| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpt clinic visit |
1,244,348 |
998,265 |
$56.90M |
| 99285 |
|
53,698 |
48,644 |
$28.78M |
| 99284 |
|
53,170 |
50,127 |
$11.27M |
| J9271 |
Inj pembrolizumab |
1,703 |
1,309 |
$7.64M |
| J1569 |
Gammagard liquid injection |
5,042 |
2,756 |
$7.00M |
| 42820 |
|
2,371 |
2,360 |
$6.13M |
| Q5103 |
Injection, inflectra |
6,340 |
5,724 |
$5.92M |
| 99283 |
|
44,028 |
41,162 |
$5.45M |
| 70553 |
|
13,659 |
13,385 |
$5.36M |
| 96413 |
|
34,454 |
23,050 |
$5.19M |
| J1745 |
Infliximab not biosimil 10mg |
3,427 |
3,072 |
$4.82M |
| J3380 |
Inj vedolizumab iv 1 mg |
1,629 |
1,379 |
$3.96M |
| 93306 |
|
16,946 |
16,619 |
$3.67M |
| 77386 |
|
12,763 |
1,181 |
$3.36M |
| 96365 |
|
38,068 |
29,401 |
$2.86M |
| J2350 |
Injection, ocrelizumab, 1 mg |
216 |
194 |
$2.82M |
| J0585 |
Injection,onabotulinumtoxina |
9,337 |
6,276 |
$2.66M |
| 41899 |
|
1,597 |
1,570 |
$2.61M |
| 97530 |
|
76,119 |
35,942 |
$2.54M |
| 45380 |
|
5,418 |
5,339 |
$2.54M |
| 97110 |
|
104,097 |
40,302 |
$2.53M |
| 95810 |
|
5,290 |
5,257 |
$2.48M |
| J9312 |
Inj., rituximab, 10 mg |
983 |
705 |
$2.48M |
| 96374 |
|
33,895 |
29,549 |
$2.44M |
| 43239 |
|
7,919 |
7,818 |
$2.41M |
| 90837 |
|
29,387 |
17,260 |
$2.08M |
| 96361 |
|
52,965 |
36,132 |
$1.98M |
| 99391 |
|
34,177 |
31,411 |
$1.93M |
| 99392 |
|
31,828 |
31,662 |
$1.81M |
| 78815 |
|
2,409 |
2,356 |
$1.78M |
| C9399 |
Unclassified drugs or biolog |
6,769 |
6,486 |
$1.77M |
| U0004 |
Cov-19 test non-cdc hgh thru |
33,210 |
30,491 |
$1.68M |
| 93303 |
|
6,775 |
6,522 |
$1.62M |
| 90460 |
|
72,622 |
71,477 |
$1.58M |
| 72156 |
|
3,388 |
3,335 |
$1.55M |
| 74177 |
|
16,144 |
15,624 |
$1.51M |
| Q3014 |
Telehealth facility fee |
96,147 |
86,413 |
$1.50M |
| 71046 |
|
41,318 |
39,155 |
$1.45M |
| 92507 |
|
34,985 |
14,369 |
$1.41M |
| J2357 |
Omalizumab injection |
2,445 |
1,953 |
$1.37M |
| J0178 |
Aflibercept injection |
1,832 |
1,660 |
$1.36M |
| J7298 |
Mirena, 52 mg |
2,781 |
2,742 |
$1.34M |
| J0490 |
Belimumab injection |
867 |
631 |
$1.32M |
| 71260 |
|
9,891 |
9,687 |
$1.32M |
| 76705 |
|
21,867 |
21,144 |
$1.30M |
| 66984 |
|
1,554 |
1,349 |
$1.30M |
| 69436 |
|
2,352 |
2,311 |
$1.26M |
| 96360 |
|
16,391 |
14,915 |
$1.24M |
| 99393 |
|
20,642 |
20,555 |
$1.23M |
| 95811 |
|
2,732 |
2,688 |
$1.22M |
| 97140 |
|
67,664 |
28,442 |
$1.20M |
| 45385 |
|
3,305 |
3,226 |
$1.17M |
| J1950 |
Leuprolide acetate /3.75 mg |
592 |
566 |
$1.16M |
| 90677 |
|
6,450 |
6,425 |
$1.08M |
| 96375 |
|
47,653 |
34,494 |
$1.07M |
| 36430 |
|
5,959 |
4,186 |
$1.06M |
| 90834 |
|
14,023 |
10,140 |
$998K |
| 99395 |
|
16,666 |
16,547 |
$992K |
| A0431 |
Rotary wing air transport |
888 |
837 |
$983K |
| 72197 |
|
3,656 |
3,576 |
$979K |
| 95782 |
|
1,996 |
1,988 |
$975K |
| 59025 |
|
10,332 |
5,969 |
$934K |
| P9016 |
Rbc leukocytes reduced |
3,824 |
3,126 |
$922K |
| 38222 |
|
621 |
581 |
$905K |
| J2505 |
Injection, pegfilgrastim 6mg |
653 |
486 |
$868K |
| A0436 |
Rotary wing air mileage |
872 |
830 |
$845K |
| 99396 |
|
14,003 |
13,877 |
$822K |
| 99291 |
|
722 |
675 |
$819K |
| J9310 |
Rituximab injection |
351 |
232 |
$816K |
| 92014 |
|
13,769 |
13,667 |
$811K |
| 74183 |
|
5,936 |
5,831 |
$791K |
| 99282 |
|
11,675 |
11,383 |
$786K |
| 70551 |
|
5,039 |
4,891 |
$784K |
| J9299 |
Injection, nivolumab |
177 |
148 |
$767K |
| 67028 |
|
5,444 |
5,052 |
$758K |
| 99394 |
|
12,659 |
12,619 |
$748K |
| G0378 |
Hospital observation per hr |
25,007 |
22,917 |
$715K |
| 81229 |
|
1,232 |
1,198 |
$702K |
| 70450 |
|
9,137 |
8,596 |
$701K |
| 76770 |
|
13,287 |
12,971 |
$691K |
| 93970 |
|
6,701 |
6,488 |
$684K |
| 92587 |
|
5,004 |
4,973 |
$680K |
| 97162 |
|
13,636 |
13,349 |
$660K |
| 67311 |
|
773 |
756 |
$658K |
| J7307 |
Etonogestrel implant system |
1,020 |
1,007 |
$645K |
| 96366 |
|
17,599 |
11,441 |
$626K |
| 87491 |
|
50,223 |
48,645 |
$621K |
| 80061 |
|
60,717 |
58,967 |
$614K |
| 87591 |
|
50,220 |
48,640 |
$613K |
| 96415 |
|
11,923 |
8,747 |
$597K |
| 31575 |
|
7,615 |
7,408 |
$597K |
| 90670 |
|
18,411 |
18,156 |
$591K |
| 95716 |
|
1,416 |
1,167 |
$588K |
| 87635 |
|
31,111 |
29,503 |
$588K |
| 76857 |
|
11,529 |
11,008 |
$580K |
| 76830 |
|
10,325 |
10,147 |
$571K |
| 92523 |
|
5,142 |
5,110 |
$568K |
| J9035 |
Bevacizumab injection |
338 |
184 |
$561K |
| 52000 |
|
2,213 |
2,182 |
$560K |
| 90686 |
|
55,062 |
54,304 |
$558K |
| 49083 |
|
1,381 |
723 |
$549K |
| 76811 |
|
4,573 |
4,528 |
$542K |
| 43235 |
|
1,618 |
1,580 |
$540K |
| 90651 |
|
8,329 |
8,255 |
$540K |
| 20610 |
|
4,273 |
3,767 |
$532K |
| 90791 |
|
7,528 |
7,429 |
$531K |
| 90832 |
|
7,130 |
6,100 |
$518K |
| 92004 |
|
7,860 |
7,837 |
$497K |
| 64483 |
|
1,162 |
1,134 |
$491K |
| 71275 |
|
5,062 |
4,884 |
$484K |
| G0330 |
Facility svs dental rehab |
420 |
417 |
$482K |
| 77334 |
|
1,441 |
1,151 |
$472K |
| 96372 |
|
40,648 |
30,108 |
$452K |
| 76825 |
|
1,694 |
1,618 |
$451K |
| J0475 |
Baclofen 10 mg injection |
1,163 |
1,120 |
$440K |
| 77067 |
|
9,449 |
9,430 |
$435K |
| 54161 |
|
488 |
486 |
$425K |
| 64642 |
|
1,397 |
1,367 |
$422K |
| 76816 |
|
10,441 |
9,088 |
$401K |
| 70491 |
|
3,185 |
3,096 |
$389K |
| 80053 |
|
223,908 |
186,509 |
$389K |
| 90732 |
|
4,116 |
4,044 |
$386K |
| G0475 |
Hiv combination assay |
32,558 |
32,059 |
$386K |
| 97161 |
|
7,602 |
7,510 |
$384K |
| 87637 |
|
4,320 |
4,280 |
$381K |
| Q5118 |
Inj., zirabev, 10 mg |
263 |
150 |
$381K |
| 73721 |
|
3,351 |
3,188 |
$377K |
| 64615 |
|
3,027 |
2,951 |
$376K |
| Q5119 |
Inj ruxience, 10 mg |
318 |
217 |
$359K |
| 20611 |
|
2,717 |
2,443 |
$356K |
| 76819 |
|
5,540 |
3,362 |
$356K |
| 90750 |
|
2,685 |
2,650 |
$353K |
| 93975 |
|
3,424 |
3,315 |
$350K |
| 90378 |
|
361 |
325 |
$350K |
| 96367 |
|
11,702 |
8,068 |
$344K |
| 84443 |
|
91,313 |
87,787 |
$344K |
| G0008 |
Admin influenza virus vac |
37,320 |
36,869 |
$328K |
| 97112 |
|
21,983 |
10,287 |
$328K |
| 11042 |
|
2,128 |
1,637 |
$321K |
| 85025 |
|
258,517 |
209,969 |
$317K |
| 95816 |
|
2,227 |
2,212 |
$315K |
| A0210 |
Noner transport meals escort |
13,766 |
3,039 |
$315K |
| J0588 |
Incobotulinumtoxin a |
712 |
646 |
$312K |
| 96409 |
|
2,853 |
1,841 |
$308K |
| J9355 |
Inj trastuzumab excl biosimi |
274 |
139 |
