| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
183,443 |
127,879 |
$17.53M |
| 99284 |
|
100,839 |
70,587 |
$8.09M |
| 99282 |
|
63,078 |
46,103 |
$6.44M |
| 41899 |
|
2,744 |
2,131 |
$5.75M |
| 99281 |
|
33,940 |
25,444 |
$3.32M |
| 99285 |
|
42,154 |
31,096 |
$3.31M |
| J1745 |
Infliximab not biosimil 10mg |
583 |
385 |
$2.75M |
| 93306 |
|
5,974 |
4,646 |
$2.71M |
| 97110 |
|
32,858 |
7,963 |
$2.39M |
| 0241U |
|
21,460 |
13,280 |
$2.15M |
| 74177 |
|
14,623 |
11,615 |
$1.53M |
| 85025 |
|
235,265 |
150,451 |
$1.41M |
| J2505 |
Injection, pegfilgrastim 6mg |
341 |
198 |
$1.30M |
| 97530 |
|
19,689 |
5,823 |
$1.26M |
| 80048 |
|
82,530 |
52,221 |
$1.08M |
| 93005 |
|
77,250 |
53,693 |
$1.04M |
| 96374 |
|
25,543 |
18,291 |
$984K |
| 93971 |
|
4,215 |
3,447 |
$895K |
| 97140 |
|
20,528 |
5,178 |
$893K |
| 87491 |
|
28,251 |
20,547 |
$841K |
| 87591 |
|
28,252 |
20,549 |
$837K |
| G0378 |
Hospital observation per hr |
8,488 |
4,089 |
$773K |
| 80307 |
|
21,231 |
14,528 |
$725K |
| 80053 |
|
53,925 |
36,078 |
$700K |
| 77067 |
|
8,386 |
6,701 |
$689K |
| 96372 |
|
17,602 |
12,365 |
$688K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
758 |
386 |
$682K |
| G0463 |
Hospital outpt clinic visit |
42,673 |
30,717 |
$675K |
| 70450 |
|
16,507 |
12,848 |
$665K |
| 93970 |
|
2,124 |
1,785 |
$637K |
| 80051 |
|
61,281 |
43,945 |
$603K |
| 71046 |
|
54,610 |
39,600 |
$537K |
| 92507 |
|
6,930 |
2,039 |
$527K |
| 87536 |
|
8,607 |
6,131 |
$491K |
| 97161 |
|
5,289 |
4,175 |
$467K |
| 77386 |
|
740 |
53 |
$458K |
| 84484 |
|
38,218 |
25,795 |
$444K |
| 96375 |
|
13,729 |
9,536 |
$438K |
| U0002 |
Covid-19 lab test non-cdc |
15,572 |
9,410 |
$430K |
| 87631 |
|
4,306 |
3,552 |
$414K |
| 74176 |
|
5,855 |
4,632 |
$398K |
| 96365 |
|
3,585 |
2,080 |
$393K |
| 76801 |
|
7,075 |
4,738 |
$372K |
| 76830 |
|
7,746 |
6,218 |
$348K |
| 76856 |
|
8,221 |
6,611 |
$348K |
| 96367 |
|
3,028 |
1,406 |
$313K |
| 71260 |
|
4,887 |
3,923 |
$312K |
| 88305 |
|
8,567 |
6,268 |
$312K |
| 71275 |
|
3,355 |
2,600 |
$306K |
| 78815 |
|
519 |
425 |
$293K |
| 72125 |
|
5,717 |
4,551 |
$291K |
| J2704 |
Inj, propofol, 10 mg |
21,333 |
12,412 |
$289K |
| 70553 |
|
2,278 |
1,963 |
$276K |
| 93458 |
|
268 |
70 |
$259K |
| 80061 |
|
23,753 |
17,122 |
$253K |
| 76817 |
|
6,186 |
3,871 |
$249K |
| 80076 |
|
18,222 |
13,361 |
$240K |
| 36430 |
|
1,664 |
1,027 |
$239K |
| 96413 |
|
6,906 |
3,802 |
$238K |
| 90715 |
|
4,215 |
3,533 |
$238K |
| 77412 |
|
1,863 |
192 |
$235K |
| J1453 |
Fosaprepitant injection |
719 |
402 |
$233K |
| J7307 |
Etonogestrel implant system |
258 |
238 |
$226K |
| J1885 |
Ketorolac tromethamine inj |
28,525 |
