| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0450 |
|
151,697 |
138,382 |
$9.69M |
| 0206 |
|
1,441 |
1,372 |
$3.68M |
| 0121 |
|
1,355 |
1,279 |
$3.62M |
| 0360 |
|
21,283 |
16,286 |
$3.48M |
| 99199 |
|
19,441 |
17,481 |
$2.89M |
| 99284 |
|
7,832 |
7,365 |
$1.69M |
| 99283 |
|
11,917 |
10,892 |
$1.34M |
| 99285 |
|
3,866 |
3,653 |
$1.17M |
| 43239 |
|
5,164 |
5,084 |
$1.16M |
| 80053 |
|
95,506 |
87,506 |
$1.12M |
| 99281 |
|
12,957 |
11,049 |
$987K |
| 70450 |
|
9,401 |
9,191 |
$939K |
| 74177 |
|
4,710 |
4,608 |
$879K |
| 93005 |
|
46,271 |
42,604 |
$808K |
| Z7502 |
|
21,456 |
21,243 |
$800K |
| 74176 |
|
6,242 |
6,151 |
$656K |
| 76815 |
|
15,272 |
8,320 |
$628K |
| 85025 |
|
102,266 |
92,536 |
$616K |
| 0762 |
|
3,017 |
1,463 |
$584K |
| 87635 |
|
16,640 |
15,869 |
$573K |
| 93306 |
|
2,731 |
2,655 |
$568K |
| 96372 |
|
24,900 |
23,346 |
$567K |
| 96374 |
|
12,962 |
12,299 |
$563K |
| 78452 |
|
1,183 |
1,135 |
$535K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
293 |
188 |
$525K |
| 78815 |
|
439 |
433 |
$480K |
| 01967 |
|
2,293 |
2,092 |
$441K |
| 87502 |
|
8,720 |
8,520 |
$440K |
| 45378 |
|
2,569 |
2,539 |
$432K |
| 87637 |
|
5,312 |
4,970 |
$429K |
| 92507 |
|
11,740 |
4,774 |
$421K |
| 71045 |
|
39,711 |
37,846 |
$415K |
| 11042 |
|
5,785 |
2,914 |
$390K |
| 80307 |
|
6,661 |
6,230 |
$380K |
| 99214 |
|
13,106 |
12,922 |
$354K |
| 11043 |
|
3,779 |
1,770 |
$354K |
| 96365 |
|
6,467 |
6,213 |
$353K |
| 76705 |
|
7,444 |
7,237 |
$337K |
| U0003 |
Cov-19 amp prb hgh thruput |
6,032 |
5,816 |
$322K |
| 45380 |
|
1,818 |
1,786 |
$316K |
| 0510 |
|
16,431 |
15,285 |
$309K |
| 0710 |
|
10,254 |
10,040 |
$305K |
| J3490 |
Drugs unclassified injection |
57,555 |
38,703 |
$304K |
| 96375 |
|
10,444 |
9,562 |
$284K |
| 0278 |
|
397 |
301 |
$273K |
| 84484 |
|
33,320 |
28,305 |
$272K |
| 76856 |
|
5,422 |
5,320 |
$270K |
| G0378 |
Hospital observation per hr |
567 |
429 |
$258K |
| Z9725 |
|
8,558 |
8,535 |
$257K |
| 0160 |
|
433 |
224 |
$255K |
| 0123 |
|
103 |
99 |
$253K |
| 93798 |
|
5,618 |
927 |
$250K |
| 0729 |
|
9,718 |
7,492 |
$247K |
| 0250 |
|
28,909 |
19,310 |
$245K |
| Z4300 |
|
2,357 |
2,232 |
$243K |
| 97139 |
|
15,306 |
2,999 |
$242K |
| 88305 |
|
12,425 |
10,173 |
$236K |
| G0463 |
Hospital outpt clinic visit |
5,816 |
5,111 |
$221K |
| 81001 |
|
75,078 |
70,851 |
$218K |
| 93970 |
|
1,474 |
1,430 |
$217K |
| 0272 |
|
2,048 |
1,639 |
$210K |
| 81025 |
|
42,887 |
40,507 |
$210K |
| 77067 |
|
3,110 |
3,077 |
$208K |
| 96361 |
|
8,258 |
