| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99211 |
|
103,557 |
87,323 |
$8.87M |
| 99283 |
|
78,637 |
69,784 |
$6.81M |
| 99284 |
|
64,040 |
54,019 |
$5.14M |
| 80053 |
|
183,150 |
116,827 |
$4.87M |
| 99212 |
|
39,541 |
34,240 |
$3.30M |
| 99213 |
|
32,854 |
28,443 |
$2.61M |
| 99285 |
|
33,877 |
27,127 |
$2.53M |
| G0378 |
Hospital observation per hr |
40,598 |
20,710 |
$2.18M |
| 99282 |
|
21,851 |
19,421 |
$1.64M |
| 93303 |
|
3,945 |
3,747 |
$1.31M |
| 99215 |
Prolong outpt/office vis |
20,876 |
17,235 |
$1.18M |
| 77386 |
|
3,767 |
297 |
$1.16M |
| 96360 |
|
11,150 |
9,224 |
$949K |
| 96375 |
|
16,704 |
10,447 |
$803K |
| 81003 |
|
35,112 |
21,600 |
$800K |
| 93306 |
|
5,476 |
4,755 |
$773K |
| 97110 |
|
14,675 |
4,144 |
$747K |
| 96361 |
|
12,165 |
8,882 |
$747K |
| 99214 |
|
13,511 |
12,427 |
$744K |
| 74177 |
|
5,968 |
5,049 |
$740K |
| 96413 |
|
12,558 |
6,561 |
$709K |
| 85025 |
|
213,922 |
133,804 |
$678K |
| G0463 |
Hospital outpt clinic visit |
56,688 |
34,414 |
$659K |
| 97530 |
|
13,552 |
4,063 |
$642K |
| 80048 |
|
32,344 |
21,185 |
$636K |
| D2930 |
|
727 |
244 |
$634K |
| 70450 |
|
10,664 |
8,566 |
$620K |
| 96374 |
|
17,060 |
13,497 |
$604K |
| 90935 |
|
1,981 |
627 |
$597K |
| 76819 |
|
11,400 |
7,429 |
$563K |
| 86850 |
|
20,457 |
16,170 |
$551K |
| 96372 |
|
16,291 |
13,164 |
$491K |
| A9552 |
F18 fdg |
1,385 |
1,205 |
$410K |
| 87799 |
|
23,150 |
13,540 |
$378K |
| 41899 |
|
783 |
738 |
$364K |
| 0202U |
|
2,259 |
2,005 |
$359K |
| 92507 |
|
2,840 |
941 |
$354K |
| 70553 |
|
1,945 |
1,716 |
$338K |
| Q5105 |
Inj retacrit esrd on dialysi |
2,228 |
422 |
$327K |
| 74176 |
|
2,909 |
2,343 |
$318K |
| 96365 |
|
7,215 |
4,544 |
$315K |
| J0585 |
Injection,onabotulinumtoxina |
1,319 |
1,216 |
$309K |
| 86355 |
|
10,182 |
7,635 |
$309K |
| 78452 |
|
1,446 |
1,167 |
$307K |
| J1644 |
Inj heparin sodium per 1000u |
18,393 |
5,993 |
$299K |
| 78815 |
|
1,377 |
1,195 |
$280K |
| 76770 |
|
3,813 |
3,355 |
$278K |
| 0241U |
|
14,417 |
13,255 |
$276K |
| 71046 |
|
19,068 |
15,894 |
$261K |
| 76856 |
|
4,604 |
4,068 |
$251K |
| 70551 |
|
2,032 |
1,837 |
$250K |
| 87635 |
|
7,548 |
6,145 |
$245K |
| 76816 |
|
8,591 |
7,371 |
$244K |
| 93005 |
|
53,672 |
40,495 |
$241K |
| 76700 |
|
4,296 |
3,692 |
$239K |
| 96402 |
|
2,097 |
1,631 |
$223K |
| 76815 |
|
8,746 |
6,806 |
$215K |
| U0002 |
Covid-19 lab test non-cdc |
13,795 |
9,902 |
$205K |
| 99281 |
|
4,318 |
3,508 |
$204K |
| 81001 |
|
75,487 |
55,455 |
$192K |
| 88305 |
|
12,897 |
4,990 |
$191K |
| 84100 |
|
41,946 |
24,515 |
$190K |
| 76805 |
|
3,656 |
3,372 |
$189K |
| 94640 |
|
9,632 |
4,704 |
$186K |
| U0004 |
Cov-19 test non-cdc hgh thru |
10,874 |
8,639 |
$184K |
| 80307 |
|
14,860 |
6,794 |
$183K |
| 96415 |
|
2,722 |
1,797 |
$183K |
| 85610 |
|
48,756 |
33,339 |
$183K |
| 83735 |
|
78,665 |
46,030 |
$176K |
| J0485 |
Belatacept injection |
2,005 |
916 |
$173K |
| 81220 |
|
1,675 |
1,402 |
$172K |
| 76817 |
|
5,264 |
4,096 |
$172K |
| J1745 |
Infliximab not biosimil 10mg |
440 |
378 |
$167K |
| J2405 |
