| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99211 |
|
263,113 |
214,334 |
$26.05M |
| J2350 |
Injection, ocrelizumab, 1 mg |
729 |
548 |
$15.04M |
| G0463 |
Hospital outpt clinic visit |
238,472 |
199,682 |
$13.89M |
| 99284 |
|
58,138 |
49,432 |
$8.58M |
| J0741 |
Inj, cabote rilpivir 2mg 3mg |
1,489 |
1,236 |
$7.87M |
| 99283 |
|
49,635 |
44,412 |
$5.97M |
| 99285 |
|
32,076 |
25,657 |
$5.78M |
| U0003 |
Cov-19 amp prb hgh thruput |
32,614 |
23,680 |
$5.30M |
| J9271 |
Inj pembrolizumab |
735 |
505 |
$4.57M |
| Q5104 |
Injection, renflexis |
1,332 |
801 |
$2.38M |
| J1569 |
Gammagard liquid injection |
792 |
364 |
$2.20M |
| G0378 |
Hospital observation per hr |
21,699 |
10,851 |
$2.20M |
| 96366 |
|
7,276 |
4,286 |
$2.19M |
| 74177 |
|
6,319 |
4,831 |
$2.13M |
| 96413 |
|
12,476 |
6,920 |
$2.03M |
| J2323 |
Natalizumab injection |
408 |
323 |
$1.97M |
| J0585 |
Injection,onabotulinumtoxina |
3,481 |
2,464 |
$1.97M |
| 99212 |
|
18,946 |
15,762 |
$1.96M |
| 96365 |
|
14,266 |
9,280 |
$1.81M |
| 96361 |
|
6,940 |
4,459 |
$1.77M |
| 59025 |
|
10,908 |
7,251 |
$1.74M |
| 80053 |
|
133,028 |
106,606 |
$1.56M |
| 76816 |
|
12,662 |
11,651 |
$1.51M |
| 76819 |
|
14,652 |
9,767 |
$1.40M |
| 70450 |
|
6,197 |
4,875 |
$1.39M |
| 36415 |
|
322,978 |
245,185 |
$1.15M |
| 20610 |
|
7,208 |
5,345 |
$998K |
| 93306 |
|
3,985 |
3,468 |
$989K |
| 0241U |
|
8,178 |
6,596 |
$910K |
| 96415 |
|
2,891 |
1,886 |
$805K |
| 99213 |
|
8,587 |
7,076 |
$787K |
| D7140 |
|
3,179 |
1,236 |
$663K |
| 80307 |
|
24,771 |
19,795 |
$592K |
| 94640 |
|
5,122 |
2,692 |
$589K |
| 99282 |
|
5,209 |
4,587 |
$589K |
| 64615 |
|
2,310 |
1,992 |
$572K |
| 84443 |
|
46,908 |
42,233 |
$560K |
| 70553 |
|
1,988 |
1,671 |
$554K |
| 45385 |
|
949 |
742 |
$533K |
| 85025 |
|
154,253 |
121,453 |
$522K |
| 97110 |
|
8,289 |
2,950 |
$521K |
| A0431 |
Rotary wing air transport |
364 |
338 |
$505K |
| 76856 |
|
2,282 |
2,092 |
$496K |
| 93308 |
|
1,899 |
1,493 |
$475K |
| 83036 |
|
61,003 |
55,692 |
$467K |
| 43239 |
|
1,326 |
1,044 |
$462K |
| 76817 |
|
7,319 |
6,586 |
$455K |
| 82306 |
|
30,158 |
27,393 |
$455K |
| 76811 |
|
3,598 |
3,309 |
$451K |
| 87491 |
|
19,714 |
18,603 |
$444K |
| 77386 |
|
1,123 |
89 |
$443K |
| 78815 |
|
577 |
531 |
$427K |
| 76801 |
|
3,304 |
2,983 |
$423K |
| 80061 |
|
42,451 |
38,703 |
$405K |
| A0428 |
Bls |
5,229 |
4,110 |
$404K |
| G0481 |
Drug test def 8-14 classes |
6,674 |
5,951 |
$402K |
| 87591 |
|
19,707 |
18,601 |
$396K |
| 85027 |
|
70,348 |
57,698 |
$390K |
| 71275 |
|
1,303 |
1,037 |
$388K |
| 96375 |
|
19,075 |
12,513 |
$379K |
| U0005 |
Infec agen detec ampli probe |
13,003 |
9,688 |
$371K |
| 80048 |
|
52,116 |
42,677 |
$369K |
| 87389 |
|
27,791 |
25,372 |
$368K |
| 99214 |
|
5,557 |
5,257 |
$352K |
| 87536 |
|
8,732 |
8,029 |
$345K |
| 93005 |
|
43,461 |
34,707 |
$344K |
| J1745 |
Infliximab not biosimil 10mg |
317 |
213 |
$333K |
| 96374 |
|
24,237 |
19,201 |
$332K |
| 82805 |
|
9,640 |
7,299 |
$318K |
| 93458 |
|
355 |
250 |
$317K |
| 87800 |
|
8,758 |
8,257 |
$313K |
| 70496 |
|
1,093 |
870 |
$312K |
| 90677 |
|
2,168 |
1,885 |
$306K |
| 96360 |
|
2,410 |
1,584 |
$299K |
| 90837 |
|
2,603 |
1,686 |
$298K |
| 86850 |
|
18,715 |
14,612 |
$297K |
| 93798 |
|
4,846 |
978 |
$288K |
| 78452 |
|
684 |
565 |
$284K |
| 31231 |
|
1,325 |
1,172 |
$271K |
| 45378 |
|
485 |
390 |
$270K |
| 36430 |
|
1,657 |
931 |
$268K |
| 77300 |
|
562 |
397 |
$261K |
| 86780 |
|
21,917 |
19,946 |
$259K |
| 71260 |
|
2,881 |
2,317 |
$254K |
| 80069 |
|
31,631 |
23,003 |
$250K |
| 41899 |
|
663 |
472 |
$249K |
| 77334 |
|
618 |
408 |
$243K |
| 87902 |
|
1,426 |
1,315 |
$240K |
| 45380 |
|
590 |
435 |
$238K |
| 76700 |
|
1,413 |
1,274 |
$237K |
| 76805 |
|
2,161 |
2,006 |
$229K |
| 71045 |
|
17,199 |
12,965 |
$218K |
| 71046 |
|
13,534 |
11,590 |
$217K |
| 99281 |
|
1,526 |
1,301 |
$216K |
| 76705 |
|
2,324 |
1,816 |
$213K |
| 31579 |
|
925 |
787 |
$213K |
| 74176 |
|
823 |
662 |
$206K |
| 99215 |
Prolong outpt/office vis |
1,913 |
1,636 |
$203K |
| 49083 |
|
581 |
237 |
$202K |
| 71271 |
|
1,213 |
1,151 |
$198K |
| 72125 |
|
2,553 |
2,013 |
$198K |
| D7240 |
|
1,190 |
524 |
$198K |
| C8929 |
Tte w or wo fol wcon,doppler |
860 |
718 |
$195K |
| 86803 |
|
22,213 |
19,830 |
$193K |
| 71250 |
|
1,825 |
1,554 |
$190K |
| 86355 |
|
6,713 |
6,176 |
$188K |
| 82248 |
|
