| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40,356 |
34,238 |
$3.60M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
31,624 |
28,610 |
$3.24M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
23,798 |
20,926 |
$2.70M |
| 96361 |
Intravenous infusion, hydration; each additional hour |
9,044 |
7,380 |
$2.53M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,764 |
17,339 |
$1.95M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
13,157 |
10,672 |
$1.46M |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
10,726 |
3,710 |
$728K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,122 |
1,748 |
$540K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
4,794 |
4,378 |
$399K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,141 |
1,788 |
$387K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
8,603 |
2,111 |
$385K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,257 |
1,081 |
$375K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
4,552 |
1,619 |
$320K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
2,607 |
1,825 |
$292K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
922 |
793 |
$237K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
919 |
732 |
$185K |
| 99215 |
Prolong outpt/office vis |
1,637 |
1,452 |
$156K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,643 |
1,128 |
$156K |
| G0378 |
Hospital observation service, per hour |
3,087 |
1,390 |
$145K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,806 |
1,616 |
$140K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
26,913 |
21,697 |
$138K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
628 |
540 |
$136K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,155 |
882 |
$133K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
430 |
221 |
$107K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
1,912 |
779 |
$106K |
| 80053 |
Comprehensive metabolic panel |
9,265 |
7,940 |
$104K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,611 |
500 |
$104K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
3,410 |
2,868 |
$93K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
573 |
530 |
$89K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,039 |
894 |
$83K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
372 |
278 |
$75K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,003 |
868 |
$74K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
680 |
521 |
$71K |
| 84443 |
Thyroid stimulating hormone (TSH) |
4,107 |
3,522 |
$70K |
| 97162 |
|
1,143 |
958 |
$65K |
| 71046 |
Radiologic examination, chest; 2 views |
8,064 |
7,278 |
$59K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
317 |
289 |
$57K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
622 |
529 |
$57K |
| 80061 |
Lipid panel |
3,264 |
2,844 |
$53K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
532 |
485 |
$52K |
| 81003 |
|
3,380 |
2,989 |
$52K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,428 |
1,316 |
$51K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
3,025 |
2,840 |
$49K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
36,105 |
29,598 |
$48K |
| 36415 |
Collection of venous blood by venipuncture |
41,276 |
34,305 |
$45K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
655 |
451 |
$44K |
| 86900 |
|
2,322 |
1,863 |
$42K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
273 |
222 |
$42K |
| 80076 |
|
13,254 |
11,278 |
$41K |
| 87400 |
|
4,742 |
4,250 |
$39K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
1,016 |
987 |
$38K |
| 84484 |
|
11,608 |
7,954 |
$35K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,252 |
1,121 |
$34K |
| 96113 |
|
154 |
137 |
$33K |
| 86592 |
|
1,533 |
1,401 |
$33K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
121 |
96 |
$31K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
