| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J9271 |
Inj pembrolizumab |
6,235 |
2,239 |
$24.20M |
| 77386 |
|
19,248 |
1,822 |
$19.85M |
| J9299 |
Injection, nivolumab |
3,997 |
1,299 |
$10.44M |
| J1745 |
Infliximab not biosimil 10mg |
2,275 |
1,989 |
$9.63M |
| J2505 |
Injection, pegfilgrastim 6mg |
1,996 |
1,361 |
$8.59M |
| 0510 |
|
206,116 |
174,710 |
$7.11M |
| 78815 |
|
4,605 |
4,537 |
$6.82M |
| J3380 |
Inj vedolizumab iv 1 mg |
3,712 |
1,060 |
$6.42M |
| J9355 |
Inj trastuzumab excl biosimi |
1,540 |
988 |
$5.64M |
| J9035 |
Bevacizumab injection |
2,551 |
987 |
$5.57M |
| 74177 |
|
19,628 |
19,168 |
$4.06M |
| J2357 |
Omalizumab injection |
2,280 |
1,368 |
$3.63M |
| 0450 |
|
51,728 |
45,893 |
$3.63M |
| G0463 |
Hospital outpt clinic visit |
97,761 |
82,359 |
$3.23M |
| J1561 |
Gamunex-c/gammaked |
2,465 |
784 |
$3.14M |
| J2323 |
Natalizumab injection |
2,534 |
709 |
$3.13M |
| J0897 |
Denosumab injection |
2,838 |
1,684 |
$3.11M |
| 71260 |
|
16,083 |
15,786 |
$2.87M |
| 70553 |
|
6,665 |
6,601 |
$2.85M |
| J3490 |
Drugs unclassified injection |
127,918 |
56,782 |
$2.82M |
| 80053 |
|
244,457 |
193,858 |
$2.68M |
| J9312 |
Inj., rituximab, 10 mg |
739 |
333 |
$2.53M |
| J9306 |
Injection, pertuzumab, 1 mg |
2,186 |
412 |
$2.48M |
| 99283 |
|
34,374 |
33,082 |
$2.42M |
| U0003 |
Cov-19 amp prb hgh thruput |
31,147 |
27,710 |
$2.22M |
| 93306 |
|
9,713 |
9,565 |
$2.15M |
| J9144 |
Daratumumab, hyaluronidase |
561 |
229 |
$2.12M |
| 96375 |
|
35,662 |
24,547 |
$1.89M |
| 96413 |
|
33,551 |
22,092 |
$1.81M |
| 99499 |
|
23,819 |
17,750 |
$1.75M |
| 74183 |
|
4,721 |
4,677 |
$1.74M |
| J9202 |
Goserelin acetate implant |
2,242 |
2,004 |
$1.73M |
| 85025 |
|
275,328 |
219,700 |
$1.69M |
| 77387 |
|
4,186 |
582 |
$1.62M |
| Q5118 |
Inj., zirabev, 10 mg |
1,058 |
434 |
$1.57M |
| 0760 |
|
42,103 |
36,122 |
$1.48M |
| 93005 |
|
54,629 |
49,321 |
$1.46M |
| J9310 |
Rituximab injection |
415 |
195 |
$1.43M |
| 72197 |
|
3,696 |
3,661 |
$1.40M |
| J9022 |
Inj, atezolizumab,10 mg |
324 |
155 |
$1.38M |
| 77301 |
|
1,537 |
1,496 |
$1.38M |
| 96374 |
|
22,738 |
18,380 |
$1.33M |
| 96365 |
|
18,395 |
13,312 |
$1.28M |
| J2506 |
Inj pegfilgrast ex bio 0.5mg |
592 |
444 |
$1.24M |
| 0360 |
|
7,671 |
4,365 |
$1.19M |
| 77412 |
|
15,816 |
1,801 |
$1.09M |
| 99285 |
|
5,877 |
5,314 |
$1.07M |
| A9552 |
F18 fdg |
4,716 |
4,637 |
$1.06M |
| 99284 |
|
7,180 |
6,494 |
$1.05M |
| 70450 |
|
8,381 |
7,909 |
$1.04M |
| 99199 |
|
22,484 |
19,146 |
$1.03M |
| 87536 |
|
17,768 |
16,947 |
$1.03M |
| 0762 |
|
1,081 |
998 |
$1.01M |
| 71250 |
|
7,379 |
7,293 |
$983K |
| Q5103 |
Injection, inflectra |
476 |
429 |
$983K |
| 96372 |
|
26,713 |
20,818 |
$937K |
| J9316 |
Pertuzu, trastuzu, 10 mg |
196 |
95 |
$901K |
| Q5119 |
Inj ruxience, 10 mg |
441 |
202 |
$881K |
| Q3014 |
Telehealth facility fee |
43,093 |
38,746 |
$856K |
| 87636 |
|
6,794 |
6,563 |
$839K |
| 76815 |
|
11,817 |
7,189 |
$813K |
| 97139 |
|
28,868 |
9,703 |
$785K |
| 87491 |
|
22,258 |
20,527 |
$757K |
| 87591 |
|
22,262 |
20,528 |
$752K |
| 93970 |
|
4,213 |
4,134 |
$736K |
| G0480 |
Drug test def 1-7 classes |
11,539 |
10,047 |
$694K |
| 77066 |
Tomosynthesis, mammo |
5,963 |
5,870 |
$686K |
| 97110 |
|
29,744 |
12,348 |
$674K |
| J1453 |
Fosaprepitant injection |
7,687 |
3,234 |
$671K |
| 96361 |
|
19,501 |
14,464 |
$667K |
| 77334 |
|
2,930 |
2,616 |
$659K |
| 77049 |
|
1,485 |
1,465 |
$639K |
| 72125 |
|
3,668 |
3,516 |
$628K |
| P9016 |
Rbc leukocytes reduced |
2,035 |
1,520 |
$622K |
| 97750 |
|
12,058 |
6,482 |
$619K |
| 87507 |
|
1,884 |
1,822 |
$612K |
| 72148 |
|
2,645 |
2,609 |
$591K |
| J0585 |
Injection,onabotulinumtoxina |
1,342 |
576 |
$584K |
| 76856 |
|
5,960 |
5,860 |
$577K |
| 76811 |
|
5,399 |
5,326 |
$575K |
| 86480 |
|
15,734 |
15,246 |
$560K |
| 77300 |
|
2,781 |
2,625 |
$547K |
| 88305 |
|
13,424 |
12,532 |
$518K |
| 76816 |
|
8,397 |
7,620 |
$517K |
| 77336 |
|
8,190 |
3,894 |
$516K |
| 70551 |
|
2,330 |
2,290 |
$513K |
| 76830 |
|
5,781 |
5,679 |
$500K |
| 70486 |
|
2,771 |
2,725 |
$496K |
| 74178 |
|
1,985 |
1,967 |
$496K |
| 84443 |
|
44,267 |
41,664 |
$487K |
| 80307 |
|
10,302 |
9,486 |
$487K |
| 71275 |
|
2,459 |
2,388 |
$485K |
| 71046 |
|
18,754 |
17,506 |
$466K |
| 59025 |
|
14,783 |
8,929 |
$459K |