7,770 |
$192K |
| 72125 |
|
1,489 |
1,468 |
$191K |
| 87086 |
|
30,017 |
28,611 |
$188K |
| 83690 |
|
31,778 |
30,027 |
$185K |
| 93971 |
|
2,222 |
2,152 |
$181K |
| G0480 |
Drug test def 1-7 classes |
3,878 |
3,599 |
$177K |
| 96360 |
|
3,530 |
3,344 |
$175K |
| 70551 |
|
950 |
929 |
$174K |
| 97110 |
|
15,938 |
5,152 |
$172K |
| 83880 |
|
8,650 |
8,141 |
$169K |
| 0270 |
|
33,133 |
21,177 |
$161K |
| 94060 |
|
687 |
636 |
$161K |
| J1885 |
Ketorolac tromethamine inj |
23,114 |
21,966 |
$157K |
| 93017 |
|
1,171 |
1,127 |
$148K |
| 71260 |
|
873 |
854 |
$140K |
| J7030 |
Normal saline solution infus |
19,395 |
18,068 |
$134K |
| J2704 |
Inj, propofol, 10 mg |
7,169 |
6,940 |
$132K |
| 71046 |
|
6,990 |
6,875 |
$132K |
| 97530 |
|
8,809 |
3,946 |
$132K |
| 0122 |
|
130 |
123 |
$129K |
| A9500 |
Tc99m sestamibi |
1,126 |
1,077 |
$129K |
| 59025 |
|
8,779 |
2,917 |
$127K |
| 97140 |
|
8,367 |
2,837 |
$125K |
| 99282 |
|
868 |
815 |
$116K |
| J2785 |
Regadenoson injection |
819 |
787 |
$115K |
| 87040 |
|
12,245 |
6,861 |
$113K |
| 99213 |
|
6,493 |
6,176 |
$113K |
| 76830 |
|
2,269 |
2,218 |
$111K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
8,173 |
7,919 |
$111K |
| 97750 |
|
3,561 |
2,149 |
$110K |
| 88342 |
|
6,557 |
5,996 |
$107K |
| 76700 |
|
1,636 |
1,607 |
$105K |
| J0131 |
Inj, acetaminophen (nos) |
2,577 |
2,487 |
$103K |
| 99204 |
|
2,290 |
2,286 |
$103K |
| 72148 |
|
542 |
529 |
$102K |
| 0300 |
|
3,901 |
3,470 |
$98K |
| Q4133 |
Grafix stravix prime pl sqcm |
177 |
80 |
$95K |
| 72100 |
|
3,127 |
3,077 |
$94K |
| 73630 |
|
3,990 |
3,871 |
$90K |
| 0259 |
|
13,785 |
6,673 |
$90K |
| 76817 |
|
2,013 |
1,848 |
$89K |
| J2405 |
Ondansetron hcl injection |
11,102 |
10,318 |
$89K |
| 84702 |
|
7,504 |
6,517 |
$84K |
| J0696 |
Ceftriaxone sodium injection |
7,720 |
7,148 |
$81K |
| 94640 |
|
6,133 |
5,335 |
$80K |
| 97010 |
|
5,094 |
1,812 |
$78K |
| 45385 |
|
381 |
364 |
$77K |
| 97799 |
|
4,778 |
985 |
$75K |
| 97116 |
|
5,723 |
2,755 |
$71K |
| J1100 |
Dexamethasone sodium phos |
5,200 |
4,995 |
$71K |
| 73610 |
|
3,311 |
3,254 |
$69K |
| 85730 |
|
14,285 |
13,454 |
$67K |
| 83605 |
|
8,349 |
7,225 |
$67K |
| 87798 |
|
2,711 |
2,646 |
$66K |
| 90715 |
|
2,163 |
2,138 |
$64K |
| 99070 |
|
30,644 |
16,926 |
$63K |
| 71275 |
|
444 |
441 |
$62K |
| 73030 |
|
3,354 |
3,223 |
$61K |
| 87491 |
|
2,386 |
2,333 |
$61K |
| 80048 |
|
9,447 |
8,421 |
$60K |
| 70496 |
|
390 |
385 |
$59K |
| 0760 |
|
3,397 |
3,019 |
$59K |
| A9552 |
F18 fdg |
282 |
280 |
$59K |
| 87591 |
|
