Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OH › AKRON › CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON

CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON

NPI: 1861506560 · AKRON, OH 44308 · 282NC2000X

$556.65M
Total Medicaid Paid
6,634,271
Total Claims
5,639,593
Beneficiaries
717
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 627,653 $40.13M
2019 706,416 $43.44M
2020 598,283 $55.74M
2021 670,508 $65.08M
2022 726,281 $67.62M
2023 1,880,867 $147.39M
2024 1,424,263 $137.25M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 991,232 879,763 $146.97M
99214 349,258 315,856 $56.74M
99392 217,031 203,330 $30.19M
99391 215,592 198,126 $28.95M
99284 162,047 149,259 $27.52M
99283 160,882 150,111 $24.35M
99393 121,188 112,823 $16.64M
92551 142,134 131,235 $12.96M
69436 5,730 4,894 $10.64M
99215 Prolong outpt/office vis 61,517 54,598 $10.11M
99285 47,882 41,258 $9.43M
99212 60,486 53,894 $8.57M
99394 53,877 48,501 $7.43M
97530 58,158 24,561 $6.13M
97110 44,510 18,012 $5.54M
U0003 Cov-19 amp prb hgh thruput 21,560 21,078 $5.33M
90834 26,009 17,186 $5.23M
42820 3,361 2,767 $5.20M
94640 33,441 16,696 $4.84M
96361 8,598 5,909 $4.80M
87633 22,080 19,292 $3.90M
92507 33,594 14,637 $3.69M
D2930 4,889 4,007 $3.63M
J0585 Injection,onabotulinumtoxina 1,621 1,312 $2.92M
G0378 Hospital observation per hr 28,158 12,669 $2.82M
99282 19,297 18,118 $2.82M
93306 5,994 5,533 $2.63M
67311 808 647 $2.55M
90471 335,448 310,343 $2.52M
76816 14,065 11,628 $2.52M
D7140 4,463 3,690 $2.45M
76770 9,722 9,011 $2.45M
70450 3,572 2,959 $1.84M
76819 12,762 6,803 $1.81M
93325 13,329 12,184 $1.79M
96360 4,858 3,458 $1.79M
96110 6,078 5,946 $1.77M
43239 2,584 2,086 $1.77M
90839 8,979 8,004 $1.75M
42830 1,253 1,019 $1.70M
90899 12,528 1,941 $1.69M
95812 1,239 1,108 $1.63M
90791 4,939 4,211 $1.59M
96365 5,595 3,748 $1.53M
93303 3,375 3,015 $1.51M
97803 11,833 10,231 $1.37M
90686 145,580 133,522 $1.36M
92567 29,352 27,237 $1.14M
95004 10,049 9,379 $1.12M
95810 1,010 921 $1.10M
54150 665 584 $1.06M
D3220 2,017 1,626 $1.06M
93304 2,140 1,952 $1.05M
90670 102,394 95,034 $1.01M
Q5103 Injection, inflectra 1,432 659 $969K
76811 5,664 5,237 $965K
A0427 Als1-emergency 5,512 5,131 $936K
97140 10,092 4,670 $928K
95716 713 624 $920K
A0425 Ground mileage 10,810 9,980 $867K
90847 3,281 2,438 $855K
J1745 Infliximab not biosimil 10mg 615 355 $839K
J1569 Gammagard liquid injection 488 227 $777K
76817 7,222 6,351 $769K
97112 11,338 5,128 $758K
90832 4,878 3,799 $732K
A0434 Specialty care transport 3,749 3,543 $727K
95715 539 468 $726K
87502 14,850 12,520 $710K
90837 3,472 2,587 $695K
70551 1,950 1,611 $688K
41899 1,231 1,142 $679K
45380 836 614 $671K
83655 60,156 53,199 $657K
90460 144,426 136,817 $655K
92523 5,644 4,969 $638K
D1351 1,080 818 $636K
76705 5,404 4,285 $611K
99395 3,825 3,227 $602K
74177 1,290 969 $585K
95782 521 474 $580K
96413 2,416 1,327 $567K
01922 1,873 1,356 $559K
96415 1,035 498 $557K
95117 12,823 7,043 $556K
