| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
74,432 |
67,187 |
$30.22M |
| 99285 |
|
55,730 |
48,092 |
$26.98M |
| 99283 |
|
58,415 |
53,994 |
$18.85M |
| J9271 |
Inj pembrolizumab |
1,918 |
1,379 |
$16.39M |
| 74177 |
|
17,049 |
15,186 |
$10.74M |
| 70450 |
|
20,733 |
17,952 |
$3.93M |
| J1561 |
Gamunex-c/gammaked |
1,965 |
874 |
$3.43M |
| 77301 |
|
830 |
749 |
$3.32M |
| 93306 |
|
9,093 |
8,296 |
$3.02M |
| 43239 |
|
4,652 |
4,416 |
$2.99M |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,656 |
1,414 |
$2.72M |
| 99282 |
|
19,525 |
17,950 |
$2.70M |
| G0378 |
Hospital observation per hr |
37,353 |
16,756 |
$2.68M |
| 70553 |
|
2,961 |
2,685 |
$2.61M |
| 77386 |
|
12,853 |
1,147 |
$2.57M |
| J2505 |
Injection, pegfilgrastim 6mg |
628 |
387 |
$2.55M |
| 80053 |
|
195,389 |
133,101 |
$2.43M |
| 95810 |
|
2,359 |
2,226 |
$1.85M |
| Q5111 |
Injection, udenyca 0.5 mg |
796 |
535 |
$1.85M |
| J9299 |
Injection, nivolumab |
411 |
238 |
$1.83M |
| 96365 |
|
31,407 |
23,522 |
$1.82M |
| 78452 |
|
1,455 |
1,246 |
$1.62M |
| J9035 |
Bevacizumab injection |
439 |
179 |
$1.50M |
| 74176 |
|
3,060 |
2,759 |
$1.50M |
| J9312 |
Inj., rituximab, 10 mg |
276 |
149 |
$1.31M |
| J9355 |
Inj trastuzumab excl biosimi |
558 |
198 |
$1.22M |
| 45385 |
|
1,628 |
1,551 |
$1.18M |
| 45380 |
|
2,085 |
1,959 |
$1.17M |
| 88185 |
|
2,220 |
1,398 |
$1.17M |
| 49083 |
|
2,321 |
1,103 |
$1.16M |
| 96413 |
|
23,815 |
12,007 |
$1.15M |
| J9144 |
Daratumumab, hyaluronidase |
160 |
95 |
$1.13M |
| 95811 |
|
1,511 |
1,382 |
$1.12M |
| L8699 |
Prosthetic implant nos |
1,116 |
1,055 |
$1.12M |
| 77334 |
|
2,014 |
1,377 |
$967K |
| 92557 |
|
4,974 |
4,709 |
$945K |
| 72195 |
|
1,150 |
1,091 |
$922K |
| 36430 |
|
4,928 |
2,407 |
$896K |
| 94729 |
|
2,752 |
2,522 |
$893K |
| 47562 |
|
178 |
170 |
$872K |
| J1745 |
Infliximab not biosimil 10mg |
256 |
193 |
$736K |
| 45378 |
|
1,161 |
1,105 |
$730K |
| 72197 |
|
1,170 |
1,053 |
$713K |
| C1776 |
Joint device (implantable) |
87 |
76 |
$707K |
| J0897 |
Denosumab injection |
626 |
530 |
$687K |
| J0485 |
Belatacept injection |
1,741 |
762 |
$661K |
| J9310 |
Rituximab injection |
240 |
86 |
$653K |
| 42820 |
|
167 |
163 |
$629K |
| J9306 |
Injection, pertuzumab, 1 mg |
100 |
67 |
$617K |
| 92579 |
|
2,003 |
1,923 |
$612K |
| J9263 |
Oxaliplatin |
1,305 |
746 |
$578K |
| J1453 |
Fosaprepitant injection |
3,428 |
1,994 |
$569K |
| 93798 |
|
7,815 |
1,458 |
$568K |
| 99213 |
|
4,904 |
4,101 |
$568K |
| 43235 |
|
964 |
905 |
$526K |
| 36561 |
|
272 |
251 |
$504K |
| 44970 |
|
101 |
94 |
$504K |
| 71260 |
|
9,010 |
7,803 |
$492K |
| 71275 |
|
2,073 |
1,944 |
$478K |
| 96409 |
|
3,666 |
1,739 |
$445K |
| 96360 |
|
9,391 |
7,037 |
$382K |
| C8929 |
Tte w or wo fol wcon,doppler |
1,578 |
1,373 |
$375K |
| 96366 |
|
11,006 |
6,924 |
$366K |
| C1769 |
Guide wire |
8,582 |
7,303 |
$364K |
| 70551 |
|
1,010 |
905 |
$351K |
| 70498 |
|
1,354 |
1,267 |
$334K |
| 72141 |
|
1,122 |
1,001 |
$317K |
| J1568 |
Octagam injection |
162 |
77 |
$310K |
| 93975 |
|
6,636 |
6,142 |
$299K |
| J2469 |
Palonosetron hcl |
8,224 |
4,580 |
$279K |
| 86832 |
|
808 |
658 |
$274K |
| U0003 |
Cov-19 amp prb hgh thruput |
11,127 |
10,255 |
$245K |
| 96367 |
|
11,817 |
7,851 |
$245K |
| 77412 |
|
3,354 |
396 |
$241K |
| 93454 |
|
157 |
139 |
