| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
32,663 |
26,859 |
$5.37M |
| 99283 |
|
40,342 |
34,819 |
$3.74M |
| 74177 |
|
8,571 |
7,473 |
$3.63M |
| 99285 |
|
10,626 |
7,189 |
$2.68M |
| 87633 |
|
8,736 |
7,991 |
$1.89M |
| 99213 |
|
76,359 |
61,200 |
$1.42M |
| 97110 |
|
34,905 |
8,258 |
$1.40M |
| 70450 |
|
8,591 |
6,922 |
$1.22M |
| 43239 |
|
4,148 |
3,120 |
$1.18M |
| 74176 |
|
4,049 |
3,380 |
$1.10M |
| 96374 |
|
24,349 |
15,979 |
$1.04M |
| G0463 |
Hospital outpt clinic visit |
27,951 |
20,776 |
$1.03M |
| 99282 |
|
11,378 |
10,228 |
$885K |
| 96361 |
|
17,742 |
11,602 |
$823K |
| 71260 |
|
3,812 |
3,210 |
$762K |
| 96372 |
|
23,829 |
15,014 |
$705K |
| 96365 |
|
10,751 |
6,678 |
$659K |
| 80053 |
|
71,569 |
50,608 |
$658K |
| 96413 |
|
2,711 |
1,245 |
$586K |
| 80307 |
|
15,391 |
12,960 |
$531K |
| 96375 |
|
16,579 |
12,507 |
$509K |
| 36415 |
|
101,281 |
58,737 |
$507K |
| 99281 |
|
4,637 |
4,158 |
$504K |
| 99214 |
|
20,855 |
17,504 |
$482K |
| 76805 |
|
2,792 |
2,632 |
$468K |
| 87428 |
|
21,235 |
16,447 |
$446K |
| 95810 |
|
894 |
801 |
$440K |
| G0378 |
Hospital observation per hr |
3,690 |
3,212 |
$439K |
| 72148 |
|
1,537 |
1,433 |
$438K |
| 71046 |
|
12,427 |
10,627 |
$428K |
| 85025 |
|
69,681 |
53,684 |
$402K |
| 73721 |
|
1,265 |
1,174 |
$399K |
| 77067 |
|
4,362 |
4,236 |
$316K |
| 71045 |
|
13,001 |
10,239 |
$315K |
| 93306 |
|
3,719 |
3,275 |
$314K |
| 76705 |
|
3,404 |
3,133 |
$282K |
| 76830 |
|
3,841 |
3,608 |
$274K |
| 97597 |
|
5,822 |
2,592 |
$271K |
| 72125 |
|
1,792 |
1,623 |
$261K |
| 93005 |
|
19,556 |
16,183 |
$260K |
| 96360 |
|
4,587 |
3,461 |
$248K |
| 87426 |
|
9,146 |
7,244 |
$248K |
| 45380 |
|
735 |
553 |
$229K |
| 80050 |
|
6,184 |
5,592 |
$229K |
| 70553 |
|
471 |
423 |
$217K |
| 97161 |
|
5,938 |
4,079 |
$202K |
| 96366 |
|
4,066 |
2,378 |
$198K |
| 84703 |
|
17,560 |
15,395 |
$187K |
| 70551 |
|
729 |
656 |
$176K |
| J2405 |
Ondansetron hcl injection |
15,457 |
12,386 |
$171K |
| 93971 |
|
1,866 |
1,651 |
$163K |
| 95811 |
|
257 |
236 |
$160K |
| 87086 |
|
24,159 |
20,920 |
$140K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
609 |
565 |
$136K |
| 94640 |
|
3,456 |
2,780 |
$134K |
| 73221 |
|
444 |
412 |
$132K |
| 70486 |
|
809 |
735 |
$131K |
| J0696 |
Ceftriaxone sodium injection |
5,345 |
4,597 |
$131K |
| 87880 |
|
19,140 |
14,546 |
$131K |
| 45378 |
|
372 |
316 |
$130K |
| 87491 |
|
4,936 |
4,526 |
$130K |
| 96376 |
|
5,431 |
3,281 |
$129K |
| 84443 |
|
8,837 |
