| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
45,510 |
36,823 |
$6.88M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
35,999 |
34,259 |
$6.61M |
| 90834 |
Psychotherapy, 45 minutes with patient |
21,592 |
9,460 |
$3.43M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,740 |
24,649 |
$2.97M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
14,278 |
13,570 |
$2.61M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
11,293 |
10,869 |
$2.02M |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
2,943 |
1,267 |
$1.20M |
| 90832 |
Psychotherapy, 30 minutes with patient |
8,901 |
4,859 |
$1.12M |
| 70450 |
Computed tomography, head or brain; without contrast material |
5,951 |
5,819 |
$1.08M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,826 |
7,044 |
$999K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
4,719 |
4,644 |
$975K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,173 |
6,683 |
$739K |
| 80053 |
Comprehensive metabolic panel |
31,717 |
29,927 |
$666K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
5,760 |
4,423 |
$650K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
9,280 |
2,743 |
$616K |
| 93975 |
|
1,641 |
1,606 |
$585K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
931 |
929 |
$544K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,553 |
1,540 |
$531K |
| G0378 |
Hospital observation service, per hour |
1,021 |
1,013 |
$503K |
| 59025 |
Fetal non-stress test |
2,586 |
2,139 |
$446K |
| 36415 |
Collection of venous blood by venipuncture |
51,446 |
42,246 |
$439K |
| 86885 |
|
9,997 |
9,457 |
$406K |
| 76818 |
|
3,061 |
1,539 |
$387K |
| 80061 |
Lipid panel |
8,032 |
7,988 |
$364K |
| 76641 |
|
2,467 |
2,363 |
$357K |
| H0035 |
Mental health partial hospitalization, treatment, less than 24 hours |
2,058 |
295 |
$350K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,732 |
1,709 |
$348K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,862 |
969 |
$333K |
| 90791 |
Psychiatric diagnostic evaluation |
1,649 |
1,629 |
$331K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,726 |
1,672 |
$324K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
3,795 |
3,784 |
$321K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,416 |
1,388 |
$318K |
| 86901 |
|
12,464 |
9,656 |
$313K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,150 |
2,144 |
$307K |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
5,382 |
5,205 |
$293K |
| 93458 |
|
193 |
188 |
$292K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,741 |
1,667 |
$272K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
3,216 |
2,675 |
$272K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
1,348 |
1,341 |
$271K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
13,831 |
13,043 |
$265K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,269 |
1,258 |
$255K |
| 86900 |
|
12,470 |
9,657 |
$251K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,336 |
1,280 |
$247K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
310 |
310 |
$233K |
| 84443 |
Thyroid stimulating hormone (TSH) |
7,185 |
7,103 |
$218K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
302 |
300 |
$204K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
6,591 |
6,551 |
$200K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
3,489 |
3,094 |
$198K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
19,503 |
17,744 |
$190K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
932 |
906 |
$184K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
5,349 |
915 |
$176K |
| 76801 |
|
1,834 |
1,637 |
$172K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,332 |
1,214 |
$165K |
| 82607 |
|
2,764 |
2,753 |
$148K |
| 99051 |
|
7,876 |
4,319 |
$126K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
3,315 |
2,816 |
$124K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
6,572 |
6,384 |
$120K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
16,535 |
