| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2033 |
Res, nos waiver per diem |
14,584 |
964 |
$10.07M |
| G9008 |
Mccd,phys coor-care ovrsght |
12,172 |
3,713 |
$6.16M |
| 0760 |
|
87,873 |
77,697 |
$3.90M |
| G9012 |
Other specified case mgmt |
7,765 |
2,624 |
$3.71M |
| H0014 |
Alcohol and/or drug services |
3,570 |
1,874 |
$3.27M |
| H0043 |
Supported housing, per diem |
2,620 |
2,549 |
$2.70M |
| J9271 |
Inj pembrolizumab |
163 |
69 |
$1.18M |
| 99281 |
|
68,217 |
61,698 |
$1.12M |
| 0450 |
|
13,841 |
12,569 |
$889K |
| 87536 |
|
11,890 |
11,664 |
$865K |
| Q5103 |
Injection, inflectra |
456 |
402 |
$772K |
| 99213 |
|
155,448 |
143,769 |
$595K |
| 90750 |
|
1,326 |
1,326 |
$576K |
| 90677 |
|
2,223 |
2,220 |
$563K |
| Q5115 |
Inj truxima 10 mg |
116 |
64 |
$550K |
| 85025 |
|
85,353 |
79,720 |
$535K |
| Z7502 |
|
13,488 |
13,364 |
$512K |
| T1999 |
Noc retail items andsupplies |
118,578 |
52,400 |
$477K |
| 80053 |
|
55,207 |
53,070 |
$447K |
| 83036 |
|
53,794 |
53,515 |
$414K |
| 87389 |
|
25,825 |
25,387 |
$412K |
| 96372 |
|
15,891 |
14,144 |
$408K |
| Q5111 |
Injection, udenyca 0.5 mg |
114 |
82 |
$406K |
| 90651 |
|
3,524 |
3,514 |
$393K |
| 80048 |
|
62,074 |
58,748 |
$368K |
| 93005 |
|
24,687 |
23,352 |
$363K |
| 80061 |
|
35,312 |
35,161 |
$362K |
| 87811 |
|
5,708 |
5,550 |
$333K |
| 99214 |
|
70,650 |
68,207 |
$331K |
| 96374 |
|
12,253 |
11,164 |
$324K |
| 0002A |
|
11,929 |
11,928 |
$307K |
| 0001A |
|
12,577 |
12,576 |
$300K |
| 88305 |
|
6,522 |
6,435 |
$269K |
| 0270 |
|
8,829 |
3,980 |
$250K |
| 90739 |
|
696 |
693 |
$238K |
| 84443 |
|
21,501 |
21,206 |
$224K |
| U0002 |
Covid-19 lab test non-cdc |
6,584 |
4,916 |
$204K |
| 86780 |
|
13,132 |
12,764 |
$202K |
| J9217 |
Leuprolide acetate suspnsion |
185 |
183 |
$200K |
| 90715 |
|
6,930 |
6,875 |
$190K |
| 96365 |
|
4,514 |
2,657 |
$186K |
| 82803 |
|
12,501 |
11,418 |
$185K |
| 80307 |
|
9,387 |
8,548 |
$184K |
| 90832 |
|
2,827 |
2,033 |
$178K |
| 74177 |
|
3,442 |
3,398 |
$171K |
| 87635 |
|
2,369 |
1,976 |
$166K |
| 87624 |
|
2,811 |
2,809 |
$163K |
| 70450 |
|
3,704 |
3,511 |
$159K |
| 0004A |
|
6,052 |
6,050 |
$153K |
| J7307 |
Etonogestrel implant system |
65 |
65 |
$152K |
| 82306 |
|
10,858 |
10,815 |
$146K |
| Z7610 |
|
23,264 |
4,242 |
$144K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,238 |
1,795 |
$132K |
| 86803 |
|
12,715 |
12,678 |
$130K |
| 90791 |
|
575 |
544 |
$130K |
| J0561 |
Penicillin g benzathine inj |
715 |
615 |
$128K |
| 92250 |
|
7,732 |
7,031 |
$128K |
| 76815 |
|
3,434 |
3,130 |
$126K |
| 82105 |
|
3,420 |
3,383 |
$126K |
| 88142 |
|
9,116 |
9,096 |
$121K |
| J3490 |
Drugs unclassified injection |
13,424 |
9,148 |
$120K |
| 99211 |
|
220,488 |
166,256 |
$113K |
| 77067 |
|
3,794 |
3,793 |
$113K |
| 67028 |
|
902 |
829 |
$107K |
| 99283 |
|
3,291 |
2,856 |
$101K |
| J1050 |
Medroxyprogesterone acetate |
2,368 |
2,167 |
$100K |
| 72125 |
|
1,558 |
1,490 |
$99K |
| 90471 |
|
31,959 |
31,559 |
$99K |
