| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
96,776 |
81,530 |
$9.18M |
| 99285 |
|
54,201 |
44,188 |
$8.07M |
| 99283 |
|
68,753 |
60,591 |
$3.58M |
| G0378 |
Hospital observation per hr |
18,638 |
14,610 |
$3.28M |
| 99213 |
|
60,646 |
54,225 |
$2.78M |
| 74177 |
|
13,267 |
11,857 |
$2.19M |
| U0003 |
Cov-19 amp prb hgh thruput |
28,273 |
24,914 |
$1.56M |
| 96413 |
|
10,418 |
5,521 |
$1.30M |
| 96374 |
|
44,908 |
36,803 |
$873K |
| J9271 |
Inj pembrolizumab |
168 |
106 |
$860K |
| 78452 |
|
2,125 |
1,882 |
$789K |
| 99282 |
|
22,679 |
20,711 |
$764K |
| 96365 |
|
22,074 |
13,263 |
$751K |
| 41899 |
|
1,195 |
1,042 |
$749K |
| 70553 |
|
3,273 |
3,017 |
$694K |
| 70450 |
|
15,419 |
13,497 |
$635K |
| 99212 |
|
28,880 |
24,795 |
$615K |
| 80053 |
|
164,798 |
127,635 |
$587K |
| 71275 |
|
3,857 |
3,401 |
$558K |
| 93306 |
|
6,746 |
6,140 |
$524K |
| 90378 |
|
1,284 |
1,016 |
$503K |
| 96375 |
|
45,511 |
30,924 |
$484K |
| 80307 |
|
22,368 |
18,967 |
$460K |
| 96372 |
|
36,472 |
20,997 |
$442K |
| 90471 |
|
23,878 |
22,321 |
$430K |
| 87491 |
|
21,970 |
19,169 |
$428K |
| 76705 |
|
8,113 |
7,382 |
$424K |
| 77067 |
|
5,734 |
5,462 |
$420K |
| 78815 |
|
689 |
657 |
$405K |
| 87591 |
|
21,970 |
19,169 |
$396K |
| 82306 |
|
20,954 |
19,436 |
$386K |
| 70551 |
|
3,521 |
3,120 |
$386K |
| 85025 |
|
164,805 |
123,033 |
$369K |
| 72125 |
|
5,033 |
4,547 |
$367K |
| 74176 |
|
4,284 |
3,834 |
$359K |
| 59025 |
|
10,167 |
7,147 |
$355K |
| 47562 |
|
281 |
250 |
$335K |
| 76856 |
|
4,947 |
4,577 |
$334K |
| 76830 |
|
4,581 |
4,245 |
$321K |
| 58661 |
|
381 |
285 |
$319K |
| 72148 |
|
2,589 |
2,402 |
$316K |
| 71260 |
|
3,825 |
3,525 |
$315K |
| 99214 |
|
4,741 |
4,432 |
$310K |
| 11042 |
|
5,905 |
2,875 |
$305K |
| G0463 |
Hospital outpt clinic visit |
20,007 |
14,404 |
$289K |
| 0241U |
|
15,256 |
14,050 |
$271K |
| 70496 |
|
1,491 |
1,281 |
$255K |
| 70498 |
|
1,426 |
1,245 |
$252K |
| 84443 |
|
39,333 |
34,873 |
$248K |
| 71045 |
|
44,020 |
37,141 |
$244K |
| 93005 |
|
54,050 |
40,702 |
$226K |
| 64615 |
|
868 |
802 |
$224K |
| 70486 |
|
2,303 |
2,091 |
$214K |
| 77066 |
Tomosynthesis, mammo |
1,536 |
1,489 |
$205K |
| 73721 |
|
1,290 |
1,143 |
$199K |
| J1745 |
Infliximab not biosimil 10mg |
301 |
231 |
$192K |
| 76700 |
|
2,390 |
2,278 |
$182K |
| 77334 |
|
509 |
346 |
$182K |
| 72131 |
|
2,722 |
2,468 |
$181K |
| 95819 |
|
607 |
569 |
$170K |
| 36415 |
|
195,621 |
152,298 |
$170K |
| 72141 |
|
1,562 |
1,463 |
$168K |
| 90677 |
|
690 |
662 |
$156K |
| 76801 |
|
3,442 |
2,752 |
$154K |
| 93971 |
|
3,513 |
3,148 |
$152K |
| 76817 |
|
3,971 |
3,243 |
$152K |
| 99291 |
|
1,830 |
1,533 |
$150K |
| 90791 |
|
5,801 |
5,087 |
$150K |
| J2505 |
Injection, pegfilgrastim 6mg |
79 |
52 |
$145K |
| 87651 |
|
8,065 |
7,454 |
$143K |
| 0450 |
|
3,119 |
2,801 |
$140K |
| 95816 |
|
544 |
524 |
$139K |
| 80061 |
|
34,808 |
32,046 |
$138K |
| 72128 |
|
1,852 |
1,696 |
$126K |
| 76536 |
|
1,706 |
1,630 |
$126K |
| 87389 |
|
11,033 |
10,150 |
$124K |
| 99203 |
|
2,947 |
2,636 |
$123K |
| 77386 |
|
687 |
56 |
$123K |
| 71250 |
|
1,624 |
1,534 |