$305K |
| 76801 |
|
5,320 |
4,983 |
$300K |
| 78816 |
|
433 |
427 |
$299K |
| U0005 |
Infec agen detec ampli probe |
18,205 |
17,096 |
$297K |
| 31231 |
|
3,693 |
3,622 |
$297K |
| 94060 |
|
2,273 |
2,226 |
$297K |
| 82306 |
|
45,767 |
44,542 |
$296K |
| 77301 |
|
482 |
437 |
$295K |
| 72141 |
|
2,293 |
2,256 |
$294K |
| 77336 |
|
4,689 |
2,214 |
$289K |
| 90853 |
|
7,534 |
3,271 |
$287K |
| 95951 |
|
929 |
607 |
$286K |
| 93451 |
|
196 |
192 |
$284K |
| 76805 |
|
4,804 |
4,762 |
$283K |
| 77300 |
|
1,476 |
1,340 |
$280K |
| 90935 |
|
3,543 |
604 |
$270K |
| 75561 |
|
1,073 |
1,056 |
$267K |
| 71045 |
|
9,461 |
8,754 |
$266K |
| 87661 |
|
31,405 |
30,295 |
$264K |
| 95117 |
|
12,912 |
5,516 |
$262K |
| 74174 |
|
1,830 |
1,757 |
$261K |
| 58661 |
|
80 |
80 |
$260K |
| J9022 |
Inj, atezolizumab,10 mg |
79 |
55 |
$259K |
| 72148 |
|
3,040 |
3,003 |
$258K |
| 76881 |
|
4,336 |
3,588 |
$256K |
| G0451 |
Devlopment test interpt&rep |
8,634 |
8,544 |
$253K |
| 71250 |
|
4,501 |
4,379 |
$252K |
| 94762 |
|
8,880 |
7,466 |
$252K |
| 92557 |
|
11,919 |
11,764 |
$251K |
| C9803 |
Hopd covid-19 spec collect |
53,812 |
50,362 |
$249K |
| 58301 |
|
2,085 |
2,062 |
$249K |
| 96127 |
|
16,498 |
16,353 |
$247K |
| 86832 |
|
4,216 |
3,936 |
$242K |
| 86833 |
|
4,217 |
3,923 |
$242K |
| 96417 |
|
7,136 |
4,201 |
$242K |
| 31622 |
|
506 |
489 |
$241K |
| 70496 |
|
1,795 |
1,749 |
$237K |
| 74176 |
|
2,801 |
2,716 |
$236K |
| 97165 |
|
4,943 |
4,871 |
$234K |
| 90471 |
|
25,580 |
25,046 |
$234K |
| 20680 |
|
235 |
225 |
$233K |
| 86900 |
|
40,238 |
33,895 |
$229K |
| 11104 |
|
1,480 |
1,450 |
$228K |
| 10005 |
|
752 |
738 |
$227K |
| 87507 |
|
2,437 |
2,353 |
$225K |
| 91320 |
|
2,101 |
2,096 |
$223K |
| 90847 |
|
2,993 |
2,212 |
$218K |
| 97760 |
|
6,197 |
4,992 |
$216K |
| 90792 |
|
3,047 |
3,013 |
$213K |
| 99385 |
|
3,701 |
3,675 |
$211K |
| 95700 |
|
2,281 |
2,257 |
$209K |
| 31579 |
|
1,133 |
1,122 |
$206K |
| 43762 |
|
1,554 |
1,525 |
$204K |
| 64405 |
|
1,814 |
1,696 |
$203K |
| 45378 |
|
616 |
603 |
$202K |
| G0108 |
Diab manage trn per indiv |
4,727 |
4,137 |
$201K |
| 36561 |
|
121 |
119 |
$195K |
| 97163 |
|
4,198 |
4,138 |
$194K |
| 72158 |
|
3,061 |
3,005 |
$194K |
| 95908 |
|
1,435 |
1,427 |
$192K |
| 74230 |
|
2,887 |
2,861 |
$192K |
| 83036 |
|
80,061 |
77,732 |
$190K |
| J2506 |
Inj pegfilgrast ex bio 0.5mg |
314 |
248 |
$189K |
| 70543 |
|
1,029 |
1,020 |
$188K |
| 96116 |
|
1,581 |
1,561 |
$187K |
| 76536 |
|
5,787 |
5,718 |
$186K |
| 93505 |
|
101 |
96 |
$184K |
| 93308 |
|
1,921 |
1,854 |
$181K |
| 92012 |
|
3,127 |
3,001 |
$181K |
| 97166 |
|
3,865 |
3,797 |
$180K |
| G0121 |
Colon ca scrn not hi rsk ind |
440 |
431 |
$177K |
| 76815 |
|
7,268 |
6,385 |
$176K |
| 97535 |
|
7,641 |
4,665 |
$173K |
| 76642 |
|
5,112 |
5,017 |
$171K |
| 19083 |
|
228 |
217 |
$169K |
| 77066 |
Tomosynthesis, mammo |
3,111 |
3,068 |
$169K |
| 78264 |
|
912 |
905 |
$168K |
| 80307 |
|
21,301 |
19,849 |
$167K |
| J9070 |
Cyclophosphamide 100 mg inj |
1,180 |
779 |
$163K |
| 92235 |
|
1,208 |
1,195 |
$157K |
| 99381 |
|
2,739 |
2,710 |
$157K |
| 20553 |
|
1,403 |
1,331 |
$157K |
| J1453 |
Fosaprepitant injection |
3,450 |
2,205 |
$157K |
| 17110 |
|
4,453 |
4,187 |
$154K |
| 95713 |
|
704 |
701 |
$153K |
| Q0091 |
Obtaining screen pap smear |
13,067 |
12,957 |
$153K |
| 86481 |
|
5,024 |
4,959 |
$153K |
| 92579 |
|
7,699 |
7,643 |
$151K |
| G0480 |
Drug test def 1-7 classes |
9,776 |
8,810 |
$151K |
| 77065 |
Tomosynthesis, mammo |
3,520 |
3,284 |
$151K |
| 93976 |
|
3,252 |
3,144 |
$150K |
| 93350 |
|
675 |
664 |
$148K |
| J2997 |
Alteplase recombinant |
1,618 |
739 |
$148K |
| 93005 |
|
77,067 |
70,362 |
$146K |
| 80048 |
|
88,881 |
74,023 |
$145K |
| 72157 |
|
2,668 |
2,626 |
$143K |
| 11102 |
|
1,721 |
1,682 |
$143K |
| 78431 |
|
119 |
119 |
$141K |
| 82728 |
|
43,050 |
41,309 |
$140K |
| 99383 |
|
2,302 |
2,289 |
$138K |
| 96132 |
|
1,807 |
1,786 |
$137K |
| 64493 |
|
305 |
255 |
$135K |
| 96910 |
|
4,670 |
713 |
$133K |
| 92604 |
|
1,858 |
1,805 |
$133K |
| G0260 |
Inj for sacroiliac jt anesth |
510 |
491 |
$129K |
| 29075 |
|
1,072 |
984 |
$129K |
| 93296 |
|
7,398 |
7,350 |
$128K |
| 99495 |
|
2,190 |
2,164 |
$127K |
| 92611 |
|
2,767 |
2,742 |
$126K |
| 19303 |
|
41 |
41 |
$126K |
| 95004 |
|
4,235 |
4,206 |
$126K |
| 93923 |
|
2,139 |
2,067 |
$126K |
| 77080 |
|
2,378 |
2,350 |
$125K |
| 42830 |
|
105 |
105 |
$123K |
| 73221 |
|
1,149 |
1,106 |
$122K |
| 94010 |
|
15,645 |
15,328 |
$121K |
| 70486 |
|
2,761 |
2,703 |
$121K |
| 66982 |
|
65 |
64 |
$121K |
| 64450 |
|
314 |
304 |
$118K |
| 95910 |
|
876 |
872 |
$118K |
| 93880 |
|
1,231 |
1,187 |
$117K |
| 43264 |
|
223 |
218 |
$117K |
| 93226 |
|
2,216 |
2,192 |
$117K |
| 82947 |
|
13,741 |
12,611 |
$115K |
| 90480 |
|
3,132 |
3,127 |
$114K |
| 96411 |
|
3,086 |
2,052 |
$114K |
| 62370 |
|
836 |
809 |
$114K |
| 58100 |
|
1,322 |
1,304 |
$114K |
| 96450 |
|
824 |
681 |
$113K |
| 85027 |
|
84,409 |
75,345 |
$113K |
| J0185 |
Inj., aprepitant, 1 mg |
1,239 |
791 |
$113K |
| 92552 |
|
3,731 |
3,683 |
$112K |
| 91065 |
|
1,438 |
1,380 |
$109K |
| 81268 |
|
459 |
396 |
$108K |
| 86803 |
|
24,091 |
23,775 |
$105K |
| 95819 |
|
823 |
812 |
$103K |
| 64400 |
|
826 |
705 |
$102K |
| 88184 |
|
2,392 |
2,174 |
$101K |
| J1610 |
Glucagon hydrochloride/1 mg |
1,453 |
1,396 |
$101K |
| J7300 |
Intra copp contra (paragard) |
124 |
120 |
$100K |
| 85055 |
|
17,054 |
11,727 |
$100K |
| 88341 |
|
4,570 |
4,301 |
$100K |
| 83880 |
|
18,843 |
16,013 |
$99K |
| 78306 |
|
554 |
546 |
$95K |
| 74018 |
|
13,020 |
12,089 |
$95K |
| 29705 |
|
704 |
682 |
$94K |
| 88342 |
|
7,737 |
7,394 |
$93K |
| 93971 |
|
1,899 |
1,816 |
$93K |
| 74181 |
|
890 |
874 |
$91K |
| J9202 |
Goserelin acetate implant |
729 |
682 |
$90K |
| 10060 |
|
1,014 |
962 |
$90K |
| 92526 |
|
2,067 |
1,304 |
$88K |
| 99386 |
|
1,622 |
1,601 |
$88K |
| 74178 |
|
608 |
600 |
$88K |
| 80197 |
|
20,279 |
12,910 |
$87K |
| 77338 |
|
531 |
462 |
$86K |
| 70487 |
|
973 |
949 |
$84K |
| 86235 |
|
9,784 |
4,908 |
$84K |
| 83550 |
|
38,486 |
37,533 |
$82K |
| 99382 |
|
1,406 |
1,394 |
$82K |
| 99384 |
|
1,369 |
1,356 |
$81K |
| 96112 |
|
955 |
949 |
$81K |
| G0009 |
Admin pneumococcal vaccine |
9,545 |
9,414 |