52,933 |
43,302 |
$185K |
| 82607 |
|
15,219 |
13,821 |
$183K |
| 96372 |
|
19,877 |
14,742 |
$182K |
| D1110 |
|
4,939 |
4,710 |
$181K |
| 62323 |
|
446 |
406 |
$180K |
| 36512 |
|
222 |
154 |
$178K |
| J2357 |
Omalizumab injection |
279 |
99 |
$177K |
| 87086 |
|
24,103 |
20,284 |
$170K |
| 86900 |
|
19,526 |
15,058 |
$170K |
| P9016 |
Rbc leukocytes reduced |
1,000 |
676 |
$168K |
| J9312 |
Inj., rituximab, 10 mg |
58 |
36 |
$168K |
| 82728 |
|
16,146 |
14,564 |
$167K |
| 70355 |
|
6,576 |
6,297 |
$162K |
| 70491 |
|
618 |
496 |
$161K |
| 20611 |
|
567 |
431 |
$157K |
| 72148 |
|
1,018 |
896 |
$157K |
| 70551 |
|
919 |
781 |
$156K |
| 97530 |
|
4,536 |
1,950 |
$154K |
| 84439 |
|
14,264 |
12,750 |
$153K |
| 76820 |
|
2,687 |
1,422 |
$152K |
| 86360 |
|
6,690 |
6,164 |
$152K |
| 31575 |
|
1,076 |
908 |
$152K |
| J1050 |
Medroxyprogesterone acetate |
2,474 |
2,174 |
$149K |
| 67028 |
|
810 |
661 |
$147K |
| 83735 |
|
43,201 |
27,093 |
$145K |
| 87340 |
|
14,659 |
13,225 |
$143K |
| 86480 |
|
4,867 |
4,393 |
$143K |
| 77336 |
|
1,166 |
482 |
$140K |
| 95810 |
|
292 |
267 |
$139K |
| 95886 |
|
1,327 |
1,179 |
$135K |
| 86359 |
|
6,713 |
6,173 |
$132K |
| 77301 |
|
153 |
136 |
$132K |
| 73721 |
|
557 |
502 |
$132K |
| 11042 |
|
1,025 |
709 |
$129K |
| J0485 |
Belatacept injection |
575 |
211 |
$128K |
| 96900 |
|
3,745 |
865 |
$126K |
| 99204 |
|
1,611 |
1,555 |
$126K |
| 87522 |
Neg quan hep c or qual rna |
5,291 |
4,780 |
$126K |
| 83880 |
|
13,274 |
10,805 |
$125K |
| 91200 |
|
1,203 |
1,078 |
$123K |
| D7210 |
|
471 |
380 |
$122K |
| J0897 |
Denosumab injection |
259 |
189 |
$121K |
| 43235 |
|
289 |
213 |
$118K |
| 72141 |
|
757 |
650 |
$116K |
| 76642 |
|
971 |
847 |
$114K |
| 90686 |
|
8,210 |
7,309 |
$113K |
| 0002A |
|
3,523 |
3,328 |
$108K |
| 77067 |
|
3,441 |
3,116 |
$107K |
| 92557 |
|
2,133 |
1,891 |
$105K |
| J0185 |
Inj., aprepitant, 1 mg |
827 |
437 |
$104K |
| 96416 |
|
785 |
374 |
$104K |
| 97162 |
|
2,210 |
1,652 |
$103K |
| 90832 |
|
1,220 |
951 |
$103K |
| 93017 |
|
1,162 |
981 |
$102K |
| 93296 |
|
5,128 |
4,860 |
$101K |
| 64483 |
|
207 |
166 |
$100K |
| 11721 |
|
3,809 |
3,570 |
$99K |
| 84100 |
|
30,352 |
24,154 |
$98K |
| 86140 |
|
13,684 |
12,018 |
$96K |
| 95910 |
|
400 |
353 |
$96K |
| 76770 |
|
699 |
604 |
$96K |
| 72100 |
|
4,584 |
3,989 |
$96K |
| 82570 |
|
23,684 |
19,008 |
$95K |
| 83970 |
|
5,153 |
4,568 |
$95K |
| 90834 |
|
902 |
698 |
$94K |
| 85610 |
|
29,832 |
22,480 |
$94K |
| 76536 |
|
1,005 |
904 |
$94K |
| 90651 |
|
687 |
615 |
$93K |
| 51798 |
|
2,435 |
1,970 |
$93K |
| 41874 |
|
118 |
92 |
$92K |
| 92507 |
|
1,760 |
989 |
$92K |
| 81001 |
|
39,788 |
32,554 |
$92K |
| 86317 |
|
7,902 |
6,894 |
$92K |
| 97140 |
|
3,169 |
1,167 |
$91K |
| 83540 |
|
15,670 |
14,212 |
$91K |
| 73030 |
|
4,429 |
3,568 |
$90K |
| 59430 |
|
1,214 |
1,091 |
$89K |
| 72197 |
|
338 |
283 |
$89K |
| 0001A |
|
3,359 |
3,195 |
$88K |
| 83550 |
|
15,273 |
13,848 |
$88K |
| 93975 |
|
730 |
620 |
$88K |
| 76830 |
|
2,161 |
1,978 |
$86K |
| J7307 |
Etonogestrel implant system |
79 |
78 |
$86K |
| 52000 |
|
116 |
109 |
$86K |
| 0352U |
|
4,445 |
4,059 |
$85K |
| J7120 |
Ringers lactate infusion |
22,376 |
15,296 |
$84K |
| 70498 |
|
1,134 |
883 |
$83K |
| D0120 |
|
4,468 |
4,285 |
$83K |
| 88307 |
|
918 |
681 |
$83K |
| 90870 |
|
241 |
81 |
$83K |
| 84484 |
|
18,897 |
13,973 |
$82K |
| 88305 |
|
7,437 |
5,986 |
$81K |
| 99218 |
|
273 |
87 |
$81K |
| J9144 |
Daratumumab, hyaluronidase |
20 |
12 |
$80K |
| 86762 |
|
5,722 |
5,217 |
$79K |
| A0425 |
Ground mileage |
7,031 |
5,464 |
$79K |
| 73221 |
|
346 |
308 |
$79K |
| 90715 |
|
4,675 |
3,977 |
$78K |
| 70486 |
|
958 |
789 |
$77K |
| 76815 |
|
1,438 |
1,056 |
$76K |
| 80197 |
|
8,905 |
4,601 |
$76K |
| 81003 |
|
19,875 |
16,786 |
$76K |
| 74183 |
|
354 |
298 |
$75K |
| 94618 |
|
929 |
820 |
$75K |
| 97112 |
|
1,927 |
798 |
$75K |
| 81025 |
|
16,518 |
14,172 |
$74K |
| 96376 |
|
4,423 |
2,921 |
$73K |
| 77063 |
|
2,033 |
1,846 |
$73K |
| 73630 |
|
4,145 |
3,290 |
$72K |
| 95908 |
|
398 |
348 |
$72K |
| 93971 |
|
841 |
705 |
$72K |
| 95811 |
|
138 |
127 |
$71K |
| 57454 |
|
299 |
269 |
$71K |
| 73610 |
|
3,329 |
2,642 |
$71K |
| A0436 |
Rotary wing air mileage |
362 |
336 |
$70K |
| 97166 |
|
1,424 |
1,070 |
$69K |
| 87653 |
|
3,932 |
3,596 |
$69K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
