| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
92,564 |
76,252 |
$12.14M |
| 99284 |
|
49,462 |
39,318 |
$8.04M |
| G0378 |
Hospital observation per hr |
7,848 |
5,677 |
$4.33M |
| 97530 |
|
133,059 |
33,295 |
$3.72M |
| 97110 |
|
145,814 |
35,670 |
$3.55M |
| 92507 |
|
62,663 |
20,051 |
$3.35M |
| 97112 |
|
134,319 |
32,973 |
$3.25M |
| 87633 |
|
9,708 |
8,706 |
$2.68M |
| 96374 |
|
28,082 |
21,232 |
$2.54M |
| 99285 |
|
8,317 |
6,730 |
$1.92M |
| 96365 |
|
15,456 |
9,684 |
$1.45M |
| 94640 |
|
13,230 |
6,516 |
$1.25M |
| 74177 |
|
7,412 |
6,373 |
$1.20M |
| 96413 |
|
7,859 |
4,484 |
$1.14M |
| 71046 |
|
25,420 |
21,716 |
$1.06M |
| U0003 |
Cov-19 amp prb hgh thruput |
15,185 |
13,746 |
$998K |
| 96372 |
|
27,796 |
21,523 |
$987K |
| 99282 |
|
10,990 |
9,380 |
$856K |
| 78815 |
|
1,553 |
1,319 |
$799K |
| J0585 |
Injection,onabotulinumtoxina |
1,696 |
891 |
$701K |
| 93005 |
|
32,440 |
25,154 |
$683K |
| 96375 |
|
22,876 |
15,144 |
$665K |
| 87635 |
|
19,710 |
16,861 |
$659K |
| 71045 |
|
18,691 |
15,099 |
$657K |
| 85025 |
|
122,282 |
91,291 |
$634K |
| 87502 |
|
9,805 |
8,517 |
$614K |
| 80053 |
|
84,553 |
64,929 |
$610K |
| 97140 |
|
32,084 |
8,470 |
$525K |
| 70450 |
|
10,256 |
8,614 |
$523K |
| C9803 |
Hopd covid-19 spec collect |
30,934 |
26,888 |
$509K |
| 96361 |
|
13,230 |
9,423 |
$483K |
| G0480 |
Drug test def 1-7 classes |
6,871 |
5,678 |
$462K |
| 92526 |
|
7,256 |
2,927 |
$440K |
| 80307 |
|
10,510 |
8,752 |
$437K |
| 96360 |
|
3,942 |
3,103 |
$400K |
| G0463 |
Hospital outpt clinic visit |
28,142 |
19,807 |
$396K |
| 93306 |
|
1,799 |
1,521 |
$354K |
| 87804 |
|
29,540 |
12,603 |
$349K |
| 97116 |
|
19,917 |
7,043 |
$341K |
| 74176 |
|
3,517 |
2,952 |
$337K |
| 92523 |
|
2,195 |
1,991 |
$311K |
| 36415 |
|
122,446 |
98,060 |
$304K |
| 71260 |
|
3,327 |
2,934 |
$296K |
| 83880 |
|
13,698 |
11,237 |
$277K |
| 87491 |
|
10,284 |
8,910 |
$274K |
| 87591 |
|
10,278 |
8,907 |
$274K |
| 74018 |
|
5,727 |
4,917 |
$270K |
| 84443 |
|
24,042 |
20,809 |
$268K |
| 86900 |
|
4,932 |
3,910 |
$264K |
| 29580 |
|
3,909 |
1,047 |
$255K |
| 88305 |
|
7,569 |
4,927 |
$236K |
| 97162 |
|
5,212 |
4,544 |
$234K |
| 99212 |
|
16,667 |
12,670 |
$233K |
| 76705 |
|
3,938 |
3,482 |
$232K |
| 80048 |
|
39,985 |
31,524 |
$229K |
| 97161 |
|
4,851 |
4,242 |
$224K |
| 99281 |
|
4,635 |
4,066 |
$224K |
| 80061 |
|
23,143 |
20,367 |
$219K |
| 77067 |
|
2,892 |
2,643 |
