| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
257,044 |
219,177 |
$32.10M |
| 99283 |
|
79,180 |
71,947 |
$15.83M |
| 99282 |
|
45,003 |
42,243 |
$10.99M |
| 36415 |
|
433,027 |
195,238 |
$8.16M |
| 99214 |
|
56,450 |
52,209 |
$7.81M |
| 99212 |
|
77,916 |
69,890 |
$7.44M |
| 90791 |
|
8,083 |
7,212 |
$7.01M |
| 90832 |
|
47,832 |
20,735 |
$6.09M |
| 99284 |
|
28,530 |
27,055 |
$5.04M |
| G0378 |
Hospital observation per hr |
3,146 |
2,995 |
$3.58M |
| 80053 |
|
150,300 |
78,125 |
$3.23M |
| 99391 |
|
26,792 |
23,986 |
$3.20M |
| 96361 |
|
18,759 |
17,988 |
$2.96M |
| 90460 |
|
68,247 |
67,552 |
$2.52M |
| 99392 |
|
23,704 |
23,633 |
$2.49M |
| S9485 |
Crisis intervention mental h |
1,833 |
1,401 |
$2.19M |
| 99393 |
|
21,934 |
21,890 |
$2.11M |
| 99395 |
|
18,219 |
17,896 |
$2.06M |
| 99396 |
|
15,822 |
15,433 |
$1.90M |
| 99394 |
|
17,833 |
17,782 |
$1.78M |
| 70450 |
|
10,943 |
10,492 |
$1.49M |
| 96365 |
|
11,705 |
10,889 |
$1.34M |
| 45378 |
|
1,398 |
1,398 |
$1.30M |
| 0241U |
|
16,435 |
15,516 |
$1.24M |
| 92551 |
|
37,640 |
37,531 |
$1.20M |
| 80050 |
|
52,159 |
50,204 |
$1.14M |
| 99285 |
|
5,703 |
5,427 |
$1.12M |
| 76856 |
|
5,533 |
5,489 |
$960K |
| 90461 |
|
24,252 |
24,122 |
$948K |
| 93306 |
|
6,850 |
6,775 |
$938K |
| 77067 |
|
9,434 |
9,425 |
$905K |
| 87491 |
|
41,002 |
40,067 |
$898K |
| 99051 |
|
39,847 |
35,790 |
$878K |
| 97110 |
|
13,363 |
5,012 |
$832K |
| 86481 |
|
17,046 |
16,968 |
$806K |
| 90792 |
|
3,021 |
2,929 |
$762K |
| 74177 |
|
5,376 |
5,310 |
$761K |
| 99203 |
|
5,245 |
5,154 |
$750K |
| 81025 |
|
47,919 |
44,832 |
$742K |
| 43239 |
|
901 |
899 |
$704K |
| 90834 |
|
3,250 |
1,550 |
$663K |
| 96372 |
|
28,541 |
25,107 |
$616K |
| 81514 |
|
2,830 |
2,799 |
$610K |
| 76816 |
|
6,227 |
5,287 |
$600K |
| 87635 |
|
17,984 |
16,732 |
$596K |
| 87389 |
|
35,873 |
35,677 |
$550K |
| 80048 |
|
28,094 |
23,783 |
$540K |
| 99173 |
|
36,268 |
36,137 |
$519K |
| 90651 |
|
9,971 |
9,930 |
$488K |
| 90686 |
|
49,237 |
49,155 |
$485K |
| 96360 |
|
6,960 |
6,855 |
$469K |
| 82306 |
|
21,413 |
21,313 |
$435K |
| 96366 |
|
3,868 |
3,665 |
$432K |
| 93970 |
|
2,321 |
2,308 |
$425K |
| 86850 |
|
14,646 |
13,510 |
$418K |
| 45385 |
|
609 |
609 |
$391K |
| 90471 |
|
27,632 |
27,118 |
$389K |
| 87591 |
|
37,048 |
36,628 |
$389K |
| 80061 |
|
57,416 |
56,824 |
$386K |
| T1013 |
Sign lang/oral interpreter |
27,347 |
23,304 |
$383K |
| 97530 |
|
5,867 |
2,195 |
$379K |
| 78452 |
|
969 |
