| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
343,159 |
289,761 |
$65.07M |
| 99283 |
|
172,115 |
159,539 |
$31.49M |
| 99284 |
|
132,346 |
126,711 |
$23.63M |
| 99214 |
|
117,884 |
107,210 |
$21.33M |
| 99285 |
|
91,521 |
87,526 |
$15.12M |
| G9005 |
Mccd, risk adj, maintenance |
42,846 |
42,266 |
$13.16M |
| 96361 |
|
43,901 |
40,573 |
$12.73M |
| 99212 |
|
65,594 |
55,404 |
$12.47M |
| T1016 |
Case management |
42,778 |
42,778 |
$9.91M |
| J9271 |
Inj pembrolizumab |
1,121 |
912 |
$8.98M |
| J1745 |
Infliximab not biosimil 10mg |
2,733 |
2,460 |
$7.11M |
| 99391 |
|
33,934 |
31,615 |
$6.22M |
| 92012 |
|
43,990 |
35,072 |
$5.41M |
| 76700 |
|
9,155 |
8,957 |
$5.35M |
| J1561 |
Gamunex-c/gammaked |
3,297 |
1,281 |
$5.15M |
| 90834 |
|
27,024 |
14,007 |
$5.05M |
| 99392 |
|
26,451 |
26,334 |
$4.77M |
| 43239 |
|
7,363 |
7,313 |
$4.76M |
| 87633 |
|
63,491 |
61,477 |
$4.44M |
| 96365 |
|
31,175 |
19,471 |
$4.14M |
| 99282 |
|
22,556 |
21,680 |
$4.13M |
| 70450 |
|
14,983 |
14,435 |
$4.02M |
| 90832 |
|
25,575 |
14,310 |
$3.80M |
| 76856 |
|
5,633 |
5,363 |
$3.75M |
| 96413 |
|
23,183 |
15,744 |
$3.65M |
| 96415 |
|
6,461 |
5,055 |
$3.62M |
| 45380 |
|
4,505 |
4,469 |
$3.53M |
| 97110 |
|
37,495 |
16,686 |
$3.45M |
| 99393 |
|
17,787 |
17,718 |
$3.21M |
| 74177 |
|
12,165 |
11,901 |
$3.16M |
| 80048 |
|
216,040 |
187,282 |
$3.06M |
| 80076 |
|
138,727 |
123,637 |
$2.79M |
| J2505 |
Injection, pegfilgrastim 6mg |
1,000 |
781 |
$2.72M |
| 99215 |
Prolong outpt/office vis |
14,021 |
12,716 |
$2.59M |
| 93505 |
|
1,407 |
1,252 |
$2.55M |
| 87491 |
|
86,745 |
78,470 |
$2.43M |
| 87486 |
|
65,655 |
63,481 |
$2.43M |
| J0485 |
Belatacept injection |
3,468 |
2,950 |
$2.19M |
| 87591 |
|
87,273 |
78,453 |
$2.14M |
| J9312 |
Inj., rituximab, 10 mg |
470 |
357 |
$2.13M |
| 96360 |
|
15,467 |
15,021 |
$2.09M |
| 99394 |
|
11,426 |
11,374 |
$1.99M |
| 90791 |
|
4,428 |
3,776 |
$1.86M |
| 96366 |
|
6,959 |
5,338 |
$1.73M |
| 86850 |
|
37,859 |
34,846 |
$1.72M |
| 70553 |
|
4,221 |
4,121 |
$1.69M |
| 76770 |
|
4,354 |
4,270 |
$1.68M |
| 42820 |
|
916 |
911 |
$1.67M |
| Q5117 |
Inj., kanjinti, 10 mg |
1,007 |
685 |
$1.59M |
| 36415 |
|
310,693 |
219,674 |
$1.54M |
| 69436 |
|
930 |
928 |
$1.52M |
| 87798 |
|
68,021 |
65,495 |
$1.32M |
| 77336 |
|
3,004 |
1,471 |
$1.30M |
| 86901 |
|
45,151 |
35,744 |
$1.30M |
| 59025 |
|
4,911 |
4,396 |
$1.30M |
| Q5107 |
Inj mvasi 10 mg |
1,468 |
950 |
$1.28M |
| 87581 |
|
65,601 |
63,486 |
$1.26M |
| 93970 |
|
2,219 |
2,189 |
$1.25M |
| D0999 |
|
11,374 |
10,494 |
$1.24M |
| 87637 |
|
14,521 |
14,378 |
$1.24M |
| 86480 |
|
18,027 |
17,851 |
$1.23M |
| 47562 |
|
424 |
422 |
$1.21M |
| 77412 |
|
4,006 |
512 |
$1.16M |
| 86900 |
|
45,614 |
36,069 |
$1.13M |
| 80061 |
|
50,865 |
49,905 |
$1.11M |
| 90846 |
|
7,394 |
5,244 |
$1.10M |
| J2506 |
Inj pegfilgrast ex bio 0.5mg |
1,092 |
830 |
$1.09M |
| Q5104 |
Injection, renflexis |
766 |
627 |
$1.04M |
| 36430 |
|
2,920 |
2,045 |
$1.04M |
| 12001 |
|
2,040 |
2,022 |
$1.04M |
| J1439 |
Inj ferric carboxymaltos 1mg |
2,438 |
1,774 |
$1.03M |
| 12011 |
|
1,919 |
1,908 |
$1.01M |
| 80053 |
|
52,561 |
44,162 |
$1.00M |
| 87635 |
|
39,369 |
37,571 |
$988K |
| 90651 |
|
11,114 |
11,045 |
$978K |
| 74176 |
|
3,499 |
3,427 |
$953K |
| J7307 |
Etonogestrel implant system |
1,161 |
1,155 |
$946K |
| 72197 |
|
1,968 |
1,936 |
$944K |
| 90686 |
|
50,400 |
50,184 |
$944K |
| 96416 |
|
1,452 |
916 |
$929K |
| G0121 |
Colon ca scrn not hi rsk ind |
1,051 |
1,050 |
$896K |
| 87636 |
|
12,472 |
12,212 |
$893K |
| J2350 |
Injection, ocrelizumab, 1 mg |
50 |
38 |
$873K |
| 90847 |
|
3,418 |
2,275 |
$868K |
| 71260 |
|
4,085 |
3,986 |
$858K |
| 66984 |
|
612 |
584 |
$835K |
| 93458 |
|
549 |
544 |
$826K |
| 87661 |
|
20,139 |
19,840 |
$817K |
| 97161 |
|
5,118 |
5,070 |
$803K |
| J9144 |
Daratumumab, hyaluronidase |
267 |
167 |
$797K |
| P9040 |
Rbc leukoreduced irradiated |
1,721 |
1,332 |
$782K |
| 97140 |
|
22,064 |
9,950 |
$777K |
| 44970 |
|
246 |
243 |
$728K |
| 49650 |
|
283 |
278 |
$728K |
| 90853 |
|
7,708 |
3,506 |
$715K |
| 10060 |
|
1,939 |
1,888 |
$710K |
| 0002A |
|
18,733 |
18,701 |
$703K |
| 77067 |
|
8,969 |
8,907 |
$697K |
| 0001A |
|
20,472 |
20,418 |
$650K |
| 87651 |
|
22,209 |
21,331 |
$644K |
| 99395 |
|
3,661 |
3,623 |
$642K |
| 45385 |
|
1,376 |
1,362 |
$642K |
| 87536 |
|
11,427 |
11,101 |
$623K |
| 90837 |
|
3,215 |
1,888 |
$609K |
| 90715 |
|
24,131 |
24,047 |
$608K |
| 82306 |
|
22,273 |
21,612 |
$608K |
| 97802 |
|
13,064 |
12,853 |
$605K |
| J9306 |
Injection, pertuzumab, 1 mg |
119 |
91 |
$586K |
| 97530 |
|
4,642 |
2,755 |
$577K |
| Q5103 |
Injection, inflectra |
683 |
577 |
$575K |
| 88305 |
|
18,751 |
17,606 |
$564K |
| 19083 |
|
353 |
350 |
$563K |
| 70551 |
|
1,648 |
1,615 |
$558K |
| 99291 |
|
3,320 |
3,270 |
$536K |
| 96367 |
|
4,703 |
3,812 |
$519K |
| 99243 |