$211K |
| J2469 |
Palonosetron hcl |
2,911 |
1,477 |
$207K |
| 73560 |
|
5,055 |
4,008 |
$201K |
| 59025 |
|
1,946 |
1,337 |
$197K |
| 72100 |
|
3,511 |
3,083 |
$195K |
| 93458 |
|
210 |
165 |
$188K |
| 76856 |
|
2,797 |
2,415 |
$185K |
| 87086 |
|
31,580 |
26,133 |
$180K |
| 70553 |
|
870 |
761 |
$179K |
| 86850 |
|
3,847 |
3,067 |
$176K |
| 96366 |
|
5,749 |
2,851 |
$176K |
| 73630 |
|
4,035 |
3,396 |
$175K |
| 82306 |
|
8,609 |
7,700 |
$169K |
| 73610 |
|
3,539 |
3,021 |
$161K |
| J1453 |
Fosaprepitant injection |
1,101 |
554 |
$156K |
| 87661 |
|
7,609 |
6,603 |
$156K |
| 76700 |
|
2,514 |
2,225 |
$154K |
| 97014 |
|
17,598 |
4,713 |
$153K |
| J0897 |
Denosumab injection |
224 |
179 |
$147K |
| 73130 |
|
2,876 |
2,385 |
$127K |
| 73030 |
|
3,326 |
2,719 |
$121K |
| 80081 |
|
1,984 |
1,781 |
$119K |
| 84484 |
|
17,320 |
11,688 |
$118K |
| 87880 |
|
9,835 |
8,353 |
$115K |
| 81001 |
|
52,206 |
42,373 |
$113K |
| 76775 |
|
1,826 |
1,612 |
$110K |
| 83036 |
|
16,708 |
14,957 |
$108K |
| 76641 |
|
1,856 |
1,363 |
$108K |
| 84703 |
|
19,431 |
15,986 |
$106K |
| 73110 |
|
2,294 |
1,949 |
$105K |
| 88307 |
|
747 |
493 |
$103K |
| 72148 |
|
1,173 |
1,038 |
$102K |
| 96367 |
|
2,787 |
1,652 |
$100K |
| 10061 |
|
576 |
475 |
$99K |
| 87651 |
|
3,979 |
3,392 |
$98K |
| 71250 |
|
2,325 |
2,057 |
$98K |
| 76536 |
|
1,568 |
1,419 |
$94K |
| 93971 |
|
2,080 |
1,836 |
$93K |
| 97533 |
|
3,545 |
1,203 |
$91K |
| J0561 |
Penicillin g benzathine inj |
821 |
579 |
$86K |
| 94060 |
|
934 |
816 |
$85K |
| 72125 |
|
2,069 |
1,768 |
$82K |
| 86901 |
|
4,920 |
3,909 |
$80K |
| 87070 |
|
11,802 |
9,447 |
$80K |
| 74019 |
|
1,206 |
1,014 |
$80K |
| 96415 |
|
2,145 |
1,388 |
$78K |
| 96417 |
|
1,732 |
1,012 |
$77K |
| 87186 |
|
12,702 |
9,885 |
$77K |
| 87077 |
|
13,324 |
10,400 |
$75K |
| 84439 |
|
11,635 |
10,092 |
$74K |
| 12001 |
|
672 |
586 |
$71K |
| 83550 |
|
10,605 |
9,402 |
$69K |
| 88304 |
|
2,114 |
1,576 |
$69K |
| 87807 |
|
6,330 |
5,526 |
$67K |
| 83690 |
|
13,388 |
10,828 |
$64K |
| 73502 |
|
1,840 |
1,616 |
$64K |
| J1745 |
Infliximab not biosimil 10mg |
34 |
25 |
$63K |
| 83540 |
|
12,436 |
11,013 |
$60K |
| 70551 |
|
581 |
508 |
$60K |
| 84702 |
|
5,481 |
4,064 |
$60K |
| 85027 |
|
14,158 |
12,253 |
$60K |
| 73120 |
|
1,013 |
522 |
$58K |
| 97163 |
|
1,158 |
1,064 |
$57K |
| 83735 |
|
14,605 |
11,238 |
$57K |
| 73590 |
|
1,274 |
996 |
$57K |
| 72040 |
|
1,390 |
1,229 |
