| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
270,011 |
242,884 |
$11.87M |
| 99213 |
|
194,244 |
179,138 |
$6.25M |
| 99284 |
|
89,062 |
81,995 |
$6.12M |
| 99285 |
|
54,438 |
48,068 |
$4.65M |
| 99233 |
Prolong inpt eval add15 m |
94,793 |
33,055 |
$3.45M |
| 99204 |
|
17,729 |
16,792 |
$1.97M |
| 99203 |
|
25,786 |
24,375 |
$1.87M |
| 99472 |
|
5,155 |
1,249 |
$1.73M |
| 99215 |
Prolong outpt/office vis |
21,960 |
18,956 |
$1.32M |
| H1000 |
Prenatal care atrisk assessm |
26,511 |
20,957 |
$1.29M |
| 99391 |
|
16,723 |
15,010 |
$1.24M |
| 99223 |
Prolong inpt eval add15 m |
13,584 |
11,638 |
$1.17M |
| 99392 |
|
12,775 |
12,457 |
$1.15M |
| 99232 |
|
41,612 |
13,905 |
$1.13M |
| 99469 |
|
3,770 |
1,040 |
$1.11M |
| 99479 |
|
10,213 |
2,931 |
$1.03M |
| 93306 |
|
27,085 |
23,612 |
$1.03M |
| 99480 |
|
10,612 |
3,088 |
$1.01M |
| 99291 |
|
13,274 |
4,710 |
$982K |
| 82805 |
|
70,464 |
25,447 |
$963K |
| 74177 |
|
32,466 |
26,664 |
$949K |
| 88305 |
|
12,425 |
10,776 |
$898K |
| 59410 |
|
716 |
677 |
$811K |
| 0202U |
|
6,680 |
6,116 |
$763K |
| 99239 |
|
7,538 |
6,699 |
$692K |
| 85025 |
|
351,416 |
152,019 |
$627K |
| 76816 |
|
9,661 |
8,996 |
$625K |
| T1017 |
Targeted case management |
25,995 |
15,384 |
$554K |
| 0241U |
|
10,258 |
9,589 |
$518K |
| 90460 |
|
37,772 |
33,176 |
$488K |
| 99283 |
|
8,646 |
8,313 |
$476K |
| 90837 |
|
4,803 |
3,166 |
$456K |
| 70450 |
|
31,376 |
24,970 |
$443K |
| 71045 |
|
132,883 |
83,575 |
$441K |
| 99393 |
|
5,049 |
4,969 |
$432K |
| 99244 |
|
3,229 |
2,994 |
$425K |
| 93010 |
|
105,219 |
75,992 |
$412K |
| 99282 |
|
12,383 |
11,962 |
$405K |
| 87635 |
|
15,487 |
12,889 |
$396K |
| U0003 |
Cov-19 amp prb hgh thruput |
8,160 |
7,319 |
$377K |
| 54161 |
|
1,976 |
1,943 |
$373K |
| 97803 |
|
8,989 |
8,545 |
$363K |
| 80053 |
|
221,380 |
109,102 |
$338K |
| 99238 |
|
5,350 |
4,708 |
$330K |
| 82947 |
|
171,033 |
39,738 |
$323K |
| 71275 |
|
9,622 |
8,238 |
$315K |
| 83735 |
|
273,023 |
64,832 |
$301K |
| 93303 |
|
4,525 |
4,203 |
$286K |
| 70551 |
|
5,685 |
4,997 |
$286K |
| 90834 |
|
4,973 |
3,097 |
$286K |
| 88307 |
|
4,456 |
4,145 |
$278K |
| 93304 |
|
7,229 |
5,823 |
$272K |
| 80048 |
|
202,603 |
67,486 |
$247K |
| 99222 |
|
2,771 |
2,562 |
$245K |
| 70553 |
|
4,573 |
3,894 |
$242K |
| 76805 |
|
2,862 |
2,752 |
$239K |
| 71046 |
|
50,622 |
45,060 |
$236K |
| 82330 |
|
56,264 |
12,901 |
$213K |
| 99205 |
Prolong outpt/office vis |
1,497 |
1,379 |
$200K |
| 99211 |
|
16,157 |
14,710 |
$199K |
| 01967 |
|
541 |
521 |
$197K |
| 69436 |
|
1,261 |
1,211 |
