| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
81,348 |
74,264 |
$19.13M |
| 99285 |
|
44,515 |
40,027 |
$13.13M |
| 99283 |
|
67,926 |
64,018 |
$10.73M |
| 74177 |
|
19,504 |
18,284 |
$10.27M |
| G0378 |
Hospital observation per hr |
56,292 |
34,692 |
$8.83M |
| 99282 |
|
70,366 |
66,845 |
$6.55M |
| C1713 |
Anchor/screw bn/bn,tis/bn |
4,222 |
3,952 |
$5.08M |
| C1776 |
Joint device (implantable) |
817 |
727 |
$3.29M |
| 70450 |
|
18,655 |
17,183 |
$2.72M |
| 76815 |
|
10,992 |
7,497 |
$2.19M |
| 87633 |
|
8,380 |
8,150 |
$2.01M |
| 59025 |
|
25,003 |
15,665 |
$1.96M |
| 44970 |
|
606 |
520 |
$1.76M |
| 70553 |
|
3,343 |
3,136 |
$1.72M |
| 43239 |
|
3,349 |
3,246 |
$1.72M |
| 71275 |
|
4,274 |
3,947 |
$1.67M |
| 74176 |
|
4,740 |
4,398 |
$1.66M |
| 78452 |
|
1,543 |
1,413 |
$1.62M |
| 99281 |
|
33,535 |
31,942 |
$1.58M |
| 11042 |
|
12,447 |
4,758 |
$1.44M |
| 93458 |
|
661 |
578 |
$1.34M |
| 88307 |
|
2,948 |
2,143 |
$1.25M |
| 97530 |
|
31,274 |
13,631 |
$1.05M |
| 47562 |
|
399 |
331 |
$977K |
| 54161 |
|
983 |
895 |
$952K |
| 88305 |
|
12,919 |
8,557 |
$898K |
| 72195 |
|
1,418 |
1,375 |
$873K |
| 92507 |
|
18,362 |
7,539 |
$864K |
| 70486 |
|
2,206 |
2,062 |
$801K |
| 76705 |
|
6,457 |
6,168 |
$665K |
| 76801 |
|
5,211 |
4,687 |
$611K |
| 70551 |
|
1,676 |
1,577 |
$561K |
| 92579 |
|
3,799 |
3,591 |
$556K |
| 96365 |
|
21,289 |
17,341 |
$537K |
| 93010 |
|
75,052 |
67,488 |
$528K |
| 76700 |
|
6,653 |
6,326 |
$511K |
| 11045 |
|
1,390 |
529 |
$506K |
| 87070 |
|
15,701 |
14,494 |
$500K |
| 76856 |
|
6,085 |
5,850 |
$438K |
| U0002 |
Covid-19 lab test non-cdc |
29,490 |
27,713 |
$435K |
| 95810 |
|
731 |
699 |
$407K |
| 95819 |
|
2,861 |
2,777 |
$383K |
| 93306 |
|
7,098 |
6,594 |
$371K |
| 95811 |
|
798 |
747 |
$368K |
| 76770 |
|
4,021 |
3,892 |
$319K |
| 58571 |
|
231 |
216 |
$318K |
| 76805 |
|
2,150 |
2,032 |
$292K |
| 73562 |
|
5,570 |
5,079 |
$285K |
| 70491 |
|
1,244 |
1,205 |
$282K |
| 27447 |
|
181 |
166 |
$278K |
| 76870 |
|
1,824 |
1,751 |
$275K |
| 47563 |
|
84 |
75 |
$271K |
| 92587 |
|
2,610 |
2,521 |
$270K |
| 64721 |
|
289 |
263 |
$262K |
| 74018 |
|
8,046 |
7,511 |
$230K |
| 93970 |
|
5,047 |
4,764 |
$207K |
| 82306 |
|
4,521 |
4,428 |
$204K |
| 93971 |
|
8,309 |
7,790 |
$200K |
| 73080 |
|
2,406 |
2,286 |
$188K |
| 49083 |
|
561 |
276 |
$173K |
| 71046 |
|
25,422 |
23,533 |
$172K |
| 92611 |
|
900 |
849 |
$171K |
| 77067 |
|
2,359 |
2,318 |
$171K |
| C1781 |
Mesh (implantable) |
446 |
403 |
$158K |
| 72100 |
|
3,435 |
3,267 |
$157K |
| 86850 |
|
12,844 |
11,439 |
$155K |
| 80050 |
|
2,309 |
2,286 |
$150K |
| 96374 |
|
57,590 |
50,450 |
$146K |
| 73030 |
|
4,060 |
3,628 |
$146K |
| 99214 |
|
6,283 |
5,781 |
$140K |
| 92557 |
|
780 |
763 |
$139K |
| 84443 |
|
22,627 |
20,953 |
$135K |
| 93798 |
|
2,831 |
561 |
$130K |
| 92523 |
|
1,124 |
1,074 |
$128K |
| 74181 |
|
1,794 |
1,730 |
$121K |
| 88341 |
|
1,006 |
587 |
$120K |
| 72131 |
|
1,318 |