960 |
$344K |
| 76700 |
|
2,167 |
2,162 |
$336K |
| 76818 |
|
3,922 |
1,762 |
$321K |
| 99215 |
Prolong outpt/office vis |
1,808 |
1,761 |
$311K |
| 12001 |
|
1,077 |
1,067 |
$308K |
| 83655 |
|
22,283 |
22,198 |
$307K |
| 76830 |
|
4,404 |
4,373 |
$293K |
| 90715 |
|
13,265 |
13,199 |
$292K |
| 97163 |
|
2,153 |
2,150 |
$290K |
| 76801 |
|
3,687 |
3,309 |
$286K |
| 74176 |
|
2,078 |
2,058 |
$281K |
| 76817 |
|
6,273 |
5,445 |
$277K |
| 99202 |
|
2,527 |
2,501 |
$272K |
| 90677 |
|
3,173 |
3,169 |
$265K |
| J7307 |
Etonogestrel implant system |
249 |
248 |
$264K |
| 88142 |
|
11,036 |
10,949 |
$256K |
| H2011 |
Crisis interven svc, 15 min |
3,337 |
2,593 |
$247K |
| 97802 |
|
5,473 |
5,459 |
$241K |
| 80307 |
|
11,916 |
11,511 |
$234K |
| 76811 |
|
1,985 |
1,975 |
$231K |
| 12011 |
|
841 |
834 |
$227K |
| 83036 |
|
54,182 |
53,820 |
$213K |
| 96367 |
|
2,516 |
1,884 |
$206K |
| 87661 |
|
11,015 |
10,907 |
$204K |
| 70551 |
|
1,144 |
1,136 |
$201K |
| 45380 |
|
240 |
239 |
$199K |
| 86901 |
|
14,652 |
13,525 |
$197K |
| 87624 |
|
6,414 |
6,348 |
$188K |
| J1050 |
Medroxyprogesterone acetate |
2,676 |
2,666 |
$187K |
| 99385 |
|
1,725 |
1,717 |
$186K |
| 77063 |
|
5,142 |
5,140 |
$177K |
| 97010 |
|
12,014 |
4,606 |
$177K |
| 0002A |
|
4,725 |
4,713 |
$176K |
| G0463 |
Hospital outpt clinic visit |
3,799 |
3,114 |
$169K |
| 86769 |
|
5,463 |
5,440 |
$169K |
| 97803 |
|
4,513 |
4,482 |
$168K |
| 95810 |
|
236 |
236 |
$164K |
| 90732 |
|
1,587 |
1,579 |
$162K |
| 99211 |
|
3,364 |
3,245 |
$160K |
| 0001A |
|
4,850 |
4,837 |
$159K |
| 86900 |
|
14,654 |
13,527 |
$159K |
| 85025 |
|
83,162 |
76,882 |
$156K |
| 99204 |
|
838 |
827 |
$156K |
| 36416 |
|
4,616 |
2,789 |
$152K |
| 77065 |
Tomosynthesis, mammo |
1,412 |
1,398 |
$150K |
| 86003 |
|
4,752 |
2,473 |
$150K |
| 94060 |
|
1,390 |
1,379 |
$147K |
| 76770 |
|
947 |
941 |
$145K |
| 76815 |
|
1,901 |
1,767 |
$137K |
| A0429 |
Bls-emergency |
1,725 |
1,288 |
$137K |
| 90670 |
|
12,735 |
12,706 |
$136K |
| 81003 |
|
33,261 |
28,315 |
$134K |
| 71260 |
|
861 |
852 |
$132K |
| 71275 |
|
930 |
921 |
$131K |
| 76642 |
|
2,277 |
2,257 |
$129K |
| 71046 |
|
14,036 |
13,791 |
$124K |
| 76536 |
|
1,440 |
1,439 |
$121K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
7,146 |
6,980 |
$119K |
| 86780 |
|
28,059 |
27,773 |
$118K |
| 88305 |
|
5,263 |
4,044 |
$116K |
| 87088 |
|
19,340 |
18,444 |
$111K |
| 93971 |
|
1,675 |
1,660 |
$108K |
| 76820 |
|
3,045 |
1,673 |
