| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
108,411 |
100,552 |
$88.14M |
| 99284 |
|
134,482 |
129,698 |
$56.36M |
| 99283 |
|
218,120 |
209,620 |
$50.56M |
| 97110 |
|
123,270 |
35,332 |
$14.24M |
| 70551 |
|
13,375 |
12,754 |
$13.33M |
| 70553 |
|
6,767 |
6,446 |
$12.32M |
| 95810 |
|
6,349 |
6,147 |
$11.03M |
| 44970 |
|
2,419 |
2,249 |
$9.97M |
| 95782 |
|
5,640 |
5,465 |
$9.83M |
| 97150 |
|
77,242 |
20,754 |
$7.52M |
| G0378 |
Hospital observation per hr |
18,670 |
9,184 |
$6.63M |
| 42820 |
|
4,947 |
4,858 |
$5.81M |
| 76770 |
|
14,902 |
14,156 |
$5.11M |
| 70450 |
|
13,522 |
12,437 |
$5.09M |
| 95812 |
|
10,805 |
10,601 |
$5.02M |
| 43239 |
|
4,145 |
3,911 |
$4.86M |
| D9420 |
|
3,545 |
2,368 |
$4.78M |
| 70543 |
|
2,033 |
1,941 |
$4.08M |
| 73721 |
|
3,044 |
2,826 |
$3.90M |
| 69436 |
|
7,073 |
6,904 |
$3.83M |
| 72197 |
|
1,851 |
1,775 |
$3.73M |
| 97161 |
|
19,196 |
18,314 |
$3.30M |
| 71046 |
|
40,964 |
38,912 |
$3.29M |
| 99291 |
|
2,607 |
2,414 |
$3.26M |
| 74183 |
|
1,656 |
1,584 |
$3.00M |
| 97530 |
|
28,077 |
9,500 |
$2.87M |
| 74177 |
|
3,184 |
2,970 |
$2.72M |
| 74230 |
|
5,154 |
4,981 |
$2.70M |
| 99213 |
|
27,500 |
24,453 |
$2.65M |
| 76700 |
|
6,988 |
6,621 |
$2.65M |
| J3490 |
Drugs unclassified injection |
98,265 |
65,237 |
$2.62M |
| 93975 |
|
5,887 |
5,505 |
$2.35M |
| 72148 |
|
2,367 |
2,239 |
$2.20M |
| 92611 |
|
5,208 |
4,988 |
$2.20M |
| 42830 |
|
2,291 |
2,240 |
$2.15M |
| 97162 |
|
10,782 |
9,934 |
$2.09M |
| 96450 |
|
3,367 |
2,626 |
$2.07M |
| 99282 |
|
23,409 |
22,302 |
$2.06M |
| P9016 |
Rbc leukocytes reduced |
2,619 |
2,230 |
$2.03M |
| 72141 |
|
1,836 |
1,737 |
$1.83M |
| 87633 |
|
21,148 |
20,321 |
$1.82M |
| 54161 |
|
1,740 |
1,707 |
$1.81M |
| 92507 |
|
12,435 |
4,358 |
$1.81M |
| 97112 |
|
35,895 |
14,571 |
$1.74M |
| V5261 |
Hearing aid, digit, bin, bte |
919 |
703 |
$1.71M |
| J0586 |
Abobotulinumtoxina |
1,654 |
1,294 |
$1.67M |
| 76705 |
|
14,311 |
13,247 |
$1.64M |
| 96360 |
|
26,526 |
25,044 |
$1.62M |
| V5247 |
Hearing aid, prog, mon, bte |
1,671 |
778 |
$1.60M |
| 74019 |
|
21,613 |
20,392 |
$1.54M |
| 96409 |
|
7,139 |
4,676 |
$1.53M |
| 96361 |
|
26,357 |
22,954 |
$1.51M |
| 96365 |
|
17,555 |
15,839 |
$1.50M |
| 95819 |
|
3,364 |
3,280 |
$1.49M |
| 49452 |
|
1,132 |
1,025 |
$1.48M |
| 96413 |
|
4,378 |
1,954 |
$1.43M |
| 92523 |
|
4,682 |
4,478 |
$1.43M |
| 74455 |
|
2,926 |
2,850 |
$1.41M |
| 36430 |
|
3,159 |
2,463 |
$1.41M |
| 99214 |
|
14,599 |
13,586 |
$1.38M |
| 76886 |
|
4,258 |
3,681 |
$1.35M |
| 70486 |
|
1,689 |
1,624 |
$1.32M |
| 76536 |
|
4,110 |
3,956 |
$1.31M |
| 54640 |
|
963 |
924 |
$1.30M |
| 74240 |
|
2,583 |
2,518 |
$1.29M |
| 76856 |
|
5,497 |
5,221 |
$1.29M |
| D2930 |
|
2,572 |
2,472 |
$1.27M |
| 92526 |
|
9,454 |
4,537 |
$1.24M |
| 74018 |
|
11,569 |
10,609 |
$1.21M |
| D0230 |
|
3,400 |
3,207 |
$1.20M |
| 85025 |
|
149,036 |
125,360 |
$1.19M |
| 72146 |
|
1,397 |
1,318 |
$1.18M |
| 80053 |
|
106,181 |
93,651 |
$1.17M |
| D0220 |
|
3,591 |
3,382 |
$1.16M |
| 88305 |
|
7,872 |
7,411 |
$1.08M |
| 92652 |
|
1,392 |
1,329 |
$1.06M |
| J2704 |
Inj, propofol, 10 mg |
63,707 |
59,234 |
$1.06M |
| 51600 |
|
3,019 |
2,941 |
$1.05M |
| 92610 |
|
4,232 |
3,899 |
$1.04M |
| J0585 |
Injection,onabotulinumtoxina |
1,037 |
824 |
$1.01M |
| 92587 |
|
11,195 |
10,766 |
$978K |
| 45380 |
|
770 |
733 |
$960K |
| 92567 |
|
15,924 |
15,248 |
$958K |
| 76870 |
|
4,176 |
3,945 |
$956K |
| 77072 |
