| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
80,286 |
75,782 |
$15.60M |
| 99213 |
|
197,149 |
171,834 |
$13.30M |
| 99282 |
|
44,701 |
42,611 |
$9.74M |
| 99284 |
|
42,435 |
39,739 |
$8.10M |
| 99214 |
|
67,420 |
61,514 |
$7.50M |
| U0003 |
Cov-19 amp prb hgh thruput |
110,099 |
96,373 |
$7.35M |
| 36415 |
|
326,835 |
142,813 |
$4.99M |
| 90791 |
|
10,085 |
9,001 |
$4.94M |
| H0020 |
Alcohol and/or drug services |
124,133 |
10,761 |
$4.42M |
| 90832 |
|
33,475 |
19,002 |
$4.38M |
| 99212 |
|
53,527 |
47,756 |
$2.97M |
| 90834 |
|
15,832 |
8,040 |
$2.57M |
| 99211 |
|
109,130 |
94,293 |
$1.99M |
| H0035 |
Mh partial hosp tx under 24h |
9,614 |
1,146 |
$1.76M |
| 81408 |
|
1,150 |
1,143 |
$1.59M |
| 99204 |
|
9,667 |
9,470 |
$1.57M |
| 99391 |
|
45,397 |
43,802 |
$1.55M |
| 87635 |
|
39,638 |
36,144 |
$1.51M |
| 70450 |
|
5,741 |
5,587 |
$1.19M |
| 80307 |
|
25,451 |
17,156 |
$1.16M |
| 81420 |
|
1,630 |
1,616 |
$1.16M |
| 76816 |
|
10,047 |
8,608 |
$1.13M |
| 99203 |
|
10,009 |
9,868 |
$1.12M |
| 99285 |
|
5,677 |
5,493 |
$1.03M |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
15,439 |
6,080 |
$983K |
| G0396 |
Alcohol/subs interv 15-30mn |
7,884 |
4,803 |
$965K |
| 81220 |
|
2,172 |
2,137 |
$964K |
| U0005 |
Infec agen detec ampli probe |
46,500 |
40,994 |
$953K |
| 99215 |
Prolong outpt/office vis |
5,690 |
5,477 |
$878K |
| 90853 |
|
14,612 |
3,969 |
$874K |
| G0378 |
Hospital observation per hr |
736 |
725 |
$872K |
| 96361 |
|
7,581 |
6,543 |
$688K |
| 99442 |
|
19,346 |
18,559 |
$686K |
| 99392 |
|
29,743 |
29,645 |
$651K |
| 87491 |
|
20,951 |
19,806 |
$642K |
| 99201 |
|
8,519 |
8,100 |
$636K |
| 99202 |
|
7,100 |
7,003 |
$609K |
| 99205 |
Prolong outpt/office vis |
2,977 |
2,946 |
$600K |
| 92014 |
|
5,260 |
4,598 |
$562K |
| 96372 |
|
25,617 |
19,548 |
$547K |
| 90460 |
|
57,423 |
57,200 |
$493K |
| 74177 |
|
3,236 |
3,209 |
$490K |
| 87591 |
|
17,968 |
16,925 |
$487K |
| 99443 |
|
8,660 |
8,159 |
$479K |
| 90471 |
|
58,955 |
57,777 |
$475K |
| 86480 |
|
8,280 |
8,037 |
$474K |
| 76819 |
|
5,512 |
3,968 |
$463K |
| 77067 |
|
3,852 |
3,813 |
$457K |
| J7307 |
Etonogestrel implant system |
418 |
414 |
$451K |
| 76805 |
|
3,343 |
3,218 |
$451K |
| 80048 |
|
47,578 |
44,328 |
$417K |
| H2010 |
Comprehensive med svc 15 min |
5,565 |
5,269 |
$411K |
| 93306 |
|
2,105 |
2,094 |
$410K |
| 59025 |
|
4,818 |
2,880 |
$409K |
| 76856 |
|
2,532 |
2,482 |
$407K |
| 90792 |
|
1,849 |
1,820 |
$397K |
| 85027 |
|
103,616 |
96,622 |
$374K |
| 99441 |
|
14,979 |
14,501 |
$364K |
| G0397 |
Alcohol/subs interv >30 min |
2,229 |
1,531 |
$361K |
| 96413 |
|
2,441 |
754 |
$345K |
| 97110 |
|
7,115 |
3,018 |
$341K |
| 76700 |
|
1,883 |
1,871 |
$319K |
| 80053 |
|
28,946 |
27,425 |
$313K |
| 92012 |
|
3,872 |
3,285 |
$303K |
| 84443 |
|
29,237 |
28,279 |
$299K |
| 99393 |
|
19,123 |
19,066 |
$295K |
| 96365 |
|
4,028 |
3,788 |
$294K |
| T1013 |
