| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpt clinic visit |
558,652 |
420,823 |
$45.29M |
| 96361 |
|
16,223 |
14,868 |
$5.13M |
| 99285 |
|
56,987 |
49,187 |
$4.51M |
| G9006 |
Mccd, home monitoring |
17,568 |
2,291 |
$4.45M |
| 99283 |
|
43,794 |
38,001 |
$4.31M |
| T2022 |
Case management, per month |
23,622 |
23,321 |
$4.02M |
| 99284 |
|
49,156 |
44,003 |
$4.01M |
| 70450 |
|
20,048 |
18,220 |
$2.71M |
| J1745 |
Infliximab not biosimil 10mg |
1,959 |
1,862 |
$2.60M |
| U0003 |
Cov-19 amp prb hgh thruput |
34,323 |
28,976 |
$2.38M |
| 96365 |
|
16,580 |
13,504 |
$1.94M |
| 74177 |
|
11,525 |
10,983 |
$1.44M |
| 66984 |
|
2,580 |
2,422 |
$1.32M |
| 80307 |
|
50,666 |
38,705 |
$1.27M |
| 96366 |
|
4,995 |
4,345 |
$1.22M |
| 99281 |
|
11,200 |
9,224 |
$1.13M |
| 71275 |
|
6,355 |
6,051 |
$1.04M |
| 43239 |
|
3,241 |
3,119 |
$987K |
| 99282 |
|
10,779 |
9,678 |
$972K |
| 20680 |
|
1,139 |
1,068 |
$963K |
| 95810 |
|
2,260 |
2,214 |
$962K |
| J2426 |
Inj, invega sustenna, 1 mg |
3,044 |
2,581 |
$904K |
| J2315 |
Naltrexone, depot form |
1,240 |
1,153 |
$835K |
| 45380 |
|
2,788 |
2,691 |
$832K |
| Q5103 |
Injection, inflectra |
762 |
685 |
$815K |
| 97110 |
|
36,317 |
23,086 |
$786K |
| Q3014 |
Telehealth facility fee |
39,917 |
36,220 |
$784K |
| C9257 |
Bevacizumab injection |
1,844 |
1,679 |
$771K |
| 96360 |
|
7,895 |
7,319 |
$769K |
| 87536 |
|
19,560 |
18,917 |
$752K |
| 95800 |
|
2,342 |
2,315 |
$743K |
| 93306 |
|
3,986 |
3,844 |
$711K |
| 90837 |
|
8,603 |
4,320 |
$609K |
| 70553 |
|
2,857 |
2,779 |
$601K |
| 45385 |
|
1,882 |
1,806 |
$590K |
| 87635 |
|
15,074 |
12,813 |
$549K |
| 96415 |
|
1,753 |
1,589 |
$531K |
| 70496 |
|
3,240 |
3,072 |
$519K |
| 80053 |
|
111,695 |
100,376 |
$507K |
| 67028 |
|
3,597 |
3,144 |
$506K |
| J0178 |
Aflibercept injection |
967 |
847 |
$504K |
| 90834 |
|
4,592 |
2,802 |
$490K |
| Q9992 |
Buprenorphine xr over 100 mg |
785 |
743 |
$484K |
| G0378 |
Hospital observation per hr |
10,317 |
9,504 |
$462K |
| 76705 |
|
5,624 |
5,436 |
$410K |
| C9803 |
Hopd covid-19 spec collect |
15,359 |
14,231 |
$384K |
| 80048 |
|
82,266 |
65,098 |
$371K |
| 96413 |
|
3,483 |
3,226 |
$333K |
| 70551 |
|
2,125 |
2,039 |
$326K |
| 90853 |
|
5,198 |
1,713 |
$318K |
| J0585 |
Injection,onabotulinumtoxina |
1,848 |
1,691 |
$315K |
| 97530 |
|
12,024 |
8,241 |
$310K |
| J0741 |
Inj, cabote rilpivir 2mg 3mg |
237 |
152 |
$299K |
| C8929 |
Tte w or wo fol wcon,doppler |
1,499 |
1,440 |
$275K |
| 95811 |
|
779 |
757 |
$274K |
| 90832 |
|
5,540 |
3,985 |
$266K |
| 87591 |
|
27,268 |
20,833 |
$251K |
| 90471 |
|
20,073 |
19,564 |
$245K |
| 20611 |
|
1,457 |
1,363 |
$244K |
| 51705 |
|
2,065 |
1,925 |
$244K |
| 10060 |
|
1,284 |
1,239 |
$240K |
| 97162 |
|
6,646 |
6,435 |
$239K |
| 74176 |
|
1,504 |
1,454 |
$235K |
| 93971 |
|
2,747 |
2,612 |
$231K |
| 36224 |
|
77 |
75 |
$206K |
| 17110 |
|
1,066 |
1,006 |
$205K |
| 11900 |
|
980 |
945 |
$200K |
| 76700 |
|
2,419 |
2,373 |
$196K |
| 72148 |
|
1,819 |
1,779 |
$195K |
| 16020 |
|
1,937 |
1,493 |
$195K |
| 97763 |
|
1,466 |
1,142 |
$188K |
| 87624 |
|
11,588 |
11,466 |
$187K |
| 76830 |
|
2,308 |
2,229 |
$185K |
| 72141 |
|
1,433 |
1,393 |
$185K |
| 70491 |
|
2,842 |
2,718 |
$183K |
| 20610 |
|
1,655 |
1,529 |
$181K |
| 90651 |
|
2,164 |
2,137 |
$178K |
| 74183 |
|
943 |
904 |
$174K |
| 88142 |
|
10,637 |
10,544 |
$170K |
| 93970 |
|
1,767 |
1,704 |
$163K |
| 90715 |
|
9,068 |
8,855 |
$160K |
| 10061 |
|
738 |
714 |
$159K |
| G0008 |
Admin influenza virus vac |
24,990 |
24,505 |
$155K |
| 70486 |
|
2,676 |
2,588 |
$145K |
| 83880 |
|
15,802 |
12,679 |
$145K |
| 31579 |
|
541 |
514 |
$145K |
| 12011 |
|
857 |
831 |
$144K |
| 12001 |
