| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpt clinic visit |
134,025 |
109,419 |
$15.86M |
| 99283 |
|
54,300 |
50,771 |
$8.30M |
| 99284 |
|
38,233 |
36,266 |
$5.79M |
| 99285 |
|
32,667 |
30,917 |
$4.55M |
| Q5104 |
Injection, renflexis |
1,579 |
1,494 |
$4.27M |
| 96361 |
|
17,381 |
15,342 |
$2.73M |
| G0378 |
Hospital observation per hr |
2,335 |
2,264 |
$2.39M |
| 96365 |
|
9,954 |
7,976 |
$2.23M |
| 96413 |
|
8,776 |
6,205 |
$1.88M |
| U0004 |
Cov-19 test non-cdc hgh thru |
34,733 |
32,978 |
$1.86M |
| 99214 |
|
18,623 |
16,993 |
$1.82M |
| 99213 |
|
16,611 |
14,008 |
$1.69M |
| J3380 |
Inj vedolizumab iv 1 mg |
261 |
243 |
$1.44M |
| 78452 |
|
1,706 |
1,694 |
$1.37M |
| 70450 |
|
8,010 |
7,810 |
$1.36M |
| 90834 |
|
7,789 |
3,259 |
$1.33M |
| 93458 |
|
661 |
649 |
$1.33M |
| 96372 |
|
20,867 |
15,927 |
$1.32M |
| 74177 |
|
6,856 |
6,753 |
$1.21M |
| J7170 |
Inj., emicizumab-kxwh 0.5 mg |
14 |
13 |
$1.19M |
| 93306 |
|
3,696 |
3,620 |
$1.15M |
| 80053 |
|
100,371 |
75,869 |
$986K |
| 93975 |
|
2,524 |
2,446 |
$910K |
| 76856 |
|
2,450 |
2,407 |
$871K |
| 99282 |
|
5,127 |
4,915 |
$808K |
| 96375 |
|
19,333 |
16,204 |
$785K |
| 90832 |
|
4,930 |
2,591 |
$679K |
| 97110 |
|
11,605 |
4,201 |
$583K |
| 99281 |
|
3,634 |
3,454 |
$570K |
| 96367 |
|
2,634 |
1,976 |
$560K |
| 96360 |
|
4,932 |
4,779 |
$546K |
| 96374 |
|
24,361 |
21,260 |
$504K |
| 43239 |
|
803 |
797 |
$477K |
| 47562 |
|
199 |
197 |
$461K |
| 74176 |
|
2,450 |
2,428 |
$456K |
| 77067 |
|
4,908 |
4,902 |
$452K |
| 71275 |
|
2,394 |
2,379 |
$445K |
| U0005 |
Infec agen detec ampli probe |
24,669 |
23,503 |
$435K |
| 93970 |
|
1,441 |
1,421 |
$405K |
| 86900 |
|
16,672 |
13,723 |
$354K |
| 45380 |
|
453 |
449 |
$331K |
| 93976 |
|
1,235 |
1,198 |
$329K |
| 80048 |
|
27,670 |
24,202 |
$312K |
| C8929 |
Tte w or wo fol wcon,doppler |
707 |
703 |
$310K |
| 90935 |
|
1,958 |
188 |
$305K |
| 12001 |
|
923 |
922 |
$300K |
| G0008 |
Admin influenza virus vac |
7,704 |
7,686 |
$294K |
| 96366 |
|
2,995 |
2,273 |
$272K |
| 96402 |
|
967 |
697 |
$262K |
| 36415 |
|
83,834 |
61,524 |
$261K |
| C9803 |
Hopd covid-19 spec collect |
38,627 |
36,379 |
$257K |
| 99212 |
|
3,003 |
2,587 |
$245K |
| 90836 |
|
2,254 |
1,014 |
$243K |
| 80061 |
|
22,985 |
21,577 |
$234K |
| 99204 |
|
1,537 |
1,522 |
$218K |
| 12011 |
|
633 |
631 |
$211K |
| J1561 |
Gamunex-c/gammaked |
70 |
52 |
$210K |
| 36000 |
|
10,825 |
10,538 |
$206K |
| J1439 |
Inj ferric carboxymaltos 1mg |
297 |
227 |
$203K |
| 76705 |
|
3,704 |
3,612 |
$197K |
| 96415 |
|
3,724 |
3,119 |
$190K |
| 96401 |
|
836 |
343 |
$179K |
| 99203 |
|
1,401 |
1,399 |
$169K |
| 97162 |
|
1,755 |
1,741 |
$168K |
| 99291 |
|
1,308 |
1,280 |
$163K |
| 99215 |
Prolong outpt/office vis |
1,511 |
1,439 |
$162K |
| 76641 |
|
1,905 |
1,751 |
$155K |
| 86901 |
|
14,584 |
11,959 |
$150K |
| 70496 |
|
871 |
863 |
$150K |
| 36430 |
|
722 |
538 |
$148K |
| 86850 |
|
16,522 |
13,859 |
$145K |
| 87631 |
|
3,566 |
3,512 |
$141K |
| 76770 |
|
937 |
935 |
$138K |
| 87428 |
|
5,930 |
5,790 |
$135K |
