| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
36,585 |
33,936 |
$9.38M |
| 99285 |
|
19,497 |
18,218 |
$8.21M |
| 99283 |
|
54,212 |
50,261 |
$7.15M |
| 96374 |
|
35,815 |
32,314 |
$3.18M |
| 99282 |
|
30,256 |
28,898 |
$2.20M |
| G0463 |
Hospital outpt clinic visit |
24,444 |
18,636 |
$1.59M |
| 80061 |
|
31,798 |
31,589 |
$875K |
| 87637 |
|
9,803 |
9,590 |
$779K |
| 76818 |
|
12,456 |
5,349 |
$751K |
| 96375 |
|
27,415 |
22,106 |
$742K |
| 76811 |
|
5,417 |
5,376 |
$616K |
| 74177 |
|
5,226 |
5,124 |
$614K |
| 71046 |
|
18,040 |
17,374 |
$601K |
| U0003 |
Cov-19 amp prb hgh thruput |
11,675 |
11,246 |
$556K |
| 70450 |
|
6,588 |
6,384 |
$505K |
| G0378 |
Hospital observation per hr |
14,434 |
10,504 |
$478K |
| 96365 |
|
5,723 |
5,029 |
$466K |
| 99281 |
|
9,585 |
9,154 |
$407K |
| 96361 |
|
11,943 |
10,745 |
$389K |
| U0002 |
Covid-19 lab test non-cdc |
15,626 |
14,296 |
$346K |
| 87491 |
|
19,193 |
18,899 |
$320K |
| 82306 |
|
20,269 |
20,153 |
$319K |
| 87591 |
|
19,057 |
18,761 |
$314K |
| 59025 |
|
3,387 |
2,057 |
$311K |
| 77067 |
|
6,375 |
6,361 |
$301K |
| 84443 |
|
34,656 |
33,990 |
$294K |
| 97110 |
|
10,213 |
3,023 |
$292K |
| 96413 |
|
1,959 |
1,082 |
$291K |
| 96360 |
|
3,014 |
2,882 |
$286K |
| 71045 |
|
9,132 |
8,720 |
$285K |
| 74176 |
|
3,000 |
2,942 |
$281K |
| 82947 |
|
8,228 |
7,973 |
$258K |
| 93975 |
|
2,261 |
2,203 |
$252K |
| 80053 |
|
54,472 |
50,514 |
$228K |
| 70553 |
|
1,119 |
1,109 |
$219K |
| 93306 |
|
1,375 |
1,354 |
$215K |
| 76830 |
|
3,860 |
3,812 |
$211K |
| 85025 |
|
96,897 |
87,047 |
$205K |
| 76801 |
|
3,251 |
3,129 |
$188K |
| 76816 |
|
9,882 |
9,100 |
$179K |
| G0480 |
Drug test def 1-7 classes |
11,939 |
10,515 |
$174K |
| 76856 |
|
3,437 |
3,405 |
$171K |
| 80307 |
|
18,507 |
16,510 |
$160K |
| 71260 |
|
1,400 |
1,380 |
$149K |
| 78452 |
|
681 |
668 |
$146K |
| 76700 |
|
2,397 |
2,384 |
$143K |
| 97161 |
|
2,137 |
2,104 |
$138K |
| 72148 |
|
1,507 |
1,494 |
$135K |
| 83036 |
|
26,249 |
26,086 |
$131K |
| 76705 |
|
2,624 |
2,588 |
$128K |
| 88305 |
|
7,480 |
7,305 |
$121K |
| U0005 |
Infec agen detec ampli probe |
7,540 |
7,266 |
$117K |
| 92507 |
|
2,717 |
804 |
$109K |
| 76819 |
|
2,061 |
1,807 |
$107K |
| C8929 |
Tte w or wo fol wcon,doppler |
1,108 |
1,095 |
$99K |
| 71275 |
|
1,505 |
1,476 |
$97K |
| 93971 |
|
1,946 |
1,905 |
$96K |
| 96372 |
|
25,013 |
19,165 |
$94K |
| 76642 |
|
2,473 |
2,433 |
$92K |
| 70496 |
|
1,019 |
994 |
$89K |
| 87624 |
|
4,484 |
4,483 |
$87K |
| 87480 |