$122K |
| 10060 |
|
1,419 |
1,303 |
$120K |
| 71046 |
|
9,443 |
8,566 |
$111K |
| 87502 |
|
3,488 |
3,124 |
$109K |
| 86900 |
|
12,302 |
10,316 |
$108K |
| 96366 |
|
8,909 |
5,182 |
$105K |
| 36430 |
|
1,397 |
803 |
$105K |
| 84484 |
|
34,951 |
21,046 |
$102K |
| J0585 |
Injection,onabotulinumtoxina |
1,388 |
934 |
$101K |
| J1569 |
Gammagard liquid injection |
254 |
87 |
$99K |
| 83690 |
|
37,703 |
31,388 |
$95K |
| 76642 |
|
3,018 |
2,441 |
$94K |
| 80074 |
|
2,798 |
2,467 |
$94K |
| 96376 |
|
16,555 |
9,329 |
$94K |
| A9502 |
Tc99m tetrofosmin |
2,125 |
1,881 |
$90K |
| 99281 |
|
2,956 |
2,709 |
$90K |
| 94640 |
|
6,825 |
5,048 |
$89K |
| 83036 |
|
34,245 |
31,570 |
$87K |
| 87086 |
|
28,815 |
25,069 |
$84K |
| 87624 |
|
4,967 |
4,214 |
$83K |
| 86780 |
|
13,520 |
12,261 |
$81K |
| 99211 |
|
11,665 |
9,639 |
$78K |
| 87660 |
|
9,396 |
8,308 |
$78K |
| 83880 |
|
9,004 |
7,451 |
$78K |
| 70491 |
|
740 |
671 |
$78K |
| 90715 |
|
5,137 |
4,697 |
$77K |
| 87150 |
|
3,966 |
3,505 |
$76K |
| J7030 |
Normal saline solution infus |
63,924 |
31,759 |
$75K |
| 87510 |
|
9,396 |
8,308 |
$73K |
| 87480 |
|
9,396 |
8,308 |
$73K |
| 93970 |
|
1,230 |
1,073 |
$72K |
| 76775 |
|
2,721 |
2,521 |
$71K |
| A9552 |
F18 fdg |
942 |
901 |
$70K |
| 80048 |
|
33,478 |
25,006 |
$69K |
| 84703 |
|
23,172 |
19,931 |
$66K |
| 12011 |
|
1,563 |
1,439 |
$65K |
| 12001 |
|
1,756 |
1,603 |
$62K |
| 74018 |
|
5,626 |
4,972 |
$62K |
| 77063 |
|
5,454 |
5,223 |
$62K |
| 96415 |
|
3,497 |
1,973 |
$62K |
| J2785 |
Regadenoson injection |
1,823 |
1,597 |
$61K |
| 88175 |
|
6,052 |
5,412 |
$59K |
| Q5103 |
Injection, inflectra |
110 |
90 |
$58K |
| 76815 |
|
1,471 |
1,289 |
$58K |
| 83970 |
|
2,586 |
2,315 |
$58K |
| 73610 |
|
3,792 |
3,341 |
$57K |
| 85027 |
|
33,770 |
26,663 |
$57K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
2,099 |
1,797 |
$55K |
| 73630 |
|
3,782 |
3,290 |
$55K |
| 86480 |
|
1,709 |
1,534 |
$54K |
| 88305 |
|
8,338 |
5,538 |
$53K |
| 96417 |
|
2,834 |
1,467 |
$51K |
| 43239 |
|
189 |
180 |
$50K |
| 73130 |
|
3,244 |
2,767 |
$50K |
| 57265 |
|
67 |
52 |
$49K |
| 73700 |
|
577 |
520 |
$48K |
| 86803 |
|
8,636 |
7,996 |
$48K |
| 84702 |
|
9,081 |
6,819 |
$47K |
| 73564 |
|
2,425 |
2,071 |
$47K |
| 73030 |
|
3,877 |
3,274 |
$47K |
| 97602 |
|
2,977 |
1,601 |
$45K |
| 72100 |
|
3,053 |
2,791 |
$45K |
| 87186 |
|
12,608 |
9,994 |
$45K |
| 87040 |
|
14,928 |
7,450 |
$45K |
| 84403 |
|
2,613 |
2,391 |
$43K |
| 83605 |
|
13,770 |
9,463 |
$43K |
| 73110 |
|
2,374 |
2,066 |
$42K |
| 74183 |
|
153 |
144 |
$41K |
| 87077 |
|
17,919 |
12,971 |
$41K |
| J7120 |
Ringers lactate infusion |
29,464 |
23,553 |
$40K |
| 90686 |
|
9,560 |
8,941 |
$40K |
| 76870 |
|
1,232 |
1,114 |
$40K |
| 81001 |
|
37,446 |
32,117 |
$39K |
| 77065 |
Tomosynthesis, mammo |
403 |
367 |
$38K |
| 87070 |
|
9,926 |
8,548 |
$38K |
| 84439 |
|
18,802 |
16,643 |
$36K |
| 82607 |
|
9,182 |
8,311 |
$36K |
| 82728 |
|
8,327 |
7,350 |
$36K |
| 97597 |
|
3,577 |
1,888 |
$36K |
| 96367 |
|
4,567 |
2,880 |
$35K |
| 88307 |
|
2,168 |
1,415 |
$34K |
| 73562 |
|
2,124 |
1,709 |
$34K |
| 80050 |
