| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0761 |
|
335,103 |
254,749 |
$9.47M |
| 99203 |
|
299,245 |
239,765 |
$9.18M |
| 99213 |
|
304,535 |
281,523 |
$6.75M |
| T1015 |
Clinic service |
43,130 |
38,191 |
$6.26M |
| 99214 |
|
209,422 |
197,460 |
$4.90M |
| 0360 |
|
26,059 |
13,833 |
$3.63M |
| 0450 |
|
48,461 |
43,555 |
$2.21M |
| U0003 |
Cov-19 amp prb hgh thruput |
23,356 |
21,785 |
$2.00M |
| 59425 |
|
25,324 |
16,235 |
$1.87M |
| L8699 |
Prosthetic implant nos |
549 |
525 |
$1.77M |
| 74177 |
|
5,805 |
5,662 |
$1.72M |
| 99284 |
|
6,954 |
6,545 |
$1.39M |
| 99281 |
|
1,669 |
1,601 |
$1.15M |
| 96374 |
|
12,837 |
11,945 |
$977K |
| 80053 |
|
51,344 |
47,999 |
$900K |
| 99283 |
|
5,656 |
5,298 |
$871K |
| 0760 |
|
20,501 |
17,411 |
$858K |
| 99391 |
|
15,069 |
14,248 |
$843K |
| J3490 |
Drugs unclassified injection |
20,119 |
11,865 |
$824K |
| 99244 |
|
8,544 |
8,222 |
$818K |
| 87428 |
|
10,205 |
10,140 |
$780K |
| 96372 |
|
23,186 |
21,846 |
$697K |
| 99392 |
|
15,827 |
15,505 |
$695K |
| 0510 |
|
23,463 |
18,650 |
$680K |
| 99393 |
|
13,247 |
13,014 |
$674K |
| 99490 |
Ccm add 20min |
33,548 |
33,069 |
$666K |
| 99285 |
|
3,699 |
3,447 |
$663K |
| 70450 |
|
5,736 |
5,606 |
$654K |
| 87633 |
|
1,778 |
1,752 |
$646K |
| 0202U |
|
1,509 |
1,496 |
$644K |
| 93005 |
|
23,779 |
21,969 |
$623K |
| A4649 |
Surgical supplies |
65,212 |
29,295 |
$584K |
| 43239 |
|
3,318 |
2,923 |
$571K |
| 45380 |
|
2,048 |
1,760 |
$514K |
| 0710 |
|
13,049 |
12,713 |
$498K |
| 74176 |
|
2,703 |
2,665 |
$456K |
| 99394 |
|
7,242 |
7,108 |
$455K |
| 96375 |
|
9,702 |
8,766 |
$452K |
| 97139 |
|
9,302 |
2,342 |
$447K |
| Z7500 |
|
12,911 |
10,457 |
$436K |
| 96361 |
|
9,703 |
9,063 |
$408K |
| 76705 |
|
5,251 |
5,132 |
$392K |
| 96365 |
|
4,241 |
3,248 |
$390K |
| 87631 |
|
5,641 |
5,463 |
$387K |
| 85025 |
|
56,641 |
51,322 |
$381K |
| 73721 |
|
1,191 |
1,134 |
$344K |
| 45378 |
|
1,563 |
1,325 |
$329K |
| Z7502 |
|
8,736 |
8,620 |
$329K |
| 99215 |
Prolong outpt/office vis |
2,340 |
2,231 |
$327K |
| 71045 |
|
21,340 |
20,253 |
$325K |
| 99204 |
|
4,292 |
4,226 |
$321K |
| 87491 |
|
9,474 |
9,324 |
$307K |
| 80307 |
|
5,093 |
4,747 |
$306K |
| 87591 |
|
9,488 |
9,328 |
$306K |
| 11042 |
|
4,380 |
2,159 |
$304K |
| 76856 |
|
3,785 |
3,760 |
$303K |
| 87507 |
|
661 |
648 |
$298K |
| 70551 |
|
1,259 |
1,252 |
$288K |
| 96110 |
|
3,762 |
3,039 |
$284K |
| 84443 |
|
18,213 |
17,923 |
$276K |
| 96360 |
|
3,367 |
3,157 |
$275K |
| 99460 |
|
5,001 |
4,935 |
$269K |
| 76830 |
|
3,196 |
3,174 |
$268K |
| 72148 |
|
1,080 |
1,078 |
$268K |
| 76801 |
|
3,283 |
2,884 |
$264K |
| 93306 |
|
1,190 |
1,173 |
$257K |
| C9803 |
Hopd covid-19 spec collect |
