| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
71,663 |
64,864 |
$26.02M |
| G0463 |
Hospital outpt clinic visit |
263,887 |
227,559 |
$16.59M |
| 99284 |
|
60,029 |
56,082 |
$12.40M |
| 99283 |
|
64,980 |
58,917 |
$8.15M |
| 96374 |
|
43,396 |
38,624 |
$4.09M |
| 74177 |
|
16,976 |
16,393 |
$1.95M |
| 96365 |
|
20,878 |
17,380 |
$1.91M |
| 70450 |
|
16,342 |
15,533 |
$1.74M |
| 97530 |
|
47,660 |
18,580 |
$1.69M |
| U0003 |
Cov-19 amp prb hgh thruput |
52,932 |
48,770 |
$1.69M |
| 71046 |
|
44,069 |
41,497 |
$1.65M |
| 87637 |
|
18,785 |
18,424 |
$1.31M |
| 97110 |
|
66,201 |
21,628 |
$1.30M |
| 96375 |
|
40,015 |
32,925 |
$1.27M |
| 93306 |
|
5,707 |
5,670 |
$1.24M |
| 59025 |
|
13,579 |
8,413 |
$1.24M |
| 96361 |
|
33,459 |
28,564 |
$1.20M |
| 95810 |
|
2,481 |
2,463 |
$1.17M |
| 64493 |
|
2,014 |
1,975 |
$1.10M |
| 96360 |
|
11,185 |
9,906 |
$1.09M |
| 64483 |
|
2,158 |
2,112 |
$1.04M |
| 99282 |
|
12,956 |
12,288 |
$919K |
| 78452 |
|
1,954 |
1,931 |
$888K |
| 96413 |
|
5,540 |
3,240 |
$783K |
| 87491 |
|
60,842 |
59,117 |
$727K |
| 87591 |
|
59,759 |
58,052 |
$707K |
| 76830 |
|
12,442 |
12,065 |
$707K |
| 80061 |
|
61,208 |
60,885 |
$666K |
| 64490 |
|
1,225 |
1,194 |
$611K |
| 78815 |
|
901 |
890 |
$594K |
| 87635 |
|
30,214 |
28,261 |
$584K |
| 43239 |
|
1,850 |
1,807 |
$575K |
| 92507 |
|
14,269 |
5,034 |
$571K |
| 87633 |
|
4,853 |
4,809 |
$542K |
| 74176 |
|
5,469 |
5,286 |
$524K |
| 70553 |
|
2,912 |
2,888 |
$513K |
| 11042 |
|
2,982 |
1,638 |
$504K |
| 97112 |
|
23,034 |
9,288 |
$470K |
| 97140 |
|
32,080 |
11,911 |
$456K |
| 76856 |
|
8,677 |
8,508 |
$452K |
| 71275 |
|
5,291 |
5,154 |
$449K |
| 70496 |
|
2,927 |
2,886 |
$444K |
| 76700 |
|
7,306 |
7,235 |
$425K |
| 45380 |
|
1,037 |
1,007 |
$423K |
| G0378 |
Hospital observation per hr |
19,937 |
11,276 |
$421K |
| 76801 |
|
7,159 |
6,398 |
$419K |
| 82306 |
|
44,136 |
43,919 |
$414K |
| 76816 |
|
10,530 |
9,841 |
$398K |
| J7298 |
Mirena, 52 mg |
819 |
816 |
$394K |
| 84443 |
|
89,252 |
86,340 |
$375K |
| 82947 |
|
29,241 |
27,146 |
$371K |
| 76805 |
|
6,060 |
5,989 |
$361K |
| 80053 |
|
178,736 |
158,895 |
$354K |
| 20610 |
|
2,590 |
2,140 |
$354K |
| 94060 |
|
2,411 |
2,394 |
$334K |
| 87661 |
|
31,006 |
30,404 |
$328K |
| 76819 |
|
5,242 |
3,072 |
$326K |
| 95811 |
|
722 |
713 |
$322K |
| 77067 |
|
6,675 |
6,670 |
$319K |
| 71260 |
|
5,678 |
5,571 |
$318K |
| 76705 |
|
5,369 |
5,222 |
$314K |
| 99291 |
|
553 |
552 |
$313K |
| 45385 |
|
610 |
594 |
$293K |
| 93976 |
|
5,235 |
5,036 |
$291K |
| 85025 |
|
215,335 |
182,561 |
$270K |
| 86481 |
|
7,345 |
7,314 |
$264K |
| 93971 |
|
4,755 |
4,607 |
$253K |
| 96372 |
|
33,549 |
27,873 |
$247K |
| 97162 |
|
5,052 |
5,002 |
$240K |
| 87389 |
|
29,547 |
29,393 |
$240K |
| 90471 |
|
21,394 |
20,829 |
$237K |
| 88175 |
|
23,766 |
23,687 |
$233K |
| 76811 |
|
2,053 |
2,043 |
$229K |
| Q3014 |
Telehealth facility fee |
15,536 |
14,295 |
$228K |
| 71045 |
|
6,998 |
6,689 |
$222K |
| 93970 |
|
2,068 |
2,035 |
$217K |
| 73721 |
|
1,759 |
1,738 |
$217K |
| 76770 |
|
3,745 |
3,679 |
$208K |
| 96366 |
|
6,547 |
5,433 |
$208K |
| 90378 |
|
205 |
164 |
$206K |
| 72148 |
|
2,117 |
2,099 |
$204K |
| 76815 |
|
6,096 |
4,490 |
$199K |
| C8929 |
Tte w or wo fol wcon,doppler |
629 |
627 |
$195K |
| 90677 |
|
1,270 |
1,269 |
$191K |
| J7307 |
Etonogestrel implant system |
330 |
328 |
$187K |
