FindUs-FB-RGB-Wht-1024.png
1000 S. Main Street Shamrock, Texas 79079

Price Transparency

OVERVIEW 

In compliance with the Centers for Medicare and Medicaid Services (CMS), Shamrock General Hospital is making available to the public a copy of its standard charges known as a “Charge Master,” “Charge Description Master” or “CDM”.

Since payment rates for hospital care provided to insured patients are either negotiated with health plans, set by the federal government for Medicare, or set by state governments for Medicaid enrollees, the payments hospitals receive for patient care do not necessarily reflect the prices reflected in the Charge Master.  A patient’s responsibility may vary depending on the payment plans negotiated with insurance companies as well as the patient’s individual and/or family deductibles and co-payments with their insurance plan.  Additionally, uninsured patients are not generally expected to pay the hospital’s standard charges as reflected in the CDM and may be eligible for financial assistance.

The information provided is based on information we have gathered from contracts with managed care commercial insurance plans.  This is not a guarantee of what you will be charged. Your actual charges may differ from the estimated charges for many reasons, including the seriousness of your medical condition, actual time the procedure takes and the services and supplies that you receive.

The charges listed here are for services from the Hospital.  They do not reflect the charges for physicians (such as surgeon, anesthesiologist, radiologist, pathologist, etc.) who may be involved in providing particular services to a patient. These charges are billed separately from the individual physician/physicians group.

Shamrock General Hospital shall not be liable for any difference between charges listed in the price lists and the final bill for services.

AVAILABLE FILES 
There are two files regarding the hospital’s CDM for price transparency. 

The CSV file is a comprehensive, machine-readable file that makes public all standard charge information for all hospital items and services.  This can easily be imported into Microsoft Excel or similar software. This file contains the following information: 

  • Charge Code – specific charge code for each item or service
  • Description – description of each item or service
  • Department – department where item or service performed
  • Rev Code – corresponding department’s revenue code for item or service
  • CPT Code – corresponding CPT billing code for item or service (if applicable)
  • Gross Charge – corresponding gross charge for each individual item or service
  • Cash Price – corresponding discounted cash price that applies to each item or service
  • Payer-Specific Negotiated Charge – each column lists the negotiated charge with the name of each specific third-party payer as the column header
  • De-identified minimum negotiated charge that applies to each item or service
  • De-identified maximum negotiated charge that applies to each item or service

The PDF file is a searchable consumer-friendly format of payer-specific negotiated charge information of 300 “shoppable outpatient services” at the hospital.  The file contains the following information: 

  • Charge Code – specific charge code for each item or service
  • Description – description of each item or service
  • Department – department where item or service performed
  • Rev Code – corresponding department’s revenue code for item or service
  • CPT Code – corresponding CPT billing code for item or service (if applicable)
  • Gross Charge – corresponding gross charge for each individual item or service
  • Cash Price – corresponding discounted cash price that applies to each item or service
  • Payer-Specific Negotiated Charge – each column lists the negotiated charge with the name of each specific third-party payer as the column header
  • De-identified minimum negotiated charge that applies to each item or service
  • De-identified maximum negotiated charge that applies to each item or service

QUESTIONS?

If you have further questions about the Shamrock General Hospital CDM, please contact our hospital business office at (806) 256-2423 or come by and speak to one of our business office representatives.  Thank you for choosing Shamrock General Hospital for your health care needs! 

