| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
27,925 |
25,678 |
$3.52M |
| 99285 |
|
26,587 |
22,406 |
$3.48M |
| G0463 |
Hospital outpt clinic visit |
34,180 |
28,351 |
$3.45M |
| 96361 |
|
9,309 |
6,050 |
$3.18M |
| 0241U |
|
14,002 |
12,408 |
$2.06M |
| 99284 |
|
15,619 |
13,572 |
$1.92M |
| 70450 |
|
3,913 |
3,216 |
$987K |
| G0378 |
Hospital observation per hr |
10,255 |
4,406 |
$769K |
| 74177 |
|
3,128 |
2,583 |
$695K |
| 99282 |
|
5,269 |
4,661 |
$618K |
| 96366 |
|
2,692 |
1,266 |
$544K |
| 96360 |
|
2,368 |
1,968 |
$536K |
| 96365 |
|
3,900 |
2,921 |
$527K |
| 59025 |
|
2,806 |
1,862 |
$487K |
| 99391 |
|
4,311 |
3,523 |
$464K |
| 71260 |
|
1,777 |
1,457 |
$387K |
| 99392 |
|
3,468 |
2,852 |
$381K |
| 96110 |
|
1,350 |
1,082 |
$309K |
| 74176 |
|
1,233 |
1,027 |
$299K |
| 80053 |
|
35,777 |
26,885 |
$239K |
| 78815 |
|
341 |
299 |
$220K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,795 |
1,365 |
$203K |
| 96127 |
|
2,150 |
1,690 |
$197K |
| 96413 |
|
1,533 |
741 |
$195K |
| 94640 |
|
1,400 |
1,130 |
$190K |
| C9803 |
Hopd covid-19 spec collect |
4,212 |
3,879 |
$190K |
| 97110 |
|
2,761 |
1,367 |
$186K |
| 76705 |
|
2,030 |
1,769 |
$184K |
| 93306 |
|
700 |
573 |
$179K |
| 81513 |
|
1,177 |
972 |
$175K |
| 70553 |
|
662 |
584 |
$169K |
| 76770 |
|
929 |
839 |
$166K |
| 87631 |
|
1,357 |
1,199 |
$157K |
| 96161 |
|
1,164 |
929 |
$157K |
| 99393 |
|
1,604 |
1,349 |
$152K |
| 70498 |
|
459 |
378 |
$127K |
| 90834 |
|
903 |
697 |
$125K |
| 99394 |
|
1,024 |
777 |
$119K |
| 93975 |
|
961 |
831 |
$117K |
| 0202U |
|
686 |
601 |
$110K |
| 90837 |
|
742 |
538 |
$105K |
| 71046 |
|
6,679 |
5,810 |
$101K |
| 66984 |
|
166 |
123 |
$88K |
| 86850 |
|
3,751 |
3,021 |
$87K |
| 95810 |
|
141 |
131 |
$84K |
| 70491 |
|
247 |
211 |
$83K |
| 70551 |
|
499 |
432 |
$82K |
| 71250 |
|
912 |
834 |
$77K |
| 0002A |
|
2,047 |
2,023 |
$77K |
| 82805 |
|
2,304 |
1,772 |
$76K |
| 0001A |
|
2,099 |
2,055 |
$75K |
| 92551 |
|
1,252 |
1,061 |
$75K |
| 96367 |
|
1,167 |
721 |
$73K |
| 80048 |
|
10,040 |
6,380 |
$73K |
| 90791 |
|
364 |
319 |
$73K |
| 85025 |
|
35,972 |
27,391 |
$72K |
| 76642 |
|
524 |
455 |
$67K |
| 99281 |
|
441 |
391 |
$64K |
| 93303 |
|
183 |
156 |
$63K |
| 93325 |
|
697 |
580 |
$63K |
| 97803 |
|
752 |
682 |
$59K |
| 93005 |
|
15,893 |
12,258 |
