| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpt clinic visit |
452,469 |
364,073 |
$39.90M |
| 96361 |
|
15,024 |
12,179 |
$3.92M |
| 99283 |
|
24,890 |
23,279 |
$3.19M |
| 99284 |
|
23,870 |
22,176 |
$2.87M |
| 99285 |
|
24,452 |
21,908 |
$2.60M |
| U0004 |
Cov-19 test non-cdc hgh thru |
26,795 |
25,448 |
$1.78M |
| 74177 |
|
8,058 |
7,669 |
$1.77M |
| 43239 |
|
3,695 |
3,523 |
$1.13M |
| 96366 |
|
5,739 |
3,103 |
$1.10M |
| 99282 |
|
9,146 |
8,749 |
$1.08M |
| 96365 |
|
12,241 |
8,366 |
$1.05M |
| 70450 |
|
6,666 |
6,140 |
$889K |
| J0585 |
Injection,onabotulinumtoxina |
4,361 |
3,244 |
$887K |
| 93306 |
|
4,091 |
3,978 |
$830K |
| 45380 |
|
2,284 |
2,158 |
$828K |
| 80053 |
|
101,520 |
86,029 |
$722K |
| 11042 |
|
5,771 |
3,047 |
$715K |
| 96360 |
|
4,844 |
4,129 |
$682K |
| 17110 |
|
3,545 |
3,341 |
$589K |
| G0378 |
Hospital observation per hr |
12,035 |
5,520 |
$581K |
| 20610 |
|
4,721 |
4,361 |
$542K |
| 74176 |
|
2,595 |
2,483 |
$492K |
| 59025 |
|
3,445 |
1,630 |
$483K |
| 70553 |
|
1,812 |
1,751 |
$479K |
| 64615 |
|
2,443 |
2,307 |
$461K |
| 96413 |
|
6,096 |
3,406 |
$450K |
| 73721 |
|
1,966 |
1,910 |
$393K |
| 76705 |
|
3,981 |
3,755 |
$375K |
| 90460 |
|
16,026 |
15,787 |
$372K |
| 71275 |
|
1,786 |
1,715 |
$339K |
| 36415 |
|
169,173 |
135,587 |
$333K |
| 96415 |
|
1,589 |
1,122 |
$302K |
| 72148 |
|
1,809 |
1,769 |
$296K |
| 76830 |
|
3,305 |
3,178 |
$288K |
| 95810 |
|
591 |
586 |
$282K |
| 97110 |
|
11,833 |
5,003 |
$279K |
| 45385 |
|
961 |
919 |
$277K |
| 85025 |
|
99,918 |
80,931 |
$268K |
| 11102 |
|
1,106 |
1,068 |
$256K |
| 71046 |
|
14,426 |
13,824 |
$252K |
| 84443 |
|
32,636 |
31,370 |
$247K |
| 76700 |
|
2,185 |
2,151 |
$228K |
| 90471 |
|
13,999 |
13,522 |
$226K |
| 99291 |
|
1,802 |
1,717 |
$225K |
| 76856 |
|
3,955 |
3,786 |
$223K |
| 78452 |
|
731 |
710 |
$223K |
| 70551 |
|
1,188 |
1,152 |
$215K |
| 12001 |
|
1,048 |
1,020 |
$208K |
| 97530 |
|
8,218 |
4,674 |
$184K |
| 73630 |
|
9,320 |
8,689 |
$179K |
| 88305 |
|
9,452 |
9,039 |
$176K |
| 73221 |
|
933 |
905 |
$173K |
| 93017 |
|
2,102 |
2,045 |
$173K |
| 76805 |
|
2,196 |
2,162 |
$173K |
| 87591 |
|
11,236 |
10,813 |
$173K |
| 76801 |
|
2,683 |
2,413 |
$172K |
| 71260 |
|
2,035 |
1,964 |
$168K |
| 93971 |
|
1,938 |
1,867 |
$166K |
| 11750 |
|
479 |
437 |
$166K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,510 |
1,465 |
$165K |
| 52000 |
|
369 |
355 |
$161K |
| 10060 |
|
942 |
894 |
$161K |
| J9271 |
Inj pembrolizumab |
32 |
24 |
$158K |
| 87635 |
|
3,261 |
3,073 |
$158K |
| 80061 |
|
22,221 |
21,769 |
$151K |
| 96375 |
|
20,663 |
14,882 |
$151K |
| 73562 |
|
7,207 |
6,877 |
$140K |
| 73110 |
|
6,258 |
5,310 |
$140K |
| 73130 |
|
6,564 |
5,866 |
$139K |
| 73610 |
|
7,117 |
6,458 |
$138K |
| 96374 |
|
17,871 |
15,736 |
$138K |
| 93005 |
|
30,245 |
25,917 |
$136K |
| 73030 |
|
6,628 |
6,126 |
$133K |
| 72141 |
|
766 |
755 |
$125K |
| 96372 |
|
21,138 |
13,977 |
$123K |
| 84484 |
|
17,044 |
12,143 |
$121K |
| 29125 |
|
720 |
686 |
$118K |
| 90461 |
|
8,232 |
