| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
44,577 |
36,827 |
$7.67M |
| 99283 |
|
48,786 |
41,151 |
$6.42M |
| 99285 |
|
27,144 |
21,773 |
$5.07M |
| G0378 |
Hospital observation per hr |
12,636 |
9,054 |
$4.28M |
| 99214 |
|
62,992 |
49,835 |
$3.53M |
| 99213 |
|
83,673 |
66,271 |
$3.12M |
| J9271 |
Inj pembrolizumab |
806 |
514 |
$3.08M |
| 87633 |
|
11,853 |
10,113 |
$2.81M |
| 96374 |
|
29,304 |
22,927 |
$2.74M |
| 96361 |
|
25,640 |
16,298 |
$1.76M |
| 96365 |
|
20,503 |
11,705 |
$1.64M |
| 96413 |
|
11,934 |
5,656 |
$1.59M |
| 93458 |
|
2,233 |
1,759 |
$1.41M |
| G0463 |
Hospital outpt clinic visit |
126,691 |
87,423 |
$1.27M |
| 93306 |
|
8,880 |
7,665 |
$1.18M |
| 99204 |
|
15,530 |
12,328 |
$1.15M |
| 78452 |
|
3,596 |
3,061 |
$1.10M |
| 43239 |
|
4,857 |
4,155 |
$1.01M |
| 95004 |
|
404 |
353 |
$973K |
| 94640 |
|
15,319 |
9,847 |
$969K |
| 96372 |
|
28,607 |
21,030 |
$966K |
| 74177 |
|
7,893 |
6,847 |
$954K |
| 96360 |
|
9,039 |
7,367 |
$913K |
| 93005 |
|
51,165 |
36,208 |
$906K |
| J0585 |
Injection,onabotulinumtoxina |
2,722 |
1,776 |
$860K |
| 71046 |
|
24,371 |
20,647 |
$850K |
| 80053 |
|
130,730 |
96,959 |
$749K |
| 71045 |
|
27,498 |
22,108 |
$718K |
| 78815 |
|
1,781 |
1,611 |
$707K |
| 96375 |
|
30,435 |
18,802 |
$685K |
| J0897 |
Denosumab injection |
1,211 |
1,017 |
$654K |
| 99282 |
|
7,558 |
6,752 |
$635K |
| 88305 |
|
11,577 |
7,332 |
$587K |
| 80307 |
|
16,774 |
13,041 |
$564K |
| 45380 |
|
1,816 |
1,561 |
$562K |
| 85025 |
|
152,204 |
103,873 |
$559K |
| 70450 |
|
12,829 |
10,982 |
$516K |
| 99203 |
|
11,700 |
9,307 |
$504K |
| 20610 |
|
4,982 |
3,872 |
$502K |
| 87635 |
|
15,057 |
13,045 |
$496K |
| 86885 |
|
7,711 |
5,812 |
$476K |
| 87507 |
|
1,975 |
1,694 |
$457K |
| 99215 |
Prolong outpt/office vis |
5,927 |
4,789 |
$454K |
| 36415 |
|
213,383 |
140,034 |
$438K |
| J1439 |
Inj ferric carboxymaltos 1mg |
1,730 |
915 |
$376K |
| 86900 |
|
7,838 |
6,034 |
$367K |
| 69436 |
|
317 |
303 |
$365K |
| 87428 |
|
6,941 |
5,995 |
$359K |
| 87426 |
|
11,779 |
9,532 |
$352K |
| 87637 |
|
4,109 |
3,716 |
$351K |
| 87804 |
|
31,459 |
18,020 |
$350K |
| 74176 |
|
4,269 |
3,743 |
$322K |
| 70553 |
|
2,195 |
1,913 |
$321K |
| 11042 |
|
3,244 |
1,852 |
$301K |
| 87486 |
|
11,711 |
10,013 |
$290K |
| 87581 |
|
11,712 |
10,014 |
$288K |
| 96366 |
|
7,990 |
4,374 |
$280K |
| 83880 |
|
20,609 |
16,029 |
$279K |
| 71260 |
|
3,754 |
3,291 |
$275K |
| 84443 |
|
33,566 |
28,053 |
$256K |
| G0480 |
Drug test def 1-7 classes |
4,567 |
3,539 |
$241K |
| J1453 |
Fosaprepitant injection |
3,211 |
1,640 |
$233K |
| 45378 |
|
1,032 |
862 |
$218K |
| 70551 |
|
2,480 |
2,201 |
$215K |
| 99205 |
Prolong outpt/office vis |
2,195 |
1,756 |
$211K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,895 |
3,347 |
$211K |
| 93017 |
|
3,938 |
3,361 |
$206K |
| 87798 |
|
10,295 |
8,736 |
$184K |
| 93970 |
|
2,989 |
2,624 |
$183K |
| 80061 |
