| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
13,969 |
990 |
$2.63M |
| 99283 |
|
3,082 |
2,976 |
$1.41M |
| 0120 |
|
198 |
193 |
$893K |
| 99284 |
|
1,363 |
1,348 |
$706K |
| 0111 |
|
101 |
100 |
$536K |
| 0121 |
|
124 |
123 |
$486K |
| H2019 |
Ther behav svc, per 15 min |
2,155 |
564 |
$354K |
| 99282 |
|
920 |
906 |
$223K |
| 99285 |
|
342 |
334 |
$216K |
| S5102 |
Adult day care per diem |
2,882 |
605 |
$203K |
| 74177 |
|
641 |
609 |
$179K |
| 92507 |
|
3,203 |
1,626 |
$178K |
| 0450 |
|
790 |
764 |
$167K |
| 0113 |
|
22 |
22 |
$145K |
| A4239 |
Non-adju cgm supply allow |
262 |
262 |
$114K |
| 90885 |
|
1,258 |
791 |
$103K |
| 0206 |
|
19 |
19 |
$81K |
| A0427 |
Als1-emergency |
140 |
132 |
$78K |
| 78452 |
|
79 |
79 |
$76K |
| 99291 |
|
70 |
67 |
$75K |
| 70450 |
|
718 |
688 |
$72K |
| H0004 |
Alcohol and/or drug services |
613 |
492 |
$72K |
| 71046 |
|
1,654 |
1,394 |
$63K |
| 71045 |
|
1,556 |
1,433 |
$62K |
| 78815 |
|
56 |
55 |
$62K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,519 |
1,834 |
$57K |
| 74176 |
|
285 |
273 |
$55K |
| 77067 |
|
994 |
880 |
$55K |
| 83036 |
|
8,157 |
8,135 |
$55K |
| 90947 |
|
486 |
17 |
$53K |
| 84443 |
|
5,381 |
5,367 |
$50K |
| 99281 |
|
358 |
355 |
$48K |
| 80061 |
|
5,111 |
5,104 |
$45K |
| 97535 |
|
772 |
402 |
$44K |
| 0301 |
|
335 |
323 |
$43K |
| A0130 |
Noner transport wheelch van |
713 |
238 |
$43K |
| G0300 |
Hhs/hospice of lpn ea 15 min |
260 |
69 |
$42K |
| T4535 |
Disposable liner/shield/pad |
886 |
877 |
$41K |
| 82565 |
|
12,948 |
12,286 |
$41K |
| G9008 |
Mccd,phys coor-care ovrsght |
5,457 |
3,301 |
$40K |
| H0031 |
Mh health assess by non-md |
19 |
19 |
$38K |
| E1390 |
Oxygen concentrator |
565 |
565 |
$37K |
| A0429 |
Bls-emergency |
36 |
33 |
$35K |
| G0299 |
Hhs/hospice of rn ea 15 min |
367 |
136 |
$35K |
| T2005 |
N-et; stretcher van |
211 |
73 |
$35K |
| 82306 |
|
1,698 |
1,697 |
$33K |
| H2014 |
Skills train and dev, 15 min |
250 |
167 |
$32K |
| 0762 |
|
119 |
119 |
$31K |
| 85025 |
|
8,633 |
8,099 |
$31K |
| 70553 |
|
112 |
106 |
$30K |
| 77386 |
|
53 |
37 |
$30K |
| 76705 |
|
414 |
381 |
$30K |
| E0601 |
Cont airway pressure device |
72 |
72 |
$30K |
| 76856 |
|
451 |
404 |
$30K |
| 70551 |
|
153 |
148 |
$28K |
| 71275 |
|
140 |
138 |
$28K |
| 76830 |
|
417 |
376 |
$28K |
| 84460 |
|
8,482 |
8,310 |
$27K |
| T4541 |
Large disposable underpad |
1,198 |
1,188 |
$26K |
| 80051 |
|
8,604 |
8,006 |
$26K |
| S0209 |
Wc van mileage per mi |
820 |
264 |
$26K |
| E0260 |
Hosp bed semi-electr w/ matt |
364 |
364 |
$26K |
| T4527 |
Adult size pull-on lg |
502 |
499 |
$25K |
| 87591 |
|
2,145 |
2,036 |
$24K |
| H0032 |
Mh svc plan dev by non-md |
160 |
101 |
$24K |
| T4526 |
Adult size pull-on med |
467 |
466 |
$24K |
| 88305 |
|
840 |
668 |
$24K |
| 80307 |
|
808 |
794 |
$23K |
| 86900 |
|
675 |
656 |
$23K |
| 97153 |
|
762 |
270 |
$22K |
| 87491 |
|
2,068 |
1,959 |
$22K |
| 0250 |
|
4,647 |
1,253 |
$22K |
| U0004 |
Cov-19 test non-cdc hgh thru |
270 |
249 |
$21K |
| T4528 |
Adult size pull-on xl |
280 |
280 |
$21K |
| K0001 |
Standard wheelchair |
634 |
634 |
$20K |
| 71260 |
|
132 |
131 |
$20K |
| 85027 |
|
5,768 |
5,711 |
$19K |
| 96374 |
|
1,211 |