Ondansetron hcl injection |
24,046 |
15,833 |
$164K |
| 71275 |
|
2,037 |
1,718 |
$162K |
| 97162 |
|
4,486 |
3,537 |
$160K |
| 77066 |
Tomosynthesis, mammo |
2,122 |
1,839 |
$158K |
| 95819 |
|
1,272 |
1,165 |
$157K |
| 85730 |
|
34,523 |
24,978 |
$157K |
| 87086 |
|
31,522 |
22,662 |
$157K |
| 77336 |
|
2,130 |
813 |
$149K |
| 81420 |
|
644 |
569 |
$144K |
| 86803 |
|
25,421 |
21,399 |
$140K |
| 29705 |
|
2,242 |
1,913 |
$136K |
| 81370 |
|
585 |
458 |
$130K |
| 43239 |
|
811 |
702 |
$129K |
| 84702 |
|
16,968 |
11,328 |
$128K |
| 93356 |
|
812 |
695 |
$128K |
| 99205 |
Prolong outpt/office vis |
2,078 |
1,874 |
$125K |
| 86900 |
|
20,530 |
16,430 |
$124K |
| 59025 |
|
2,142 |
1,285 |
$123K |
| 73110 |
|
3,290 |
2,529 |
$121K |
| 99202 |
|
1,545 |
1,421 |
$119K |
| 93975 |
|
2,203 |
1,854 |
$119K |
| 77300 |
|
221 |
185 |
$119K |
| 99201 |
|
1,311 |
1,213 |
$117K |
| 87631 |
|
4,097 |
3,629 |
$116K |
| 96416 |
|
1,844 |
905 |
$116K |
| 99203 |
|
1,487 |
1,353 |
$112K |
| 82803 |
|
11,904 |
7,932 |
$111K |
| D2392 |
|
158 |
81 |
$109K |
| 84484 |
|
26,844 |
15,905 |
$102K |
| 86833 |
|
13,300 |
9,335 |
$102K |
| 74174 |
|
880 |
710 |
$101K |
| 80197 |
|
53,944 |
29,193 |
$101K |
| 76811 |
|
2,079 |
1,942 |
$100K |
| 73590 |
|
3,208 |
2,631 |
$98K |
| 93325 |
|
6,318 |
5,693 |
$97K |
| 87491 |
|
7,792 |
6,547 |
$96K |
| 77067 |
|
3,381 |
2,956 |
$96K |
| J1815 |
Insulin injection |
12,231 |
3,771 |
$95K |
| 45380 |
|
536 |
439 |
$95K |
| 76705 |
|
3,778 |
3,153 |
$93K |
| 0064U |
|
6,309 |
5,195 |
$93K |
| 73090 |
|
2,582 |
2,117 |
$92K |
| 87389 |
|
13,953 |
11,987 |
$92K |
| 86901 |
|
21,078 |
16,847 |
$91K |
| 96366 |
|
2,051 |
1,175 |
$89K |
| 73630 |
|
3,193 |
2,694 |
$84K |
| 71045 |
|
16,153 |
12,475 |
$83K |
| 93970 |
|
2,280 |
1,882 |
$83K |
| 73130 |
|
3,183 |
2,572 |
$83K |
| 73610 |
|
3,460 |
2,765 |
$83K |
| 99204 |
|
1,394 |
1,275 |
$81K |
| 84132 |
|
9,610 |
5,962 |
$81K |
| 70498 |
|
1,234 |
964 |
$80K |
| 87186 |
|
9,068 |
6,753 |
$79K |
| J9263 |
Oxaliplatin |
927 |
349 |
$74K |
| 76801 |
|
1,924 |
1,751 |
$74K |
| 76830 |
|
4,078 |
3,603 |
$74K |
| 71250 |
|
2,122 |
1,730 |
$71K |
| J1568 |
Octagam injection |
213 |
104 |
$71K |
| 76536 |
|
1,231 |
1,108 |
$70K |
| 36573 |
|
696 |
492 |
$68K |
| 64643 |
|
304 |
297 |
$66K |
| J2001 |
Lidocaine injection |
15,011 |
11,243 |
$66K |
| P9016 |
Rbc leukocytes reduced |
1,399 |
1,031 |
$66K |
| 83690 |
|
22,550 |
16,567 |
$66K |
| 96523 |
|
1,779 |
963 |
$65K |
| 82330 |
|
12,791 |
8,280 |
$65K |
| 73552 |
|
1,660 |
1,367 |
$61K |
| 73140 |
|
1,638 |
1,273 |
$60K |
| 87040 |
|
11,400 |
6,351 |
$60K |
| 72125 |
|
2,192 |
1,781 |
$57K |
| 74160 |
|
587 |
494 |
$55K |
| 77065 |
Tomosynthesis, mammo |
877 |
707 |
$55K |
| 87070 |
|
6,382 |
5,218 |
$54K |
| 93971 |
|
2,063 |
1,692 |
$54K |
| 83880 |
|
10,659 |
7,660 |
$53K |
| 87340 |
|
9,018 |
7,247 |
$52K |
| 93017 |
|
1,860 |
1,544 |
$52K |
| 36430 |
|
923 |
653 |
$51K |
| 80061 |
|
22,825 |
17,958 |
$50K |
| 83036 |
|
15,755 |
12,957 |
$50K |
| 73100 |
|
735 |
626 |
$50K |