|
11,651 |
11,383 |
$85K |
| 87660 |
|
11,576 |
11,308 |
$84K |
| 96366 |
|
3,338 |
2,575 |
$82K |
| 88142 |
|
7,413 |
7,399 |
$80K |
| 76770 |
|
1,683 |
1,644 |
$80K |
| G0475 |
Hiv combination assay |
5,248 |
5,238 |
$79K |
| 47562 |
|
24 |
24 |
$75K |
| 87510 |
|
10,965 |
10,713 |
$74K |
| G0432 |
Eia hiv-1/hiv-2 screen |
7,144 |
7,093 |
$74K |
| 76536 |
|
1,411 |
1,401 |
$70K |
| 86900 |
|
10,473 |
9,883 |
$68K |
| 87635 |
|
2,949 |
2,831 |
$68K |
| 72141 |
|
482 |
480 |
$68K |
| 82607 |
|
8,947 |
8,874 |
$66K |
| 84439 |
|
15,196 |
14,945 |
$66K |
| 76815 |
|
1,976 |
1,799 |
$65K |
| 80048 |
|
47,350 |
39,774 |
$62K |
| 10060 |
|
728 |
710 |
$62K |
| 85027 |
|
35,537 |
29,736 |
$60K |
| 86003 |
|
1,627 |
1,175 |
$60K |
| 76805 |
|
1,061 |
1,050 |
$60K |
| 82728 |
|
8,089 |
7,926 |
$56K |
| 86803 |
|
7,121 |
7,100 |
$54K |
| G0472 |
Hep c screen high risk/other |
1,819 |
1,815 |
$54K |
| 77066 |
Tomosynthesis, mammo |
940 |
933 |
$52K |
| 72110 |
|
1,635 |
1,615 |
$52K |
| 72100 |
|
1,668 |
1,658 |
$50K |
| 87086 |
|
18,349 |
17,441 |
$49K |
| 93970 |
|
620 |
614 |
$49K |
| 97530 |
|
1,864 |
942 |
$48K |
| 88342 |
|
1,482 |
1,464 |
$47K |
| 76825 |
|
193 |
189 |
$46K |
| 86780 |
|
4,857 |
4,810 |
$45K |
| 97140 |
|
2,682 |
957 |
$45K |
| 71271 |
|
790 |
789 |
$44K |
| 70551 |
|
527 |
523 |
$43K |
| 84702 |
|
10,896 |
9,074 |
$40K |
| 80074 |
|
1,704 |
1,693 |
$38K |
| 84481 |
|
4,061 |
3,999 |
$37K |
| 77065 |
Tomosynthesis, mammo |
854 |
840 |
$36K |
| 36415 |
|
61,050 |
56,577 |
$34K |
| 43239 |
|
111 |
111 |
$32K |
| 77063 |
|
2,526 |
2,526 |
$32K |
| 87340 |
|
6,910 |
6,846 |
$30K |
| 83970 |
|
1,456 |
1,425 |
$30K |
| 83655 |
|
4,118 |
4,093 |
$28K |
| 72131 |
|
699 |
693 |
$28K |
| G0379 |
Direct refer hospital observ |
41 |
41 |
$28K |
| G0103 |
Psa screening |
2,746 |
2,737 |
$27K |
| 87081 |
|
11,247 |
11,092 |
$27K |
| 84466 |
|
3,686 |
3,614 |
$27K |
| 72125 |
|
2,690 |
2,631 |
$26K |
| 90471 |
|
2,560 |
2,502 |
$26K |
| 71250 |
|
561 |
558 |
$25K |
| 82746 |
|
3,466 |
3,441 |
$24K |
| 41899 |
|
15 |
15 |
$24K |
| 83540 |
|
6,954 |
6,759 |
$23K |
| 70486 |
|
831 |
823 |
$23K |
| 0002A |
|
643 |
634 |
$21K |
| 93017 |
|
1,368 |
1,345 |
$21K |
| 96367 |
|
679 |
522 |
$21K |
| 84403 |
|
1,631 |
1,591 |
$20K |
| 83735 |
|
29,516 |
23,279 |
$20K |
| 73030 |
|
2,259 |
2,199 |
$19K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
6,933 |
6,704 |
$19K |
| 36430 |
|
130 |
115 |
$19K |
| 73562 |
|
1,682 |
1,665 |
$19K |