1,138 |
$18K |
| A0425 |
Ground mileage |
529 |
366 |
$17K |
| 82274 |
|
1,405 |
1,402 |
$17K |
| 87636 |
|
1,523 |
1,512 |
$17K |
| E0562 |
Humidifier heated used w pap |
117 |
114 |
$17K |
| T1030 |
Rn home care per diem |
163 |
59 |
$17K |
| 99214 |
|
927 |
915 |
$17K |
| 86885 |
|
337 |
334 |
$17K |
| 93017 |
|
64 |
64 |
$16K |
| 83970 |
|
1,064 |
1,048 |
$16K |
| 90834 |
|
248 |
244 |
$16K |
| 72148 |
|
97 |
90 |
$16K |
| E0143 |
Walker folding wheeled w/o s |
249 |
249 |
$16K |
| 78451 |
|
16 |
16 |
$16K |
| 73630 |
|
554 |
502 |
$16K |
| 70496 |
|
42 |
42 |
$16K |
| 70498 |
|
47 |
46 |
$15K |
| A7030 |
Cpap full face mask |
142 |
142 |
$15K |
| 97530 |
|
418 |
211 |
$15K |
| T4523 |
Adult size brief/diaper lg |
163 |
163 |
$15K |
| A7034 |
Nasal application device |
253 |
252 |
$14K |
| T4534 |
Youth size pull-on |
149 |
149 |
$14K |
| 72125 |
|
101 |
98 |
$14K |
| 73721 |
|
80 |
66 |
$14K |
| 81513 |
|
650 |
649 |
$14K |
| 93005 |
|
1,064 |
1,025 |
$14K |
| T1031 |
Lpn home care per diem |
134 |
36 |
$14K |
| G2023 |
Specimen collect covid-19 |
1,865 |
1,202 |
$14K |
| 0350 |
|
55 |
55 |
$13K |
| 87088 |
|
2,777 |
2,759 |
$13K |
| 74183 |
|
37 |
34 |
$13K |
| 93976 |
|
87 |
87 |
$13K |
| 82728 |
|
2,341 |
2,327 |
$13K |
| 77080 |
|
305 |
287 |
$13K |
| E0471 |
Rad w/backup non inv intrfc |
51 |
51 |
$13K |
| 73562 |
|
323 |
291 |
$12K |
| A0428 |
Bls |
68 |
51 |
$12K |
| 80053 |
|
363 |
349 |
$12K |
| G0378 |
Hospital observation per hr |
482 |
331 |
$12K |
| G0151 |
Hhcp-serv of pt,ea 15 min |
191 |
82 |
$12K |
| 82607 |
|
1,127 |
1,124 |
$12K |
| 73030 |
|
273 |
241 |
$12K |
| T4524 |
Adult size brief/diaper xl |
120 |
120 |
$12K |
| 82043 |
|
2,191 |
2,187 |
$12K |
| 0112 |
|
15 |
15 |
$12K |
| 96365 |
|
386 |
367 |
$12K |
| 87389 |
|
1,398 |
1,398 |
$12K |
| E0570 |
Nebulizer with compression |
123 |
123 |
$12K |
| 87505 |
|
131 |
131 |
$12K |
| 36415 |
|
5,884 |
5,659 |
$11K |
| 0351 |
|
45 |
45 |
$11K |
| 72141 |
|
74 |
67 |
$11K |
| 93971 |
|
124 |
120 |
$11K |
| A4352 |
Coude tip urinary catheter |
13 |
13 |
$11K |
| 70486 |
|
86 |
81 |
$11K |
| 76770 |
|
113 |
101 |
$10K |
| T4522 |
Adult size brief/diaper med |
151 |
150 |
$10K |
| 0483 |
|
41 |
41 |
$10K |
| 72100 |
|
187 |
169 |
$10K |
| 83880 |
|
794 |
779 |
$10K |
| 73130 |
|
237 |
209 |
$10K |
| 0305 |
|
294 |
292 |
$10K |
| 73610 |
|
291 |
262 |
$10K |
| 84075 |
|
3,863 |
3,734 |
$10K |
| S5170 |
Homedelivered prepared meal |
109 |
41 |
$10K |
| E0830 |
Ambulatory traction device |
73 |
73 |
$9K |
| 87624 |
|
974 |
973 |
$9K |
| 86003 |
|
273 |
272 |
$9K |
| 70491 |
|
48 |
46 |
$9K |
| E0163 |
Commode chair with fixed arm |
99 |
99 |
$9K |
| K0003 |
Lightweight wheelchair |
179 |
179 |
$9K |
| 99213 |
|
1,118 |
1,108 |
$9K |
| 87661 |
|
745 |
744 |
$9K |
| 84450 |
|
3,779 |
3,658 |
$9K |
| 71250 |
|
99 |
93 |
$9K |
| 73564 |
|
167 |
127 |
$9K |
| 84153 |
|
573 |
571 |
$8K |
| 82310 |
|
2,765 |
2,545 |
$8K |
| 87481 |
|
651 |
650 |
$8K |
| 86480 |
|
290 |
290 |
$8K |
| 76817 |
|
91 |
87 |
$8K |
| 74018 |
|
161 |
140 |
$8K |
| 0260 |
|
103 |
103 |
$8K |
| 82247 |
|
4,009 |
3,829 |
$8K |
| S9131 |
Pt in the home per diem |
62 |
26 |
$8K |
| 97155 |
|
306 |
183 |