|
8,129 |
7,939 |
$953K |
| 99215 |
Prolong outpt/office vis |
7,655 |
7,237 |
$934K |
| 70360 |
|
6,750 |
6,619 |
$911K |
| J0475 |
Baclofen 10 mg injection |
782 |
700 |
$889K |
| 70480 |
|
821 |
777 |
$884K |
| L1960 |
Afo pos solid ank plastic mo |
2,408 |
1,685 |
$861K |
| 84443 |
|
39,647 |
38,389 |
$821K |
| 71260 |
|
812 |
749 |
$816K |
| 86920 |
|
3,954 |
3,445 |
$804K |
| 82306 |
|
23,273 |
22,458 |
$788K |
| 94640 |
|
21,356 |
14,888 |
$745K |
| 97140 |
|
16,735 |
6,604 |
$743K |
| 96411 |
|
3,246 |
1,759 |
$733K |
| 77075 |
|
1,896 |
1,767 |
$731K |
| 51701 |
|
15,036 |
14,308 |
$719K |
| 24538 |
|
547 |
528 |
$704K |
| 72081 |
|
4,052 |
3,943 |
$700K |
| 20680 |
|
269 |
260 |
$700K |
| 92579 |
|
7,502 |
7,347 |
$700K |
| 76506 |
|
1,930 |
1,834 |
$698K |
| 96375 |
|
12,188 |
9,825 |
$668K |
| 95715 |
|
473 |
404 |
$664K |
| 72142 |
|
645 |
612 |
$650K |
| 92585 |
|
937 |
872 |
$636K |
| 99212 |
|
11,570 |
10,970 |
$591K |
| 72147 |
|
599 |
568 |
$587K |
| 99203 |
|
4,099 |
3,964 |
$569K |
| 97760 |
|
4,298 |
2,801 |
$567K |
| 93886 |
|
962 |
923 |
$564K |
| 92524 |
|
4,465 |
4,202 |
$553K |
| 72149 |
|
573 |
543 |
$548K |
| 70250 |
|
4,550 |
4,186 |
$537K |
| 95716 |
|
283 |
252 |
$528K |
| 97165 |
|
3,546 |
3,251 |
$527K |
| 87637 |
|
14,102 |
13,887 |
$527K |
| D0274 |
|
1,179 |
1,149 |
$511K |
| 76641 |
|
1,317 |
1,248 |
$508K |
| S1040 |
Cranial remolding orthosis |
273 |
259 |
$507K |
| U0003 |
Cov-19 amp prb hgh thruput |
4,624 |
4,435 |
$489K |
| D7140 |
|
1,316 |
1,263 |
$468K |
| 96374 |
|
16,734 |
15,338 |
$460K |
| 86003 |
|
3,173 |
3,111 |
$416K |
| D0272 |
|
1,833 |
1,698 |
$401K |
| 72170 |
|
4,586 |
4,418 |
$380K |
| 64642 |
|
1,192 |
1,129 |
$373K |
| 72040 |
|
3,413 |
3,227 |
$360K |
| P9040 |
Rbc leukoreduced irradiated |
594 |
487 |
$342K |
| 72100 |
|
2,904 |
2,805 |
$341K |
| 77080 |
|
1,332 |
1,245 |
$339K |
| 84439 |
|
30,463 |
29,404 |
$339K |
| 99204 |
|
2,080 |
1,949 |
$333K |
| 95951 |
|
190 |
116 |
$327K |
| L1970 |
Afo plastic molded w/ankle j |
649 |
456 |
$322K |
| 73610 |
|
4,684 |
4,465 |
$312K |
| 73630 |
|
4,355 |
4,135 |
$310K |
| 96367 |
|
3,495 |
2,929 |
$306K |
| 76881 |
|
2,065 |
1,941 |
$305K |
| U0002 |
Covid-19 lab test non-cdc |
6,057 |
5,802 |
$300K |
| 97542 |
|
3,469 |
3,079 |
$290K |
| 97763 |
|
3,828 |
1,561 |
$283K |
| 73562 |
|
2,965 |
2,784 |
$283K |
| 87507 |
|
2,214 |
1,747 |
$283K |
| 92522 |
|
1,272 |
1,237 |
$274K |
| 72082 |
|
1,041 |
997 |
$274K |
| 93005 |
|
5,321 |
4,964 |
$270K |
| 87581 |
|
21,138 |
20,317 |
$259K |
| 87486 |
|
21,131 |
20,310 |
$258K |
| 70544 |
|
400 |
358 |
$257K |
| V5264 |
Ear mold/insert |
6,795 |
3,558 |
$255K |
| 80061 |
|
15,812 |
15,331 |
$254K |
| 73590 |
|
3,981 |
3,626 |
$244K |
| 49446 |
|
168 |
145 |
$241K |
| 97166 |
|
1,325 |
1,175 |
$236K |
| 92508 |
|
1,800 |
226 |
$224K |
| 86140 |
|
48,883 |
44,084 |
$220K |
| 82728 |
|
13,393 |
12,496 |
$219K |
| 72156 |
|
119 |
116 |
$216K |
| 76800 |
|
551 |
510 |
$213K |
| 94660 |
|
896 |
540 |
$213K |
| 92582 |
|
2,422 |
2,358 |
$213K |
| 87635 |
|
7,349 |
7,177 |
$208K |
| 87651 |
|
27,559 |
26,942 |
$208K |
| 73090 |
|
5,810 |
5,446 |
$200K |
| D1351 |
|
966 |
921 |
$199K |
| 94668 |
|
1,632 |
760 |
$197K |
| 99202 |
|
2,288 |
2,217 |
$196K |
| D7111 |
|
972 |
919 |
$195K |
| 92512 |
|
2,502 |
2,339 |
$193K |
| 73130 |
|
2,824 |
2,685 |
$193K |
| 87798 |
|
9,565 |
9,181 |
$191K |
| 71045 |
|
3,091 |
2,804 |
