| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
39,734 |
24,614 |
$12.23M |
| 99284 |
|
46,743 |
37,005 |
$11.25M |
| 99283 |
|
41,674 |
35,525 |
$6.56M |
| 74177 |
|
9,227 |
7,307 |
$6.31M |
| 41899 |
|
5,808 |
4,821 |
$6.12M |
| G0378 |
Hospital observation per hr |
14,587 |
7,600 |
$3.11M |
| 70450 |
|
11,140 |
8,458 |
$2.44M |
| 93458 |
|
3,298 |
1,265 |
$2.16M |
| 47562 |
|
1,477 |
819 |
$1.75M |
| 78452 |
|
3,198 |
2,063 |
$1.58M |
| G0463 |
Hospital outpt clinic visit |
36,383 |
28,996 |
$1.51M |
| 78815 |
|
1,471 |
1,162 |
$1.51M |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,663 |
1,310 |
$1.45M |
| 74176 |
|
4,461 |
3,563 |
$1.40M |
| 93005 |
|
33,450 |
26,501 |
$1.38M |
| 96374 |
|
36,021 |
17,298 |
$1.21M |
| 42820 |
|
768 |
704 |
$1.14M |
| 96365 |
|
18,697 |
8,826 |
$1.14M |
| 43239 |
|
5,134 |
3,650 |
$1.13M |
| 69436 |
|
1,435 |
1,275 |
$1.11M |
| 70553 |
|
3,489 |
2,661 |
$1.08M |
| 71045 |
|
28,193 |
20,575 |
$1.03M |
| 71275 |
|
3,148 |
2,549 |
$1.02M |
| 72125 |
|
3,393 |
2,829 |
$916K |
| 71260 |
|
2,944 |
2,180 |
$902K |
| 72148 |
|
3,388 |
3,082 |
$888K |
| 87631 |
|
10,651 |
9,604 |
$856K |
| G0379 |
Direct refer hospital observ |
3,189 |
1,589 |
$848K |
| G0480 |
Drug test def 1-7 classes |
12,448 |
9,164 |
$799K |
| 96375 |
|
19,274 |
13,529 |
$774K |
| 76830 |
|
4,870 |
4,365 |
$716K |
| 71046 |
|
11,754 |
9,708 |
$665K |
| 77067 |
|
9,056 |
8,632 |
$660K |
| 76705 |
|
6,060 |
5,308 |
$622K |
| 76817 |
|
4,204 |
3,474 |
$552K |
| 72141 |
|
2,317 |
1,989 |
$533K |
| U0003 |
Cov-19 amp prb hgh thruput |
8,093 |
7,052 |
$531K |
| 93306 |
|
3,148 |
2,672 |
$530K |
| 85025 |
|
106,531 |
78,145 |
$523K |
| 96360 |
|
7,830 |
5,341 |
$521K |
| 36415 |
|
147,835 |
76,964 |
$516K |
| 97110 |
|
17,057 |
4,643 |
$511K |
| 72131 |
|
2,468 |
2,011 |
$507K |
| 96413 |
|
5,358 |
2,477 |
$502K |
| 45380 |
|
1,902 |
1,324 |
$498K |
| 71250 |
|
2,369 |
1,915 |
$484K |
| J7050 |
Normal saline solution infus |
52,215 |
24,683 |
$474K |
| 45385 |
|
1,731 |
1,241 |
$473K |
| 88305 |
|
12,293 |
10,735 |
$458K |
| 80053 |
|
64,939 |
42,962 |
$448K |
| A9552 |
F18 fdg |
2,509 |
1,683 |
$443K |
| 99282 |
|
4,422 |
4,001 |
$435K |
| 73721 |
|
1,650 |
1,457 |
$429K |
| 72110 |
|
3,619 |
3,154 |
$427K |
| 96361 |
|
17,998 |
11,353 |
$423K |
| 0202U |
|
1,605 |
1,496 |
$420K |
| 76700 |
|
1,540 |
1,379 |
$393K |
| C1769 |
Guide wire |
3,568 |
2,928 |
$367K |
| 70486 |
|
1,517 |
1,338 |
