| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpt clinic visit |
501,201 |
350,864 |
$14.03M |
| 99284 |
|
47,955 |
41,141 |
$8.88M |
| 74177 |
|
16,484 |
12,080 |
$8.64M |
| 99285 |
|
36,278 |
23,382 |
$7.90M |
| 0202U |
|
18,745 |
15,833 |
$5.53M |
| 74176 |
|
13,722 |
9,663 |
$5.39M |
| 99283 |
|
41,834 |
36,641 |
$5.24M |
| 93306 |
|
11,722 |
9,975 |
$3.49M |
| 70450 |
|
15,765 |
11,543 |
$2.93M |
| G0378 |
Hospital observation per hr |
18,308 |
13,334 |
$2.80M |
| 99212 |
|
69,456 |
52,772 |
$2.78M |
| 96372 |
|
69,576 |
29,866 |
$2.71M |
| 71275 |
|
6,080 |
4,631 |
$2.69M |
| 70553 |
|
6,548 |
4,882 |
$2.34M |
| 96374 |
|
43,093 |
27,618 |
$2.21M |
| 96365 |
|
31,569 |
14,219 |
$2.10M |
| 59025 |
|
9,383 |
4,901 |
$1.96M |
| 20610 |
|
13,455 |
8,556 |
$1.90M |
| 87633 |
|
5,028 |
4,451 |
$1.75M |
| 41899 |
|
2,268 |
1,855 |
$1.74M |
| 74178 |
|
2,861 |
2,078 |
$1.69M |
| 43239 |
|
6,927 |
4,965 |
$1.69M |
| 72148 |
|
4,888 |
4,368 |
$1.67M |
| 87502 |
|
19,320 |
17,325 |
$1.66M |
| 93005 |
|
57,321 |
45,755 |
$1.56M |
| 78452 |
|
3,848 |
2,770 |
$1.55M |
| 96375 |
|
42,619 |
23,323 |
$1.46M |
| 96361 |
|
42,960 |
23,524 |
$1.40M |
| 80053 |
|
115,210 |
84,206 |
$1.37M |
| 71045 |
|
40,253 |
26,417 |
$1.36M |
| 36415 |
|
349,059 |
162,192 |
$1.31M |
| 96376 |
|
26,855 |
9,561 |
$1.30M |
| 72131 |
|
6,347 |
5,069 |
$1.30M |
| 99282 |
|
13,094 |
11,632 |
$1.27M |
| 47562 |
|
1,208 |
936 |
$1.23M |
| 93017 |
|
3,911 |
3,489 |
$1.23M |
| 71046 |
|
18,952 |
15,105 |
$1.12M |
| 92507 |
|
25,426 |
7,761 |
$1.11M |
| 97530 |
|
26,356 |
8,183 |
$1.10M |
| J7030 |
Normal saline solution infus |
48,600 |
28,105 |
$1.05M |
| U0002 |
Covid-19 lab test non-cdc |
24,559 |
21,113 |
$1.03M |
| 72125 |
|
5,845 |
4,792 |
$1.01M |
| 73721 |
|
2,478 |
2,223 |
$1.01M |
| 11042 |
|
9,957 |
5,296 |
$984K |
| 85025 |
|
136,334 |
104,123 |
$926K |
| 80307 |
|
17,981 |
14,922 |
$921K |
| J2785 |
Regadenoson injection |
2,670 |
2,347 |
$916K |
| 71250 |
|
6,387 |
4,753 |
$908K |
| G0480 |
Drug test def 1-7 classes |
11,122 |
8,776 |
$865K |
| 72141 |
|
2,763 |
2,278 |
$865K |
| 96360 |
|
17,065 |
9,932 |
$856K |
| 73630 |
|
12,012 |
9,653 |
$837K |
| J0131 |
Inj, acetaminophen (nos) |
17,897 |
13,475 |
$833K |
| 76817 |
|
6,879 |
5,240 |
$825K |
| 78815 |
|
1,401 |
1,090 |
$785K |
| 45378 |
|
2,131 |
1,715 |
$775K |
| 96413 |
|
7,139 |
2,871 |
$770K |
| 76830 |
|
6,142 |
5,264 |
$755K |
| 97110 |
|
22,033 |
5,305 |
$726K |
| 42820 |
|
1,117 |
1,072 |
$718K |
| 69436 |
|
1,123 |
1,012 |
$680K |
| 93971 |
|
3,502 |
3,010 |
$658K |
| 73610 |
|
8,378 |
6,682 |
$656K |
| 84443 |
|
46,095 |
41,660 |
$655K |
| 72128 |
|
3,909 |
3,171 |
$654K |
| 73560 |
|
10,580 |
7,448 |
$642K |
| 87635 |
|
12,722 |
10,681 |
$632K |
| 76770 |
|
3,036 |
2,555 |
$628K |
| 93454 |
|
834 |
331 |
$602K |
| 73030 |
|
8,487 |
6,376 |
$585K |
| 87651 |
|
18,267 |
16,772 |
$581K |
| 73221 |
|
1,492 |
1,304 |
$567K |
| A9552 |
F18 fdg |
2,406 |
1,631 |
$561K |
| 88305 |
|
9,890 |
8,066 |
$558K |
| 93225 |
|
2,201 |
1,913 |
$537K |
| 71260 |
|
3,007 |
1,884 |
$533K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
2,583 |
1,843 |
$530K |
| 94640 |
|
16,616 |
7,708 |
$525K |
| 73130 |
|
7,061 |
5,793 |
$524K |
| 99213 |
|
12,161 |
10,895 |
$520K |
| 93970 |
|
2,655 |
2,331 |
$502K |
| 0241U |
|
5,973 |
3,929 |
$485K |
| 76536 |
|
4,624 |
4,225 |
$480K |
| 81220 |
|
1,869 |
1,648 |
$478K |
| 94760 |
|
87,777 |
72,935 |
$466K |
| 70486 |
|
1,996 |
1,650 |
$460K |
| 99291 |
|
1,420 |
996 |
$453K |
| J1439 |
Inj ferric carboxymaltos 1mg |
564 |
