| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
66,607 |
57,936 |
$30.23M |
| 99284 |
|
53,711 |
46,998 |
$16.33M |
| 99283 |
|
63,618 |
55,446 |
$13.38M |
| 96374 |
|
53,677 |
44,374 |
$7.58M |
| S9480 |
Intensive outpatient psychia |
42,597 |
6,510 |
$4.70M |
| 93306 |
|
12,986 |
12,124 |
$3.72M |
| 43239 |
|
5,358 |
5,079 |
$3.25M |
| 78452 |
|
4,692 |
4,382 |
$2.90M |
| 74177 |
|
12,305 |
11,202 |
$2.53M |
| 97110 |
|
33,060 |
10,517 |
$2.06M |
| 70450 |
|
16,699 |
14,929 |
$2.01M |
| 96361 |
|
34,435 |
27,470 |
$1.87M |
| G0463 |
Hospital outpt clinic visit |
24,795 |
17,767 |
$1.82M |
| 99291 |
|
2,531 |
2,278 |
$1.75M |
| 45380 |
|
1,701 |
1,640 |
$1.58M |
| 96365 |
|
12,156 |
8,148 |
$1.53M |
| 99282 |
|
11,805 |
10,714 |
$1.52M |
| 96360 |
|
10,797 |
8,952 |
$1.51M |
| 45385 |
|
1,780 |
1,707 |
$1.42M |
| 11042 |
|
8,781 |
3,873 |
$1.41M |
| 96375 |
|
34,374 |
27,503 |
$1.39M |
| 71046 |
|
22,327 |
20,327 |
$1.31M |
| J9271 |
Inj pembrolizumab |
197 |
140 |
$1.31M |
| 93458 |
|
952 |
885 |
$1.31M |
| J1439 |
Inj ferric carboxymaltos 1mg |
1,820 |
1,096 |
$1.10M |
| 96413 |
|
5,092 |
2,784 |
$1.02M |
| 71045 |
|
21,218 |
18,498 |
$997K |
| 74176 |
|
7,303 |
6,663 |
$964K |
| U0004 |
Cov-19 test non-cdc hgh thru |
14,860 |
12,677 |
$942K |
| G0379 |
Direct refer hospital observ |
1,660 |
1,275 |
$792K |
| 47562 |
|
179 |
161 |
$738K |
| J0897 |
Denosumab injection |
713 |
613 |
$728K |
| 0241U |
|
6,485 |
5,944 |
$726K |
| 87637 |
|
5,946 |
5,569 |
$612K |
| 77067 |
|
5,487 |
5,294 |
$585K |
| 27447 |
|
126 |
108 |
$491K |
| 71275 |
|
3,635 |
3,327 |
$456K |
| 45378 |
|
749 |
718 |
$447K |
| 59025 |
|
2,659 |
1,498 |
$433K |
| 93350 |
|
1,014 |
959 |
$401K |
| 76801 |
|
3,590 |
3,161 |
$378K |
| U0003 |
Cov-19 amp prb hgh thruput |
5,092 |
4,310 |
$362K |
| G0121 |
Colon ca scrn not hi rsk ind |
448 |
435 |
$354K |
| 93017 |
|
8,534 |
7,847 |
$351K |
| 76830 |
|
3,368 |
3,123 |
$341K |
| 71260 |
|
2,477 |
2,231 |
$325K |
| 97112 |
|
23,177 |
7,802 |
$318K |
| 76641 |
|
3,499 |
3,339 |
$318K |
| 76705 |
|
3,167 |
2,924 |
$290K |
| 93798 |
|
3,991 |
582 |
$280K |
| 90791 |
|
2,625 |
2,274 |
$254K |
| 93971 |
|
3,596 |
3,246 |
$247K |
| 97161 |
|
5,035 |
4,520 |
$233K |
| U0005 |
Infec agen detec ampli probe |
11,320 |
9,611 |
$226K |
| 93976 |
|
2,126 |
1,867 |
$211K |
| 76700 |
|
2,185 |
2,001 |
$195K |
| 93975 |
|
828 |
768 |
$181K |
| 93351 |
|
427 |
409 |
$179K |
| 76856 |