| J3010 |
Fentanyl citrate injection |
11,903 |
9,340 |
$49K |
| 70496 |
|
380 |
316 |
$48K |
| J7512 |
Prednisone ir or dr oral 1mg |
3,438 |
1,736 |
$48K |
| J8540 |
Oral dexamethasone |
9,360 |
4,890 |
$48K |
| 73030 |
|
2,451 |
1,982 |
$48K |
| J2250 |
Inj midazolam hydrochloride |
10,793 |
8,555 |
$47K |
| 73562 |
|
2,842 |
2,409 |
$47K |
| 71260 |
|
1,753 |
1,503 |
$45K |
| 82728 |
|
7,685 |
5,903 |
$45K |
| 0399T |
|
131 |
121 |
$45K |
| 70486 |
|
1,173 |
971 |
$45K |
| 73502 |
|
1,878 |
1,616 |
$45K |
| 84443 |
|
11,467 |
9,418 |
$43K |
| 86832 |
|
13,317 |
9,373 |
$42K |
| 96417 |
|
3,572 |
2,035 |
$42K |
| 87497 |
|
19,768 |
12,258 |
$42K |
| 83615 |
|
8,553 |
5,801 |
$42K |
| 88342 |
|
3,270 |
1,930 |
$42K |
| 87591 |
|
7,618 |
6,534 |
$42K |
| J9202 |
Goserelin acetate implant |
593 |
509 |
$41K |
| 77412 |
|
157 |
26 |
$41K |
| 86140 |
|
12,220 |
9,259 |
$41K |
| 29075 |
|
714 |
571 |
$40K |
| 93282 |
|
787 |
672 |
$40K |
| 76642 |
|
1,136 |
986 |
$40K |
| 83970 |
|
7,535 |
5,661 |
$40K |
| 83550 |
|
4,804 |
3,903 |
$40K |
| 00170 |
|
1,341 |
1,139 |
$40K |
| 81025 |
|
3,543 |
3,121 |
$39K |
| 85027 |
|
6,855 |
4,219 |
$39K |
| J2270 |
Morphine sulfate injection |
10,419 |
6,437 |
$39K |
| 87624 |
|
1,536 |
1,354 |
$38K |
| 83605 |
|
7,973 |
5,468 |
$38K |
| J1885 |
Ketorolac tromethamine inj |
15,852 |
12,346 |
$38K |
| 77080 |
|
838 |
755 |
$37K |
| 77334 |
|
271 |
222 |
$37K |
| J1642 |
Inj heparin sodium per 10 u |
6,016 |
3,132 |
$37K |
| 84550 |
|
40,118 |
22,351 |
$37K |
| 83540 |
|
7,256 |
5,563 |
$37K |
| 97166 |
|
2,906 |
2,261 |
$36K |
| 64642 |
|
333 |
324 |
$36K |
| J7507 |
Tacrolimus imme rel oral 1mg |
2,508 |
789 |
$36K |
| J0696 |
Ceftriaxone sodium injection |
10,746 |
7,027 |
$36K |
| 86780 |
|
3,337 |
2,674 |
$36K |
| 93798 |
|
233 |
53 |
$35K |
| 80069 |
|
2,476 |
1,716 |
$35K |
| 42820 |
|
30 |
28 |
$35K |
| P9045 |
Albumin (human), 5%, 250 ml |
678 |
289 |
$35K |
| 82947 |
|
11,809 |
7,963 |
$35K |
| 87077 |
|
10,491 |
7,470 |
$35K |
| 86359 |
|
10,231 |
7,659 |
$34K |
| J0640 |
Leucovorin calcium injection |
1,798 |
853 |
$33K |
| J1756 |
Iron sucrose injection |
1,212 |
547 |
$32K |
| 87536 |
|
6,040 |
4,679 |
$32K |
| 82306 |
|
6,906 |
5,813 |
$32K |
| 97112 |
|
302 |
154 |
$32K |
| 76776 |
|
2,285 |
1,577 |
$32K |
| 93281 |
|
709 |
602 |
$32K |
| 74018 |
|
1,929 |
1,578 |
$32K |
| 76641 |
|
646 |
556 |
$31K |
| 73070 |
|
923 |
760 |
$31K |
| 82375 |
|
689 |
337 |
$31K |
| J9355 |
Inj trastuzumab excl biosimi |
133 |
67 |
$30K |
| 88341 |
|
2,795 |
735 |
$30K |
| 82746 |
|
3,846 |
3,105 |
$30K |
| 96411 |
|
1,852 |
1,005 |
$30K |
| 88142 |
|
2,224 |
1,967 |
$29K |
| 85046 |
|
3,263 |
2,397 |
$29K |
| 93308 |
|
148 |
122 |
$29K |
| 82570 |
|
14,260 |
9,008 |
$29K |
| J1200 |
Diphenhydramine hcl injectio |
8,137 |
5,195 |
$29K |
| 81376 |
|
626 |
422 |
$29K |
| J0461 |
Atropine sulfate injection |
2,059 |
1,324 |
$29K |
| 76376 |
|
1,069 |
930 |
$28K |
| 73080 |
|
1,596 |
1,315 |
$28K |
| 54161 |
|
37 |
37 |
$28K |
| 86360 |
|
10,164 |
7,619 |
$28K |
