| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
60,872 |
56,631 |
$25.19M |
| 99284 |
|
81,360 |
76,637 |
$13.89M |
| 99283 |
|
102,906 |
97,523 |
$13.74M |
| G0463 |
Hospital outpt clinic visit |
215,313 |
192,819 |
$11.42M |
| G0378 |
Hospital observation per hr |
28,350 |
24,184 |
$8.25M |
| J9271 |
Inj pembrolizumab |
861 |
688 |
$4.88M |
| 96374 |
|
52,494 |
48,415 |
$3.95M |
| 99282 |
|
29,193 |
27,641 |
$2.78M |
| 87591 |
|
140,635 |
136,571 |
$2.49M |
| 87491 |
|
141,171 |
136,961 |
$2.48M |
| 80061 |
|
196,633 |
193,751 |
$2.25M |
| 82306 |
|
133,971 |
131,956 |
$2.24M |
| 96413 |
|
13,117 |
7,998 |
$2.14M |
| 99291 |
|
3,529 |
3,446 |
$1.93M |
| 84443 |
|
198,677 |
194,743 |
$1.93M |
| 99281 |
|
25,553 |
23,959 |
$1.64M |
| 87661 |
|
100,077 |
97,318 |
$1.56M |
| 80053 |
|
259,862 |
246,318 |
$1.40M |
| 96365 |
|
14,648 |
10,399 |
$1.36M |
| 71046 |
|
38,053 |
36,140 |
$1.22M |
| 99391 |
|
22,085 |
20,556 |
$1.22M |
| 96361 |
|
33,143 |
29,441 |
$1.20M |
| 82947 |
|
63,022 |
50,967 |
$1.18M |
| 85025 |
|
384,322 |
346,923 |
$1.17M |
| 96360 |
|
12,428 |
11,376 |
$1.14M |
| 93306 |
|
5,737 |
5,614 |
$997K |
| 93975 |
|
9,982 |
9,607 |
$971K |
| 96372 |
|
44,064 |
38,191 |
$948K |
| 70450 |
|
13,330 |
12,831 |
$947K |
| 87390 |
|
70,693 |
69,700 |
$937K |
| 83036 |
|
166,416 |
164,052 |
$931K |
| 99392 |
|
15,691 |
15,498 |
$896K |
| 76811 |
|
6,848 |
6,771 |
$817K |
| 96375 |
|
30,976 |
24,707 |
$804K |
| 93458 |
|
520 |
503 |
$778K |
| 59025 |
|
8,413 |
3,309 |
$764K |
| 74177 |
|
8,864 |
8,655 |
$758K |
| 77067 |
|
14,120 |
14,048 |
$701K |
| 11042 |
|
3,895 |
1,960 |
$698K |
| 43239 |
|
1,931 |
1,848 |
$693K |
| 97110 |
|
26,563 |
7,671 |
$655K |
| 81514 |
|
3,647 |
3,620 |
$616K |
| U0003 |
Cov-19 amp prb hgh thruput |
13,473 |
13,134 |
$608K |
| U0002 |
Covid-19 lab test non-cdc |
22,077 |
21,278 |
$567K |
| 86702 |
|
71,221 |
70,224 |
$543K |
| 80074 |
|
20,124 |
19,893 |
$541K |
| 42820 |
|
178 |
178 |
$518K |
| 82607 |
|
57,079 |
56,408 |
$508K |
| 90460 |
|
23,608 |
23,312 |
$501K |
| 80307 |
|
43,967 |
39,338 |
$487K |
| 86003 |
|
4,827 |
4,577 |
$470K |
| 86803 |
|
54,405 |
53,738 |
$463K |
| 86780 |
|
54,070 |
53,123 |
$461K |
| 87624 |
|
21,848 |
21,666 |
$456K |
| 88175 |
|
23,520 |
23,499 |
$450K |
| 78452 |
|
1,195 |
1,160 |
$444K |
| J0897 |
Denosumab injection |
402 |
390 |
$407K |
| 90471 |
|
28,671 |
27,836 |
$406K |
| 76801 |
|
8,358 |
7,726 |
$406K |
| 76830 |
|
7,068 |
6,943 |
$367K |
| 87086 |
|
88,927 |
85,369 |
$365K |
| 86701 |
|
71,073 |
70,134 |
$357K |
| 84439 |
|
65,799 |
64,553 |
$349K |
| 76816 |
|
7,763 |
6,989 |
$346K |
| 71045 |
|
12,253 |
11,630 |
$330K |
| 76856 |
|
7,801 |
7,659 |
$320K |
| Q5103 |
Injection, inflectra |
411 |
383 |
$318K |
| 71260 |
|
3,219 |
3,176 |
$307K |
| 45378 |
|
733 |
718 |
$302K |
| 76700 |
|
5,154 |
5,080 |
$301K |
| 70553 |
|
1,568 |
1,555 |
$301K |
| 82728 |
|
35,859 |
35,015 |
$287K |
| 78815 |
|
356 |
348 |
$276K |
| 31579 |
|
1,330 |
1,263 |
$269K |
| 86900 |
|
32,755 |
31,334 |
$259K |
| 99396 |
|
9,262 |
8,999 |
$250K |
| 84702 |
|
39,342 |
34,075 |
$246K |
| 96416 |
|
1,419 |
864 |
$237K |
| 99393 |
|
9,863 |
9,781 |
$234K |
| 80048 |
|
125,848 |
110,597 |
$229K |
| 97140 |
|
14,513 |
4,334 |
$221K |
| 99395 |
|
8,039 |
7,822 |
$220K |
| 90677 |
|
2,265 |
2,259 |
$219K |
| 96367 |
|
5,246 |
3,458 |
$213K |
| G0103 |
Psa screening |
18,465 |
18,292 |
$207K |
| 74176 |
|
2,503 |
2,462 |
$205K |
| 83550 |
|
39,831 |
39,043 |
$204K |
| 93303 |
|
722 |
700 |
$203K |
| 83735 |
|
65,406 |
58,754 |
$194K |
| 90670 |
|
11,692 |
11,447 |
$194K |
| 87340 |
|
33,513 |
33,054 |
$190K |
| 90651 |
|
3,488 |