$189K |
| 92555 |
|
3,220 |
3,124 |
$188K |
| 80048 |
|
25,698 |
23,287 |
$187K |
| 80307 |
|
7,195 |
6,542 |
$186K |
| D1120 |
|
1,796 |
1,680 |
$185K |
| 73552 |
|
2,549 |
2,274 |
$185K |
| 84403 |
|
5,203 |
5,002 |
$181K |
| 25605 |
|
803 |
765 |
$177K |
| J7120 |
Ringers lactate infusion |
50,985 |
47,512 |
$173K |
| 95700 |
|
1,471 |
1,344 |
$172K |
| 43246 |
|
219 |
196 |
$171K |
| 88304 |
|
5,286 |
5,052 |
$171K |
| 73720 |
|
82 |
80 |
$169K |
| 83970 |
|
3,282 |
3,162 |
$167K |
| 72070 |
|
1,563 |
1,506 |
$167K |
| 82670 |
|
4,540 |
4,375 |
$165K |
| 31622 |
|
342 |
315 |
$162K |
| 92604 |
|
1,523 |
1,207 |
$161K |
| D0240 |
|
528 |
487 |
$160K |
| 82784 |
|
10,073 |
9,627 |
$160K |
| 86160 |
|
5,088 |
4,872 |
$159K |
| 92557 |
|
1,009 |
981 |
$159K |
| 86850 |
|
7,192 |
6,129 |
$157K |
| 73560 |
|
1,696 |
1,530 |
$156K |
| 83036 |
|
13,198 |
12,844 |
$155K |
| 73070 |
|
3,344 |
3,066 |
$155K |
| 96366 |
|
1,609 |
1,459 |
$154K |
| 87040 |
|
20,420 |
18,924 |
$151K |
| 49500 |
|
91 |
91 |
$150K |
| 84305 |
|
5,394 |
5,261 |
$148K |
| 12011 |
|
2,521 |
2,452 |
$147K |
| L1907 |
Afo supramalleolar custom |
404 |
240 |
$146K |
| 86480 |
|
1,786 |
1,761 |
$146K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
907 |
783 |
$143K |
| 99205 |
Prolong outpt/office vis |
815 |
778 |
$141K |
| 82570 |
|
19,617 |
18,558 |
$139K |
| 86235 |
|
1,144 |
1,082 |
$138K |
| 85246 |
|
4,631 |
4,429 |
$138K |
| 83002 |
|
5,788 |
5,546 |
$138K |
| 72157 |
|
90 |
82 |
$134K |
| 83498 |
|
3,573 |
3,514 |
$133K |
| 78708 |
|
148 |
144 |
$133K |
| 87799 |
|
1,127 |
916 |
$129K |
| 87086 |
|
20,806 |
19,648 |
$127K |
| 73110 |
|
1,322 |
1,251 |
$127K |
| 64643 |
|
635 |
566 |
$126K |
| 73140 |
|
2,372 |
2,281 |
$126K |
| 86922 |
|
499 |
427 |
$126K |
| 69210 |
|
661 |
648 |
$125K |
| 92552 |
|
1,941 |
1,861 |
$124K |
| 92602 |
|
995 |
773 |
$122K |
| 72158 |
|
66 |
66 |
$122K |
| 83001 |
|
4,985 |
4,775 |
$119K |
| 96372 |
|
3,668 |
3,286 |
$114K |
| 94644 |
|
6,224 |
5,909 |
$113K |
| 93971 |
|
377 |
359 |
$112K |
| S0080 |
Injection, pentamidine iseth |
1,481 |
1,221 |
$111K |
| 69610 |
|
157 |
155 |
$110K |
| 10061 |
|
681 |
649 |
$109K |
| 95816 |
|
296 |
290 |
$108K |
| J7030 |
Normal saline solution infus |
50,319 |
44,208 |
$106K |
| 70491 |
|
141 |
135 |
$103K |
| 42821 |
|
76 |
76 |
$103K |
| 85045 |
|
23,161 |
19,356 |
$103K |
| 76010 |
|
1,830 |
1,768 |
$100K |
| 43762 |
|
652 |
588 |
$95K |
| 71250 |
|
101 |
95 |
$95K |
| 86360 |
|
1,599 |
1,526 |
$92K |
| 97164 |
|
855 |
746 |
$91K |
| 62270 |
|
550 |
485 |
$90K |
| 82627 |
|
2,975 |
2,911 |
$90K |
| 87070 |
|
9,644 |
9,104 |
$87K |
| 87077 |
|
9,632 |
9,132 |
$86K |
| 12001 |
|
1,645 |
1,604 |
$86K |
| 14040 |
|
57 |
57 |
$85K |
| 80069 |
|
7,977 |
7,316 |
$82K |
| 83516 |
|
5,186 |
4,836 |
$82K |
| V5257 |
Hearing aid, digit, mon, bte |
94 |
69 |
$81K |
| J0330 |
Succinycholine chloride inj |
2,510 |
2,270 |
$80K |
| 54163 |
|
85 |
83 |
$80K |
| 86901 |
|
7,604 |
6,469 |
$79K |
| 82785 |
|
3,597 |
3,514 |
$78K |
| 94642 |
|
992 |
885 |
$78K |
| 87081 |
|
7,991 |
7,595 |
$77K |
| APT15 |
|
7,326 |
5,790 |
$76K |
| 83550 |
|
7,190 |
6,971 |
$76K |
| 92556 |
|
1,602 |
1,546 |
$76K |
| 85652 |
|
24,885 |
23,499 |
$75K |
| 81001 |
|
31,567 |
29,726 |
$75K |
| 83735 |
|
10,670 |
8,476 |
$75K |
| 76376 |
|
556 |
543 |
$74K |
| 93306 |
|
119 |
105 |
$74K |
| 90471 |
|
5,251 |
4,760 |
$73K |
| 85027 |
|
9,719 |