$58K |
| 36415 |
|
52,026 |
32,705 |
$56K |
| 93970 |
|
446 |
381 |
$56K |
| 97161 |
|
1,861 |
1,484 |
$55K |
| 76830 |
|
835 |
734 |
$55K |
| 76536 |
|
485 |
457 |
$53K |
| 99232 |
|
2,715 |
1,977 |
$51K |
| 93971 |
|
748 |
624 |
$50K |
| 99231 |
|
3,496 |
2,612 |
$48K |
| 97802 |
|
788 |
676 |
$45K |
| 72197 |
|
150 |
140 |
$45K |
| 86900 |
|
3,810 |
3,049 |
$45K |
| 99291 |
|
371 |
270 |
$45K |
| 43239 |
|
119 |
89 |
$45K |
| 99395 |
|
341 |
262 |
$44K |
| 85027 |
|
13,191 |
8,619 |
$44K |
| 93458 |
|
37 |
25 |
$43K |
| 84443 |
|
4,234 |
3,474 |
$42K |
| 80307 |
|
2,498 |
1,880 |
$40K |
| 90471 |
|
5,919 |
5,065 |
$39K |
| 72148 |
|
285 |
266 |
$39K |
| 77336 |
|
322 |
154 |
$37K |
| 73610 |
|
1,316 |
1,125 |
$36K |
| 97535 |
|
1,520 |
1,082 |
$35K |
| 54150 |
|
789 |
765 |
$33K |
| 82306 |
|
1,869 |
1,617 |
$32K |
| 97165 |
|
843 |
646 |
$31K |
| 97116 |
|
1,168 |
646 |
$30K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
421 |
318 |
$30K |
| 12001 |
|
193 |
171 |
$30K |
| 86780 |
|
1,536 |
1,353 |
$29K |
| 97530 |
|
1,259 |
624 |
$29K |
| 80061 |
|
2,556 |
2,219 |
$28K |
| 94060 |
|
288 |
260 |
$27K |
| 94010 |
|
604 |
533 |
$27K |
| 76857 |
|
1,043 |
903 |
$26K |
| 77067 |
|
883 |
804 |
$25K |
| 77063 |
|
498 |
447 |
$25K |
| 12011 |
|
155 |
129 |
$24K |
| 74018 |
|
1,130 |
953 |
$24K |
| 93799 |
|
4,661 |
1,415 |
$23K |
| 83036 |
|
2,053 |
1,710 |
$22K |
| 87340 |
|
1,086 |
942 |
$22K |
| 88307 |
|
177 |
131 |
$22K |
| 74183 |
|
100 |
90 |
$21K |
| 71275 |
|
57 |
56 |
$20K |
| 96112 |
|
72 |
69 |
$20K |
| 73502 |
|
861 |
710 |
$20K |
| 84439 |
|
1,483 |
1,211 |
$20K |
| 82728 |
|
1,741 |
1,490 |
$20K |
| J1756 |
Iron sucrose injection |
597 |
249 |
$19K |
| 72125 |
|
1,779 |
1,461 |
$19K |
| 86803 |
|
995 |
885 |
$19K |
| 95811 |
|
28 |
26 |
$19K |
| 20610 |
|
149 |
120 |
$19K |
| 90688 |
|
2,652 |
1,871 |
$19K |
| 84702 |
|
1,477 |
1,113 |
$19K |
| 90460 |
|
5,175 |
4,011 |
$18K |
| 96374 |
|
10,354 |
7,990 |
$18K |
| 73110 |
|
891 |
729 |
$18K |
| 84484 |
|
9,613 |
5,297 |
$18K |
| 83735 |
|
11,138 |
7,536 |
$18K |
| 87086 |
|
5,213 |
4,264 |
$18K |
| 87491 |
|
2,158 |
1,795 |
$17K |
| 73030 |
|
1,071 |
863 |
$17K |
| 86762 |
|
486 |
431 |
$17K |
| 73630 |
|
1,018 |
906 |
$17K |
| 86901 |
|
3,813 |
3,049 |
$17K |
| 73721 |
|
70 |
65 |
$17K |
| 72100 |