$107K |
| 70486 |
|
2,189 |
2,153 |
$103K |
| 81001 |
|
49,715 |
47,819 |
$102K |
| 71250 |
|
1,034 |
1,031 |
$101K |
| 99397 |
|
1,267 |
1,250 |
$99K |
| 99386 |
|
895 |
889 |
$97K |
| 94726 |
|
1,127 |
1,121 |
$96K |
| 76705 |
|
2,351 |
2,309 |
$94K |
| 77066 |
Tomosynthesis, mammo |
844 |
842 |
$94K |
| 12002 |
|
326 |
321 |
$92K |
| 93005 |
|
34,213 |
31,139 |
$91K |
| 86803 |
|
11,061 |
11,025 |
$90K |
| 96110 |
|
1,416 |
1,415 |
$89K |
| 90697 |
|
4,051 |
4,045 |
$89K |
| 90716 |
|
5,123 |
5,102 |
$88K |
| 90707 |
|
5,061 |
5,044 |
$85K |
| 97140 |
|
3,376 |
1,643 |
$85K |
| 99383 |
|
833 |
830 |
$84K |
| 84439 |
|
13,876 |
13,694 |
$83K |
| 73562 |
|
4,769 |
4,546 |
$81K |
| 82947 |
|
25,711 |
16,225 |
$81K |
| 93017 |
|
1,721 |
1,714 |
$80K |
| 76819 |
|
1,171 |
957 |
$80K |
| 76813 |
|
1,058 |
1,055 |
$80K |
| 85610 |
|
27,190 |
25,440 |
$73K |
| 97166 |
|
772 |
771 |
$73K |
| P9016 |
Rbc leukocytes reduced |
232 |
190 |
$71K |
| 92550 |
|
1,164 |
1,162 |
$68K |
| 90746 |
|
1,094 |
1,088 |
$67K |
| 83021 |
|
3,643 |
3,617 |
$66K |
| 82607 |
|
6,479 |
6,447 |
$65K |
| 84443 |
|
11,090 |
10,881 |
$65K |
| 82728 |
|
6,445 |
6,407 |
$65K |
| 96374 |
|
13,792 |
13,235 |
$65K |
| 70553 |
|
227 |
227 |
$63K |
| 95816 |
|
294 |
291 |
$62K |
| 92557 |
|
1,049 |
1,049 |
$60K |
| 86762 |
|
5,089 |
5,055 |
$60K |
| 70496 |
|
497 |
493 |
$60K |
| J7298 |
Mirena, 52 mg |
64 |
64 |
$60K |
| 83970 |
|
1,764 |
1,706 |
$58K |
| 87502 |
|
1,649 |
1,631 |
$57K |
| A9500 |
Tc99m sestamibi |
718 |
715 |
$57K |
| 92587 |
|
1,014 |
997 |
$56K |
| 94729 |
|
1,382 |
1,374 |
$55K |
| 10060 |
|
263 |
261 |
$53K |
| 36430 |
|
245 |
206 |
$52K |
| 90662 |
|
1,832 |
1,828 |
$52K |
| 72125 |
|
2,690 |
2,596 |
$52K |
| 99384 |
|
568 |
566 |
$52K |
| 83880 |
|
3,463 |
3,219 |
$47K |
| 90633 |
|
8,747 |
8,729 |
$45K |
| 58300 |
|
423 |
415 |
$43K |
| 80076 |
|
5,334 |
5,159 |
$43K |
| 94760 |
|
22,189 |
21,062 |
$43K |
| 86765 |
|
3,706 |
3,688 |
$42K |
| J7300 |
Intra copp contra (paragard) |
37 |
37 |
$41K |
| Q3014 |
Telehealth facility fee |
3,502 |
3,279 |
$41K |
| 84702 |
|
8,421 |
7,374 |
$40K |
| 84403 |
|
1,734 |
1,666 |
$40K |
| 73110 |
|
2,547 |
2,104 |
$40K |
| 87340 |
|
11,442 |
11,365 |
$40K |
| 87631 |
|
720 |
712 |
$39K |
| 90680 |
|
7,545 |
7,536 |
$38K |
| J7030 |
Normal saline solution infus |
22,106 |
19,951 |
$37K |
| 96413 |
|
220 |
136 |
$37K |
| 85018 |
|
2,120 |
1,639 |
$37K |
| 99381 |
|
391 |
391 |