|
779 |
765 |
$34K |
| 87522 |
Neg quan hep c or qual rna |
1,492 |
1,351 |
$33K |
| 12002 |
|
823 |
760 |
$33K |
| 73221 |
|
242 |
216 |
$32K |
| 29125 |
|
1,085 |
983 |
$32K |
| 93017 |
|
2,758 |
2,454 |
$32K |
| C9803 |
Hopd covid-19 spec collect |
20,554 |
18,252 |
$32K |
| 74240 |
|
415 |
403 |
$32K |
| 82077 |
|
7,259 |
6,269 |
$32K |
| 44970 |
|
32 |
29 |
$31K |
| 42820 |
|
52 |
51 |
$30K |
| 85610 |
|
31,466 |
22,410 |
$29K |
| 77080 |
|
1,599 |
1,568 |
$29K |
| 76805 |
|
332 |
313 |
$29K |
| G0279 |
Tomosynthesis, mammo |
2,116 |
2,031 |
$29K |
| 99202 |
|
894 |
820 |
$29K |
| 0240U |
|
1,973 |
1,789 |
$28K |
| G0480 |
Drug test def 1-7 classes |
411 |
383 |
$28K |
| 72156 |
|
167 |
143 |
$26K |
| J8597 |
Antiemetic drug oral nos |
17,888 |
15,470 |
$26K |
| 36591 |
|
3,808 |
1,848 |
$26K |
| 83735 |
|
19,960 |
12,991 |
$26K |
| 77412 |
|
233 |
25 |
$26K |
| 74175 |
|
161 |
145 |
$25K |
| 84145 |
|
3,603 |
2,894 |
$25K |
| 86762 |
|
3,968 |
3,639 |
$24K |
| 97165 |
|
1,887 |
1,376 |
$23K |
| 77336 |
|
1,780 |
736 |
$23K |
| Q5121 |
Inj. avsola, 10 mg |
119 |
95 |
$22K |
| 73080 |
|
1,341 |
1,224 |
$22K |
| 85730 |
|
14,753 |
12,461 |
$22K |
| 96361 |
|
1,653 |
1,009 |
$22K |
| 73590 |
|
1,953 |
1,608 |
$22K |
| 97161 |
|
1,772 |
1,285 |
$22K |
| 99152 |
|
3,088 |
2,401 |
$21K |
| 81025 |
|
11,340 |
9,984 |
$21K |
| 87340 |
|
5,885 |
5,395 |
$21K |
| 72040 |
|
1,467 |
1,324 |
$21K |
| 83013 |
|
475 |
453 |
$20K |
| 72110 |
|
781 |
738 |
$20K |
| 99070 |
|
1,246 |
702 |
$20K |
| 86235 |
|
1,017 |
493 |
$20K |
| 73090 |
|
1,480 |
1,257 |
$19K |
| 96409 |
|
341 |
137 |
$19K |
| J2270 |
Morphine sulfate injection |
12,758 |
9,043 |
$19K |
| 97162 |
|
1,292 |
999 |
$19K |
| 87426 |
|
2,839 |
2,254 |
$19K |
| 86140 |
|
12,073 |
10,030 |
$19K |
| U0004 |
Cov-19 test non-cdc hgh thru |
818 |
643 |
$19K |
| 85379 |
|
5,353 |
4,734 |
$18K |
| J1885 |
Ketorolac tromethamine inj |
36,290 |
21,584 |
$18K |
| 73140 |
|
976 |
886 |
$18K |
| 72170 |
|
1,652 |
1,445 |
$17K |
| 94010 |
|
530 |
480 |
$16K |
| 94060 |
|
418 |
404 |
$16K |
| 72158 |
|
78 |
77 |
$16K |
| 84481 |
|
2,184 |
2,028 |
$16K |
| 82746 |
|
5,126 |
4,630 |
$16K |
| 87880 |
|
2,905 |
2,704 |
$16K |
| 86850 |
|
12,002 |
10,114 |
$16K |
| 81003 |
|
21,430 |
18,876 |
$16K |
| J3490 |
Drugs unclassified injection |
10,897 |
7,559 |
$16K |
| J1170 |
Hydromorphone injection |
12,126 |
8,089 |
$16K |
| 76816 |
|
276 |
262 |
$15K |
| 57288 |
|
31 |
26 |
$15K |
| 90732 |
|
358 |
307 |
$15K |
| J9312 |
Inj., rituximab, 10 mg |
38 |
12 |
$15K |
| 84153 |
|
2,139 |
1,990 |
$15K |
| 87081 |
|
4,531 |
4,224 |
$15K |
| 69210 |
|
674 |
594 |
$15K |
| 99199 |
|
298 |
256 |
$15K |
| 82784 |
|
3,169 |
2,663 |
$14K |
| 82570 |
|
13,200 |
10,849 |
$14K |
| J0897 |
Denosumab injection |
73 |
52 |
$14K |
| 76819 |
|
373 |
299 |
$14K |
| 81511 |
|
1,257 |
1,161 |
$14K |
| 86901 |
|
15,437 |
12,754 |
$14K |
| 82670 |
|
633 |
595 |
$14K |
| 82962 |
|
30,341 |
11,397 |
$14K |
| J2405 |
Ondansetron hcl injection |
52,935 |
36,195 |
$13K |
| 94726 |
|
367 |
357 |
$13K |
| 73502 |
|
893 |
