| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
37,912 |
35,171 |
$10.05M |
| 99284 |
|
30,939 |
27,748 |
$9.54M |
| G0378 |
Hospital observation per hr |
16,619 |
8,044 |
$8.13M |
| 93306 |
|
14,221 |
13,095 |
$7.28M |
| 99285 |
|
18,693 |
16,740 |
$7.00M |
| 43239 |
|
5,121 |
4,798 |
$5.82M |
| OP710 |
|
37,406 |
30,475 |
$4.09M |
| 97110 |
|
108,498 |
28,394 |
$3.50M |
| J1745 |
Infliximab not biosimil 10mg |
677 |
607 |
$3.13M |
| U0003 |
Cov-19 amp prb hgh thruput |
25,462 |
22,052 |
$2.53M |
| J9271 |
Inj pembrolizumab |
424 |
288 |
$2.44M |
| 64483 |
|
1,982 |
1,735 |
$2.31M |
| 97140 |
|
63,455 |
18,037 |
$2.19M |
| 96413 |
|
9,995 |
6,543 |
$2.14M |
| 74177 |
|
8,140 |
7,438 |
$2.08M |
| 96375 |
|
18,796 |
13,545 |
$2.07M |
| 45380 |
|
2,744 |
2,582 |
$1.90M |
| 70553 |
|
1,893 |
1,811 |
$1.73M |
| OP370 |
|
11,565 |
9,839 |
$1.70M |
| 93017 |
|
6,936 |
6,255 |
$1.66M |
| 99282 |
|
9,163 |
8,833 |
$1.60M |
| 94060 |
|
6,148 |
5,921 |
$1.59M |
| OP270 |
|
49,256 |
39,178 |
$1.54M |
| OP272 |
|
36,414 |
29,666 |
$1.44M |
| 95800 |
|
3,897 |
3,629 |
$1.43M |
| 0202U |
|
9,716 |
8,989 |
$1.42M |
| 96361 |
|
17,145 |
14,982 |
$1.38M |
| 93005 |
|
37,488 |
31,676 |
$1.30M |
| 11042 |
|
2,824 |
1,168 |
$1.29M |
| 96365 |
|
13,161 |
9,217 |
$1.25M |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,120 |
999 |
$1.22M |
| J2505 |
Injection, pegfilgrastim 6mg |
270 |
208 |
$1.21M |
| 73721 |
|
1,800 |
1,718 |
$1.20M |
| 41899 |
|
608 |
587 |
$1.19M |
| 88305 |
|
12,843 |
11,906 |
$1.18M |
| 99213 |
|
18,936 |
15,705 |
$1.06M |
| 70551 |
|
1,936 |
1,816 |
$1.04M |
| 45378 |
|
1,257 |
1,194 |
$1.03M |
| OP250 |
|
209,968 |
79,040 |
$990K |
| OP278 |
|
2,206 |
1,900 |
$956K |
| 70450 |
|
8,371 |
7,364 |
$890K |
| 78452 |
|
3,307 |
2,905 |
$848K |
| 72148 |
|
1,648 |
1,538 |
$842K |
| 93458 |
|
313 |
291 |
$840K |
| 77067 |
|
6,583 |
6,379 |
$820K |
| 93970 |
|
3,776 |
3,434 |
$785K |
| 93325 |
|
3,482 |
3,227 |
$785K |
| 97161 |
|
11,858 |
10,898 |
$761K |
| 71046 |
|
21,458 |
19,548 |
$743K |
| 80053 |
|
72,279 |
57,484 |
$739K |
| 45385 |
|
1,588 |
1,439 |
$721K |
| 78815 |
|
506 |
440 |
$688K |
| C1776 |
Joint device (implantable) |
467 |
331 |
$682K |
| 95810 |
|
764 |
725 |
$655K |
| 97530 |
|
12,532 |
5,596 |
$632K |
| 96360 |
|
7,426 |
6,556 |
$629K |
| 76819 |
|
6,062 |
3,725 |
$618K |
| 76700 |
|
5,689 |
5,371 |
$614K |
| 71260 |
|
2,805 |
2,577 |
$608K |
| J0897 |
Denosumab injection |
523 |
463 |
$602K |
| 96374 |
|
17,786 |
15,754 |
$602K |
| 96366 |
|
4,678 |
2,886 |
$581K |
| 76811 |
|
1,927 |
1,890 |
$546K |
| U0005 |
Infec agen detec ampli probe |
19,723 |
17,764 |
$536K |
| 73221 |
|
858 |
781 |
$524K |
| 85025 |
|
70,472 |
56,454 |
$510K |
| 76830 |
|
3,996 |
3,830 |
$508K |
| 93320 |
|
2,047 |
1,925 |
$504K |
| 99214 |
|
10,928 |
9,356 |
$495K |
| 96376 |
|
7,198 |
4,483 |
$488K |
| 96417 |
|
2,271 |
1,384 |
$480K |
| 93303 |
|
1,497 |
1,440 |
$478K |
| 76770 |
|
3,910 |
3,719 |
$478K |
| 74176 |
|
2,458 |
2,237 |
$464K |
| 76641 |
|
4,068 |
3,006 |
$463K |