3,403 |
$185K |
| 87637 |
|
2,891 |
2,807 |
$176K |
| 31231 |
|
2,071 |
2,042 |
$174K |
| 76642 |
|
4,546 |
4,246 |
$172K |
| 96415 |
|
4,043 |
2,858 |
$172K |
| 71275 |
|
3,233 |
3,159 |
$168K |
| 77063 |
|
12,486 |
12,448 |
$167K |
| 36415 |
|
303,320 |
273,288 |
$165K |
| 83970 |
|
7,014 |
6,719 |
$163K |
| 83540 |
|
42,246 |
41,375 |
$162K |
| 88305 |
|
12,997 |
12,114 |
$159K |
| 86769 |
|
6,449 |
6,319 |
$158K |
| 92507 |
|
3,900 |
1,547 |
$156K |
| 96417 |
|
3,992 |
2,655 |
$152K |
| 72148 |
|
1,810 |
1,794 |
$152K |
| 97161 |
|
2,767 |
2,680 |
$150K |
| 85027 |
|
57,561 |
53,646 |
$147K |
| 76770 |
|
3,072 |
3,035 |
$143K |
| 96366 |
|
4,963 |
3,908 |
$143K |
| U0005 |
Infec agen detec ampli probe |
9,679 |
9,467 |
$141K |
| 31575 |
|
1,813 |
1,782 |
$140K |
| 87635 |
|
4,844 |
4,674 |
$136K |
| 76536 |
|
2,696 |
2,682 |
$135K |
| J2505 |
Injection, pegfilgrastim 6mg |
116 |
91 |
$135K |
| 99394 |
|
5,275 |
5,197 |
$132K |
| 76705 |
|
2,504 |
2,473 |
$132K |
| 93970 |
|
1,539 |
1,514 |
$131K |
| 58558 |
|
92 |
89 |
$129K |
| 87070 |
|
27,668 |
27,149 |
$129K |
| 97530 |
|
5,576 |
3,197 |
$127K |
| 10060 |
|
1,765 |
1,723 |
$126K |
| 90472 |
|
7,720 |
7,527 |
$125K |
| 82570 |
|
40,995 |
39,321 |
$122K |
| 84146 |
|
10,379 |
10,098 |
$121K |
| 97162 |
|
2,274 |
2,234 |
$119K |
| 83001 |
|
10,290 |
10,105 |
$116K |
| 93971 |
|
2,743 |
2,693 |
$115K |
| 81001 |
|
124,197 |
117,421 |
$115K |
| 82043 |
|
33,082 |
32,598 |
$114K |
| 82746 |
|
13,365 |
13,198 |
$113K |
| 87633 |
|
637 |
628 |
$112K |
| 69436 |
|
239 |
236 |
$110K |
| 84403 |
|
7,454 |
7,293 |
$110K |
| J9035 |
Bevacizumab injection |
65 |
37 |
$109K |
| 82670 |
|
6,410 |
6,288 |
$109K |
| 76805 |
|
1,850 |
1,802 |
$108K |
| 86696 |
|
9,980 |
9,853 |
$107K |
| 86762 |
|
13,300 |
13,121 |
$107K |
| 87529 |
|
3,813 |
2,902 |
$106K |
| A9270 |
Non-covered item or service |
112,442 |
88,176 |
$105K |
| 87536 |
|
2,200 |
2,159 |
$104K |
| 19083 |
|
133 |
132 |
$104K |
| 93304 |
|
406 |
383 |
$104K |
| 70496 |
|
1,476 |
1,435 |
$101K |
| 72141 |
|
914 |
905 |
$101K |
| J1453 |
Fosaprepitant injection |
1,963 |
1,304 |
$101K |
| 87502 |
|
13,261 |
13,053 |
$100K |
| 93976 |
|
2,424 |
2,367 |
$100K |
| 20610 |
|
620 |
548 |
$100K |
| 84480 |
|
11,415 |
11,250 |
$98K |
| 97112 |
|
4,448 |
1,731 |
$96K |
| 87088 |
|
23,771 |
23,149 |
$96K |
| 83002 |
|
8,541 |
8,375 |
$96K |
| 86038 |
|
13,594 |
13,388 |
$95K |
| 90686 |
|
12,294 |
12,037 |
$92K |
| 45380 |
|
197 |
195 |
$91K |
| 84550 |
|
38,201 |
36,627 |
$90K |
| G0480 |
Drug test def 1-7 classes |
4,171 |
3,691 |
$86K |
| 70491 |
|
930 |
915 |
$84K |
| J2469 |
Palonosetron hcl |
4,923 |
3,045 |
$82K |
| 93005 |
|
56,112 |
51,024 |
$80K |
| 87077 |
|
18,542 |
18,073 |
$80K |
| 82550 |
|
22,490 |
21,072 |
$79K |
| 87186 |
|
17,807 |
17,227 |
$78K |
| 84484 |
|
31,341 |
25,937 |
$77K |
| Q3014 |
Telehealth facility fee |
4,437 |
4,220 |
$77K |
| 76815 |
|
4,740 |
3,536 |
$75K |
| 83880 |
|
7,489 |
7,085 |
$73K |
| 86850 |
|
32,949 |
31,602 |
$73K |
| 86706 |
|
12,848 |
12,673 |
$73K |
| 83690 |
|
35,087 |
32,880 |
$72K |
| C8929 |
Tte w or wo fol wcon,doppler |
437 |
427 |
$71K |
| 73721 |
|
531 |
507 |
$69K |
| 90732 |
|
671 |
634 |
$68K |
| 70551 |
|
705 |
690 |
$68K |
| 77065 |
Tomosynthesis, mammo |
1,487 |
1,415 |
$68K |
| 77066 |
Tomosynthesis, mammo |
1,138 |
1,117 |
$67K |
| 86235 |
|
3,107 |
2,090 |
$66K |
| 99385 |
|
2,516 |
2,454 |
$66K |
| 83013 |
|
1,433 |
1,429 |
$66K |
| 84481 |
|
6,742 |
6,597 |
$65K |
| J9299 |
Injection, nivolumab |
15 |
12 |
$63K |
| 82784 |
|
6,077 |
4,961 |
$63K |
| 84144 |
|
4,858 |
4,439 |
$62K |
| 86695 |
|
8,523 |
8,413 |
$62K |
| 70486 |
