| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
70,389 |
53,377 |
$17.58M |
| 99285 |
|
48,160 |
31,605 |
$13.64M |
| 99283 |
|
43,475 |
37,797 |
$8.14M |
| J9271 |
Inj pembrolizumab |
812 |
541 |
$7.14M |
| 96361 |
|
65,986 |
34,311 |
$4.77M |
| 93306 |
|
7,818 |
6,968 |
$3.62M |
| 96375 |
|
36,570 |
27,328 |
$2.86M |
| 74177 |
|
17,548 |
13,609 |
$2.77M |
| 93005 |
|
46,357 |
38,511 |
$2.54M |
| 96365 |
|
36,166 |
18,550 |
$2.54M |
| G0378 |
Hospital observation per hr |
24,238 |
10,059 |
$2.40M |
| U0003 |
Cov-19 amp prb hgh thruput |
35,999 |
31,407 |
$2.19M |
| 43239 |
|
5,119 |
3,202 |
$2.13M |
| 70450 |
|
15,368 |
10,709 |
$2.06M |
| 96374 |
|
37,498 |
31,246 |
$1.99M |
| 99291 |
|
4,668 |
2,921 |
$1.86M |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,199 |
1,006 |
$1.76M |
| 96413 |
|
8,408 |
3,470 |
$1.70M |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
24,717 |
21,927 |
$1.44M |
| 96372 |
|
25,787 |
18,516 |
$1.38M |
| 11042 |
|
6,552 |
2,044 |
$1.30M |
| 80053 |
|
155,065 |
100,881 |
$1.22M |
| 78452 |
|
3,744 |
2,028 |
$1.15M |
| 78815 |
|
2,214 |
1,259 |
$1.12M |
| 99282 |
|
13,880 |
12,439 |
$1.11M |
| 74176 |
|
7,272 |
5,409 |
$1.09M |
| 80050 |
|
39,700 |
32,925 |
$1.05M |
| 71046 |
|
31,044 |
25,102 |
$1.03M |
| 58571 |
|
742 |
465 |
$983K |
| C1776 |
Joint device (implantable) |
336 |
228 |
$923K |
| 95810 |
|
1,351 |
1,268 |
$917K |
| 71045 |
|
34,888 |
21,975 |
$916K |
| 96376 |
|
11,298 |
7,015 |
$892K |
| 85025 |
|
145,709 |
113,962 |
$871K |
| 76705 |
|
7,484 |
6,675 |
$859K |
| G0481 |
Drug test def 8-14 classes |
11,708 |
7,286 |
$804K |
| 97110 |
|
37,225 |
10,975 |
$774K |
| 0241U |
|
6,601 |
6,033 |
$742K |
| 93458 |
|
876 |
412 |
$735K |
| 88305 |
|
25,027 |
16,240 |
$723K |
| 96366 |
|
10,681 |
5,907 |
$704K |
| 87631 |
|
5,334 |
5,054 |
$692K |
| 96360 |
|
12,426 |
9,180 |
$689K |
| 82306 |
|
33,013 |
21,001 |
$675K |
| 64488 |
|
1,741 |
1,295 |
$669K |
| 87635 |
|
16,226 |
14,140 |
$652K |
| U0005 |
Infec agen detec ampli probe |
32,743 |
30,231 |
$651K |
| 80307 |
|
15,195 |
13,124 |
$625K |
| 47562 |
|
598 |
336 |
$603K |
| 87491 |
|
19,651 |
17,962 |
$600K |
| 72125 |
|
3,848 |
3,247 |
$591K |
| 71275 |
|
3,574 |
2,870 |
$570K |
| G0463 |
Hospital outpt clinic visit |
10,360 |
7,717 |
$536K |
| 87591 |
|
18,999 |
17,832 |
$533K |
| 71260 |
|
3,531 |
2,660 |
$524K |
| 36415 |
|
171,707 |
100,493 |
$509K |
| 93017 |
|
3,060 |
2,879 |
$506K |
| J7050 |
Normal saline solution infus |
57,121 |
31,140 |
$503K |
| 96367 |
|
17,217 |
3,397 |
$492K |
| C1769 |
Guide wire |
3,527 |
2,895 |
$485K |
| 0202U |
|
3,780 |
2,880 |
$467K |
| 72148 |
|
3,134 |
2,608 |
$457K |
| 94640 |
|
8,842 |
6,985 |
$433K |
| 70553 |
|
2,905 |
2,248 |
$429K |
| 76770 |
|
2,840 |
2,488 |
$419K |
| 00731 |
|
2,414 |
2,241 |
$415K |
| 71250 |
|
3,608 |
2,552 |
$408K |
| J7030 |
Normal saline solution infus |
40,381 |
31,152 |