336 |
$446K |
| 87798 |
|
8,842 |
7,851 |
$441K |
| 82306 |
|
18,942 |
17,227 |
$440K |
| 76705 |
|
5,516 |
4,871 |
$437K |
| 71270 |
|
1,957 |
1,062 |
$437K |
| 73562 |
|
5,336 |
4,448 |
$418K |
| 99281 |
|
6,954 |
6,272 |
$405K |
| 45380 |
|
1,163 |
871 |
$399K |
| 45385 |
|
1,020 |
706 |
$399K |
| 80048 |
|
50,653 |
36,878 |
$399K |
| 70551 |
|
1,076 |
915 |
$380K |
| 76805 |
|
4,411 |
3,858 |
$373K |
| 80061 |
|
33,274 |
27,615 |
$361K |
| J7120 |
Ringers lactate infusion |
30,961 |
23,068 |
$346K |
| 84484 |
|
28,142 |
19,409 |
$339K |
| 73110 |
|
5,217 |
4,010 |
$338K |
| 96366 |
|
8,564 |
3,529 |
$325K |
| 70498 |
|
1,019 |
757 |
$322K |
| 94726 |
|
2,035 |
1,747 |
$298K |
| Q0091 |
Obtaining screen pap smear |
7,684 |
7,069 |
$293K |
| Q9957 |
Inj perflutren lip micros,ml |
987 |
854 |
$287K |
| 82607 |
|
22,009 |
20,179 |
$282K |
| J7050 |
Normal saline solution infus |
19,345 |
8,597 |
$274K |
| C1776 |
Joint device (implantable) |
434 |
263 |
$274K |
| 72100 |
|
4,346 |
3,763 |
$271K |
| 70496 |
|
906 |
650 |
$265K |
| 87902 |
|
1,305 |
1,066 |
$265K |
| 83880 |
|
9,725 |
6,956 |
$246K |
| 70492 |
|
639 |
465 |
$245K |
| 66984 |
|
1,314 |
471 |
$243K |
| 87086 |
|
32,888 |
27,315 |
$242K |
| 76816 |
|
9,753 |
8,437 |
$239K |
| 87581 |
|
7,361 |
6,605 |
$237K |
| 87486 |
|
7,663 |
6,659 |
$223K |
| 93922 |
|
1,643 |
1,311 |
$222K |
| 93226 |
|
1,677 |
1,538 |
$222K |
| J1453 |
Fosaprepitant injection |
1,616 |
905 |
$220K |
| 85027 |
|
40,547 |
28,854 |
$220K |
| 83036 |
|
27,940 |
25,118 |
$218K |
| 80074 |
|
6,761 |
6,071 |
$215K |
| 76700 |
|
2,989 |
2,716 |
$214K |
| 97112 |
|
5,285 |
1,672 |
$214K |
| A9500 |
Tc99m sestamibi |
2,953 |
2,625 |
$209K |
| J2930 |
Methylprednisolone injection |
10,096 |
7,980 |
$208K |
| 88304 |
|
4,455 |
3,822 |
$207K |
| 86235 |
|
3,828 |
2,981 |
$200K |
| J2704 |
Inj, propofol, 10 mg |
23,644 |
19,695 |
$194K |
| 90471 |
|
17,707 |
16,585 |
$188K |
| 73590 |
|
3,034 |
2,393 |
$186K |
| 95811 |
|
440 |
403 |
$186K |
| 81001 |
|
59,254 |
49,598 |
$183K |
| J2543 |
Piperacillin/tazobactam |
5,636 |
1,799 |
$179K |
| 96415 |
|
1,295 |
840 |
$177K |
| 73700 |
|
1,177 |
857 |
$177K |
| 72170 |
|
3,419 |
2,538 |
$175K |
| J3490 |
Drugs unclassified injection |
9,649 |
4,642 |
$167K |
| J1170 |
Hydromorphone injection |
12,641 |
7,439 |
$167K |
| 74183 |
|
568 |
419 |
$167K |
| 74018 |
|
2,960 |
2,544 |
$165K |
| 10060 |
|
1,023 |
876 |
$164K |
| 77067 |
|
6,081 |
5,886 |
$160K |
| G0101 |
Ca screen;pelvic/breast exam |
7,009 |
6,613 |
$159K |
| 84145 |
|
8,387 |
6,289 |
$157K |
| G0283 |
Elec stim other than wound |
5,766 |
1,501 |
$156K |
| 97153 |
|
3,923 |
333 |
$155K |
| 73090 |
|
2,438 |
1,919 |
$152K |
| 83605 |
|
16,811 |
12,300 |
$152K |
| 84702 |
|
11,204 |
8,308 |
$151K |
| 76815 |
|
3,034 |
2,449 |
$148K |
| 76942 |
|
2,586 |
2,016 |
$147K |
| 93880 |
|
2,409 |
1,976 |
$146K |
| 87522 |
Neg quan hep c or qual rna |
3,624 |
3,320 |
$146K |
| 87591 |
|
4,827 |
4,464 |
$145K |
| 87491 |
|
4,884 |
4,468 |
$144K |
| 83690 |
|
22,365 |
18,804 |
$144K |
| 73080 |
|
1,892 |
1,573 |
$141K |
| 87389 |
|
7,019 |
6,359 |
$141K |
| 72070 |
|
1,831 |
1,465 |
$138K |
| 81420 |
|
241 |
218 |
$137K |
| 52000 |
|
766 |
584 |
$136K |
| 82652 |
|
4,632 |
4,244 |
$134K |
| 80047 |
|
11,566 |
9,964 |
$132K |
| 72040 |
|
2,216 |
1,801 |
$131K |
| 83516 |
|
4,152 |
3,286 |
$128K |
| 87507 |
|
477 |
418 |
$126K |
| 92014 |
|
4,568 |
3,994 |
$125K |
| J3370 |
Vancomycin hcl injection |
6,378 |
2,598 |
$124K |
| 82805 |
|
2,303 |
1,824 |
$123K |
| 95810 |
|
269 |
246 |
$122K |