804 |
$13K |
| 86003 |
|
422 |
178 |
$13K |
| J1453 |
Fosaprepitant injection |
1,165 |
580 |
$13K |
| 73560 |
|
1,168 |
912 |
$12K |
| 83550 |
|
7,609 |
6,850 |
$12K |
| J1100 |
Dexamethasone sodium phos |
32,584 |
22,657 |
$12K |
| 84146 |
|
1,487 |
1,341 |
$12K |
| 74019 |
|
819 |
744 |
$12K |
| 77300 |
|
279 |
231 |
$12K |
| J0696 |
Ceftriaxone sodium injection |
9,292 |
6,303 |
$12K |
| 49083 |
|
91 |
40 |
$11K |
| 83540 |
|
8,868 |
7,960 |
$11K |
| 86038 |
|
2,983 |
2,653 |
$11K |
| 96523 |
|
1,279 |
748 |
$10K |
| J0780 |
Prochlorperazine injection |
3,077 |
2,418 |
$10K |
| J1650 |
Inj enoxaparin sodium |
10,981 |
3,677 |
$10K |
| J0295 |
Ampicillin sulbactam 1.5 gm |
4,510 |
1,660 |
$10K |
| 84425 |
|
1,691 |
1,577 |
$10K |
| 84207 |
|
887 |
837 |
$10K |
| 81002 |
|
9,677 |
7,846 |
$10K |
| 83001 |
|
1,489 |
1,382 |
$10K |
| J2704 |
Inj, propofol, 10 mg |
19,087 |
15,750 |
$10K |
| 82043 |
|
7,992 |
7,537 |
$10K |
| 84402 |
|
1,170 |
1,082 |
$9K |
| 83516 |
|
2,720 |
1,780 |
$9K |
| 82803 |
|
1,537 |
1,199 |
$9K |
| 82105 |
|
1,217 |
1,132 |
$9K |
| 83002 |
|
1,301 |
1,207 |
$8K |
| 93922 |
|
272 |
258 |
$8K |
| 97535 |
|
1,166 |
663 |
$8K |
| 88342 |
|
823 |
647 |
$8K |
| 93880 |
|
160 |
142 |
$8K |
| 11043 |
|
62 |
37 |
$8K |
| J2272 |
Inj, morphine (fresenius) |
2,851 |
2,300 |
$8K |
| 54161 |
|
17 |
12 |
$8K |
| 85055 |
|
1,216 |
749 |
$8K |
| 80081 |
|
161 |
159 |
$8K |
| J0690 |
Cefazolin sodium injection |
16,985 |
11,792 |
$8K |
| 84270 |
|
1,157 |
1,069 |
$8K |
| 82950 |
|
3,400 |
3,241 |
$8K |
| 85652 |
|
11,371 |
9,418 |
$8K |
| 82274 |
|
1,249 |
1,181 |
$7K |
| 64445 |
|
28 |
27 |
$7K |
| J7040 |
Normal saline solution infus |
6,906 |
4,198 |
$7K |
| 87804 |
|
1,127 |
1,042 |
$7K |
| 84100 |
|
8,970 |
6,247 |
$7K |
| 85007 |
|
8,098 |
5,887 |
$7K |
| 70487 |
|
71 |
60 |
$7K |
| 99153 |
Mod sedat endo service >5yrs |
1,718 |
1,340 |
$7K |
| 94760 |
|
8,209 |
6,077 |
$7K |
| A4212 |
Non coring needle or stylet |
6,468 |
3,137 |
$7K |
| 82550 |
|
4,017 |
2,930 |
$7K |
| 94799 |
|
105 |
82 |
$7K |
| 80143 |
|
1,373 |
1,149 |
$7K |
| 95249 |
|
502 |
464 |
$6K |
| 96411 |
|
512 |
262 |
$6K |
| 97166 |
|
463 |
350 |
$6K |
| 87493 |
|
442 |
378 |
$6K |
| 96360 |
|
354 |
298 |
$6K |
| J7050 |
Normal saline solution infus |
9,302 |
5,052 |
$6K |
| J3010 |
Fentanyl citrate injection |
27,255 |
20,132 |
$6K |
| 72197 |
|
18 |
17 |
$6K |
| 80179 |
|
1,178 |
1,063 |
$6K |
| 82140 |
|
1,557 |
1,194 |
$6K |
| J2930 |
Methylprednisolone injection |
2,958 |
2,014 |
$6K |
| 82533 |
|
1,246 |
960 |
$5K |
| J2323 |
Natalizumab injection |
25 |
12 |
$5K |
| 90656 |
|
470 |
467 |
$5K |
| J1200 |
Diphenhydramine hcl injectio |
12,256 |
8,251 |
$5K |
| 73100 |
|
381 |
308 |
$5K |
| 86376 |
|
1,343 |
1,239 |
$5K |
| 80069 |
|
1,759 |
1,438 |
$5K |
| 73552 |
|
414 |
352 |
$5K |
| 87205 |
|
5,705 |
4,482 |
$5K |
| 86706 |
|
1,551 |
1,374 |
$5K |
| 84156 |
|
5,065 |
4,166 |
$5K |
| 99204 |
|
76 |
67 |
$4K |
| 80076 |
|
1,659 |
1,536 |
$4K |
| 84550 |
|
3,904 |
3,462 |
$4K |
| G0498 |
Chemo extend iv infus w/pump |
199 |
107 |
$4K |
| 72050 |