Sign lang/oral interpreter |
31,792 |
29,096 |
$292K |
| H0005 |
Alcohol and/or drug services |
4,408 |
1,425 |
$290K |
| 0002A |
|
9,212 |
9,196 |
$290K |
| H0001 |
Alcohol and/or drug assess |
1,622 |
1,473 |
$289K |
| 90651 |
|
3,584 |
3,569 |
$288K |
| 0001A |
|
11,170 |
11,135 |
$282K |
| D0999 |
|
1,739 |
1,718 |
$278K |
| 96360 |
|
3,301 |
3,256 |
$265K |
| 80061 |
|
26,601 |
26,137 |
$262K |
| 86703 |
|
20,678 |
20,210 |
$262K |
| 93005 |
|
22,979 |
21,244 |
$261K |
| 87536 |
|
2,860 |
2,794 |
$258K |
| 83036 |
|
36,989 |
36,120 |
$249K |
| 76801 |
|
1,906 |
1,796 |
$245K |
| 90461 |
|
23,035 |
22,999 |
$242K |
| 12001 |
|
1,092 |
1,042 |
$236K |
| 86850 |
|
14,366 |
12,653 |
$233K |
| 87637 |
|
2,529 |
2,499 |
$229K |
| 72125 |
|
2,154 |
2,107 |
$227K |
| 81161 |
|
1,076 |
1,070 |
$224K |
| 90715 |
|
9,454 |
9,357 |
$221K |
| 12011 |
|
1,067 |
1,042 |
$218K |
| 81329 |
|
1,747 |
1,712 |
$215K |
| 76811 |
|
1,257 |
1,240 |
$213K |
| 81405 |
|
1,008 |
1,007 |
$210K |
| 99281 |
|
954 |
946 |
$208K |
| 76641 |
|
1,813 |
1,509 |
$207K |
| 80076 |
|
31,961 |
30,675 |
$206K |
| U0001 |
2019-ncov diagnostic p |
5,210 |
4,758 |
$205K |
| 88305 |
|
2,694 |
2,513 |
$198K |
| 70486 |
|
1,448 |
1,430 |
$197K |
| 76770 |
|
1,361 |
1,354 |
$196K |
| 94640 |
|
4,262 |
4,010 |
$190K |
| 99394 |
|
10,793 |
10,715 |
$190K |
| 90677 |
|
2,431 |
2,427 |
$187K |
| 83655 |
|
17,010 |
16,704 |
$187K |
| J2506 |
Inj pegfilgrast ex bio 0.5mg |
162 |
132 |
$183K |
| 0004A |
|
4,745 |
4,739 |
$179K |
| 93303 |
|
708 |
697 |
$171K |
| 96374 |
|
8,547 |
8,273 |
$170K |
| 71046 |
|
11,941 |
11,635 |
$169K |
| 86769 |
|
5,334 |
5,104 |
$163K |
| 76830 |
|
2,084 |
2,026 |
$163K |
| 99051 |
|
16,553 |
11,791 |
$158K |
| 86360 |
|
3,307 |
3,226 |
$155K |
| 82306 |
|
6,714 |
6,625 |
$149K |
| 81361 |
|
1,173 |
1,167 |
$144K |
| G0463 |
Hospital outpt clinic visit |
3,442 |
2,740 |
$144K |
| 99232 |
|
2,884 |
1,359 |
$140K |
| S9485 |
Crisis intervention mental h |
109 |
94 |
$136K |
| 86901 |
|
13,990 |
12,635 |
$132K |
| 92558 |
|
20,391 |
20,309 |
$131K |
| 90674 |
|
6,827 |
6,683 |
$129K |
| J1050 |
Medroxyprogesterone acetate |
1,635 |
1,588 |
$127K |
| 86359 |
|
3,326 |
3,244 |
$122K |
| 87624 |
|
3,627 |
3,489 |
$122K |
| 77066 |
Tomosynthesis, mammo |
752 |
750 |
$119K |
| 92582 |
|
1,260 |
1,253 |
$119K |
| 90750 |
|
1,453 |
1,449 |
$118K |
| 92004 |
|
752 |
751 |
$115K |
| 86803 |
|
10,739 |
10,539 |
$111K |
| 81401 |
|
1,172 |
1,165 |
$111K |
| H0004 |
Alcohol and/or drug services |
1,792 |
1,409 |
$111K |
| 74176 |
|
818 |
810 |
$110K |
| V2632 |
Post chmbr intraocular lens |
656 |
51 |
$110K |
| 90472 |
|
15,449 |
15,368 |
$109K |
| 96110 |
|
3,371 |
3,113 |
$106K |
| 76705 |
|
1,903 |
1,838 |
$105K |
| 92567 |
|
4,764 |
4,708 |
$104K |
| 90847 |
|
402 |
297 |
$103K |
| 99291 |
|
601 |
596 |
$102K |
| 90686 |
|
15,038 |
14,911 |
$102K |
| 81003 |
|
46,646 |
31,309 |
