| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
206,015 |
169,148 |
$36.16M |
| G0378 |
Hospital observation per hr |
42,333 |
31,676 |
$27.38M |
| 99283 |
|
240,282 |
204,376 |
$24.50M |
| 99285 |
|
105,125 |
85,877 |
$24.31M |
| 99214 |
|
355,806 |
311,459 |
$19.47M |
| 42820 |
|
6,393 |
5,168 |
$14.18M |
| 99213 |
|
322,995 |
277,959 |
$12.91M |
| J9271 |
Inj pembrolizumab |
1,990 |
1,300 |
$12.26M |
| 69436 |
|
10,976 |
9,038 |
$8.55M |
| 93306 |
|
53,114 |
46,652 |
$7.62M |
| 93303 |
|
35,653 |
31,098 |
$6.43M |
| 86902 |
|
21,040 |
7,108 |
$6.07M |
| J0585 |
Injection,onabotulinumtoxina |
7,600 |
6,118 |
$5.90M |
| 99215 |
Prolong outpt/office vis |
73,018 |
61,562 |
$5.37M |
| 99469 |
|
20,497 |
3,739 |
$5.26M |
| 99233 |
Prolong inpt eval add15 m |
115,857 |
37,788 |
$5.16M |
| 99472 |
|
20,840 |
2,997 |
$4.91M |
| 70553 |
|
28,970 |
25,511 |
$4.58M |
| 99232 |
|
131,523 |
47,005 |
$4.56M |
| 96413 |
|
26,489 |
15,278 |
$4.44M |
| 96374 |
|
40,792 |
32,299 |
$4.32M |
| 99282 |
|
53,463 |
47,001 |
$3.54M |
| 86885 |
|
47,024 |
33,042 |
$3.42M |
| A0431 |
Rotary wing air transport |
1,969 |
1,779 |
$3.27M |
| 74177 |
|
32,204 |
28,440 |
$3.11M |
| 94640 |
|
19,235 |
12,652 |
$3.08M |
| 94375 |
|
22,412 |
19,669 |
$3.03M |
| J1745 |
Infliximab not biosimil 10mg |
1,655 |
1,323 |
$2.92M |
| J2323 |
Natalizumab injection |
1,727 |
1,456 |
$2.87M |
| 77386 |
|
12,195 |
973 |
$2.84M |
| 99244 |
|
26,750 |
23,467 |
$2.84M |
| 97110 |
|
84,517 |
21,625 |
$2.79M |
| 95810 |
|
6,189 |
5,390 |
$2.77M |
| J2505 |
Injection, pegfilgrastim 6mg |
1,101 |
765 |
$2.77M |
| 99212 |
|
118,075 |
102,567 |
$2.71M |
| 99291 |
|
22,817 |
8,607 |
$2.64M |
| 71045 |
|
239,658 |
157,448 |
$2.62M |
| 99211 |
|
320,888 |
260,363 |
$2.55M |
| 99392 |
|
32,844 |
29,267 |
$2.53M |
| 86900 |
|
47,838 |
33,442 |
$2.52M |
| 36430 |
|
13,172 |
8,259 |
$2.51M |
| 76820 |
|
67,811 |
43,117 |
$2.51M |
| 99479 |
|
26,744 |
6,018 |
$2.47M |
| 54161 |
|
2,541 |
2,249 |
$2.46M |
| 78815 |
|
6,592 |
5,698 |
$2.42M |
| 42830 |
|
1,515 |
1,145 |
$2.39M |
| 99391 |
|
30,836 |
28,292 |
$2.33M |
| J9312 |
Inj., rituximab, 10 mg |
916 |
533 |
$2.31M |
| 93005 |
|
75,636 |
63,521 |
$2.28M |
| 20680 |
|
1,668 |
1,283 |
$2.28M |
| 76819 |
|
47,975 |
26,046 |
$2.22M |
| J2357 |
Omalizumab injection |
2,292 |
915 |
$2.21M |
| 99243 |
|
28,575 |
24,902 |
$2.13M |
| 76811 |
|
23,485 |
20,103 |
$2.09M |
| 96365 |
|
19,008 |
12,896 |
$2.08M |
| 71046 |
|
77,369 |
64,528 |
$2.04M |
| 88305 |
|
60,216 |
42,168 |
$2.02M |
| 64642 |
|
9,411 |
8,008 |
$1.98M |
| 80053 |
|
222,646 |
166,419 |
$1.97M |
| 95812 |
|
15,180 |
13,179 |
$1.93M |
| 99204 |
|
25,447 |
21,844 |
$1.90M |
| 76770 |
|
34,387 |
30,375 |
$1.90M |
| P9016 |
Rbc leukocytes reduced |
11,425 |
7,154 |
$1.87M |
| 43239 |
|
4,931 |
3,744 |
$1.80M |
| 96360 |
|
14,973 |
12,380 |
$1.78M |
| J0897 |
Denosumab injection |
2,674 |
2,195 |
$1.73M |
| 70450 |
|
47,485 |
41,068 |
$1.71M |
| 87428 |
|
23,300 |
20,292 |
$1.69M |
| 96372 |
|
43,107 |
32,275 |
$1.66M |
| 93304 |
|
11,346 |
9,268 |
$1.64M |
| J9299 |
Injection, nivolumab |
279 |
195 |
$1.58M |
| 90460 |
|
60,503 |
53,804 |
$1.54M |
| 71260 |
|
22,925 |
20,346 |
$1.50M |
| 85025 |
|
256,322 |
185,772 |
$1.44M |
| 70551 |
|
14,045 |
12,597 |
$1.41M |
| A0436 |
Rotary wing air mileage |
1,964 |
1,773 |
$1.38M |
| 87491 |
|
53,872 |
34,533 |
$1.37M |
| 97530 |
|
38,347 |
11,113 |
$1.35M |
| 88307 |
|
15,018 |
12,102 |
$1.34M |
| 81229 |
|
2,919 |
2,516 |
$1.33M |
| 87591 |
|
53,907 |
34,544 |
$1.27M |
| 87804 |
|
82,205 |
39,611 |
$1.25M |
| 92587 |
|
7,797 |
6,844 |
$1.19M |
| 76816 |
|
23,757 |
20,359 |
$1.15M |
| 90791 |
|
13,764 |
11,589 |
$1.15M |
| 96361 |
|
26,423 |
20,536 |
$1.14M |
| J9035 |
Bevacizumab injection |
723 |
560 |
$1.12M |
| 74018 |
|
70,404 |
48,060 |
$1.12M |
| 49580 |
|
567 |
480 |
$1.12M |
| U0003 |
Cov-19 amp prb hgh thruput |
16,899 |
15,281 |
$1.11M |
| 36415 |
|
367,472 |
271,260 |
$1.11M |
| 95716 |
|
2,369 |
1,176 |
$1.10M |
| 86923 |
|
15,615 |
6,149 |
$1.10M |
| 95951 |
|
3,235 |
1,418 |
$1.07M |
| 86922 |
|
12,464 |
4,563 |
$1.05M |
| 90837 |
|
13,975 |
8,853 |
$1.04M |
| 78452 |
|
2,598 |
2,196 |
$1.02M |
| 99238 |
|
21,830 |
19,189 |
$1.02M |
| J0475 |
Baclofen 10 mg injection |
1,701 |
1,431 |
$1.02M |
| J1951 |
Inj fensolvi 0.25 mg |
64 |
40 |
$1.02M |
| 80307 |
|
25,835 |
20,946 |
$1.01M |
| 72082 |
|
16,643 |
14,395 |
$1.00M |
| 99480 |
|
11,611 |
2,386 |
$986K |
| 86920 |
|
11,038 |
4,379 |
$982K |
| 95004 |
|
622 |
417 |
$927K |
| 76705 |
|
21,666 |
18,639 |
$908K |
| 36512 |
|
1,449 |
1,209 |
$890K |
| J7307 |
Etonogestrel implant system |
1,413 |
1,091 |
$886K |
| 45380 |
|
2,411 |
1,790 |
$884K |
| 99203 |
|
20,615 |
16,592 |
$837K |
| 84443 |
|
64,687 |
54,854 |
$833K |
| 92014 |
|
15,762 |
13,389 |
$830K |
| 99223 |
Prolong inpt eval add15 m |
11,601 |
9,672 |
$829K |
| 72170 |
|
16,158 |
14,129 |
$784K |
| 86901 |
|
47,836 |
33,437 |
$778K |
| 77077 |
|
13,431 |
11,685 |
$765K |
| 99393 |
|
11,799 |
9,592 |
$754K |
| 76805 |
|
11,852 |
9,234 |
$732K |
| 87880 |
|
49,846 |
41,914 |
$720K |
| 76825 |
|
3,186 |
2,502 |
$718K |
| G0480 |
Drug test def 1-7 classes |
11,681 |
9,792 |
$709K |
| 82306 |
|
34,227 |
29,585 |
$707K |
| J1459 |
Inj ivig privigen 500 mg |
481 |
168 |
$704K |
| D7140 |
|
1,178 |
710 |
$659K |
| 99205 |
Prolong outpt/office vis |
7,172 |
6,024 |
$652K |
| 87536 |
|
12,607 |
10,703 |
$642K |
| 87426 |
|
17,018 |
14,329 |
$628K |
| 99281 |
|
12,404 |
10,448 |
$626K |
| 96375 |
|
22,979 |
17,018 |
$611K |
| 99170 |
|
7,663 |
6,458 |
$609K |
| 49591 |
|
284 |
211 |
$589K |
| 94726 |
|
6,525 |
5,837 |
$589K |
| 99202 |
|
15,847 |
13,954 |
$582K |
| 72141 |
|
4,732 |
3,935 |
$577K |
| 93320 |
|
36,613 |
31,781 |
$576K |
| 73590 |
|
16,673 |
12,800 |
$572K |
| 77412 |
|
5,127 |
519 |
$570K |
| 72156 |
|
3,011 |
2,547 |
$568K |
| 88342 |
|
10,489 |
7,688 |
$567K |
| 87389 |
|
33,754 |
26,601 |
$567K |
| 76817 |
|
10,234 |
7,167 |
$567K |
| 76000 |
|
4,688 |
3,748 |
$566K |
| 96367 |
|
13,004 |
6,426 |
$566K |
| 11042 |
|
5,792 |
3,932 |
$554K |
| 97161 |
|
11,042 |
