| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
44,199 |
42,669 |
$4.86M |
| 99283 |
|
42,329 |
40,907 |
$4.32M |
| G0378 |
Hospital observation per hr |
4,308 |
4,108 |
$3.35M |
| U0003 |
Cov-19 amp prb hgh thruput |
41,674 |
39,244 |
$3.15M |
| 99285 |
|
26,033 |
25,302 |
$2.84M |
| T1015 |
Clinic service |
31,291 |
8,984 |
$1.17M |
| J9271 |
Inj pembrolizumab |
444 |
361 |
$1.10M |
| 0241U |
|
10,111 |
9,956 |
$709K |
| 80053 |
|
79,566 |
73,621 |
$644K |
| 74177 |
|
4,171 |
4,033 |
$508K |
| 76816 |
|
11,418 |
8,257 |
$473K |
| 99214 |
|
7,664 |
7,447 |
$415K |
| 99213 |
|
10,739 |
10,320 |
$401K |
| 76811 |
|
3,943 |
3,042 |
$389K |
| 76819 |
|
7,460 |
4,780 |
$370K |
| G0480 |
Drug test def 1-7 classes |
6,983 |
6,520 |
$317K |
| 85025 |
|
69,696 |
64,474 |
$283K |
| 80307 |
|
5,884 |
5,525 |
$260K |
| 96413 |
|
2,108 |
1,344 |
$220K |
| 87536 |
|
1,874 |
1,805 |
$211K |
| 71275 |
|
1,534 |
1,481 |
$204K |
| 70450 |
|
4,296 |
4,104 |
$193K |
| 77067 |
|
2,460 |
2,410 |
$193K |
| 84443 |
|
8,782 |
8,538 |
$193K |
| 87636 |
|
3,207 |
3,135 |
$168K |
| 80050 |
|
3,679 |
3,586 |
$165K |
| 82306 |
|
4,934 |
4,823 |
$162K |
| 93005 |
|
24,753 |
23,303 |
$161K |
| 36415 |
|
67,340 |
60,529 |
$160K |
| 80061 |
|
11,134 |
10,889 |
$153K |
| 71046 |
|
12,708 |
12,360 |
$149K |
| 96374 |
|
8,704 |
8,204 |
$149K |
| X0621 |
|
598 |
404 |
$137K |
| 87491 |
|
5,842 |
5,544 |
$130K |
| 93306 |
|
1,778 |
1,743 |
$129K |
| 87591 |
|
5,819 |
5,523 |
$121K |
| 99282 |
|
1,625 |
1,471 |
$114K |
| 0225U |
|
1,163 |
1,033 |
$100K |
| 95810 |
|
363 |
353 |
$94K |
| 95811 |
|
213 |
202 |
$92K |
| 76700 |
|
1,671 |
1,620 |
$86K |
| 87651 |
|
4,191 |
4,052 |
$85K |
| 76830 |
|
1,940 |
1,859 |
$81K |
| 76817 |
|
1,530 |
1,320 |
$81K |
| 96365 |
|
3,237 |
2,097 |
$75K |
| 96372 |
|
8,281 |
7,426 |
$75K |
| 84484 |
|
11,107 |
7,189 |
$74K |
| 87389 |
|
2,728 |
2,668 |
$73K |
| 76856 |
|
1,951 |
1,909 |
$72K |
| J1745 |
Infliximab not biosimil 10mg |
40 |
39 |
$71K |
| 83036 |
|
10,574 |
10,335 |
$69K |
| 76801 |
|
1,741 |
1,609 |
$69K |
| 88175 |
|
2,156 |
2,108 |
$67K |
| 85027 |
|
10,739 |
9,327 |
$65K |
| 96375 |
|
5,691 |
4,509 |
$63K |
| 87088 |
|
9,250 |
8,712 |
$61K |
| 80048 |
|
8,138 |
6,772 |
$60K |
| 93971 |
|
1,104 |
1,059 |
$57K |
| 76821 |
|
1,037 |
627 |
$54K |
| 47562 |
|
81 |
77 |
$54K |
| 86803 |
|
2,812 |
