| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
|
64,776 |
58,869 |
$7.97M |
| 99284 |
|
33,895 |
32,521 |
$5.15M |
| 99283 |
|
32,838 |
31,425 |
$5.04M |
| 99285 |
|
30,019 |
28,321 |
$4.43M |
| 96361 |
|
21,748 |
17,809 |
$4.08M |
| G0378 |
Hospital observation per hr |
8,202 |
7,763 |
$2.96M |
| 96365 |
|
11,027 |
8,699 |
$1.71M |
| 70450 |
|
7,935 |
7,596 |
$1.68M |
| 99282 |
|
10,796 |
10,449 |
$1.66M |
| 74177 |
|
7,952 |
7,727 |
$1.60M |
| 93975 |
|
3,352 |
3,190 |
$1.54M |
| 96360 |
|
8,952 |
8,511 |
$1.50M |
| 76700 |
|
3,417 |
3,378 |
$1.43M |
| 43239 |
|
1,942 |
1,936 |
$1.33M |
| 95810 |
|
1,211 |
1,209 |
$942K |
| 80053 |
|
54,013 |
49,448 |
$883K |
| 97530 |
|
7,100 |
2,328 |
$710K |
| 76856 |
|
1,639 |
1,595 |
$660K |
| 92507 |
|
5,258 |
1,575 |
$634K |
| 93970 |
|
1,213 |
1,180 |
$617K |
| U0003 |
Cov-19 amp prb hgh thruput |
7,950 |
7,727 |
$592K |
| 36415 |
|
91,878 |
66,332 |
$578K |
| 0202U |
|
15,008 |
14,658 |
$573K |
| 71275 |
|
2,309 |
2,270 |
$536K |
| 99213 |
|
3,824 |
3,678 |
$501K |
| 86850 |
|
19,550 |
18,482 |
$463K |
| 95782 |
|
513 |
511 |
$430K |
| 76770 |
|
1,378 |
1,360 |
$417K |
| 86900 |
|
19,761 |
18,680 |
$413K |
| 80048 |
|
25,716 |
23,685 |
$412K |
| 70551 |
|
1,442 |
1,435 |
$392K |
| 86901 |
|
19,757 |
18,674 |
$387K |
| 74176 |
|
1,781 |
1,734 |
$362K |
| 96415 |
|
753 |
630 |
$339K |
| 97110 |
|
7,119 |
2,444 |
$316K |
| 96413 |
|
2,116 |
1,438 |
$315K |
| 99281 |
|
1,967 |
1,864 |
$299K |
| U0002 |
Covid-19 lab test non-cdc |
6,588 |
6,354 |
$289K |
| 58558 |
|
231 |
230 |
$267K |
| 51701 |
|
957 |
946 |
$262K |
| 93458 |
|
145 |
144 |
$241K |
| 76817 |
|
3,758 |
3,320 |
$218K |
| 88305 |
|
5,484 |
5,423 |
$215K |
| 97112 |
|
6,095 |
2,154 |
$191K |
| 96366 |
|
1,947 |
1,476 |
$183K |
| 76816 |
|
4,245 |
3,610 |
$176K |
| 82306 |
|
6,605 |
6,589 |
$173K |
| 12001 |
|
440 |
439 |
$169K |
| U0005 |
Infec agen detec ampli probe |
7,577 |
7,348 |
$168K |
| 12011 |
|
421 |
421 |
$160K |
| 80307 |
|
4,657 |
4,430 |
$151K |
| J3490 |
Drugs unclassified injection |
7,118 |
5,226 |
$146K |
| 97140 |
|
4,287 |
1,505 |
$145K |
| 76818 |
|
3,380 |
1,451 |
$144K |
| 96372 |
|
11,425 |
9,045 |
$125K |
| 83880 |
|
4,896 |
4,574 |
$123K |
| 80076 |
|
12,706 |
12,122 |
$122K |
| 95816 |
|
913 |
909 |
$107K |
| 99202 |
|
891 |
888 |
$106K |
| 77067 |
|