|
3,465 |
3,396 |
$62K |
| 84402 |
|
4,236 |
4,171 |
$61K |
| 95819 |
|
858 |
847 |
$60K |
| 41899 |
|
27 |
27 |
$60K |
| 83615 |
|
20,856 |
19,331 |
$58K |
| Q0138 |
Ferumoxytol, non-esrd |
397 |
253 |
$57K |
| 86480 |
|
1,591 |
1,582 |
$56K |
| 86140 |
|
22,209 |
20,871 |
$56K |
| 84450 |
|
23,684 |
22,698 |
$54K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
3,346 |
3,237 |
$54K |
| 93017 |
|
1,725 |
1,676 |
$54K |
| 82105 |
|
6,310 |
6,199 |
$53K |
| 84460 |
|
22,696 |
21,730 |
$53K |
| 82627 |
|
3,786 |
3,724 |
$53K |
| 73562 |
|
6,924 |
6,544 |
$52K |
| 72100 |
|
4,347 |
4,293 |
$51K |
| Q5116 |
Inj., trazimera, 10 mg |
38 |
25 |
$51K |
| J9202 |
Goserelin acetate implant |
494 |
471 |
$51K |
| 97165 |
|
1,593 |
1,515 |
$50K |
| 82565 |
|
25,679 |
24,096 |
$50K |
| 83020 |
|
7,035 |
6,914 |
$49K |
| G0328 |
Fecal blood scrn immunoassay |
4,622 |
4,581 |
$49K |
| 87081 |
|
13,838 |
13,615 |
$49K |
| 45385 |
|
89 |
88 |
$48K |
| 96523 |
|
1,583 |
1,314 |
$47K |
| 96411 |
|
1,232 |
858 |
$47K |
| 87522 |
Neg quan hep c or qual rna |
1,961 |
1,926 |
$46K |
| 84100 |
|
22,525 |
20,265 |
$46K |
| 99386 |
|
1,551 |
1,526 |
$43K |
| 72125 |
|
7,415 |
7,195 |
$43K |
| 96402 |
|
1,909 |
1,775 |
$43K |
| 90715 |
|
10,762 |
10,500 |
$43K |
| 73630 |
|
8,235 |
7,684 |
$42K |
| Q5126 |
Inj alymsys 10 mg |
27 |
12 |
$42K |
| 88342 |
|
1,850 |
1,780 |
$41K |
| 97116 |
|
3,140 |
1,677 |
$41K |
| 82150 |
|
16,749 |
16,186 |
$41K |
| 86147 |
|
1,588 |
1,225 |
$40K |
| 99496 |
|
638 |
615 |
$40K |
| 85610 |
|
39,841 |
35,637 |
$40K |
| 90674 |
|
1,416 |
1,367 |
$39K |
| J1750 |
Inj iron dextran |
309 |
256 |
$39K |
| 82747 |
|
3,951 |
3,908 |
$39K |
| 71271 |
|
695 |
695 |
$39K |
| Q0091 |
Obtaining screen pap smear |
3,385 |
3,280 |
$39K |
| 82785 |
|
4,090 |
4,035 |
$39K |
| 86704 |
|
5,582 |
5,515 |
$38K |
| 86361 |
|
2,761 |
2,716 |
$37K |
| 81003 |
|
32,931 |
32,306 |
$37K |
| 96160 |
|
3,296 |
3,236 |
$37K |
| 83516 |
|
3,329 |
2,725 |
$37K |
| 80076 |
|
22,150 |
20,777 |
$37K |
| 85651 |
|
17,219 |
16,374 |
$36K |
| Q5122 |
Inj, nyvepria |
21 |
14 |
$36K |
| 93351 |
|
241 |
235 |
$36K |
| J9355 |
Inj trastuzumab excl biosimi |
19 |
12 |
$36K |
| 88307 |
|
633 |
606 |
$36K |
| 86334 |
|
2,814 |
2,729 |
$35K |
| 71250 |
|
642 |
635 |
$35K |
| 86376 |
|
4,040 |
3,967 |
$35K |
| 76817 |
|
10,591 |
9,710 |
$35K |
| 86225 |
|
4,408 |
4,318 |
$34K |
| 86870 |
|
761 |
706 |
$34K |
| 87801 |
|
1,721 |
1,694 |
$34K |
| G0475 |
Hiv combination assay |
2,077 |
2,074 |
$33K |
| 73610 |
|
5,813 |
5,543 |
$33K |
| 86901 |
|
32,734 |
31,315 |
$33K |
| 84520 |
|
22,627 |
21,451 |
$33K |
| 80051 |
|
16,187 |
15,515 |
$32K |
| 77080 |
|
512 |
511 |
$31K |
| 86787 |
|
4,087 |
3,980 |
$31K |
| 76818 |
|
483 |
317 |
$31K |
| J2506 |
Inj pegfilgrast ex bio 0.5mg |
39 |
31 |
$31K |
| 84703 |
|
9,595 |
9,357 |
$31K |
| 95117 |
|
1,535 |
823 |
$31K |
| 11043 |
|
97 |
66 |
$31K |
| 93308 |
|
509 |
499 |
$30K |
| 93454 |
|
25 |
25 |
$30K |
| 85660 |
|
9,683 |
9,498 |
$30K |
| 86708 |
|
4,220 |
4,161 |
$29K |
| 73030 |
|
5,430 |
5,167 |
$29K |
| 86430 |
|
8,084 |
7,985 |
$29K |
| 94640 |
|
18,754 |
11,807 |
$29K |
| 72110 |
|
696 |
682 |
$29K |
| 85730 |
|
29,555 |
27,527 |
$28K |
| 87480 |
|
3,244 |
3,048 |
$28K |
| 87510 |
|
3,244 |
3,048 |
$28K |
| 82378 |
|
2,659 |
2,466 |
$28K |
| 86200 |
|
3,762 |
3,716 |
$28K |
| 86592 |
|
12,129 |
11,837 |
$28K |
| 74018 |
|
2,060 |
1,957 |
$27K |
| 86160 |
|
2,591 |
2,080 |
$27K |
| 84153 |
|
2,605 |
2,562 |
$27K |
| 82533 |
|
2,670 |
2,474 |
$26K |
| 76882 |
|
660 |
629 |
$26K |
| C8930 |
Tte w or w/o contr, cont ecg |
247 |
242 |
$26K |
| 87660 |
|
3,077 |
2,885 |
$25K |
