| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
278,497 |
192,506 |
$17.78M |
| 99285 |
|
70,898 |
58,563 |
$14.01M |
| G0463 |
Hospital outpt clinic visit |
128,824 |
94,154 |
$9.23M |
| 99284 |
|
63,105 |
55,440 |
$6.77M |
| 99214 |
|
148,354 |
127,743 |
$6.24M |
| 99283 |
|
54,299 |
49,067 |
$5.44M |
| 96361 |
|
14,566 |
9,935 |
$2.44M |
| 74177 |
|
10,793 |
9,060 |
$2.40M |
| 80053 |
|
86,823 |
73,750 |
$1.25M |
| 70450 |
|
6,101 |
5,265 |
$1.04M |
| 96365 |
|
9,983 |
5,952 |
$1.02M |
| 99391 |
|
13,824 |
7,262 |
$979K |
| 99392 |
|
12,842 |
7,152 |
$972K |
| 0241U |
|
9,521 |
8,438 |
$898K |
| 97110 |
|
10,334 |
3,453 |
$709K |
| 43239 |
|
3,071 |
2,486 |
$698K |
| 74176 |
|
3,755 |
3,246 |
$676K |
| 85025 |
|
91,559 |
74,932 |
$657K |
| 71046 |
|
29,369 |
26,311 |
$643K |
| 76830 |
|
5,705 |
4,223 |
$508K |
| 93306 |
|
4,429 |
4,060 |
$505K |
| 96374 |
|
25,925 |
21,050 |
$500K |
| 64483 |
|
1,383 |
1,194 |
$490K |
| 96366 |
|
4,585 |
2,254 |
$462K |
| 99282 |
|
4,510 |
4,115 |
$448K |
| 11042 |
|
4,842 |
2,443 |
$436K |
| G0378 |
Hospital observation per hr |
6,726 |
2,690 |
$434K |
| 99395 |
|
4,690 |
3,791 |
$431K |
| 97530 |
|
4,992 |
2,250 |
$430K |
| 36415 |
|
126,823 |
95,688 |
$428K |
| U0004 |
Cov-19 test non-cdc hgh thru |
2,827 |
2,790 |
$427K |
| 71275 |
|
2,140 |
1,802 |
$425K |
| 99393 |
|
5,407 |
3,198 |
$408K |
| 96360 |
|
3,161 |
2,508 |
$407K |
| 95810 |
|
1,045 |
1,004 |
$402K |
| 87651 |
|
10,184 |
9,311 |
$394K |
| 45380 |
|
1,220 |
978 |
$376K |
| 20610 |
|
2,351 |
1,767 |
$373K |
| 20553 |
|
4,220 |
2,689 |
$373K |
| 84443 |
|
24,086 |
21,710 |
$348K |
| 71260 |
|
1,489 |
1,302 |
$325K |
| 80048 |
|
25,256 |
18,589 |
$307K |
| 96375 |
|
17,647 |
12,782 |
$305K |
| 76817 |
|
7,340 |
4,868 |
$304K |
| 95886 |
|
2,951 |
1,546 |
$304K |
| 96413 |
|
2,387 |
1,224 |
$298K |
| 96372 |
|
13,727 |
9,194 |
$294K |
| 78452 |
|
1,000 |
910 |
$271K |
| 81001 |
|
41,320 |
35,846 |
$261K |
| 94640 |
|
5,342 |
3,095 |
$255K |
| 72131 |
|
2,488 |
2,196 |
$252K |
| 88305 |
|
7,839 |
5,434 |
$250K |
| 69436 |
|
313 |
251 |
$241K |
| 98929 |
|
11,024 |
6,608 |
$239K |
| 93005 |
|
26,701 |
21,593 |
$235K |
| 27096 |
|
812 |
656 |
$234K |
| 59025 |
|
1,602 |
1,061 |
$232K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
16,899 |
13,802 |
$229K |
| 99396 |
|
2,116 |
1,883 |
$226K |
| J2405 |
Ondansetron hcl injection |
21,862 |
14,394 |
$219K |
| 72125 |
|
2,706 |
2,416 |
$218K |
| 80061 |
|
17,967 |
16,571 |
$210K |
| 85027 |
|
27,207 |
21,947 |
$206K |
| 87086 |
|
15,521 |
13,088 |
$194K |
| J3010 |
Fentanyl citrate injection |
8,485 |
6,415 |
$189K |
| 78815 |
|
380 |
357 |
$178K |
| 90837 |
|
1,992 |
1,205 |
$178K |
| 80307 |
|
5,226 |
4,360 |
$177K |
| J2250 |
Inj midazolam hydrochloride |
6,052 |
4,527 |
$175K |
| 72148 |
|
1,090 |
1,038 |
$173K |
| J3490 |
Drugs unclassified injection |
8,126 |
5,723 |
$171K |
| 96376 |
|
5,908 |
2,873 |
