| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
|
1,821,214 |
1,274,644 |
$154.78M |
| 99214 |
|
735,694 |
546,096 |
$75.54M |
| 96110 |
|
186,711 |
159,045 |
$46.47M |
| 90847 |
|
125,322 |
74,516 |
$27.14M |
| 99392 |
|
314,916 |
217,174 |
$23.86M |
| 99391 |
|
301,591 |
211,567 |
$23.55M |
| 96127 |
|
185,284 |
127,946 |
$21.13M |
| 99283 |
|
143,184 |
135,385 |
$21.00M |
| 90837 |
|
130,611 |
71,860 |
$20.26M |
| 90791 |
|
63,199 |
56,468 |
$19.54M |
| 92551 |
|
220,887 |
207,228 |
$18.93M |
| 99393 |
|
231,890 |
164,240 |
$17.41M |
| 99212 |
|
187,258 |
135,179 |
$13.81M |
| 92507 |
|
149,925 |
56,800 |
$13.44M |
| 90846 |
|
58,491 |
37,106 |
$12.82M |
| 69436 |
|
8,435 |
7,479 |
$12.31M |
| 99215 |
Prolong outpt/office vis |
93,236 |
74,231 |
$11.31M |
| 99394 |
|
135,512 |
96,387 |
$11.15M |
| 90834 |
|
81,108 |
50,398 |
$10.75M |
| 97110 |
|
103,193 |
38,596 |
$10.64M |
| 99284 |
|
65,506 |
60,921 |
$9.86M |
| D2930 |
|
12,695 |
11,203 |
$8.24M |
| 96161 |
|
61,469 |
57,758 |
$7.25M |
| J0585 |
Injection,onabotulinumtoxina |
5,120 |
4,565 |
$6.46M |
| J3490 |
Drugs unclassified injection |
247,165 |
110,739 |
$6.27M |
| H0036 |
Comm psy face-face per 15min |
89,834 |
38,745 |
$5.94M |
| 42820 |
|
4,572 |
3,888 |
$5.33M |
| 97530 |
|
55,689 |
25,672 |
$5.18M |
| D7140 |
|
7,802 |
6,666 |
$4.41M |
| 90832 |
|
44,308 |
29,565 |
$4.03M |
| 36512 |
|
2,123 |
1,633 |
$3.44M |
| 41899 |
|
4,719 |
4,271 |
$3.32M |
| G0378 |
Hospital observation per hr |
38,973 |
16,839 |
$3.26M |
| 95810 |
|
3,186 |
3,071 |
$2.95M |
| 83655 |
|
111,575 |
104,108 |
$2.84M |
| 90839 |
|
15,340 |
13,496 |
$2.79M |
| 99282 |
|
18,430 |
17,079 |
$2.76M |
| 93306 |
|
6,032 |
5,422 |
$2.52M |
| 99285 |
|
15,443 |
13,636 |
$2.34M |
| 67311 |
|
825 |
636 |
$2.28M |
| 93303 |
|
5,711 |
5,125 |
$2.26M |
| D3220 |
|
4,945 |
4,163 |
$2.20M |
| 43239 |
|
2,878 |
2,067 |
$2.15M |
| 97803 |
|
24,728 |
22,262 |
$2.15M |
| 90471 |
|
460,396 |
422,077 |
$1.94M |
| 42830 |
|
1,669 |
1,367 |
$1.91M |
| A0431 |
Rotary wing air transport |
1,240 |
1,134 |
$1.89M |
| 64643 |
|
3,703 |
3,133 |
$1.83M |
| 0202U |
|
8,569 |
7,779 |
$1.76M |
| 96130 |
|
6,502 |
5,771 |
$1.72M |
| U0003 |
Cov-19 amp prb hgh thruput |
8,352 |
8,198 |
$1.70M |
| 94640 |
|
11,734 |
7,160 |
$1.64M |
| 76770 |
|
6,967 |
6,520 |
$1.61M |
| 95782 |
|
1,813 |
1,755 |
$1.61M |
| J1569 |
Gammagard liquid injection |
1,194 |
427 |
$1.60M |
| D1351 |
|
4,484 |
3,733 |
$1.57M |
| J1745 |
Infliximab not biosimil 10mg |
720 |
572 |
$1.47M |
| 90686 |
|
198,720 |
175,693 |
$1.43M |
| 44970 |
|
406 |
309 |
$1.38M |
| 90792 |
|
4,369 |
4,103 |
$1.38M |
| 90648 |
|
100,159 |
93,780 |
$1.36M |
| Q5103 |
Injection, inflectra |
1,619 |
1,124 |
$1.34M |
| 96365 |
|
7,443 |
4,971 |
$1.33M |
| 96413 |
|
5,571 |
4,115 |
$1.29M |
| 30802 |
|
828 |
677 |
$1.28M |
| 99203 |
|
40,014 |
38,936 |
$1.27M |
| 87635 |
|
48,756 |
47,304 |
$1.24M |
| 87651 |
|
107,686 |
95,533 |
$1.11M |
| 95004 |
|
9,492 |
8,357 |
$1.11M |
| 96156 |
|
4,015 |
3,524 |
$1.09M |
| 70551 |
|
4,645 |
3,944 |
$1.07M |
| 92523 |
|
10,673 |
9,897 |
$994K |
| 99204 |
|
18,938 |
18,247 |
$980K |
| 93325 |
|
9,616 |
8,677 |
$897K |
| D2390 |
|
3,421 |
2,872 |
$880K |
| A0434 |
Specialty care transport |
5,270 |
4,644 |
$877K |
| J7307 |
Etonogestrel implant system |
968 |
786 |
$842K |
| 99395 |
|
7,934 |
6,217 |
$839K |
| 70553 |
|
2,134 |
1,791 |
$805K |
| 81229 |
|
1,339 |
1,197 |
$794K |
| 70450 |
|
1,834 |
1,583 |
$789K |
| 01922 |
|
3,255 |
2,520 |
$785K |
| 92567 |
|
22,659 |
21,350 |
$724K |
| 92587 |
|
6,445 |
5,943 |
$712K |
| 90670 |
|
103,103 |
96,777 |
$689K |
| 90633 |
|
63,541 |
58,655 |
$684K |
| H2020 |
Ther behav svc, per diem |
4,322 |
703 |
$682K |
| 36416 |
|
69,974 |
62,783 |
$678K |
| 97167 |
|
4,748 |
4,348 |
$663K |
| 97162 |
|
6,846 |
6,297 |
$660K |
| 90849 |
|
4,771 |
2,089 |
$650K |
| 97153 |
|
2,984 |
289 |
$634K |
| 97161 |
|
7,390 |
6,651 |
$620K |
| 96366 |
|
2,300 |
1,370 |
$617K |
| 92511 |
|
1,597 |
1,568 |
$614K |
| 95819 |
|
2,621 |
2,495 |
$572K |
| 96158 |
|
7,720 |
5,419 |
$555K |
| 97802 |
|
5,319 |
4,814 |
$545K |
| 80053 |
|
35,463 |
29,413 |
$541K |
| A0425 |
Ground mileage |
8,569 |
7,487 |
$539K |
| J3535 |
Metered dose inhaler drug |