2,769 |
$54K |
| 74176 |
|
870 |
841 |
$53K |
| 87624 |
|
1,284 |
1,244 |
$51K |
| 77066 |
Tomosynthesis, mammo |
601 |
584 |
$51K |
| 81220 |
|
122 |
122 |
$50K |
| 99281 |
|
952 |
842 |
$50K |
| 78830 |
|
195 |
191 |
$49K |
| 80081 |
|
677 |
664 |
$49K |
| 72125 |
|
1,105 |
1,057 |
$49K |
| 77063 |
|
2,382 |
2,333 |
$49K |
| 87635 |
|
1,861 |
1,797 |
$45K |
| 76813 |
|
839 |
694 |
$44K |
| 87150 |
|
827 |
767 |
$42K |
| 78452 |
|
289 |
282 |
$42K |
| 96361 |
|
6,367 |
5,048 |
$42K |
| 86480 |
|
616 |
603 |
$42K |
| C9803 |
Hopd covid-19 spec collect |
5,779 |
5,464 |
$39K |
| 76642 |
|
946 |
819 |
$39K |
| 71260 |
|
523 |
513 |
$38K |
| 45380 |
|
191 |
188 |
$36K |
| 11042 |
|
710 |
550 |
$36K |
| 62323 |
|
102 |
101 |
$36K |
| 84466 |
|
2,339 |
2,268 |
$36K |
| 96360 |
|
1,861 |
1,592 |
$33K |
| J1756 |
Iron sucrose injection |
2,948 |
1,652 |
$33K |
| 83690 |
|
10,306 |
9,725 |
$32K |
| 76770 |
|
804 |
775 |
$32K |
| 43239 |
|
335 |
331 |
$31K |
| 93970 |
|
451 |
428 |
$31K |
| 87480 |
|
1,370 |
1,311 |
$31K |
| 96417 |
|
481 |
276 |
$30K |
| 87660 |
|
1,365 |
1,306 |
$30K |
| U0002 |
Covid-19 lab test non-cdc |
1,223 |
1,174 |
$29K |
| 76805 |
|
558 |
548 |
$28K |
| 82607 |
|
2,504 |
2,451 |
$27K |
| 76536 |
|
604 |
589 |
$26K |
| 81001 |
|
13,213 |
12,588 |
$26K |
| 82728 |
|
2,388 |
2,304 |
$26K |
| 83970 |
|
686 |
669 |
$26K |
| 76820 |
|
958 |
558 |
$25K |
| 45385 |
|
88 |
87 |
$24K |
| 84702 |
|
1,632 |
1,263 |
$24K |
| 77065 |
Tomosynthesis, mammo |
380 |
358 |
$24K |
| 72110 |
|
1,244 |
1,208 |
$23K |
| 83735 |
|
4,609 |
3,707 |
$23K |
| 87522 |
Neg quan hep c or qual rna |
596 |
570 |
$23K |
| 71045 |
|
4,632 |
4,317 |
$23K |
| 83880 |
|
904 |
836 |
$22K |
| J2785 |
Regadenoson injection |
288 |
278 |
$22K |
| 93226 |
|
613 |
599 |
$21K |
| 76705 |
|
814 |
779 |
$21K |
| 70486 |
|
392 |
382 |
$21K |
| 93017 |
|
607 |
592 |
$21K |
| 87077 |
|
3,368 |
2,892 |
$21K |
| 71250 |
|
360 |
354 |
$20K |
| 76818 |
|
345 |
203 |
$20K |
| 82570 |
|
2,912 |
2,736 |
$20K |
| 73630 |
|
1,953 |
1,618 |
$20K |
| 87186 |
|
2,848 |
2,517 |
$19K |
| 77336 |
|
447 |
202 |
$19K |
| 83655 |
|
1,718 |
1,672 |
$19K |
| 86317 |
|
811 |
759 |
$19K |
| 87633 |
|
50 |
50 |
$18K |
| 84403 |
|
672 |
649 |
$18K |
| 83540 |
|
2,379 |
2,312 |
$18K |
| 86003 |
|
338 |
219 |
$18K |
| 96415 |
|
543 |
378 |
$18K |
| 85610 |
|
6,146 |
