| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9005 |
Mccd, risk adj, maintenance |
61,622 |
61,595 |
$17.92M |
| 99214 |
|
117,017 |
99,383 |
$14.12M |
| 99283 |
|
77,952 |
71,323 |
$12.67M |
| 99213 |
|
92,633 |
78,112 |
$11.14M |
| 99284 |
|
58,289 |
52,820 |
$9.53M |
| 90791 |
|
11,203 |
9,273 |
$8.92M |
| 90834 |
|
52,727 |
22,188 |
$8.92M |
| 99285 |
|
38,156 |
36,142 |
$5.61M |
| H0004 |
Alcohol and/or drug services |
33,330 |
6,844 |
$5.10M |
| 90832 |
|
39,920 |
21,375 |
$5.08M |
| 90853 |
|
65,113 |
9,129 |
$4.88M |
| 96361 |
|
19,960 |
18,534 |
$3.26M |
| J2426 |
Inj, invega sustenna, 1 mg |
1,461 |
1,312 |
$2.84M |
| 99215 |
Prolong outpt/office vis |
17,368 |
15,486 |
$2.36M |
| H2036 |
A/d tx program, per diem |
15,215 |
1,625 |
$2.34M |
| 43239 |
|
3,287 |
3,274 |
$2.03M |
| 45380 |
|
2,686 |
2,656 |
$1.85M |
| G2067 |
Med assist tx meth wk |
8,461 |
2,829 |
$1.80M |
| 74177 |
|
9,896 |
9,767 |
$1.69M |
| 70450 |
|
11,280 |
10,862 |
$1.69M |
| 93306 |
|
8,039 |
7,747 |
$1.57M |
| 93458 |
|
949 |
934 |
$1.49M |
| H0005 |
Alcohol and/or drug services |
16,542 |
4,311 |
$1.44M |
| 99212 |
|
12,209 |
11,254 |
$1.32M |
| 90847 |
|
5,199 |
2,714 |
$1.30M |
| 45378 |
|
1,810 |
1,803 |
$1.28M |
| G0378 |
Hospital observation per hr |
1,999 |
1,914 |
$1.26M |
| 87536 |
|
15,686 |
15,467 |
$1.18M |
| U0004 |
Cov-19 test non-cdc hgh thru |
24,042 |
22,989 |
$1.16M |
| 99282 |
|
6,850 |
6,371 |
$1.16M |
| 96365 |
|
10,928 |
9,537 |
$1.11M |
| H0020 |
Alcohol and/or drug services |
36,323 |
4,202 |
$1.10M |
| G0397 |
Alcohol/subs interv >30 min |
5,804 |
2,942 |
$1.06M |
| T2022 |
Case management, per month |
3,051 |
3,047 |
$996K |
| G0382 |
Lev 3 hosp type b ed visit |
6,118 |
5,803 |
$965K |
| 80048 |
|
68,764 |
59,743 |
$932K |
| H0036 |
Comm psy face-face per 15min |
9,636 |
1,568 |
$894K |
| 90846 |
|
6,948 |
4,276 |
$888K |
| 90833 |
|
13,713 |
11,697 |
$867K |
| 99203 |
|
6,287 |
6,111 |
$865K |
| 76856 |
|
2,814 |
2,766 |
$831K |
| 99204 |
|
5,420 |
5,339 |
$782K |
| 87491 |
|
27,226 |
23,308 |
$779K |
| 80053 |
|
49,234 |
37,095 |
$775K |
| G9001 |
Mccd, initial rate |
9,840 |
9,836 |
$738K |
| H0038 |
Self-help/peer svc per 15min |
10,179 |
1,644 |
$662K |
| 36415 |
|
101,854 |
67,266 |
$660K |
| 96360 |
|
7,989 |
7,750 |
$637K |
| H2001 |
Rehabilitation program 1/2 d |
4,526 |
634 |
$618K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
973 |
968 |
$616K |
| 96413 |
|
4,277 |
2,819 |
$615K |
| G2068 |
Med assist tx bupre oral |
2,246 |
961 |
$600K |
| G0396 |
Alcohol/subs interv 15-30mn |
4,932 |
3,308 |
$595K |
| 87428 |
|
23,143 |
22,381 |
$590K |
| 41899 |
|
424 |
422 |
$565K |
| 45385 |
|
1,186 |
1,182 |
$564K |
| 78452 |
|
1,614 |
1,467 |
$553K |
| 96415 |
|
1,585 |
1,148 |
$550K |
| G0383 |
Lev 4 hosp type b ed visit |
3,157 |
3,054 |
$501K |
| 59025 |
|
3,454 |
3,015 |
$485K |
| 93976 |
|
1,494 |
1,461 |
$482K |
| G0463 |
Hospital outpt clinic visit |
13,033 |
9,655 |
$480K |
| 87591 |
|
27,210 |
23,297 |
$477K |
| 88305 |
|
13,874 |
10,417 |
$435K |
| 90792 |
|
1,980 |
1,758 |
$413K |
| 93975 |
|
1,391 |
1,361 |
$411K |
| 86361 |
|
12,710 |
12,482 |
$403K |
| 76816 |
|
6,965 |
5,439 |
$403K |
| 94060 |
|
3,434 |
2,851 |
$398K |
| 71275 |
|
2,627 |
2,597 |
$388K |
| 92014 |
|
4,357 |
4,255 |
$386K |
| 86850 |
|
18,268 |
15,292 |
$375K |
| 70553 |
|
1,384 |
1,377 |
$374K |
| 96366 |
|
3,557 |
3,297 |
$369K |
| 75574 |
|
2,624 |