$81K |
| P9040 |
Rbc leukoreduced irradiated |
443 |
328 |
$81K |
| 51700 |
|
968 |
706 |
$80K |
| 86592 |
|
27,994 |
27,489 |
$80K |
| 76000 |
|
2,776 |
2,661 |
$78K |
| 57454 |
|
555 |
549 |
$78K |
| 58558 |
|
62 |
62 |
$77K |
| 31615 |
|
316 |
300 |
$77K |
| 11100 |
|
590 |
554 |
$76K |
| 67228 |
|
281 |
257 |
$76K |
| 92524 |
|
1,474 |
1,459 |
$76K |
| 83970 |
|
10,910 |
10,223 |
$76K |
| 20550 |
|
565 |
553 |
$75K |
| 97597 |
|
1,364 |
685 |
$75K |
| 92582 |
|
3,051 |
3,034 |
$75K |
| 76856 |
|
2,186 |
2,138 |
$74K |
| 92626 |
|
1,911 |
1,869 |
$74K |
| 84403 |
|
9,243 |
8,986 |
$73K |
| 87086 |
|
45,602 |
42,773 |
$73K |
| 76882 |
|
2,801 |
2,611 |
$73K |
| 92610 |
|
1,877 |
1,831 |
$72K |
| 95076 |
|
274 |
271 |
$72K |
| 82607 |
|
17,220 |
16,946 |
$71K |
| 52287 |
|
82 |
79 |
$71K |
| 51729 |
|
247 |
244 |
$71K |
| 94726 |
|
2,744 |
2,681 |
$69K |
| 95909 |
|
516 |
514 |
$69K |
| 29065 |
|
565 |
524 |
$68K |
| 77412 |
|
620 |
80 |
$68K |
| 11900 |
|
2,074 |
2,026 |
$68K |
| 80076 |
|
35,988 |
32,253 |
$67K |
| 70480 |
|
944 |
929 |
$66K |
| 97542 |
|
2,266 |
2,200 |
$65K |
| 97116 |
|
6,381 |
3,024 |
$65K |
| 84439 |
|
29,423 |
27,943 |
$65K |
| 86480 |
|
5,052 |
4,916 |
$64K |
| 87624 |
|
12,395 |
12,212 |
$64K |
| 90678 |
|
214 |
212 |
$62K |
| 83540 |
|
38,878 |
37,932 |
$62K |
| 87340 |
|
19,638 |
19,350 |
$62K |
| 82670 |
|
7,411 |
7,004 |
$61K |
| 93017 |
|
2,622 |
2,546 |
$61K |
| 86870 |
|
674 |
618 |
$61K |
| 73720 |
|
311 |
296 |
$61K |
| 93225 |
|
1,783 |
1,748 |
$60K |
| 86902 |
|
1,653 |
1,181 |
$58K |
| 64612 |
|
346 |
335 |
$58K |
| Q5102 |
Inj., infliximab biosimilar |
135 |
40 |
$57K |
| 90746 |
|
1,043 |
1,008 |
$57K |
| 93798 |
|
1,089 |
190 |
$57K |
| 77290 |
|
381 |
300 |
$57K |
| 80074 |
|
6,807 |
6,670 |
$57K |
| 99281 |
|
1,373 |
1,347 |
$56K |
| 31526 |
|
40 |
39 |
$56K |
| 82784 |
|
21,567 |
19,468 |
$56K |
| 72082 |
|
5,359 |
5,289 |
$55K |
| 84702 |
|
13,454 |
10,505 |
$55K |
| 72195 |
|
508 |
501 |
$55K |
| 47562 |
|
12 |
12 |
$54K |
| 97016 |
|
11,254 |
3,933 |
$54K |
| 92652 |
|
445 |
442 |
$54K |
| 47000 |
|
62 |
62 |
$53K |
| 72100 |
|
5,128 |
4,997 |
$52K |
| 88142 |
|
14,854 |
14,720 |
$51K |
| J1561 |
Gamunex-c/gammaked |
37 |
26 |
$51K |
| 92585 |
|
465 |
455 |
$51K |
| 20552 |
|
473 |
449 |
$51K |
| 97763 |
|
967 |
625 |
$51K |
| 58300 |
|
3,146 |
3,104 |
$50K |
| 92083 |
|
9,763 |
9,552 |
$50K |
| G0123 |
Screen cerv/vag thin layer |
4,352 |
4,301 |
$50K |
| 77295 |
|
83 |
80 |
$50K |
| J9217 |
Leuprolide acetate suspnsion |
284 |
264 |
$49K |
| 91122 |
|
402 |
396 |
$48K |
| 51705 |
|
513 |
468 |
$47K |
| 83735 |
|
67,814 |
49,949 |
$46K |
| 73523 |
|
881 |
870 |
$46K |
| 86850 |
|
39,532 |
33,314 |
$46K |
| 96402 |
|
2,980 |
2,636 |
$46K |
| 73700 |
|
840 |
820 |
$46K |
| 85610 |
|
68,068 |
54,796 |
$46K |
| J2469 |
Palonosetron hcl |
4,161 |
2,263 |
$46K |
| 92060 |
|
4,211 |
4,189 |
$45K |
| 83655 |
|
8,669 |
8,530 |
$44K |
| 97167 |
|
915 |
899 |
$43K |
| 99496 |
|
787 |
778 |
$43K |
| 84478 |
|
1,815 |
1,263 |
$43K |
| 74455 |
|
427 |
424 |
$42K |
| J1750 |
Inj iron dextran |
437 |
275 |
$42K |
| 19318 |
|
12 |
12 |
$42K |
| G0279 |
Tomosynthesis, mammo |
3,761 |
3,711 |
$42K |
| 96130 |
|
524 |
518 |
$42K |
| 73560 |
|
6,285 |
5,983 |
$42K |
| 87077 |
|
22,714 |
21,602 |
$41K |
| 86140 |
|
48,357 |
44,818 |
$41K |
| 91120 |
|
401 |
395 |
$41K |
| 90734 |
|
3,735 |
3,691 |
$40K |
| 74270 |
|
717 |
707 |
$40K |
| 72125 |
|
3,150 |
2,982 |
$40K |
| 0002A |
|
1,035 |
1,031 |
$38K |
| 93351 |
|
173 |
172 |
$38K |
| 87536 |
|
2,952 |
2,855 |
$38K |
| 52310 |
|
52 |
52 |
$38K |
| 10022 |
|
152 |
141 |
$37K |
| 95115 |
|
2,071 |
950 |
$37K |
| 86762 |
|
7,994 |
7,904 |
$37K |
| 82746 |
|
9,338 |
9,189 |
$37K |
| 76870 |
|
2,145 |
2,087 |
$37K |
| 77063 |
|
3,082 |
3,080 |
$36K |
| 94640 |
|
16,217 |
10,902 |
$36K |
| 90620 |
|
929 |
925 |
$36K |
| 87522 |
Neg quan hep c or qual rna |
3,615 |
3,483 |
$36K |
| 92522 |
|
685 |
677 |
$35K |
| 87497 |
|
6,203 |
4,317 |
$35K |
| J1611 |
Inj glucagon hcl, fresenius |
593 |
584 |
$35K |
| G0105 |
Colorectal scrn; hi risk ind |
96 |
92 |
$34K |
| 88185 |
|
2,359 |
2,068 |
$34K |
| 87631 |
|
7,318 |
7,230 |
$34K |
| G0103 |
Psa screening |
3,430 |
3,383 |
$34K |
| 73630 |
|
11,333 |
10,795 |
$34K |
| 90472 |
|
2,850 |
2,817 |
$34K |
| G0109 |
Diab manage trn ind/group |
949 |
749 |
$34K |
| U0002 |
Covid-19 lab test non-cdc |
1,493 |
1,402 |
$34K |
| 87799 |
|
6,625 |
4,720 |
$33K |
| 77072 |
|
2,760 |
2,742 |
$33K |
| 77373 |
|
33 |
12 |
$33K |
| 86360 |
|
4,398 |
4,224 |
$33K |
| 99406 |
|
2,333 |
2,283 |
$32K |
| 80069 |
|
16,389 |
13,511 |
$32K |
| 70544 |
|
569 |
557 |
$32K |
| 93750 |
|
670 |
648 |
$31K |
| 86003 |
|
4,019 |
3,456 |
$31K |
| 62270 |
|
133 |
121 |
$31K |
| 91200 |
|
810 |
798 |
$30K |
| 50200 |
|
38 |
36 |
$30K |
| 78492 |
|
71 |
68 |
$30K |
| 72146 |
|
552 |
547 |
$30K |
| 72050 |
|
2,195 |
2,178 |
$30K |
| 88305 |
|
33,612 |
32,287 |
$30K |
| 81373 |
|
538 |
520 |
$29K |
| 73030 |
|
6,675 |
6,371 |
$29K |
| 92550 |
|
1,569 |
1,543 |
$29K |
| 76817 |
|
4,305 |
3,753 |
$28K |
| 96118 |
|
490 |
480 |
$28K |
| 74220 |
|
493 |
479 |
$28K |
| 52356 |
|
16 |
14 |
$28K |
| 82533 |
|
5,940 |
5,317 |
$28K |
| 43760 |
|
259 |
245 |
$28K |
| 83001 |
|
5,804 |
5,618 |
$28K |
| 73564 |
|
6,064 |
5,883 |
$28K |
| 86160 |
|
8,549 |
7,988 |
$27K |
| 49452 |
|
69 |
64 |
$27K |
| 43248 |
|
132 |
123 |
$27K |
| 73130 |
|
7,043 |
6,662 |
$27K |
| 73610 |
|
6,665 |
6,238 |
$27K |
| 90716 |
|
9,915 |
9,829 |
$27K |
| 73521 |
|
3,029 |
3,000 |
$27K |
| 84481 |
|
5,642 |
5,346 |
$26K |
| 90662 |
|
1,556 |
1,494 |
$26K |
| 86359 |
|
4,352 |
4,180 |
$26K |
| 51726 |
|
169 |
167 |
$26K |
| 73502 |
|
4,712 |
4,517 |
$25K |
| 92511 |
|
294 |
292 |
$25K |
| 84146 |
|
4,571 |
4,465 |
$24K |
| 0001A |
|
658 |
654 |
$24K |
| 0004A |
|
753 |
745 |
$24K |
| G2066 |
Inter devc remote 30d |
1,310 |
1,289 |
$23K |
| G0498 |
Chemo extend iv infus w/pump |
2,114 |
1,287 |
$23K |
| 82024 |
|
2,220 |
2,058 |
$23K |
| 69210 |
|
2,817 |
2,780 |
$23K |
| 90656 |
|
2,754 |
2,752 |
$22K |
| 87186 |
|
15,386 |
14,693 |
$22K |
| 0202U |
|
6,746 |
6,602 |
$22K |
| 84100 |
|
46,000 |
34,517 |
$22K |
| 31624 |
|
29 |