871 |
624 |
$69K |
| 95885 |
|
374 |
329 |
$68K |
| 76000 |
|
927 |
695 |
$67K |
| D9222 |
|
765 |
572 |
$67K |
| 93970 |
|
396 |
341 |
$66K |
| 96127 |
|
1,341 |
885 |
$65K |
| 84702 |
|
5,098 |
3,827 |
$64K |
| H1000 |
Prenatal care atrisk assessm |
1,244 |
1,077 |
$63K |
| 97161 |
|
1,187 |
924 |
$63K |
| 80305 |
|
3,232 |
2,372 |
$62K |
| J9217 |
Leuprolide acetate suspnsion |
290 |
234 |
$62K |
| 94010 |
|
837 |
695 |
$62K |
| G0008 |
Admin influenza virus vac |
11,266 |
10,078 |
$62K |
| 96417 |
|
1,840 |
912 |
$60K |
| 86901 |
|
19,488 |
15,055 |
$60K |
| 99203 |
|
917 |
874 |
$59K |
| 36591 |
|
5,245 |
3,168 |
$59K |
| J0561 |
Penicillin g benzathine inj |
159 |
100 |
$59K |
| 73130 |
|
3,030 |
2,366 |
$59K |
| 10060 |
|
369 |
292 |
$58K |
| 88341 |
|
1,293 |
812 |
$58K |
| J3490 |
Drugs unclassified injection |
3,715 |
2,253 |
$57K |
| D0330 |
|
1,340 |
1,279 |
$56K |
| 80306 |
|
6,808 |
4,809 |
$56K |
| 90791 |
|
324 |
296 |
$56K |
| J7050 |
Normal saline solution infus |
24,013 |
10,750 |
$56K |
| 96367 |
|
1,700 |
1,125 |
$55K |
| 90853 |
|
3,147 |
1,808 |
$55K |
| 73560 |
|
3,241 |
2,521 |
$54K |
| 64643 |
|
265 |
217 |
$54K |
| 97165 |
|
1,040 |
756 |
$54K |
| 80320 |
|
4,131 |
3,119 |
$53K |
| 66984 |
|
74 |
56 |
$53K |
| 80076 |
|
6,363 |
5,677 |
$52K |
| A4216 |
Sterile water/saline, 10 ml |
4,495 |
1,911 |
$51K |
| 90734 |
|
440 |
394 |
$50K |
| J1756 |
Iron sucrose injection |
1,616 |
719 |
$50K |
| 74018 |
|
2,542 |
2,108 |
$50K |
| 84403 |
|
3,108 |
2,801 |
$50K |
| 77412 |
|
298 |
40 |
$49K |
| 12001 |
|
346 |
264 |
$49K |
| D0140 |
|
2,086 |
1,937 |
$48K |
| 94060 |
|
851 |
746 |
$48K |
| 95909 |
|
258 |
231 |
$48K |
| 75561 |
|
180 |
144 |
$47K |
| 77080 |
|
716 |
626 |
$47K |
| D0274 |
|
2,264 |
2,159 |
$47K |
| 81420 |
|
397 |
372 |
$46K |
| 87077 |
|
7,099 |
5,579 |
$46K |
| 84153 |
|
4,481 |
4,018 |
$45K |
| 73590 |
|
2,386 |
1,823 |
$45K |
| 73564 |
|
2,376 |
1,984 |
$44K |
| J3032 |
Inj. eptinezumab-jjmr 1 mg |
30 |
25 |
$44K |
| 78431 |
|
76 |
65 |
$44K |
| 86704 |
|
5,737 |
4,966 |
$43K |
| 11056 |
|
354 |
335 |
$43K |
| 93299 |
|
2,111 |
2,015 |
$43K |
| 87517 |
|
2,353 |
2,060 |
$42K |
| 36561 |
|
44 |
39 |
$42K |
| 97116 |
|
1,401 |
664 |
$41K |
| D0150 |
|
1,677 |
1,577 |
$41K |
| 76937 |
|
1,184 |
844 |
$41K |
| 94726 |
|
999 |
868 |
$41K |
| 85652 |
|
13,309 |
11,682 |
$39K |
| 82746 |
|
5,373 |
4,796 |
$39K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
13,589 |
10,475 |
$39K |
| 73562 |
|
2,561 |
2,050 |
$39K |
| 73700 |
|
255 |
207 |
$39K |
| 99234 |
|
318 |
91 |
$39K |
| 72040 |
|
1,894 |
1,603 |
$39K |
| 82024 |
|
2,205 |
1,632 |
$39K |
| 84480 |
|
4,325 |
3,884 |
$39K |
| 82784 |
|
6,525 |
4,546 |
$38K |
| 96523 |
|
1,017 |
643 |
$38K |
| 82105 |
|
4,355 |
3,918 |
$38K |
| 95816 |
|
227 |
183 |
$38K |
| 90636 |
|
159 |
145 |
$37K |
| 64493 |
|
51 |
43 |
$36K |
| 86357 |
|
1,879 |
1,720 |
$36K |
| 83921 |
|
3,175 |
2,950 |
$36K |
| 86038 |
|
3,389 |
2,878 |
$36K |
| 12002 |
|
231 |
190 |
$36K |
| J2704 |
Inj, propofol, 10 mg |
26,139 |
13,025 |
$36K |
| 84550 |
|
7,799 |
6,260 |
$35K |
| 84156 |
|
15,715 |
12,115 |
$35K |
| G0297 |
Ldct for lung ca screen |
232 |
229 |
$35K |
| J7297 |
Liletta, 52 mg |
61 |
52 |
$35K |
| 72156 |
|
292 |
250 |
$34K |
| 86235 |
|
3,415 |
1,689 |
$34K |
| 82670 |
|
2,061 |
1,861 |
$34K |
| 94729 |
|
1,257 |
1,096 |
$34K |
| 77338 |
|
125 |
112 |
$33K |
| 77290 |
|
77 |
39 |
$33K |
| 95911 |
|
128 |
114 |
$33K |
| 82043 |
|
8,054 |
7,421 |
$33K |
| 12011 |
|
237 |
189 |
$33K |
| 20550 |
|
245 |
172 |
$32K |
| 83605 |
|
8,974 |
6,325 |
$32K |
| 74178 |
|
120 |
110 |
$32K |
| 93270 |
|
534 |
482 |
$32K |
| 17250 |
|
243 |
187 |
$32K |
| G0480 |
Drug test def 1-7 classes |
8,625 |
3,903 |
$31K |
| 86160 |
|
2,964 |
1,888 |
$31K |
| 88184 |
|
796 |
591 |
$31K |
| 86790 |
|
3,440 |
3,086 |
$30K |
| 73110 |
|
1,770 |
1,363 |
$30K |
| 87070 |
|
3,831 |
3,112 |
$30K |
| 83090 |
|
2,799 |
2,598 |
$30K |
| 92550 |
|
335 |
288 |
$29K |
| 95700 |
|
194 |
129 |
$29K |
| 87624 |
|
2,468 |
2,220 |
$29K |
| 84146 |
|
1,998 |
1,822 |
$29K |
| 92083 |
|
644 |
598 |
$29K |
| 81220 |
|
69 |
56 |
$29K |
| 76818 |
|
394 |
285 |
$28K |
| D9223 |
|
567 |
471 |
$28K |
| 82565 |
|
4,672 |
3,802 |
$27K |
| 87497 |
|
1,548 |
891 |
$26K |
| J2405 |
Ondansetron hcl injection |
20,604 |
12,778 |