$365K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
19,840 |
15,987 |
$364K |
| 95810 |
|
596 |
516 |
$359K |
| 64721 |
|
589 |
397 |
$350K |
| 93971 |
|
2,183 |
1,919 |
$347K |
| J0131 |
Inj, acetaminophen (nos) |
23,977 |
18,774 |
$339K |
| 93976 |
|
2,142 |
1,894 |
$335K |
| 87502 |
|
7,007 |
6,282 |
$330K |
| J2704 |
Inj, propofol, 10 mg |
31,839 |
23,346 |
$324K |
| J2405 |
Ondansetron hcl injection |
39,902 |
29,030 |
$312K |
| J7120 |
Ringers lactate infusion |
28,823 |
19,487 |
$311K |
| 74018 |
|
4,931 |
4,339 |
$309K |
| 76642 |
|
3,907 |
3,190 |
$307K |
| 76815 |
|
2,558 |
2,124 |
$306K |
| 76536 |
|
1,978 |
1,815 |
$306K |
| 93017 |
|
2,354 |
2,127 |
$297K |
| 87635 |
|
9,189 |
7,147 |
$275K |
| 96372 |
|
12,859 |
9,488 |
$273K |
| 97112 |
|
6,490 |
2,331 |
$272K |
| 97530 |
|
10,708 |
3,415 |
$252K |
| 73562 |
|
3,504 |
2,616 |
$251K |
| 58661 |
|
189 |
111 |
$239K |
| 73221 |
|
1,091 |
931 |
$231K |
| C8929 |
Tte w or wo fol wcon,doppler |
1,267 |
1,003 |
$229K |
| 70551 |
|
792 |
669 |
$227K |
| 80048 |
|
47,809 |
33,462 |
$225K |
| 72100 |
|
3,599 |
2,933 |
$222K |
| 76770 |
|
1,653 |
1,415 |
$214K |
| J7030 |
Normal saline solution infus |
17,622 |
10,119 |
$213K |
| J3010 |
Fentanyl citrate injection |
26,405 |
21,444 |
$212K |
| 72128 |
|
975 |
820 |
$210K |
| 99281 |
|
3,727 |
3,403 |
$209K |
| 84484 |
|
25,215 |
18,696 |
$208K |
| 97140 |
|
6,085 |
2,250 |
$208K |
| 73030 |
|
3,117 |
2,358 |
$205K |
| 93970 |
|
980 |
879 |
$202K |
| 72050 |
|
1,834 |
1,307 |
$201K |
| 87798 |
|
7,623 |
2,698 |
$197K |
| 94640 |
|
10,105 |
5,691 |
$195K |
| 84443 |
|
16,189 |
14,445 |
$195K |
| 94060 |
|
1,750 |
1,422 |
$194K |
| C1887 |
Catheter, guiding |
2,412 |
1,896 |
$192K |
| 75574 |
|
485 |
403 |
$188K |
| 80306 |
|
17,948 |
14,951 |
$187K |
| 87651 |
|
9,138 |
8,439 |
$187K |
| J3490 |
Drugs unclassified injection |
14,490 |
5,485 |
$185K |
| J1100 |
Dexamethasone sodium phos |
24,523 |
19,721 |
$181K |
| 77386 |
|
376 |
27 |
$177K |
| A9502 |
Tc99m tetrofosmin |
2,914 |
1,919 |
$170K |
| 73630 |
|
2,545 |
2,109 |
$169K |
| 82306 |
|
7,323 |
6,641 |
$168K |
| 77063 |
|
6,777 |
5,453 |
$165K |
| C1894 |
Intro/sheath, non-laser |
2,769 |
2,225 |
$163K |
| 80061 |
|
15,325 |
10,609 |
$158K |
| 77066 |
Tomosynthesis, mammo |
1,957 |
1,528 |
$158K |
| 72040 |
|
2,349 |
1,834 |
$152K |
| 73130 |
|
2,116 |
1,747 |
$150K |
| 0241U |
|
1,746 |
1,524 |
$150K |
| 96366 |
|
4,973 |
2,573 |
$149K |
| 77065 |