| J2353 |
Octreotide injection, depot |
136 |
125 |
$449K |
| 86360 |
|
14,268 |
13,707 |
$448K |
| 72141 |
|
1,837 |
1,826 |
$446K |
| 93975 |
|
2,526 |
2,490 |
$446K |
| 96360 |
|
7,370 |
5,780 |
$437K |
| J2469 |
Palonosetron hcl |
7,627 |
4,655 |
$433K |
| 76700 |
|
5,208 |
5,120 |
$432K |
| 87497 |
|
10,426 |
6,653 |
$420K |
| 74176 |
|
3,447 |
3,352 |
$417K |
| 77067 |
|
4,557 |
4,535 |
$413K |
| 96417 |
|
8,135 |
5,446 |
$411K |
| 70491 |
|
2,264 |
2,231 |
$400K |
| 96415 |
|
9,016 |
7,001 |
$394K |
| 81220 |
|
2,790 |
2,737 |
$392K |
| 77295 |
|
836 |
760 |
$389K |
| 93303 |
|
1,430 |
1,417 |
$387K |
| J9395 |
Injection, fulvestrant |
559 |
478 |
$386K |
| J1439 |
Inj ferric carboxymaltos 1mg |
2,243 |
263 |
$372K |
| 78452 |
|
1,394 |
1,360 |
$370K |
| 76642 |
|
5,620 |
5,199 |
$364K |
| G0422 |
Intens cardiac rehab w/exerc |
4,542 |
803 |
$362K |
| A9585 |
Gadobutrol injection |
17,887 |
15,723 |
$359K |
| 77338 |
|
1,650 |
1,554 |
$357K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
46,295 |
30,767 |
$356K |
| 97597 |
|
8,433 |
4,964 |
$350K |
| 76801 |
|
5,090 |
4,877 |
$346K |
| 96367 |
|
7,670 |
5,203 |
$345K |
| 72156 |
|
658 |
651 |
$341K |
| 83735 |
|
50,291 |
32,456 |
$335K |
| 73721 |
|
1,147 |
1,126 |
$334K |
| 82306 |
|
18,399 |
18,049 |
$330K |
| J9358 |
Inj fam-trastu deru-nxki 1mg |
124 |
32 |
$329K |
| 0250 |
|
19,437 |
11,890 |
$326K |
| 87633 |
|
1,199 |
1,167 |
$323K |
| 88185 |
|
1,711 |
1,529 |
$320K |
| J9173 |
Inj., durvalumab, 10 mg |
55 |
36 |
$309K |
| 76770 |
|
4,461 |
4,373 |
$306K |
| 87389 |
|
16,443 |
15,923 |
$299K |
| 97799 |
|
12,352 |
3,261 |
$299K |
| 76805 |
|
2,985 |
2,830 |
$293K |
| 76813 |
|
4,146 |
3,966 |
$289K |
| 93351 |
|
1,661 |
1,632 |
$288K |
| J9217 |
Leuprolide acetate suspnsion |
703 |
676 |
$288K |
| Q9957 |
Inj perflutren lip micros,ml |
3,849 |
3,782 |
$283K |
| 80197 |
|
22,617 |
11,873 |
$281K |
| 76817 |
|
3,860 |
3,531 |
$280K |
| 93325 |
|
2,345 |
2,277 |
$274K |
| 86832 |
|
7,045 |
6,302 |
$273K |
| 99214 |
|
6,786 |
5,429 |
$269K |
| 96366 |
|
7,060 |
4,817 |
$268K |
| 94729 |
|
6,662 |
6,604 |
$265K |
| 95913 |
|
901 |
894 |
$259K |
| 86833 |
|
6,812 |
6,133 |
$259K |
| 94726 |
|
5,753 |
5,482 |
$255K |
| 86803 |
|
20,557 |
19,999 |
$252K |
| 81001 |
|
73,497 |
66,018 |
$243K |
| 83036 |
|
37,838 |
37,089 |
$242K |
| 80061 |
|
30,741 |
30,160 |
$240K |
| 76705 |
|
4,327 |
4,195 |
$239K |
| 82728 |
|
20,522 |
19,373 |
$239K |
| 99234 |
|
8,705 |
7,426 |
$237K |
| 88341 |
|
2,237 |
1,956 |
$235K |
| 87086 |
|
34,310 |
31,397 |
$232K |
| G0423 |
Intens cardiac rehab no exer |
2,883 |
586 |
$229K |
| 71045 |
|
14,960 |
13,929 |
$215K |
| 80048 |
|
32,928 |
29,004 |
$215K |
| 97530 |
|
4,066 |
1,811 |
$214K |
| 78306 |
|
1,563 |
1,545 |
$214K |
| 43239 |
|
2,346 |
2,295 |
$212K |
| 93971 |
|
2,295 |
2,241 |
$211K |
| 96416 |
|
2,871 |
1,666 |
$203K |
| 90715 |
|
4,953 |
4,876 |
$203K |
| 0710 |
|
6,686 |
6,364 |
$203K |
| 92507 |
|
3,035 |
2,261 |
$198K |
| 77290 |
|
1,225 |
1,067 |
$193K |
| 72158 |
|
424 |
420 |
$191K |
| 77065 |
Tomosynthesis, mammo |
2,177 |
2,114 |
$189K |
| 83880 |
|
10,094 |
9,277 |
$189K |
| 76819 |
|
3,122 |
2,888 |
$188K |
| 77062 |
|
4,427 |
4,380 |
$188K |
| Z7502 |
|
5,042 |
4,980 |
$188K |
| J9070 |
Cyclophosphamide 100 mg inj |
701 |
283 |
$187K |
| 76536 |
|
2,774 |
2,746 |
$184K |
| 90651 |
|
706 |
690 |
$183K |
| 45380 |
|
1,650 |
1,622 |
$182K |
| 90677 |
|
770 |
767 |
$180K |
| 72131 |
|
1,201 |
1,186 |
$176K |
| 86900 |
|
26,129 |
21,173 |
$175K |
| 90750 |
|
1,242 |
1,194 |
$172K |
| 70543 |
|
440 |
438 |
$171K |
| 0270 |
|
19,401 |
10,678 |
$170K |
| 81329 |
|
2,385 |
2,347 |
$170K |
| 73610 |
|
5,100 |
4,826 |
$170K |
| 77373 |
|
183 |
51 |
$169K |
| J1950 |
Leuprolide acetate /3.75 mg |
144 |
124 |
$169K |
| 87624 |
|
5,307 |
5,237 |
$168K |
| 70496 |
|
847 |
835 |
$167K |
| 72157 |
|
279 |
276 |
$166K |
| 93880 |
|
1,575 |
1,558 |
$166K |
| Q5114 |
Inj ogivri 10 mg |
88 |
58 |
$165K |
| 93458 |
|
197 |
192 |
$164K |
| 99152 |
|
3,819 |
3,640 |
$164K |
| 86003 |
|
2,297 |
1,914 |
$163K |
| 96402 |
|
5,370 |
4,819 |
$162K |
| 73630 |
|
5,462 |
5,218 |
$161K |
| 0370 |
|
2,786 |
2,516 |
$160K |
| 45385 |
|
1,231 |
1,203 |
$158K |
| 72100 |
|
6,079 |
5,940 |
$158K |
| 92557 |
