| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
40,907 |
33,263 |
$6.92M |
| 99283 |
|
33,091 |
28,493 |
$4.10M |
| G0483 |
Drug test def 22+ classes |
18,394 |
9,179 |
$2.73M |
| 0202U |
|
6,948 |
6,244 |
$2.29M |
| 74177 |
|
9,576 |
6,523 |
$2.07M |
| 99285 |
|
9,109 |
6,814 |
$1.99M |
| 99211 |
|
68,580 |
56,051 |
$1.86M |
| 99212 |
|
66,220 |
57,228 |
$1.85M |
| 80307 |
|
33,782 |
21,546 |
$1.74M |
| 99213 |
|
45,244 |
39,780 |
$1.31M |
| 99214 |
|
46,203 |
39,582 |
$1.27M |
| G0480 |
Drug test def 1-7 classes |
14,377 |
8,739 |
$1.25M |
| 70450 |
|
7,815 |
5,607 |
$1.19M |
| 93306 |
|
5,396 |
4,913 |
$1.19M |
| 96361 |
|
26,607 |
14,351 |
$1.15M |
| 97110 |
|
15,324 |
5,192 |
$1.08M |
| 92507 |
|
14,144 |
4,955 |
$1.03M |
| 93458 |
|
1,164 |
353 |
$979K |
| 80053 |
|
89,696 |
73,138 |
$914K |
| 96374 |
|
16,956 |
13,767 |
$902K |
| 78452 |
|
2,475 |
1,701 |
$893K |
| 74176 |
|
5,686 |
3,753 |
$890K |
| 43239 |
|
3,215 |
2,003 |
$812K |
| 96375 |
|
11,948 |
9,310 |
$776K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
11,935 |
9,861 |
$735K |
| 97530 |
|
9,235 |
3,444 |
$699K |
| 93005 |
|
28,506 |
22,141 |
$681K |
| 76705 |
|
4,771 |
4,275 |
$665K |
| 0241U |
|
8,069 |
6,196 |
$664K |
| 85025 |
|
93,264 |
67,016 |
$663K |
| 71046 |
|
18,759 |
12,828 |
$616K |
| 96360 |
|
8,248 |
5,215 |
$589K |
| 88305 |
|
6,474 |
5,668 |
$526K |
| 96365 |
|
6,398 |
3,939 |
$516K |
| 96372 |
|
21,896 |
15,109 |
$492K |
| 36415 |
|
140,646 |
76,564 |
$488K |
| 20610 |
|
6,988 |
4,754 |
$464K |
| 71275 |
|
2,639 |
1,928 |
$450K |
| 99282 |
|
5,367 |
4,788 |
$442K |
| 93017 |
|
2,578 |
2,399 |
$436K |
| 84443 |
|
28,963 |
26,931 |
$425K |
| 76700 |
|
2,197 |
2,017 |
$421K |
| 73630 |
|
5,007 |
4,317 |
$416K |
| 77067 |
|
4,190 |
3,959 |
$372K |
| S9129 |
Occupational therapy, in the |
10,493 |
3,745 |
$372K |
| 99219 |
|
2,159 |
1,875 |
$357K |
| 96413 |
|
2,268 |
1,195 |
$355K |
| 72148 |
|
1,314 |
1,212 |
$353K |
| 73721 |
|
1,146 |
1,070 |
$345K |
| 95811 |
|
619 |
564 |
$342K |
| 71045 |
|
13,603 |
9,251 |
$322K |
| 73610 |
|
3,397 |
2,870 |
$314K |
| 72125 |
|
1,594 |
1,401 |
$295K |
| 97140 |
|
4,195 |
1,746 |
$283K |
| 80061 |
|
24,350 |
21,703 |
$281K |
| 76770 |
|
2,064 |
1,673 |
$281K |
| 71260 |
|