|
34,045 |
29,335 |
$182K |
| 45385 |
|
815 |
719 |
$179K |
| 99490 |
Ccm add 20min |
13,241 |
12,285 |
$179K |
| 72148 |
|
2,439 |
2,146 |
$173K |
| 36430 |
|
1,919 |
1,115 |
$172K |
| 73630 |
|
4,732 |
3,785 |
$164K |
| 82306 |
|
14,099 |
12,203 |
$163K |
| 72100 |
|
3,788 |
3,356 |
$163K |
| 73560 |
|
5,384 |
3,923 |
$162K |
| 97602 |
|
3,121 |
1,312 |
$159K |
| 96367 |
|
5,347 |
2,899 |
$158K |
| 94060 |
|
2,356 |
2,136 |
$152K |
| 76700 |
|
3,202 |
2,842 |
$151K |
| 87491 |
|
6,513 |
5,423 |
$147K |
| 84484 |
|
30,093 |
20,529 |
$144K |
| 93880 |
|
2,722 |
2,437 |
$141K |
| 73130 |
|
3,990 |
2,974 |
$140K |
| 76801 |
|
1,997 |
1,644 |
$140K |
| 73030 |
|
4,702 |
3,816 |
$139K |
| 87591 |
|
6,159 |
5,157 |
$137K |
| 94726 |
|
2,350 |
2,131 |
$135K |
| 80048 |
|
31,673 |
21,540 |
$132K |
| 73610 |
|
3,738 |
2,989 |
$131K |
| 87088 |
|
28,409 |
23,469 |
$130K |
| 86901 |
|
7,808 |
6,027 |
$124K |
| 76811 |
|
1,220 |
1,033 |
$123K |
| 64493 |
|
545 |
415 |
$120K |
| 71250 |
|
3,805 |
3,377 |
$119K |
| 90471 |
|
4,697 |
3,982 |
$117K |
| 76705 |
|
2,391 |
2,099 |
$116K |
| 74018 |
|
2,934 |
2,472 |
$113K |
| 71275 |
|
1,702 |
1,488 |
$110K |
| 72141 |
|
1,377 |
1,202 |
$110K |
| 74022 |
|
2,119 |
1,814 |
$109K |
| 72125 |
|
2,863 |
2,551 |
$106K |
| 99212 |
|
6,010 |
4,906 |
$105K |
| 73110 |
|
2,915 |
2,170 |
$103K |
| 77334 |
|
479 |
271 |
$102K |
| 77067 |
|
1,265 |
1,158 |
$102K |
| 36600 |
|
3,475 |
2,908 |
$102K |
| 43248 |
|
668 |
554 |
$101K |
| 96416 |
|
865 |
442 |
$100K |
| 87880 |
|
8,921 |
7,361 |
$98K |
| 95913 |
|
586 |
528 |
$95K |
| 84703 |
|
18,085 |
14,870 |
$94K |
| 86923 |
|
1,291 |
825 |
$94K |
| 82948 |
|
38,512 |
16,360 |
$94K |
| 81001 |
|
54,372 |
44,211 |
$94K |
| 76770 |
|
2,074 |
1,843 |
$91K |
| 87651 |
|
3,365 |
3,106 |
$89K |
| 82553 |
|
18,710 |
13,651 |
$89K |
| 74178 |
|
911 |
812 |
$87K |
| 95912 |
|
524 |
454 |
$86K |
| 96415 |
|
2,810 |
1,540 |
$86K |
| 88307 |
|
719 |
440 |
$85K |
| 83036 |
|
26,267 |
22,580 |
$84K |
| 73502 |
|
3,470 |
2,966 |
$82K |
| 96417 |
|
3,029 |
1,653 |
$81K |
| M0243 |
Casirivi and imdevi inj |
414 |
374 |
$80K |
| 82805 |
|
2,956 |
2,495 |
$78K |
| 87389 |
|
5,196 |
4,299 |
$72K |
| 85730 |
|
24,578 |
19,672 |
$71K |
| 77336 |
|
1,510 |
716 |
$71K |
| 76536 |
|
1,618 |
1,458 |
$70K |
| 82550 |
|
22,341 |
16,354 |
$69K |
| 99202 |
|
2,489 |
1,932 |
$69K |
| 77300 |
|
280 |
200 |
$68K |
| C9803 |
Hopd covid-19 spec collect |
6,046 |
4,942 |
$67K |
| 93925 |
|
1,356 |
1,215 |
$66K |
| 85610 |
|
31,643 |
23,673 |
$65K |
| 87186 |
|
11,222 |
9,324 |
$65K |
| 95117 |
|
3,051 |
1,072 |
$64K |
| 72040 |
|
1,906 |
1,690 |
$63K |
| 86235 |
|
1,832 |
1,475 |
$63K |
| 93971 |
|
1,879 |
1,649 |
$61K |
| 82728 |
|
10,246 |
8,675 |
$60K |
| 76856 |
|
1,008 |
899 |
$60K |
| 64483 |
|
211 |
177 |
$58K |
| 87040 |
|
11,218 |
6,340 |
$57K |
| 83690 |
|
15,160 |
12,561 |
$57K |
| 59025 |
