| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99211 |
|
105,443 |
94,774 |
$15.48M |
| 99283 |
|
90,498 |
85,290 |
$10.89M |
| 99285 |
|
72,956 |
65,954 |
$10.80M |
| 99284 |
|
84,277 |
79,962 |
$10.04M |
| 99212 |
|
68,587 |
62,985 |
$9.82M |
| 99213 |
|
58,094 |
52,943 |
$9.43M |
| 97110 |
|
106,194 |
29,465 |
$6.65M |
| 96361 |
|
19,574 |
15,831 |
$6.54M |
| G0378 |
Hospital observation per hr |
23,509 |
13,322 |
$3.12M |
| G0463 |
Hospital outpt clinic visit |
108,682 |
84,379 |
$2.96M |
| 99214 |
|
15,612 |
12,821 |
$2.94M |
| 76856 |
|
16,122 |
15,572 |
$2.16M |
| 74177 |
|
12,486 |
11,760 |
$2.15M |
| 96365 |
|
14,228 |
10,995 |
$2.08M |
| 59025 |
|
7,978 |
5,442 |
$2.02M |
| 99282 |
|
17,192 |
16,605 |
$1.75M |
| 70450 |
|
12,970 |
11,886 |
$1.74M |
| 76830 |
|
14,338 |
13,876 |
$1.43M |
| 77063 |
|
18,383 |
17,976 |
$1.38M |
| 87635 |
|
28,090 |
26,122 |
$1.35M |
| 76801 |
|
9,799 |
8,433 |
$1.33M |
| 45378 |
|
1,072 |
1,054 |
$1.30M |
| 45385 |
|
1,078 |
1,047 |
$1.18M |
| G0480 |
Drug test def 1-7 classes |
26,179 |
22,290 |
$1.11M |
| 97161 |
|
15,346 |
14,333 |
$1.10M |
| 76816 |
|
7,235 |
6,647 |
$1.09M |
| 99391 |
|
7,406 |
6,457 |
$1.05M |
| 43239 |
|
1,422 |
1,352 |
$1.02M |
| 96366 |
|
5,494 |
3,117 |
$994K |
| 96360 |
|
6,407 |
5,841 |
$969K |
| 76805 |
|
7,893 |
7,607 |
$959K |
| 87591 |
|
34,680 |
32,929 |
$929K |
| 87491 |
|
33,616 |
31,928 |
$895K |
| 76705 |
|
7,299 |
6,943 |
$850K |
| 76819 |
|
12,464 |
8,563 |
$810K |
| 93306 |
|
4,444 |
4,102 |
$805K |
| 97140 |
|
40,954 |
13,167 |
$805K |
| 71275 |
|
3,571 |
3,321 |
$767K |
| 76815 |
|
5,601 |
4,326 |
$738K |
| 94640 |
|
10,022 |
7,400 |
$718K |
| 99392 |
|
4,707 |
4,705 |
$706K |
| 70551 |
|
2,503 |
2,345 |
$689K |
| 93971 |
|
3,045 |
2,842 |
$662K |
| 71046 |
|
29,999 |
27,869 |
$657K |
| 85025 |
|
137,266 |
113,859 |
$654K |
| 93975 |
|
4,772 |
4,465 |
$650K |
| 78452 |
|
1,704 |
1,554 |
$647K |
| 74176 |
|
3,807 |
3,578 |
$644K |
| 73721 |
|
1,992 |
1,937 |
$609K |
| 76642 |
|
5,732 |
5,542 |
$607K |
| 81513 |
|
7,350 |
7,007 |
$604K |
| 99393 |
|
4,112 |
4,101 |
$598K |
| 72148 |
|
2,586 |
2,527 |
$573K |
| 97112 |
|
16,226 |
5,771 |
$495K |
| 76813 |
|
3,094 |
2,987 |
$491K |
| 77067 |
|
19,361 |
18,939 |
$484K |
| 96367 |
|
2,873 |
1,964 |
$473K |
| 76536 |
|
3,729 |
3,636 |
$457K |
| 73562 |
|
12,205 |
11,476 |
$441K |
| 76770 |
|
2,846 |
2,712 |
$441K |
| 84443 |
|
47,982 |
45,028 |
$434K |
| 87428 |
|
7,889 |
7,622 |
$430K |
| 99394 |
|
2,774 |
2,763 |
$418K |
| 83036 |
|
74,429 |
70,502 |
$412K |
| 96372 |
|