| J3010 |
Fentanyl citrate injection |
27,666 |
21,171 |
$121K |
| C1769 |
Guide wire |
4,207 |
3,247 |
$119K |
| 11045 |
|
374 |
224 |
$117K |
| 77080 |
|
1,231 |
951 |
$115K |
| 96367 |
|
10,299 |
2,707 |
$114K |
| 72158 |
|
262 |
212 |
$114K |
| 77066 |
Tomosynthesis, mammo |
2,303 |
1,848 |
$114K |
| 77386 |
|
604 |
43 |
$109K |
| 84703 |
|
16,000 |
13,951 |
$109K |
| J2270 |
Morphine sulfate injection |
12,229 |
7,245 |
$107K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
28,413 |
23,884 |
$107K |
| 82962 |
|
16,154 |
6,785 |
$106K |
| 83735 |
|
19,609 |
12,259 |
$106K |
| J3380 |
Inj vedolizumab iv 1 mg |
26 |
25 |
$105K |
| 72146 |
|
348 |
288 |
$105K |
| 94729 |
|
1,897 |
1,706 |
$103K |
| 84439 |
|
12,921 |
11,769 |
$102K |
| 36592 |
|
6,607 |
1,905 |
$102K |
| 80081 |
|
1,702 |
1,547 |
$100K |
| 36600 |
|
3,699 |
2,609 |
$100K |
| J7298 |
Mirena, 52 mg |
267 |
254 |
$98K |
| J1030 |
Methylprednisolone 40 mg inj |
4,791 |
4,358 |
$98K |
| 84144 |
|
5,122 |
4,345 |
$98K |
| 73502 |
|
6,986 |
4,981 |
$98K |
| 78227 |
|
327 |
273 |
$97K |
| 64415 |
|
662 |
415 |
$97K |
| 87040 |
|
7,732 |
5,148 |
$96K |
| 11043 |
|
753 |
461 |
$94K |
| 82728 |
|
8,078 |
7,080 |
$94K |
| 64447 |
|
813 |
557 |
$94K |
| 83520 |
|
4,229 |
3,408 |
$94K |
| J1644 |
Inj heparin sodium per 1000u |
15,228 |
5,235 |
$93K |
| 87077 |
|
13,160 |
9,332 |
$92K |
| 82746 |
|
7,447 |
6,791 |
$92K |
| J7040 |
Normal saline solution infus |
4,239 |
2,786 |
$91K |
| 76642 |
|
2,251 |
1,990 |
$90K |
| 86850 |
|
9,114 |
7,556 |
$90K |
| J1100 |
Dexamethasone sodium phos |
24,657 |
20,176 |
$90K |
| 77336 |
|
1,236 |
310 |
$89K |
| 94010 |
|
1,957 |
1,372 |
$88K |
| 77063 |
|
6,106 |
5,164 |
$88K |
| 85610 |
|
22,420 |
16,467 |
$87K |
| 86140 |
|
19,226 |
15,666 |
$85K |
| J1885 |
Ketorolac tromethamine inj |
28,819 |
21,685 |
$84K |
| 84403 |
|
3,806 |
3,503 |
$83K |
| 97140 |
|
2,157 |
632 |
$83K |
| J0690 |
Cefazolin sodium injection |
12,121 |
7,781 |
$83K |
| 95816 |
|
981 |
889 |
$82K |
| J2795 |
Ropivacaine hcl injection |
3,568 |
2,348 |
$82K |
| 0002A |
|
4,992 |
4,834 |
$81K |
| 80050 |
|
2,316 |
1,742 |
$80K |
| 69210 |
|
1,836 |
1,395 |
$80K |
| 97162 |
|
5,072 |
2,910 |
$79K |
| 93458 |
|
37 |
27 |
$79K |
| 73100 |
|
1,333 |
1,042 |
$77K |
| 83970 |
|
2,454 |
2,156 |
$77K |
| 84425 |
|
4,241 |
3,874 |
$75K |
| 83540 |
|
13,878 |
11,582 |
$75K |
| J1756 |
Iron sucrose injection |
477 |
174 |
$75K |
| J2405 |
Ondansetron hcl injection |
42,210 |
30,896 |
$75K |
| J0330 |
Succinycholine chloride inj |
2,663 |
2,239 |
$74K |
| 87070 |
|
8,011 |
4,948 |
$74K |
| 80076 |
|
9,940 |
8,507 |
$73K |
| 97597 |
|
1,416 |
992 |
$73K |
| 87186 |
|
9,445 |
7,939 |
$73K |
| 95909 |
|
822 |
753 |
$72K |
| 81025 |
|
9,505 |
8,348 |
$72K |
| 29125 |
|
886 |
786 |
$72K |
| 86038 |
|
6,959 |
6,250 |
$71K |
| 99218 |
|
548 |
399 |
$71K |
| 81003 |
|
22,942 |
16,446 |
$71K |
| 97803 |
|
4,836 |
4,228 |
$71K |
| 76856 |
|
535 |
496 |
$70K |
| J2250 |
Inj midazolam hydrochloride |
28,450 |
20,767 |
$70K |
| G0379 |
Direct refer hospital observ |
1,769 |
1,258 |
$70K |
| 87430 |
|
4,564 |
4,262 |
$68K |
| 51702 |
|
1,498 |
919 |
$68K |
| 87634 |
|
1,095 |
1,035 |
$67K |
| 94060 |
|
859 |
533 |
$67K |
| 82105 |
|
4,024 |
3,643 |
$67K |
| 78306 |
|
479 |
239 |
$66K |
| 92012 |
|
2,806 |
2,178 |
$65K |
| 85730 |
|
13,336 |
9,796 |
$62K |
| 88342 |
|
1,412 |
1,105 |
$61K |
| J0696 |
Ceftriaxone sodium injection |
12,413 |
8,020 |
$61K |
| 76000 |
|
1,163 |
810 |
$61K |
| A9579 |
Gad-base mr contrast nos,1ml |
7,317 |
6,346 |
$61K |
| M0243 |
