| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99211 |
|
458,423 |
392,435 |
$52.16M |
| 96361 |
|
46,839 |
36,452 |
$18.36M |
| 99213 |
|
262,907 |
239,861 |
$17.09M |
| 99285 |
|
83,400 |
74,255 |
$17.07M |
| 99284 |
|
88,969 |
80,108 |
$14.73M |
| G0378 |
Hospital observation per hr |
62,234 |
42,893 |
$12.14M |
| 96365 |
|
46,357 |
37,039 |
$10.86M |
| 99214 |
|
239,487 |
227,495 |
$10.38M |
| 99283 |
|
58,185 |
52,851 |
$8.35M |
| J9271 |
Inj pembrolizumab |
1,975 |
1,516 |
$7.57M |
| 96413 |
|
40,357 |
24,679 |
$6.28M |
| G0463 |
Hospital outpt clinic visit |
296,765 |
228,223 |
$5.74M |
| 90834 |
|
100,269 |
49,769 |
$5.69M |
| 97110 |
|
109,856 |
51,280 |
$5.53M |
| 77386 |
|
24,017 |
2,311 |
$5.17M |
| 43239 |
|
8,485 |
8,218 |
$4.99M |
| U0003 |
Cov-19 amp prb hgh thruput |
81,937 |
71,819 |
$4.59M |
| 96366 |
|
19,370 |
15,350 |
$4.57M |
| J1569 |
Gammagard liquid injection |
3,298 |
1,373 |
$4.45M |
| 99215 |
Prolong outpt/office vis |
49,649 |
43,683 |
$3.98M |
| 74177 |
|
30,155 |
28,361 |
$3.45M |
| Q5103 |
Injection, inflectra |
2,928 |
2,025 |
$3.16M |
| 45385 |
|
4,937 |
4,859 |
$3.06M |
| 70450 |
|
22,755 |
20,710 |
$3.04M |
| 99391 |
|
35,550 |
31,199 |
$3.01M |
| J3380 |
Inj vedolizumab iv 1 mg |
1,280 |
1,139 |
$3.01M |
| S9485 |
Crisis intervention mental h |
5,210 |
4,181 |
$2.99M |
| 99392 |
|
42,027 |
38,047 |
$2.98M |
| 96374 |
|
46,894 |
38,714 |
$2.93M |
| 93306 |
|
19,117 |
18,426 |
$2.85M |
| 45380 |
|
4,829 |
4,714 |
$2.82M |
| 96375 |
|
56,115 |
40,938 |
$2.75M |
| 96360 |
|
19,164 |
16,456 |
$2.75M |
| 70553 |
|
8,747 |
8,321 |
$2.62M |
| 99393 |
|
37,698 |
34,285 |
$2.59M |
| J9312 |
Inj., rituximab, 10 mg |
1,087 |
648 |
$2.58M |
| J1745 |
Infliximab not biosimil 10mg |
2,808 |
1,607 |
$2.57M |
| J2357 |
Omalizumab injection |
2,704 |
1,619 |
$2.54M |
| 96415 |
|
10,837 |
7,445 |
$2.36M |
| 96372 |
|
43,179 |
33,762 |
$2.31M |
| 92507 |
|
18,244 |
8,065 |
$2.23M |
| J2315 |
Naltrexone, depot form |
2,296 |
2,056 |
$2.20M |
| Q9992 |
Buprenorphine xr over 100 mg |
1,457 |
1,374 |
$2.10M |
| 87637 |
|
15,472 |
14,881 |
$2.04M |
| 77412 |
|
13,808 |
1,772 |
$2.01M |
| 80307 |
|
49,778 |
41,840 |
$1.96M |
| J9035 |
Bevacizumab injection |
1,580 |
493 |
$1.91M |
| J9355 |
Inj trastuzumab excl biosimi |
1,468 |
723 |
$1.89M |
| 99291 |
|
7,096 |
6,701 |
$1.76M |
| 95810 |
|
2,073 |
1,981 |
$1.71M |
| J2350 |
Injection, ocrelizumab, 1 mg |
129 |
113 |
$1.67M |
| 99394 |
|
25,430 |
22,776 |
$1.65M |
| 70551 |
|
6,213 |
5,907 |
$1.60M |
| 99203 |
|
14,167 |
13,517 |
$1.59M |
| 77063 |
|
27,287 |
26,974 |
$1.56M |
| 71275 |
|
8,138 |
7,688 |
$1.52M |
| Q5115 |
Inj truxima 10 mg |
746 |
427 |
$1.51M |
| 93971 |
|
8,738 |
8,121 |
$1.44M |
| 71046 |
|
64,393 |
59,811 |
$1.42M |
| 85025 |
|
332,926 |
261,129 |
$1.41M |
| J9144 |
Daratumumab, hyaluronidase |
1,378 |
822 |
$1.37M |
| 97535 |
|
21,183 |
15,479 |
$1.33M |
| 76856 |
|
12,400 |
12,023 |
$1.33M |
| 78812 |
|
1,765 |
1,677 |
$1.32M |
| J2505 |
Injection, pegfilgrastim 6mg |
978 |
648 |
$1.32M |
| J3490 |
Drugs unclassified injection |
46,913 |
32,073 |
$1.31M |
| 78452 |
|
4,506 |
4,362 |
$1.31M |
| 99282 |
|
9,785 |
9,092 |
$1.26M |
| 78815 |
|
1,693 |
1,603 |
$1.26M |
| 99201 |
|
11,883 |
11,129 |
$1.25M |
| 71260 |
|
18,090 |
17,188 |
$1.25M |
| G0480 |
Drug test def 1-7 classes |
42,590 |
35,647 |
$1.22M |
| 93308 |
|
6,424 |
6,088 |
$1.19M |
| 76705 |
|
12,359 |
11,622 |
$1.16M |
| Q5108 |
Injection, fulphila |
500 |
325 |
$1.12M |
| 96367 |
|
10,982 |
8,422 |
$1.08M |
| 76770 |
|
7,426 |
7,197 |
$1.08M |
| 36430 |
|
5,708 |
3,210 |
$1.07M |
| 90651 |
|
10,099 |
9,985 |
$1.06M |
| 99205 |
Prolong outpt/office vis |
8,052 |
7,429 |
$1.05M |
| 87491 |
|
41,291 |
39,447 |
$1.01M |
| 87591 |
|
41,077 |
39,241 |
$1.01M |
| U0005 |
Infec agen detec ampli probe |
63,380 |
55,034 |
$1.00M |
| 76830 |
|
11,341 |
10,999 |
$1.00M |
| J9263 |
Oxaliplatin |
4,468 |
1,645 |
$991K |
| 97140 |
|
48,958 |
22,860 |
$982K |
| 76700 |
|
7,361 |
7,167 |
$972K |
| 90832 |
|
32,746 |
21,596 |
$949K |
| 88305 |
|
49,761 |
34,055 |
$912K |
| 93970 |
|
4,776 |
4,554 |
$903K |
| 70496 |
|
4,007 |
3,813 |
$896K |
| J0185 |
Inj., aprepitant, 1 mg |
5,121 |
3,199 |
$885K |
| 77336 |
|
12,485 |
5,463 |
$847K |
| 43235 |
|
1,479 |
1,423 |
$832K |
| 74183 |
|
3,239 |
3,064 |
$824K |
| 71045 |
|
30,825 |
26,584 |
$817K |
| 99395 |
|
13,108 |
12,277 |
$811K |
| J7307 |
Etonogestrel implant system |
733 |
712 |
$806K |
| G0481 |
Drug test def 8-14 classes |
8,686 |
6,806 |
$782K |
| J1561 |
Gamunex-c/gammaked |
1,004 |
421 |
$781K |
| 84443 |
|
89,350 |
85,689 |
$766K |
| G0121 |
Colon ca scrn not hi rsk ind |
1,285 |
1,266 |
$744K |
| 47562 |
|
301 |
270 |
$741K |
| 97112 |
|
21,763 |
12,363 |
$725K |
| 97161 |
|
17,857 |
17,350 |
$722K |
| 59025 |
|
2,925 |
2,388 |
$716K |
| 74176 |
|
5,809 |
5,496 |
$706K |
| 82306 |
|
42,019 |
40,661 |
$695K |
| Q0138 |
Ferumoxytol, non-esrd |
2,097 |
1,449 |
$684K |
| 92610 |
|
5,777 |
5,393 |
$666K |
| 99396 |
|
13,289 |
12,607 |
$664K |
| J0485 |
Belatacept injection |
2,813 |
1,301 |
$661K |
| 77334 |
|
4,371 |
3,296 |
$656K |
| 76642 |
|
7,770 |
6,892 |
$654K |
| 97530 |
|
18,704 |
11,302 |
$653K |
| 45378 |
|
1,234 |
1,207 |
$651K |
| 93005 |
|
109,510 |
91,937 |
$650K |
| 83735 |
|
167,436 |
117,023 |
$609K |
| 87633 |
|
1,888 |
1,801 |
$605K |
| J0897 |
Denosumab injection |
1,673 |
1,522 |
$599K |
| 95813 |
|
1,442 |
1,411 |
$595K |
| 77387 |
|
17,600 |
2,105 |
$586K |
| 96110 |
|
59,714 |
56,902 |
$576K |
| Q9991 |
Buprenorph xr 100 mg or less |
881 |
802 |
$567K |
| 90460 |
|
73,559 |
72,475 |
$565K |
| 86481 |
|
9,852 |