64643 886 734 $554K
94762 7,527 4,142 $552K
44970 181 130 $533K
80053 37,285 29,989 $530K
76805 2,740 2,540 $523K
29075 2,651 2,220 $510K
70553 1,136 915 $484K
97802 4,123 3,629 $482K
96366 1,266 766 $478K
81229 638 548 $478K
90633 49,274 43,590 $475K
93005 36,588 33,337 $469K
J1050 Medroxyprogesterone acetate 5,732 4,290 $456K
92588 3,166 2,745 $448K
97162 3,998 3,433 $447K
41010 347 279 $442K
17110 1,865 1,746 $433K
92555 11,172 10,541 $432K
D2330 723 555 $430K
76801 1,997 1,794 $428K
16020 3,595 2,323 $424K
97161 3,645 3,042 $394K
95700 1,773 1,559 $391K
94010 10,193 9,484 $391K
96127 5,457 5,403 $391K
90698 50,852 49,999 $377K
92526 3,737 2,658 $376K
D2391 909 665 $373K
97166 2,372 2,083 $371K
90697 35,471 28,253 $366K
74230 1,504 1,338 $358K
D2392 1,082 921 $346K
92579 2,579 2,250 $338K
96156 1,008 895 $334K
97116 4,289 2,607 $328K
76856 1,278 951 $320K
76000 2,037 1,495 $316K
76700 1,127 996 $312K
54161 202 164 $311K
96161 4,587 4,361 $307K
A0431 Rotary wing air transport 170 162 $303K
96158 2,699 2,181 $302K
D1510 466 360 $299K
90680 59,557 52,876 $294K
90472 186,166 171,526 $290K
84443 22,548 19,658 $290K
70491 607 459 $286K
93308 530 459 $280K
85025 62,385 48,900 $275K
93975 1,764 1,328 $272K
76825 1,672 1,423 $269K
87651 61,629 52,241 $268K
D2740 285 227 $265K
74018 8,475 7,260 $261K
73721 728 649 $260K
12011 1,000 878 $246K
93976 974 814 $241K
76820 2,532 1,179 $238K
71046 24,485 21,434 $232K
U0002 Covid-19 lab test non-cdc 30,236 28,073 $223K
12001 875 783 $216K
92587 1,745 1,519 $216K
96372 17,147 11,177 $213K
93226 1,243 1,131 $210K
76857 1,441 1,305 $209K
49452 586 474 $205K
29425 1,044 691 $205K
D2390 337 331 $205K
U0005 Infec agen detec ampli probe 21,223 20,810 $200K
82306 15,575 13,466 $200K
36415 92,642 78,967 $199K
97167 1,123 1,012 $185K
74240 828 716 $185K
84439 10,787 9,603 $184K
76536 1,175 1,024 $173K
90744 21,814 21,091 $173K
29065 869 739 $173K
70486 866 709 $170K
80061 15,028 12,854 $169K
92611 1,485 1,332 $167K
J0561 Penicillin g benzathine inj 1,124 684 $166K
86140 22,157 17,883 $164K
11900 647 513 $164K
90651 17,980 14,562 $163K
96160 4,506 4,473 $160K
97168 1,050 901 $160K
97164 1,359 1,220 $160K
76827 1,665 1,431 $159K
97760 1,399 863 $157K
97165 1,044 918 $157K
92508 1,242 633 $151K
92250 2,565 2,302 $149K
92652 1,203 954 $148K
83036 26,286 23,570 $143K
80307 4,843 3,442 $142K
90619 14,138 10,762 $142K
96132 568 476 $139K
D2393 452 413 $137K
70360 2,850 2,582 $137K
90677 14,908 11,647 $136K
80048 13,819 10,254 $134K
87491 9,276 7,676 $133K
90480 4,825 3,341 $131K
96130 528 427 $127K
82728 9,564 8,142 $127K
76885 807 732 $126K
96116 403 350 $126K
96138 658 570 $122K
12051 457 384 $121K
83516 6,714 5,453 $121K
92557 943 809 $118K
87507 938 759 $116K
95819 402 348 $111K
95811 90 85 $110K
99211 655 531 $109K
76800 632 583 $109K
10060 411 327 $107K
92610 1,490 1,289 $106K
90620 5,396 4,120 $106K
76882 881 745 $104K
74019 12,133 10,622 $102K
90696 12,509 10,097 $102K