$26K |
| 29580 |
|
288 |
106 |
$26K |
| 86592 |
|
3,275 |
2,900 |
$26K |
| 73502 |
|
1,797 |
1,558 |
$26K |
| 97535 |
|
871 |
481 |
$25K |
| 92134 |
|
1,101 |
957 |
$25K |
| 83690 |
|
15,832 |
12,772 |
$25K |
| 93922 |
|
490 |
420 |
$24K |
| 83001 |
|
1,775 |
1,624 |
$24K |
| A0426 |
Als 1 |
262 |
239 |
$24K |
| 87186 |
|
5,280 |
4,308 |
$24K |
| 73552 |
|
1,428 |
1,156 |
$24K |
| 87506 |
|
179 |
143 |
$24K |
| 72131 |
|
331 |
271 |
$23K |
| J0475 |
Baclofen 10 mg injection |
47 |
43 |
$23K |
| 97802 |
|
245 |
224 |
$23K |
| 64642 |
|
514 |
336 |
$23K |
| 64400 |
|
79 |
62 |
$23K |
| 93242 |
|
261 |
229 |
$23K |
| Q5107 |
Inj mvasi 10 mg |
34 |
12 |
$22K |
| J1170 |
Hydromorphone injection |
12,310 |
6,121 |
$22K |
| 72170 |
|
1,475 |
1,158 |
$22K |
| 88185 |
|
729 |
556 |
$22K |
| 82950 |
|
4,623 |
4,356 |
$22K |
| J1750 |
Inj iron dextran |
345 |
122 |
$22K |
| J0702 |
Betamethasone acet&sod phosp |
1,604 |
1,209 |
$22K |
| 86147 |
|
1,333 |
927 |
$22K |
| 19083 |
|
26 |
25 |
$22K |
| 97811 |
|
1,352 |
697 |
$22K |
| 92526 |
|
485 |
247 |
$22K |
| 86923 |
|
824 |
517 |
$22K |
| J3010 |
Fentanyl citrate injection |
12,580 |
8,493 |
$22K |
| 83020 |
|
2,660 |
2,184 |
$21K |
| 83883 |
|
2,230 |
1,426 |
$21K |
| 94762 |
|
513 |
324 |
$21K |
| 77065 |
Tomosynthesis, mammo |
977 |
795 |
$20K |
| 81373 |
|
292 |
231 |
$20K |
| J0129 |
Abatacept injection |
24 |
12 |
$20K |
| D2392 |
|
332 |
268 |
$20K |
| 90471 |
|
6,898 |
5,982 |
$20K |
| 01999 |
|
1,692 |
1,489 |
$19K |
| 0124A |
|
793 |
508 |
$19K |
| 91320 |
|
918 |
699 |
$19K |
| 86225 |
|
1,727 |
1,562 |
$19K |
| J7030 |
Normal saline solution infus |
8,256 |
5,412 |
$18K |
| 72082 |
|
959 |
830 |
$18K |
| 82533 |
|
2,078 |
1,632 |
$18K |
| 83615 |
|
5,869 |
3,872 |
$18K |
| 86146 |
|
1,671 |
825 |
$18K |
| 64721 |
|
24 |
16 |
$18K |
| 82550 |
|
4,202 |
3,370 |
$18K |
| 0004A |
|
553 |
526 |
$17K |
| 87651 |
|
808 |
722 |
$17K |
| 77062 |
|
612 |
540 |
$17K |
| C9803 |
Hopd covid-19 spec collect |
371 |
335 |
$17K |
| 76882 |
|
147 |
125 |
$17K |
| 90472 |
|
3,533 |
3,038 |
$17K |
| 92523 |
|
393 |
306 |
$17K |
| 95976 |
|
193 |
166 |
$17K |
| J2315 |
Naltrexone, depot form |
14 |
13 |
$17K |
| G2066 |
Inter devc remote 30d |
1,748 |
1,628 |
$17K |
| J0690 |
Cefazolin sodium injection |
6,959 |
4,189 |
$17K |
| 86200 |
|
1,416 |
1,312 |
$17K |
| 58661 |
|
51 |
12 |
$16K |
| J2250 |
Inj midazolam hydrochloride |
12,618 |
8,868 |
$16K |
| 73090 |
|
1,042 |
792 |
$16K |
| D0220 |
|
2,995 |
2,802 |
$16K |
| 77295 |
|
16 |
13 |
$16K |
| 97810 |
|
737 |
368 |
$16K |
| D7220 |
|
101 |
79 |
$16K |
| 31624 |
|
111 |
90 |
$15K |
| 36416 |
|
4,675 |
3,348 |
$15K |
| 76813 |
|
232 |
223 |
$15K |
| 84402 |
|
817 |
762 |
$15K |
| 82330 |
|
3,189 |
2,353 |
$15K |
| 77061 |
|
660 |
558 |
$15K |
| 11900 |
|
85 |
74 |
$15K |
| 73070 |
|
988 |
755 |
$15K |
| 72070 |
|
584 |
465 |
$15K |
| 83520 |
|
1,885 |
1,214 |
$15K |
| 83655 |
|
1,526 |
1,419 |
$15K |
| D7230 |
|
35 |
33 |
$14K |
| 96132 |
|
195 |
160 |
$14K |
| 86787 |
|
1,690 |
1,447 |
$14K |
| 84703 |
|
5,965 |
4,804 |
$14K |
| J1642 |
Inj heparin sodium per 10 u |
10,541 |
5,767 |
$14K |
| 86870 |
|
441 |
306 |
$14K |
| 86376 |
|
972 |
894 |
$14K |
| 72110 |
|
809 |
718 |
$14K |
| 73120 |
|
433 |
305 |
$14K |
| A4648 |
Implantable tissue marker |
256 |
182 |
$14K |
| A0427 |
Als1-emergency |
88 |
88 |
$13K |
| J7040 |
Normal saline solution infus |
4,956 |
3,396 |
$13K |
| 72157 |
|
136 |
120 |
$13K |
| 86920 |
|
608 |
356 |
$13K |
| 73620 |
|
741 |
573 |
$13K |
| 86255 |
|
1,358 |
1,233 |
$13K |
| J2997 |
Alteplase recombinant |
182 |
122 |
$12K |
| 96402 |
|
682 |
547 |
$12K |
| 83002 |
|
1,026 |
923 |
$12K |
| 81376 |
|
310 |
228 |
$12K |
| 93451 |
|
15 |
12 |
$12K |
| D2391 |
|
199 |
132 |
$12K |
| 92250 |
|
381 |
330 |
$12K |
| 87799 |
|
1,407 |
875 |
$12K |
| 72050 |
|
520 |
463 |
$12K |
| 86431 |
|
1,757 |
1,630 |
$12K |
| 82627 |
|
491 |
450 |
$11K |
| C8908 |
Mri w/o fol w/cont, breast, |
30 |
26 |
$11K |
| 85730 |
|
4,479 |
3,560 |
$11K |
| 83516 |
|
1,576 |
1,070 |
$11K |
| 84425 |
|
1,104 |
971 |
$11K |
| 92610 |
|
285 |
208 |
$11K |
| 88342 |
|
2,755 |
2,178 |
$11K |
| 86003 |
|
1,123 |
364 |
$11K |
| 29581 |
|
62 |
24 |
$10K |
| 90480 |
|
1,374 |
1,122 |
$10K |
| 31615 |
|
15 |
13 |
$10K |
| J1100 |
Dexamethasone sodium phos |
9,727 |
6,684 |