$165K |
| J1885 |
Ketorolac tromethamine inj |
11,056 |
7,979 |
$164K |
| 92507 |
|
2,134 |
1,078 |
$164K |
| 87491 |
|
7,819 |
6,894 |
$163K |
| 82306 |
|
9,383 |
8,580 |
$161K |
| J0585 |
Injection,onabotulinumtoxina |
460 |
201 |
$160K |
| 83036 |
|
17,703 |
16,215 |
$155K |
| 70553 |
|
719 |
627 |
$154K |
| 97161 |
|
2,712 |
2,419 |
$147K |
| 76816 |
|
3,583 |
2,685 |
$142K |
| 84439 |
|
9,150 |
8,302 |
$142K |
| 87591 |
|
7,787 |
6,870 |
$141K |
| 70496 |
|
552 |
481 |
$140K |
| 99212 |
|
2,433 |
2,048 |
$131K |
| 83690 |
|
15,396 |
12,747 |
$131K |
| 99394 |
|
1,467 |
1,063 |
$128K |
| 84484 |
|
16,473 |
9,438 |
$126K |
| 90792 |
|
1,160 |
1,032 |
$124K |
| 45378 |
|
210 |
174 |
$122K |
| 82962 |
|
20,169 |
10,443 |
$121K |
| 72141 |
|
602 |
566 |
$120K |
| 95811 |
|
290 |
256 |
$120K |
| 73630 |
|
4,347 |
3,629 |
$118K |
| 76705 |
|
1,328 |
1,168 |
$117K |
| U0003 |
Cov-19 amp prb hgh thruput |
662 |
661 |
$110K |
| 45385 |
|
218 |
170 |
$108K |
| 87635 |
|
3,815 |
3,586 |
$107K |
| 71045 |
|
7,335 |
6,384 |
$104K |
| 64493 |
|
270 |
237 |
$104K |
| 99204 |
|
1,940 |
1,721 |
$102K |
| 81025 |
|
7,956 |
6,683 |
$98K |
| 82607 |
|
6,540 |
5,931 |
$98K |
| 74018 |
|
2,534 |
2,199 |
$98K |
| 97140 |
|
2,775 |
1,088 |
$95K |
| J1100 |
Dexamethasone sodium phos |
8,323 |
6,125 |
$90K |
| 87426 |
|
3,476 |
3,296 |
$90K |
| 93971 |
|
1,219 |
1,107 |
$88K |
| J2704 |
Inj, propofol, 10 mg |
12,053 |
8,094 |
$87K |
| J1170 |
Hydromorphone injection |
4,752 |
2,221 |
$87K |
| 76805 |
|
1,526 |
1,129 |
$87K |
| 99211 |
|
1,380 |
1,118 |
$87K |
| 83735 |
|
12,717 |
9,284 |
$86K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
7,565 |
6,553 |
$85K |
| J2270 |
Morphine sulfate injection |
7,677 |
4,373 |
$84K |
| 99233 |
Prolong inpt eval add15 m |
3,542 |
1,662 |
$83K |
| 77067 |
|
1,981 |
1,845 |
$80K |
| 77063 |
|
1,598 |
1,468 |
$79K |
| 73610 |
|
2,805 |
2,383 |
$79K |
| 93017 |
|
1,044 |
954 |
$78K |
| J0696 |
Ceftriaxone sodium injection |
3,917 |
2,114 |
$78K |
| J1200 |
Diphenhydramine hcl injectio |
2,530 |
1,914 |
$77K |
| 87077 |
|
5,942 |
5,108 |
$76K |
| 84702 |
|
3,566 |
2,681 |
$76K |
| J0131 |
Inj, acetaminophen (nos) |
2,619 |
1,951 |
$75K |
| 85610 |
|
9,893 |
7,970 |
$75K |
| 87502 |
|
1,326 |
1,176 |
$73K |
| 71250 |
|
1,065 |
995 |
$73K |
| 73030 |
|
2,986 |
2,533 |
$72K |
| 87880 |
|
5,031 |
4,680 |
$72K |
| 86850 |
|
2,576 |
2,235 |
$71K |
| 73130 |
|
2,375 |
1,948 |
$70K |
| 92551 |
|
3,264 |
2,217 |
$70K |
| 87631 |
|
311 |
268 |
$69K |
| 92557 |
|
785 |
716 |
$68K |
| 0202U |
|
472 |
414 |
$68K |
| J1644 |
Inj heparin sodium per 1000u |
2,494 |
920 |
$67K |
| 92567 |
|
2,635 |
2,364 |
$65K |
| 86140 |
|
6,035 |
4,875 |
$64K |
| 76536 |
|
740 |
701 |
$63K |
| J0897 |
Denosumab injection |
101 |
93 |
$63K |
| 73564 |
|
1,977 |
1,627 |
$62K |
| 99308 |
|
5,336 |
3,906 |
$61K |
| J1050 |
Medroxyprogesterone acetate |
710 |
625 |
$61K |
| 87186 |
|
