| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
68,076 |
63,220 |
$22.94M |
| 99284 |
|
31,590 |
30,541 |
$6.15M |
| 96374 |
|
33,344 |
31,107 |
$2.95M |
| 99283 |
|
20,629 |
19,995 |
$2.73M |
| G0463 |
Hospital outpt clinic visit |
21,567 |
20,771 |
$1.36M |
| 74177 |
|
7,640 |
7,456 |
$1.00M |
| 80061 |
|
33,413 |
33,276 |
$989K |
| 71046 |
|
18,453 |
17,909 |
$793K |
| 96365 |
|
9,087 |
6,763 |
$779K |
| 43239 |
|
2,102 |
2,093 |
$759K |
| 96361 |
|
19,421 |
16,376 |
$732K |
| 97110 |
|
33,485 |
9,238 |
$712K |
| 45380 |
|
1,181 |
1,181 |
$667K |
| 93975 |
|
6,095 |
5,859 |
$667K |
| 96375 |
|
24,939 |
21,487 |
$654K |
| G0378 |
Hospital observation per hr |
9,535 |
8,753 |
$647K |
| 82947 |
|
11,446 |
7,162 |
$631K |
| 70450 |
|
8,688 |
8,481 |
$602K |
| 99282 |
|
6,146 |
6,009 |
$501K |
| 92507 |
|
12,729 |
3,897 |
$501K |
| 87637 |
|
6,471 |
6,317 |
$484K |
| 45385 |
|
959 |
958 |
$467K |
| 87491 |
|
28,599 |
28,008 |
$458K |
| 62323 |
|
1,467 |
1,464 |
$457K |
| 87591 |
|
28,516 |
27,925 |
$450K |
| 97530 |
|
15,306 |
5,660 |
$448K |
| 96360 |
|
4,628 |
4,470 |
$442K |
| U0003 |
Cov-19 amp prb hgh thruput |
9,396 |
9,158 |
$423K |
| 93306 |
|
2,927 |
2,915 |
$403K |
| 71045 |
|
10,127 |
9,734 |
$388K |
| 97112 |
|
19,276 |
6,375 |
$386K |
| 74176 |
|
3,650 |
3,561 |
$343K |
| 76830 |
|
6,016 |
5,903 |
$338K |
| 77067 |
|
6,357 |
6,280 |
$313K |
| 76856 |
|
6,516 |
6,395 |
$312K |
| 84443 |
|
31,866 |
31,568 |
$278K |
| 97140 |
|
18,116 |
5,667 |
$276K |
| 80053 |
|
81,957 |
76,297 |
$248K |
| 82306 |
|
15,790 |
15,719 |
$248K |
| 71275 |
|
3,078 |
3,007 |
$234K |
| 11042 |
|
1,262 |
667 |
$233K |
| 76801 |
|
3,883 |
3,584 |
$220K |
| 95810 |
|
390 |
390 |
$202K |
| 87389 |
|
14,326 |
14,254 |
$175K |
| 87661 |
|
9,564 |
9,427 |
$175K |
| 85025 |
|
95,914 |
87,111 |
$172K |
| 97162 |
|
3,135 |
3,097 |
$172K |
| 76700 |
|
2,498 |
2,450 |
$169K |
| 70553 |
|
810 |
802 |
$164K |
| 76705 |
|
2,922 |
2,857 |
$154K |
| 71260 |
|
1,148 |
1,114 |
$147K |
| 83036 |
|
29,020 |
28,877 |
$147K |
| 93971 |
|
2,578 |
2,535 |
$130K |
| 80074 |
|
4,780 |
4,750 |
$127K |
| 99281 |
|
2,864 |
2,750 |
$125K |
| 73564 |
|
4,414 |
4,195 |
$122K |
| G0480 |
Drug test def 1-7 classes |
5,648 |
4,964 |
$122K |
| 87636 |
|
1,544 |
1,511 |
$116K |
| 80307 |
|
7,096 |
6,872 |
$115K |
| 72148 |
|
1,104 |
1,093 |
$109K |
| 93970 |
|
1,189 |
1,177 |
$104K |
| 76536 |
|
1,870 |
1,851 |
$100K |
| 76770 |
|
1,804 |
1,780 |
$99K |
| Q0111 |