$101K |
| 12002 |
|
476 |
444 |
$99K |
| 97802 |
|
3,423 |
3,405 |
$98K |
| 86900 |
|
13,984 |
12,625 |
$97K |
| 72131 |
|
670 |
667 |
$97K |
| 97530 |
|
2,419 |
1,353 |
$96K |
| 96367 |
|
2,240 |
756 |
$93K |
| 90746 |
|
1,715 |
1,692 |
$93K |
| G2023 |
Specimen collect covid-19 |
4,418 |
3,786 |
$92K |
| 81243 |
|
2,289 |
2,204 |
$92K |
| 92579 |
|
1,753 |
1,747 |
$91K |
| 81257 |
|
1,236 |
1,229 |
$91K |
| 71260 |
|
495 |
492 |
$85K |
| 87340 |
|
10,891 |
10,588 |
$85K |
| 82728 |
|
7,638 |
7,515 |
$84K |
| 84439 |
|
11,188 |
10,823 |
$82K |
| 96375 |
|
6,362 |
5,701 |
$82K |
| 59425 |
|
1,239 |
1,131 |
$81K |
| 87086 |
|
18,215 |
17,000 |
$81K |
| 88142 |
|
3,628 |
3,504 |
$80K |
| 93458 |
|
65 |
65 |
$73K |
| 90480 |
|
2,000 |
1,986 |
$72K |
| 82951 |
|
6,173 |
5,514 |
$72K |
| 76817 |
|
860 |
736 |
$70K |
| 0072A |
|
1,776 |
1,774 |
$69K |
| 92557 |
|
1,728 |
1,711 |
$69K |
| 90697 |
|
4,498 |
4,496 |
$68K |
| Q0162 |
Ondansetron oral |
11,572 |
10,937 |
$67K |
| 76820 |
|
1,435 |
807 |
$66K |
| 99395 |
|
2,459 |
2,423 |
$65K |
| 82805 |
|
7,071 |
6,504 |
$64K |
| 0071A |
|
1,851 |
1,851 |
$63K |
| 96161 |
|
11,463 |
10,972 |
$63K |
| 92250 |
|
1,906 |
1,859 |
$60K |
| D9999 |
|
448 |
446 |
$59K |
| 99408 |
|
969 |
725 |
$57K |
| 90670 |
|
6,540 |
6,534 |
$57K |
| 82607 |
|
5,497 |
5,426 |
$57K |
| J0401 |
Inj, abilify maintena, 1 mg |
347 |
335 |
$56K |
| 73610 |
|
2,889 |
2,554 |
$54K |
| 84703 |
|
18,810 |
17,917 |
$54K |
| 73630 |
|
2,583 |
2,369 |
$51K |
| 87535 |
|
1,486 |
1,460 |
$51K |
| 81400 |
|
1,137 |
1,130 |
$51K |
| 76536 |
|
456 |
455 |
$50K |
| 86706 |
|
6,292 |
6,176 |
$49K |
| 67028 |
|
278 |
72 |
$47K |
| 81255 |
|
1,154 |
1,147 |
$47K |
| 82948 |
|
21,825 |
18,071 |
$47K |
| 90734 |
|
1,502 |
1,498 |
$47K |
| 86780 |
|
4,269 |
4,100 |
$46K |
| 76642 |
|
496 |
420 |
$46K |
| 87502 |
|
1,426 |
1,410 |
$45K |
| 96127 |
|
24,327 |
23,337 |
$45K |
| 90846 |
|
358 |
305 |
$44K |
| Q9957 |
Inj perflutren lip micros,ml |
520 |
517 |
$44K |
| 86762 |
|
3,615 |
3,440 |
$44K |
| 73110 |
|
2,643 |
2,096 |
$44K |
| 81251 |
|
1,153 |
1,146 |
$43K |
| 81200 |
|
1,154 |
1,147 |
$43K |
| 83880 |
|
2,867 |
2,756 |
$43K |
| 92134 |
|
941 |
837 |
$41K |
| 73564 |
|
1,780 |
1,624 |
$41K |
| 76818 |
|
357 |
297 |
$41K |
| 90732 |
|
458 |
446 |
$40K |
| 82105 |
|
2,930 |
2,852 |
$40K |
| 86765 |
|
3,624 |
3,453 |
$40K |
| 85610 |
|
14,644 |
12,656 |
$39K |
| H0049 |
Alcohol/drug screening |
673 |
613 |
$39K |
| 99381 |
|
5,565 |
5,501 |
$39K |
| 81025 |
|
6,198 |
5,904 |
$38K |
| J0561 |
Penicillin g benzathine inj |
217 |
180 |
$38K |
| 45378 |
|
68 |
67 |
$38K |
| 97163 |
|
343 |
342 |
$38K |
| 81001 |
|
21,160 |
20,213 |
$37K |
| 77065 |
Tomosynthesis, mammo |
329 |
296 |
$37K |
| 87081 |
|
7,523 |
7,407 |
$37K |
| 86593 |
|
9,829 |
9,464 |
$36K |
| 81260 |
|
1,153 |
1,146 |
$36K |
| 93320 |
|
731 |
720 |
$36K |
| 96523 |
|
2,003 |
718 |
$35K |