|
2,498 |
2,194 |
$517K |
| 77334 |
|
1,391 |
1,066 |
$496K |
| 96372 |
|
43,661 |
38,453 |
$496K |
| 97803 |
|
11,339 |
10,357 |
$495K |
| 83880 |
|
18,218 |
17,344 |
$483K |
| 97112 |
|
9,004 |
4,841 |
$478K |
| 54161 |
|
470 |
467 |
$476K |
| 43235 |
|
593 |
590 |
$473K |
| 99205 |
Prolong outpt/office vis |
2,695 |
2,675 |
$473K |
| 88342 |
|
8,306 |
7,637 |
$473K |
| 11982 |
|
1,188 |
1,187 |
$467K |
| 87502 |
|
11,713 |
11,446 |
$455K |
| 11981 |
|
1,088 |
1,087 |
$435K |
| 74183 |
|
2,450 |
2,408 |
$430K |
| J1726 |
Makena, 10 mg |
1,056 |
459 |
$421K |
| 88175 |
|
13,579 |
13,504 |
$406K |
| 72148 |
|
1,364 |
1,344 |
$405K |
| Q5115 |
Inj truxima 10 mg |
235 |
140 |
$404K |
| 80307 |
|
9,469 |
9,209 |
$402K |
| G0463 |
Hospital outpt clinic visit |
32,094 |
25,197 |
$398K |
| 58100 |
|
662 |
651 |
$396K |
| 87799 |
|
13,402 |
8,257 |
$388K |
| 96374 |
|
59,012 |
55,622 |
$388K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
5,106 |
4,994 |
$382K |
| 83655 |
|
25,953 |
25,861 |
$378K |
| 52356 |
|
169 |
161 |
$373K |
| 12002 |
|
714 |
708 |
$372K |
| 78452 |
|
836 |
659 |
$371K |
| 85610 |
|
73,543 |
49,618 |
$364K |
| 94375 |
|
3,315 |
3,257 |
$363K |
| 90677 |
|
5,835 |
5,831 |
$356K |
| 70496 |
|
1,258 |
1,231 |
$353K |
| 96910 |
|
4,121 |
1,023 |
$345K |
| 93454 |
|
219 |
211 |
$343K |
| 58300 |
|
2,008 |
1,993 |
$333K |
| J9035 |
Bevacizumab injection |
97 |
62 |
$331K |
| 82803 |
|
16,972 |
14,977 |
$330K |
| J0585 |
Injection,onabotulinumtoxina |
899 |
867 |
$326K |
| 11900 |
|
990 |
970 |
$324K |
| 71250 |
|
2,657 |
2,589 |
$314K |
| P9016 |
Rbc leukocytes reduced |
649 |
513 |
$312K |
| 93451 |
|
156 |
154 |
$311K |
| 88307 |
|
4,388 |
4,146 |
$307K |
| J9355 |
Inj trastuzumab excl biosimi |
101 |
64 |
$299K |
| 88184 |
|
3,889 |
3,720 |
$292K |
| 77386 |
|
1,736 |
177 |
$290K |
| 93460 |
|
154 |
151 |
$286K |
| J0185 |
Inj., aprepitant, 1 mg |
3,363 |
2,276 |
$285K |
| J3490 |
Drugs unclassified injection |
2,892 |
1,981 |
$285K |
| OP370 |
|
725 |
597 |
$283K |
| 77300 |
|
1,268 |
1,087 |
$280K |
| 97162 |
|
1,599 |
1,593 |
$279K |
| 71046 |
|
49,863 |
48,130 |
$279K |
| OP710 |
|
1,223 |
955 |
$276K |
| 90882 |
|
3,071 |
2,026 |
$270K |
| J0741 |
Inj, cabote rilpivir 2mg 3mg |
202 |
200 |
$264K |
| 90833 |
|
3,840 |
2,884 |
$264K |
| J1050 |
Medroxyprogesterone acetate |
6,525 |
6,494 |
$264K |
| J7297 |
Liletta, 52 mg |
383 |
382 |
$263K |
| 73721 |
|
765 |
702 |
$262K |
| 85055 |
|
7,304 |
6,008 |
$260K |
| 76705 |
|
4,831 |
4,742 |
$256K |
| 94060 |
|
1,258 |
1,232 |
$254K |
| J0561 |
Penicillin g benzathine inj |
2,243 |
2,048 |
$252K |
| 96375 |
|
45,353 |
39,171 |
$247K |
| 85027 |
|
87,621 |
82,897 |
$242K |
| 90792 |
|
1,123 |
1,013 |
$242K |
| J7300 |
Intra copp contra (paragard) |
528 |
523 |
$241K |
| 58301 |
|
1,557 |
1,544 |
$240K |
| 85025 |
|
197,818 |
169,803 |
$236K |
| 93005 |
|
89,861 |
78,276 |
$236K |
| 97166 |
|
1,271 |
1,269 |
$234K |
| 92526 |
|
1,699 |
1,520 |
$232K |
| 97535 |
|
2,893 |
2,145 |
$231K |
| 80047 |
|
14,090 |
13,084 |
$229K |
| 93971 |
|
3,629 |
3,545 |
$228K |
| 87507 |
|
3,480 |
3,447 |
$227K |
| 93975 |
|
808 |
785 |
$225K |
| J9299 |
Injection, nivolumab |
49 |
27 |
$220K |
| 90750 |
|
2,526 |
2,503 |
$218K |
| 74178 |
|
1,289 |
1,272 |
$217K |
| 92611 |
|
795 |
793 |
$212K |
| J9070 |
Cyclophosphamide 100 mg inj |
933 |
638 |
$211K |
| J3380 |
Inj vedolizumab iv 1 mg |
69 |
67 |
$211K |
| 92551 |
|
2,730 |
2,694 |
$210K |
| 93306 |
|
896 |
888 |
$207K |
| J0897 |
Denosumab injection |
259 |
247 |
$203K |
| 90670 |
|
18,614 |
18,517 |
$203K |
| 76000 |
|
2,508 |
2,433 |
$200K |
| 86356 |
|
6,275 |
6,062 |
$199K |
| 70486 |
|
2,177 |
2,140 |
$195K |
| 96409 |
|
2,775 |
1,372 |
$192K |
| 42830 |
|
98 |
98 |
$190K |
| 87517 |
|
5,074 |
3,809 |
$189K |
| 90460 |
|
13,552 |
13,254 |
$189K |
| 72192 |
|
766 |
761 |
$188K |
| 58661 |
|
72 |
72 |
$186K |
| 99382 |
|
945 |
931 |
$185K |
| 70491 |
|
692 |
671 |
$182K |
| J9217 |
Leuprolide acetate suspnsion |
727 |
715 |
$182K |
| 76999 |
|
2,120 |
2,082 |
$181K |
| 99443 |
|
2,536 |
2,081 |
$180K |
| 81003 |
|
154,261 |
113,877 |
$179K |
| Q0138 |
Ferumoxytol, non-esrd |
875 |
740 |
$179K |
| 45378 |
|
237 |
236 |
$178K |
| 99396 |
|
1,265 |
1,241 |
$178K |
| 36416 |
|
9,588 |
9,283 |
$177K |
| 94726 |
|
1,201 |
1,190 |
$176K |
| 90674 |
|
4,969 |
4,968 |
$175K |
| 92014 |
|
1,119 |
1,052 |
$174K |
| 86703 |
|
11,847 |
11,319 |
$171K |
| 99381 |
|
1,037 |
1,007 |
$169K |
| 90378 |
|
57 |
54 |
$162K |
| 92610 |
|
1,085 |
1,081 |
$161K |
| 72141 |
|
644 |
634 |
$161K |
| 58558 |
|
118 |
117 |
$160K |
| 97165 |
|
1,144 |
1,140 |
$159K |
| 83970 |
|
5,444 |
5,112 |
$157K |
| 71275 |
|
610 |
602 |
$156K |
| 90697 |
|
5,940 |
5,934 |
$155K |
| 84703 |
|
90,907 |
84,632 |
$154K |
| 31624 |
|
166 |
155 |
$149K |
| 36591 |
|
2,322 |
1,572 |
$146K |