19,595 |
$222K |
| 82565 |
|
70,178 |
50,169 |
$214K |
| 97112 |
|
3,447 |
1,189 |
$202K |
| 84443 |
|
23,315 |
17,429 |
$190K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
27,860 |
20,924 |
$190K |
| 83690 |
|
26,144 |
18,992 |
$190K |
| C9803 |
Hopd covid-19 spec collect |
29,263 |
17,891 |
$187K |
| 87086 |
|
23,449 |
17,530 |
$172K |
| J0897 |
Denosumab injection |
203 |
170 |
$166K |
| 84520 |
|
63,142 |
45,349 |
$166K |
| 70551 |
|
2,255 |
1,761 |
$165K |
| 82947 |
|
64,500 |
46,098 |
$162K |
| 77066 |
Tomosynthesis, mammo |
1,731 |
1,366 |
$160K |
| A9552 |
F18 fdg |
578 |
468 |
$159K |
| 95886 |
|
1,019 |
812 |
$156K |
| 83605 |
|
13,276 |
9,636 |
$152K |
| 76705 |
|
4,202 |
3,280 |
$151K |
| 83735 |
|
22,183 |
13,190 |
$147K |
| 76700 |
|
3,808 |
3,153 |
$147K |
| 71250 |
|
3,500 |
2,946 |
$146K |
| 87389 |
|
8,704 |
5,698 |
$145K |
| 43239 |
|
1,041 |
733 |
$134K |
| 87660 |
|
10,471 |
8,162 |
$134K |
| 87480 |
|
10,461 |
8,160 |
$134K |
| 87510 |
|
10,445 |
8,145 |
$133K |
| 77063 |
|
8,225 |
6,564 |
$133K |
| 97535 |
|
3,202 |
1,107 |
$132K |
| 82728 |
|
11,921 |
8,605 |
$131K |
| J1170 |
Hydromorphone injection |
17,112 |
10,237 |
$128K |
| 97116 |
|
4,336 |
1,542 |
$123K |
| 86803 |
|
9,281 |
6,430 |
$119K |
| 47562 |
|
207 |
154 |
$118K |
| P9016 |
Rbc leukocytes reduced |
1,016 |
730 |
$118K |
| 72148 |
|
1,510 |
1,254 |
$117K |
| 93880 |
|
731 |
612 |
$114K |
| 70498 |
|
1,160 |
873 |
$113K |
| 84703 |
|
12,957 |
9,628 |
$112K |
| 93798 |
|
2,219 |
410 |
$111K |
| 88307 |
|
1,603 |
1,172 |
$109K |
| J2785 |
Regadenoson injection |
993 |
601 |
$108K |
| 97165 |
|
1,488 |
1,187 |
$108K |
| G2023 |
Specimen collect covid-19 |
8,287 |
4,825 |
$105K |
| 87624 |
|
4,137 |
3,124 |
$105K |
| J1650 |
Inj enoxaparin sodium |
10,051 |
3,840 |
$103K |
| 93000 |
|
4,946 |
3,577 |
$102K |
| 94726 |
|
1,305 |
1,138 |
$102K |
| 81001 |
|
34,371 |
25,322 |
$102K |
| 81220 |
|
1,036 |
623 |
$100K |
| 82306 |
|
7,414 |
5,534 |
$100K |
| 70491 |
|
1,390 |
1,150 |
$96K |
| 93308 |
|
328 |
302 |
$94K |
| 92526 |
|
1,530 |
693 |
$91K |
| 77065 |
Tomosynthesis, mammo |
1,233 |
1,019 |
$89K |
| 96360 |
|
1,340 |
1,003 |
$89K |
| 76642 |
|
3,301 |
2,379 |
$88K |
| 11981 |
|
309 |
241 |
$88K |
| 93922 |
|
642 |
551 |
$86K |
| 66984 |
|
388 |
212 |
$86K |
| 83036 |
|
18,418 |
13,720 |
$86K |
| 11042 |
|
392 |
213 |
$85K |
| 84702 |
|
7,170 |
4,182 |
$84K |
| 86360 |
|
3,981 |
2,818 |
$83K |
| 87077 |
|
8,490 |
6,523 |
$83K |
| 97162 |
|
1,032 |
871 |
$82K |
| A9500 |
Tc99m sestamibi |
1,020 |
706 |
$80K |
| 85027 |
|
16,854 |
10,929 |
$79K |
| 86850 |
|
5,918 |
4,108 |
$79K |
| 76536 |
|
1,949 |
1,661 |
$77K |