8,199 |
$128K |
| U0002 |
Covid-19 lab test non-cdc |
2,967 |
2,689 |
$125K |
| 80061 |
|
11,056 |
10,131 |
$124K |
| 82306 |
|
6,048 |
5,684 |
$122K |
| 87591 |
|
4,887 |
4,506 |
$119K |
| 72110 |
|
2,238 |
1,920 |
$118K |
| 99204 |
|
4,115 |
3,664 |
$115K |
| 87430 |
|
6,240 |
5,757 |
$112K |
| 97112 |
|
6,684 |
1,879 |
$111K |
| 84484 |
|
13,226 |
10,237 |
$103K |
| 77063 |
|
5,385 |
4,709 |
$102K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
9,415 |
6,144 |
$101K |
| 73560 |
|
4,820 |
3,673 |
$100K |
| J2795 |
Ropivacaine hcl injection |
1,951 |
1,310 |
$98K |
| 11042 |
|
986 |
507 |
$97K |
| 82607 |
|
7,663 |
6,977 |
$95K |
| 20610 |
|
2,880 |
2,167 |
$94K |
| 88305 |
|
1,968 |
1,758 |
$90K |
| 87070 |
|
9,048 |
7,224 |
$89K |
| 76536 |
|
1,063 |
999 |
$89K |
| 87804 |
|
4,789 |
4,262 |
$89K |
| 71275 |
|
214 |
205 |
$87K |
| 81003 |
|
26,565 |
22,763 |
$87K |
| 73630 |
|
3,166 |
2,676 |
$84K |
| 73030 |
|
3,537 |
2,867 |
$83K |
| J7620 |
Albuterol ipratrop non-comp |
839 |
461 |
$79K |
| 96367 |
|
2,044 |
1,245 |
$78K |
| 83036 |
|
8,945 |
8,469 |
$78K |
| 80048 |
|
10,824 |
7,145 |
$77K |
| 83735 |
|
15,151 |
11,837 |
$76K |
| 97140 |
|
3,817 |
1,197 |
$75K |
| J1750 |
Inj iron dextran |
286 |
159 |
$74K |
| 87077 |
|
11,400 |
9,195 |
$72K |
| J1885 |
Ketorolac tromethamine inj |
15,000 |
12,703 |
$72K |
| 80074 |
|
1,990 |
1,816 |
$71K |
| 93010 |
|
11,367 |
9,650 |
$71K |
| 71250 |
|
442 |
384 |
$71K |
| 73130 |
|
2,610 |
2,211 |
$70K |
| 73610 |
|
2,609 |
2,286 |
$70K |
| 80055 |
|
1,520 |
1,462 |
$70K |
| 74018 |
|
2,745 |
2,353 |
$70K |
| G0480 |
Drug test def 1-7 classes |
1,331 |
1,155 |
$68K |
| 72100 |
|
2,318 |
2,031 |
$68K |
| 99203 |
|
4,574 |
4,041 |
$68K |
| 83880 |
|
4,136 |
3,504 |
$66K |
| 92507 |
|
1,288 |
310 |
$66K |
| 47563 |
|
57 |
54 |
$66K |
| 87800 |
|
2,248 |
2,073 |
$65K |
| 82728 |
|
5,472 |
4,986 |
$60K |
| 93970 |
|
372 |
350 |
$59K |
| 84702 |
|
5,169 |
3,592 |
$59K |
| 76817 |
|
1,441 |
1,220 |
$58K |
| 99211 |
|
3,452 |
2,557 |
$57K |
| 12001 |
|
535 |
467 |
$57K |
| 82962 |
|
9,256 |
5,420 |
$56K |
| 71271 |
|
500 |
461 |
$55K |
| 97530 |
|
1,477 |
506 |
$54K |
| 76775 |
|
881 |
777 |
$54K |
| 77080 |
|
1,213 |
867 |
$53K |
| 83690 |
|
13,216 |
11,445 |
$53K |
| 72050 |
|
854 |
709 |
$52K |
| 86900 |
|
5,462 |
4,608 |
$51K |
| 59025 |
|
742 |
546 |
$49K |
| 86003 |
|
824 |
657 |
$49K |
| J3490 |
Drugs unclassified injection |
2,523 |
2,108 |
$49K |
| J1100 |
Dexamethasone sodium phos |