| 86787 |
|
3,573 |
3,397 |
$35K |
| 84702 |
|
6,814 |
6,091 |
$35K |
| H2011 |
Crisis interven svc, 15 min |
129 |
105 |
$35K |
| 83020 |
|
2,713 |
2,577 |
$35K |
| 70498 |
|
151 |
147 |
$34K |
| 80069 |
|
4,297 |
4,139 |
$34K |
| 71275 |
|
155 |
153 |
$34K |
| 97116 |
|
959 |
481 |
$34K |
| 76870 |
|
493 |
490 |
$33K |
| 0081A |
|
775 |
773 |
$33K |
| 73030 |
|
1,983 |
1,770 |
$32K |
| 71045 |
|
3,371 |
3,285 |
$32K |
| 86704 |
|
3,875 |
3,797 |
$32K |
| 84153 |
|
2,102 |
2,032 |
$31K |
| 0124A |
|
775 |
774 |
$31K |
| 99384 |
|
827 |
808 |
$31K |
| 93325 |
|
979 |
958 |
$31K |
| 83718 |
|
5,096 |
5,028 |
$31K |
| 85007 |
|
12,745 |
12,050 |
$30K |
| 91320 |
|
616 |
612 |
$30K |
| 73130 |
|
2,189 |
1,951 |
$30K |
| 73590 |
|
1,950 |
1,762 |
$30K |
| 97010 |
|
4,242 |
1,911 |
$30K |
| 10060 |
|
196 |
191 |
$30K |
| 73090 |
|
2,147 |
1,790 |
$29K |
| 90681 |
|
4,571 |
4,569 |
$28K |
| 87633 |
|
278 |
277 |
$27K |
| 97140 |
|
894 |
505 |
$27K |
| 72128 |
|
231 |
231 |
$26K |
| 0082A |
|
602 |
602 |
$26K |
| 84146 |
|
1,384 |
1,278 |
$26K |
| 76885 |
|
204 |
204 |
$25K |
| 90739 |
|
331 |
330 |
$25K |
| 99173 |
|
13,770 |
13,706 |
$25K |
| 97112 |
|
558 |
242 |
$24K |
| 83550 |
|
3,795 |
3,717 |
$24K |
| H0050 |
Alcohol/drug service 15 min |
431 |
396 |
$24K |
| 73560 |
|
932 |
779 |
$24K |
| 93970 |
|
95 |
94 |
$24K |
| J2426 |
Inj, invega sustenna, 1 mg |
822 |
770 |
$24K |
| 97803 |
|
1,462 |
1,034 |
$24K |
| 87651 |
|
1,820 |
1,764 |
$23K |
| S9484 |
Crisis intervention per hour |
192 |
33 |
$23K |
| S9088 |
Services provided in urgent |
508 |
483 |
$23K |
| 82043 |
|
5,207 |
4,989 |
$23K |
| J1631 |
Haloperidol decanoate inj |
1,740 |
1,651 |
$22K |
| 70553 |
|
52 |
52 |
$22K |
| 80348 |
|
3,336 |
2,508 |
$21K |
| 87631 |
|
542 |
540 |
$21K |
| 77063 |
|
427 |
427 |
$21K |
| 90707 |
|
1,971 |
1,968 |
$20K |
| 92551 |
|
9,178 |
9,147 |
$20K |
| 80320 |
|
8,104 |
7,436 |
$20K |
| 73140 |
|
994 |
910 |
$20K |
| 90662 |
|
753 |
749 |
$20K |
| 83540 |
|
4,270 |
4,187 |
$20K |
| 96366 |
|
332 |
328 |
$20K |
| 70496 |
|
149 |
145 |
$19K |
| 73070 |
|
1,165 |
955 |
$19K |
| 87636 |
|
785 |
741 |
$19K |
| 90620 |
|
1,357 |
1,339 |
$19K |
| 76775 |
|
485 |
478 |
$18K |
| 84460 |
|
3,657 |
3,590 |
$18K |
| 82465 |
|
5,415 |
5,340 |
$18K |
| 82952 |
|
2,035 |
1,988 |
$18K |
| 71250 |
|
91 |
91 |
$18K |
| 90633 |
|
3,232 |
3,231 |
$18K |
| 86880 |
|
2,318 |
1,870 |
$17K |
| 73502 |
|
710 |
647 |
$17K |
| 87880 |
|
2,541 |
2,501 |
$17K |
| 96156 |
|
481 |
481 |
$17K |
| 73100 |
|
675 |
571 |
$17K |
| 90661 |
|
964 |
964 |
$17K |
| 83516 |
|
1,266 |
1,146 |
$17K |
| 86003 |
|
552 |
506 |
$16K |
| D1206 |
|
2,063 |
2,061 |
$15K |
| 0154A |
|
414 |
414 |
$15K |
| 83001 |
|
843 |
773 |
$15K |
| 94060 |
|
187 |
186 |
$15K |
| 83970 |
|
417 |
398 |
$15K |
| 90647 |
|
3,523 |
3,523 |
$15K |
| 76825 |
|
47 |
43 |
$15K |
| 90678 |
|
252 |
252 |
$15K |
| 84484 |
|