|
2,062 |
1,928 |
$177K |
| 76811 |
|
796 |
723 |
$164K |
| 10061 |
|
529 |
478 |
$153K |
| 93970 |
|
1,180 |
1,085 |
$150K |
| 96366 |
|
4,314 |
2,524 |
$149K |
| U0002 |
Covid-19 lab test non-cdc |
3,391 |
3,064 |
$144K |
| 90792 |
|
1,394 |
1,198 |
$143K |
| 87811 |
|
4,035 |
3,694 |
$134K |
| 90853 |
|
12,663 |
4,250 |
$134K |
| 76816 |
|
1,495 |
1,309 |
$133K |
| 97597 |
|
1,809 |
1,116 |
$131K |
| J0881 |
Darbepoetin alfa, non-esrd |
1,121 |
711 |
$129K |
| 77065 |
Tomosynthesis, mammo |
1,179 |
1,072 |
$128K |
| 70551 |
|
907 |
823 |
$125K |
| 86900 |
|
11,287 |
9,512 |
$119K |
| 95810 |
|
209 |
169 |
$119K |
| 96372 |
|
18,950 |
14,185 |
$107K |
| 97162 |
|
1,997 |
1,885 |
$106K |
| 71250 |
|
2,431 |
2,210 |
$105K |
| 76642 |
|
1,641 |
1,530 |
$104K |
| 29580 |
|
1,614 |
639 |
$103K |
| 78815 |
|
148 |
141 |
$101K |
| 0202U |
|
280 |
252 |
$98K |
| 97140 |
|
22,605 |
7,391 |
$92K |
| 97530 |
|
12,016 |
5,199 |
$91K |
| 96415 |
|
1,377 |
897 |
$90K |
| 0002A |
|
2,874 |
2,715 |
$88K |
| 0001A |
|
3,103 |
2,856 |
$87K |
| 96367 |
|
1,871 |
1,162 |
$87K |
| 72148 |
|
551 |
515 |
$83K |
| 90832 |
|
3,112 |
1,531 |
$82K |
| 76805 |
|
721 |
674 |
$78K |
| 77066 |
Tomosynthesis, mammo |
639 |
611 |
$76K |
| 77063 |
|
5,385 |
5,193 |
$76K |
| 72100 |
|
4,108 |
3,770 |
$73K |
| 99214 |
|
1,842 |
1,732 |
$72K |
| C8929 |
Tte w or wo fol wcon,doppler |
294 |
275 |
$69K |
| 80053 |
|
62,215 |
49,407 |
$67K |
| 85025 |
|
121,642 |
93,037 |
$66K |
| 96417 |
|
1,225 |
697 |
$65K |
| 15271 |
|
69 |
37 |
$63K |
| 77336 |
|
881 |
357 |
$59K |
| 76857 |
|
626 |
586 |
$58K |
| 90834 |
|
1,257 |
891 |
$56K |
| 70553 |
|
211 |
200 |
$56K |
| 70496 |
|
409 |
373 |
$56K |
| 97010 |
|
992 |
589 |
$56K |
| 72125 |
|
6,656 |
6,010 |
$55K |
| 36430 |
|
382 |
234 |
$54K |
| 76770 |
|
655 |
611 |
$53K |
| 99281 |
|
694 |
635 |
$48K |
| Q5106 |
Inj retacrit non-esrd use |
587 |
224 |
$47K |
| 93005 |
|
52,992 |
44,729 |
$47K |
| 97165 |
|
825 |
734 |
$45K |
| 97116 |
|
1,818 |
1,083 |
$44K |
| 72131 |
|
1,527 |
1,402 |
$44K |
| G0498 |
Chemo extend iv infus w/pump |
320 |
151 |
$41K |
| Q0222 |
Bebtelovimab 175 mg |
161 |
150 |
$41K |
| 73630 |
|
3,714 |
3,331 |
$39K |
| 87635 |
|
1,048 |
982 |
$38K |
| 73560 |
|
5,255 |
4,812 |
$38K |
| 82728 |
|
6,108 |
5,378 |
$38K |
| 74174 |
|
243 |
219 |
$35K |
| Q5108 |
Injection, fulphila |
21 |
12 |
$35K |
| Q0138 |
Ferumoxytol, non-esrd |
183 |
120 |
$34K |