9,047 |
$73K |
| 76885 |
|
280 |
227 |
$73K |
| 92593 |
|
625 |
539 |
$72K |
| 85730 |
|
9,480 |
8,784 |
$72K |
| J1100 |
Dexamethasone sodium phos |
32,326 |
29,082 |
$72K |
| 86317 |
|
1,727 |
946 |
$71K |
| 84402 |
|
2,044 |
1,984 |
$71K |
| J0131 |
Inj, acetaminophen (nos) |
1,795 |
1,620 |
$71K |
| 97750 |
|
450 |
430 |
$70K |
| 86376 |
|
3,629 |
3,533 |
$70K |
| 88342 |
|
1,216 |
1,146 |
$70K |
| 84146 |
|
2,721 |
2,651 |
$69K |
| P9011 |
Blood split unit |
213 |
197 |
$68K |
| 82043 |
|
8,805 |
8,508 |
$67K |
| D2392 |
|
461 |
432 |
$66K |
| J9370 |
Vincristine sulfate 1 mg inj |
6,764 |
4,491 |
$66K |
| 87502 |
|
2,931 |
2,657 |
$66K |
| J3010 |
Fentanyl citrate injection |
48,055 |
44,082 |
$66K |
| 73030 |
|
1,084 |
1,011 |
$65K |
| J1885 |
Ketorolac tromethamine inj |
33,896 |
27,826 |
$63K |
| 81003 |
|
36,502 |
34,547 |
$62K |
| J2270 |
Morphine sulfate injection |
16,353 |
13,780 |
$62K |
| 86256 |
|
3,754 |
3,623 |
$62K |
| 87491 |
|
3,170 |
2,961 |
$61K |
| 74241 |
|
149 |
141 |
$60K |
| 83690 |
|
12,302 |
11,379 |
$59K |
| 83540 |
|
7,402 |
7,172 |
$58K |
| 87186 |
|
7,373 |
6,958 |
$58K |
| 73060 |
|
1,069 |
1,022 |
$57K |
| D2391 |
|
539 |
495 |
$56K |
| 82977 |
|
10,918 |
10,229 |
$55K |
| 86800 |
|
2,629 |
2,564 |
$55K |
| L2280 |
Molded inner boot |
180 |
120 |
$55K |
| 99244 |
|
245 |
241 |
$55K |
| 89230 |
|
631 |
614 |
$54K |
| 92586 |
|
608 |
551 |
$54K |
| J1569 |
Gammagard liquid injection |
76 |
41 |
$54K |
| J2795 |
Ropivacaine hcl injection |
2,343 |
2,262 |
$54K |
| 82803 |
|
9,278 |
8,576 |
$53K |
| 49650 |
|
14 |
12 |
$53K |
| 85240 |
|
2,320 |
2,201 |
$53K |
| 86147 |
|
739 |
721 |
$52K |
| 86039 |
|
3,633 |
3,484 |
$52K |
| 85610 |
|
10,974 |
9,827 |
$52K |
| 87591 |
|
3,113 |
2,956 |
$51K |
| 85245 |
|
1,746 |
1,673 |
$51K |
| 86146 |
|
763 |
720 |
$51K |
| 82397 |
|
2,623 |
2,572 |
$50K |
| 82533 |
|
2,087 |
1,958 |
$50K |
| 49591 |
|
27 |
24 |
$50K |
| 86357 |
|
1,603 |
1,527 |
$49K |
| 86355 |
|
1,583 |
1,517 |
$49K |
| 84480 |
|
2,807 |
2,713 |
$48K |
| 96415 |
|
259 |
136 |
$47K |
| 73000 |
|
907 |
852 |
$46K |
| 73080 |
|
478 |
447 |
$46K |
| 86359 |
|
1,781 |
1,528 |
$46K |
| 97163 |
|
168 |
143 |
$46K |
| 88185 |
|
146 |
126 |
$45K |
| 84156 |
|
9,404 |
8,719 |
$45K |
| 31720 |
|
428 |
299 |
$45K |
| 82157 |
|
1,247 |
1,196 |
$45K |
| 81025 |
|
11,862 |
11,174 |
$43K |
| J0690 |
Cefazolin sodium injection |
18,916 |
15,008 |
$43K |
| D2330 |
|
541 |
531 |
$43K |
| 95811 |
|
26 |
24 |
$43K |
| 76942 |
|
385 |
339 |
$42K |
| 51702 |
|
277 |
251 |
$42K |
| J9035 |
Bevacizumab injection |
38 |
12 |
$42K |
| 85397 |
|
1,480 |
1,428 |
$42K |
| 86341 |
|
1,118 |
983 |
$41K |
| 97116 |
|
644 |
412 |
$41K |
| V5266 |
Battery for hearing device |
8,063 |
4,431 |
$40K |
| 95885 |
|
160 |
155 |
$40K |
| 82607 |
|
2,064 |
1,999 |
$39K |
| 99292 |
|
131 |
107 |
$39K |
| 82105 |
|
1,913 |
1,753 |
$39K |
| A9562 |
Tc99m mertiatide |
181 |
176 |
$39K |
| 85384 |
|
3,887 |
3,547 |
$38K |
| 10060 |
|
311 |
297 |
$38K |
| 83880 |
|
1,421 |
1,309 |
$38K |
| 82330 |
|
9,965 |
9,205 |
$38K |
| 25565 |
|
165 |
154 |
$37K |
| 86364 |
|
3,269 |
3,232 |
$37K |
| 83520 |
|
1,748 |
1,574 |
$36K |
| 92609 |
|
702 |
407 |
$36K |
| 85999 |
|
1,705 |
1,622 |
$35K |
| 83020 |
|
5,002 |
4,304 |
$35K |
| J2710 |
Neostigmine methylslfte inj |
5,572 |
4,406 |
$35K |
| 84100 |
|
11,620 |
9,420 |
$35K |
| 49505 |
|
12 |
12 |
$34K |
| 73221 |
|
24 |
24 |
