| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
70,125 |
63,626 |
$13.13M |
| U0003 |
Cov-19 amp prb hgh thruput |
143,462 |
121,621 |
$10.27M |
| 99213 |
|
97,863 |
80,512 |
$8.36M |
| 99284 |
|
36,195 |
31,290 |
$6.99M |
| 36415 |
|
299,261 |
99,236 |
$4.82M |
| 99282 |
|
19,825 |
18,151 |
$4.05M |
| 99214 |
|
33,992 |
29,844 |
$3.81M |
| 96361 |
|
43,788 |
15,138 |
$3.18M |
| G0378 |
Hospital observation per hr |
2,642 |
2,280 |
$2.87M |
| 99211 |
|
130,364 |
108,192 |
$2.35M |
| 90832 |
|
13,711 |
9,151 |
$1.88M |
| 99285 |
|
8,984 |
8,517 |
$1.67M |
| 99212 |
|
21,548 |
18,342 |
$1.63M |
| 70450 |
|
6,217 |
5,969 |
$1.58M |
| U0005 |
Infec agen detec ampli probe |
65,444 |
55,869 |
$1.50M |
| 99391 |
|
22,239 |
18,088 |
$1.44M |
| J2426 |
Inj, invega sustenna, 1 mg |
1,098 |
1,026 |
$1.30M |
| 96372 |
|
43,678 |
25,598 |
$1.11M |
| 90834 |
|
5,731 |
3,830 |
$1.10M |
| 99203 |
|
8,182 |
7,953 |
$1.03M |
| 96360 |
|
7,889 |
5,803 |
$925K |
| 96365 |
|
8,614 |
7,437 |
$844K |
| J0401 |
Inj, abilify maintena, 1 mg |
852 |
720 |
$837K |
| 97110 |
|
10,021 |
2,936 |
$813K |
| 87633 |
|
5,445 |
5,358 |
$793K |
| 99202 |
|
6,970 |
6,726 |
$757K |
| 86480 |
|
13,352 |
13,165 |
$747K |
| H0040 |
Assert comm tx pgm per diem |
542 |
498 |
$701K |
| 74177 |
|
3,491 |
3,447 |
$694K |
| 87635 |
|
14,888 |
13,259 |
$677K |
| 88305 |
|
5,780 |
2,665 |
$660K |
| 99204 |
|
4,145 |
4,077 |
$656K |
| 80307 |
|
16,532 |
12,455 |
$636K |
| 99442 |
|
7,571 |
7,151 |
$562K |
| 99392 |
|
12,996 |
12,745 |
$530K |
| 76856 |
|
1,537 |
1,520 |
$503K |
| 87637 |
|
6,856 |
6,621 |
$476K |
| 80048 |
|
35,602 |
33,045 |
$443K |
| 99215 |
Prolong outpt/office vis |
2,752 |
2,596 |
$436K |
| D9999 |
|
3,138 |
2,979 |
$427K |
| 80053 |
|
33,685 |
31,795 |
$418K |
| H0001 |
Alcohol and/or drug assess |
2,509 |
2,087 |
$414K |
| 81220 |
|
944 |
937 |
$410K |
| 99443 |
|
3,273 |
3,142 |
$356K |
| H0004 |
Alcohol and/or drug services |
5,887 |
2,910 |
$351K |
| 74176 |
|
1,721 |
1,704 |
$347K |
| D0999 |
|
2,136 |
2,102 |
$341K |
| 87491 |
|
11,367 |
11,121 |
$341K |
| 92014 |
|
2,690 |
2,587 |
$340K |
| 76818 |
|
2,768 |
1,479 |
$331K |
| 76770 |
|
1,331 |
1,317 |
$321K |
| 93005 |
|
21,200 |
19,564 |
$319K |
| 99205 |
Prolong outpt/office vis |
1,550 |
1,518 |
$305K |
| 92012 |
|
3,089 |
2,855 |
$304K |
| 76811 |
|
1,577 |
1,512 |
$260K |
| 86850 |
|
10,646 |
9,818 |