4,325 |
$18K |
| 84439 |
|
2,258 |
2,173 |
$17K |
| 81025 |
|
6,639 |
6,300 |
$17K |
| 87631 |
|
146 |
141 |
$17K |
| 87641 |
|
661 |
631 |
$17K |
| 86235 |
|
480 |
281 |
$16K |
| 74018 |
|
1,140 |
1,073 |
$16K |
| 87340 |
|
1,213 |
1,190 |
$16K |
| 82747 |
|
740 |
724 |
$16K |
| 86255 |
|
474 |
368 |
$16K |
| 86850 |
|
2,246 |
2,077 |
$15K |
| 73560 |
|
1,084 |
881 |
$15K |
| 94729 |
|
568 |
556 |
$15K |
| 85379 |
|
2,095 |
1,998 |
$15K |
| 82043 |
|
1,888 |
1,836 |
$15K |
| 86038 |
|
988 |
948 |
$15K |
| 84703 |
|
2,119 |
2,065 |
$14K |
| 87040 |
|
1,809 |
1,160 |
$14K |
| 76815 |
|
382 |
335 |
$14K |
| 94726 |
|
565 |
553 |
$14K |
| H0004 |
Alcohol and/or drug services |
324 |
255 |
$14K |
| 74178 |
|
78 |
77 |
$14K |
| 73610 |
|
929 |
864 |
$14K |
| 86618 |
|
602 |
585 |
$14K |
| 72050 |
|
595 |
582 |
$14K |
| 81329 |
|
128 |
128 |
$13K |
| 73030 |
|
1,061 |
972 |
$13K |
| J2469 |
Palonosetron hcl |
1,847 |
1,070 |
$13K |
| 81003 |
|
6,170 |
5,859 |
$13K |
| 450 |
Pov group 1 hd 301-450 lbs |
21 |
12 |
$13K |
| 77062 |
|
570 |
556 |
$12K |
| 84153 |
|
541 |
523 |
$12K |
| 64493 |
|
32 |
31 |
$12K |
| 73130 |
|
1,167 |
945 |
$12K |
| G0108 |
Diab manage trn per indiv |
230 |
194 |
$12K |
| 84146 |
|
469 |
453 |
$11K |
| 82784 |
|
773 |
696 |
$11K |
| 88305 |
|
2,429 |
1,907 |
$11K |
| 86140 |
|
3,919 |
3,556 |
$11K |
| 80076 |
|
1,230 |
1,120 |
$11K |
| 76870 |
|
254 |
247 |
$11K |
| 84402 |
|
381 |
364 |
$10K |
| 96411 |
|
223 |
146 |
$10K |
| 93225 |
|
608 |
594 |
$10K |
| 10060 |
|
100 |
97 |
$10K |
| 86160 |
|
502 |
316 |
$10K |
| 77080 |
|
215 |
210 |
$10K |
| 99212 |
|
440 |
413 |
$10K |
| 70491 |
|
167 |
156 |
$10K |
| 86704 |
|
692 |
679 |
$10K |
| 94640 |
|
594 |
553 |
$10K |
| 73502 |
|
620 |
601 |
$9K |
| 72131 |
|
198 |
191 |
$9K |
| 86706 |
|
762 |
742 |
$9K |
| 77334 |
|
122 |
82 |
$9K |
| 81596 |
|
160 |
158 |
$9K |
| 86592 |
|
2,310 |
2,262 |
$9K |
| 73564 |
|
647 |
585 |
$9K |
| 85730 |
|
2,187 |
2,000 |
$9K |
| 44970 |
|
12 |
12 |
$9K |
| 84481 |
|
379 |
358 |
$9K |
| 49083 |
|
18 |
12 |
$9K |
| 86901 |
|
2,420 |
2,232 |
$8K |
| S9470 |
Nutritional counseling, diet |
480 |
469 |
$8K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
9,389 |
8,132 |
$8K |
| 86900 |
|
2,426 |
2,238 |
$8K |
| 87640 |
|
455 |
434 |
$8K |
| 85652 |
|
2,889 |
2,721 |
$8K |
| 77412 |
|
258 |
28 |
$8K |
| 86787 |
