| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
544,794 |
524,118 |
$60.84M |
| 99284 |
|
415,276 |
410,045 |
$51.03M |
| 99285 |
|
256,008 |
252,521 |
$44.50M |
| 99213 |
|
447,693 |
413,021 |
$37.02M |
| 99204 |
|
88,048 |
87,932 |
$15.26M |
| 99283 |
|
149,911 |
147,942 |
$10.01M |
| 99215 |
Prolong outpt/office vis |
54,025 |
51,727 |
$8.52M |
| 76816 |
|
73,895 |
68,771 |
$8.42M |
| 99203 |
|
67,672 |
67,496 |
$8.06M |
| 74177 |
|
91,075 |
90,286 |
$7.94M |
| 93306 |
|
53,477 |
52,859 |
$6.12M |
| 99232 |
|
92,412 |
36,091 |
$6.09M |
| 99233 |
Prolong inpt eval add15 m |
58,217 |
25,951 |
$5.36M |
| 88305 |
|
46,016 |
45,505 |
$3.91M |
| 99223 |
Prolong inpt eval add15 m |
24,609 |
21,940 |
$3.70M |
| 31231 |
|
16,444 |
16,215 |
$3.64M |
| 70450 |
|
94,849 |
91,438 |
$3.52M |
| 93303 |
|
17,622 |
17,244 |
$3.50M |
| 76811 |
|
16,092 |
16,067 |
$3.06M |
| 76819 |
|
36,650 |
31,854 |
$2.97M |
| 71045 |
|
307,907 |
237,506 |
$2.73M |
| 93010 |
|
322,671 |
274,821 |
$2.64M |
| 99291 |
|
11,040 |
5,735 |
$2.52M |
| 76818 |
|
22,266 |
15,808 |
$2.42M |
| 59400 |
|
748 |
747 |
$2.33M |
| J1745 |
Infliximab not biosimil 10mg |
874 |
844 |
$2.32M |
| 99391 |
|
39,388 |
38,769 |
$2.22M |
| 90792 |
|
14,347 |
13,857 |
$2.21M |
| 99205 |
Prolong outpt/office vis |
10,671 |
10,644 |
$2.18M |
| 76830 |
|
23,397 |
23,101 |
$2.16M |
| 99392 |
|
34,129 |
34,115 |
$2.10M |
| 76817 |
|
21,699 |
20,363 |
$1.99M |
| 90460 |
|
107,872 |
106,835 |
$1.93M |
| 99072 |
|
204,742 |
188,829 |
$1.76M |
| 92014 |
|
13,822 |
13,714 |
$1.73M |
| 99460 |
|
19,153 |
19,093 |
$1.71M |
| 92004 |
|
10,856 |
10,841 |
$1.70M |
| 99239 |
|
17,233 |
16,903 |
$1.56M |
| 92012 |
|
16,930 |
15,954 |
$1.50M |
| 99238 |
|
20,668 |
20,539 |
$1.49M |
| 93000 |
|
93,557 |
92,209 |
$1.43M |
| 95816 |
|
4,272 |
4,233 |
$1.43M |
| 99212 |
|
26,189 |
23,403 |
$1.42M |
| 77067 |
|
30,706 |
30,675 |
$1.41M |
| 71046 |
|
126,248 |
124,268 |
$1.41M |
| 99222 |
|
12,140 |
11,086 |
$1.27M |
| 70553 |
|
9,745 |
9,542 |
$1.12M |
| 76813 |
|
8,761 |
8,733 |
$1.11M |
| 95165 |
|
4,251 |
3,489 |
$1.06M |
| 21086 |
|
395 |
360 |
$1.03M |
| 77063 |
|
30,185 |
30,162 |
$973K |
| 72082 |
|
10,331 |
10,286 |
$945K |
| 70551 |
|
12,665 |
12,483 |
$923K |