1,471 |
1,471 |
$105K |
| 76815 |
|
1,969 |
1,422 |
$104K |
| J1756 |
Iron sucrose injection |
2,507 |
1,120 |
$102K |
| 96367 |
|
1,523 |
1,322 |
$99K |
| 93306 |
|
564 |
561 |
$96K |
| 76830 |
|
2,773 |
2,665 |
$95K |
| 45380 |
|
131 |
129 |
$91K |
| 80061 |
|
13,362 |
13,289 |
$90K |
| 87631 |
|
2,110 |
2,062 |
$90K |
| 70496 |
|
387 |
382 |
$90K |
| J1439 |
Inj ferric carboxymaltos 1mg |
123 |
81 |
$88K |
| 94010 |
|
1,940 |
1,826 |
$88K |
| 97803 |
|
1,654 |
1,299 |
$87K |
| 85610 |
|
24,376 |
22,757 |
$83K |
| 64483 |
|
118 |
113 |
$83K |
| 85025 |
|
65,789 |
59,178 |
$82K |
| 84443 |
|
15,923 |
15,550 |
$81K |
| 94060 |
|
400 |
394 |
$77K |
| 83036 |
|
10,940 |
10,874 |
$75K |
| 76801 |
|
1,130 |
1,049 |
$75K |
| 72131 |
|
1,100 |
1,057 |
$74K |
| J0248 |
Inj, remdesivir, 1 mg |
155 |
70 |
$73K |
| 97802 |
|
1,190 |
1,189 |
$73K |
| 82607 |
|
5,992 |
5,963 |
$71K |
| 76811 |
|
973 |
965 |
$70K |
| 97116 |
|
1,754 |
820 |
$65K |
| 87633 |
|
1,691 |
1,675 |
$65K |
| 82728 |
|
5,527 |
5,448 |
$61K |
| 70553 |
|
164 |
160 |
$60K |
| 87491 |
|
2,399 |
2,368 |
$60K |
| 96374 |
|
14,400 |
13,599 |
$59K |
| 76819 |
|
1,387 |
1,227 |
$59K |
| 84439 |
|
8,467 |
8,378 |
$58K |
| 59025 |
|
765 |
673 |
$56K |
| 96040 |
|
1,010 |
988 |
$54K |
| 70544 |
|
161 |
151 |
$54K |
| 76820 |
|
2,447 |
1,276 |
$53K |
| Q0247 |
Sotrovimab |
59 |
52 |
$50K |
| M0243 |
Casirivi and imdevi inj |
189 |
185 |
$50K |
| 71046 |
|
11,671 |
11,491 |
$50K |
| U0004 |
Cov-19 test non-cdc hgh thru |
659 |
643 |
$50K |
| 76705 |
|
1,966 |
1,936 |
$49K |
| 88342 |
|
1,043 |
1,031 |
$49K |
| 87798 |
|
1,784 |
1,758 |
$49K |
| 96375 |
|
12,567 |
10,972 |
$48K |
| 76821 |
|
1,476 |
803 |
$48K |
| 82746 |
|
4,186 |
4,170 |
$48K |
| 93005 |
|
28,073 |
23,854 |
$47K |
| 76641 |
|
1,402 |
1,246 |
$46K |
| 84702 |
|
16,200 |
14,948 |
$46K |
| 80050 |
|
1,401 |
1,377 |
$44K |
| 81025 |
|
17,433 |
16,736 |
$41K |
| 85730 |
|
22,036 |
20,861 |
$40K |
| 71260 |
|
525 |
519 |
$40K |
| 92592 |
|
364 |
269 |
$38K |
| 87591 |
|
2,396 |
2,365 |
$37K |
| 87426 |
|
852 |
835 |
$37K |
| 44970 |
|
13 |
13 |
$37K |
| 72125 |
|
2,334 |
2,229 |
$37K |
| 88304 |
|
1,842 |
1,833 |
$36K |
| 77336 |
|
95 |
39 |
$35K |
| 70498 |
|
343 |
341 |
$34K |
| 36223 |
|
25 |
25 |
$33K |
| 75574 |
|
193 |
192 |
$32K |
| M0245 |
Bamlan and etesev infusion |