| 83605 |
|
13,472 |
11,901 |
$25K |
| 86800 |
|
2,648 |
2,600 |
$25K |
| 99495 |
|
387 |
384 |
$25K |
| 73130 |
|
7,285 |
6,957 |
$24K |
| 86364 |
|
1,924 |
1,900 |
$24K |
| 86304 |
|
2,099 |
1,862 |
$23K |
| 92557 |
|
5,586 |
5,514 |
$23K |
| G0279 |
Tomosynthesis, mammo |
1,773 |
1,760 |
$23K |
| 76641 |
|
381 |
355 |
$21K |
| 88112 |
|
903 |
890 |
$20K |
| 72040 |
|
1,719 |
1,701 |
$20K |
| 86141 |
|
2,743 |
2,704 |
$20K |
| 73502 |
|
2,381 |
2,330 |
$20K |
| 73110 |
|
3,533 |
3,293 |
$20K |
| 86258 |
|
1,302 |
1,284 |
$20K |
| 84165 |
|
3,237 |
3,145 |
$20K |
| 76819 |
|
311 |
230 |
$19K |
| 74019 |
|
1,415 |
1,355 |
$19K |
| 42830 |
|
12 |
12 |
$19K |
| 85652 |
|
11,513 |
11,111 |
$19K |
| 72131 |
|
791 |
782 |
$18K |
| 97166 |
|
445 |
440 |
$18K |
| 84156 |
|
9,890 |
8,752 |
$17K |
| 84134 |
|
1,981 |
1,780 |
$17K |
| 83525 |
|
2,522 |
2,463 |
$17K |
| 87046 |
|
1,809 |
1,622 |
$17K |
| 96127 |
|
4,695 |
4,542 |
$17K |
| 86665 |
|
1,168 |
857 |
$17K |
| 84154 |
|
2,014 |
1,970 |
$16K |
| 82951 |
|
2,060 |
2,015 |
$16K |
| 86146 |
|
468 |
455 |
$16K |
| 77336 |
|
255 |
97 |
$16K |
| 82977 |
|
3,980 |
3,753 |
$16K |
| 0001A |
|
440 |
439 |
$16K |
| 93880 |
|
194 |
190 |
$16K |
| 86318 |
|
1,479 |
1,444 |
$15K |
| 83521 |
|
985 |
714 |
$15K |
| 74174 |
|
163 |
161 |
$15K |
| 99406 |
|
1,114 |
1,049 |
$15K |
| 90734 |
|
2,261 |
2,207 |
$15K |
| 29515 |
|
282 |
273 |
$15K |
| 90716 |
|
3,174 |
3,116 |
$14K |
| 70470 |
|
172 |
169 |
$14K |
| 82024 |
|
578 |
544 |
$13K |
| G2066 |
Inter devc remote 30d |
707 |
699 |
$13K |
| 82805 |
|
3,026 |
2,781 |
$13K |
| 82465 |
|
3,352 |
3,136 |
$13K |
| J2405 |
Ondansetron hcl injection |
30,790 |
26,050 |
$13K |
| 90656 |
|
705 |
691 |
$13K |
| 86580 |
|
1,360 |
1,289 |
$12K |
| 80055 |
|
778 |
760 |
$12K |
| 90682 |
|
233 |
221 |
$12K |
| 84466 |
|
1,643 |
1,601 |
$12K |
| 82310 |
|
4,840 |
4,626 |
$12K |
| Q5108 |
Injection, fulphila |
16 |
12 |
$12K |
| 70487 |
|
171 |
169 |
$11K |
| 92587 |
|
83 |
83 |
$11K |
| 81025 |
|
52,519 |
49,946 |
$11K |
| 86301 |
|
990 |
934 |
$11K |
| 80197 |
|
1,327 |
1,045 |
$11K |
| 76820 |
|
3,558 |
1,720 |
$11K |
| 73080 |
|
1,974 |
1,895 |
$11K |
| 73590 |
|
3,367 |
3,092 |
$11K |
| 86765 |
|
1,537 |
1,520 |
$10K |
| 86231 |
|
1,271 |
1,266 |
$10K |
| 80164 |
|
1,636 |
1,532 |
$10K |
| 87205 |
|
5,884 |
5,658 |
$10K |
| 73700 |
|
300 |
290 |
$10K |
| 0011A |
|
287 |
285 |
$10K |
| M0243 |
Casirivi and imdevi inj |
36 |
36 |
$9K |
| 82248 |
|
4,729 |
4,396 |
$9K |
| 83090 |
|
885 |
872 |
$9K |
| 82077 |
|
17,641 |
15,475 |
$9K |
| 80069 |
|
1,851 |
1,757 |
$9K |
| 70498 |
|
1,421 |
1,385 |
$9K |
| 88341 |
|
435 |
401 |
$9K |
| 83721 |
|
2,107 |
2,061 |
$8K |
| J0558 |
Peng benzathine/procaine inj |
302 |
274 |
$8K |
| 84681 |
|
744 |
732 |
$8K |
| 87045 |
|
1,578 |
1,540 |
$8K |
| 82247 |
|
3,779 |
3,503 |
$8K |
| 88304 |
|
2,129 |
2,092 |
$8K |
| 83921 |
|
695 |
691 |
$8K |
| 87102 |
|
1,817 |
1,791 |
$8K |
| 84075 |
|
4,229 |
4,092 |
$8K |
| 91320 |
|
69 |
69 |
$7K |
| 72072 |
|
656 |
645 |
$7K |
| 81220 |
|
137 |
135 |
$7K |
| 86705 |
|
1,222 |
1,211 |
$7K |
| 82040 |
|
2,994 |
2,918 |
$7K |
| 85379 |
|
5,150 |
5,025 |
$7K |
| 0012A |
|
193 |
193 |
$7K |
| 74178 |
|
37 |
37 |
$7K |
| 73140 |
|
1,097 |
1,067 |
$7K |
| 74022 |
|
7,545 |
7,210 |
$7K |
| 74240 |
|
110 |
107 |
$7K |
| 82553 |
|
2,018 |
1,928 |
$7K |
| 83498 |
|
429 |
426 |
$7K |
| 84478 |
|
46 |
40 |
$7K |
| 85597 |
|
674 |
653 |
$7K |
| 87389 |
|
469 |
468 |
$6K |
| 86255 |
|
971 |
919 |
$6K |
| 80177 |
|
3,729 |
3,312 |
$6K |
| 90620 |
|
722 |
709 |
$6K |
| 73552 |
|
1,319 |
1,241 |
$6K |
| 73090 |
|
2,675 |
2,489 |
$6K |
| 83010 |
|
1,020 |
