| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
120,262 |
102,878 |
$35.78M |
| 99285 |
|
76,084 |
63,571 |
$33.51M |
| 99283 |
|
116,651 |
102,584 |
$25.02M |
| J9271 |
Inj pembrolizumab |
2,181 |
1,456 |
$10.45M |
| G0463 |
Hospital outpt clinic visit |
118,957 |
92,791 |
$9.60M |
| 96374 |
|
60,302 |
51,113 |
$9.23M |
| 97110 |
|
131,442 |
37,532 |
$7.09M |
| 74177 |
|
20,689 |
18,668 |
$3.80M |
| 96413 |
|
17,414 |
8,464 |
$3.10M |
| 99291 |
|
4,860 |
4,417 |
$3.02M |
| 96361 |
|
53,691 |
42,300 |
$2.85M |
| 96365 |
|
21,781 |
15,303 |
$2.73M |
| J1439 |
Inj ferric carboxymaltos 1mg |
5,174 |
3,001 |
$2.69M |
| 70450 |
|
22,694 |
20,032 |
$2.66M |
| 71046 |
|
42,953 |
38,878 |
$2.43M |
| 11042 |
|
14,261 |
5,802 |
$2.37M |
| 59025 |
|
13,690 |
5,833 |
$2.22M |
| 96375 |
|
48,440 |
37,074 |
$2.17M |
| 96360 |
|
14,835 |
12,144 |
$1.98M |
| 99282 |
|
15,356 |
14,207 |
$1.96M |
| 95810 |
|
2,671 |
2,489 |
$1.95M |
| J0897 |
Denosumab injection |
2,282 |
1,884 |
$1.62M |
| 74176 |
|
11,837 |
10,741 |
$1.60M |
| 93306 |
|
5,413 |
5,058 |
$1.51M |
| 11043 |
|
5,655 |
2,285 |
$1.46M |
| J2357 |
Omalizumab injection |
2,424 |
963 |
$1.46M |
| J9299 |
Injection, nivolumab |
401 |
215 |
$1.46M |
| 77067 |
|
13,149 |
12,655 |
$1.40M |
| 99214 |
|
13,435 |
11,927 |
$1.32M |
| 0241U |
|
10,047 |
9,182 |
$1.12M |
| 76811 |
|
5,107 |
4,754 |
$1.09M |
| 93975 |
|
4,773 |
4,366 |
$976K |
| 97035 |
|
15,856 |
5,510 |
$967K |
| 45380 |
|
1,405 |
1,303 |
$956K |
| 97010 |
|
33,234 |
11,641 |
$940K |
| 70553 |
|
2,835 |
2,620 |
$927K |
| S9480 |
Intensive outpatient psychia |
9,148 |
1,575 |
$906K |
| U0004 |
Cov-19 test non-cdc hgh thru |
14,187 |
12,709 |
$898K |
| 95811 |
|
1,255 |
1,179 |
$858K |
| 71045 |
|
16,096 |
13,916 |
$760K |
| 97161 |
|
12,718 |
11,740 |
$751K |
| 71260 |
|
5,839 |
5,242 |
$731K |
| 72148 |
|
4,037 |
3,749 |
$716K |
| 90834 |
|
15,708 |
9,979 |
$706K |
| 78452 |
|
1,005 |
920 |
$701K |
| 93798 |
|
10,968 |
1,556 |
$654K |
| 76700 |
|
7,155 |
6,641 |
$642K |
| 99213 |
|
9,987 |
8,737 |
$623K |
| 47562 |
|
137 |
130 |
$620K |
| 76830 |
|
6,072 |
5,625 |
$612K |
| 87637 |
|
5,936 |
5,568 |
$603K |
| 43239 |
|
1,549 |
1,432 |
$590K |
| 76856 |
|
6,528 |
6,060 |
$587K |
| 76641 |
|
6,280 |
5,902 |
$552K |
| 45385 |
|
1,019 |
940 |
$525K |
| J2505 |
Injection, pegfilgrastim 6mg |
342 |
187 |
$514K |
| 90935 |
|
1,759 |
128 |
$505K |
| 97140 |
|
95,906 |
28,101 |
$500K |
| 78815 |
|
777 |
742 |
$493K |
| 90853 |
|
31,474 |
11,945 |
$480K |
| 76816 |
|
6,780 |
5,881 |
$469K |
| 94060 |
|
2,280 |
2,148 |
$444K |
| 72141 |
|
1,898 |
1,776 |
$412K |
| 96372 |
|
20,394 |
13,448 |
$408K |
| 76770 |
|
4,955 |
4,609 |
$398K |
| 70551 |
|
2,570 |
2,337 |
$388K |
| 71275 |
|
3,245 |
2,949 |
$386K |
| 97112 |
|
47,353 |
16,009 |
$378K |
| 97162 |
|
9,256 |
8,361 |
$376K |
| 76705 |
|
4,070 |
3,757 |
$364K |
| 19083 |
|
318 |
295 |
$350K |
| 90791 |
|
3,618 |
3,289 |
$349K |
| 77065 |
Tomosynthesis, mammo |
3,297 |
2,914 |
$346K |
| C8929 |
Tte w or wo fol wcon,doppler |
1,060 |
983 |
$338K |
| 77066 |
Tomosynthesis, mammo |
2,802 |
2,587 |
$330K |
| 73721 |
|
1,596 |
1,486 |
$326K |
| J0185 |
Inj., aprepitant, 1 mg |
2,736 |