| 83880 |
|
5,114 |
3,733 |
$76K |
| 80050 |
|
3,380 |
2,668 |
$76K |
| J1100 |
Dexamethasone sodium phos |
18,874 |
11,745 |
$74K |
| J3486 |
Ziprasidone mesylate |
1,074 |
850 |
$73K |
| U0004 |
Cov-19 test non-cdc hgh thru |
2,915 |
2,140 |
$73K |
| 87040 |
|
2,437 |
1,717 |
$72K |
| 73630 |
|
7,105 |
5,352 |
$71K |
| 86920 |
|
1,231 |
854 |
$68K |
| 94729 |
|
1,494 |
1,321 |
$68K |
| 94060 |
|
1,423 |
1,254 |
$68K |
| 10060 |
|
1,552 |
1,320 |
$66K |
| 78452 |
|
964 |
659 |
$66K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
5,207 |
4,269 |
$65K |
| 96361 |
|
3,172 |
2,266 |
$64K |
| C1769 |
Guide wire |
3,520 |
2,310 |
$63K |
| 83550 |
|
7,873 |
5,818 |
$63K |
| 76770 |
|
1,749 |
1,507 |
$62K |
| G0123 |
Screen cerv/vag thin layer |
3,715 |
2,894 |
$61K |
| 88341 |
|
1,096 |
724 |
$61K |
| 93015 |
|
958 |
616 |
$60K |
| 73130 |
|
5,111 |
3,804 |
$59K |
| 82607 |
|
6,155 |
4,534 |
$59K |
| 74183 |
|
534 |
462 |
$59K |
| 73560 |
|
6,141 |
4,347 |
$59K |
| 70544 |
|
896 |
676 |
$59K |
| J0780 |
Prochlorperazine injection |
2,697 |
2,132 |
$58K |
| 86480 |
|
2,285 |
1,720 |
$58K |
| 77334 |
|
576 |
387 |
$57K |
| 72141 |
|
897 |
741 |
$57K |
| 87186 |
|
7,478 |
5,737 |
$56K |
| 88342 |
|
1,764 |
1,251 |
$56K |
| 95810 |
|
170 |
153 |
$56K |
| 80055 |
|
1,787 |
1,102 |
$56K |
| J2310 |
Inj naloxone hydrochloride |
1,255 |
966 |
$55K |
| 96376 |
|
3,966 |
2,758 |
$55K |
| 72100 |
|
4,476 |
3,684 |
$55K |
| 83540 |
|
8,399 |
6,210 |
$53K |
| 87653 |
|
2,488 |
1,928 |
$53K |
| 84439 |
|
8,384 |
6,306 |
$53K |
| G0475 |
Hiv combination assay |
5,056 |
3,472 |
$49K |
| 97166 |
|
678 |
574 |
$48K |
| 59025 |
|
1,690 |
1,179 |
$47K |
| 0202U |
|
179 |
138 |
$46K |
| 81003 |
|
21,244 |
16,035 |
$46K |
| J3370 |
Vancomycin hcl injection |
1,997 |
1,112 |
$45K |
| 87522 |
Neg quan hep c or qual rna |
2,156 |
1,652 |
$44K |
| 19318 |
|
13 |
12 |
$44K |
| 85379 |
|
4,461 |
3,449 |
$43K |
| 82803 |
|
4,541 |
3,130 |
$43K |
| 80069 |
|
2,999 |
1,785 |
$43K |
| 87340 |
|
4,149 |
3,011 |
$42K |
| J2405 |
Ondansetron hcl injection |
22,442 |
13,273 |
$41K |
| 87070 |
|
4,118 |
3,044 |
$41K |
| G0279 |
Tomosynthesis, mammo |
2,746 |
2,177 |
$41K |
| 70496 |
|
653 |
483 |
$41K |
| 87641 |
|
1,662 |
1,355 |
$41K |
| 82948 |
|
17,508 |
7,754 |
$40K |
| 76815 |
|
1,374 |
1,163 |
$40K |
| 73030 |
|
4,227 |
3,167 |
$40K |
| 86901 |
|
7,488 |
5,300 |
$40K |
| 58300 |
|
199 |
169 |
$40K |
| J1756 |
Iron sucrose injection |
600 |
203 |
$39K |
| 86706 |
|
3,506 |
2,584 |
$39K |
| 82746 |
|
4,098 |
2,942 |
$39K |
| 86900 |
|
7,461 |
5,286 |
$39K |
| C1876 |
Stent, non-coa/non-cov w/del |
70 |
55 |
$39K |
| 12001 |
|
960 |
873 |