9,371 |
$552K |
| 73562 |
|
18,651 |
15,057 |
$545K |
| 73610 |
|
16,472 |
13,378 |
$545K |
| 31720 |
|
4,788 |
3,025 |
$541K |
| 01922 |
|
5,252 |
4,659 |
$536K |
| J0561 |
Penicillin g benzathine inj |
4,312 |
3,366 |
$536K |
| 93010 |
|
117,766 |
97,670 |
$531K |
| 95782 |
|
871 |
761 |
$527K |
| 73630 |
|
15,470 |
12,562 |
$524K |
| P9040 |
Rbc leukoreduced irradiated |
3,729 |
2,447 |
$523K |
| A0425 |
Ground mileage |
2,078 |
1,576 |
$518K |
| G0483 |
Drug test def 22+ classes |
4,051 |
3,590 |
$506K |
| 90471 |
|
24,446 |
20,972 |
$504K |
| 72158 |
|
2,555 |
2,142 |
$497K |
| 93308 |
|
7,048 |
5,783 |
$496K |
| 77334 |
|
1,847 |
1,257 |
$495K |
| 80048 |
|
74,355 |
56,683 |
$493K |
| 96415 |
|
8,834 |
6,022 |
$492K |
| 72157 |
|
2,553 |
2,144 |
$485K |
| 72148 |
|
3,964 |
3,305 |
$483K |
| 66984 |
|
1,061 |
795 |
$481K |
| 95816 |
|
5,359 |
4,699 |
$480K |
| 87070 |
|
53,563 |
44,001 |
$457K |
| J9310 |
Rituximab injection |
176 |
110 |
$452K |
| 81025 |
|
55,030 |
44,310 |
$447K |
| 93325 |
|
61,168 |
51,336 |
$446K |
| 64493 |
|
1,069 |
930 |
$445K |
| U0004 |
Cov-19 test non-cdc hgh thru |
7,008 |
6,265 |
$445K |
| 74183 |
|
3,297 |
2,761 |
$439K |
| 83036 |
|
58,452 |
50,850 |
$437K |
| 94728 |
|
6,468 |
5,672 |
$436K |
| 94150 |
|
3,950 |
2,181 |
$432K |
| 73090 |
|
11,654 |
8,770 |
$430K |
| 62323 |
|
1,587 |
1,398 |
$429K |
| 59409 |
|
720 |
677 |
$425K |
| 92507 |
|
11,004 |
3,798 |
$423K |
| 80061 |
|
41,713 |
36,255 |
$422K |
| 85027 |
|
86,769 |
63,624 |
$414K |
| 99231 |
|
21,653 |
9,070 |
$414K |
| 76821 |
|
8,348 |
5,459 |
$405K |
| 83880 |
|
19,045 |
15,463 |
$402K |
| 73552 |
|
12,847 |
10,453 |
$402K |
| 81001 |
|
101,066 |
81,410 |
$399K |
| 59514 |
|
646 |
565 |
$393K |
| 77067 |
|
8,236 |
7,372 |
$387K |
| 54640 |
|
197 |
146 |
$384K |
| 87661 |
|
18,606 |
13,854 |
$384K |
| 72125 |
|
8,840 |
7,377 |
$381K |
| 86003 |
|
8,056 |
3,970 |
$380K |
| 92579 |
|
4,375 |
3,970 |
$380K |
| 73130 |
|
9,479 |
7,399 |
$373K |
| 97112 |
|
17,516 |
5,127 |
$366K |
| 97165 |
|
6,636 |
5,621 |
$365K |
| 73030 |
|
12,793 |
10,570 |
$355K |
| 77072 |
|
4,865 |
4,091 |
$355K |
| 67311 |
|
181 |
144 |
$350K |
| 70496 |
|
5,188 |
4,353 |
$347K |
| 86870 |
|
2,693 |
1,642 |
$346K |
| 70491 |
|
3,647 |
3,087 |
$342K |
| 77336 |
|
5,279 |
2,171 |
$341K |
| 43762 |
|
3,593 |
3,057 |
$341K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
4,747 |
3,475 |
$341K |
| 93451 |
|
511 |
333 |
$339K |
| 82728 |
|
35,219 |
27,265 |
$333K |
| 01967 |
|
1,046 |
938 |
$329K |
| G0463 |
Hospital outpt clinic visit |
28,166 |
24,923 |
$328K |
| U0005 |
Infec agen detec ampli probe |
16,858 |
14,899 |
$327K |
| 86360 |
|
11,675 |
9,942 |
$325K |
| 20610 |
|
6,266 |
5,156 |
$322K |
| 92012 |
|
7,305 |
6,217 |
$322K |
| 77300 |
|
1,432 |
1,132 |
$320K |
| 96366 |
|
6,391 |
4,343 |
$312K |
| 82803 |
|
22,472 |
17,524 |
$311K |
| S9110 |
Telemonitoring/home per mnth |
38,622 |
1,865 |
$311K |
| 95720 |
|
2,545 |
1,389 |
$311K |
| 59425 |
|
3,912 |
3,122 |
$304K |
| J1453 |
Fosaprepitant injection |
2,337 |
1,341 |
$302K |
| 00170 |
|
3,282 |
2,990 |
$300K |
| 92060 |
|
6,809 |
5,923 |
$299K |
| 99394 |
|
5,065 |
3,837 |
$298K |
| 73110 |
|
7,485 |
5,792 |
$297K |
| A0427 |
Als1-emergency |
1,237 |
1,047 |
$297K |
| 71275 |
|
4,336 |
3,792 |
$293K |
| 70498 |
|
4,868 |
4,079 |
$289K |
| 73721 |
|
1,671 |
1,384 |
$287K |
| 92526 |
|
6,956 |
2,498 |
$284K |
| 73560 |
|
8,337 |
6,553 |
$284K |
| 88184 |
|
2,148 |
1,353 |
$282K |
| 87086 |
|
43,415 |
36,278 |
$275K |
| 73080 |
|
6,758 |
5,204 |
$270K |
| 76536 |
|
5,481 |
4,740 |
$270K |
| 88175 |
|
13,967 |
12,340 |
$265K |
| 72100 |
|
5,832 |
5,060 |
$265K |
| 93017 |
|
2,853 |
2,522 |
$262K |
| 84439 |
|
33,425 |
28,423 |
$262K |
| 95811 |
|
544 |
495 |
$261K |
| 96417 |
|
6,415 |
3,772 |
$259K |
| 92523 |
|
2,095 |
1,773 |
$257K |
| 93976 |
|
6,286 |
5,166 |
$256K |
| 82947 |
|
90,920 |
50,266 |
$255K |
| 99242 |
|
4,701 |
4,085 |
$250K |
| 92567 |
|
13,535 |
11,983 |
$246K |
| 95700 |
|
2,051 |
1,763 |
$245K |
| 45378 |
|
769 |
676 |
$243K |
| 19083 |
|
456 |
396 |
$242K |
| 99245 |
|
2,116 |
1,865 |
$241K |
| 90960 |
|
2,810 |
2,730 |
$239K |
| 72197 |
|
1,198 |
1,007 |
$239K |
| 96523 |
|
9,039 |
6,378 |
$238K |
| 96130 |
|
2,953 |
2,630 |
$238K |
| 70486 |
|
4,026 |
3,264 |
$237K |
| 93970 |
|
5,946 |
4,949 |
$236K |
| 99220 |
|
2,205 |
1,931 |
$236K |
| 59426 |
|
2,657 |
1,742 |
$236K |
| 71250 |
|
5,726 |
4,978 |
$233K |
| 81420 |
|
998 |
871 |
$232K |
| 73060 |
|
5,867 |
4,514 |
$231K |
| 99460 |
|
3,806 |
3,329 |
$231K |
| 82248 |
|
56,209 |
41,415 |
$230K |
| 93886 |
|
1,430 |
1,194 |
$228K |
| 92015 |
|
11,543 |
9,573 |
$228K |
| 73100 |
|
5,602 |
4,078 |
$227K |
| 99255 |
|
2,426 |
1,956 |
$226K |
| 83970 |
|
9,619 |
8,132 |
$226K |
| 86780 |
|
25,478 |
19,416 |
$221K |
| 73620 |
|
5,035 |
3,698 |
$220K |
| 72146 |
|
1,324 |
1,083 |
$219K |
| 43235 |
|
855 |
748 |
$219K |
| 76642 |
|
7,883 |
6,464 |
$218K |
| 74178 |
|
1,645 |
1,442 |
$213K |
| 97140 |
|
9,094 |
2,824 |
$213K |
| 94762 |
|
3,209 |
1,961 |
$211K |
| 83605 |
|
29,246 |
20,979 |
$205K |
| 73070 |
|
4,550 |
3,480 |
$205K |
| 90834 |
|
4,395 |
2,930 |
$204K |
| 70543 |
|
876 |
724 |
$204K |
| 72040 |
|
5,932 |
5,027 |
$203K |
| 73120 |
|
2,786 |
2,003 |
$202K |
| 92585 |
|
1,201 |
1,070 |
$201K |
| 92004 |
|
3,149 |
2,497 |
$200K |
| 76827 |
|
3,594 |
2,732 |
$197K |
| 86832 |
|
1,369 |
1,042 |
$196K |
| 73502 |
|
7,445 |
6,317 |
$195K |
| 86833 |
|
1,369 |
1,042 |
$194K |
| 42821 |
|
108 |
80 |
$193K |
| 74019 |
|
3,489 |
2,859 |
$191K |
| 83735 |
|
47,816 |
30,789 |
$191K |
| 12011 |
|
1,596 |
1,279 |
$190K |
| 64643 |
|
7,905 |
6,737 |
$190K |
| 93225 |
|
2,286 |
1,975 |
$189K |
| 96409 |
|
1,627 |
1,120 |
$189K |
| 87563 |
|
8,295 |
5,540 |
$187K |
| 87624 |
|
8,357 |
7,337 |
$186K |
| 74230 |
|
3,314 |
2,879 |
$185K |
| 74176 |
|
2,727 |
2,362 |
$185K |
| 70250 |
|
3,011 |
2,462 |
$180K |
| 74022 |
|
4,728 |
3,727 |
$179K |
| 93975 |
|
1,538 |
1,241 |
$178K |
| 86235 |
|
4,829 |
2,382 |
$177K |
| 95819 |
|
2,034 |
1,759 |
$177K |
| 94060 |
|
1,301 |
1,129 |
$176K |
| 99201 |