8,760 |
7,336 |
$48K |
| 36600 |
|
2,682 |
1,968 |
$48K |
| J2001 |
Lidocaine injection |
15,335 |
11,242 |
$47K |
| 11102 |
|
1,066 |
936 |
$46K |
| 87186 |
|
6,868 |
6,277 |
$46K |
| 73110 |
|
1,750 |
1,471 |
$45K |
| 85610 |
|
14,414 |
11,050 |
$43K |
| 73502 |
|
1,686 |
1,419 |
$42K |
| 81001 |
|
15,881 |
14,002 |
$42K |
| 99291 |
|
115 |
93 |
$42K |
| 99220 |
|
196 |
158 |
$42K |
| 85027 |
|
6,136 |
5,216 |
$41K |
| 86703 |
|
3,332 |
3,141 |
$39K |
| 85379 |
|
5,486 |
4,997 |
$37K |
| 72131 |
|
245 |
210 |
$37K |
| 86803 |
|
3,086 |
2,920 |
$36K |
| 87653 |
|
1,388 |
1,339 |
$35K |
| 83605 |
|
6,748 |
5,602 |
$35K |
| 83550 |
|
4,759 |
4,528 |
$34K |
| J3475 |
Inj magnesium sulfate |
2,158 |
1,630 |
$33K |
| 84439 |
|
4,682 |
4,414 |
$33K |
| 69436 |
|
116 |
88 |
$33K |
| 82077 |
|
2,600 |
2,064 |
$33K |
| 87040 |
|
3,804 |
2,610 |
$31K |
| J3010 |
Fentanyl citrate injection |
7,624 |
6,663 |
$31K |
| 82565 |
|
5,918 |
5,375 |
$31K |
| 17110 |
|
719 |
642 |
$30K |
| 72040 |
|
1,033 |
789 |
$30K |
| 76641 |
|
441 |
343 |
$29K |
| 99212 |
|
2,707 |
2,409 |
$29K |
| 83540 |
|
4,990 |
4,720 |
$29K |
| A9585 |
Gadobutrol injection |
1,287 |
913 |
$28K |
| 42820 |
|
13 |
13 |
$28K |
| 85730 |
|
8,021 |
7,073 |
$27K |
| 86850 |
|
3,714 |
3,399 |
$27K |
| 80143 |
|
1,555 |
1,035 |
$27K |
| J1650 |
Inj enoxaparin sodium |
4,306 |
2,604 |
$26K |
| 73562 |
|
1,055 |
842 |
$25K |
| 97032 |
|
2,009 |
642 |
$25K |
| J1170 |
Hydromorphone injection |
6,301 |
3,851 |
$25K |
| J2250 |
Inj midazolam hydrochloride |
6,308 |
5,495 |
$25K |
| 76856 |
|
283 |
248 |
$24K |
| 72141 |
|
103 |
95 |
$24K |
| 82803 |
|
2,212 |
1,865 |
$24K |
| J0131 |
Inj, acetaminophen (nos) |
617 |
462 |
$23K |
| 64721 |
|
28 |
27 |
$23K |
| 82746 |
|
2,069 |
1,953 |
$23K |
| 76642 |
|
481 |
425 |
$22K |
| 97165 |
|
527 |
452 |
$21K |
| 87081 |
|
2,525 |
2,380 |
$21K |
| J2360 |
Orphenadrine injection |
454 |
418 |
$20K |
| J2710 |
Neostigmine methylslfte inj |
1,502 |
1,328 |
$20K |
| 36591 |
|
662 |
369 |
$20K |
| 84146 |
|
1,781 |
1,608 |
$20K |
| J2270 |
Morphine sulfate injection |
6,328 |
4,775 |
$20K |
| J0690 |
Cefazolin sodium injection |
3,197 |
2,681 |
$20K |
| 17000 |
|
668 |
587 |
$19K |
| 76700 |
|
139 |
130 |
$19K |
| J0780 |
Prochlorperazine injection |
1,041 |
946 |
$18K |
| 90715 |
|
1,502 |
1,363 |
$18K |
| 83655 |
|
1,608 |
1,531 |
$18K |
| 87389 |
|
978 |
923 |
$17K |
| U0003 |
Cov-19 amp prb hgh thruput |
276 |
265 |
$17K |
| 72070 |
|