$39K |
| 85610 |
|
10,800 |
6,900 |
$38K |
| 86592 |
|
12,804 |
8,828 |
$38K |
| 71045 |
|
7,180 |
4,797 |
$37K |
| 95816 |
|
245 |
221 |
$36K |
| 87075 |
|
1,845 |
1,381 |
$36K |
| 82043 |
|
5,616 |
4,272 |
$36K |
| J0690 |
Cefazolin sodium injection |
10,777 |
6,256 |
$35K |
| 77300 |
|
522 |
412 |
$34K |
| 83615 |
|
8,110 |
5,335 |
$33K |
| 95819 |
|
155 |
116 |
$33K |
| 84460 |
|
10,312 |
8,031 |
$33K |
| 84450 |
|
10,071 |
7,852 |
$31K |
| 93325 |
|
245 |
216 |
$31K |
| 96417 |
|
1,483 |
789 |
$31K |
| 88312 |
|
1,213 |
861 |
$31K |
| J3010 |
Fentanyl citrate injection |
10,502 |
6,815 |
$31K |
| 73600 |
|
3,174 |
2,568 |
$30K |
| 85730 |
|
5,126 |
3,402 |
$30K |
| 70480 |
|
440 |
398 |
$30K |
| 77336 |
|
1,431 |
569 |
$30K |
| Q3014 |
Telehealth facility fee |
5,560 |
4,155 |
$29K |
| 87088 |
|
7,048 |
5,420 |
$29K |
| 82784 |
|
1,620 |
1,224 |
$28K |
| 96366 |
|
1,261 |
594 |
$28K |
| 12011 |
|
709 |
641 |
$28K |
| J3475 |
Inj magnesium sulfate |
2,303 |
1,519 |
$28K |
| J0171 |
Adrenalin epinephrine inject |
1,772 |
986 |
$27K |
| 86140 |
|
4,957 |
3,477 |
$26K |
| J0585 |
Injection,onabotulinumtoxina |
218 |
100 |
$26K |
| 58558 |
|
91 |
72 |
$25K |
| 92610 |
|
482 |
373 |
$25K |
| J1644 |
Inj heparin sodium per 1000u |
8,670 |
2,928 |
$25K |
| 45378 |
|
229 |
197 |
$24K |
| 72170 |
|
2,798 |
2,329 |
$24K |
| 92523 |
|
362 |
294 |
$24K |
| 70486 |
|
544 |
503 |
$23K |
| 90471 |
|
4,519 |
3,672 |
$23K |
| 74175 |
|
256 |
216 |
$22K |
| 99213 |
|
534 |
423 |
$22K |
| 82247 |
|
7,090 |
5,434 |
$22K |
| 94640 |
|
3,239 |
1,853 |
$22K |
| 82570 |
|
3,831 |
2,878 |
$22K |
| J9045 |
Carboplatin injection |
275 |
175 |
$21K |
| 49083 |
|
93 |
41 |
$21K |
| 90937 |
|
504 |
110 |
$21K |
| 85651 |
|
5,811 |
4,179 |
$21K |
| 83970 |
|
1,045 |
895 |
$20K |
| 84075 |
|
6,360 |
4,982 |
$20K |
| 82731 |
|
471 |
373 |
$20K |
| 88304 |
|
1,328 |
1,053 |
$20K |
| 80074 |
|
833 |
544 |
$20K |
| 12002 |
|
523 |
455 |
$19K |
| 19083 |
|
134 |
109 |
$19K |
| 96415 |
|
1,826 |
1,129 |
$19K |
| 70547 |
|
336 |
224 |
$19K |
| J0500 |
Dicyclomine injection |
246 |
209 |
$18K |
| 29125 |
|
598 |
524 |
$18K |
| 87205 |
|
3,962 |
2,812 |
$18K |
| 76819 |
|
643 |
506 |
$18K |
| 83883 |
|
837 |
665 |
$18K |
| 84153 |
|
935 |
756 |
$18K |
| 88360 |
|
493 |
285 |
$18K |
| 88173 |
|
774 |
537 |
$18K |
| 72197 |
|
114 |
102 |
$17K |
| J0696 |
Ceftriaxone sodium injection |
5,077 |
3,352 |
$17K |
| A4648 |
Implantable tissue marker |
223 |
202 |
$17K |
| J1200 |
Diphenhydramine hcl injectio |
5,065 |
3,291 |
$17K |
| 82550 |
|
2,470 |
1,698 |
$17K |
| 82378 |
|
589 |
450 |
$17K |
| S5105 |
Centerbased day care perdiem |
7,552 |
324 |