966 |
$6K |
| 0002A |
|
161 |
160 |
$6K |
| 73560 |
|
949 |
865 |
$6K |
| 84445 |
|
181 |
178 |
$6K |
| 92511 |
|
78 |
77 |
$6K |
| 86703 |
|
845 |
842 |
$6K |
| 82652 |
|
383 |
382 |
$6K |
| 82330 |
|
841 |
812 |
$6K |
| 90688 |
|
434 |
416 |
$6K |
| 84425 |
|
606 |
604 |
$6K |
| 83655 |
|
1,367 |
1,361 |
$6K |
| 86735 |
|
791 |
776 |
$5K |
| 92579 |
|
627 |
618 |
$5K |
| 99383 |
|
208 |
205 |
$5K |
| 84155 |
|
2,981 |
2,920 |
$5K |
| 71101 |
|
536 |
529 |
$5K |
| 0134A |
|
177 |
177 |
$5K |
| 82140 |
|
1,393 |
1,292 |
$5K |
| 94010 |
|
312 |
295 |
$5K |
| 85045 |
|
2,987 |
2,802 |
$5K |
| 88142 |
|
380 |
376 |
$5K |
| 0071A |
|
135 |
134 |
$5K |
| 86593 |
|
1,961 |
1,922 |
$5K |
| J1885 |
Ketorolac tromethamine inj |
33,124 |
29,542 |
$5K |
| 82952 |
|
1,990 |
1,946 |
$5K |
| 72170 |
|
4,705 |
4,586 |
$5K |
| 90661 |
|
229 |
229 |
$5K |
| 93298 |
|
273 |
273 |
$5K |
| 84112 |
|
1,381 |
1,253 |
$5K |
| 72050 |
|
105 |
104 |
$5K |
| M0245 |
Bamlan and etesev infusion |
22 |
22 |
$4K |
| J1200 |
Diphenhydramine hcl injectio |
16,911 |
13,468 |
$4K |
| 99381 |
|
65 |
64 |
$4K |
| 87209 |
|
441 |
413 |
$4K |
| 0124A |
|
134 |
134 |
$4K |
| 94799 |
|
965 |
899 |
$4K |
| 99195 |
|
75 |
66 |
$4K |
| 0013A |
|
104 |
104 |
$4K |
| 94726 |
|
41 |
40 |
$4K |
| 87075 |
|
1,299 |
1,243 |
$4K |
| 86777 |
|
464 |
450 |
$4K |
| 29125 |
|
1,577 |
1,540 |
$4K |
| 73060 |
|
1,037 |
991 |
$3K |
| 92588 |
|
32 |
28 |
$3K |
| 83993 |
|
271 |
266 |
$3K |
| 84630 |
|
674 |
674 |
$3K |
| 73221 |
|
24 |
24 |
$3K |
| 72082 |
|
58 |
58 |
$3K |
| 82525 |
|
571 |
570 |
$3K |
| 85613 |
|
497 |
468 |
$3K |
| 86644 |
|
447 |
433 |
$3K |
| 99384 |
|
82 |
82 |
$3K |
| 84132 |
|
2,941 |
2,809 |
$3K |
| 86694 |
|
522 |
520 |
$3K |
| 97535 |
|
650 |
540 |
$3K |
| 85018 |
|
4,806 |
4,511 |
$3K |
| 86920 |
|
914 |
844 |
$3K |
| 86618 |
|
176 |
143 |
$3K |
| 87449 |
|
510 |
497 |
$3K |
| 73120 |
|
335 |
305 |
$3K |
| 86880 |
|
779 |
737 |
$3K |
| 70360 |
|
173 |
168 |
$3K |
| 86300 |
|
189 |
151 |
$3K |
| 69210 |
|
1,146 |
1,118 |
$3K |
| 80185 |
|
372 |
348 |
$3K |
| 90480 |
|
73 |
73 |
$3K |
| 85014 |
|
3,246 |
2,988 |
$3K |
| 81002 |
|
10,686 |
9,921 |
$3K |
| 72070 |
|
171 |
168 |
$2K |
| 84207 |
|
308 |
306 |
$2K |
| 90621 |
|
46 |
43 |
$2K |
| 86308 |
|
1,364 |
1,342 |
$2K |
| 88185 |
|
21 |
15 |
$2K |
| 80178 |
|
756 |
704 |
$2K |
| 82677 |
|
217 |
210 |
$2K |
| 89055 |
|
272 |
268 |
$2K |
| 94664 |
|
1,688 |
1,599 |
$2K |
| 10061 |
|
18 |
15 |
$2K |
| 85044 |
|
1,436 |
1,298 |
$2K |
| 86812 |
|
139 |
139 |
$2K |
| 86709 |
|
366 |
363 |
$2K |
| 87040 |
|
3,141 |
2,950 |
$2K |
| 12011 |
|
1,801 |
1,768 |
$2K |
| 87177 |
|
435 |
408 |
$2K |
| 0003A |
|
52 |
52 |
$2K |
| 85246 |
|
127 |
125 |
$2K |
| 86039 |
|
275 |
262 |
$2K |
| 85705 |
|
299 |
297 |
$2K |
| 85306 |
|
174 |
167 |
$2K |
| 99382 |
|
25 |
25 |
$2K |
| 85240 |
|
152 |
149 |
$2K |
| 0064A |
|
51 |
50 |
$2K |
| 87798 |
|
94 |
90 |
$2K |
| 87338 |
|
173 |
173 |
$2K |
| 82088 |
|
116 |
111 |
$2K |
| 86036 |
|
221 |
221 |
$2K |
| 73600 |
|
278 |
250 |
$2K |
| 87428 |
|
92 |
86 |
$2K |
| 83695 |
|
190 |
189 |
$2K |
| J3475 |
Inj magnesium sulfate |
4,591 |
3,465 |
$2K |
| J3480 |
Inj potassium chloride |
3,705 |
2,751 |
$2K |
| J2930 |
Methylprednisolone injection |
4,526 |
3,654 |
$2K |
| J2060 |
Lorazepam injection |
9,096 |
7,219 |
$2K |
| J0780 |
Prochlorperazine injection |
3,607 |
3,287 |
$2K |
| 80202 |
|
104 |
63 |
$2K |
| 92523 |
|
14 |
14 |
$2K |
| 92520 |
|
44 |
39 |
$2K |
| 86336 |
|
217 |
210 |
$1K |
| 86778 |
|
147 |
146 |
$1K |
| 93010 |
|
282 |
244 |
$1K |
| 81374 |
|
30 |
30 |
$1K |
| 12002 |
|
1,666 |
1,644 |
$1K |
| 85300 |
|
184 |
181 |