Downloadable CDM and Shoppable Services

Charge Description Master

Shoppable Services

Searchable Shoppable Services

Shamrock General Hospital Shoppable Services as of 7/18/2024

descriptioncode|1code|1|typecode|2code|2|typecode|3code|3|typemodifierssettingdrug_unit_of_measurementdrug_type_of_measurementstandard_charge|grossstandard_charge|discounted_cashstandard_charge|Aetna Commercial|negotiated_dollarstandard_charge|Aetna Commercial|negotiated_percentagestandard_charge|Aetna Commercial|negotiated_algorithmestimated_amount|Aetna Commercialstandard_charge|Aetna Commercial|methodologyadditional_payer_notes|Aetna Commercialstandard_charge|Aetna Medicare Advantage|negotiated_dollarstandard_charge|Aetna Advantage|negotiated_percentagestandard_charge|Aetna Medicare Advantage|negotiated_algorithmestimated_amount|Aetna Medicare Advantagestandard_charge|Aetna Medicare Advantage|methodologyadditional_payer_notes|Aetna Medicare Advantagestandard_charge|BCBS|PPO|negotiated_dollarstandard_charge|BCBS|PPO|negotiated_percentagestandard_charge|BCBS|PPO|negotiated_algorithmestimated_amount|BCBS|PPOstandard_charge|BCBS|PPO|methodologyadditional_payer_notes|BCBS|PPOstandard_charge|BCBS|HMO|negotiated_dollarstandard_charge|BCBS|HMO|negotiated_percentagestandard_charge|BCBS|HMO|negotiated_algorithmestimated_amount|BCBS|HMOstandard_charge|BCBS|HMO|methodologyadditional_payer_notes|BCBS|HMOstandard_charge|BCBS|Traditional|negotiated_dollarstandard_charge|BCBS|Traditional|negotiated_percentagestandard_charge|BCBS|Traditional|negotiated_algorithmestimated_amount|BCBS|Traditionalstandard_charge|BCBS|Traditional|methodologyadditional_payer_notes|BCBS|Traditionalstandard_charge|BCBS|Advantage|negotiated_dollarstandard_charge|BCBS|Advantage|negotiated_percentagestandard_charge|BCBS|Advantage|negotiated_algorithmestimated_amount|BCBS|Advantagestandard_charge|BCBS|Advantage|methodologyadditional_payer_notes|BCBS|Advantagestandard_charge|CIGNA Commercial|negotiated_dollarstandard_charge|CIGNA Commercial|negotiated_percentagestandard_charge|CIGNA Commercial|negotiated_algorithmestimated_amount|CIGNA Commercialstandard_charge|CIGNA Commercial|methodologyadditional_payer_notes|CIGNA Commercialstandard_charge|Firstcare|HMO|negotiated_dollarstandard_charge|Firstcare|HMO|negotiated_percentagestandard_charge|Firstcare|HMO|negotiated_algorithmestimated_amount|Firstcare|HMOstandard_charge|Firstcare|HMO|methodologyadditional_payer_notes|Firstcare|HMOstandard_charge|Firstcare|PPO|negotiated_dollarstandard_charge|Firstcare|PPO|negotiated_percentagestandard_charge|Firstcare|PPO|negotiated_algorithmestimated_amount|Firstcare|PPOstandard_charge|Firstcare|PPO|methodologyadditional_payer_notes|Firstcare|PPOstandard_charge|Firstcare|Medicare Advantage|negotiated_dollarstandard_charge|Firstcare|Medicare Advantage|negotiated_percentagestandard_charge|Firstcare|Medicare Advantage|negotiated_algorithmestimated_amount|Firstcare|Medicare Advantagestandard_charge|Firstcare|Medicare Advantage|methodologyadditional_payer_notes|Firstcare|Medicare Advantagestandard_charge|Humana|Medicare Advantage|negotiated_dollarstandard_charge|Humana|Medicare Advantage|negotiated_percentagestandard_charge|Humana|Medicare Advantage|negotiated_algorithmestimated_amount|Humana|Medicare Advantagestandard_charge|Humana|Medicare Advantage|methodologyadditional_payer_notes|Humana|Medicare Advantagestandard_charge|United Commercial|negotiated_dollarstandard_charge|United Commercial|negotiated_percentagestandard_charge|United Commercial|negotiated_algorithmestimated_amount|United Commercialstandard_charge|United Commercial|methodologyadditional_payer_notes|United Commercialstandard_charge|minstandard_charge|maxadditional_generic_notes
LANSOPRAZOLE DR 30MG CAPS801050CDM110RCBoth3.732.613.170.85999999999Percent of total billed charges3.731999999999Percent of total billed chargesRate changes as Medicare rate changes2.80.75999999999Percent of total billed charges2.610.7999999999Percent of total billed charges2.980.8999999999Percent of total billed charges2.79750.75999999999Percent of total billed charges2.5150.55999999999Percent of total billed charges3.1750.85999999999Percent of total billed charges3.1750.85999999999Percent of total billed charges3.731999999999Percent of total billed chargesRate changes as Medicare rate changes3.731999999999Percent of total billed chargesRate changes as Medicare rate changes2.79750.75999999999Percent of total billed charges2.53.73
NS 0.9% 100ML801102CDM110RCBoth1.881.321.60.85999999999Percent of total billed charges1.881999999999Percent of total billed chargesRate changes as Medicare rate changes1.410.75999999999Percent of total billed charges1.320.7999999999Percent of total billed charges1.50.8999999999Percent of total billed charges1.410.75999999999Percent of total billed charges1.340.55999999999Percent of total billed charges1.5980.85999999999Percent of total billed charges1.5980.85999999999Percent of total billed charges1.881999999999Percent of total billed chargesRate changes as Medicare rate changes1.881999999999Percent of total billed chargesRate changes as Medicare rate changes1.410.75999999999Percent of total billed charges1.31.88
NS 0.9% 50ML801101CDM110RCBoth1.941.361.650.85999999999Percent of total billed charges1.941999999999Percent of total billed chargesRate changes as Medicare rate changes1.460.75999999999Percent of total billed charges1.360.7999999999Percent of total billed charges1.550.8999999999Percent of total billed charges1.4550.75999999999Percent of total billed charges1.670.55999999999Percent of total billed charges1.6490.85999999999Percent of total billed charges1.6490.85999999999Percent of total billed charges1.941999999999Percent of total billed chargesRate changes as Medicare rate changes1.941999999999Percent of total billed chargesRate changes as Medicare rate changes1.4550.75999999999Percent of total billed charges1.71.94
SWINGBED ROOM400001CDM120RCInpatient5351298999999999 Per Diem776999999999Per diemRate changes as Medicare rate changes999999999999999999999999999999999999999999999999999999999999999776999999999Per diemRate changes as Medicare rate changes51999999999Percent of total billed chargesRate changes as Medicare rate changes3750.75999999999Percent of total billed charges375776
SEMI-PRIVATE ROOM100013CDM120RCInpatient5351947999999999 Per Diem8249999999999Per diemRate changes as Medicare rate changes796999999999Per diem796999999999Per diem85999999999Per diem796999999999Per diem2750.55999999999Percent of total billed charges8999999999Per diem85999999999Per diem8249999999999Per diemRate changes as Medicare rate changes51999999999Percent of total billed chargesRate changes as Medicare rate changes3750.75999999999Percent of total billed charges858249
BIOPSY SKIN LESION42525CDM11100CPT250RCBoth17850.85999999999Percent of total billed charges11999999999Percent of total billed chargesRate changes as Medicare rate changes999999999999999999999999999999999999550.55999999999Percent of total billed charges850.85999999999Percent of total billed charges850.85999999999Percent of total billed charges11999999999Percent of total billed chargesRate changes as Medicare rate changes11999999999Percent of total billed chargesRate changes as Medicare rate changes750.75999999999Percent of total billed charges551
MENB-4C VACC 2 DOSE IM41317CDM90620CPT250RCBoth161121360.85999999999Percent of total billed charges161999999999Percent of total billed chargesRate changes as Medicare rate changes999999999999999999999999999999999999880.55999999999Percent of total billed charges1360.85999999999Percent of total billed charges1360.85999999999Percent of total billed charges161999999999Percent of total billed chargesRate changes as Medicare rate changes161999999999Percent of total billed chargesRate changes as Medicare rate changes120.75999999999Percent of total billed charges8816
4VHPV VACCINE 3 DOSE IM41314CDM90649CPT250RCBoth5538.546.750.85999999999Percent of total billed charges551999999999Percent of total billed chargesRate changes as Medicare rate changes9999999999999999999999999999999999993.250.55999999999Percent of total billed charges46.750.85999999999Percent of total billed charges46.750.85999999999Percent of total billed charges551999999999Percent of total billed chargesRate changes as Medicare rate changes551999999999Percent of total billed chargesRate changes as Medicare rate changes41.250.75999999999Percent of total billed charges3.2555
IIV4 VACC NO PRSV 0.25 ML IM41309CDM90685CPT250RCBoth2517.521.250.85999999999Percent of total billed charges251999999999Percent of total billed chargesRate changes as Medicare rate changes99999999999999999999999999999999999913.750.55999999999Percent of total billed charges21.250.85999999999Percent of total billed charges21.250.85999999999Percent of total billed charges251999999999Percent of total billed chargesRate changes as Medicare rate changes251999999999Percent of total billed chargesRate changes as Medicare rate changes18.750.75999999999Percent of total billed charges13.7525
IIV4 VACCINE SPLT 0.5 ML IM41307CDM90688CPT250RCBoth0.5ML2517.521.250.85999999999Percent of total billed charges251999999999Percent of total billed chargesRate changes as Medicare rate changes99999999999999999999999999999999999913.750.55999999999Percent of total billed charges21.250.85999999999Percent of total billed charges21.250.85999999999Percent of total billed charges251999999999Percent of total billed chargesRate changes as Medicare rate changes251999999999Percent of total billed chargesRate changes as Medicare rate changes18.750.75999999999Percent of total billed charges13.7525
DT VACCINE UNDER 7 YRS IM41305CDM90702CPT250RCBoth151.512.750.85999999999Percent of total billed charges151999999999Percent of total billed chargesRate changes as Medicare rate changes9999999999999999999999999999999999998.250.55999999999Percent of total billed charges12.750.85999999999Percent of total billed charges12.750.85999999999Percent of total billed charges151999999999Percent of total billed chargesRate changes as Medicare rate changes151999999999Percent of total billed chargesRate changes as Medicare rate changes11.250.75999999999Percent of total billed charges8.2515
Admin hepatitis b vaccine41239CDMG0010CPT250RCBoth5538.546.750.85999999999Percent of total billed charges551999999999Percent of total billed chargesRate changes as Medicare rate changes9999999999999999999999999999999999993.250.55999999999Percent of total billed charges46.750.85999999999Percent of total billed charges46.750.85999999999Percent of total billed charges551999999999Percent of total billed chargesRate changes as Medicare rate changes551999999999Percent of total billed chargesRate changes as Medicare rate changes41.250.75999999999Percent of total billed charges3.2555
PSYCHOTHERAPY, INPT, NO E/M41237CDMG0091CPT250RCBoth17850.85999999999Percent of total billed charges11999999999Percent of total billed chargesRate changes as Medicare rate changes999999999999999999999999999999999999550.55999999999Percent of total billed charges850.85999999999Percent of total billed charges850.85999999999Percent of total billed charges11999999999Percent of total billed chargesRate changes as Medicare rate changes11999999999Percent of total billed chargesRate changes as Medicare rate changes750.75999999999Percent of total billed charges551
Ca screen;pelvic/breast exam41238CDMG0101CPT250RCBoth1573.589.250.85999999999Percent of total billed charges151999999999Percent of total billed chargesRate changes as Medicare rate changes99999999999999999999999999999999999957.750.55999999999Percent of total billed charges89.250.85999999999Percent of total billed charges89.250.85999999999Percent of total billed charges151999999999Percent of total billed chargesRate changes as Medicare rate changes151999999999Percent of total billed chargesRate changes as Medicare rate changes78.750.75999999999Percent of total billed charges57.7515
Dicyclomine injection41264CDMJ0500CPT250RCBoth428340.85999999999Percent of total billed charges41999999999Percent of total billed chargesRate changes as Medicare rate changes999999999999999999999999999999999999220.55999999999Percent of total billed charges340.85999999999Percent of total billed charges340.85999999999Percent of total billed charges41999999999Percent of total billed chargesRate changes as Medicare rate changes41999999999Percent of total billed chargesRate changes as Medicare rate changes30.75999999999Percent of total billed charges224
Peng benzathine/procaine inj41265CDMJ0558CPT250RCBoth2ML181261530.85999999999Percent of total billed charges181999999999Percent of total billed chargesRate changes as Medicare rate changes999999999999999999999999999999999999990.55999999999Percent of total billed charges1530.85999999999Percent of total billed charges1530.85999999999Percent of total billed charges181999999999Percent of total billed chargesRate changes as Medicare rate changes181999999999Percent of total billed chargesRate changes as Medicare rate changes1350.75999999999Percent of total billed charges9918
Butorphanol tartrate 1 mg41287CDMJ0595CPT250RCBoth53.54.250.85999999999Percent of total billed charges51999999999Percent of total billed chargesRate changes as Medicare rate changes9999999999999999999999999999999999992.750.55999999999Percent of total billed charges4.250.85999999999Percent of total billed charges4.250.85999999999Percent of total billed charges51999999999Percent of total billed chargesRate changes as Medicare rate changes51999999999Percent of total billed chargesRate changes as Medicare rate changes3.750.75999999999Percent of total billed charges2.755
Cefazolin sodium injection41259CDMJ0690CPT250RCBoth1GR15.9511.1713.560.85999999999Percent of total billed charges15.951999999999Percent of total billed chargesRate changes as Medicare rate changes9999999999999999999999999999999999998.77250.55999999999Percent of total billed charges13.55750.85999999999Percent of total billed charges13.55750.85999999999Percent of total billed charges15.951999999999Percent of total billed chargesRate changes as Medicare rate changes15.951999999999Percent of total billed chargesRate changes as Medicare rate changes11.96250.75999999999Percent of total billed charges8.7715.95
Prochlorperazine injection41285CDMJ0780CPT250RCBoth2ML178.50.85999999999Percent of total billed charges11999999999Percent of total billed chargesRate changes as Medicare rate changes9999999999999999999999999999999999995.50.55999999999Percent of total billed charges8.50.85999999999Percent of total billed charges8.50.85999999999Percent of total billed charges11999999999Percent of total billed chargesRate changes as Medicare rate changes11999999999Percent of total billed chargesRate changes as Medicare rate changes7.50.75999999999Percent of total billed charges5.51
Denosumab injection41280CDMJ0897CPT250RCBoth181261530.85999999999Percent of total billed charges181999999999Percent of total billed chargesRate changes as Medicare rate changes999999999999999999999999999999999999990.55999999999Percent of total billed charges1530.85999999999Percent of total billed charges1530.85999999999Percent of total billed charges181999999999Percent of total billed chargesRate changes as Medicare rate changes181999999999Percent of total billed chargesRate changes as Medicare rate changes1350.75999999999Percent of total billed charges9918
TESTOSTERONE CYPIONAT 200 MG41792CDMJ1071CPT250RCBoth1ML3524.529.750.85999999999Percent of total billed charges351999999999Percent of total billed chargesRate changes as Medicare rate changes99999999999999999999999999999999999919.250.55999999999Percent of total billed charges29.750.85999999999Percent of total billed charges29.750.85999999999Percent of total billed charges351999999999Percent of total billed chargesRate changes as Medicare rate changes351999999999Percent of total billed chargesRate changes as Medicare rate changes26.250.75999999999Percent of total billed charges19.2535
Inj dihydroergotamine mesylt41270CDMJ1110CPT250RCBoth1573.589.250.85999999999Percent of total billed charges151999999999Percent of total billed chargesRate changes as Medicare rate changes99999999999999999999999999999999999957.750.55999999999Percent of total billed charges89.250.85999999999Percent of total billed charges89.250.85999999999Percent of total billed charges151999999999Percent of total billed chargesRate changes as Medicare rate changes151999999999Percent of total billed chargesRate changes as Medicare rate changes78.750.75999999999Percent of total billed charges57.7515
Estradiol valerate 10 mg inj41267CDMJ1380CPT250RCBoth5739.948.450.85999999999Percent of total billed charges571999999999Percent of total billed chargesRate changes as Medicare rate changes99999999999999999999999999999999999931.350.55999999999Percent of total billed charges48.450.85999999999Percent of total billed charges48.450.85999999999Percent of total billed charges571999999999Percent of total billed chargesRate changes as Medicare rate changes571999999999Percent of total billed chargesRate changes as Medicare rate changes42.750.75999999999Percent of total billed charges31.3557
Glucagon hydrochloride/1 mg41271CDMJ1610CPT250RCBoth428340.85999999999Percent of total billed charges41999999999Percent of total billed chargesRate changes as Medicare rate changes999999999999999999999999999999999999220.55999999999Percent of total billed charges340.85999999999Percent of total billed charges340.85999999999Percent of total billed charges41999999999Percent of total billed chargesRate changes as Medicare rate changes41999999999Percent of total billed chargesRate changes as Medicare rate changes30.75999999999Percent of total billed charges224
Inj heparin sodium per 1000u41272CDMJ1644CPT250RCBoth5ML53.54.250.85999999999Percent of total billed charges51999999999Percent of total billed chargesRate changes as Medicare rate changes9999999999999999999999999999999999992.750.55999999999Percent of total billed charges4.250.85999999999Percent of total billed charges4.250.85999999999Percent of total billed charges51999999999Percent of total billed chargesRate changes as Medicare rate changes51999999999Percent of total billed chargesRate changes as Medicare rate changes3.750.75999999999Percent of total billed charges2.755
Inj enoxaparin sodium41277CDMJ1650CPT250RCBoth856680.85999999999Percent of total billed charges81999999999Percent of total billed chargesRate changes as Medicare rate changes999999999999999999999999999999999999440.55999999999Percent of total billed charges680.85999999999Percent of total billed charges680.85999999999Percent of total billed charges81999999999Percent of total billed chargesRate changes as Medicare rate changes81999999999Percent of total billed chargesRate changes as Medicare rate changes60.75999999999Percent of total billed charges448
INSULIN INJECTION41284CDMJ1820CPT250RCBoth53.54.250.85999999999Percent of total billed charges51999999999Percent of total billed chargesRate changes as Medicare rate changes9999999999999999999999999999999999992.750.55999999999Percent of total billed charges4.250.85999999999Percent of total billed charges4.250.85999999999Percent of total billed charges51999999999Percent of total billed chargesRate changes as Medicare rate changes51999999999Percent of total billed chargesRate changes as Medicare rate changes3.750.75999999999Percent of total billed charges2.755
Lidocaine injection41276CDMJ2001CPT250RCBoth2.1ML10.70.850.85999999999Percent of total billed charges11999999999Percent of total billed chargesRate changes as Medicare rate changes9999999999999999999999999999999999990.550.55999999999Percent of total billed charges0.850.85999999999Percent of total billed charges0.850.85999999999Percent of total billed charges11999999999Percent of total billed chargesRate changes as Medicare rate changes11999999999Percent of total billed chargesRate changes as Medicare rate changes0.750.75999999999Percent of total billed charges0.551
Inj nalbuphine hydrochloride41278CDMJ2300CPT250RCBoth85.66.80.85999999999Percent of total billed charges81999999999Percent of total billed chargesRate changes as Medicare rate changes9999999999999999999999999999999999994.40.55999999999Percent of total billed charges6.80.85999999999Percent of total billed charges6.80.85999999999Percent of total billed charges81999999999Percent of total billed chargesRate changes as Medicare rate changes81999999999Percent of total billed chargesRate changes as Medicare rate changes60.75999999999Percent of total billed charges4.48
Pentazocine injection41288CDMJ3070CPT250RCBoth178.50.85999999999Percent of total billed charges11999999999Percent of total billed chargesRate changes as Medicare rate changes9999999999999999999999999999999999995.50.55999999999Percent of total billed charges8.50.85999999999Percent of total billed charges8.50.85999999999Percent of total billed charges11999999999Percent of total billed chargesRate changes as Medicare rate changes11999999999Percent of total billed chargesRate changes as Medicare rate changes7.50.75999999999Percent of total billed charges5.51
Hydroxyzine hcl injection41291CDMJ3410CPT250RCBoth1ML85.66.80.85999999999Percent of total billed charges81999999999Percent of total billed chargesRate changes as Medicare rate changes9999999999999999999999999999999999994.40.55999999999Percent of total billed charges6.80.85999999999Percent of total billed charges6.80.85999999999Percent of total billed charges81999999999Percent of total billed chargesRate changes as Medicare rate changes81999999999Percent of total billed chargesRate changes as Medicare rate changes60.75999999999Percent of total billed charges4.48
Prednisone ir or dr oral 1mg41283CDMJ7512CPT250RCBoth5.33.714.510.85999999999Percent of total billed charges5.31999999999Percent of total billed chargesRate changes as Medicare rate changes9999999999999999999999999999999999992.9150.55999999999Percent of total billed charges4.550.85999999999Percent of total billed charges4.550.85999999999Percent of total billed charges5.31999999999Percent of total billed chargesRate changes as Medicare rate changes5.31999999999Percent of total billed chargesRate changes as Medicare rate changes3.9750.75999999999Percent of total billed charges2.925.3
ALBUTEROL COMP UNIT PER 1 MG UNIT DOSE41260CDMJ7609CPT250RCBoth3ML178.50.85999999999Percent of total billed charges11999999999Percent of total billed chargesRate changes as Medicare rate changes9999999999999999999999999999999999995.50.55999999999Percent of total billed charges8.50.85999999999Percent of total billed charges8.50.85999999999Percent of total billed charges11999999999Percent of total billed chargesRate changes as Medicare rate changes11999999999Percent of total billed chargesRate changes as Medicare rate changes7.50.75999999999Percent of total billed charges5.51
Levalbuterol non-comp unit41292CDMJ7614CPT250RCBoth3ML14.951.4712.710.85999999999Percent of total billed charges14.951999999999Percent of total billed chargesRate changes as Medicare rate changes9999999999999999999999999999999999998.22250.55999999999Percent of total billed charges12.7750.85999999999Percent of total billed charges12.7750.85999999999Percent of total billed charges14.951999999999Percent of total billed chargesRate changes as Medicare rate changes14.951999999999Percent of total billed chargesRate changes as Medicare rate changes11.21250.75999999999Percent of total billed charges8.2214.95
Budesonide non-comp con41281CDMJ7633CPT250RCBoth2ML214170.85999999999Percent of total billed charges21999999999Percent of total billed chargesRate changes as Medicare rate changes999999999999999999999999999999999999110.55999999999Percent of total billed charges170.85999999999Percent of total billed charges170.85999999999Percent of total billed charges21999999999Percent of total billed chargesRate changes as Medicare rate changes21999999999Percent of total billed chargesRate changes as Medicare rate changes150.75999999999Percent of total billed charges112
RV5 VACC 3 DOSE LIVE ORAL41321CDM90680CPT250RCBoth12688.217.10.85999999999Percent of total billed charges1261999999999Percent of total billed chargesRate changes as Medicare rate changes0.1999999999Fee schedule0.1999999999Fee schedule0.1999999999Fee schedule0.1999999999Fee schedule69.30.55999999999Percent of total billed charges17.10.85999999999Percent of total billed charges17.10.85999999999Percent of total billed charges1261999999999Percent of total billed chargesRate changes as Medicare rate changes1261999999999Percent of total billed chargesRate changes as Medicare rate changes94.50.75999999999Percent of total billed charges0.1126
HEPA VACC PED/ADOL 2 DOSE IM41311CDM90633CPT250RCBoth0.5ML5538.546.750.85999999999Percent of total billed charges551999999999Percent of total billed chargesRate changes as Medicare rate changes0.1999999999Fee schedule0.1999999999Fee schedule0.1999999999Fee schedule0.1999999999Fee schedule3.250.55999999999Percent of total billed charges46.750.85999999999Percent of total billed charges46.750.85999999999Percent of total billed charges551999999999Percent of total billed chargesRate changes as Medicare rate changes551999999999Percent of total billed chargesRate changes as Medicare rate changes41.250.75999999999Percent of total billed charges0.155
Medroxyprogesterone acetate41269CDMJ1050CPT250RCBoth1ML117793.50.85999999999Percent of total billed charges111999999999Percent of total billed chargesRate changes as Medicare rate changes0.72999999999Fee schedule0.72999999999Fee schedule0.72999999999Fee schedule0.72999999999Fee schedule6.50.55999999999Percent of total billed charges93.50.85999999999Percent of total billed charges93.50.85999999999Percent of total billed charges111999999999Percent of total billed chargesRate changes as Medicare rate changes111999999999Percent of total billed chargesRate changes as Medicare rate changes82.50.75999999999Percent of total billed charges0.7211
DEXAMETHASONE SODIUM PHOS PER 1 MG41266CDMJ1100CPT250RCBoth1ML85.66.80.85999999999Percent of total billed charges81999999999Percent of total billed chargesRate changes as Medicare rate changes0.9999999999Fee schedule0.9999999999Fee schedule0.9999999999Fee schedule0.9999999999Fee schedule4.40.55999999999Percent of total billed charges6.80.85999999999Percent of total billed charges6.80.85999999999Percent of total billed charges81999999999Percent of total billed chargesRate changes as Medicare rate changes81999999999Percent of total billed chargesRate changes as Medicare rate changes60.75999999999Percent of total billed charges0.98
Ondansetron hcl injection41293CDMJ2405CPT250RCBoth53.54.250.85999999999Percent of total billed charges51999999999Percent of total billed chargesRate changes as Medicare rate changes0.6999999999Fee schedule0.6999999999Fee schedule0.6999999999Fee schedule0.6999999999Fee schedule2.750.55999999999Percent of total billed charges4.250.85999999999Percent of total billed charges4.250.85999999999Percent of total billed charges51999999999Percent of total billed chargesRate changes as Medicare rate changes51999999999Percent of total billed chargesRate changes as Medicare rate changes3.750.75999999999Percent of total billed charges0.65
Ipratropium bromide non-comp41261CDMJ7644CPT250RCBoth2ML178.50.85999999999Percent of total billed charges11999999999Percent of total billed chargesRate changes as Medicare rate changes0.51999999999Fee schedule0.51999999999Fee schedule0.51999999999Fee schedule0.51999999999Fee schedule5.50.55999999999Percent of total billed charges8.50.85999999999Percent of total billed charges8.50.85999999999Percent of total billed charges11999999999Percent of total billed chargesRate changes as Medicare rate changes11999999999Percent of total billed chargesRate changes as Medicare rate changes7.50.75999999999Percent of total billed charges0.511
DTAP VACCINE < 7 YRS IM41306CDM90700CPT250RCBoth0.5ML325227.5276.250.85999999999Percent of total billed charges3251999999999Percent of total billed chargesRate changes as Medicare rate changes19.98999999999Fee schedule19.98999999999Fee schedule19.98999999999Fee schedule19.98999999999Fee schedule178.750.55999999999Percent of total billed charges276.250.85999999999Percent of total billed charges276.250.85999999999Percent of total billed charges3251999999999Percent of total billed chargesRate changes as Medicare rate changes3251999999999Percent of total billed chargesRate changes as Medicare rate changes243.750.75999999999Percent of total billed charges19.98325
SPIRONOLACTONE 50MG TAB801016CDM250RCBoth1.227.158.690.85999999999Percent of total billed charges1.221999999999Percent of total billed chargesRate changes as Medicare rate changes0.68999999999Fee schedule0.63999999999Fee schedule0.72999999999Fee schedule0.675999999999Fee schedule5.6210.55999999999Percent of total billed charges8.6870.85999999999Percent of total billed charges8.6870.85999999999Percent of total billed charges1.221999999999Percent of total billed chargesRate changes as Medicare rate changes1.221999999999Percent of total billed chargesRate changes as Medicare rate changes7.6650.75999999999Percent of total billed charges0.631.22
Promethazine hcl injection41562CDMJ2550CPT250RCBoth1ML128.41.20.85999999999Percent of total billed charges121999999999Percent of total billed chargesRate changes as Medicare rate changes0.87999999999Fee schedule0.87999999999Fee schedule0.87999999999Fee schedule0.87999999999Fee schedule6.60.55999999999Percent of total billed charges1.20.85999999999Percent of total billed charges1.20.85999999999Percent of total billed charges121999999999Percent of total billed chargesRate changes as Medicare rate changes121999999999Percent of total billed chargesRate changes as Medicare rate changes90.75999999999Percent of total billed charges0.8712
Diphenhydramine hcl injectio41263CDMJ1200CPT250RCBoth1ML53.54.250.85999999999Percent of total billed charges51999999999Percent of total billed chargesRate changes as Medicare rate changes0.69999999999Fee schedule0.69999999999Fee schedule0.69999999999Fee schedule0.69999999999Fee schedule2.750.55999999999Percent of total billed charges4.250.85999999999Percent of total billed charges4.250.85999999999Percent of total billed charges51999999999Percent of total billed chargesRate changes as Medicare rate changes51999999999Percent of total billed chargesRate changes as Medicare rate changes3.750.75999999999Percent of total billed charges0.695
SOLUMEDROL - METHYLPREDNISOLONE INJECTIO41286CDMJ2920CPT250RCBoth2ME214170.85999999999Percent of total billed charges21999999999Percent of total billed chargesRate changes as Medicare rate changes3.32999999999Fee schedule3.32999999999Fee schedule3.32999999999Fee schedule3.32999999999Fee schedule110.55999999999Percent of total billed charges170.85999999999Percent of total billed charges170.85999999999Percent of total billed charges21999999999Percent of total billed chargesRate changes as Medicare rate changes21999999999Percent of total billed chargesRate changes as Medicare rate changes150.75999999999Percent of total billed charges3.322
HEPB VACC 3 DOSE PED/ADOL IM41313CDM90744CPT250RCBoth0.5ML5538.546.750.85999999999Percent of total billed charges551999999999Percent of total billed chargesRate changes as Medicare rate changes9.89999999999Fee schedule9.89999999999Fee schedule9.89999999999Fee schedule9.89999999999Fee schedule3.250.55999999999Percent of total billed charges46.750.85999999999Percent of total billed charges46.750.85999999999Percent of total billed charges551999999999Percent of total billed chargesRate changes as Medicare rate changes551999999999Percent of total billed chargesRate changes as Medicare rate changes41.250.75999999999Percent of total billed charges9.8955
TRIAMCINOLONE ACET INJ NOS PER10 MG41274CDMJ3301CPT250RCBoth4ME214170.85999999999Percent of total billed charges21999999999Percent of total billed chargesRate changes as Medicare rate changes4.6999999999Fee schedule4.6999999999Fee schedule4.6999999999Fee schedule4.6999999999Fee schedule110.55999999999Percent of total billed charges170.85999999999Percent of total billed charges170.85999999999Percent of total billed charges21999999999Percent of total billed chargesRate changes as Medicare rate changes21999999999Percent of total billed chargesRate changes as Medicare rate changes150.75999999999Percent of total billed charges4.62
Furosemide injection41275CDMJ1940CPT250RCBoth2ME53.54.250.85999999999Percent of total billed charges51999999999Percent of total billed chargesRate changes as Medicare rate changes1.2999999999Fee schedule1.2999999999Fee schedule1.2999999999Fee schedule1.2999999999Fee schedule2.750.55999999999Percent of total billed charges4.250.85999999999Percent of total billed charges4.250.85999999999Percent of total billed charges51999999999Percent of total billed chargesRate changes as Medicare rate changes51999999999Percent of total billed chargesRate changes as Medicare rate changes3.750.75999999999Percent of total billed charges1.25
LOW DOSE FLU VACCINE41805CDM90686CPT250RCBoth0.5ML3524.529.750.85999999999Percent of total billed charges351999999999Percent of total billed chargesRate changes as Medicare rate changes7.72999999999Fee schedule7.72999999999Fee schedule7.72999999999Fee schedule7.72999999999Fee schedule19.250.55999999999Percent of total billed charges29.750.85999999999Percent of total billed charges29.750.85999999999Percent of total billed charges351999999999Percent of total billed chargesRate changes as Medicare rate changes351999999999Percent of total billed chargesRate changes as Medicare rate changes26.250.75999999999Percent of total billed charges7.7235
PPSV23 VACC 2 YRS+ SUBQ/IM41319CDM90732CPT250RCBoth0.5ML1284120.85999999999Percent of total billed charges121999999999Percent of total billed chargesRate changes as Medicare rate changes26.52999999999Fee schedule26.52999999999Fee schedule26.52999999999Fee schedule26.52999999999Fee schedule660.55999999999Percent of total billed charges120.85999999999Percent of total billed charges120.85999999999Percent of total billed charges121999999999Percent of total billed chargesRate changes as Medicare rate changes121999999999Percent of total billed chargesRate changes as Medicare rate changes90.75999999999Percent of total billed charges26.5212
KETOROLAC TROMETHAMINE INJ PER15 MG41290CDMJ1885CPT250RCBoth3ME53.54.250.85999999999Percent of total billed charges51999999999Percent of total billed chargesRate changes as Medicare rate changes1.3999999999Fee schedule1.3999999999Fee schedule1.3999999999Fee schedule1.3999999999Fee schedule2.750.55999999999Percent of total billed charges4.250.85999999999Percent of total billed charges4.250.85999999999Percent of total billed charges51999999999Percent of total billed chargesRate changes as Medicare rate changes51999999999Percent of total billed chargesRate changes as Medicare rate changes3.750.75999999999Percent of total billed charges1.35
TB INTRADERMAL TEST41304CDM86580CPT250RCBoth151.512.750.85999999999Percent of total billed charges151999999999Percent of total billed chargesRate changes as Medicare rate changes6.66999999999Fee schedule6.66999999999Fee schedule6.66999999999Fee schedule6.66999999999Fee schedule8.250.55999999999Percent of total billed charges12.750.85999999999Percent of total billed charges12.750.85999999999Percent of total billed charges151999999999Percent of total billed chargesRate changes as Medicare rate changes151999999999Percent of total billed chargesRate changes as Medicare rate changes11.250.75999999999Percent of total billed charges6.6615
Sumatriptan succinate / 6 mg41273CDMJ3030CPT250RCBoth0.5ML12587.516.250.85999999999Percent of total billed charges1251999999999Percent of total billed chargesRate changes as Medicare rate changes56.29999999999Fee schedule56.29999999999Fee schedule56.29999999999Fee schedule56.29999999999Fee schedule68.750.55999999999Percent of total billed charges16.250.85999999999Percent of total billed charges16.250.85999999999Percent of total billed charges1251999999999Percent of total billed chargesRate changes as Medicare rate changes1251999999999Percent of total billed chargesRate changes as Medicare rate changes93.750.75999999999Percent of total billed charges56.29125
IIV NO PRSV INCREASED AG IM41308CDM90662CPT250RCBoth0.7ML7552.563.750.85999999999Percent of total billed charges751999999999Percent of total billed chargesRate changes as Medicare rate changes35999999999Fee schedule35999999999Fee schedule35999999999Fee schedule35999999999Fee schedule41.250.55999999999Percent of total billed charges63.750.85999999999Percent of total billed charges63.750.85999999999Percent of total billed charges751999999999Percent of total billed chargesRate changes as Medicare rate changes751999999999Percent of total billed chargesRate changes as Medicare rate changes56.250.75999999999Percent of total billed charges3575
PCV13 VACCINE IM41320CDM90670CPT250RCBoth0.5ML25175212.50.85999999999Percent of total billed charges251999999999Percent of total billed chargesRate changes as Medicare rate changes123.94999999999Fee schedule123.94999999999Fee schedule123.94999999999Fee schedule123.94999999999Fee schedule137.50.55999999999Percent of total billed charges212.50.85999999999Percent of total billed charges212.50.85999999999Percent of total billed charges251999999999Percent of total billed chargesRate changes as Medicare rate changes251999999999Percent of total billed chargesRate changes as Medicare rate changes187.50.75999999999Percent of total billed charges123.9425
MCV4 MENACWY VACCINE IM41316CDM90734CPT250RCBoth0.5ML161121360.85999999999Percent of total billed charges161999999999Percent of total billed chargesRate changes as Medicare rate changes85.8999999999Fee schedule85.8999999999Fee schedule85.8999999999Fee schedule85.8999999999Fee schedule880.55999999999Percent of total billed charges1360.85999999999Percent of total billed charges1360.85999999999Percent of total billed charges161999999999Percent of total billed chargesRate changes as Medicare rate changes161999999999Percent of total billed chargesRate changes as Medicare rate changes120.75999999999Percent of total billed charges85.816
CEFTRIAXONE SODIUM INJECTION PER 250 MG41282CDMJ0696CPT250RCBoth1GR178.50.85999999999Percent of total billed charges11999999999Percent of total billed chargesRate changes as Medicare rate changes5.73999999999Fee schedule5.73999999999Fee schedule5.73999999999Fee schedule5.73999999999Fee schedule5.50.55999999999Percent of total billed charges8.50.85999999999Percent of total billed charges8.50.85999999999Percent of total billed charges11999999999Percent of total billed chargesRate changes as Medicare rate changes11999999999Percent of total billed chargesRate changes as Medicare rate changes7.50.75999999999Percent of total billed charges5.51
ONDANSETRON TAB 4MG ODT 1 TA800519CDM250RCBoth57.84.4649.130.85999999999Percent of total billed charges57.81999999999Percent of total billed chargesRate changes as Medicare rate changes43.350.75999999999Percent of total billed charges4.460.7999999999Percent of total billed charges46.240.8999999999Percent of total billed charges43.350.75999999999Percent of total billed charges31.790.55999999999Percent of total billed charges49.130.85999999999Percent of total billed charges49.130.85999999999Percent of total billed charges57.81999999999Percent of total billed chargesRate changes as Medicare rate changes57.81999999999Percent of total billed chargesRate changes as Medicare rate changes43.350.75999999999Percent of total billed charges4.4657.8
METRON/NACL INJ 500MG PB 100800473CDM250RCBoth46.532.2439.140.85999999999Percent of total billed charges46.51999999999Percent of total billed chargesRate changes as Medicare rate changes34.540.75999999999Percent of total billed charges32.240.7999999999Percent of total billed charges36.840.8999999999Percent of total billed charges34.53750.75999999999Percent of total billed charges25.32750.55999999999Percent of total billed charges39.14250.85999999999Percent of total billed charges39.14250.85999999999Percent of total billed charges46.51999999999Percent of total billed chargesRate changes as Medicare rate changes46.51999999999Percent of total billed chargesRate changes as Medicare rate changes34.53750.75999999999Percent of total billed charges25.3346.5
NYSTATIN SUS 100000 60 ML800510CDM250RCBoth5.835.5643.180.85999999999Percent of total billed charges5.81999999999Percent of total billed chargesRate changes as Medicare rate changes38.10.75999999999Percent of total billed charges35.560.7999999999Percent of total billed charges4.640.8999999999Percent of total billed charges38.10.75999999999Percent of total billed charges27.940.55999999999Percent of total billed charges43.180.85999999999Percent of total billed charges43.180.85999999999Percent of total billed charges5.81999999999Percent of total billed chargesRate changes as Medicare rate changes5.81999999999Percent of total billed chargesRate changes as Medicare rate changes38.10.75999999999Percent of total billed charges4.645.8
ALDACTONE TAB 25MG 1 TAB800119CDM250RCBoth3.552.493.20.85999999999Percent of total billed charges3.551999999999Percent of total billed chargesRate changes as Medicare rate changes2.660.75999999999Percent of total billed charges2.490.7999999999Percent of total billed charges2.840.8999999999Percent of total billed charges2.66250.75999999999Percent of total billed charges1.95250.55999999999Percent of total billed charges3.1750.85999999999Percent of total billed charges3.1750.85999999999Percent of total billed charges3.551999999999Percent of total billed chargesRate changes as Medicare rate changes3.551999999999Percent of total billed chargesRate changes as Medicare rate changes2.66250.75999999999Percent of total billed charges1.953.55
LEXAPRO TAB 10MG 1 TAB800422CDM250RCBoth12.28.541.370.85999999999Percent of total billed charges12.21999999999Percent of total billed chargesRate changes as Medicare rate changes9.150.75999999999Percent of total billed charges8.540.7999999999Percent of total billed charges9.760.8999999999Percent of total billed charges9.150.75999999999Percent of total billed charges6.710.55999999999Percent of total billed charges1.370.85999999999Percent of total billed charges1.370.85999999999Percent of total billed charges12.21999999999Percent of total billed chargesRate changes as Medicare rate changes12.21999999999Percent of total billed chargesRate changes as Medicare rate changes9.150.75999999999Percent of total billed charges6.7112.2
LEVOTHROID TAB 75MCG 1 TAB800418CDM250RCBoth14.731.3112.520.85999999999Percent of total billed charges14.731999999999Percent of total billed chargesRate changes as Medicare rate changes11.50.75999999999Percent of total billed charges1.310.7999999999Percent of total billed charges11.780.8999999999Percent of total billed charges11.4750.75999999999Percent of total billed charges8.1150.55999999999Percent of total billed charges12.5250.85999999999Percent of total billed charges12.5250.85999999999Percent of total billed charges14.731999999999Percent of total billed chargesRate changes as Medicare rate changes14.731999999999Percent of total billed chargesRate changes as Medicare rate changes11.4750.75999999999Percent of total billed charges1.3114.73
LISINOPRIL 10MG ORAL TABLET800811CDM250RCBoth3.552.493.20.85999999999Percent of total billed charges3.551999999999Percent of total billed chargesRate changes as Medicare rate changes2.660.75999999999Percent of total billed charges2.490.7999999999Percent of total billed charges2.840.8999999999Percent of total billed charges2.66250.75999999999Percent of total billed charges1.95250.55999999999Percent of total billed charges3.1750.85999999999Percent of total billed charges3.1750.85999999999Percent of total billed charges3.551999999999Percent of total billed chargesRate changes as Medicare rate changes3.551999999999Percent of total billed chargesRate changes as Medicare rate changes2.66250.75999999999Percent of total billed charges1.953.55
PROTONIX TAB 40MG 1 TAB800571CDM250RCBoth15.71.9913.350.85999999999Percent of total billed charges15.71999999999Percent of total billed chargesRate changes as Medicare rate changes11.780.75999999999Percent of total billed charges1.990.7999999999Percent of total billed charges12.560.8999999999Percent of total billed charges11.7750.75999999999Percent of total billed charges8.6350.55999999999Percent of total billed charges13.3450.85999999999Percent of total billed charges13.3450.85999999999Percent of total billed charges15.71999999999Percent of total billed chargesRate changes as Medicare rate changes15.71999999999Percent of total billed chargesRate changes as Medicare rate changes11.7750.75999999999Percent of total billed charges1.9915.7
NEXIUM CAP 40MG 1 CAP800495CDM250RCBoth23.416.3819.890.85999999999Percent of total billed charges23.41999999999Percent of total billed chargesRate changes as Medicare rate changes17.550.75999999999Percent of total billed charges16.380.7999999999Percent of total billed charges18.720.8999999999Percent of total billed charges17.550.75999999999Percent of total billed charges12.870.55999999999Percent of total billed charges19.890.85999999999Percent of total billed charges19.890.85999999999Percent of total billed charges23.41999999999Percent of total billed chargesRate changes as Medicare rate changes23.41999999999Percent of total billed chargesRate changes as Medicare rate changes17.550.75999999999Percent of total billed charges12.8723.4
HYDROCODONE(NORCO 5/325MG) TAB800756CDM250RCBoth1.91.331.620.85999999999Percent of total billed charges1.91999999999Percent of total billed chargesRate changes as Medicare rate changes1.430.75999999999Percent of total billed charges1.330.7999999999Percent of total billed charges1.520.8999999999Percent of total billed charges1.4250.75999999999Percent of total billed charges1.450.55999999999Percent of total billed charges1.6150.85999999999Percent of total billed charges1.6150.85999999999Percent of total billed charges1.91999999999Percent of total billed chargesRate changes as Medicare rate changes1.91999999999Percent of total billed chargesRate changes as Medicare rate changes1.4250.75999999999Percent of total billed charges1.51.9
LEVOTHYROXINE 100MG ORAL TAB800829CDM250RCBoth14.731.3112.520.85999999999Percent of total billed charges14.731999999999Percent of total billed chargesRate changes as Medicare rate changes11.50.75999999999Percent of total billed charges1.310.7999999999Percent of total billed charges11.780.8999999999Percent of total billed charges11.4750.75999999999Percent of total billed charges8.1150.55999999999Percent of total billed charges12.5250.85999999999Percent of total billed charges12.5250.85999999999Percent of total billed charges14.731999999999Percent of total billed chargesRate changes as Medicare rate changes14.731999999999Percent of total billed chargesRate changes as Medicare rate changes11.4750.75999999999Percent of total billed charges1.3114.73
AMOXICILLIN SUS 400/5ML 75 M800140CDM250RCBoth21.915.3318.620.85999999999Percent of total billed charges21.91999999999Percent of total billed chargesRate changes as Medicare rate changes16.430.75999999999Percent of total billed charges15.330.7999999999Percent of total billed charges17.520.8999999999Percent of total billed charges16.4250.75999999999Percent of total billed charges12.450.55999999999Percent of total billed charges18.6150.85999999999Percent of total billed charges18.6150.85999999999Percent of total billed charges21.91999999999Percent of total billed chargesRate changes as Medicare rate changes21.91999999999Percent of total billed chargesRate changes as Medicare rate changes16.4250.75999999999Percent of total billed charges12.521.9
ZITHROMAX 500MG IV RECON SOLN800849CDM250RCBoth51.535.7443.390.85999999999Percent of total billed charges51.51999999999Percent of total billed chargesRate changes as Medicare rate changes38.290.75999999999Percent of total billed charges35.740.7999999999Percent of total billed charges4.840.8999999999Percent of total billed charges38.28750.75999999999Percent of total billed charges28.7750.55999999999Percent of total billed charges43.39250.85999999999Percent of total billed charges43.39250.85999999999Percent of total billed charges51.51999999999Percent of total billed chargesRate changes as Medicare rate changes51.51999999999Percent of total billed chargesRate changes as Medicare rate changes38.28750.75999999999Percent of total billed charges4.8451.5
IBUPROFEN SUS 100/5ML 5 ML800386CDM250RCBoth6.64.625.610.85999999999Percent of total billed charges6.61999999999Percent of total billed chargesRate changes as Medicare rate changes4.950.75999999999Percent of total billed charges4.620.7999999999Percent of total billed charges5.280.8999999999Percent of total billed charges4.950.75999999999Percent of total billed charges3.630.55999999999Percent of total billed charges5.610.85999999999Percent of total billed charges5.610.85999999999Percent of total billed charges6.61999999999Percent of total billed chargesRate changes as Medicare rate changes6.61999999999Percent of total billed chargesRate changes as Medicare rate changes4.950.75999999999Percent of total billed charges3.636.6
AMLODIPINE TAB 5MG 1 TAB800133CDM250RCBoth6.14.275.190.85999999999Percent of total billed charges6.11999999999Percent of total billed chargesRate changes as Medicare rate changes4.580.75999999999Percent of total billed charges4.270.7999999999Percent of total billed charges4.880.8999999999Percent of total billed charges4.5750.75999999999Percent of total billed charges3.3550.55999999999Percent of total billed charges5.1850.85999999999Percent of total billed charges5.1850.85999999999Percent of total billed charges6.11999999999Percent of total billed chargesRate changes as Medicare rate changes6.11999999999Percent of total billed chargesRate changes as Medicare rate changes4.5750.75999999999Percent of total billed charges3.366.1
AMOLDIPINE 5MG ORAL800815CDM250RCBoth6.14.275.190.85999999999Percent of total billed charges6.11999999999Percent of total billed chargesRate changes as Medicare rate changes4.580.75999999999Percent of total billed charges4.270.7999999999Percent of total billed charges4.880.8999999999Percent of total billed charges4.5750.75999999999Percent of total billed charges3.3550.55999999999Percent of total billed charges5.1850.85999999999Percent of total billed charges5.1850.85999999999Percent of total billed charges6.11999999999Percent of total billed chargesRate changes as Medicare rate changes6.11999999999Percent of total billed chargesRate changes as Medicare rate changes4.5750.75999999999Percent of total billed charges3.366.1
LISINOPRIL TAB 10MG 1 TAB800430CDM250RCBoth3.552.493.20.85999999999Percent of total billed charges3.551999999999Percent of total billed chargesRate changes as Medicare rate changes2.660.75999999999Percent of total billed charges2.490.7999999999Percent of total billed charges2.840.8999999999Percent of total billed charges2.66250.75999999999Percent of total billed charges1.95250.55999999999Percent of total billed charges3.1750.85999999999Percent of total billed charges3.1750.85999999999Percent of total billed charges3.551999999999Percent of total billed chargesRate changes as Medicare rate changes3.551999999999Percent of total billed chargesRate changes as Medicare rate changes2.66250.75999999999Percent of total billed charges1.953.55
XOPENEX NEB 0.63MG 3 ML800677CDM250RCBoth14.951.4712.710.85999999999Percent of total billed charges14.951999999999Percent of total billed chargesRate changes as Medicare rate changes11.210.75999999999Percent of total billed charges1.470.7999999999Percent of total billed charges11.960.8999999999Percent of total billed charges11.21250.75999999999Percent of total billed charges8.22250.55999999999Percent of total billed charges12.7750.85999999999Percent of total billed charges12.7750.85999999999Percent of total billed charges14.951999999999Percent of total billed chargesRate changes as Medicare rate changes14.951999999999Percent of total billed chargesRate changes as Medicare rate changes11.21250.75999999999Percent of total billed charges1.4714.95
GLUCOTROL TAB 5MG 1 TAB800357CDM250RCBoth6.244.375.30.85999999999Percent of total billed charges6.241999999999Percent of total billed chargesRate changes as Medicare rate changes4.680.75999999999Percent of total billed charges4.370.7999999999Percent of total billed charges4.990.8999999999Percent of total billed charges4.680.75999999999Percent of total billed charges3.4320.55999999999Percent of total billed charges5.340.85999999999Percent of total billed charges5.340.85999999999Percent of total billed charges6.241999999999Percent of total billed chargesRate changes as Medicare rate changes6.241999999999Percent of total billed chargesRate changes as Medicare rate changes4.680.75999999999Percent of total billed charges3.436.24
KEFLEX CAP 500MG 1 CAP800397CDM250RCBoth15.71.9913.350.85999999999Percent of total billed charges15.71999999999Percent of total billed chargesRate changes as Medicare rate changes11.780.75999999999Percent of total billed charges1.990.7999999999Percent of total billed charges12.560.8999999999Percent of total billed charges11.7750.75999999999Percent of total billed charges8.6350.55999999999Percent of total billed charges13.3450.85999999999Percent of total billed charges13.3450.85999999999Percent of total billed charges15.71999999999Percent of total billed chargesRate changes as Medicare rate changes15.71999999999Percent of total billed chargesRate changes as Medicare rate changes11.7750.75999999999Percent of total billed charges1.9915.7
PYRIDIUM TAB 100MG 1 TAB800575CDM250RCBoth13.989.7911.880.85999999999Percent of total billed charges13.981999999999Percent of total billed chargesRate changes as Medicare rate changes1.490.75999999999Percent of total billed charges9.790.7999999999Percent of total billed charges11.180.8999999999Percent of total billed charges1.4850.75999999999Percent of total billed charges7.6890.55999999999Percent of total billed charges11.8830.85999999999Percent of total billed charges11.8830.85999999999Percent of total billed charges13.981999999999Percent of total billed chargesRate changes as Medicare rate changes13.981999999999Percent of total billed chargesRate changes as Medicare rate changes1.4850.75999999999Percent of total billed charges1.4913.98
XOPENEX NEB 0.31MG 3 ML800676CDM250RCBoth15.451.8213.130.85999999999Percent of total billed charges15.451999999999Percent of total billed chargesRate changes as Medicare rate changes11.590.75999999999Percent of total billed charges1.820.7999999999Percent of total billed charges12.360.8999999999Percent of total billed charges11.58750.75999999999Percent of total billed charges8.49750.55999999999Percent of total billed charges13.13250.85999999999Percent of total billed charges13.13250.85999999999Percent of total billed charges15.451999999999Percent of total billed chargesRate changes as Medicare rate changes15.451999999999Percent of total billed chargesRate changes as Medicare rate changes11.58750.75999999999Percent of total billed charges1.8215.45
PHENYTOIN SODIUM EXT ORAL CAP800851CDM250RCBoth1.91.331.620.85999999999Percent of total billed charges1.91999999999Percent of total billed chargesRate changes as Medicare rate changes1.430.75999999999Percent of total billed charges1.330.7999999999Percent of total billed charges1.520.8999999999Percent of total billed charges1.4250.75999999999Percent of total billed charges1.450.55999999999Percent of total billed charges1.6150.85999999999Percent of total billed charges1.6150.85999999999Percent of total billed charges1.91999999999Percent of total billed chargesRate changes as Medicare rate changes1.91999999999Percent of total billed chargesRate changes as Medicare rate changes1.4250.75999999999Percent of total billed charges1.51.9
ALPRAZOLAM TAB 0.5MG 1 TAB800123CDM250RCBoth3.32.312.810.85999999999Percent of total billed charges3.31999999999Percent of total billed chargesRate changes as Medicare rate changes2.480.75999999999Percent of total billed charges2.310.7999999999Percent of total billed charges2.640.8999999999Percent of total billed charges2.4750.75999999999Percent of total billed charges1.8150.55999999999Percent of total billed charges2.850.85999999999Percent of total billed charges2.850.85999999999Percent of total billed charges3.31999999999Percent of total billed chargesRate changes as Medicare rate changes3.31999999999Percent of total billed chargesRate changes as Medicare rate changes2.4750.75999999999Percent of total billed charges1.823.3
TETRACAINE SOL 0.5% OP 2 ML800641CDM250RCBoth12.959.711.10.85999999999Percent of total billed charges12.951999999999Percent of total billed chargesRate changes as Medicare rate changes9.710.75999999999Percent of total billed charges9.70.7999999999Percent of total billed charges1.360.8999999999Percent of total billed charges9.71250.75999999999Percent of total billed charges7.12250.55999999999Percent of total billed charges11.750.85999999999Percent of total billed charges11.750.85999999999Percent of total billed charges12.951999999999Percent of total billed chargesRate changes as Medicare rate changes12.951999999999Percent of total billed chargesRate changes as Medicare rate changes9.71250.75999999999Percent of total billed charges1.3612.95
RAMIPRIL CAP 2.5MG 1 CAP800577CDM250RCBoth6.354.455.40.85999999999Percent of total billed charges6.351999999999Percent of total billed chargesRate changes as Medicare rate changes4.760.75999999999Percent of total billed charges4.450.7999999999Percent of total billed charges5.80.8999999999Percent of total billed charges4.76250.75999999999Percent of total billed charges3.49250.55999999999Percent of total billed charges5.39750.85999999999Percent of total billed charges5.39750.85999999999Percent of total billed charges6.351999999999Percent of total billed chargesRate changes as Medicare rate changes6.351999999999Percent of total billed chargesRate changes as Medicare rate changes4.76250.75999999999Percent of total billed charges3.496.35
D5W/NACL INJ 0.9% 1000 ML800259CDM250RCBoth7.925.546.730.85999999999Percent of total billed charges7.921999999999Percent of total billed chargesRate changes as Medicare rate changes5.940.75999999999Percent of total billed charges5.540.7999999999Percent of total billed charges6.340.8999999999Percent of total billed charges5.940.75999999999Percent of total billed charges4.3560.55999999999Percent of total billed charges6.7320.85999999999Percent of total billed charges6.7320.85999999999Percent of total billed charges7.921999999999Percent of total billed chargesRate changes as Medicare rate changes7.921999999999Percent of total billed chargesRate changes as Medicare rate changes5.940.75999999999Percent of total billed charges4.367.92
DULCOLAX SUP 10MG 1 SUP800307CDM250RCBoth2.81.962.380.85999999999Percent of total billed charges2.81999999999Percent of total billed chargesRate changes as Medicare rate changes2.10.75999999999Percent of total billed charges1.960.7999999999Percent of total billed charges2.240.8999999999Percent of total billed charges2.10.75999999999Percent of total billed charges1.540.55999999999Percent of total billed charges2.380.85999999999Percent of total billed charges2.380.85999999999Percent of total billed charges2.81999999999Percent of total billed chargesRate changes as Medicare rate changes2.81999999999Percent of total billed chargesRate changes as Medicare rate changes2.10.75999999999Percent of total billed charges1.542.8
TEMAZEPAM CAP 15MG 1 CAP800635CDM250RCBoth3.52.142.590.85999999999Percent of total billed charges3.51999999999Percent of total billed chargesRate changes as Medicare rate changes2.290.75999999999Percent of total billed charges2.140.7999999999Percent of total billed charges2.440.8999999999Percent of total billed charges2.28750.75999999999Percent of total billed charges1.67750.55999999999Percent of total billed charges2.59250.85999999999Percent of total billed charges2.59250.85999999999Percent of total billed charges3.51999999999Percent of total billed chargesRate changes as Medicare rate changes3.51999999999Percent of total billed chargesRate changes as Medicare rate changes2.28750.75999999999Percent of total billed charges1.683.5
COUMADIN TAB 2MG 1 TAB800241CDM250RCBoth3.552.493.20.85999999999Percent of total billed charges3.551999999999Percent of total billed chargesRate changes as Medicare rate changes2.660.75999999999Percent of total billed charges2.490.7999999999Percent of total billed charges2.840.8999999999Percent of total billed charges2.66250.75999999999Percent of total billed charges1.95250.55999999999Percent of total billed charges3.1750.85999999999Percent of total billed charges3.1750.85999999999Percent of total billed charges3.551999999999Percent of total billed chargesRate changes as Medicare rate changes3.551999999999Percent of total billed chargesRate changes as Medicare rate changes2.66250.75999999999Percent of total billed charges1.953.55
LISINOPRIL TAB 20MG 1 TAB800431CDM250RCBoth3.82.663.230.85999999999Percent of total billed charges3.81999999999Percent of total billed chargesRate changes as Medicare rate changes2.850.75999999999Percent of total billed charges2.660.7999999999Percent of total billed charges3.40.8999999999Percent of total billed charges2.850.75999999999Percent of total billed charges2.90.55999999999Percent of total billed charges3.230.85999999999Percent of total billed charges3.230.85999999999Percent of total billed charges3.81999999999Percent of total billed chargesRate changes as Medicare rate changes3.81999999999Percent of total billed chargesRate changes as Medicare rate changes2.850.75999999999Percent of total billed charges2.93.8
FEXOFENADIN TAB 60MG 1 TAB800324CDM250RCBoth5.353.754.550.85999999999Percent of total billed charges5.351999999999Percent of total billed chargesRate changes as Medicare rate changes4.10.75999999999Percent of total billed charges3.750.7999999999Percent of total billed charges4.280.8999999999Percent of total billed charges4.1250.75999999999Percent of total billed charges2.94250.55999999999Percent of total billed charges4.54750.85999999999Percent of total billed charges4.54750.85999999999Percent of total billed charges5.351999999999Percent of total billed chargesRate changes as Medicare rate changes5.351999999999Percent of total billed chargesRate changes as Medicare rate changes4.1250.75999999999Percent of total billed charges2.945.35
GABAPENTIN CAP 400MG 1 CAP800347CDM250RCBoth5.63.924.760.85999999999Percent of total billed charges5.61999999999Percent of total billed chargesRate changes as Medicare rate changes4.20.75999999999Percent of total billed charges3.920.7999999999Percent of total billed charges4.480.8999999999Percent of total billed charges4.20.75999999999Percent of total billed charges3.80.55999999999Percent of total billed charges4.760.85999999999Percent of total billed charges4.760.85999999999Percent of total billed charges5.61999999999Percent of total billed chargesRate changes as Medicare rate changes5.61999999999Percent of total billed chargesRate changes as Medicare rate changes4.20.75999999999Percent of total billed charges3.85.6
FAMOTIDINE TAB 20MG 1 TAB800320CDM250RCBoth6.14.275.190.85999999999Percent of total billed charges6.11999999999Percent of total billed chargesRate changes as Medicare rate changes4.580.75999999999Percent of total billed charges4.270.7999999999Percent of total billed charges4.880.8999999999Percent of total billed charges4.5750.75999999999Percent of total billed charges3.3550.55999999999Percent of total billed charges5.1850.85999999999Percent of total billed charges5.1850.85999999999Percent of total billed charges6.11999999999Percent of total billed chargesRate changes as Medicare rate changes6.11999999999Percent of total billed chargesRate changes as Medicare rate changes4.5750.75999999999Percent of total billed charges3.366.1
TRIPLE ANTI OIN 14.2 GM800661CDM250RCBoth6.64.625.610.85999999999Percent of total billed charges6.61999999999Percent of total billed chargesRate changes as Medicare rate changes4.950.75999999999Percent of total billed charges4.620.7999999999Percent of total billed charges5.280.8999999999Percent of total billed charges4.950.75999999999Percent of total billed charges3.630.55999999999Percent of total billed charges5.610.85999999999Percent of total billed charges5.610.85999999999Percent of total billed charges6.61999999999Percent of total billed chargesRate changes as Medicare rate changes6.61999999999Percent of total billed chargesRate changes as Medicare rate changes4.950.75999999999Percent of total billed charges3.636.6