|
472 |
467 |
$8K |
| 84100 |
|
1,635 |
1,330 |
$8K |
| 83001 |
|
442 |
427 |
$8K |
| G9012 |
Other specified case mgmt |
42 |
41 |
$8K |
| 96376 |
|
1,470 |
928 |
$8K |
| 82670 |
|
336 |
311 |
$7K |
| 76857 |
|
568 |
537 |
$7K |
| 72070 |
|
430 |
419 |
$7K |
| J7030 |
Normal saline solution infus |
18,602 |
13,679 |
$7K |
| 12001 |
|
186 |
183 |
$7K |
| G0328 |
Fecal blood scrn immunoassay |
374 |
363 |
$7K |
| 72100 |
|
406 |
390 |
$7K |
| 99291 |
|
69 |
68 |
$7K |
| 80164 |
|
404 |
381 |
$7K |
| 75574 |
|
37 |
37 |
$6K |
| 88342 |
|
371 |
339 |
$6K |
| 77061 |
|
283 |
278 |
$6K |
| 94060 |
|
678 |
665 |
$6K |
| 70551 |
|
52 |
52 |
$6K |
| 86708 |
|
418 |
411 |
$6K |
| 87510 |
|
848 |
828 |
$6K |
| 99394 |
|
64 |
64 |
$6K |
| 86431 |
|
724 |
698 |
$6K |
| 83605 |
|
1,553 |
1,375 |
$5K |
| 80197 |
|
375 |
265 |
$5K |
| 19083 |
|
12 |
12 |
$5K |
| 87625 |
|
181 |
178 |
$5K |
| 96402 |
|
128 |
115 |
$5K |
| 82565 |
|
1,002 |
832 |
$5K |
| 96366 |
|
801 |
505 |
$5K |
| 73110 |
|
545 |
513 |
$5K |
| 59025 |
|
599 |
364 |
$5K |
| 84145 |
|
518 |
472 |
$5K |
| 90715 |
|
1,191 |
1,133 |
$5K |
| Q9957 |
Inj perflutren lip micros,ml |
576 |
554 |
$5K |
| 87070 |
|
894 |
846 |
$5K |
| 99393 |
|
56 |
55 |
$5K |
| 93798 |
|
212 |
40 |
$5K |
| 83002 |
|
289 |
269 |
$5K |
| 82550 |
|
892 |
777 |
$5K |
| 43235 |
|
38 |
38 |
$5K |
| 92551 |
|
636 |
635 |
$5K |
| 90686 |
|
1,174 |
1,157 |
$4K |
| 97110 |
|
916 |
314 |
$4K |
| 72128 |
|
80 |
75 |
$4K |
| T1028 |
Home environment assessment |
64 |
64 |
$4K |
| 82950 |
|
591 |
581 |
$4K |
| 99215 |
Prolong outpt/office vis |
51 |
38 |
$4K |
| 12011 |
|
109 |
109 |
$4K |
| 96367 |
|
391 |
305 |
$4K |
| G0472 |
Hep c screen high risk/other |
202 |
196 |
$4K |
| 73590 |
|
295 |
269 |
$4K |
| 84165 |
|
319 |
296 |
$4K |
| 86696 |
|
157 |
141 |
$4K |
| 84156 |
|
948 |
825 |
$4K |
| 82803 |
|
299 |
267 |
$4K |
| 86200 |
|
251 |
243 |
$4K |
| 99173 |
|
643 |
641 |
$3K |
| 99391 |
|
40 |
40 |
$3K |
| 86709 |
|
240 |
240 |
$3K |
| 71271 |
|
72 |
70 |
$3K |
| 82105 |
|
182 |
180 |
$3K |
| 82248 |
|
470 |
418 |
$3K |
| 86695 |
|
157 |
141 |
$3K |
| 82962 |
|
4,643 |
2,390 |
$3K |
| 84550 |
|
556 |
523 |
$3K |
| 87205 |
|
884 |
835 |
$3K |
| 86665 |
|
111 |
65 |
$3K |
| 71101 |
|
281 |
272 |
$3K |
| 12002 |
|
56 |
56 |
$3K |
| 95816 |
|
280 |
274 |
$3K |
| 78306 |
|
55 |
53 |
$3K |