$8K |
| E0603 |
Electric breast pump |
80 |
80 |
$8K |
| 86803 |
|
1,488 |
1,486 |
$8K |
| E1399 |
Durable medical equipment mi |
60 |
60 |
$8K |
| 86780 |
|
1,538 |
1,515 |
$8K |
| 0352 |
|
39 |
39 |
$8K |
| 84702 |
|
1,078 |
1,027 |
$8K |
| 0410 |
|
51 |
51 |
$8K |
| 90837 |
|
295 |
262 |
$8K |
| 96361 |
|
317 |
310 |
$7K |
| 87633 |
|
130 |
129 |
$7K |
| 86901 |
|
676 |
657 |
$7K |
| 84520 |
|
6,778 |
5,624 |
$7K |
| 73110 |
|
176 |
154 |
$7K |
| 76801 |
|
80 |
74 |
$7K |
| 93306 |
|
128 |
115 |
$7K |
| 93970 |
|
42 |
42 |
$7K |
| 83550 |
|
2,131 |
2,120 |
$7K |
| 76641 |
|
119 |
110 |
$7K |
| A7035 |
Pos airway press headgear |
354 |
352 |
$7K |
| 96375 |
|
766 |
723 |
$7K |
| 82947 |
|
5,421 |
5,156 |
$7K |
| 76805 |
|
126 |
109 |
$6K |
| 84132 |
|
2,625 |
2,384 |
$6K |
| 93010 |
|
1,061 |
1,030 |
$6K |
| 0320 |
|
191 |
190 |
$6K |
| 0306 |
|
222 |
220 |
$6K |
| 70544 |
|
25 |
23 |
$6K |
| A7032 |
Replacement nasal cushion |
67 |
67 |
$6K |
| 72197 |
|
21 |
19 |
$6K |
| E0630 |
Patient lift hydraulic |
82 |
82 |
$6K |
| B4161 |
Ef ped hydrolyzed/amino acid |
13 |
13 |
$6K |
| B4160 |
Ef ped caloric dense>/=0.7kc |
18 |
18 |
$6K |
| 76815 |
|
43 |
43 |
$6K |
| K0007 |
Extra heavy duty wheelchair |
57 |
57 |
$6K |
| 86141 |
|
736 |
720 |
$6K |
| 84484 |
|
1,615 |
1,324 |
$6K |
| 73502 |
|
107 |
98 |
$6K |
| 84439 |
|
1,230 |
1,222 |
$6K |
| 83735 |
|
2,065 |
1,909 |
$6K |
| A7033 |
Replacement nasal pillows |
70 |
70 |
$6K |
| A9500 |
Tc99m sestamibi |
63 |
59 |
$6K |
| A4230 |
Infus insulin pump non needl |
18 |
18 |
$6K |
| 73560 |
|
95 |
78 |
$6K |
| 76536 |
|
73 |
68 |
$6K |
| 86235 |
|
109 |
107 |
$5K |
| 83540 |
|
2,172 |
2,160 |
$5K |
| 86923 |
|
59 |
58 |
$5K |
| 76870 |
|
63 |
58 |
$5K |
| 82746 |
|
474 |
474 |
$5K |
| A7031 |
Replacement facemask interfa |
67 |
67 |
$5K |
| E0604 |
Hosp grade elec breast pump |
163 |
163 |
$5K |
| 87637 |
|
489 |
485 |
$5K |
| 74178 |
|
12 |
12 |
$5K |
| 84403 |
|
404 |
401 |
$5K |
| 74174 |
|
13 |
13 |
$5K |
| G0480 |
Drug test def 1-7 classes |
77 |
76 |
$5K |
| 85610 |
|
2,110 |
2,013 |
$5K |
| 76816 |
|
70 |
64 |
$5K |
| 83690 |
|
1,835 |
1,794 |
$5K |
| T4530 |
Ped size brief/diaper lg |
76 |
76 |
$5K |
| 92227 |
|
369 |
369 |
$5K |
| B4035 |
Enteral feed supp pump per d |
28 |
28 |
$5K |
| A7037 |
Pos airway pressure tubing |
243 |
243 |
$5K |
| E0431 |
Portable gaseous 02 |
277 |
277 |
$5K |
| J2785 |
Regadenoson injection |
44 |
44 |
$5K |
| E2103 |
Non-adju cgm receiver/mon |
43 |
43 |
$5K |
| A9552 |
F18 fdg |
54 |
54 |
$4K |
| G0152 |
Hhcp-serv of ot,ea 15 min |
62 |
26 |
$4K |
| 87340 |
|
1,437 |
1,435 |
$4K |
| 0420 |
|
72 |
72 |
$4K |
| 72131 |
|
37 |
36 |
$4K |
| E1392 |
Portable oxygen concentrator |
86 |
86 |
$4K |
| 0124A |
|
111 |
111 |
$4K |
| B9998 |
Enteral supp not otherwise c |
40 |
40 |
$4K |
| K0738 |
Portable gas oxygen system |
231 |
231 |
$4K |
| 81003 |
|
3,150 |
3,114 |
$4K |
| A4351 |
Straight tip urine catheter |
19 |
18 |
$4K |
| B4034 |
Enter feed supkit syr by day |
36 |
36 |
$4K |
| 77065 |
Tomosynthesis, mammo |
61 |
52 |
$4K |
| E0240 |
Bath/shower chair |
133 |
133 |
$4K |
| 73700 |
|
30 |
27 |
$4K |
| 80048 |
|
435 |
423 |
$4K |
| 73080 |
|