8,234 |
7,561 |
$256K |
| G8510 |
Scr dep neg, no plan reqd |
19,618 |
19,170 |
$242K |
| Z1034 |
|
3,456 |
2,435 |
$240K |
| 76805 |
|
3,285 |
3,255 |
$236K |
| 71046 |
|
10,608 |
10,407 |
$235K |
| 90686 |
|
17,301 |
17,034 |
$212K |
| 97802 |
|
2,403 |
2,363 |
$205K |
| 51798 |
|
3,726 |
3,220 |
$202K |
| 82306 |
|
7,838 |
7,765 |
$202K |
| 93971 |
|
1,921 |
1,883 |
$201K |
| H1003 |
Prenatal at risk education |
15,149 |
10,018 |
$200K |
| 99282 |
|
1,967 |
1,873 |
$200K |
| J7030 |
Normal saline solution infus |
3,061 |
2,131 |
$198K |
| 95004 |
|
1,625 |
1,447 |
$198K |
| 76700 |
|
2,146 |
2,140 |
$195K |
| 80061 |
|
17,174 |
17,075 |
$194K |
| 80048 |
|
19,366 |
17,816 |
$193K |
| 71275 |
|
757 |
739 |
$173K |
| 93975 |
|
726 |
716 |
$170K |
| 99212 |
|
26,786 |
25,027 |
$169K |
| 87502 |
|
2,595 |
2,537 |
$167K |
| 99243 |
|
2,245 |
2,163 |
$156K |
| 87086 |
|
20,492 |
19,365 |
$156K |
| 99242 |
|
2,896 |
2,752 |
$155K |
| 93458 |
|
202 |
199 |
$155K |
| 87804 |
|
15,632 |
7,898 |
$150K |
| 83690 |
|
23,526 |
21,896 |
$150K |
| G0378 |
Hospital observation per hr |
576 |
544 |
$149K |
| 72125 |
|
978 |
972 |
$149K |
| 99202 |
|
4,334 |
4,261 |
$148K |
| V5008 |
Hearing screening |
3,574 |
3,509 |
$141K |
| 73630 |
|
5,444 |
4,940 |
$140K |
| 88305 |
|
7,051 |
6,939 |
$136K |
| 86003 |
|
1,024 |
980 |
$135K |
| 87624 |
|
3,129 |
3,126 |
$135K |
| G0480 |
Drug test def 1-7 classes |
2,249 |
2,085 |
$134K |
| 73610 |
|
4,822 |
4,521 |
$131K |
| H0049 |
Alcohol/drug screening |
5,439 |
5,286 |
$129K |
| 70553 |
|
320 |
320 |
$126K |
| 76770 |
|
1,410 |
1,393 |
$122K |
| 83036 |
|
13,834 |
13,705 |
$121K |
| 99462 |
|
3,958 |
3,165 |
$120K |
| 76817 |
|
1,374 |
1,243 |
$120K |
| 59025 |
|
3,516 |
2,455 |
$118K |
| 59409 |
|
184 |
184 |
$118K |
| 86850 |
|
3,641 |
3,509 |
$117K |
| 81025 |
|
26,295 |
24,427 |
$112K |
| 90670 |
|
12,133 |
11,770 |
$111K |
| Z9725 |
|
3,495 |
3,485 |
$108K |
| 76815 |
|
1,753 |
1,689 |
$106K |
| J0585 |
Injection,onabotulinumtoxina |
262 |
138 |
$101K |
| 85027 |
|
17,263 |
15,588 |
$97K |
| 73130 |
|
3,542 |
3,134 |
$97K |
| 96366 |
|
1,851 |
1,317 |
$97K |
| 66984 |
|
306 |
294 |
$96K |
| 94640 |
|
4,302 |
3,804 |
$94K |
| 62323 |
|
489 |
358 |
$91K |
| 90715 |
|
3,583 |
3,461 |
$91K |
| 84484 |
|
11,373 |
10,338 |
$90K |
| 73562 |
|
3,038 |
2,823 |
$87K |
| 73030 |
|
3,272 |
3,086 |
$85K |
| G0463 |
Hospital outpt clinic visit |
46,507 |
37,082 |
$84K |
| 95886 |
|
1,045 |
701 |
$83K |
| 17110 |
|
795 |
714 |
$83K |
| 73110 |
|
2,987 |
2,782 |
$82K |
| 73564 |
|
3,459 |
3,175 |
$81K |
| 45385 |
|
251 |
203 |
$80K |
| 99443 |
|
1,013 |
878 |
$80K |
| G0442 |