9,476 |
$555K |
| 90870 |
|
1,374 |
456 |
$550K |
| 99381 |
|
4,159 |
4,049 |
$547K |
| 97803 |
|
9,475 |
8,361 |
$544K |
| 77300 |
|
3,625 |
3,363 |
$541K |
| J2469 |
Palonosetron hcl |
5,680 |
3,272 |
$536K |
| 93017 |
|
7,495 |
7,199 |
$535K |
| 95811 |
|
724 |
692 |
$530K |
| 95782 |
|
501 |
490 |
$530K |
| 80048 |
|
275,977 |
211,736 |
$527K |
| 85027 |
|
146,713 |
117,494 |
$523K |
| ATP15 |
|
64,190 |
48,588 |
$523K |
| 90471 |
|
69,539 |
67,732 |
$520K |
| J2506 |
Inj pegfilgrast ex bio 0.5mg |
429 |
312 |
$508K |
| 83880 |
|
25,185 |
22,631 |
$504K |
| 73564 |
|
15,140 |
13,484 |
$502K |
| 83036 |
|
108,344 |
105,322 |
$500K |
| 75574 |
|
3,200 |
3,083 |
$489K |
| 76536 |
|
5,098 |
4,962 |
$483K |
| 77295 |
|
1,333 |
1,286 |
$471K |
| 87631 |
|
6,614 |
6,171 |
$468K |
| 90686 |
|
69,810 |
68,927 |
$463K |
| 84484 |
|
41,367 |
34,727 |
$459K |
| J7298 |
Mirena, 52 mg |
527 |
512 |
$456K |
| 87389 |
|
27,773 |
27,049 |
$451K |
| J1950 |
Leuprolide acetate /3.75 mg |
620 |
568 |
$440K |
| S0302 |
Completed epsdt |
53,447 |
53,149 |
$439K |
| 90853 |
|
16,596 |
6,057 |
$420K |
| 88307 |
|
6,222 |
4,710 |
$420K |
| 76882 |
|
4,170 |
3,820 |
$418K |
| 87536 |
|
10,021 |
9,599 |
$415K |
| 97116 |
|
10,638 |
7,189 |
$413K |
| ATP14 |
|
56,663 |
44,783 |
$406K |
| J9395 |
Injection, fulvestrant |
857 |
735 |
$401K |
| J9217 |
Leuprolide acetate suspnsion |
1,242 |
1,178 |
$399K |
| 90791 |
|
4,388 |
4,193 |
$394K |
| 29700 |
|
2,636 |
2,221 |
$381K |
| 73610 |
|
13,507 |
11,943 |
$376K |
| G0105 |
Colorectal scrn; hi risk ind |
741 |
733 |
$371K |
| 97162 |
|
11,676 |
10,763 |
$368K |
| 72148 |
|
2,804 |
2,697 |
$367K |
| 0241U |
|
11,394 |
10,191 |
$366K |
| J1453 |
Fosaprepitant injection |
1,014 |
636 |
$360K |
| 71250 |
|
7,703 |
7,402 |
$359K |
| J9305 |
Inj. pemetrexed nos 10mg |
254 |
102 |
$357K |
| 73030 |
|
11,707 |
10,701 |
$355K |
| 93505 |
|
595 |
488 |
$350K |
| 87624 |
|
16,325 |
16,016 |
$344K |
| 82728 |
|
46,588 |
43,730 |
$342K |
| ATP08 |
|
60,232 |
46,746 |
$342K |
| 96416 |
|
2,762 |
1,575 |
$341K |
| J9310 |
Rituximab injection |
426 |
291 |
$331K |
| 97165 |
|
4,065 |
3,897 |
$327K |
| 88185 |
|
1,313 |
1,165 |
$327K |
| 62323 |
|
858 |
827 |
$325K |
| 70544 |
|
1,957 |
1,851 |
$322K |
| 87086 |
|
64,239 |
58,242 |
$322K |
| 94375 |
|
7,567 |
7,068 |
$322K |
| 95886 |
|
1,665 |
1,596 |
$322K |
| J9306 |
Injection, pertuzumab, 1 mg |
118 |
90 |
$321K |
| 83605 |
|
34,440 |
28,855 |
$319K |
| 96401 |
|
3,892 |
2,108 |
$319K |
| 73630 |
|
14,396 |
12,688 |
$318K |
| 88175 |
|
16,429 |
16,164 |
$312K |
| 72125 |
|
8,010 |
7,450 |
$312K |
| 80076 |
|
153,047 |
128,380 |
$311K |
| 77301 |
|
997 |
959 |
$307K |
| 20610 |
|
2,657 |
2,363 |
$297K |
| 77067 |
|
27,340 |
27,030 |
$296K |
| U0002 |
Covid-19 lab test non-cdc |
9,883 |
8,501 |
$296K |
| 97802 |
|
4,820 |
4,534 |
$295K |
| 86850 |
|
43,504 |
34,735 |
$290K |
| G2023 |
Specimen collect covid-19 |
13,677 |
12,789 |
$289K |
| J1756 |
Iron sucrose injection |
4,256 |
2,142 |
$288K |
| 93975 |
|
2,990 |
2,828 |
$284K |
| 86780 |
|
28,487 |
27,596 |
$282K |
| 90847 |
|
3,167 |
2,172 |
$281K |
| 70491 |
|
3,162 |
2,945 |
$280K |
| 0001A |
|
9,853 |
8,869 |
$280K |
| J7050 |
Normal saline solution infus |
77,021 |
43,304 |
$277K |
| 72141 |
|
1,596 |
1,515 |
$277K |
| 72197 |
|
990 |
928 |
$275K |
| 93303 |
|
1,115 |
1,070 |
$273K |
| 73721 |
|
1,272 |
1,190 |
$271K |
| 76942 |
|
4,500 |
4,181 |
$268K |
| Q5111 |
Injection, udenyca 0.5 mg |
167 |
73 |
$264K |
| 84702 |
|
20,200 |
17,192 |
$262K |
| 90792 |
|
3,798 |
3,539 |
$262K |
| 0002A |
|
8,706 |
7,857 |
$260K |
| 77062 |
|
3,074 |
3,012 |
$260K |
| J2704 |
Inj, propofol, 10 mg |
52,549 |
42,572 |
$253K |
| 81025 |
|
42,787 |
39,540 |
$253K |
| 93325 |
|
3,618 |
3,449 |
$250K |
| J9999 |
Chemotherapy drug |
4,180 |
2,690 |
$249K |
| 86803 |
|
29,166 |
28,217 |
$248K |
| 90750 |
|
3,410 |
3,380 |
$248K |
| 83970 |
|
14,212 |
13,548 |
$242K |
| J1200 |
Diphenhydramine hcl injectio |
15,743 |
10,273 |
$242K |
| 74018 |
|
5,982 |
5,336 |
$242K |
| 58300 |
|
1,260 |
1,194 |
$239K |
| 70498 |
|
3,585 |
3,400 |
$238K |
| 82784 |
|
31,999 |
27,343 |
$236K |
| 83690 |
|
47,398 |
42,179 |
$236K |
| J2405 |
Ondansetron hcl injection |
65,681 |
50,845 |
$231K |
| 99212 |
|
11,266 |
10,754 |
$230K |
| 17110 |
|
1,454 |
1,351 |
$229K |
| 82607 |
|
33,418 |
32,077 |
$229K |
| 19083 |
|
313 |
303 |
$229K |
| 97760 |
|
5,038 |
4,717 |
$227K |
| 77290 |
|
886 |
826 |
$226K |
| 73130 |
|
9,099 |
7,848 |
$220K |
| J0574 |
Bupren/nal 6.1 to 10mg bupre |
5,358 |
2,707 |
$217K |
| 80053 |
|
200,324 |
157,077 |
$213K |
| 72170 |
|
5,114 |
4,841 |
$213K |
| 73110 |
|
7,584 |
6,512 |
$210K |
| 93976 |
|
1,990 |
1,925 |
$208K |
| J9070 |
Cyclophosphamide 100 mg inj |
1,506 |
687 |
$205K |
| 87040 |
|
15,244 |
12,999 |
$205K |
| 20553 |
|
1,636 |
1,477 |
$203K |
| 87522 |
Neg quan hep c or qual rna |
7,071 |
6,667 |
$201K |
| 90715 |
|
14,518 |
14,172 |
$201K |
| 80050 |
|
13,874 |
13,109 |
$201K |
| 83550 |
|
43,475 |
41,385 |
$200K |
| 85610 |
|
89,148 |
68,433 |
$199K |
| 74174 |
|
2,155 |
2,040 |
$198K |
| 82803 |
|
12,228 |
10,163 |
$196K |
| 96409 |
|
3,879 |
2,587 |
$195K |
| J1650 |
Inj enoxaparin sodium |
12,434 |
4,716 |
$192K |
| 94640 |
|
3,068 |
2,605 |
$190K |
| 92523 |
|
1,592 |
1,478 |
$189K |
| 77061 |
|
1,888 |
1,855 |
$186K |
| 92552 |
|
1,866 |
1,844 |
$184K |
| 99204 |
|
1,704 |
1,674 |
$183K |
| ATP16 |
|
23,620 |
16,707 |
$182K |
| 70486 |
|
2,894 |
2,715 |
$182K |
| 92611 |
|
2,016 |
1,945 |
$180K |
| 76604 |
|
2,182 |
2,063 |
$180K |
| J1050 |
Medroxyprogesterone acetate |
4,305 |
4,229 |
$180K |
| 96411 |