|
2,402 |
2,366 |
$155K |
| 83970 |
|
6,888 |
6,680 |
$153K |
| 84484 |
|
14,797 |
11,200 |
$150K |
| 73130 |
|
4,345 |
4,077 |
$150K |
| 95886 |
|
2,578 |
2,526 |
$148K |
| 86780 |
|
17,158 |
16,720 |
$147K |
| 94010 |
|
7,041 |
6,774 |
$147K |
| 73110 |
|
4,188 |
3,859 |
$146K |
| 73221 |
|
383 |
374 |
$146K |
| Q5107 |
Inj mvasi 10 mg |
124 |
54 |
$146K |
| 97598 |
|
885 |
571 |
$146K |
| 73502 |
|
5,227 |
5,022 |
$145K |
| 86850 |
|
24,417 |
19,696 |
$145K |
| 0202U |
|
468 |
457 |
$145K |
| 82107 |
|
4,683 |
4,364 |
$142K |
| 97140 |
|
6,707 |
3,474 |
$141K |
| Z7500 |
|
4,409 |
4,023 |
$141K |
| 82784 |
|
12,135 |
8,561 |
$140K |
| 99215 |
Prolong outpt/office vis |
2,382 |
1,910 |
$140K |
| 97802 |
|
2,179 |
2,165 |
$138K |
| 90686 |
|
6,500 |
6,275 |
$137K |
| 87522 |
Neg quan hep c or qual rna |
4,442 |
4,126 |
$137K |
| 87340 |
|
13,615 |
13,275 |
$135K |
| J0185 |
Inj., aprepitant, 1 mg |
1,063 |
452 |
$134K |
| J2785 |
Regadenoson injection |
967 |
949 |
$131K |
| 90734 |
|
1,151 |
1,103 |
$131K |
| 93320 |
|
1,406 |
1,392 |
$129K |
| 87799 |
|
4,342 |
3,240 |
$128K |
| 70498 |
|
680 |
670 |
$128K |
| 96523 |
|
2,114 |
1,708 |
$127K |
| 84439 |
|
17,681 |
15,884 |
$125K |
| 82378 |
|
8,822 |
7,770 |
$125K |
| 73030 |
|
4,542 |
4,354 |
$124K |
| 73562 |
|
4,009 |
3,854 |
$118K |
| 82607 |
|
12,007 |
11,737 |
$117K |
| 74246 |
|
1,062 |
1,043 |
$117K |
| 99221 |
|
2,662 |
2,287 |
$115K |
| 84100 |
|
36,271 |
25,221 |
$115K |
| 83951 |
|
3,544 |
3,265 |
$115K |
| 85610 |
|
32,952 |
29,099 |
$113K |
| J9354 |
Inj, ado-trastuzumab emt 1mg |
38 |
13 |
$112K |
| 94060 |
|
2,581 |
2,553 |
$112K |
| 77080 |
|
2,560 |
2,542 |
$109K |
| 83550 |
|
16,149 |
15,549 |
$108K |
| 76942 |
|
2,487 |
2,321 |
$108K |
| 83615 |
|
27,615 |
16,058 |
$107K |
| 88342 |
|
3,535 |
3,341 |
$106K |
| J2704 |
Inj, propofol, 10 mg |
15,194 |
8,009 |
$106K |
| 87088 |
|
18,290 |
17,253 |
$105K |
| G0378 |
Hospital observation per hr |
2,501 |
1,870 |
$103K |
| 83540 |
|
17,559 |
16,860 |
$102K |
| 84403 |
|
6,432 |
6,206 |
$102K |
| 82570 |
|
23,853 |
20,967 |
$102K |
| 91010 |
|
1,995 |
1,966 |
$101K |
| A9502 |
Tc99m tetrofosmin |
1,165 |
1,138 |
$101K |
| 86235 |
|
2,499 |
2,113 |
$101K |
| 82533 |
|
7,716 |
6,539 |
$100K |
| 77063 |
|
4,458 |
4,434 |
$99K |
| 85027 |
|
20,316 |
18,271 |
$98K |
| 86901 |
|
25,722 |
20,951 |
$98K |
| 87077 |
|
17,126 |
15,530 |
$97K |
| 82248 |
|
23,635 |
13,280 |
$96K |
| 36415 |
|
38,511 |
31,805 |
$95K |
| 88112 |
|
3,012 |
2,896 |
$95K |
| 73560 |
|
4,244 |
4,031 |
$93K |
| J9045 |
Carboplatin injection |
2,478 |
1,652 |
$93K |
| 87480 |
|
5,581 |
5,329 |
$92K |
| 84153 |
|
7,601 |
7,258 |
$92K |
| 87502 |
|
1,227 |
1,104 |
$92K |
| 90732 |
|
920 |
880 |
$92K |
| 87186 |
|
13,864 |
12,626 |
$91K |
| 99204 |
|
1,273 |
1,153 |
$91K |
| J0131 |
Inj, acetaminophen (nos) |
2,868 |
1,552 |
$91K |
| 86923 |
|
1,671 |
1,306 |
$90K |
| 97165 |
|
1,692 |
1,578 |
$90K |
| 87510 |
|
5,513 |
5,265 |
$90K |
| 84702 |
|
6,043 |
4,944 |
$90K |
| J9267 |
Paclitaxel injection |
4,464 |
1,237 |
$89K |
| 93925 |
|
1,233 |
1,217 |
$88K |
| 90670 |
|
473 |
453 |
$88K |
| 78264 |
|
294 |
288 |
$88K |
| 72040 |
|
2,986 |
2,892 |
$87K |
| 97163 |
|
1,672 |
862 |
$87K |
| 87635 |
|
1,733 |
1,555 |
$86K |
| 86160 |
|
4,990 |
4,156 |
$86K |
| 91037 |
|
1,680 |
1,653 |
$86K |
| 86706 |
|
8,089 |
7,912 |
$85K |
| 88307 |
|
1,369 |
1,262 |
$85K |
| 81513 |
|
1,451 |
1,424 |
$84K |
| 83690 |
|
13,621 |
12,061 |
$84K |
| 87660 |
|
5,577 |
5,326 |
$84K |
| 74174 |
|
315 |
312 |
$83K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
65 |
65 |
$83K |
| 96376 |
|
4,094 |
2,738 |
$82K |
| 97161 |
|
2,267 |
2,189 |
$81K |
| 77059 |
|
133 |
132 |
$80K |
| 87798 |
|
1,303 |
1,188 |
$79K |
| 87653 |
|
3,701 |
3,617 |
$78K |
| Z9725 |
|
2,576 |
2,483 |
$77K |
| J1100 |
Dexamethasone sodium phos |
16,119 |
11,736 |
$77K |
| 86704 |
|
6,462 |
6,332 |
$77K |
| 97803 |
|
2,220 |
2,063 |
$76K |
| 86140 |
|
19,448 |
18,209 |
$75K |
| 85730 |
|
14,828 |
13,693 |
$74K |
| 88142 |
|
7,875 |
7,749 |
$74K |
| 87517 |
|
2,614 |
2,515 |
$74K |
| 97166 |
|
1,680 |
1,072 |
$74K |
| 96411 |
|
2,634 |
1,790 |
$73K |
| J9171 |
Docetaxel injection |
649 |
296 |
$73K |
| 82746 |
|
6,312 |
6,139 |
$73K |
| 82670 |
|
3,089 |