$240K |
| J9070 |
Cyclophosphamide 100 mg inj |
715 |
200 |
$236K |
| P9073 |
Platelets pheresis path redu |
392 |
133 |
$232K |
| 74183 |
|
1,842 |
1,693 |
$231K |
| 99203 |
|
1,786 |
1,729 |
$221K |
| J2997 |
Alteplase recombinant |
2,731 |
737 |
$210K |
| 70491 |
|
494 |
463 |
$207K |
| 97110 |
|
5,754 |
2,329 |
$202K |
| G0463 |
Hospital outpt clinic visit |
20,066 |
15,521 |
$200K |
| 93970 |
|
2,172 |
1,993 |
$199K |
| 81455 |
|
56 |
51 |
$192K |
| 95806 |
|
1,366 |
1,347 |
$184K |
| 99212 |
|
1,999 |
1,499 |
$184K |
| 94060 |
|
2,853 |
2,623 |
$175K |
| J9217 |
Leuprolide acetate suspnsion |
453 |
421 |
$174K |
| Q5120 |
Inj pegfilgrastim-bmez 0.5mg |
133 |
105 |
$169K |
| 92587 |
|
3,344 |
3,207 |
$145K |
| 96375 |
|
56,153 |
39,423 |
$143K |
| 72125 |
|
9,636 |
8,293 |
$137K |
| 99214 |
|
1,145 |
1,032 |
$136K |
| P9037 |
Plate pheres leukoredu irrad |
586 |
137 |
$134K |
| 71046 |
|
19,083 |
17,138 |
$134K |
| 76700 |
|
2,539 |
2,397 |
$133K |
| 76770 |
|
2,291 |
2,180 |
$128K |
| 96361 |
|
18,722 |
14,115 |
$127K |
| 74246 |
|
569 |
560 |
$125K |
| 96450 |
|
687 |
450 |
$120K |
| J1750 |
Inj iron dextran |
524 |
264 |
$120K |
| 77295 |
|
80 |
51 |
$120K |
| C2617 |
Stent, non-cor, tem w/o del |
126 |
114 |
$118K |
| 93451 |
|
78 |
61 |
$114K |
| 76705 |
|
5,474 |
4,893 |
$113K |
| 99291 |
|
140 |
124 |
$111K |
| 87633 |
|
747 |
607 |
$111K |
| 75574 |
|
942 |
874 |
$109K |
| 20680 |
|
69 |
64 |
$106K |
| 93308 |
|
2,045 |
1,655 |
$104K |
| 72131 |
|
1,140 |
1,013 |
$101K |
| 96411 |
|
3,283 |
1,899 |
$101K |
| 93922 |
|
1,794 |
1,619 |
$99K |
| 69436 |
|
81 |
77 |
$98K |
| 97140 |
|
2,797 |
1,207 |
$94K |
| 75561 |
|
163 |
150 |
$93K |
| 71250 |
|
2,061 |
1,900 |
$93K |
| 93005 |
|
69,696 |
50,859 |
$93K |
| 77470 |
|
489 |
425 |
$88K |
| C2625 |
Stent, non-cor, tem w/del sy |
87 |
78 |
$81K |
| P9047 |
Albumin (human), 25%, 50ml |
598 |
305 |
$81K |
| 93971 |
|
3,490 |
3,173 |
$80K |
| 95812 |
|
277 |
273 |
$80K |
| C1889 |
Implant/insert device, noc |
97 |
85 |
$80K |
| 87507 |
|
414 |
357 |
$79K |
| Q5130 |
Inj, fylnetra, 0.5 mg |
31 |
24 |
$79K |
| 93880 |
|
573 |
528 |
$79K |
| 80320 |
|
21,358 |
18,412 |
$78K |
| 86923 |
|
3,567 |
1,806 |
$75K |
| 31624 |
|
150 |
107 |
$73K |
| 72128 |
|
552 |
460 |
$71K |
| 93017 |
|
1,913 |
1,669 |
$70K |
| J1756 |
Iron sucrose injection |
2,872 |
1,199 |
$67K |
| 71045 |
|
45,545 |
39,278 |
$64K |
| J8670 |
Rolapitant, oral, 1mg |
17 |
13 |
$63K |
| 96374 |
|
51,180 |
43,883 |
$63K |
| 80307 |
|
19,667 |
16,167 |
$62K |
| 86828 |
|
2,000 |
1,661 |
$62K |
| C9399 |
Unclassified drugs or biolog |
692 |
614 |
$59K |
| 58571 |
|
13 |
12 |
$57K |
| 70496 |
|
670 |
632 |
$51K |
| 72148 |
|
662 |
608 |
$51K |
| 99281 |
|
817 |
731 |
$50K |
| J9045 |
Carboplatin injection |
1,657 |
934 |
$49K |
| 70486 |
|
4,021 |
3,510 |
$49K |
| 80076 |
|
1,269 |
991 |
$46K |
| C1726 |
Cath, bal dil, non-vascular |
203 |
191 |
$46K |
| 0115U |
|
1,469 |
1,363 |
$45K |
| 92582 |
|
104 |
97 |
$44K |
| Q5107 |
Inj mvasi 10 mg |
87 |
24 |
$40K |
| 86920 |
|
2,532 |
1,226 |
$39K |
| 88305 |
|
20,451 |
13,006 |
$38K |
| 88341 |
|
3,050 |
1,816 |
$38K |
| 95782 |
|
38 |
38 |
$37K |
| 72146 |
|
355 |
325 |
$37K |
| 88377 |
|
442 |
302 |
$36K |
| 87799 |
|
6,963 |
3,010 |
$36K |
| 77012 |
|
107 |
78 |