1,252 |
$119K |
| 97110 |
|
6,981 |
3,564 |
$116K |
| 78264 |
|
537 |
521 |
$110K |
| 72125 |
|
3,598 |
3,336 |
$108K |
| 70487 |
|
272 |
263 |
$107K |
| 99204 |
|
1,673 |
1,603 |
$100K |
| 76942 |
|
193 |
174 |
$95K |
| 78227 |
|
330 |
321 |
$94K |
| 72148 |
|
462 |
440 |
$92K |
| 29881 |
|
74 |
66 |
$91K |
| G0463 |
Hospital outpt clinic visit |
5,714 |
4,981 |
$83K |
| 96360 |
|
4,260 |
3,477 |
$81K |
| 97597 |
|
1,916 |
1,044 |
$71K |
| 64494 |
|
246 |
184 |
$71K |
| 93976 |
|
21,899 |
20,339 |
$71K |
| 80048 |
|
107,207 |
81,579 |
$70K |
| 97161 |
|
2,715 |
2,529 |
$66K |
| 41899 |
|
355 |
339 |
$66K |
| 99291 |
|
324 |
309 |
$65K |
| 20680 |
|
52 |
49 |
$64K |
| 97162 |
|
3,283 |
2,995 |
$62K |
| 74019 |
|
1,305 |
1,211 |
$61K |
| G0481 |
Drug test def 8-14 classes |
424 |
414 |
$61K |
| C1732 |
Cath, ep, diag/abl, 3d/vect |
29 |
29 |
$61K |
| 80053 |
|
64,496 |
55,617 |
$60K |
| 90715 |
|
3,494 |
3,355 |
$60K |
| 76536 |
|
589 |
571 |
$60K |
| 58661 |
|
410 |
380 |
$59K |
| 73502 |
|
2,328 |
2,141 |
$59K |
| 11043 |
|
327 |
174 |
$55K |
| 71045 |
|
28,628 |
25,950 |
$54K |
| 97140 |
|
2,581 |
1,112 |
$54K |
| 96366 |
|
5,904 |
3,545 |
$53K |
| 97112 |
|
2,855 |
1,324 |
$53K |
| 64636 |
|
73 |
49 |
$52K |
| 10060 |
|
1,784 |
1,690 |
$51K |
| 95816 |
|
370 |
361 |
$50K |
| 73130 |
|
3,997 |
3,768 |
$49K |
| 71260 |
|
642 |
619 |
$49K |
| 49650 |
|
14 |
13 |
$48K |
| 42820 |
|
15 |
14 |
$46K |
| 73630 |
|
4,659 |
4,367 |
$46K |
| 71101 |
|
1,187 |
1,098 |
$46K |
| 0012A |
|
2,263 |
2,243 |
$46K |
| 0011A |
|
3,369 |
3,196 |
$45K |
| 74246 |
|
370 |
358 |
$45K |
| C8929 |
Tte w or wo fol wcon,doppler |
375 |
338 |
$44K |
| 92526 |
|
2,525 |
1,528 |
$43K |
| 97166 |
|
1,452 |
1,370 |
$42K |
| 80061 |
|
11,912 |
10,992 |
$42K |
| 71250 |
|
848 |
728 |
$41K |
| 73610 |
|
4,307 |
4,095 |
$41K |
| 93005 |
|
68,097 |
58,025 |
$40K |
| 64493 |
|
215 |
184 |
$39K |
| 97802 |
|
462 |
439 |
$39K |
| 99213 |
|
3,433 |
3,057 |
$38K |
| 52356 |
|
13 |
12 |
$37K |
| 73140 |
|
1,921 |
1,797 |
$37K |
| 54640 |
|
18 |
13 |
$36K |
| 82803 |
|
2,722 |
2,272 |
$36K |
| 73110 |
|
3,289 |
3,053 |
$36K |
| G0480 |
Drug test def 1-7 classes |
7,071 |
5,787 |
$35K |
| 76885 |
|
646 |
640 |
$34K |
| 45380 |
|
206 |
200 |
$33K |
| 99215 |
Prolong outpt/office vis |
1,399 |
1,317 |
$33K |
| 87491 |
|
7,616 |
7,277 |
$33K |
| 80307 |
|
22,715 |
20,384 |
$32K |
| 99153 |
Mod sedat endo service >5yrs |
3,528 |
3,111 |
$31K |
| 77066 |
Tomosynthesis, mammo |
235 |
226 |
$30K |
| 87506 |
|
1,183 |
1,135 |
$30K |
| 88342 |
|
5,114 |
4,161 |
$29K |
| 85025 |
|
172,041 |
132,942 |
$29K |
| 64483 |
|
59 |
52 |
$29K |
| 96375 |
|
46,497 |
39,722 |
$29K |
| 72072 |
|
1,064 |
1,011 |
$27K |
| 64635 |
|
58 |
50 |
$25K |
| 92552 |
|
363 |
354 |
$25K |
| 73090 |
|
2,113 |
2,032 |
$25K |
| 50590 |
|
17 |
12 |
$24K |
| 99157 |
|
303 |
281 |
$24K |
| 70496 |
|
1,238 |
1,176 |
$24K |
| 51600 |
|
81 |
78 |