2,980 |
$72K |
| 99213 |
|
2,725 |
2,382 |
$72K |
| 80076 |
|
10,628 |
9,986 |
$72K |
| 88184 |
|
1,680 |
1,602 |
$71K |
| 93976 |
|
510 |
505 |
$71K |
| 20610 |
|
2,924 |
2,491 |
$71K |
| 72050 |
|
1,191 |
1,176 |
$70K |
| 86300 |
|
5,440 |
4,613 |
$70K |
| 93017 |
|
1,455 |
1,422 |
$69K |
| 94621 |
|
646 |
636 |
$69K |
| J9206 |
Irinotecan injection |
1,703 |
555 |
$68K |
| C8929 |
Tte w or wo fol wcon,doppler |
376 |
371 |
$67K |
| 93356 |
|
1,761 |
1,754 |
$64K |
| 86334 |
|
4,389 |
4,063 |
$64K |
| U0002 |
Covid-19 lab test non-cdc |
1,232 |
1,142 |
$63K |
| 72082 |
|
1,401 |
1,368 |
$63K |
| A9581 |
Gadoxetate disodium inj |
764 |
762 |
$62K |
| 90471 |
|
10,391 |
9,986 |
$62K |
| 73700 |
|
385 |
384 |
$62K |
| 84156 |
|
19,540 |
16,654 |
$62K |
| 70480 |
|
271 |
267 |
$61K |
| 83883 |
|
5,861 |
3,784 |
$59K |
| J3489 |
Zoledronic acid 1mg |
1,441 |
1,392 |
$59K |
| 99203 |
|
979 |
906 |
$59K |
| 93296 |
|
2,325 |
2,277 |
$58K |
| 99497 |
|
1,026 |
994 |
$57K |
| 81335 |
|
676 |
668 |
$57K |
| 83021 |
|
4,682 |
4,450 |
$57K |
| 86787 |
|
5,475 |
5,262 |
$56K |
| 72110 |
|
1,125 |
1,113 |
$56K |
| 87481 |
|
1,967 |
1,560 |
$56K |
| 73590 |
|
2,192 |
2,097 |
$55K |
| J2796 |
Romiplostim injection |
43 |
12 |
$53K |
| 76870 |
|
884 |
872 |
$53K |
| 73120 |
|
1,090 |
1,032 |
$52K |
| 99205 |
Prolong outpt/office vis |
614 |
534 |
$52K |
| 87661 |
|
1,460 |
1,436 |
$52K |
| 96377 |
|
1,574 |
1,148 |
$51K |
| 96401 |
|
2,096 |
1,284 |
$50K |
| 72070 |
|
1,968 |
1,902 |
$50K |
| A9520 |
Tc99 tilmanocept diag 0.5mci |
154 |
149 |
$50K |
| 85652 |
|
19,050 |
18,076 |
$48K |
| 81408 |
|
274 |
270 |
$48K |
| 86762 |
|
4,390 |
4,272 |
$47K |
| J1170 |
Hydromorphone injection |
7,189 |
4,550 |
$47K |
| 86038 |
|
4,189 |
4,124 |
$46K |
| 86225 |
|
3,836 |
3,753 |
$46K |
| J1642 |
Inj heparin sodium per 10 u |
11,027 |
4,919 |
$46K |
| 87040 |
|
3,680 |
2,892 |
$46K |
| 82962 |
|
10,483 |
8,749 |
$46K |
| 62323 |
|
304 |
295 |
$46K |
| 45378 |
|
345 |
338 |
$46K |
| 96409 |
|
1,756 |
990 |
$45K |
| 96368 |
|
2,118 |
1,396 |
$45K |
| 70544 |
|
203 |
200 |
$45K |
| 82550 |
|
8,827 |
6,928 |
$45K |
| 99070 |
|
7,302 |
2,439 |
$45K |
| 90746 |
|
668 |
643 |
$44K |
| J9263 |
Oxaliplatin |
2,653 |
471 |
$44K |
| 74018 |
|
2,322 |
2,168 |
$44K |
| 81025 |
|
7,432 |
6,831 |
$44K |
| 72146 |
|
180 |
180 |
$43K |
| 74221 |
|
529 |
526 |
$43K |
| 84270 |
|
3,432 |
3,319 |
$43K |
| G0500 |
Mod sedat endo service >5yrs |
929 |
929 |
$42K |
| J0741 |
Inj, cabote rilpivir 2mg 3mg |
150 |
125 |
$42K |
| 78195 |
|
214 |
212 |
$42K |
| 93922 |
|
1,261 |
1,252 |
$42K |
| 93505 |
|
33 |
25 |
$42K |
| 84165 |
|
5,377 |
5,028 |
$41K |
| 86902 |
|
849 |
708 |
$40K |
| 99244 |
|
399 |
381 |
$40K |
| 73080 |
|
1,036 |
1,007 |
$40K |
| 83605 |
|
4,230 |
3,660 |
$39K |
| 99153 |
Mod sedat endo service >5yrs |
2,112 |
2,035 |
$39K |
| 87426 |
|
990 |
973 |
$39K |
| 92567 |
|
1,437 |
1,416 |
$39K |
| J9190 |
Fluorouracil injection |
2,172 |
990 |
$39K |
| 87070 |
|
6,647 |
5,952 |
$39K |
| 95912 |
|
272 |
265 |
$38K |
| 91065 |
|
1,374 |
1,279 |
$38K |
| 86304 |
|
3,241 |
2,794 |
$38K |
| 82977 |
|
5,964 |
2,792 |
$37K |
| 0700 |
|
630 |
506 |
$37K |
| 73552 |
|
1,648 |
1,585 |
$37K |
| 82553 |
|
4,270 |
2,828 |
$36K |
| 86301 |
|
2,737 |
2,370 |
$36K |
| 83001 |
|
2,431 |
2,383 |
$36K |
| 82805 |
|
1,147 |
1,067 |
$36K |
| 77470 |
|
347 |
342 |
$36K |
| 99417 |
Prolong home eval add 15m |
1,055 |
1,031 |
$35K |
| 94640 |
|
2,073 |
1,593 |
$35K |
| 76820 |
|
962 |
734 |
$34K |
| 86708 |
|
2,784 |
2,739 |
$34K |
| 73564 |
|
888 |
878 |
$34K |
| 75574 |
|
200 |
199 |
$34K |
| 86355 |
|
1,490 |
1,402 |
$33K |
| 94618 |
|
1,357 |
1,238 |
$33K |
| 72170 |
|
1,319 |
1,273 |
$32K |
| 83516 |
|
3,134 |
2,785 |
$32K |
| 82105 |
|
2,254 |
2,104 |
$32K |
| 81283 |
|
471 |
466 |
$31K |
| J3010 |
Fentanyl citrate injection |
15,097 |
12,882 |
$31K |
| 97010 |
|
735 |
359 |
$31K |
| 84550 |
|
9,838 |
8,451 |
$30K |
| 74160 |
|
125 |
124 |
$30K |
| J2405 |
Ondansetron hcl injection |
13,725 |
10,437 |
$30K |
| 31231 |
|
1,286 |
1,256 |
$29K |
| 86255 |
|
2,456 |
2,358 |
$29K |
| 91200 |
|
566 |
557 |
$29K |
| 80195 |
|
3,717 |
2,589 |
$29K |
| 52000 |
|
494 |
483 |
$29K |
| 77061 |
|
762 |
751 |
$28K |
| 84146 |
|
1,731 |
1,689 |