$10K |
| G0123 |
Screen cerv/vag thin layer |
1,327 |
1,271 |
$10K |
| 73060 |
|
755 |
567 |
$10K |
| J1885 |
Ketorolac tromethamine inj |
11,954 |
8,338 |
$10K |
| 90670 |
|
865 |
717 |
$10K |
| 87502 |
|
247 |
216 |
$10K |
| D0210 |
|
215 |
186 |
$10K |
| 92552 |
|
219 |
197 |
$10K |
| 73600 |
|
488 |
366 |
$9K |
| 90656 |
|
1,274 |
1,212 |
$9K |
| 80164 |
|
1,208 |
952 |
$9K |
| 64635 |
|
15 |
14 |
$9K |
| 93325 |
|
135 |
91 |
$9K |
| J1644 |
Inj heparin sodium per 1000u |
9,301 |
3,554 |
$9K |
| A9552 |
F18 fdg |
424 |
359 |
$9K |
| J2469 |
Palonosetron hcl |
2,462 |
1,171 |
$9K |
| 86364 |
|
1,007 |
914 |
$9K |
| 86832 |
|
267 |
227 |
$9K |
| 80175 |
|
957 |
848 |
$9K |
| 87040 |
|
1,905 |
1,133 |
$9K |
| 83013 |
|
197 |
194 |
$9K |
| 90935 |
|
57 |
24 |
$9K |
| 83521 |
|
1,507 |
1,114 |
$9K |
| 87210 |
|
3,750 |
3,211 |
$9K |
| 72190 |
|
454 |
382 |
$9K |
| 64494 |
|
69 |
42 |
$9K |
| 86334 |
|
1,170 |
982 |
$9K |
| 72146 |
|
90 |
83 |
$9K |
| 90648 |
|
1,375 |
1,176 |
$9K |
| 84520 |
|
1,550 |
1,215 |
$9K |
| J1200 |
Diphenhydramine hcl injectio |
3,553 |
2,244 |
$9K |
| 77066 |
Tomosynthesis, mammo |
642 |
566 |
$9K |
| 86709 |
|
1,162 |
984 |
$8K |
| 86922 |
|
495 |
288 |
$8K |
| 80321 |
|
902 |
792 |
$8K |
| 80074 |
|
571 |
507 |
$8K |
| 72128 |
|
146 |
120 |
$8K |
| 86800 |
|
746 |
634 |
$8K |
| 85014 |
|
3,513 |
2,842 |
$8K |
| U0002 |
Covid-19 lab test non-cdc |
767 |
663 |
$8K |
| 87205 |
|
2,790 |
2,230 |
$8K |
| P9047 |
Albumin (human), 25%, 50ml |
47 |
25 |
$8K |
| J3486 |
Ziprasidone mesylate |
638 |
403 |
$8K |
| 20553 |
|
45 |
38 |
$8K |
| 84163 |
|
687 |
659 |
$8K |
| J9045 |
Carboplatin injection |
685 |
314 |
$8K |
| 87900 |
|
76 |
72 |
$8K |
| 84704 |
|
687 |
659 |
$8K |
| 11055 |
|
79 |
69 |
$8K |
| 51705 |
|
172 |
145 |
$7K |
| 69210 |
|
179 |
150 |
$7K |
| 00731 |
|
1,037 |
796 |
$7K |
| A9585 |
Gadobutrol injection |
3,819 |
3,247 |
$7K |
| 84134 |
|
807 |
678 |
$7K |
| 86825 |
|
270 |
228 |
$7K |
| J0640 |
Leucovorin calcium injection |
508 |
229 |
$7K |
| 84165 |
|
1,369 |
1,205 |
$7K |
| 86735 |
|
712 |
641 |
$7K |
| 93356 |
|
115 |
92 |
$7K |
| 31622 |
|
15 |
13 |
$7K |
| 36410 |
|
479 |
357 |
$7K |
| 83993 |
|
476 |
437 |
$7K |
| J3489 |
Zoledronic acid 1mg |
562 |
423 |
$7K |
| J3475 |
Inj magnesium sulfate |
3,743 |
1,544 |
$7K |
| 87901 |
|
64 |
60 |
$7K |
| 82951 |
|
433 |
401 |
$7K |
| 97129 |
|
90 |
26 |
$7K |
| 86833 |
|
267 |
227 |
$7K |
| 86677 |
|
731 |
667 |
$7K |
| 00300 |
|
307 |
215 |
$7K |
| 85576 |
|
854 |
656 |
$7K |
| 76827 |
|
209 |
168 |
$7K |
| 84630 |
|
582 |
525 |
$7K |
| 80361 |
|
354 |
338 |
$6K |
| 95970 |
|
225 |
195 |
$6K |
| 64447 |
|
40 |
28 |
$6K |
| 11102 |
|
14 |
12 |
$6K |
| 93880 |
|
71 |
66 |
$6K |
| 86765 |
|
732 |
658 |
$6K |
| 90739 |
|
392 |
342 |
$6K |
| 82378 |
|
1,087 |
798 |
$6K |
| 73140 |
|
527 |
432 |
$6K |
| 90632 |
|
297 |
256 |
$6K |
| 86880 |
|
602 |
411 |
$6K |
| 97813 |
|
369 |
203 |
$6K |
| 84436 |
|
1,007 |
922 |
$6K |
| 80050 |
|
711 |
655 |
$6K |
| 80178 |
|
456 |
363 |
$6K |
| 82525 |
|
500 |
445 |
$6K |
| 77387 |
|
170 |
25 |
$6K |
| 76942 |
|
433 |
322 |
$6K |
| 86644 |
|
844 |
708 |
$6K |
| 86231 |
|
485 |
441 |
$6K |
| 86015 |
|
410 |
352 |
$6K |
| J1650 |
Inj enoxaparin sodium |
4,568 |
1,250 |
$6K |
| 93321 |
|
53 |
38 |
$6K |
| 92567 |
|
860 |
746 |
$6K |
| 80177 |
|
994 |
816 |
$5K |
| 88738 |
|
828 |
700 |
$5K |
| 74430 |
|
68 |
51 |
$5K |
| 87906 |
|
58 |
55 |
$5K |
| C8930 |
Tte w or w/o contr, cont ecg |
28 |
25 |
$5K |
| A0429 |
Bls-emergency |
46 |
44 |
$5K |
| 93225 |
|
51 |
43 |
$5K |
| 90633 |
|
779 |
661 |
$5K |
| 84154 |
|
493 |
425 |
$5K |
| J2800 |
Methocarbamol injection |
1,414 |
926 |
$5K |
| 86645 |
|
589 |
508 |
$5K |
| J7328 |
Gelsyn-3 injection 0.1 mg |
210 |
94 |
$5K |
| 87529 |
|
233 |
189 |
$5K |
| 93298 |
|
351 |
324 |
$5K |
| Q5121 |
Inj. avsola, 10 mg |
25 |
14 |
$5K |
| 85046 |
|
2,388 |
1,908 |
$5K |
| 84132 |
|
3,121 |
2,414 |
$5K |
| 0003A |
|
135 |
131 |
$5K |
| 70250 |
|
147 |
111 |
$5K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
1,647 |
1,450 |
$5K |
| 80365 |
|
705 |
463 |
$5K |
| G0239 |
Oth resp proc, group |
604 |
136 |
$5K |
| 86593 |
|
752 |
655 |
$5K |
| J2270 |
Morphine sulfate injection |
1,808 |
1,101 |
$5K |
| 74174 |
|
66 |
52 |
$5K |
| 90662 |
|
619 |
526 |
$5K |
| 83010 |
|
891 |
669 |
$4K |
