| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
48,842 |
44,351 |
$8.83M |
| 99285 |
|
23,344 |
21,280 |
$8.18M |
| 99283 |
|
43,183 |
39,761 |
$5.21M |
| 96374 |
|
29,797 |
26,928 |
$2.31M |
| G0463 |
Hospital outpt clinic visit |
41,079 |
35,136 |
$1.32M |
| 93458 |
|
1,078 |
1,016 |
$1.13M |
| 43239 |
|
3,359 |
3,271 |
$1.11M |
| 74177 |
|
6,895 |
6,661 |
$957K |
| 74176 |
|
9,281 |
8,850 |
$887K |
| 99282 |
|
9,242 |
8,832 |
$742K |
| 45380 |
|
1,416 |
1,380 |
$668K |
| 97110 |
|
23,200 |
5,659 |
$620K |
| 80061 |
|
12,477 |
12,259 |
$592K |
| 70450 |
|
9,057 |
8,683 |
$553K |
| 96365 |
|
6,845 |
4,815 |
$536K |
| 71045 |
|
19,364 |
17,990 |
$535K |
| 82947 |
|
11,944 |
7,529 |
$515K |
| 96375 |
|
21,495 |
18,488 |
$493K |
| 45385 |
|
1,049 |
1,024 |
$490K |
| 11042 |
|
2,771 |
1,467 |
$406K |
| 87637 |
|
6,997 |
6,876 |
$388K |
| 96361 |
|
11,039 |
9,798 |
$327K |
| G0378 |
Hospital observation per hr |
7,496 |
6,311 |
$289K |
| 70553 |
|
1,487 |
1,456 |
$282K |
| 96360 |
|
3,170 |
3,053 |
$255K |
| 71260 |
|
4,231 |
4,051 |
$252K |
| 76856 |
|
4,690 |
4,576 |
$231K |
| 71046 |
|
6,870 |
6,580 |
$220K |
| 76830 |
|
4,164 |
4,071 |
$217K |
| 77067 |
|
4,321 |
4,292 |
$201K |
| 76801 |
|
3,611 |
3,235 |
$188K |
| 45378 |
|
495 |
488 |
$183K |
| 76705 |
|
3,710 |
3,422 |
$178K |
| 95810 |
|
345 |
338 |
$149K |
| 72148 |
|
1,559 |
1,520 |
$144K |
| 59025 |
|
1,774 |
1,371 |
$137K |
| 95811 |
|
290 |
285 |
$134K |
| 96413 |
|
874 |
532 |
$134K |
| 97112 |
|
5,633 |
1,583 |
$133K |
| 74178 |
|
812 |
787 |
$132K |
| 78815 |
|
215 |
209 |
$131K |
| 87635 |
|
6,573 |
6,186 |
$129K |
| 97161 |
|
2,809 |
2,757 |
$128K |
| 97140 |
|
7,986 |
2,604 |
$105K |
| 93971 |
|
2,256 |
2,188 |
$101K |
| 73721 |
|
820 |
795 |
$100K |
| 76700 |
|
1,239 |
1,217 |
$74K |
| 76641 |
|
1,530 |
1,442 |
$71K |
| G0121 |
Colon ca scrn not hi rsk ind |
157 |
157 |
$70K |
| 76770 |
|
1,416 |
1,377 |
$70K |
| 76805 |
|
1,151 |
1,131 |
$65K |
| 72141 |
|
538 |
527 |
$65K |
| 97530 |
|
2,974 |
1,227 |
$65K |
| 77336 |
|
1,064 |
437 |
$59K |
| 99291 |
|
86 |
82 |
$56K |
| 71275 |
|
897 |
890 |
$56K |
| 96366 |
|
2,246 |
1,497 |
$56K |
| 96372 |
|
25,539 |
21,546 |
$55K |
| 90837 |
|
683 |
368 |
$55K |
| 76816 |
|
1,011 |
965 |
$55K |
| 71250 |
|
1,296 |
1,272 |
$52K |
| 76536 |
|
1,109 |
1,076 |
$48K |
| 87491 |
|
7,970 |
7,781 |
$47K |
| 72131 |
|
1,362 |
1,334 |
$47K |
| 93005 |
|
25,247 |
21,384 |
$45K |
| 77063 |
|
3,735 |
3,716 |
$45K |
| 93976 |
|
1,170 |
1,135 |
$44K |
| 70486 |
|
1,329 |
1,295 |
$43K |
| 93798 |
|
854 |
140 |
$43K |
| 50590 |
|
30 |
28 |
$42K |
| 87591 |
|
7,330 |
7,147 |
$42K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,686 |
1,654 |
$42K |
| 72125 |
|
3,058 |
2,975 |
$38K |
| 90471 |
|
4,270 |
4,051 |
$37K |
| 99281 |
|
713 |
684 |
$36K |
| 86900 |
|