$28K |
| 31575 |
|
569 |
539 |
$28K |
| J2250 |
Inj midazolam hydrochloride |
13,517 |
12,783 |
$28K |
| 92610 |
|
887 |
866 |
$28K |
| 0942 |
|
416 |
375 |
$28K |
| U0005 |
Infec agen detec ampli probe |
5,856 |
5,237 |
$27K |
| L4360 |
Pneumat walking boot pre cst |
122 |
116 |
$27K |
| J3301 |
Triamcinolone acet inj nos |
3,281 |
3,103 |
$27K |
| 84480 |
|
2,557 |
2,452 |
$27K |
| 86769 |
|
802 |
758 |
$27K |
| 0761 |
|
870 |
764 |
$26K |
| 36430 |
|
328 |
218 |
$26K |
| 86147 |
|
1,155 |
830 |
$26K |
| 86665 |
|
864 |
755 |
$26K |
| 73090 |
|
1,010 |
967 |
$25K |
| 82951 |
|
2,206 |
2,183 |
$25K |
| J1885 |
Ketorolac tromethamine inj |
6,737 |
5,954 |
$25K |
| Q5108 |
Injection, fulphila |
13 |
12 |
$25K |
| 86593 |
|
6,826 |
6,497 |
$24K |
| A9503 |
Tc99m medronate |
1,467 |
1,451 |
$24K |
| G0108 |
Diab manage trn per indiv |
289 |
258 |
$24K |
| 80158 |
|
2,170 |
1,306 |
$24K |
| 77332 |
|
646 |
615 |
$24K |
| 81406 |
|
712 |
706 |
$24K |
| J9201 |
In gemcitabine hcl nos 200mg |
761 |
343 |
$24K |
| 86039 |
|
2,307 |
2,241 |
$23K |
| J9000 |
Doxorubicin hcl injection |
244 |
147 |
$23K |
| J3475 |
Inj magnesium sulfate |
4,501 |
1,875 |
$23K |
| 77417 |
|
779 |
373 |
$23K |
| 97112 |
|
1,405 |
888 |
$23K |
| 85379 |
|
2,519 |
2,365 |
$23K |
| 0914 |
|
823 |
762 |
$23K |
| 43235 |
|
230 |
217 |
$22K |
| 82785 |
|
2,076 |
2,045 |
$22K |
| 86870 |
|
779 |
686 |
$22K |
| J1200 |
Diphenhydramine hcl injectio |
8,978 |
6,803 |
$22K |
| 77280 |
|
326 |
292 |
$22K |
| 97116 |
|
879 |
577 |
$21K |
| 83520 |
|
2,130 |
2,040 |
$21K |
| J1644 |
Inj heparin sodium per 1000u |
3,718 |
2,096 |
$21K |
| 82043 |
|
6,167 |
6,053 |
$21K |
| J0690 |
Cefazolin sodium injection |
3,865 |
3,259 |
$21K |
| 43259 |
|
204 |
202 |
$21K |
| J2270 |
Morphine sulfate injection |
3,235 |
2,543 |
$21K |
| 87116 |
|
3,262 |
2,596 |
$21K |
| 82610 |
|
3,093 |
3,001 |
$21K |
| 86705 |
|
1,686 |
1,663 |
$21K |
| J2930 |
Methylprednisolone injection |
1,285 |
960 |
$20K |
| 87081 |
|
4,163 |
4,021 |
$20K |
| 0521 |
|
597 |
461 |
$20K |
| 81370 |
|
41 |
41 |
$20K |
| 82565 |
|
5,196 |
4,992 |
$20K |
| 86644 |
|
1,598 |
1,461 |
$19K |
| 71271 |
|
204 |
204 |
$19K |
| J1756 |
Iron sucrose injection |
685 |
111 |
$19K |
| 87486 |
|
776 |
760 |
$19K |
| 87015 |
|
3,997 |
3,022 |
$18K |
| 86825 |
|
149 |
147 |
$18K |
| 87581 |
|
761 |
747 |
$18K |
| J2560 |
Phenobarbital sodium inj |
349 |
259 |
$17K |
| 87102 |
|
2,719 |
2,493 |
$17K |
| 78816 |
|
12 |
12 |
$17K |
| J0485 |
Belatacept injection |
59 |
29 |
$17K |
| J9060 |
Cisplatin 10 mg injection |
893 |
382 |
$17K |
| 88313 |
|
712 |
635 |
$17K |
| 81226 |
|
605 |
601 |
$17K |
| 83002 |
|
1,101 |
1,085 |
$17K |
| 93299 |
|
379 |
374 |
$17K |
| 76391 |
|
68 |
67 |
$16K |
| 81401 |
|
876 |
868 |
$16K |
| J2920 |
Methylprednisolone injection |
2,520 |
2,221 |
$16K |
| 73060 |
|
717 |
674 |
$16K |
| 88304 |
|
917 |
869 |
$16K |
| 87493 |
|
1,209 |
1,177 |
$16K |
| 82150 |
|
3,405 |
2,569 |
$16K |
| 27500 |
|
74 |
63 |
$16K |
| 77073 |
|
757 |
739 |
$15K |
| 86146 |
|
554 |
471 |
$15K |
| 86356 |
|
244 |
225 |
$15K |
| 87205 |
|
5,606 |
5,017 |
$15K |
| 90662 |
|
697 |
679 |
$15K |
| V2632 |
Post chmbr intraocular lens |
181 |
156 |
$15K |
| 86431 |
|
2,455 |
2,396 |
$15K |
| 49083 |
|
386 |
263 |
$14K |
| 99238 |
|
418 |
378 |
$14K |
| 87338 |
|
1,506 |
1,489 |
$14K |
| A9500 |
Tc99m sestamibi |
98 |
93 |
$14K |
| 85045 |
|
4,159 |
3,648 |
$14K |
| 80069 |
|
2,318 |
2,222 |
$14K |
| G0279 |
Tomosynthesis, mammo |
1,064 |
1,057 |
$14K |
| 72128 |
|
95 |
95 |
$14K |
| 76825 |
|
114 |
107 |
$13K |
| 81206 |
|
255 |
240 |
$13K |
| 92004 |
|
288 |
284 |
$13K |
| 82803 |
|
1,120 |
992 |
$13K |
| 76882 |
|
270 |
268 |
$13K |
| 90636 |
|
129 |
122 |
$13K |
| 86635 |
|
1,474 |
1,390 |
$13K |
| 73620 |
|
193 |
187 |
$13K |
| J0696 |
Ceftriaxone sodium injection |
2,830 |
2,466 |
$12K |
| 87206 |
|
3,243 |
2,536 |
$12K |
| 91320 |
|
167 |
167 |
$12K |
| 95911 |
|
104 |
104 |
$11K |
| C9803 |
Hopd covid-19 spec collect |
570 |
561 |
$11K |
| 86200 |
|
1,647 |
1,613 |
$11K |
| 94799 |
|
525 |
510 |
$11K |
| 0681 |
|
29 |
27 |
$11K |
| 81225 |
|
605 |
601 |
$11K |
| 92012 |
|
340 |
299 |
$11K |
| 82950 |
|
2,608 |
2,593 |
$11K |
| L3908 |
Who cock-up nonmolde pre ots |
177 |
173 |
$11K |