| 86235 |
|
7,596 |
984 |
$27K |
| 86357 |
|
10,190 |
7,628 |
$27K |
| 93350 |
|
152 |
115 |
$27K |
| J9190 |
Fluorouracil injection |
1,847 |
884 |
$26K |
| 72100 |
|
2,076 |
1,743 |
$26K |
| 87798 |
|
1,885 |
997 |
$26K |
| 82784 |
|
11,689 |
4,852 |
$26K |
| 85055 |
|
3,037 |
2,153 |
$25K |
| 76820 |
|
1,331 |
589 |
$25K |
| 76825 |
|
261 |
225 |
$25K |
| J1650 |
Inj enoxaparin sodium |
8,271 |
2,924 |
$25K |
| J1170 |
Hydromorphone injection |
7,173 |
4,206 |
$25K |
| 87205 |
|
5,081 |
3,945 |
$24K |
| 82248 |
|
19,166 |
11,694 |
$24K |
| D2390 |
|
40 |
14 |
$24K |
| 81329 |
|
719 |
588 |
$24K |
| 88307 |
|
1,740 |
1,016 |
$24K |
| D3220 |
|
159 |
66 |
$24K |
| 85007 |
|
6,059 |
4,052 |
$23K |
| 96368 |
|
1,615 |
808 |
$23K |
| 87210 |
|
2,279 |
1,857 |
$23K |
| 80051 |
|
3,094 |
2,161 |
$23K |
| 93320 |
|
4,404 |
4,009 |
$23K |
| 73560 |
|
1,073 |
870 |
$21K |
| 76870 |
|
462 |
404 |
$21K |
| 86787 |
|
4,017 |
3,385 |
$21K |
| 87633 |
|
814 |
718 |
$21K |
| 82805 |
|
1,323 |
932 |
$21K |
| 84703 |
|
4,913 |
4,345 |
$21K |
| 82607 |
|
4,488 |
3,575 |
$20K |
| 36569 |
|
252 |
141 |
$20K |
| 99153 |
Mod sedat endo service >5yrs |
1,923 |
1,512 |
$20K |
| 82550 |
|
6,152 |
4,582 |
$20K |
| 86703 |
|
11,252 |
9,655 |
$20K |
| 73060 |
|
1,426 |
1,138 |
$20K |
| 82378 |
|
2,025 |
1,533 |
$20K |
| 86706 |
|
3,215 |
2,646 |
$20K |
| J3475 |
Inj magnesium sulfate |
4,155 |
2,830 |
$20K |
| 85384 |
|
3,538 |
2,173 |
$20K |
| D2391 |
|
20 |
12 |
$19K |
| 82435 |
|
7,903 |
5,154 |
$19K |
| 46606 |
|
489 |
273 |
$19K |
| 80076 |
|
1,605 |
1,310 |
$19K |
| 84439 |
|
3,325 |
2,744 |
$19K |
| 84295 |
|
8,065 |
5,260 |
$19K |
| 70491 |
|
180 |
167 |
$18K |
| 99291 |
|
613 |
512 |
$18K |
| 70355 |
|
699 |
611 |
$18K |
| 86923 |
|
2,100 |
1,548 |
$17K |
| 31575 |
|
777 |
680 |
$17K |
| 12001 |
|
527 |
459 |
$17K |
| 86762 |
|
2,932 |
2,585 |
$16K |
| 85652 |
|
6,455 |
5,238 |
$16K |
| J1940 |
Furosemide injection |
3,213 |
1,469 |
$16K |
| 74019 |
|
1,480 |
1,284 |
$16K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
509 |
371 |
$16K |
| 85660 |
|
2,249 |
1,999 |
$16K |
| 88304 |
|
1,884 |
1,359 |
$16K |
| 86480 |
|
2,680 |
2,153 |
$16K |
| 82150 |
|
7,577 |
3,883 |
$16K |
| 88112 |
|
1,234 |
901 |
$16K |
| 93976 |
|
744 |
647 |
$16K |
| 93880 |
|
826 |
626 |
$16K |
| 72040 |
|
680 |
590 |
$15K |
| 92953 |
|
236 |
227 |
$15K |
| 83520 |
|
7,852 |
1,349 |
$15K |
| 73564 |
|
521 |
437 |
$15K |
| 10060 |
|
433 |
385 |
$15K |
| G0480 |
Drug test def 1-7 classes |
1,871 |
937 |
$14K |
| C8929 |
Tte w or wo fol wcon,doppler |
1,565 |
1,063 |
$14K |
| 12011 |
|
608 |
536 |
$14K |
| 82105 |
|
2,681 |
2,186 |
$14K |
| 87075 |
|
1,234 |
961 |
$14K |
| 77301 |
|
94 |
82 |
$14K |
| 82977 |
|
9,575 |
6,076 |
$14K |
| 86828 |
|
2,602 |
1,869 |
$14K |
| J9206 |
Irinotecan injection |
478 |
214 |
$14K |
| J1453 |
Fosaprepitant injection |
45 |
28 |
$13K |
| 93460 |
|
15 |
13 |
$13K |
| 92523 |
|
88 |
80 |
$13K |
| 72131 |
|
845 |
686 |
$13K |
| 72170 |
|
1,286 |
1,058 |
$13K |
| 84112 |
|
416 |
344 |
$13K |