| 72050 |
|
523 |
520 |
$19K |
| 82105 |
|
2,258 |
2,241 |
$19K |
| 0001A |
|
673 |
668 |
$18K |
| 86762 |
|
3,296 |
3,286 |
$18K |
| 87077 |
|
5,682 |
5,526 |
$17K |
| 87661 |
|
1,355 |
1,345 |
$17K |
| 86850 |
|
9,674 |
9,142 |
$17K |
| 82565 |
|
10,716 |
9,429 |
$17K |
| 81001 |
|
39,324 |
36,662 |
$17K |
| 77080 |
|
296 |
296 |
$17K |
| G0279 |
Tomosynthesis, mammo |
1,418 |
1,417 |
$17K |
| 76813 |
|
1,639 |
1,629 |
$16K |
| 11042 |
|
138 |
74 |
$16K |
| 87502 |
|
686 |
679 |
$16K |
| 73564 |
|
995 |
983 |
$16K |
| 87070 |
|
4,000 |
3,811 |
$15K |
| 82570 |
|
5,978 |
5,479 |
$15K |
| 83001 |
|
1,432 |
1,418 |
$15K |
| 73630 |
|
2,614 |
2,568 |
$15K |
| 82043 |
|
4,311 |
4,270 |
$15K |
| M0245 |
Bamlan and etesev infusion |
55 |
55 |
$15K |
| 83880 |
|
4,514 |
4,262 |
$14K |
| 84460 |
|
10,816 |
9,895 |
$14K |
| M0243 |
Casirivi and imdevi inj |
51 |
51 |
$14K |
| 84450 |
|
10,547 |
9,620 |
$13K |
| P9016 |
Rbc leukocytes reduced |
121 |
104 |
$13K |
| 87186 |
|
4,210 |
4,083 |
$13K |
| 73610 |
|
2,156 |
2,114 |
$13K |
| 97162 |
|
109 |
108 |
$13K |
| 82670 |
|
820 |
814 |
$13K |
| 73130 |
|
2,627 |
2,572 |
$13K |
| 97165 |
|
240 |
235 |
$12K |
| C9803 |
Hopd covid-19 spec collect |
4,673 |
4,435 |
$12K |
| 86769 |
|
657 |
649 |
$12K |
| 82784 |
|
1,352 |
1,335 |
$12K |
| 94640 |
|
6,947 |
5,646 |
$12K |
| 84146 |
|
1,112 |
1,102 |
$11K |
| 86235 |
|
216 |
212 |
$11K |
| 83002 |
|
1,051 |
1,042 |
$11K |
| 85610 |
|
12,444 |
10,618 |
$11K |
| 74018 |
|
1,337 |
1,303 |
$10K |
| 82785 |
|
1,132 |
1,126 |
$10K |
| 73502 |
|
1,096 |
1,075 |
$10K |
| 83550 |
|
2,561 |
2,519 |
$10K |
| 82465 |
|
1,449 |
1,445 |
$10K |
| 88304 |
|
1,668 |
1,661 |
$10K |
| 80051 |
|
6,311 |
5,377 |
$9K |
| 73110 |
|
1,396 |
1,374 |
$9K |
| 86592 |
|
3,459 |
3,426 |
$9K |
| 87147 |
|
3,241 |
2,380 |
$9K |
| 93005 |
|
23,582 |
20,519 |
$9K |
| 84520 |
|
10,092 |
8,915 |
$9K |
| 84100 |
|
10,807 |
8,406 |
$9K |
| 82950 |
|
3,017 |
2,995 |
$8K |
| 85730 |
|
8,786 |
7,947 |
$8K |
| 78815 |
|
12 |
12 |
$8K |
| 80055 |
|
331 |
329 |
$8K |
| G0123 |
Screen cerv/vag thin layer |
680 |
679 |
$8K |
| 83516 |
|
723 |
486 |
$8K |
| 82248 |
|
5,578 |
4,984 |
$8K |
| 83020 |
|
1,284 |
1,258 |
$8K |
| 0012A |
|
214 |
214 |
$7K |
| 86039 |
|
1,328 |
1,313 |
$7K |
| 76817 |
|
5,697 |
4,748 |
$7K |
| 84153 |
|
641 |
638 |
$7K |
| 85652 |
|
5,659 |
5,346 |
$7K |
| 86140 |
|
3,754 |
3,433 |
$7K |
| 86787 |
|
1,144 |
1,141 |
$7K |
| 83615 |
|
3,276 |
2,796 |
$7K |
| 0011A |
|
236 |