$34K |
| 72131 |
|
43 |
37 |
$33K |
| J2780 |
Ranitidine hydrochloride inj |
1,055 |
440 |
$33K |
| 82150 |
|
6,712 |
6,156 |
$32K |
| 72128 |
|
28 |
26 |
$32K |
| 87389 |
|
1,593 |
1,540 |
$31K |
| 82610 |
|
1,788 |
1,616 |
$31K |
| J0136 |
Inj, acetaminophen (b braun) |
1,193 |
1,130 |
$30K |
| 86902 |
|
2,490 |
2,097 |
$30K |
| L2840 |
Tibial length sock fx or equ |
631 |
516 |
$30K |
| 80164 |
|
2,294 |
2,168 |
$30K |
| 92595 |
|
1,246 |
1,206 |
$30K |
| 80076 |
|
3,464 |
3,180 |
$29K |
| J0694 |
Cefoxitin sodium injection |
3,351 |
2,173 |
$29K |
| 82248 |
|
6,643 |
5,614 |
$29K |
| 82565 |
|
1,644 |
1,581 |
$29K |
| 84145 |
|
3,275 |
3,119 |
$28K |
| 80197 |
|
1,674 |
1,342 |
$28K |
| 29105 |
|
735 |
707 |
$28K |
| APT16 |
|
2,142 |
1,719 |
$28K |
| 82550 |
|
5,907 |
5,521 |
$28K |
| 84436 |
|
4,171 |
3,979 |
$27K |
| 86900 |
|
7,606 |
6,470 |
$27K |
| 85576 |
|
524 |
495 |
$27K |
| 94060 |
|
206 |
183 |
$27K |
| 73100 |
|
825 |
749 |
$27K |
| J0561 |
Penicillin g benzathine inj |
417 |
412 |
$26K |
| S0164 |
Injection pantroprazole |
1,649 |
951 |
$26K |
| 97113 |
|
277 |
92 |
$26K |
| 62369 |
|
83 |
68 |
$25K |
| 82746 |
|
1,359 |
1,314 |
$25K |
| 83615 |
|
5,264 |
4,853 |
$25K |
| 94010 |
|
449 |
399 |
$25K |
| D2934 |
|
200 |
187 |
$24K |
| 70481 |
|
38 |
38 |
$24K |
| 74220 |
|
50 |
50 |
$24K |
| 95712 |
|
48 |
44 |
$24K |
| 92700 |
|
211 |
205 |
$23K |
| 85660 |
|
2,935 |
2,101 |
$23K |
| 85379 |
|
2,430 |
2,187 |
$23K |
| J0696 |
Ceftriaxone sodium injection |
9,305 |
6,718 |
$23K |
| 87880 |
|
4,284 |
4,021 |
$23K |
| 86665 |
|
657 |
631 |
$23K |
| J2405 |
Ondansetron hcl injection |
47,577 |
43,068 |
$22K |
| L3203 |
Oxford w/ supinator/pronator |
356 |
247 |
$22K |
| 85520 |
|
1,308 |
1,211 |
$22K |
| 36590 |
|
27 |
27 |
$22K |
| 87045 |
|
705 |
673 |
$22K |
| 90686 |
|
4,415 |
4,023 |
$21K |
| 82024 |
|
425 |
414 |
$21K |
| 96376 |
|
874 |
758 |
$20K |
| S0030 |
Injection, metronidazole |
1,037 |
585 |
$19K |
| S0020 |
Injection, bupivicaine hydro |
7,060 |
6,678 |
$19K |
| 84446 |
|
1,052 |
1,034 |
$19K |
| 94645 |
|
1,218 |
1,142 |
$19K |
| L2200 |
Limited ankle motion ea jnt |
550 |
401 |
$18K |
| 84703 |
|
3,488 |
3,278 |
$18K |
| S0077 |
Injection, clindamycin phosp |
4,870 |
2,373 |
$18K |
| 80143 |
|
2,777 |
2,592 |
$18K |
| J0171 |
Adrenalin epinephrine inject |
2,199 |
2,092 |
$18K |
| 92607 |
|
127 |
101 |
$18K |
| 73660 |
|
295 |
283 |
$18K |
| 94726 |
|
150 |
136 |
$17K |
| L2820 |
Soft interface below knee se |
259 |
205 |
$17K |
| J9260 |
Inj methotrexate sodium 50mg |
3,732 |
2,357 |
$17K |
| 99393 |
|
163 |
151 |
$17K |
| 90460 |
|
667 |
527 |
$16K |
| 95953 |
|
22 |
14 |
$16K |
| 82657 |
|
1,607 |
1,246 |
$16K |
| L3202 |
Oxford w/ supinat/pronator c |
350 |
204 |
$16K |
| 86337 |
|
544 |
539 |
$16K |
| 87205 |
|
5,823 |
5,392 |
$15K |
| 80179 |
|
2,637 |
2,490 |
$15K |
| 31526 |
|
13 |
13 |
$15K |
| 87116 |
|
315 |
290 |
$15K |
| 85670 |
|
1,907 |
1,831 |
$14K |
| 92650 |
|
190 |
160 |
$14K |
| J2250 |
Inj midazolam hydrochloride |
12,020 |
11,325 |
$14K |
| 31624 |
|
14 |
12 |
$14K |
| 25600 |
|
256 |
246 |
$14K |
| 23350 |
|
13 |
12 |
$13K |
| 84460 |
|
1,963 |
1,883 |
$13K |
| L1930 |
Afo plastic |
97 |
57 |
$13K |
| 82340 |
|
1,851 |
1,785 |
$13K |
| 74270 |
|
24 |
24 |
$13K |
| J9070 |
Cyclophosphamide 100 mg inj |
55 |
38 |
$13K |
| 84450 |
|
1,903 |
1,828 |
$13K |
| 92622 |
|
86 |
85 |
$13K |
| 87661 |
|
801 |
771 |
$13K |