Wet mounts/ w preparations |
2,680 |
2,627 |
$94K |
| 87480 |
|
7,812 |
7,685 |
$92K |
| 87660 |
|
7,715 |
7,590 |
$91K |
| 87510 |
|
7,312 |
7,190 |
$84K |
| U0005 |
Infec agen detec ampli probe |
4,860 |
4,762 |
$83K |
| 96372 |
|
16,723 |
14,336 |
$82K |
| 82607 |
|
10,148 |
10,096 |
$80K |
| 78452 |
|
263 |
261 |
$78K |
| 73721 |
|
561 |
552 |
$76K |
| 86780 |
|
6,626 |
6,567 |
$71K |
| 77066 |
Tomosynthesis, mammo |
1,191 |
1,173 |
$70K |
| 87086 |
|
24,121 |
23,456 |
$70K |
| 80048 |
|
33,644 |
29,635 |
$66K |
| 73030 |
|
3,603 |
3,464 |
$64K |
| 76642 |
|
1,617 |
1,604 |
$63K |
| 86803 |
|
8,169 |
8,146 |
$62K |
| 86900 |
|
8,512 |
8,018 |
$62K |
| 77065 |
Tomosynthesis, mammo |
1,250 |
1,168 |
$58K |
| 95811 |
|
105 |
105 |
$57K |
| 72110 |
|
2,387 |
2,373 |
$57K |
| 82728 |
|
6,850 |
6,800 |
$52K |
| 84466 |
|
7,493 |
7,445 |
$51K |
| 96366 |
|
2,286 |
1,486 |
$50K |
| 82746 |
|
6,073 |
6,050 |
$49K |
| 97116 |
|
4,314 |
2,055 |
$45K |
| 36415 |
|
46,735 |
40,659 |
$44K |
| 71250 |
|
697 |
682 |
$41K |
| 83970 |
|
1,792 |
1,768 |
$41K |
| 88175 |
|
3,028 |
3,017 |
$40K |
| 74022 |
|
2,539 |
2,471 |
$39K |
| 84439 |
|
8,177 |
8,052 |
$38K |
| G0121 |
Colon ca scrn not hi rsk ind |
89 |
89 |
$38K |
| 93350 |
|
300 |
298 |
$38K |
| 71271 |
|
626 |
622 |
$35K |
| 72131 |
|
930 |
922 |
$35K |
| 59025 |
|
425 |
359 |
$34K |
| 72125 |
|
2,715 |
2,682 |
$34K |
| 88184 |
|
496 |
494 |
$34K |
| G0472 |
Hep c screen high risk/other |
2,035 |
2,029 |
$32K |
| 85027 |
|
21,764 |
19,196 |
$32K |
| 87624 |
|
1,870 |
1,864 |
$31K |
| 90471 |
|
2,708 |
2,640 |
$31K |
| 99395 |
|
455 |
452 |
$30K |
| 87536 |
|
600 |
598 |
$30K |
| 84702 |
|
27,566 |
25,524 |
$30K |
| 97166 |
|
479 |
474 |
$29K |
| 83540 |
|
8,105 |
8,053 |
$29K |
| 93017 |
|
1,747 |
1,720 |
$28K |
| G0103 |
Psa screening |
2,176 |
2,175 |
$27K |
| 87428 |
|
836 |
829 |
$26K |
| 99391 |
|
444 |
409 |
$26K |
| 73610 |
|
2,752 |
2,695 |
$25K |
| 94640 |
|
12,002 |
7,256 |
$25K |
| 70486 |
|
925 |
917 |
$24K |
| 99396 |
|
371 |
368 |
$24K |
| 97161 |
|
419 |
416 |
$24K |
| 73130 |
|
2,470 |
2,381 |
$23K |
| 86696 |
|
2,136 |
2,126 |
$23K |
| 93005 |
|
22,571 |
21,009 |
$23K |
| 87635 |
|
981 |
966 |
$22K |
| 82043 |
|
6,652 |
6,614 |
$22K |
| 73502 |
|
1,583 |
1,553 |
$22K |
| 73630 |
|
3,220 |
3,133 |
$22K |
| 77063 |
|
1,680 |
1,663 |
$21K |
| 72141 |
|
169 |
166 |
$21K |
| 84481 |
|
2,207 |
2,177 |
$21K |
| 84403 |
|
1,218 |
1,202 |
$20K |
| 83735 |
|
13,407 |
12,085 |
$20K |