$23K |
| 82731 |
|
361 |
339 |
$23K |
| 96361 |
|
10,439 |
9,424 |
$22K |
| 73700 |
|
153 |
141 |
$22K |
| 80074 |
|
727 |
689 |
$21K |
| 80320 |
|
7,245 |
6,312 |
$21K |
| U0003 |
Cov-19 amp prb hgh thruput |
592 |
560 |
$21K |
| 86920 |
|
1,512 |
848 |
$21K |
| 99205 |
Prolong outpt/office vis |
499 |
479 |
$20K |
| 0042T |
|
153 |
147 |
$20K |
| M0239 |
Bamlanivimab-xxxx infusion |
81 |
81 |
$20K |
| 76937 |
|
261 |
236 |
$20K |
| C1769 |
Guide wire |
5,314 |
4,722 |
$19K |
| C1725 |
Cath, translumin non-laser |
543 |
466 |
$18K |
| 96372 |
|
21,089 |
18,883 |
$18K |
| 74221 |
|
269 |
261 |
$18K |
| 76642 |
|
1,136 |
1,077 |
$18K |
| 73552 |
|
470 |
446 |
$18K |
| 87086 |
|
27,369 |
25,439 |
$18K |
| C1887 |
Catheter, guiding |
2,423 |
2,116 |
$18K |
| 36561 |
|
12 |
12 |
$17K |
| C1729 |
Cath, drainage |
623 |
555 |
$16K |
| 64495 |
|
71 |
56 |
$16K |
| 97535 |
|
2,832 |
1,902 |
$15K |
| 92585 |
|
74 |
71 |
$14K |
| 74174 |
|
144 |
136 |
$14K |
| 84702 |
|
13,418 |
11,827 |
$13K |
| 26055 |
|
13 |
12 |
$13K |
| 99211 |
|
1,562 |
1,427 |
$13K |
| 73590 |
|
2,274 |
2,123 |
$13K |
| 87481 |
|
73 |
57 |
$13K |
| 75984 |
|
12 |
12 |
$13K |
| 92550 |
|
397 |
391 |
$12K |
| 76817 |
|
4,574 |
4,145 |
$12K |
| 95806 |
|
127 |
127 |
$12K |
| 96367 |
|
956 |
897 |
$11K |
| 36430 |
|
342 |
298 |
$11K |
| 81025 |
|
24,773 |
22,286 |
$11K |
| 92582 |
|
302 |
297 |
$11K |
| 0001A |
|
769 |
686 |
$11K |
| 80055 |
|
105 |
102 |
$10K |
| 83516 |
|
1,536 |
1,358 |
$10K |
| 0002A |
|
548 |
499 |
$10K |
| 87186 |
|
11,435 |
9,900 |
$10K |
| 72128 |
|
102 |
100 |
$10K |
| 92610 |
|
440 |
391 |
$10K |
| 72040 |
|
2,282 |
2,174 |
$10K |
| A9270 |
Non-covered item or service |
208,777 |
104,609 |
$9K |
| 86803 |
|
1,470 |
1,438 |
$8K |
| 82607 |
|
1,979 |
1,859 |
$8K |
| 77065 |
Tomosynthesis, mammo |
151 |
141 |
$8K |
| 93312 |
|
81 |
65 |
$8K |
| 99223 |
Prolong inpt eval add15 m |
63 |
59 |
$8K |
| 87081 |
|
9,716 |
9,407 |
$8K |
| J3370 |
Vancomycin hcl injection |
5,113 |
2,693 |
$7K |
| 87389 |
|
459 |
448 |
$7K |
| 73060 |
|
265 |
254 |
$7K |
| 82728 |
|
1,628 |
1,555 |
$7K |
| 93017 |
|
1,835 |
1,630 |
$7K |
| 87661 |
|
115 |
114 |
$7K |
| 83036 |
|
12,739 |
11,815 |
$7K |
| A4648 |
Implantable tissue marker |
13 |
12 |
$7K |
| 84403 |
|
283 |
265 |
$6K |
| 20610 |
|
73 |
66 |
$6K |
| 97165 |
|
296 |
273 |
$6K |
| 72158 |
|
52 |
50 |
$6K |
| 83880 |
|
6,439 |
5,600 |
$6K |
| 70498 |
|
1,277 |
1,210 |
$6K |
| P9016 |
Rbc leukocytes reduced |
291 |
253 |
$6K |
| 94060 |
|
117 |
101 |
$5K |
| 29581 |
|
239 |
121 |
$5K |
| 74230 |
|
964 |
912 |
$5K |
| 92567 |
|
5,884 |
5,625 |
$5K |
| 51728 |
|
13 |
12 |
$5K |
| 85027 |
|
5,528 |
5,096 |
$4K |
| 70481 |
|
12 |
12 |
$4K |
| 84484 |
|
47,481 |
31,528 |
$4K |
| 83970 |
|
115 |
95 |
$4K |
| J7030 |
Normal saline solution infus |
76,465 |
60,263 |
$4K |
| 36415 |
|
186,190 |
139,367 |
$4K |
| 99222 |
|
57 |
52 |
$4K |
| 76010 |
|
145 |
141 |