80 |
74 |
$4K |
| 82040 |
|
1,617 |
1,601 |
$4K |
| 76700 |
|
56 |
49 |
$4K |
| A7038 |
Pos airway pressure filter |
268 |
268 |
$4K |
| H2000 |
Comp multidisipln evaluation |
20 |
20 |
$4K |
| 70543 |
|
12 |
12 |
$4K |
| 0300 |
|
245 |
241 |
$4K |
| 83520 |
|
233 |
161 |
$4K |
| 87186 |
|
482 |
481 |
$4K |
| 84165 |
|
186 |
185 |
$4K |
| G0157 |
Hhc pt assistant ea 15 |
39 |
18 |
$4K |
| K0006 |
Heavy duty wheelchair |
49 |
49 |
$4K |
| 87536 |
|
67 |
67 |
$4K |
| 73590 |
|
81 |
73 |
$4K |
| 84295 |
|
1,225 |
1,217 |
$4K |
| A4224 |
Supply insulin inf cath/wk |
12 |
12 |
$4K |
| 87800 |
|
78 |
78 |
$4K |
| 97167 |
|
12 |
12 |
$4K |
| 73221 |
|
28 |
22 |
$3K |
| A0426 |
Als 1 |
19 |
19 |
$3K |
| 72040 |
|
58 |
55 |
$3K |
| 96360 |
|
106 |
104 |
$3K |
| 77066 |
Tomosynthesis, mammo |
42 |
37 |
$3K |
| 73140 |
|
79 |
65 |
$3K |
| 83721 |
|
394 |
394 |
$3K |
| 74022 |
|
44 |
39 |
$3K |
| T4532 |
Ped size pull-on lg |
17 |
17 |
$3K |
| B4150 |
Ef complet w/intact nutrient |
19 |
19 |
$3K |
| 84100 |
|
1,862 |
1,594 |
$3K |
| G0155 |
Hhcp-svs of csw,ea 15 min |
27 |
20 |
$3K |
| 72170 |
|
35 |
35 |
$3K |
| 0730 |
|
79 |
78 |
$3K |
| 81229 |
|
16 |
16 |
$3K |
| 99212 |
|
667 |
656 |
$3K |
| 81001 |
|
907 |
897 |
$3K |
| E1060 |
Wheelchair detachable arms |
36 |
36 |
$3K |
| E0781 |
External ambulatory infus pu |
16 |
16 |
$2K |
| 82570 |
|
689 |
652 |
$2K |
| 0440 |
|
51 |
28 |
$2K |
| 96372 |
|
457 |
434 |
$2K |
| A4232 |
Syringe w/needle insulin 3cc |
21 |
21 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
869 |
859 |
$2K |
| 80197 |
|
156 |
151 |
$2K |
| T4525 |
Adult size pull-on sm |
50 |
50 |
$2K |
| A4385 |
Ost skn barrier sld ext wear |
24 |
24 |
$2K |
| 87635 |
|
239 |
232 |
$2K |
| T1001 |
Nursing assessment/evaluatn |
17 |
17 |
$2K |
| 84703 |
|
246 |
243 |
$2K |
| 86334 |
|
67 |
66 |
$2K |
| 0402 |
|
38 |
38 |
$2K |
| 0270 |
|
215 |
163 |
$2K |
| 0302 |
|
212 |
211 |
$2K |
| T2001 |
N-et; patient attend/escort |
62 |
15 |
$2K |
| 92015 |
|
451 |
451 |
$2K |
| A9900 |
Supply/accessory/service |
54 |
54 |
$2K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
310 |
310 |
$2K |
| 72146 |
|
12 |
12 |
$2K |
| E0185 |
Gel pressure mattress pad |
61 |
61 |
$2K |
| E1038 |
Transport chair pt wt<=300lb |
191 |
191 |
$2K |
| 73552 |
|
43 |
38 |
$2K |
| 0637 |
|
7,308 |
1,640 |
$2K |
| 87651 |
|
379 |
378 |
$2K |
| 87426 |
|
126 |
119 |
$2K |
| 86665 |
|
163 |
93 |
$2K |
| 81220 |
|
39 |
39 |
$2K |
| 71101 |
|
23 |
22 |
$2K |
| 85652 |
|
952 |
948 |
$2K |
| 82105 |
|
174 |
174 |
$2K |
| 82784 |
|
178 |
178 |
$2K |
| E0265 |
Hosp bed total electr w/ mat |
12 |
12 |
$2K |
| T4521 |
Adult size brief/diaper sm |
27 |
27 |
$2K |
| 59025 |
|
17 |
13 |
$2K |
| J7030 |
Normal saline solution infus |
1,694 |
1,390 |
$2K |
| J0131 |
Inj, acetaminophen (nos) |
263 |
252 |
$2K |
| J0887 |
Epoetin beta esrd use |
747 |
491 |
$2K |
| A7046 |
Repl water chamber, pap dev |
162 |
162 |
$2K |
| 86704 |
|
304 |
304 |
$2K |
| 73090 |
|
31 |
27 |
$2K |
| 84146 |
|
224 |
224 |
$2K |
| 83718 |
|
262 |
262 |
$2K |
| 84156 |
|
573 |
566 |
$2K |
| 82378 |
|
95 |
94 |
$2K |
| 76857 |
|
14 |
14 |
$2K |
| 80076 |
|
255 |
253 |
$2K |
| 83655 |
|
516 |
