| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
131,735 |
123,270 |
$45.60M |
| 99285 |
|
49,116 |
45,181 |
$29.87M |
| 74177 |
|
29,526 |
28,163 |
$29.41M |
| 99284 |
|
48,941 |
46,423 |
$23.00M |
| 99282 |
|
89,820 |
85,313 |
$18.59M |
| 70450 |
|
26,651 |
24,906 |
$10.74M |
| 43239 |
|
3,283 |
3,194 |
$3.98M |
| 72125 |
|
8,761 |
8,299 |
$3.93M |
| 93975 |
|
12,512 |
11,913 |
$3.69M |
| T1015 |
Clinic service |
14,304 |
10,326 |
$3.56M |
| G0378 |
Hospital observation per hr |
37,065 |
17,592 |
$3.51M |
| 93306 |
|
7,853 |
7,566 |
$3.09M |
| 97110 |
|
40,468 |
19,339 |
$2.87M |
| 74176 |
|
3,728 |
3,592 |
$2.66M |
| 44970 |
|
394 |
391 |
$2.61M |
| T1016 |
Case management |
24,778 |
6,053 |
$2.15M |
| 99281 |
|
15,376 |
14,895 |
$2.15M |
| 71275 |
|
5,964 |
5,715 |
$2.11M |
| 80053 |
|
192,044 |
165,357 |
$2.02M |
| 99214 |
|
114,299 |
102,322 |
$1.95M |
| 16020 |
|
13,543 |
8,676 |
$1.82M |
| 45380 |
|
2,346 |
2,295 |
$1.77M |
| 99213 |
|
126,215 |
114,232 |
$1.72M |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,610 |
1,532 |
$1.61M |
| 70553 |
|
2,699 |
2,553 |
$1.55M |
| 47562 |
|
218 |
215 |
$1.47M |
| 92587 |
|
2,954 |
2,887 |
$1.41M |
| G0463 |
Hospital outpt clinic visit |
98,703 |
75,457 |
$1.24M |
| 99291 |
|
663 |
640 |
$1.08M |
| 74174 |
|
879 |
853 |
$1.05M |
| 20610 |
|
3,370 |
2,643 |
$1.00M |
| 97140 |
|
23,706 |
12,639 |
$946K |
| 72131 |
|
4,615 |
4,398 |
$935K |
| 12001 |
|
2,517 |
2,445 |
$899K |
| 70498 |
|
2,344 |
2,272 |
$869K |
| 77067 |
|
11,736 |
11,498 |
$818K |
| 76705 |
|
16,384 |
15,756 |
$766K |
| 94060 |
|
2,145 |
2,082 |
$761K |
| 93970 |
|
3,519 |
3,373 |
$754K |
| 11042 |
|
1,750 |
1,355 |
$723K |
| 93976 |
|
16,635 |
16,008 |
$718K |
| 66984 |
|
535 |
514 |
$675K |
| 73110 |
|
8,053 |
6,732 |
$671K |
| 70491 |
|
1,275 |
1,224 |
$619K |
| 99215 |
Prolong outpt/office vis |
19,592 |
17,065 |
$596K |
| 45385 |
|
1,296 |
1,255 |
$568K |
| 76642 |
|
4,490 |
4,325 |
$565K |
| 12002 |
|
1,817 |
1,755 |
$555K |
| 73130 |
|
10,912 |
9,395 |
$541K |
| 92012 |
|
4,507 |
4,151 |
$536K |
| 87536 |
|
5,495 |
5,178 |
$517K |
| 73630 |
|
11,959 |
11,019 |
$516K |
| 72141 |
|
1,082 |
1,034 |
$511K |
| 73610 |
|
8,999 |
8,145 |
$484K |
| 71046 |
|
50,402 |
47,673 |
$484K |
| 45378 |
|
849 |
823 |
$465K |
| 93005 |
|
107,759 |
90,101 |
$456K |
| 78452 |
|
438 |
416 |
$447K |
| 76700 |
|
2,625 |
2,551 |
$443K |
| 12011 |
|
1,727 |
1,686 |
$439K |
| 10060 |
|
2,405 |
2,321 |
$439K |
| 67028 |
|
1,856 |
1,735 |
$435K |
| 97530 |
|
17,415 |
12,120 |
$401K |
| 20611 |
|
2,018 |
1,806 |
$394K |
| 76856 |
|
10,738 |
10,315 |
$384K |
| U0003 |
Cov-19 amp prb hgh thruput |
30,591 |
29,055 |
$380K |
| 70551 |
|
2,006 |
1,944 |
$377K |
| 29125 |
|
1,427 |
1,332 |
$364K |
| 76830 |
|
8,832 |
8,490 |
$342K |
| 92014 |
|
2,852 |
2,790 |
$341K |
| 73721 |
|
1,383 |
1,334 |
$336K |
| 74183 |
|
721 |
685 |
$319K |
| H0031 |
Mh health assess by non-md |
619 |
575 |
$315K |
| 92557 |
|
3,352 |
3,286 |
$315K |
| 92004 |
|
2,216 |
2,177 |
$299K |
| 72148 |
|
1,702 |
1,636 |
$297K |
| 76536 |
|
2,846 |
2,777 |
$297K |
| 80074 |
|
5,452 |
5,189 |
$287K |
| 71260 |
|
6,438 |
6,091 |
$285K |
| 97602 |
|
2,155 |
1,532 |
$280K |
| 96375 |
|
54,001 |
46,201 |
$277K |
| 94010 |
|
1,480 |
1,444 |
$274K |
| 73030 |
|
8,066 |
7,436 |
$257K |
| 97165 |
|
11,103 |
10,458 |
$255K |
| 73564 |
|
2,217 |
2,132 |
$250K |
| 73080 |
|
4,090 |
3,655 |
$247K |
| 88305 |
|
15,762 |
9,965 |
$243K |
| 73700 |
|
785 |
750 |
$242K |
| 76770 |
|
2,756 |
2,701 |
$240K |
| 97597 |
|
1,679 |
1,310 |
$235K |
| 73562 |
|
9,111 |
8,631 |
$235K |
| 73140 |
|
4,364 |
3,766 |
$230K |
| 71250 |
|
2,157 |
2,088 |
$229K |