|
4,205 |
2,758 |
$178K |
| 73502 |
|
7,772 |
7,344 |
$177K |
| 72100 |
|
6,999 |
6,808 |
$175K |
| 86480 |
|
3,673 |
3,573 |
$174K |
| 76870 |
|
1,894 |
1,812 |
$173K |
| 87880 |
|
15,226 |
14,781 |
$173K |
| 77065 |
Tomosynthesis, mammo |
4,831 |
4,370 |
$171K |
| ATP17 |
|
24,171 |
20,897 |
$170K |
| 86140 |
|
50,466 |
45,216 |
$164K |
| 44970 |
|
50 |
50 |
$160K |
| 93880 |
|
2,443 |
2,350 |
$157K |
| 87070 |
|
26,591 |
24,471 |
$154K |
| 87077 |
|
26,389 |
24,458 |
$154K |
| 87497 |
|
8,348 |
5,337 |
$150K |
| 88346 |
|
1,713 |
1,531 |
$149K |
| 72082 |
|
2,623 |
2,551 |
$148K |
| 29075 |
|
644 |
557 |
$148K |
| 0124A |
|
5,454 |
5,308 |
$147K |
| 84403 |
|
10,325 |
9,929 |
$145K |
| 77280 |
|
1,175 |
1,086 |
$144K |
| J9201 |
In gemcitabine hcl nos 200mg |
1,179 |
560 |
$143K |
| 29705 |
|
802 |
717 |
$142K |
| 95819 |
|
544 |
502 |
$142K |
| 86360 |
|
7,087 |
6,719 |
$142K |
| J2796 |
Romiplostim injection |
328 |
73 |
$141K |
| 87340 |
|
19,703 |
18,994 |
$140K |
| 87186 |
|
23,392 |
21,502 |
$140K |
| 96368 |
|
2,928 |
1,850 |
$132K |
| 84439 |
|
24,049 |
22,661 |
$132K |
| 88360 |
|
1,662 |
1,555 |
$131K |
| 99385 |
|
2,171 |
2,073 |
$129K |
| Q5107 |
Inj mvasi 10 mg |
1,251 |
439 |
$129K |
| 90846 |
|
1,355 |
1,002 |
$127K |
| 96133 |
|
314 |
304 |
$127K |
| 73560 |
|
5,496 |
4,867 |
$126K |
| 95885 |
|
864 |
828 |
$126K |
| 83516 |
|
11,614 |
10,372 |
$126K |
| 92508 |
|
1,282 |
465 |
$125K |
| 88304 |
|
4,189 |
3,908 |
$124K |
| 86359 |
|
7,713 |
7,258 |
$123K |
| 41899 |
|
140 |
94 |
$122K |
| 10060 |
|
784 |
720 |
$121K |
| 11981 |
|
584 |
556 |
$121K |
| 0071A |
|
2,761 |
2,683 |
$119K |
| 11056 |
|
1,227 |
1,112 |
$119K |
| 83540 |
|
35,704 |
34,058 |
$119K |
| 88112 |
|
3,535 |
3,376 |
$118K |
| 58301 |
|
644 |
622 |
$116K |
| J1885 |
Ketorolac tromethamine inj |
36,924 |
28,732 |
$114K |
| 73590 |
|
5,077 |
4,485 |
$113K |
| 64721 |
|
151 |
150 |
$112K |
| 81001 |
|
64,702 |
58,170 |
$111K |
| 96118 |
|
184 |
170 |
$111K |
| 86900 |
|
44,209 |
35,355 |
$110K |
| J9299 |
Injection, nivolumab |
148 |
64 |
$109K |
| 86923 |
|
4,982 |
3,717 |
$109K |
| 74019 |
|
1,910 |
1,755 |
$108K |
| 88342 |
|
8,963 |
8,457 |
$108K |
| J3010 |
Fentanyl citrate injection |
58,489 |
52,061 |
$107K |
| 29881 |
|
63 |
63 |
$107K |
| 90837 |
|
962 |
583 |
$106K |
| 86706 |
|
15,074 |
14,476 |
$105K |
| 86901 |
|
44,155 |
35,312 |
$104K |
| 93923 |
|
2,023 |
1,920 |
$103K |
| 77338 |
|
1,062 |
1,018 |
$103K |
| 87081 |
|
17,759 |
16,635 |
$103K |
| 86356 |
|
7,759 |
7,241 |
$101K |
| 82746 |
|
14,506 |
13,720 |
$98K |
| 87806 |
|
5,653 |
5,273 |
$98K |
| J0131 |
Inj, acetaminophen (nos) |
4,074 |
3,509 |
$97K |
| 96402 |
|
3,636 |
3,286 |
$97K |
| 76857 |
|
1,669 |
1,522 |
$96K |
| 87635 |
|
2,249 |
2,094 |
$96K |
| 73700 |
|
1,259 |
1,148 |
$95K |
| 84153 |
|
11,296 |
10,819 |
$93K |
| 85379 |
|
13,191 |
12,149 |
$92K |
| ATP03 |
|
32,758 |
27,888 |
$91K |
| 97166 |
|
1,462 |
1,371 |
$90K |
| 77002 |
|
1,483 |
1,399 |
$89K |
| 58571 |
|
24 |
24 |
$88K |
| 58100 |
|
423 |
400 |
$88K |
| 88341 |
|
3,809 |
3,558 |
$88K |
| J2250 |
Inj midazolam hydrochloride |
46,273 |
40,443 |
$87K |
| 73140 |
|
3,199 |
2,905 |
$87K |
| J1100 |
Dexamethasone sodium phos |
31,277 |
25,823 |
$86K |
| 72040 |
|
2,561 |
2,476 |
$86K |
| P9016 |
Rbc leukocytes reduced |
3,441 |
2,155 |
$86K |
| 85730 |
|
20,177 |
17,301 |
$86K |
| 86235 |
|
2,913 |
2,706 |
$86K |
| J1170 |
Hydromorphone injection |
24,418 |
15,650 |
$85K |
| 84146 |
|
7,376 |
6,955 |
$85K |
| 74178 |
|
572 |
554 |
$85K |
| 94060 |
|
1,775 |
1,687 |
$84K |
| 99495 |
|
1,030 |
1,001 |
$84K |
| 99173 |
|
2,666 |
2,561 |
$84K |
| J1644 |
Inj heparin sodium per 1000u |
11,639 |
6,811 |
$81K |
| 76815 |
|
1,602 |
1,437 |
$80K |
| 85652 |
|
49,463 |
45,397 |
$79K |
| 90677 |
|
3,677 |
3,576 |
$79K |
| 87799 |
|
5,729 |
4,172 |
$79K |
| 73562 |
|
2,733 |
2,501 |
$79K |
| 80197 |
|
18,153 |
10,577 |
$77K |
| 82570 |
|
35,528 |
32,917 |
$76K |
| J3489 |
Zoledronic acid 1mg |
2,640 |
2,527 |
$76K |
| 83883 |
|
8,525 |
7,438 |
$76K |
| 82670 |
|
4,432 |
4,131 |
$76K |
| 82378 |
|
10,069 |
8,369 |
$75K |
| 80061 |
|
102,516 |
99,109 |
$74K |
| 90461 |
|
23,465 |
23,200 |
$74K |
| 96523 |
|
2,226 |
1,704 |
$74K |
| 90696 |
|
4,183 |
4,134 |
$74K |
| 83001 |
|
6,380 |
6,115 |
$74K |
| 12011 |
|
394 |
374 |
$74K |
| J0690 |
Cefazolin sodium injection |
24,202 |
19,460 |
$72K |
| ATP07 |
|
12,002 |
10,595 |
$72K |
| 90935 |
|
279 |
104 |
$71K |
| 99496 |
|
767 |
737 |
$71K |
| 73090 |
|
3,096 |
2,649 |
$71K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
64,848 |
59,009 |
$70K |
| 73080 |
|
3,132 |
2,891 |
$70K |
| 86003 |
|
2,232 |
2,032 |
$70K |
| 77066 |
Tomosynthesis, mammo |
4,711 |
4,585 |
$69K |
| 84100 |
|
91,560 |
65,223 |
$69K |
| 77332 |
|
767 |
666 |
$68K |
| 72156 |
|
432 |
411 |
$67K |
| 86704 |
|
8,933 |
8,510 |
$67K |
| ATP09 |
|
12,550 |
8,756 |
$67K |
| 73060 |
|
2,065 |
1,846 |
$67K |
| 85007 |
|
30,868 |
20,429 |
$66K |
| 12001 |
|
392 |
372 |
$66K |
| 88173 |
|
1,399 |
1,338 |
$65K |
| 73552 |
|
3,294 |
3,041 |
$65K |
| 81003 |
|
47,613 |
43,907 |
$65K |
| 96417 |
|
8,973 |
5,496 |
$64K |
| 93797 |
|
1,514 |
484 |
$64K |
| 0054A |
|
3,118 |
2,877 |
$64K |
| J2543 |
Piperacillin/tazobactam |
2,733 |
1,406 |
$64K |
| 0072A |
|
1,416 |
1,416 |
$64K |
| ATP18 |
|
9,114 |
7,606 |
$63K |
| ATP10 |
|
11,377 |
9,304 |
$63K |
| 94729 |
|
3,930 |
3,764 |
$63K |
| 87641 |
|
2,756 |
2,639 |
$63K |
| 90691 |
|
2,682 |
2,655 |
$63K |
| 96376 |
|
14,712 |
10,978 |
$62K |
| 73221 |
|
295 |
280 |
$62K |
| 0004A |
|
2,315 |
2,188 |
$61K |
| 82105 |
|
7,227 |
6,708 |
$61K |
| 86038 |
|
8,835 |