$396K |
| 94760 |
|
30,904 |
26,267 |
$392K |
| 87502 |
|
7,521 |
6,529 |
$374K |
| J0131 |
Inj, acetaminophen (nos) |
10,193 |
8,111 |
$372K |
| 82607 |
|
32,631 |
30,004 |
$366K |
| 88342 |
|
7,888 |
6,189 |
$355K |
| 76817 |
|
2,452 |
2,128 |
$352K |
| 74018 |
|
9,370 |
8,277 |
$349K |
| 83735 |
|
58,380 |
40,723 |
$347K |
| 83880 |
|
16,001 |
11,059 |
$342K |
| 76830 |
|
2,977 |
2,629 |
$339K |
| 93971 |
|
2,623 |
2,377 |
$334K |
| 76942 |
|
1,986 |
1,720 |
$332K |
| 88341 |
|
2,930 |
1,584 |
$330K |
| 76642 |
|
2,586 |
2,154 |
$324K |
| 87507 |
|
1,418 |
1,052 |
$324K |
| 80061 |
|
34,305 |
29,667 |
$318K |
| 0240U |
|
3,236 |
2,684 |
$310K |
| J7120 |
Ringers lactate infusion |
26,151 |
20,272 |
$305K |
| 77067 |
|
7,953 |
7,465 |
$302K |
| 87804 |
|
22,216 |
10,571 |
$302K |
| 76536 |
|
2,318 |
2,089 |
$301K |
| 84484 |
|
33,134 |
22,010 |
$293K |
| 70551 |
|
1,654 |
1,427 |
$272K |
| 84443 |
|
21,021 |
17,965 |
$270K |
| 80081 |
|
4,007 |
3,708 |
$267K |
| 70486 |
|
1,539 |
1,359 |
$265K |
| 97140 |
|
15,424 |
5,903 |
$250K |
| 00813 |
|
1,510 |
1,331 |
$249K |
| 72131 |
|
1,752 |
1,331 |
$246K |
| J2785 |
Regadenoson injection |
1,135 |
1,056 |
$240K |
| 72141 |
|
1,622 |
1,329 |
$239K |
| 80048 |
|
35,264 |
26,116 |
$237K |
| 88307 |
|
3,206 |
2,300 |
$235K |
| 95811 |
|
395 |
351 |
$232K |
| 73630 |
|
6,294 |
5,182 |
$230K |
| 88142 |
|
14,008 |
13,231 |
$226K |
| A6021 |
Collagen dressing <=16 sq in |
1,721 |
508 |
$220K |
| J2405 |
Ondansetron hcl injection |
40,168 |
30,774 |
$218K |
| A9500 |
Tc99m sestamibi |
1,414 |
1,278 |
$218K |
| 88304 |
|
5,866 |
4,733 |
$212K |
| J1439 |
Inj ferric carboxymaltos 1mg |
433 |
212 |
$204K |
| 76805 |
|
1,094 |
1,025 |
$204K |
| 83036 |
|
30,080 |
27,964 |
$201K |
| 73721 |
|
1,155 |
990 |
$199K |
| 73030 |
|
6,081 |
4,928 |
$197K |
| 83690 |
|
36,615 |
31,856 |
$195K |
| G0483 |
Drug test def 22+ classes |
2,558 |
1,564 |
$195K |
| 87086 |
|
29,651 |
26,240 |
$192K |
| 87633 |
|
551 |
515 |
$190K |
| J3490 |
Drugs unclassified injection |
10,510 |
4,081 |
$189K |
| G2023 |
Specimen collect covid-19 |
10,426 |
9,466 |
$187K |
| 82728 |
|
19,214 |
13,706 |
$181K |
| 73610 |
|
4,940 |
4,165 |
$181K |
| A9552 |
F18 fdg |
790 |
719 |
$178K |
| 73564 |
|
5,341 |
4,319 |
$176K |
| J1885 |
Ketorolac tromethamine inj |
26,279 |
22,219 |
$173K |
| 78264 |
|
930 |
691 |
$168K |
| 76870 |
|
1,157 |
1,055 |
$168K |
| J2469 |
Palonosetron hcl |
2,175 |
1,155 |
$165K |
| 45380 |
|
1,018 |
821 |
$164K |
| 94060 |
|
2,452 |
1,971 |
$163K |
| J1756 |
Iron sucrose injection |
2,454 |
1,104 |
$162K |
| 73130 |
|
4,465 |
3,561 |
$161K |
| 96417 |
|
2,033 |
1,095 |
$161K |
| 87624 |
|
5,716 |
5,231 |
$159K |
| 97161 |
|
5,362 |
4,434 |
$152K |
| 71271 |
|
1,266 |
1,170 |
$143K |
| 73110 |
|
3,901 |
3,103 |
$140K |
| 93225 |
|
1,295 |
1,213 |
$135K |
| 11043 |
|
358 |
136 |
$132K |
| 76856 |
|
724 |
652 |
$132K |
| 58661 |
|