|
533 |
407 |
$56K |
| 97597 |
|
1,221 |
823 |
$55K |
| 83735 |
|
18,980 |
12,670 |
$55K |
| 82607 |
|
8,135 |
6,982 |
$53K |
| 86756 |
|
4,359 |
3,905 |
$52K |
| 73590 |
|
1,435 |
1,159 |
$50K |
| G0483 |
Drug test def 22+ classes |
407 |
300 |
$49K |
| 87502 |
|
652 |
614 |
$47K |
| 64616 |
|
219 |
188 |
$47K |
| 73562 |
|
1,612 |
1,255 |
$47K |
| 76642 |
|
1,594 |
1,414 |
$47K |
| 96411 |
|
1,420 |
789 |
$44K |
| 85027 |
|
13,154 |
9,618 |
$44K |
| 84439 |
|
9,671 |
8,243 |
$42K |
| J2505 |
Injection, pegfilgrastim 6mg |
36 |
25 |
$41K |
| 88304 |
|
1,423 |
1,095 |
$41K |
| 86318 |
|
3,611 |
3,075 |
$41K |
| 72110 |
|
959 |
849 |
$41K |
| 84702 |
|
3,867 |
2,972 |
$40K |
| 95813 |
|
364 |
329 |
$40K |
| 83605 |
|
9,065 |
7,106 |
$39K |
| U0005 |
Infec agen detec ampli probe |
2,181 |
1,866 |
$38K |
| 70486 |
|
855 |
753 |
$38K |
| 72114 |
|
937 |
851 |
$37K |
| 96401 |
|
1,284 |
627 |
$37K |
| 93922 |
|
1,227 |
1,088 |
$37K |
| 86803 |
|
4,674 |
3,939 |
$37K |
| 73721 |
|
372 |
317 |
$34K |
| 83655 |
|
3,546 |
3,291 |
$34K |
| 77065 |
Tomosynthesis, mammo |
1,071 |
912 |
$33K |
| 82075 |
|
1,801 |
1,484 |
$33K |
| 72131 |
|
949 |
836 |
$32K |
| 83520 |
|
3,312 |
2,142 |
$32K |
| 87661 |
|
1,864 |
1,588 |
$31K |
| P9016 |
Rbc leukocytes reduced |
428 |
255 |
$31K |
| 87070 |
|
5,086 |
4,090 |
$31K |
| 86780 |
|
3,649 |
2,933 |
$29K |
| 87340 |
|
5,196 |
4,277 |
$29K |
| 77412 |
|
362 |
40 |
$28K |
| 73090 |
|
714 |
573 |
$27K |
| 77066 |
Tomosynthesis, mammo |
538 |
478 |
$27K |
| 83970 |
|
2,088 |
1,818 |
$27K |
| 88175 |
|
1,541 |
1,312 |
$26K |
| 77386 |
|
130 |
12 |
$26K |
| 74019 |
|
485 |
432 |
$26K |
| 95816 |
|
274 |
230 |
$26K |
| 87807 |
|
2,399 |
1,995 |
$24K |
| 86481 |
|
601 |
503 |
$24K |
| 83540 |
|
8,782 |
7,442 |
$23K |
| 73070 |
|
659 |
544 |
$23K |
| 80305 |
|
3,220 |
2,821 |
$23K |
| 82746 |
|
3,517 |
2,994 |
$23K |
| 52000 |
|
137 |
119 |
$22K |
| 92557 |
|
262 |
218 |
$21K |
| 81025 |
|
3,720 |
3,160 |
$21K |
| 70491 |
|
243 |
220 |
$21K |
| 82784 |
|
2,296 |
1,640 |
$20K |
| 86704 |
|
2,956 |
2,474 |
$19K |
| 86038 |
|
3,521 |
2,891 |
$19K |
| 12001 |
|
189 |
170 |
$19K |
| 12011 |
|
203 |
171 |
$19K |
| 96523 |
|
1,207 |
778 |
$19K |
| 87811 |
|
700 |
553 |
$19K |
| Q5119 |
Inj ruxience, 10 mg |
25 |
13 |
$18K |
| 64615 |
|
126 |
106 |
$18K |
| 86140 |
|
6,428 |
4,938 |
$18K |
| 84481 |
|
2,295 |
1,929 |
$18K |
| 83550 |
|
4,996 |
4,265 |
$18K |
| 86708 |
|
2,386 |
1,982 |
$17K |
| 85378 |
|
3,829 |
3,275 |
$17K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
23,321 |
16,425 |
$17K |
| 93296 |
|
1,644 |
1,490 |
$16K |
| G0103 |
Psa screening |
2,439 |
2,103 |
$16K |
| 94010 |
|
448 |
339 |
$16K |
| 93351 |
|
117 |
106 |
$16K |
| 99211 |
|
2,713 |
2,204 |
$15K |
| 86160 |
|
1,962 |
1,548 |
$15K |
| 71101 |
|
331 |
277 |
$15K |
| 80076 |
|
2,773 |
2,173 |
$14K |
| 85652 |
|
11,317 |
8,482 |
$14K |
| 81003 |
|