|
740 |
660 |
$16K |
| 73560 |
|
771 |
657 |
$16K |
| 82962 |
|
11,182 |
3,764 |
$16K |
| 87389 |
|
1,076 |
950 |
$15K |
| 82607 |
|
1,111 |
944 |
$15K |
| 86140 |
|
3,209 |
2,690 |
$15K |
| 71045 |
|
4,659 |
3,717 |
$15K |
| 73590 |
|
684 |
577 |
$15K |
| 73564 |
|
857 |
740 |
$15K |
| 73130 |
|
836 |
729 |
$14K |
| 70486 |
|
461 |
391 |
$14K |
| 87637 |
|
320 |
261 |
$14K |
| 80069 |
|
1,760 |
997 |
$14K |
| 81001 |
|
16,388 |
13,427 |
$14K |
| 70496 |
|
526 |
433 |
$13K |
| 83540 |
|
1,908 |
1,636 |
$13K |
| 90715 |
|
981 |
734 |
$13K |
| 76801 |
|
519 |
435 |
$12K |
| 90677 |
|
884 |
782 |
$12K |
| 96372 |
|
4,623 |
2,567 |
$12K |
| 73700 |
|
93 |
82 |
$12K |
| 72141 |
|
95 |
82 |
$12K |
| 0124A |
|
400 |
333 |
$12K |
| 99152 |
|
917 |
678 |
$11K |
| 83550 |
|
1,887 |
1,615 |
$11K |
| 90670 |
|
1,449 |
1,150 |
$10K |
| 87591 |
|
2,154 |
1,794 |
$10K |
| 90698 |
|
1,717 |
1,348 |
$10K |
| 72131 |
|
173 |
154 |
$10K |
| 85610 |
|
4,768 |
3,190 |
$10K |
| 90651 |
|
568 |
438 |
$10K |
| 76817 |
|
594 |
494 |
$9K |
| 0004A |
|
244 |
230 |
$8K |
| 99211 |
|
83 |
77 |
$8K |
| 87481 |
|
1,142 |
944 |
$8K |
| 62323 |
|
48 |
39 |
$8K |
| 99213 |
|
409 |
372 |
$8K |
| 77300 |
|
18 |
13 |
$8K |
| A9270 |
Non-covered item or service |
3,068 |
1,104 |
$7K |
| 83880 |
|
1,575 |
1,264 |
$7K |
| 96368 |
|
376 |
206 |
$7K |
| 82570 |
|
1,314 |
1,074 |
$7K |
| 87661 |
|
1,752 |
1,448 |
$7K |
| 99309 |
|
407 |
205 |
$7K |
| 96375 |
|
7,257 |
4,756 |
$7K |
| 96376 |
|
3,059 |
1,585 |
$6K |
| 91320 |
|
137 |
113 |
$6K |
| 90480 |
|
392 |
317 |
$6K |
| 71271 |
|
40 |
38 |
$6K |
| 90832 |
|
47 |
26 |
$6K |
| 73552 |
|
401 |
330 |
$6K |
| 80076 |
|
540 |
443 |
$6K |
| 90633 |
|
915 |
668 |
$6K |
| 83655 |
|
530 |
450 |
$5K |
| 87077 |
|
1,583 |
1,291 |
$5K |
| 82950 |
|
343 |
312 |
$5K |
| 83970 |
|
264 |
216 |
$5K |
| 83690 |
|
5,078 |
4,036 |
$5K |
| 88305 |
|
1,384 |
1,099 |
$5K |
| 77080 |
|
81 |
76 |
$5K |
| 0071A |
|
170 |
170 |
$5K |
| 0072A |
|
169 |
167 |
$5K |
| 74019 |
|
687 |
604 |
$5K |
| 84100 |
|
1,352 |
812 |
$4K |
| 82784 |
|
386 |
313 |
$4K |
| 0054A |
|
340 |
322 |
$4K |
| 84153 |
|
347 |
306 |
$4K |
| 77062 |
|
98 |
85 |
$4K |
| 77065 |
Tomosynthesis, mammo |
266 |
213 |
$4K |
| 87633 |
|
68 |
57 |
$4K |
| 90680 |
|
1,168 |
958 |
$4K |
| 76882 |
|
41 |
36 |
$4K |