|
8,519 |
7,646 |
$175K |
| 77066 |
Tomosynthesis, mammo |
3,512 |
2,980 |
$174K |
| 95911 |
|
729 |
613 |
$174K |
| 87077 |
|
23,674 |
17,272 |
$170K |
| 92652 |
|
1,180 |
985 |
$169K |
| 99462 |
|
5,656 |
4,053 |
$169K |
| J9070 |
Cyclophosphamide 100 mg inj |
687 |
452 |
$168K |
| 85046 |
|
37,286 |
25,198 |
$167K |
| 76830 |
|
3,305 |
2,694 |
$166K |
| 76856 |
|
2,690 |
2,181 |
$165K |
| 99239 |
|
3,967 |
3,405 |
$164K |
| 31231 |
|
1,298 |
1,179 |
$163K |
| 80047 |
|
20,346 |
16,936 |
$163K |
| 99468 |
|
437 |
344 |
$159K |
| 99254 |
|
2,276 |
1,831 |
$157K |
| 73564 |
|
1,380 |
1,177 |
$156K |
| 86481 |
|
2,451 |
2,180 |
$156K |
| 44970 |
|
31 |
26 |
$156K |
| P9037 |
Plate pheres leukoredu irrad |
464 |
222 |
$155K |
| 83021 |
|
12,100 |
8,364 |
$153K |
| 97162 |
|
3,888 |
3,320 |
$153K |
| 86140 |
|
36,707 |
29,610 |
$152K |
| 80074 |
|
4,752 |
3,850 |
$151K |
| 96401 |
|
4,772 |
2,381 |
$150K |
| 87633 |
|
631 |
513 |
$148K |
| 80069 |
|
24,672 |
18,384 |
$147K |
| 92588 |
|
903 |
805 |
$147K |
| 99253 |
|
2,205 |
1,832 |
$146K |
| 90792 |
|
1,942 |
1,563 |
$146K |
| J9217 |
Leuprolide acetate suspnsion |
537 |
440 |
$145K |
| 87635 |
|
3,260 |
3,022 |
$143K |
| 86480 |
|
3,491 |
2,838 |
$143K |
| 83655 |
|
12,662 |
11,293 |
$141K |
| 76506 |
|
5,636 |
4,687 |
$140K |
| 92582 |
|
1,692 |
1,426 |
$140K |
| 93880 |
|
2,148 |
1,896 |
$139K |
| 85610 |
|
49,654 |
36,993 |
$139K |
| 97116 |
|
11,097 |
4,446 |
$138K |
| 76801 |
|
2,194 |
1,762 |
$138K |
| 96131 |
|
2,166 |
1,911 |
$137K |
| 77065 |
Tomosynthesis, mammo |
3,266 |
2,766 |
$137K |
| 88304 |
|
6,022 |
4,753 |
$134K |
| 74240 |
|
1,588 |
1,413 |
$134K |
| 10060 |
|
1,047 |
881 |
$133K |
| 72070 |
|
2,401 |
1,975 |
$129K |
| 49083 |
|
427 |
210 |
$128K |
| 82784 |
|
15,710 |
9,162 |
$128K |
| 45385 |
|
433 |
320 |
$127K |
| 93321 |
|
18,095 |
14,649 |
$125K |
| 86077 |
|
4,723 |
3,922 |
$123K |
| 49650 |
|
43 |
37 |
$122K |
| 99222 |
|
3,276 |
2,600 |
$122K |
| 69210 |
|
3,539 |
3,044 |
$122K |
| 72190 |
|
2,132 |
1,783 |
$121K |
| 31575 |
|
2,085 |
1,823 |
$120K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
43,489 |
36,775 |
$120K |
| 84403 |
|
5,396 |
4,587 |
$117K |
| 92597 |
|
1,863 |
1,515 |
$116K |
| 90832 |
|
3,150 |
2,370 |
$116K |
| 93971 |
|
4,160 |
3,679 |
$115K |
| 87040 |
|
14,664 |
10,040 |
$115K |
| 84484 |
|
13,926 |
9,256 |
$115K |
| 76815 |
|
2,688 |
2,054 |
$115K |
| 84702 |
|
10,967 |
7,614 |
$115K |
| 74455 |
|
1,002 |
885 |
$115K |
| 82570 |
|
28,546 |
21,898 |
$113K |
| 59025 |
|
3,105 |
2,571 |
$112K |
| 78816 |
|
211 |
175 |
$111K |
| 97166 |
|
2,619 |
2,157 |
$110K |
| 93922 |
|
3,745 |
3,329 |
$109K |
| 87186 |
|
16,602 |
12,856 |
$109K |
| 96101 |
|
1,039 |
868 |
$109K |
| 81003 |
|
50,093 |
39,423 |
$108K |
| 86160 |
|
14,779 |
6,331 |
$107K |
| 01961 |
|
431 |
395 |
$107K |
| 84100 |
|
37,614 |
25,527 |
$106K |
| 80197 |
|
13,988 |
8,694 |
$103K |
| 95813 |
|
714 |
605 |
$103K |
| 95115 |
|
3,382 |
1,591 |
$103K |
| 74170 |
|
1,179 |
1,061 |
$103K |
| 85730 |
|
24,792 |
19,786 |
$102K |
| 82607 |
|
10,513 |
9,155 |
$101K |
| 69631 |
|
33 |
24 |
$101K |
| 93296 |
|
7,716 |
7,041 |
$100K |
| 88185 |
|
2,547 |
1,323 |
$99K |
| 12001 |
|
924 |
740 |
$99K |
| 36556 |
|
248 |
168 |
$99K |
| 78306 |
|
853 |
781 |
$99K |
| 77301 |
|
191 |
152 |
$97K |
| 76870 |
|
1,405 |
1,142 |
$97K |
| 77295 |
|
142 |
121 |
$97K |
| 96110 |
|
9,219 |
8,248 |
$97K |
| 75625 |
|
150 |
136 |
$96K |
| 73600 |
|
1,842 |
1,338 |
$96K |
| 72110 |
|
1,749 |
1,552 |
$96K |
| 90472 |
|
8,262 |
7,354 |
$96K |
| J2997 |
Alteplase recombinant |
614 |
463 |
$95K |
| 17110 |
|
1,363 |
1,141 |
$94K |
| 80076 |
|
14,559 |
12,391 |
$92K |
| 88300 |
|
8,243 |
6,781 |
$92K |
| T1017 |
Targeted case management |
2,008 |
801 |
$91K |
| 43760 |
|
701 |
608 |
$91K |
| 83550 |
|
15,923 |
13,559 |
$90K |
| 64450 |
|
346 |
284 |
$90K |
| 82330 |
|
10,008 |
6,986 |
$89K |
| 95874 |
|
10,359 |
8,815 |
$87K |
| 92134 |
|
7,958 |
7,390 |
$87K |
| 11043 |
|
537 |
367 |
$87K |
| 87497 |
|
5,404 |
3,582 |
$85K |
| 83516 |
|
5,884 |
4,437 |
$85K |
| 96411 |
|
1,481 |
983 |
$85K |
| 94664 |
|
4,843 |
4,265 |
$85K |
| J1561 |
Gamunex-c/gammaked |
89 |
39 |
$84K |
| 51701 |
|
1,307 |
1,137 |
$84K |
| J1602 |
Golimumab for iv use 1mg |
66 |
41 |
$84K |
| 76885 |
|
1,544 |
1,368 |
$82K |
| 29450 |
|
619 |
291 |
$81K |
| 93000 |
|
6,499 |
6,157 |
$80K |
| 90670 |
|
21,984 |
20,291 |
$80K |
| 83615 |
|
18,527 |
13,384 |
$80K |
| 87807 |
|
7,558 |
6,541 |
$79K |
| 37225 |
|
56 |
51 |
$78K |
| 97533 |
|
2,498 |
896 |
$78K |
| 87522 |
Neg quan hep c or qual rna |
2,735 |
2,424 |
$77K |
| 73700 |
|
1,188 |
920 |
$75K |
| 49593 |
|
33 |
24 |
$75K |
| 90686 |
|
28,355 |
24,147 |
$75K |
| 93798 |
|
3,039 |
531 |
$74K |
| 83540 |
|
17,304 |
14,482 |
$73K |
| 83002 |
|
4,375 |
3,666 |
$73K |
| G2066 |
Inter devc remote 30d |
5,961 |
5,173 |
$73K |
| 77470 |
|
286 |
252 |
$72K |
| 82533 |
|
5,202 |
3,709 |
$72K |
| 73000 |
|
1,398 |
1,023 |
$71K |
| 67028 |
|
1,561 |
1,452 |
$71K |
| 12002 |
|
519 |
380 |
$71K |
| 84156 |
|
25,797 |
20,730 |
$70K |
| 82785 |
|
5,715 |
4,222 |
$70K |
| 83520 |
|
5,075 |
4,098 |
$69K |
| 29125 |
|
954 |
801 |
$69K |
| 82550 |
|
12,291 |
9,686 |
$68K |
| 83001 |
|
4,288 |
3,591 |
$68K |
| 88173 |
|
2,426 |
1,438 |
$67K |
| 96137 |
|
1,574 |
1,409 |
$67K |
| 82670 |
|
2,816 |
2,283 |
$67K |
| 94250 |
|
1,398 |
1,180 |
$66K |
| 85660 |
|
18,894 |
7,065 |
$66K |
| Q5115 |
Inj truxima 10 mg |
34 |
16 |
$65K |
| 86147 |
|
1,253 |
998 |
$65K |
| 84402 |
|
2,761 |
2,410 |
$65K |
| 85652 |
|
30,243 |
25,097 |
$65K |
| 96450 |
|
475 |
300 |
$65K |
| 88141 |
|
4,375 |
3,969 |
$64K |
| 85007 |
|
21,383 |
14,109 |
$64K |
| 92551 |
|
9,819 |
7,987 |
$64K |
| P9011 |
Blood split unit |
836 |
568 |
$64K |
| 62270 |
|
224 |
191 |
$64K |
| 87340 |
|
9,783 |
8,199 |
$63K |
| 87906 |
|
925 |
811 |
$62K |
| J2182 |
Injection, mepolizumab, 1mg |
37 |
37 |
$61K |
| 72050 |
|
1,072 |
890 |
$61K |
| 86803 |
|
6,972 |
5,983 |
$61K |
| 88108 |
|
4,518 |
3,153 |
$60K |
| 84305 |
|
3,309 |
2,831 |
$59K |
| 92611 |
|
1,160 |
1,009 |
$59K |
| 88313 |
|
2,453 |