23,274 |
15,991 |
$396K |
| 76700 |
|
2,109 |
2,056 |
$373K |
| 88305 |
|
10,501 |
9,913 |
$353K |
| 71260 |
|
3,501 |
3,299 |
$339K |
| 96413 |
|
4,417 |
2,626 |
$337K |
| 99395 |
|
2,577 |
2,543 |
$323K |
| 94060 |
|
3,434 |
3,244 |
$316K |
| 80053 |
|
79,396 |
71,222 |
$307K |
| 80048 |
|
96,526 |
77,299 |
$304K |
| 90471 |
|
18,901 |
18,010 |
$298K |
| 12001 |
|
1,774 |
1,724 |
$298K |
| 87804 |
|
21,050 |
13,970 |
$296K |
| 73030 |
|
8,964 |
8,310 |
$293K |
| 45380 |
|
310 |
296 |
$285K |
| 96374 |
|
30,266 |
26,055 |
$280K |
| 73630 |
|
8,886 |
8,197 |
$273K |
| 93017 |
|
2,766 |
2,520 |
$266K |
| 99281 |
|
2,005 |
1,912 |
$265K |
| 76817 |
|
4,770 |
3,926 |
$262K |
| 80050 |
|
15,070 |
14,999 |
$255K |
| 73130 |
|
7,536 |
6,827 |
$247K |
| 82805 |
|
7,866 |
6,469 |
$247K |
| 99218 |
|
5,274 |
3,742 |
$245K |
| 73221 |
|
877 |
856 |
$239K |
| 85027 |
|
51,362 |
46,235 |
$238K |
| 71250 |
|
3,349 |
3,191 |
$234K |
| 87390 |
|
13,575 |
13,286 |
$231K |
| 82306 |
|
12,811 |
12,267 |
$226K |
| 80061 |
|
60,865 |
58,691 |
$225K |
| 87624 |
|
8,928 |
8,805 |
$222K |
| 70553 |
|
532 |
519 |
$221K |
| 99396 |
|
1,777 |
1,761 |
$221K |
| 93005 |
|
56,316 |
48,509 |
$216K |
| 87661 |
|
7,457 |
7,116 |
$213K |
| 87481 |
|
7,444 |
7,103 |
$213K |
| 81025 |
|
37,537 |
34,863 |
$212K |
| 84484 |
|
26,325 |
21,112 |
$211K |
| 96375 |
|
25,558 |
19,938 |
$208K |
| 84702 |
|
16,247 |
13,126 |
$208K |
| 87086 |
|
33,257 |
30,259 |
$207K |
| 10060 |
|
1,280 |
1,220 |
$203K |
| 95886 |
|
672 |
588 |
$202K |
| 77066 |
Tomosynthesis, mammo |
2,773 |
2,688 |
$200K |
| 88142 |
|
12,103 |
11,984 |
$196K |
| 73610 |
|
6,677 |
6,193 |
$195K |
| J1756 |
Iron sucrose injection |
2,470 |
952 |
$194K |
| 99220 |
|
1,379 |
1,279 |
$191K |
| 87880 |
|
16,122 |
15,493 |
$185K |
| 73110 |
|
5,013 |
4,564 |
$179K |
| 87480 |
|
10,630 |
9,892 |
$172K |
| 87510 |
|
10,627 |
9,890 |
$171K |
| 87660 |
|
10,620 |
9,885 |
$171K |
| 90715 |
|
7,468 |
7,259 |
$169K |
| 83880 |
|
9,961 |
8,393 |
$164K |
| 90686 |
|
10,967 |
10,577 |
$162K |
| 73502 |
|
5,190 |
4,847 |
$154K |
| 86803 |
|
14,639 |
14,208 |
$153K |
| 99203 |
|
2,599 |
2,597 |
$148K |
| 72100 |
|
4,463 |
4,289 |
$144K |
| 99291 |
|
1,022 |
991 |
$143K |
| 77080 |
|
2,295 |
2,243 |
$143K |
| 97165 |
|
1,954 |
1,708 |
$142K |
| 86780 |
|
12,649 |
12,316 |
$136K |
| 94727 |
|
3,102 |
2,936 |
$136K |
| 90460 |
|
14,923 |
14,805 |
$135K |
| 71271 |
|
2,480 |
2,430 |
$130K |
| 82728 |
|
14,871 |
13,703 |
$128K |
| 72110 |
|
3,325 |
3,173 |
$126K |
| 83690 |
|
24,424 |
21,591 |
$120K |
| ATP08 |