| 10060 |
|
246 |
244 |
$19K |
| 87077 |
|
5,783 |
5,688 |
$19K |
| 87186 |
|
5,539 |
5,450 |
$18K |
| 87340 |
|
3,531 |
3,516 |
$18K |
| 87070 |
|
4,255 |
4,204 |
$18K |
| 20610 |
|
117 |
115 |
$17K |
| 76805 |
|
246 |
244 |
$17K |
| 86592 |
|
3,578 |
3,549 |
$16K |
| 73110 |
|
1,591 |
1,546 |
$16K |
| 86695 |
|
2,136 |
2,126 |
$16K |
| 90832 |
|
236 |
218 |
$16K |
| 99392 |
|
258 |
256 |
$15K |
| 88305 |
|
5,683 |
5,453 |
$15K |
| G0279 |
Tomosynthesis, mammo |
1,174 |
1,173 |
$14K |
| 99393 |
|
223 |
222 |
$14K |
| 86038 |
|
2,222 |
2,211 |
$14K |
| 87651 |
|
884 |
881 |
$13K |
| 87147 |
|
3,230 |
3,154 |
$13K |
| 87633 |
|
56 |
56 |
$13K |
| 87529 |
|
718 |
717 |
$13K |
| 87426 |
|
567 |
557 |
$13K |
| 85610 |
|
15,232 |
13,338 |
$12K |
| 81514 |
|
67 |
67 |
$12K |
| 70491 |
|
122 |
122 |
$12K |
| 77080 |
|
200 |
200 |
$12K |
| 96367 |
|
662 |
544 |
$12K |
| 87631 |
|
6,233 |
6,157 |
$12K |
| 82570 |
|
4,414 |
4,309 |
$11K |
| 74183 |
|
64 |
64 |
$11K |
| 90472 |
|
522 |
519 |
$10K |
| 84153 |
|
1,154 |
1,149 |
$10K |
| 83001 |
|
1,010 |
1,003 |
$10K |
| 86140 |
|
4,745 |
4,428 |
$10K |
| 86762 |
|
1,291 |
1,286 |
$10K |
| 86003 |
|
142 |
139 |
$9K |
| 83880 |
|
4,162 |
4,012 |
$9K |
| 86850 |
|
8,421 |
7,930 |
$9K |
| 84550 |
|
3,953 |
3,896 |
$9K |
| 81001 |
|
23,635 |
22,532 |
$9K |
| 92523 |
|
77 |
76 |
$9K |
| 73562 |
|
619 |
590 |
$9K |
| 82784 |
|
1,068 |
1,062 |
$9K |
| 70551 |
|
87 |
86 |
$9K |
| 93880 |
|
255 |
255 |
$9K |
| 80069 |
|
1,737 |
1,614 |
$9K |
| 80076 |
|
4,028 |
3,879 |
$8K |
| 90677 |
|
73 |
73 |
$8K |
| 86769 |
|
522 |
521 |
$8K |
| 81003 |
|
22,114 |
21,384 |
$8K |
| 86706 |
|
1,415 |
1,412 |
$8K |
| 76816 |
|
193 |
182 |
$8K |
| 82670 |
|
458 |
448 |
$7K |
| 83013 |
|
185 |
185 |
$7K |
| 84425 |
|
537 |
536 |
$7K |
| G0475 |
Hiv combination assay |
601 |
598 |
$7K |
| 90671 |
|
134 |
134 |
$7K |
| 87653 |
|
432 |
430 |
$7K |
| 87522 |
Neg quan hep c or qual rna |
305 |
300 |
$7K |
| 73590 |
|
1,017 |
995 |
$7K |
| 86376 |
|
826 |
825 |
$7K |
| 82550 |
|
4,305 |
4,006 |
$7K |
| 82105 |
|
785 |
777 |
$6K |
| 90746 |
|
98 |
97 |
$6K |
| 84100 |
|
4,380 |
3,879 |
$6K |
| 90651 |
|
81 |
81 |
$6K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
14,726 |
12,680 |
$6K |
| 83002 |
|
558 |
553 |
$6K |
| 84146 |
|
543 |
536 |
$6K |
| 74018 |
|
404 |
389 |
$6K |
| 94726 |
|
172 |
172 |
$6K |
| 74019 |
|
511 |
507 |
$6K |
| 97535 |
|
731 |
569 |
$5K |
| 82565 |
|
2,431 |
2,260 |
$5K |
| 84402 |
|
341 |
337 |