$195K |
| 42820 |
|
706 |
673 |
$188K |
| 00170 |
|
1,184 |
1,153 |
$183K |
| 86141 |
|
76,752 |
47,561 |
$182K |
| 59025 |
|
8,870 |
5,921 |
$172K |
| 71260 |
|
7,291 |
5,956 |
$163K |
| 85027 |
|
112,875 |
39,188 |
$161K |
| 92004 |
|
1,308 |
1,129 |
$158K |
| 82803 |
|
27,045 |
12,834 |
$158K |
| 95782 |
|
1,354 |
1,348 |
$146K |
| 86850 |
|
59,110 |
39,258 |
$145K |
| 76815 |
|
2,748 |
2,382 |
$142K |
| 90686 |
|
7,729 |
7,399 |
$141K |
| 95810 |
|
1,306 |
1,290 |
$140K |
| 99243 |
|
1,742 |
1,624 |
$137K |
| 83605 |
|
82,126 |
31,537 |
$133K |
| 74018 |
|
33,441 |
25,992 |
$132K |
| 74176 |
|
4,695 |
3,758 |
$129K |
| 90671 |
|
952 |
910 |
$128K |
| 95720 |
|
1,081 |
567 |
$125K |
| 92060 |
|
2,347 |
2,123 |
$122K |
| 84484 |
|
45,084 |
29,748 |
$118K |
| 99394 |
|
1,285 |
1,260 |
$117K |
| 95004 |
|
1,484 |
1,401 |
$117K |
| 84100 |
|
248,017 |
56,599 |
$115K |
| 93308 |
|
4,069 |
3,135 |
$114K |
| 00920 |
|
874 |
853 |
$114K |
| 76705 |
|
8,025 |
7,155 |
$112K |
| 76775 |
|
6,941 |
6,262 |
$109K |
| 90461 |
|
5,516 |
5,011 |
$108K |
| 71250 |
|
5,705 |
4,636 |
$108K |
| 72125 |
|
7,996 |
6,400 |
$105K |
| 70496 |
|
2,008 |
1,628 |
$102K |
| 76811 |
|
1,024 |
949 |
$96K |
| 90670 |
|
2,406 |
2,293 |
$96K |
| 87040 |
|
32,416 |
20,007 |
$93K |
| 97802 |
|
1,588 |
1,517 |
$90K |
| 85390 |
|
6,722 |
2,451 |
$86K |
| 54150 |
|
1,456 |
1,328 |
$86K |
| 99202 |
|
1,508 |
1,418 |
$84K |
| 90792 |
|
998 |
852 |
$84K |
| 0099U |
|
1,272 |
1,103 |
$82K |
| 86922 |
|
4,143 |
2,398 |
$81K |
| 31231 |
|
982 |
792 |
$78K |
| 99231 |
|
3,880 |
1,944 |
$76K |
| 80307 |
|
10,232 |
8,456 |
$76K |
| 99221 |
|
1,145 |
1,095 |
$73K |
| 76819 |
|
1,736 |
1,450 |
$72K |
| 70498 |
|
2,597 |
2,123 |
$65K |
| 73721 |
|
1,367 |
1,257 |
$63K |
| 87497 |
|
6,798 |
4,342 |
$62K |
| 93970 |
|
3,827 |
2,728 |
$60K |
| T1024 |
Team evaluation & management |
544 |
516 |
$60K |
| 93325 |
|
22,298 |
17,911 |
$60K |
| 99212 |
|
2,479 |
2,212 |
$58K |
| 82306 |
|
12,413 |
11,641 |
$58K |
| 84443 |
|
22,530 |
19,658 |
$57K |
| 90832 |
|
1,630 |
975 |
$56K |
| 99253 |
|
886 |
778 |
$56K |
| 85384 |
|
32,881 |
9,854 |
$55K |
| 81025 |
|
23,723 |
20,879 |
$55K |
| 81001 |
|
73,860 |
60,313 |
$55K |
| H1001 |
Antepartum management |
562 |
504 |
$55K |
| 84145 |
|
21,595 |
11,276 |
$54K |
| 70491 |
|
1,704 |
1,403 |
$53K |
| 93976 |
|
2,498 |
2,278 |
$52K |
| 76700 |
|
2,215 |
2,029 |
$52K |
| 80197 |
|
20,846 |
6,343 |
$52K |
| 87086 |
|
32,104 |
27,547 |
$52K |
| 92014 |
|
1,071 |
893 |
$52K |
| 80202 |
|
18,256 |
7,638 |
$52K |
| 85610 |