8,116 |
$114K |
| 83036 |
|
23,664 |
23,083 |
$111K |
| 76770 |
|
1,173 |
1,144 |
$111K |
| 87507 |
|
1,709 |
1,654 |
$110K |
| 76816 |
|
1,689 |
1,616 |
$109K |
| 17000 |
|
1,205 |
1,161 |
$107K |
| 70496 |
|
647 |
619 |
$106K |
| 84439 |
|
12,816 |
12,443 |
$106K |
| 71250 |
|
1,369 |
1,325 |
$105K |
| 72125 |
|
1,946 |
1,848 |
$101K |
| 87491 |
|
11,230 |
10,788 |
$99K |
| 90715 |
|
6,376 |
6,215 |
$92K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
17,665 |
13,644 |
$91K |
| 71045 |
|
14,417 |
12,993 |
$91K |
| 80048 |
|
16,302 |
13,051 |
$90K |
| 82306 |
|
13,691 |
13,439 |
$90K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,754 |
1,570 |
$89K |
| 64450 |
|
432 |
363 |
$85K |
| 97140 |
|
4,706 |
2,132 |
$85K |
| 97597 |
|
2,804 |
1,748 |
$83K |
| 80307 |
|
2,585 |
2,361 |
$83K |
| 72100 |
|
3,530 |
3,432 |
$78K |
| 96900 |
|
2,751 |
577 |
$78K |
| 95886 |
|
731 |
706 |
$76K |
| 69210 |
|
1,703 |
1,654 |
$76K |
| 87086 |
|
22,353 |
20,898 |
$75K |
| 85027 |
|
22,047 |
20,140 |
$75K |
| 96367 |
|
2,311 |
1,777 |
$74K |
| 76817 |
|
1,993 |
1,780 |
$73K |
| 11100 |
|
265 |
250 |
$71K |
| 76815 |
|
1,246 |
1,139 |
$71K |
| 73140 |
|
3,867 |
3,384 |
$71K |
| 96376 |
|
8,794 |
5,398 |
$70K |
| 87040 |
|
6,850 |
3,867 |
$69K |
| 45378 |
|
217 |
209 |
$69K |
| 92507 |
|
1,954 |
862 |
$69K |
| 10061 |
|
318 |
304 |
$67K |
| 93975 |
|
997 |
950 |
$65K |
| 42820 |
|
37 |
37 |
$64K |
| 83605 |
|
7,503 |
6,235 |
$61K |
| 82728 |
|
9,627 |
9,326 |
$60K |
| 90651 |
|
3,470 |
3,429 |
$59K |
| 97162 |
|
1,823 |
1,719 |
$58K |
| 11055 |
|
490 |
464 |
$57K |
| 73080 |
|
2,857 |
2,461 |
$57K |
| 73560 |
|
3,429 |
3,190 |
$55K |
| 11721 |
|
4,261 |
4,083 |
$55K |
| J2469 |
Palonosetron hcl |
1,258 |
809 |
$55K |
| 87624 |
|
3,998 |
3,854 |
$54K |
| 90686 |
|
12,297 |
12,100 |
$54K |
| 11900 |
|
343 |
334 |
$54K |
| 72040 |
|
2,351 |
2,297 |
$51K |
| 88175 |
|
3,848 |
3,769 |
$51K |
| 74018 |
|
3,006 |
2,852 |
$50K |
| 94640 |
|
4,102 |
3,146 |
$50K |
| 73502 |
|
2,827 |
2,653 |
$48K |
| 76870 |
|
454 |
441 |
$46K |
| 83690 |
|
18,303 |
16,421 |
$46K |
| 95811 |
|
100 |
100 |
$45K |
| 11056 |
|
491 |
464 |
$45K |
| 87798 |
|
2,344 |
1,915 |
$45K |
| G0480 |
Drug test def 1-7 classes |
3,086 |
2,801 |
$44K |
| 98928 |
|
1,760 |
1,418 |
$43K |
| J7030 |
Normal saline solution infus |
35,665 |
24,025 |
$41K |
| 83880 |
|
3,972 |
3,660 |
$40K |
| 97161 |
|
1,109 |
1,067 |
$39K |
| 97112 |
|
1,899 |
932 |
$39K |
| 76536 |
|
411 |
408 |
$37K |
| 87633 |
|
1,041 |
984 |
$36K |
| 11104 |
|
119 |
116 |
$36K |
| 90677 |
|
1,561 |
1,521 |
$35K |
| 70498 |
|
673 |
643 |
$35K |
| 82607 |
|
4,986 |
4,862 |
$35K |
| 98927 |
|
1,820 |
1,664 |
$35K |
| 83735 |
|
18,791 |
15,341 |
$35K |
| 86140 |
|
11,115 |
10,330 |
$33K |
| 95115 |
|
1,760 |
647 |
$33K |
| 87077 |
|
10,987 |
9,885 |
$32K |
| 12011 |
|
161 |
158 |
$32K |
| 97803 |
|
759 |
627 |
$32K |
| 90670 |
|
4,020 |
3,954 |
$31K |
| 84702 |
|
5,125 |
3,978 |
$31K |
| 84145 |
|
2,778 |
2,289 |
$31K |
| 72110 |
|
1,366 |
1,339 |