| 94667 |
|
700 |
545 |
$13K |
| APT17 |
|
924 |
883 |
$13K |
| J0295 |
Ampicillin sulbactam 1.5 gm |
3,251 |
1,049 |
$13K |
| 82104 |
|
623 |
613 |
$13K |
| 87075 |
|
1,094 |
1,019 |
$12K |
| 86706 |
|
1,040 |
1,008 |
$12K |
| 88184 |
|
196 |
166 |
$12K |
| 82103 |
|
667 |
653 |
$12K |
| 84484 |
|
1,404 |
1,289 |
$12K |
| 99392 |
|
146 |
112 |
$12K |
| 95713 |
|
41 |
36 |
$12K |
| 82077 |
|
2,312 |
2,196 |
$12K |
| 93325 |
|
127 |
123 |
$12K |
| 99243 |
|
66 |
65 |
$12K |
| 84590 |
|
818 |
802 |
$12K |
| 95813 |
|
29 |
24 |
$12K |
| 87340 |
|
1,006 |
979 |
$12K |
| 82390 |
|
787 |
768 |
$12K |
| J1170 |
Hydromorphone injection |
3,416 |
3,121 |
$11K |
| 87426 |
|
284 |
272 |
$10K |
| 86225 |
|
584 |
549 |
$10K |
| 80183 |
|
780 |
748 |
$10K |
| 82247 |
|
2,959 |
2,243 |
$10K |
| 86664 |
|
665 |
648 |
$10K |
| 85613 |
|
723 |
702 |
$10K |
| J1815 |
Insulin injection |
418 |
388 |
$10K |
| 88307 |
|
127 |
125 |
$10K |
| 87206 |
|
1,030 |
963 |
$10K |
| 95908 |
|
39 |
39 |
$10K |
| 89051 |
|
4,075 |
3,298 |
$10K |
| 86769 |
|
252 |
238 |
$9K |
| 88108 |
|
352 |
290 |
$9K |
| J1953 |
Levetiracetam injection |
471 |
406 |
$9K |
| 93000 |
|
298 |
289 |
$9K |
| D1206 |
|
375 |
340 |
$9K |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
1,965 |
1,897 |
$8K |
| 86663 |
|
646 |
630 |
$8K |
| 82947 |
|
11,354 |
10,666 |
$8K |
| 94729 |
|
70 |
67 |
$8K |
| 30460 |
|
25 |
25 |
$8K |
| 87015 |
|
1,583 |
1,481 |
$8K |
| 12002 |
|
349 |
342 |
$8K |
| 82085 |
|
532 |
523 |
$7K |
| 94664 |
|
831 |
798 |
$7K |
| 29065 |
|
274 |
264 |
$7K |
| 97010 |
|
42 |
30 |
$7K |
| 87102 |
|
607 |
569 |
$7K |
| 82948 |
|
4,013 |
2,141 |
$7K |
| D1208 |
|
573 |
524 |
$7K |
| J0780 |
Prochlorperazine injection |
1,713 |
1,466 |
$7K |
| 84244 |
|
230 |
227 |
$7K |
| 43247 |
|
13 |
13 |
$7K |
| 83525 |
|
379 |
356 |
$7K |
| S0028 |
Injection, famotidine, 20 mg |
1,198 |
670 |
$7K |
| 80195 |
|
381 |
311 |
$7K |
| D2332 |
|
72 |
69 |
$6K |
| 88312 |
|
134 |
120 |
$6K |
| J7042 |
5% dextrose/normal saline |
3,264 |
2,485 |
$6K |
| 82140 |
|
515 |
471 |
$6K |
| 84295 |
|
8,499 |
7,929 |
$6K |
| 69424 |
|
13 |
13 |
$6K |
| 99391 |
|
60 |
54 |
$6K |
| 85014 |
|
8,896 |
8,238 |
$5K |
| 82310 |
|
1,645 |
1,463 |
$5K |
| 87804 |
|
338 |
165 |
$5K |
| J2272 |
Inj, morphine (fresenius) |
744 |
694 |
$5K |
| J2060 |
Lorazepam injection |
1,067 |
757 |
$5K |
| 87636 |
|
50 |
50 |
$5K |
| 84550 |
|
1,540 |
1,390 |
$5K |
| 88341 |
|
41 |
41 |
$5K |
| 86880 |
|
756 |
716 |
$5K |
| 99170 |
|
55 |
54 |
$5K |
| 83718 |
|
484 |
468 |
$5K |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
830 |
798 |
$5K |
| J9255 |
Inj, methotrexate (accord) |
385 |
237 |
$5K |
| 24640 |
|
110 |
107 |
$5K |
| J7999 |
Compounded drug, noc |
2,646 |
2,468 |
$5K |
| 96160 |
|
946 |
562 |
$5K |
| 80074 |
|
90 |
86 |
$5K |
| J1836 |
Inj, metronidazole, 10 mg |
453 |
347 |
$5K |
| S5571 |
Insulin dispos pen 3 ml |
222 |
216 |
$4K |
| J0290 |
Ampicillin 500 mg inj |
1,984 |
1,191 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
60 |
29 |
$4K |
| 43760 |
|
30 |
28 |
$4K |
| J7040 |
Normal saline solution infus |
2,930 |
2,581 |
$4K |
| 86308 |
|
1,236 |
1,194 |
$4K |
| 82438 |
|
630 |
614 |
$4K |
| 83655 |
|
395 |
387 |
$4K |
| 87899 |
|
425 |
214 |
$4K |
| 77076 |
|
14 |
14 |
$4K |
| 85732 |
|
259 |
237 |
$4K |
| 29505 |
|
101 |
92 |
$4K |
| 86803 |
|
369 |
362 |
$4K |
| 84132 |
|
8,210 |
7,740 |
$4K |
| 90620 |
|
82 |