Annual alcohol screen 15 min |
4,233 |
4,224 |
$79K |
| 87651 |
|
1,743 |
1,708 |
$78K |
| 81002 |
|
31,238 |
22,778 |
$78K |
| 99238 |
|
1,919 |
1,883 |
$76K |
| 88304 |
|
1,940 |
1,917 |
$75K |
| 84703 |
|
10,663 |
9,878 |
$74K |
| 99188 |
|
3,538 |
3,372 |
$74K |
| 73221 |
|
254 |
248 |
$72K |
| 0258 |
|
1,188 |
645 |
$71K |
| 72100 |
|
2,295 |
2,268 |
$70K |
| 0250 |
|
1,563 |
1,292 |
$70K |
| 97110 |
|
2,931 |
970 |
$64K |
| 73502 |
|
2,041 |
1,974 |
$64K |
| H1001 |
Antepartum management |
832 |
642 |
$63K |
| 95144 |
|
5,023 |
2,409 |
$62K |
| 70486 |
|
370 |
367 |
$62K |
| 88341 |
|
608 |
580 |
$62K |
| 97161 |
|
1,288 |
1,224 |
$60K |
| U0002 |
Covid-19 lab test non-cdc |
1,176 |
962 |
$58K |
| 87077 |
|
7,277 |
7,061 |
$57K |
| 85018 |
|
45,716 |
44,371 |
$57K |
| Q3014 |
Telehealth facility fee |
6,992 |
6,075 |
$56K |
| 83013 |
|
762 |
759 |
$56K |
| 87880 |
|
6,848 |
6,772 |
$56K |
| 73080 |
|
1,757 |
1,639 |
$55K |
| 87186 |
|
6,365 |
6,170 |
$54K |
| 93970 |
|
316 |
312 |
$52K |
| 90633 |
|
5,527 |
5,379 |
$50K |
| 90680 |
|
5,395 |
5,217 |
$49K |
| 74246 |
|
351 |
350 |
$48K |
| 87634 |
|
736 |
722 |
$48K |
| 72110 |
|
1,230 |
1,226 |
$47K |
| 74018 |
|
1,776 |
1,719 |
$44K |
| 62321 |
|
167 |
117 |
$44K |
| 86900 |
|
4,905 |
4,682 |
$43K |
| D1206 |
|
2,157 |
2,005 |
$42K |
| 99395 |
|
1,489 |
1,475 |
$42K |
| 88342 |
|
2,667 |
2,594 |
$41K |
| 90723 |
|
4,548 |
4,419 |
$41K |
| 76536 |
|
535 |
533 |
$40K |
| 84702 |
|
2,806 |
2,366 |
$40K |
| 87389 |
|
1,966 |
1,953 |
$40K |
| 72141 |
|
170 |
170 |
$40K |
| 73140 |
|
2,153 |
2,077 |
$39K |
| 90647 |
|
4,319 |
4,152 |
$39K |
| 87040 |
|
3,294 |
3,102 |
$38K |
| J7307 |
Etonogestrel implant system |
43 |
40 |
$38K |
| 0241U |
|
479 |
471 |
$37K |
| G8431 |
Pos clin depres scrn f/u doc |
1,094 |
1,056 |
$36K |
| 59430 |
|
484 |
482 |
$36K |
| J0690 |
Cefazolin sodium injection |
5,912 |
5,083 |
$35K |
| 87635 |
|
577 |
563 |
$34K |
| 92551 |
|
23,093 |
22,618 |
$33K |
| 87798 |
|
980 |
957 |
$33K |
| 82607 |
|
2,552 |
2,531 |
$32K |
| 81001 |
|
10,885 |
10,572 |
$32K |
| 81003 |
|
15,046 |
14,709 |
$32K |
| 73590 |
|
1,429 |
1,297 |
$31K |
| 87486 |
|
864 |
849 |
$31K |
| 87581 |
|
868 |
851 |
$31K |
| J1885 |
Ketorolac tromethamine inj |
14,164 |
13,214 |
$31K |
| 20610 |
|
1,155 |
993 |
$30K |
| 31231 |
|
505 |
481 |
$30K |
| 90651 |
|
2,905 |
2,890 |
$30K |
| 11102 |
|
297 |
278 |
$30K |
| 84460 |
|
8,296 |
7,806 |
$30K |
| 82247 |
|
8,147 |
7,596 |
$30K |
| 95251 |
|
871 |
810 |
$29K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
52 |
51 |
$29K |
| 99232 |
|
604 |
208 |
$29K |
| 82948 |
|
2,943 |
2,488 |
$29K |
| 73560 |
|
1,487 |
1,260 |
$29K |
| J2250 |