2,351 |
2,296 |
$58K |
| 70498 |
|
404 |
401 |
$56K |
| 36415 |
|
14,687 |
12,803 |
$55K |
| 73130 |
|
2,654 |
2,594 |
$55K |
| 99221 |
|
1,954 |
1,740 |
$54K |
| 87186 |
|
8,029 |
7,674 |
$54K |
| 85610 |
|
15,349 |
14,401 |
$52K |
| 82948 |
|
12,025 |
10,112 |
$51K |
| Z4303 |
|
1,156 |
1,138 |
$50K |
| 94729 |
|
579 |
538 |
$48K |
| 82962 |
|
12,417 |
9,254 |
$48K |
| 99203 |
|
1,478 |
1,478 |
$47K |
| 94726 |
|
629 |
584 |
$45K |
| 87641 |
|
2,288 |
2,182 |
$45K |
| 72040 |
|
2,041 |
2,019 |
$45K |
| 99291 |
|
138 |
137 |
$43K |
| 73110 |
|
1,603 |
1,564 |
$42K |
| 74018 |
|
2,357 |
2,293 |
$42K |
| 0001A |
|
1,160 |
1,153 |
$41K |
| 86901 |
|
9,316 |
8,666 |
$41K |
| 00731 |
|
469 |
447 |
$41K |
| 15275 |
|
246 |
118 |
$41K |
| 73562 |
|
1,706 |
1,679 |
$41K |
| J7040 |
Normal saline solution infus |
8,223 |
7,803 |
$40K |
| J2270 |
Morphine sulfate injection |
5,255 |
4,531 |
$40K |
| G6002 |
Stereoscopic x-ray guidance |
1,268 |
65 |
$40K |
| 92523 |
|
669 |
577 |
$39K |
| Z7500 |
|
1,133 |
1,093 |
$39K |
| 97161 |
|
1,256 |
1,157 |
$38K |
| U0005 |
Infec agen detec ampli probe |
4,470 |
4,337 |
$37K |
| 86900 |
|
7,749 |
7,307 |
$37K |
| C1769 |
Guide wire |
154 |
154 |
$36K |
| 70486 |
|
376 |
375 |
$35K |
| 76857 |
|
1,579 |
1,557 |
$35K |
| 87077 |
|
5,897 |
5,530 |
$34K |
| S0119 |
Ondansetron 4 mg |
5,171 |
5,012 |
$32K |
| 76775 |
|
754 |
739 |
$31K |
| 72141 |
|
181 |
178 |
$30K |
| Z4304 |
|
378 |
377 |
$29K |
| 76870 |
|
727 |
706 |
$29K |
| J1170 |
Hydromorphone injection |
3,854 |
3,391 |
$29K |
| 97112 |
|
3,229 |
1,528 |
$29K |
| 97165 |
|
867 |
747 |
$29K |
| 01961 |
|
183 |
177 |
$29K |
| 76641 |
|
487 |
475 |
$28K |
| 47562 |
|
26 |
26 |
$28K |
| 93923 |
|
205 |
197 |
$28K |
| 76642 |
|
695 |
667 |
$27K |
| 87081 |
|
3,740 |
3,602 |
$27K |
| 84443 |
|
3,191 |
3,122 |
$26K |
| 66984 |
|
84 |
82 |
$26K |
| 93350 |
|
289 |
277 |
$26K |
| 73560 |
|
1,673 |
1,615 |
$26K |
| 97014 |
|
1,794 |
690 |
$25K |
| 88313 |
|
2,316 |
2,183 |
$24K |
| 71250 |
|
265 |
260 |
$24K |
| 87088 |
|
4,163 |
4,047 |
$23K |
| J3010 |
Fentanyl citrate injection |
4,768 |
4,608 |
$23K |
| Z4301 |
|
952 |
818 |
$23K |
| 73564 |
|
939 |
927 |
$23K |
| 87880 |
|
3,630 |
3,585 |
$23K |
| 0002A |
|
625 |
625 |
$22K |
| 83735 |
|
5,174 |
4,530 |
$22K |
| A4649 |
Surgical supplies |
3,902 |
2,666 |
$22K |
| 72131 |
|
270 |
269 |
$22K |
| 00170 |
|
249 |
247 |
$21K |
| C9803 |
Hopd covid-19 spec collect |
1,483 |
1,398 |
$21K |
| 73590 |
|
1,170 |
1,137 |
$21K |
| J2765 |