Casirivi and imdevi inj |
403 |
373 |
$60K |
| 78264 |
|
255 |
202 |
$58K |
| 97010 |
|
3,375 |
919 |
$58K |
| J1650 |
Inj enoxaparin sodium |
5,420 |
2,081 |
$57K |
| 84207 |
|
2,392 |
2,162 |
$57K |
| 0001A |
|
5,142 |
4,927 |
$57K |
| 93923 |
|
602 |
474 |
$55K |
| 31575 |
|
1,184 |
932 |
$54K |
| 86160 |
|
3,677 |
2,856 |
$54K |
| 86480 |
|
1,087 |
1,001 |
$53K |
| 76819 |
|
1,465 |
993 |
$53K |
| 73060 |
|
922 |
722 |
$53K |
| 74022 |
|
551 |
480 |
$53K |
| 97535 |
|
2,380 |
1,139 |
$51K |
| 20551 |
|
726 |
516 |
$51K |
| 99203 |
|
1,056 |
1,006 |
$51K |
| 76870 |
|
823 |
725 |
$50K |
| 72110 |
|
500 |
423 |
$50K |
| 99292 |
|
78 |
66 |
$50K |
| J0585 |
Injection,onabotulinumtoxina |
457 |
310 |
$50K |
| 83001 |
|
2,639 |
2,388 |
$48K |
| 93925 |
|
436 |
387 |
$48K |
| 80305 |
|
6,394 |
4,956 |
$48K |
| 86147 |
|
1,100 |
808 |
$47K |
| 84134 |
|
3,775 |
3,448 |
$47K |
| J2710 |
Neostigmine methylslfte inj |
1,354 |
1,107 |
$47K |
| 86256 |
|
3,179 |
2,771 |
$46K |
| 87481 |
|
921 |
770 |
$46K |
| 84480 |
|
3,947 |
3,691 |
$45K |
| 90715 |
|
3,757 |
3,465 |
$45K |
| 82150 |
|
7,150 |
6,267 |
$45K |
| 73070 |
|
719 |
553 |
$45K |
| 86901 |
|
7,821 |
6,267 |
$45K |
| 0353U |
|
1,836 |
1,420 |
$44K |
| 95806 |
|
758 |
591 |
$44K |
| C9113 |
Inj pantoprazole sodium, via |
5,253 |
2,239 |
$44K |
| 11721 |
|
1,316 |
1,027 |
$43K |
| J0248 |
Inj, remdesivir, 1 mg |
165 |
60 |
$43K |
| 85652 |
|
15,687 |
13,292 |
$43K |
| 82677 |
|
1,884 |
1,782 |
$43K |
| 86376 |
|
3,368 |
3,087 |
$42K |
| 92526 |
|
658 |
337 |
$41K |
| 73120 |
|
645 |
538 |
$41K |
| 90472 |
|
7,451 |
7,147 |
$41K |
| 87899 |
|
1,439 |
1,207 |
$41K |
| 84436 |
|
6,942 |
6,433 |
$41K |
| 27447 |
|
141 |
25 |
$41K |
| 83002 |
|
2,502 |
2,302 |
$41K |
| J1050 |
Medroxyprogesterone acetate |
1,837 |
1,764 |
$40K |
| 77065 |
Tomosynthesis, mammo |
1,655 |
1,270 |
$40K |
| C1894 |
Intro/sheath, non-laser |
2,371 |
1,845 |
$40K |
| 10005 |
|
206 |
171 |
$40K |
| 82803 |
|
2,274 |
1,706 |
$39K |
| J1953 |
Levetiracetam injection |
533 |
301 |
$39K |
| 82550 |
|
5,221 |
4,078 |
$39K |
| 84466 |
|
4,104 |
3,543 |
$39K |
| 86900 |
|
7,761 |
6,255 |
$39K |
| 85379 |
|
4,505 |
3,757 |
$37K |
| 93296 |
|
4,430 |
4,040 |
$37K |
| 87340 |
|
4,642 |
4,154 |
$37K |
| 12001 |
|
715 |
547 |
$37K |
| 58300 |
|
536 |
498 |
$37K |
| 82784 |
|
3,641 |
2,876 |
$36K |
| 86762 |
|
3,197 |
2,869 |
$36K |
| 97116 |
|
1,874 |
604 |
$36K |
| J2360 |
Orphenadrine injection |
1,805 |
1,635 |
$35K |
| 49083 |
|
237 |
97 |
$34K |
| J1642 |
Inj heparin sodium per 10 u |
6,009 |
2,748 |
$34K |
| 92523 |
|
543 |
459 |
$34K |
| 97166 |
|
1,941 |
1,545 |
$34K |
| 86200 |
|
3,474 |
2,987 |
$34K |
| 20550 |
|
250 |
225 |
$33K |
| J2001 |
Lidocaine injection |
5,681 |
4,885 |
$32K |
| 84153 |
|
2,372 |
2,093 |
$32K |
| 87081 |
|
3,569 |
3,274 |
$32K |
| 86255 |
|
2,487 |
2,159 |
$31K |
| 73552 |
|
1,809 |
1,400 |
$30K |
| 87880 |
|
2,033 |
1,872 |
$30K |
| 43235 |
|
108 |
82 |
$30K |
| 86803 |
|
2,616 |
2,377 |
$30K |
| 95886 |
|
929 |
769 |
$29K |
| 73140 |
|
1,158 |
905 |
$29K |
| G0390 |
Trauma respons w/hosp criti |
43 |
39 |
$29K |
| J0134 |
Inj acetaminophen -fresenius |
2,003 |
1,778 |
$28K |
| 82239 |
|
1,897 |
1,450 |
$28K |
| 81002 |
|
8,562 |
6,265 |
$28K |
| J0875 |
Injection, dalbavancin |
12 |
12 |
$28K |
| C9290 |
Inj, bupivacaine liposome |
102 |
72 |
$28K |
| 83615 |
|
4,949 |
3,634 |
$28K |
| 98926 |
|
1,739 |
1,499 |
$27K |
| J2272 |
Inj, morphine (fresenius) |
840 |
388 |
$27K |
| 86336 |
|
1,877 |
1,778 |
$27K |
| J0171 |
Adrenalin epinephrine inject |
