| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
24,854 |
21,218 |
$8.31M |
| 99284 |
|
35,079 |
30,872 |
$4.68M |
| 87633 |
|
17,027 |
15,685 |
$4.60M |
| 41899 |
|
2,635 |
2,281 |
$3.41M |
| J3490 |
Drugs unclassified injection |
57,013 |
21,088 |
$3.13M |
| G0480 |
Drug test def 1-7 classes |
36,971 |
25,146 |
$3.01M |
| 99283 |
|
38,434 |
34,772 |
$2.98M |
| 80307 |
|
43,576 |
29,200 |
$2.35M |
| 80053 |
|
135,689 |
102,377 |
$2.34M |
| 74177 |
|
8,217 |
7,235 |
$2.15M |
| J0585 |
Injection,onabotulinumtoxina |
6,859 |
3,576 |
$1.91M |
| G0378 |
Hospital observation per hr |
6,768 |
5,735 |
$1.89M |
| 85025 |
|
135,975 |
100,751 |
$1.79M |
| 36415 |
|
184,154 |
120,301 |
$1.55M |
| J2704 |
Inj, propofol, 10 mg |
26,457 |
20,886 |
$915K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
14,984 |
12,664 |
$842K |
| 71260 |
|
5,226 |
4,646 |
$808K |
| 87635 |
|
19,288 |
17,677 |
$802K |
| 96365 |
|
10,780 |
5,975 |
$801K |
| J2405 |
Ondansetron hcl injection |
27,026 |
20,241 |
$799K |
| 96413 |
|
7,900 |
4,440 |
$753K |
| 43239 |
|
3,162 |
2,809 |
$746K |
| 99211 |
|
80,399 |
61,482 |
$740K |
| J3010 |
Fentanyl citrate injection |
16,247 |
12,245 |
$721K |
| 70553 |
|
2,410 |
2,179 |
$714K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,552 |
1,172 |
$679K |
| U0003 |
Cov-19 amp prb hgh thruput |
8,588 |
7,049 |
$668K |
| J2001 |
Lidocaine injection |
16,361 |
13,678 |
$625K |
| G0463 |
Hospital outpt clinic visit |
34,138 |
25,602 |
$613K |
| 96375 |
|
17,350 |
11,228 |
$609K |
| 97110 |
|
17,386 |
4,889 |
$599K |
| J0690 |
Cefazolin sodium injection |
10,549 |
7,349 |
$588K |
| 70450 |
|
7,219 |
6,387 |
$586K |
| 96372 |
|
17,689 |
11,951 |
$586K |
| J2250 |
Inj midazolam hydrochloride |
11,127 |
9,020 |
$577K |
| 78452 |
|
1,631 |
1,471 |
$575K |
| 96374 |
|
18,094 |
15,224 |
$570K |
| 76816 |
|
6,822 |
5,975 |
$552K |
| 96376 |
|
9,339 |
4,620 |
$548K |
| A9552 |
F18 fdg |
847 |
739 |
$532K |
| 88305 |
|
14,813 |
9,712 |
$521K |
| 93306 |
|
4,208 |
3,936 |
$509K |
| 71046 |
|
15,992 |
14,398 |
$505K |
| J1100 |
Dexamethasone sodium phos |
17,890 |
13,485 |
$488K |
| 81003 |
|
46,727 |
39,331 |
$474K |
| 74176 |
|
3,380 |
3,108 |
$454K |
| 78815 |
|
718 |
631 |
$451K |
| 84443 |
|
26,880 |
24,242 |
$445K |
| 93005 |
|
26,712 |
22,852 |
$445K |
| J1885 |
Ketorolac tromethamine inj |
13,213 |
10,573 |
$438K |
| 99282 |
|
8,173 |
7,593 |
$390K |
| 76705 |
|
5,276 |
4,879 |
$382K |
| J7120 |
Ringers lactate infusion |
11,847 |
8,000 |
$362K |
| 71045 |
|
13,562 |
11,621 |
$358K |
| J0131 |
Inj, acetaminophen (nos) |
5,380 |
4,367 |
$351K |
| 96366 |
|
4,498 |
2,317 |
$339K |
| J7050 |
Normal saline solution infus |
13,681 |
5,130 |
$321K |
| 82948 |
|
23,689 |
9,037 |
$318K |
| 87798 |
|
7,548 |
6,962 |
$314K |
| 87486 |
|
7,375 |
6,799 |
$313K |
| 96415 |
|
2,496 |
1,676 |
$309K |
| 64493 |
|
1,045 |
791 |
$296K |
| 87797 |
|
7,374 |
6,797 |
$283K |
| 87086 |