| 84155 |
|
1,911 |
1,512 |
$4K |
| 96411 |
|
274 |
153 |
$4K |
| 82977 |
|
871 |
758 |
$4K |
| 88304 |
|
842 |
675 |
$4K |
| 85732 |
|
1,239 |
749 |
$4K |
| 97130 |
|
90 |
26 |
$4K |
| 80346 |
|
228 |
215 |
$4K |
| 88312 |
|
554 |
436 |
$4K |
| 73100 |
|
149 |
111 |
$4K |
| 58300 |
|
97 |
90 |
$4K |
| 82103 |
|
566 |
516 |
$4K |
| 84460 |
|
968 |
855 |
$4K |
| 96401 |
|
137 |
74 |
$4K |
| 76821 |
|
116 |
61 |
$4K |
| 84450 |
|
576 |
504 |
$4K |
| 82947 |
|
2,597 |
1,953 |
$4K |
| 86258 |
|
517 |
461 |
$4K |
| 86037 |
|
289 |
259 |
$4K |
| 82390 |
|
555 |
497 |
$4K |
| G0009 |
Admin pneumococcal vaccine |
2,962 |
2,535 |
$4K |
| 80329 |
|
1,964 |
1,481 |
$4K |
| 85379 |
|
1,314 |
1,092 |
$4K |
| J2930 |
Methylprednisolone injection |
1,562 |
988 |
$4K |
| 73000 |
|
161 |
119 |
$4K |
| 82140 |
|
658 |
493 |
$4K |
| 82785 |
|
299 |
269 |
$3K |
| 76775 |
|
29 |
24 |
$3K |
| J2370 |
Phenylephrine hcl injection |
1,715 |
1,050 |
$3K |
| 80193 |
|
288 |
259 |
$3K |
| 86826 |
|
310 |
228 |
$3K |
| 72158 |
|
14 |
12 |
$3K |
| 75565 |
|
114 |
103 |
$3K |
| 84590 |
|
333 |
310 |
$3K |
| 62370 |
|
61 |
52 |
$3K |
| 90746 |
|
184 |
161 |
$3K |
| 86256 |
|
421 |
154 |
$3K |
| 90723 |
|
880 |
745 |
$3K |
| 97803 |
|
31 |
27 |
$3K |
| 88313 |
|
471 |
350 |
$3K |
| 85613 |
|
720 |
653 |
$3K |
| 82088 |
|
205 |
178 |
$3K |
| 84446 |
|
370 |
333 |
$3K |
| 93290 |
|
806 |
652 |
$3K |
| D0230 |
|
468 |
268 |
$3K |
| 77399 |
|
39 |
25 |
$3K |
| 51702 |
|
138 |
103 |
$3K |
| 90716 |
|
338 |
285 |
$3K |
| G0010 |
Admin hepatitis b vaccine |
858 |
769 |
$3K |
| 87493 |
|
122 |
116 |
$3K |
| S9445 |
Pt education noc individ |
67 |
63 |
$3K |
| 82150 |
|
887 |
724 |
$3K |
| J3301 |
Triamcinolone acet inj nos |
4,863 |
4,149 |
$3K |
| 64415 |
|
21 |
13 |
$3K |
| 78434 |
|
61 |
53 |
$3K |
| J0131 |
Inj, acetaminophen (nos) |
774 |
518 |
$3K |
| 36592 |
|
143 |
100 |
$3K |
| 87636 |
|
35 |
31 |
$3K |
| 86777 |
|
406 |
344 |
$3K |
| 58100 |
|
14 |
13 |
$3K |
| 84295 |
|
2,154 |
1,691 |
$3K |
| 85670 |
|
769 |
691 |
$3K |
| 86381 |
|
332 |
289 |
$3K |
| 88112 |
|
527 |
422 |
$3K |
| 93923 |
|
32 |
24 |
$3K |
| G0257 |
Unsched dialysis esrd pt hos |
35 |
17 |
$3K |
| 80349 |
|
378 |
293 |
$3K |
| 85018 |
|
3,022 |
2,346 |
$3K |
| D2331 |
|
21 |
12 |
$3K |
| 86665 |
|
369 |
309 |
$3K |
| 82172 |
|
264 |
229 |
$3K |
| 84432 |
|
175 |
157 |
$2K |
| 76377 |
|
292 |
253 |
$2K |
| 96138 |
|
156 |
126 |
$2K |
| 90707 |
|
389 |
321 |
$2K |
| 92504 |
|
993 |
811 |
$2K |
| 97602 |
|
25 |
14 |
$2K |
| J0330 |
Succinycholine chloride inj |
2,815 |
1,617 |
$2K |
| J1815 |
Insulin injection |
1,253 |
582 |
$2K |
| 82247 |
|
386 |
312 |
$2K |
| J9190 |
Fluorouracil injection |
959 |
372 |
$2K |
| J2785 |
Regadenoson injection |
684 |
559 |
$2K |
| 77077 |
|
205 |
178 |
$2K |
| 84300 |
|
769 |
623 |
$2K |
| 82952 |
|
224 |
217 |
$2K |
| 90681 |
|
578 |
474 |
$2K |
| G0296 |
Visit to determ ldct elig |
27 |
27 |
$2K |
| 89051 |
|
1,008 |
699 |
$2K |
| 86902 |
|
253 |
177 |
$2K |
| Q3014 |
Telehealth facility fee |
1,569 |
1,126 |
$2K |
| 94727 |
|
53 |
42 |
$2K |
| 85384 |
|
1,326 |
825 |
$2K |
| 82164 |
|
187 |
174 |
$2K |
| J3370 |
Vancomycin hcl injection |
1,262 |
586 |
$2K |
| 00170 |
|
367 |
234 |
$2K |
| J2710 |
Neostigmine methylslfte inj |
2,276 |
1,576 |
$2K |
| 82436 |
|
445 |
353 |
$2K |
| 76604 |
|
19 |
15 |
$2K |
| 86304 |
|
528 |
396 |
$2K |
| 85520 |
|
702 |
500 |
$2K |
| 86301 |
|
258 |
187 |
$2K |
| 83525 |
|
150 |
143 |
$2K |
| 0134A |
|
52 |
28 |
$2K |
| 88237 |
|
17 |
13 |
$2K |
| J0295 |
Ampicillin sulbactam 1.5 gm |
1,189 |
401 |
$2K |
| J3480 |
Inj potassium chloride |
1,624 |
679 |
$2K |
| 74019 |
|
42 |
40 |
$2K |
| 75984 |
|
114 |
73 |
$2K |
| 87015 |
|
896 |
615 |
$1K |
| 80158 |
|
194 |
82 |
$1K |
| 96133 |
|
107 |
87 |
$1K |
| 82610 |
|
274 |
248 |
$1K |
| 91322 |
|
405 |
365 |
$1K |
| J2550 |
Promethazine hcl injection |
1,467 |
829 |
$1K |
| 0054A |
|
147 |
137 |
$1K |
| 01400 |
|
17 |
15 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
3,575 |
2,475 |
$1K |
| J0612 |
Inj, calcium gluconate, nos |
1,018 |
580 |
$1K |
| 94621 |
|
14 |
12 |
$1K |
| 96139 |
|
136 |
110 |
$1K |
| 82040 |
|
486 |
290 |
$1K |
| 82010 |
|
543 |
401 |
$1K |
| J9267 |
Paclitaxel injection |
477 |
167 |
$1K |
| 95874 |
|
586 |
478 |
$1K |
| 20552 |
|
17 |
13 |
$1K |
| J1720 |