1,450 |
$59K |
| 99442 |
|
2,411 |
2,051 |
$59K |
| 77014 |
|
2,206 |
339 |
$58K |
| 83690 |
|
12,724 |
10,261 |
$58K |
| 77290 |
|
297 |
230 |
$58K |
| 36591 |
|
13,109 |
8,622 |
$58K |
| J1050 |
Medroxyprogesterone acetate |
1,101 |
1,023 |
$57K |
| 95715 |
|
244 |
131 |
$57K |
| J2469 |
Palonosetron hcl |
337 |
199 |
$57K |
| 74220 |
|
540 |
469 |
$56K |
| 96136 |
|
1,927 |
1,702 |
$55K |
| 82375 |
|
7,441 |
5,064 |
$54K |
| 86038 |
|
5,685 |
4,651 |
$54K |
| 82043 |
|
13,069 |
11,512 |
$54K |
| 88341 |
|
6,473 |
3,329 |
$53K |
| 84153 |
|
4,718 |
4,027 |
$53K |
| 90935 |
|
2,816 |
1,409 |
$53K |
| 70544 |
|
465 |
354 |
$53K |
| 31624 |
|
183 |
119 |
$52K |
| 86317 |
|
1,598 |
785 |
$52K |
| 87799 |
|
4,870 |
2,965 |
$52K |
| 82105 |
|
4,712 |
3,984 |
$52K |
| 99471 |
|
115 |
87 |
$51K |
| 99217 |
|
1,223 |
1,075 |
$51K |
| 73522 |
|
1,025 |
883 |
$51K |
| 73221 |
|
447 |
379 |
$50K |
| 86376 |
|
3,977 |
3,382 |
$50K |
| 82746 |
|
5,380 |
4,636 |
$49K |
| 95117 |
|
1,828 |
811 |
$49K |
| 72131 |
|
972 |
789 |
$49K |
| 62370 |
|
551 |
470 |
$49K |
| 80177 |
|
4,563 |
3,824 |
$49K |
| 88312 |
|
2,004 |
1,023 |
$49K |
| 84550 |
|
14,804 |
11,209 |
$48K |
| 90732 |
|
980 |
792 |
$48K |
| 77075 |
|
767 |
654 |
$48K |
| 78708 |
|
221 |
196 |
$48K |
| 82610 |
|
3,944 |
3,250 |
$48K |
| 93295 |
|
2,984 |
2,837 |
$48K |
| 75561 |
|
235 |
187 |
$47K |
| 86762 |
|
4,923 |
3,971 |
$47K |
| 99221 |
|
1,159 |
950 |
$47K |
| 82810 |
|
7,699 |
5,235 |
$47K |
| 87205 |
|
13,920 |
10,831 |
$46K |
| 84146 |
|
2,788 |
2,391 |
$46K |
| 86225 |
|
4,783 |
3,725 |
$45K |
| 86880 |
|
1,825 |
776 |
$45K |
| 97542 |
|
1,618 |
1,208 |
$45K |
| 82565 |
|
13,444 |
11,722 |
$44K |
| 92553 |
|
804 |
665 |
$44K |
| 31622 |
|
105 |
78 |
$44K |
| 83498 |
|
1,771 |
1,511 |
$43K |
| 96161 |
|
9,637 |
8,800 |
$43K |
| 86592 |
|
12,115 |
10,344 |
$42K |
| Q5103 |
Injection, inflectra |
51 |
38 |
$42K |
| 82627 |
|
2,051 |
1,759 |
$42K |
| 90734 |
|
2,044 |
1,637 |
$42K |
| 82024 |
|
1,374 |
1,141 |
$41K |
| 96402 |
|
1,164 |
961 |
$41K |
| 92557 |
|
673 |
593 |
$41K |
| 93923 |
|
993 |
910 |
$41K |
| 85018 |
|
22,082 |
15,295 |
$41K |
| 71271 |
|
1,015 |
824 |
$41K |
| 99443 |
|
1,024 |
903 |
$41K |
| L8613 |
Ossicular implant |
1,225 |
1,065 |
$41K |
| J9267 |
Paclitaxel injection |
2,566 |
1,382 |
$40K |
| 99173 |
|
14,465 |
12,113 |
$39K |
| 93531 |
|
47 |
39 |
$39K |
| 87507 |
|
143 |
117 |
$39K |
| 87798 |
|
722 |
590 |
$39K |
| 36561 |
|
27 |
26 |
$38K |
| 83883 |
|
2,887 |
2,256 |
$38K |
| 76937 |
|
15,583 |
12,067 |
$38K |
| 82378 |
|
2,881 |
2,231 |
$37K |
| A0225 |
Neonatal emergency transport |
196 |
152 |
$37K |
| 86706 |
|
5,126 |
4,399 |
$37K |
| J9045 |
Carboplatin injection |
3,057 |
1,763 |
$36K |
| 84165 |
|
5,807 |
4,919 |
$36K |
| 51600 |
|
1,225 |
1,082 |
$36K |
| 77338 |
|
268 |
205 |
$36K |
| 90461 |
|
17,330 |
16,526 |
$36K |
| 90750 |
|
497 |
406 |
$35K |
| 00126 |
|
620 |
566 |
$35K |
| 74174 |
|
293 |
254 |
$35K |
| P9041 |
Albumin (human),5%, 50ml |
514 |
331 |
$35K |
| 93458 |
|
31 |
26 |
$35K |
| 86704 |
|
4,495 |
3,863 |
$35K |
| 83050 |
|
7,588 |
5,039 |
$34K |
| 82977 |
|
6,481 |
4,950 |
$34K |
| 73720 |
|
143 |
113 |
$34K |
| 75710 |
|
74 |
69 |
$34K |
| 54360 |
|
15 |
14 |
$33K |
| 86039 |
|
3,838 |
3,042 |
$32K |
| 90961 |
|
475 |
455 |
$32K |
| 85045 |
|
11,390 |
8,786 |
$32K |
| 99381 |
|
666 |
602 |
$32K |
| 84132 |
|
12,533 |
8,947 |
$31K |
| 64635 |
|
41 |
39 |
$31K |
| 87517 |
|
1,374 |
1,202 |
$31K |
| 93282 |
|
1,927 |
1,664 |
$31K |
| 21235 |
|
12 |
12 |
$30K |
| 76604 |
|
691 |
526 |
$30K |
| 76857 |
|
553 |
411 |
$30K |
| 54300 |
|
15 |
12 |
$30K |
| 93297 |
|
2,890 |
2,648 |
$30K |
| 86255 |
|
2,031 |
1,476 |
$29K |
| 96373 |
|
418 |
326 |
$28K |
| 81373 |
|
606 |
424 |
$28K |
| 80164 |
|
2,739 |
2,316 |
$28K |
| 49500 |
|
18 |
14 |
$28K |
| J7298 |
Mirena, 52 mg |
51 |
41 |
$28K |
| 87102 |
|
4,441 |
3,393 |
$28K |
| J9041 |
Injection, bortezomib, 0.1mg |
136 |
39 |
$28K |
| 27096 |
|
362 |
321 |
$28K |
| 81220 |
|
181 |
155 |
$28K |
| 86146 |
|
690 |
536 |
$28K |
| 62328 |
|
110 |
77 |
$28K |
| 74270 |
|
311 |
260 |
$27K |
| 85014 |
|
18,856 |
15,159 |
$27K |
| 93280 |
|
1,870 |
1,654 |
$27K |
| 72120 |
|
423 |
339 |
$27K |
| 80143 |
|
1,873 |
1,514 |
$27K |
| C1751 |
Cath, inf, per/cent/midline |
3,346 |
2,592 |
$27K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
22,372 |
19,618 |
$27K |
| 87535 |
|
1,005 |
820 |
$26K |
| 90651 |
|
2,335 |
1,653 |
$26K |
| 92610 |
|
667 |
548 |
$26K |
| 86787 |
|
3,012 |
2,135 |
$26K |
| G0108 |
Diab manage trn per indiv |
433 |
406 |
$26K |
| 87045 |
|
2,543 |
2,103 |
$26K |
| 0241U |
|
4,772 |
4,037 |
$26K |
| 95822 |
|
968 |
759 |
$25K |
| 86800 |
|
1,970 |
1,651 |
$25K |
| 77427 |
|
997 |
511 |
$25K |
| 86665 |
|
1,616 |
864 |
$25K |
| 84295 |
|
10,422 |
7,193 |
$24K |
| 70480 |
|
358 |
280 |
$24K |
| 76882 |
|
340 |
274 |
$24K |
| 87081 |
|
5,606 |
4,663 |
$24K |
| 76377 |
|
1,178 |
997 |
$24K |
| 99235 |
|
242 |
184 |
$24K |
| 82139 |
|
1,702 |
1,416 |
$24K |
| 00920 |
|
353 |
302 |
$23K |
| 83519 |
|
1,481 |
1,047 |
$23K |
| 80179 |
|
1,640 |
1,369 |
$23K |
| 87075 |
|
3,456 |
2,535 |
$23K |
| 93298 |
|
1,642 |
1,506 |
$23K |
| 99219 |
|
315 |
271 |
$23K |
| 86304 |
|
1,762 |
1,399 |
$22K |
| 27606 |
|
15 |
13 |
$22K |
| 83525 |
|
2,116 |
1,780 |
$22K |
| 86200 |
|
2,416 |
1,833 |
$22K |
| A4565 |
Slings |
1,462 |
1,200 |
$21K |
| 82820 |
|
3,325 |
1,795 |
$21K |
| 81243 |
|
1,340 |
1,125 |
$21K |
| 01920 |
|
126 |
108 |
$21K |
| 64615 |
|
172 |
132 |
$20K |
| 84681 |
|
1,269 |
1,021 |
$20K |
| 72128 |
|
358 |
309 |
$20K |
| 86790 |
|
2,308 |
1,955 |
$20K |
| 85379 |
|
2,519 |
2,141 |
$19K |
| 87046 |
|
2,540 |
2,100 |
$19K |
| J9263 |
Oxaliplatin |
495 |
277 |
$19K |
| 77370 |
|
309 |
268 |
$19K |
| J2506 |
Inj pegfilgrast ex bio 0.5mg |
24 |
12 |
$19K |
| C1769 |
Guide wire |
9,896 |
7,406 |
$19K |
| 86355 |
|
675 |
498 |
$18K |
| 69200 |
|
384 |
282 |
$18K |
| 95886 |
|
2,212 |
1,942 |
$18K |
| 87486 |
|
634 |
516 |
$18K |
| 29580 |
|
263 |
94 |
$18K |
| 87581 |
|
634 |
516 |
$18K |
| 93356 |
|
1,478 |
1,162 |
$18K |
| 77280 |