|
20,189 |
17,409 |
$274K |
| J7030 |
Normal saline solution infus |
14,201 |
8,486 |
$273K |
| 87591 |
|
8,583 |
7,743 |
$267K |
| 87491 |
|
8,594 |
7,750 |
$266K |
| C9290 |
Inj, bupivacaine liposome |
2,013 |
1,578 |
$254K |
| 84703 |
|
12,175 |
10,483 |
$251K |
| J9271 |
Inj pembrolizumab |
157 |
107 |
$242K |
| 80048 |
|
19,184 |
14,107 |
$242K |
| J3370 |
Vancomycin hcl injection |
3,249 |
1,544 |
$240K |
| 82306 |
|
11,054 |
10,253 |
$236K |
| 20610 |
|
4,787 |
4,022 |
$234K |
| 85027 |
|
22,281 |
17,335 |
$228K |
| 95810 |
|
554 |
524 |
$225K |
| 84484 |
|
15,822 |
8,843 |
$223K |
| 83690 |
|
16,588 |
14,177 |
$219K |
| 45380 |
|
790 |
688 |
$212K |
| 80061 |
|
16,564 |
15,359 |
$211K |
| J2270 |
Morphine sulfate injection |
4,999 |
3,322 |
$205K |
| 72125 |
|
2,260 |
2,031 |
$201K |
| 76830 |
|
2,357 |
2,199 |
$200K |
| 64615 |
|
2,354 |
2,117 |
$199K |
| 76817 |
|
2,510 |
1,970 |
$198K |
| J2710 |
Neostigmine methylslfte inj |
582 |
484 |
$195K |
| U0002 |
Covid-19 lab test non-cdc |
4,951 |
4,156 |
$194K |
| 95811 |
|
357 |
351 |
$194K |
| 97161 |
|
3,888 |
3,284 |
$193K |
| 87070 |
|
10,839 |
9,495 |
$191K |
| 77067 |
|
3,438 |
3,277 |
$189K |
| 82805 |
|
4,001 |
3,260 |
$182K |
| A9577 |
Inj multihance |
4,616 |
3,792 |
$182K |
| 73630 |
|
6,965 |
5,651 |
$180K |
| J1642 |
Inj heparin sodium per 10 u |
6,254 |
3,195 |
$179K |
| A9500 |
Tc99m sestamibi |
1,615 |
1,457 |
$178K |
| 96361 |
|
5,575 |
4,154 |
$178K |
| 88307 |
|
1,983 |
1,425 |
$177K |
| 80074 |
|
4,262 |
3,884 |
$177K |
| 83036 |
|
18,081 |
16,706 |
$176K |
| 76805 |
|
1,489 |
1,352 |
$175K |
| 87522 |
Neg quan hep c or qual rna |
2,601 |
2,418 |
$175K |
| 73610 |
|
6,034 |
4,949 |
$173K |
| 72148 |
|
978 |
921 |
$173K |
| 73564 |
|
6,516 |
5,316 |
$170K |
| 71250 |
|
2,520 |
2,350 |
$168K |
| 83880 |
|
3,546 |
3,073 |
$168K |
| 74018 |
|
5,245 |
4,573 |
$167K |
| 73721 |
|
851 |
799 |
$167K |
| 73110 |
|
5,078 |
3,911 |
$167K |
| 70551 |
|
785 |
739 |
$163K |
| J1200 |
Diphenhydramine hcl injectio |
4,700 |
2,964 |
$160K |
| 87389 |
|
6,744 |
6,134 |
$159K |
| 87040 |
|
5,500 |
3,143 |
$153K |
| 84439 |
|
14,294 |
12,592 |
$153K |
| 73130 |
|
5,152 |
4,076 |
$150K |
| 77336 |
|
865 |
349 |
$149K |
| J1170 |
Hydromorphone injection |
6,248 |
3,752 |
$148K |
| 95886 |
|
2,928 |
2,737 |
$146K |
| 88175 |
|
5,453 |
4,912 |
$146K |
| 20553 |
|
1,404 |
1,292 |
$145K |
| 45378 |
|
588 |
513 |
$140K |
| 76819 |
|
1,607 |
842 |
$138K |
| 76811 |
|
929 |
842 |
$135K |
| 93971 |
|
2,476 |
2,274 |
$131K |
| 47562 |
|
39 |
30 |
$128K |
| 87507 |
|
532 |
478 |
$128K |
| 96367 |
|
2,720 |
1,830 |
$126K |
| 94640 |
|
2,895 |
2,255 |
$125K |
| 97530 |
|
3,144 |
1,149 |
$123K |
| 11042 |
|
909 |
458 |
$121K |
| 93017 |
|
1,875 |
1,706 |
$120K |
| 87186 |
|
7,694 |
6,324 |
$115K |
| 95957 |
|
515 |
193 |
$112K |
| 43235 |
|
270 |
238 |
$112K |
| 95812 |
|
592 |
566 |
$111K |
| J2930 |
Methylprednisolone injection |