Inj midazolam hydrochloride |
11,186 |
10,794 |
$29K |
| J2405 |
Ondansetron hcl injection |
14,290 |
13,143 |
$28K |
| 84450 |
|
8,160 |
7,670 |
$28K |
| G0108 |
Diab manage trn per indiv |
357 |
346 |
$28K |
| 80074 |
|
692 |
688 |
$27K |
| 83735 |
|
6,245 |
4,961 |
$27K |
| 82728 |
|
1,732 |
1,713 |
$27K |
| 31237 |
|
284 |
139 |
$27K |
| 86803 |
|
2,172 |
2,168 |
$27K |
| V2632 |
Post chmbr intraocular lens |
286 |
278 |
$26K |
| 87481 |
|
254 |
252 |
$26K |
| 86140 |
|
5,986 |
5,434 |
$25K |
| 0160 |
|
678 |
663 |
$25K |
| 84075 |
|
7,880 |
7,398 |
$25K |
| 83880 |
|
1,435 |
1,333 |
$25K |
| 72050 |
|
723 |
719 |
$25K |
| 81015 |
|
9,919 |
9,544 |
$25K |
| 83605 |
|
3,025 |
2,833 |
$24K |
| 95115 |
|
3,640 |
2,028 |
$23K |
| 86780 |
|
2,080 |
2,068 |
$23K |
| J0171 |
Adrenalin epinephrine inject |
3,719 |
3,415 |
$23K |
| 90697 |
|
2,552 |
2,437 |
$23K |
| 85610 |
|
8,122 |
7,481 |
$23K |
| 90471 |
|
5,352 |
5,232 |
$22K |
| J3010 |
Fentanyl citrate injection |
11,169 |
10,601 |
$22K |
| 98926 |
|
509 |
392 |
$22K |
| 90698 |
|
2,462 |
2,395 |
$22K |
| 90734 |
|
2,194 |
2,162 |
$21K |
| 81513 |
|
129 |
128 |
$21K |
| 84153 |
|
1,238 |
1,229 |
$21K |
| 85730 |
|
4,486 |
4,328 |
$21K |
| 76870 |
|
310 |
299 |
$20K |
| 87426 |
|
682 |
672 |
$20K |
| 87510 |
|
1,159 |
1,138 |
$20K |
| 87480 |
|
1,159 |
1,138 |
$20K |
| 31575 |
|
255 |
252 |
$20K |
| 87660 |
|
1,145 |
1,125 |
$20K |
| 84155 |
|
8,050 |
7,563 |
$20K |
| 87340 |
|
2,107 |
2,102 |
$19K |
| J2270 |
Morphine sulfate injection |
5,691 |
4,953 |
$19K |
| 73090 |
|
813 |
758 |
$19K |
| 82043 |
|
3,594 |
3,579 |
$19K |
| 99223 |
Prolong inpt eval add15 m |
121 |
103 |
$19K |
| 99401 |
|
1,478 |
1,409 |
$18K |
| 86480 |
|
357 |
357 |
$18K |
| 90681 |
|
1,978 |
1,840 |
$18K |
| Z1032 |
|
89 |
89 |
$17K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,205 |
4,425 |
$17K |
| 99241 |
|
494 |
467 |
$17K |
| J0696 |
Ceftriaxone sodium injection |
4,345 |
3,988 |
$17K |
| 82570 |
|
3,550 |
3,535 |
$17K |
| 71250 |
|
127 |
124 |
$17K |
| Z6400 |
|
970 |
898 |
$17K |
| 52000 |
|
169 |
168 |
$17K |
| 72040 |
|
638 |
628 |
$17K |
| 88142 |
|
3,715 |
3,712 |
$17K |
| 84439 |
|
2,039 |
2,002 |
$16K |
| 64615 |
|
141 |
130 |
$16K |
| 86762 |
|
1,215 |
1,212 |
$16K |
| 80069 |
|
4,054 |
3,119 |
$15K |
| G2087 |
Off base opioid tx, 60 m |
39 |
36 |
$15K |
| J1100 |
Dexamethasone sodium phos |
7,736 |
7,445 |
$15K |
| 84481 |
|
1,056 |
1,033 |
$15K |
| 64493 |
|
98 |
41 |
$15K |
| 93017 |
|
328 |
327 |
$15K |
| 99233 |
Prolong inpt eval add15 m |
256 |
92 |
$15K |
| H2000 |
Comp multidisipln evaluation |
88 |
86 |
$15K |
| 88313 |
|
1,349 |
1,323 |
$15K |
| 51701 |
|
138 |