$31K |
| 83655 |
|
2,073 |
2,052 |
$31K |
| 20550 |
|
254 |
240 |
$31K |
| G0108 |
Diab manage trn per indiv |
1,027 |
836 |
$30K |
| 81001 |
|
19,218 |
17,614 |
$30K |
| 83550 |
|
7,817 |
7,597 |
$29K |
| 86592 |
|
5,733 |
5,598 |
$29K |
| 83970 |
|
1,620 |
1,523 |
$29K |
| 87070 |
|
5,883 |
5,431 |
$28K |
| 73090 |
|
1,470 |
1,222 |
$28K |
| 85379 |
|
4,034 |
3,861 |
$28K |
| 99214 |
|
448 |
433 |
$28K |
| 81025 |
|
23,886 |
22,164 |
$28K |
| 73590 |
|
1,508 |
1,368 |
$27K |
| 86480 |
|
1,712 |
1,657 |
$26K |
| 87389 |
|
5,906 |
5,775 |
$26K |
| 83540 |
|
7,955 |
7,703 |
$26K |
| 70486 |
|
367 |
360 |
$26K |
| 97602 |
|
290 |
121 |
$25K |
| 70491 |
|
164 |
160 |
$25K |
| 94060 |
|
578 |
561 |
$25K |
| 87181 |
|
10,069 |
9,178 |
$25K |
| 98926 |
|
1,552 |
1,438 |
$25K |
| 82075 |
|
5,849 |
4,576 |
$25K |
| 95806 |
|
66 |
63 |
$25K |
| 82570 |
|
6,698 |
6,157 |
$24K |
| 0071A |
|
635 |
622 |
$24K |
| J2704 |
Inj, propofol, 10 mg |
16,369 |
14,165 |
$24K |
| 69436 |
|
27 |
27 |
$24K |
| 85610 |
|
13,363 |
10,740 |
$24K |
| 80305 |
|
8,850 |
8,069 |
$24K |
| 12002 |
|
150 |
144 |
$24K |
| 82962 |
|
24,717 |
12,658 |
$23K |
| 86803 |
|
4,085 |
3,986 |
$23K |
| 99152 |
|
2,916 |
2,763 |
$22K |
| 87804 |
|
12,251 |
7,289 |
$22K |
| 87088 |
|
8,332 |
7,979 |
$22K |
| 87081 |
|
5,129 |
5,035 |
$22K |
| 87486 |
|
1,041 |
984 |
$22K |
| 87661 |
|
2,142 |
2,103 |
$22K |
| 83516 |
|
2,318 |
1,496 |
$21K |
| 97802 |
|
340 |
339 |
$21K |
| 82746 |
|
3,458 |
3,376 |
$21K |
| 87511 |
|
1,569 |
1,532 |
$20K |
| 86850 |
|
5,743 |
5,133 |
$19K |
| J3010 |
Fentanyl citrate injection |
15,898 |
11,778 |
$19K |
| 87340 |
|
4,853 |
4,714 |
$19K |
| 86900 |
|
6,225 |
5,544 |
$19K |
| 90472 |
|
1,898 |
1,865 |
$19K |
| 72050 |
|
870 |
852 |
$19K |
| 11901 |
|
165 |
164 |
$18K |
| 0001A |
|
470 |
451 |
$18K |
| 78815 |
|
41 |
39 |
$18K |
| J7120 |
Ringers lactate infusion |
12,781 |
11,443 |
$17K |
| 82784 |
|
2,068 |
1,866 |
$17K |
| 73564 |
|
592 |
569 |
$17K |
| 81002 |
|
30,523 |
27,743 |
$17K |
| J7050 |
Normal saline solution infus |
22,626 |
10,769 |
$16K |
| 87581 |
|
1,041 |
984 |
$16K |
| A9585 |
Gadobutrol injection |
3,403 |
3,235 |
$16K |
| 84403 |
|
1,440 |
1,371 |
$16K |
| 82043 |
|
4,565 |
4,448 |
$16K |
| 77336 |
|
294 |
118 |
$15K |
| 87481 |
|
2,513 |
1,778 |
$15K |
| 80074 |
|
1,070 |
1,049 |
$15K |
| 51798 |
|
3,267 |
3,088 |
$14K |
| 93296 |
|
1,503 |
1,478 |
$14K |
| 87205 |
|
7,783 |
7,262 |
$14K |
| 20553 |
|
131 |
121 |
$14K |
| 94726 |
|
530 |
519 |
$14K |
| 86787 |
|
2,743 |
2,505 |
$13K |
| 73100 |
|
468 |
389 |
$13K |
| 90750 |
|
177 |
171 |
$13K |
| 76937 |
|
666 |
612 |
$13K |
| 82105 |
|
1,220 |
1,157 |
$13K |
| 87880 |
|
13,798 |
13,108 |
$13K |
| 43235 |
|
28 |
28 |
$13K |
| 83001 |
|
1,140 |
1,116 |
$12K |
| 84153 |
|
1,542 |
1,501 |
$12K |
| 71101 |
|
770 |
750 |
$12K |
| 0002A |
|
330 |
327 |
$12K |
| 99153 |
Mod sedat endo service >5yrs |
1,567 |
1,467 |
$12K |
| 94729 |
|
553 |
539 |
$12K |
| 76819 |
|
223 |
170 |
$12K |
| 85651 |
|
5,284 |
4,988 |