5,407 |
4,606 |
$60K |
| 99223 |
Prolong inpt eval add15 m |
1,198 |
1,121 |
$59K |
| 80076 |
|
4,705 |
3,700 |
$57K |
| 42820 |
|
81 |
73 |
$56K |
| 70551 |
|
401 |
346 |
$56K |
| 99309 |
|
3,109 |
2,428 |
$56K |
| 86900 |
|
2,877 |
2,476 |
$56K |
| 64490 |
|
158 |
124 |
$55K |
| 83880 |
|
4,975 |
4,192 |
$55K |
| 72110 |
|
1,851 |
1,672 |
$54K |
| 64615 |
|
232 |
168 |
$51K |
| A9585 |
Gadobutrol injection |
2,127 |
1,885 |
$51K |
| 97112 |
|
1,657 |
592 |
$48K |
| 73110 |
|
1,671 |
1,368 |
$48K |
| J3301 |
Triamcinolone acet inj nos |
8,835 |
7,829 |
$47K |
| 73721 |
|
291 |
255 |
$47K |
| 76856 |
|
318 |
268 |
$47K |
| 88175 |
|
4,593 |
4,094 |
$46K |
| 85379 |
|
3,135 |
2,701 |
$46K |
| 70491 |
|
198 |
178 |
$45K |
| 83550 |
|
6,140 |
5,593 |
$45K |
| 83540 |
|
6,420 |
5,843 |
$44K |
| 88342 |
|
2,589 |
2,244 |
$44K |
| J2001 |
Lidocaine injection |
7,320 |
5,878 |
$44K |
| U0002 |
Covid-19 lab test non-cdc |
1,039 |
981 |
$44K |
| 76700 |
|
290 |
268 |
$44K |
| 87040 |
|
3,919 |
2,564 |
$43K |
| J1642 |
Inj heparin sodium per 10 u |
4,757 |
2,533 |
$43K |
| 85730 |
|
4,970 |
4,187 |
$43K |
| 76641 |
|
309 |
284 |
$43K |
| 84703 |
|
4,184 |
3,515 |
$43K |
| 99203 |
|
1,222 |
1,166 |
$42K |
| 82553 |
|
2,345 |
2,017 |
$42K |
| 99406 |
|
4,253 |
3,019 |
$42K |
| 82550 |
|
3,659 |
2,922 |
$41K |
| 11721 |
|
3,801 |
2,779 |
$41K |
| 85007 |
|
5,980 |
4,489 |
$41K |
| 87070 |
|
2,400 |
2,064 |
$41K |
| 93010 |
|
6,620 |
5,862 |
$41K |
| 90648 |
|
4,201 |
3,992 |
$40K |
| 17110 |
|
312 |
250 |
$39K |
| 99215 |
Prolong outpt/office vis |
885 |
780 |
$38K |
| 71271 |
|
228 |
207 |
$38K |
| 72128 |
|
874 |
758 |
$37K |
| 97165 |
|
855 |
741 |
$36K |
| 86780 |
|
2,983 |
2,650 |
$36K |
| 83605 |
|
5,546 |
4,105 |
$35K |
| 85652 |
|
6,093 |
5,161 |
$35K |
| 73221 |
|
225 |
212 |
$35K |
| 96367 |
|
1,939 |
1,258 |
$35K |
| 86901 |
|
2,870 |
2,476 |
$34K |
| 86703 |
|
2,225 |
1,976 |
$34K |
| 94726 |
|
1,342 |
1,262 |
$33K |
| 94010 |
|
1,040 |
986 |
$33K |
| 90670 |
|
4,240 |
3,939 |
$33K |
| 87624 |
|
2,812 |
2,466 |
$33K |
| 87480 |
|
2,365 |
2,035 |
$32K |
| 82565 |
|
2,955 |
2,599 |
$32K |
| 99232 |
|
1,823 |
955 |
$32K |
| 76642 |
|
263 |
238 |
$31K |
| 74178 |
|
164 |
151 |
$30K |
| 74420 |
|
367 |
260 |
$30K |
| 87660 |
|
2,282 |
1,960 |
$29K |
| 87510 |
|
2,344 |
2,018 |
$29K |
| 80074 |
|
1,545 |
1,351 |
$28K |
| 70486 |
|
422 |
372 |
$28K |
| 87804 |
|
2,834 |
1,621 |
$27K |
| 90686 |
|
3,481 |
3,339 |
$26K |
| 73562 |
|
1,319 |
1,087 |
$26K |
| 94729 |
|
1,324 |
1,241 |
$26K |
| 72050 |
|
888 |
783 |
$25K |
| 36591 |
|
1,132 |
664 |
$24K |
| 82728 |
|
2,207 |
2,021 |
$24K |
| 88341 |
|
574 |
360 |
$24K |
| 00731 |
|
817 |
694 |
$24K |
| 12001 |
|
161 |
146 |
$23K |
| 84100 |
|
3,837 |
2,841 |
$23K |
| J2360 |
Orphenadrine injection |
862 |
724 |
$23K |
| 73502 |
|
1,299 |
1,143 |
$22K |
| A9552 |
F18 fdg |
371 |
351 |
$22K |
| J1756 |
Iron sucrose injection |