| 0361 |
|
661 |
454 |
$95K |
| 71046 |
|
11,023 |
10,658 |
$95K |
| 92012 |
|
5,845 |
5,679 |
$93K |
| 76805 |
|
2,602 |
2,409 |
$92K |
| 99199 |
|
3,785 |
3,447 |
$91K |
| 71260 |
|
2,143 |
2,096 |
$91K |
| 96375 |
|
4,557 |
4,316 |
$88K |
| 99202 |
|
2,635 |
2,399 |
$88K |
| 80076 |
|
21,665 |
20,694 |
$86K |
| 85027 |
|
24,625 |
24,105 |
$83K |
| 92004 |
|
3,931 |
3,913 |
$82K |
| 74183 |
|
437 |
435 |
$81K |
| 99188 |
|
3,163 |
3,146 |
$79K |
| 99201 |
|
1,381 |
924 |
$75K |
| J7298 |
Mirena, 52 mg |
158 |
158 |
$75K |
| 76816 |
|
1,497 |
1,278 |
$71K |
| 92134 |
|
7,777 |
7,404 |
$70K |
| 87502 |
|
1,905 |
1,890 |
$67K |
| 82728 |
|
6,785 |
6,716 |
$66K |
| 86361 |
|
4,598 |
4,569 |
$65K |
| Z9725 |
|
1,504 |
1,335 |
$65K |
| 90686 |
|
14,231 |
14,204 |
$63K |
| 92014 |
|
5,690 |
5,613 |
$63K |
| 0710 |
|
1,816 |
1,643 |
$62K |
| 76705 |
|
2,324 |
2,275 |
$61K |
| 90619 |
|
890 |
886 |
$60K |
| 59840 |
|
1,218 |
1,113 |
$59K |
| 0360 |
|
495 |
251 |
$59K |
| 83605 |
|
6,719 |
6,394 |
$58K |
| 99284 |
|
2,132 |
1,902 |
$58K |
| 99212 |
|
14,480 |
13,759 |
$58K |
| 87340 |
|
9,299 |
9,212 |
$57K |
| 0510 |
|
6,632 |
5,771 |
$57K |
| 90716 |
|
2,266 |
2,256 |
$57K |
| 87086 |
|
13,106 |
12,573 |
$56K |
| J1380 |
Estradiol valerate 10 mg inj |
1,278 |
612 |
$55K |
| 59025 |
|
3,900 |
2,812 |
$55K |
| 0124A |
|
2,158 |
2,158 |
$55K |
| 0064A |
|
2,180 |
2,180 |
$54K |
| 90707 |
|
2,134 |
2,127 |
$53K |
| 87517 |
|
3,328 |
3,294 |
$52K |
| 88304 |
|
1,964 |
1,853 |
$52K |
| 0761 |
|
759 |
649 |
$52K |
| 92507 |
|
1,125 |
757 |
$52K |
| 86706 |
|
8,230 |
8,202 |
$51K |
| 59425 |
|
586 |
373 |
$49K |
| 71045 |
|
8,970 |
8,697 |
$49K |
| 87088 |
|
12,997 |
12,466 |
$49K |
| 0516 |
|
4,097 |
3,822 |
$47K |
| 93306 |
|
2,143 |
2,033 |
$47K |
| 97039 |
|
12,213 |
6,812 |
$47K |
| Z7500 |
|
1,712 |
1,325 |
$46K |
| 96366 |
|
1,944 |
1,268 |
$45K |
| 90834 |
|
919 |
684 |
$45K |
| 70553 |
|
505 |
500 |
$44K |
| 92523 |
|
864 |
661 |
$44K |
| 81025 |
|
16,110 |
15,418 |
$43K |
| 82274 |
|
5,945 |
5,931 |
$43K |
| 82043 |
|
11,509 |
11,427 |
$42K |
| 86141 |
|
7,026 |
6,873 |
$41K |
| 90656 |
|
2,098 |
2,097 |
$40K |
| H1001 |
Antepartum management |
970 |
719 |
$40K |
| 86704 |
|
4,868 |
4,847 |
$40K |
| 82570 |
|
13,276 |
13,085 |
$40K |
| G0480 |
Drug test def 1-7 classes |
3,097 |
2,944 |
$39K |
| 76801 |
|
395 |
374 |
$39K |
| 99231 |
|
1,013 |
744 |
$39K |
| 87522 |
Neg quan hep c or qual rna |
2,876 |
2,831 |
$39K |
| 96413 |
|
5,685 |
3,862 |
$37K |
| 0071A |
|
1,401 |
1,400 |
$36K |
| 0072A |
|
1,373 |
1,373 |
$36K |
| J2916 |
Na ferric gluconate complex |
543 |
257 |
$35K |
| 73630 |
|
3,408 |
3,228 |
$35K |
| 83690 |
|
9,995 |
9,416 |
$35K |
| 92133 |
|
2,936 |
2,385 |
$34K |
| 97139 |
|
1,162 |
716 |
$34K |
| 83970 |
|
2,135 |
2,090 |
$33K |
| 90633 |
|
3,906 |
3,887 |
$33K |
| 88112 |
|
995 |
975 |
$33K |
| 11721 |
|
1,873 |
1,535 |
$32K |
| 84466 |
|
4,631 |
4,572 |
$32K |
| 86360 |
|
1,577 |
1,570 |
$31K |
| 90670 |