| 87491 |
|
13,039 |
11,512 |
$133K |
| 88305 |
|
5,947 |
4,774 |
$133K |
| 76815 |
|
1,456 |
1,342 |
$126K |
| 71046 |
|
16,090 |
15,681 |
$125K |
| 77063 |
|
4,796 |
4,791 |
$124K |
| 83880 |
|
8,648 |
7,904 |
$124K |
| 53450 |
|
98 |
98 |
$120K |
| 90853 |
|
1,574 |
636 |
$114K |
| 75574 |
|
669 |
663 |
$110K |
| 76819 |
|
970 |
796 |
$110K |
| 83036 |
|
22,453 |
22,057 |
$100K |
| 90686 |
|
8,801 |
8,786 |
$98K |
| 88307 |
|
883 |
792 |
$96K |
| 88342 |
|
2,329 |
2,028 |
$95K |
| A9500 |
Tc99m sestamibi |
1,682 |
1,649 |
$95K |
| 93971 |
|
1,640 |
1,568 |
$94K |
| 99396 |
|
894 |
888 |
$92K |
| 82306 |
|
10,497 |
10,268 |
$90K |
| 76816 |
|
1,589 |
1,426 |
$90K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
16,525 |
12,908 |
$89K |
| 76937 |
|
580 |
566 |
$86K |
| 93017 |
|
2,261 |
2,232 |
$86K |
| 0241U |
|
7,946 |
7,757 |
$85K |
| 85025 |
|
95,710 |
78,659 |
$84K |
| 45378 |
|
115 |
113 |
$82K |
| 97530 |
|
2,434 |
1,266 |
$79K |
| 97140 |
|
3,118 |
1,417 |
$79K |
| 70551 |
|
432 |
429 |
$77K |
| 87591 |
|
11,931 |
10,486 |
$77K |
| 88304 |
|
2,929 |
2,668 |
$75K |
| 90670 |
|
2,196 |
2,191 |
$74K |
| 87651 |
|
3,188 |
3,142 |
$73K |
| 86780 |
|
7,459 |
7,380 |
$72K |
| 81025 |
|
34,947 |
31,832 |
$70K |
| 76817 |
|
1,650 |
1,471 |
$70K |
| 76830 |
|
2,103 |
2,071 |
$70K |
| Q0138 |
Ferumoxytol, non-esrd |
261 |
184 |
$69K |
| 90677 |
|
634 |
628 |
$68K |
| 0002A |
|
1,816 |
1,810 |
$67K |
| 90833 |
|
1,290 |
1,108 |
$66K |
| 86480 |
|
3,646 |
3,598 |
$64K |
| 10060 |
|
262 |
256 |
$63K |
| 87536 |
|
2,097 |
2,005 |
$63K |
| G0009 |
Admin pneumococcal vaccine |
1,831 |
1,818 |
$63K |
| 90671 |
|
216 |
216 |
$62K |
| P9040 |
Rbc leukoreduced irradiated |
225 |
194 |
$62K |
| 0001A |
|
1,754 |
1,747 |
$61K |
| 76801 |
|
610 |
577 |
$60K |
| 97112 |
|
1,813 |
917 |
$59K |
| 88184 |
|
627 |
581 |
$59K |
| 76700 |
|
373 |
366 |
$53K |
| 70486 |
|
943 |
935 |
$50K |
| 90846 |
|
380 |
267 |
$50K |
| 80307 |
|
1,986 |
1,772 |
$49K |
| 90471 |
|
6,491 |
6,341 |
$49K |
| 77066 |
Tomosynthesis, mammo |
441 |
438 |
$49K |
| 87799 |
|
2,027 |
1,513 |
$49K |
| 92012 |
|
380 |
363 |
$48K |
| 91200 |
|
1,011 |
997 |
$46K |
| 97165 |
|
508 |
506 |
$46K |
| 76536 |
|
732 |
721 |
$46K |
| 70491 |
|
370 |
368 |
$45K |
| 80197 |
|
5,550 |
3,393 |
$44K |
| 76642 |
|
639 |
624 |
$44K |
| J2785 |
Regadenoson injection |
911 |
896 |
$42K |
| 72125 |
|
1,561 |
1,542 |
$42K |
| C1889 |
Implant/insert device, noc |
1,419 |
1,398 |
$42K |
| G0480 |
Drug test def 1-7 classes |
4,234 |
3,586 |
$42K |
| 80050 |
|
2,292 |
2,129 |
$41K |
| 85610 |
|
25,132 |
22,180 |
$41K |
| 86769 |
|
1,497 |
1,461 |
$41K |
| 38222 |
|
26 |
26 |
$41K |
| J1756 |
Iron sucrose injection |
1,115 |
493 |
$40K |
| 82728 |
|
11,847 |
11,039 |
$40K |
| 87389 |
|
11,011 |
10,876 |
$40K |
| 87497 |
|
2,299 |
1,538 |
$39K |
| G0123 |
Screen cerv/vag thin layer |
2,147 |
2,138 |
$39K |
| 90715 |
|
3,646 |
3,587 |
$38K |
| 96368 |
|
493 |
385 |
$38K |
| 92014 |
|
311 |
308 |
$38K |
| 87633 |
|
1,036 |
1,009 |
$38K |
| 90792 |
|
193 |