$4K |
| 73721 |
|
25 |
23 |
$4K |
| 82043 |
|
1,638 |
1,576 |
$4K |
| 58662 |
|
12 |
12 |
$4K |
| J1580 |
Garamycin gentamicin inj |
476 |
370 |
$4K |
| 83690 |
|
63,446 |
56,157 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
45 |
26 |
$3K |
| 81001 |
|
51,299 |
46,678 |
$3K |
| 58670 |
|
44 |
40 |
$3K |
| 76506 |
|
39 |
39 |
$3K |
| 93880 |
|
135 |
121 |
$3K |
| 74430 |
|
607 |
565 |
$3K |
| 86870 |
|
14 |
12 |
$3K |
| 78306 |
|
27 |
24 |
$3K |
| 92652 |
|
25 |
25 |
$3K |
| 86762 |
|
406 |
391 |
$3K |
| 99212 |
|
509 |
469 |
$3K |
| 82247 |
|
42,671 |
37,624 |
$2K |
| 12001 |
|
2,025 |
1,960 |
$2K |
| 76830 |
|
4,340 |
4,170 |
$2K |
| 70490 |
|
13 |
13 |
$2K |
| 73521 |
|
53 |
51 |
$2K |
| 87088 |
|
10,178 |
9,052 |
$2K |
| 73660 |
|
171 |
160 |
$2K |
| 80305 |
|
9,261 |
8,277 |
$2K |
| 87400 |
|
11,833 |
7,425 |
$2K |
| Q5106 |
Inj retacrit non-esrd use |
50 |
25 |
$2K |
| J7050 |
Normal saline solution infus |
18,784 |
10,631 |
$2K |
| 73221 |
|
15 |
15 |
$2K |
| 84481 |
|
128 |
122 |
$2K |
| C1788 |
Port, indwelling, imp |
13 |
12 |
$2K |
| 87077 |
|
6,590 |
4,873 |
$2K |
| 84703 |
|
41,750 |
38,022 |
$2K |
| J1642 |
Inj heparin sodium per 10 u |
3,847 |
1,587 |
$2K |
| 12002 |
|
742 |
722 |
$2K |
| 99152 |
|
5,793 |
5,119 |
$2K |
| 59020 |
|
47 |
32 |
$2K |
| 87631 |
|
849 |
845 |
$2K |
| 80329 |
|
10,693 |
4,877 |
$2K |
| 97163 |
|
24 |
24 |
$2K |
| 92586 |
|
16 |
16 |
$2K |
| 86703 |
|
1,974 |
1,923 |
$2K |
| 86780 |
|
555 |
515 |
$2K |
| 84153 |
|
53 |
51 |
$2K |
| 29125 |
|
1,481 |
1,414 |
$2K |
| 72192 |
|
12 |
12 |
$2K |
| 96376 |
|
10,134 |
8,800 |
$2K |
| 84450 |
|
44,743 |
39,477 |
$1K |
| 99221 |
|
17 |
17 |
$1K |
| 72141 |
|
26 |
25 |
$1K |
| 84075 |
|
41,849 |
37,054 |
$1K |
| 76816 |
|
67 |
65 |
$1K |
| 87591 |
|
7,614 |
7,277 |
$1K |
| 83002 |
|
145 |
131 |
$1K |
| 85730 |
|
13,914 |
12,114 |
$1K |
| 12011 |
|
1,960 |
1,887 |
$1K |
| 80076 |
|
3,928 |
3,437 |
$1K |
| 82570 |
|
2,715 |
2,533 |
$1K |
| 87040 |
|
15,606 |
8,651 |
$1K |
| 77080 |
|
18 |
16 |
$1K |
| 76000 |
|
285 |
278 |
$1K |
| 94640 |
|
19,446 |
12,898 |
$1K |
| 87798 |
|
10,657 |
7,069 |
$1K |
| 77072 |
|
12 |
12 |
$999.40 |
| 87493 |
|
924 |
831 |
$994.68 |
| 82948 |
|
16,759 |
7,851 |
$990.21 |
| 82670 |
|
28 |
24 |
$989.20 |
| J7040 |
Normal saline solution infus |
12,713 |
11,030 |
$969.29 |
| 87426 |
|
6,329 |
5,964 |
$962.92 |
| 87653 |
|
568 |
551 |
$962.36 |
| 82784 |
|
1,118 |
1,053 |
$954.23 |
| 73070 |
|
17 |
16 |
$950.28 |
| J7120 |
Ringers lactate infusion |
45,580 |
36,670 |
$904.86 |
| 83550 |
|
1,445 |
1,356 |
$861.91 |
| 80047 |
|
1,071 |
995 |
$849.47 |
| 84305 |
|
66 |
64 |
$788.37 |
| Q3014 |
Telehealth facility fee |
416 |
382 |
$743.42 |
| 86635 |
|
318 |
222 |
$736.82 |
| 70360 |
|
12 |
12 |
$715.44 |
| 82962 |
|
35,295 |
15,336 |
$705.68 |
| 87799 |
|
46 |
45 |
$703.92 |
| 87205 |
|
9,114 |
7,996 |
$697.95 |
| 84112 |
|
2,782 |
1,971 |
$695.62 |