6,209 |
5,341 |
$28K |
| 86850 |
|
2,297 |
1,919 |
$27K |
| 86762 |
|
923 |
811 |
$26K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
535 |
488 |
$25K |
| 85027 |
|
2,714 |
2,333 |
$24K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
16,777 |
13,985 |
$23K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,452 |
2,136 |
$23K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,257 |
1,123 |
$22K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,298 |
1,152 |
$22K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
169 |
149 |
$21K |
| 97116 |
|
622 |
333 |
$21K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
4,333 |
2,581 |
$20K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,669 |
1,294 |
$20K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
14 |
12 |
$19K |
| 85018 |
|
1,636 |
1,467 |
$19K |
| 83655 |
|
1,122 |
1,012 |
$18K |
| 74018 |
|
826 |
697 |
$17K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
949 |
837 |
$17K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
7,621 |
5,698 |
$16K |
| 87653 |
|
383 |
347 |
$15K |
| 92567 |
|
188 |
163 |
$15K |
| 80320 |
|
1,135 |
914 |
$15K |
| 86901 |
|
2,283 |
1,862 |
$14K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
40 |
30 |
$14K |
| 93017 |
|
196 |
173 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,552 |
4,858 |
$14K |
| 71045 |
Radiologic examination, chest; single view |
6,649 |
5,648 |
$13K |
| 87340 |
|
1,046 |
937 |
$13K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
192 |
102 |
$13K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
79 |
74 |
$13K |
| 88342 |
|
1,190 |
1,012 |
$12K |
| 73564 |
|
763 |
609 |
$11K |
| 94726 |
|
159 |
147 |
$11K |
| 82607 |
|
1,186 |
1,034 |
$11K |
| 84466 |
|
869 |
761 |
$11K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
5,774 |
5,094 |
$11K |
| 81001 |
|
19,712 |
16,979 |
$10K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
27 |
25 |
$10K |
| 92552 |
|
211 |
203 |
$10K |
| 43235 |
|
31 |
24 |
$10K |
| 84702 |
|
695 |
487 |
$9K |
| 83605 |
|
2,594 |
2,102 |
$9K |
| 87506 |
|
60 |
56 |
$9K |
| 82728 |
|
1,160 |
1,022 |
$9K |
| 84439 |
|
977 |
826 |
$9K |
| 94729 |
|
123 |
114 |
$8K |
| 73630 |
|
765 |
670 |
$8K |
| 83540 |
|
1,080 |
931 |
$8K |
| 92526 |
|
102 |
41 |
$7K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
52 |
38 |
$7K |
| 0002A |
|
316 |
313 |
$7K |
| 76641 |
|
74 |
57 |
$7K |
| 72110 |
|
180 |
148 |
$7K |
| U0005 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
218 |
209 |
$7K |
| 96112 |
|
154 |
137 |
$6K |
| 81002 |
|
255 |
201 |
$6K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
218 |
176 |
$6K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
678 |
555 |
$6K |
| 97535 |
Self-care/home management training, each 15 minutes |
270 |
174 |
$6K |
| 80051 |
|
423 |
318 |
$6K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
25 |
15 |
$6K |
| 82553 |
|
487 |
329 |
$5K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
530 |
483 |
$5K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
44 |
38 |
$5K |
| 87186 |
|
1,278 |
1,056 |
$5K |
| 73030 |
|
485 |
400 |
$5K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,510 |
1,265 |
$5K |
| 85730 |
|
8,784 |
7,311 |
$5K |
| 86140 |
|
1,198 |
1,006 |
$5K |
| 93971 |
|
68 |
64 |
$5K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
12,763 |
10,784 |
$5K |
| 83735 |
|
2,415 |
1,722 |
$5K |
| 73130 |
|
486 |
408 |
$5K |
| 92523 |
|
64 |
54 |
$4K |
| 82950 |
|
358 |
341 |
$4K |
| 0001A |
|
344 |
338 |
$4K |
| 97167 |
|
49 |
38 |
$4K |
| 73610 |
|
619 |
545 |
$4K |
| Q3014 |
Telehealth originating site facility fee |
365 |
349 |
$4K |
| 85652 |
|
1,071 |
927 |
$4K |
| 85610 |
|
9,185 |
7,586 |
$4K |
| 85014 |
|
668 |
588 |
$4K |
| 82805 |
|
101 |
76 |