115 |
103 |
$132K |
| 77080 |
|
2,402 |
1,747 |
$130K |
| J2704 |
Inj, propofol, 10 mg |
23,740 |
19,391 |
$128K |
| A9585 |
Gadobutrol injection |
3,740 |
3,456 |
$127K |
| 82805 |
|
3,616 |
1,814 |
$125K |
| Q0138 |
Ferumoxytol, non-esrd |
200 |
101 |
$124K |
| C1887 |
Catheter, guiding |
1,078 |
581 |
$123K |
| 84439 |
|
17,058 |
15,898 |
$121K |
| J2795 |
Ropivacaine hcl injection |
4,232 |
2,917 |
$120K |
| J7040 |
Normal saline solution infus |
12,278 |
9,283 |
$119K |
| 82948 |
|
24,437 |
10,751 |
$119K |
| 97530 |
|
5,847 |
2,592 |
$118K |
| 72100 |
|
3,723 |
3,076 |
$118K |
| 87522 |
Neg quan hep c or qual rna |
2,207 |
1,533 |
$118K |
| 84703 |
|
19,485 |
17,172 |
$116K |
| 87186 |
|
14,959 |
10,162 |
$115K |
| J0134 |
Inj acetaminophen -fresenius |
5,091 |
4,089 |
$113K |
| C1889 |
Implant/insert device, noc |
208 |
188 |
$112K |
| 93970 |
|
611 |
508 |
$111K |
| 73502 |
|
3,649 |
2,957 |
$109K |
| 97597 |
|
1,317 |
710 |
$109K |
| 72110 |
|
3,285 |
2,814 |
$107K |
| 87661 |
|
4,219 |
4,042 |
$104K |
| 73562 |
|
3,207 |
2,667 |
$104K |
| 86003 |
|
3,616 |
1,665 |
$104K |
| 84403 |
|
4,303 |
3,698 |
$103K |
| C9803 |
Hopd covid-19 spec collect |
19,296 |
13,104 |
$101K |
| 00811 |
|
580 |
544 |
$101K |
| 87077 |
|
16,948 |
13,576 |
$100K |
| 45378 |
|
557 |
405 |
$99K |
| 45385 |
|
492 |
380 |
$99K |
| G0399 |
Home sleep test/type 3 porta |
981 |
940 |
$99K |
| 81001 |
|
39,065 |
33,226 |
$98K |
| J1100 |
Dexamethasone sodium phos |
24,017 |
19,260 |
$96K |
| 87651 |
|
3,430 |
3,099 |
$95K |
| 69436 |
|
308 |
294 |
$94K |
| 95816 |
|
529 |
498 |
$94K |
| J3010 |
Fentanyl citrate injection |
24,282 |
18,099 |
$92K |
| 12001 |
|
1,039 |
950 |
$92K |
| J0330 |
Succinycholine chloride inj |
1,989 |
1,752 |
$92K |
| C1894 |
Intro/sheath, non-laser |
1,313 |
1,076 |
$91K |
| 80074 |
|
2,330 |
1,700 |
$91K |
| 87807 |
|
3,982 |
3,771 |
$91K |
| 87070 |
|
14,370 |
11,802 |
$90K |
| J1170 |
Hydromorphone injection |
14,806 |
9,952 |
$90K |
| 78227 |
|
408 |
350 |
$89K |
| 70496 |
|
633 |
447 |
$89K |
| 84112 |
|
1,306 |
1,127 |
$89K |
| 70498 |
|
513 |
437 |
$88K |
| J1650 |
Inj enoxaparin sodium |
1,774 |
928 |
$88K |
| 93975 |
|
503 |
474 |
$88K |
| 82746 |
|
7,818 |
7,257 |
$87K |
| 86235 |
|
2,155 |
913 |
$87K |
| 82550 |
|
16,167 |
13,878 |
$87K |
| 76815 |
|
662 |
603 |
$86K |
| 84425 |
|
3,208 |
2,150 |
$85K |
| J0897 |
Denosumab injection |
117 |
79 |
$85K |
| 83550 |
|
11,452 |
10,553 |
$83K |
| 90715 |
|
1,907 |
1,758 |
$82K |
| 74022 |
|
2,101 |
1,954 |
$80K |
| 94729 |
|
1,797 |
1,725 |
$79K |
| 99152 |
|
1,371 |
1,208 |
$78K |
| 87634 |
|
3,266 |
3,092 |
$77K |
| J0690 |
Cefazolin sodium injection |
12,862 |
9,006 |
$77K |
| 85610 |
|
25,067 |
20,384 |
$76K |
| 73590 |
|
2,133 |
1,744 |
$75K |
| 83516 |
|
6,376 |
3,554 |
$70K |
| J3475 |
Inj magnesium sulfate |
6,485 |
4,859 |
$70K |
| 86803 |
|
6,123 |
5,524 |
$68K |
| 99211 |
|
2,892 |