| G2066 |
Inter devc remote 30d |
4,328 |
4,324 |
$921K |
| 76705 |
|
28,762 |
27,565 |
$832K |
| 93320 |
|
17,049 |
16,678 |
$805K |
| 99393 |
|
11,962 |
11,959 |
$784K |
| 76801 |
|
6,355 |
6,250 |
$774K |
| 88307 |
|
7,659 |
7,596 |
$774K |
| 76641 |
|
11,716 |
11,697 |
$731K |
| 31575 |
|
5,098 |
4,989 |
$687K |
| 99395 |
|
6,363 |
6,356 |
$679K |
| 71275 |
|
8,496 |
8,404 |
$661K |
| 74176 |
|
8,076 |
7,953 |
$619K |
| 95720 |
|
3,077 |
1,837 |
$613K |
| 99469 |
|
1,563 |
623 |
$589K |
| 93970 |
|
14,141 |
13,656 |
$585K |
| 99396 |
|
5,104 |
5,097 |
$583K |
| 14040 |
|
1,182 |
1,106 |
$581K |
| 95004 |
|
3,338 |
3,302 |
$569K |
| 99231 |
|
13,836 |
5,669 |
$553K |
| 93325 |
|
26,334 |
25,223 |
$552K |
| 76805 |
|
3,868 |
3,861 |
$538K |
| 76770 |
|
7,163 |
7,117 |
$534K |
| 76820 |
|
10,734 |
7,583 |
$523K |
| 76856 |
|
8,282 |
8,193 |
$470K |
| 71250 |
|
9,644 |
9,560 |
$462K |
| 76815 |
|
6,704 |
6,024 |
$457K |
| 99472 |
|
1,054 |
432 |
$452K |
| 96413 |
|
2,716 |
2,541 |
$427K |
| 99202 |
|
5,752 |
5,228 |
$381K |
| 31237 |
|
872 |
705 |
$372K |
| 73110 |
|
10,168 |
8,993 |
$369K |
| 0002A |
|
8,798 |
8,790 |
$355K |
| 76700 |
|
7,581 |
7,562 |
$351K |
| 99394 |
|
3,813 |
3,813 |
$350K |
| 92557 |
|
7,824 |
7,740 |
$334K |
| 58558 |
|
228 |
228 |
$334K |
| 73564 |
|
7,628 |
7,200 |
$331K |
| 73562 |
|
12,100 |
11,231 |
$329K |
| 0001A |
|
8,932 |
8,921 |
$322K |
| G0108 |
Diab manage trn per indiv |
6,513 |
5,244 |
$318K |
| 20610 |
|
4,939 |
4,302 |
$312K |
| 94010 |
|
10,233 |
10,120 |
$310K |
| 92567 |
|
16,389 |
16,248 |
$306K |
| 99462 |
|
7,611 |
6,876 |
$299K |
| 99282 |
|
8,181 |
8,046 |
$297K |
| 72100 |
|
8,863 |
8,804 |
$295K |
| 31579 |
|
1,230 |
1,221 |
$276K |
| 73610 |
|
14,296 |
13,526 |
$259K |
| 73630 |
|
16,466 |
15,564 |
$254K |
| 93976 |
|
1,554 |
1,195 |
$252K |
| 73721 |
|
3,160 |
3,053 |
$245K |
| 94729 |
|
4,153 |
4,130 |
$243K |
| 74018 |
|
24,272 |
18,342 |
$232K |
| 99479 |
|
2,005 |
879 |
$224K |
| 95117 |
|
15,610 |
8,186 |
$217K |
| 93298 |
|
5,888 |
5,876 |
$215K |
| 92060 |
|
3,028 |
3,003 |
$212K |
| 70496 |
|
2,861 |
2,800 |
$211K |
| 59025 |
|
4,742 |
4,126 |
$210K |
| 73130 |
|
10,133 |
9,479 |
$203K |
| 72125 |
|
4,813 |
4,736 |
$201K |
| 99221 |