| 73080 |
|
258 |
231 |
$4K |
| 99221 |
|
256 |
233 |
$4K |
| 73090 |
|
415 |
342 |
$4K |
| 72170 |
|
733 |
597 |
$4K |
| 77049 |
|
12 |
12 |
$4K |
| 87505 |
|
33 |
25 |
$4K |
| 95004 |
|
27 |
27 |
$4K |
| 99153 |
Mod sedat endo service >5yrs |
434 |
316 |
$4K |
| J2543 |
Piperacillin/tazobactam |
1,214 |
486 |
$4K |
| 10060 |
|
22 |
13 |
$3K |
| 90472 |
|
2,102 |
1,884 |
$3K |
| 72040 |
|
139 |
114 |
$3K |
| Q3014 |
Telehealth facility fee |
120 |
113 |
$3K |
| 90697 |
|
459 |
429 |
$3K |
| 87651 |
|
797 |
675 |
$3K |
| 82746 |
|
536 |
444 |
$3K |
| 96158 |
|
37 |
36 |
$3K |
| 90658 |
|
464 |
456 |
$3K |
| J0561 |
Penicillin g benzathine inj |
16 |
13 |
$3K |
| 76815 |
|
698 |
571 |
$3K |
| 82330 |
|
2,604 |
1,867 |
$3K |
| 76870 |
|
170 |
147 |
$3K |
| 73060 |
|
223 |
184 |
$3K |
| J3490 |
Drugs unclassified injection |
285 |
198 |
$3K |
| 90620 |
|
71 |
50 |
$3K |
| 96160 |
|
16 |
16 |
$3K |
| 90744 |
|
591 |
431 |
$3K |
| 99212 |
|
131 |
127 |
$3K |
| 99214 |
|
69 |
62 |
$3K |
| 87635 |
|
522 |
416 |
$3K |
| 72050 |
|
43 |
40 |
$3K |
| 85018 |
|
2,736 |
2,122 |
$3K |
| 99222 |
|
77 |
73 |
$2K |
| U0005 |
Infec agen detec ampli probe |
1,319 |
909 |
$2K |
| 85652 |
|
897 |
749 |
$2K |
| 83020 |
|
119 |
110 |
$2K |
| 99253 |
|
68 |
66 |
$2K |
| 00840 |
|
380 |
274 |
$2K |
| 90461 |
|
1,671 |
1,413 |
$2K |
| 0003A |
|
56 |
54 |
$2K |
| 84156 |
|
853 |
666 |
$2K |
| 85730 |
|
1,956 |
1,420 |
$2K |
| 83605 |
|
3,576 |
2,433 |
$2K |
| 86923 |
|
90 |
63 |
$2K |
| 87186 |
|
1,128 |
927 |
$2K |
| 90716 |
|
332 |
256 |
$2K |
| 82550 |
|
1,258 |
899 |
$2K |
| 90619 |
|
278 |
229 |
$2K |
| 82077 |
|
1,901 |
1,380 |
$2K |
| 94729 |
|
57 |
51 |
$2K |
| 82947 |
|
2,389 |
1,863 |
$2K |
| 82533 |
|
197 |
141 |
$2K |
| 82043 |
|
387 |
334 |
$2K |
| 86870 |
|
38 |
28 |
$2K |
| 99203 |
|
71 |
67 |
$2K |
| 77061 |
|
45 |
38 |
$2K |
| 87070 |
|
577 |
462 |
$2K |
| 97112 |
|
51 |
26 |
$2K |
| 77066 |
Tomosynthesis, mammo |
184 |
148 |
$2K |
| 86706 |
|
131 |
109 |
$2K |
| J2800 |
Methocarbamol injection |
637 |
446 |
$2K |
| 83615 |
|
559 |
417 |
$2K |
| 90707 |
|
405 |
309 |
$2K |
| 84403 |
|
102 |
91 |
$2K |
| J2469 |
Palonosetron hcl |
362 |
181 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
72 |
67 |
$1K |
| 99396 |
|
13 |
12 |
$1K |
| J1815 |
Insulin injection |
131 |