1,491 |
$318K |
| 93971 |
|
4,708 |
4,300 |
$312K |
| 90832 |
|
10,135 |
7,090 |
$304K |
| 10061 |
|
861 |
768 |
$265K |
| 71250 |
|
5,348 |
4,926 |
$260K |
| G0390 |
Trauma respons w/hosp criti |
437 |
374 |
$259K |
| 76536 |
|
3,578 |
3,373 |
$258K |
| 72110 |
|
6,003 |
5,589 |
$255K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,259 |
2,988 |
$247K |
| 62323 |
|
476 |
457 |
$243K |
| 97597 |
|
5,893 |
2,735 |
$234K |
| 96415 |
|
4,474 |
2,784 |
$234K |
| 76642 |
|
4,022 |
3,739 |
$233K |
| U0005 |
Infec agen detec ampli probe |
11,190 |
10,021 |
$230K |
| H0015 |
Alcohol and/or drug services |
1,871 |
322 |
$225K |
| Q5114 |
Inj ogivri 10 mg |
166 |
89 |
$211K |
| 96367 |
|
5,460 |
3,239 |
$211K |
| 96417 |
|
4,887 |
2,615 |
$210K |
| 76813 |
|
2,300 |
2,109 |
$209K |
| 93970 |
|
1,594 |
1,471 |
$208K |
| 10060 |
|
1,334 |
1,224 |
$207K |
| 73221 |
|
1,115 |
1,018 |
$203K |
| 96366 |
|
6,503 |
4,295 |
$202K |
| 77334 |
|
601 |
339 |
$200K |
| 73564 |
|
8,089 |
7,450 |
$184K |
| 36430 |
|
1,040 |
681 |
$175K |
| 77063 |
|
12,104 |
11,656 |
$172K |
| 97165 |
|
2,508 |
2,303 |
$169K |
| 86900 |
|
14,908 |
12,743 |
$166K |
| 97014 |
|
3,347 |
1,360 |
$165K |
| 58661 |
|
29 |
28 |
$159K |
| 87811 |
|
4,636 |
4,214 |
$158K |
| G0498 |
Chemo extend iv infus w/pump |
898 |
465 |
$158K |
| J3380 |
Inj vedolizumab iv 1 mg |
28 |
27 |
$150K |
| 70491 |
|
910 |
831 |
$142K |
| 72050 |
|
2,385 |
2,169 |
$141K |
| 99215 |
Prolong outpt/office vis |
993 |
870 |
$136K |
| 77336 |
|
2,297 |
697 |
$136K |
| 77080 |
|
1,552 |
1,454 |
$135K |
| 76801 |
|
1,320 |
1,198 |
$134K |
| 93005 |
|
76,240 |
63,945 |
$134K |
| 90833 |
|
5,055 |
3,032 |
$133K |
| 72125 |
|
8,828 |
7,840 |
$131K |
| 70496 |
|
745 |
674 |
$107K |
| U0002 |
Covid-19 lab test non-cdc |
2,786 |
2,565 |
$105K |
| J0881 |
Darbepoetin alfa, non-esrd |
1,223 |
701 |
$102K |
| 71271 |
|
1,023 |
981 |
$100K |
| 93017 |
|
2,344 |
2,172 |
$92K |
| 97166 |
|
1,822 |
1,642 |
$91K |
| 97530 |
|
10,809 |
5,507 |
$90K |
| 76825 |
|
189 |
177 |
$89K |
| 73030 |
|
6,839 |
6,150 |
$87K |
| 96411 |
|
1,472 |
844 |
$78K |
| Q5111 |
Injection, udenyca 0.5 mg |
59 |
38 |
$78K |
| 97535 |
|
3,593 |
2,486 |
$77K |
| 0001A |
|
2,316 |
2,213 |
$76K |
| 72100 |
|
1,783 |
1,606 |
$75K |
| 73630 |
|
7,136 |
6,559 |
$74K |
| G0121 |
Colon ca scrn not hi rsk ind |
110 |
103 |
$74K |
| 0002A |
|
2,142 |
2,067 |
$73K |
| 72131 |
|
1,671 |
1,494 |
$72K |
| 77300 |
|
404 |
264 |
$69K |
| Q0138 |
Ferumoxytol, non-esrd |
355 |
235 |
$68K |
| 74183 |
|
222 |
217 |
$66K |
| J9306 |
Injection, pertuzumab, 1 mg |
18 |
12 |
$65K |
| 99212 |
|
1,935 |
1,622 |
$65K |
| 73130 |
|
6,416 |
5,836 |
$60K |
| P9016 |
Rbc leukocytes reduced |
539 |
413 |
$58K |
| 74018 |
|
3,411 |
2,940 |
$58K |
| 87635 |
|
1,632 |
1,517 |
$58K |
| 72070 |
|
1,566 |
1,421 |
$57K |
| 98967 |
|
3,043 |
967 |
$56K |
| J0882 |
Darbepoetin alfa, esrd use |
393 |
98 |
$56K |
| 73610 |
|
7,284 |
6,486 |
$54K |
| 87591 |
|
5,485 |
4,963 |
$53K |
| 87491 |
|
5,464 |
4,944 |
$53K |
| 73110 |
|
4,813 |
4,263 |
$51K |
| 76882 |
|
802 |
739 |
$50K |
| 70486 |
|
2,598 |
2,364 |
$50K |
| 73700 |
|
1,082 |
973 |
$48K |
| 74174 |
|
288 |
259 |
$48K |