PREDNISOLONE SODIUM PHOSPHATE800833CDM250RCBoth7.355.156.250.85999999999Percent of total billed charges7.351999999999Percent of total billed chargesRate changes as Medicare rate changes5.510.75999999999Percent of total billed charges5.150.7999999999Percent of total billed charges5.880.8999999999Percent of total billed charges5.51250.75999999999Percent of total billed charges4.4250.55999999999Percent of total billed charges6.24750.85999999999Percent of total billed charges6.24750.85999999999Percent of total billed charges7.351999999999Percent of total billed chargesRate changes as Medicare rate changes7.351999999999Percent of total billed chargesRate changes as Medicare rate changes5.51250.75999999999Percent of total billed charges4.47.35
CODEINE/GUA LIQ 10-300MG 5ml800230CDM250RCBoth7.855.56.670.85999999999Percent of total billed charges7.851999999999Percent of total billed chargesRate changes as Medicare rate changes5.890.75999999999Percent of total billed charges5.50.7999999999Percent of total billed charges6.280.8999999999Percent of total billed charges5.88750.75999999999Percent of total billed charges4.31750.55999999999Percent of total billed charges6.67250.85999999999Percent of total billed charges6.67250.85999999999Percent of total billed charges7.851999999999Percent of total billed chargesRate changes as Medicare rate changes7.851999999999Percent of total billed chargesRate changes as Medicare rate changes5.88750.75999999999Percent of total billed charges4.327.85
ACETAMINOPHEN-CODEINE ORAL ELI800711CDM250RCBoth7.855.56.670.85999999999Percent of total billed charges7.851999999999Percent of total billed chargesRate changes as Medicare rate changes5.890.75999999999Percent of total billed charges5.50.7999999999Percent of total billed charges6.280.8999999999Percent of total billed charges5.88750.75999999999Percent of total billed charges4.31750.55999999999Percent of total billed charges6.67250.85999999999Percent of total billed charges6.67250.85999999999Percent of total billed charges7.851999999999Percent of total billed chargesRate changes as Medicare rate changes7.851999999999Percent of total billed chargesRate changes as Medicare rate changes5.88750.75999999999Percent of total billed charges4.327.85
GENTAM/NACL INJ 80MG 50 ML800352CDM250RCBoth1.77.499.10.85999999999Percent of total billed charges1.71999999999Percent of total billed chargesRate changes as Medicare rate changes8.30.75999999999Percent of total billed charges7.490.7999999999Percent of total billed charges8.560.8999999999Percent of total billed charges8.250.75999999999Percent of total billed charges5.8850.55999999999Percent of total billed charges9.950.85999999999Percent of total billed charges9.950.85999999999Percent of total billed charges1.71999999999Percent of total billed chargesRate changes as Medicare rate changes1.71999999999Percent of total billed chargesRate changes as Medicare rate changes8.250.75999999999Percent of total billed charges5.891.7
SOD BICARB INJ 8.4% 50 ML800601CDM250RCBoth12.28.541.370.85999999999Percent of total billed charges12.21999999999Percent of total billed chargesRate changes as Medicare rate changes9.150.75999999999Percent of total billed charges8.540.7999999999Percent of total billed charges9.760.8999999999Percent of total billed charges9.150.75999999999Percent of total billed charges6.710.55999999999Percent of total billed charges1.370.85999999999Percent of total billed charges1.370.85999999999Percent of total billed charges12.21999999999Percent of total billed chargesRate changes as Medicare rate changes12.21999999999Percent of total billed chargesRate changes as Medicare rate changes9.150.75999999999Percent of total billed charges6.7112.2
CELEBREX CAP 200MG 1 CAP800201CDM250RCBoth12.458.721.580.85999999999Percent of total billed charges12.451999999999Percent of total billed chargesRate changes as Medicare rate changes9.340.75999999999Percent of total billed charges8.720.7999999999Percent of total billed charges9.960.8999999999Percent of total billed charges9.33750.75999999999Percent of total billed charges6.84750.55999999999Percent of total billed charges1.58250.85999999999Percent of total billed charges1.58250.85999999999Percent of total billed charges12.451999999999Percent of total billed chargesRate changes as Medicare rate changes12.451999999999Percent of total billed chargesRate changes as Medicare rate changes9.33750.75999999999Percent of total billed charges6.8512.45
BYSTOLIC TAB 10MG 1 TAB800187CDM250RCBoth14.71.2912.50.85999999999Percent of total billed charges14.71999999999Percent of total billed chargesRate changes as Medicare rate changes11.30.75999999999Percent of total billed charges1.290.7999999999Percent of total billed charges11.760.8999999999Percent of total billed charges11.250.75999999999Percent of total billed charges8.850.55999999999Percent of total billed charges12.4950.85999999999Percent of total billed charges12.4950.85999999999Percent of total billed charges14.71999999999Percent of total billed chargesRate changes as Medicare rate changes14.71999999999Percent of total billed chargesRate changes as Medicare rate changes11.250.75999999999Percent of total billed charges1.2914.7
ERYTHROMYCIN 250MG ORAL TABLET800727CDM250RCBoth14.731.3112.520.85999999999Percent of total billed charges14.731999999999Percent of total billed chargesRate changes as Medicare rate changes11.50.75999999999Percent of total billed charges1.310.7999999999Percent of total billed charges11.780.8999999999Percent of total billed charges11.4750.75999999999Percent of total billed charges8.1150.55999999999Percent of total billed charges12.5250.85999999999Percent of total billed charges12.5250.85999999999Percent of total billed charges14.731999999999Percent of total billed chargesRate changes as Medicare rate changes14.731999999999Percent of total billed chargesRate changes as Medicare rate changes11.4750.75999999999Percent of total billed charges1.3114.73
CLINDAMYCIN CAP 150MG 1 CAP800220CDM250RCBoth14.951.4712.710.85999999999Percent of total billed charges14.951999999999Percent of total billed chargesRate changes as Medicare rate changes11.210.75999999999Percent of total billed charges1.470.7999999999Percent of total billed charges11.960.8999999999Percent of total billed charges11.21250.75999999999Percent of total billed charges8.22250.55999999999Percent of total billed charges12.7750.85999999999Percent of total billed charges12.7750.85999999999Percent of total billed charges14.951999999999Percent of total billed chargesRate changes as Medicare rate changes14.951999999999Percent of total billed chargesRate changes as Medicare rate changes11.21250.75999999999Percent of total billed charges1.4714.95
TOLTERODINE 1MG ORAL TABLET800788CDM250RCBoth15.21.6412.920.85999999999Percent of total billed charges15.21999999999Percent of total billed chargesRate changes as Medicare rate changes11.40.75999999999Percent of total billed charges1.640.7999999999Percent of total billed charges12.160.8999999999Percent of total billed charges11.40.75999999999Percent of total billed charges8.360.55999999999Percent of total billed charges12.920.85999999999Percent of total billed charges12.920.85999999999Percent of total billed charges15.21999999999Percent of total billed chargesRate changes as Medicare rate changes15.21999999999Percent of total billed chargesRate changes as Medicare rate changes11.40.75999999999Percent of total billed charges1.6415.2
CYCLOPENTOL SOL 1% OP 2 ML800251CDM250RCBoth15.451.8213.130.85999999999Percent of total billed charges15.451999999999Percent of total billed chargesRate changes as Medicare rate changes11.590.75999999999Percent of total billed charges1.820.7999999999Percent of total billed charges12.360.8999999999Percent of total billed charges11.58750.75999999999Percent of total billed charges8.49750.55999999999Percent of total billed charges13.13250.85999999999Percent of total billed charges13.13250.85999999999Percent of total billed charges15.451999999999Percent of total billed chargesRate changes as Medicare rate changes15.451999999999Percent of total billed chargesRate changes as Medicare rate changes11.58750.75999999999Percent of total billed charges1.8215.45
LEVALBUTEROL HCI 0.31MG INHL800764CDM250RCBoth15.451.8213.130.85999999999Percent of total billed charges15.451999999999Percent of total billed chargesRate changes as Medicare rate changes11.590.75999999999Percent of total billed charges1.820.7999999999Percent of total billed charges12.360.8999999999Percent of total billed charges11.58750.75999999999Percent of total billed charges8.49750.55999999999Percent of total billed charges13.13250.85999999999Percent of total billed charges13.13250.85999999999Percent of total billed charges15.451999999999Percent of total billed chargesRate changes as Medicare rate changes15.451999999999Percent of total billed chargesRate changes as Medicare rate changes11.58750.75999999999Percent of total billed charges1.8215.45
METHOTREXATE ORAL 2.5MG800006CDM250RCBoth15.71.9913.350.85999999999Percent of total billed charges15.71999999999Percent of total billed chargesRate changes as Medicare rate changes11.780.75999999999Percent of total billed charges1.990.7999999999Percent of total billed charges12.560.8999999999Percent of total billed charges11.7750.75999999999Percent of total billed charges8.6350.55999999999Percent of total billed charges13.3450.85999999999Percent of total billed charges13.3450.85999999999Percent of total billed charges15.71999999999Percent of total billed chargesRate changes as Medicare rate changes15.71999999999Percent of total billed chargesRate changes as Medicare rate changes11.7750.75999999999Percent of total billed charges1.9915.7
DEXTROSE INJ 50% 50 ML800281CDM250RCBoth25.6817.9821.830.85999999999Percent of total billed charges25.681999999999Percent of total billed chargesRate changes as Medicare rate changes19.260.75999999999Percent of total billed charges17.980.7999999999Percent of total billed charges2.540.8999999999Percent of total billed charges19.260.75999999999Percent of total billed charges14.1240.55999999999Percent of total billed charges21.8280.85999999999Percent of total billed charges21.8280.85999999999Percent of total billed charges25.681999999999Percent of total billed chargesRate changes as Medicare rate changes25.681999999999Percent of total billed chargesRate changes as Medicare rate changes19.260.75999999999Percent of total billed charges2.5425.68
ENTRESTO 24MG/26MG800971CDM250RCBoth27.6519.3623.50.85999999999Percent of total billed charges27.651999999999Percent of total billed chargesRate changes as Medicare rate changes2.740.75999999999Percent of total billed charges19.360.7999999999Percent of total billed charges22.120.8999999999Percent of total billed charges2.73750.75999999999Percent of total billed charges15.2750.55999999999Percent of total billed charges23.5250.85999999999Percent of total billed charges23.5250.85999999999Percent of total billed charges27.651999999999Percent of total billed chargesRate changes as Medicare rate changes27.651999999999Percent of total billed chargesRate changes as Medicare rate changes2.73750.75999999999Percent of total billed charges2.7427.65
EPINEPHRINE INJ 1MG/ML 1 ML800316CDM250RCBoth43.113.1836.640.85999999999Percent of total billed charges43.111999999999Percent of total billed chargesRate changes as Medicare rate changes32.330.75999999999Percent of total billed charges3.180.7999999999Percent of total billed charges34.490.8999999999Percent of total billed charges32.33250.75999999999Percent of total billed charges23.7150.55999999999Percent of total billed charges36.64350.85999999999Percent of total billed charges36.64350.85999999999Percent of total billed charges43.111999999999Percent of total billed chargesRate changes as Medicare rate changes43.111999999999Percent of total billed chargesRate changes as Medicare rate changes32.33250.75999999999Percent of total billed charges3.1843.11
CIPRO I.V. SOL 200MG 100 ML800212CDM250RCBoth46.832.7639.780.85999999999Percent of total billed charges46.81999999999Percent of total billed chargesRate changes as Medicare rate changes35.10.75999999999Percent of total billed charges32.760.7999999999Percent of total billed charges37.440.8999999999Percent of total billed charges35.10.75999999999Percent of total billed charges25.740.55999999999Percent of total billed charges39.780.85999999999Percent of total billed charges39.780.85999999999Percent of total billed charges46.81999999999Percent of total billed chargesRate changes as Medicare rate changes46.81999999999Percent of total billed chargesRate changes as Medicare rate changes35.10.75999999999Percent of total billed charges25.7446.8
AZITHROMYCI INJ 500MG 1 INJ800166CDM250RCBoth51.535.7443.390.85999999999Percent of total billed charges51.51999999999Percent of total billed chargesRate changes as Medicare rate changes38.290.75999999999Percent of total billed charges35.740.7999999999Percent of total billed charges4.840.8999999999Percent of total billed charges38.28750.75999999999Percent of total billed charges28.7750.55999999999Percent of total billed charges43.39250.85999999999Percent of total billed charges43.39250.85999999999Percent of total billed charges51.51999999999Percent of total billed chargesRate changes as Medicare rate changes51.51999999999Percent of total billed chargesRate changes as Medicare rate changes38.28750.75999999999Percent of total billed charges4.8451.5
HUMALOG INJ 100/ML 1 ml800367CDM250RCBoth56.839.7648.280.85999999999Percent of total billed charges56.81999999999Percent of total billed chargesRate changes as Medicare rate changes42.60.75999999999Percent of total billed charges39.760.7999999999Percent of total billed charges45.440.8999999999Percent of total billed charges42.60.75999999999Percent of total billed charges31.240.55999999999Percent of total billed charges48.280.85999999999Percent of total billed charges48.280.85999999999Percent of total billed charges56.81999999999Percent of total billed chargesRate changes as Medicare rate changes56.81999999999Percent of total billed chargesRate changes as Medicare rate changes42.60.75999999999Percent of total billed charges31.2456.8
MEGESTROL 40MG ORAL SUSPENSION800858CDM250RCBoth12.671.8287.210.85999999999Percent of total billed charges12.61999999999Percent of total billed chargesRate changes as Medicare rate changes76.950.75999999999Percent of total billed charges71.820.7999999999Percent of total billed charges82.80.8999999999Percent of total billed charges76.950.75999999999Percent of total billed charges56.430.55999999999Percent of total billed charges87.210.85999999999Percent of total billed charges87.210.85999999999Percent of total billed charges12.61999999999Percent of total billed chargesRate changes as Medicare rate changes12.61999999999Percent of total billed chargesRate changes as Medicare rate changes76.950.75999999999Percent of total billed charges56.4312.6
RELISTOR 12/MG 0.6 ML INJ800965CDM250RCBoth424.11296.8836.490.85999999999Percent of total billed charges424.111999999999Percent of total billed chargesRate changes as Medicare rate changes318.80.75999999999Percent of total billed charges296.880.7999999999Percent of total billed charges339.290.8999999999Percent of total billed charges318.8250.75999999999Percent of total billed charges233.2650.55999999999Percent of total billed charges36.49350.85999999999Percent of total billed charges36.49350.85999999999Percent of total billed charges424.111999999999Percent of total billed chargesRate changes as Medicare rate changes424.111999999999Percent of total billed chargesRate changes as Medicare rate changes318.8250.75999999999Percent of total billed charges233.26424.11
CATHFLO ACTIVASE 2MG/2ML INJ800933CDM250RCBoth482.61337.8341.220.85999999999Percent of total billed charges482.611999999999Percent of total billed chargesRate changes as Medicare rate changes361.960.75999999999Percent of total billed charges337.830.7999999999Percent of total billed charges386.90.8999999999Percent of total billed charges361.95750.75999999999Percent of total billed charges265.43550.55999999999Percent of total billed charges41.21850.85999999999Percent of total billed charges41.21850.85999999999Percent of total billed charges482.611999999999Percent of total billed chargesRate changes as Medicare rate changes482.611999999999Percent of total billed chargesRate changes as Medicare rate changes361.95750.75999999999Percent of total billed charges265.44482.61
PROCRIT 40,000 ML800978CDM250RCBoth182.11274.71547.90.85999999999Percent of total billed charges182.11999999999Percent of total billed chargesRate changes as Medicare rate changes1365.80.75999999999Percent of total billed charges1274.70.7999999999Percent of total billed charges1456.80.8999999999Percent of total billed charges1365.750.75999999999Percent of total billed charges11.550.55999999999Percent of total billed charges1547.850.85999999999Percent of total billed charges1547.850.85999999999Percent of total billed charges182.11999999999Percent of total billed chargesRate changes as Medicare rate changes182.11999999999Percent of total billed chargesRate changes as Medicare rate changes1365.750.75999999999Percent of total billed charges11.6182.1
PANTOPRAZOLE ORAL TAB DR/EC800897CDM250RCBoth15.71.9913.350.85999999999Percent of total billed charges15.71999999999Percent of total billed chargesRate changes as Medicare rate changes11.780.75999999999Percent of total billed charges1.990.7999999999Percent of total billed charges12.560.8999999999Percent of total billed charges11.7750.75999999999Percent of total billed charges8.6350.55999999999Percent of total billed charges13.3450.85999999999Percent of total billed charges13.3450.85999999999Percent of total billed charges15.71999999999Percent of total billed chargesRate changes as Medicare rate changes15.71999999999Percent of total billed chargesRate changes as Medicare rate changes11.7750.75999999999Percent of total billed charges1.9915.7
CHLORTHALIDONE 25MG TAB801013CDM250RCBoth5.924.145.30.85999999999Percent of total billed charges5.921999999999Percent of total billed chargesRate changes as Medicare rate changes4.440.75999999999Percent of total billed charges4.140.7999999999Percent of total billed charges4.740.8999999999Percent of total billed charges4.440.75999999999Percent of total billed charges3.2560.55999999999Percent of total billed charges5.320.85999999999Percent of total billed charges5.320.85999999999Percent of total billed charges5.921999999999Percent of total billed chargesRate changes as Medicare rate changes5.921999999999Percent of total billed chargesRate changes as Medicare rate changes4.440.75999999999Percent of total billed charges3.265.92
HYDROCORTISONE CREAM 1% -28 GRAMS801018CDM250RCBoth14.71.2912.50.85999999999Percent of total billed charges14.71999999999Percent of total billed chargesRate changes as Medicare rate changes11.30.75999999999Percent of total billed charges1.290.7999999999Percent of total billed charges11.760.8999999999Percent of total billed charges11.250.75999999999Percent of total billed charges8.850.55999999999Percent of total billed charges12.4950.85999999999Percent of total billed charges12.4950.85999999999Percent of total billed charges14.71999999999Percent of total billed chargesRate changes as Medicare rate changes14.71999999999Percent of total billed chargesRate changes as Medicare rate changes11.250.75999999999Percent of total billed charges1.2914.7
PRED FORTE OPTH 1%-5ML BOTTLE801020CDM250RCBoth62.843.9653.380.85999999999Percent of total billed charges62.81999999999Percent of total billed chargesRate changes as Medicare rate changes47.10.75999999999Percent of total billed charges43.960.7999999999Percent of total billed charges5.240.8999999999Percent of total billed charges47.10.75999999999Percent of total billed charges34.540.55999999999Percent of total billed charges53.380.85999999999Percent of total billed charges53.380.85999999999Percent of total billed charges62.81999999999Percent of total billed chargesRate changes as Medicare rate changes62.81999999999Percent of total billed chargesRate changes as Medicare rate changes47.10.75999999999Percent of total billed charges5.2462.8
APIXABAN 5MG TABLET8001128CDM250RCBoth21.431518.220.85999999999Percent of total billed charges21.431999999999Percent of total billed chargesRate changes as Medicare rate changes16.70.75999999999Percent of total billed charges150.7999999999Percent of total billed charges17.140.8999999999Percent of total billed charges16.7250.75999999999Percent of total billed charges11.78650.55999999999Percent of total billed charges18.21550.85999999999Percent of total billed charges18.21550.85999999999Percent of total billed charges21.431999999999Percent of total billed chargesRate changes as Medicare rate changes21.431999999999Percent of total billed chargesRate changes as Medicare rate changes16.7250.75999999999Percent of total billed charges11.7921.43
MELATONIN 5 MG TAB801052CDM250RCBoth1.40.981.190.85999999999Percent of total billed charges1.41999999999Percent of total billed chargesRate changes as Medicare rate changes1.50.75999999999Percent of total billed charges0.980.7999999999Percent of total billed charges1.120.8999999999Percent of total billed charges1.50.75999999999Percent of total billed charges0.770.55999999999Percent of total billed charges1.190.85999999999Percent of total billed charges1.190.85999999999Percent of total billed charges1.41999999999Percent of total billed chargesRate changes as Medicare rate changes1.41999999999Percent of total billed chargesRate changes as Medicare rate changes1.50.75999999999Percent of total billed charges0.771.5
GUAIFENESIN & DEXTROMETHORPHAN 600MG/30MG TAB801053CDM250RCBoth1.40.981.190.85999999999Percent of total billed charges1.41999999999Percent of total billed chargesRate changes as Medicare rate changes1.50.75999999999Percent of total billed charges0.980.7999999999Percent of total billed charges1.120.8999999999Percent of total billed charges1.50.75999999999Percent of total billed charges0.770.55999999999Percent of total billed charges1.190.85999999999Percent of total billed charges1.190.85999999999Percent of total billed charges1.41999999999Percent of total billed chargesRate changes as Medicare rate changes1.41999999999Percent of total billed chargesRate changes as Medicare rate changes1.50.75999999999Percent of total billed charges0.771.5
OLANZAPINE 5MG TAB801055CDM250RCBoth0.370.260.310.85999999999Percent of total billed charges0.371999999999Percent of total billed chargesRate changes as Medicare rate changes0.280.75999999999Percent of total billed charges0.260.7999999999Percent of total billed charges0.30.8999999999Percent of total billed charges0.27750.75999999999Percent of total billed charges0.2350.55999999999Percent of total billed charges0.31450.85999999999Percent of total billed charges0.31450.85999999999Percent of total billed charges0.371999999999Percent of total billed chargesRate changes as Medicare rate changes0.371999999999Percent of total billed chargesRate changes as Medicare rate changes0.27750.75999999999Percent of total billed charges0.20.37
TIZANIDINE 2MG TAB801059CDM250RCBoth1.91.331.620.85999999999Percent of total billed charges1.91999999999Percent of total billed chargesRate changes as Medicare rate changes1.430.75999999999Percent of total billed charges1.330.7999999999Percent of total billed charges1.520.8999999999Percent of total billed charges1.4250.75999999999Percent of total billed charges1.450.55999999999Percent of total billed charges1.6150.85999999999Percent of total billed charges1.6150.85999999999Percent of total billed charges1.91999999999Percent of total billed chargesRate changes as Medicare rate changes1.91999999999Percent of total billed chargesRate changes as Medicare rate changes1.4250.75999999999Percent of total billed charges1.51.9
ASPIRIN SUPPOSITORY 300MG801078CDM250RCBoth3.712.63.150.85999999999Percent of total billed charges3.711999999999Percent of total billed chargesRate changes as Medicare rate changes2.780.75999999999Percent of total billed charges2.60.7999999999Percent of total billed charges2.970.8999999999Percent of total billed charges2.78250.75999999999Percent of total billed charges2.450.55999999999Percent of total billed charges3.15350.85999999999Percent of total billed charges3.15350.85999999999Percent of total billed charges3.711999999999Percent of total billed chargesRate changes as Medicare rate changes3.711999999999Percent of total billed chargesRate changes as Medicare rate changes2.78250.75999999999Percent of total billed charges2.43.71
PHENYLEPHRINE HCL 50MG/5ML INJECTION801091CDM250RCBoth12.28.541.370.85999999999Percent of total billed charges12.21999999999Percent of total billed chargesRate changes as Medicare rate changes9.150.75999999999Percent of total billed charges8.540.7999999999Percent of total billed charges9.760.8999999999Percent of total billed charges9.150.75999999999Percent of total billed charges6.710.55999999999Percent of total billed charges1.370.85999999999Percent of total billed charges1.370.85999999999Percent of total billed charges12.21999999999Percent of total billed chargesRate changes as Medicare rate changes12.21999999999Percent of total billed chargesRate changes as Medicare rate changes9.150.75999999999Percent of total billed charges6.7112.2
NS 039% 250ML801103CDM250RCBoth1.91.331.620.85999999999Percent of total billed charges1.91999999999Percent of total billed chargesRate changes as Medicare rate changes1.430.75999999999Percent of total billed charges1.330.7999999999Percent of total billed charges1.520.8999999999Percent of total billed charges1.4250.75999999999Percent of total billed charges1.450.55999999999Percent of total billed charges1.6150.85999999999Percent of total billed charges1.6150.85999999999Percent of total billed charges1.91999999999Percent of total billed chargesRate changes as Medicare rate changes1.91999999999Percent of total billed chargesRate changes as Medicare rate changes1.4250.75999999999Percent of total billed charges1.51.9
SPIRONOLACTONE 25MG TABLET801131CDM250RCBoth0.350.250.30.85999999999Percent of total billed charges0.351999999999Percent of total billed chargesRate changes as Medicare rate changes0.260.75999999999Percent of total billed charges0.250.7999999999Percent of total billed charges0.280.8999999999Percent of total billed charges0.26250.75999999999Percent of total billed charges0.19250.55999999999Percent of total billed charges0.29750.85999999999Percent of total billed charges0.29750.85999999999Percent of total billed charges0.351999999999Percent of total billed chargesRate changes as Medicare rate changes0.351999999999Percent of total billed chargesRate changes as Medicare rate changes0.26250.75999999999Percent of total billed charges0.190.35
REMDESIVIR 100MG/VIAL800974CDM250RCBoth15619213260.85999999999Percent of total billed charges1561999999999Percent of total billed chargesRate changes as Medicare rate changes1170.75999999999Percent of total billed charges1920.7999999999Percent of total billed charges12480.8999999999Percent of total billed charges1170.75999999999Percent of total billed charges8580.55999999999Percent of total billed charges13260.85999999999Percent of total billed charges13260.85999999999Percent of total billed charges1561999999999Percent of total billed chargesRate changes as Medicare rate changes1561999999999Percent of total billed chargesRate changes as Medicare rate changes1170.75999999999Percent of total billed charges117156
HUMULIN R INJ U-100 1ml800368CDM250RCBoth44.8831.4238.150.85999999999Percent of total billed charges44.881999999999Percent of total billed chargesRate changes as Medicare rate changes33.660.75999999999Percent of total billed charges31.420.7999999999Percent of total billed charges35.90.8999999999Percent of total billed charges33.660.75999999999Percent of total billed charges24.6840.55999999999Percent of total billed charges38.1480.85999999999Percent of total billed charges38.1480.85999999999Percent of total billed charges44.881999999999Percent of total billed chargesRate changes as Medicare rate changes44.881999999999Percent of total billed chargesRate changes as Medicare rate changes33.660.75999999999Percent of total billed charges24.6844.88
TNKASE KIT 50MG 1 KIT800647CDM250RCBoth249.4214343.2917416.860.85999999999Percent of total billed charges249.421999999999Percent of total billed chargesRate changes as Medicare rate changes15367.820.75999999999Percent of total billed charges14343.290.7999999999Percent of total billed charges16392.340.8999999999Percent of total billed charges15367.8150.75999999999Percent of total billed charges11269.7310.55999999999Percent of total billed charges17416.8570.85999999999Percent of total billed charges17416.8570.85999999999Percent of total billed charges249.421999999999Percent of total billed chargesRate changes as Medicare rate changes249.421999999999Percent of total billed chargesRate changes as Medicare rate changes15367.8150.75999999999Percent of total billed charges11269.73249.42
HIMULIN 70/30 SUBQ SUSPENSION800724CDM250RCBoth44.8831.4238.150.85999999999Percent of total billed charges44.881999999999Percent of total billed chargesRate changes as Medicare rate changes33.660.75999999999Percent of total billed charges31.420.7999999999Percent of total billed charges35.90.8999999999Percent of total billed charges33.660.75999999999Percent of total billed charges24.6840.55999999999Percent of total billed charges38.1480.85999999999Percent of total billed charges38.1480.85999999999Percent of total billed charges44.881999999999Percent of total billed chargesRate changes as Medicare rate changes44.881999999999Percent of total billed chargesRate changes as Medicare rate changes33.660.75999999999Percent of total billed charges24.6844.88
EPINEPHRINE INJ 0.1MG/ML 10 M800315CDM250RCBoth525367.5446.250.85999999999Percent of total billed charges5251999999999Percent of total billed chargesRate changes as Medicare rate changes393.750.75999999999Percent of total billed charges367.50.7999999999Percent of total billed charges420.8999999999Percent of total billed charges393.750.75999999999Percent of total billed charges288.750.55999999999Percent of total billed charges446.250.85999999999Percent of total billed charges446.250.85999999999Percent of total billed charges5251999999999Percent of total billed chargesRate changes as Medicare rate changes5251999999999Percent of total billed chargesRate changes as Medicare rate changes393.750.75999999999Percent of total billed charges42525
SOD CHLORID INJ 0.9% 1000 ML800607CDM250RCBoth2.9514.6717.810.85999999999Percent of total billed charges2.951999999999Percent of total billed chargesRate changes as Medicare rate changes15.710.75999999999Percent of total billed charges14.670.7999999999Percent of total billed charges16.760.8999999999Percent of total billed charges15.71250.75999999999Percent of total billed charges11.52250.55999999999Percent of total billed charges17.8750.85999999999Percent of total billed charges17.8750.85999999999Percent of total billed charges2.951999999999Percent of total billed chargesRate changes as Medicare rate changes2.951999999999Percent of total billed chargesRate changes as Medicare rate changes15.71250.75999999999Percent of total billed charges11.522.95
SOD CHLORID INJ 0.9% 100 ML800606CDM250RCBoth29.52.3424.690.85999999999Percent of total billed charges29.51999999999Percent of total billed chargesRate changes as Medicare rate changes21.790.75999999999Percent of total billed charges2.340.7999999999Percent of total billed charges23.240.8999999999Percent of total billed charges21.78750.75999999999Percent of total billed charges15.97750.55999999999Percent of total billed charges24.69250.85999999999Percent of total billed charges24.69250.85999999999Percent of total billed charges29.51999999999Percent of total billed chargesRate changes as Medicare rate changes29.51999999999Percent of total billed chargesRate changes as Medicare rate changes21.78750.75999999999Percent of total billed charges2.3429.5
PULMICORT FLEXHALER 90 MCG800975CDM250RCBoth598.83419.1859.10.85999999999Percent of total billed charges598.831999999999Percent of total billed chargesRate changes as Medicare rate changes449.120.75999999999Percent of total billed charges419.180.7999999999Percent of total billed charges479.60.8999999999Percent of total billed charges449.12250.75999999999Percent of total billed charges329.35650.55999999999Percent of total billed charges59.550.85999999999Percent of total billed charges59.550.85999999999Percent of total billed charges598.831999999999Percent of total billed chargesRate changes as Medicare rate changes598.831999999999Percent of total billed chargesRate changes as Medicare rate changes449.12250.75999999999Percent of total billed charges329.36598.83
PROLIA 60MG/ML-1ML INJ800914CDM250RCBoth4269.932988.953629.440.85999999999Percent of total billed charges4269.931999999999Percent of total billed chargesRate changes as Medicare rate changes322.450.75999999999Percent of total billed charges2988.950.7999999999Percent of total billed charges3415.940.8999999999Percent of total billed charges322.44750.75999999999Percent of total billed charges2348.46150.55999999999Percent of total billed charges3629.4450.85999999999Percent of total billed charges3629.4450.85999999999Percent of total billed charges4269.931999999999Percent of total billed chargesRate changes as Medicare rate changes4269.931999999999Percent of total billed chargesRate changes as Medicare rate changes322.44750.75999999999Percent of total billed charges322.454269.93
SYMBICORT 160/4.5 INHALER800957CDM250RCBoth546.99382.89464.940.85999999999Percent of total billed charges546.991999999999Percent of total billed chargesRate changes as Medicare rate changes41.240.75999999999Percent of total billed charges382.890.7999999999Percent of total billed charges437.590.8999999999Percent of total billed charges41.24250.75999999999Percent of total billed charges3.84450.55999999999Percent of total billed charges464.94150.85999999999Percent of total billed charges464.94150.85999999999Percent of total billed charges546.991999999999Percent of total billed chargesRate changes as Medicare rate changes546.991999999999Percent of total billed chargesRate changes as Medicare rate changes41.24250.75999999999Percent of total billed charges41.24546.99
GLUCAGON KIT 1MG 1 KIT800356CDM250RCBoth885.36619.75752.560.85999999999Percent of total billed charges885.361999999999Percent of total billed chargesRate changes as Medicare rate changes664.20.75999999999Percent of total billed charges619.750.7999999999Percent of total billed charges78.290.8999999999Percent of total billed charges664.20.75999999999Percent of total billed charges486.9480.55999999999Percent of total billed charges752.5560.85999999999Percent of total billed charges752.5560.85999999999Percent of total billed charges885.361999999999Percent of total billed chargesRate changes as Medicare rate changes885.361999999999Percent of total billed chargesRate changes as Medicare rate changes664.20.75999999999Percent of total billed charges78.29885.36
SOD CHLORID INJ 0.9% 500 ML800611CDM250RCBoth8.976.287.620.85999999999Percent of total billed charges8.971999999999Percent of total billed chargesRate changes as Medicare rate changes6.730.75999999999Percent of total billed charges6.280.7999999999Percent of total billed charges7.180.8999999999Percent of total billed charges6.72750.75999999999Percent of total billed charges4.93350.55999999999Percent of total billed charges7.62450.85999999999Percent of total billed charges7.62450.85999999999Percent of total billed charges8.971999999999Percent of total billed chargesRate changes as Medicare rate changes8.971999999999Percent of total billed chargesRate changes as Medicare rate changes6.72750.75999999999Percent of total billed charges4.938.97
PIPERACILLIN TAZOBACTAM IV800754CDM250RCBoth68.748.958.40.85999999999Percent of total billed charges68.71999999999Percent of total billed chargesRate changes as Medicare rate changes51.530.75999999999Percent of total billed charges48.90.7999999999Percent of total billed charges54.960.8999999999Percent of total billed charges51.5250.75999999999Percent of total billed charges37.7850.55999999999Percent of total billed charges58.3950.85999999999Percent of total billed charges58.3950.85999999999Percent of total billed charges68.71999999999Percent of total billed chargesRate changes as Medicare rate changes68.71999999999Percent of total billed chargesRate changes as Medicare rate changes51.5250.75999999999Percent of total billed charges37.7968.7
SOLU-MEDROL INJ 40MG 1 INJ800617CDM250RCBoth15.331.7313.30.85999999999Percent of total billed charges15.331999999999Percent of total billed chargesRate changes as Medicare rate changes11.50.75999999999Percent of total billed charges1.730.7999999999Percent of total billed charges12.260.8999999999Percent of total billed charges11.49750.75999999999Percent of total billed charges8.43150.55999999999Percent of total billed charges13.350.85999999999Percent of total billed charges13.350.85999999999Percent of total billed charges15.331999999999Percent of total billed chargesRate changes as Medicare rate changes15.331999999999Percent of total billed chargesRate changes as Medicare rate changes11.49750.75999999999Percent of total billed charges1.7315.33
SOLU-MEDROL INJ 125MG 1 INJ800616CDM250RCBoth24.4217.92.760.85999999999Percent of total billed charges24.421999999999Percent of total billed chargesRate changes as Medicare rate changes18.320.75999999999Percent of total billed charges17.90.7999999999Percent of total billed charges19.540.8999999999Percent of total billed charges18.3150.75999999999Percent of total billed charges13.4310.55999999999Percent of total billed charges2.7570.85999999999Percent of total billed charges2.7570.85999999999Percent of total billed charges24.421999999999Percent of total billed chargesRate changes as Medicare rate changes24.421999999999Percent of total billed chargesRate changes as Medicare rate changes18.3150.75999999999Percent of total billed charges13.4324.42
CARVEDILOL TAB 3.125MG 1 TA800195CDM250RCBoth7.55.256.380.85999999999Percent of total billed charges7.51999999999Percent of total billed chargesRate changes as Medicare rate changes5.630.75999999999Percent of total billed charges5.250.7999999999Percent of total billed charges60.8999999999Percent of total billed charges5.6250.75999999999Percent of total billed charges4.1250.55999999999Percent of total billed charges6.3750.85999999999Percent of total billed charges6.3750.85999999999Percent of total billed charges7.51999999999Percent of total billed chargesRate changes as Medicare rate changes7.51999999999Percent of total billed chargesRate changes as Medicare rate changes5.6250.75999999999Percent of total billed charges4.137.5
MEGESTROL A SUS 40MG/ML 5ml800458CDM250RCBoth1271.486.70.85999999999Percent of total billed charges121999999999Percent of total billed chargesRate changes as Medicare rate changes76.50.75999999999Percent of total billed charges71.40.7999999999Percent of total billed charges81.60.8999999999Percent of total billed charges76.50.75999999999Percent of total billed charges56.10.55999999999Percent of total billed charges86.70.85999999999Percent of total billed charges86.70.85999999999Percent of total billed charges121999999999Percent of total billed chargesRate changes as Medicare rate changes121999999999Percent of total billed chargesRate changes as Medicare rate changes76.50.75999999999Percent of total billed charges56.112
LACTULOSE SOL 10GM/15 30 M800408CDM250RCBoth1.157.118.630.85999999999Percent of total billed charges1.151999999999Percent of total billed chargesRate changes as Medicare rate changes7.610.75999999999Percent of total billed charges7.110.7999999999Percent of total billed charges8.120.8999999999Percent of total billed charges7.61250.75999999999Percent of total billed charges5.58250.55999999999Percent of total billed charges8.62750.85999999999Percent of total billed charges8.62750.85999999999Percent of total billed charges1.151999999999Percent of total billed chargesRate changes as Medicare rate changes1.151999999999Percent of total billed chargesRate changes as Medicare rate changes7.61250.75999999999Percent of total billed charges5.581.15
PRO AIR HFA INHALER 90MCG800932CDM250RCBoth216.6151.62184.110.85999999999Percent of total billed charges216.61999999999Percent of total billed chargesRate changes as Medicare rate changes162.450.75999999999Percent of total billed charges151.620.7999999999Percent of total billed charges173.280.8999999999Percent of total billed charges162.450.75999999999Percent of total billed charges119.130.55999999999Percent of total billed charges184.110.85999999999Percent of total billed charges184.110.85999999999Percent of total billed charges216.61999999999Percent of total billed chargesRate changes as Medicare rate changes216.61999999999Percent of total billed chargesRate changes as Medicare rate changes162.450.75999999999Percent of total billed charges119.13216.6
LOVENOX INJ 40/0.4ML .4 M800448CDM250RCBoth32125.50.85999999999Percent of total billed charges31999999999Percent of total billed chargesRate changes as Medicare rate changes22.50.75999999999Percent of total billed charges210.7999999999Percent of total billed charges240.8999999999Percent of total billed charges22.50.75999999999Percent of total billed charges16.50.55999999999Percent of total billed charges25.50.85999999999Percent of total billed charges25.50.85999999999Percent of total billed charges31999999999Percent of total billed chargesRate changes as Medicare rate changes31999999999Percent of total billed chargesRate changes as Medicare rate changes22.50.75999999999Percent of total billed charges16.53
ARICEPT TAB 5MG 1 TAB800148CDM250RCBoth26.318.4122.360.85999999999Percent of total billed charges26.31999999999Percent of total billed chargesRate changes as Medicare rate changes19.730.75999999999Percent of total billed charges18.410.7999999999Percent of total billed charges21.40.8999999999Percent of total billed charges19.7250.75999999999Percent of total billed charges14.4650.55999999999Percent of total billed charges22.3550.85999999999Percent of total billed charges22.3550.85999999999Percent of total billed charges26.31999999999Percent of total billed chargesRate changes as Medicare rate changes26.31999999999Percent of total billed chargesRate changes as Medicare rate changes19.7250.75999999999Percent of total billed charges14.4726.3
SOD CHLORID INJ 0.9% 50 ML800609CDM250RCBoth29.52.3424.690.85999999999Percent of total billed charges29.51999999999Percent of total billed chargesRate changes as Medicare rate changes21.790.75999999999Percent of total billed charges2.340.7999999999Percent of total billed charges23.240.8999999999Percent of total billed charges21.78750.75999999999Percent of total billed charges15.97750.55999999999Percent of total billed charges24.69250.85999999999Percent of total billed charges24.69250.85999999999Percent of total billed charges29.51999999999Percent of total billed chargesRate changes as Medicare rate changes29.51999999999Percent of total billed chargesRate changes as Medicare rate changes21.78750.75999999999Percent of total billed charges2.3429.5
FLOMAX CAP 0.4MG 1 CAP800329CDM250RCBoth16.4511.5213.980.85999999999Percent of total billed charges16.451999999999Percent of total billed chargesRate changes as Medicare rate changes12.340.75999999999Percent of total billed charges11.520.7999999999Percent of total billed charges13.160.8999999999Percent of total billed charges12.33750.75999999999Percent of total billed charges9.4750.55999999999Percent of total billed charges13.98250.85999999999Percent of total billed charges13.98250.85999999999Percent of total billed charges16.451999999999Percent of total billed chargesRate changes as Medicare rate changes16.451999999999Percent of total billed chargesRate changes as Medicare rate changes12.33750.75999999999Percent of total billed charges9.516.45
COMBIVENT RESPIMAT INHL MIST800857CDM250RCBoth112.17784.12952.140.85999999999Percent of total billed charges112.171999999999Percent of total billed chargesRate changes as Medicare rate changes84.130.75999999999Percent of total billed charges784.120.7999999999Percent of total billed charges896.140.8999999999Percent of total billed charges84.12750.75999999999Percent of total billed charges616.9350.55999999999Percent of total billed charges952.14450.85999999999Percent of total billed charges952.14450.85999999999Percent of total billed charges112.171999999999Percent of total billed chargesRate changes as Medicare rate changes112.171999999999Percent of total billed chargesRate changes as Medicare rate changes84.12750.75999999999Percent of total billed charges84.13112.17
CIPRO I.V. SOL 400MG 200 ML800213CDM250RCBoth7552.563.750.85999999999Percent of total billed charges751999999999Percent of total billed chargesRate changes as Medicare rate changes56.250.75999999999Percent of total billed charges52.50.7999999999Percent of total billed charges60.8999999999Percent of total billed charges56.250.75999999999Percent of total billed charges41.250.55999999999Percent of total billed charges63.750.85999999999Percent of total billed charges63.750.85999999999Percent of total billed charges751999999999Percent of total billed chargesRate changes as Medicare rate changes751999999999Percent of total billed chargesRate changes as Medicare rate changes56.250.75999999999Percent of total billed charges675
MIDODRINE TAB 5MG 1 TAB800477CDM250RCBoth8.55.957.230.85999999999Percent of total billed charges8.51999999999Percent of total billed chargesRate changes as Medicare rate changes6.380.75999999999Percent of total billed charges5.950.7999999999Percent of total billed charges6.80.8999999999Percent of total billed charges6.3750.75999999999Percent of total billed charges4.6750.55999999999Percent of total billed charges7.2250.85999999999Percent of total billed charges7.2250.85999999999Percent of total billed charges8.51999999999Percent of total billed chargesRate changes as Medicare rate changes8.51999999999Percent of total billed chargesRate changes as Medicare rate changes6.3750.75999999999Percent of total billed charges4.688.5
PLAVIX TAB 75MG 1 TAB800540CDM250RCBoth18.6513.615.850.85999999999Percent of total billed charges18.651999999999Percent of total billed chargesRate changes as Medicare rate changes13.990.75999999999Percent of total billed charges13.60.7999999999Percent of total billed charges14.920.8999999999Percent of total billed charges13.98750.75999999999Percent of total billed charges1.25750.55999999999Percent of total billed charges15.85250.85999999999Percent of total billed charges15.85250.85999999999Percent of total billed charges18.651999999999Percent of total billed chargesRate changes as Medicare rate changes18.651999999999Percent of total billed chargesRate changes as Medicare rate changes13.98750.75999999999Percent of total billed charges1.2618.65
PROMETH VC/ SYP CODEINE 5ml800561CDM250RCBoth82.5957.817.20.85999999999Percent of total billed charges82.591999999999Percent of total billed chargesRate changes as Medicare rate changes61.940.75999999999Percent of total billed charges57.810.7999999999Percent of total billed charges66.70.8999999999Percent of total billed charges61.94250.75999999999Percent of total billed charges45.42450.55999999999Percent of total billed charges7.2150.85999999999Percent of total billed charges7.2150.85999999999Percent of total billed charges82.591999999999Percent of total billed chargesRate changes as Medicare rate changes82.591999999999Percent of total billed chargesRate changes as Medicare rate changes61.94250.75999999999Percent of total billed charges45.4282.59
LEVOTHYROXI TAB 50MCG 1 TAB800420CDM250RCBoth1.237.168.70.85999999999Percent of total billed charges1.231999999999Percent of total billed chargesRate changes as Medicare rate changes7.670.75999999999Percent of total billed charges7.160.7999999999Percent of total billed charges8.180.8999999999Percent of total billed charges7.67250.75999999999Percent of total billed charges5.62650.55999999999Percent of total billed charges8.69550.85999999999Percent of total billed charges8.69550.85999999999Percent of total billed charges1.231999999999Percent of total billed chargesRate changes as Medicare rate changes1.231999999999Percent of total billed chargesRate changes as Medicare rate changes7.67250.75999999999Percent of total billed charges5.631.23
ACETYLCYSTEINE (MUCOMYST)800781CDM250RCBoth29.972.9825.470.85999999999Percent of total billed charges29.971999999999Percent of total billed chargesRate changes as Medicare rate changes22.480.75999999999Percent of total billed charges2.980.7999999999Percent of total billed charges23.980.8999999999Percent of total billed charges22.47750.75999999999Percent of total billed charges16.48350.55999999999Percent of total billed charges25.47450.85999999999Percent of total billed charges25.47450.85999999999Percent of total billed charges29.971999999999Percent of total billed chargesRate changes as Medicare rate changes29.971999999999Percent of total billed chargesRate changes as Medicare rate changes22.47750.75999999999Percent of total billed charges2.9829.97
DOXYCYCL HY CAP 100MG 1 CAP800305CDM250RCBoth5.84.64.930.85999999999Percent of total billed charges5.81999999999Percent of total billed chargesRate changes as Medicare rate changes4.350.75999999999Percent of total billed charges4.60.7999999999Percent of total billed charges4.640.8999999999Percent of total billed charges4.350.75999999999Percent of total billed charges3.190.55999999999Percent of total billed charges4.930.85999999999Percent of total billed charges4.930.85999999999Percent of total billed charges5.81999999999Percent of total billed chargesRate changes as Medicare rate changes5.81999999999Percent of total billed chargesRate changes as Medicare rate changes4.350.75999999999Percent of total billed charges3.195.8
MEDI HONEY WOUND DRESSING800998CDM250RCBoth34.2323.9629.10.85999999999Percent of total billed charges34.231999999999Percent of total billed chargesRate changes as Medicare rate changes25.670.75999999999Percent of total billed charges23.960.7999999999Percent of total billed charges27.380.8999999999Percent of total billed charges25.67250.75999999999Percent of total billed charges18.82650.55999999999Percent of total billed charges29.9550.85999999999Percent of total billed charges29.9550.85999999999Percent of total billed charges34.231999999999Percent of total billed chargesRate changes as Medicare rate changes34.231999999999Percent of total billed chargesRate changes as Medicare rate changes25.67250.75999999999Percent of total billed charges18.8334.23
PRAVASTATIN TAB 20MG 1 TAB800547CDM250RCBoth11.47.989.690.85999999999Percent of total billed charges11.41999999999Percent of total billed chargesRate changes as Medicare rate changes8.550.75999999999Percent of total billed charges7.980.7999999999Percent of total billed charges9.120.8999999999Percent of total billed charges8.550.75999999999Percent of total billed charges6.270.55999999999Percent of total billed charges9.690.85999999999Percent of total billed charges9.690.85999999999Percent of total billed charges11.41999999999Percent of total billed chargesRate changes as Medicare rate changes11.41999999999Percent of total billed chargesRate changes as Medicare rate changes8.550.75999999999Percent of total billed charges6.2711.4
DIFLUCAN TAB 100MG 1 TAB800285CDM250RCBoth39.6527.7633.70.85999999999Percent of total billed charges39.651999999999Percent of total billed chargesRate changes as Medicare rate changes29.740.75999999999Percent of total billed charges27.760.7999999999Percent of total billed charges31.720.8999999999Percent of total billed charges29.73750.75999999999Percent of total billed charges21.8750.55999999999Percent of total billed charges33.7250.85999999999Percent of total billed charges33.7250.85999999999Percent of total billed charges39.651999999999Percent of total billed chargesRate changes as Medicare rate changes39.651999999999Percent of total billed chargesRate changes as Medicare rate changes29.73750.75999999999Percent of total billed charges21.8139.65
SOD CHLORID INJ 0.9% 50 ML800610CDM250RCBoth26.318.4122.360.85999999999Percent of total billed charges26.31999999999Percent of total billed chargesRate changes as Medicare rate changes19.730.75999999999Percent of total billed charges18.410.7999999999Percent of total billed charges21.40.8999999999Percent of total billed charges19.7250.75999999999Percent of total billed charges14.4650.55999999999Percent of total billed charges22.3550.85999999999Percent of total billed charges22.3550.85999999999Percent of total billed charges26.31999999999Percent of total billed chargesRate changes as Medicare rate changes26.31999999999Percent of total billed chargesRate changes as Medicare rate changes19.7250.75999999999Percent of total billed charges14.4726.3
SOD CHLORID INJ 0.9% 10 ML800605CDM250RCBoth3.152.212.680.85999999999Percent of total billed charges3.151999999999Percent of total billed chargesRate changes as Medicare rate changes2.360.75999999999Percent of total billed charges2.210.7999999999Percent of total billed charges2.520.8999999999Percent of total billed charges2.36250.75999999999Percent of total billed charges1.73250.55999999999Percent of total billed charges2.67750.85999999999Percent of total billed charges2.67750.85999999999Percent of total billed charges3.151999999999Percent of total billed chargesRate changes as Medicare rate changes3.151999999999Percent of total billed chargesRate changes as Medicare rate changes2.36250.75999999999Percent of total billed charges1.733.15
NITROFUR MA CAP 100MG 1 CAP800503CDM250RCBoth69.4848.6459.60.85999999999Percent of total billed charges69.481999999999Percent of total billed chargesRate changes as Medicare rate changes52.110.75999999999Percent of total billed charges48.640.7999999999Percent of total billed charges55.580.8999999999Percent of total billed charges52.110.75999999999Percent of total billed charges38.2140.55999999999Percent of total billed charges59.580.85999999999Percent of total billed charges59.580.85999999999Percent of total billed charges69.481999999999Percent of total billed chargesRate changes as Medicare rate changes69.481999999999Percent of total billed chargesRate changes as Medicare rate changes52.110.75999999999Percent of total billed charges38.2169.48
CRESTOR TAB 10MG 1 TAB800248CDM250RCBoth16.3511.4513.90.85999999999Percent of total billed charges16.351999999999Percent of total billed chargesRate changes as Medicare rate changes12.260.75999999999Percent of total billed charges11.450.7999999999Percent of total billed charges13.80.8999999999Percent of total billed charges12.26250.75999999999Percent of total billed charges8.99250.55999999999Percent of total billed charges13.89750.85999999999Percent of total billed charges13.89750.85999999999Percent of total billed charges16.351999999999Percent of total billed chargesRate changes as Medicare rate changes16.351999999999Percent of total billed chargesRate changes as Medicare rate changes12.26250.75999999999Percent of total billed charges8.9916.35
PEDIAPRED SOL 6.7/5ML 5ml800529CDM250RCBoth197.85138.5168.170.85999999999Percent of total billed charges197.851999999999Percent of total billed chargesRate changes as Medicare rate changes148.390.75999999999Percent of total billed charges138.50.7999999999Percent of total billed charges158.280.8999999999Percent of total billed charges148.38750.75999999999Percent of total billed charges18.81750.55999999999Percent of total billed charges168.17250.85999999999Percent of total billed charges168.17250.85999999999Percent of total billed charges197.851999999999Percent of total billed chargesRate changes as Medicare rate changes197.851999999999Percent of total billed chargesRate changes as Medicare rate changes148.38750.75999999999Percent of total billed charges18.82197.85
LOVASTATIN TAB 20MG 1 TAB800444CDM250RCBoth8.355.857.10.85999999999Percent of total billed charges8.351999999999Percent of total billed chargesRate changes as Medicare rate changes6.260.75999999999Percent of total billed charges5.850.7999999999Percent of total billed charges6.680.8999999999Percent of total billed charges6.26250.75999999999Percent of total billed charges4.59250.55999999999Percent of total billed charges7.9750.85999999999Percent of total billed charges7.9750.85999999999Percent of total billed charges8.351999999999Percent of total billed chargesRate changes as Medicare rate changes8.351999999999Percent of total billed chargesRate changes as Medicare rate changes6.26250.75999999999Percent of total billed charges4.598.35
HEPARIN LOCK FLUSH 100U/ML IV800734CDM250RCBoth8.856.27.520.85999999999Percent of total billed charges8.851999999999Percent of total billed chargesRate changes as Medicare rate changes6.640.75999999999Percent of total billed charges6.20.7999999999Percent of total billed charges7.80.8999999999Percent of total billed charges6.63750.75999999999Percent of total billed charges4.86750.55999999999Percent of total billed charges7.52250.85999999999Percent of total billed charges7.52250.85999999999Percent of total billed charges8.851999999999Percent of total billed chargesRate changes as Medicare rate changes8.851999999999Percent of total billed chargesRate changes as Medicare rate changes6.63750.75999999999Percent of total billed charges4.878.85
CELEXA TAB 10MG 1 TAB800202CDM250RCBoth2215.418.70.85999999999Percent of total billed charges221999999999Percent of total billed chargesRate changes as Medicare rate changes16.50.75999999999Percent of total billed charges15.40.7999999999Percent of total billed charges17.60.8999999999Percent of total billed charges16.50.75999999999Percent of total billed charges12.10.55999999999Percent of total billed charges18.70.85999999999Percent of total billed charges18.70.85999999999Percent of total billed charges221999999999Percent of total billed chargesRate changes as Medicare rate changes221999999999Percent of total billed chargesRate changes as Medicare rate changes16.50.75999999999Percent of total billed charges12.122
ROCEPHIN 250MG INJ RECON SOLN800853CDM250RCBoth6.24.345.270.85999999999Percent of total billed charges6.21999999999Percent of total billed chargesRate changes as Medicare rate changes4.650.75999999999Percent of total billed charges4.340.7999999999Percent of total billed charges4.960.8999999999Percent of total billed charges4.650.75999999999Percent of total billed charges3.410.55999999999Percent of total billed charges5.270.85999999999Percent of total billed charges5.270.85999999999Percent of total billed charges6.21999999999Percent of total billed chargesRate changes as Medicare rate changes6.21999999999Percent of total billed chargesRate changes as Medicare rate changes4.650.75999999999Percent of total billed charges3.416.2
SODIUM CHLORIDE 0.3% IV PAR SO800718CDM250RCBoth32.3522.6527.50.85999999999Percent of total billed charges32.351999999999Percent of total billed chargesRate changes as Medicare rate changes24.260.75999999999Percent of total billed charges22.650.7999999999Percent of total billed charges25.880.8999999999Percent of total billed charges24.26250.75999999999Percent of total billed charges17.79250.55999999999Percent of total billed charges27.49750.85999999999Percent of total billed charges27.49750.85999999999Percent of total billed charges32.351999999999Percent of total billed chargesRate changes as Medicare rate changes32.351999999999Percent of total billed chargesRate changes as Medicare rate changes24.26250.75999999999Percent of total billed charges17.7932.35
XARELTO ORAL TABLET800744CDM250RCBoth2718.922.950.85999999999Percent of total billed charges271999999999Percent of total billed chargesRate changes as Medicare rate changes2.250.75999999999Percent of total billed charges18.90.7999999999Percent of total billed charges21.60.8999999999Percent of total billed charges2.250.75999999999Percent of total billed charges14.850.55999999999Percent of total billed charges22.950.85999999999Percent of total billed charges22.950.85999999999Percent of total billed charges271999999999Percent of total billed chargesRate changes as Medicare rate changes271999999999Percent of total billed chargesRate changes as Medicare rate changes2.250.75999999999Percent of total billed charges2.2527
KENALOG-40 INJ 40MG/ML 10 M800399CDM250RCBoth17.4119.28144.840.85999999999Percent of total billed charges17.41999999999Percent of total billed chargesRate changes as Medicare rate changes127.80.75999999999Percent of total billed charges119.280.7999999999Percent of total billed charges136.320.8999999999Percent of total billed charges127.80.75999999999Percent of total billed charges93.720.55999999999Percent of total billed charges144.840.85999999999Percent of total billed charges144.840.85999999999Percent of total billed charges17.41999999999Percent of total billed chargesRate changes as Medicare rate changes17.41999999999Percent of total billed chargesRate changes as Medicare rate changes127.80.75999999999Percent of total billed charges93.7217.4
CIPROFLOXAC TAB 500MG 1 TAB800215CDM250RCBoth12.99.31.970.85999999999Percent of total billed charges12.91999999999Percent of total billed chargesRate changes as Medicare rate changes9.680.75999999999Percent of total billed charges9.30.7999999999Percent of total billed charges1.320.8999999999Percent of total billed charges9.6750.75999999999Percent of total billed charges7.950.55999999999Percent of total billed charges1.9650.85999999999Percent of total billed charges1.9650.85999999999Percent of total billed charges12.91999999999Percent of total billed chargesRate changes as Medicare rate changes12.91999999999Percent of total billed chargesRate changes as Medicare rate changes9.6750.75999999999Percent of total billed charges1.3212.9
TET/DIP TOX INJ 2-2 LF .5 ML800638CDM250RCBoth113.8279.6796.750.85999999999Percent of total billed charges113.821999999999Percent of total billed chargesRate changes as Medicare rate changes85.370.75999999999Percent of total billed charges79.670.7999999999Percent of total billed charges91.60.8999999999Percent of total billed charges85.3650.75999999999Percent of total billed charges62.610.55999999999Percent of total billed charges96.7470.85999999999Percent of total billed charges96.7470.85999999999Percent of total billed charges113.821999999999Percent of total billed chargesRate changes as Medicare rate changes113.821999999999Percent of total billed chargesRate changes as Medicare rate changes85.3650.75999999999Percent of total billed charges62.6113.82
SUMATRIPTAN INJ 6MG/0.5 .5 M800629CDM250RCBoth227.15159.1193.80.85999999999Percent of total billed charges227.151999999999Percent of total billed chargesRate changes as Medicare rate changes17.360.75999999999Percent of total billed charges159.10.7999999999Percent of total billed charges181.720.8999999999Percent of total billed charges17.36250.75999999999Percent of total billed charges124.93250.55999999999Percent of total billed charges193.7750.85999999999Percent of total billed charges193.7750.85999999999Percent of total billed charges227.151999999999Percent of total billed chargesRate changes as Medicare rate changes227.151999999999Percent of total billed chargesRate changes as Medicare rate changes17.36250.75999999999Percent of total billed charges17.36227.15
ONDANSETRON TAB 4MG 1 TAB800518CDM250RCBoth24.817.3621.80.85999999999Percent of total billed charges24.81999999999Percent of total billed chargesRate changes as Medicare rate changes18.60.75999999999Percent of total billed charges17.360.7999999999Percent of total billed charges19.840.8999999999Percent of total billed charges18.60.75999999999Percent of total billed charges13.640.55999999999Percent of total billed charges21.80.85999999999Percent of total billed charges21.80.85999999999Percent of total billed charges24.81999999999Percent of total billed chargesRate changes as Medicare rate changes24.81999999999Percent of total billed chargesRate changes as Medicare rate changes18.60.75999999999Percent of total billed charges13.6424.8
METOPROLOL TAB 50MG ER 1 TA800472CDM250RCBoth1.357.258.80.85999999999Percent of total billed charges1.351999999999Percent of total billed chargesRate changes as Medicare rate changes7.760.75999999999Percent of total billed charges7.250.7999999999Percent of total billed charges8.280.8999999999Percent of total billed charges7.76250.75999999999Percent of total billed charges5.69250.55999999999Percent of total billed charges8.79750.85999999999Percent of total billed charges8.79750.85999999999Percent of total billed charges1.351999999999Percent of total billed chargesRate changes as Medicare rate changes1.351999999999Percent of total billed chargesRate changes as Medicare rate changes7.76250.75999999999Percent of total billed charges5.691.35