29085 522 434 $101K
95076 243 199 $101K
99442 542 516 $97K
80069 4,833 3,585 $92K
C9285 Patch, lidocaine/tetracaine 1,548 1,122 $91K
24538 13 12 $90K
82784 7,316 6,335 $89K
90715 10,230 7,889 $89K
72148 558 445 $89K
42821 41 41 $88K
87086 24,740 20,847 $87K
36000 1,202 872 $86K
87591 9,275 7,674 $85K
00170 18,858 16,372 $84K
90785 1,325 1,050 $83K
92014 1,048 1,025 $82K
95951 127 106 $82K
49591 36 26 $81K
51784 213 132 $81K
76813 656 557 $80K
90648 9,834 7,704 $79K
90716 12,110 9,772 $78K
92556 1,182 1,050 $77K
87081 31,932 29,836 $74K
90685 8,556 8,429 $74K
90710 14,481 11,841 $72K
J0131 Inj, acetaminophen (nos) 8,013 3,743 $71K
76937 1,156 829 $68K
85027 14,298 12,325 $67K
64642 851 708 $67K
0071A 1,880 1,610 $66K
97113 519 178 $65K
90700 12,096 9,604 $64K
90707 12,036 9,668 $64K
80076 6,047 4,687 $63K
0154A 1,599 1,050 $62K
A0426 Als 1 339 311 $61K
77072 1,488 1,323 $60K
72081 1,286 1,121 $59K
94060 469 383 $59K
96367 546 383 $59K
A0436 Rotary wing air mileage 168 161 $58K
0124A 1,569 997 $57K
A0428 Bls 365 330 $55K
G0168 Wound closure by adhesive 207 180 $54K
83540 6,734 5,813 $54K
93225 1,052 892 $54K
96139 656 568 $54K
77075 300 253 $53K
97750 610 518 $52K
90846 247 210 $52K
81001 31,631 26,818 $50K
0081A 1,636 886 $49K
76506 303 266 $49K
54163 31 25 $48K
97535 833 490 $46K
86003 4,581 2,536 $46K
87880 55,513 52,123 $45K
83550 6,670 5,749 $43K
86850 1,346 997 $42K
95115 903 412 $41K
0072A 1,183 1,083 $41K
69610 35 27 $39K
92552 1,410 1,254 $39K
0241U 427 411 $38K
87077 9,276 6,752 $37K
83520 2,243 1,939 $37K
90656 3,908 3,890 $37K
73610 4,685 3,930 $35K
81002 33,880 28,874 $34K
72141 162 132 $34K
97014 721 413 $34K
90474 45,233 40,816 $33K
96111 141 130 $33K
73630 4,382 3,644 $33K
81243 177 133 $32K
11102 40 37 $32K
73521 1,533 1,308 $32K
71260 64 49 $31K
97763 315 235 $30K
72197 51 37 $29K
0082A 863 577 $29K
87493 631 530 $28K
73562 2,524 2,053 $28K
99443 152 151 $27K
73140 3,998 3,227 $27K
86880 1,546 1,127 $27K
84460 5,639 4,775 $26K
91320 1,040 650 $26K
87804 27,098 13,427 $26K
0001A 957 923 $26K
85652 6,390 4,809 $26K
J3590 Unclassified biologics 35 16 $25K
86900 1,556 1,078 $25K
76870 965 803 $25K
80197 1,169 595 $24K
73110 3,644 3,018 $24K
D2331 60 47 $24K
99156 331 228 $24K
97150 201 94 $23K
99441 135 128 $23K
81025 19,133 14,764 $23K
85610 3,413 2,640 $23K
Q0162 Ondansetron oral 26,964 21,713 $23K
00120 473 340 $23K
86665 2,010 883 $23K
82947 2,939 2,266 $22K
29405 115 101 $22K
73130 3,738 3,102 $22K
74455 145 124 $22K
85018 41,216 37,186 $22K
82977 2,233 1,621 $21K
83970 954 786 $21K
92545 184 170 $20K
92582 298 255 $20K
20680 15 12 $20K
91319 1,397 894 $20K
83993 826 691 $20K
00400 782 532 $20K
92133 357 311 $20K
0002A 722 718 $20K
83735 3,569 2,256 $20K
86592 1,239 1,042 $20K
72082 756 652 $19K
73090 2,739 2,057 $19K
83001 1,495 1,222 $18K
96152 150 143 $18K
73590 2,076 1,617 $18K
92004 546 544 $18K
92607 254 231 $18K
82533 775 602 $18K
84305 1,099 948 $18K
90734 2,630 2,581 $18K