552 |
492 |
$17K |
| J2704 |
Inj, propofol, 10 mg |
2,036 |
1,811 |
$16K |
| 87507 |
|
78 |
73 |
$16K |
| 96417 |
|
251 |
143 |
$15K |
| C9113 |
Inj pantoprazole sodium, via |
2,245 |
1,421 |
$15K |
| 73590 |
|
621 |
516 |
$14K |
| J0561 |
Penicillin g benzathine inj |
197 |
187 |
$14K |
| 86592 |
|
3,538 |
3,228 |
$14K |
| 97162 |
|
314 |
296 |
$14K |
| 85007 |
|
5,140 |
4,282 |
$14K |
| 86038 |
|
1,538 |
1,452 |
$14K |
| G0297 |
Ldct for lung ca screen |
153 |
138 |
$14K |
| J2930 |
Methylprednisolone injection |
2,335 |
2,027 |
$13K |
| 82950 |
|
2,594 |
2,476 |
$13K |
| 73090 |
|
540 |
453 |
$13K |
| 86901 |
|
5,400 |
4,601 |
$13K |
| 73080 |
|
567 |
491 |
$13K |
| 88304 |
|
368 |
325 |
$13K |
| L3908 |
Who cock-up nonmolde pre ots |
331 |
284 |
$12K |
| J1642 |
Inj heparin sodium per 10 u |
3,043 |
1,702 |
$12K |
| 82150 |
|
2,949 |
2,522 |
$12K |
| 83521 |
|
1,025 |
406 |
$12K |
| J1200 |
Diphenhydramine hcl injectio |
4,122 |
3,206 |
$12K |
| 74019 |
|
407 |
371 |
$12K |
| 95886 |
|
699 |
486 |
$11K |
| J0171 |
Adrenalin epinephrine inject |
955 |
816 |
$11K |
| 85652 |
|
2,924 |
2,673 |
$11K |
| 87420 |
|
558 |
514 |
$11K |
| L4350 |
Ankle control ortho pre ots |
205 |
174 |
$11K |
| C1776 |
Joint device (implantable) |
12 |
12 |
$10K |
| 81025 |
|
2,282 |
1,834 |
$10K |
| J2469 |
Palonosetron hcl |
140 |
76 |
$10K |
| 87807 |
|
1,381 |
1,164 |
$10K |
| 99215 |
Prolong outpt/office vis |
446 |
400 |
$10K |
| 76870 |
|
108 |
102 |
$10K |
| 36592 |
|
427 |
334 |
$10K |
| 80179 |
|
1,108 |
951 |
$10K |
| J3370 |
Vancomycin hcl injection |
800 |
497 |
$9K |
| 73120 |
|
559 |
443 |
$9K |
| 87661 |
|
446 |
400 |
$9K |
| 82550 |
|
2,160 |
1,897 |
$9K |
| 74178 |
|
14 |
12 |
$9K |
| J3301 |
Triamcinolone acet inj nos |
4,504 |
3,726 |
$9K |
| 86140 |
|
2,805 |
2,504 |
$9K |
| 73100 |
|
533 |
395 |
$9K |
| 96368 |
|
276 |
186 |
$8K |
| 86403 |
|
1,093 |
865 |
$8K |
| 73140 |
|
309 |
261 |
$8K |
| J2060 |
Lorazepam injection |
1,068 |
801 |
$8K |
| 20605 |
|
289 |
214 |
$8K |
| 70496 |
|
47 |
44 |
$8K |
| 78226 |
|
47 |
40 |
$7K |
| 59410 |
|
15 |
12 |
$7K |
| J0330 |
Succinycholine chloride inj |
1,525 |
1,331 |
$7K |
| C1758 |
Catheter, ureteral |
944 |
697 |
$7K |
| 76816 |
|
97 |
85 |
$7K |
| J1956 |
Levofloxacin injection |
256 |
175 |
$7K |
| 87522 |
Neg quan hep c or qual rna |
167 |
157 |
$7K |
| 78452 |
|
20 |
12 |
$7K |
| 99205 |
Prolong outpt/office vis |
339 |
309 |
$7K |
| 82043 |
|
1,363 |
1,256 |
$6K |
| 90471 |
|