Metoclopramide hcl injection |
4,361 |
4,137 |
$21K |
| 92522 |
|
344 |
340 |
$21K |
| 00813 |
|
193 |
188 |
$20K |
| 77065 |
Tomosynthesis, mammo |
304 |
299 |
$20K |
| 77427 |
|
196 |
89 |
$20K |
| S0164 |
Injection pantroprazole |
1,838 |
1,544 |
$19K |
| 83036 |
|
3,539 |
3,431 |
$19K |
| 0761 |
|
1,186 |
1,058 |
$19K |
| P9016 |
Rbc leukocytes reduced |
116 |
106 |
$18K |
| 97755 |
|
493 |
485 |
$18K |
| J2250 |
Inj midazolam hydrochloride |
4,209 |
4,082 |
$18K |
| 86850 |
|
2,972 |
2,830 |
$18K |
| G0108 |
Diab manage trn per indiv |
425 |
356 |
$17K |
| 86300 |
|
1,245 |
959 |
$17K |
| 49083 |
|
31 |
25 |
$17K |
| 99152 |
|
703 |
669 |
$17K |
| 73502 |
|
687 |
667 |
$17K |
| J0690 |
Cefazolin sodium injection |
2,558 |
2,251 |
$16K |
| 77336 |
|
331 |
129 |
$16K |
| J1815 |
Insulin injection |
2,702 |
1,513 |
$16K |
| 81003 |
|
6,817 |
6,168 |
$16K |
| 92587 |
|
432 |
428 |
$15K |
| 88304 |
|
1,987 |
1,926 |
$15K |
| 0420 |
|
600 |
352 |
$15K |
| 80061 |
|
3,288 |
3,203 |
$15K |
| 73080 |
|
690 |
682 |
$15K |
| 29125 |
|
394 |
388 |
$14K |
| 85027 |
|
3,096 |
2,985 |
$14K |
| C1893 |
Intro/sheath, fixed,non-peel |
29 |
29 |
$14K |
| 73140 |
|
807 |
786 |
$14K |
| 80143 |
|
794 |
750 |
$13K |
| 93458 |
|
15 |
14 |
$12K |
| J0561 |
Penicillin g benzathine inj |
69 |
69 |
$12K |
| 92611 |
|
151 |
148 |
$12K |
| 97802 |
|
143 |
141 |
$12K |
| 82378 |
|
537 |
518 |
$12K |
| C1781 |
Mesh (implantable) |
34 |
31 |
$11K |
| A0429 |
Bls-emergency |
133 |
119 |
$11K |
| Z7610 |
|
9,713 |
6,553 |
$11K |
| J1200 |
Diphenhydramine hcl injectio |
2,315 |
2,154 |
$11K |
| 96366 |
|
306 |
254 |
$11K |
| J7120 |
Ringers lactate infusion |
1,885 |
1,776 |
$11K |
| 87807 |
|
1,508 |
1,467 |
$11K |
| 96367 |
|
390 |
348 |
$11K |
| 84100 |
|
2,965 |
2,644 |
$10K |
| 99215 |
Prolong outpt/office vis |
147 |
147 |
$10K |
| 97533 |
|
1,391 |
558 |
$10K |
| 85379 |
|
1,453 |
1,420 |
$10K |
| 84703 |
|
1,974 |
1,932 |
$10K |
| 80179 |
|
732 |
699 |
$10K |
| 74174 |
|
45 |
45 |
$10K |
| 80076 |
|
2,284 |
2,200 |
$10K |
| 82010 |
|
1,774 |
1,686 |
$10K |
| 87070 |
|
1,004 |
924 |
$9K |
| V2632 |
Post chmbr intraocular lens |
97 |
94 |
$9K |
| 71100 |
|
456 |
451 |
$9K |
| 86140 |
|
2,832 |
2,736 |
$9K |
| 93880 |
|
118 |
115 |
$9K |
| 76801 |
|
216 |
193 |
$9K |
| J1650 |
Inj enoxaparin sodium |
815 |
321 |
$8K |
| 12001 |
|
208 |
204 |
$8K |
| 77014 |
|
358 |
26 |
$8K |
| 85007 |
|
3,059 |
2,949 |
$8K |
| Z9727 |
|
256 |
256 |
$8K |
| S0020 |
Injection, bupivicaine hydro |
1,060 |
1,038 |
$8K |
| 92557 |
