| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
|
96,460 |
85,127 |
$10.47M |
| 99214 |
|
53,576 |
48,204 |
$6.02M |
| 99283 |
|
45,259 |
42,274 |
$5.34M |
| 99285 |
|
36,840 |
33,526 |
$4.84M |
| 99284 |
|
36,379 |
33,266 |
$4.75M |
| 96361 |
|
15,349 |
13,495 |
$4.15M |
| G0463 |
Hospital outpt clinic visit |
25,285 |
20,473 |
$1.77M |
| 70450 |
|
6,071 |
5,273 |
$1.51M |
| 99391 |
|
12,518 |
11,460 |
$1.25M |
| 99392 |
|
10,497 |
9,834 |
$1.09M |
| 74177 |
|
3,913 |
3,288 |
$1.02M |
| 97110 |
|
11,958 |
4,366 |
$861K |
| 80053 |
|
58,049 |
50,742 |
$661K |
| 99393 |
|
5,592 |
5,249 |
$595K |
| U0004 |
Cov-19 test non-cdc hgh thru |
2,831 |
2,736 |
$516K |
| 96360 |
|
1,871 |
1,557 |
$438K |
| 74176 |
|
1,465 |
1,206 |
$423K |
| 96365 |
|
2,228 |
1,523 |
$404K |
| 87631 |
|
2,577 |
2,495 |
$389K |
| 99212 |
|
3,080 |
2,824 |
$363K |
| 81514 |
|
2,432 |
2,203 |
$310K |
| 99281 |
|
2,107 |
1,985 |
$302K |
| 99394 |
|
2,626 |
2,338 |
$292K |
| 87591 |
|
5,135 |
4,752 |
$276K |
| 99395 |
|
2,242 |
2,014 |
$265K |
| 76856 |
|
1,341 |
1,154 |
$258K |
| 71275 |
|
846 |
686 |
$255K |
| 80307 |
|
14,798 |
13,131 |
$209K |
| 99396 |
|
1,799 |
1,551 |
$208K |
| 85025 |
|
76,511 |
66,647 |
$202K |
| 87636 |
|
13,203 |
11,726 |
$191K |
| 96110 |
|
761 |
548 |
$184K |
| 0241U |
|
911 |
845 |
$183K |
| 84443 |
|
7,960 |
7,192 |
$179K |
| 11042 |
|
1,682 |
852 |
$162K |
| 96366 |
|
606 |
435 |
$147K |
| 99282 |
|
1,371 |
1,294 |
$144K |
| 80048 |
|
16,501 |
14,046 |
$141K |
| 36415 |
|
81,462 |
71,041 |
$137K |
| G0378 |
Hospital observation per hr |
2,776 |
1,535 |
$137K |
| 99202 |
|
1,310 |
1,287 |
$125K |
| 97140 |
|
4,101 |
1,689 |
$124K |
| 96413 |
|
454 |
290 |
$119K |
| 77063 |
|
2,262 |
2,037 |
$111K |
| 71046 |
|
12,873 |
11,602 |
$104K |
| 59025 |
|
575 |
381 |
$101K |
| 76642 |
|
759 |
693 |
$99K |
| 76705 |
|
981 |
851 |
$94K |
| 99215 |
Prolong outpt/office vis |
1,007 |
877 |
$93K |
| 87491 |
|
5,172 |
4,783 |
$92K |
| 90686 |
|
9,101 |
8,325 |
$91K |
| 71260 |
|
595 |
506 |
$91K |
| 20610 |
|
567 |
445 |
$91K |
| 93005 |
|
31,355 |
27,454 |
$90K |
| 73721 |
|
365 |
319 |
$88K |
| 93306 |
|
338 |
298 |
$84K |
| 90471 |
|
7,933 |
6,691 |
$82K |
| 80320 |
|
5,554 |
5,073 |
$80K |
| 80061 |
|
5,279 |
4,761 |
$79K |
| 97161 |
|
1,180 |
1,012 |
$77K |
| 70551 |
|
438 |
389 |
$76K |
| 94640 |
|
1,393 |
912 |
$74K |
| 87086 |
|
14,468 |
12,902 |
$70K |
| 97113 |
|
795 |
272 |
$65K |
| 97162 |
|
1,097 |
969 |
$65K |