894 |
803 |
$6K |
| 87205 |
|
1,864 |
1,584 |
$6K |
| 82248 |
|
1,079 |
747 |
$5K |
| 70498 |
|
47 |
44 |
$5K |
| L1830 |
Ko immob canvas long pre ots |
123 |
109 |
$5K |
| 85018 |
|
2,827 |
2,523 |
$5K |
| 85014 |
|
2,901 |
2,544 |
$5K |
| J2550 |
Promethazine hcl injection |
1,526 |
1,170 |
$5K |
| 83020 |
|
370 |
351 |
$5K |
| G0399 |
Home sleep test/type 3 porta |
64 |
59 |
$5K |
| 93017 |
|
43 |
38 |
$5K |
| 82247 |
|
957 |
664 |
$5K |
| 80320 |
|
607 |
500 |
$5K |
| 92567 |
|
1,138 |
852 |
$5K |
| 86696 |
|
271 |
252 |
$4K |
| Q9969 |
Non-heu tc-99m add-on/dose |
1,250 |
1,174 |
$4K |
| 10060 |
|
29 |
25 |
$4K |
| 74246 |
|
37 |
37 |
$4K |
| J2543 |
Piperacillin/tazobactam |
201 |
130 |
$4K |
| C1819 |
Tissue localization-excision |
26 |
26 |
$4K |
| M0243 |
Casirivi and imdevi inj |
21 |
20 |
$4K |
| J0500 |
Dicyclomine injection |
188 |
171 |
$4K |
| 29125 |
|
94 |
87 |
$4K |
| 99244 |
|
105 |
84 |
$4K |
| 84112 |
|
61 |
53 |
$4K |
| 82570 |
|
926 |
765 |
$4K |
| 76801 |
|
33 |
27 |
$4K |
| 84550 |
|
820 |
759 |
$3K |
| 83516 |
|
300 |
275 |
$3K |
| 99202 |
|
408 |
388 |
$3K |
| 74300 |
|
55 |
52 |
$3K |
| 82977 |
|
582 |
539 |
$3K |
| 83970 |
|
101 |
96 |
$3K |
| 96127 |
|
770 |
585 |
$3K |
| G8978 |
Mobility current status |
710 |
446 |
$3K |
| 82784 |
|
181 |
172 |
$3K |
| 96415 |
|
45 |
38 |
$3K |
| 70491 |
|
19 |
12 |
$3K |
| 86695 |
|
258 |
239 |
$3K |
| 80069 |
|
262 |
204 |
$3K |
| 85045 |
|
1,047 |
885 |
$3K |
| 96523 |
|
191 |
154 |
$3K |
| 64450 |
|
13 |
12 |
$3K |
| 73600 |
|
209 |
169 |
$3K |
| J0360 |
Hydralazine hcl injection |
174 |
111 |
$3K |
| 84100 |
|
870 |
590 |
$3K |
| 86480 |
|
53 |
50 |
$3K |
| 84156 |
|
850 |
736 |
$3K |
| 97535 |
|
144 |
84 |
$3K |
| 86334 |
|
145 |
142 |
$3K |
| 95816 |
|
51 |
40 |
$3K |
| 31575 |
|
68 |
51 |
$3K |
| 82009 |
|
1,152 |
940 |
$3K |
| 71101 |
|
48 |
42 |
$2K |
| 81420 |
|
13 |
13 |
$2K |
| 95911 |
|
35 |
25 |
$2K |
| 12011 |
|
12 |
12 |
$2K |
| C2626 |
Infusion pump, non-prog,temp |
58 |
52 |
$2K |
| 82652 |
|
64 |
63 |
$2K |
| J2919 |
Inj, methylpred sod succ 5mg |
179 |
147 |
$2K |
| 36430 |
|
18 |
13 |
$2K |
| 12002 |
|
12 |
12 |
$2K |
| 84132 |
|
629 |
527 |
$2K |
| 82553 |
|
281 |
250 |
$2K |
| P9016 |
Rbc leukocytes reduced |
18 |
13 |
$2K |
| J2765 |
Metoclopramide hcl injection |
782 |
662 |
$2K |
| 73700 |
|
12 |
12 |
$2K |
| 97012 |
|
126 |
38 |
$2K |
| G0010 |
Admin hepatitis b vaccine |
111 |
106 |
$2K |
| 86039 |
|
197 |
184 |
$2K |
| 93225 |
|
27 |