| 86141 |
|
1,147 |
1,111 |
$11K |
| 92611 |
|
374 |
371 |
$11K |
| J0881 |
Darbepoetin alfa, non-esrd |
36 |
13 |
$11K |
| 81455 |
|
12 |
12 |
$10K |
| Q0138 |
Ferumoxytol, non-esrd |
265 |
44 |
$10K |
| 82310 |
|
1,653 |
1,492 |
$10K |
| J0640 |
Leucovorin calcium injection |
2,039 |
1,164 |
$10K |
| 87804 |
|
1,160 |
571 |
$10K |
| 93926 |
|
168 |
166 |
$10K |
| 73140 |
|
559 |
532 |
$10K |
| 82103 |
|
1,323 |
1,223 |
$10K |
| 88271 |
|
435 |
384 |
$10K |
| 73070 |
|
370 |
348 |
$10K |
| 46600 |
|
838 |
833 |
$9K |
| 76881 |
|
108 |
100 |
$9K |
| 87075 |
|
1,391 |
1,309 |
$9K |
| P9047 |
Albumin (human), 25%, 50ml |
38 |
24 |
$9K |
| 64615 |
|
277 |
271 |
$9K |
| 73720 |
|
25 |
25 |
$9K |
| 85613 |
|
683 |
633 |
$9K |
| 96111 |
|
85 |
85 |
$9K |
| 83993 |
|
779 |
774 |
$9K |
| 92612 |
|
79 |
75 |
$8K |
| 86645 |
|
494 |
482 |
$8K |
| 86800 |
|
1,430 |
1,386 |
$8K |
| 84134 |
|
892 |
857 |
$8K |
| 86703 |
|
675 |
653 |
$8K |
| 92550 |
|
467 |
463 |
$8K |
| 90739 |
|
157 |
156 |
$8K |
| 81405 |
|
205 |
202 |
$8K |
| 36561 |
|
93 |
93 |
$8K |
| J2370 |
Phenylephrine hcl injection |
904 |
789 |
$8K |
| 92014 |
|
278 |
272 |
$8K |
| 84432 |
|
977 |
943 |
$8K |
| 84425 |
|
1,513 |
1,492 |
$8K |
| 82232 |
|
858 |
832 |
$8K |
| 36416 |
|
1,998 |
1,606 |
$8K |
| 86835 |
|
85 |
79 |
$7K |
| J1050 |
Medroxyprogesterone acetate |
226 |
114 |
$7K |
| 81230 |
|
610 |
606 |
$7K |
| 99231 |
|
125 |
115 |
$7K |
| 90632 |
|
115 |
113 |
$7K |
| 81231 |
|
612 |
606 |
$7K |
| 94664 |
|
747 |
715 |
$7K |
| 82330 |
|
815 |
671 |
$7K |
| 81328 |
|
514 |
510 |
$7K |
| 81232 |
|
517 |
513 |
$7K |
| 77091 |
|
362 |
360 |
$7K |
| 73200 |
|
38 |
37 |
$7K |
| 81227 |
|
604 |
600 |
$6K |
| 82274 |
|
1,119 |
1,098 |
$6K |
| 86828 |
|
111 |
110 |
$6K |
| 86945 |
|
207 |
115 |
$6K |
| 82390 |
|
568 |
562 |
$6K |
| 84460 |
|
1,465 |
1,361 |
$6K |
| 78830 |
|
26 |
24 |
$6K |
| A9541 |
Tc99m sulfur colloid |
203 |
195 |
$6K |
| 87529 |
|
185 |
142 |
$6K |
| 85660 |
|
618 |
472 |
$6K |
| 74170 |
|
13 |
12 |
$6K |
| 76827 |
|
74 |
73 |
$6K |
| J0134 |
Inj acetaminophen -fresenius |
305 |
178 |
$6K |
| 86765 |
|
654 |
614 |
$6K |
| 90656 |
|
329 |
329 |
$6K |
| 99282 |
|
101 |
94 |
$6K |
| J0461 |
Atropine sulfate injection |
1,249 |
797 |
$6K |
| 20553 |
|
460 |
425 |
$6K |
| 84450 |
|
1,357 |
1,255 |
$6K |
| 51700 |
|
336 |
109 |
$6K |
| 82947 |
|
1,940 |
1,820 |
$6K |
| 88346 |
|
143 |
126 |
$6K |
| C1781 |
Mesh (implantable) |
13 |
13 |
$5K |
| 97162 |
|
99 |
97 |
$5K |
| 66984 |
|
33 |
25 |
$5K |
| J1071 |
Inj testosterone cypionate |
1,363 |
435 |
$5K |
| 87631 |
|
87 |
83 |
$5K |
| J1650 |
Inj enoxaparin sodium |
581 |
313 |
$5K |
| 29705 |
|
486 |
454 |
$5K |
| 80164 |
|
467 |
428 |
$5K |
| 75561 |
|
28 |
28 |
$5K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
1,200 |
1,075 |
$5K |
| 83010 |
|
644 |
567 |
$5K |
| G0008 |
Admin influenza virus vac |
938 |
891 |
$5K |
| J2001 |
Lidocaine injection |
1,311 |
1,257 |
$5K |
| 76376 |
|
114 |
110 |
$5K |
| 90480 |
|
409 |
408 |
$4K |
| 85384 |
|
569 |
416 |
$4K |
| 86790 |
|
501 |
469 |
$4K |
| 84520 |
|
1,492 |
1,329 |
$4K |
| 84436 |
|
590 |
577 |
$4K |
| J7030 |
Normal saline solution infus |
894 |
783 |
$4K |
| 93226 |
|
89 |
87 |
$4K |
| 88312 |
|
299 |
281 |
$4K |
| J1815 |
Insulin injection |
1,473 |
720 |
$4K |
| 81376 |
|
58 |
54 |
$4K |
| 86880 |
|
534 |
417 |
$4K |
| 0272 |
|
675 |
592 |
$4K |
| 80187 |
|
264 |
203 |
$4K |
| G0103 |
Psa screening |
1,069 |
1,050 |
$4K |
| J0780 |
Prochlorperazine injection |
424 |
352 |
$4K |
| 86777 |
|
319 |
313 |
$4K |
| 99212 |
|
200 |
184 |
$4K |
| 90694 |
|
244 |
243 |
$4K |
| 16020 |
|
79 |
71 |
$4K |
| 0301 |
|
120 |
106 |
$4K |
| 87880 |
|
376 |
367 |
$4K |
| 82104 |
|
609 |
601 |
$4K |
| 72190 |
|
57 |
56 |
$4K |
| 81003 |
|
2,093 |
1,824 |
$4K |
| 95887 |
|
72 |
50 |
$4K |
| 93319 |
|
48 |
48 |
$4K |
| 86709 |
|
347 |
339 |
$4K |
| 92526 |
|
219 |
192 |
$4K |
| M0243 |
Casirivi and imdevi inj |
13 |
13 |
$4K |
| 83695 |
|
570 |
560 |
$3K |
| 71020 |
|
138 |
54 |
$3K |
| 87305 |
|
569 |
404 |
$3K |
| 62321 |
|
13 |
13 |
$3K |
| L3260 |
Ambulatory surgical boot eac |
112 |
104 |
$3K |
| 73521 |
|
100 |
95 |
$3K |
| 81268 |
|
20 |
15 |
$3K |
| 86376 |
|
287 |
282 |
$3K |
| 94625 |
|
132 |
53 |
$3K |
| 82024 |