2,526 |
$68K |
| 10060 |
|
777 |
670 |
$68K |
| 82150 |
|
13,452 |
12,063 |
$67K |
| 87529 |
|
2,313 |
1,082 |
$65K |
| 83970 |
|
4,369 |
1,520 |
$65K |
| 72040 |
|
2,024 |
1,624 |
$64K |
| 83540 |
|
12,820 |
12,147 |
$64K |
| 83605 |
|
6,937 |
5,003 |
$64K |
| 81025 |
|
10,760 |
9,604 |
$63K |
| Q0162 |
Ondansetron oral |
10,760 |
9,384 |
$61K |
| 87798 |
|
2,564 |
1,614 |
$61K |
| C2617 |
Stent, non-cor, tem w/o del |
270 |
220 |
$60K |
| 77336 |
|
490 |
188 |
$60K |
| 87040 |
|
7,109 |
3,882 |
$59K |
| 0001A |
|
4,928 |
4,344 |
$59K |
| 84145 |
|
2,837 |
2,378 |
$58K |
| 73090 |
|
1,510 |
1,249 |
$58K |
| 72050 |
|
1,787 |
1,427 |
$57K |
| 70491 |
|
316 |
262 |
$57K |
| 86140 |
|
13,276 |
11,100 |
$57K |
| 84702 |
|
4,595 |
3,287 |
$57K |
| J2270 |
Morphine sulfate injection |
12,181 |
9,099 |
$55K |
| J0696 |
Ceftriaxone sodium injection |
7,897 |
6,104 |
$54K |
| 90471 |
|
2,964 |
2,554 |
$54K |
| 77065 |
Tomosynthesis, mammo |
1,600 |
1,286 |
$54K |
| 97116 |
|
3,402 |
1,776 |
$54K |
| J1453 |
Fosaprepitant injection |
241 |
142 |
$53K |
| 97162 |
|
3,027 |
1,492 |
$53K |
| 84146 |
|
2,674 |
2,323 |
$53K |
| 85379 |
|
6,635 |
6,020 |
$53K |
| 93798 |
|
1,507 |
257 |
$52K |
| 42820 |
|
59 |
50 |
$52K |
| 86850 |
|
7,628 |
5,210 |
$51K |
| G0103 |
Psa screening |
8,328 |
3,892 |
$49K |
| 93270 |
|
373 |
357 |
$49K |
| 99281 |
|
1,139 |
1,011 |
$48K |
| J3370 |
Vancomycin hcl injection |
1,829 |
1,150 |
$47K |
| 81003 |
|
24,896 |
22,353 |
$47K |
| 73221 |
|
317 |
253 |
$47K |
| 12011 |
|
466 |
446 |
$46K |
| 76000 |
|
401 |
366 |
$46K |
| G0297 |
Ldct for lung ca screen |
565 |
504 |
$46K |
| 0002A |
|
3,259 |
2,957 |
$45K |
| 77063 |
|
6,304 |
5,247 |
$44K |
| J1644 |
Inj heparin sodium per 1000u |
7,420 |
3,663 |
$44K |
| 82043 |
|
7,693 |
5,909 |
$43K |
| 49083 |
|
206 |
38 |
$41K |
| 85730 |
|
7,266 |
6,193 |
$41K |
| 75574 |
|
233 |
184 |
$40K |
| J2930 |
Methylprednisolone injection |
3,125 |
2,505 |
$39K |
| 80076 |
|
5,043 |
4,274 |
$39K |
| 84270 |
|
2,340 |
2,190 |
$39K |
| J1200 |
Diphenhydramine hcl injectio |
7,076 |
5,635 |
$38K |
| 83001 |
|
2,184 |
2,056 |
$38K |
| 72072 |
|
1,140 |
967 |
$38K |
| 73080 |
|
1,094 |
926 |
$38K |
| 87880 |
|
3,132 |
2,921 |
$37K |
| 29581 |
|
379 |
92 |
$36K |
| 87801 |
|
723 |
673 |
$36K |
| G0390 |
Trauma respons w/hosp criti |
36 |
33 |
$35K |
| 76882 |
|
292 |
256 |
$35K |
| 94727 |
|
1,161 |
1,108 |
$35K |
| 59025 |
|
572 |
362 |
$34K |
| 86703 |
|
2,819 |
2,511 |
$34K |
| 84481 |
|
2,524 |
2,384 |
$33K |
| 64415 |
|
334 |
240 |
$32K |
| J2250 |
Inj midazolam hydrochloride |
17,642 |
14,720 |
$32K |
| 73700 |
|
260 |
177 |
$32K |
| 86039 |
|
3,596 |
3,315 |
$31K |
| 73140 |
|
834 |
732 |
$31K |
| J1630 |
Haloperidol injection |
2,864 |
2,519 |
$31K |
| 88175 |
|
1,434 |
1,392 |
$31K |
| 82378 |
|
2,018 |
986 |
$31K |
| 52332 |
|
25 |
14 |
$29K |
| 83002 |
|
1,627 |
1,486 |
$29K |
| J2370 |