Tomosynthesis, mammo |
2,531 |
2,019 |
$146K |
| 73610 |
|
2,131 |
1,799 |
$145K |
| J2270 |
Morphine sulfate injection |
15,414 |
9,615 |
$144K |
| 76819 |
|
816 |
589 |
$133K |
| 73502 |
|
1,991 |
1,415 |
$132K |
| 72072 |
|
1,633 |
1,280 |
$127K |
| 97161 |
|
6,004 |
2,677 |
$127K |
| 77080 |
|
2,026 |
1,452 |
$116K |
| 88342 |
|
1,947 |
1,660 |
$116K |
| 83880 |
|
5,178 |
4,267 |
$106K |
| J2250 |
Inj midazolam hydrochloride |
15,348 |
12,314 |
$106K |
| 84703 |
|
22,421 |
18,967 |
$103K |
| 88307 |
|
1,424 |
1,105 |
$102K |
| 85730 |
|
25,225 |
19,697 |
$100K |
| 72052 |
|
746 |
609 |
$99K |
| J0690 |
Cefazolin sodium injection |
9,106 |
6,764 |
$95K |
| 82607 |
|
8,031 |
7,078 |
$95K |
| 88304 |
|
4,816 |
4,290 |
$90K |
| 70491 |
|
270 |
226 |
$90K |
| 73700 |
|
481 |
412 |
$89K |
| 87801 |
|
2,314 |
2,124 |
$86K |
| 93303 |
|
278 |
264 |
$85K |
| 99213 |
|
2,693 |
2,447 |
$84K |
| 85610 |
|
31,630 |
24,257 |
$82K |
| J1170 |
Hydromorphone injection |
8,447 |
5,374 |
$82K |
| 83690 |
|
18,667 |
15,725 |
$79K |
| J0696 |
Ceftriaxone sodium injection |
5,946 |
4,094 |
$77K |
| 94729 |
|
1,489 |
1,417 |
$77K |
| 80074 |
|
2,021 |
1,773 |
$72K |
| 80047 |
|
6,081 |
5,288 |
$72K |
| 71271 |
|
1,052 |
799 |
$72K |
| 73110 |
|
1,102 |
883 |
$71K |
| 83036 |
|
11,270 |
9,992 |
$71K |
| 77336 |
|
724 |
241 |
$69K |
| J2785 |
Regadenoson injection |
1,175 |
1,079 |
$68K |
| 93922 |
|
624 |
496 |
$67K |
| 87491 |
|
3,203 |
2,834 |
$67K |
| 99214 |
|
1,280 |
1,122 |
$67K |
| 76870 |
|
429 |
375 |
$67K |
| J1885 |
Ketorolac tromethamine inj |
19,228 |
15,129 |
$66K |
| 84145 |
|
4,475 |
3,779 |
$65K |
| 87591 |
|
3,165 |
2,825 |
$65K |
| A9585 |
Gadobutrol injection |
3,047 |
2,570 |
$64K |
| C1889 |
Implant/insert device, noc |
431 |
395 |
$64K |
| 95816 |
|
693 |
595 |
$63K |
| 74246 |
|
517 |
451 |
$61K |
| C9290 |
Inj, bupivacaine liposome |
883 |
706 |
$60K |
| 96376 |
|
2,431 |
2,059 |
$59K |
| 82565 |
|
6,384 |
4,214 |
$59K |
| 90792 |
|
1,410 |
1,326 |
$59K |
| 87086 |
|
12,178 |
9,359 |
$58K |
| 80076 |
|
11,576 |
10,037 |
$58K |
| J1650 |
Inj enoxaparin sodium |
5,436 |
2,041 |
$56K |
| 82728 |
|
5,460 |
4,705 |
$55K |
| J7040 |
Normal saline solution infus |
4,749 |
2,910 |
$55K |
| 84112 |
|
1,008 |
838 |
$53K |
| 94726 |
|
1,221 |
1,159 |
$51K |
| C1725 |
Cath, translumin non-laser |
309 |
240 |
$50K |
| 84702 |
|
4,937 |
3,853 |
$50K |
| 83735 |
|
11,578 |
8,349 |
$50K |
| G0279 |
Tomosynthesis, mammo |