5,380 |
5,113 |
$31K |
| 93970 |
|
400 |
384 |
$30K |
| 80307 |
|
20,424 |
18,768 |
$28K |
| 77334 |
|
102 |
80 |
$27K |
| 70496 |
|
493 |
487 |
$27K |
| 43235 |
|
78 |
74 |
$26K |
| 71271 |
|
466 |
466 |
$26K |
| 10060 |
|
299 |
283 |
$24K |
| 72110 |
|
1,247 |
1,227 |
$22K |
| 77412 |
|
243 |
24 |
$21K |
| 80053 |
|
48,589 |
43,030 |
$21K |
| 99395 |
|
400 |
400 |
$21K |
| 93975 |
|
200 |
198 |
$20K |
| 84443 |
|
16,356 |
15,902 |
$20K |
| 99391 |
|
484 |
464 |
$20K |
| 96367 |
|
698 |
579 |
$19K |
| 73221 |
|
156 |
149 |
$18K |
| 85025 |
|
75,773 |
63,571 |
$18K |
| 99396 |
|
509 |
509 |
$17K |
| 74018 |
|
1,345 |
1,207 |
$15K |
| 77300 |
|
96 |
79 |
$15K |
| 70491 |
|
167 |
163 |
$14K |
| 82306 |
|
5,121 |
5,052 |
$13K |
| 90460 |
|
472 |
459 |
$13K |
| 72100 |
|
679 |
654 |
$13K |
| 73030 |
|
2,627 |
2,426 |
$12K |
| G0482 |
Drug test def 15-21 classes |
1,795 |
1,762 |
$12K |
| 77065 |
Tomosynthesis, mammo |
340 |
300 |
$12K |
| 73562 |
|
3,156 |
2,809 |
$12K |
| 90686 |
|
749 |
721 |
$10K |
| 93306 |
|
258 |
241 |
$10K |
| 73630 |
|
3,378 |
3,133 |
$10K |
| 36415 |
|
52,985 |
46,735 |
$10K |
| 92507 |
|
272 |
76 |
$10K |
| 97535 |
|
595 |
320 |
$9K |
| Q3014 |
Telehealth facility fee |
757 |
715 |
$9K |
| 90472 |
|
552 |
497 |
$9K |
| 97116 |
|
700 |
373 |
$9K |
| 76000 |
|
383 |
364 |
$8K |
| G0008 |
Admin influenza virus vac |
800 |
772 |
$8K |
| 90791 |
|
98 |
97 |
$8K |
| 83036 |
|
10,624 |
10,387 |
$8K |
| G0297 |
Ldct for lung ca screen |
232 |
229 |
$8K |
| 87480 |
|
3,774 |
3,701 |
$8K |
| 95806 |
|
94 |
94 |
$8K |
| 87510 |
|
3,773 |
3,700 |
$8K |
| 87660 |
|
3,767 |
3,695 |
$7K |
| 73502 |
|
1,280 |
1,225 |
$7K |
| 77301 |
|
15 |
13 |
$7K |
| 87070 |
|
3,967 |
3,736 |
$6K |
| 87390 |
|
2,177 |
2,160 |
$6K |
| 73130 |
|
3,260 |
2,965 |
$6K |
| 88305 |
|
8,122 |
7,667 |
$6K |
| 72158 |
|
40 |
38 |
$6K |
| 80048 |
|
29,182 |
24,889 |
$6K |
| 87086 |
|
7,841 |
7,409 |
$6K |
| 73610 |
|
2,700 |
2,470 |
$5K |
| 87661 |
|
803 |
796 |
$5K |
| 87624 |
|
1,728 |
1,722 |
$5K |
| 97165 |
|
177 |
174 |
$5K |
| 99392 |
|
155 |
154 |
$5K |
| 82728 |
|
3,019 |
2,947 |
$4K |
| 84702 |
|
5,030 |
4,381 |
$4K |
| 83550 |
|
2,959 |
2,896 |
$4K |
| M0243 |
Casirivi and imdevi inj |
17 |
17 |
$4K |
| 86702 |
|
2,205 |
2,183 |
$4K |
| 82607 |
|
3,070 |
3,006 |
$3K |
| 96130 |
|
26 |
26 |
$3K |
| 73110 |
|
1,845 |
1,656 |
$3K |
| 84439 |
|
4,625 |
4,533 |
$3K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
15,215 |
14,424 |
$3K |
| J3490 |
Drugs unclassified injection |
20,372 |
12,169 |
$3K |
| 86850 |
|
4,616 |
4,377 |
$3K |
| 80074 |
|
485 |
471 |
$3K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
196 |
196 |
$3K |
| 97162 |
|
75 |
73 |
$3K |
| 78452 |
|
27 |
26 |
$3K |
| 88175 |
|
1,487 |
1,486 |
$3K |
| M0245 |
Bamlan and etesev infusion |
15 |
15 |
$3K |