| 73000 |
|
53 |
49 |
$666.03 |
| 99203 |
|
53 |
52 |
$658.79 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
21,487 |
19,384 |
$651.70 |
| 81003 |
|
62,084 |
54,742 |
$650.16 |
| 85610 |
|
30,281 |
26,141 |
$611.44 |
| 87340 |
|
1,275 |
1,214 |
$610.33 |
| 83001 |
|
180 |
158 |
$606.76 |
| 90471 |
|
4,188 |
3,781 |
$604.69 |
| 87210 |
|
11,875 |
7,981 |
$602.25 |
| 84145 |
|
11,811 |
9,953 |
$568.51 |
| 73560 |
|
398 |
375 |
$562.03 |
| 82950 |
|
488 |
482 |
$560.37 |
| J1815 |
Insulin injection |
6,934 |
3,612 |
$559.31 |
| 85379 |
|
9,205 |
8,444 |
$528.52 |
| J1885 |
Ketorolac tromethamine inj |
52,245 |
43,858 |
$523.50 |
| 86038 |
|
686 |
592 |
$519.89 |
| J0690 |
Cefazolin sodium injection |
24,127 |
18,015 |
$509.99 |
| 88304 |
|
3,306 |
2,982 |
$507.73 |
| 76882 |
|
26 |
26 |
$501.86 |
| 87486 |
|
7,238 |
7,020 |
$489.75 |
| 87581 |
|
7,240 |
7,021 |
$482.12 |
| 76098 |
|
12 |
12 |
$422.51 |
| 83605 |
|
18,504 |
14,202 |
$409.38 |
| 86140 |
|
9,286 |
8,615 |
$388.31 |
| J3490 |
Drugs unclassified injection |
28,451 |
16,873 |
$388.19 |
| 72170 |
|
294 |
282 |
$387.84 |
| 99156 |
|
438 |
406 |
$386.63 |
| 83735 |
|
26,877 |
19,306 |
$363.91 |
| J0696 |
Ceftriaxone sodium injection |
11,982 |
9,470 |
$362.33 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
2,769 |
1,269 |
$344.57 |
| 86900 |
|
15,539 |
13,961 |
$325.07 |
| 86592 |
|
2,891 |
2,811 |
$314.20 |
| 80348 |
|
61 |
56 |
$296.85 |
| 29105 |
|
100 |
99 |
$295.91 |
| J2405 |
Ondansetron hcl injection |
80,108 |
63,624 |
$294.47 |
| J1200 |
Diphenhydramine hcl injectio |
11,777 |
9,018 |
$294.42 |
| 94664 |
|
15,321 |
11,675 |
$287.08 |
| 84550 |
|
3,781 |
3,257 |
$277.86 |
| A9541 |
Tc99m sulfur colloid |
540 |
525 |
$277.45 |
| 86901 |
|
15,538 |
13,961 |
$275.93 |
| J3475 |
Inj magnesium sulfate |
4,147 |
3,427 |
$262.78 |
| 82140 |
|
694 |
610 |
$254.68 |
| 80354 |
|
67 |
64 |
$252.70 |
| 82951 |
|
12 |
12 |
$246.25 |
| J0171 |
Adrenalin epinephrine inject |
1,941 |
1,701 |
$243.65 |
| 87045 |
|
160 |
157 |
$241.85 |
| S0077 |
Injection, clindamycin phosp |
1,396 |
1,054 |
$234.07 |
| J2543 |
Piperacillin/tazobactam |
2,732 |
1,356 |
$231.55 |
| J3010 |
Fentanyl citrate injection |
37,707 |
28,265 |
$203.21 |
| 74455 |
|
55 |
54 |
$197.13 |
| J2270 |
Morphine sulfate injection |
24,579 |
17,363 |
$196.82 |
| J2765 |
Metoclopramide hcl injection |
9,016 |
7,857 |
$191.42 |
| 84439 |
|
6,617 |
6,280 |
$188.29 |
| 82330 |
|
878 |
770 |
$185.65 |
| 82010 |
|
1,988 |
1,772 |
$172.92 |
| J2550 |
Promethazine hcl injection |
4,068 |
2,802 |
$167.40 |
| 87880 |
|
3,807 |
3,733 |
$166.06 |
| 82248 |
|
741 |
656 |
$145.97 |
| 94729 |
|
15 |
13 |
$135.82 |
| J1170 |
Hydromorphone injection |
20,559 |
13,754 |
$125.60 |
| 84030 |
|
13 |
13 |
$124.13 |
| 83615 |
|
3,047 |
2,589 |
$117.60 |
| J1817 |
Insulin for insulin pump use |
965 |
772 |
$108.33 |
| C1894 |
Intro/sheath, non-laser |
3,875 |
3,401 |