|
215 |
164 |
$17K |
| 87210 |
|
5,420 |
4,180 |
$17K |
| 92555 |
|
2,522 |
2,192 |
$17K |
| 86359 |
|
605 |
449 |
$17K |
| 78803 |
|
72 |
65 |
$17K |
| 73140 |
|
330 |
260 |
$16K |
| 85060 |
|
1,473 |
1,097 |
$16K |
| 84134 |
|
1,759 |
1,485 |
$16K |
| 88172 |
|
206 |
161 |
$16K |
| J1726 |
Makena, 10 mg |
60 |
27 |
$16K |
| J7030 |
Normal saline solution infus |
14,200 |
6,047 |
$16K |
| 86334 |
|
1,664 |
1,487 |
$16K |
| 86431 |
|
3,567 |
2,993 |
$15K |
| 82340 |
|
2,564 |
2,123 |
$15K |
| 92504 |
|
840 |
751 |
$15K |
| 93242 |
|
725 |
652 |
$15K |
| 93283 |
|
962 |
858 |
$15K |
| 86301 |
|
1,066 |
822 |
$15K |
| 82247 |
|
3,600 |
2,448 |
$15K |
| 99441 |
|
944 |
777 |
$15K |
| 0202U |
|
1,928 |
1,631 |
$15K |
| 19081 |
|
26 |
25 |
$15K |
| 99051 |
|
1,352 |
1,167 |
$15K |
| 82379 |
|
985 |
818 |
$14K |
| 00731 |
|
550 |
465 |
$14K |
| 95910 |
|
103 |
89 |
$14K |
| 11044 |
|
45 |
24 |
$14K |
| 80235 |
|
815 |
684 |
$14K |
| 70546 |
|
79 |
66 |
$14K |
| J2405 |
Ondansetron hcl injection |
63,833 |
43,489 |
$14K |
| J1100 |
Dexamethasone sodium phos |
50,597 |
35,974 |
$14K |
| 82140 |
|
1,336 |
977 |
$14K |
| 88311 |
|
3,066 |
2,310 |
$14K |
| 77076 |
|
223 |
171 |
$14K |
| 92133 |
|
1,561 |
1,239 |
$13K |
| 82435 |
|
5,330 |
4,134 |
$13K |
| 87899 |
|
1,724 |
572 |
$13K |
| 85097 |
|
129 |
95 |
$13K |
| 84480 |
|
1,135 |
992 |
$13K |
| 84244 |
|
783 |
609 |
$13K |
| 95885 |
|
1,083 |
935 |
$13K |
| 87116 |
|
1,758 |
1,309 |
$13K |
| 95251 |
|
1,000 |
897 |
$13K |
| 86696 |
|
941 |
767 |
$13K |
| 85384 |
|
1,949 |
1,352 |
$13K |
| 76080 |
|
65 |
52 |
$13K |
| 85347 |
|
3,660 |
1,774 |
$12K |
| J0178 |
Aflibercept injection |
17 |
16 |
$12K |
| C1776 |
Joint device (implantable) |
423 |
341 |
$12K |
| 86357 |
|
457 |
332 |
$12K |
| 84446 |
|
1,160 |
990 |
$12K |
| 82150 |
|
2,677 |
2,064 |
$12K |
| 94729 |
|
5,380 |
4,865 |
$12K |
| 76981 |
|
1,911 |
1,582 |
$12K |
| 58100 |
|
201 |
152 |
$12K |
| 95713 |
|
48 |
41 |
$12K |
| 25605 |
|
17 |
14 |
$12K |
| 90620 |
|
348 |
268 |
$12K |
| J9370 |
Vincristine sulfate 1 mg inj |
3,367 |
2,010 |
$12K |
| 76775 |
|
263 |
224 |
$12K |
| 81404 |
|
647 |
483 |
$12K |
| 36593 |
|
99 |
62 |
$11K |
| 84450 |
|
2,690 |
2,172 |
$11K |
| G0381 |
Lev 2 hosp type b ed visit |
386 |
201 |
$11K |
| 85613 |
|
929 |
690 |
$11K |
| 95909 |
|
93 |
87 |
$11K |
| J3489 |
Zoledronic acid 1mg |
803 |
689 |
$11K |
| 92604 |
|
174 |
154 |
$11K |
| 89051 |
|
2,838 |
2,026 |
$11K |
| 90962 |
|
245 |
222 |
$11K |
| 94642 |
|
115 |
91 |
$10K |
| 85397 |
|
421 |
356 |
$10K |
| 99308 |
|
697 |
574 |
$10K |
| 84238 |
|
504 |
425 |
$10K |
| 82085 |
|
1,340 |
1,049 |
$10K |
| 83935 |
|
1,801 |
1,442 |
$10K |
| 36000 |
|
4,913 |
4,035 |
$10K |
| 83010 |
|
1,263 |
954 |
$10K |
| 00790 |
|
95 |
85 |
$10K |
| 69209 |
|
261 |
236 |
$10K |
| C1760 |
Closure dev, vasc |
3,029 |
2,410 |
$10K |
| V5020 |
Conformity evaluation |
1,468 |
1,211 |
$10K |
| 82088 |
|
351 |
268 |
$10K |
| 51798 |
|
1,621 |
1,524 |
$10K |
| 82157 |
|
389 |
332 |
$10K |
| G0382 |
Lev 3 hosp type b ed visit |
425 |
365 |
$10K |
| 82542 |
|
500 |
412 |
$9K |
| 38222 |
|
15 |
14 |
$9K |
| 90674 |
|
1,734 |
933 |
$9K |
| 92552 |
|
1,021 |
919 |
$9K |
| Q9950 |
Inj sulf hexa lipid microsph |
356 |
222 |
$9K |
| 86695 |
|
938 |
767 |
$9K |
| 87430 |
|
401 |
389 |
$9K |
| 99252 |
|
231 |
189 |
$9K |
| 80306 |
|
699 |
582 |
$9K |
| 86644 |
|
821 |
650 |
$9K |
| 80183 |
|
804 |
681 |
$9K |
| 99236 |
Prolong inpt eval add15 m |
69 |
53 |
$9K |
| 99152 |
|
7,035 |
6,219 |
$8K |
| 99457 |
|
1,111 |
1,084 |
$8K |
| 93312 |
|
56 |
43 |
$8K |
| 80203 |
|
831 |
717 |
$8K |
| 85240 |
|
566 |
461 |
$8K |
| 84590 |
|
1,006 |
859 |
$8K |
| 93284 |
|
771 |
649 |
$8K |
| 64644 |
|
43 |
38 |
$8K |
| 50435 |
|
12 |
12 |
$8K |
| 77012 |
|
770 |
639 |
$8K |
| 72081 |
|
768 |
703 |
$8K |
| 99383 |
|
155 |
127 |
$8K |
| 85246 |
|
410 |
346 |
$8K |
| 99382 |
|
173 |
153 |
$8K |
| D7210 |
|
13 |
12 |
$8K |
| 84445 |
|
200 |
166 |
$8K |
| 99395 |
|
480 |
328 |
$8K |
| 0071A |
|
362 |
339 |
$8K |
| 90715 |
|
3,806 |
3,106 |
$7K |
| 96160 |
|
3,745 |
3,031 |
$7K |
| 83789 |
|
387 |
318 |
$7K |
| 29105 |
|
99 |
77 |
$7K |
| 93246 |
|
325 |
286 |
$7K |
| 84425 |
|
609 |
530 |
$7K |
| 88189 |
|
137 |
113 |
$7K |
| 88346 |
|
90 |
56 |
$7K |
| 99417 |
Prolong home eval add 15m |
1,141 |
990 |
$7K |
| 84478 |
|
1,124 |
940 |
$7K |
| 86063 |
|
1,427 |
1,123 |
$7K |
| J1030 |
Methylprednisolone 40 mg inj |
1,561 |
1,427 |
$7K |
| 11981 |
|
91 |
81 |
$6K |
| 94618 |
|
147 |
126 |
$6K |
| 87902 |
|
34 |
25 |
$6K |
| 81406 |
|
893 |
627 |
$6K |
| 82951 |
|
683 |
564 |
$6K |
| J3010 |
Fentanyl citrate injection |
65,055 |
49,658 |
$6K |
| 82657 |
|
368 |
291 |
$6K |
| 85732 |
|
1,221 |
752 |
$6K |
| 11900 |
|
211 |
187 |
$6K |
| 94070 |
|
50 |
27 |
$6K |
| 87206 |
|
1,621 |
1,215 |
$6K |
| 80195 |
|
697 |
398 |
$6K |
| 92083 |
|
346 |
224 |
$5K |
| 86215 |
|
398 |
319 |
$5K |
| 86777 |
|
595 |
473 |
$5K |
| 12013 |
|
56 |
48 |
$5K |
| 49465 |
|
70 |
65 |
$5K |
| 99454 |
|
800 |
788 |
$5K |
| G1004 |
Cdsm ndsc |
26,581 |
18,808 |
$5K |
| 00840 |
|
107 |
89 |
$5K |
| P9047 |
Albumin (human), 25%, 50ml |
46 |
27 |
$5K |
| 82164 |
|
472 |
400 |
$5K |
| 92081 |
|
139 |
117 |
$5K |
| D2940 |
|
109 |
96 |
$5K |
| J9201 |
In gemcitabine hcl nos 200mg |
241 |
116 |
$5K |
| 95165 |
|
95 |
81 |
$5K |
| 64405 |
|
48 |
46 |
$5K |
| 0072A |
|
295 |
275 |
$5K |
| 82652 |
|
213 |
191 |
$5K |
| 84460 |
|
997 |
863 |
$5K |
| 31500 |
|
100 |
66 |
$5K |
| C1893 |
Intro/sheath, fixed,non-peel |
2,537 |
1,950 |
$5K |
| 80299 |
|
385 |
318 |
$5K |
| 94010 |
|
637 |
575 |
$5K |
| 85651 |
|
1,603 |
1,365 |
$5K |
| 82017 |
|
337 |
299 |
$5K |
| G8978 |
Mobility current status |
2,145 |
1,675 |
$4K |
| D1120 |
|
104 |
90 |
$4K |
| 70360 |
|
122 |
83 |
$4K |
| 84166 |
|
567 |
517 |
$4K |
| 0296T |
|
410 |
355 |
$4K |
| 93299 |
|
249 |
241 |
$4K |
| 36620 |
|
473 |
359 |
$4K |
| 87420 |
|
299 |
287 |
$4K |
| 99464 |
|
304 |
260 |
$4K |
| J0131 |
Inj, acetaminophen (nos) |
3,776 |
3,009 |
$4K |
| 00400 |
|
72 |
57 |
$4K |
| 99354 |
|
56 |
52 |
$4K |
| 83919 |
|
247 |
211 |
$4K |