$259K |
| 96374 |
|
15,012 |
13,632 |
$254K |
| 12001 |
|
731 |
694 |
$245K |
| 81408 |
|
212 |
212 |
$244K |
| 85027 |
|
79,957 |
73,928 |
$242K |
| 99393 |
|
8,717 |
8,615 |
$242K |
| 12011 |
|
746 |
712 |
$240K |
| 87591 |
|
9,805 |
9,581 |
$237K |
| 90460 |
|
22,937 |
22,658 |
$221K |
| 99201 |
|
2,022 |
1,952 |
$220K |
| G0463 |
Hospital outpt clinic visit |
4,715 |
3,295 |
$212K |
| H0005 |
Alcohol and/or drug services |
2,652 |
663 |
$209K |
| 76817 |
|
2,010 |
1,913 |
$208K |
| 76641 |
|
1,655 |
1,431 |
$207K |
| 81420 |
|
287 |
286 |
$202K |
| 77067 |
|
1,537 |
1,528 |
$202K |
| 76816 |
|
1,914 |
1,793 |
$196K |
| H0002 |
Alcohol and/or drug screenin |
1,044 |
965 |
$194K |
| 80061 |
|
18,379 |
18,109 |
$193K |
| 0002A |
|
6,149 |
6,135 |
$191K |
| 84443 |
|
19,227 |
18,629 |
$190K |
| 93970 |
|
542 |
535 |
$182K |
| 86901 |
|
10,812 |
9,859 |
$179K |
| 0001A |
|
6,319 |
6,310 |
$179K |
| J2315 |
Naltrexone, depot form |
151 |
141 |
$169K |
| 90791 |
|
764 |
692 |
$163K |
| 96161 |
|
9,966 |
7,107 |
$161K |
| 70486 |
|
1,291 |
1,258 |
$160K |
| 45380 |
|
230 |
230 |
$157K |
| 80076 |
|
21,968 |
20,897 |
$157K |
| 83036 |
|
21,731 |
21,068 |
$152K |
| 86703 |
|
11,777 |
11,609 |
$152K |
| 99441 |
|
3,251 |
3,171 |
$146K |
| 72125 |
|
1,683 |
1,610 |
$143K |
| 87486 |
|
5,513 |
5,425 |
$141K |
| 76705 |
|
2,438 |
2,371 |
$139K |
| 82306 |
|
6,057 |
5,990 |
$137K |
| 90461 |
|
10,011 |
9,955 |
$132K |
| 99394 |
|
5,214 |
5,182 |
$130K |
| 97802 |
|
2,837 |
2,790 |
$128K |
| 93306 |
|
684 |
677 |
$128K |
| 71046 |
|
10,966 |
10,710 |
$128K |
| 76805 |
|
974 |
959 |
$124K |
| 83655 |
|
11,012 |
10,896 |
$123K |
| 90677 |
|
1,274 |
1,271 |
$122K |
| 86900 |
|
10,780 |
9,835 |
$122K |
| 59025 |
|
816 |
736 |
$121K |
| 99291 |
|
709 |
698 |
$121K |
| 90471 |
|
19,982 |
19,429 |
$121K |
| 84703 |
|
27,269 |
24,628 |
$113K |
| 45378 |
|
170 |
168 |
$113K |
| 90651 |
|
1,272 |
1,263 |
$108K |
| 90715 |
|
4,498 |
4,458 |
$108K |
| 85610 |
|
20,809 |
14,612 |
$106K |
| 99381 |
|
2,472 |
1,949 |
$101K |
| 87581 |
|
5,514 |
5,426 |
$100K |
| D2930 |
|
589 |
589 |
$97K |
| 97112 |
|
2,432 |
909 |
$91K |
| U0001 |
2019-ncov diagnostic p |
2,298 |
2,103 |
$89K |
| 82805 |
|
8,680 |
8,187 |
$88K |
| 96375 |
|
11,641 |
10,892 |
$85K |
| 97530 |
|
1,860 |
1,138 |
$85K |
| 94640 |
|
3,814 |
3,436 |
$84K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
6,564 |