90 |
$1K |
| 76825 |
|
12 |
12 |
$1K |
| 88341 |
|
16 |
13 |
$1K |
| 90696 |
|
195 |
152 |
$1K |
| 87040 |
|
1,407 |
1,078 |
$1K |
| 85379 |
|
1,268 |
1,035 |
$1K |
| 84550 |
|
344 |
289 |
$1K |
| 80197 |
|
75 |
38 |
$1K |
| 82565 |
|
119 |
101 |
$1K |
| 81003 |
|
2,734 |
2,129 |
$1K |
| 86364 |
|
102 |
83 |
$1K |
| 85041 |
|
162 |
141 |
$1K |
| 81025 |
|
5,860 |
4,726 |
$1K |
| 87493 |
|
47 |
37 |
$1K |
| 84132 |
|
2,743 |
2,123 |
$1K |
| 0052A |
|
70 |
68 |
$1K |
| 82435 |
|
2,134 |
1,665 |
$1K |
| 82375 |
|
2,312 |
1,777 |
$1K |
| 99244 |
|
25 |
25 |
$963.96 |
| J2270 |
Morphine sulfate injection |
2,314 |
1,467 |
$930.50 |
| 97140 |
|
83 |
43 |
$904.36 |
| S9443 |
Lactation class |
17 |
12 |
$886.17 |
| 83001 |
|
32 |
25 |
$881.40 |
| 85045 |
|
393 |
305 |
$866.95 |
| 82248 |
|
253 |
202 |
$862.99 |
| J3475 |
Inj magnesium sulfate |
1,421 |
966 |
$848.19 |
| 95012 |
|
16 |
12 |
$813.78 |
| 97162 |
|
16 |
15 |
$801.34 |
| 86038 |
|
48 |
38 |
$777.19 |
| 00731 |
|
224 |
173 |
$761.72 |
| 84145 |
|
229 |
184 |
$752.32 |
| 87205 |
|
558 |
450 |
$739.50 |
| 72110 |
|
19 |
13 |
$732.56 |
| 87522 |
Neg quan hep c or qual rna |
32 |
26 |
$709.02 |
| 86308 |
|
354 |
300 |
$692.67 |
| J0702 |
Betamethasone acet&sod phosp |
97 |
67 |
$690.81 |
| 84703 |
|
627 |
540 |
$688.33 |
| 73140 |
|
144 |
134 |
$673.65 |
| 83050 |
|
2,324 |
1,776 |
$664.23 |
| 76827 |
|
12 |
12 |
$662.63 |
| J1170 |
Hydromorphone injection |
1,795 |
1,018 |
$651.53 |
| 90710 |
|
178 |
134 |
$633.85 |
| 88304 |
|
328 |
264 |
$630.12 |
| 99243 |
|
26 |
25 |
$591.05 |
| 90686 |
|
75 |
69 |
$589.54 |
| 84295 |
|
2,271 |
1,772 |
$582.78 |
| 0051A |
|
41 |
39 |
$574.30 |
| J1885 |
Ketorolac tromethamine inj |
7,547 |
5,206 |
$558.82 |
| 90662 |
|
77 |
57 |
$551.98 |
| 99239 |
|
18 |
17 |
$538.92 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
6,235 |
4,978 |
$524.22 |
| 87653 |
|
51 |
40 |
$499.03 |
| 99349 |
|
17 |
15 |
$479.02 |
| C9290 |
Inj, bupivacaine liposome |
37 |
28 |
$475.96 |
| 0154A |
|
14 |
12 |
$462.84 |
| 72072 |
|
30 |
28 |
$449.25 |
| C9113 |
Inj pantoprazole sodium, via |
456 |
250 |
$444.79 |
| 93320 |
|
185 |
159 |
$432.24 |
| 86258 |
|
18 |
13 |
$422.67 |
| 73000 |
|
20 |
15 |
$419.93 |
| 0064A |
|
19 |
18 |
$419.02 |
| 86703 |
|
289 |
235 |
$413.45 |
| 84146 |
|
16 |
14 |