|
18,291 |
16,036 |
$119K |
| 83735 |
|
29,512 |
20,178 |
$119K |
| 76820 |
|
3,215 |
2,360 |
$116K |
| 76811 |
|
1,501 |
1,483 |
$115K |
| 81001 |
|
49,046 |
44,448 |
$113K |
| 82607 |
|
12,841 |
12,019 |
$113K |
| 72125 |
|
4,715 |
4,359 |
$112K |
| J0131 |
Inj, acetaminophen (nos) |
5,026 |
4,264 |
$108K |
| 74183 |
|
275 |
274 |
$107K |
| 62323 |
|
172 |
170 |
$107K |
| ATP15 |
|
12,344 |
10,463 |
$106K |
| 93270 |
|
9,502 |
4,317 |
$105K |
| 12011 |
|
634 |
626 |
$104K |
| 72141 |
|
446 |
428 |
$102K |
| 99202 |
|
2,593 |
2,588 |
$97K |
| 81220 |
|
290 |
287 |
$95K |
| 86618 |
|
7,112 |
3,919 |
$93K |
| 97802 |
|
1,020 |
1,017 |
$91K |
| 80076 |
|
37,664 |
32,956 |
$90K |
| 77065 |
Tomosynthesis, mammo |
1,087 |
1,069 |
$85K |
| 94618 |
|
846 |
786 |
$83K |
| 74018 |
|
2,169 |
2,015 |
$82K |
| 87340 |
|
9,846 |
9,548 |
$81K |
| 83970 |
|
3,678 |
3,493 |
$79K |
| 97803 |
|
900 |
853 |
$75K |
| 94729 |
|
3,177 |
3,005 |
$75K |
| 85379 |
|
10,810 |
9,970 |
$72K |
| 73140 |
|
2,140 |
2,006 |
$69K |
| G0297 |
Ldct for lung ca screen |
775 |
734 |
$67K |
| 85610 |
|
27,703 |
19,746 |
$67K |
| 93970 |
|
333 |
309 |
$66K |
| 82746 |
|
7,818 |
7,240 |
$66K |
| 73080 |
|
2,096 |
1,984 |
$65K |
| 88342 |
|
2,222 |
2,059 |
$65K |
| 86850 |
|
10,287 |
9,457 |
$64K |
| 87186 |
|
10,683 |
9,881 |
$64K |
| 87081 |
|
11,414 |
10,987 |
$64K |
| G0483 |
Drug test def 22+ classes |
598 |
580 |
$64K |
| 29125 |
|
683 |
667 |
$64K |
| 87653 |
|
2,121 |
2,092 |
$63K |
| 83605 |
|
8,692 |
6,940 |
$63K |
| 82570 |
|
19,695 |
18,545 |
$61K |
| 83540 |
|
14,874 |
13,688 |
$61K |
| ATP14 |
|
10,869 |
9,849 |
$59K |
| 84439 |
|
10,466 |
9,871 |
$58K |
| 12002 |
|
379 |
365 |
$58K |
| 87631 |
|
521 |
507 |
$57K |
| J1642 |
Inj heparin sodium per 10 u |
3,435 |
1,613 |
$55K |
| 83550 |
|
10,051 |
9,170 |
$55K |
| 81003 |
|
33,231 |
31,226 |
$54K |
| 86762 |
|
4,363 |
4,227 |
$54K |
| 82043 |
|
17,491 |
16,690 |
$54K |
| U0003 |
Cov-19 amp prb hgh thruput |
7,165 |
6,133 |
$53K |
| G0481 |
Drug test def 8-14 classes |
957 |
909 |
$53K |
| 76882 |
|
484 |
459 |
$52K |
| 96415 |
|
343 |
222 |
$51K |
| 87633 |
|
153 |
144 |
$51K |
| 83721 |
|
9,897 |
9,385 |
$50K |
| 80074 |
|
1,310 |
1,280 |
$49K |
| 86787 |
|
4,151 |
4,043 |
$49K |
| 84146 |
|
3,298 |
3,163 |
$48K |
| 99215 |
Prolong outpt/office vis |
213 |
209 |
$48K |
| 72050 |
|
1,033 |
1,012 |
$47K |
| 86003 |
|
1,026 |
543 |
$47K |
| 82784 |
|
6,738 |
3,631 |
$46K |
| 99217 |
|
835 |
795 |
$46K |
| 73564 |
|
732 |
710 |
$46K |
| 77002 |
|
247 |
235 |
$44K |
| 71045 |
|
10,693 |