| 81405 |
|
714 |
528 |
$4K |
| 86860 |
|
44 |
37 |
$4K |
| 78264 |
|
39 |
38 |
$4K |
| 92595 |
|
934 |
794 |
$4K |
| J1756 |
Iron sucrose injection |
3,689 |
1,698 |
$4K |
| 77080 |
|
252 |
243 |
$4K |
| T1023 |
Program intake assessment |
337 |
273 |
$4K |
| J1097 |
Phenylep ketorolac opth soln |
773 |
618 |
$4K |
| A9562 |
Tc99m mertiatide |
142 |
120 |
$4K |
| 82731 |
|
74 |
58 |
$4K |
| 82390 |
|
463 |
387 |
$4K |
| 99490 |
Ccm add 20min |
1,030 |
881 |
$4K |
| 96377 |
|
238 |
174 |
$4K |
| 99384 |
|
96 |
70 |
$4K |
| 54162 |
|
25 |
24 |
$4K |
| 97014 |
|
470 |
192 |
$4K |
| 90746 |
|
92 |
86 |
$4K |
| 84210 |
|
337 |
285 |
$4K |
| L4386 |
Non-pneum walk boot pre cst |
562 |
469 |
$4K |
| J1170 |
Hydromorphone injection |
12,027 |
8,117 |
$4K |
| 96910 |
|
84 |
29 |
$4K |
| 84157 |
|
1,225 |
976 |
$4K |
| 99465 |
|
86 |
70 |
$4K |
| 86337 |
|
220 |
199 |
$4K |
| 72192 |
|
123 |
77 |
$4K |
| 99358 |
Prolong nursin fac eval 15m |
146 |
139 |
$4K |
| 11100 |
|
71 |
65 |
$4K |
| 90847 |
|
52 |
42 |
$4K |
| V5264 |
Ear mold/insert |
1,381 |
1,110 |
$4K |
| 29065 |
|
68 |
54 |
$4K |
| 99477 |
|
15 |
12 |
$4K |
| 86162 |
|
348 |
223 |
$4K |
| 82310 |
|
1,190 |
936 |
$4K |
| 62322 |
|
111 |
94 |
$4K |
| S9445 |
Pt education noc individ |
2,284 |
1,976 |
$4K |
| 36416 |
|
27,199 |
22,609 |
$4K |
| 86593 |
|
1,268 |
1,025 |
$3K |
| D2930 |
|
13 |
12 |
$3K |
| 82945 |
|
1,053 |
850 |
$3K |
| 17250 |
|
65 |
56 |
$3K |
| 90656 |
|
1,214 |
1,188 |
$3K |
| 90945 |
|
134 |
41 |
$3K |
| 11982 |
|
13 |
12 |
$3K |
| 88333 |
|
19 |
15 |
$3K |
| A6196 |
Alginate dressing <=16 sq in |
2,273 |
1,515 |
$3K |
| 83835 |
|
237 |
188 |
$3K |
| 95712 |
|
16 |
13 |
$3K |
| 31615 |
|
28 |
26 |
$3K |
| 29075 |
|
49 |
44 |
$3K |
| 00300 |
|
49 |
36 |
$3K |
| 73521 |
|
44 |
39 |
$3K |
| 91040 |
|
46 |
26 |
$3K |
| 84481 |
|
230 |
159 |
$3K |
| 84207 |
|
158 |
139 |
$3K |
| 80175 |
|
317 |
272 |
$3K |
| 77263 |
|
28 |
28 |
$3K |
| 97016 |
|
152 |
57 |
$3K |
| 88331 |
|
69 |
51 |
$3K |
| 96376 |
|
5,292 |
4,264 |
$3K |
| 96368 |
|
1,323 |
785 |
$3K |
| 76818 |
|
59 |
41 |
$3K |
| 10005 |
|
13 |
13 |
$3K |
| 80185 |
|
258 |
224 |
$3K |
| 90710 |
|
1,349 |
1,135 |
$3K |
| C1894 |
Intro/sheath, non-laser |
5,684 |
4,327 |
$3K |
| 90966 |
|
75 |
69 |
$3K |
| 88302 |
|
395 |
282 |
$3K |
| 76942 |
|
2,474 |
2,017 |
$3K |
| 29581 |
|
64 |
24 |
$3K |
| 01968 |
|
46 |
42 |
$3K |
| 95990 |
|
13 |
12 |
$3K |
| 20552 |
|
15 |
14 |
$2K |
| 77001 |
|
1,022 |
860 |
$2K |
| J1040 |
Methylprednisolone 80 mg inj |
310 |
300 |
$2K |
| 90870 |
|
33 |
12 |
$2K |
| 80201 |
|
228 |
195 |
$2K |
| Q4036 |
Cast sup lngleg cylndr ped f |
99 |
43 |
$2K |
| 82016 |
|
278 |
197 |
$2K |
| J9000 |
Doxorubicin hcl injection |
287 |
183 |
$2K |
| C9447 |
Inj, phenylephrine ketorolac |
21 |
18 |
$2K |
| 81407 |
|
418 |
348 |
$2K |
| 88142 |
|
522 |
502 |
$2K |
| 11104 |
|
53 |
29 |
$2K |
| 82172 |
|
158 |
140 |
$2K |
| 90833 |
|
64 |
40 |
$2K |
| 96132 |
|
45 |
44 |
$2K |
| 84155 |
|
2,029 |
1,531 |
$2K |
| 77002 |
|
1,578 |
1,353 |
$2K |
| 86364 |
|
707 |
562 |
$2K |
| A9552 |
F18 fdg |
4,709 |
4,159 |
$2K |
| 93285 |
|
116 |
110 |
$2K |
| J1815 |
Insulin injection |
1,945 |
774 |
$2K |
| 93271 |
|
33 |
21 |
$2K |
| 41010 |
|
24 |
24 |
$2K |
| 17311 |
|
14 |
12 |
$2K |
| 96133 |
|
25 |
25 |
$2K |
| A6021 |
Collagen dressing <=16 sq in |
1,431 |
933 |
$2K |
| 51702 |
|
32 |
29 |
$2K |
| 87338 |
|
157 |
144 |
$2K |
| J2270 |
Morphine sulfate injection |
34,533 |
23,331 |
$2K |
| 75630 |
|
118 |
111 |
$2K |
| 81050 |
|
692 |
612 |
$2K |
| G0109 |
Diab manage trn ind/group |
53 |
41 |
$2K |
| 86308 |
|
408 |
337 |
$2K |
| 86684 |
|
182 |
92 |
$2K |
| G8980 |
Mobility d/c status |
1,112 |
859 |
$2K |
| 87493 |
|
66 |
55 |
$2K |
| 90853 |
|
108 |
85 |
$2K |
| C1725 |
Cath, translumin non-laser |
2,182 |
1,688 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
9,116 |
6,466 |
$2K |
| 75635 |
|
16 |
13 |
$2K |
| 99475 |
|
14 |
12 |
$2K |
| 90785 |
|
274 |
170 |
$2K |
| 00750 |
|
13 |
12 |
$2K |
| 81380 |
|
50 |
45 |
$2K |
| 00320 |
|
25 |
18 |
$2K |
| 81403 |
|
200 |
180 |
$2K |
| L4360 |
Pneumat walking boot pre cst |
75 |
71 |
$2K |
| 93227 |
|
92 |
81 |
$2K |
| J7999 |
Compounded drug, noc |
187 |
170 |
$1K |
| 31579 |
|
44 |
38 |
$1K |
| 77332 |
|
19 |
12 |
$1K |
| 86711 |
|
276 |
218 |
$1K |
| 90633 |
|
7,368 |
6,621 |
$1K |
| 93294 |
|
152 |
151 |
$1K |
| 88112 |
|
150 |
100 |
$1K |
| 00140 |
|
48 |
31 |
$1K |
| 83993 |
|
95 |
77 |
$1K |
| 81332 |
|
94 |
79 |
$1K |
| L8509 |
Trach-esoph voice pros md in |
777 |
694 |
$1K |
| 90696 |
|
1,136 |
950 |
$1K |
| 82103 |
|
99 |
85 |
$1K |
| 83930 |
|
324 |
230 |
$1K |
| 52000 |
|
15 |
14 |
$1K |
| 70487 |
|
18 |
12 |
$1K |
| G8984 |
Carry current status |
403 |
350 |
$1K |
| 94617 |
|
20 |
12 |
$1K |
| 92626 |
|
30 |
25 |
$1K |
| J7060 |
5% dextrose/water |
3,639 |
1,220 |
$1K |
| 64400 |
|
13 |
13 |
$1K |
| 99309 |
|
286 |
180 |
$1K |
| 99306 |
Prolong nursin fac eval 15m |
12 |
12 |
$1K |
| 87449 |
|
207 |
101 |
$1K |
| C1887 |
Catheter, guiding |
6,694 |
4,928 |
$1K |
| 00160 |
|
16 |
13 |
$1K |
| 86677 |
|
86 |
69 |
$1K |
| J9171 |
Docetaxel injection |
17 |
14 |
$1K |
| 83921 |
|
81 |
76 |
$1K |
| 93793 |
|
538 |
386 |
$1K |
| 84466 |
|
151 |
121 |
$1K |
| V5010 |
Assessment for hearing aid |
310 |
276 |
$1K |
| 83521 |
|
1,362 |
1,045 |
$1K |
| 93279 |
|
43 |
39 |
$1K |
| 82010 |
|
204 |
166 |
$1K |
| V5140 |
Behind ear binaur hearing ai |
21 |
14 |
$1K |
| 90756 |
|
78 |
76 |
$1K |
| 86060 |
|
130 |
111 |
$1K |
| G2211 |
Complex e/m visit add on |
2,062 |
1,439 |
$1K |
| 81002 |
|
443 |
371 |
$1K |
| 92082 |
|
78 |
55 |
$1K |
| 96112 |
|
21 |
12 |
$1K |
| 76828 |
|
18 |
14 |
$1K |
| 85670 |
|
264 |
212 |
$1K |
| 82465 |
|
308 |
272 |
$1K |
| G0296 |
Visit to determ ldct elig |
94 |
92 |
$1K |
| 73660 |
|
22 |
15 |
$1K |
| 94200 |
|
194 |
164 |
$997.34 |
| 00813 |
|
18 |
14 |
$990.00 |
| L3908 |
Who cock-up nonmolde pre ots |
148 |
140 |
$983.30 |
| 90677 |
|
3,298 |
3,151 |
$982.16 |
| 0124A |
|
63 |
52 |
$955.66 |
| A9500 |
Tc99m sestamibi |
2,583 |
2,293 |
$955.50 |
| 99458 |
|
364 |
327 |
$947.13 |