| 82306 |
|
2,479 |
2,159 |
$65K |
| 84484 |
|
16,233 |
11,274 |
$64K |
| 72148 |
|
395 |
360 |
$61K |
| 93307 |
|
257 |
221 |
$60K |
| 99211 |
|
607 |
456 |
$59K |
| 87880 |
|
3,522 |
3,093 |
$58K |
| 90839 |
|
553 |
504 |
$58K |
| 87637 |
|
1,318 |
1,078 |
$56K |
| 70553 |
|
197 |
175 |
$54K |
| 93975 |
|
394 |
327 |
$52K |
| 83036 |
|
5,867 |
4,779 |
$51K |
| 76830 |
|
1,268 |
1,093 |
$50K |
| 71250 |
|
547 |
499 |
$49K |
| 93971 |
|
700 |
602 |
$49K |
| 81002 |
|
12,402 |
9,070 |
$48K |
| 97530 |
|
1,827 |
1,034 |
$46K |
| 90460 |
|
21,883 |
17,960 |
$44K |
| 87661 |
|
2,165 |
2,054 |
$44K |
| 90677 |
|
1,197 |
988 |
$43K |
| 97112 |
|
1,250 |
530 |
$43K |
| 87081 |
|
5,256 |
4,857 |
$41K |
| 90670 |
|
6,087 |
5,783 |
$40K |
| 87481 |
|
1,649 |
1,565 |
$39K |
| 85027 |
|
5,114 |
3,840 |
$39K |
| 86850 |
|
1,575 |
1,272 |
$39K |
| 74018 |
|
719 |
633 |
$35K |
| 81001 |
|
42,616 |
38,899 |
$32K |
| 90715 |
|
2,268 |
1,852 |
$32K |
| 90723 |
|
4,538 |
4,153 |
$31K |
| 97014 |
|
875 |
340 |
$31K |
| 76770 |
|
203 |
195 |
$31K |
| 81003 |
|
11,612 |
8,140 |
$31K |
| 77067 |
|
2,270 |
2,042 |
$31K |
| 76536 |
|
248 |
225 |
$31K |
| 12001 |
|
173 |
158 |
$30K |
| 87801 |
|
1,624 |
1,565 |
$30K |
| 71045 |
|
8,698 |
7,636 |
$30K |
| 71271 |
|
161 |
144 |
$28K |
| 96374 |
|
28,007 |
25,058 |
$27K |
| 82607 |
|
1,008 |
864 |
$25K |
| 86900 |
|
1,812 |
1,458 |
$25K |
| 96372 |
|
9,193 |
7,490 |
$25K |
| 97035 |
|
321 |
131 |
$25K |
| 87389 |
|
817 |
716 |
$24K |
| 90651 |
|
1,176 |
982 |
$24K |
| 99291 |
|
184 |
159 |
$24K |
| 70491 |
|
90 |
76 |
$24K |
| 73030 |
|
1,063 |
887 |
$24K |
| 11045 |
|
81 |
31 |
$23K |
| 87150 |
|
360 |
322 |
$23K |
| 90688 |
|
1,748 |
1,505 |
$22K |
| 73630 |
|
1,159 |
992 |
$21K |
| 73130 |
|
1,083 |
929 |
$21K |
| 72110 |
|
393 |
354 |
$21K |
| 72125 |
|
1,507 |
1,244 |
$21K |
| 86592 |
|
486 |
420 |
$21K |
| 99203 |
|
150 |
150 |
$21K |
| 90647 |
|
3,655 |
3,391 |
$18K |
| 84702 |
|
2,187 |
1,740 |
$18K |
| 78452 |
|
47 |
41 |
$18K |
| 97165 |
|
288 |
223 |
$17K |
| 73610 |
|
1,001 |
868 |
$17K |
| 86140 |
|
1,376 |
1,160 |
$17K |
| 90633 |
|
2,242 |
1,921 |
$17K |
| 76801 |
|
562 |
462 |
$17K |
| 84439 |
|
726 |
609 |
$17K |
| 70486 |
|
351 |
297 |
$17K |
| 96127 |
|
433 |
277 |
$16K |
| 86803 |
|
628 |
540 |
$16K |
| 82728 |
|
744 |
642 |
$15K |
| 73564 |
|
907 |
787 |
$15K |
| 88305 |
|
893 |
598 |
$14K |
| 73221 |
|
59 |
50 |
$13K |
| 73110 |
|
644 |
547 |
$13K |
| G0483 |
Drug test def 22+ classes |