2,618 |
$365K |
| 93351 |
|
2,255 |
2,206 |
$363K |
| 96372 |
|
31,587 |
23,937 |
$338K |
| 12001 |
|
1,166 |
1,157 |
$334K |
| 86901 |
|
18,718 |
15,298 |
$328K |
| 90836 |
|
3,114 |
1,953 |
$325K |
| 74176 |
|
2,167 |
2,150 |
$324K |
| 93970 |
|
1,539 |
1,519 |
$318K |
| 50081 |
|
187 |
186 |
$316K |
| 76700 |
|
1,908 |
1,904 |
$308K |
| 99281 |
|
1,901 |
1,806 |
$306K |
| 12011 |
|
1,053 |
1,047 |
$303K |
| 19318 |
|
92 |
91 |
$299K |
| 86900 |
|
18,711 |
15,300 |
$297K |
| 87631 |
|
7,694 |
7,505 |
$279K |
| 93320 |
|
2,647 |
2,630 |
$277K |
| 88307 |
|
2,026 |
1,688 |
$276K |
| 99291 |
|
1,885 |
1,838 |
$271K |
| 70551 |
|
1,531 |
1,520 |
$268K |
| J0561 |
Penicillin g benzathine inj |
1,106 |
909 |
$267K |
| 76770 |
|
1,538 |
1,527 |
$263K |
| 80076 |
|
33,460 |
31,146 |
$262K |
| 86480 |
|
4,166 |
4,116 |
$253K |
| 76811 |
|
2,301 |
2,228 |
$252K |
| U0005 |
Infec agen detec ampli probe |
18,060 |
17,316 |
$238K |
| 99205 |
Prolong outpt/office vis |
1,554 |
1,536 |
$237K |
| C1889 |
Implant/insert device, noc |
2,926 |
2,903 |
$236K |
| 76815 |
|
3,097 |
2,798 |
$225K |
| 77067 |
|
3,032 |
3,022 |
$225K |
| J0401 |
Inj, abilify maintena, 1 mg |
172 |
159 |
$220K |
| 10060 |
|
940 |
915 |
$215K |
| 76819 |
|
3,557 |
3,028 |
$213K |
| 76818 |
|
3,015 |
1,645 |
$212K |
| 88342 |
|
4,410 |
3,847 |
$208K |
| 80061 |
|
18,654 |
18,463 |
$206K |
| 72197 |
|
839 |
836 |
$205K |
| 93005 |
|
57,796 |
49,898 |
$200K |
| 72148 |
|
1,202 |
1,198 |
$200K |
| 92012 |
|
2,430 |
2,257 |
$197K |
| 96375 |
|
16,143 |
14,008 |
$194K |
| 71250 |
|
2,154 |
2,143 |
$192K |
| G0384 |
Lev 5 hosp type b ed visit |
1,234 |
1,206 |
$192K |
| 58558 |
|
177 |
176 |
$191K |
| 90651 |
|
809 |
806 |
$190K |
| Q9957 |
Inj perflutren lip micros,ml |
4,515 |
4,044 |
$190K |
| 96374 |
|
20,728 |
19,123 |
$190K |
| C1725 |
Cath, translumin non-laser |
1,132 |
831 |
$187K |
| 82306 |
|
7,730 |
7,656 |
$183K |
| C1769 |
Guide wire |
4,301 |
3,989 |
$180K |
| 94726 |
|
2,614 |
2,603 |
$170K |
| 85025 |
|
91,404 |
80,067 |
$166K |
| 93017 |
|
2,457 |
2,450 |
$164K |
| H0033 |
Oral med adm direct observe |
6,462 |
1,246 |
$164K |
| 83880 |
|
8,777 |
8,312 |
$162K |
| 70496 |
|
1,073 |
1,060 |
$160K |
| H2010 |
Comprehensive med svc 15 min |
2,066 |
1,871 |
$153K |
| 93880 |
|
792 |
781 |
$152K |
| 12002 |
|
485 |
485 |
$147K |
| 36000 |
|
9,151 |
8,888 |
$146K |
| 74183 |
|
560 |
558 |
$145K |
| 76817 |
|
3,734 |
3,273 |
$144K |
| 76705 |
|
3,232 |
3,155 |
$140K |
| H2011 |
Crisis interven svc, 15 min |
811 |
592 |
$140K |
| 76937 |
|
1,209 |
1,169 |
$140K |
| S9485 |
Crisis intervention mental h |
152 |
130 |
$139K |
| 72141 |
|
795 |
794 |
$136K |
| 99396 |
|
911 |
889 |
$132K |
| 92004 |
|
1,035 |
1,024 |
$127K |
| H0002 |
Alcohol and/or drug screenin |
589 |
549 |
$127K |
| 75561 |
|
436 |
434 |
$124K |
| 90715 |
|
5,954 |
5,919 |
$121K |
| 76801 |
|
1,624 |
1,552 |
$119K |
| 86703 |
|
9,842 |
9,629 |
$119K |
| 70486 |
|
2,260 |
2,229 |
$118K |
| 46607 |
|
139 |
137 |
$113K |
| J0592 |
Buprenorphine hydrochloride |
5,901 |
690 |
$113K |
| 71046 |
|
25,462 |
24,487 |
$112K |
| 72125 |
|
4,047 |
3,931 |
$111K |
| 71260 |
|
1,278 |
1,267 |
$110K |
| 99202 |
|
806 |
796 |
$109K |
| A9500 |
Tc99m sestamibi |
951 |
946 |
$108K |
| C1760 |
Closure dev, vasc |
517 |
507 |
$107K |
| G0480 |
Drug test def 1-7 classes |
6,268 |
5,700 |
$107K |
| 77336 |
|
467 |
199 |
$107K |
| 90837 |
|
579 |
381 |