14,092 |
11,334 |
$535K |
| J1050 |
Medroxyprogesterone acetate |
8,033 |
6,920 |
$509K |
| 99244 |
|
10,163 |
9,704 |
$507K |
| 90853 |
|
3,402 |
1,166 |
$505K |
| 29075 |
|
2,987 |
2,810 |
$505K |
| D2391 |
|
2,016 |
1,679 |
$505K |
| 80061 |
|
38,445 |
35,048 |
$485K |
| A0436 |
Rotary wing air mileage |
1,213 |
1,111 |
$485K |
| 96415 |
|
1,087 |
716 |
$484K |
| D1208 |
|
34,939 |
34,585 |
$482K |
| P9016 |
Rbc leukocytes reduced |
2,318 |
1,779 |
$477K |
| 76700 |
|
1,920 |
1,745 |
$476K |
| 97535 |
|
9,162 |
6,060 |
$473K |
| 96361 |
|
1,020 |
723 |
$472K |
| 45380 |
|
580 |
419 |
$450K |
| 87491 |
|
29,850 |
26,559 |
$441K |
| 90651 |
|
44,112 |
40,109 |
$437K |
| 76705 |
|
4,806 |
4,055 |
$434K |
| 87650 |
|
13,860 |
13,508 |
$427K |
| 64642 |
|
4,406 |
3,796 |
$406K |
| 99243 |
|
13,132 |
12,717 |
$404K |
| 54161 |
|
431 |
339 |
$403K |
| 97112 |
|
10,952 |
4,960 |
$401K |
| A0427 |
Als1-emergency |
2,579 |
2,424 |
$400K |
| 92526 |
|
4,182 |
2,452 |
$397K |
| 36415 |
|
140,747 |
125,899 |
$395K |
| 95715 |
|
342 |
289 |
$392K |
| 96116 |
|
1,266 |
1,175 |
$390K |
| D2392 |
|
1,326 |
1,119 |
$386K |
| 90620 |
|
14,411 |
12,302 |
$384K |
| 87591 |
|
29,841 |
26,547 |
$383K |
| J2997 |
Alteplase recombinant |
965 |
372 |
$382K |
| 99211 |
|
4,086 |
3,036 |
$371K |
| 54640 |
|
188 |
156 |
$371K |
| 76856 |
|
1,540 |
1,370 |
$370K |
| J7298 |
Mirena, 52 mg |
385 |
317 |
$368K |
| 90472 |
|
282,831 |
225,249 |
$341K |
| 97166 |
|
2,929 |
2,710 |
$340K |
| 31622 |
|
532 |
389 |
$337K |
| 71046 |
|
21,398 |
18,889 |
$331K |
| 84439 |
|
25,483 |
23,315 |
$330K |
| 85025 |
|
56,757 |
47,967 |
$329K |
| 95812 |
|
275 |
258 |
$322K |
| S9485 |
Crisis intervention mental h |
1,206 |
687 |
$317K |
| 92552 |
|
6,703 |
6,175 |
$317K |
| 17110 |
|
1,790 |
1,390 |
$312K |
| 87426 |
|
115,632 |
102,985 |
$307K |
| J1439 |
Inj ferric carboxymaltos 1mg |
620 |
444 |
$306K |
| 29405 |
|
1,840 |
904 |
$301K |
| 96167 |
|
6,383 |
4,723 |
$300K |
| 99381 |
|
8,598 |
8,370 |
$299K |
| 74018 |
|
12,707 |
11,077 |
$296K |
| 99188 |
|
22,664 |
21,389 |
$292K |
| D2330 |
|
1,731 |
1,436 |
$290K |
| 42821 |
|
232 |
199 |
$285K |
| 49452 |
|
828 |
694 |
$282K |
| 90723 |
|
68,936 |
64,428 |
$277K |
| 96132 |
|
1,009 |
917 |
$273K |
| 96138 |
|
5,940 |
5,327 |
$272K |
| 82728 |
|
20,201 |
17,810 |
$270K |
| 36430 |
|
626 |
320 |
$267K |
| 99205 |
Prolong outpt/office vis |
3,862 |
3,733 |
$260K |
| 93976 |
|
1,806 |
1,579 |
$259K |
| 85018 |
|
62,203 |
56,237 |
$257K |
| 73721 |
|
811 |
753 |
$257K |
| 90681 |
|
41,260 |
38,424 |
$254K |
| 82306 |
|
23,937 |
21,479 |
$248K |
| 90677 |
|
21,396 |
20,113 |
$246K |
| V5261 |
Hearing aid, digit, bin, bte |
194 |
186 |
$244K |
| 83036 |
|
48,264 |
44,305 |
$243K |
| 24538 |
|
62 |
53 |
$241K |
| J7120 |
Ringers lactate infusion |
70,603 |
53,630 |
$238K |
| 93005 |
|
43,120 |
39,734 |
$229K |
| 90619 |
|
21,823 |
18,398 |
$229K |
| 92508 |
|
2,087 |
724 |
$226K |
| 95816 |
|
984 |
911 |
$225K |
| 97165 |
|
1,675 |
1,526 |
$225K |
| 92579 |
|
3,468 |
3,211 |
$224K |
| 87507 |
|
2,222 |
2,016 |
$223K |
| 96360 |
|
719 |
583 |
$222K |
| 29065 |
|
1,227 |
1,140 |
$216K |
| S9482 |
Family stabilization 15 min |
1,419 |
534 |
$212K |
| 95076 |
|
690 |
536 |
$211K |
| 97116 |
|
5,295 |
2,706 |
$208K |
| 97542 |
|
2,241 |
2,053 |
$207K |
| 92630 |
|
2,490 |
1,294 |
$202K |
| 87661 |
|
24,254 |
21,816 |
$201K |
| 74177 |
|
623 |
502 |
$200K |
| 97750 |
|
3,412 |
2,941 |
$193K |
| 93243 |
|
1,190 |
1,120 |
$193K |
| J1100 |
Dexamethasone sodium phos |
69,206 |
57,713 |
$192K |
| 96102 |
|
1,140 |
1,001 |
$191K |
| 87086 |
|
19,919 |
17,386 |
$191K |
| 85027 |
|
41,822 |
34,324 |
$187K |
| 87070 |
|
13,299 |
11,787 |
$183K |
| 96131 |
|
7,180 |
5,483 |
$180K |
| J2405 |
Ondansetron hcl injection |
56,281 |
46,945 |
$179K |
| 76536 |
|
1,412 |
1,263 |
$177K |
| 84443 |
|
22,973 |
21,015 |
$173K |
| 90840 |
|
4,275 |
3,838 |
$169K |
| 10060 |
|
705 |
617 |
$162K |
| 74240 |
|
751 |
691 |
$159K |
| 90700 |
|
17,576 |
15,351 |
$157K |
| 99281 |
|
1,051 |
936 |
$156K |
| 96450 |
|
376 |
232 |
$156K |
| 93226 |
|
976 |
913 |
$153K |
| 72141 |
|
748 |
617 |
$151K |
| 90697 |
|
24,429 |
23,165 |
$146K |
| 29085 |
|
780 |
726 |
$146K |
| 86140 |