$1K |
| 73564 |
|
150 |
135 |
$1K |
| 82962 |
|
3,126 |
1,826 |
$1K |
| G0008 |
Admin influenza virus vac |
326 |
319 |
$1K |
| 85245 |
|
85 |
84 |
$1K |
| 83037 |
|
512 |
503 |
$1K |
| 85670 |
|
328 |
324 |
$1K |
| 94760 |
|
1,640 |
1,541 |
$1K |
| 82103 |
|
199 |
189 |
$1K |
| 12001 |
|
2,297 |
2,279 |
$1K |
| 72128 |
|
59 |
59 |
$1K |
| 86335 |
|
67 |
66 |
$1K |
| 73521 |
|
39 |
39 |
$1K |
| 84244 |
|
113 |
113 |
$1K |
| 85732 |
|
244 |
236 |
$1K |
| P9016 |
Rbc leukocytes reduced |
13 |
13 |
$1K |
| 90461 |
|
418 |
418 |
$1K |
| 87636 |
|
14 |
14 |
$994.75 |
| 90658 |
|
83 |
79 |
$984.89 |
| 73620 |
|
341 |
315 |
$955.49 |
| 84300 |
|
488 |
451 |
$939.48 |
| J0690 |
Cefazolin sodium injection |
8,989 |
7,878 |
$918.75 |
| 82172 |
|
73 |
73 |
$911.02 |
| 84295 |
|
643 |
627 |
$904.55 |
| 93270 |
|
55 |
54 |
$902.33 |
| 82390 |
|
237 |
230 |
$876.77 |
| 73070 |
|
157 |
147 |
$874.20 |
| 77072 |
|
15 |
15 |
$870.26 |
| 92567 |
|
6,840 |
6,724 |
$869.55 |
| 84305 |
|
116 |
116 |
$865.16 |
| 73100 |
|
161 |
140 |
$864.23 |
| 93922 |
|
24 |
24 |
$820.57 |
| 85303 |
|
82 |
82 |
$786.98 |
| 86645 |
|
84 |
83 |
$780.84 |
| 82435 |
|
549 |
532 |
$734.64 |
| 93296 |
|
52 |
52 |
$727.21 |
| 96401 |
|
23 |
12 |
$705.62 |
| 85384 |
|
443 |
418 |
$698.30 |
| 84166 |
|
65 |
64 |
$676.02 |
| 87517 |
|
26 |
25 |
$664.95 |
| 88184 |
|
15 |
15 |
$620.79 |
| 87324 |
|
131 |
131 |
$601.46 |
| 70480 |
|
13 |
13 |
$601.34 |
| 0081A |
|
18 |
17 |
$593.97 |
| 91200 |
|
12 |
12 |
$575.93 |
| 0072A |
|
15 |
15 |
$563.27 |
| 83930 |
|
351 |
328 |
$556.02 |
| 92524 |
|
12 |
12 |
$551.68 |
| G0108 |
Diab manage trn per indiv |
14 |
12 |
$542.91 |
| 97022 |
|
81 |
25 |
$519.28 |
| 87880 |
|
4,737 |
4,631 |
$510.53 |
| 76870 |
|
1,136 |
1,099 |
$507.43 |
| 82668 |
|
72 |
72 |
$490.02 |
| 70355 |
|
26 |
25 |
$444.10 |
| 86341 |
|
33 |
29 |
$430.10 |
| 84145 |
|
403 |
394 |
$422.54 |
| 97802 |
|
49 |
48 |
$413.89 |
| 82164 |
|
84 |
84 |
$349.20 |
| 88173 |
|
67 |
67 |
$335.54 |
| 87106 |
|
49 |
47 |
$322.07 |
| 92228 |
|
39 |
39 |
$314.55 |
| 82679 |
|
31 |
30 |
$303.88 |
| J1756 |
Iron sucrose injection |
3,322 |
1,883 |
$294.36 |
| 87651 |
|
3,632 |
3,595 |
$267.06 |
| 82671 |
|
12 |
12 |
$261.12 |
| 90744 |
|
212 |
208 |
$238.30 |
| 90473 |
|
77 |
77 |
$237.60 |
| 69200 |
|
186 |
178 |
$220.99 |
| 73000 |
|
26 |
26 |
$217.17 |
| J2272 |
Inj, morphine (fresenius) |
942 |
737 |
$210.91 |
| 83718 |
|
39 |
39 |
$198.96 |
| 85049 |
|
79 |
77 |
$179.46 |
| 82626 |
|
14 |
14 |
$178.15 |
| 87804 |
|
52 |
44 |
$177.03 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
19,538 |
18,769 |
$172.90 |
| 96376 |
|
4,577 |
4,058 |
$167.02 |
| 97035 |
|
29 |
13 |
$163.04 |
| J0696 |
Ceftriaxone sodium injection |
15,020 |
13,631 |
$153.71 |
| 83835 |
|
12 |
12 |
$150.84 |
| 69209 |
|
82 |
75 |
$150.81 |
| 80156 |
|
26 |
24 |
$149.70 |
| 73660 |
|
13 |
13 |
$144.42 |
| 82239 |
|
42 |
41 |
$142.37 |
| 87280 |
|
17 |
17 |
$131.68 |
| 82232 |
|
15 |
15 |
$131.23 |
| 86256 |
|
14 |
14 |
$128.92 |
| J2359 |
Inj. olanzapine, 0.5mg |
16 |
12 |
$126.48 |
| 86664 |
|
12 |
12 |
$120.53 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
1,442 |
1,425 |
$120.00 |
| 87076 |
|
44 |
43 |
$108.94 |
| J7030 |
Normal saline solution infus |
58,906 |
49,010 |
$107.86 |
| 93320 |
|
860 |
835 |
$106.00 |
| 84590 |
|
14 |
14 |
$105.60 |
| 86663 |
|
12 |
12 |
$103.50 |
| 86015 |
|
13 |
13 |
$103.37 |
| J8540 |
Oral dexamethasone |
10,225 |
8,277 |
$96.16 |
| 99214 |
|
60 |
60 |
$82.01 |
| 93325 |
|
2,418 |
2,356 |
$80.00 |
| J1100 |
Dexamethasone sodium phos |
20,353 |
16,255 |
$79.43 |
| 83935 |
|
26 |
26 |
$79.35 |
| J1170 |
Hydromorphone injection |