| 80048 |
|
33,959 |
30,497 |
$226K |
| H0038 |
Self-help/peer svc per 15min |
1,870 |
1,017 |
$223K |
| 69436 |
|
146 |
140 |
$215K |
| 70486 |
|
3,952 |
3,784 |
$185K |
| H2014 |
Skills train and dev, 15 min |
852 |
350 |
$183K |
| 93971 |
|
4,597 |
4,368 |
$181K |
| H2027 |
Psychoed svc, per 15 min |
1,142 |
521 |
$179K |
| 94726 |
|
1,441 |
1,402 |
$169K |
| 73590 |
|
4,837 |
4,468 |
$169K |
| 92083 |
|
1,654 |
1,594 |
$168K |
| 99464 |
|
3,000 |
2,970 |
$168K |
| 96365 |
|
15,419 |
13,879 |
$149K |
| 76882 |
|
3,078 |
2,975 |
$142K |
| 73090 |
|
4,233 |
3,702 |
$141K |
| 19083 |
|
111 |
109 |
$139K |
| 77080 |
|
1,710 |
1,619 |
$139K |
| 93226 |
|
713 |
704 |
$138K |
| 87633 |
|
1,226 |
1,210 |
$137K |
| 72100 |
|
2,302 |
2,255 |
$130K |
| C1769 |
Guide wire |
1,213 |
1,113 |
$127K |
| 29515 |
|
515 |
466 |
$125K |
| 73560 |
|
2,372 |
2,174 |
$118K |
| J2778 |
Ranibizumab injection |
108 |
96 |
$118K |
| 86480 |
|
4,374 |
4,167 |
$117K |
| 97161 |
|
9,893 |
9,428 |
$116K |
| 81599 |
|
771 |
735 |
$113K |
| 74018 |
|
4,894 |
4,297 |
$112K |
| 86003 |
|
763 |
533 |
$109K |
| 77066 |
Tomosynthesis, mammo |
2,814 |
2,724 |
$106K |
| 92250 |
|
1,281 |
1,247 |
$106K |
| 84443 |
|
31,221 |
29,541 |
$105K |
| 87522 |
Neg quan hep c or qual rna |
3,396 |
3,235 |
$104K |
| 73221 |
|
462 |
440 |
$102K |
| 11721 |
|
2,788 |
2,680 |
$102K |
| 70496 |
|
2,078 |
1,997 |
$100K |
| 87902 |
|
212 |
205 |
$98K |
| 85025 |
|
193,625 |
164,155 |
$97K |
| 71271 |
|
1,170 |
1,126 |
$92K |
| J0561 |
Penicillin g benzathine inj |
399 |
352 |
$92K |
| 16025 |
|
584 |
404 |
$89K |
| 72110 |
|
955 |
941 |
$88K |
| 96374 |
|
72,622 |
66,086 |
$85K |
| 70487 |
|
156 |
154 |
$83K |
| 73502 |
|
3,687 |
3,526 |
$78K |
| 74220 |
|
395 |
388 |
$77K |
| 93017 |
|
1,325 |
1,254 |
$75K |
| 80061 |
|
33,657 |
32,000 |
$74K |
| 96413 |
|
3,395 |
2,162 |
$73K |
| 73701 |
|
110 |
105 |
$72K |
| 97168 |
|
1,924 |
1,716 |
$69K |
| J7325 |
Synvisc or synvisc-one |
41 |
39 |
$68K |
| 59025 |
|
3,162 |
2,676 |
$68K |
| 11055 |
|
506 |
464 |
$64K |
| 74160 |
|
195 |
183 |
$64K |
| 87635 |
|
4,932 |
4,741 |
$64K |
| C8929 |
Tte w or wo fol wcon,doppler |
552 |
536 |
$63K |
| 73552 |
|
2,166 |
2,043 |
$63K |
| 96372 |
|
47,213 |
36,320 |
$61K |
| 99212 |
|
10,563 |
9,953 |
$60K |
| 73070 |
|
895 |
814 |
$58K |
| 72050 |
|
372 |
359 |
$58K |
| 95908 |
|
177 |
174 |
$57K |
| 73060 |
|
1,885 |
1,726 |
$56K |
| J2469 |
Palonosetron hcl |
629 |
387 |
$55K |
| 77065 |
Tomosynthesis, mammo |
2,302 |
2,171 |
$54K |
| 99203 |
|
2,665 |
2,577 |
$49K |
| 87507 |
|
528 |
513 |
$49K |
| 76805 |
|
1,797 |
1,745 |
$49K |
| J1650 |
Inj enoxaparin sodium |
8,658 |
4,855 |
$48K |
| 80307 |
|
31,258 |
28,493 |
$48K |
| 11056 |
|
442 |
418 |
$47K |
| 93303 |
|
66 |
65 |
$46K |
| 97760 |
|
4,833 |
4,125 |
$45K |
| 80076 |
|
2,576 |
2,462 |
$44K |
| 36430 |
|
952 |
760 |
$44K |
| 74230 |
|
270 |
261 |
$44K |
| 76815 |
|
2,743 |
2,545 |
$44K |
| 99204 |
|
1,935 |
1,873 |
$41K |
| 0241U |
|
14,371 |
13,842 |
$41K |
| 93308 |
|
1,188 |
1,137 |
$39K |
| 72128 |
|
3,565 |
3,381 |
$39K |
| 82274 |
|
7,324 |
7,051 |
$37K |
| 11100 |
|
108 |
107 |
$36K |
| A6198 |
Alginate dressing > 48 sq in |
3,358 |
2,491 |
$35K |
| 92228 |
|
937 |
923 |
$35K |
| 76775 |
|
700 |
677 |
$33K |
| G0297 |
Ldct for lung ca screen |
513 |
472 |
$32K |
| 96361 |
|
73,534 |
59,726 |
$31K |
| T1002 |
Rn services up to 15 minutes |
3,914 |
2,361 |
$31K |
| 72040 |
|
770 |
758 |
$31K |
| 71045 |
|
27,849 |
25,773 |
$30K |
| 73000 |
|
454 |
412 |
$30K |
| 92136 |
|
317 |
298 |
$29K |
| 86235 |
|
745 |
396 |
$29K |
| 72114 |
|
264 |
251 |
$28K |
| 90677 |
|
579 |
570 |
$28K |
| 84702 |
|
