| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
88,894 |
78,758 |
$51.59M |
| 99283 |
|
104,322 |
96,326 |
$39.92M |
| 99285 |
|
47,924 |
42,921 |
$33.32M |
| G0378 |
Hospital observation per hr |
16,024 |
13,096 |
$13.01M |
| H0035 |
Mh partial hosp tx under 24h |
39,168 |
3,497 |
$12.71M |
| 99282 |
|
30,885 |
29,404 |
$7.44M |
| A0427 |
Als1-emergency |
18,132 |
15,555 |
$5.08M |
| 59025 |
|
10,622 |
4,035 |
$3.82M |
| A0429 |
Bls-emergency |
22,326 |
17,350 |
$3.44M |
| 90837 |
|
28,805 |
12,923 |
$2.81M |
| A0434 |
Specialty care transport |
5,537 |
4,933 |
$2.59M |
| A0425 |
Ground mileage |
53,778 |
42,663 |
$1.99M |
| 93306 |
|
4,587 |
4,440 |
$1.92M |
| 43239 |
|
992 |
955 |
$1.58M |
| 93005 |
|
60,066 |
53,341 |
$1.35M |
| 92507 |
|
22,457 |
6,016 |
$1.24M |
| 99291 |
|
1,965 |
1,879 |
$1.18M |
| 76811 |
|
2,755 |
2,687 |
$1.14M |
| 95810 |
|
699 |
689 |
$1.10M |
| 69436 |
|
459 |
456 |
$1.08M |
| 97530 |
|
34,342 |
12,513 |
$1.00M |
| 74177 |
|
15,720 |
15,026 |
$974K |
| 77067 |
|
6,454 |
6,337 |
$841K |
| 96374 |
|
43,091 |
38,257 |
$815K |
| 73721 |
|
1,200 |
1,159 |
$811K |
| 97140 |
|
25,880 |
8,172 |
$792K |
| 76856 |
|
7,136 |
6,955 |
$779K |
| 78815 |
|
536 |
512 |
$775K |
| 76816 |
|
9,318 |
8,755 |
$770K |
| 97110 |
|
67,972 |
16,437 |
$764K |
| 76830 |
|
5,981 |
5,858 |
$746K |
| 95806 |
|
514 |
511 |
$733K |
| 76805 |
|
5,203 |
5,081 |
$676K |
| 97112 |
|
24,093 |
8,868 |
$675K |
| 71046 |
|
39,534 |
37,555 |
$590K |
| 72148 |
|
1,145 |
1,133 |
$581K |
| OP710 |
|
13,135 |
12,536 |
$574K |
| 76801 |
|
6,914 |
6,390 |
$476K |
| 70553 |
|
543 |
535 |
$472K |
| 76815 |
|
6,495 |
4,207 |
$437K |
| 96365 |
|
14,451 |
12,672 |
$434K |
| 93970 |
|
2,280 |
2,199 |
$428K |
| 42820 |
|
169 |
169 |
$418K |
| G0463 |
Hospital outpt clinic visit |
18,376 |
11,309 |
$412K |
| U0003 |
Cov-19 amp prb hgh thruput |
8,305 |
8,009 |
$409K |
| 90791 |
|
3,466 |
2,856 |
$393K |
| 96375 |
|
30,341 |
27,003 |
$393K |
| 93971 |
|
3,555 |
3,399 |
$363K |
| 76817 |
|
5,556 |
4,831 |
$358K |
| 90834 |
|
4,832 |
3,209 |
$356K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
21,784 |
20,400 |
$355K |
| OP279 |
|
26,795 |
23,267 |
$352K |
| 41899 |
|
199 |
196 |
$350K |
| 70450 |
|
18,194 |
16,936 |
$346K |
| 77063 |
|
6,062 |
5,945 |
$340K |
| 47562 |
|
155 |
151 |
$327K |
| 36415 |
|
134,109 |
101,092 |
$327K |
| A0433 |
Als 2 |
882 |
821 |
$319K |
| 96361 |
|
26,922 |
24,137 |
$312K |
| 76770 |
|
3,033 |
2,965 |
$294K |
| 77066 |
Tomosynthesis, mammo |
1,551 |