Hydrocortisone sodium succ i |
1,415 |
1,179 |
$1K |
| 0013A |
|
43 |
40 |
$1K |
| 84144 |
|
72 |
63 |
$1K |
| 73501 |
|
88 |
69 |
$1K |
| 73080 |
|
67 |
58 |
$1K |
| 90700 |
|
303 |
245 |
$1K |
| J9206 |
Irinotecan injection |
80 |
24 |
$1K |
| J8540 |
Oral dexamethasone |
3,368 |
1,564 |
$1K |
| 0071A |
|
32 |
32 |
$1K |
| 92133 |
|
183 |
172 |
$1K |
| 84207 |
|
160 |
138 |
$1K |
| 84681 |
|
219 |
196 |
$1K |
| 82310 |
|
152 |
128 |
$1K |
| 97163 |
|
35 |
30 |
$1K |
| 82085 |
|
122 |
110 |
$1K |
| 0064A |
|
41 |
35 |
$1K |
| 87503 |
|
73 |
67 |
$1K |
| Q9956 |
Inj octafluoropropane mic,ml |
633 |
524 |
$1K |
| 82104 |
|
115 |
110 |
$1K |
| 88173 |
|
225 |
197 |
$1K |
| C1769 |
Guide wire |
525 |
396 |
$1K |
| J1953 |
Levetiracetam injection |
126 |
75 |
$1K |
| 84133 |
|
422 |
333 |
$1K |
| G0108 |
Diab manage trn per indiv |
16 |
16 |
$1K |
| 00190 |
|
91 |
57 |
$1K |
| 85347 |
|
1,184 |
851 |
$1K |
| C9113 |
Inj pantoprazole sodium, via |
299 |
107 |
$996.81 |
| J3411 |
Thiamine hcl 100 mg |
598 |
290 |
$984.12 |
| 87102 |
|
364 |
305 |
$974.28 |
| 87350 |
|
172 |
155 |
$956.17 |
| 82232 |
|
214 |
175 |
$945.20 |
| 81329 |
|
15 |
12 |
$875.75 |
| 90696 |
|
135 |
116 |
$856.90 |
| 16020 |
|
56 |
40 |
$850.41 |
| 82397 |
|
71 |
65 |
$845.81 |
| 83519 |
|
110 |
97 |
$845.80 |
| 90653 |
|
216 |
188 |
$845.10 |
| 81002 |
|
423 |
372 |
$837.67 |
| 76376 |
|
72 |
52 |
$833.76 |
| 92235 |
|
13 |
13 |
$825.53 |
| 86807 |
|
14 |
13 |
$824.15 |
| 99201 |
|
41 |
38 |
$794.86 |
| J1817 |
Insulin for insulin pump use |
138 |
83 |
$770.44 |
| 86696 |
|
47 |
45 |
$766.53 |
| 80183 |
|
76 |
58 |
$752.23 |
| 85240 |
|
41 |
36 |
$751.16 |
| 51701 |
|
116 |
106 |
$748.93 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
949 |
822 |
$739.02 |
| 85660 |
|
617 |
428 |
$734.82 |
| 0031A |
|
177 |
163 |
$718.32 |
| 87075 |
|
634 |
403 |
$706.84 |
| 00840 |
|
282 |
181 |
$702.70 |
| 77001 |
|
169 |
137 |
$693.99 |
| 85390 |
|
628 |
476 |
$686.28 |
| 0072A |
|
18 |
18 |
$685.54 |
| 87338 |
|
61 |
61 |
$671.58 |
| 64644 |
|
18 |
12 |
$652.34 |
| 00320 |
|
92 |
68 |
$649.40 |
| 87206 |
|
467 |
346 |
$630.27 |
| J0780 |
Prochlorperazine injection |
1,176 |
840 |
$621.68 |
| J1790 |
Droperidol injection |
1,233 |
939 |
$611.59 |
| 90710 |
|
164 |
142 |
$611.15 |
| 80299 |
|
139 |
124 |
$604.19 |
| 87328 |
|
54 |
50 |
$599.91 |
| 86707 |
|
78 |
69 |
$590.27 |
| C1830 |
Power bone marrow bx needle |
95 |
81 |
$588.02 |
| 82652 |
|
54 |
42 |
$587.70 |
| 90473 |
|
497 |
406 |
$576.63 |
| J2001 |
Lidocaine injection |
4,384 |
3,606 |
$572.19 |
| 0051A |
|
34 |
31 |
$561.12 |
| 82542 |
|
38 |
37 |
$546.64 |
| 94664 |
|
26 |
26 |
$539.95 |
| 87329 |
|
54 |
50 |
$539.04 |
| 96368 |
|
87 |
57 |
$515.05 |
| 81015 |
|
241 |
230 |
$512.24 |
| J3420 |
Vitamin b12 injection |
875 |
593 |
$509.94 |
| J0610 |
Calcium glucon (fresenius) |
161 |
115 |
$508.53 |
| 86695 |
|
44 |
43 |
$499.34 |
| 0012A |
|
38 |
21 |
$497.52 |
| A9502 |
Tc99m tetrofosmin |
405 |
352 |
$497.20 |
| 92081 |
|
13 |
12 |
$496.67 |
| 0052A |
|
51 |
49 |
$483.92 |
| J2060 |
Lorazepam injection |
1,244 |
788 |
$478.12 |
| U0001 |
2019-ncov diagnostic p |
18 |
17 |
$474.12 |
| J1453 |
Fosaprepitant injection |
21 |
12 |
$468.35 |
| J2795 |
Ropivacaine hcl injection |
394 |
252 |
$466.16 |
| C1726 |
Cath, bal dil, non-vascular |
53 |
41 |
$463.90 |
| 87116 |
|
376 |
271 |
$452.73 |
| 36593 |
|
14 |
12 |
$450.05 |
| Q9957 |
Inj perflutren lip micros,ml |
89 |
79 |
$445.04 |
| 87177 |
|
30 |
25 |
$434.37 |
| C1894 |
Intro/sheath, non-laser |
462 |
342 |
$417.63 |
| 77012 |
|
18 |
12 |
$413.38 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
1,674 |
1,482 |
$411.83 |
| 83935 |
|
110 |
87 |
$410.52 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
4,124 |
1,613 |
$409.71 |
| 0053A |
|
16 |
15 |
$393.16 |
| J0171 |
Adrenalin epinephrine inject |
1,102 |
698 |
$389.11 |
| 00790 |
|
76 |
51 |
$385.29 |
| 87209 |
|
30 |
25 |
$361.44 |
| 87635 |
|
17 |
12 |
$355.18 |
| 73521 |
|
12 |
12 |
$354.02 |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
26 |
22 |
$353.35 |
| J0692 |
Cefepime hcl for injection |
208 |
62 |
$348.63 |
| 90688 |
|
29 |
27 |
$334.69 |
| 82810 |
|
292 |
208 |
$329.87 |
| J0689 |
Inj cefazolin sodium, baxter |
283 |
174 |
$323.15 |
| J1580 |
Garamycin gentamicin inj |
511 |
358 |
$314.47 |
| J1940 |