$12K |
| 86255 |
|
710 |
661 |
$12K |
| 96417 |
|
1,170 |
668 |
$12K |
| 82247 |
|
2,430 |
1,681 |
$11K |
| 93970 |
|
127 |
125 |
$11K |
| 88142 |
|
744 |
730 |
$11K |
| J1170 |
Hydromorphone injection |
11,536 |
7,089 |
$11K |
| J0897 |
Denosumab injection |
67 |
64 |
$11K |
| 82805 |
|
1,842 |
1,550 |
$11K |
| 86038 |
|
2,522 |
2,117 |
$10K |
| 73501 |
|
576 |
540 |
$10K |
| 11045 |
|
39 |
24 |
$10K |
| 73000 |
|
421 |
355 |
$10K |
| C1769 |
Guide wire |
1,546 |
1,413 |
$10K |
| 87426 |
|
3,048 |
2,723 |
$10K |
| 82550 |
|
3,421 |
2,706 |
$10K |
| 76820 |
|
253 |
195 |
$10K |
| 69209 |
|
416 |
404 |
$10K |
| 83050 |
|
1,761 |
1,492 |
$10K |
| 86901 |
|
6,354 |
5,636 |
$10K |
| 83520 |
|
835 |
753 |
$10K |
| 58300 |
|
84 |
78 |
$10K |
| 84146 |
|
821 |
798 |
$10K |
| 0124A |
|
375 |
355 |
$9K |
| 85014 |
|
2,714 |
2,176 |
$9K |
| U0005 |
Infec agen detec ampli probe |
21,356 |
20,276 |
$9K |
| 72072 |
|
476 |
464 |
$9K |
| 87522 |
Neg quan hep c or qual rna |
339 |
319 |
$9K |
| 86762 |
|
2,528 |
2,453 |
$8K |
| 73120 |
|
327 |
289 |
$8K |
| 90734 |
|
1,305 |
1,297 |
$8K |
| 82248 |
|
2,515 |
1,748 |
$8K |
| 88307 |
|
152 |
144 |
$8K |
| 64721 |
|
13 |
13 |
$8K |
| 80076 |
|
1,412 |
1,356 |
$8K |
| 86704 |
|
1,708 |
1,655 |
$8K |
| 85007 |
|
3,359 |
2,851 |
$8K |
| 88342 |
|
749 |
714 |
$8K |
| 0072A |
|
203 |
200 |
$7K |
| 72197 |
|
26 |
26 |
$7K |
| 72070 |
|
430 |
423 |
$7K |
| 82950 |
|
1,860 |
1,800 |
$7K |
| 87075 |
|
1,834 |
1,607 |
$7K |
| J1885 |
Ketorolac tromethamine inj |
15,879 |
13,935 |
$7K |
| 86706 |
|
1,691 |
1,652 |
$7K |
| 83002 |
|
803 |
781 |
$7K |
| 81000 |
|
8,146 |
7,100 |
$7K |
| J3301 |
Triamcinolone acet inj nos |
6,040 |
5,001 |
$7K |
| 86695 |
|
939 |
912 |
$7K |
| 99281 |
|
67 |
66 |
$7K |
| 76942 |
|
110 |
105 |
$7K |
| 0064A |
|
228 |
223 |
$7K |
| J1050 |
Medroxyprogesterone acetate |
761 |
732 |
$7K |
| 36000 |
|
2,080 |
2,036 |
$7K |
| 0054A |
|
249 |
244 |
$7K |
| 0202U |
|
8,220 |
7,861 |
$7K |
| 84460 |
|
2,905 |
2,833 |
$7K |
| 85652 |
|
4,596 |
4,419 |
$7K |
| 85018 |
|
4,081 |
3,363 |
$7K |
| 88304 |
|
1,278 |
1,247 |
$6K |
| 11730 |
|
44 |
42 |
$6K |
| 0004A |
|
224 |
218 |
$6K |
| 20605 |
|
44 |
39 |
$6K |
| 87428 |
|
6,050 |
5,930 |
$6K |
| 76882 |
|
68 |
63 |
$6K |
| 84550 |
|
2,774 |
2,604 |
$6K |
| 87529 |
|
247 |
182 |
$6K |
| 73660 |
|
402 |
383 |
$6K |
| 87521 |
Neg quan hep c or qual rna |
209 |
199 |
$6K |
| 98925 |
|
478 |
453 |
$6K |
| 84156 |
|
2,181 |
1,899 |
$5K |
| 86696 |
|
1,089 |
991 |
$5K |
| 90707 |
|
1,342 |
1,330 |
$5K |
| 87210 |
|
1,880 |
1,809 |
$5K |
| 84481 |
|
635 |
614 |
$5K |
| U0002 |
Covid-19 lab test non-cdc |
501 |
475 |
$5K |
| 92557 |
|
255 |
253 |
$5K |
| 82375 |
|
1,775 |
1,508 |
$5K |
| 84703 |
|
1,687 |
1,646 |
$5K |
| 77002 |
|
59 |
54 |
$5K |
| 83615 |
|
2,371 |
2,071 |
$5K |
| 84450 |
|
2,240 |
2,183 |
$5K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
795 |
700 |
$5K |
| 86200 |
|
1,275 |
1,234 |
$5K |
| 99213 |
|
123 |
121 |
$5K |
| 81003 |
|
4,503 |
4,270 |