$35K |
| J9202 |
Goserelin acetate implant |
39 |
37 |
$34K |
| 74240 |
|
200 |
170 |
$34K |
| J9201 |
In gemcitabine hcl nos 200mg |
473 |
190 |
$34K |
| 84443 |
|
24,489 |
20,786 |
$33K |
| 96416 |
|
2,323 |
1,247 |
$33K |
| 85027 |
|
33,837 |
21,488 |
$32K |
| 74174 |
|
40 |
40 |
$31K |
| 96376 |
|
19,380 |
12,176 |
$31K |
| 76856 |
|
2,776 |
2,618 |
$29K |
| 81382 |
|
21 |
12 |
$28K |
| 77290 |
|
159 |
125 |
$28K |
| 82728 |
|
7,564 |
6,239 |
$28K |
| P9040 |
Rbc leukoreduced irradiated |
1,858 |
974 |
$27K |
| 85025 |
|
193,887 |
136,735 |
$27K |
| C1887 |
Catheter, guiding |
1,623 |
1,377 |
$26K |
| 97163 |
|
216 |
182 |
$25K |
| 86833 |
|
415 |
338 |
$24K |
| 36593 |
|
241 |
155 |
$23K |
| P9016 |
Rbc leukocytes reduced |
1,643 |
1,080 |
$23K |
| 73562 |
|
6,622 |
5,364 |
$23K |
| 76536 |
|
348 |
330 |
$23K |
| 76881 |
|
214 |
167 |
$22K |
| J9395 |
Injection, fulvestrant |
27 |
24 |
$22K |
| 73130 |
|
5,055 |
4,212 |
$22K |
| J3490 |
Drugs unclassified injection |
140,228 |
61,482 |
$22K |
| 74220 |
|
164 |
144 |
$21K |
| 73700 |
|
354 |
314 |
$21K |
| 88342 |
|
4,134 |
3,422 |
$19K |
| 94618 |
|
438 |
388 |
$19K |
| 97535 |
|
3,365 |
2,098 |
$18K |
| 96523 |
|
1,436 |
1,161 |
$18K |
| 85576 |
|
1,300 |
973 |
$18K |
| 74018 |
|
4,152 |
3,590 |
$18K |
| 80048 |
|
26,362 |
18,723 |
$18K |
| 96372 |
|
27,463 |
16,894 |
$17K |
| 94640 |
|
8,766 |
5,026 |
$17K |
| 20610 |
|
134 |
115 |
$17K |
| G0379 |
Direct refer hospital observ |
1,346 |
1,273 |
$17K |
| 97162 |
|
1,962 |
1,683 |
$17K |
| 72100 |
|
1,140 |
1,030 |
$17K |
| 95819 |
|
74 |
68 |
$16K |
| C1781 |
Mesh (implantable) |
94 |
88 |
$16K |
| 99211 |
|
1,540 |
1,298 |
$16K |
| 88307 |
|
3,757 |
2,767 |
$15K |
| 73630 |
|
4,627 |
3,889 |
$15K |
| 87631 |
|
6,769 |
6,602 |
$14K |
| 73610 |
|
4,774 |
4,047 |
$14K |
| 12001 |
|
1,945 |
1,799 |
$14K |
| G0480 |
Drug test def 1-7 classes |
2,972 |
2,491 |
$14K |
| 94010 |
|
1,414 |
1,256 |
$13K |
| 10060 |
|
869 |
799 |
$13K |
| 86304 |
|
1,901 |
1,547 |
$13K |
| 71271 |
|
175 |
172 |
$13K |
| 82306 |
|
3,952 |
3,562 |
$13K |
| 99204 |
|
163 |
159 |
$12K |
| 94621 |
|
44 |
40 |
$12K |
| 88173 |
|
1,534 |
1,088 |
$12K |
| 74181 |
|
1,177 |
1,113 |
$12K |
| 99215 |
Prolong outpt/office vis |
30 |
29 |
$12K |
| 73030 |
|
5,162 |
4,284 |
$12K |
| 97112 |
|
683 |
424 |
$11K |
| 70546 |
|
361 |
317 |
$11K |
| 73110 |
|
3,828 |
3,130 |
$11K |
| 36591 |
|
25,454 |
11,970 |
$11K |
| 87506 |
|
327 |
311 |
$10K |
| C1751 |
Cath, inf, per/cent/midline |
1,256 |
1,052 |
$10K |
| 12002 |
|
1,725 |
1,562 |
$10K |
| 73080 |
|
2,633 |
2,308 |
$10K |
| 77300 |
|
1,800 |
1,503 |
$10K |
| 82378 |
|
7,502 |
5,909 |
$10K |
| 96417 |
|
6,340 |
3,632 |
$10K |
| 93976 |
|
2,754 |
2,554 |
$10K |
| 76942 |
|
242 |
205 |
$10K |
| 93458 |
|
14 |
13 |
$10K |
| C1729 |
Cath, drainage |
1,534 |
884 |
$9K |
| 74230 |
|
63 |
53 |
$9K |
| 76857 |
|
1,986 |
1,867 |
$9K |
| 96401 |
|
1,163 |
480 |
$9K |
| G0424 |
Pulmonary rehab w exer |
93 |
29 |
$8K |
| 73502 |
|
2,114 |
1,782 |
$8K |
| 76882 |
|
264 |
236 |
$8K |
| 70110 |
|
71 |
69 |
$8K |
| 70487 |
|
37 |
36 |
$8K |
| 43264 |
|
17 |
16 |
$7K |
| 38222 |
|
26 |
24 |
$7K |
| J9075 |
Inj, cyclophosphamide, nos |
47 |
13 |
$7K |
| 97161 |
|
1,946 |
1,663 |
$7K |
| 97530 |
|
4,422 |
2,596 |
$7K |
| J3489 |