$55K |
| 70360 |
|
1,284 |
1,097 |
$54K |
| 72170 |
|
832 |
739 |
$54K |
| 76801 |
|
733 |
606 |
$53K |
| 82728 |
|
5,859 |
5,099 |
$51K |
| 72082 |
|
657 |
585 |
$51K |
| 70210 |
|
1,202 |
1,032 |
$51K |
| 99213 |
|
1,702 |
710 |
$50K |
| 83970 |
|
2,518 |
2,176 |
$50K |
| 42820 |
|
12 |
12 |
$50K |
| 73721 |
|
391 |
335 |
$50K |
| 87040 |
|
7,732 |
4,421 |
$49K |
| 80074 |
|
1,379 |
1,241 |
$49K |
| 86317 |
|
1,106 |
277 |
$49K |
| 73070 |
|
1,105 |
922 |
$48K |
| 90471 |
|
2,185 |
1,796 |
$48K |
| 87088 |
|
8,496 |
6,944 |
$47K |
| 76817 |
|
620 |
507 |
$46K |
| 94762 |
|
659 |
259 |
$46K |
| 86140 |
|
12,314 |
10,076 |
$45K |
| 99291 |
|
161 |
124 |
$45K |
| 76805 |
|
619 |
514 |
$43K |
| 83655 |
|
3,920 |
3,592 |
$43K |
| J1439 |
Inj ferric carboxymaltos 1mg |
155 |
84 |
$43K |
| 97166 |
|
766 |
665 |
$40K |
| 99202 |
|
1,766 |
1,427 |
$39K |
| 73140 |
|
850 |
721 |
$38K |
| 86481 |
|
590 |
516 |
$38K |
| M0243 |
Casirivi and imdevi inj |
191 |
168 |
$37K |
| 12011 |
|
377 |
311 |
$37K |
| 87389 |
|
2,284 |
2,030 |
$37K |
| 97113 |
|
1,866 |
464 |
$36K |
| 99211 |
|
5,323 |
3,636 |
$34K |
| 88142 |
|
2,203 |
1,914 |
$34K |
| 73090 |
|
713 |
597 |
$34K |
| 83615 |
|
7,267 |
6,105 |
$34K |
| 82607 |
|
3,504 |
3,115 |
$33K |
| 72141 |
|
311 |
277 |
$31K |
| 82962 |
|
17,617 |
9,732 |
$31K |
| 87505 |
|
425 |
377 |
$29K |
| 82784 |
|
3,067 |
1,554 |
$29K |
| 83605 |
|
4,664 |
3,734 |
$29K |
| 85610 |
|
11,187 |
8,858 |
$28K |
| 80076 |
|
4,688 |
4,085 |
$27K |
| 97035 |
|
3,416 |
921 |
$26K |
| 36430 |
|
200 |
139 |
$26K |
| 74022 |
|
445 |
376 |
$26K |
| 97010 |
|
6,403 |
2,013 |
$26K |
| 93970 |
|
314 |
270 |
$25K |
| G0123 |
Screen cerv/vag thin layer |
1,473 |
1,332 |
$24K |
| 87075 |
|
3,536 |
2,678 |
$24K |
| 84100 |
|
6,990 |
5,560 |
$24K |
| 88312 |
|
1,171 |
1,001 |
$24K |
| 82248 |
|
6,207 |
4,131 |
$24K |
| 87481 |
|
546 |
406 |
$24K |
| 87081 |
|
4,538 |
3,855 |
$23K |
| 84550 |
|
6,520 |
5,609 |
$22K |
| 87801 |
|
467 |
405 |
$22K |
| 82378 |
|
1,475 |
850 |
$21K |
| 82247 |
|
5,261 |
3,320 |
$20K |
| 87449 |
|
2,177 |
1,504 |
$20K |
| 80069 |
|
3,679 |
2,942 |
$20K |
| 96416 |
|
97 |
53 |
$20K |
| 82570 |
|
6,023 |
5,134 |
$19K |
| 82550 |
|
4,243 |
3,518 |
$18K |
| 95811 |
|
39 |
38 |
$18K |
| 87209 |
|
1,150 |
1,001 |
$17K |
| 94727 |
|
444 |
400 |
$17K |
| 85730 |
|
4,577 |
3,849 |
$17K |
| 99490 |
Ccm add 20min |
1,213 |
1,171 |
$17K |