|
335 |
322 |
$3K |
| 81355 |
|
502 |
498 |
$3K |
| 83921 |
|
461 |
459 |
$3K |
| 73000 |
|
131 |
122 |
$3K |
| 94727 |
|
124 |
124 |
$3K |
| 86778 |
|
233 |
230 |
$3K |
| 86677 |
|
277 |
273 |
$3K |
| J2371 |
Inj phenylephrine hcl 20 mcg |
709 |
221 |
$3K |
| 51798 |
|
254 |
237 |
$3K |
| Z7610 |
|
2,803 |
1,231 |
$3K |
| 81241 |
|
609 |
604 |
$3K |
| 99217 |
|
27 |
25 |
$3K |
| M0247 |
Sotrovimab infusion |
28 |
28 |
$3K |
| 86256 |
|
279 |
270 |
$3K |
| 87899 |
|
535 |
465 |
$3K |
| 74182 |
|
13 |
13 |
$3K |
| J2060 |
Lorazepam injection |
1,733 |
1,415 |
$3K |
| 84300 |
|
752 |
679 |
$3K |
| 81404 |
|
188 |
188 |
$3K |
| J2765 |
Metoclopramide hcl injection |
784 |
702 |
$3K |
| 81240 |
|
612 |
607 |
$3K |
| 81291 |
|
611 |
605 |
$3K |
| 99429 |
|
181 |
177 |
$3K |
| 93798 |
|
120 |
24 |
$2K |
| J0171 |
Adrenalin epinephrine inject |
426 |
397 |
$2K |
| 87801 |
|
109 |
103 |
$2K |
| 93750 |
|
63 |
53 |
$2K |
| J1720 |
Hydrocortisone sodium succ i |
780 |
592 |
$2K |
| 10060 |
|
88 |
79 |
$2K |
| A9609 |
F18 fdg, 15 millicuries |
63 |
63 |
$2K |
| 82525 |
|
356 |
354 |
$2K |
| 90472 |
|
291 |
288 |
$2K |
| 29581 |
|
114 |
61 |
$2K |
| J9075 |
Inj, cyclophosphamide, nos |
43 |
14 |
$2K |
| 82140 |
|
195 |
184 |
$2K |
| J1940 |
Furosemide injection |
424 |
352 |
$2K |
| J1626 |
Granisetron hcl injection |
375 |
194 |
$2K |
| Q9968 |
Visualization adjunct |
15 |
14 |
$2K |
| 88173 |
|
54 |
52 |
$2K |
| 81402 |
|
203 |
203 |
$2K |
| 81002 |
|
931 |
865 |
$2K |
| J0330 |
Succinycholine chloride inj |
577 |
542 |
$2K |
| 87999 |
|
21 |
21 |
$2K |
| 97014 |
|
92 |
52 |
$2K |
| C1769 |
Guide wire |
355 |
325 |
$2K |
| 86364 |
|
133 |
132 |
$2K |
| 87901 |
|
12 |
12 |
$2K |
| 76981 |
|
36 |
36 |
$2K |
| 84630 |
|
338 |
334 |
$2K |
| 36591 |
|
187 |
160 |
$2K |
| 99211 |
|
72 |
67 |
$2K |
| 93990 |
|
26 |
26 |
$2K |
| 82952 |
|
473 |
473 |
$2K |
| 84132 |
|
730 |
618 |
$2K |
| 95816 |
|
39 |
39 |
$2K |
| 87506 |
|
13 |
13 |
$2K |
| 74220 |
|
55 |
55 |
$2K |
| 92504 |
|
116 |
114 |
$2K |
| 90740 |
|
13 |
13 |
$2K |
| 82075 |
|
86 |
83 |
$2K |
| J3480 |
Inj potassium chloride |
1,452 |
568 |
$2K |
| 92015 |
|
170 |
168 |
$2K |
| C1887 |
Catheter, guiding |
264 |
240 |
$2K |
| 84145 |
|
157 |
147 |
$2K |
| 95872 |
|
26 |
26 |
$2K |
| 86834 |
|
14 |
12 |
$2K |
| 86696 |
|
100 |
95 |
$2K |
| 97535 |
|
82 |
63 |
$1K |
| J0561 |
Penicillin g benzathine inj |
32 |
28 |
$1K |
| 74230 |
|
52 |
50 |
$1K |
| 76999 |
|
33 |
33 |
$1K |
| A9577 |
Inj multihance |
41 |
41 |
$1K |
| 87210 |
|
175 |
119 |
$1K |
| 84133 |
|
406 |
360 |
$1K |
| J3420 |
Vitamin b12 injection |
927 |
723 |
$1K |
| 92522 |
|
14 |
13 |
$1K |
| J1790 |
Droperidol injection |
252 |
223 |
$1K |
| 93225 |
|
46 |
46 |
$1K |
| 86015 |
|
272 |
267 |
$1K |
| 82077 |
|
65 |
64 |
$1K |
| 87420 |
|
173 |
171 |
$1K |
| 82040 |
|
528 |
504 |
$1K |
| 82436 |
|
336 |
301 |
$1K |
| 84157 |
|
432 |
400 |
$1K |
| 86695 |
|
100 |
95 |
$1K |
| C1894 |
Intro/sheath, non-laser |
274 |
257 |
$1K |
| 95910 |
|
14 |
14 |
$1K |
| 88237 |
|
31 |
27 |
$1K |
| 91322 |
|
94 |
93 |
$1K |
| 87806 |
|
51 |
50 |
$1K |
| 86922 |
|
36 |
25 |
$1K |
| 99245 |
|
12 |
12 |
$1K |
| 29125 |
|
26 |
24 |
$1K |
| 87900 |
|
13 |
13 |
$1K |
| 87181 |
|
957 |
872 |
$1K |
| 89051 |
|
396 |
362 |
$1K |
| 0064A |
|
46 |
46 |
$1K |
| 76937 |
|
57 |
56 |
$1K |
| 92134 |
|
42 |
41 |
$1K |
| 87906 |
|
12 |
12 |
$1K |
| 97755 |
|
42 |
42 |
$982.80 |
| 80177 |
|
165 |
165 |
$958.65 |
| 84238 |
|
120 |
119 |
$935.06 |
| J3370 |
Vancomycin hcl injection |
92 |
61 |
$932.30 |
| 81400 |
|
197 |
197 |
$923.56 |
| 86753 |
|
126 |
120 |
$913.98 |
| 51784 |
|
41 |
41 |
$912.18 |
| 72080 |
|
31 |
30 |
$903.69 |
| J1250 |
Inj dobutamine hcl/250 mg |
115 |
113 |
$900.85 |
| 76821 |
|
17 |
12 |
$898.96 |
| 90674 |
|
53 |
53 |
$885.63 |
| 69210 |
|
82 |
82 |
$853.84 |
| A0429 |
Bls-emergency |
41 |
29 |
$846.76 |
| 0390 |
|
58 |
51 |
$839.10 |
| J2175 |
Meperidine hydrochl /100 mg |
1,333 |
1,291 |
$821.66 |
| 87209 |
|
76 |
50 |
$807.69 |
| 99281 |
|
17 |
15 |
$803.82 |
| J1630 |
Haloperidol injection |
267 |
213 |
$802.48 |
| 86735 |
|
92 |
83 |
$785.55 |
| 82810 |
|
79 |
65 |
$763.15 |
| 92083 |
|
67 |
66 |
$758.54 |
| 87252 |
|
33 |
29 |
$736.49 |
| 84144 |
|
38 |
38 |
$724.91 |
| C1726 |