2,661 |
2,202 |
$111K |
| 87902 |
|
627 |
588 |
$111K |
| 86140 |
|
10,701 |
8,720 |
$111K |
| 76536 |
|
1,810 |
1,723 |
$109K |
| 73080 |
|
3,037 |
2,359 |
$108K |
| 83735 |
|
11,934 |
8,651 |
$108K |
| 73030 |
|
4,252 |
3,595 |
$107K |
| 72100 |
|
3,610 |
3,332 |
$105K |
| 85610 |
|
13,238 |
9,923 |
$103K |
| 72141 |
|
481 |
457 |
$101K |
| 83615 |
|
7,389 |
5,283 |
$100K |
| 93303 |
|
387 |
363 |
$99K |
| 58571 |
|
69 |
51 |
$98K |
| 94150 |
|
1,871 |
1,330 |
$97K |
| 83605 |
|
6,513 |
4,866 |
$97K |
| 86850 |
|
7,678 |
6,414 |
$95K |
| 76815 |
|
1,434 |
530 |
$95K |
| 86780 |
|
5,694 |
5,133 |
$91K |
| 82565 |
|
4,187 |
3,706 |
$91K |
| 59025 |
|
2,156 |
640 |
$90K |
| 82977 |
|
4,788 |
3,681 |
$89K |
| 96360 |
|
1,912 |
1,457 |
$87K |
| C1769 |
Guide wire |
3,180 |
2,371 |
$82K |
| 94664 |
|
4,064 |
3,382 |
$81K |
| J2785 |
Regadenoson injection |
953 |
837 |
$81K |
| 76642 |
|
1,621 |
1,540 |
$80K |
| 84550 |
|
5,617 |
4,221 |
$79K |
| 73590 |
|
2,406 |
1,940 |
$78K |
| 84702 |
|
3,930 |
2,946 |
$77K |
| 73090 |
|
2,039 |
1,570 |
$76K |
| 88304 |
|
1,017 |
871 |
$76K |
| 70486 |
|
829 |
760 |
$75K |
| 93970 |
|
769 |
722 |
$74K |
| 82607 |
|
5,911 |
5,450 |
$74K |
| 99281 |
|
3,041 |
2,783 |
$74K |
| 88342 |
|
1,669 |
1,378 |
$73K |
| G0483 |
Drug test def 22+ classes |
523 |
349 |
$73K |
| 76856 |
|
708 |
667 |
$73K |
| 86900 |
|
7,386 |
6,177 |
$73K |
| 87077 |
|
5,994 |
4,878 |
$73K |
| 97140 |
|
2,476 |
1,077 |
$73K |
| 73502 |
|
2,874 |
2,557 |
$72K |
| 77063 |
|
3,171 |
3,004 |
$72K |
| 76775 |
|
1,800 |
1,688 |
$70K |
| 87624 |
|
2,194 |
1,961 |
$70K |
| 97165 |
|
2,035 |
1,718 |
$69K |
| 99213 |
|
2,111 |
1,575 |
$69K |
| J0696 |
Ceftriaxone sodium injection |
5,583 |
3,533 |
$69K |
| J7040 |
Normal saline solution infus |
5,497 |
3,077 |
$68K |
| 85651 |
|
7,549 |
6,286 |
$68K |
| 83970 |
|
2,309 |
2,157 |
$68K |
| 82728 |
|
5,833 |
5,293 |
$68K |
| 86901 |
|
7,680 |
6,401 |
$67K |
| 70496 |
|
253 |
231 |
$67K |
| 87205 |
|
4,589 |
3,893 |
$66K |
| 93701 |
|
2,613 |
2,232 |
$65K |
| J3480 |
Inj potassium chloride |
2,747 |
1,703 |
$65K |
| C1729 |
Cath, drainage |
2,418 |
1,622 |
$65K |
| 94726 |
|
2,438 |
2,298 |
$64K |
| 45385 |
|
340 |
300 |
$64K |
| 71275 |
|
590 |
517 |
$62K |
| 0042T |
|
117 |
107 |
$62K |
| 83516 |
|
3,412 |
1,558 |
$59K |
| 87400 |
|
1,265 |
580 |
$58K |
| 87536 |
|
724 |
663 |
$57K |
| 76801 |
|
581 |
524 |
$57K |
| 96417 |
|
1,455 |
912 |
$57K |
| 85730 |
|
5,327 |
4,355 |
$56K |
| 87075 |
|
2,232 |
1,760 |
$56K |
| 82248 |
|
4,465 |
3,986 |
$56K |
| 72170 |
|
2,194 |
1,980 |
$56K |
| 87088 |
|
2,719 |
2,393 |
$56K |
| 70491 |
|
194 |
176 |
$55K |
| 72050 |
|
1,471 |
1,358 |
$54K |
| 82570 |
|
7,854 |
5,886 |
$54K |
| J2370 |
Phenylephrine hcl injection |
1,414 |
1,193 |
$54K |
| 83721 |
|
4,935 |
4,660 |
$54K |
| 92507 |
|
1,218 |
383 |
$53K |
| J1453 |
Fosaprepitant injection |
475 |
312 |
$53K |
| 84156 |
|
4,444 |
3,404 |