|
20,120 |
17,165 |
$146K |
| J0561 |
Penicillin g benzathine inj |
1,113 |
854 |
$143K |
| 76885 |
|
956 |
881 |
$143K |
| 36573 |
|
304 |
164 |
$141K |
| J2704 |
Inj, propofol, 10 mg |
51,748 |
44,047 |
$140K |
| 17250 |
|
631 |
546 |
$139K |
| 12011 |
|
775 |
660 |
$139K |
| 20680 |
|
70 |
57 |
$139K |
| 30930 |
|
527 |
422 |
$138K |
| 90696 |
|
15,429 |
13,564 |
$136K |
| 90715 |
|
17,803 |
15,382 |
$136K |
| 87804 |
|
113,361 |
100,868 |
$135K |
| 86850 |
|
5,225 |
3,963 |
$134K |
| 93304 |
|
354 |
287 |
$132K |
| 95700 |
|
691 |
583 |
$130K |
| 83020 |
|
10,402 |
7,471 |
$129K |
| 96372 |
|
14,995 |
12,115 |
$128K |
| 76000 |
|
2,922 |
2,322 |
$126K |
| D1510 |
|
606 |
502 |
$126K |
| 76882 |
|
1,189 |
1,025 |
$125K |
| 74230 |
|
864 |
779 |
$124K |
| 11981 |
|
542 |
422 |
$124K |
| 92555 |
|
4,233 |
3,889 |
$123K |
| 70543 |
|
261 |
216 |
$122K |
| 93308 |
|
313 |
267 |
$121K |
| 92553 |
|
1,464 |
1,345 |
$120K |
| 12001 |
|
570 |
480 |
$117K |
| 97124 |
|
1,631 |
595 |
$115K |
| H2000 |
Comp multidisipln evaluation |
1,611 |
1,480 |
$109K |
| 92557 |
|
1,011 |
934 |
$107K |
| 81479 |
|
971 |
706 |
$105K |
| 90716 |
|
20,854 |
18,396 |
$104K |
| 99202 |
|
4,523 |
4,495 |
$102K |
| 81243 |
|
812 |
710 |
$102K |
| 80048 |
|
8,114 |
6,577 |
$101K |
| 72170 |
|
6,005 |
5,459 |
$101K |
| 86920 |
|
3,221 |
2,465 |
$101K |
| 97156 |
|
464 |
256 |
$100K |
| 92582 |
|
1,796 |
1,639 |
$100K |
| L3908 |
Who cock-up nonmolde pre ots |
2,844 |
2,595 |
$98K |
| 86480 |
|
2,995 |
2,699 |
$97K |
| J0741 |
Inj, cabote rilpivir 2mg 3mg |
14 |
12 |
$96K |
| 70486 |
|
553 |
488 |
$95K |
| 84460 |
|
25,384 |
22,400 |
$95K |
| 92524 |
|
1,359 |
1,268 |
$94K |
| 99383 |
|
2,252 |
2,228 |
$94K |
| D2335 |
|
411 |
333 |
$93K |
| 71250 |
|
518 |
459 |
$93K |
| 97163 |
|
873 |
775 |
$91K |
| 82248 |
|
15,992 |
11,327 |
$91K |
| 81425 |
|
157 |
134 |
$91K |
| 72082 |
|
4,497 |
4,195 |
$90K |
| 76825 |
|
708 |
662 |
$90K |
| 83540 |
|
10,414 |
9,316 |
$90K |
| 99384 |
|
1,731 |
1,710 |
$88K |
| 99417 |
Prolong home eval add 15m |
5,846 |
4,699 |
$87K |
| 97763 |
|
900 |
741 |
$86K |
| 87486 |
|
2,656 |
2,595 |
$86K |
| 92610 |
|
1,009 |
937 |
$85K |
| 94010 |
|
7,401 |
6,606 |
$85K |
| 80307 |
|
2,967 |
2,299 |
$84K |
| 85007 |
|
16,059 |
11,497 |
$84K |
| 86364 |
|
6,990 |
6,314 |
$83K |
| 67312 |
|
27 |
16 |
$83K |
| 81001 |
|
14,615 |
12,500 |
$81K |
| 90707 |
|
18,945 |
16,449 |
$81K |
| 87581 |
|
8,395 |
8,213 |
$81K |
| 71260 |
|
258 |
195 |
$79K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
657 |
519 |
$79K |
| 86900 |
|
5,511 |
4,190 |
$78K |
| 95716 |
|
76 |
63 |
$78K |
| 80069 |
|
4,502 |
3,382 |
$78K |
| 90734 |
|
11,763 |
11,520 |
$76K |
| 93247 |
|
472 |
446 |
$76K |
| 82784 |
|
9,347 |
7,643 |
$76K |
| L1832 |
Ko adj jnt pos r sup pre cst |
322 |
308 |
$76K |
| 67808 |
|
65 |
42 |
$76K |
| 83550 |
|
9,861 |
8,818 |
$75K |
| 90710 |
|
17,664 |
15,642 |
$74K |
| 72148 |
|
888 |
751 |
$72K |
| 81408 |
|
596 |
393 |
$72K |
| 97158 |
|
225 |
35 |
$72K |
| 90833 |
|
612 |
591 |
$72K |
| 87077 |
|
10,018 |
8,726 |
$71K |
| 81405 |
|
637 |
488 |
$71K |
| 87633 |
|
2,656 |
2,595 |
$70K |
| 92652 |
|
1,471 |
1,222 |
$70K |
| 87798 |
|
4,261 |
3,629 |
$70K |
| 81406 |
|
672 |
513 |
$70K |
| 90656 |
|
11,376 |
11,326 |
$70K |
| L1902 |
Afo ankle gauntlet pre ots |
1,536 |
1,365 |
$69K |
| 90460 |
|
3,330 |
2,534 |
$69K |
| 99245 |
|
1,153 |
1,078 |
$68K |
| 81025 |
|
28,669 |
24,321 |
$67K |
| 73070 |
|
3,341 |
2,760 |
$67K |
| 54150 |
|
94 |
92 |
$66K |
| L3807 |
Whfo w/o joints pre cst |
601 |
589 |
$66K |
| 73610 |
|
4,962 |
4,394 |
$66K |
| 80197 |
|
2,778 |
1,492 |
$65K |
| D2331 |
|
533 |
453 |
$64K |
| 92060 |
|
1,299 |
1,170 |
$63K |
| 76800 |
|
406 |
380 |
$63K |
| 87497 |
|
1,919 |
1,049 |
$63K |
| 49450 |
|
206 |
177 |
$63K |
| 92522 |
|
626 |
574 |
$62K |
| D2332 |
|
321 |
270 |
$62K |
| 72081 |
|
3,420 |
3,159 |
$61K |
| 83735 |
|
14,261 |
10,109 |
$61K |
| J0475 |
Baclofen 10 mg injection |
68 |
63 |
$61K |
| 11900 |
|
345 |
289 |
$60K |
| 97760 |
|
557 |
512 |
$60K |
| 51726 |
|
166 |
151 |
$59K |
| 87799 |
|
2,320 |
1,319 |
$59K |
| 86922 |
|
2,428 |
1,940 |
$59K |
| 11982 |
|
252 |
189 |
$58K |
| V5264 |
Ear mold/insert |
2,521 |
1,608 |
$58K |