|
191 |
178 |
$4K |
| 86923 |
|
767 |
372 |
$4K |
| J7060 |
5% dextrose/water |
7,628 |
2,675 |
$4K |
| Q0091 |
Obtaining screen pap smear |
283 |
277 |
$4K |
| 90670 |
|
5,961 |
5,754 |
$4K |
| J1630 |
Haloperidol injection |
4,955 |
3,794 |
$4K |
| 83655 |
|
585 |
547 |
$4K |
| 84252 |
|
611 |
584 |
$4K |
| J3370 |
Vancomycin hcl injection |
1,905 |
1,091 |
$4K |
| 86800 |
|
1,021 |
920 |
$4K |
| 86704 |
|
1,080 |
973 |
$4K |
| 73620 |
|
374 |
321 |
$4K |
| 89060 |
|
1,093 |
930 |
$4K |
| J2060 |
Lorazepam injection |
7,444 |
5,531 |
$4K |
| 99406 |
|
791 |
728 |
$4K |
| J1644 |
Inj heparin sodium per 1000u |
8,975 |
3,213 |
$4K |
| 86364 |
|
1,220 |
978 |
$4K |
| 87899 |
|
818 |
536 |
$4K |
| 82330 |
|
1,549 |
1,202 |
$4K |
| 71101 |
|
210 |
195 |
$4K |
| 72070 |
|
239 |
219 |
$4K |
| 86160 |
|
1,518 |
689 |
$4K |
| 88142 |
|
360 |
338 |
$4K |
| 83993 |
|
335 |
312 |
$4K |
| 82010 |
|
1,252 |
974 |
$3K |
| 83525 |
|
791 |
726 |
$3K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,778 |
4,136 |
$3K |
| J1642 |
Inj heparin sodium per 10 u |
11,896 |
4,974 |
$3K |
| 80164 |
|
1,047 |
891 |
$3K |
| 86200 |
|
753 |
685 |
$3K |
| 84480 |
|
1,121 |
1,018 |
$3K |
| 83615 |
|
2,215 |
1,765 |
$3K |
| 77295 |
|
12 |
12 |
$3K |
| T1999 |
Noc retail items andsupplies |
250 |
170 |
$3K |
| 94729 |
|
386 |
377 |
$3K |
| 82378 |
|
652 |
465 |
$3K |
| 76885 |
|
26 |
25 |
$3K |
| 84112 |
|
424 |
356 |
$3K |
| 88304 |
|
2,435 |
2,033 |
$3K |
| 80055 |
|
107 |
104 |
$3K |
| 95886 |
|
96 |
82 |
$3K |
| J3475 |
Inj magnesium sulfate |
4,404 |
2,746 |
$3K |
| J2765 |
Metoclopramide hcl injection |
5,203 |
4,145 |
$3K |
| 97530 |
|
309 |
113 |
$3K |
| 88341 |
|
420 |
193 |
$3K |
| 77280 |
|
49 |
25 |
$3K |
| 11045 |
|
263 |
131 |
$3K |
| 72157 |
|
31 |
27 |
$3K |
| 72081 |
|
143 |
138 |
$3K |
| 82951 |
|
409 |
396 |
$3K |
| J0360 |
Hydralazine hcl injection |
1,561 |
1,104 |
$3K |
| 78264 |
|
12 |
12 |
$3K |
| J7512 |
Prednisone ir or dr oral 1mg |
4,450 |
2,846 |
$3K |
| 84134 |
|
772 |
675 |
$3K |
| 83520 |
|
687 |
425 |
$3K |
| 86431 |
|
1,847 |
1,642 |
$3K |
| 82731 |
|
163 |
139 |
$3K |
| 0250 |
|
847 |
599 |
$3K |
| 74022 |
|
171 |
158 |
$3K |
| 51798 |
|
796 |
535 |
$3K |
| J0561 |
Penicillin g benzathine inj |
114 |
77 |
$3K |
| 82024 |
|
104 |
96 |
$2K |
| 87807 |
|
415 |
382 |
$2K |
| 73060 |
|
256 |
209 |
$2K |
| 87798 |
|
162 |
95 |
$2K |
| 92250 |
|
59 |
57 |
$2K |
| 73501 |
|
224 |
200 |
$2K |
| 86592 |
|
1,061 |
927 |
$2K |
| 80197 |
|
508 |
305 |
$2K |
| 87529 |
|
137 |
77 |
$2K |
| 87641 |
|
211 |
182 |
$2K |
| 96368 |
|
748 |
350 |
$2K |
| 84466 |
|
706 |
654 |
$2K |
| 86225 |
|
524 |
453 |
$2K |
| 87045 |
|
623 |
565 |
$2K |
| 92610 |
|
89 |
81 |
$2K |
| 82977 |
|
1,275 |
970 |
$2K |
| 12013 |
|
58 |
53 |
$2K |
| 84630 |
|
596 |
557 |
$2K |
| 82565 |
|
2,184 |
1,827 |
$2K |
| 87075 |
|
818 |
601 |
$2K |
| 36592 |
|
110 |
38 |
$2K |
| 85018 |
|
3,208 |
2,336 |
$2K |
| 74181 |
|
13 |
12 |
$2K |
| 82248 |
|
1,229 |
917 |
$2K |
| 85014 |
|
3,184 |
2,380 |
$2K |
| J1750 |
Inj iron dextran |
12 |
12 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