|
4,736 |
4,716 |
$31K |
| 76813 |
|
585 |
543 |
$31K |
| 86708 |
|
5,125 |
5,110 |
$31K |
| 84439 |
|
5,900 |
5,758 |
$31K |
| 84484 |
|
5,933 |
5,392 |
$30K |
| 99203 |
|
1,983 |
1,949 |
$30K |
| 99152 |
|
2,761 |
2,716 |
$30K |
| 84153 |
|
2,560 |
2,529 |
$30K |
| J2400 |
Chloroprocaine hcl injection |
1,374 |
1,054 |
$29K |
| 96523 |
|
1,930 |
1,340 |
$28K |
| 96361 |
|
2,176 |
1,873 |
$28K |
| 0012A |
|
1,118 |
1,118 |
$28K |
| 59841 |
|
566 |
551 |
$28K |
| 82948 |
|
15,323 |
13,100 |
$27K |
| 70486 |
|
623 |
615 |
$27K |
| 0011A |
|
1,340 |
1,340 |
$27K |
| 11042 |
|
1,325 |
968 |
$27K |
| 97110 |
|
1,711 |
1,155 |
$27K |
| 72148 |
|
511 |
507 |
$26K |
| 86592 |
|
17,750 |
17,472 |
$26K |
| 81001 |
|
15,652 |
14,928 |
$26K |
| 99232 |
|
197 |
194 |
$26K |
| 99215 |
Prolong outpt/office vis |
3,781 |
3,626 |
$26K |
| 86762 |
|
2,237 |
2,224 |
$26K |
| 73130 |
|
2,237 |
2,099 |
$25K |
| 45385 |
|
226 |
226 |
$24K |
| 90680 |
|
3,170 |
3,149 |
$24K |
| 72141 |
|
374 |
371 |
$24K |
| 81002 |
|
14,491 |
13,525 |
$24K |
| 90472 |
|
1,319 |
1,310 |
$23K |
| 70551 |
|
510 |
509 |
$23K |
| 72100 |
|
1,901 |
1,870 |
$23K |
| 85610 |
|
13,364 |
12,411 |
$23K |
| 86787 |
|
2,130 |
2,115 |
$23K |
| J3010 |
Fentanyl citrate injection |
7,294 |
6,910 |
$22K |
| 80074 |
|
227 |
227 |
$22K |
| 83880 |
|
2,954 |
2,750 |
$22K |
| 85730 |
|
7,351 |
7,098 |
$21K |
| 90647 |
|
3,390 |
3,367 |
$21K |
| 97750 |
|
3,675 |
3,392 |
$20K |
| 73030 |
|
2,133 |
2,069 |
$20K |
| 92002 |
|
886 |
882 |
$20K |
| J2250 |
Inj midazolam hydrochloride |
8,589 |
6,596 |
$20K |
| 88141 |
|
1,894 |
1,893 |
$19K |
| 83735 |
|
7,931 |
6,690 |
$19K |
| 66984 |
|
277 |
259 |
$19K |
| 73110 |
|
1,719 |
1,555 |
$18K |
| 84403 |
|
1,448 |
1,414 |
$18K |
| 59430 |
|
1,416 |
1,300 |
$18K |
| 80069 |
|
3,787 |
3,553 |
$18K |
| 96360 |
|
1,694 |
1,267 |
$18K |
| 0134A |
|
716 |
716 |
$18K |
| 83655 |
|
4,875 |
4,854 |
$18K |
| 83540 |
|
5,431 |
5,360 |
$18K |
| 0031A |
|
664 |
664 |
$17K |
| 99070 |
|
726 |
417 |
$17K |
| 90837 |
|
364 |
315 |
$17K |
| 87081 |
|
3,874 |
3,832 |
$17K |
| 90723 |
|
3,171 |
3,145 |
$17K |
| 97597 |
|
380 |
306 |
$17K |
| 83020 |
|
1,198 |
1,171 |
$16K |
| 0003A |
|
622 |
622 |
$16K |
| 96110 |
|
267 |
259 |
$16K |
| 86901 |
|
6,422 |
6,040 |
$16K |
| 87529 |
|
160 |
158 |
$16K |
| 59426 |
|
9,998 |
6,645 |
$16K |
| 86850 |
|
3,728 |
3,510 |
$15K |
| 20610 |
|
574 |
551 |
$15K |
| 87077 |
|
2,704 |
2,621 |
$15K |
| 70355 |
|
2,005 |
1,950 |
$15K |
| 76830 |
|
1,125 |
1,090 |
$15K |
| 82607 |
|
3,362 |
3,353 |
$15K |
| 97802 |
|
3,488 |
2,995 |
$15K |
| 71250 |
|
804 |
785 |
$15K |
| 76856 |
|
1,131 |
1,100 |
$15K |
| 93976 |
|
416 |
413 |
$14K |
| 86900 |
|
6,485 |
6,102 |
$14K |
| 87430 |
|
2,337 |
2,321 |
$13K |
| 29581 |
|
2,378 |
761 |
$13K |
| 90700 |
|
1,461 |
1,452 |
$13K |
| 99401 |
|
4,184 |
3,351 |
$13K |
| 97165 |
|
141 |
115 |
$12K |
| 90697 |
|
498 |
495 |
$12K |
| 90746 |
|
976 |
973 |
$12K |
| 92015 |
|
2,418 |
2,411 |