170 |
$37K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
93 |
91 |
$36K |
| Q5107 |
Inj mvasi 10 mg |
18 |
12 |
$36K |
| 71250 |
|
372 |
370 |
$35K |
| 80076 |
|
5,888 |
5,551 |
$35K |
| 59025 |
|
207 |
160 |
$35K |
| 66984 |
|
28 |
25 |
$34K |
| 86923 |
|
1,504 |
890 |
$34K |
| 99395 |
|
356 |
352 |
$34K |
| 93005 |
|
37,891 |
33,658 |
$34K |
| 84443 |
|
12,779 |
12,381 |
$33K |
| 99443 |
|
654 |
623 |
$32K |
| U0002 |
Covid-19 lab test non-cdc |
1,001 |
945 |
$31K |
| 88185 |
|
740 |
611 |
$31K |
| 82105 |
|
4,054 |
3,507 |
$30K |
| G0010 |
Admin hepatitis b vaccine |
774 |
764 |
$29K |
| Q5111 |
Injection, udenyca 0.5 mg |
21 |
15 |
$28K |
| 99442 |
|
652 |
631 |
$28K |
| 76805 |
|
243 |
241 |
$28K |
| 87522 |
Neg quan hep c or qual rna |
1,976 |
1,833 |
$27K |
| 83735 |
|
18,150 |
13,361 |
$26K |
| 77065 |
Tomosynthesis, mammo |
303 |
285 |
$26K |
| 99392 |
|
252 |
252 |
$25K |
| 87517 |
|
1,539 |
1,340 |
$25K |
| 83970 |
|
1,468 |
1,387 |
$25K |
| J0897 |
Denosumab injection |
14 |
13 |
$24K |
| 86803 |
|
9,982 |
9,857 |
$23K |
| J2469 |
Palonosetron hcl |
1,597 |
1,050 |
$23K |
| Q9957 |
Inj perflutren lip micros,ml |
1,148 |
1,113 |
$23K |
| Q0091 |
Obtaining screen pap smear |
1,266 |
1,241 |
$23K |
| G0108 |
Diab manage trn per indiv |
490 |
467 |
$23K |
| J9217 |
Leuprolide acetate suspnsion |
58 |
52 |
$23K |
| 82977 |
|
14,167 |
10,941 |
$23K |
| 87624 |
|
2,096 |
2,075 |
$22K |
| 82784 |
|
7,599 |
3,858 |
$22K |
| 85027 |
|
15,677 |
14,452 |
$21K |
| 70553 |
|
79 |
79 |
$21K |
| 88341 |
|
742 |
673 |
$21K |
| 87635 |
|
622 |
609 |
$20K |
| 86706 |
|
7,471 |
7,071 |
$20K |
| 82607 |
|
5,438 |
5,234 |
$19K |
| C1760 |
Closure dev, vasc |
547 |
531 |
$19K |
| 71260 |
|
155 |
154 |
$19K |
| 73562 |
|
1,783 |
1,696 |
$19K |
| 90732 |
|
306 |
305 |
$18K |
| 87507 |
|
185 |
183 |
$18K |
| 72100 |
|
1,192 |
1,183 |
$18K |
| 72131 |
|
241 |
240 |
$18K |
| 84439 |
|
6,953 |
6,598 |
$18K |
| 99391 |
|
188 |
187 |
$18K |
| 96376 |
|
3,294 |
2,844 |
$17K |
| 83540 |
|
11,378 |
10,726 |
$17K |
| 73030 |
|
2,112 |
1,989 |
$17K |
| 87340 |
|
8,643 |
8,476 |
$16K |
| 83550 |
|
10,075 |
9,522 |
$16K |
| J1453 |
Fosaprepitant injection |
440 |
290 |
$16K |
| 0003A |
|
397 |
397 |
$16K |
| 46260 |
|
12 |
12 |
$16K |
| 82248 |
|
16,708 |
13,432 |
$15K |
| 94060 |
|
61 |
61 |
$15K |
| 97116 |
|
528 |
310 |
$15K |
| J0882 |
Darbepoetin alfa, esrd use |
87 |
36 |
$14K |
| 91320 |
|
192 |
190 |
$14K |
| 84100 |
|
12,190 |
9,096 |
$14K |
| 45385 |
|
26 |
25 |
$13K |
| 86704 |
|
4,540 |
4,436 |
$13K |
| 73630 |
|
2,901 |
2,795 |
$13K |
| 73560 |
|
1,848 |
1,763 |
$12K |
| 99205 |
Prolong outpt/office vis |
84 |
84 |
$12K |
| 96417 |
|
1,596 |
1,010 |
$12K |
| 90674 |
|
912 |
912 |
$12K |
| 0224U |
|
331 |
329 |
$12K |
| G2211 |
Complex e/m visit add on |
1,132 |
1,109 |
$12K |
| 99441 |
|
267 |
260 |
$12K |
| 82043 |
|
5,959 |
5,831 |
$11K |
| 83615 |
|
12,957 |
9,233 |
$11K |
| 95249 |
|
207 |
205 |
$11K |
| 94375 |
|
325 |
310 |
$11K |
| 0124A |
|
276 |
276 |
$11K |
| 74174 |
|
102 |