1,105 |
469 |
$22K |
| 72100 |
|
765 |
681 |
$22K |
| 82746 |
|
1,921 |
1,730 |
$22K |
| 88307 |
|
260 |
195 |
$22K |
| 70498 |
|
566 |
497 |
$22K |
| 99239 |
|
768 |
701 |
$21K |
| 11102 |
|
52 |
43 |
$21K |
| 94618 |
|
512 |
482 |
$20K |
| 20550 |
|
104 |
78 |
$20K |
| 81513 |
|
134 |
113 |
$19K |
| 76815 |
|
439 |
356 |
$19K |
| 88142 |
|
475 |
449 |
$19K |
| J2550 |
Promethazine hcl injection |
601 |
275 |
$19K |
| 99349 |
|
315 |
247 |
$19K |
| 73560 |
|
1,115 |
960 |
$19K |
| 98928 |
|
997 |
621 |
$19K |
| 92587 |
|
180 |
165 |
$18K |
| 83970 |
|
769 |
691 |
$18K |
| 84481 |
|
1,322 |
1,179 |
$17K |
| 95004 |
|
125 |
80 |
$17K |
| 97012 |
|
503 |
179 |
$17K |
| 83655 |
|
708 |
645 |
$16K |
| 86480 |
|
514 |
461 |
$16K |
| 84153 |
|
1,448 |
1,297 |
$16K |
| 90633 |
|
1,770 |
1,539 |
$16K |
| 84146 |
|
999 |
830 |
$15K |
| 73090 |
|
531 |
446 |
$15K |
| 87340 |
|
1,240 |
1,105 |
$15K |
| 73080 |
|
795 |
666 |
$15K |
| U0005 |
Infec agen detec ampli probe |
518 |
518 |
$14K |
| 82977 |
|
1,739 |
1,475 |
$14K |
| 86038 |
|
869 |
757 |
$14K |
| 90723 |
|
2,767 |
2,616 |
$14K |
| J0690 |
Cefazolin sodium injection |
1,354 |
720 |
$13K |
| J7512 |
Prednisone ir or dr oral 1mg |
1,682 |
1,206 |
$13K |
| 86308 |
|
817 |
695 |
$13K |
| G0260 |
Inj for sacroiliac jt anesth |
197 |
189 |
$13K |
| 87811 |
|
399 |
348 |
$13K |
| 93880 |
|
194 |
171 |
$13K |
| J7307 |
Etonogestrel implant system |
14 |
14 |
$13K |
| 96523 |
|
449 |
344 |
$13K |
| 69210 |
|
467 |
374 |
$13K |
| 77065 |
Tomosynthesis, mammo |
350 |
297 |
$13K |
| 90471 |
|
1,375 |
1,227 |
$13K |
| 72072 |
|
360 |
326 |
$13K |
| 88304 |
|
732 |
564 |
$12K |
| 74246 |
|
100 |
91 |
$12K |
| 82570 |
|
1,861 |
1,609 |
$12K |
| 84403 |
|
867 |
756 |
$12K |
| 73100 |
|
534 |
375 |
$12K |
| M0243 |
Casirivi and imdevi inj |
35 |
32 |
$12K |
| 87522 |
Neg quan hep c or qual rna |
375 |
331 |
$12K |
| 82043 |
|
1,540 |
1,419 |
$12K |
| 77336 |
|
152 |
69 |
$11K |
| 73590 |
|
693 |
602 |
$11K |
| 77386 |
|
84 |
12 |
$11K |
| 77080 |
|
158 |
153 |
$11K |
| 90680 |
|
2,204 |
2,079 |
$11K |
| 90791 |
|
92 |
87 |
$11K |
| 64484 |
|
416 |
358 |
$10K |
| 90715 |
|
210 |
183 |
$10K |
| 82784 |
|
1,239 |
852 |
$10K |
| 86762 |
|
1,058 |
944 |
$10K |
| 97162 |
|
166 |
144 |
$10K |
| J2765 |
Metoclopramide hcl injection |
1,442 |
1,059 |
$9K |
| 82533 |
|
623 |
485 |
$9K |
| 99152 |
|
1,018 |
834 |
$9K |
| 84550 |
|
1,689 |
1,439 |
$9K |
| 83525 |
|
500 |
440 |
$9K |
| 94761 |
|
14,188 |
12,627 |
$9K |
| 99222 |
|
250 |
234 |
$9K |
| 81003 |
|
8,144 |
7,066 |
$9K |
| 95913 |
|
81 |
67 |
$8K |
| 86803 |
|
722 |
642 |
$8K |
| 86376 |
|
694 |
615 |
$8K |
| 72146 |
|
26 |
26 |
$8K |
| 76819 |
|
284 |
138 |
$8K |
| 99291 |
|
108 |
37 |
$8K |
| 76770 |
|
65 |
63 |
$8K |
| 84270 |
|
708 |
613 |
$8K |
| 90833 |
|
309 |
270 |
$8K |
| 86787 |
|
846 |
743 |
$8K |
| M0245 |
Bamlan and etesev infusion |
23 |
22 |
$8K |
| 93970 |
|
85 |
78 |