1,643 |
1,220 |
$27K |
| 86146 |
|
858 |
723 |
$26K |
| 84146 |
|
1,551 |
1,422 |
$26K |
| J2790 |
Rho d immune globulin inj |
371 |
322 |
$25K |
| 81514 |
|
381 |
307 |
$25K |
| 86709 |
|
2,993 |
2,602 |
$25K |
| 36430 |
|
166 |
95 |
$25K |
| J7070 |
D5w infusion |
1,176 |
569 |
$25K |
| 73564 |
|
257 |
226 |
$25K |
| 86225 |
|
2,467 |
2,124 |
$25K |
| 52352 |
|
41 |
26 |
$25K |
| 86320 |
|
1,026 |
914 |
$25K |
| 84550 |
|
6,099 |
4,943 |
$25K |
| 82330 |
|
2,330 |
1,473 |
$25K |
| 86708 |
|
2,015 |
1,852 |
$25K |
| J2916 |
Na ferric gluconate complex |
205 |
81 |
$24K |
| J2920 |
Methylprednisolone injection |
1,864 |
1,010 |
$24K |
| 84100 |
|
6,382 |
3,912 |
$24K |
| 88307 |
|
435 |
318 |
$24K |
| J3475 |
Inj magnesium sulfate |
2,195 |
1,218 |
$24K |
| 73600 |
|
434 |
352 |
$24K |
| 93308 |
|
290 |
240 |
$23K |
| G0279 |
Tomosynthesis, mammo |
3,093 |
2,455 |
$23K |
| 29824 |
|
115 |
96 |
$23K |
| J3420 |
Vitamin b12 injection |
2,332 |
1,510 |
$23K |
| 82378 |
|
1,415 |
1,043 |
$23K |
| 73620 |
|
334 |
299 |
$23K |
| J2919 |
Inj, methylpred sod succ 5mg |
1,339 |
941 |
$23K |
| 82172 |
|
1,303 |
1,107 |
$23K |
| 83883 |
|
1,589 |
1,421 |
$23K |
| 86704 |
|
2,026 |
1,883 |
$23K |
| 73521 |
|
905 |
708 |
$22K |
| C1887 |
Catheter, guiding |
809 |
682 |
$22K |
| Q0162 |
Ondansetron oral |
5,425 |
3,420 |
$22K |
| 77300 |
|
99 |
44 |
$22K |
| J7321 |
Hyalgan supartz visco-3 dose |
420 |
194 |
$22K |
| J3480 |
Inj potassium chloride |
1,609 |
1,003 |
$21K |
| J7060 |
5% dextrose/water |
955 |
505 |
$21K |
| 84481 |
|
1,556 |
1,414 |
$21K |
| Q3014 |
Telehealth facility fee |
5,708 |
4,924 |
$21K |
| 76857 |
|
142 |
121 |
$21K |
| J1956 |
Levofloxacin injection |
1,089 |
573 |
$20K |
| 98927 |
|
1,268 |
1,102 |
$20K |
| 29881 |
|
73 |
56 |
$20K |
| J2550 |
Promethazine hcl injection |
4,348 |
2,930 |
$20K |
| 72157 |
|
54 |
41 |
$20K |
| 86706 |
|
1,788 |
1,637 |
$19K |
| 82140 |
|
1,831 |
1,274 |
$19K |
| M0245 |
Bamlan and etesev infusion |
91 |
89 |
$19K |
| 74220 |
|
139 |
127 |
$19K |
| G0439 |
Ppps, subseq visit |
600 |
514 |
$19K |
| 86592 |
|
4,701 |
4,173 |
$19K |
| 86618 |
|
791 |
698 |
$19K |
| 96417 |
|
780 |
451 |
$19K |
| 87493 |
|
619 |
516 |
$19K |
| 64615 |
|
177 |
161 |
$18K |
| J2370 |
Phenylephrine hcl injection |
3,561 |
2,883 |
$18K |
| J3301 |
Triamcinolone acet inj nos |
5,761 |
5,105 |
$18K |
| G2066 |
Inter devc remote 30d |
2,308 |
2,076 |
$18K |
| 82085 |
|
1,336 |
1,168 |
$17K |
| 83655 |
|
1,467 |
1,406 |
$17K |
| 72202 |
|
288 |
276 |
$17K |
| 84402 |
|
862 |
771 |
$16K |
| 97155 |
|
1,186 |
321 |
$16K |
| 97161 |
|
779 |
650 |
$16K |
| 86334 |
|
1,060 |
966 |
$16K |
| 82951 |
|
1,278 |
1,091 |
$16K |
| 74174 |
|
125 |
100 |
$16K |
| 82248 |
|
3,421 |
2,863 |
$16K |
| 96523 |
|
2,233 |
593 |
$16K |
| 29879 |
|
53 |
40 |
$16K |
| 83010 |
|
1,304 |
1,208 |
$16K |
| 92557 |
|
367 |
321 |
$16K |
| 72050 |
|
167 |
139 |
$16K |
| 29425 |
|
280 |
236 |
$16K |
| 84156 |
|
3,931 |
2,988 |
$15K |
| M0247 |
Sotrovimab infusion |
88 |
83 |
$15K |
| 83550 |
|
2,256 |
2,052 |
$15K |
| 86317 |
|
1,303 |
1,157 |
$15K |
| 99211 |
|
658 |
476 |
$15K |
| V2632 |
Post chmbr intraocular lens |
507 |
366 |
$15K |
| J1200 |
Diphenhydramine hcl injectio |
4,540 |
3,534 |
$14K |
| 82565 |
|
3,858 |
3,119 |
$14K |
| 70491 |
|
57 |
43 |
$14K |
| 81374 |
|
204 |
157 |
$14K |
| G1004 |
Cdsm ndsc |
13,894 |
10,370 |
$14K |
| 82747 |
|
923 |
857 |
$14K |
| 71271 |
|
662 |
526 |
$14K |
| 85007 |
|
4,257 |
3,402 |
$13K |
| 87807 |
|
1,048 |
990 |
$13K |
| J0736 |
Inj, clindamycin phosp 300mg |