Furosemide injection |
775 |
370 |
$293.32 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
1,640 |
883 |
$287.55 |
| 84166 |
|
29 |
25 |
$286.84 |
| J0360 |
Hydralazine hcl injection |
344 |
190 |
$283.32 |
| 95250 |
|
48 |
38 |
$275.76 |
| 93799 |
|
15 |
13 |
$257.06 |
| 84244 |
|
45 |
37 |
$246.33 |
| 29125 |
|
17 |
14 |
$244.20 |
| 80335 |
|
19 |
16 |
$236.02 |
| 87147 |
|
59 |
55 |
$234.16 |
| Q0114 |
Fern test |
137 |
112 |
$230.04 |
| 76870 |
|
28 |
25 |
$225.94 |
| J7121 |
5% dextrose in lac ringers |
145 |
88 |
$225.05 |
| 58301 |
|
40 |
40 |
$216.56 |
| 80235 |
|
49 |
43 |
$203.56 |
| J2765 |
Metoclopramide hcl injection |
511 |
351 |
$202.71 |
| S0028 |
Injection, famotidine, 20 mg |
499 |
391 |
$202.58 |
| 82239 |
|
15 |
12 |
$201.62 |
| 87880 |
|
18 |
16 |
$190.53 |
| 98960 |
|
14 |
14 |
$188.70 |
| 83930 |
|
41 |
26 |
$185.39 |
| 87449 |
|
75 |
54 |
$184.65 |
| J7060 |
5% dextrose/water |
250 |
87 |
$176.14 |
| G2212 |
Prolong outpt/office vis |
158 |
139 |
$172.59 |
| J0735 |
Clonidine hydrochloride |
20 |
14 |
$167.58 |
| C9257 |
Bevacizumab injection |
42 |
39 |
$166.44 |
| J1920 |
Inj, labetalol hcl, 5mg |
387 |
251 |
$150.60 |
| 84305 |
|
17 |
12 |
$150.07 |
| 80354 |
|
17 |
12 |
$149.60 |
| 87184 |
|
43 |
38 |
$145.31 |
| J1630 |
Haloperidol injection |
795 |
588 |
$142.49 |
| 80201 |
|
14 |
13 |
$141.21 |
| 92025 |
|
17 |
14 |
$140.26 |
| 74021 |
|
26 |
24 |
$136.27 |
| 88175 |
|
54 |
45 |
$135.41 |
| 83498 |
|
13 |
12 |
$133.42 |
| 84157 |
|
283 |
237 |
$130.65 |
| 86705 |
|
22 |
14 |
$120.86 |
| J0736 |
Inj, clindamycin phosp 300mg |
122 |
97 |
$116.81 |
| J3473 |
Hyaluronidase recombinant |
52 |
40 |
$113.40 |
| 86706 |
|
38 |
26 |
$110.89 |
| 88302 |
|
27 |
12 |
$108.90 |
| J3590 |
Unclassified biologics |
24 |
24 |
$108.75 |
| 86308 |
|
23 |
16 |
$108.02 |
| 88311 |
|
69 |
50 |
$106.95 |
| J0706 |
Caffeine citrate injection |
40 |
34 |
$104.22 |
| 82985 |
|
17 |
13 |
$102.87 |
| 82945 |
|
240 |
200 |
$98.11 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
300 |
209 |
$95.18 |
| J1836 |
Inj, metronidazole, 10 mg |
147 |
78 |
$94.04 |
| J9263 |
Oxaliplatin |
123 |
52 |
$85.14 |
| 84478 |
|
15 |
13 |
$77.06 |
| 0011A |
|
15 |
14 |
$72.93 |
| J0461 |
Atropine sulfate injection |
72 |
30 |
$70.77 |
| 87305 |
|
42 |
26 |
$70.37 |
| J0280 |
Aminophyllin 250 mg inj |
18 |
15 |
$63.94 |
| J2919 |
Inj, methylpred sod succ 5mg |
552 |
405 |
$57.49 |
| 94760 |
|
237 |
116 |
$53.90 |
| 86701 |
|
17 |
14 |
$52.07 |
| 86702 |
|
17 |
14 |
$52.07 |
| 91300 |
|
6,452 |
5,271 |
$50.55 |
| 80203 |
|
14 |
13 |
$41.71 |
| J0688 |
Inj cefazolin sodium, hikma |
162 |
123 |
$38.63 |
| 89060 |
|
32 |
25 |
$35.25 |
| J1805 |
Inj, esmolol hcl, 10mg |
203 |
182 |
$28.17 |
| 91312 |
|
778 |
498 |
$26.01 |
| 82042 |
|
30 |
26 |
$24.24 |
| 73565 |
|
16 |
16 |
$21.36 |
| 90685 |
|
13 |
12 |
$18.58 |
| 87071 |
|
98 |
78 |
$18.19 |
| 87176 |
|
28 |
24 |
$14.70 |
| J2470 |
Inj pantoprazole sodium 40mg |
17 |
12 |
$6.21 |
| G0103 |
Psa screening |
68 |
58 |
$5.71 |
| 91301 |
|
132 |
110 |
$0.81 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
307 |
282 |
$0.77 |
| 91305 |
|
288 |
267 |
$0.71 |
| 91307 |
|
69 |
64 |
$0.66 |
| 91303 |
|
198 |
184 |
$0.25 |
| 91313 |
|
52 |
28 |
$0.20 |
| C1725 |
Cath, translumin non-laser |
38 |
24 |
$0.00 |
| A9555 |
Rb82 rubidium |
116 |
102 |
$0.00 |
| 00813 |
|
173 |
121 |
$0.00 |
| 0866T |
|
14 |
13 |
$0.00 |
| 64484 |
|
46 |
36 |
$0.00 |
| J2002 |
Inj, lidocaine in d5w, 1 mg |
22 |
20 |
$0.00 |
| D1208 |
|
52 |
38 |
$0.00 |
| 00160 |
|
12 |
12 |
$0.00 |
| 00142 |
|
18 |
12 |
$0.00 |
| 00811 |
|
869 |
659 |
$0.00 |
| C1780 |
Lens, intraocular (new tech) |
98 |
71 |
$0.00 |
| S0013 |
Esketamine, nasal spray |
29 |
12 |
$0.00 |
| C1714 |
Cath, trans atherectomy, dir |
126 |
76 |
$0.00 |
| C1874 |
Stent, coated/cov w/del sys |
13 |
12 |
$0.00 |
| 00532 |
|
16 |
12 |
$0.00 |
| C1788 |
Port, indwelling, imp |
30 |
26 |
$0.00 |
| 00812 |
|
114 |
84 |
$0.00 |
| C1776 |
Joint device (implantable) |
55 |
38 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
49 |
49 |
$0.00 |
| 00520 |
|
186 |
134 |
$0.00 |
| 64636 |
|
27 |
14 |
$0.00 |
| G0279 |
Tomosynthesis, mammo |
67 |
65 |
$0.00 |
| 90671 |
|
76 |
60 |
$0.00 |
| D1999 |
|
14 |
14 |
$0.00 |
| 00910 |
|
36 |
28 |
$0.00 |
| C1760 |
Closure dev, vasc |
46 |
37 |
$0.00 |