All you need is back and worth trades in th market. It can even be market manipulation where some buy and sell between themselves.
Bitcoin has massive market liquidity problem. Once people want to sell, the price drops like a stone. This is why it would be convent to have "technical problems" or do DDoS attack to prevent sells and allow markets to calm.
Almost always you see minor movement on the order book except maybe sometimes at the actual mid point it may update a bit. The chart is almost always balanced until the past few weeks it's be HEAVILY weighed towards the sell side.
71K+ BTC had been already traded by the time it hit high 19k.
EDIT: You currently need $70m to bump the market above 20k on GDAX. That's a lot for retail investors but not much if institutional investors get involved.
We're talking probably low 2-digit millions to make big moves I think.
Almost none.
If there are just a few transactions at a price, well, we assume that is the worth of all bitcoins in existence.
Which is a crazy assumption, but hey.