134 |
$15K |
| 99173 |
|
5,447 |
5,439 |
$14K |
| 84403 |
|
650 |
636 |
$14K |
| 76000 |
|
341 |
335 |
$14K |
| 96156 |
|
1,177 |
1,136 |
$14K |
| 87070 |
|
1,896 |
1,839 |
$14K |
| 90744 |
|
1,597 |
1,548 |
$14K |
| J7611 |
Albuterol non-comp con |
4,578 |
3,584 |
$14K |
| J1170 |
Hydromorphone injection |
5,177 |
4,295 |
$14K |
| 82947 |
|
4,714 |
3,988 |
$14K |
| 72114 |
|
246 |
245 |
$13K |
| 82746 |
|
994 |
983 |
$13K |
| 82652 |
|
591 |
588 |
$13K |
| 72072 |
|
440 |
440 |
$13K |
| 78452 |
|
89 |
89 |
$13K |
| 70496 |
|
51 |
50 |
$13K |
| 86701 |
|
1,666 |
1,660 |
$13K |
| 86901 |
|
4,861 |
4,641 |
$13K |
| J1644 |
Inj heparin sodium per 1000u |
4,619 |
2,794 |
$13K |
| 94060 |
|
251 |
250 |
$12K |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
5,422 |
5,262 |
$12K |
| 87661 |
|
284 |
282 |
$12K |
| 97597 |
|
309 |
227 |
$12K |
| 90710 |
|
1,295 |
1,291 |
$12K |
| 90700 |
|
1,320 |
1,299 |
$12K |
| 31579 |
|
69 |
67 |
$12K |
| 85379 |
|
1,334 |
1,307 |
$12K |
| 80076 |
|
1,973 |
1,887 |
$12K |
| 10060 |
|
240 |
230 |
$11K |
| 51784 |
|
282 |
214 |
$11K |
| 0420 |
|
201 |
50 |
$11K |
| 85651 |
|
4,876 |
4,433 |
$11K |
| 90696 |
|
1,199 |
1,194 |
$11K |
| 88307 |
|
402 |
399 |
$11K |
| 90716 |
|
1,175 |
1,142 |
$11K |
| 90677 |
|
766 |
766 |
$11K |
| 97803 |
|
851 |
803 |
$11K |
| 84480 |
|
703 |
695 |
$11K |
| 83655 |
|
1,548 |
1,546 |
$11K |
| 90707 |
|
1,185 |
1,143 |
$11K |
| 90648 |
|
1,167 |
1,163 |
$11K |
| 94760 |
|
1,849 |
1,141 |
$10K |
| 0011A |
|
268 |
255 |
$10K |
| J2370 |
Phenylephrine hcl injection |
943 |
899 |
$10K |
| H0050 |
Alcohol/drug service 15 min |
198 |
191 |
$10K |
| 83550 |
|
1,175 |
1,153 |
$10K |
| G9012 |
Other specified case mgmt |
830 |
725 |
$10K |
| 87430 |
|
1,296 |
1,285 |
$10K |
| C1894 |
Intro/sheath, non-laser |
150 |
148 |
$10K |
| 93325 |
|
91 |
90 |
$10K |
| 86787 |
|
803 |
797 |
$9K |
| J7050 |
Normal saline solution infus |
681 |
433 |
$9K |
| J2060 |
Lorazepam injection |
1,642 |
1,497 |
$9K |
| 83540 |
|
1,528 |
1,504 |
$9K |
| 85007 |
|
3,396 |
3,148 |
$9K |
| 0012A |
|
222 |
202 |
$9K |
| 83001 |
|
551 |
548 |
$9K |
| 82550 |
|
1,533 |
1,470 |
$9K |
| J2765 |
Metoclopramide hcl injection |
4,329 |
4,122 |
$9K |
| J1815 |
Insulin injection |
285 |
209 |
$9K |
| 99358 |
Prolong nursin fac eval 15m |
253 |
209 |
$8K |
| 84146 |
|
489 |
485 |
$8K |
| 90649 |
|
689 |
670 |
$8K |
| J1200 |
Diphenhydramine hcl injectio |
2,691 |
2,483 |
$8K |
| 99442 |
|
154 |
143 |
$8K |
| H1000 |
Prenatal care atrisk assessm |
51 |
51 |
$8K |
| 99407 |
|
379 |
370 |
$8K |
| 99396 |
|
221 |
220 |
$8K |
| 0259 |
|
2,834 |
1,738 |
$8K |
| 87081 |
|
1,128 |
1,124 |
$8K |
| A9502 |