SERTRALINE TAB 50MG 1 TAB800593CDM250RCBoth178.50.85999999999Percent of total billed charges11999999999Percent of total billed chargesRate changes as Medicare rate changes7.50.75999999999Percent of total billed charges70.7999999999Percent of total billed charges80.8999999999Percent of total billed charges7.50.75999999999Percent of total billed charges5.50.55999999999Percent of total billed charges8.50.85999999999Percent of total billed charges8.50.85999999999Percent of total billed charges11999999999Percent of total billed chargesRate changes as Medicare rate changes11999999999Percent of total billed chargesRate changes as Medicare rate changes7.50.75999999999Percent of total billed charges5.51
IPRATROPIUM SOL INHAL 2.5 ML800393CDM250RCBoth6.24.345.270.85999999999Percent of total billed charges6.21999999999Percent of total billed chargesRate changes as Medicare rate changes4.650.75999999999Percent of total billed charges4.340.7999999999Percent of total billed charges4.960.8999999999Percent of total billed charges4.650.75999999999Percent of total billed charges3.410.55999999999Percent of total billed charges5.270.85999999999Percent of total billed charges5.270.85999999999Percent of total billed charges6.21999999999Percent of total billed chargesRate changes as Medicare rate changes6.21999999999Percent of total billed chargesRate changes as Medicare rate changes4.650.75999999999Percent of total billed charges3.416.2
LEVAQUIN/D5 INJ 500/100 100800412CDM250RCBoth2517.521.250.85999999999Percent of total billed charges251999999999Percent of total billed chargesRate changes as Medicare rate changes18.750.75999999999Percent of total billed charges17.50.7999999999Percent of total billed charges20.8999999999Percent of total billed charges18.750.75999999999Percent of total billed charges13.750.55999999999Percent of total billed charges21.250.85999999999Percent of total billed charges21.250.85999999999Percent of total billed charges251999999999Percent of total billed chargesRate changes as Medicare rate changes251999999999Percent of total billed chargesRate changes as Medicare rate changes18.750.75999999999Percent of total billed charges225
ELIQUIS800916CDM250RCBoth18.1212.6815.40.85999999999Percent of total billed charges18.121999999999Percent of total billed chargesRate changes as Medicare rate changes13.590.75999999999Percent of total billed charges12.680.7999999999Percent of total billed charges14.50.8999999999Percent of total billed charges13.590.75999999999Percent of total billed charges9.9660.55999999999Percent of total billed charges15.420.85999999999Percent of total billed charges15.420.85999999999Percent of total billed charges18.121999999999Percent of total billed chargesRate changes as Medicare rate changes18.121999999999Percent of total billed chargesRate changes as Medicare rate changes13.590.75999999999Percent of total billed charges9.9718.12
GUAIFENESIN SYP DM 120 ML800361CDM250RCBoth2.714.4917.60.85999999999Percent of total billed charges2.71999999999Percent of total billed chargesRate changes as Medicare rate changes15.530.75999999999Percent of total billed charges14.490.7999999999Percent of total billed charges16.560.8999999999Percent of total billed charges15.5250.75999999999Percent of total billed charges11.3850.55999999999Percent of total billed charges17.5950.85999999999Percent of total billed charges17.5950.85999999999Percent of total billed charges2.71999999999Percent of total billed chargesRate changes as Medicare rate changes2.71999999999Percent of total billed chargesRate changes as Medicare rate changes15.5250.75999999999Percent of total billed charges11.392.7
LEVAQUIN/D5 INJ 750/150 150800413CDM250RCBoth2517.521.250.85999999999Percent of total billed charges251999999999Percent of total billed chargesRate changes as Medicare rate changes18.750.75999999999Percent of total billed charges17.50.7999999999Percent of total billed charges20.8999999999Percent of total billed charges18.750.75999999999Percent of total billed charges13.750.55999999999Percent of total billed charges21.250.85999999999Percent of total billed charges21.250.85999999999Percent of total billed charges251999999999Percent of total billed chargesRate changes as Medicare rate changes251999999999Percent of total billed chargesRate changes as Medicare rate changes18.750.75999999999Percent of total billed charges225
NOVOLOG INJ 100/ML 1 ml800509CDM250RCBoth331.38231.97281.670.85999999999Percent of total billed charges331.381999999999Percent of total billed chargesRate changes as Medicare rate changes248.540.75999999999Percent of total billed charges231.970.7999999999Percent of total billed charges265.10.8999999999Percent of total billed charges248.5350.75999999999Percent of total billed charges182.2590.55999999999Percent of total billed charges281.6730.85999999999Percent of total billed charges281.6730.85999999999Percent of total billed charges331.381999999999Percent of total billed chargesRate changes as Medicare rate changes331.381999999999Percent of total billed chargesRate changes as Medicare rate changes248.5350.75999999999Percent of total billed charges182.26331.38
PAROXETINE TAB 20MG 1 TAB800527CDM250RCBoth9.66.728.160.85999999999Percent of total billed charges9.61999999999Percent of total billed chargesRate changes as Medicare rate changes7.20.75999999999Percent of total billed charges6.720.7999999999Percent of total billed charges7.680.8999999999Percent of total billed charges7.20.75999999999Percent of total billed charges5.280.55999999999Percent of total billed charges8.160.85999999999Percent of total billed charges8.160.85999999999Percent of total billed charges9.61999999999Percent of total billed chargesRate changes as Medicare rate changes9.61999999999Percent of total billed chargesRate changes as Medicare rate changes7.20.75999999999Percent of total billed charges5.289.6
BACTRIM DS TAB 800-160 1 TA800172CDM250RCBoth1.157.118.630.85999999999Percent of total billed charges1.151999999999Percent of total billed chargesRate changes as Medicare rate changes7.610.75999999999Percent of total billed charges7.110.7999999999Percent of total billed charges8.120.8999999999Percent of total billed charges7.61250.75999999999Percent of total billed charges5.58250.55999999999Percent of total billed charges8.62750.85999999999Percent of total billed charges8.62750.85999999999Percent of total billed charges1.151999999999Percent of total billed chargesRate changes as Medicare rate changes1.151999999999Percent of total billed chargesRate changes as Medicare rate changes7.61250.75999999999Percent of total billed charges5.581.15
KLOR-CON M2 TAB 20MEQ ER 1 TA800404CDM250RCBoth1.387.278.820.85999999999Percent of total billed charges1.381999999999Percent of total billed chargesRate changes as Medicare rate changes7.790.75999999999Percent of total billed charges7.270.7999999999Percent of total billed charges8.30.8999999999Percent of total billed charges7.7850.75999999999Percent of total billed charges5.790.55999999999Percent of total billed charges8.8230.85999999999Percent of total billed charges8.8230.85999999999Percent of total billed charges1.381999999999Percent of total billed chargesRate changes as Medicare rate changes1.381999999999Percent of total billed chargesRate changes as Medicare rate changes7.7850.75999999999Percent of total billed charges5.711.38
OMEPRAZOLE CAP 20MG 1 CAP800512CDM250RCBoth11.858.31.70.85999999999Percent of total billed charges11.851999999999Percent of total billed chargesRate changes as Medicare rate changes8.890.75999999999Percent of total billed charges8.30.7999999999Percent of total billed charges9.480.8999999999Percent of total billed charges8.88750.75999999999Percent of total billed charges6.51750.55999999999Percent of total billed charges1.7250.85999999999Percent of total billed charges1.7250.85999999999Percent of total billed charges11.851999999999Percent of total billed chargesRate changes as Medicare rate changes11.851999999999Percent of total billed chargesRate changes as Medicare rate changes8.88750.75999999999Percent of total billed charges6.5211.85
BETAPACE TAB 80MG 1 TAB800182CDM250RCBoth14.351.512.20.85999999999Percent of total billed charges14.351999999999Percent of total billed chargesRate changes as Medicare rate changes1.760.75999999999Percent of total billed charges1.50.7999999999Percent of total billed charges11.480.8999999999Percent of total billed charges1.76250.75999999999Percent of total billed charges7.89250.55999999999Percent of total billed charges12.19750.85999999999Percent of total billed charges12.19750.85999999999Percent of total billed charges14.351999999999Percent of total billed chargesRate changes as Medicare rate changes14.351999999999Percent of total billed chargesRate changes as Medicare rate changes1.76250.75999999999Percent of total billed charges1.514.35
LOSARTAN 50MG ORAL TABLET800848CDM250RCBoth19.913.9316.920.85999999999Percent of total billed charges19.91999999999Percent of total billed chargesRate changes as Medicare rate changes14.930.75999999999Percent of total billed charges13.930.7999999999Percent of total billed charges15.920.8999999999Percent of total billed charges14.9250.75999999999Percent of total billed charges1.9450.55999999999Percent of total billed charges16.9150.85999999999Percent of total billed charges16.9150.85999999999Percent of total billed charges19.91999999999Percent of total billed chargesRate changes as Medicare rate changes19.91999999999Percent of total billed chargesRate changes as Medicare rate changes14.9250.75999999999Percent of total billed charges1.9519.9
BENTYL INJ 10MG/ML 2 ML800179CDM250RCBoth258.57181219.780.85999999999Percent of total billed charges258.571999999999Percent of total billed chargesRate changes as Medicare rate changes193.930.75999999999Percent of total billed charges1810.7999999999Percent of total billed charges26.860.8999999999Percent of total billed charges193.92750.75999999999Percent of total billed charges142.21350.55999999999Percent of total billed charges219.78450.85999999999Percent of total billed charges219.78450.85999999999Percent of total billed charges258.571999999999Percent of total billed chargesRate changes as Medicare rate changes258.571999999999Percent of total billed chargesRate changes as Medicare rate changes193.92750.75999999999Percent of total billed charges26.86258.57
NITROGLYCER SUB 0.4MG 1 SUB800505CDM250RCBoth32.2822.627.440.85999999999Percent of total billed charges32.281999999999Percent of total billed chargesRate changes as Medicare rate changes24.210.75999999999Percent of total billed charges22.60.7999999999Percent of total billed charges25.820.8999999999Percent of total billed charges24.210.75999999999Percent of total billed charges17.7540.55999999999Percent of total billed charges27.4380.85999999999Percent of total billed charges27.4380.85999999999Percent of total billed charges32.281999999999Percent of total billed chargesRate changes as Medicare rate changes32.281999999999Percent of total billed chargesRate changes as Medicare rate changes24.210.75999999999Percent of total billed charges17.7532.28
FOLIC ACID TAB 1MG 1 TAB800337CDM250RCBoth4.593.213.90.85999999999Percent of total billed charges4.591999999999Percent of total billed chargesRate changes as Medicare rate changes3.440.75999999999Percent of total billed charges3.210.7999999999Percent of total billed charges3.670.8999999999Percent of total billed charges3.44250.75999999999Percent of total billed charges2.52450.55999999999Percent of total billed charges3.9150.85999999999Percent of total billed charges3.9150.85999999999Percent of total billed charges4.591999999999Percent of total billed chargesRate changes as Medicare rate changes4.591999999999Percent of total billed chargesRate changes as Medicare rate changes3.44250.75999999999Percent of total billed charges2.524.59
ALBUTEROL NEB 0.083% 3 ML800118CDM250RCBoth4.73.2940.85999999999Percent of total billed charges4.71999999999Percent of total billed chargesRate changes as Medicare rate changes3.530.75999999999Percent of total billed charges3.290.7999999999Percent of total billed charges3.760.8999999999Percent of total billed charges3.5250.75999999999Percent of total billed charges2.5850.55999999999Percent of total billed charges3.9950.85999999999Percent of total billed charges3.9950.85999999999Percent of total billed charges4.71999999999Percent of total billed chargesRate changes as Medicare rate changes4.71999999999Percent of total billed chargesRate changes as Medicare rate changes3.5250.75999999999Percent of total billed charges2.594.7
LYRICA 50MG ORAL CAPSULE800748CDM250RCBoth27.618.94230.85999999999Percent of total billed charges27.61999999999Percent of total billed chargesRate changes as Medicare rate changes2.30.75999999999Percent of total billed charges18.940.7999999999Percent of total billed charges21.650.8999999999Percent of total billed charges2.2950.75999999999Percent of total billed charges14.8830.55999999999Percent of total billed charges23.10.85999999999Percent of total billed charges23.10.85999999999Percent of total billed charges27.61999999999Percent of total billed chargesRate changes as Medicare rate changes27.61999999999Percent of total billed chargesRate changes as Medicare rate changes2.2950.75999999999Percent of total billed charges2.327.6
CARVEDILOL TAB 12.5MG 1 TAB800194CDM250RCBoth7.55.256.380.85999999999Percent of total billed charges7.51999999999Percent of total billed chargesRate changes as Medicare rate changes5.630.75999999999Percent of total billed charges5.250.7999999999Percent of total billed charges60.8999999999Percent of total billed charges5.6250.75999999999Percent of total billed charges4.1250.55999999999Percent of total billed charges6.3750.85999999999Percent of total billed charges6.3750.85999999999Percent of total billed charges7.51999999999Percent of total billed chargesRate changes as Medicare rate changes7.51999999999Percent of total billed chargesRate changes as Medicare rate changes5.6250.75999999999Percent of total billed charges4.137.5
PREDNISONE PAK 10MG 1 PAK800548CDM250RCBoth4.413.93.750.85999999999Percent of total billed charges4.411999999999Percent of total billed chargesRate changes as Medicare rate changes3.310.75999999999Percent of total billed charges3.90.7999999999Percent of total billed charges3.530.8999999999Percent of total billed charges3.3750.75999999999Percent of total billed charges2.42550.55999999999Percent of total billed charges3.74850.85999999999Percent of total billed charges3.74850.85999999999Percent of total billed charges4.411999999999Percent of total billed chargesRate changes as Medicare rate changes4.411999999999Percent of total billed chargesRate changes as Medicare rate changes3.3750.75999999999Percent of total billed charges2.434.41
EFFEXOR XR CAP 75MG 1 CAP800310CDM250RCBoth5236.444.20.85999999999Percent of total billed charges521999999999Percent of total billed chargesRate changes as Medicare rate changes390.75999999999Percent of total billed charges36.40.7999999999Percent of total billed charges41.60.8999999999Percent of total billed charges390.75999999999Percent of total billed charges28.60.55999999999Percent of total billed charges44.20.85999999999Percent of total billed charges44.20.85999999999Percent of total billed charges521999999999Percent of total billed chargesRate changes as Medicare rate changes521999999999Percent of total billed chargesRate changes as Medicare rate changes390.75999999999Percent of total billed charges28.652
SYSTANE PEG 400 OPTH DROPS800790CDM250RCBoth18.312.8115.560.85999999999Percent of total billed charges18.31999999999Percent of total billed chargesRate changes as Medicare rate changes13.730.75999999999Percent of total billed charges12.810.7999999999Percent of total billed charges14.640.8999999999Percent of total billed charges13.7250.75999999999Percent of total billed charges1.650.55999999999Percent of total billed charges15.5550.85999999999Percent of total billed charges15.5550.85999999999Percent of total billed charges18.31999999999Percent of total billed chargesRate changes as Medicare rate changes18.31999999999Percent of total billed chargesRate changes as Medicare rate changes13.7250.75999999999Percent of total billed charges1.718.3
POT CHLORID INJ 2MEQ/ML 20 M800544CDM250RCBoth22.515.4418.740.85999999999Percent of total billed charges22.51999999999Percent of total billed chargesRate changes as Medicare rate changes16.540.75999999999Percent of total billed charges15.440.7999999999Percent of total billed charges17.640.8999999999Percent of total billed charges16.53750.75999999999Percent of total billed charges12.12750.55999999999Percent of total billed charges18.74250.85999999999Percent of total billed charges18.74250.85999999999Percent of total billed charges22.51999999999Percent of total billed chargesRate changes as Medicare rate changes22.51999999999Percent of total billed chargesRate changes as Medicare rate changes16.53750.75999999999Percent of total billed charges12.1322.5
ISOSORBIDE DINITRATE 10MG ORAL800786CDM250RCBoth16.3811.4713.920.85999999999Percent of total billed charges16.381999999999Percent of total billed chargesRate changes as Medicare rate changes12.290.75999999999Percent of total billed charges11.470.7999999999Percent of total billed charges13.10.8999999999Percent of total billed charges12.2850.75999999999Percent of total billed charges9.90.55999999999Percent of total billed charges13.9230.85999999999Percent of total billed charges13.9230.85999999999Percent of total billed charges16.381999999999Percent of total billed chargesRate changes as Medicare rate changes16.381999999999Percent of total billed chargesRate changes as Medicare rate changes12.2850.75999999999Percent of total billed charges9.116.38
ONDANSETRON INJ 2MG/ML 2 ML800515CDM250RCBoth4.43.83.740.85999999999Percent of total billed charges4.41999999999Percent of total billed chargesRate changes as Medicare rate changes3.30.75999999999Percent of total billed charges3.80.7999999999Percent of total billed charges3.520.8999999999Percent of total billed charges3.30.75999999999Percent of total billed charges2.420.55999999999Percent of total billed charges3.740.85999999999Percent of total billed charges3.740.85999999999Percent of total billed charges4.41999999999Percent of total billed chargesRate changes as Medicare rate changes4.41999999999Percent of total billed chargesRate changes as Medicare rate changes3.30.75999999999Percent of total billed charges2.424.4
FUROSEMIDE TAB 40MG 1 TAB800344CDM250RCBoth1.51.51.280.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.130.75999999999Percent of total billed charges1.50.7999999999Percent of total billed charges1.20.8999999999Percent of total billed charges1.1250.75999999999Percent of total billed charges0.8250.55999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.1250.75999999999Percent of total billed charges0.831.5
AUGMENTIN SUS 125/5ML 75 M800161CDM250RCBoth94.4566.128.280.85999999999Percent of total billed charges94.451999999999Percent of total billed chargesRate changes as Medicare rate changes7.840.75999999999Percent of total billed charges66.120.7999999999Percent of total billed charges75.560.8999999999Percent of total billed charges7.83750.75999999999Percent of total billed charges51.94750.55999999999Percent of total billed charges8.28250.85999999999Percent of total billed charges8.28250.85999999999Percent of total billed charges94.451999999999Percent of total billed chargesRate changes as Medicare rate changes94.451999999999Percent of total billed chargesRate changes as Medicare rate changes7.83750.75999999999Percent of total billed charges7.8494.45
SINGULAIR TAB 10MG 1 TAB800598CDM250RCBoth17.111.9714.540.85999999999Percent of total billed charges17.11999999999Percent of total billed chargesRate changes as Medicare rate changes12.830.75999999999Percent of total billed charges11.970.7999999999Percent of total billed charges13.680.8999999999Percent of total billed charges12.8250.75999999999Percent of total billed charges9.450.55999999999Percent of total billed charges14.5350.85999999999Percent of total billed charges14.5350.85999999999Percent of total billed charges17.11999999999Percent of total billed chargesRate changes as Medicare rate changes17.11999999999Percent of total billed chargesRate changes as Medicare rate changes12.8250.75999999999Percent of total billed charges9.4117.1
GABAPENTIN CAP 300MG 1 CAP800346CDM250RCBoth5.53.854.680.85999999999Percent of total billed charges5.51999999999Percent of total billed chargesRate changes as Medicare rate changes4.130.75999999999Percent of total billed charges3.850.7999999999Percent of total billed charges4.40.8999999999Percent of total billed charges4.1250.75999999999Percent of total billed charges3.250.55999999999Percent of total billed charges4.6750.85999999999Percent of total billed charges4.6750.85999999999Percent of total billed charges5.51999999999Percent of total billed chargesRate changes as Medicare rate changes5.51999999999Percent of total billed chargesRate changes as Medicare rate changes4.1250.75999999999Percent of total billed charges3.35.5
LOPRESSOR TAB 50MG 1 TAB800436CDM250RCBoth8.55.957.230.85999999999Percent of total billed charges8.51999999999Percent of total billed chargesRate changes as Medicare rate changes6.380.75999999999Percent of total billed charges5.950.7999999999Percent of total billed charges6.80.8999999999Percent of total billed charges6.3750.75999999999Percent of total billed charges4.6750.55999999999Percent of total billed charges7.2250.85999999999Percent of total billed charges7.2250.85999999999Percent of total billed charges8.51999999999Percent of total billed chargesRate changes as Medicare rate changes8.51999999999Percent of total billed chargesRate changes as Medicare rate changes6.3750.75999999999Percent of total billed charges4.688.5
DILTIAZEM TAB 60MG 1 TAB800293CDM250RCBoth4.53.153.830.85999999999Percent of total billed charges4.51999999999Percent of total billed chargesRate changes as Medicare rate changes3.380.75999999999Percent of total billed charges3.150.7999999999Percent of total billed charges3.60.8999999999Percent of total billed charges3.3750.75999999999Percent of total billed charges2.4750.55999999999Percent of total billed charges3.8250.85999999999Percent of total billed charges3.8250.85999999999Percent of total billed charges4.51999999999Percent of total billed chargesRate changes as Medicare rate changes4.51999999999Percent of total billed chargesRate changes as Medicare rate changes3.3750.75999999999Percent of total billed charges2.484.5
LEVOTHROID TAB 100MCG 1 TAB800416CDM250RCBoth12.818.971.890.85999999999Percent of total billed charges12.811999999999Percent of total billed chargesRate changes as Medicare rate changes9.610.75999999999Percent of total billed charges8.970.7999999999Percent of total billed charges1.250.8999999999Percent of total billed charges9.6750.75999999999Percent of total billed charges7.4550.55999999999Percent of total billed charges1.88850.85999999999Percent of total billed charges1.88850.85999999999Percent of total billed charges12.811999999999Percent of total billed chargesRate changes as Medicare rate changes12.811999999999Percent of total billed chargesRate changes as Medicare rate changes9.6750.75999999999Percent of total billed charges1.2512.81
HYDROXYZ HC TAB 25MG 1 TAB800383CDM250RCBoth5.163.614.390.85999999999Percent of total billed charges5.161999999999Percent of total billed chargesRate changes as Medicare rate changes3.870.75999999999Percent of total billed charges3.610.7999999999Percent of total billed charges4.130.8999999999Percent of total billed charges3.870.75999999999Percent of total billed charges2.8380.55999999999Percent of total billed charges4.3860.85999999999Percent of total billed charges4.3860.85999999999Percent of total billed charges5.161999999999Percent of total billed chargesRate changes as Medicare rate changes5.161999999999Percent of total billed chargesRate changes as Medicare rate changes3.870.75999999999Percent of total billed charges2.845.16
HYDRALAZINE TAB 25MG 1 TAB800370CDM250RCBoth2.972.82.520.85999999999Percent of total billed charges2.971999999999Percent of total billed chargesRate changes as Medicare rate changes2.230.75999999999Percent of total billed charges2.80.7999999999Percent of total billed charges2.380.8999999999Percent of total billed charges2.22750.75999999999Percent of total billed charges1.63350.55999999999Percent of total billed charges2.52450.85999999999Percent of total billed charges2.52450.85999999999Percent of total billed charges2.971999999999Percent of total billed chargesRate changes as Medicare rate changes2.971999999999Percent of total billed chargesRate changes as Medicare rate changes2.22750.75999999999Percent of total billed charges1.632.97
EZ CHAR ORAL SUSPENSION 25 GMS800730CDM250RCBoth5337.145.50.85999999999Percent of total billed charges531999999999Percent of total billed chargesRate changes as Medicare rate changes39.750.75999999999Percent of total billed charges37.10.7999999999Percent of total billed charges42.40.8999999999Percent of total billed charges39.750.75999999999Percent of total billed charges29.150.55999999999Percent of total billed charges45.50.85999999999Percent of total billed charges45.50.85999999999Percent of total billed charges531999999999Percent of total billed chargesRate changes as Medicare rate changes531999999999Percent of total billed chargesRate changes as Medicare rate changes39.750.75999999999Percent of total billed charges29.1553
CYCLOSPORINE 25MG MODIFIED CAP801007CDM250RCBoth3.252.282.760.85999999999Percent of total billed charges3.251999999999Percent of total billed chargesRate changes as Medicare rate changes2.440.75999999999Percent of total billed charges2.280.7999999999Percent of total billed charges2.60.8999999999Percent of total billed charges2.43750.75999999999Percent of total billed charges1.78750.55999999999Percent of total billed charges2.76250.85999999999Percent of total billed charges2.76250.85999999999Percent of total billed charges3.251999999999Percent of total billed chargesRate changes as Medicare rate changes3.251999999999Percent of total billed chargesRate changes as Medicare rate changes2.43750.75999999999Percent of total billed charges1.793.25
ALBUTEROL SULFATE .083%/3ML IN800774CDM250RCBoth4.73.2940.85999999999Percent of total billed charges4.71999999999Percent of total billed chargesRate changes as Medicare rate changes3.530.75999999999Percent of total billed charges3.290.7999999999Percent of total billed charges3.760.8999999999Percent of total billed charges3.5250.75999999999Percent of total billed charges2.5850.55999999999Percent of total billed charges3.9950.85999999999Percent of total billed charges3.9950.85999999999Percent of total billed charges4.71999999999Percent of total billed chargesRate changes as Medicare rate changes4.71999999999Percent of total billed chargesRate changes as Medicare rate changes3.5250.75999999999Percent of total billed charges2.594.7
LOVENOX INJ 60/0.6ML .6 M800449CDM250RCBoth53542.50.85999999999Percent of total billed charges51999999999Percent of total billed chargesRate changes as Medicare rate changes37.50.75999999999Percent of total billed charges350.7999999999Percent of total billed charges40.8999999999Percent of total billed charges37.50.75999999999Percent of total billed charges27.50.55999999999Percent of total billed charges42.50.85999999999Percent of total billed charges42.50.85999999999Percent of total billed charges51999999999Percent of total billed chargesRate changes as Medicare rate changes51999999999Percent of total billed chargesRate changes as Medicare rate changes37.50.75999999999Percent of total billed charges45
ZYPREXA TAB 5MG 1 TAB800684CDM250RCBoth4934.341.650.85999999999Percent of total billed charges491999999999Percent of total billed chargesRate changes as Medicare rate changes36.750.75999999999Percent of total billed charges34.30.7999999999Percent of total billed charges39.20.8999999999Percent of total billed charges36.750.75999999999Percent of total billed charges26.950.55999999999Percent of total billed charges41.650.85999999999Percent of total billed charges41.650.85999999999Percent of total billed charges491999999999Percent of total billed chargesRate changes as Medicare rate changes491999999999Percent of total billed chargesRate changes as Medicare rate changes36.750.75999999999Percent of total billed charges26.9549
LACTATED RI INJ 1000 ML800407CDM250RCBoth7.25.46.120.85999999999Percent of total billed charges7.21999999999Percent of total billed chargesRate changes as Medicare rate changes5.40.75999999999Percent of total billed charges5.40.7999999999Percent of total billed charges5.760.8999999999Percent of total billed charges5.40.75999999999Percent of total billed charges3.960.55999999999Percent of total billed charges6.120.85999999999Percent of total billed charges6.120.85999999999Percent of total billed charges7.21999999999Percent of total billed chargesRate changes as Medicare rate changes7.21999999999Percent of total billed chargesRate changes as Medicare rate changes5.40.75999999999Percent of total billed charges3.967.2
LIDOCAINE GEL 2% 5 ML800423CDM250RCBoth23.9516.772.360.85999999999Percent of total billed charges23.951999999999Percent of total billed chargesRate changes as Medicare rate changes17.960.75999999999Percent of total billed charges16.770.7999999999Percent of total billed charges19.160.8999999999Percent of total billed charges17.96250.75999999999Percent of total billed charges13.17250.55999999999Percent of total billed charges2.35750.85999999999Percent of total billed charges2.35750.85999999999Percent of total billed charges23.951999999999Percent of total billed chargesRate changes as Medicare rate changes23.951999999999Percent of total billed chargesRate changes as Medicare rate changes17.96250.75999999999Percent of total billed charges13.1723.95
DEXAMETH PH INJ 4MG/ML 1 ML800274CDM250RCBoth4.653.263.950.85999999999Percent of total billed charges4.651999999999Percent of total billed chargesRate changes as Medicare rate changes3.490.75999999999Percent of total billed charges3.260.7999999999Percent of total billed charges3.720.8999999999Percent of total billed charges3.48750.75999999999Percent of total billed charges2.55750.55999999999Percent of total billed charges3.95250.85999999999Percent of total billed charges3.95250.85999999999Percent of total billed charges4.651999999999Percent of total billed chargesRate changes as Medicare rate changes4.651999999999Percent of total billed chargesRate changes as Medicare rate changes3.48750.75999999999Percent of total billed charges2.564.65
ZOLPIDEM TAB 5MG 1 TAB800683CDM250RCBoth16.511.2413.640.85999999999Percent of total billed charges16.51999999999Percent of total billed chargesRate changes as Medicare rate changes12.40.75999999999Percent of total billed charges11.240.7999999999Percent of total billed charges12.840.8999999999Percent of total billed charges12.3750.75999999999Percent of total billed charges8.82750.55999999999Percent of total billed charges13.64250.85999999999Percent of total billed charges13.64250.85999999999Percent of total billed charges16.51999999999Percent of total billed chargesRate changes as Medicare rate changes16.51999999999Percent of total billed chargesRate changes as Medicare rate changes12.3750.75999999999Percent of total billed charges8.8316.5
DONEPEZIL ORAL CAPSULE800763CDM250RCBoth31.4522.226.730.85999999999Percent of total billed charges31.451999999999Percent of total billed chargesRate changes as Medicare rate changes23.590.75999999999Percent of total billed charges22.20.7999999999Percent of total billed charges25.160.8999999999Percent of total billed charges23.58750.75999999999Percent of total billed charges17.29750.55999999999Percent of total billed charges26.73250.85999999999Percent of total billed charges26.73250.85999999999Percent of total billed charges31.451999999999Percent of total billed chargesRate changes as Medicare rate changes31.451999999999Percent of total billed chargesRate changes as Medicare rate changes23.58750.75999999999Percent of total billed charges17.331.45
HYDROXYZ HC INJ 25MG/ML 1 ML800380CDM250RCBoth41.128.7734.940.85999999999Percent of total billed charges41.11999999999Percent of total billed chargesRate changes as Medicare rate changes3.830.75999999999Percent of total billed charges28.770.7999999999Percent of total billed charges32.880.8999999999Percent of total billed charges3.8250.75999999999Percent of total billed charges22.650.55999999999Percent of total billed charges34.9350.85999999999Percent of total billed charges34.9350.85999999999Percent of total billed charges41.11999999999Percent of total billed chargesRate changes as Medicare rate changes41.11999999999Percent of total billed chargesRate changes as Medicare rate changes3.8250.75999999999Percent of total billed charges3.8341.1
BACTROBAN OINT. 1GRAM (MUPIRCIN)800990CDM250RCBoth1GR8.35.626.830.85999999999Percent of total billed charges8.31999999999Percent of total billed chargesRate changes as Medicare rate changes6.20.75999999999Percent of total billed charges5.620.7999999999Percent of total billed charges6.420.8999999999Percent of total billed charges6.2250.75999999999Percent of total billed charges4.41650.55999999999Percent of total billed charges6.82550.85999999999Percent of total billed charges6.82550.85999999999Percent of total billed charges8.31999999999Percent of total billed chargesRate changes as Medicare rate changes8.31999999999Percent of total billed chargesRate changes as Medicare rate changes6.2250.75999999999Percent of total billed charges4.428.3
ADACEL(TDAP ADOLESN/ADULT)800852CDM250RCBoth118.783.91.90.85999999999Percent of total billed charges118.71999999999Percent of total billed chargesRate changes as Medicare rate changes89.30.75999999999Percent of total billed charges83.90.7999999999Percent of total billed charges94.960.8999999999Percent of total billed charges89.250.75999999999Percent of total billed charges65.2850.55999999999Percent of total billed charges1.8950.85999999999Percent of total billed charges1.8950.85999999999Percent of total billed charges118.71999999999Percent of total billed chargesRate changes as Medicare rate changes118.71999999999Percent of total billed chargesRate changes as Medicare rate changes89.250.75999999999Percent of total billed charges65.29118.7
SODIUM CITRATE ORAL SOLUTION800968CDM250RCBoth29.252.4824.860.85999999999Percent of total billed charges29.251999999999Percent of total billed chargesRate changes as Medicare rate changes21.940.75999999999Percent of total billed charges2.480.7999999999Percent of total billed charges23.40.8999999999Percent of total billed charges21.93750.75999999999Percent of total billed charges16.8750.55999999999Percent of total billed charges24.86250.85999999999Percent of total billed charges24.86250.85999999999Percent of total billed charges29.251999999999Percent of total billed chargesRate changes as Medicare rate changes29.251999999999Percent of total billed chargesRate changes as Medicare rate changes21.93750.75999999999Percent of total billed charges2.4829.25
SOD CHLORID INJ 0.9% 250 ML800608CDM250RCBoth5.84.64.930.85999999999Percent of total billed charges5.81999999999Percent of total billed chargesRate changes as Medicare rate changes4.350.75999999999Percent of total billed charges4.60.7999999999Percent of total billed charges4.640.8999999999Percent of total billed charges4.350.75999999999Percent of total billed charges3.190.55999999999Percent of total billed charges4.930.85999999999Percent of total billed charges4.930.85999999999Percent of total billed charges5.81999999999Percent of total billed chargesRate changes as Medicare rate changes5.81999999999Percent of total billed chargesRate changes as Medicare rate changes4.350.75999999999Percent of total billed charges3.195.8
DEXAMETHASONE SOD PHOS OPTH800780CDM250RCBoth115.298.7980.85999999999Percent of total billed charges115.291999999999Percent of total billed chargesRate changes as Medicare rate changes86.470.75999999999Percent of total billed charges8.70.7999999999Percent of total billed charges92.230.8999999999Percent of total billed charges86.46750.75999999999Percent of total billed charges63.4950.55999999999Percent of total billed charges97.99650.85999999999Percent of total billed charges97.99650.85999999999Percent of total billed charges115.291999999999Percent of total billed chargesRate changes as Medicare rate changes115.291999999999Percent of total billed chargesRate changes as Medicare rate changes86.46750.75999999999Percent of total billed charges8.7115.29
FUROSEMIDE INJ 10MG/ML 4 ML800342CDM250RCBoth8.15.676.890.85999999999Percent of total billed charges8.11999999999Percent of total billed chargesRate changes as Medicare rate changes6.80.75999999999Percent of total billed charges5.670.7999999999Percent of total billed charges6.480.8999999999Percent of total billed charges6.750.75999999999Percent of total billed charges4.4550.55999999999Percent of total billed charges6.8850.85999999999Percent of total billed charges6.8850.85999999999Percent of total billed charges8.11999999999Percent of total billed chargesRate changes as Medicare rate changes8.11999999999Percent of total billed chargesRate changes as Medicare rate changes6.750.75999999999Percent of total billed charges4.468.1
FENTANYL DIS 50MCG/HR 1 DI800322CDM250RCBoth11.877.5694.180.85999999999Percent of total billed charges11.81999999999Percent of total billed chargesRate changes as Medicare rate changes83.10.75999999999Percent of total billed charges77.560.7999999999Percent of total billed charges88.640.8999999999Percent of total billed charges83.10.75999999999Percent of total billed charges6.940.55999999999Percent of total billed charges94.180.85999999999Percent of total billed charges94.180.85999999999Percent of total billed charges11.81999999999Percent of total billed chargesRate changes as Medicare rate changes11.81999999999Percent of total billed chargesRate changes as Medicare rate changes83.10.75999999999Percent of total billed charges6.9411.8
SPIRIVA CAP HANDIHLR 1 CA800619CDM250RCBoth36.725.6931.20.85999999999Percent of total billed charges36.71999999999Percent of total billed chargesRate changes as Medicare rate changes27.530.75999999999Percent of total billed charges25.690.7999999999Percent of total billed charges29.360.8999999999Percent of total billed charges27.5250.75999999999Percent of total billed charges2.1850.55999999999Percent of total billed charges31.1950.85999999999Percent of total billed charges31.1950.85999999999Percent of total billed charges36.71999999999Percent of total billed chargesRate changes as Medicare rate changes36.71999999999Percent of total billed chargesRate changes as Medicare rate changes27.5250.75999999999Percent of total billed charges2.1936.7
TRAZODONE TAB 50MG 1 TAB800654CDM250RCBoth5.754.34.890.85999999999Percent of total billed charges5.751999999999Percent of total billed chargesRate changes as Medicare rate changes4.310.75999999999Percent of total billed charges4.30.7999999999Percent of total billed charges4.60.8999999999Percent of total billed charges4.31250.75999999999Percent of total billed charges3.16250.55999999999Percent of total billed charges4.88750.85999999999Percent of total billed charges4.88750.85999999999Percent of total billed charges5.751999999999Percent of total billed chargesRate changes as Medicare rate changes5.751999999999Percent of total billed chargesRate changes as Medicare rate changes4.31250.75999999999Percent of total billed charges3.165.75
INFUVITE ADULT NO 4800785CDM250RCBoth26.6718.6722.670.85999999999Percent of total billed charges26.671999999999Percent of total billed chargesRate changes as Medicare rate changes20.75999999999Percent of total billed charges18.670.7999999999Percent of total billed charges21.340.8999999999Percent of total billed charges2.250.75999999999Percent of total billed charges14.66850.55999999999Percent of total billed charges22.66950.85999999999Percent of total billed charges22.66950.85999999999Percent of total billed charges26.671999999999Percent of total billed chargesRate changes as Medicare rate changes26.671999999999Percent of total billed chargesRate changes as Medicare rate changes2.250.75999999999Percent of total billed charges226.67
VANCOMYCIN 1G IV RECON SOLN800874CDM250RCBoth17.3512.1514.750.85999999999Percent of total billed charges17.351999999999Percent of total billed chargesRate changes as Medicare rate changes13.10.75999999999Percent of total billed charges12.150.7999999999Percent of total billed charges13.880.8999999999Percent of total billed charges13.1250.75999999999Percent of total billed charges9.54250.55999999999Percent of total billed charges14.74750.85999999999Percent of total billed charges14.74750.85999999999Percent of total billed charges17.351999999999Percent of total billed chargesRate changes as Medicare rate changes17.351999999999Percent of total billed chargesRate changes as Medicare rate changes13.1250.75999999999Percent of total billed charges9.5417.35
HYDROCO/APA TAB 10-325MG 1 TA800373CDM250RCBoth6.84.765.780.85999999999Percent of total billed charges6.81999999999Percent of total billed chargesRate changes as Medicare rate changes5.10.75999999999Percent of total billed charges4.760.7999999999Percent of total billed charges5.440.8999999999Percent of total billed charges5.10.75999999999Percent of total billed charges3.740.55999999999Percent of total billed charges5.780.85999999999Percent of total billed charges5.780.85999999999Percent of total billed charges6.81999999999Percent of total billed chargesRate changes as Medicare rate changes6.81999999999Percent of total billed chargesRate changes as Medicare rate changes5.10.75999999999Percent of total billed charges3.746.8
ASPIRIN CHW 81MG 1 CHW800152CDM250RCBoth1.51.51.280.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.130.75999999999Percent of total billed charges1.50.7999999999Percent of total billed charges1.20.8999999999Percent of total billed charges1.1250.75999999999Percent of total billed charges0.8250.55999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.1250.75999999999Percent of total billed charges0.831.5
VACOMYCIN 500MG INJECTION800700CDM250RCBoth6.954.875.910.85999999999Percent of total billed charges6.951999999999Percent of total billed chargesRate changes as Medicare rate changes5.210.75999999999Percent of total billed charges4.870.7999999999Percent of total billed charges5.560.8999999999Percent of total billed charges5.21250.75999999999Percent of total billed charges3.82250.55999999999Percent of total billed charges5.9750.85999999999Percent of total billed charges5.9750.85999999999Percent of total billed charges6.951999999999Percent of total billed chargesRate changes as Medicare rate changes6.951999999999Percent of total billed chargesRate changes as Medicare rate changes5.21250.75999999999Percent of total billed charges3.826.95
CLONIDINE TAB 0.1MG 1 TAB800224CDM250RCBoth3.352.352.850.85999999999Percent of total billed charges3.351999999999Percent of total billed chargesRate changes as Medicare rate changes2.510.75999999999Percent of total billed charges2.350.7999999999Percent of total billed charges2.680.8999999999Percent of total billed charges2.51250.75999999999Percent of total billed charges1.84250.55999999999Percent of total billed charges2.84750.85999999999Percent of total billed charges2.84750.85999999999Percent of total billed charges3.351999999999Percent of total billed chargesRate changes as Medicare rate changes3.351999999999Percent of total billed chargesRate changes as Medicare rate changes2.51250.75999999999Percent of total billed charges1.843.35
ZAROXOLYN TAB 5MG 1 TAB800681CDM250RCBoth8.255.787.10.85999999999Percent of total billed charges8.251999999999Percent of total billed chargesRate changes as Medicare rate changes6.190.75999999999Percent of total billed charges5.780.7999999999Percent of total billed charges6.60.8999999999Percent of total billed charges6.18750.75999999999Percent of total billed charges4.53750.55999999999Percent of total billed charges7.1250.85999999999Percent of total billed charges7.1250.85999999999Percent of total billed charges8.251999999999Percent of total billed chargesRate changes as Medicare rate changes8.251999999999Percent of total billed chargesRate changes as Medicare rate changes6.18750.75999999999Percent of total billed charges4.548.25
ZETIA TAB 10MG 1 TAB800682CDM250RCBoth15.11.5712.840.85999999999Percent of total billed charges15.11999999999Percent of total billed chargesRate changes as Medicare rate changes11.330.75999999999Percent of total billed charges1.570.7999999999Percent of total billed charges12.80.8999999999Percent of total billed charges11.3250.75999999999Percent of total billed charges8.350.55999999999Percent of total billed charges12.8350.85999999999Percent of total billed charges12.8350.85999999999Percent of total billed charges15.11999999999Percent of total billed chargesRate changes as Medicare rate changes15.11999999999Percent of total billed chargesRate changes as Medicare rate changes11.3250.75999999999Percent of total billed charges1.5715.1
DEXTROSE INJ 5% 50 ML800280CDM250RCBoth8.155.716.930.85999999999Percent of total billed charges8.151999999999Percent of total billed chargesRate changes as Medicare rate changes6.110.75999999999Percent of total billed charges5.710.7999999999Percent of total billed charges6.520.8999999999Percent of total billed charges6.11250.75999999999Percent of total billed charges4.48250.55999999999Percent of total billed charges6.92750.85999999999Percent of total billed charges6.92750.85999999999Percent of total billed charges8.151999999999Percent of total billed chargesRate changes as Medicare rate changes8.151999999999Percent of total billed chargesRate changes as Medicare rate changes6.11250.75999999999Percent of total billed charges4.488.15
AZITHROMYCI SUS 200/5ML 22.5800167CDM250RCBoth87.5561.2974.420.85999999999Percent of total billed charges87.551999999999Percent of total billed chargesRate changes as Medicare rate changes65.660.75999999999Percent of total billed charges61.290.7999999999Percent of total billed charges7.40.8999999999Percent of total billed charges65.66250.75999999999Percent of total billed charges48.15250.55999999999Percent of total billed charges74.41750.85999999999Percent of total billed charges74.41750.85999999999Percent of total billed charges87.551999999999Percent of total billed chargesRate changes as Medicare rate changes87.551999999999Percent of total billed chargesRate changes as Medicare rate changes65.66250.75999999999Percent of total billed charges7.487.55
AUGMENTIN TAB 500MG 1 TAB800162CDM250RCBoth17.412.1814.790.85999999999Percent of total billed charges17.41999999999Percent of total billed chargesRate changes as Medicare rate changes13.50.75999999999Percent of total billed charges12.180.7999999999Percent of total billed charges13.920.8999999999Percent of total billed charges13.50.75999999999Percent of total billed charges9.570.55999999999Percent of total billed charges14.790.85999999999Percent of total billed charges14.790.85999999999Percent of total billed charges17.41999999999Percent of total billed chargesRate changes as Medicare rate changes17.41999999999Percent of total billed chargesRate changes as Medicare rate changes13.50.75999999999Percent of total billed charges9.5717.4
ALLOPURINOL TAB 100MG 1 TAB800120CDM250RCBoth1.51.51.280.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.130.75999999999Percent of total billed charges1.50.7999999999Percent of total billed charges1.20.8999999999Percent of total billed charges1.1250.75999999999Percent of total billed charges0.8250.55999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.1250.75999999999Percent of total billed charges0.831.5
AVAPRO TAB 150MG 1 TAB800164CDM250RCBoth7.85.466.630.85999999999Percent of total billed charges7.81999999999Percent of total billed chargesRate changes as Medicare rate changes5.850.75999999999Percent of total billed charges5.460.7999999999Percent of total billed charges6.240.8999999999Percent of total billed charges5.850.75999999999Percent of total billed charges4.290.55999999999Percent of total billed charges6.630.85999999999Percent of total billed charges6.630.85999999999Percent of total billed charges7.81999999999Percent of total billed chargesRate changes as Medicare rate changes7.81999999999Percent of total billed chargesRate changes as Medicare rate changes5.850.75999999999Percent of total billed charges4.297.8
PROCHLORPERAZINE EDISYLATE800753CDM250RCBoth37.826.4632.130.85999999999Percent of total billed charges37.81999999999Percent of total billed chargesRate changes as Medicare rate changes28.350.75999999999Percent of total billed charges26.460.7999999999Percent of total billed charges3.240.8999999999Percent of total billed charges28.350.75999999999Percent of total billed charges2.790.55999999999Percent of total billed charges32.130.85999999999Percent of total billed charges32.130.85999999999Percent of total billed charges37.81999999999Percent of total billed chargesRate changes as Medicare rate changes37.81999999999Percent of total billed chargesRate changes as Medicare rate changes28.350.75999999999Percent of total billed charges3.2437.8
METAMUCIL 1PKG 5.8G800940CDM250RCBoth2.51.752.130.85999999999Percent of total billed charges2.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.880.75999999999Percent of total billed charges1.750.7999999999Percent of total billed charges20.8999999999Percent of total billed charges1.8750.75999999999Percent of total billed charges1.3750.55999999999Percent of total billed charges2.1250.85999999999Percent of total billed charges2.1250.85999999999Percent of total billed charges2.51999999999Percent of total billed chargesRate changes as Medicare rate changes2.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.8750.75999999999Percent of total billed charges1.382.5
DEMEROL INJ 100MG/ML 1 ML800264CDM250RCBoth16.6811.6814.180.85999999999Percent of total billed charges16.681999999999Percent of total billed chargesRate changes as Medicare rate changes12.510.75999999999Percent of total billed charges11.680.7999999999Percent of total billed charges13.340.8999999999Percent of total billed charges12.510.75999999999Percent of total billed charges9.1740.55999999999Percent of total billed charges14.1780.85999999999Percent of total billed charges14.1780.85999999999Percent of total billed charges16.681999999999Percent of total billed chargesRate changes as Medicare rate changes16.681999999999Percent of total billed chargesRate changes as Medicare rate changes12.510.75999999999Percent of total billed charges9.1716.68
NALBUPHINE INJ 20MG/ML 10 M800487CDM250RCBoth66.4546.5256.480.85999999999Percent of total billed charges66.451999999999Percent of total billed chargesRate changes as Medicare rate changes49.840.75999999999Percent of total billed charges46.520.7999999999Percent of total billed charges53.160.8999999999Percent of total billed charges49.83750.75999999999Percent of total billed charges36.54750.55999999999Percent of total billed charges56.48250.85999999999Percent of total billed charges56.48250.85999999999Percent of total billed charges66.451999999999Percent of total billed chargesRate changes as Medicare rate changes66.451999999999Percent of total billed chargesRate changes as Medicare rate changes49.83750.75999999999Percent of total billed charges36.5566.45
ZYRTEC ALLG TAB 10MG 1 TAB800685CDM250RCBoth16.511.5514.30.85999999999Percent of total billed charges16.51999999999Percent of total billed chargesRate changes as Medicare rate changes12.380.75999999999Percent of total billed charges11.550.7999999999Percent of total billed charges13.20.8999999999Percent of total billed charges12.3750.75999999999Percent of total billed charges9.750.55999999999Percent of total billed charges14.250.85999999999Percent of total billed charges14.250.85999999999Percent of total billed charges16.51999999999Percent of total billed chargesRate changes as Medicare rate changes16.51999999999Percent of total billed chargesRate changes as Medicare rate changes12.3750.75999999999Percent of total billed charges9.816.5
SOD BICARB INJ 4.2% 5 ML800600CDM250RCBoth21.815.2618.530.85999999999Percent of total billed charges21.81999999999Percent of total billed chargesRate changes as Medicare rate changes16.350.75999999999Percent of total billed charges15.260.7999999999Percent of total billed charges17.440.8999999999Percent of total billed charges16.350.75999999999Percent of total billed charges11.990.55999999999Percent of total billed charges18.530.85999999999Percent of total billed charges18.530.85999999999Percent of total billed charges21.81999999999Percent of total billed chargesRate changes as Medicare rate changes21.81999999999Percent of total billed chargesRate changes as Medicare rate changes16.350.75999999999Percent of total billed charges11.9921.8
HOLDOL 5MG/ML 1ML INJ800977CDM250RCBoth65.445.5355.280.85999999999Percent of total billed charges65.41999999999Percent of total billed chargesRate changes as Medicare rate changes48.780.75999999999Percent of total billed charges45.530.7999999999Percent of total billed charges52.30.8999999999Percent of total billed charges48.780.75999999999Percent of total billed charges35.7720.55999999999Percent of total billed charges55.2840.85999999999Percent of total billed charges55.2840.85999999999Percent of total billed charges65.41999999999Percent of total billed chargesRate changes as Medicare rate changes65.41999999999Percent of total billed chargesRate changes as Medicare rate changes48.780.75999999999Percent of total billed charges35.7765.4
AMOXICILLIN SUS 200/5ML 50 M800137CDM250RCBoth16.111.2713.690.85999999999Percent of total billed charges16.11999999999Percent of total billed chargesRate changes as Medicare rate changes12.80.75999999999Percent of total billed charges11.270.7999999999Percent of total billed charges12.880.8999999999Percent of total billed charges12.750.75999999999Percent of total billed charges8.8550.55999999999Percent of total billed charges13.6850.85999999999Percent of total billed charges13.6850.85999999999Percent of total billed charges16.11999999999Percent of total billed chargesRate changes as Medicare rate changes16.11999999999Percent of total billed chargesRate changes as Medicare rate changes12.750.75999999999Percent of total billed charges8.8616.1
CYMBALTA CAP 30MG 1 CAP800252CDM250RCBoth1.67.429.10.85999999999Percent of total billed charges1.61999999999Percent of total billed chargesRate changes as Medicare rate changes7.950.75999999999Percent of total billed charges7.420.7999999999Percent of total billed charges8.480.8999999999Percent of total billed charges7.950.75999999999Percent of total billed charges5.830.55999999999Percent of total billed charges9.10.85999999999Percent of total billed charges9.10.85999999999Percent of total billed charges1.61999999999Percent of total billed chargesRate changes as Medicare rate changes1.61999999999Percent of total billed chargesRate changes as Medicare rate changes7.950.75999999999Percent of total billed charges5.831.6
ADRENALIN(EPINEPHRINE) INJ SOL800827CDM250RCBoth2.9214.6417.780.85999999999Percent of total billed charges2.921999999999Percent of total billed chargesRate changes as Medicare rate changes15.690.75999999999Percent of total billed charges14.640.7999999999Percent of total billed charges16.740.8999999999Percent of total billed charges15.690.75999999999Percent of total billed charges11.560.55999999999Percent of total billed charges17.7820.85999999999Percent of total billed charges17.7820.85999999999Percent of total billed charges2.921999999999Percent of total billed chargesRate changes as Medicare rate changes2.921999999999Percent of total billed chargesRate changes as Medicare rate changes15.690.75999999999Percent of total billed charges11.512.92
DIAZEPAM 10MG/2ML INJ800972CDM250RCBoth61.142.7151.860.85999999999Percent of total billed charges61.11999999999Percent of total billed chargesRate changes as Medicare rate changes45.760.75999999999Percent of total billed charges42.710.7999999999Percent of total billed charges48.810.8999999999Percent of total billed charges45.75750.75999999999Percent of total billed charges33.55550.55999999999Percent of total billed charges51.85850.85999999999Percent of total billed charges51.85850.85999999999Percent of total billed charges61.11999999999Percent of total billed chargesRate changes as Medicare rate changes61.11999999999Percent of total billed chargesRate changes as Medicare rate changes45.75750.75999999999Percent of total billed charges33.5661.1
FLUOXETINE CAP 20MG 1 CAP800335CDM250RCBoth15.151.6112.880.85999999999Percent of total billed charges15.151999999999Percent of total billed chargesRate changes as Medicare rate changes11.360.75999999999Percent of total billed charges1.610.7999999999Percent of total billed charges12.120.8999999999Percent of total billed charges11.36250.75999999999Percent of total billed charges8.33250.55999999999Percent of total billed charges12.87750.85999999999Percent of total billed charges12.87750.85999999999Percent of total billed charges15.151999999999Percent of total billed chargesRate changes as Medicare rate changes15.151999999999Percent of total billed chargesRate changes as Medicare rate changes11.36250.75999999999Percent of total billed charges1.6115.15
LANTUS INJ 1 UNIT800410CDM250RCBoth1.30.720.880.85999999999Percent of total billed charges1.31999999999Percent of total billed chargesRate changes as Medicare rate changes0.770.75999999999Percent of total billed charges0.720.7999999999Percent of total billed charges0.820.8999999999Percent of total billed charges0.77250.75999999999Percent of total billed charges0.56650.55999999999Percent of total billed charges0.87550.85999999999Percent of total billed charges0.87550.85999999999Percent of total billed charges1.31999999999Percent of total billed chargesRate changes as Medicare rate changes1.31999999999Percent of total billed chargesRate changes as Medicare rate changes0.77250.75999999999Percent of total billed charges0.571.3
M.V.I. ADUL INJ 5 ML800451CDM250RCBoth27.918.9623.30.85999999999Percent of total billed charges27.91999999999Percent of total billed chargesRate changes as Medicare rate changes2.320.75999999999Percent of total billed charges18.960.7999999999Percent of total billed charges21.670.8999999999Percent of total billed charges2.31750.75999999999Percent of total billed charges14.89950.55999999999Percent of total billed charges23.2650.85999999999Percent of total billed charges23.2650.85999999999Percent of total billed charges27.91999999999Percent of total billed chargesRate changes as Medicare rate changes27.91999999999Percent of total billed chargesRate changes as Medicare rate changes2.31750.75999999999Percent of total billed charges2.3227.9
DOCUSATE SODIUM 100MG ORAL CAP800826CDM250RCBoth4.853.44.120.85999999999Percent of total billed charges4.851999999999Percent of total billed chargesRate changes as Medicare rate changes3.640.75999999999Percent of total billed charges3.40.7999999999Percent of total billed charges3.880.8999999999Percent of total billed charges3.63750.75999999999Percent of total billed charges2.66750.55999999999Percent of total billed charges4.12250.85999999999Percent of total billed charges4.12250.85999999999Percent of total billed charges4.851999999999Percent of total billed chargesRate changes as Medicare rate changes4.851999999999Percent of total billed chargesRate changes as Medicare rate changes3.63750.75999999999Percent of total billed charges2.674.85
NORVASC TAB 5MG 1 TAB800508CDM250RCBoth8.756.137.440.85999999999Percent of total billed charges8.751999999999Percent of total billed chargesRate changes as Medicare rate changes6.560.75999999999Percent of total billed charges6.130.7999999999Percent of total billed charges70.8999999999Percent of total billed charges6.56250.75999999999Percent of total billed charges4.81250.55999999999Percent of total billed charges7.43750.85999999999Percent of total billed charges7.43750.85999999999Percent of total billed charges8.751999999999Percent of total billed chargesRate changes as Medicare rate changes8.751999999999Percent of total billed chargesRate changes as Medicare rate changes6.56250.75999999999Percent of total billed charges4.818.75
LANTISEPTIC SKIN PROTECTANT800712CDM250RCBoth12.969.711.20.85999999999Percent of total billed charges12.961999999999Percent of total billed chargesRate changes as Medicare rate changes9.720.75999999999Percent of total billed charges9.70.7999999999Percent of total billed charges1.370.8999999999Percent of total billed charges9.720.75999999999Percent of total billed charges7.1280.55999999999Percent of total billed charges11.160.85999999999Percent of total billed charges11.160.85999999999Percent of total billed charges12.961999999999Percent of total billed chargesRate changes as Medicare rate changes12.961999999999Percent of total billed chargesRate changes as Medicare rate changes9.720.75999999999Percent of total billed charges1.3712.96
VANCOMYCIN 500MG IV RECON SOLN800873CDM250RCBoth25.2517.6821.460.85999999999Percent of total billed charges25.251999999999Percent of total billed chargesRate changes as Medicare rate changes18.940.75999999999Percent of total billed charges17.680.7999999999Percent of total billed charges2.20.8999999999Percent of total billed charges18.93750.75999999999Percent of total billed charges13.88750.55999999999Percent of total billed charges21.46250.85999999999Percent of total billed charges21.46250.85999999999Percent of total billed charges25.251999999999Percent of total billed chargesRate changes as Medicare rate changes25.251999999999Percent of total billed chargesRate changes as Medicare rate changes18.93750.75999999999Percent of total billed charges2.225.25
ADENOSINE INJ 3MG/ML 2 ML800115CDM250RCBoth48.634.241.310.85999999999Percent of total billed charges48.61999999999Percent of total billed chargesRate changes as Medicare rate changes36.450.75999999999Percent of total billed charges34.20.7999999999Percent of total billed charges38.880.8999999999Percent of total billed charges36.450.75999999999Percent of total billed charges26.730.55999999999Percent of total billed charges41.310.85999999999Percent of total billed charges41.310.85999999999Percent of total billed charges48.61999999999Percent of total billed chargesRate changes as Medicare rate changes48.61999999999Percent of total billed chargesRate changes as Medicare rate changes36.450.75999999999Percent of total billed charges26.7348.6
ERYTHROMYCIN OPTH OINT 3.5 GM800944CDM250RCBoth24.616.842.450.85999999999Percent of total billed charges24.61999999999Percent of total billed chargesRate changes as Medicare rate changes18.50.75999999999Percent of total billed charges16.840.7999999999Percent of total billed charges19.250.8999999999Percent of total billed charges18.450.75999999999Percent of total billed charges13.2330.55999999999Percent of total billed charges2.4510.85999999999Percent of total billed charges2.4510.85999999999Percent of total billed charges24.61999999999Percent of total billed chargesRate changes as Medicare rate changes24.61999999999Percent of total billed chargesRate changes as Medicare rate changes18.450.75999999999Percent of total billed charges13.2324.6
AMP-SULBACT INJ 3GM 1 INJ800143CDM250RCBoth46.1532.3139.230.85999999999Percent of total billed charges46.151999999999Percent of total billed chargesRate changes as Medicare rate changes34.610.75999999999Percent of total billed charges32.310.7999999999Percent of total billed charges36.920.8999999999Percent of total billed charges34.61250.75999999999Percent of total billed charges25.38250.55999999999Percent of total billed charges39.22750.85999999999Percent of total billed charges39.22750.85999999999Percent of total billed charges46.151999999999Percent of total billed chargesRate changes as Medicare rate changes46.151999999999Percent of total billed chargesRate changes as Medicare rate changes34.61250.75999999999Percent of total billed charges25.3846.15
CEPHALEXIN CAP 500MG 1 CAP800206CDM250RCBoth5.53.544.290.85999999999Percent of total billed charges5.51999999999Percent of total billed chargesRate changes as Medicare rate changes3.790.75999999999Percent of total billed charges3.540.7999999999Percent of total billed charges4.40.8999999999Percent of total billed charges3.78750.75999999999Percent of total billed charges2.77750.55999999999Percent of total billed charges4.29250.85999999999Percent of total billed charges4.29250.85999999999Percent of total billed charges5.51999999999Percent of total billed chargesRate changes as Medicare rate changes5.51999999999Percent of total billed chargesRate changes as Medicare rate changes3.78750.75999999999Percent of total billed charges2.785.5