| A9500 |
Tc99m sestamibi |
121 |
120 |
$3K |
| 86039 |
|
190 |
179 |
$3K |
| 86376 |
|
339 |
324 |
$3K |
| 29125 |
|
139 |
132 |
$3K |
| 86361 |
|
91 |
90 |
$3K |
| 82247 |
|
373 |
275 |
$3K |
| 82533 |
|
210 |
190 |
$3K |
| 83721 |
|
322 |
310 |
$3K |
| 82746 |
|
266 |
261 |
$3K |
| 97597 |
|
117 |
99 |
$2K |
| 74022 |
|
164 |
157 |
$2K |
| G0297 |
Ldct for lung ca screen |
28 |
27 |
$2K |
| 83021 |
|
166 |
159 |
$2K |
| 80069 |
|
297 |
279 |
$2K |
| 87493 |
|
63 |
63 |
$2K |
| 87329 |
|
189 |
182 |
$2K |
| J2790 |
Rho d immune globulin inj |
123 |
123 |
$2K |
| J8540 |
Oral dexamethasone |
3,826 |
2,460 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
19,672 |
16,031 |
$2K |
| 86762 |
|
119 |
117 |
$2K |
| 93243 |
|
66 |
65 |
$2K |
| 82378 |
|
148 |
133 |
$2K |
| 83993 |
|
108 |
107 |
$2K |
| 83615 |
|
409 |
333 |
$2K |
| 93325 |
|
185 |
183 |
$2K |
| 72040 |
|
148 |
143 |
$2K |
| J0780 |
Prochlorperazine injection |
3,039 |
2,586 |
$2K |
| 80178 |
|
304 |
267 |
$2K |
| 73080 |
|
265 |
252 |
$2K |
| 85018 |
|
831 |
736 |
$2K |
| 86800 |
|
115 |
109 |
$2K |
| J7050 |
Normal saline solution infus |
16,790 |
8,964 |
$2K |
| 73140 |
|
260 |
244 |
$2K |
| 84590 |
|
150 |
149 |
$2K |
| 82947 |
|
532 |
494 |
$2K |
| 88341 |
|
96 |
67 |
$2K |
| 87427 |
|
147 |
146 |
$2K |
| 36591 |
|
188 |
163 |
$2K |
| 88312 |
|
44 |
42 |
$2K |
| 73090 |
|
192 |
184 |
$2K |
| 93242 |
|
66 |
65 |
$2K |
| 76827 |
|
42 |
42 |
$2K |
| 29515 |
|
63 |
60 |
$2K |
| 87902 |
|
15 |
14 |
$2K |
| 85576 |
|
111 |
108 |
$2K |
| 76882 |
|
247 |
238 |
$2K |
| 80177 |
|
115 |
102 |
$1K |
| 0297T |
|
52 |
51 |
$1K |
| 82310 |
|
205 |
191 |
$1K |
| 78264 |
|
13 |
13 |
$1K |
| 86664 |
|
68 |
64 |
$1K |
| 73522 |
|
62 |
60 |
$1K |
| 83020 |
|
114 |
112 |
$1K |
| 86308 |
|
194 |
186 |
$1K |
| 87045 |
|
167 |
160 |
$1K |
| 99392 |
|
12 |
12 |
$1K |
| 51798 |
|
238 |
217 |
$1K |
| 87517 |
|
30 |
29 |
$1K |
| 72082 |
|
28 |
26 |
$1K |
| 86663 |
|
68 |
64 |
$1K |
| J1170 |
Hydromorphone injection |
5,365 |
3,700 |
$1K |
| 80175 |
|
93 |
88 |
$1K |
| 87075 |
|
197 |
182 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
2,429 |
1,391 |
$1K |
| 77290 |
|
17 |
16 |
$1K |
| 0296T |
|
52 |
51 |
$1K |
| 84425 |
|
146 |
142 |
$1K |
| 82330 |
|
197 |
179 |
$1K |
| 83516 |
|
780 |
559 |
$1K |
| 82010 |
|
390 |
331 |
$995.24 |
| J1100 |
Dexamethasone sodium phos |