9,527 |
$44K |
| 87420 |
|
4,007 |
3,868 |
$43K |
| 87040 |
|
4,423 |
3,664 |
$43K |
| G0103 |
Psa screening |
4,591 |
4,445 |
$42K |
| 70491 |
|
313 |
292 |
$40K |
| J2469 |
Palonosetron hcl |
405 |
200 |
$39K |
| 97162 |
|
533 |
506 |
$39K |
| 86334 |
|
3,160 |
2,888 |
$38K |
| 86140 |
|
10,669 |
9,558 |
$37K |
| 87522 |
Neg quan hep c or qual rna |
1,043 |
1,016 |
$37K |
| 90677 |
|
858 |
833 |
$37K |
| 72040 |
|
700 |
689 |
$37K |
| S9485 |
Crisis intervention mental h |
94 |
52 |
$37K |
| 86706 |
|
4,545 |
4,363 |
$36K |
| 86704 |
|
4,012 |
3,846 |
$35K |
| G0482 |
Drug test def 15-21 classes |
436 |
415 |
$35K |
| 84100 |
|
21,185 |
13,850 |
$34K |
| 70486 |
|
779 |
742 |
$34K |
| 83001 |
|
2,154 |
2,115 |
$33K |
| 84145 |
|
5,104 |
3,947 |
$33K |
| 88304 |
|
2,366 |
2,243 |
$33K |
| 86696 |
|
1,297 |
1,256 |
$33K |
| 87798 |
|
664 |
334 |
$32K |
| 84403 |
|
1,665 |
1,595 |
$31K |
| 90750 |
|
555 |
550 |
$31K |
| 93296 |
|
1,086 |
1,011 |
$31K |
| 86900 |
|
12,052 |
10,993 |
$31K |
| 83021 |
|
1,949 |
1,905 |
$31K |
| 76886 |
|
209 |
204 |
$31K |
| 87088 |
|
5,445 |
5,114 |
$31K |
| 99204 |
|
315 |
314 |
$30K |
| 84703 |
|
4,906 |
4,620 |
$29K |
| 92551 |
|
289 |
287 |
$29K |
| Q3014 |
Telehealth facility fee |
12,457 |
11,255 |
$29K |
| 82962 |
|
13,915 |
8,634 |
$28K |
| 86901 |
|
11,991 |
10,932 |
$28K |
| G0279 |
Tomosynthesis, mammo |
1,881 |
1,790 |
$28K |
| 82670 |
|
1,103 |
1,086 |
$28K |
| 84425 |
|
1,714 |
1,662 |
$27K |
| J1650 |
Inj enoxaparin sodium |
3,798 |
1,769 |
$27K |
| 80307 |
|
704 |
657 |
$27K |
| 85652 |
|
14,417 |
13,076 |
$26K |
| 96376 |
|
8,276 |
4,956 |
$26K |
| 87070 |
|
4,233 |
3,872 |
$25K |
| 86235 |
|
674 |
346 |
$25K |
| 85730 |
|
6,357 |
5,604 |
$25K |
| 87811 |
|
713 |
707 |
$25K |
| 84165 |
|
3,339 |
3,051 |
$24K |
| 86038 |
|
2,769 |
2,604 |
$24K |
| 83516 |
|
1,813 |
1,244 |
$23K |
| 86708 |
|
2,426 |
2,359 |
$23K |
| 86480 |
|
516 |
493 |
$23K |
| ATP17 |
|
8,491 |
7,669 |
$22K |
| 73590 |
|
1,256 |
1,162 |
$22K |
| 97035 |
|
322 |
138 |
$22K |
| 86695 |
|
1,299 |
1,256 |
$22K |
| ATP09 |
|
3,382 |
2,543 |
$22K |
| J1100 |
Dexamethasone sodium phos |
11,627 |
8,863 |
$22K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
23,316 |
18,708 |
$22K |
| J3010 |
Fentanyl citrate injection |
16,932 |
10,808 |
$22K |
| 87147 |
|
5,040 |
4,745 |
$22K |
| 87077 |
|
4,671 |
4,324 |
$21K |
| 84402 |
|
921 |
903 |
$20K |
| J2704 |
Inj, propofol, 10 mg |
17,874 |
13,497 |
$20K |
| J2250 |
Inj midazolam hydrochloride |
7,032 |
5,946 |
$20K |
| 84480 |
|
2,107 |
1,995 |
$19K |