| 90833 |
|
1,160 |
774 |
$33K |
| 94060 |
|
168 |
160 |
$32K |
| M0222 |
Bebtelovimab injection |
160 |
149 |
$32K |
| P9016 |
Rbc leukocytes reduced |
296 |
187 |
$31K |
| 87491 |
|
3,234 |
2,965 |
$29K |
| 76536 |
|
436 |
414 |
$29K |
| 70486 |
|
1,769 |
1,609 |
$29K |
| 92507 |
|
479 |
173 |
$29K |
| 99213 |
|
710 |
630 |
$29K |
| 87591 |
|
3,215 |
2,948 |
$28K |
| 90837 |
|
306 |
145 |
$27K |
| 77334 |
|
94 |
41 |
$26K |
| 11043 |
|
76 |
39 |
$24K |
| 83550 |
|
5,847 |
5,194 |
$24K |
| 82607 |
|
3,449 |
3,146 |
$24K |
| 96402 |
|
906 |
684 |
$24K |
| 72040 |
|
1,813 |
1,634 |
$24K |
| J0885 |
Epoetin alfa, non-esrd |
200 |
128 |
$21K |
| 96411 |
|
499 |
277 |
$20K |
| 73030 |
|
4,007 |
3,576 |
$20K |
| M0245 |
Bamlan and etesev infusion |
67 |
61 |
$20K |
| 76815 |
|
2,062 |
1,422 |
$19K |
| C9803 |
Hopd covid-19 spec collect |
22,284 |
18,868 |
$19K |
| 83540 |
|
6,153 |
5,252 |
$18K |
| G2066 |
Inter devc remote 30d |
1,366 |
1,295 |
$18K |
| 72132 |
|
712 |
634 |
$17K |
| 73502 |
|
2,168 |
1,977 |
$17K |
| 97535 |
|
2,153 |
1,180 |
$17K |
| J0185 |
Inj., aprepitant, 1 mg |
150 |
87 |
$17K |
| 73610 |
|
3,040 |
2,758 |
$15K |
| 73700 |
|
274 |
263 |
$15K |
| 82746 |
|
1,791 |
1,622 |
$13K |
| 36415 |
|
70,246 |
52,334 |
$13K |
| J9217 |
Leuprolide acetate suspnsion |
136 |
101 |
$13K |
| 74240 |
|
99 |
92 |
$12K |
| 70491 |
|
81 |
76 |
$12K |
| 74183 |
|
65 |
62 |
$12K |
| 93296 |
|
1,152 |
1,130 |
$11K |
| 73130 |
|
3,574 |
3,220 |
$11K |
| 93312 |
|
82 |
78 |
$11K |
| 73721 |
|
40 |
38 |
$10K |
| 80307 |
|
12,398 |
10,965 |
$9K |
| C9088 |
Instill, bupivac and meloxic |
83 |
77 |
$9K |
| 72141 |
|
62 |
52 |
$9K |
| 99215 |
Prolong outpt/office vis |
74 |
46 |
$9K |
| 80048 |
|
59,101 |
46,811 |
$8K |
| 83615 |
|
3,621 |
2,545 |
$8K |
| G0378 |
Hospital observation per hr |
14,459 |
8,072 |
$8K |
| 86923 |
|
588 |
367 |
$8K |
| 78451 |
|
36 |
31 |
$7K |
| 72128 |
|
578 |
534 |
$7K |
| 84443 |
|
12,188 |
10,767 |
$7K |
| 93298 |
|
516 |
478 |
$7K |
| 97166 |
|
91 |
90 |
$6K |
| 0004A |
|
298 |
298 |
$6K |
| 12001 |
|
1,130 |
1,054 |
$6K |
| M0247 |
Sotrovimab infusion |
22 |
20 |
$6K |
| 73110 |
|
1,841 |
1,668 |
$6K |
| 0064A |
|
163 |
162 |
$6K |
| 77300 |
|
57 |
24 |
$5K |
| 82306 |
|
386 |
359 |
$5K |
| 72070 |
|
310 |
283 |
$5K |
| 36591 |
|
266 |
161 |
$5K |
| 94640 |
|
10,670 |
8,017 |
$4K |
| 93297 |
|
275 |
268 |
$4K |
| 97163 |
|
84 |
74 |
$4K |
| 76817 |
|
2,392 |