| 96127 |
|
290 |
248 |
$941.68 |
| 84432 |
|
91 |
77 |
$930.13 |
| 87015 |
|
228 |
167 |
$920.57 |
| 81370 |
|
16 |
12 |
$907.02 |
| J9260 |
Inj methotrexate sodium 50mg |
901 |
506 |
$906.45 |
| 99396 |
|
29 |
24 |
$891.55 |
| 83701 |
|
45 |
37 |
$877.09 |
| 86341 |
|
662 |
384 |
$876.02 |
| 99401 |
|
44 |
36 |
$875.06 |
| A6209 |
Foam drsg <=16 sq in w/o bdr |
1,147 |
595 |
$863.82 |
| 86705 |
|
126 |
110 |
$845.84 |
| G8979 |
Mobility goal status |
2,149 |
1,678 |
$784.38 |
| 84520 |
|
187 |
156 |
$774.60 |
| 93926 |
|
13 |
13 |
$773.71 |
| G8981 |
Body pos current status |
114 |
92 |
$764.84 |
| 96118 |
|
43 |
29 |
$763.46 |
| 51784 |
|
43 |
36 |
$744.36 |
| 82955 |
|
111 |
104 |
$733.67 |
| 58300 |
|
16 |
12 |
$731.62 |
| 93226 |
|
16 |
13 |
$728.40 |
| J0330 |
Succinycholine chloride inj |
4,656 |
3,463 |
$714.97 |
| 85520 |
|
70 |
51 |
$706.18 |
| J3301 |
Triamcinolone acet inj nos |
263 |
227 |
$704.70 |
| 73650 |
|
24 |
13 |
$699.65 |
| 76776 |
|
32 |
25 |
$699.11 |
| 0001A |
|
54 |
44 |
$697.81 |
| 87076 |
|
135 |
78 |
$676.71 |
| 87901 |
|
632 |
570 |
$676.34 |
| 82787 |
|
30 |
27 |
$664.39 |
| 00520 |
|
19 |
12 |
$662.20 |
| G0257 |
Unsched dialysis esrd pt hos |
99 |
48 |
$661.56 |
| 96138 |
|
263 |
245 |
$651.55 |
| 84630 |
|
80 |
74 |
$650.76 |
| G8989 |
Self care d/c status |
365 |
308 |
$635.54 |
| 88350 |
|
23 |
12 |
$634.91 |
| J7510 |
Prednisolone oral per 5 mg |
2,020 |
1,420 |
$632.92 |
| Q9968 |
Visualization adjunct |
15 |
12 |
$630.10 |
| 99195 |
|
14 |
12 |
$626.50 |
| 00635 |
|
14 |
12 |
$625.23 |
| 86664 |
|
66 |
43 |
$625.15 |
| 95012 |
|
404 |
362 |
$622.66 |
| 82952 |
|
221 |
191 |
$620.22 |
| 88177 |
|
147 |
126 |
$598.04 |
| G0008 |
Admin influenza virus vac |
471 |
467 |
$568.38 |
| J0640 |
Leucovorin calcium injection |
19 |
12 |
$566.72 |
| 90698 |
|
5,007 |
4,659 |
$565.60 |
| 93978 |
|
34 |
15 |
$564.73 |
| 77063 |
|
2,447 |
2,232 |
$557.81 |
| 95941 |
|
13 |
12 |
$552.00 |
| 93270 |
|
17 |
15 |
$547.06 |
| 86335 |
|
65 |
62 |
$546.09 |
| 86618 |
|
38 |
30 |
$539.67 |
| 86663 |
|
66 |
43 |
$536.44 |
| J9060 |
Cisplatin 10 mg injection |
65 |
29 |
$534.14 |
| 72080 |
|
15 |
12 |
$528.56 |
| Q4008 |
Cast sup long arm ped fbrgls |
48 |
40 |
$527.07 |
| 85049 |
|
151 |
80 |
$522.14 |
| V5011 |
Hearing aid fitting/checking |
2,812 |
2,362 |
$521.10 |
| 95938 |
|
13 |
12 |
$515.71 |
| 87529 |
|
22 |
12 |
$512.46 |
| A6212 |
Foam drg <=16 sq in w/border |
664 |
514 |
$507.63 |
| 75774 |
|
134 |
123 |
$507.48 |
| 82040 |
|
191 |
154 |
$503.66 |
| 86769 |
|
13 |
13 |
$498.04 |
| 84154 |
|
41 |
38 |
$494.24 |
| 64494 |
|
1,011 |
870 |
$460.39 |
| 74021 |
|
20 |
17 |
$460.08 |
| 87184 |
|
95 |
80 |
$457.36 |
| J1650 |
Inj enoxaparin sodium |
7,967 |
3,108 |
$455.47 |
| 99307 |
|
143 |
138 |
$449.53 |
| G0452 |
Molecular pathology interpr |
16 |
16 |
$448.54 |
| V2020 |
Vision svcs frames purchases |
116 |
82 |
$448.11 |
| 80169 |
|
46 |
40 |
$438.41 |
| 0173A |
|
23 |
13 |
$433.53 |
| G0279 |
Tomosynthesis, mammo |
2,409 |
2,098 |
$420.65 |
| J2274 |
Inj morphine pf epid ithc |
2,206 |
1,825 |
$415.51 |
| 99091 |
|
58 |
54 |
$415.23 |
| U0002 |
Covid-19 lab test non-cdc |
19 |
18 |
$396.66 |
| G0297 |
Ldct for lung ca screen |
185 |
181 |
$395.96 |
| 87181 |
|
74 |
60 |
$394.33 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
2,078 |
1,724 |
$391.20 |
| V5160 |
Dispensing fee binaural |
44 |
15 |
$390.00 |
| 0077U |
|
474 |
428 |
$388.96 |
| J1010 |
Inj, methylpred acetate 1 mg |
136 |
112 |
$384.43 |
| 83020 |
|
33 |
33 |
$382.33 |
| 81408 |
|
92 |
69 |
$379.71 |
| 78582 |
|
14 |
13 |
$375.59 |
| 90647 |
|
7,630 |
7,018 |
$374.33 |
| G0380 |
Lev 1 hosp type b ed visit |
147 |
75 |
$363.30 |
| 95718 |
|
16 |
13 |
$353.82 |
| J9250 |
Methotrexate sodium inj |
646 |
348 |
$353.48 |
| 87209 |
|
26 |
25 |
$348.90 |
| C1780 |
Lens, intraocular (new tech) |
29 |
27 |
$348.00 |
| J1953 |
Levetiracetam injection |
2,955 |
2,144 |
$344.43 |
| 99251 |
|
18 |
14 |
$326.81 |
| 83090 |
|
36 |
29 |
$320.46 |
| 90700 |
|
114 |
89 |
$320.00 |
| 87641 |
|
13 |
12 |
$313.14 |
| 99156 |
|
16 |
14 |
$298.33 |
| 90714 |
|
2,366 |
1,958 |
$295.26 |
| 90688 |
|
23 |
23 |
$291.34 |
| J3370 |
Vancomycin hcl injection |
4,239 |
1,850 |
$287.99 |
| 87400 |
|
28 |
14 |
$281.76 |
| 82626 |
|
13 |
12 |
$277.43 |
| 87305 |
|
51 |
24 |
$274.23 |
| 99453 |
|
96 |
95 |
$272.16 |
| 81511 |
|
1,202 |
1,039 |
$272.00 |
| 86645 |
|
23 |
14 |
$265.11 |
| J9190 |
Fluorouracil injection |
36 |
13 |
$264.73 |
| 00811 |
|
14 |
12 |
$263.03 |
| 36247 |
|
439 |
328 |
$262.27 |
| J7512 |
Prednisone ir or dr oral 1mg |
4,377 |
2,281 |
$261.20 |
| 90707 |
|
1,272 |
1,107 |
$241.83 |
| J2250 |
Inj midazolam hydrochloride |
27,666 |
22,314 |
$237.96 |
| G8987 |
Self care current status |
635 |
520 |
$236.88 |
| A4648 |
Implantable tissue marker |
991 |
871 |
$236.00 |
| 77003 |
|
14 |
13 |
$235.83 |
| 93244 |
|
18 |
18 |
$234.87 |
| 86648 |
|
12 |
12 |
$225.24 |
| A9901 |
Delivery/set up/dispensing |
52 |
43 |
$225.00 |
| D0210 |
|
13 |
13 |
$222.66 |
| C1889 |
Implant/insert device, noc |
60 |
52 |
$220.84 |
| 36568 |
|
19 |
12 |
$217.59 |
| 58340 |
|
18 |
12 |
$210.30 |
| 95806 |
|
14 |
13 |
$203.25 |
| 88240 |
|
37 |
13 |
$195.68 |
| 84145 |
|
579 |
476 |
$187.26 |
| G0425 |
Inpt/ed teleconsult30 |
44 |
31 |
$186.90 |
| 86687 |
|
32 |
27 |
$183.40 |
| D1206 |
|
27 |
24 |
$181.83 |
| 93018 |
|
38 |
36 |
$181.22 |
| 84075 |
|
47 |
43 |
$178.38 |
| 87177 |
|
26 |
25 |
$174.47 |
| 93016 |
|
75 |
54 |
$172.62 |
| 51736 |
|
28 |
24 |
$169.53 |
| 99241 |
|
15 |
14 |
$163.70 |
| 80184 |
|
15 |
12 |
$151.47 |
| D0150 |
|
14 |
12 |
$148.86 |
| 80156 |
|
13 |
12 |
$144.69 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
874 |
736 |
$142.18 |
| 86008 |
|
80 |
66 |
$132.85 |
| 97535 |
|
496 |
279 |
$129.91 |
| 87350 |
|
12 |
12 |
$128.07 |
| 92340 |
|
13 |
13 |
$126.88 |
| 92250 |
|
26 |
12 |
$121.80 |
| G8988 |
Self care goal status |
631 |
517 |
$117.89 |
| 82270 |
|
30 |
25 |
$117.51 |
| 90685 |
|
314 |
284 |
$114.85 |
| 99226 |
|
183 |
124 |
$113.46 |
| 64999 |
|
19 |
13 |
$112.25 |
| 93291 |
|
13 |
13 |