236 |
$7K |
| 86364 |
|
592 |
523 |
$7K |
| 70491 |
|
66 |
65 |
$7K |
| Q9957 |
Inj perflutren lip micros,ml |
970 |
958 |
$6K |
| 87807 |
|
1,782 |
1,745 |
$6K |
| 88307 |
|
170 |
167 |
$6K |
| 82247 |
|
6,779 |
5,806 |
$6K |
| 80076 |
|
2,650 |
2,515 |
$6K |
| 95810 |
|
12 |
12 |
$6K |
| 86696 |
|
600 |
593 |
$6K |
| 76820 |
|
13,296 |
6,053 |
$6K |
| 95811 |
|
12 |
12 |
$6K |
| 74019 |
|
851 |
833 |
$5K |
| 84156 |
|
3,645 |
3,233 |
$5K |
| 84550 |
|
2,460 |
2,319 |
$5K |
| 87798 |
|
241 |
114 |
$5K |
| 83690 |
|
15,858 |
14,515 |
$5K |
| 70498 |
|
988 |
971 |
$5K |
| 86038 |
|
708 |
705 |
$5K |
| 86901 |
|
10,479 |
9,888 |
$5K |
| 96417 |
|
134 |
92 |
$5K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
1,830 |
1,794 |
$5K |
| G8978 |
Mobility current status |
13 |
12 |
$5K |
| G0297 |
Ldct for lung ca screen |
130 |
130 |
$5K |
| 82677 |
|
456 |
453 |
$5K |
| 72040 |
|
268 |
267 |
$5K |
| 73221 |
|
37 |
37 |
$4K |
| 86431 |
|
1,430 |
1,425 |
$4K |
| 82550 |
|
2,929 |
2,667 |
$4K |
| 87205 |
|
2,724 |
2,502 |
$4K |
| 86695 |
|
599 |
592 |
$4K |
| 87522 |
Neg quan hep c or qual rna |
237 |
231 |
$4K |
| 86480 |
|
99 |
98 |
$4K |
| 96376 |
|
13,704 |
7,936 |
$4K |
| 82150 |
|
2,032 |
1,960 |
$4K |
| 86258 |
|
236 |
236 |
$4K |
| 92523 |
|
37 |
37 |
$4K |
| 81420 |
|
14 |
12 |
$4K |
| 84144 |
|
356 |
344 |
$3K |
| 64400 |
|
28 |
27 |
$3K |
| 83721 |
|
508 |
507 |
$3K |
| 81003 |
|
7,769 |
7,452 |
$3K |
| 82731 |
|
209 |
198 |
$3K |
| 97166 |
|
68 |
68 |
$3K |
| 82652 |
|
141 |
140 |
$3K |
| 86336 |
|
457 |
454 |
$3K |
| 0241U |
|
1,162 |
1,140 |
$3K |
| 93880 |
|
43 |
42 |
$3K |
| 86706 |
|
502 |
498 |
$3K |
| 0352U |
|
849 |
831 |
$3K |
| 84075 |
|
4,937 |
4,597 |
$3K |
| 73721 |
|
27 |
26 |
$3K |
| 87529 |
|
103 |
91 |
$3K |
| 87400 |
|
3,793 |
3,718 |
$3K |
| 87633 |
|
264 |
263 |
$3K |
| 90686 |
|
156 |
156 |
$3K |
| 99395 |
|
36 |
36 |
$3K |
| 86225 |
|
330 |
327 |
$3K |
| 71101 |
|
222 |
219 |
$2K |
| 86376 |
|
238 |
237 |
$2K |
| 84402 |
|
157 |
156 |
$2K |
| 82310 |
|
3,143 |
3,004 |
$2K |
| 82040 |
|
1,673 |
1,617 |
$2K |
| 86200 |
|
288 |
285 |
$2K |
| 97116 |
|
556 |
405 |
$2K |
| 84484 |
|
21,561 |
15,620 |
$2K |
| 74022 |
|
3,115 |
3,046 |
$2K |
| 73560 |
|
286 |
281 |
$2K |
| J7030 |
Normal saline solution infus |
25,118 |
20,126 |
$2K |
| 85007 |
|
1,625 |
1,422 |
$2K |
| 0202U |
|
118 |
117 |
$2K |
| 84703 |
|
2,460 |
2,401 |
$2K |
| 85379 |
|
3,924 |
3,790 |
$2K |
| 73590 |
|
689 |
679 |
$2K |
| 76870 |
|
94 |
92 |