$12K |
| 82248 |
|
4,045 |
3,952 |
$12K |
| 87210 |
|
3,471 |
3,398 |
$12K |
| 70498 |
|
168 |
166 |
$11K |
| 90710 |
|
1,263 |
1,260 |
$11K |
| 73610 |
|
1,578 |
1,502 |
$11K |
| 73562 |
|
1,121 |
1,111 |
$11K |
| 96900 |
|
566 |
111 |
$11K |
| 76700 |
|
1,688 |
1,670 |
$11K |
| 84460 |
|
4,644 |
4,345 |
$11K |
| J1885 |
Ketorolac tromethamine inj |
2,802 |
2,682 |
$10K |
| 99392 |
|
3,655 |
3,622 |
$10K |
| 73564 |
|
1,245 |
1,218 |
$10K |
| 92558 |
|
1,390 |
1,150 |
$9K |
| 96415 |
|
2,048 |
1,562 |
$9K |
| 90696 |
|
1,191 |
1,188 |
$9K |
| 73721 |
|
263 |
263 |
$9K |
| 90713 |
|
327 |
291 |
$9K |
| 92083 |
|
1,009 |
867 |
$9K |
| 85018 |
|
4,599 |
4,289 |
$8K |
| 84132 |
|
7,251 |
6,608 |
$8K |
| J0696 |
Ceftriaxone sodium injection |
3,013 |
2,751 |
$8K |
| A4268 |
Female condom |
755 |
748 |
$8K |
| 82947 |
|
3,929 |
3,815 |
$8K |
| Q0144 |
Azithromycin dihydrate, oral |
834 |
819 |
$8K |
| 84295 |
|
6,488 |
6,071 |
$8K |
| 85014 |
|
7,807 |
7,388 |
$8K |
| J8540 |
Oral dexamethasone |
2,337 |
1,342 |
$8K |
| J0881 |
Darbepoetin alfa, non-esrd |
23 |
13 |
$8K |
| 85652 |
|
5,901 |
5,779 |
$8K |
| 87186 |
|
2,274 |
2,210 |
$8K |
| 52000 |
|
80 |
80 |
$8K |
| G0463 |
Hospital outpt clinic visit |
18,119 |
14,739 |
$8K |
| 84450 |
|
3,259 |
2,962 |
$8K |
| 93971 |
|
514 |
500 |
$7K |
| J1642 |
Inj heparin sodium per 10 u |
2,301 |
1,440 |
$7K |
| 73080 |
|
818 |
789 |
$7K |
| 99391 |
|
1,507 |
1,450 |
$7K |
| 90714 |
|
255 |
255 |
$7K |
| 82610 |
|
261 |
259 |
$7K |
| 76998 |
|
52 |
52 |
$7K |
| 86580 |
|
2,034 |
1,937 |
$7K |
| 83516 |
|
1,170 |
1,151 |
$7K |
| 90732 |
|
510 |
500 |
$6K |
| P9057 |
Rbc, frz/deg/wsh, l/r, irrad |
56 |
26 |
$6K |
| 86160 |
|
776 |
679 |
$6K |
| 86593 |
|
2,146 |
2,051 |
$6K |
| 82950 |
|
1,531 |
1,525 |
$6K |
| 77066 |
Tomosynthesis, mammo |
447 |
447 |
$6K |
| 84702 |
|
2,013 |
1,781 |
$6K |
| 88342 |
|
558 |
525 |
$6K |
| 86038 |
|
1,340 |
1,333 |
$6K |
| 76770 |
|
669 |
662 |
$6K |
| 88312 |
|
1,033 |
695 |
$6K |
| 76642 |
|
885 |
874 |
$6K |
| H1011 |
Family assessment |
66 |
66 |
$6K |
| 73502 |
|
836 |
823 |
$6K |
| J2405 |
Ondansetron hcl injection |
4,158 |
3,821 |
$5K |
| 99241 |
|
814 |
785 |
$5K |
| 45380 |
|
509 |
505 |
$5K |
| 36415 |
|
12,799 |
11,062 |
$5K |
| 73120 |
|
948 |
931 |
$5K |
| 84481 |
|
1,314 |
1,285 |
$5K |
| J2560 |
Phenobarbital sodium inj |
175 |
148 |
$5K |
| 84100 |
|
3,646 |
3,383 |
$5K |
| 86682 |
|
259 |
255 |
$5K |
| 86765 |
|
581 |
573 |
$5K |
| 36000 |
|
3,465 |
2,454 |
$5K |
| 74176 |
|
223 |
220 |
$5K |
| 73100 |
|
632 |
618 |
$5K |
| 73560 |
|
1,145 |
1,116 |
$5K |
| 93247 |
|
24 |
23 |
$5K |
| 87631 |
|
424 |
422 |
$5K |
| 81003 |
|
4,116 |
4,002 |
$5K |
| 86480 |
|
809 |
804 |
$4K |
| 87070 |
|
1,353 |
1,309 |
$4K |
| 70496 |
|
108 |
106 |
$4K |
| J2704 |
Inj, propofol, 10 mg |
1,216 |
568 |
$4K |
| 82565 |
|
4,945 |
4,396 |
$4K |
| J0171 |
Adrenalin epinephrine inject |
1,423 |
1,257 |
$4K |
| 84156 |
|
2,306 |
2,222 |
$4K |
| J1100 |