$5K |
| 85652 |
|
4,520 |
4,248 |
$5K |
| 90686 |
|
376 |
373 |
$5K |
| 95908 |
|
39 |
38 |
$5K |
| 85730 |
|
10,106 |
9,672 |
$5K |
| 86800 |
|
575 |
572 |
$5K |
| 45378 |
|
13 |
13 |
$5K |
| 97163 |
|
131 |
129 |
$5K |
| 83690 |
|
20,216 |
18,806 |
$5K |
| 91322 |
|
35 |
35 |
$5K |
| 76815 |
|
303 |
281 |
$4K |
| 86360 |
|
181 |
180 |
$4K |
| 83516 |
|
581 |
577 |
$4K |
| 84156 |
|
2,066 |
2,004 |
$4K |
| 0241U |
|
1,771 |
1,737 |
$4K |
| 96376 |
|
7,884 |
4,793 |
$4K |
| 82248 |
|
6,337 |
6,050 |
$4K |
| 84520 |
|
2,184 |
2,018 |
$4K |
| 72070 |
|
191 |
191 |
$4K |
| 73221 |
|
24 |
24 |
$4K |
| 83655 |
|
577 |
568 |
$3K |
| 80050 |
|
214 |
213 |
$3K |
| 86431 |
|
1,127 |
1,124 |
$3K |
| 86359 |
|
181 |
180 |
$3K |
| 72040 |
|
158 |
157 |
$3K |
| 96413 |
|
17 |
12 |
$3K |
| 10061 |
|
14 |
14 |
$3K |
| 72100 |
|
143 |
143 |
$3K |
| 99394 |
|
42 |
42 |
$3K |
| 71101 |
|
220 |
217 |
$3K |
| 73080 |
|
411 |
403 |
$3K |
| 82652 |
|
130 |
129 |
$3K |
| 73140 |
|
304 |
296 |
$3K |
| 86901 |
|
8,077 |
7,609 |
$3K |
| 36430 |
|
29 |
24 |
$3K |
| 84144 |
|
225 |
215 |
$2K |
| 86160 |
|
225 |
223 |
$2K |
| 82950 |
|
914 |
909 |
$2K |
| 86200 |
|
341 |
339 |
$2K |
| 81025 |
|
18,665 |
17,036 |
$2K |
| 94060 |
|
13 |
13 |
$2K |
| 76817 |
|
3,539 |
3,265 |
$2K |
| 88342 |
|
594 |
586 |
$2K |
| P9016 |
Rbc leukocytes reduced |
29 |
24 |
$2K |
| 86704 |
|
290 |
290 |
$2K |
| 84460 |
|
832 |
814 |
$2K |
| 86787 |
|
283 |
279 |
$2K |
| 74178 |
|
14 |
14 |
$2K |
| 76870 |
|
206 |
200 |
$2K |
| 90480 |
|
38 |
38 |
$2K |
| 82150 |
|
1,046 |
1,015 |
$2K |
| 86235 |
|
56 |
55 |
$2K |
| 87205 |
|
1,324 |
1,292 |
$1K |
| 83021 |
|
166 |
165 |
$1K |
| 82785 |
|
148 |
143 |
$1K |
| 86225 |
|
207 |
207 |
$1K |
| 86480 |
|
43 |
43 |
$1K |
| 87880 |
|
4,771 |
4,721 |
$1K |
| 84165 |
|
270 |
269 |
$1K |
| 84450 |
|
592 |
575 |
$1K |
| G0008 |
Admin influenza virus vac |
85 |
85 |
$1K |
| G0297 |
Ldct for lung ca screen |
25 |
25 |
$1K |
| 85379 |
|
4,336 |
4,268 |
$1K |
| G0009 |
Admin pneumococcal vaccine |
79 |
78 |
$1K |
| 76819 |
|
21 |
13 |
$1K |
| 87075 |
|
379 |
369 |
$1K |
| 90834 |
|
14 |
14 |
$1K |
| 82533 |
|
104 |
100 |
$944.60 |
| 86644 |
|
161 |
158 |
$896.93 |
| 83550 |
|
219 |
216 |
$873.58 |
| 83615 |
|
293 |
286 |
$854.06 |
| 92610 |
|
205 |
203 |
$831.33 |
| U0002 |
Covid-19 lab test non-cdc |
34 |
34 |
$822.97 |
| 90460 |
|
17 |
17 |
$822.63 |
| 80081 |
|
38 |
38 |
$759.48 |
| 80051 |
|
343 |
313 |
$754.34 |
| 84445 |
|
25 |
25 |
$748.29 |