Zoledronic acid 1mg |
462 |
420 |
$7K |
| 85245 |
|
81 |
77 |
$6K |
| G0297 |
Ldct for lung ca screen |
156 |
143 |
$6K |
| 92552 |
|
83 |
81 |
$6K |
| 95816 |
|
26 |
26 |
$6K |
| 92553 |
|
27 |
27 |
$6K |
| 73552 |
|
2,405 |
1,973 |
$6K |
| 12011 |
|
1,667 |
1,547 |
$6K |
| J8540 |
Oral dexamethasone |
5,287 |
3,054 |
$6K |
| 78264 |
|
25 |
24 |
$6K |
| 93280 |
|
274 |
240 |
$6K |
| 72158 |
|
15 |
15 |
$5K |
| 87636 |
|
9,702 |
9,304 |
$5K |
| 76870 |
|
1,196 |
1,125 |
$5K |
| 36589 |
|
12 |
12 |
$5K |
| Q5101 |
Injection, zarxio |
47 |
12 |
$5K |
| J9190 |
Fluorouracil injection |
2,270 |
1,141 |
$5K |
| 82607 |
|
2,045 |
1,876 |
$5K |
| 82803 |
|
10,975 |
8,395 |
$5K |
| 59025 |
|
446 |
298 |
$5K |
| 92567 |
|
7,520 |
7,183 |
$5K |
| 85610 |
|
43,186 |
32,681 |
$5K |
| 86635 |
|
5,132 |
2,317 |
$5K |
| M0220 |
Tixagev and cilgav inj |
42 |
36 |
$4K |
| 83970 |
|
1,326 |
958 |
$4K |
| C1894 |
Intro/sheath, non-laser |
5,865 |
4,967 |
$4K |
| 96415 |
|
7,077 |
4,213 |
$4K |
| G0257 |
Unsched dialysis esrd pt hos |
89 |
51 |
$4K |
| J8499 |
Oral prescrip drug non chemo |
95,028 |
39,024 |
$4K |
| 82947 |
|
55,499 |
30,669 |
$4K |
| 82746 |
|
587 |
529 |
$3K |
| 83605 |
|
29,450 |
20,835 |
$3K |
| 87497 |
|
6,216 |
3,150 |
$3K |
| J2785 |
Regadenoson injection |
1,124 |
968 |
$3K |
| 87186 |
|
8,236 |
6,874 |
$3K |
| 80197 |
|
8,764 |
3,241 |
$3K |
| 93926 |
|
276 |
250 |
$3K |
| 84484 |
|
43,974 |
26,250 |
$3K |
| 73590 |
|
5,071 |
4,099 |
$3K |
| 85520 |
|
213 |
105 |
$3K |
| 85055 |
|
10,721 |
4,627 |
$3K |
| 87635 |
|
3,778 |
3,651 |
$3K |
| 72170 |
|
4,765 |
4,087 |
$2K |
| 76830 |
|
2,375 |
2,225 |
$2K |
| 94726 |
|
2,333 |
2,138 |
$2K |
| 87661 |
|
3,945 |
3,739 |
$2K |
| U0002 |
Covid-19 lab test non-cdc |
82 |
80 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
21,480 |
18,053 |
$2K |
| 87491 |
|
7,637 |
7,134 |
$2K |
| 76801 |
|
2,635 |
2,344 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
30,693 |
26,443 |
$2K |
| 70543 |
|
13 |
12 |
$2K |
| 73140 |
|
981 |
885 |
$2K |
| 87086 |
|
23,021 |
20,659 |
$2K |
| 73090 |
|
4,347 |
3,502 |
$2K |
| 80074 |
|
527 |
507 |
$2K |
| 84702 |
|
10,676 |
9,416 |
$2K |
| J2405 |
Ondansetron hcl injection |
53,381 |
41,137 |
$2K |
| 90715 |
|
5,871 |
5,309 |
$2K |
| 74175 |
|
13 |
12 |
$2K |
| 87075 |
|
3,463 |
2,541 |
$2K |
| 87591 |
|
7,711 |
7,202 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
10,487 |
8,612 |
$2K |
| A9270 |
Non-covered item or service |
114,934 |
18,076 |
$2K |
| Q9957 |
Inj perflutren lip micros,ml |
3,676 |
3,222 |
$2K |
| 86480 |
|
510 |
419 |
$2K |
| 97014 |
|
2,146 |
834 |
$1K |
| 82784 |
|
8,704 |
4,489 |
$1K |
| 90471 |
|
6,390 |
5,641 |
$1K |
| 84153 |
|
1,326 |
1,076 |
$1K |
| 85240 |
|
169 |
158 |
$1K |
| 80329 |
|
2,051 |
1,676 |
$1K |
| 86850 |
|
16,207 |
12,503 |
$1K |
| 96402 |
|
2,340 |
2,033 |
$1K |
| 84703 |
|
24,026 |
21,732 |
$1K |
| 72082 |
|
27 |
25 |
$1K |
| 81025 |
|
11,979 |
11,111 |
$1K |
| 76604 |
|
239 |
185 |
$1K |
| 86703 |
|
4,690 |
4,278 |
$1K |
| J0360 |
Hydralazine hcl injection |
1,300 |
935 |
$1K |
| 82024 |
|
83 |
68 |
$1K |
| 73120 |
|
696 |
571 |
$1K |
| 83690 |
|
36,921 |
31,852 |
$1K |
| 73060 |
|
2,276 |
1,839 |
$1K |
| 88374 |
|
187 |
122 |
$1K |
| 73070 |
|
1,821 |
1,440 |
$1K |
| 93296 |
|
44 |
33 |
$1K |
| 87040 |
|
12,191 |
6,615 |
$974.07 |
| 88304 |
|
2,396 |
2,095 |
$941.40 |
| 82533 |
|
186 |
154 |
$936.23 |
| 76817 |
|
2,291 |
2,061 |
$893.36 |
| C1725 |
Cath, translumin non-laser |
101 |
89 |
$891.77 |
| J2270 |
Morphine sulfate injection |
21,697 |
16,348 |
$887.83 |
| 87077 |
|
10,414 |
8,119 |
$887.55 |
| 81001 |
|
43,684 |
38,039 |
$858.75 |
| 88184 |
|
1,748 |
1,417 |
$785.28 |
| 86300 |
|
2,778 |
2,011 |
$714.84 |
| 86301 |
|
2,081 |
1,678 |
$690.86 |
| 83735 |
|
58,737 |
32,318 |
$651.06 |
| 93283 |
|
27 |
24 |
$603.86 |
| 83880 |
|
7,896 |
6,765 |
$593.88 |
| 90686 |
|
707 |
588 |
$588.83 |
| 87651 |
|
1,619 |
1,575 |
$581.34 |
| G0283 |
Elec stim other than wound |
767 |
215 |
$578.57 |
| 85670 |
|
14 |
13 |
$561.94 |
| 88313 |
|
3,008 |
1,915 |
$561.50 |
| 76377 |
|
6,602 |
5,307 |
$558.96 |
| J1100 |
Dexamethasone sodium phos |
28,934 |
21,469 |
$554.90 |
| 73560 |
|
885 |
688 |
$532.42 |
| 95957 |
|
1,795 |
1,562 |
$527.17 |
| 72040 |
|
92 |
81 |
$522.36 |
| J2370 |
Phenylephrine hcl injection |
3,623 |
2,939 |
$517.08 |
| 93299 |
|
19 |
16 |
$501.61 |
| 87088 |
|
17,717 |
15,018 |
$500.72 |
| A9502 |
Tc99m tetrofosmin |
1,536 |
1,301 |
$480.72 |
| 70250 |
|
320 |
239 |
$480.32 |
| 75565 |
|
224 |
209 |
$459.11 |
| 85379 |
|
4,591 |
3,539 |
$458.55 |
| 97166 |
|
648 |
547 |
$452.03 |
| 93320 |
|
726 |
616 |
$439.12 |
| 88175 |
|
59 |
52 |
$407.04 |
| 82105 |
|
1,330 |
1,079 |
$405.82 |
| 73620 |
|
543 |
455 |
$359.01 |
| 80061 |
|
2,969 |
2,517 |
$358.42 |
| 90632 |
|
46 |
44 |
$357.00 |
| 82330 |
|
2,765 |
2,120 |
$350.18 |
| 87804 |
|
4,147 |
2,071 |
$341.17 |
| J2704 |
Inj, propofol, 10 mg |
29,156 |
21,895 |
$332.44 |
| A9577 |
Inj multihance |
5,247 |
4,643 |
$317.55 |
| 83036 |
|
4,370 |
3,810 |
$314.76 |
| 80164 |
|
306 |
231 |
$309.00 |
| 81003 |
|
22,256 |
19,501 |
$292.36 |
| J7120 |
Ringers lactate infusion |
16,623 |
14,411 |
$288.40 |
| 87624 |
|
12 |
12 |
$275.02 |
| J1170 |
Hydromorphone injection |
15,544 |
11,583 |
$274.50 |
| 74019 |
|
30 |
27 |
$270.08 |
| 87880 |
|
2,459 |
2,353 |
$269.96 |
| J1815 |
Insulin injection |
8,564 |
3,870 |
$269.33 |
| 86140 |
|
9,646 |
8,452 |
$266.38 |
| 36592 |
|
3,320 |
926 |
$263.48 |
| 85384 |
|
4,583 |
2,840 |
$263.07 |
| 84100 |
|
43,741 |
23,852 |
$258.95 |
| 94760 |
|
2,505 |
1,633 |
$257.63 |
| 97116 |
|
1,222 |
899 |
$243.90 |
| 86769 |
|
468 |
440 |
$240.91 |
| 70548 |
|
247 |
197 |
$240.58 |
| 86900 |
|
18,226 |
13,930 |
$233.52 |
| 77002 |
|
207 |
184 |
$223.40 |
| J3535 |
Metered dose inhaler drug |
210 |
180 |
$222.07 |
| 93325 |
|
1,795 |
1,539 |
$216.46 |
| J1644 |
Inj heparin sodium per 1000u |
15,038 |
5,945 |
$208.77 |
| 76805 |
|
27 |
25 |
$200.08 |
| 86901 |
|
18,314 |
14,005 |
$199.95 |
| 73600 |
|
915 |
714 |
$198.45 |
| G0008 |
Admin influenza virus vac |
768 |
640 |
$196.88 |
| U0005 |
Infec agen detec ampli probe |
6,573 |
6,143 |
$192.60 |
| 82565 |
|
1,272 |
1,069 |
$185.65 |
| 82247 |
|
107 |
79 |
$182.49 |
| 73100 |
|
875 |
705 |
$178.63 |
| 86780 |
|
1,032 |
954 |
$177.34 |
| 87081 |
|
125 |
112 |
$170.78 |
| 99152 |
|
4,137 |
3,559 |
$167.56 |
| 85730 |
|
15,361 |
12,001 |
$166.35 |
| 87076 |
|
16 |
14 |
$164.61 |
| 86645 |
|
306 |
264 |
$162.63 |
| 89051 |
|
4,655 |
3,041 |
$161.38 |
| J1953 |
Levetiracetam injection |
727 |