| 77336 |
|
226 |
98 |
$16K |
| 86780 |
|
1,540 |
1,375 |
$16K |
| 97016 |
|
2,167 |
595 |
$16K |
| 92585 |
|
92 |
84 |
$15K |
| 87427 |
|
1,752 |
854 |
$15K |
| 86038 |
|
1,726 |
1,515 |
$15K |
| 97597 |
|
226 |
156 |
$14K |
| 96523 |
|
540 |
369 |
$14K |
| 83520 |
|
1,295 |
806 |
$14K |
| 86665 |
|
835 |
576 |
$14K |
| 85651 |
|
4,533 |
3,786 |
$13K |
| 86480 |
|
479 |
380 |
$13K |
| P9016 |
Rbc leukocytes reduced |
124 |
87 |
$13K |
| 86703 |
|
1,018 |
921 |
$13K |
| 97167 |
|
191 |
182 |
$12K |
| 85379 |
|
1,982 |
1,734 |
$12K |
| 82043 |
|
3,515 |
3,128 |
$12K |
| 87045 |
|
1,663 |
1,356 |
$12K |
| 73552 |
|
270 |
208 |
$12K |
| 70486 |
|
223 |
200 |
$12K |
| 87493 |
|
421 |
335 |
$12K |
| 86803 |
|
1,320 |
1,142 |
$11K |
| 82565 |
|
3,089 |
2,707 |
$11K |
| 82803 |
|
802 |
654 |
$11K |
| 71101 |
|
170 |
149 |
$11K |
| G0103 |
Psa screening |
814 |
756 |
$11K |
| A9552 |
F18 fdg |
1,736 |
1,477 |
$11K |
| 84478 |
|
2,387 |
1,966 |
$10K |
| 83630 |
|
675 |
604 |
$10K |
| 97022 |
|
935 |
242 |
$10K |
| 87420 |
|
842 |
756 |
$10K |
| 86920 |
|
130 |
67 |
$10K |
| 83516 |
|
636 |
379 |
$10K |
| 10060 |
|
101 |
82 |
$9K |
| 94726 |
|
124 |
106 |
$9K |
| 36591 |
|
6,777 |
3,698 |
$9K |
| 96401 |
|
166 |
105 |
$9K |
| 84481 |
|
829 |
737 |
$9K |
| 99215 |
Prolong outpt/office vis |
115 |
97 |
$9K |
| 82553 |
|
1,093 |
907 |
$9K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
15,762 |
12,719 |
$8K |
| 87177 |
|
1,151 |
1,001 |
$8K |
| 86664 |
|
661 |
556 |
$8K |
| 90686 |
|
783 |
634 |
$8K |
| 97032 |
|
898 |
269 |
$8K |
| 82105 |
|
664 |
558 |
$8K |
| 97024 |
|
2,005 |
565 |
$8K |
| 76830 |
|
116 |
95 |
$8K |
| 82465 |
|
2,198 |
1,907 |
$7K |
| 12002 |
|
81 |
65 |
$7K |
| 74178 |
|
55 |
49 |
$7K |
| 95819 |
|
52 |
40 |
$7K |
| 92610 |
|
197 |
159 |
$7K |
| 80165 |
|
733 |
609 |
$7K |
| 87899 |
|
815 |
481 |
$7K |
| 85652 |
|
4,318 |
3,735 |
$7K |
| 82950 |
|
1,852 |
1,667 |
$7K |
| 86738 |
|
684 |
567 |
$7K |
| 77091 |
|
202 |
194 |
$7K |
| 43239 |
|
46 |
40 |
$7K |
| 87507 |
|
34 |
31 |
$7K |
| 90834 |
|
206 |
154 |
$7K |
| 76870 |
|
105 |
81 |
$7K |
| 82787 |
|
477 |
234 |
$6K |
| 87205 |
|
2,240 |
1,640 |
$6K |
| 86696 |
|
390 |
358 |
$6K |
| 87641 |
|
267 |
226 |
$6K |
| 82150 |
|
1,256 |
1,077 |
$6K |
| 83721 |
|
930 |
801 |
$6K |
| 86431 |
|
1,466 |
1,306 |
$6K |
| 84156 |
|
2,701 |
2,235 |
$6K |
| 77066 |
Tomosynthesis, mammo |
69 |
66 |
$6K |
| 87640 |