122 |
104 |
$32K |
| 86769 |
|
837 |
834 |
$30K |
| 12002 |
|
78 |
78 |
$29K |
| 99460 |
|
265 |
265 |
$29K |
| 90715 |
|
1,322 |
1,316 |
$29K |
| 97161 |
|
293 |
290 |
$28K |
| G0480 |
Drug test def 1-7 classes |
1,384 |
1,244 |
$28K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
12,943 |
10,382 |
$28K |
| M0222 |
Bebtelovimab injection |
129 |
112 |
$28K |
| C1769 |
Guide wire |
1,053 |
1,031 |
$28K |
| 70486 |
|
957 |
943 |
$27K |
| 87088 |
|
24,383 |
23,220 |
$27K |
| 99238 |
|
298 |
298 |
$26K |
| A9585 |
Gadobutrol injection |
1,480 |
869 |
$26K |
| 71250 |
|
290 |
289 |
$25K |
| 86480 |
|
495 |
494 |
$25K |
| 87486 |
|
1,786 |
1,767 |
$24K |
| 45378 |
|
37 |
36 |
$23K |
| 88307 |
|
344 |
343 |
$23K |
| 87581 |
|
1,786 |
1,767 |
$23K |
| 84153 |
|
1,298 |
1,294 |
$22K |
| 99203 |
|
185 |
184 |
$21K |
| 83540 |
|
4,772 |
4,722 |
$21K |
| 77063 |
|
1,463 |
1,463 |
$20K |
| 84403 |
|
786 |
784 |
$19K |
| 58662 |
|
12 |
12 |
$19K |
| Q0222 |
Bebtelovimab 175 mg |
37 |
37 |
$19K |
| M0247 |
Sotrovimab infusion |
66 |
59 |
$19K |
| 92593 |
|
258 |
251 |
$18K |
| 95819 |
|
132 |
131 |
$18K |
| 94640 |
|
4,450 |
3,659 |
$18K |
| 82784 |
|
1,509 |
1,156 |
$18K |
| 84481 |
|
1,937 |
1,934 |
$17K |
| 81003 |
|
34,533 |
32,760 |
$17K |
| 83655 |
|
1,323 |
1,320 |
$17K |
| 93971 |
|
307 |
305 |
$17K |
| 87389 |
|
1,820 |
1,812 |
$16K |
| 83550 |
|
3,730 |
3,691 |
$16K |
| C1889 |
Implant/insert device, noc |
571 |
562 |
$16K |
| 83921 |
|
736 |
735 |
$15K |
| 99291 |
|
94 |
92 |
$15K |
| 76813 |
|
325 |
325 |
$13K |
| 87428 |
|
1,126 |
1,110 |
$13K |
| 70491 |
|
65 |
64 |
$13K |
| 29125 |
|
80 |
76 |
$13K |
| 86376 |
|
983 |
976 |
$13K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
97 |
97 |
$13K |
| 76870 |
|
262 |
255 |
$13K |
| 85027 |
|
8,505 |
7,636 |
$12K |
| 87624 |
|
435 |
435 |
$11K |
| 82947 |
|
14,154 |
10,794 |
$11K |
| 83735 |
|
17,893 |
16,117 |
$11K |
| 83525 |
|
1,020 |
1,019 |
$11K |
| 76805 |
|
149 |
149 |
$11K |
| 86803 |
|
1,418 |
1,409 |
$11K |
| 92570 |
|
203 |
203 |
$10K |
| 92526 |
|
76 |
27 |
$10K |
| 71045 |
|
13,391 |
12,534 |
$10K |
| 86870 |
|
300 |
266 |
$10K |
| 82803 |
|
807 |
756 |
$10K |
| C1887 |
Catheter, guiding |
495 |
488 |
$10K |
| 84436 |
|
3,286 |
3,247 |
$10K |
| C1874 |
Stent, coated/cov w/del sys |
14 |
14 |
$10K |
| 87040 |
|
6,218 |