| 86360 |
|
9,755 |
9,445 |
$145K |
| 76870 |
|
2,184 |
2,108 |
$145K |
| 90471 |
|
49,516 |
48,511 |
$143K |
| C1776 |
Joint device (implantable) |
136 |
132 |
$141K |
| C9600 |
Perc drug-el cor stent sing |
60 |
57 |
$140K |
| 99188 |
|
2,323 |
2,321 |
$140K |
| 96417 |
|
4,944 |
3,254 |
$140K |
| 91322 |
|
1,938 |
1,934 |
$139K |
| 77065 |
Tomosynthesis, mammo |
1,781 |
1,692 |
$139K |
| 76937 |
|
807 |
750 |
$138K |
| 76801 |
|
953 |
899 |
$137K |
| 83021 |
|
9,939 |
9,615 |
$136K |
| 77063 |
|
4,543 |
4,525 |
$136K |
| 84443 |
|
48,263 |
46,680 |
$136K |
| 99281 |
|
790 |
778 |
$133K |
| 76816 |
|
1,995 |
1,891 |
$133K |
| 90681 |
|
12,379 |
12,343 |
$132K |
| 83036 |
|
66,532 |
64,458 |
$131K |
| 88304 |
|
4,576 |
4,484 |
$129K |
| 99442 |
|
3,295 |
2,878 |
$126K |
| 90647 |
|
13,783 |
13,728 |
$126K |
| 88341 |
|
3,825 |
3,352 |
$126K |
| 97116 |
|
2,642 |
1,672 |
$125K |
| 76830 |
|
5,541 |
5,231 |
$124K |
| 92557 |
|
1,993 |
1,954 |
$119K |
| 86832 |
|
1,658 |
1,498 |
$119K |
| J0178 |
Aflibercept injection |
228 |
213 |
$117K |
| 0003A |
|
3,113 |
3,105 |
$116K |
| 86359 |
|
9,733 |
9,420 |
$116K |
| 77280 |
|
263 |
239 |
$116K |
| 93017 |
|
765 |
761 |
$116K |
| J0490 |
Belimumab injection |
70 |
38 |
$116K |
| 76819 |
|
1,555 |
1,162 |
$115K |
| 86355 |
|
9,730 |
9,420 |
$114K |
| 86357 |
|
9,730 |
9,420 |
$114K |
| 77290 |
|
306 |
280 |
$112K |
| 71045 |
|
12,770 |
12,247 |
$112K |
| 92550 |
|
2,221 |
2,170 |
$110K |
| 90723 |
|
12,661 |
12,602 |
$108K |
| 86833 |
|
1,848 |
1,656 |
$108K |
| 94618 |
|
588 |
580 |
$106K |
| 0124A |
|
2,901 |
2,899 |
$106K |
| 90836 |
|
965 |
603 |
$105K |
| 99383 |
|
529 |
529 |
$105K |
| 93304 |
|
361 |
349 |
$102K |
| 74230 |
|
428 |
421 |
$102K |
| 72125 |
|
3,354 |
3,281 |
$101K |
| 17110 |
|
283 |
280 |
$101K |
| 73221 |
|
317 |
302 |
$100K |
| 76642 |
|
1,434 |
1,410 |
$98K |
| 92978 |
|
378 |
361 |
$98K |
| 99211 |
|
5,230 |
4,892 |
$98K |
| 87653 |
|
4,475 |
4,456 |
$97K |
| Q5123 |
Inj. riabni, 10 mg |
46 |
28 |
$96K |
| 83735 |
|
49,475 |
37,990 |
$95K |
| 96402 |
|
1,598 |
1,476 |
$95K |
| 90716 |
|
6,346 |
6,311 |
$91K |
| 96401 |
|
1,904 |
908 |
$91K |
| 87529 |
|
4,438 |
2,417 |
$90K |
| 93320 |
|
338 |
335 |
$90K |
| 87389 |
|
46,681 |
46,118 |
$90K |
| 92579 |
|
1,053 |
1,000 |
$90K |
| 90707 |
|
6,743 |
6,710 |
$89K |
| J1750 |
Inj iron dextran |
571 |
527 |
$88K |
| 96377 |
|
1,786 |
1,372 |
$87K |
| 99244 |
|
430 |
424 |
$85K |
| 96450 |
|
110 |
83 |
$83K |
| 92567 |
|
1,186 |
1,159 |
$83K |
| J9202 |
Goserelin acetate implant |
113 |
109 |
$83K |
| 99173 |
|
2,817 |
2,772 |
$82K |
| 94621 |
|
420 |
415 |
$82K |
| J2790 |
Rho d immune globulin inj |
793 |
712 |
$79K |
| 90633 |
|
9,554 |
9,516 |
$78K |
| 96411 |
|
2,589 |
1,802 |
$77K |
| C1769 |
Guide wire |
7,246 |
6,835 |
$76K |
| 76942 |
|
609 |
588 |
$76K |
| 86352 |
|
1,204 |
1,063 |
$76K |
| 99384 |
|
392 |
384 |
$74K |
| 82728 |
|
22,680 |
21,360 |
$74K |
| 86803 |
|
31,950 |
31,597 |
$74K |
| 64615 |
|
184 |
184 |
$71K |
| G0108 |
Diab manage trn per indiv |
2,504 |
1,882 |
$70K |
| 94010 |
|
878 |
707 |
$70K |
| 0072A |
|
1,687 |
1,686 |
$68K |
| 86923 |
|
3,360 |
2,152 |
$67K |
| 85045 |
|
12,385 |
10,800 |
$66K |
| 90656 |
|
5,746 |
5,744 |
$65K |
| 94729 |
|
2,799 |
2,773 |
$64K |
| 80197 |
|
10,218 |
6,839 |
$64K |
| 90734 |
|
5,685 |
5,665 |
$64K |
| 0071A |
|
1,553 |
1,551 |
$63K |
| 11104 |
|
96 |
95 |
$63K |
| 72082 |
|
3,303 |
3,256 |
$61K |
| 88112 |
|
1,243 |
1,164 |
$61K |
| 82784 |
|
11,101 |
5,991 |
$60K |
| J1453 |
Fosaprepitant injection |
386 |
270 |
$60K |
| 99408 |
|
542 |
536 |
$58K |
| C1753 |
Cath, intravas ultrasound |
494 |
478 |
$57K |
| 93270 |
|
280 |
270 |
$57K |
| 93325 |
|
924 |
896 |
$56K |
| 84100 |
|
36,998 |
28,026 |
$56K |
| 86828 |
|
3,047 |
1,568 |
$55K |
| 99407 |
|
519 |
335 |
$55K |
| J2469 |
Palonosetron hcl |
5,339 |
3,343 |
$55K |
| J0881 |
Darbepoetin alfa, non-esrd |
359 |
237 |
$54K |
| 77338 |
|
186 |
131 |
$54K |
| 76857 |
|
1,854 |
1,811 |
$54K |
| 86592 |
|
51,316 |
50,569 |
$54K |
| A9585 |
Gadobutrol injection |
7,544 |
7,437 |
$53K |
| 87497 |
|
3,165 |
2,217 |
$53K |
| 90700 |
|
5,197 |
5,179 |
$53K |
| 90732 |
|
1,579 |
1,577 |
$52K |
| 90620 |
|
1,954 |
1,932 |
$52K |
| 76536 |
|
1,014 |
992 |
$52K |
| OP272 |
|
1,006 |
771 |
$52K |
| 99385 |
|
315 |
315 |
$52K |
| 86141 |
|
21,521 |
20,515 |
$51K |
| 84702 |
|
24,207 |
20,469 |
$49K |
| J0640 |
Leucovorin calcium injection |
1,254 |
758 |
$49K |
| 97542 |
|
450 |
446 |
$49K |
| C1874 |
Stent, coated/cov w/del sys |
202 |
197 |
$48K |
| 90461 |
|
5,143 |
5,115 |
$47K |
| 86317 |
|
7,841 |
7,492 |
$47K |
| OP270 |
|
828 |
646 |
$46K |
| 72158 |
|
163 |
160 |
$46K |
| 90696 |
|
4,111 |
4,092 |
$46K |
| 90746 |
|
1,550 |
1,529 |
$46K |
| 76881 |
|
323 |
300 |
$46K |
| 84439 |
|
11,668 |
11,023 |
$45K |
| 85730 |
|
33,176 |
31,093 |
$45K |
| 90710 |
|
4,155 |
4,136 |
$44K |
| 81025 |
|
8,039 |
7,577 |
$43K |
| 77295 |
|
288 |
275 |
$43K |
| 93308 |
|
189 |
184 |
$42K |
| 93456 |
|
26 |
26 |
$42K |
| 0054A |
|
1,188 |
1,187 |
$42K |
| 82607 |
|
12,200 |
12,057 |
$41K |
| 77332 |
|
98 |
86 |
$41K |
| J3262 |
Tocilizumab injection |
65 |
38 |
$41K |
| 92002 |
|
327 |
300 |
$40K |
| 87522 |
Neg quan hep c or qual rna |
1,249 |
1,203 |
$40K |
| 70543 |
|
87 |
84 |
$40K |
| 87496 |
|
2,097 |
1,568 |
$40K |
| 77072 |
|
2,020 |
1,991 |
$39K |
| G9001 |
Mccd, initial rate |
523 |
523 |
$39K |
| 70544 |
|
283 |
279 |
$39K |
| 87086 |
|
48,634 |
45,393 |
$38K |
| 77066 |
Tomosynthesis, mammo |
586 |
578 |
$38K |
| J7120 |
Ringers lactate infusion |
39,552 |
36,102 |
$38K |
| 83615 |
|
17,861 |
12,442 |
$38K |
| 84484 |
|
52,103 |
36,047 |
$38K |
| C1887 |
Catheter, guiding |
3,821 |
3,611 |
$38K |
| 99245 |
|
169 |
169 |
$38K |
| D1110 |
|
1,805 |
1,703 |
$36K |
| 27447 |
|
12 |
12 |
$36K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
22,650 |
19,762 |
$35K |
| 81001 |
|
53,086 |
50,333 |
$35K |
| C1725 |
Cath, translumin non-laser |
1,001 |
937 |
$35K |
| 88346 |
|
809 |
701 |
$34K |
| 73564 |
|
3,016 |
2,832 |
$34K |
| 86807 |
|
2,043 |
1,174 |
$33K |
| 87340 |
|
22,429 |
22,006 |
$33K |
| 76817 |
|
666 |
630 |
$33K |
| 90480 |
|
1,976 |
1,971 |
$33K |
| 96376 |
|
7,978 |
7,335 |
$33K |
| 77049 |
|
82 |
82 |
$32K |
| 73700 |
|
174 |
168 |
$32K |
| 54150 |
|
30 |
30 |
$32K |
| 99441 |
|
1,181 |
984 |
$32K |
| 74240 |
|
129 |
128 |
$32K |
| 83516 |
|
3,608 |
2,455 |
$32K |
| 96900 |
|
329 |
97 |
$31K |
| C1894 |
Intro/sheath, non-laser |
4,216 |
3,896 |
$31K |
| C1781 |
Mesh (implantable) |
542 |
532 |
$31K |
| 71555 |
|
93 |
93 |
$31K |
| 11976 |
|
50 |
50 |
$30K |
| 86821 |
|
651 |
595 |
$30K |
| 76098 |
|
201 |
193 |
$30K |
| 88185 |
|
344 |
280 |
$30K |
| 67028 |
|
442 |
395 |
$29K |
| 47563 |
|
12 |
12 |
$29K |
| 90381 |
|
443 |
442 |
$29K |
| 85018 |
|
13,017 |
10,642 |
$29K |
| 91320 |
|
543 |
543 |
$28K |
| 88360 |
|
346 |
326 |
$28K |
| 76825 |
|
303 |
297 |
$28K |
| 84550 |
|
14,213 |
9,814 |
$28K |
| 3E033GC |
|
118 |
25 |
$28K |
| J7030 |
Normal saline solution infus |
17,222 |
15,785 |
$28K |
| 92507 |
|
173 |
87 |
$28K |
| 73630 |
|
7,716 |
7,176 |
$28K |
| 92555 |
|
288 |
279 |
$27K |
| 82670 |
|
2,006 |
1,956 |
$27K |
| 75561 |
|
66 |
65 |
$27K |
| 84403 |
|
3,195 |
2,972 |
$27K |
| 73030 |
|
7,327 |
6,736 |
$27K |
| 83540 |
|
18,590 |
17,858 |
$26K |
| 83550 |
|
17,256 |
16,728 |
$26K |
| 76811 |
|
210 |
208 |
$26K |
| J2997 |
Alteplase recombinant |
140 |
116 |
$26K |
| G0480 |
Drug test def 1-7 classes |
1,277 |
1,002 |
$26K |
| 84165 |
|
2,737 |
2,226 |
$26K |
| 82805 |
|
1,078 |
1,032 |
$26K |
| 90619 |
|
851 |
851 |
$25K |
| J9045 |
Carboplatin injection |
1,367 |
931 |
$25K |
| Q3014 |
Telehealth facility fee |
5,749 |
5,054 |
$25K |
| 25605 |
|
50 |
50 |
$25K |
| 86769 |
|
1,607 |
1,558 |
$25K |
| 70498 |
|
1,122 |
1,109 |
$24K |
| J9201 |
In gemcitabine hcl nos 200mg |
670 |
324 |
$24K |
| 92015 |
|
491 |
488 |
$24K |
| 90634 |
|
1,863 |
1,846 |
$24K |
| C1819 |
Tissue localization-excision |
421 |
403 |
$24K |
| J9267 |
Paclitaxel injection |
1,530 |
719 |
$24K |
| 92650 |
|
256 |
253 |
$23K |
| 88312 |
|
1,387 |
1,100 |
$23K |
| 82570 |
|
11,597 |
10,176 |
$23K |
| OP250 |
|
3,754 |
2,451 |
$22K |
| 86765 |
|
12,535 |
12,347 |
$22K |
| 83001 |
|
3,801 |
3,732 |
$22K |
| 86762 |
|
12,694 |
12,481 |
$22K |
| J7298 |
Mirena, 52 mg |
27 |
27 |
$22K |
| 88262 |
|
199 |
187 |
$22K |
| 92582 |
|
285 |
278 |
$22K |
| V2632 |
Post chmbr intraocular lens |
421 |
103 |
$22K |
| 88142 |
|
719 |
717 |
$21K |
| 72110 |
|
2,709 |
2,691 |
$21K |
| J7050 |
Normal saline solution infus |
31,274 |
23,904 |
$21K |
| 91318 |
|
624 |
617 |
$21K |
| 84145 |
|
3,856 |
3,712 |
$21K |
| 76805 |
|
374 |
357 |
$20K |
| 73610 |
|
8,047 |
7,344 |
$20K |
| 77301 |
|
145 |
102 |
$20K |
| 52332 |
|
13 |
13 |
$20K |
| J3489 |
Zoledronic acid 1mg |
473 |
462 |
$20K |
| 92568 |
|
194 |
190 |
$19K |
| G0105 |
Colorectal scrn; hi risk ind |
25 |
25 |
$19K |
| 90672 |
|
1,273 |
1,270 |
$19K |
| J9190 |
Fluorouracil injection |
1,464 |
872 |
$18K |
| 83002 |
|
2,534 |
2,473 |
$18K |
| J8540 |
Oral dexamethasone |
9,400 |
5,320 |
$18K |
| 73080 |
|
3,543 |
3,023 |
$18K |
| 73200 |
|
80 |
78 |
$18K |
| 90662 |
|
1,981 |
1,068 |
$18K |
| 58662 |
|
12 |
12 |
$18K |
| 20680 |
|
12 |
12 |
$18K |
| 86160 |
|
3,995 |
2,033 |
$18K |
| 72156 |
|
69 |
69 |
$17K |
| 91319 |
|
537 |
537 |
$17K |
| 57455 |
|
26 |
26 |
$17K |
| 76641 |
|
230 |
228 |
$17K |
| 88365 |
|
268 |
259 |
$17K |
| J1756 |
Iron sucrose injection |
366 |
226 |
$17K |
| 73521 |
|
2,156 |
2,136 |
$17K |
| Q5108 |
Injection, fulphila |
17 |
12 |
$17K |
| 87040 |
|
10,932 |
7,818 |
$17K |
| 86787 |
|
9,628 |
9,337 |
$17K |
| 85652 |
|
16,973 |
16,241 |
$17K |
| 76982 |
|
61 |
61 |
$17K |
| 84146 |
|
3,675 |
3,618 |
$16K |
| 86335 |
|
1,050 |
601 |
$16K |
| 77073 |
|
1,182 |
1,132 |
$16K |
| 0081A |
|
407 |
407 |
$16K |
| 99242 |
|
78 |
78 |
$16K |
| 31575 |
|
70 |
69 |
$16K |
| 24640 |
|
35 |
30 |
$16K |
| 86735 |
|
5,767 |
5,671 |
$16K |
| 0154A |
|
446 |
446 |
$16K |
| 84153 |
|
3,389 |
3,212 |
$16K |
| 91010 |
|
27 |
27 |
$16K |
| 82962 |
|
49,724 |
39,487 |
$16K |
| 83605 |
|
19,314 |
16,520 |
$16K |
| 90849 |
|
217 |
115 |
$15K |
| 70487 |
|
50 |
50 |
$15K |
| 0052A |
|
383 |
382 |
$15K |
| 94150 |
|
361 |
343 |
$15K |
| 82977 |
|
5,396 |
4,550 |
$15K |
| 73110 |
|
5,801 |
4,853 |
$14K |
| 57454 |
|
29 |
29 |
$14K |
| 90694 |
|
1,838 |
1,833 |
$14K |
| 82746 |
|
4,553 |
4,497 |
$14K |
| 84207 |
|
777 |
765 |
$14K |
| 83690 |
|
38,870 |
36,660 |
$14K |
| 72131 |
|
111 |
110 |
$14K |
| J7040 |
Normal saline solution infus |
12,106 |
9,897 |
$14K |
| 12013 |
|
24 |
24 |
$13K |
| 82950 |
|
10,000 |
9,947 |
$13K |
| 73560 |
|
5,270 |
4,846 |
$13K |
| 97760 |
|
121 |
106 |
$13K |
| 84480 |
|
4,172 |
3,774 |
$13K |
| 72157 |
|
44 |
44 |
$13K |
| 78306 |
|
278 |
274 |
$13K |
| 73562 |
|
4,260 |
3,935 |
$13K |
| 76818 |
|
342 |
276 |
$12K |
| 84156 |
|
9,902 |
8,797 |
$12K |
| 45331 |
|
13 |
13 |
$12K |
| 86870 |
|
296 |
276 |
$12K |
| 82043 |
|
10,028 |
9,747 |
$12K |
| 86704 |
|
6,388 |
6,221 |
$12K |
| 64643 |
|
24 |
24 |
$12K |
| 82820 |
|
480 |
344 |
$12K |
| 82378 |
|
3,107 |
2,557 |
$12K |
| 87102 |
|
12,821 |
12,504 |
$12K |
| 76815 |
|
88 |
83 |
$12K |
| 0082A |
|
290 |
290 |
$11K |
| 90472 |
|
7,379 |
7,306 |
$11K |
| J9206 |
Irinotecan injection |
494 |
267 |
$11K |
| 86235 |
|
1,781 |
926 |
$11K |
| 86665 |
|
2,211 |
1,295 |
$11K |
| 88271 |
|
324 |
307 |
$11K |
| 99429 |
|
2,143 |
1,885 |
$11K |
| 76813 |
|
163 |
139 |
$11K |
| 86147 |
|
752 |
386 |
$11K |
| 94640 |
|
17,263 |
16,383 |
$11K |
| 72100 |
|
3,273 |
3,221 |
$11K |
| 92134 |
|
116 |
102 |
$11K |
| 0064A |
|
329 |
324 |
$11K |
| 82105 |
|
2,910 |
2,746 |
$11K |
| 85379 |
|
7,243 |
7,044 |
$11K |
| 0051A |
|
276 |
276 |
$11K |
| 73620 |
|
719 |
700 |
$10K |
| 82533 |
|
1,414 |
1,267 |
$10K |
| J2704 |
Inj, propofol, 10 mg |
41,887 |
31,372 |
$10K |
| 72170 |
|
2,881 |
2,821 |
$10K |
| 31628 |
|
54 |
52 |
$10K |
| 90649 |
|
220 |
219 |
$10K |
| J0690 |
Cefazolin sodium injection |
11,365 |
10,047 |
$10K |
| 47000 |
|
14 |
14 |
$10K |
| J0696 |
Ceftriaxone sodium injection |
9,065 |
8,318 |
$10K |
| J9000 |
Doxorubicin hcl injection |
596 |
365 |
$10K |
| 83020 |
|
1,203 |
1,053 |
$10K |
| 83883 |
|
3,458 |
1,676 |
$10K |
| 93303 |
|
341 |
339 |
$10K |
| 82610 |
|
1,889 |
1,135 |
$10K |
| 87205 |
|
22,088 |
20,842 |
$10K |
| C2617 |
Stent, non-cor, tem w/o del |
373 |
350 |
$10K |
| 73130 |
|
5,976 |
5,269 |
$10K |
| 82330 |
|
8,136 |
7,287 |
$9K |
| 74221 |
|
40 |
40 |
$9K |
| 73502 |
|
3,046 |
2,846 |
$9K |
| 87088 |
|
9,665 |
9,130 |
$9K |
| 96368 |
|
1,091 |
729 |
$9K |
| 76885 |
|
77 |
76 |
$9K |
| 80329 |
|
2,160 |
2,033 |
$9K |
| J9370 |
Vincristine sulfate 1 mg inj |
1,204 |
821 |
$9K |
| 73120 |
|
1,246 |
1,196 |
$9K |
| U0001 |
2019-ncov diagnostic p |
3,364 |
2,941 |
$9K |
| 87070 |
|
9,430 |
8,775 |
$9K |
| 82810 |
|
2,930 |
1,706 |
$9K |
| 70480 |
|
42 |
41 |
$9K |
| 88300 |
|
2,199 |
2,126 |
$9K |
| 86300 |
|
1,760 |
946 |
$9K |
| 87186 |
|
11,938 |
11,066 |
$9K |
| G0424 |
Pulmonary rehab w exer |
80 |
26 |
$8K |
| 73590 |
|
3,731 |
3,399 |
$8K |
| 84402 |
|
1,311 |
1,306 |
$8K |
| 73090 |
|
3,032 |
2,655 |
$8K |
| J7042 |
5% dextrose/normal saline |
7,871 |
7,308 |
$8K |
| 88344 |
|
124 |
112 |
$8K |
| J1100 |
Dexamethasone sodium phos |
24,856 |
23,697 |
$8K |
| 0173A |
|
230 |
230 |
$8K |
| 90714 |
|
389 |
372 |
$8K |
| 93225 |
|
42 |
42 |
$8K |
| 82550 |
|
6,390 |
5,785 |
$7K |
| 84305 |
|
406 |
399 |
$7K |
| C1760 |
Closure dev, vasc |
380 |
368 |
$7K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
2,730 |
2,674 |
$7K |
| 0074A |
|
183 |
183 |
$7K |
| D0120 |
|
5,070 |
5,039 |
$7K |
| 88364 |
|
107 |
102 |
$7K |
| J9171 |
Docetaxel injection |
167 |
125 |
$7K |
| 82248 |
|
4,862 |
3,574 |
$7K |
| 72146 |
|
47 |
47 |
$7K |
| 83520 |
|
1,014 |
867 |
$7K |
| 96136 |
|
37 |
27 |
$7K |
| 86003 |
|
488 |
258 |
$7K |
| 86225 |
|
1,681 |
1,637 |
$7K |
| 36593 |
|
45 |
36 |
$7K |
| 82652 |
|
252 |
247 |
$7K |
| 64644 |
|
25 |
25 |
$7K |
| 93321 |
|
488 |
467 |
$7K |
| 83498 |
|
482 |
473 |
$7K |
| J0131 |
Inj, acetaminophen (nos) |
11,918 |
11,340 |
$7K |
| H2011 |
Crisis interven svc, 15 min |
46 |
36 |
$6K |
| 88311 |
|
1,090 |
1,055 |
$6K |
| 86708 |
|
2,324 |
2,250 |
$6K |
| 84446 |
|
844 |
825 |
$6K |
| 29125 |
|
24 |
24 |
$6K |
| J7060 |
5% dextrose/water |
9,864 |
7,390 |
$6K |
| 88720 |
|
1,469 |
1,333 |
$6K |
| 82024 |
|
183 |
169 |
$6K |
| 90380 |
|
183 |
183 |
$6K |
| 86780 |
|
2,826 |
2,763 |
$6K |
| 87641 |
|
252 |
244 |
$6K |
| 86580 |
|
1,377 |
969 |
$6K |
| 90744 |
|
558 |
557 |
$6K |
| 86038 |
|
3,218 |
3,167 |
$6K |
| 82627 |
|
894 |
885 |
$6K |
| 92004 |
|
28 |
28 |
$6K |
| 88274 |
|
62 |
61 |
$6K |
| 86334 |
|
1,617 |
1,511 |
$6K |
| 96523 |
|
80 |
77 |
$6K |
| 87535 |
|
1,088 |
1,057 |
$6K |
| A9500 |
Tc99m sestamibi |
687 |
670 |
$6K |
| 84590 |
|
1,016 |
997 |
$6K |
| D1351 |
|
202 |
187 |
$6K |
| 51702 |
|
12 |
12 |
$6K |
| J9263 |
Oxaliplatin |
209 |
129 |
$6K |
| 0134A |
|
140 |
137 |
$6K |
| 84704 |
|
823 |
819 |
$6K |
| 84163 |
|
823 |
819 |
$5K |
| 74018 |
|
1,966 |
1,909 |
$5K |
| 84425 |
|
1,264 |
1,254 |
$5K |
| 86812 |
|
55 |
55 |
$5K |
| 75557 |
|
12 |
12 |
$5K |
| 80195 |
|
811 |
537 |
$5K |
| 84436 |
|
2,793 |
2,418 |
$5K |
| 57456 |
|
13 |
13 |
$5K |
| 90691 |
|
151 |
151 |
$5K |
| 88302 |
|
539 |
515 |
$5K |
| J1437 |
Inj. fe derisomaltose 10 mg |
12 |
12 |
$5K |
| 86644 |
|
1,156 |
1,078 |
$5K |
| 86376 |
|
944 |
928 |
$5K |
| 73000 |
|
716 |
629 |
$5K |
| 85245 |
|
166 |
156 |
$5K |
| 73140 |
|
2,924 |
2,655 |
$5K |
| J1610 |
Glucagon hydrochloride/1 mg |
39 |
37 |
$5K |
| 85384 |
|
1,855 |
1,594 |
$5K |
| 72040 |
|
1,171 |
1,156 |
$5K |
| 87081 |
|
5,105 |
4,976 |
$5K |
| 80158 |
|
567 |
402 |
$5K |
| D0150 |
|
239 |
197 |
$5K |
| 73552 |
|
1,741 |
1,609 |
$5K |
| 90476 |
|
285 |
247 |
$5K |
| 86694 |
|
1,070 |
564 |
$5K |
| 73060 |
|
1,693 |
1,583 |
$5K |
| 57452 |
|
14 |
14 |
$5K |
| 82947 |
|
7,746 |
7,394 |
$5K |
| 87181 |
|
6,354 |
6,054 |
$5K |
| 0296T |
|
78 |
77 |
$4K |
| 82088 |
|
134 |
133 |
$4K |
| 88313 |
|
631 |
600 |
$4K |
| 80320 |
|
6,857 |
6,408 |
$4K |
| 86593 |
|
2,881 |
2,814 |
$4K |
| 99241 |
|
26 |
26 |
$4K |
| 17000 |
|
26 |
26 |
$4K |
| 88237 |
|
42 |
36 |
$4K |
| 90611 |
|
256 |
252 |
$4K |
| 82525 |
|
516 |
506 |
$4K |
| D7140 |
|
56 |
54 |
$4K |
| 0053A |
|
107 |
106 |
$4K |
| 84460 |
|
6,744 |
6,668 |
$4K |
| J2405 |
Ondansetron hcl injection |
40,943 |
36,608 |
$4K |
| 90685 |
|
226 |
226 |
$4K |
| 87631 |
|
60 |
60 |
$4K |
| 80069 |
|
401 |
277 |
$4K |
| 84481 |
|
1,235 |
1,035 |
$4K |
| 84630 |
|
1,044 |
1,031 |
$4K |
| 86200 |
|
863 |
853 |
$4K |
| 84450 |
|
2,047 |
1,473 |
$4K |
| 86800 |
|
719 |
680 |
$4K |
| 80180 |
|
421 |
361 |
$4K |
| 72050 |
|
261 |
257 |
$4K |
| 74455 |
|
12 |
12 |
$4K |
| 86696 |
|
1,153 |
1,115 |
$4K |
| 86431 |
|
1,764 |
1,742 |
$4K |
| 74246 |
|
12 |
12 |
$3K |
| 88235 |
|
26 |
26 |
$3K |
| 82951 |
|
415 |
410 |
$3K |
| 73600 |
|
683 |
658 |
$3K |
| 72070 |
|
893 |
881 |
$3K |
| 72052 |
|
278 |
274 |
$3K |
| 74019 |
|
1,553 |
1,515 |
$3K |
| 0012A |
|
116 |
116 |
$3K |
| 85347 |
|
2,472 |
1,621 |
$3K |
| 88275 |
|
26 |
24 |
$3K |
| 82565 |
|
4,501 |
4,249 |
$3K |
| 90660 |
|
212 |
212 |
$3K |
| 82657 |
|
566 |
541 |
$3K |
| 86645 |
|
648 |
607 |
$3K |
| 77062 |
|
45 |
45 |
$3K |
| 86695 |
|
932 |
903 |
$3K |
| 85014 |
|
16,435 |
15,345 |
$3K |
| 82150 |
|
2,077 |
1,795 |
$3K |
| 86945 |
|
69 |
49 |
$3K |
| Q0139 |
Ferumoxytol, esrd use |
16 |
12 |
$3K |
| 76506 |
|
12 |
12 |
$3K |
| 51798 |
|
12 |
12 |
$3K |
| 76827 |
|
118 |
118 |
$3K |
| 89051 |
|
1,463 |
1,223 |
$3K |
| 87077 |
|
6,375 |
5,728 |
$3K |
| 82785 |
|
495 |
480 |
$3K |
| J2930 |
Methylprednisolone injection |
3,781 |
3,349 |
$2K |
| 81002 |
|
10,236 |
8,349 |
$2K |
| 90653 |
|
593 |
592 |
$2K |
| 81220 |
|
15 |
15 |
$2K |
| J3010 |
Fentanyl citrate injection |
34,812 |
30,599 |
$2K |
| J1642 |
Inj heparin sodium per 10 u |
10,166 |
4,293 |
$2K |
| 83010 |
|
980 |
766 |
$2K |
| 75574 |
|
12 |
12 |
$2K |
| 80162 |
|
309 |
289 |
$2K |
| G0008 |
Admin influenza virus vac |
2,909 |
2,902 |
$2K |
| 83921 |
|
250 |
247 |
$2K |
| 88280 |
|
134 |
125 |
$2K |
| J0171 |
Adrenalin epinephrine inject |
1,997 |
1,922 |
$2K |
| 87593 |
|
125 |
68 |
$2K |
| 0011A |
|
109 |
109 |
$2K |
| 36592 |
|
27 |
17 |
$2K |
| 92585 |
|
13 |
12 |
$2K |
| 87338 |
|
902 |
899 |
$2K |
| 92588 |
|
24 |
24 |
$2K |
| 83525 |
|
173 |
128 |
$2K |
| 86304 |
|
932 |
805 |
$2K |
| 90682 |
|
69 |
69 |
$2K |
| 86880 |
|
67 |
49 |
$2K |
| 86777 |
|
395 |
383 |
$2K |
| 84681 |
|
229 |
204 |
$2K |
| 71101 |
|
1,124 |
1,099 |
$2K |
| 85246 |
|
73 |
71 |
$2K |
| 80299 |
|
306 |
285 |
$2K |
| 86146 |
|
423 |
217 |
$2K |
| C1726 |
Cath, bal dil, non-vascular |
39 |
39 |
$2K |
| 72114 |
|
81 |
81 |
$2K |
| 82157 |
|
113 |
112 |
$2K |
| 92626 |
|
92 |
84 |
$2K |
| 84445 |
|
42 |
41 |
$2K |
| 73100 |
|
414 |
381 |
$2K |
| 86709 |
|
424 |
415 |
$2K |
| C1730 |
Cath, ep, 19 or few elect |
108 |
101 |
$2K |
| 87116 |
|
1,024 |
900 |
$2K |
| 96137 |
|
20 |
14 |
$2K |
| 82085 |
|
131 |
123 |
$2K |
| 80177 |
|
616 |
591 |
$2K |
| 90739 |
|
41 |
41 |
$2K |
| 85660 |
|
1,236 |
952 |
$2K |
| 90713 |
|
142 |
142 |
$2K |
| J2785 |
Regadenoson injection |
297 |
297 |
$1K |
| 80164 |
|
897 |
829 |
$1K |
| 83090 |
|
122 |
117 |
$1K |
| 92587 |
|
12 |
12 |
$1K |
| C1751 |
Cath, inf, per/cent/midline |
176 |
164 |
$1K |
| 74220 |
|
107 |
104 |
$1K |
| D0140 |
|
361 |
344 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
45,291 |
41,614 |
$1K |
| 71271 |
|
13 |
13 |
$1K |
| 83519 |
|
69 |
56 |
$1K |
| 73070 |
|
764 |
705 |
$1K |
| 90678 |
|
74 |
74 |
$1K |
| 74174 |
|
26 |
25 |
$1K |
| 87206 |
|
1,616 |
978 |
$1K |
| 81268 |
|
51 |
26 |
$1K |
| 94727 |
|
76 |
76 |
$1K |
| 85651 |
|
1,722 |
1,671 |
$1K |
| 87210 |
|
873 |
856 |
$1K |
| J1815 |
Insulin injection |
1,161 |
865 |
$1K |
| 82677 |
|
331 |
324 |
$1K |
| J1170 |
Hydromorphone injection |
6,225 |
4,467 |
$1K |
| M0220 |
Tixagev and cilgav inj |
12 |
12 |
$1K |
| 92652 |
|
14 |
13 |
$1K |
| 95117 |
|
35 |
25 |
$1K |
| 71270 |
|
37 |
36 |
$1K |
| 0083A |
|
29 |
29 |
$1K |
| 99493 |
|
12 |
12 |
$1K |
| G0009 |
Admin pneumococcal vaccine |
674 |
674 |
$1K |
| J1720 |
Hydrocortisone sodium succ i |
1,431 |
1,289 |
$1K |
| 84270 |
|
80 |
78 |
$1K |
| A9541 |
Tc99m sulfur colloid |
71 |
70 |
$1K |
| 80179 |
|
1,506 |
1,468 |
$1K |
| 91312 |
|
165 |
165 |
$1K |
| 85613 |
|
165 |
149 |
$1K |
| 73660 |
|
524 |
493 |
$1K |
| 86140 |
|
1,774 |
1,715 |
$1K |
| 90661 |
|
83 |
83 |
$991.96 |
| 74021 |
|
1,218 |
1,201 |
$979.80 |
| J1729 |
Inj hydroxyprogst capoat nos |
14 |
14 |
$953.50 |
| 82239 |
|
534 |
473 |
$947.80 |
| 87184 |
|
980 |
833 |
$931.02 |
| Q0163 |
Diphenhydramine hcl 50mg |
12,621 |
9,624 |
$927.02 |
| C1758 |
Catheter, ureteral |
244 |
236 |
$921.62 |
| J3420 |
Vitamin b12 injection |
3,483 |
2,628 |
$889.83 |
| J2310 |
Inj naloxone hydrochloride |
87 |
74 |
$869.54 |
| 84132 |
|
3,421 |
2,813 |
$865.14 |
| Q0162 |
Ondansetron oral |
20,189 |
18,218 |
$852.68 |
| J2270 |
Morphine sulfate injection |
7,325 |
6,197 |
$849.33 |
| 86039 |
|
290 |
280 |
$847.65 |
| 82523 |
|
67 |
65 |
$819.51 |
| D1206 |
|
3,505 |
3,500 |
$813.78 |
| 85240 |
|
84 |
81 |
$788.29 |
| J2001 |
Lidocaine injection |
13,074 |
11,861 |
$775.62 |
| 82948 |
|
1,117 |
960 |
$770.51 |
| 82435 |
|
2,754 |
2,551 |
$769.12 |
| 86255 |
|
134 |
131 |
$752.29 |
| Q0091 |
Obtaining screen pap smear |
43 |
43 |
$740.00 |
| 87493 |
|
25 |
25 |
$731.16 |
| 84166 |
|
223 |
220 |
$697.07 |
| 90384 |
|
14 |
13 |
$695.78 |
| 0031A |
|
15 |
15 |
$659.48 |
| 82952 |
|
350 |
347 |
$650.90 |
| 87015 |
|
1,037 |
899 |
$649.99 |
| G0279 |
Tomosynthesis, mammo |
81 |
81 |
$648.80 |
| 85460 |
|
27 |
25 |
$648.41 |
| 94761 |
|
89 |
89 |
$644.44 |
| 82397 |
|
117 |
113 |
$644.37 |
| J1644 |
Inj heparin sodium per 1000u |
4,595 |
3,424 |
$635.00 |
| G0101 |
Ca screen;pelvic/breast exam |
41 |
41 |
$629.23 |
| 90630 |
|
16 |
16 |
$623.52 |
| 83993 |
|
16 |
16 |
$610.96 |
| 82247 |
|
1,472 |
1,080 |
$605.83 |
| 84134 |
|
120 |
117 |
$601.55 |
| J2250 |
Inj midazolam hydrochloride |
22,634 |
21,346 |
$597.25 |
| 87880 |
|
1,702 |
1,681 |
$582.69 |
| 84295 |
|
2,745 |
2,570 |
$570.76 |
| 90658 |
|
79 |
79 |
$563.78 |
| J2795 |
Ropivacaine hcl injection |
1,344 |
1,178 |
$544.69 |
| J9060 |
Cisplatin 10 mg injection |
73 |
36 |
$538.24 |
| 0202U |
|
24 |
24 |
$531.32 |
| 84155 |
|
1,163 |
1,129 |
$530.10 |
| 87101 |
|
49 |
49 |
$517.87 |
| 76882 |
|
134 |
128 |
$516.09 |
| 86336 |
|
350 |
343 |
$511.15 |
| 84154 |
|
52 |
51 |
$505.88 |
| J2370 |
Phenylephrine hcl injection |
938 |
910 |
$504.56 |
| 94200 |
|
138 |
138 |
$486.76 |
| 99417 |
Prolong home eval add 15m |
50 |
50 |
$467.20 |
| 94626 |
|
49 |
12 |
$465.38 |
| J0136 |
Inj, acetaminophen (b braun) |
439 |
427 |
$459.18 |
| 86617 |
|
90 |
47 |
$458.59 |
| 0013A |
|
12 |
12 |
$440.00 |
| 86316 |
|
126 |
123 |
$422.74 |
| 81267 |
|
15 |
14 |
$414.92 |
| 82040 |
|
271 |
258 |
$412.75 |
| 82310 |
|
552 |
538 |
$399.13 |
| 86922 |
|
15 |
13 |
$397.70 |
| 76826 |
|
15 |
13 |
$388.08 |
| 86618 |
|
119 |
118 |
$381.22 |
| 87640 |
|
208 |
202 |
$362.51 |
| 70360 |
|
374 |
368 |
$356.18 |
| J0461 |
Atropine sulfate injection |
462 |
309 |
$338.66 |
| 82542 |
|
58 |
56 |
$332.83 |
| J1200 |
Diphenhydramine hcl injectio |
6,791 |
5,798 |
$322.93 |
| 88173 |
|
92 |
76 |
$318.04 |
| G1003 |
Cdsm medicalis |
8,171 |
7,115 |
$314.95 |
| 82103 |
|
53 |
50 |
$307.45 |
| 82340 |
|
85 |
84 |
$299.87 |
| J2765 |
Metoclopramide hcl injection |
11,806 |
11,155 |
$288.55 |
| J3370 |
Vancomycin hcl injection |
1,120 |
1,014 |
$280.70 |
| 73565 |
|
30 |
30 |
$277.35 |
| 72202 |
|
13 |
13 |
$271.21 |
| J1650 |
Inj enoxaparin sodium |
2,859 |
2,177 |
$265.06 |
| 86364 |
|
306 |
293 |
$260.73 |
| 80178 |
|
241 |
222 |
$257.60 |
| 76828 |
|
15 |
13 |
$254.05 |
| 82787 |
|
52 |
25 |
$252.08 |
| J7644 |
Ipratropium bromide non-comp |
9,294 |
7,956 |
$251.42 |
| J3475 |
Inj magnesium sulfate |
2,399 |
2,089 |
$248.25 |
| J9250 |
Methotrexate sodium inj |
121 |
65 |
$239.24 |
| 84244 |
|
38 |
38 |
$219.55 |
| 82010 |
|
1,718 |
1,523 |
$208.67 |
| 90698 |
|
27 |
27 |
$206.11 |
| J2274 |
Inj morphine pf epid ithc |
148 |
139 |
$202.38 |
| 90648 |
|
23 |
22 |
$200.07 |
| 87075 |
|
178 |
150 |
$191.31 |
| J2272 |
Inj, morphine (fresenius) |
2,688 |
2,396 |
$190.57 |
| 86682 |
|
75 |
73 |
$186.69 |
| 82164 |
|
12 |
12 |
$181.48 |
| 80050 |
|
16 |
16 |
$180.74 |
| J0184 |
Inj, amisulpride, 1 mg |
57 |
57 |
$179.21 |
| 90632 |
|
12 |
12 |
$177.54 |
| 86021 |
|
45 |
42 |
$176.06 |
| 82379 |
|
30 |
29 |
$174.47 |
| 82390 |
|
49 |
44 |
$173.65 |
| 83937 |
|
12 |
12 |
$169.26 |
| J0702 |
Betamethasone acet&sod phosp |
29 |
17 |
$165.44 |
| 86778 |
|
96 |
96 |
$164.67 |
| 94760 |
|
199 |
189 |
$160.22 |
| A9503 |
Tc99m medronate |
174 |
168 |
$157.03 |
| J1630 |
Haloperidol injection |
2,625 |
2,171 |
$155.36 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
2,746 |
2,704 |
$142.47 |
| 84157 |
|
117 |
115 |
$141.12 |
| 84520 |
|
295 |
255 |
$140.06 |
| J2060 |
Lorazepam injection |
2,635 |
2,183 |
$137.10 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
269 |
266 |
$131.30 |
| 81000 |
|
106 |
106 |
$130.40 |
| 84255 |
|
15 |
14 |
$128.81 |
| 82270 |
|
12 |
12 |
$117.26 |
| J7070 |
D5w infusion |
394 |
314 |
$116.10 |
| 71100 |
|
83 |
80 |
$113.53 |
| 82945 |
|
130 |
127 |
$112.21 |
| S4993 |
Contraceptive pills for bc |
165 |
165 |
$111.10 |
| J2919 |
Inj, methylpred sod succ 5mg |
737 |
569 |
$109.48 |
| J1940 |
Furosemide injection |
1,558 |
1,408 |
$104.15 |
| 15853 |
|
66 |
66 |
$100.00 |
| 80175 |
|
13 |
12 |
$95.26 |
| J7613 |
Albuterol non-comp unit |
13,953 |
10,456 |
$92.91 |
| J2305 |
Inj, nitroglycerin, 5 mg |
607 |
541 |
$87.84 |
| 82465 |
|
123 |
122 |
$81.15 |
| J0780 |
Prochlorperazine injection |
1,141 |
1,097 |
$79.11 |
| 80187 |
|
37 |
27 |
$73.84 |
| 84478 |
|
34 |
28 |
$63.27 |
| 86702 |
|
15 |
14 |
$58.58 |
| J2543 |
Piperacillin/tazobactam |
394 |
328 |
$56.39 |
| J1953 |
Levetiracetam injection |
196 |
178 |
$55.90 |
| 87106 |
|
75 |
73 |
$53.78 |
| 86301 |
|
12 |
12 |
$51.75 |
| J7510 |
Prednisolone oral per 5 mg |
1,784 |
1,743 |
$48.32 |
| 86701 |
|
15 |
14 |
$45.06 |
| 85300 |
|
12 |
12 |
$44.85 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
412 |
398 |
$43.95 |
| J2920 |
Methylprednisolone injection |
128 |
103 |
$38.52 |
| J7642 |
Glycopyrrolate comp con |
237 |
236 |
$37.60 |
| J7512 |
Prednisone ir or dr oral 1mg |
3,666 |
2,978 |
$34.21 |
| 72074 |
|
25 |
25 |
$31.50 |
| J0134 |
Inj acetaminophen -fresenius |
506 |
497 |
$30.28 |
| J2710 |
Neostigmine methylslfte inj |
136 |
135 |
$28.31 |
| 96373 |
|
16 |
16 |
$27.20 |
| 82365 |
|
39 |
38 |
$26.53 |
| J3360 |
Diazepam injection |
225 |
199 |
$23.21 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
176 |
149 |
$21.45 |
| 72083 |
|
26 |
26 |
$20.43 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
490 |
486 |
$15.24 |
| 86308 |
|
153 |
147 |
$14.60 |
| Q0144 |
Azithromycin dihydrate, oral |
622 |
588 |
$10.68 |
| J3411 |
Thiamine hcl 100 mg |
364 |
314 |
$10.19 |
| J1956 |
Levofloxacin injection |
270 |
260 |
$10.17 |
| J2004 |
Inj, lidocaine w epinephrine |
77 |
77 |
$9.30 |
| D0220 |
|
1,111 |
1,109 |
$9.10 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
718 |
676 |
$8.57 |
| J1643 |
Inj heparin, pfizer, 1000u |
60 |
56 |
$7.11 |
| J0360 |
Hydralazine hcl injection |
28 |
27 |
$6.79 |
| J1580 |
Garamycin gentamicin inj |
30 |
29 |
$6.66 |
| 87176 |
|
29 |
26 |
$4.88 |
| J1790 |
Droperidol injection |
93 |
82 |
$4.69 |
| J3480 |
Inj potassium chloride |
68 |
49 |
$3.33 |
| 84300 |
|
54 |
51 |
$3.10 |
| 84133 |
|
12 |
12 |
$2.64 |
| S0028 |
Injection, famotidine, 20 mg |
124 |
116 |
$1.07 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
130 |
107 |
$0.38 |
| 91300 |
|
316 |
286 |
$0.34 |
| J2470 |
Inj pantoprazole sodium 40mg |
44 |
41 |
$0.01 |
| 99080 |
|
33,364 |
8,121 |
$0.00 |
| D1120 |
|
4,666 |
4,660 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
16 |
15 |
$0.00 |
| D0330 |
|
76 |
75 |
$0.00 |
| D0274 |
|
331 |
331 |
$0.00 |
| J0153 |
Adenosine inj 1mg |
15 |
14 |
$0.00 |
| D9430 |
|
79 |
74 |
$0.00 |
| D0145 |
|
12 |
12 |
$0.00 |
| 69210 |
|
28 |
26 |
$0.00 |
| D2391 |
|
19 |
14 |
$0.00 |
| J0670 |
Inj mepivacaine hcl/10 ml |
12 |
12 |
$0.00 |
| A9562 |
Tc99m mertiatide |
12 |
12 |
$0.00 |
| J0137 |
Inj, acetaminophen (hikma) |
17 |
17 |
$0.00 |
| D0272 |
|
854 |
853 |
$0.00 |
| J1817 |
Insulin for insulin pump use |
69 |
58 |
$0.00 |
| D0230 |
|
887 |
885 |
$0.00 |
| 76604 |
|
39 |
39 |
$0.00 |
| 76010 |
|
104 |
98 |
$0.00 |
| D1208 |
|
1,186 |
1,185 |
$0.00 |
| D1330 |
|
38 |
38 |
$0.00 |
| 3E03329 |
|
67 |
12 |
$0.00 |
| D1310 |
|
13 |
13 |
$0.00 |
| 77417 |
|
31 |
12 |
$0.00 |
| A4648 |
Implantable tissue marker |
13 |
13 |
$0.00 |
| 87147 |
|
14 |
13 |
$0.00 |
| J1805 |
Inj, esmolol hcl, 10mg |
14 |
14 |
$0.00 |
| 88331 |
|
13 |
13 |
$0.00 |
| D9310 |
|
16 |
16 |
$0.00 |