28 |
$21K |
| 0071A |
|
703 |
697 |
$21K |
| M0243 |
Casirivi and imdevi inj |
83 |
83 |
$21K |
| 82105 |
|
8,205 |
7,897 |
$21K |
| 86769 |
|
849 |
842 |
$21K |
| 86038 |
|
10,679 |
10,038 |
$21K |
| 86146 |
|
2,160 |
2,081 |
$21K |
| 72083 |
|
413 |
408 |
$21K |
| 62252 |
|
143 |
139 |
$21K |
| 74019 |
|
3,216 |
3,064 |
$20K |
| 91010 |
|
96 |
92 |
$20K |
| 71271 |
|
400 |
400 |
$20K |
| 94003 |
|
151 |
108 |
$20K |
| 86706 |
|
8,669 |
8,526 |
$20K |
| P9047 |
Albumin (human), 25%, 50ml |
289 |
157 |
$20K |
| 73110 |
|
4,670 |
4,360 |
$20K |
| 74160 |
|
349 |
345 |
$19K |
| 92602 |
|
254 |
238 |
$19K |
| 87070 |
|
18,951 |
18,053 |
$19K |
| 94621 |
|
133 |
130 |
$19K |
| 0072A |
|
584 |
581 |
$19K |
| 82043 |
|
13,160 |
12,732 |
$18K |
| 83993 |
|
2,500 |
2,438 |
$18K |
| 87651 |
|
5,088 |
5,015 |
$18K |
| 83002 |
|
4,063 |
3,872 |
$18K |
| 83615 |
|
26,029 |
20,538 |
$18K |
| 82950 |
|
6,025 |
5,953 |
$17K |
| 87798 |
|
3,468 |
3,330 |
$17K |
| 87081 |
|
10,391 |
10,167 |
$17K |
| 81001 |
|
49,228 |
45,429 |
$17K |
| 85652 |
|
39,929 |
37,554 |
$17K |
| 87563 |
|
3,216 |
3,158 |
$16K |
| S9977 |
Meals per diem |
1,521 |
256 |
$16K |
| 0124A |
|
548 |
543 |
$16K |
| 11982 |
|
148 |
147 |
$16K |
| 86665 |
|
2,678 |
2,592 |
$15K |
| 86225 |
|
7,280 |
6,989 |
$15K |
| 76813 |
|
322 |
317 |
$15K |
| 87517 |
|
1,414 |
1,358 |
$15K |
| 17250 |
|
771 |
743 |
$15K |
| 96523 |
|
1,214 |
980 |
$15K |
| 87529 |
|
1,675 |
1,620 |
$15K |
| 86147 |
|
2,278 |
2,222 |
$15K |
| 82088 |
|
1,473 |
1,428 |
$15K |
| 87338 |
|
2,006 |
1,995 |
$15K |
| 82565 |
|
10,124 |
9,373 |
$15K |
| 82378 |
|
5,672 |
4,413 |
$14K |
| 83021 |
|
4,459 |
4,012 |
$14K |
| 94799 |
|
7,592 |
6,026 |
$14K |
| 88307 |
|
4,261 |
4,071 |
$14K |
| 0054A |
|
412 |
410 |
$14K |
| G0010 |
Admin hepatitis b vaccine |
1,509 |
1,484 |
$14K |
| 50435 |
|
14 |
13 |
$14K |
| 86704 |
|
5,780 |
5,654 |
$14K |
| 83516 |
|
6,323 |
6,096 |
$13K |
| 87205 |
|
22,559 |
21,605 |
$13K |
| 86355 |
|
2,917 |
2,135 |
$13K |
| 74240 |
|
207 |
207 |
$13K |
| 72131 |
|
387 |
382 |
$13K |
| 86901 |
|
39,921 |
33,638 |
$13K |
| 95812 |
|
93 |
92 |
$13K |
| 81025 |
|
32,092 |
30,519 |
$13K |
| 76885 |
|
575 |
537 |
$13K |
| 85730 |
|
33,090 |
30,488 |
$13K |
| 86357 |
|
2,245 |
2,127 |
$13K |
| 25605 |
|
20 |
14 |
$12K |
| 84156 |
|
20,688 |
18,535 |
$12K |
| 82550 |
|
13,272 |
11,820 |
$12K |
| 82785 |
|
5,038 |
4,943 |
$12K |
| 86923 |
|
4,418 |
3,582 |
$12K |
| 86334 |
|
3,531 |
3,369 |
$12K |
| 83690 |
|
30,839 |
27,626 |
$12K |
| 82627 |
|
1,964 |
1,929 |
$12K |
| 51784 |
|
292 |
289 |
$12K |
| 64635 |
|
12 |
12 |
$12K |
| 84445 |
|
957 |
943 |
$11K |
| 36593 |
|
73 |
64 |
$11K |
| 97035 |
|
2,109 |
1,119 |
$11K |
| 70498 |
|
1,189 |
1,161 |
$11K |
| 86787 |
|
3,216 |
3,120 |
$11K |
| 73590 |
|
3,839 |
3,501 |
$11K |
| 73140 |
|
2,490 |
2,276 |
$11K |
| 86364 |
|
4,390 |
4,366 |
$11K |
| 86922 |
|
1,000 |
792 |
$11K |
| 97803 |
|
2,549 |
2,436 |
$11K |
| 74221 |
|
141 |
141 |
$11K |
| M0245 |
Bamlan and etesev infusion |
58 |
56 |
$11K |
| 81513 |
|
297 |
288 |
$11K |
| 11721 |
|
1,457 |
1,417 |
$11K |
| 64644 |
|
56 |
53 |
$11K |
| 62369 |
|
87 |
82 |
$11K |
| 29405 |
|
96 |
77 |
$11K |
| 54150 |
|
13 |
13 |
$10K |
| 72110 |
|
1,498 |
1,484 |
$10K |
| 73718 |
|
66 |
62 |
$10K |
| 84165 |
|
6,517 |
6,167 |
$10K |
| 86830 |
|
214 |
211 |
$10K |
| 76512 |
|
3,154 |
2,831 |
$10K |
| 84244 |
|
1,909 |
1,872 |
$10K |
| 86696 |
|
2,327 |
2,261 |
$10K |
| 76604 |
|
344 |
337 |
$10K |
| 84238 |
|
1,986 |
1,944 |
$10K |
| 87102 |
|
7,793 |
7,585 |
$10K |
| 88304 |
|
3,432 |
3,352 |
$10K |
| 92134 |
|
15,419 |
14,771 |
$10K |
| 73070 |
|
3,605 |
3,247 |
$10K |
| 83498 |
|
1,365 |
1,345 |
$10K |
| 84703 |
|
24,881 |
23,056 |
$10K |
| 93299 |
|
564 |
558 |
$10K |
| 92597 |
|
356 |
317 |
$9K |
| 83521 |
|
1,689 |
1,590 |
$9K |
| 95813 |
|
64 |
62 |
$9K |
| 92250 |
|
3,093 |
2,997 |
$9K |
| 86376 |
|
3,142 |
3,084 |
$9K |
| 86780 |
|
1,279 |
1,237 |
$9K |
| 72170 |
|
1,945 |
1,910 |
$9K |
| C8929 |
Tte w or wo fol wcon,doppler |
28 |
28 |
$9K |
| 86580 |
|
1,655 |
1,557 |
$9K |
| 86800 |
|
2,597 |
2,454 |
$9K |
| 88313 |
|
1,747 |
1,664 |
$9K |
| 55250 |
|
13 |
13 |
$9K |
| 45331 |
|
27 |
25 |
$9K |
| 81003 |
|
34,755 |
32,807 |
$9K |
| 86831 |
|
214 |
212 |
$9K |
| 86200 |
|
4,573 |
4,489 |
$9K |
| 94618 |
|
1,707 |
1,658 |
$8K |
| 25600 |
|
83 |
79 |
$8K |
| 85246 |
|
1,548 |
1,490 |
$8K |
| 90846 |
|
103 |
85 |
$8K |
| 84550 |
|
10,658 |
9,340 |
$8K |
| 84460 |
|
5,555 |
5,109 |
$8K |
| 81206 |
|
110 |
101 |
$8K |
| 90619 |
|
2,467 |
2,464 |
$8K |
| 85240 |
|
1,910 |
1,821 |
$8K |
| 77073 |
|
1,913 |
1,892 |
$8K |
| 17311 |
|
59 |
55 |
$8K |
| 78830 |
|
14 |
13 |
$8K |
| 43237 |
|
17 |
15 |
$8K |
| 84484 |
|
18,140 |
15,292 |
$8K |
| 72040 |
|
1,630 |
1,559 |
$8K |
| M0247 |
Sotrovimab infusion |
32 |
32 |
$8K |
| 94664 |
|
2,421 |
2,346 |
$8K |
| 82977 |
|
5,258 |
4,566 |
$8K |
| 88112 |
|
2,860 |
2,729 |
$8K |
| 84153 |
|
2,125 |
1,993 |
$7K |
| 17999 |
|
108 |
107 |
$7K |
| 85045 |
|
11,040 |
9,344 |
$7K |
| 84450 |
|
5,014 |
4,562 |
$7K |
| 72072 |
|
757 |
752 |
$7K |
| 11055 |
|
169 |
163 |
$7K |
| 81207 |
|
110 |
101 |
$7K |
| 64721 |
|
13 |
12 |
$7K |
| 87902 |
|
247 |
240 |
$7K |
| 80164 |
|
2,200 |
2,069 |
$7K |
| 93246 |
|
827 |
818 |
$7K |
| 93325 |
|
10,364 |
9,946 |
$7K |
| 51798 |
|
9,000 |
7,742 |
$7K |
| 84305 |
|
1,794 |
1,744 |
$7K |
| 82803 |
|
30,606 |
24,942 |
$7K |
| 86695 |
|
2,317 |
2,252 |
$7K |
| 97802 |
|
1,555 |
1,500 |
$7K |
| 84480 |
|
1,811 |
1,668 |
$7K |
| 95715 |
|
31 |
27 |
$7K |
| 84630 |
|
2,886 |
2,806 |
$7K |
| 84425 |
|
1,975 |
1,937 |
$7K |
| 86708 |
|
3,153 |
3,107 |
$7K |
| 93242 |
|
522 |
517 |
$7K |
| 86664 |
|
2,391 |
2,326 |
$7K |
| G0499 |
Hepb screen high risk indiv |
773 |
586 |
$6K |
| 80158 |
|
953 |
652 |
$6K |
| 73552 |
|
2,235 |
2,118 |
$6K |
| 75635 |
|
66 |
65 |
$6K |
| 82330 |
|
27,112 |
24,033 |
$6K |
| 72084 |
|
118 |
118 |
$6K |
| 70355 |
|
1,424 |
1,407 |
$6K |
| 82525 |
|
2,329 |
2,152 |
$6K |
| 82652 |
|
779 |
748 |
$6K |
| 96401 |
|
381 |
168 |
$6K |
| 11981 |
|
204 |
201 |
$6K |
| 73562 |
|
898 |
882 |
$6K |
| 76818 |
|
105 |
94 |
$6K |
| 92553 |
|
312 |
309 |
$6K |
| 87880 |
|
8,583 |