2,402 |
1,930 |
$50K |
| 36600 |
|
3,732 |
2,148 |
$50K |
| M0243 |
Casirivi and imdevi inj |
240 |
216 |
$49K |
| J8499 |
Oral prescrip drug non chemo |
7,311 |
2,082 |
$49K |
| 94664 |
|
11,493 |
7,012 |
$47K |
| 81003 |
|
20,261 |
17,512 |
$45K |
| 87389 |
|
2,865 |
2,554 |
$44K |
| 49083 |
|
152 |
66 |
$44K |
| J0171 |
Adrenalin epinephrine inject |
2,613 |
2,029 |
$43K |
| 81001 |
|
20,071 |
16,758 |
$43K |
| J7060 |
5% dextrose/water |
4,126 |
2,246 |
$43K |
| 87040 |
|
4,794 |
3,697 |
$43K |
| C9113 |
Inj pantoprazole sodium, via |
4,992 |
2,264 |
$42K |
| J7121 |
5% dextrose in lac ringers |
4,649 |
4,028 |
$41K |
| 93880 |
|
362 |
228 |
$41K |
| G0476 |
Hpv combo assay ca screen |
1,951 |
1,375 |
$40K |
| 96367 |
|
2,728 |
1,032 |
$38K |
| 84439 |
|
5,245 |
4,665 |
$37K |
| 87486 |
|
2,326 |
2,078 |
$37K |
| 72156 |
|
135 |
117 |
$36K |
| 87081 |
|
8,246 |
7,378 |
$36K |
| G0499 |
Hepb screen high risk indiv |
2,054 |
1,772 |
$36K |
| 87581 |
|
2,254 |
2,068 |
$35K |
| 10005 |
|
121 |
94 |
$35K |
| J1644 |
Inj heparin sodium per 1000u |
4,639 |
2,861 |
$35K |
| 87624 |
|
1,154 |
1,106 |
$34K |
| 82803 |
|
2,661 |
2,233 |
$34K |
| 82746 |
|
2,971 |
2,674 |
$34K |
| 97162 |
|
1,059 |
701 |
$34K |
| J2550 |
Promethazine hcl injection |
4,603 |
3,262 |
$33K |
| A9577 |
Inj multihance |
1,458 |
1,297 |
$32K |
| 95886 |
|
451 |
392 |
$32K |
| 86850 |
|
6,651 |
5,368 |
$32K |
| 87522 |
Neg quan hep c or qual rna |
793 |
707 |
$32K |
| 77334 |
|
127 |
65 |
$32K |
| 83605 |
|
4,653 |
3,851 |
$31K |
| 78227 |
|
71 |
63 |
$31K |
| 93975 |
|
145 |
125 |
$31K |
| 85379 |
|
5,144 |
4,547 |
$31K |
| 87633 |
|
139 |
124 |
$31K |
| 87661 |
|
2,065 |
1,850 |
$31K |
| J1200 |
Diphenhydramine hcl injectio |
3,997 |
3,008 |
$30K |
| Q9957 |
Inj perflutren lip micros,ml |
1,029 |
854 |
$30K |
| 95911 |
|
87 |
78 |
$30K |
| 58563 |
|
12 |
12 |
$29K |
| 43235 |
|
143 |
102 |
$29K |
| 85027 |
|
6,453 |
5,147 |
$28K |
| J2765 |
Metoclopramide hcl injection |
2,877 |
2,199 |
$28K |
| 76000 |
|
389 |
290 |
$28K |
| 73080 |
|
390 |
339 |
$28K |
| 76805 |
|
217 |
192 |
$26K |
| P9016 |
Rbc leukocytes reduced |
331 |
193 |
$26K |
| 81015 |
|
9,973 |
8,403 |
$26K |
| 90715 |
|
1,735 |
1,559 |
$26K |
| 42830 |
|
29 |
25 |
$26K |
| 86900 |
|
7,333 |
5,809 |
$25K |
| J3370 |
Vancomycin hcl injection |
2,272 |
1,359 |
$25K |
| J3475 |
Inj magnesium sulfate |
2,496 |
1,844 |
$25K |
| 87070 |
|
4,463 |
3,236 |
$25K |
| C1763 |