| 91010 |
|
13 |
13 |
$3K |
| 87502 |
|
3,346 |
3,220 |
$3K |
| 86592 |
|
969 |
964 |
$3K |
| 77066 |
Tomosynthesis, mammo |
47 |
45 |
$2K |
| 86701 |
|
2,200 |
2,180 |
$2K |
| U0005 |
Infec agen detec ampli probe |
421 |
411 |
$2K |
| 85610 |
|
16,019 |
13,795 |
$2K |
| 83540 |
|
3,326 |
3,237 |
$2K |
| 87186 |
|
2,584 |
2,487 |
$2K |
| 86780 |
|
661 |
651 |
$2K |
| 10061 |
|
13 |
13 |
$2K |
| 87081 |
|
3,349 |
3,286 |
$2K |
| 94640 |
|
2,845 |
1,864 |
$2K |
| 85027 |
|
5,720 |
5,337 |
$2K |
| 81025 |
|
27,236 |
25,159 |
$2K |
| Q9969 |
Non-heu tc-99m add-on/dose |
65 |
65 |
$2K |
| 87340 |
|
1,390 |
1,375 |
$2K |
| 85730 |
|
12,565 |
11,273 |
$2K |
| 83735 |
|
13,057 |
11,151 |
$2K |
| 87077 |
|
2,507 |
2,415 |
$2K |
| 96136 |
|
26 |
26 |
$2K |
| 88342 |
|
571 |
555 |
$2K |
| 76811 |
|
13 |
13 |
$2K |
| 86762 |
|
805 |
793 |
$2K |
| Q0138 |
Ferumoxytol, non-esrd |
19 |
12 |
$2K |
| 82746 |
|
1,297 |
1,280 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
13,754 |
12,774 |
$2K |
| J7050 |
Normal saline solution infus |
2,364 |
1,426 |
$2K |
| 83615 |
|
1,575 |
1,386 |
$2K |
| 87636 |
|
107 |
104 |
$2K |
| 84100 |
|
4,024 |
3,425 |
$2K |
| 86787 |
|
702 |
693 |
$1K |
| 73080 |
|
879 |
831 |
$1K |
| 77080 |
|
25 |
25 |
$1K |
| 84550 |
|
2,015 |
1,827 |
$1K |
| 86140 |
|
3,749 |
3,242 |
$1K |
| 83880 |
|
10,545 |
9,757 |
$1K |
| 73590 |
|
1,363 |
1,258 |
$1K |
| G0480 |
Drug test def 1-7 classes |
3,642 |
3,340 |
$1K |
| 90688 |
|
70 |
70 |
$1K |
| 93880 |
|
27 |
26 |
$1K |
| 82570 |
|
2,486 |
2,375 |
$1K |
| G0103 |
Psa screening |
834 |
834 |
$1K |
| 82565 |
|
2,039 |
1,728 |
$1K |
| 70498 |
|
266 |
263 |
$1K |
| 82043 |
|
2,683 |
2,647 |
$1K |
| 81003 |
|
17,294 |
16,411 |
$1K |
| 72146 |
|
14 |
12 |
$1K |
| 83970 |
|
230 |
210 |
$996.39 |
| 95800 |
|
12 |
12 |
$980.18 |
| 81001 |
|
18,421 |
17,068 |
$977.53 |
| 90656 |
|
48 |
48 |
$952.59 |
| 86803 |
|
584 |
583 |
$900.98 |
| 29505 |
|
13 |
13 |
$900.23 |
| 76817 |
|
1,966 |
1,792 |
$898.57 |
| 73700 |
|
30 |
28 |
$888.77 |
| 86901 |
|
5,451 |
5,177 |
$831.19 |
| 71101 |
|
294 |
289 |
$826.57 |
| 85652 |
|
3,442 |
2,995 |
$787.44 |
| 82075 |
|
2,644 |
2,298 |
$774.97 |
| 99393 |
|
26 |
26 |
$773.44 |
| 86038 |
|
688 |
680 |
$723.49 |
| 80076 |
|
2,855 |
2,691 |
$713.22 |
| 77280 |
|
15 |
12 |
$671.36 |
| 97014 |
|
92 |
40 |
$667.38 |
| 83690 |
|
17,625 |
16,229 |
$662.71 |
| 82330 |
|
1,489 |
1,252 |
$647.28 |
| 72070 |
|
84 |
80 |
$632.73 |
| 88304 |
|
1,065 |
1,022 |
$585.70 |
| 88307 |
|
594 |
542 |
$546.93 |
| 84520 |
|
1,100 |
895 |
$543.71 |
| 84484 |
|
20,671 |
14,417 |
$495.37 |
| 84460 |
|
1,652 |
1,628 |
$487.33 |
| 84450 |
|
1,617 |
1,594 |
$472.84 |
| 80051 |
|
709 |
651 |
$471.48 |
| 84481 |
|
336 |
330 |
$470.20 |
| 87205 |
|
1,497 |
1,325 |
$465.13 |
| 80055 |
|
29 |
29 |
$451.12 |
| G0481 |