4,495 |
$83K |
| 92004 |
|
498 |
498 |
$81K |
| 0004A |
|
1,991 |
1,984 |
$77K |
| 96110 |
|
1,002 |
969 |
$76K |
| D2335 |
|
279 |
279 |
$74K |
| J2506 |
Inj pegfilgrast ex bio 0.5mg |
73 |
52 |
$73K |
| 87624 |
|
2,228 |
2,163 |
$71K |
| 90686 |
|
7,834 |
7,761 |
$71K |
| 76820 |
|
1,409 |
822 |
$70K |
| J1100 |
Dexamethasone sodium phos |
6,078 |
5,798 |
$70K |
| G2023 |
Specimen collect covid-19 |
2,311 |
2,012 |
$69K |
| H0050 |
Alcohol/drug service 15 min |
1,498 |
1,360 |
$69K |
| 86769 |
|
1,994 |
1,937 |
$65K |
| 90750 |
|
855 |
846 |
$65K |
| 86780 |
|
7,425 |
7,213 |
$65K |
| 76536 |
|
528 |
525 |
$64K |
| 87536 |
|
679 |
661 |
$63K |
| 87502 |
|
1,926 |
1,862 |
$63K |
| 84439 |
|
10,198 |
9,916 |
$63K |
| 83880 |
|
3,524 |
3,435 |
$62K |
| 97140 |
|
2,097 |
849 |
$59K |
| 71275 |
|
209 |
208 |
$58K |
| T1013 |
Sign lang/oral interpreter |
6,275 |
5,773 |
$57K |
| 86803 |
|
5,681 |
5,607 |
$56K |
| 82607 |
|
4,839 |
4,760 |
$55K |
| J1050 |
Medroxyprogesterone acetate |
665 |
659 |
$53K |
| 90746 |
|
1,004 |
993 |
$53K |
| 97803 |
|
1,069 |
1,060 |
$53K |
| 87800 |
|
1,609 |
1,576 |
$52K |
| 12002 |
|
148 |
138 |
$52K |
| 77063 |
|
923 |
919 |
$50K |
| D3220 |
|
628 |
628 |
$50K |
| 76700 |
|
174 |
172 |
$47K |
| 99395 |
|
1,620 |
1,612 |
$45K |
| 76801 |
|
346 |
331 |
$45K |
| 73630 |
|
2,620 |
2,434 |
$45K |
| 87086 |
|
13,499 |
12,695 |
$43K |
| 43239 |
|
84 |
83 |
$43K |
| 88142 |
|
1,795 |
1,766 |
$41K |
| 90853 |
|
489 |
245 |
$41K |
| 97014 |
|
2,271 |
754 |
$41K |
| 81001 |
|
29,018 |
27,119 |
$39K |
| 90670 |
|
2,678 |
2,666 |
$39K |
| 96127 |
|
11,741 |
9,942 |
$38K |
| 80320 |
|
13,370 |
10,912 |
$38K |
| 84702 |
|
6,864 |
5,926 |
$38K |
| 86360 |
|
801 |
776 |
$37K |
| 87340 |
|
5,057 |
4,932 |
$37K |
| 81329 |
|
305 |
303 |
$37K |
| D7250 |
|
250 |
249 |
$36K |
| 29125 |
|
172 |
161 |
$35K |
| 73564 |
|
1,720 |
1,585 |
$35K |
| 90792 |
|
164 |
157 |
$35K |
| 72100 |
|
1,560 |
1,540 |
$34K |
| 90697 |
|
1,399 |
1,398 |
$33K |
| 73610 |
|
2,209 |
1,994 |
$33K |
| H0049 |
Alcohol/drug screening |
695 |
642 |
$33K |
| 96367 |
|
996 |
940 |
$33K |
| 0072A |
|
779 |
777 |
$32K |
| 0071A |
|
817 |
813 |
$31K |
| 86359 |
|
795 |
770 |
$30K |
| 90680 |
|
2,534 |
2,530 |
$30K |
| 71045 |
|
5,116 |
4,959 |
$30K |
| 83970 |
|
873 |
835 |
$30K |
| 96366 |
|
366 |
359 |
$30K |
| 82728 |
|
2,979 |
2,904 |
$29K |
| 81161 |
|
182 |
182 |