|
83,741 |
34,632 |
$51K |
| 76818 |
|
794 |
647 |
$51K |
| 0097U |
|
493 |
465 |
$51K |
| U0005 |
Infec agen detec ampli probe |
5,160 |
4,698 |
$51K |
| G2211 |
Complex e/m visit add on |
4,925 |
4,486 |
$47K |
| 95951 |
|
498 |
222 |
$44K |
| 82784 |
|
8,554 |
6,745 |
$43K |
| 86833 |
|
942 |
793 |
$43K |
| 82728 |
|
21,113 |
17,776 |
$43K |
| 78816 |
|
949 |
766 |
$42K |
| 85520 |
|
21,539 |
4,921 |
$42K |
| 94060 |
|
3,980 |
3,694 |
$42K |
| 82248 |
|
92,645 |
43,047 |
$42K |
| 85730 |
|
41,263 |
19,522 |
$41K |
| 73564 |
|
7,946 |
6,503 |
$40K |
| 83036 |
|
22,238 |
20,532 |
$40K |
| 01961 |
|
188 |
181 |
$39K |
| 82375 |
|
28,957 |
12,104 |
$39K |
| 31575 |
|
907 |
798 |
$37K |
| 87186 |
|
16,619 |
13,452 |
$37K |
| 88108 |
|
2,587 |
2,171 |
$36K |
| 87070 |
|
17,099 |
12,860 |
$36K |
| 83970 |
|
4,804 |
4,218 |
$36K |
| 93321 |
|
13,923 |
11,128 |
$36K |
| J0585 |
Injection,onabotulinumtoxina |
56 |
26 |
$34K |
| 84132 |
|
41,025 |
10,692 |
$34K |
| 85576 |
|
11,474 |
4,602 |
$33K |
| 93320 |
|
5,297 |
4,641 |
$33K |
| 67028 |
|
901 |
688 |
$33K |
| 99464 |
|
722 |
658 |
$33K |
| 87798 |
|
3,496 |
2,825 |
$33K |
| 87077 |
|
24,969 |
19,951 |
$32K |
| 87880 |
|
7,179 |
6,687 |
$32K |
| 73610 |
|
7,473 |
6,625 |
$32K |
| 73110 |
|
6,909 |
6,134 |
$32K |
| 87486 |
|
3,306 |
2,851 |
$32K |
| 87799 |
|
3,537 |
2,536 |
$31K |
| 87507 |
|
1,786 |
1,518 |
$30K |
| 95819 |
|
102 |
98 |
$30K |
| 86803 |
|
10,225 |
9,353 |
$30K |
| 73130 |
|
6,992 |
5,642 |
$29K |
| 77067 |
|
1,714 |
1,559 |
$29K |
| 84702 |
|
11,391 |
9,568 |
$29K |
| 90471 |
|
5,115 |
4,874 |
$28K |
| 86900 |
|
68,851 |
46,880 |
$28K |
| 96112 |
|
218 |
197 |
$28K |
| 73630 |
|
8,164 |
6,732 |
$28K |
| 76830 |
|
1,223 |
1,135 |
$27K |
| 90935 |
|
1,953 |
848 |
$27K |
| 82607 |
|
12,136 |
11,129 |
$27K |
| 85045 |
|
17,412 |
11,364 |
$27K |
| 73030 |
|
7,189 |
6,037 |
$27K |
| 80076 |
|
19,186 |
9,907 |
$27K |
| 01922 |
|
317 |
309 |
$26K |
| 99309 |
|
2,046 |
1,324 |
$25K |
| 83690 |
|
37,087 |
29,881 |
$25K |
| 90791 |
|
232 |
222 |
$25K |
| 90960 |
|
968 |
776 |
$24K |
| 99245 |
|
234 |
169 |
$24K |
| 76642 |
|
1,271 |
983 |
$24K |
| 76813 |
|
364 |
339 |
$23K |
| 84134 |
|
9,383 |
5,329 |
$23K |
| 80061 |
|
14,152 |
12,839 |
$23K |
| 87804 |
|
4,335 |
2,544 |
$22K |
| 87081 |
|
17,425 |
16,402 |
$22K |
| 82140 |
|
9,126 |
4,602 |
$21K |
| 92134 |
|
2,419 |
1,887 |
$21K |
| 93971 |
|
2,154 |
1,826 |
$21K |
| 84295 |
|
33,410 |
9,277 |
$21K |
| 87651 |
|
3,211 |
3,019 |
$21K |
| 93295 |
|
1,181 |
1,050 |
$21K |
| 73560 |
|
6,203 |