84403 1,775 1,490 $17K
82670 1,055 879 $17K
87186 7,303 5,489 $17K
83525 727 610 $17K
D2140 30 25 $17K
83002 1,536 1,252 $17K
J2274 Inj morphine pf epid ithc 2,324 1,868 $17K
82248 3,956 2,861 $17K
86480 716 604 $16K
85397 666 501 $16K
91318 1,383 798 $16K
82607 1,059 896 $16K
86317 1,636 811 $16K
83021 1,221 958 $16K
82272 1,746 1,448 $16K
80164 744 596 $15K
95079 122 91 $15K
82962 6,233 4,084 $15K
74183 58 55 $15K
82247 3,473 2,374 $15K
86580 779 601 $14K
90381 1,816 1,697 $14K
85246 752 571 $14K
83690 5,209 3,993 $14K
92134 396 319 $14K
86376 1,035 891 $14K
D2335 13 13 $14K
80074 760 638 $14K
94760 31,968 27,401 $14K
85240 712 539 $14K
82627 798 689 $14K
J7613 Albuterol non-comp unit 8,819 6,281 $14K
90380 1,903 1,670 $14K
77074 1,228 1,088 $14K
99157 424 301 $14K
87070 3,955 3,256 $14K
70480 54 50 $13K
96374 9,114 6,553 $13K
84146 827 701 $13K
73080 1,818 1,467 $13K
92015 1,141 1,117 $13K
86256 913 800 $13K
92541 184 170 $13K
82570 2,112 1,549 $13K
72170 929 782 $13K
86803 615 556 $12K
87389 1,278 1,062 $12K
70543 18 18 $12K
84100 3,571 2,326 $12K
83498 882 748 $12K
87328 787 678 $12K
97032 194 108 $12K
72100 923 792 $12K
82785 1,401 1,188 $12K
72040 868 723 $12K
36416 82,791 73,142 $12K
92558 198 183 $11K
73030 1,181 979 $11K
96118 116 92 $11K
73100 1,413 1,124 $11K
82550 1,676 1,301 $11K
82024 326 286 $11K
73564 1,150 922 $11K
76010 922 731 $11K
93320 3,929 3,533 $11K
87045 891 745 $11K
C1713 Anchor/screw bn/bn,tis/bn 757 564 $11K
86920 331 146 $11K
85651 4,618 4,382 $10K
87046 926 773 $10K
95816 30 26 $10K
87329 784 676 $10K
J2704 Inj, propofol, 10 mg 41,507 28,044 $10K
D4342 18 18 $10K
90713 1,820 1,467 $10K
0479T 27 27 $10K
86038 662 583 $10K
86308 2,290 1,918 $10K
92201 166 122 $9K
93321 2,897 2,663 $9K
87899 1,539 720 $9K
86901 1,542 1,078 $9K
92542 184 170 $9K
90473 483 422 $9K
12002 30 26 $9K
85046 4,034 3,028 $9K
71045 1,000 741 $9K
84510 394 281 $8K
81479 762 627 $8K
77076 605 482 $8K
J7121 5% dextrose in lac ringers 1,340 824 $8K
84480 747 606 $8K
40806 71 62 $8K
96131 105 103 $8K
87040 2,575 1,927 $8K
83615 2,299 1,747 $8K
84030 423 305 $8K
87529 986 401 $8K
72072 512 449 $8K
J7030 Normal saline solution infus 25,728 15,425 $7K
86800 778 635 $7K
94664 5,733 4,608 $7K
73000 844 737 $7K
73552 709 561 $7K
82157 360 305 $7K
D1120 1,760 1,352 $7K
92522 62 52 $7K
85730 2,570 2,053 $7K
86355 484 402 $6K
84270 696 574 $6K
96450 19 12 $6K
73070 754 625 $6K
84402 798 677 $6K
82945 800 703 $6K
90461 18,827 15,436 $6K
0074A 229 102 $6K
00300 1,001 736 $6K
91321 650 649 $6K
74270 26 25 $6K
82565 1,126 860 $6K
80177 451 358 $6K
70544 14 13 $6K
82610 682 472 $6K
86160 743 525 $5K
70250 368 304 $5K
82525 285 238 $5K
73660 706 580 $5K
51701 2,305 1,916 $5K
0051A 203 113 $5K
51600 144 123 $5K
84145 1,107 874 $5K
80143 1,177 783 $5K
00140 1,594 1,357 $5K
31575 12 12 $5K
73560 544 405 $5K
86618 732 640 $5K
L8699 Prosthetic implant nos 65 59 $5K
90672 478 429 $5K
86359 528 434 $5K
86664 434 343 $5K