539 |
$160.31 |
| J1650 |
Inj enoxaparin sodium |
8,433 |
3,604 |
$156.84 |
| 88346 |
|
19 |
13 |
$151.77 |
| 77336 |
|
5,183 |
2,295 |
$150.20 |
| 88112 |
|
1,122 |
923 |
$147.42 |
| 80069 |
|
129 |
65 |
$142.38 |
| 87205 |
|
11,526 |
9,875 |
$142.26 |
| 88312 |
|
317 |
224 |
$142.19 |
| 87210 |
|
6,585 |
6,122 |
$136.80 |
| 87070 |
|
4,286 |
3,248 |
$131.94 |
| 82550 |
|
5,850 |
4,674 |
$126.29 |
| 12013 |
|
164 |
145 |
$118.00 |
| 84432 |
|
111 |
93 |
$114.24 |
| J3010 |
Fentanyl citrate injection |
32,613 |
27,169 |
$108.64 |
| 86592 |
|
2,862 |
2,559 |
$103.57 |
| J0690 |
Cefazolin sodium injection |
13,449 |
9,936 |
$98.61 |
| 97035 |
|
402 |
195 |
$98.32 |
| 87798 |
|
283 |
190 |
$96.72 |
| J7030 |
Normal saline solution infus |
18,130 |
14,065 |
$95.48 |
| 86803 |
|
2,189 |
1,882 |
$91.80 |
| 84466 |
|
6,058 |
5,457 |
$87.60 |
| 83021 |
|
327 |
290 |
$83.50 |
| 84439 |
|
6,491 |
5,508 |
$81.87 |
| 87522 |
Neg quan hep c or qual rna |
344 |
287 |
$78.02 |
| 84481 |
|
624 |
579 |
$76.18 |
| 87102 |
|
1,947 |
1,520 |
$75.66 |
| J0780 |
Prochlorperazine injection |
3,022 |
2,521 |
$73.71 |
| 83883 |
|
3,070 |
1,268 |
$73.07 |
| J2250 |
Inj midazolam hydrochloride |
22,782 |
19,769 |
$72.44 |
| J2060 |
Lorazepam injection |
5,108 |
3,735 |
$70.29 |
| 86787 |
|
221 |
161 |
$69.46 |
| J3475 |
Inj magnesium sulfate |
9,643 |
6,895 |
$66.79 |
| 92555 |
|
221 |
209 |
$66.35 |
| 82270 |
|
837 |
756 |
$65.54 |
| 73564 |
|
31 |
24 |
$63.00 |
| 84132 |
|
3,603 |
2,929 |
$61.89 |
| 84145 |
|
1,985 |
1,839 |
$61.84 |
| J7999 |
Compounded drug, noc |
4,133 |
3,797 |
$61.48 |
| J1200 |
Diphenhydramine hcl injectio |
14,504 |
9,719 |
$60.15 |
| J1642 |
Inj heparin sodium per 10 u |
3,293 |
1,720 |
$60.12 |
| 87340 |
|
2,785 |
2,345 |
$57.16 |
| 85014 |
|
3,355 |
2,778 |
$56.22 |
| J3480 |
Inj potassium chloride |
3,192 |
2,309 |
$55.61 |
| J3370 |
Vancomycin hcl injection |
4,321 |
3,021 |
$51.32 |
| J7512 |
Prednisone ir or dr oral 1mg |
2,924 |
1,752 |
$49.97 |
| 83615 |
|
9,315 |
6,087 |
$46.79 |
| J2543 |
Piperacillin/tazobactam |
1,568 |
889 |
$44.56 |
| 86334 |
|
1,479 |
1,183 |
$44.26 |
| J8597 |
Antiemetic drug oral nos |
14,570 |
10,681 |
$42.80 |
| J2930 |
Methylprednisolone injection |
2,055 |
1,444 |
$42.15 |
| 83020 |
|
329 |
315 |
$41.96 |
| 86706 |
|
1,738 |
1,412 |
$41.92 |
| 85652 |
|
5,104 |
4,497 |
$41.80 |
| 82140 |
|
2,043 |
1,719 |
$39.09 |
| J0692 |
Cefepime hcl for injection |
1,400 |
998 |
$37.32 |
| 82977 |
|
1,431 |
727 |
$36.05 |
| 84156 |
|
4,072 |
2,975 |
$32.14 |
| 77338 |
|
845 |
757 |
$29.29 |
| J1630 |
Haloperidol injection |
2,822 |
2,323 |
$25.27 |
| 85007 |
|
13,835 |
7,874 |
$24.90 |
| 84165 |
|
2,155 |
1,752 |
$24.77 |
| J1940 |
Furosemide injection |
1,383 |
983 |
$24.31 |
| 82657 |
|
25 |
14 |
$22.49 |
| J3301 |
Triamcinolone acet inj nos |
109 |
102 |
$22.46 |
| J2765 |
Metoclopramide hcl injection |
5,301 |
4,657 |
$22.25 |
| 86308 |
|
73 |
70 |
$21.70 |
| 86038 |
|
86 |
76 |
$20.15 |
| 85046 |
|
5,489 |
3,952 |
$19.21 |
| 82570 |
|
1,497 |
1,147 |
$17.63 |
| 99153 |
Mod sedat endo service >5yrs |
3,168 |
2,713 |
$17.61 |
| 85041 |
|
389 |
365 |
$17.35 |
| J7040 |
Normal saline solution infus |
9,484 |
5,721 |
$16.66 |
| 87147 |
|
1,273 |
1,075 |
$16.60 |
| 84295 |
|
1,885 |
1,601 |
$16.19 |