8,488 |
$61K |
| ATP11 |
|
10,864 |
9,488 |
$61K |
| 87517 |
|
3,040 |
2,849 |
$61K |
| 36561 |
|
82 |
79 |
$60K |
| Q0139 |
Ferumoxytol, esrd use |
224 |
153 |
$58K |
| 83002 |
|
4,881 |
4,692 |
$58K |
| G0297 |
Ldct for lung ca screen |
622 |
603 |
$57K |
| 99386 |
|
1,134 |
1,103 |
$57K |
| 90746 |
|
3,114 |
3,047 |
$57K |
| 11055 |
|
567 |
524 |
$56K |
| 82043 |
|
27,080 |
25,652 |
$56K |
| 86832 |
|
425 |
397 |
$56K |
| J0248 |
Inj, remdesivir, 1 mg |
157 |
77 |
$55K |
| J0585 |
Injection,onabotulinumtoxina |
88 |
81 |
$55K |
| 92526 |
|
616 |
382 |
$55K |
| 51705 |
|
510 |
468 |
$54K |
| 77470 |
|
203 |
190 |
$53K |
| 86787 |
|
5,616 |
5,389 |
$53K |
| 77049 |
|
181 |
178 |
$53K |
| 76937 |
|
2,576 |
2,379 |
$52K |
| 99383 |
|
617 |
600 |
$52K |
| 87205 |
|
17,889 |
16,343 |
$51K |
| 84165 |
|
13,814 |
12,458 |
$51K |
| 87902 |
|
457 |
439 |
$50K |
| 85013 |
|
12,695 |
12,579 |
$50K |
| 73070 |
|
1,386 |
1,161 |
$50K |
| 77385 |
|
305 |
24 |
$50K |
| 11982 |
|
287 |
286 |
$49K |
| 46607 |
|
76 |
72 |
$49K |
| 99188 |
|
3,083 |
3,037 |
$48K |
| J2060 |
Lorazepam injection |
11,869 |
8,590 |
$48K |
| G0108 |
Diab manage trn per indiv |
1,385 |
1,226 |
$47K |
| 86765 |
|
5,305 |
5,147 |
$47K |
| 88313 |
|
2,019 |
1,922 |
$47K |
| J3475 |
Inj magnesium sulfate |
17,938 |
13,692 |
$46K |
| 84480 |
|
5,985 |
5,631 |
$45K |
| 29065 |
|
173 |
143 |
$45K |
| 87338 |
|
4,754 |
4,649 |
$45K |
| 83520 |
|
4,622 |
4,043 |
$45K |
| 99443 |
|
6,435 |
5,783 |
$45K |
| 87400 |
|
2,365 |
2,312 |
$45K |
| 71271 |
|
1,600 |
1,568 |
$45K |
| 82330 |
|
5,373 |
4,174 |
$45K |
| 90714 |
|
2,340 |
2,288 |
$44K |
| 90732 |
|
3,336 |
3,267 |
$44K |
| 86160 |
|
3,462 |
3,247 |
$44K |
| 90480 |
|
3,528 |
3,461 |
$44K |
| J1944 |
Aripiprazole lauroxil 1 mg |
40 |
40 |
$43K |
| 86039 |
|
6,570 |
6,332 |
$43K |
| 84270 |
|
3,184 |
3,098 |
$43K |
| 87625 |
|
2,670 |
2,614 |
$43K |
| 87798 |
|
1,681 |
1,523 |
$42K |
| 90833 |
|
2,134 |
1,921 |
$42K |
| 94726 |
|
1,633 |
1,549 |
$41K |
| C1769 |
Guide wire |
6,622 |
5,904 |
$41K |
| 86147 |
|
1,766 |
1,679 |
$41K |
| 86665 |
|
1,912 |
1,612 |
$40K |
| 95816 |
|
189 |
171 |
$40K |
| 96137 |
|
197 |
193 |
$40K |
| G0279 |
Tomosynthesis, mammo |
2,682 |
2,619 |
$39K |
| 86762 |
|
3,473 |
3,370 |
$39K |
| 88184 |
|
1,420 |
1,272 |
$38K |
| 90472 |
|
16,332 |
16,065 |
$38K |
| 64493 |
|
82 |
77 |
$38K |
| 86355 |
|
2,367 |
2,192 |
$38K |
| 91010 |
|
55 |
54 |
$38K |
| 86708 |
|
4,584 |
4,399 |
$38K |
| 90662 |
|
10,846 |
10,624 |
$37K |
| 87209 |
|
3,277 |
3,124 |
$37K |
| J7120 |
Ringers lactate infusion |
17,080 |
15,246 |
$37K |
| 77072 |
|
1,278 |
1,248 |
$36K |
| S0020 |
Injection, bupivicaine hydro |
1,509 |
1,224 |
$35K |
| 73523 |
|
815 |
801 |
$35K |
| 82533 |
|
4,234 |
3,570 |
$35K |
| 11719 |
|
2,417 |
2,344 |
$35K |
| 87102 |
|
6,451 |
5,918 |
$34K |
| 47000 |
|
117 |
107 |
$34K |
| J2930 |
Methylprednisolone injection |
4,318 |
3,224 |
$34K |
| 96132 |
|
328 |
316 |
$34K |
| 86833 |
|
300 |
269 |
$34K |
| 72158 |
|
356 |
342 |
$34K |
| 72070 |
|
1,278 |
1,245 |
$33K |
| J0696 |
Ceftriaxone sodium injection |
11,142 |
8,552 |
$33K |
| 0051A |
|
843 |
831 |
$33K |
| 83020 |
|
2,981 |
2,893 |
$33K |
| 78306 |
|
244 |
226 |
$33K |
| 87808 |
|
3,553 |
3,414 |
$33K |
| 93321 |
|
738 |
708 |
$32K |
| J0834 |
Inj., cosyntropin, 0.25 mg |
508 |
477 |
$32K |
| 91322 |
|
1,677 |
1,631 |
$31K |
| ATP23 |
|
3,422 |
2,439 |
$31K |
| 82785 |
|
2,755 |
2,639 |
$31K |
| 20680 |
|
27 |
24 |
$31K |
| J9145 |
Injection, daratumumab 10 mg |
47 |
12 |
$31K |
| 27447 |
|
12 |
12 |
$30K |
| 83615 |
|
40,105 |
28,504 |
$30K |
| 86618 |
|
3,080 |
2,951 |
$30K |
| 96116 |
|
227 |
219 |
$30K |
| 36902 |
|
33 |
26 |
$30K |
| 70548 |
|
361 |
349 |
$29K |
| 85045 |
|
14,468 |
11,251 |
$29K |
| 0081A |
|
682 |
682 |
$29K |
| 99397 |
|
890 |
797 |
$29K |
| Q3014 |
Telehealth facility fee |
19,237 |
16,919 |
$29K |
| 93320 |
|
1,566 |
1,505 |
$29K |
| 49083 |
|
83 |
51 |
$29K |
| 86677 |
|
2,934 |
2,831 |
$28K |
| 84425 |
|
2,528 |
2,448 |
$28K |
| 93225 |
|
737 |
654 |
$28K |
| 19301 |
|
28 |
25 |
$28K |
| 86141 |
|
4,276 |
4,034 |
$27K |
| 86301 |
|
2,735 |
2,231 |
$27K |
| 82550 |
|
15,320 |
13,254 |
$27K |
| 54161 |
|
12 |
12 |
$26K |
| 99382 |
|
332 |
317 |
$26K |
| 82627 |
|
1,620 |
1,571 |
$26K |
| 76817 |
|
731 |
686 |
$26K |
| 82232 |
|
6,002 |
5,008 |
$26K |
| 77001 |
|
478 |
439 |
$25K |
| 90670 |
|
17,337 |
17,111 |
$25K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
18,401 |
17,108 |
$25K |
| J0881 |
Darbepoetin alfa, non-esrd |
192 |
125 |
$25K |
| 86334 |
|
3,483 |
3,157 |
$25K |
| 84156 |
|
15,412 |
13,409 |
$25K |
| J2997 |
Alteplase recombinant |
343 |
282 |
$25K |
| 73100 |
|
620 |
485 |
$25K |
| J7512 |
Prednisone ir or dr oral 1mg |
8,278 |
5,173 |
$24K |
| 36415 |
|
169,422 |
140,087 |
$24K |
| J3370 |
Vancomycin hcl injection |
6,477 |
3,674 |
$24K |
| J1630 |
Haloperidol injection |
14,156 |
12,435 |
$24K |
| 84305 |
|
2,045 |
1,980 |
$24K |
| 96139 |
|
145 |
143 |
$23K |
| 86225 |
|
3,105 |
2,977 |
$23K |
| 81002 |
|
11,252 |
10,818 |
$23K |
| 95913 |
|
335 |
331 |
$23K |
| 86300 |
|
3,378 |
2,671 |
$23K |
| J2001 |
Lidocaine injection |
42,333 |
36,199 |
$23K |
| 86304 |
|
2,641 |
2,074 |
$22K |
| 87640 |
|
2,206 |
2,120 |
$22K |
| 0082A |
|
489 |
487 |
$22K |
| 82140 |
|
2,493 |
2,175 |
$21K |
| 80164 |
|
3,582 |
3,183 |
$21K |
| 70355 |
|
1,008 |
840 |
$21K |
| 82947 |
|
11,309 |
9,721 |
$21K |
| 93926 |
|
91 |
88 |
$21K |
| C1894 |
Intro/sheath, non-laser |
4,585 |
4,126 |
$21K |
| 0154A |
|
591 |
573 |
$20K |
| 80299 |
|
2,129 |
1,735 |
$20K |
| 77059 |
|
14 |
14 |
$20K |
| 72081 |
|
246 |