| 71275 |
|
2,058 |
1,870 |
$462K |
| J2506 |
Inj pegfilgrast ex bio 0.5mg |
253 |
169 |
$451K |
| 90834 |
|
15,024 |
5,475 |
$442K |
| 92507 |
|
7,475 |
3,222 |
$434K |
| 76816 |
|
5,379 |
5,000 |
$394K |
| 96372 |
|
12,192 |
8,358 |
$391K |
| 19083 |
|
310 |
291 |
$374K |
| 96415 |
|
1,816 |
1,361 |
$345K |
| 93880 |
|
1,851 |
1,625 |
$332K |
| 76856 |
|
2,739 |
2,594 |
$318K |
| 00731 |
|
2,309 |
2,246 |
$306K |
| 0002A |
|
9,173 |
9,144 |
$303K |
| 77063 |
|
6,503 |
6,311 |
$296K |
| 75561 |
|
526 |
484 |
$294K |
| 94010 |
|
2,249 |
2,064 |
$292K |
| 0001A |
|
8,890 |
8,866 |
$276K |
| 71250 |
|
1,647 |
1,435 |
$273K |
| 72197 |
|
341 |
306 |
$268K |
| 0241U |
|
3,742 |
3,346 |
$267K |
| G0108 |
Diab manage trn per indiv |
3,583 |
3,059 |
$266K |
| 76817 |
|
2,462 |
2,080 |
$256K |
| 72125 |
|
3,077 |
2,655 |
$247K |
| 87633 |
|
1,199 |
1,185 |
$242K |
| 93226 |
|
1,414 |
1,329 |
$241K |
| 72141 |
|
509 |
470 |
$234K |
| 75574 |
|
595 |
529 |
$232K |
| 99291 |
|
421 |
412 |
$229K |
| 64484 |
|
1,836 |
1,400 |
$228K |
| 92587 |
|
2,402 |
2,379 |
$223K |
| 74183 |
|
290 |
258 |
$221K |
| 92557 |
|
1,847 |
1,767 |
$221K |
| 93225 |
|
1,470 |
1,380 |
$218K |
| 73562 |
|
4,294 |
4,058 |
$218K |
| 76536 |
|
2,051 |
1,927 |
$216K |
| 96367 |
|
3,930 |
2,649 |
$214K |
| 92579 |
|
1,607 |
1,587 |
$211K |
| 99215 |
Prolong outpt/office vis |
2,542 |
2,193 |
$208K |
| 76813 |
|
1,648 |
1,617 |
$198K |
| C9290 |
Inj, bupivacaine liposome |
1,585 |
1,401 |
$195K |
| 00813 |
|
1,097 |
1,065 |
$194K |
| 76642 |
|
2,251 |
2,059 |
$192K |
| 00840 |
|
781 |
733 |
$190K |
| 90791 |
|
5,203 |
3,299 |
$186K |
| 36415 |
|
106,222 |
88,003 |
$184K |
| 71045 |
|
6,232 |
5,573 |
$179K |
| 59426 |
|
3,184 |
1,842 |
$176K |
| J2785 |
Regadenoson injection |
1,750 |
1,706 |
$171K |
| 97165 |
|
2,997 |
2,710 |
$170K |
| 93971 |
|
540 |
474 |
$166K |
| 77066 |
Tomosynthesis, mammo |
1,178 |
1,111 |
$166K |
| 80048 |
|
23,747 |
19,197 |
$164K |
| 77065 |
Tomosynthesis, mammo |
1,713 |
1,568 |
$163K |
| 84443 |
|
18,075 |
16,033 |
$163K |
| 59425 |
|
3,100 |
2,183 |
$162K |
| 80307 |
|
5,259 |
4,614 |
$161K |
| 86850 |
|
15,216 |
12,975 |
$160K |
| G0480 |
Drug test def 1-7 classes |
4,849 |
3,968 |
$159K |
| 76801 |
|
1,681 |
1,606 |
$158K |
| 99392 |
|
2,219 |
2,206 |
$156K |
| 92526 |
|
2,810 |
1,729 |
$155K |
| 92567 |
|
3,380 |
3,298 |
$155K |
| 99391 |
|
2,319 |
2,275 |
$152K |
| 73630 |
|
3,397 |
3,162 |
$150K |
| 73610 |
|
3,464 |
3,196 |
$149K |
| 88341 |
|
1,232 |
1,077 |
$148K |
| 73030 |
|
3,698 |
3,384 |
$148K |
| 00811 |
|
822 |
805 |
$145K |
| 73130 |
|
3,273 |
3,047 |
$142K |
| 76821 |
|
1,627 |
1,067 |
$141K |
| 00920 |
|
657 |
627 |
$141K |
| 76805 |
|
1,173 |
1,161 |
$141K |
| 77080 |
|
1,545 |
1,513 |
$138K |
| 86900 |
|
16,819 |
13,963 |
$138K |
| 00170 |
|
716 |
696 |
$131K |
| J1453 |
Fosaprepitant injection |
1,039 |
653 |
$128K |
| C9399 |
Unclassified drugs or biolog |
1,689 |
1,526 |
$128K |
| 86901 |
|
16,888 |
13,964 |
$123K |
| 97162 |
|
1,774 |
1,623 |
$120K |
| 99241 |
|
1,857 |