10,429 |
9,006 |
$27K |
| 76801 |
|
4,516 |
4,166 |
$27K |
| 80320 |
|
22,835 |
20,621 |
$26K |
| 76942 |
|
262 |
246 |
$26K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
51,984 |
41,834 |
$25K |
| 84403 |
|
1,471 |
1,395 |
$25K |
| 96360 |
|
22,246 |
21,060 |
$25K |
| Q9950 |
Inj sulf hexa lipid microsph |
1,366 |
1,244 |
$25K |
| 96367 |
|
3,234 |
2,802 |
$23K |
| 92507 |
|
1,245 |
437 |
$22K |
| 82746 |
|
3,714 |
3,501 |
$22K |
| G0121 |
Colon ca scrn not hi rsk ind |
42 |
40 |
$22K |
| 93923 |
|
312 |
304 |
$22K |
| 51702 |
|
1,769 |
1,511 |
$22K |
| 90670 |
|
1,652 |
1,521 |
$21K |
| 81513 |
|
306 |
295 |
$20K |
| 29075 |
|
165 |
156 |
$20K |
| 16030 |
|
50 |
39 |
$20K |
| 90746 |
|
417 |
397 |
$20K |
| J1756 |
Iron sucrose injection |
665 |
368 |
$19K |
| 95819 |
|
82 |
76 |
$19K |
| 29065 |
|
616 |
531 |
$19K |
| 92579 |
|
642 |
627 |
$18K |
| 86803 |
|
16,397 |
15,762 |
$18K |
| 87631 |
|
6,824 |
6,576 |
$18K |
| 74019 |
|
1,806 |
1,761 |
$17K |
| 12013 |
|
76 |
75 |
$17K |
| H0004 |
Alcohol and/or drug services |
126 |
55 |
$17K |
| 96523 |
|
292 |
270 |
$17K |
| 95909 |
|
51 |
51 |
$17K |
| 49083 |
|
19 |
13 |
$16K |
| 93880 |
|
185 |
171 |
$16K |
| 73200 |
|
52 |
50 |
$16K |
| 82607 |
|
6,408 |
6,063 |
$16K |
| 51798 |
|
712 |
658 |
$16K |
| 72170 |
|
490 |
466 |
$16K |
| 11750 |
|
85 |
66 |
$16K |
| 82306 |
|
14,727 |
14,050 |
$16K |
| Q9956 |
Inj octafluoropropane mic,ml |
4,015 |
2,121 |
$16K |
| 87491 |
|
17,703 |
16,791 |
$14K |
| 87338 |
|
2,671 |
2,611 |
$14K |
| 86850 |
|
9,903 |
9,055 |
$14K |
| 76870 |
|
2,153 |
2,063 |
$14K |
| J0897 |
Denosumab injection |
26 |
24 |
$14K |
| 94640 |
|
11,380 |
8,723 |
$14K |
| 73521 |
|
451 |
438 |
$14K |
| 29085 |
|
56 |
45 |
$13K |
| 85027 |
|
22,095 |
19,347 |
$13K |
| 97802 |
|
332 |
329 |
$12K |
| C9257 |
Bevacizumab injection |
1,030 |
895 |
$12K |
| 87070 |
|
3,878 |
3,425 |
$12K |
| 29105 |
|
39 |
36 |
$12K |
| 92002 |
|
88 |
86 |
$11K |
| 92585 |
|
44 |
40 |
$11K |
| A4648 |
Implantable tissue marker |
203 |
190 |
$11K |
| 83036 |
|
44,390 |
42,129 |
$10K |
| 88341 |
|
586 |
321 |
$10K |
| 73660 |
|
620 |
590 |
$10K |
| 99153 |
Mod sedat endo service >5yrs |
1,074 |
992 |
$10K |
| P9016 |
Rbc leukocytes reduced |
772 |
598 |
$9K |
| 87389 |
|
43,161 |
41,563 |
$9K |
| 72070 |
|
580 |
562 |
$9K |
| 90715 |
|
10,134 |
9,783 |
$9K |
| J7318 |
Inj, durolane 1 mg |
31 |
29 |
$9K |
| 76885 |
|
88 |
87 |
$9K |
| 10022 |
|
12 |
12 |
$8K |
| 84165 |
|
634 |
613 |
$8K |
| 83970 |
|
1,349 |
1,245 |
$8K |
| 95860 |
|
68 |
68 |
$8K |
| 73100 |
|
81 |
67 |
$8K |
| 96366 |
|
8,971 |
6,297 |
$8K |
| 92134 |
|
4,148 |
3,814 |
$7K |
| 87651 |
|
14,479 |
14,182 |
$7K |
| J2785 |
Regadenoson injection |
326 |
302 |
$7K |
| 87186 |
|
12,794 |
11,341 |
$7K |
| 83880 |
|
9,756 |
9,092 |
$7K |
| 99391 |
|
1,168 |
976 |
$6K |
| 82550 |
|
15,919 |
13,230 |
$6K |
| 80164 |
|
975 |
833 |
$6K |
| 83516 |
|
2,759 |
2,095 |
$6K |
| 11730 |
|
26 |
24 |
$6K |
| 91322 |
|
350 |
340 |
$6K |
| M0247 |
Sotrovimab infusion |
109 |
100 |
$6K |
| 97803 |
|
237 |
235 |
$6K |
| 99211 |
|
1,694 |
1,332 |
$6K |
| 94761 |
|
2,111 |
1,745 |
$5K |
| 82247 |
|
1,812 |
1,481 |
$5K |
| 76817 |
|
2,258 |
2,129 |
$5K |
| 95816 |
|
27 |
26 |
$5K |
| 92567 |
|
5,317 |
5,178 |
$5K |
| 84153 |
|
1,859 |
1,744 |
$5K |
| 97535 |
|
2,609 |
2,054 |
$5K |
| 95910 |
|
12 |
12 |
$5K |
| 86635 |
|
2,009 |
1,756 |
$5K |
| 92523 |
|
117 |
111 |
$5K |
| 11102 |
|
16 |
16 |
$4K |
| 17250 |
|
15 |
13 |
$4K |
| 87801 |
|
1,009 |
955 |
$4K |
| 88312 |
|
3,680 |
2,191 |
$4K |
| A9270 |
Non-covered item or service |
9,979 |
4,772 |
$4K |
| 31500 |
|
40 |
39 |
$4K |
| 82728 |
|
5,655 |
5,385 |