516 |
$2K |
| 83921 |
|
50 |
50 |
$2K |
| A9502 |
Tc99m tetrofosmin |
31 |
31 |
$1K |
| 87517 |
|
84 |
83 |
$1K |
| 82670 |
|
187 |
186 |
$1K |
| 86762 |
|
327 |
327 |
$1K |
| E0424 |
Stationary compressed gas 02 |
14 |
14 |
$1K |
| 81206 |
|
19 |
19 |
$1K |
| 86850 |
|
169 |
168 |
$1K |
| A4604 |
Tubing with heating element |
43 |
43 |
$1K |
| E0720 |
Tens two lead |
30 |
30 |
$1K |
| 76642 |
|
60 |
40 |
$1K |
| 87522 |
Neg quan hep c or qual rna |
49 |
49 |
$1K |
| 84550 |
|
447 |
446 |
$1K |
| A0420 |
Ambulance waiting 1/2 hr |
19 |
19 |
$1K |
| 0921 |
|
22 |
22 |
$1K |
| 87799 |
|
38 |
38 |
$1K |
| 87449 |
|
146 |
136 |
$1K |
| E0776 |
Iv pole |
103 |
103 |
$1K |
| 0134A |
|
37 |
37 |
$1K |
| 0255 |
|
101 |
99 |
$1K |
| 86592 |
|
96 |
96 |
$1K |
| 92014 |
|
70 |
70 |
$1K |
| 76881 |
|
31 |
24 |
$1K |
| 11721 |
|
12 |
12 |
$1K |
| 87529 |
|
91 |
55 |
$1K |
| 88304 |
|
52 |
45 |
$1K |
| 94640 |
|
97 |
82 |
$1K |
| 82248 |
|
750 |
721 |
$1K |
| 85730 |
|
287 |
275 |
$1K |
| A4362 |
Solid skin barrier |
13 |
13 |
$1K |
| E0247 |
Trans bench w/wo comm open |
16 |
16 |
$1K |
| 73522 |
|
22 |
20 |
$1K |
| 86038 |
|
188 |
188 |
$1K |
| 83001 |
|
224 |
224 |
$1K |
| 72082 |
|
12 |
12 |
$1K |
| 92250 |
|
42 |
42 |
$1K |
| 76380 |
|
19 |
19 |
$1K |
| 72070 |
|
17 |
15 |
$1K |
| 86787 |
|
267 |
267 |
$1K |
| E0600 |
Suction pump portab hom modl |
33 |
33 |
$1K |
| A7520 |
Trach/laryn tube non-cuffed |
15 |
15 |
$1K |
| J3490 |
Drugs unclassified injection |
882 |
519 |
$1K |
| 87040 |
|
559 |
346 |
$1K |
| 84270 |
|
87 |
87 |
$1K |
| J2405 |
Ondansetron hcl injection |
670 |
620 |
$1K |
| 88307 |
|
21 |
13 |
$1K |
| 84480 |
|
154 |
153 |
$1K |
| E0156 |
Walker seat attachment |
72 |
72 |
$1K |
| 73000 |
|
15 |
13 |
$1K |
| 87497 |
|
28 |
28 |
$1K |
| 86335 |
|
14 |
14 |
$1K |
| J1756 |
Iron sucrose injection |
1,258 |
382 |
$1K |
| 82550 |
|
261 |
253 |
$1K |
| 83021 |
|
103 |
103 |
$1K |
| E0245 |
Tub stool or bench |
19 |
19 |
$1K |
| E0651 |
Pneum compressor segmental |
19 |
19 |
$1K |
| 87081 |
|
852 |
846 |
$1K |
| 85018 |
|
2,259 |
1,105 |
$1K |
| 85014 |
|
576 |
541 |
$1K |
| 92134 |
|
66 |
57 |
$1K |
| 86765 |
|
225 |
225 |
$1K |
| 87070 |
|
230 |
230 |
$1K |
| T4537 |
Reusable underpad bed size |
45 |
45 |
$1K |
| 83993 |
|
101 |
101 |
$1K |
| J1100 |
Dexamethasone sodium phos |
170 |
160 |
$1K |
| 88173 |
|
12 |
12 |
$1K |
| 86225 |
|
152 |
152 |
$1K |
| 86160 |
|
97 |
94 |
$1K |
| B4088 |
Gastro/jejuno tube, low-pro |
29 |
29 |
$988.92 |
| 73060 |
|
21 |
20 |
$984.76 |
| A9585 |
Gadobutrol injection |
75 |
75 |
$966.52 |
| 0258 |
|
214 |
206 |
$958.53 |
| 92012 |
|
86 |
86 |
$948.00 |
| 83615 |
|
219 |
214 |
$946.61 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
84 |
84 |
$945.60 |
| 73660 |
|
40 |
29 |
$940.00 |
| 82465 |
|
311 |
310 |
$934.00 |
| 0424 |
|
80 |
80 |
$927.00 |
| 92523 |
|
56 |
56 |
$925.94 |
| 0171 |
Inj, epinephrine (belcher) |
111 |
111 |
$895.91 |
| 86317 |
|
121 |
121 |
$888.00 |
| 99211 |
|
359 |
317 |
$877.03 |
| G2024 |
Spec coll snf/lab covid-19 |
34 |
29 |
$865.64 |
| 72050 |
|
27 |
20 |
$846.00 |
| 82627 |
|
80 |
80 |
$843.00 |
| 86664 |
|
93 |
93 |
$842.00 |
| 87324 |
|
90 |
90 |
$837.19 |