$104K |
| 78431 |
|
116 |
115 |
$104K |
| 76830 |
|
3,129 |
3,068 |
$102K |
| 94729 |
|
2,980 |
2,971 |
$101K |
| 92083 |
|
1,434 |
1,400 |
$97K |
| G2079 |
Take-hom buprenorphine |
1,378 |
571 |
$93K |
| 96367 |
|
1,517 |
1,171 |
$93K |
| C9803 |
Hopd covid-19 spec collect |
31,364 |
29,905 |
$93K |
| 92133 |
|
1,292 |
1,204 |
$92K |
| 83036 |
|
14,988 |
14,840 |
$91K |
| 90677 |
|
686 |
686 |
$89K |
| P9040 |
Rbc leukoreduced irradiated |
286 |
236 |
$89K |
| 74174 |
|
570 |
562 |
$88K |
| 93971 |
|
1,736 |
1,673 |
$88K |
| D9223 |
|
364 |
364 |
$88K |
| 95812 |
|
511 |
509 |
$86K |
| 0002A |
|
2,383 |
2,366 |
$86K |
| S9480 |
Intensive outpatient psychia |
363 |
62 |
$84K |
| 76641 |
|
1,303 |
1,251 |
$77K |
| 36430 |
|
356 |
292 |
$77K |
| C1874 |
Stent, coated/cov w/del sys |
108 |
100 |
$77K |
| J2785 |
Regadenoson injection |
1,191 |
1,184 |
$73K |
| 73721 |
|
301 |
289 |
$73K |
| G0381 |
Lev 2 hosp type b ed visit |
454 |
437 |
$72K |
| 76998 |
|
413 |
413 |
$72K |
| 77063 |
|
2,872 |
2,862 |
$72K |
| 47562 |
|
52 |
52 |
$71K |
| 88112 |
|
1,427 |
1,376 |
$71K |
| 0001A |
|
2,417 |
2,409 |
$71K |
| D1110 |
|
1,648 |
1,512 |
$71K |
| 90686 |
|
2,826 |
2,806 |
$70K |
| C8929 |
Tte w or wo fol wcon,doppler |
158 |
158 |
$69K |
| 90471 |
|
8,737 |
8,508 |
$67K |
| 93325 |
|
2,485 |
2,468 |
$66K |
| G0121 |
Colon ca scrn not hi rsk ind |
87 |
87 |
$65K |
| J0583 |
Bivalirudin |
231 |
216 |
$64K |
| 43235 |
|
109 |
108 |
$63K |
| 93308 |
|
355 |
347 |
$63K |
| 73700 |
|
561 |
545 |
$63K |
| 90750 |
|
505 |
503 |
$61K |
| G0008 |
Admin influenza virus vac |
4,217 |
4,192 |
$58K |
| A9585 |
Gadobutrol injection |
4,181 |
4,030 |
$57K |
| J1439 |
Inj ferric carboxymaltos 1mg |
82 |
55 |
$57K |
| 51798 |
|
228 |
223 |
$56K |
| 96416 |
|
276 |
164 |
$56K |
| 76536 |
|
844 |
841 |
$56K |
| 87624 |
|
2,321 |
2,290 |
$56K |
| 74420 |
|
338 |
332 |
$55K |
| 93925 |
|
332 |
332 |
$55K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
23,229 |
19,463 |
$55K |
| G2078 |
Take-home meth |
1,964 |
875 |
$54K |
| 72131 |
|
990 |
979 |
$54K |
| D9222 |
|
381 |
381 |
$54K |
| G0123 |
Screen cerv/vag thin layer |
2,359 |
2,335 |
$54K |
| 76813 |
|
1,155 |
1,127 |
$53K |
| 99243 |
|
366 |
351 |
$53K |
| 87522 |
Neg quan hep c or qual rna |
1,907 |
1,841 |
$52K |
| D0120 |
|
2,062 |
1,668 |
$52K |
| 73562 |
|
4,406 |
4,202 |
$51K |
| 74246 |
|
457 |
454 |
$50K |
| 86803 |
|
9,552 |
9,445 |
$49K |
| 81025 |
|
25,413 |
24,193 |
$49K |
| 80050 |
|
1,986 |
1,943 |
$49K |
| 99051 |
|
3,204 |
1,909 |
$48K |
| 33285 |
|
14 |
14 |
$48K |
| 85610 |
|
18,620 |
17,280 |
$47K |
| Q0138 |
Ferumoxytol, non-esrd |
140 |
93 |
$47K |
| 87661 |
|
2,567 |
2,534 |
$47K |
| C1887 |
Catheter, guiding |
1,678 |
1,629 |
$45K |
| 99211 |
|
3,045 |
2,666 |
$45K |
| 88304 |
|
2,418 |
2,254 |
$45K |
| 20610 |
|
211 |
194 |
$44K |
| 73630 |
|
4,473 |
4,199 |
$43K |
| 86780 |
|
13,431 |
13,267 |
$43K |
| C1753 |
Cath, intravas ultrasound |
140 |
136 |
$43K |
| A9541 |
Tc99m sulfur colloid |
313 |
310 |
$42K |
| 87633 |
|
1,242 |
1,224 |
$42K |
| C1894 |
Intro/sheath, non-laser |
3,445 |
3,345 |
$42K |
| 88341 |
|
574 |
523 |
$41K |
| 90674 |
|
1,441 |
1,435 |
$40K |
| D0274 |
|
1,793 |
1,643 |
$40K |
| 77412 |
|
148 |
12 |
$39K |
| 99395 |
|
300 |
289 |
$39K |
| 73030 |
|
3,889 |
3,622 |
$39K |
| 74178 |
|
257 |
256 |
$39K |
| J2469 |
Palonosetron hcl |
1,888 |
1,238 |
$38K |
| 72100 |
|
1,687 |
1,674 |