|
2,823 |
2,590 |
$200K |
| 99464 |
|
2,675 |
2,665 |
$196K |
| 87880 |
|
12,806 |
12,512 |
$195K |
| 92083 |
|
2,954 |
2,935 |
$192K |
| 93015 |
|
2,484 |
2,456 |
$182K |
| 43239 |
|
1,489 |
1,449 |
$182K |
| 78815 |
|
1,300 |
1,297 |
$180K |
| 73030 |
|
9,737 |
9,348 |
$165K |
| 76536 |
|
4,707 |
4,692 |
$161K |
| 87811 |
|
4,133 |
4,082 |
$161K |
| 93299 |
|
597 |
596 |
$156K |
| 81025 |
|
19,840 |
19,589 |
$154K |
| 70498 |
|
2,326 |
2,291 |
$151K |
| 86077 |
|
3,263 |
2,939 |
$149K |
| 75574 |
|
1,257 |
1,256 |
$141K |
| 88304 |
|
9,621 |
9,569 |
$138K |
| 93224 |
|
1,423 |
1,405 |
$129K |
| 90471 |
|
11,055 |
10,944 |
$127K |
| 72148 |
|
1,599 |
1,592 |
$125K |
| 42820 |
|
355 |
355 |
$124K |
| 0012A |
|
3,047 |
3,047 |
$121K |
| 94727 |
|
2,669 |
2,664 |
$121K |
| 36415 |
|
66,451 |
64,597 |
$119K |
| 92579 |
|
2,244 |
2,239 |
$119K |
| 88312 |
|
2,487 |
2,479 |
$117K |
| 76506 |
|
3,344 |
2,874 |
$115K |
| 92134 |
|
2,932 |
2,878 |
$111K |
| 90870 |
|
1,506 |
958 |
$111K |
| 46600 |
|
854 |
853 |
$110K |
| 99459 |
|
4,415 |
4,327 |
$109K |
| 20550 |
|
1,813 |
1,512 |
$104K |
| 78452 |
|
1,359 |
1,353 |
$102K |
| 90833 |
|
1,497 |
1,326 |
$101K |
| 73080 |
|
4,024 |
3,509 |
$98K |
| 93971 |
|
3,367 |
3,280 |
$98K |
| 90686 |
|
26,832 |
26,816 |
$97K |
| 92551 |
|
11,610 |
11,607 |
$93K |
| G0452 |
Molecular pathology interpr |
2,431 |
2,302 |
$92K |
| 71260 |
|
1,959 |
1,940 |
$92K |
| 94060 |
|
1,866 |
1,860 |
$89K |
| 99442 |
|
1,099 |
1,039 |
$88K |
| 76775 |
|
1,765 |
1,756 |
$87K |
| 17110 |
|
675 |
645 |
$87K |
| 76857 |
|
1,611 |
1,588 |
$87K |
| 72110 |
|
2,400 |
2,392 |
$87K |
| 87804 |
|
7,582 |
3,944 |
$86K |
| 95810 |
|
690 |
690 |
$86K |
| 54161 |
|
824 |
746 |
$86K |
| 72040 |
|
2,612 |
2,593 |
$86K |
| 95012 |
|
4,472 |
4,459 |
$83K |
| 74019 |
|
6,926 |
6,721 |
$82K |
| 69210 |
|
1,762 |
1,703 |
$81K |
| 92133 |
|
2,315 |
2,299 |
$81K |
| 20611 |
|
724 |
633 |
$79K |
| J3380 |
Inj vedolizumab iv 1 mg |
13 |
12 |
$78K |
| 95782 |
|
582 |
582 |
$76K |
| 0011A |
|
1,992 |
1,991 |
$71K |
| 88342 |
|
1,335 |
1,324 |
$71K |
| 54300 |
|
100 |
98 |
$70K |
| 73502 |
|
2,815 |
2,754 |
$70K |
| 99480 |
|
616 |
273 |
$70K |
| 92504 |
|
2,209 |
2,106 |
$68K |
| 72197 |
|
615 |
611 |