| J1885 |
Ketorolac tromethamine inj |
22,368 |
15,926 |
$19K |
| 36415 |
|
48,431 |
39,405 |
$19K |
| 72197 |
|
48 |
48 |
$18K |
| G2066 |
Inter devc remote 30d |
841 |
696 |
$18K |
| 90472 |
|
1,936 |
1,888 |
$18K |
| 99173 |
|
431 |
430 |
$18K |
| G0008 |
Admin influenza virus vac |
4,259 |
4,053 |
$17K |
| 80179 |
|
2,926 |
2,629 |
$17K |
| ATP16 |
|
1,935 |
1,495 |
$17K |
| 0240U |
|
412 |
395 |
$17K |
| 90670 |
|
1,782 |
1,765 |
$16K |
| 99381 |
|
103 |
102 |
$16K |
| J1439 |
Inj ferric carboxymaltos 1mg |
17 |
14 |
$16K |
| 76870 |
|
166 |
160 |
$16K |
| 72072 |
|
442 |
434 |
$16K |
| J0696 |
Ceftriaxone sodium injection |
5,989 |
4,333 |
$15K |
| J2405 |
Ondansetron hcl injection |
20,666 |
15,913 |
$15K |
| 83002 |
|
862 |
860 |
$15K |
| 82950 |
|
3,274 |
3,247 |
$14K |
| 90662 |
|
1,461 |
1,338 |
$14K |
| 93299 |
|
466 |
432 |
$14K |
| 80143 |
|
2,789 |
2,485 |
$14K |
| 82565 |
|
9,521 |
8,850 |
$13K |
| 80171 |
|
1,489 |
1,445 |
$13K |
| 87205 |
|
4,204 |
3,807 |
$13K |
| 84466 |
|
1,182 |
1,161 |
$13K |
| 87338 |
|
1,144 |
1,131 |
$13K |
| 70496 |
|
115 |
104 |
$13K |
| J0690 |
Cefazolin sodium injection |
5,535 |
4,486 |
$12K |
| 19083 |
|
12 |
12 |
$12K |
| J0171 |
Adrenalin epinephrine inject |
935 |
777 |
$11K |
| 73090 |
|
607 |
566 |
$11K |
| J2930 |
Methylprednisolone injection |
2,912 |
2,047 |
$11K |
| 85045 |
|
4,234 |
3,887 |
$11K |
| Q0162 |
Ondansetron oral |
7,366 |
6,010 |
$10K |
| 88300 |
|
288 |
268 |
$10K |
| 84460 |
|
7,713 |
7,113 |
$10K |
| 84550 |
|
5,253 |
4,681 |
$10K |
| 20610 |
|
45 |
42 |
$9K |
| 83883 |
|
1,236 |
791 |
$9K |
| 0241U |
|
327 |
324 |
$9K |
| 84153 |
|
1,130 |
1,050 |
$9K |
| 82550 |
|
5,296 |
4,680 |
$9K |
| 82747 |
|
609 |
604 |
$9K |
| 87801 |
|
171 |
165 |
$9K |
| 90746 |
|
314 |
313 |
$9K |
| 71101 |
|
385 |
368 |
$9K |
| 86709 |
|
911 |
905 |
$9K |
| 90651 |
|
866 |
863 |
$9K |
| 90732 |
|
361 |
361 |
$9K |
| J1030 |
Methylprednisolone 40 mg inj |
3,638 |
3,375 |
$9K |
| 90656 |
|
787 |
783 |
$9K |
| 83010 |
|
1,027 |
956 |
$9K |
| J1200 |
Diphenhydramine hcl injectio |
9,836 |
7,055 |
$8K |
| 84450 |
|
7,033 |
6,463 |
$8K |
| ATP02 |
|
2,496 |
2,116 |
$8K |
| 86765 |
|
626 |
620 |
$8K |
| 87651 |
|
282 |
275 |
$8K |
| 84520 |
|
7,205 |
6,687 |
$8K |
| 92552 |
|
50 |
50 |
$8K |
| 87899 |
|
734 |
406 |
$8K |
| 86735 |
|
598 |
592 |
$8K |
| 76942 |
|
27 |
26 |
$7K |
| 90620 |
|
446 |
442 |
$7K |
| 97014 |
|
78 |
27 |
$7K |
| 83615 |
|
3,790 |
3,374 |
$7K |
| 86160 |
|
532 |
367 |
$7K |
| 86666 |
|
507 |
264 |
$7K |
| 84156 |
|
2,368 |
1,948 |
$7K |