Dexamethasone sodium phos |
2,111 |
1,746 |
$4K |
| 72052 |
|
112 |
112 |
$4K |
| Z1034 |
|
57 |
55 |
$4K |
| 76817 |
|
472 |
438 |
$4K |
| 96417 |
|
1,013 |
707 |
$4K |
| 0082A |
|
146 |
146 |
$4K |
| J1756 |
Iron sucrose injection |
99 |
13 |
$4K |
| 99153 |
Mod sedat endo service >5yrs |
601 |
597 |
$4K |
| 29125 |
|
500 |
351 |
$4K |
| J2401 |
Chloroprocaine hcl injection |
342 |
109 |
$4K |
| 73620 |
|
608 |
596 |
$4K |
| 86735 |
|
456 |
450 |
$4K |
| 94729 |
|
843 |
843 |
$4K |
| 87177 |
|
1,131 |
723 |
$3K |
| 82550 |
|
1,378 |
1,293 |
$3K |
| 73600 |
|
534 |
521 |
$3K |
| J9190 |
Fluorouracil injection |
85 |
37 |
$3K |
| 87209 |
|
219 |
147 |
$3K |
| J2001 |
Lidocaine injection |
3,351 |
3,097 |
$3K |
| 90744 |
|
226 |
226 |
$3K |
| 90480 |
|
121 |
121 |
$3K |
| 58300 |
|
430 |
426 |
$3K |
| 82784 |
|
770 |
741 |
$3K |
| 84165 |
|
1,169 |
1,058 |
$3K |
| 88173 |
|
284 |
276 |
$3K |
| 73590 |
|
667 |
643 |
$3K |
| 76536 |
|
463 |
461 |
$3K |
| 86920 |
|
138 |
124 |
$3K |
| 83001 |
|
441 |
439 |
$3K |
| 0034A |
|
108 |
108 |
$3K |
| 87205 |
|
1,833 |
1,768 |
$3K |
| 94010 |
|
1,093 |
1,091 |
$3K |
| 94726 |
|
657 |
657 |
$3K |
| 77063 |
|
1,210 |
1,210 |
$3K |
| 83883 |
|
766 |
581 |
$3K |
| 70491 |
|
71 |
70 |
$3K |
| 0154A |
|
99 |
99 |
$3K |
| 84999 |
|
710 |
650 |
$3K |
| 73090 |
|
499 |
470 |
$2K |
| 77065 |
Tomosynthesis, mammo |
251 |
251 |
$2K |
| 84146 |
|
721 |
716 |
$2K |
| 12011 |
|
248 |
246 |
$2K |
| 0074A |
|
90 |
90 |
$2K |
| J3301 |
Triamcinolone acet inj nos |
963 |
931 |
$2K |
| 92551 |
|
3,063 |
3,063 |
$2K |
| 83021 |
|
632 |
628 |
$2K |
| 72170 |
|
452 |
439 |
$2K |
| 86677 |
|
886 |
880 |
$2K |
| 99173 |
|
3,864 |
3,857 |
$2K |
| 84550 |
|
1,630 |
1,564 |
$2K |
| 99393 |
|
882 |
880 |
$2K |
| 43239 |
|
352 |
348 |
$2K |
| J1170 |
Hydromorphone injection |
877 |
764 |
$2K |
| 82247 |
|
1,792 |
1,328 |
$2K |
| 93000 |
|
551 |
525 |
$2K |
| 99285 |
|
1,238 |
1,153 |
$2K |
| 90381 |
|
86 |
86 |
$2K |
| H1003 |
Prenatal at risk education |
1,870 |
1,074 |
$2K |
| 84154 |
|
152 |
152 |
$2K |
| 74178 |
|
118 |
118 |
$2K |
| 45378 |
|
227 |
225 |
$2K |
| 87040 |
|
636 |
591 |
$2K |
| 72070 |
|
267 |
267 |
$2K |
| 0013A |
|
75 |
75 |
$2K |
| 85045 |
|
871 |
844 |
$2K |
| J2919 |
Inj, methylpred sod succ 5mg |
80 |
76 |
$2K |
| 76870 |
|
285 |
281 |
$2K |
| 86225 |
|
447 |
441 |
$2K |
| 87902 |
|
207 |
204 |
$2K |
| 99205 |
Prolong outpt/office vis |
712 |
689 |
$2K |
| 88313 |
|
242 |
235 |
$2K |
| 99204 |
|
204 |
204 |
$2K |
| J1200 |
Diphenhydramine hcl injectio |
1,948 |
1,883 |
$2K |
| J0461 |
Atropine sulfate injection |
1,301 |
1,241 |
$2K |
| 90660 |
|
70 |
70 |
$2K |
| 83615 |
|
852 |
794 |
$2K |
| J0780 |
Prochlorperazine injection |
562 |
541 |
$2K |
| 97803 |
|
241 |
234 |
$2K |
| 94060 |
|
405 |
403 |
$2K |
| 73552 |
|
195 |
187 |
$2K |
| 99381 |
|
315 |
308 |
$2K |
| 0112A |
|
62 |
62 |
$2K |
| 10060 |
|
310 |
308 |
$2K |
| 73221 |
|
57 |
57 |
$2K |
| 88143 |
|
865 |
863 |
$2K |
| H1002 |