9,502 |
7,873 |
$974.09 |
| 88304 |
|
486 |
455 |
$962.60 |
| 70496 |
|
13 |
13 |
$957.30 |
| 82150 |
|
202 |
195 |
$940.69 |
| 70498 |
|
12 |
12 |
$920.92 |
| 87015 |
|
141 |
129 |
$908.86 |
| 82785 |
|
53 |
53 |
$908.37 |
| 77300 |
|
17 |
15 |
$904.16 |
| 76825 |
|
42 |
42 |
$903.45 |
| 82627 |
|
39 |
39 |
$901.95 |
| 86765 |
|
64 |
64 |
$852.03 |
| 94618 |
|
165 |
159 |
$848.13 |
| 99211 |
|
45 |
42 |
$831.00 |
| 90471 |
|
258 |
220 |
$826.76 |
| 97014 |
|
51 |
15 |
$807.12 |
| 84480 |
|
102 |
101 |
$782.45 |
| 86780 |
|
54 |
51 |
$776.26 |
| J2270 |
Morphine sulfate injection |
3,316 |
2,405 |
$760.45 |
| 85044 |
|
211 |
203 |
$722.76 |
| J0131 |
Inj, acetaminophen (nos) |
4,295 |
3,270 |
$721.98 |
| J2405 |
Ondansetron hcl injection |
15,856 |
12,573 |
$712.15 |
| 73060 |
|
79 |
76 |
$673.92 |
| 73552 |
|
57 |
50 |
$660.44 |
| J7070 |
D5w infusion |
1,745 |
925 |
$641.45 |
| 82951 |
|
63 |
63 |
$619.45 |
| 94760 |
|
372 |
365 |
$615.63 |
| 85014 |
|
360 |
300 |
$608.57 |
| 84132 |
|
200 |
186 |
$608.22 |
| J1040 |
Methylprednisolone 80 mg inj |
397 |
354 |
$597.66 |
| U0005 |
Infec agen detec ampli probe |
1,943 |
1,854 |
$588.73 |
| 84432 |
|
27 |
25 |
$579.88 |
| 88307 |
|
229 |
211 |
$555.30 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
140 |
134 |
$543.45 |
| 87046 |
|
187 |
152 |
$538.26 |
| 74220 |
|
25 |
25 |
$528.79 |
| A9503 |
Tc99m medronate |
117 |
103 |
$528.00 |
| J1630 |
Haloperidol injection |
1,653 |
1,269 |
$521.26 |
| J2060 |
Lorazepam injection |
2,909 |
2,226 |
$520.79 |
| 87255 |
|
14 |
12 |
$511.69 |
| 77280 |
|
16 |
15 |
$502.13 |
| 76942 |
|
92 |
90 |
$479.84 |
| 82731 |
|
26 |
25 |
$454.00 |
| 86617 |
|
25 |
13 |
$436.12 |
| J2543 |
Piperacillin/tazobactam |
572 |
314 |
$412.96 |
| J3370 |
Vancomycin hcl injection |
506 |
347 |
$385.79 |
| J3475 |
Inj magnesium sulfate |
1,449 |
961 |
$384.64 |
| 86300 |
|
14 |
12 |
$381.25 |
| J2704 |
Inj, propofol, 10 mg |
8,870 |
7,260 |
$368.02 |
| 84305 |
|
14 |
14 |
$365.10 |
| 93350 |
|
12 |
12 |
$362.04 |
| 97140 |
|
230 |
99 |
$355.76 |
| 96368 |
|
44 |
26 |
$355.49 |
| 82652 |
|
14 |
13 |
$345.44 |
| 84155 |
|
84 |
83 |
$333.43 |
| 86870 |
|
42 |
37 |
$329.02 |
| 86304 |
|
14 |
12 |
$325.58 |
| J7120 |
Ringers lactate infusion |
9,877 |
7,399 |
$322.51 |
| 86334 |
|
13 |
13 |
$314.59 |
| 82140 |
|
71 |
65 |
$311.41 |