504 |
315 |
$13K |
| 11055 |
|
303 |
227 |
$13K |
| 12002 |
|
149 |
130 |
$13K |
| 77334 |
|
47 |
27 |
$12K |
| 74240 |
|
106 |
93 |
$12K |
| J7042 |
5% dextrose/normal saline |
555 |
335 |
$12K |
| 82360 |
|
765 |
637 |
$12K |
| 86430 |
|
2,385 |
2,180 |
$12K |
| 77002 |
|
252 |
175 |
$12K |
| 82043 |
|
2,361 |
2,116 |
$12K |
| 97802 |
|
502 |
459 |
$12K |
| 88312 |
|
814 |
682 |
$12K |
| J0184 |
Inj, amisulpride, 1 mg |
119 |
93 |
$12K |
| 87075 |
|
1,212 |
919 |
$12K |
| J1580 |
Garamycin gentamicin inj |
1,806 |
1,018 |
$11K |
| 90746 |
|
625 |
567 |
$11K |
| 82950 |
|
2,779 |
2,438 |
$11K |
| 72156 |
|
35 |
29 |
$11K |
| P9047 |
Albumin (human), 25%, 50ml |
71 |
28 |
$11K |
| J0360 |
Hydralazine hcl injection |
693 |
488 |
$11K |
| 82977 |
|
1,446 |
1,324 |
$11K |
| 87045 |
|
1,237 |
986 |
$11K |
| 80069 |
|
1,204 |
971 |
$11K |
| 42821 |
|
16 |
14 |
$10K |
| 84165 |
|
1,277 |
1,130 |
$10K |
| 96130 |
|
183 |
177 |
$10K |
| 73702 |
|
53 |
28 |
$10K |
| G0121 |
Colon ca scrn not hi rsk ind |
29 |
26 |
$10K |
| 97804 |
|
1,064 |
931 |
$10K |
| 84132 |
|
2,348 |
1,810 |
$10K |
| 80177 |
|
725 |
667 |
$9K |
| 92567 |
|
577 |
547 |
$9K |
| 76882 |
|
156 |
143 |
$9K |
| 82103 |
|
788 |
689 |
$9K |
| 99202 |
|
256 |
241 |
$9K |
| 86431 |
|
2,156 |
1,749 |
$9K |
| A9537 |
Tc99m mebrofenin |
323 |
312 |
$9K |
| 90686 |
|
2,753 |
2,530 |
$9K |
| J2469 |
Palonosetron hcl |
131 |
81 |
$8K |
| 87209 |
|
520 |
454 |
$8K |
| 93270 |
|
621 |
557 |
$8K |
| 82570 |
|
1,821 |
1,533 |
$8K |
| 95249 |
|
500 |
467 |
$8K |
| 11750 |
|
41 |
32 |
$8K |
| 96131 |
|
182 |
176 |
$8K |
| 81596 |
|
292 |
245 |
$8K |
| 90670 |
|
3,072 |
2,941 |
$8K |
| 86308 |
|
1,545 |
1,420 |
$8K |
| 87800 |
|
297 |
260 |
$8K |
| 90714 |
|
208 |
194 |
$8K |
| 75635 |
|
48 |
29 |
$8K |
| 83874 |
|
331 |
219 |
$8K |
| 29880 |
|
31 |
28 |
$8K |
| 73200 |
|
27 |
24 |
$8K |
| 93312 |
|
17 |
12 |
$8K |
| J1010 |
Inj, methylpred acetate 1 mg |
429 |
408 |
$8K |
| 0004A |
|
1,046 |
985 |
$7K |
| 90846 |
|
162 |
154 |
$7K |
| 90633 |
|
2,066 |
2,001 |
$7K |
| 87804 |
|
514 |
449 |
$7K |
| G0105 |
Colorectal scrn; hi risk ind |
12 |
12 |
$7K |
| 82731 |
|
106 |
101 |
$7K |
| J7512 |
Prednisone ir or dr oral 1mg |
1,132 |
682 |
$7K |
| 90474 |
|
2,851 |
2,747 |
$7K |
| 92083 |
|
270 |
244 |
$7K |
| 82553 |
|
352 |
246 |
$7K |
| 86665 |
|
209 |
184 |
$7K |
| 76801 |
|
155 |
133 |
$6K |
| J1630 |
Haloperidol injection |
819 |
662 |
$6K |
| J1815 |
Insulin injection |
224 |
120 |
$6K |
| 85018 |
|
2,838 |
2,273 |
$6K |
| J0136 |
Inj, acetaminophen (b braun) |
491 |
373 |
$6K |
| J0561 |
Penicillin g benzathine inj |
19 |
17 |
$6K |
| 93298 |
|
643 |
609 |
$6K |
| J0692 |
Cefepime hcl for injection |
602 |
126 |
$6K |
| 80202 |
|
704 |
346 |
$6K |
| 64445 |
|
52 |
28 |
$6K |
| 82390 |
|
646 |
579 |
$6K |
| 82947 |
|
1,670 |
1,119 |
$5K |
| J7614 |
Levalbuterol non-comp unit |
730 |
275 |
$5K |
| 86705 |
|
474 |
435 |
$5K |
| 86920 |
|
144 |
97 |
$5K |
| J2060 |
Lorazepam injection |
1,705 |
1,269 |
$5K |
| M0222 |
Bebtelovimab injection |
55 |
53 |
$5K |
| 76519 |
|
311 |
202 |
$5K |
| 85045 |
|
1,500 |
1,363 |
$5K |
| J0780 |
Prochlorperazine injection |
286 |
235 |
$5K |
| C1726 |
Cath, bal dil, non-vascular |
28 |
24 |
$5K |
| 83993 |
|
275 |
242 |
$5K |
| 29826 |
|
127 |
108 |
$5K |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
263 |
246 |
$5K |
| 83527 |
|
439 |
413 |
$5K |
| 97035 |
|
148 |
44 |
$5K |
| 72082 |
|
133 |
127 |
$5K |
| J8540 |
Oral dexamethasone |
1,210 |
485 |
$5K |
| J7620 |
Albuterol ipratrop non-comp |
2,362 |
719 |
$5K |