|
806 |
778 |
$139K |
| T1023 |
Program intake assessment |
1,097 |
1,039 |
$139K |
| 76882 |
|
1,859 |
1,738 |
$135K |
| 71250 |
|
2,468 |
2,376 |
$134K |
| 96372 |
|
38,536 |
28,563 |
$130K |
| 91200 |
|
1,484 |
1,452 |
$128K |
| 92557 |
|
2,641 |
2,558 |
$124K |
| 97165 |
|
2,706 |
2,593 |
$123K |
| 43235 |
|
376 |
367 |
$122K |
| 70487 |
|
853 |
823 |
$121K |
| 76856 |
|
2,418 |
2,343 |
$120K |
| 97803 |
|
5,064 |
4,636 |
$117K |
| 76770 |
|
1,532 |
1,464 |
$116K |
| 97112 |
|
5,318 |
3,704 |
$114K |
| 97140 |
|
7,966 |
5,624 |
$114K |
| 93321 |
|
598 |
585 |
$113K |
| 97163 |
|
3,459 |
3,326 |
$113K |
| 86780 |
|
16,414 |
15,932 |
$110K |
| 97166 |
|
2,628 |
2,523 |
$108K |
| 90686 |
|
11,678 |
11,448 |
$108K |
| 95806 |
|
193 |
190 |
$106K |
| 31231 |
|
638 |
625 |
$105K |
| 93308 |
|
475 |
446 |
$103K |
| 73700 |
|
1,330 |
1,232 |
$103K |
| 84484 |
|
25,644 |
20,962 |
$103K |
| 36415 |
|
178,230 |
146,847 |
$102K |
| 87491 |
|
27,316 |
20,842 |
$101K |
| 11100 |
|
295 |
286 |
$100K |
| 92020 |
|
1,143 |
1,111 |
$99K |
| 90677 |
|
2,245 |
2,179 |
$99K |
| 92235 |
|
639 |
617 |
$98K |
| 93922 |
|
1,986 |
1,888 |
$98K |
| 97802 |
|
3,349 |
3,289 |
$98K |
| 90674 |
|
6,787 |
6,655 |
$97K |
| 76536 |
|
1,333 |
1,302 |
$93K |
| 76937 |
|
2,253 |
2,048 |
$89K |
| 96116 |
|
228 |
220 |
$89K |
| 87522 |
Neg quan hep c or qual rna |
6,255 |
6,058 |
$87K |
| J0881 |
Darbepoetin alfa, non-esrd |
777 |
498 |
$87K |
| 90792 |
|
1,327 |
1,153 |
$87K |
| 71260 |
|
2,548 |
2,480 |
$85K |
| 36430 |
|
836 |
650 |
$84K |
| 71046 |
|
19,714 |
18,201 |
$83K |
| 72125 |
|
8,631 |
7,997 |
$83K |
| 97116 |
|
4,709 |
3,091 |
$81K |
| 11042 |
|
475 |
421 |
$79K |
| 93005 |
|
47,311 |
40,328 |
$76K |
| 83605 |
|
15,190 |
13,345 |
$73K |
| 87631 |
|
4,174 |
3,966 |
$72K |
| 73721 |
|
496 |
473 |
$71K |
| 85025 |
|
104,279 |
90,483 |
$71K |
| 29075 |
|
341 |
313 |
$69K |
| 70498 |
|
2,867 |
2,697 |
$69K |
| 80061 |
|
23,714 |
22,988 |
$68K |
| G0481 |
Drug test def 8-14 classes |
3,994 |
3,311 |
$68K |
| 99291 |
|
1,558 |
1,494 |
$67K |
| 97161 |
|
1,618 |
1,576 |
$66K |
| 86360 |
|
7,164 |
6,935 |
$66K |
| 74174 |
|
683 |
646 |
$65K |
| 31575 |
|
362 |
353 |
$65K |
| 76512 |
|
879 |
814 |
$64K |
| 94060 |
|
2,348 |
2,290 |
$63K |
| 90472 |
|
4,491 |
4,388 |
$63K |
| J3490 |
Drugs unclassified injection |
4,862 |
4,097 |
$63K |
| 12002 |
|
360 |
344 |
$59K |
| 72158 |
|
439 |
425 |
$58K |
| 90935 |
|
152 |
64 |
$57K |
| C8928 |
Tte w or w/o fol w/con,stres |
336 |
324 |
$56K |
| 83970 |
|
3,448 |
3,315 |
$55K |
| 82306 |
|
7,992 |
7,796 |
$54K |
| 97535 |
|
2,443 |
1,829 |
$53K |
| 97542 |
|
2,162 |
1,819 |
$53K |
| 87517 |
|
3,352 |
3,266 |
$51K |
| 85027 |
|
71,672 |
59,534 |
$50K |
| 93325 |
|
918 |
899 |
$49K |
| 11104 |
|
150 |
145 |
$49K |
| 77080 |
|
1,218 |
1,188 |
$49K |
| 0124A |
|
2,402 |
2,340 |
$49K |
| 95886 |
|
309 |
304 |
$48K |
| 87040 |
|
5,760 |
4,916 |
$47K |
| 93017 |
|
722 |
696 |
$47K |
| 72131 |
|
2,039 |
1,958 |
$47K |
| 80076 |
|
11,926 |
11,059 |
$45K |
| 96367 |
|
1,770 |
1,664 |
$44K |
| 66982 |
|
94 |
91 |
$43K |
| 73630 |
|
10,775 |
8,821 |
$41K |
| J1756 |
Iron sucrose injection |
3,013 |
1,325 |
$40K |
| 71045 |
|
23,652 |
20,865 |
$39K |
| G0009 |
Admin pneumococcal vaccine |
6,618 |
6,438 |
$39K |
| 87507 |
|
722 |
700 |
$39K |
| 93975 |
|
951 |
917 |
$38K |
| 90734 |
|
2,155 |
2,116 |
$38K |
| 76870 |
|
508 |
487 |
$38K |
| 86480 |
|
3,781 |
3,702 |
$38K |
| 73610 |
|
12,250 |
10,353 |
$38K |
| 11721 |
|
1,574 |
1,513 |
$37K |
| 84443 |
|
23,849 |
22,964 |
$36K |
| J9310 |
Rituximab injection |
18 |
13 |
$36K |
| 96138 |
|
260 |
243 |
$35K |
| 91322 |
|
3,018 |
2,950 |
$35K |
| 97129 |