$8K |
| 86617 |
|
776 |
427 |
$8K |
| 85014 |
|
1,323 |
1,059 |
$7K |
| 95910 |
|
121 |
108 |
$7K |
| 99173 |
|
2,041 |
1,924 |
$7K |
| 99305 |
|
295 |
271 |
$7K |
| 73140 |
|
258 |
221 |
$7K |
| C1769 |
Guide wire |
262 |
225 |
$7K |
| J2060 |
Lorazepam injection |
997 |
605 |
$7K |
| 82950 |
|
843 |
752 |
$7K |
| 72040 |
|
237 |
211 |
$7K |
| 51798 |
|
687 |
615 |
$6K |
| 62321 |
|
13 |
13 |
$6K |
| 90658 |
|
1,093 |
1,052 |
$6K |
| 86364 |
|
430 |
370 |
$6K |
| 87641 |
|
282 |
260 |
$6K |
| J7030 |
Normal saline solution infus |
12,653 |
7,837 |
$6K |
| 87653 |
|
863 |
720 |
$6K |
| 52000 |
|
14 |
12 |
$6K |
| 99307 |
|
1,070 |
997 |
$6K |
| 71101 |
|
271 |
245 |
$6K |
| G0279 |
Tomosynthesis, mammo |
434 |
405 |
$6K |
| 36592 |
|
965 |
500 |
$6K |
| 83001 |
|
487 |
429 |
$6K |
| J2930 |
Methylprednisolone injection |
973 |
742 |
$6K |
| 87075 |
|
1,038 |
864 |
$6K |
| 82652 |
|
416 |
382 |
$6K |
| 76000 |
|
74 |
59 |
$6K |
| 99442 |
|
259 |
247 |
$5K |
| 90688 |
|
1,114 |
1,034 |
$5K |
| 87400 |
|
116 |
39 |
$5K |
| 95909 |
|
104 |
95 |
$5K |
| 95912 |
|
91 |
81 |
$5K |
| 87503 |
|
128 |
112 |
$5K |
| 85018 |
|
1,323 |
1,042 |
$5K |
| 93308 |
|
32 |
31 |
$5K |
| 72158 |
|
31 |
24 |
$5K |
| 92511 |
|
62 |
59 |
$5K |
| G0480 |
Drug test def 1-7 classes |
70 |
64 |
$5K |
| 73522 |
|
245 |
217 |
$5K |
| 95816 |
|
29 |
28 |
$5K |
| 87661 |
|
354 |
317 |
$5K |
| A9502 |
Tc99m tetrofosmin |
738 |
677 |
$5K |
| 74019 |
|
250 |
222 |
$5K |
| 94664 |
|
1,135 |
476 |
$4K |
| 86430 |
|
504 |
443 |
$4K |
| 82247 |
|
593 |
405 |
$4K |
| J0561 |
Penicillin g benzathine inj |
17 |
12 |
$4K |
| 64635 |
|
21 |
18 |
$4K |
| 96368 |
|
876 |
422 |
$4K |
| A9500 |
Tc99m sestamibi |
45 |
39 |
$4K |
| 82248 |
|
736 |
542 |
$4K |
| Q0162 |
Ondansetron oral |
1,992 |
1,487 |
$4K |
| 83615 |
|
446 |
365 |
$4K |
| J1650 |
Inj enoxaparin sodium |
1,723 |
694 |
$4K |
| 82150 |
|
298 |
246 |
$4K |
| 80050 |
|
128 |
121 |
$4K |
| 87798 |
|
203 |
178 |
$3K |
| 84460 |
|
718 |
557 |
$3K |
| 76870 |
|
55 |
44 |
$3K |
| 96127 |
|
233 |
220 |
$3K |
| 83002 |
|
323 |
275 |
$3K |
| 10060 |
|
20 |
13 |
$3K |
| 74183 |
|
17 |
12 |
$3K |
| 64450 |
|
36 |
12 |
$3K |
| 86200 |
|
406 |
349 |
$3K |
| 86592 |
|
203 |
159 |
$3K |
| 84425 |
|
318 |
281 |
$3K |
| 00813 |
|
765 |
658 |
$3K |
| 82947 |
|
396 |
345 |
$3K |
| J0780 |
Prochlorperazine injection |
111 |
97 |
$3K |
| 0031A |
|
74 |
74 |
$3K |
| 82525 |
|
188 |
165 |
$3K |
| 93922 |
|
73 |
68 |
$3K |
| 64494 |
|
128 |
112 |
$3K |
| A9270 |
Non-covered item or service |
18,881 |
4,236 |
$3K |
| 80143 |
|
1,058 |
872 |
$3K |
| 87449 |
|
230 |
168 |
$3K |
| 97597 |
|
43 |
25 |
$3K |
| 87081 |
|
1,530 |
1,382 |
$3K |
| 77002 |
|
357 |
299 |
$3K |
| 72170 |
|
177 |
163 |
$3K |
| 00840 |
|
424 |
334 |
$3K |
| 93018 |
|
282 |
265 |
$3K |
| J7120 |
Ringers lactate infusion |
7,671 |
5,588 |
$2K |
| 36600 |
|
162 |
135 |
$2K |
| 11730 |
|
14 |
14 |
$2K |
| 73060 |