10,055 |
8,039 |
$14K |
| 88112 |
|
591 |
495 |
$13K |
| 73565 |
|
543 |
479 |
$13K |
| 82570 |
|
5,901 |
5,051 |
$13K |
| J0640 |
Leucovorin calcium injection |
626 |
305 |
$13K |
| 86376 |
|
2,164 |
1,770 |
$13K |
| 90686 |
|
1,310 |
1,160 |
$13K |
| 82077 |
|
1,470 |
1,297 |
$13K |
| 87480 |
|
1,047 |
886 |
$12K |
| 97165 |
|
681 |
581 |
$12K |
| 87660 |
|
995 |
860 |
$12K |
| 72070 |
|
286 |
247 |
$12K |
| 83883 |
|
1,696 |
1,276 |
$12K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
678 |
586 |
$12K |
| 72050 |
|
260 |
241 |
$12K |
| 87510 |
|
1,050 |
897 |
$11K |
| J0561 |
Penicillin g benzathine inj |
65 |
53 |
$11K |
| 99281 |
|
255 |
222 |
$11K |
| 10061 |
|
60 |
50 |
$11K |
| 76817 |
|
156 |
135 |
$11K |
| 87205 |
|
4,125 |
3,302 |
$11K |
| G0379 |
Direct refer hospital observ |
1,463 |
1,032 |
$11K |
| 62323 |
|
110 |
78 |
$10K |
| 82951 |
|
1,511 |
1,038 |
$10K |
| 80069 |
|
3,259 |
2,574 |
$10K |
| 86762 |
|
1,214 |
981 |
$10K |
| 36573 |
|
24 |
24 |
$10K |
| J7325 |
Synvisc or synvisc-one |
111 |
46 |
$10K |
| 82042 |
|
3,627 |
3,023 |
$10K |
| 73523 |
|
183 |
170 |
$10K |
| 82247 |
|
2,668 |
1,324 |
$10K |
| J7060 |
5% dextrose/water |
4,233 |
1,628 |
$10K |
| 72158 |
|
76 |
64 |
$9K |
| 73552 |
|
273 |
237 |
$9K |
| 84403 |
|
895 |
764 |
$9K |
| 99495 |
|
882 |
788 |
$9K |
| 86225 |
|
1,648 |
1,347 |
$9K |
| 87493 |
|
504 |
430 |
$9K |
| 84153 |
|
1,546 |
1,312 |
$9K |
| 86769 |
|
467 |
375 |
$8K |
| 72170 |
|
177 |
161 |
$8K |
| 73221 |
|
93 |
84 |
$8K |
| 86431 |
|
3,192 |
2,578 |
$8K |
| G0442 |
Annual alcohol screen 15 min |
968 |
897 |
$8K |
| 82962 |
|
4,489 |
3,808 |
$8K |
| 86300 |
|
854 |
704 |
$8K |
| 82565 |
|
2,609 |
2,179 |
$8K |
| 80143 |
|
633 |
546 |
$7K |
| 97161 |
|
357 |
296 |
$7K |
| 62321 |
|
44 |
38 |
$7K |
| 95165 |
|
14 |
12 |
$7K |
| 76819 |
|
111 |
84 |
$7K |
| G0008 |
Admin influenza virus vac |
2,239 |
1,978 |
$7K |
| 73700 |
|
189 |
163 |
$7K |
| 71271 |
|
195 |
169 |
$7K |
| 93010 |
|
1,788 |
1,332 |
$7K |
| 82150 |
|
1,747 |
1,497 |
$7K |
| 99291 |
|
12 |
12 |
$6K |
| 87522 |
Neg quan hep c or qual rna |
230 |
192 |
$6K |
| 36416 |
|
34,970 |
20,220 |
$6K |
| 93225 |
|
177 |
158 |
$6K |
| 96402 |
|
291 |
226 |
$6K |
| J2770 |
Quinupristin/dalfopristin |
71 |
53 |
$6K |
| 0002A |
|
291 |
268 |
$6K |
| 73140 |
|
122 |
110 |
$6K |
| 84156 |
|
3,818 |
3,109 |
$6K |
| 90662 |
|
555 |
520 |
$5K |
| 82043 |
|
2,178 |
1,979 |
$5K |
| 12002 |
|
63 |
56 |
$5K |
| J3010 |
Fentanyl citrate injection |
17,121 |
13,271 |
$5K |
| 87536 |
|
149 |
124 |
$5K |
| 92567 |
|
233 |
204 |
$5K |
| J2405 |
Ondansetron hcl injection |
31,768 |
21,584 |
$5K |
| 82803 |
|
378 |
275 |
$5K |
| 93226 |
|
174 |
156 |
$5K |
| 72052 |
|
133 |
115 |
$5K |
| 92610 |
|
264 |
238 |
$5K |
| 80179 |
|
414 |
362 |
$5K |
| 84100 |
|
2,374 |
1,485 |
$5K |
| 99232 |
|
388 |
168 |
$5K |
| 86200 |
|
801 |
689 |
$5K |
| 84165 |
|