|
97 |
69 |
$35K |
| 92025 |
|
682 |
670 |
$33K |
| 83036 |
|
35,126 |
34,046 |
$33K |
| 92136 |
|
1,416 |
1,383 |
$33K |
| 73130 |
|
10,994 |
8,826 |
$32K |
| 87661 |
|
4,700 |
4,546 |
$32K |
| 45378 |
|
100 |
96 |
$32K |
| 90670 |
|
2,739 |
2,659 |
$31K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
3,036 |
2,891 |
$31K |
| 92083 |
|
6,183 |
5,983 |
$30K |
| 72100 |
|
5,301 |
5,056 |
$30K |
| V2632 |
Post chmbr intraocular lens |
3,132 |
2,957 |
$30K |
| 73560 |
|
4,437 |
3,545 |
$29K |
| 64644 |
|
372 |
351 |
$29K |
| G0480 |
Drug test def 1-7 classes |
2,566 |
2,090 |
$29K |
| J0561 |
Penicillin g benzathine inj |
1,373 |
1,122 |
$29K |
| 92507 |
|
805 |
502 |
$28K |
| 73030 |
|
7,517 |
6,400 |
$27K |
| 94726 |
|
1,706 |
1,652 |
$27K |
| 80069 |
|
7,089 |
5,992 |
$27K |
| 52000 |
|
64 |
62 |
$27K |
| 88305 |
|
17,139 |
11,336 |
$27K |
| 90636 |
|
793 |
773 |
$26K |
| 96119 |
|
92 |
86 |
$25K |
| D7140 |
|
273 |
85 |
$25K |
| 76801 |
|
370 |
344 |
$25K |
| 94729 |
|
2,023 |
1,963 |
$25K |
| 64483 |
|
56 |
54 |
$24K |
| G2215 |
Home supply nasal naloxone |
650 |
608 |
$23K |
| 99214 |
|
13,168 |
11,261 |
$22K |
| 90746 |
|
1,222 |
1,187 |
$22K |
| 76805 |
|
282 |
272 |
$22K |
| 82274 |
|
3,967 |
3,938 |
$21K |
| 83735 |
|
30,151 |
23,698 |
$21K |
| 99001 |
|
1,523 |
1,464 |
$20K |
| 72128 |
|
1,291 |
1,251 |
$20K |
| 87901 |
|
786 |
763 |
$20K |
| 11102 |
|
80 |
77 |
$20K |
| 73110 |
|
8,269 |
6,968 |
$20K |
| 73564 |
|
7,716 |
6,332 |
$20K |
| 99213 |
|
1,413 |
1,240 |
$20K |
| 0001A |
|
610 |
597 |
$20K |
| P9016 |
Rbc leukocytes reduced |
141 |
120 |
$20K |
| 90791 |
|
760 |
704 |
$19K |
| 82105 |
|
2,803 |
2,739 |
$19K |
| 97167 |
|
479 |
446 |
$19K |
| 92134 |
|
15,645 |
14,750 |
$19K |
| 86593 |
|
6,935 |
6,707 |
$18K |
| 64643 |
|
82 |
70 |
$18K |
| 85379 |
|
3,904 |
3,722 |
$18K |
| J9035 |
Bevacizumab injection |
44 |
44 |
$17K |
| 0054A |
|
1,114 |
1,083 |
$17K |
| 72040 |
|
2,581 |
2,407 |
$17K |
| 96374 |
|
29,597 |
26,804 |
$17K |
| 93246 |
|
648 |
609 |
$17K |
| 72110 |
|
2,566 |
2,506 |
$17K |
| 36902 |
|
13 |
12 |
$17K |
| 81001 |
|
52,021 |
47,101 |
$17K |
| 97597 |
|
180 |
159 |
$17K |
| 90739 |
|
508 |
496 |
$16K |
| 86803 |
|
16,277 |
15,795 |
$16K |
| 84403 |
|
2,030 |
1,960 |
$16K |
| 87389 |
|
15,651 |
15,171 |
$16K |
| 73502 |
|
2,780 |
2,664 |
$16K |
| 66821 |
|
103 |
97 |
$16K |
| 92133 |
|
8,352 |
8,093 |
$15K |
| 84202 |
|
1,437 |
1,425 |
$15K |
| 72050 |
|
2,147 |
2,082 |
$15K |
| 85610 |
|
43,877 |
37,204 |
$15K |
| 95885 |
|
109 |
106 |
$14K |
| 87340 |
|
9,923 |
9,625 |
$14K |
| C8930 |
Tte w or w/o contr, cont ecg |
809 |
797 |
$14K |
| 90732 |
|
1,867 |
1,792 |
$14K |
| 93926 |
|
234 |
226 |
$13K |
| 73590 |
|
7,005 |
5,989 |
$13K |
| 90480 |
|
3,264 |
3,194 |
$13K |
| 76942 |
|
1,078 |
1,027 |
$13K |
| 80164 |
|
1,942 |
1,795 |
$13K |
| 95819 |
|
92 |
91 |
$13K |
| 88307 |
|
651 |
550 |
$12K |
| 84270 |
|
1,719 |
1,663 |
$12K |
| 82728 |
|
9,052 |
8,720 |
$12K |
| 82607 |
|
8,246 |
7,969 |
$12K |
| 49083 |
|
43 |
25 |
$12K |
| 86704 |
|
6,525 |
6,324 |
$12K |
| 82570 |
|
13,772 |
13,132 |
$12K |
| 76519 |
|
170 |
161 |
$11K |
| 73221 |
|
99 |
92 |
$11K |
| 90648 |
|
517 |
498 |
$11K |
| 87086 |
|
17,954 |
16,494 |
$11K |
| 73552 |
|
5,116 |
4,448 |
$11K |
| 72190 |
|
2,768 |
2,623 |
$11K |
| 84439 |
|
4,876 |
4,650 |
$11K |
| 92567 |
|
2,839 |
2,751 |
$10K |
| 86706 |
|
9,264 |
8,983 |
$10K |
| 99204 |
|
177 |
173 |
$10K |
| 86141 |
|
9,061 |
8,243 |
$10K |
| 87081 |
|
6,175 |
6,008 |
$10K |
| 90632 |
|
764 |
751 |
$10K |
| 87593 |
|
132 |
127 |
$10K |
| 80178 |
|
1,225 |
1,121 |
$10K |
| 86481 |
|
710 |
690 |
$9K |
| 72070 |
|
2,202 |
2,125 |
$9K |
| 84466 |