8,433 |
$6K |
| 0134A |
|
161 |
161 |
$6K |
| 81002 |
|
44,789 |
41,151 |
$6K |
| 84144 |
|
729 |
663 |
$6K |
| 84166 |
|
2,242 |
2,159 |
$6K |
| 11056 |
|
149 |
141 |
$6K |
| 93298 |
|
370 |
369 |
$6K |
| 86431 |
|
5,767 |
5,667 |
$6K |
| 86301 |
|
1,913 |
1,646 |
$6K |
| 82248 |
|
6,056 |
4,826 |
$6K |
| 87801 |
|
465 |
461 |
$6K |
| 0081A |
|
167 |
164 |
$6K |
| 64505 |
|
38 |
36 |
$6K |
| 76506 |
|
232 |
217 |
$6K |
| 84432 |
|
1,525 |
1,403 |
$6K |
| 88365 |
|
299 |
292 |
$6K |
| 86255 |
|
2,756 |
2,598 |
$5K |
| 92133 |
|
7,341 |
7,219 |
$5K |
| 86765 |
|
1,136 |
1,113 |
$5K |
| 93925 |
|
55 |
55 |
$5K |
| 73100 |
|
2,209 |
1,830 |
$5K |
| 86644 |
|
2,328 |
2,231 |
$5K |
| 82962 |
|
43,119 |
33,641 |
$5K |
| 51701 |
|
3,155 |
2,777 |
$5K |
| 88312 |
|
900 |
887 |
$5K |
| M0220 |
Tixagev and cilgav inj |
66 |
65 |
$5K |
| 94761 |
|
38,540 |
28,410 |
$5K |
| 0111A |
|
149 |
147 |
$5K |
| 73090 |
|
3,357 |
2,796 |
$5K |
| 72202 |
|
1,016 |
1,000 |
$5K |
| 83721 |
|
2,628 |
2,544 |
$5K |
| 72081 |
|
1,265 |
1,258 |
$5K |
| 82274 |
|
640 |
633 |
$5K |
| 87184 |
|
2,620 |
2,551 |
$5K |
| 82150 |
|
5,170 |
4,567 |
$5K |
| 92567 |
|
20,350 |
20,133 |
$5K |
| 82570 |
|
4,179 |
3,989 |
$5K |
| 87633 |
|
1,312 |
1,252 |
$5K |
| 0012A |
|
133 |
133 |
$5K |
| 86304 |
|
1,661 |
1,452 |
$5K |
| 86735 |
|
955 |
931 |
$5K |
| 85245 |
|
894 |
850 |
$5K |
| 85598 |
|
1,761 |
1,718 |
$5K |
| 12032 |
|
65 |
63 |
$5K |
| 82951 |
|
621 |
617 |
$5K |
| 77332 |
|
72 |
66 |
$5K |
| 82247 |
|
3,181 |
2,198 |
$5K |
| 84134 |
|
2,580 |
2,469 |
$5K |
| 86663 |
|
1,915 |
1,872 |
$5K |
| 83520 |
|
3,651 |
3,534 |
$5K |
| 96380 |
|
438 |
434 |
$5K |
| 85397 |
|
558 |
544 |
$5K |
| 42975 |
|
78 |
76 |
$4K |
| 95806 |
|
59 |
59 |
$4K |
| 83525 |
|
1,019 |
974 |
$4K |
| 73600 |
|
1,972 |
1,899 |
$4K |
| 70546 |
|
68 |
68 |
$4K |
| 92591 |
|
101 |
98 |
$4K |
| 73060 |
|
1,340 |
1,245 |
$4K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
40,188 |
37,266 |
$4K |
| 84446 |
|
2,858 |
2,794 |
$4K |
| 84590 |
|
3,096 |
3,026 |
$4K |
| 0241U |
|
2,137 |
2,120 |
$4K |
| 83921 |
|
1,375 |
1,350 |
$4K |
| 83605 |
|
26,305 |
23,266 |
$4K |
| 85379 |
|
5,844 |
5,593 |
$4K |
| 88344 |
|
114 |
109 |
$4K |
| 20605 |
|
29 |
29 |
$4K |
| 96111 |
|
63 |
62 |
$4K |
| 93312 |
|
24 |
24 |
$4K |
| 86341 |
|
1,259 |
729 |
$4K |
| 73000 |
|
683 |
624 |
$4K |
| 80162 |
|
1,577 |
1,400 |
$4K |
| 0003A |
|
124 |
124 |
$4K |
| 11200 |
|
289 |
287 |
$4K |
| 86300 |
|
1,540 |
1,214 |
$4K |
| 83010 |
|
2,165 |
1,960 |
$4K |
| 66821 |
|
14 |
12 |
$4K |
| 83835 |
|
804 |
772 |
$4K |
| Q0114 |
Fern test |
752 |
699 |
$4K |
| 84255 |
|
1,146 |
1,124 |
$4K |
| 94760 |
|
54,338 |
47,404 |
$4K |
| 92025 |
|
1,660 |
1,642 |
$4K |
| 80195 |
|
807 |
577 |
$4K |
| 57456 |
|
26 |
26 |
$3K |
| 45381 |
|
12 |
12 |
$3K |
| 0100U |
|
1,237 |
1,170 |
$3K |
| 93356 |
|
3,694 |
3,643 |
$3K |
| 17000 |
|
567 |
558 |
$3K |
| Q9969 |
Non-heu tc-99m add-on/dose |
714 |
703 |
$3K |
| 0011A |
|
90 |
90 |
$3K |
| 82390 |
|
2,317 |
2,274 |
$3K |
| 87040 |
|
6,968 |
6,178 |
$3K |
| 29085 |
|
46 |
43 |
$3K |
| 86317 |
|
233 |
229 |
$3K |
| 86677 |
|
843 |
835 |
$3K |
| 86039 |
|
2,329 |
2,216 |
$3K |
| 82310 |
|
2,882 |
2,651 |
$3K |
| 86777 |
|
1,468 |
1,417 |
$3K |
| 85384 |
|
2,122 |
1,661 |
$3K |
| 96376 |
|
21,872 |
14,087 |
$3K |
| 45330 |
|
13 |
13 |
$3K |
| 86256 |
|
1,409 |
1,352 |
$3K |
| 80178 |
|
1,343 |
1,227 |
$3K |
| 85014 |
|
4,520 |
3,843 |
$3K |
| 86352 |
|
117 |
110 |
$3K |
| 92285 |
|
2,864 |
2,715 |
$3K |
| 81370 |
|
14 |
14 |
$3K |
| 84681 |
|
859 |
839 |
$3K |
| M0222 |
Bebtelovimab injection |
15 |
15 |
$3K |
| 0082A |
|
80 |
79 |
$3K |
| J3490 |
Drugs unclassified injection |
9,415 |
8,943 |
$3K |
| 93320 |
|
7,549 |
7,254 |
$3K |
| 85613 |
|
1,891 |
1,848 |
$3K |
| 92551 |
|
438 |
436 |
$3K |
| 69209 |
|
267 |
264 |
$3K |
| 73200 |
|
57 |
57 |
$3K |
| 87449 |
|
1,369 |
1,278 |
$3K |
| 75557 |
|
17 |
13 |
$3K |
| 87481 |
|
298 |
288 |
$3K |
| J0561 |
Penicillin g benzathine inj |
33 |
29 |
$3K |
| 0121A |
|
89 |
86 |
$3K |
| 86141 |
|
924 |
878 |
$3K |
| 82085 |
|
2,000 |
1,858 |
$3K |
| C9257 |
Bevacizumab injection |
2,531 |
2,396 |
$3K |
| J9075 |
Inj, cyclophosphamide, nos |
77 |
37 |
$3K |
| 64643 |
|
1,153 |
1,122 |
$3K |
| 82787 |
|
708 |
674 |
$2K |
| 86618 |
|
710 |
698 |
$2K |
| 82139 |
|
765 |
717 |
$2K |
| 92136 |
|
896 |
881 |
$2K |
| 0097U |
|
763 |
739 |
$2K |
| 96138 |
|
498 |
489 |
$2K |
| C8911 |
Mra w/o fol w/cont, chest |
77 |
75 |
$2K |
| 0112A |
|
60 |
60 |
$2K |
| 76700 |
|
37 |
37 |
$2K |
| 82379 |
|
908 |
876 |
$2K |
| 82166 |
|
182 |
182 |
$2K |
| 81244 |
|
37 |
37 |
$2K |
| G0659 |
Drug test def simple all cl |
3,161 |
2,972 |
$2K |
| 0064A |
|
59 |
59 |
$2K |
| 84410 |
|
429 |
408 |
$2K |
| 96136 |
|
1,125 |
1,111 |
$2K |
| 51702 |
|
144 |
133 |
$2K |
| 86880 |
|
1,137 |
1,098 |
$2K |
| 80175 |
|
706 |
681 |
$2K |
| 80169 |
|
338 |
260 |
$2K |
| 0154A |
|
50 |
50 |
$2K |
| 51600 |
|
678 |
666 |
$2K |
| 92020 |
|
935 |
917 |
$2K |
| 86645 |
|
408 |
401 |
$2K |
| 88262 |
|
300 |
283 |
$2K |
| 84132 |
|
9,705 |
8,647 |
$2K |
| 0074A |
|
75 |
75 |
$2K |
| 70460 |
|
14 |
14 |
$2K |
| 0051A |
|
50 |
50 |
$2K |
| 83090 |
|
349 |
340 |
$2K |
| 87797 |
|
478 |
469 |
$2K |
| 85018 |
|
22,244 |
19,945 |
$2K |
| 81243 |
|
38 |
37 |
$2K |
| 84436 |
|
948 |
899 |
$2K |
| 93041 |
|
8,607 |
7,389 |
$2K |
| 86008 |
|
185 |
184 |
$2K |
| 86015 |
|
722 |
719 |
$1K |
| 82140 |
|
924 |
856 |
$1K |
| 86036 |
|
946 |
934 |
$1K |
| 84145 |
|
3,147 |
2,819 |
$1K |
| 81376 |
|
14 |
14 |
$1K |
| C9145 |
Inj, aponvie, 1 mg |
123 |
120 |
$1K |
| 95970 |
|
217 |
217 |
$1K |
| 88350 |
|
59 |
56 |
$1K |
| 91319 |
|
446 |
446 |
$1K |
| 64566 |
|
18 |
12 |
$1K |
| 76820 |
|
2,670 |
1,502 |
$1K |
| 80305 |
|
1,692 |
1,635 |
$1K |
| 36415 |
|
10,940 |
9,766 |
$1K |
| 86381 |
|
343 |
341 |
$1K |
| 81406 |
|
13 |
13 |
$1K |
| 83051 |
|
1,146 |
1,000 |
$1K |
| 76776 |
|
31 |
24 |
$1K |
| 87209 |
|
147 |
136 |
$1K |
| 73522 |
|
189 |
187 |
$1K |
| 88346 |
|
58 |
56 |
$1K |
| 70250 |
|
653 |
622 |
$1K |
| 84155 |
|
2,047 |
2,002 |
$1K |
| 88237 |
|
300 |
284 |
$1K |
| 73120 |
|
396 |
373 |
$1K |
| 87486 |
|
1,314 |
1,254 |
$1K |
| 0013A |
|
36 |
36 |