102 |
$11K |
| 83655 |
|
1,875 |
1,868 |
$11K |
| 82378 |
|
2,425 |
2,072 |
$10K |
| 82570 |
|
7,213 |
6,258 |
$10K |
| 0004A |
|
242 |
242 |
$10K |
| C1769 |
Guide wire |
2,371 |
2,211 |
$10K |
| 73610 |
|
2,381 |
2,262 |
$10K |
| 99385 |
|
91 |
90 |
$10K |
| 88112 |
|
301 |
292 |
$10K |
| 83883 |
|
4,498 |
1,881 |
$10K |
| 71045 |
|
4,836 |
4,668 |
$10K |
| 90472 |
|
1,749 |
1,736 |
$10K |
| 90694 |
|
450 |
440 |
$10K |
| 84153 |
|
1,578 |
1,484 |
$10K |
| 73502 |
|
1,037 |
998 |
$10K |
| 70498 |
|
434 |
429 |
$10K |
| 86592 |
|
2,854 |
2,818 |
$9K |
| 82803 |
|
1,228 |
1,074 |
$9K |
| 85730 |
|
18,350 |
16,930 |
$9K |
| 86334 |
|
1,780 |
1,367 |
$9K |
| 90746 |
|
266 |
259 |
$8K |
| 72148 |
|
46 |
46 |
$8K |
| 84403 |
|
1,491 |
1,428 |
$8K |
| 99393 |
|
87 |
87 |
$8K |
| 73130 |
|
2,470 |
2,387 |
$8K |
| 93320 |
|
377 |
368 |
$8K |
| 29540 |
|
41 |
41 |
$8K |
| J2930 |
Methylprednisolone injection |
1,216 |
1,041 |
$7K |
| C1725 |
Cath, translumin non-laser |
277 |
275 |
$7K |
| 86708 |
|
1,364 |
1,351 |
$7K |
| 81003 |
|
22,718 |
21,212 |
$7K |
| 97802 |
|
867 |
860 |
$7K |
| 86665 |
|
453 |
395 |
$7K |
| J3490 |
Drugs unclassified injection |
2,726 |
2,524 |
$7K |
| 86301 |
|
1,055 |
920 |
$7K |
| 84702 |
|
7,928 |
6,957 |
$7K |
| 92551 |
|
186 |
186 |
$6K |
| 84466 |
|
1,236 |
1,189 |
$6K |
| 90791 |
|
33 |
24 |
$6K |
| 87086 |
|
11,518 |
11,013 |
$6K |
| 96127 |
|
601 |
601 |
$6K |
| 86870 |
|
50 |
39 |
$6K |
| 83520 |
|
2,050 |
1,906 |
$6K |
| 87901 |
|
45 |
44 |
$6K |
| 90480 |
|
157 |
155 |
$6K |
| 84484 |
|
22,563 |
18,329 |
$6K |
| J2250 |
Inj midazolam hydrochloride |
7,710 |
7,526 |
$6K |
| 99173 |
|
163 |
163 |
$6K |
| 88142 |
|
309 |
305 |
$6K |
| 84165 |
|
2,886 |
2,311 |
$6K |
| 83690 |
|
19,300 |
17,871 |
$6K |
| 0042T |
|
116 |
115 |
$6K |
| 86787 |
|
1,766 |
1,683 |
$6K |
| 97010 |
|
546 |
206 |
$6K |
| 80051 |
|
760 |
703 |
$5K |
| 86361 |
|
1,426 |
1,395 |
$5K |
| 11721 |
|
343 |
343 |
$5K |
| 87899 |
|
455 |
409 |
$5K |
| C1780 |
Lens, intraocular (new tech) |
176 |
12 |
$5K |
| 97161 |
|
51 |
51 |
$5K |
| 90847 |
|
18 |
16 |
$5K |
| 99202 |
|
46 |
45 |
$5K |
| 73110 |
|
1,492 |
1,381 |
$5K |
| 84550 |
|
7,998 |
5,001 |
$5K |
| 97535 |
|
96 |
59 |
$5K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
426 |
416 |
$5K |
| 82670 |
|
1,047 |
1,031 |
$5K |
| 83001 |
|
1,185 |
1,173 |
$5K |
| J2704 |
Inj, propofol, 10 mg |
10,054 |
9,492 |
$5K |
| 86762 |
|
1,447 |
1,436 |
$4K |
| 12002 |
|
12 |
12 |
$4K |
| 76870 |
|
379 |
373 |
$4K |
| G0121 |
Colon ca scrn not hi rsk ind |
12 |
12 |
$4K |
| 99051 |
|
576 |
563 |
$4K |
| J8540 |
Oral dexamethasone |
1,844 |
1,405 |
$4K |
| 82746 |
|
1,341 |
1,295 |
$4K |
| G0446 |
Intens behave ther cardio dx |
216 |
216 |
$4K |
| 82150 |
|
3,308 |
2,593 |
$4K |
| 93242 |
|
88 |
86 |
$4K |
| 82533 |
|
1,264 |
1,030 |
$4K |
| 84146 |
|
763 |
744 |
$4K |
| 87661 |
|
824 |
812 |
$4K |
| 90656 |
|
542 |
542 |
$4K |
| 86765 |
|
1,470 |
1,460 |
$4K |
| J2270 |
Morphine sulfate injection |
3,491 |
2,918 |
$4K |
| J1885 |