69 |
$4K |
| 29125 |
|
135 |
130 |
$4K |
| J9100 |
Cytarabine hcl 100 mg inj |
313 |
200 |
$4K |
| 92588 |
|
28 |
27 |
$4K |
| J7070 |
D5w infusion |
1,001 |
472 |
$4K |
| 86431 |
|
490 |
472 |
$4K |
| 92594 |
|
140 |
137 |
$4K |
| 87493 |
|
52 |
39 |
$4K |
| L3010 |
Foot longitudinal arch suppo |
66 |
38 |
$4K |
| D3220 |
|
37 |
37 |
$4K |
| 90732 |
|
75 |
66 |
$3K |
| J1720 |
Hydrocortisone sodium succ i |
241 |
184 |
$3K |
| J1200 |
Diphenhydramine hcl injectio |
4,139 |
3,281 |
$3K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
97 |
94 |
$3K |
| 82652 |
|
68 |
67 |
$3K |
| 94375 |
|
88 |
86 |
$3K |
| 82379 |
|
162 |
153 |
$3K |
| 86356 |
|
32 |
31 |
$3K |
| 87517 |
|
53 |
50 |
$3K |
| D2390 |
|
24 |
24 |
$3K |
| 88311 |
|
225 |
208 |
$3K |
| 90734 |
|
100 |
85 |
$3K |
| 84157 |
|
692 |
632 |
$3K |
| 82945 |
|
694 |
634 |
$3K |
| 87497 |
|
61 |
55 |
$3K |
| 90472 |
|
205 |
188 |
$3K |
| 29075 |
|
25 |
25 |
$3K |
| 99245 |
|
14 |
13 |
$3K |
| 96523 |
|
86 |
83 |
$3K |
| 86812 |
|
132 |
130 |
$3K |
| 87046 |
|
706 |
674 |
$3K |
| J0692 |
Cefepime hcl for injection |
190 |
135 |
$3K |
| 87522 |
Neg quan hep c or qual rna |
41 |
41 |
$3K |
| 82542 |
|
280 |
240 |
$2K |
| J2930 |
Methylprednisolone injection |
112 |
38 |
$2K |
| 86592 |
|
690 |
665 |
$2K |
| J3475 |
Inj magnesium sulfate |
370 |
331 |
$2K |
| 82985 |
|
123 |
121 |
$2K |
| 80177 |
|
203 |
189 |
$2K |
| 73040 |
|
13 |
12 |
$2K |
| S5553 |
Insulin long acting 5 u |
169 |
151 |
$2K |
| 84445 |
|
193 |
190 |
$2K |
| 24530 |
|
13 |
12 |
$2K |
| 90461 |
|
87 |
51 |
$2K |
| J7050 |
Normal saline solution infus |
2,746 |
2,033 |
$2K |
| J7121 |
5% dextrose in lac ringers |
123 |
79 |
$2K |
| 83605 |
|
149 |
144 |
$2K |
| 96127 |
|
538 |
329 |
$2K |
| 89050 |
|
416 |
378 |
$2K |
| 88313 |
|
33 |
25 |
$2K |
| S5551 |
Insulin most rapid 5 u |
173 |
151 |
$2K |
| 94760 |
|
1,093 |
589 |
$2K |
| 84702 |
|
212 |
205 |
$2K |
| 86611 |
|
53 |
50 |
$2K |
| L1210 |
Lateral thoracic extension |
12 |
12 |
$2K |
| 99394 |
|
16 |
16 |
$2K |
| 16020 |
|
12 |
12 |
$2K |
| APT02 |
|
287 |
233 |
$2K |
| 0071A |
|
77 |
71 |
$2K |
| 84681 |
|
83 |
78 |
$2K |
| APT04 |
|
193 |
178 |
$2K |
| L4396 |
Static or dynami afo pre cst |
13 |
12 |
$2K |
| 12051 |
|
18 |
17 |
$2K |
| J2430 |
Pamidronate disodium /30 mg |
79 |
78 |
$2K |
| 72072 |
|
13 |
13 |
$2K |
| 80175 |
|
118 |
114 |
$2K |
| J3301 |
Triamcinolone acet inj nos |
283 |
258 |
$2K |
| 80220 |
|
76 |
73 |
$2K |
| 82523 |
|
79 |
77 |
$2K |
| J0736 |
Inj, clindamycin phosp 300mg |
213 |
103 |
$2K |
| 93304 |
|
14 |
13 |
$1K |
| J2543 |
Piperacillin/tazobactam |
258 |
164 |
$1K |
| J1956 |
Levofloxacin injection |
127 |
99 |
$1K |
| 86999 |
|
125 |
95 |
$1K |
| 99281 |
|
27 |
14 |
$1K |
| 26720 |
|
14 |
13 |
$1K |
| 96368 |
|
143 |
139 |
$1K |
| 99232 |
|
22 |
14 |
$1K |
| 84478 |
|
574 |
437 |
$1K |
| 86200 |
|
65 |
65 |
$1K |
| L0984 |
Protect body sock ea pre ots |
15 |
15 |
$1K |
| 81403 |
|
16 |
12 |
$1K |
| L1830 |
Ko immob canvas long pre ots |
12 |
12 |
$1K |
| 90834 |
|
13 |
13 |
$1K |
| 83993 |
|
42 |
39 |
$1K |
| J7060 |
5% dextrose/water |
291 |
116 |
$1K |
| 82010 |
|
123 |
118 |
$1K |
| 85044 |
|
202 |
178 |
$1K |
| 23500 |
|
25 |
25 |
$976.43 |
| 30300 |
|
52 |
52 |
$973.53 |
| J3480 |
Inj potassium chloride |
445 |
263 |
$941.55 |
| 76857 |
|
14 |
14 |
$936.74 |
| D0120 |
|
48 |
48 |
$911.04 |
| 86684 |
|
42 |
41 |
$900.49 |
| 0124A |
|
36 |
27 |