|
164 |
162 |
$8K |
| 73090 |
|
499 |
488 |
$7K |
| 82550 |
|
1,614 |
1,512 |
$7K |
| J0330 |
Succinycholine chloride inj |
650 |
621 |
$7K |
| 97162 |
|
272 |
251 |
$7K |
| 0370 |
|
1,286 |
1,220 |
$7K |
| 84145 |
|
423 |
396 |
$7K |
| 88307 |
|
362 |
348 |
$7K |
| 87804 |
|
883 |
735 |
$7K |
| J2060 |
Lorazepam injection |
1,223 |
1,101 |
$7K |
| 88341 |
|
126 |
99 |
$7K |
| 77334 |
|
71 |
48 |
$7K |
| J3370 |
Vancomycin hcl injection |
338 |
248 |
$6K |
| 84480 |
|
403 |
398 |
$6K |
| 0252 |
|
1,205 |
955 |
$6K |
| 72170 |
|
419 |
409 |
$6K |
| 99244 |
|
80 |
79 |
$6K |
| 0636 |
|
1,281 |
1,213 |
$6K |
| J1644 |
Inj heparin sodium per 1000u |
938 |
470 |
$6K |
| 82805 |
|
130 |
124 |
$6K |
| 76000 |
|
350 |
344 |
$6K |
| J7050 |
Normal saline solution infus |
1,888 |
1,582 |
$6K |
| 84439 |
|
1,084 |
1,071 |
$6K |
| 99308 |
|
340 |
305 |
$6K |
| 11721 |
|
82 |
81 |
$6K |
| 85651 |
|
2,307 |
2,236 |
$6K |
| 92570 |
|
145 |
144 |
$5K |
| 97803 |
|
113 |
111 |
$5K |
| 72110 |
|
199 |
188 |
$5K |
| 10060 |
|
337 |
324 |
$5K |
| 00811 |
|
76 |
75 |
$5K |
| 92521 |
|
63 |
57 |
$5K |
| 82306 |
|
492 |
487 |
$5K |
| 0440 |
|
156 |
90 |
$5K |
| 97163 |
|
98 |
97 |
$5K |
| 0258 |
|
3,553 |
3,159 |
$5K |
| 90471 |
|
1,394 |
1,373 |
$4K |
| J0171 |
Adrenalin epinephrine inject |
204 |
197 |
$4K |
| 87400 |
|
568 |
404 |
$4K |
| 74230 |
|
65 |
65 |
$4K |
| 0301 |
|
3,297 |
3,040 |
$4K |
| 94664 |
|
585 |
462 |
$4K |
| 12011 |
|
109 |
106 |
$4K |
| 0171 |
Inj, epinephrine (belcher) |
24 |
24 |
$4K |
| E0114 |
Crutch underarm pair no wood |
76 |
75 |
$3K |
| 30140 |
|
13 |
12 |
$3K |
| 1159F |
|
11,968 |
11,834 |
$3K |
| 82803 |
|
247 |
236 |
$3K |
| J1953 |
Levetiracetam injection |
62 |
49 |
$3K |
| J2710 |
Neostigmine methylslfte inj |
106 |
103 |
$3K |
| 99443 |
|
80 |
79 |
$3K |
| A4217 |
Sterile water/saline, 500 ml |
133 |
132 |
$3K |
| 92567 |
|
141 |
141 |
$3K |
| 86923 |
|
116 |
94 |
$3K |
| 73721 |
|
15 |
13 |
$3K |
| 0430 |
|
110 |
63 |
$3K |
| 0257 |
|
535 |
471 |
$3K |
| Z4310 |
|
235 |
225 |
$3K |
| 77080 |
|
195 |
194 |
$3K |
| J2930 |
Methylprednisolone injection |
359 |
329 |
$3K |
| J0780 |
Prochlorperazine injection |
425 |
418 |
$3K |
| X4301 |
|
27 |
27 |
$3K |
| X4300 |
|
27 |
27 |
$3K |
| 87205 |
|
561 |
514 |
$3K |
| 0324 |
|
1,588 |
1,514 |
$2K |
| 93975 |
|
13 |
12 |
$2K |
| 75574 |
|
14 |
13 |
$2K |
| 82947 |
|
1,128 |
489 |
$2K |
| 82140 |
|
252 |
238 |
$2K |
| 0011A |
|
56 |
56 |
$2K |
| 77263 |
|
13 |
13 |
$2K |
| J2919 |
Inj, methylpred sod succ 5mg |