| 96368 |
|
1,593 |
1,250 |
$15.63 |
| 86704 |
|
1,378 |
1,108 |
$15.31 |
| 83540 |
|
6,081 |
5,467 |
$14.88 |
| 92611 |
|
49 |
39 |
$14.34 |
| 82310 |
|
1,749 |
790 |
$14.05 |
| J2710 |
Neostigmine methylslfte inj |
1,590 |
1,306 |
$14.00 |
| J1790 |
Droperidol injection |
1,239 |
1,073 |
$13.41 |
| 86682 |
|
66 |
54 |
$13.34 |
| 93321 |
|
192 |
169 |
$13.27 |
| 76376 |
|
1,123 |
1,002 |
$13.14 |
| 83010 |
|
171 |
141 |
$12.76 |
| J2800 |
Methocarbamol injection |
1,129 |
929 |
$12.73 |
| 84550 |
|
3,371 |
2,015 |
$12.59 |
| 82232 |
|
2,188 |
1,566 |
$12.10 |
| 82150 |
|
1,412 |
948 |
$11.95 |
| 80177 |
|
294 |
256 |
$10.60 |
| J2550 |
Promethazine hcl injection |
3,007 |
1,603 |
$10.60 |
| 77332 |
|
186 |
151 |
$10.08 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
792 |
447 |
$9.70 |
| 82010 |
|
1,540 |
1,325 |
$9.58 |
| 93041 |
|
113 |
107 |
$9.34 |
| 85018 |
|
3,531 |
2,746 |
$8.77 |
| 88108 |
|
280 |
221 |
$8.49 |
| 87807 |
|
210 |
202 |
$8.47 |
| 87324 |
|
172 |
144 |
$7.04 |
| 87449 |
|
454 |
393 |
$6.72 |
| 86762 |
|
356 |
294 |
$6.40 |
| 85390 |
|
860 |
719 |
$5.63 |
| J7042 |
5% dextrose/normal saline |
456 |
362 |
$4.66 |
| 85347 |
|
2,430 |
1,625 |
$3.65 |
| 82248 |
|
4,589 |
2,719 |
$3.53 |
| 82945 |
|
1,600 |
1,240 |
$3.29 |
| 84157 |
|
1,984 |
1,500 |
$2.99 |
| 99157 |
|
81 |
67 |
$2.77 |
| A9585 |
Gadobutrol injection |
1,057 |
1,008 |
$2.07 |
| 87206 |
|
2,088 |
1,291 |
$1.92 |
| 87116 |
|
735 |
564 |
$1.92 |
| J2001 |
Lidocaine injection |
366 |
327 |
$1.82 |
| 87015 |
|
262 |
205 |
$1.19 |
| 87071 |
|
129 |
95 |
$0.79 |
| 88311 |
|
1,337 |
1,082 |
$0.00 |
| J7060 |
5% dextrose/water |
1,575 |
932 |
$0.00 |
| 92556 |
|
152 |
144 |
$0.00 |
| 36416 |
|
2,605 |
1,638 |
$0.00 |
| J1836 |
Inj, metronidazole, 10 mg |
252 |
184 |
$0.00 |
| 77001 |
|
381 |
349 |
$0.00 |
| 86664 |
|
228 |
207 |
$0.00 |
| 87516 |
|
114 |
90 |
$0.00 |
| A9573 |
Inj, gadopiclenol, 1 ml |
318 |
281 |
$0.00 |
| J2305 |
Inj, nitroglycerin, 5 mg |
52 |
50 |
$0.00 |
| 97165 |
|
62 |
54 |
$0.00 |
| J3590 |
Unclassified biologics |
336 |
296 |
$0.00 |
| 86320 |
|
537 |
456 |
$0.00 |
| 80051 |
|
268 |
206 |
$0.00 |
| 86777 |
|
355 |
285 |
$0.00 |
| J0461 |
Atropine sulfate injection |
831 |
503 |
$0.00 |
| J9267 |
Paclitaxel injection |
1,353 |
554 |
$0.00 |
| 88264 |
|
358 |
317 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
3,473 |
3,064 |
$0.00 |
| 83521 |
|
951 |
409 |
$0.00 |
| J7050 |
Normal saline solution infus |
6,499 |
3,172 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
405 |
309 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
172 |
148 |
$0.00 |
| 77280 |
|
286 |
184 |
$0.00 |
| J0456 |
Azithromycin |
113 |
101 |
$0.00 |
| 83050 |
|
17 |
12 |
$0.00 |
| J1920 |
Inj, labetalol hcl, 5mg |
167 |
102 |
$0.00 |
| J2560 |
Phenobarbital sodium inj |
49 |
39 |
$0.00 |
| 83921 |
|
242 |
233 |
$0.00 |
| 86880 |
|
253 |
135 |
$0.00 |
| 86800 |
|
155 |
135 |
$0.00 |
| 87533 |
|
491 |
267 |
$0.00 |
| 84300 |
|
64 |
51 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
991 |
950 |
$0.00 |
| J1805 |
Inj, esmolol hcl, 10mg |
163 |
102 |
$0.00 |
| 74021 |
|
42 |
36 |
$0.00 |
| 87521 |
Neg quan hep c or qual rna |
114 |
90 |
$0.00 |
| 83090 |
|
12 |
12 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
794 |
721 |
$0.00 |