|
7,970 |
7,678 |
$9K |
| 74178 |
|
63 |
61 |
$9K |
| G0483 |
Drug test def 22+ classes |
971 |
918 |
$9K |
| 80197 |
|
1,598 |
1,334 |
$9K |
| 74018 |
|
1,583 |
1,311 |
$9K |
| 87906 |
|
309 |
300 |
$9K |
| 0002A |
|
248 |
248 |
$9K |
| 51702 |
|
857 |
775 |
$9K |
| 80202 |
|
884 |
547 |
$9K |
| 70355 |
|
898 |
839 |
$9K |
| 90688 |
|
485 |
481 |
$8K |
| 90656 |
|
1,582 |
1,545 |
$8K |
| 0011A |
|
324 |
323 |
$8K |
| 0004A |
|
435 |
414 |
$8K |
| 97760 |
|
267 |
230 |
$8K |
| 92250 |
|
2,997 |
2,813 |
$8K |
| 93247 |
|
347 |
332 |
$8K |
| 94010 |
|
395 |
381 |
$8K |
| 86359 |
|
1,054 |
1,035 |
$8K |
| 58300 |
|
66 |
65 |
$8K |
| 88112 |
|
1,232 |
1,167 |
$8K |
| 73080 |
|
4,194 |
3,724 |
$7K |
| 86140 |
|
10,357 |
9,459 |
$7K |
| 93990 |
|
152 |
138 |
$7K |
| U0002 |
Covid-19 lab test non-cdc |
894 |
826 |
$7K |
| 96375 |
|
19,248 |
17,170 |
$7K |
| 92285 |
|
3,220 |
3,095 |
$7K |
| 80143 |
|
1,563 |
1,483 |
$7K |
| 20605 |
|
41 |
38 |
$7K |
| 98968 |
|
1,982 |
1,679 |
$7K |
| 87902 |
|
448 |
428 |
$7K |
| D0330 |
|
395 |
370 |
$7K |
| 96118 |
|
27 |
25 |
$7K |
| 84702 |
|
9,777 |
9,097 |
$6K |
| 73140 |
|
1,872 |
1,692 |
$6K |
| 76514 |
|
334 |
321 |
$6K |
| 11055 |
|
57 |
51 |
$6K |
| 86708 |
|
4,667 |
4,514 |
$6K |
| 82077 |
|
17,723 |
15,795 |
$6K |
| 85652 |
|
17,664 |
16,183 |
$6K |
| 73200 |
|
90 |
80 |
$6K |
| 93271 |
|
115 |
82 |
$6K |
| 73090 |
|
4,379 |
3,761 |
$6K |
| 76377 |
|
3,447 |
3,323 |
$6K |
| 94770 |
|
54 |
54 |
$6K |
| 83050 |
|
1,467 |
1,314 |
$6K |
| 95816 |
|
42 |
40 |
$6K |
| 29515 |
|
27 |
26 |
$6K |
| 96368 |
|
298 |
284 |
$6K |
| 83690 |
|
27,657 |
25,322 |
$6K |
| 87077 |
|
9,045 |
6,771 |
$5K |
| 84100 |
|
10,563 |
7,922 |
$5K |
| 87070 |
|
6,833 |
6,214 |
$5K |
| 83655 |
|
533 |
526 |
$5K |
| 73060 |
|
3,263 |
2,838 |
$5K |
| 12013 |
|
25 |
24 |
$5K |
| 80185 |
|
623 |
478 |
$5K |
| 51798 |
|
615 |
591 |
$5K |
| 93270 |
|
361 |
324 |
$5K |
| J1644 |
Inj heparin sodium per 1000u |
5,681 |
2,636 |
$5K |
| 87186 |
|
7,878 |
7,251 |
$5K |
| 83540 |
|
8,084 |
7,778 |
$5K |
| 82784 |
|
695 |
585 |
$5K |
| 86592 |
|
2,753 |
2,645 |
$5K |
| 80175 |
|
747 |
717 |
$4K |
| 86334 |
|
657 |
637 |
$4K |
| 72082 |
|
543 |
529 |
$4K |
| 82550 |
|
4,294 |
3,729 |
$4K |
| 72170 |
|
4,359 |
4,133 |
$4K |
| J2310 |
Inj naloxone hydrochloride |
791 |
587 |
$4K |
| 71271 |
|
48 |
47 |
$4K |
| 73070 |
|
1,306 |
1,114 |
$4K |
| 84146 |
|
407 |
396 |
$4K |
| 87529 |
|
585 |
534 |
$4K |
| 73620 |
|
1,675 |
1,348 |
$4K |
| 82746 |
|
4,014 |
3,867 |
$4K |
| 87798 |
|
665 |
647 |
$4K |
| 88342 |
|
1,970 |
1,843 |
$4K |
| 29405 |
|
13 |
12 |
$4K |
| 99203 |
|
98 |
94 |
$4K |
| 90714 |
|
192 |
190 |
$4K |
| 70543 |
|
15 |
14 |
$4K |
| 0003A |
|
207 |
200 |
$4K |
| 90694 |
|
2,520 |
2,451 |
$4K |
| 90707 |
|
454 |
443 |
$4K |
| 99215 |
Prolong outpt/office vis |
1,778 |
1,555 |
$4K |
| 83520 |
|
3,490 |
1,909 |
$4K |
| 87116 |
|
383 |
289 |
$4K |
| 92523 |
|
40 |
40 |
$4K |
| 85014 |
|
2,470 |
2,170 |
$4K |
| 73120 |
|
1,086 |
925 |
$4K |
| 84156 |
|
5,909 |
5,599 |
$3K |
| 91321 |
|
191 |
190 |
$3K |
| 96139 |
|
245 |
230 |
$3K |
| 90662 |
|
2,442 |
2,390 |
$3K |
| 81025 |
|
8,921 |
8,420 |
$3K |
| 93242 |
|
152 |
151 |
$3K |
| 85730 |
|
28,705 |
26,243 |
$3K |
| J1815 |
Insulin injection |
4,939 |
1,582 |
$3K |
| 76816 |
|
63 |
60 |
$3K |
| J2405 |
Ondansetron hcl injection |
29,296 |
25,378 |
$3K |
| 83010 |
|
479 |
463 |
$3K |
| 67228 |
|
13 |
12 |
$3K |
| 87205 |
|
8,002 |
7,337 |
$3K |
| 87147 |
|
5,874 |
4,370 |
$3K |
| 72197 |
|
13 |
13 |
$3K |
| 86255 |
|
270 |
255 |
$3K |
| 80179 |
|
1,330 |
1,268 |
$3K |
| 92504 |
|
239 |
230 |
$3K |
| 0053A |
|
92 |
91 |
$3K |
| 74230 |
|
52 |
51 |
$3K |