645 |
613 |
$13K |
| 72050 |
|
231 |
198 |
$13K |
| 73502 |
|
577 |
491 |
$12K |
| 73562 |
|
224 |
193 |
$12K |
| G0480 |
Drug test def 1-7 classes |
4,146 |
3,460 |
$12K |
| 86038 |
|
284 |
246 |
$12K |
| 81025 |
|
15,112 |
13,270 |
$11K |
| 83550 |
|
892 |
759 |
$11K |
| 83540 |
|
970 |
814 |
$11K |
| 97116 |
|
688 |
333 |
$11K |
| 76817 |
|
600 |
500 |
$11K |
| 86762 |
|
406 |
356 |
$11K |
| 93017 |
|
124 |
112 |
$11K |
| 99385 |
|
143 |
132 |
$10K |
| 96375 |
|
17,555 |
15,099 |
$10K |
| 95810 |
|
12 |
12 |
$10K |
| 72100 |
|
961 |
857 |
$10K |
| 95811 |
|
15 |
13 |
$10K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
109 |
69 |
$10K |
| 72141 |
|
53 |
48 |
$10K |
| 86901 |
|
1,812 |
1,458 |
$10K |
| 77062 |
|
241 |
218 |
$10K |
| 87800 |
|
735 |
580 |
$9K |
| 73560 |
|
408 |
345 |
$9K |
| 83970 |
|
269 |
217 |
$9K |
| 87510 |
|
512 |
494 |
$9K |
| 87077 |
|
844 |
689 |
$9K |
| 76982 |
|
204 |
188 |
$9K |
| 87340 |
|
526 |
455 |
$9K |
| 83001 |
|
262 |
220 |
$8K |
| 93970 |
|
72 |
66 |
$8K |
| 99386 |
|
96 |
90 |
$8K |
| 90734 |
|
1,045 |
837 |
$8K |
| 83690 |
|
13,528 |
12,022 |
$8K |
| 80069 |
|
458 |
357 |
$8K |
| 92552 |
|
106 |
92 |
$8K |
| 87480 |
|
512 |
494 |
$8K |
| 94760 |
|
7,389 |
6,420 |
$8K |
| 88341 |
|
60 |
44 |
$8K |
| 90461 |
|
10,094 |
9,414 |
$7K |
| 87205 |
|
1,437 |
1,178 |
$7K |
| 82570 |
|
873 |
744 |
$7K |
| 90716 |
|
587 |
444 |
$7K |
| 88304 |
|
296 |
214 |
$6K |
| 87660 |
|
514 |
495 |
$6K |
| 85652 |
|
1,122 |
928 |
$6K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
624 |
564 |
$6K |
| 87186 |
|
1,577 |
1,249 |
$6K |
| 76000 |
|
42 |
32 |
$6K |
| 84153 |
|
304 |
271 |
$6K |
| 85610 |
|
4,345 |
3,517 |
$6K |
| 90648 |
|
802 |
690 |
$6K |
| 82550 |
|
917 |
673 |
$6K |
| 82950 |
|
339 |
298 |
$6K |
| 84403 |
|
269 |
229 |
$6K |
| 80076 |
|
1,088 |
872 |
$6K |
| 82947 |
|
3,694 |
1,613 |
$6K |
| 96376 |
|
1,630 |
1,009 |
$6K |
| 76775 |
|
43 |
37 |
$6K |
| 84146 |
|
243 |
201 |
$6K |
| 20611 |
|
19 |
15 |
$5K |
| 12011 |
|
24 |
24 |
$5K |
| J1756 |
Iron sucrose injection |
160 |
47 |
$5K |
| 90681 |
|
721 |
645 |
$5K |
| 77080 |
|
80 |
80 |
$5K |
| 90707 |
|
595 |
451 |
$5K |
| 83605 |
|
2,637 |
1,883 |
$5K |
| 87635 |
|
1,306 |
1,090 |
$4K |
| 82043 |
|
454 |
390 |
$4K |
| 86481 |
|
98 |
85 |
$4K |
| 83735 |
|
3,071 |
2,535 |
$4K |
| 83002 |
|
183 |
152 |
$4K |
| 73140 |
|
173 |
152 |
$4K |
| 83520 |
|
761 |
604 |
$4K |
| 90680 |
|
840 |
703 |
$4K |
| 83615 |
|
537 |
408 |