| 87176 |
|
75 |
55 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
43 |
32 |
$0.00 |
| 36415 |
|
79 |
63 |
$0.00 |
| J1720 |
Hydrocortisone sodium succ i |
27 |
25 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
109 |
74 |
$0.00 |
| G8980 |
Mobility d/c status |
49 |
28 |
$0.00 |
| 80349 |
|
13 |
13 |
$0.00 |
| J0571 |
Buprenorphine oral 1mg |
53 |
30 |
$0.00 |
| 86870 |
|
58 |
37 |
$0.00 |
| J0610 |
Calcium glucon (fresenius) |
95 |
38 |
$0.00 |
| 83930 |
|
13 |
13 |
$0.00 |
| 88369 |
|
42 |
37 |
$0.00 |
| J9370 |
Vincristine sulfate 1 mg inj |
2,122 |
1,267 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
1,032 |
886 |
$0.00 |
| 86922 |
|
315 |
159 |
$0.00 |
| 84460 |
|
484 |
451 |
$0.00 |
| 86644 |
|
457 |
379 |
$0.00 |
| 87535 |
|
115 |
91 |
$0.00 |
| J0744 |
Ciprofloxacin iv |
322 |
240 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
1,961 |
1,619 |
$0.00 |
| G8979 |
Mobility goal status |
375 |
250 |
$0.00 |
| 86359 |
|
81 |
65 |
$0.00 |
| 85246 |
|
66 |
65 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
361 |
347 |
$0.00 |
| J9060 |
Cisplatin 10 mg injection |
95 |
50 |
$0.00 |
| G8978 |
Mobility current status |
347 |
235 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
1,646 |
956 |
$0.00 |
| 92550 |
|
170 |
142 |
$0.00 |
| 85049 |
|
129 |
40 |
$0.00 |
| 88368 |
|
41 |
37 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
1,325 |
976 |
$0.00 |
| J9206 |
Irinotecan injection |
369 |
193 |
$0.00 |
| 82747 |
|
280 |
268 |
$0.00 |
| J0640 |
Leucovorin calcium injection |
857 |
464 |
$0.00 |
| 76937 |
|
648 |
595 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
161 |
152 |
$0.00 |
| J9260 |
Inj methotrexate sodium 50mg |
1,209 |
707 |
$0.00 |
| J0694 |
Cefoxitin sodium injection |
354 |
233 |
$0.00 |
| 86735 |
|
62 |
50 |
$0.00 |
| A9541 |
Tc99m sulfur colloid |
170 |
158 |
$0.00 |
| 84155 |
|
560 |
476 |
$0.00 |
| C1788 |
Port, indwelling, imp |
260 |
245 |
$0.00 |
| 86360 |
|
72 |
62 |
$0.00 |
| J1580 |
Garamycin gentamicin inj |
29 |
25 |
$0.00 |
| 82042 |
|
58 |
44 |
$0.00 |
| 88237 |
|
375 |
332 |
$0.00 |
| C1758 |
Catheter, ureteral |
184 |
166 |
$0.00 |
| 84520 |
|
579 |
469 |
$0.00 |
| 86663 |
|
14 |
12 |
$0.00 |
| J0735 |
Clonidine hydrochloride |
37 |
32 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
111 |
108 |
$0.00 |
| 77387 |
|
177 |
26 |
$0.00 |
| 73000 |
|
70 |
62 |
$0.00 |
| G8984 |
Carry current status |
18 |
13 |
$0.00 |
| Q0114 |
Fern test |
76 |
71 |
$0.00 |
| 86765 |
|
60 |
49 |
$0.00 |
| 82800 |
|
18 |
12 |
$0.00 |
| 86665 |
|
439 |
207 |
$0.00 |
| 88367 |
|
31 |
29 |
$0.00 |
| J0612 |
Inj, calcium gluconate, nos |
13 |
12 |
$0.00 |
| J2310 |
Inj naloxone hydrochloride |
41 |
38 |
$0.00 |
| 86708 |
|
49 |
41 |
$0.00 |
| 82375 |
|
18 |
13 |
$0.00 |
| Q0220 |
Tixagev and cilgav, 300mg |
16 |
15 |
$0.00 |
| 70330 |
|
30 |
29 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
288 |
228 |
$0.00 |
| 82668 |
|
28 |
27 |
$0.00 |
| 97150 |
|
29 |
12 |
$0.00 |
| 84403 |
|
14 |
13 |
$0.00 |
| 86790 |
|
14 |
12 |
$0.00 |
| 86709 |
|
55 |
50 |
$0.00 |
| 88373 |
|
31 |
29 |
$0.00 |
| J9000 |
Doxorubicin hcl injection |
45 |
26 |
$0.00 |
| C1760 |
Closure dev, vasc |
29 |
26 |
$0.00 |
| 88365 |
|
15 |
12 |
$0.00 |
| G8985 |
Carry goal status |
19 |
14 |
$0.00 |