| 97161 |
|
2,601 |
2,590 |
$187K |
| 87624 |
|
14,603 |
14,587 |
$174K |
| 83036 |
|
57,163 |
56,614 |
$173K |
| 90651 |
|
1,580 |
1,577 |
$169K |
| G0379 |
Direct refer hospital observ |
247 |
242 |
$163K |
| 81514 |
|
945 |
928 |
$162K |
| 93005 |
|
60,460 |
52,223 |
$159K |
| 70491 |
|
1,415 |
1,380 |
$144K |
| 86780 |
|
26,236 |
26,078 |
$144K |
| 80307 |
|
28,210 |
26,094 |
$143K |
| 93017 |
|
3,122 |
3,072 |
$137K |
| 76536 |
|
2,579 |
2,568 |
$129K |
| 82607 |
|
27,765 |
27,593 |
$128K |
| 86900 |
|
20,426 |
19,112 |
$127K |
| 86803 |
|
23,610 |
23,502 |
$118K |
| 76642 |
|
3,109 |
3,071 |
$114K |
| 73221 |
|
896 |
879 |
$109K |
| 72110 |
|
4,708 |
4,663 |
$108K |
| 90686 |
|
7,288 |
7,266 |
$107K |
| 88305 |
|
11,574 |
11,149 |
$99K |
| 70551 |
|
944 |
921 |
$98K |
| 0001A |
|
3,471 |
3,394 |
$98K |
| 77066 |
Tomosynthesis, mammo |
1,768 |
1,758 |
$97K |
| 10060 |
|
1,044 |
1,018 |
$92K |
| 58301 |
|
655 |
648 |
$92K |
| 84439 |
|
33,261 |
32,742 |
$91K |
| 74174 |
|
618 |
613 |
$91K |
| 87086 |
|
54,325 |
51,313 |
$88K |
| G0108 |
Diab manage trn per indiv |
1,907 |
1,824 |
$88K |
| 87536 |
|
3,169 |
3,126 |
$87K |
| 72141 |
|
818 |
808 |
$87K |
| 96367 |
|
3,257 |
2,650 |
$86K |
| 91320 |
|
799 |
797 |
$83K |
| 90472 |
|
4,414 |
4,398 |
$81K |
| 82728 |
|
19,446 |
19,211 |
$80K |
| 76882 |
|
2,216 |
2,177 |
$79K |
| 90460 |
|
2,527 |
2,508 |
$78K |
| 87653 |
|
6,921 |
6,863 |
$76K |
| 87651 |
|
7,634 |
7,549 |
$76K |
| 77065 |
Tomosynthesis, mammo |
1,837 |
1,691 |
$75K |
| 92523 |
|
681 |
679 |
$74K |
| 73610 |
|
6,751 |
6,424 |
$74K |
| 87506 |
|
1,073 |
1,064 |
$73K |
| 93225 |
|
1,662 |
1,648 |
$73K |
| G0480 |
Drug test def 1-7 classes |
28,701 |
25,264 |
$72K |
| 19083 |
|
96 |
94 |
$72K |
| 82652 |
|
6,295 |
6,256 |
$72K |
| 93226 |
|
2,157 |
2,138 |
$70K |
| 80074 |
|
4,514 |
4,495 |
$66K |
| 97165 |
|
1,502 |
1,480 |
$65K |
| 73030 |
|
6,173 |
6,004 |
$64K |
| 76820 |
|
5,937 |
3,476 |
$63K |
| 90832 |
|
820 |
652 |
$63K |
| 71250 |
|
1,432 |
1,417 |
$63K |
| 87340 |
|
17,420 |
17,309 |
$62K |
| 73110 |
|
5,104 |
4,764 |
$62K |
| 70486 |
|
2,526 |
2,473 |
$62K |
| 85027 |
|
35,855 |
33,674 |
$60K |
| 87563 |
|
7,163 |
7,015 |
$60K |
| 0002A |
|
1,685 |
1,685 |
$58K |
| 73630 |
|
7,202 |
6,984 |
$58K |
| 36415 |
|
47,256 |
39,481 |
$57K |
| 83550 |
|
21,347 |
21,112 |
$57K |
| 87631 |
|
7,656 |
7,361 |
$56K |
| 92526 |
|
1,357 |
545 |
$56K |
| M0245 |
Bamlan and etesev infusion |
212 |
212 |
$54K |
| 43235 |
|
156 |
154 |
$53K |
| 97116 |
|
4,727 |
2,406 |
$53K |
| 84702 |
|
18,270 |
14,177 |
$53K |
| 96417 |
|
1,530 |
999 |
$52K |
| 73564 |
|
5,395 |
5,308 |
$52K |
| 77063 |
|
4,153 |
4,151 |
$52K |
| 83013 |
|
2,659 |
2,649 |
$51K |
| 84207 |
|
5,576 |
5,566 |
$50K |
| 74018 |
|
5,561 |
5,250 |
$50K |
| 86003 |
|
2,569 |
1,990 |
$50K |
| 96415 |
|
1,263 |
845 |
$50K |
| 87798 |
|
10,884 |
9,575 |
$49K |
| 84403 |
|
5,707 |
5,604 |
$49K |
| 87880 |
|
15,061 |
14,774 |
$49K |
| 20611 |
|
327 |
275 |
$49K |
| 73130 |
|
6,292 |
6,113 |
$48K |
| 95782 |
|
100 |
100 |
$47K |
| J1439 |
Inj ferric carboxymaltos 1mg |
98 |
64 |
$44K |
| 90732 |
|
495 |
495 |
$44K |
| 83540 |
|
22,012 |
21,753 |
$43K |
| 80048 |
|
26,044 |
21,587 |
$43K |
| 73562 |
|
2,729 |
2,704 |
$42K |
| 93229 |
|
306 |
306 |
$42K |
| 87077 |
|
18,727 |
17,429 |
$41K |
| 97014 |
|
5,224 |
2,089 |
$40K |
| 76817 |