10,965 |
9,120 |
$14K |
| 86141 |
|
2,696 |
2,628 |
$14K |
| 87186 |
|
3,469 |
3,350 |
$14K |
| 90716 |
|
1,791 |
1,791 |
$14K |
| 99409 |
|
178 |
136 |
$13K |
| 81229 |
|
12 |
12 |
$13K |
| 17110 |
|
90 |
89 |
$13K |
| 76815 |
|
253 |
243 |
$13K |
| 90474 |
|
3,264 |
3,258 |
$13K |
| 73080 |
|
935 |
814 |
$13K |
| 85730 |
|
7,676 |
7,420 |
$12K |
| 94729 |
|
219 |
216 |
$12K |
| 94726 |
|
202 |
200 |
$12K |
| 86708 |
|
1,472 |
1,445 |
$12K |
| 0074A |
|
289 |
289 |
$12K |
| 73600 |
|
567 |
507 |
$12K |
| 84402 |
|
489 |
450 |
$12K |
| 58300 |
|
102 |
94 |
$12K |
| 90723 |
|
2,941 |
2,941 |
$11K |
| 84403 |
|
470 |
435 |
$11K |
| 73060 |
|
905 |
792 |
$11K |
| 72100 |
|
374 |
371 |
$11K |
| 87517 |
|
254 |
251 |
$11K |
| 88304 |
|
430 |
421 |
$11K |
| 83002 |
|
597 |
537 |
$11K |
| 99412 |
|
1,101 |
507 |
$10K |
| 99231 |
|
512 |
287 |
$10K |
| 82677 |
|
418 |
403 |
$10K |
| 82274 |
|
920 |
912 |
$10K |
| J1944 |
Aripiprazole lauroxil 1 mg |
27 |
26 |
$10K |
| 87522 |
Neg quan hep c or qual rna |
251 |
251 |
$10K |
| 96167 |
|
573 |
504 |
$10K |
| G8510 |
Scr dep neg, no plan reqd |
6,317 |
6,165 |
$9K |
| C9803 |
Hopd covid-19 spec collect |
1,334 |
1,228 |
$9K |
| 73552 |
|
593 |
541 |
$9K |
| J7300 |
Intra copp contra (paragard) |
14 |
13 |
$9K |
| 92526 |
|
154 |
127 |
$9K |
| T2022 |
Case management, per month |
200 |
148 |
$9K |
| 73620 |
|
352 |
313 |
$9K |
| 82977 |
|
1,647 |
1,614 |
$9K |
| 97165 |
|
91 |
91 |
$9K |
| D0330 |
|
403 |
398 |
$9K |
| 73700 |
|
41 |
37 |
$9K |
| 80165 |
|
1,501 |
1,394 |
$9K |
| 43239 |
|
14 |
14 |
$8K |
| 87338 |
|
732 |
717 |
$8K |
| 83735 |
|
5,363 |
5,074 |
$8K |
| 82627 |
|
366 |
341 |
$8K |
| 76604 |
|
63 |
62 |
$8K |
| 82570 |
|
2,026 |
1,877 |
$8K |
| 83690 |
|
9,142 |
8,759 |
$7K |
| J7030 |
Normal saline solution infus |
7,074 |
6,774 |
$7K |
| 86592 |
|
1,495 |
1,253 |
$7K |
| J7040 |
Normal saline solution infus |
6,099 |
4,888 |
$7K |
| 0083A |
|
163 |
163 |
$7K |
| D7140 |
|
206 |
133 |
$7K |
| 90744 |
|
1,986 |
1,983 |
$7K |
| J2704 |
Inj, propofol, 10 mg |
2,798 |
2,530 |
$7K |
| 90700 |
|
1,434 |
1,434 |
$7K |
| 86800 |
|
471 |
453 |
$7K |
| 88141 |
|
308 |
300 |
$7K |
| 86735 |
|
838 |
817 |
$6K |
| 86376 |
|
481 |
460 |
$6K |
| J1100 |
Dexamethasone sodium phos |
7,261 |
6,839 |
$6K |
| D0140 |
|
585 |
561 |
$6K |
| 86336 |
|
417 |
402 |
$6K |
| 87800 |
|
251 |
247 |
$6K |
| J7120 |
Ringers lactate infusion |
7,761 |
7,428 |
$6K |
| 84480 |
|
674 |
636 |
$6K |
| 99402 |
|
99 |
95 |
$6K |
| 99383 |
|
232 |
232 |
$6K |
| S9083 |
Urgent care center global |
45 |
44 |
$6K |
| 84704 |
|
403 |
388 |
$6K |
| 90656 |
|
1,049 |
1,049 |
$5K |
| 84156 |
|
1,879 |
1,759 |
$5K |
| 82803 |
|
2,297 |
2,064 |
$5K |
| 92083 |
|
80 |
78 |
$5K |
| 85651 |
|
2,150 |
2,086 |
$5K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
688 |
626 |
$5K |
| 86753 |
|
499 |
494 |
$5K |
| 80321 |
|
430 |
334 |
$5K |
| 73000 |