$38K |
| 84443 |
|
9,238 |
9,014 |
$38K |
| 81003 |
|
30,892 |
27,395 |
$37K |
| 96417 |
|
1,275 |
816 |
$37K |
| 99443 |
|
717 |
597 |
$37K |
| 70491 |
|
220 |
217 |
$37K |
| 70498 |
|
1,010 |
995 |
$36K |
| 93356 |
|
329 |
327 |
$35K |
| 95819 |
|
167 |
165 |
$35K |
| 82607 |
|
5,928 |
5,825 |
$34K |
| 73610 |
|
4,132 |
3,790 |
$34K |
| D0220 |
|
2,473 |
2,192 |
$34K |
| J7297 |
Liletta, 52 mg |
44 |
44 |
$34K |
| 82728 |
|
5,423 |
5,103 |
$33K |
| U0002 |
Covid-19 lab test non-cdc |
1,026 |
988 |
$33K |
| 77066 |
Tomosynthesis, mammo |
411 |
407 |
$33K |
| 76642 |
|
656 |
656 |
$32K |
| 88184 |
|
479 |
477 |
$31K |
| 83970 |
|
1,237 |
1,059 |
$31K |
| 90732 |
|
296 |
295 |
$31K |
| 84484 |
|
27,720 |
22,379 |
$30K |
| 94640 |
|
9,755 |
8,590 |
$30K |
| 87517 |
|
932 |
911 |
$30K |
| 71045 |
|
7,258 |
6,920 |
$29K |
| 73130 |
|
3,699 |
3,356 |
$29K |
| 52332 |
|
59 |
59 |
$27K |
| 95800 |
|
191 |
190 |
$27K |
| 87652 |
|
2,081 |
2,046 |
$25K |
| 80307 |
|
599 |
533 |
$25K |
| 78306 |
|
160 |
160 |
$25K |
| 91320 |
|
380 |
379 |
$25K |
| 88300 |
|
2,014 |
1,878 |
$25K |
| 81001 |
|
18,460 |
17,153 |
$25K |
| A0427 |
Als1-emergency |
231 |
224 |
$24K |
| C9600 |
Perc drug-el cor stent sing |
16 |
13 |
$24K |
| A0429 |
Bls-emergency |
266 |
254 |
$24K |
| 94010 |
|
352 |
351 |
$24K |
| H0001 |
Alcohol and/or drug assess |
116 |
113 |
$24K |
| 87086 |
|
11,051 |
10,460 |
$23K |
| J1453 |
Fosaprepitant injection |
236 |
165 |
$23K |
| J2704 |
Inj, propofol, 10 mg |
24,301 |
18,519 |
$23K |
| 73560 |
|
1,358 |
1,303 |
$22K |
| J1631 |
Haloperidol decanoate inj |
253 |
222 |
$22K |
| 99442 |
|
448 |
407 |
$22K |
| A9555 |
Rb82 rubidium |
75 |
75 |
$22K |
| 76870 |
|
602 |
590 |
$22K |
| 77001 |
|
87 |
87 |
$21K |
| 77065 |
Tomosynthesis, mammo |
343 |
327 |
$21K |
| 73502 |
|
1,789 |
1,754 |
$21K |
| 93923 |
|
190 |
187 |
$20K |
| 45190 |
|
12 |
12 |
$20K |
| 73110 |
|
2,634 |
2,367 |
$20K |
| 87340 |
|
6,160 |
5,973 |
$19K |
| 76775 |
|
452 |
451 |
$19K |
| 91200 |
|
351 |
342 |
$19K |
| 84153 |
|
2,359 |
2,285 |
$19K |
| J1756 |
Iron sucrose injection |
615 |
250 |
$19K |
| 77080 |
|
570 |
567 |
$19K |
| 88313 |
|
1,071 |
840 |
$19K |
| 84439 |
|
4,180 |
4,048 |
$18K |
| 73221 |
|
83 |
81 |
$18K |
| 78264 |
|
85 |
85 |
$18K |
| J0640 |
Leucovorin calcium injection |
633 |
333 |
$17K |
| 93289 |
|
410 |
402 |
$17K |
| 85730 |
|
13,369 |
12,561 |
$17K |
| 86769 |
|
569 |
564 |
$17K |
| 96368 |
|
1,366 |
1,075 |
$17K |
| J3010 |
Fentanyl citrate injection |
14,601 |
14,150 |
$17K |
| 72128 |
|
464 |
462 |
$16K |
| 96376 |
|
2,617 |
2,406 |
$16K |
| 86706 |
|
3,632 |
3,595 |
$16K |
| 96402 |
|
444 |
374 |
$16K |
| 82107 |
|
410 |
407 |
$16K |
| D0230 |
|
1,345 |
1,062 |
$16K |
| 73590 |
|
2,222 |
2,122 |
$15K |
| 82803 |
|
1,404 |
1,254 |
$14K |
| 83655 |
|
1,248 |
1,246 |
$14K |
| 78434 |
|
117 |
116 |
$14K |
| 83690 |
|
18,209 |
17,167 |
$14K |
| 59840 |
|
16 |
16 |
$14K |
| 90849 |
|
223 |
75 |
$14K |
| 96523 |
|
288 |
196 |
$14K |
| 90746 |
|
364 |
362 |
$14K |
| J3490 |
Drugs unclassified injection |
1,900 |
1,693 |
$13K |
| J9217 |
Leuprolide acetate suspnsion |
68 |
68 |
$13K |
| 82378 |
|
1,787 |
1,507 |
$13K |
| 36561 |
|
12 |
12 |
$13K |
| 82784 |
|
2,328 |
1,323 |
$13K |
| 96411 |
|
278 |
186 |
$12K |
| 86592 |
|
8,310 |
8,169 |
$12K |
| 86140 |
|
5,644 |
5,421 |
$12K |
| 97161 |
|
261 |
259 |
$12K |
| J9263 |
Oxaliplatin |
363 |
160 |
$12K |
| G0009 |