2,018 |
$4K |
| 77080 |
|
38 |
38 |
$4K |
| M0243 |
Casirivi and imdevi inj |
16 |
12 |
$4K |
| 80076 |
|
29,146 |
25,181 |
$4K |
| 83735 |
|
24,861 |
19,743 |
$4K |
| 74018 |
|
1,591 |
1,404 |
$4K |
| 87641 |
|
948 |
887 |
$3K |
| 12011 |
|
494 |
466 |
$3K |
| 82378 |
|
822 |
639 |
$3K |
| 82784 |
|
332 |
296 |
$3K |
| 84165 |
|
659 |
554 |
$3K |
| 0012A |
|
131 |
121 |
$3K |
| 0031A |
|
132 |
90 |
$3K |
| 77061 |
|
233 |
214 |
$3K |
| 10060 |
|
20 |
14 |
$3K |
| 77085 |
|
44 |
39 |
$3K |
| 86320 |
|
302 |
268 |
$2K |
| 83521 |
|
377 |
340 |
$2K |
| 93290 |
|
180 |
175 |
$2K |
| 0011A |
|
115 |
105 |
$2K |
| 73070 |
|
592 |
538 |
$2K |
| 83036 |
|
2,304 |
2,076 |
$2K |
| 86850 |
|
11,091 |
9,493 |
$2K |
| 74019 |
|
581 |
512 |
$2K |
| 93242 |
|
101 |
99 |
$2K |
| 83880 |
|
12,186 |
10,347 |
$2K |
| 80061 |
|
241 |
223 |
$2K |
| 81025 |
|
31,518 |
27,992 |
$2K |
| 88305 |
|
12,644 |
10,540 |
$2K |
| 87651 |
|
3,333 |
3,145 |
$2K |
| 87502 |
|
24 |
24 |
$2K |
| G0279 |
Tomosynthesis, mammo |
1,289 |
1,220 |
$2K |
| 85610 |
|
19,728 |
17,035 |
$2K |
| 74021 |
|
837 |
786 |
$2K |
| 85730 |
|
6,543 |
5,811 |
$2K |
| 84134 |
|
458 |
431 |
$2K |
| 72110 |
|
27 |
27 |
$2K |
| 73590 |
|
1,070 |
938 |
$1K |
| 86901 |
|
11,283 |
9,512 |
$1K |
| 97035 |
|
27 |
14 |
$1K |
| 71101 |
|
475 |
429 |
$1K |
| 84439 |
|
1,541 |
1,326 |
$1K |
| 12002 |
|
302 |
283 |
$1K |
| G0480 |
Drug test def 1-7 classes |
14,488 |
12,220 |
$1K |
| 87070 |
|
3,755 |
3,269 |
$1K |
| 76813 |
|
1,454 |
1,355 |
$1K |
| 0003A |
|
33 |
33 |
$1K |
| 87186 |
|
5,425 |
4,815 |
$1K |
| 76870 |
|
173 |
155 |
$1K |
| 87086 |
|
8,828 |
7,731 |
$965.68 |
| 81003 |
|
45,106 |
39,461 |
$941.06 |
| 85651 |
|
1,585 |
1,253 |
$929.19 |
| 73562 |
|
41 |
38 |
$894.16 |
| 82947 |
|
476 |
407 |
$869.24 |
| 77062 |
|
73 |
71 |
$869.20 |
| 88342 |
|
657 |
533 |
$843.93 |
| 0071A |
|
22 |
22 |
$800.00 |
| 85045 |
|
492 |
394 |
$780.84 |
| 86140 |
|
1,364 |
1,147 |
$768.76 |
| 0124A |
|
26 |
26 |
$760.00 |
| 0072A |
|
21 |
21 |
$760.00 |
| 85027 |
|
5,873 |
4,610 |
$750.18 |
| 84484 |
|
41,614 |
30,313 |
$721.89 |
| 87088 |
|
6,539 |
5,897 |
$681.44 |
| 88307 |
|
1,305 |
1,082 |
$660.42 |
| 87389 |
|
784 |
742 |
$659.97 |
| 86920 |
|
33 |
27 |
$645.40 |
| 29581 |
|
18 |
12 |
$633.31 |
| 72170 |
|
870 |
782 |
$632.92 |
| 84702 |
|
3,655 |
3,084 |
$622.52 |
| 83690 |
|
34,713 |
30,274 |
$617.24 |
| 82565 |
|
3,738 |
2,567 |
$609.20 |
| 90715 |
|