1,356 |
1,139 |
$267K |
| 82306 |
|
12,120 |
10,387 |
$256K |
| 94060 |
|
2,920 |
2,186 |
$245K |
| 73030 |
|
2,952 |
2,489 |
$238K |
| A9502 |
Tc99m tetrofosmin |
1,399 |
1,313 |
$233K |
| 73130 |
|
2,791 |
2,419 |
$233K |
| 73110 |
|
2,915 |
2,268 |
$226K |
| 71250 |
|
1,318 |
1,105 |
$216K |
| 71271 |
|
1,098 |
919 |
$210K |
| 73562 |
|
2,104 |
1,833 |
$204K |
| 94640 |
|
5,461 |
3,035 |
$200K |
| 87491 |
|
5,779 |
5,353 |
$190K |
| 87507 |
|
635 |
572 |
$184K |
| 87591 |
|
5,716 |
5,330 |
$184K |
| J3010 |
Fentanyl citrate injection |
8,996 |
6,260 |
$182K |
| 80074 |
|
4,449 |
4,037 |
$182K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
192 |
166 |
$181K |
| 87086 |
|
22,378 |
19,091 |
$178K |
| 45385 |
|
629 |
445 |
$178K |
| 76830 |
|
1,808 |
1,529 |
$177K |
| 45378 |
|
379 |
328 |
$176K |
| J1885 |
Ketorolac tromethamine inj |
16,429 |
12,296 |
$175K |
| 94726 |
|
1,726 |
1,634 |
$174K |
| 87502 |
|
2,080 |
1,920 |
$172K |
| 11042 |
|
3,638 |
1,738 |
$170K |
| 59025 |
|
1,250 |
896 |
$164K |
| 83036 |
|
21,004 |
19,572 |
$162K |
| 84484 |
|
16,065 |
9,558 |
$158K |
| 90471 |
|
21,466 |
20,601 |
$158K |
| 87804 |
|
10,285 |
4,872 |
$158K |
| 70553 |
|
634 |
573 |
$156K |
| 72110 |
|
1,722 |
1,489 |
$153K |
| 93971 |
|
1,724 |
1,543 |
$153K |
| 73564 |
|
1,537 |
1,399 |
$151K |
| 82607 |
|
11,816 |
11,026 |
$149K |
| 81025 |
|
20,114 |
17,453 |
$148K |
| 96366 |
|
2,875 |
1,263 |
$146K |
| 82805 |
|
2,426 |
2,107 |
$144K |
| J2250 |
Inj midazolam hydrochloride |
9,398 |
7,244 |
$141K |
| 87522 |
Neg quan hep c or qual rna |
3,959 |
3,483 |
$141K |
| 76536 |
|
1,065 |
983 |
$137K |
| G0463 |
Hospital outpt clinic visit |
46,789 |
26,757 |
$136K |
| J2785 |
Regadenoson injection |
948 |
883 |
$136K |
| J1100 |
Dexamethasone sodium phos |
7,850 |
5,778 |
$131K |
| J2001 |
Lidocaine injection |
14,241 |
9,307 |
$120K |
| 70551 |
|
500 |
439 |
$118K |
| Q0162 |
Ondansetron oral |
2,966 |
2,050 |
$115K |
| 99291 |
|
423 |
327 |
$114K |
| J2405 |
Ondansetron hcl injection |
7,027 |
5,161 |
$111K |
| U0004 |
Cov-19 test non-cdc hgh thru |
2,093 |
1,959 |
$109K |
| 87902 |
|
477 |
431 |
$109K |
| 90832 |
|
4,953 |
3,364 |
$108K |
| 96376 |
|
3,555 |
2,201 |
$107K |
| 87880 |
|
6,699 |
6,291 |
$107K |
| 47562 |