$53K |
| J0780 |
Prochlorperazine injection |
1,972 |
1,512 |
$52K |
| 72072 |
|
1,362 |
1,266 |
$52K |
| 77066 |
Tomosynthesis, mammo |
767 |
723 |
$52K |
| 77386 |
|
422 |
37 |
$52K |
| J1644 |
Inj heparin sodium per 1000u |
4,667 |
1,973 |
$51K |
| 83550 |
|
6,015 |
5,519 |
$51K |
| 84100 |
|
5,092 |
3,732 |
$51K |
| 87653 |
|
1,450 |
1,293 |
$51K |
| 74022 |
|
879 |
823 |
$51K |
| 70498 |
|
182 |
165 |
$51K |
| 87340 |
|
3,496 |
3,226 |
$50K |
| V2632 |
Post chmbr intraocular lens |
617 |
427 |
$49K |
| 66984 |
|
314 |
220 |
$49K |
| 82746 |
|
3,895 |
3,597 |
$48K |
| 83540 |
|
6,229 |
5,720 |
$48K |
| J2795 |
Ropivacaine hcl injection |
1,055 |
815 |
$47K |
| 88341 |
|
639 |
395 |
$46K |
| 10060 |
|
436 |
395 |
$45K |
| 80050 |
|
1,515 |
1,363 |
$45K |
| 90471 |
|
4,154 |
3,611 |
$45K |
| J1650 |
Inj enoxaparin sodium |
2,978 |
1,036 |
$44K |
| 72114 |
|
881 |
841 |
$43K |
| 86360 |
|
455 |
425 |
$42K |
| 95700 |
|
504 |
425 |
$41K |
| J2060 |
Lorazepam injection |
1,323 |
870 |
$40K |
| J1030 |
Methylprednisolone 40 mg inj |
2,413 |
2,090 |
$40K |
| 82043 |
|
5,818 |
5,403 |
$40K |
| 99212 |
|
823 |
720 |
$39K |
| 73552 |
|
1,470 |
1,229 |
$39K |
| 94729 |
|
1,828 |
1,718 |
$39K |
| 86762 |
|
2,292 |
2,108 |
$38K |
| J0702 |
Betamethasone acet&sod phosp |
2,777 |
2,224 |
$37K |
| 77412 |
|
275 |
27 |
$37K |
| 77065 |
Tomosynthesis, mammo |
826 |
794 |
$36K |
| J7060 |
5% dextrose/water |
5,662 |
2,416 |
$36K |
| 76870 |
|
346 |
309 |
$36K |
| 90686 |
|
2,920 |
2,618 |
$36K |
| 73560 |
|
1,362 |
1,101 |
$35K |
| 82784 |
|
1,218 |
1,004 |
$35K |
| 90715 |
|
1,594 |
1,445 |
$35K |
| 84145 |
|
2,001 |
1,602 |
$34K |
| 72082 |
|
693 |
644 |
$34K |
| J2469 |
Palonosetron hcl |
894 |
563 |
$33K |
| 87506 |
|
245 |
224 |
$33K |
| J2505 |
Injection, pegfilgrastim 6mg |
34 |
24 |
$32K |
| 86803 |
|
2,246 |
2,075 |
$32K |
| M0243 |
Casirivi and imdevi inj |
86 |
85 |
$32K |
| 87880 |
|
1,375 |
1,295 |
$32K |
| 76818 |
|
300 |
146 |
$31K |
| 64494 |
|
437 |
348 |
$31K |
| 94010 |
|
1,207 |
1,146 |
$31K |
| 82150 |
|
2,393 |
2,071 |
$31K |
| 82550 |
|
2,169 |
1,694 |
$31K |
| 76882 |
|
550 |
509 |
$31K |
| 64495 |
|
359 |
284 |
$29K |
| 95913 |
|
271 |
256 |
$28K |
| 86706 |
|
1,685 |
1,533 |
$28K |
| 95951 |
|
108 |
39 |
$28K |
| 84481 |
|
977 |
875 |
$27K |
| 94060 |
|
904 |
857 |
$27K |
| 73562 |
|
1,335 |
1,086 |
$27K |
| 86038 |
|
1,621 |
1,461 |
$27K |
| 73060 |
|
649 |
553 |
$26K |
| 73140 |
|
707 |
588 |
$26K |
| 93976 |
|
400 |
368 |
$25K |
| 72110 |
|
513 |
474 |
$25K |
| J8501 |
Oral aprepitant |
227 |
181 |
$25K |
| 82140 |
|
1,584 |
1,162 |
$23K |
| J3475 |
Inj magnesium sulfate |
1,472 |
971 |
$22K |
| 82105 |
|
903 |
826 |
$22K |
| 64642 |
|
114 |
89 |
$21K |
| 97597 |
|
1,140 |
688 |
$20K |
| 82378 |
|
964 |
668 |
$20K |
| 94762 |
|
517 |
320 |
$20K |
| 93880 |
|
302 |
282 |
$20K |
| 84146 |
|
705 |
668 |
$19K |
| 90834 |
|
498 |
323 |
$19K |
| 62323 |
|
15 |
12 |
$19K |
| 95953 |
|
36 |
12 |
$19K |
| 64635 |
|
222 |
168 |
$19K |
| 85379 |
|
1,402 |
1,217 |
$19K |
| 87081 |
|
812 |
705 |
$18K |
| 86235 |
|
371 |
258 |
$18K |
| 83655 |
|
885 |
847 |
$18K |
| 84403 |
|
788 |
733 |
$18K |
| 88112 |
|
676 |
537 |
$18K |
| J2765 |
Metoclopramide hcl injection |
1,072 |
667 |
$17K |
| 82950 |
|
1,422 |
1,309 |
$17K |
| G0008 |
Admin influenza virus vac |
2,046 |
1,868 |
$17K |
| 84153 |
|
1,043 |
941 |
$17K |
| 86255 |
|
985 |
925 |
$17K |
| 83883 |
|
484 |
353 |
$17K |
| J1745 |
Infliximab not biosimil 10mg |
12 |
12 |
$16K |
| 73700 |
|
177 |
168 |
$16K |
| 86480 |
|
292 |
272 |
$16K |
| 86704 |
|
863 |
802 |
$16K |
| 82330 |
|
1,099 |
790 |
$15K |
| 87808 |
|
628 |
568 |
$15K |
| 86707 |
|
688 |
648 |
$15K |
| 95874 |
|
577 |
478 |
$15K |
| 95708 |
|
87 |
27 |
$15K |
| J0897 |
Denosumab injection |
41 |
37 |
$15K |
| 72040 |
|
512 |
439 |
$15K |
| 86200 |
|
504 |
477 |
$15K |
| J1050 |
Medroxyprogesterone acetate |
876 |
803 |
$15K |
| J3304 |
Inj triamcinolone ace xr 1mg |
189 |
158 |
$15K |
| 87350 |
|
687 |
643 |
$15K |
| 73521 |
|
339 |
317 |
$15K |
| 80164 |
|
729 |
654 |
$15K |
| 97602 |
|
572 |
386 |
$14K |
| 83001 |
|
669 |
622 |
$14K |
| 70360 |
|
358 |
328 |
$14K |
| 72052 |
|
267 |
249 |
$14K |
| 86708 |
|
880 |
828 |
$14K |
| 95813 |
|
54 |
53 |
$14K |
| 86430 |
|
758 |
723 |
$14K |
| 83010 |
|
310 |
291 |
$14K |
| 19083 |
|
44 |
38 |
$13K |
| 80076 |
|
1,190 |
1,066 |
$13K |
| 97112 |
|
520 |
227 |
$13K |
| 86705 |
|
664 |
627 |
$13K |
| 93923 |
|
185 |
183 |
$13K |
| 95912 |
|
120 |
116 |
$13K |
| 20550 |
|
230 |
214 |
$13K |
| 93922 |
|
362 |
329 |
$12K |
| 86376 |
|
754 |
717 |
$12K |
| 96411 |
|
253 |
145 |
$12K |
| 97116 |
|
718 |
330 |
$12K |
| 82533 |
|
577 |
448 |
$12K |
| 74019 |
|
360 |
331 |
$12K |
| 76813 |
|
196 |
164 |
$12K |
| J0360 |
Hydralazine hcl injection |
828 |
580 |
$11K |
| 82247 |
|
475 |
392 |
$11K |
| J2543 |
Piperacillin/tazobactam |
1,026 |
424 |
$11K |
| 77080 |
|
183 |
177 |
$11K |
| 95819 |
|
57 |
56 |
$11K |
| J2920 |
Methylprednisolone injection |
553 |
320 |
$11K |
| 85045 |
|
1,499 |
1,315 |
$11K |
| 84460 |
|
454 |
435 |
$11K |
| 88185 |
|
56 |
53 |
$11K |
| G0283 |
Elec stim other than wound |
237 |
90 |
$10K |
| 97162 |
|
302 |
261 |
$10K |
| 81596 |
|
169 |
160 |
$10K |
| 86800 |
|
476 |
442 |
$10K |
| 95816 |
|
72 |
65 |
$9K |
| 84165 |
|
489 |
469 |
$9K |
| 88300 |
|
311 |
260 |
$9K |
| 77334 |
|
92 |
56 |
$9K |
| 64636 |
|
171 |
88 |
$9K |
| 90732 |
|
210 |
183 |
$9K |
| J1040 |
Methylprednisolone 80 mg inj |
465 |
414 |
$8K |
| 97166 |
|
316 |
284 |
$8K |
| 72158 |
|
42 |
38 |
$8K |
| 91200 |
|
191 |
179 |
$8K |
| 82172 |
|
235 |
222 |
$8K |
| J7298 |
Mirena, 52 mg |
43 |
40 |
$8K |
| 20552 |
|
58 |
53 |
$7K |
| 51729 |
|
15 |
13 |
$7K |
| 86258 |
|
1,102 |
505 |
$7K |
| 64633 |
|
17 |
12 |
$7K |
| 51797 |
|
73 |
69 |
$7K |
| 88313 |
|
68 |
57 |
$7K |
| 95714 |
|
69 |
25 |
$7K |
| 84402 |
|
278 |
261 |
$7K |
| 12001 |
|
136 |
121 |
$7K |
| 86147 |
|
42 |
38 |
$7K |
| 49083 |
|
89 |
63 |
$6K |
| 64634 |
|
19 |
12 |
$6K |
| 80320 |
|
186 |
158 |
$6K |
| 95911 |
|
114 |
112 |
$6K |
| 76937 |
|
80 |
68 |
$6K |
| 84520 |
|
74 |
66 |
$6K |
| P9041 |
Albumin (human),5%, 50ml |
271 |
174 |
$6K |
| 58300 |
|
86 |
77 |
$6K |
| 82785 |
|
384 |
351 |
$6K |
| 64643 |
|
61 |
52 |
$6K |
| J2790 |
Rho d immune globulin inj |
78 |
69 |
$6K |
| J3301 |
Triamcinolone acet inj nos |
1,405 |
1,189 |
$6K |
| 72131 |
|
45 |
39 |
$5K |
| 73000 |
|
169 |
139 |
$5K |
| J1815 |
Insulin injection |
163 |
63 |
$5K |
| G8979 |
Mobility goal status |
315 |
281 |
$5K |
| 83002 |
|
213 |
186 |
$5K |
| G8978 |
Mobility current status |
297 |
263 |
$5K |
| 96368 |
|
193 |
105 |
$5K |
| 77002 |
|
39 |
38 |
$5K |
| 85384 |
|
210 |
167 |
$5K |
| 82009 |
|
480 |
427 |
$5K |
| 88173 |
|
65 |
53 |
$5K |
| J7307 |
Etonogestrel implant system |
12 |
12 |
$4K |
| J0171 |
Adrenalin epinephrine inject |
258 |
213 |
$4K |
| 87426 |
|
256 |
224 |
$4K |
| 80055 |
|
118 |
100 |
$4K |
| 91322 |
|
177 |
163 |
$4K |
| 86160 |
|
237 |
142 |
$4K |
| Q9961 |
Hocm 250-299mg/ml iodine,1ml |
36 |
24 |
$4K |
| 83090 |
|
17 |
16 |
$4K |
| 74220 |
|
81 |
81 |
$4K |
| 86231 |
|
541 |
492 |
$4K |
| Q0138 |
Ferumoxytol, non-esrd |
18 |
12 |
$4K |
| 95910 |
|
43 |
43 |
$4K |
| 81513 |
|
56 |
54 |
$4K |
| 11721 |
|
781 |
736 |
$4K |
| 74241 |
|
21 |
18 |
$4K |
| 88172 |
|
50 |
41 |
$4K |
| 84425 |
|
184 |
176 |
$4K |
| 93225 |
|
89 |
88 |
$3K |
| 94618 |
|
190 |
174 |
$3K |
| 82575 |
|
145 |
125 |
$3K |
| 84112 |
|
46 |
36 |
$3K |
| 51784 |
|
88 |
69 |
$3K |
| J9045 |
Carboplatin injection |
322 |
194 |
$3K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
146 |
134 |
$3K |
| 86665 |
|
126 |
92 |
$3K |
| 72156 |
|
12 |
12 |
$3K |
| 76825 |
|
14 |
12 |
$3K |
| 77062 |
|
99 |
95 |
$3K |
| 87015 |
|
66 |
54 |
$3K |
| 80081 |
|
43 |
43 |
$3K |
| 87102 |
|
98 |
80 |
$3K |
| 87116 |
|
66 |
54 |
$3K |
| J1940 |
Furosemide injection |
367 |
222 |
$3K |
| 74270 |
|
28 |
28 |
$3K |
| 36600 |
|
284 |
250 |
$3K |
| 90670 |
|
20 |
20 |
$3K |
| 83519 |
|
68 |
59 |
$3K |
| J0330 |
Succinycholine chloride inj |
28 |
26 |
$3K |
| C1887 |
Catheter, guiding |
94 |
79 |
$3K |
| 69436 |
|
15 |
12 |
$2K |
| 51741 |
|
69 |
57 |
$2K |
| 73221 |
|
19 |
17 |
$2K |
| 84436 |
|
184 |
169 |
$2K |
| 90472 |
|
163 |
149 |
$2K |
| 87804 |
|
285 |
133 |
$2K |
| 77290 |
|
19 |
13 |
$2K |
| J2310 |
Inj naloxone hydrochloride |
45 |
38 |
$2K |
| 88312 |
|
34 |
32 |
$2K |
| 86664 |
|
97 |
92 |
$2K |
| 89050 |
|
116 |
101 |
$2K |
| 77300 |
|
34 |
26 |
$2K |
| 64490 |
|
24 |
12 |
$2K |
| L3808 |
Whfo, rigid w/o joints |
15 |
12 |
$2K |
| 84134 |
|
144 |
124 |
$2K |
| 90853 |
|
137 |
36 |
$2K |
| 77061 |
|
246 |
231 |
$2K |
| 80202 |
|
47 |
24 |
$2K |
| J7999 |
Compounded drug, noc |
70 |
51 |
$2K |
| 85460 |
|
47 |
44 |
$2K |
| 90677 |
|
32 |
28 |
$2K |
| 86663 |
|
70 |
66 |
$2K |
| 80143 |
|
107 |
97 |
$2K |
| J2272 |
Inj, morphine (fresenius) |
1,327 |
854 |
$2K |
| 87661 |
|
79 |
76 |
$2K |
| U0005 |
Infec agen detec ampli probe |
1,103 |
988 |
$2K |
| G0279 |
Tomosynthesis, mammo |
220 |
203 |
$2K |
| 87521 |
Neg quan hep c or qual rna |
54 |
48 |
$2K |
| 84681 |
|
30 |
27 |
$2K |
| 85018 |
|
564 |
403 |
$2K |
| 86778 |
|
58 |
52 |
$2K |
| 99214 |
|
696 |
633 |
$1K |
| 80177 |
|
40 |
38 |
$1K |
| 85461 |
|
140 |
123 |
$1K |
| 88184 |
|
56 |
53 |
$1K |
| 70250 |
|
49 |
45 |
$1K |
| J7042 |
5% dextrose/normal saline |
15 |
13 |
$1K |
| 85240 |
|
55 |
52 |
$1K |
| J0640 |
Leucovorin calcium injection |
73 |
40 |
$1K |
| 87481 |
|
78 |
75 |
$1K |
| 83520 |
|
31 |
25 |
$1K |
| 94760 |
|
458 |
276 |
$1K |
| 85014 |
|
489 |
347 |
$1K |
| 76376 |
|
35 |
32 |
$1K |
| 86920 |
|
52 |
40 |
$1K |
| 86336 |
|
46 |
41 |
$1K |
| 86777 |
|
62 |
56 |
$1K |
| J3489 |
Zoledronic acid 1mg |
111 |
106 |
$1K |
| 80178 |
|
94 |
81 |
$1K |
| 86304 |
|
61 |
49 |
$1K |
| 99490 |
Ccm add 20min |
277 |
234 |
$1K |
| 80329 |
|
27 |
25 |
$1K |
| J9267 |
Paclitaxel injection |
78 |
37 |
$1K |
| 72220 |
|
12 |
12 |
$979.36 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
989 |
798 |
$976.82 |
| 86225 |
|
40 |
37 |
$966.61 |
| 93307 |
|
15 |
14 |
$965.17 |
| 76641 |
|
16 |
13 |
$960.17 |
| 86618 |
|
112 |
53 |
$940.40 |
| G0009 |
Admin pneumococcal vaccine |
168 |
157 |
$939.87 |
| 16020 |
|
13 |
12 |
$906.28 |
| 97804 |
|
15 |
13 |
$873.59 |
| 87807 |
|
22 |
22 |
$822.18 |
| 82670 |
|
39 |
38 |
$821.78 |
| 83992 |
|
47 |
39 |
$815.16 |
| C1758 |
Catheter, ureteral |
101 |
64 |
$810.96 |
| 90662 |
|
254 |
220 |
$805.71 |
| 82103 |
|
83 |
80 |
$804.93 |
| 85705 |
|
26 |
25 |
$798.22 |
| 73600 |
|
43 |
35 |
$793.52 |
| J0744 |
Ciprofloxacin iv |
139 |
92 |
$775.39 |
| 93325 |
|
13 |
12 |
$761.46 |
| 87529 |
|
24 |
12 |
$759.72 |
| 84450 |
|
55 |
54 |
$737.38 |
| 86923 |
|
55 |
39 |
$734.02 |
| 71101 |
|
44 |
39 |
$733.59 |
| 84163 |
|
32 |
29 |
$692.40 |
| 12002 |
|
13 |
12 |
$683.15 |
| J9190 |
Fluorouracil injection |
68 |
28 |
$680.58 |
| J3420 |
Vitamin b12 injection |
325 |
271 |
$654.08 |
| J1580 |
Garamycin gentamicin inj |
383 |
294 |
$632.90 |
| 64492 |
|
21 |
12 |
$625.82 |
| 64491 |
|
21 |
12 |
$625.80 |
| A4216 |
Sterile water/saline, 10 ml |
245 |
186 |
$614.78 |
| P9045 |
Albumin (human), 5%, 250 ml |
129 |
103 |
$613.01 |
| 80179 |
|
38 |
37 |
$602.07 |
| 80375 |
|
41 |
22 |
$593.97 |
| 86308 |
|
53 |
51 |
$576.20 |
| 86141 |
|
25 |
24 |
$574.79 |
| 84432 |
|
12 |
12 |
$566.46 |
| 73100 |
|
30 |
27 |
$559.92 |
| 90656 |
|
180 |
155 |
$554.94 |
| 73620 |
|
28 |
25 |
$541.19 |
| 20526 |
|
27 |
26 |
$515.34 |
| 82951 |
|
29 |
26 |
$511.94 |
| 82652 |
|
16 |
15 |
$507.94 |
| 97164 |
|
13 |
13 |
$498.88 |
| 51798 |
|
127 |
109 |
$486.32 |
| J2791 |
Rhophylac injection |
28 |
25 |
$472.69 |
| 36430 |
|
16 |
12 |
$463.50 |
| 99442 |
|
14 |
14 |
$460.20 |
| 87209 |
|
34 |
30 |
$457.98 |
| 11981 |
|
14 |
14 |
$438.69 |
| 90653 |
|
64 |
54 |
$425.73 |
| 88302 |
|
28 |
25 |
$405.03 |
| 90480 |
|
177 |
163 |
$391.25 |
| 82952 |
|
16 |
14 |
$385.96 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
321 |
254 |
$366.01 |
| J1010 |
Inj, methylpred acetate 1 mg |
224 |
193 |
$365.60 |
| 86300 |
|
15 |
12 |
$362.08 |
| J2919 |
Inj, methylpred sod succ 5mg |
226 |
153 |
$357.01 |
| 84155 |
|
130 |
124 |
$339.80 |
| J1071 |
Inj testosterone cypionate |
76 |
52 |
$339.79 |
| 87329 |
|
47 |
43 |
$338.88 |
| 00731 |
|
29 |
25 |
$337.24 |
| C1894 |
Intro/sheath, non-laser |
45 |
39 |
$325.30 |
| 82024 |
|
13 |
13 |
$323.08 |
| 84300 |
|
97 |
82 |
$320.42 |
| 73120 |
|
19 |
18 |
$300.60 |
| G0127 |
Trim nail(s) |
31 |
31 |
$298.72 |
| J1756 |
Iron sucrose injection |
43 |
14 |
$289.52 |
| 12011 |
|
17 |
14 |
$287.21 |
| J1626 |
Granisetron hcl injection |
177 |
90 |
$284.25 |
| J2550 |
Promethazine hcl injection |
13 |
12 |
$279.22 |
| 98960 |
|
20 |
18 |
$272.05 |
| 71100 |
|
15 |
14 |
$271.13 |
| 94660 |
|
15 |
12 |
$263.79 |
| 87428 |
|
148 |
115 |
$259.01 |
| 86003 |
|
12 |
12 |
$256.25 |
| 85246 |
|
13 |
12 |
$235.61 |
| 77072 |
|
13 |
13 |
$219.32 |
| 83993 |
|
12 |
12 |
$203.17 |
| 82040 |
|
12 |
12 |
$196.28 |
| 94667 |
|
15 |
12 |
$174.90 |
| 84154 |
|
12 |
12 |
$173.44 |
| C1726 |
Cath, bal dil, non-vascular |
51 |
40 |
$156.07 |
| 87493 |
|
14 |
12 |
$154.94 |
| 86592 |
|
38 |
38 |
$140.65 |
| 86015 |
|
16 |
13 |
$136.14 |
| A9561 |
Tc99m oxidronate |
12 |
12 |
$135.68 |
| 0134A |
|
53 |
48 |
$115.68 |
| G0123 |
Screen cerv/vag thin layer |
12 |
12 |
$113.69 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
86 |
58 |
$111.13 |
| 81002 |
|
78 |
71 |
$100.84 |
| C1889 |
Implant/insert device, noc |
27 |
14 |
$100.33 |
| 99203 |
|
56 |
54 |
$84.28 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
359 |
302 |
$74.72 |
| 93296 |
|
43 |
36 |
$72.60 |
| 11720 |
|
15 |
14 |
$72.40 |
| 0064A |
|
18 |
14 |
$66.74 |
| 0124A |
|
38 |
36 |
$53.95 |
| 82947 |
|
13 |
13 |
$52.44 |
| 82272 |
|
15 |
13 |
$45.53 |
| 99204 |
|
53 |
50 |
$41.13 |
| J2360 |
Orphenadrine injection |
32 |
29 |
$37.71 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
66 |
54 |
$36.83 |
| 99215 |
Prolong outpt/office vis |
47 |
41 |
$29.15 |
| J1836 |
Inj, metronidazole, 10 mg |
34 |
13 |
$22.77 |
| 99439 |
|
14 |
13 |
$22.66 |
| G1004 |
Cdsm ndsc |
10,455 |
9,034 |
$19.60 |
| J7510 |
Prednisolone oral per 5 mg |
24 |
13 |
$19.49 |
| 81015 |
|
15 |
13 |
$11.17 |
| C2617 |
Stent, non-cor, tem w/o del |
28 |
24 |
$6.92 |
| J2004 |
Inj, lidocaine w epinephrine |
17 |
16 |
$6.53 |
| Q0166 |
Granisetron hcl 1 mg oral |
23 |
12 |
$6.22 |
| 99202 |
|
15 |
15 |
$5.76 |
| 97535 |
|
21 |
12 |
$0.39 |
| G8987 |
Self care current status |
45 |
43 |
$0.00 |
| G8988 |
Self care goal status |
45 |
43 |
$0.00 |
| 3008F |
|
12 |
12 |
$0.00 |