1,987 |
1,798 |
$587.05 |
| 36600 |
|
477 |
420 |
$559.95 |
| 97150 |
|
350 |
306 |
$545.78 |
| 87205 |
|
3,841 |
3,278 |
$529.94 |
| 87075 |
|
810 |
677 |
$527.79 |
| 93880 |
|
12 |
12 |
$472.15 |
| 70498 |
|
393 |
358 |
$452.34 |
| 87077 |
|
4,386 |
3,869 |
$416.91 |
| 83883 |
|
62 |
41 |
$415.36 |
| 87400 |
|
9,987 |
4,769 |
$409.82 |
| 0034A |
|
12 |
12 |
$400.00 |
| 83605 |
|
18,444 |
14,212 |
$385.31 |
| 82805 |
|
4,934 |
4,160 |
$352.37 |
| 90471 |
|
2,332 |
2,012 |
$315.46 |
| 87081 |
|
3,386 |
3,143 |
$312.55 |
| 94726 |
|
106 |
105 |
$310.80 |
| 86334 |
|
41 |
39 |
$306.42 |
| 86780 |
|
30 |
28 |
$303.36 |
| 73090 |
|
380 |
338 |
$298.54 |
| J1756 |
Iron sucrose injection |
1,420 |
636 |
$292.00 |
| 73080 |
|
233 |
205 |
$270.34 |
| J7030 |
Normal saline solution infus |
65,325 |
48,792 |
$266.77 |
| J3490 |
Drugs unclassified injection |
250,413 |
86,044 |
$264.29 |
| 82570 |
|
356 |
276 |
$261.82 |
| 81001 |
|
10,230 |
9,096 |
$239.24 |
| 90686 |
|
43 |
41 |
$237.36 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
22,228 |
19,454 |
$217.29 |
| 87040 |
|
6,986 |
3,654 |
$208.53 |
| J0136 |
Inj, acetaminophen (b braun) |
392 |
232 |
$205.30 |
| 29125 |
|
332 |
306 |
$200.99 |
| 88313 |
|
3,424 |
3,016 |
$194.21 |
| J2310 |
Inj naloxone hydrochloride |
14 |
13 |
$185.40 |
| 73060 |
|
27 |
26 |
$182.42 |
| J0134 |
Inj acetaminophen -fresenius |
1,314 |
861 |
$178.52 |
| 73140 |
|
24 |
24 |
$174.66 |
| 20561 |
|
32 |
12 |
$167.10 |
| 90460 |
|
87 |
80 |
$162.00 |
| 84156 |
|
264 |
201 |
$157.50 |
| 88304 |
|
1,804 |
1,643 |
$145.27 |
| 82550 |
|
6,190 |
5,352 |
$139.63 |
| 85379 |
|
3,275 |
2,994 |
$129.82 |
| 96376 |
|
8,117 |
5,827 |
$119.17 |
| 86618 |
|
130 |
122 |
$113.89 |
| 84100 |
|
4,975 |
4,052 |
$110.70 |
| 82248 |
|
146 |
109 |
$103.21 |
| 84703 |
|
606 |
559 |
$100.52 |
| 86300 |
|
13 |
12 |
$99.35 |
| 83010 |
|
22 |
13 |
$96.08 |
| 87880 |
|
511 |
479 |
$90.84 |
| Q9954 |
Oral mr contrast, 100 ml |
2,513 |
1,910 |
$90.44 |
| 84550 |
|
1,302 |
1,049 |
$88.02 |
| 70360 |
|
13 |
12 |
$69.46 |
| J1885 |
Ketorolac tromethamine inj |
39,815 |
32,802 |
$64.73 |
| 84520 |
|
2,856 |
1,762 |
$63.42 |
| 80051 |
|
2,312 |
1,486 |
$60.30 |
| 84152 |
|
12 |
12 |
$52.68 |
| 82077 |
|
1,048 |
967 |
$47.45 |
| 85014 |
|
249 |
173 |
$45.20 |
| J7120 |
Ringers lactate infusion |
20,217 |
15,892 |
$43.84 |
| 85018 |
|
377 |
243 |
$42.94 |
| 87420 |
|
604 |
562 |
$36.54 |
| 83655 |