1,535 |
$292K |
| 94640 |
|
11,100 |
9,163 |
$291K |
| 96372 |
|
21,297 |
19,077 |
$288K |
| 80048 |
|
76,350 |
63,848 |
$287K |
| 71250 |
|
2,665 |
2,582 |
$284K |
| 71260 |
|
2,821 |
2,729 |
$283K |
| 96360 |
|
9,873 |
9,204 |
$281K |
| 95811 |
|
181 |
179 |
$277K |
| 85025 |
|
109,395 |
87,787 |
$270K |
| 76700 |
|
2,076 |
2,050 |
$264K |
| 99281 |
|
1,580 |
1,513 |
$255K |
| 87631 |
|
8,519 |
8,032 |
$253K |
| 94760 |
|
137,762 |
114,242 |
$253K |
| 94060 |
|
962 |
951 |
$243K |
| 76819 |
|
2,622 |
2,088 |
$241K |
| 70551 |
|
1,186 |
1,155 |
$240K |
| 76705 |
|
5,003 |
4,865 |
$229K |
| 97161 |
|
6,054 |
5,751 |
$222K |
| 76536 |
|
2,443 |
2,418 |
$222K |
| 80053 |
|
41,494 |
36,643 |
$221K |
| 76642 |
|
2,546 |
2,493 |
$220K |
| 93880 |
|
1,027 |
989 |
$213K |
| 71045 |
|
24,995 |
22,706 |
$205K |
| 99214 |
|
3,537 |
2,783 |
$204K |
| 74176 |
|
5,021 |
4,783 |
$198K |
| 80307 |
|
12,046 |
10,832 |
$186K |
| 97802 |
|
1,647 |
1,613 |
$185K |
| 87491 |
|
14,020 |
13,421 |
$185K |
| 87591 |
|
14,024 |
13,427 |
$183K |
| 73564 |
|
7,704 |
7,364 |
$183K |
| 87637 |
|
7,576 |
7,073 |
$181K |
| OP272 |
|
9,549 |
8,890 |
$175K |
| 87633 |
|
1,626 |
1,568 |
$168K |
| A0428 |
Bls |
8,902 |
7,289 |
$165K |
| 77065 |
Tomosynthesis, mammo |
1,399 |
1,335 |
$165K |
| 93975 |
|
3,690 |
3,556 |
$160K |
| 73630 |
|
9,564 |
9,117 |
$159K |
| 73221 |
|
246 |
242 |
$156K |
| 87635 |
|
13,727 |
12,749 |
$155K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
228 |
223 |
$153K |
| 93041 |
|
24,424 |
21,706 |
$153K |
| 71275 |
|
3,622 |
3,491 |
$150K |
| 93925 |
|
431 |
414 |
$150K |
| 36000 |
|
22,972 |
21,472 |
$142K |
| 97162 |
|
4,339 |
4,095 |
$139K |
| 10060 |
|
1,882 |
1,818 |
$133K |
| 76820 |
|
1,973 |
1,354 |
$133K |
| 82962 |
|
36,411 |
25,319 |
$125K |
| OP259 |
|
126,666 |
98,765 |
$124K |
| 86901 |
|
12,499 |
11,538 |
$122K |
| U0005 |
Infec agen detec ampli probe |
7,599 |
7,323 |
$121K |
| 97010 |
|
27,957 |
8,855 |
$120K |
| 99213 |
|
2,220 |
1,841 |
$117K |
| 72110 |
|
3,612 |
3,488 |
$116K |
| 73130 |
|
7,529 |
7,216 |
$111K |
| 80076 |
|
42,423 |
38,109 |
$111K |
| 90832 |
|
2,167 |
1,469 |
$106K |
| 76818 |
|
852 |
602 |
$102K |
| G2251 |
Brief chkin, 5-10, non-e/m |
1,740 |
1,304 |
$100K |
| 87798 |
|
4,103 |
3,565 |
$100K |
| 72125 |
|
6,301 |
5,922 |
$100K |
| 73030 |
|
6,038 |
5,788 |
$97K |
| 84484 |
|
22,063 |
17,710 |
$96K |
| 93017 |
|
294 |
290 |
$91K |
| 90853 |
|
1,774 |
373 |
$90K |
| J3490 |
Drugs unclassified injection |
37,727 |
27,598 |
$90K |
| 73610 |