$37K |
| 71045 |
|
12,402 |
11,360 |
$37K |
| 84146 |
|
2,106 |
2,070 |
$35K |
| 73610 |
|
3,171 |
2,939 |
$35K |
| J1756 |
Iron sucrose injection |
563 |
317 |
$35K |
| 82570 |
|
9,122 |
9,011 |
$35K |
| 58301 |
|
315 |
311 |
$35K |
| 73130 |
|
2,978 |
2,651 |
$35K |
| 85027 |
|
20,728 |
19,350 |
$34K |
| 85730 |
|
22,708 |
21,295 |
$34K |
| 73630 |
|
3,276 |
3,119 |
$34K |
| 86706 |
|
4,512 |
4,488 |
$34K |
| 83001 |
|
2,027 |
2,009 |
$33K |
| 76775 |
|
758 |
756 |
$33K |
| 90472 |
|
2,905 |
2,867 |
$32K |
| 73030 |
|
2,748 |
2,564 |
$32K |
| 84481 |
|
4,274 |
4,224 |
$32K |
| 82043 |
|
7,925 |
7,883 |
$31K |
| 82746 |
|
3,215 |
3,204 |
$31K |
| 90656 |
|
3,981 |
3,978 |
$30K |
| 0003A |
|
844 |
843 |
$30K |
| 0072A |
|
732 |
713 |
$30K |
| 0071A |
|
737 |
731 |
$30K |
| 57454 |
|
89 |
88 |
$29K |
| 88175 |
|
1,077 |
873 |
$29K |
| 97116 |
|
1,071 |
771 |
$28K |
| 86580 |
|
2,162 |
2,045 |
$28K |
| 58100 |
|
126 |
124 |
$28K |
| 83002 |
|
1,735 |
1,719 |
$28K |
| 90734 |
|
5,996 |
5,970 |
$28K |
| 72100 |
|
2,000 |
1,987 |
$27K |
| 95811 |
|
45 |
44 |
$27K |
| 17110 |
|
177 |
175 |
$26K |
| 87070 |
|
5,150 |
5,043 |
$25K |
| 90648 |
|
5,113 |
5,102 |
$25K |
| 93925 |
|
133 |
131 |
$25K |
| 92567 |
|
811 |
811 |
$24K |
| 70491 |
|
169 |
169 |
$24K |
| 87077 |
|
4,363 |
3,743 |
$24K |
| 99382 |
|
243 |
242 |
$23K |
| 77061 |
|
463 |
461 |
$23K |
| 90698 |
|
5,587 |
5,581 |
$22K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
51 |
51 |
$22K |
| 94640 |
|
9,773 |
6,295 |
$22K |
| 70498 |
|
390 |
387 |
$22K |
| 96375 |
|
11,470 |
10,361 |
$22K |
| A9585 |
Gadobutrol injection |
676 |
640 |
$21K |
| 77080 |
|
778 |
775 |
$21K |
| 86787 |
|
3,102 |
3,081 |
$21K |
| 92579 |
|
271 |
271 |
$20K |
| 76870 |
|
366 |
364 |
$20K |
| 92015 |
|
398 |
395 |
$20K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
1,909 |
1,887 |
$20K |
| 73140 |
|
1,505 |
1,306 |
$20K |
| 93923 |
|
258 |
258 |
$20K |
| 95806 |
|
268 |
261 |
$19K |
| Q0138 |
Ferumoxytol, non-esrd |
70 |
55 |
$19K |
| 92004 |
|
168 |
168 |
$19K |
| 90674 |
|
1,343 |
1,338 |
$19K |
| 87880 |
|
3,155 |
3,123 |
$19K |
| A0425 |
Ground mileage |
2,605 |
1,908 |
$19K |
| 86735 |
|
2,701 |
2,689 |
$19K |
| 97035 |
|
1,075 |
560 |
$19K |
| 83540 |
|
4,822 |
4,797 |
$19K |
| 11721 |
|
504 |
320 |
$18K |
| 97014 |
|
1,368 |
651 |
$18K |
| 0054A |
|
454 |
450 |
$18K |
| U0002 |
Covid-19 lab test non-cdc |
367 |
328 |
$17K |
| 86704 |
|
2,375 |
2,363 |