73060 524 428 $5K
87205 2,753 2,243 $5K
90792 14 14 $5K
51728 18 13 $5K
0052A 119 87 $4K
84450 611 499 $4K
96120 20 12 $4K
J7120 Ringers lactate infusion 39,687 30,265 $4K
86706 445 381 $4K
0173A 272 137 $4K
92626 32 25 $4K
82043 1,233 1,029 $4K
J1100 Dexamethasone sodium phos 59,046 43,034 $4K
86360 484 402 $4K
86357 486 404 $4K
G0463 Hospital outpt clinic visit 210 148 $4K
84156 938 626 $4K
87338 193 156 $4K
84550 946 744 $4K
J7620 Albuterol ipratrop non-comp 10,561 7,265 $4K
82330 1,570 1,053 $3K
J0696 Ceftriaxone sodium injection 6,409 2,881 $3K
87808 592 469 $3K
84703 1,139 897 $3K
76830 295 211 $3K
87340 215 188 $3K
88305 3,381 2,676 $3K
91322 310 310 $3K
82746 414 354 $3K
76942 908 651 $3K
97163 31 25 $3K
84484 569 386 $3K
97156 26 15 $3K
87497 110 62 $3K
00126 3,414 2,919 $3K
82077 962 658 $3K
96119 45 38 $3K
87088 973 844 $3K
92083 39 30 $3K
87798 786 308 $3K
51797 17 12 $3K
72146 68 53 $3K
80339 98 76 $3K
72020 213 169 $3K
72125 26 26 $3K
36591 422 264 $3K
D0272 4,037 3,269 $3K
0083A 143 60 $3K
51741 55 41 $2K
80183 126 115 $2K
87799 391 107 $2K
88341 14 12 $2K
00920 806 660 $2K
84134 231 185 $2K
83605 1,237 870 $2K
V5266 Battery for hearing device 577 555 $2K
86341 158 128 $2K
82948 849 531 $2K
J8540 Oral dexamethasone 5,085 3,529 $2K
94726 32 26 $2K
87634 1,034 873 $2K
J1815 Insulin injection 162 97 $2K
86008 293 251 $2K
82803 1,380 933 $2K
96133 155 139 $2K
80179 1,052 749 $2K
29355 12 12 $2K
87522 Neg quan hep c or qual rna 104 93 $2K
96381 111 111 $2K
88300 5,357 4,490 $2K
97018 37 26 $2K
82105 136 97 $2K
72110 55 43 $2K
00731 1,389 1,074 $2K
86225 231 187 $2K
84132 1,194 805 $2K
76642 15 13 $2K
86663 169 163 $2K
V5264 Ear mold/insert 58 52 $2K
J2270 Morphine sulfate injection 7,743 5,826 $2K
82140 125 88 $2K
96375 5,600 3,706 $2K
J2795 Ropivacaine hcl injection 7,074 3,867 $2K
84445 61 51 $2K
84520 952 661 $2K
71110 113 104 $2K
84630 113 93 $1K
96150 13 12 $1K
96376 580 418 $1K
J0295 Ampicillin sulbactam 1.5 gm 1,485 317 $1K
86060 67 57 $1K
84702 43 27 $1K
82310 144 93 $1K
76376 2,575 2,182 $1K
80349 240 135 $1K
86617 155 73 $1K
86611 90 41 $1K
83880 174 135 $1K
82150 177 134 $1K
J0736 Inj, clindamycin phosp 300mg 576 315 $1K
88304 1,259 960 $1K
64644 16 13 $1K
95713 13 12 $1K
94761 48,035 44,606 $1K
85576 38 26 $1K
87536 53 39 $1K
70310 4,729 4,168 $1K
J7042 5% dextrose/normal saline 1,324 855 $1K
J1885 Ketorolac tromethamine inj 36,254 15,926 $1K
81374 26 25 $1K
J3301 Triamcinolone acet inj nos 810 553 $1K
Q0163 Diphenhydramine hcl 50mg 1,095 721 $982.73
J2405 Ondansetron hcl injection 64,989 33,692 $961.54
81003 293 218 $960.55
88291 18 13 $958.66
87181 330 315 $899.23
J0690 Cefazolin sodium injection 4,615 2,866 $891.29
95012 28 24 $875.76
84446 120 95 $856.46
94667 16 12 $856.18
84295 240 134 $842.12
87807 1,468 1,402 $836.88
85014 252 150 $831.66
84681 91 71 $830.70
88342 583 455 $826.52
93971 15 12 $807.95
90660 77 77 $783.96
J3010 Fentanyl citrate injection 29,979 23,631 $778.81