$28K |
| 97162 |
|
249 |
246 |
$28K |
| 76000 |
|
229 |
216 |
$27K |
| 73110 |
|
1,892 |
1,527 |
$27K |
| 86762 |
|
2,419 |
2,337 |
$26K |
| 97010 |
|
2,886 |
1,013 |
$25K |
| G0397 |
Alcohol/subs interv >30 min |
146 |
82 |
$25K |
| 88312 |
|
268 |
261 |
$25K |
| 99281 |
|
101 |
100 |
$24K |
| 81003 |
|
13,423 |
8,372 |
$24K |
| 77066 |
Tomosynthesis, mammo |
149 |
146 |
$24K |
| 73030 |
|
1,644 |
1,555 |
$24K |
| 86706 |
|
2,909 |
2,854 |
$23K |
| 86765 |
|
2,425 |
2,347 |
$23K |
| 90846 |
|
154 |
118 |
$23K |
| 82948 |
|
17,397 |
13,315 |
$23K |
| 82951 |
|
2,099 |
1,870 |
$22K |
| 86787 |
|
2,455 |
2,370 |
$22K |
| 88175 |
|
764 |
763 |
$22K |
| 88304 |
|
774 |
771 |
$21K |
| 90472 |
|
4,130 |
4,108 |
$21K |
| 90847 |
|
76 |
59 |
$20K |
| J3010 |
Fentanyl citrate injection |
3,152 |
3,103 |
$20K |
| 83550 |
|
3,089 |
3,015 |
$19K |
| 84153 |
|
1,367 |
1,343 |
$19K |
| 96413 |
|
96 |
54 |
$19K |
| 86735 |
|
2,037 |
1,976 |
$19K |
| 87081 |
|
5,213 |
5,149 |
$18K |
| 81405 |
|
92 |
92 |
$18K |
| 93971 |
|
240 |
227 |
$18K |
| 73130 |
|
1,637 |
1,547 |
$17K |
| 90833 |
|
177 |
145 |
$16K |
| 82105 |
|
1,375 |
1,335 |
$16K |
| 85730 |
|
10,286 |
9,846 |
$16K |
| 80356 |
|
3,309 |
2,541 |
$16K |
| 83540 |
|
3,402 |
3,320 |
$16K |
| 76870 |
|
232 |
228 |
$15K |
| 90633 |
|
1,260 |
1,259 |
$15K |
| 90707 |
|
691 |
689 |
$15K |
| 83020 |
|
1,343 |
1,292 |
$15K |
| 82274 |
|
1,187 |
1,181 |
$14K |
| D0220 |
|
1,809 |
1,778 |
$14K |
| 90716 |
|
635 |
634 |
$14K |
| J2704 |
Inj, propofol, 10 mg |
4,466 |
4,390 |
$13K |
| 81361 |
|
109 |
109 |
$12K |
| 74018 |
|
1,041 |
1,034 |
$12K |
| 82043 |
|
2,676 |
2,644 |
$12K |
| 77062 |
|
77 |
76 |
$11K |
| 0124A |
|
260 |
260 |
$11K |
| 97165 |
|
97 |
96 |
$11K |
| 86141 |
|
3,248 |
3,167 |
$11K |
| 83735 |
|
12,291 |
11,671 |
$11K |
| 73502 |
|
531 |
495 |
$11K |
| J7030 |
Normal saline solution infus |
11,650 |
10,958 |
$10K |
| 81025 |
|
2,249 |
2,151 |
$10K |
| 84146 |
|
600 |
571 |
$10K |
| J1885 |
Ketorolac tromethamine inj |
16,279 |
15,208 |
$10K |
| 45300 |
|
27 |
26 |
$10K |
| 87880 |
|
970 |
960 |
$10K |
| 90698 |
|
813 |
813 |
$10K |
| 90723 |
|
958 |
956 |
$10K |
| 73090 |
|
1,068 |
926 |
$10K |
| 88141 |
|
355 |
348 |
$10K |
| 73140 |
|
738 |
727 |
$10K |
| J7120 |
Ringers lactate infusion |
13,740 |
12,650 |
$10K |
| 82465 |
|
2,889 |
2,873 |
$10K |
| 84484 |
|
10,737 |
9,854 |
$10K |
| 81401 |