|
8,824 |
8,070 |
$40K |
| 93975 |
|
348 |
347 |
$39K |
| 83970 |
|
3,131 |
3,057 |
$37K |
| G0279 |
Tomosynthesis, mammo |
3,270 |
3,081 |
$36K |
| 93798 |
|
591 |
111 |
$35K |
| 73502 |
|
3,086 |
3,019 |
$34K |
| 36591 |
|
1,126 |
675 |
$34K |
| 86360 |
|
2,439 |
2,432 |
$34K |
| 86850 |
|
20,659 |
19,600 |
$34K |
| 83516 |
|
5,875 |
4,605 |
$33K |
| 86762 |
|
7,718 |
7,580 |
$33K |
| 76818 |
|
566 |
382 |
$33K |
| 73560 |
|
1,821 |
1,758 |
$32K |
| 90750 |
|
416 |
416 |
$32K |
| 82670 |
|
3,603 |
3,546 |
$32K |
| J2505 |
Injection, pegfilgrastim 6mg |
16 |
12 |
$31K |
| J0585 |
Injection,onabotulinumtoxina |
59 |
50 |
$30K |
| 87522 |
Neg quan hep c or qual rna |
2,352 |
2,306 |
$30K |
| 87186 |
|
14,139 |
13,358 |
$30K |
| 87209 |
|
1,700 |
1,573 |
$30K |
| G0121 |
Colon ca scrn not hi rsk ind |
70 |
69 |
$30K |
| 72125 |
|
7,865 |
7,597 |
$29K |
| 83880 |
|
11,327 |
10,534 |
$29K |
| 84481 |
|
6,022 |
5,859 |
$29K |
| 36430 |
|
184 |
145 |
$28K |
| G0103 |
Psa screening |
3,935 |
3,931 |
$28K |
| 86706 |
|
6,573 |
6,542 |
$28K |
| 93351 |
|
241 |
238 |
$28K |
| 87502 |
|
1,601 |
1,582 |
$27K |
| 73140 |
|
2,098 |
2,044 |
$27K |
| 87529 |
|
1,835 |
1,804 |
$27K |
| 90480 |
|
879 |
875 |
$27K |
| 94640 |
|
9,915 |
7,922 |
$27K |
| 83001 |
|
4,471 |
4,453 |
$26K |
| 96112 |
|
257 |
257 |
$26K |
| 82746 |
|
6,363 |
6,330 |
$26K |
| 84146 |
|
4,187 |
4,154 |
$26K |
| 87177 |
|
3,361 |
3,030 |
$26K |
| 81025 |
|
9,763 |
9,463 |
$26K |
| 81001 |
|
62,871 |
58,620 |
$25K |
| 86704 |
|
5,049 |
5,035 |
$24K |
| 82043 |
|
13,593 |
13,464 |
$24K |
| M0243 |
Casirivi and imdevi inj |
94 |
94 |
$24K |
| 0004A |
|
666 |
665 |
$24K |
| 93296 |
|
1,402 |
1,395 |
$24K |
| 88307 |
|
852 |
836 |
$23K |
| 86140 |
|
39,883 |
36,532 |
$23K |
| 87480 |
|
3,399 |
3,353 |
$22K |
| 87510 |
|
3,397 |
3,351 |
$22K |
| 86235 |
|
2,478 |
2,296 |
$22K |
| 86038 |
|
6,220 |
6,178 |
$22K |
| 90791 |
|
288 |
288 |
$21K |
| 83735 |
|
41,698 |
36,086 |
$21K |
| 74019 |
|
1,358 |
1,335 |
$21K |
| 86359 |
|
1,902 |
1,896 |
$21K |
| 57454 |
|
168 |
168 |
$20K |
| 95813 |
|
181 |
175 |
$20K |
| 0124A |
|
749 |
748 |
$20K |
| 82570 |
|
12,471 |
11,859 |
$20K |
| 58300 |
|
1,303 |
1,287 |
$20K |
| 84402 |
|
2,422 |
2,399 |
$20K |
| 73590 |
|
3,296 |
3,124 |
$20K |
| 90670 |
|
1,407 |
1,400 |
$20K |
| 83002 |
|
3,301 |
3,283 |
$19K |
| 12001 |
|
1,353 |
1,338 |
$19K |
| 84144 |
|
2,785 |
2,641 |
$19K |
| 76825 |
|
64 |
64 |
$19K |
| 87660 |
|
2,901 |
2,864 |
$18K |
| 88342 |
|
1,249 |
1,228 |
$18K |
| 77336 |
|
338 |
145 |
$18K |
| 87070 |
|
8,288 |
8,081 |
$18K |
| 80076 |
|
31,165 |
28,902 |
$18K |
| 86769 |
|
1,884 |
1,854 |
$18K |
| 83655 |
|
4,089 |
4,061 |
$18K |
| 73090 |
|
2,798 |
2,583 |
$18K |
| 74022 |
|
2,416 |
2,358 |
$18K |
| 97535 |
|
1,367 |
935 |
$17K |
| J7323 |
Euflexxa inj per dose |
197 |
101 |
$17K |
| 99495 |
|
274 |
274 |
$17K |
| 71271 |
|
281 |
281 |
$15K |
| 85610 |
|
28,496 |
23,229 |
$15K |
| 74178 |
|
105 |
104 |
$15K |
| 72040 |
|
1,243 |
1,228 |
$15K |
| 87210 |
|
12,107 |
11,778 |
$15K |
| 72050 |
|
435 |
434 |
$15K |
| 90678 |
|
59 |
59 |
$15K |
| 70498 |
|
2,882 |
2,840 |
$15K |
| J1453 |
Fosaprepitant injection |
220 |
127 |
$15K |
| 82784 |
|
3,548 |
3,183 |
$15K |
| 87804 |
|
4,366 |
4,262 |
$14K |
| Q5111 |
Injection, udenyca 0.5 mg |
16 |
12 |
$14K |
| 90746 |
|
393 |
393 |
$14K |