|
267 |
225 |
$5K |
| A9270 |
Non-covered item or service |
23,569 |
8,199 |
$5K |
| 94760 |
|
7,845 |
4,639 |
$5K |
| 92650 |
|
264 |
247 |
$5K |
| 85018 |
|
3,598 |
2,632 |
$5K |
| 20610 |
|
60 |
52 |
$5K |
| 82746 |
|
591 |
510 |
$5K |
| J0696 |
Ceftriaxone sodium injection |
9,125 |
6,594 |
$5K |
| 87210 |
|
1,298 |
1,109 |
$5K |
| 84450 |
|
1,316 |
1,145 |
$5K |
| 85045 |
|
1,472 |
1,137 |
$5K |
| 84460 |
|
1,278 |
1,134 |
$5K |
| J0640 |
Leucovorin calcium injection |
241 |
75 |
$5K |
| 82947 |
|
1,413 |
1,252 |
$5K |
| 86663 |
|
394 |
343 |
$4K |
| 86694 |
|
364 |
330 |
$4K |
| J7030 |
Normal saline solution infus |
4,332 |
3,151 |
$4K |
| J1100 |
Dexamethasone sodium phos |
17,206 |
12,226 |
$4K |
| 82677 |
|
238 |
200 |
$4K |
| 99214 |
|
70 |
37 |
$4K |
| 86695 |
|
370 |
339 |
$4K |
| 93798 |
|
175 |
26 |
$4K |
| 86308 |
|
894 |
707 |
$4K |
| 85014 |
|
1,603 |
1,155 |
$4K |
| 86336 |
|
238 |
200 |
$3K |
| 97012 |
|
428 |
102 |
$3K |
| 87338 |
|
281 |
221 |
$3K |
| 83525 |
|
379 |
343 |
$3K |
| 94618 |
|
99 |
85 |
$3K |
| 93880 |
|
42 |
36 |
$3K |
| 73060 |
|
55 |
51 |
$3K |
| 87324 |
|
383 |
329 |
$3K |
| 84520 |
|
1,087 |
972 |
$3K |
| 76815 |
|
62 |
38 |
$3K |
| 87335 |
|
307 |
236 |
$3K |
| Q0162 |
Ondansetron oral |
6,588 |
5,449 |
$3K |
| 74240 |
|
28 |
25 |
$3K |
| 82140 |
|
247 |
208 |
$3K |
| 0002A |
|
159 |
150 |
$3K |
| 86677 |
|
202 |
166 |
$2K |
| 73620 |
|
62 |
40 |
$2K |
| 87046 |
|
318 |
247 |
$2K |
| J9190 |
Fluorouracil injection |
467 |
118 |
$2K |
| 76882 |
|
28 |
27 |
$2K |
| 0001A |
|
205 |
186 |
$2K |
| 81002 |
|
1,102 |
930 |
$2K |
| 88342 |
|
26 |
25 |
$2K |
| 84436 |
|
354 |
295 |
$2K |
| 86774 |
|
171 |
128 |
$2K |
| J7510 |
Prednisolone oral per 5 mg |
1,325 |
1,123 |
$2K |
| 29125 |
|
26 |
25 |
$2K |
| 87425 |
|
176 |
151 |
$2K |
| 72131 |
|
42 |
40 |
$2K |
| 82270 |
|
572 |
478 |
$2K |
| 73221 |
|
16 |
14 |
$2K |
| J7060 |
5% dextrose/water |
3,791 |
1,760 |
$2K |
| 73700 |
|
42 |
39 |
$2K |
| G2023 |
Specimen collect covid-19 |
66 |
65 |
$2K |
| 84403 |
|
100 |
90 |
$2K |
| 77080 |
|
159 |
151 |
$2K |
| 86592 |
|
505 |
424 |
$2K |
| 89055 |
|
397 |
306 |
$1K |
| 36592 |
|
3,950 |
2,958 |
$1K |
| 99205 |
Prolong outpt/office vis |
16 |
15 |
$1K |
| 84153 |
|
104 |
88 |
$1K |
| 97165 |
|
31 |
24 |
$1K |
| 82272 |
|
433 |
352 |
$1K |
| 77065 |
Tomosynthesis, mammo |
19 |
17 |
$1K |
| 86003 |
|
81 |
39 |
$1K |
| 90653 |
|
185 |