$4K |
| 99152 |
|
553 |
444 |
$4K |
| 72170 |
|
165 |
138 |
$4K |
| 76805 |
|
39 |
38 |
$4K |
| 90656 |
|
460 |
454 |
$4K |
| 84550 |
|
395 |
304 |
$4K |
| 90696 |
|
375 |
317 |
$4K |
| 97166 |
|
142 |
108 |
$4K |
| 87070 |
|
648 |
494 |
$4K |
| 90472 |
|
1,414 |
1,260 |
$4K |
| 96367 |
|
69 |
56 |
$3K |
| 77061 |
|
102 |
94 |
$3K |
| 90700 |
|
514 |
374 |
$3K |
| 73590 |
|
233 |
189 |
$3K |
| 82077 |
|
1,419 |
1,064 |
$3K |
| 85014 |
|
329 |
199 |
$3K |
| 77066 |
Tomosynthesis, mammo |
297 |
265 |
$3K |
| 73080 |
|
138 |
124 |
$3K |
| 73090 |
|
169 |
147 |
$3K |
| 97535 |
|
112 |
65 |
$3K |
| 84402 |
|
109 |
94 |
$3K |
| 10060 |
|
16 |
14 |
$3K |
| 86706 |
|
97 |
84 |
$3K |
| 86431 |
|
126 |
112 |
$3K |
| 87505 |
|
19 |
12 |
$3K |
| 92060 |
|
57 |
55 |
$3K |
| J3490 |
Drugs unclassified injection |
2,842 |
1,726 |
$2K |
| 87147 |
|
443 |
387 |
$2K |
| 77065 |
Tomosynthesis, mammo |
232 |
214 |
$2K |
| 90620 |
|
245 |
198 |
$2K |
| 87641 |
|
53 |
51 |
$2K |
| 85018 |
|
557 |
396 |
$2K |
| 82746 |
|
259 |
218 |
$2K |
| 85651 |
|
319 |
308 |
$2K |
| 86787 |
|
84 |
76 |
$2K |
| 82565 |
|
211 |
155 |
$2K |
| 72131 |
|
31 |
26 |
$2K |
| 82553 |
|
208 |
132 |
$2K |
| 86160 |
|
105 |
75 |
$2K |
| 86780 |
|
71 |
67 |
$2K |
| 82627 |
|
46 |
36 |
$2K |
| 85730 |
|
912 |
662 |
$2K |
| 82805 |
|
285 |
235 |
$2K |
| 88175 |
|
171 |
155 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
14,577 |
12,476 |
$2K |
| 90682 |
|
82 |
59 |
$2K |
| 88342 |
|
61 |
46 |
$2K |
| 97597 |
|
17 |
12 |
$2K |
| 90710 |
|
300 |
268 |
$2K |
| 83525 |
|
44 |
39 |
$2K |
| 90662 |
|
254 |
213 |
$2K |
| 87651 |
|
861 |
749 |
$1K |
| 80332 |
|
71 |
70 |
$1K |
| 87502 |
|
273 |
266 |
$1K |
| 88307 |
|
36 |
26 |
$1K |
| 84450 |
|
246 |
187 |
$1K |
| 90832 |
|
46 |
44 |
$1K |
| 83655 |
|
40 |
39 |
$1K |
| J1050 |
Medroxyprogesterone acetate |
132 |
127 |
$1K |
| J2543 |
Piperacillin/tazobactam |
415 |
207 |
$1K |
| 87624 |
|
60 |
53 |
$1K |
| 84460 |
|
260 |
202 |
$1K |
| 86225 |
|
53 |
40 |
$1K |
| J7030 |
Normal saline solution infus |
13,091 |
11,125 |
$1K |
| J0500 |
Dicyclomine injection |
81 |
66 |
$1K |
| 82248 |
|
291 |
243 |
$1K |
| U0002 |
Covid-19 lab test non-cdc |
232 |
204 |
$1K |
| 84703 |
|
1,131 |
933 |
$1K |
| 85379 |
|
403 |
317 |
$1K |
| 84132 |
|
361 |
294 |
$1K |
| 87040 |
|
1,351 |
727 |
$1K |
| 98925 |
|
26 |
24 |
$1K |
| 86003 |
|
32 |
28 |
$1K |
| 72072 |
|
64 |
58 |
$978.20 |
| 99153 |
Mod sedat endo service >5yrs |
135 |
104 |
$971.29 |
| 99384 |
|
15 |
15 |
$960.19 |
| 86308 |
|
48 |
44 |
$955.99 |
| 84520 |
|
189 |
141 |
$952.22 |
| 80337 |
|
84 |
83 |
$858.78 |
| 80338 |
|
84 |
83 |
$858.78 |
| J2270 |
Morphine sulfate injection |
2,899 |
2,024 |
$835.18 |
| 93880 |
|
15 |
13 |
$805.00 |
| 99406 |
|
28 |
25 |
$801.30 |
| 80074 |
|
26 |
24 |
$737.16 |
| 85007 |
|
266 |
199 |
$724.12 |
| 84156 |
|
130 |
97 |
$709.27 |
| 86364 |
|
22 |
16 |
$692.22 |
| 72114 |
|
13 |
12 |
$683.28 |
| J1815 |
Insulin injection |
268 |
121 |
$649.71 |
| 87075 |
|
1,239 |
697 |
$618.85 |
| 82150 |
|
101 |
82 |
$612.85 |
| J8499 |
Oral prescrip drug non chemo |
1,150 |
465 |
$602.54 |
| 87634 |
|
89 |
80 |
$586.00 |
| C1889 |
Implant/insert device, noc |
58 |
40 |
$571.27 |
| 76870 |
|
30 |
25 |
$552.36 |
| A9270 |
Non-covered item or service |
2,240 |
410 |
$541.58 |
| 87804 |
|
433 |
402 |
$522.17 |
| 84100 |
|
126 |
100 |
$485.06 |
| 84165 |
|
32 |
28 |
$483.62 |
| 87563 |
|
12 |
12 |
$476.09 |
| 87430 |
|
440 |
383 |
$474.93 |
| 83880 |
|
1,101 |
875 |
$458.73 |
| 93296 |
|
31 |
30 |
$415.94 |
| 75774 |
|
14 |
13 |
$414.55 |
| 75716 |
|
13 |
13 |
$409.05 |
| J1170 |
Hydromorphone injection |
1,301 |
745 |
$395.71 |
| C9113 |
Inj pantoprazole sodium, via |
214 |
118 |
$392.57 |
| 80143 |
|
1,000 |
864 |
$382.22 |
| 87798 |
|
12 |
12 |
$366.20 |
| 83721 |
|
28 |
25 |
$354.00 |
| 83529 |
|
15 |
14 |
$351.85 |
| J7120 |
Ringers lactate infusion |
2,773 |
1,668 |
$349.47 |
| 84480 |
|
16 |
12 |
$329.34 |
| 85300 |
|
549 |
468 |
$321.79 |
| J1650 |
Inj enoxaparin sodium |
450 |
167 |
$306.06 |
| J2405 |
Ondansetron hcl injection |
15,497 |
13,047 |
$270.48 |
| J2930 |
Methylprednisolone injection |
754 |
515 |
$267.84 |
| J0696 |
Ceftriaxone sodium injection |
1,615 |
1,183 |
$266.81 |
| 87210 |
|
49 |
38 |
$260.39 |
| 69209 |
|
76 |
68 |
$260.24 |
| G0404 |
Ekg tracing for initial prev |
101 |
74 |
$217.91 |
| 90685 |
|
50 |
49 |
$217.50 |
| J1644 |
Inj heparin sodium per 1000u |
1,093 |
509 |
$212.90 |
| 80361 |
|
139 |
126 |
$204.00 |
| 80354 |
|
121 |
111 |
$204.00 |
| 80347 |
|
13 |
13 |
$204.00 |
| 80326 |
|
13 |
13 |
$204.00 |
| 80360 |
|
13 |
13 |
$204.00 |
| 83992 |
|
13 |
13 |
$204.00 |
| 80356 |
|
13 |
13 |
$204.00 |
| 80377 |
|
13 |
13 |
$204.00 |
| J3301 |
Triamcinolone acet inj nos |
1,298 |
1,059 |
$200.73 |
| 80373 |
|
120 |
110 |
$187.00 |
| 76937 |
|
16 |
12 |
$182.84 |
| Q3014 |
Telehealth facility fee |
90 |
67 |
$181.91 |
| C1769 |
Guide wire |
174 |
133 |
$159.53 |
| 80179 |
|
986 |
857 |
$155.38 |
| 87109 |
|
15 |
12 |
$139.80 |
| J2060 |
Lorazepam injection |
860 |
609 |
$135.06 |
| G1004 |
Cdsm ndsc |
588 |
410 |
$130.96 |
| J2704 |
Inj, propofol, 10 mg |
2,465 |
1,728 |
$130.81 |
| J7999 |
Compounded drug, noc |
170 |
111 |
$130.64 |
| J1200 |
Diphenhydramine hcl injectio |
1,731 |
1,336 |
$127.49 |
| 80365 |
|
141 |
128 |
$126.40 |
| 80331 |
|
13 |
13 |
$126.40 |
| 80334 |
|
13 |
13 |
$126.40 |
| 80355 |
|
13 |
13 |
$126.40 |
| 80348 |
|
13 |
13 |
$126.40 |
| 80364 |
|
13 |
13 |
$126.40 |
| 80370 |
|
13 |
13 |
$126.40 |
| 80372 |
|
13 |
13 |
$126.40 |
| 80344 |
|
13 |
13 |
$126.40 |
| 80366 |
|
13 |
13 |
$126.40 |
| 80358 |
|
121 |
111 |
$126.40 |
| 80368 |
|
121 |
111 |
$126.40 |
| 80357 |
|
13 |
13 |
$126.40 |
| 80353 |
|
13 |
13 |
$126.40 |
| 80359 |
|
13 |
13 |
$126.40 |
| 80367 |
|
13 |
13 |
$126.40 |
| 80371 |
|
13 |
13 |
$126.40 |
| 80341 |
|
13 |
13 |
$126.40 |
| J0780 |
Prochlorperazine injection |
528 |
435 |
$118.31 |
| J3370 |
Vancomycin hcl injection |
164 |
102 |
$103.33 |
| J1100 |
Dexamethasone sodium phos |
2,626 |
2,030 |
$99.29 |
| J2360 |
Orphenadrine injection |
486 |
411 |
$94.52 |
| J1010 |
Inj, methylpred acetate 1 mg |
88 |
78 |
$85.07 |
| J3010 |
Fentanyl citrate injection |
3,620 |
2,224 |
$83.30 |
| J2919 |
Inj, methylpred sod succ 5mg |
357 |
296 |
$76.54 |
| J1630 |
Haloperidol injection |
489 |
369 |
$63.92 |
| 90474 |
|
168 |
165 |
$60.48 |
| 94664 |
|
20 |
12 |
$58.80 |
| J8597 |
Antiemetic drug oral nos |
527 |
475 |
$53.02 |
| J0689 |
Inj cefazolin sodium, baxter |
529 |
347 |
$50.90 |
| J2765 |
Metoclopramide hcl injection |
672 |
504 |
$47.34 |
| 72020 |
|
72 |
60 |
$44.49 |
| J3360 |
Diazepam injection |
17 |
12 |
$43.76 |
| J8540 |
Oral dexamethasone |
346 |
192 |
$38.12 |
| J7040 |
Normal saline solution infus |
990 |
775 |
$37.63 |
| J7512 |
Prednisone ir or dr oral 1mg |
920 |
699 |
$36.69 |
| J0690 |
Cefazolin sodium injection |
716 |
455 |
$34.70 |
| J1030 |
Methylprednisolone 40 mg inj |
313 |
250 |
$31.38 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,688 |
3,069 |
$29.19 |
| J2250 |
Inj midazolam hydrochloride |
3,178 |
2,368 |
$26.30 |
| A4649 |
Surgical supplies |
211 |
177 |
$23.56 |
| J2370 |
Phenylephrine hcl injection |
54 |
31 |
$22.05 |
| J3486 |
Ziprasidone mesylate |
17 |
12 |
$20.44 |
| J2710 |
Neostigmine methylslfte inj |
225 |
141 |
$20.20 |
| J3420 |
Vitamin b12 injection |
19 |
12 |