GABAPENTIN CAP 100MG 1 CAP800345CDM250RCBoth2.51.441.740.85999999999Percent of total billed charges2.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.540.75999999999Percent of total billed charges1.440.7999999999Percent of total billed charges1.640.8999999999Percent of total billed charges1.53750.75999999999Percent of total billed charges1.12750.55999999999Percent of total billed charges1.74250.85999999999Percent of total billed charges1.74250.85999999999Percent of total billed charges2.51999999999Percent of total billed chargesRate changes as Medicare rate changes2.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.53750.75999999999Percent of total billed charges1.132.5
ASPIRIN 81MG ORAL CHEWABLE800795CDM250RCBoth1.51.51.280.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.130.75999999999Percent of total billed charges1.50.7999999999Percent of total billed charges1.20.8999999999Percent of total billed charges1.1250.75999999999Percent of total billed charges0.8250.55999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.1250.75999999999Percent of total billed charges0.831.5
ADENOSINE INJ 12MG/4ML 4 ML800114CDM250RCBoth43.293.336.80.85999999999Percent of total billed charges43.291999999999Percent of total billed chargesRate changes as Medicare rate changes32.470.75999999999Percent of total billed charges3.30.7999999999Percent of total billed charges34.630.8999999999Percent of total billed charges32.46750.75999999999Percent of total billed charges23.8950.55999999999Percent of total billed charges36.79650.85999999999Percent of total billed charges36.79650.85999999999Percent of total billed charges43.291999999999Percent of total billed chargesRate changes as Medicare rate changes43.291999999999Percent of total billed chargesRate changes as Medicare rate changes32.46750.75999999999Percent of total billed charges3.343.29
MELATOIN 10 MG TAB800967CDM250RCBoth2.51.752.130.85999999999Percent of total billed charges2.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.880.75999999999Percent of total billed charges1.750.7999999999Percent of total billed charges20.8999999999Percent of total billed charges1.8750.75999999999Percent of total billed charges1.3750.55999999999Percent of total billed charges2.1250.85999999999Percent of total billed charges2.1250.85999999999Percent of total billed charges2.51999999999Percent of total billed chargesRate changes as Medicare rate changes2.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.8750.75999999999Percent of total billed charges1.382.5
VERAPAMIL INJ 2.5MG/ML 4 ML800669CDM250RCBoth2.7914.5517.670.85999999999Percent of total billed charges2.791999999999Percent of total billed chargesRate changes as Medicare rate changes15.590.75999999999Percent of total billed charges14.550.7999999999Percent of total billed charges16.630.8999999999Percent of total billed charges15.59250.75999999999Percent of total billed charges11.43450.55999999999Percent of total billed charges17.67150.85999999999Percent of total billed charges17.67150.85999999999Percent of total billed charges2.791999999999Percent of total billed chargesRate changes as Medicare rate changes2.791999999999Percent of total billed chargesRate changes as Medicare rate changes15.59250.75999999999Percent of total billed charges11.432.79
METFORMIN TAB 500MG 1 TAB800463CDM250RCBoth2.751.932.340.85999999999Percent of total billed charges2.751999999999Percent of total billed chargesRate changes as Medicare rate changes2.60.75999999999Percent of total billed charges1.930.7999999999Percent of total billed charges2.20.8999999999Percent of total billed charges2.6250.75999999999Percent of total billed charges1.51250.55999999999Percent of total billed charges2.33750.85999999999Percent of total billed charges2.33750.85999999999Percent of total billed charges2.751999999999Percent of total billed chargesRate changes as Medicare rate changes2.751999999999Percent of total billed chargesRate changes as Medicare rate changes2.6250.75999999999Percent of total billed charges1.512.75
LANTUS INSULIN801000CDM250RCBoth0.320.220.270.85999999999Percent of total billed charges0.321999999999Percent of total billed chargesRate changes as Medicare rate changes0.240.75999999999Percent of total billed charges0.220.7999999999Percent of total billed charges0.260.8999999999Percent of total billed charges0.240.75999999999Percent of total billed charges0.1760.55999999999Percent of total billed charges0.2720.85999999999Percent of total billed charges0.2720.85999999999Percent of total billed charges0.321999999999Percent of total billed chargesRate changes as Medicare rate changes0.321999999999Percent of total billed chargesRate changes as Medicare rate changes0.240.75999999999Percent of total billed charges0.180.32
POT CHLORID CAP 10MEQ ER 1 CA800542CDM250RCBoth7.565.296.430.85999999999Percent of total billed charges7.561999999999Percent of total billed chargesRate changes as Medicare rate changes5.670.75999999999Percent of total billed charges5.290.7999999999Percent of total billed charges6.50.8999999999Percent of total billed charges5.670.75999999999Percent of total billed charges4.1580.55999999999Percent of total billed charges6.4260.85999999999Percent of total billed charges6.4260.85999999999Percent of total billed charges7.561999999999Percent of total billed chargesRate changes as Medicare rate changes7.561999999999Percent of total billed chargesRate changes as Medicare rate changes5.670.75999999999Percent of total billed charges4.167.56
THIAMINE 200MG IV X1800721CDM250RCBoth37.3526.1531.750.85999999999Percent of total billed charges37.351999999999Percent of total billed chargesRate changes as Medicare rate changes28.10.75999999999Percent of total billed charges26.150.7999999999Percent of total billed charges29.880.8999999999Percent of total billed charges28.1250.75999999999Percent of total billed charges2.54250.55999999999Percent of total billed charges31.74750.85999999999Percent of total billed charges31.74750.85999999999Percent of total billed charges37.351999999999Percent of total billed chargesRate changes as Medicare rate changes37.351999999999Percent of total billed chargesRate changes as Medicare rate changes28.1250.75999999999Percent of total billed charges2.5437.35
KENALOG-40 INJ 40MG/ML 1 ML800398CDM250RCBoth18.6513.615.850.85999999999Percent of total billed charges18.651999999999Percent of total billed chargesRate changes as Medicare rate changes13.990.75999999999Percent of total billed charges13.60.7999999999Percent of total billed charges14.920.8999999999Percent of total billed charges13.98750.75999999999Percent of total billed charges1.25750.55999999999Percent of total billed charges15.85250.85999999999Percent of total billed charges15.85250.85999999999Percent of total billed charges18.651999999999Percent of total billed chargesRate changes as Medicare rate changes18.651999999999Percent of total billed chargesRate changes as Medicare rate changes13.98750.75999999999Percent of total billed charges1.2618.65
ACETAMIN SOL 160/5ML 5 ML800103CDM250RCBoth2.551.792.170.85999999999Percent of total billed charges2.551999999999Percent of total billed chargesRate changes as Medicare rate changes1.910.75999999999Percent of total billed charges1.790.7999999999Percent of total billed charges2.40.8999999999Percent of total billed charges1.91250.75999999999Percent of total billed charges1.4250.55999999999Percent of total billed charges2.16750.85999999999Percent of total billed charges2.16750.85999999999Percent of total billed charges2.551999999999Percent of total billed chargesRate changes as Medicare rate changes2.551999999999Percent of total billed chargesRate changes as Medicare rate changes1.91250.75999999999Percent of total billed charges1.42.55
ATENOLOL TAB 25MG 1 TAB800155CDM250RCBoth2.8522.420.85999999999Percent of total billed charges2.851999999999Percent of total billed chargesRate changes as Medicare rate changes2.140.75999999999Percent of total billed charges20.7999999999Percent of total billed charges2.280.8999999999Percent of total billed charges2.13750.75999999999Percent of total billed charges1.56750.55999999999Percent of total billed charges2.42250.85999999999Percent of total billed charges2.42250.85999999999Percent of total billed charges2.851999999999Percent of total billed chargesRate changes as Medicare rate changes2.851999999999Percent of total billed chargesRate changes as Medicare rate changes2.13750.75999999999Percent of total billed charges1.572.85
REQUIP TAB 1MG 1 TAB800582CDM250RCBoth1.757.539.140.85999999999Percent of total billed charges1.751999999999Percent of total billed chargesRate changes as Medicare rate changes8.60.75999999999Percent of total billed charges7.530.7999999999Percent of total billed charges8.60.8999999999Percent of total billed charges8.6250.75999999999Percent of total billed charges5.91250.55999999999Percent of total billed charges9.13750.85999999999Percent of total billed charges9.13750.85999999999Percent of total billed charges1.751999999999Percent of total billed chargesRate changes as Medicare rate changes1.751999999999Percent of total billed chargesRate changes as Medicare rate changes8.6250.75999999999Percent of total billed charges5.911.75
BENICAR TAB 20MG 1 TAB800178CDM250RCBoth1.657.469.50.85999999999Percent of total billed charges1.651999999999Percent of total billed chargesRate changes as Medicare rate changes7.990.75999999999Percent of total billed charges7.460.7999999999Percent of total billed charges8.520.8999999999Percent of total billed charges7.98750.75999999999Percent of total billed charges5.85750.55999999999Percent of total billed charges9.5250.85999999999Percent of total billed charges9.5250.85999999999Percent of total billed charges1.651999999999Percent of total billed chargesRate changes as Medicare rate changes1.651999999999Percent of total billed chargesRate changes as Medicare rate changes7.98750.75999999999Percent of total billed charges5.861.65
REMERON TAB 15MG 1 TAB800581CDM250RCBoth1.67.429.10.85999999999Percent of total billed charges1.61999999999Percent of total billed chargesRate changes as Medicare rate changes7.950.75999999999Percent of total billed charges7.420.7999999999Percent of total billed charges8.480.8999999999Percent of total billed charges7.950.75999999999Percent of total billed charges5.830.55999999999Percent of total billed charges9.10.85999999999Percent of total billed charges9.10.85999999999Percent of total billed charges1.61999999999Percent of total billed chargesRate changes as Medicare rate changes1.61999999999Percent of total billed chargesRate changes as Medicare rate changes7.950.75999999999Percent of total billed charges5.831.6
FLUZONE INJ PF 10-11 .5 M800336CDM250RCBoth29.82.8625.330.85999999999Percent of total billed charges29.81999999999Percent of total billed chargesRate changes as Medicare rate changes22.350.75999999999Percent of total billed charges2.860.7999999999Percent of total billed charges23.840.8999999999Percent of total billed charges22.350.75999999999Percent of total billed charges16.390.55999999999Percent of total billed charges25.330.85999999999Percent of total billed charges25.330.85999999999Percent of total billed charges29.81999999999Percent of total billed chargesRate changes as Medicare rate changes29.81999999999Percent of total billed chargesRate changes as Medicare rate changes22.350.75999999999Percent of total billed charges2.8629.8
SIMETHICONE CHW 80MG 1 CHW800594CDM250RCBoth1.51.51.280.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.130.75999999999Percent of total billed charges1.50.7999999999Percent of total billed charges1.20.8999999999Percent of total billed charges1.1250.75999999999Percent of total billed charges0.8250.55999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.1250.75999999999Percent of total billed charges0.831.5
WELLBUTRIN TAB XL 150MG 1 TA800675CDM250RCBoth14.19.8711.990.85999999999Percent of total billed charges14.11999999999Percent of total billed chargesRate changes as Medicare rate changes1.580.75999999999Percent of total billed charges9.870.7999999999Percent of total billed charges11.280.8999999999Percent of total billed charges1.5750.75999999999Percent of total billed charges7.7550.55999999999Percent of total billed charges11.9850.85999999999Percent of total billed charges11.9850.85999999999Percent of total billed charges14.11999999999Percent of total billed chargesRate changes as Medicare rate changes14.11999999999Percent of total billed chargesRate changes as Medicare rate changes1.5750.75999999999Percent of total billed charges1.5814.1
PULMICORT SUS 0.25MG/2 2 ML800572CDM250RCBoth27.4219.1923.310.85999999999Percent of total billed charges27.421999999999Percent of total billed chargesRate changes as Medicare rate changes2.570.75999999999Percent of total billed charges19.190.7999999999Percent of total billed charges21.940.8999999999Percent of total billed charges2.5650.75999999999Percent of total billed charges15.810.55999999999Percent of total billed charges23.370.85999999999Percent of total billed charges23.370.85999999999Percent of total billed charges27.421999999999Percent of total billed chargesRate changes as Medicare rate changes27.421999999999Percent of total billed chargesRate changes as Medicare rate changes2.5650.75999999999Percent of total billed charges2.5727.42
SOD CHLORID INJ 0.45% 1000 M800602CDM250RCBoth9.66.347.70.85999999999Percent of total billed charges9.61999999999Percent of total billed chargesRate changes as Medicare rate changes6.80.75999999999Percent of total billed charges6.340.7999999999Percent of total billed charges7.250.8999999999Percent of total billed charges6.7950.75999999999Percent of total billed charges4.9830.55999999999Percent of total billed charges7.710.85999999999Percent of total billed charges7.710.85999999999Percent of total billed charges9.61999999999Percent of total billed chargesRate changes as Medicare rate changes9.61999999999Percent of total billed chargesRate changes as Medicare rate changes6.7950.75999999999Percent of total billed charges4.989.6
SOD CHLORID INJ 0.45% 1000 M800603CDM250RCBoth9.66.347.70.85999999999Percent of total billed charges9.61999999999Percent of total billed chargesRate changes as Medicare rate changes6.80.75999999999Percent of total billed charges6.340.7999999999Percent of total billed charges7.250.8999999999Percent of total billed charges6.7950.75999999999Percent of total billed charges4.9830.55999999999Percent of total billed charges7.710.85999999999Percent of total billed charges7.710.85999999999Percent of total billed charges9.61999999999Percent of total billed chargesRate changes as Medicare rate changes9.61999999999Percent of total billed chargesRate changes as Medicare rate changes6.7950.75999999999Percent of total billed charges4.989.6
PREDNISONE TAB 5MG 1 TAB800550CDM250RCBoth1.51.51.280.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.130.75999999999Percent of total billed charges1.50.7999999999Percent of total billed charges1.20.8999999999Percent of total billed charges1.1250.75999999999Percent of total billed charges0.8250.55999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.1250.75999999999Percent of total billed charges0.831.5
IBUPROFEN TAB 400MG 1 TAB800388CDM250RCBoth2.51.441.740.85999999999Percent of total billed charges2.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.540.75999999999Percent of total billed charges1.440.7999999999Percent of total billed charges1.640.8999999999Percent of total billed charges1.53750.75999999999Percent of total billed charges1.12750.55999999999Percent of total billed charges1.74250.85999999999Percent of total billed charges1.74250.85999999999Percent of total billed charges2.51999999999Percent of total billed chargesRate changes as Medicare rate changes2.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.53750.75999999999Percent of total billed charges1.132.5
COZAAR TAB 50MG 1 TAB800246CDM250RCBoth8.86.167.480.85999999999Percent of total billed charges8.81999999999Percent of total billed chargesRate changes as Medicare rate changes6.60.75999999999Percent of total billed charges6.160.7999999999Percent of total billed charges7.40.8999999999Percent of total billed charges6.60.75999999999Percent of total billed charges4.840.55999999999Percent of total billed charges7.480.85999999999Percent of total billed charges7.480.85999999999Percent of total billed charges8.81999999999Percent of total billed chargesRate changes as Medicare rate changes8.81999999999Percent of total billed chargesRate changes as Medicare rate changes6.60.75999999999Percent of total billed charges4.848.8
TYLENOL 325MG ORAL TABLET800837CDM250RCBoth1.51.51.280.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.130.75999999999Percent of total billed charges1.50.7999999999Percent of total billed charges1.20.8999999999Percent of total billed charges1.1250.75999999999Percent of total billed charges0.8250.55999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.1250.75999999999Percent of total billed charges0.831.5
FLEXERIL TAB 10MG 1 TAB800328CDM250RCBoth4.22.943.570.85999999999Percent of total billed charges4.21999999999Percent of total billed chargesRate changes as Medicare rate changes3.150.75999999999Percent of total billed charges2.940.7999999999Percent of total billed charges3.360.8999999999Percent of total billed charges3.150.75999999999Percent of total billed charges2.310.55999999999Percent of total billed charges3.570.85999999999Percent of total billed charges3.570.85999999999Percent of total billed charges4.21999999999Percent of total billed chargesRate changes as Medicare rate changes4.21999999999Percent of total billed chargesRate changes as Medicare rate changes3.150.75999999999Percent of total billed charges2.314.2
FLONASE SPR 0.05% 16 GM800330CDM250RCBoth2517.521.250.85999999999Percent of total billed charges251999999999Percent of total billed chargesRate changes as Medicare rate changes18.750.75999999999Percent of total billed charges17.50.7999999999Percent of total billed charges20.8999999999Percent of total billed charges18.750.75999999999Percent of total billed charges13.750.55999999999Percent of total billed charges21.250.85999999999Percent of total billed charges21.250.85999999999Percent of total billed charges251999999999Percent of total billed chargesRate changes as Medicare rate changes251999999999Percent of total billed chargesRate changes as Medicare rate changes18.750.75999999999Percent of total billed charges225
METHOCARBAM TAB 500MG 1 TAB800466CDM250RCBoth1.51.51.280.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.130.75999999999Percent of total billed charges1.50.7999999999Percent of total billed charges1.20.8999999999Percent of total billed charges1.1250.75999999999Percent of total billed charges0.8250.55999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.1250.75999999999Percent of total billed charges0.831.5
DICYCLOMINE CAP 10MG 1 CAP800284CDM250RCBoth2.41.682.40.85999999999Percent of total billed charges2.41999999999Percent of total billed chargesRate changes as Medicare rate changes1.80.75999999999Percent of total billed charges1.680.7999999999Percent of total billed charges1.920.8999999999Percent of total billed charges1.80.75999999999Percent of total billed charges1.320.55999999999Percent of total billed charges2.40.85999999999Percent of total billed charges2.40.85999999999Percent of total billed charges2.41999999999Percent of total billed chargesRate changes as Medicare rate changes2.41999999999Percent of total billed chargesRate changes as Medicare rate changes1.80.75999999999Percent of total billed charges1.322.4
HEPARIN SOD INJ 1000/ML 1 ML800362CDM250RCBoth32.12.550.85999999999Percent of total billed charges31999999999Percent of total billed chargesRate changes as Medicare rate changes2.250.75999999999Percent of total billed charges2.10.7999999999Percent of total billed charges2.40.8999999999Percent of total billed charges2.250.75999999999Percent of total billed charges1.650.55999999999Percent of total billed charges2.550.85999999999Percent of total billed charges2.550.85999999999Percent of total billed charges31999999999Percent of total billed chargesRate changes as Medicare rate changes31999999999Percent of total billed chargesRate changes as Medicare rate changes2.250.75999999999Percent of total billed charges1.653
AMARYL TAB 2MG 1 TAB800125CDM250RCBoth11.978.381.170.85999999999Percent of total billed charges11.971999999999Percent of total billed chargesRate changes as Medicare rate changes8.980.75999999999Percent of total billed charges8.380.7999999999Percent of total billed charges9.580.8999999999Percent of total billed charges8.97750.75999999999Percent of total billed charges6.58350.55999999999Percent of total billed charges1.17450.85999999999Percent of total billed charges1.17450.85999999999Percent of total billed charges11.971999999999Percent of total billed chargesRate changes as Medicare rate changes11.971999999999Percent of total billed chargesRate changes as Medicare rate changes8.97750.75999999999Percent of total billed charges6.5811.97
LEVOTHYROXINE 88G801002CDM250RCBoth1.511.61.280.85999999999Percent of total billed charges1.511999999999Percent of total billed chargesRate changes as Medicare rate changes1.130.75999999999Percent of total billed charges1.60.7999999999Percent of total billed charges1.210.8999999999Percent of total billed charges1.13250.75999999999Percent of total billed charges0.8350.55999999999Percent of total billed charges1.28350.85999999999Percent of total billed charges1.28350.85999999999Percent of total billed charges1.511999999999Percent of total billed chargesRate changes as Medicare rate changes1.511999999999Percent of total billed chargesRate changes as Medicare rate changes1.13250.75999999999Percent of total billed charges0.831.6
ASPIRIN TAB 325MG 1 TAB800153CDM250RCBoth1.51.51.280.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.130.75999999999Percent of total billed charges1.50.7999999999Percent of total billed charges1.20.8999999999Percent of total billed charges1.1250.75999999999Percent of total billed charges0.8250.55999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.1250.75999999999Percent of total billed charges0.831.5
METOPROLOL INJ 5MG/5ML 5 ML800470CDM250RCBoth5.53.854.680.85999999999Percent of total billed charges5.51999999999Percent of total billed chargesRate changes as Medicare rate changes4.130.75999999999Percent of total billed charges3.850.7999999999Percent of total billed charges4.40.8999999999Percent of total billed charges4.1250.75999999999Percent of total billed charges3.250.55999999999Percent of total billed charges4.6750.85999999999Percent of total billed charges4.6750.85999999999Percent of total billed charges5.51999999999Percent of total billed chargesRate changes as Medicare rate changes5.51999999999Percent of total billed chargesRate changes as Medicare rate changes4.1250.75999999999Percent of total billed charges3.35.5
CALTRATE W/ VITD3 ORAL TAB800876CDM250RCBoth1.51.51.280.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.130.75999999999Percent of total billed charges1.50.7999999999Percent of total billed charges1.20.8999999999Percent of total billed charges1.1250.75999999999Percent of total billed charges0.8250.55999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.1250.75999999999Percent of total billed charges0.831.5
SUCRALFATE TAB 1GM 1 TAB800625CDM250RCBoth2.61.822.210.85999999999Percent of total billed charges2.61999999999Percent of total billed chargesRate changes as Medicare rate changes1.950.75999999999Percent of total billed charges1.820.7999999999Percent of total billed charges2.80.8999999999Percent of total billed charges1.950.75999999999Percent of total billed charges1.430.55999999999Percent of total billed charges2.210.85999999999Percent of total billed charges2.210.85999999999Percent of total billed charges2.61999999999Percent of total billed chargesRate changes as Medicare rate changes2.61999999999Percent of total billed chargesRate changes as Medicare rate changes1.950.75999999999Percent of total billed charges1.432.8
NALBUPHINE INJ 10MG/ML 1 ML800486CDM250RCBoth1.147.18.620.85999999999Percent of total billed charges1.141999999999Percent of total billed chargesRate changes as Medicare rate changes7.610.75999999999Percent of total billed charges7.10.7999999999Percent of total billed charges8.110.8999999999Percent of total billed charges7.650.75999999999Percent of total billed charges5.5770.55999999999Percent of total billed charges8.6190.85999999999Percent of total billed charges8.6190.85999999999Percent of total billed charges1.141999999999Percent of total billed chargesRate changes as Medicare rate changes1.141999999999Percent of total billed chargesRate changes as Medicare rate changes7.650.75999999999Percent of total billed charges5.581.14
IBUPROFEN TAB 600MG 1 TAB800389CDM250RCBoth1.51.51.280.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.130.75999999999Percent of total billed charges1.50.7999999999Percent of total billed charges1.20.8999999999Percent of total billed charges1.1250.75999999999Percent of total billed charges0.8250.55999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.1250.75999999999Percent of total billed charges0.831.5
FINASTERIDE 5MG TAB (PROSCAR)800966CDM250RCBoth19.4713.6316.550.85999999999Percent of total billed charges19.471999999999Percent of total billed chargesRate changes as Medicare rate changes14.60.75999999999Percent of total billed charges13.630.7999999999Percent of total billed charges15.580.8999999999Percent of total billed charges14.6250.75999999999Percent of total billed charges1.7850.55999999999Percent of total billed charges16.54950.85999999999Percent of total billed charges16.54950.85999999999Percent of total billed charges19.471999999999Percent of total billed chargesRate changes as Medicare rate changes19.471999999999Percent of total billed chargesRate changes as Medicare rate changes14.6250.75999999999Percent of total billed charges1.7119.47
CEFEPIME INJ RECON SOLN800760CDM250RCBoth18.212.7415.470.85999999999Percent of total billed charges18.21999999999Percent of total billed chargesRate changes as Medicare rate changes13.650.75999999999Percent of total billed charges12.740.7999999999Percent of total billed charges14.560.8999999999Percent of total billed charges13.650.75999999999Percent of total billed charges1.10.55999999999Percent of total billed charges15.470.85999999999Percent of total billed charges15.470.85999999999Percent of total billed charges18.21999999999Percent of total billed chargesRate changes as Medicare rate changes18.21999999999Percent of total billed chargesRate changes as Medicare rate changes13.650.75999999999Percent of total billed charges1.118.2
ALPRAZOLAM TAB 0.25MG 1 TAB800121CDM250RCBoth2.251.581.910.85999999999Percent of total billed charges2.251999999999Percent of total billed chargesRate changes as Medicare rate changes1.690.75999999999Percent of total billed charges1.580.7999999999Percent of total billed charges1.80.8999999999Percent of total billed charges1.68750.75999999999Percent of total billed charges1.23750.55999999999Percent of total billed charges1.91250.85999999999Percent of total billed charges1.91250.85999999999Percent of total billed charges2.251999999999Percent of total billed chargesRate changes as Medicare rate changes2.251999999999Percent of total billed chargesRate changes as Medicare rate changes1.68750.75999999999Percent of total billed charges1.242.25
BUMETANIDE 0.25MG/ML-2.5MG/10M800956CDM250RCBoth1UN2.51.752.130.85999999999Percent of total billed charges2.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.880.75999999999Percent of total billed charges1.750.7999999999Percent of total billed charges20.8999999999Percent of total billed charges1.8750.75999999999Percent of total billed charges1.3750.55999999999Percent of total billed charges2.1250.85999999999Percent of total billed charges2.1250.85999999999Percent of total billed charges2.51999999999Percent of total billed chargesRate changes as Medicare rate changes2.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.8750.75999999999Percent of total billed charges1.382.5
LEVOTHYROXI TAB 125MCG 1 TAB800419CDM250RCBoth2.41.682.40.85999999999Percent of total billed charges2.41999999999Percent of total billed chargesRate changes as Medicare rate changes1.80.75999999999Percent of total billed charges1.680.7999999999Percent of total billed charges1.920.8999999999Percent of total billed charges1.80.75999999999Percent of total billed charges1.320.55999999999Percent of total billed charges2.40.85999999999Percent of total billed charges2.40.85999999999Percent of total billed charges2.41999999999Percent of total billed chargesRate changes as Medicare rate changes2.41999999999Percent of total billed chargesRate changes as Medicare rate changes1.80.75999999999Percent of total billed charges1.322.4
CYCLOBENZAPRINE ORAL TABLET800775CDM250RCBoth4.22.943.570.85999999999Percent of total billed charges4.21999999999Percent of total billed chargesRate changes as Medicare rate changes3.150.75999999999Percent of total billed charges2.940.7999999999Percent of total billed charges3.360.8999999999Percent of total billed charges3.150.75999999999Percent of total billed charges2.310.55999999999Percent of total billed charges3.570.85999999999Percent of total billed charges3.570.85999999999Percent of total billed charges4.21999999999Percent of total billed chargesRate changes as Medicare rate changes4.21999999999Percent of total billed chargesRate changes as Medicare rate changes3.150.75999999999Percent of total billed charges2.314.2
ANUCORT - HC 25MG SUPP800976CDM250RCBoth8.135.696.910.85999999999Percent of total billed charges8.131999999999Percent of total billed chargesRate changes as Medicare rate changes6.10.75999999999Percent of total billed charges5.690.7999999999Percent of total billed charges6.50.8999999999Percent of total billed charges6.9750.75999999999Percent of total billed charges4.47150.55999999999Percent of total billed charges6.9150.85999999999Percent of total billed charges6.9150.85999999999Percent of total billed charges8.131999999999Percent of total billed chargesRate changes as Medicare rate changes8.131999999999Percent of total billed chargesRate changes as Medicare rate changes6.9750.75999999999Percent of total billed charges4.478.13
CEFTRIAXONE INJ 1GM 1 INJ800198CDM250RCBoth16.2511.3813.810.85999999999Percent of total billed charges16.251999999999Percent of total billed chargesRate changes as Medicare rate changes12.190.75999999999Percent of total billed charges11.380.7999999999Percent of total billed charges130.8999999999Percent of total billed charges12.18750.75999999999Percent of total billed charges8.93750.55999999999Percent of total billed charges13.81250.85999999999Percent of total billed charges13.81250.85999999999Percent of total billed charges16.251999999999Percent of total billed chargesRate changes as Medicare rate changes16.251999999999Percent of total billed chargesRate changes as Medicare rate changes12.18750.75999999999Percent of total billed charges8.9416.25
CLARITIN-D TAB 10-240MG 1 TA800219CDM250RCBoth15.11.5712.840.85999999999Percent of total billed charges15.11999999999Percent of total billed chargesRate changes as Medicare rate changes11.330.75999999999Percent of total billed charges1.570.7999999999Percent of total billed charges12.80.8999999999Percent of total billed charges11.3250.75999999999Percent of total billed charges8.350.55999999999Percent of total billed charges12.8350.85999999999Percent of total billed charges12.8350.85999999999Percent of total billed charges15.11999999999Percent of total billed chargesRate changes as Medicare rate changes15.11999999999Percent of total billed chargesRate changes as Medicare rate changes11.3250.75999999999Percent of total billed charges1.5715.1
LIPITOR TAB 10MG 1 TAB800428CDM250RCBoth14.651.2612.450.85999999999Percent of total billed charges14.651999999999Percent of total billed chargesRate changes as Medicare rate changes1.990.75999999999Percent of total billed charges1.260.7999999999Percent of total billed charges11.720.8999999999Percent of total billed charges1.98750.75999999999Percent of total billed charges8.5750.55999999999Percent of total billed charges12.45250.85999999999Percent of total billed charges12.45250.85999999999Percent of total billed charges14.651999999999Percent of total billed chargesRate changes as Medicare rate changes14.651999999999Percent of total billed chargesRate changes as Medicare rate changes1.98750.75999999999Percent of total billed charges1.2614.65
CLONIDINE HCL0.1MG ORAL TABLET800821CDM250RCBoth14.51.1512.330.85999999999Percent of total billed charges14.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.880.75999999999Percent of total billed charges1.150.7999999999Percent of total billed charges11.60.8999999999Percent of total billed charges1.8750.75999999999Percent of total billed charges7.9750.55999999999Percent of total billed charges12.3250.85999999999Percent of total billed charges12.3250.85999999999Percent of total billed charges14.51999999999Percent of total billed chargesRate changes as Medicare rate changes14.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.8750.75999999999Percent of total billed charges1.1514.5
CYANOCOBALA INJ 1000MCG 1 ML800250CDM250RCBoth7.235.66.150.85999999999Percent of total billed charges7.231999999999Percent of total billed chargesRate changes as Medicare rate changes5.420.75999999999Percent of total billed charges5.60.7999999999Percent of total billed charges5.780.8999999999Percent of total billed charges5.42250.75999999999Percent of total billed charges3.97650.55999999999Percent of total billed charges6.14550.85999999999Percent of total billed charges6.14550.85999999999Percent of total billed charges7.231999999999Percent of total billed chargesRate changes as Medicare rate changes7.231999999999Percent of total billed chargesRate changes as Medicare rate changes5.42250.75999999999Percent of total billed charges3.987.23
LORAZEPAM TAB 0.5MG 1 TAB800440CDM250RCBoth2.31.611.960.85999999999Percent of total billed charges2.31999999999Percent of total billed chargesRate changes as Medicare rate changes1.730.75999999999Percent of total billed charges1.610.7999999999Percent of total billed charges1.840.8999999999Percent of total billed charges1.7250.75999999999Percent of total billed charges1.2650.55999999999Percent of total billed charges1.9550.85999999999Percent of total billed charges1.9550.85999999999Percent of total billed charges2.31999999999Percent of total billed chargesRate changes as Medicare rate changes2.31999999999Percent of total billed chargesRate changes as Medicare rate changes1.7250.75999999999Percent of total billed charges1.272.3
LISINOPRIL TAB 5MG 1 TAB800432CDM250RCBoth3.392.372.880.85999999999Percent of total billed charges3.391999999999Percent of total billed chargesRate changes as Medicare rate changes2.540.75999999999Percent of total billed charges2.370.7999999999Percent of total billed charges2.710.8999999999Percent of total billed charges2.54250.75999999999Percent of total billed charges1.86450.55999999999Percent of total billed charges2.88150.85999999999Percent of total billed charges2.88150.85999999999Percent of total billed charges3.391999999999Percent of total billed chargesRate changes as Medicare rate changes3.391999999999Percent of total billed chargesRate changes as Medicare rate changes2.54250.75999999999Percent of total billed charges1.863.39
LISINOPRIL 5MG ORAL TABLET800865CDM250RCBoth3.392.372.880.85999999999Percent of total billed charges3.391999999999Percent of total billed chargesRate changes as Medicare rate changes2.540.75999999999Percent of total billed charges2.370.7999999999Percent of total billed charges2.710.8999999999Percent of total billed charges2.54250.75999999999Percent of total billed charges1.86450.55999999999Percent of total billed charges2.88150.85999999999Percent of total billed charges2.88150.85999999999Percent of total billed charges3.391999999999Percent of total billed chargesRate changes as Medicare rate changes3.391999999999Percent of total billed chargesRate changes as Medicare rate changes2.54250.75999999999Percent of total billed charges1.863.39
DIPHENHIST LIQ 12.5/5ML 118800295CDM250RCBoth13.259.2811.260.85999999999Percent of total billed charges13.251999999999Percent of total billed chargesRate changes as Medicare rate changes9.940.75999999999Percent of total billed charges9.280.7999999999Percent of total billed charges1.60.8999999999Percent of total billed charges9.93750.75999999999Percent of total billed charges7.28750.55999999999Percent of total billed charges11.26250.85999999999Percent of total billed charges11.26250.85999999999Percent of total billed charges13.251999999999Percent of total billed chargesRate changes as Medicare rate changes13.251999999999Percent of total billed chargesRate changes as Medicare rate changes9.93750.75999999999Percent of total billed charges1.613.25
GLIMEPIRIDE TAB 2MG 1 TAB800355CDM250RCBoth13.149.211.170.85999999999Percent of total billed charges13.141999999999Percent of total billed chargesRate changes as Medicare rate changes9.860.75999999999Percent of total billed charges9.20.7999999999Percent of total billed charges1.510.8999999999Percent of total billed charges9.8550.75999999999Percent of total billed charges7.2270.55999999999Percent of total billed charges11.1690.85999999999Percent of total billed charges11.1690.85999999999Percent of total billed charges13.141999999999Percent of total billed chargesRate changes as Medicare rate changes13.141999999999Percent of total billed chargesRate changes as Medicare rate changes9.8550.75999999999Percent of total billed charges1.5113.14
DILTIAZEM 25MG IV SOLUTION800728CDM250RCBoth6.34.415.360.85999999999Percent of total billed charges6.31999999999Percent of total billed chargesRate changes as Medicare rate changes4.730.75999999999Percent of total billed charges4.410.7999999999Percent of total billed charges5.40.8999999999Percent of total billed charges4.7250.75999999999Percent of total billed charges3.4650.55999999999Percent of total billed charges5.3550.85999999999Percent of total billed charges5.3550.85999999999Percent of total billed charges6.31999999999Percent of total billed chargesRate changes as Medicare rate changes6.31999999999Percent of total billed chargesRate changes as Medicare rate changes4.7250.75999999999Percent of total billed charges3.476.3
MAGNESIUM-O TAB 400MG 1 TAB800454CDM250RCBoth1.51.51.280.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.130.75999999999Percent of total billed charges1.50.7999999999Percent of total billed charges1.20.8999999999Percent of total billed charges1.1250.75999999999Percent of total billed charges0.8250.55999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.1250.75999999999Percent of total billed charges0.831.5
ONDANSETRON HCI 4MG/2ML800751CDM250RCBoth1.51.51.280.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.130.75999999999Percent of total billed charges1.50.7999999999Percent of total billed charges1.20.8999999999Percent of total billed charges1.1250.75999999999Percent of total billed charges0.8250.55999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.1250.75999999999Percent of total billed charges0.831.5
MECLIZINE TAB 25MG 1 TAB800455CDM250RCBoth128.41.20.85999999999Percent of total billed charges121999999999Percent of total billed chargesRate changes as Medicare rate changes90.75999999999Percent of total billed charges8.40.7999999999Percent of total billed charges9.60.8999999999Percent of total billed charges90.75999999999Percent of total billed charges6.60.55999999999Percent of total billed charges1.20.85999999999Percent of total billed charges1.20.85999999999Percent of total billed charges121999999999Percent of total billed chargesRate changes as Medicare rate changes121999999999Percent of total billed chargesRate changes as Medicare rate changes90.75999999999Percent of total billed charges6.612
HEPARIN SOD INJ 5000/ML 1 ML800364CDM250RCBoth3.852.73.270.85999999999Percent of total billed charges3.851999999999Percent of total billed chargesRate changes as Medicare rate changes2.890.75999999999Percent of total billed charges2.70.7999999999Percent of total billed charges3.80.8999999999Percent of total billed charges2.88750.75999999999Percent of total billed charges2.11750.55999999999Percent of total billed charges3.27250.85999999999Percent of total billed charges3.27250.85999999999Percent of total billed charges3.851999999999Percent of total billed chargesRate changes as Medicare rate changes3.851999999999Percent of total billed chargesRate changes as Medicare rate changes2.88750.75999999999Percent of total billed charges2.123.85
MILK OF MAG SUS 30 ML800478CDM250RCBoth5.73.994.850.85999999999Percent of total billed charges5.71999999999Percent of total billed chargesRate changes as Medicare rate changes4.280.75999999999Percent of total billed charges3.990.7999999999Percent of total billed charges4.560.8999999999Percent of total billed charges4.2750.75999999999Percent of total billed charges3.1350.55999999999Percent of total billed charges4.8450.85999999999Percent of total billed charges4.8450.85999999999Percent of total billed charges5.71999999999Percent of total billed chargesRate changes as Medicare rate changes5.71999999999Percent of total billed chargesRate changes as Medicare rate changes4.2750.75999999999Percent of total billed charges3.145.7
HYDROMORPHONE 2MG ORAL TABLET800742CDM250RCBoth1.927.649.280.85999999999Percent of total billed charges1.921999999999Percent of total billed chargesRate changes as Medicare rate changes8.190.75999999999Percent of total billed charges7.640.7999999999Percent of total billed charges8.740.8999999999Percent of total billed charges8.190.75999999999Percent of total billed charges6.60.55999999999Percent of total billed charges9.2820.85999999999Percent of total billed charges9.2820.85999999999Percent of total billed charges1.921999999999Percent of total billed chargesRate changes as Medicare rate changes1.921999999999Percent of total billed chargesRate changes as Medicare rate changes8.190.75999999999Percent of total billed charges6.11.92
HYDROCHLORO TAB 25MG 1 TAB800371CDM250RCBoth1.51.51.280.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.130.75999999999Percent of total billed charges1.50.7999999999Percent of total billed charges1.20.8999999999Percent of total billed charges1.1250.75999999999Percent of total billed charges0.8250.55999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.1250.75999999999Percent of total billed charges0.831.5
NALOXONE INJ 0.4MG/ML 1 ML800488CDM250RCBoth1.237.168.70.85999999999Percent of total billed charges1.231999999999Percent of total billed chargesRate changes as Medicare rate changes7.670.75999999999Percent of total billed charges7.160.7999999999Percent of total billed charges8.180.8999999999Percent of total billed charges7.67250.75999999999Percent of total billed charges5.62650.55999999999Percent of total billed charges8.69550.85999999999Percent of total billed charges8.69550.85999999999Percent of total billed charges1.231999999999Percent of total billed chargesRate changes as Medicare rate changes1.231999999999Percent of total billed chargesRate changes as Medicare rate changes7.67250.75999999999Percent of total billed charges5.631.23
STERILE WATER FOR INJ 10ML800891CDM250RCBoth3.252.282.760.85999999999Percent of total billed charges3.251999999999Percent of total billed chargesRate changes as Medicare rate changes2.440.75999999999Percent of total billed charges2.280.7999999999Percent of total billed charges2.60.8999999999Percent of total billed charges2.43750.75999999999Percent of total billed charges1.78750.55999999999Percent of total billed charges2.76250.85999999999Percent of total billed charges2.76250.85999999999Percent of total billed charges3.251999999999Percent of total billed chargesRate changes as Medicare rate changes3.251999999999Percent of total billed chargesRate changes as Medicare rate changes2.43750.75999999999Percent of total billed charges1.793.25
MAALOX PLUS SUS 30 ML800452CDM250RCBoth9.186.437.80.85999999999Percent of total billed charges9.181999999999Percent of total billed chargesRate changes as Medicare rate changes6.890.75999999999Percent of total billed charges6.430.7999999999Percent of total billed charges7.340.8999999999Percent of total billed charges6.8850.75999999999Percent of total billed charges5.490.55999999999Percent of total billed charges7.830.85999999999Percent of total billed charges7.830.85999999999Percent of total billed charges9.181999999999Percent of total billed chargesRate changes as Medicare rate changes9.181999999999Percent of total billed chargesRate changes as Medicare rate changes6.8850.75999999999Percent of total billed charges5.59.18
IBUPROFEN TAB 200MG 1 TAB800387CDM250RCBoth1.51.51.280.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.130.75999999999Percent of total billed charges1.50.7999999999Percent of total billed charges1.20.8999999999Percent of total billed charges1.1250.75999999999Percent of total billed charges0.8250.55999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.1250.75999999999Percent of total billed charges0.831.5
AMOXICILLIN CAP 500MG 1 CAP800136CDM250RCBoth1.751.231.490.85999999999Percent of total billed charges1.751999999999Percent of total billed chargesRate changes as Medicare rate changes1.310.75999999999Percent of total billed charges1.230.7999999999Percent of total billed charges1.40.8999999999Percent of total billed charges1.31250.75999999999Percent of total billed charges0.96250.55999999999Percent of total billed charges1.48750.85999999999Percent of total billed charges1.48750.85999999999Percent of total billed charges1.751999999999Percent of total billed chargesRate changes as Medicare rate changes1.751999999999Percent of total billed chargesRate changes as Medicare rate changes1.31250.75999999999Percent of total billed charges0.961.75
HYDROCODONE IBU 7.5/200MG800726CDM250RCBoth4.52.843.440.85999999999Percent of total billed charges4.51999999999Percent of total billed chargesRate changes as Medicare rate changes3.40.75999999999Percent of total billed charges2.840.7999999999Percent of total billed charges3.240.8999999999Percent of total billed charges3.3750.75999999999Percent of total billed charges2.22750.55999999999Percent of total billed charges3.44250.85999999999Percent of total billed charges3.44250.85999999999Percent of total billed charges4.51999999999Percent of total billed chargesRate changes as Medicare rate changes4.51999999999Percent of total billed chargesRate changes as Medicare rate changes3.3750.75999999999Percent of total billed charges2.234.5
LEVAQUIN TAB 500MG 1 TAB800411CDM250RCBoth10.70.850.85999999999Percent of total billed charges11999999999Percent of total billed chargesRate changes as Medicare rate changes0.750.75999999999Percent of total billed charges0.70.7999999999Percent of total billed charges0.80.8999999999Percent of total billed charges0.750.75999999999Percent of total billed charges0.550.55999999999Percent of total billed charges0.850.85999999999Percent of total billed charges0.850.85999999999Percent of total billed charges11999999999Percent of total billed chargesRate changes as Medicare rate changes11999999999Percent of total billed chargesRate changes as Medicare rate changes0.750.75999999999Percent of total billed charges0.551
REGLAN INJ 5MG/ML 2 ML800580CDM250RCBoth7.955.576.760.85999999999Percent of total billed charges7.951999999999Percent of total billed chargesRate changes as Medicare rate changes5.960.75999999999Percent of total billed charges5.570.7999999999Percent of total billed charges6.360.8999999999Percent of total billed charges5.96250.75999999999Percent of total billed charges4.37250.55999999999Percent of total billed charges6.75750.85999999999Percent of total billed charges6.75750.85999999999Percent of total billed charges7.951999999999Percent of total billed chargesRate changes as Medicare rate changes7.951999999999Percent of total billed chargesRate changes as Medicare rate changes5.96250.75999999999Percent of total billed charges4.377.95
OXYCODONE TAB 5MG 1 TAB800525CDM250RCBoth7.865.56.680.85999999999Percent of total billed charges7.861999999999Percent of total billed chargesRate changes as Medicare rate changes5.90.75999999999Percent of total billed charges5.50.7999999999Percent of total billed charges6.290.8999999999Percent of total billed charges5.8950.75999999999Percent of total billed charges4.3230.55999999999Percent of total billed charges6.6810.85999999999Percent of total billed charges6.6810.85999999999Percent of total billed charges7.861999999999Percent of total billed chargesRate changes as Medicare rate changes7.861999999999Percent of total billed chargesRate changes as Medicare rate changes5.8950.75999999999Percent of total billed charges4.327.86
DIPHENHYDRA CAP 25MG 1 CAP800296CDM250RCBoth1.51.51.280.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.130.75999999999Percent of total billed charges1.50.7999999999Percent of total billed charges1.20.8999999999Percent of total billed charges1.1250.75999999999Percent of total billed charges0.8250.55999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.1250.75999999999Percent of total billed charges0.831.5
LOPERAMIDE CAP 2MG 1 CAP800434CDM250RCBoth1.51.51.280.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.130.75999999999Percent of total billed charges1.50.7999999999Percent of total billed charges1.20.8999999999Percent of total billed charges1.1250.75999999999Percent of total billed charges0.8250.55999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.1250.75999999999Percent of total billed charges0.831.5
TRIPLE ANTI OIN 1 GM800660CDM250RCBoth1.51.51.280.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.130.75999999999Percent of total billed charges1.50.7999999999Percent of total billed charges1.20.8999999999Percent of total billed charges1.1250.75999999999Percent of total billed charges0.8250.55999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.1250.75999999999Percent of total billed charges0.831.5
LEVOFLOXACIN 250MG ORAL TABLET800896CDM250RCBoth1.51.51.280.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.130.75999999999Percent of total billed charges1.50.7999999999Percent of total billed charges1.20.8999999999Percent of total billed charges1.1250.75999999999Percent of total billed charges0.8250.55999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.1250.75999999999Percent of total billed charges0.831.5
DEXAMETHASO TAB 4MG 1 TAB800275CDM250RCBoth2.21.541.870.85999999999Percent of total billed charges2.21999999999Percent of total billed chargesRate changes as Medicare rate changes1.650.75999999999Percent of total billed charges1.540.7999999999Percent of total billed charges1.760.8999999999Percent of total billed charges1.650.75999999999Percent of total billed charges1.210.55999999999Percent of total billed charges1.870.85999999999Percent of total billed charges1.870.85999999999Percent of total billed charges2.21999999999Percent of total billed chargesRate changes as Medicare rate changes2.21999999999Percent of total billed chargesRate changes as Medicare rate changes1.650.75999999999Percent of total billed charges1.212.2
TYLENOL TAB 500MG 1 TAB800665CDM250RCBoth1.51.51.280.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.130.75999999999Percent of total billed charges1.50.7999999999Percent of total billed charges1.20.8999999999Percent of total billed charges1.1250.75999999999Percent of total billed charges0.8250.55999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.1250.75999999999Percent of total billed charges0.831.5
NICOTINE TRANSDERMAL PATCH14MG800955CDM250RCBoth5.343.744.540.85999999999Percent of total billed charges5.341999999999Percent of total billed chargesRate changes as Medicare rate changes4.10.75999999999Percent of total billed charges3.740.7999999999Percent of total billed charges4.270.8999999999Percent of total billed charges4.50.75999999999Percent of total billed charges2.9370.55999999999Percent of total billed charges4.5390.85999999999Percent of total billed charges4.5390.85999999999Percent of total billed charges5.341999999999Percent of total billed chargesRate changes as Medicare rate changes5.341999999999Percent of total billed chargesRate changes as Medicare rate changes4.50.75999999999Percent of total billed charges2.945.34
HYDOXYZINE HC ORAL TABLET800881CDM250RCBoth5.163.614.390.85999999999Percent of total billed charges5.161999999999Percent of total billed chargesRate changes as Medicare rate changes3.870.75999999999Percent of total billed charges3.610.7999999999Percent of total billed charges4.130.8999999999Percent of total billed charges3.870.75999999999Percent of total billed charges2.8380.55999999999Percent of total billed charges4.3860.85999999999Percent of total billed charges4.3860.85999999999Percent of total billed charges5.161999999999Percent of total billed chargesRate changes as Medicare rate changes5.161999999999Percent of total billed chargesRate changes as Medicare rate changes3.870.75999999999Percent of total billed charges2.845.16
VITAMIN D3 25MCG (1000 UNITS)800959CDM250RCBoth2.51.752.130.85999999999Percent of total billed charges2.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.880.75999999999Percent of total billed charges1.750.7999999999Percent of total billed charges20.8999999999Percent of total billed charges1.8750.75999999999Percent of total billed charges1.3750.55999999999Percent of total billed charges2.1250.85999999999Percent of total billed charges2.1250.85999999999Percent of total billed charges2.51999999999Percent of total billed chargesRate changes as Medicare rate changes2.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.8750.75999999999Percent of total billed charges1.382.5
CEFAZOLIN INJ 1GM 1 INJ800197CDM250RCBoth4.753.334.40.85999999999Percent of total billed charges4.751999999999Percent of total billed chargesRate changes as Medicare rate changes3.560.75999999999Percent of total billed charges3.330.7999999999Percent of total billed charges3.80.8999999999Percent of total billed charges3.56250.75999999999Percent of total billed charges2.61250.55999999999Percent of total billed charges4.3750.85999999999Percent of total billed charges4.3750.85999999999Percent of total billed charges4.751999999999Percent of total billed chargesRate changes as Medicare rate changes4.751999999999Percent of total billed chargesRate changes as Medicare rate changes3.56250.75999999999Percent of total billed charges2.614.75
CLONIDINE TAB 0.2MG 1 TAB800225CDM250RCBoth1.51.51.280.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.130.75999999999Percent of total billed charges1.50.7999999999Percent of total billed charges1.20.8999999999Percent of total billed charges1.1250.75999999999Percent of total billed charges0.8250.55999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.1250.75999999999Percent of total billed charges0.831.5
COUMADIN TAB 4MG 1 TAB800243CDM250RCBoth4.152.913.530.85999999999Percent of total billed charges4.151999999999Percent of total billed chargesRate changes as Medicare rate changes3.110.75999999999Percent of total billed charges2.910.7999999999Percent of total billed charges3.320.8999999999Percent of total billed charges3.11250.75999999999Percent of total billed charges2.28250.55999999999Percent of total billed charges3.52750.85999999999Percent of total billed charges3.52750.85999999999Percent of total billed charges4.151999999999Percent of total billed chargesRate changes as Medicare rate changes4.151999999999Percent of total billed chargesRate changes as Medicare rate changes3.11250.75999999999Percent of total billed charges2.284.15
LEVSIN TAB 0.125MG 1 TA800421CDM250RCBoth4.152.913.530.85999999999Percent of total billed charges4.151999999999Percent of total billed chargesRate changes as Medicare rate changes3.110.75999999999Percent of total billed charges2.910.7999999999Percent of total billed charges3.320.8999999999Percent of total billed charges3.11250.75999999999Percent of total billed charges2.28250.55999999999Percent of total billed charges3.52750.85999999999Percent of total billed charges3.52750.85999999999Percent of total billed charges4.151999999999Percent of total billed chargesRate changes as Medicare rate changes4.151999999999Percent of total billed chargesRate changes as Medicare rate changes3.11250.75999999999Percent of total billed charges2.284.15
KETOROLAC TAB 10MG 1 TAB800403CDM250RCBoth4.12.873.490.85999999999Percent of total billed charges4.11999999999Percent of total billed chargesRate changes as Medicare rate changes3.80.75999999999Percent of total billed charges2.870.7999999999Percent of total billed charges3.280.8999999999Percent of total billed charges3.750.75999999999Percent of total billed charges2.2550.55999999999Percent of total billed charges3.4850.85999999999Percent of total billed charges3.4850.85999999999Percent of total billed charges4.11999999999Percent of total billed chargesRate changes as Medicare rate changes4.11999999999Percent of total billed chargesRate changes as Medicare rate changes3.750.75999999999Percent of total billed charges2.264.1
NIFEDIPINE 10MG ORAL CAPSULE800867CDM250RCBoth4.52.843.440.85999999999Percent of total billed charges4.51999999999Percent of total billed chargesRate changes as Medicare rate changes3.40.75999999999Percent of total billed charges2.840.7999999999Percent of total billed charges3.240.8999999999Percent of total billed charges3.3750.75999999999Percent of total billed charges2.22750.55999999999Percent of total billed charges3.44250.85999999999Percent of total billed charges3.44250.85999999999Percent of total billed charges4.51999999999Percent of total billed chargesRate changes as Medicare rate changes4.51999999999Percent of total billed chargesRate changes as Medicare rate changes3.3750.75999999999Percent of total billed charges2.234.5
SMZ/TMP DS TAB 800-160 1 TA800599CDM250RCBoth42.83.40.85999999999Percent of total billed charges41999999999Percent of total billed chargesRate changes as Medicare rate changes30.75999999999Percent of total billed charges2.80.7999999999Percent of total billed charges3.20.8999999999Percent of total billed charges30.75999999999Percent of total billed charges2.20.55999999999Percent of total billed charges3.40.85999999999Percent of total billed charges3.40.85999999999Percent of total billed charges41999999999Percent of total billed chargesRate changes as Medicare rate changes41999999999Percent of total billed chargesRate changes as Medicare rate changes30.75999999999Percent of total billed charges2.24
XYLOCAINE INJ SOLUTION800880CDM250RCBoth42.83.40.85999999999Percent of total billed charges41999999999Percent of total billed chargesRate changes as Medicare rate changes30.75999999999Percent of total billed charges2.80.7999999999Percent of total billed charges3.20.8999999999Percent of total billed charges30.75999999999Percent of total billed charges2.20.55999999999Percent of total billed charges3.40.85999999999Percent of total billed charges3.40.85999999999Percent of total billed charges41999999999Percent of total billed chargesRate changes as Medicare rate changes41999999999Percent of total billed chargesRate changes as Medicare rate changes30.75999999999Percent of total billed charges2.24
ENALAPRIL TAB 5MG 1 TAB800312CDM250RCBoth3.752.633.190.85999999999Percent of total billed charges3.751999999999Percent of total billed chargesRate changes as Medicare rate changes2.810.75999999999Percent of total billed charges2.630.7999999999Percent of total billed charges30.8999999999Percent of total billed charges2.81250.75999999999Percent of total billed charges2.6250.55999999999Percent of total billed charges3.18750.85999999999Percent of total billed charges3.18750.85999999999Percent of total billed charges3.751999999999Percent of total billed chargesRate changes as Medicare rate changes3.751999999999Percent of total billed chargesRate changes as Medicare rate changes2.81250.75999999999Percent of total billed charges2.63.75
ASPIRIN 600MG RECTAL SUPP800794CDM250RCBoth3.752.633.190.85999999999Percent of total billed charges3.751999999999Percent of total billed chargesRate changes as Medicare rate changes2.810.75999999999Percent of total billed charges2.630.7999999999Percent of total billed charges30.8999999999Percent of total billed charges2.81250.75999999999Percent of total billed charges2.6250.55999999999Percent of total billed charges3.18750.85999999999Percent of total billed charges3.18750.85999999999Percent of total billed charges3.751999999999Percent of total billed chargesRate changes as Medicare rate changes3.751999999999Percent of total billed chargesRate changes as Medicare rate changes2.81250.75999999999Percent of total billed charges2.63.75
BUMEX 1MG ORAL TABLET800861CDM250RCBoth1.751.231.490.85999999999Percent of total billed charges1.751999999999Percent of total billed chargesRate changes as Medicare rate changes1.310.75999999999Percent of total billed charges1.230.7999999999Percent of total billed charges1.40.8999999999Percent of total billed charges1.31250.75999999999Percent of total billed charges0.96250.55999999999Percent of total billed charges1.48750.85999999999Percent of total billed charges1.48750.85999999999Percent of total billed charges1.751999999999Percent of total billed chargesRate changes as Medicare rate changes1.751999999999Percent of total billed chargesRate changes as Medicare rate changes1.31250.75999999999Percent of total billed charges0.961.75
DIGOXIN TAB 0.125MG 1 TA800287CDM250RCBoth1.51.51.280.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.130.75999999999Percent of total billed charges1.50.7999999999Percent of total billed charges1.20.8999999999Percent of total billed charges1.1250.75999999999Percent of total billed charges0.8250.55999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.1250.75999999999Percent of total billed charges0.831.5
IBUPROFEN TAB 800MG 1 TAB800390CDM250RCBoth1.51.51.280.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.130.75999999999Percent of total billed charges1.50.7999999999Percent of total billed charges1.20.8999999999Percent of total billed charges1.1250.75999999999Percent of total billed charges0.8250.55999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.1250.75999999999Percent of total billed charges0.831.5
LORATADINE TAB 10MG 1 TAB800438CDM250RCBoth32.12.550.85999999999Percent of total billed charges31999999999Percent of total billed chargesRate changes as Medicare rate changes2.250.75999999999Percent of total billed charges2.10.7999999999Percent of total billed charges2.40.8999999999Percent of total billed charges2.250.75999999999Percent of total billed charges1.650.55999999999Percent of total billed charges2.550.85999999999Percent of total billed charges2.550.85999999999Percent of total billed charges31999999999Percent of total billed chargesRate changes as Medicare rate changes31999999999Percent of total billed chargesRate changes as Medicare rate changes2.250.75999999999Percent of total billed charges1.653
AUGMENTIN 875MG800962CDM250RCBoth2.51.752.130.85999999999Percent of total billed charges2.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.880.75999999999Percent of total billed charges1.750.7999999999Percent of total billed charges20.8999999999Percent of total billed charges1.8750.75999999999Percent of total billed charges1.3750.55999999999Percent of total billed charges2.1250.85999999999Percent of total billed charges2.1250.85999999999Percent of total billed charges2.51999999999Percent of total billed chargesRate changes as Medicare rate changes2.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.8750.75999999999Percent of total billed charges1.382.5
TYLENOL/COD TAB #3 1 TAB800668CDM250RCBoth2.31.611.960.85999999999Percent of total billed charges2.31999999999Percent of total billed chargesRate changes as Medicare rate changes1.730.75999999999Percent of total billed charges1.610.7999999999Percent of total billed charges1.840.8999999999Percent of total billed charges1.7250.75999999999Percent of total billed charges1.2650.55999999999Percent of total billed charges1.9550.85999999999Percent of total billed charges1.9550.85999999999Percent of total billed charges2.31999999999Percent of total billed chargesRate changes as Medicare rate changes2.31999999999Percent of total billed chargesRate changes as Medicare rate changes1.7250.75999999999Percent of total billed charges1.272.3