|
169 |
143 |
$2K |
| 84156 |
|
690 |
526 |
$2K |
| 0012A |
|
64 |
64 |
$2K |
| 82077 |
|
1,253 |
953 |
$2K |
| 82040 |
|
440 |
347 |
$2K |
| 00170 |
|
302 |
246 |
$2K |
| 86317 |
|
118 |
90 |
$2K |
| 94060 |
|
73 |
61 |
$2K |
| 84450 |
|
360 |
252 |
$2K |
| 97035 |
|
34 |
13 |
$2K |
| 99205 |
Prolong outpt/office vis |
33 |
33 |
$2K |
| 73565 |
|
236 |
209 |
$2K |
| 73552 |
|
271 |
236 |
$2K |
| 20552 |
|
17 |
12 |
$2K |
| 82670 |
|
155 |
140 |
$2K |
| 0011A |
|
53 |
52 |
$2K |
| 11981 |
|
14 |
14 |
$2K |
| 80178 |
|
113 |
88 |
$2K |
| J0702 |
Betamethasone acet&sod phosp |
152 |
121 |
$2K |
| 92014 |
|
51 |
28 |
$2K |
| 70360 |
|
48 |
40 |
$2K |
| 82810 |
|
734 |
600 |
$2K |
| 80179 |
|
1,014 |
842 |
$2K |
| 80069 |
|
149 |
126 |
$2K |
| 84145 |
|
437 |
367 |
$2K |
| 87481 |
|
128 |
109 |
$2K |
| 00811 |
|
160 |
124 |
$2K |
| 88112 |
|
261 |
222 |
$2K |
| 82803 |
|
98 |
80 |
$2K |
| 77280 |
|
13 |
12 |
$2K |
| 86665 |
|
148 |
59 |
$2K |
| 80164 |
|
114 |
98 |
$1K |
| 72052 |
|
43 |
38 |
$1K |
| 83993 |
|
112 |
96 |
$1K |
| 87563 |
|
144 |
125 |
$1K |
| 73070 |
|
77 |
53 |
$1K |
| 72114 |
|
85 |
80 |
$1K |
| 84630 |
|
154 |
137 |
$1K |
| 97166 |
|
45 |
40 |
$1K |
| 83520 |
|
159 |
150 |
$1K |
| A4222 |
Infusion supplies with pump |
1,664 |
1,176 |
$1K |
| 95251 |
|
205 |
191 |
$1K |
| 90716 |
|
120 |
96 |
$1K |
| 12002 |
|
14 |
12 |
$1K |
| J1815 |
Insulin injection |
1,631 |
545 |
$1K |
| 81015 |
|
196 |
175 |
$1K |
| 74220 |
|
16 |
14 |
$1K |
| J3370 |
Vancomycin hcl injection |
724 |
306 |
$1K |
| 77066 |
Tomosynthesis, mammo |
27 |
25 |
$1K |
| 97014 |
|
25 |
12 |
$1K |
| 72192 |
|
16 |
16 |
$1K |
| 86645 |
|
84 |
62 |
$1K |
| J7040 |
Normal saline solution infus |
7,931 |
4,250 |
$1K |
| 96110 |
|
275 |
271 |
$1K |
| 80375 |
|
73 |
73 |
$983.63 |
| 0001A |
|
25 |
25 |
$983.32 |
| 90651 |
|
130 |
114 |
$978.96 |
| 86644 |
|
76 |
57 |
$920.42 |
| 86664 |
|
78 |
59 |
$893.20 |
| 84132 |
|
149 |
120 |
$887.34 |
| 86663 |
|
78 |
59 |
$887.31 |
| 84112 |
|
30 |
25 |
$849.11 |
| 86334 |
|
68 |
61 |
$832.67 |
| 83013 |
|
16 |
13 |
$787.45 |
| 98927 |
|
52 |
27 |
$778.02 |
| 73120 |
|
34 |
24 |
$766.93 |
| 97116 |
|
46 |
28 |
$766.16 |
| 64636 |
|
19 |
16 |
$748.14 |
| 82330 |
|
73 |
66 |
$728.35 |
| 84134 |
|
106 |
94 |
$666.46 |
| 94760 |
|
3,124 |
2,838 |
$664.87 |
| J0694 |
Cefoxitin sodium injection |
70 |
28 |
$653.59 |
| 90619 |
|
64 |
48 |
$595.40 |
| 90707 |
|
117 |
92 |
$587.84 |
| 92523 |
|
13 |
12 |
$587.39 |
| 86431 |
|
112 |
105 |
$585.00 |
| 90700 |
|
116 |
88 |
$572.84 |
| 93295 |
|
19 |
12 |
$560.76 |
| 97535 |
|
20 |
13 |
$557.71 |
| J2785 |
Regadenoson injection |
577 |
531 |
$556.90 |
| 99202 |
|
31 |
31 |
$555.34 |
| 96417 |
|
139 |
79 |
$549.65 |
| 73700 |
|
13 |
12 |
$539.42 |
| 82105 |
|
81 |
66 |
$491.95 |
| A9579 |
Gad-base mr contrast nos,1ml |
12 |
12 |
$478.10 |
| 82948 |
|
496 |
411 |
$471.11 |
| 99336 |
|
17 |
17 |
$469.69 |
| 99281 |