|
108 |
108 |
$9K |
| 99383 |
|
123 |
123 |
$9K |
| C9803 |
Hopd covid-19 spec collect |
3,045 |
2,614 |
$9K |
| D0120 |
|
1,179 |
1,080 |
$9K |
| 90647 |
|
875 |
873 |
$9K |
| 81257 |
|
134 |
134 |
$9K |
| H0038 |
Self-help/peer svc per 15min |
459 |
379 |
$9K |
| J7040 |
Normal saline solution infus |
7,515 |
6,662 |
$9K |
| 90656 |
|
688 |
686 |
$9K |
| 87186 |
|
2,128 |
2,013 |
$9K |
| 97597 |
|
25 |
13 |
$8K |
| 71260 |
|
67 |
67 |
$8K |
| 73590 |
|
846 |
762 |
$8K |
| 36430 |
|
28 |
24 |
$8K |
| 90732 |
|
83 |
83 |
$7K |
| J2250 |
Inj midazolam hydrochloride |
3,921 |
3,735 |
$7K |
| 82746 |
|
704 |
685 |
$7K |
| 92250 |
|
134 |
123 |
$7K |
| 82248 |
|
2,158 |
1,599 |
$7K |
| 83690 |
|
10,929 |
10,412 |
$7K |
| D1110 |
|
530 |
509 |
$7K |
| J0131 |
Inj, acetaminophen (nos) |
1,329 |
1,295 |
$7K |
| D2392 |
|
99 |
99 |
$7K |
| 83001 |
|
403 |
382 |
$7K |
| 82677 |
|
336 |
324 |
$6K |
| 81243 |
|
187 |
187 |
$6K |
| 88300 |
|
730 |
696 |
$6K |
| 80354 |
|
1,264 |
1,001 |
$6K |
| 80047 |
|
401 |
395 |
$6K |
| J2405 |
Ondansetron hcl injection |
9,579 |
8,877 |
$6K |
| 74019 |
|
367 |
365 |
$6K |
| 95004 |
|
25 |
25 |
$6K |
| 99051 |
|
672 |
662 |
$6K |
| D0140 |
|
415 |
371 |
$6K |
| 82803 |
|
2,557 |
2,377 |
$6K |
| 87535 |
|
160 |
158 |
$5K |
| 3074F |
|
27,058 |
20,444 |
$5K |
| 97035 |
|
344 |
123 |
$5K |
| Q0162 |
Ondansetron oral |
3,918 |
3,825 |
$5K |
| D1120 |
|
69 |
69 |
$5K |
| 73080 |
|
513 |
448 |
$5K |
| 73620 |
|
301 |
281 |
$5K |
| 76819 |
|
61 |
50 |
$5K |
| 90694 |
|
177 |
176 |
$5K |
| 82247 |
|
1,527 |
1,010 |
$5K |
| 90744 |
|
416 |
415 |
$5K |
| 51798 |
|
29 |
29 |
$5K |
| 90620 |
|
278 |
276 |
$4K |
| D0230 |
|
198 |
196 |
$4K |
| G8510 |
Scr dep neg, no plan reqd |
1,268 |
1,149 |
$4K |
| Q3014 |
Telehealth facility fee |
611 |
498 |
$4K |
| 95117 |
|
304 |
221 |
$4K |
| 97026 |
|
533 |
173 |
$4K |
| 85045 |
|
1,477 |
1,411 |
$4K |
| 81400 |
|
96 |
96 |
$4K |
| 81255 |
|
108 |
108 |
$4K |
| J0696 |
Ceftriaxone sodium injection |
4,193 |
3,936 |
$4K |
| 84704 |
|
336 |
323 |
$4K |
| 90734 |
|
153 |
153 |
$4K |
| 86336 |
|
335 |
323 |
$4K |
| 83615 |
|
1,503 |
1,390 |
$4K |
| 73562 |
|
221 |
201 |
$4K |
| 83002 |
|
216 |
202 |
$4K |
| 85651 |
|
1,753 |
1,720 |
$4K |
| 81200 |
|
108 |
108 |
$3K |
| 81251 |
|
108 |
108 |
$3K |
| 82570 |
|
1,050 |
951 |
$3K |
| 97124 |
|
98 |
39 |
$3K |
| 90648 |
|
300 |
299 |
$3K |
| 84480 |
|
381 |
362 |
$3K |
| 86704 |
|
369 |
360 |
$3K |
| 94010 |
|
93 |
90 |
$3K |
| 82550 |
|
3,578 |
3,454 |
$3K |
| M0222 |
Bebtelovimab injection |
42 |
42 |
$3K |
| 84100 |
|
1,500 |
1,434 |
$3K |
| 73120 |
|
178 |
174 |
$3K |
| 83605 |
|
3,474 |
3,224 |
$3K |
| J7042 |
5% dextrose/normal saline |
1,943 |
1,886 |
$3K |
| 90480 |
|
88 |
88 |
$3K |
| J1631 |
Haloperidol decanoate inj |
138 |
128 |
$3K |
| J0690 |
Cefazolin sodium injection |
686 |
663 |
$3K |
| 73600 |
|
171 |
164 |
$3K |
| T2022 |
Case management, per month |
63 |
37 |
$3K |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
1,294 |
1,281 |
$3K |
| 81260 |
|
108 |
108 |
$3K |
| 84550 |
|
1,000 |
897 |
$3K |
| 92002 |
|
28 |
27 |
$3K |
| 96368 |
|
78 |
75 |
$3K |
| D1206 |
|
656 |
656 |
$3K |
| 0003A |
|
64 |
64 |
$3K |
| 72070 |
|
123 |
123 |
$3K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
64 |
64 |
$3K |
| 86038 |
|
292 |
287 |
$2K |
| H2010 |
Comprehensive med svc 15 min |
28 |
26 |
$2K |
| 85379 |
|
1,841 |
1,800 |
$2K |
| J0290 |
Ampicillin 500 mg inj |
427 |
423 |
$2K |
| 97161 |
|
25 |
25 |
$2K |
| J2270 |
Morphine sulfate injection |
2,593 |
2,338 |
$2K |
| 0012A |
|
111 |
111 |
$2K |
| 99382 |
|
238 |
203 |
$2K |
| D2330 |
|
26 |
26 |
$2K |
| 86376 |
|
162 |
161 |
$2K |
| 82330 |
|
2,409 |
2,242 |
$2K |
| 95165 |
|
80 |
43 |
$2K |
| M0243 |
Casirivi and imdevi inj |
68 |
68 |
$2K |
| 96160 |
|
100 |
93 |
$2K |
| 97022 |
|
80 |
29 |
$2K |
| 85007 |
|
1,737 |
1,691 |
$2K |
| 80348 |
|
226 |
174 |
$2K |
| J7050 |
Normal saline solution infus |
2,173 |
1,833 |
$2K |
| 82952 |
|
278 |
271 |
$2K |
| 73070 |
|
213 |
190 |
$2K |
| 82397 |
|
1,690 |
1,653 |
$2K |
| 99404 |
|
14 |
14 |
$2K |
| 84156 |
|
808 |
732 |
$2K |
| 90710 |
|
97 |
97 |
$2K |
| D0145 |
|
328 |
326 |
$2K |
| J3475 |
Inj magnesium sulfate |
1,278 |
1,210 |
$2K |
| 84403 |
|
70 |
66 |
$2K |
| 93010 |
|
192 |
176 |
$2K |
| 96376 |
|
1,638 |
1,591 |
$2K |
| 0011A |
|
113 |
105 |
$2K |
| J7060 |
5% dextrose/water |
1,979 |
1,771 |
$1K |
| 77065 |
Tomosynthesis, mammo |
12 |
12 |
$1K |
| J2060 |
Lorazepam injection |
2,134 |
1,909 |
$1K |
| 90700 |
|
119 |
119 |
$1K |
| J2930 |
Methylprednisolone injection |
708 |
676 |
$1K |
| J2359 |
Inj. olanzapine, 0.5mg |
219 |
200 |
$1K |
| J1741 |
Ibuprofen injection |
185 |
172 |
$1K |
| 85384 |
|
493 |
434 |
$1K |
| 71250 |
|
13 |
13 |
$1K |
| 92550 |
|
29 |
29 |
$1K |
| 71101 |
|
171 |
163 |
$1K |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
105 |
104 |
$1K |
| 97116 |
|
38 |
13 |
$1K |
| D1208 |
|
175 |
175 |
$1K |
| Q0163 |
Diphenhydramine hcl 50mg |
2,897 |
2,743 |
$1K |
| 87338 |
|
118 |
118 |
$1K |
| 97168 |
|
13 |
12 |
$1K |
| 76830 |
|
12 |
12 |
$1K |
| D2391 |
|
13 |
13 |
$1K |
| J2765 |
Metoclopramide hcl injection |
3,911 |
3,759 |
$1K |
| J3420 |
Vitamin b12 injection |
1,001 |
857 |
$1K |
| J1630 |
Haloperidol injection |
1,511 |
1,402 |
$1K |
| 92557 |
|
27 |
27 |
$1K |
| 73560 |
|
59 |
54 |
$1K |
| 87040 |
|
826 |
670 |
$987.94 |
| 80321 |
|
99 |
77 |
$981.42 |
| 86580 |
|
195 |
194 |
$930.81 |
| 96380 |
|
92 |
92 |
$926.91 |
| 87804 |
|
108 |
101 |
$888.33 |
| 90696 |
|
72 |
72 |
$868.25 |
| D0274 |
|
251 |
251 |
$860.05 |
| 83516 |
|
60 |
57 |
$841.87 |
| 91320 |
|
56 |
55 |
$806.01 |
| 3077F |
|
4,103 |
3,481 |
$795.00 |
| 82962 |
|
115 |
99 |
$776.86 |
| 83527 |
|
82 |
82 |
$767.19 |
| 82010 |
|
852 |
794 |
$765.10 |
| 82977 |
|
154 |
152 |
$755.07 |
| 99401 |
|
14 |
14 |
$751.39 |
| 76857 |
|
16 |
14 |
$740.50 |
| J3360 |
Diazepam injection |
345 |
319 |
$727.84 |
| 73060 |
|
103 |
100 |
$725.16 |
| 80051 |
|
58 |
55 |
$687.79 |
| 90662 |
|
31 |
31 |
$613.80 |
| 88112 |
|
13 |
13 |
$604.42 |
| 90381 |
|
42 |
42 |
$603.06 |
| J3411 |
Thiamine hcl 100 mg |
712 |
643 |
$562.42 |
| J1953 |
Levetiracetam injection |
158 |
153 |
$559.21 |
| J7620 |
Albuterol ipratrop non-comp |
1,716 |
1,435 |
$535.96 |
| 3078F |
|
25,692 |
19,550 |
$532.73 |
| 3079F |
|
10,680 |
9,154 |
$530.00 |
| 99493 |
|
28 |
28 |
$513.60 |
| 90685 |
|
78 |
78 |
$499.89 |
| J1200 |
Diphenhydramine hcl injectio |
1,817 |
1,650 |
$499.35 |
| 92134 |
|
12 |
12 |
$481.05 |
| 87798 |
|
23 |
23 |
$478.88 |
| 87070 |
|
44 |
41 |
$472.01 |
| 86140 |
|
180 |
177 |
$458.57 |
| 0031A |
|
16 |
16 |
$456.22 |
| J8540 |
Oral dexamethasone |
219 |
180 |
$432.18 |
| 0241U |
|
60 |
60 |
$421.27 |
| 99232 |
|
14 |
14 |
$373.70 |
| 83718 |
|
132 |
132 |
$372.67 |
| 87420 |
|
200 |
199 |
$360.87 |
| 90380 |
|
22 |
22 |
$351.44 |
| 73100 |
|
27 |
25 |
$340.44 |
| 90661 |
|
35 |
35 |
$312.20 |
| 92015 |
|
14 |
14 |
$310.70 |
| 80165 |
|
51 |
50 |
$300.41 |
| 84402 |
|
14 |
14 |
$299.80 |
| 90653 |
|
31 |
31 |
$294.59 |
| J7613 |
Albuterol non-comp unit |
2,472 |
2,169 |
$293.60 |
| 84478 |
|
131 |
131 |
$291.98 |
| 86705 |
|
55 |
51 |
$282.68 |
| J2710 |
Neostigmine methylslfte inj |
237 |
234 |
$275.77 |
| 90674 |
|
17 |
17 |
$265.86 |
| 3075F |
|
6,990 |
6,186 |
$265.00 |
| 73552 |
|
40 |
38 |
$256.45 |
| 87177 |
|
26 |
24 |
$220.72 |
| 92587 |
|
12 |
12 |
$204.21 |
| J7510 |
Prednisolone oral per 5 mg |
71 |
69 |
$180.00 |
| 82378 |
|
24 |
24 |
$157.77 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,043 |
978 |
$154.67 |
| J1790 |
Droperidol injection |
419 |
401 |
$141.78 |
| 86593 |
|
30 |
30 |
$130.75 |
| 86255 |
|
15 |
14 |
$127.34 |
| 82947 |
|
68 |
61 |
$122.14 |
| J7644 |
Ipratropium bromide non-comp |
1,241 |
1,119 |
$115.12 |
| 99494 |
|
13 |
13 |
$110.34 |
| 73660 |
|
25 |
24 |
$94.55 |
| A4216 |
Sterile water/saline, 10 ml |
57 |
37 |
$83.45 |
| G0008 |
Admin influenza virus vac |
170 |
170 |
$63.56 |
| 93793 |
|
43 |
26 |
$62.89 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
61 |
59 |
$43.70 |
| G8978 |
Mobility current status |
39 |
34 |
$43.18 |
| 86430 |
|
14 |
14 |
$41.27 |
| 82150 |
|
50 |
50 |
$41.21 |
| J1815 |
Insulin injection |
67 |
54 |
$40.13 |
| 85014 |
|
275 |
270 |
$39.30 |
| J2919 |
Inj, methylpred sod succ 5mg |
99 |
98 |
$38.24 |
| J1642 |
Inj heparin sodium per 10 u |
56 |
37 |
$37.24 |
| J2795 |
Ropivacaine hcl injection |
14 |
14 |
$33.54 |
| 86708 |
|
12 |
12 |
$27.78 |
| J0330 |
Succinycholine chloride inj |
15 |
15 |
$17.30 |
| 83930 |
|
15 |
14 |
$16.19 |
| J0171 |
Adrenalin epinephrine inject |
31 |
30 |
$16.05 |
| 99231 |
|
12 |
12 |
$14.57 |
| 87205 |
|
14 |
12 |
$6.97 |
| 99173 |
|
357 |
357 |
$4.38 |
| 82553 |
|
19 |
19 |
$3.92 |
| J1170 |
Hydromorphone injection |
30 |
17 |
$3.78 |
| J2004 |
Inj, lidocaine w epinephrine |
15 |
15 |
$1.81 |
| J3490 |
Drugs unclassified injection |
15 |
15 |
$1.77 |
| J2543 |
Piperacillin/tazobactam |
17 |
12 |
$0.35 |
| 99499 |
|
712 |
575 |
$0.00 |
| D0190 |
|
317 |
317 |
$0.00 |
| 1160F |
|
3,556 |
2,351 |
$0.00 |
| D0180 |
|
13 |
13 |
$0.00 |
| 1159F |
|
4,464 |
2,572 |
$0.00 |
| 99408 |
|
199 |
198 |
$0.00 |
| G8979 |
Mobility goal status |
31 |
31 |
$0.00 |
| 99080 |
|
639 |
322 |
$0.00 |
| D1330 |
|
1,154 |
1,154 |
$0.00 |
| 3080F |
|
1,729 |
1,493 |
$0.00 |
| 99406 |
|
197 |
197 |
$0.00 |
| 3044F |
|
180 |
175 |
$0.00 |
| 1220F |
|
990 |
990 |
$0.00 |
| G0447 |
Behavior counsel obesity 15m |
152 |
152 |
$0.00 |
| 92551 |
|
369 |
369 |
$0.00 |
| 4293F |
|
67 |
67 |
$0.00 |