| 85379 |
|
233 |
223 |
$836.31 |
| 87811 |
|
19 |
19 |
$827.60 |
| E0181 |
Press pad alternating w/ pum |
45 |
45 |
$821.74 |
| A5056 |
1 pc ost pouch w filter |
12 |
12 |
$810.15 |
| A4409 |
Ost skn barr convex <=4 sq i |
12 |
12 |
$794.76 |
| 92083 |
|
17 |
13 |
$790.00 |
| 84134 |
|
74 |
74 |
$769.24 |
| 87506 |
|
49 |
49 |
$760.00 |
| 97110 |
|
166 |
160 |
$737.00 |
| 83002 |
|
138 |
138 |
$730.00 |
| B9002 |
Enter nutr inf pump any type |
27 |
27 |
$722.40 |
| 80306 |
|
90 |
87 |
$718.93 |
| 83605 |
|
429 |
365 |
$709.07 |
| 81025 |
|
245 |
241 |
$697.30 |
| 82533 |
|
71 |
68 |
$694.00 |
| 88175 |
|
101 |
101 |
$686.08 |
| 73100 |
|
22 |
15 |
$678.00 |
| 86635 |
|
58 |
29 |
$646.00 |
| 99202 |
|
180 |
180 |
$639.30 |
| 87338 |
|
329 |
329 |
$636.72 |
| 86360 |
|
41 |
41 |
$636.00 |
| E0244 |
Toilet seat raised |
18 |
18 |
$631.62 |
| 88342 |
|
19 |
19 |
$630.00 |
| E0849 |
Cervical pneum trac equip |
18 |
18 |
$628.28 |
| 86140 |
|
354 |
350 |
$608.96 |
| 97161 |
|
102 |
100 |
$606.79 |
| A6250 |
Skin seal protect moisturizr |
59 |
58 |
$599.20 |
| 82985 |
|
43 |
43 |
$598.68 |
| A4670 |
Automatic bp monitor, dial |
42 |
42 |
$595.56 |
| E2601 |
Gen w/c cushion wdth < 22 in |
21 |
20 |
$592.46 |
| 86376 |
|
90 |
89 |
$592.28 |
| 99072 |
|
636 |
263 |
$591.30 |
| 88112 |
|
13 |
13 |
$590.00 |
| E0241 |
Bath tub wall rail |
27 |
26 |
$565.56 |
| 86304 |
|
44 |
44 |
$544.00 |
| 82977 |
|
109 |
109 |
$541.00 |
| 86255 |
|
27 |
27 |
$539.93 |
| 86696 |
|
52 |
52 |
$533.00 |
| 82785 |
|
41 |
41 |
$492.00 |
| E0100 |
Cane adjust/fixed with tip |
36 |
36 |
$491.84 |
| 0307 |
|
143 |
142 |
$489.93 |
| A9286 |
Any hygienic item, device |
57 |
55 |
$487.31 |
| 80321 |
|
15 |
15 |
$485.81 |
| P9021 |
Red blood cells unit |
38 |
34 |
$483.53 |
| 86880 |
|
17 |
17 |
$467.00 |
| 86256 |
|
34 |
34 |
$458.00 |
| A7005 |
Nondisposable nebulizer set |
21 |
21 |
$447.32 |
| A4335 |
Incontinence supply |
63 |
62 |
$440.69 |
| 86580 |
|
154 |
154 |
$440.00 |
| 86706 |
|
299 |
299 |
$422.01 |
| 81329 |
|
84 |
84 |
$422.00 |
| G0124 |
Screen c/v thin layer by md |
36 |
36 |
$420.00 |
| A5120 |
Skin barrier, wipe or swab |
32 |
31 |
$415.54 |
| C9803 |
Hopd covid-19 spec collect |
19 |
19 |
$399.00 |
| E0105 |
Cane adjust/fixed quad/3 pro |
14 |
14 |
$395.05 |
| 96366 |
|
55 |
53 |
$391.04 |
| J1644 |
Inj heparin sodium per 1000u |
2,371 |
275 |
$390.89 |
| J1885 |
Ketorolac tromethamine inj |
510 |
490 |
$387.37 |
| G0008 |
Admin influenza virus vac |
56 |
56 |
$387.35 |
| A4357 |
Bedside drainage bag |
13 |
13 |
$386.70 |
| 82950 |
|
168 |
168 |
$386.00 |
| 86431 |
|
142 |
142 |
$378.00 |
| 0241U |
|
37 |
37 |
$354.96 |
| 99204 |
|
152 |
151 |
$351.60 |
| 86735 |
|
86 |
86 |
$344.00 |
| A4927 |
Non-sterile gloves |
132 |
132 |
$334.53 |
| 86709 |
|
48 |
48 |
$330.00 |
| 80179 |
|
101 |
100 |
$319.25 |
| 86695 |
|
52 |
52 |
$317.00 |
| 86301 |
|
28 |
27 |
$311.00 |
| A4402 |
Lubricant per ounce |
20 |
20 |
$306.55 |
| 97162 |
|
34 |
33 |
$287.49 |
| 82024 |
|
16 |
15 |
$285.00 |
| E0910 |
Trapeze bar attached to bed |
24 |
24 |
$273.06 |
| 87102 |
|
85 |
85 |
$270.00 |
| 88142 |
|
87 |
87 |
$269.85 |
| 86359 |
|
13 |
13 |
$260.00 |
| 82951 |
|
30 |