| 87625 |
|
909 |
906 |
$14K |
| 82627 |
|
2,115 |
2,109 |
$14K |
| 86255 |
|
3,332 |
2,644 |
$13K |
| 0054A |
|
412 |
411 |
$13K |
| 76813 |
|
266 |
266 |
$13K |
| 80069 |
|
4,848 |
4,126 |
$13K |
| 73080 |
|
2,007 |
1,920 |
$13K |
| 81003 |
|
40,095 |
37,756 |
$13K |
| 72072 |
|
529 |
526 |
$13K |
| 82105 |
|
2,490 |
2,428 |
$12K |
| 71111 |
|
734 |
725 |
$12K |
| 0011A |
|
520 |
520 |
$12K |
| 0012A |
|
358 |
358 |
$12K |
| 86480 |
|
529 |
526 |
$12K |
| 87481 |
|
361 |
328 |
$12K |
| 72158 |
|
121 |
117 |
$12K |
| 99496 |
|
207 |
206 |
$11K |
| 83020 |
|
2,725 |
2,702 |
$11K |
| 86870 |
|
256 |
235 |
$11K |
| 82950 |
|
5,790 |
5,776 |
$11K |
| 72131 |
|
263 |
261 |
$11K |
| 85652 |
|
18,448 |
17,164 |
$11K |
| 73070 |
|
1,038 |
981 |
$11K |
| 97163 |
|
209 |
208 |
$10K |
| 90656 |
|
586 |
586 |
$10K |
| 77334 |
|
44 |
25 |
$10K |
| 0071A |
|
286 |
286 |
$10K |
| 74230 |
|
157 |
150 |
$10K |
| 84425 |
|
1,990 |
1,979 |
$10K |
| 86376 |
|
2,272 |
2,265 |
$10K |
| 82785 |
|
2,150 |
2,141 |
$10K |
| 52000 |
|
31 |
31 |
$10K |
| 96523 |
|
632 |
494 |
$10K |
| 86665 |
|
1,695 |
1,463 |
$10K |
| Q5103 |
Injection, inflectra |
19 |
12 |
$10K |
| 97035 |
|
1,858 |
795 |
$10K |
| 82533 |
|
2,211 |
2,012 |
$10K |
| 0072A |
|
260 |
257 |
$10K |
| 93270 |
|
686 |
685 |
$9K |
| 86225 |
|
2,266 |
2,249 |
$9K |
| 84480 |
|
1,927 |
1,907 |
$9K |
| 73552 |
|
1,976 |
1,932 |
$9K |
| 86901 |
|
20,143 |
19,092 |
$9K |
| 93298 |
|
505 |
505 |
$9K |
| 88304 |
|
2,238 |
2,204 |
$9K |
| Q9969 |
Non-heu tc-99m add-on/dose |
3,304 |
2,792 |
$8K |
| 58100 |
|
98 |
97 |
$8K |
| 84703 |
|
33,553 |
31,196 |
$8K |
| 87801 |
|
389 |
386 |
$8K |
| 86696 |
|
1,297 |
1,289 |
$8K |
| 86787 |
|
1,979 |
1,807 |
$8K |
| 86708 |
|
2,373 |
2,362 |
$8K |
| 77080 |
|
142 |
142 |
$8K |
| 86812 |
|
1,039 |
1,036 |
$8K |
| 82248 |
|
5,938 |
4,543 |
$8K |
| 82626 |
|
844 |
841 |
$8K |
| 86200 |
|
1,965 |
1,962 |
$8K |
| 73522 |
|
495 |
491 |
$8K |
| 90675 |
|
48 |
28 |
$8K |
| 73000 |
|
458 |
413 |
$8K |
| G2066 |
Inter devc remote 30d |
451 |
447 |
$7K |
| 93880 |
|
96 |
94 |
$7K |
| 86430 |
|
4,147 |
4,135 |
$7K |
| 93308 |
|
78 |
75 |
$7K |
| 86671 |
|
1,178 |
971 |
$7K |
| 84550 |
|
5,520 |
5,348 |
$7K |
| 95913 |
|
27 |
27 |
$7K |
| 94762 |
|
122 |
114 |
$7K |
| 74183 |
|
53 |
52 |
$7K |
| 93922 |
|
654 |
646 |
$7K |
| 84410 |
|
664 |
657 |
$7K |
| 84153 |
|
1,203 |
1,169 |
$7K |
| 77072 |
|
162 |
162 |
$7K |
| 82140 |
|
2,785 |
2,344 |
$7K |
| 88112 |
|
949 |
934 |
$7K |
| 83690 |
|
22,622 |
20,488 |
$7K |
| 84165 |
|
2,153 |
2,137 |
$7K |
| 97166 |
|
135 |
133 |
$7K |
| 82565 |
|
32,870 |
30,587 |
$7K |
| 87338 |
|
1,302 |
1,298 |
$7K |
| 82247 |
|
3,995 |
2,669 |
$6K |
| 82962 |
|
4,777 |
4,505 |
$6K |
| 86160 |
|
1,209 |
994 |
$6K |
| 82024 |
|
546 |
528 |
$6K |
| 72197 |
|
25 |
25 |
$6K |
| 95819 |
|
77 |
77 |
$6K |
| 64450 |
|
28 |
27 |
$6K |
| 87205 |
|
6,637 |
6,417 |
$6K |
| 90837 |
|
81 |
47 |
$6K |
| M0247 |
Sotrovimab infusion |
26 |
26 |
$6K |
| 11982 |
|
61 |
61 |
$6K |
| 87040 |
|
7,231 |
6,668 |
$6K |
| 43762 |
|
42 |
41 |
$6K |
| 76000 |
|
425 |
408 |
$6K |
| 64400 |
|
44 |
41 |
$6K |
| 83993 |
|
1,285 |
1,280 |
$6K |
| 86695 |
|
1,303 |
1,290 |
$6K |
| 41899 |
|
39 |
39 |
$6K |
| 86765 |
|
1,495 |
1,489 |
$6K |
| 12011 |
|
747 |
745 |
$5K |
| 80164 |
|
1,681 |
1,521 |
$5K |
| U0002 |
Covid-19 lab test non-cdc |
252 |