| 88313 |
|
393 |
368 |
$7K |
| 84132 |
|
4,616 |
4,251 |
$7K |
| 87046 |
|
841 |
458 |
$6K |
| 86317 |
|
372 |
363 |
$6K |
| 74019 |
|
558 |
507 |
$6K |
| 95909 |
|
35 |
35 |
$6K |
| 80164 |
|
1,438 |
1,299 |
$6K |
| 84255 |
|
245 |
244 |
$6K |
| 84155 |
|
2,990 |
2,730 |
$6K |
| 85018 |
|
2,845 |
2,586 |
$5K |
| 82247 |
|
2,788 |
1,962 |
$5K |
| 82150 |
|
998 |
959 |
$5K |
| 86617 |
|
351 |
187 |
$5K |
| 82465 |
|
1,136 |
1,105 |
$5K |
| J2785 |
Regadenoson injection |
268 |
242 |
$5K |
| ATP03 |
|
4,868 |
4,488 |
$5K |
| 86430 |
|
1,018 |
986 |
$5K |
| 90694 |
|
514 |
511 |
$5K |
| 84144 |
|
241 |
207 |
$4K |
| 82525 |
|
421 |
412 |
$4K |
| 86376 |
|
343 |
337 |
$4K |
| 86039 |
|
500 |
472 |
$4K |
| ATP05 |
|
856 |
766 |
$4K |
| A9500 |
Tc99m sestamibi |
1,252 |
1,113 |
$4K |
| 87045 |
|
470 |
444 |
$4K |
| 82172 |
|
267 |
259 |
$4K |
| 84630 |
|
395 |
391 |
$4K |
| 11042 |
|
23 |
13 |
$4K |
| 85014 |
|
2,227 |
1,984 |
$4K |
| 82947 |
|
1,960 |
1,851 |
$4K |
| 88312 |
|
54 |
54 |
$4K |
| 82785 |
|
271 |
263 |
$4K |
| 20552 |
|
13 |
13 |
$4K |
| 90716 |
|
446 |
443 |
$4K |
| 84295 |
|
1,722 |
1,624 |
$4K |
| 82627 |
|
172 |
172 |
$4K |
| 87015 |
|
745 |
686 |
$4K |
| 93225 |
|
40 |
39 |
$4K |
| 82274 |
|
228 |
226 |
$3K |
| J1644 |
Inj heparin sodium per 1000u |
3,284 |
1,287 |
$3K |
| 93226 |
|
38 |
37 |
$3K |
| 90707 |
|
494 |
492 |
$3K |
| J2060 |
Lorazepam injection |
5,685 |
3,915 |
$3K |
| 86255 |
|
107 |
54 |
$3K |
| J2270 |
Morphine sulfate injection |
7,340 |
4,402 |
$3K |
| 86753 |
|
286 |
148 |
$3K |
| 86200 |
|
215 |
213 |
$3K |
| 73560 |
|
55 |
54 |
$3K |
| ATP07 |
|
741 |
675 |
$3K |
| 86580 |
|
249 |
237 |
$2K |
| 97760 |
|
48 |
37 |
$2K |
| 90653 |
|
300 |
300 |
$2K |
| 82140 |
|
452 |
369 |
$2K |
| 82310 |
|
968 |
952 |
$2K |
| 87625 |
|
68 |
68 |
$2K |
| 0071A |
|
51 |
51 |
$2K |
| 82040 |
|
1,003 |
962 |
$2K |
| 73552 |
|
65 |
62 |
$2K |
| 99224 |
|
74 |
39 |
$2K |
| 97018 |
|
29 |
26 |
$2K |
| 94760 |
|
5,227 |
4,699 |
$2K |
| 82652 |
|
63 |
62 |
$2K |
| 88311 |
|
70 |
67 |
$2K |
| 87329 |
|
200 |
190 |
$2K |
| 85007 |
|
985 |
794 |
$2K |
| 90688 |
|
51 |
51 |
$2K |
| 0072A |
|
40 |
40 |
$2K |
| 93298 |
|
84 |
76 |
$2K |
| 87328 |
|
186 |
177 |
$2K |
| 72131 |
|
41 |
39 |
$2K |
| 82977 |
|
647 |
628 |
$2K |
| 82668 |
|
147 |
136 |
$2K |
| 99188 |
|
46 |
46 |
$2K |
| 82378 |
|
115 |
90 |
$2K |
| 84481 |
|
102 |
102 |
$1K |
| 72081 |
|
27 |
27 |
$1K |
| J3411 |
Thiamine hcl 100 mg |
25 |
12 |
$1K |
| 87181 |
|
581 |
542 |
$1K |
| 83520 |
|
127 |
122 |
$1K |
| 86308 |
|
307 |
294 |
$1K |
| 82533 |