$1K |
| 81025 |
|
7,885 |
7,457 |
$1K |
| 86694 |
|
249 |
247 |
$1K |
| 86665 |
|
112 |
109 |
$1K |
| 97032 |
|
218 |
91 |
$1K |
| 85045 |
|
704 |
620 |
$1K |
| 87389 |
|
87 |
87 |
$1K |
| 82747 |
|
120 |
120 |
$1K |
| 82378 |
|
120 |
119 |
$1K |
| 72170 |
|
181 |
178 |
$1K |
| 83090 |
|
154 |
151 |
$1K |
| 87634 |
|
24 |
24 |
$1K |
| 73080 |
|
267 |
262 |
$1K |
| 87040 |
|
4,002 |
2,628 |
$1K |
| 87631 |
|
12 |
12 |
$1K |
| 99213 |
|
85 |
69 |
$1K |
| 99219 |
|
13 |
13 |
$981.98 |
| 92586 |
|
13 |
13 |
$972.06 |
| 80164 |
|
491 |
448 |
$937.77 |
| G0108 |
Diab manage trn per indiv |
15 |
13 |
$930.21 |
| 86304 |
|
80 |
75 |
$905.71 |
| 86800 |
|
94 |
93 |
$881.79 |
| 74174 |
|
12 |
12 |
$859.91 |
| 0004A |
|
27 |
27 |
$847.77 |
| 87521 |
Neg quan hep c or qual rna |
40 |
39 |
$842.38 |
| 87536 |
|
17 |
16 |
$757.14 |
| 73090 |
|
343 |
326 |
$723.58 |
| 82374 |
|
2,549 |
2,456 |
$701.14 |
| 81015 |
|
438 |
429 |
$697.46 |
| 84295 |
|
2,562 |
2,473 |
$681.27 |
| 82435 |
|
2,534 |
2,440 |
$659.35 |
| 93976 |
|
13 |
13 |
$653.10 |
| 84155 |
|
799 |
771 |
$590.85 |
| 82533 |
|
80 |
79 |
$580.09 |
| 70360 |
|
62 |
62 |
$559.90 |
| 86664 |
|
98 |
97 |
$541.32 |
| 83605 |
|
4,022 |
3,286 |
$531.54 |
| 83013 |
|
14 |
14 |
$510.81 |
| 84480 |
|
95 |
94 |
$502.95 |
| 86663 |
|
98 |
97 |
$470.77 |
| 86147 |
|
13 |
13 |
$450.10 |
| 84165 |
|
74 |
74 |
$432.51 |
| 84436 |
|
218 |
215 |
$426.97 |
| 87075 |
|
173 |
160 |
$415.27 |
| 72128 |
|
12 |
12 |
$400.76 |
| 90656 |
|
19 |
19 |
$391.17 |
| 86141 |
|
67 |
65 |
$381.32 |
| 86765 |
|
95 |
95 |
$380.44 |
| 86160 |
|
27 |
27 |
$335.74 |
| 76827 |
|
15 |
12 |
$333.12 |
| 83525 |
|
55 |
55 |
$332.65 |
| 82951 |
|
41 |
41 |
$317.07 |
| 87899 |
|
32 |
27 |
$315.17 |
| 84132 |
|
1,319 |
1,241 |
$292.84 |
| 72080 |
|
15 |
14 |
$269.11 |
| G0008 |
Admin influenza virus vac |
45 |
44 |
$260.40 |
| 87498 |
|
12 |
12 |
$247.93 |
| A9500 |
Tc99m sestamibi |
637 |
615 |
$243.20 |
| 76937 |
|
817 |
730 |
$233.12 |
| 83521 |
|
12 |
12 |
$228.14 |
| 86923 |
|
42 |
25 |
$206.67 |
| 80177 |
|
41 |
41 |
$194.98 |
| 87880 |
|
2,156 |
2,136 |
$189.99 |
| 86735 |
|
73 |
73 |
$189.43 |
| 87046 |
|
27 |
26 |
$189.03 |
| 86300 |
|
13 |
13 |
$184.68 |
| 72072 |
|
12 |
12 |
$166.62 |
| G0328 |
Fecal blood scrn immunoassay |
38 |
38 |
$160.79 |
| 84163 |
|
29 |
29 |
$150.17 |
| 86334 |
|
12 |
12 |
$141.96 |
| 82274 |
|
12 |
12 |
$134.49 |
| 86308 |
|
135 |
134 |
$131.03 |
| 88311 |
|
60 |
54 |
$124.81 |
| 99152 |
|
42 |
40 |