|
23 |
19 |
$34.68 |
| J0131 |
Inj, acetaminophen (nos) |
2,710 |
1,781 |
$32.21 |
| J2930 |
Methylprednisolone injection |
2,996 |
2,618 |
$31.84 |
| 82150 |
|
785 |
723 |
$30.95 |
| 84132 |
|
197 |
170 |
$26.92 |
| J3360 |
Diazepam injection |
1,870 |
1,639 |
$26.87 |
| 84145 |
|
51 |
42 |
$25.58 |
| J1790 |
Droperidol injection |
2,138 |
1,800 |
$22.87 |
| J2270 |
Morphine sulfate injection |
13,175 |
10,300 |
$20.24 |
| 86308 |
|
544 |
508 |
$18.62 |
| J2405 |
Ondansetron hcl injection |
31,160 |
25,265 |
$17.63 |
| J1100 |
Dexamethasone sodium phos |
12,891 |
10,053 |
$13.97 |
| 87184 |
|
500 |
445 |
$13.18 |
| 80164 |
|
539 |
489 |
$12.94 |
| J1200 |
Diphenhydramine hcl injectio |
7,531 |
5,754 |
$11.96 |
| J0690 |
Cefazolin sodium injection |
12,099 |
8,422 |
$11.68 |
| J0696 |
Ceftriaxone sodium injection |
8,298 |
5,924 |
$10.48 |
| J2001 |
Lidocaine injection |
23,101 |
19,698 |
$10.31 |
| J7512 |
Prednisone ir or dr oral 1mg |
6,303 |
5,346 |
$10.12 |
| Q0144 |
Azithromycin dihydrate, oral |
647 |
563 |
$9.96 |
| J7040 |
Normal saline solution infus |
9,273 |
7,273 |
$8.79 |
| J0360 |
Hydralazine hcl injection |
798 |
637 |
$8.40 |
| J2765 |
Metoclopramide hcl injection |
6,454 |
5,617 |
$8.06 |
| J3010 |
Fentanyl citrate injection |
14,114 |
12,418 |
$7.87 |
| 82010 |
|
717 |
612 |
$7.80 |
| J1644 |
Inj heparin sodium per 1000u |
6,253 |
3,561 |
$7.75 |
| 90472 |
|
15 |
12 |
$6.27 |
| J2704 |
Inj, propofol, 10 mg |
27,778 |
20,170 |
$5.85 |
| J2250 |
Inj midazolam hydrochloride |
12,887 |
11,397 |
$5.30 |
| J3475 |
Inj magnesium sulfate |
2,338 |
1,507 |
$5.28 |
| J0137 |
Inj, acetaminophen (hikma) |
13 |
12 |
$5.00 |
| J1650 |
Inj enoxaparin sodium |
1,488 |
613 |
$4.42 |
| J2060 |
Lorazepam injection |
4,305 |
3,459 |
$4.17 |
| J7050 |
Normal saline solution infus |
8,891 |
4,678 |
$4.06 |
| Q0163 |
Diphenhydramine hcl 50mg |
3,805 |
2,886 |
$3.93 |
| Q9957 |
Inj perflutren lip micros,ml |
279 |
253 |
$3.59 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
2,295 |
1,620 |
$2.90 |
| J1170 |
Hydromorphone injection |
7,540 |
5,516 |
$2.68 |
| Q0162 |
Ondansetron oral |
4,748 |
3,430 |
$2.64 |
| J7620 |
Albuterol ipratrop non-comp |
3,300 |
2,487 |
$2.28 |
| J1630 |
Haloperidol injection |
1,478 |
1,233 |
$1.98 |
| J8540 |
Oral dexamethasone |
3,984 |
1,393 |
$1.82 |
| J0780 |
Prochlorperazine injection |
1,382 |
1,124 |
$1.60 |
| G8979 |
Mobility goal status |
200 |