4,822 |
$20K |
| 92552 |
|
849 |
836 |
$20K |
| 86901 |
|
69,470 |
46,919 |
$19K |
| 80074 |
|
3,154 |
2,934 |
$19K |
| 95117 |
|
2,036 |
1,311 |
$19K |
| 78264 |
|
1,008 |
908 |
$18K |
| 92012 |
|
366 |
290 |
$18K |
| 88342 |
|
1,771 |
1,550 |
$17K |
| 70480 |
|
516 |
480 |
$17K |
| 81003 |
|
18,547 |
16,796 |
$17K |
| 80047 |
|
6,419 |
5,114 |
$17K |
| 82746 |
|
8,706 |
8,000 |
$17K |
| 86317 |
|
4,657 |
4,193 |
$17K |
| 73590 |
|
4,492 |
3,744 |
$15K |
| 82247 |
|
15,151 |
5,642 |
$15K |
| 72082 |
|
1,540 |
1,517 |
$15K |
| 70487 |
|
1,173 |
961 |
$15K |
| 93000 |
|
2,587 |
2,280 |
$15K |
| 87811 |
|
1,147 |
1,049 |
$15K |
| 99460 |
|
319 |
290 |
$15K |
| 76506 |
|
714 |
533 |
$15K |
| 94010 |
|
2,892 |
2,525 |
$15K |
| 93227 |
|
699 |
673 |
$14K |
| 59515 |
|
12 |
12 |
$14K |
| 85014 |
|
28,700 |
9,152 |
$14K |
| 82533 |
|
4,715 |
3,528 |
$14K |
| 70486 |
|
635 |
576 |
$14K |
| 83050 |
|
29,017 |
12,126 |
$14K |
| 99255 |
|
109 |
105 |
$14K |
| 80069 |
|
10,589 |
5,152 |
$14K |
| 76820 |
|
1,289 |
999 |
$14K |
| 43239 |
|
194 |
179 |
$13K |
| 86905 |
|
1,547 |
1,172 |
$13K |
| 82962 |
|
17,789 |
5,493 |
$13K |
| 83550 |
|
15,067 |
13,732 |
$13K |
| 87340 |
|
11,453 |
10,314 |
$13K |
| 90847 |
|
195 |
143 |
$13K |
| 85347 |
|
12,291 |
5,437 |
$12K |
| 99219 |
|
108 |
108 |
$12K |
| 17311 |
|
79 |
62 |
$12K |
| 92083 |
|
765 |
561 |
$12K |
| 85652 |
|
22,500 |
18,643 |
$12K |
| 70543 |
|
272 |
224 |
$12K |
| 86880 |
|
7,923 |
7,280 |
$12K |
| 83540 |
|
15,705 |
14,232 |
$12K |
| 85379 |
|
9,811 |
6,450 |
$12K |
| 83615 |
|
19,295 |
9,415 |
$12K |
| 73090 |
|
2,863 |
2,556 |
$11K |
| 82570 |
|
14,135 |
11,729 |
$11K |
| 99310 |
Prolong nursin fac eval 15m |
460 |
342 |
$11K |
| 59409 |
|
12 |
12 |
$11K |
| 84439 |
|
12,868 |
11,277 |
$11K |
| 99254 |
|
97 |
89 |
$11K |
| 82077 |
|
5,265 |
4,106 |
$11K |
| 87150 |
|
727 |
606 |
$11K |
| 93272 |
|
622 |
607 |
$10K |
| 87529 |
|
1,242 |
1,098 |
$10K |
| 74240 |
|
489 |
463 |
$10K |
| 94726 |
|
1,197 |
1,074 |
$10K |
| 41010 |
|
159 |
139 |
$10K |
| 82550 |
|
11,930 |
8,218 |
$10K |
| 78815 |
|
262 |
215 |
$10K |
| 90633 |
|
344 |
331 |
$10K |
| 73502 |
|
2,416 |
2,078 |
$10K |
| 0151U |
|
192 |
155 |
$10K |
| 99308 |
|
1,061 |
645 |
$10K |
| 29075 |
|
234 |
222 |
$10K |
| 86762 |
|
4,343 |
4,011 |
$9K |
| 83020 |
|
3,842 |
3,329 |
$9K |
| 87102 |
|
5,422 |
4,561 |
$9K |
| 92201 |
|
1,279 |
542 |
$9K |
| 87116 |
|
3,692 |
3,018 |
$9K |
| 86160 |
|
2,465 |
2,085 |
$9K |
| 73070 |
|
2,053 |
1,840 |
$9K |
| 99152 |
|
2,481 |
1,997 |
$9K |
| 85018 |
|