4,436 |
3,197 |
$65.34 |
| 51701 |
|
13 |
13 |
$64.79 |
| 90474 |
|
21 |
21 |
$63.30 |
| 80179 |
|
1,228 |
1,205 |
$61.83 |
| 77073 |
|
27 |
27 |
$59.64 |
| J2916 |
Na ferric gluconate complex |
850 |
426 |
$56.79 |
| J7040 |
Normal saline solution infus |
11,914 |
10,701 |
$56.25 |
| 80175 |
|
12 |
12 |
$55.17 |
| 80143 |
|
1,344 |
1,300 |
$54.96 |
| 90680 |
|
8,183 |
8,056 |
$53.06 |
| 82374 |
|
14 |
13 |
$49.80 |
| 90672 |
|
72 |
72 |
$48.64 |
| 96377 |
|
15 |
12 |
$47.60 |
| 90697 |
|
1,349 |
1,346 |
$46.06 |
| 99213 |
|
63 |
62 |
$38.77 |
| 82375 |
|
42 |
41 |
$37.85 |
| 90723 |
|
9,105 |
8,956 |
$37.50 |
| 80305 |
|
325 |
321 |
$35.01 |
| J1650 |
Inj enoxaparin sodium |
9,309 |
4,559 |
$34.69 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
561 |
552 |
$31.58 |
| J7512 |
Prednisone ir or dr oral 1mg |
3,643 |
2,720 |
$30.00 |
| J0702 |
Betamethasone acet&sod phosp |
754 |
549 |
$27.00 |
| J1643 |
Inj heparin, pfizer, 1000u |
558 |
522 |
$25.05 |
| J2270 |
Morphine sulfate injection |
18,757 |
14,410 |
$24.20 |
| J7050 |
Normal saline solution infus |
6,356 |
5,136 |
$19.23 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
368 |
352 |
$16.98 |
| J2401 |
Chloroprocaine hcl injection |
14 |
13 |
$14.76 |
| J1040 |
Methylprednisolone 80 mg inj |
460 |
445 |
$13.12 |
| J7120 |
Ringers lactate infusion |
21,914 |
18,132 |
$12.01 |
| 85347 |
|
604 |
522 |
$11.94 |
| 90647 |
|
9,178 |
9,016 |
$7.00 |
| J2250 |
Inj midazolam hydrochloride |
14,022 |
13,236 |
$6.83 |
| 81000 |
|
36 |
31 |
$6.48 |
| 96368 |
|
1,676 |
1,145 |
$6.13 |
| J1836 |
Inj, metronidazole, 10 mg |
174 |
117 |
$6.12 |
| 87015 |
|
15 |
12 |
$4.51 |
| 87206 |
|
15 |
12 |
$3.65 |
| J1920 |
Inj, labetalol hcl, 5mg |
168 |
160 |
$3.23 |
| J3420 |
Vitamin b12 injection |
1,288 |
1,016 |
$3.00 |
| J2704 |
Inj, propofol, 10 mg |
12,983 |
12,502 |
$2.42 |
| J3010 |
Fentanyl citrate injection |
16,623 |
15,362 |
$1.28 |
| J2765 |
Metoclopramide hcl injection |
4,311 |
3,712 |
$0.93 |
| 36416 |
|
834 |
741 |
$0.06 |
| J1644 |
Inj heparin sodium per 1000u |
6,829 |
4,116 |
$0.04 |
| J1630 |
Haloperidol injection |
4,562 |
3,809 |
$0.00 |
| 90696 |
|
2,387 |
2,362 |
$0.00 |
| J3490 |
Drugs unclassified injection |
2,094 |
1,390 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
2,323 |
2,255 |
$0.00 |
| A9585 |
Gadobutrol injection |
1,317 |
1,286 |
$0.00 |
| J0500 |
Dicyclomine injection |
180 |
172 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
569 |
554 |
$0.00 |
| C1769 |
Guide wire |
2,625 |
2,497 |
$0.00 |
| J3360 |
Diazepam injection |
289 |
248 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
144 |
110 |
$0.00 |
| J1815 |
Insulin injection |
5,631 |
2,857 |
$0.00 |
| 11045 |
|
286 |
151 |
$0.00 |
| 76377 |
|
1,381 |
1,353 |
$0.00 |
| J1940 |
Furosemide injection |
1,506 |
962 |
$0.00 |
| J7121 |
5% dextrose in lac ringers |
518 |
402 |
$0.00 |
| J9045 |
Carboplatin injection |
1,139 |
753 |
$0.00 |
| J0461 |
Atropine sulfate injection |
684 |
557 |
$0.00 |
| 99292 |
|
88 |
86 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
668 |
630 |
$0.00 |
| J9267 |
Paclitaxel injection |
806 |
381 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
561 |
517 |
$0.00 |
| J7042 |
5% dextrose/normal saline |
720 |
554 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
64 |
40 |
$0.00 |
| 91301 |
|
653 |
649 |
$0.00 |
| 90632 |
|
385 |
339 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
357 |
354 |
$0.00 |
| 90619 |
|
37 |
37 |
$0.00 |
| A9500 |
Tc99m sestamibi |
38 |
38 |
$0.00 |
| A4648 |
Implantable tissue marker |
176 |
173 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
46 |
45 |
$0.00 |