| 84484 |
|
21,346 |
17,602 |
$726.22 |
| 86777 |
|
137 |
135 |
$716.49 |
| 88142 |
|
74 |
74 |
$712.63 |
| 85046 |
|
370 |
346 |
$698.43 |
| 86039 |
|
110 |
110 |
$657.59 |
| 73090 |
|
480 |
469 |
$628.99 |
| 86255 |
|
83 |
80 |
$613.94 |
| 72050 |
|
12 |
12 |
$596.40 |
| 86364 |
|
84 |
84 |
$554.62 |
| 88304 |
|
652 |
646 |
$538.62 |
| 87634 |
|
12 |
12 |
$526.96 |
| 83090 |
|
51 |
51 |
$513.69 |
| U0001 |
2019-ncov diagnostic p |
26 |
25 |
$511.46 |
| 82985 |
|
45 |
45 |
$496.79 |
| G0010 |
Admin hepatitis b vaccine |
28 |
28 |
$451.64 |
| A9500 |
Tc99m sestamibi |
211 |
209 |
$449.96 |
| 87040 |
|
3,054 |
2,838 |
$437.68 |
| 87632 |
|
28 |
28 |
$394.23 |
| 99406 |
|
26 |
25 |
$343.83 |
| 83993 |
|
32 |
31 |
$328.53 |
| 87798 |
|
15 |
14 |
$324.10 |
| 90473 |
|
36 |
36 |
$306.25 |
| 80305 |
|
99 |
94 |
$303.08 |
| 83605 |
|
9,061 |
8,183 |
$296.00 |
| 84703 |
|
777 |
756 |
$286.93 |
| 82040 |
|
154 |
150 |
$286.20 |
| 86356 |
|
39 |
39 |
$265.97 |
| 82465 |
|
108 |
107 |
$246.60 |
| 82274 |
|
29 |
26 |
$239.23 |
| 87641 |
|
12 |
12 |
$233.80 |
| 87640 |
|
12 |
12 |
$233.80 |
| 84630 |
|
28 |
28 |
$220.00 |
| 85018 |
|
489 |
423 |
$217.86 |
| 86308 |
|
1,023 |
1,011 |
$215.42 |
| 86765 |
|
53 |
53 |
$205.92 |
| 82525 |
|
25 |
25 |
$201.13 |
| 72072 |
|
12 |
12 |
$195.15 |
| J1644 |
Inj heparin sodium per 1000u |
6,517 |
3,166 |
$193.01 |
| 87502 |
|
85 |
85 |
$190.36 |
| 84134 |
|
24 |
24 |
$181.17 |
| 12001 |
|
365 |
363 |
$174.36 |
| 85660 |
|
58 |
58 |
$170.45 |
| 85014 |
|
371 |
329 |
$167.50 |
| 82247 |
|
80 |
67 |
$150.48 |
| 86334 |
|
12 |
12 |
$150.40 |
| J2704 |
Inj, propofol, 10 mg |
10,356 |
10,131 |
$144.07 |
| 86256 |
|
16 |
15 |
$137.37 |
| 90716 |
|
12 |
12 |
$136.26 |
| 87081 |
|
52 |
52 |
$133.28 |
| 84255 |
|
13 |
13 |
$132.20 |
| 86705 |
|
18 |
18 |
$130.50 |
| 87427 |
|
14 |
12 |
$123.41 |
| 87046 |
|
15 |
12 |
$104.50 |
| 73070 |
|
28 |
28 |
$96.66 |
| 84132 |
|
243 |
235 |
$96.18 |
| 82962 |
|
2,037 |
1,313 |
$92.96 |
| J2785 |
Regadenoson injection |
154 |
154 |
$91.59 |
| 87808 |
|
2,751 |
2,701 |
$89.93 |
| 94760 |
|
1,799 |
1,587 |
$87.09 |
| 83014 |
|
18 |
18 |
$83.32 |
| 82805 |
|
14 |
13 |
$78.77 |
| 82378 |
|
12 |
12 |
$73.21 |
| J2272 |
Inj, morphine (fresenius) |
91 |
73 |
$68.54 |
| 12002 |
|
58 |
55 |
$68.14 |
| 83930 |
|
167 |
164 |
$63.54 |
| 89051 |
|
35 |
33 |
$60.55 |
| 86778 |
|
16 |
15 |
$55.69 |
| 87210 |
|
3,703 |
3,641 |
$55.60 |
| 87045 |
|
12 |
12 |
$48.63 |
| 73552 |
|
13 |
13 |