Conn tiss, non-human |
19 |
14 |
$24K |
| 83540 |
|
4,843 |
4,412 |
$24K |
| J7699 |
Inhalation solution for dme |
505 |
466 |
$24K |
| 84481 |
|
1,913 |
1,738 |
$24K |
| 86140 |
|
6,991 |
5,429 |
$23K |
| 87480 |
|
1,729 |
1,498 |
$23K |
| 92507 |
|
724 |
180 |
$23K |
| 87186 |
|
3,787 |
3,248 |
$23K |
| 44970 |
|
15 |
12 |
$23K |
| 72158 |
|
90 |
73 |
$23K |
| 96415 |
|
644 |
391 |
$23K |
| 83550 |
|
3,575 |
3,262 |
$23K |
| J3480 |
Inj potassium chloride |
1,785 |
923 |
$22K |
| 73590 |
|
390 |
277 |
$22K |
| 90834 |
|
1,512 |
1,003 |
$22K |
| 97116 |
|
1,237 |
463 |
$21K |
| 84425 |
|
1,336 |
1,215 |
$21K |
| 88142 |
|
1,172 |
1,116 |
$21K |
| 87510 |
|
1,651 |
1,488 |
$21K |
| 80307 |
|
389 |
213 |
$21K |
| 82375 |
|
2,747 |
2,309 |
$20K |
| D9420 |
|
162 |
107 |
$20K |
| 87660 |
|
1,650 |
1,487 |
$20K |
| 86920 |
|
373 |
250 |
$19K |
| J2930 |
Methylprednisolone injection |
2,028 |
1,687 |
$19K |
| J0360 |
Hydralazine hcl injection |
2,315 |
1,515 |
$19K |
| 73090 |
|
363 |
291 |
$18K |
| D4341 |
|
78 |
38 |
$18K |
| 0352U |
|
221 |
210 |
$18K |
| M0245 |
Bamlan and etesev infusion |
63 |
61 |
$18K |
| G0475 |
Hiv combination assay |
811 |
731 |
$18K |
| 77300 |
|
72 |
24 |
$18K |
| 70498 |
|
64 |
50 |
$18K |
| 45378 |
|
79 |
52 |
$17K |
| 82150 |
|
4,313 |
3,710 |
$17K |
| C1874 |
Stent, coated/cov w/del sys |
20 |
12 |
$17K |
| 86803 |
|
1,396 |
1,236 |
$16K |
| 90471 |
|
1,147 |
974 |
$15K |
| 86901 |
|
8,423 |
6,840 |
$15K |
| 87088 |
|
2,613 |
2,260 |
$14K |
| 82550 |
|
3,175 |
2,119 |
$14K |
| J1453 |
Fosaprepitant injection |
162 |
99 |
$14K |
| 59025 |
|
174 |
139 |
$14K |
| J2370 |
Phenylephrine hcl injection |
1,994 |
1,546 |
$14K |
| 82731 |
|
325 |
266 |
$13K |
| J2795 |
Ropivacaine hcl injection |
633 |
398 |
$13K |
| 87637 |
|
172 |
159 |
$13K |
| 87075 |
|
1,913 |
1,564 |
$13K |
| U0002 |
Covid-19 lab test non-cdc |
670 |
330 |
$13K |
| 96417 |
|
528 |
280 |
$12K |
| 92526 |
|
398 |
137 |
$12K |
| 97164 |
|
468 |
395 |
$12K |
| 85651 |
|
4,598 |
3,468 |
$12K |
| 74178 |
|
25 |
12 |
$12K |
| G0283 |
Elec stim other than wound |
837 |
272 |
$11K |
| C1729 |
Cath, drainage |
325 |
176 |
$11K |
| 84132 |
|
3,996 |
3,345 |
$11K |
| J0330 |
Succinycholine chloride inj |
1,246 |
1,050 |
$11K |
| 76816 |
|
195 |
165 |
$11K |
| 84100 |
|
2,983 |
2,388 |
$11K |
| 97535 |
|
802 |
452 |
$11K |
| 86780 |
|
1,026 |
953 |
$11K |
| 72082 |
|
99 |
81 |
$11K |
| 84134 |
|
1,091 |
914 |
$11K |
| 86592 |
|