Ketorolac tromethamine inj |
16,302 |
15,019 |
$4K |
| 51702 |
|
15 |
14 |
$4K |
| 76857 |
|
124 |
123 |
$4K |
| 99386 |
|
36 |
36 |
$4K |
| 87480 |
|
1,269 |
1,251 |
$4K |
| 93308 |
|
13 |
13 |
$4K |
| 81001 |
|
14,332 |
13,663 |
$4K |
| J0561 |
Penicillin g benzathine inj |
27 |
26 |
$4K |
| 94640 |
|
4,978 |
4,354 |
$3K |
| J2001 |
Lidocaine injection |
7,477 |
7,124 |
$3K |
| 83002 |
|
1,009 |
1,002 |
$3K |
| 86644 |
|
437 |
425 |
$3K |
| J2916 |
Na ferric gluconate complex |
211 |
76 |
$3K |
| J1050 |
Medroxyprogesterone acetate |
481 |
467 |
$3K |
| 73700 |
|
26 |
24 |
$3K |
| 99394 |
|
42 |
42 |
$3K |
| 86593 |
|
926 |
886 |
$3K |
| 82947 |
|
2,167 |
1,923 |
$3K |
| J1170 |
Hydromorphone injection |
2,137 |
1,398 |
$3K |
| C1887 |
Catheter, guiding |
1,201 |
1,166 |
$3K |
| 74455 |
|
13 |
13 |
$3K |
| 86039 |
|
1,316 |
1,097 |
$3K |
| 84156 |
|
3,388 |
2,889 |
$3K |
| 73564 |
|
170 |
162 |
$3K |
| C1874 |
Stent, coated/cov w/del sys |
24 |
24 |
$3K |
| T1013 |
Sign lang/oral interpreter |
185 |
177 |
$3K |
| 86141 |
|
1,615 |
1,464 |
$3K |
| 90744 |
|
343 |
343 |
$3K |
| C1894 |
Intro/sheath, non-laser |
2,594 |
2,406 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
2,992 |
2,713 |
$3K |
| 87510 |
|
1,033 |
1,018 |
$3K |
| 90739 |
|
53 |
53 |
$3K |
| 97014 |
|
162 |
72 |
$3K |
| J1720 |
Hydrocortisone sodium succ i |
226 |
178 |
$3K |
| 86300 |
|
422 |
375 |
$3K |
| 86255 |
|
552 |
533 |
$3K |
| 82232 |
|
742 |
651 |
$3K |
| J1100 |
Dexamethasone sodium phos |
7,991 |
7,010 |
$3K |
| 82950 |
|
572 |
524 |
$2K |
| 72141 |
|
13 |
13 |
$2K |
| 85045 |
|
4,582 |
3,624 |
$2K |
| 73080 |
|
666 |
626 |
$2K |
| 88313 |
|
881 |
691 |
$2K |
| 86376 |
|
704 |
699 |
$2K |
| 97803 |
|
229 |
216 |
$2K |
| 80069 |
|
2,451 |
1,657 |
$2K |
| 84270 |
|
626 |
616 |
$2K |
| 83021 |
|
1,587 |
1,453 |
$2K |
| 74018 |
|
304 |
298 |
$2K |
| 36591 |
|
109 |
90 |
$2K |
| 82550 |
|
3,859 |
3,665 |
$2K |
| 88237 |
|
25 |
24 |
$2K |
| J3010 |
Fentanyl citrate injection |
10,575 |
9,793 |
$2K |
| 86695 |
|
262 |
260 |
$2K |
| J0131 |
Inj, acetaminophen (nos) |
1,449 |
1,420 |
$2K |
| J1200 |
Diphenhydramine hcl injectio |
4,157 |
3,318 |
$2K |
| 82565 |
|
3,346 |
2,979 |
$2K |
| 93325 |
|
391 |
381 |
$2K |
| 90662 |
|
84 |
83 |
$2K |
| 74150 |
|
41 |
41 |
$2K |
| 92507 |
|
29 |
12 |
$2K |
| 87590 |
|
833 |
819 |
$2K |
| 0072A |
|
64 |
64 |
$2K |
| 81002 |
|
16,592 |
13,703 |
$2K |
| 92250 |
|
211 |
202 |
$2K |
| 85651 |
|
7,226 |
6,902 |
$2K |
| 36600 |
|
96 |
88 |
$2K |
| 76775 |
|
27 |
27 |
$2K |
| 84480 |
|
676 |
654 |
$2K |
| J3370 |
Vancomycin hcl injection |
939 |
726 |
$2K |
| 0064A |
|
37 |
37 |
$2K |
| J1642 |
Inj heparin sodium per 10 u |
2,518 |
1,437 |
$2K |
| G0447 |
Behavior counsel obesity 15m |
24 |
24 |
$2K |
| J0690 |
Cefazolin sodium injection |
5,285 |
4,786 |
$2K |
| 86140 |
|
6,965 |
6,654 |
$2K |
| 82465 |
|
460 |
351 |
$2K |
| 82962 |
|
12,704 |
9,433 |
$2K |
| 72170 |
|
197 |
196 |
$2K |
| 92083 |
|
221 |
212 |
$2K |
| 86735 |
|
466 |
461 |
$2K |
| 0071A |
|
76 |
76 |
$1K |
| J2919 |