| 82043 |
|
9,216 |
8,895 |
$3K |
| D7240 |
|
21 |
12 |
$3K |
| 82670 |
|
440 |
429 |
$3K |
| 73650 |
|
1,056 |
840 |
$3K |
| 11056 |
|
14 |
14 |
$3K |
| 73000 |
|
1,295 |
1,097 |
$3K |
| 90691 |
|
171 |
170 |
$3K |
| 87338 |
|
616 |
604 |
$3K |
| 95700 |
|
27 |
26 |
$3K |
| 73600 |
|
1,498 |
1,163 |
$2K |
| 72146 |
|
52 |
52 |
$2K |
| 36226 |
|
27 |
25 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
27,429 |
25,354 |
$2K |
| 95910 |
|
38 |
38 |
$2K |
| 84165 |
|
2,036 |
1,945 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
23,315 |
19,491 |
$2K |
| 83001 |
|
234 |
230 |
$2K |
| 96132 |
|
271 |
259 |
$2K |
| 94640 |
|
445 |
400 |
$2K |
| 0051A |
|
72 |
72 |
$2K |
| 82803 |
|
5,993 |
5,294 |
$2K |
| C1769 |
Guide wire |
3,568 |
3,304 |
$2K |
| J1650 |
Inj enoxaparin sodium |
11,154 |
4,096 |
$2K |
| 86850 |
|
3,919 |
3,446 |
$2K |
| 87046 |
|
1,050 |
1,020 |
$2K |
| 73701 |
|
15 |
12 |
$2K |
| 82805 |
|
1,308 |
1,182 |
$2K |
| 86160 |
|
1,351 |
1,294 |
$2K |
| 86900 |
|
4,287 |
3,645 |
$2K |
| 86038 |
|
2,127 |
2,058 |
$2K |
| 99493 |
|
31 |
30 |
$2K |
| S9470 |
Nutritional counseling, diet |
69 |
53 |
$2K |
| J7120 |
Ringers lactate infusion |
16,527 |
14,456 |
$2K |
| 96376 |
|
11,460 |
9,406 |
$2K |
| Q0112 |
Potassium hydroxide preps |
212 |
206 |
$2K |
| C1726 |
Cath, bal dil, non-vascular |
1,209 |
1,147 |
$2K |
| Q0111 |
Wet mounts/ w preparations |
163 |
156 |
$2K |
| 96152 |
|
219 |
155 |
$2K |
| 77002 |
|
13 |
13 |
$2K |
| 87015 |
|
1,780 |
1,504 |
$2K |
| 84153 |
|
1,875 |
1,796 |
$2K |
| 17000 |
|
12 |
12 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
19,056 |
17,999 |
$2K |
| 89051 |
|
982 |
891 |
$2K |
| 75574 |
|
14 |
14 |
$2K |
| 88108 |
|
1,026 |
924 |
$2K |
| J1170 |
Hydromorphone injection |
12,207 |
9,454 |
$2K |
| 69209 |
|
102 |
98 |
$2K |
| 83883 |
|
117 |
114 |
$2K |
| 88304 |
|
1,780 |
1,561 |
$2K |
| J3370 |
Vancomycin hcl injection |
6,554 |
3,692 |
$2K |
| 82248 |
|
1,225 |
1,161 |
$1K |
| 82172 |
|
145 |
142 |
$1K |
| 99494 |
|
47 |
27 |
$1K |
| 86762 |
|
895 |
875 |
$1K |
| 78452 |
|
13 |
12 |
$1K |
| J2765 |
Metoclopramide hcl injection |
2,839 |
2,466 |
$1K |
| C9399 |
Unclassified drugs or biolog |
2,910 |
2,675 |
$1K |
| 86923 |
|
273 |
197 |
$1K |
| 87636 |
|
239 |
231 |
$1K |
| J0690 |
Cefazolin sodium injection |
10,402 |
8,804 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
7,971 |
6,646 |
$1K |
| 82962 |
|
13,737 |
11,055 |
$1K |
| J7050 |
Normal saline solution infus |
11,037 |
8,170 |
$1K |
| 0031A |
|
31 |
30 |
$1K |
| J3010 |
Fentanyl citrate injection |
15,114 |
12,005 |
$1K |
| 98967 |
|
902 |
834 |
$1K |
| 86901 |
|
4,365 |
3,721 |
$1K |
| 73100 |
|
646 |
555 |
$1K |
| 76817 |
|
28 |
25 |
$1K |
| 72192 |
|
13 |
12 |
$1K |
| 46601 |
|
28 |
24 |
$1K |
| 64447 |
|
13 |
13 |
$1K |
| 0241U |
|
5,078 |
4,731 |
$1K |
| 96133 |
|
246 |
229 |
$1K |
| 86677 |
|
147 |
142 |
$1K |
| 93880 |
|
30 |
28 |
$1K |
| 58100 |
|
13 |
12 |
$1K |
| 87102 |
|
2,211 |
2,093 |
$1K |
| 87088 |
|
2,058 |
1,779 |
$1K |
| 88312 |
|
561 |
517 |
$1K |
| 82375 |
|
1,573 |
1,415 |
$1K |
| J0295 |
Ampicillin sulbactam 1.5 gm |
3,317 |
2,490 |
$989.58 |
| 0121A |
|
62 |
60 |
$983.20 |
| 93925 |
|
28 |
27 |
$964.83 |
| 83521 |
|
1,034 |
490 |
$963.66 |
| 83516 |
|
804 |
554 |
$950.40 |
| 82565 |
|
706 |
665 |
$923.07 |
| 82330 |
|
4,874 |
4,309 |
$897.51 |
| 93225 |
|
84 |
83 |
$896.22 |
| 87481 |
|
314 |
280 |
$893.31 |
| 84550 |
|
2,605 |
2,477 |
$887.68 |
| 74160 |
|
13 |
12 |
$883.99 |
| 87075 |
|
2,927 |
2,646 |
$881.09 |
| 85018 |
|
4,571 |
4,180 |
$872.54 |
| J1050 |
Medroxyprogesterone acetate |
418 |
388 |
$861.72 |
| 76376 |
|
1,452 |
1,414 |
$853.66 |
| 80177 |