10,208 |
8,129 |
$9K |
| 88304 |
|
667 |
613 |
$9K |
| G2212 |
Prolong outpt/office vis |
271 |
209 |
$9K |
| 80320 |
|
3,200 |
2,730 |
$9K |
| 87075 |
|
3,009 |
2,520 |
$8K |
| 73140 |
|
2,265 |
2,117 |
$8K |
| 82977 |
|
10,873 |
4,427 |
$8K |
| 86870 |
|
3,057 |
2,492 |
$8K |
| J0475 |
Baclofen 10 mg injection |
16 |
12 |
$8K |
| 54300 |
|
15 |
13 |
$8K |
| 93296 |
|
2,419 |
2,089 |
$8K |
| 73100 |
|
1,506 |
1,393 |
$7K |
| 82565 |
|
11,614 |
7,785 |
$7K |
| 91200 |
|
365 |
311 |
$7K |
| 73552 |
|
1,833 |
1,489 |
$7K |
| 99292 |
|
164 |
57 |
$7K |
| 17110 |
|
192 |
171 |
$7K |
| 72148 |
|
170 |
149 |
$7K |
| 87483 |
|
177 |
158 |
$7K |
| 87581 |
|
3,305 |
2,845 |
$7K |
| 99051 |
|
1,927 |
1,835 |
$7K |
| 87205 |
|
16,394 |
11,749 |
$7K |
| 93798 |
|
1,017 |
206 |
$7K |
| 90472 |
|
1,679 |
941 |
$7K |
| 80051 |
|
5,037 |
2,390 |
$7K |
| 95816 |
|
96 |
89 |
$7K |
| 20611 |
|
211 |
174 |
$6K |
| 72170 |
|
1,790 |
1,542 |
$6K |
| 20610 |
|
262 |
225 |
$6K |
| 88142 |
|
2,218 |
2,074 |
$6K |
| 82105 |
|
1,840 |
1,574 |
$6K |
| 87491 |
|
1,908 |
1,521 |
$6K |
| 82136 |
|
1,106 |
525 |
$6K |
| 95718 |
|
62 |
52 |
$6K |
| 11102 |
|
151 |
132 |
$6K |
| 88312 |
|
469 |
399 |
$6K |
| 00731 |
|
71 |
70 |
$6K |
| J1030 |
Methylprednisolone 40 mg inj |
820 |
714 |
$6K |
| 96372 |
|
1,506 |
1,321 |
$6K |
| 87154 |
|
151 |
138 |
$6K |
| 87103 |
|
2,029 |
1,457 |
$6K |
| 87591 |
|
1,910 |
1,522 |
$5K |
| U0002 |
Covid-19 lab test non-cdc |
114 |
107 |
$5K |
| 62322 |
|
103 |
96 |
$5K |
| 83010 |
|
3,479 |
2,258 |
$5K |
| L4360 |
Pneumat walking boot pre cst |
39 |
38 |
$5K |
| 0002A |
|
134 |
126 |
$5K |
| 86359 |
|
3,552 |
2,976 |
$5K |
| 0001A |
|
185 |
168 |
$5K |
| 94729 |
|
2,050 |
1,824 |
$5K |
| 83930 |
|
5,691 |
3,559 |
$5K |
| 0072A |
|
200 |
135 |
$5K |
| 99395 |
|
75 |
73 |
$5K |
| 86355 |
|
2,512 |
2,083 |
$5K |
| 0353U |
|
127 |
106 |
$5K |
| 82378 |
|
1,668 |
1,211 |
$5K |
| 77066 |
Tomosynthesis, mammo |
173 |
161 |
$5K |
| 69210 |
|
393 |
363 |
$4K |
| 84156 |
|
9,421 |
7,499 |
$4K |
| 99188 |
|
678 |
664 |
$4K |
| 84550 |
|
8,869 |
5,565 |
$4K |
| 00126 |
|
63 |
63 |
$4K |
| 84703 |
|
5,101 |
4,610 |
$4K |
| 90833 |
|
396 |
337 |
$4K |
| 82150 |
|
5,017 |
3,511 |
$4K |
| 87541 |
|
953 |
746 |
$4K |
| 96113 |
|
61 |
53 |
$4K |
| 58340 |
|
37 |
37 |
$4K |
| 77063 |
|
1,095 |
984 |
$4K |
| 75574 |
|
88 |
77 |
$4K |
| 90870 |
|
114 |
49 |
$4K |
| 82310 |
|
5,275 |
2,326 |
$4K |
| 86360 |
|
1,824 |
1,534 |
$4K |
| 88189 |
|
78 |
68 |
$4K |
| 77080 |
|
698 |
639 |
$4K |
| 80195 |
|
1,821 |
757 |
$4K |