174 |
141 |
$2K |
| 74019 |
|
114 |
114 |
$2K |
| J0360 |
Hydralazine hcl injection |
318 |
248 |
$2K |
| G0500 |
Mod sedat endo service >5yrs |
46 |
45 |
$2K |
| 73060 |
|
128 |
126 |
$2K |
| Z4302 |
|
159 |
159 |
$2K |
| 76536 |
|
64 |
64 |
$2K |
| 72070 |
|
94 |
94 |
$2K |
| 88311 |
|
167 |
166 |
$2K |
| 87210 |
|
479 |
475 |
$2K |
| 92610 |
|
66 |
66 |
$2K |
| 73620 |
|
150 |
148 |
$2K |
| J3475 |
Inj magnesium sulfate |
180 |
159 |
$2K |
| 73552 |
|
73 |
73 |
$2K |
| 99156 |
|
31 |
31 |
$2K |
| 82728 |
|
280 |
279 |
$2K |
| 99153 |
Mod sedat endo service >5yrs |
212 |
197 |
$1K |
| 42820 |
|
14 |
14 |
$1K |
| 80074 |
|
42 |
42 |
$1K |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
302 |
293 |
$1K |
| 0305 |
|
3,208 |
3,026 |
$1K |
| 73700 |
|
13 |
13 |
$1K |
| 82607 |
|
285 |
283 |
$1K |
| Q0162 |
Ondansetron oral |
62 |
61 |
$1K |
| 0306 |
|
2,474 |
2,344 |
$1K |
| 0012A |
|
31 |
31 |
$1K |
| 86780 |
|
200 |
186 |
$1K |
| 77300 |
|
21 |
13 |
$1K |
| 97535 |
|
90 |
67 |
$1K |
| 82746 |
|
123 |
119 |
$1K |
| 11046 |
|
25 |
12 |
$976.87 |
| 72050 |
|
63 |
63 |
$972.46 |
| 82570 |
|
509 |
464 |
$969.29 |
| 0730 |
|
1,235 |
1,179 |
$953.97 |
| J2001 |
Lidocaine injection |
187 |
173 |
$948.72 |
| 87071 |
|
152 |
151 |
$941.92 |
| 97166 |
|
24 |
24 |
$938.65 |
| 71020 |
|
42 |
24 |
$911.39 |
| 72128 |
|
12 |
12 |
$883.83 |
| 82248 |
|
177 |
148 |
$877.23 |
| 80305 |
|
102 |
94 |
$871.11 |
| 12002 |
|
99 |
99 |
$851.92 |
| 73070 |
|
73 |
70 |
$848.26 |
| 71010 |
|
62 |
31 |
$826.40 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
135 |
133 |
$825.05 |
| 77066 |
Tomosynthesis, mammo |
14 |
14 |
$809.39 |
| 99307 |
|
57 |
55 |
$775.69 |
| 76818 |
|
85 |
75 |
$759.85 |
| 58558 |
|
12 |
12 |
$756.00 |
| 00812 |
|
17 |
16 |
$713.25 |
| J1940 |
Furosemide injection |
232 |
156 |
$677.06 |
| 86308 |
|
156 |
152 |
$626.45 |
| 84156 |
|
306 |
261 |
$583.36 |
| A9579 |
Gad-base mr contrast nos,1ml |
26 |
25 |
$569.61 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
128 |
106 |
$519.74 |
| Q9957 |
Inj perflutren lip micros,ml |
16 |
16 |
$492.98 |
| A0428 |
Bls |
98 |
27 |
$484.67 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
56 |
56 |
$468.50 |
| J8540 |
Oral dexamethasone |
640 |
623 |
$446.81 |
| J2470 |
Inj pantoprazole sodium 40mg |
167 |
117 |
$422.64 |
| J2272 |
Inj, morphine (fresenius) |
44 |
39 |
$414.76 |
| 73660 |
|
41 |
39 |
$403.67 |
| 82043 |
|
394 |
392 |
$401.15 |
| C2629 |
Intro/sheath, laser |
103 |
103 |
$380.00 |
| 30520 |
|
13 |
12 |