|
245 |
213 |
$5K |
| 86255 |
|
433 |
402 |
$5K |
| D7210 |
|
97 |
34 |
$5K |
| 96415 |
|
18 |
13 |
$5K |
| 84450 |
|
1,202 |
1,162 |
$5K |
| 0011A |
|
324 |
318 |
$5K |
| 82248 |
|
1,478 |
1,395 |
$5K |
| 82239 |
|
379 |
325 |
$4K |
| 87486 |
|
285 |
283 |
$4K |
| 96040 |
|
70 |
69 |
$4K |
| J0690 |
Cefazolin sodium injection |
1,364 |
1,301 |
$4K |
| 87798 |
|
145 |
143 |
$4K |
| 85045 |
|
1,215 |
1,151 |
$4K |
| Q3014 |
Telehealth facility fee |
611 |
481 |
$4K |
| J1885 |
Ketorolac tromethamine inj |
7,599 |
7,161 |
$4K |
| 92610 |
|
53 |
53 |
$4K |
| 76827 |
|
46 |
42 |
$4K |
| 73120 |
|
149 |
143 |
$4K |
| 72170 |
|
441 |
432 |
$4K |
| 73562 |
|
296 |
271 |
$4K |
| J1642 |
Inj heparin sodium per 10 u |
1,117 |
875 |
$4K |
| 97164 |
|
52 |
52 |
$4K |
| J0696 |
Ceftriaxone sodium injection |
1,870 |
1,755 |
$4K |
| 91318 |
|
574 |
565 |
$4K |
| M0243 |
Casirivi and imdevi inj |
31 |
31 |
$4K |
| 84100 |
|
2,950 |
2,852 |
$3K |
| 93226 |
|
66 |
65 |
$3K |
| 92587 |
|
129 |
125 |
$3K |
| 86705 |
|
573 |
562 |
$3K |
| Q0163 |
Diphenhydramine hcl 50mg |
3,749 |
3,625 |
$3K |
| 74018 |
|
161 |
159 |
$3K |
| 87581 |
|
285 |
283 |
$3K |
| 73200 |
|
13 |
12 |
$3K |
| 96380 |
|
599 |
599 |
$3K |
| 92507 |
|
38 |
12 |
$3K |
| 82785 |
|
316 |
312 |
$3K |
| 77080 |
|
131 |
128 |
$3K |
| J3010 |
Fentanyl citrate injection |
4,866 |
4,651 |
$3K |
| 84436 |
|
454 |
432 |
$3K |
| 70491 |
|
12 |
12 |
$3K |
| 0012A |
|
151 |
151 |
$3K |
| 90694 |
|
199 |
197 |
$3K |
| 86140 |
|
984 |
965 |
$3K |
| 69210 |
|
38 |
38 |
$3K |
| 82670 |
|
100 |
95 |
$3K |
| G0390 |
Trauma respons w/hosp criti |
95 |
95 |
$3K |
| 86038 |
|
332 |
324 |
$3K |
| 25605 |
|
14 |
14 |
$3K |
| 86258 |
|
163 |
148 |
$3K |
| 82784 |
|
243 |
206 |
$3K |
| 97162 |
|
28 |
28 |
$3K |
| 99401 |
|
57 |
51 |
$3K |
| 76813 |
|
70 |
66 |
$3K |
| 99385 |
|
37 |
37 |
$3K |
| G0447 |
Behavior counsel obesity 15m |
1,098 |
1,088 |
$3K |
| 90836 |
|
27 |
26 |
$3K |
| 29125 |
|
31 |
26 |
$3K |
| H0002 |
Alcohol and/or drug screenin |
12 |
12 |
$3K |
| 0003A |
|
54 |
54 |
$2K |
| J2405 |
Ondansetron hcl injection |
7,079 |
6,464 |
$2K |
| 71271 |
|
13 |
13 |
$2K |
| 80178 |
|
672 |
601 |
$2K |
| 85379 |
|
1,590 |
1,562 |
$2K |
| 90710 |
|
707 |
707 |
$2K |
| 10120 |
|
19 |
17 |
$2K |
| 90833 |
|
33 |
32 |
$2K |
| 11981 |
|
14 |
14 |
$2K |
| 90696 |
|
707 |
707 |
$2K |
| 93971 |
|
36 |
36 |
$2K |
| 86231 |
|
214 |
214 |
$2K |
| 97533 |
|
41 |
12 |
$2K |
| 99396 |
|
39 |
39 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
5,840 |
5,636 |
$2K |
| 82550 |
|
938 |
874 |
$2K |
| 87070 |
|
563 |
548 |
$2K |
| 96376 |
|
936 |
911 |
$2K |
| 99382 |
|
68 |
68 |
$2K |
| 82746 |
|
193 |
193 |
$2K |
| 92550 |
|
64 |
64 |
$2K |
| 91319 |
|
345 |
345 |
$2K |
| 87040 |
|
1,276 |
963 |
$2K |
| 76814 |
|
56 |
53 |
$2K |
| A9579 |
Gad-base mr contrast nos,1ml |
72 |
70 |
$2K |
| 83498 |
|
67 |
67 |
$2K |
| 72190 |
|
112 |