| 77386 |
|
295 |
12 |
$47K |
| 73502 |
|
4,029 |
3,653 |
$47K |
| 77412 |
|
410 |
40 |
$46K |
| Q5106 |
Inj retacrit non-esrd use |
1,000 |
280 |
$44K |
| 95806 |
|
451 |
407 |
$44K |
| J2506 |
Inj pegfilgrast ex bio 0.5mg |
85 |
52 |
$43K |
| 76805 |
|
411 |
377 |
$42K |
| 66984 |
|
78 |
64 |
$41K |
| 99281 |
|
591 |
531 |
$40K |
| 97116 |
|
2,859 |
1,843 |
$40K |
| 90674 |
|
2,022 |
1,834 |
$38K |
| 72158 |
|
122 |
112 |
$38K |
| 52356 |
|
18 |
13 |
$36K |
| 78431 |
|
58 |
57 |
$34K |
| 76870 |
|
1,287 |
1,169 |
$34K |
| M0245 |
Bamlan and etesev infusion |
108 |
97 |
$34K |
| L4350 |
Ankle control ortho pre ots |
1,316 |
1,219 |
$29K |
| 72040 |
|
906 |
791 |
$27K |
| L4360 |
Pneumat walking boot pre cst |
301 |
284 |
$25K |
| 74178 |
|
144 |
130 |
$24K |
| 36591 |
|
2,127 |
1,559 |
$24K |
| 93270 |
|
1,575 |
1,444 |
$24K |
| 72197 |
|
67 |
66 |
$24K |
| 94660 |
|
704 |
508 |
$23K |
| 98968 |
|
1,027 |
317 |
$23K |
| 73562 |
|
1,426 |
1,307 |
$23K |
| M0243 |
Casirivi and imdevi inj |
64 |
58 |
$23K |
| 74019 |
|
1,007 |
927 |
$22K |
| 93225 |
|
432 |
398 |
$22K |
| 64721 |
|
26 |
24 |
$22K |
| 80053 |
|
151,399 |
118,142 |
$21K |
| 85025 |
|
184,933 |
137,256 |
$20K |
| 73080 |
|
2,322 |
2,133 |
$19K |
| 73140 |
|
2,717 |
2,371 |
$19K |
| L1830 |
Ko immob canvas long pre ots |
558 |
505 |
$18K |
| 78451 |
|
29 |
28 |
$18K |
| 97164 |
|
1,005 |
895 |
$18K |
| C9803 |
Hopd covid-19 spec collect |
19,495 |
17,430 |
$18K |
| J1745 |
Infliximab not biosimil 10mg |
18 |
12 |
$17K |
| M0247 |
Sotrovimab infusion |
52 |
49 |
$17K |
| 88342 |
|
3,632 |
3,166 |
$17K |
| 36561 |
|
16 |
15 |
$17K |
| J9155 |
Degarelix injection |
150 |
129 |
$17K |
| 72114 |
|
209 |
201 |
$17K |
| 96402 |
|
1,662 |
1,321 |
$17K |
| L3809 |
Whfo w/o joints pre ots |
237 |
219 |
$17K |
| 93880 |
|
189 |
167 |
$16K |
| 92610 |
|
203 |
167 |
$16K |
| 90675 |
|
76 |
28 |
$15K |
| 76815 |
|
11,163 |
6,901 |
$15K |
| 88305 |
|
11,264 |
10,038 |
$14K |
| G0297 |
Ldct for lung ca screen |
208 |
197 |
$14K |
| J9217 |
Leuprolide acetate suspnsion |
90 |
77 |
$14K |
| 0202U |
|
39 |
32 |
$13K |
| M0222 |
Bebtelovimab injection |
56 |
55 |
$13K |
| 10005 |
|
30 |
28 |
$12K |
| 64483 |
|
13 |
13 |
$12K |
| 76817 |
|
1,567 |
1,389 |
$11K |
| 90732 |
|
152 |
133 |
$11K |
| 96409 |
|
112 |
67 |
$10K |
| 73590 |
|
1,930 |
1,764 |
$10K |
| L3807 |
Whfo w/o joints pre cst |
832 |
774 |
$10K |
| 77290 |
|
70 |
52 |
$10K |
| 76970 |
|
131 |
121 |
$10K |
| 93923 |
|
156 |
140 |
$9K |
| 20553 |
|
42 |
38 |
$9K |
| 20550 |
|
46 |
38 |
$8K |
| 99204 |
|
45 |
38 |
$8K |
| G0101 |
Ca screen;pelvic/breast exam |
218 |
102 |
$8K |
| G0279 |
Tomosynthesis, mammo |
4,071 |
3,823 |
$7K |
| J9070 |
Cyclophosphamide 100 mg inj |
57 |
28 |
$7K |
| 72156 |
|
44 |
41 |
$7K |
| 80061 |
|
1,093 |
945 |
$7K |
| H0035 |
Mh partial hosp tx under 24h |
54 |
12 |
$7K |
| 95910 |
|
30 |
29 |
$7K |
| 73090 |
|
1,390 |
1,259 |
$6K |
| C9463 |
Injection, aprepitant |
110 |
44 |
$6K |
| 93308 |
|
44 |
40 |
$6K |
| 83880 |
|
10,218 |
8,391 |
$6K |
| 71100 |
|
1,592 |
1,463 |
$5K |
| 90686 |
|
318 |
301 |
$5K |
| 94726 |
|
1,695 |
1,611 |
$5K |
| 72170 |
|
847 |
768 |
$5K |
| 73560 |
|
351 |
328 |