$108.59 |
| 88334 |
|
16 |
12 |
$106.96 |
| 97150 |
|
419 |
222 |
$106.88 |
| 80186 |
|
15 |
12 |
$104.93 |
| 93248 |
|
13 |
12 |
$102.70 |
| G0453 |
Cont intraop neuro monitor |
19 |
12 |
$90.00 |
| J3475 |
Inj magnesium sulfate |
171 |
117 |
$85.52 |
| A6261 |
Wound filler gel/paste /oz |
93 |
67 |
$85.28 |
| 95982 |
|
13 |
12 |
$85.11 |
| 86005 |
|
12 |
12 |
$82.85 |
| 92583 |
|
29 |
26 |
$81.25 |
| 90474 |
|
14 |
12 |
$79.92 |
| J0134 |
Inj acetaminophen -fresenius |
2,778 |
2,134 |
$78.10 |
| J1817 |
Insulin for insulin pump use |
343 |
180 |
$75.20 |
| J0612 |
Inj, calcium gluconate, nos |
104 |
67 |
$70.46 |
| 92594 |
|
108 |
94 |
$69.69 |
| 36592 |
|
765 |
375 |
$69.68 |
| 84300 |
|
33 |
24 |
$69.12 |
| 82525 |
|
14 |
14 |
$67.81 |
| 82540 |
|
26 |
13 |
$61.32 |
| 87220 |
|
12 |
12 |
$55.63 |
| 75716 |
|
12 |
12 |
$55.02 |
| 80321 |
|
119 |
104 |
$53.01 |
| 0346T |
|
351 |
316 |
$48.81 |
| J1720 |
Hydrocortisone sodium succ i |
26 |
12 |
$42.45 |
| D1208 |
|
12 |
12 |
$38.10 |
| J0696 |
Ceftriaxone sodium injection |
941 |
806 |
$36.33 |
| G8990 |
Other pt/ot current status |
117 |
99 |
$34.90 |
| J7321 |
Hyalgan supartz visco-3 dose |
24 |
14 |
$33.63 |
| L4387 |
Non-pneum walk boot pre ots |
14 |
14 |
$31.94 |
| G9171 |
Voice current status |
113 |
99 |
$28.70 |
| C9113 |
Inj pantoprazole sodium, via |
1,323 |
673 |
$24.96 |
| J0692 |
Cefepime hcl for injection |
434 |
150 |
$23.33 |
| A6222 |
Gauze <=16 in no w/sal w/o b |
28 |
13 |
$21.10 |
| A6206 |
Contact layer <= 16 sq in |
17 |
13 |
$20.55 |
| 90739 |
|
33 |
26 |
$19.47 |
| A7507 |
Integrated filter & holder |
263 |
230 |
$16.12 |
| J0610 |
Calcium glucon (fresenius) |
568 |
446 |
$15.55 |
| 81596 |
|
353 |
318 |
$11.47 |
| J7614 |
Levalbuterol non-comp unit |
45 |
44 |
$9.60 |
| J8540 |
Oral dexamethasone |
62 |
25 |
$6.27 |
| Q0169 |
Promethazine hcl 12.5mg oral |
73 |
52 |
$0.70 |
| 90681 |
|
5,156 |
4,825 |
$0.00 |
| C1729 |
Cath, drainage |
2,263 |
1,564 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
14 |
12 |
$0.00 |
| 77062 |
|
198 |
170 |
$0.00 |
| A9577 |
Inj multihance |
564 |
486 |
$0.00 |
| 0502F |
|
7,838 |
5,764 |
$0.00 |
| 64495 |
|
269 |
248 |
$0.00 |
| 86015 |
|
15 |
12 |
$0.00 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
1,561 |
341 |
$0.00 |
| 3078F |
|
324 |
292 |
$0.00 |
| G0444 |
Depression screen annual |
85 |
74 |
$0.00 |
| J2800 |
Methocarbamol injection |
1,201 |
485 |
$0.00 |
| 3077F |
|
360 |
329 |
$0.00 |
| G8985 |
Carry goal status |
405 |
350 |
$0.00 |
| 64636 |
|
25 |
25 |
$0.00 |
| G0473 |
Group behave couns 2-10 |
79 |
70 |
$0.00 |
| 81479 |
|
924 |
669 |
$0.00 |
| 94667 |
|
82 |
72 |
$0.00 |
| C2628 |
Catheter, occlusion |
210 |
152 |
$0.00 |
| C1714 |
Cath, trans atherectomy, dir |
148 |
137 |
$0.00 |
| A9541 |
Tc99m sulfur colloid |
87 |
81 |
$0.00 |
| L4361 |
Pneuma/vac walk boot pre ots |
14 |
14 |
$0.00 |
| 3046F |
|
99 |
85 |
$0.00 |
| C1788 |
Port, indwelling, imp |
58 |
54 |
$0.00 |
| C8929 |
Tte w or wo fol wcon,doppler |
68 |
65 |
$0.00 |
| 76810 |
|
66 |
51 |
$0.00 |
| 81401 |
|
62 |
55 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
233 |
183 |
$0.00 |
| P9073 |
Platelets pheresis path redu |
58 |
29 |
$0.00 |
| 87631 |
|
54 |
42 |
$0.00 |
| G2212 |
Prolong outpt/office vis |
23 |
12 |
$0.00 |
| 76376 |
|
22 |
15 |
$0.00 |
| L1830 |
Ko immob canvas long pre ots |
26 |
25 |
$0.00 |
| C1765 |
Adhesion barrier |
18 |
13 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
15 |
13 |
$0.00 |
| G0270 |
Mnt subs tx for change dx |
13 |
12 |
$0.00 |
| V5261 |
Hearing aid, digit, bin, bte |
12 |
12 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
411 |
236 |
$0.00 |
| C2623 |
Cath, translumin, drug-coat |
19 |
17 |
$0.00 |
| J2785 |
Regadenoson injection |
2,390 |
2,112 |
$0.00 |
| 3008F |
|
8,899 |
8,361 |
$0.00 |
| A9503 |
Tc99m medronate |
541 |
484 |
$0.00 |
| 90744 |
|
1,475 |
1,417 |
$0.00 |
| 99024 |
|
3,489 |
2,569 |
$0.00 |
| 90680 |
|
3,186 |
3,018 |
$0.00 |
| 90723 |
|
11,252 |
10,619 |
$0.00 |
| C1892 |
Intro/sheath,fixed,peel-away |
184 |
161 |
$0.00 |
| C1726 |
Cath, bal dil, non-vascular |
413 |
321 |
$0.00 |
| 0500F |
|
348 |
330 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
1,401 |
1,121 |
$0.00 |
| 94668 |
|
952 |
422 |
$0.00 |
| C1877 |
Stent, non-coat/cov w/o del |
198 |
134 |
$0.00 |
| 77417 |
|
28 |
12 |
$0.00 |
| G8991 |
Other pt/ot goal status |
117 |
99 |
$0.00 |
| 90716 |
|
999 |
898 |
$0.00 |
| 3048F |
|
12 |
12 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
2,729 |
2,484 |
$0.00 |
| 3080F |
|
280 |
252 |
$0.00 |
| 90697 |
|
1,247 |
1,077 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
103 |
100 |
$0.00 |
| 3351F |
|
164 |
154 |
$0.00 |
| 3074F |
|
311 |
283 |
$0.00 |
| 97804 |
|
127 |
102 |
$0.00 |
| C9290 |
Inj, bupivacaine liposome |
338 |
224 |
$0.00 |
| 3075F |
|
66 |
56 |
$0.00 |
| C2617 |
Stent, non-cor, tem w/o del |
429 |
338 |
$0.00 |
| A0426 |
Als 1 |
74 |
54 |
$0.00 |
| L8699 |
Prosthetic implant nos |
99 |
67 |
$0.00 |
| G9172 |
Voice goal status |
113 |
99 |
$0.00 |
| 3079F |
|
186 |
168 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
70 |
39 |
$0.00 |
| 3044F |
|
37 |
35 |
$0.00 |
| G8986 |
Carry d/c status |
48 |
46 |
$0.00 |
| C1734 |
Orth/devic/drug bn/bn,tis/bn |
36 |
25 |
$0.00 |
| 49424 |
|
47 |
40 |
$0.00 |
| G8982 |
Body pos goal status |
114 |
92 |
$0.00 |
| C1773 |
Ret dev, insertable |
74 |
50 |
$0.00 |
| C2618 |
Probe/needle, cryo |
60 |
52 |
$0.00 |
| 0503F |
|
787 |
713 |
$0.00 |
| C1781 |
Mesh (implantable) |
158 |
126 |
$0.00 |
| G9173 |
Voice d/c status |
113 |
99 |
$0.00 |
| L3808 |
Whfo, rigid w/o joints |
16 |
12 |
$0.00 |
| 11045 |
|
27 |
25 |
$0.00 |
| 76812 |
|
32 |
25 |
$0.00 |
| 90378 |
|
41 |
30 |
$0.00 |
| 96139 |
|
55 |
52 |
$0.00 |
| A9540 |
Tc99m maa |
13 |
12 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
18 |
12 |
$0.00 |
| A0434 |
Specialty care transport |
14 |
13 |
$0.00 |
| 3353F |
|
13 |
12 |
$0.00 |
| 90619 |
|
45 |
35 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
23 |
14 |
$0.00 |
| J7507 |
Tacrolimus imme rel oral 1mg |
34 |
12 |
$0.00 |