|
7,418 |
7,091 |
$88K |
| 84443 |
|
7,620 |
7,193 |
$86K |
| 70486 |
|
2,630 |
2,536 |
$84K |
| 81003 |
|
71,304 |
65,024 |
$84K |
| 97116 |
|
6,954 |
4,145 |
$82K |
| 83880 |
|
11,623 |
10,471 |
$82K |
| 72141 |
|
199 |
196 |
$82K |
| 87086 |
|
30,607 |
28,635 |
$82K |
| 73110 |
|
5,012 |
4,747 |
$81K |
| 83690 |
|
36,826 |
33,322 |
$80K |
| 97803 |
|
1,059 |
1,027 |
$78K |
| 99212 |
|
1,509 |
1,331 |
$78K |
| 86850 |
|
10,468 |
9,689 |
$74K |
| 83735 |
|
36,249 |
30,373 |
$65K |
| 88305 |
|
4,405 |
4,085 |
$65K |
| 70491 |
|
786 |
760 |
$65K |
| 72197 |
|
63 |
62 |
$64K |
| 86900 |
|
12,466 |
11,511 |
$62K |
| 76870 |
|
1,261 |
1,210 |
$62K |
| 85610 |
|
19,501 |
17,069 |
$59K |
| 97535 |
|
7,811 |
5,328 |
$57K |
| 0002A |
|
1,708 |
1,695 |
$55K |
| 80061 |
|
4,885 |
4,697 |
$55K |
| 81001 |
|
42,801 |
39,372 |
$54K |
| J2405 |
Ondansetron hcl injection |
31,183 |
27,432 |
$54K |
| 96366 |
|
4,290 |
3,959 |
$54K |
| OP278 |
|
76 |
72 |
$54K |
| 73502 |
|
2,995 |
2,871 |
$53K |
| 86480 |
|
967 |
952 |
$52K |
| 77080 |
|
646 |
626 |
$51K |
| 0001A |
|
1,744 |
1,726 |
$50K |
| 97165 |
|
2,379 |
2,248 |
$50K |
| 12001 |
|
2,150 |
2,087 |
$50K |
| 85027 |
|
9,667 |
8,700 |
$49K |
| 72050 |
|
972 |
947 |
$45K |
| 96413 |
|
140 |
123 |
$44K |
| 92567 |
|
561 |
555 |
$44K |
| OP250 |
|
24,688 |
20,814 |
$43K |
| 87389 |
|
2,144 |
2,109 |
$41K |
| 94729 |
|
943 |
931 |
$41K |
| 73590 |
|
3,386 |
3,179 |
$40K |
| 87581 |
|
3,678 |
3,545 |
$40K |
| 81220 |
|
212 |
212 |
$40K |
| 74018 |
|
2,204 |
2,130 |
$40K |
| 87486 |
|
3,678 |
3,545 |
$40K |
| 12011 |
|
1,685 |
1,645 |
$40K |
| 83605 |
|
7,846 |
7,056 |
$39K |
| J1644 |
Inj heparin sodium per 1000u |
5,289 |
2,838 |
$39K |
| 85730 |
|
14,975 |
13,745 |
$38K |
| 97166 |
|
1,994 |
1,849 |
$38K |
| 87502 |
|
4,292 |
4,062 |
$37K |
| 80306 |
|
1,813 |
1,710 |
$37K |
| J7040 |
Normal saline solution infus |
6,757 |
5,439 |
$36K |
| 92523 |
|
664 |
638 |
$35K |
| 73080 |
|
2,876 |
2,728 |
$34K |
| J2704 |
Inj, propofol, 10 mg |
11,968 |
11,438 |
$34K |
| 93458 |
|
12 |
12 |
$33K |
| 77336 |
|
310 |
129 |
$33K |
| 87186 |
|
6,875 |
6,452 |
$33K |
| 78452 |
|
147 |
147 |
$33K |
| 84702 |
|
6,675 |
5,614 |
$33K |
| 72100 |
|
1,189 |
1,152 |
$32K |
| J3010 |
Fentanyl citrate injection |
14,124 |
13,113 |
$32K |
| 90471 |
|
5,111 |
4,601 |
$31K |
| J7030 |
Normal saline solution infus |
31,540 |
26,912 |
$31K |
| 76821 |
|
260 |
201 |
$31K |
| 87040 |
|
3,811 |
3,417 |
$30K |
| 97150 |
|
5,947 |
1,827 |
$30K |
| 74022 |
|
1,445 |
1,403 |