| 90785 |
|
2,253 |
1,834 |
$57K |
| 73560 |
|
3,048 |
2,626 |
$57K |
| 82947 |
|
20,797 |
14,856 |
$57K |
| 81404 |
|
619 |
392 |
$56K |
| 97533 |
|
716 |
337 |
$56K |
| 85652 |
|
19,782 |
17,058 |
$55K |
| 54300 |
|
28 |
25 |
$54K |
| 92201 |
|
818 |
664 |
$53K |
| 85610 |
|
8,069 |
6,365 |
$53K |
| 77080 |
|
792 |
734 |
$53K |
| 96139 |
|
6,021 |
5,309 |
$52K |
| 88307 |
|
601 |
418 |
$52K |
| 77072 |
|
1,685 |
1,543 |
$52K |
| 94621 |
|
380 |
338 |
$52K |
| 92015 |
|
3,865 |
3,685 |
$52K |
| V5160 |
Dispensing fee binaural |
209 |
188 |
$51K |
| 86592 |
|
6,833 |
6,017 |
$50K |
| 81403 |
|
425 |
321 |
$50K |
| 73630 |
|
4,273 |
3,820 |
$50K |
| 83993 |
|
2,001 |
1,845 |
$48K |
| 73590 |
|
3,527 |
2,928 |
$48K |
| 81407 |
|
400 |
343 |
$47K |
| 74183 |
|
176 |
146 |
$47K |
| 10120 |
|
220 |
190 |
$46K |
| 70480 |
|
229 |
203 |
$46K |
| 87389 |
|
6,616 |
5,766 |
$46K |
| 76827 |
|
709 |
663 |
$46K |
| 31624 |
|
46 |
31 |
$45K |
| 81003 |
|
44,875 |
40,391 |
$45K |
| 97140 |
|
1,491 |
784 |
$45K |
| 73552 |
|
2,116 |
1,806 |
$45K |
| 74019 |
|
3,134 |
2,725 |
$45K |
| 82977 |
|
7,179 |
5,942 |
$44K |
| 92611 |
|
843 |
769 |
$44K |
| 73090 |
|
4,995 |
4,105 |
$43K |
| 74455 |
|
291 |
247 |
$43K |
| 86664 |
|
1,761 |
1,549 |
$43K |
| 73140 |
|
4,286 |
3,758 |
$43K |
| 96136 |
|
4,145 |
3,696 |
$42K |
| 97016 |
|
952 |
317 |
$42K |
| 71275 |
|
85 |
67 |
$41K |
| 87536 |
|
3,301 |
3,043 |
$41K |
| 12051 |
|
305 |
253 |
$40K |
| 97150 |
|
2,114 |
675 |
$40K |
| 96374 |
|
6,046 |
4,584 |
$40K |
| 87186 |
|
8,595 |
7,435 |
$39K |
| 93975 |
|
354 |
316 |
$38K |
| 82610 |
|
4,158 |
3,586 |
$38K |
| 92250 |
|
746 |
679 |
$38K |
| 91200 |
|
239 |
234 |
$37K |
| 97164 |
|
444 |
398 |
$37K |
| 00400 |
|
964 |
646 |
$37K |
| 80051 |
|
5,992 |
4,801 |
$37K |
| 94060 |
|
1,039 |
853 |
$37K |
| 86355 |
|
2,787 |
2,378 |
$36K |
| 84450 |
|
8,485 |
7,399 |
$36K |
| 99382 |
|
895 |
890 |
$36K |
| 82565 |
|
11,792 |
9,692 |
$36K |
| 95117 |
|
730 |
347 |
$36K |
| J7999 |
Compounded drug, noc |
4,403 |
3,560 |
$36K |
| 86003 |
|
2,597 |
2,249 |
$35K |
| 97155 |
|
481 |
160 |
$35K |
| 87088 |
|
6,064 |
5,296 |
$34K |
| 92626 |
|
358 |
332 |
$34K |
| 84100 |
|
12,917 |
9,229 |
$33K |
| 85014 |
|
4,911 |
4,069 |
$33K |
| 86832 |
|
536 |
419 |
$33K |
| 82533 |
|
1,576 |
1,286 |
$33K |
| 85045 |
|
12,204 |
9,657 |
$32K |
| 93320 |
|
5,735 |
5,125 |
$32K |
| 81267 |
|
166 |
107 |
$32K |
| 80076 |
|
3,300 |
2,790 |
$32K |
| 96367 |
|
333 |
238 |
$31K |
| 29345 |
|
170 |
154 |
$31K |
| 86901 |
|
5,514 |
4,190 |
$31K |
| 88262 |
|
225 |
174 |
$31K |
| 86803 |
|
4,279 |
3,699 |
$31K |
| 49591 |
|
21 |
15 |
$31K |
| 83970 |
|
2,004 |
1,723 |
$31K |
| 96101 |
|
141 |
134 |
$31K |
| 00160 |
|
547 |
427 |
$30K |
| 82570 |
|
7,193 |
5,916 |
$30K |
| 88341 |
|
411 |
274 |
$29K |
| 91320 |
|
2,930 |
2,484 |
$29K |
| 73130 |
|
2,565 |
2,316 |
$29K |
| 96133 |
|
1,266 |
990 |
$28K |
| D2999 |
|
25 |
25 |
$28K |
| 84146 |
|
1,612 |
1,426 |
$28K |
| 92082 |
|
412 |
381 |
$28K |
| 82247 |
|
5,434 |
4,240 |
$27K |
| 29450 |
|
162 |
79 |
$27K |
| 83516 |
|
2,363 |
2,061 |
$26K |
| 92133 |
|
475 |
443 |
$26K |
| 81329 |
|
191 |
154 |
$26K |
| 87522 |
Neg quan hep c or qual rna |
1,385 |
1,313 |
$26K |
| 87880 |
|
28,029 |
27,628 |
$26K |
| 73718 |
|
76 |
64 |
$25K |
| 75561 |
|
64 |
52 |
$25K |
| 87338 |
|
1,089 |
1,007 |
$25K |
| 96112 |
|
138 |
99 |
$25K |
| 83525 |
|
892 |
767 |
$25K |
| 87340 |
|
3,522 |
3,062 |
$24K |
| 73100 |
|
3,786 |
3,161 |
$24K |
| 85240 |
|
1,363 |
1,172 |
$24K |
| 75573 |
|
44 |
39 |
$24K |
| 82785 |
|
2,675 |
2,406 |
$24K |
| J3010 |
Fentanyl citrate injection |
24,390 |
19,790 |
$24K |
| 51784 |
|
166 |
151 |
$23K |
| 71555 |
|
78 |
66 |
$23K |
| 90675 |
|
161 |
90 |
$23K |
| 96160 |
|
429 |
262 |
$23K |
| 31575 |
|
191 |
188 |
$23K |
| 72100 |
|
1,355 |
1,221 |
$22K |
| 90687 |
|
2,149 |
2,137 |
$22K |
| 82607 |
|
1,884 |
1,677 |
$22K |
| 84403 |
|
2,420 |
2,159 |
$22K |
| 86706 |
|
1,896 |
1,689 |
$21K |
| 24640 |
|
59 |
54 |
$21K |
| 85245 |
|
1,238 |
1,082 |
$21K |
| 86902 |
|
1,237 |
964 |
$21K |
| 86665 |
|
2,399 |
1,559 |
$20K |
| 86833 |
|
538 |
421 |
$20K |
| 76870 |
|
995 |
867 |
$20K |
| 84311 |
|
3,917 |
2,385 |
$20K |
| 96152 |
|
187 |
126 |
$20K |
| 70544 |