|
20 |
19 |
$451.60 |
| J3475 |
Inj magnesium sulfate |
636 |
341 |
$446.55 |
| V5266 |
Battery for hearing device |
256 |
247 |
$430.79 |
| 99153 |
Mod sedat endo service >5yrs |
208 |
187 |
$429.43 |
| 76775 |
|
12 |
12 |
$422.62 |
| 30801 |
|
15 |
12 |
$420.97 |
| 86695 |
|
27 |
25 |
$408.42 |
| 86235 |
|
48 |
29 |
$403.61 |
| 82310 |
|
52 |
45 |
$367.20 |
| 84466 |
|
56 |
51 |
$350.54 |
| J1040 |
Methylprednisolone 80 mg inj |
793 |
645 |
$347.14 |
| 87045 |
|
23 |
19 |
$334.03 |
| 85045 |
|
251 |
220 |
$333.95 |
| 87324 |
|
25 |
24 |
$332.42 |
| 82951 |
|
14 |
13 |
$325.64 |
| 82140 |
|
57 |
44 |
$323.34 |
| G0179 |
Md recertification hha pt |
26 |
25 |
$322.87 |
| 86812 |
|
36 |
31 |
$322.13 |
| 84165 |
|
68 |
61 |
$316.74 |
| 90696 |
|
44 |
41 |
$315.80 |
| 83516 |
|
27 |
25 |
$311.73 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
1,035 |
969 |
$307.51 |
| J3420 |
Vitamin b12 injection |
436 |
317 |
$306.89 |
| J0692 |
Cefepime hcl for injection |
32 |
12 |
$297.80 |
| 87512 |
|
12 |
12 |
$289.12 |
| 84155 |
|
97 |
89 |
$288.43 |
| 99217 |
|
12 |
12 |
$287.30 |
| 86696 |
|
27 |
25 |
$285.95 |
| C9113 |
Inj pantoprazole sodium, via |
409 |
185 |
$285.50 |
| 90710 |
|
70 |
55 |
$284.91 |
| Q9957 |
Inj perflutren lip micros,ml |
186 |
169 |
$281.68 |
| J3480 |
Inj potassium chloride |
796 |
351 |
$280.60 |
| 93297 |
|
29 |
28 |
$279.16 |
| 90685 |
|
75 |
66 |
$279.10 |
| 83010 |
|
41 |
39 |
$269.43 |
| J7050 |
Normal saline solution infus |
3,689 |
1,831 |
$259.90 |
| 82952 |
|
22 |
13 |
$259.20 |
| G0180 |
Md certification hha patient |
24 |
20 |
$248.86 |
| 82785 |
|
38 |
28 |
$245.37 |
| A4223 |
Infusion supplies w/o pump |
162 |
150 |
$237.14 |
| 85055 |
|
18 |
12 |
$234.25 |
| 00918 |
|
13 |
12 |
$227.00 |
| 87427 |
|
23 |
19 |
$213.76 |
| J1580 |
Garamycin gentamicin inj |
403 |
250 |
$204.14 |
| J0689 |
Inj cefazolin sodium, baxter |
907 |
620 |
$201.55 |
| J2919 |
Inj, methylpred sod succ 5mg |
439 |
303 |
$199.00 |
| 99348 |
|
17 |
12 |
$193.07 |
| J8540 |
Oral dexamethasone |
308 |
168 |
$192.52 |
| 76942 |
|
62 |
50 |
$188.44 |
| J2469 |
Palonosetron hcl |
258 |
139 |
$186.32 |
| J1453 |
Fosaprepitant injection |
21 |
12 |
$177.98 |
| 51702 |
|
27 |
25 |
$174.77 |
| 99407 |
|
16 |
12 |
$172.34 |
| 93228 |
|
12 |
12 |
$170.85 |
| J7060 |
5% dextrose/water |
1,000 |
346 |
$168.37 |
| 00910 |
|
34 |
27 |
$163.59 |
| 84480 |
|
18 |
12 |
$159.84 |
| 84436 |
|
14 |
13 |
$159.60 |
| 87205 |
|
61 |
49 |
$151.37 |
| 82172 |
|
13 |
12 |
$145.91 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
235 |
205 |
$132.69 |
| 86003 |
|
21 |
14 |
$124.38 |
| 81002 |
|
995 |
930 |
$121.19 |
| 00126 |
|
63 |
57 |
$115.75 |
| 87799 |
|
12 |
12 |
$115.01 |
| 90656 |
|
13 |
13 |
$94.90 |
| 51701 |
|
80 |
65 |
$89.76 |
| G0008 |
Admin influenza virus vac |
293 |
283 |
$84.26 |
| 82010 |
|
62 |
54 |
$82.14 |
| 90620 |
|
12 |
12 |
$73.05 |
| 76937 |
|
65 |
54 |
$69.77 |
| 87076 |
|
12 |
12 |
$68.03 |
| 82365 |
|
58 |
48 |
$66.79 |
| J1010 |
Inj, methylpred acetate 1 mg |
320 |
292 |
$66.34 |
| 84075 |
|
21 |
12 |
$64.18 |
| 88300 |
|
64 |
53 |
$60.23 |
| 83695 |
|
12 |
12 |
$57.67 |
| 90734 |
|
15 |
13 |
$57.40 |
| 64491 |
|
68 |
55 |
$51.57 |
| 93296 |
|
54 |
44 |
$46.10 |
| J0744 |
Ciprofloxacin iv |
230 |
151 |
$33.42 |
| Q0091 |
Obtaining screen pap smear |
42 |
38 |
$30.81 |
| J2470 |
Inj pantoprazole sodium 40mg |
154 |
75 |
$26.27 |
| J2920 |
Methylprednisolone injection |
57 |
35 |
$25.90 |
| G0103 |
Psa screening |
143 |
137 |
$25.33 |
| A6449 |
Lt compres band >=3" <5"/yd |
332 |
208 |
$19.73 |
| J2175 |
Meperidine hydrochl /100 mg |
38 |
30 |
$14.36 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
726 |
644 |
$12.75 |
| J1630 |
Haloperidol injection |
150 |
92 |
$10.95 |
| 90472 |
|
12 |
12 |
$10.13 |
| C1894 |
Intro/sheath, non-laser |
203 |
188 |
$9.64 |
| A6221 |
Gauze > 48 sq in w/border |
22 |
12 |
$9.15 |
| J2370 |
Phenylephrine hcl injection |
126 |
107 |
$7.66 |
| 86738 |
|
15 |
15 |
$6.12 |
| J1940 |
Furosemide injection |
56 |
26 |
$5.01 |
| A6222 |
Gauze <=16 in no w/sal w/o b |
31 |
25 |
$4.67 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
223 |
211 |
$3.58 |
| A6402 |
Sterile gauze <= 16 sq in |
294 |
270 |
$2.64 |
| A6448 |
Lt compres band <3"/yd |
13 |
13 |
$0.97 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
145 |
84 |
$0.33 |
| Q0243 |
Casirivimab and imdevimab |
35 |
32 |
$0.24 |
| Q0245 |
Bamlanivimab and etesevima |
23 |
22 |
$0.12 |
| 91307 |
|
12 |
12 |
$0.11 |
| J1836 |
Inj, metronidazole, 10 mg |
74 |
42 |
$0.07 |
| G8419 |
Calc bmi out nrm param nof/u |
17,511 |
16,426 |
$0.00 |
| 3008F |
|
123,213 |
112,065 |
$0.00 |
| 3075F |
|
4,607 |
4,306 |
$0.00 |
| 1036F |
|
103,807 |
93,057 |
$0.00 |
| 3074F |
|
63,576 |
58,292 |
$0.00 |
| 3079F |
|
13,996 |
12,932 |
$0.00 |
| 3080F |
|
1,337 |
1,253 |
$0.00 |
| 3044F |
|
1,572 |
1,465 |
$0.00 |
| 95012 |
|
27 |
25 |
$0.00 |
| G8754 |
Dias bp less 90 |
842 |
796 |
$0.00 |
| 00790 |
|
90 |
66 |
$0.00 |
| 3017F |
|
98 |
90 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
166 |
157 |
$0.00 |
| 0503F |
|
25 |
25 |
$0.00 |
| 3078F |
|
58,134 |
53,615 |
$0.00 |
| 3077F |
|
5,129 |
4,791 |
$0.00 |
| G8752 |
Sys bp less 140 |
357 |
345 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
870 |
825 |
$0.00 |
| G8421 |
Bmi not calculated |
990 |
953 |
$0.00 |
| 83721 |
|
71 |
63 |
$0.00 |
| 00812 |
|
188 |
169 |
$0.00 |
| 4004F |
|
191 |
172 |
$0.00 |
| 99354 |
|
15 |
13 |
$0.00 |
| C1875 |
Stent, coated/cov w/o del sy |
32 |
30 |
$0.00 |
| G1004 |
Cdsm ndsc |
78 |
66 |
$0.00 |
| C1751 |
Cath, inf, per/cent/midline |
15 |
12 |
$0.00 |
| 88302 |
|
15 |
13 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
13 |
12 |
$0.00 |
| 88312 |
|
18 |
14 |
$0.00 |
| 88313 |
|
31 |
25 |
$0.00 |
| G8753 |
Sys bp > or = 140 |
12 |
12 |
$0.00 |