$4K |
| 92950 |
|
45 |
41 |
$4K |
| 97162 |
|
559 |
525 |
$4K |
| 81001 |
|
99,646 |
92,065 |
$4K |
| A9585 |
Gadobutrol injection |
7,511 |
4,891 |
$4K |
| 88304 |
|
3,316 |
2,819 |
$4K |
| 84445 |
|
82 |
79 |
$4K |
| 90686 |
|
2,772 |
2,566 |
$4K |
| 84146 |
|
645 |
602 |
$4K |
| 87086 |
|
39,868 |
37,752 |
$4K |
| 94618 |
|
214 |
195 |
$4K |
| 73120 |
|
45 |
39 |
$3K |
| G0127 |
Trim nail(s) |
284 |
276 |
$3K |
| 99442 |
|
302 |
284 |
$3K |
| 87637 |
|
9,121 |
8,826 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
42 |
38 |
$3K |
| G0108 |
Diab manage trn per indiv |
521 |
465 |
$3K |
| 64400 |
|
59 |
56 |
$3K |
| 97112 |
|
140 |
94 |
$3K |
| 87591 |
|
17,702 |
16,787 |
$3K |
| 72190 |
|
18 |
14 |
$3K |
| 82533 |
|
105 |
93 |
$3K |
| J3420 |
Vitamin b12 injection |
1,414 |
1,148 |
$3K |
| A6223 |
Gauze >16<=48 no w/sal w/o b |
8,018 |
5,791 |
$3K |
| 76604 |
|
113 |
112 |
$3K |
| 99360 |
|
2,541 |
1,336 |
$3K |
| 73600 |
|
28 |
27 |
$3K |
| 36591 |
|
959 |
641 |
$3K |
| J3301 |
Triamcinolone acet inj nos |
4,206 |
3,923 |
$3K |
| 0450 |
|
64 |
60 |
$3K |
| 85730 |
|
6,487 |
5,611 |
$3K |
| 88342 |
|
1,641 |
1,298 |
$3K |
| A6209 |
Foam drsg <=16 sq in w/o bdr |
1,902 |
1,749 |
$3K |
| J7321 |
Hyalgan supartz visco-3 dose |
761 |
356 |
$3K |
| 82803 |
|
2,668 |
2,353 |
$2K |
| 86704 |
|
1,847 |
1,771 |
$2K |
| 90739 |
|
13 |
13 |
$2K |
| 87045 |
|
380 |
367 |
$2K |
| 90471 |
|
14,929 |
14,215 |
$2K |
| 83690 |
|
50,993 |
46,999 |
$2K |
| 82570 |
|
14,126 |
13,300 |
$2K |
| 84484 |
|
46,561 |
35,313 |
$2K |
| 85610 |
|
52,614 |
46,705 |
$2K |
| 76512 |
|
27 |
26 |
$2K |
| G0480 |
Drug test def 1-7 classes |
1,500 |
1,375 |
$2K |
| 69210 |
|
72 |
70 |
$2K |
| 90736 |
|
108 |
94 |
$2K |
| 86331 |
|
926 |
892 |
$2K |
| 11057 |
|
14 |
13 |
$2K |
| 84030 |
|
355 |
353 |
$2K |
| 83001 |
|
408 |
395 |
$2K |
| 72146 |
|
13 |
13 |
$2K |
| 84703 |
|
37,402 |
34,622 |
$2K |
| 86708 |
|
1,570 |
1,500 |
$2K |
| 62270 |
|
25 |
25 |
$2K |
| 90662 |
|
1,712 |
1,546 |
$2K |
| T1019 |
Personal care ser per 15 min |
587 |
259 |
$2K |
| 86360 |
|
5,632 |
5,217 |
$2K |
| 81025 |
|
26,483 |
25,377 |
$2K |
| 70480 |
|
12 |
12 |
$2K |
| 88112 |
|
1,508 |
1,288 |
$2K |
| 73565 |
|
26 |
26 |
$2K |
| 82950 |
|
989 |
976 |
$2K |
| 90732 |
|
1,784 |
1,659 |
$2K |
| J7120 |
Ringers lactate infusion |
61,003 |
49,598 |
$2K |
| J0295 |
Ampicillin sulbactam 1.5 gm |
1,715 |
693 |
$2K |
| 95861 |
|
14 |
14 |
$1K |
| J3475 |
Inj magnesium sulfate |
3,353 |
2,816 |
$1K |
| 29405 |
|
16 |
14 |
$1K |
| 96376 |
|
17,030 |
12,788 |
$1K |
| 77073 |
|
14 |
12 |
$1K |
| 86141 |
|
9,699 |
9,162 |
$1K |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
3,667 |
3,567 |
$1K |
| 96368 |
|
651 |
605 |
$1K |
| 87798 |
|
360 |
345 |
$1K |
| 82784 |
|
1,295 |
1,058 |
$1K |
| 83655 |
|
587 |
583 |
$1K |
| J7040 |
Normal saline solution infus |
66,502 |
49,542 |
$1K |
| 93242 |
|
20 |
20 |
$1K |
| 73620 |
|
53 |
51 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
46,652 |
39,641 |
$1K |
| 86592 |
|
9,758 |
9,206 |
$1K |
| A9500 |
Tc99m sestamibi |
652 |
570 |
$1K |
| 36415 |
|
270,718 |
225,340 |
$1K |
| 71101 |
|
43 |
42 |
$1K |
| 70360 |
|
79 |
77 |
$978.74 |
| 0064A |
|
297 |
276 |
$935.03 |
| 83735 |
|
19,515 |
14,669 |
$869.91 |
| 0134A |
|
221 |
198 |
$867.14 |
| 99396 |
|
20 |
20 |
$828.81 |
| 99202 |
|
38 |
35 |
$822.80 |
| 86923 |
|
576 |
468 |
$811.73 |
| 90832 |
|
16 |
12 |
$806.65 |
| J2405 |
Ondansetron hcl injection |
49,255 |
42,429 |
$795.70 |
| J2001 |
Lidocaine injection |
23,302 |
19,825 |
$770.87 |
| 90837 |
|
23 |
12 |
$753.98 |
| 0004A |
|
22 |
21 |
$751.22 |
| 95885 |
|
176 |
169 |
$733.94 |
| 87102 |
|
819 |
