392 |
230 |
$55.02 |
| 80061 |
Lipid panel |
21 |
15 |
$53.99 |
| 82570 |
|
34 |
24 |
$52.11 |
| J1596 |
Injection, glycopyrrolate, 0.1 mg |
617 |
377 |
$45.94 |
| Q9965 |
Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml |
132 |
97 |
$43.17 |
| J2060 |
Injection, lorazepam, 2 mg |
141 |
109 |
$35.30 |
| J3480 |
Injection, potassium chloride, per 2 meq |
143 |
89 |
$34.92 |
| J2371 |
Injection, phenylephrine hydrochloride, 20 micrograms |
992 |
574 |
$31.18 |
| 95886 |
|
86 |
75 |
$29.62 |
| J1815 |
Injection, insulin, per 5 units |
88 |
39 |
$29.12 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
116 |
82 |
$21.97 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
46 |
36 |
$20.32 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
699 |
629 |
$19.95 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
322 |
163 |
$19.69 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
66 |
25 |
$15.28 |
| 73060 |
|
17 |
13 |
$13.07 |
| 69210 |
|
13 |
13 |
$11.69 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
277 |
182 |
$11.27 |
| 89051 |
|
116 |
93 |
$10.34 |
| J0688 |
Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg |
55 |
43 |
$9.06 |
| 36416 |
|
367 |
262 |
$6.25 |
| S0028 |
Injection, famotidine, 20 mg |
207 |
159 |
$4.23 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
1,457 |
1,143 |
$4.17 |
| J2785 |
Injection, regadenoson, 0.1 mg |
193 |
159 |
$2.31 |
| 84157 |
|
52 |
47 |
$0.79 |
| 82945 |
|
51 |
46 |
$0.79 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
87 |
81 |
$0.10 |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
12 |
12 |
$0.00 |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
77 |
58 |
$0.00 |
| 77077 |
|
44 |
44 |
$0.00 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
18 |
15 |
$0.00 |
| 00300 |
|
24 |
14 |
$0.00 |
| 00840 |
|
52 |
26 |
$0.00 |
| 01630 |
|
18 |
12 |
$0.00 |
| 73140 |
|
17 |
12 |
$0.00 |
| C1776 |
Joint device (implantable) |
14 |
12 |
$0.00 |
| J1580 |
Injection, garamycin, gentamicin, up to 80 mg |
15 |
13 |
$0.00 |
| 01400 |
|
90 |
54 |
$0.00 |
| 94760 |
|
76 |
42 |
$0.00 |
| 73090 |
|
13 |
12 |
$0.00 |
| 87015 |
|
92 |
73 |
$0.00 |
| C1726 |
Catheter, balloon dilatation, non-vascular |
51 |
31 |
$0.00 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
52 |
37 |
$0.00 |
| 00813 |
|
16 |
12 |
$0.00 |
| 82435 |
|
17 |
13 |
$0.00 |