$16K |
| 74178 |
|
183 |
155 |
$16K |
| 76870 |
|
607 |
506 |
$16K |
| 72131 |
|
348 |
304 |
$15K |
| J1750 |
Inj iron dextran |
63 |
12 |
$15K |
| 85046 |
|
2,750 |
1,762 |
$15K |
| C1894 |
Intro/sheath, non-laser |
1,940 |
1,128 |
$15K |
| 83020 |
|
1,680 |
1,145 |
$15K |
| 73610 |
|
1,456 |
1,219 |
$15K |
| 82105 |
|
1,084 |
770 |
$14K |
| 84100 |
|
4,883 |
2,696 |
$14K |
| 77290 |
|
123 |
106 |
$14K |
| 87636 |
|
283 |
141 |
$14K |
| 88142 |
|
952 |
817 |
$14K |
| OP250 |
|
2,029 |
1,016 |
$13K |
| 84134 |
|
767 |
486 |
$13K |
| 86704 |
|
1,410 |
1,050 |
$13K |
| J0131 |
Inj, acetaminophen (nos) |
256 |
143 |
$13K |
| 84403 |
|
768 |
618 |
$13K |
| 73590 |
|
1,397 |
1,108 |
$13K |
| 74174 |
|
50 |
44 |
$12K |
| 76805 |
|
402 |
330 |
$12K |
| J2930 |
Methylprednisolone injection |
1,193 |
938 |
$12K |
| 72158 |
|
96 |
81 |
$12K |
| 73140 |
|
1,088 |
1,000 |
$12K |
| 93224 |
|
15 |
15 |
$12K |
| 88313 |
|
539 |
355 |
$11K |
| 99291 |
|
587 |
373 |
$11K |
| 45380 |
|
101 |
80 |
$11K |
| 85018 |
|
6,190 |
4,127 |
$11K |
| 85384 |
|
1,101 |
813 |
$11K |
| J0295 |
Ampicillin sulbactam 1.5 gm |
647 |
411 |
$11K |
| 73090 |
|
1,183 |
958 |
$11K |
| 86334 |
|
581 |
408 |
$11K |
| 84146 |
|
570 |
479 |
$10K |
| 74018 |
|
1,644 |
1,359 |
$10K |
| 86235 |
|
179 |
142 |
$10K |
| J2270 |
Morphine sulfate injection |
3,336 |
1,901 |
$10K |
| 77080 |
|
766 |
702 |
$10K |
| 96411 |
|
779 |
338 |
$10K |
| 72040 |
|
1,075 |
907 |
$10K |
| 84156 |
|
3,671 |
2,746 |
$10K |
| J1953 |
Levetiracetam injection |
248 |
179 |
$10K |
| J0885 |
Epoetin alfa, non-esrd |
122 |
50 |
$10K |
| 73110 |
|
815 |
721 |
$10K |
| 71271 |
|
131 |
75 |
$10K |
| J7297 |
Liletta, 52 mg |
14 |
14 |
$9K |
| 0002A |
|
246 |
242 |
$9K |
| 86038 |
|
1,641 |
1,219 |
$9K |
| 73721 |
|
272 |
235 |
$9K |
| 80164 |
|
756 |
576 |
$9K |
| 72156 |
|
90 |
79 |
$9K |
| J2250 |
Inj midazolam hydrochloride |
2,833 |
2,047 |
$9K |
| 99214 |
|
68 |
56 |
$9K |
| J2765 |
Metoclopramide hcl injection |
2,441 |
1,783 |
$9K |
| 52000 |
|
32 |
28 |
$9K |
| S9128 |
Speech therapy, in the home, |
118 |
38 |
$9K |
| 72070 |
|
849 |
749 |
$8K |
| J2060 |
Lorazepam injection |
1,418 |
1,130 |
$8K |
| 85670 |
|
909 |
644 |
$8K |
| M0247 |
Sotrovimab infusion |
23 |
22 |
$8K |
| 76604 |
|
130 |
125 |
$8K |
| 78582 |
|
188 |
145 |
$8K |
| 87502 |
|
1,476 |
1,006 |
$8K |
| 83001 |
|
466 |
361 |
$8K |
| 86708 |
|
697 |
556 |
$8K |
| J2710 |
Neostigmine methylslfte inj |
4,011 |
2,175 |
$8K |
| 84165 |
|
930 |
701 |
$8K |
| 76882 |
|
453 |
398 |
$8K |
| A9540 |
Tc99m maa |
283 |
227 |
$8K |
| 73070 |
|
918 |
772 |
$8K |
| 36415 |
|
24,209 |
13,727 |
$8K |
| 82670 |
|
149 |
142 |