241 |
$20K |
| 87116 |
|
2,976 |
2,447 |
$20K |
| C1887 |
Catheter, guiding |
2,629 |
2,412 |
$20K |
| 86255 |
|
2,075 |
1,832 |
$20K |
| 72110 |
|
608 |
597 |
$20K |
| 83993 |
|
1,524 |
1,466 |
$19K |
| 86727 |
|
2,246 |
2,179 |
$19K |
| J0171 |
Adrenalin epinephrine inject |
2,835 |
2,489 |
$19K |
| 99384 |
|
293 |
285 |
$19K |
| G0127 |
Trim nail(s) |
5,255 |
5,018 |
$19K |
| 86709 |
|
2,593 |
2,484 |
$19K |
| 86735 |
|
2,407 |
2,321 |
$19K |
| G0439 |
Ppps, subseq visit |
5,796 |
5,695 |
$19K |
| 86769 |
|
763 |
735 |
$19K |
| 86376 |
|
1,976 |
1,897 |
$19K |
| 86200 |
|
2,845 |
2,749 |
$19K |
| M0243 |
Casirivi and imdevi inj |
66 |
66 |
$18K |
| 87177 |
|
3,301 |
3,141 |
$18K |
| 87206 |
|
4,266 |
3,612 |
$18K |
| J9041 |
Injection, bortezomib, 0.1mg |
201 |
49 |
$18K |
| 82610 |
|
3,252 |
2,788 |
$18K |
| 74246 |
|
120 |
120 |
$18K |
| 88312 |
|
1,523 |
1,468 |
$18K |
| 87045 |
|
3,172 |
3,014 |
$18K |
| J7030 |
Normal saline solution infus |
4,581 |
4,047 |
$18K |
| 85240 |
|
1,337 |
1,251 |
$18K |
| 87046 |
|
3,158 |
3,001 |
$18K |
| 83010 |
|
2,756 |
2,452 |
$18K |
| 58661 |
|
12 |
12 |
$18K |
| J2270 |
Morphine sulfate injection |
14,001 |
11,143 |
$18K |
| 72050 |
|
509 |
494 |
$17K |
| 83021 |
|
1,165 |
1,135 |
$17K |
| G0498 |
Chemo extend iv infus w/pump |
714 |
407 |
$17K |
| 82088 |
|
771 |
741 |
$17K |
| 90632 |
|
771 |
753 |
$17K |
| 87529 |
|
739 |
718 |
$17K |
| 90836 |
|
1,269 |
1,051 |
$17K |
| J2795 |
Ropivacaine hcl injection |
6,252 |
5,579 |
$17K |
| 95910 |
|
180 |
179 |
$16K |
| 86800 |
|
2,037 |
1,939 |
$16K |
| 76376 |
|
226 |
208 |
$16K |
| 94727 |
|
721 |
691 |
$16K |
| 77077 |
|
490 |
475 |
$16K |
| 85384 |
|
3,175 |
2,544 |
$16K |
| 64483 |
|
28 |
27 |
$16K |
| 93924 |
|
176 |
166 |
$16K |
| ATP04 |
|
2,845 |
2,526 |
$16K |
| 83498 |
|
737 |
724 |
$16K |
| 86146 |
|
1,146 |
928 |
$16K |
| 73200 |
|
334 |
318 |
$15K |
| 93454 |
|
12 |
12 |
$15K |
| 87486 |
|
550 |
529 |
$15K |
| 87581 |
|
549 |
528 |
$15K |
| 86945 |
|
1,722 |
736 |
$15K |
| J0692 |
Cefepime hcl for injection |
2,897 |
1,619 |
$15K |
| 19081 |
|
26 |
26 |
$15K |
| 90734 |
|
7,211 |
7,129 |
$15K |
| Q0162 |
Ondansetron oral |
9,290 |
5,072 |
$15K |
| 91320 |
|
762 |
745 |
$15K |
| 82150 |
|
3,940 |
3,253 |
$15K |
| 85246 |
|
831 |
796 |
$15K |
| G0008 |
Admin influenza virus vac |
14,951 |
14,771 |
$15K |
| 86664 |
|
1,307 |
1,236 |
$15K |
| 73000 |
|
414 |
366 |
$14K |
| 75561 |
|
66 |
62 |
$14K |
| 87811 |
|
522 |
512 |
$14K |
| 96136 |
|
291 |
285 |
$14K |
| J1447 |
Inj tbo filgrastim 1 microg |
59 |
39 |
$14K |
| J9171 |
Docetaxel injection |
79 |
52 |
$14K |
| 87184 |
|
2,765 |
2,548 |
$14K |
| 87269 |
|
1,815 |
1,728 |
$14K |
| 87272 |
|
1,815 |
1,727 |
$14K |
| 82010 |
|
2,186 |
1,856 |
$14K |
| 89051 |
|
3,328 |
2,893 |
$14K |
| 76981 |
|
164 |
162 |
$14K |
| J2370 |
Phenylephrine hcl injection |
13,072 |
10,494 |
$14K |
| J7060 |
5% dextrose/water |
11,570 |
6,050 |
$14K |
| 78264 |
|
54 |
54 |
$14K |
| 91200 |
|
328 |
293 |
$14K |
| 0074A |
|
346 |
342 |
$13K |
| 87324 |
|
2,161 |
2,016 |
$13K |
| 85245 |
|
717 |
685 |
$13K |
| 86325 |
|
1,635 |
1,487 |
$13K |
| 86580 |
|
1,826 |
1,758 |
$13K |
| 76775 |
|
251 |
239 |
$13K |
| 86431 |
|
4,423 |
4,275 |
$13K |
| 29540 |
|
180 |
170 |
$13K |
| 0011A |
|
426 |
395 |
$13K |
| 83525 |
|
1,882 |
1,829 |
$13K |
| 82024 |
|
614 |
579 |
$13K |
| J1720 |
Hydrocortisone sodium succ i |
2,052 |
1,563 |
$13K |
| 11042 |
|
116 |
86 |
$13K |
| 0031A |
|
366 |
284 |
$13K |
| 80177 |
|
1,739 |
1,580 |
$12K |
| 83521 |
|
5,867 |
5,255 |
$12K |
| J0780 |
Prochlorperazine injection |
1,619 |
1,185 |
$12K |
| 83921 |
|
1,514 |
1,467 |
$12K |
| 86644 |
|
1,217 |
1,138 |
$12K |
| 90620 |
|
168 |
166 |
$12K |
| 86357 |
|
830 |
764 |
$12K |
| 84432 |
|
1,522 |
1,437 |
$12K |
| 80175 |
|
1,812 |
1,687 |
$12K |
| 72146 |
|
171 |
161 |
$12K |
| J0640 |
Leucovorin calcium injection |
3,205 |
1,731 |
$12K |
| 71101 |
|
785 |
767 |
$12K |
| 84445 |
|
329 |
321 |
$12K |
| J0561 |
Penicillin g benzathine inj |
111 |
90 |
$12K |
| 99218 |
|
109 |
78 |
$12K |
| ATP02 |
|
3,007 |
2,573 |
$11K |
| J2426 |
Inj, invega sustenna, 1 mg |
18 |
12 |
$11K |
| 93226 |
|
521 |
488 |
$11K |
| 82248 |
|
18,015 |
13,117 |
$11K |
| ATP19 |
|
1,651 |
1,276 |
$11K |
| 12002 |
|
65 |
61 |
$11K |
| J7999 |
Compounded drug, noc |
2,502 |
1,973 |
$11K |
| ATP05 |
|
1,692 |
1,447 |
$11K |
| 72157 |
|
194 |
188 |
$11K |
| 86021 |
|
1,156 |
1,098 |
$11K |
| 87106 |
|
1,436 |
1,348 |
$10K |
| 87329 |
|
1,462 |
1,396 |
$10K |
| ATP13 |
|
1,409 |
1,160 |
$10K |
| 84244 |
|
845 |
817 |
$10K |
| C7900 |
Hopd mntl hlt, 15-29 min |
1,368 |
889 |
$10K |
| 36589 |
|
55 |
52 |
$10K |
| 87075 |
|
1,334 |
1,208 |
$10K |
| J9045 |
Carboplatin injection |
2,318 |
1,436 |
$9K |
| 80069 |
|
12,078 |
10,231 |
$9K |
| 80400 |
|
614 |
585 |
$9K |
| 82274 |
|
1,165 |
1,121 |
$9K |
| 78431 |
|
30 |
30 |
$9K |
| 86870 |
|
671 |
538 |
$9K |
| 38525 |
|
13 |
12 |
$9K |
| 29125 |
|
78 |
75 |
$9K |
| 93246 |
|
1,808 |
1,740 |
$9K |
| 86317 |
|
218 |
158 |
$9K |
| 81228 |
|
13 |
13 |
$9K |
| 90656 |
|
1,231 |
1,156 |
$9K |
| 94760 |
|
5,701 |
5,346 |
$9K |
| 82787 |
|
622 |
573 |
$9K |
| 84132 |
|
6,368 |
5,288 |
$9K |
| 83519 |
|
980 |
866 |
$8K |
| 74221 |
|
68 |
68 |
$8K |
| 0012A |
|
255 |
229 |
$8K |
| 29425 |
|
35 |
33 |
$8K |
| 73701 |
|
69 |
63 |
$8K |
| 90707 |
|
5,029 |
4,984 |
$8K |
| 95923 |
|
25 |
25 |
$8K |
| 84154 |
|
1,445 |
1,413 |
$8K |
| 80178 |
|
2,888 |
2,593 |
$8K |
| 74220 |
|
146 |
137 |
$8K |
| 87252 |
|
422 |
400 |
$8K |
| 73660 |
|
501 |
473 |
$8K |
| 84550 |
|
14,417 |
11,746 |
$8K |
| J2920 |
Methylprednisolone injection |