$66K |
| 74183 |
|
592 |
588 |
$65K |
| 16025 |
|
416 |
316 |
$64K |
| 94726 |
|
1,155 |
1,152 |
$64K |
| 95951 |
|
186 |
115 |
$63K |
| 70486 |
|
1,562 |
1,555 |
$63K |
| 90677 |
|
2,956 |
2,956 |
$63K |
| 92582 |
|
651 |
651 |
$62K |
| 76642 |
|
1,579 |
1,572 |
$60K |
| 96111 |
|
512 |
504 |
$59K |
| 99441 |
|
1,221 |
1,154 |
$58K |
| 99211 |
|
1,999 |
1,872 |
$57K |
| 81003 |
|
34,305 |
31,704 |
$55K |
| 70491 |
|
794 |
789 |
$54K |
| J0702 |
Betamethasone acet&sod phosp |
3,095 |
3,039 |
$53K |
| 90834 |
|
599 |
238 |
$53K |
| 96415 |
|
1,364 |
1,320 |
$51K |
| 88108 |
|
2,134 |
1,939 |
$50K |
| 20526 |
|
465 |
429 |
$48K |
| 83036 |
|
5,561 |
5,550 |
$48K |
| 99385 |
|
427 |
427 |
$48K |
| 73090 |
|
4,391 |
3,778 |
$48K |
| 88291 |
|
1,455 |
1,248 |
$46K |
| G0444 |
Depression screen annual |
3,393 |
3,371 |
$45K |
| 93016 |
|
2,144 |
2,134 |
$44K |
| 95886 |
|
309 |
287 |
$44K |
| 95800 |
|
986 |
983 |
$43K |
| 92015 |
|
6,529 |
6,519 |
$42K |
| 93975 |
|
452 |
438 |
$42K |
| 96160 |
|
26,093 |
26,017 |
$41K |
| 76821 |
|
437 |
327 |
$40K |
| 59410 |
|
31 |
30 |
$40K |
| 90853 |
|
2,116 |
888 |
$40K |
| 59409 |
|
37 |
37 |
$40K |
| 77066 |
Tomosynthesis, mammo |
779 |
778 |
$40K |
| 73590 |
|
3,714 |
3,468 |
$40K |
| 97802 |
|
953 |
947 |
$38K |
| 54150 |
|
364 |
363 |
$37K |
| 52000 |
|
167 |
167 |
$34K |
| 99443 |
|
307 |
295 |
$34K |
| 94664 |
|
1,673 |
1,668 |
$34K |
| 95819 |
|
203 |
202 |
$34K |
| 73140 |
|
974 |
891 |
$34K |
| 96372 |
|
1,792 |
1,410 |
$33K |
| 77080 |
|
2,909 |
2,908 |
$33K |
| 93296 |
|
1,824 |
1,820 |
$33K |
| 81002 |
|
11,715 |
11,280 |
$32K |
| 93018 |
|
2,323 |
2,313 |
$32K |
| 11900 |
|
575 |
554 |
$31K |
| 43775 |
|
12 |
12 |
$31K |
| 97803 |
|
1,069 |
1,013 |
$31K |
| 83020 |
|
1,604 |
1,567 |
$30K |
| 47563 |
|
31 |
31 |
$30K |
| 29075 |
|
296 |
259 |
$29K |
| 92201 |
|
1,116 |
822 |
$28K |
| 92550 |
|
1,230 |
1,207 |
$28K |
| 99173 |
|
18,277 |
18,275 |
$27K |
| 77065 |
Tomosynthesis, mammo |
662 |
646 |
$27K |
| 76825 |
|
92 |
89 |
$27K |
| 73560 |
|
1,115 |
1,078 |
$27K |
| 96365 |
|
398 |
323 |
$26K |
| 93458 |
|
103 |
97 |
$26K |
| 72141 |
|
335 |
332 |
$26K |
| 82962 |
|
10,356 |
10,041 |
$25K |
| 99243 |
|
107 |
106 |
$25K |
| 51701 |
|
631 |
624 |