$109.00 |
| 85018 |
|
137 |
119 |
$108.80 |
| 86301 |
|
13 |
12 |
$108.14 |
| 72220 |
|
52 |
52 |
$106.88 |
| 84145 |
|
205 |
198 |
$101.71 |
| 76376 |
|
50 |
50 |
$96.50 |
| 87045 |
|
28 |
26 |
$94.52 |
| J1650 |
Inj enoxaparin sodium |
4,971 |
2,366 |
$87.80 |
| 83520 |
|
1,243 |
1,051 |
$84.00 |
| 12001 |
|
684 |
678 |
$78.05 |
| 82952 |
|
29 |
29 |
$77.53 |
| 12011 |
|
178 |
174 |
$64.58 |
| 87015 |
|
14 |
14 |
$64.46 |
| 93922 |
|
12 |
12 |
$53.99 |
| 82140 |
|
44 |
40 |
$47.63 |
| 85651 |
|
79 |
73 |
$43.03 |
| 87449 |
|
29 |
27 |
$33.54 |
| C1894 |
Intro/sheath, non-laser |
370 |
356 |
$32.73 |
| C1769 |
Guide wire |
951 |
907 |
$32.73 |
| 85014 |
|
40 |
39 |
$32.05 |
| 80178 |
|
15 |
12 |
$31.11 |
| J1885 |
Ketorolac tromethamine inj |
15,143 |
13,106 |
$26.81 |
| J2405 |
Ondansetron hcl injection |
20,976 |
17,139 |
$23.02 |
| J2370 |
Phenylephrine hcl injection |
295 |
285 |
$20.64 |
| J2270 |
Morphine sulfate injection |
6,869 |
5,098 |
$19.62 |
| 84300 |
|
13 |
12 |
$17.92 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
437 |
348 |
$17.43 |
| 97535 |
|
28 |
24 |
$17.03 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,002 |
751 |
$10.50 |
| J2060 |
Lorazepam injection |
8,430 |
5,288 |
$10.36 |
| J2360 |
Orphenadrine injection |
960 |
930 |
$9.65 |
| J0780 |
Prochlorperazine injection |
1,184 |
931 |
$6.12 |
| J1100 |
Dexamethasone sodium phos |
9,076 |
7,823 |
$5.26 |
| Q0162 |
Ondansetron oral |
527 |
471 |
$4.50 |
| J2704 |
Inj, propofol, 10 mg |
8,719 |
8,085 |
$4.12 |
| J1170 |
Hydromorphone injection |
3,774 |
2,565 |
$1.92 |
| J1200 |
Diphenhydramine hcl injectio |
8,118 |
6,580 |
$1.90 |
| J1644 |
Inj heparin sodium per 1000u |
1,169 |
718 |
$1.15 |
| J2765 |
Metoclopramide hcl injection |
4,246 |
3,756 |
$0.99 |
| J1920 |
Inj, labetalol hcl, 5mg |
20 |
12 |
$0.41 |
| J1815 |
Insulin injection |
998 |
469 |
$0.20 |
| J3475 |
Inj magnesium sulfate |
1,984 |
1,567 |
$0.00 |
| J2930 |
Methylprednisolone injection |
1,753 |
1,578 |
$0.00 |
| C1758 |
Catheter, ureteral |
234 |
230 |
$0.00 |
| 90715 |
|
1,372 |
1,367 |
$0.00 |
| 93356 |
|
1,237 |
1,226 |
$0.00 |
| J7120 |
Ringers lactate infusion |
7,119 |
5,695 |
$0.00 |
| 90714 |
|
187 |
186 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
386 |
208 |
$0.00 |
| 93325 |
|
252 |
249 |
$0.00 |
| J7040 |
Normal saline solution infus |
1,004 |
835 |
$0.00 |
| J1756 |
Iron sucrose injection |
456 |
234 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
441 |