173 |
$1.02 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
820 |
765 |
$1.00 |
| G8978 |
Mobility current status |
194 |
170 |
$0.98 |
| 90672 |
|
45 |
42 |
$0.40 |
| J1836 |
Inj, metronidazole, 10 mg |
264 |
175 |
$0.32 |
| J7510 |
Prednisolone oral per 5 mg |
476 |
438 |
$0.22 |
| 90670 |
|
24 |
21 |
$0.20 |
| J7613 |
Albuterol non-comp unit |
1,391 |
1,084 |
$0.04 |
| 88312 |
|
6,477 |
5,482 |
$0.00 |
| 99152 |
|
2,673 |
2,344 |
$0.00 |
| J0692 |
Cefepime hcl for injection |
26 |
24 |
$0.00 |
| C1776 |
Joint device (implantable) |
824 |
746 |
$0.00 |
| C1887 |
Catheter, guiding |
1,039 |
918 |
$0.00 |
| 93356 |
|
111 |
103 |
$0.00 |
| 82009 |
|
648 |
569 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,442 |
1,247 |
$0.00 |
| J9190 |
Fluorouracil injection |
696 |
174 |
$0.00 |
| 0055T |
|
31 |
27 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
1,568 |
933 |
$0.00 |
| S0164 |
Injection pantroprazole |
138 |
95 |
$0.00 |
| 72129 |
|
512 |
463 |
$0.00 |
| 80143 |
|
130 |
118 |
$0.00 |
| 87798 |
|
33 |
28 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
120 |
107 |
$0.00 |
| 94729 |
|
148 |
147 |
$0.00 |
| 93325 |
|
76 |
73 |
$0.00 |
| 76376 |
|
62 |
59 |
$0.00 |
| A9552 |
F18 fdg |
108 |
106 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
32 |
25 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
2,247 |
2,007 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
218 |
187 |
$0.00 |
| C1760 |
Closure dev, vasc |
184 |
152 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
902 |
857 |
$0.00 |
| 85347 |
|
184 |
132 |
$0.00 |
| 91300 |
|
5,783 |
4,922 |
$0.00 |
| J1245 |
Dipyridamole injection |
907 |
835 |
$0.00 |
| J0640 |
Leucovorin calcium injection |
682 |
160 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
410 |
341 |
$0.00 |
| 80179 |
|
127 |
112 |
$0.00 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
16 |
12 |
$0.00 |
| J0670 |
Inj mepivacaine hcl/10 ml |
17 |
14 |
$0.00 |
| Q0245 |
Bamlanivimab and etesevima |
102 |
68 |
$0.00 |
| J9263 |
Oxaliplatin |
50 |
13 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
258 |
184 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
35 |
33 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
25 |
25 |
$0.00 |
| 90461 |
|
45 |
38 |
$0.00 |
| C1729 |
Cath, drainage |
14 |
12 |
$0.00 |
| 51702 |
|
12 |
12 |
$0.00 |
| 91312 |
|
13 |
13 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