$5K |
| 74022 |
|
231 |
222 |
$5K |
| 51702 |
|
511 |
440 |
$5K |
| J0690 |
Cefazolin sodium injection |
5,202 |
4,435 |
$5K |
| 20600 |
|
40 |
40 |
$5K |
| 86694 |
|
317 |
307 |
$5K |
| 29105 |
|
43 |
43 |
$5K |
| 83883 |
|
476 |
435 |
$5K |
| J2250 |
Inj midazolam hydrochloride |
5,024 |
4,358 |
$5K |
| 87653 |
|
291 |
286 |
$5K |
| 92652 |
|
78 |
72 |
$4K |
| 80069 |
|
976 |
810 |
$4K |
| 93308 |
|
26 |
26 |
$4K |
| 84402 |
|
416 |
398 |
$4K |
| 93299 |
|
333 |
327 |
$4K |
| J1100 |
Dexamethasone sodium phos |
15,287 |
12,519 |
$4K |
| 82947 |
|
1,211 |
1,187 |
$4K |
| 90732 |
|
387 |
373 |
$4K |
| 85732 |
|
2,460 |
2,097 |
$4K |
| 72156 |
|
13 |
13 |
$4K |
| 90648 |
|
2,362 |
2,321 |
$4K |
| A9502 |
Tc99m tetrofosmin |
970 |
886 |
$4K |
| 17004 |
|
163 |
155 |
$4K |
| 64405 |
|
323 |
268 |
$4K |
| 82565 |
|
1,612 |
1,541 |
$4K |
| 94761 |
|
1,879 |
1,243 |
$4K |
| 96368 |
|
524 |
336 |
$4K |
| J3490 |
Drugs unclassified injection |
4,610 |
3,374 |
$4K |
| 92567 |
|
432 |
430 |
$4K |
| 73522 |
|
189 |
187 |
$4K |
| 72202 |
|
246 |
240 |
$4K |
| J2270 |
Morphine sulfate injection |
3,463 |
2,499 |
$4K |
| 84100 |
|
2,246 |
1,791 |
$4K |
| J2060 |
Lorazepam injection |
3,603 |
2,655 |
$4K |
| 80175 |
|
236 |
228 |
$4K |
| J1756 |
Iron sucrose injection |
752 |
370 |
$4K |
| C8929 |
Tte w or wo fol wcon,doppler |
15 |
13 |
$4K |
| 95819 |
|
25 |
25 |
$4K |
| 91322 |
|
501 |
487 |
$4K |
| 71271 |
|
39 |
38 |
$3K |
| 90480 |
|
668 |
609 |
$3K |
| J3370 |
Vancomycin hcl injection |
1,742 |
957 |
$3K |
| 78264 |
|
14 |
14 |
$3K |
| 97166 |
|
94 |
85 |
$3K |
| 31575 |
|
45 |
45 |
$3K |
| 11720 |
|
77 |
75 |
$3K |
| 95909 |
|
83 |
78 |
$3K |
| 29130 |
|
12 |
12 |
$3K |
| 0052A |
|
86 |
86 |
$3K |
| C1776 |
Joint device (implantable) |
26 |
26 |
$3K |
| G0472 |
Hep c screen high risk/other |
1,470 |
1,412 |
$3K |
| J1030 |
Methylprednisolone 40 mg inj |
2,022 |
1,730 |
$3K |
| 98929 |
|
128 |
116 |
$3K |
| 94799 |
|
644 |
522 |
$3K |
| 73620 |
|
147 |
142 |
$3K |
| 92610 |
|
103 |
92 |
$3K |
| 74183 |
|
14 |
14 |
$3K |
| J7060 |
5% dextrose/water |
3,518 |
1,540 |
$3K |
| 94664 |
|
330 |
322 |
$3K |
| 90620 |
|
1,227 |
1,208 |
$3K |
| 80143 |
|
765 |
715 |
$3K |
| 86431 |
|
853 |
838 |
$3K |
| 82274 |
|
373 |
367 |
$3K |
| 84165 |
|
764 |
710 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
5,711 |
4,188 |
$2K |
| J1644 |
Inj heparin sodium per 1000u |
7,276 |
2,717 |
$2K |
| 86160 |
|
533 |
503 |
$2K |
| 0051A |
|
73 |
71 |
$2K |
| 82670 |
|
283 |
275 |
$2K |
| 87147 |
|
926 |
847 |
$2K |
| J0330 |
Succinycholine chloride inj |
1,199 |
1,110 |
$2K |
| 82077 |
|
2,548 |
2,291 |
$2K |
| 93798 |
|
55 |
12 |
$2K |
| 77080 |
|
38 |
38 |
$2K |
| 83013 |
|
113 |
110 |
$2K |
| 74420 |
|
13 |
12 |
$2K |
| J1815 |
Insulin injection |
5,835 |
1,721 |
$2K |
| 95911 |
|
12 |
12 |
$2K |
| 72170 |
|
167 |
158 |
$2K |
| J2405 |
Ondansetron hcl injection |
22,528 |
17,030 |
$2K |
| Q9957 |
Inj perflutren lip micros,ml |
213 |
203 |
$2K |
| 80177 |
|
138 |
129 |
$2K |
| 82553 |
|