$865.42 |
| 82239 |
|
38 |
38 |
$862.76 |
| APT09 |
|
70 |
52 |
$833.70 |
| J3489 |
Zoledronic acid 1mg |
91 |
87 |
$831.61 |
| 99211 |
|
20 |
16 |
$792.27 |
| 82139 |
|
47 |
42 |
$775.72 |
| 90715 |
|
68 |
67 |
$770.82 |
| J1940 |
Furosemide injection |
984 |
950 |
$763.07 |
| 0001A |
|
33 |
31 |
$753.84 |
| 93321 |
|
17 |
16 |
$752.80 |
| 12032 |
|
12 |
12 |
$742.94 |
| 80339 |
|
45 |
38 |
$724.94 |
| J9000 |
Doxorubicin hcl injection |
66 |
38 |
$699.87 |
| J9360 |
Vinblastine sulfate inj |
36 |
12 |
$698.92 |
| L1240 |
Lumbar derotation pad |
13 |
13 |
$694.75 |
| 87147 |
|
251 |
236 |
$677.34 |
| 0072A |
|
27 |
24 |
$671.60 |
| 81015 |
|
183 |
177 |
$618.76 |
| 84134 |
|
37 |
28 |
$583.15 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
132 |
130 |
$574.85 |
| 93010 |
|
58 |
54 |
$511.19 |
| 0053A |
|
18 |
18 |
$509.26 |
| J0461 |
Atropine sulfate injection |
221 |
181 |
$504.58 |
| 86645 |
|
25 |
25 |
$496.08 |
| 87807 |
|
30 |
30 |
$489.82 |
| 82017 |
|
37 |
30 |
$479.08 |
| 84207 |
|
15 |
14 |
$452.17 |
| 95873 |
|
33 |
30 |
$426.00 |
| APT18 |
|
29 |
27 |
$408.80 |
| 0003A |
|
19 |
19 |
$403.77 |
| 86644 |
|
26 |
26 |
$388.77 |
| 87430 |
|
26 |
25 |
$385.36 |
| 80180 |
|
53 |
52 |
$366.72 |
| 82270 |
|
105 |
94 |
$347.75 |
| 87529 |
|
12 |
12 |
$331.25 |
| 90656 |
|
120 |
120 |
$328.83 |
| 84425 |
|
13 |
12 |
$320.52 |
| 90685 |
|
67 |
64 |
$299.52 |
| 85018 |
|
143 |
136 |
$285.27 |
| 96110 |
|
26 |
25 |
$283.69 |
| 83519 |
|
13 |
12 |
$272.43 |
| 83921 |
|
14 |
13 |
$269.77 |
| 84432 |
|
13 |
12 |
$269.58 |
| J1453 |
Fosaprepitant injection |
20 |
16 |
$266.02 |
| 83918 |
|
13 |
12 |
$261.86 |
| 86255 |
|
20 |
16 |
$260.11 |
| 83150 |
|
13 |
12 |
$253.08 |
| 82950 |
|
41 |
38 |
$237.45 |
| 99053 |
|
10,020 |
9,876 |
$231.00 |
| 12013 |
|
73 |
67 |
$228.89 |
| 84630 |
|
18 |
17 |
$226.63 |
| 84210 |
|
13 |
13 |
$223.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
37 |
25 |
$212.15 |
| 87185 |
|
40 |
40 |
$208.68 |
| 84075 |
|
54 |
53 |
$207.88 |
| 82525 |
|
13 |
13 |
$197.41 |
| 84585 |
|
13 |
12 |
$192.86 |
| J3360 |
Diazepam injection |
14 |
12 |
$191.45 |
| 96161 |
|
102 |
46 |
$178.37 |
| 82465 |
|
41 |
40 |
$164.40 |
| APT08 |
|
12 |
12 |
$139.20 |
| 80299 |
|
46 |
46 |
$138.13 |
| 70355 |
|
12 |
12 |
$137.76 |
| 87184 |
|
13 |
13 |
$111.28 |
| 83721 |
|
12 |
12 |
$110.52 |
| 85046 |
|
13 |
12 |
$99.85 |
| J2920 |
Methylprednisolone injection |
18 |
14 |
$84.06 |
| 92551 |
|
42 |
24 |
$58.32 |
| 84030 |
|
12 |
12 |
$41.08 |
| 99173 |
|
92 |
84 |
$23.60 |
| 3078F |
|
553 |
402 |
$2.83 |
| 3074F |
|
463 |
321 |
$2.11 |
| 1126F |
|
190 |
165 |
$0.97 |
| 1125F |
|
133 |
112 |
$0.79 |
| 3008F |
|
1,099 |
812 |
$0.02 |
| 92608 |
|
85 |
76 |
$0.00 |
| 2001F |
|
535 |
445 |
$0.00 |
| V5008 |
Hearing screening |
63 |
60 |
$0.00 |
| 2010F |
|
534 |
444 |
$0.00 |
| 90723 |
|
14 |
12 |
$0.00 |
| 0001F |
|
260 |
232 |
$0.00 |
| 2000F |
|
105 |
92 |
$0.00 |
| 1036F |
|
104 |
94 |
$0.00 |
| D4355 |
|
13 |
13 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
17 |
14 |
$0.00 |
| 36415 |
|
44 |
41 |
$0.00 |
| 36416 |
|
29 |
28 |
$0.00 |
| 3725F |
|
38 |
32 |
$0.00 |
| 1160F |
|
320 |
217 |
$0.00 |
| G8483 |
Flu imm no admin doc rea |
288 |
247 |
$0.00 |
| 90670 |
|
31 |
27 |
$0.00 |
| 90648 |
|
31 |
27 |
$0.00 |
| 86008 |
|
58 |
58 |
$0.00 |
| 1159F |
|
235 |
147 |
$0.00 |
| 1033F |
|
189 |
171 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |