| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
85,860 |
76,359 |
$26.61M |
| 99211 |
|
390,685 |
307,935 |
$25.35M |
| 99283 |
|
94,932 |
86,878 |
$23.33M |
| 99285 |
|
22,908 |
20,352 |
$13.37M |
| 74177 |
|
33,163 |
31,433 |
$13.06M |
| 99214 |
|
169,835 |
157,466 |
$8.02M |
| T1015 |
Clinic service |
17,546 |
13,619 |
$7.43M |
| 99213 |
|
192,763 |
178,556 |
$6.89M |
| 11042 |
|
27,396 |
10,746 |
$5.25M |
| 47562 |
|
1,262 |
1,235 |
$4.62M |
| J9271 |
Inj pembrolizumab |
501 |
382 |
$4.28M |
| 99282 |
|
23,529 |
21,518 |
$4.18M |
| 74176 |
|
13,014 |
12,288 |
$4.13M |
| 77067 |
|
41,404 |
40,358 |
$3.68M |
| 42820 |
|
877 |
862 |
$3.33M |
| 43239 |
|
13,369 |
12,762 |
$3.21M |
| 45380 |
|
4,948 |
4,750 |
$3.05M |
| 96365 |
|
45,025 |
26,712 |
$2.82M |
| 27447 |
|
866 |
779 |
$2.61M |
| 47563 |
|
527 |
496 |
$2.54M |
| 76856 |
|
20,545 |
19,979 |
$2.39M |
| 45385 |
|
6,242 |
5,993 |
$2.18M |
| 93458 |
|
1,379 |
1,291 |
$2.15M |
| 93306 |
|
9,707 |
8,958 |
$1.90M |
| 90460 |
|
30,772 |
29,449 |
$1.86M |
| 99202 |
|
59,173 |
56,366 |
$1.84M |
| 70450 |
|
33,227 |
30,785 |
$1.70M |
| 58661 |
|
317 |
310 |
$1.69M |
| 45378 |
|
3,189 |
3,069 |
$1.67M |
| 95004 |
|
1,676 |
1,641 |
$1.65M |
| 76641 |
|
16,008 |
15,617 |
$1.64M |
| 70553 |
|
5,369 |
4,874 |
$1.46M |
| J0129 |
Abatacept injection |
1,125 |
976 |
$1.44M |
| 20611 |
|
10,855 |
7,915 |
$1.43M |
| 49083 |
|
5,901 |
2,983 |
$1.41M |
| 96372 |
|
63,062 |
46,600 |
$1.41M |
| 88305 |
|
43,789 |
40,742 |
$1.36M |
| 99232 |
|
34,593 |
15,501 |
$1.36M |
| 99203 |
|
28,093 |
27,159 |
$1.35M |
| 72125 |
|
9,550 |
8,767 |
$1.31M |
| 99281 |
|
15,295 |
14,581 |
$1.30M |
| 19083 |
|
1,066 |
973 |
$1.24M |
| 76819 |
|
10,333 |
7,514 |
$1.24M |
| 99233 |
Prolong inpt eval add15 m |
21,495 |
9,608 |
$1.22M |
| 99204 |
|
17,034 |
16,492 |
$1.20M |
| 76700 |
|
16,584 |
16,168 |
$1.17M |
| 99212 |
|
29,936 |
27,534 |
$1.14M |
| 76805 |
|
11,236 |
10,464 |
$1.14M |
| 76815 |
|
5,145 |
3,366 |
$1.13M |
| U0003 |
Cov-19 amp prb hgh thruput |
14,395 |
13,523 |
$1.12M |
| 01967 |
|
2,254 |
2,232 |
$1.10M |
| 92587 |
|
5,609 |
5,308 |
$1.10M |
| 11045 |
|
3,448 |
1,340 |
$1.08M |
| 59025 |
|
30,604 |
17,639 |
$1.03M |
| 87636 |
|
13,110 |
12,465 |
$1.02M |
| 76811 |
|
5,021 |
4,829 |
$1.02M |
| 76817 |
|
8,882 |
7,643 |
$976K |
| 84439 |
|
26,838 |
25,765 |
$954K |
| G0463 |
Hospital outpt clinic visit |
92,270 |
67,795 |
$921K |
| 71275 |
|
5,451 |
5,154 |
$870K |
| J9355 |
Inj trastuzumab excl biosimi |
262 |
105 |
$840K |
| 99391 |
|
14,407 |
14,076 |
$822K |
| G0378 |
Hospital observation per hr |
68,728 |
29,070 |
$815K |
| 20610 |
|
5,421 |
4,137 |
$811K |
| 71046 |
|
54,770 |
51,599 |
$810K |
| 80053 |
|
212,299 |
170,040 |
$782K |
| 99239 |
|
12,905 |
12,424 |
$759K |
| 58558 |
|
394 |
382 |
$740K |
| 76816 |
|
9,892 |
8,856 |
$721K |
| 99215 |
Prolong outpt/office vis |
11,164 |
9,579 |
$689K |
| 99460 |
|
9,701 |
9,560 |
$680K |
| 36902 |
|
944 |
854 |
$678K |
| 99392 |
|
10,672 |
10,533 |
$672K |
| 78815 |
|
1,410 |
1,348 |
$656K |
| 77080 |
|
12,635 |
12,098 |
$654K |
| 99222 |
|
8,707 |
8,388 |
$650K |
| C1776 |
Joint device (implantable) |
697 |
650 |
$649K |
| 76536 |
|
9,203 |
8,987 |
$606K |
| 74178 |
|
2,019 |
1,899 |
$593K |
| J7307 |
Etonogestrel implant system |
415 |
408 |
$590K |
| 93005 |
|
82,821 |
70,589 |
$583K |
| 70496 |
|
2,065 |
1,974 |
$578K |
| 96413 |
|
8,135 |
4,704 |
$570K |
| 99291 |
|
2,447 |
932 |
$566K |
| 86900 |
|
18,197 |
16,482 |
$563K |
| 99238 |
|
9,136 |
9,002 |
$556K |
| 82306 |
|
25,510 |
24,717 |
$535K |
| 76705 |
|
15,248 |
14,771 |
$516K |
| 73110 |
|
8,265 |
6,869 |
$500K |
| 76770 |
|
9,218 |
8,906 |
$497K |
| 73630 |
|
12,115 |
11,058 |
$493K |
| 72110 |
|
5,942 |
5,829 |
$490K |
| J0897 |
Denosumab injection |
1,010 |
922 |
$489K |
| 73721 |
|
3,739 |
3,456 |
$488K |
| 88342 |
|
17,229 |
16,021 |
$477K |
| 88307 |
|
7,853 |
7,493 |
$476K |
| 73610 |
|
8,987 |
8,187 |
$458K |
| 29848 |
|
505 |
492 |
$449K |
| 77334 |
|
442 |
401 |
$442K |
| 73130 |
|
7,803 |
6,889 |
$440K |
| 73030 |
|
13,723 |
12,292 |
$438K |
| 43248 |
|
835 |
808 |
$436K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
2,624 |
2,434 |
$422K |
| 87491 |
|
17,088 |
16,553 |
$422K |
| 74183 |
|
1,702 |
1,636 |
$421K |
| 00731 |
|
2,963 |
2,905 |
$417K |
| 0202U |
|
4,956 |
4,833 |
$414K |
| 83970 |
|
5,298 |
4,979 |
$411K |
| 84403 |
|
3,783 |
3,624 |
$407K |
| 77066 |
Tomosynthesis, mammo |
5,991 |
5,873 |
$401K |
| 99201 |
|
18,637 |
17,620 |
$400K |
| 93976 |
|
11,191 |
10,826 |
$389K |
| 70551 |
|
3,435 |
3,187 |
$387K |
| 72148 |
|
3,912 |
3,670 |
$383K |
| 76801 |
|
4,838 |
4,413 |
$380K |
| 90792 |
|
3,780 |
3,267 |
$361K |
| 83036 |
|
49,297 |
47,096 |
$342K |
| 99223 |
Prolong inpt eval add15 m |
3,477 |
3,323 |
$325K |
| 00811 |
|
2,557 |
2,494 |
$315K |
| J9202 |
Goserelin acetate implant |
544 |
500 |
$314K |
| 73560 |
|
7,383 |
6,300 |
$295K |
| 94060 |
|
1,395 |
1,335 |
$288K |
| 90677 |
|
2,216 |
2,152 |
$286K |
| 73221 |
|
2,444 |
2,256 |
$283K |
| J1439 |
Inj ferric carboxymaltos 1mg |
474 |
288 |
$280K |
| 76830 |
|
17,866 |
17,385 |
$276K |
| 77412 |
|
2,469 |
243 |
$276K |
| J0881 |
Darbepoetin alfa, non-esrd |
2,241 |
1,617 |
$272K |
| 99244 |
|
2,002 |
1,964 |
$264K |
| 93798 |
|
3,120 |
511 |
$261K |
| 73562 |
|
9,451 |
8,468 |
$255K |
| 72100 |
|
5,500 |
5,320 |
$252K |
| 93970 |
|
2,392 |
2,270 |
$246K |
| C9600 |
Perc drug-el cor stent sing |
41 |
38 |
$243K |
| 72131 |
|
1,335 |
1,244 |
$241K |
| 77427 |
|
2,092 |
887 |
$234K |
| 73564 |
|
3,014 |
2,566 |
$233K |
| 77063 |
|
30,075 |
29,399 |
$229K |
| 96415 |
|
2,807 |
1,919 |
$228K |
| 95117 |
|
7,612 |
3,432 |
$226K |
| 44970 |
|
41 |
40 |
$219K |
| 99393 |
|
3,445 |
3,396 |
$218K |
| 77065 |
Tomosynthesis, mammo |
6,521 |
6,042 |
$217K |
| 36430 |
|
2,659 |
1,913 |
$216K |
| 96374 |
|
45,783 |
39,520 |
$215K |
| 99219 |
|
3,224 |
3,003 |
$212K |
| 31575 |
|
1,900 |
1,818 |
$208K |
| 71260 |
|
6,208 |
5,732 |
$208K |
| 90832 |
|
3,392 |
2,831 |
$197K |
| 71045 |
|
56,461 |
50,911 |
$197K |
| 95165 |
|
564 |
310 |
$194K |
| 77385 |
|
708 |
63 |
$192K |
| 69436 |
|
224 |
221 |
$191K |
| 80074 |
|
3,950 |
3,797 |
$190K |
| 86003 |
|
2,470 |
1,245 |
$189K |
| 74018 |
|
7,486 |
7,126 |
$185K |
| 93454 |
|
162 |
145 |
$182K |
| 76818 |
|
3,006 |
2,212 |
$182K |
| 71250 |
|
3,723 |
3,490 |
$178K |
| 72141 |
|
1,121 |
1,054 |
$178K |
| 58301 |
|
571 |
558 |
$177K |
| J7300 |
Intra copp contra (paragard) |
144 |
144 |
$174K |
| 93971 |
|
4,484 |
4,211 |
$172K |
| 73502 |
|
5,784 |
5,097 |
$168K |
| 77014 |
|
7,186 |
922 |
$165K |
| 58670 |
|
38 |
38 |
$165K |
| 96366 |
|
5,658 |
3,489 |
$162K |
| 80307 |
|
22,198 |
19,950 |
$159K |
| 0450 |
|
3,163 |
2,729 |
$157K |
| 36561 |
|
87 |
84 |
$156K |
| 88341 |
|
4,081 |
3,616 |
$154K |
| 30520 |
|
62 |
62 |
$152K |
| 90834 |
|
1,635 |
1,283 |
$151K |
| 87625 |
|
1,032 |
789 |
$151K |
| 74174 |
|
484 |
446 |
$149K |
| 76870 |
|
2,894 |
2,778 |
$147K |
| 99395 |
|
2,063 |
2,020 |
$139K |
| 70486 |
|
2,800 |
2,596 |
$139K |
| 69210 |
|
2,566 |
2,419 |
$139K |
| J2469 |
Palonosetron hcl |
2,969 |
1,876 |
$138K |
| 99217 |
|
3,716 |
3,478 |
$137K |
| 77012 |
|
184 |
163 |
$129K |
| 91200 |
|
1,987 |
1,960 |
$128K |
| 73140 |
|
2,467 |
2,225 |
$127K |
| 90671 |
|
1,985 |
1,976 |
$125K |
| 31231 |
|
882 |
868 |
$124K |
| 84146 |
|
4,233 |
3,948 |
$123K |
| 73080 |
|
3,035 |
2,702 |
$123K |
| 52000 |
|
900 |
877 |
$122K |
| J1745 |
Infliximab not biosimil 10mg |
47 |
40 |
$120K |
| 94010 |
|
1,114 |
1,065 |
$120K |
| J9217 |
Leuprolide acetate suspnsion |
364 |
332 |
$116K |
| J7298 |
Mirena, 52 mg |
170 |
167 |
$115K |
| 72197 |
|
496 |
468 |
$114K |
| 73590 |
|
4,156 |
3,753 |
$113K |
| 72050 |
|
2,158 |
2,106 |
$111K |
| 74170 |
|
583 |
545 |
$109K |
| 83690 |
|
51,815 |
45,270 |
$109K |
| 74246 |
|
730 |
723 |
$108K |
| 85025 |
|
206,775 |
158,304 |
$105K |
| 72170 |
|
3,282 |
3,062 |
$103K |
| 90791 |
|
1,028 |
963 |
$99K |
| 76642 |
|
1,295 |
1,275 |
$99K |
| 99394 |
|
1,332 |
1,321 |
$97K |
| H0031 |
Mh health assess by non-md |
696 |
655 |
$94K |
| 72040 |
|
2,315 |
2,240 |
$94K |
| 77049 |
|
260 |
254 |
$93K |
| 96361 |
|
16,258 |
14,551 |
$93K |
| 72082 |
|
927 |
913 |
$92K |
| 78306 |
|
451 |
428 |
$91K |
| 95816 |
|
520 |
509 |
$91K |
| 96360 |
|
9,724 |
8,821 |
$91K |
| 73090 |
|
3,206 |
2,795 |
$88K |
| 90471 |
|
16,103 |
15,348 |
$87K |
| 87633 |
|
1,562 |
1,507 |
$86K |
| 43235 |
|
174 |
166 |
$83K |
| 80048 |
|
42,463 |
31,767 |
$83K |
| 84702 |
|
10,371 |
8,110 |
$81K |
| 83013 |
|
2,209 |
2,173 |
$81K |
| 93880 |
|
1,532 |
1,432 |
$79K |
| 86803 |
|
8,016 |
7,815 |
$78K |
| 96375 |
|
42,117 |
34,401 |
$78K |
| J7297 |
Liletta, 52 mg |
202 |
197 |
$78K |
| J3489 |
Zoledronic acid 1mg |
1,202 |
1,095 |
$78K |
| 94640 |
|
14,289 |
9,008 |
$75K |
| G0279 |
Tomosynthesis, mammo |
9,362 |
9,202 |
$74K |
| 90651 |
|
3,024 |
2,920 |
$73K |
| 70491 |
|
745 |
708 |
$72K |
| 92004 |
|
1,319 |
1,258 |
$72K |
| 99243 |
|
874 |
856 |
$70K |
| 87624 |
|
7,357 |
7,218 |
$69K |
| 96523 |
|
1,772 |
1,349 |
$68K |
| 74019 |
|
1,600 |
1,531 |
$66K |
| 82607 |
|
10,598 |
10,178 |
$66K |
| 30901 |
|
533 |
508 |
$65K |
| 73620 |
|
1,761 |
1,615 |
$65K |
| 90670 |
|
8,998 |
8,752 |
$61K |
| 99220 |
|
785 |
713 |
$61K |
| 20550 |
|
226 |
219 |
$60K |
| 51729 |
|
97 |
95 |
$59K |
| 99254 |
|
484 |
475 |
$59K |
| 87637 |
|
5,226 |
5,067 |
$58K |
| 51702 |
|
2,518 |
2,197 |
$57K |
| 88141 |
|
2,497 |
2,381 |
$57K |
| 90853 |
|
1,271 |
187 |
$56K |
| 93010 |
|
9,252 |
8,551 |
$56K |
| 59400 |
|
36 |
36 |
$56K |
| G0121 |
Colon ca scrn not hi rsk ind |
116 |
110 |
$56K |
| 97140 |
|
669 |
234 |
$55K |
| 73552 |
|
2,383 |
2,168 |
$55K |
| C1874 |
Stent, coated/cov w/del sys |
403 |
350 |
$54K |
| 83880 |
|
24,511 |
21,057 |
$54K |
| 72070 |
|
1,553 |
1,511 |
$54K |
| A4648 |
Implantable tissue marker |
691 |
623 |
$54K |
| 11043 |
|
260 |
134 |
$53K |
| 76820 |
|
4,244 |
3,138 |
$53K |
| 76942 |
|
812 |
764 |
$51K |
| 76882 |
|
738 |
720 |
$50K |
| 88304 |
|
10,025 |
9,655 |
$49K |
| 58100 |
|
211 |
205 |
$49K |
| J0561 |
Penicillin g benzathine inj |
189 |
129 |
$49K |
| 81511 |
|
619 |
614 |
$49K |
| 73000 |
|
643 |
566 |
$48K |
| 84153 |
|
3,543 |
3,359 |
$48K |
| 84443 |
|
49,454 |
47,001 |
$48K |
| 82378 |
|
2,213 |
2,030 |
$48K |
| 73700 |
|
580 |
548 |
$48K |
| 99205 |
Prolong outpt/office vis |
537 |
522 |
$47K |
| 92134 |
|
2,523 |
2,336 |
$47K |
| 73521 |
|
1,580 |
1,521 |
$46K |
| 73060 |
|
1,853 |
1,612 |
$46K |
| 95115 |
|
1,481 |
705 |
$46K |
| 78452 |
|
64 |
60 |
$45K |
| Q5106 |
Inj retacrit non-esrd use |
628 |
395 |
$45K |
| 20606 |
|
161 |
148 |
$45K |
| 87661 |
|
4,080 |
3,972 |
$45K |
| 10060 |
|
856 |
814 |
$44K |
| 82533 |
|
1,704 |
1,358 |
$41K |
| 87086 |
|
56,372 |
50,842 |
$40K |
| 76813 |
|
1,242 |
1,204 |
$40K |
| 76821 |
|
2,857 |
2,016 |
$39K |
| 99462 |
|
1,237 |
1,173 |
$38K |
| 99231 |
|
1,701 |
781 |
$38K |
| 73565 |
|
1,515 |
1,483 |
$38K |
| 92014 |
|
948 |
859 |
$38K |
| 80069 |
|
7,234 |
6,127 |
$37K |
| 82728 |
|
11,121 |
10,492 |
$37K |
| 92504 |
|
9,473 |
8,539 |
$36K |
| 88185 |
|
183 |
173 |
$35K |
| 51798 |
|
2,168 |
1,939 |
$35K |
| 87507 |
|
255 |
252 |
$35K |
| 81001 |
|
105,533 |
92,892 |
$34K |
| 93303 |
|
158 |
138 |
$33K |
| 80061 |
|
44,823 |
42,887 |
$33K |
| 99396 |
|
404 |
402 |
$32K |
| 86480 |
|
777 |
749 |
$31K |
| 73070 |
|
964 |
888 |
$31K |
| 00813 |
|
234 |
232 |
$30K |
| 74022 |
|
7,140 |
6,509 |
$30K |
| 96411 |
|
683 |
457 |
$30K |
| 99255 |
|
178 |
175 |
$29K |
| 95819 |
|
168 |
165 |
$29K |
| 73100 |
|
605 |
571 |
$29K |
| J1756 |
Iron sucrose injection |
4,124 |
1,567 |
$29K |
| 71270 |
|
309 |
296 |
$29K |
| 76881 |
|
358 |
348 |
$29K |
| 43775 |
|
36 |
30 |
$28K |
| J1453 |
Fosaprepitant injection |
831 |
576 |
$28K |
| 88175 |
|
13,553 |
13,329 |
$27K |
| 74230 |
|
254 |
247 |
$27K |
| 82950 |
|
3,665 |
3,632 |
$26K |
| P9047 |
Albumin (human), 25%, 50ml |
3,495 |
1,429 |
$26K |
| J0490 |
Belimumab injection |
29 |
12 |
$26K |
| 99381 |
|
417 |
411 |
$26K |
| 11982 |
|
75 |
72 |
$24K |
| 70498 |
|
1,985 |
1,901 |
$24K |
| 87046 |
|
2,818 |
1,327 |
$24K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
43,629 |
38,967 |
$24K |
| 78227 |
|
62 |
62 |
$24K |
| 90837 |
|
311 |
202 |
$23K |
| 87340 |
|
7,342 |
7,060 |
$23K |
| G0268 |
Removal of impacted wax md |
2,857 |
2,630 |
$23K |
| 93925 |
|
259 |
252 |
$22K |
| 87186 |
|
16,604 |
14,044 |
$22K |
| 92557 |
|
5,024 |
4,732 |
$22K |
| 97110 |
|
1,472 |
908 |
$22K |
| 86800 |
|
1,611 |
1,532 |
$22K |
| 74241 |
|
111 |
109 |
$21K |
| 85027 |
|
55,010 |
46,791 |
$21K |
| 43244 |
|
25 |
25 |
$21K |
| 25600 |
|
139 |
135 |
$20K |
| 74220 |
|
183 |
173 |
$20K |
| 84480 |
|
3,871 |
3,736 |
$20K |
| 72158 |
|
98 |
93 |
$20K |
| 84484 |
|
76,988 |
51,649 |
$20K |
| 87522 |
Neg quan hep c or qual rna |
966 |
845 |
$20K |
| 96417 |
|
2,213 |
1,423 |
$19K |
| 82951 |
|
989 |
967 |
$19K |
| 99225 |
|
678 |
447 |
$19K |
| 87490 |
|
6,460 |
6,244 |
$19K |
| 88112 |
|
2,091 |
1,923 |
$19K |
| 97161 |
|
4,494 |
4,043 |
$19K |
| 20600 |
|
112 |
99 |
$19K |
| 29075 |
|
365 |
342 |
$19K |
| 19081 |
|
12 |
12 |
$19K |
| 20605 |
|
83 |
78 |
$18K |
| 83520 |
|
3,266 |
2,494 |
$18K |
| C8908 |
Mri w/o fol w/cont, breast, |
74 |
68 |
$18K |
| 29125 |
|
1,290 |
1,181 |
$18K |
| 90472 |
|
1,362 |
1,345 |
$18K |
| 64483 |
|
26 |
25 |
$17K |
| 83735 |
|
67,247 |
51,695 |
$17K |
| 96367 |
|
7,702 |
4,454 |
$17K |
| Q5111 |
Injection, udenyca 0.5 mg |
30 |
24 |
$17K |
| 85730 |
|
34,290 |
29,610 |
$17K |
| 76000 |
|
2,705 |
2,577 |
$17K |
| 11750 |
|
44 |
44 |
$17K |
| 73660 |
|
495 |
479 |
$17K |
| 73600 |
|
526 |
484 |
$17K |
| 92015 |
|
818 |
794 |
$16K |
| 0077U |
|
702 |
655 |
$16K |
| 70544 |
|
863 |
779 |
$16K |
| 99499 |
|
246 |
210 |
$15K |
| 87389 |
|
2,640 |
2,589 |
$15K |
| 88361 |
|
123 |
106 |
$15K |
| 99152 |
|
10,157 |
9,067 |
$15K |
| 76377 |
|
213 |
209 |
$15K |
| 75574 |
|
143 |
133 |
$14K |
| 90619 |
|
639 |
616 |
$14K |
| G0103 |
Psa screening |
525 |
515 |
$14K |
| 62323 |
|
119 |
110 |
$14K |
| 87081 |
|
6,910 |
6,743 |
$14K |
| 83655 |
|
1,955 |
1,925 |
$14K |
| 77074 |
|
117 |
115 |
$14K |
| 80320 |
|
13,071 |
11,445 |
$13K |
| 12001 |
|
1,529 |
1,486 |
$13K |
| J1815 |
Insulin injection |
10,490 |
7,499 |
$13K |
| 86920 |
|
1,662 |
828 |
$13K |
| 97597 |
|
680 |
347 |
$12K |
| 87798 |
|
5,088 |
4,975 |
$12K |
| J0585 |
Injection,onabotulinumtoxina |
13 |
13 |
$12K |
| 71271 |
|
383 |
354 |
$12K |
| 84520 |
|
3,785 |
3,236 |
$12K |
| 99253 |
|
142 |
140 |
$12K |
| 84305 |
|
314 |
307 |
$12K |
| 77338 |
|
67 |
66 |
$12K |
| 95911 |
|
37 |
35 |
$12K |
| 77300 |
|
922 |
891 |
$12K |
| 71101 |
|
816 |
780 |
$11K |
| 36821 |
|
13 |
13 |
$11K |
| 97605 |
|
364 |
126 |
$11K |
| 99218 |
|
212 |
206 |
$11K |
| 00790 |
|
27 |
25 |
$11K |
| 86850 |
|
18,014 |
16,361 |
$10K |
| 38505 |
|
13 |
12 |
$10K |
| 99221 |
|
193 |
189 |
$10K |
| 84030 |
|
1,340 |
1,293 |
$10K |
| 11044 |
|
26 |
14 |
$10K |
| 99350 |
Prolong home eval add 15m |
188 |
167 |
$10K |
| 97530 |
|
3,758 |
2,523 |
$10K |
| 99497 |
|
475 |
392 |
$10K |
| 77001 |
|
1,298 |
1,146 |
$10K |
| 80076 |
|
4,239 |
4,008 |
$10K |
| 86334 |
|
322 |
266 |
$10K |
| C1769 |
Guide wire |
10,673 |
7,712 |
$10K |
| 86341 |
|
117 |
83 |
$10K |
| J0885 |
Epoetin alfa, non-esrd |
331 |
247 |
$10K |
| 87481 |
|
9,425 |
4,758 |
$10K |
| 57454 |
|
477 |
473 |
$9K |
| 36589 |
|
29 |
25 |
$9K |
| J2997 |
Alteplase recombinant |
17 |
13 |
$9K |
| J7030 |
Normal saline solution infus |
88,960 |
57,388 |
$9K |
| 58300 |
|
1,053 |
1,032 |
$9K |
| 81025 |
|
29,319 |
27,380 |
$9K |
| 92083 |
|
161 |
153 |
$9K |
| J9171 |
Docetaxel injection |
47 |
26 |
$9K |
| 84445 |
|
1,200 |
1,187 |
$9K |
| 87653 |
|
2,788 |
2,746 |
$9K |
| 85652 |
|
13,909 |
12,996 |
$9K |
| 99442 |
|
384 |
358 |
$9K |
| M0247 |
Sotrovimab infusion |
17 |
17 |
$8K |
| 01961 |
|
25 |
25 |
$8K |
| 77301 |
|
13 |
13 |
$8K |
| M0243 |
Casirivi and imdevi inj |
33 |
32 |
$8K |
| 93295 |
|
347 |
329 |
$8K |
| 82274 |
|
2,012 |
1,522 |
$8K |
| J2790 |
Rho d immune globulin inj |
161 |
158 |
$8K |
| 97116 |
|
4,449 |
3,303 |
$8K |
| 85610 |
|
60,650 |
48,045 |
$8K |
| 99226 |
|
176 |
125 |
$8K |
| 82670 |
|
2,028 |
1,991 |
$8K |
| 81003 |
|
64,974 |
44,880 |
$8K |
| 19000 |
|
26 |
25 |
$8K |
| 99235 |
|
93 |
92 |
$8K |
| 88313 |
|
1,576 |
1,491 |
$8K |
| 77263 |
|
67 |
67 |
$7K |
| 83516 |
|
2,300 |
1,688 |
$7K |
| 99463 |
|
95 |
90 |
$7K |
| 88311 |
|
1,895 |
1,740 |
$7K |
| 97803 |
|
134 |
128 |
$7K |
| 90732 |
|
1,128 |
1,069 |
$7K |
| 70360 |
|
249 |
239 |
$7K |
| 86703 |
|
6,375 |
6,181 |
$7K |
| 86255 |
|
1,148 |
1,069 |
$7K |
| 85379 |
|
5,173 |
4,779 |
$7K |
| 82962 |
|
107,436 |
43,252 |
$7K |
| 93017 |
|
123 |
122 |
$7K |
| 32555 |
|
120 |
88 |
$7K |
| 99443 |
|
236 |
226 |
$7K |
| 85060 |
|
395 |
373 |
$7K |
| 87070 |
|
7,936 |
6,833 |
$7K |
| 85018 |
|
8,443 |
6,888 |
$7K |
| 00812 |
|
46 |
42 |
$7K |
| P9016 |
Rbc leukocytes reduced |
1,342 |
1,063 |
$7K |
| 77077 |
|
47 |
47 |
$7K |
| 84134 |
|
1,080 |
1,051 |
$7K |
| 82550 |
|
36,812 |
26,240 |
$6K |
| 72072 |
|
298 |
294 |
$6K |
| Q0138 |
Ferumoxytol, non-esrd |
55 |
38 |
$6K |
| 74240 |
|
27 |
27 |
$6K |
| 82553 |
|
27,597 |
18,915 |
$6K |
| 73120 |
|
85 |
77 |
$6K |
| 87635 |
|
817 |
767 |
$6K |
| 97542 |
|
148 |
137 |
$6K |
| 0251 |
|
1,874 |
485 |
$6K |
| 81596 |
|
81 |
80 |
$6K |
| 88374 |
|
30 |
27 |
$6K |
| 92567 |
|
10,496 |
9,965 |
$6K |
| 92586 |
|
44 |
42 |
$6K |
| 72080 |
|
159 |
158 |
$6K |
| 29515 |
|
204 |
174 |
$6K |
| 82731 |
|
516 |
483 |
$6K |
| 76376 |
|
302 |
298 |
$6K |
| 95251 |
|
230 |
227 |
$6K |
| 60100 |
|
12 |
12 |
$5K |
| 82248 |
|
1,955 |
1,470 |
$5K |
| 87077 |
|
19,522 |
14,812 |
$5K |
| 87880 |
|
8,928 |
8,622 |
$5K |
| 86769 |
|
257 |
238 |
$5K |
| 87075 |
|
4,692 |
3,994 |
$5K |
| 87640 |
|
419 |
402 |
$5K |
| 69209 |
|
79 |
75 |
$5K |
| 29065 |
|
105 |
92 |
$5K |
| 90734 |
|
1,440 |
1,364 |
$5K |
| 12002 |
|
591 |
562 |
$5K |
| 12011 |
|
813 |
786 |
$5K |
| 72220 |
|
138 |
137 |
$5K |
| G0480 |
Drug test def 1-7 classes |
1,490 |
1,139 |
$5K |
| 99348 |
|
235 |
185 |
$5K |
| 99245 |
|
27 |
27 |
$5K |
| 93296 |
|
166 |
157 |
$5K |
| G0257 |
Unsched dialysis esrd pt hos |
891 |
510 |
$4K |
| 67028 |
|
85 |
64 |
$4K |
| 80329 |
|
5,421 |
4,680 |
$4K |
| 86923 |
|
450 |
269 |
$4K |
| 90715 |
|
10,814 |
10,389 |
$4K |
| 90710 |
|
4,582 |
4,497 |
$4K |
| 93922 |
|
256 |
239 |
$4K |
| 83001 |
|
3,241 |
3,175 |
$4K |
| 30140 |
|
56 |
54 |
$4K |
| 87040 |
|
16,270 |
8,800 |
$4K |
| 83605 |
|
16,032 |
12,852 |
$4K |
| 87426 |
|
393 |
377 |
$4K |
| 52356 |
|
12 |
12 |
$4K |
| 77290 |
|
12 |
12 |
$4K |
| 90621 |
|
459 |
450 |
$4K |
| J3490 |
Drugs unclassified injection |
968 |
232 |
$4K |
| 92552 |
|
1,373 |
1,332 |
$4K |
| 72128 |
|
210 |
197 |
$4K |
| 87493 |
|
330 |
303 |
$4K |
| 51797 |
|
228 |
225 |
$4K |
| 87590 |
|
6,461 |
6,244 |
$4K |
| 97760 |
|
72 |
68 |
$3K |
| 82150 |
|
16,841 |
14,751 |
$3K |
| 94729 |
|
935 |
884 |
$3K |
| 90381 |
|
166 |
158 |
$3K |
| 97162 |
|
1,793 |
1,627 |
$3K |
| 84703 |
|
13,649 |
12,780 |
$3K |
| 31500 |
|
190 |
171 |
$3K |
| 76812 |
|
36 |
35 |
$3K |
| 86235 |
|
251 |
171 |
$3K |
| 88302 |
|
1,122 |
1,087 |
$3K |
| 92610 |
|
673 |
615 |
$3K |
| 99418 |
Prolong nursin fac eval 15m |
76 |
41 |
$3K |
| G0008 |
Admin influenza virus vac |
2,645 |
2,417 |
$3K |
| 83550 |
|
9,027 |
8,563 |
$3K |
| 73650 |
|
41 |
38 |
$3K |
| 87631 |
|
389 |
362 |
$3K |
| G0447 |
Behavior counsel obesity 15m |
1,302 |
1,242 |
$3K |
| 99383 |
|
41 |
41 |
$3K |
| 88312 |
|
446 |
415 |
$3K |
| 86038 |
|
3,340 |
3,168 |
$3K |
| 87209 |
|
502 |
447 |
$3K |
| 82746 |
|
5,378 |
5,158 |
$3K |
| 72146 |
|
51 |
51 |
$3K |
| 84144 |
|
1,028 |
1,009 |
$3K |
| 88360 |
|
12 |
12 |
$3K |
| 11730 |
|
13 |
13 |
$3K |
| 86592 |
|
13,611 |
13,221 |
$3K |
| 87538 |
|
12 |
12 |
$3K |
| 85007 |
|
8,291 |
6,776 |
$3K |
| 0636 |
|
285 |
116 |
$3K |
| J0131 |
Inj, acetaminophen (nos) |
11,000 |
9,678 |
$3K |
| 94726 |
|
690 |
661 |
$3K |
| 36415 |
|
344,395 |
248,038 |
$2K |
| 86359 |
|
14 |
12 |
$2K |
| J2405 |
Ondansetron hcl injection |
52,183 |
39,253 |
$2K |
| 96380 |
|
270 |
266 |
$2K |
| 82671 |
|
41 |
39 |
$2K |
| 99349 |
|
69 |
57 |
$2K |
| 29405 |
|
16 |
13 |
$2K |
| 75716 |
|
28 |
27 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
39,560 |
33,395 |
$2K |
| P9021 |
Red blood cells unit |
341 |
270 |
$2K |
| 90380 |
|
141 |
137 |
$2K |
| J2270 |
Morphine sulfate injection |
21,747 |
15,490 |
$2K |
| 82390 |
|
554 |
544 |
$2K |
| 99385 |
|
28 |
28 |
$2K |
| J7120 |
Ringers lactate infusion |
50,142 |
42,526 |
$2K |
| 29085 |
|
70 |
64 |
$2K |
| 84132 |
|
2,805 |
2,317 |
$2K |
| 84145 |
|
3,747 |
3,412 |
$2K |
| 80051 |
|
85 |
77 |
$2K |
| 99457 |
|
129 |
124 |
$2K |
| 96376 |
|
11,263 |
8,033 |
$2K |
| 01810 |
|
12 |
12 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
23,234 |
14,932 |
$2K |
| J1100 |
Dexamethasone sodium phos |
33,644 |
29,338 |
$2K |
| 29105 |
|
63 |
55 |
$2K |
| 86870 |
|
42 |
26 |
$2K |
| 82803 |
|
3,184 |
2,515 |
$2K |
| 99454 |
|
56 |
55 |
$2K |
| 77280 |
|
41 |
41 |
$2K |
| 81050 |
|
1,469 |
1,081 |
$2K |
| 92523 |
|
257 |
246 |
$2K |
| 88184 |
|
181 |
173 |
$2K |
| 36907 |
|
99 |
82 |
$2K |
| 86696 |
|
469 |
243 |
$1K |
| 93923 |
|
100 |
96 |
$1K |
| 99242 |
|
25 |
25 |
$1K |
| 87536 |
|
68 |
61 |
$1K |
| 99441 |
|
147 |
140 |
$1K |
| 86762 |
|
5,233 |
5,113 |
$1K |
| 72192 |
|
39 |
39 |
$1K |
| 84597 |
|
194 |
193 |
$1K |
| J7321 |
Hyalgan supartz visco-3 dose |
1,046 |
426 |
$1K |
| 87804 |
|
4,913 |
2,370 |
$1K |
| 94660 |
|
243 |
183 |
$1K |
| 82570 |
|
6,082 |
5,567 |
$1K |
| C1894 |
Intro/sheath, non-laser |
6,781 |
5,199 |
$1K |
| 36620 |
|
50 |
38 |
$1K |
| 85613 |
|
45 |
31 |
$1K |
| 87581 |
|
1,564 |
1,509 |
$1K |
| 87486 |
|
1,564 |
1,509 |
$1K |
| J1650 |
Inj enoxaparin sodium |
9,659 |
4,449 |
$1K |
| 86140 |
|
19,080 |
17,465 |
$1K |
| 36416 |
|
83,373 |
53,886 |
$1K |
| 87147 |
|
4,674 |
2,577 |
$1K |
| G2211 |
Complex e/m visit add on |
463 |
437 |
$1K |
| 82805 |
|
1,302 |
1,097 |
$1K |
| 83883 |
|
29 |
13 |
$1K |
| 96127 |
|
156 |
155 |
$1K |
| 36600 |
|
1,189 |
1,048 |
$1K |
| 86901 |
|
18,203 |
16,487 |
$1K |
| 82140 |
|
2,762 |
2,145 |
$1K |
| 87899 |
|
2,483 |
1,201 |
$1K |
| 84100 |
|
11,871 |
9,866 |
$1K |
| 72114 |
|
12 |
12 |
$997.91 |
| J2930 |
Methylprednisolone injection |
5,075 |
3,672 |
$994.48 |
| 99336 |
|
49 |
30 |
$990.86 |
| 88720 |
|
369 |
306 |
$940.03 |
| 94727 |
|
222 |
207 |
$933.47 |
| 82043 |
|
6,738 |
6,569 |
$925.79 |
| A9579 |
Gad-base mr contrast nos,1ml |
8,305 |
7,479 |
$916.23 |
| 87338 |
|
146 |
142 |
$913.25 |
| 82103 |
|
545 |
524 |
$905.99 |
| 87591 |
|
15,318 |
14,860 |
$893.49 |
| J3475 |
Inj magnesium sulfate |
5,180 |
3,872 |
$880.45 |
| 95886 |
|
68 |
63 |
$868.88 |
| 82565 |
|
5,042 |
3,957 |
$865.87 |
| 82131 |
|
385 |
370 |
$852.87 |
| J1170 |
Hydromorphone injection |
14,657 |
9,912 |
$834.98 |
| 95813 |
|
42 |
36 |
$828.22 |
| 99252 |
|
14 |
14 |
$816.64 |
| 71100 |
|
63 |
55 |
$810.04 |
| 77336 |
|
1,444 |
586 |
$806.25 |
| 99310 |
Prolong nursin fac eval 15m |
12 |
12 |
$804.65 |
| 76857 |
|
18 |
15 |
$797.40 |
| J2543 |
Piperacillin/tazobactam |
7,337 |
3,625 |
$791.34 |
| 82784 |
|
2,565 |
2,150 |
$745.85 |
| 82575 |
|
34 |
32 |
$743.35 |
| 93297 |
|
48 |
48 |
$733.83 |
| 99001 |
|
596 |
486 |
$729.27 |
| 92081 |
|
12 |
12 |
$727.36 |
| 73020 |
|
14 |
12 |
$726.08 |
| 92133 |
|
125 |
122 |
$717.07 |
| 84432 |
|
14 |
12 |
$712.90 |
| 82010 |
|
2,406 |
2,029 |
$705.38 |
| J3370 |
Vancomycin hcl injection |
6,221 |
2,347 |
$693.17 |
| 82652 |
|
1,096 |
1,060 |
$670.82 |
| 16020 |
|
23 |
15 |
$640.19 |
| J1642 |
Inj heparin sodium per 10 u |
9,274 |
5,336 |
$637.21 |
| S0119 |
Ondansetron 4 mg |
9,171 |
8,751 |
$633.47 |
| 84425 |
|
1,409 |
1,373 |
$619.38 |
| 86300 |
|
882 |
677 |
$596.31 |
| 96402 |
|
1,708 |
1,539 |
$576.44 |
| G0379 |
Direct refer hospital observ |
76 |
71 |
$575.34 |
| J7323 |
Euflexxa inj per dose |
877 |
474 |
$575.25 |
| 70487 |
|
12 |
12 |
$564.20 |
| 83993 |
|
25 |
24 |
$564.06 |
| 84460 |
|
2,990 |
2,469 |
$546.44 |
| 87632 |
|
87 |
78 |
$541.94 |
| J2550 |
Promethazine hcl injection |
7,473 |
5,919 |
$539.52 |
| 87529 |
|
152 |
83 |
$534.79 |
| 80202 |
|
997 |
409 |
$531.49 |
| 83615 |
|
7,326 |
6,175 |
$529.68 |
| 85397 |
|
12 |
12 |
$513.26 |
| 84550 |
|
3,259 |
2,959 |
$511.67 |
| 93294 |
|
30 |
29 |
$508.33 |
| 83540 |
|
11,067 |
10,496 |
$503.06 |
| 99241 |
|
18 |
18 |
$499.30 |
| J1200 |
Diphenhydramine hcl injectio |
10,747 |
8,557 |
$497.35 |
| J0171 |
Adrenalin epinephrine inject |
2,306 |
2,114 |
$492.81 |
| A6213 |
Foam drg >16<=48 sq in w/bdr |
2,890 |
1,733 |
$492.49 |
| J7040 |
Normal saline solution infus |
10,538 |
8,509 |
$483.41 |
| 82985 |
|
1,060 |
1,032 |
$475.76 |
| J7060 |
5% dextrose/water |
7,655 |
3,795 |
$474.67 |
| 92551 |
|
106 |
104 |
$465.92 |
| 87045 |
|
1,384 |
1,295 |
$465.58 |
| 84207 |
|
1,178 |
1,144 |
$453.65 |
| 93226 |
|
19 |
14 |
$449.72 |
| 11981 |
|
385 |
374 |
$425.46 |
| 97166 |
|
512 |
461 |
$416.25 |
| 85045 |
|
1,590 |
1,503 |
$413.93 |
| 77332 |
|
24 |
24 |
$409.84 |
| 76937 |
|
143 |
126 |
$402.72 |
| J3480 |
Inj potassium chloride |
6,486 |
3,693 |
$392.39 |
| J2765 |
Metoclopramide hcl injection |
7,656 |
6,872 |
$360.02 |
| 83002 |
|
2,643 |
2,595 |
$356.17 |
| C1729 |
Cath, drainage |
3,727 |
1,953 |
$354.12 |
| J2704 |
Inj, propofol, 10 mg |
27,250 |
25,588 |
$353.63 |
| 86376 |
|
2,813 |
2,757 |
$349.90 |
| J3010 |
Fentanyl citrate injection |
37,065 |
28,126 |
$346.94 |
| J2060 |
Lorazepam injection |
5,718 |
4,499 |
$341.40 |
| 99417 |
Prolong home eval add 15m |
25 |
25 |
$340.92 |
| 90633 |
|
6,043 |
5,835 |
$340.22 |
| 86200 |
|
1,708 |
1,650 |
$340.20 |
| G0444 |
Depression screen annual |
797 |
763 |
$339.79 |
| 87177 |
|
492 |
435 |
$339.75 |
| A6212 |
Foam drg <=16 sq in w/border |
4,837 |
2,841 |
$328.17 |
| 90673 |
|
32 |
32 |
$326.16 |
| 82107 |
|
37 |
36 |
$320.94 |
| J1644 |
Inj heparin sodium per 1000u |
13,232 |
7,020 |
$311.78 |
| 82024 |
|
910 |
786 |
$302.44 |
| J1940 |
Furosemide injection |
6,550 |
3,314 |
$298.24 |
| 86706 |
|
1,344 |
1,253 |
$293.89 |
| 74420 |
|
28 |
28 |
$293.01 |
| G0296 |
Visit to determ ldct elig |
18 |
14 |
$290.83 |
| 87015 |
|
1,798 |
1,623 |
$290.42 |
| 86780 |
|
259 |
229 |
$288.85 |
| J7042 |
5% dextrose/normal saline |
3,777 |
2,357 |
$274.89 |
| 84450 |
|
2,991 |
2,470 |
$273.71 |
| 86635 |
|
212 |
168 |
$272.47 |
| J0500 |
Dicyclomine injection |
949 |
830 |
$268.85 |
| 96381 |
|
19 |
16 |
$267.82 |
| 77387 |
|
487 |
105 |
$264.35 |
| U0002 |
Covid-19 lab test non-cdc |
21 |
20 |
$262.23 |
| 86141 |
|
1,236 |
1,185 |
$259.04 |
| J0702 |
Betamethasone acet&sod phosp |
1,461 |
1,082 |
$250.40 |
| Q0162 |
Ondansetron oral |
5,487 |
4,866 |
$249.74 |
| 80164 |
|
90 |
68 |
$246.81 |
| 86364 |
|
221 |
217 |
$246.79 |
| 82627 |
|
1,697 |
1,664 |
$233.12 |
| 82105 |
|
1,564 |
1,506 |
$232.66 |
| 97165 |
|
2,591 |
2,337 |
$231.97 |
| 90662 |
|
1,908 |
1,790 |
$231.73 |
| 82947 |
|
5,655 |
5,375 |
$231.58 |
| 90686 |
|
11,783 |
11,504 |
$230.60 |
| 83014 |
|
608 |
602 |
$228.52 |
| A6210 |
Foam drg >16<=48 sq in w/o b |
742 |
412 |
$227.90 |
| 82330 |
|
471 |
410 |
$207.93 |
| 86431 |
|
1,126 |
1,097 |
$193.35 |
| 93228 |
|
13 |
12 |
$192.16 |
| 85390 |
|
91 |
65 |
$186.46 |
| J7611 |
Albuterol non-comp con |
5,579 |
4,419 |
$180.30 |
| J7050 |
Normal saline solution infus |
20,011 |
10,548 |
$179.06 |
| 0352U |
|
351 |
340 |
$178.30 |
| 85651 |
|
4,142 |
3,637 |
$172.91 |
| 85014 |
|
5,465 |
4,141 |
$172.56 |
| 36591 |
|
46 |
25 |
$171.12 |
| 83525 |
|
361 |
352 |
$170.55 |
| 82088 |
|
27 |
27 |
$167.10 |
| 82785 |
|
1,340 |
1,299 |
$166.63 |
| 86316 |
|
263 |
250 |
$166.62 |
| 84156 |
|
6,305 |
5,557 |
$164.46 |
| 88300 |
|
292 |
279 |
$155.59 |
| 84481 |
|
7,505 |
7,300 |
$150.05 |
| 92556 |
|
93 |
79 |
$148.21 |
| J0690 |
Cefazolin sodium injection |
15,148 |
12,135 |
$146.47 |
| 86593 |
|
99 |
92 |
$142.80 |
| 51741 |
|
130 |
128 |
$140.08 |
| 86147 |
|
62 |
31 |
$139.79 |
| J0689 |
Inj cefazolin sodium, baxter |
1,851 |
1,378 |
$129.90 |
| 90649 |
|
35 |
30 |
$129.85 |
| J0360 |
Hydralazine hcl injection |
4,243 |
3,068 |
$123.88 |
| 86430 |
|
1,006 |
969 |
$118.71 |
| J2250 |
Inj midazolam hydrochloride |
18,314 |
16,416 |
$115.59 |
| 83498 |
|
298 |
294 |
$114.41 |
| J1953 |
Levetiracetam injection |
1,510 |
1,113 |
$109.71 |
| 84681 |
|
382 |
372 |
$108.49 |
| J0330 |
Succinycholine chloride inj |
4,024 |
3,750 |
$103.55 |
| 90685 |
|
443 |
418 |
$101.96 |
| J1335 |
Ertapenem injection |
3,696 |
497 |
$100.58 |
| A9502 |
Tc99m tetrofosmin |
50 |
48 |
$96.84 |
| J1630 |
Haloperidol injection |
1,572 |
1,261 |
$92.10 |
| J3360 |
Diazepam injection |
733 |
651 |
$92.02 |
| 99490 |
Ccm add 20min |
71 |
62 |
$88.90 |
| A4314 |
Cath w/drainage 2-way latex |
970 |
890 |
$88.68 |
| 74300 |
|
384 |
362 |
$83.19 |
| 86146 |