$104.05 |
| J2060 |
Lorazepam injection |
5,722 |
4,525 |
$98.49 |
| 80325 |
|
178 |
164 |
$97.75 |
| 82533 |
|
33 |
26 |
$95.57 |
| 84460 |
|
5,905 |
5,335 |
$94.06 |
| 85651 |
|
7,491 |
6,925 |
$92.28 |
| 82550 |
|
3,197 |
2,586 |
$89.20 |
| 80069 |
|
68 |
56 |
$86.05 |
| 84156 |
|
898 |
782 |
$83.08 |
| 84681 |
|
12 |
12 |
$81.07 |
| J2274 |
Inj morphine pf epid ithc |
5,858 |
4,391 |
$80.92 |
| J2930 |
Methylprednisolone injection |
3,313 |
2,484 |
$77.89 |
| 93922 |
|
16 |
13 |
$72.85 |
| 82565 |
|
3,190 |
2,719 |
$67.87 |
| J3372 |
Inj, vancomycin hcl (xellia) |
815 |
479 |
$65.68 |
| L1830 |
Ko immob canvas long pre ots |
307 |
303 |
$62.55 |
| 86225 |
|
13 |
13 |
$62.18 |
| 87075 |
|
562 |
465 |
$58.04 |
| 87184 |
|
33 |
27 |
$52.45 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
3,472 |
3,167 |
$51.00 |
| C1760 |
Closure dev, vasc |
366 |
304 |
$49.78 |
| 84100 |
|
4,063 |
3,005 |
$47.78 |
| 92556 |
|
604 |
592 |
$47.76 |
| 80164 |
|
200 |
163 |
$46.07 |
| 86431 |
|
69 |
69 |
$44.41 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
2,210 |
2,047 |
$44.22 |
| 84132 |
|
2,990 |
2,419 |
$44.08 |
| C9113 |
Inj pantoprazole sodium, via |
6,153 |
4,067 |
$42.05 |
| 83525 |
|
69 |
67 |
$41.37 |
| A9502 |
Tc99m tetrofosmin |
1,553 |
1,396 |
$36.55 |
| J1100 |
Dexamethasone sodium phos |
34,396 |
31,908 |
$33.71 |
| 82075 |
|
1,708 |
1,366 |
$32.51 |
| 86308 |
|
397 |
391 |
$31.69 |
| J1790 |
Droperidol injection |
1,830 |
1,658 |
$29.49 |
| 86706 |
|
45 |
42 |
$29.43 |
| 87635 |
|
897 |
876 |
$29.14 |
| J2704 |
Inj, propofol, 10 mg |
32,224 |
29,746 |
$27.63 |
| 85007 |
|
3,292 |
2,975 |
$24.60 |
| G0008 |
Admin influenza virus vac |
441 |
397 |
$23.66 |
| J2360 |
Orphenadrine injection |
2,172 |
1,995 |
$23.33 |
| J0330 |
Succinycholine chloride inj |
4,460 |
4,113 |
$22.69 |
| J7121 |
5% dextrose in lac ringers |
450 |
340 |
$22.23 |
| J0702 |
Betamethasone acet&sod phosp |
2,245 |
1,694 |
$22.16 |
| J1953 |
Levetiracetam injection |
181 |
115 |
$21.25 |
| 87106 |
|
27 |
26 |
$18.75 |
| J2710 |
Neostigmine methylslfte inj |
6,611 |
5,010 |
$18.20 |
| 80361 |
|
177 |
157 |
$17.29 |
| 85014 |
|
4,734 |
3,552 |
$17.12 |
| J1644 |
Inj heparin sodium per 1000u |
10,499 |
4,722 |
$14.11 |
| 81015 |
|
430 |
423 |
$8.56 |
| C9399 |
Unclassified drugs or biolog |
2,480 |
2,313 |
$6.92 |
| 85018 |
|
2,547 |
1,689 |
$6.36 |
| 81002 |
|
4,009 |
3,797 |
$5.72 |
| J8540 |
Oral dexamethasone |
1,417 |
804 |
$5.28 |
| J2175 |
Meperidine hydrochl /100 mg |
3,859 |
3,301 |
$5.00 |
| 87181 |
|
995 |
884 |
$4.91 |
| J1630 |
Haloperidol injection |
843 |
725 |
$4.81 |
| J7042 |
5% dextrose/normal saline |
2,757 |
1,934 |
$3.80 |
| J2001 |
Lidocaine injection |
22,847 |
14,716 |
$3.04 |
| 82270 |
|
49 |
47 |
$2.92 |
| J0153 |
Adenosine inj 1mg |
1,884 |
1,557 |
$2.55 |
| J2250 |
Inj midazolam hydrochloride |
22,939 |
20,859 |
$1.23 |
| J1650 |
Inj enoxaparin sodium |
4,720 |
2,375 |