$7K |
| J0640 |
Leucovorin calcium injection |
139 |
63 |
$7K |
| 83516 |
|
551 |
388 |
$7K |
| G0103 |
Psa screening |
529 |
359 |
$7K |
| 87506 |
|
154 |
128 |
$7K |
| 82248 |
|
2,264 |
1,636 |
$7K |
| 97014 |
|
723 |
242 |
$7K |
| J3360 |
Diazepam injection |
51 |
47 |
$7K |
| C1760 |
Closure dev, vasc |
163 |
98 |
$7K |
| 84480 |
|
707 |
578 |
$7K |
| 97163 |
|
146 |
64 |
$7K |
| J2550 |
Promethazine hcl injection |
2,263 |
1,629 |
$7K |
| 96416 |
|
189 |
115 |
$7K |
| 83655 |
|
897 |
735 |
$7K |
| 84550 |
|
1,788 |
1,325 |
$7K |
| 49450 |
|
15 |
12 |
$6K |
| 0223U |
|
60 |
44 |
$6K |
| J1630 |
Haloperidol injection |
2,023 |
1,528 |
$6K |
| J9190 |
Fluorouracil injection |
272 |
118 |
$6K |
| 73562 |
|
758 |
508 |
$6K |
| C9113 |
Inj pantoprazole sodium, via |
1,739 |
789 |
$6K |
| C1725 |
Cath, translumin non-laser |
250 |
163 |
$6K |
| 29515 |
|
264 |
239 |
$6K |
| C1887 |
Catheter, guiding |
238 |
138 |
$6K |
| 87102 |
|
1,022 |
649 |
$6K |
| 94618 |
|
220 |
203 |
$5K |
| 86618 |
|
897 |
657 |
$5K |
| M0243 |
Casirivi and imdevi inj |
23 |
13 |
$5K |
| 71101 |
|
556 |
502 |
$5K |
| 87633 |
|
19 |
17 |
$5K |
| J0330 |
Succinycholine chloride inj |
3,060 |
1,797 |
$5K |
| A9503 |
Tc99m medronate |
201 |
171 |
$5K |
| 93296 |
|
761 |
642 |
$5K |
| 88185 |
|
65 |
38 |
$5K |
| 90732 |
|
237 |
199 |
$5K |
| 86300 |
|
442 |
303 |
$5K |
| J1790 |
Droperidol injection |
283 |
192 |
$4K |
| C1751 |
Cath, inf, per/cent/midline |
255 |
182 |
$4K |
| 95910 |
|
12 |
12 |
$4K |
| J2323 |
Natalizumab injection |
121 |
108 |
$4K |
| 87634 |
|
793 |
560 |
$4K |
| 0001A |
|
127 |
111 |
$4K |
| J3480 |
Inj potassium chloride |
443 |
277 |
$4K |
| 74021 |
|
541 |
443 |
$4K |
| 73700 |
|
45 |
40 |
$4K |
| 77280 |
|
39 |
28 |
$4K |
| 94664 |
|
608 |
407 |
$4K |
| 94010 |
|
44 |
44 |
$4K |
| 82150 |
|
473 |
360 |
$4K |
| 73552 |
|
605 |
441 |
$3K |
| 73060 |
|
381 |
331 |
$3K |
| 97750 |
|
13 |
12 |
$3K |
| 76937 |
|
651 |
477 |
$3K |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
107 |
68 |
$3K |
| 87902 |
|
122 |
88 |
$3K |
| T1027 |
Family training & counseling |
200 |
73 |
$3K |
| 87529 |
|
34 |
29 |
$3K |
| 86160 |
|
149 |
134 |
$3K |
| 82140 |
|
456 |
325 |
$3K |
| 87798 |
|
745 |
509 |
$3K |
| 87081 |
|
1,026 |
988 |
$3K |
| 84436 |
|
656 |
533 |
$3K |
| 82533 |
|
178 |
141 |
$3K |
| 86200 |
|
289 |
237 |
$3K |
| J1940 |
Furosemide injection |
959 |
484 |
$3K |
| 87563 |
|
132 |
80 |
$2K |
| 90686 |
|
833 |
683 |
$2K |
| 86787 |
|
344 |
224 |
$2K |
| 77295 |
|
25 |
15 |
$2K |
| J2791 |
Rhophylac injection |
49 |
39 |
$2K |
| 83002 |
|
158 |
135 |
$2K |
| 74181 |
|
33 |
29 |
$2K |
| 87254 |
|
273 |
149 |
$2K |