Admin pneumococcal vaccine |
873 |
866 |
$12K |
| 81220 |
|
35 |
34 |
$12K |
| G2211 |
Complex e/m visit add on |
816 |
796 |
$12K |
| 77334 |
|
47 |
39 |
$12K |
| J9190 |
Fluorouracil injection |
632 |
342 |
$12K |
| 59820 |
|
13 |
13 |
$11K |
| 99401 |
|
124 |
121 |
$11K |
| Q9956 |
Inj octafluoropropane mic,ml |
774 |
766 |
$11K |
| J0696 |
Ceftriaxone sodium injection |
4,974 |
4,552 |
$11K |
| 86704 |
|
2,505 |
2,487 |
$11K |
| 93288 |
|
371 |
355 |
$11K |
| 85027 |
|
6,201 |
5,551 |
$11K |
| J1100 |
Dexamethasone sodium phos |
13,012 |
11,967 |
$10K |
| 10061 |
|
44 |
44 |
$10K |
| 82043 |
|
2,340 |
2,316 |
$10K |
| C2617 |
Stent, non-cor, tem w/o del |
405 |
397 |
$10K |
| 82962 |
|
17,102 |
12,217 |
$10K |
| 90480 |
|
373 |
372 |
$10K |
| 84702 |
|
5,362 |
4,494 |
$10K |
| 73080 |
|
1,396 |
1,332 |
$10K |
| 83020 |
|
1,328 |
1,274 |
$10K |
| 87480 |
|
1,270 |
1,249 |
$9K |
| 93246 |
|
107 |
106 |
$9K |
| 87510 |
|
1,267 |
1,246 |
$9K |
| 92015 |
|
246 |
246 |
$9K |
| 93291 |
|
170 |
167 |
$8K |
| 87635 |
|
476 |
465 |
$8K |
| 87660 |
|
1,148 |
1,129 |
$8K |
| J1050 |
Medroxyprogesterone acetate |
235 |
234 |
$8K |
| 86765 |
|
1,345 |
1,326 |
$8K |
| 0004A |
|
244 |
237 |
$8K |
| 72040 |
|
443 |
436 |
$8K |
| 86762 |
|
1,343 |
1,325 |
$8K |
| 90670 |
|
60 |
57 |
$8K |
| 83735 |
|
6,758 |
5,342 |
$8K |
| J0741 |
Inj, cabote rilpivir 2mg 3mg |
55 |
54 |
$8K |
| 97802 |
|
263 |
263 |
$8K |
| 90678 |
|
65 |
65 |
$8K |
| J0690 |
Cefazolin sodium injection |
6,571 |
6,337 |
$8K |
| J1170 |
Hydromorphone injection |
7,378 |
4,740 |
$7K |
| 85651 |
|
6,064 |
5,867 |
$7K |
| 83615 |
|
3,432 |
3,099 |
$7K |
| 92978 |
|
25 |
25 |
$7K |
| J2250 |
Inj midazolam hydrochloride |
14,792 |
14,328 |
$7K |
| 77300 |
|
26 |
26 |
$7K |
| J2001 |
Lidocaine injection |
16,978 |
16,320 |
$7K |
| 86593 |
|
4,787 |
4,708 |
$7K |
| 73564 |
|
313 |
290 |
$6K |
| 82570 |
|
2,494 |
2,331 |
$6K |
| 0124A |
|
210 |
210 |
$6K |
| 93242 |
|
83 |
83 |
$6K |
| 73090 |
|
1,486 |
1,393 |
$6K |
| G0435 |
Oral hiv-1/hiv-2 screen |
768 |
765 |
$6K |
| 86141 |
|
1,422 |
1,408 |
$6K |
| 71271 |
|
81 |
79 |
$6K |
| 92134 |
|
122 |
114 |
$6K |
| 82670 |
|
613 |
608 |
$6K |
| 76857 |
|
245 |
240 |
$6K |
| 84100 |
|
5,074 |
4,000 |
$6K |
| C1773 |
Ret dev, insertable |
319 |
318 |
$6K |
| 73060 |
|
875 |
837 |
$6K |
| 70544 |
|
26 |
24 |
$6K |
| 75580 |
|
13 |
13 |
$6K |
| 84156 |
|
4,734 |
4,427 |
$6K |
| 93922 |
|
139 |
139 |
$6K |
| 90734 |
|
68 |
67 |
$6K |
| 90661 |
|
189 |
189 |
$5K |
| 72110 |
|
234 |
226 |
$5K |
| 73200 |
|
27 |
27 |
$5K |
| 74240 |
|
49 |
49 |
$5K |
| Q9950 |
Inj sulf hexa lipid microsph |
301 |
299 |
$5K |
| 86787 |
|
1,231 |
1,215 |
$5K |
| 82746 |
|
931 |
919 |
$5K |
| 95012 |
|
410 |
408 |
$5K |
| 52346 |
|
52 |
52 |
$5K |
| 82550 |
|
2,329 |
2,162 |
$5K |
| G0010 |
Admin hepatitis b vaccine |
302 |
301 |
$5K |
| 88312 |
|
205 |
168 |
$5K |
| 94760 |
|
2,851 |
2,821 |
$5K |
| 74247 |
|
37 |
37 |
$4K |
| 99244 |
|
28 |
26 |
$4K |
| 0003A |
|
148 |
147 |
$4K |
| 82105 |
|
849 |
835 |
$4K |
| 86334 |
|
536 |
508 |
$4K |
| 87186 |
|
2,495 |
2,293 |
$4K |
| 82947 |
|
7,161 |
5,830 |
$4K |
| 97110 |
|
72 |
40 |
$4K |
| 93571 |
|
65 |
59 |
$4K |
| 12013 |
|
13 |
12 |
$4K |
| 87040 |
|
4,075 |
2,479 |
$4K |
| 99201 |
|
27 |
27 |
$4K |
| 83516 |
|
961 |
741 |
$4K |
| 86160 |
|
753 |
392 |
$4K |
| 99441 |
|
103 |
101 |
$4K |
| 84550 |
|
1,851 |
1,525 |
$4K |
| 90472 |
|
488 |