$30K |
| 90714 |
|
4,973 |
4,829 |
$30K |
| 73090 |
|
3,050 |
2,821 |
$29K |
| J1100 |
Dexamethasone sodium phos |
16,668 |
15,915 |
$29K |
| 12002 |
|
1,014 |
990 |
$29K |
| 96376 |
|
4,214 |
3,793 |
$28K |
| J2250 |
Inj midazolam hydrochloride |
10,080 |
9,591 |
$28K |
| J2001 |
Lidocaine injection |
11,500 |
10,755 |
$27K |
| 72114 |
|
428 |
415 |
$27K |
| 74183 |
|
38 |
36 |
$26K |
| 87661 |
|
893 |
877 |
$26K |
| 83036 |
|
4,785 |
4,635 |
$26K |
| J0696 |
Ceftriaxone sodium injection |
9,792 |
8,116 |
$25K |
| C1776 |
Joint device (implantable) |
22 |
22 |
$23K |
| 80320 |
|
8,062 |
6,865 |
$23K |
| 87804 |
|
5,233 |
5,158 |
$22K |
| 87880 |
|
10,938 |
10,634 |
$22K |
| J1885 |
Ketorolac tromethamine inj |
26,991 |
24,296 |
$21K |
| 82247 |
|
2,640 |
1,839 |
$21K |
| 81025 |
|
24,845 |
23,010 |
$21K |
| 84703 |
|
19,748 |
18,273 |
$21K |
| 70496 |
|
502 |
473 |
$20K |
| 94727 |
|
643 |
640 |
$20K |
| 70498 |
|
642 |
605 |
$20K |
| 87077 |
|
5,652 |
5,286 |
$19K |
| 92588 |
|
121 |
119 |
$19K |
| 88342 |
|
1,405 |
1,326 |
$19K |
| C1769 |
Guide wire |
1,336 |
1,135 |
$19K |
| 82306 |
|
859 |
823 |
$19K |
| J2270 |
Morphine sulfate injection |
12,919 |
10,511 |
$18K |
| 82803 |
|
4,046 |
3,660 |
$18K |
| 82248 |
|
3,809 |
3,194 |
$18K |
| 51702 |
|
671 |
640 |
$18K |
| 97163 |
|
650 |
611 |
$17K |
| 73552 |
|
1,502 |
1,411 |
$17K |
| 76881 |
|
118 |
113 |
$17K |
| OP270 |
|
451 |
340 |
$16K |
| J0690 |
Cefazolin sodium injection |
4,287 |
3,830 |
$16K |
| 76641 |
|
177 |
175 |
$16K |
| 72070 |
|
529 |
519 |
$16K |
| 73560 |
|
692 |
651 |
$15K |
| 86803 |
|
844 |
826 |
$15K |
| 36430 |
|
445 |
350 |
$15K |
| 87081 |
|
7,629 |
7,399 |
$14K |
| 94726 |
|
280 |
273 |
$14K |
| J2060 |
Lorazepam injection |
5,087 |
4,295 |
$14K |
| 73060 |
|
1,410 |
1,355 |
$14K |
| 76000 |
|
945 |
896 |
$14K |
| 97016 |
|
1,408 |
338 |
$14K |
| 82550 |
|
3,580 |
3,208 |
$14K |
| 92579 |
|
64 |
63 |
$13K |
| 84100 |
|
4,616 |
4,141 |
$13K |
| J7050 |
Normal saline solution infus |
3,000 |
2,758 |
$13K |
| 45380 |
|
15 |
13 |
$13K |
| 95816 |
|
38 |
37 |
$12K |
| 90675 |
|
35 |
15 |
$12K |
| 0004A |
|
392 |
384 |
$12K |
| 82330 |
|
3,295 |
3,030 |
$12K |
| J1650 |
Inj enoxaparin sodium |
3,617 |
2,135 |
$12K |
| 80329 |
|
1,837 |
1,733 |
$12K |
| Q3014 |
Telehealth facility fee |
646 |
342 |
$12K |
| 88304 |
|
1,784 |
1,741 |
$11K |
| 85055 |
|
1,570 |
1,252 |
$11K |
| 88307 |
|
453 |
417 |
$11K |
| 71271 |
|
107 |
96 |
$11K |
| 82375 |
|
4,136 |
3,745 |
$11K |
| A4311 |
Catheter w/o bag 2-way latex |