| J7626 |
Budesonide non-comp unit |
206 |
53 |
$4K |
| J3360 |
Diazepam injection |
243 |
140 |
$4K |
| 87177 |
|
540 |
469 |
$4K |
| 87538 |
|
174 |
158 |
$4K |
| 87205 |
|
1,357 |
1,096 |
$4K |
| 90688 |
|
1,442 |
1,382 |
$4K |
| 17110 |
|
67 |
59 |
$4K |
| 96368 |
|
321 |
170 |
$4K |
| 98925 |
|
265 |
236 |
$4K |
| 36416 |
|
2,496 |
839 |
$4K |
| 83921 |
|
303 |
271 |
$4K |
| 99152 |
|
129 |
107 |
$4K |
| L4387 |
Non-pneum walk boot pre ots |
200 |
134 |
$4K |
| 87535 |
|
172 |
156 |
$4K |
| J7323 |
Euflexxa inj per dose |
103 |
42 |
$4K |
| 83525 |
|
401 |
381 |
$4K |
| 84450 |
|
1,001 |
861 |
$4K |
| 82787 |
|
658 |
566 |
$4K |
| P9016 |
Rbc leukocytes reduced |
126 |
69 |
$4K |
| 84460 |
|
953 |
814 |
$4K |
| A4565 |
Slings |
1,760 |
1,314 |
$4K |
| C2617 |
Stent, non-cor, tem w/o del |
114 |
90 |
$4K |
| 29515 |
|
49 |
42 |
$4K |
| 93299 |
|
364 |
344 |
$4K |
| A9541 |
Tc99m sulfur colloid |
100 |
96 |
$4K |
| 77280 |
|
106 |
12 |
$4K |
| 11102 |
|
61 |
51 |
$4K |
| 94667 |
|
165 |
120 |
$4K |
| 57500 |
|
13 |
13 |
$4K |
| J1940 |
Furosemide injection |
879 |
357 |
$4K |
| 93280 |
|
548 |
312 |
$4K |
| 87517 |
|
96 |
90 |
$3K |
| 97151 |
|
253 |
101 |
$3K |
| C8929 |
Tte w or wo fol wcon,doppler |
13 |
12 |
$3K |
| 84295 |
|
434 |
333 |
$3K |
| A9561 |
Tc99m oxidronate |
34 |
28 |
$3K |
| C1758 |
Catheter, ureteral |
306 |
263 |
$3K |
| 11056 |
|
125 |
76 |
$3K |
| J2765 |
Metoclopramide hcl injection |
1,586 |
1,251 |
$3K |
| G0438 |
Ppps, initial visit |
98 |
68 |
$3K |
| 90632 |
|
303 |
279 |
$3K |
| 76775 |
|
63 |
40 |
$3K |
| 76811 |
|
32 |
30 |
$3K |
| 73000 |
|
78 |
53 |
$3K |
| 88313 |
|
158 |
130 |
$3K |
| P9612 |
Catheterize for urine spec |
1,144 |
974 |
$3K |
| 88341 |
|
81 |
64 |
$3K |
| 0012A |
|
216 |
209 |
$3K |
| 29876 |
|
40 |
27 |
$3K |
| 86580 |
|
367 |
314 |
$3K |
| C2618 |
Probe/needle, cryo |
118 |
36 |
$3K |
| 58100 |
|
14 |
14 |
$3K |
| 90680 |
|
2,677 |
2,598 |
$2K |
| 92004 |
|
151 |
122 |
$2K |
| 86617 |
|
220 |
187 |
$2K |
| 75574 |
|
15 |
15 |
$2K |
| 12011 |
|
39 |
38 |
$2K |
| 29130 |
|
55 |
51 |
$2K |
| J0137 |
Inj, acetaminophen (hikma) |
141 |
122 |
$2K |
| 86300 |
|
141 |
80 |
$2K |
| 82247 |
|
488 |
331 |
$2K |
| 95819 |
|
48 |
37 |
$2K |
| 90677 |
|
627 |
617 |
$2K |
| 82533 |
|
147 |
132 |
$2K |
| 82164 |
|
70 |
67 |
$2K |
| 71101 |
|
32 |
29 |
$2K |
| J0295 |
Ampicillin sulbactam 1.5 gm |
109 |
61 |
$2K |
| 82785 |
|
86 |
79 |
$2K |
| 85014 |
|
1,136 |
798 |
$2K |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
151 |
132 |
$2K |
| 85384 |
|
244 |
184 |
$2K |
| 84445 |
|
42 |
40 |
$2K |
| 90647 |
|
2,969 |
2,865 |
$2K |
| 94668 |
|
35 |
16 |
$2K |
| 86703 |
|
178 |
155 |
$2K |
| E0114 |
Crutch underarm pair no wood |
150 |
131 |
$2K |
| 25600 |
|
14 |
14 |
$2K |
| 29075 |
|
27 |
25 |
$2K |
| 90700 |
|
552 |
536 |
$2K |
| 51798 |
|
53 |
39 |
$2K |
| 97163 |
|
250 |
66 |
$2K |
| 90832 |
|
69 |
61 |
$2K |
| J7613 |
Albuterol non-comp unit |
965 |
368 |
$2K |
| L3908 |
Who cock-up nonmolde pre ots |
113 |
106 |
$1K |
| 84479 |
|
386 |
364 |
$1K |
| 90723 |
|
3,023 |
2,925 |
$1K |
| 90649 |
|
138 |
132 |
$1K |
| 97156 |
|
156 |
132 |
$1K |
| G0297 |
Ldct for lung ca screen |
50 |
49 |
$1K |
| 58301 |
|
14 |
14 |
$1K |
| 0011A |
|
191 |
177 |
$1K |
| J2470 |
Inj pantoprazole sodium 40mg |
208 |
70 |
$1K |
| 72072 |
|
12 |
12 |
$1K |
| 93291 |
|
102 |
70 |
$1K |
| 86664 |
|
86 |
80 |
$1K |
| 84432 |
|
80 |
68 |
$1K |
| 80171 |
|
57 |
53 |
$1K |
| 94664 |
|
73 |
57 |
$1K |
| 82010 |
|
195 |
135 |
$1K |
| 84630 |
|
130 |
113 |
$1K |
| 86663 |
|
84 |
78 |