487 |
$4K |
| 82950 |
|
1,416 |
1,403 |
$4K |
| Q2035 |
Afluria vacc, 3 yrs & >, im |
154 |
154 |
$4K |
| 72050 |
|
149 |
149 |
$4K |
| 0503T |
|
26 |
26 |
$4K |
| 90656 |
|
248 |
248 |
$4K |
| 71100 |
|
864 |
848 |
$4K |
| 87070 |
|
1,640 |
1,502 |
$4K |
| 73552 |
|
535 |
512 |
$4K |
| 83605 |
|
1,611 |
1,444 |
$3K |
| 87081 |
|
1,247 |
1,229 |
$3K |
| 86923 |
|
188 |
125 |
$3K |
| 84238 |
|
128 |
126 |
$3K |
| 76882 |
|
40 |
37 |
$3K |
| 0042T |
|
60 |
60 |
$3K |
| 83521 |
|
777 |
544 |
$3K |
| 73140 |
|
792 |
773 |
$3K |
| 50433 |
|
13 |
12 |
$3K |
| 84165 |
|
945 |
899 |
$3K |
| 11043 |
|
26 |
12 |
$3K |
| 76812 |
|
110 |
106 |
$3K |
| C1730 |
Cath, ep, 19 or few elect |
12 |
12 |
$3K |
| 74018 |
|
412 |
398 |
$3K |
| 87653 |
|
132 |
131 |
$3K |
| 93799 |
|
379 |
285 |
$3K |
| 82248 |
|
536 |
523 |
$3K |
| 85378 |
|
4,018 |
3,938 |
$3K |
| 73620 |
|
390 |
374 |
$3K |
| J9206 |
Irinotecan injection |
74 |
38 |
$3K |
| 90694 |
|
203 |
201 |
$3K |
| G0380 |
Lev 1 hosp type b ed visit |
15 |
13 |
$3K |
| D0150 |
|
97 |
69 |
$2K |
| 87593 |
|
94 |
57 |
$2K |
| S0028 |
Injection, famotidine, 20 mg |
10,742 |
10,300 |
$2K |
| 0502T |
|
38 |
38 |
$2K |
| J1644 |
Inj heparin sodium per 1000u |
5,782 |
3,529 |
$2K |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
95 |
93 |
$2K |
| 86431 |
|
674 |
671 |
$2K |
| 95816 |
|
16 |
14 |
$2K |
| 83550 |
|
616 |
597 |
$2K |
| 84403 |
|
187 |
179 |
$2K |
| 58300 |
|
12 |
12 |
$2K |
| Q2037 |
Fluvirin vacc, 3 yrs & >, im |
76 |
76 |
$2K |
| 87507 |
|
13 |
13 |
$2K |
| A0425 |
Ground mileage |
544 |
518 |
$2K |
| 59430 |
|
15 |
15 |
$2K |
| H0050 |
Alcohol/drug service 15 min |
25 |
12 |
$2K |
| C9290 |
Inj, bupivacaine liposome |
38 |
38 |
$2K |
| 73600 |
|
319 |
285 |
$2K |
| 83001 |
|
187 |
185 |
$2K |
| 90739 |
|
40 |
40 |
$2K |
| 86335 |
|
83 |
78 |
$2K |
| 82533 |
|
238 |
204 |
$2K |
| C1781 |
Mesh (implantable) |
28 |
28 |
$2K |
| J3370 |
Vancomycin hcl injection |
1,355 |
1,116 |
$2K |
| 92020 |
|
42 |
42 |
$2K |
| J1642 |
Inj heparin sodium per 10 u |
3,220 |
1,998 |
$2K |
| J8540 |
Oral dexamethasone |
3,265 |
2,929 |
$2K |
| 99242 |
|
13 |
13 |
$2K |
| 97162 |
|
43 |
42 |
$2K |
| 86870 |
|
52 |
40 |
$2K |
| 83695 |
|
247 |
246 |
$2K |
| 86301 |
|
295 |
251 |
$2K |
| 99386 |
|
12 |
12 |
$2K |
| G0279 |
Tomosynthesis, mammo |
51 |
51 |
$1K |
| J3420 |
Vitamin b12 injection |
928 |
804 |
$1K |
| 93225 |
|
12 |
12 |
$1K |
| J0131 |
Inj, acetaminophen (nos) |
682 |
668 |
$1K |
| 99152 |
|
1,524 |
1,470 |
$1K |
| OP250 |
|
881 |
663 |
$1K |
| Q0091 |
Obtaining screen pap smear |
1,005 |
1,004 |
$1K |
| 84146 |
|
129 |
128 |
$1K |
| 94660 |
|
26 |
15 |
$1K |
| 86038 |
|
367 |
366 |
$1K |
| J1250 |
Inj dobutamine hcl/250 mg |
300 |
294 |
$1K |
| 87205 |
|
1,213 |
1,090 |
$1K |
| J0571 |
Buprenorphine oral 1mg |
1,500 |
492 |
$1K |
| 80164 |
|
327 |
306 |
$1K |
| 80346 |
|
68 |
65 |
$1K |
| 82977 |
|
508 |
487 |
$1K |
| 99406 |
|
29 |
29 |
$1K |
| J2710 |
Neostigmine methylslfte inj |
1,211 |
1,197 |
$1K |
| 84481 |
|
274 |
268 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
21,194 |
19,750 |
$1K |
| 99153 |
Mod sedat endo service >5yrs |
1,195 |
1,156 |
$1K |
| J1815 |
Insulin injection |
1,215 |
820 |
$1K |
| 72170 |
|
127 |
127 |
$1K |
| 76805 |
|
13 |
13 |
$1K |
| C1729 |
Cath, drainage |
25 |
24 |
$1K |
| 73120 |
|
93 |
91 |
$996.40 |
| 97116 |
|
82 |
66 |
$986.93 |
| J2795 |
Ropivacaine hcl injection |
236 |