2,942 |
2,430 |
$11K |
| J1756 |
Iron sucrose injection |
197 |
71 |
$11K |
| 83921 |
|
671 |
624 |
$11K |
| J1642 |
Inj heparin sodium per 10 u |
2,169 |
1,195 |
$10K |
| M0239 |
Bamlanivimab-xxxx infusion |
81 |
71 |
$10K |
| 87077 |
|
1,545 |
1,334 |
$10K |
| 87205 |
|
3,132 |
2,504 |
$10K |
| J2175 |
Meperidine hydrochl /100 mg |
1,292 |
1,002 |
$10K |
| A6213 |
Foam drg >16<=48 sq in w/bdr |
1,250 |
681 |
$10K |
| 88312 |
|
656 |
597 |
$10K |
| 74230 |
|
127 |
77 |
$10K |
| 83001 |
|
612 |
569 |
$9K |
| 87507 |
|
46 |
40 |
$9K |
| 82553 |
|
1,112 |
759 |
$9K |
| 76942 |
|
87 |
83 |
$9K |
| 82570 |
|
2,215 |
1,922 |
$9K |
| 84597 |
|
644 |
604 |
$9K |
| 84403 |
|
436 |
400 |
$9K |
| A4565 |
Slings |
389 |
311 |
$9K |
| 36430 |
|
150 |
105 |
$8K |
| 97165 |
|
277 |
207 |
$8K |
| 74022 |
|
105 |
84 |
$8K |
| J3411 |
Thiamine hcl 100 mg |
749 |
494 |
$8K |
| 86481 |
|
81 |
79 |
$8K |
| 83050 |
|
1,516 |
1,265 |
$8K |
| 84446 |
|
754 |
698 |
$7K |
| 10022 |
|
36 |
28 |
$7K |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
1,304 |
1,102 |
$7K |
| 99212 |
|
237 |
219 |
$7K |
| J1439 |
Inj ferric carboxymaltos 1mg |
24 |
14 |
$7K |
| 72146 |
|
44 |
37 |
$7K |
| 88172 |
|
119 |
114 |
$7K |
| 83615 |
|
1,658 |
1,356 |
$6K |
| J2371 |
Inj phenylephrine hcl 20 mcg |
885 |
593 |
$6K |
| 95819 |
|
77 |
66 |
$6K |
| 88341 |
|
106 |
89 |
$6K |
| 83883 |
|
479 |
243 |
$6K |
| 76376 |
|
81 |
65 |
$6K |
| 84590 |
|
671 |
630 |
$6K |
| 83516 |
|
410 |
245 |
$6K |
| 86038 |
|
614 |
559 |
$6K |
| M0247 |
Sotrovimab infusion |
34 |
33 |
$6K |
| 86762 |
|
561 |
497 |
$6K |
| 82043 |
|
1,126 |
970 |
$6K |
| 82140 |
|
668 |
516 |
$6K |
| J7042 |
5% dextrose/normal saline |
605 |
290 |
$6K |
| 80323 |
|
72 |
31 |
$5K |
| 95012 |
|
101 |
96 |
$5K |
| 75635 |
|
20 |
13 |
$5K |
| 76882 |
|
53 |
44 |
$5K |
| 82542 |
|
35 |
34 |
$5K |
| 84146 |
|
371 |
328 |
$5K |
| C1781 |
Mesh (implantable) |
15 |
14 |
$5K |
| J7999 |
Compounded drug, noc |
894 |
716 |
$5K |
| 12002 |
|
107 |
93 |
$5K |
| 76811 |
|
35 |
31 |
$5K |
| J1940 |
Furosemide injection |
694 |
335 |
$5K |
| J1630 |
Haloperidol injection |
622 |
505 |
$5K |
| D0150 |
|
45 |
26 |
$5K |
| 85018 |
|
3,549 |
2,715 |
$4K |
| 12001 |
|
132 |
120 |
$4K |
| 64415 |
|
23 |
16 |
$4K |
| G0108 |
Diab manage trn per indiv |
120 |
89 |
$4K |
| G0297 |
Ldct for lung ca screen |
67 |
59 |
$4K |
| 95957 |
|
314 |
264 |
$4K |
| 94727 |
|
120 |
113 |
$4K |
| 84550 |
|
1,250 |
1,028 |
$4K |