1,578 |
$117K |
| C1769 |
Guide wire |
4,288 |
3,544 |
$116K |
| 94726 |
|
1,026 |
949 |
$116K |
| 73110 |
|
2,685 |
2,405 |
$113K |
| 94640 |
|
3,253 |
2,606 |
$113K |
| 97802 |
|
1,476 |
1,466 |
$111K |
| 73560 |
|
2,666 |
2,383 |
$111K |
| 99211 |
|
2,908 |
2,781 |
$110K |
| 29405 |
|
262 |
80 |
$109K |
| G0279 |
Tomosynthesis, mammo |
2,578 |
2,368 |
$108K |
| 76705 |
|
1,350 |
1,286 |
$106K |
| 64721 |
|
70 |
67 |
$106K |
| 99393 |
|
1,316 |
1,312 |
$106K |
| 76820 |
|
1,730 |
1,101 |
$104K |
| A9585 |
Gadobutrol injection |
2,577 |
2,409 |
$102K |
| 73502 |
|
2,188 |
1,962 |
$102K |
| J1756 |
Iron sucrose injection |
1,749 |
707 |
$101K |
| 93976 |
|
457 |
422 |
$100K |
| 99153 |
Mod sedat endo service >5yrs |
1,200 |
1,130 |
$92K |
| 94729 |
|
1,932 |
1,780 |
$92K |
| 84484 |
|
13,002 |
10,356 |
$92K |
| 87635 |
|
2,208 |
2,017 |
$91K |
| 64447 |
|
376 |
287 |
$90K |
| G0463 |
Hospital outpt clinic visit |
5,646 |
4,380 |
$89K |
| 74018 |
|
2,050 |
1,928 |
$88K |
| 00812 |
|
581 |
555 |
$87K |
| 88342 |
|
2,562 |
2,333 |
$82K |
| 73590 |
|
1,829 |
1,672 |
$81K |
| OP258 |
|
47,176 |
29,697 |
$80K |
| 90471 |
|
9,645 |
9,282 |
$78K |
| 70486 |
|
556 |
503 |
$77K |
| 87491 |
|
2,996 |
2,835 |
$76K |
| 72100 |
|
1,783 |
1,660 |
$76K |
| J2704 |
Inj, propofol, 10 mg |
22,031 |
20,998 |
$76K |
| 96401 |
|
1,058 |
760 |
$75K |
| 88307 |
|
1,249 |
1,137 |
$73K |
| 99152 |
|
1,642 |
1,557 |
$73K |
| 85055 |
|
1,627 |
1,175 |
$73K |
| 88304 |
|
2,486 |
2,325 |
$69K |
| 85027 |
|
15,878 |
12,461 |
$68K |
| 76825 |
|
384 |
375 |
$68K |
| 83735 |
|
16,902 |
12,873 |
$68K |
| 87798 |
|
2,066 |
1,894 |
$67K |
| 87426 |
|
3,749 |
3,281 |
$67K |
| 82962 |
|
17,776 |
12,197 |
$66K |
| J1561 |
Gamunex-c/gammaked |
52 |
12 |
$66K |
| 77072 |
|
1,076 |
1,074 |
$65K |
| 97803 |
|
1,420 |
1,391 |
$64K |
| 80061 |
|
11,465 |
10,632 |
$64K |
| 36902 |
|
109 |
90 |
$64K |
| 87591 |
|
2,991 |
2,829 |
$63K |
| C1725 |
Cath, translumin non-laser |
1,382 |
1,085 |
$62K |
| 97112 |
|
2,960 |
1,231 |
$62K |
| 62321 |
|
63 |
52 |
$61K |
| 01400 |
|
232 |
224 |
$61K |
| 77336 |
|
532 |
233 |
$61K |
| 83880 |
|
5,137 |
4,383 |
$61K |
| 73140 |
|
1,463 |
1,362 |
$61K |
| 73564 |
|
1,472 |
1,388 |
$60K |
| 85610 |
|
17,815 |
15,352 |
$59K |
| 96409 |
|
246 |
126 |
$59K |
| A9500 |
Tc99m sestamibi |
3,221 |
2,720 |
$58K |
| 93296 |
|
3,357 |
2,935 |
$58K |
| 96523 |
|
920 |
646 |
$56K |
| 85730 |
|
15,264 |
13,296 |
$54K |
| 95812 |
|
154 |
150 |
$54K |
| 81001 |
|
21,436 |
19,050 |
$54K |
| C1894 |
Intro/sheath, non-laser |
3,653 |
2,998 |
$53K |
| 70491 |
|
224 |
203 |
$53K |
| 81025 |
|
16,966 |
15,651 |
$52K |
| OP251 |
|
5,221 |
1,929 |
$52K |
| 76827 |
|
382 |
375 |
$52K |
| 72110 |
|
693 |
660 |
$51K |
| 83605 |
|
5,995 |
5,182 |
$51K |
| 90472 |
|
3,168 |
3,040 |
$51K |
| 87651 |
|
2,770 |
2,691 |
$51K |
| 92610 |
|
510 |
476 |
$50K |
| J1439 |
Inj ferric carboxymaltos 1mg |
74 |
48 |
$49K |
| 87086 |
|
11,858 |
10,869 |
$49K |
| 92523 |
|
578 |
551 |
$49K |
| 73080 |
|
1,150 |
1,067 |
$46K |
| 95782 |
|