|
233 |
208 |
$848.84 |
| Q9957 |
Inj perflutren lip micros,ml |
3,214 |
3,070 |
$847.84 |
| D0160 |
|
259 |
240 |
$820.42 |
| 93010 |
|
138 |
117 |
$800.40 |
| 0052A |
|
29 |
26 |
$789.65 |
| 82947 |
|
4,407 |
4,044 |
$774.42 |
| 95874 |
|
599 |
555 |
$762.52 |
| 87799 |
|
39 |
36 |
$745.35 |
| D0140 |
|
46 |
45 |
$737.39 |
| 88341 |
|
310 |
261 |
$735.32 |
| 83615 |
|
1,497 |
1,376 |
$721.30 |
| 87880 |
|
1,368 |
1,319 |
$698.09 |
| 0296T |
|
93 |
86 |
$691.97 |
| C1894 |
Intro/sheath, non-laser |
1,820 |
1,679 |
$686.57 |
| 82247 |
|
328 |
309 |
$661.99 |
| 84480 |
|
411 |
396 |
$651.67 |
| 92014 |
|
29 |
29 |
$631.28 |
| G0103 |
Psa screening |
485 |
471 |
$550.29 |
| 0097U |
|
251 |
244 |
$549.94 |
| 86318 |
|
37 |
37 |
$542.65 |
| J3300 |
Triamcinolone a inj prs-free |
17 |
13 |
$540.30 |
| 86225 |
|
878 |
854 |
$531.25 |
| 86431 |
|
1,164 |
1,134 |
$524.94 |
| 85046 |
|
1,002 |
929 |
$524.92 |
| 88313 |
|
298 |
254 |
$522.24 |
| 84166 |
|
72 |
71 |
$493.00 |
| 84132 |
|
5,181 |
4,683 |
$491.26 |
| 82533 |
|
40 |
37 |
$490.62 |
| J1100 |
Dexamethasone sodium phos |
6,703 |
5,675 |
$459.76 |
| G0400 |
Home sleep test/type 4 porta |
15 |
15 |
$457.68 |
| 99391 |
|
349 |
315 |
$442.80 |
| J3301 |
Triamcinolone acet inj nos |
4,553 |
4,290 |
$440.02 |
| C1725 |
Cath, translumin non-laser |
590 |
546 |
$436.57 |
| 87181 |
|
320 |
304 |
$435.22 |
| 86709 |
|
347 |
335 |
$425.10 |
| 84460 |
|
776 |
758 |
$404.16 |
| J3475 |
Inj magnesium sulfate |
2,833 |
2,355 |
$403.76 |
| A9579 |
Gad-base mr contrast nos,1ml |
6,467 |
6,224 |
$402.46 |
| 0012A |
|
13 |
13 |
$400.87 |
| 92060 |
|
102 |
101 |
$394.92 |
| 84300 |
|
364 |
339 |
$394.30 |
| 81002 |
|
2,319 |
2,167 |
$388.36 |
| 86787 |
|
642 |
617 |
$387.14 |
| 90713 |
|
110 |
109 |
$380.53 |
| 97035 |
|
52 |
36 |
$377.65 |
| J0692 |
Cefepime hcl for injection |
34 |
26 |
$364.00 |
| 86235 |
|
42 |
24 |
$355.05 |
| J2060 |
Lorazepam injection |
2,422 |
2,053 |
$350.01 |
| 82010 |
|
639 |
568 |
$337.13 |
| 72052 |
|
67 |
64 |
$330.04 |
| 87184 |
|
531 |
500 |
$318.01 |
| 72080 |
|
66 |
65 |
$317.06 |
| 86200 |
|
485 |
479 |
$307.10 |
| D9230 |
|
15 |
15 |
$300.00 |
| 82140 |
|
387 |
358 |
$298.51 |
| 73010 |
|
33 |
32 |
$296.57 |
| 87502 |
|
24 |
24 |
$279.75 |
| 99392 |
|
303 |
298 |
$278.57 |
| 84295 |
|
4,387 |
3,992 |
$265.94 |
| 85130 |
|
166 |
156 |
$236.11 |
| 82977 |
|
253 |
244 |
$235.67 |
| 83930 |
|
427 |
373 |
$233.84 |
| 86769 |
|
84 |
82 |
$231.01 |
| 93243 |
|
12 |
12 |
$229.01 |
| 76815 |
|
28 |
27 |
$223.71 |
| J1885 |
Ketorolac tromethamine inj |
6,559 |
5,740 |
$213.09 |
| 87210 |
|
899 |
837 |
$207.11 |
| 87801 |
|
160 |
154 |
$206.79 |
| 95970 |
|
24 |
24 |
$206.04 |
| 87206 |
|
271 |
222 |
$200.14 |
| 85384 |
|
1,112 |
1,040 |
$196.74 |
| J3411 |
Thiamine hcl 100 mg |
1,416 |
898 |
$195.73 |
| 82945 |
|
173 |
163 |
$192.37 |
| M0220 |
Tixagev and cilgav inj |
31 |
31 |
$188.02 |
| 84450 |
|
233 |
226 |
$184.05 |
| 51741 |
|
32 |
30 |
$180.00 |
| 87493 |
|
109 |
105 |
$170.59 |
| 86317 |
|
12 |
12 |
$154.97 |
| 90474 |
|
510 |
493 |
$146.06 |
| 99394 |
|
317 |
317 |
$141.38 |
| 82950 |
|
310 |
287 |
$137.53 |
| J2795 |
Ropivacaine hcl injection |
1,919 |
1,350 |
$135.62 |
| 73562 |
|
17 |
13 |
$135.25 |
| 99393 |
|
365 |
363 |
$133.96 |
| 86256 |
|
12 |
12 |
$133.63 |
| A9270 |
Non-covered item or service |
26,582 |
7,880 |
$132.78 |
| 93226 |
|
33 |
33 |
$129.12 |
| 86777 |
|
16 |
16 |
$120.01 |
| J1630 |
Haloperidol injection |
1,630 |
1,463 |
$116.43 |
| C1887 |
Catheter, guiding |
844 |
792 |
$113.37 |
| J2710 |
Neostigmine methylslfte inj |
1,364 |
1,300 |
$112.90 |
| 87806 |
|
1,724 |
1,676 |
$110.68 |
| J1790 |
Droperidol injection |