406 |
$0.00 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
114 |
51 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
306 |
218 |
$0.00 |
| C1887 |
Catheter, guiding |
125 |
121 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
171 |
170 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
41 |
40 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
90 |
55 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
45 |
26 |
$0.00 |
| 91300 |
|
68 |
60 |
$0.00 |
| 99053 |
|
28 |
25 |
$0.00 |
| G8979 |
Mobility goal status |
13 |
12 |
$0.00 |
| J1953 |
Levetiracetam injection |
17 |
13 |
$0.00 |
| 82010 |
|
16 |
12 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
2,573 |
2,189 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
4,704 |
3,763 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
7,085 |
5,588 |
$0.00 |
| J3490 |
Drugs unclassified injection |
3,954 |
2,684 |
$0.00 |
| J7050 |
Normal saline solution infus |
4,494 |
2,524 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
4,191 |
4,055 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
231 |
204 |
$0.00 |
| J1630 |
Haloperidol injection |
3,016 |
2,031 |
$0.00 |
| 93320 |
|
14 |
14 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
103 |
102 |
$0.00 |
| J1836 |
Inj, metronidazole, 10 mg |
85 |
58 |
$0.00 |
| J2469 |
Palonosetron hcl |
255 |
174 |
$0.00 |
| J3420 |
Vitamin b12 injection |
238 |
144 |
$0.00 |
| J3480 |
Inj potassium chloride |
1,199 |
715 |
$0.00 |
| A4351 |
Straight tip urine catheter |
43 |
43 |
$0.00 |
| 94760 |
|
246 |
140 |
$0.00 |
| 36410 |
|
529 |
458 |
$0.00 |
| 12002 |
|
66 |
66 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
1,018 |
531 |
$0.00 |
| A9585 |
Gadobutrol injection |
308 |
298 |
$0.00 |
| 36416 |
|
477 |
305 |
$0.00 |
| 82553 |
|
203 |
173 |
$0.00 |
| J2001 |
Lidocaine injection |
535 |
340 |
$0.00 |
| J7060 |
5% dextrose/water |
48 |
25 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
57 |
45 |
$0.00 |
| A9270 |
Non-covered item or service |
2,307 |
883 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
25 |
24 |
$0.00 |
| 92567 |
|
12 |
12 |
$0.00 |
| A4344 |
Cath indw foley 2 way silicn |
12 |
12 |
$0.00 |
| J2920 |
Methylprednisolone injection |
118 |
57 |
$0.00 |
| J0461 |
Atropine sulfate injection |
24 |
24 |
$0.00 |
| 0399T |
|
39 |
38 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
52 |
34 |
$0.00 |
| J1940 |
Furosemide injection |
46 |
26 |
$0.00 |
| 80320 |
|
40 |
35 |
$0.00 |