728 |
$733.93 |
| 84156 |
|
3,825 |
3,565 |
$728.04 |
| 86225 |
|
1,426 |
1,369 |
$719.29 |
| J3370 |
Vancomycin hcl injection |
2,320 |
1,261 |
$718.44 |
| 86706 |
|
2,483 |
2,383 |
$708.74 |
| J2704 |
Inj, propofol, 10 mg |
18,038 |
16,547 |
$708.12 |
| 87624 |
|
225 |
219 |
$702.58 |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$696.66 |
| 86703 |
|
46 |
44 |
$647.74 |
| 82105 |
|
1,177 |
1,129 |
$623.18 |
| J2560 |
Phenobarbital sodium inj |
18 |
13 |
$613.72 |
| 93280 |
|
18 |
15 |
$608.05 |
| 86780 |
|
4,907 |
4,552 |
$603.23 |
| 97763 |
|
43 |
39 |
$599.02 |
| 83550 |
|
5,608 |
5,342 |
$577.02 |
| J2270 |
Morphine sulfate injection |
24,863 |
20,356 |
$576.43 |
| 86255 |
|
177 |
162 |
$565.80 |
| S5110 |
Family homecare training 15m |
60 |
24 |
$563.40 |
| 85379 |
|
6,188 |
5,947 |
$557.80 |
| 87077 |
|
12,782 |
11,337 |
$553.03 |
| 11720 |
|
15 |
14 |
$546.66 |
| 87486 |
|
1,317 |
1,300 |
$496.14 |
| 99441 |
|
98 |
96 |
$494.05 |
| 87040 |
|
14,370 |
7,906 |
$479.07 |
| A6212 |
Foam drg <=16 sq in w/border |
1,605 |
1,358 |
$477.36 |
| 99443 |
|
57 |
52 |
$465.75 |
| J2930 |
Methylprednisolone injection |
2,110 |
1,912 |
$458.35 |
| 84439 |
|
7,776 |
7,421 |
$458.21 |
| 92133 |
|
1,522 |
1,469 |
$448.60 |
| 90750 |
|
284 |
268 |
$436.87 |
| 83605 |
|
14,874 |
11,376 |
$425.83 |
| 87210 |
|
9,938 |
9,543 |
$404.41 |
| 82150 |
|
396 |
373 |
$385.87 |
| 97164 |
|
205 |
200 |
$382.03 |
| 86039 |
|
88 |
84 |
$372.36 |
| 82140 |
|
2,307 |
2,091 |
$365.14 |
| 86901 |
|
13,479 |
12,450 |
$354.09 |
| A6211 |
Foam drg > 48 sq in w/o brdr |
13 |
12 |
$349.31 |
| 95012 |
|
155 |
153 |
$341.13 |
| 87177 |
|
60 |
58 |
$334.21 |
| 87517 |
|
100 |
94 |
$327.47 |
| 82652 |
|
100 |
94 |
$323.08 |
| 82565 |
|
1,653 |
1,593 |
$316.04 |
| 90834 |
|
18 |
13 |
$311.22 |
| J0702 |
Betamethasone acet&sod phosp |
202 |
141 |
$307.62 |
| 94644 |
|
2,099 |
1,992 |
$300.16 |
| 86900 |
|
13,480 |
12,448 |
$274.45 |
| 85055 |
|
4,899 |
3,731 |
$263.96 |
| 87116 |
|
572 |
495 |
$253.22 |
| J0696 |
Ceftriaxone sodium injection |
17,060 |
14,394 |
$253.05 |
| 83615 |
|
2,640 |
2,414 |
$253.00 |
| M0243 |
Casirivi and imdevi inj |
53 |
49 |
$252.97 |
| 83921 |
|
120 |
110 |
$249.98 |
| J1953 |
Levetiracetam injection |
1,091 |
875 |
$248.00 |
| 85007 |
|
21,665 |
19,131 |
$244.66 |
| 83993 |
|
27 |
27 |
$244.46 |
| 90656 |
|
225 |
222 |
$241.08 |
| 80069 |
|
44 |
44 |
$238.33 |
| J1050 |
Medroxyprogesterone acetate |
25 |
25 |
$217.07 |
| 86762 |
|
786 |
753 |
$214.41 |
| 88173 |
|
85 |
67 |
$208.52 |
| J7030 |
Normal saline solution infus |
14,628 |
11,086 |
$207.50 |
| G0008 |
Admin influenza virus vac |
8,795 |
8,144 |
$205.20 |
| 87449 |
|
2,148 |
1,760 |
$189.98 |
| 87430 |
|
3,929 |
3,834 |
$186.66 |
| 81003 |
|
9,807 |
9,053 |
$185.52 |
| 87150 |
|
402 |
382 |
$174.68 |
| J0330 |
Succinycholine chloride inj |
2,283 |
2,144 |
$174.08 |
| 87340 |
|
3,707 |
3,537 |
$170.38 |
| 83021 |
|
52 |
51 |
$169.32 |
| 88175 |
|
480 |
462 |
$165.98 |
| G0103 |
Psa screening |
270 |
253 |
$153.89 |
| J1020 |
Methylprednisolone 20 mg inj |
32 |
25 |
$151.70 |
| 82010 |
|
1,541 |
1,404 |
$148.52 |
| 86431 |
|
1,711 |
1,633 |
$139.84 |
| J2543 |
Piperacillin/tazobactam |
991 |
603 |
$137.91 |
| 86769 |
|
25 |
24 |
$134.83 |
| 92526 |
|
216 |
199 |
$132.98 |
| 80179 |
|
3,747 |
3,532 |
$131.77 |
| 80143 |
|
3,823 |
3,592 |
$131.77 |
| 84145 |
|
924 |
880 |
$131.02 |
| 87581 |
|
1,316 |
1,299 |
$130.00 |
| 82330 |
|
677 |
595 |
$128.48 |
| J1100 |
Dexamethasone sodium phos |
14,910 |
13,357 |
$122.77 |
| 82962 |
|
8,214 |
4,661 |
$117.12 |
| 84466 |
|
56 |
50 |
$117.09 |
| 87205 |
|
5,624 |
4,846 |
$115.77 |
| 97018 |
|
1,079 |