Tc99m tetrofosmin |
99 |
99 |
$7K |
| 76942 |
|
254 |
241 |
$7K |
| U0005 |
Infec agen detec ampli probe |
1,580 |
1,456 |
$7K |
| 95910 |
|
41 |
41 |
$7K |
| 0272 |
|
870 |
781 |
$7K |
| Z6410 |
|
473 |
336 |
$7K |
| J2001 |
Lidocaine injection |
3,428 |
3,270 |
$7K |
| 70498 |
|
36 |
36 |
$7K |
| 51741 |
|
547 |
460 |
$7K |
| J2704 |
Inj, propofol, 10 mg |
2,281 |
1,955 |
$7K |
| 82785 |
|
847 |
845 |
$7K |
| 83014 |
|
763 |
760 |
$6K |
| C1781 |
Mesh (implantable) |
25 |
25 |
$6K |
| 93320 |
|
104 |
103 |
$6K |
| 83516 |
|
407 |
364 |
$6K |
| 73660 |
|
389 |
377 |
$6K |
| 27096 |
|
27 |
12 |
$6K |
| J7120 |
Ringers lactate infusion |
436 |
317 |
$6K |
| 99205 |
Prolong outpt/office vis |
53 |
42 |
$6K |
| 95909 |
|
52 |
52 |
$6K |
| 11981 |
|
28 |
28 |
$6K |
| 84425 |
|
356 |
354 |
$5K |
| 86706 |
|
583 |
581 |
$5K |
| 90792 |
|
118 |
104 |
$5K |
| 94729 |
|
87 |
87 |
$5K |
| 64494 |
|
69 |
40 |
$5K |
| 29125 |
|
93 |
91 |
$5K |
| S9445 |
Pt education noc individ |
434 |
354 |
$5K |
| 97530 |
|
281 |
122 |
$5K |
| 36415 |
|
222 |
215 |
$5K |
| 88175 |
|
668 |
667 |
$5K |
| 74247 |
|
28 |
28 |
$5K |
| 86038 |
|
890 |
880 |
$5K |
| 95908 |
|
43 |
43 |
$5K |
| 93000 |
|
127 |
127 |
$5K |
| 83002 |
|
288 |
288 |
$5K |
| 73020 |
|
274 |
259 |
$4K |
| 86403 |
|
491 |
482 |
$4K |
| J0131 |
Inj, acetaminophen (nos) |
870 |
843 |
$4K |
| 99383 |
|
61 |
60 |
$4K |
| 82950 |
|
946 |
946 |
$4K |
| 82565 |
|
456 |
429 |
$4K |
| 11100 |
|
104 |
101 |
$4K |
| 71101 |
|
134 |
134 |
$4K |
| 87522 |
Neg quan hep c or qual rna |
107 |
106 |
$4K |
| 99406 |
|
308 |
290 |
$4K |
| 90671 |
|
403 |
402 |
$4K |
| 64495 |
|
49 |
26 |
$4K |
| 12011 |
|
42 |
41 |
$4K |
| 11976 |
|
56 |
29 |
$4K |
| A9579 |
Gad-base mr contrast nos,1ml |
585 |
579 |
$4K |
| 86235 |
|
105 |
103 |
$3K |
| 94726 |
|
58 |
58 |
$3K |
| 82962 |
|
1,790 |
1,123 |
$3K |
| 83883 |
|
150 |
146 |
$3K |
| 95912 |
|
12 |
12 |
$3K |
| 99211 |
|
1,021 |
919 |
$3K |
| Z7610 |
|
948 |
587 |
$3K |
| 87420 |
|
789 |
781 |
$3K |
| 86580 |
|
736 |
732 |
$3K |
| 94664 |
|
205 |
205 |
$3K |
| 76937 |
|
137 |
129 |
$3K |
| 82670 |
|
125 |
125 |
$3K |
| J2710 |
Neostigmine methylslfte inj |
561 |
539 |
$3K |
| 96127 |
|
505 |
504 |
$3K |
| 88112 |
|
84 |
81 |
$3K |
| 99381 |
|
24 |
24 |
$3K |
| J2550 |
Promethazine hcl injection |
458 |
427 |
$3K |
| 86704 |
|
266 |
263 |
$3K |
| 83970 |
|
96 |
96 |
$3K |
| 98925 |
|
96 |
87 |
$3K |
| 86431 |
|
668 |
652 |
$3K |
| 90750 |
|
13 |
13 |
$2K |
| 11103 |
|
19 |
19 |
$2K |
| 90620 |
|
268 |
268 |
$2K |
| 88312 |
|
288 |
281 |
$2K |
| H1002 |
Carecoordination prenatal |
14 |
13 |
$2K |
| J0330 |
Succinycholine chloride inj |
342 |
337 |
$2K |