VERAPAMIL TAB 120MG 1 TAB800670CDM250RCBoth21.41.70.85999999999Percent of total billed charges21999999999Percent of total billed chargesRate changes as Medicare rate changes1.50.75999999999Percent of total billed charges1.40.7999999999Percent of total billed charges1.60.8999999999Percent of total billed charges1.50.75999999999Percent of total billed charges1.10.55999999999Percent of total billed charges1.70.85999999999Percent of total billed charges1.70.85999999999Percent of total billed charges21999999999Percent of total billed chargesRate changes as Medicare rate changes21999999999Percent of total billed chargesRate changes as Medicare rate changes1.50.75999999999Percent of total billed charges1.12
DIPHENHYDRAMINE HCL 50MG (BENA800008CDM250RCBoth1.921.341.630.85999999999Percent of total billed charges1.921999999999Percent of total billed chargesRate changes as Medicare rate changes1.440.75999999999Percent of total billed charges1.340.7999999999Percent of total billed charges1.540.8999999999Percent of total billed charges1.440.75999999999Percent of total billed charges1.560.55999999999Percent of total billed charges1.6320.85999999999Percent of total billed charges1.6320.85999999999Percent of total billed charges1.921999999999Percent of total billed chargesRate changes as Medicare rate changes1.921999999999Percent of total billed chargesRate changes as Medicare rate changes1.440.75999999999Percent of total billed charges1.61.92
MUCINEX TAB 600MG ER 1 TA800482CDM250RCBoth1.551.91.320.85999999999Percent of total billed charges1.551999999999Percent of total billed chargesRate changes as Medicare rate changes1.160.75999999999Percent of total billed charges1.90.7999999999Percent of total billed charges1.240.8999999999Percent of total billed charges1.16250.75999999999Percent of total billed charges0.85250.55999999999Percent of total billed charges1.31750.85999999999Percent of total billed charges1.31750.85999999999Percent of total billed charges1.551999999999Percent of total billed chargesRate changes as Medicare rate changes1.551999999999Percent of total billed chargesRate changes as Medicare rate changes1.16250.75999999999Percent of total billed charges0.851.9
FUROSEMIDE TAB 20MG 1 TAB800343CDM250RCBoth1.51.51.280.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.130.75999999999Percent of total billed charges1.50.7999999999Percent of total billed charges1.20.8999999999Percent of total billed charges1.1250.75999999999Percent of total billed charges0.8250.55999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.1250.75999999999Percent of total billed charges0.831.5
THIAMINE HC TAB 100MG 1 TAB800645CDM250RCBoth1.51.51.280.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.130.75999999999Percent of total billed charges1.50.7999999999Percent of total billed charges1.20.8999999999Percent of total billed charges1.1250.75999999999Percent of total billed charges0.8250.55999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.1250.75999999999Percent of total billed charges0.831.5
CEPACOL SORE THROAT800768CDM250RCBoth1.51.51.280.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.130.75999999999Percent of total billed charges1.50.7999999999Percent of total billed charges1.20.8999999999Percent of total billed charges1.1250.75999999999Percent of total billed charges0.8250.55999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.1250.75999999999Percent of total billed charges0.831.5
COUMADIN TAB 3MG 1 TAB800242CDM250RCBoth0.750.530.640.85999999999Percent of total billed charges0.751999999999Percent of total billed chargesRate changes as Medicare rate changes0.560.75999999999Percent of total billed charges0.530.7999999999Percent of total billed charges0.60.8999999999Percent of total billed charges0.56250.75999999999Percent of total billed charges0.41250.55999999999Percent of total billed charges0.63750.85999999999Percent of total billed charges0.63750.85999999999Percent of total billed charges0.751999999999Percent of total billed chargesRate changes as Medicare rate changes0.751999999999Percent of total billed chargesRate changes as Medicare rate changes0.56250.75999999999Percent of total billed charges0.410.75
LIDOCAINE INJ 1% 20 ML800424CDM250RCBoth53.54.250.85999999999Percent of total billed charges51999999999Percent of total billed chargesRate changes as Medicare rate changes3.750.75999999999Percent of total billed charges3.50.7999999999Percent of total billed charges40.8999999999Percent of total billed charges3.750.75999999999Percent of total billed charges2.750.55999999999Percent of total billed charges4.250.85999999999Percent of total billed charges4.250.85999999999Percent of total billed charges51999999999Percent of total billed chargesRate changes as Medicare rate changes51999999999Percent of total billed chargesRate changes as Medicare rate changes3.750.75999999999Percent of total billed charges2.755
IVERMECTIN 3MG TAB800996CDM250RCBoth1UN178.50.85999999999Percent of total billed charges11999999999Percent of total billed chargesRate changes as Medicare rate changes7.50.75999999999Percent of total billed charges70.7999999999Percent of total billed charges80.8999999999Percent of total billed charges7.50.75999999999Percent of total billed charges5.50.55999999999Percent of total billed charges8.50.85999999999Percent of total billed charges8.50.85999999999Percent of total billed charges11999999999Percent of total billed chargesRate changes as Medicare rate changes11999999999Percent of total billed chargesRate changes as Medicare rate changes7.50.75999999999Percent of total billed charges5.51
TUMS801008CDM250RCBoth0.250.180.210.85999999999Percent of total billed charges0.251999999999Percent of total billed chargesRate changes as Medicare rate changes0.190.75999999999Percent of total billed charges0.180.7999999999Percent of total billed charges0.20.8999999999Percent of total billed charges0.18750.75999999999Percent of total billed charges0.13750.55999999999Percent of total billed charges0.21250.85999999999Percent of total billed charges0.21250.85999999999Percent of total billed charges0.251999999999Percent of total billed chargesRate changes as Medicare rate changes0.251999999999Percent of total billed chargesRate changes as Medicare rate changes0.18750.75999999999Percent of total billed charges0.140.25
LOVASTATIN 40MG TAB801001CDM250RCBoth0.280.20.240.85999999999Percent of total billed charges0.281999999999Percent of total billed chargesRate changes as Medicare rate changes0.210.75999999999Percent of total billed charges0.20.7999999999Percent of total billed charges0.220.8999999999Percent of total billed charges0.210.75999999999Percent of total billed charges0.1540.55999999999Percent of total billed charges0.2380.85999999999Percent of total billed charges0.2380.85999999999Percent of total billed charges0.281999999999Percent of total billed chargesRate changes as Medicare rate changes0.281999999999Percent of total billed chargesRate changes as Medicare rate changes0.210.75999999999Percent of total billed charges0.150.28
MELOXICAM 15MG TAB800999CDM250RCBoth0.420.290.360.85999999999Percent of total billed charges0.421999999999Percent of total billed chargesRate changes as Medicare rate changes0.320.75999999999Percent of total billed charges0.290.7999999999Percent of total billed charges0.340.8999999999Percent of total billed charges0.3150.75999999999Percent of total billed charges0.2310.55999999999Percent of total billed charges0.3570.85999999999Percent of total billed charges0.3570.85999999999Percent of total billed charges0.421999999999Percent of total billed chargesRate changes as Medicare rate changes0.421999999999Percent of total billed chargesRate changes as Medicare rate changes0.3150.75999999999Percent of total billed charges0.230.42
PHENYTOIN SUS 125/5ML 237800538CDM250RCBoth10.70.850.85999999999Percent of total billed charges11999999999Percent of total billed chargesRate changes as Medicare rate changes0.750.75999999999Percent of total billed charges0.70.7999999999Percent of total billed charges0.80.8999999999Percent of total billed charges0.750.75999999999Percent of total billed charges0.550.55999999999Percent of total billed charges0.850.85999999999Percent of total billed charges0.850.85999999999Percent of total billed charges11999999999Percent of total billed chargesRate changes as Medicare rate changes11999999999Percent of total billed chargesRate changes as Medicare rate changes0.750.75999999999Percent of total billed charges0.551
AMOXICILLIN CAP 250MG 1 CAP800135CDM250RCBoth1.380.971.170.85999999999Percent of total billed charges1.381999999999Percent of total billed chargesRate changes as Medicare rate changes1.40.75999999999Percent of total billed charges0.970.7999999999Percent of total billed charges1.10.8999999999Percent of total billed charges1.350.75999999999Percent of total billed charges0.7590.55999999999Percent of total billed charges1.1730.85999999999Percent of total billed charges1.1730.85999999999Percent of total billed charges1.381999999999Percent of total billed chargesRate changes as Medicare rate changes1.381999999999Percent of total billed chargesRate changes as Medicare rate changes1.350.75999999999Percent of total billed charges0.761.4
PROMETHAZINE HCI 12.5MG ORAL (800010CDM250RCBoth1.51.51.280.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.130.75999999999Percent of total billed charges1.50.7999999999Percent of total billed charges1.20.8999999999Percent of total billed charges1.1250.75999999999Percent of total billed charges0.8250.55999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.1250.75999999999Percent of total billed charges0.831.5
HYDROXYZINE PAMAOATE 25MG (VIS800012CDM250RCBoth1.51.51.280.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.130.75999999999Percent of total billed charges1.50.7999999999Percent of total billed charges1.20.8999999999Percent of total billed charges1.1250.75999999999Percent of total billed charges0.8250.55999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.1250.75999999999Percent of total billed charges0.831.5
AMITRIPTYLI TAB 10MG 1 TAB800130CDM250RCBoth1.51.51.280.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.130.75999999999Percent of total billed charges1.50.7999999999Percent of total billed charges1.20.8999999999Percent of total billed charges1.1250.75999999999Percent of total billed charges0.8250.55999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.1250.75999999999Percent of total billed charges0.831.5
AMITRIPTYLI TAB 25MG 1 TAB800131CDM250RCBoth1.51.51.280.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.130.75999999999Percent of total billed charges1.50.7999999999Percent of total billed charges1.20.8999999999Percent of total billed charges1.1250.75999999999Percent of total billed charges0.8250.55999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.1250.75999999999Percent of total billed charges0.831.5
AMOXIL CAP 500MG 1 CAP800141CDM250RCBoth1.51.51.280.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.130.75999999999Percent of total billed charges1.50.7999999999Percent of total billed charges1.20.8999999999Percent of total billed charges1.1250.75999999999Percent of total billed charges0.8250.55999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.1250.75999999999Percent of total billed charges0.831.5
ARMOUR THYR TAB 60MG 1 TAB800149CDM250RCBoth1.51.51.280.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.130.75999999999Percent of total billed charges1.50.7999999999Percent of total billed charges1.20.8999999999Percent of total billed charges1.1250.75999999999Percent of total billed charges0.8250.55999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.1250.75999999999Percent of total billed charges0.831.5
ARZOL SILVE MIS NITR APP 1 MI800150CDM250RCBoth1.51.51.280.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.130.75999999999Percent of total billed charges1.50.7999999999Percent of total billed charges1.20.8999999999Percent of total billed charges1.1250.75999999999Percent of total billed charges0.8250.55999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.1250.75999999999Percent of total billed charges0.831.5
CLONIDINE TAB 0.2MG 1 TAB800226CDM250RCBoth1.51.51.280.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.130.75999999999Percent of total billed charges1.50.7999999999Percent of total billed charges1.20.8999999999Percent of total billed charges1.1250.75999999999Percent of total billed charges0.8250.55999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.1250.75999999999Percent of total billed charges0.831.5
CODEINE/APA TAB 30-300MG 1 TA800229CDM250RCBoth1.51.51.280.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.130.75999999999Percent of total billed charges1.50.7999999999Percent of total billed charges1.20.8999999999Percent of total billed charges1.1250.75999999999Percent of total billed charges0.8250.55999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.1250.75999999999Percent of total billed charges0.831.5
DIAZEPAM TAB 5MG 1 TAB800283CDM250RCBoth1.51.51.280.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.130.75999999999Percent of total billed charges1.50.7999999999Percent of total billed charges1.20.8999999999Percent of total billed charges1.1250.75999999999Percent of total billed charges0.8250.55999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.1250.75999999999Percent of total billed charges0.831.5
FERROUS SUL TAB 325MG 1 TAB800323CDM250RCBoth1.51.51.280.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.130.75999999999Percent of total billed charges1.50.7999999999Percent of total billed charges1.20.8999999999Percent of total billed charges1.1250.75999999999Percent of total billed charges0.8250.55999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.1250.75999999999Percent of total billed charges0.831.5
FLUOR-I-STR TES 1MG OP 1 TES800334CDM250RCBoth1.51.51.280.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.130.75999999999Percent of total billed charges1.50.7999999999Percent of total billed charges1.20.8999999999Percent of total billed charges1.1250.75999999999Percent of total billed charges0.8250.55999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.1250.75999999999Percent of total billed charges0.831.5
FUL-GLO TES 1MG OP 1 TES800338CDM250RCBoth1.51.51.280.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.130.75999999999Percent of total billed charges1.50.7999999999Percent of total billed charges1.20.8999999999Percent of total billed charges1.1250.75999999999Percent of total billed charges0.8250.55999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.1250.75999999999Percent of total billed charges0.831.5
GLYCERIN SUP 1.2GM 1 SUP800360CDM250RCBoth1.51.51.280.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.130.75999999999Percent of total billed charges1.50.7999999999Percent of total billed charges1.20.8999999999Percent of total billed charges1.1250.75999999999Percent of total billed charges0.8250.55999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.1250.75999999999Percent of total billed charges0.831.5
LORATADINE TAB 10MG 1 TAB800437CDM250RCBoth1.51.51.280.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.130.75999999999Percent of total billed charges1.50.7999999999Percent of total billed charges1.20.8999999999Percent of total billed charges1.1250.75999999999Percent of total billed charges0.8250.55999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.1250.75999999999Percent of total billed charges0.831.5
MULTIVITAL TAB 1 TAB800483CDM250RCBoth1.51.51.280.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.130.75999999999Percent of total billed charges1.50.7999999999Percent of total billed charges1.20.8999999999Percent of total billed charges1.1250.75999999999Percent of total billed charges0.8250.55999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.1250.75999999999Percent of total billed charges0.831.5
OCUVITE TAB 1 TAB800511CDM250RCBoth1.51.51.280.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.130.75999999999Percent of total billed charges1.50.7999999999Percent of total billed charges1.20.8999999999Percent of total billed charges1.1250.75999999999Percent of total billed charges0.8250.55999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.1250.75999999999Percent of total billed charges0.831.5
SENNA-S TAB 8.6-50MG 1 TA800591CDM250RCBoth1.51.51.280.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.130.75999999999Percent of total billed charges1.50.7999999999Percent of total billed charges1.20.8999999999Percent of total billed charges1.1250.75999999999Percent of total billed charges0.8250.55999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.1250.75999999999Percent of total billed charges0.831.5
SOD CHLORID TAB 1GM 1 TAB800613CDM250RCBoth1.51.51.280.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.130.75999999999Percent of total billed charges1.50.7999999999Percent of total billed charges1.20.8999999999Percent of total billed charges1.1250.75999999999Percent of total billed charges0.8250.55999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.1250.75999999999Percent of total billed charges0.831.5
SUDAFED TAB 30MG 1 TAB800626CDM250RCBoth1.51.51.280.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.130.75999999999Percent of total billed charges1.50.7999999999Percent of total billed charges1.20.8999999999Percent of total billed charges1.1250.75999999999Percent of total billed charges0.8250.55999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.1250.75999999999Percent of total billed charges0.831.5
VITAMIN C CAP 500MG CR 1 CA800672CDM250RCBoth1.51.51.280.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.130.75999999999Percent of total billed charges1.50.7999999999Percent of total billed charges1.20.8999999999Percent of total billed charges1.1250.75999999999Percent of total billed charges0.8250.55999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.1250.75999999999Percent of total billed charges0.831.5
CHLORDIAZEPOXIDE HCI 25MGCAP800722CDM250RCBoth1.51.51.280.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.130.75999999999Percent of total billed charges1.50.7999999999Percent of total billed charges1.20.8999999999Percent of total billed charges1.1250.75999999999Percent of total billed charges0.8250.55999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.1250.75999999999Percent of total billed charges0.831.5
OMEGA 3 FISH OIL 1000MG800737CDM250RCBoth1.51.51.280.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.130.75999999999Percent of total billed charges1.50.7999999999Percent of total billed charges1.20.8999999999Percent of total billed charges1.1250.75999999999Percent of total billed charges0.8250.55999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.1250.75999999999Percent of total billed charges0.831.5
BICALUTAMIDE ORAL TABLET800762CDM250RCBoth1.51.51.280.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.130.75999999999Percent of total billed charges1.50.7999999999Percent of total billed charges1.20.8999999999Percent of total billed charges1.1250.75999999999Percent of total billed charges0.8250.55999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.1250.75999999999Percent of total billed charges0.831.5
OYSTER SHELL CALCIUM 500800877CDM250RCBoth1.51.51.280.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.130.75999999999Percent of total billed charges1.50.7999999999Percent of total billed charges1.20.8999999999Percent of total billed charges1.1250.75999999999Percent of total billed charges0.8250.55999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.1250.75999999999Percent of total billed charges0.831.5
METHOCARBAMOL 750MG TABLET800913CDM250RCBoth1.51.51.280.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.130.75999999999Percent of total billed charges1.50.7999999999Percent of total billed charges1.20.8999999999Percent of total billed charges1.1250.75999999999Percent of total billed charges0.8250.55999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.1250.75999999999Percent of total billed charges0.831.5
LABETALOL TAB 100MG 1 TAB800406CDM250RCBoth1.71.191.450.85999999999Percent of total billed charges1.71999999999Percent of total billed chargesRate changes as Medicare rate changes1.280.75999999999Percent of total billed charges1.190.7999999999Percent of total billed charges1.360.8999999999Percent of total billed charges1.2750.75999999999Percent of total billed charges0.9350.55999999999Percent of total billed charges1.4450.85999999999Percent of total billed charges1.4450.85999999999Percent of total billed charges1.71999999999Percent of total billed chargesRate changes as Medicare rate changes1.71999999999Percent of total billed chargesRate changes as Medicare rate changes1.2750.75999999999Percent of total billed charges0.941.7
AMOXICILLIN 500MG ORAL CAP800771CDM250RCBoth1.751.231.490.85999999999Percent of total billed charges1.751999999999Percent of total billed chargesRate changes as Medicare rate changes1.310.75999999999Percent of total billed charges1.230.7999999999Percent of total billed charges1.40.8999999999Percent of total billed charges1.31250.75999999999Percent of total billed charges0.96250.55999999999Percent of total billed charges1.48750.85999999999Percent of total billed charges1.48750.85999999999Percent of total billed charges1.751999999999Percent of total billed chargesRate changes as Medicare rate changes1.751999999999Percent of total billed chargesRate changes as Medicare rate changes1.31250.75999999999Percent of total billed charges0.961.75
BACLOFEN TAB 10MG 1 TAB800170CDM250RCBoth2.151.511.830.85999999999Percent of total billed charges2.151999999999Percent of total billed chargesRate changes as Medicare rate changes1.610.75999999999Percent of total billed charges1.510.7999999999Percent of total billed charges1.720.8999999999Percent of total billed charges1.61250.75999999999Percent of total billed charges1.18250.55999999999Percent of total billed charges1.82750.85999999999Percent of total billed charges1.82750.85999999999Percent of total billed charges2.151999999999Percent of total billed chargesRate changes as Medicare rate changes2.151999999999Percent of total billed chargesRate changes as Medicare rate changes1.61250.75999999999Percent of total billed charges1.182.15
CARISOPRODO TAB 350MG 1 TAB800193CDM250RCBoth2.151.511.830.85999999999Percent of total billed charges2.151999999999Percent of total billed chargesRate changes as Medicare rate changes1.610.75999999999Percent of total billed charges1.510.7999999999Percent of total billed charges1.720.8999999999Percent of total billed charges1.61250.75999999999Percent of total billed charges1.18250.55999999999Percent of total billed charges1.82750.85999999999Percent of total billed charges1.82750.85999999999Percent of total billed charges2.151999999999Percent of total billed chargesRate changes as Medicare rate changes2.151999999999Percent of total billed chargesRate changes as Medicare rate changes1.61250.75999999999Percent of total billed charges1.182.15
PROCHIORPERAZINE MALEATE 5MG (800009CDM250RCBoth2.21.541.870.85999999999Percent of total billed charges2.21999999999Percent of total billed chargesRate changes as Medicare rate changes1.650.75999999999Percent of total billed charges1.540.7999999999Percent of total billed charges1.760.8999999999Percent of total billed charges1.650.75999999999Percent of total billed charges1.210.55999999999Percent of total billed charges1.870.85999999999Percent of total billed charges1.870.85999999999Percent of total billed charges2.21999999999Percent of total billed chargesRate changes as Medicare rate changes2.21999999999Percent of total billed chargesRate changes as Medicare rate changes1.650.75999999999Percent of total billed charges1.212.2
RE-PB HYOS ELX 16MG/5ML 5ml800579CDM250RCBoth2.251.581.910.85999999999Percent of total billed charges2.251999999999Percent of total billed chargesRate changes as Medicare rate changes1.690.75999999999Percent of total billed charges1.580.7999999999Percent of total billed charges1.80.8999999999Percent of total billed charges1.68750.75999999999Percent of total billed charges1.23750.55999999999Percent of total billed charges1.91250.85999999999Percent of total billed charges1.91250.85999999999Percent of total billed charges2.251999999999Percent of total billed chargesRate changes as Medicare rate changes2.251999999999Percent of total billed chargesRate changes as Medicare rate changes1.68750.75999999999Percent of total billed charges1.242.25
MAGNESIUM S INJ 50% 10 ML800453CDM250RCBoth2.41.682.40.85999999999Percent of total billed charges2.41999999999Percent of total billed chargesRate changes as Medicare rate changes1.80.75999999999Percent of total billed charges1.680.7999999999Percent of total billed charges1.920.8999999999Percent of total billed charges1.80.75999999999Percent of total billed charges1.320.55999999999Percent of total billed charges2.40.85999999999Percent of total billed charges2.40.85999999999Percent of total billed charges2.41999999999Percent of total billed chargesRate changes as Medicare rate changes2.41999999999Percent of total billed chargesRate changes as Medicare rate changes1.80.75999999999Percent of total billed charges1.322.4
LEVOTHYROXINE 125MCG ORAL TAB800809CDM250RCBoth2.41.682.40.85999999999Percent of total billed charges2.41999999999Percent of total billed chargesRate changes as Medicare rate changes1.80.75999999999Percent of total billed charges1.680.7999999999Percent of total billed charges1.920.8999999999Percent of total billed charges1.80.75999999999Percent of total billed charges1.320.55999999999Percent of total billed charges2.40.85999999999Percent of total billed charges2.40.85999999999Percent of total billed charges2.41999999999Percent of total billed chargesRate changes as Medicare rate changes2.41999999999Percent of total billed chargesRate changes as Medicare rate changes1.80.75999999999Percent of total billed charges1.322.4
LACTATED RINGERS 1000 ML800994CDM250RCBoth2.41.682.40.85999999999Percent of total billed charges2.41999999999Percent of total billed chargesRate changes as Medicare rate changes1.80.75999999999Percent of total billed charges1.680.7999999999Percent of total billed charges1.920.8999999999Percent of total billed charges1.80.75999999999Percent of total billed charges1.320.55999999999Percent of total billed charges2.40.85999999999Percent of total billed charges2.40.85999999999Percent of total billed charges2.41999999999Percent of total billed chargesRate changes as Medicare rate changes2.41999999999Percent of total billed chargesRate changes as Medicare rate changes1.80.75999999999Percent of total billed charges1.322.4
THERAVIM-M ORAL TABLET800899CDM250RCBoth2.51.752.130.85999999999Percent of total billed charges2.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.880.75999999999Percent of total billed charges1.750.7999999999Percent of total billed charges20.8999999999Percent of total billed charges1.8750.75999999999Percent of total billed charges1.3750.55999999999Percent of total billed charges2.1250.85999999999Percent of total billed charges2.1250.85999999999Percent of total billed charges2.51999999999Percent of total billed chargesRate changes as Medicare rate changes2.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.8750.75999999999Percent of total billed charges1.382.5
IMITREX ORAL TABLET 25MG800900CDM250RCBoth2.51.752.130.85999999999Percent of total billed charges2.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.880.75999999999Percent of total billed charges1.750.7999999999Percent of total billed charges20.8999999999Percent of total billed charges1.8750.75999999999Percent of total billed charges1.3750.55999999999Percent of total billed charges2.1250.85999999999Percent of total billed charges2.1250.85999999999Percent of total billed charges2.51999999999Percent of total billed chargesRate changes as Medicare rate changes2.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.8750.75999999999Percent of total billed charges1.382.5
SUMATRIPTAN 50MG PO800918CDM250RCBoth2.51.752.130.85999999999Percent of total billed charges2.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.880.75999999999Percent of total billed charges1.750.7999999999Percent of total billed charges20.8999999999Percent of total billed charges1.8750.75999999999Percent of total billed charges1.3750.55999999999Percent of total billed charges2.1250.85999999999Percent of total billed charges2.1250.85999999999Percent of total billed charges2.51999999999Percent of total billed chargesRate changes as Medicare rate changes2.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.8750.75999999999Percent of total billed charges1.382.5
CEFADROXIL 500MG CAPSULE800919CDM250RCBoth2.51.752.130.85999999999Percent of total billed charges2.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.880.75999999999Percent of total billed charges1.750.7999999999Percent of total billed charges20.8999999999Percent of total billed charges1.8750.75999999999Percent of total billed charges1.3750.55999999999Percent of total billed charges2.1250.85999999999Percent of total billed charges2.1250.85999999999Percent of total billed charges2.51999999999Percent of total billed chargesRate changes as Medicare rate changes2.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.8750.75999999999Percent of total billed charges1.382.5
TUMS800924CDM250RCBoth2.51.752.130.85999999999Percent of total billed charges2.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.880.75999999999Percent of total billed charges1.750.7999999999Percent of total billed charges20.8999999999Percent of total billed charges1.8750.75999999999Percent of total billed charges1.3750.55999999999Percent of total billed charges2.1250.85999999999Percent of total billed charges2.1250.85999999999Percent of total billed charges2.51999999999Percent of total billed chargesRate changes as Medicare rate changes2.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.8750.75999999999Percent of total billed charges1.382.5
INDOMETHACIN 25MG CAPSULE800929CDM250RCBoth2.51.752.130.85999999999Percent of total billed charges2.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.880.75999999999Percent of total billed charges1.750.7999999999Percent of total billed charges20.8999999999Percent of total billed charges1.8750.75999999999Percent of total billed charges1.3750.55999999999Percent of total billed charges2.1250.85999999999Percent of total billed charges2.1250.85999999999Percent of total billed charges2.51999999999Percent of total billed chargesRate changes as Medicare rate changes2.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.8750.75999999999Percent of total billed charges1.382.5
HALDOL (HALOPERIDOL) 0.5MG TAB800942CDM250RCBoth2.51.752.130.85999999999Percent of total billed charges2.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.880.75999999999Percent of total billed charges1.750.7999999999Percent of total billed charges20.8999999999Percent of total billed charges1.8750.75999999999Percent of total billed charges1.3750.55999999999Percent of total billed charges2.1250.85999999999Percent of total billed charges2.1250.85999999999Percent of total billed charges2.51999999999Percent of total billed chargesRate changes as Medicare rate changes2.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.8750.75999999999Percent of total billed charges1.382.5
DIMETAPP CHILDRENS 10ML ORAL800947CDM250RCBoth2.51.752.130.85999999999Percent of total billed charges2.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.880.75999999999Percent of total billed charges1.750.7999999999Percent of total billed charges20.8999999999Percent of total billed charges1.8750.75999999999Percent of total billed charges1.3750.55999999999Percent of total billed charges2.1250.85999999999Percent of total billed charges2.1250.85999999999Percent of total billed charges2.51999999999Percent of total billed chargesRate changes as Medicare rate changes2.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.8750.75999999999Percent of total billed charges1.382.5
SAW PALMETTO800953CDM250RCBoth2.51.752.130.85999999999Percent of total billed charges2.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.880.75999999999Percent of total billed charges1.750.7999999999Percent of total billed charges20.8999999999Percent of total billed charges1.8750.75999999999Percent of total billed charges1.3750.55999999999Percent of total billed charges2.1250.85999999999Percent of total billed charges2.1250.85999999999Percent of total billed charges2.51999999999Percent of total billed chargesRate changes as Medicare rate changes2.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.8750.75999999999Percent of total billed charges1.382.5
PENICILLIN VK POTASSIUM 250TAB800980CDM250RCBoth2.51.752.130.85999999999Percent of total billed charges2.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.880.75999999999Percent of total billed charges1.750.7999999999Percent of total billed charges20.8999999999Percent of total billed charges1.8750.75999999999Percent of total billed charges1.3750.55999999999Percent of total billed charges2.1250.85999999999Percent of total billed charges2.1250.85999999999Percent of total billed charges2.51999999999Percent of total billed chargesRate changes as Medicare rate changes2.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.8750.75999999999Percent of total billed charges1.382.5
METAMUCIL FIBER CAP.800986CDM250RCBoth1UN2.51.752.130.85999999999Percent of total billed charges2.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.880.75999999999Percent of total billed charges1.750.7999999999Percent of total billed charges20.8999999999Percent of total billed charges1.8750.75999999999Percent of total billed charges1.3750.55999999999Percent of total billed charges2.1250.85999999999Percent of total billed charges2.1250.85999999999Percent of total billed charges2.51999999999Percent of total billed chargesRate changes as Medicare rate changes2.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.8750.75999999999Percent of total billed charges1.382.5
PEPTO BISMOL -15ML800989CDM250RCBoth1ML2.51.752.130.85999999999Percent of total billed charges2.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.880.75999999999Percent of total billed charges1.750.7999999999Percent of total billed charges20.8999999999Percent of total billed charges1.8750.75999999999Percent of total billed charges1.3750.55999999999Percent of total billed charges2.1250.85999999999Percent of total billed charges2.1250.85999999999Percent of total billed charges2.51999999999Percent of total billed chargesRate changes as Medicare rate changes2.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.8750.75999999999Percent of total billed charges1.382.5
ALPRAZOLAM TAB 0.25MG 1 TAB800122CDM250RCBoth2.551.792.170.85999999999Percent of total billed charges2.551999999999Percent of total billed chargesRate changes as Medicare rate changes1.910.75999999999Percent of total billed charges1.790.7999999999Percent of total billed charges2.40.8999999999Percent of total billed charges1.91250.75999999999Percent of total billed charges1.4250.55999999999Percent of total billed charges2.16750.85999999999Percent of total billed charges2.16750.85999999999Percent of total billed charges2.551999999999Percent of total billed chargesRate changes as Medicare rate changes2.551999999999Percent of total billed chargesRate changes as Medicare rate changes1.91250.75999999999Percent of total billed charges1.42.55
CLONAZEPAM TAB 0.5MG 1 TAB800222CDM250RCBoth2.651.862.250.85999999999Percent of total billed charges2.651999999999Percent of total billed chargesRate changes as Medicare rate changes1.990.75999999999Percent of total billed charges1.860.7999999999Percent of total billed charges2.120.8999999999Percent of total billed charges1.98750.75999999999Percent of total billed charges1.45750.55999999999Percent of total billed charges2.25250.85999999999Percent of total billed charges2.25250.85999999999Percent of total billed charges2.651999999999Percent of total billed chargesRate changes as Medicare rate changes2.651999999999Percent of total billed chargesRate changes as Medicare rate changes1.98750.75999999999Percent of total billed charges1.462.65
HYDROCO/APA TAB 7.5-325 1 TA800376CDM250RCBoth2.92.32.470.85999999999Percent of total billed charges2.91999999999Percent of total billed chargesRate changes as Medicare rate changes2.180.75999999999Percent of total billed charges2.30.7999999999Percent of total billed charges2.320.8999999999Percent of total billed charges2.1750.75999999999Percent of total billed charges1.5950.55999999999Percent of total billed charges2.4650.85999999999Percent of total billed charges2.4650.85999999999Percent of total billed charges2.91999999999Percent of total billed chargesRate changes as Medicare rate changes2.91999999999Percent of total billed chargesRate changes as Medicare rate changes2.1750.75999999999Percent of total billed charges1.62.9
GENTAMICIN INJ 40MG/ML 2 ML800353CDM250RCBoth3.252.282.760.85999999999Percent of total billed charges3.251999999999Percent of total billed chargesRate changes as Medicare rate changes2.440.75999999999Percent of total billed charges2.280.7999999999Percent of total billed charges2.60.8999999999Percent of total billed charges2.43750.75999999999Percent of total billed charges1.78750.55999999999Percent of total billed charges2.76250.85999999999Percent of total billed charges2.76250.85999999999Percent of total billed charges3.251999999999Percent of total billed chargesRate changes as Medicare rate changes3.251999999999Percent of total billed chargesRate changes as Medicare rate changes2.43750.75999999999Percent of total billed charges1.793.25
BACTER WATE INJ 30 ML800171CDM250RCBoth3.362.352.860.85999999999Percent of total billed charges3.361999999999Percent of total billed chargesRate changes as Medicare rate changes2.520.75999999999Percent of total billed charges2.350.7999999999Percent of total billed charges2.690.8999999999Percent of total billed charges2.520.75999999999Percent of total billed charges1.8480.55999999999Percent of total billed charges2.8560.85999999999Percent of total billed charges2.8560.85999999999Percent of total billed charges3.361999999999Percent of total billed chargesRate changes as Medicare rate changes3.361999999999Percent of total billed chargesRate changes as Medicare rate changes2.520.75999999999Percent of total billed charges1.853.36
ATROPINE SU INJ 0.4MG/ML 1 ML800159CDM250RCBoth3.42.382.890.85999999999Percent of total billed charges3.41999999999Percent of total billed chargesRate changes as Medicare rate changes2.550.75999999999Percent of total billed charges2.380.7999999999Percent of total billed charges2.720.8999999999Percent of total billed charges2.550.75999999999Percent of total billed charges1.870.55999999999Percent of total billed charges2.890.85999999999Percent of total billed charges2.890.85999999999Percent of total billed charges3.41999999999Percent of total billed chargesRate changes as Medicare rate changes3.41999999999Percent of total billed chargesRate changes as Medicare rate changes2.550.75999999999Percent of total billed charges1.873.4
PROBEN/COLC TAB 500-0.5 1 TA800556CDM250RCBoth3.42.382.890.85999999999Percent of total billed charges3.41999999999Percent of total billed chargesRate changes as Medicare rate changes2.550.75999999999Percent of total billed charges2.380.7999999999Percent of total billed charges2.720.8999999999Percent of total billed charges2.550.75999999999Percent of total billed charges1.870.55999999999Percent of total billed charges2.890.85999999999Percent of total billed charges2.890.85999999999Percent of total billed charges3.41999999999Percent of total billed chargesRate changes as Medicare rate changes3.41999999999Percent of total billed chargesRate changes as Medicare rate changes2.550.75999999999Percent of total billed charges1.873.4
PROBIOTIC DIGESTIVE SUPPORT900934CDM250RCBoth3.52.452.980.85999999999Percent of total billed charges3.51999999999Percent of total billed chargesRate changes as Medicare rate changes2.630.75999999999Percent of total billed charges2.450.7999999999Percent of total billed charges2.80.8999999999Percent of total billed charges2.6250.75999999999Percent of total billed charges1.9250.55999999999Percent of total billed charges2.9750.85999999999Percent of total billed charges2.9750.85999999999Percent of total billed charges3.51999999999Percent of total billed chargesRate changes as Medicare rate changes3.51999999999Percent of total billed chargesRate changes as Medicare rate changes2.6250.75999999999Percent of total billed charges1.933.5
MAGNESIUM SULFATE INJ SOLN800719CDM250RCBoth3.62.523.60.85999999999Percent of total billed charges3.61999999999Percent of total billed chargesRate changes as Medicare rate changes2.70.75999999999Percent of total billed charges2.520.7999999999Percent of total billed charges2.880.8999999999Percent of total billed charges2.70.75999999999Percent of total billed charges1.980.55999999999Percent of total billed charges3.60.85999999999Percent of total billed charges3.60.85999999999Percent of total billed charges3.61999999999Percent of total billed chargesRate changes as Medicare rate changes3.61999999999Percent of total billed chargesRate changes as Medicare rate changes2.70.75999999999Percent of total billed charges1.983.6
PROCARDIA CAP 10MG 1 CAP800557CDM250RCBoth4.52.843.440.85999999999Percent of total billed charges4.51999999999Percent of total billed chargesRate changes as Medicare rate changes3.40.75999999999Percent of total billed charges2.840.7999999999Percent of total billed charges3.240.8999999999Percent of total billed charges3.3750.75999999999Percent of total billed charges2.22750.55999999999Percent of total billed charges3.44250.85999999999Percent of total billed charges3.44250.85999999999Percent of total billed charges4.51999999999Percent of total billed chargesRate changes as Medicare rate changes4.51999999999Percent of total billed chargesRate changes as Medicare rate changes3.3750.75999999999Percent of total billed charges2.234.5
MIRALAX 17GM800925CDM250RCBoth4.12.873.490.85999999999Percent of total billed charges4.11999999999Percent of total billed chargesRate changes as Medicare rate changes3.80.75999999999Percent of total billed charges2.870.7999999999Percent of total billed charges3.280.8999999999Percent of total billed charges3.750.75999999999Percent of total billed charges2.2550.55999999999Percent of total billed charges3.4850.85999999999Percent of total billed charges3.4850.85999999999Percent of total billed charges4.11999999999Percent of total billed chargesRate changes as Medicare rate changes4.11999999999Percent of total billed chargesRate changes as Medicare rate changes3.750.75999999999Percent of total billed charges2.264.1
LOMOTIL TAB 2.5MG 1 TAB800433CDM250RCBoth4.152.913.530.85999999999Percent of total billed charges4.151999999999Percent of total billed chargesRate changes as Medicare rate changes3.110.75999999999Percent of total billed charges2.910.7999999999Percent of total billed charges3.320.8999999999Percent of total billed charges3.11250.75999999999Percent of total billed charges2.28250.55999999999Percent of total billed charges3.52750.85999999999Percent of total billed charges3.52750.85999999999Percent of total billed charges4.151999999999Percent of total billed chargesRate changes as Medicare rate changes4.151999999999Percent of total billed chargesRate changes as Medicare rate changes3.11250.75999999999Percent of total billed charges2.284.15
METFORMIN TAB 850MG 1 TAB800464CDM250RCBoth4.22.943.570.85999999999Percent of total billed charges4.21999999999Percent of total billed chargesRate changes as Medicare rate changes3.150.75999999999Percent of total billed charges2.940.7999999999Percent of total billed charges3.360.8999999999Percent of total billed charges3.150.75999999999Percent of total billed charges2.310.55999999999Percent of total billed charges3.570.85999999999Percent of total billed charges3.570.85999999999Percent of total billed charges4.21999999999Percent of total billed chargesRate changes as Medicare rate changes4.21999999999Percent of total billed chargesRate changes as Medicare rate changes3.150.75999999999Percent of total billed charges2.314.2
SOD CHLORID INJ 0.9%BACT 30 M800612CDM250RCBoth4.22.943.570.85999999999Percent of total billed charges4.21999999999Percent of total billed chargesRate changes as Medicare rate changes3.150.75999999999Percent of total billed charges2.940.7999999999Percent of total billed charges3.360.8999999999Percent of total billed charges3.150.75999999999Percent of total billed charges2.310.55999999999Percent of total billed charges3.570.85999999999Percent of total billed charges3.570.85999999999Percent of total billed charges4.21999999999Percent of total billed chargesRate changes as Medicare rate changes4.21999999999Percent of total billed chargesRate changes as Medicare rate changes3.150.75999999999Percent of total billed charges2.314.2
COUMADIN TAB 5MG 1 TAB800244CDM250RCBoth4.33.13.660.85999999999Percent of total billed charges4.31999999999Percent of total billed chargesRate changes as Medicare rate changes3.230.75999999999Percent of total billed charges3.10.7999999999Percent of total billed charges3.440.8999999999Percent of total billed charges3.2250.75999999999Percent of total billed charges2.3650.55999999999Percent of total billed charges3.6550.85999999999Percent of total billed charges3.6550.85999999999Percent of total billed charges4.31999999999Percent of total billed chargesRate changes as Medicare rate changes4.31999999999Percent of total billed chargesRate changes as Medicare rate changes3.2250.75999999999Percent of total billed charges2.374.3
SINEMET CR TAB 25/100 1 TAB800597CDM250RCBoth4.63.223.910.85999999999Percent of total billed charges4.61999999999Percent of total billed chargesRate changes as Medicare rate changes3.450.75999999999Percent of total billed charges3.220.7999999999Percent of total billed charges3.680.8999999999Percent of total billed charges3.450.75999999999Percent of total billed charges2.530.55999999999Percent of total billed charges3.910.85999999999Percent of total billed charges3.910.85999999999Percent of total billed charges4.61999999999Percent of total billed chargesRate changes as Medicare rate changes4.61999999999Percent of total billed chargesRate changes as Medicare rate changes3.450.75999999999Percent of total billed charges2.534.6
BOOST FOOD SUPPLEMENT ORAL LIQ800928CDM250RCBoth4.63.223.910.85999999999Percent of total billed charges4.61999999999Percent of total billed chargesRate changes as Medicare rate changes3.450.75999999999Percent of total billed charges3.220.7999999999Percent of total billed charges3.680.8999999999Percent of total billed charges3.450.75999999999Percent of total billed charges2.530.55999999999Percent of total billed charges3.910.85999999999Percent of total billed charges3.910.85999999999Percent of total billed charges4.61999999999Percent of total billed chargesRate changes as Medicare rate changes4.61999999999Percent of total billed chargesRate changes as Medicare rate changes3.450.75999999999Percent of total billed charges2.534.6
NIFEDIPINE TAB 30MG ER 1 TA800499CDM250RCBoth4.653.263.950.85999999999Percent of total billed charges4.651999999999Percent of total billed chargesRate changes as Medicare rate changes3.490.75999999999Percent of total billed charges3.260.7999999999Percent of total billed charges3.720.8999999999Percent of total billed charges3.48750.75999999999Percent of total billed charges2.55750.55999999999Percent of total billed charges3.95250.85999999999Percent of total billed charges3.95250.85999999999Percent of total billed charges4.651999999999Percent of total billed chargesRate changes as Medicare rate changes4.651999999999Percent of total billed chargesRate changes as Medicare rate changes3.48750.75999999999Percent of total billed charges2.564.65
BUSPIRONE TAB 10MG 1 TAB800186CDM250RCBoth4.753.334.40.85999999999Percent of total billed charges4.751999999999Percent of total billed chargesRate changes as Medicare rate changes3.560.75999999999Percent of total billed charges3.330.7999999999Percent of total billed charges3.80.8999999999Percent of total billed charges3.56250.75999999999Percent of total billed charges2.61250.55999999999Percent of total billed charges4.3750.85999999999Percent of total billed charges4.3750.85999999999Percent of total billed charges4.751999999999Percent of total billed chargesRate changes as Medicare rate changes4.751999999999Percent of total billed chargesRate changes as Medicare rate changes3.56250.75999999999Percent of total billed charges2.614.75
BETADINE SOL 10% 118 ML800180CDM250RCBoth4.93.434.170.85999999999Percent of total billed charges4.91999999999Percent of total billed chargesRate changes as Medicare rate changes3.680.75999999999Percent of total billed charges3.430.7999999999Percent of total billed charges3.920.8999999999Percent of total billed charges3.6750.75999999999Percent of total billed charges2.6950.55999999999Percent of total billed charges4.1650.85999999999Percent of total billed charges4.1650.85999999999Percent of total billed charges4.91999999999Percent of total billed chargesRate changes as Medicare rate changes4.91999999999Percent of total billed chargesRate changes as Medicare rate changes3.6750.75999999999Percent of total billed charges2.74.9
MTX METHOTREXATE 5MG600201CDMJ9250CPT250RCBoth53.54.250.85999999999Percent of total billed charges51999999999Percent of total billed chargesRate changes as Medicare rate changes3.750.75999999999Percent of total billed charges3.50.7999999999Percent of total billed charges40.8999999999Percent of total billed charges3.750.75999999999Percent of total billed charges2.750.55999999999Percent of total billed charges4.250.85999999999Percent of total billed charges4.250.85999999999Percent of total billed charges51999999999Percent of total billed chargesRate changes as Medicare rate changes51999999999Percent of total billed chargesRate changes as Medicare rate changes3.750.75999999999Percent of total billed charges2.755
METOLAZONE TAB 2.5MG 1 TAB800468CDM250RCBoth5.23.644.420.85999999999Percent of total billed charges5.21999999999Percent of total billed chargesRate changes as Medicare rate changes3.90.75999999999Percent of total billed charges3.640.7999999999Percent of total billed charges4.160.8999999999Percent of total billed charges3.90.75999999999Percent of total billed charges2.860.55999999999Percent of total billed charges4.420.85999999999Percent of total billed charges4.420.85999999999Percent of total billed charges5.21999999999Percent of total billed chargesRate changes as Medicare rate changes5.21999999999Percent of total billed chargesRate changes as Medicare rate changes3.90.75999999999Percent of total billed charges2.865.2
MAGNESIUM CITRATE ORAL SOL800927CDM250RCBoth5.23.644.420.85999999999Percent of total billed charges5.21999999999Percent of total billed chargesRate changes as Medicare rate changes3.90.75999999999Percent of total billed charges3.640.7999999999Percent of total billed charges4.160.8999999999Percent of total billed charges3.90.75999999999Percent of total billed charges2.860.55999999999Percent of total billed charges4.420.85999999999Percent of total billed charges4.420.85999999999Percent of total billed charges5.21999999999Percent of total billed chargesRate changes as Medicare rate changes5.21999999999Percent of total billed chargesRate changes as Medicare rate changes3.90.75999999999Percent of total billed charges2.865.2
PREDNISONE SOL 5MG/5ML 1ml800549CDM250RCBoth5.33.714.510.85999999999Percent of total billed charges5.31999999999Percent of total billed chargesRate changes as Medicare rate changes3.980.75999999999Percent of total billed charges3.710.7999999999Percent of total billed charges4.240.8999999999Percent of total billed charges3.9750.75999999999Percent of total billed charges2.9150.55999999999Percent of total billed charges4.550.85999999999Percent of total billed charges4.550.85999999999Percent of total billed charges5.31999999999Percent of total billed chargesRate changes as Medicare rate changes5.31999999999Percent of total billed chargesRate changes as Medicare rate changes3.9750.75999999999Percent of total billed charges2.925.3
NAPROXEN TAB 250MG 1 TAB800491CDM250RCBoth5.613.934.770.85999999999Percent of total billed charges5.611999999999Percent of total billed chargesRate changes as Medicare rate changes4.210.75999999999Percent of total billed charges3.930.7999999999Percent of total billed charges4.490.8999999999Percent of total billed charges4.2750.75999999999Percent of total billed charges3.8550.55999999999Percent of total billed charges4.76850.85999999999Percent of total billed charges4.76850.85999999999Percent of total billed charges5.611999999999Percent of total billed chargesRate changes as Medicare rate changes5.611999999999Percent of total billed chargesRate changes as Medicare rate changes4.2750.75999999999Percent of total billed charges3.95.61
PROPRANOLOL ER 80MG800749CDM250RCBoth5.73.994.850.85999999999Percent of total billed charges5.71999999999Percent of total billed chargesRate changes as Medicare rate changes4.280.75999999999Percent of total billed charges3.990.7999999999Percent of total billed charges4.560.8999999999Percent of total billed charges4.2750.75999999999Percent of total billed charges3.1350.55999999999Percent of total billed charges4.8450.85999999999Percent of total billed charges4.8450.85999999999Percent of total billed charges5.71999999999Percent of total billed chargesRate changes as Medicare rate changes5.71999999999Percent of total billed chargesRate changes as Medicare rate changes4.2750.75999999999Percent of total billed charges3.145.7
COUMADIN TAB 1MG 1 TAB800239CDM250RCBoth5.754.34.890.85999999999Percent of total billed charges5.751999999999Percent of total billed chargesRate changes as Medicare rate changes4.310.75999999999Percent of total billed charges4.30.7999999999Percent of total billed charges4.60.8999999999Percent of total billed charges4.31250.75999999999Percent of total billed charges3.16250.55999999999Percent of total billed charges4.88750.85999999999Percent of total billed charges4.88750.85999999999Percent of total billed charges5.751999999999Percent of total billed chargesRate changes as Medicare rate changes5.751999999999Percent of total billed chargesRate changes as Medicare rate changes4.31250.75999999999Percent of total billed charges3.165.75
MORPHINE 15MG ORAL TABLET800803CDM250RCBoth5.954.175.60.85999999999Percent of total billed charges5.951999999999Percent of total billed chargesRate changes as Medicare rate changes4.460.75999999999Percent of total billed charges4.170.7999999999Percent of total billed charges4.760.8999999999Percent of total billed charges4.46250.75999999999Percent of total billed charges3.27250.55999999999Percent of total billed charges5.5750.85999999999Percent of total billed charges5.5750.85999999999Percent of total billed charges5.951999999999Percent of total billed chargesRate changes as Medicare rate changes5.951999999999Percent of total billed chargesRate changes as Medicare rate changes4.46250.75999999999Percent of total billed charges3.275.95
DICYCLOMINE 10MG/5ML ORAL SLN800758CDM250RCBoth6.54.245.140.85999999999Percent of total billed charges6.51999999999Percent of total billed chargesRate changes as Medicare rate changes4.540.75999999999Percent of total billed charges4.240.7999999999Percent of total billed charges4.840.8999999999Percent of total billed charges4.53750.75999999999Percent of total billed charges3.32750.55999999999Percent of total billed charges5.14250.85999999999Percent of total billed charges5.14250.85999999999Percent of total billed charges6.51999999999Percent of total billed chargesRate changes as Medicare rate changes6.51999999999Percent of total billed chargesRate changes as Medicare rate changes4.53750.75999999999Percent of total billed charges3.336.5
MEGESTROL 40MG ORAL TABLET800817CDM250RCBoth6.124.285.20.85999999999Percent of total billed charges6.121999999999Percent of total billed chargesRate changes as Medicare rate changes4.590.75999999999Percent of total billed charges4.280.7999999999Percent of total billed charges4.90.8999999999Percent of total billed charges4.590.75999999999Percent of total billed charges3.3660.55999999999Percent of total billed charges5.220.85999999999Percent of total billed charges5.220.85999999999Percent of total billed charges6.121999999999Percent of total billed chargesRate changes as Medicare rate changes6.121999999999Percent of total billed chargesRate changes as Medicare rate changes4.590.75999999999Percent of total billed charges3.376.12
TRIAM/HCTZ CAP 37.5-25 1 CA800655CDM250RCBoth6.534.575.550.85999999999Percent of total billed charges6.531999999999Percent of total billed chargesRate changes as Medicare rate changes4.90.75999999999Percent of total billed charges4.570.7999999999Percent of total billed charges5.220.8999999999Percent of total billed charges4.89750.75999999999Percent of total billed charges3.59150.55999999999Percent of total billed charges5.5550.85999999999Percent of total billed charges5.5550.85999999999Percent of total billed charges6.531999999999Percent of total billed chargesRate changes as Medicare rate changes6.531999999999Percent of total billed chargesRate changes as Medicare rate changes4.89750.75999999999Percent of total billed charges3.596.53
TORSEMIDE TAB 20MG 1 TAB800649CDM250RCBoth6.574.65.580.85999999999Percent of total billed charges6.571999999999Percent of total billed chargesRate changes as Medicare rate changes4.930.75999999999Percent of total billed charges4.60.7999999999Percent of total billed charges5.260.8999999999Percent of total billed charges4.92750.75999999999Percent of total billed charges3.61350.55999999999Percent of total billed charges5.58450.85999999999Percent of total billed charges5.58450.85999999999Percent of total billed charges6.571999999999Percent of total billed chargesRate changes as Medicare rate changes6.571999999999Percent of total billed chargesRate changes as Medicare rate changes4.92750.75999999999Percent of total billed charges3.616.57
MILK OF MAGNESIA CONCENTRATE 2400 MG/10ML800987CDM250RCBoth1UN6.694.685.690.85999999999Percent of total billed charges6.691999999999Percent of total billed chargesRate changes as Medicare rate changes5.20.75999999999Percent of total billed charges4.680.7999999999Percent of total billed charges5.350.8999999999Percent of total billed charges5.1750.75999999999Percent of total billed charges3.67950.55999999999Percent of total billed charges5.68650.85999999999Percent of total billed charges5.68650.85999999999Percent of total billed charges6.691999999999Percent of total billed chargesRate changes as Medicare rate changes6.691999999999Percent of total billed chargesRate changes as Medicare rate changes5.1750.75999999999Percent of total billed charges3.686.69
LABETALOL INJ 5MG/ML 20 ML800405CDM250RCBoth6.74.695.70.85999999999Percent of total billed charges6.71999999999Percent of total billed chargesRate changes as Medicare rate changes5.30.75999999999Percent of total billed charges4.690.7999999999Percent of total billed charges5.360.8999999999Percent of total billed charges5.250.75999999999Percent of total billed charges3.6850.55999999999Percent of total billed charges5.6950.85999999999Percent of total billed charges5.6950.85999999999Percent of total billed charges6.71999999999Percent of total billed chargesRate changes as Medicare rate changes6.71999999999Percent of total billed chargesRate changes as Medicare rate changes5.250.75999999999Percent of total billed charges3.696.7
METOPROLOL TARTRATE IV SOLN800866CDM250RCBoth6.954.875.910.85999999999Percent of total billed charges6.951999999999Percent of total billed chargesRate changes as Medicare rate changes5.210.75999999999Percent of total billed charges4.870.7999999999Percent of total billed charges5.560.8999999999Percent of total billed charges5.21250.75999999999Percent of total billed charges3.82250.55999999999Percent of total billed charges5.9750.85999999999Percent of total billed charges5.9750.85999999999Percent of total billed charges6.951999999999Percent of total billed chargesRate changes as Medicare rate changes6.951999999999Percent of total billed chargesRate changes as Medicare rate changes5.21250.75999999999Percent of total billed charges3.826.95
NICOTINE TRNSDRML PATCH 21MG800921CDM250RCBoth7.34.925.980.85999999999Percent of total billed charges7.31999999999Percent of total billed chargesRate changes as Medicare rate changes5.270.75999999999Percent of total billed charges4.920.7999999999Percent of total billed charges5.620.8999999999Percent of total billed charges5.27250.75999999999Percent of total billed charges3.86650.55999999999Percent of total billed charges5.97550.85999999999Percent of total billed charges5.97550.85999999999Percent of total billed charges7.31999999999Percent of total billed chargesRate changes as Medicare rate changes7.31999999999Percent of total billed chargesRate changes as Medicare rate changes5.27250.75999999999Percent of total billed charges3.877.3
HYDROCORT A SUP 25MG 1 SUP800379CDM250RCBoth7.1456.70.85999999999Percent of total billed charges7.141999999999Percent of total billed chargesRate changes as Medicare rate changes5.360.75999999999Percent of total billed charges50.7999999999Percent of total billed charges5.710.8999999999Percent of total billed charges5.3550.75999999999Percent of total billed charges3.9270.55999999999Percent of total billed charges6.690.85999999999Percent of total billed charges6.690.85999999999Percent of total billed charges7.141999999999Percent of total billed chargesRate changes as Medicare rate changes7.141999999999Percent of total billed chargesRate changes as Medicare rate changes5.3550.75999999999Percent of total billed charges3.937.14
GEMFIBROZIL TAB 600MG 1 TAB800350CDM250RCBoth7.325.126.220.85999999999Percent of total billed charges7.321999999999Percent of total billed chargesRate changes as Medicare rate changes5.490.75999999999Percent of total billed charges5.120.7999999999Percent of total billed charges5.860.8999999999Percent of total billed charges5.490.75999999999Percent of total billed charges4.260.55999999999Percent of total billed charges6.2220.85999999999Percent of total billed charges6.2220.85999999999Percent of total billed charges7.321999999999Percent of total billed chargesRate changes as Medicare rate changes7.321999999999Percent of total billed chargesRate changes as Medicare rate changes5.490.75999999999Percent of total billed charges4.37.32
PROPRANOLOL TAB 10MG 1 TAB800569CDM250RCBoth7.415.196.30.85999999999Percent of total billed charges7.411999999999Percent of total billed chargesRate changes as Medicare rate changes5.560.75999999999Percent of total billed charges5.190.7999999999Percent of total billed charges5.930.8999999999Percent of total billed charges5.55750.75999999999Percent of total billed charges4.7550.55999999999Percent of total billed charges6.29850.85999999999Percent of total billed charges6.29850.85999999999Percent of total billed charges7.411999999999Percent of total billed chargesRate changes as Medicare rate changes7.411999999999Percent of total billed chargesRate changes as Medicare rate changes5.55750.75999999999Percent of total billed charges4.87.41
GLUCERNA SHAKE ORAL LIQUID800714CDM250RCBoth7.55.256.380.85999999999Percent of total billed charges7.51999999999Percent of total billed chargesRate changes as Medicare rate changes5.630.75999999999Percent of total billed charges5.250.7999999999Percent of total billed charges60.8999999999Percent of total billed charges5.6250.75999999999Percent of total billed charges4.1250.55999999999Percent of total billed charges6.3750.85999999999Percent of total billed charges6.3750.85999999999Percent of total billed charges7.51999999999Percent of total billed chargesRate changes as Medicare rate changes7.51999999999Percent of total billed chargesRate changes as Medicare rate changes5.6250.75999999999Percent of total billed charges4.137.5
STERIL WATE SOL IRRIG 1000 M800622CDM250RCBoth7.685.386.530.85999999999Percent of total billed charges7.681999999999Percent of total billed chargesRate changes as Medicare rate changes5.760.75999999999Percent of total billed charges5.380.7999999999Percent of total billed charges6.140.8999999999Percent of total billed charges5.760.75999999999Percent of total billed charges4.2240.55999999999Percent of total billed charges6.5280.85999999999Percent of total billed charges6.5280.85999999999Percent of total billed charges7.681999999999Percent of total billed chargesRate changes as Medicare rate changes7.681999999999Percent of total billed chargesRate changes as Medicare rate changes5.760.75999999999Percent of total billed charges4.227.68