Drug test def 8-14 classes |
250 |
237 |
$360.20 |
| 73200 |
|
12 |
12 |
$359.03 |
| 87147 |
|
492 |
483 |
$355.35 |
| C9803 |
Hopd covid-19 spec collect |
26 |
22 |
$312.08 |
| A9585 |
Gadobutrol injection |
3,121 |
2,986 |
$311.68 |
| 85379 |
|
2,991 |
2,892 |
$308.25 |
| G0009 |
Admin pneumococcal vaccine |
19 |
19 |
$290.66 |
| 73090 |
|
820 |
769 |
$283.93 |
| 73620 |
|
115 |
111 |
$279.40 |
| 82150 |
|
2,638 |
2,454 |
$265.07 |
| 88341 |
|
103 |
96 |
$257.30 |
| 82950 |
|
256 |
255 |
$233.80 |
| 97035 |
|
42 |
12 |
$221.22 |
| 82140 |
|
629 |
561 |
$201.26 |
| 87040 |
|
3,185 |
2,303 |
$198.77 |
| 82550 |
|
872 |
797 |
$197.22 |
| 82247 |
|
252 |
207 |
$184.51 |
| 82248 |
|
254 |
229 |
$179.32 |
| 82077 |
|
3,595 |
3,396 |
$173.06 |
| 74022 |
|
734 |
705 |
$172.90 |
| 86431 |
|
390 |
385 |
$170.77 |
| 83655 |
|
120 |
119 |
$169.14 |
| 82803 |
|
700 |
640 |
$167.05 |
| 83605 |
|
7,499 |
6,582 |
$163.69 |
| 83721 |
|
183 |
178 |
$147.99 |
| 84153 |
|
73 |
72 |
$130.60 |
| 73560 |
|
29 |
25 |
$128.28 |
| 93017 |
|
44 |
39 |
$127.92 |
| 99152 |
|
2,353 |
2,204 |
$125.85 |
| 76870 |
|
67 |
67 |
$122.14 |
| 76815 |
|
250 |
230 |
$116.46 |
| 72040 |
|
29 |
28 |
$94.86 |
| 73552 |
|
235 |
214 |
$94.72 |
| 12001 |
|
689 |
671 |
$94.00 |
| 81015 |
|
1,986 |
1,855 |
$80.62 |
| 80047 |
|
7,151 |
6,782 |
$79.85 |
| 84436 |
|
154 |
150 |
$79.74 |
| 87808 |
|
58 |
57 |
$76.97 |
| 85014 |
|
7,421 |
6,954 |
$76.64 |
| 73060 |
|
307 |
298 |
$75.19 |
| 80164 |
|
86 |
80 |
$66.72 |
| 99153 |
Mod sedat endo service >5yrs |
1,735 |
1,117 |
$65.79 |
| 84156 |
|
172 |
155 |
$59.71 |
| 86696 |
|
38 |
37 |
$56.53 |
| G0328 |
Fecal blood scrn immunoassay |
50 |
50 |
$54.15 |
| 84403 |
|
60 |
59 |
$52.30 |
| 87880 |
|
1,739 |
1,697 |
$51.57 |
| 86695 |
|
38 |
37 |
$50.97 |
| 87449 |
|
2,221 |
2,170 |
$50.91 |
| 83516 |
|
42 |
40 |
$49.39 |
| 82378 |
|
12 |
12 |
$49.10 |
| 85018 |
|
874 |
764 |
$47.54 |
| 94760 |
|
12 |
12 |
$46.95 |
| 86376 |
|
44 |
44 |
$46.45 |
| 86800 |
|
16 |
16 |
$46.24 |
| 80069 |
|
24 |
22 |
$43.82 |
| 82784 |
|
54 |
52 |
$42.27 |
| 87634 |
|
113 |
112 |
$39.54 |
| 87651 |
|
1,731 |
1,716 |
$37.68 |
| 90715 |
|
2,868 |
2,795 |
$37.56 |
| 90662 |
|
21 |
15 |
$27.58 |
| 84132 |
|
465 |
422 |
$27.34 |
| J0736 |
Inj, clindamycin phosp 300mg |
126 |
112 |
$24.84 |
| 80143 |
|
126 |
121 |
$23.37 |
| 86706 |
|
27 |
25 |
$19.96 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
872 |
792 |
$19.88 |
| 87210 |
|
1,095 |
1,046 |
$19.40 |
| 82105 |
|
13 |
13 |
$18.90 |
| 82375 |
|
457 |
415 |
$18.80 |
| 87075 |
|
168 |
128 |
$18.08 |
| J2250 |
Inj midazolam hydrochloride |
11,599 |
10,535 |
$16.52 |
| 82948 |
|
619 |
584 |
$15.67 |
| 85046 |
|
51 |
43 |
$15.40 |
| J7120 |
Ringers lactate infusion |
8,610 |
7,598 |
$15.38 |
| J7512 |
Prednisone ir or dr oral 1mg |
3,061 |