| J3370 |
Vancomycin hcl injection |
3,259 |
1,556 |
$13K |
| 84155 |
|
9,507 |
5,864 |
$12K |
| 82247 |
|
821 |
502 |
$12K |
| J0360 |
Hydralazine hcl injection |
2,286 |
1,419 |
$12K |
| 90686 |
|
6,171 |
5,069 |
$12K |
| 73620 |
|
411 |
339 |
$12K |
| 86665 |
|
2,371 |
1,137 |
$12K |
| J1100 |
Dexamethasone sodium phos |
6,407 |
4,888 |
$12K |
| 77338 |
|
120 |
100 |
$12K |
| G8978 |
Mobility current status |
317 |
272 |
$12K |
| J0610 |
Calcium glucon (fresenius) |
1,208 |
591 |
$11K |
| 80320 |
|
4,486 |
3,756 |
$11K |
| 84153 |
|
1,530 |
1,249 |
$11K |
| 86708 |
|
2,057 |
1,614 |
$11K |
| 76813 |
|
285 |
258 |
$11K |
| J0692 |
Cefepime hcl for injection |
2,629 |
1,176 |
$10K |
| 45378 |
|
33 |
26 |
$10K |
| 82950 |
|
1,317 |
1,233 |
$10K |
| 99152 |
|
1,772 |
1,332 |
$10K |
| J2930 |
Methylprednisolone injection |
1,839 |
1,271 |
$10K |
| 19083 |
|
32 |
25 |
$10K |
| G8979 |
Mobility goal status |
328 |
276 |
$9K |
| D7140 |
|
20 |
12 |
$9K |
| 81401 |
|
629 |
533 |
$9K |
| 82043 |
|
6,495 |
4,452 |
$9K |
| 78306 |
|
58 |
49 |
$9K |
| 86777 |
|
1,881 |
1,482 |
$9K |
| 77001 |
|
222 |
183 |
$8K |
| 96376 |
|
1,529 |
1,211 |
$8K |
| 85379 |
|
3,650 |
2,606 |
$8K |
| 81243 |
|
1,341 |
1,108 |
$8K |
| 86920 |
|
595 |
474 |
$8K |
| J2765 |
Metoclopramide hcl injection |
2,977 |
2,307 |
$8K |
| J2710 |
Neostigmine methylslfte inj |
1,029 |
767 |
$8K |
| 80195 |
|
3,914 |
2,562 |
$7K |
| C9399 |
Unclassified drugs or biolog |
3,621 |
2,967 |
$7K |
| 77470 |
|
15 |
13 |
$7K |
| 93285 |
|
145 |
132 |
$7K |
| 84480 |
|
907 |
754 |
$7K |
| 92610 |
|
449 |
360 |
$7K |
| 93284 |
|
150 |
121 |
$7K |
| 87522 |
Neg quan hep c or qual rna |
1,726 |
1,278 |
$7K |
| 87486 |
|
810 |
714 |
$7K |
| 73120 |
|
661 |
549 |
$7K |
| 86704 |
|
2,206 |
1,799 |
$7K |
| 87581 |
|
811 |
715 |
$7K |
| 12002 |
|
118 |
103 |
$7K |
| 82810 |
|
38 |
14 |
$7K |
| J0561 |
Penicillin g benzathine inj |
446 |
348 |
$7K |
| 84681 |
|
4,549 |
2,454 |
$6K |
| J0690 |
Cefazolin sodium injection |
3,265 |
2,293 |
$6K |
| 80164 |
|
1,317 |
947 |
$6K |
| P9040 |
Rbc leukoreduced irradiated |
124 |
83 |
$6K |
| 83020 |
|
997 |
739 |
$6K |
| 90471 |
|
5,887 |
4,636 |
$6K |
| J3490 |
Drugs unclassified injection |
2,761 |
1,961 |
$6K |
| J8501 |
Oral aprepitant |
167 |
99 |
$6K |
| J0131 |
Inj, acetaminophen (nos) |
4,760 |
3,758 |
$6K |
| G0008 |
Admin influenza virus vac |
2,373 |
1,674 |
$6K |
| 89051 |
|
88 |
76 |
$6K |
| 86592 |
|
1,558 |
1,262 |
$6K |
| 86705 |
|
1,605 |
1,149 |
$5K |
| 97535 |
|
1,451 |
781 |
$5K |
| 97760 |
|
372 |
291 |
$5K |
| 98960 |
|
1,546 |
1,000 |
$5K |
| 86644 |
|
1,529 |
1,222 |
$5K |
| 82677 |
|
197 |
179 |
$5K |
| 85347 |
|
493 |
229 |
$5K |
| 82140 |
|
1,103 |
782 |
$5K |
| 86778 |
|
1,284 |
997 |
$5K |
| 76881 |
|
221 |
188 |
$5K |
| 86902 |
|
251 |
39 |
$5K |
| 82610 |
|
2,461 |
2,042 |
$5K |
| 90715 |
|
5,156 |
4,398 |
$5K |
| 85576 |
|
169 |
62 |
$5K |
| 99391 |
|
75 |
58 |
$5K |
| 72148 |
|
46 |
38 |
$5K |
| 82785 |
|
3,339 |
2,329 |
$5K |
| J2920 |
Methylprednisolone injection |
1,463 |