553 |
523 |
$11K |
| 81329 |
|
97 |
97 |
$11K |
| 97014 |
|
2,511 |
889 |
$11K |
| 72220 |
|
324 |
318 |
$10K |
| 86787 |
|
815 |
807 |
$10K |
| A9502 |
Tc99m tetrofosmin |
161 |
161 |
$10K |
| 84439 |
|
1,177 |
1,108 |
$10K |
| J1200 |
Diphenhydramine hcl injectio |
6,693 |
5,453 |
$10K |
| U0002 |
Covid-19 lab test non-cdc |
198 |
195 |
$10K |
| 29075 |
|
361 |
357 |
$10K |
| 88300 |
|
554 |
521 |
$9K |
| 82947 |
|
3,529 |
3,145 |
$9K |
| J1630 |
Haloperidol injection |
2,714 |
2,313 |
$9K |
| 80165 |
|
1,252 |
1,083 |
$9K |
| 87147 |
|
7,737 |
7,510 |
$9K |
| 95819 |
|
42 |
42 |
$9K |
| 87210 |
|
11,647 |
10,952 |
$8K |
| A9552 |
F18 fdg |
507 |
487 |
$8K |
| 0071A |
|
223 |
216 |
$8K |
| 87070 |
|
2,670 |
2,634 |
$8K |
| 83050 |
|
4,136 |
3,746 |
$8K |
| 72195 |
|
14 |
13 |
$8K |
| 0072A |
|
205 |
201 |
$8K |
| J1170 |
Hydromorphone injection |
5,491 |
3,931 |
$8K |
| 73140 |
|
945 |
906 |
$7K |
| 73700 |
|
70 |
67 |
$7K |
| 81401 |
|
97 |
97 |
$7K |
| J2930 |
Methylprednisolone injection |
2,727 |
2,460 |
$7K |
| 87340 |
|
1,234 |
1,218 |
$7K |
| 82270 |
|
1,353 |
1,316 |
$7K |
| J2765 |
Metoclopramide hcl injection |
5,310 |
4,654 |
$7K |
| 76813 |
|
64 |
51 |
$6K |
| G0480 |
Drug test def 1-7 classes |
679 |
529 |
$6K |
| A0390 |
Advanced life support mileag |
1,791 |
1,238 |
$6K |
| 73562 |
|
228 |
226 |
$6K |
| J3370 |
Vancomycin hcl injection |
1,177 |
858 |
$6K |
| 85018 |
|
4,124 |
3,716 |
$6K |
| 29405 |
|
174 |
172 |
$6K |
| 73620 |
|
370 |
359 |
$6K |
| 29540 |
|
382 |
376 |
$6K |
| 80074 |
|
189 |
189 |
$6K |
| 36600 |
|
684 |
647 |
$5K |
| 84436 |
|
884 |
866 |
$5K |
| P9016 |
Rbc leukocytes reduced |
383 |
317 |
$5K |
| 82607 |
|
1,003 |
946 |
$5K |
| 72040 |
|
194 |
186 |
$5K |
| 86140 |
|
3,189 |
2,990 |
$5K |
| J7120 |
Ringers lactate infusion |
12,414 |
10,587 |
$5K |
| 74174 |
|
88 |
83 |
$5K |
| 85379 |
|
3,551 |
3,439 |
$5K |
| 83540 |
|
1,444 |
1,361 |
$5K |
| 29581 |
|
79 |
24 |
$5K |
| M0243 |
Casirivi and imdevi inj |
12 |
12 |
$5K |
| 84132 |
|
3,029 |
2,780 |
$5K |
| 84295 |
|
2,951 |
2,707 |
$4K |
| 73100 |
|
252 |
225 |
$4K |
| 87205 |
|
675 |
649 |
$4K |
| 82728 |
|
638 |
601 |
$4K |
| 87624 |
|
128 |
128 |
$4K |
| 82435 |
|
2,951 |
2,705 |
$4K |
| OP229 |
|
84 |
69 |
$4K |
| 73120 |
|
221 |
204 |
$4K |
| 85652 |
|
3,033 |
2,866 |
$4K |
| J3475 |
Inj magnesium sulfate |
2,840 |
2,434 |
$4K |
| J1756 |
Iron sucrose injection |
78 |
38 |
$4K |
| J2790 |
Rho d immune globulin inj |
67 |
65 |
$4K |
| 94761 |
|
952 |
892 |
$4K |