19,505 |
12,742 |
$2K |
| 85046 |
|
1,568 |
1,187 |
$2K |
| 96127 |
|
342 |
305 |
$2K |
| 97802 |
|
140 |
126 |
$2K |
| 73070 |
|
177 |
144 |
$2K |
| 84305 |
|
166 |
153 |
$2K |
| J1940 |
Furosemide injection |
1,489 |
804 |
$2K |
| 72072 |
|
77 |
71 |
$2K |
| 72146 |
|
13 |
13 |
$2K |
| 73521 |
|
66 |
63 |
$2K |
| 82652 |
|
46 |
41 |
$2K |
| 93246 |
|
167 |
161 |
$1K |
| 87661 |
|
63 |
55 |
$1K |
| 86141 |
|
348 |
305 |
$1K |
| 73600 |
|
160 |
131 |
$1K |
| 95250 |
|
13 |
13 |
$1K |
| 87400 |
|
328 |
171 |
$1K |
| J3480 |
Inj potassium chloride |
1,623 |
914 |
$1K |
| 96158 |
|
243 |
156 |
$1K |
| 93325 |
|
147 |
131 |
$1K |
| G0008 |
Admin influenza virus vac |
1,420 |
1,161 |
$1K |
| J3360 |
Diazepam injection |
276 |
233 |
$1K |
| 29105 |
|
16 |
12 |
$1K |
| 84165 |
|
578 |
495 |
$1K |
| 87046 |
|
341 |
310 |
$1K |
| J1953 |
Levetiracetam injection |
291 |
209 |
$1K |
| 82247 |
|
456 |
336 |
$1K |
| 87486 |
|
77 |
69 |
$1K |
| J2274 |
Inj morphine pf epid ithc |
746 |
585 |
$1K |
| 99195 |
|
16 |
14 |
$1K |
| 97163 |
|
48 |
41 |
$996.33 |
| 93308 |
|
13 |
13 |
$981.49 |
| 87581 |
|
77 |
69 |
$957.60 |
| 86341 |
|
94 |
57 |
$953.40 |
| J2175 |
Meperidine hydrochl /100 mg |
1,569 |
1,123 |
$943.87 |
| 82785 |
|
190 |
161 |
$904.22 |
| 87653 |
|
62 |
59 |
$903.98 |
| 89051 |
|
700 |
527 |
$894.97 |
| 84681 |
|
128 |
118 |
$877.64 |
| 86304 |
|
91 |
81 |
$868.91 |
| Q0111 |
Wet mounts/ w preparations |
1,351 |
1,223 |
$844.44 |
| 88312 |
|
282 |
230 |
$833.58 |
| 10005 |
|
13 |
12 |
$803.03 |
| J7121 |
5% dextrose in lac ringers |
241 |
199 |
$792.46 |
| 77073 |
|
26 |
24 |
$728.58 |
| J9190 |
Fluorouracil injection |
247 |
96 |
$693.14 |
| J1050 |
Medroxyprogesterone acetate |
198 |
186 |
$690.59 |
| 29515 |
|
15 |
14 |
$675.58 |
| 74220 |
|
15 |
14 |
$666.81 |
| C1729 |
Cath, drainage |
1,044 |
539 |
$660.30 |
| 64400 |
|
16 |
12 |
$629.34 |
| 69209 |
|
77 |
64 |
$613.98 |
| 86258 |
|
253 |
138 |
$601.03 |
| 97605 |
|
49 |
13 |
$551.98 |
| 82952 |
|
305 |
291 |
$546.13 |
| 77077 |
|
18 |
13 |
$536.42 |
| 84460 |
|
346 |
306 |
$520.05 |
| J0330 |
Succinycholine chloride inj |
2,275 |
1,899 |
$518.62 |
| 99177 |
|
146 |
143 |
$508.11 |
| 77470 |
|
14 |
13 |
$491.50 |
| 87328 |
|
109 |
91 |
$488.03 |
| 87635 |
|
35 |
30 |
$487.56 |
| J3301 |
Triamcinolone acet inj nos |
204 |
160 |
$484.45 |
| 87631 |
|
1,789 |
1,584 |
$476.76 |
| C9113 |
Inj pantoprazole sodium, via |
383 |
230 |
$476.06 |
| J2919 |
Inj, methylpred sod succ 5mg |
165 |
133 |
$460.84 |
| J3411 |
Thiamine hcl 100 mg |
215 |
169 |
$447.00 |
| 96159 |
|
153 |
96 |
$443.55 |
| A9541 |
Tc99m sulfur colloid |
29 |
28 |
$433.18 |
| 87633 |
|
76 |
68 |
$430.91 |
| 86147 |
|
24 |
12 |
$419.51 |
| 51702 |
|
50 |
37 |
$398.58 |
| J2310 |
Inj naloxone hydrochloride |
48 |
38 |
$396.84 |
| J0171 |
Adrenalin epinephrine inject |
444 |
316 |
$395.33 |
| J9370 |
Vincristine sulfate 1 mg inj |
122 |
62 |
$387.72 |
| 73660 |
|
26 |
24 |
$385.80 |
| 87329 |
|
96 |
79 |
$377.61 |
| 84450 |
|
239 |
217 |
$354.34 |
| 70360 |
|
30 |
24 |
$332.47 |
| C1887 |