$0.00 |
| J1956 |
Levofloxacin injection |
325 |
243 |
$0.00 |
| J0744 |
Ciprofloxacin iv |
1,568 |
981 |
$0.00 |
| 82375 |
|
361 |
324 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
592 |
578 |
$0.00 |
| 82947 |
|
834 |
737 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
427 |
399 |
$0.00 |
| 84520 |
|
2,906 |
2,463 |
$0.00 |
| 88302 |
|
554 |
436 |
$0.00 |
| 83540 |
|
1,478 |
1,385 |
$0.00 |
| 80373 |
|
77 |
73 |
$0.00 |
| Q9958 |
Hocm <=149 mg/ml iodine, 1ml |
257 |
226 |
$0.00 |
| A4565 |
Slings |
1,179 |
1,117 |
$0.00 |
| 85347 |
|
642 |
317 |
$0.00 |
| A9537 |
Tc99m mebrofenin |
452 |
437 |
$0.00 |
| 80337 |
|
46 |
41 |
$0.00 |
| A9577 |
Inj multihance |
773 |
730 |
$0.00 |
| J1756 |
Iron sucrose injection |
459 |
229 |
$0.00 |
| 29505 |
|
12 |
12 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
347 |
316 |
$0.00 |
| 29515 |
|
219 |
209 |
$0.00 |
| 84295 |
|
778 |
676 |
$0.00 |
| 82977 |
|
161 |
157 |
$0.00 |
| G8978 |
Mobility current status |
223 |
193 |
$0.00 |
| 88112 |
|
112 |
88 |
$0.00 |
| J0692 |
Cefepime hcl for injection |
454 |
234 |
$0.00 |
| G8979 |
Mobility goal status |
213 |
188 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
168 |
143 |
$0.00 |
| L4361 |
Pneuma/vac walk boot pre ots |
26 |
26 |
$0.00 |
| 89050 |
|
438 |
277 |
$0.00 |
| 80346 |
|
79 |
71 |
$0.00 |
| 15853 |
|
59 |
59 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
350 |
261 |
$0.00 |
| G9163 |
Lang express goal status |
146 |
135 |
$0.00 |
| G8984 |
Carry current status |
78 |
71 |
$0.00 |
| M0245 |
Bamlan and etesev infusion |
14 |
13 |
$0.00 |
| J0735 |
Clonidine hydrochloride |
129 |
126 |
$0.00 |
| 51784 |
|
13 |
12 |
$0.00 |
| 88360 |
|
396 |
214 |
$0.00 |
| C1758 |
Catheter, ureteral |
145 |
130 |
$0.00 |
| 88333 |
|
63 |
52 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
251 |
202 |
$0.00 |
| 36600 |
|
64 |
62 |
$0.00 |
| 91300 |
|
444 |
332 |
$0.00 |
| 82785 |
|
12 |
12 |
$0.00 |
| 77062 |
|
53 |
53 |
$0.00 |
| J2800 |
Methocarbamol injection |
48 |
44 |
$0.00 |
| 80202 |
|
83 |
63 |
$0.00 |
| J3105 |
Terbutaline sulfate inj |
16 |
13 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
471 |
353 |
$0.00 |
| 87641 |
|
40 |
37 |
$0.00 |
| 83992 |
|
73 |
65 |
$0.00 |
| 58558 |
|
44 |
36 |
$0.00 |
| 87102 |
|
89 |
70 |
$0.00 |
| 85384 |
|
17 |
12 |
$0.00 |
| J0134 |
Inj acetaminophen -fresenius |
28 |
26 |
$0.00 |
| G8985 |
Carry goal status |
77 |
70 |
$0.00 |
| 77002 |
|
14 |
12 |
$0.00 |
| 74300 |
|
26 |
24 |
$0.00 |
| G8996 |
Swallow current status |
16 |
12 |
$0.00 |
| G8997 |
Swallow goal status |
16 |
12 |
$0.00 |
| J2720 |
Inj protamine sulfate/10 mg |
18 |
14 |
$0.00 |
| 82365 |
|
13 |
12 |
$0.00 |
| 87512 |
|
46 |
45 |
$0.00 |
| Q0239 |
Bamlanivimab-xxxx |
17 |
17 |
$0.00 |
| G8990 |
Other pt/ot current status |
12 |
12 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
2,446 |
2,221 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