| J0131 |
Inj, acetaminophen (nos) |
6,007 |
5,433 |
$4K |
| 85384 |
|
1,401 |
1,221 |
$4K |
| J2370 |
Phenylephrine hcl injection |
345 |
326 |
$4K |
| G0108 |
Diab manage trn per indiv |
28 |
26 |
$4K |
| 84479 |
|
654 |
640 |
$4K |
| 71101 |
|
189 |
187 |
$4K |
| J0780 |
Prochlorperazine injection |
2,794 |
2,617 |
$4K |
| 0054A |
|
126 |
116 |
$4K |
| 29130 |
|
442 |
432 |
$4K |
| J7620 |
Albuterol ipratrop non-comp |
7,802 |
6,513 |
$4K |
| 82010 |
|
2,023 |
1,810 |
$4K |
| 86923 |
|
302 |
267 |
$3K |
| G8979 |
Mobility goal status |
558 |
533 |
$3K |
| G8978 |
Mobility current status |
501 |
489 |
$3K |
| 36416 |
|
898 |
637 |
$3K |
| G0279 |
Tomosynthesis, mammo |
328 |
317 |
$3K |
| 70220 |
|
68 |
65 |
$3K |
| 70360 |
|
218 |
213 |
$3K |
| 0052A |
|
87 |
86 |
$3K |
| J0171 |
Adrenalin epinephrine inject |
1,828 |
1,611 |
$3K |
| 86618 |
|
316 |
302 |
$3K |
| 73600 |
|
190 |
180 |
$3K |
| J2920 |
Methylprednisolone injection |
848 |
547 |
$3K |
| Q0162 |
Ondansetron oral |
13,773 |
12,704 |
$3K |
| 83615 |
|
1,200 |
1,050 |
$3K |
| 88142 |
|
131 |
129 |
$3K |
| J7512 |
Prednisone ir or dr oral 1mg |
4,587 |
4,048 |
$3K |
| J3360 |
Diazepam injection |
616 |
571 |
$3K |
| 86762 |
|
821 |
813 |
$3K |
| 96367 |
|
231 |
216 |
$3K |
| 72082 |
|
26 |
26 |
$3K |
| 19083 |
|
12 |
12 |
$2K |
| OP299 |
|
35 |
34 |
$2K |
| G8988 |
Self care goal status |
196 |
192 |
$2K |
| J8540 |
Oral dexamethasone |
4,836 |
4,643 |
$2K |
| 92587 |
|
16 |
15 |
$2K |
| 97022 |
|
700 |
214 |
$2K |
| A4344 |
Cath indw foley 2 way silicn |
180 |
175 |
$2K |
| J1940 |
Furosemide injection |
1,158 |
821 |
$2K |
| 84156 |
|
1,881 |
1,592 |
$2K |
| 84550 |
|
1,490 |
1,315 |
$2K |
| 86592 |
|
2,505 |
2,450 |
$2K |
| 73070 |
|
179 |
163 |
$2K |
| 82570 |
|
669 |
641 |
$2K |
| G8987 |
Self care current status |
188 |
185 |
$2K |
| L2999 |
Lower extremity orthosis nos |
2,173 |
1,975 |
$2K |
| 82746 |
|
496 |
463 |
$2K |
| 82140 |
|
915 |
784 |
$2K |
| A4338 |
Indwelling catheter latex |
244 |
231 |
$2K |
| J1790 |
Droperidol injection |
1,110 |
945 |
$2K |
| 83020 |
|
291 |
291 |
$2K |
| A4648 |
Implantable tissue marker |
75 |
64 |
$2K |
| 73000 |
|
86 |
81 |
$2K |
| J2360 |
Orphenadrine injection |
1,157 |
1,109 |
$2K |
| 0003A |
|
60 |
60 |
$2K |
| 76882 |
|
49 |
45 |
$2K |
| C1894 |
Intro/sheath, non-laser |
337 |
296 |
$2K |
| 77062 |
|
845 |
794 |
$2K |
| 82150 |
|
450 |
434 |
$2K |
| 51701 |
|
86 |
83 |
$1K |
| 87807 |
|
277 |
271 |
$1K |
| 82533 |
|
40 |
40 |
$1K |
| 0051A |
|
42 |
40 |
$1K |