227 |
$980.74 |
| 82010 |
|
919 |
855 |
$940.23 |
| J2370 |
Phenylephrine hcl injection |
3,328 |
3,206 |
$897.28 |
| 82172 |
|
106 |
106 |
$873.47 |
| 81243 |
|
25 |
25 |
$808.32 |
| 86200 |
|
115 |
115 |
$803.74 |
| 84480 |
|
240 |
234 |
$802.15 |
| 86003 |
|
218 |
180 |
$789.41 |
| 84132 |
|
1,014 |
904 |
$777.57 |
| J2270 |
Morphine sulfate injection |
5,010 |
4,314 |
$772.92 |
| 86147 |
|
43 |
42 |
$758.08 |
| J0330 |
Succinycholine chloride inj |
1,468 |
1,448 |
$707.05 |
| 93270 |
|
16 |
16 |
$694.19 |
| 82330 |
|
915 |
838 |
$677.58 |
| 93990 |
|
12 |
12 |
$661.00 |
| J2405 |
Ondansetron hcl injection |
17,831 |
16,686 |
$612.85 |
| 95860 |
|
13 |
13 |
$606.84 |
| J1200 |
Diphenhydramine hcl injectio |
2,807 |
2,406 |
$591.69 |
| 84145 |
|
108 |
107 |
$556.31 |
| 90662 |
|
62 |
62 |
$540.39 |
| C1751 |
Cath, inf, per/cent/midline |
254 |
252 |
$533.20 |
| 86225 |
|
187 |
184 |
$517.37 |
| S0020 |
Injection, bupivicaine hydro |
1,476 |
1,430 |
$505.53 |
| 76820 |
|
30 |
12 |
$505.37 |
| 87075 |
|
294 |
268 |
$487.84 |
| 83010 |
|
123 |
113 |
$486.19 |
| 90460 |
|
47 |
44 |
$470.54 |
| 86905 |
|
47 |
25 |
$452.83 |
| 81479 |
|
44 |
26 |
$418.60 |
| G0108 |
Diab manage trn per indiv |
13 |
13 |
$408.12 |
| J2930 |
Methylprednisolone injection |
519 |
460 |
$399.09 |
| 81002 |
|
298 |
233 |
$395.86 |
| 86735 |
|
124 |
121 |
$395.81 |
| 99417 |
Prolong home eval add 15m |
140 |
69 |
$394.90 |
| 87430 |
|
1,966 |
1,932 |
$381.84 |
| A9503 |
Tc99m medronate |
36 |
36 |
$376.72 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
889 |
865 |
$374.52 |
| 83921 |
|
30 |
29 |
$365.88 |
| 36591 |
|
13 |
12 |
$362.16 |
| 83520 |
|
45 |
44 |
$332.21 |
| J0461 |
Atropine sulfate injection |
287 |
179 |
$325.76 |
| J7620 |
Albuterol ipratrop non-comp |
7,771 |
6,419 |
$324.15 |
| J1630 |
Haloperidol injection |
3,432 |
3,165 |
$323.14 |
| 82565 |
|
100 |
98 |
$316.40 |
| 86039 |
|
166 |
164 |
$314.08 |
| 86618 |
|
38 |
37 |
$312.13 |
| 90611 |
|
123 |
123 |
$309.48 |
| J1650 |
Inj enoxaparin sodium |
932 |
499 |
$300.13 |
| Q0162 |
Ondansetron oral |
8,029 |
7,449 |
$293.38 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
1,111 |
1,030 |
$290.57 |
| 80178 |
|
108 |
108 |
$280.58 |
| 80177 |
|
55 |
53 |
$279.33 |
| 11721 |
|
14 |
13 |
$278.90 |
| J2765 |
Metoclopramide hcl injection |
4,463 |
4,212 |
$260.10 |
| J2272 |
Inj, morphine (fresenius) |
244 |
214 |
$250.81 |
| 85384 |
|
126 |
122 |
$241.89 |
| 86235 |
|
73 |
41 |
$234.00 |
| 82365 |
|
468 |
423 |
$226.41 |
| 88311 |
|
40 |
38 |
$222.55 |
| 86328 |
|
17 |
17 |
$217.24 |
| J2060 |
Lorazepam injection |
1,468 |
1,321 |
$214.59 |
| S0077 |
Injection, clindamycin phosp |
117 |
107 |
$204.88 |
| 72070 |
|
12 |
12 |
$202.56 |
| J7512 |
Prednisone ir or dr oral 1mg |
3,739 |
3,274 |
$199.48 |
| 82785 |
|
37 |
37 |
$198.97 |
| 1036F |
|
11,365 |
10,300 |
$187.93 |
| 82951 |
|
27 |
27 |
$175.66 |
| G9902 |
Pt scrn tbco and id as user |
3,077 |
2,788 |
$174.47 |
| C1758 |
Catheter, ureteral |
24 |
24 |
$165.65 |
| 73100 |
|
61 |
59 |
$165.12 |
| 84425 |
|
25 |
25 |
$157.37 |
| D0180 |
|
13 |
13 |
$156.70 |
| 84703 |
|
25 |
25 |
$152.65 |
| C1755 |
Catheter, intraspinal |
100 |
97 |
$151.32 |
| J3475 |
Inj magnesium sulfate |
281 |
258 |
$145.83 |
| 75571 |
|
36 |
36 |
$145.44 |
| 84436 |
|
12 |
12 |
$126.89 |
| J2919 |
Inj, methylpred sod succ 5mg |
106 |
101 |
$126.16 |
| 86701 |
|
12 |
12 |
$113.09 |
| 76377 |