13,605 |
$119K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
36,488 |
33,524 |
$119K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,032 |
629 |
$115K |
| 76820 |
|
1,625 |
974 |
$109K |
| H2010 |
Comprehensive medication services, per 15 minutes |
1,129 |
889 |
$107K |
| 96367 |
|
884 |
453 |
$107K |
| 86803 |
|
1,613 |
1,601 |
$104K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,079 |
1,076 |
$98K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,768 |
3,692 |
$93K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
1,897 |
1,282 |
$89K |
| 76821 |
|
1,351 |
831 |
$89K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,569 |
2,529 |
$88K |
| 93325 |
|
802 |
766 |
$88K |
| 87428 |
|
4,489 |
4,355 |
$86K |
| 12001 |
|
264 |
263 |
$86K |
| 82746 |
|
1,748 |
1,741 |
$83K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,135 |
2,125 |
$82K |
| 96376 |
|
1,520 |
1,288 |
$79K |
| 86480 |
|
896 |
887 |
$76K |
| 84466 |
|
1,819 |
1,775 |
$74K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,002 |
4,712 |
$73K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
2,568 |
2,528 |
$71K |
| T1030 |
Nursing care, in the home, by registered nurse, per diem |
525 |
152 |
$71K |
| 82728 |
|
1,946 |
1,909 |
$67K |
| 83880 |
|
2,654 |
2,588 |
$65K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,454 |
1,430 |
$63K |
| 99441 |
|
455 |
408 |
$61K |
| 80047 |
|
3,654 |
3,457 |
$59K |
| 83655 |
|
1,410 |
1,403 |
$54K |
| 90715 |
|
2,256 |
2,248 |
$51K |
| 86920 |
|
866 |
820 |
$50K |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
121 |
83 |
$48K |
| 76813 |
|
566 |
541 |
$48K |
| 90686 |
|
2,974 |
2,948 |
$48K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
13,010 |
12,594 |
$48K |
| 80076 |
|
3,802 |
3,666 |
$47K |
| 93970 |
|
116 |
115 |
$47K |
| 90670 |
|
1,915 |
1,909 |
$46K |
| 85027 |
|
6,811 |
6,612 |
$43K |
| 90461 |
|
1,477 |
1,465 |
$42K |
| 81025 |
|
9,189 |
8,941 |
$39K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,832 |
470 |
$39K |
| 81001 |
|
13,619 |
12,966 |
$38K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
8,878 |
7,891 |
$37K |
| 84439 |
|
1,351 |
1,345 |
$37K |
| 77336 |
|
119 |
52 |
$36K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
306 |
304 |
$36K |
| 93976 |
|
96 |
59 |
$34K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
10,447 |
10,013 |
$31K |
| 87340 |
|
1,879 |
1,851 |
$29K |
| 96415 |
|
52 |
36 |
$28K |
| 76830 |
Ultrasound, transvaginal |
1,187 |
1,159 |
$27K |
| 12011 |
|
81 |
81 |
$27K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,053 |
1,039 |
$26K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
573 |
555 |
$24K |
| 76825 |
|
106 |
104 |
$24K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
169 |
167 |
$23K |
| 88142 |
|
545 |
542 |
$23K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,585 |
3,476 |
$23K |
| 83540 |
|
1,823 |
1,790 |
$23K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
2,174 |
1,991 |
$23K |
| 93971 |
|
415 |
408 |
$21K |
| 88304 |
|
769 |
736 |
$21K |
| 82043 |
|
382 |
380 |
$21K |
| 88307 |
|
340 |
318 |
$21K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
1,811 |
1,798 |
$20K |
| 77065 |
Tomosynthesis, mammo |
199 |
178 |
$20K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
116 |
116 |
$20K |
| 85610 |
|
12,781 |
12,153 |
$19K |
| 90680 |
|
1,724 |
1,719 |
$19K |
| 90648 |
|
1,804 |
1,800 |
$19K |
| 90677 |
|
419 |
418 |
$19K |
| 86706 |
|
746 |
740 |
$18K |
| 84702 |
|
1,896 |
1,718 |
$18K |
| 0002A |
|
483 |
483 |
$17K |
| 92558 |
|
312 |
309 |
$17K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
29 |
29 |
$16K |
| 93017 |
|
91 |
90 |
$16K |
| 77290 |
|
32 |
24 |
$16K |
| 71046 |
Radiologic examination, chest; 2 views |
5,396 |
5,295 |
$15K |
| 90723 |
|
1,363 |
1,360 |
$14K |
| 88342 |
|
527 |
516 |
$14K |
| 0001A |
|
476 |
476 |
$14K |
| 83970 |
|
174 |
154 |
$13K |
| 93296 |
|
468 |
465 |
$13K |
| 83615 |
|
1,186 |