$17K |
| 90714 |
|
710 |
706 |
$17K |
| 90853 |
|
395 |
178 |
$17K |
| 90739 |
|
142 |
141 |
$17K |
| 73080 |
|
1,545 |
1,387 |
$16K |
| 83550 |
|
4,187 |
4,170 |
$16K |
| 84153 |
|
2,261 |
2,244 |
$16K |
| 90710 |
|
3,557 |
3,541 |
$16K |
| 73502 |
|
979 |
943 |
$16K |
| 73590 |
|
1,835 |
1,747 |
$16K |
| 0124A |
|
399 |
398 |
$16K |
| 11981 |
|
79 |
77 |
$15K |
| 82627 |
|
803 |
797 |
$15K |
| 83525 |
|
1,437 |
1,427 |
$15K |
| 90723 |
|
3,570 |
3,564 |
$15K |
| 92552 |
|
214 |
214 |
$15K |
| 82803 |
|
1,238 |
1,103 |
$15K |
| 99201 |
|
219 |
218 |
$15K |
| 72110 |
|
496 |
492 |
$14K |
| 72148 |
|
76 |
76 |
$14K |
| J2704 |
Inj, propofol, 10 mg |
9,193 |
6,362 |
$14K |
| 88307 |
|
132 |
114 |
$14K |
| J7120 |
Ringers lactate infusion |
8,819 |
7,999 |
$14K |
| 76641 |
|
207 |
204 |
$14K |
| 82465 |
|
4,789 |
4,779 |
$14K |
| 90619 |
|
623 |
621 |
$14K |
| 95819 |
|
63 |
63 |
$14K |
| 84703 |
|
3,997 |
3,637 |
$13K |
| 84484 |
|
16,560 |
13,477 |
$13K |
| 98926 |
|
341 |
333 |
$13K |
| 85007 |
|
18,772 |
18,233 |
$13K |
| 90744 |
|
3,552 |
3,548 |
$12K |
| 87536 |
|
142 |
137 |
$12K |
| 88720 |
|
1,203 |
1,077 |
$12K |
| 74018 |
|
1,370 |
1,344 |
$12K |
| 99281 |
|
73 |
69 |
$12K |
| 87186 |
|
3,712 |
3,311 |
$12K |
| 86695 |
|
1,116 |
894 |
$11K |
| 87081 |
|
2,027 |
2,001 |
$11K |
| 87338 |
|
1,540 |
1,526 |
$11K |
| 20610 |
|
81 |
78 |
$11K |
| 72040 |
|
776 |
771 |
$11K |
| 86376 |
|
941 |
816 |
$11K |
| 82950 |
|
2,751 |
2,722 |
$10K |
| 73700 |
|
71 |
69 |
$10K |
| 88312 |
|
783 |
646 |
$10K |
| J1885 |
Ketorolac tromethamine inj |
13,325 |
12,606 |
$10K |
| 97162 |
|
115 |
115 |
$10K |
| 90696 |
|
3,449 |
3,434 |
$10K |
| 94761 |
|
15,366 |
14,857 |
$10K |
| 94664 |
|
554 |
547 |
$10K |
| 76376 |
|
689 |
685 |
$10K |
| 83690 |
|
12,252 |
11,701 |
$10K |
| 90700 |
|
3,373 |
3,358 |
$10K |
| J0131 |
Inj, acetaminophen (nos) |
1,470 |
1,400 |
$9K |
| 90653 |
|
277 |
276 |
$9K |
| 83921 |
|
529 |
527 |
$9K |
| 88304 |
|
454 |
402 |
$9K |
| 77062 |
|
177 |
177 |
$9K |
| 87798 |
|
395 |
377 |
$8K |
| J7050 |
Normal saline solution infus |
3,390 |
2,731 |
$8K |
| 99205 |
Prolong outpt/office vis |
41 |
37 |
$8K |
| 90681 |
|
2,678 |
2,676 |
$8K |
| 86708 |
|
1,021 |
1,020 |
$8K |
| 0052A |
|
189 |
185 |
$8K |
| 82247 |
|
2,227 |
1,617 |
$8K |
| C1769 |
Guide wire |
179 |
157 |
$7K |
| J2405 |
Ondansetron hcl injection |
11,436 |
10,576 |
$7K |
| 94727 |
|
263 |
262 |
$7K |
| 82550 |
|
6,122 |
5,176 |