2,420 |
1,783 |
$8K |
| J0295 |
Ampicillin sulbactam 1.5 gm |
1,897 |
883 |
$7K |
| 27096 |
|
12 |
12 |
$7K |
| 90716 |
|
4,604 |
4,570 |
$7K |
| C9803 |
Hopd covid-19 spec collect |
5,323 |
5,016 |
$7K |
| 69210 |
|
446 |
422 |
$7K |
| J0689 |
Inj cefazolin sodium, baxter |
888 |
534 |
$7K |
| 86592 |
|
2,578 |
2,456 |
$7K |
| 83090 |
|
800 |
768 |
$7K |
| 97763 |
|
423 |
293 |
$7K |
| 99417 |
Prolong home eval add 15m |
242 |
222 |
$7K |
| 0052A |
|
160 |
158 |
$7K |
| 84207 |
|
503 |
489 |
$7K |
| 88262 |
|
79 |
78 |
$7K |
| 88142 |
|
522 |
515 |
$7K |
| 99442 |
|
1,374 |
1,323 |
$7K |
| J9000 |
Doxorubicin hcl injection |
751 |
443 |
$6K |
| 87299 |
|
933 |
806 |
$6K |
| 87210 |
|
2,006 |
1,689 |
$6K |
| 17000 |
|
51 |
50 |
$6K |
| 29405 |
|
27 |
25 |
$6K |
| 77370 |
|
170 |
140 |
$6K |
| 73120 |
|
632 |
412 |
$6K |
| J0134 |
Inj acetaminophen -fresenius |
2,388 |
2,153 |
$6K |
| 31575 |
|
40 |
36 |
$6K |
| 84630 |
|
730 |
710 |
$6K |
| 69209 |
|
99 |
95 |
$6K |
| 83930 |
|
1,655 |
1,477 |
$6K |
| 11100 |
|
25 |
25 |
$6K |
| 82962 |
|
22,744 |
19,611 |
$6K |
| A9552 |
F18 fdg |
3,329 |
3,124 |
$6K |
| 20550 |
|
24 |
24 |
$6K |
| 87661 |
|
328 |
311 |
$6K |
| 82390 |
|
800 |
767 |
$6K |
| P9021 |
Red blood cells unit |
478 |
380 |
$5K |
| M0245 |
Bamlan and etesev infusion |
24 |
22 |
$5K |
| 82103 |
|
646 |
630 |
$5K |
| 82810 |
|
1,139 |
996 |
$5K |
| 0003A |
|
236 |
231 |
$5K |
| M0220 |
Tixagev and cilgav inj |
123 |
118 |
$5K |
| 77012 |
|
271 |
252 |
$5K |
| 0064A |
|
221 |
208 |
$5K |
| 95812 |
|
13 |
13 |
$5K |
| J9206 |
Irinotecan injection |
1,251 |
649 |
$5K |
| 85520 |
|
677 |
586 |
$5K |
| 84295 |
|
4,165 |
3,334 |
$5K |
| 36410 |
|
4,519 |
4,154 |
$5K |
| 97533 |
|
28 |
14 |
$5K |
| 73503 |
|
168 |
160 |
$5K |
| C1751 |
Cath, inf, per/cent/midline |
364 |
332 |
$5K |
| 11720 |
|
447 |
441 |
$5K |
| 82172 |
|
371 |
360 |
$5K |
| J7040 |
Normal saline solution infus |
3,391 |
2,194 |
$5K |
| 80202 |
|
677 |
312 |
$5K |
| 87636 |
|
170 |
143 |
$5K |
| J1642 |
Inj heparin sodium per 10 u |
194 |
171 |
$5K |
| 86705 |
|
688 |
667 |
$5K |
| Q0222 |
Bebtelovimab 175 mg |
92 |
92 |
$5K |
| 82977 |
|
4,869 |
4,433 |
$5K |
| 77523 |
|
124 |
13 |
$5K |
| G8978 |
Mobility current status |
1,823 |
1,661 |
$5K |
| 88365 |
|
56 |
52 |
$5K |
| 38222 |
|
16 |
15 |
$5K |
| 88381 |
|
100 |
98 |
$5K |
| 96138 |
|
167 |
166 |
$5K |
| J8540 |
Oral dexamethasone |
16,504 |
8,963 |
$5K |
| 99153 |
Mod sedat endo service >5yrs |
9,194 |
8,702 |
$5K |
| 62270 |
|
15 |
13 |
$5K |
| C7901 |
Hopd mntl hlt, 30-60 min |
3,225 |
1,497 |
$5K |
| 84590 |
|
753 |
737 |
$4K |
| 84300 |
|
1,883 |
1,637 |
$4K |
| 77307 |
|
31 |
30 |
$4K |
| 0296T |
|
1,670 |
1,590 |
$4K |
| 87274 |
|
568 |
538 |
$4K |
| 87290 |
|
567 |
537 |
$4K |
| 83835 |
|
394 |
363 |
$4K |
| 10061 |
|
42 |
42 |
$4K |
| 0083A |
|
90 |
90 |
$4K |
| 80143 |
|
565 |
541 |
$4K |
| 83935 |
|
1,239 |
1,079 |
$4K |
| 80179 |
|
472 |
459 |
$4K |
| 82565 |
|
6,394 |
5,867 |
$4K |
| 20552 |
|
29 |
28 |
$4K |
| 85307 |
|
413 |
382 |
$4K |
| 11976 |
|
13 |
13 |
$4K |
| 80195 |
|
806 |
515 |
$4K |
| 0173A |
|
109 |
105 |
$4K |
| 11721 |
|
248 |
238 |
$4K |
| A9500 |
Tc99m sestamibi |
4,508 |
4,298 |
$3K |
| 88311 |
|
828 |
788 |
$3K |
| 85300 |
|
453 |
402 |
$3K |
| 83789 |
|
354 |
325 |
$3K |
| 20605 |
|
27 |
24 |
$3K |
| 81240 |
|
164 |
150 |
$3K |
| 74175 |
|
149 |
140 |
$3K |
| 82310 |
|
4,472 |
4,219 |
$3K |
| 85303 |
|
353 |
327 |
$3K |
| 75572 |
|
54 |
52 |
$3K |
| 87563 |
|
165 |
155 |
$3K |
| J0461 |
Atropine sulfate injection |
1,279 |
750 |
$3K |
| 86703 |
|
307 |
289 |
$3K |
| 85305 |
|
372 |
348 |
$3K |
| J0694 |
Cefoxitin sodium injection |
126 |
65 |
$3K |
| M0247 |
Sotrovimab infusion |
84 |
80 |
$3K |
| 82945 |
|
1,323 |
1,168 |
$3K |
| 90474 |
|
2,351 |
2,341 |
$3K |
| 58340 |
|
13 |
12 |
$3K |
| 86341 |
|
203 |
192 |
$3K |
| 84134 |
|
351 |
307 |
$3K |
| 84402 |
|
181 |
175 |
$3K |
| ATP12 |
|
478 |
394 |
$2K |
| 80156 |
|
388 |
372 |
$2K |
| 70543 |
|
12 |
12 |
$2K |
| M0222 |
Bebtelovimab injection |
17 |
17 |
$2K |
| 91120 |
|
13 |
13 |
$2K |
| 70487 |
|
25 |
24 |
$2K |
| 84466 |
|
326 |
303 |
$2K |
| G0103 |
Psa screening |
2,723 |
2,687 |
$2K |
| 82657 |
|
174 |
165 |
$2K |
| 76706 |
|
90 |
87 |
$2K |
| J0137 |
Inj, acetaminophen (hikma) |
1,352 |
1,213 |
$2K |
| P9035 |
Platelet pheres leukoreduced |
117 |
37 |
$2K |
| 87807 |
|
210 |
201 |
$2K |
| 82180 |
|
293 |
283 |
$2K |
| 88331 |
|
191 |
173 |
$2K |
| 82085 |
|
470 |
431 |
$2K |
| 94010 |
|
72 |
70 |
$2K |
| G2211 |
Complex e/m visit add on |
901 |
821 |
$2K |
| J3360 |
Diazepam injection |
572 |
392 |
$2K |
| 96377 |
|
650 |
477 |
$2K |
| 72190 |
|
62 |
58 |
$2K |
| 93798 |
|
68 |
28 |
$2K |
| 96111 |
|
45 |
35 |
$2K |
| 84681 |
|
162 |
156 |
$2K |
| 85018 |
|
1,925 |
1,660 |
$2K |
| J3590 |
Unclassified biologics |
116 |
57 |
$2K |
| 82668 |
|
258 |
246 |
$2K |
| G0009 |
Admin pneumococcal vaccine |
3,434 |
3,380 |
$2K |
| J9190 |
Fluorouracil injection |
6,679 |
2,337 |
$2K |
| 95924 |
|
24 |
24 |
$2K |
| 72131 |
|
156 |
142 |
$2K |
| 87505 |
|
35 |
30 |
$2K |
| J7300 |
Intra copp contra (paragard) |
12 |
12 |
$2K |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
1,661 |
1,433 |
$2K |
| 99195 |
|
29 |
26 |
$2K |
| 83695 |
|
261 |
250 |
$1K |
| 0134A |
|
64 |
64 |
$1K |
| Q0091 |
Obtaining screen pap smear |
12,362 |
11,473 |
$1K |
| 76098 |
|
68 |
64 |
$1K |
| 88368 |
|
40 |
36 |
$1K |
| 93350 |
|
27 |
26 |
$1K |
| J3301 |
Triamcinolone acet inj nos |
1,998 |
1,912 |
$1K |
| 84155 |
|
3,195 |
2,808 |
$1K |
| 99493 |
|
70 |
69 |
$1K |
| J2785 |
Regadenoson injection |
2,539 |
2,432 |
$1K |
| 84144 |