| T1027 |
Family training & counseling |
74 |
36 |
$4K |
| 87640 |
|
940 |
741 |
$4K |
| 86920 |
|
1,103 |
661 |
$4K |
| 74183 |
|
66 |
51 |
$4K |
| 93923 |
|
111 |
80 |
$4K |
| 84300 |
|
6,111 |
4,438 |
$3K |
| 90961 |
|
148 |
115 |
$3K |
| J3301 |
Triamcinolone acet inj nos |
1,490 |
1,352 |
$3K |
| 83935 |
|
3,198 |
2,248 |
$3K |
| 87106 |
|
2,122 |
1,539 |
$3K |
| 78306 |
|
222 |
197 |
$3K |
| 87641 |
|
657 |
572 |
$3K |
| 80164 |
|
1,314 |
963 |
$3K |
| 77072 |
|
602 |
588 |
$3K |
| 87632 |
|
313 |
249 |
$3K |
| 74230 |
|
251 |
223 |
$3K |
| 84520 |
|
6,908 |
3,748 |
$3K |
| 87184 |
|
3,600 |
3,183 |
$3K |
| 95115 |
|
346 |
206 |
$3K |
| 92015 |
|
291 |
279 |
$3K |
| 86704 |
|
2,060 |
1,854 |
$3K |
| 99441 |
|
90 |
84 |
$3K |
| 54163 |
|
12 |
12 |
$3K |
| 99220 |
|
31 |
25 |
$3K |
| 84480 |
|
1,948 |
1,713 |
$3K |
| 93294 |
|
283 |
229 |
$3K |
| 72131 |
|
135 |
113 |
$3K |
| 0071A |
|
132 |
94 |
$3K |
| 0012A |
|
378 |
309 |
$3K |
| 82945 |
|
3,918 |
2,924 |
$3K |
| 87400 |
|
1,403 |
1,276 |
$3K |
| 76937 |
|
518 |
393 |
$3K |
| 93356 |
|
592 |
480 |
$3K |
| 00811 |
|
58 |
51 |
$3K |
| 82010 |
|
3,598 |
2,298 |
$3K |
| 76817 |
|
87 |
82 |
$3K |
| 83001 |
|
912 |
844 |
$3K |
| 73521 |
|
360 |
359 |
$3K |
| 99383 |
|
27 |
24 |
$2K |
| L3908 |
Who cock-up nonmolde pre ots |
154 |
150 |
$2K |
| 84153 |
|
831 |
742 |
$2K |
| 84146 |
|
599 |
564 |
$2K |
| 86431 |
|
1,227 |
1,155 |
$2K |
| 90678 |
|
16 |
12 |
$2K |
| 73600 |
|
459 |
423 |
$2K |
| 99201 |
|
45 |
42 |
$2K |
| 87210 |
|
3,515 |
3,160 |
$2K |
| 86356 |
|
224 |
211 |
$2K |
| 90672 |
|
190 |
177 |
$2K |
| 84478 |
|
2,405 |
1,312 |
$2K |
| 0298T |
|
61 |
56 |
$2K |
| 86376 |
|
948 |
864 |
$2K |
| 77014 |
|
73 |
39 |
$2K |
| 84403 |
|
357 |
335 |
$2K |
| 88173 |
|
31 |
24 |
$2K |
| 92250 |
|
235 |
165 |
$2K |
| 36415 |
|
1,027 |
886 |
$2K |
| 84157 |
|
4,163 |
3,084 |
$2K |
| 82270 |
|
1,778 |
1,590 |
$2K |
| 80305 |
|
310 |
301 |
$2K |
| 87206 |
|
3,656 |
3,015 |
$2K |
| 72100 |
|
349 |
324 |
$2K |
| 99358 |
Prolong nursin fac eval 15m |
42 |
29 |
$2K |
| 85613 |
|
1,031 |
967 |
$2K |
| 99443 |
|
95 |
73 |
$2K |
| 76825 |
|
28 |
25 |
$2K |
| 85246 |
|
225 |
201 |
$2K |
| 80170 |
|
499 |
347 |
$2K |
| 83002 |
|
565 |
527 |
$2K |
| 88311 |
|
798 |
677 |
$2K |
| 99396 |
|
17 |
17 |
$2K |
| 76536 |
|
88 |
85 |
$1K |
| 93886 |
|
52 |
38 |
$1K |
| 95885 |
|
30 |
27 |
$1K |
| 51798 |
|
1,041 |
895 |
$1K |
| 80179 |
|
629 |
565 |
$1K |
| 99153 |
Mod sedat endo service >5yrs |
358 |
311 |
$1K |
| 83520 |
|
411 |
229 |
$1K |
| 42830 |
|
13 |
13 |
$1K |