1,491 |
1,256 |
$5K |
| J9190 |
Fluorouracil injection |
1,490 |
385 |
$5K |
| 82378 |
|
616 |
521 |
$5K |
| 80164 |
|
572 |
459 |
$5K |
| 84550 |
|
2,482 |
2,116 |
$4K |
| 87624 |
|
207 |
188 |
$4K |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
1,574 |
1,344 |
$4K |
| J1100 |
Dexamethasone sodium phos |
17,365 |
11,049 |
$4K |
| 87150 |
|
177 |
150 |
$4K |
| 29581 |
|
82 |
40 |
$4K |
| 87641 |
|
410 |
334 |
$4K |
| J9045 |
Carboplatin injection |
539 |
285 |
$4K |
| 86039 |
|
816 |
677 |
$4K |
| 43235 |
|
18 |
13 |
$4K |
| 86706 |
|
634 |
522 |
$4K |
| 73080 |
|
97 |
76 |
$4K |
| 96376 |
|
7,850 |
4,366 |
$4K |
| 93242 |
|
297 |
270 |
$4K |
| 82248 |
|
1,175 |
928 |
$4K |
| 97530 |
|
596 |
331 |
$4K |
| 0001A |
|
334 |
297 |
$4K |
| 41899 |
|
37 |
27 |
$4K |
| 29125 |
|
89 |
67 |
$3K |
| 80047 |
|
498 |
285 |
$3K |
| 11721 |
|
185 |
167 |
$3K |
| J7040 |
Normal saline solution infus |
8,709 |
4,065 |
$3K |
| 86360 |
|
136 |
118 |
$3K |
| 97116 |
|
965 |
641 |
$3K |
| 85045 |
|
1,532 |
1,002 |
$3K |
| 94375 |
|
30 |
24 |
$3K |
| 86592 |
|
1,177 |
944 |
$3K |
| 77290 |
|
15 |
13 |
$3K |
| 87640 |
|
411 |
339 |
$3K |
| 31720 |
|
18 |
17 |
$3K |
| 73564 |
|
80 |
60 |
$3K |
| 87210 |
|
837 |
745 |
$3K |
| 83516 |
|
311 |
200 |
$3K |
| J7050 |
Normal saline solution infus |
7,640 |
3,859 |
$3K |
| 87081 |
|
716 |
548 |
$3K |
| 84520 |
|
852 |
763 |
$3K |
| 72146 |
|
40 |
37 |
$3K |
| 93660 |
|
12 |
12 |
$3K |
| 83615 |
|
950 |
733 |
$3K |
| 84146 |
|
185 |
162 |
$3K |
| 97162 |
|
151 |
124 |
$2K |
| 82105 |
|
356 |
279 |
$2K |
| 82140 |
|
413 |
281 |
$2K |
| 86334 |
|
381 |
333 |
$2K |
| 90732 |
|
104 |
94 |
$2K |
| 10060 |
|
25 |
24 |
$2K |
| 29515 |
|
37 |
27 |
$2K |
| 76830 |
|
34 |
32 |
$2K |
| 84132 |
|
1,065 |
745 |
$2K |
| 82947 |
|
740 |
651 |
$2K |
| G0439 |
Ppps, subseq visit |
179 |
166 |
$2K |
| 76815 |
|
29 |
25 |
$2K |
| 86480 |
|
47 |
40 |
$2K |
| 85018 |
|
1,327 |
963 |
$2K |
| 88173 |
|
41 |
29 |
$2K |
| 82085 |
|
424 |
343 |
$2K |
| 99496 |
|
166 |
149 |
$2K |
| 87077 |
|
321 |
237 |
$2K |
| 31231 |
|
15 |
15 |
$2K |
| 86787 |
|
149 |
137 |
$2K |
| 99152 |
|
3,446 |
2,715 |
$1K |
| 86147 |
|
44 |
27 |
$1K |
| 82785 |
|
226 |
165 |
$1K |
| 86308 |
|
358 |
295 |
$1K |
| 86355 |
|
76 |
66 |
$1K |
| J9263 |
Oxaliplatin |
179 |
50 |
$1K |
| 83013 |
|
27 |
25 |
$1K |
| J1756 |
Iron sucrose injection |
793 |
361 |
$1K |
| 86357 |
|
76 |
66 |
$1K |
| 88342 |
|
34 |
29 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
14,646 |
11,693 |
$1K |
| J2001 |
Lidocaine injection |
2,536 |
2,157 |
$1K |
| 80299 |
|
127 |
107 |
$1K |
| 90674 |
|
129 |
117 |
$1K |
| J3420 |
Vitamin b12 injection |
4,835 |
3,815 |
$1K |
| G0444 |
Depression screen annual |
741 |
705 |
$1K |
| 72072 |
|
28 |
24 |
$1K |
| 84402 |
|
81 |
75 |
$1K |
| 87449 |
|
195 |
175 |
$1K |
| J2930 |
Methylprednisolone injection |
4,713 |
3,442 |
$1K |
| 93299 |
|
101 |