112 |
$2K |
| 11900 |
|
12 |
12 |
$2K |
| 88342 |
|
26 |
25 |
$2K |
| 90672 |
|
671 |
671 |
$2K |
| J7050 |
Normal saline solution infus |
1,966 |
1,441 |
$2K |
| 96168 |
|
158 |
127 |
$2K |
| 99188 |
|
225 |
225 |
$2K |
| 88112 |
|
15 |
15 |
$1K |
| 92133 |
|
24 |
24 |
$1K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
12 |
12 |
$1K |
| 82947 |
|
259 |
227 |
$1K |
| 99222 |
|
13 |
13 |
$1K |
| 0173A |
|
149 |
149 |
$1K |
| 87045 |
|
200 |
194 |
$1K |
| 95024 |
|
54 |
54 |
$1K |
| 82533 |
|
74 |
65 |
$1K |
| 92025 |
|
30 |
26 |
$1K |
| 87205 |
|
635 |
607 |
$1K |
| 81002 |
|
784 |
701 |
$1K |
| J0330 |
Succinycholine chloride inj |
702 |
696 |
$1K |
| 93010 |
|
208 |
180 |
$1K |
| J7611 |
Albuterol non-comp con |
1,342 |
1,259 |
$1K |
| J2270 |
Morphine sulfate injection |
1,702 |
1,496 |
$1K |
| 90623 |
|
95 |
95 |
$1K |
| 74019 |
|
39 |
39 |
$1K |
| J1453 |
Fosaprepitant injection |
15 |
13 |
$998.13 |
| 83615 |
|
348 |
327 |
$958.73 |
| G0109 |
Diab manage trn ind/group |
34 |
34 |
$909.32 |
| J2765 |
Metoclopramide hcl injection |
2,489 |
2,418 |
$885.37 |
| 82397 |
|
464 |
452 |
$850.59 |
| 90473 |
|
841 |
839 |
$842.40 |
| 99221 |
|
13 |
12 |
$803.57 |
| 82247 |
|
360 |
329 |
$801.45 |
| 97124 |
|
27 |
16 |
$798.99 |
| J2710 |
Neostigmine methylslfte inj |
712 |
707 |
$783.75 |
| 87507 |
|
29 |
29 |
$744.24 |
| J1790 |
Droperidol injection |
956 |
897 |
$733.24 |
| 0241U |
|
30 |
26 |
$681.57 |
| J1200 |
Diphenhydramine hcl injectio |
1,292 |
1,164 |
$671.79 |
| 0502F |
|
1,013 |
758 |
$656.40 |
| J0171 |
Adrenalin epinephrine inject |
157 |
150 |
$646.18 |
| 84550 |
|
181 |
172 |
$597.16 |
| 84445 |
|
12 |
12 |
$569.67 |
| 0073A |
|
39 |
39 |
$523.92 |
| J7512 |
Prednisone ir or dr oral 1mg |
961 |
860 |
$509.74 |
| 92227 |
|
80 |
80 |
$495.30 |
| J3475 |
Inj magnesium sulfate |
331 |
302 |
$477.38 |
| 90660 |
|
153 |
153 |
$472.77 |
| 85018 |
|
204 |
204 |
$467.36 |
| 85014 |
|
210 |
210 |
$465.60 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
91 |
91 |
$460.65 |
| J0702 |
Betamethasone acet&sod phosp |
34 |
25 |
$457.65 |
| G0008 |
Admin influenza virus vac |
950 |
949 |
$457.01 |
| 99238 |
|
12 |
12 |
$452.99 |
| 93280 |
|
26 |
12 |
$427.53 |
| 17250 |
|
12 |
12 |
$415.69 |
| 87116 |
|
34 |
12 |
$401.56 |
| 72040 |
|
12 |
12 |
$378.79 |
| J7042 |
5% dextrose/normal saline |
684 |
668 |
$365.67 |
| J9035 |
Bevacizumab injection |
41 |
41 |
$358.46 |
| J1630 |
Haloperidol injection |
1,293 |
1,176 |
$347.62 |
| 80047 |
|
39 |
39 |
$334.49 |
| J7060 |
5% dextrose/water |
269 |
226 |
$334.06 |
| J7613 |
Albuterol non-comp unit |
2,792 |
2,477 |
$322.69 |
| J7510 |
Prednisolone oral per 5 mg |
147 |
142 |
$317.13 |
| 82378 |
|
16 |
12 |
$301.20 |
| 86580 |
|
212 |
212 |
$296.95 |
| 84305 |
|
14 |
14 |
$296.92 |
| 84478 |
|
171 |
171 |
$287.39 |
| J1815 |
Insulin injection |
452 |
342 |
$277.48 |
| D0190 |
|
1,146 |
1,142 |
$272.92 |