$363.00 |
| 29515 |
|
47 |
46 |
$362.70 |
| 99212 |
|
24 |
24 |
$357.84 |
| 84550 |
|
232 |
226 |
$334.75 |
| 0307 |
|
1,687 |
1,609 |
$320.16 |
| 99231 |
|
85 |
57 |
$299.52 |
| A0427 |
Als1-emergency |
20 |
20 |
$288.88 |
| 87389 |
|
28 |
28 |
$263.37 |
| 0251 |
|
56 |
53 |
$239.93 |
| 85014 |
|
200 |
175 |
$237.06 |
| 83540 |
|
107 |
105 |
$230.97 |
| 3074F |
|
1,710 |
1,680 |
$227.94 |
| 3077F |
|
1,080 |
1,075 |
$227.94 |
| 3008F |
|
4,135 |
4,096 |
$227.41 |
| 94760 |
|
66 |
56 |
$226.43 |
| 0302 |
|
855 |
822 |
$226.00 |
| 84466 |
|
56 |
55 |
$223.08 |
| 51702 |
|
28 |
25 |
$221.74 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
44 |
41 |
$192.86 |
| 86800 |
|
13 |
13 |
$173.95 |
| 3075F |
|
695 |
695 |
$173.37 |
| 70360 |
|
15 |
15 |
$158.93 |
| J1630 |
Haloperidol injection |
40 |
36 |
$157.60 |
| 86376 |
|
12 |
12 |
$155.64 |
| 73120 |
|
13 |
13 |
$146.49 |
| J2175 |
Meperidine hydrochl /100 mg |
12 |
12 |
$146.32 |
| 83615 |
|
30 |
29 |
$137.04 |
| 29130 |
|
24 |
24 |
$108.05 |
| 85018 |
|
81 |
72 |
$103.05 |
| 82150 |
|
25 |
25 |
$86.70 |
| 0320 |
|
119 |
113 |
$81.60 |
| 1160F |
|
2,884 |
2,852 |
$75.00 |
| J8597 |
Antiemetic drug oral nos |
75 |
72 |
$71.02 |
| 3078F |
|
1,947 |
1,919 |
$54.58 |
| 88302 |
|
12 |
12 |
$53.24 |
| 85652 |
|
29 |
28 |
$40.22 |
| J2471 |
Inj pantoprazole(hikma) 40mg |
24 |
19 |
$32.84 |
| 3079F |
|
1,077 |
1,071 |
$29.70 |
| 99001 |
|
938 |
922 |
$28.76 |
| G8978 |
Mobility current status |
38 |
36 |
$27.42 |
| 84132 |
|
14 |
14 |
$26.02 |
| A0425 |
Ground mileage |
467 |
264 |
$24.18 |
| J1250 |
Inj dobutamine hcl/250 mg |
12 |
12 |
$22.98 |
| 83986 |
|
12 |
12 |
$22.71 |
| J2004 |
Inj, lidocaine w epinephrine |
16 |
16 |
$19.50 |
| 84295 |
|
12 |
12 |
$16.86 |
| S0028 |
Injection, famotidine, 20 mg |
32 |
27 |
$15.98 |
| 99072 |
|
168 |
105 |
$3.60 |
| G8979 |
Mobility goal status |
59 |
55 |
$2.09 |
| 3080F |
|
345 |
343 |
$0.00 |
| 0410 |
|
176 |
170 |
$0.00 |
| 0310 |
|
26 |
24 |
$0.00 |
| 0720 |
|
25 |
24 |
$0.00 |
| 0350 |
|
52 |
51 |
$0.00 |
| A0999 |
Unlisted ambulance service |
86 |
76 |
$0.00 |
| S9445 |
Pt education noc individ |
154 |
107 |
$0.00 |
| 96376 |
|
24 |
12 |
$0.00 |
| 0255 |
|
47 |
46 |
$0.00 |
| 0721 |
|
62 |
61 |
$0.00 |
| 0352 |
|
25 |
25 |
$0.00 |
| 0409 |
|
14 |
12 |
$0.00 |
| 0460 |
|
203 |
195 |
$0.00 |
| 0402 |
|
343 |
338 |
$0.00 |
| 0489 |
|
110 |
108 |
$0.00 |
| S9999 |
Sales tax |
86 |
76 |
$0.00 |
| 96379 |
|
17 |
12 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
16 |
13 |
$0.00 |