| 86430 |
|
910 |
740 |
$2K |
| 96523 |
|
94 |
81 |
$2K |
| 97113 |
|
99 |
25 |
$2K |
| 96368 |
|
158 |
90 |
$2K |
| 78306 |
|
27 |
25 |
$2K |
| 82330 |
|
318 |
239 |
$2K |
| J0702 |
Betamethasone acet&sod phosp |
15 |
12 |
$2K |
| 97542 |
|
15 |
12 |
$2K |
| 87015 |
|
587 |
249 |
$2K |
| J1580 |
Garamycin gentamicin inj |
231 |
172 |
$2K |
| 97602 |
|
21 |
13 |
$2K |
| J0360 |
Hydralazine hcl injection |
134 |
107 |
$2K |
| 82977 |
|
582 |
442 |
$2K |
| 73100 |
|
232 |
190 |
$2K |
| 85347 |
|
82 |
70 |
$2K |
| 88112 |
|
208 |
101 |
$2K |
| 0012A |
|
46 |
45 |
$2K |
| G0008 |
Admin influenza virus vac |
1,939 |
1,602 |
$2K |
| 94660 |
|
594 |
324 |
$2K |
| 82985 |
|
107 |
94 |
$2K |
| 82232 |
|
40 |
37 |
$1K |
| 84295 |
|
664 |
513 |
$1K |
| 74220 |
|
43 |
37 |
$1K |
| 80197 |
|
267 |
193 |
$1K |
| 87517 |
|
271 |
208 |
$1K |
| A9558 |
Xe133 xenon 10mci |
202 |
157 |
$1K |
| 12013 |
|
28 |
24 |
$1K |
| 85014 |
|
1,261 |
909 |
$1K |
| 83921 |
|
174 |
77 |
$1K |
| 84132 |
|
816 |
551 |
$1K |
| 36561 |
|
26 |
12 |
$1K |
| 87661 |
|
108 |
68 |
$1K |
| A0425 |
Ground mileage |
85 |
62 |
$1K |
| J9310 |
Rituximab injection |
17 |
12 |
$1K |
| 70360 |
|
307 |
272 |
$1K |
| J2370 |
Phenylephrine hcl injection |
1,687 |
1,216 |
$1K |
| 51798 |
|
245 |
202 |
$1K |
| 92611 |
|
60 |
55 |
$1K |
| 74230 |
|
101 |
83 |
$1K |
| 83520 |
|
80 |
54 |
$1K |
| 83010 |
|
442 |
319 |
$1K |
| 72050 |
|
90 |
70 |
$965.19 |
| 80177 |
|
159 |
122 |
$899.88 |
| 86039 |
|
392 |
247 |
$842.56 |
| 82024 |
|
14 |
12 |
$830.89 |
| 88184 |
|
190 |
127 |
$810.29 |
| 87640 |
|
51 |
40 |
$808.83 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
121 |
94 |
$778.04 |
| 89050 |
|
149 |
110 |
$777.09 |
| 86705 |
|
61 |
50 |
$730.71 |
| 86256 |
|
15 |
14 |
$729.18 |
| 82172 |
|
259 |
190 |
$597.18 |
| 86304 |
|
13 |
12 |
$568.03 |
| 82677 |
|
49 |
37 |
$566.16 |
| 82040 |
|
128 |
101 |
$537.46 |
| P9040 |
Rbc leukoreduced irradiated |
42 |
29 |
$520.40 |
| 82374 |
|
160 |
123 |
$446.79 |
| 82435 |
|
161 |
124 |
$438.59 |
| 86593 |
|
76 |
51 |
$418.92 |
| 87147 |
|
325 |
241 |
$414.82 |
| 86336 |
|
49 |
37 |
$403.92 |
| C1758 |
Catheter, ureteral |
45 |
39 |
$355.59 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
58 |
38 |
$349.16 |
| 82652 |
|
52 |
43 |
$341.27 |
| 80178 |
|
57 |
40 |
$316.00 |
| 36410 |
|
248 |
201 |
$305.31 |
| 81025 |
|
86 |
51 |
$279.39 |
| 96377 |
|
51 |
25 |
$266.13 |
| 84155 |
|
85 |
70 |
$261.17 |
| 82951 |
|
54 |
46 |
$258.57 |
| 90662 |
|
618 |
544 |
$254.94 |
| 84300 |
|
56 |
52 |
$250.03 |
| OP270 |
|
35 |
30 |
$245.12 |
| J0692 |
Cefepime hcl for injection |
25 |
14 |
$245.09 |
| G0009 |
Admin pneumococcal vaccine |