$1K |
| 92555 |
|
1,777 |
1,768 |
$1K |
| 82010 |
|
1,333 |
1,201 |
$1K |
| 84295 |
|
9,454 |
8,484 |
$1K |
| 94642 |
|
846 |
778 |
$1K |
| 87581 |
|
1,314 |
1,254 |
$1K |
| 64447 |
|
32 |
25 |
$1K |
| 90381 |
|
292 |
289 |
$1K |
| U0003 |
Cov-19 amp prb hgh thruput |
16 |
16 |
$1K |
| 87210 |
|
2,662 |
2,549 |
$1K |
| 88720 |
|
540 |
380 |
$1K |
| 00140 |
|
88 |
64 |
$1K |
| 92537 |
|
12 |
12 |
$999.08 |
| 82340 |
|
810 |
794 |
$997.99 |
| 87502 |
|
40 |
39 |
$986.28 |
| 82542 |
|
768 |
757 |
$932.83 |
| 82164 |
|
504 |
496 |
$903.70 |
| 84300 |
|
1,283 |
1,215 |
$881.17 |
| 91318 |
|
499 |
499 |
$864.03 |
| 80299 |
|
527 |
458 |
$862.58 |
| 82157 |
|
128 |
124 |
$850.43 |
| G0297 |
Ldct for lung ca screen |
27 |
27 |
$843.66 |
| 93922 |
|
91 |
89 |
$842.68 |
| 92546 |
|
12 |
12 |
$827.16 |
| 82103 |
|
243 |
238 |
$808.74 |
| 74022 |
|
414 |
382 |
$806.05 |
| 99195 |
|
16 |
12 |
$798.96 |
| 82077 |
|
5,143 |
4,643 |
$795.75 |
| 76981 |
|
13 |
13 |
$788.54 |
| 94660 |
|
303 |
152 |
$787.40 |
| 88173 |
|
1,346 |
1,307 |
$784.92 |
| 86335 |
|
145 |
141 |
$782.55 |
| 74241 |
|
13 |
12 |
$771.84 |
| 82465 |
|
332 |
324 |
$771.70 |
| 96377 |
|
413 |
326 |
$770.26 |
| 94770 |
|
15 |
15 |
$759.86 |
| 87177 |
|
172 |
160 |
$739.19 |
| P9011 |
Blood split unit |
16 |
13 |
$733.86 |
| 0052A |
|
19 |
19 |
$713.07 |
| 80165 |
|
374 |
349 |
$709.80 |
| 70481 |
|
12 |
12 |
$704.41 |
| 46600 |
|
266 |
265 |
$685.40 |
| 72052 |
|
42 |
41 |
$684.34 |
| 86231 |
|
430 |
428 |
$672.62 |
| 82239 |
|
113 |
101 |
$668.54 |
| 11720 |
|
66 |
65 |
$654.92 |
| 96101 |
|
34 |
30 |
$635.94 |
| J2785 |
Regadenoson injection |
1,146 |
1,096 |
$615.68 |
| 72070 |
|
74 |
74 |
$607.90 |
| J0134 |
Inj acetaminophen -fresenius |
7,401 |
6,787 |
$607.79 |
| 0031A |
|
19 |
18 |
$605.60 |
| 92201 |
|
983 |
940 |
$603.27 |
| 87116 |
|
2,040 |
1,946 |
$589.20 |
| 82365 |
|
446 |
440 |
$583.42 |
| 72128 |
|
15 |
15 |
$567.80 |
| 88264 |
|
105 |
103 |
$558.47 |
| 87385 |
|
282 |
270 |
$557.10 |
| 86829 |
|
13 |
13 |
$547.90 |
| 92226 |
|
340 |
319 |
$540.19 |
| 95974 |
|
14 |
12 |
$525.51 |
| 82172 |
|
50 |
50 |
$523.45 |
| 0141A |
|
13 |
13 |
$521.07 |
| 93280 |
|
96 |
93 |
$509.67 |
| 80230 |
|
426 |
422 |
$506.06 |
| 82610 |
|
3,571 |
3,383 |
$493.98 |
| 87501 |
|
173 |
170 |
$474.36 |
| 76821 |
|
163 |
78 |
$463.42 |
| 30901 |
|
54 |
53 |
$458.99 |
| 76516 |
|
50 |
49 |
$458.50 |
| 84207 |
|
63 |
63 |
$444.59 |
| 87206 |
|
2,601 |
2,462 |
$443.53 |
| J7050 |
Normal saline solution infus |
92,407 |
46,981 |
$441.03 |
| 90474 |
|
110 |
110 |
$435.00 |
| 83718 |
|
181 |
176 |
$428.14 |
| 83013 |
|
13 |
13 |
$425.83 |
| 86705 |
|
280 |
271 |
$424.57 |
| 73080 |
|
145 |
134 |
$422.32 |
| 80177 |
|
186 |
184 |
$409.28 |
| 0151A |
|
13 |
13 |
$399.80 |
| 92202 |
|
1,571 |
1,549 |
$397.67 |
| 93283 |
|
94 |
91 |
$393.96 |
| 83695 |
|
58 |
58 |
$373.36 |
| 90380 |
|
157 |
155 |
$353.20 |
| 93284 |
|
39 |
38 |
$342.12 |
| 85670 |
|
752 |
726 |
$339.71 |
| C1769 |
Guide wire |
10,135 |
9,353 |
$339.32 |
| 86308 |
|
1,261 |
809 |
$331.43 |
| 76937 |
|
3,448 |
3,086 |
$331.32 |
| 85576 |
|
20 |
15 |
$329.14 |
| A9576 |
Inj prohance multipack |
11,608 |
11,309 |
$324.03 |
| 82435 |
|
8,636 |
7,762 |
$322.73 |
| 11301 |
|
27 |
26 |
$321.87 |
| 87075 |
|
2,184 |
2,070 |
$312.55 |
| 94729 |
|
7,040 |
6,897 |
$307.86 |
| 90715 |
|
14,665 |
14,514 |
$297.89 |
| 95867 |
|
25 |
25 |
$295.98 |
| J1756 |
Iron sucrose injection |
6,421 |
3,275 |
$294.00 |
| 86593 |
|
111 |
108 |
$291.68 |
| 76377 |
|
11,952 |
11,692 |
$290.55 |
| 76513 |
|
42 |
42 |
$286.22 |
| 82017 |
|
148 |
138 |
$285.61 |
| 84520 |
|
441 |
370 |
$282.41 |
| G0288 |
Recon, cta for surg plan |
1,277 |
1,248 |
$271.42 |
| 87427 |
|
40 |
40 |
$263.44 |
| 86774 |
|
121 |
119 |
$258.43 |
| J7030 |
Normal saline solution infus |
36,618 |
28,828 |
$251.51 |
| 93321 |
|
902 |
881 |
$249.90 |
| 76514 |
|
1,174 |
1,149 |
$249.20 |
| 86162 |
|
49 |
41 |
$243.78 |
| 36592 |
|
58 |
51 |
$241.14 |
| 93282 |
|
38 |
37 |
$240.49 |
| 88172 |
|
791 |
767 |
$240.23 |
| 83935 |
|
128 |
120 |
$236.00 |
| 99407 |
|
19 |
19 |
$233.58 |
| 88300 |
|
2,710 |
2,652 |
$231.37 |
| J1815 |
Insulin injection |
9,732 |
3,778 |
$227.58 |
| 29125 |
|
120 |
117 |
$227.02 |
| A9555 |
Rb82 rubidium |
325 |
318 |
$224.69 |
| C1894 |
Intro/sheath, non-laser |
6,215 |
5,793 |
$222.45 |
| 80202 |
|
76 |
39 |
$222.10 |
| 87899 |
|
34 |
34 |
$221.92 |
| 0296T |
|
382 |
367 |
$219.50 |
| J8501 |
Oral aprepitant |
4,087 |
3,665 |
$214.97 |
| 89051 |
|
4,202 |
3,217 |
$213.30 |
| 96119 |
|
356 |
351 |
$211.98 |
| 86682 |
|
14 |
14 |
$211.72 |
| 87045 |
|
40 |
40 |
$207.70 |
| 88331 |
|
541 |
528 |
$200.57 |
| J7120 |
Ringers lactate infusion |
61,218 |
52,935 |
$191.90 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
4,495 |
3,270 |
$190.07 |
| 90723 |
|
15,650 |
15,492 |
$181.20 |
| 85250 |
|
36 |
36 |
$179.93 |
| 95976 |
|
12 |
12 |
$178.00 |
| 95885 |
|
1,759 |
1,748 |
$173.72 |
| 80143 |
|
3,110 |
2,900 |
$164.89 |
| 86648 |
|
84 |
82 |
$163.33 |
| 97032 |
|
21 |
13 |
$162.05 |
| 97018 |
|
89 |
48 |
$161.64 |
| 83930 |
|
134 |
122 |
$158.81 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
5,176 |
4,841 |
$151.16 |
| 90744 |
|
134 |
134 |
$151.10 |
| C1887 |
Catheter, guiding |
3,113 |
2,900 |
$143.69 |
| J0694 |
Cefoxitin sodium injection |
837 |
641 |
$136.36 |
| 73503 |
|
27 |
24 |
$135.20 |
| J2930 |
Methylprednisolone injection |
6,371 |
4,719 |
$133.64 |
| C1893 |
Intro/sheath, fixed,non-peel |
126 |
120 |
$127.76 |
| J2274 |
Inj morphine pf epid ithc |
1,618 |
1,579 |
$123.92 |
| J0136 |
Inj, acetaminophen (b braun) |
578 |
498 |
$118.43 |
| 87220 |
|
414 |
410 |
$118.13 |
| 99292 |
|
384 |
335 |
$117.15 |
| 76827 |
|
1,517 |
1,453 |
$116.66 |
| 76942 |
|
3,199 |
3,046 |
$113.50 |
| 83519 |
|
125 |
114 |
$112.50 |
| Q2036 |
Flulaval vacc, 3 yrs & >, im |
21 |
17 |
$108.51 |
| 82945 |
|
1,847 |
1,627 |
$107.34 |
| 12001 |
|
127 |
123 |
$106.83 |
| 88311 |
|
2,009 |
1,936 |
$106.07 |
| 82397 |
|
694 |
687 |
$105.50 |
| 80179 |
|
2,937 |
2,754 |
$105.49 |
| 84466 |
|
81 |
79 |
$104.26 |
| 86258 |
|
29 |
29 |
$101.28 |
| 92556 |
|
725 |
723 |
$98.45 |
| 89230 |
|
25 |
25 |
$95.79 |
| A9577 |