| 72157 |
|
16 |
13 |
$4K |
| 86003 |
|
68 |
37 |
$4K |
| 97012 |
|
215 |
83 |
$4K |
| J2919 |
Inj, methylpred sod succ 5mg |
309 |
195 |
$4K |
| 71101 |
|
45 |
39 |
$3K |
| 90832 |
|
88 |
67 |
$3K |
| 73521 |
|
43 |
41 |
$3K |
| 82670 |
|
136 |
121 |
$3K |
| 73140 |
|
39 |
36 |
$3K |
| A9537 |
Tc99m mebrofenin |
93 |
88 |
$3K |
| 84165 |
|
455 |
413 |
$3K |
| 83002 |
|
211 |
198 |
$3K |
| J0295 |
Ampicillin sulbactam 1.5 gm |
369 |
205 |
$3K |
| 86787 |
|
302 |
266 |
$3K |
| J2710 |
Neostigmine methylslfte inj |
628 |
488 |
$3K |
| D0210 |
|
26 |
13 |
$3K |
| 93925 |
|
13 |
12 |
$3K |
| 94761 |
|
186 |
126 |
$3K |
| J2305 |
Inj, nitroglycerin, 5 mg |
346 |
298 |
$3K |
| A4648 |
Implantable tissue marker |
37 |
26 |
$3K |
| 86694 |
|
248 |
152 |
$3K |
| 80352 |
|
72 |
30 |
$3K |
| J0780 |
Prochlorperazine injection |
236 |
199 |
$3K |
| G0399 |
Home sleep test/type 3 porta |
33 |
24 |
$3K |
| 82105 |
|
180 |
163 |
$2K |
| G0103 |
Psa screening |
350 |
251 |
$2K |
| 84156 |
|
918 |
716 |
$2K |
| 80177 |
|
250 |
212 |
$2K |
| 77280 |
|
62 |
12 |
$2K |
| 0097U |
|
15 |
12 |
$2K |
| J1953 |
Levetiracetam injection |
117 |
80 |
$2K |
| 88108 |
|
139 |
94 |
$2K |
| 88302 |
|
202 |
140 |
$2K |
| 85014 |
|
1,545 |
1,050 |
$2K |
| J2470 |
Inj pantoprazole sodium 40mg |
191 |
101 |
$2K |
| 82784 |
|
196 |
109 |
$2K |
| 84480 |
|
165 |
157 |
$2K |
| L3908 |
Who cock-up nonmolde pre ots |
108 |
98 |
$2K |
| 80164 |
|
183 |
144 |
$2K |
| J0702 |
Betamethasone acet&sod phosp |
82 |
50 |
$2K |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
511 |
293 |
$2K |
| 82977 |
|
119 |
105 |
$2K |
| 12011 |
|
38 |
37 |
$2K |
| J2805 |
Sincalide injection |
52 |
50 |
$2K |
| 80355 |
|
72 |
30 |
$2K |
| 82010 |
|
304 |
265 |
$2K |
| 73060 |
|
15 |
13 |
$1K |
| 87880 |
|
217 |
197 |
$1K |
| 74019 |
|
27 |
26 |
$1K |
| J1171 |
Inj, hydromorphone, 0.1 mg |
262 |
128 |
$1K |
| 93246 |
|
21 |
19 |
$1K |
| 83009 |
|
29 |
28 |
$1K |
| 94762 |
|
50 |
38 |
$1K |
| 82950 |
|
348 |
282 |
$1K |
| L3670 |
So acro/clav can web pre ots |
16 |
12 |
$1K |
| 10060 |
|
12 |
12 |
$1K |
| 87045 |
|
172 |
151 |
$1K |
| 84153 |
|
87 |
85 |
$1K |
| 83698 |
|
36 |
35 |
$1K |
| 0353U |
|
30 |
27 |
$1K |
| Q0162 |
Ondansetron oral |
155 |
138 |
$1K |
| 80354 |
|
40 |
40 |
$1K |
| 89051 |
|
174 |
100 |
$1K |
| J0736 |
Inj, clindamycin phosp 300mg |
76 |
66 |
$996.40 |
| 88313 |
|
28 |
25 |
$996.39 |
| 29125 |
|
12 |
12 |
$929.02 |
| 73560 |
|
29 |
24 |