$4K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
172 |
161 |
$4K |
| 86038 |
|
327 |
280 |
$4K |
| 96376 |
|
1,754 |
798 |
$4K |
| 82565 |
|
722 |
588 |
$4K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
14 |
14 |
$4K |
| 12001 |
|
18 |
13 |
$4K |
| 86769 |
|
74 |
72 |
$3K |
| 73502 |
|
233 |
202 |
$3K |
| 84436 |
|
484 |
440 |
$3K |
| 82784 |
|
339 |
243 |
$3K |
| 83874 |
|
495 |
345 |
$3K |
| 87420 |
|
682 |
605 |
$3K |
| 82746 |
|
595 |
507 |
$3K |
| 84403 |
|
164 |
124 |
$3K |
| 83690 |
|
10,849 |
9,246 |
$3K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
20 |
16 |
$3K |
| 84481 |
|
144 |
126 |
$3K |
| 97113 |
|
49 |
12 |
$3K |
| 71250 |
|
71 |
59 |
$3K |
| 94060 |
|
45 |
42 |
$3K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
12 |
12 |
$3K |
| 73110 |
|
371 |
308 |
$3K |
| 59025 |
Fetal non-stress test |
43 |
27 |
$3K |
| 87081 |
|
1,983 |
1,855 |
$3K |
| 90715 |
|
215 |
177 |
$3K |
| 87077 |
|
1,329 |
1,093 |
$3K |
| 84520 |
|
413 |
312 |
$3K |
| 91300 |
|
602 |
498 |
$3K |
| 17110 |
|
15 |
12 |
$3K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
10,161 |
7,936 |
$2K |
| J0500 |
Injection, dicyclomine hcl, up to 20 mg |
212 |
173 |
$2K |
| 82947 |
|
458 |
378 |
$2K |
| 84156 |
|
318 |
292 |
$2K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
4,119 |
2,853 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,680 |
770 |
$2K |
| 83001 |
|
149 |
129 |
$2K |
| 87070 |
|
438 |
367 |
$2K |
| 82043 |
|
490 |
429 |
$2K |
| 76775 |
|
17 |
13 |
$2K |
| 90785 |
|
44 |
26 |
$2K |
| 82570 |
|
434 |
390 |
$2K |
| 81025 |
|
2,145 |
1,833 |
$2K |
| 83880 |
|
828 |
654 |
$2K |
| 00731 |
|
813 |
683 |
$2K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
395 |
326 |
$2K |
| 72100 |
|
170 |
150 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
12 |
12 |
$2K |
| 80069 |
|
55 |
51 |
$2K |
| 87040 |
|
1,075 |
648 |
$2K |
| 83525 |
|
115 |
96 |
$2K |
| 91200 |
|
13 |
13 |
$1K |
| 97035 |
|
152 |
54 |
$1K |
| J3490 |
Unclassified drugs |
922 |
523 |
$1K |
| 83002 |
|
81 |
69 |
$1K |
| 84703 |
|
2,295 |
1,983 |
$1K |
| 76830 |
Ultrasound, transvaginal |
13 |
12 |
$1K |
| 86364 |
|
54 |
43 |
$1K |
| J1756 |
Injection, iron sucrose, 1 mg |
30 |
12 |
$1K |
| 84153 |
|
109 |
96 |
$1K |
| 99406 |
|
81 |
58 |
$1K |
| 80305 |
|
53 |
46 |
$1K |
| 97032 |
|
162 |
66 |
$982.08 |
| 83037 |
|
185 |
147 |
$964.12 |
| 93226 |
|
14 |
12 |
$943.79 |
| 51798 |
|
576 |
519 |
$898.48 |
| 97161 |
|
14 |
12 |
$891.81 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
12 |
12 |
$806.28 |
| 88141 |
|
60 |
56 |
$747.48 |
| G0008 |
Administration of influenza virus vaccine |
162 |
152 |
$717.95 |
| 90686 |
|
107 |
95 |
$716.61 |
| 84480 |
|
30 |
30 |
$604.62 |
| 97166 |
|
15 |
13 |
$599.17 |
| 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 |
757 |
652 |
$564.22 |
| 87205 |
|
106 |
86 |
$561.94 |
| 96367 |
|
40 |
24 |
$519.28 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
289 |
219 |
$517.16 |
| 73080 |
|
72 |
64 |
$464.85 |
| 82533 |
|
24 |
19 |
$454.56 |
| 93225 |
|
14 |
12 |
$450.69 |
| 84402 |
|
21 |
12 |
$441.53 |
| 80074 |
|
29 |
27 |
$439.86 |
| 83630 |
|
28 |
27 |
$431.78 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
2,507 |
1,713 |
$402.08 |
| 84550 |
|
50 |
40 |
$400.72 |
| 70486 |
|
27 |
24 |
$389.69 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
7,314 |
5,882 |
$329.89 |
| C9113 |
Injection, pantoprazole sodium, per vial |
356 |
190 |
$308.82 |
| 97165 |
|
15 |
12 |
$297.28 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
181 |
154 |
$291.52 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
924 |
544 |
$278.45 |
| 87329 |
|
13 |
13 |
$272.51 |
| 76801 |
|
13 |
12 |
$266.30 |
| 86308 |
|
72 |
58 |
$246.97 |
| 82550 |
|
593 |
400 |