$1K |
| 82272 |
|
327 |
268 |
$983.94 |
| 85732 |
|
252 |
215 |
$982.30 |
| 0003A |
|
118 |
110 |
$939.63 |
| 76937 |
|
145 |
108 |
$928.14 |
| 82525 |
|
95 |
87 |
$917.03 |
| A4649 |
Surgical supplies |
366 |
263 |
$910.50 |
| 86738 |
|
55 |
51 |
$907.80 |
| G0010 |
Admin hepatitis b vaccine |
46 |
39 |
$903.36 |
| 0071A |
|
135 |
118 |
$888.41 |
| M0239 |
Bamlanivimab-xxxx infusion |
25 |
25 |
$885.69 |
| 76641 |
|
12 |
12 |
$885.18 |
| C9803 |
Hopd covid-19 spec collect |
163 |
122 |
$852.61 |
| 87329 |
|
74 |
67 |
$837.65 |
| 90707 |
|
395 |
381 |
$821.88 |
| 94761 |
|
109 |
51 |
$820.37 |
| 0072A |
|
109 |
104 |
$797.48 |
| 80323 |
|
31 |
31 |
$784.46 |
| J0500 |
Dicyclomine injection |
34 |
29 |
$781.76 |
| 94618 |
|
41 |
30 |
$777.20 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
190 |
96 |
$775.42 |
| 97018 |
|
37 |
12 |
$775.00 |
| 99219 |
|
43 |
35 |
$766.59 |
| 86769 |
|
19 |
18 |
$736.38 |
| 93271 |
|
15 |
13 |
$707.67 |
| 87449 |
|
68 |
52 |
$651.84 |
| 98928 |
|
30 |
26 |
$642.06 |
| C1729 |
Cath, drainage |
56 |
37 |
$609.56 |
| 86800 |
|
49 |
44 |
$603.13 |
| J0694 |
Cefoxitin sodium injection |
40 |
33 |
$602.02 |
| A9270 |
Non-covered item or service |
6,264 |
1,233 |
$593.19 |
| 82009 |
|
124 |
100 |
$588.95 |
| 86304 |
|
42 |
28 |
$564.27 |
| J7121 |
5% dextrose in lac ringers |
40 |
25 |
$527.12 |
| 90734 |
|
363 |
356 |
$494.70 |
| G0109 |
Diab manage trn ind/group |
16 |
16 |
$494.47 |
| J3411 |
Thiamine hcl 100 mg |
64 |
27 |
$462.96 |
| 92136 |
|
16 |
15 |
$453.39 |
| 81015 |
|
1,017 |
924 |
$449.85 |
| 80164 |
|
38 |
36 |
$447.65 |
| 82552 |
|
40 |
36 |
$445.92 |
| 90716 |
|
344 |
329 |
$420.20 |
| G0008 |
Admin influenza virus vac |
62 |
47 |
$411.06 |
| 90671 |
|
244 |
241 |
$395.75 |
| 90710 |
|
593 |
574 |
$358.45 |
| 84446 |
|
29 |
28 |
$351.42 |
| 86682 |
|
41 |
37 |
$349.45 |
| 97167 |
|
36 |
28 |
$347.14 |
| 83825 |
|
29 |
26 |
$345.13 |
| 82040 |
|
223 |
190 |
$344.76 |
| Q0163 |
Diphenhydramine hcl 50mg |
963 |
618 |
$332.86 |
| 90658 |
|
139 |
134 |
$331.67 |
| 82175 |
|
29 |
26 |
$326.73 |
| 87210 |
|
60 |
56 |
$326.34 |
| 90651 |
|
121 |
119 |
$323.19 |
| 82948 |
|
172 |
112 |
$321.80 |
| 82670 |
|
13 |
12 |
$311.26 |
| 36591 |
|
39 |
14 |
$282.02 |
| 86301 |
|
17 |
12 |
$270.13 |
| 84520 |
|
133 |
96 |
$265.70 |
| 90655 |
|
106 |
104 |
$264.85 |
| 82705 |
|
72 |
45 |
$256.37 |
| 90685 |
|
662 |
629 |
$252.52 |
| 85300 |
|
36 |
27 |
$235.38 |
| 82435 |
|
32 |
27 |
$210.97 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
311 |
286 |
$199.92 |
| 97168 |
|
15 |
12 |
$191.22 |
| 84155 |
|
109 |
95 |
$188.33 |
| 84442 |
|
14 |
12 |
$177.38 |
| 87425 |
|
13 |
12 |
$170.09 |
| 82952 |
|
84 |
75 |
$158.21 |
| J3105 |
Terbutaline sulfate inj |
43 |
36 |
$153.87 |
| 84590 |
|
13 |
13 |
$150.69 |
| 86593 |
|
39 |
36 |
$150.15 |
| 87101 |
|
21 |
16 |
$149.28 |
| 80185 |
|
18 |
12 |
$133.10 |
| A9577 |
Inj multihance |
28 |
25 |
$114.88 |
| 90696 |
|
265 |
257 |
$108.73 |
| 85302 |
|
16 |
12 |
$107.61 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
19 |
13 |
$107.23 |
| 87324 |
|
30 |
26 |
$106.62 |
| J7510 |
Prednisolone oral per 5 mg |
49 |
24 |
$97.60 |
| 84075 |
|
25 |
25 |
$94.24 |
| 85613 |
|
16 |
14 |
$87.36 |
| J2780 |
Ranitidine hydrochloride inj |
18 |
16 |
$86.17 |
| J7644 |
Ipratropium bromide non-comp |
108 |
40 |
$67.92 |
| 85670 |
|
12 |
12 |
$46.88 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
89 |
72 |
$36.09 |
| 85049 |
|
20 |
15 |
$23.36 |
| 90653 |
|
43 |
22 |
$11.82 |
| 90620 |
|
33 |
33 |
$0.00 |
| 29823 |
|
15 |
12 |
$0.00 |