4,705 |
$9K |
| 86665 |
|
872 |
434 |
$8K |
| 88142 |
|
431 |
431 |
$8K |
| 86780 |
|
2,675 |
2,480 |
$8K |
| 84550 |
|
3,000 |
2,777 |
$8K |
| 84480 |
|
1,518 |
1,499 |
$8K |
| C1760 |
Closure dev, vasc |
186 |
185 |
$8K |
| P9016 |
Rbc leukocytes reduced |
17 |
14 |
$8K |
| 84146 |
|
440 |
435 |
$8K |
| 77065 |
Tomosynthesis, mammo |
119 |
103 |
$8K |
| C1894 |
Intro/sheath, non-laser |
446 |
438 |
$8K |
| 83001 |
|
460 |
452 |
$8K |
| 77066 |
Tomosynthesis, mammo |
89 |
87 |
$8K |
| 99001 |
|
214 |
214 |
$7K |
| J1100 |
Dexamethasone sodium phos |
8,299 |
6,817 |
$7K |
| 36430 |
|
17 |
14 |
$7K |
| 87077 |
|
3,494 |
3,400 |
$7K |
| 82550 |
|
4,450 |
4,184 |
$7K |
| 83090 |
|
392 |
391 |
$7K |
| 86800 |
|
550 |
545 |
$7K |
| 86318 |
|
1,659 |
996 |
$6K |
| 87070 |
|
5,172 |
5,023 |
$6K |
| 70547 |
|
27 |
27 |
$6K |
| 95004 |
|
28 |
28 |
$6K |
| J7030 |
Normal saline solution infus |
21,752 |
19,709 |
$6K |
| 86141 |
|
2,488 |
2,417 |
$6K |
| 96376 |
|
2,472 |
1,907 |
$5K |
| 84425 |
|
351 |
351 |
$5K |
| 87340 |
|
987 |
980 |
$5K |
| 83002 |
|
329 |
327 |
$5K |
| 86618 |
|
346 |
345 |
$5K |
| M0239 |
Bamlanivimab-xxxx infusion |
19 |
18 |
$5K |
| 86038 |
|
961 |
955 |
$5K |
| 97162 |
|
36 |
36 |
$5K |
| 87186 |
|
3,388 |
3,296 |
$5K |
| G0279 |
Tomosynthesis, mammo |
163 |
162 |
$5K |
| 82670 |
|
199 |
183 |
$5K |
| 94726 |
|
197 |
196 |
$5K |
| 99222 |
|
29 |
29 |
$4K |
| 87636 |
|
272 |
265 |
$4K |
| J0131 |
Inj, acetaminophen (nos) |
3,951 |
3,717 |
$4K |
| 86706 |
|
596 |
589 |
$4K |
| 82248 |
|
1,216 |
1,049 |
$4K |
| 83615 |
|
1,660 |
1,285 |
$4K |
| 94729 |
|
198 |
197 |
$4K |
| 86140 |
|
1,098 |
1,072 |
$4K |
| 72128 |
|
238 |
236 |
$4K |
| 76937 |
|
24 |
24 |
$4K |
| 86664 |
|
437 |
434 |
$4K |
| 85007 |
|
5,661 |
5,284 |
$4K |
| 86762 |
|
340 |
339 |
$3K |
| 85651 |
|
2,644 |
2,578 |
$3K |
| 86663 |
|
438 |
435 |
$3K |
| 84630 |
|
383 |
383 |
$3K |
| V5266 |
Battery for hearing device |
226 |
224 |
$3K |
| 0241U |
|
1,737 |
1,722 |
$3K |
| 82565 |
|
1,042 |
1,027 |
$3K |
| 83690 |
|
14,260 |
13,426 |
$3K |
| 74240 |
|
40 |
40 |
$3K |
| 74174 |
|
28 |
27 |
$2K |
| 70549 |
|
12 |
12 |
$2K |
| 84484 |
|
13,791 |
10,142 |
$2K |
| J7120 |
Ringers lactate infusion |
1,251 |
1,082 |
$2K |
| 84100 |
|
5,490 |
5,121 |
$2K |
| 86923 |
|
71 |
66 |
$2K |
| 82043 |
|
455 |
454 |
$2K |