2,730 |
$14.34 |
| J1644 |
Inj heparin sodium per 1000u |
6,120 |
3,510 |
$13.11 |
| J2272 |
Inj, morphine (fresenius) |
18 |
13 |
$11.94 |
| 80179 |
|
83 |
80 |
$11.09 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
824 |
814 |
$11.04 |
| J3360 |
Diazepam injection |
191 |
175 |
$10.83 |
| 84075 |
|
31 |
29 |
$10.49 |
| J0780 |
Prochlorperazine injection |
465 |
447 |
$7.89 |
| 82310 |
|
12 |
12 |
$7.56 |
| 84155 |
|
15 |
13 |
$7.43 |
| 86308 |
|
183 |
183 |
$5.81 |
| J7030 |
Normal saline solution infus |
9,172 |
7,992 |
$5.08 |
| 85347 |
|
29 |
26 |
$4.78 |
| 84630 |
|
12 |
12 |
$3.77 |
| J1200 |
Diphenhydramine hcl injectio |
5,810 |
4,972 |
$3.77 |
| J1100 |
Dexamethasone sodium phos |
8,710 |
7,927 |
$3.28 |
| J2405 |
Ondansetron hcl injection |
27,276 |
23,400 |
$2.69 |
| J3010 |
Fentanyl citrate injection |
13,444 |
12,025 |
$1.77 |
| Q0163 |
Diphenhydramine hcl 50mg |
711 |
598 |
$1.28 |
| J2270 |
Morphine sulfate injection |
8,702 |
6,833 |
$1.16 |
| J2704 |
Inj, propofol, 10 mg |
16,414 |
15,530 |
$0.76 |
| J0690 |
Cefazolin sodium injection |
4,837 |
4,064 |
$0.22 |
| A9270 |
Non-covered item or service |
47,180 |
17,979 |
$0.15 |
| J2930 |
Methylprednisolone injection |
1,017 |
958 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
170 |
168 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
2,249 |
2,086 |
$0.00 |
| J2550 |
Promethazine hcl injection |
1,336 |
1,116 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
1,737 |
1,647 |
$0.00 |
| 82010 |
|
589 |
546 |
$0.00 |
| 29125 |
|
176 |
171 |
$0.00 |
| C1887 |
Catheter, guiding |
339 |
306 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
149 |
148 |
$0.00 |
| G1004 |
Cdsm ndsc |
291 |
270 |
$0.00 |
| A9552 |
F18 fdg |
179 |
175 |
$0.00 |
| 76999 |
|
130 |
118 |
$0.00 |
| 84145 |
|
67 |
66 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
630 |
352 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
305 |
286 |
$0.00 |
| 90461 |
|
283 |
283 |
$0.00 |
| J7040 |
Normal saline solution infus |
732 |
588 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
563 |
414 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
724 |
619 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
420 |
379 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
510 |
492 |
$0.00 |
| 88741 |
|
428 |
388 |
$0.00 |
| Q0144 |
Azithromycin dihydrate, oral |
101 |
100 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
373 |
229 |
$0.00 |
| G8979 |
Mobility goal status |
17 |
12 |
$0.00 |
| 82652 |
|
13 |
13 |
$0.00 |
| 88302 |
|
14 |
12 |
$0.00 |
| 73140 |
|
13 |
12 |
$0.00 |
| C1729 |
Cath, drainage |
31 |
12 |
$0.00 |
| C1760 |
Closure dev, vasc |
12 |
12 |
$0.00 |
| 99499 |
|
45 |
45 |
$0.00 |
| 88112 |
|
12 |
12 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
193 |
149 |
$0.00 |