|
78 |
70 |
$20K |
| 72040 |
|
1,316 |
1,167 |
$20K |
| 96376 |
|
2,264 |
1,290 |
$19K |
| J8501 |
Oral aprepitant |
1,259 |
817 |
$19K |
| 93296 |
|
507 |
444 |
$19K |
| 86360 |
|
2,625 |
2,249 |
$19K |
| 00731 |
|
2,339 |
1,674 |
$19K |
| D9222 |
|
15,717 |
13,980 |
$19K |
| 87529 |
|
1,312 |
1,187 |
$19K |
| 86359 |
|
2,632 |
2,251 |
$19K |
| 86357 |
|
2,626 |
2,251 |
$19K |
| 87510 |
|
4,520 |
4,065 |
$19K |
| 93886 |
|
73 |
67 |
$19K |
| 76506 |
|
141 |
131 |
$19K |
| 72070 |
|
935 |
845 |
$19K |
| 73110 |
|
1,250 |
1,103 |
$19K |
| 92556 |
|
1,870 |
1,745 |
$19K |
| 85576 |
|
942 |
843 |
$18K |
| 86038 |
|
1,231 |
1,100 |
$18K |
| J2001 |
Lidocaine injection |
15,145 |
11,319 |
$18K |
| 76811 |
|
393 |
353 |
$18K |
| 82330 |
|
5,101 |
2,660 |
$18K |
| 85246 |
|
1,401 |
1,187 |
$18K |
| 81220 |
|
133 |
113 |
$18K |
| 87801 |
|
1,082 |
997 |
$18K |
| 70491 |
|
62 |
43 |
$18K |
| 84520 |
|
9,781 |
8,154 |
$18K |
| 81268 |
|
157 |
90 |
$18K |
| 83001 |
|
1,948 |
1,728 |
$17K |
| 87205 |
|
6,292 |
5,417 |
$17K |
| 84305 |
|
1,558 |
1,400 |
$17K |
| 72197 |
|
39 |
38 |
$17K |
| 89230 |
|
289 |
257 |
$17K |
| 82024 |
|
624 |
536 |
$17K |
| 43762 |
|
141 |
123 |
$17K |
| 88305 |
|
4,391 |
3,165 |
$16K |
| 00300 |
|
1,241 |
938 |
$16K |
| J1815 |
Insulin injection |
1,042 |
337 |
$16K |
| 80195 |
|
787 |
510 |
$16K |
| 82803 |
|
4,019 |
3,164 |
$16K |
| 73030 |
|
1,124 |
997 |
$16K |
| 16020 |
|
184 |
147 |
$15K |
| 81426 |
|
64 |
63 |
$15K |
| 93242 |
|
1,175 |
1,080 |
$15K |
| 93225 |
|
1,140 |
1,016 |
$15K |
| 73221 |
|
46 |
40 |
$15K |
| 83880 |
|
1,246 |
1,016 |
$15K |
| 81415 |
|
41 |
29 |
$15K |
| 84270 |
|
1,846 |
1,672 |
$15K |
| P9040 |
Rbc leukoreduced irradiated |
51 |
26 |
$15K |
| 99170 |
|
37 |
28 |
$15K |
| 86704 |
|
1,614 |
1,429 |
$15K |
| 86999 |
|
2,799 |
1,101 |
$15K |
| 00170 |
|
13,778 |
12,303 |
$15K |
| 83002 |
|
1,593 |
1,422 |
$15K |
| G0463 |
Hospital outpt clinic visit |
531 |
436 |
$15K |
| 01999 |
|
75 |
70 |
$15K |
| 73564 |
|
1,533 |
1,427 |
$14K |
| 83520 |
|
1,211 |
830 |
$14K |
| 71045 |
|
1,629 |
1,299 |
$14K |
| 92583 |
|
1,661 |
1,531 |
$14K |
| 74022 |
|
752 |
663 |
$14K |
| 86308 |
|
1,582 |
1,382 |
$14K |
| D2933 |
|
83 |
68 |
$13K |
| 82550 |
|
2,376 |
1,923 |
$13K |
| 88184 |
|
215 |
160 |
$13K |
| A4467 |
Belt strap sleev grmnt cover |
903 |
774 |
$13K |
| 90474 |
|
41,147 |
38,267 |
$13K |
| 87147 |
|
3,685 |
3,286 |
$13K |
| 84510 |
|
691 |
507 |
$12K |
| 87480 |
|
4,523 |
4,065 |
$12K |
| 87040 |
|
2,653 |
2,083 |
$12K |
| 87660 |
|
4,536 |
4,078 |
$12K |
| 99291 |
|
81 |
62 |
$12K |
| 97168 |
|
86 |
78 |
$12K |
| 67314 |
|
16 |
12 |
$12K |
| 82670 |
|
1,014 |
903 |
$12K |
| 73060 |
|
1,209 |
1,023 |
$12K |
| 51600 |
|
291 |
247 |
$12K |
| 73660 |
|
1,100 |
960 |
$12K |
| 72146 |
|
678 |
554 |
$12K |
| 93786 |
|
97 |
97 |
$12K |
| 76981 |
|
166 |
151 |
$12K |
| 86880 |
|
601 |
480 |
$12K |
| 84030 |
|
849 |
634 |
$12K |
| 69210 |
|
838 |
724 |
$11K |
| 90713 |
|
2,804 |
2,464 |
$11K |
| L3060 |
Foot arch supp longitud/meta |
341 |
333 |
$11K |
| 90480 |
|
2,180 |
2,109 |
$11K |
| 85730 |
|
3,788 |
3,166 |
$11K |
| 84145 |
|
1,712 |
1,371 |
$11K |
| 88230 |
|
110 |
94 |
$11K |
| 96375 |
|
4,296 |
2,784 |
$11K |
| 90380 |
|
1,594 |
1,503 |
$11K |
| 10160 |
|
33 |
32 |
$11K |
| Q0162 |
Ondansetron oral |
26,641 |
23,632 |
$11K |
| 83615 |
|
3,626 |
2,905 |
$11K |
| 86256 |
|
1,059 |
901 |
$11K |
| 90381 |
|
2,155 |
1,962 |
$11K |
| 84295 |
|
2,292 |
1,418 |
$10K |
| 85384 |
|
2,660 |
2,223 |
$10K |
| 99242 |
|
480 |
471 |
$10K |
| 84156 |
|
3,576 |
2,765 |
$10K |
| V5257 |
Hearing aid, digit, mon, bte |
12 |
12 |
$10K |
| 86160 |
|
1,385 |
1,047 |
$10K |
| 73000 |
|
947 |
832 |
$10K |
| 80164 |
|
496 |
438 |
$10K |
| 86800 |
|
703 |
636 |
$10K |
| 88185 |
|
146 |
102 |
$10K |
| 80377 |
|
644 |
519 |
$10K |
| V5241 |
Dispensing fee, monaural |
50 |
50 |
$10K |
| L0626 |
Lo sag rig pnl stays pre cst |
200 |
194 |
$10K |
| 86376 |
|
1,009 |
907 |
$9K |
| 94644 |
|
435 |
305 |
$9K |
| 83690 |
|
4,136 |
3,460 |
$9K |
| Q4012 |
Cast sup sht arm ped fbrglas |
443 |
425 |
$9K |
| 87631 |
|
50 |
43 |
$9K |
| 94664 |
|
2,601 |
2,201 |
$9K |
| 70360 |
|
502 |
434 |
$9K |
| 82627 |
|
938 |
847 |
$9K |
| 86231 |
|
620 |
556 |