177 |
$1K |
| 73562 |
|
45 |
31 |
$1K |
| 84146 |
|
62 |
54 |
$982.86 |
| Q9969 |
Non-heu tc-99m add-on/dose |
150 |
142 |
$978.46 |
| 86787 |
|
82 |
62 |
$950.33 |
| J1885 |
Ketorolac tromethamine inj |
7,244 |
5,639 |
$903.13 |
| J2250 |
Inj midazolam hydrochloride |
4,151 |
3,285 |
$886.24 |
| 72072 |
|
14 |
14 |
$884.84 |
| J2405 |
Ondansetron hcl injection |
12,678 |
8,498 |
$875.98 |
| 88173 |
|
23 |
15 |
$808.48 |
| C1894 |
Intro/sheath, non-laser |
1,811 |
1,505 |
$797.80 |
| 84165 |
|
143 |
108 |
$773.51 |
| 87340 |
|
117 |
101 |
$768.82 |
| 80162 |
|
75 |
65 |
$751.32 |
| 81003 |
|
449 |
395 |
$726.43 |
| 83021 |
|
44 |
43 |
$726.32 |
| 72200 |
|
12 |
12 |
$725.44 |
| 87581 |
|
27 |
24 |
$706.26 |
| 87486 |
|
27 |
24 |
$706.25 |
| 99152 |
|
2,501 |
2,091 |
$688.63 |
| J1756 |
Iron sucrose injection |
123 |
44 |
$664.40 |
| J2930 |
Methylprednisolone injection |
2,587 |
1,826 |
$642.35 |
| 88313 |
|
37 |
30 |
$609.06 |
| 86376 |
|
57 |
53 |
$575.72 |
| J3010 |
Fentanyl citrate injection |
8,575 |
6,622 |
$551.27 |
| G0008 |
Admin influenza virus vac |
556 |
515 |
$528.44 |
| A9579 |
Gad-base mr contrast nos,1ml |
763 |
643 |
$502.22 |
| 99487 |
Ccm add 20min |
29 |
29 |
$502.15 |
| 97760 |
|
23 |
13 |
$492.02 |
| 86769 |
|
16 |
12 |
$456.14 |
| J2270 |
Morphine sulfate injection |
7,586 |
4,981 |
$436.80 |
| J1170 |
Hydromorphone injection |
5,708 |
3,526 |
$423.57 |
| 87522 |
Neg quan hep c or qual rna |
16 |
12 |
$419.46 |
| J7120 |
Ringers lactate infusion |
3,889 |
2,787 |
$416.42 |
| 83001 |
|
27 |
25 |
$369.52 |
| 90670 |
|
31 |
13 |
$369.20 |
| 90837 |
|
19 |
15 |
$367.29 |
| J1200 |
Diphenhydramine hcl injectio |
4,940 |
3,614 |
$357.78 |
| C1769 |
Guide wire |
1,691 |
1,397 |
$351.20 |
| 97535 |
|
538 |
254 |
$340.52 |
| 87624 |
|
17 |
14 |
$334.90 |
| G0379 |
Direct refer hospital observ |
1,604 |
1,206 |
$321.43 |
| 84145 |
|
3,842 |
3,158 |
$319.59 |
| 85347 |
|
69 |
39 |
$308.26 |
| 86334 |
|
22 |
15 |
$304.45 |
| J2060 |
Lorazepam injection |
2,295 |
1,764 |
$294.65 |
| 93990 |
|
13 |
12 |
$288.97 |
| 86200 |
|
26 |
24 |
$272.23 |
| J2550 |
Promethazine hcl injection |
6,288 |
4,301 |
$265.66 |
| 87329 |
|
26 |
25 |
$239.80 |
| J3480 |
Inj potassium chloride |
3,005 |
1,361 |
$234.49 |
| 84132 |
|
88 |
62 |
$226.83 |
| J0360 |
Hydralazine hcl injection |
434 |
350 |
$226.76 |
| J8540 |
Oral dexamethasone |
326 |
239 |
$223.28 |
| 99153 |