251 |
$5K |
| 92611 |
|
125 |
123 |
$5K |
| 85660 |
|
2,325 |
2,320 |
$5K |
| 84156 |
|
4,866 |
4,358 |
$5K |
| 82951 |
|
1,207 |
1,201 |
$5K |
| 25600 |
|
56 |
56 |
$5K |
| 84442 |
|
1,366 |
1,356 |
$5K |
| 85730 |
|
17,857 |
16,899 |
$5K |
| 86709 |
|
1,612 |
1,588 |
$5K |
| 11981 |
|
102 |
102 |
$5K |
| 88341 |
|
391 |
367 |
$5K |
| 99281 |
|
121 |
120 |
$4K |
| 72074 |
|
195 |
194 |
$4K |
| 73060 |
|
1,324 |
1,270 |
$4K |
| 12002 |
|
444 |
442 |
$4K |
| 72170 |
|
770 |
764 |
$4K |
| 90834 |
|
54 |
49 |
$4K |
| 86664 |
|
1,473 |
1,462 |
$4K |
| 95806 |
|
52 |
52 |
$4K |
| 93925 |
|
41 |
41 |
$4K |
| 84436 |
|
1,711 |
1,687 |
$4K |
| 84100 |
|
4,979 |
4,209 |
$4K |
| 84520 |
|
27,498 |
25,629 |
$4K |
| 17110 |
|
54 |
49 |
$4K |
| 86705 |
|
1,103 |
1,087 |
$4K |
| 96411 |
|
105 |
70 |
$4K |
| 84484 |
|
33,542 |
28,460 |
$4K |
| 82977 |
|
1,781 |
1,687 |
$3K |
| 82550 |
|
8,650 |
7,811 |
$3K |
| 0003A |
|
101 |
101 |
$3K |
| 82150 |
|
2,371 |
2,295 |
$3K |
| 86800 |
|
720 |
717 |
$3K |
| 96127 |
|
5,866 |
5,655 |
$3K |
| 81002 |
|
3,311 |
3,255 |
$3K |
| 83615 |
|
2,407 |
2,216 |
$3K |
| 83605 |
|
34,788 |
30,147 |
$3K |
| 83986 |
|
2,932 |
2,840 |
$3K |
| 85240 |
|
512 |
504 |
$3K |
| 87641 |
|
333 |
331 |
$3K |
| 87517 |
|
237 |
233 |
$3K |
| 72156 |
|
26 |
26 |
$3K |
| 80051 |
|
22,331 |
20,721 |
$3K |
| 64447 |
|
255 |
243 |
$3K |
| 84460 |
|
2,188 |
1,955 |
$3K |
| 84145 |
|
1,989 |
1,864 |
$3K |
| 73660 |
|
256 |
252 |
$3K |
| 87902 |
|
68 |
65 |
$3K |
| 84445 |
|
135 |
133 |
$3K |
| 96111 |
|
37 |
37 |
$3K |
| 85246 |
|
293 |
291 |
$3K |
| 97597 |
|
36 |
25 |
$2K |
| 93280 |
|
176 |
173 |
$2K |
| 82330 |
|
1,775 |
1,620 |
$2K |
| 85045 |
|
2,914 |
2,507 |
$2K |
| 84132 |
|
5,906 |
5,495 |
$2K |
| 94726 |
|
1,731 |
1,722 |
$2K |
| 95700 |
|
13 |
13 |
$2K |
| C8908 |
Mri w/o fol w/cont, breast, |
12 |
12 |
$2K |
| 87075 |
|
1,721 |
1,653 |
$2K |
| 70487 |
|
25 |
25 |
$2K |
| 70360 |
|
692 |
673 |
$2K |
| 85379 |
|
8,678 |
8,394 |
$2K |
| P9047 |
Albumin (human), 25%, 50ml |
31 |
14 |
$2K |
| 97130 |
|
87 |
25 |
$2K |
| 29125 |
|
409 |
387 |
$2K |
| Q9950 |
Inj sulf hexa lipid microsph |
335 |
309 |
$2K |
| 83090 |
|
469 |
463 |
$2K |
| 86037 |
|
175 |
174 |
$2K |
| 86039 |
|
612 |
604 |
$2K |
| 87493 |
|
254 |
254 |
$2K |
| 84450 |
|
1,652 |
1,430 |
$2K |
| 77300 |
|
17 |
12 |
$2K |
| 70544 |
|
24 |
24 |
$2K |
| 82272 |
|
1,543 |
1,512 |
$2K |
| 83498 |
|
178 |
177 |
$2K |
| 75561 |
|
12 |
12 |
$2K |
| 87634 |
|
108 |
108 |
$2K |
| 97803 |
|
657 |
627 |
$2K |
| 72100 |
|
55 |
53 |
$2K |
| 87420 |
|
776 |
764 |
$2K |
| 76885 |
|
37 |
37 |
$2K |
| 77290 |
|
13 |
13 |
$2K |
| 29105 |
|
30 |
27 |
$2K |
| 87581 |
|
570 |
566 |
$2K |
| 87486 |
|
571 |
567 |
$2K |
| P9016 |
Rbc leukocytes reduced |
17 |
15 |
$2K |
| 99406 |
|
105 |
105 |
$2K |
| 90716 |
|
424 |
424 |
$2K |
| 80197 |
|
396 |
298 |
$2K |
| 82172 |
|
202 |
200 |
$2K |
| 83010 |
|
521 |
509 |
$1K |
| 80178 |
|
948 |
873 |
$1K |
| 90620 |
|
55 |
55 |
$1K |
| 93291 |
|
177 |
175 |
$1K |
| 86308 |
|
2,197 |
2,161 |
$1K |
| 84080 |
|
359 |
358 |
$1K |
| M0239 |
Bamlanivimab-xxxx infusion |
13 |
13 |
$1K |
| 92610 |
|
38 |
38 |
$1K |
| 51798 |
|
1,239 |
1,197 |
$1K |
| G0008 |
Admin influenza virus vac |
509 |
502 |
$1K |
| 85576 |
|
1,059 |
957 |
$1K |
| 75574 |
|
12 |
12 |
$1K |
| 82803 |
|
4,989 |
4,645 |
$1K |
| 85397 |
|
126 |
123 |
$1K |
| 83520 |
|
179 |
179 |
$1K |
| 73700 |
|
25 |
25 |
$1K |
| 97129 |
|
90 |
25 |
$1K |
| 0121A |
|
31 |
31 |
$1K |
| 84134 |
|
285 |
263 |
$1K |
| 93283 |
|
73 |
73 |
$1K |
| 85018 |
|
2,350 |
2,312 |
$1K |
| G0297 |
Ldct for lung ca screen |
26 |
26 |
$1K |
| 82948 |
|
7,501 |
5,851 |
$1K |
| 84681 |
|
170 |
167 |
$997.13 |
| 84305 |
|
195 |
192 |
$969.22 |
| 82952 |
|
748 |
745 |
$964.79 |
| 85245 |
|
125 |
123 |
$932.46 |
| 86593 |
|
505 |
501 |
$931.50 |
| 74420 |
|
263 |
253 |
$903.28 |
| 84075 |
|
730 |
564 |
$825.95 |
| 93271 |
|
14 |
14 |
$779.74 |
| 73565 |
|
78 |
77 |
$778.83 |
| 86592 |
|
465 |
461 |
$756.61 |
| 82378 |
|
124 |
115 |
$698.19 |
| 90694 |
|
79 |
77 |
$694.49 |
| 73600 |
|
176 |
174 |
$649.66 |
| 86923 |
|
136 |
107 |
$643.06 |
| 0051A |
|
19 |
19 |
$638.01 |
| 0052A |
|
18 |
18 |
$638.01 |
| 83525 |
|
137 |
125 |
$629.93 |
| 85613 |
|
223 |
155 |
$622.07 |
| 86618 |
|
133 |
133 |
$599.40 |
| 69209 |
|
265 |
263 |
$577.04 |
| Q0114 |
Fern test |
140 |
136 |
$570.69 |
| 82010 |
|
2,268 |
1,996 |
$555.29 |
| 87521 |
Neg quan hep c or qual rna |
126 |
125 |
$520.44 |
| 98927 |
|
120 |
110 |
$520.06 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
29,081 |
27,693 |
$499.85 |
| 86304 |
|
139 |
124 |
$487.08 |
| G0451 |
Devlopment test interpt&rep |
41 |
41 |
$487.03 |
| 85384 |
|
374 |
361 |
$469.46 |
| 96161 |
|
40 |
38 |
$462.07 |
| 0031A |
|
12 |
12 |
$454.20 |
| 84466 |
|
108 |
108 |
$453.18 |
| J0131 |
Inj, acetaminophen (nos) |
2,975 |
2,668 |
$446.54 |
| 88302 |
|
164 |
161 |
$424.29 |
| 97802 |
|
77 |
77 |
$420.00 |
| 77073 |
|
54 |
54 |
$414.91 |
| 94010 |
|
57 |
57 |
$406.53 |
| 72081 |
|
13 |
13 |
$392.94 |
| 97760 |
|
14 |
12 |
$389.42 |
| 86735 |
|
99 |
98 |
$381.91 |
| 81511 |
|
13 |
13 |
$381.81 |
| 93299 |
|
21 |
21 |
$376.80 |
| 73620 |
|
68 |
66 |
$374.96 |
| 87593 |
|
15 |
15 |
$370.89 |
| 85390 |
|
65 |
64 |
$369.29 |
| 0081A |
|
13 |
13 |
$360.72 |
| 83930 |
|
1,406 |
1,304 |
$350.38 |
| 86231 |
|
34 |
34 |
$348.26 |
| 90734 |
|
534 |
533 |
$343.36 |
| 82103 |
|
135 |
134 |
$331.58 |
| 84432 |
|
43 |
43 |
$304.95 |
| 84630 |
|
82 |
82 |
$276.58 |
| U0005 |
Infec agen detec ampli probe |
68 |
64 |
$270.25 |
| 82390 |
|
93 |
93 |
$266.96 |
| 80177 |
|
93 |
91 |
$257.21 |
| 86147 |
|
53 |
53 |
$251.66 |
| 87498 |
|
38 |
38 |
$241.30 |
| 72202 |
|
27 |
27 |
$234.42 |
| 86632 |
|
32 |
16 |
$233.51 |
| 86141 |
|
55 |
55 |
$232.82 |
| 72220 |
|
27 |
26 |
$221.13 |
| 86631 |
|
32 |
16 |
$219.95 |
| 76870 |
|
1,507 |
1,461 |
$207.49 |
| 82800 |
|
2,862 |
2,593 |
$206.84 |
| 83521 |
|
24 |
24 |
$206.03 |
| 96376 |
|
10,561 |
7,665 |
$205.80 |
| 90662 |
|
13 |
13 |
$202.70 |
| 84155 |
|
337 |
222 |
$191.42 |
| 84295 |
|
4,932 |
4,598 |
$187.83 |
| 90688 |
|
21 |
21 |
$170.39 |
| 82656 |
|
40 |
40 |
$170.37 |
| 86644 |
|
66 |
66 |
$167.78 |
| 87181 |
|
25 |
24 |
$150.59 |
| 90474 |
|
12 |
12 |
$148.23 |
| 73100 |
|
25 |
24 |
$144.02 |
| 84446 |
|
38 |
38 |
$140.56 |
| 85049 |
|
1,029 |
999 |
$136.33 |
| 87279 |
|
73 |
72 |
$129.54 |
| 84590 |
|
40 |
40 |
$124.96 |
| 93282 |
|
12 |
12 |
$120.36 |
| 98926 |
|
52 |
50 |
$108.16 |
| 83921 |
|
25 |
25 |
$103.41 |
| 88142 |
|
80 |
80 |
$101.54 |
| J3475 |
Inj magnesium sulfate |
1,545 |
1,370 |
$91.13 |
| J2270 |
Morphine sulfate injection |
4,520 |
3,640 |
$89.35 |
| 82435 |
|
4,805 |
4,487 |
$86.97 |