$7K |
| 82270 |
|
2,068 |
2,028 |
$7K |
| 86800 |
|
594 |
575 |
$7K |
| 84154 |
|
850 |
847 |
$7K |
| 73090 |
|
1,290 |
1,214 |
$7K |
| 86923 |
|
393 |
232 |
$7K |
| 86140 |
|
3,720 |
3,635 |
$7K |
| J7060 |
5% dextrose/water |
6,812 |
5,519 |
$6K |
| A0427 |
Als1-emergency |
115 |
79 |
$6K |
| 82670 |
|
249 |
248 |
$6K |
| 72170 |
|
916 |
889 |
$6K |
| 86038 |
|
1,359 |
1,337 |
$6K |
| 0051A |
|
143 |
142 |
$6K |
| 76805 |
|
66 |
66 |
$6K |
| 82784 |
|
559 |
543 |
$6K |
| 84480 |
|
1,153 |
1,140 |
$6K |
| J0690 |
Cefazolin sodium injection |
2,484 |
2,297 |
$5K |
| 87040 |
|
3,727 |
2,588 |
$5K |
| 86403 |
|
1,408 |
1,380 |
$5K |
| 95117 |
|
284 |
284 |
$5K |
| 97167 |
|
26 |
26 |
$5K |
| 59025 |
|
50 |
40 |
$5K |
| 93226 |
|
103 |
103 |
$5K |
| 80164 |
|
1,426 |
1,369 |
$5K |
| 76821 |
|
63 |
28 |
$5K |
| 92555 |
|
121 |
121 |
$5K |
| J1953 |
Levetiracetam injection |
546 |
431 |
$5K |
| 84550 |
|
1,674 |
1,615 |
$5K |
| 84156 |
|
1,418 |
1,265 |
$4K |
| 80320 |
|
8,639 |
8,010 |
$4K |
| 83605 |
|
6,700 |
5,778 |
$4K |
| 83735 |
|
6,425 |
5,395 |
$4K |
| J7510 |
Prednisolone oral per 5 mg |
2,251 |
2,167 |
$4K |
| 82150 |
|
2,652 |
2,596 |
$4K |
| 90647 |
|
1,255 |
1,252 |
$4K |
| J1644 |
Inj heparin sodium per 1000u |
5,190 |
2,522 |
$4K |
| 73552 |
|
530 |
498 |
$4K |
| J2270 |
Morphine sulfate injection |
4,052 |
3,532 |
$4K |
| 71271 |
|
39 |
39 |
$4K |
| 86200 |
|
339 |
323 |
$4K |
| 84402 |
|
173 |
172 |
$4K |
| C1894 |
Intro/sheath, non-laser |
49 |
49 |
$4K |
| 85651 |
|
3,347 |
3,271 |
$4K |
| 74022 |
|
732 |
725 |
$4K |
| C1887 |
Catheter, guiding |
77 |
43 |
$3K |
| J7040 |
Normal saline solution infus |
2,337 |
2,115 |
$3K |
| 73560 |
|
111 |
107 |
$3K |
| 73060 |
|
633 |
591 |
$3K |
| 83516 |
|
381 |
358 |
$3K |
| 84100 |
|
4,781 |
4,231 |
$3K |
| 17250 |
|
30 |
29 |
$3K |
| 90713 |
|
531 |
528 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
4,023 |
3,562 |
$3K |
| 93225 |
|
90 |
90 |
$3K |
| J1100 |
Dexamethasone sodium phos |
5,203 |
4,455 |
$3K |
| 72141 |
|
13 |
13 |
$3K |
| 94375 |
|
541 |
536 |
$3K |
| 99401 |
|
63 |
59 |
$3K |
| 73721 |
|
12 |
12 |
$3K |
| J3010 |
Fentanyl citrate injection |
4,533 |
4,423 |
$3K |
| 82248 |
|
753 |
632 |
$3K |
| 98968 |
|
26 |
25 |
$2K |
| 81002 |
|
1,559 |
1,469 |
$2K |
| 87522 |
Neg quan hep c or qual rna |
54 |
52 |
$2K |
| 75574 |
|
12 |
12 |
$2K |
| J2543 |
Piperacillin/tazobactam |
556 |
381 |
$2K |
| 97018 |
|
218 |
91 |
$2K |
| U0003 |