Inj, methylpred sod succ 5mg |
205 |
181 |
$1K |
| 73590 |
|
861 |
824 |
$1K |
| 88311 |
|
379 |
357 |
$1K |
| 92557 |
|
26 |
26 |
$1K |
| 83010 |
|
662 |
540 |
$1K |
| 86705 |
|
261 |
259 |
$1K |
| 87186 |
|
2,614 |
2,397 |
$1K |
| 86360 |
|
171 |
156 |
$1K |
| J2765 |
Metoclopramide hcl injection |
3,279 |
3,118 |
$1K |
| 77080 |
|
38 |
38 |
$1K |
| J2405 |
Ondansetron hcl injection |
13,499 |
12,277 |
$1K |
| 84460 |
|
4,294 |
3,368 |
$1K |
| 93799 |
|
137 |
98 |
$1K |
| 0054A |
|
28 |
28 |
$1K |
| 87040 |
|
4,198 |
2,939 |
$1K |
| 84402 |
|
285 |
284 |
$1K |
| 85378 |
|
4,806 |
4,650 |
$1K |
| 90680 |
|
487 |
485 |
$1K |
| 90461 |
|
1,980 |
1,967 |
$1K |
| 90460 |
|
3,000 |
2,979 |
$1K |
| C1781 |
Mesh (implantable) |
24 |
24 |
$1K |
| 96411 |
|
101 |
63 |
$1K |
| J0330 |
Succinycholine chloride inj |
2,211 |
2,171 |
$1K |
| 73090 |
|
695 |
660 |
$1K |
| S0028 |
Injection, famotidine, 20 mg |
3,388 |
3,134 |
$1K |
| 82247 |
|
3,729 |
2,770 |
$1K |
| 90474 |
|
382 |
380 |
$945.14 |
| J2710 |
Neostigmine methylslfte inj |
2,078 |
2,058 |
$916.39 |
| 80055 |
|
118 |
85 |
$908.61 |
| 93225 |
|
12 |
12 |
$903.79 |
| 87077 |
|
1,888 |
1,547 |
$862.05 |
| 85384 |
|
1,085 |
925 |
$811.73 |
| 84075 |
|
3,375 |
2,481 |
$808.31 |
| 94726 |
|
13 |
12 |
$788.41 |
| 84450 |
|
2,800 |
1,945 |
$786.40 |
| J2501 |
Paricalcitol |
221 |
24 |
$775.99 |
| J3475 |
Inj magnesium sulfate |
752 |
581 |
$774.90 |
| 87070 |
|
2,913 |
2,811 |
$769.71 |
| 82627 |
|
123 |
122 |
$753.63 |
| 86431 |
|
552 |
548 |
$744.72 |
| 86800 |
|
215 |
202 |
$736.69 |
| 87640 |
|
62 |
62 |
$699.33 |
| 85240 |
|
103 |
93 |
$677.86 |
| 90661 |
|
43 |
43 |
$661.96 |
| 83605 |
|
4,200 |
3,586 |
$657.76 |
| J1644 |
Inj heparin sodium per 1000u |
2,739 |
2,030 |
$643.94 |
| 80320 |
|
1,551 |
1,429 |
$618.62 |
| 85044 |
|
752 |
666 |
$607.05 |
| 86147 |
|
35 |
27 |
$583.18 |
| 0154A |
|
13 |
13 |
$582.79 |
| 82103 |
|
117 |
115 |
$535.09 |
| 84132 |
|
2,317 |
1,928 |
$521.87 |
| 0012A |
|
13 |
13 |
$480.00 |
| J1815 |
Insulin injection |
766 |
567 |
$460.75 |
| 86355 |
|
69 |
67 |
$446.71 |
| 82310 |
|
875 |
843 |
$442.43 |
| 86200 |
|
97 |
97 |
$402.10 |
| J3471 |
Ovine, up to 999 usp units |
13 |
12 |
$395.79 |
| 72040 |
|
13 |
13 |
$391.90 |
| 93356 |
|
322 |
320 |
$385.93 |
| 85018 |
|
1,374 |
1,314 |
$384.98 |
| 87338 |
|
44 |
44 |
$383.02 |
| J0171 |
Adrenalin epinephrine inject |
405 |
390 |
$376.55 |
| 82040 |
|
1,620 |
1,517 |
$360.29 |
| 76813 |
|
13 |
13 |
$346.23 |
| 84305 |
|
81 |
80 |
$342.31 |
| 83695 |
|
66 |
65 |
$337.21 |
| J2920 |
Methylprednisolone injection |
204 |
172 |
$335.18 |
| 87205 |
|
1,520 |
1,097 |
$334.12 |
| 87660 |
|
447 |
439 |
$334.10 |
| 90647 |
|
85 |
85 |
$332.06 |
| 86357 |
|
70 |
68 |
$321.06 |
| 71100 |
|
213 |
211 |
$318.82 |
| 86160 |
|
335 |
168 |
$317.50 |
| 86003 |
|
334 |
177 |
$311.67 |
| 88300 |
|
76 |
71 |
$306.08 |
| 99152 |
|
1,311 |
1,275 |
$295.10 |
| 90633 |
|
188 |
187 |
$290.91 |
| 99211 |
|
17 |
13 |
$290.11 |
| 84520 |
|
2,666 |
2,316 |
$288.39 |
| 82553 |
|
1,447 |
1,137 |