| Q0239 |
Bamlanivimab-xxxx |
29 |
27 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
178 |
178 |
$0.00 |
| 64999 |
|
41 |
37 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
14 |
14 |
$0.00 |
| 76376 |
|
24 |
24 |
$0.00 |
| 77387 |
|
156 |
17 |
$0.00 |
| J0500 |
Dicyclomine injection |
290 |
284 |
$0.00 |
| C1889 |
Implant/insert device, noc |
526 |
520 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
447 |
438 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
5,862 |
5,111 |
$0.00 |
| 96376 |
|
5,932 |
3,971 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
474 |
369 |
$0.00 |
| J1630 |
Haloperidol injection |
1,528 |
1,354 |
$0.00 |
| C1893 |
Intro/sheath, fixed,non-peel |
472 |
415 |
$0.00 |
| J1170 |
Hydromorphone injection |
6,896 |
5,497 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
2,149 |
1,889 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
576 |
569 |
$0.00 |
| J7042 |
5% dextrose/normal saline |
1,241 |
1,071 |
$0.00 |
| J2060 |
Lorazepam injection |
3,704 |
3,162 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
3,238 |
3,087 |
$0.00 |
| 12002 |
|
132 |
131 |
$0.00 |
| C1769 |
Guide wire |
2,689 |
2,464 |
$0.00 |
| 74021 |
|
126 |
118 |
$0.00 |
| J8540 |
Oral dexamethasone |
129 |
95 |
$0.00 |
| 97010 |
|
2,222 |
828 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
415 |
389 |
$0.00 |
| 85651 |
|
13 |
13 |
$0.00 |
| J1815 |
Insulin injection |
584 |
320 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
702 |
442 |
$0.00 |
| G0283 |
Elec stim other than wound |
791 |
234 |
$0.00 |
| J2001 |
Lidocaine injection |
61 |
40 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
36 |
25 |
$0.00 |
| 87801 |
|
40 |
40 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
13 |
12 |
$0.00 |
| C1766 |
Intro/sheath,strble,non-peel |
53 |
49 |
$0.00 |
| J1940 |
Furosemide injection |
46 |
25 |
$0.00 |
| A9500 |
Tc99m sestamibi |
54 |
51 |
$0.00 |
| J2920 |
Methylprednisolone injection |
48 |
26 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
55 |
38 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
53 |
51 |
$0.00 |
| 82553 |
|
41 |
39 |
$0.00 |
| C1781 |
Mesh (implantable) |
12 |
12 |
$0.00 |
| A9150 |
Misc/exper non-prescript dru |
38 |
26 |
$0.00 |
| 96368 |
|
15 |
15 |
$0.00 |
| S2900 |
Robotic surgical system |
14 |
13 |
$0.00 |
| J1920 |
Inj, labetalol hcl, 5mg |
15 |
14 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
15 |
14 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
28 |
25 |
$0.00 |
| 73600 |
|
16 |
13 |
$0.00 |
| J3480 |
Inj potassium chloride |
15 |
12 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
14 |
14 |
$0.00 |
| 72170 |
|
14 |
14 |
$0.00 |
| C9290 |
Inj, bupivacaine liposome |
12 |
12 |
$0.00 |
| J0456 |
Azithromycin |
16 |
14 |
$0.00 |
| 64415 |
|
16 |
13 |
$0.00 |