| 99152 |
|
167 |
160 |
$1K |
| 72131 |
|
15 |
15 |
$1K |
| 87426 |
|
104 |
104 |
$1K |
| 73503 |
|
158 |
153 |
$1K |
| J2760 |
Phentolaine mesylate inj |
318 |
271 |
$1K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
74 |
70 |
$1K |
| 72170 |
|
69 |
65 |
$1K |
| 87071 |
|
893 |
823 |
$1K |
| 80185 |
|
30 |
26 |
$1K |
| 84145 |
|
221 |
207 |
$1K |
| J3480 |
Inj potassium chloride |
1,513 |
1,226 |
$1K |
| 29515 |
|
85 |
85 |
$1K |
| 82043 |
|
371 |
354 |
$1K |
| 29530 |
|
199 |
192 |
$1K |
| 96368 |
|
152 |
151 |
$1K |
| 99153 |
Mod sedat endo service >5yrs |
105 |
101 |
$1K |
| A9579 |
Gad-base mr contrast nos,1ml |
797 |
763 |
$1K |
| J0500 |
Dicyclomine injection |
95 |
90 |
$1K |
| J2710 |
Neostigmine methylslfte inj |
167 |
166 |
$1K |
| 97018 |
|
663 |
195 |
$1K |
| 88175 |
|
37 |
36 |
$1K |
| J7613 |
Albuterol non-comp unit |
3,112 |
2,531 |
$1K |
| OP258 |
|
918 |
812 |
$988.48 |
| J1956 |
Levofloxacin injection |
27 |
25 |
$973.30 |
| OP637 |
|
8,678 |
5,481 |
$944.48 |
| 80354 |
|
179 |
167 |
$874.75 |
| 90686 |
|
117 |
117 |
$866.58 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
901 |
846 |
$866.29 |
| 87899 |
|
175 |
173 |
$860.24 |
| G0008 |
Admin influenza virus vac |
81 |
79 |
$829.02 |
| J2785 |
Regadenoson injection |
12 |
12 |
$822.25 |
| C9113 |
Inj pantoprazole sodium, via |
712 |
429 |
$768.96 |
| J1580 |
Garamycin gentamicin inj |
604 |
553 |
$746.98 |
| 74420 |
|
26 |
24 |
$731.95 |
| 29125 |
|
65 |
65 |
$702.52 |
| 85008 |
|
3,548 |
3,335 |
$682.70 |
| J1815 |
Insulin injection |
43 |
33 |
$676.80 |
| 90785 |
|
20 |
13 |
$675.15 |
| J2919 |
Inj, methylpred sod succ 5mg |
391 |
323 |
$632.84 |
| 29126 |
|
45 |
42 |
$631.53 |
| P9612 |
Catheterize for urine spec |
2,357 |
2,333 |
$626.77 |
| J2550 |
Promethazine hcl injection |
466 |
424 |
$616.26 |
| Q0163 |
Diphenhydramine hcl 50mg |
1,586 |
1,494 |
$570.62 |
| C1887 |
Catheter, guiding |
27 |
26 |
$517.52 |
| 86920 |
|
14 |
13 |
$512.57 |
| 90715 |
|
48 |
48 |
$512.47 |
| G8980 |
Mobility d/c status |
61 |
61 |
$506.17 |
| J2310 |
Inj naloxone hydrochloride |
84 |
75 |
$479.32 |
| 78580 |
|
13 |
13 |
$478.58 |
| C1729 |
Cath, drainage |
188 |
169 |
$470.65 |
| 87073 |
|
372 |
341 |
$467.91 |
| 88341 |
|
30 |
26 |
$458.37 |
| 72072 |
|
14 |
12 |
$455.12 |
| 76937 |
|
15 |
14 |
$443.02 |
| L1906 |
Afo multilig ank sup pre ots |
219 |
216 |
$441.31 |
| J1920 |
Inj, labetalol hcl, 5mg |
48 |
44 |
$436.59 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
947 |
868 |
$420.92 |
| 87185 |