$286.99 |
| J1630 |
Haloperidol injection |
682 |
604 |
$284.49 |
| J7512 |
Prednisone ir or dr oral 1mg |
2,087 |
1,837 |
$271.82 |
| 99153 |
Mod sedat endo service >5yrs |
1,159 |
1,128 |
$269.56 |
| J2370 |
Phenylephrine hcl injection |
1,274 |
1,165 |
$265.72 |
| 86359 |
|
60 |
56 |
$260.23 |
| 80081 |
|
12 |
12 |
$245.30 |
| 84481 |
|
146 |
127 |
$240.50 |
| 83921 |
|
44 |
44 |
$238.64 |
| 88275 |
|
14 |
12 |
$230.36 |
| 86235 |
|
166 |
94 |
$228.45 |
| 84295 |
|
1,560 |
1,425 |
$228.08 |
| G0279 |
Tomosynthesis, mammo |
13 |
13 |
$227.27 |
| 88312 |
|
12 |
12 |
$220.78 |
| 84155 |
|
1,221 |
1,175 |
$216.56 |
| 88271 |
|
15 |
12 |
$212.06 |
| 82435 |
|
1,470 |
1,356 |
$209.76 |
| J3420 |
Vitamin b12 injection |
218 |
190 |
$207.98 |
| 73140 |
|
122 |
119 |
$202.36 |
| J7613 |
Albuterol non-comp unit |
2,205 |
1,820 |
$197.66 |
| 80329 |
|
262 |
235 |
$197.17 |
| 85306 |
|
29 |
24 |
$193.12 |
| 83498 |
|
13 |
13 |
$187.47 |
| 80074 |
|
20 |
19 |
$183.71 |
| 80321 |
|
526 |
354 |
$181.23 |
| 83519 |
|
67 |
64 |
$177.36 |
| 92134 |
|
252 |
241 |
$171.17 |
| 90723 |
|
92 |
92 |
$169.82 |
| 82374 |
|
777 |
720 |
$169.80 |
| J1650 |
Inj enoxaparin sodium |
376 |
211 |
$168.64 |
| 85597 |
|
16 |
15 |
$157.91 |
| 84166 |
|
40 |
38 |
$155.70 |
| C1751 |
Cath, inf, per/cent/midline |
552 |
547 |
$141.89 |
| 86304 |
|
17 |
15 |
$138.13 |
| Q0162 |
Ondansetron oral |
3,318 |
2,835 |
$134.92 |
| S0020 |
Injection, bupivicaine hydro |
1,512 |
1,490 |
$133.14 |
| 87088 |
|
394 |
390 |
$131.85 |
| 73070 |
|
45 |
44 |
$130.83 |
| J2060 |
Lorazepam injection |
464 |
409 |
$129.64 |
| 82542 |
|
54 |
54 |
$127.32 |
| 82397 |
|
60 |
55 |
$119.35 |
| 83090 |
|
12 |
12 |
$118.09 |
| 82610 |
|
12 |
12 |
$116.69 |
| 82107 |
|
12 |
12 |
$115.94 |
| 90707 |
|
69 |
67 |
$114.15 |
| 90651 |
|
47 |
47 |
$105.66 |
| 82390 |
|
26 |
26 |
$104.80 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
1,199 |
1,184 |
$103.53 |
| 82668 |
|
12 |
12 |
$103.38 |
| 84145 |
|
122 |
113 |
$98.37 |
| 82375 |
|
1,602 |
1,384 |
$98.24 |
| 87081 |
|
372 |
370 |
$98.22 |
| 81015 |
|
1,135 |
900 |
$95.41 |
| 86317 |
|
12 |
12 |
$94.43 |
| 85613 |
|
25 |
25 |
$93.08 |
| 86701 |
|
14 |
14 |
$90.97 |
| Q0163 |
Diphenhydramine hcl 50mg |
3,192 |
2,581 |
$88.36 |
| 85670 |
|
53 |
52 |
$87.65 |
| J2543 |
Piperacillin/tazobactam |
36 |
24 |
$87.56 |
| J0692 |
Cefepime hcl for injection |
50 |
39 |
$86.14 |
| 84425 |
|
25 |
24 |
$83.52 |
| 87449 |
|
38 |
37 |
$79.46 |
| J7644 |
Ipratropium bromide non-comp |
1,299 |
1,151 |
$74.88 |
| 90734 |
|
48 |
48 |
$65.15 |
| 85303 |
|
13 |
12 |
$63.68 |
| 92060 |
|
14 |
14 |
$63.67 |
| 90700 |
|
81 |
81 |
$62.66 |
| 82985 |
|
12 |
12 |
$60.32 |
| 73552 |
|
67 |
66 |
$58.52 |
| 86707 |
|
12 |
12 |
$52.05 |
| 87350 |
|
12 |
12 |
$51.90 |
| 86696 |
|
12 |
12 |
$49.34 |
| 83050 |
|
1,626 |
1,384 |
$49.23 |
| 84478 |
|
12 |
12 |
$47.37 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
325 |
321 |
$46.56 |
| J3480 |
Inj potassium chloride |
43 |
26 |
$37.20 |
| 90685 |
|
14 |
14 |
$36.78 |