214 |
139 |
$2K |
| 87808 |
|
1,349 |
1,307 |
$2K |
| 92526 |
|
52 |
30 |
$2K |
| 86376 |
|
210 |
207 |
$2K |
| 82652 |
|
223 |
218 |
$2K |
| J2710 |
Neostigmine methylslfte inj |
585 |
546 |
$2K |
| 84436 |
|
287 |
279 |
$2K |
| 97165 |
|
41 |
37 |
$2K |
| 74019 |
|
97 |
94 |
$2K |
| J2795 |
Ropivacaine hcl injection |
1,928 |
1,594 |
$2K |
| 86430 |
|
545 |
521 |
$1K |
| J2785 |
Regadenoson injection |
367 |
347 |
$1K |
| 80179 |
|
705 |
659 |
$1K |
| 90746 |
|
97 |
96 |
$1K |
| 92551 |
|
70 |
67 |
$1K |
| 72114 |
|
38 |
38 |
$1K |
| 86162 |
|
426 |
409 |
$1K |
| 82977 |
|
365 |
316 |
$1K |
| 76000 |
|
78 |
77 |
$1K |
| 94644 |
|
102 |
92 |
$1K |
| C1889 |
Implant/insert device, noc |
27 |
26 |
$1K |
| 73700 |
|
29 |
26 |
$1K |
| J2930 |
Methylprednisolone injection |
1,476 |
1,224 |
$1K |
| 0074A |
|
27 |
26 |
$1K |
| 36430 |
|
19 |
12 |
$1K |
| 83721 |
|
597 |
583 |
$1K |
| 82140 |
|
194 |
179 |
$1K |
| 86317 |
|
215 |
210 |
$1K |
| J0131 |
Inj, acetaminophen (nos) |
377 |
345 |
$1K |
| C1758 |
Catheter, ureteral |
1,393 |
1,323 |
$1K |
| 36416 |
|
982 |
883 |
$1K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
472 |
460 |
$1K |
| 72082 |
|
40 |
40 |
$1K |
| G0008 |
Admin influenza virus vac |
1,504 |
1,460 |
$1K |
| 82150 |
|
220 |
210 |
$1K |
| 72120 |
|
54 |
53 |
$1K |
| 72146 |
|
13 |
13 |
$1K |
| 84520 |
|
680 |
661 |
$1K |
| 0081A |
|
25 |
25 |
$1K |
| 84479 |
|
250 |
244 |
$1K |
| 84112 |
|
199 |
181 |
$969.29 |
| 90688 |
|
249 |
248 |
$955.43 |
| 82677 |
|
46 |
45 |
$947.71 |
| 99393 |
|
16 |
16 |
$936.00 |
| 73552 |
|
57 |
55 |
$930.91 |
| 72131 |
|
13 |
13 |
$914.41 |
| 87186 |
|
334 |
297 |
$912.86 |
| 97535 |
|
67 |
52 |
$887.62 |
| 86364 |
|
402 |
392 |
$877.20 |
| 82378 |
|
154 |
130 |
$874.65 |
| 90678 |
|
125 |
117 |
$870.86 |
| 86308 |
|
242 |
234 |
$832.65 |
| J1642 |
Inj heparin sodium per 10 u |
7,358 |
3,608 |
$831.85 |
| J2765 |
Metoclopramide hcl injection |
2,937 |
2,548 |
$825.86 |
| 82533 |
|
77 |
71 |
$814.34 |
| 84478 |
|
518 |
504 |
$804.56 |
| J3475 |
Inj magnesium sulfate |
1,544 |
1,007 |
$769.91 |
| 74174 |
|
16 |
16 |
$762.26 |
| C1894 |
Intro/sheath, non-laser |
247 |
228 |
$730.00 |
| 86300 |
|
73 |
63 |
$719.33 |
| 90656 |
|
131 |
131 |
$703.90 |
| 96402 |
|
73 |
64 |
$694.35 |
| J2370 |
Phenylephrine hcl injection |
1,852 |
1,516 |
$680.88 |
| J1200 |
Diphenhydramine hcl injectio |
5,824 |
4,075 |
$633.16 |
| 86708 |
|
125 |
123 |
$619.78 |
| 73060 |
|
51 |
49 |
$604.25 |
| 87641 |
|
65 |
65 |
$590.23 |
| 82040 |
|
214 |
200 |
$588.45 |
| 91321 |
|
32 |
31 |
$570.77 |
| 0241U |
|
2,936 |
2,735 |
$552.40 |
| 0003A |
|
13 |
13 |
$527.50 |
| 87807 |
|
477 |
472 |
$526.06 |
| 84155 |
|
466 |
418 |
$525.13 |
| Q2034 |
Agriflu vaccine |
387 |
377 |
$510.56 |
| 80164 |
|
42 |
38 |
$498.97 |
| 0082A |
|
12 |
12 |
$496.48 |
| 0352U |
|
1,340 |
1,296 |
$488.08 |
| 88360 |
|
13 |
12 |
$463.73 |
| 95874 |
|
274 |
226 |
$460.61 |
| 93289 |
|
51 |
48 |
$459.87 |
| 93288 |
|
63 |
60 |
$409.77 |
| 17003 |
|
249 |
243 |
$408.78 |