1,093 |
$13K |
| 86592 |
|
2,060 |
2,019 |
$12K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,602 |
1,398 |
$12K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
12 |
12 |
$12K |
| 99442 |
|
75 |
71 |
$11K |
| 85730 |
|
4,231 |
4,097 |
$11K |
| 83735 |
|
2,310 |
2,191 |
$10K |
| 82248 |
|
1,197 |
902 |
$10K |
| 76827 |
|
107 |
105 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
5,747 |
5,591 |
$10K |
| 86140 |
|
1,250 |
1,223 |
$10K |
| 90633 |
|
809 |
808 |
$10K |
| 86704 |
|
190 |
185 |
$9K |
| 84436 |
|
1,428 |
1,417 |
$9K |
| 84484 |
|
9,715 |
8,208 |
$9K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
238 |
236 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
416 |
404 |
$9K |
| 82570 |
|
848 |
813 |
$9K |
| 97802 |
|
142 |
142 |
$8K |
| J1756 |
Injection, iron sucrose, 1 mg |
155 |
67 |
$8K |
| 77300 |
|
16 |
13 |
$8K |
| S9484 |
Crisis intervention mental health services, per hour |
65 |
28 |
$7K |
| 86762 |
|
362 |
358 |
$7K |
| 82550 |
|
7,084 |
6,629 |
$7K |
| 81002 |
|
5,118 |
3,952 |
$6K |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
224 |
223 |
$6K |
| 84153 |
|
202 |
200 |
$5K |
| 84479 |
|
930 |
924 |
$5K |
| 77066 |
Tomosynthesis, mammo |
38 |
38 |
$5K |
| 83690 |
|
7,632 |
7,276 |
$5K |
| 82784 |
|
83 |
79 |
$5K |
| 31575 |
|
14 |
12 |
$5K |
| 85652 |
|
729 |
716 |
$5K |
| 83020 |
|
137 |
137 |
$5K |
| C1889 |
Implantable/insertable device, not otherwise classified |
19 |
19 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,257 |
2,178 |
$5K |
| 84480 |
|
226 |
224 |
$5K |
| 90710 |
|
333 |
333 |
$4K |
| 82247 |
|
453 |
294 |
$4K |
| 86765 |
|
64 |
64 |
$4K |
| 86141 |
|
27 |
27 |
$4K |
| 86038 |
|
132 |
132 |
$4K |
| 86255 |
|
16 |
16 |
$4K |
| 87070 |
|
2,066 |
1,991 |
$4K |
| 82150 |
|
4,908 |
4,718 |
$4K |
| 36430 |
|
12 |
12 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,372 |
1,320 |
$3K |
| 93304 |
|
12 |
12 |
$3K |
| 84100 |
|
1,190 |
1,024 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
108 |
104 |
$3K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
34 |
34 |
$3K |
| 88141 |
|
147 |
147 |
$3K |
| C9290 |
Injection, bupivacaine liposome, 1 mg |
97 |
97 |
$3K |
| J3490 |
Unclassified drugs |
2,644 |
2,196 |
$3K |
| 73562 |
|
828 |
806 |
$3K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
6,054 |
5,918 |
$3K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
82 |
80 |
$3K |
| 77334 |
|
18 |
13 |
$3K |
| 0012A |
|
113 |
113 |
$3K |
| J1453 |
Injection, fosaprepitant, 1 mg |
37 |
24 |
$3K |
| 81003 |
|
642 |
627 |
$3K |
| 85379 |
|
2,072 |
2,027 |
$3K |
| 83605 |
|
6,961 |
6,318 |
$2K |
| 87631 |
|
68 |
66 |
$2K |
| 87186 |
|
430 |
410 |
$2K |
| 87040 |
|
4,283 |
2,756 |
$2K |
| J7050 |
Infusion, normal saline solution, 250 cc |
4,523 |
2,519 |
$2K |
| 85651 |
|
455 |
450 |
$2K |
| 0011A |
|
116 |
116 |
$2K |
| 29125 |
|
14 |
14 |
$2K |
| 73030 |
|
644 |
615 |
$2K |
| 99443 |
|
12 |
12 |
$2K |
| 85007 |
|
855 |
836 |
$2K |
| 90656 |
|
149 |
148 |
$2K |
| 85018 |
|
525 |
486 |
$2K |
| 97161 |
|
13 |
12 |
$2K |
| 85014 |
|
524 |
484 |
$2K |
| 82962 |
|
513 |
459 |
$2K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
81 |
81 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,014 |
1,975 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
59 |
12 |
$2K |
| 86735 |
|
40 |
39 |
$1K |
| 80306 |
|
2,298 |
2,223 |
$1K |
| 82553 |
|
2,318 |
2,181 |
$1K |
| 82378 |
|
32 |
30 |
$1K |
| 84703 |
|
1,560 |
1,542 |
$1K |
| 80320 |
|
2,917 |
2,719 |
$1K |
| 88112 |
|
12 |
12 |
$1K |
| 90698 |
|
90 |
90 |
$1K |
| 82950 |
|
139 |
139 |
$1K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
2,222 |
1,936 |
$1K |
| 72100 |
|
697 |
691 |
$1K |
| 84145 |
|
75 |
73 |
$1K |
| 87486 |
|
47 |
46 |
$1K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
3,868 |
3,691 |
$1K |
| 99152 |
|
164 |
157 |
$1K |
| 86787 |
|
61 |
58 |
$975.87 |
| 88313 |
|
12 |
12 |
$961.48 |
| 87088 |
|
325 |