769 |
714 |
$106.47 |
| J3480 |
Inj potassium chloride |
897 |
748 |
$105.01 |
| 29125 |
|
32 |
29 |
$101.39 |
| 86707 |
|
98 |
96 |
$99.33 |
| 73521 |
|
14 |
14 |
$95.46 |
| 99072 |
|
1,100 |
916 |
$93.45 |
| 87350 |
|
98 |
96 |
$92.37 |
| C1773 |
Ret dev, insertable |
1,427 |
1,382 |
$85.49 |
| J0171 |
Adrenalin epinephrine inject |
1,558 |
1,457 |
$83.93 |
| J3420 |
Vitamin b12 injection |
1,601 |
1,378 |
$83.20 |
| 86682 |
|
192 |
185 |
$76.90 |
| G2214 |
Init/sub psych care m 1st 30 |
25 |
25 |
$74.51 |
| J7060 |
5% dextrose/water |
16 |
15 |
$72.80 |
| 92226 |
|
12 |
12 |
$72.29 |
| 80186 |
|
17 |
16 |
$64.73 |
| J7030 |
Normal saline solution infus |
5,673 |
4,929 |
$64.36 |
| 84157 |
|
133 |
126 |
$63.24 |
| 36591 |
|
12 |
12 |
$62.51 |
| 87209 |
|
14 |
12 |
$61.95 |
| 87176 |
|
575 |
519 |
$61.17 |
| 87999 |
|
44 |
44 |
$59.49 |
| 83020 |
|
27 |
26 |
$53.39 |
| 86765 |
|
37 |
37 |
$51.92 |
| 86364 |
|
17 |
17 |
$50.10 |
| U0005 |
Infec agen detec ampli probe |
2,912 |
2,275 |
$50.00 |
| 82542 |
|
14 |
13 |
$47.67 |
| 87177 |
|
14 |
12 |
$45.08 |
| 98966 |
|
70 |
68 |
$44.66 |
| 82150 |
|
67 |
65 |
$40.86 |
| 83935 |
|
30 |
27 |
$37.57 |
| 85670 |
|
473 |
448 |
$36.57 |
| 83002 |
|
27 |
25 |
$36.54 |
| 36592 |
|
757 |
705 |
$36.52 |
| 82378 |
|
27 |
25 |
$35.22 |
| J1200 |
Diphenhydramine hcl injectio |
1,499 |
1,312 |
$34.63 |
| 86036 |
|
33 |
31 |
$33.83 |
| 88311 |
|
30 |
24 |
$33.07 |
| J2930 |
Methylprednisolone injection |
1,077 |
966 |
$32.20 |
| 36416 |
|
2,621 |
2,165 |
$30.97 |
| J0689 |
Inj cefazolin sodium, baxter |
235 |
162 |
$25.21 |
| 99443 |
|
747 |
721 |
$23.18 |
| 87220 |
|
181 |
175 |
$21.75 |
| J2370 |
Phenylephrine hcl injection |
2,628 |
2,255 |
$17.90 |
| 0297T |
|
14 |
12 |
$16.15 |
| C1755 |
Catheter, intraspinal |
12 |
12 |
$16.06 |
| J0131 |
Inj, acetaminophen (nos) |
2,417 |
2,244 |
$14.62 |
| 69210 |
|
38 |
37 |
$12.26 |
| 90833 |
|
284 |
239 |
$11.66 |
| 85049 |
|
12 |
12 |
$11.66 |
| J0780 |
Prochlorperazine injection |
912 |
820 |
$9.82 |
| J7512 |
Prednisone ir or dr oral 1mg |
3,194 |
1,997 |
$9.24 |
| 81003 |
|
38 |
37 |
$9.17 |
| 86015 |
|
14 |
13 |
$7.88 |
| J7040 |
Normal saline solution infus |
1,848 |
1,660 |
$6.98 |
| J2270 |
Morphine sulfate injection |
883 |
726 |
$6.84 |
| A4338 |
Indwelling catheter latex |
394 |
364 |
$6.83 |
| J1642 |
Inj heparin sodium per 10 u |
102 |
80 |
$4.96 |
| 87106 |
|
12 |
12 |
$2.90 |
| 15853 |
|
220 |
208 |
$2.33 |
| J0330 |
Succinycholine chloride inj |
573 |
530 |
$1.99 |
| J3360 |
Diazepam injection |
801 |
693 |
$0.75 |
| J1920 |
Inj, labetalol hcl, 5mg |
135 |
116 |
$0.26 |
| Q0221 |
Tixagev and cilgav, 600mg |
42 |
42 |
$0.20 |
| J0688 |
Inj cefazolin sodium, hikma |
1,121 |
1,081 |
$0.05 |
| 90633 |
|
1,070 |
1,049 |
$0.01 |
| H0036 |
Comm psy face-face per 15min |
18,939 |
12,737 |
$0.00 |
| H2015 |
Comp comm supp svc, 15 min |
10,806 |
6,744 |
$0.00 |
| H0046 |
Mental health service, nos |
6,979 |
5,673 |
$0.00 |
| T1001 |
Nursing assessment/evaluatn |
1,406 |
961 |
$0.00 |
| H0023 |
Alcohol and/or drug outreach |
20 |
20 |
$0.00 |
| 96153 |
|
3,122 |
625 |
$0.00 |
| 91312 |
|
2,419 |
2,357 |
$0.00 |
| H0043 |
Supported housing, per diem |
194 |
148 |
$0.00 |
| C1758 |
Catheter, ureteral |
181 |
171 |
$0.00 |
| 90611 |
|
486 |
475 |
$0.00 |
| 96165 |
|
941 |
459 |
$0.00 |
| 93356 |
|
403 |
388 |
$0.00 |
| H0034 |
Med trng & support per 15min |
424 |
272 |
$0.00 |
| H0031 |
Mh health assess by non-md |
391 |
295 |
$0.00 |
| H2017 |
Psysoc rehab svc, per 15 min |
851 |
641 |
$0.00 |
| 99442 |
|
340 |
323 |
$0.00 |
| G1004 |
Cdsm ndsc |
1,587 |
1,211 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