$395.42 |
| 84481 |
|
56 |
53 |
$389.80 |
| J1100 |
Dexamethasone sodium phos |
5,802 |
4,168 |
$357.84 |
| 51798 |
|
112 |
89 |
$355.07 |
| J1644 |
Inj heparin sodium per 1000u |
2,183 |
929 |
$352.44 |
| 84460 |
|
70 |
62 |
$344.05 |
| 86480 |
|
14 |
14 |
$328.75 |
| J0690 |
Cefazolin sodium injection |
2,511 |
1,567 |
$325.28 |
| 84450 |
|
55 |
51 |
$319.88 |
| S9445 |
Pt education noc individ |
15 |
14 |
$292.65 |
| 87486 |
|
68 |
57 |
$273.93 |
| J2704 |
Inj, propofol, 10 mg |
4,745 |
3,239 |
$252.45 |
| G0480 |
Drug test def 1-7 classes |
14 |
13 |
$251.77 |
| A9552 |
F18 fdg |
396 |
353 |
$248.31 |
| J3010 |
Fentanyl citrate injection |
6,496 |
4,130 |
$230.07 |
| J1650 |
Inj enoxaparin sodium |
223 |
84 |
$220.87 |
| 83921 |
|
15 |
12 |
$216.81 |
| 73070 |
|
14 |
12 |
$213.28 |
| 86003 |
|
13 |
13 |
$201.21 |
| 87581 |
|
68 |
57 |
$193.73 |
| 86304 |
|
15 |
12 |
$189.19 |
| 99202 |
|
14 |
14 |
$186.56 |
| 77091 |
|
15 |
14 |
$181.52 |
| 82150 |
|
81 |
68 |
$180.06 |
| 88342 |
|
100 |
82 |
$178.77 |
| J2405 |
Ondansetron hcl injection |
9,342 |
6,251 |
$170.88 |
| J0360 |
Hydralazine hcl injection |
509 |
337 |
$166.63 |
| 80143 |
|
159 |
131 |
$154.73 |
| J0696 |
Ceftriaxone sodium injection |
1,918 |
1,128 |
$150.04 |
| 82247 |
|
46 |
30 |
$133.25 |
| C1769 |
Guide wire |
843 |
649 |
$126.94 |
| J1200 |
Diphenhydramine hcl injectio |
1,792 |
1,193 |
$113.61 |
| 80179 |
|
120 |
104 |
$107.03 |
| J2060 |
Lorazepam injection |
799 |
513 |
$102.23 |
| J7120 |
Ringers lactate infusion |
2,774 |
2,045 |
$100.70 |
| J0780 |
Prochlorperazine injection |
696 |
470 |
$97.58 |
| 85384 |
|
46 |
39 |
$92.60 |
| C2625 |
Stent, non-cor, tem w/del sy |
32 |
25 |
$87.88 |
| J2765 |
Metoclopramide hcl injection |
1,084 |
812 |
$86.77 |
| J2930 |
Methylprednisolone injection |
424 |
283 |
$86.45 |
| J7030 |
Normal saline solution infus |
663 |
421 |
$77.15 |
| J2919 |
Inj, methylpred sod succ 5mg |
316 |
228 |
$74.55 |
| J2250 |
Inj midazolam hydrochloride |
4,981 |
3,487 |
$73.40 |
| 82378 |
|
13 |
12 |
$71.18 |
| 82010 |
|
154 |
131 |
$69.48 |
| 90685 |
|
12 |
12 |
$66.50 |
| 90474 |
|
145 |
110 |
$63.82 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
109 |
77 |
$61.91 |
| J3480 |
Inj potassium chloride |
904 |
539 |
$59.05 |
| 87880 |
|
1,844 |
1,601 |
$58.95 |