494 |
412 |
$233.84 |
| J3301 |
Triamcinolone acet inj nos |
54 |
36 |
$232.60 |
| 82310 |
|
104 |
74 |
$220.82 |
| 86308 |
|
42 |
38 |
$211.72 |
| 93017 |
|
217 |
149 |
$205.53 |
| 77012 |
|
49 |
39 |
$202.42 |
| 80047 |
|
77 |
36 |
$195.31 |
| 87116 |
|
57 |
40 |
$167.17 |
| 82962 |
|
578 |
457 |
$162.59 |
| 86696 |
|
13 |
12 |
$153.46 |
| 72220 |
|
18 |
12 |
$152.27 |
| 73660 |
|
59 |
52 |
$151.25 |
| 73501 |
|
22 |
12 |
$149.88 |
| 73521 |
|
73 |
63 |
$149.28 |
| A9541 |
Tc99m sulfur colloid |
54 |
42 |
$147.05 |
| 88172 |
|
58 |
41 |
$141.97 |
| 73221 |
|
20 |
16 |
$137.37 |
| G8978 |
Mobility current status |
1,353 |
988 |
$127.01 |
| G8979 |
Mobility goal status |
1,426 |
1,033 |
$126.99 |
| 88311 |
|
91 |
69 |
$116.65 |
| 86695 |
|
13 |
12 |
$104.63 |
| J7510 |
Prednisolone oral per 5 mg |
131 |
115 |
$104.18 |
| 88300 |
|
97 |
51 |
$100.50 |
| 86147 |
|
14 |
13 |
$91.16 |
| G8987 |
Self care current status |
569 |
418 |
$89.39 |
| G8988 |
Self care goal status |
571 |
419 |
$89.37 |
| J0744 |
Ciprofloxacin iv |
37 |
25 |
$83.99 |
| 81002 |
|
214 |
166 |
$83.28 |
| 82164 |
|
51 |
31 |
$81.03 |
| 86762 |
|
57 |
45 |
$66.07 |
| 87176 |
|
21 |
16 |
$57.51 |
| 87493 |
|
51 |
41 |
$47.18 |
| 93923 |
|
17 |
12 |
$45.64 |
| 86146 |
|
14 |
13 |
$45.54 |
| 87206 |
|
54 |
38 |
$41.61 |
| J3420 |
Vitamin b12 injection |
18 |
12 |
$32.31 |
| 77091 |
|
29 |
16 |
$29.47 |
| 84478 |
|
46 |
24 |
$18.75 |
| 86870 |
|
32 |
26 |
$15.00 |
| 86709 |
|
19 |
16 |
$13.90 |
| 90688 |
|
168 |
130 |
$6.74 |
| 91300 |
|
366 |
321 |
$0.74 |
| Q0244 |
Casirivi and imdevi 1200 mg |
23 |
13 |
$0.57 |
| 91301 |
|
53 |
44 |
$0.10 |
| G8980 |
Mobility d/c status |
560 |
399 |
$0.09 |
| G8996 |
Swallow current status |
367 |
274 |
$0.05 |
| G8997 |
Swallow goal status |
370 |
276 |
$0.05 |
| G8989 |
Self care d/c status |
155 |
127 |
$0.02 |
| G8998 |
Swallow d/c status |
232 |
175 |
$0.02 |
| Q0247 |
Sotrovimab |
21 |
20 |
$0.01 |
| 90682 |
|
18 |
14 |
$0.00 |
| 72114 |
|
51 |
49 |
$0.00 |
| 84481 |
|
18 |
15 |
$0.00 |
| C1788 |
Port, indwelling, imp |
26 |
12 |
$0.00 |
| G1004 |
Cdsm ndsc |
94 |
77 |
$0.00 |
| 10022 |
|
17 |
12 |
$0.00 |
| 94727 |
|
12 |
12 |
$0.00 |
| C1729 |
Cath, drainage |
21 |
13 |
$0.00 |
| 45385 |
|
13 |
12 |
$0.00 |
| 76942 |
|
16 |
12 |
$0.00 |
| 95811 |
|
16 |
14 |
$0.00 |
| 86225 |
|
70 |
61 |
$0.00 |
| 64400 |
|
17 |
12 |
$0.00 |
| 86255 |
|
17 |
12 |
$0.00 |
| 87449 |
|
13 |
12 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
15 |
12 |
$0.00 |
| 82945 |
|
17 |
12 |
$0.00 |
| 88331 |
|
20 |
12 |
$0.00 |
| 29130 |
|
12 |
12 |
$0.00 |
| Q4081 |
Epoetin alfa, 100 units esrd |
95 |
12 |
$0.00 |