$9K |
| 87177 |
|
405 |
313 |
$9K |
| 90744 |
|
1,821 |
1,621 |
$9K |
| 93971 |
|
88 |
78 |
$9K |
| 82310 |
|
2,110 |
1,593 |
$9K |
| 0297T |
|
41 |
41 |
$9K |
| 73620 |
|
920 |
823 |
$9K |
| 00120 |
|
739 |
554 |
$8K |
| 82272 |
|
770 |
689 |
$8K |
| J0131 |
Inj, acetaminophen (nos) |
1,474 |
1,036 |
$8K |
| P9073 |
Platelets pheresis path redu |
38 |
14 |
$8K |
| 72142 |
|
208 |
177 |
$8K |
| 74270 |
|
50 |
43 |
$8K |
| 80050 |
|
622 |
560 |
$8K |
| 83498 |
|
907 |
814 |
$8K |
| C1751 |
Cath, inf, per/cent/midline |
109 |
67 |
$8K |
| 85660 |
|
890 |
833 |
$7K |
| Q4010 |
Cast sup sht arm adult fbrgl |
641 |
616 |
$7K |
| 76641 |
|
42 |
40 |
$7K |
| 82010 |
|
1,267 |
671 |
$7K |
| 84238 |
|
832 |
648 |
$7K |
| 69209 |
|
2,804 |
2,441 |
$7K |
| 77081 |
|
115 |
115 |
$7K |
| 29125 |
|
605 |
539 |
$7K |
| 91321 |
|
5,297 |
4,472 |
$7K |
| 88289 |
|
61 |
53 |
$7K |
| 87496 |
|
253 |
223 |
$7K |
| 87533 |
|
621 |
280 |
$7K |
| 76010 |
|
799 |
711 |
$7K |
| J0134 |
Inj acetaminophen -fresenius |
1,730 |
1,454 |
$7K |
| 84480 |
|
641 |
564 |
$6K |
| 86039 |
|
815 |
732 |
$6K |
| 82043 |
|
2,721 |
2,359 |
$6K |
| 77073 |
|
1,131 |
1,072 |
$6K |
| 72147 |
|
208 |
177 |
$6K |
| 83605 |
|
937 |
702 |
$6K |
| 72149 |
|
209 |
178 |
$6K |
| 87101 |
|
1,161 |
944 |
$6K |
| 96137 |
|
3,080 |
2,715 |
$6K |
| V5266 |
Battery for hearing device |
2,862 |
2,711 |
$6K |
| 30901 |
|
94 |
77 |
$6K |
| 73562 |
|
356 |
325 |
$6K |
| 82438 |
|
531 |
252 |
$5K |
| D9223 |
|
15,663 |
13,917 |
$5K |
| 82340 |
|
702 |
602 |
$5K |
| 82105 |
|
722 |
639 |
$5K |
| J1610 |
Glucagon hydrochloride/1 mg |
32 |
26 |
$5K |
| 76391 |
|
13 |
13 |
$5K |
| 87428 |
|
2,917 |
2,873 |
$5K |
| 86618 |
|
465 |
421 |
$5K |
| 49446 |
|
13 |
12 |
$5K |
| 88342 |
|
1,474 |
1,122 |
$5K |
| 82465 |
|
558 |
480 |
$5K |
| 88313 |
|
791 |
516 |
$5K |
| 90717 |
|
26 |
26 |
$5K |
| Q4008 |
Cast sup long arm ped fbrgls |
244 |
239 |
$5K |
| 99173 |
|
2,559 |
2,359 |
$5K |
| 94726 |
|
172 |
162 |
$5K |
| 87209 |
|
391 |
305 |
$5K |
| 51741 |
|
12 |
12 |
$5K |
| 29105 |
|
553 |
495 |
$5K |
| 84075 |
|
1,794 |
1,477 |
$4K |
| 00813 |
|
624 |
452 |
$4K |
| D2931 |
|
16 |
13 |
$4K |
| 80143 |
|
1,020 |
853 |
$4K |
| 84630 |
|
473 |
427 |
$4K |
| 82157 |
|
302 |
267 |
$4K |
| 86341 |
|
367 |
310 |
$4K |
| P9047 |
Albumin (human), 25%, 50ml |
16 |
12 |
$4K |
| 87181 |
|
1,427 |
1,177 |
$4K |
| 84590 |
|
802 |
732 |
$4K |
| 86709 |
|
768 |
662 |
$4K |
| 86787 |
|
626 |
548 |
$4K |
| 00635 |
|
446 |
289 |
$4K |
| 76604 |
|
59 |
54 |
$4K |
| 84703 |
|
1,394 |
1,188 |
$4K |
| P9011 |
Blood split unit |
15 |
13 |
$4K |
| 96409 |
|
937 |
538 |
$4K |
| 86356 |
|
529 |
345 |
$4K |
| 74712 |
|
12 |
12 |
$4K |
| J0295 |
Ampicillin sulbactam 1.5 gm |
438 |
143 |
$4K |
| 97810 |
|
208 |
127 |
$4K |
| 84478 |
|
1,222 |
1,023 |
$4K |
| 00126 |
|
3,468 |
2,984 |
$4K |
| 82746 |
|
603 |
555 |
$4K |
| 82525 |
|
379 |
346 |
$4K |
| 58300 |
|
29 |
26 |
$4K |
| 74181 |
|
42 |
36 |
$4K |
| 86317 |
|
1,022 |
374 |
$4K |
| 73080 |
|
100 |
84 |
$4K |
| 70250 |
|
429 |
357 |
$4K |
| 82040 |
|
564 |
428 |
$4K |
| 86431 |
|
391 |
345 |
$4K |
| 84550 |
|
948 |
814 |
$3K |
| 86258 |
|
188 |
166 |
$3K |
| 84446 |
|
748 |
676 |
$3K |
| 84484 |
|
537 |
362 |
$3K |
| 86611 |
|
323 |
220 |
$3K |
| 93246 |
|
182 |
156 |
$3K |
| 81321 |
|
30 |
28 |
$3K |
| 82172 |
|
164 |
161 |
$3K |
| 85520 |
|
186 |
128 |
$3K |
| 87081 |
|
3,668 |
1,700 |
$3K |
| 84702 |
|
342 |
278 |
$3K |
| 84132 |
|
1,680 |
1,151 |
$3K |
| 36593 |
|
18 |
12 |
$3K |
| 93321 |
|
790 |
670 |
$3K |
| J7510 |
Prednisolone oral per 5 mg |
10,865 |
8,715 |
$3K |
| 00840 |
|
781 |
611 |
$3K |
| 90732 |
|
405 |
295 |
$3K |
| 29130 |
|
168 |
150 |
$3K |
| 86015 |
|
317 |
282 |
$3K |
| 81416 |
|
25 |
14 |
$3K |
| 92604 |
|
260 |
238 |
$3K |
| J3489 |
Zoledronic acid 1mg |
584 |
473 |
$3K |
| 84155 |
|
545 |
375 |
$3K |
| 12002 |
|
20 |
15 |
$3K |
| 96118 |
|
12 |
12 |
$3K |
| 88304 |
|
2,594 |
2,217 |
$3K |
| 86648 |
|
374 |
326 |
$3K |
| 82150 |
|
675 |
567 |
$3K |
| 81323 |
|
28 |
27 |
$3K |
| 86774 |
|
409 |
359 |
$3K |
| 85670 |
|
1,155 |
1,039 |
$3K |
| 88271 |
|
16 |
13 |
$3K |
| 80047 |
|
594 |
444 |
$3K |
| 83695 |
|
228 |
213 |
$3K |
| 81382 |
|
32 |
29 |
$2K |
| 95115 |
|
91 |
66 |