| J1200 |
Diphenhydramine hcl injectio |
3,101 |
2,593 |
$310.65 |
| J2930 |
Methylprednisolone injection |
464 |
403 |
$306.23 |
| 300 |
Patient transfer system <300 |
16 |
12 |
$302.60 |
| J0690 |
Cefazolin sodium injection |
3,659 |
2,769 |
$295.25 |
| 90656 |
|
48 |
48 |
$291.04 |
| 87081 |
|
49 |
49 |
$277.15 |
| J1815 |
Insulin injection |
1,824 |
764 |
$276.43 |
| 87209 |
|
12 |
12 |
$273.20 |
| J3010 |
Fentanyl citrate injection |
8,157 |
5,511 |
$270.61 |
| 96110 |
|
30 |
29 |
$250.31 |
| 72202 |
|
14 |
14 |
$243.72 |
| 84295 |
|
93 |
86 |
$227.28 |
| 84445 |
|
12 |
12 |
$222.00 |
| 74230 |
|
13 |
13 |
$220.60 |
| 72220 |
|
12 |
12 |
$207.58 |
| 99152 |
|
85 |
82 |
$205.56 |
| 84630 |
|
14 |
13 |
$202.58 |
| J1642 |
Inj heparin sodium per 10 u |
165 |
73 |
$199.60 |
| G0463 |
Hospital outpt clinic visit |
43 |
39 |
$199.03 |
| 84460 |
|
29 |
28 |
$194.74 |
| 93308 |
|
13 |
13 |
$189.44 |
| 86920 |
|
19 |
14 |
$175.35 |
| 93321 |
|
25 |
25 |
$164.47 |
| 36600 |
|
42 |
39 |
$163.79 |
| 88302 |
|
71 |
53 |
$163.25 |
| J7060 |
5% dextrose/water |
134 |
65 |
$160.86 |
| J2765 |
Metoclopramide hcl injection |
1,112 |
917 |
$154.90 |
| 73070 |
|
13 |
12 |
$154.00 |
| J1650 |
Inj enoxaparin sodium |
2,660 |
786 |
$152.05 |
| 83525 |
|
13 |
12 |
$147.40 |
| 70360 |
|
17 |
13 |
$143.00 |
| 84244 |
|
13 |
12 |
$135.54 |
| 87272 |
|
71 |
70 |
$120.73 |
| J0171 |
Adrenalin epinephrine inject |
186 |
89 |
$119.05 |
| 84436 |
|
12 |
12 |
$113.52 |
| 88311 |
|
112 |
108 |
$108.64 |
| 86593 |
|
16 |
14 |
$107.77 |
| 51702 |
|
25 |
24 |
$105.21 |
| 87177 |
|
12 |
12 |
$102.04 |
| J1644 |
Inj heparin sodium per 1000u |
2,013 |
954 |
$96.48 |
| 3078F |
|
51 |
51 |
$90.00 |
| C1769 |
Guide wire |
160 |
150 |
$86.00 |
| 72170 |
|
13 |
13 |
$74.50 |
| 86682 |
|
58 |
55 |
$74.40 |
| J2795 |
Ropivacaine hcl injection |
550 |
451 |
$71.83 |
| 83883 |
|
23 |
12 |
$71.15 |
| 3074F |
|
57 |
57 |
$70.00 |
| 84520 |
|
15 |
12 |
$69.62 |
| 87338 |
|
39 |
39 |
$67.55 |
| 89051 |
|
14 |
13 |
$54.25 |
| L3260 |
Ambulatory surgical boot eac |
14 |
14 |
$43.86 |
| 83520 |
|
16 |
16 |
$42.23 |
| J3420 |
Vitamin b12 injection |
384 |
179 |
$29.40 |
| P9612 |
Catheterize for urine spec |
51 |
47 |
$24.39 |
| C9113 |
Inj pantoprazole sodium, via |
102 |
53 |
$23.04 |
| J2250 |
Inj midazolam hydrochloride |
3,539 |
3,009 |
$22.24 |
| J2920 |