| 95886 |
|
66 |
55 |
$1K |
| 76856 |
|
90 |
83 |
$1K |
| 99459 |
|
127 |
115 |
$1K |
| 73620 |
|
303 |
267 |
$1K |
| 86301 |
|
422 |
325 |
$1K |
| 86357 |
|
1,235 |
984 |
$1K |
| 0011A |
|
338 |
268 |
$1K |
| 90715 |
|
154 |
153 |
$1K |
| 85240 |
|
456 |
366 |
$1K |
| 99252 |
|
30 |
27 |
$1K |
| 84165 |
|
1,298 |
1,110 |
$1K |
| 31237 |
|
43 |
12 |
$1K |
| J1050 |
Medroxyprogesterone acetate |
14 |
14 |
$1K |
| 83051 |
|
583 |
69 |
$1K |
| 92202 |
|
219 |
152 |
$1K |
| 73700 |
|
47 |
39 |
$1K |
| 83883 |
|
321 |
272 |
$1K |
| 01996 |
|
26 |
13 |
$925.84 |
| 43762 |
|
26 |
24 |
$917.78 |
| 86592 |
|
1,559 |
1,452 |
$902.61 |
| 82950 |
|
1,233 |
1,182 |
$839.48 |
| 87420 |
|
292 |
287 |
$829.08 |
| 90723 |
|
1,090 |
1,028 |
$820.20 |
| 84540 |
|
1,429 |
1,174 |
$819.98 |
| 88302 |
|
51 |
51 |
$814.51 |
| 64615 |
|
19 |
15 |
$799.96 |
| 92226 |
|
233 |
58 |
$758.92 |
| 76831 |
|
24 |
24 |
$753.10 |
| 80184 |
|
268 |
76 |
$733.77 |
| J9035 |
Bevacizumab injection |
19 |
12 |
$732.00 |
| 99462 |
|
15 |
13 |
$726.66 |
| 99242 |
|
18 |
14 |
$718.53 |
| 90647 |
|
1,181 |
1,129 |
$710.70 |
| 85732 |
|
975 |
916 |
$707.07 |
| 74019 |
|
152 |
125 |
$700.38 |
| 86769 |
|
206 |
194 |
$699.38 |
| 89051 |
|
665 |
496 |
$667.80 |
| 88341 |
|
75 |
37 |
$659.19 |
| 93975 |
|
14 |
12 |
$642.59 |
| 80165 |
|
523 |
358 |
$638.14 |
| 76801 |
|
13 |
13 |
$632.52 |
| 73080 |
|
106 |
105 |
$631.16 |
| 86828 |
|
93 |
87 |
$624.00 |
| 92133 |
|
102 |
84 |
$617.28 |
| 82390 |
|
535 |
491 |
$604.96 |
| 73120 |
|
155 |
131 |
$595.62 |
| H0049 |
Alcohol/drug screening |
33 |
30 |
$587.52 |
| 86706 |
|
457 |
404 |
$545.82 |
| 73562 |
|
47 |
41 |
$535.05 |
| 59430 |
|
17 |
14 |
$523.75 |
| 99318 |
|
40 |
28 |
$522.31 |
| 84311 |
|
546 |
423 |
$515.11 |
| G1004 |
Cdsm ndsc |
17,073 |
11,256 |
$490.81 |
| 87045 |
|
106 |
93 |
$486.26 |
| 95165 |
|
37 |
12 |
$485.10 |
| 81050 |
|
1,093 |
984 |
$484.61 |
| 93451 |
|
12 |
12 |
$477.95 |
| 95874 |
|
29 |
25 |
$477.71 |
| 99177 |
|
70 |
70 |
$475.20 |
| 74178 |
|
16 |
13 |
$468.00 |
| 83521 |
|
76 |
66 |
$462.67 |
| 62369 |
|
19 |
15 |
$461.92 |
| 77062 |
|
41 |
41 |
$460.05 |
| 95822 |
|
15 |
12 |
$459.23 |
| 82465 |
|
76 |
73 |
$439.60 |
| 84460 |
|
779 |
569 |
$432.18 |
| 88300 |
|
50 |
50 |
$420.21 |
| 82040 |
|
543 |
393 |
$418.51 |
| 86334 |
|
324 |
270 |
$415.63 |
| 77001 |
|
195 |
153 |
$411.25 |
| 11104 |
|
13 |
12 |
$392.13 |
| 87808 |
|
60 |
54 |
$381.99 |
| 80143 |
|
704 |
619 |
$368.43 |
| 99446 |
|
102 |
83 |
$364.82 |
| 70355 |
|
93 |
70 |
$344.72 |
| 93244 |
|
16 |
16 |