2,849 |
2,236 |
$0.00 |
| 96040 |
|
314 |
296 |
$0.00 |
| J1940 |
Furosemide injection |
1,671 |
1,301 |
$0.00 |
| C9290 |
Inj, bupivacaine liposome |
981 |
742 |
$0.00 |
| C1769 |
Guide wire |
2,926 |
2,532 |
$0.00 |
| A9500 |
Tc99m sestamibi |
4,960 |
4,638 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
2,308 |
2,020 |
$0.00 |
| J1815 |
Insulin injection |
6,289 |
2,707 |
$0.00 |
| J2785 |
Regadenoson injection |
2,997 |
2,814 |
$0.00 |
| J3420 |
Vitamin b12 injection |
2,614 |
2,319 |
$0.00 |
| A9585 |
Gadobutrol injection |
1,422 |
1,267 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
510 |
417 |
$0.00 |
| C1781 |
Mesh (implantable) |
132 |
127 |
$0.00 |
| 11045 |
|
566 |
263 |
$0.00 |
| J3480 |
Inj potassium chloride |
1,557 |
828 |
$0.00 |
| 90698 |
|
21 |
18 |
$0.00 |
| J7060 |
5% dextrose/water |
2,492 |
1,063 |
$0.00 |
| J0280 |
Aminophyllin 250 mg inj |
989 |
915 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
819 |
733 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
993 |
788 |
$0.00 |
| C2617 |
Stent, non-cor, tem w/o del |
62 |
53 |
$0.00 |
| 91303 |
|
82 |
76 |
$0.00 |
| 96368 |
|
499 |
288 |
$0.00 |
| J2305 |
Inj, nitroglycerin, 5 mg |
252 |
241 |
$0.00 |
| 88341 |
|
217 |
158 |
$0.00 |
| A6213 |
Foam drg >16<=48 sq in w/bdr |
245 |
212 |
$0.00 |
| J3535 |
Metered dose inhaler drug |
126 |
98 |
$0.00 |
| 90674 |
|
19 |
17 |
$0.00 |
| 91305 |
|
26 |
26 |
$0.00 |
| J1920 |
Inj, labetalol hcl, 5mg |
344 |
305 |
$0.00 |
| 91307 |
|
43 |
43 |
$0.00 |
| G0008 |
Admin influenza virus vac |
111 |
106 |
$0.00 |
| 91301 |
|
260 |
244 |
$0.00 |
| A4648 |
Implantable tissue marker |
119 |
106 |
$0.00 |
| 73552 |
|
29 |
28 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
99 |
68 |
$0.00 |
| C1889 |
Implant/insert device, noc |
12 |
12 |
$0.00 |
| J7626 |
Budesonide non-comp unit |
61 |
38 |
$0.00 |
| 91306 |
|
158 |
157 |
$0.00 |
| Q2035 |
Afluria vacc, 3 yrs & >, im |
13 |
13 |
$0.00 |
| 87449 |
|
13 |
13 |
$0.00 |
| Q0247 |
Sotrovimab |
23 |
23 |
$0.00 |
| 87807 |
|
132 |
126 |
$0.00 |
| 88300 |
|
13 |
12 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
29 |
25 |
$0.00 |
| C1726 |
Cath, bal dil, non-vascular |
16 |
15 |
$0.00 |
| J7999 |
Compounded drug, noc |
53 |
51 |
$0.00 |
| Q3014 |
Telehealth facility fee |
13 |
13 |
$0.00 |
| 74420 |
|
17 |
15 |
$0.00 |
| 88311 |
|
19 |
14 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
13 |
13 |
$0.00 |