$47.36 |
| 73060 |
|
16 |
16 |
$47.36 |
| J7060 |
5% dextrose/water |
1,316 |
639 |
$43.33 |
| J2930 |
Methylprednisolone injection |
3,995 |
3,273 |
$41.58 |
| 82010 |
|
150 |
141 |
$40.55 |
| J7120 |
Ringers lactate infusion |
12,101 |
10,987 |
$38.76 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
629 |
609 |
$34.16 |
| 86593 |
|
14 |
14 |
$34.05 |
| J0690 |
Cefazolin sodium injection |
2,748 |
2,462 |
$33.97 |
| 82077 |
|
184 |
165 |
$32.08 |
| 84295 |
|
25 |
24 |
$30.83 |
| 80177 |
|
13 |
12 |
$29.83 |
| 82977 |
|
15 |
15 |
$23.04 |
| 87449 |
|
12 |
12 |
$21.81 |
| J1100 |
Dexamethasone sodium phos |
10,564 |
10,063 |
$20.78 |
| J0780 |
Prochlorperazine injection |
1,489 |
1,297 |
$20.12 |
| 84145 |
|
52 |
51 |
$17.93 |
| J2405 |
Ondansetron hcl injection |
23,663 |
20,097 |
$15.29 |
| J1170 |
Hydromorphone injection |
5,206 |
3,524 |
$14.61 |
| J1040 |
Methylprednisolone 80 mg inj |
1,349 |
1,339 |
$12.86 |
| 84155 |
|
15 |
15 |
$12.18 |
| J0696 |
Ceftriaxone sodium injection |
7,973 |
6,147 |
$11.42 |
| 85007 |
|
20 |
17 |
$10.64 |
| J0330 |
Succinycholine chloride inj |
1,009 |
998 |
$10.41 |
| J3010 |
Fentanyl citrate injection |
7,147 |
6,020 |
$9.55 |
| J1885 |
Ketorolac tromethamine inj |
25,977 |
23,511 |
$7.30 |
| J1836 |
Inj, metronidazole, 10 mg |
235 |
121 |
$6.07 |
| J1200 |
Diphenhydramine hcl injectio |
9,563 |
8,351 |
$5.34 |
| J2765 |
Metoclopramide hcl injection |
4,608 |
4,145 |
$3.84 |
| 84075 |
|
12 |
12 |
$3.38 |
| 82310 |
|
12 |
12 |
$3.37 |
| J2250 |
Inj midazolam hydrochloride |
6,852 |
6,441 |
$2.06 |
| J2710 |
Neostigmine methylslfte inj |
1,005 |
987 |
$0.62 |
| G1004 |
Cdsm ndsc |
1,282 |
1,245 |
$0.02 |
| 90744 |
|
63 |
63 |
$0.01 |
| 90715 |
|
1,555 |
1,555 |
$0.00 |
| 12011 |
|
127 |
126 |
$0.00 |
| J2270 |
Morphine sulfate injection |
6,974 |
5,120 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
1,527 |
1,395 |
$0.00 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
197 |
120 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
518 |
254 |
$0.00 |
| J2550 |
Promethazine hcl injection |
102 |
76 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
2,820 |
1,824 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
121 |
89 |
$0.00 |
| J7030 |
Normal saline solution infus |
1,763 |
1,520 |
$0.00 |
| J0744 |
Ciprofloxacin iv |
35 |
12 |
$0.00 |
| J0689 |
Inj cefazolin sodium, baxter |
281 |
255 |
$0.00 |
| 76942 |
|
119 |
118 |
$0.00 |
| 94729 |
|
174 |
174 |
$0.00 |
| A9577 |