490 |
$114.77 |
| A6213 |
Foam drg >16<=48 sq in w/bdr |
12 |
12 |
$113.37 |
| 84550 |
|
2,486 |
2,297 |
$112.08 |
| J0780 |
Prochlorperazine injection |
3,089 |
2,967 |
$110.00 |
| 84480 |
|
1,846 |
1,762 |
$109.38 |
| J3010 |
Fentanyl citrate injection |
26,592 |
22,252 |
$109.38 |
| 87081 |
|
3,056 |
2,995 |
$100.80 |
| 80178 |
|
145 |
115 |
$95.60 |
| 88108 |
|
27 |
25 |
$93.42 |
| L0172 |
Cerv col sr foam 2pc pre ots |
1,133 |
1,057 |
$90.81 |
| 97166 |
|
51 |
46 |
$87.48 |
| 93325 |
|
37 |
36 |
$87.21 |
| 82378 |
|
25 |
24 |
$86.19 |
| Q0162 |
Ondansetron oral |
18,939 |
18,108 |
$85.91 |
| 87075 |
|
270 |
235 |
$85.38 |
| A6258 |
Transparent film >16<=48 in |
13,355 |
12,470 |
$85.22 |
| 86038 |
|
3,049 |
2,899 |
$83.98 |
| 87481 |
|
306 |
295 |
$80.72 |
| J1200 |
Diphenhydramine hcl injectio |
10,453 |
8,936 |
$78.90 |
| 84460 |
|
879 |
847 |
$78.82 |
| A4649 |
Surgical supplies |
215 |
132 |
$76.95 |
| 87653 |
|
155 |
154 |
$76.67 |
| J2060 |
Lorazepam injection |
7,556 |
5,967 |
$76.41 |
| 84100 |
|
9,638 |
7,183 |
$76.00 |
| 84481 |
|
977 |
940 |
$73.35 |
| 86160 |
|
1,761 |
893 |
$71.33 |
| J1790 |
Droperidol injection |
1,836 |
1,696 |
$70.18 |
| 85652 |
|
10,069 |
9,569 |
$65.08 |
| A6206 |
Contact layer <= 16 sq in |
109 |
102 |
$62.73 |
| 83540 |
|
6,003 |
5,602 |
$62.57 |
| 84132 |
|
414 |
365 |
$62.14 |
| 97016 |
|
7,158 |
3,190 |
$61.95 |
| J1815 |
Insulin injection |
7,392 |
3,500 |
$60.12 |
| J2250 |
Inj midazolam hydrochloride |
14,917 |
13,291 |
$57.78 |
| 86709 |
|
592 |
565 |
$55.45 |
| J1630 |
Haloperidol injection |
4,644 |
3,830 |
$51.06 |
| 82670 |
|
283 |
274 |
$50.44 |
| 87661 |
|
307 |
296 |
$49.42 |
| 77063 |
|
8,452 |
8,336 |
$47.52 |
| 82785 |
|
616 |
581 |
$45.05 |
| Q0114 |
Fern test |
1,780 |
1,658 |
$43.78 |
| 88300 |
|
562 |
503 |
$38.08 |
| J7611 |
Albuterol non-comp con |
8,090 |
6,811 |
$37.18 |
| 85014 |
|
2,419 |
2,184 |
$34.27 |
| J2765 |
Metoclopramide hcl injection |
7,905 |
7,430 |
$32.75 |
| J1642 |
Inj heparin sodium per 10 u |
4,592 |
2,969 |
$32.50 |
| J1940 |
Furosemide injection |
2,438 |
1,767 |
$31.38 |
| 82248 |
|
2,080 |
1,734 |
$30.88 |
| 94645 |
|
55 |
54 |
$30.80 |
| 82103 |
|
415 |
410 |
$30.63 |
| 82947 |
|
343 |
307 |
$28.27 |
| J3480 |
Inj potassium chloride |
1,958 |
1,476 |
$27.91 |
| J1170 |
Hydromorphone injection |
4,009 |
3,501 |
$26.47 |
| P9612 |
Catheterize for urine spec |
3,224 |
3,117 |
$26.45 |
| 80047 |
|
1,062 |
1,019 |
$25.90 |
| 82043 |
|
11,497 |
10,926 |
$25.39 |
| 84295 |
|
106 |
90 |
$23.94 |
| 90472 |
|
1,026 |
947 |
$23.66 |
| 94760 |
|
802 |
586 |
$23.26 |
| J2272 |
Inj, morphine (fresenius) |
1,715 |
1,447 |
$21.50 |
| J1644 |
Inj heparin sodium per 1000u |
5,164 |
2,375 |
$21.23 |
| C1729 |
Cath, drainage |
512 |
310 |
$20.12 |
| G0379 |
Direct refer hospital observ |
516 |
469 |
$19.66 |
| 86359 |
|
5,632 |
5,217 |
$19.21 |
| 83002 |
|
188 |
181 |
$19.17 |
| J7042 |
5% dextrose/normal saline |
1,130 |
879 |
$18.96 |
| 36600 |
|
136 |
125 |
$18.16 |
| A6257 |
Transparent film <= 16 sq in |
10,516 |
9,797 |
$17.93 |
| 76937 |
|
249 |
233 |
$16.89 |
| 86256 |
|
125 |
123 |
$15.39 |
| J0690 |
Cefazolin sodium injection |
7,225 |
5,858 |
$14.84 |
| J7512 |
Prednisone ir or dr oral 1mg |
4,313 |
3,516 |
$14.67 |
| 82390 |
|
367 |
356 |
$14.08 |
| 85384 |
|
136 |
124 |
$12.66 |
| 82977 |
|
610 |
579 |
$12.65 |
| 88740 |
|
446 |
428 |
$12.62 |
| J0456 |
Azithromycin |
687 |
589 |
$11.96 |
| C9803 |
Hopd covid-19 spec collect |
1,386 |
1,351 |
$11.59 |
| J7620 |
Albuterol ipratrop non-comp |
5,608 |
4,556 |
$11.25 |
| G0009 |
Admin pneumococcal vaccine |
3,447 |
3,217 |
$11.19 |
| 90480 |
|
374 |
363 |
$11.02 |