38 |
38 |
$46K |
| J0585 |
Injection,onabotulinumtoxina |
80 |
72 |
$46K |
| 82306 |
|
4,619 |
4,295 |
$45K |
| C1887 |
Catheter, guiding |
1,530 |
1,301 |
$45K |
| J1100 |
Dexamethasone sodium phos |
19,481 |
16,610 |
$45K |
| 70498 |
|
201 |
167 |
$45K |
| 97116 |
|
2,488 |
1,215 |
$45K |
| 72131 |
|
443 |
369 |
$44K |
| A4648 |
Implantable tissue marker |
754 |
656 |
$43K |
| 72170 |
|
909 |
862 |
$43K |
| 87507 |
|
236 |
201 |
$42K |
| 84466 |
|
6,414 |
5,755 |
$41K |
| 36430 |
|
410 |
291 |
$41K |
| 76870 |
|
440 |
406 |
$41K |
| 82728 |
|
6,485 |
5,801 |
$40K |
| 70496 |
|
149 |
129 |
$40K |
| 73120 |
|
735 |
711 |
$39K |
| 90715 |
|
2,709 |
2,584 |
$39K |
| 47562 |
|
34 |
24 |
$39K |
| J0131 |
Inj, acetaminophen (nos) |
3,538 |
3,202 |
$39K |
| 83690 |
|
12,081 |
10,703 |
$39K |
| J0690 |
Cefazolin sodium injection |
9,342 |
7,872 |
$39K |
| 77049 |
|
60 |
56 |
$39K |
| 84702 |
|
4,027 |
3,486 |
$38K |
| 90792 |
|
749 |
517 |
$38K |
| 87040 |
|
4,715 |
4,214 |
$38K |
| 54161 |
|
46 |
39 |
$38K |
| 80076 |
|
6,611 |
5,834 |
$37K |
| 73521 |
|
577 |
542 |
$37K |
| 96411 |
|
142 |
92 |
$36K |
| 99203 |
|
803 |
742 |
$36K |
| 71271 |
|
217 |
212 |
$35K |
| 84145 |
|
3,096 |
2,675 |
$34K |
| 84100 |
|
11,934 |
9,371 |
$34K |
| 00400 |
|
170 |
156 |
$34K |
| 82607 |
|
5,291 |
4,803 |
$34K |
| 99202 |
|
765 |
663 |
$32K |
| 99212 |
|
748 |
701 |
$31K |
| 73100 |
|
550 |
518 |
$31K |
| 82803 |
|
2,436 |
2,089 |
$31K |
| 73090 |
|
676 |
621 |
$30K |
| 59430 |
|
875 |
661 |
$30K |
| 87631 |
|
464 |
462 |
$30K |
| 97750 |
|
1,657 |
1,445 |
$30K |
| 81003 |
|
15,090 |
13,668 |
$30K |
| 83036 |
|
9,711 |
9,029 |
$30K |
| 90832 |
|
1,158 |
640 |
$29K |
| 92611 |
|
124 |
115 |
$28K |
| 87581 |
|
1,215 |
1,200 |
$27K |
| 90833 |
|
739 |
541 |
$27K |
| 87186 |
|
4,159 |
3,766 |
$26K |
| 84439 |
|
4,401 |
4,001 |
$26K |
| 87486 |
|
1,214 |
1,199 |
$26K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
3,385 |
2,979 |
$26K |
| 88142 |
|
1,176 |
1,149 |
$25K |
| 76818 |
|
233 |
133 |
$24K |
| 99394 |
|
241 |
239 |
$24K |
| J3010 |
Fentanyl citrate injection |
16,609 |
13,698 |
$24K |
| Q9956 |
Inj octafluoropropane mic,ml |
410 |
340 |
$24K |
| 87077 |
|
4,558 |
4,126 |
$24K |
| 93280 |
|
949 |
822 |
$24K |
| 0004A |
|
695 |
694 |
$24K |
| 74021 |
|
639 |
613 |
$23K |
| A9552 |
F18 fdg |
744 |
629 |
$23K |
| 99395 |
|
327 |
320 |
$23K |
| C1781 |
Mesh (implantable) |
89 |
74 |
$23K |
| 93923 |
|
137 |
104 |
$23K |
| 86803 |
|
1,980 |
1,868 |
$22K |
| 77334 |
|
47 |
39 |
$22K |
| 64415 |
|
95 |
78 |
$21K |
| 82746 |
|
4,117 |
3,700 |
$21K |
| 76775 |
|
172 |
172 |
$21K |
| 87389 |
|
1,238 |
1,198 |
$20K |
| 51600 |
|
12 |
12 |
$20K |
| J2405 |
Ondansetron hcl injection |
21,994 |
17,595 |
$20K |
| 93321 |
|
161 |
146 |
$20K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,109 |
1,064 |
$20K |
| 99242 |
|
368 |
324 |
$20K |
| 86140 |
|
7,761 |
6,906 |
$19K |
| 86923 |
|
1,033 |
856 |
$19K |
| 27447 |
|
68 |
39 |
$18K |
| 73552 |
|
390 |
350 |
$18K |
| 90853 |
|
925 |
133 |
$18K |
| 88143 |