| J2785 |
Regadenoson injection |
65 |
63 |
$0.00 |
| 91307 |
|
251 |
250 |
$0.00 |
| A6022 |
Collagen drsg>16<=48 sq in |
18 |
12 |
$0.00 |
| 91305 |
|
26 |
26 |
$0.00 |
| 94660 |
|
110 |
67 |
$0.00 |
| 12013 |
|
54 |
54 |
$0.00 |
| 90381 |
|
192 |
192 |
$0.00 |
| J2360 |
Orphenadrine injection |
459 |
439 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
60 |
56 |
$0.00 |
| J2001 |
Lidocaine injection |
397 |
335 |
$0.00 |
| 90698 |
|
31 |
28 |
$0.00 |
| 83520 |
|
32 |
32 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
12 |
12 |
$0.00 |
| J2920 |
Methylprednisolone injection |
65 |
38 |
$0.00 |
| J1165 |
Phenytoin sodium injection |
85 |
51 |
$0.00 |
| 94761 |
|
1,814 |
1,668 |
$0.00 |
| 85362 |
|
73 |
69 |
$0.00 |
| 95024 |
|
13 |
13 |
$0.00 |
| 0399T |
|
14 |
12 |
$0.00 |
| 91306 |
|
25 |
25 |
$0.00 |
| C1753 |
Cath, intravas ultrasound |
37 |
36 |
$0.00 |
| S2900 |
Robotic surgical system |
13 |
13 |
$0.00 |
| 30901 |
|
12 |
12 |
$0.00 |
| G0283 |
Elec stim other than wound |
41 |
13 |
$0.00 |
| J0456 |
Azithromycin |
22 |
17 |
$0.00 |
| C1781 |
Mesh (implantable) |
15 |
15 |
$0.00 |
| 90710 |
|
2,344 |
2,312 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
1,806 |
1,762 |
$0.00 |
| J2310 |
Inj naloxone hydrochloride |
1,343 |
1,246 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
1,859 |
1,197 |
$0.00 |
| J1953 |
Levetiracetam injection |
2,439 |
2,148 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
914 |
554 |
$0.00 |
| 90700 |
|
3,021 |
2,974 |
$0.00 |
| 90633 |
|
6,547 |
6,437 |
$0.00 |
| 93321 |
|
438 |
410 |
$0.00 |
| C1887 |
Catheter, guiding |
1,524 |
1,450 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
910 |
875 |
$0.00 |
| 90707 |
|
3,569 |
3,487 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
1,733 |
1,659 |
$0.00 |
| 76942 |
|
261 |
255 |
$0.00 |
| J9190 |
Fluorouracil injection |
1,428 |
871 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
1,434 |
1,355 |
$0.00 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
1,609 |
1,233 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
2,370 |
2,256 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
820 |
779 |
$0.00 |
| J0640 |
Leucovorin calcium injection |
869 |
524 |
$0.00 |
| 31720 |
|
18 |
13 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
2,719 |
2,690 |
$0.00 |
| G9622 |
No unheal etoh user |
1,093 |
940 |
$0.00 |
| J2400 |
Chloroprocaine hcl injection |
201 |
190 |
$0.00 |
| J1580 |
Garamycin gentamicin inj |
38 |
26 |
$0.00 |
| 90380 |
|
90 |
90 |
$0.00 |
| J9060 |
Cisplatin 10 mg injection |
115 |
51 |
$0.00 |
| A4315 |
Cath w/drainage 2-way silcne |
162 |
158 |
$0.00 |
| J1245 |
Dipyridamole injection |
139 |
135 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
617 |
602 |
$0.00 |
| 91313 |
|
178 |
178 |
$0.00 |
| 85060 |
|
44 |
42 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
101 |
75 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
887 |
878 |
$0.00 |
| 0042T |
|
94 |
91 |
$0.00 |
| J3489 |
Zoledronic acid 1mg |
165 |
158 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
64 |
64 |
$0.00 |
| 91300 |
|
706 |
679 |
$0.00 |
| 94729 |
|
24 |
24 |
$0.00 |
| 91308 |
|
106 |
103 |
$0.00 |
| J3250 |
Trimethobenzamide hcl inj |
14 |
13 |
$0.00 |
| A9552 |
F18 fdg |
238 |
236 |
$0.00 |
| 91312 |
|
131 |
131 |
$0.00 |
| 82731 |
|
16 |
16 |
$0.00 |
| 99152 |
|
38 |
37 |
$0.00 |
| C1760 |
Closure dev, vasc |
52 |
48 |
$0.00 |
| J9263 |
Oxaliplatin |
260 |
125 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
293 |
244 |
$0.00 |
| 16020 |
|
17 |
15 |
$0.00 |
| J0692 |
Cefepime hcl for injection |
14 |
14 |
$0.00 |
| 92978 |
|
13 |
13 |
$0.00 |