$25K |
| 86833 |
|
85 |
83 |
$24K |
| 90839 |
|
197 |
197 |
$23K |
| 0004A |
|
499 |
499 |
$23K |
| 0071A |
|
477 |
477 |
$22K |
| 0072A |
|
489 |
489 |
$22K |
| 99292 |
|
236 |
110 |
$22K |
| 93886 |
|
76 |
76 |
$22K |
| 88112 |
|
761 |
746 |
$21K |
| 95251 |
|
654 |
647 |
$21K |
| 86832 |
|
85 |
83 |
$21K |
| 95018 |
|
375 |
326 |
$21K |
| 73521 |
|
404 |
397 |
$21K |
| 73221 |
|
258 |
251 |
$21K |
| 93454 |
|
105 |
103 |
$20K |
| 0064A |
|
449 |
449 |
$20K |
| 68761 |
|
122 |
115 |
$19K |
| 16020 |
|
245 |
156 |
$19K |
| 93880 |
|
311 |
310 |
$18K |
| 92250 |
|
531 |
526 |
$18K |
| 88350 |
|
99 |
97 |
$18K |
| 77072 |
|
1,691 |
1,686 |
$18K |
| 99217 |
|
363 |
356 |
$17K |
| 76870 |
|
324 |
319 |
$17K |
| 88189 |
|
213 |
204 |
$17K |
| J1071 |
Inj testosterone cypionate |
1,204 |
882 |
$16K |
| 56820 |
|
106 |
99 |
$16K |
| 99177 |
|
3,710 |
3,710 |
$15K |
| 51798 |
|
1,350 |
1,316 |
$15K |
| 69436 |
|
59 |
59 |
$15K |
| 94618 |
|
418 |
418 |
$14K |
| 99386 |
|
113 |
113 |
$14K |
| 90715 |
|
335 |
335 |
$14K |
| 99244 |
|
78 |
78 |
$14K |
| 96112 |
|
131 |
127 |
$14K |
| 99053 |
|
2,168 |
2,135 |
$13K |
| 74230 |
|
476 |
471 |
$13K |
| 10005 |
|
165 |
165 |
$13K |
| J1030 |
Methylprednisolone 40 mg inj |
1,747 |
1,712 |
$13K |
| 95718 |
|
97 |
88 |
$12K |
| 72170 |
|
914 |
897 |
$12K |
| 99152 |
|
979 |
913 |
$12K |
| Q0091 |
Obtaining screen pap smear |
1,057 |
1,055 |
$12K |
| 90791 |
|
87 |
87 |
$12K |
| G2211 |
Complex e/m visit add on |
9,645 |
9,181 |
$11K |
| 96127 |
|
1,993 |
1,982 |
$11K |
| 72050 |
|
242 |
242 |
$11K |
| 11721 |
|
487 |
487 |
$11K |
| 77014 |
|
274 |
25 |
$11K |
| 90832 |
|
191 |
110 |
$11K |
| 54360 |
|
16 |
16 |
$11K |
| 77427 |
|
60 |
27 |
$11K |
| 71271 |
|
171 |
171 |
$10K |
| 87490 |
|
449 |
448 |
$10K |
| 93308 |
|
434 |
395 |
$10K |
| 99220 |
|
92 |
92 |
$10K |
| 73700 |
|
186 |
181 |
$10K |
| 93351 |
|
38 |
38 |
$9K |
| 95700 |
|
36 |
36 |
$9K |
| 90461 |
|
27,334 |
27,301 |
$9K |
| 91200 |
|
258 |
258 |
$9K |
| 70544 |
|
206 |
194 |
$9K |
| 90847 |
|
94 |
55 |
$8K |
| 99497 |
|
165 |
157 |
$8K |
| 11042 |
|
144 |
102 |
$8K |
| 16030 |
|
49 |
37 |
$8K |
| 93295 |
|
233 |
233 |
$8K |
| 29705 |
|
130 |
125 |
$8K |
| J1040 |
Methylprednisolone 80 mg inj |
642 |