Carecoordination prenatal |
1,547 |
1,480 |
$2K |
| 36400 |
|
1,338 |
1,278 |
$2K |
| 72040 |
|
401 |
398 |
$2K |
| 99394 |
|
413 |
409 |
$2K |
| J1610 |
Glucagon hydrochloride/1 mg |
98 |
98 |
$1K |
| 91320 |
|
15 |
15 |
$1K |
| 99218 |
|
63 |
63 |
$1K |
| 86705 |
|
107 |
107 |
$1K |
| U0005 |
Infec agen detec ampli probe |
203 |
200 |
$1K |
| 12001 |
|
243 |
237 |
$1K |
| J2060 |
Lorazepam injection |
828 |
772 |
$1K |
| 94640 |
|
781 |
741 |
$1K |
| 93229 |
|
460 |
458 |
$1K |
| 0081A |
|
48 |
48 |
$1K |
| 72156 |
|
14 |
14 |
$1K |
| 93970 |
|
26 |
26 |
$1K |
| 82977 |
|
509 |
504 |
$1K |
| 29705 |
|
331 |
313 |
$1K |
| J3475 |
Inj magnesium sulfate |
335 |
224 |
$1K |
| 72146 |
|
14 |
13 |
$1K |
| 11056 |
|
130 |
116 |
$1K |
| 94664 |
|
89 |
88 |
$1K |
| 90734 |
|
1,362 |
1,355 |
$1K |
| 88307 |
|
84 |
79 |
$1K |
| 87252 |
|
289 |
281 |
$1K |
| 73700 |
|
26 |
25 |
$1K |
| 73522 |
|
214 |
214 |
$1K |
| 85651 |
|
705 |
701 |
$1K |
| 85379 |
|
482 |
476 |
$1K |
| 83718 |
|
666 |
666 |
$1K |
| 93975 |
|
13 |
12 |
$983.45 |
| J7321 |
Hyalgan supartz visco-3 dose |
211 |
191 |
$969.16 |
| 87045 |
|
525 |
520 |
$965.69 |
| 97166 |
|
12 |
12 |
$906.56 |
| 0250 |
|
488 |
355 |
$905.13 |
| J2310 |
Inj naloxone hydrochloride |
788 |
763 |
$887.57 |
| 74018 |
|
205 |
188 |
$875.49 |
| 99282 |
|
446 |
393 |
$874.78 |
| J3489 |
Zoledronic acid 1mg |
103 |
98 |
$856.41 |
| Z7512 |
|
69 |
69 |
$848.65 |
| 93246 |
|
25 |
24 |
$827.69 |
| A9578 |
Inj multihance multipack |
47 |
45 |
$792.93 |
| 85008 |
|
3,261 |
3,130 |
$775.91 |
| 82330 |
|
268 |
251 |
$773.58 |
| 73140 |
|
267 |
260 |
$752.20 |
| 99244 |
|
112 |
112 |
$747.28 |
| 96368 |
|
22 |
14 |
$721.90 |
| 91318 |
|
27 |
27 |
$702.00 |
| J2270 |
Morphine sulfate injection |
131 |
123 |
$691.52 |
| 74175 |
|
95 |
95 |
$681.87 |
| J0131 |
Inj, acetaminophen (nos) |
553 |
540 |
$681.18 |
| J1815 |
Insulin injection |
371 |
309 |
$642.58 |
| 73060 |
|
148 |
138 |
$641.93 |
| 87147 |
|
1,113 |
1,084 |
$638.53 |
| 29126 |
|
207 |
183 |
$599.34 |
| 99417 |
Prolong home eval add 15m |
150 |
109 |
$596.28 |
| 86769 |
|
145 |
145 |
$589.82 |
| 86431 |
|
510 |
510 |
$588.62 |
| 87046 |
|
1,045 |
520 |
$555.18 |
| 17250 |
|
13 |
12 |
$524.17 |
| J7030 |
Normal saline solution infus |
3,348 |
2,001 |
$521.21 |
| 16020 |
|
99 |
97 |
$498.31 |
| 82670 |
|
175 |
173 |
$496.48 |
| 96402 |
|
396 |
382 |
$488.22 |
| 92553 |
|
13 |
13 |
$481.77 |
| Q0162 |
Ondansetron oral |
790 |
610 |
$467.61 |
| 82810 |
|
244 |
224 |
$459.95 |
| 93930 |
|
14 |
14 |
$446.65 |
| 90672 |
|
170 |
169 |
$446.40 |
| 87220 |
|
450 |
444 |
$440.86 |
| 87493 |
|
135 |
131 |
$412.42 |
| 86709 |
|
26 |
26 |
$406.49 |
| 80320 |
|
290 |
268 |
$404.94 |
| 87102 |
|
302 |
294 |
$403.92 |
| 17110 |
|
30 |
28 |
$399.12 |
| U0001 |
2019-ncov diagnostic p |
49 |
49 |
$398.59 |
| 70544 |
|
25 |
25 |
$396.80 |
| 29515 |
|
59 |
51 |
$395.08 |
| 86364 |
|
18 |
18 |
$394.59 |
| 71020 |
|
16 |
16 |
$394.12 |
| S0020 |