313 |
$941.72 |
| 93321 |
|
82 |
80 |
$916.42 |
| 76870 |
|
26 |
26 |
$877.84 |
| 90649 |
|
20 |
20 |
$868.00 |
| 90700 |
|
94 |
94 |
$741.02 |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
56 |
37 |
$736.56 |
| 87581 |
|
47 |
46 |
$731.48 |
| 82948 |
|
884 |
808 |
$715.52 |
| 84156 |
|
160 |
141 |
$714.95 |
| C1769 |
Guide wire |
28 |
26 |
$653.46 |
| C1766 |
Introducer/sheath, guiding, intracardiac electrophysiological, steerable, other than peel-away |
74 |
69 |
$605.82 |
| 96040 |
|
14 |
14 |
$604.70 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,223 |
1,807 |
$596.80 |
| 73130 |
|
436 |
428 |
$577.42 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
804 |
761 |
$575.83 |
| 90734 |
|
14 |
14 |
$570.35 |
| 73610 |
|
851 |
808 |
$554.56 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
26 |
12 |
$550.26 |
| 73080 |
|
15 |
14 |
$534.00 |
| 0004A |
|
14 |
14 |
$511.04 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
13,188 |
12,183 |
$476.22 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
1,396 |
1,247 |
$466.58 |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
31 |
31 |
$442.01 |
| 87081 |
|
86 |
83 |
$435.23 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
69 |
68 |
$417.93 |
| 73630 |
|
898 |
870 |
$350.42 |
| 87420 |
|
146 |
144 |
$337.46 |
| 94760 |
|
68 |
63 |
$318.29 |
| 90685 |
|
169 |
168 |
$300.79 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
2,019 |
1,725 |
$294.11 |
| C1893 |
Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, other than peel-away |
69 |
67 |
$287.32 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,563 |
1,545 |
$279.47 |
| 80329 |
|
1,893 |
1,146 |
$278.94 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
12 |
12 |
$272.55 |
| 90661 |
|
12 |
12 |
$268.52 |
| 86769 |
|
19 |
19 |
$264.31 |
| 84550 |
|
67 |
64 |
$213.77 |
| C1765 |
Adhesion barrier |
79 |
79 |
$172.00 |
| J2543 |
Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) |
64 |
40 |
$169.10 |
| 73110 |
|
151 |
146 |
$168.59 |
| 74018 |
|
41 |
40 |
$166.34 |
| J1644 |
Injection, heparin sodium, per 1000 units |
1,353 |
494 |
$159.67 |
| A4649 |
Surgical supply; miscellaneous |
427 |
374 |
$150.89 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
6,254 |
5,924 |
$142.26 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
409 |
350 |
$135.17 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,651 |
1,521 |
$113.40 |
| 87660 |
|
13 |
12 |
$98.07 |
| 87510 |
|
13 |
12 |
$98.07 |
| 87480 |
|
13 |
12 |
$98.07 |
| 87077 |
|
79 |
73 |
$83.77 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,288 |
1,238 |
$81.66 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
248 |
234 |
$70.78 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
5,515 |
5,115 |
$64.67 |
| 82105 |
|
13 |
13 |
$49.34 |
| 85045 |
|
27 |
26 |
$49.27 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
73 |
63 |
$35.42 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
1,427 |
1,362 |
$19.69 |
| 88300 |
|
16 |
16 |
$12.35 |
| 87205 |
|
38 |
37 |
$10.20 |
| J2060 |
Injection, lorazepam, 2 mg |
589 |
536 |
$8.34 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
42 |
41 |
$7.69 |
| J7060 |
5% dextrose/water (500 ml = 1 unit) |
18 |
14 |
$7.49 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
22 |
18 |
$6.99 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
285 |
277 |
$5.99 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
317 |
306 |
$2.48 |
| 3077F |
|
29 |
27 |
$0.04 |
| 3079F |
|
15 |
14 |
$0.03 |
| 99080 |
|
1,273 |
387 |
$0.00 |
| 73590 |
|
25 |
24 |
$0.00 |
| 73140 |
|
41 |
40 |
$0.00 |
| 82805 |
|
12 |
12 |
$0.00 |
| 88302 |
|
13 |
13 |
$0.00 |
| Q0162 |
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
201 |
201 |
$0.00 |
| 74022 |
|
101 |
98 |
$0.00 |
| J1815 |
Injection, insulin, per 5 units |
14 |
12 |
$0.00 |
| 73090 |
|
27 |
26 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
12 |
12 |
$0.00 |