639 |
$8K |
| 99401 |
|
313 |
304 |
$8K |
| G0279 |
Tomosynthesis, mammo |
285 |
283 |
$8K |
| J3301 |
Triamcinolone acet inj nos |
2,507 |
2,475 |
$8K |
| 88348 |
|
95 |
93 |
$8K |
| 12001 |
|
84 |
82 |
$7K |
| 45380 |
|
38 |
36 |
$7K |
| 76827 |
|
92 |
89 |
$7K |
| 78451 |
|
112 |
112 |
$7K |
| 93793 |
|
679 |
277 |
$7K |
| 92285 |
|
289 |
263 |
$7K |
| 72083 |
|
81 |
81 |
$7K |
| 93304 |
|
102 |
85 |
$6K |
| 92002 |
|
69 |
69 |
$6K |
| 51741 |
|
488 |
465 |
$6K |
| 95708 |
|
27 |
24 |
$6K |
| 95806 |
|
134 |
134 |
$6K |
| 88341 |
|
50 |
44 |
$6K |
| 11102 |
|
64 |
62 |
$6K |
| 62323 |
|
51 |
48 |
$6K |
| 78306 |
|
149 |
149 |
$6K |
| 20600 |
|
116 |
110 |
$5K |
| G0442 |
Annual alcohol screen 15 min |
432 |
432 |
$5K |
| 92226 |
|
174 |
72 |
$5K |
| 0031A |
|
153 |
153 |
$5K |
| 67028 |
|
51 |
48 |
$5K |
| 90670 |
|
7,013 |
7,008 |
$5K |
| G0296 |
Visit to determ ldct elig |
180 |
179 |
$5K |
| 99417 |
Prolong home eval add 15m |
133 |
129 |
$5K |
| 59430 |
|
25 |
24 |
$5K |
| 74178 |
|
40 |
40 |
$5K |
| 72070 |
|
353 |
352 |
$5K |
| 51784 |
|
63 |
63 |
$5K |
| T1013 |
Sign lang/oral interpreter |
94 |
92 |
$5K |
| 99463 |
|
53 |
53 |
$5K |
| 51728 |
|
12 |
12 |
$4K |
| 93321 |
|
407 |
345 |
$4K |
| G0447 |
Behavior counsel obesity 15m |
281 |
278 |
$4K |
| 51700 |
|
132 |
77 |
$4K |
| 36556 |
|
42 |
37 |
$4K |
| 74174 |
|
56 |
55 |
$4K |
| 88311 |
|
250 |
237 |
$4K |
| 96366 |
|
99 |
81 |
$4K |
| 72081 |
|
91 |
91 |
$4K |
| 36416 |
|
1,245 |
1,241 |
$4K |
| 77062 |
|
72 |
72 |
$4K |
| 73070 |
|
257 |
235 |
$4K |
| 77085 |
|
230 |
230 |
$4K |
| 96110 |
|
519 |
514 |
$4K |
| 96450 |
|
44 |
40 |
$4K |
| 99234 |
|
32 |
27 |
$4K |
| 93925 |
|
67 |
67 |
$4K |
| 88173 |
|
38 |
38 |
$3K |
| 88346 |
|
99 |
97 |
$3K |
| 88313 |
|
112 |
110 |
$3K |
| 88331 |
|
31 |
30 |
$3K |
| 97597 |
|
120 |
97 |
$3K |
| 0042T |
|
28 |
27 |
$3K |
| 77073 |
|
49 |
49 |
$3K |
| 73060 |
|
345 |
336 |
$3K |
| 72146 |
|
41 |
40 |
$3K |
| 99236 |
Prolong inpt eval add15 m |
13 |
13 |
$3K |
| 93227 |
|
129 |
128 |
$3K |
| 92552 |
|
217 |
217 |
$3K |
| 99051 |
|
329 |
321 |
$3K |
| 43259 |
|
12 |
12 |
$3K |
| 96161 |
|
4,803 |
4,690 |
$3K |
| 99218 |
|
39 |
37 |
$3K |
| 90937 |
|
40 |
12 |
$3K |
| 92588 |
|
139 |
138 |
$3K |