| 86256 |
|
170 |
154 |
$2K |
| J2469 |
Palonosetron hcl |
40 |
25 |
$2K |
| 74018 |
|
1,767 |
1,707 |
$2K |
| 82785 |
|
54 |
38 |
$2K |
| 82570 |
|
1,169 |
1,019 |
$2K |
| P9612 |
Catheterize for urine spec |
61 |
61 |
$2K |
| 73630 |
|
1,656 |
1,549 |
$2K |
| 99211 |
|
111 |
109 |
$2K |
| 29515 |
|
12 |
12 |
$2K |
| J7040 |
Normal saline solution infus |
6,179 |
5,811 |
$2K |
| C1893 |
Intro/sheath, fixed,non-peel |
188 |
187 |
$2K |
| 90791 |
|
12 |
12 |
$2K |
| 82627 |
|
80 |
80 |
$2K |
| 73610 |
|
1,479 |
1,413 |
$2K |
| S0028 |
Injection, famotidine, 20 mg |
3,172 |
2,818 |
$1K |
| 99232 |
|
16 |
12 |
$1K |
| 87184 |
|
880 |
849 |
$1K |
| 86255 |
|
300 |
223 |
$1K |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
979 |
823 |
$1K |
| J2704 |
Inj, propofol, 10 mg |
8,846 |
6,979 |
$1K |
| 82247 |
|
318 |
253 |
$1K |
| 99221 |
|
15 |
15 |
$1K |
| 73130 |
|
1,512 |
1,434 |
$1K |
| 84156 |
|
1,128 |
932 |
$1K |
| 93325 |
|
221 |
124 |
$1K |
| 76825 |
|
13 |
13 |
$1K |
| 81015 |
|
1,782 |
1,720 |
$1K |
| J2405 |
Ondansetron hcl injection |
12,519 |
10,600 |
$1K |
| 90471 |
|
858 |
840 |
$1K |
| J7050 |
Normal saline solution infus |
8,114 |
4,871 |
$1K |
| 94728 |
|
13 |
12 |
$1K |
| 82465 |
|
219 |
218 |
$926.42 |
| 74019 |
|
2,218 |
2,174 |
$860.21 |
| 83970 |
|
26 |
25 |
$855.28 |
| 80074 |
|
25 |
25 |
$848.32 |
| 84255 |
|
37 |
37 |
$832.70 |
| 87502 |
|
21 |
21 |
$801.65 |
| 85379 |
|
2,093 |
2,063 |
$799.99 |
| 0042T |
|
13 |
13 |
$792.04 |
| 82977 |
|
168 |
155 |
$756.96 |
| 85046 |
|
793 |
734 |
$732.07 |
| 92557 |
|
12 |
12 |
$724.55 |
| 73564 |
|
1,006 |
977 |
$721.84 |
| 86787 |
|
88 |
88 |
$717.12 |
| 83605 |
|
2,312 |
2,019 |
$714.26 |
| J2916 |
Na ferric gluconate complex |
29 |
13 |
$694.81 |
| 94200 |
|
14 |
14 |
$690.80 |
| J0137 |
Inj, acetaminophen (hikma) |
1,800 |
1,678 |
$683.41 |
| 73030 |
|
1,196 |
1,114 |
$680.78 |
| 83721 |
|
183 |
182 |
$648.42 |
| 84144 |
|
31 |
27 |
$639.36 |
| J0696 |
Ceftriaxone sodium injection |
2,967 |
2,470 |
$627.70 |
| 83021 |
|
37 |
37 |
$609.53 |
| 84520 |
|
423 |
419 |
$598.72 |
| 85384 |
|
1,240 |
1,032 |
$591.77 |
| 88173 |
|
28 |
27 |
$577.38 |
| 84112 |
|
25 |
25 |
$576.60 |
| 73562 |
|
276 |
261 |
$565.30 |
| Q0244 |
Casirivi and imdevi 1200 mg |
28 |
28 |
$557.99 |
| 82272 |
|
410 |
398 |
$549.44 |
| 87205 |
|
561 |
507 |