Cath, bal dil, non-vascular |
26 |
26 |
$705.21 |
| 82747 |
|
68 |
68 |
$677.84 |
| 82239 |
|
77 |
69 |
$645.35 |
| 83090 |
|
63 |
63 |
$644.59 |
| 75571 |
|
14 |
14 |
$639.66 |
| 88311 |
|
166 |
158 |
$626.71 |
| 87385 |
|
70 |
66 |
$623.30 |
| X3920 |
|
12 |
12 |
$599.64 |
| J2919 |
Inj, methylpred sod succ 5mg |
202 |
168 |
$596.07 |
| J2305 |
Inj, nitroglycerin, 5 mg |
88 |
58 |
$585.02 |
| J2710 |
Neostigmine methylslfte inj |
26 |
26 |
$576.35 |
| 51702 |
|
27 |
25 |
$563.89 |
| 20611 |
|
13 |
13 |
$553.20 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
78 |
75 |
$538.81 |
| 84207 |
|
121 |
120 |
$532.82 |
| 0134A |
|
48 |
48 |
$524.13 |
| 90833 |
|
250 |
202 |
$522.99 |
| C1751 |
Cath, inf, per/cent/midline |
15 |
15 |
$517.80 |
| 87184 |
|
141 |
129 |
$506.35 |
| 84182 |
|
36 |
25 |
$499.47 |
| 0124A |
|
30 |
29 |
$489.76 |
| 81050 |
|
372 |
362 |
$477.03 |
| J9370 |
Vincristine sulfate 1 mg inj |
34 |
25 |
$460.54 |
| 87400 |
|
49 |
45 |
$450.26 |
| G2066 |
Inter devc remote 30d |
27 |
26 |
$432.97 |
| 85347 |
|
45 |
38 |
$400.86 |
| 84445 |
|
24 |
24 |
$392.08 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
212 |
154 |
$389.05 |
| 85300 |
|
38 |
25 |
$376.50 |
| 86592 |
|
127 |
121 |
$374.01 |
| 20550 |
|
13 |
13 |
$355.90 |
| 80178 |
|
54 |
51 |
$355.53 |
| 88300 |
|
52 |
51 |
$350.65 |
| 95885 |
|
12 |
12 |
$349.99 |
| 87350 |
|
42 |
42 |
$346.46 |
| 99195 |
|
16 |
12 |
$339.73 |
| 84590 |
|
84 |
82 |
$333.45 |
| C1725 |
Cath, translumin non-laser |
174 |
163 |
$294.71 |
| J2550 |
Promethazine hcl injection |
190 |
148 |
$290.39 |
| 82375 |
|
14 |
12 |
$284.57 |
| 86036 |
|
19 |
16 |
$282.19 |
| 86682 |
|
25 |
25 |
$279.16 |
| 88275 |
|
15 |
13 |
$277.25 |
| 97804 |
|
12 |
12 |
$258.48 |
| 88274 |
|
28 |
28 |
$257.45 |
| 27096 |
|
14 |
12 |
$240.94 |
| 84305 |
|
37 |
36 |
$223.84 |
| 84295 |
|
85 |
81 |
$220.08 |
| 80175 |
|
50 |
50 |
$216.47 |
| J0360 |
Hydralazine hcl injection |
22 |
16 |
$212.07 |
| 90785 |
|
182 |
172 |
$195.99 |
| A9540 |
Tc99m maa |
13 |
13 |
$181.16 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
28 |
14 |
$180.81 |
| 82668 |
|
31 |
29 |
$177.25 |
| 80156 |
|
13 |
13 |
$176.79 |
| Q0512 |
Px sup fee anti-can sub pres |
127 |
99 |
$158.40 |
| 94760 |
|
18 |
16 |
$154.78 |
| 83721 |
|
41 |
40 |
$154.59 |
| 88108 |
|
14 |
13 |
$154.48 |
| 85007 |
|
26 |
24 |
$147.10 |
| J1580 |
Garamycin gentamicin inj |
26 |
24 |
$136.45 |
| 87427 |
|
16 |
16 |
$133.83 |
| 84446 |
|
29 |
28 |
$130.06 |
| 82787 |
|
12 |
12 |
$128.55 |
| 94644 |
|
12 |
12 |
$121.90 |
| Q0511 |
Sup fee antiem,antica,immuno |
69 |
66 |
$112.08 |
| 87449 |
|
16 |
16 |
$111.64 |
| 85018 |
|
70 |
63 |
$111.39 |
| 85014 |
|
44 |
42 |
$99.59 |
| 84478 |
|
18 |
12 |
$98.82 |
| C1889 |
Implant/insert device, noc |
240 |
234 |
$97.22 |
| 84080 |
|
24 |
24 |
$94.76 |
| 85303 |
|
12 |
12 |
$94.71 |
| J7120 |
Ringers lactate infusion |
16 |
16 |
$92.59 |
| 87045 |
|
16 |
16 |
$83.22 |
| 85651 |
|
40 |
38 |
$82.10 |
| J2795 |
Ropivacaine hcl injection |
14 |
13 |
$70.00 |
| 82960 |
|
12 |
12 |
$61.97 |
| 86707 |
|
12 |
12 |
$57.85 |
| 86308 |
|
12 |
12 |
$54.53 |
| 86352 |
|
18 |
14 |
$54.34 |
| Q0162 |
Ondansetron oral |
235 |
223 |
$51.30 |
| 85732 |
|
12 |
12 |
$49.91 |
| 83935 |
|
14 |
12 |
$46.90 |
| 0305 |
|
28 |
27 |
$43.65 |
| 84075 |
|
13 |
12 |
$41.02 |
| E0114 |
Crutch underarm pair no wood |
12 |
12 |
$29.00 |
| 84155 |
|
16 |
15 |
$26.31 |
| 87046 |
|
16 |
16 |
$25.79 |
| 0306 |
|
29 |
28 |
$20.07 |
| J0744 |
Ciprofloxacin iv |
41 |
40 |
$17.65 |
| J0688 |
Inj cefazolin sodium, hikma |
13 |
13 |
$16.64 |
| J0153 |
Adenosine inj 1mg |
12 |
12 |
$16.27 |
| Q0164 |
Prochlorperazine maleate 5mg |
224 |
132 |
$15.07 |
| 0324 |
|
13 |
12 |
$11.24 |
| 0255 |
|
51 |
51 |
$10.88 |
| G2212 |
Prolong outpt/office vis |
32 |
29 |
$4.12 |
| J7620 |
Albuterol ipratrop non-comp |
21 |
15 |
$2.38 |
| J8540 |
Oral dexamethasone |
17 |
12 |
$0.95 |
| Q0247 |
Sotrovimab |
29 |
29 |
$0.02 |
| 91306 |
|
47 |
47 |
$0.00 |
| 0300 |
|
12 |
12 |
$0.00 |
| G8978 |
Mobility current status |
236 |
211 |
$0.00 |
| G8979 |
Mobility goal status |
236 |
211 |
$0.00 |
| 91300 |
|
12 |
12 |
$0.00 |
| A4565 |
Slings |
40 |
38 |
$0.00 |
| 91313 |
|
19 |
19 |
$0.00 |
| A4649 |
Surgical supplies |
37 |
16 |
$0.00 |