96380 2,376 2,275 $771.36
80305 1,181 566 $763.21
J2919 Inj, methylpred sod succ 5mg 255 181 $736.31
84590 113 90 $715.58
93270 15 12 $703.92
87075 385 295 $682.00
82010 58 39 $677.88
J1642 Inj heparin sodium per 10 u 3,436 1,134 $634.64
80175 27 24 $604.97
82435 807 568 $604.21
82085 42 35 $594.46
J2250 Inj midazolam hydrochloride 9,339 5,239 $592.22
86645 46 40 $584.04
J0694 Cefoxitin sodium injection 123 65 $581.18
96409 378 177 $572.07
J7510 Prednisolone oral per 5 mg 2,059 1,501 $555.89
82657 466 346 $523.12
82017 53 38 $501.93
J1170 Hydromorphone injection 6,493 4,464 $490.88
86430 58 53 $489.29
84302 952 661 $468.43
89051 285 183 $465.24
87101 95 83 $454.14
95712 12 12 $449.29
86644 37 27 $437.53
0054A 12 12 $434.20
72220 52 40 $433.18
00813 859 640 $427.18
01730 16 14 $415.32
01991 13 13 $407.41
00635 63 36 $407.41
84466 53 53 $396.85
J2930 Methylprednisolone injection 682 373 $394.97
00840 643 491 $391.38
81005 361 354 $372.14
93271 15 12 $351.92
J0171 Adrenalin epinephrine inject 1,377 830 $347.34
86337 28 24 $330.91
87102 152 105 $319.55
83630 13 12 $303.25
82951 13 12 $298.82
95018 54 44 $291.19
J1953 Levetiracetam injection 60 27 $275.22
85379 123 89 $270.94
90840 988 837 $251.78
87635 82 69 $248.39
84075 65 50 $228.96
86235 30 28 $220.31
73600 13 12 $202.62
J9370 Vincristine sulfate 1 mg inj 348 174 $198.74
85384 58 55 $191.09
86774 33 32 $186.34
J1200 Diphenhydramine hcl injectio 1,795 1,174 $182.85
84207 19 15 $178.84
J0692 Cefepime hcl for injection 331 174 $177.99
86735 36 28 $163.80
99174 73 69 $157.01
90732 15 13 $140.60
J0780 Prochlorperazine injection 528 395 $138.02
J2710 Neostigmine methylslfte inj 3,437 2,280 $132.36
83986 21 12 $129.49
29125 70 68 $127.72
82465 14 14 $122.62
C1769 Guide wire 473 369 $122.43
84155 19 15 $110.87
85044 49 39 $109.80
86762 17 16 $84.44
A4467 Belt strap sleev grmnt cover 17 15 $83.20
J1580 Garamycin gentamicin inj 643 437 $82.36
80230 79 60 $80.98
86787 12 12 $65.31
87581 19 19 $62.57
J2060 Lorazepam injection 248 125 $56.27
91307 5,011 4,341 $48.31
84157 104 67 $46.03
J3475 Inj magnesium sulfate 398 253 $41.70
91308 3,105 1,920 $28.39
J2765 Metoclopramide hcl injection 180 127 $26.53
J7060 5% dextrose/water 113 52 $25.24
81050 68 65 $24.58
J7512 Prednisone ir or dr oral 1mg 677 402 $23.98
86039 12 12 $23.67
91300 2,115 1,985 $20.38
91315 1,612 1,058 $14.73
91312 1,561 993 $14.36
91305 611 437 $5.79
J1171 Inj, hydromorphone, 0.1 mg 370 333 $3.79
91317 458 285 $2.50
92608 55 50 $0.00
87116 28 12 $0.00
01400 67 48 $0.00
87206 28 12 $0.00
00752 36 25 $0.00
J1030 Methylprednisolone 40 mg inj 19 13 $0.00
C1763 Conn tiss, non-human 32 25 $0.00
01480 17 12 $0.00
29130 27 27 $0.00
J1630 Haloperidol injection 18 13 $0.00
95873 152 113 $0.00
95874 237 207 $0.00
96159 480 316 $0.00
01830 32 26 $0.00
01470 12 12 $0.00
01810 12 12 $0.00
96402 14 13 $0.00
69210 12 12 $0.00
J9260 Inj methotrexate sodium 50mg 15 12 $0.00
29105 13 12 $0.00
01820 22 14 $0.00