1,043 |
823 |
$0.00 |
| 82150 |
|
767 |
705 |
$0.00 |
| 82746 |
|
1,804 |
1,690 |
$0.00 |
| 97010 |
|
365 |
225 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
3,598 |
2,817 |
$0.00 |
| J1940 |
Furosemide injection |
1,635 |
1,014 |
$0.00 |
| J2920 |
Methylprednisolone injection |
389 |
227 |
$0.00 |
| 87046 |
|
160 |
157 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
1,783 |
1,588 |
$0.00 |
| J3480 |
Inj potassium chloride |
4,954 |
2,681 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
538 |
331 |
$0.00 |
| 80349 |
|
239 |
221 |
$0.00 |
| L4350 |
Ankle control ortho pre ots |
140 |
136 |
$0.00 |
| 72020 |
|
436 |
397 |
$0.00 |
| 77063 |
|
1,312 |
1,295 |
$0.00 |
| 80353 |
|
85 |
77 |
$0.00 |
| J1836 |
Inj, metronidazole, 10 mg |
308 |
160 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
887 |
822 |
$0.00 |
| J0500 |
Dicyclomine injection |
638 |
613 |
$0.00 |
| J7060 |
5% dextrose/water |
26 |
12 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
2,847 |
2,029 |
$0.00 |
| 87807 |
|
147 |
145 |
$0.00 |
| 80345 |
|
72 |
64 |
$0.00 |
| 92583 |
|
129 |
115 |
$0.00 |
| C2617 |
Stent, non-cor, tem w/o del |
220 |
199 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
682 |
474 |
$0.00 |
| 82040 |
|
16 |
16 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
393 |
318 |
$0.00 |
| J7644 |
Ipratropium bromide non-comp |
163 |
127 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
1,087 |
1,005 |
$0.00 |
| 90686 |
|
423 |
382 |
$0.00 |
| 77001 |
|
27 |
26 |
$0.00 |
| G8982 |
Body pos goal status |
127 |
117 |
$0.00 |
| 95886 |
|
28 |
25 |
$0.00 |
| 87206 |
|
52 |
42 |
$0.00 |
| G9162 |
Lang express current status |
149 |
138 |
$0.00 |
| 87116 |
|
49 |
42 |
$0.00 |
| A9503 |
Tc99m medronate |
33 |
25 |
$0.00 |
| 84402 |
|
13 |
12 |
$0.00 |
| G8991 |
Other pt/ot goal status |
12 |
12 |
$0.00 |
| G8980 |
Mobility d/c status |
36 |
31 |
$0.00 |
| 88300 |
|
104 |
93 |
$0.00 |
| 51797 |
|
13 |
12 |
$0.00 |
| 51798 |
|
69 |
61 |
$0.00 |
| 87428 |
|
93 |
93 |
$0.00 |
| M0243 |
Casirivi and imdevi inj |
28 |
27 |
$0.00 |
| J7611 |
Albuterol non-comp con |
142 |
105 |
$0.00 |
| 88334 |
|
20 |
12 |
$0.00 |
| C1759 |
Cath, intra echocardiography |
12 |
12 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
109 |
84 |
$0.00 |
| 99406 |
|
25 |
24 |
$0.00 |
| 80358 |
|
66 |
59 |
$0.00 |
| 87015 |
|
49 |
42 |
$0.00 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
26 |
24 |
$0.00 |
| J0456 |
Azithromycin |
124 |
79 |
$0.00 |
| J3360 |
Diazepam injection |
134 |
124 |
$0.00 |
| G8981 |
Body pos current status |
132 |
121 |
$0.00 |
| C1730 |
Cath, ep, 19 or few elect |
43 |
40 |
$0.00 |
| 91301 |
|
513 |
362 |
$0.00 |
| 64484 |
|
47 |
40 |
$0.00 |
| G9159 |
Lang comp current status |
28 |
26 |
$0.00 |
| 84134 |
|
12 |
12 |
$0.00 |
| G9160 |
Lang comp goal status |
28 |
26 |
$0.00 |
| 70544 |
|
17 |
13 |
$0.00 |
| 84270 |
|
13 |
12 |
$0.00 |