$516.81 |
| 76827 |
|
13 |
13 |
$507.15 |
| H0049 |
Alcohol/drug screening |
12 |
12 |
$480.25 |
| 86431 |
|
87 |
87 |
$421.28 |
| J8540 |
Oral dexamethasone |
2,136 |
1,723 |
$408.89 |
| J0690 |
Cefazolin sodium injection |
2,561 |
2,369 |
$405.71 |
| 82077 |
|
3,511 |
3,127 |
$393.47 |
| 81001 |
|
243 |
226 |
$355.90 |
| J1170 |
Hydromorphone injection |
1,564 |
1,410 |
$348.44 |
| J1741 |
Ibuprofen injection |
65 |
55 |
$342.76 |
| 96417 |
|
18 |
12 |
$338.85 |
| J3010 |
Fentanyl citrate injection |
6,817 |
6,320 |
$338.01 |
| S0020 |
Injection, bupivicaine hydro |
922 |
902 |
$323.42 |
| 73070 |
|
506 |
442 |
$316.56 |
| V5014 |
Hearing aid repair/modifying |
15 |
15 |
$300.00 |
| J1200 |
Diphenhydramine hcl injectio |
2,708 |
2,426 |
$286.82 |
| 80143 |
|
2,420 |
2,291 |
$278.84 |
| 76642 |
|
13 |
13 |
$271.20 |
| J0136 |
Inj, acetaminophen (b braun) |
1,706 |
1,581 |
$268.58 |
| 73090 |
|
612 |
551 |
$249.95 |
| 80179 |
|
2,362 |
2,241 |
$242.52 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
79 |
51 |
$242.00 |
| 73110 |
|
735 |
693 |
$240.37 |
| 74178 |
|
12 |
12 |
$240.02 |
| J2270 |
Morphine sulfate injection |
3,148 |
2,645 |
$239.43 |
| 84145 |
|
921 |
891 |
$236.25 |
| 87427 |
|
28 |
14 |
$210.84 |
| 85014 |
|
292 |
279 |
$209.27 |
| 86765 |
|
16 |
16 |
$206.08 |
| 86696 |
|
12 |
12 |
$179.93 |
| 94618 |
|
13 |
13 |
$165.49 |
| Q0243 |
Casirivimab and imdevimab |
39 |
36 |
$162.99 |
| Q0239 |
Bamlanivimab-xxxx |
15 |
15 |
$161.97 |
| J1642 |
Inj heparin sodium per 10 u |
388 |
236 |
$160.21 |
| S0119 |
Ondansetron 4 mg |
2,507 |
2,444 |
$159.00 |
| 82340 |
|
32 |
29 |
$153.13 |
| C1729 |
Cath, drainage |
98 |
95 |
$141.64 |
| J0134 |
Inj acetaminophen -fresenius |
521 |
489 |
$134.88 |
| 87046 |
|
28 |
14 |
$131.05 |
| 84479 |
|
149 |
146 |
$130.26 |
| 86735 |
|
16 |
16 |
$129.04 |
| 73590 |
|
539 |
512 |
$125.33 |
| 80177 |
|
29 |
29 |
$115.82 |
| 84132 |
|
376 |
366 |
$109.13 |
| J1885 |
Ketorolac tromethamine inj |
9,133 |
7,817 |
$105.74 |
| 87075 |
|
52 |
52 |
$92.05 |
| 87045 |
|
14 |
14 |
$89.53 |
| J2250 |
Inj midazolam hydrochloride |
5,219 |
4,937 |
$88.75 |
| J3420 |
Vitamin b12 injection |
214 |
175 |
$81.26 |
| J3475 |
Inj magnesium sulfate |
808 |
703 |
$78.44 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
1,356 |
756 |
$77.76 |
| J3301 |