DEPAKOTE TAB 250MG DR 1 TA800267CDM250RCBoth7.85.466.630.85999999999Percent of total billed charges7.81999999999Percent of total billed chargesRate changes as Medicare rate changes5.850.75999999999Percent of total billed charges5.460.7999999999Percent of total billed charges6.240.8999999999Percent of total billed charges5.850.75999999999Percent of total billed charges4.290.55999999999Percent of total billed charges6.630.85999999999Percent of total billed charges6.630.85999999999Percent of total billed charges7.81999999999Percent of total billed chargesRate changes as Medicare rate changes7.81999999999Percent of total billed chargesRate changes as Medicare rate changes5.850.75999999999Percent of total billed charges4.297.8
D5W/NACL INJ 0.45% 1000 M800258CDM250RCBoth8.15.676.890.85999999999Percent of total billed charges8.11999999999Percent of total billed chargesRate changes as Medicare rate changes6.80.75999999999Percent of total billed charges5.670.7999999999Percent of total billed charges6.480.8999999999Percent of total billed charges6.750.75999999999Percent of total billed charges4.4550.55999999999Percent of total billed charges6.8850.85999999999Percent of total billed charges6.8850.85999999999Percent of total billed charges8.11999999999Percent of total billed chargesRate changes as Medicare rate changes8.11999999999Percent of total billed chargesRate changes as Medicare rate changes6.750.75999999999Percent of total billed charges4.468.1
NIFEDICAL X TAB 60MG 1 TAB800498CDM250RCBoth8.35.817.60.85999999999Percent of total billed charges8.31999999999Percent of total billed chargesRate changes as Medicare rate changes6.230.75999999999Percent of total billed charges5.810.7999999999Percent of total billed charges6.640.8999999999Percent of total billed charges6.2250.75999999999Percent of total billed charges4.5650.55999999999Percent of total billed charges7.550.85999999999Percent of total billed charges7.550.85999999999Percent of total billed charges8.31999999999Percent of total billed chargesRate changes as Medicare rate changes8.31999999999Percent of total billed chargesRate changes as Medicare rate changes6.2250.75999999999Percent of total billed charges4.578.3
D5W/RINGERS INJ 1000 ML800260CDM250RCBoth8.465.927.190.85999999999Percent of total billed charges8.461999999999Percent of total billed chargesRate changes as Medicare rate changes6.350.75999999999Percent of total billed charges5.920.7999999999Percent of total billed charges6.770.8999999999Percent of total billed charges6.3450.75999999999Percent of total billed charges4.6530.55999999999Percent of total billed charges7.1910.85999999999Percent of total billed charges7.1910.85999999999Percent of total billed charges8.461999999999Percent of total billed chargesRate changes as Medicare rate changes8.461999999999Percent of total billed chargesRate changes as Medicare rate changes6.3450.75999999999Percent of total billed charges4.658.46
METRONIDAZO TAB 250MG 1 TAB800474CDM250RCBoth8.465.927.190.85999999999Percent of total billed charges8.461999999999Percent of total billed chargesRate changes as Medicare rate changes6.350.75999999999Percent of total billed charges5.920.7999999999Percent of total billed charges6.770.8999999999Percent of total billed charges6.3450.75999999999Percent of total billed charges4.6530.55999999999Percent of total billed charges7.1910.85999999999Percent of total billed charges7.1910.85999999999Percent of total billed charges8.461999999999Percent of total billed chargesRate changes as Medicare rate changes8.461999999999Percent of total billed chargesRate changes as Medicare rate changes6.3450.75999999999Percent of total billed charges4.658.46
VACOMYCIN 1GM INJECTION800701CDM250RCBoth8.55.957.230.85999999999Percent of total billed charges8.51999999999Percent of total billed chargesRate changes as Medicare rate changes6.380.75999999999Percent of total billed charges5.950.7999999999Percent of total billed charges6.80.8999999999Percent of total billed charges6.3750.75999999999Percent of total billed charges4.6750.55999999999Percent of total billed charges7.2250.85999999999Percent of total billed charges7.2250.85999999999Percent of total billed charges8.51999999999Percent of total billed chargesRate changes as Medicare rate changes8.51999999999Percent of total billed chargesRate changes as Medicare rate changes6.3750.75999999999Percent of total billed charges4.688.5
PROCARDIA X TAB 60MG CR 1 TA800558CDM250RCBoth8.555.997.270.85999999999Percent of total billed charges8.551999999999Percent of total billed chargesRate changes as Medicare rate changes6.410.75999999999Percent of total billed charges5.990.7999999999Percent of total billed charges6.840.8999999999Percent of total billed charges6.41250.75999999999Percent of total billed charges4.7250.55999999999Percent of total billed charges7.26750.85999999999Percent of total billed charges7.26750.85999999999Percent of total billed charges8.551999999999Percent of total billed chargesRate changes as Medicare rate changes8.551999999999Percent of total billed chargesRate changes as Medicare rate changes6.41250.75999999999Percent of total billed charges4.78.55
CHLORASEPTI SPR 1.4% 20 ML800210CDM250RCBoth8.86.167.480.85999999999Percent of total billed charges8.81999999999Percent of total billed chargesRate changes as Medicare rate changes6.60.75999999999Percent of total billed charges6.160.7999999999Percent of total billed charges7.40.8999999999Percent of total billed charges6.60.75999999999Percent of total billed charges4.840.55999999999Percent of total billed charges7.480.85999999999Percent of total billed charges7.480.85999999999Percent of total billed charges8.81999999999Percent of total billed chargesRate changes as Medicare rate changes8.81999999999Percent of total billed chargesRate changes as Medicare rate changes6.60.75999999999Percent of total billed charges4.848.8
SIMVASTATIN TAB 10MG 1 TAB800595CDM250RCBoth8.856.27.520.85999999999Percent of total billed charges8.851999999999Percent of total billed chargesRate changes as Medicare rate changes6.640.75999999999Percent of total billed charges6.20.7999999999Percent of total billed charges7.80.8999999999Percent of total billed charges6.63750.75999999999Percent of total billed charges4.86750.55999999999Percent of total billed charges7.52250.85999999999Percent of total billed charges7.52250.85999999999Percent of total billed charges8.851999999999Percent of total billed chargesRate changes as Medicare rate changes8.851999999999Percent of total billed chargesRate changes as Medicare rate changes6.63750.75999999999Percent of total billed charges4.878.85
HYDROXYZINE HCI ORAL TABLET800882CDM250RCBoth9.126.387.750.85999999999Percent of total billed charges9.121999999999Percent of total billed chargesRate changes as Medicare rate changes6.840.75999999999Percent of total billed charges6.380.7999999999Percent of total billed charges7.30.8999999999Percent of total billed charges6.840.75999999999Percent of total billed charges5.160.55999999999Percent of total billed charges7.7520.85999999999Percent of total billed charges7.7520.85999999999Percent of total billed charges9.121999999999Percent of total billed chargesRate changes as Medicare rate changes9.121999999999Percent of total billed chargesRate changes as Medicare rate changes6.840.75999999999Percent of total billed charges5.29.12
ASPERCREME CRE /ALOE 35.4 G800151CDM250RCBoth9.256.487.860.85999999999Percent of total billed charges9.251999999999Percent of total billed chargesRate changes as Medicare rate changes6.940.75999999999Percent of total billed charges6.480.7999999999Percent of total billed charges7.40.8999999999Percent of total billed charges6.93750.75999999999Percent of total billed charges5.8750.55999999999Percent of total billed charges7.86250.85999999999Percent of total billed charges7.86250.85999999999Percent of total billed charges9.251999999999Percent of total billed chargesRate changes as Medicare rate changes9.251999999999Percent of total billed chargesRate changes as Medicare rate changes6.93750.75999999999Percent of total billed charges5.99.25
CALCIUM CL INJ 10% 10 ML800190CDM250RCBoth9.56.658.80.85999999999Percent of total billed charges9.51999999999Percent of total billed chargesRate changes as Medicare rate changes7.130.75999999999Percent of total billed charges6.650.7999999999Percent of total billed charges7.60.8999999999Percent of total billed charges7.1250.75999999999Percent of total billed charges5.2250.55999999999Percent of total billed charges8.750.85999999999Percent of total billed charges8.750.85999999999Percent of total billed charges9.51999999999Percent of total billed chargesRate changes as Medicare rate changes9.51999999999Percent of total billed chargesRate changes as Medicare rate changes7.1250.75999999999Percent of total billed charges5.239.5
POT CL MICR TAB 20MEQ CR 1 TA800546CDM250RCBoth9.646.758.190.85999999999Percent of total billed charges9.641999999999Percent of total billed chargesRate changes as Medicare rate changes7.230.75999999999Percent of total billed charges6.750.7999999999Percent of total billed charges7.710.8999999999Percent of total billed charges7.230.75999999999Percent of total billed charges5.320.55999999999Percent of total billed charges8.1940.85999999999Percent of total billed charges8.1940.85999999999Percent of total billed charges9.641999999999Percent of total billed chargesRate changes as Medicare rate changes9.641999999999Percent of total billed chargesRate changes as Medicare rate changes7.230.75999999999Percent of total billed charges5.39.64
THEOPHYLLIN TAB 200MG ER 1 TA800642CDM250RCBoth9.756.838.290.85999999999Percent of total billed charges9.751999999999Percent of total billed chargesRate changes as Medicare rate changes7.310.75999999999Percent of total billed charges6.830.7999999999Percent of total billed charges7.80.8999999999Percent of total billed charges7.31250.75999999999Percent of total billed charges5.36250.55999999999Percent of total billed charges8.28750.85999999999Percent of total billed charges8.28750.85999999999Percent of total billed charges9.751999999999Percent of total billed chargesRate changes as Medicare rate changes9.751999999999Percent of total billed chargesRate changes as Medicare rate changes7.31250.75999999999Percent of total billed charges5.369.75
MS CONTIN TAB 30MG CR 1 TA800481CDM250RCBoth1.457.328.880.85999999999Percent of total billed charges1.451999999999Percent of total billed chargesRate changes as Medicare rate changes7.840.75999999999Percent of total billed charges7.320.7999999999Percent of total billed charges8.360.8999999999Percent of total billed charges7.83750.75999999999Percent of total billed charges5.74750.55999999999Percent of total billed charges8.88250.85999999999Percent of total billed charges8.88250.85999999999Percent of total billed charges1.451999999999Percent of total billed chargesRate changes as Medicare rate changes1.451999999999Percent of total billed chargesRate changes as Medicare rate changes7.83750.75999999999Percent of total billed charges5.751.45
HYDROCORTISONE 1%-1 OZ CREAM800973CDM250RCBoth1.477.338.90.85999999999Percent of total billed charges1.471999999999Percent of total billed chargesRate changes as Medicare rate changes7.850.75999999999Percent of total billed charges7.330.7999999999Percent of total billed charges8.380.8999999999Percent of total billed charges7.85250.75999999999Percent of total billed charges5.75850.55999999999Percent of total billed charges8.89950.85999999999Percent of total billed charges8.89950.85999999999Percent of total billed charges1.471999999999Percent of total billed chargesRate changes as Medicare rate changes1.471999999999Percent of total billed chargesRate changes as Medicare rate changes7.85250.75999999999Percent of total billed charges5.761.47
TUSSIONEX SUS EXT-REL 5ml800662CDM250RCBoth1.557.398.970.85999999999Percent of total billed charges1.551999999999Percent of total billed chargesRate changes as Medicare rate changes7.910.75999999999Percent of total billed charges7.390.7999999999Percent of total billed charges8.440.8999999999Percent of total billed charges7.91250.75999999999Percent of total billed charges5.8250.55999999999Percent of total billed charges8.96750.85999999999Percent of total billed charges8.96750.85999999999Percent of total billed charges1.551999999999Percent of total billed chargesRate changes as Medicare rate changes1.551999999999Percent of total billed chargesRate changes as Medicare rate changes7.91250.75999999999Percent of total billed charges5.81.55
NORTRIPTYLINE 25 MG TAB800960CDM250RCBoth1.897.629.260.85999999999Percent of total billed charges1.891999999999Percent of total billed chargesRate changes as Medicare rate changes8.170.75999999999Percent of total billed charges7.620.7999999999Percent of total billed charges8.710.8999999999Percent of total billed charges8.16750.75999999999Percent of total billed charges5.98950.55999999999Percent of total billed charges9.25650.85999999999Percent of total billed charges9.25650.85999999999Percent of total billed charges1.891999999999Percent of total billed chargesRate changes as Medicare rate changes1.891999999999Percent of total billed chargesRate changes as Medicare rate changes8.16750.75999999999Percent of total billed charges5.991.89
CORGARD TAB 20MG 1 TAB800238CDM250RCBoth11.17.779.440.85999999999Percent of total billed charges11.11999999999Percent of total billed chargesRate changes as Medicare rate changes8.330.75999999999Percent of total billed charges7.770.7999999999Percent of total billed charges8.880.8999999999Percent of total billed charges8.3250.75999999999Percent of total billed charges6.150.55999999999Percent of total billed charges9.4350.85999999999Percent of total billed charges9.4350.85999999999Percent of total billed charges11.11999999999Percent of total billed chargesRate changes as Medicare rate changes11.11999999999Percent of total billed chargesRate changes as Medicare rate changes8.3250.75999999999Percent of total billed charges6.1111.1
NIACIN ORAL TABL EXT RELEASE800814CDM250RCBoth11.798.251.20.85999999999Percent of total billed charges11.791999999999Percent of total billed chargesRate changes as Medicare rate changes8.840.75999999999Percent of total billed charges8.250.7999999999Percent of total billed charges9.430.8999999999Percent of total billed charges8.84250.75999999999Percent of total billed charges6.48450.55999999999Percent of total billed charges1.2150.85999999999Percent of total billed charges1.2150.85999999999Percent of total billed charges11.791999999999Percent of total billed chargesRate changes as Medicare rate changes11.791999999999Percent of total billed chargesRate changes as Medicare rate changes8.84250.75999999999Percent of total billed charges6.4811.79
BENADRYL CREAM800922CDM250RCBoth11.978.381.170.85999999999Percent of total billed charges11.971999999999Percent of total billed chargesRate changes as Medicare rate changes8.980.75999999999Percent of total billed charges8.380.7999999999Percent of total billed charges9.580.8999999999Percent of total billed charges8.97750.75999999999Percent of total billed charges6.58350.55999999999Percent of total billed charges1.17450.85999999999Percent of total billed charges1.17450.85999999999Percent of total billed charges11.971999999999Percent of total billed chargesRate changes as Medicare rate changes11.971999999999Percent of total billed chargesRate changes as Medicare rate changes8.97750.75999999999Percent of total billed charges6.5811.97
CLINDAMYCIN INJ 150MG/ML 2 ML800221CDM250RCBoth12.58.751.630.85999999999Percent of total billed charges12.51999999999Percent of total billed chargesRate changes as Medicare rate changes9.380.75999999999Percent of total billed charges8.750.7999999999Percent of total billed charges10.8999999999Percent of total billed charges9.3750.75999999999Percent of total billed charges6.8750.55999999999Percent of total billed charges1.6250.85999999999Percent of total billed charges1.6250.85999999999Percent of total billed charges12.51999999999Percent of total billed chargesRate changes as Medicare rate changes12.51999999999Percent of total billed chargesRate changes as Medicare rate changes9.3750.75999999999Percent of total billed charges112.5
NAMENDA TAB 5MG 1 TAB800490CDM250RCBoth12.58.751.630.85999999999Percent of total billed charges12.51999999999Percent of total billed chargesRate changes as Medicare rate changes9.380.75999999999Percent of total billed charges8.750.7999999999Percent of total billed charges10.8999999999Percent of total billed charges9.3750.75999999999Percent of total billed charges6.8750.55999999999Percent of total billed charges1.6250.85999999999Percent of total billed charges1.6250.85999999999Percent of total billed charges12.51999999999Percent of total billed chargesRate changes as Medicare rate changes12.51999999999Percent of total billed chargesRate changes as Medicare rate changes9.3750.75999999999Percent of total billed charges112.5
MEMANTINE ORAL TABLET800893CDM250RCBoth12.58.751.630.85999999999Percent of total billed charges12.51999999999Percent of total billed chargesRate changes as Medicare rate changes9.380.75999999999Percent of total billed charges8.750.7999999999Percent of total billed charges10.8999999999Percent of total billed charges9.3750.75999999999Percent of total billed charges6.8750.55999999999Percent of total billed charges1.6250.85999999999Percent of total billed charges1.6250.85999999999Percent of total billed charges12.51999999999Percent of total billed chargesRate changes as Medicare rate changes12.51999999999Percent of total billed chargesRate changes as Medicare rate changes9.3750.75999999999Percent of total billed charges112.5
METOCLOPRAM TAB 10MG 1 TAB800467CDM250RCBoth12.548.781.660.85999999999Percent of total billed charges12.541999999999Percent of total billed chargesRate changes as Medicare rate changes9.410.75999999999Percent of total billed charges8.780.7999999999Percent of total billed charges1.30.8999999999Percent of total billed charges9.450.75999999999Percent of total billed charges6.8970.55999999999Percent of total billed charges1.6590.85999999999Percent of total billed charges1.6590.85999999999Percent of total billed charges12.541999999999Percent of total billed chargesRate changes as Medicare rate changes12.541999999999Percent of total billed chargesRate changes as Medicare rate changes9.450.75999999999Percent of total billed charges1.312.54
PRIMIDONE TAB 50MG 1 TAB800555CDM250RCBoth12.939.51.990.85999999999Percent of total billed charges12.931999999999Percent of total billed chargesRate changes as Medicare rate changes9.70.75999999999Percent of total billed charges9.50.7999999999Percent of total billed charges1.340.8999999999Percent of total billed charges9.69750.75999999999Percent of total billed charges7.11150.55999999999Percent of total billed charges1.9950.85999999999Percent of total billed charges1.9950.85999999999Percent of total billed charges12.931999999999Percent of total billed chargesRate changes as Medicare rate changes12.931999999999Percent of total billed chargesRate changes as Medicare rate changes9.69750.75999999999Percent of total billed charges1.3412.93
XYLO/EPI 1% INJ 1:100000 20 M800679CDM250RCBoth13.19.1711.140.85999999999Percent of total billed charges13.11999999999Percent of total billed chargesRate changes as Medicare rate changes9.830.75999999999Percent of total billed charges9.170.7999999999Percent of total billed charges1.480.8999999999Percent of total billed charges9.8250.75999999999Percent of total billed charges7.250.55999999999Percent of total billed charges11.1350.85999999999Percent of total billed charges11.1350.85999999999Percent of total billed charges13.11999999999Percent of total billed chargesRate changes as Medicare rate changes13.11999999999Percent of total billed chargesRate changes as Medicare rate changes9.8250.75999999999Percent of total billed charges1.4813.1
AMOX/K CLAV TAB 500MG 1 TAB800134CDM250RCBoth13.259.2811.260.85999999999Percent of total billed charges13.251999999999Percent of total billed chargesRate changes as Medicare rate changes9.940.75999999999Percent of total billed charges9.280.7999999999Percent of total billed charges1.60.8999999999Percent of total billed charges9.93750.75999999999Percent of total billed charges7.28750.55999999999Percent of total billed charges11.26250.85999999999Percent of total billed charges11.26250.85999999999Percent of total billed charges13.251999999999Percent of total billed chargesRate changes as Medicare rate changes13.251999999999Percent of total billed chargesRate changes as Medicare rate changes9.93750.75999999999Percent of total billed charges1.613.25
DEXAMETH PH INJ 10MG/ML 1 ML800273CDM250RCBoth13.69.5211.560.85999999999Percent of total billed charges13.61999999999Percent of total billed chargesRate changes as Medicare rate changes1.20.75999999999Percent of total billed charges9.520.7999999999Percent of total billed charges1.880.8999999999Percent of total billed charges1.20.75999999999Percent of total billed charges7.480.55999999999Percent of total billed charges11.560.85999999999Percent of total billed charges11.560.85999999999Percent of total billed charges13.61999999999Percent of total billed chargesRate changes as Medicare rate changes13.61999999999Percent of total billed chargesRate changes as Medicare rate changes1.20.75999999999Percent of total billed charges1.213.6
COLCHICINE TAB 0.6MG 1 TAB800232CDM250RCBoth13.839.6811.760.85999999999Percent of total billed charges13.831999999999Percent of total billed chargesRate changes as Medicare rate changes1.370.75999999999Percent of total billed charges9.680.7999999999Percent of total billed charges11.60.8999999999Percent of total billed charges1.37250.75999999999Percent of total billed charges7.6650.55999999999Percent of total billed charges11.75550.85999999999Percent of total billed charges11.75550.85999999999Percent of total billed charges13.831999999999Percent of total billed chargesRate changes as Medicare rate changes13.831999999999Percent of total billed chargesRate changes as Medicare rate changes1.37250.75999999999Percent of total billed charges1.3713.83
TIZANIDINE 4MG ORAL TABLET800835CDM250RCBoth13.869.711.780.85999999999Percent of total billed charges13.861999999999Percent of total billed chargesRate changes as Medicare rate changes1.40.75999999999Percent of total billed charges9.70.7999999999Percent of total billed charges11.90.8999999999Percent of total billed charges1.3950.75999999999Percent of total billed charges7.6230.55999999999Percent of total billed charges11.7810.85999999999Percent of total billed charges11.7810.85999999999Percent of total billed charges13.861999999999Percent of total billed chargesRate changes as Medicare rate changes13.861999999999Percent of total billed chargesRate changes as Medicare rate changes1.3950.75999999999Percent of total billed charges1.413.86
AMOXICILLIN & CLAV POT XR 1000MG/62.5MG801003CDM250RCBoth14.19.8711.990.85999999999Percent of total billed charges14.11999999999Percent of total billed chargesRate changes as Medicare rate changes1.580.75999999999Percent of total billed charges9.870.7999999999Percent of total billed charges11.280.8999999999Percent of total billed charges1.5750.75999999999Percent of total billed charges7.7550.55999999999Percent of total billed charges11.9850.85999999999Percent of total billed charges11.9850.85999999999Percent of total billed charges14.11999999999Percent of total billed chargesRate changes as Medicare rate changes14.11999999999Percent of total billed chargesRate changes as Medicare rate changes1.5750.75999999999Percent of total billed charges1.5814.1
FLUDROCORT TAB 0.1MG 1 TAB800333CDM250RCBoth14.491.1412.320.85999999999Percent of total billed charges14.491999999999Percent of total billed chargesRate changes as Medicare rate changes1.870.75999999999Percent of total billed charges1.140.7999999999Percent of total billed charges11.590.8999999999Percent of total billed charges1.86750.75999999999Percent of total billed charges7.96950.55999999999Percent of total billed charges12.31650.85999999999Percent of total billed charges12.31650.85999999999Percent of total billed charges14.491999999999Percent of total billed chargesRate changes as Medicare rate changes14.491999999999Percent of total billed chargesRate changes as Medicare rate changes1.86750.75999999999Percent of total billed charges1.1414.49
DIGOXIN INJ 0.25MG/1 2 ML800286CDM250RCBoth14.671.2712.470.85999999999Percent of total billed charges14.671999999999Percent of total billed chargesRate changes as Medicare rate changes110.75999999999Percent of total billed charges1.270.7999999999Percent of total billed charges11.740.8999999999Percent of total billed charges11.250.75999999999Percent of total billed charges8.6850.55999999999Percent of total billed charges12.46950.85999999999Percent of total billed charges12.46950.85999999999Percent of total billed charges14.671999999999Percent of total billed chargesRate changes as Medicare rate changes14.671999999999Percent of total billed chargesRate changes as Medicare rate changes11.250.75999999999Percent of total billed charges1.2714.67
ACYCLOVIR TAB 800MG 1 TAB800112CDM250RCBoth14.751.3312.540.85999999999Percent of total billed charges14.751999999999Percent of total billed chargesRate changes as Medicare rate changes11.60.75999999999Percent of total billed charges1.330.7999999999Percent of total billed charges11.80.8999999999Percent of total billed charges11.6250.75999999999Percent of total billed charges8.11250.55999999999Percent of total billed charges12.53750.85999999999Percent of total billed charges12.53750.85999999999Percent of total billed charges14.751999999999Percent of total billed chargesRate changes as Medicare rate changes14.751999999999Percent of total billed chargesRate changes as Medicare rate changes11.6250.75999999999Percent of total billed charges1.3314.75
ACYCLOVIR (ZOVIRAX 800MG) TAB800836CDM250RCBoth14.751.3312.540.85999999999Percent of total billed charges14.751999999999Percent of total billed chargesRate changes as Medicare rate changes11.60.75999999999Percent of total billed charges1.330.7999999999Percent of total billed charges11.80.8999999999Percent of total billed charges11.6250.75999999999Percent of total billed charges8.11250.55999999999Percent of total billed charges12.53750.85999999999Percent of total billed charges12.53750.85999999999Percent of total billed charges14.751999999999Percent of total billed chargesRate changes as Medicare rate changes14.751999999999Percent of total billed chargesRate changes as Medicare rate changes11.6250.75999999999Percent of total billed charges1.3314.75
ROCURONIUM IV SOLUTION800793CDM250RCBoth14.821.3712.60.85999999999Percent of total billed charges14.821999999999Percent of total billed chargesRate changes as Medicare rate changes11.120.75999999999Percent of total billed charges1.370.7999999999Percent of total billed charges11.860.8999999999Percent of total billed charges11.1150.75999999999Percent of total billed charges8.1510.55999999999Percent of total billed charges12.5970.85999999999Percent of total billed charges12.5970.85999999999Percent of total billed charges14.821999999999Percent of total billed chargesRate changes as Medicare rate changes14.821999999999Percent of total billed chargesRate changes as Medicare rate changes11.1150.75999999999Percent of total billed charges1.3714.82
LEVOTHROID TAB 112MCG 1 TAB800417CDM250RCBoth15.31.5212.780.85999999999Percent of total billed charges15.31999999999Percent of total billed chargesRate changes as Medicare rate changes11.270.75999999999Percent of total billed charges1.520.7999999999Percent of total billed charges12.20.8999999999Percent of total billed charges11.27250.75999999999Percent of total billed charges8.26650.55999999999Percent of total billed charges12.77550.85999999999Percent of total billed charges12.77550.85999999999Percent of total billed charges15.31999999999Percent of total billed chargesRate changes as Medicare rate changes15.31999999999Percent of total billed chargesRate changes as Medicare rate changes11.27250.75999999999Percent of total billed charges1.5215.3
TOPIRAMATE TAB 50MG 1 TAB800648CDM250RCBoth15.151.6112.880.85999999999Percent of total billed charges15.151999999999Percent of total billed chargesRate changes as Medicare rate changes11.360.75999999999Percent of total billed charges1.610.7999999999Percent of total billed charges12.120.8999999999Percent of total billed charges11.36250.75999999999Percent of total billed charges8.33250.55999999999Percent of total billed charges12.87750.85999999999Percent of total billed charges12.87750.85999999999Percent of total billed charges15.151999999999Percent of total billed chargesRate changes as Medicare rate changes15.151999999999Percent of total billed chargesRate changes as Medicare rate changes11.36250.75999999999Percent of total billed charges1.6115.15
SUCCINYLCHO POW CHLORIDE 1 GM800624CDM250RCBoth15.181.6312.90.85999999999Percent of total billed charges15.181999999999Percent of total billed chargesRate changes as Medicare rate changes11.390.75999999999Percent of total billed charges1.630.7999999999Percent of total billed charges12.140.8999999999Percent of total billed charges11.3850.75999999999Percent of total billed charges8.3490.55999999999Percent of total billed charges12.930.85999999999Percent of total billed charges12.930.85999999999Percent of total billed charges15.181999999999Percent of total billed chargesRate changes as Medicare rate changes15.181999999999Percent of total billed chargesRate changes as Medicare rate changes11.3850.75999999999Percent of total billed charges1.6315.18
LEVOTHYROZINE 150MCG800841CDM250RCBoth15.331.7313.30.85999999999Percent of total billed charges15.331999999999Percent of total billed chargesRate changes as Medicare rate changes11.50.75999999999Percent of total billed charges1.730.7999999999Percent of total billed charges12.260.8999999999Percent of total billed charges11.49750.75999999999Percent of total billed charges8.43150.55999999999Percent of total billed charges13.350.85999999999Percent of total billed charges13.350.85999999999Percent of total billed charges15.331999999999Percent of total billed chargesRate changes as Medicare rate changes15.331999999999Percent of total billed chargesRate changes as Medicare rate changes11.49750.75999999999Percent of total billed charges1.7315.33
RISPERIDONE 1MG ORAL TABLET800872CDM250RCBoth15.41.7813.90.85999999999Percent of total billed charges15.41999999999Percent of total billed chargesRate changes as Medicare rate changes11.550.75999999999Percent of total billed charges1.780.7999999999Percent of total billed charges12.320.8999999999Percent of total billed charges11.550.75999999999Percent of total billed charges8.470.55999999999Percent of total billed charges13.90.85999999999Percent of total billed charges13.90.85999999999Percent of total billed charges15.41999999999Percent of total billed chargesRate changes as Medicare rate changes15.41999999999Percent of total billed chargesRate changes as Medicare rate changes11.550.75999999999Percent of total billed charges1.7815.4
NEXIUM CAP 20MG 1 CAP800494CDM250RCBoth15.7511.313.390.85999999999Percent of total billed charges15.751999999999Percent of total billed chargesRate changes as Medicare rate changes11.810.75999999999Percent of total billed charges11.30.7999999999Percent of total billed charges12.60.8999999999Percent of total billed charges11.81250.75999999999Percent of total billed charges8.66250.55999999999Percent of total billed charges13.38750.85999999999Percent of total billed charges13.38750.85999999999Percent of total billed charges15.751999999999Percent of total billed chargesRate changes as Medicare rate changes15.751999999999Percent of total billed chargesRate changes as Medicare rate changes11.81250.75999999999Percent of total billed charges8.6615.75
PROMETHAZIN SUP 12.5MG 1 SUP800564CDM250RCBoth1611.213.60.85999999999Percent of total billed charges161999999999Percent of total billed chargesRate changes as Medicare rate changes120.75999999999Percent of total billed charges11.20.7999999999Percent of total billed charges12.80.8999999999Percent of total billed charges120.75999999999Percent of total billed charges8.80.55999999999Percent of total billed charges13.60.85999999999Percent of total billed charges13.60.85999999999Percent of total billed charges161999999999Percent of total billed chargesRate changes as Medicare rate changes161999999999Percent of total billed chargesRate changes as Medicare rate changes120.75999999999Percent of total billed charges8.816
MYLANTA SUS 30 ml800485CDM250RCBoth16.211.2113.620.85999999999Percent of total billed charges16.21999999999Percent of total billed chargesRate changes as Medicare rate changes12.20.75999999999Percent of total billed charges11.210.7999999999Percent of total billed charges12.820.8999999999Percent of total billed charges12.150.75999999999Percent of total billed charges8.8110.55999999999Percent of total billed charges13.6170.85999999999Percent of total billed charges13.6170.85999999999Percent of total billed charges16.21999999999Percent of total billed chargesRate changes as Medicare rate changes16.21999999999Percent of total billed chargesRate changes as Medicare rate changes12.150.75999999999Percent of total billed charges8.8116.2
ATROPINE SU INJ 0.1MG/ML 10 M800158CDM250RCBoth16.111.2713.690.85999999999Percent of total billed charges16.11999999999Percent of total billed chargesRate changes as Medicare rate changes12.80.75999999999Percent of total billed charges11.270.7999999999Percent of total billed charges12.880.8999999999Percent of total billed charges12.750.75999999999Percent of total billed charges8.8550.55999999999Percent of total billed charges13.6850.85999999999Percent of total billed charges13.6850.85999999999Percent of total billed charges16.11999999999Percent of total billed chargesRate changes as Medicare rate changes16.11999999999Percent of total billed chargesRate changes as Medicare rate changes12.750.75999999999Percent of total billed charges8.8616.1
DOBUTAMINE INJ 250MG 20 ML800298CDM250RCBoth16.2611.3813.820.85999999999Percent of total billed charges16.261999999999Percent of total billed chargesRate changes as Medicare rate changes12.20.75999999999Percent of total billed charges11.380.7999999999Percent of total billed charges13.10.8999999999Percent of total billed charges12.1950.75999999999Percent of total billed charges8.9430.55999999999Percent of total billed charges13.8210.85999999999Percent of total billed charges13.8210.85999999999Percent of total billed charges16.261999999999Percent of total billed chargesRate changes as Medicare rate changes16.261999999999Percent of total billed chargesRate changes as Medicare rate changes12.1950.75999999999Percent of total billed charges8.9416.26
PEDINOL PHENOL EZ SWABS800984CDM250RCBoth100000000UN16.8711.8114.340.85999999999Percent of total billed charges16.871999999999Percent of total billed chargesRate changes as Medicare rate changes12.650.75999999999Percent of total billed charges11.810.7999999999Percent of total billed charges13.50.8999999999Percent of total billed charges12.65250.75999999999Percent of total billed charges9.27850.55999999999Percent of total billed charges14.33950.85999999999Percent of total billed charges14.33950.85999999999Percent of total billed charges16.871999999999Percent of total billed chargesRate changes as Medicare rate changes16.871999999999Percent of total billed chargesRate changes as Medicare rate changes12.65250.75999999999Percent of total billed charges9.2816.87
TYLENOL CHL SUS 160/5ML 120800666CDM250RCBoth17.111.9714.540.85999999999Percent of total billed charges17.11999999999Percent of total billed chargesRate changes as Medicare rate changes12.830.75999999999Percent of total billed charges11.970.7999999999Percent of total billed charges13.680.8999999999Percent of total billed charges12.8250.75999999999Percent of total billed charges9.450.55999999999Percent of total billed charges14.5350.85999999999Percent of total billed charges14.5350.85999999999Percent of total billed charges17.11999999999Percent of total billed chargesRate changes as Medicare rate changes17.11999999999Percent of total billed chargesRate changes as Medicare rate changes12.8250.75999999999Percent of total billed charges9.4117.1
AMOXICILLIN SUS 400/5ML 50 M800139CDM250RCBoth17.212.414.620.85999999999Percent of total billed charges17.21999999999Percent of total billed chargesRate changes as Medicare rate changes12.90.75999999999Percent of total billed charges12.40.7999999999Percent of total billed charges13.760.8999999999Percent of total billed charges12.90.75999999999Percent of total billed charges9.460.55999999999Percent of total billed charges14.620.85999999999Percent of total billed charges14.620.85999999999Percent of total billed charges17.21999999999Percent of total billed chargesRate changes as Medicare rate changes17.21999999999Percent of total billed chargesRate changes as Medicare rate changes12.90.75999999999Percent of total billed charges9.4617.2
DERMOPLAST AER ANTIBACT 78 G800270CDM250RCBoth17.3512.1514.750.85999999999Percent of total billed charges17.351999999999Percent of total billed chargesRate changes as Medicare rate changes13.10.75999999999Percent of total billed charges12.150.7999999999Percent of total billed charges13.880.8999999999Percent of total billed charges13.1250.75999999999Percent of total billed charges9.54250.55999999999Percent of total billed charges14.74750.85999999999Percent of total billed charges14.74750.85999999999Percent of total billed charges17.351999999999Percent of total billed chargesRate changes as Medicare rate changes17.351999999999Percent of total billed chargesRate changes as Medicare rate changes13.1250.75999999999Percent of total billed charges9.5417.35
AMIODARONE TAB 200MG 1 TAB800128CDM250RCBoth17.412.1814.790.85999999999Percent of total billed charges17.41999999999Percent of total billed chargesRate changes as Medicare rate changes13.50.75999999999Percent of total billed charges12.180.7999999999Percent of total billed charges13.920.8999999999Percent of total billed charges13.50.75999999999Percent of total billed charges9.570.55999999999Percent of total billed charges14.790.85999999999Percent of total billed charges14.790.85999999999Percent of total billed charges17.41999999999Percent of total billed chargesRate changes as Medicare rate changes17.41999999999Percent of total billed chargesRate changes as Medicare rate changes13.50.75999999999Percent of total billed charges9.5717.4
LEVALBUTEROL HCI 0.63MG INHL800765CDM250RCBoth18.5512.9915.770.85999999999Percent of total billed charges18.551999999999Percent of total billed chargesRate changes as Medicare rate changes13.910.75999999999Percent of total billed charges12.990.7999999999Percent of total billed charges14.840.8999999999Percent of total billed charges13.91250.75999999999Percent of total billed charges1.2250.55999999999Percent of total billed charges15.76750.85999999999Percent of total billed charges15.76750.85999999999Percent of total billed charges18.551999999999Percent of total billed chargesRate changes as Medicare rate changes18.551999999999Percent of total billed chargesRate changes as Medicare rate changes13.91250.75999999999Percent of total billed charges1.218.55
PROCHLORPER TAB 5MG 1 TAB800559CDM250RCBoth18.8413.1916.10.85999999999Percent of total billed charges18.841999999999Percent of total billed chargesRate changes as Medicare rate changes14.130.75999999999Percent of total billed charges13.190.7999999999Percent of total billed charges15.70.8999999999Percent of total billed charges14.130.75999999999Percent of total billed charges1.3620.55999999999Percent of total billed charges16.140.85999999999Percent of total billed charges16.140.85999999999Percent of total billed charges18.841999999999Percent of total billed chargesRate changes as Medicare rate changes18.841999999999Percent of total billed chargesRate changes as Medicare rate changes14.130.75999999999Percent of total billed charges1.3618.84
PREMARIN TAB 0.625MG 1 TA800551CDM250RCBoth19.5313.6716.60.85999999999Percent of total billed charges19.531999999999Percent of total billed chargesRate changes as Medicare rate changes14.650.75999999999Percent of total billed charges13.670.7999999999Percent of total billed charges15.620.8999999999Percent of total billed charges14.64750.75999999999Percent of total billed charges1.74150.55999999999Percent of total billed charges16.650.85999999999Percent of total billed charges16.650.85999999999Percent of total billed charges19.531999999999Percent of total billed chargesRate changes as Medicare rate changes19.531999999999Percent of total billed chargesRate changes as Medicare rate changes14.64750.75999999999Percent of total billed charges1.7419.53
PENICILLN V SOL 250/5ML 100800530CDM250RCBoth19.7513.8316.790.85999999999Percent of total billed charges19.751999999999Percent of total billed chargesRate changes as Medicare rate changes14.810.75999999999Percent of total billed charges13.830.7999999999Percent of total billed charges15.80.8999999999Percent of total billed charges14.81250.75999999999Percent of total billed charges1.86250.55999999999Percent of total billed charges16.78750.85999999999Percent of total billed charges16.78750.85999999999Percent of total billed charges19.751999999999Percent of total billed chargesRate changes as Medicare rate changes19.751999999999Percent of total billed chargesRate changes as Medicare rate changes14.81250.75999999999Percent of total billed charges1.8619.75
D.H.E. 45 INJ 1MG/ML 1 ML800253CDM250RCBoth2.114.117.10.85999999999Percent of total billed charges2.11999999999Percent of total billed chargesRate changes as Medicare rate changes15.10.75999999999Percent of total billed charges14.10.7999999999Percent of total billed charges16.10.8999999999Percent of total billed charges15.750.75999999999Percent of total billed charges11.550.55999999999Percent of total billed charges17.850.85999999999Percent of total billed charges17.850.85999999999Percent of total billed charges2.11999999999Percent of total billed chargesRate changes as Medicare rate changes2.11999999999Percent of total billed chargesRate changes as Medicare rate changes15.750.75999999999Percent of total billed charges11.12.1
D.H.E. 45 INJ 1MG/ML 1 ML800254CDM250RCBoth2.114.117.10.85999999999Percent of total billed charges2.11999999999Percent of total billed chargesRate changes as Medicare rate changes15.10.75999999999Percent of total billed charges14.10.7999999999Percent of total billed charges16.10.8999999999Percent of total billed charges15.750.75999999999Percent of total billed charges11.550.55999999999Percent of total billed charges17.850.85999999999Percent of total billed charges17.850.85999999999Percent of total billed charges2.11999999999Percent of total billed chargesRate changes as Medicare rate changes2.11999999999Percent of total billed chargesRate changes as Medicare rate changes15.750.75999999999Percent of total billed charges11.12.1
ACETYLCYST SOL 20% 30 ML800105CDM250RCBoth2.614.4217.510.85999999999Percent of total billed charges2.61999999999Percent of total billed chargesRate changes as Medicare rate changes15.450.75999999999Percent of total billed charges14.420.7999999999Percent of total billed charges16.480.8999999999Percent of total billed charges15.450.75999999999Percent of total billed charges11.330.55999999999Percent of total billed charges17.510.85999999999Percent of total billed charges17.510.85999999999Percent of total billed charges2.61999999999Percent of total billed chargesRate changes as Medicare rate changes2.61999999999Percent of total billed chargesRate changes as Medicare rate changes15.450.75999999999Percent of total billed charges11.332.6
AMPICILLIN INJ 1GM 1 INJ800144CDM250RCBoth21.2514.8818.60.85999999999Percent of total billed charges21.251999999999Percent of total billed chargesRate changes as Medicare rate changes15.940.75999999999Percent of total billed charges14.880.7999999999Percent of total billed charges170.8999999999Percent of total billed charges15.93750.75999999999Percent of total billed charges11.68750.55999999999Percent of total billed charges18.6250.85999999999Percent of total billed charges18.6250.85999999999Percent of total billed charges21.251999999999Percent of total billed chargesRate changes as Medicare rate changes21.251999999999Percent of total billed chargesRate changes as Medicare rate changes15.93750.75999999999Percent of total billed charges11.6921.25
SORBITOL SOL 70% 30 ML800618CDM250RCBoth21.2714.8918.80.85999999999Percent of total billed charges21.271999999999Percent of total billed chargesRate changes as Medicare rate changes15.950.75999999999Percent of total billed charges14.890.7999999999Percent of total billed charges17.20.8999999999Percent of total billed charges15.95250.75999999999Percent of total billed charges11.69850.55999999999Percent of total billed charges18.7950.85999999999Percent of total billed charges18.7950.85999999999Percent of total billed charges21.271999999999Percent of total billed chargesRate changes as Medicare rate changes21.271999999999Percent of total billed chargesRate changes as Medicare rate changes15.95250.75999999999Percent of total billed charges11.721.27
DEPO-MEDROL INJ 40MG/ML 1 ml800268CDM250RCBoth21.7515.2318.490.85999999999Percent of total billed charges21.751999999999Percent of total billed chargesRate changes as Medicare rate changes16.310.75999999999Percent of total billed charges15.230.7999999999Percent of total billed charges17.40.8999999999Percent of total billed charges16.31250.75999999999Percent of total billed charges11.96250.55999999999Percent of total billed charges18.48750.85999999999Percent of total billed charges18.48750.85999999999Percent of total billed charges21.751999999999Percent of total billed chargesRate changes as Medicare rate changes21.751999999999Percent of total billed chargesRate changes as Medicare rate changes16.31250.75999999999Percent of total billed charges11.9621.75
FIORICET TAB 1 TAB800325CDM250RCBoth21.8115.2718.540.85999999999Percent of total billed charges21.811999999999Percent of total billed chargesRate changes as Medicare rate changes16.360.75999999999Percent of total billed charges15.270.7999999999Percent of total billed charges17.450.8999999999Percent of total billed charges16.35750.75999999999Percent of total billed charges11.99550.55999999999Percent of total billed charges18.53850.85999999999Percent of total billed charges18.53850.85999999999Percent of total billed charges21.811999999999Percent of total billed chargesRate changes as Medicare rate changes21.811999999999Percent of total billed chargesRate changes as Medicare rate changes16.35750.75999999999Percent of total billed charges1221.81
GLUCOTROL X TAB 10MG 1 TAB800358CDM250RCBoth22.1715.5218.840.85999999999Percent of total billed charges22.171999999999Percent of total billed chargesRate changes as Medicare rate changes16.630.75999999999Percent of total billed charges15.520.7999999999Percent of total billed charges17.740.8999999999Percent of total billed charges16.62750.75999999999Percent of total billed charges12.19350.55999999999Percent of total billed charges18.84450.85999999999Percent of total billed charges18.84450.85999999999Percent of total billed charges22.171999999999Percent of total billed chargesRate changes as Medicare rate changes22.171999999999Percent of total billed chargesRate changes as Medicare rate changes16.62750.75999999999Percent of total billed charges12.1922.17
SULFATRIM SUS 200-40/5 5ml800628CDM250RCBoth23.1916.2319.710.85999999999Percent of total billed charges23.191999999999Percent of total billed chargesRate changes as Medicare rate changes17.390.75999999999Percent of total billed charges16.230.7999999999Percent of total billed charges18.550.8999999999Percent of total billed charges17.39250.75999999999Percent of total billed charges12.75450.55999999999Percent of total billed charges19.71150.85999999999Percent of total billed charges19.71150.85999999999Percent of total billed charges23.191999999999Percent of total billed chargesRate changes as Medicare rate changes23.191999999999Percent of total billed chargesRate changes as Medicare rate changes17.39250.75999999999Percent of total billed charges12.7523.19
SYSTANE ULTRA OPTHA DROPS800787CDM250RCBoth23.6116.532.70.85999999999Percent of total billed charges23.611999999999Percent of total billed chargesRate changes as Medicare rate changes17.710.75999999999Percent of total billed charges16.530.7999999999Percent of total billed charges18.890.8999999999Percent of total billed charges17.7750.75999999999Percent of total billed charges12.98550.55999999999Percent of total billed charges2.6850.85999999999Percent of total billed charges2.6850.85999999999Percent of total billed charges23.611999999999Percent of total billed chargesRate changes as Medicare rate changes23.611999999999Percent of total billed chargesRate changes as Medicare rate changes17.7750.75999999999Percent of total billed charges12.9923.61
DEXTROSE INJ 25% 10 ML800276CDM250RCBoth24.5117.162.830.85999999999Percent of total billed charges24.511999999999Percent of total billed chargesRate changes as Medicare rate changes18.380.75999999999Percent of total billed charges17.160.7999999999Percent of total billed charges19.610.8999999999Percent of total billed charges18.38250.75999999999Percent of total billed charges13.4850.55999999999Percent of total billed charges2.83350.85999999999Percent of total billed charges2.83350.85999999999Percent of total billed charges24.511999999999Percent of total billed chargesRate changes as Medicare rate changes24.511999999999Percent of total billed chargesRate changes as Medicare rate changes18.38250.75999999999Percent of total billed charges13.4824.51
LOVENOX INJ 30/0.3ML .3 M800447CDM250RCBoth2517.521.250.85999999999Percent of total billed charges251999999999Percent of total billed chargesRate changes as Medicare rate changes18.750.75999999999Percent of total billed charges17.50.7999999999Percent of total billed charges20.8999999999Percent of total billed charges18.750.75999999999Percent of total billed charges13.750.55999999999Percent of total billed charges21.250.85999999999Percent of total billed charges21.250.85999999999Percent of total billed charges251999999999Percent of total billed chargesRate changes as Medicare rate changes251999999999Percent of total billed chargesRate changes as Medicare rate changes18.750.75999999999Percent of total billed charges225
LEVOFLOXACIN IN DSW 500MG800797CDM250RCBoth2517.521.250.85999999999Percent of total billed charges251999999999Percent of total billed chargesRate changes as Medicare rate changes18.750.75999999999Percent of total billed charges17.50.7999999999Percent of total billed charges20.8999999999Percent of total billed charges18.750.75999999999Percent of total billed charges13.750.55999999999Percent of total billed charges21.250.85999999999Percent of total billed charges21.250.85999999999Percent of total billed charges251999999999Percent of total billed chargesRate changes as Medicare rate changes251999999999Percent of total billed chargesRate changes as Medicare rate changes18.750.75999999999Percent of total billed charges225
LEVOFLOXCIN IN D5W 750MG800798CDM250RCBoth2517.521.250.85999999999Percent of total billed charges251999999999Percent of total billed chargesRate changes as Medicare rate changes18.750.75999999999Percent of total billed charges17.50.7999999999Percent of total billed charges20.8999999999Percent of total billed charges18.750.75999999999Percent of total billed charges13.750.55999999999Percent of total billed charges21.250.85999999999Percent of total billed charges21.250.85999999999Percent of total billed charges251999999999Percent of total billed chargesRate changes as Medicare rate changes251999999999Percent of total billed chargesRate changes as Medicare rate changes18.750.75999999999Percent of total billed charges225
FLAVOXATE TAB 100MG 1 TAB800326CDM250RCBoth25.6217.9321.780.85999999999Percent of total billed charges25.621999999999Percent of total billed chargesRate changes as Medicare rate changes19.220.75999999999Percent of total billed charges17.930.7999999999Percent of total billed charges2.50.8999999999Percent of total billed charges19.2150.75999999999Percent of total billed charges14.910.55999999999Percent of total billed charges21.7770.85999999999Percent of total billed charges21.7770.85999999999Percent of total billed charges25.621999999999Percent of total billed chargesRate changes as Medicare rate changes25.621999999999Percent of total billed chargesRate changes as Medicare rate changes19.2150.75999999999Percent of total billed charges2.525.62
TRIAMCINOLONE ACETONIDE INJ800843CDM250RCBoth25.818.621.930.85999999999Percent of total billed charges25.81999999999Percent of total billed chargesRate changes as Medicare rate changes19.350.75999999999Percent of total billed charges18.60.7999999999Percent of total billed charges2.640.8999999999Percent of total billed charges19.350.75999999999Percent of total billed charges14.190.55999999999Percent of total billed charges21.930.85999999999Percent of total billed charges21.930.85999999999Percent of total billed charges25.81999999999Percent of total billed chargesRate changes as Medicare rate changes25.81999999999Percent of total billed chargesRate changes as Medicare rate changes19.350.75999999999Percent of total billed charges2.6425.8
ROXANOL SOL 20MG/ML 1 ml800589CDM250RCBoth25.8618.121.980.85999999999Percent of total billed charges25.861999999999Percent of total billed chargesRate changes as Medicare rate changes19.40.75999999999Percent of total billed charges18.10.7999999999Percent of total billed charges2.690.8999999999Percent of total billed charges19.3950.75999999999Percent of total billed charges14.2230.55999999999Percent of total billed charges21.9810.85999999999Percent of total billed charges21.9810.85999999999Percent of total billed charges25.861999999999Percent of total billed chargesRate changes as Medicare rate changes25.861999999999Percent of total billed chargesRate changes as Medicare rate changes19.3950.75999999999Percent of total billed charges2.6925.86
MORPHINE CONCENTRATE ORAL SOLN800888CDM250RCBoth25.8618.121.980.85999999999Percent of total billed charges25.861999999999Percent of total billed chargesRate changes as Medicare rate changes19.40.75999999999Percent of total billed charges18.10.7999999999Percent of total billed charges2.690.8999999999Percent of total billed charges19.3950.75999999999Percent of total billed charges14.2230.55999999999Percent of total billed charges21.9810.85999999999Percent of total billed charges21.9810.85999999999Percent of total billed charges25.861999999999Percent of total billed chargesRate changes as Medicare rate changes25.861999999999Percent of total billed chargesRate changes as Medicare rate changes19.3950.75999999999Percent of total billed charges2.6925.86
HEPARIN SOD INJ 10000/ML 1 ML800363CDM250RCBoth26.318.4122.360.85999999999Percent of total billed charges26.31999999999Percent of total billed chargesRate changes as Medicare rate changes19.730.75999999999Percent of total billed charges18.410.7999999999Percent of total billed charges21.40.8999999999Percent of total billed charges19.7250.75999999999Percent of total billed charges14.4650.55999999999Percent of total billed charges22.3550.85999999999Percent of total billed charges22.3550.85999999999Percent of total billed charges26.31999999999Percent of total billed chargesRate changes as Medicare rate changes26.31999999999Percent of total billed chargesRate changes as Medicare rate changes19.7250.75999999999Percent of total billed charges14.4726.3
MEROPENEM 1GM IV RECON SOLN800733CDM250RCBoth28.752.1324.440.85999999999Percent of total billed charges28.751999999999Percent of total billed chargesRate changes as Medicare rate changes21.560.75999999999Percent of total billed charges2.130.7999999999Percent of total billed charges230.8999999999Percent of total billed charges21.56250.75999999999Percent of total billed charges15.81250.55999999999Percent of total billed charges24.43750.85999999999Percent of total billed charges24.43750.85999999999Percent of total billed charges28.751999999999Percent of total billed chargesRate changes as Medicare rate changes28.751999999999Percent of total billed chargesRate changes as Medicare rate changes21.56250.75999999999Percent of total billed charges2.1328.75
CALCIUM GLU INJ 10% 50 ML800191CDM250RCBoth28.832.1824.510.85999999999Percent of total billed charges28.831999999999Percent of total billed chargesRate changes as Medicare rate changes21.620.75999999999Percent of total billed charges2.180.7999999999Percent of total billed charges23.60.8999999999Percent of total billed charges21.62250.75999999999Percent of total billed charges15.85650.55999999999Percent of total billed charges24.5550.85999999999Percent of total billed charges24.5550.85999999999Percent of total billed charges28.831999999999Percent of total billed chargesRate changes as Medicare rate changes28.831999999999Percent of total billed chargesRate changes as Medicare rate changes21.62250.75999999999Percent of total billed charges2.1828.83
VANCOMYCIN 250MG ORAL CAPSULE800759CDM250RCBoth29.52.3424.690.85999999999Percent of total billed charges29.51999999999Percent of total billed chargesRate changes as Medicare rate changes21.790.75999999999Percent of total billed charges2.340.7999999999Percent of total billed charges23.240.8999999999Percent of total billed charges21.78750.75999999999Percent of total billed charges15.97750.55999999999Percent of total billed charges24.69250.85999999999Percent of total billed charges24.69250.85999999999Percent of total billed charges29.51999999999Percent of total billed chargesRate changes as Medicare rate changes29.51999999999Percent of total billed chargesRate changes as Medicare rate changes21.78750.75999999999Percent of total billed charges2.3429.5
AUGMENTIN ES-600800708CDM250RCBoth29.522.6625.90.85999999999Percent of total billed charges29.521999999999Percent of total billed chargesRate changes as Medicare rate changes22.140.75999999999Percent of total billed charges2.660.7999999999Percent of total billed charges23.620.8999999999Percent of total billed charges22.140.75999999999Percent of total billed charges16.2360.55999999999Percent of total billed charges25.920.85999999999Percent of total billed charges25.920.85999999999Percent of total billed charges29.521999999999Percent of total billed chargesRate changes as Medicare rate changes29.521999999999Percent of total billed chargesRate changes as Medicare rate changes22.140.75999999999Percent of total billed charges2.6629.52
COREG CR 40MG CAPSULES800934CDM250RCBoth29.642.7525.190.85999999999Percent of total billed charges29.641999999999Percent of total billed chargesRate changes as Medicare rate changes22.230.75999999999Percent of total billed charges2.750.7999999999Percent of total billed charges23.710.8999999999Percent of total billed charges22.230.75999999999Percent of total billed charges16.320.55999999999Percent of total billed charges25.1940.85999999999Percent of total billed charges25.1940.85999999999Percent of total billed charges29.641999999999Percent of total billed chargesRate changes as Medicare rate changes29.641999999999Percent of total billed chargesRate changes as Medicare rate changes22.230.75999999999Percent of total billed charges2.7529.64
CHILDRENS ZYRTEC ORAL 1MG/ML800948CDM250RCBoth29.762.8325.30.85999999999Percent of total billed charges29.761999999999Percent of total billed chargesRate changes as Medicare rate changes22.320.75999999999Percent of total billed charges2.830.7999999999Percent of total billed charges23.810.8999999999Percent of total billed charges22.320.75999999999Percent of total billed charges16.3680.55999999999Percent of total billed charges25.2960.85999999999Percent of total billed charges25.2960.85999999999Percent of total billed charges29.761999999999Percent of total billed chargesRate changes as Medicare rate changes29.761999999999Percent of total billed chargesRate changes as Medicare rate changes22.320.75999999999Percent of total billed charges2.8329.76
SPS SUS 15GM/60 60 M800620CDM250RCBoth31.1121.7826.440.85999999999Percent of total billed charges31.111999999999Percent of total billed chargesRate changes as Medicare rate changes23.330.75999999999Percent of total billed charges21.780.7999999999Percent of total billed charges24.890.8999999999Percent of total billed charges23.33250.75999999999Percent of total billed charges17.1150.55999999999Percent of total billed charges26.44350.85999999999Percent of total billed charges26.44350.85999999999Percent of total billed charges31.111999999999Percent of total billed chargesRate changes as Medicare rate changes31.111999999999Percent of total billed chargesRate changes as Medicare rate changes23.33250.75999999999Percent of total billed charges17.1131.11
ADENOSINE, 6MG800013CDM250RCBoth32.3122.6227.460.85999999999Percent of total billed charges32.311999999999Percent of total billed chargesRate changes as Medicare rate changes24.230.75999999999Percent of total billed charges22.620.7999999999Percent of total billed charges25.850.8999999999Percent of total billed charges24.23250.75999999999Percent of total billed charges17.7750.55999999999Percent of total billed charges27.46350.85999999999Percent of total billed charges27.46350.85999999999Percent of total billed charges32.311999999999Percent of total billed chargesRate changes as Medicare rate changes32.311999999999Percent of total billed chargesRate changes as Medicare rate changes24.23250.75999999999Percent of total billed charges17.7732.31
HYDROXYZ HC SYP 10MG/5ML 1ml800382CDM250RCBoth33.6623.5628.610.85999999999Percent of total billed charges33.661999999999Percent of total billed chargesRate changes as Medicare rate changes25.250.75999999999Percent of total billed charges23.560.7999999999Percent of total billed charges26.930.8999999999Percent of total billed charges25.2450.75999999999Percent of total billed charges18.5130.55999999999Percent of total billed charges28.6110.85999999999Percent of total billed charges28.6110.85999999999Percent of total billed charges33.661999999999Percent of total billed chargesRate changes as Medicare rate changes33.661999999999Percent of total billed chargesRate changes as Medicare rate changes25.2450.75999999999Percent of total billed charges18.5133.66
PREVACID CAP 30MG DR 1 CA800553CDM250RCBoth34.7524.3329.540.85999999999Percent of total billed charges34.751999999999Percent of total billed chargesRate changes as Medicare rate changes26.60.75999999999Percent of total billed charges24.330.7999999999Percent of total billed charges27.80.8999999999Percent of total billed charges26.6250.75999999999Percent of total billed charges19.11250.55999999999Percent of total billed charges29.53750.85999999999Percent of total billed charges29.53750.85999999999Percent of total billed charges34.751999999999Percent of total billed chargesRate changes as Medicare rate changes34.751999999999Percent of total billed chargesRate changes as Medicare rate changes26.6250.75999999999Percent of total billed charges19.1134.75
TRICOR TAB 145MG 1 TAB800658CDM250RCBoth35.1924.6329.910.85999999999Percent of total billed charges35.191999999999Percent of total billed chargesRate changes as Medicare rate changes26.390.75999999999Percent of total billed charges24.630.7999999999Percent of total billed charges28.150.8999999999Percent of total billed charges26.39250.75999999999Percent of total billed charges19.35450.55999999999Percent of total billed charges29.91150.85999999999Percent of total billed charges29.91150.85999999999Percent of total billed charges35.191999999999Percent of total billed chargesRate changes as Medicare rate changes35.191999999999Percent of total billed chargesRate changes as Medicare rate changes26.39250.75999999999Percent of total billed charges19.3535.19
TRANSDERM-S DIS 1.5MG 1 DIS800652CDM250RCBoth37.142631.570.85999999999Percent of total billed charges37.141999999999Percent of total billed chargesRate changes as Medicare rate changes27.860.75999999999Percent of total billed charges260.7999999999Percent of total billed charges29.710.8999999999Percent of total billed charges27.8550.75999999999Percent of total billed charges2.4270.55999999999Percent of total billed charges31.5690.85999999999Percent of total billed charges31.5690.85999999999Percent of total billed charges37.141999999999Percent of total billed chargesRate changes as Medicare rate changes37.141999999999Percent of total billed chargesRate changes as Medicare rate changes27.8550.75999999999Percent of total billed charges2.4337.14