| J3411 |
Thiamine hcl 100 mg |
1,510 |
1,146 |
$10.72 |
| A6234 |
Hydrocolld drg <=16 w/o bdr |
286 |
240 |
$10.50 |
| 85046 |
|
643 |
594 |
$9.15 |
| 85018 |
|
194 |
160 |
$7.87 |
| 86593 |
|
1,513 |
1,440 |
$7.37 |
| 86308 |
|
98 |
96 |
$7.17 |
| J3360 |
Diazepam injection |
366 |
333 |
$6.80 |
| C9113 |
Inj pantoprazole sodium, via |
1,710 |
1,129 |
$6.77 |
| J2919 |
Inj, methylpred sod succ 5mg |
313 |
289 |
$6.75 |
| 99152 |
|
1,458 |
1,365 |
$6.56 |
| J0360 |
Hydralazine hcl injection |
702 |
603 |
$6.46 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
622 |
584 |
$6.15 |
| J2795 |
Ropivacaine hcl injection |
559 |
524 |
$5.99 |
| 90653 |
|
1,115 |
1,013 |
$5.45 |
| 84270 |
|
1,116 |
1,060 |
$5.12 |
| J8540 |
Oral dexamethasone |
127 |
123 |
$5.12 |
| U0005 |
Infec agen detec ampli probe |
1,420 |
1,272 |
$4.97 |
| 84300 |
|
562 |
525 |
$4.52 |
| J7644 |
Ipratropium bromide non-comp |
4,086 |
3,643 |
$3.16 |
| 86200 |
|
1,339 |
1,287 |
$2.71 |
| 89050 |
|
213 |
209 |
$1.52 |
| J7613 |
Albuterol non-comp unit |
177 |
166 |
$0.93 |
| J2020 |
Linezolid injection |
133 |
75 |
$0.00 |
| G8987 |
Self care current status |
464 |
410 |
$0.00 |
| 87206 |
|
434 |
375 |
$0.00 |
| 83930 |
|
400 |
371 |
$0.00 |
| J3535 |
Metered dose inhaler drug |
188 |
182 |
$0.00 |
| J7060 |
5% dextrose/water |
1,842 |
1,065 |
$0.00 |
| 82104 |
|
139 |
138 |
$0.00 |
| D0230 |
|
296 |
279 |
$0.00 |
| 90674 |
|
672 |
585 |
$0.00 |
| 96415 |
|
786 |
571 |
$0.00 |
| 88307 |
|
653 |
519 |
$0.00 |
| G8983 |
Body pos d/c status |
178 |
169 |
$0.00 |
| 76819 |
|
15 |
15 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
95 |
69 |
$0.00 |
| 89060 |
|
387 |
316 |
$0.00 |
| G8986 |
Carry d/c status |
2,384 |
2,156 |
$0.00 |
| G8988 |
Self care goal status |
472 |
412 |
$0.00 |
| 86376 |
|
457 |
438 |
$0.00 |
| G8998 |
Swallow d/c status |
44 |
39 |
$0.00 |
| G8982 |
Body pos goal status |
698 |
660 |
$0.00 |
| J1920 |
Inj, labetalol hcl, 5mg |
60 |
57 |
$0.00 |
| D0120 |
|
127 |
127 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
554 |
529 |
$0.00 |
| G8981 |
Body pos current status |
683 |
644 |
$0.00 |
| J1817 |
Insulin for insulin pump use |
502 |
430 |
$0.00 |
| 80329 |
|
6,349 |
4,705 |
$0.00 |
| G8980 |
Mobility d/c status |
426 |
388 |
$0.00 |
| Q0222 |
Bebtelovimab 175 mg |
39 |
38 |
$0.00 |
| 90474 |
|
168 |
142 |
$0.00 |
| 90697 |
|
48 |
48 |
$0.00 |
| A7521 |
Trach/laryn tube cuffed |
577 |
563 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
227 |
218 |
$0.00 |
| 90680 |
|
160 |
133 |
$0.00 |
| 0346T |
|
371 |
364 |
$0.00 |
| 86364 |
|
12 |
12 |
$0.00 |
| L4350 |
Ankle control ortho pre ots |
80 |
80 |
$0.00 |
| 97014 |
|
623 |
327 |
$0.00 |
| 87593 |
|
13 |
12 |
$0.00 |
| 84154 |
|
12 |
12 |
$0.00 |
| D0140 |
|
16 |
15 |
$0.00 |
| D1206 |
|
188 |
188 |
$0.00 |
| J7050 |
Normal saline solution infus |
287 |
218 |
$0.00 |
| 87046 |
|
42 |
41 |
$0.00 |
| 82945 |
|
38 |
38 |
$0.00 |
| 0012A |
|
63 |
63 |
$0.00 |
| 87015 |
|
314 |
275 |
$0.00 |
| 82553 |
|
341 |
306 |
$0.00 |
| 0011A |
|
71 |
71 |
$0.00 |
| C1781 |
Mesh (implantable) |
28 |
27 |
$0.00 |
| 84157 |
|
51 |
49 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
26 |
25 |
$0.00 |
| G0439 |
Ppps, subseq visit |
28 |
27 |
$0.00 |
| 80051 |
|
92 |
84 |
$0.00 |
| J1836 |
Inj, metronidazole, 10 mg |
441 |
288 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
604 |
538 |
$0.00 |
| 99406 |
|
42 |
39 |
$0.00 |
| 0031A |
|
27 |
27 |
$0.00 |
| 87529 |
|
29 |
25 |
$0.00 |
| 83935 |
|
29 |
27 |
$0.00 |
| 29130 |
|
12 |
12 |
$0.00 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
42 |
28 |
$0.00 |
| J0500 |
Dicyclomine injection |
15 |