Catheter, guiding |
671 |
473 |
$328.20 |
| J1920 |
Inj, labetalol hcl, 5mg |
370 |
309 |
$320.70 |
| 0031A |
|
19 |
16 |
$320.04 |
| 86308 |
|
122 |
112 |
$315.43 |
| 85384 |
|
117 |
81 |
$312.58 |
| 88112 |
|
43 |
38 |
$310.68 |
| U0002 |
Covid-19 lab test non-cdc |
18 |
12 |
$307.86 |
| 82150 |
|
158 |
132 |
$295.57 |
| 84520 |
|
328 |
295 |
$284.98 |
| 80177 |
|
87 |
84 |
$283.12 |
| G2023 |
Specimen collect covid-19 |
155 |
137 |
$281.52 |
| G0438 |
Ppps, initial visit |
12 |
12 |
$278.41 |
| 82107 |
|
27 |
27 |
$267.08 |
| 70355 |
|
56 |
52 |
$262.35 |
| 88313 |
|
20 |
12 |
$255.15 |
| 83883 |
|
72 |
37 |
$254.23 |
| 83521 |
|
143 |
66 |
$250.07 |
| 87420 |
|
105 |
99 |
$246.28 |
| 73000 |
|
18 |
16 |
$245.52 |
| J0137 |
Inj, acetaminophen (hikma) |
122 |
111 |
$216.80 |
| 90744 |
|
2,787 |
2,713 |
$210.75 |
| 88300 |
|
548 |
468 |
$208.71 |
| 86665 |
|
26 |
12 |
$205.20 |
| 90621 |
|
78 |
78 |
$203.43 |
| J2370 |
Phenylephrine hcl injection |
1,638 |
1,284 |
$203.17 |
| 87102 |
|
109 |
80 |
$200.91 |
| 82627 |
|
26 |
25 |
$196.50 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
287 |
211 |
$190.01 |
| 94664 |
|
65 |
51 |
$185.28 |
| 96110 |
|
41 |
40 |
$185.00 |
| 86039 |
|
59 |
53 |
$175.26 |
| 86162 |
|
12 |
12 |
$162.96 |
| 64447 |
|
45 |
40 |
$161.22 |
| 88360 |
|
25 |
14 |
$158.76 |
| 84155 |
|
518 |
448 |
$157.15 |
| 85347 |
|
136 |
92 |
$156.50 |
| 92558 |
|
144 |
141 |
$149.77 |
| G0475 |
Hiv combination assay |
294 |
260 |
$143.56 |
| 90698 |
|
4,307 |
4,190 |
$142.35 |
| 83021 |
|
15 |
13 |
$142.09 |
| 84144 |
|
14 |
13 |
$137.06 |
| 0042T |
|
119 |
95 |
$134.72 |
| 85520 |
|
61 |
38 |
$133.95 |
| 87338 |
|
13 |
13 |
$127.63 |
| 73120 |
|
16 |
13 |
$124.80 |
| 82272 |
|
140 |
115 |
$123.72 |
| P9016 |
Rbc leukocytes reduced |
1,252 |
593 |
$123.51 |
| 86593 |
|
56 |
51 |
$122.94 |
| C1781 |
Mesh (implantable) |
277 |
249 |
$119.93 |
| 96161 |
|
131 |
127 |
$118.62 |
| 86787 |
|
32 |
25 |
$115.36 |
| J0640 |
Leucovorin calcium injection |
56 |
15 |
$111.43 |
| J2470 |
Inj pantoprazole sodium 40mg |
75 |
50 |
$109.84 |
| 90662 |
|
712 |
574 |
$102.27 |
| 97116 |
|
40 |
12 |
$100.24 |
| 93280 |
|
12 |
12 |
$99.56 |
| 88302 |
|
312 |
203 |
$96.80 |
| J1815 |
Insulin injection |
1,062 |
427 |
$91.69 |
| 82040 |
|
206 |
142 |
$90.54 |
| C1769 |
Guide wire |
3,058 |
2,113 |
$80.60 |
| 88720 |
|
27 |
27 |
$79.54 |
| 87076 |
|
61 |
44 |
$77.28 |
| 90710 |
|
1,909 |
1,845 |
$70.05 |
| 85049 |
|
68 |
54 |
$68.18 |
| J7510 |
Prednisolone oral per 5 mg |
32 |
28 |
$65.56 |
| 82103 |
|
13 |
13 |
$64.19 |
| J3420 |
Vitamin b12 injection |
54 |
26 |
$60.51 |
| J2800 |
Methocarbamol injection |
25 |
12 |
$58.80 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
755 |
703 |
$56.08 |
| 80178 |
|
26 |
25 |
$55.75 |
| 84132 |
|
191 |
125 |
$50.24 |
| J2795 |
Ropivacaine hcl injection |
98 |
54 |
$47.00 |
| U0005 |
Infec agen detec ampli probe |
19,453 |
17,174 |
$46.23 |
| 84478 |
|
55 |
38 |
$45.79 |
| 90633 |
|
2,654 |
2,577 |
$44.26 |
| 84436 |
|
26 |
25 |
$42.21 |
| 86015 |
|
12 |
12 |
$40.32 |
| 87147 |
|
41 |
26 |