Triamcinolone acet inj nos |
100 |
94 |
$74.09 |
| 86592 |
|
146 |
130 |
$70.21 |
| 87275 |
|
335 |
329 |
$63.79 |
| 85008 |
|
201 |
179 |
$60.82 |
| C1714 |
Cath, trans atherectomy, dir |
13 |
13 |
$58.80 |
| 84295 |
|
524 |
511 |
$54.98 |
| 87276 |
|
335 |
329 |
$53.33 |
| C9113 |
Inj pantoprazole sodium, via |
131 |
101 |
$49.00 |
| J2765 |
Metoclopramide hcl injection |
3,596 |
3,392 |
$47.81 |
| 82397 |
|
12 |
12 |
$44.80 |
| J1644 |
Inj heparin sodium per 1000u |
445 |
400 |
$41.44 |
| 82150 |
|
14 |
13 |
$41.33 |
| 87807 |
|
121 |
119 |
$38.66 |
| J1650 |
Inj enoxaparin sodium |
224 |
132 |
$34.39 |
| 80164 |
|
13 |
12 |
$31.34 |
| J2543 |
Piperacillin/tazobactam |
233 |
176 |
$28.80 |
| J2930 |
Methylprednisolone injection |
711 |
653 |
$24.34 |
| J3480 |
Inj potassium chloride |
459 |
382 |
$24.24 |
| J0171 |
Adrenalin epinephrine inject |
163 |
126 |
$22.50 |
| J2060 |
Lorazepam injection |
857 |
706 |
$15.51 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
183 |
131 |
$14.88 |
| J7042 |
5% dextrose/normal saline |
60 |
51 |
$14.02 |
| J1630 |
Haloperidol injection |
393 |
333 |
$13.93 |
| S0077 |
Injection, clindamycin phosp |
12 |
12 |
$11.66 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
49 |
41 |
$8.80 |
| 73502 |
|
54 |
53 |
$7.48 |
| J3411 |
Thiamine hcl 100 mg |
121 |
93 |
$6.89 |
| J7510 |
Prednisolone oral per 5 mg |
63 |
59 |
$5.16 |
| J2920 |
Methylprednisolone injection |
59 |
39 |
$4.19 |
| J7512 |
Prednisone ir or dr oral 1mg |
314 |
283 |
$3.61 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
89 |
86 |
$1.30 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
135 |
107 |
$1.24 |
| C9290 |
Inj, bupivacaine liposome |
12 |
12 |
$0.00 |
| 82435 |
|
102 |
101 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
75 |
43 |
$0.00 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
24 |
12 |
$0.00 |
| 73060 |
|
40 |
38 |
$0.00 |
| 90378 |
|
34 |
24 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
14 |
14 |
$0.00 |
| S0166 |
Inj olanzapine 2.5mg |
16 |
13 |
$0.00 |
| J3360 |
Diazepam injection |
32 |
12 |
$0.00 |
| 99080 |
|
6,036 |
1,307 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
100 |
82 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
188 |
134 |
$0.00 |
| J1953 |
Levetiracetam injection |
15 |
13 |
$0.00 |
| 85347 |
|
14 |
14 |
$0.00 |