| 86431 |
|
32 |
32 |
$78.31 |
| 87425 |
|
69 |
69 |
$70.85 |
| 82040 |
|
51 |
50 |
$63.70 |
| 80202 |
|
48 |
24 |
$60.69 |
| 86256 |
|
12 |
12 |
$59.44 |
| 83874 |
|
104 |
99 |
$58.96 |
| 82180 |
|
25 |
25 |
$57.61 |
| 69210 |
|
14 |
14 |
$54.34 |
| 90715 |
|
8,280 |
8,249 |
$54.16 |
| J0736 |
Inj, clindamycin phosp 300mg |
69 |
58 |
$53.51 |
| Q0245 |
Bamlanivimab and etesevima |
246 |
246 |
$52.06 |
| 86580 |
|
28 |
26 |
$49.88 |
| 82365 |
|
64 |
63 |
$48.25 |
| 82672 |
|
13 |
13 |
$45.40 |
| 84478 |
|
37 |
30 |
$44.38 |
| G0328 |
Fecal blood scrn immunoassay |
13 |
13 |
$39.34 |
| 86645 |
|
13 |
13 |
$38.58 |
| 86677 |
|
16 |
16 |
$33.30 |
| 85014 |
|
1,427 |
1,344 |
$33.26 |
| 87102 |
|
24 |
24 |
$32.05 |
| J1885 |
Ketorolac tromethamine inj |
12,611 |
10,990 |
$26.05 |
| 85007 |
|
113 |
98 |
$25.92 |
| 88300 |
|
129 |
126 |
$21.46 |
| 87184 |
|
14 |
12 |
$20.16 |
| 86777 |
|
13 |
13 |
$18.64 |
| 88313 |
|
31 |
29 |
$16.19 |
| J1650 |
Inj enoxaparin sodium |
2,460 |
1,320 |
$15.88 |
| 82465 |
|
28 |
27 |
$14.47 |
| 82374 |
|
2,707 |
2,552 |
$11.60 |
| 80299 |
|
14 |
14 |
$10.20 |
| 82274 |
|
16 |
16 |
$8.96 |
| 91312 |
|
789 |
787 |
$8.44 |
| Q0247 |
Sotrovimab |
27 |
27 |
$4.14 |
| Q0239 |
Bamlanivimab-xxxx |
17 |
17 |
$2.54 |
| J1836 |
Inj, metronidazole, 10 mg |
12 |
12 |
$2.13 |
| J1170 |
Hydromorphone injection |
1,750 |
1,322 |
$1.77 |
| Q0244 |
Casirivi and imdevi 1200 mg |
67 |
67 |
$1.20 |
| J0696 |
Ceftriaxone sodium injection |
2,485 |
2,064 |
$1.07 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,371 |
1,359 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
2,095 |
2,036 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
3,509 |
3,508 |
$0.00 |
| 99152 |
|
5,784 |
5,475 |
$0.00 |
| A9577 |
Inj multihance |
637 |
605 |
$0.00 |
| 64491 |
|
1,020 |
976 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
3,033 |
2,918 |
$0.00 |
| A9552 |
F18 fdg |
781 |
777 |
$0.00 |
| C1760 |
Closure dev, vasc |
706 |
688 |
$0.00 |
| 88173 |
|
14 |
14 |
$0.00 |
| 90707 |
|
426 |
426 |
$0.00 |
| P9604 |
One-way allow prorated trip |
2,962 |
1,037 |
$0.00 |
| J7120 |
Ringers lactate infusion |
8,624 |
7,244 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
2,048 |
1,724 |
$0.00 |
| 94729 |
|
1,457 |
1,455 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
763 |
738 |
$0.00 |
| J2930 |
Methylprednisolone injection |
1,748 |
1,522 |
$0.00 |
| 90648 |
|
1,423 |
1,419 |
$0.00 |
| A9578 |
Inj multihance multipack |
4,178 |
4,087 |
$0.00 |
| J1756 |
Iron sucrose injection |
278 |
140 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
91 |
90 |
$0.00 |
| 64495 |
|
1,685 |
1,634 |
$0.00 |
| 90633 |
|
847 |
846 |
$0.00 |
| C1887 |
Catheter, guiding |
247 |
239 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
743 |
724 |
$0.00 |
| 76827 |
|
51 |
51 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
48 |
45 |
$0.00 |
| 90681 |
|
207 |
207 |
$0.00 |
| 90461 |
|
1,268 |
1,262 |
$0.00 |
| Q0163 |
Diphenhydramine hcl 50mg |
378 |
309 |
$0.00 |
| S0119 |
Ondansetron 4 mg |
12 |
12 |
$0.00 |
| 93325 |
|
120 |
117 |
$0.00 |
| 90700 |
|
351 |
351 |
$0.00 |
| J2550 |
Promethazine hcl injection |
166 |
136 |
$0.00 |
| 91308 |
|
44 |
44 |
$0.00 |
| J0737 |
Inj, clindamycin (baxter) |
26 |
26 |
$0.00 |
| Q9956 |
Inj octafluoropropane mic,ml |
155 |
153 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