Phenylephrine hcl injection |
3,663 |
3,017 |
$29K |
| 87081 |
|
5,252 |
4,955 |
$29K |
| 87205 |
|
8,473 |
6,825 |
$29K |
| 85027 |
|
6,267 |
4,643 |
$28K |
| 86480 |
|
681 |
504 |
$28K |
| 43235 |
|
77 |
42 |
$28K |
| G0480 |
Drug test def 1-7 classes |
485 |
346 |
$28K |
| 82670 |
|
1,147 |
943 |
$27K |
| M0243 |
Casirivi and imdevi inj |
243 |
219 |
$27K |
| 86787 |
|
1,093 |
999 |
$27K |
| 99218 |
|
736 |
252 |
$27K |
| C9113 |
Inj pantoprazole sodium, via |
3,193 |
2,339 |
$26K |
| 73070 |
|
699 |
556 |
$26K |
| 85652 |
|
11,732 |
10,629 |
$26K |
| 87210 |
|
5,376 |
5,039 |
$26K |
| 86665 |
|
1,515 |
704 |
$26K |
| A9502 |
Tc99m tetrofosmin |
441 |
421 |
$25K |
| 95819 |
|
153 |
137 |
$25K |
| 86769 |
|
991 |
389 |
$25K |
| 80299 |
|
1,617 |
1,333 |
$25K |
| 84681 |
|
1,200 |
1,012 |
$25K |
| 76700 |
|
126 |
119 |
$25K |
| 73560 |
|
771 |
602 |
$24K |
| 82570 |
|
5,702 |
5,065 |
$24K |
| 87184 |
|
3,630 |
3,052 |
$24K |
| G1004 |
Cdsm ndsc |
4,521 |
1,199 |
$23K |
| 96415 |
|
341 |
202 |
$23K |
| 86376 |
|
1,674 |
1,447 |
$23K |
| 97535 |
|
1,504 |
853 |
$23K |
| 82565 |
|
3,394 |
2,434 |
$23K |
| J2550 |
Promethazine hcl injection |
4,185 |
3,428 |
$22K |
| 82784 |
|
4,258 |
3,041 |
$22K |
| J2360 |
Orphenadrine injection |
1,065 |
995 |
$22K |
| 99153 |
Mod sedat endo service >5yrs |
276 |
242 |
$21K |
| 86901 |
|
6,457 |
5,522 |
$20K |
| 87449 |
|
1,813 |
1,467 |
$20K |
| A9541 |
Tc99m sulfur colloid |
428 |
409 |
$20K |
| 83525 |
|
1,410 |
1,226 |
$19K |
| 86300 |
|
1,360 |
646 |
$19K |
| 44970 |
|
12 |
12 |
$19K |
| 76801 |
|
88 |
85 |
$19K |
| 88302 |
|
613 |
426 |
$19K |
| 80164 |
|
1,422 |
1,002 |
$19K |
| 86900 |
|
6,586 |
5,481 |
$19K |
| 82533 |
|
1,333 |
1,020 |
$18K |
| 87486 |
|
574 |
518 |
$18K |
| 96411 |
|
210 |
90 |
$17K |
| 77066 |
Tomosynthesis, mammo |
427 |
362 |
$17K |
| 71101 |
|
548 |
420 |
$17K |
| 87340 |
|
988 |
844 |
$17K |
| 87581 |
|
551 |
515 |
$17K |
| 72170 |
|
525 |
436 |
$16K |
| 83883 |
|
1,418 |
875 |
$16K |
| 93880 |
|
137 |
107 |
$16K |
| 80069 |
|
3,841 |
1,780 |
$16K |
| 97014 |
|
620 |
308 |
$16K |
| 74246 |
|
231 |
215 |
$16K |
| 87902 |
|
84 |
55 |
$16K |
| J0171 |
Adrenalin epinephrine inject |
946 |
804 |
$16K |
| 94726 |
|
349 |
340 |
$15K |
| J2765 |
Metoclopramide hcl injection |
2,644 |
2,204 |
$15K |
| A9537 |
Tc99m mebrofenin |
402 |
373 |
$15K |
| 92650 |
|
658 |
644 |
$15K |
| C1729 |
Cath, drainage |
162 |
107 |
$15K |
| 82248 |
|
3,687 |
2,286 |
$15K |
| 82247 |
|
2,989 |
1,634 |
$15K |
| 84156 |
|
4,460 |
3,754 |
$15K |
| 86592 |
|
3,461 |
3,198 |
$15K |
| 86677 |
|
1,197 |
1,044 |
$14K |
| J0360 |
Hydralazine hcl injection |
416 |
289 |
$14K |
| J2805 |
Sincalide injection |
130 |
123 |
$14K |
| 97166 |
|
623 |
472 |
$14K |
| 97802 |
|
806 |
771 |
$14K |
| 73552 |
|
419 |
337 |
$14K |
| J0780 |
Prochlorperazine injection |
1,095 |
975 |
$14K |
| 64721 |
|
27 |
24 |
$13K |
| J7042 |