| J1836 |
Inj, metronidazole, 10 mg |
100 |
85 |
$35.50 |
| 91300 |
|
3,040 |
2,584 |
$35.49 |
| J3411 |
Thiamine hcl 100 mg |
39 |
37 |
$34.21 |
| J2272 |
Inj, morphine (fresenius) |
31 |
28 |
$34.15 |
| 86225 |
|
37 |
37 |
$29.99 |
| 73060 |
|
99 |
94 |
$27.98 |
| 86709 |
|
12 |
12 |
$27.62 |
| 82785 |
|
52 |
52 |
$27.31 |
| 82330 |
|
285 |
252 |
$24.62 |
| 90648 |
|
136 |
135 |
$24.27 |
| 85347 |
|
443 |
357 |
$23.96 |
| J7620 |
Albuterol ipratrop non-comp |
497 |
411 |
$22.27 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
16 |
12 |
$21.72 |
| 89051 |
|
334 |
211 |
$20.77 |
| C9113 |
Inj pantoprazole sodium, via |
38 |
27 |
$18.49 |
| S0030 |
Injection, metronidazole |
218 |
167 |
$17.27 |
| J0780 |
Prochlorperazine injection |
13 |
13 |
$16.78 |
| 85014 |
|
386 |
346 |
$16.71 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
22 |
18 |
$16.56 |
| 86336 |
|
12 |
12 |
$15.59 |
| 87880 |
|
63 |
62 |
$14.88 |
| A0425 |
Ground mileage |
12 |
12 |
$14.03 |
| 80145 |
|
24 |
24 |
$10.61 |
| 87210 |
|
422 |
410 |
$10.48 |
| 87102 |
|
14 |
13 |
$7.57 |
| J0360 |
Hydralazine hcl injection |
25 |
25 |
$6.65 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
524 |
517 |
$4.02 |
| 87220 |
|
14 |
13 |
$3.84 |
| G9903 |
Pt scrn tbco id as non user |
417 |
394 |
$3.70 |
| G9902 |
Pt scrn tbco and id as user |
438 |
415 |
$3.01 |
| 91312 |
|
309 |
309 |
$2.80 |
| J1940 |
Furosemide injection |
23 |
16 |
$2.23 |
| J1580 |
Garamycin gentamicin inj |
56 |
54 |
$1.41 |
| 91307 |
|
188 |
172 |
$1.20 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
151 |
147 |
$0.98 |
| J0688 |
Inj cefazolin sodium, hikma |
58 |
58 |
$0.70 |
| 91305 |
|
59 |
58 |
$0.59 |
| J2550 |
Promethazine hcl injection |
62 |
60 |
$0.44 |
| 91306 |
|
37 |
37 |
$0.37 |
| G9905 |
No pt tbco scrn rng |
29 |
29 |
$0.23 |
| 91315 |
|
18 |
18 |
$0.18 |
| 91308 |
|
12 |
12 |
$0.12 |
| 91301 |
|
13 |
13 |
$0.12 |
| 3051F |
|
17 |
15 |
$0.09 |
| 1036F |
|
1,563 |
1,474 |
$0.03 |
| 1123F |
|
46 |
40 |
$0.02 |
| G8484 |
Flu immunize no admin |
226 |
225 |
$0.01 |
| 4004F |
|
504 |
484 |
$0.01 |
| 90710 |
|
55 |
55 |
$0.00 |
| 99080 |
|
661 |
180 |
$0.00 |
| 95004 |
|
12 |
12 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
51 |
49 |
$0.00 |
| 94729 |
|
171 |
171 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
44 |
43 |
$0.00 |
| 3046F |
|
40 |
38 |
$0.00 |
| 92133 |
|
39 |
38 |
$0.00 |
| 86038 |
|
16 |
12 |
$0.00 |
| J1598 |
Inj glycopyrrolate fres kabi |
155 |
155 |
$0.00 |
| 93226 |
|
13 |
12 |
$0.00 |
| C1729 |
Cath, drainage |
15 |
15 |
$0.00 |
| 90473 |
|
12 |
12 |
$0.00 |
| 87653 |
|
14 |
14 |
$0.00 |
| G2212 |
Prolong outpt/office vis |
44 |
43 |
$0.00 |
| 90698 |
|
384 |
382 |
$0.00 |
| 90696 |
|
54 |
54 |
$0.00 |
| 96110 |
|
240 |
240 |
$0.00 |
| 92567 |
|
25 |
25 |
$0.00 |
| 95012 |
|
53 |
52 |
$0.00 |
| 51600 |
|
13 |
13 |
$0.00 |
| 88720 |
|
60 |
40 |
$0.00 |
| G8419 |
Calc bmi out nrm param nof/u |
16 |
13 |
$0.00 |
| 73600 |
|
14 |
14 |
$0.00 |
| 82270 |
|
13 |
13 |
$0.00 |
| 3044F |
|
19 |
18 |
$0.00 |