| 76937 |
|
269 |
230 |
$3K |
| 96374 |
|
70 |
67 |
$3K |
| 93923 |
|
54 |
54 |
$3K |
| 72131 |
|
62 |
62 |
$3K |
| 96375 |
|
123 |
113 |
$3K |
| 73552 |
|
197 |
193 |
$3K |
| J1010 |
Inj, methylpred acetate 1 mg |
225 |
225 |
$2K |
| 90656 |
|
3,605 |
3,601 |
$2K |
| G0268 |
Removal of impacted wax md |
72 |
72 |
$2K |
| 54235 |
|
61 |
57 |
$2K |
| 99305 |
|
25 |
25 |
$2K |
| 90962 |
|
12 |
12 |
$2K |
| 76942 |
|
96 |
94 |
$2K |
| 30140 |
|
12 |
12 |
$2K |
| 76998 |
|
26 |
25 |
$2K |
| 0054A |
|
65 |
65 |
$2K |
| 93294 |
|
97 |
97 |
$2K |
| 95910 |
|
12 |
12 |
$2K |
| 99381 |
|
38 |
38 |
$2K |
| 99383 |
|
17 |
17 |
$2K |
| 76498 |
|
26 |
26 |
$2K |
| 20605 |
|
37 |
36 |
$2K |
| 99201 |
|
41 |
41 |
$2K |
| G0101 |
Ca screen;pelvic/breast exam |
52 |
52 |
$2K |
| G2212 |
Prolong outpt/office vis |
45 |
44 |
$2K |
| 90674 |
|
69 |
68 |
$2K |
| 72156 |
|
14 |
12 |
$2K |
| 76981 |
|
15 |
15 |
$2K |
| 0003A |
|
38 |
38 |
$2K |
| 0111A |
|
38 |
37 |
$2K |
| 77263 |
|
15 |
15 |
$2K |
| 10040 |
|
16 |
16 |
$2K |
| 99358 |
Prolong nursin fac eval 15m |
38 |
24 |
$2K |
| 73120 |
|
101 |
97 |
$2K |
| 83655 |
|
138 |
138 |
$2K |
| 90378 |
|
226 |
226 |
$1K |
| 29085 |
|
15 |
13 |
$1K |
| 99423 |
|
30 |
26 |
$1K |
| 93990 |
|
13 |
13 |
$1K |
| 76885 |
|
39 |
39 |
$1K |
| 93356 |
|
159 |
156 |
$1K |
| 90698 |
|
5,167 |
5,166 |
$1K |
| 20606 |
|
15 |
12 |
$1K |
| 92225 |
|
47 |
37 |
$1K |
| 93244 |
|
57 |
57 |
$1K |
| 85018 |
|
599 |
586 |
$1K |
| 72157 |
|
12 |
12 |
$1K |
| 72158 |
|
12 |
12 |
$1K |
| 90472 |
|
163 |
162 |
$1K |
| 90688 |
|
88 |
88 |
$1K |
| 93272 |
|
44 |
43 |
$1K |
| 0013A |
|
25 |
25 |
$1K |
| 76376 |
|
85 |
83 |
$1K |
| 12011 |
|
12 |
12 |
$1K |
| 90680 |
|
3,767 |
3,766 |
$1K |
| 92202 |
|
67 |
67 |
$997.44 |
| 90935 |
|
32 |
12 |
$992.66 |
| 77061 |
|
13 |
13 |
$834.75 |
| 62270 |
|
19 |
17 |
$813.47 |
| 82272 |
|
204 |
199 |
$791.02 |
| 73620 |
|
69 |
69 |
$744.05 |
| 90633 |
|
1,196 |
1,194 |
$731.85 |
| 99001 |
|
378 |
363 |
$693.00 |
| 90682 |
|
12 |
12 |
$687.99 |
| 88300 |
|
125 |
122 |
$663.12 |
| 74220 |
|
17 |
15 |
$591.46 |
| 94640 |
|
25 |
24 |
$584.29 |
| J2357 |
Omalizumab injection |
28 |
24 |
$568.13 |
| 94014 |
|
12 |
12 |
$554.41 |
| 85610 |
|
142 |
74 |
$539.03 |