|
671 |
635 |
$18K |
| 29881 |
|
13 |
13 |
$17K |
| C1874 |
Stent, coated/cov w/del sys |
56 |
39 |
$17K |
| J0696 |
Ceftriaxone sodium injection |
3,060 |
2,305 |
$17K |
| 81002 |
|
6,550 |
4,601 |
$17K |
| 74230 |
|
233 |
211 |
$16K |
| 87070 |
|
2,613 |
2,432 |
$16K |
| 72081 |
|
232 |
232 |
$16K |
| 96137 |
|
541 |
341 |
$16K |
| 72082 |
|
158 |
157 |
$15K |
| J3490 |
Drugs unclassified injection |
31,451 |
14,114 |
$15K |
| 87880 |
|
1,888 |
1,856 |
$15K |
| 97535 |
|
817 |
495 |
$15K |
| C9600 |
Perc drug-el cor stent sing |
15 |
12 |
$15K |
| 82248 |
|
2,293 |
1,812 |
$15K |
| 29125 |
|
389 |
350 |
$15K |
| 82378 |
|
1,976 |
1,497 |
$15K |
| J7030 |
Normal saline solution infus |
12,270 |
9,895 |
$14K |
| OP255 |
|
5,942 |
4,822 |
$14K |
| 96130 |
|
509 |
328 |
$14K |
| 00910 |
|
85 |
75 |
$14K |
| 73070 |
|
248 |
223 |
$14K |
| 96136 |
|
510 |
328 |
$14K |
| J1170 |
Hydromorphone injection |
5,548 |
3,630 |
$14K |
| 83540 |
|
6,416 |
5,753 |
$14K |
| J1644 |
Inj heparin sodium per 1000u |
7,792 |
4,444 |
$14K |
| 72040 |
|
319 |
305 |
$13K |
| J1642 |
Inj heparin sodium per 10 u |
4,617 |
2,454 |
$13K |
| J1885 |
Ketorolac tromethamine inj |
14,872 |
12,041 |
$13K |
| 12001 |
|
222 |
207 |
$13K |
| 85378 |
|
3,545 |
3,256 |
$13K |
| 51701 |
|
443 |
393 |
$12K |
| 87641 |
|
1,201 |
989 |
$12K |
| 72070 |
|
262 |
246 |
$12K |
| 58558 |
|
13 |
12 |
$11K |
| 96402 |
|
199 |
166 |
$11K |
| 12011 |
|
207 |
188 |
$11K |
| 95700 |
|
12 |
12 |
$11K |
| 86618 |
|
796 |
759 |
$11K |
| J7050 |
Normal saline solution infus |
4,291 |
2,754 |
$11K |
| 72050 |
|
134 |
130 |
$11K |
| 76882 |
|
155 |
144 |
$11K |
| 83037 |
|
2,257 |
2,221 |
$11K |
| C7900 |
Hopd mntl hlt, 15-29 min |
3,023 |
2,342 |
$11K |
| 85652 |
|
6,443 |
5,721 |
$10K |
| 87636 |
|
68 |
65 |
$10K |
| 83615 |
|
2,703 |
2,172 |
$10K |
| 80320 |
|
212 |
194 |
$10K |
| 96416 |
|
40 |
24 |
$10K |
| 90674 |
|
421 |
411 |
$9K |
| 82784 |
|
1,187 |
1,025 |
$9K |
| 81220 |
|
27 |
27 |
$9K |
| 82550 |
|
2,909 |
2,478 |
$9K |
| 0071A |
|
228 |
228 |
$9K |
| 87205 |
|
2,008 |
1,821 |
$9K |
| 85014 |
|
2,298 |
1,946 |
$8K |
| 84153 |
|
1,110 |
984 |
$8K |
| 74174 |
|
29 |
25 |
$8K |
| 93926 |
|
53 |
46 |
$8K |
| J0136 |
Inj, acetaminophen (b braun) |
2,764 |
2,319 |
$8K |
| 82330 |
|
1,218 |
1,061 |
$8K |
| G2066 |
Inter devc remote 30d |
210 |
192 |
$8K |
| 99396 |
|
175 |
171 |
$8K |
| 0072A |
|
205 |
205 |
$8K |
| J2270 |
Morphine sulfate injection |
2,645 |
1,910 |
$7K |
| 99201 |
|
109 |
108 |
$7K |
| 87075 |
|
1,091 |
977 |
$7K |
| 92550 |
|
298 |
278 |
$7K |
| C1760 |
Closure dev, vasc |
132 |
93 |
$7K |
| 87801 |
|
228 |
220 |
$7K |
| 80074 |
|
415 |
351 |
$7K |
| 96450 |
|
13 |
12 |
$7K |
| 87624 |
|
166 |
166 |
$7K |
| 93298 |
|
200 |
172 |
$7K |
| 82077 |
|
1,392 |
1,055 |
$6K |
| 81401 |
|
55 |
53 |
$6K |
| 01810 |
|
37 |
37 |
$6K |
| J1456 |
Inj, fosaprepitant (teva) |
334 |
202 |
$6K |
| 0011A |
|
187 |
187 |
$6K |
| 90670 |
|
1,423 |
1,404 |
$6K |
| 0012A |
|
184 |
182 |
$6K |
| J2250 |
Inj midazolam hydrochloride |
9,710 |