Inj multihance |
16,193 |
15,601 |
$90.29 |
| 82656 |
|
25 |
25 |
$85.86 |
| 84080 |
|
24 |
24 |
$83.65 |
| 92570 |
|
360 |
357 |
$83.03 |
| 84157 |
|
2,065 |
1,803 |
$80.90 |
| 87207 |
|
26 |
26 |
$79.14 |
| A6210 |
Foam drg >16<=48 sq in w/o b |
413 |
293 |
$77.95 |
| 83986 |
|
475 |
435 |
$75.37 |
| J2250 |
Inj midazolam hydrochloride |
46,427 |
43,554 |
$72.37 |
| 96120 |
|
209 |
202 |
$69.39 |
| J1885 |
Ketorolac tromethamine inj |
38,357 |
32,320 |
$65.20 |
| 87350 |
|
14 |
13 |
$64.86 |
| J0171 |
Adrenalin epinephrine inject |
2,204 |
2,035 |
$62.37 |
| 82985 |
|
13 |
13 |
$60.53 |
| 80156 |
|
25 |
25 |
$59.86 |
| 82668 |
|
14 |
13 |
$57.47 |
| J2405 |
Ondansetron hcl injection |
57,914 |
47,838 |
$55.91 |
| 86363 |
|
12 |
12 |
$53.64 |
| 86790 |
|
28 |
28 |
$52.46 |
| J0131 |
Inj, acetaminophen (nos) |
7,434 |
6,383 |
$50.55 |
| Q9954 |
Oral mr contrast, 100 ml |
1,130 |
1,066 |
$50.40 |
| J2704 |
Inj, propofol, 10 mg |
53,243 |
50,646 |
$50.11 |
| J0690 |
Cefazolin sodium injection |
14,536 |
11,637 |
$49.67 |
| 73660 |
|
12 |
12 |
$48.48 |
| 72220 |
|
12 |
12 |
$48.48 |
| 82040 |
|
54 |
49 |
$45.58 |
| 90707 |
|
10,050 |
9,966 |
$43.05 |
| 86828 |
|
13 |
12 |
$42.28 |
| 82725 |
|
25 |
25 |
$41.00 |
| 82731 |
|
26 |
25 |
$40.48 |
| 86337 |
|
12 |
12 |
$38.69 |
| 84270 |
|
1,067 |
1,057 |
$38.50 |
| 86316 |
|
13 |
12 |
$38.34 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
7,417 |
4,477 |
$38.01 |
| 85270 |
|
13 |
13 |
$37.79 |
| J1650 |
Inj enoxaparin sodium |
5,544 |
2,611 |
$35.26 |
| C1729 |
Cath, drainage |
1,779 |
1,612 |
$32.73 |
| C1751 |
Cath, inf, per/cent/midline |
1,452 |
1,377 |
$32.73 |
| J3370 |
Vancomycin hcl injection |
3,857 |
1,984 |
$32.16 |
| 95024 |
|
392 |
390 |
$31.95 |
| J1200 |
Diphenhydramine hcl injectio |
25,831 |
23,123 |
$31.21 |
| 90461 |
|
152 |
152 |
$31.19 |
| J7042 |
5% dextrose/normal saline |
3,141 |
2,519 |
$31.04 |
| 88302 |
|
67 |
67 |
$31.04 |
| 84704 |
|
12 |
12 |
$28.38 |
| 84163 |
|
12 |
12 |
$28.38 |
| 92225 |
|
343 |
276 |
$28.34 |
| 86701 |
|
120 |
112 |
$27.90 |
| J3010 |
Fentanyl citrate injection |
65,743 |
54,051 |
$27.38 |
| 90672 |
|
28 |
28 |
$26.88 |
| J1240 |
Dimenhydrinate injection |
638 |
619 |
$25.09 |
| 94150 |
|
49 |
46 |
$24.96 |
| A9284 |
Non-electronic spirometer |
3,539 |
3,371 |
$24.77 |
| J2270 |
Morphine sulfate injection |
19,792 |
15,484 |
$23.47 |
| J0780 |
Prochlorperazine injection |
6,219 |
5,213 |
$22.87 |
| 95886 |
|
1,975 |
1,963 |
$22.16 |
| 85347 |
|
134 |
122 |
$21.98 |
| J1836 |
Inj, metronidazole, 10 mg |
537 |
444 |
$20.22 |
| J0280 |
Aminophyllin 250 mg inj |
963 |
928 |
$20.18 |
| 86778 |
|
14 |
13 |
$19.98 |
| A6212 |
Foam drg <=16 sq in w/border |
25 |
13 |
$17.00 |
| J2710 |
Neostigmine methylslfte inj |
2,177 |
2,095 |
$16.09 |
| 85130 |
|
763 |
399 |
$15.95 |
| 96368 |
|
2,637 |
1,825 |
$15.30 |
| 82960 |
|
12 |
12 |
$13.86 |
| J1644 |
Inj heparin sodium per 1000u |
17,352 |
7,075 |
$13.85 |
| 86709 |
|
28 |
25 |
$13.30 |
| J3480 |
Inj potassium chloride |
9,544 |
5,644 |
$13.20 |
| G8978 |
Mobility current status |
117 |
107 |
$12.46 |
| G8979 |
Mobility goal status |
131 |
115 |
$12.46 |
| J0574 |
Bupren/nal 6.1 to 10mg bupre |
74 |
39 |
$11.52 |
| J0735 |
Clonidine hydrochloride |
2,625 |
2,539 |
$11.26 |
| J3475 |
Inj magnesium sulfate |
12,039 |
10,234 |
$10.03 |
| 90700 |
|
5,174 |
5,123 |
$10.00 |
| Q0162 |
Ondansetron oral |
19,193 |
14,346 |
$9.16 |
| 86611 |
|
13 |
12 |
$7.77 |
| J0737 |
Inj, clindamycin (baxter) |
12 |
12 |
$7.24 |
| 81000 |
|
114 |
113 |
$7.05 |
| 90680 |
|
13,082 |
12,954 |
$7.00 |
| 90633 |
|
10,475 |
10,385 |
$7.00 |
| J7040 |
Normal saline solution infus |
13,340 |
9,552 |
$6.92 |
| 87324 |
|
12 |
12 |
$6.55 |
| 80051 |
|
13 |
13 |
$6.50 |
| J0696 |
Ceftriaxone sodium injection |
5,493 |
4,467 |
$6.16 |
| 85291 |
|
12 |
12 |
$6.00 |
| J1100 |
Dexamethasone sodium phos |
45,168 |
40,027 |
$5.10 |
| J2001 |
Lidocaine injection |
16,979 |
15,610 |
$5.10 |
| J1642 |
Inj heparin sodium per 10 u |
8,999 |
3,857 |
$4.06 |
| J1720 |
Hydrocortisone sodium succ i |
4,086 |
3,110 |
$3.96 |
| J3250 |
Trimethobenzamide hcl inj |
89 |
70 |
$3.61 |
| 82438 |
|
13 |
13 |
$3.29 |
| J1920 |
Inj, labetalol hcl, 5mg |
295 |
215 |
$3.19 |
| J2060 |
Lorazepam injection |
3,927 |
2,857 |
$2.99 |
| J7060 |
5% dextrose/water |
13,172 |
6,143 |
$2.85 |
| 99177 |
|
41 |
41 |
$2.46 |
| J1805 |
Inj, esmolol hcl, 10mg |
37 |
25 |
$2.42 |
| A4615 |
Cannula nasal |
538 |
521 |
$2.29 |
| J2370 |
Phenylephrine hcl injection |
5,761 |
5,539 |
$2.10 |
| J1050 |
Medroxyprogesterone acetate |
5,241 |
5,215 |
$1.83 |
| J8540 |
Oral dexamethasone |
12,768 |
7,391 |
$1.79 |
| J0330 |
Succinycholine chloride inj |
4,390 |
3,856 |
$1.74 |
| J1630 |
Haloperidol injection |
2,389 |
2,085 |
$1.43 |
| J2765 |
Metoclopramide hcl injection |
2,601 |
2,220 |
$1.11 |
| J3301 |
Triamcinolone acet inj nos |
7,352 |
7,084 |
$1.04 |
| J2543 |
Piperacillin/tazobactam |
1,299 |
593 |
$0.92 |
| J1940 |
Furosemide injection |
1,708 |
1,246 |
$0.91 |
| J1170 |
Hydromorphone injection |
8,568 |
6,139 |
$0.43 |
| J7512 |
Prednisone ir or dr oral 1mg |
4,784 |
2,571 |
$0.41 |
| J7510 |
Prednisolone oral per 5 mg |
338 |
294 |
$0.17 |
| J7517 |
Mycophenolate mofetil oral |
23 |
12 |
$0.09 |
| 97139 |
|
331 |
279 |
$0.05 |
| 91307 |
|
1,206 |
1,144 |
$0.02 |
| J2550 |
Promethazine hcl injection |
275 |
201 |
$0.01 |
| J2795 |
Ropivacaine hcl injection |
3,299 |
3,049 |
$0.00 |
| A4648 |
Implantable tissue marker |
804 |
775 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
1,883 |
1,830 |
$0.00 |
| 90632 |
|
925 |
911 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
1,814 |
1,597 |
$0.00 |
| C1726 |
Cath, bal dil, non-vascular |
1,360 |
1,301 |
$0.00 |
| J0461 |
Atropine sulfate injection |
444 |
300 |
$0.00 |
| 96131 |
|
357 |
356 |
$0.00 |
| J2920 |
Methylprednisolone injection |
1,839 |
1,518 |
$0.00 |
| J2790 |
Rho d immune globulin inj |
684 |
675 |
$0.00 |
| J9045 |
Carboplatin injection |
1,304 |
795 |
$0.00 |
| 0399T |
|
417 |
403 |
$0.00 |
| 90696 |
|
4,358 |
4,327 |
$0.00 |
| J7507 |
Tacrolimus imme rel oral 1mg |
123 |
49 |
$0.00 |
| J9250 |
Methotrexate sodium inj |
328 |
222 |
$0.00 |
