| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
203,076 |
185,738 |
$62.05M |
| G0463 |
Hospital outpt clinic visit |
986,870 |
805,775 |
$42.11M |
| 99284 |
|
129,709 |
122,870 |
$22.36M |
| 99283 |
|
173,753 |
164,725 |
$20.40M |
| 96374 |
|
121,610 |
113,173 |
$12.28M |
| J9271 |
Inj pembrolizumab |
1,279 |
1,006 |
$6.88M |
| 96361 |
|
129,224 |
109,944 |
$6.49M |
| 87636 |
|
76,349 |
74,300 |
$5.79M |
| G0378 |
Hospital observation per hr |
20,588 |
19,000 |
$5.45M |
| 96365 |
|
46,208 |
40,411 |
$4.56M |
| Q5103 |
Injection, inflectra |
4,811 |
4,414 |
$4.33M |
| 74177 |
|
30,614 |
29,964 |
$3.99M |
| 96360 |
|
33,388 |
31,865 |
$3.51M |
| 71046 |
|
85,804 |
82,408 |
$3.29M |
| 96375 |
|
100,309 |
84,677 |
$3.16M |
| G0451 |
Devlopment test interpt&rep |
63,325 |
62,997 |
$3.10M |
| 99392 |
|
44,220 |
44,075 |
$2.95M |
| 99282 |
|
40,597 |
39,076 |
$2.95M |
| 96413 |
|
17,106 |
11,938 |
$2.85M |
| 99391 |
|
39,363 |
38,568 |
$2.53M |
| 43239 |
|
7,741 |
7,682 |
$2.43M |
| 90460 |
|
104,990 |
104,009 |
$2.41M |
| 70450 |
|
24,900 |
24,028 |
$2.36M |
| 99291 |
|
4,341 |
4,254 |
$2.19M |
| 97110 |
|
98,238 |
33,322 |
$1.92M |
| 45380 |
|
3,981 |
3,943 |
$1.91M |
| 99393 |
|
27,338 |
27,282 |
$1.80M |
| 59025 |
|
21,012 |
7,857 |
$1.74M |
| J7300 |
Intra copp contra (paragard) |
1,814 |
1,806 |
$1.71M |
| 70553 |
|
6,197 |
6,165 |
$1.53M |
| 45385 |
|
3,488 |
3,452 |
$1.43M |
| Q3014 |
Telehealth facility fee |
81,770 |
66,939 |
$1.43M |
| 90834 |
|
23,418 |
17,968 |
$1.36M |
| 92014 |
|
22,834 |
22,204 |
$1.34M |
| 90670 |
|
33,619 |
33,368 |
$1.34M |
| U0003 |
Cov-19 amp prb hgh thruput |
27,452 |
26,337 |
$1.30M |
| 74176 |
|
11,496 |
11,323 |
$1.28M |
| 71045 |
|
32,426 |
31,132 |
$1.27M |
| 87491 |
|
119,528 |
116,455 |
$1.25M |
| 90677 |
|
7,949 |
7,947 |
$1.20M |
| 87591 |
|
115,642 |
112,631 |
$1.18M |
| 93306 |
|
5,606 |
5,580 |
$1.18M |
| 99395 |
|
17,440 |
17,181 |
$1.17M |
| J0585 |
Injection,onabotulinumtoxina |
3,551 |
2,148 |
$1.16M |
| 76830 |
|
19,338 |
18,740 |
$1.12M |
| 90651 |
|
15,682 |
15,644 |
$1.12M |
| J3380 |
Inj vedolizumab iv 1 mg |
332 |
313 |
$1.10M |
| 97530 |
|
47,106 |
21,745 |
$1.08M |
| 66984 |
|
1,140 |
1,055 |
$1.08M |
| 78815 |
|
1,239 |
1,233 |
$1.08M |
| 20610 |
|
8,228 |
6,801 |
$1.06M |
| 95810 |
|
2,062 |
2,028 |
$1.05M |
| 76856 |
|
19,975 |
19,704 |
$1.05M |
| 71260 |
|
8,532 |
8,436 |
$1.04M |
| 99394 |
|
15,245 |
15,208 |
$1.04M |
| 96372 |
|
104,478 |
89,376 |
$1.02M |
| 76816 |
|
22,164 |
18,999 |
$988K |
| 70496 |
|
5,517 |
5,419 |
$916K |
| 96366 |
|
23,880 |
19,118 |
$911K |
| 99396 |
|
13,342 |
13,108 |
$904K |
| C8929 |
Tte w or wo fol wcon,doppler |
3,603 |
3,578 |
$889K |
| 47562 |
|
223 |
218 |
$889K |
| 97112 |
|
45,819 |
18,204 |
$887K |
| 77067 |
|
17,527 |
17,517 |
$881K |
| J1745 |
Infliximab not biosimil 10mg |
418 |
378 |
$878K |
| 93975 |
|
7,457 |
7,292 |
$853K |
| 49083 |
|
1,762 |
883 |
$796K |
| 77386 |
|
2,638 |
244 |
$778K |
| 90837 |
|
13,955 |
11,104 |
$761K |
| 80061 |
|
65,093 |
64,599 |
$725K |
| 97140 |
|
50,101 |
19,354 |
$699K |
| 76705 |
|
11,703 |
11,468 |
$686K |
| U0002 |
Covid-19 lab test non-cdc |
27,414 |
26,481 |
$672K |
| 76801 |
|
11,613 |
10,783 |
$664K |
| 86900 |
|
47,959 |
45,086 |
$651K |
| J1569 |
Gammagard liquid injection |
462 |
196 |
$645K |
| 92012 |
|
10,598 |
9,216 |
$628K |
| 71275 |
|
7,317 |
7,202 |
$615K |
| G0121 |
Colon ca scrn not hi rsk ind |
1,515 |
1,488 |
$614K |
| 90750 |
|
4,007 |
4,005 |
$595K |
| 97161 |
|
11,115 |
11,031 |
$577K |
| 64635 |
|
659 |
584 |
$559K |
| 67028 |
|
3,112 |
2,927 |
$545K |
| 76805 |
|
8,918 |
8,903 |
$543K |
| 45378 |
|
1,567 |
1,545 |
$541K |
| J7298 |
Mirena, 52 mg |
801 |
796 |
$540K |
| 90791 |
|
8,582 |
8,383 |
$539K |
| 92507 |
|
12,820 |
5,736 |
$523K |
| J0178 |
Aflibercept injection |
571 |
538 |
$509K |
| 64493 |
|
969 |
874 |
$500K |
| 62323 |
|
1,620 |
1,608 |
$489K |
| 10060 |
|
5,012 |
4,856 |
$466K |
| 95811 |
|
931 |
895 |
$457K |
| 76700 |
|
6,977 |
6,957 |
$437K |
| 43235 |
|
1,078 |
1,070 |
$408K |
| 72148 |
|
4,236 |
4,214 |
$393K |
| J7307 |
Etonogestrel implant system |
434 |
432 |
$393K |
| 19083 |
|
475 |
469 |
$390K |
| 99385 |
|
6,043 |
5,962 |
$389K |
| 86780 |
|
45,362 |
44,870 |
$385K |
| 92587 |
|
2,725 |
2,701 |
$383K |
| 96127 |
|
34,129 |
33,544 |
$383K |
| 73721 |
|
3,189 |
3,179 |
$382K |
| 70491 |
|
3,301 |
3,254 |
$382K |
| 76811 |
|
3,102 |
3,092 |
$380K |
| 70551 |
|
2,599 |
2,581 |
$379K |
| 72141 |
|
2,819 |
2,807 |
$378K |
| Q0111 |
Wet mounts/ w preparations |
41,113 |
40,030 |
$366K |
| 17110 |
|
8,258 |
7,467 |
$336K |
| 96367 |
|
9,745 |
7,531 |
$330K |
| 77334 |
|
771 |
584 |
$320K |
| Q5104 |
Injection, renflexis |
270 |
245 |
$316K |
| 90739 |
|
1,967 |
1,963 |
$315K |
| 99281 |
|
7,100 |
6,721 |
$307K |
| 31575 |
|
3,473 |
3,393 |
$306K |
| 74183 |
|
1,763 |
1,745 |
$304K |
| 80053 |
|
161,393 |
143,456 |
$301K |
| 90832 |
|
7,361 |
6,626 |
$301K |
| 31231 |
|
3,349 |
3,266 |
$299K |
| G0008 |
Admin influenza virus vac |
28,715 |
28,680 |
$289K |
| 77412 |
|
2,112 |
265 |
$288K |
| J7120 |
Ringers lactate infusion |
8,328 |
7,423 |
$282K |
| 90732 |
|
2,793 |
2,790 |
$277K |
| 93971 |
|
5,089 |
4,962 |
$277K |
| 67228 |
|
1,062 |
921 |
$277K |
| 90471 |
|
28,483 |
28,067 |
$276K |
| 72197 |
|
1,071 |
1,071 |
$270K |
| P9016 |
Rbc leukocytes reduced |
1,971 |
1,663 |
$270K |
| 97162 |
|
5,176 |
5,124 |
$261K |
| 36430 |
|
1,652 |
1,323 |
$259K |
| 76770 |
|
4,431 |
4,388 |
$255K |
| 78452 |
|
858 |
844 |
$253K |
| 84443 |
|
67,775 |
66,498 |
$251K |
| 93970 |
|
2,391 |
2,361 |
$250K |
| 90682 |
|
4,294 |
4,282 |
$250K |
| C9803 |
Hopd covid-19 spec collect |
90,544 |
87,562 |
$249K |
| 96415 |
|
4,953 |
3,944 |
$248K |
| 58301 |
|
2,117 |
2,049 |
$245K |
| 52000 |
|
927 |
911 |
$238K |
| 85025 |
|
340,346 |
298,595 |
$231K |
| 11042 |
|
1,240 |
867 |
$231K |
| 87389 |
|
79,264 |
78,599 |
$229K |
| 99383 |
|
3,453 |
3,445 |
$227K |
| C8928 |
Tte w or w/o fol w/con,stres |
850 |
849 |
$227K |
| 20550 |
|
1,834 |
1,634 |
$226K |
| U0005 |
Infec agen detec ampli probe |
14,881 |
14,444 |
$226K |
| 77336 |
|
3,200 |
1,519 |
$221K |
| 80048 |
|
240,136 |
212,893 |
$220K |
| 90688 |
|
18,035 |
18,002 |
$217K |
| 76815 |
|
13,443 |
12,816 |
$216K |
| 72156 |
|
1,675 |
1,670 |
$214K |
| 99386 |
|
3,305 |
3,254 |
$210K |
| 71250 |
|
3,758 |
3,720 |
$209K |
| 90792 |
|
4,796 |
4,627 |
$209K |
| 64450 |
|
876 |
839 |
$209K |
| 20553 |
|
1,550 |
1,530 |
$203K |
| J1750 |
Inj iron dextran |
3,502 |
1,537 |
$201K |
| 76881 |
|
3,775 |
3,342 |
$200K |
| 92523 |
|
1,774 |
1,765 |
$199K |
| 91320 |
|
1,875 |
1,871 |
$198K |
| 31579 |
|
1,006 |
944 |
$198K |
| 0001A |
|
5,577 |
5,577 |
$197K |
| 77066 |
Tomosynthesis, mammo |
3,209 |
3,181 |
$191K |
| 0002A |
|
5,016 |
5,014 |
$191K |
| 76642 |
|
5,351 |
5,269 |
$188K |
| 11900 |
|
5,228 |
4,880 |
$188K |
| 11104 |
|
1,180 |
1,170 |
$187K |
| J9022 |
Inj, atezolizumab,10 mg |
51 |
39 |
$187K |
| 83036 |
|
85,130 |
84,424 |
$185K |
| 20611 |
|
1,645 |
1,568 |
$182K |
| 77065 |
Tomosynthesis, mammo |
3,812 |
3,625 |
$173K |
| 64615 |
|
1,500 |
1,479 |
$169K |
| 94060 |
|
1,211 |
1,192 |
$168K |
| 95910 |
|
1,197 |
1,193 |
$167K |
| 93797 |
|
2,501 |
454 |
$165K |
| 74170 |
|
1,801 |
1,775 |
$164K |
| 96417 |
|
3,781 |
2,461 |
$160K |
| Q5111 |
Injection, udenyca 0.5 mg |
95 |
73 |
$156K |
| 87624 |
|
10,250 |
10,241 |
$155K |
| 76819 |
|
2,414 |
1,252 |
$154K |
| 92004 |
|
2,788 |
2,772 |
$153K |
| 72125 |
|
9,520 |
9,332 |
$152K |
| 92235 |
|
1,143 |
1,137 |
$149K |
| 82306 |
|
22,392 |
22,256 |
$149K |
| 76536 |
|
2,962 |
2,955 |
$148K |
| 86832 |
|
1,599 |
1,500 |
$144K |
| 86833 |
|
1,576 |
1,476 |
$143K |
| 90716 |
|
10,668 |
10,630 |
$142K |
| 97165 |
|
2,901 |
2,848 |
$136K |
| 72158 |
|
1,086 |
1,077 |
$136K |
| 99382 |
|
2,094 |
2,091 |
$135K |
| 77063 |
|
9,991 |
9,989 |
$132K |
| 99384 |
|
2,015 |
2,006 |
$131K |
| 86870 |
|
1,006 |
968 |
$130K |
| 77300 |
|
490 |
403 |
$129K |
| 70486 |
|
4,767 |
4,711 |
$129K |
| 72131 |
|
3,749 |
3,718 |
$127K |
| 92083 |
|
5,082 |
5,053 |
$124K |
| 91200 |
|
2,042 |
2,006 |
$124K |
| 90686 |
|
24,997 |
24,954 |
$122K |
| 93798 |
|
1,918 |
529 |
$121K |
| 95909 |
|
884 |
878 |
$121K |
| G0123 |
Screen cerv/vag thin layer |
9,758 |
9,744 |
$120K |
| 70487 |
|
1,314 |
1,294 |
$112K |
| 95911 |
|
428 |
428 |
$112K |
| 71270 |
|
987 |
967 |
$111K |
| J0185 |
Inj., aprepitant, 1 mg |
942 |
646 |
$110K |
| 72100 |
|
11,151 |
11,097 |
$109K |
| 85027 |
|
101,925 |
93,959 |
$109K |
| 74174 |
|
645 |
638 |
$109K |
| 99487 |
Ccm add 20min |
1,759 |
1,279 |
$107K |
| 44970 |
|
28 |
27 |
$107K |
| 93005 |
|
129,121 |
109,262 |
$104K |
| 80074 |
|
12,223 |
12,140 |
$104K |
| 92651 |
|
1,019 |
1,010 |
$102K |
| 80307 |
|
26,200 |
25,154 |
$101K |
| 90734 |
|
10,738 |
10,705 |
$101K |
| 90472 |
|
8,493 |
8,455 |
$100K |
| 96160 |
|
6,349 |
6,344 |
$98K |
| 87505 |
|
2,505 |
2,482 |
$96K |
| 29075 |
|
810 |
764 |
$95K |
| G0472 |
Hep c screen high risk/other |
3,554 |
3,549 |
$95K |
| 11102 |
|
997 |
991 |
$94K |
| 76882 |
|
3,053 |
2,838 |
$94K |
| 17250 |
|
1,399 |
1,218 |
$92K |
| 99381 |
|
1,500 |
1,489 |
$92K |
| J7042 |
5% dextrose/normal saline |
1,541 |
1,270 |
$92K |
| 90480 |
|
2,823 |
2,814 |
$91K |
| G0480 |
Drug test def 1-7 classes |
22,131 |
20,030 |
$90K |
| 90620 |
|
3,189 |
3,180 |
$90K |
| 84702 |
|
60,355 |
52,238 |
$89K |
| 86480 |
|
6,576 |
6,506 |
$89K |
| 94010 |
|
7,756 |
7,650 |
$87K |
| 90847 |
|
1,623 |
1,366 |
$85K |
| 76825 |
|
289 |
287 |
$84K |
| J9299 |
Injection, nivolumab |
18 |
12 |
$84K |
| 73700 |
|
1,743 |
1,724 |
$84K |
| 36591 |
|
3,388 |
2,454 |
$84K |
| G0328 |
Fecal blood scrn immunoassay |
8,195 |
7,986 |
$83K |
| 87661 |
|
47,753 |
46,779 |
$82K |
| M0245 |
Bamlan and etesev infusion |
340 |
339 |
$82K |
| 90678 |
|
277 |
277 |
$82K |
| G0108 |
Diab manage trn per indiv |
1,752 |
1,345 |
$81K |
| 93308 |
|
832 |
820 |
$81K |
| 82728 |
|
27,311 |
26,596 |
$79K |
| 94726 |
|
1,143 |
1,139 |
$79K |
| 95117 |
|
3,780 |
2,168 |
$79K |
| 88175 |
|
6,659 |
6,656 |
$76K |
| Q0222 |
Bebtelovimab 175 mg |
187 |
187 |
$76K |
| 11100 |
|
495 |
474 |
$75K |
| 99406 |
|
4,881 |
4,790 |
$75K |
| G0260 |
Inj for sacroiliac jt anesth |
240 |
237 |
$72K |
| 87808 |
|
50,913 |
49,557 |
$72K |
| 86803 |
|
43,500 |
43,252 |
$72K |
| 77080 |
|
1,176 |
1,172 |
$71K |
| 83970 |
|
6,855 |
6,716 |
$71K |
| J7323 |
Euflexxa inj per dose |
655 |
336 |
$71K |
| J2327 |
Inj risankizumab-rzaa 1 mg |
13 |
13 |
$69K |
| 73221 |
|
653 |
648 |
$69K |
| 92586 |
|
966 |
959 |
$68K |
| G0009 |
Admin pneumococcal vaccine |
7,075 |
7,065 |
$68K |
| G0279 |
Tomosynthesis, mammo |
5,401 |
5,270 |
$66K |
| 92550 |
|
4,707 |
4,687 |
$65K |
| 73562 |
|
22,408 |
22,045 |
$65K |
| 0124A |
|
2,008 |
2,007 |
$63K |
| 85610 |
|
113,549 |
96,678 |
$62K |
| 58100 |
|
676 |
662 |
$61K |
| 62270 |
|
227 |
214 |
$61K |
| 0054A |
|
1,632 |
1,630 |
$59K |
| 82607 |
|
21,625 |
21,480 |
$58K |
| 83550 |
|
29,465 |
28,879 |
$58K |
| 99214 |
|
1,265 |
1,234 |
$58K |
| 92557 |
|
7,872 |
7,827 |
$58K |
| 87536 |
|
6,146 |
5,991 |
$57K |
| G0103 |
Psa screening |
5,499 |
5,474 |
$57K |
| 58300 |
|
3,226 |
3,152 |
$56K |
| 71271 |
|
901 |
901 |
$55K |
| 81373 |
|
799 |
799 |
$55K |
| 97535 |
|
1,783 |
1,437 |
$53K |
| 82947 |
|
19,078 |
18,956 |
$52K |
| 83655 |
|
18,900 |
18,808 |
$52K |
| 72128 |
|
1,410 |
1,400 |
$52K |
| P9046 |
Albumin (human), 25%, 20 ml |
553 |
244 |
$52K |
| 83013 |
|
2,616 |
2,603 |
$51K |
| 97166 |
|
1,057 |
1,044 |
$51K |
| 83735 |
|
171,157 |
141,770 |
$51K |
| 96411 |
|
1,374 |
965 |
$51K |
| 86003 |
|
4,880 |
4,734 |
$50K |
| 88305 |
|
22,766 |
22,383 |
$49K |
| 11056 |
|
1,267 |
1,251 |
$49K |
| 73030 |
|
15,505 |
15,168 |
$49K |
| 20600 |
|
386 |
352 |
$48K |
| 73630 |
|
22,756 |
22,144 |
$47K |
| 93296 |
|
2,487 |
2,485 |
$47K |
| J1729 |
Inj hydroxyprogst capoat nos |
588 |
239 |
$46K |
| 43264 |
|
107 |
107 |
$46K |
| 95004 |
|
2,612 |
2,608 |
$46K |
| 0071A |
|
1,169 |
1,169 |
$45K |
| 87635 |
|
1,174 |
1,139 |
$44K |
| 83540 |
|
30,253 |
29,649 |
$44K |
| 73130 |
|
18,405 |
17,788 |
$42K |
| 87522 |
Neg quan hep c or qual rna |
4,088 |
3,790 |
$42K |
| 87086 |
|
58,528 |
55,975 |
$42K |
| 29515 |
|
550 |
535 |
$41K |
| 73610 |
|
17,939 |
17,011 |
$41K |
| 96161 |
|
2,682 |
2,666 |
$41K |
| 10061 |
|
239 |
235 |
$41K |
| 82746 |
|
14,710 |
14,617 |
$41K |
| 76817 |
|
18,847 |
16,692 |
$41K |
| 86235 |
|
4,653 |
4,576 |
$40K |
| 93017 |
|
3,143 |
3,101 |
$40K |
| 96132 |
|
450 |
449 |
$40K |
| 80197 |
|
8,584 |
4,929 |
$40K |
| 97116 |
|
3,473 |
2,188 |
$40K |
| J1726 |
Makena, 10 mg |
195 |
88 |
$40K |
| 84403 |
|
5,176 |
5,107 |
$39K |
| 72050 |
|
2,956 |
2,939 |
$39K |
| 98941 |
|
4,533 |
2,419 |
$39K |
| 74178 |
|
231 |
231 |
$39K |
| 69210 |
|
3,419 |
3,308 |
$38K |
| 82105 |
|
10,675 |
10,404 |
$37K |
| M0222 |
Bebtelovimab injection |
186 |
186 |
$37K |
| 93976 |
|
696 |
679 |
$37K |
| 84439 |
|
16,232 |
15,726 |
$37K |
| 95908 |
|
280 |
278 |
$36K |
| 96416 |
|
209 |
114 |
$36K |
| 20526 |
|
280 |
251 |
$36K |
| 96402 |
|
1,590 |
1,499 |
$35K |
| 87497 |
|
3,206 |
1,807 |
$35K |
| 94640 |
|
24,964 |
22,337 |
$35K |
| 0004A |
|
953 |
950 |
$35K |
| 36561 |
|
27 |
25 |
$35K |
| J7121 |
5% dextrose in lac ringers |
801 |
666 |
$35K |
| 0072A |
|
886 |
885 |
$34K |
| G0010 |
Admin hepatitis b vaccine |
2,252 |
2,248 |
$34K |
| 92250 |
|
8,455 |
8,218 |
$34K |
| 90656 |
|
2,978 |
2,976 |
$33K |
| 82570 |
|
28,023 |
26,647 |
$33K |
| 82248 |
|
90,983 |
81,135 |
$32K |
| 86580 |
|
3,989 |
3,866 |
$32K |
| 87340 |
|
23,752 |
23,541 |
$31K |
| 12032 |
|
242 |
241 |
$31K |
| G0105 |
Colorectal scrn; hi risk ind |
76 |
76 |
$31K |
| 19318 |
|
14 |
14 |
$31K |
| 81370 |
|
153 |
147 |
$31K |
| 83880 |
|
36,114 |
34,026 |
$31K |
| 92552 |
|
1,447 |
1,447 |
$31K |
| 90658 |
|
3,414 |
3,411 |
$31K |
| 95250 |
|
486 |
473 |
$28K |
| 92579 |
|
1,922 |
1,897 |
$28K |
| 91010 |
|
135 |
133 |
$28K |
| 81025 |
|
124,396 |
118,783 |
$28K |
| 88342 |
|
8,895 |
8,725 |
$27K |
| 82043 |
|
21,179 |
20,695 |
$27K |
| 36415 |
|
25,173 |
22,514 |
$27K |
| 93922 |
|
1,343 |
1,332 |
$26K |
| 81376 |
|
206 |
192 |
$26K |
| 82784 |
|
6,893 |
6,521 |
$26K |
| 74018 |
|
5,275 |
5,089 |
$25K |
| 86923 |
|
1,921 |
1,708 |
$25K |
| Q0091 |
Obtaining screen pap smear |
2,047 |
2,037 |
$25K |
| 95713 |
|
83 |
82 |
$25K |
| G2066 |
Inter devc remote 30d |
1,393 |
1,378 |
$25K |
| 80076 |
|
14,852 |
13,946 |
$25K |
| 82670 |
|
3,661 |
3,301 |
$25K |
| 0052A |
|
651 |
650 |
$25K |
| 92136 |
|
1,358 |
1,340 |
$24K |
| 90461 |
|
59,307 |
58,952 |
$24K |
| 86762 |
|
15,668 |
15,584 |
$23K |
| 73502 |
|
7,890 |
7,744 |
$23K |
| 0051A |
|
617 |
617 |
$23K |
| 11721 |
|
3,203 |
3,181 |
$23K |
| 72070 |
|
1,615 |
1,611 |
$23K |
| 84146 |
|
4,398 |
4,348 |
$22K |
| 86360 |
|
5,444 |
5,347 |
$22K |
| 81001 |
|
149,918 |
141,397 |
$22K |
| Q5119 |
Inj ruxience, 10 mg |
21 |
15 |
$22K |
| 86160 |
|
6,179 |
6,120 |
$22K |
| 20605 |
|
183 |
171 |
$22K |
| 66982 |
|
27 |
26 |
$22K |
| 70544 |
|
477 |
468 |
$21K |
| 82951 |
|
2,717 |
2,707 |
$21K |
| 73110 |
|
10,881 |
10,314 |
$21K |
| 77301 |
|
30 |
26 |
$21K |
| 17111 |
|
430 |
408 |
$21K |
| 86147 |
|
1,659 |
1,642 |
$21K |
| 72157 |
|
206 |
205 |
$20K |
| 87502 |
|
16,890 |
16,667 |
$20K |
| M0247 |
Sotrovimab infusion |
77 |
77 |
$20K |
| 93350 |
|
109 |
108 |
$20K |
| 83001 |
|
4,542 |
4,233 |
$20K |
| 96118 |
|
349 |
304 |
$20K |
| 95700 |
|
163 |
161 |
$19K |
| 0081A |
|
494 |
494 |
$19K |
| 95951 |
|
81 |
77 |
$19K |
| 72146 |
|
149 |
148 |
$18K |
| 86593 |
|
3,188 |
3,121 |
$18K |
| 99215 |
Prolong outpt/office vis |
278 |
266 |
$18K |
| 83993 |
|
2,099 |
2,089 |
$18K |
| 94618 |
|
1,508 |
1,451 |
$18K |
| G0390 |
Trauma respons w/hosp criti |
40 |
40 |
$18K |
| 86592 |
|
5,115 |
5,025 |
$18K |
| J1453 |
Fosaprepitant injection |
1,180 |
813 |
$18K |
| 86140 |
|
22,488 |
20,795 |
$18K |
| M0243 |
Casirivi and imdevi inj |
65 |
65 |
$18K |
| 72040 |
|
2,803 |
2,786 |
$17K |
| 87517 |
|
1,630 |
1,564 |
$17K |
| 90935 |
|
138 |
52 |
$17K |
| 88184 |
|
283 |
266 |
$17K |
| 70543 |
|
61 |
60 |
$17K |
| 10005 |
|
52 |
51 |
$17K |
| 99213 |
|
587 |
578 |
$17K |
| 87081 |
|
46,601 |
45,915 |
$17K |
| 10120 |
|
89 |
88 |
$16K |
| 11055 |
|
557 |
545 |
$16K |
| 70498 |
|
5,095 |
5,012 |
$16K |
| 84460 |
|
40,701 |
39,225 |
$16K |
| 82565 |
|
9,633 |
9,202 |
$16K |
| 90662 |
|
830 |
829 |
$16K |
| 85730 |
|
84,335 |
78,719 |
$15K |
| 95800 |
|
189 |
189 |
$15K |
| 84450 |
|
9,594 |
9,473 |
$15K |
| 86706 |
|
8,073 |
8,000 |
$15K |
| 95913 |
|
53 |
53 |
$15K |
| 74022 |
|
10,136 |
9,945 |
$15K |
| 84425 |
|
2,329 |
2,317 |
$14K |
| 82465 |
|
5,847 |
4,597 |
$14K |
| 92134 |
|
10,726 |
10,220 |
$14K |
| 73560 |
|
3,063 |
2,989 |
$14K |
| 99204 |
|
209 |
208 |
$14K |
| 77338 |
|
79 |
65 |
$14K |
| 64483 |
|
38 |
37 |
$14K |
| 87529 |
|
3,103 |
3,060 |
$14K |
| 86769 |
|
635 |
626 |
$14K |
| 73521 |
|
1,433 |
1,430 |
$14K |
| 82677 |
|
2,378 |
2,370 |
$13K |
| 83516 |
|
3,511 |
3,417 |
$13K |
| 0082A |
|
342 |
342 |
$13K |
| 99495 |
|
208 |
208 |
$13K |
| 85007 |
|
25,235 |
21,087 |
$13K |
| 84100 |
|
41,603 |
32,797 |
$13K |
| 41828 |
|
12 |
12 |
$13K |
| 11981 |
|
253 |
252 |
$12K |
| 82247 |
|
34,984 |
32,296 |
$12K |
| 86255 |
|
6,290 |
6,191 |
$12K |
| 70480 |
|
182 |
181 |
$12K |
| 83002 |
|
3,011 |
2,693 |
$12K |
| G2214 |
Init/sub psych care m 1st 30 |
268 |
267 |
$12K |
| 11750 |
|
65 |
52 |
$12K |
| Q5108 |
Injection, fulphila |
18 |
13 |
$12K |
| 83721 |
|
5,235 |
5,209 |
$12K |
| 64405 |
|
95 |
92 |
$12K |
| 97014 |
|
1,517 |
744 |
$12K |
| 86704 |
|
5,853 |
5,802 |
$11K |
| 20680 |
|
17 |
14 |
$11K |
| 78264 |
|
53 |
53 |
$11K |
| 43244 |
|
12 |
12 |
$11K |
| 93750 |
|
242 |
209 |
$11K |
| 83615 |
|
12,235 |
10,303 |
$11K |
| 84481 |
|
2,258 |
2,159 |
$11K |
| 88341 |
|
2,282 |
2,235 |
$11K |
| G0101 |
Ca screen;pelvic/breast exam |
261 |
259 |
$11K |
| 97012 |
|
1,555 |
652 |
$10K |
| 73080 |
|
6,031 |
5,848 |
$10K |
| 51798 |
|
7,116 |
6,285 |
$10K |
| 77290 |
|
65 |
61 |
$10K |
| 81220 |
|
356 |
354 |
$10K |
| 81003 |
|
67,772 |
65,803 |
$10K |
| 72110 |
|
880 |
879 |
$10K |
| 86039 |
|
6,719 |
6,682 |
$10K |
| 73564 |
|
1,482 |
1,473 |
$10K |
| 87799 |
|
877 |
681 |
$10K |
| 84153 |
|
2,160 |
2,058 |
$10K |
| 87902 |
|
409 |
402 |
$10K |
| 99232 |
|
227 |
118 |
$10K |
| 96130 |
|
577 |
574 |
$10K |
| 83020 |
|
10,399 |
10,243 |
$9K |
| 87186 |
|
12,926 |
12,609 |
$9K |
| G0379 |
Direct refer hospital observ |
29 |
29 |
$9K |
| 92551 |
|
1,116 |
1,116 |
$9K |
| 74019 |
|
1,563 |
1,530 |
$9K |
| 12041 |
|
54 |
53 |
$9K |
| 73590 |
|
7,441 |
7,231 |
$9K |
| 87210 |
|
22,660 |
21,786 |
$9K |
| 73552 |
|
3,655 |
3,599 |
$9K |
| 86336 |
|
2,459 |
2,450 |
$9K |
| 82627 |
|
1,394 |
1,387 |
$9K |
| 92133 |
|
6,566 |
6,531 |
$9K |
| 43259 |
|
24 |
24 |
$9K |
| 57454 |
|
66 |
65 |
$9K |
| 84165 |
|
4,664 |
4,403 |
$9K |
| 87430 |
|
19,248 |
18,977 |
$8K |
| 96380 |
|
454 |
453 |
$8K |
| 73140 |
|
4,489 |
4,407 |
$8K |
| 87631 |
|
4,040 |
3,989 |
$8K |
| 86376 |
|
2,909 |
2,892 |
$8K |
| 72082 |
|
258 |
257 |
$8K |
| 85652 |
|
19,704 |
18,514 |
$8K |
| 11982 |
|
61 |
61 |
$8K |
| 96138 |
|
694 |
692 |
$8K |
| 0031A |
|
224 |
224 |
$8K |
| 87880 |
|
35,547 |
35,009 |
$8K |
| 87077 |
|
10,485 |
10,262 |
$8K |
| 0154A |
|
209 |
209 |
$8K |
| 99203 |
|
191 |
190 |
$8K |
| 29540 |
|
108 |
107 |
$8K |
| 80069 |
|
4,517 |
4,257 |
$8K |
| 73200 |
|
156 |
155 |
$7K |
| 95816 |
|
69 |
68 |
$7K |
| 82533 |
|
1,457 |
1,363 |
$7K |
| 97035 |
|
1,199 |
562 |
$7K |
| 86696 |
|
2,287 |
2,261 |
$7K |
| 99233 |
Prolong inpt eval add15 m |
114 |
57 |
$7K |
| 72170 |
|
2,211 |
2,180 |
$7K |
| 92002 |
|
120 |
120 |
$7K |
| 84445 |
|
555 |
551 |
$7K |
| 82550 |
|
11,916 |
10,904 |
$7K |
| 96523 |
|
270 |
256 |
$7K |
| 29105 |
|
88 |
86 |
$6K |
| C1769 |
Guide wire |
4,941 |
4,717 |
$6K |
| 82274 |
|
733 |
733 |
$6K |
| 86200 |
|
4,463 |
4,450 |
$6K |
| 84156 |
|
8,724 |
7,579 |
$6K |
| 73100 |
|
835 |
785 |
$6K |
| 87324 |
|
1,538 |
1,527 |
$6K |
| 82378 |
|
2,014 |
1,862 |
$6K |
| 84144 |
|
1,255 |
885 |
$6K |
| J0561 |
Penicillin g benzathine inj |
82 |
78 |
$6K |
| C9257 |
Bevacizumab injection |
1,469 |
1,391 |
$6K |
| 84520 |
|
4,129 |
3,828 |
$6K |
| 73090 |
|
5,367 |
5,139 |
$6K |
| 88307 |
|
1,163 |
1,109 |
$6K |
| 84550 |
|
6,518 |
5,991 |
$6K |
| 86787 |
|
3,253 |
3,218 |
$6K |
| 36600 |
|
1,849 |
1,792 |
$6K |
| 82952 |
|
2,599 |
2,590 |
$6K |
| 72072 |
|
879 |
874 |
$5K |
| Q2036 |
Flulaval vacc, 3 yrs & >, im |
703 |
702 |
$5K |
| 87634 |
|
6,275 |
6,192 |
$5K |
| 97022 |
|
807 |
318 |
$5K |
| 84478 |
|
115 |
79 |
$5K |
| 86850 |
|
46,086 |
43,357 |
$5K |
| 12051 |
|
29 |
29 |
$5K |
| 86708 |
|
3,037 |
3,015 |
$5K |
| 86695 |
|
2,288 |
2,262 |
$5K |
| 87798 |
|
812 |
715 |
$5K |
| 86334 |
|
1,169 |
1,063 |
$5K |
| 0012A |
|
126 |
126 |
$5K |
| 0121A |
|
184 |
182 |
$5K |
| 74160 |
|
75 |
73 |
$5K |
| 99205 |
Prolong outpt/office vis |
50 |
50 |
$5K |
| 82330 |
|
4,884 |
4,362 |
$5K |
| 86665 |
|
1,458 |
1,429 |
$5K |
| 92025 |
|
1,343 |
1,323 |
$4K |
| 0074A |
|
167 |
167 |
$4K |
| 0011A |
|
134 |
134 |
$4K |
| 36592 |
|
292 |
165 |
$4K |
| 86146 |
|
1,397 |
1,388 |
$4K |
| 86901 |
|
47,822 |
44,959 |
$4K |
| 71101 |
|
943 |
935 |
$4K |
| 86828 |
|
481 |
471 |
$4K |
| 84484 |
|
73,517 |
64,654 |
$4K |
| 83690 |
|
67,220 |
62,496 |
$4K |
| 86431 |
|
5,879 |
5,848 |
$4K |
| 83014 |
|
1,692 |
1,685 |
$4K |
| 30140 |
|
12 |
12 |
$4K |
| 82962 |
|
75,659 |
55,677 |
$4K |
| 73060 |
|
3,018 |
2,888 |
$4K |
| 69209 |
|
582 |
551 |
$4K |
| 86301 |
|
1,243 |
1,169 |
$4K |
| 82024 |
|
296 |
278 |
$4K |
| 90675 |
|
23 |
13 |
$4K |
| 64447 |
|
158 |
155 |
$4K |
| 92060 |
|
884 |
880 |
$4K |
| 87329 |
|
819 |
816 |
$4K |
| 74220 |
|
52 |
52 |
$3K |
| 0003A |
|
112 |
112 |
$3K |
| 84207 |
|
523 |
520 |
$3K |
| 64415 |
|
139 |
139 |
$3K |
| 67210 |
|
16 |
15 |
$3K |
| 99496 |
|
50 |
50 |
$3K |
| 76831 |
|
41 |
41 |
$3K |
| G8978 |
Mobility current status |
96 |
88 |
$3K |
| 87088 |
|
5,288 |
5,202 |
$3K |
| 95912 |
|
12 |
12 |
$3K |
| 0173A |
|
80 |
80 |
$3K |
| 97168 |
|
92 |
91 |
$3K |
| 90744 |
|
646 |
644 |
$3K |
| 85018 |
|
6,218 |
6,017 |
$3K |
| 0151A |
|
94 |
94 |
$3K |
| 87070 |
|
7,940 |
6,717 |
$3K |
| 0083A |
|
83 |
83 |
$3K |
| 88173 |
|
800 |
778 |
$3K |
| 93298 |
|
167 |
167 |
$3K |
| 86765 |
|
1,209 |
1,202 |
$3K |
| 73000 |
|
879 |
824 |
$3K |
| 71100 |
|
1,908 |
1,886 |
$3K |
| 96401 |
|
224 |
136 |
$3K |
| 90723 |
|
30,255 |
30,039 |
$3K |
| 83525 |
|
682 |
678 |
$3K |
| 76857 |
|
67 |
67 |
$3K |
| 85014 |
|
5,704 |
5,519 |
$3K |
| 84480 |
|
609 |
594 |
$3K |
| 29125 |
|
2,639 |
2,552 |
$3K |
| 76820 |
|
4,617 |
2,330 |
$3K |
| 86304 |
|
536 |
482 |
$3K |
| 88112 |
|
913 |
885 |
$3K |
| 86705 |
|
1,635 |
1,623 |
$3K |
| G0257 |
Unsched dialysis esrd pt hos |
22 |
12 |
$3K |
| M0220 |
Tixagev and cilgav inj |
32 |
32 |
$3K |
| 76813 |
|
129 |
123 |
$3K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
2,244 |
2,211 |
$3K |
| 72193 |
|
32 |
31 |
$3K |
| 97163 |
|
64 |
63 |
$3K |
| 73501 |
|
443 |
438 |
$3K |
| 72202 |
|
244 |
244 |
$3K |
| S0077 |
Injection, clindamycin phosp |
740 |
597 |
$3K |
| 92020 |
|
1,321 |
1,306 |
$3K |
| 46600 |
|
707 |
692 |
$3K |
| 87338 |
|
546 |
545 |
$3K |
| 88360 |
|
183 |
176 |
$3K |
| 97164 |
|
70 |
70 |
$3K |
| 00731 |
|
67 |
58 |
$3K |
| C8908 |
Mri w/o fol w/cont, breast, |
12 |
12 |
$3K |
| 86036 |
|
792 |
791 |
$3K |
| 90746 |
|
37 |
37 |
$2K |
| 80164 |
|
1,602 |
1,495 |
$2K |
| 83921 |
|
711 |
709 |
$2K |
| 87205 |
|
8,301 |
7,262 |
$2K |
| 85045 |
|
4,159 |
3,733 |
$2K |
| 78306 |
|
13 |
12 |
$2K |
| 88312 |
|
741 |
737 |
$2K |
| 99492 |
|
48 |
45 |
$2K |
| 83520 |
|
588 |
571 |
$2K |
| 85613 |
|
1,169 |
1,161 |
$2K |
| 82803 |
|
27,571 |
24,724 |
$2K |
| 88304 |
|
2,585 |
2,560 |
$2K |
| 82085 |
|
1,683 |
1,675 |
$2K |
| 90681 |
|
15,054 |
14,911 |
$2K |
| 70355 |
|
292 |
286 |
$2K |
| 86694 |
|
708 |
701 |
$2K |
| 51701 |
|
969 |
949 |
$2K |
| 12001 |
|
3,742 |
3,703 |
$2K |
| 73660 |
|
1,014 |
1,005 |
$2K |
| 87147 |
|
5,150 |
5,092 |
$2K |
| G0297 |
Ldct for lung ca screen |
49 |
49 |
$2K |
| 92285 |
|
977 |
876 |
$2K |
| 83010 |
|
1,328 |
1,181 |
$2K |
| 51725 |
|
13 |
13 |
$2K |
| 73620 |
|
615 |
604 |
$2K |
| 82088 |
|
155 |
154 |
$2K |
| 82103 |
|
1,304 |
1,295 |
$2K |
| M0239 |
Bamlanivimab-xxxx infusion |
13 |
13 |
$2K |
| 0171A |
|
62 |
62 |
$2K |
| 82390 |
|
1,292 |
1,283 |
$2K |
| 92567 |
|
6,360 |
6,305 |
$2K |
| 86664 |
|
1,448 |
1,429 |
$2K |
| 84132 |
|
6,135 |
5,586 |
$2K |
| 86300 |
|
305 |
274 |
$2K |
| 82010 |
|
9,546 |
8,230 |
$2K |
| 57456 |
|
14 |
14 |
$2K |
| 86038 |
|
975 |
973 |
$2K |
| C1773 |
Ret dev, insertable |
1,161 |
1,150 |
$2K |
| 89060 |
|
1,841 |
1,754 |
$2K |
| 82150 |
|
4,844 |
4,575 |
$2K |
| 12031 |
|
12 |
12 |
$2K |
| 82164 |
|
989 |
969 |
$2K |
| 95806 |
|
25 |
25 |
$2K |
| 29405 |
|
15 |
12 |
$2K |
| J7321 |
Hyalgan supartz visco-3 dose |
31 |
16 |
$2K |
| 20552 |
|
13 |
13 |
$2K |
| 64400 |
|
12 |
12 |
$2K |
| 84630 |
|
596 |
592 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
14 |
14 |
$2K |
| 12011 |
|
2,508 |
2,467 |
$2K |
| 87420 |
|
4,789 |
4,734 |
$2K |
| 11200 |
|
77 |
77 |
$2K |
| 86381 |
|
375 |
373 |
$2K |
| 72195 |
|
13 |
13 |
$2K |
| 87101 |
|
2,296 |
2,284 |
$2K |
| J7060 |
5% dextrose/water |
288 |
230 |
$2K |
| 85379 |
|
20,802 |
20,397 |
$2K |
| C1729 |
Cath, drainage |
2,210 |
2,109 |
$2K |
| C1726 |
Cath, bal dil, non-vascular |
692 |
683 |
$2K |
| 85660 |
|
817 |
815 |
$1K |
| 87040 |
|
9,597 |
9,058 |
$1K |
| 96119 |
|
163 |
147 |
$1K |
| 72080 |
|
107 |
105 |
$1K |
| 99217 |
|
32 |
32 |
$1K |
| 99464 |
|
31 |
31 |
$1K |
| 85732 |
|
1,087 |
1,078 |
$1K |
| 85384 |
|
1,115 |
984 |
$1K |
| G0109 |
Diab manage trn ind/group |
34 |
26 |
$1K |
| 74230 |
|
26 |
26 |
$1K |
| C1889 |
Implant/insert device, noc |
122 |
122 |
$1K |
| 87209 |
|
693 |
671 |
$1K |
| 11720 |
|
202 |
201 |
$1K |
| 80177 |
|
3,001 |
2,695 |
$1K |
| 83605 |
|
37,020 |
32,939 |
$1K |
| 84134 |
|
208 |
133 |
$1K |
| 82525 |
|
494 |
478 |
$1K |
| 90715 |
|
19,621 |
19,558 |
$1K |
| 83498 |
|
345 |
339 |
$1K |
| 86644 |
|
1,188 |
1,160 |
$1K |
| 95819 |
|
14 |
13 |
$1K |
| 90647 |
|
29,971 |
29,775 |
$1K |
| 82140 |
|
1,779 |
1,687 |
$1K |
| 92611 |
|
26 |
26 |
$1K |
| 76821 |
|
1,566 |
822 |
$1K |
| 86225 |
|
750 |
738 |
$1K |
| 17000 |
|
133 |
131 |
$1K |
| 90853 |
|
26 |
14 |
$1K |
| 73070 |
|
394 |
378 |
$1K |
| 90380 |
|
207 |
207 |
$1K |
| 70481 |
|
12 |
12 |
$1K |
| 51702 |
|
94 |
89 |
$1K |
| 84244 |
|
157 |
156 |
$1K |
| 99401 |
|
27 |
27 |
$1K |
| 84300 |
|
1,312 |
1,245 |
$987.73 |
| 70360 |
|
748 |
743 |
$980.08 |
| 0172A |
|
26 |
26 |
$965.13 |
| 64445 |
|
28 |
26 |
$957.25 |
| 88261 |
|
16 |
16 |
$952.61 |
| 88313 |
|
613 |
601 |
$946.23 |
| 00142 |
|
23 |
16 |
$893.68 |
| 97803 |
|
273 |
272 |
$887.83 |
| 83090 |
|
208 |
207 |
$864.09 |
| 90685 |
|
3,062 |
3,021 |
$846.62 |
| 88185 |
|
191 |
179 |
$834.38 |
| 86735 |
|
302 |
297 |
$823.07 |
| 76942 |
|
768 |
752 |
$814.66 |
| 87102 |
|
1,341 |
1,306 |
$802.29 |
| 84075 |
|
27,972 |
26,855 |
$792.64 |
| 86015 |
|
380 |
378 |
$779.82 |
| 69200 |
|
142 |
136 |
$775.90 |
| 82785 |
|
408 |
407 |
$758.06 |
| 81513 |
|
26 |
26 |
$748.57 |
| 84163 |
|
693 |
688 |
$723.24 |
| 87563 |
|
132 |
132 |
$721.64 |
| 77072 |
|
26 |
26 |
$718.64 |
| 99152 |
|
6,217 |
5,855 |
$708.79 |
| 86141 |
|
228 |
227 |
$701.44 |
| 73120 |
|
55 |
54 |
$671.82 |
| 99231 |
|
29 |
18 |
$665.43 |
| 88108 |
|
396 |
386 |
$662.37 |
| 89051 |
|
3,405 |
2,325 |
$660.09 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
2,889 |
2,563 |
$653.10 |
| 95886 |
|
4,377 |
4,352 |
$633.11 |
| 87177 |
|
678 |
658 |
$625.02 |
| 00811 |
|
18 |
16 |
$617.13 |
| 99238 |
|
14 |
14 |
$613.50 |
| 94729 |
|
4,800 |
4,777 |
$612.28 |
| 76512 |
|
129 |
118 |
$587.26 |
| 0064A |
|
16 |
16 |
$580.50 |
| 87901 |
|
25 |
25 |
$578.68 |
| 76870 |
|
2,634 |
2,590 |
$571.65 |
| 84681 |
|
118 |
117 |
$551.06 |
| 93926 |
|
12 |
12 |
$527.04 |
| 96368 |
|
3,982 |
3,388 |
$523.40 |
| 84145 |
|
1,570 |
1,522 |
$480.24 |
| 87255 |
|
279 |
277 |
$478.44 |
| J2358 |
Olanzapine long-acting inj |
68 |
51 |
$477.48 |
| 98940 |
|
64 |
41 |
$462.53 |
| 92226 |
|
287 |
278 |
$453.20 |
| 82977 |
|
225 |
210 |
$442.45 |
| 90846 |
|
13 |
12 |
$441.34 |
| 11901 |
|
12 |
12 |
$437.74 |
| 92082 |
|
58 |
58 |
$434.36 |
| 93010 |
|
87 |
84 |
$431.30 |
| 96101 |
|
76 |
76 |
$431.16 |
| 92610 |
|
12 |
12 |
$427.78 |
| 0053A |
|
12 |
12 |
$402.30 |
| 12013 |
|
132 |
131 |
$399.14 |
| 99212 |
|
27 |
27 |
$384.16 |
| 86645 |
|
262 |
260 |
$365.70 |
| 86308 |
|
3,159 |
3,122 |
$357.17 |
| 73600 |
|
282 |
267 |
$355.31 |
| 93225 |
|
12 |
12 |
$349.86 |
| 84295 |
|
430 |
339 |
$344.79 |
| 93320 |
|
2,271 |
2,245 |
$343.54 |
| 12002 |
|
2,009 |
1,979 |
$336.20 |
| 87015 |
|
157 |
151 |
$329.55 |
| 64494 |
|
862 |
750 |
$321.05 |
| 83930 |
|
2,202 |
2,044 |
$320.89 |
| 87075 |
|
1,128 |
1,090 |
$310.00 |
| 96136 |
|
449 |
448 |
$303.88 |
| G0498 |
Chemo extend iv infus w/pump |
166 |
98 |
$302.92 |
| 76519 |
|
13 |
13 |
$293.86 |
| 85240 |
|
101 |
97 |
$292.78 |
| 87906 |
|
25 |
25 |
$289.36 |
| 72220 |
|
96 |
95 |
$281.47 |
| 86618 |
|
117 |
116 |
$277.18 |
| 82077 |
|
8,360 |
7,948 |
$272.26 |
| 80158 |
|
47 |
24 |
$258.01 |
| Q0112 |
Potassium hydroxide preps |
68 |
68 |
$249.86 |
| 73650 |
|
177 |
171 |
$247.80 |
| 64636 |
|
661 |
566 |
$236.49 |
| 72190 |
|
14 |
12 |
$229.20 |
| 96120 |
|
80 |
78 |
$220.46 |
| 96102 |
|
142 |
140 |
$220.46 |
| 87593 |
|
32 |
32 |
$217.16 |
| 84466 |
|
63 |
63 |
$213.85 |
| 95165 |
|
12 |
12 |
$209.96 |
| 96376 |
|
29,157 |
20,905 |
$206.69 |
| 74420 |
|
53 |
52 |
$205.58 |
| 85246 |
|
55 |
54 |
$202.32 |
| 11730 |
|
25 |
24 |
$196.29 |
| 84080 |
|
54 |
54 |
$194.80 |
| 99407 |
|
12 |
12 |
$191.96 |
| 99417 |
Prolong home eval add 15m |
564 |
555 |
$185.60 |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
18 |
18 |
$180.60 |
| G0168 |
Wound closure by adhesive |
14 |
14 |
$178.28 |
| 76937 |
|
882 |
817 |
$174.09 |
| 83718 |
|
51 |
51 |
$168.71 |
| 85245 |
|
43 |
42 |
$156.36 |
| 86777 |
|
92 |
87 |
$156.11 |
| 80185 |
|
620 |
513 |
$152.28 |
| C1894 |
Intro/sheath, non-laser |
2,241 |
2,129 |
$150.81 |
| 76376 |
|
1,598 |
1,589 |
$146.50 |
| 84432 |
|
28 |
28 |
$145.46 |
| 80143 |
|
2,189 |
2,138 |
$141.96 |
| 85651 |
|
383 |
375 |
$138.82 |
| 90714 |
|
1,529 |
1,526 |
$129.60 |
| 76827 |
|
284 |
283 |
$121.88 |
| 88280 |
|
16 |
16 |
$120.64 |
| 80179 |
|
2,000 |
1,969 |
$120.31 |
| 86008 |
|
24 |
24 |
$120.06 |
| 77073 |
|
28 |
26 |
$118.56 |
| 36416 |
|
2,570 |
2,076 |
$111.36 |
| 76514 |
|
2,327 |
2,317 |
$110.23 |
| 86355 |
|
12 |
12 |
$104.85 |
| 80178 |
|
52 |
51 |
$104.32 |
| 85049 |
|
64 |
57 |
$103.92 |
| 82955 |
|
104 |
104 |
$103.41 |
| 88285 |
|
16 |
16 |
$97.00 |
| 82542 |
|
31 |
28 |
$96.74 |
| 90833 |
|
4,031 |
3,895 |
$90.00 |
| J2305 |
Inj, nitroglycerin, 5 mg |
42 |
40 |
$83.21 |
| 86318 |
|
99 |
95 |
$79.62 |
| 85347 |
|
99 |
87 |
$79.40 |
| G0296 |
Visit to determ ldct elig |
83 |
83 |
$78.24 |
| 80202 |
|
21 |
12 |
$76.91 |
| 93325 |
|
2,655 |
2,610 |
$74.75 |
| 83935 |
|
158 |
145 |
$73.61 |
| 88142 |
|
12 |
12 |
$73.04 |
| J1100 |
Dexamethasone sodium phos |
28,193 |
24,013 |
$72.85 |
| 91318 |
|
297 |
295 |
$72.33 |
| 86340 |
|
13 |
13 |
$68.64 |
| 77002 |
|
1,801 |
1,611 |
$67.84 |
| 84166 |
|
13 |
13 |
$65.06 |
| J1836 |
Inj, metronidazole, 10 mg |
485 |
362 |
$58.85 |
| J3490 |
Drugs unclassified injection |
14,275 |
10,897 |
$58.67 |
| J2790 |
Rho d immune globulin inj |
1,021 |
1,009 |
$57.37 |
| 77001 |
|
331 |
322 |
$56.70 |
| 82787 |
|
13 |
13 |
$53.70 |
| 84590 |
|
12 |
12 |
$52.88 |
| 99153 |
Mod sedat endo service >5yrs |
4,066 |
3,908 |
$52.54 |
| 84133 |
|
83 |
80 |
$50.00 |
| J2272 |
Inj, morphine (fresenius) |
610 |
524 |
$48.66 |
| 81002 |
|
244 |
233 |
$47.75 |
| 86256 |
|
27 |
27 |
$45.17 |
| 87046 |
|
16 |
16 |
$43.10 |
| 87045 |
|
16 |
16 |
$43.10 |
| 80175 |
|
31 |
28 |
$39.50 |
| 90687 |
|
392 |
391 |
$38.33 |
| J1805 |
Inj, esmolol hcl, 10mg |
252 |
252 |
$37.55 |
| J1050 |
Medroxyprogesterone acetate |
6,599 |
6,589 |
$32.40 |
| 82652 |
|
12 |
12 |
$30.49 |
| 82985 |
|
12 |
12 |
$30.03 |
| J0137 |
Inj, acetaminophen (hikma) |
95 |
94 |
$28.28 |
| 90713 |
|
1,530 |
1,529 |
$28.14 |
| 29130 |
|
49 |
49 |
$27.98 |
| J1885 |
Ketorolac tromethamine inj |
16,397 |
14,916 |
$26.84 |
| J1200 |
Diphenhydramine hcl injectio |
14,007 |
11,834 |
$25.57 |
| 85307 |
|
12 |
12 |
$25.14 |
| 86778 |
|
27 |
26 |
$25.06 |
| 82310 |
|
13 |
13 |
$22.10 |
| J2704 |
Inj, propofol, 10 mg |
8,685 |
6,189 |
$22.05 |
| J0131 |
Inj, acetaminophen (nos) |
2,870 |
2,737 |
$21.77 |
| 90633 |
|
21,210 |
21,153 |
$21.00 |
| 82945 |
|
373 |
360 |
$17.84 |
| 84157 |
|
399 |
387 |
$17.68 |
| 80165 |
|
13 |
12 |
$16.76 |
| J3475 |
Inj magnesium sulfate |
2,179 |
1,927 |
$15.52 |
| 90710 |
|
9,051 |
9,037 |
$14.00 |
| 87449 |
|
14 |
14 |
$13.01 |
| 88311 |
|
42 |
42 |
$12.99 |
| 94760 |
|
128 |
127 |
$12.19 |
| 82042 |
|
60 |
52 |
$11.35 |
| G0283 |
Elec stim other than wound |
2,568 |
1,168 |
$11.20 |
| J0134 |
Inj acetaminophen -fresenius |
77 |
77 |
$10.94 |
| J3010 |
Fentanyl citrate injection |
5,326 |
4,847 |
$10.23 |
| J1920 |
Inj, labetalol hcl, 5mg |
318 |
237 |
$9.72 |
| 88300 |
|
12 |
12 |
$8.72 |
| 90696 |
|
8,871 |
8,854 |
$7.00 |
| 90700 |
|
10,370 |
10,338 |
$7.00 |
| 87116 |
|
12 |
12 |
$6.83 |
| 82435 |
|
122 |
118 |
$6.48 |
| J2405 |
Ondansetron hcl injection |
15,048 |
12,572 |
$6.40 |
| G1004 |
Cdsm ndsc |
67,328 |
57,644 |
$6.36 |
| J2250 |
Inj midazolam hydrochloride |
4,372 |
4,033 |
$6.06 |
| J2470 |
Inj pantoprazole sodium 40mg |
449 |
337 |
$5.76 |
| G2212 |
Prolong outpt/office vis |
1,088 |
1,078 |
$4.93 |
| 82272 |
|
2,104 |
2,078 |
$4.86 |
| J1170 |
Hydromorphone injection |
1,638 |
1,276 |
$4.76 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
478 |
471 |
$3.95 |
| 82040 |
|
12 |
12 |
$3.01 |
| J2060 |
Lorazepam injection |
564 |
475 |
$2.17 |
| Q0162 |
Ondansetron oral |
2,217 |
2,120 |
$2.13 |
| J2001 |
Lidocaine injection |
8,365 |
8,113 |
$0.44 |
| J0696 |
Ceftriaxone sodium injection |
4,163 |
3,780 |
$0.24 |
| J1030 |
Methylprednisolone 40 mg inj |
525 |
516 |
$0.03 |
| V2632 |
Post chmbr intraocular lens |
1,741 |
1,637 |
$0.00 |
| J1720 |
Hydrocortisone sodium succ i |
319 |
265 |
$0.00 |
| J1630 |
Haloperidol injection |
731 |
634 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
555 |
526 |
$0.00 |
| 90632 |
|
906 |
906 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
459 |
410 |
$0.00 |
| A9500 |
Tc99m sestamibi |
254 |
251 |
$0.00 |
| 91307 |
|
2,237 |
2,088 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
559 |
526 |
$0.00 |
| J0613 |
Calcium glucon (wg critical) |
81 |
72 |
$0.00 |
| G0268 |
Removal of impacted wax md |
943 |
932 |
$0.00 |
| A4648 |
Implantable tissue marker |
1,236 |
1,215 |
$0.00 |
| 95885 |
|
93 |
93 |
$0.00 |
| J3420 |
Vitamin b12 injection |
747 |
604 |
$0.00 |
| J2785 |
Regadenoson injection |
551 |
544 |
$0.00 |
| A9585 |
Gadobutrol injection |
143 |
141 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
1,114 |
1,029 |
$0.00 |
| Q0247 |
Sotrovimab |
71 |
71 |
$0.00 |
| J1817 |
Insulin for insulin pump use |
402 |
272 |
$0.00 |
| 91305 |
|
2,836 |
2,781 |
$0.00 |
| 90381 |
|
336 |
335 |
$0.00 |
| J1790 |
Droperidol injection |
250 |
222 |
$0.00 |
| A9503 |
Tc99m medronate |
16 |
15 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
57 |
55 |
$0.00 |
| 83883 |
|
45 |
43 |
$0.00 |
| 96110 |
|
349 |
348 |
$0.00 |
| 91317 |
|
187 |
184 |
$0.00 |
| C2617 |
Stent, non-cor, tem w/o del |
270 |
265 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
372 |
186 |
$0.00 |
| J9267 |
Paclitaxel injection |
246 |
112 |
$0.00 |
| 94660 |
|
77 |
55 |
$0.00 |
| 96139 |
|
129 |
126 |
$0.00 |
| J3480 |
Inj potassium chloride |
319 |
263 |
$0.00 |
| 91315 |
|
270 |
270 |
$0.00 |
| 76377 |
|
69 |
68 |
$0.00 |
| J0610 |
Calcium glucon (fresenius) |
18 |
16 |
$0.00 |
| J0461 |
Atropine sulfate injection |
38 |
25 |
$0.00 |
| 74328 |
|
57 |
57 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
33 |
24 |
$0.00 |
| Q0221 |
Tixagev and cilgav, 600mg |
13 |
13 |
$0.00 |
| 91301 |
|
247 |
243 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
264 |
260 |
$0.00 |
| G8980 |
Mobility d/c status |
13 |
12 |
$0.00 |
| J1815 |
Insulin injection |
168 |
128 |
$0.00 |
| 91319 |
|
194 |
194 |
$0.00 |
| 91303 |
|
26 |
26 |
$0.00 |
| C1766 |
Intro/sheath,strble,non-peel |
14 |
13 |
$0.00 |
| G0399 |
Home sleep test/type 3 porta |
16 |
16 |
$0.00 |
| 91306 |
|
15 |
15 |
$0.00 |
| G8988 |
Self care goal status |
14 |
12 |
$0.00 |
| 99156 |
|
13 |
13 |
$0.00 |
| C1758 |
Catheter, ureteral |
1,096 |
1,062 |
$0.00 |
| J2930 |
Methylprednisolone injection |
638 |
566 |
$0.00 |
| 90707 |
|
10,920 |
10,879 |
$0.00 |
| 51741 |
|
24 |
24 |
$0.00 |
| 58340 |
|
81 |
81 |
$0.00 |
| J2270 |
Morphine sulfate injection |
3,046 |
2,598 |
$0.00 |
| G8979 |
Mobility goal status |
118 |
108 |
$0.00 |
| 90836 |
|
328 |
316 |
$0.00 |
| 92504 |
|
633 |
613 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
5,419 |
3,332 |
$0.00 |
| C1887 |
Catheter, guiding |
1,548 |
1,486 |
$0.00 |
| J3489 |
Zoledronic acid 1mg |
204 |
198 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,288 |
2,968 |
$0.00 |
| Q0163 |
Diphenhydramine hcl 50mg |
538 |
480 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
3,531 |
3,395 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
5,330 |
3,773 |
$0.00 |
| 91312 |
|
1,926 |
1,925 |
$0.00 |
| J2800 |
Methocarbamol injection |
382 |
354 |
$0.00 |
| 11101 |
|
19 |
13 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
222 |
218 |
$0.00 |
| A9552 |
F18 fdg |
740 |
736 |
$0.00 |
| C1760 |
Closure dev, vasc |
922 |
902 |
$0.00 |
| G0500 |
Mod sedat endo service >5yrs |
1,373 |
1,357 |
$0.00 |
| 96133 |
|
409 |
409 |
$0.00 |
| 88302 |
|
12 |
12 |
$0.00 |
| C1765 |
Adhesion barrier |
723 |
721 |
$0.00 |
| 77012 |
|
25 |
25 |
$0.00 |
| 91300 |
|
11,520 |
10,390 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
91 |
91 |
$0.00 |
| J1939 |
Inj, bumetanide, 0.5 mg |
13 |
12 |
$0.00 |
| C1751 |
Cath, inf, per/cent/midline |
238 |
228 |
$0.00 |
| 95874 |
|
24 |
24 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
103 |
90 |
$0.00 |
| A6209 |
Foam drsg <=16 sq in w/o bdr |
81 |
37 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
303 |
249 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
232 |
157 |
$0.00 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
86 |
40 |
$0.00 |
| J1756 |
Iron sucrose injection |
1,194 |
536 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
174 |
172 |
$0.00 |
| 82365 |
|
25 |
25 |
$0.00 |
| Q9956 |
Inj octafluoropropane mic,ml |
26 |
26 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
159 |
130 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
132 |
120 |
$0.00 |
| J0780 |
Prochlorperazine injection |
124 |
108 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
1,198 |
1,190 |
$0.00 |
| 91308 |
|
496 |
473 |
$0.00 |
| 82375 |
|
203 |
200 |
$0.00 |
| A9541 |
Tc99m sulfur colloid |
71 |
71 |
$0.00 |
| C1874 |
Stent, coated/cov w/del sys |
31 |
31 |
$0.00 |
| 93356 |
|
82 |
82 |
$0.00 |
| C2625 |
Stent, non-cor, tem w/del sy |
42 |
41 |
$0.00 |
| 77003 |
|
62 |
57 |
$0.00 |
| 93321 |
|
13 |
13 |
$0.00 |
| Q0245 |
Bamlanivimab and etesevima |
542 |
301 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
111 |
71 |
$0.00 |
| 73565 |
|
37 |
37 |
$0.00 |
| 17003 |
|
13 |
13 |
$0.00 |
| 90672 |
|
205 |
205 |
$0.00 |
| A6021 |
Collagen dressing <=16 sq in |
33 |
27 |
$0.00 |
| C1776 |
Joint device (implantable) |
30 |
30 |
$0.00 |
| 82610 |
|
27 |
27 |
$0.00 |
| 77062 |
|
51 |
51 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
63 |
62 |
$0.00 |
| 86922 |
|
40 |
37 |
$0.00 |
| Q0239 |
Bamlanivimab-xxxx |
12 |
12 |
$0.00 |
| 90655 |
|
24 |
24 |
$0.00 |
| Q0220 |
Tixagev and cilgav, 300mg |
15 |
15 |
$0.00 |