|
91 |
85 |
$1K |
| 82379 |
|
177 |
161 |
$1K |
| J9267 |
Paclitaxel injection |
2,941 |
1,394 |
$1K |
| J2272 |
Inj, morphine (fresenius) |
709 |
577 |
$1K |
| 87804 |
|
214 |
198 |
$1K |
| S0028 |
Injection, famotidine, 20 mg |
192 |
157 |
$1K |
| J9370 |
Vincristine sulfate 1 mg inj |
940 |
651 |
$1K |
| 93242 |
|
290 |
284 |
$1K |
| 91122 |
|
16 |
14 |
$1K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
2,613 |
2,354 |
$1K |
| J3411 |
Thiamine hcl 100 mg |
443 |
313 |
$1K |
| 86308 |
|
278 |
255 |
$1K |
| J1836 |
Inj, metronidazole, 10 mg |
448 |
348 |
$1K |
| 82270 |
|
408 |
385 |
$1K |
| ATP06 |
|
182 |
159 |
$1K |
| J2765 |
Metoclopramide hcl injection |
7,006 |
5,896 |
$1K |
| 86707 |
|
169 |
164 |
$1K |
| 85014 |
|
497 |
497 |
$1K |
| 95911 |
|
24 |
24 |
$1K |
| 88172 |
|
75 |
73 |
$963.51 |
| 80230 |
|
55 |
54 |
$938.70 |
| 82465 |
|
922 |
851 |
$938.48 |
| G0257 |
Unsched dialysis esrd pt hos |
665 |
407 |
$914.14 |
| 84080 |
|
148 |
145 |
$881.32 |
| 82652 |
|
44 |
40 |
$852.34 |
| 94761 |
|
1,446 |
1,032 |
$845.39 |
| 86696 |
|
56 |
54 |
$840.60 |
| J1580 |
Garamycin gentamicin inj |
328 |
282 |
$827.03 |
| 0073A |
|
17 |
17 |
$779.79 |
| 84520 |
|
5,030 |
4,031 |
$779.57 |
| 82247 |
|
3,248 |
2,858 |
$773.11 |
| 87901 |
|
14 |
13 |
$763.56 |
| J2175 |
Meperidine hydrochl /100 mg |
939 |
897 |
$762.12 |
| 89060 |
|
238 |
224 |
$744.22 |
| J7507 |
Tacrolimus imme rel oral 1mg |
183 |
68 |
$741.33 |
| 82139 |
|
69 |
64 |
$734.54 |
| J2400 |
Chloroprocaine hcl injection |
13 |
12 |
$712.70 |
| J0330 |
Succinycholine chloride inj |
6,759 |
4,280 |
$695.57 |
| 84460 |
|
6,634 |
6,312 |
$675.20 |
| 87260 |
|
383 |
333 |
$673.17 |
| 87279 |
|
385 |
335 |
$673.17 |
| 99152 |
|
8,565 |
8,198 |
$669.68 |
| S0119 |
Ondansetron 4 mg |
9,846 |
8,526 |
$666.78 |
| 82365 |
|
78 |
76 |
$661.55 |
| G0270 |
Mnt subs tx for change dx |
53 |
52 |
$653.64 |
| 72220 |
|
39 |
39 |
$643.62 |
| 90473 |
|
21 |
21 |
$639.37 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
55 |
50 |
$635.56 |
| 82985 |
|
107 |
104 |
$627.66 |
| 87350 |
|
109 |
106 |
$622.70 |
| 84145 |
|
496 |
450 |
$611.00 |
| 86256 |
|
84 |
66 |
$609.07 |
| 0111A |
|
13 |
13 |
$596.31 |
| Q9969 |
Non-heu tc-99m add-on/dose |
1,395 |
1,347 |
$582.60 |
| 86695 |
|
56 |
54 |
$572.64 |
| 97164 |
|
29 |
27 |
$563.23 |
| 72202 |
|
28 |
27 |
$554.10 |
| M0223 |
Bebtelovimab injection home |
12 |
12 |
$550.50 |
| 90633 |
|
10,299 |
10,188 |
$545.32 |
| J2710 |
Neostigmine methylslfte inj |
2,855 |
2,532 |
$519.81 |
| 86008 |
|
281 |
258 |
$510.73 |
| 93041 |
|
868 |
506 |
$507.88 |
| 86880 |
|
201 |
192 |
$502.14 |
| 82525 |
|
52 |
52 |
$482.32 |
| 84450 |
|
5,780 |
5,469 |
$482.31 |
| 93010 |
|
101 |
86 |
$475.29 |
| G0500 |
Mod sedat endo service >5yrs |
5,165 |
5,023 |
$453.12 |
| 84235 |
|
14 |
13 |
$431.68 |
| 73600 |
|
33 |
29 |
$428.43 |
| 99202 |
|
13 |
13 |
$424.38 |
| 75635 |
|
14 |
14 |
$423.70 |
| 87427 |
|
57 |
53 |
$413.35 |
| 84446 |
|
55 |
52 |
$410.63 |
| 90621 |
|
27 |
26 |
$409.86 |
| 99494 |
|
63 |
61 |
$398.53 |
| 90688 |
|
694 |
690 |
$393.24 |
| 86645 |
|
30 |
28 |
$382.72 |
| 85613 |
|
84 |
82 |
$379.13 |
| 73620 |
|
57 |
40 |
$376.95 |
| 0053A |
|
14 |
13 |
$366.96 |
| C1729 |
Cath, drainage |
273 |
220 |
$354.76 |
| 82164 |
|
44 |
41 |
$331.12 |
| G8979 |
Mobility goal status |
1,882 |
1,712 |
$323.53 |
| H0046 |
Mental health service, nos |
15 |
13 |
$322.20 |
| 0034A |
|
16 |
16 |
$321.09 |
| 90682 |
|
17 |
17 |
$320.23 |
| J0688 |
Inj cefazolin sodium, hikma |
458 |
446 |
$312.91 |
| 82040 |
|
2,182 |
1,950 |
$307.57 |
| L4386 |
Non-pneum walk boot pre cst |
1,554 |
1,457 |
$302.36 |
| 86682 |
|
29 |
26 |
$292.75 |
| 85306 |
|
32 |
31 |
$279.68 |
| J3371 |
Inj, vancomycin hcl (mylan) |
291 |
274 |
$278.05 |
| 82166 |
|
24 |
13 |
$272.48 |
| 86777 |
|
28 |
28 |
$258.20 |
| 99492 |
|
15 |
15 |
$256.01 |
| 82542 |
|
14 |
13 |
$255.00 |
| C1725 |
Cath, translumin non-laser |
903 |
830 |
$252.29 |
| 83718 |
|
39 |
37 |
$251.28 |
| 97163 |
|
17 |
16 |
$250.51 |
| 0121A |
|
112 |
104 |
$242.11 |
| 87899 |
|
29 |
26 |
$236.98 |
| G0438 |
Ppps, initial visit |
196 |
191 |
$233.06 |
| 82955 |
|
38 |
37 |
$231.12 |
| 82239 |
|
15 |
12 |
$229.58 |
| J0670 |
Inj mepivacaine hcl/10 ml |
605 |
569 |
$227.66 |
| 80169 |
|
69 |
61 |
$225.60 |
| 87181 |
|
70 |
66 |
$217.09 |
| 90713 |
|
379 |
372 |
$211.95 |
| 80183 |
|
26 |
25 |
$205.53 |
| 73650 |
|
13 |
12 |
$188.52 |
| J7510 |
Prednisolone oral per 5 mg |
337 |
273 |
$184.29 |
| 84075 |
|
1,855 |
1,683 |
$174.06 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
317 |
173 |
$173.71 |
| 83986 |
|
68 |
65 |
$170.46 |
| J2919 |
Inj, methylpred sod succ 5mg |
444 |
291 |
$165.50 |
| 87207 |
|
49 |
39 |
$163.57 |
| J1790 |
Droperidol injection |
262 |
219 |
$162.06 |
| 80159 |
|
25 |
24 |
$159.93 |
| 87339 |
|
21 |
21 |
$153.53 |
| 87341 |
|
28 |
28 |
$150.72 |
| 84481 |
|
14 |
12 |
$139.76 |
| J1805 |
Inj, esmolol hcl, 10mg |
199 |
149 |
$138.70 |
| 80158 |
|
25 |
12 |
$131.68 |
| 36416 |
|
12,036 |
11,748 |
$128.09 |
| 95992 |
|
54 |
38 |
$116.08 |
| 84436 |
|
90 |
87 |
$115.50 |
| A9541 |
Tc99m sulfur colloid |
625 |
592 |
$111.63 |
| G0444 |
Depression screen annual |
212 |
210 |
$108.62 |
| 84133 |
|
44 |
40 |
$105.61 |
| 80185 |
|
24 |
24 |
$101.46 |
| J2540 |
Penicillin g potassium inj |
20 |
12 |
$97.30 |
| 80201 |
|
15 |
14 |
$94.59 |
| 90710 |
|
4,240 |
4,192 |
$91.88 |
| 82272 |
|
39 |
37 |
$91.71 |
| 93356 |
|
84 |
82 |
$88.36 |
| 87305 |
|
14 |
13 |
$84.56 |
| G0442 |
Annual alcohol screen 15 min |
144 |
142 |
$73.53 |
| 86036 |
|
433 |
416 |
$66.81 |
| Q9950 |
Inj sulf hexa lipid microsph |