|
51 |
25 |
$81.88 |
| J2274 |
Inj morphine pf epid ithc |
4,282 |
2,839 |
$72.81 |
| 99153 |
Mod sedat endo service >5yrs |
4,889 |
4,334 |
$70.75 |
| J2710 |
Neostigmine methylslfte inj |
1,758 |
1,660 |
$69.48 |
| 89051 |
|
826 |
600 |
$68.51 |
| J1956 |
Levofloxacin injection |
3,830 |
1,912 |
$65.59 |
| 82104 |
|
495 |
481 |
$62.16 |
| 97535 |
|
1,590 |
1,281 |
$61.95 |
| J7644 |
Ipratropium bromide non-comp |
5,834 |
4,356 |
$59.40 |
| 87102 |
|
82 |
67 |
$59.38 |
| 82525 |
|
273 |
270 |
$56.31 |
| Q3014 |
Telehealth facility fee |
162 |
153 |
$55.85 |
| 80197 |
|
108 |
77 |
$55.46 |
| 87076 |
|
90 |
63 |
$55.15 |
| C1725 |
Cath, translumin non-laser |
2,378 |
1,984 |
$54.52 |
| 90680 |
|
7,992 |
7,876 |
$51.15 |
| 84436 |
|
1,283 |
1,212 |
$50.00 |
| 85049 |
|
1,723 |
1,661 |
$49.24 |
| 86694 |
|
407 |
201 |
$47.50 |
| 86812 |
|
40 |
40 |
$46.68 |
| J0456 |
Azithromycin |
807 |
465 |
$46.34 |
| 82977 |
|
139 |
133 |
$45.68 |
| A9537 |
Tc99m mebrofenin |
84 |
83 |
$45.36 |
| 94002 |
|
65 |
58 |
$44.80 |
| 84630 |
|
288 |
285 |
$43.78 |
| 84255 |
|
132 |
131 |
$40.73 |
| A6223 |
Gauze >16<=48 no w/sal w/o b |
2,740 |
1,567 |
$39.72 |
| 85384 |
|
193 |
173 |
$39.64 |
| J7613 |
Albuterol non-comp unit |
2,630 |
2,157 |
$38.11 |
| 99406 |
|
866 |
814 |
$35.75 |
| 80177 |
|
13 |
13 |
$35.08 |
| J2916 |
Na ferric gluconate complex |
1,328 |
617 |
$33.96 |
| 86695 |
|
469 |
243 |
$33.62 |
| G0009 |
Admin pneumococcal vaccine |
1,101 |
1,028 |
$32.90 |
| 87210 |
|
363 |
354 |
$32.56 |
| 95012 |
|
500 |
488 |
$31.75 |
| A6209 |
Foam drsg <=16 sq in w/o bdr |
398 |
240 |
$28.89 |
| J0610 |
Calcium glucon (fresenius) |
143 |
101 |
$28.09 |
| 84165 |
|
852 |
765 |
$27.26 |
| 83037 |
|
188 |
185 |
$26.56 |
| 84244 |
|
27 |
26 |
$25.36 |
| A4353 |
Intermittent urinary cath |
1,256 |
1,095 |
$25.26 |
| 90656 |
|
1,147 |
1,133 |
$24.67 |
| J0780 |
Prochlorperazine injection |
272 |
266 |
$23.73 |
| 90688 |
|
189 |
172 |
$22.08 |
| J2175 |
Meperidine hydrochl /100 mg |
469 |
410 |
$21.82 |
| 90697 |
|
3,154 |
3,126 |
$18.38 |
| 83935 |
|
42 |
38 |
$18.11 |
| 0241U |
|
143 |
131 |
$15.80 |
| L1830 |
Ko immob canvas long pre ots |
159 |
148 |
$15.68 |
| 87420 |
|
203 |
200 |
$15.49 |
| 86704 |
|
238 |
232 |
$14.69 |
| J2360 |
Orphenadrine injection |
110 |
104 |
$14.17 |
| J1790 |
Droperidol injection |
910 |
829 |
$14.10 |
| 86225 |
|
152 |
150 |
$13.94 |
| 93325 |
|
17 |
13 |
$13.08 |
| 84466 |
|
435 |
422 |
$13.06 |
| A6222 |
Gauze <=16 in no w/sal w/o b |
1,672 |
1,570 |
$11.08 |
| J1580 |
Garamycin gentamicin inj |
266 |
233 |
$10.32 |
| 94760 |
|
13 |
13 |
$10.17 |
| J7626 |
Budesonide non-comp unit |
375 |
279 |
$9.29 |
| 86308 |
|
83 |
83 |
$8.98 |
| J1050 |
Medroxyprogesterone acetate |
179 |
177 |
$8.78 |
| J3301 |
Triamcinolone acet inj nos |
4,472 |
4,156 |
$8.53 |
| P9612 |
Catheterize for urine spec |
1,580 |
1,459 |
$8.04 |
| 99173 |
|
107 |
105 |
$6.83 |
| J7612 |
Levalbuterol non-comp con |
404 |
306 |
$6.30 |
| 82310 |
|
46 |
44 |
$5.24 |
| J3535 |
Metered dose inhaler drug |
338 |
312 |
$5.01 |
| J3420 |
Vitamin b12 injection |
2,984 |
2,439 |
$4.61 |
| 84300 |
|
58 |
51 |
$4.32 |
| J3411 |
Thiamine hcl 100 mg |
602 |
401 |
$4.17 |
| J0137 |
Inj, acetaminophen (hikma) |
1,113 |
982 |
$3.00 |
| 84155 |
|
967 |
862 |
$2.96 |
| J8540 |
Oral dexamethasone |
116 |
71 |
$2.80 |
| J7512 |
Prednisone ir or dr oral 1mg |
3,340 |
2,354 |
$2.64 |
| 84157 |
|
109 |
91 |
$2.24 |
| S0028 |
Injection, famotidine, 20 mg |
2,876 |
1,861 |
$1.77 |
| Q0163 |
Diphenhydramine hcl 50mg |
6,446 |
5,304 |
$1.17 |
| 90700 |
|
1,961 |
1,900 |
$1.00 |
| G8978 |
Mobility current status |
1,022 |
813 |
$0.85 |
| J7510 |
Prednisolone oral per 5 mg |
959 |
866 |
$0.48 |
| Q0177 |
Hydroxyzine pamoate 25mg |
1,484 |
1,167 |
$0.44 |
| G8980 |
Mobility d/c status |
684 |
567 |
$0.16 |
| G8979 |
Mobility goal status |
1,022 |
808 |
$0.16 |
| J2919 |
Inj, methylpred sod succ 5mg |
559 |
411 |
$0.07 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
307 |
153 |
$0.05 |
| J2370 |
Phenylephrine hcl injection |
1,324 |
1,135 |
$0.04 |
| J0613 |
Calcium glucon (wg critical) |
132 |
112 |
$0.01 |
| 3074F |
|
69,315 |
64,917 |
$0.00 |
| 90647 |
|
762 |
685 |
$0.00 |
| 3075F |
|
5,976 |
5,678 |
$0.00 |
| 3079F |
|
16,294 |
15,453 |
$0.00 |
| 3044F |
|
2,415 |
2,148 |
$0.00 |
| 1126F |
|
93,599 |
86,339 |
$0.00 |
| 90696 |
|
1,924 |
1,893 |
$0.00 |
| 86160 |
|
717 |
358 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
171 |
168 |
$0.00 |
| 82952 |
|
821 |
805 |
$0.00 |
| C9290 |
Inj, bupivacaine liposome |
1,374 |
1,309 |
$0.00 |
| 90698 |
|
4,839 |
4,795 |
$0.00 |
| 90723 |
|
2,018 |
1,931 |
$0.00 |
| U0005 |
Infec agen detec ampli probe |
936 |
797 |
$0.00 |
| 90744 |
|
1,878 |
1,862 |
$0.00 |
| 84402 |
|
2,701 |
2,643 |
$0.00 |
| 84446 |
|
227 |