$243.62 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
478 |
220 |
$225.33 |
| 86431 |
|
14 |
13 |
$224.58 |
| 87209 |
|
13 |
13 |
$193.80 |
| J1644 |
Injection, heparin sodium, per 1000 units |
1,007 |
361 |
$190.21 |
| 86803 |
|
16 |
16 |
$184.26 |
| 84132 |
|
121 |
84 |
$168.52 |
| 00813 |
|
266 |
224 |
$166.69 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
931 |
619 |
$162.65 |
| 87177 |
|
13 |
13 |
$161.26 |
| 82248 |
|
20 |
14 |
$158.89 |
| 87075 |
|
41 |
29 |
$157.42 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
547 |
453 |
$138.91 |
| 85007 |
|
91 |
58 |
$132.46 |
| 73140 |
|
13 |
13 |
$132.26 |
| 94760 |
|
1,258 |
610 |
$130.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
519 |
299 |
$124.53 |
| J2704 |
Injection, propofol, 10 mg |
4,001 |
3,382 |
$124.47 |
| 85379 |
|
368 |
285 |
$123.43 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
8,210 |
6,458 |
$96.00 |
| 80329 |
|
117 |
61 |
$87.37 |
| 84100 |
|
15 |
14 |
$86.80 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
518 |
378 |
$77.65 |
| 88304 |
|
36 |
25 |
$74.99 |
| J7050 |
Infusion, normal saline solution, 250 cc |
1,171 |
620 |
$68.01 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
500 |
297 |
$65.24 |
| 73590 |
|
28 |
24 |
$64.20 |
| 51702 |
|
17 |
14 |
$60.68 |
| A9270 |
Non-covered item or service |
4,603 |
1,021 |
$57.08 |
| J2060 |
Injection, lorazepam, 2 mg |
430 |
276 |
$55.63 |
| 90656 |
|
26 |
25 |
$54.20 |
| 83615 |
|
13 |
12 |
$53.12 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
146 |
106 |
$47.65 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,664 |
1,952 |
$37.86 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
882 |
647 |
$37.69 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
67 |
41 |
$37.50 |
| 84295 |
|
31 |
25 |
$35.76 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
5,532 |
4,488 |
$34.34 |
| 82330 |
|
34 |
27 |
$29.40 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
234 |
163 |
$29.24 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,208 |
808 |
$23.65 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
291 |
190 |
$22.77 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
149 |
103 |
$18.86 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
641 |
477 |
$14.81 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
210 |
155 |
$14.30 |
| J3480 |
Injection, potassium chloride, per 2 meq |
111 |
66 |
$12.93 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
706 |
523 |
$4.78 |
| 69209 |
|
19 |
12 |
$4.20 |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
40 |
30 |
$3.87 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
211 |
145 |
$1.97 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
134 |
70 |
$1.00 |
| J1815 |
Injection, insulin, per 5 units |
24 |
14 |
$0.93 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
18 |
15 |
$0.93 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
923 |
758 |
$0.87 |
| 91307 |
|
20 |
20 |
$0.16 |
| 82150 |
|
19 |
18 |
$0.00 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
53 |
40 |
$0.00 |
| 94761 |
|
83 |
51 |
$0.00 |
| J2470 |
Injection, pantoprazole sodium, 40 mg |
29 |
27 |
$0.00 |
| C1769 |
Guide wire |
49 |
25 |
$0.00 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
19 |
13 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
90 |
82 |
$0.00 |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
42 |
30 |
$0.00 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
27 |
13 |
$0.00 |
| 00126 |
|
14 |
12 |
$0.00 |
| 00811 |
|
73 |
56 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
759 |
679 |
$0.00 |
| 01992 |
|
212 |
154 |
$0.00 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
127 |
120 |
$0.00 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
52 |
44 |
$0.00 |
| 36600 |
|
14 |
12 |
$0.00 |