5% dextrose/normal saline |
1,954 |
1,225 |
$13K |
| 82785 |
|
1,082 |
907 |
$13K |
| 86708 |
|
931 |
781 |
$12K |
| M0245 |
Bamlan and etesev infusion |
83 |
72 |
$12K |
| J7060 |
5% dextrose/water |
1,560 |
721 |
$12K |
| 86008 |
|
1,011 |
921 |
$12K |
| 87324 |
|
1,459 |
1,328 |
$12K |
| 86664 |
|
723 |
683 |
$12K |
| 72020 |
|
450 |
330 |
$12K |
| 90791 |
|
169 |
109 |
$11K |
| 83615 |
|
2,241 |
1,891 |
$11K |
| 82575 |
|
1,293 |
1,102 |
$11K |
| 82977 |
|
1,427 |
1,108 |
$11K |
| J0592 |
Buprenorphine hydrochloride |
421 |
377 |
$11K |
| 84550 |
|
3,074 |
2,822 |
$11K |
| 84153 |
|
946 |
734 |
$11K |
| J7510 |
Prednisolone oral per 5 mg |
738 |
649 |
$11K |
| Q9957 |
Inj perflutren lip micros,ml |
168 |
160 |
$11K |
| C1725 |
Cath, translumin non-laser |
15 |
13 |
$11K |
| 84100 |
|
2,921 |
2,171 |
$10K |
| 72128 |
|
63 |
49 |
$10K |
| 84144 |
|
392 |
334 |
$10K |
| J3480 |
Inj potassium chloride |
1,520 |
948 |
$10K |
| 86923 |
|
831 |
250 |
$10K |
| 12002 |
|
109 |
93 |
$10K |
| J2060 |
Lorazepam injection |
2,947 |
2,391 |
$10K |
| 86757 |
|
494 |
224 |
$10K |
| 77300 |
|
33 |
24 |
$10K |
| 93242 |
|
872 |
843 |
$9K |
| 73060 |
|
261 |
233 |
$9K |
| 86334 |
|
350 |
118 |
$9K |
| J1940 |
Furosemide injection |
836 |
576 |
$9K |
| 83655 |
|
846 |
800 |
$9K |
| 0003A |
|
707 |
674 |
$9K |
| 87625 |
|
375 |
330 |
$8K |
| 83013 |
|
157 |
136 |
$8K |
| 82140 |
|
708 |
506 |
$8K |
| 72070 |
|
235 |
208 |
$8K |
| 84165 |
|
869 |
779 |
$8K |
| 81220 |
|
70 |
67 |
$7K |
| J2710 |
Neostigmine methylslfte inj |
162 |
143 |
$7K |
| 83721 |
|
1,256 |
896 |
$7K |
| J1805 |
Inj, esmolol hcl, 10mg |
313 |
266 |
$7K |
| J8540 |
Oral dexamethasone |
1,146 |
1,060 |
$7K |
| 86696 |
|
475 |
428 |
$7K |
| P9612 |
Catheterize for urine spec |
1,637 |
897 |
$7K |
| 80047 |
|
399 |
248 |
$7K |
| 82553 |
|
788 |
702 |
$7K |
| 93922 |
|
82 |
63 |
$7K |
| 72081 |
|
173 |
162 |
$7K |
| C1724 |
Cath, trans atherec,rotation |
17 |
15 |
$7K |
| 84436 |
|
1,280 |
1,213 |
$7K |
| 86663 |
|
636 |
597 |
$7K |
| 98960 |
|
226 |
202 |
$7K |
| J2543 |
Piperacillin/tazobactam |
728 |
322 |
$7K |
| 84132 |
|
1,590 |
1,085 |
$6K |
| C1758 |
Catheter, ureteral |
146 |
107 |
$6K |
| 86430 |
|
1,316 |
1,258 |
$6K |
| 82731 |
|
105 |
96 |
$6K |
| 84630 |
|
370 |
350 |
$6K |
| 90686 |
|
256 |
220 |
$6K |
| 93351 |
|
22 |
14 |
$6K |
| 74420 |
|
47 |
31 |
$6K |
| 95812 |
|
32 |
28 |
$6K |
| 82270 |
|
2,150 |
1,584 |
$6K |
| 83630 |
|
474 |
345 |
$6K |
| 82105 |
|
329 |
255 |
$6K |
| 88300 |
|
341 |
295 |
$6K |
| J1642 |
Inj heparin sodium per 10 u |
5,307 |
2,516 |
$6K |
| 88738 |
|
587 |
562 |
$6K |
| 88312 |
|
182 |
129 |
$6K |
| J0136 |
Inj, acetaminophen (b braun) |
204 |
163 |
$6K |
| 86618 |
|
375 |
357 |
$5K |
| 86308 |
|
1,347 |
1,285 |
$5K |
| 43259 |
|
30 |
13 |
$5K |
| 0097U |
|
15 |
14 |
$5K |
| 81511 |
|
75 |
68 |
$5K |
| 36430 |
|
63 |
38 |
$5K |
| 36592 |
|
288 |
216 |
$5K |
| 86200 |
|