$17.79 |
| Q0162 |
Ondansetron oral |
506 |
423 |
$17.34 |
| J7050 |
Normal saline solution infus |
434 |
276 |
$11.19 |
| G0008 |
Admin influenza virus vac |
241 |
202 |
$10.30 |
| J3475 |
Inj magnesium sulfate |
83 |
73 |
$9.79 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
324 |
289 |
$7.64 |
| C1894 |
Intro/sheath, non-laser |
110 |
85 |
$7.20 |
| J3480 |
Inj potassium chloride |
57 |
41 |
$6.80 |
| J3411 |
Thiamine hcl 100 mg |
23 |
13 |
$6.78 |
| J7620 |
Albuterol ipratrop non-comp |
535 |
363 |
$6.40 |
| J2272 |
Inj, morphine (fresenius) |
35 |
33 |
$5.07 |
| 82962 |
|
148 |
109 |
$5.00 |
| J1940 |
Furosemide injection |
39 |
24 |
$4.49 |
| 82330 |
|
111 |
101 |
$3.48 |
| J2550 |
Promethazine hcl injection |
42 |
24 |
$3.26 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
91 |
68 |
$2.43 |
| J7613 |
Albuterol non-comp unit |
211 |
161 |
$1.84 |
| 84295 |
|
92 |
81 |
$1.12 |
| 82435 |
|
93 |
81 |
$1.12 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
262 |
202 |
$1.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
54 |
32 |
$0.90 |
| Q0244 |
Casirivi and imdevi 1200 mg |
73 |
73 |
$0.52 |
| 90671 |
|
97 |
94 |
$0.00 |
| 00840 |
|
87 |
51 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
46 |
43 |
$0.00 |
| J3372 |
Inj, vancomycin hcl (xellia) |
49 |
31 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
34 |
28 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
138 |
131 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
15 |
12 |
$0.00 |
| 80346 |
|
111 |
100 |
$0.00 |
| J7070 |
D5w infusion |
29 |
13 |
$0.00 |
| 76942 |
|
21 |
12 |
$0.00 |
| 82010 |
|
14 |
12 |
$0.00 |
| M0247 |
Sotrovimab infusion |
12 |
12 |
$0.00 |
| 29125 |
|
13 |
13 |
$0.00 |
| 01999 |
|
12 |
12 |
$0.00 |
| 36416 |
|
1,234 |
948 |
$0.00 |
| J2785 |
Regadenoson injection |
31 |
27 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
42 |
40 |
$0.00 |
| 76377 |
|
289 |
246 |
$0.00 |
| 94761 |
|
37 |
36 |
$0.00 |
| 80329 |
|
50 |
21 |
$0.00 |
| M0243 |
Casirivi and imdevi inj |
73 |
73 |
$0.00 |
| 0011A |
|
60 |
60 |
$0.00 |
| 73060 |
|
14 |
12 |
$0.00 |
| 72040 |
|
15 |
12 |
$0.00 |
| 91301 |
|
112 |
112 |
$0.00 |
| 0012A |
|
36 |
36 |
$0.00 |
| 82803 |
|
18 |
13 |
$0.00 |
| 91303 |
|
23 |
23 |
$0.00 |
| A9698 |
Non-rad contrast materialnoc |
13 |
12 |
$0.00 |
| 76815 |
|
39 |
24 |
$0.00 |
| 0031A |
|
23 |
23 |
$0.00 |
| 95886 |
|
13 |
12 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
32 |
25 |
$0.00 |