$5K |
| 78306 |
|
31 |
26 |
$5K |
| 81025 |
|
45,755 |
39,880 |
$5K |
| J2469 |
Palonosetron hcl |
50 |
28 |
$4K |
| 82728 |
|
4,323 |
3,976 |
$4K |
| 74240 |
|
27 |
26 |
$4K |
| 94640 |
|
14,452 |
11,200 |
$4K |
| 83036 |
|
5,990 |
5,464 |
$4K |
| 0064A |
|
96 |
96 |
$3K |
| 73552 |
|
635 |
582 |
$3K |
| 70498 |
|
754 |
687 |
$3K |
| 86923 |
|
457 |
333 |
$3K |
| 80307 |
|
11,345 |
10,061 |
$3K |
| 83735 |
|
123,473 |
96,790 |
$3K |
| 0004A |
|
83 |
79 |
$3K |
| 73060 |
|
633 |
541 |
$3K |
| 73120 |
|
58 |
53 |
$3K |
| 36415 |
|
66,814 |
48,710 |
$3K |
| 81002 |
|
8,669 |
5,940 |
$3K |
| 82962 |
|
50,390 |
23,208 |
$3K |
| 95909 |
|
13 |
13 |
$3K |
| 83550 |
|
4,182 |
3,878 |
$3K |
| 97163 |
|
59 |
52 |
$3K |
| 0031A |
|
70 |
67 |
$2K |
| 80048 |
|
24,691 |
18,489 |
$2K |
| 0124A |
|
85 |
75 |
$2K |
| 90677 |
|
16 |
16 |
$2K |
| 72192 |
|
56 |
52 |
$2K |
| 85610 |
|
14,484 |
11,963 |
$2K |
| 86780 |
|
219 |
180 |
$2K |
| 97602 |
|
312 |
187 |
$2K |
| 76857 |
|
25 |
25 |
$2K |
| 83540 |
|
4,215 |
3,899 |
$2K |
| 72128 |
|
24 |
24 |
$2K |
| 84443 |
|
6,325 |
5,480 |
$2K |
| 71101 |
|
374 |
335 |
$2K |
| 73660 |
|
305 |
281 |
$2K |
| 97760 |
|
92 |
66 |
$2K |
| 74420 |
|
75 |
67 |
$2K |
| J1750 |
Inj iron dextran |
26 |
14 |
$2K |
| J2359 |
Inj. olanzapine, 0.5mg |
277 |
232 |
$2K |
| 95816 |
|
14 |
13 |
$2K |
| 12001 |
|
2,421 |
2,266 |
$2K |
| G0399 |
Home sleep test/type 3 porta |
14 |
14 |
$2K |
| 29515 |
|
12 |
12 |
$1K |
| 74230 |
|
27 |
25 |
$1K |
| 88307 |
|
1,619 |
1,382 |
$1K |
| 0054A |
|
44 |
43 |
$1K |
| 90694 |
|
57 |
57 |
$1K |
| 84702 |
|
6,715 |
5,548 |
$1K |
| G0283 |
Elec stim other than wound |
406 |
155 |
$1K |
| 82330 |
|
1,690 |
956 |
$1K |
| 12002 |
|
1,106 |
1,013 |
$1K |
| 0011A |
|
68 |
57 |
$1K |
| 96523 |
|
177 |
110 |
$1K |
| 83615 |
|
4,284 |
3,294 |
$1K |
| 82607 |
|
1,538 |
1,425 |
$1K |
| J2997 |
Alteplase recombinant |
14 |
12 |
$1K |
| 72146 |
|
15 |
12 |
$970.05 |
| 0012A |
|
55 |
45 |
$969.00 |
| 83690 |
|
57,842 |
49,484 |
$955.84 |
| 87640 |
|
650 |
605 |
$949.59 |
| 87641 |
|
445 |
409 |
$910.77 |
| 70490 |
|
13 |
12 |
$890.16 |
| 88360 |
|
620 |
542 |
$878.31 |
| 87086 |
|
17,231 |
15,179 |
$850.76 |
| 87651 |
|
5,138 |
4,910 |
$838.49 |
| 86850 |
|
13,394 |
11,592 |
$799.55 |
| 73100 |
|
65 |
52 |
$777.85 |
| 12011 |
|
1,346 |
1,273 |
$748.69 |
| 82784 |
|
749 |
648 |
$683.98 |
| 85730 |
|
4,484 |
4,037 |
$665.40 |
| J0885 |
Epoetin alfa, non-esrd |
56 |
13 |
$652.12 |
| 0072A |
|
16 |
16 |
$600.00 |
| 0071A |
|
16 |
16 |
$600.00 |
| 84484 |
|
55,177 |
38,132 |
$590.51 |
| 86901 |
|
14,952 |
12,744 |
$522.50 |
| 85379 |
|
7,640 |
6,972 |
$509.53 |
| 90471 |
|
4,736 |
4,087 |
$509.18 |
| 88304 |
|
2,233 |
2,028 |
$505.72 |
| J2272 |
Inj, morphine (fresenius) |
1,438 |
1,266 |
$481.95 |
| 93242 |
|
15 |
14 |
$466.29 |
| G0480 |
Drug test def 1-7 classes |
13,696 |
11,602 |
$442.66 |
| 87077 |
|
7,978 |
7,137 |
$441.61 |
| 87507 |
|
45 |
41 |
$398.02 |
| 81003 |
|
41,252 |
35,972 |
$387.49 |
| 83605 |
|
18,514 |
14,357 |
$383.30 |
| 82803 |
|
3,074 |
2,440 |
$382.93 |
| 82746 |
|
556 |
502 |
$363.97 |
| 82378 |
|
621 |
523 |
$347.53 |
| 80076 |
|
2,636 |
2,210 |
$342.94 |
| 82947 |
|
419 |
185 |
$336.22 |
| 90715 |
|
4,822 |
4,197 |
$307.53 |
| J0134 |
Inj acetaminophen -fresenius |
154 |
132 |
$300.44 |
| 85045 |
|
1,335 |
1,158 |
$271.22 |
| 84165 |
|
641 |
555 |
$264.28 |
| 87389 |
|
2,245 |
2,139 |
$259.95 |
| 85027 |
|
3,934 |
2,816 |
$259.53 |
| 86140 |
|
2,018 |
1,786 |
$237.12 |
| 96401 |
|
81 |
27 |
$236.28 |
| 84703 |
|
6,047 |
5,528 |
$232.54 |
| 36600 |
|
677 |
607 |
$229.85 |
| C2617 |
Stent, non-cor, tem w/o del |
350 |
311 |
$229.46 |
| 29125 |
|
1,004 |
903 |
$223.32 |
| 87186 |
|
6,404 |
5,741 |
$218.24 |
| 84439 |
|
1,421 |
1,266 |
$205.99 |
| C1769 |
Guide wire |
3,013 |
2,481 |
$178.00 |
| 81001 |
|
16,677 |
14,427 |
$175.10 |
| 87040 |
|
12,418 |
6,014 |
$173.24 |
| 83521 |
|
535 |
466 |
$173.04 |
| 97799 |
|
58 |
13 |
$160.00 |
| 82565 |
|
2,156 |
1,355 |
$154.23 |
| 85652 |
|
3,244 |
2,850 |
$150.84 |
| 80143 |
|
1,095 |
1,002 |
$147.86 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
33,746 |
29,898 |
$147.61 |
| G2066 |
Inter devc remote 30d |
103 |
92 |
$142.35 |
| G0378 |
Hospital observation per hr |
13,136 |
7,538 |
$129.71 |
| 93246 |
|
19 |
17 |
$127.17 |
| 87070 |
|
3,297 |
2,675 |
$126.06 |
| 51702 |
|
27 |
24 |
$118.19 |
| 82010 |
|
2,915 |
2,492 |
$118.13 |
| 84100 |
|
4,801 |
2,903 |
$108.57 |
| 82570 |
|
720 |
588 |
$107.16 |
| J7030 |
Normal saline solution infus |
76,318 |
53,648 |
$102.90 |
| 76820 |
|
209 |
101 |
$101.00 |
| 87624 |
|
34 |
19 |
$92.94 |
| J0136 |
Inj, acetaminophen (b braun) |
28 |
27 |
$90.00 |
| 73000 |
|
17 |
14 |
$87.79 |
| 87088 |
|
2,326 |
2,109 |
$85.76 |
| L3808 |
Whfo, rigid w/o joints |
590 |
551 |
$83.01 |
| 82247 |
|
19 |
13 |
$81.43 |
| 87502 |
|
1,147 |
1,046 |
$81.26 |
| 82077 |
|
2,907 |
2,565 |
$80.03 |
| 73070 |
|
12 |
12 |
$78.38 |
| 84132 |
|
3,121 |
2,096 |
$74.63 |
| 87205 |
|
3,639 |
2,887 |
$72.32 |
| 84156 |
|
546 |
437 |
$70.10 |
| 84134 |
|
137 |
107 |
$69.60 |
| 82550 |
|
8,669 |
7,281 |
$62.62 |
| 82533 |
|
145 |
104 |
$62.28 |
| 87081 |
|
1,160 |
1,081 |
$57.06 |
| 87184 |
|
555 |
496 |
$55.86 |
| 87400 |
|
1,418 |
1,321 |
$55.64 |
| 84550 |
|
1,113 |
883 |
$54.63 |
| 84152 |
|
214 |
187 |
$52.68 |
| 85018 |
|
2,081 |
1,423 |
$51.98 |
| 84155 |
|
179 |
157 |
$51.29 |
| 86592 |
|
12 |
12 |
$48.84 |
| 82375 |
|
742 |
670 |
$47.08 |
| J7120 |
Ringers lactate infusion |
33,169 |
26,626 |
$43.50 |
| 82553 |
|
2,694 |
2,342 |
$42.66 |
| 87807 |
|
195 |
186 |
$41.32 |
| 82150 |
|
1,418 |
1,254 |
$39.66 |
| 83883 |
|
101 |
90 |
$38.94 |
| 87880 |
|
2,565 |
2,401 |
$36.83 |
| 96376 |
|
11,743 |
8,432 |
$34.01 |
| J1836 |
Inj, metronidazole, 10 mg |
708 |
436 |
$27.27 |
| 86803 |
|
29 |
25 |
$27.26 |
| 90714 |
|
1,533 |
1,441 |
$27.19 |
| J2270 |
Morphine sulfate injection |
7,953 |
6,439 |
$27.16 |
| 94644 |
|
1,047 |
930 |
$26.99 |
| J1170 |
Hydromorphone injection |
15,494 |
10,219 |
$25.28 |
| J0171 |
Adrenalin epinephrine inject |
1,738 |
1,428 |
$24.98 |
| 90472 |
|
217 |
190 |
$24.89 |
| J1885 |
Ketorolac tromethamine inj |
34,488 |
29,551 |
$22.50 |
| 99406 |
|
13 |
12 |
$22.34 |
| 83050 |
|
640 |
587 |
$21.12 |
| J2405 |
Ondansetron hcl injection |
44,878 |
35,690 |
$18.22 |
| 87075 |
|
824 |
626 |
$18.08 |
| J2704 |
Inj, propofol, 10 mg |
25,517 |
18,147 |
$17.46 |
| J2001 |
Lidocaine injection |
26,929 |
21,239 |
$17.07 |
| 80179 |
|
1,066 |
979 |
$16.44 |
| J1790 |
Droperidol injection |
2,638 |
2,225 |
$15.16 |
| 82374 |
|
678 |
343 |
$14.01 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
2,844 |
2,495 |
$13.65 |
| 85014 |
|
711 |
301 |
$13.56 |
| 80164 |
|
206 |
178 |
$12.94 |
| 82435 |
|
658 |
332 |
$11.88 |
| J0780 |
Prochlorperazine injection |
2,223 |
1,939 |
$11.56 |
| J7510 |
Prednisolone oral per 5 mg |
160 |
155 |
$11.03 |
| G0008 |
Admin influenza virus vac |
1,850 |
1,693 |
$10.04 |
| 82310 |
|
304 |
150 |
$9.86 |
| J2274 |
Inj morphine pf epid ithc |
699 |
549 |
$9.03 |
| J3010 |
Fentanyl citrate injection |
18,870 |
14,896 |
$7.16 |
| J7040 |
Normal saline solution infus |
10,054 |
5,264 |
$5.58 |
| 84075 |
|
258 |
203 |
$4.85 |
| 82040 |
|
203 |
155 |
$4.35 |
| G8979 |
Mobility goal status |
844 |
696 |
$3.55 |
| J1200 |
Diphenhydramine hcl injectio |
11,277 |
8,385 |
$3.48 |
| J0696 |
Ceftriaxone sodium injection |
7,799 |
6,389 |
$3.39 |
| G8978 |
Mobility current status |
816 |
673 |
$3.34 |
| J2250 |
Inj midazolam hydrochloride |
11,150 |
9,911 |
$3.29 |
| J7512 |
Prednisone ir or dr oral 1mg |
8,143 |
5,913 |
$3.03 |
| 82248 |
|
21 |
13 |
$2.85 |
| J1920 |
Inj, labetalol hcl, 5mg |
270 |
237 |
$2.44 |
| J2765 |
Metoclopramide hcl injection |
8,848 |
7,687 |
$2.41 |
| Q0162 |
Ondansetron oral |
20,467 |
14,679 |
$2.21 |
| J8540 |
Oral dexamethasone |
9,421 |
4,948 |
$2.00 |
| J3480 |
Inj potassium chloride |
3,506 |
1,603 |
$1.70 |
| J2060 |
Lorazepam injection |
6,354 |
5,103 |
$1.67 |
| J1630 |
Haloperidol injection |
3,238 |
2,797 |
$1.66 |
| J3475 |
Inj magnesium sulfate |
6,240 |
3,766 |
$1.20 |
| J0690 |
Cefazolin sodium injection |
11,667 |
8,471 |
$0.88 |
| G8988 |
Self care goal status |
230 |
201 |
$0.62 |
| G8987 |
Self care current status |
216 |
188 |
$0.57 |
| J1100 |
Dexamethasone sodium phos |
19,264 |
14,723 |
$0.41 |
| J1644 |
Inj heparin sodium per 1000u |
6,519 |
3,032 |
$0.34 |
| G8981 |
Body pos current status |
50 |
41 |
$0.24 |
| 84520 |
|
1,114 |
486 |
$0.18 |
| G8982 |
Body pos goal status |
39 |
29 |
$0.16 |
| G8996 |
Swallow current status |
87 |
72 |
$0.09 |
| G8997 |
Swallow goal status |
86 |
71 |
$0.09 |
| Q0222 |
Bebtelovimab 175 mg |
68 |
66 |
$0.03 |
| Q0163 |
Diphenhydramine hcl 50mg |
8,079 |
5,502 |
$0.02 |
| Q0245 |
Bamlanivimab and etesevima |
130 |
117 |
$0.02 |
| 36416 |
|
443 |
281 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
976 |
837 |
$0.00 |
| J1815 |
Insulin injection |
9,205 |
3,771 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
682 |
595 |
$0.00 |
| A9585 |
Gadobutrol injection |
6,496 |
5,811 |
$0.00 |
| J9045 |
Carboplatin injection |
1,734 |
870 |
$0.00 |
| J1940 |
Furosemide injection |
2,816 |
1,563 |
$0.00 |
| J7050 |
Normal saline solution infus |
24,771 |
12,380 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
2,481 |
2,110 |
$0.00 |
| J7042 |
5% dextrose/normal saline |
428 |
320 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
184 |
153 |
$0.00 |
| J3420 |
Vitamin b12 injection |
3,257 |
2,506 |
$0.00 |
| 96368 |
|
2,251 |
1,357 |
$0.00 |
| 86706 |
|
76 |
54 |
$0.00 |
| J9267 |
Paclitaxel injection |
1,804 |
687 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
6,714 |
2,483 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
78 |
64 |
$0.00 |
| 87147 |
|
641 |
578 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
134 |
127 |
$0.00 |
| 88341 |
|
1,823 |
1,563 |
$0.00 |
| A4648 |
Implantable tissue marker |
1,388 |
1,245 |
$0.00 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
256 |
232 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
247 |
223 |
$0.00 |
| J2785 |
Regadenoson injection |
903 |
841 |
$0.00 |
| J7060 |
5% dextrose/water |
4,197 |
1,453 |
$0.00 |
| 95886 |
|
617 |
579 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
157 |
144 |
$0.00 |
| 91305 |
|
132 |
124 |
$0.00 |
| J3360 |
Diazepam injection |
371 |
333 |
$0.00 |
| A9503 |
Tc99m medronate |
147 |
134 |
$0.00 |
| 83930 |
|
126 |
113 |
$0.00 |
| 87015 |
|
106 |
84 |
$0.00 |
| 11046 |
|
704 |
252 |
$0.00 |
| 87340 |
|
264 |
204 |
$0.00 |
| J3490 |
Drugs unclassified injection |
433,366 |
128,361 |
$0.00 |
| A6197 |
Alginate drsg >16 <=48 sq in |
92 |
65 |
$0.00 |
| 89060 |
|
60 |
53 |
$0.00 |
| C1781 |
Mesh (implantable) |
198 |
189 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
593 |
504 |
$0.00 |
| A9500 |
Tc99m sestamibi |
462 |
413 |
$0.00 |
| 84480 |
|
37 |
37 |
$0.00 |
| 11045 |
|
3,217 |
1,191 |
$0.00 |
| 29130 |
|
14 |
12 |
$0.00 |
| 91307 |
|
32 |
32 |
$0.00 |
| A6214 |
Foam drg > 48 sq in w/border |
363 |
225 |
$0.00 |
| A6213 |
Foam drg >16<=48 sq in w/bdr |
42 |
37 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
68 |
63 |
$0.00 |
| A6022 |
Collagen drsg>16<=48 sq in |
110 |
73 |
$0.00 |
| 96377 |
|
131 |
75 |
$0.00 |
| 99292 |
|
28 |
26 |
$0.00 |
| 86308 |
|
230 |
212 |
$0.00 |
| 88300 |
|
34 |
27 |
$0.00 |
| 51798 |
|
29 |
25 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
228 |
164 |
$0.00 |
| 91306 |
|
96 |
96 |
$0.00 |
| J7121 |
5% dextrose in lac ringers |
440 |
296 |
$0.00 |
| A4217 |
Sterile water/saline, 500 ml |
696 |
533 |
$0.00 |
| 36410 |
|
15 |
14 |
$0.00 |
| 91303 |
|
70 |
67 |
$0.00 |
| 76377 |
|
27 |
25 |
$0.00 |
| Q5115 |
Inj truxima 10 mg |
36 |
12 |
$0.00 |
| J0697 |
Sterile cefuroxime injection |
276 |
219 |
$0.00 |
| J3535 |
Metered dose inhaler drug |
183 |
169 |
$0.00 |
| J2920 |
Methylprednisolone injection |
33 |
25 |
$0.00 |
| 91301 |
|
140 |
117 |
$0.00 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
17 |
13 |
$0.00 |
| 77001 |
|
27 |
25 |
$0.00 |
| 86704 |
|
21 |
14 |
$0.00 |
| 90839 |
|
203 |
160 |
$0.00 |
| J0456 |
Azithromycin |
30 |
25 |
$0.00 |
| Q0247 |
Sotrovimab |
62 |
57 |
$0.00 |
| 87493 |
|
12 |
12 |
$0.00 |
| A9555 |
Rb82 rubidium |
58 |
57 |
$0.00 |
| 86880 |
|
17 |
14 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
613 |
562 |
$0.00 |
| J2360 |
Orphenadrine injection |
13 |
13 |
$0.00 |
| 99152 |
|
1,900 |
1,624 |
$0.00 |
| 94729 |
|
2,270 |
2,134 |
$0.00 |
| 83970 |
|
93 |
68 |
$0.00 |
| C1887 |
Catheter, guiding |
558 |
490 |
$0.00 |
| 76376 |
|
1,810 |
1,714 |
$0.00 |
| 76827 |
|
173 |
164 |
$0.00 |
| 93325 |
|
303 |
292 |
$0.00 |
| 94645 |
|
41 |
36 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