Cov-19 amp prb hgh thruput |
36 |
36 |
$2K |
| 96376 |
|
1,630 |
1,306 |
$2K |
| 86360 |
|
55 |
55 |
$2K |
| 0081A |
|
71 |
71 |
$2K |
| 99406 |
|
115 |
110 |
$2K |
| J1200 |
Diphenhydramine hcl injectio |
3,244 |
2,486 |
$2K |
| 95115 |
|
152 |
152 |
$2K |
| J2785 |
Regadenoson injection |
14 |
14 |
$2K |
| J2001 |
Lidocaine injection |
2,294 |
2,086 |
$2K |
| 90846 |
|
31 |
29 |
$2K |
| 97112 |
|
80 |
38 |
$2K |
| 85044 |
|
1,640 |
1,606 |
$2K |
| 86480 |
|
38 |
38 |
$2K |
| 83615 |
|
837 |
785 |
$2K |
| 87177 |
|
254 |
200 |
$2K |
| 85379 |
|
1,468 |
1,425 |
$2K |
| 88313 |
|
251 |
141 |
$2K |
| 82951 |
|
299 |
298 |
$2K |
| 87651 |
|
62 |
62 |
$2K |
| 87633 |
|
17 |
17 |
$2K |
| 99442 |
|
24 |
24 |
$2K |
| G0008 |
Admin influenza virus vac |
821 |
821 |
$2K |
| 82274 |
|
282 |
279 |
$2K |
| 93308 |
|
14 |
14 |
$2K |
| 73620 |
|
88 |
84 |
$2K |
| 90688 |
|
203 |
203 |
$2K |
| 86431 |
|
509 |
261 |
$2K |
| 82553 |
|
2,193 |
1,944 |
$2K |
| J7042 |
5% dextrose/normal saline |
1,126 |
977 |
$1K |
| J2710 |
Neostigmine methylslfte inj |
314 |
313 |
$1K |
| 80069 |
|
190 |
183 |
$1K |
| J2930 |
Methylprednisolone injection |
837 |
814 |
$1K |
| 86355 |
|
55 |
55 |
$1K |
| 91322 |
|
13 |
13 |
$1K |
| 82962 |
|
783 |
602 |
$1K |
| J2250 |
Inj midazolam hydrochloride |
3,701 |
3,642 |
$1K |
| 73523 |
|
67 |
67 |
$1K |
| 84132 |
|
324 |
302 |
$1K |
| J1815 |
Insulin injection |
3,070 |
1,794 |
$1K |
| 80178 |
|
744 |
732 |
$1K |
| 96368 |
|
25 |
25 |
$1K |
| J1741 |
Ibuprofen injection |
173 |
169 |
$1K |
| Q9957 |
Inj perflutren lip micros,ml |
24 |
24 |
$1K |
| 91321 |
|
25 |
25 |
$1K |
| 86430 |
|
346 |
342 |
$1K |
| 71100 |
|
245 |
241 |
$1K |
| 97161 |
|
12 |
12 |
$1K |
| 82805 |
|
63 |
58 |
$1K |
| 86359 |
|
55 |
55 |
$1K |
| 72070 |
|
79 |
79 |
$1K |
| 92650 |
|
15 |
13 |
$1K |
| J3420 |
Vitamin b12 injection |
674 |
548 |
$1K |
| 86709 |
|
118 |
117 |
$966.27 |
| 88300 |
|
84 |
83 |
$941.79 |
| 73521 |
|
72 |
71 |
$928.10 |
| J2765 |
Metoclopramide hcl injection |
2,528 |
2,444 |
$887.48 |
| J3301 |
Triamcinolone acet inj nos |
252 |
242 |
$832.73 |
| 87045 |
|
175 |
168 |
$830.46 |
| 82977 |
|
199 |
196 |
$803.92 |
| J3370 |
Vancomycin hcl injection |
85 |
55 |
$798.08 |
| J1170 |
Hydromorphone injection |
900 |
777 |
$796.09 |
| 0082A |
|
26 |
26 |
$791.93 |
| 72114 |
|
13 |
13 |
$744.75 |
| J2060 |
Lorazepam injection |
2,456 |
2,085 |
$721.41 |
| 93307 |
|
13 |
13 |
$677.63 |
| J3475 |