226 |
$0.00 |
| A9503 |
Tc99m medronate |
372 |
354 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
2,046 |
1,837 |
$0.00 |
| 84154 |
|
1,155 |
1,131 |
$0.00 |
| 86301 |
|
25 |
25 |
$0.00 |
| G8987 |
Self care current status |
442 |
337 |
$0.00 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
97 |
92 |
$0.00 |
| J2920 |
Methylprednisolone injection |
233 |
124 |
$0.00 |
| C1750 |
Cath, hemodialysis,long-term |
16 |
12 |
$0.00 |
| 3080F |
|
201 |
194 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
316 |
286 |
$0.00 |
| C2617 |
Stent, non-cor, tem w/o del |
86 |
83 |
$0.00 |
| C1781 |
Mesh (implantable) |
531 |
518 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
631 |
600 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
297 |
286 |
$0.00 |
| 82945 |
|
63 |
52 |
$0.00 |
| 90716 |
|
58 |
48 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
1,235 |
1,134 |
$0.00 |
| G8988 |
Self care goal status |
440 |
336 |
$0.00 |
| 76872 |
|
14 |
12 |
$0.00 |
| G8998 |
Swallow d/c status |
157 |
131 |
$0.00 |
| 86381 |
|
340 |
333 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
346 |
204 |
$0.00 |
| A4338 |
Indwelling catheter latex |
32 |
27 |
$0.00 |
| C2627 |
Cath, suprapubic/cystoscopic |
190 |
132 |
$0.00 |
| 90622 |
|
44 |
42 |
$0.00 |
| J9267 |
Paclitaxel injection |
24 |
12 |
$0.00 |
| 83921 |
|
89 |
82 |
$0.00 |
| 45381 |
|
41 |
41 |
$0.00 |
| A9561 |
Tc99m oxidronate |
26 |
25 |
$0.00 |
| J2471 |
Inj pantoprazole(hikma) 40mg |
66 |
53 |
$0.00 |
| 90674 |
|
70 |
66 |
$0.00 |
| 93797 |
|
13 |
13 |
$0.00 |
| C1884 |
Embolization protect syst |
21 |
19 |
$0.00 |
| J2785 |
Regadenoson injection |
26 |
24 |
$0.00 |
| 64615 |
|
12 |
12 |
$0.00 |
| 94644 |
|
13 |
13 |
$0.00 |
| J0611 |
Calcium glucon (wg critical) |
25 |
14 |
$0.00 |
| 99407 |
|
13 |
13 |
$0.00 |
| J2358 |
Olanzapine long-acting inj |
26 |
25 |
$0.00 |
| J3030 |
Sumatriptan succinate / 6 mg |
15 |
14 |
$0.00 |
| J9045 |
Carboplatin injection |
43 |
28 |
$0.00 |
| A6197 |
Alginate drsg >16 <=48 sq in |
19 |
13 |
$0.00 |
| Q4081 |
Epoetin alfa, 100 units esrd |
21 |
12 |
$0.00 |
| 0500F |
|
14 |
14 |
$0.00 |
| 3078F |
|
76,042 |
70,561 |
$0.00 |
| 1159F |
|
10,937 |
9,618 |
$0.00 |
| 90648 |
|
2,858 |
2,799 |
$0.00 |
| A9552 |
F18 fdg |
989 |
954 |
$0.00 |
| 3077F |
|
7,459 |
6,943 |
$0.00 |
| G8997 |
Swallow goal status |
233 |
183 |
$0.00 |
| 86708 |
|
138 |
136 |
$0.00 |
| C1887 |
Catheter, guiding |
4,555 |
2,765 |
$0.00 |
| C1758 |
Catheter, ureteral |
2,372 |
2,114 |
$0.00 |
| C1788 |
Port, indwelling, imp |
55 |
54 |
$0.00 |
| Q0091 |
Obtaining screen pap smear |
62 |
61 |
$0.00 |
| 0502F |
|
2,430 |
1,793 |
$0.00 |
| J0701 |
Inj. cefepime hcl (baxter) |
98 |
42 |
$0.00 |
| A9541 |
Tc99m sulfur colloid |
26 |
25 |
$0.00 |
| A4565 |
Slings |
1,119 |
1,025 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
2,941 |
1,482 |
$0.00 |
| J3105 |
Terbutaline sulfate inj |
64 |
55 |
$0.00 |
| 3051F |
|
81 |
79 |
$0.00 |
| C1751 |
Cath, inf, per/cent/midline |
72 |
63 |
$0.00 |
| 85347 |
|
330 |
192 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
397 |
302 |
$0.00 |
| 86162 |
|
26 |
25 |
$0.00 |
| G8989 |
Self care d/c status |
256 |
217 |
$0.00 |
| 87641 |
|
433 |
416 |
$0.00 |
| G8996 |
Swallow current status |
232 |
184 |
$0.00 |
| 83630 |
|
58 |
52 |
$0.00 |
| 92611 |
|
162 |
158 |
$0.00 |
| 90682 |
|
82 |
75 |
$0.00 |
| 86360 |
|
14 |
12 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
537 |
528 |
$0.00 |
| 90681 |
|
140 |
140 |
$0.00 |
| 82180 |
|
180 |
178 |
$0.00 |
| J3260 |
Tobramycin sulfate injection |
100 |
72 |
$0.00 |
| A6196 |
Alginate dressing <=16 sq in |
478 |
225 |
$0.00 |
| 90746 |
|
157 |
156 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
361 |
358 |
$0.00 |
| 84112 |
|
70 |
62 |
$0.00 |
| 84590 |
|
264 |
261 |
$0.00 |
| J2185 |
Meropenem |
56 |
26 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
129 |
124 |
$0.00 |
| J3486 |
Ziprasidone mesylate |
28 |
25 |
$0.00 |
| J7614 |
Levalbuterol non-comp unit |
125 |
108 |
$0.00 |
| J0692 |
Cefepime hcl for injection |
45 |
24 |
$0.00 |
| 88325 |
|
43 |
33 |
$0.00 |
| J2310 |
Inj naloxone hydrochloride |
12 |
12 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
17 |
16 |
$0.00 |
| 51784 |
|
50 |
49 |
$0.00 |
| 77002 |
|
30 |
30 |
$0.00 |
| 70546 |
|
13 |
13 |
$0.00 |
| 90707 |
|
97 |
82 |
$0.00 |
| 90653 |
|
73 |
55 |
$0.00 |
| Q0169 |
Promethazine hcl 12.5mg oral |
35 |
30 |
$0.00 |
| 93356 |
|
65 |
64 |
$0.00 |
| 81002 |
|
40 |
38 |
$0.00 |
| J2800 |
Methocarbamol injection |
40 |
28 |
$0.00 |
| J9000 |
Doxorubicin hcl injection |
39 |
25 |
$0.00 |
| 82232 |
|
25 |
25 |
$0.00 |
| Q0144 |
Azithromycin dihydrate, oral |
20 |
18 |
$0.00 |
| J9190 |
Fluorouracil injection |
38 |
12 |
$0.00 |
| 85306 |
|
14 |
13 |
$0.00 |
| 87535 |
|
12 |
12 |
$0.00 |