$2K |
| 82077 |
|
733 |
623 |
$2K |
| B4088 |
Gastro/jejuno tube, low-pro |
39 |
33 |
$2K |
| 87184 |
|
562 |
491 |
$2K |
| 82139 |
|
231 |
186 |
$2K |
| 77074 |
|
285 |
261 |
$2K |
| 90672 |
|
301 |
284 |
$2K |
| 93298 |
|
64 |
61 |
$2K |
| 86235 |
|
399 |
318 |
$2K |
| 95251 |
|
749 |
714 |
$2K |
| 90473 |
|
4,003 |
3,942 |
$2K |
| 82017 |
|
130 |
118 |
$2K |
| 97811 |
|
234 |
127 |
$2K |
| 82390 |
|
531 |
480 |
$2K |
| J0612 |
Inj, calcium gluconate, nos |
1,976 |
572 |
$2K |
| 82542 |
|
309 |
268 |
$2K |
| 87420 |
|
193 |
182 |
$2K |
| 75565 |
|
352 |
302 |
$2K |
| 80179 |
|
969 |
820 |
$2K |
| J7121 |
5% dextrose in lac ringers |
2,191 |
1,464 |
$2K |
| 86060 |
|
93 |
87 |
$2K |
| 72110 |
|
26 |
25 |
$2K |
| 83921 |
|
355 |
312 |
$2K |
| 82140 |
|
211 |
147 |
$2K |
| 87015 |
|
411 |
317 |
$2K |
| 84402 |
|
230 |
183 |
$2K |
| 74220 |
|
29 |
27 |
$2K |
| 80349 |
|
301 |
242 |
$2K |
| 76942 |
|
73 |
41 |
$2K |
| 87045 |
|
80 |
74 |
$2K |
| J2270 |
Morphine sulfate injection |
26,932 |
23,147 |
$2K |
| 00140 |
|
1,454 |
1,167 |
$2K |
| 51798 |
|
135 |
133 |
$2K |
| 86762 |
|
352 |
306 |
$2K |
| 72125 |
|
16 |
12 |
$2K |
| 84244 |
|
108 |
98 |
$1K |
| 87899 |
|
173 |
158 |
$1K |
| 51701 |
|
158 |
132 |
$1K |
| 88346 |
|
27 |
25 |
$1K |
| J7040 |
Normal saline solution infus |
8,380 |
5,702 |
$1K |
| J7030 |
Normal saline solution infus |
3,919 |
2,712 |
$1K |
| 89051 |
|
328 |
199 |
$1K |
| J2469 |
Palonosetron hcl |
177 |
56 |
$1K |
| 86337 |
|
145 |
124 |
$1K |
| 76937 |
|
93 |
51 |
$1K |
| 96381 |
|
2,388 |
2,265 |
$1K |
| 82103 |
|
271 |
240 |
$1K |
| 94729 |
|
72 |
68 |
$1K |
| 86682 |
|
80 |
62 |
$1K |
| 87106 |
|
377 |
321 |
$1K |
| 80305 |
|
1,228 |
998 |
$1K |
| 85379 |
|
288 |
245 |
$1K |
| J0690 |
Cefazolin sodium injection |
5,853 |
3,986 |
$1K |
| 87206 |
|
738 |
486 |
$1K |
| 96159 |
|
3,835 |
2,427 |
$1K |
| 88312 |
|
756 |
529 |
$1K |
| 84436 |
|
156 |
137 |
$1K |
| 94760 |
|
1,117 |
1,075 |
$1K |
| 90691 |
|
58 |
57 |
$1K |
| 64644 |
|
45 |
40 |
$1K |
| 72158 |
|
34 |
26 |
$1K |
| 82657 |
|
313 |
250 |
$1K |
| 82085 |
|
330 |
275 |
$966.81 |
| J1885 |
Ketorolac tromethamine inj |
29,032 |
24,526 |
$959.79 |
| 82239 |
|
70 |
66 |
$953.14 |
| 87046 |
|
80 |
74 |
$932.12 |
| J8540 |
Oral dexamethasone |
392 |
383 |
$924.42 |
| 82950 |
|
445 |
396 |
$898.28 |
| J0696 |
Ceftriaxone sodium injection |
4,338 |
2,464 |
$894.56 |
| 90660 |
|
128 |
128 |
$866.51 |
| 82653 |
|
73 |
68 |
$858.31 |
| 92202 |
|
16 |
15 |
$855.72 |
| 86780 |
|
128 |
118 |
$852.24 |
| 86644 |
|
71 |
50 |
$842.50 |
| 83935 |
|
111 |
96 |
$824.47 |
| 80400 |
|
16 |
12 |
$802.28 |
| 87493 |
|
12 |
12 |
$787.63 |
| 00930 |
|
131 |
101 |
$784.30 |
| 82810 |
|
315 |
112 |
$773.64 |
| 84681 |
|
84 |
57 |
$765.57 |
| 87102 |
|
561 |
409 |
$755.97 |
| 86008 |
|
103 |
98 |
$743.59 |
| Q4031 |
Cast sup lng leg ped plaster |
33 |
12 |
$740.80 |
| 87116 |
|
423 |
296 |
$723.73 |
| 84134 |
|
70 |
60 |
$716.85 |
| J0736 |
Inj, clindamycin phosp 300mg |
429 |
228 |
$674.98 |
| 82397 |
|
49 |
39 |
$664.22 |
| J7799 |
Non-inhalation drug for dme |
262 |
150 |
$651.04 |
| 92504 |
|
510 |
477 |
$641.31 |
| 00920 |
|
1,096 |
899 |
$630.20 |
| 81291 |
|
12 |
12 |
$596.66 |
| 84481 |
|
54 |
51 |
$589.42 |
| J7042 |
5% dextrose/normal saline |
972 |
685 |
$583.58 |
| D1120 |
|
30 |
30 |
$580.00 |
| J9370 |
Vincristine sulfate 1 mg inj |
818 |
463 |
$578.51 |
| 90739 |
|
12 |
12 |
$573.69 |
| 82104 |
|
206 |
182 |
$567.88 |
| 72220 |
|
41 |
40 |
$557.56 |
| 69200 |
|
40 |
38 |
$554.11 |
| 99201 |
|
29 |
28 |
$553.95 |
| 86703 |
|
301 |
261 |
$551.67 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
2,445 |
1,934 |
$535.36 |
| J1170 |
Hydromorphone injection |
4,146 |
3,151 |
$528.05 |
| 89050 |
|
634 |
436 |
$518.51 |
| 87498 |
|
43 |
40 |
$502.60 |
| 84445 |
|
15 |
14 |
$493.31 |
| 85250 |
|
87 |
66 |
$492.63 |
| 86708 |
|
103 |
86 |
$488.33 |
| 87230 |
|
29 |
25 |
$483.37 |
| 71101 |
|
43 |
40 |
$468.90 |
| 85347 |
|
259 |
105 |
$466.54 |
| 95012 |
|
90 |
85 |
$465.37 |
| D1206 |
|
32 |
32 |
$465.00 |
| 72157 |
|
34 |
24 |
$461.53 |
| 31231 |
|
14 |
14 |
$447.47 |
| 01926 |
|
28 |
13 |
$445.16 |
| 73600 |
|
58 |
57 |
$434.88 |
| A4565 |
Slings |
73 |
72 |
$418.54 |
| 87400 |
|
410 |
403 |
$414.84 |
| 95873 |
|
207 |
193 |
$398.39 |
| J2920 |
Methylprednisolone injection |
457 |
283 |
$395.78 |
| 83010 |
|
92 |
49 |
$386.81 |
| J1720 |
Hydrocortisone sodium succ i |
130 |
85 |
$379.50 |
| 92602 |
|
45 |
44 |
$375.69 |
| 93244 |
|
23 |
23 |
$358.96 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,789 |
1,188 |
$355.34 |
| 93227 |
|
18 |
16 |
$352.17 |
| J0780 |
Prochlorperazine injection |
681 |
529 |
$349.18 |
| 86617 |
|
28 |
17 |
$321.76 |
| J0171 |
Adrenalin epinephrine inject |
720 |
539 |
$311.61 |
| 85220 |
|
15 |
15 |
$311.16 |
| 93248 |
|
16 |
16 |
$310.71 |
| 0296T |
|
26 |
25 |
$310.26 |
| 99241 |
|
26 |
26 |
$304.80 |
| 80230 |
|
376 |
276 |
$297.26 |
| 88142 |
|
291 |
255 |
$296.77 |
| 87107 |
|
144 |
124 |
$291.97 |
| E0114 |
Crutch underarm pair no wood |
14 |
14 |
$290.96 |
| 70260 |
|
13 |
12 |
$272.68 |
| J1644 |
Inj heparin sodium per 1000u |
5,360 |
2,264 |
$271.05 |
| 80145 |
|
14 |
12 |
$263.31 |
| J3301 |
Triamcinolone acet inj nos |
741 |
616 |
$253.57 |
| 86663 |
|
66 |
57 |
$231.20 |
| 96168 |
|
3,037 |
2,069 |
$226.58 |
| D0272 |
|
22 |
22 |
$220.00 |
| 76881 |
|
14 |
12 |
$210.15 |
| 86147 |
|
29 |
24 |
$208.43 |
| J2250 |
Inj midazolam hydrochloride |
3,459 |
2,580 |
$202.33 |
| 87185 |
|
189 |
156 |
$188.58 |
| J0834 |
Inj., cosyntropin, 0.25 mg |
19 |
12 |
$185.30 |
| J3480 |
Inj potassium chloride |
769 |
385 |
$180.14 |
| 86162 |
|
36 |
26 |
$175.16 |
| 84300 |
|
30 |
25 |
$163.02 |
| J2274 |
Inj morphine pf epid ithc |
20 |
17 |
$152.78 |
| J2919 |
Inj, methylpred sod succ 5mg |
261 |
194 |
$151.83 |
| J0735 |
Clonidine hydrochloride |
17 |
13 |
$145.75 |
| 84207 |
|
12 |
12 |
$141.85 |
| 83003 |
|
32 |
25 |
$139.55 |
| 83937 |
|
33 |
24 |
$134.23 |
| 88108 |
|
529 |
342 |
$134.16 |
| 92226 |
|
487 |
425 |
$131.00 |
| J1200 |
Diphenhydramine hcl injectio |
839 |
612 |
$124.69 |
| 83930 |
|
20 |
13 |
$122.56 |
| 83721 |
|
12 |
12 |
$108.38 |
| J7050 |
Normal saline solution infus |
1,847 |
1,107 |
$107.93 |
| 86215 |
|
12 |
12 |
$93.11 |
| 87210 |
|
335 |
282 |
$90.83 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
606 |
578 |
$87.22 |
| J3475 |
Inj magnesium sulfate |
281 |
220 |
$76.92 |
| 86812 |
|
15 |
12 |
$69.80 |
| 77076 |
|
12 |
12 |
$68.16 |
| J0330 |
Succinycholine chloride inj |
1,122 |
794 |
$62.74 |
| 96154 |
|
229 |
205 |
$57.22 |
| J1756 |
Iron sucrose injection |
117 |
60 |
$48.30 |
| 96040 |
|
373 |
372 |
$47.70 |
| J2060 |
Lorazepam injection |
149 |
91 |
$47.31 |
| J0610 |
Calcium glucon (fresenius) |
1,704 |
826 |
$47.17 |
| J1836 |
Inj, metronidazole, 10 mg |
324 |
260 |
$46.96 |
| 87220 |
|
26 |
25 |
$43.54 |
| 87075 |
|
77 |
51 |
$43.06 |
| 85290 |
|
16 |
14 |
$40.40 |
| J0137 |
Inj, acetaminophen (hikma) |
59 |
34 |
$35.36 |
| 87176 |
|
208 |
157 |
$33.29 |
| J9250 |
Methotrexate sodium inj |
256 |
110 |
$29.85 |
| J1597 |
Inj glycopyrrolate, glyrx-pf |
119 |
117 |
$25.79 |
| J1630 |
Haloperidol injection |
24 |
14 |
$13.05 |
| 70300 |
|
22 |
16 |
$12.96 |
| J2004 |
Inj, lidocaine w epinephrine |
444 |
435 |
$12.50 |
| J1940 |
Furosemide injection |
55 |
42 |
$6.44 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
215 |
179 |
$6.38 |
| J2795 |
Ropivacaine hcl injection |
19 |
14 |
$0.92 |
| Q0163 |
Diphenhydramine hcl 50mg |
295 |
260 |
$0.56 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
267 |
255 |
$0.47 |
| G8754 |
Dias bp less 90 |
442 |
422 |
$0.00 |
| 88300 |
|
106 |
94 |
$0.00 |
| 00320 |
|
41 |
41 |
$0.00 |
| C1769 |
Guide wire |
17 |
13 |
$0.00 |
| 01730 |
|
103 |
86 |
$0.00 |
| 01400 |
|
145 |
118 |
$0.00 |
| V5299 |
Hearing service |
21 |
13 |
$0.00 |
| 85397 |
|
13 |
12 |
$0.00 |
| C1819 |
Tissue localization-excision |
27 |
27 |
$0.00 |
| 96121 |
|
46 |
42 |
$0.00 |
| 88311 |
|
44 |
37 |
$0.00 |
| 01480 |
|
77 |
57 |
$0.00 |
| 96411 |
|
140 |
70 |
$0.00 |
| 96150 |
|
26 |
26 |
$0.00 |
| G8752 |
Sys bp less 140 |
424 |
401 |
$0.00 |
| J9260 |
Inj methotrexate sodium 50mg |
149 |
92 |
$0.00 |
| G0390 |
Trauma respons w/hosp criti |
24 |
17 |
$0.00 |
| Q0144 |
Azithromycin dihydrate, oral |
163 |
151 |
$0.00 |
| 00520 |
|
86 |
68 |
$0.00 |
| 94645 |
|
19 |
12 |
$0.00 |
| 92225 |
|
13 |
13 |
$0.00 |
| A6250 |
Skin seal protect moisturizr |
39 |
39 |
$0.00 |