| 84075 |
|
162 |
153 |
$390.64 |
| 85045 |
|
182 |
168 |
$375.78 |
| J1790 |
Droperidol injection |
735 |
576 |
$373.49 |
| 90662 |
|
477 |
458 |
$358.07 |
| A9541 |
Tc99m sulfur colloid |
28 |
26 |
$355.86 |
| J2543 |
Piperacillin/tazobactam |
279 |
138 |
$354.62 |
| 86800 |
|
99 |
96 |
$350.52 |
| 88312 |
|
87 |
83 |
$342.99 |
| 80178 |
|
37 |
37 |
$321.30 |
| 86231 |
|
119 |
119 |
$318.77 |
| 86580 |
|
52 |
43 |
$318.70 |
| 86003 |
|
45 |
39 |
$315.95 |
| 81374 |
|
108 |
106 |
$311.06 |
| J2550 |
Promethazine hcl injection |
1,377 |
1,047 |
$309.38 |
| C1892 |
Intro/sheath,fixed,peel-away |
40 |
40 |
$306.95 |
| 97116 |
|
43 |
24 |
$300.16 |
| 83010 |
|
36 |
36 |
$283.87 |
| 88341 |
|
58 |
56 |
$280.27 |
| 86780 |
|
25 |
24 |
$278.03 |
| J3480 |
Inj potassium chloride |
504 |
233 |
$275.06 |
| J3420 |
Vitamin b12 injection |
1,136 |
935 |
$273.69 |
| 94760 |
|
133 |
117 |
$268.05 |
| 82310 |
|
148 |
142 |
$262.45 |
| Q0162 |
Ondansetron oral |
6,254 |
5,561 |
$261.44 |
| 86336 |
|
46 |
45 |
$259.83 |
| J1650 |
Inj enoxaparin sodium |
171 |
93 |
$236.26 |
| 85049 |
|
148 |
144 |
$235.22 |
| 90716 |
|
1,299 |
1,289 |
$233.86 |
| 82009 |
|
25 |
24 |
$232.91 |
| 95024 |
|
12 |
12 |
$222.57 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
1,016 |
789 |
$220.60 |
| 72220 |
|
13 |
13 |
$208.04 |
| 86705 |
|
40 |
38 |
$206.89 |
| 90710 |
|
1,346 |
1,322 |
$201.92 |
| 87338 |
|
24 |
24 |
$199.88 |
| 82172 |
|
36 |
35 |
$196.22 |
| A6449 |
Lt compres band >=3" <5"/yd |
2,591 |
1,657 |
$193.40 |
| 99497 |
|
14 |
13 |
$192.26 |
| 90680 |
|
2,782 |
2,721 |
$177.47 |
| A9552 |
F18 fdg |
40 |
38 |
$172.27 |
| 86735 |
|
24 |
24 |
$171.20 |
| 90792 |
|
13 |
13 |
$157.24 |
| 87184 |
|
66 |
62 |
$155.75 |
| 0296T |
|
13 |
13 |
$142.69 |
| 90698 |
|
2,281 |
2,250 |
$137.14 |
| 86778 |
|
13 |
13 |
$135.33 |
| 99495 |
|
25 |
24 |
$135.23 |
| J3372 |
Inj, vancomycin hcl (xellia) |
134 |
80 |
$132.58 |
| 86225 |
|
60 |
56 |
$126.46 |
| 87045 |
|
14 |
14 |
$123.81 |
| 95004 |
|
12 |
12 |
$123.65 |
| 36600 |
|
30 |
29 |
$123.20 |
| 83718 |
|
18 |
18 |
$122.80 |
| J1580 |
Garamycin gentamicin inj |
166 |
150 |
$115.90 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
211 |
128 |
$114.30 |
| J2175 |
Meperidine hydrochl /100 mg |
74 |
69 |
$113.32 |
| 86765 |
|
23 |
23 |
$109.97 |
| 87563 |
|
26 |
26 |
$109.23 |
| J7070 |
D5w infusion |
67 |
39 |
$107.46 |
| 83020 |
|
14 |
13 |
$106.40 |
| J0171 |
Adrenalin epinephrine inject |
44 |
39 |
$105.31 |
| G0101 |
Ca screen;pelvic/breast exam |
12 |
12 |
$105.26 |
| 0353U |
|
1,435 |
1,396 |
$103.19 |
| 85613 |
|
17 |
12 |
$101.97 |
| 82951 |
|
12 |
12 |
$99.33 |
| J0780 |
Prochlorperazine injection |
57 |
50 |
$98.53 |
| G0433 |
Elisa hiv-1/hiv-2 screen |
268 |
259 |
$94.70 |
| 84132 |
|
63 |
57 |
$93.49 |
| J3360 |
Diazepam injection |
34 |
15 |
$92.70 |
| 87427 |
|
14 |
14 |
$91.14 |
| J1630 |
Haloperidol injection |
804 |
670 |
$88.94 |
| J8540 |
Oral dexamethasone |
3,432 |
2,966 |
$88.74 |
| A6454 |
Self-adher band w>=3" <5"/yd |