METHYLPREDNISOLONE 4MG TAB800961CDM250RCBoth37.3226.1231.720.85999999999Percent of total billed charges37.321999999999Percent of total billed chargesRate changes as Medicare rate changes27.990.75999999999Percent of total billed charges26.120.7999999999Percent of total billed charges29.860.8999999999Percent of total billed charges27.990.75999999999Percent of total billed charges2.5260.55999999999Percent of total billed charges31.7220.85999999999Percent of total billed charges31.7220.85999999999Percent of total billed charges37.321999999999Percent of total billed chargesRate changes as Medicare rate changes37.321999999999Percent of total billed chargesRate changes as Medicare rate changes27.990.75999999999Percent of total billed charges2.5337.32
NITROGLYCER INJ 5MG/ML 10 ML800504CDM250RCBoth37.7126.432.50.85999999999Percent of total billed charges37.711999999999Percent of total billed chargesRate changes as Medicare rate changes28.280.75999999999Percent of total billed charges26.40.7999999999Percent of total billed charges3.170.8999999999Percent of total billed charges28.28250.75999999999Percent of total billed charges2.7450.55999999999Percent of total billed charges32.5350.85999999999Percent of total billed charges32.5350.85999999999Percent of total billed charges37.711999999999Percent of total billed chargesRate changes as Medicare rate changes37.711999999999Percent of total billed chargesRate changes as Medicare rate changes28.28250.75999999999Percent of total billed charges3.1737.71
ULORIC 40 MG TAB800935CDM250RCBoth38.6427.532.840.85999999999Percent of total billed charges38.641999999999Percent of total billed chargesRate changes as Medicare rate changes28.980.75999999999Percent of total billed charges27.50.7999999999Percent of total billed charges3.910.8999999999Percent of total billed charges28.980.75999999999Percent of total billed charges21.2520.55999999999Percent of total billed charges32.8440.85999999999Percent of total billed charges32.8440.85999999999Percent of total billed charges38.641999999999Percent of total billed chargesRate changes as Medicare rate changes38.641999999999Percent of total billed chargesRate changes as Medicare rate changes28.980.75999999999Percent of total billed charges3.9138.64
AMPICILLIN INJ 2GM 1 INJ800145CDM250RCBoth4.7528.5334.640.85999999999Percent of total billed charges4.751999999999Percent of total billed chargesRate changes as Medicare rate changes3.560.75999999999Percent of total billed charges28.530.7999999999Percent of total billed charges32.60.8999999999Percent of total billed charges3.56250.75999999999Percent of total billed charges22.41250.55999999999Percent of total billed charges34.63750.85999999999Percent of total billed charges34.63750.85999999999Percent of total billed charges4.751999999999Percent of total billed chargesRate changes as Medicare rate changes4.751999999999Percent of total billed chargesRate changes as Medicare rate changes3.56250.75999999999Percent of total billed charges3.564.75
HYDROXY CHLOROQUINE SUL800946CDM250RCBoth42.329.4235.730.85999999999Percent of total billed charges42.31999999999Percent of total billed chargesRate changes as Medicare rate changes31.520.75999999999Percent of total billed charges29.420.7999999999Percent of total billed charges33.620.8999999999Percent of total billed charges31.52250.75999999999Percent of total billed charges23.11650.55999999999Percent of total billed charges35.72550.85999999999Percent of total billed charges35.72550.85999999999Percent of total billed charges42.31999999999Percent of total billed chargesRate changes as Medicare rate changes42.31999999999Percent of total billed chargesRate changes as Medicare rate changes31.52250.75999999999Percent of total billed charges23.1242.3
ETOMIDATE IV SOLUTION800952CDM250RCBoth42.3529.65360.85999999999Percent of total billed charges42.351999999999Percent of total billed chargesRate changes as Medicare rate changes31.760.75999999999Percent of total billed charges29.650.7999999999Percent of total billed charges33.880.8999999999Percent of total billed charges31.76250.75999999999Percent of total billed charges23.29250.55999999999Percent of total billed charges35.99750.85999999999Percent of total billed charges35.99750.85999999999Percent of total billed charges42.351999999999Percent of total billed chargesRate changes as Medicare rate changes42.351999999999Percent of total billed chargesRate changes as Medicare rate changes31.76250.75999999999Percent of total billed charges23.2942.35
NEO/POLY/DE OIN 0.1% OP 3.5800493CDM250RCBoth42.5729.836.180.85999999999Percent of total billed charges42.571999999999Percent of total billed chargesRate changes as Medicare rate changes31.930.75999999999Percent of total billed charges29.80.7999999999Percent of total billed charges34.60.8999999999Percent of total billed charges31.92750.75999999999Percent of total billed charges23.41350.55999999999Percent of total billed charges36.18450.85999999999Percent of total billed charges36.18450.85999999999Percent of total billed charges42.571999999999Percent of total billed chargesRate changes as Medicare rate changes42.571999999999Percent of total billed chargesRate changes as Medicare rate changes31.92750.75999999999Percent of total billed charges23.4142.57
ADRENALIN INJ 1MG/ML 1 ML800116CDM250RCBoth44.133.8937.510.85999999999Percent of total billed charges44.131999999999Percent of total billed chargesRate changes as Medicare rate changes33.10.75999999999Percent of total billed charges3.890.7999999999Percent of total billed charges35.30.8999999999Percent of total billed charges33.9750.75999999999Percent of total billed charges24.27150.55999999999Percent of total billed charges37.5150.85999999999Percent of total billed charges37.5150.85999999999Percent of total billed charges44.131999999999Percent of total billed chargesRate changes as Medicare rate changes44.131999999999Percent of total billed chargesRate changes as Medicare rate changes33.9750.75999999999Percent of total billed charges3.8944.13
AMPICILLIN (UNASYN 3GM)INJ800824CDM250RCBoth46.1532.3139.230.85999999999Percent of total billed charges46.151999999999Percent of total billed chargesRate changes as Medicare rate changes34.610.75999999999Percent of total billed charges32.310.7999999999Percent of total billed charges36.920.8999999999Percent of total billed charges34.61250.75999999999Percent of total billed charges25.38250.55999999999Percent of total billed charges39.22750.85999999999Percent of total billed charges39.22750.85999999999Percent of total billed charges46.151999999999Percent of total billed chargesRate changes as Medicare rate changes46.151999999999Percent of total billed chargesRate changes as Medicare rate changes34.61250.75999999999Percent of total billed charges25.3846.15
METOCLOPRAMIDE HCI ORAL SOLN800740CDM250RCBoth49.3234.5241.920.85999999999Percent of total billed charges49.321999999999Percent of total billed chargesRate changes as Medicare rate changes36.990.75999999999Percent of total billed charges34.520.7999999999Percent of total billed charges39.460.8999999999Percent of total billed charges36.990.75999999999Percent of total billed charges27.1260.55999999999Percent of total billed charges41.9220.85999999999Percent of total billed charges41.9220.85999999999Percent of total billed charges49.321999999999Percent of total billed chargesRate changes as Medicare rate changes49.321999999999Percent of total billed chargesRate changes as Medicare rate changes36.990.75999999999Percent of total billed charges27.1349.32
LOVENOX INJ 100/1ML 1 ML800446CDM250RCBoth53542.50.85999999999Percent of total billed charges51999999999Percent of total billed chargesRate changes as Medicare rate changes37.50.75999999999Percent of total billed charges350.7999999999Percent of total billed charges40.8999999999Percent of total billed charges37.50.75999999999Percent of total billed charges27.50.55999999999Percent of total billed charges42.50.85999999999Percent of total billed charges42.50.85999999999Percent of total billed charges51999999999Percent of total billed chargesRate changes as Medicare rate changes51999999999Percent of total billed chargesRate changes as Medicare rate changes37.50.75999999999Percent of total billed charges45
DIHYDROERGO INJ 1MG/ML 1 ML800289CDM250RCBoth51.636.1243.860.85999999999Percent of total billed charges51.61999999999Percent of total billed chargesRate changes as Medicare rate changes38.70.75999999999Percent of total billed charges36.120.7999999999Percent of total billed charges41.280.8999999999Percent of total billed charges38.70.75999999999Percent of total billed charges28.380.55999999999Percent of total billed charges43.860.85999999999Percent of total billed charges43.860.85999999999Percent of total billed charges51.61999999999Percent of total billed chargesRate changes as Medicare rate changes51.61999999999Percent of total billed chargesRate changes as Medicare rate changes38.70.75999999999Percent of total billed charges28.3851.6
DOPAMINE INJ 40MG/ML 5 ML800302CDM250RCBoth52.2636.5844.420.85999999999Percent of total billed charges52.261999999999Percent of total billed chargesRate changes as Medicare rate changes39.20.75999999999Percent of total billed charges36.580.7999999999Percent of total billed charges41.810.8999999999Percent of total billed charges39.1950.75999999999Percent of total billed charges28.7430.55999999999Percent of total billed charges44.4210.85999999999Percent of total billed charges44.4210.85999999999Percent of total billed charges52.261999999999Percent of total billed chargesRate changes as Medicare rate changes52.261999999999Percent of total billed chargesRate changes as Medicare rate changes39.1950.75999999999Percent of total billed charges28.7452.26
FENTANYL DIS 25MCG/HR 1 DI800321CDM250RCBoth57.154.148.580.85999999999Percent of total billed charges57.151999999999Percent of total billed chargesRate changes as Medicare rate changes42.860.75999999999Percent of total billed charges4.10.7999999999Percent of total billed charges45.720.8999999999Percent of total billed charges42.86250.75999999999Percent of total billed charges31.43250.55999999999Percent of total billed charges48.57750.85999999999Percent of total billed charges48.57750.85999999999Percent of total billed charges57.151999999999Percent of total billed chargesRate changes as Medicare rate changes57.151999999999Percent of total billed chargesRate changes as Medicare rate changes42.86250.75999999999Percent of total billed charges4.157.15
FENOFIBRATE 160 MG800964CDM250RCBoth63.7844.6554.210.85999999999Percent of total billed charges63.781999999999Percent of total billed chargesRate changes as Medicare rate changes47.840.75999999999Percent of total billed charges44.650.7999999999Percent of total billed charges51.20.8999999999Percent of total billed charges47.8350.75999999999Percent of total billed charges35.790.55999999999Percent of total billed charges54.2130.85999999999Percent of total billed charges54.2130.85999999999Percent of total billed charges63.781999999999Percent of total billed chargesRate changes as Medicare rate changes63.781999999999Percent of total billed chargesRate changes as Medicare rate changes47.8350.75999999999Percent of total billed charges35.863.78
DURAGESIC DIS 25MCG/HR 1 DI800309CDM250RCBoth64.9545.4755.210.85999999999Percent of total billed charges64.951999999999Percent of total billed chargesRate changes as Medicare rate changes48.710.75999999999Percent of total billed charges45.470.7999999999Percent of total billed charges51.960.8999999999Percent of total billed charges48.71250.75999999999Percent of total billed charges35.72250.55999999999Percent of total billed charges55.2750.85999999999Percent of total billed charges55.2750.85999999999Percent of total billed charges64.951999999999Percent of total billed chargesRate changes as Medicare rate changes64.951999999999Percent of total billed chargesRate changes as Medicare rate changes48.71250.75999999999Percent of total billed charges35.7264.95
TRIAMCINOLO OIN 0.1% 454 GM800656CDM250RCBoth65.946.1356.20.85999999999Percent of total billed charges65.91999999999Percent of total billed chargesRate changes as Medicare rate changes49.430.75999999999Percent of total billed charges46.130.7999999999Percent of total billed charges52.720.8999999999Percent of total billed charges49.4250.75999999999Percent of total billed charges36.2450.55999999999Percent of total billed charges56.150.85999999999Percent of total billed charges56.150.85999999999Percent of total billed charges65.91999999999Percent of total billed chargesRate changes as Medicare rate changes65.91999999999Percent of total billed chargesRate changes as Medicare rate changes49.4250.75999999999Percent of total billed charges36.2565.9
CLONIDINE DIS 0.1/24HR 1 DI800223CDM250RCBoth72.55.4461.240.85999999999Percent of total billed charges72.51999999999Percent of total billed chargesRate changes as Medicare rate changes54.40.75999999999Percent of total billed charges5.440.7999999999Percent of total billed charges57.640.8999999999Percent of total billed charges54.3750.75999999999Percent of total billed charges39.62750.55999999999Percent of total billed charges61.24250.85999999999Percent of total billed charges61.24250.85999999999Percent of total billed charges72.51999999999Percent of total billed chargesRate changes as Medicare rate changes72.51999999999Percent of total billed chargesRate changes as Medicare rate changes54.3750.75999999999Percent of total billed charges5.4472.5
BETHAMETHASONE CREAM 0.1%-45GM800926CDM250RCBoth72.815.9761.890.85999999999Percent of total billed charges72.811999999999Percent of total billed chargesRate changes as Medicare rate changes54.610.75999999999Percent of total billed charges5.970.7999999999Percent of total billed charges58.250.8999999999Percent of total billed charges54.6750.75999999999Percent of total billed charges4.4550.55999999999Percent of total billed charges61.88850.85999999999Percent of total billed charges61.88850.85999999999Percent of total billed charges72.811999999999Percent of total billed chargesRate changes as Medicare rate changes72.811999999999Percent of total billed chargesRate changes as Medicare rate changes54.6750.75999999999Percent of total billed charges5.9772.81
TRELEGY ELLOP100 62.5-25MCG 28 DOSE800985CDM250RCBoth1UN73.4351.462.420.85999999999Percent of total billed charges73.431999999999Percent of total billed chargesRate changes as Medicare rate changes55.70.75999999999Percent of total billed charges51.40.7999999999Percent of total billed charges58.740.8999999999Percent of total billed charges55.7250.75999999999Percent of total billed charges4.38650.55999999999Percent of total billed charges62.41550.85999999999Percent of total billed charges62.41550.85999999999Percent of total billed charges73.431999999999Percent of total billed chargesRate changes as Medicare rate changes73.431999999999Percent of total billed chargesRate changes as Medicare rate changes55.7250.75999999999Percent of total billed charges4.3973.43
PROTAMINE IV SOLUTION800870CDM250RCBoth78.5454.9866.760.85999999999Percent of total billed charges78.541999999999Percent of total billed chargesRate changes as Medicare rate changes58.910.75999999999Percent of total billed charges54.980.7999999999Percent of total billed charges62.830.8999999999Percent of total billed charges58.950.75999999999Percent of total billed charges43.1970.55999999999Percent of total billed charges66.7590.85999999999Percent of total billed charges66.7590.85999999999Percent of total billed charges78.541999999999Percent of total billed chargesRate changes as Medicare rate changes78.541999999999Percent of total billed chargesRate changes as Medicare rate changes58.950.75999999999Percent of total billed charges43.278.54
DIOVAN TAB 80MG 1 TAB800294CDM250RCBoth79.8655.967.880.85999999999Percent of total billed charges79.861999999999Percent of total billed chargesRate changes as Medicare rate changes59.90.75999999999Percent of total billed charges55.90.7999999999Percent of total billed charges63.890.8999999999Percent of total billed charges59.8950.75999999999Percent of total billed charges43.9230.55999999999Percent of total billed charges67.8810.85999999999Percent of total billed charges67.8810.85999999999Percent of total billed charges79.861999999999Percent of total billed chargesRate changes as Medicare rate changes79.861999999999Percent of total billed chargesRate changes as Medicare rate changes59.8950.75999999999Percent of total billed charges43.9279.86
NEXIUM I.V. INJ 40MG 1 INJ800496CDM250RCBoth8.7556.5368.640.85999999999Percent of total billed charges8.751999999999Percent of total billed chargesRate changes as Medicare rate changes6.560.75999999999Percent of total billed charges56.530.7999999999Percent of total billed charges64.60.8999999999Percent of total billed charges6.56250.75999999999Percent of total billed charges44.41250.55999999999Percent of total billed charges68.63750.85999999999Percent of total billed charges68.63750.85999999999Percent of total billed charges8.751999999999Percent of total billed chargesRate changes as Medicare rate changes8.751999999999Percent of total billed chargesRate changes as Medicare rate changes6.56250.75999999999Percent of total billed charges6.568.75
VITAMIN K1 INJ 10MG/ML 1 ML800673CDM250RCBoth84.8759.4172.140.85999999999Percent of total billed charges84.871999999999Percent of total billed chargesRate changes as Medicare rate changes63.650.75999999999Percent of total billed charges59.410.7999999999Percent of total billed charges67.90.8999999999Percent of total billed charges63.65250.75999999999Percent of total billed charges46.67850.55999999999Percent of total billed charges72.13950.85999999999Percent of total billed charges72.13950.85999999999Percent of total billed charges84.871999999999Percent of total billed chargesRate changes as Medicare rate changes84.871999999999Percent of total billed chargesRate changes as Medicare rate changes63.65250.75999999999Percent of total billed charges46.6884.87
HYOSYNE ELX 0.125/5 5ml800384CDM250RCBoth92.1964.5378.360.85999999999Percent of total billed charges92.191999999999Percent of total billed chargesRate changes as Medicare rate changes69.140.75999999999Percent of total billed charges64.530.7999999999Percent of total billed charges73.750.8999999999Percent of total billed charges69.14250.75999999999Percent of total billed charges5.7450.55999999999Percent of total billed charges78.36150.85999999999Percent of total billed charges78.36150.85999999999Percent of total billed charges92.191999999999Percent of total billed chargesRate changes as Medicare rate changes92.191999999999Percent of total billed chargesRate changes as Medicare rate changes69.14250.75999999999Percent of total billed charges5.792.19
PRIMAXIN IV INJ 500MG 1 INJ800554CDM250RCBoth9868.683.30.85999999999Percent of total billed charges981999999999Percent of total billed chargesRate changes as Medicare rate changes73.50.75999999999Percent of total billed charges68.60.7999999999Percent of total billed charges78.40.8999999999Percent of total billed charges73.50.75999999999Percent of total billed charges53.90.55999999999Percent of total billed charges83.30.85999999999Percent of total billed charges83.30.85999999999Percent of total billed charges981999999999Percent of total billed chargesRate changes as Medicare rate changes981999999999Percent of total billed chargesRate changes as Medicare rate changes73.50.75999999999Percent of total billed charges53.998
GENTAK OIN 0.3% OP 3.5800351CDM250RCBoth98.2568.7883.510.85999999999Percent of total billed charges98.251999999999Percent of total billed chargesRate changes as Medicare rate changes73.690.75999999999Percent of total billed charges68.780.7999999999Percent of total billed charges78.60.8999999999Percent of total billed charges73.68750.75999999999Percent of total billed charges54.3750.55999999999Percent of total billed charges83.51250.85999999999Percent of total billed charges83.51250.85999999999Percent of total billed charges98.251999999999Percent of total billed chargesRate changes as Medicare rate changes98.251999999999Percent of total billed chargesRate changes as Medicare rate changes73.68750.75999999999Percent of total billed charges54.498.25
GENTAMICIN SOL 0.3% OP 5 ML800354CDM250RCBoth98.2568.7883.510.85999999999Percent of total billed charges98.251999999999Percent of total billed chargesRate changes as Medicare rate changes73.690.75999999999Percent of total billed charges68.780.7999999999Percent of total billed charges78.60.8999999999Percent of total billed charges73.68750.75999999999Percent of total billed charges54.3750.55999999999Percent of total billed charges83.51250.85999999999Percent of total billed charges83.51250.85999999999Percent of total billed charges98.251999999999Percent of total billed chargesRate changes as Medicare rate changes98.251999999999Percent of total billed chargesRate changes as Medicare rate changes73.68750.75999999999Percent of total billed charges54.498.25
GENTAMICIN SOL 0.3% OP 5ML800776CDM250RCBoth98.2568.7883.510.85999999999Percent of total billed charges98.251999999999Percent of total billed chargesRate changes as Medicare rate changes73.690.75999999999Percent of total billed charges68.780.7999999999Percent of total billed charges78.60.8999999999Percent of total billed charges73.68750.75999999999Percent of total billed charges54.3750.55999999999Percent of total billed charges83.51250.85999999999Percent of total billed charges83.51250.85999999999Percent of total billed charges98.251999999999Percent of total billed chargesRate changes as Medicare rate changes98.251999999999Percent of total billed chargesRate changes as Medicare rate changes73.68750.75999999999Percent of total billed charges54.498.25
RHO D IMMUNE GLOBULIN INJ (RHO800005CDM250RCBoth14.873.3689.80.85999999999Percent of total billed charges14.81999999999Percent of total billed chargesRate changes as Medicare rate changes78.60.75999999999Percent of total billed charges73.360.7999999999Percent of total billed charges83.840.8999999999Percent of total billed charges78.60.75999999999Percent of total billed charges57.640.55999999999Percent of total billed charges89.80.85999999999Percent of total billed charges89.80.85999999999Percent of total billed charges14.81999999999Percent of total billed chargesRate changes as Medicare rate changes14.81999999999Percent of total billed chargesRate changes as Medicare rate changes78.60.75999999999Percent of total billed charges57.6414.8
MEDROXYPR A INJ 150MG/ML 1 ML800456CDM250RCBoth132.6592.86112.750.85999999999Percent of total billed charges132.651999999999Percent of total billed chargesRate changes as Medicare rate changes99.490.75999999999Percent of total billed charges92.860.7999999999Percent of total billed charges16.120.8999999999Percent of total billed charges99.48750.75999999999Percent of total billed charges72.95750.55999999999Percent of total billed charges112.75250.85999999999Percent of total billed charges112.75250.85999999999Percent of total billed charges132.651999999999Percent of total billed chargesRate changes as Medicare rate changes132.651999999999Percent of total billed chargesRate changes as Medicare rate changes99.48750.75999999999Percent of total billed charges16.12132.65
VAZCULEP INJ SOLUTION800875CDM250RCBoth136.6895.68116.180.85999999999Percent of total billed charges136.681999999999Percent of total billed chargesRate changes as Medicare rate changes12.510.75999999999Percent of total billed charges95.680.7999999999Percent of total billed charges19.340.8999999999Percent of total billed charges12.510.75999999999Percent of total billed charges75.1740.55999999999Percent of total billed charges116.1780.85999999999Percent of total billed charges116.1780.85999999999Percent of total billed charges136.681999999999Percent of total billed chargesRate changes as Medicare rate changes136.681999999999Percent of total billed chargesRate changes as Medicare rate changes12.510.75999999999Percent of total billed charges12.51136.68
OMNIPAQUE INJ 300MG/ML 50 M800514CDM250RCBoth139.297.31118.170.85999999999Percent of total billed charges139.21999999999Percent of total billed chargesRate changes as Medicare rate changes14.270.75999999999Percent of total billed charges97.310.7999999999Percent of total billed charges111.220.8999999999Percent of total billed charges14.2650.75999999999Percent of total billed charges76.4610.55999999999Percent of total billed charges118.1670.85999999999Percent of total billed charges118.1670.85999999999Percent of total billed charges139.21999999999Percent of total billed chargesRate changes as Medicare rate changes139.21999999999Percent of total billed chargesRate changes as Medicare rate changes14.2650.75999999999Percent of total billed charges14.27139.2
CLARITHROMYCIN 125MG/5ML ORAL800864CDM250RCBoth146.3412.44124.390.85999999999Percent of total billed charges146.341999999999Percent of total billed chargesRate changes as Medicare rate changes19.760.75999999999Percent of total billed charges12.440.7999999999Percent of total billed charges117.70.8999999999Percent of total billed charges19.7550.75999999999Percent of total billed charges8.4870.55999999999Percent of total billed charges124.3890.85999999999Percent of total billed charges124.3890.85999999999Percent of total billed charges146.341999999999Percent of total billed chargesRate changes as Medicare rate changes146.341999999999Percent of total billed chargesRate changes as Medicare rate changes19.7550.75999999999Percent of total billed charges12.44146.34
APLISOL INJ 5/0.1ML 1 ML800147CDM250RCBoth15.915.6127.580.85999999999Percent of total billed charges15.91999999999Percent of total billed chargesRate changes as Medicare rate changes112.570.75999999999Percent of total billed charges15.60.7999999999Percent of total billed charges12.70.8999999999Percent of total billed charges112.56750.75999999999Percent of total billed charges82.54950.55999999999Percent of total billed charges127.57650.85999999999Percent of total billed charges127.57650.85999999999Percent of total billed charges15.91999999999Percent of total billed chargesRate changes as Medicare rate changes15.91999999999Percent of total billed chargesRate changes as Medicare rate changes112.56750.75999999999Percent of total billed charges12.715.9
GASTROMARK SUS 175MCG 300 ML800348CDM250RCBoth166.5116.55141.530.85999999999Percent of total billed charges166.51999999999Percent of total billed chargesRate changes as Medicare rate changes124.880.75999999999Percent of total billed charges116.550.7999999999Percent of total billed charges133.20.8999999999Percent of total billed charges124.8750.75999999999Percent of total billed charges91.5750.55999999999Percent of total billed charges141.5250.85999999999Percent of total billed charges141.5250.85999999999Percent of total billed charges166.51999999999Percent of total billed chargesRate changes as Medicare rate changes166.51999999999Percent of total billed chargesRate changes as Medicare rate changes124.8750.75999999999Percent of total billed charges91.58166.5
LOPERAMIDE LIQ 1MG/5ML 5 ML800435CDM250RCBoth172.1112.48146.290.85999999999Percent of total billed charges172.111999999999Percent of total billed chargesRate changes as Medicare rate changes129.80.75999999999Percent of total billed charges12.480.7999999999Percent of total billed charges137.690.8999999999Percent of total billed charges129.8250.75999999999Percent of total billed charges94.6650.55999999999Percent of total billed charges146.29350.85999999999Percent of total billed charges146.29350.85999999999Percent of total billed charges172.111999999999Percent of total billed chargesRate changes as Medicare rate changes172.111999999999Percent of total billed chargesRate changes as Medicare rate changes129.8250.75999999999Percent of total billed charges12.48172.11
CETACAINE AER 1 gm800209CDM250RCBoth176.4123.23149.630.85999999999Percent of total billed charges176.41999999999Percent of total billed chargesRate changes as Medicare rate changes132.30.75999999999Percent of total billed charges123.230.7999999999Percent of total billed charges14.830.8999999999Percent of total billed charges132.30.75999999999Percent of total billed charges96.8220.55999999999Percent of total billed charges149.6340.85999999999Percent of total billed charges149.6340.85999999999Percent of total billed charges176.41999999999Percent of total billed chargesRate changes as Medicare rate changes176.41999999999Percent of total billed chargesRate changes as Medicare rate changes132.30.75999999999Percent of total billed charges14.83176.4
66.52GASTROGRAFI SOL 120 ML800100CDM250RCBoth19.1133.7161.590.85999999999Percent of total billed charges19.11999999999Percent of total billed chargesRate changes as Medicare rate changes142.580.75999999999Percent of total billed charges133.70.7999999999Percent of total billed charges152.80.8999999999Percent of total billed charges142.5750.75999999999Percent of total billed charges14.5550.55999999999Percent of total billed charges161.5850.85999999999Percent of total billed charges161.5850.85999999999Percent of total billed charges19.11999999999Percent of total billed chargesRate changes as Medicare rate changes19.11999999999Percent of total billed chargesRate changes as Medicare rate changes142.5750.75999999999Percent of total billed charges14.5619.1
NASONEX SPR 50MCG/AC 17 G800492CDM250RCBoth27.5145.25176.380.85999999999Percent of total billed charges27.51999999999Percent of total billed chargesRate changes as Medicare rate changes155.630.75999999999Percent of total billed charges145.250.7999999999Percent of total billed charges1660.8999999999Percent of total billed charges155.6250.75999999999Percent of total billed charges114.1250.55999999999Percent of total billed charges176.3750.85999999999Percent of total billed charges176.3750.85999999999Percent of total billed charges27.51999999999Percent of total billed chargesRate changes as Medicare rate changes27.51999999999Percent of total billed chargesRate changes as Medicare rate changes155.6250.75999999999Percent of total billed charges114.1327.5
FLOXIN OTIC DRO 0.3% 5 ML800331CDM250RCBoth27.9145.53176.720.85999999999Percent of total billed charges27.91999999999Percent of total billed chargesRate changes as Medicare rate changes155.930.75999999999Percent of total billed charges145.530.7999999999Percent of total billed charges166.320.8999999999Percent of total billed charges155.9250.75999999999Percent of total billed charges114.3450.55999999999Percent of total billed charges176.7150.85999999999Percent of total billed charges176.7150.85999999999Percent of total billed charges27.91999999999Percent of total billed chargesRate changes as Medicare rate changes27.91999999999Percent of total billed chargesRate changes as Medicare rate changes155.9250.75999999999Percent of total billed charges114.3527.9
ZYVOX SOL 2MG/ML 300 ML800686CDM250RCBoth2862.2243.10.85999999999Percent of total billed charges2861999999999Percent of total billed chargesRate changes as Medicare rate changes214.50.75999999999Percent of total billed charges2.20.7999999999Percent of total billed charges228.80.8999999999Percent of total billed charges214.50.75999999999Percent of total billed charges157.30.55999999999Percent of total billed charges243.10.85999999999Percent of total billed charges243.10.85999999999Percent of total billed charges2861999999999Percent of total billed chargesRate changes as Medicare rate changes2861999999999Percent of total billed chargesRate changes as Medicare rate changes214.50.75999999999Percent of total billed charges2.2286
ADVAIR DISK MIS 250/50 1 MIS800117CDM250RCBoth345.18241.63293.40.85999999999Percent of total billed charges345.181999999999Percent of total billed chargesRate changes as Medicare rate changes258.890.75999999999Percent of total billed charges241.630.7999999999Percent of total billed charges276.140.8999999999Percent of total billed charges258.8850.75999999999Percent of total billed charges189.8490.55999999999Percent of total billed charges293.430.85999999999Percent of total billed charges293.430.85999999999Percent of total billed charges345.181999999999Percent of total billed chargesRate changes as Medicare rate changes345.181999999999Percent of total billed chargesRate changes as Medicare rate changes258.8850.75999999999Percent of total billed charges189.85345.18
PNEUMOVAX 2 INJ 25/0.5 0.5ml800541CDM250RCBoth348.24243.772960.85999999999Percent of total billed charges348.241999999999Percent of total billed chargesRate changes as Medicare rate changes261.180.75999999999Percent of total billed charges243.770.7999999999Percent of total billed charges278.590.8999999999Percent of total billed charges261.180.75999999999Percent of total billed charges191.5320.55999999999Percent of total billed charges296.40.85999999999Percent of total billed charges296.40.85999999999Percent of total billed charges348.241999999999Percent of total billed chargesRate changes as Medicare rate changes348.241999999999Percent of total billed chargesRate changes as Medicare rate changes261.180.75999999999Percent of total billed charges191.53348.24
RHINOCORT SUS AQUA 8.6 GM800586CDM250RCBoth358.5525.9934.770.85999999999Percent of total billed charges358.551999999999Percent of total billed chargesRate changes as Medicare rate changes268.910.75999999999Percent of total billed charges25.990.7999999999Percent of total billed charges286.840.8999999999Percent of total billed charges268.91250.75999999999Percent of total billed charges197.2250.55999999999Percent of total billed charges34.76750.85999999999Percent of total billed charges34.76750.85999999999Percent of total billed charges358.551999999999Percent of total billed chargesRate changes as Medicare rate changes358.551999999999Percent of total billed chargesRate changes as Medicare rate changes268.91250.75999999999Percent of total billed charges25.99358.55
NON ESRD EPOETIN ALPHA INJ/PRO800015CDM250RCBoth36252360.85999999999Percent of total billed charges361999999999Percent of total billed chargesRate changes as Medicare rate changes270.75999999999Percent of total billed charges2520.7999999999Percent of total billed charges2880.8999999999Percent of total billed charges270.75999999999Percent of total billed charges1980.55999999999Percent of total billed charges360.85999999999Percent of total billed charges360.85999999999Percent of total billed charges361999999999Percent of total billed chargesRate changes as Medicare rate changes361999999999Percent of total billed chargesRate changes as Medicare rate changes270.75999999999Percent of total billed charges2736
DEPO-PROVER INJ 150MG/ML 1 ML800269CDM250RCBoth372.4226.69316.560.85999999999Percent of total billed charges372.421999999999Percent of total billed chargesRate changes as Medicare rate changes279.320.75999999999Percent of total billed charges26.690.7999999999Percent of total billed charges297.940.8999999999Percent of total billed charges279.3150.75999999999Percent of total billed charges24.8310.55999999999Percent of total billed charges316.5570.85999999999Percent of total billed charges316.5570.85999999999Percent of total billed charges372.421999999999Percent of total billed chargesRate changes as Medicare rate changes372.421999999999Percent of total billed chargesRate changes as Medicare rate changes279.3150.75999999999Percent of total billed charges26.69372.42
ZOLODEX (GOSERELIN ACETATE) 3.800017CDM250RCBoth428340.85999999999Percent of total billed charges41999999999Percent of total billed chargesRate changes as Medicare rate changes30.75999999999Percent of total billed charges280.7999999999Percent of total billed charges320.8999999999Percent of total billed charges30.75999999999Percent of total billed charges220.55999999999Percent of total billed charges340.85999999999Percent of total billed charges340.85999999999Percent of total billed charges41999999999Percent of total billed chargesRate changes as Medicare rate changes41999999999Percent of total billed chargesRate changes as Medicare rate changes30.75999999999Percent of total billed charges34
BICILLIN C- INJ 900/300 2 ML800183CDM250RCBoth424.2296.8136.420.85999999999Percent of total billed charges424.21999999999Percent of total billed chargesRate changes as Medicare rate changes318.20.75999999999Percent of total billed charges296.810.7999999999Percent of total billed charges339.220.8999999999Percent of total billed charges318.150.75999999999Percent of total billed charges233.2110.55999999999Percent of total billed charges36.4170.85999999999Percent of total billed charges36.4170.85999999999Percent of total billed charges424.21999999999Percent of total billed chargesRate changes as Medicare rate changes424.21999999999Percent of total billed chargesRate changes as Medicare rate changes318.150.75999999999Percent of total billed charges233.21424.2
ACTIDOSE/SO LIQ 50/240ML 240800107CDM250RCBoth563924760.85999999999Percent of total billed charges561999999999Percent of total billed chargesRate changes as Medicare rate changes420.75999999999Percent of total billed charges3920.7999999999Percent of total billed charges4480.8999999999Percent of total billed charges420.75999999999Percent of total billed charges380.55999999999Percent of total billed charges4760.85999999999Percent of total billed charges4760.85999999999Percent of total billed charges561999999999Percent of total billed chargesRate changes as Medicare rate changes561999999999Percent of total billed chargesRate changes as Medicare rate changes420.75999999999Percent of total billed charges4256
CIPROFLOXAC SOL 200MG 100 ML800214CDM250RCBoth58247.4494.70.85999999999Percent of total billed charges5821999999999Percent of total billed chargesRate changes as Medicare rate changes436.50.75999999999Percent of total billed charges47.40.7999999999Percent of total billed charges465.60.8999999999Percent of total billed charges436.50.75999999999Percent of total billed charges32.10.55999999999Percent of total billed charges494.70.85999999999Percent of total billed charges494.70.85999999999Percent of total billed charges5821999999999Percent of total billed chargesRate changes as Medicare rate changes5821999999999Percent of total billed chargesRate changes as Medicare rate changes436.50.75999999999Percent of total billed charges47.4582
ATROVENT HF AER 17MCG 12.9 G800160CDM250RCBoth75525637.50.85999999999Percent of total billed charges751999999999Percent of total billed chargesRate changes as Medicare rate changes562.50.75999999999Percent of total billed charges5250.7999999999Percent of total billed charges60.8999999999Percent of total billed charges562.50.75999999999Percent of total billed charges412.50.55999999999Percent of total billed charges637.50.85999999999Percent of total billed charges637.50.85999999999Percent of total billed charges751999999999Percent of total billed chargesRate changes as Medicare rate changes751999999999Percent of total billed chargesRate changes as Medicare rate changes562.50.75999999999Percent of total billed charges675
EPIPEN-JR INJ 0.15MG 1 INJ800318CDM250RCBoth95.46665.3287.890.85999999999Percent of total billed charges95.461999999999Percent of total billed chargesRate changes as Medicare rate changes712.850.75999999999Percent of total billed charges665.320.7999999999Percent of total billed charges76.370.8999999999Percent of total billed charges712.8450.75999999999Percent of total billed charges522.7530.55999999999Percent of total billed charges87.8910.85999999999Percent of total billed charges87.8910.85999999999Percent of total billed charges95.461999999999Percent of total billed chargesRate changes as Medicare rate changes95.461999999999Percent of total billed chargesRate changes as Medicare rate changes712.8450.75999999999Percent of total billed charges76.3795.46
EPIPEN INJ 0.3MG 1 INJ800317CDM250RCBoth959.46671.62815.540.85999999999Percent of total billed charges959.461999999999Percent of total billed chargesRate changes as Medicare rate changes719.60.75999999999Percent of total billed charges671.620.7999999999Percent of total billed charges767.570.8999999999Percent of total billed charges719.5950.75999999999Percent of total billed charges527.730.55999999999Percent of total billed charges815.5410.85999999999Percent of total billed charges815.5410.85999999999Percent of total billed charges959.461999999999Percent of total billed chargesRate changes as Medicare rate changes959.461999999999Percent of total billed chargesRate changes as Medicare rate changes719.5950.75999999999Percent of total billed charges527.7959.46
FILGRASTIM 300MCG INJECTION (N800002CDM250RCBoth1675.591172.911424.250.85999999999Percent of total billed charges1675.591999999999Percent of total billed chargesRate changes as Medicare rate changes1256.690.75999999999Percent of total billed charges1172.910.7999999999Percent of total billed charges134.470.8999999999Percent of total billed charges1256.69250.75999999999Percent of total billed charges921.57450.55999999999Percent of total billed charges1424.25150.85999999999Percent of total billed charges1424.25150.85999999999Percent of total billed charges1675.591999999999Percent of total billed chargesRate changes as Medicare rate changes1675.591999999999Percent of total billed chargesRate changes as Medicare rate changes1256.69250.75999999999Percent of total billed charges134.471675.59
XOLAIR (OMAILZUMAB) SUBQ RECON800845CDM250RCBoth3487.2244.912963.970.85999999999Percent of total billed charges3487.21999999999Percent of total billed chargesRate changes as Medicare rate changes2615.270.75999999999Percent of total billed charges244.910.7999999999Percent of total billed charges2789.620.8999999999Percent of total billed charges2615.2650.75999999999Percent of total billed charges1917.8610.55999999999Percent of total billed charges2963.9670.85999999999Percent of total billed charges2963.9670.85999999999Percent of total billed charges3487.21999999999Percent of total billed chargesRate changes as Medicare rate changes3487.21999999999Percent of total billed chargesRate changes as Medicare rate changes2615.2650.75999999999Percent of total billed charges244.913487.2
CROFAB INJ 1 INJ800249CDM250RCBoth3691.652584.163137.90.85999999999Percent of total billed charges3691.651999999999Percent of total billed chargesRate changes as Medicare rate changes2768.740.75999999999Percent of total billed charges2584.160.7999999999Percent of total billed charges2953.320.8999999999Percent of total billed charges2768.73750.75999999999Percent of total billed charges23.4750.55999999999Percent of total billed charges3137.9250.85999999999Percent of total billed charges3137.9250.85999999999Percent of total billed charges3691.651999999999Percent of total billed chargesRate changes as Medicare rate changes3691.651999999999Percent of total billed chargesRate changes as Medicare rate changes2768.73750.75999999999Percent of total billed charges23.413691.65
ONDANSETRON HCI 4MG/2ML INJ800778CDM250RCBoth1.51.51.280.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.130.75999999999Percent of total billed charges1.50.7999999999Percent of total billed charges1.20.8999999999Percent of total billed charges1.1250.75999999999Percent of total billed charges0.8250.55999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.2750.85999999999Percent of total billed charges1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.51999999999Percent of total billed chargesRate changes as Medicare rate changes1.1250.75999999999Percent of total billed charges0.831.5
MORPHINE SULFATE 2MG/ML INJ801011CDM250RCBoth8.525.967.240.85999999999Percent of total billed charges8.521999999999Percent of total billed chargesRate changes as Medicare rate changes6.390.75999999999Percent of total billed charges5.960.7999999999Percent of total billed charges6.820.8999999999Percent of total billed charges6.390.75999999999Percent of total billed charges4.6860.55999999999Percent of total billed charges7.2420.85999999999Percent of total billed charges7.2420.85999999999Percent of total billed charges8.521999999999Percent of total billed chargesRate changes as Medicare rate changes8.521999999999Percent of total billed chargesRate changes as Medicare rate changes6.390.75999999999Percent of total billed charges4.698.52
CEFNIR 300MG CAPSULE801012CDM250RCBoth2.81.461.770.85999999999Percent of total billed charges2.81999999999Percent of total billed chargesRate changes as Medicare rate changes1.560.75999999999Percent of total billed charges1.460.7999999999Percent of total billed charges1.660.8999999999Percent of total billed charges1.560.75999999999Percent of total billed charges1.1440.55999999999Percent of total billed charges1.7680.85999999999Percent of total billed charges1.7680.85999999999Percent of total billed charges2.81999999999Percent of total billed chargesRate changes as Medicare rate changes2.81999999999Percent of total billed chargesRate changes as Medicare rate changes1.560.75999999999Percent of total billed charges1.142.8
PIPERACILLIN/TAZOBACTAM 4.5GM801015CDM250RCBoth38.426.8832.640.85999999999Percent of total billed charges38.41999999999Percent of total billed chargesRate changes as Medicare rate changes28.80.75999999999Percent of total billed charges26.880.7999999999Percent of total billed charges3.720.8999999999Percent of total billed charges28.80.75999999999Percent of total billed charges21.120.55999999999Percent of total billed charges32.640.85999999999Percent of total billed charges32.640.85999999999Percent of total billed charges38.41999999999Percent of total billed chargesRate changes as Medicare rate changes38.41999999999Percent of total billed chargesRate changes as Medicare rate changes28.80.75999999999Percent of total billed charges3.7238.4
QUAD-PROBIOTIC801017CDM250RCBoth4.22.943.570.85999999999Percent of total billed charges4.21999999999Percent of total billed chargesRate changes as Medicare rate changes3.150.75999999999Percent of total billed charges2.940.7999999999Percent of total billed charges3.360.8999999999Percent of total billed charges3.150.75999999999Percent of total billed charges2.310.55999999999Percent of total billed charges3.570.85999999999Percent of total billed charges3.570.85999999999Percent of total billed charges4.21999999999Percent of total billed chargesRate changes as Medicare rate changes4.21999999999Percent of total billed chargesRate changes as Medicare rate changes3.150.75999999999Percent of total billed charges2.314.2
NYAMYC TOPICAL POWDER 100,000 UNIT PER GRAM 15 GRAMS801019CDM250RCBoth32.622.8227.710.85999999999Percent of total billed charges32.61999999999Percent of total billed chargesRate changes as Medicare rate changes24.450.75999999999Percent of total billed charges22.820.7999999999Percent of total billed charges26.80.8999999999Percent of total billed charges24.450.75999999999Percent of total billed charges17.930.55999999999Percent of total billed charges27.710.85999999999Percent of total billed charges27.710.85999999999Percent of total billed charges32.61999999999Percent of total billed chargesRate changes as Medicare rate changes32.61999999999Percent of total billed chargesRate changes as Medicare rate changes24.450.75999999999Percent of total billed charges17.9332.6
GUAIFENESIN 400MG TAB801021CDM250RCBoth53.54.250.85999999999Percent of total billed charges51999999999Percent of total billed chargesRate changes as Medicare rate changes3.750.75999999999Percent of total billed charges3.50.7999999999Percent of total billed charges40.8999999999Percent of total billed charges3.750.75999999999Percent of total billed charges2.750.55999999999Percent of total billed charges4.250.85999999999Percent of total billed charges4.250.85999999999Percent of total billed charges51999999999Percent of total billed chargesRate changes as Medicare rate changes51999999999Percent of total billed chargesRate changes as Medicare rate changes3.750.75999999999Percent of total billed charges2.755
POTASSIUM CHLORID 20MEQ/50ML801022CDM250RCBoth23.316.3119.810.85999999999Percent of total billed charges23.31999999999Percent of total billed chargesRate changes as Medicare rate changes17.480.75999999999Percent of total billed charges16.310.7999999999Percent of total billed charges18.640.8999999999Percent of total billed charges17.4750.75999999999Percent of total billed charges12.8150.55999999999Percent of total billed charges19.850.85999999999Percent of total billed charges19.850.85999999999Percent of total billed charges23.31999999999Percent of total billed chargesRate changes as Medicare rate changes23.31999999999Percent of total billed chargesRate changes as Medicare rate changes17.4750.75999999999Percent of total billed charges12.8223.3
HYDROMORPHONE INJ 2MG/ML801023CDM250RCBoth7.114.986.40.85999999999Percent of total billed charges7.111999999999Percent of total billed chargesRate changes as Medicare rate changes5.330.75999999999Percent of total billed charges4.980.7999999999Percent of total billed charges5.690.8999999999Percent of total billed charges5.33250.75999999999Percent of total billed charges3.9150.55999999999Percent of total billed charges6.4350.85999999999Percent of total billed charges6.4350.85999999999Percent of total billed charges7.111999999999Percent of total billed chargesRate changes as Medicare rate changes7.111999999999Percent of total billed chargesRate changes as Medicare rate changes5.33250.75999999999Percent of total billed charges3.917.11
HYDROMORPHONE INJ 2MG/ML801024CDM250RCBoth7.55.256.380.85999999999Percent of total billed charges7.51999999999Percent of total billed chargesRate changes as Medicare rate changes5.630.75999999999Percent of total billed charges5.250.7999999999Percent of total billed charges60.8999999999Percent of total billed charges5.6250.75999999999Percent of total billed charges4.1250.55999999999Percent of total billed charges6.3750.85999999999Percent of total billed charges6.3750.85999999999Percent of total billed charges7.51999999999Percent of total billed chargesRate changes as Medicare rate changes7.51999999999Percent of total billed chargesRate changes as Medicare rate changes5.6250.75999999999Percent of total billed charges4.137.5
LINEZOLID TAB 600 MG801026CDM250RCBoth274.5192.15233.330.85999999999Percent of total billed charges274.51999999999Percent of total billed chargesRate changes as Medicare rate changes25.880.75999999999Percent of total billed charges192.150.7999999999Percent of total billed charges219.60.8999999999Percent of total billed charges25.8750.75999999999Percent of total billed charges15.9750.55999999999Percent of total billed charges233.3250.85999999999Percent of total billed charges233.3250.85999999999Percent of total billed charges274.51999999999Percent of total billed chargesRate changes as Medicare rate changes274.51999999999Percent of total billed chargesRate changes as Medicare rate changes25.8750.75999999999Percent of total billed charges25.88274.5
NAPROXEN801027CDM250RCBoth2.681.882.280.85999999999Percent of total billed charges2.681999999999Percent of total billed chargesRate changes as Medicare rate changes2.10.75999999999Percent of total billed charges1.880.7999999999Percent of total billed charges2.140.8999999999Percent of total billed charges2.10.75999999999Percent of total billed charges1.4740.55999999999Percent of total billed charges2.2780.85999999999Percent of total billed charges2.2780.85999999999Percent of total billed charges2.681999999999Percent of total billed chargesRate changes as Medicare rate changes2.681999999999Percent of total billed chargesRate changes as Medicare rate changes2.10.75999999999Percent of total billed charges1.472.68
PREDNISONE 20MG801028CDM250RCBoth5.43.534.280.85999999999Percent of total billed charges5.41999999999Percent of total billed chargesRate changes as Medicare rate changes3.780.75999999999Percent of total billed charges3.530.7999999999Percent of total billed charges4.30.8999999999Percent of total billed charges3.780.75999999999Percent of total billed charges2.7720.55999999999Percent of total billed charges4.2840.85999999999Percent of total billed charges4.2840.85999999999Percent of total billed charges5.41999999999Percent of total billed chargesRate changes as Medicare rate changes5.41999999999Percent of total billed chargesRate changes as Medicare rate changes3.780.75999999999Percent of total billed charges2.775.4
VENOFER 20MG/ML801029CDM250RCBoth1372.187.550.85999999999Percent of total billed charges131999999999Percent of total billed chargesRate changes as Medicare rate changes77.250.75999999999Percent of total billed charges72.10.7999999999Percent of total billed charges82.40.8999999999Percent of total billed charges77.250.75999999999Percent of total billed charges56.650.55999999999Percent of total billed charges87.550.85999999999Percent of total billed charges87.550.85999999999Percent of total billed charges131999999999Percent of total billed chargesRate changes as Medicare rate changes131999999999Percent of total billed chargesRate changes as Medicare rate changes77.250.75999999999Percent of total billed charges56.6513
ZINC OXIDE OINTMENT801030CDM250RCBoth2114.717.850.85999999999Percent of total billed charges211999999999Percent of total billed chargesRate changes as Medicare rate changes15.750.75999999999Percent of total billed charges14.70.7999999999Percent of total billed charges16.80.8999999999Percent of total billed charges15.750.75999999999Percent of total billed charges11.550.55999999999Percent of total billed charges17.850.85999999999Percent of total billed charges17.850.85999999999Percent of total billed charges211999999999Percent of total billed chargesRate changes as Medicare rate changes211999999999Percent of total billed chargesRate changes as Medicare rate changes15.750.75999999999Percent of total billed charges11.5521
PRESERVISION MULTIVITAMIN801031CDM250RCBoth21.41.70.85999999999Percent of total billed charges21999999999Percent of total billed chargesRate changes as Medicare rate changes1.50.75999999999Percent of total billed charges1.40.7999999999Percent of total billed charges1.60.8999999999Percent of total billed charges1.50.75999999999Percent of total billed charges1.10.55999999999Percent of total billed charges1.70.85999999999Percent of total billed charges1.70.85999999999Percent of total billed charges21999999999Percent of total billed chargesRate changes as Medicare rate changes21999999999Percent of total billed chargesRate changes as Medicare rate changes1.50.75999999999Percent of total billed charges1.12
AUGMENTIN 200MG/28.5MG 50ML801032CDM250RCBoth25.9218.1422.30.85999999999Percent of total billed charges25.921999999999Percent of total billed chargesRate changes as Medicare rate changes19.440.75999999999Percent of total billed charges18.140.7999999999Percent of total billed charges2.740.8999999999Percent of total billed charges19.440.75999999999Percent of total billed charges14.2560.55999999999Percent of total billed charges22.320.85999999999Percent of total billed charges22.320.85999999999Percent of total billed charges25.921999999999Percent of total billed chargesRate changes as Medicare rate changes25.921999999999Percent of total billed chargesRate changes as Medicare rate changes19.440.75999999999Percent of total billed charges2.7425.92
Injection, Ferumoxytol, 1MG, 30/MG/1ML801033CDM250RCBoth1534173.8133.90.85999999999Percent of total billed charges15341999999999Percent of total billed chargesRate changes as Medicare rate changes115.50.75999999999Percent of total billed charges173.80.7999999999Percent of total billed charges1227.20.8999999999Percent of total billed charges115.50.75999999999Percent of total billed charges843.70.55999999999Percent of total billed charges133.90.85999999999Percent of total billed charges133.90.85999999999Percent of total billed charges15341999999999Percent of total billed chargesRate changes as Medicare rate changes15341999999999Percent of total billed chargesRate changes as Medicare rate changes115.50.75999999999Percent of total billed charges115.51534
ACETAMINOPHEN SUPPOSITORY 325 MG501076CDM250RCBoth1.931.351.640.85999999999Percent of total billed charges1.931999999999Percent of total billed chargesRate changes as Medicare rate changes1.450.75999999999Percent of total billed charges1.350.7999999999Percent of total billed charges1.540.8999999999Percent of total billed charges1.44750.75999999999Percent of total billed charges1.6150.55999999999Percent of total billed charges1.6450.85999999999Percent of total billed charges1.6450.85999999999Percent of total billed charges1.931999999999Percent of total billed chargesRate changes as Medicare rate changes1.931999999999Percent of total billed chargesRate changes as Medicare rate changes1.44750.75999999999Percent of total billed charges1.61.93
DEXAMETHASONE 10MG/ML8001123CDM250RCBoth3.932.753.340.85999999999Percent of total billed charges3.931999999999Percent of total billed chargesRate changes as Medicare rate changes2.950.75999999999Percent of total billed charges2.750.7999999999Percent of total billed charges3.140.8999999999Percent of total billed charges2.94750.75999999999Percent of total billed charges2.16150.55999999999Percent of total billed charges3.3450.85999999999Percent of total billed charges3.3450.85999999999Percent of total billed charges3.931999999999Percent of total billed chargesRate changes as Medicare rate changes3.931999999999Percent of total billed chargesRate changes as Medicare rate changes2.94750.75999999999Percent of total billed charges2.163.93
AMIODARONE 150MG/3ML INJ800988CDM250RCBoth1UN3.892.723.310.85999999999Percent of total billed charges3.891999999999Percent of total billed chargesRate changes as Medicare rate changes2.920.75999999999Percent of total billed charges2.720.7999999999Percent of total billed charges3.110.8999999999Percent of total billed charges2.91750.75999999999Percent of total billed charges2.13950.55999999999Percent of total billed charges3.3650.85999999999Percent of total billed charges3.3650.85999999999Percent of total billed charges3.891999999999Percent of total billed chargesRate changes as Medicare rate changes3.891999999999Percent of total billed chargesRate changes as Medicare rate changes2.91750.75999999999Percent of total billed charges2.143.89
SPIRONOLACTONE 25MG801014CDM250RCBoth3.482.442.960.85999999999Percent of total billed charges3.481999999999Percent of total billed chargesRate changes as Medicare rate changes2.610.75999999999Percent of total billed charges2.440.7999999999Percent of total billed charges2.780.8999999999Percent of total billed charges2.610.75999999999Percent of total billed charges1.9140.55999999999Percent of total billed charges2.9580.85999999999Percent of total billed charges2.9580.85999999999Percent of total billed charges3.481999999999Percent of total billed chargesRate changes as Medicare rate changes3.481999999999Percent of total billed chargesRate changes as Medicare rate changes2.610.75999999999Percent of total billed charges1.913.48
NEXIUM 40MG ORAL SUSP801034CDM250RCBoth31.62211.13256.380.85999999999Percent of total billed charges31.621999999999Percent of total billed chargesRate changes as Medicare rate changes226.220.75999999999Percent of total billed charges211.130.7999999999Percent of total billed charges241.30.8999999999Percent of total billed charges226.2150.75999999999Percent of total billed charges165.8910.55999999999Percent of total billed charges256.3770.85999999999Percent of total billed charges256.3770.85999999999Percent of total billed charges31.621999999999Percent of total billed chargesRate changes as Medicare rate changes31.621999999999Percent of total billed chargesRate changes as Medicare rate changes226.2150.75999999999Percent of total billed charges165.8931.62
AMOXICILLIAN/CLAV 200MG/28.5MG/5ML SUSP801035CDM250RCBoth14.791.3512.570.85999999999Percent of total billed charges14.791999999999Percent of total billed chargesRate changes as Medicare rate changes11.90.75999999999Percent of total billed charges1.350.7999999999Percent of total billed charges11.830.8999999999Percent of total billed charges11.9250.75999999999Percent of total billed charges8.13450.55999999999Percent of total billed charges12.57150.85999999999Percent of total billed charges12.57150.85999999999Percent of total billed charges14.791999999999Percent of total billed chargesRate changes as Medicare rate changes14.791999999999Percent of total billed chargesRate changes as Medicare rate changes11.9250.75999999999Percent of total billed charges1.3514.79
NICOTINE 7MG TRANSDERAML PATCH801036CDM250RCBoth14.791.3512.570.85999999999Percent of total billed charges14.791999999999Percent of total billed chargesRate changes as Medicare rate changes11.90.75999999999Percent of total billed charges1.350.7999999999Percent of total billed charges11.830.8999999999Percent of total billed charges11.9250.75999999999Percent of total billed charges8.13450.55999999999Percent of total billed charges12.57150.85999999999Percent of total billed charges12.57150.85999999999Percent of total billed charges14.791999999999Percent of total billed chargesRate changes as Medicare rate changes14.791999999999Percent of total billed chargesRate changes as Medicare rate changes11.9250.75999999999Percent of total billed charges1.3514.79
CELECOXIB 100MG801037CDM250RCBoth1.831.281.560.85999999999Percent of total billed charges1.831999999999Percent of total billed chargesRate changes as Medicare rate changes1.370.75999999999Percent of total billed charges1.280.7999999999Percent of total billed charges1.460.8999999999Percent of total billed charges1.37250.75999999999Percent of total billed charges1.650.55999999999Percent of total billed charges1.55550.85999999999Percent of total billed charges1.55550.85999999999Percent of total billed charges1.831999999999Percent of total billed chargesRate changes as Medicare rate changes1.831999999999Percent of total billed chargesRate changes as Medicare rate changes1.37250.75999999999Percent of total billed charges1.11.83
CEFRIAXONE 1GRAM VIAL801038CDM250RCBoth4.813.374.90.85999999999Percent of total billed charges4.811999999999Percent of total billed chargesRate changes as Medicare rate changes3.610.75999999999Percent of total billed charges3.370.7999999999Percent of total billed charges3.850.8999999999Percent of total billed charges3.6750.75999999999Percent of total billed charges2.64550.55999999999Percent of total billed charges4.8850.85999999999Percent of total billed charges4.8850.85999999999Percent of total billed charges4.811999999999Percent of total billed chargesRate changes as Medicare rate changes4.811999999999Percent of total billed chargesRate changes as Medicare rate changes3.6750.75999999999Percent of total billed charges2.654.81
BUPROPION HCL 300 MG TABLET801039CDM250RCBoth3.62.523.60.85999999999Percent of total billed charges3.61999999999Percent of total billed chargesRate changes as Medicare rate changes2.70.75999999999Percent of total billed charges2.520.7999999999Percent of total billed charges2.880.8999999999Percent of total billed charges2.70.75999999999Percent of total billed charges1.980.55999999999Percent of total billed charges3.60.85999999999Percent of total billed charges3.60.85999999999Percent of total billed charges3.61999999999Percent of total billed chargesRate changes as Medicare rate changes3.61999999999Percent of total billed chargesRate changes as Medicare rate changes2.70.75999999999Percent of total billed charges1.983.6
DILTIAZEM HCL ER 300 MG CAP801041CDM250RCBoth1.20.841.20.85999999999Percent of total billed charges1.21999999999Percent of total billed chargesRate changes as Medicare rate changes0.90.75999999999Percent of total billed charges0.840.7999999999Percent of total billed charges0.960.8999999999Percent of total billed charges0.90.75999999999Percent of total billed charges0.660.55999999999Percent of total billed charges1.20.85999999999Percent of total billed charges1.20.85999999999Percent of total billed charges1.21999999999Percent of total billed chargesRate changes as Medicare rate changes1.21999999999Percent of total billed chargesRate changes as Medicare rate changes0.90.75999999999Percent of total billed charges0.661.2
FENOFIBRATE 145 MG TAB801042CDM250RCBoth3.62.523.60.85999999999Percent of total billed charges3.61999999999Percent of total billed chargesRate changes as Medicare rate changes2.70.75999999999Percent of total billed charges2.520.7999999999Percent of total billed charges2.880.8999999999Percent of total billed charges2.70.75999999999Percent of total billed charges1.980.55999999999Percent of total billed charges3.60.85999999999Percent of total billed charges3.60.85999999999Percent of total billed charges3.61999999999Percent of total billed chargesRate changes as Medicare rate changes3.61999999999Percent of total billed chargesRate changes as Medicare rate changes2.70.75999999999Percent of total billed charges1.983.6
GUANFACINE 2MG TABLET