9,004 |
$6K |
| P9016 |
Rbc leukocytes reduced |
51 |
37 |
$6K |
| OP229 |
|
112 |
89 |
$6K |
| J3370 |
Vancomycin hcl injection |
736 |
477 |
$6K |
| 94664 |
|
262 |
254 |
$6K |
| 85046 |
|
1,493 |
1,212 |
$6K |
| 84132 |
|
1,976 |
1,648 |
$6K |
| 77001 |
|
92 |
75 |
$5K |
| 36591 |
|
644 |
398 |
$5K |
| 87640 |
|
990 |
778 |
$5K |
| 73565 |
|
89 |
77 |
$5K |
| 87653 |
|
147 |
144 |
$5K |
| 84295 |
|
1,876 |
1,560 |
$5K |
| 86334 |
|
933 |
810 |
$5K |
| J0694 |
Cefoxitin sodium injection |
267 |
182 |
$5K |
| J0330 |
Succinycholine chloride inj |
1,567 |
1,194 |
$5K |
| J1200 |
Diphenhydramine hcl injectio |
4,075 |
2,945 |
$5K |
| 86038 |
|
908 |
808 |
$5K |
| A9577 |
Inj multihance |
89 |
87 |
$5K |
| 93308 |
|
17 |
14 |
$5K |
| 90686 |
|
2,850 |
2,823 |
$5K |
| 93299 |
|
115 |
114 |
$5K |
| 0064A |
|
148 |
148 |
$5K |
| J3480 |
Inj potassium chloride |
1,845 |
1,193 |
$5K |
| 87340 |
|
661 |
631 |
$5K |
| M0222 |
Bebtelovimab injection |
28 |
24 |
$4K |
| 80143 |
|
933 |
746 |
$4K |
| 93304 |
|
27 |
24 |
$4K |
| 86304 |
|
535 |
354 |
$4K |
| G1004 |
Cdsm ndsc |
25,846 |
18,648 |
$4K |
| 80179 |
|
917 |
732 |
$4K |
| 0124A |
|
182 |
168 |
$4K |
| 64999 |
|
57 |
36 |
$4K |
| J2543 |
Piperacillin/tazobactam |
566 |
301 |
$4K |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
2,429 |
2,034 |
$4K |
| J2060 |
Lorazepam injection |
1,786 |
1,210 |
$4K |
| Q0162 |
Ondansetron oral |
4,359 |
3,929 |
$4K |
| 90682 |
|
71 |
66 |
$4K |
| 85018 |
|
2,111 |
1,775 |
$4K |
| 73060 |
|
99 |
91 |
$4K |
| U0002 |
Covid-19 lab test non-cdc |
288 |
262 |
$3K |
| 86769 |
|
122 |
119 |
$3K |
| 90474 |
|
444 |
444 |
$3K |
| 84481 |
|
821 |
741 |
$3K |
| J2469 |
Palonosetron hcl |
683 |
372 |
$3K |
| 86480 |
|
224 |
198 |
$3K |
| 73000 |
|
61 |
56 |
$3K |
| J1815 |
Insulin injection |
2,914 |
1,207 |
$3K |
| 0054A |
|
109 |
103 |
$3K |
| 73700 |
|
14 |
12 |
$3K |
| 0031A |
|
102 |
102 |
$3K |
| 51702 |
|
149 |
128 |
$3K |
| 87076 |
|
226 |
221 |
$3K |
| 0003A |
|
90 |
90 |
$3K |
| 82043 |
|
1,996 |
1,852 |
$3K |
| 87661 |
|
325 |
299 |
$3K |
| 91320 |
|
31 |
26 |
$3K |
| 96368 |
|
62 |
40 |
$3K |
| J2930 |
Methylprednisolone injection |
525 |
407 |
$3K |
| 82977 |
|
1,079 |
742 |
$3K |
| 88112 |
|
215 |
173 |
$3K |
| Q0163 |
Diphenhydramine hcl 50mg |
1,929 |
1,519 |
$3K |
| 83970 |
|
193 |
169 |
$3K |
| Q0091 |
Obtaining screen pap smear |
91 |
90 |
$3K |
| 86592 |
|
1,359 |
1,294 |
$3K |
| 90677 |
|
212 |
209 |
$2K |
| 84550 |
|
1,591 |
1,403 |
$2K |
| OP720 |
|
14 |
13 |
$2K |
| 84425 |
|
162 |
134 |
$2K |
| J9190 |
Fluorouracil injection |
93 |
48 |
$2K |
| 84134 |
|
458 |
327 |
$2K |
| C1751 |
Cath, inf, per/cent/midline |
179 |
160 |
$2K |
| 84165 |
|
1,096 |
961 |
$2K |
| M0247 |
Sotrovimab infusion |
14 |
14 |
$2K |
| 86300 |
|
283 |
219 |
$2K |
| 72083 |
|
16 |
16 |
$2K |
| J9045 |
Carboplatin injection |
132 |
63 |
$2K |
| OP279 |
|
612 |
417 |
$2K |
| 76885 |
|
13 |
13 |
$2K |
| 96101 |
|
26 |
15 |
$2K |
| 86701 |
|
161 |
160 |
$2K |
| 83020 |
|
383 |
341 |
$2K |
| 86481 |
|
25 |
25 |