Injection, bupivicaine hydro |
371 |
368 |
$391.08 |
| 83520 |
|
26 |
26 |
$390.10 |
| 82040 |
|
802 |
776 |
$381.98 |
| 90853 |
|
51 |
29 |
$381.89 |
| V5010 |
Assessment for hearing aid |
50 |
50 |
$377.95 |
| 99403 |
|
21 |
12 |
$373.86 |
| 87427 |
|
512 |
506 |
$368.69 |
| 11055 |
|
110 |
102 |
$362.13 |
| J3420 |
Vitamin b12 injection |
28 |
26 |
$358.16 |
| 58301 |
|
83 |
52 |
$356.02 |
| 84075 |
|
115 |
112 |
$355.08 |
| 83002 |
|
181 |
180 |
$348.80 |
| 82378 |
|
165 |
155 |
$347.66 |
| 84155 |
|
677 |
661 |
$345.19 |
| 0173A |
|
13 |
13 |
$338.00 |
| 96156 |
|
159 |
155 |
$337.72 |
| 96150 |
|
249 |
208 |
$337.18 |
| 87350 |
|
398 |
395 |
$336.38 |
| 86256 |
|
53 |
51 |
$328.98 |
| 86359 |
|
61 |
61 |
$325.00 |
| 96401 |
|
461 |
220 |
$320.86 |
| J7050 |
Normal saline solution infus |
2,763 |
1,786 |
$318.62 |
| 94662 |
|
135 |
127 |
$306.74 |
| 86039 |
|
193 |
188 |
$300.20 |
| 51798 |
|
123 |
123 |
$296.00 |
| 92557 |
|
79 |
79 |
$293.05 |
| 93270 |
|
48 |
48 |
$291.03 |
| 93010 |
|
267 |
251 |
$284.11 |
| 87075 |
|
169 |
160 |
$283.60 |
| 96151 |
|
290 |
250 |
$277.38 |
| 82310 |
|
287 |
277 |
$271.11 |
| 69210 |
|
94 |
88 |
$268.74 |
| 90658 |
|
53 |
51 |
$249.70 |
| 11100 |
|
61 |
61 |
$246.96 |
| J2765 |
Metoclopramide hcl injection |
216 |
207 |
$236.31 |
| 82103 |
|
118 |
118 |
$235.06 |
| J0690 |
Cefazolin sodium injection |
80 |
39 |
$233.26 |
| J2210 |
Methylergonovin maleate inj |
12 |
12 |
$232.69 |
| 87798 |
|
57 |
55 |
$223.84 |
| 57452 |
|
34 |
18 |
$223.26 |
| 82390 |
|
171 |
171 |
$216.15 |
| 73000 |
|
32 |
27 |
$199.22 |
| 92567 |
|
46 |
46 |
$197.46 |
| 36416 |
|
516 |
444 |
$193.97 |
| 89051 |
|
116 |
110 |
$185.31 |
| 72131 |
|
12 |
12 |
$181.19 |
| 51741 |
|
42 |
42 |
$181.05 |
| 76857 |
|
47 |
45 |
$180.78 |
| 86200 |
|
156 |
156 |
$177.50 |
| J1644 |
Inj heparin sodium per 1000u |
333 |
232 |
$176.55 |
| 93225 |
|
90 |
90 |
$171.08 |
| J1630 |
Haloperidol injection |
109 |
102 |
$169.91 |
| 86707 |
|
191 |
191 |
$168.85 |
| 92020 |
|
24 |
24 |
$162.66 |
| 99242 |
|
12 |
12 |
$162.48 |
| 99383 |
|
83 |
83 |
$157.08 |
| 76604 |
|
13 |
13 |
$156.36 |
| 87116 |
|
147 |
92 |
$145.92 |
| 76000 |
|
88 |
69 |
$129.96 |
| S0191 |
Misoprostol, oral, 200 mcg |
172 |
171 |
$124.23 |
| 29075 |
|
14 |
14 |
$118.55 |
| 94750 |
|
73 |
73 |
$113.75 |
| 31575 |
|
16 |
16 |
$110.55 |
| 80164 |
|
58 |
54 |
$110.23 |
| 99243 |
|
14 |
14 |
$108.98 |
| 76514 |
|
121 |
116 |
$103.18 |
| 81381 |
|
13 |
12 |
$102.97 |
| 86235 |
|
27 |
26 |
$102.90 |
| 84270 |
|
87 |
87 |
$101.04 |
| J7040 |
Normal saline solution infus |
1,053 |
608 |
$99.35 |
| 59200 |
|
13 |
12 |
$93.60 |
| 90688 |
|
929 |
924 |
$92.68 |
| 97168 |
|
337 |
335 |
$87.32 |
| 99078 |
|
20 |
16 |
$86.59 |
| 94760 |
|
67 |
66 |
$80.20 |
| 97810 |
|
15 |
12 |
$80.00 |
| J2920 |
Methylprednisolone injection |
27 |
26 |
$79.07 |
| 77062 |
|
14 |
14 |
$78.07 |
| 84202 |
|
39 |
39 |
$76.80 |
| 99245 |
|
14 |
14 |
$76.27 |
| 86003 |
|
15 |
14 |
$75.00 |
| 87206 |
|