451 |
359 |
$5K |
| 82627 |
|
271 |
247 |
$5K |
| 83520 |
|
474 |
419 |
$5K |
| 74178 |
|
33 |
24 |
$5K |
| 86431 |
|
820 |
610 |
$5K |
| 76819 |
|
28 |
25 |
$5K |
| M0247 |
Sotrovimab infusion |
28 |
24 |
$5K |
| 87045 |
|
289 |
253 |
$5K |
| 0011A |
|
690 |
631 |
$5K |
| 74221 |
|
100 |
90 |
$5K |
| 88365 |
|
126 |
98 |
$5K |
| 86695 |
|
443 |
424 |
$5K |
| 82950 |
|
1,369 |
1,313 |
$5K |
| 86706 |
|
379 |
357 |
$5K |
| 97803 |
|
384 |
317 |
$4K |
| U0002 |
Covid-19 lab test non-cdc |
827 |
669 |
$4K |
| 84480 |
|
377 |
342 |
$4K |
| 84446 |
|
298 |
291 |
$4K |
| 76816 |
|
29 |
29 |
$4K |
| 84590 |
|
213 |
208 |
$4K |
| 87426 |
|
366 |
194 |
$4K |
| 0004A |
|
305 |
298 |
$4K |
| 83498 |
|
112 |
91 |
$4K |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
593 |
514 |
$4K |
| 82024 |
|
135 |
106 |
$3K |
| 76937 |
|
15 |
12 |
$3K |
| G0424 |
Pulmonary rehab w exer |
119 |
28 |
$3K |
| A4648 |
Implantable tissue marker |
17 |
12 |
$3K |
| M0239 |
Bamlanivimab-xxxx infusion |
34 |
27 |
$3K |
| 74230 |
|
50 |
48 |
$3K |
| J1580 |
Garamycin gentamicin inj |
595 |
505 |
$3K |
| 93016 |
|
189 |
180 |
$3K |
| 87177 |
|
184 |
179 |
$3K |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
302 |
257 |
$3K |
| 84402 |
|
118 |
106 |
$3K |
| J3411 |
Thiamine hcl 100 mg |
431 |
285 |
$3K |
| 97165 |
|
218 |
117 |
$3K |
| 84460 |
|
857 |
814 |
$3K |
| J2175 |
Meperidine hydrochl /100 mg |
953 |
806 |
$3K |
| 97112 |
|
177 |
82 |
$3K |
| 95813 |
|
16 |
12 |
$3K |
| J9045 |
Carboplatin injection |
44 |
25 |
$3K |
| 92611 |
|
40 |
36 |
$3K |
| G0482 |
Drug test def 15-21 classes |
51 |
51 |
$3K |
| 29125 |
|
72 |
65 |
$3K |
| J2919 |
Inj, methylpred sod succ 5mg |
333 |
260 |
$3K |
| 0012A |
|
367 |
348 |
$3K |
| 74183 |
|
28 |
12 |
$3K |
| 64447 |
|
28 |
25 |
$2K |
| 84520 |
|
704 |
640 |
$2K |
| 87046 |
|
275 |
241 |
$2K |
| 84450 |
|
763 |
719 |
$2K |
| P9016 |
Rbc leukocytes reduced |
35 |
12 |
$2K |
| 82010 |
|
388 |
276 |
$2K |
| 88360 |
|
42 |
27 |
$2K |
| 86800 |
|
165 |
101 |
$2K |
| 82947 |
|
1,091 |
799 |
$2K |
| 93923 |
|
14 |
12 |
$2K |
| 82365 |
|
133 |
113 |
$2K |
| 0071A |
|
136 |
134 |
$2K |
| J7512 |
Prednisone ir or dr oral 1mg |
1,342 |
1,051 |
$2K |
| 01922 |
|
13 |
12 |
$2K |
| G0283 |
Elec stim other than wound |
114 |
46 |
$2K |
| 77075 |
|
16 |
15 |
$2K |
| 91200 |
|
29 |
24 |
$2K |
| 85018 |
|
908 |
677 |
$2K |
| 64450 |
|
13 |
12 |
$2K |
| 70360 |
|
42 |
40 |
$2K |
| 0124A |
|
180 |
168 |
$2K |
| 86225 |
|
96 |
92 |
$2K |
| 92582 |
|
49 |
49 |
$2K |
| G0328 |
Fecal blood scrn immunoassay |
121 |
113 |
$2K |
| 92586 |
|
65 |
59 |
$2K |
| 86704 |
|
151 |
148 |
$2K |
| 83010 |
|
69 |
61 |
$2K |
| 92557 |
|
56 |
55 |
$2K |
| 0013A |
|
110 |
110 |
$1K |
| J2371 |
Inj phenylephrine hcl 20 mcg |
952 |
816 |
$1K |
| 86255 |
|
72 |
67 |
$1K |
| J0137 |
Inj, acetaminophen (hikma) |
51 |
42 |
$1K |
| J1956 |
Levofloxacin injection |
77 |
61 |
$1K |