222 |
200 |
$56.73 |
| 86316 |
|
13 |
12 |
$55.05 |
| 96040 |
|
521 |
510 |
$44.03 |
| 84478 |
|
286 |
190 |
$31.26 |
| 99441 |
|
17 |
17 |
$30.68 |
| J3480 |
Inj potassium chloride |
838 |
651 |
$28.27 |
| J1815 |
Insulin injection |
21 |
15 |
$27.02 |
| 80348 |
|
2,646 |
1,797 |
$26.90 |
| L3808 |
Whfo, rigid w/o joints |
409 |
393 |
$24.31 |
| 86037 |
|
108 |
106 |
$22.27 |
| 00731 |
|
12 |
12 |
$18.53 |
| A9503 |
Tc99m medronate |
333 |
312 |
$18.06 |
| J1920 |
Inj, labetalol hcl, 5mg |
170 |
129 |
$16.03 |
| J0280 |
Aminophyllin 250 mg inj |
32 |
28 |
$11.39 |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
1,293 |
1,264 |
$6.48 |
| J0744 |
Ciprofloxacin iv |
202 |
167 |
$4.80 |
| 96125 |
|
79 |
55 |
$4.63 |
| C9113 |
Inj pantoprazole sodium, via |
605 |
381 |
$3.76 |
| J3420 |
Vitamin b12 injection |
3,289 |
2,839 |
$2.46 |
| J1940 |
Furosemide injection |
2,210 |
1,602 |
$1.28 |
| Q0163 |
Diphenhydramine hcl 50mg |
2,835 |
1,747 |
$1.05 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
39 |
37 |
$0.32 |
| 90749 |
|
396 |
385 |
$0.10 |
| G1004 |
Cdsm ndsc |
6,875 |
5,520 |
$0.01 |
| 90648 |
|
13,127 |
12,970 |
$0.00 |
| L3010 |
Foot longitudinal arch suppo |
306 |
281 |
$0.00 |
| L3908 |
Who cock-up nonmolde pre ots |
871 |
835 |
$0.00 |
| 91300 |
|
14,642 |
11,372 |
$0.00 |
| J0735 |
Clonidine hydrochloride |
174 |
168 |
$0.00 |
| J9060 |
Cisplatin 10 mg injection |
499 |
229 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
863 |
817 |
$0.00 |
| 80356 |
|
2,646 |
1,796 |
$0.00 |
| 76821 |
|
127 |
119 |
$0.00 |
| 90685 |
|
745 |
730 |
$0.00 |
| J1956 |
Levofloxacin injection |
13 |
12 |
$0.00 |
| L3913 |
Hfo w/o joints cf |
458 |
429 |
$0.00 |
| 90700 |
|
4,079 |
4,029 |
$0.00 |
| L3807 |
Whfo w/o joints pre cst |
352 |
344 |
$0.00 |
| J1953 |
Levetiracetam injection |
179 |
141 |
$0.00 |
| J2720 |
Inj protamine sulfate/10 mg |
26 |
24 |
$0.00 |
| G8984 |
Carry current status |
424 |
407 |
$0.00 |
| G0101 |
Ca screen;pelvic/breast exam |
14 |
14 |
$0.00 |
| C1758 |
Catheter, ureteral |
12 |
12 |
$0.00 |
| 80364 |
|
2,645 |
1,796 |
$0.00 |
| G8997 |
Swallow goal status |
71 |
67 |
$0.00 |
| 91312 |
|
1,352 |
1,330 |
$0.00 |
| C1760 |
Closure dev, vasc |
53 |
51 |
$0.00 |
| G8985 |
Carry goal status |
438 |
420 |
$0.00 |
| 80365 |
|
2,639 |
1,791 |
$0.00 |
| 78434 |
|
30 |
30 |
$0.00 |
| 80346 |
|
2,673 |
1,821 |
$0.00 |
| 76827 |
|
124 |
117 |
$0.00 |
| G8996 |
Swallow current status |
71 |
67 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
97 |
95 |
$0.00 |
| 51702 |
|
90 |
79 |
$0.00 |
| J0736 |
Inj, clindamycin phosp 300mg |
20 |
12 |
$0.00 |
| 51701 |
|
27 |
26 |
$0.00 |
| J0153 |
Adenosine inj 1mg |
134 |
126 |
$0.00 |
| P9045 |
Albumin (human), 5%, 250 ml |
13 |
12 |
$0.00 |
| G8989 |
Self care d/c status |
32 |
27 |
$0.00 |
| L1832 |
Ko adj jnt pos r sup pre cst |
25 |
25 |
$0.00 |
| 99401 |
|
12 |
12 |
$0.00 |
| C8929 |
Tte w or wo fol wcon,doppler |
13 |
12 |
$0.00 |
| 82653 |
|
12 |
12 |
$0.00 |
| U0001 |
2019-ncov diagnostic p |
45 |
42 |
$0.00 |
| 90672 |
|
24 |
24 |
$0.00 |
| M0248 |
Sotrovimab inf, home admin |
15 |
15 |
$0.00 |
| J2359 |
Inj. olanzapine, 0.5mg |
26 |
13 |
$0.00 |
| 0151A |
|
12 |
12 |
$0.00 |
| 96113 |
|
13 |
13 |
$0.00 |
| 90680 |
|
11,322 |
11,204 |
$0.00 |
| 76820 |
|
128 |
120 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
674 |
598 |
$0.00 |
| G8982 |
Body pos goal status |
150 |
145 |
$0.00 |
| 90697 |
|
2,358 |
2,351 |
$0.00 |
| 90698 |
|
270 |
268 |
$0.00 |
| L4350 |
Ankle control ortho pre ots |
432 |
418 |
$0.00 |
| 76825 |
|
123 |
117 |
$0.00 |
| 87493 |
|
278 |
255 |
$0.00 |
| Q0164 |
Prochlorperazine maleate 5mg |
482 |
240 |
$0.00 |
| G0010 |
Admin hepatitis b vaccine |
109 |
108 |
$0.00 |
| Q0221 |
Tixagev and cilgav, 600mg |
12 |
12 |
$0.00 |
| L3906 |
Who w/o joints cf |
27 |
26 |
$0.00 |
| 80329 |
|
276 |
252 |
$0.00 |
| G8987 |
Self care current status |
245 |
221 |
$0.00 |
| 36591 |
|
291 |
229 |
$0.00 |
| 90723 |
|
9,034 |
8,921 |
$0.00 |
| 80320 |
|
1,188 |
988 |
$0.00 |
| G8988 |
Self care goal status |
251 |
225 |
$0.00 |
| 90744 |
|
1,511 |
1,487 |
$0.00 |
| J0610 |
Calcium glucon (fresenius) |
314 |
235 |
$0.00 |
| 86381 |
|
240 |
228 |
$0.00 |
| 96112 |
|
216 |
168 |
$0.00 |
| 80327 |
|
28 |
24 |
$0.00 |
| L3923 |
Hfo without joints pre cst |
219 |
211 |
$0.00 |
| 91301 |
|
479 |
426 |
$0.00 |
| C1889 |
Implant/insert device, noc |
82 |
79 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
59 |
50 |
$0.00 |
| 80353 |
|
2,645 |
1,796 |
$0.00 |
| G8986 |
Carry d/c status |
194 |
190 |
$0.00 |
| C1819 |
Tissue localization-excision |
13 |
12 |
$0.00 |
| G8980 |
Mobility d/c status |
678 |
619 |
$0.00 |
| 80358 |
|
2,646 |
1,797 |
$0.00 |
| L8030 |
Breast prosthes w/o adhesive |
13 |
13 |
$0.00 |
| A9540 |
Tc99m maa |
14 |
14 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
141 |
134 |
$0.00 |
| A9555 |
Rb82 rubidium |
42 |
42 |
$0.00 |
| G0123 |
Screen cerv/vag thin layer |
31 |
30 |
$0.00 |
| J2305 |
Inj, nitroglycerin, 5 mg |
42 |
29 |
$0.00 |
| J0611 |
Calcium glucon (wg critical) |
14 |
12 |
$0.00 |
| G8981 |
Body pos current status |
142 |
139 |
$0.00 |
| 91303 |
|
300 |
224 |
$0.00 |
| 80324 |
|
2,645 |
1,796 |
$0.00 |
| L4360 |
Pneumat walking boot pre cst |
135 |
132 |
$0.00 |
| L3933 |
Fo w/o joints cf |
50 |
48 |
$0.00 |
| L8000 |
Mastectomy bra |
42 |
42 |
$0.00 |
| J0456 |
Azithromycin |
12 |
12 |
$0.00 |
| A9585 |
Gadobutrol injection |
24 |
24 |
$0.00 |
| G8998 |
Swallow d/c status |
13 |
13 |
$0.00 |
| 91307 |
|
33 |
17 |
$0.00 |
| 82435 |
|
28 |
27 |
$0.00 |
| L4205 |
Ortho dvc repair per 15 min |
16 |
12 |
$0.00 |