| 83883 |
|
1,239 |
1,142 |
$0.00 |
| 77001 |
|
378 |
372 |
$0.00 |
| 97010 |
|
5,784 |
2,566 |
$0.00 |
| 82104 |
|
856 |
844 |
$0.00 |
| C2627 |
Cath, suprapubic/cystoscopic |
458 |
421 |
$0.00 |
| 90636 |
|
698 |
690 |
$0.00 |
| J9267 |
Paclitaxel injection |
1,011 |
445 |
$0.00 |
| Q0164 |
Prochlorperazine maleate 5mg |
3,921 |
2,324 |
$0.00 |
| 91315 |
|
90 |
90 |
$0.00 |
| 87176 |
|
384 |
375 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
49 |
39 |
$0.00 |
| G0283 |
Elec stim other than wound |
1,060 |
439 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
760 |
676 |
$0.00 |
| G0268 |
Removal of impacted wax md |
122 |
122 |
$0.00 |
| 91317 |
|
57 |
57 |
$0.00 |
| C2617 |
Stent, non-cor, tem w/o del |
811 |
778 |
$0.00 |
| 95012 |
|
233 |
230 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
225 |
219 |
$0.00 |
| Q9968 |
Visualization adjunct |
12 |
12 |
$0.00 |
| 90647 |
|
15,387 |
15,232 |
$0.00 |
| 51797 |
|
174 |
171 |
$0.00 |
| J1626 |
Granisetron hcl injection |
409 |
370 |
$0.00 |
| 99459 |
|
461 |
459 |
$0.00 |
| A9503 |
Tc99m medronate |
651 |
642 |
$0.00 |
| 95940 |
|
269 |
261 |
$0.00 |
| 82657 |
|
305 |
292 |
$0.00 |
| 36000 |
|
2,655 |
2,550 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
226 |
220 |
$0.00 |
| 96121 |
|
293 |
292 |
$0.00 |
| J3420 |
Vitamin b12 injection |
320 |
283 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
20 |
13 |
$0.00 |
| 96139 |
|
397 |
387 |
$0.00 |
| J0456 |
Azithromycin |
52 |
44 |
$0.00 |
| C1889 |
Implant/insert device, noc |
108 |
108 |
$0.00 |
| 92542 |
|
24 |
24 |
$0.00 |
| 64494 |
|
53 |
44 |
$0.00 |
| J0697 |
Sterile cefuroxime injection |
164 |
137 |
$0.00 |
| 91305 |
|
634 |
622 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
305 |
196 |
$0.00 |
| 87154 |
|
13 |
13 |
$0.00 |
| 92541 |
|
25 |
25 |
$0.00 |
| J9209 |
Mesna injection |
133 |
37 |
$0.00 |
| C1730 |
Cath, ep, 19 or few elect |
13 |
13 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
2,023 |
1,954 |
$0.00 |
| J1790 |
Droperidol injection |
140 |
129 |
$0.00 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
45 |
39 |
$0.00 |
| J0610 |
Calcium glucon (fresenius) |
75 |
69 |
$0.00 |
| 74330 |
|
14 |
14 |
$0.00 |
| 76998 |
|
12 |
12 |
$0.00 |
| C1755 |
Catheter, intraspinal |
71 |
64 |
$0.00 |
| Q0221 |
Tixagev and cilgav, 600mg |
19 |
19 |
$0.00 |
| C1892 |
Intro/sheath,fixed,peel-away |
71 |
69 |
$0.00 |
| A9500 |
Tc99m sestamibi |
41 |
39 |
$0.00 |
| J3360 |
Diazepam injection |
31 |
27 |
$0.00 |
| 91314 |
|
33 |
33 |
$0.00 |
| A9540 |
Tc99m maa |
24 |
24 |
$0.00 |
| 87071 |
|
29 |
29 |
$0.00 |
| 83919 |
|
12 |
12 |
$0.00 |
| C2629 |
Intro/sheath, laser |
39 |
38 |
$0.00 |
| 91306 |
|
44 |
44 |
$0.00 |
| C1732 |
Cath, ep, diag/abl, 3d/vect |
27 |
27 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
652 |
608 |
$0.00 |
| A6214 |
Foam drg > 48 sq in w/border |
12 |
12 |
$0.00 |
| J9263 |
Oxaliplatin |
648 |
381 |
$0.00 |
| J3489 |
Zoledronic acid 1mg |
637 |
619 |
$0.00 |
| 90833 |
|
4,393 |
4,131 |
$0.00 |
| J9190 |
Fluorouracil injection |
2,579 |
1,140 |
$0.00 |
| 91311 |
|
242 |
238 |
$0.00 |
| A9541 |
Tc99m sulfur colloid |
1,280 |
1,267 |
$0.00 |
| J9171 |
Docetaxel injection |
56 |
38 |
$0.00 |
| J1580 |
Garamycin gentamicin inj |
1,009 |
694 |
$0.00 |
| 82075 |
|
109 |
98 |
$0.00 |
| A9548 |
In111 pentetate |
638 |
634 |
$0.00 |
| Q9958 |
Hocm <=149 mg/ml iodine, 1ml |
1,812 |
1,753 |
$0.00 |
| J9370 |
Vincristine sulfate 1 mg inj |
2,551 |
1,685 |
$0.00 |
| 95873 |
|
491 |
479 |
$0.00 |
| C1758 |
Catheter, ureteral |
1,949 |
1,874 |
$0.00 |
| A9552 |
F18 fdg |
2,831 |
2,772 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
800 |
660 |
$0.00 |
| C1760 |
Closure dev, vasc |
219 |
202 |
$0.00 |
| J9201 |
In gemcitabine hcl nos 200mg |
583 |
278 |
$0.00 |
| J9000 |
Doxorubicin hcl injection |
636 |
378 |
$0.00 |
| 96133 |
|
1,666 |
1,643 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
527 |
457 |
$0.00 |
| 90785 |
|
4,558 |
3,358 |
$0.00 |
| 92504 |
|
834 |
817 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
2,519 |
2,467 |
$0.00 |
| J0692 |
Cefepime hcl for injection |
145 |
89 |
$0.00 |
| C1788 |
Port, indwelling, imp |
156 |
154 |
$0.00 |
| 96137 |
|
987 |
975 |
$0.00 |
| 97602 |
|
13 |
13 |
$0.00 |
| 90836 |
|
455 |
389 |
$0.00 |
| C2625 |
Stent, non-cor, tem w/del sy |
46 |
39 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
140 |
139 |
$0.00 |
| 90714 |
|
506 |
501 |
$0.00 |
| J0640 |
Leucovorin calcium injection |
848 |
489 |
$0.00 |
| J1956 |
Levofloxacin injection |
29 |
25 |
$0.00 |
| 76376 |
|
897 |
876 |
$0.00 |
| 90713 |
|
392 |
392 |
$0.00 |
| 77002 |
|
137 |
133 |
$0.00 |
| A4649 |
Surgical supplies |
488 |
239 |
$0.00 |
| J9260 |
Inj methotrexate sodium 50mg |
431 |
285 |
$0.00 |
| 91312 |
|
640 |
632 |
$0.00 |
| 95874 |
|
103 |
102 |
$0.00 |
| 96113 |
|
26 |
26 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
301 |
220 |
$0.00 |
| 17003 |
|
126 |
123 |
$0.00 |
| 91308 |
|
293 |
282 |
$0.00 |
| J7070 |
D5w infusion |
81 |
39 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
246 |
160 |
$0.00 |
| 91300 |
|
699 |
693 |
$0.00 |
| 91313 |
|
147 |
147 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
156 |
84 |
$0.00 |
| 11101 |
|
93 |
85 |
$0.00 |
| 75565 |
|
64 |
63 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
219 |
179 |
$0.00 |
| J1953 |
Levetiracetam injection |
118 |
106 |
$0.00 |
| A6446 |
Conform band s w>=3" <5"/yd |
60 |
37 |
$0.00 |
| A6253 |
Absorpt drg > 48 sq in w/o b |
175 |
115 |
$0.00 |
| 64636 |
|
12 |
12 |
$0.00 |
| Q9950 |
Inj sulf hexa lipid microsph |
50 |
49 |
$0.00 |
| 11105 |
|
12 |
12 |
$0.00 |
| 82805 |
|
144 |
136 |
$0.00 |
| J9206 |
Irinotecan injection |
435 |
189 |
$0.00 |
| 12011 |
|
156 |
146 |
$0.00 |
| J1643 |
Inj heparin, pfizer, 1000u |
40 |
37 |
$0.00 |
| C1776 |
Joint device (implantable) |
12 |
12 |
$0.00 |
| 96152 |
|
18 |
12 |
$0.00 |
| P9073 |
Platelets pheresis path redu |
124 |
68 |
$0.00 |
| 11103 |
|
38 |
37 |
$0.00 |
| Q0169 |
Promethazine hcl 12.5mg oral |
67 |
44 |
$0.00 |
| J9255 |
Inj, methotrexate (accord) |
14 |
13 |
$0.00 |
| 77387 |
|
50 |
12 |
$0.00 |
| J2720 |
Inj protamine sulfate/10 mg |
14 |
14 |
$0.00 |