Mod sedat endo service >5yrs |
1,698 |
1,410 |
$221.32 |
| J1940 |
Furosemide injection |
6,095 |
3,374 |
$218.57 |
| 82785 |
|
16 |
13 |
$213.00 |
| J0702 |
Betamethasone acet&sod phosp |
804 |
559 |
$200.74 |
| C1725 |
Cath, translumin non-laser |
616 |
503 |
$199.36 |
| J9045 |
Carboplatin injection |
21 |
12 |
$198.85 |
| 86063 |
|
39 |
37 |
$191.15 |
| 96376 |
|
5,104 |
3,017 |
$190.49 |
| J2765 |
Metoclopramide hcl injection |
2,302 |
1,786 |
$174.15 |
| 86800 |
|
16 |
14 |
$160.28 |
| 86704 |
|
13 |
12 |
$145.13 |
| 82951 |
|
13 |
13 |
$140.73 |
| 94729 |
|
1,274 |
1,139 |
$132.82 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
882 |
652 |
$130.71 |
| J7050 |
Normal saline solution infus |
777 |
478 |
$127.57 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
1,620 |
1,417 |
$126.26 |
| 96368 |
|
956 |
512 |
$112.92 |
| J7040 |
Normal saline solution infus |
1,059 |
731 |
$112.23 |
| 81025 |
|
19 |
13 |
$105.50 |
| 85041 |
|
41 |
40 |
$103.16 |
| 99406 |
|
154 |
140 |
$98.15 |
| J7512 |
Prednisone ir or dr oral 1mg |
904 |
733 |
$93.28 |
| G8978 |
Mobility current status |
460 |
415 |
$90.00 |
| J1815 |
Insulin injection |
1,899 |
1,147 |
$78.17 |
| 90656 |
|
18 |
17 |
$67.21 |
| Q0163 |
Diphenhydramine hcl 50mg |
1,001 |
678 |
$63.88 |
| J2175 |
Meperidine hydrochl /100 mg |
1,498 |
1,075 |
$63.71 |
| C1751 |
Cath, inf, per/cent/midline |
159 |
117 |
$61.98 |
| J2919 |
Inj, methylpred sod succ 5mg |
191 |
143 |
$60.24 |
| J0690 |
Cefazolin sodium injection |
4,617 |
2,998 |
$59.33 |
| J0131 |
Inj, acetaminophen (nos) |
1,192 |
866 |
$57.37 |
| G8981 |
Body pos current status |
57 |
52 |
$54.53 |
| 90460 |
|
40 |
21 |
$52.52 |
| 89051 |
|
14 |
12 |
$50.70 |
| J2001 |
Lidocaine injection |
2,226 |
1,804 |
$48.55 |
| J7070 |
D5w infusion |
53 |
29 |
$41.31 |
| C1887 |
Catheter, guiding |
276 |
224 |
$39.87 |
| J0136 |
Inj, acetaminophen (b braun) |
514 |
434 |
$37.28 |
| 90833 |
|
300 |
280 |
$35.00 |
| J2360 |
Orphenadrine injection |
121 |
106 |
$32.11 |
| C9113 |
Inj pantoprazole sodium, via |
1,765 |
1,136 |
$31.99 |
| 77063 |
|
1,781 |
1,633 |
$30.99 |
| G0279 |
Tomosynthesis, mammo |
208 |
184 |
$28.71 |
| G0283 |
Elec stim other than wound |
3,385 |
864 |
$27.22 |
| 97129 |
|
133 |
37 |
$27.20 |
| J0171 |
Adrenalin epinephrine inject |
38 |
28 |
$23.82 |
| 90694 |
|
149 |
136 |
$22.96 |
| J2916 |
Na ferric gluconate complex |
28 |
13 |