Inj multihance |
1,632 |
1,614 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
208 |
92 |
$0.00 |
| J7040 |
Normal saline solution infus |
861 |
796 |
$0.00 |
| 90707 |
|
27 |
27 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
49 |
48 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
521 |
380 |
$0.00 |
| 87899 |
|
13 |
13 |
$0.00 |
| 77002 |
|
26 |
26 |
$0.00 |
| 90633 |
|
42 |
42 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
796 |
782 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
43 |
42 |
$0.00 |
| 80143 |
|
60 |
56 |
$0.00 |
| 86923 |
|
26 |
24 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
274 |
273 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
14 |
14 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
24 |
24 |
$0.00 |
| 80179 |
|
45 |
44 |
$0.00 |
| 90670 |
|
86 |
86 |
$0.00 |
| 29125 |
|
46 |
46 |
$0.00 |
| J0692 |
Cefepime hcl for injection |
40 |
28 |
$0.00 |
| J7042 |
5% dextrose/normal saline |
1,638 |
1,114 |
$0.00 |
| J3490 |
Drugs unclassified injection |
685 |
674 |
$0.00 |
| J2360 |
Orphenadrine injection |
68 |
68 |
$0.00 |
| J0500 |
Dicyclomine injection |
1,104 |
1,023 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
517 |
457 |
$0.00 |
| 90680 |
|
126 |
126 |
$0.00 |
| J3360 |
Diazepam injection |
253 |
238 |
$0.00 |
| C1769 |
Guide wire |
241 |
230 |
$0.00 |
| 90698 |
|
202 |
202 |
$0.00 |
| J1630 |
Haloperidol injection |
993 |
860 |
$0.00 |
| J2060 |
Lorazepam injection |
1,873 |
1,448 |
$0.00 |
| 95886 |
|
386 |
384 |
$0.00 |
| J3480 |
Inj potassium chloride |
265 |
181 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
566 |
318 |
$0.00 |
| 97010 |
|
388 |
159 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
58 |
54 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
30 |
26 |
$0.00 |
| J1940 |
Furosemide injection |
310 |
191 |
$0.00 |
| A9573 |
Inj, gadopiclenol, 1 ml |
132 |
130 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
293 |
280 |
$0.00 |
| 80320 |
|
32 |
26 |
$0.00 |
| 36000 |
|
20 |
20 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| J7050 |
Normal saline solution infus |
725 |
449 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
188 |
116 |
$0.00 |
| J2920 |
Methylprednisolone injection |
101 |
52 |
$0.00 |
| 87278 |
|
44 |
44 |
$0.00 |
| 94761 |
|
46 |
45 |
$0.00 |
| 82553 |
|
26 |
26 |
$0.00 |
| C1889 |
Implant/insert device, noc |
16 |
14 |
$0.00 |
| 94660 |
|
34 |
14 |
$0.00 |
| 88307 |
|
12 |
12 |
$0.00 |