|
98 |
94 |
$1K |
| 86225 |
|
128 |
122 |
$1K |
| G0108 |
Diab manage trn per indiv |
14 |
14 |
$1K |
| 82077 |
|
271 |
241 |
$1K |
| 95913 |
|
12 |
12 |
$1K |
| 87493 |
|
55 |
51 |
$1K |
| 83986 |
|
641 |
613 |
$1K |
| ATP18 |
|
670 |
560 |
$1K |
| J1040 |
Methylprednisolone 80 mg inj |
278 |
250 |
$1K |
| 99234 |
|
12 |
12 |
$1K |
| J2001 |
Lidocaine injection |
2,142 |
1,670 |
$1K |
| G0009 |
Admin pneumococcal vaccine |
513 |
494 |
$984.24 |
| J2765 |
Metoclopramide hcl injection |
6,143 |
5,335 |
$977.22 |
| ATP10 |
|
435 |
382 |
$974.06 |
| Q9960 |
Hocm 200-249mg/ml iodine,1ml |
1,297 |
1,139 |
$950.16 |
| 92083 |
|
28 |
28 |
$939.49 |
| 69209 |
|
71 |
71 |
$939.26 |
| 82951 |
|
77 |
74 |
$926.93 |
| 73060 |
|
44 |
40 |
$923.09 |
| 83525 |
|
81 |
81 |
$912.65 |
| 92133 |
|
25 |
25 |
$871.91 |
| ATP11 |
|
412 |
351 |
$763.28 |
| 86880 |
|
216 |
206 |
$721.89 |
| 74220 |
|
12 |
12 |
$695.18 |
| 0001A |
|
15 |
15 |
$688.20 |
| 83498 |
|
24 |
24 |
$672.24 |
| 82248 |
|
1,515 |
1,119 |
$656.27 |
| 93246 |
|
238 |
223 |
$650.05 |
| 80051 |
|
209 |
202 |
$617.24 |
| ATP13 |
|
250 |
237 |
$598.95 |
| 84311 |
|
413 |
397 |
$538.80 |
| J1170 |
Hydromorphone injection |
266 |
182 |
$502.41 |
| 73523 |
|
12 |
12 |
$502.41 |
| 86431 |
|
92 |
91 |
$494.14 |
| 80178 |
|
196 |
173 |
$483.16 |
| 86769 |
|
12 |
12 |
$469.90 |
| J3475 |
Inj magnesium sulfate |
924 |
577 |
$466.53 |
| 74174 |
|
12 |
12 |
$462.72 |
| 82340 |
|
106 |
103 |
$453.68 |
| 93242 |
|
206 |
203 |
$447.19 |
| 90734 |
|
134 |
133 |
$423.61 |
| 70498 |
|
91 |
79 |
$417.36 |
| 90461 |
|
219 |
213 |
$410.95 |
| G0123 |
Screen cerv/vag thin layer |
685 |
671 |
$392.85 |
| 87184 |
|
123 |
110 |
$384.47 |
| 86800 |
|
27 |
27 |
$381.36 |
| ATP04 |
|
113 |
104 |
$362.90 |
| G0433 |
Elisa hiv-1/hiv-2 screen |
616 |
597 |
$350.61 |
| 87255 |
|
12 |
12 |
$347.79 |
| 80069 |
|
110 |
102 |
$325.47 |
| 82330 |
|
31 |
29 |
$319.02 |
| ATP23 |
|
32 |
26 |
$314.73 |
| 70360 |
|
12 |
12 |
$302.52 |
| 90696 |
|
245 |
245 |
$298.00 |
| J1630 |
Haloperidol injection |
1,137 |
817 |
$286.23 |
| J2710 |
Neostigmine methylslfte inj |
535 |
478 |
$278.23 |
| 88173 |
|
13 |
13 |
$261.56 |
| 87425 |
|
22 |
22 |
$240.68 |
| 90633 |
|
879 |
876 |
$210.71 |
| 90632 |
|
13 |
12 |
$203.60 |
| 76376 |
|
1,639 |
1,599 |
$202.32 |
| 87324 |
|
33 |
27 |
$192.42 |
| 80177 |
|
46 |
43 |
$191.38 |
| 83718 |
|
28 |
27 |
$187.96 |
| S9083 |
Urgent care center global |
292 |
285 |
$179.72 |
| 81050 |
|
65 |
65 |
$175.98 |
| 96417 |
|
34 |
26 |
$172.54 |
| J3370 |
Vancomycin hcl injection |