$2K |
| 77061 |
|
55 |
53 |
$2K |
| 83521 |
|
472 |
400 |
$2K |
| 81243 |
|
27 |
27 |
$2K |
| 97164 |
|
34 |
28 |
$2K |
| 90651 |
|
27 |
27 |
$2K |
| J2916 |
Na ferric gluconate complex |
46 |
18 |
$2K |
| 86706 |
|
270 |
241 |
$1K |
| 84436 |
|
278 |
263 |
$1K |
| P9604 |
One-way allow prorated trip |
751 |
362 |
$1K |
| 74420 |
|
12 |
12 |
$1K |
| G0379 |
Direct refer hospital observ |
15 |
15 |
$1K |
| 84520 |
|
123 |
121 |
$1K |
| G0009 |
Admin pneumococcal vaccine |
154 |
150 |
$1K |
| 88185 |
|
16 |
12 |
$1K |
| 86665 |
|
54 |
49 |
$1K |
| G0008 |
Admin influenza virus vac |
154 |
154 |
$1K |
| 74455 |
|
12 |
12 |
$1K |
| 82947 |
|
51 |
50 |
$1K |
| C7901 |
Hopd mntl hlt, 30-60 min |
147 |
86 |
$1K |
| 86308 |
|
342 |
334 |
$1K |
| 87536 |
|
16 |
14 |
$1K |
| C1729 |
Cath, drainage |
99 |
75 |
$999.85 |
| 84156 |
|
763 |
628 |
$981.47 |
| 90647 |
|
1,012 |
1,000 |
$981.37 |
| 80164 |
|
237 |
197 |
$971.91 |
| 81244 |
|
27 |
27 |
$969.57 |
| 84207 |
|
90 |
67 |
$965.51 |
| 88173 |
|
43 |
37 |
$949.23 |
| 90734 |
|
39 |
39 |
$900.23 |
| 95886 |
|
12 |
12 |
$887.61 |
| 76937 |
|
30 |
24 |
$860.29 |
| 82570 |
|
753 |
625 |
$858.45 |
| 72202 |
|
13 |
13 |
$850.32 |
| 83883 |
|
44 |
42 |
$845.29 |
| 90723 |
|
1,108 |
1,093 |
$834.71 |
| 97014 |
|
38 |
12 |
$820.06 |
| 90480 |
|
31 |
26 |
$811.07 |
| J1650 |
Inj enoxaparin sodium |
270 |
139 |
$795.79 |
| C9113 |
Inj pantoprazole sodium, via |
425 |
223 |
$793.03 |
| J0780 |
Prochlorperazine injection |
146 |
137 |
$785.08 |
| 86762 |
|
164 |
161 |
$779.27 |
| J2765 |
Metoclopramide hcl injection |
1,213 |
1,057 |
$773.44 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
331 |
326 |
$724.95 |
| 90632 |
|
101 |
101 |
$724.03 |
| C1758 |
Catheter, ureteral |
63 |
63 |
$723.77 |
| J0702 |
Betamethasone acet&sod phosp |
121 |
95 |
$704.35 |
| 0134A |
|
30 |
27 |
$702.10 |
| J2919 |
Inj, methylpred sod succ 5mg |
231 |
178 |
$669.42 |
| 86360 |
|
17 |
15 |
$626.23 |
| A9541 |
Tc99m sulfur colloid |
16 |
12 |
$622.30 |
| J9267 |
Paclitaxel injection |
23 |
12 |
$606.30 |
| G8978 |
Mobility current status |
330 |
303 |
$577.16 |
| G8979 |
Mobility goal status |
342 |
313 |
$577.16 |
| 82105 |
|
54 |
52 |
$571.59 |
| J7512 |
Prednisone ir or dr oral 1mg |
924 |
730 |
$536.55 |
| 82010 |
|
101 |
88 |
$535.11 |
| 86328 |
|
18 |
18 |
$532.24 |
| J3475 |
Inj magnesium sulfate |
328 |
202 |
$523.80 |
| 90661 |
|
38 |
38 |
$519.14 |
| J2272 |
Inj, morphine (fresenius) |
357 |
290 |
$514.36 |
| 86664 |
|
54 |
49 |
$499.11 |
| 86355 |
|
17 |
15 |
$491.11 |
| 86357 |
|
17 |
15 |
$491.11 |
| 89051 |
|
240 |
212 |
$482.04 |
| 86359 |
|
17 |
15 |
$477.25 |
| 83520 |
|
58 |
57 |
$455.79 |
| 85347 |
|
192 |
140 |
$442.38 |
| 87430 |
|
58 |
57 |
$423.10 |
| 90688 |
|
77 |
77 |
$414.48 |
| J1630 |
Haloperidol injection |
322 |
210 |
$394.47 |
| 90681 |
|
434 |
430 |
$391.59 |
| 96377 |
|
17 |
12 |
$374.07 |
| 86663 |
|
54 |
49 |
$366.68 |
| 86301 |
|
74 |
52 |
$358.62 |
| 87081 |
|
62 |
61 |
$347.50 |
| 88331 |
|
31 |
25 |
$336.89 |
| J0134 |
Inj acetaminophen -fresenius |
93 |
83 |
$334.23 |
| 77062 |
|
12 |
12 |
$320.22 |
| 86780 |
|
42 |
42 |
$320.16 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
72 |
62 |
$283.48 |
| 93297 |
|
79 |
76 |
$262.14 |
| J0689 |
Inj cefazolin sodium, baxter |
65 |
54 |
$258.80 |
| 90633 |
|
245 |
244 |
$255.48 |
| 82232 |
|
42 |
38 |
$252.90 |
| 82247 |
|
53 |
39 |
$235.78 |
| 87015 |
|
90 |
79 |
$233.09 |
| J2920 |
Methylprednisolone injection |
67 |
38 |
$227.86 |
| 82553 |
|
52 |
49 |
$221.80 |
| 82525 |
|
29 |
27 |
$217.50 |
| 84446 |
|
54 |
39 |
$209.32 |
| Q9958 |
Hocm <=149 mg/ml iodine, 1ml |
13 |
13 |
$193.07 |
| 88184 |
|
16 |
12 |
$192.24 |
| 82150 |
|
71 |
62 |
$190.03 |
| 83516 |
|
45 |
38 |
$181.07 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
112 |
110 |
$169.42 |
| J0461 |
Atropine sulfate injection |
19 |
12 |
$159.86 |
| 86430 |
|
106 |
95 |
$154.28 |
| 87799 |
|
23 |
15 |
$150.79 |
| 84480 |
|
35 |
31 |
$149.59 |
| 86880 |
|
68 |
56 |
$149.50 |
| A9503 |
Tc99m medronate |
14 |
12 |
$146.87 |
| 82552 |
|
30 |
28 |
$140.68 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
30 |
12 |
$134.21 |
| 36592 |
|
70 |
60 |
$132.79 |
| 90710 |
|
13 |
13 |
$130.40 |
| OP259 |
|
291 |
54 |
$125.97 |
| 86225 |
|
15 |
13 |
$125.04 |
| 88302 |
|
12 |
12 |
$120.12 |
| 87497 |
|
22 |
14 |
$114.81 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
93 |
59 |
$114.14 |
| 80047 |
|
34 |
28 |
$108.49 |
| L1830 |
Ko immob canvas long pre ots |
17 |
16 |
$105.28 |
| 82040 |
|
79 |
68 |
$100.25 |
| J3371 |
Inj, vancomycin hcl (mylan) |
76 |
41 |
$90.82 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
693 |
589 |
$82.29 |
| L4350 |
Ankle control ortho pre ots |
14 |
14 |
$66.55 |
| 82533 |
|
14 |
13 |
$64.79 |
| 84597 |
|
20 |
12 |
$61.20 |
| J1580 |
Garamycin gentamicin inj |
50 |
39 |
$58.86 |
| J0736 |
Inj, clindamycin phosp 300mg |
31 |
27 |
$57.22 |
| 89060 |
|
14 |
14 |
$52.32 |
| J2710 |
Neostigmine methylslfte inj |
53 |
44 |
$52.12 |
| J0137 |
Inj, acetaminophen (hikma) |
28 |
26 |
$47.63 |
| J1836 |
Inj, metronidazole, 10 mg |
46 |
24 |
$45.82 |
| J7040 |
Normal saline solution infus |
32 |
27 |
$43.00 |
| 82950 |
|
13 |
13 |
$42.90 |
| 82610 |
|
14 |
12 |
$39.98 |
| 82435 |
|
38 |
38 |
$38.20 |
| 86200 |
|
16 |
12 |
$25.99 |
| 80197 |
|
22 |
13 |
$24.16 |
| J7510 |
Prednisolone oral per 5 mg |
32 |
24 |
$22.00 |
| J2001 |
Lidocaine injection |
217 |
166 |
$21.50 |
| J0670 |
Inj mepivacaine hcl/10 ml |
14 |
13 |
$21.20 |
| 84590 |
|
20 |
12 |
$20.40 |
| J2470 |
Inj pantoprazole sodium 40mg |
43 |
29 |
$19.30 |
| 90716 |
|
36 |
36 |
$17.00 |
| J0737 |
Inj, clindamycin (baxter) |
19 |
14 |
$16.12 |
| J2305 |
Inj, nitroglycerin, 5 mg |
92 |
72 |
$13.13 |
| 90707 |
|
24 |
24 |
$13.00 |
| J0687 |
Inj cefazolin (wg crit care) |
80 |
71 |
$0.61 |
| 90656 |
|
237 |
237 |
$0.54 |
| G8980 |
Mobility d/c status |
13 |
13 |
$0.00 |
| A0021 |
Outside state ambulance serv |
18 |
12 |
$0.00 |
| G8984 |
Carry current status |
26 |
26 |
$0.00 |
| G8985 |
Carry goal status |
25 |
25 |
$0.00 |