$904.67 |
| 82248 |
|
195 |
119 |
$886.03 |
| 72070 |
|
21 |
13 |
$726.80 |
| J2920 |
Methylprednisolone injection |
57 |
27 |
$719.62 |
| J2543 |
Piperacillin/tazobactam |
61 |
26 |
$712.06 |
| 84155 |
|
399 |
356 |
$685.07 |
| 88311 |
|
62 |
49 |
$678.37 |
| 73552 |
|
14 |
13 |
$672.88 |
| 97163 |
|
16 |
12 |
$662.20 |
| 84207 |
|
27 |
27 |
$639.86 |
| J7614 |
Levalbuterol non-comp unit |
65 |
47 |
$610.13 |
| U0001 |
2019-ncov diagnostic p |
166 |
145 |
$598.45 |
| A6223 |
Gauze >16<=48 no w/sal w/o b |
249 |
210 |
$570.30 |
| J2790 |
Rho d immune globulin inj |
12 |
12 |
$559.91 |
| 0031A |
|
16 |
16 |
$531.18 |
| 84681 |
|
37 |
36 |
$530.70 |
| 84144 |
|
29 |
26 |
$462.26 |
| A6222 |
Gauze <=16 in no w/sal w/o b |
187 |
159 |
$444.60 |
| 72170 |
|
15 |
12 |
$432.15 |
| 82785 |
|
16 |
12 |
$419.28 |
| 85384 |
|
73 |
56 |
$416.11 |
| 96158 |
|
12 |
12 |
$407.30 |
| 83525 |
|
53 |
48 |
$393.21 |
| 83695 |
|
38 |
37 |
$391.22 |
| 82330 |
|
29 |
28 |
$381.01 |
| 82652 |
|
15 |
13 |
$379.25 |
| 86141 |
|
36 |
35 |
$376.53 |
| 83655 |
|
29 |
29 |
$373.28 |
| 82247 |
|
82 |
50 |
$354.44 |
| 84450 |
|
75 |
64 |
$346.07 |
| 86308 |
|
104 |
93 |
$335.02 |
| 83970 |
|
12 |
12 |
$329.42 |
| G0008 |
Admin influenza virus vac |
37 |
32 |
$321.97 |
| 84460 |
|
64 |
53 |
$309.72 |
| 84630 |
|
29 |
25 |
$269.74 |
| 87641 |
|
13 |
13 |
$265.92 |
| 82378 |
|
16 |
13 |
$255.53 |
| J2272 |
Inj, morphine (fresenius) |
14 |
12 |
$253.29 |
| L4387 |
Non-pneum walk boot pre ots |
13 |
12 |
$237.36 |
| 80069 |
|
50 |
27 |
$224.09 |
| 90791 |
|
15 |
12 |
$219.31 |
| 84160 |
|
54 |
46 |
$217.97 |
| 96156 |
|
12 |
12 |
$215.78 |
| 86708 |
|
13 |
12 |
$212.97 |
| 82947 |
|
127 |
86 |
$208.57 |
| J1956 |
Levofloxacin injection |
34 |
25 |
$204.84 |
| 86431 |
|
41 |
39 |
$202.59 |
| 82525 |
|
14 |
14 |
$198.66 |
| G8978 |
Mobility current status |
422 |
282 |
$195.73 |
| 85347 |
|
39 |
26 |
$147.68 |
| 84295 |
|
57 |
52 |
$136.20 |
| 87015 |
|
27 |
25 |
$117.60 |
| 87206 |
|
27 |
25 |
$116.67 |
| J2360 |
Orphenadrine injection |
12 |
12 |
$112.81 |
| 87102 |
|
13 |
12 |
$104.76 |
| 83718 |
|
12 |
12 |
$80.45 |
| 82435 |
|
15 |
15 |
$52.85 |
| G8979 |
Mobility goal status |
414 |
304 |
$51.98 |
| 82465 |
|
13 |
13 |
$43.69 |
| 3044F |
|
124 |
91 |
$31.80 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
12 |
12 |
$20.09 |
| 84520 |
|
13 |
12 |
$19.87 |
| 3046F |
|
22 |
13 |
$14.46 |
| G8980 |
Mobility d/c status |
77 |
71 |
$0.00 |