| 77061 |
|
146 |
135 |
$1K |
| 88112 |
|
34 |
28 |
$1K |
| 85014 |
|
758 |
544 |
$1K |
| 80177 |
|
131 |
112 |
$1K |
| 83921 |
|
69 |
52 |
$1K |
| 82310 |
|
56 |
26 |
$1K |
| 99213 |
|
15 |
14 |
$1K |
| 86160 |
|
109 |
51 |
$1K |
| 87521 |
Neg quan hep c or qual rna |
30 |
27 |
$1K |
| 3044F |
|
9,573 |
9,069 |
$1K |
| 80178 |
|
103 |
76 |
$1K |
| 0072A |
|
78 |
77 |
$1K |
| 82172 |
|
32 |
31 |
$1K |
| 83993 |
|
63 |
60 |
$1K |
| J2470 |
Inj pantoprazole sodium 40mg |
232 |
181 |
$935.49 |
| J1953 |
Levetiracetam injection |
16 |
14 |
$930.09 |
| 83090 |
|
36 |
33 |
$866.12 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
204 |
150 |
$854.36 |
| 97164 |
|
60 |
51 |
$834.60 |
| 0054A |
|
84 |
76 |
$820.98 |
| 73522 |
|
30 |
25 |
$809.73 |
| 96368 |
|
34 |
24 |
$757.35 |
| 82239 |
|
32 |
24 |
$724.93 |
| A9270 |
Non-covered item or service |
4,296 |
509 |
$709.41 |
| 82103 |
|
61 |
60 |
$699.66 |
| Q9961 |
Hocm 250-299mg/ml iodine,1ml |
88 |
82 |
$687.85 |
| 29515 |
|
18 |
15 |
$683.30 |
| J1643 |
Inj heparin, pfizer, 1000u |
142 |
112 |
$680.45 |
| 97168 |
|
28 |
27 |
$662.62 |
| 81050 |
|
261 |
233 |
$659.82 |
| 88173 |
|
15 |
13 |
$651.52 |
| J0737 |
Inj, clindamycin (baxter) |
35 |
26 |
$642.13 |
| J3486 |
Ziprasidone mesylate |
14 |
12 |
$640.42 |
| 89051 |
|
154 |
130 |
$630.75 |
| 83789 |
|
16 |
16 |
$599.15 |
| 90714 |
|
12 |
12 |
$597.51 |
| J2272 |
Inj, morphine (fresenius) |
184 |
172 |
$584.06 |
| 73100 |
|
16 |
12 |
$565.94 |
| 0064A |
|
46 |
46 |
$552.62 |
| 87641 |
|
14 |
13 |
$543.85 |
| 84305 |
|
12 |
12 |
$541.22 |
| 88364 |
|
19 |
12 |
$505.32 |
| 86304 |
|
14 |
12 |
$449.70 |
| 73660 |
|
13 |
12 |
$448.32 |
| 73000 |
|
12 |
12 |
$430.08 |
| 81005 |
|
159 |
118 |
$414.37 |
| 81002 |
|
159 |
129 |
$390.23 |
| 84207 |
|
16 |
16 |
$376.50 |
| J1920 |
Inj, labetalol hcl, 5mg |
46 |
39 |
$372.63 |
| 0031A |
|
26 |
26 |
$361.71 |
| J0702 |
Betamethasone acet&sod phosp |
19 |
12 |
$339.02 |
| 85347 |
|
22 |
15 |
$335.55 |
| 77062 |
|
29 |
28 |
$329.61 |
| 84134 |
|
17 |
15 |
$321.53 |
| 0052A |
|
16 |
15 |
$318.98 |
| 84155 |
|
146 |
141 |
$313.88 |
| 84160 |
|
31 |
29 |
$287.54 |
| 82525 |
|
22 |
13 |
$273.07 |
| 88311 |
|
20 |
16 |
$262.69 |
| 51798 |
|
12 |
12 |
$254.78 |
| 36600 |
|
16 |
14 |
$250.62 |
| 86674 |
|
13 |
13 |
$216.05 |
| 85660 |
|
39 |
34 |
$196.43 |
| 86705 |
|
14 |
13 |
$177.37 |
| 85045 |
|
59 |
52 |
$174.03 |
| G0279 |
Tomosynthesis, mammo |
27 |
13 |
$151.14 |
| 84157 |
|
42 |
40 |
$134.96 |
| 91320 |
|
21 |
12 |
$110.88 |
| 84300 |
|
13 |
12 |
$104.45 |
| G8978 |
Mobility current status |
58 |
12 |
$96.71 |
| G2063 |
Qual nonmd est pt 21>min |
24 |
13 |
$95.82 |
| 85049 |
|
16 |
12 |
$95.21 |
| J3105 |
Terbutaline sulfate inj |
27 |
27 |
$65.88 |
| 3045F |
|
1,207 |
1,146 |
$52.05 |
| 99499 |
|
67 |
62 |
$39.10 |
| 3046F |
|
1,294 |
1,217 |
$17.46 |
| 3051F |
|
545 |
518 |
$0.02 |
| 3052F |
|
302 |
280 |
$0.00 |