26 |
$2K |
| 01967 |
|
19 |
13 |
$2K |
| 87340 |
|
212 |
206 |
$2K |
| 31231 |
|
30 |
30 |
$2K |
| J9045 |
Carboplatin injection |
24 |
12 |
$1K |
| 76882 |
|
30 |
28 |
$1K |
| 83001 |
|
107 |
102 |
$1K |
| J3480 |
Inj potassium chloride |
173 |
108 |
$1K |
| 17003 |
|
265 |
244 |
$1K |
| 77066 |
Tomosynthesis, mammo |
13 |
12 |
$1K |
| 84436 |
|
217 |
202 |
$1K |
| 86141 |
|
140 |
125 |
$1K |
| 17311 |
|
26 |
12 |
$1K |
| 97116 |
|
89 |
66 |
$1K |
| 92557 |
|
118 |
90 |
$1K |
| 83615 |
|
256 |
232 |
$1K |
| J1030 |
Methylprednisolone 40 mg inj |
350 |
247 |
$1K |
| 74022 |
|
32 |
29 |
$1K |
| J1953 |
Levetiracetam injection |
43 |
40 |
$1K |
| J3411 |
Thiamine hcl 100 mg |
133 |
84 |
$1K |
| 99395 |
|
79 |
61 |
$1K |
| 73620 |
|
116 |
94 |
$1K |
| G8984 |
Carry current status |
318 |
220 |
$1K |
| 93226 |
|
27 |
26 |
$1K |
| 92570 |
|
192 |
139 |
$1K |
| 00170 |
|
13 |
12 |
$1K |
| 92587 |
|
549 |
368 |
$1K |
| 86431 |
|
224 |
215 |
$993.66 |
| 36416 |
|
2,066 |
1,358 |
$952.27 |
| 86317 |
|
86 |
84 |
$941.04 |
| 83520 |
|
76 |
67 |
$913.54 |
| A9537 |
Tc99m mebrofenin |
15 |
15 |
$911.82 |
| 73552 |
|
49 |
40 |
$877.27 |
| 84165 |
|
108 |
106 |
$860.36 |
| 87075 |
|
153 |
121 |
$847.24 |
| G0279 |
Tomosynthesis, mammo |
34 |
26 |
$779.56 |
| J0694 |
Cefoxitin sodium injection |
48 |
37 |
$774.19 |
| 80299 |
|
139 |
80 |
$769.23 |
| 87899 |
|
72 |
67 |
$768.83 |
| 83013 |
|
15 |
14 |
$768.38 |
| 86923 |
|
16 |
12 |
$750.13 |
| 99385 |
|
132 |
86 |
$746.87 |
| 82627 |
|
29 |
24 |
$730.19 |
| 87400 |
|
42 |
40 |
$718.74 |
| G8979 |
Mobility goal status |
586 |
496 |
$695.92 |
| 86787 |
|
62 |
58 |
$647.34 |
| 74220 |
|
12 |
12 |
$636.85 |
| 52000 |
|
17 |
12 |
$602.08 |
| 82140 |
|
64 |
56 |
$600.86 |
| 80177 |
|
48 |
42 |
$591.18 |
| 83883 |
|
26 |
24 |
$564.57 |
| 99195 |
|
17 |
12 |
$508.45 |
| J2274 |
Inj morphine pf epid ithc |
262 |
223 |
$499.87 |
| 99243 |
|
22 |
22 |
$497.76 |
| J1940 |
Furosemide injection |
153 |
77 |
$490.69 |
| 84481 |
|
41 |
40 |
$489.67 |
| 84460 |
|
109 |
102 |
$488.83 |
| C1729 |
Cath, drainage |
58 |
55 |
$478.79 |
| 90686 |
|
111 |
101 |
$468.15 |
| J0688 |
Inj cefazolin sodium, hikma |
116 |
105 |
$458.01 |
| J3420 |
Vitamin b12 injection |
415 |
246 |
$453.41 |
| 73565 |
|
12 |
12 |
$437.94 |
| 00731 |
|
15 |
13 |
$429.19 |
| 82378 |
|
28 |
26 |
$386.54 |
| 82105 |
|
29 |
26 |
$381.88 |
| 82670 |
|
14 |
12 |
$332.87 |
| 86762 |
|
44 |
42 |
$331.29 |
| G2211 |
Complex e/m visit add on |
264 |