| 87205 |
|
736 |
702 |
$2K |
| 99222 |
|
27 |
27 |
$2K |
| 99384 |
|
27 |
27 |
$2K |
| 0270 |
|
2,184 |
1,750 |
$2K |
| 99152 |
|
53 |
41 |
$2K |
| J3301 |
Triamcinolone acet inj nos |
403 |
378 |
$2K |
| 43235 |
|
24 |
24 |
$2K |
| 83615 |
|
511 |
493 |
$2K |
| J2930 |
Methylprednisolone injection |
448 |
386 |
$2K |
| 86039 |
|
282 |
275 |
$2K |
| J2371 |
Inj phenylephrine hcl 20 mcg |
151 |
146 |
$2K |
| 90685 |
|
192 |
192 |
$2K |
| 86592 |
|
260 |
260 |
$2K |
| 73100 |
|
97 |
88 |
$2K |
| 87799 |
|
14 |
14 |
$2K |
| 86696 |
|
303 |
297 |
$2K |
| 90656 |
|
175 |
174 |
$2K |
| 71260 |
|
12 |
12 |
$2K |
| 97140 |
|
71 |
26 |
$2K |
| 86255 |
|
101 |
100 |
$2K |
| 86160 |
|
106 |
103 |
$2K |
| 17000 |
|
27 |
25 |
$2K |
| J1040 |
Methylprednisolone 80 mg inj |
244 |
224 |
$2K |
| 0071A |
|
37 |
37 |
$1K |
| 51729 |
|
12 |
12 |
$1K |
| 82465 |
|
477 |
462 |
$1K |
| 96151 |
|
137 |
129 |
$1K |
| 82784 |
|
187 |
186 |
$1K |
| 90732 |
|
65 |
64 |
$1K |
| 99426 |
|
25 |
25 |
$1K |
| 86765 |
|
115 |
108 |
$1K |
| 84145 |
|
93 |
89 |
$1K |
| 73620 |
|
71 |
70 |
$1K |
| 57454 |
|
12 |
12 |
$1K |
| 85014 |
|
587 |
485 |
$1K |
| G9920 |
Scrning perf and negative |
2,512 |
2,500 |
$1K |
| 82977 |
|
169 |
162 |
$1K |
| 84402 |
|
81 |
79 |
$1K |
| 86376 |
|
112 |
112 |
$1K |
| C9290 |
Inj, bupivacaine liposome |
194 |
191 |
$1K |
| 86735 |
|
94 |
94 |
$1K |
| J0702 |
Betamethasone acet&sod phosp |
73 |
69 |
$1K |
| G0444 |
Depression screen annual |
62 |
61 |
$1K |
| J3370 |
Vancomycin hcl injection |
212 |
174 |
$1K |
| J1030 |
Methylprednisolone 40 mg inj |
219 |
208 |
$1K |
| 87512 |
|
25 |
25 |
$953.20 |
| 12001 |
|
14 |
14 |
$929.52 |
| 73070 |
|
44 |
38 |
$910.81 |
| 11900 |
|
39 |
38 |
$907.33 |
| S0020 |
Injection, bupivicaine hydro |
82 |
80 |
$907.07 |
| 86328 |
|
28 |
20 |
$885.21 |
| 74019 |
|
38 |
38 |
$852.29 |
| 0636 |
|
1,066 |
296 |
$848.92 |
| 96158 |
|
76 |
68 |
$840.88 |
| G9008 |
Mccd,phys coor-care ovrsght |
543 |
509 |
$828.85 |
| 58301 |
|
23 |
12 |
$795.21 |
| J3420 |
Vitamin b12 injection |
242 |
230 |
$794.88 |
| 82805 |
|
27 |
27 |
$794.54 |
| 86200 |
|
117 |
116 |
$790.02 |
| 82150 |
|
154 |
150 |
$778.55 |
| 82140 |
|
59 |
50 |
$772.62 |
| 73000 |
|
29 |
27 |
$758.35 |
| 97112 |
|
38 |
14 |
$743.45 |
| 73600 |
|
39 |
39 |
$718.42 |
| J0780 |
Prochlorperazine injection |
112 |
108 |
$690.22 |
| 0004A |
|
16 |
16 |
$640.00 |
| 0124A |
|
15 |
15 |
$600.00 |
| 0001A |
|
15 |
15 |
$600.00 |
| 73060 |
|
36 |
31 |
$593.70 |
| 82803 |
|
77 |
74 |
$590.41 |
| 0064A |
|
13 |
13 |
$520.00 |
| U0001 |
2019-ncov diagnostic p |
71 |
66 |
$504.51 |
| 87147 |
|
130 |
119 |
$504.14 |
| 11721 |
|
12 |
12 |
$493.32 |
| 72170 |
|
14 |
13 |
$491.96 |
| 98960 |
|
15 |
15 |
$479.85 |
| 87338 |
|
40 |
40 |
$479.18 |
| 99459 |
|
30 |
30 |
$468.56 |
| 84270 |
|
44 |
44 |
$455.17 |
| 77002 |
|
17 |
16 |
$412.33 |
| 85652 |
|
104 |
101 |
$387.72 |
| 90713 |
|
42 |
42 |
$378.00 |
| 90658 |
|
14 |
14 |
$372.12 |
| 86225 |
|
44 |
44 |
$366.30 |
| 86695 |
|
53 |
50 |
$334.85 |
| 82248 |
|
60 |
53 |
$329.96 |
| 86308 |
|
77 |
77 |
$326.78 |
| 82105 |
|
27 |
27 |
$302.64 |
| 51797 |
|
12 |
12 |
$298.34 |
| 99201 |
|
13 |
13 |
$295.62 |
| 96150 |
|
13 |
13 |
$273.52 |
| 82172 |
|
17 |
16 |
$272.68 |
| 93312 |
|
13 |
12 |
$272.60 |
| 90480 |
|
14 |
14 |
$267.50 |
| Z6406 |
|
15 |
13 |
$265.39 |
| S9452 |
Nutrition class |
25 |
25 |
$262.75 |
| 74021 |
|
12 |
12 |
$247.08 |
| 87807 |
|
27 |
27 |
$243.32 |
| 86708 |
|
24 |
24 |
$241.78 |
| 83010 |
|
18 |
17 |
$236.72 |
| 86709 |
|
25 |
25 |
$232.08 |
| 82951 |
|
12 |
12 |
$231.82 |
| 73120 |
|
16 |
13 |
$227.33 |
| 82274 |
|
13 |
13 |
$226.59 |
| J0694 |
Cefoxitin sodium injection |
44 |
36 |
$215.93 |
| C1887 |
Catheter, guiding |
38 |
38 |
$198.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
45 |
45 |
$182.02 |
| 86694 |
|
16 |
16 |
$162.56 |
| 87210 |
|
52 |
51 |
$158.90 |
| 76882 |
|
13 |
13 |
$155.71 |
| J3475 |
Inj magnesium sulfate |
94 |
82 |
$154.57 |
| A4217 |
Sterile water/saline, 500 ml |
25 |
25 |
$149.97 |
| 82533 |
|
12 |
12 |
$142.30 |
| 95117 |
|
12 |
12 |
$141.72 |
| A7003 |
Nebulizer administration set |
85 |
81 |
$140.13 |
| 84520 |
|
44 |
44 |
$131.80 |
| 90619 |
|
14 |
14 |
$126.00 |
| J2780 |
Ranitidine hydrochloride inj |
23 |
23 |
$115.66 |
| 82390 |
|
12 |
12 |
$111.84 |
| 90733 |
|
12 |
12 |
$108.00 |
| 87177 |
|
12 |
12 |
$93.96 |
| 88302 |
|
12 |
12 |
$91.98 |
| 84436 |
|
15 |
14 |
$82.32 |
| 82952 |
|
12 |
12 |
$71.21 |
| 86021 |
|
12 |
12 |
$62.78 |
| 84100 |
|
26 |
25 |
$61.65 |
| 97116 |
|
20 |
13 |
$59.22 |
| 82270 |
|
16 |
13 |
$51.31 |
| 85347 |
|
15 |
14 |
$48.08 |
| J1650 |
Inj enoxaparin sodium |
86 |
64 |
$47.55 |
| J2919 |
Inj, methylpred sod succ 5mg |
14 |
14 |
$46.03 |
| 88311 |
|
27 |
27 |
$34.74 |
| G9919 |
Scrn nd pos nd prov of rec |
58 |
58 |
$29.57 |
| 0370 |
|
608 |
596 |
$21.55 |
| 90472 |
|
19 |
18 |
$20.00 |
| J2795 |
Ropivacaine hcl injection |
111 |
107 |
$11.28 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
15 |
14 |
$7.53 |
| Q0162 |
Ondansetron oral |
120 |
104 |
$6.76 |
| 0637 |
|
710 |
657 |
$6.37 |
| 90662 |
|
16 |
16 |
$0.00 |
| 1036F |
|
240 |
234 |
$0.00 |
| G0467 |
Fqhc visit, estab pt |
484 |
426 |
$0.00 |
| C1769 |
Guide wire |
174 |
169 |
$0.00 |
| Q4051 |
Splint supplies misc |
96 |
59 |
$0.00 |
| 1000F |
|
16 |
15 |
$0.00 |