6,051 |
3,030 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
2,122 |
1,463 |
$0.00 |
| J2930 |
Methylprednisolone injection |
3,835 |
3,031 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
761 |
715 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
928 |
839 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
1,372 |
1,159 |
$0.00 |
| J1756 |
Iron sucrose injection |
2,243 |
1,036 |
$0.00 |
| J0640 |
Leucovorin calcium injection |
2,155 |
477 |
$0.00 |
| 98966 |
|
151 |
47 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
535 |
487 |
$0.00 |
| 84295 |
|
950 |
474 |
$0.00 |
| J1953 |
Levetiracetam injection |
107 |
80 |
$0.00 |
| A9537 |
Tc99m mebrofenin |
12 |
12 |
$0.00 |
| 86618 |
|
274 |
227 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
682 |
616 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
43 |
38 |
$0.00 |
| C1729 |
Cath, drainage |
725 |
417 |
$0.00 |
| G2211 |
Complex e/m visit add on |
104 |
104 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
1,256 |
1,163 |
$0.00 |
| 93356 |
|
1,744 |
1,665 |
$0.00 |
| 84450 |
|
454 |
375 |
$0.00 |
| J9263 |
Oxaliplatin |
516 |
175 |
$0.00 |
| 88173 |
|
550 |
425 |
$0.00 |
| A9552 |
F18 fdg |
730 |
703 |
$0.00 |
| J9190 |
Fluorouracil injection |
2,001 |
588 |
$0.00 |
| 99395 |
|
64 |
54 |
$0.00 |
| 88312 |
|
245 |
226 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
250 |
232 |
$0.00 |
| 86334 |
|
29 |
25 |
$0.00 |
| 97598 |
|
192 |
89 |
$0.00 |
| 88313 |
|
14 |
14 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
160 |
158 |
$0.00 |
| 77012 |
|
36 |
30 |
$0.00 |
| A6210 |
Foam drg >16<=48 sq in w/o b |
23 |
14 |
$0.00 |
| 90750 |
|
36 |
27 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
96 |
94 |
$0.00 |
| 94727 |
|
136 |
124 |
$0.00 |
| J3489 |
Zoledronic acid 1mg |
212 |
186 |
$0.00 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
338 |
211 |
$0.00 |
| 77002 |
|
84 |
66 |
$0.00 |
| C1758 |
Catheter, ureteral |
147 |
123 |
$0.00 |
| 84460 |
|
345 |
290 |
$0.00 |
| 88112 |
|
55 |
50 |
$0.00 |
| 88302 |
|
46 |
41 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
515 |
424 |
$0.00 |
| 76937 |
|
57 |
53 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
150 |
137 |
$0.00 |
| 91300 |
|
4,467 |
3,835 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
477 |
333 |
$0.00 |
| J9201 |
In gemcitabine hcl nos 200mg |
260 |
74 |
$0.00 |
| J9060 |
Cisplatin 10 mg injection |
27 |
12 |
$0.00 |
| 91312 |
|
66 |
57 |
$0.00 |
| Q0169 |
Promethazine hcl 12.5mg oral |
27 |
26 |
$0.00 |
| J2916 |
Na ferric gluconate complex |
173 |
69 |
$0.00 |
| 99396 |
|
15 |
12 |
$0.00 |
| 31720 |
|
17 |
12 |
$0.00 |
| 78434 |
|
14 |
14 |
$0.00 |
| C1788 |
Port, indwelling, imp |
15 |
14 |
$0.00 |
| 86922 |
|
16 |
12 |
$0.00 |
| 82140 |
|
13 |
12 |
$0.00 |
| 76942 |
|
29 |
26 |
$0.00 |
| Q9950 |
Inj sulf hexa lipid microsph |
67 |
66 |
$0.00 |
| 87798 |
|
32 |
28 |
$0.00 |
| 90653 |
|
34 |
25 |
$0.00 |
| G0109 |
Diab manage trn ind/group |
20 |
14 |
$0.00 |
| J0692 |
Cefepime hcl for injection |
15 |
12 |
$0.00 |
| 90840 |
|
24 |
19 |
$0.00 |
| J9171 |
Docetaxel injection |
13 |
12 |
$0.00 |
| 76098 |
|
13 |
12 |
$0.00 |