| 84165 |
|
28 |
26 |
$503.33 |
| 92570 |
|
12 |
12 |
$478.91 |
| 70547 |
|
12 |
12 |
$464.01 |
| 99050 |
|
14 |
14 |
$415.12 |
| 76098 |
|
26 |
26 |
$404.25 |
| 76882 |
|
16 |
12 |
$393.96 |
| 92025 |
|
14 |
14 |
$379.33 |
| 98967 |
|
35 |
25 |
$372.60 |
| 93225 |
|
13 |
12 |
$369.89 |
| 98968 |
|
20 |
19 |
$364.24 |
| 99447 |
|
15 |
15 |
$362.33 |
| 36000 |
|
26 |
24 |
$357.18 |
| 85060 |
|
13 |
12 |
$348.41 |
| 87210 |
|
63 |
57 |
$311.48 |
| 99281 |
|
14 |
14 |
$305.43 |
| 11104 |
|
13 |
13 |
$297.49 |
| V2020 |
Vision svcs frames purchases |
25 |
25 |
$292.00 |
| 97804 |
|
33 |
33 |
$283.05 |
| 85025 |
|
28 |
25 |
$247.70 |
| 99375 |
|
117 |
106 |
$220.93 |
| 97760 |
|
38 |
38 |
$215.38 |
| J3121 |
Inj testostero enanthate 1mg |
12 |
12 |
$196.00 |
| 99367 |
|
14 |
13 |
$192.99 |
| 93242 |
|
15 |
15 |
$188.26 |
| 73600 |
|
12 |
12 |
$157.18 |
| 80305 |
|
13 |
13 |
$152.46 |
| 82270 |
|
37 |
37 |
$142.96 |
| 75565 |
|
12 |
12 |
$141.41 |
| 85651 |
|
31 |
31 |
$140.07 |
| 99000 |
|
80 |
80 |
$134.75 |
| 90662 |
|
12 |
12 |
$133.96 |
| 76010 |
|
12 |
12 |
$131.25 |
| 86580 |
|
12 |
12 |
$130.93 |
| 96040 |
|
28 |
28 |
$129.28 |
| 90744 |
|
837 |
837 |
$124.95 |
| 87807 |
|
13 |
13 |
$121.56 |
| 70360 |
|
12 |
12 |
$110.16 |
| 90707 |
|
533 |
533 |
$107.39 |
| 73100 |
|
12 |
12 |
$105.01 |
| J1020 |
Methylprednisolone 20 mg inj |
14 |
14 |
$67.08 |
| 81000 |
|
13 |
13 |
$50.56 |
| 83014 |
|
12 |
12 |
$47.32 |
| 99366 |
|
15 |
13 |
$46.04 |
| 81001 |
|
13 |
13 |
$41.34 |
| J3420 |
Vitamin b12 injection |
28 |
12 |
$38.37 |
| 94760 |
|
69 |
66 |
$28.54 |
| J1100 |
Dexamethasone sodium phos |
16 |
15 |
$3.98 |
| 90710 |
|
72 |
72 |
$0.00 |
| 90648 |
|
114 |
114 |
$0.00 |
| 90734 |
|
66 |
66 |
$0.00 |
| 99080 |
|
1,042 |
297 |
$0.00 |
| 90685 |
|
24 |
24 |
$0.00 |
| 90700 |
|
104 |
104 |
$0.00 |
| 99348 |
|
12 |
12 |
$0.00 |
| 99374 |
|
13 |
13 |
$0.00 |
| J9260 |
Inj methotrexate sodium 50mg |
15 |
14 |
$0.00 |
| 90697 |
|
471 |
471 |
$0.00 |
| 90716 |
|
739 |
739 |
$0.00 |
| S2900 |
Robotic surgical system |
12 |
12 |
$0.00 |
| 90651 |
|
80 |
80 |
$0.00 |
| 90619 |
|
58 |
58 |
$0.00 |
| S9445 |
Pt education noc individ |
173 |
151 |
$0.00 |
| 90696 |
|
31 |
31 |
$0.00 |
| 90657 |
|
13 |
13 |
$0.00 |