1,164 |
484 |
$169.27 |
| ATP06 |
|
69 |
60 |
$105.04 |
| 82948 |
|
23 |
21 |
$102.70 |
| 88112 |
|
18 |
12 |
$79.38 |
| 80156 |
|
13 |
12 |
$75.15 |
| 85049 |
|
12 |
12 |
$51.79 |
| 82952 |
|
14 |
14 |
$50.12 |
| J0713 |
Inj ceftazidime per 500 mg |
173 |
114 |
$48.15 |
| 84075 |
|
13 |
12 |
$43.90 |
| 15853 |
|
14 |
14 |
$39.24 |
| 82272 |
|
14 |
12 |
$38.56 |
| J2550 |
Promethazine hcl injection |
153 |
134 |
$27.02 |
| G0283 |
Elec stim other than wound |
77 |
29 |
$27.00 |
| 82270 |
|
13 |
12 |
$26.88 |
| 90710 |
|
76 |
76 |
$19.06 |
| J2795 |
Ropivacaine hcl injection |
68 |
64 |
$18.13 |
| 90713 |
|
14 |
14 |
$14.16 |
| J1815 |
Insulin injection |
59 |
25 |
$8.33 |
| C9113 |
Inj pantoprazole sodium, via |
2,185 |
1,446 |
$8.15 |
| 96368 |
|
33 |
25 |
$0.00 |
| C1769 |
Guide wire |
225 |
183 |
$0.00 |
| 90680 |
|
41 |
40 |
$0.00 |
| G8980 |
Mobility d/c status |
204 |
195 |
$0.00 |
| 90697 |
|
336 |
336 |
$0.00 |
| 90723 |
|
650 |
649 |
$0.00 |
| G8988 |
Self care goal status |
45 |
42 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
93 |
79 |
$0.00 |
| 80320 |
|
115 |
109 |
$0.00 |
| 94761 |
|
393 |
360 |
$0.00 |
| J0515 |
Inj benztropine mesylate |
113 |
68 |
$0.00 |
| A9585 |
Gadobutrol injection |
23 |
22 |
$0.00 |
| A4648 |
Implantable tissue marker |
12 |
12 |
$0.00 |
| 90744 |
|
16 |
16 |
$0.00 |
| 84478 |
|
21 |
13 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
85 |
78 |
$0.00 |
| J3360 |
Diazepam injection |
159 |
96 |
$0.00 |
| J3420 |
Vitamin b12 injection |
82 |
63 |
$0.00 |
| 80329 |
|
65 |
61 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
15 |
12 |
$0.00 |
| 91307 |
|
21 |
16 |
$0.00 |
| J1790 |
Droperidol injection |
15 |
14 |
$0.00 |
| G8987 |
Self care current status |
16 |
16 |
$0.00 |
| 90648 |
|
1,041 |
1,037 |
$0.00 |
| G8978 |
Mobility current status |
511 |
467 |
$0.00 |
| G1004 |
Cdsm ndsc |
3,616 |
2,916 |
$0.00 |
| 99053 |
|
15 |
14 |
$0.00 |
| 99221 |
|
28 |
27 |
$0.00 |
| 90700 |
|
335 |
332 |
$0.00 |
| G8985 |
Carry goal status |
76 |
75 |
$0.00 |
| G8979 |
Mobility goal status |
662 |
590 |
$0.00 |
| 90681 |
|
310 |
310 |
$0.00 |
| Q0177 |
Hydroxyzine pamoate 25mg |
70 |
44 |
$0.00 |
| 90649 |
|
13 |
12 |
$0.00 |
| 90685 |
|
32 |
32 |
$0.00 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
199 |
107 |
$0.00 |
| J0744 |
Ciprofloxacin iv |
21 |
13 |
$0.00 |
| G8984 |
Carry current status |
29 |
29 |
$0.00 |
| J1953 |
Levetiracetam injection |
20 |
13 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
14 |
12 |
$0.00 |
| 87563 |
|
18 |
15 |
$0.00 |