|
117 |
113 |
$417.89 |
| J1953 |
Levetiracetam injection |
736 |
580 |
$412.14 |
| 86780 |
|
108 |
96 |
$395.65 |
| 86317 |
|
54 |
54 |
$387.74 |
| 86703 |
|
42 |
41 |
$360.90 |
| J7611 |
Albuterol non-comp con |
356 |
330 |
$340.74 |
| L1830 |
Ko immob canvas long pre ots |
77 |
71 |
$308.53 |
| 77061 |
|
298 |
227 |
$293.64 |
| 86308 |
|
199 |
195 |
$282.40 |
| 74019 |
|
14 |
14 |
$256.50 |
| 82731 |
|
14 |
13 |
$236.40 |
| 83655 |
|
25 |
25 |
$202.17 |
| J0153 |
Adenosine inj 1mg |
21 |
14 |
$198.41 |
| C1758 |
Catheter, ureteral |
42 |
36 |
$156.64 |
| 88112 |
|
17 |
13 |
$147.58 |
| L8699 |
Prosthetic implant nos |
93 |
89 |
$141.71 |
| A9576 |
Inj prohance multipack |
123 |
121 |
$138.11 |
| J0571 |
Buprenorphine oral 1mg |
110 |
42 |
$125.62 |
| J1836 |
Inj, metronidazole, 10 mg |
273 |
180 |
$118.05 |
| 91300 |
|
3,848 |
3,354 |
$110.00 |
| 83550 |
|
15 |
15 |
$101.80 |
| 73660 |
|
14 |
14 |
$81.03 |
| 84481 |
|
16 |
12 |
$79.59 |
| J0360 |
Hydralazine hcl injection |
77 |
67 |
$79.44 |
| 84112 |
|
13 |
13 |
$78.49 |
| J0736 |
Inj, clindamycin phosp 300mg |
83 |
62 |
$77.79 |
| 76377 |
|
13 |
13 |
$59.94 |
| 91307 |
|
426 |
359 |
$58.00 |
| A4605 |
Trach suction cath close sys |
51 |
49 |
$57.25 |
| A9270 |
Non-covered item or service |
3,774 |
2,702 |
$55.58 |
| 82009 |
|
36 |
34 |
$54.56 |
| A9540 |
Tc99m maa |
14 |
13 |
$42.05 |
| 85660 |
|
12 |
12 |
$42.00 |
| 82553 |
|
15 |
12 |
$41.25 |
| J7510 |
Prednisolone oral per 5 mg |
140 |
130 |
$27.67 |
| J7644 |
Ipratropium bromide non-comp |
280 |
224 |
$23.85 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
98 |
87 |
$22.88 |
| J7042 |
5% dextrose/normal saline |
103 |
98 |
$22.04 |
| 87150 |
|
14 |
12 |
$18.43 |
| 85370 |
|
13 |
13 |
$15.34 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
74 |
57 |
$13.91 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
16 |
12 |
$13.04 |
| J7060 |
5% dextrose/water |
48 |
39 |
$12.72 |
| G0283 |
Elec stim other than wound |
37 |
12 |
$12.53 |
| J0330 |
Succinycholine chloride inj |
18 |
18 |
$10.20 |
| J7121 |
5% dextrose in lac ringers |
13 |
12 |
$8.25 |
| 85007 |
|
724 |
663 |
$6.94 |
| J2470 |
Inj pantoprazole sodium 40mg |
61 |
49 |
$6.30 |
| 91305 |
|
271 |
255 |
$4.00 |
| J2274 |
Inj morphine pf epid ithc |
73 |
73 |
$2.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
13 |
13 |
$0.00 |
| 88302 |
|
13 |
13 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
12 |
12 |
$0.00 |
| OP450 |
|
29 |
27 |
$0.00 |
| A9503 |
Tc99m medronate |
13 |
13 |
$0.00 |