Inj magnesium sulfate |
465 |
429 |
$640.94 |
| 81511 |
|
15 |
14 |
$600.18 |
| J1630 |
Haloperidol injection |
1,211 |
1,118 |
$577.94 |
| 82010 |
|
1,258 |
1,190 |
$560.11 |
| 0013A |
|
14 |
14 |
$524.00 |
| 84165 |
|
84 |
82 |
$466.86 |
| 86592 |
|
550 |
545 |
$450.92 |
| 84145 |
|
638 |
619 |
$423.47 |
| J7512 |
Prednisone ir or dr oral 1mg |
2,160 |
1,973 |
$421.97 |
| 82533 |
|
27 |
26 |
$419.08 |
| 93880 |
|
14 |
13 |
$403.25 |
| 80329 |
|
663 |
387 |
$389.16 |
| 87807 |
|
38 |
38 |
$379.90 |
| 86696 |
|
39 |
24 |
$377.00 |
| 85384 |
|
502 |
481 |
$368.42 |
| 86870 |
|
15 |
14 |
$347.93 |
| J0330 |
Succinycholine chloride inj |
181 |
181 |
$329.24 |
| 90661 |
|
147 |
147 |
$305.90 |
| 82397 |
|
36 |
36 |
$303.91 |
| J2920 |
Methylprednisolone injection |
58 |
29 |
$246.40 |
| 84144 |
|
16 |
15 |
$236.71 |
| 98960 |
|
12 |
12 |
$224.49 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
218 |
185 |
$219.95 |
| J1631 |
Haloperidol decanoate inj |
88 |
85 |
$214.96 |
| 90620 |
|
165 |
165 |
$207.79 |
| 97810 |
|
28 |
26 |
$204.88 |
| J2919 |
Inj, methylpred sod succ 5mg |
176 |
129 |
$200.24 |
| 87205 |
|
84 |
77 |
$168.70 |
| 87209 |
|
24 |
12 |
$166.56 |
| 83520 |
|
15 |
15 |
$154.09 |
| 86703 |
|
12 |
12 |
$152.51 |
| 90685 |
|
288 |
288 |
$144.94 |
| G0439 |
Ppps, subseq visit |
63 |
63 |
$143.26 |
| 87255 |
|
13 |
13 |
$117.23 |
| 87400 |
|
21 |
20 |
$116.80 |
| 82105 |
|
30 |
30 |
$115.44 |
| J0456 |
Azithromycin |
53 |
52 |
$110.95 |
| 87339 |
|
107 |
107 |
$108.52 |
| G0009 |
Admin pneumococcal vaccine |
42 |
42 |
$107.87 |
| 70360 |
|
12 |
12 |
$101.50 |
| J3411 |
Thiamine hcl 100 mg |
302 |
247 |
$88.47 |
| 73000 |
|
12 |
12 |
$88.32 |
| J8540 |
Oral dexamethasone |
16 |
12 |
$83.58 |
| 87075 |
|
57 |
55 |
$72.91 |
| J1940 |
Furosemide injection |
140 |
80 |
$72.68 |
| 87206 |
|
14 |
14 |
$71.61 |
| J1650 |
Inj enoxaparin sodium |
116 |
64 |
$68.68 |
| Q0163 |
Diphenhydramine hcl 50mg |
1,216 |
1,067 |
$57.66 |
| 87899 |
|
12 |
12 |
$56.21 |
| Q0162 |
Ondansetron oral |
305 |
268 |
$47.82 |
| 82375 |
|
92 |
82 |
$35.55 |
| J1030 |
Methylprednisolone 40 mg inj |
12 |
12 |
$23.24 |
| 83050 |
|
62 |
57 |
$22.14 |
| J1790 |
Droperidol injection |
54 |
51 |
$6.80 |
| C1726 |
Cath, bal dil, non-vascular |
46 |
46 |
$1.68 |
| J0171 |
Adrenalin epinephrine inject |
15 |
15 |
$0.00 |
| 99080 |
|
2,823 |
474 |
$0.00 |
| 99499 |
|
131 |
86 |
$0.00 |
| C1751 |
Cath, inf, per/cent/midline |
23 |
23 |
$0.00 |