| 82962 |
|
609 |
550 |
$250.34 |
| 90671 |
|
50 |
50 |
$249.91 |
| J7644 |
Ipratropium bromide non-comp |
2,983 |
2,614 |
$226.72 |
| 84432 |
|
12 |
12 |
$214.88 |
| 85244 |
|
13 |
13 |
$206.33 |
| 87420 |
|
111 |
107 |
$205.96 |
| J1644 |
Inj heparin sodium per 1000u |
335 |
295 |
$190.94 |
| 82310 |
|
46 |
38 |
$185.76 |
| 87206 |
|
34 |
12 |
$184.35 |
| J2001 |
Lidocaine injection |
524 |
521 |
$181.40 |
| 84154 |
|
13 |
13 |
$180.55 |
| J2060 |
Lorazepam injection |
1,108 |
1,007 |
$177.77 |
| 82565 |
|
31 |
29 |
$168.76 |
| 83605 |
|
157 |
143 |
$168.68 |
| G2012 |
Brief check in by md/qhp |
77 |
70 |
$162.17 |
| 84075 |
|
63 |
62 |
$149.06 |
| 96160 |
|
14 |
14 |
$139.02 |
| J3370 |
Vancomycin hcl injection |
42 |
36 |
$129.47 |
| 90381 |
|
92 |
91 |
$128.79 |
| 90713 |
|
40 |
40 |
$125.31 |
| 82390 |
|
15 |
15 |
$122.05 |
| 82103 |
|
13 |
13 |
$107.54 |
| 84520 |
|
29 |
27 |
$106.84 |
| 85732 |
|
13 |
12 |
$103.36 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
316 |
312 |
$95.90 |
| J3230 |
Chlorpromazine hcl injection |
15 |
15 |
$95.90 |
| 90685 |
|
277 |
274 |
$94.13 |
| J3420 |
Vitamin b12 injection |
85 |
77 |
$89.60 |
| 86430 |
|
13 |
13 |
$83.44 |
| 82330 |
|
67 |
64 |
$79.57 |
| 82150 |
|
39 |
38 |
$71.33 |
| G0009 |
Admin pneumococcal vaccine |
48 |
48 |
$63.20 |
| J1170 |
Hydromorphone injection |
132 |
119 |
$50.78 |
| 99152 |
|
16 |
16 |
$38.71 |
| 3078F |
|
42,022 |
32,413 |
$31.47 |
| 80361 |
|
13 |
13 |
$31.08 |
| 80354 |
|
15 |
15 |
$31.08 |
| 80358 |
|
21 |
20 |
$31.08 |
| 90714 |
|
19 |
17 |
$27.91 |
| J1953 |
Levetiracetam injection |
27 |
26 |
$26.74 |
| 90380 |
|
30 |
30 |
$25.75 |
| J2370 |
Phenylephrine hcl injection |
144 |
138 |
$25.66 |
| 3077F |
|
4,099 |
3,624 |
$25.00 |
| J3490 |
Drugs unclassified injection |
12 |
12 |
$20.52 |
| 87804 |
|
30 |
29 |
$14.22 |
| 84155 |
|
37 |
36 |
$10.97 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
25 |
24 |
$9.99 |
| 87075 |
|
13 |
13 |
$9.47 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
20 |
20 |
$9.20 |
| J3411 |
Thiamine hcl 100 mg |
16 |
13 |
$9.20 |
| 3074F |
|
42,330 |
32,484 |
$6.47 |
| S0028 |
Injection, famotidine, 20 mg |
16 |
16 |
$5.48 |
| J2272 |
Inj, morphine (fresenius) |
14 |
14 |
$2.73 |
| 3075F |
|
8,071 |
7,374 |
$0.03 |
| 99499 |
|
2,408 |
1,832 |
$0.00 |
| 1159F |
|
5,591 |
3,575 |
$0.00 |
| D0191 |
|
544 |
543 |
$0.00 |
| 99080 |
|
1,619 |
608 |
$0.00 |
| 96417 |
|
15 |
12 |
$0.00 |
| 1160F |
|
4,291 |
3,103 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
55 |
53 |
$0.00 |
| 57170 |
|
12 |
12 |
$0.00 |
| 3080F |
|
1,742 |
1,575 |
$0.00 |
| 3079F |
|
10,653 |
9,552 |
$0.00 |
| 94760 |
|
367 |
360 |
$0.00 |
| D1330 |
|
356 |
355 |
$0.00 |
| 4293F |
|
882 |
880 |
$0.00 |
| 1220F |
|
4,234 |
4,233 |
$0.00 |
| 3044F |
|
170 |
170 |
$0.00 |
| 1126F |
|
14 |
13 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
13 |
13 |
$0.00 |