|
13 |
13 |
$110.99 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
87 |
69 |
$100.15 |
| 84295 |
|
535 |
482 |
$98.89 |
| J7613 |
Albuterol non-comp unit |
2,440 |
2,207 |
$92.83 |
| 84166 |
|
12 |
12 |
$78.75 |
| J1580 |
Garamycin gentamicin inj |
477 |
461 |
$78.58 |
| 83002 |
|
15 |
15 |
$74.08 |
| 73070 |
|
69 |
68 |
$61.44 |
| J1940 |
Furosemide injection |
229 |
171 |
$58.55 |
| 87338 |
|
14 |
13 |
$58.00 |
| 82435 |
|
534 |
481 |
$57.01 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
200 |
199 |
$56.92 |
| 90885 |
|
207 |
188 |
$55.17 |
| J1953 |
Levetiracetam injection |
13 |
12 |
$54.45 |
| 86705 |
|
55 |
55 |
$51.35 |
| 70360 |
|
38 |
38 |
$49.51 |
| J3411 |
Thiamine hcl 100 mg |
57 |
53 |
$48.66 |
| S0030 |
Injection, metronidazole |
140 |
127 |
$43.29 |
| 86606 |
|
12 |
12 |
$40.15 |
| J2920 |
Methylprednisolone injection |
74 |
72 |
$39.02 |
| 87077 |
|
70 |
70 |
$37.14 |
| J3480 |
Inj potassium chloride |
51 |
39 |
$34.63 |
| 85612 |
|
12 |
12 |
$31.28 |
| 82952 |
|
25 |
25 |
$31.20 |
| J1836 |
Inj, metronidazole, 10 mg |
135 |
108 |
$30.54 |
| 73000 |
|
12 |
12 |
$27.23 |
| J0692 |
Cefepime hcl for injection |
44 |
41 |
$26.26 |
| J0171 |
Adrenalin epinephrine inject |
163 |
157 |
$24.50 |
| J1920 |
Inj, labetalol hcl, 5mg |
173 |
159 |
$22.33 |
| Q0163 |
Diphenhydramine hcl 50mg |
5,238 |
3,199 |
$20.40 |
| 91312 |
|
143 |
143 |
$14.11 |
| 84300 |
|
13 |
13 |
$13.32 |
| 83930 |
|
12 |
12 |
$12.08 |
| 99499 |
|
1,341 |
742 |
$12.00 |
| 82120 |
|
13 |
13 |
$12.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
310 |
288 |
$11.64 |
| J0360 |
Hydralazine hcl injection |
24 |
24 |
$11.35 |
| 91300 |
|
3,120 |
2,737 |
$10.45 |
| J1598 |
Inj glycopyrrolate fres kabi |
68 |
68 |
$8.07 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
83 |
68 |
$7.91 |
| G9903 |
Pt scrn tbco id as non user |
632 |
583 |
$5.72 |
| J0290 |
Ampicillin 500 mg inj |
114 |
108 |
$1.80 |
| J7644 |
Ipratropium bromide non-comp |
16 |
15 |
$1.02 |
| G8421 |
Bmi not calculated |
439 |
366 |
$0.83 |
| 4004F |
|
3,620 |
3,275 |
$0.73 |
| G9906 |
Pt recv tbco cess interv |
46 |
44 |
$0.35 |
| G8419 |
Calc bmi out nrm param nof/u |
308 |
262 |
$0.24 |
| 3074F |
|
215 |
200 |
$0.21 |
| 3079F |
|
203 |
193 |
$0.18 |
| G8420 |
Calc bmi norm parameters |
93 |
76 |
$0.16 |
| 3078F |
|
218 |
199 |
$0.15 |
| 3077F |
|
120 |
115 |
$0.07 |
| 3075F |
|
110 |
97 |
$0.06 |
| 3080F |
|
66 |
63 |
$0.05 |
| J2004 |
Inj, lidocaine w epinephrine |
28 |
28 |
$0.04 |
| G9740 |
Hosp srv to pt dur msmt per |
298 |
242 |
$0.02 |
| G9687 |
Hospice anytime msmt per |
65 |
61 |
$0.01 |
| G8752 |
Sys bp less 140 |
172 |
154 |
$0.01 |
| G8754 |
Dias bp less 90 |
205 |
184 |
$0.01 |
| J2550 |
Promethazine hcl injection |
23 |
20 |
$0.00 |
| 99080 |
|
5,800 |
1,260 |
$0.00 |
| G8484 |
Flu immunize no admin |
50 |
50 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
101 |
100 |
$0.00 |
| G8753 |
Sys bp > or = 140 |
86 |
79 |
$0.00 |
| G8938 |
Bmi doc onl fup nt doc |
17 |
14 |
$0.00 |
| C2628 |
Catheter, occlusion |
12 |
12 |
$0.00 |
| J0780 |
Prochlorperazine injection |
12 |
12 |
$0.00 |
| G8756 |
No bp measure doc |
355 |
329 |
$0.00 |
| 99429 |
|
223 |
131 |
$0.00 |
| 86308 |
|
12 |
12 |
$0.00 |
| 1123F |
|
80 |
74 |
$0.00 |
| G9910 |
Pt 66+ snp or ltc pos > 90d |
13 |
12 |
$0.00 |
| G8755 |
Dias bp > or = 90 |
54 |
50 |
$0.00 |
| J1790 |
Droperidol injection |
14 |
14 |
$0.00 |