15 |
$0.00 |
| 90723 |
|
26 |
26 |
$0.00 |
| 86701 |
|
13 |
13 |
$0.00 |
| J0461 |
Atropine sulfate injection |
59 |
44 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
30 |
25 |
$0.00 |
| 93320 |
|
12 |
12 |
$0.00 |
| 90632 |
|
14 |
13 |
$0.00 |
| 80177 |
|
13 |
12 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
23 |
22 |
$0.00 |
| Q0247 |
Sotrovimab |
113 |
93 |
$0.00 |
| 96110 |
|
12 |
12 |
$0.00 |
| 86702 |
|
13 |
13 |
$0.00 |
| 82436 |
|
14 |
13 |
$0.00 |
| G0010 |
Admin hepatitis b vaccine |
15 |
12 |
$0.00 |
| 97116 |
|
861 |
687 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
1,397 |
1,260 |
$0.00 |
| 77061 |
|
1,446 |
1,424 |
$0.00 |
| J2426 |
Inj, invega sustenna, 1 mg |
200 |
140 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
52 |
31 |
$0.00 |
| G8979 |
Mobility goal status |
1,630 |
1,458 |
$0.00 |
| 76514 |
|
44 |
40 |
$0.00 |
| A4565 |
Slings |
2,593 |
2,492 |
$0.00 |
| 99392 |
|
279 |
274 |
$0.00 |
| G8978 |
Mobility current status |
1,570 |
1,400 |
$0.00 |
| 89051 |
|
834 |
692 |
$0.00 |
| J2550 |
Promethazine hcl injection |
1,535 |
1,389 |
$0.00 |
| 84450 |
|
860 |
829 |
$0.00 |
| 77062 |
|
2,331 |
2,282 |
$0.00 |
| 93225 |
|
712 |
703 |
$0.00 |
| 76981 |
|
2,299 |
2,234 |
$0.00 |
| 84155 |
|
287 |
279 |
$0.00 |
| D1120 |
|
213 |
213 |
$0.00 |
| G8989 |
Self care d/c status |
128 |
120 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
298 |
287 |
$0.00 |
| G8984 |
Carry current status |
1,886 |
1,585 |
$0.00 |
| 92025 |
|
39 |
37 |
$0.00 |
| A0110 |
Nonemergency transport bus |
105 |
87 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
375 |
331 |
$0.00 |
| 94729 |
|
1,504 |
1,462 |
$0.00 |
| 88313 |
|
50 |
24 |
$0.00 |
| 84520 |
|
361 |
355 |
$0.00 |
| D0220 |
|
727 |
713 |
$0.00 |
| 86705 |
|
105 |
99 |
$0.00 |
| G1004 |
Cdsm ndsc |
2,261 |
1,740 |
$0.00 |
| J3372 |
Inj, vancomycin hcl (xellia) |
111 |
79 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
251 |
219 |
$0.00 |
| 92611 |
|
251 |
243 |
$0.00 |
| J1643 |
Inj heparin, pfizer, 1000u |
252 |
142 |
$0.00 |
| G8985 |
Carry goal status |
1,909 |
1,606 |
$0.00 |
| 85460 |
|
57 |
54 |
$0.00 |
| J7070 |
D5w infusion |
217 |
128 |
$0.00 |
| L1830 |
Ko immob canvas long pre ots |
76 |
76 |
$0.00 |
| 96417 |
|
365 |
229 |
$0.00 |
| G8997 |
Swallow goal status |
128 |
121 |
$0.00 |
| 86765 |
|
47 |
40 |
$0.00 |
| 94770 |
|
537 |
456 |
$0.00 |
| G0279 |
Tomosynthesis, mammo |
52 |
52 |
$0.00 |
| M0222 |
Bebtelovimab injection |
39 |
38 |
$0.00 |
| 90633 |
|
39 |
39 |
$0.00 |
| 86015 |
|
118 |
114 |
$0.00 |
| J1956 |
Levofloxacin injection |
16 |
13 |
$0.00 |
| G8996 |
Swallow current status |
129 |
121 |
$0.00 |
| J0692 |
Cefepime hcl for injection |
14 |
12 |
$0.00 |
| A0160 |
Noner transport case worker |
69 |
27 |
$0.00 |
| 87324 |
|
105 |
102 |
$0.00 |
| T2003 |
N-et; encounter/trip |
63 |
24 |
$0.00 |
| 71100 |
|
13 |
13 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
58 |
52 |
$0.00 |
| 86787 |
|
31 |
26 |
$0.00 |
| 90648 |
|
35 |
35 |
$0.00 |
| M0239 |
Bamlanivimab-xxxx infusion |
34 |
34 |
$0.00 |
| Q0243 |
Casirivimab and imdevimab |
27 |
14 |
$0.00 |
| J2310 |
Inj naloxone hydrochloride |
47 |
37 |
$0.00 |
| 84133 |
|
43 |
41 |
$0.00 |
| J3486 |
Ziprasidone mesylate |
82 |
24 |
$0.00 |
| 86147 |
|
12 |
12 |
$0.00 |
| Q0169 |
Promethazine hcl 12.5mg oral |
21 |
16 |
$0.00 |
| 90682 |
|
44 |
44 |
$0.00 |
| Q0239 |
Bamlanivimab-xxxx |
40 |
39 |
$0.00 |
| Q0245 |
Bamlanivimab and etesevima |
58 |
38 |
$0.00 |
| J0612 |
Inj, calcium gluconate, nos |
15 |
12 |
$0.00 |
| 86735 |
|
15 |
14 |
$0.00 |
| M0245 |
Bamlan and etesev infusion |
39 |
39 |
$0.00 |
| 85060 |
|
14 |
14 |
$0.00 |