$37.73 |
| 83519 |
|
17 |
14 |
$36.88 |
| 83695 |
|
14 |
12 |
$35.24 |
| 72020 |
|
20 |
13 |
$33.30 |
| A4338 |
Indwelling catheter latex |
381 |
292 |
$33.05 |
| G0009 |
Admin pneumococcal vaccine |
322 |
274 |
$32.44 |
| A9576 |
Inj prohance multipack |
747 |
685 |
$30.50 |
| 84300 |
|
31 |
25 |
$26.56 |
| 84160 |
|
75 |
66 |
$24.71 |
| 80047 |
|
55 |
46 |
$23.74 |
| 89055 |
|
13 |
13 |
$23.28 |
| J2543 |
Piperacillin/tazobactam |
13 |
12 |
$22.39 |
| 90723 |
|
128 |
121 |
$22.01 |
| J9263 |
Oxaliplatin |
72 |
14 |
$16.49 |
| 81050 |
|
14 |
12 |
$16.40 |
| 83721 |
|
26 |
24 |
$15.69 |
| 0270 |
|
22 |
12 |
$15.56 |
| 94761 |
|
38 |
38 |
$13.53 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
178 |
133 |
$12.81 |
| 88311 |
|
48 |
38 |
$12.51 |
| G0103 |
Psa screening |
151 |
145 |
$12.46 |
| A9270 |
Non-covered item or service |
119,849 |
11,272 |
$12.45 |
| J0574 |
Bupren/nal 6.1 to 10mg bupre |
14 |
12 |
$11.30 |
| 87015 |
|
13 |
12 |
$9.12 |
| J2001 |
Lidocaine injection |
1,138 |
764 |
$8.21 |
| J1836 |
Inj, metronidazole, 10 mg |
74 |
50 |
$7.62 |
| J1580 |
Garamycin gentamicin inj |
51 |
45 |
$7.56 |
| J2710 |
Neostigmine methylslfte inj |
84 |
70 |
$5.61 |
| A6403 |
Sterile gauze>16 <= 48 sq in |
56 |
52 |
$4.19 |
| A6402 |
Sterile gauze <= 16 sq in |
1,363 |
1,165 |
$3.99 |
| A6454 |
Self-adher band w>=3" <5"/yd |
350 |
300 |
$3.96 |
| 90651 |
|
1,095 |
1,061 |
$3.42 |
| 90696 |
|
649 |
626 |
$3.28 |
| 90734 |
|
554 |
529 |
$1.93 |
| 90685 |
|
699 |
677 |
$1.38 |
| 90680 |
|
3,691 |
3,588 |
$1.00 |
| 90707 |
|
191 |
185 |
$0.77 |
| 90716 |
|
186 |
180 |
$0.72 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
536 |
455 |
$0.68 |
| 90700 |
|
853 |
839 |
$0.29 |
| 90648 |
|
704 |
685 |
$0.04 |
| 91303 |
|
17 |
14 |
$0.02 |
| Q0244 |
Casirivi and imdevi 1200 mg |
13 |
12 |
$0.01 |
| 90647 |
|
215 |
206 |
$0.01 |
| G8978 |
Mobility current status |
388 |
311 |
$0.00 |
| 00170 |
|
111 |
98 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
2,009 |
1,525 |
$0.00 |
| G8989 |
Self care d/c status |
90 |
65 |
$0.00 |
| G8979 |
Mobility goal status |
418 |
324 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
69 |
60 |
$0.00 |
| G1004 |
Cdsm ndsc |
2,602 |
1,890 |
$0.00 |
| 99001 |
|
99 |
94 |
$0.00 |
| A4314 |
Cath w/drainage 2-way latex |
34 |
25 |
$0.00 |
| C1771 |
Rep dev, urinary, w/sling |
82 |
66 |
$0.00 |
| 95708 |
|
29 |
18 |
$0.00 |
| 91300 |
|
14 |
12 |
$0.00 |
| 01922 |
|
26 |
25 |
$0.00 |
| G8980 |
Mobility d/c status |
96 |
79 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
550 |
518 |
$0.00 |
| G8988 |
Self care goal status |
304 |
242 |
$0.00 |
| G0472 |
Hep c screen high risk/other |
65 |
62 |
$0.00 |
| A6223 |
Gauze >16<=48 no w/sal w/o b |
43 |
39 |
$0.00 |
| G0257 |
Unsched dialysis esrd pt hos |
36 |
17 |
$0.00 |
| A6222 |
Gauze <=16 in no w/sal w/o b |
92 |
73 |
$0.00 |
| A4648 |
Implantable tissue marker |
43 |
38 |
$0.00 |
| 95700 |
|
18 |
16 |
$0.00 |
| G8987 |
Self care current status |
299 |
239 |
$0.00 |
| 90697 |
|
77 |
76 |
$0.00 |
| A9585 |
Gadobutrol injection |
61 |
51 |
$0.00 |