$323.11 |
| 95812 |
|
12 |
12 |
$310.24 |
| 72081 |
|
37 |
37 |
$305.70 |
| 70250 |
|
42 |
37 |
$290.98 |
| 84155 |
|
641 |
510 |
$288.32 |
| 85461 |
|
147 |
134 |
$279.31 |
| 84075 |
|
360 |
340 |
$269.47 |
| 84450 |
|
510 |
329 |
$260.91 |
| 88141 |
|
13 |
13 |
$249.90 |
| 83529 |
|
51 |
34 |
$249.66 |
| 86308 |
|
428 |
386 |
$240.84 |
| 76827 |
|
28 |
25 |
$232.54 |
| 90681 |
|
92 |
88 |
$231.00 |
| 76885 |
|
13 |
13 |
$229.43 |
| 85460 |
|
271 |
250 |
$228.35 |
| 99307 |
|
18 |
13 |
$226.01 |
| 86705 |
|
157 |
149 |
$213.99 |
| 77073 |
|
29 |
29 |
$213.28 |
| 90651 |
|
136 |
131 |
$208.44 |
| 94640 |
|
24 |
24 |
$206.00 |
| 90474 |
|
28 |
28 |
$202.30 |
| 82610 |
|
71 |
66 |
$202.20 |
| 87807 |
|
49 |
49 |
$201.51 |
| 73060 |
|
48 |
42 |
$169.65 |
| 82103 |
|
132 |
122 |
$167.33 |
| 87449 |
|
20 |
17 |
$164.68 |
| Q4010 |
Cast sup sht arm adult fbrgl |
20 |
19 |
$161.93 |
| 87905 |
|
30 |
29 |
$160.68 |
| 87071 |
|
127 |
94 |
$149.68 |
| 82340 |
|
69 |
52 |
$148.80 |
| 88313 |
|
14 |
12 |
$145.80 |
| 84133 |
|
446 |
357 |
$139.37 |
| 77002 |
|
13 |
13 |
$133.85 |
| 82438 |
|
145 |
134 |
$129.82 |
| 76870 |
|
14 |
14 |
$127.91 |
| 64642 |
|
12 |
12 |
$122.29 |
| 96110 |
|
26 |
25 |
$117.64 |
| 73522 |
|
18 |
14 |
$116.80 |
| 90710 |
|
12 |
12 |
$113.29 |
| 86860 |
|
30 |
25 |
$110.67 |
| 93016 |
|
12 |
12 |
$104.84 |
| 87107 |
|
162 |
124 |
$103.23 |
| 73020 |
|
34 |
29 |
$99.92 |
| 82436 |
|
303 |
263 |
$92.50 |
| 80186 |
|
47 |
14 |
$86.72 |
| 87899 |
|
41 |
37 |
$85.83 |
| 82948 |
|
374 |
369 |
$76.81 |
| 72040 |
|
14 |
13 |
$75.46 |
| 99354 |
|
39 |
39 |
$71.86 |
| 83525 |
|
84 |
65 |
$66.12 |
| 85300 |
|
50 |
24 |
$65.39 |
| 90620 |
|
56 |
55 |
$59.97 |
| 82374 |
|
83 |
39 |
$55.68 |
| 86403 |
|
48 |
39 |
$54.63 |
| 85306 |
|
13 |
12 |
$53.06 |
| 93297 |
|
78 |
64 |
$51.84 |
| 36416 |
|
14 |
13 |
$48.00 |
| 73501 |
|
15 |
15 |
$46.78 |
| 87046 |
|
107 |
93 |
$46.12 |
| 86885 |
|
26 |
26 |
$39.86 |
| 95251 |
|
39 |
37 |
$38.85 |
| 86022 |
|
14 |
13 |
$33.45 |
| 84166 |
|
75 |
63 |
$30.94 |
| 76377 |
|
30 |
30 |
$30.37 |
| 82553 |
|
84 |
65 |
$28.88 |
| 90696 |
|
12 |
12 |
$21.00 |
| 83986 |
|
19 |
17 |
$19.33 |
| J0696 |
Ceftriaxone sodium injection |
15 |
12 |
$13.14 |
| 87327 |
|
15 |
15 |
$12.88 |
| 86060 |
|
15 |
13 |
$8.83 |
| 81002 |
|
71 |
52 |
$7.10 |
| 91307 |
|
146 |
70 |
$0.01 |
| 90734 |
|
57 |
55 |
$0.00 |
| 91321 |
|
13 |
13 |
$0.00 |
| G0008 |
Admin influenza virus vac |
29 |
24 |
$0.00 |
| 90677 |
|
26 |
25 |
$0.00 |
| 96161 |
|
28 |
26 |
$0.00 |
| 82043 |
|
14 |
14 |
$0.00 |