89 |
$1K |
| 87116 |
|
198 |
165 |
$1K |
| 76981 |
|
113 |
99 |
$1K |
| J3301 |
Triamcinolone acet inj nos |
3,673 |
3,131 |
$1K |
| 96377 |
|
44 |
25 |
$973.32 |
| U0002 |
Covid-19 lab test non-cdc |
264 |
216 |
$930.52 |
| 80202 |
|
111 |
49 |
$911.80 |
| 70496 |
|
15 |
12 |
$905.59 |
| 90473 |
|
17 |
16 |
$850.20 |
| 0003A |
|
50 |
47 |
$832.47 |
| 73060 |
|
34 |
29 |
$803.78 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
707 |
569 |
$790.08 |
| J1030 |
Methylprednisolone 40 mg inj |
3,083 |
2,558 |
$783.98 |
| 77080 |
|
12 |
12 |
$761.40 |
| J1200 |
Diphenhydramine hcl injectio |
7,145 |
4,388 |
$749.83 |
| 86696 |
|
68 |
54 |
$737.19 |
| 93308 |
|
14 |
14 |
$694.62 |
| 83993 |
|
44 |
42 |
$689.65 |
| J0696 |
Ceftriaxone sodium injection |
10,503 |
7,011 |
$642.56 |
| 87101 |
|
183 |
159 |
$624.24 |
| 87324 |
|
127 |
117 |
$622.70 |
| J3475 |
Inj magnesium sulfate |
2,448 |
1,504 |
$616.29 |
| 87206 |
|
170 |
128 |
$613.26 |
| 83001 |
|
59 |
38 |
$604.34 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
4,091 |
3,180 |
$598.68 |
| G0257 |
Unsched dialysis esrd pt hos |
62 |
43 |
$595.66 |
| G0506 |
Comp asses care plan ccm svc |
73 |
66 |
$589.74 |
| J2250 |
Inj midazolam hydrochloride |
13,381 |
10,499 |
$587.12 |
| G1004 |
Cdsm ndsc |
10,197 |
8,073 |
$542.13 |
| 89051 |
|
130 |
103 |
$535.80 |
| J0885 |
Epoetin alfa, non-esrd |
19 |
14 |
$523.03 |
| J1170 |
Hydromorphone injection |
6,680 |
4,402 |
$513.51 |
| 86580 |
|
29 |
28 |
$506.34 |
| 82670 |
|
29 |
24 |
$494.34 |
| 86695 |
|
70 |
54 |
$493.07 |
| 83519 |
|
57 |
39 |
$487.32 |
| 90670 |
|
34 |
31 |
$480.22 |
| 94760 |
|
6,539 |
4,658 |
$476.28 |
| 99233 |
Prolong inpt eval add15 m |
15 |
12 |
$457.95 |
| 86665 |
|
16 |
13 |
$443.52 |
| G2066 |
Inter devc remote 30d |
41 |
38 |
$439.10 |
| 87046 |
|
63 |
58 |
$406.52 |
| J9267 |
Paclitaxel injection |
101 |
49 |
$401.94 |
| 87045 |
|
63 |
58 |
$400.52 |
| 86021 |
|
55 |
49 |
$386.68 |
| 96368 |
|
2,199 |
952 |
$380.20 |
| 83630 |
|
25 |
25 |
$380.12 |
| 93924 |
|
14 |
13 |
$376.69 |
| 99221 |
|
13 |
12 |
$370.27 |
| J0461 |
Atropine sulfate injection |
763 |
570 |
$365.65 |
| G0279 |
Tomosynthesis, mammo |
227 |
217 |
$358.90 |
| 86663 |
|
38 |
25 |
$345.06 |
| 92523 |
|
14 |
12 |
$327.22 |
| J0702 |
Betamethasone acet&sod phosp |
1,736 |
1,392 |
$269.89 |
| 85014 |
|
288 |
172 |
$266.67 |
| J1040 |
Methylprednisolone 80 mg inj |
1,655 |
1,376 |
$265.05 |
| 85347 |
|
91 |
53 |
$239.77 |
| 94729 |
|
2,342 |
2,126 |
$224.84 |
| 64494 |
|
556 |
418 |
$201.42 |
| 82533 |
|
29 |
26 |
$200.18 |
| A9552 |
F18 fdg |
1,807 |
1,628 |
$200.00 |
| 85613 |
|
40 |
27 |
$199.52 |
| 90715 |
|
2,009 |
1,813 |
$194.62 |
| 87209 |
|
13 |
12 |
$189.81 |
| 82652 |
|
19 |
13 |
$189.28 |
| 86664 |
|
16 |
13 |
$186.89 |
| 82164 |
|
28 |
24 |
$185.26 |
| 84144 |
|
16 |
14 |
$183.26 |
| J2270 |
Morphine sulfate injection |
10,252 |
7,112 |
$177.13 |
| 83020 |
|
31 |
19 |
$173.21 |
| 86738 |
|
20 |
12 |
$171.54 |
| 0296T |
|
13 |
12 |
$159.96 |
| 87427 |
|
17 |
17 |
$152.98 |
| 80051 |
|
51 |
40 |
$148.62 |
| 82787 |
|
14 |
12 |
$142.14 |
| 82103 |
|
33 |
27 |
$138.11 |
| 95886 |
|
1,301 |
1,117 |
$130.22 |
| J2919 |
Inj, methylpred sod succ 5mg |
459 |
324 |
$121.99 |
| 82104 |
|
29 |
24 |
$121.06 |
| J7512 |
Prednisone ir or dr oral 1mg |
964 |
670 |
$117.75 |
| J2060 |
Lorazepam injection |
3,385 |
2,582 |
$111.42 |
| J1642 |
Inj heparin sodium per 10 u |
5,598 |
2,057 |
$110.31 |
| 82272 |
|
60 |
39 |
$109.22 |
| 96160 |
|
14 |
12 |
$107.59 |
| Q9961 |
Hocm 250-299mg/ml iodine,1ml |
126 |
97 |
$100.80 |
| 87177 |
|
13 |
12 |
$93.97 |
| A9579 |
Gad-base mr contrast nos,1ml |
68 |
60 |
$88.32 |
| G0260 |
Inj for sacroiliac jt anesth |
19 |
12 |
$77.46 |
| J3370 |
Vancomycin hcl injection |
1,768 |
893 |
$73.13 |
| 90661 |
|
15 |
15 |
$67.32 |
| J1020 |
Methylprednisolone 20 mg inj |
308 |
257 |
$66.00 |
| 85049 |
|
21 |
14 |
$58.63 |
| 82525 |
|
12 |
12 |
$56.41 |
| 86003 |
|
15 |
14 |
$52.37 |
| 84630 |
|
13 |
13 |
$52.06 |
| 84145 |
|
2,303 |
1,966 |
$49.66 |
| J2175 |
Meperidine hydrochl /100 mg |
822 |
587 |
$49.40 |
| J1940 |
Furosemide injection |
3,613 |
1,659 |
$48.92 |
| J0690 |
Cefazolin sodium injection |
6,618 |
4,379 |
$45.76 |
| J1650 |
Inj enoxaparin sodium |
1,973 |
835 |
$37.15 |
| 82952 |
|
14 |
14 |
$36.30 |
| Q2036 |
Flulaval vacc, 3 yrs & >, im |
66 |
55 |
$36.27 |
| J0744 |
Ciprofloxacin iv |
284 |
212 |
$27.72 |
| J2550 |
Promethazine hcl injection |
1,575 |
1,120 |
$23.50 |
| J3480 |
Inj potassium chloride |
85 |
54 |
$22.07 |
| 84460 |
|
12 |
12 |
$19.05 |
| J1920 |
Inj, labetalol hcl, 5mg |
75 |
67 |
$18.42 |
| J7510 |
Prednisolone oral per 5 mg |
98 |
72 |
$17.51 |
| 83721 |
|
13 |
13 |
$13.77 |
| G0009 |
Admin pneumococcal vaccine |
387 |
344 |
$12.25 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
117 |
91 |
$9.27 |
| J0134 |
Inj acetaminophen -fresenius |
182 |
164 |
$9.17 |
| 90694 |
|
288 |
258 |
$8.71 |
| J3490 |
Drugs unclassified injection |
31,484 |
9,368 |
$6.98 |
| 90472 |
|
504 |
441 |
$6.46 |
| J1644 |
Inj heparin sodium per 1000u |
10,521 |
3,677 |
$5.40 |
| J0136 |
Inj, acetaminophen (b braun) |
49 |
43 |
$0.96 |
| Q0163 |
Diphenhydramine hcl 50mg |
298 |
235 |
$0.54 |
| A9500 |
Tc99m sestamibi |
3,750 |
3,163 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
988 |
749 |
$0.00 |
| 99406 |
|
661 |
536 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
1,021 |
758 |
$0.00 |
| J0610 |
Calcium glucon (fresenius) |
92 |
76 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
189 |
173 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
1,525 |
1,221 |
$0.00 |
| 77063 |
|
414 |
396 |
$0.00 |
| C1766 |
Intro/sheath,strble,non-peel |
1,789 |
1,404 |
$0.00 |
| J1790 |
Droperidol injection |
748 |
621 |
$0.00 |
| C1769 |