185 |
163 |
$0.00 |
| G8984 |
Carry current status |
205 |
198 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
259 |
242 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
64 |
61 |
$0.00 |
| G8978 |
Mobility current status |
706 |
672 |
$0.00 |
| 99212 |
|
165 |
162 |
$0.00 |
| H2011 |
Crisis interven svc, 15 min |
12 |
12 |
$0.00 |
| 90681 |
|
124 |
122 |
$0.00 |
| J0134 |
Inj acetaminophen -fresenius |
336 |
286 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
239 |
232 |
$0.00 |
| G8985 |
Carry goal status |
230 |
220 |
$0.00 |
| 91300 |
|
1,412 |
1,355 |
$0.00 |
| 90661 |
|
20 |
20 |
$0.00 |
| C1757 |
Cath, thrombectomy/embolect |
26 |
26 |
$0.00 |
| G8979 |
Mobility goal status |
790 |
747 |
$0.00 |
| 92015 |
|
37 |
37 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
149 |
137 |
$0.00 |
| 90700 |
|
96 |
95 |
$0.00 |
| J1953 |
Levetiracetam injection |
59 |
51 |
$0.00 |
| 90710 |
|
161 |
160 |
$0.00 |
| T2023 |
Targeted case mgmt per month |
25 |
25 |
$0.00 |
| 82310 |
|
12 |
12 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
14 |
12 |
$0.00 |
| Q0091 |
Obtaining screen pap smear |
12 |
12 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
499 |
401 |
$0.00 |
| J1631 |
Haloperidol decanoate inj |
12 |
12 |
$0.00 |
| 91308 |
|
30 |
28 |
$0.00 |
| 87899 |
|
12 |
12 |
$0.00 |
| A6446 |
Conform band s w>=3" <5"/yd |
15 |
15 |
$0.00 |
| 99396 |
|
13 |
13 |
$0.00 |
| H0033 |
Oral med adm direct observe |
3,992 |
1,851 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
260 |
192 |
$0.00 |
| H0038 |
Self-help/peer svc per 15min |
16,726 |
5,607 |
$0.00 |
| 96164 |
|
919 |
445 |
$0.00 |
| A4340 |
Indwelling catheter special |
206 |
189 |
$0.00 |
| J8540 |
Oral dexamethasone |
105 |
49 |
$0.00 |
| H0004 |
Alcohol and/or drug services |
4,524 |
2,667 |
$0.00 |
| J1940 |
Furosemide injection |
941 |
612 |
$0.00 |
| G8981 |
Body pos current status |
64 |
60 |
$0.00 |
| J0461 |
Atropine sulfate injection |
98 |
97 |
$0.00 |
| 90680 |
|
526 |
510 |
$0.00 |
| G0010 |
Admin hepatitis b vaccine |
585 |
574 |
$0.00 |
| G8980 |
Mobility d/c status |
131 |
123 |
$0.00 |
| 99000 |
|
906 |
240 |
$0.00 |
| 90698 |
|
223 |
216 |
$0.00 |
| 90744 |
|
115 |
110 |
$0.00 |
| H2012 |
Behav hlth day treat, per hr |
2,678 |
508 |
$0.00 |
| H0001 |
Alcohol and/or drug assess |
173 |
138 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
561 |
490 |
$0.00 |
| 90696 |
|
77 |
77 |
$0.00 |
| J2560 |
Phenobarbital sodium inj |
61 |
37 |
$0.00 |
| J1836 |
Inj, metronidazole, 10 mg |
61 |
41 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
15 |
13 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
946 |
592 |
$0.00 |
| 90716 |
|
356 |
346 |
$0.00 |
| G8982 |
Body pos goal status |
69 |
65 |
$0.00 |
| J1250 |
Inj dobutamine hcl/250 mg |
245 |
240 |
$0.00 |
| 91305 |
|
1,547 |
1,506 |
$0.00 |
| 90723 |
|
149 |
145 |
$0.00 |
| 77091 |
|
59 |
57 |
$0.00 |
| J0456 |
Azithromycin |
31 |
26 |
$0.00 |
| C2617 |
Stent, non-cor, tem w/o del |
13 |
13 |
$0.00 |
| G0123 |
Screen cerv/vag thin layer |
12 |
12 |
$0.00 |
| 91307 |
|
36 |
34 |
$0.00 |
| 90697 |
|
237 |
235 |
$0.00 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
16 |
14 |
$0.00 |
| T1016 |
Case management |
54 |
32 |
$0.00 |
| 97130 |
|
33 |
24 |
$0.00 |
| J7121 |
5% dextrose in lac ringers |
43 |
39 |
$0.00 |
| 74019 |
|
15 |
14 |
$0.00 |
| G8987 |
Self care current status |
12 |
12 |
$0.00 |
| 91303 |
|
29 |
28 |
$0.00 |
| J1805 |
Inj, esmolol hcl, 10mg |
14 |
12 |
$0.00 |
| 91301 |
|
335 |
326 |
$0.00 |
| C1753 |
Cath, intravas ultrasound |
12 |
12 |
$0.00 |
| 99441 |
|
59 |
55 |
$0.00 |
| G8988 |
Self care goal status |
12 |
12 |
$0.00 |