$21.32 |
| 86706 |
|
18 |
14 |
$19.34 |
| 90715 |
|
1,168 |
1,040 |
$18.32 |
| J2920 |
Methylprednisolone injection |
135 |
90 |
$17.57 |
| G8984 |
Carry current status |
83 |
81 |
$15.00 |
| J3420 |
Vitamin b12 injection |
33 |
26 |
$8.33 |
| J1644 |
Inj heparin sodium per 1000u |
2,151 |
1,475 |
$5.52 |
| 86364 |
|
14 |
12 |
$4.70 |
| J0137 |
Inj, acetaminophen (hikma) |
77 |
71 |
$3.00 |
| J1643 |
Inj heparin, pfizer, 1000u |
87 |
75 |
$2.83 |
| J1650 |
Inj enoxaparin sodium |
666 |
328 |
$2.18 |
| J0134 |
Inj acetaminophen -fresenius |
248 |
223 |
$0.82 |
| G8979 |
Mobility goal status |
490 |
436 |
$0.00 |
| J0780 |
Prochlorperazine injection |
361 |
310 |
$0.00 |
| C1760 |
Closure dev, vasc |
70 |
64 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
117 |
64 |
$0.00 |
| Q0169 |
Promethazine hcl 12.5mg oral |
290 |
243 |
$0.00 |
| 76942 |
|
276 |
221 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
42 |
33 |
$0.00 |
| 95874 |
|
289 |
245 |
$0.00 |
| G8985 |
Carry goal status |
95 |
87 |
$0.00 |
| G8990 |
Other pt/ot current status |
27 |
24 |
$0.00 |
| C1874 |
Stent, coated/cov w/del sys |
32 |
25 |
$0.00 |
| 90461 |
|
31 |
12 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
57 |
49 |
$0.00 |
| J1956 |
Levofloxacin injection |
38 |
25 |
$0.00 |
| 97127 |
|
35 |
14 |
$0.00 |
| J3105 |
Terbutaline sulfate inj |
12 |
12 |
$0.00 |
| J1953 |
Levetiracetam injection |
31 |
14 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
2,365 |
1,677 |
$0.00 |
| J1630 |
Haloperidol injection |
315 |
269 |
$0.00 |
| J7042 |
5% dextrose/normal saline |
1,300 |
578 |
$0.00 |
| 80050 |
|
314 |
287 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
1,370 |
1,093 |
$0.00 |
| 36416 |
|
1,667 |
1,258 |
$0.00 |
| 95886 |
|
58 |
52 |
$0.00 |
| J1817 |
Insulin for insulin pump use |
23 |
14 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
62 |
42 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
85 |
63 |
$0.00 |
| J3360 |
Diazepam injection |
51 |
51 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
13 |
12 |
$0.00 |
| G8982 |
Body pos goal status |
61 |
53 |
$0.00 |
| G8991 |
Other pt/ot goal status |
32 |
26 |
$0.00 |
| M0244 |
Casirivi and imdevi inj hm |
50 |
39 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
15 |
14 |
$0.00 |
| G0442 |
Annual alcohol screen 15 min |
12 |
12 |
$0.00 |
| C9399 |
Unclassified drugs or biolog |
25 |
15 |
$0.00 |