Guide wire |
4,932 |
3,500 |
$0.00 |
| J1815 |
Insulin injection |
278 |
168 |
$0.00 |
| 88311 |
|
226 |
185 |
$0.00 |
| J2785 |
Regadenoson injection |
2,913 |
2,479 |
$0.00 |
| J1630 |
Haloperidol injection |
197 |
144 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
190 |
161 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
1,711 |
1,284 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
2,200 |
1,716 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
1,833 |
1,398 |
$0.00 |
| 80050 |
|
211 |
205 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
250 |
145 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
1,202 |
931 |
$0.00 |
| 88341 |
|
15 |
13 |
$0.00 |
| 77001 |
|
447 |
386 |
$0.00 |
| J3360 |
Diazepam injection |
24 |
18 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
166 |
124 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
397 |
164 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
109 |
94 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
982 |
778 |
$0.00 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
253 |
196 |
$0.00 |
| J1250 |
Inj dobutamine hcl/250 mg |
13 |
12 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
293 |
251 |
$0.00 |
| 99439 |
|
177 |
166 |
$0.00 |
| J2360 |
Orphenadrine injection |
46 |
42 |
$0.00 |
| A9503 |
Tc99m medronate |
24 |
24 |
$0.00 |
| J2920 |
Methylprednisolone injection |
523 |
282 |
$0.00 |
| C1726 |
Cath, bal dil, non-vascular |
55 |
43 |
$0.00 |
| C9600 |
Perc drug-el cor stent sing |
15 |
12 |
$0.00 |
| 90677 |
|
14 |
13 |
$0.00 |
| 64484 |
|
21 |
13 |
$0.00 |
| C2617 |
Stent, non-cor, tem w/o del |
24 |
15 |
$0.00 |
| 80320 |
|
66 |
51 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
4,250 |
2,397 |
$0.00 |
| A9505 |
Tl201 thallium |
1,874 |
1,588 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
397 |
298 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
2,121 |
1,613 |
$0.00 |
| J2950 |
Promazine hcl injection |
216 |
141 |
$0.00 |
| C1757 |
Cath, thrombectomy/embolect |
19 |
13 |
$0.00 |
| 64495 |
|
233 |
171 |
$0.00 |
| J0780 |
Prochlorperazine injection |
1,237 |
1,068 |
$0.00 |
| J1953 |
Levetiracetam injection |
524 |
406 |
$0.00 |
| 77387 |
|
101 |
12 |
$0.00 |
| C1874 |
Stent, coated/cov w/del sys |
148 |
117 |
$0.00 |
| C1887 |
Catheter, guiding |
2,446 |
1,879 |
$0.00 |
| 76937 |
|
154 |
137 |
$0.00 |
| C1751 |
Cath, inf, per/cent/midline |
82 |
72 |
$0.00 |
| 93325 |
|
286 |
246 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
346 |
271 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
225 |
190 |
$0.00 |
| J0688 |
Inj cefazolin sodium, hikma |
304 |
247 |
$0.00 |
| C1776 |
Joint device (implantable) |
76 |
66 |
$0.00 |
| 90653 |
|
19 |
19 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
35 |
31 |
$0.00 |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
57 |
51 |
$0.00 |
| 99244 |
|
26 |
25 |
$0.00 |