131 |
79 |
$74.69 |
| 87329 |
|
83 |
81 |
$74.52 |
| 84402 |
|
77 |
77 |
$71.00 |
| 17000 |
|
13 |
13 |
$69.80 |
| 17340 |
|
14 |
13 |
$53.40 |
| 80185 |
|
34 |
30 |
$53.07 |
| J3360 |
Diazepam injection |
47 |
46 |
$52.60 |
| J2930 |
Methylprednisolone injection |
54 |
43 |
$51.52 |
| 93922 |
|
14 |
14 |
$50.82 |
| J9000 |
Doxorubicin hcl injection |
19 |
14 |
$50.64 |
| 82652 |
|
14 |
14 |
$49.40 |
| 88172 |
|
25 |
25 |
$48.32 |
| 96416 |
|
60 |
37 |
$46.19 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
42 |
41 |
$45.02 |
| 86304 |
|
24 |
24 |
$37.42 |
| 58100 |
|
12 |
12 |
$25.00 |
| J1071 |
Inj testosterone cypionate |
90 |
53 |
$22.40 |
| 88311 |
|
17 |
17 |
$22.39 |
| J1940 |
Furosemide injection |
39 |
38 |
$21.42 |
| 82435 |
|
30 |
29 |
$20.17 |
| 10061 |
|
12 |
12 |
$20.00 |
| 96411 |
|
105 |
73 |
$17.96 |
| 82374 |
|
28 |
28 |
$17.86 |
| 83986 |
|
14 |
13 |
$12.96 |
| 87338 |
|
269 |
269 |
$12.92 |
| 86800 |
|
24 |
24 |
$11.55 |
| 94150 |
|
568 |
568 |
$11.02 |
| J7060 |
5% dextrose/water |
199 |
93 |
$8.39 |
| 82143 |
|
41 |
25 |
$8.36 |
| J3370 |
Vancomycin hcl injection |
14 |
14 |
$7.22 |
| 84520 |
|
30 |
30 |
$4.82 |
| 59050 |
|
147 |
139 |
$3.00 |
| 95004 |
|
38 |
38 |
$2.97 |
| J7611 |
Albuterol non-comp con |
181 |
174 |
$2.56 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
100 |
100 |
$2.38 |
| Q0163 |
Diphenhydramine hcl 50mg |
14 |
12 |
$0.16 |
| 99451 |
|
2,885 |
2,865 |
$0.00 |
| 0250R |
|
2,070 |
1,695 |
$0.00 |
| 97140 |
|
117 |
87 |
$0.00 |
| D0120 |
|
24 |
24 |
$0.00 |
| 99402 |
|
34 |
34 |
$0.00 |
| 94200 |
|
139 |
139 |
$0.00 |
| 96376 |
|
94 |
89 |
$0.00 |
| 99384 |
|
27 |
27 |
$0.00 |
| D0230 |
|
17 |
16 |
$0.00 |
| 97162 |
|
79 |
79 |
$0.00 |
| 87591 |
|
635 |
236 |
$0.00 |
| 87661 |
|
143 |
139 |
$0.00 |
| 00000 |
|
75 |
66 |
$0.00 |
| 92522 |
|
19 |
13 |
$0.00 |
| 86702 |
|
16 |
13 |
$0.00 |
| G0008 |
Admin influenza virus vac |
34 |
34 |
$0.00 |
| S9445 |
Pt education noc individ |
42 |
40 |
$0.00 |
| 96409 |
|
56 |
37 |
$0.00 |
| 92700 |
|
155 |
133 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
12 |
12 |
$0.00 |
| 31231 |
|
12 |
12 |
$0.00 |
| 86701 |
|
16 |
13 |
$0.00 |
| D1310 |
|
16 |
16 |
$0.00 |
| D0272 |
|
16 |
16 |
$0.00 |
| 87015 |
|
22 |
13 |
$0.00 |
| D1206 |
|
21 |
21 |
$0.00 |
| J2505 |
Injection, pegfilgrastim 6mg |
15 |
14 |
$0.00 |
| G8979 |
Mobility goal status |
207 |
206 |
$0.00 |
| 97530 |
|
529 |
425 |
$0.00 |
| G8978 |
Mobility current status |
182 |
181 |
$0.00 |
| 11720 |
|
12 |
12 |
$0.00 |
| G1004 |
Cdsm ndsc |
154 |
145 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |
| 0272R |
|
2,036 |
1,051 |
$0.00 |
| 87491 |
|
323 |
236 |
$0.00 |
| 99382 |
|
77 |
77 |
$0.00 |
| D0220 |
|
17 |
16 |
$0.00 |
| 90662 |
|
34 |
34 |
$0.00 |
| 99404 |
|
165 |
142 |
$0.00 |
| D1120 |
|
18 |
18 |
$0.00 |
| 0296T |
|
42 |
42 |
$0.00 |
| 93024 |
|
18 |
18 |
$0.00 |
| 97116 |
|
30 |
26 |
$0.00 |
| 85999 |
|
13 |
13 |
$0.00 |
| 97161 |
|
26 |
26 |
$0.00 |