30 |
$258.00 |
| 85046 |
|
169 |
166 |
$258.00 |
| 87210 |
|
80 |
80 |
$253.42 |
| 0272 |
|
38 |
38 |
$252.87 |
| 81015 |
|
95 |
91 |
$252.86 |
| 82962 |
|
245 |
169 |
$252.73 |
| 93000 |
|
16 |
16 |
$252.00 |
| 90471 |
|
172 |
170 |
$247.53 |
| 82330 |
|
22 |
22 |
$244.00 |
| 84425 |
|
61 |
61 |
$244.00 |
| J0696 |
Ceftriaxone sodium injection |
286 |
234 |
$234.15 |
| 0434 |
|
14 |
14 |
$223.28 |
| 86708 |
|
55 |
55 |
$222.00 |
| G0123 |
Screen cerv/vag thin layer |
37 |
37 |
$219.85 |
| A6402 |
Sterile gauze <= 16 sq in |
27 |
27 |
$218.70 |
| 82140 |
|
44 |
42 |
$211.57 |
| J2060 |
Lorazepam injection |
111 |
103 |
$211.30 |
| 87086 |
|
17 |
17 |
$207.97 |
| 83516 |
|
115 |
115 |
$207.80 |
| 87205 |
|
96 |
88 |
$204.45 |
| 86300 |
|
19 |
19 |
$200.00 |
| J2270 |
Morphine sulfate injection |
278 |
256 |
$197.36 |
| 81243 |
|
25 |
25 |
$195.00 |
| 80164 |
|
47 |
45 |
$195.00 |
| 80069 |
|
277 |
271 |
$188.25 |
| 84145 |
|
32 |
32 |
$184.58 |
| J1170 |
Hydromorphone injection |
150 |
120 |
$177.52 |
| 82077 |
|
179 |
165 |
$170.55 |
| 90686 |
|
63 |
63 |
$162.18 |
| 85045 |
|
116 |
115 |
$160.99 |
| 80349 |
|
33 |
32 |
$158.00 |
| 97165 |
|
15 |
15 |
$157.08 |
| 86308 |
|
37 |
37 |
$149.28 |
| 80177 |
|
23 |
22 |
$147.84 |
| 84478 |
|
61 |
60 |
$144.00 |
| 84155 |
|
636 |
630 |
$140.55 |
| 82390 |
|
30 |
30 |
$140.00 |
| 82150 |
|
61 |
60 |
$137.48 |
| 89051 |
|
36 |
36 |
$137.00 |
| 80162 |
|
15 |
15 |
$133.00 |
| 82272 |
|
34 |
34 |
$132.00 |
| 85613 |
|
14 |
14 |
$125.00 |
| A4371 |
Skin barrier powder per oz |
14 |
14 |
$122.49 |
| 96367 |
|
40 |
39 |
$110.58 |
| 0430 |
|
16 |
16 |
$107.92 |
| J1200 |
Diphenhydramine hcl injectio |
178 |
148 |
$102.24 |
| 88141 |
|
13 |
13 |
$100.00 |
| 87209 |
|
50 |
50 |
$100.00 |
| 85384 |
|
19 |
17 |
$98.72 |
| 83930 |
|
17 |
17 |
$96.61 |
| 83020 |
|
47 |
47 |
$95.00 |
| 82952 |
|
30 |
30 |
$92.00 |
| 80178 |
|
37 |
35 |
$88.61 |
| 83519 |
|
13 |
13 |
$88.20 |
| 83498 |
|
49 |
49 |
$88.20 |
| J0604 |
Cinacalcet, esrd on dialysis |
1,813 |
212 |
$84.24 |
| J7120 |
Ringers lactate infusion |
195 |
175 |
$82.68 |
| 96376 |
|
54 |
54 |
$79.80 |
| 82803 |
|
36 |
34 |
$78.73 |
| 87880 |
|
190 |
188 |
$78.65 |
| A7015 |
Aerosol mask used w nebulize |
59 |
59 |
$76.12 |
| 92610 |
|
17 |
17 |
$72.46 |
| 84466 |
|
12 |
12 |
$72.00 |
| 82705 |
|
12 |
12 |
$66.00 |
| J0780 |
Prochlorperazine injection |
44 |
42 |
$61.06 |
| 84207 |
|
15 |
15 |
$60.48 |
| 84630 |
|
28 |
28 |
$60.00 |
| J3475 |
Inj magnesium sulfate |
86 |
82 |
$58.02 |
| 83935 |
|
12 |
12 |
$54.00 |
| J2765 |
Metoclopramide hcl injection |
153 |
145 |
$52.70 |
| 85049 |
|
12 |
12 |
$46.00 |
| J0690 |
Cefazolin sodium injection |
16 |
15 |
$42.05 |
| J2930 |
Methylprednisolone injection |
74 |
67 |
$41.82 |
| G2012 |
Brief check in by md/qhp |
547 |
543 |
$40.00 |
| 86645 |
|
12 |
12 |
$40.00 |
| J1815 |
Insulin injection |
291 |
143 |
$39.30 |
| 82103 |
|
13 |
13 |
$35.00 |
| J2920 |
Methylprednisolone injection |
20 |
13 |
$32.18 |
| 0309 |
|
12 |
12 |
$31.94 |
| 84305 |
|
13 |
13 |
$30.24 |
| 86593 |
|
34 |
34 |
$30.00 |
| 82374 |
|
160 |
149 |
$30.00 |
| J2272 |
Inj, morphine (fresenius) |
63 |
58 |
$28.05 |
| J1630 |
Haloperidol injection |
20 |
18 |
$27.98 |
| A4657 |
Syringe w/wo needle |
3,952 |
548 |
$27.58 |
| 80359 |
|
14 |
14 |
$26.00 |
| 80324 |
|
14 |
14 |
$26.00 |
| J0360 |
Hydralazine hcl injection |
46 |
40 |
$24.56 |
| 83986 |
|
13 |
13 |
$24.25 |
| A7013 |
Disposable compressor filter |
41 |
41 |
$24.07 |
| J1650 |
Inj enoxaparin sodium |
112 |
72 |
$20.96 |
| 87147 |
|
14 |
14 |
$20.08 |
| 84590 |
|
12 |
12 |
$16.80 |
| 82435 |
|
17 |
17 |
$15.00 |
| J3010 |
Fentanyl citrate injection |
50 |
46 |
$11.51 |
| 87185 |
|
12 |
12 |
$10.00 |
| J0134 |
Inj acetaminophen -fresenius |
34 |
33 |
$10.00 |
| 81002 |
|
58 |
58 |
$8.70 |
| 84315 |
|
16 |
16 |
$8.32 |
| J3480 |
Inj potassium chloride |
60 |
43 |
$8.10 |
| J1940 |
Furosemide injection |
94 |
56 |
$4.00 |
| 99000 |
|
16 |
16 |
$3.63 |
| J7042 |
5% dextrose/normal saline |
15 |
12 |
$3.49 |
| A6216 |
Non-sterile gauze<=16 sq in |
83 |
13 |
$3.02 |
| J7512 |
Prednisone ir or dr oral 1mg |
72 |
58 |
$2.98 |
| J2250 |
Inj midazolam hydrochloride |
32 |
31 |
$2.29 |
| 99232 |
|
47 |
22 |
$0.00 |
| 90677 |
|
16 |
16 |
$0.00 |
| G9012 |
Other specified case mgmt |
2,874 |
1,412 |
$0.00 |
| Q5001 |
Hospice or home hlth in home |
37 |
37 |
$0.00 |
| K1034 |
Covid test self-admn/collect |
2,021 |
1,976 |
$0.00 |
| 92004 |
|
32 |
32 |
$0.00 |
| J1270 |
Injection, doxercalciferol |
2,308 |
206 |
$0.00 |
| 92551 |
|
93 |
93 |
$0.00 |
| 92002 |
|
48 |
48 |
$0.00 |
| G0307 |
Cbc without platelet |
77 |
77 |
$0.00 |
| 99024 |
|
45 |
44 |
$0.00 |
| 99441 |
|
69 |
69 |
$0.00 |
| 0370 |
|
68 |
68 |
$0.00 |
| J3420 |
Vitamin b12 injection |
13 |
13 |
$0.00 |
| 82525 |
|
12 |
12 |
$0.00 |
| 0023 |
Pin srv add 30 min pr m |
13 |
13 |
$0.00 |
| 97140 |
|
55 |
50 |
$0.00 |
| Q4081 |
Epoetin alfa, 100 units esrd |
867 |
102 |
$0.00 |
| 82945 |
|
62 |
51 |
$0.00 |
| 0710 |
|
68 |
68 |
$0.00 |
| 96110 |
|
25 |
25 |
$0.00 |
| 76813 |
|
12 |
12 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
56 |
47 |
$0.00 |
| 82108 |
|
105 |
105 |
$0.00 |
| 99051 |
|
420 |
419 |
$0.00 |
| 97150 |
|
19 |
16 |
$0.00 |
| 87804 |
|
14 |
14 |
$0.00 |
| 97156 |
|
18 |
12 |
$0.00 |
| 99395 |
|
37 |
37 |
$0.00 |
| 99394 |
|
36 |
36 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
14 |
14 |
$0.00 |
| 87329 |
|
17 |
17 |
$0.00 |
| 99391 |
|
40 |
40 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
15 |
15 |
$0.00 |
| 99177 |
|
54 |
54 |
$0.00 |
| J1071 |
Inj testosterone cypionate |
19 |
19 |
$0.00 |
| 99442 |
|
45 |
45 |
$0.00 |
| 87806 |
|
14 |
14 |
$0.00 |
| 90832 |
|
13 |
13 |
$0.00 |
| 96116 |
|
18 |
18 |
$0.00 |
| 90746 |
|
16 |
16 |
$0.00 |
| 90791 |
|
43 |
43 |
$0.00 |
| 99222 |
|
19 |
18 |
$0.00 |
| 99203 |
|
168 |
168 |
$0.00 |
| 99173 |
|
47 |
47 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
33 |
33 |
$0.00 |
| 99393 |
|
52 |
52 |
$0.00 |
| 96413 |
|
20 |
16 |
$0.00 |
| A4267 |
Male condom |
17 |
17 |
$0.00 |
| 90750 |
|
22 |
22 |
$0.00 |
| 90853 |
|
44 |
35 |
$0.00 |
| 98968 |
|
45 |
45 |
$0.00 |
| 0360 |
|
18 |
18 |
$0.00 |
| G1004 |
Cdsm ndsc |
15 |
13 |
$0.00 |
| J3371 |
Inj, vancomycin hcl (mylan) |
24 |
14 |
$0.00 |
| 80361 |
|
20 |
20 |
$0.00 |
| 99392 |
|
36 |
36 |
$0.00 |
| 99396 |
|
41 |
41 |
$0.00 |