|
157 |
91 |
$103K |
| J1642 |
Inj heparin sodium per 10 u |
5,081 |
1,973 |
$101K |
| 73221 |
|
391 |
356 |
$101K |
| 87631 |
|
701 |
655 |
$97K |
| 83690 |
|
15,937 |
13,883 |
$97K |
| 73090 |
|
1,144 |
931 |
$96K |
| J3490 |
Drugs unclassified injection |
2,167 |
1,598 |
$95K |
| 85027 |
|
14,684 |
11,714 |
$92K |
| 99222 |
|
715 |
636 |
$92K |
| J0696 |
Ceftriaxone sodium injection |
3,316 |
1,648 |
$91K |
| U0002 |
Covid-19 lab test non-cdc |
2,316 |
1,938 |
$86K |
| 81001 |
|
26,263 |
22,267 |
$82K |
| 41899 |
|
125 |
100 |
$80K |
| 88304 |
|
1,581 |
1,459 |
$78K |
| J2270 |
Morphine sulfate injection |
5,247 |
2,886 |
$78K |
| 74018 |
|
2,695 |
2,351 |
$76K |
| 73080 |
|
786 |
667 |
$74K |
| 99215 |
Prolong outpt/office vis |
2,777 |
2,575 |
$74K |
| 72131 |
|
464 |
351 |
$72K |
| 73590 |
|
942 |
768 |
$72K |
| 94762 |
|
1,334 |
1,184 |
$71K |
| 95806 |
|
761 |
676 |
$71K |
| G0378 |
Hospital observation per hr |
507 |
476 |
$70K |
| C1874 |
Stent, coated/cov w/del sys |
117 |
110 |
$70K |
| 80048 |
|
9,105 |
7,012 |
$67K |
| 87077 |
|
10,851 |
7,248 |
$65K |
| 90837 |
|
2,389 |
1,600 |
$65K |
| J8501 |
Oral aprepitant |
960 |
825 |
$64K |
| 83880 |
|
2,218 |
1,861 |
$62K |
| 90715 |
|
3,651 |
3,019 |
$61K |
| 12001 |
|
559 |
521 |
$61K |
| 97535 |
|
1,229 |
807 |
$61K |
| 87806 |
|
1,963 |
1,779 |
$60K |
| J0330 |
Succinycholine chloride inj |
3,298 |
1,478 |
$60K |
| 84702 |
|
4,309 |
3,216 |
$60K |
| 97161 |
|
2,333 |
1,465 |
$60K |
| 95886 |
|
759 |
656 |
$59K |
| 70486 |
|
282 |
267 |
$58K |
| 94729 |
|
1,885 |
1,790 |
$58K |
| 93975 |
|
373 |
338 |
$58K |
| 93880 |
|
284 |
243 |
$58K |
| J0690 |
Cefazolin sodium injection |
2,469 |
1,274 |
$57K |
| 87186 |
|
7,455 |
6,396 |
$56K |
| 90834 |
|
2,968 |
2,020 |
$55K |
| 45380 |
|
208 |
145 |
$54K |
| 73140 |
|
734 |
628 |
$53K |
| 76817 |
|
527 |
441 |
$52K |
| 90472 |
|
10,370 |
10,125 |
$52K |
| G0297 |
Ldct for lung ca screen |
408 |
363 |
$51K |
| 36600 |
|
1,215 |
1,096 |
$51K |
| 99281 |
|
1,846 |
1,723 |
$49K |
| 82728 |
|
4,316 |
3,937 |
$49K |
| 87389 |
|
2,396 |
2,282 |
$47K |
| 83605 |
|
5,249 |
4,192 |
$47K |
| 29515 |
|
722 |
644 |
$46K |
| 87040 |
|
5,434 |
2,611 |
$45K |
| J0694 |
Cefoxitin sodium injection |
1,364 |
758 |
$45K |
| 86850 |
|
5,287 |
4,255 |
$45K |
| 84439 |
|
5,488 |
5,045 |
$45K |
| A9500 |
Tc99m sestamibi |
288 |
277 |
$44K |
| 82746 |
|
3,508 |
3,282 |
$43K |
| 51798 |
|
1,649 |
1,493 |
$43K |
| J1200 |
Diphenhydramine hcl injectio |
2,225 |
1,576 |
$42K |
| 72141 |
|
135 |
124 |
$41K |
| 87430 |
|
2,700 |
2,530 |
$38K |
| 73502 |
|
1,619 |
1,322 |
$38K |
| 90791 |
|
1,678 |
1,395 |
$37K |
| J2704 |
Inj, propofol, 10 mg |
1,783 |
1,346 |
$37K |
| 95810 |
|
61 |
54 |
$37K |
| 74022 |
|
392 |
348 |
$36K |
| 83550 |
|
4,851 |
4,577 |
$36K |
| 83735 |
|
6,598 |
5,385 |
$35K |
| 85610 |
|
10,472 |
7,173 |
$35K |
| 76870 |
|
253 |
237 |
$35K |
| 82962 |
|
11,276 |
5,872 |
$34K |
| 78815 |
|
82 |
57 |
$33K |
| 87493 |
|
1,179 |
1,090 |
$32K |
| 81000 |
|
10,206 |
6,487 |
$32K |
| 83540 |
|
5,588 |
5,244 |
$31K |
| 97162 |
|
1,116 |
700 |
$31K |
| M0243 |
Casirivi and imdevi inj |
239 |
175 |
$31K |
| J2360 |
Orphenadrine injection |
1,805 |
1,560 |
$31K |
| 87624 |
|
1,070 |
1,008 |
$29K |
| 66984 |
|
135 |
54 |
$28K |
| 81003 |
|
10,423 |
8,845 |
$27K |
| 97166 |
|
556 |
507 |
$27K |
| 81002 |
|
10,309 |
7,603 |
$27K |
| 29125 |
|
442 |
412 |
$25K |
| 88142 |
|
1,203 |
1,138 |
$24K |
| Q9969 |
Non-heu tc-99m add-on/dose |
2,775 |
2,537 |
$24K |
| 83970 |
|
782 |
709 |
$24K |
| 77066 |
Tomosynthesis, mammo |
224 |
201 |
$23K |
| 82043 |
|
5,061 |
2,696 |
$23K |
| 85007 |
|
6,192 |
3,692 |
$21K |
| 76000 |
|
387 |
341 |
$20K |
| 87811 |
|
782 |
741 |
$20K |
| 84403 |
|
905 |
819 |
$20K |
| 87070 |
|
2,456 |
2,146 |
$20K |
| 85730 |
|
4,297 |
3,752 |
$19K |
| 85379 |
|
2,233 |
2,036 |
$19K |
| 86803 |
|
1,475 |
1,390 |
$19K |
| J2765 |
Metoclopramide hcl injection |
1,475 |
1,189 |
$19K |
| 72050 |
|
191 |
164 |
$19K |
| J2930 |
Methylprednisolone injection |
1,898 |
1,494 |
$19K |
| 93970 |
|
100 |
92 |
$18K |
| 74246 |
|
221 |
210 |
$18K |
| 77063 |
|
500 |
453 |
$18K |
| 86140 |
|
3,758 |
3,245 |
$17K |
| G0481 |
Drug test def 8-14 classes |
326 |
186 |
$17K |
| J0171 |
Adrenalin epinephrine inject |
1,000 |
274 |
$17K |
| J3301 |
Triamcinolone acet inj nos |
1,973 |
1,790 |
$17K |
| 84481 |
|
1,086 |
1,005 |
$16K |
| 76642 |
|
286 |
254 |
$15K |
| 87046 |
|
1,469 |
719 |
$15K |
| 86038 |
|
1,531 |
1,413 |
$15K |
| 92523 |
|
112 |
104 |
$14K |
| 83883 |
|
1,193 |
982 |
$14K |
| 86780 |
|
1,317 |
1,274 |
$14K |
| 87340 |
|
1,429 |
1,369 |
$14K |
| 72100 |
|
203 |
181 |
$14K |
| 45384 |
|
91 |
46 |
$14K |
| 86900 |
|
4,765 |
3,778 |
$14K |
| C1769 |
Guide wire |
268 |
198 |
$14K |
| 74019 |
|
171 |
160 |
$14K |
| 84146 |
|
757 |
702 |
$14K |
| 73560 |
|
200 |
165 |
$13K |
| J1650 |
Inj enoxaparin sodium |
624 |
287 |
$13K |
| 86901 |
|
4,687 |
3,756 |
$12K |
| 27096 |
|
25 |
25 |
$12K |
| 76801 |
|
83 |
78 |
$12K |
| 90474 |
|
3,762 |
3,699 |
$12K |
| 85651 |
|
3,328 |
2,957 |
$12K |
| 88175 |
|
548 |
521 |
$12K |
| 95816 |
|
58 |
53 |
$12K |
| 87081 |
|
1,701 |
1,638 |
$12K |
| 83001 |
|
700 |
652 |
$12K |
| 74420 |
|
60 |
53 |
$12K |
| J1030 |
Methylprednisolone 40 mg inj |
2,563 |
2,157 |
$11K |
| 90686 |
|
5,490 |
5,278 |
$11K |
| 86003 |
|
223 |
111 |
$11K |
| G0475 |
Hiv combination assay |
468 |
382 |
$11K |
| 96127 |
|
1,515 |
1,406 |
$11K |
| 84100 |
|
2,695 |
2,168 |
$11K |
| 83921 |
|
611 |
566 |
$11K |
| 76882 |
|
131 |
118 |
$11K |
| G0103 |
Psa screening |
1,407 |
641 |
$10K |
| J0500 |
Dicyclomine injection |
205 |
117 |
$10K |
| 99202 |
|
433 |
408 |
$10K |
| 87210 |
|
2,021 |
1,161 |
$10K |
| 20553 |
|
254 |
209 |
$10K |
| 86762 |
|
797 |
758 |
$10K |
| J8540 |
Oral dexamethasone |
761 |
316 |
$9K |
| J2550 |
Promethazine hcl injection |
1,144 |
746 |
$9K |
| 82570 |
|
1,980 |
1,680 |
$9K |
| 86480 |
|
162 |
151 |
$9K |
| G0123 |
Screen cerv/vag thin layer |
400 |
379 |
$9K |
| 84145 |
|
441 |
349 |
$9K |
| 87045 |
|
1,002 |
776 |
$9K |
| 87807 |
|
614 |
591 |
$9K |
| 70491 |
|
38 |
37 |
$8K |
| 87209 |
|
481 |
458 |
$8K |
| 86703 |
|
725 |
685 |
$8K |
| 86592 |
|
1,997 |
1,862 |
$8K |
| A9552 |
F18 fdg |
90 |
80 |
$8K |
| U0003 |
Cov-19 amp prb hgh thruput |
129 |
122 |
$8K |
| 80069 |
|
839 |
679 |
$8K |
| J3370 |
Vancomycin hcl injection |
524 |
333 |
$8K |
| J1790 |
Droperidol injection |
707 |
539 |
$8K |
| 88307 |
|
69 |
55 |
$8K |
| J1040 |
Methylprednisolone 80 mg inj |
1,759 |
1,619 |
$8K |
| 84550 |
|
1,865 |
1,708 |
$8K |
| 10061 |
|
67 |
57 |
$7K |
| 82977 |
|
1,069 |
969 |
$7K |
| 83002 |
|
454 |
425 |
$7K |
| 83516 |
|
604 |
486 |
$7K |
| 86317 |
|
524 |
488 |
$7K |
| C1894 |
Intro/sheath, non-laser |
232 |
212 |
$7K |
| 11721 |
|
1,008 |
900 |
$7K |
| 96367 |
|
233 |
173 |
$7K |
| J0780 |
Prochlorperazine injection |
386 |
232 |
$7K |
| 52000 |
|
50 |
38 |
$7K |
| 17110 |
|
156 |
141 |
$7K |
| 76856 |
|
29 |
26 |
$6K |
| 88312 |
|
149 |
139 |
$6K |
| 86318 |
|
383 |
346 |
$6K |
| 84153 |
|
432 |
404 |
$6K |
| 99204 |
|
369 |
348 |
$6K |
| 87427 |
|
499 |
244 |
$6K |
| 83525 |
|
591 |
545 |
$6K |
| 90670 |
|
4,675 |
4,574 |
$6K |
| 91322 |
|
149 |
146 |
$6K |
| 10060 |
|
111 |
82 |
$5K |
| 76942 |
|
227 |
185 |
$5K |
| 95910 |
|
56 |
42 |
$5K |
| 82550 |
|
864 |
734 |
$5K |
| 70498 |
|
28 |
25 |
$5K |
| G0476 |
Hpv combo assay ca screen |
239 |
222 |
$5K |
| 84156 |
|
1,556 |
1,261 |
$5K |
| 94618 |
|
113 |
101 |
$5K |
| 86677 |
|
196 |
110 |
$5K |
| 20605 |
|
75 |
72 |
$5K |
| 11043 |
|
94 |
37 |
$5K |
| 12002 |
|
44 |
42 |
$5K |
| 82950 |
|
1,000 |
960 |
$4K |
| 94664 |
|
157 |
120 |
$4K |
| 84112 |
|
48 |
40 |
$4K |
| 87177 |
|
498 |
472 |
$4K |
| 86376 |
|
362 |
338 |
$4K |
| 51701 |
|
129 |
117 |
$4K |
| 93225 |
|
311 |
231 |
$4K |
| 99201 |
|
167 |
159 |
$4K |
| 87088 |
|
307 |
154 |
$4K |
| 84703 |
|
613 |
569 |
$4K |
| 90480 |
|
198 |
196 |
$4K |
| 91321 |
|
85 |
85 |
$4K |
| 82330 |
|
341 |
293 |
$4K |
| 87661 |
|
204 |
199 |
$3K |
| 74247 |
|
30 |
25 |
$3K |
| 72114 |
|
45 |
36 |
$3K |
| 83013 |
|
47 |
46 |
$3K |
| 73060 |
|
43 |
38 |
$3K |
| 99203 |
|
174 |
166 |
$3K |
| 86704 |
|
318 |
304 |
$3K |
| 99188 |
|
489 |
473 |
$3K |
| 90677 |
|
1,035 |
1,013 |
$3K |
| J2175 |
Meperidine hydrochl /100 mg |
287 |
223 |
$3K |
| 86430 |
|
560 |
515 |
$3K |
| 90632 |
|
238 |
217 |
$3K |
| J2919 |
Inj, methylpred sod succ 5mg |
258 |
198 |
$3K |
| J1170 |
Hydromorphone injection |
191 |
98 |
$3K |
| J2543 |
Piperacillin/tazobactam |
181 |
49 |
$3K |
| 93226 |
|
127 |
119 |
$3K |
| A9579 |
Gad-base mr contrast nos,1ml |
52 |
45 |
$3K |
| 69209 |
|
113 |
105 |
$3K |
| 95911 |
|
15 |
15 |
$2K |
| 78226 |
|
14 |
14 |
$2K |
| 72072 |
|
13 |
12 |
$2K |
| J2795 |
Ropivacaine hcl injection |
52 |
43 |
$2K |
| 97112 |
|
57 |
36 |
$2K |
| 70496 |
|
13 |
12 |
$2K |
| 72128 |
|
14 |
12 |
$2K |
| 97597 |
|
72 |
55 |
$2K |
| 73700 |
|
12 |
12 |
$2K |
| J7323 |
Euflexxa inj per dose |
53 |
26 |
$2K |
| J1815 |
Insulin injection |
391 |
176 |
$2K |
| 0001A |
|
105 |
104 |
$2K |
| 82010 |
|
291 |
262 |
$2K |
| 20552 |
|
75 |
61 |
$2K |
| J2003 |
Inj, lidocaine hcl, 1 mg |
268 |
242 |
$2K |
| 90792 |
|
72 |
62 |
$2K |
| 92551 |
|
398 |
379 |
$2K |
| 11056 |
|
130 |
83 |
$2K |
| 94010 |
|
40 |
38 |
$2K |
| 76805 |
|
14 |
13 |
$2K |
| Q3014 |
Telehealth facility fee |
1,631 |
977 |
$2K |
| 87428 |
|
69 |
63 |
$2K |
| 29105 |
|
63 |
27 |
$2K |
| 76815 |
|
16 |
13 |
$2K |
| 98926 |
|
313 |
283 |
$2K |
| 93923 |
|
13 |
12 |
$2K |
| 80055 |
|
38 |
30 |
$2K |
| J1010 |
Inj, methylpred acetate 1 mg |
423 |
357 |
$1K |
| 72170 |
|
32 |
27 |
$1K |
| 86308 |
|
296 |
279 |
$1K |
| 90847 |
|
74 |
49 |
$1K |
| 90651 |
|
768 |
761 |
$1K |
| 90734 |
|
1,291 |
1,266 |
$1K |
| 97165 |
|
32 |
27 |
$1K |
| 82272 |
|
311 |
299 |
$1K |
| A9537 |
Tc99m mebrofenin |
26 |
26 |
$1K |
| 12011 |
|
12 |
12 |
$1K |
| 93924 |
|
13 |
13 |
$1K |
| 82784 |
|
190 |
130 |
$1K |
| 82627 |
|
55 |
52 |
$1K |
| 90633 |
|
3,492 |
3,394 |
$1K |
| 82785 |
|
84 |
78 |
$1K |
| 95885 |
|
13 |
13 |
$1K |
| 98927 |
|
192 |
181 |
$1K |
| 73070 |
|
14 |
13 |
$1K |
| 73100 |
|
16 |
12 |
$1K |
| J3420 |
Vitamin b12 injection |
535 |
353 |
$949.30 |
| 90656 |
|
329 |
325 |
$948.01 |
| 86256 |
|
87 |
79 |
$937.76 |
| 89055 |
|
207 |
199 |
$899.23 |
| 77062 |
|
14 |
13 |
$853.02 |
| 73600 |
|
21 |
12 |
$850.18 |
| G0008 |
Admin influenza virus vac |
93 |
79 |
$832.41 |
| 82248 |
|
180 |
162 |
$806.59 |
| 83615 |
|
147 |
133 |
$780.02 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
25 |
20 |
$769.57 |
| 11730 |
|
13 |
13 |
$767.02 |
| 90680 |
|
3,432 |
3,365 |
$761.23 |
| 83498 |
|
24 |
24 |
$745.56 |
| 86708 |
|
73 |
70 |
$735.38 |
| 82105 |
|
42 |
40 |
$732.22 |
| 90649 |
|
133 |
131 |
$725.97 |
| 0011A |
|
71 |
64 |
$707.28 |
| 86235 |
|
20 |
12 |
$668.07 |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
57 |
52 |
$657.11 |
| 82951 |
|
55 |
51 |
$631.88 |
| J3475 |
Inj magnesium sulfate |
67 |
50 |
$610.64 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
27 |
27 |
$598.15 |
| 86696 |
|
41 |
40 |
$576.66 |
| 87075 |
|
81 |
68 |
$532.31 |
| J1940 |
Furosemide injection |
96 |
30 |
$504.62 |
| 86665 |
|
28 |
13 |
$494.60 |
| V2632 |
Post chmbr intraocular lens |
19 |
13 |
$480.24 |
| 86617 |
|
32 |
19 |
$478.59 |
| G1004 |
Cdsm ndsc |
86 |
40 |
$460.72 |
| 85045 |
|
108 |
95 |
$442.17 |
| J1580 |
Garamycin gentamicin inj |
39 |
28 |
$434.15 |
| 90710 |
|
1,286 |
1,263 |
$429.15 |
| 86695 |
|
41 |
40 |
$406.69 |
| A6021 |
Collagen dressing <=16 sq in |
52 |
28 |
$382.20 |
| 85018 |
|
144 |
123 |
$375.99 |
| 99173 |
|
257 |
252 |
$375.62 |
| J0561 |
Penicillin g benzathine inj |
12 |
12 |
$357.27 |
| 51702 |
|
13 |
12 |
$357.12 |
| 87400 |
|
16 |
15 |
$353.72 |
| 86705 |
|
37 |
35 |
$352.11 |
| 90723 |
|
2,692 |
2,661 |
$338.14 |
| 80164 |
|
26 |
25 |
$333.53 |
| 77085 |
|
14 |
12 |
$316.62 |
| 86663 |
|
26 |
25 |
$310.16 |
| 87301 |
|
32 |
32 |
$290.94 |
| 80076 |
|
29 |
26 |
$278.43 |
| 84402 |
|
13 |
12 |
$274.36 |
| 83520 |
|
26 |
25 |
$273.90 |
| 96368 |
|
14 |
12 |
$244.49 |
| 93296 |
|
85 |
78 |
$238.92 |
| 87350 |
|
18 |
16 |
$238.65 |
| J2060 |
Lorazepam injection |
32 |
25 |
$212.95 |
| 86664 |
|
14 |
13 |
$208.40 |
| 88300 |
|
12 |
12 |
$202.47 |
| 84460 |
|
47 |
46 |
$191.80 |
| 84450 |
|
47 |
46 |
$190.02 |
| 90700 |
|
1,131 |
1,102 |
$184.02 |
| 90648 |
|
2,637 |
2,600 |
$176.37 |
| 90716 |
|
1,090 |
1,060 |
$169.71 |
| 90707 |
|
1,033 |
1,000 |
$168.73 |
| 86431 |
|
31 |
31 |
$163.52 |
| 86039 |
|
15 |
15 |
$157.79 |
| 86580 |
|
31 |
24 |
$146.53 |
| 86800 |
|
13 |
12 |
$140.33 |
| 82365 |
|
14 |
12 |
$135.67 |
| J0702 |
Betamethasone acet&sod phosp |
14 |
12 |
$132.12 |
| 82952 |
|
39 |
36 |
$131.75 |
| 0071A |
|
12 |
12 |
$124.00 |
| 98925 |
|
21 |
18 |
$122.00 |
| 82150 |
|
13 |
13 |
$103.32 |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$92.72 |
| 84520 |
|
33 |
33 |
$85.32 |
| 90696 |
|
821 |
798 |
$78.87 |
| 90662 |
|
36 |
25 |
$73.04 |
| 90697 |
|
1,187 |
1,156 |
$71.61 |
| J2920 |
Methylprednisolone injection |
14 |
12 |
$68.81 |
| 90685 |
|
335 |
331 |
$58.82 |
| G8978 |
Mobility current status |
21 |
12 |
$52.62 |
| A6196 |
Alginate dressing <=16 sq in |
28 |
13 |
$35.83 |
| A4216 |
Sterile water/saline, 10 ml |
17 |
17 |
$35.33 |
| J7120 |
Ringers lactate infusion |
14 |
12 |
$31.24 |
| 36416 |
|
14 |
12 |
$29.18 |
| 93280 |
|
16 |
12 |
$18.08 |
| 90647 |
|
413 |
402 |
$4.63 |
| Q0243 |
Casirivimab and imdevimab |
98 |
91 |
$0.00 |