233 |
$327.89 |
| 20550 |
|
15 |
15 |
$322.11 |
| 84450 |
|
68 |
66 |
$307.32 |
| P9604 |
One-way allow prorated trip |
10,516 |
1,592 |
$292.92 |
| J2470 |
Inj pantoprazole sodium 40mg |
47 |
28 |
$288.80 |
| 87493 |
|
12 |
12 |
$287.48 |
| J2920 |
Methylprednisolone injection |
42 |
25 |
$284.27 |
| 83010 |
|
25 |
25 |
$268.95 |
| 87046 |
|
12 |
12 |
$253.61 |
| 93227 |
|
15 |
12 |
$253.28 |
| 84145 |
|
22 |
14 |
$249.90 |
| 73070 |
|
16 |
14 |
$239.92 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
28 |
25 |
$234.02 |
| 99406 |
|
16 |
12 |
$233.76 |
| 99396 |
|
12 |
12 |
$221.04 |
| 87324 |
|
27 |
24 |
$210.37 |
| 82785 |
|
15 |
14 |
$202.24 |
| G0103 |
Psa screening |
14 |
12 |
$200.84 |
| Q3014 |
Telehealth facility fee |
37 |
32 |
$199.73 |
| 86308 |
|
62 |
54 |
$195.38 |
| G0008 |
Admin influenza virus vac |
49 |
44 |
$195.16 |
| 86880 |
|
12 |
12 |
$177.38 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
62 |
43 |
$168.85 |
| C1769 |
Guide wire |
13 |
12 |
$163.16 |
| 84153 |
|
18 |
14 |
$159.24 |
| 84155 |
|
108 |
106 |
$158.44 |
| 84478 |
|
31 |
25 |
$150.84 |
| J1815 |
Insulin injection |
34 |
15 |
$139.13 |
| 83002 |
|
12 |
12 |
$135.64 |
| 11103 |
|
27 |
25 |
$135.54 |
| 87045 |
|
17 |
13 |
$125.49 |
| J7512 |
Prednisone ir or dr oral 1mg |
244 |
203 |
$117.50 |
| 72170 |
|
13 |
12 |
$102.04 |
| G8985 |
Carry goal status |
289 |
245 |
$98.30 |
| 86704 |
|
12 |
12 |
$90.85 |
| 85660 |
|
13 |
12 |
$79.50 |
| 69210 |
|
17 |
15 |
$78.36 |
| J2175 |
Meperidine hydrochl /100 mg |
13 |
13 |
$74.42 |
| 87427 |
|
12 |
12 |
$73.70 |
| J1040 |
Methylprednisolone 80 mg inj |
26 |
25 |
$69.63 |
| S0020 |
Injection, bupivicaine hydro |
18 |
18 |
$62.14 |
| 95115 |
|
37 |
26 |
$60.22 |
| J1630 |
Haloperidol injection |
14 |
13 |
$44.00 |
| 92552 |
|
16 |
13 |
$36.72 |
| 99386 |
|
13 |
12 |
$27.00 |
| 97803 |
|
209 |
201 |
$8.79 |
| 99024 |
|
2,085 |
1,636 |
$7.82 |
| J7609 |
Albuterol comp unit |
57 |
54 |
$4.84 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
51 |
45 |
$4.29 |
| 3074F |
|
201 |
165 |
$0.22 |
| 1160F |
|
1,638 |
1,169 |
$0.18 |
| 1159F |
|
1,606 |
1,144 |
$0.18 |
| G8986 |
Carry d/c status |
12 |
12 |
$0.12 |
| G8980 |
Mobility d/c status |
12 |
12 |
$0.08 |
| 3078F |
|
63 |
62 |
$0.07 |
| 3008F |
|
523 |
418 |
$0.04 |
| 1126F |
|
85 |
75 |
$0.03 |
| 1036F |
|
203 |
146 |
$0.03 |
| 3725F |
|
220 |
193 |
$0.00 |
| G8483 |
Flu imm no admin doc rea |
12 |
12 |
$0.00 |
| 0509F |
|
30 |
28 |
$0.00 |