| J1790 |
Droperidol injection |
393 |
295 |
$58.41 |
| 81002 |
|
62 |
54 |
$57.68 |
| 91300 |
|
4,472 |
4,057 |
$56.37 |
| 93010 |
|
14 |
12 |
$56.25 |
| 87088 |
|
47 |
45 |
$55.59 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,076 |
533 |
$52.96 |
| J3301 |
Triamcinolone acet inj nos |
689 |
573 |
$48.50 |
| J2370 |
Phenylephrine hcl injection |
354 |
222 |
$43.01 |
| 87430 |
|
17 |
15 |
$36.83 |
| C1894 |
Intro/sheath, non-laser |
403 |
293 |
$33.44 |
| 82803 |
|
38 |
13 |
$32.80 |
| J3370 |
Vancomycin hcl injection |
711 |
413 |
$32.60 |
| J2470 |
Inj pantoprazole sodium 40mg |
104 |
74 |
$21.44 |
| J2360 |
Orphenadrine injection |
52 |
40 |
$20.78 |
| J2001 |
Lidocaine injection |
2,918 |
2,117 |
$18.91 |
| 88720 |
|
270 |
205 |
$9.97 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
419 |
377 |
$9.67 |
| J2710 |
Neostigmine methylslfte inj |
445 |
297 |
$8.00 |
| J2795 |
Ropivacaine hcl injection |
296 |
147 |
$7.00 |
| J0330 |
Succinycholine chloride inj |
95 |
80 |
$4.40 |
| J1940 |
Furosemide injection |
80 |
55 |
$3.66 |
| 91307 |
|
411 |
387 |
$2.81 |
| Q9969 |
Non-heu tc-99m add-on/dose |
587 |
493 |
$2.00 |
| 91305 |
|
450 |
417 |
$1.73 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
188 |
173 |
$1.61 |
| 91312 |
|
303 |
248 |
$1.42 |
| J7620 |
Albuterol ipratrop non-comp |
40 |
20 |
$1.05 |
| J7050 |
Normal saline solution infus |
1,273 |
554 |
$0.65 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
43 |
40 |
$0.46 |
| 91308 |
|
47 |
24 |
$0.39 |
| 91315 |
|
14 |
12 |
$0.12 |
| 91306 |
|
19 |
18 |
$0.11 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
1,503 |
1,325 |
$0.00 |
| 96417 |
|
282 |
149 |
$0.00 |
| G1004 |
Cdsm ndsc |
386 |
344 |
$0.00 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
89 |
27 |
$0.00 |
| J0689 |
Inj cefazolin sodium, baxter |
70 |
67 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
13 |
12 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
809 |
533 |
$0.00 |
| 76377 |
|
120 |
115 |
$0.00 |
| 94760 |
|
2,102 |
1,192 |
$0.00 |
| 00142 |
|
168 |
126 |
$0.00 |
| A4648 |
Implantable tissue marker |
34 |
27 |
$0.00 |
| G0008 |
Admin influenza virus vac |
62 |
49 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
14 |
12 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
15 |
12 |
$0.00 |