766 |
$5K |
| 87507 |
|
184 |
161 |
$5K |
| 88360 |
|
102 |
50 |
$4K |
| J2785 |
Regadenoson injection |
1,161 |
921 |
$4K |
| 74181 |
|
30 |
26 |
$4K |
| 84156 |
|
1,005 |
715 |
$4K |
| 80329 |
|
3,519 |
1,914 |
$4K |
| 86664 |
|
1,070 |
825 |
$4K |
| 86709 |
|
2,011 |
1,489 |
$4K |
| G8980 |
Mobility d/c status |
87 |
71 |
$4K |
| 86687 |
|
1,327 |
1,040 |
$4K |
| 93321 |
|
361 |
318 |
$4K |
| 87641 |
|
740 |
588 |
$4K |
| C9113 |
Inj pantoprazole sodium, via |
2,146 |
1,052 |
$4K |
| 88313 |
|
1,424 |
471 |
$4K |
| 86663 |
|
1,049 |
827 |
$4K |
| 97161 |
|
41 |
35 |
$4K |
| 97163 |
|
42 |
38 |
$4K |
| 88173 |
|
20 |
13 |
$4K |
| 69436 |
|
12 |
12 |
$4K |
| J2370 |
Phenylephrine hcl injection |
2,406 |
1,902 |
$4K |
| J9267 |
Paclitaxel injection |
1,030 |
422 |
$4K |
| 73522 |
|
102 |
89 |
$4K |
| 83050 |
|
658 |
319 |
$4K |
| J9045 |
Carboplatin injection |
696 |
402 |
$4K |
| 97116 |
|
20 |
14 |
$3K |
| 85014 |
|
107 |
48 |
$3K |
| 96367 |
|
808 |
521 |
$3K |
| J2997 |
Alteplase recombinant |
135 |
102 |
$3K |
| 29065 |
|
246 |
181 |
$3K |
| J2060 |
Lorazepam injection |
2,483 |
1,931 |
$3K |
| 86038 |
|
757 |
616 |
$3K |
| 87116 |
|
172 |
122 |
$3K |
| 96401 |
|
26 |
12 |
$3K |
| 00840 |
|
245 |
203 |
$3K |
| 96158 |
|
108 |
37 |
$3K |
| 80169 |
|
1,282 |
716 |
$3K |
| 91200 |
|
457 |
394 |
$3K |
| J0171 |
Adrenalin epinephrine inject |
1,639 |
1,415 |
$3K |
| J1630 |
Haloperidol injection |
1,643 |
1,169 |
$3K |
| J1956 |
Levofloxacin injection |
342 |
200 |
$3K |
| 93226 |
|
115 |
98 |
$3K |
| G8988 |
Self care goal status |
89 |
72 |
$3K |
| G8987 |
Self care current status |
101 |
73 |
$3K |
| 87015 |
|
278 |
198 |
$3K |
| 94729 |
|
153 |
139 |
$3K |
| A9502 |
Tc99m tetrofosmin |
261 |
230 |
$3K |
| J0456 |
Azithromycin |
99 |
60 |
$3K |
| 87662 |
|
787 |
326 |
$3K |
| 76827 |
|
276 |
242 |
$3K |
| 86682 |
|
967 |
732 |
$3K |
| 86039 |
|
424 |
345 |
$3K |
| 00731 |
|
309 |
286 |
$3K |
| 73000 |
|
119 |
94 |
$3K |
| J3301 |
Triamcinolone acet inj nos |
519 |
429 |
$3K |
| 90750 |
|
625 |
374 |
$3K |
| P9021 |
Red blood cells unit |
37 |
29 |
$3K |
| G0257 |
Unsched dialysis esrd pt hos |
75 |
40 |
$2K |
| 92567 |
|
231 |
201 |
$2K |
| 82010 |
|
1,005 |
822 |
$2K |
| 86301 |
|
658 |
498 |
$2K |
| J2543 |
Piperacillin/tazobactam |
544 |
240 |
$2K |
| 72190 |
|
28 |
25 |
$2K |
| 77063 |
|
2,243 |
1,928 |
$2K |
| J0330 |
Succinycholine chloride inj |
1,549 |
1,317 |
$2K |
| 87426 |
|
1,309 |
1,013 |
$2K |
| 86870 |
|
221 |
177 |
$2K |
| 86356 |
|
1,535 |
832 |
$2K |
| J2795 |
Ropivacaine hcl injection |
1,002 |
716 |
$2K |
| 97014 |
|
90 |
31 |
$2K |
| 87625 |
|
1,518 |
1,334 |
$2K |
| 72128 |
|
371 |
292 |
$2K |
| 86367 |
|
1,247 |
822 |
$2K |
| G0279 |
Tomosynthesis, mammo |
342 |
242 |
$2K |
| 90746 |
|
386 |
267 |
$2K |
| 90670 |
|
859 |
677 |
$2K |
| 86336 |
|
180 |
167 |
$2K |
| 29125 |
|
199 |
151 |
$2K |
| G0390 |
Trauma respons w/hosp criti |
361 |
298 |
$2K |
| 36592 |
|
545 |
310 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
865 |
776 |
$2K |
| 84134 |
|
597 |