59 |
59 |
$0.00 |
| C1729 |
Cath, drainage |
110 |
99 |
$0.00 |
| 90710 |
|
53 |
53 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
15 |
13 |
$0.00 |
| 84163 |
|
13 |
13 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
60 |
31 |
$0.00 |
| A4565 |
Slings |
28 |
26 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
12 |
12 |
$0.00 |
| 82731 |
|
14 |
14 |
$0.00 |
| 82375 |
|
15 |
13 |
$0.00 |
| J0780 |
Prochlorperazine injection |
33 |
32 |
$0.00 |
| G0444 |
Depression screen annual |
36 |
36 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
17 |
12 |
$0.00 |
| 99151 |
|
13 |
12 |
$0.00 |
| A9541 |
Tc99m sulfur colloid |
14 |
14 |
$0.00 |
| 90696 |
|
140 |
140 |
$0.00 |
| C1769 |
Guide wire |
1,850 |
1,773 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
1,174 |
1,099 |
$0.00 |
| C9290 |
Inj, bupivacaine liposome |
1,499 |
1,435 |
$0.00 |
| 94760 |
|
2,600 |
2,129 |
$0.00 |
| 90680 |
|
613 |
610 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
1,963 |
1,790 |
$0.00 |
| J3480 |
Inj potassium chloride |
697 |
391 |
$0.00 |
| 90723 |
|
1,144 |
1,141 |
$0.00 |
| 64484 |
|
1,781 |
1,656 |
$0.00 |
| J2785 |
Regadenoson injection |
713 |
703 |
$0.00 |
| 64492 |
|
912 |
873 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
119 |
117 |
$0.00 |
| J3420 |
Vitamin b12 injection |
1,337 |
914 |
$0.00 |
| J7042 |
5% dextrose/normal saline |
220 |
170 |
$0.00 |
| A9500 |
Tc99m sestamibi |
2,056 |
1,611 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
364 |
294 |
$0.00 |
| J1815 |
Insulin injection |
298 |
184 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
353 |
294 |
$0.00 |
| 95886 |
|
988 |
971 |
$0.00 |
| J1630 |
Haloperidol injection |
759 |
649 |
$0.00 |
| 64494 |
|
1,876 |
1,815 |
$0.00 |
| A4648 |
Implantable tissue marker |
263 |
255 |
$0.00 |
| 99459 |
|
774 |
764 |
$0.00 |
| J2920 |
Methylprednisolone injection |
150 |
131 |
$0.00 |
| J2360 |
Orphenadrine injection |
635 |
598 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
42 |
42 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
15 |
13 |
$0.00 |
| 91307 |
|
17 |
17 |
$0.00 |
| 96368 |
|
460 |
381 |
$0.00 |
| 64415 |
|
53 |
52 |
$0.00 |
| 81015 |
|
424 |
402 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
198 |
188 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
259 |
231 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
103 |
102 |
$0.00 |
| Q0162 |
Ondansetron oral |
998 |
945 |
$0.00 |
| J2791 |
Rhophylac injection |
155 |
152 |
$0.00 |
| C1773 |
Ret dev, insertable |
29 |
28 |
$0.00 |
| 0241U |
|
411 |
410 |
$0.00 |
| J3490 |
Drugs unclassified injection |
42 |
41 |
$0.00 |
| 91305 |
|
146 |
146 |
$0.00 |
| J8540 |
Oral dexamethasone |
163 |
162 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
213 |
206 |
$0.00 |
| J2001 |
Lidocaine injection |
24 |
24 |
$0.00 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
12 |
12 |
$0.00 |
| J0461 |
Atropine sulfate injection |
52 |
50 |
$0.00 |
| 80050 |
|
18 |
17 |
$0.00 |
| 64445 |
|
12 |
12 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
14 |
12 |
$0.00 |
| Q0164 |
Prochlorperazine maleate 5mg |
19 |
12 |
$0.00 |
| C2617 |
Stent, non-cor, tem w/o del |
47 |
45 |
$0.00 |
| J0500 |
Dicyclomine injection |
16 |
15 |
$0.00 |
| C1778 |
Lead, neurostimulator |
12 |
12 |
$0.00 |
| 90647 |
|
12 |
12 |
$0.00 |