1,511 |
644 |
$86.21 |
| 91305 |
|
504 |
484 |
$79.94 |
| J1956 |
Levofloxacin injection |
54 |
50 |
$75.52 |
| 83525 |
|
12 |
12 |
$72.75 |
| 86258 |
|
30 |
29 |
$69.99 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,321 |
950 |
$69.39 |
| 82465 |
|
18 |
18 |
$66.69 |
| 90633 |
|
2,751 |
2,725 |
$64.70 |
| 87046 |
|
14 |
14 |
$62.11 |
| J1720 |
Hydrocortisone sodium succ i |
103 |
41 |
$61.42 |
| J1010 |
Inj, methylpred acetate 1 mg |
214 |
159 |
$59.89 |
| J1940 |
Furosemide injection |
106 |
80 |
$57.09 |
| 90696 |
|
1,218 |
1,196 |
$55.92 |
| 86334 |
|
12 |
12 |
$54.60 |
| 96110 |
|
23 |
22 |
$54.45 |
| 82390 |
|
12 |
12 |
$52.41 |
| 93297 |
|
12 |
12 |
$51.96 |
| 96127 |
|
13 |
13 |
$49.79 |
| 82952 |
|
12 |
12 |
$49.63 |
| 90619 |
|
1,062 |
1,036 |
$48.59 |
| S0119 |
Ondansetron 4 mg |
1,650 |
1,469 |
$45.70 |
| 84295 |
|
27 |
26 |
$43.76 |
| 82374 |
|
27 |
26 |
$43.76 |
| Q0091 |
Obtaining screen pap smear |
660 |
646 |
$43.25 |
| Q0177 |
Hydroxyzine pamoate 25mg |
1,297 |
797 |
$36.08 |
| 90723 |
|
876 |
847 |
$35.80 |
| 88720 |
|
33 |
28 |
$35.06 |
| 90700 |
|
1,193 |
1,177 |
$34.58 |
| J2919 |
Inj, methylpred sod succ 5mg |
157 |
135 |
$29.80 |
| 90744 |
|
1,369 |
1,353 |
$28.90 |
| 90681 |
|
368 |
363 |
$23.78 |
| J7042 |
5% dextrose/normal saline |
32 |
24 |
$22.98 |
| J3411 |
Thiamine hcl 100 mg |
55 |
37 |
$19.35 |
| 87101 |
|
13 |
13 |
$17.30 |
| J1836 |
Inj, metronidazole, 10 mg |
21 |
12 |
$13.24 |
| 99406 |
|
493 |
483 |
$12.41 |
| 81015 |
|
331 |
324 |
$12.14 |
| Q4012 |
Cast sup sht arm ped fbrglas |
14 |
12 |
$10.68 |
| A9270 |
Non-covered item or service |
7,878 |
3,243 |
$10.62 |
| A4615 |
Cannula nasal |
305 |
291 |
$9.11 |
| J2001 |
Lidocaine injection |
215 |
197 |
$8.40 |
| G0009 |
Admin pneumococcal vaccine |
154 |
150 |
$7.61 |
| Q0163 |
Diphenhydramine hcl 50mg |
1,478 |
1,002 |
$5.12 |
| Q0144 |
Azithromycin dihydrate, oral |
30 |
26 |
$3.18 |
| A4300 |
Cath impl vasc access portal |
17 |
13 |
$1.33 |
| Q0244 |
Casirivi and imdevi 1200 mg |
17 |
16 |
$0.03 |
| G1004 |
Cdsm ndsc |
3,781 |
3,244 |
$0.01 |
| A6196 |
Alginate dressing <=16 sq in |
155 |
69 |
$0.00 |
| G8979 |
Mobility goal status |
216 |
185 |
$0.00 |
| G8978 |
Mobility current status |
157 |
138 |
$0.00 |
| G8990 |
Other pt/ot current status |
166 |
165 |
$0.00 |
| 91308 |
|
44 |
43 |
$0.00 |
| 91311 |
|
14 |
14 |
$0.00 |
| 91300 |
|
1,091 |
1,023 |
$0.00 |
| G8996 |
Swallow current status |
12 |
12 |
$0.00 |
| 91312 |
|
423 |
400 |
$0.00 |
| G8997 |
Swallow goal status |
12 |
12 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
12 |
12 |
$0.00 |
| 85060 |
|
13 |
13 |
$0.00 |
| J3489 |
Zoledronic acid 1mg |
17 |
17 |
$0.00 |
| 90697 |
|
24 |
24 |
$0.00 |
| 91307 |
|
923 |
844 |
$0.00 |
| 90381 |
|
39 |
33 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
470 |
395 |
$0.00 |
| G8991 |
Other pt/ot goal status |
190 |
189 |
$0.00 |
| 91301 |
|
32 |
31 |
$0.00 |
| 91306 |
|
226 |
223 |
$0.00 |
| P9612 |
Catheterize for urine spec |
12 |
12 |
$0.00 |