459 |
$2K |
| 97167 |
|
12 |
12 |
$2K |
| 87102 |
|
94 |
71 |
$2K |
| 86701 |
|
407 |
331 |
$2K |
| 86790 |
|
584 |
403 |
$2K |
| 90732 |
|
709 |
565 |
$2K |
| J1953 |
Levetiracetam injection |
1,299 |
830 |
$2K |
| J3489 |
Zoledronic acid 1mg |
317 |
271 |
$2K |
| 72197 |
|
32 |
28 |
$1K |
| 96152 |
|
35 |
12 |
$1K |
| 94010 |
|
196 |
156 |
$1K |
| 83516 |
|
394 |
307 |
$1K |
| 86702 |
|
244 |
193 |
$1K |
| 57454 |
|
14 |
13 |
$1K |
| 77062 |
|
764 |
699 |
$1K |
| L0174 |
Cerv sr 2pc thor ext pre ots |
84 |
66 |
$1K |
| 87045 |
|
62 |
50 |
$1K |
| 93925 |
|
38 |
29 |
$1K |
| 87206 |
|
91 |
55 |
$1K |
| 84300 |
|
587 |
437 |
$1K |
| 86794 |
|
362 |
264 |
$1K |
| 77072 |
|
15 |
15 |
$1K |
| 94618 |
|
44 |
37 |
$1K |
| 70543 |
|
15 |
12 |
$1K |
| 84145 |
|
924 |
696 |
$1K |
| 51702 |
|
328 |
255 |
$1K |
| 76506 |
|
14 |
13 |
$1K |
| 87449 |
|
368 |
282 |
$1K |
| 86645 |
|
320 |
260 |
$1K |
| A9270 |
Non-covered item or service |
1,233 |
653 |
$1K |
| 47000 |
|
17 |
13 |
$941.38 |
| 51701 |
|
483 |
414 |
$930.27 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
637 |
356 |
$928.97 |
| 99292 |
|
239 |
192 |
$921.82 |
| 87651 |
|
555 |
533 |
$913.75 |
| C1760 |
Closure dev, vasc |
19 |
13 |
$884.66 |
| G0127 |
Trim nail(s) |
174 |
138 |
$871.61 |
| 16020 |
|
74 |
67 |
$839.49 |
| 93225 |
|
148 |
122 |
$815.57 |
| G8989 |
Self care d/c status |
26 |
13 |
$792.41 |
| 72080 |
|
31 |
27 |
$791.85 |
| 84466 |
|
446 |
361 |
$781.00 |
| 90472 |
|
820 |
614 |
$774.80 |
| 00811 |
|
85 |
65 |
$774.20 |
| 88300 |
|
565 |
432 |
$766.20 |
| 86580 |
|
30 |
30 |
$761.95 |
| 74022 |
|
74 |
67 |
$753.31 |
| 81378 |
|
292 |
217 |
$742.28 |
| P9612 |
Catheterize for urine spec |
44 |
27 |
$741.17 |
| 82542 |
|
865 |
621 |
$733.59 |
| G0009 |
Admin pneumococcal vaccine |
582 |
476 |
$724.20 |
| 80074 |
|
15 |
13 |
$713.81 |
| 86160 |
|
83 |
41 |
$709.84 |
| 90734 |
|
206 |
155 |
$706.54 |
| 72157 |
|
13 |
12 |
$688.60 |
| 93304 |
|
15 |
15 |
$687.91 |
| J7050 |
Normal saline solution infus |
200 |
132 |
$670.17 |
| 81015 |
|
145 |
106 |
$657.89 |
| Q0222 |
Bebtelovimab 175 mg |
97 |
80 |
$642.24 |
| 76937 |
|
18 |
14 |
$630.45 |
| 80202 |
|
313 |
132 |
$583.99 |
| 76942 |
|
32 |
24 |
$581.35 |
| 43235 |
|
22 |
19 |
$550.50 |
| 73600 |
|
66 |
52 |
$535.04 |
| 86255 |
|
250 |
195 |
$523.72 |
| 73700 |
|
17 |
12 |
$523.20 |
| Q0243 |
Casirivimab and imdevimab |
73 |
67 |
$512.40 |
| 82787 |
|
106 |
25 |
$507.09 |
| 29405 |
|
15 |
12 |
$494.36 |
| 00400 |
|
203 |
168 |
$470.80 |
| Q5106 |
Inj retacrit non-esrd use |
17 |
12 |
$433.49 |
| J3411 |
Thiamine hcl 100 mg |
56 |
44 |
$422.10 |
| 87801 |
|
644 |
180 |
$411.28 |
| 71101 |
|
60 |
52 |
$407.23 |
| 80185 |
|
60 |
51 |
$402.71 |
| 87899 |
|
29 |
24 |
$400.05 |
| 87640 |
|
711 |
560 |
$399.36 |
| 77290 |
|
16 |
13 |
$393.09 |
| 72072 |
|
17 |
14 |
$368.51 |
| 82731 |
|
13 |
12 |
$322.44 |
| 84146 |
|
21 |
15 |
$315.54 |
| 81382 |
|
363 |
161 |
$313.14 |
| 80177 |
|
177 |
154 |
$304.25 |
| 87493 |
|
78 |
54 |
$298.46 |
| 97130 |
|
29 |
12 |
$292.24 |
| U0001 |
2019-ncov diagnostic p |
78 |
45 |
$279.97 |
| Q0163 |
Diphenhydramine hcl 50mg |
347 |
178 |
$278.57 |
| 87481 |
|
30 |
17 |
$278.31 |
| 96159 |
|
43 |
12 |
$272.57 |
| 86304 |
|
170 |
105 |
$267.27 |
| 82139 |
|
124 |
84 |
$232.09 |
| 83883 |
|
116 |
38 |
$208.84 |
| 94726 |
|
35 |
29 |
$208.56 |
| 93978 |
|
74 |
43 |
$193.61 |
| 17000 |
|
35 |
28 |
$184.46 |
| 97010 |
|
45 |
12 |
$173.91 |
| 85597 |
|
13 |
12 |
$172.20 |
| 87209 |
|
13 |
12 |
$168.28 |
| 94060 |
|
19 |
17 |
$165.41 |
| 84133 |
|
113 |
83 |
$160.76 |
| 83051 |
|
876 |
407 |
$151.84 |
| 92526 |
|
25 |
13 |
$148.80 |
| 92511 |
|
57 |
50 |
$148.59 |
| 36600 |
|
16 |
15 |
$145.47 |
| 82436 |
|
61 |
44 |
$138.61 |
| 86769 |
|
202 |
183 |
$131.01 |
| 97113 |
|
81 |
34 |
$125.76 |
| J3420 |
Vitamin b12 injection |
147 |
104 |
$125.14 |
| 87177 |
|
13 |
12 |
$122.96 |
| 84436 |
|
134 |
114 |
$111.78 |
| J7120 |
Ringers lactate infusion |
15 |
12 |
$101.77 |
| 80321 |
|
265 |
229 |
$100.98 |
| J7510 |
Prednisolone oral per 5 mg |
106 |
75 |
$96.39 |
| J0694 |
Cefoxitin sodium injection |
44 |
26 |
$92.62 |
| 17003 |
|
15 |
12 |
$92.23 |
| 83010 |
|
103 |
73 |
$91.74 |
| J7518 |
Mycophenolic acid |
64 |
26 |
$91.25 |
| J1250 |
Inj dobutamine hcl/250 mg |
54 |
38 |
$90.46 |
| 84157 |
|
13 |
12 |
$78.60 |
| 87517 |
|
33 |
26 |
$70.37 |
| 87653 |
|
147 |
117 |
$67.67 |
| 84590 |
|
61 |
55 |
$67.46 |
| C9803 |
Hopd covid-19 spec collect |
461 |
311 |
$64.34 |
| 87150 |
|
410 |
40 |
$51.99 |
| 82652 |
|
51 |
44 |
$50.94 |
| A9503 |
Tc99m medronate |
28 |
26 |
$47.16 |
| 11721 |
|
85 |
67 |
$46.80 |
| 97140 |
|
75 |
28 |
$45.57 |
| 95886 |
|
21 |
13 |
$43.81 |
| 99151 |
|
63 |
60 |
$42.60 |
| 00920 |
|
60 |
60 |
$41.37 |
| 84446 |
|
34 |
30 |
$41.37 |
| 82952 |
|
13 |
13 |
$40.69 |
| U0003 |
Cov-19 amp prb hgh thruput |
45 |
36 |
$32.87 |
| 77061 |
|
100 |
80 |
$32.52 |
| 29105 |
|
39 |
24 |
$27.90 |
| 69200 |
|
13 |
13 |
$27.58 |
| 46600 |
|
18 |
12 |
$27.58 |
| 83921 |
|
30 |
29 |
$23.06 |
| 92504 |
|
15 |
12 |
$22.75 |
| J2272 |
Inj, morphine (fresenius) |
273 |
187 |
$14.17 |
| 84630 |
|
26 |
24 |
$13.79 |
| 82951 |
|
13 |
13 |
$6.75 |
| 90662 |
|
349 |
247 |
$0.00 |
| A4216 |
Sterile water/saline, 10 ml |
48 |
38 |
$0.00 |
| 00812 |
|
26 |
26 |
$0.00 |
| 84165 |
|
66 |
43 |
$0.00 |
| J3371 |
Inj, vancomycin hcl (mylan) |
90 |
63 |
$0.00 |
| 86334 |
|
22 |
13 |
$0.00 |
| G1004 |
Cdsm ndsc |
33 |
28 |
$0.00 |
| 82668 |
|
14 |
12 |
$0.00 |
| 83655 |
|
19 |
19 |
$0.00 |
| Q0239 |
Bamlanivimab-xxxx |
18 |
14 |
$0.00 |
| 97129 |
|
30 |
13 |
$0.00 |
| Q0162 |
Ondansetron oral |
1,093 |
1,052 |
$0.00 |
| 95700 |
|
12 |
12 |
$0.00 |
| 84591 |
|
31 |
28 |
$0.00 |
| 86593 |
|
18 |
18 |
$0.00 |
| 00813 |
|
45 |
41 |
$0.00 |
| J1720 |
Hydrocortisone sodium succ i |
34 |
17 |
$0.00 |
| 82525 |
|
14 |
14 |
$0.00 |
| 00790 |
|
16 |
12 |
$0.00 |
| 29581 |
|
35 |
12 |
$0.00 |
| 83789 |
|
22 |
13 |
$0.00 |
| J3480 |
Inj potassium chloride |
22 |
13 |
$0.00 |
| 90677 |
|
18 |
12 |
$0.00 |
| M0243 |
Casirivi and imdevi inj |
13 |
12 |
$0.00 |