Methylprednisolone injection |
193 |
120 |
$12.17 |
| J7042 |
5% dextrose/normal saline |
371 |
276 |
$9.72 |
| 99153 |
Mod sedat endo service >5yrs |
14 |
13 |
$9.16 |
| 87449 |
|
13 |
12 |
$8.04 |
| Q0164 |
Prochlorperazine maleate 5mg |
26 |
25 |
$6.79 |
| A9270 |
Non-covered item or service |
496 |
306 |
$5.15 |
| J2001 |
Lidocaine injection |
4,159 |
3,431 |
$2.65 |
| J3480 |
Inj potassium chloride |
21 |
12 |
$2.30 |
| J3490 |
Drugs unclassified injection |
97 |
66 |
$0.40 |
| J1010 |
Inj, methylpred acetate 1 mg |
44 |
43 |
$0.00 |
| J7999 |
Compounded drug, noc |
427 |
399 |
$0.00 |
| 90651 |
|
103 |
103 |
$0.00 |
| 90677 |
|
107 |
103 |
$0.00 |
| Q5121 |
Inj. avsola, 10 mg |
34 |
24 |
$0.00 |
| 90647 |
|
67 |
67 |
$0.00 |
| J8501 |
Oral aprepitant |
40 |
40 |
$0.00 |
| 97162 |
|
14 |
14 |
$0.00 |
| J1920 |
Inj, labetalol hcl, 5mg |
14 |
13 |
$0.00 |
| 90723 |
|
62 |
62 |
$0.00 |
| J1790 |
Droperidol injection |
64 |
58 |
$0.00 |
| 90792 |
|
21 |
21 |
$0.00 |
| 90680 |
|
48 |
48 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
15 |
14 |
$0.00 |
| J1940 |
Furosemide injection |
38 |
28 |
$0.00 |
| 90620 |
|
18 |
18 |
$0.00 |
| J1836 |
Inj, metronidazole, 10 mg |
26 |
20 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
59 |
40 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
14 |
13 |
$0.00 |
| 90696 |
|
15 |
15 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
1,023 |
987 |
$0.00 |
| G1004 |
Cdsm ndsc |
428 |
350 |
$0.00 |
| J0134 |
Inj acetaminophen -fresenius |
295 |
255 |
$0.00 |
| J0136 |
Inj, acetaminophen (b braun) |
47 |
41 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
24 |
24 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
208 |
156 |
$0.00 |
| 90734 |
|
122 |
121 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
456 |
376 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
64 |
63 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
52 |
52 |
$0.00 |
| 90633 |
|
38 |
38 |
$0.00 |
| J3489 |
Zoledronic acid 1mg |
38 |
38 |
$0.00 |
| 90670 |
|
77 |
77 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
247 |
163 |
$0.00 |
| J1750 |
Inj iron dextran |
23 |
18 |
$0.00 |
| J0689 |
Inj cefazolin sodium, baxter |
663 |
563 |
$0.00 |
| C1776 |
Joint device (implantable) |
27 |
27 |
$0.00 |
| 90710 |
|
14 |
14 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |