| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J9271 |
Inj pembrolizumab |
2,183 |
1,725 |
$30.15M |
| J7170 |
Inj., emicizumab-kxwh 0.5 mg |
1,072 |
1,043 |
$26.52M |
| 99283 |
|
114,880 |
110,331 |
$24.55M |
| 99284 |
|
117,667 |
111,626 |
$23.28M |
| J1745 |
Infliximab not biosimil 10mg |
2,337 |
2,155 |
$18.13M |
| 99214 |
|
125,219 |
109,276 |
$17.44M |
| 90834 |
|
62,861 |
29,379 |
$10.96M |
| 99213 |
|
73,912 |
60,681 |
$9.90M |
| 90832 |
|
61,615 |
34,224 |
$8.62M |
| 99285 |
|
42,590 |
41,057 |
$8.33M |
| 99282 |
|
35,706 |
34,956 |
$7.39M |
| H0005 |
Alcohol and/or drug services |
51,592 |
11,494 |
$6.29M |
| J9299 |
Injection, nivolumab |
449 |
331 |
$4.79M |
| 36430 |
|
6,621 |
4,368 |
$4.58M |
| 96413 |
|
24,994 |
15,893 |
$4.42M |
| G0378 |
Hospital observation per hr |
6,822 |
4,921 |
$3.97M |
| 74177 |
|
15,376 |
15,016 |
$3.78M |
| J2505 |
Injection, pegfilgrastim 6mg |
754 |
554 |
$3.27M |
| 97110 |
|
29,423 |
7,987 |
$3.24M |
| 70450 |
|
14,024 |
13,695 |
$3.12M |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,682 |
1,659 |
$3.12M |
| H0020 |
Alcohol and/or drug services |
75,116 |
12,839 |
$3.09M |
| P9040 |
Rbc leukoreduced irradiated |
5,662 |
4,327 |
$3.05M |
| J0897 |
Denosumab injection |
1,057 |
1,026 |
$2.89M |
| 99215 |
Prolong outpt/office vis |
16,613 |
15,910 |
$2.86M |
| Q5118 |
Inj., zirabev, 10 mg |
896 |
562 |
$2.83M |
| 80053 |
|
160,202 |
140,980 |
$2.82M |
| Q5104 |
Injection, renflexis |
639 |
596 |
$2.78M |
| 36416 |
|
59,377 |
35,335 |
$2.78M |
| 90853 |
|
41,407 |
13,226 |
$2.78M |
| C1889 |
Implant/insert device, noc |
6,738 |
5,775 |
$2.75M |
| 43239 |
|
4,213 |
4,193 |
$2.67M |
| 96415 |
|
7,431 |
4,719 |
$2.62M |
| J9355 |
Inj trastuzumab excl biosimi |
469 |
321 |
$2.59M |
| H2019 |
Ther behav svc, per 15 min |
4,684 |
4,554 |
$2.50M |
| J2506 |
Inj pegfilgrast ex bio 0.5mg |
1,119 |
808 |
$2.40M |
| 96365 |
|
15,645 |
10,144 |
$2.35M |
| 99212 |
|
18,662 |
14,379 |
$2.33M |
| G2067 |
Med assist tx meth wk |
11,039 |
5,443 |
$2.28M |
| 36415 |
|
189,571 |
101,956 |
$2.18M |
| 96361 |
|
10,459 |
8,785 |
$2.09M |
| 76856 |
|
5,817 |
5,681 |
$2.04M |
| J9144 |
Daratumumab, hyaluronidase |
215 |
115 |
$1.93M |
| 59025 |
|
13,301 |
11,072 |
$1.91M |
| 77386 |
|
6,816 |
646 |
$1.84M |
| 70551 |
|
4,887 |
4,771 |
$1.68M |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
19,699 |
19,149 |
$1.67M |
| 90870 |
|
3,485 |
1,526 |
$1.60M |
| 70553 |
|
3,128 |
3,055 |
$1.55M |
| 90792 |
|
6,548 |
5,889 |
$1.50M |
| J3380 |
Inj vedolizumab iv 1 mg |
155 |
133 |
$1.49M |
| 99391 |
|
11,247 |
11,123 |
$1.31M |
| 99392 |
|
11,044 |
11,011 |
$1.31M |
| H0004 |
Alcohol and/or drug services |
15,608 |
9,154 |
$1.18M |
| 45380 |
|
1,696 |
1,684 |
$1.18M |
| Q5117 |
Inj., kanjinti, 10 mg |
392 |
262 |
$1.15M |
| G0463 |
Hospital outpt clinic visit |
11,460 |
9,759 |
$1.12M |
| 86900 |
|
40,077 |
34,188 |
$1.11M |
| 76770 |
|
3,533 |
3,463 |
$1.05M |
| 77336 |
|
3,473 |
1,767 |
$992K |
| 74176 |
|
4,129 |
4,042 |
$979K |
| 77412 |
|
3,180 |
441 |
$958K |
| 87633 |
|
15,696 |
15,227 |
$916K |
| 93306 |
|
5,052 |
4,952 |
$857K |
| 86901 |
|
39,843 |
33,996 |
$857K |
| 97112 |
|
9,925 |
2,881 |
$801K |
| 86850 |
|
39,500 |
33,844 |
$797K |
| 69436 |
|
713 |
688 |
$794K |
| J9306 |
Injection, pertuzumab, 1 mg |
80 |
61 |
$772K |
| 76705 |
|
12,655 |
12,159 |
$740K |
| 99203 |
|
5,720 |
5,649 |
$740K |
| Q0138 |
Ferumoxytol, non-esrd |
1,076 |
719 |
$736K |
| 96366 |
|
4,218 |
3,058 |
$726K |
| 96416 |
|
1,753 |
1,025 |
$718K |
| 12011 |
|
1,939 |
1,931 |
$710K |
| 12001 |
|
1,824 |
1,818 |
$703K |
| 36000 |
|
34,908 |
32,423 |
$674K |
| Q5108 |
Injection, fulphila |
208 |
159 |
$666K |
| 99393 |
|
5,084 |
5,069 |
$641K |
| 96375 |
|
40,875 |
33,296 |
$627K |
| 78452 |
|
1,581 |
1,526 |
$623K |
| 76700 |
|
2,763 |
2,713 |
$610K |
| 71275 |
|
2,812 |
2,740 |
$602K |
| 96374 |
|
59,594 |
54,659 |
$586K |
| 99204 |
|
3,789 |
3,746 |
$579K |
| P9037 |
Plate pheres leukoredu irrad |
653 |
296 |
$573K |
| 97140 |
|
11,918 |
3,513 |
$571K |
| 92507 |
|
6,953 |
1,657 |
$541K |
| J1756 |
Iron sucrose injection |
7,812 |
3,736 |
$523K |
| 96360 |
|
4,889 |
3,945 |
$522K |
| 76830 |
|
7,206 |
6,859 |
$511K |
| 93970 |
|
1,353 |
1,330 |
$502K |
| 90833 |
|
7,123 |
5,274 |
$501K |
| 42820 |
|
376 |
375 |
$492K |
| H0035 |
Mh partial hosp tx under 24h |
1,904 |
260 |
$490K |
| H2011 |
Crisis interven svc, 15 min |
1,961 |
1,672 |
$490K |
| U0003 |
Cov-19 amp prb hgh thruput |
14,442 |
12,963 |
$484K |
| 58558 |
|
389 |
389 |
$470K |
| 90791 |
|
2,139 |
2,090 |
$469K |
| 14040 |
|
323 |
322 |
$467K |
| 74183 |
|
946 |
927 |
$450K |
| 96450 |
|
1,021 |
876 |
$442K |
| 90836 |
|
3,619 |
1,834 |
$426K |
| 93975 |
|
942 |
931 |
$415K |
| 72148 |
|
1,245 |
1,224 |
$412K |
| 54161 |
|
542 |
538 |
$409K |
| 85027 |
|
85,847 |
65,919 |
$384K |
| J9217 |
Leuprolide acetate suspnsion |
1,090 |
1,049 |
$382K |
| J1569 |
Gammagard liquid injection |
205 |
183 |
$382K |
| G0498 |
Chemo extend iv infus w/pump |
592 |
356 |
$381K |
| C1769 |
Guide wire |
2,228 |
2,155 |
$379K |
| 76817 |
|
4,223 |
3,844 |
$378K |
| 77334 |
|
1,366 |
1,041 |
$376K |
| 92551 |
|
7,692 |
7,548 |
$376K |
| 96367 |
|
4,872 |
3,178 |
$374K |
| 96409 |
|
4,715 |
2,576 |
$374K |
| H0002 |
Alcohol and/or drug screenin |
1,395 |
1,370 |
$369K |
| 70498 |
|
1,847 |
1,791 |
$366K |
| 90837 |
|
2,200 |
1,169 |
$364K |
| 99394 |
|
2,952 |
2,915 |
$359K |
| H2010 |
Comprehensive med svc 15 min |
4,054 |
3,340 |
$354K |
| 10060 |
|
1,269 |
1,247 |
$351K |
| A9585 |
Gadobutrol injection |
4,990 |
4,947 |
$339K |
| 85045 |
|
23,718 |
18,311 |
$336K |
| 76818 |
|
4,125 |
2,832 |
$335K |
| 72197 |
|
705 |
693 |
$334K |
| 90460 |
|
11,211 |
11,133 |
$320K |
| 88305 |
|
11,017 |
10,778 |
$316K |
| 77300 |
|
1,161 |
1,089 |
$310K |
| 90847 |
|
1,233 |
913 |
$308K |
| 97530 |
|
4,334 |
1,209 |
$302K |
| 80048 |
|
19,245 |
18,620 |
$299K |
| 96372 |
|
25,344 |
21,946 |
$299K |
| 76815 |
|
3,613 |
3,383 |
$296K |
| 81220 |
|
1,701 |
1,667 |
$295K |
| 99395 |
|
2,307 |
2,283 |
$294K |
| 92526 |
|
2,648 |
1,232 |
$291K |
| J1453 |
Fosaprepitant injection |
3,729 |
2,351 |
$290K |
| J9305 |
Inj. pemetrexed nos 10mg |
124 |
74 |
$290K |
| 87591 |
|
13,636 |
12,701 |
$289K |
| 99157 |
|
1,783 |
1,760 |
$284K |
| Q5119 |
Inj ruxience, 10 mg |
59 |
41 |
$271K |
| 80307 |
|
9,286 |
8,635 |
$271K |
| J9070 |
Cyclophosphamide 100 mg inj |
800 |
524 |
$270K |
| 96523 |
|
13,438 |
6,453 |
$268K |
| 90839 |
|
1,545 |
1,452 |
$267K |
| 47562 |
|
137 |
137 |
$266K |
| 45385 |
|
434 |
433 |
$265K |
| 71046 |
|
31,761 |
30,568 |
$264K |
| J2469 |
Palonosetron hcl |
8,977 |
5,398 |
$260K |
| 73721 |
|
614 |
569 |
$258K |
| 96417 |
|
5,159 |
3,314 |
$257K |
| 97161 |
|
2,310 |
2,305 |
$253K |
| J9041 |
Injection, bortezomib, 0.1mg |
374 |
126 |
$250K |
| 90846 |
|
1,874 |
1,373 |
$247K |
| 77290 |
|
616 |
582 |
$242K |
| 72141 |
|
783 |
766 |
$240K |
| 99291 |
|
1,156 |
1,135 |
$240K |
| J3490 |
Drugs unclassified injection |
55,717 |
40,000 |
$239K |
| J0131 |
Inj, acetaminophen (nos) |
16,311 |
15,974 |
$238K |
| 90670 |
|
7,704 |
7,696 |
$223K |
| 51600 |
|
409 |
402 |
$220K |
| 70491 |
|
930 |
911 |
$218K |
| 47563 |
|
95 |
95 |
$202K |
| 29125 |
|
944 |
927 |
$202K |
| 99281 |
|
974 |
847 |
$200K |
| J0640 |
Leucovorin calcium injection |
2,492 |
1,418 |
$198K |
| 76000 |
|
2,593 |
2,546 |
$196K |
| 36591 |
|
10,201 |
6,019 |
$196K |
| 76536 |
|
1,979 |
1,921 |
$194K |
| 12002 |
|
502 |
499 |
$193K |
| 96411 |
|
3,508 |
2,307 |
$189K |
| 86480 |
|
3,174 |
3,125 |
$186K |
| 0225U |
|
25,155 |
24,318 |
$185K |
| 70496 |
|
1,901 |
1,840 |
$178K |
| 99381 |
|
1,669 |
1,663 |
$178K |
| 86902 |
|
2,820 |
2,198 |
$176K |
| 87491 |
|
12,507 |
12,329 |
$175K |
| J7030 |
Normal saline solution infus |
66,519 |
56,366 |
$174K |
| 71250 |
|
1,260 |
1,232 |
$172K |
| 82803 |
|
13,370 |
12,485 |
$172K |
| 85025 |
|
68,462 |
60,378 |
$168K |
| 71260 |
|
1,169 |
1,145 |
$168K |
| 82306 |
|
7,664 |
7,430 |
$167K |
| 10E0XZZ |
|
280 |
30 |
$165K |
| 93971 |
|
2,389 |
2,341 |
$165K |
| 87635 |
|
8,439 |
8,164 |
$164K |
| 93005 |
|
55,068 |
51,404 |
$164K |
| 93017 |
|
2,314 |
2,277 |
$160K |
| Q5121 |
Inj. avsola, 10 mg |
285 |
233 |
$158K |
| 96110 |
|
1,082 |
1,081 |
$153K |
| 97116 |
|
3,125 |
996 |
$152K |
| 90715 |
|
6,626 |
6,304 |
$152K |
| 99173 |
|
5,877 |
5,864 |
$146K |
| 83880 |
|
7,305 |
7,192 |
$145K |
| 99385 |
|
1,101 |
1,090 |
$144K |
| 51701 |
|
607 |
601 |
$142K |
| J0885 |
Epoetin alfa, non-esrd |
345 |
208 |
$141K |
| 70486 |
|
1,718 |
1,674 |
$141K |
| 76870 |
|
1,897 |
1,814 |
$141K |
| 44970 |
|
69 |
69 |
$135K |
| 25605 |
|
287 |
285 |
$134K |
| A9502 |
Tc99m tetrofosmin |
1,110 |
1,100 |
$133K |
| 99396 |
|
1,043 |
1,032 |
$132K |
| J9264 |
Paclitaxel protein bound |
59 |
24 |
$130K |
| J7050 |
Normal saline solution infus |
36,143 |
19,099 |
$130K |
| 88307 |
|
2,012 |
1,975 |
$129K |
| 76801 |
|
1,753 |
1,589 |
$128K |
| 92567 |
|
4,665 |
4,619 |
$121K |
| 74230 |
|
1,271 |
1,250 |
$121K |
| J9263 |
Oxaliplatin |
855 |
514 |
$121K |
| J2785 |
Regadenoson injection |
536 |
501 |
$118K |
| 90461 |
|
5,982 |
5,965 |
$117K |
| 92579 |
|
1,840 |
1,832 |
$117K |
| 82728 |
|
12,424 |
11,132 |
$114K |
| 31575 |
|
831 |
820 |
$114K |
| 86923 |
|
4,255 |
3,666 |
$113K |
| 96376 |
|
6,365 |
5,302 |
$112K |
| 90686 |
|
11,776 |
11,612 |
$111K |
| 92652 |
|
868 |
859 |
$110K |
| C9399 |
Unclassified drugs or biolog |
1,814 |
1,802 |
$110K |
| 99155 |
|
1,184 |
1,151 |
$110K |
| D7140 |
|
374 |
367 |
$109K |
| 96402 |
|
1,853 |
1,746 |
$109K |
| 96401 |
|
1,508 |
598 |
$108K |
| D1110 |
|
1,354 |
561 |
$107K |
| 78815 |
|
71 |
68 |
$102K |
| 0241U |
|
12,741 |
12,378 |
$101K |
| 99156 |
|
1,876 |
1,764 |
$100K |
| U0005 |
Infec agen detec ampli probe |
11,538 |
10,542 |
$99K |
| 31231 |
|
710 |
705 |
$99K |
| 95810 |
|
133 |
115 |
$95K |
| 99051 |
|
4,561 |
2,512 |
$94K |
| 88185 |
|
272 |
226 |
$92K |
| H0038 |
Self-help/peer svc per 15min |
1,228 |
548 |
$88K |
| 77295 |
|
344 |
311 |
$88K |
| C1781 |
Mesh (implantable) |
193 |
189 |
$87K |
| 72125 |
|
2,478 |
2,416 |
$86K |
| J9045 |
Carboplatin injection |
2,294 |
1,476 |
$86K |
| 92611 |
|
638 |
633 |
$85K |
| H2018 |
Psysoc rehab svc, per diem |
220 |
213 |
$84K |
| J9190 |
Fluorouracil injection |
2,965 |
1,427 |
$83K |
| 19301 |
|
37 |
37 |
$81K |
| 24640 |
|
215 |
212 |
$81K |
| J9267 |
Paclitaxel injection |
2,541 |
1,315 |
$81K |
| 90716 |
|
4,078 |
4,071 |
$81K |
| 81025 |
|
23,293 |
21,928 |
$77K |
| J9206 |
Irinotecan injection |
1,370 |
740 |
$77K |
| 90698 |
|
7,866 |
7,860 |
$73K |
| 90680 |
|
6,160 |
6,157 |
$73K |
| 80061 |
|
6,878 |
6,629 |
$72K |
| 76819 |
|
1,000 |
924 |
$71K |
| 77301 |
|
94 |
90 |
$71K |
| 45378 |
|
108 |
108 |
$71K |
| 95710 |
|
165 |
165 |
$70K |
| 90378 |
|
126 |
124 |
$69K |
| 81507 |
|
308 |
308 |
$69K |
| C1887 |
Catheter, guiding |
547 |
529 |
$69K |
| 74455 |
|
405 |
390 |
$69K |
| 87800 |
|
3,216 |
3,149 |
$68K |
| C1894 |
Intro/sheath, non-laser |
895 |
868 |
$68K |
| 29515 |
|
335 |
334 |
$67K |
| G0121 |
Colon ca scrn not hi rsk ind |
88 |
88 |
$66K |
| 99205 |
Prolong outpt/office vis |
354 |
353 |
$65K |
| 97162 |
|
671 |
663 |
$63K |
| 49505 |
|
29 |
28 |
$62K |
| 83735 |
|
28,513 |
23,297 |
$62K |
| 77280 |
|
150 |
137 |
$62K |
| 88175 |
|
2,230 |
2,215 |
$61K |
| 86922 |
|
1,576 |
1,180 |
$61K |
| 76885 |
|
645 |
634 |
$60K |
| 96160 |
|
3,025 |
3,010 |
$60K |
| 76882 |
|
1,125 |
1,079 |
$59K |
| 90849 |
|
733 |
332 |
$59K |
| 95708 |
|
283 |
279 |
$58K |
| 92014 |
|
481 |
423 |
$58K |
| 84702 |
|
29,095 |
26,751 |
$58K |
| 92557 |
|
1,164 |
1,150 |
$57K |
| 87624 |
|
3,036 |
3,017 |
$57K |
| J1050 |
Medroxyprogesterone acetate |
883 |
705 |
$55K |
| 72131 |
|
464 |
455 |
$55K |
| 71045 |
|
15,468 |
14,869 |
$54K |
| V5020 |
Conformity evaluation |
902 |
794 |
$54K |
| 87389 |
|
6,460 |
6,373 |
$53K |
| 92587 |
|
1,182 |
1,177 |
$52K |
| 82607 |
|
3,966 |
3,847 |
$51K |
| 70487 |
|
219 |
210 |
$51K |
| 11042 |
|
258 |
127 |
$50K |
| 88304 |
|
2,086 |
2,068 |
$50K |
| 92012 |
|
376 |
293 |
$49K |
| 92610 |
|
809 |
784 |
$48K |
| 92582 |
|
435 |
434 |
$48K |
| 75561 |
|
68 |
68 |
$47K |
| 90651 |
|
1,340 |
1,325 |
$46K |
| 90899 |
|
688 |
616 |
$45K |
| 29888 |
|
14 |
14 |
$45K |
| 97535 |
|
674 |
346 |
$44K |
| 99202 |
|
358 |
345 |
$43K |
| 76775 |
|
632 |
625 |
$43K |
| 73700 |
|
216 |
215 |
$43K |
| 83036 |
|
14,527 |
14,242 |
$43K |
| 96522 |
|
812 |
689 |
$43K |
| 84443 |
|
16,096 |
15,525 |
$43K |
| J1885 |
Ketorolac tromethamine inj |
30,021 |
28,017 |
$42K |
| 87653 |
|
1,643 |
1,639 |
$42K |
| 86769 |
|
2,980 |
2,911 |
$42K |
| J7120 |
Ringers lactate infusion |
7,556 |
7,112 |
$42K |
| 81003 |
|
44,133 |
35,481 |
$41K |
| 90633 |
|
4,362 |
4,356 |
$41K |
| 90471 |
|
8,468 |
8,130 |
$41K |
| 83020 |
|
4,725 |
3,937 |
$41K |
| 58300 |
|
326 |
321 |
$41K |
| 70543 |
|
107 |
104 |
$41K |
| S5102 |
Adult day care per diem |
253 |
24 |
$39K |
| 74174 |
|
158 |
155 |
$39K |
| 84100 |
|
17,445 |
13,370 |
$39K |
| 86780 |
|
10,167 |
9,996 |
$39K |
| 94640 |
|
11,089 |
10,008 |
$38K |
| 78451 |
|
122 |
106 |
$38K |
| 74018 |
|
2,934 |
2,829 |
$37K |
| 81001 |
|
52,940 |
50,261 |
$37K |
| G0108 |
Diab manage trn per indiv |
1,367 |
829 |
$37K |
| 86703 |
|
3,409 |
3,376 |
$37K |
| 87507 |
|
712 |
708 |
$35K |
| 83550 |
|
8,851 |
8,243 |
$35K |
| 69210 |
|
504 |
494 |
$34K |
| 90707 |
|
3,566 |
3,560 |
$34K |
| 83655 |
|
2,531 |
2,508 |
$34K |
| 49650 |
|
13 |
13 |
$34K |
| 51702 |
|
139 |
136 |
$34K |
| 81420 |
|
101 |
100 |
$34K |
| 85245 |
|
881 |
828 |
$33K |
| 72156 |
|
87 |
86 |
$33K |
| P9100 |
Pathogen test for platelets |
597 |
266 |
$33K |
| J7060 |
5% dextrose/water |
7,711 |
4,345 |
$33K |
| 95700 |
|
301 |
297 |
$32K |
| 29065 |
|
106 |
103 |
$31K |
| 77338 |
|
66 |
65 |
$31K |
| 82248 |
|
8,046 |
5,700 |
$31K |
| 87086 |
|
40,803 |
39,088 |
$30K |
| 85610 |
|
24,523 |
22,952 |
$30K |
| 83615 |
|
8,949 |
7,085 |
$30K |
| 86803 |
|
5,731 |
5,672 |
$29K |
| 76857 |
|
655 |
638 |
$29K |
| 88312 |
|
2,105 |
2,080 |
$29K |
| 85380 |
|
1,823 |
1,769 |
$29K |
| 99195 |
|
418 |
366 |
$28K |
| 99402 |
|
400 |
394 |
$28K |
| J3010 |
Fentanyl citrate injection |
13,623 |
13,235 |
$28K |
| J9370 |
Vincristine sulfate 1 mg inj |
2,837 |
2,021 |
$28K |
| 87806 |
|
1,766 |
1,743 |
$28K |
| 49591 |
|
15 |
15 |
$27K |
| 88342 |
|
1,024 |
991 |
$27K |
| 72146 |
|
132 |
127 |
$27K |
| 83540 |
|
7,225 |
6,676 |
$26K |
| D0120 |
|
436 |
234 |
$26K |
| 82784 |
|
2,031 |
1,875 |
$26K |
| 83021 |
|
974 |
786 |
$26K |
| M0222 |
Bebtelovimab injection |
124 |
121 |
$26K |
| 76816 |
|
322 |
295 |
$26K |
| J2704 |
Inj, propofol, 10 mg |
10,009 |
8,989 |
$26K |
| 88341 |
|
1,020 |
976 |
$26K |
| J2405 |
Ondansetron hcl injection |
27,899 |
25,561 |
$25K |
| G0379 |
Direct refer hospital observ |
66 |
63 |
$25K |
| 85730 |
|
21,247 |
20,464 |
$25K |
| 76805 |
|
239 |
232 |
$25K |
| 74019 |
|
3,880 |
3,726 |
$25K |
| 96368 |
|
1,778 |
1,129 |
$25K |
| G0008 |
Admin influenza virus vac |
1,398 |
1,385 |
$24K |
| 82378 |
|
2,370 |
1,933 |
$23K |
| 87641 |
|
955 |
943 |
$23K |
| 20680 |
|
14 |
14 |
$23K |
| 73630 |
|
3,849 |
3,722 |
$23K |
| 84112 |
|
517 |
495 |
$23K |
| 83970 |
|
563 |
524 |
$23K |
| C9803 |
Hopd covid-19 spec collect |
1,276 |
1,216 |
$23K |
| 95816 |
|
85 |
84 |
$23K |
| 85240 |
|
1,272 |
1,171 |
$23K |
| Q5103 |
Injection, inflectra |
14 |
12 |
$23K |
| 73130 |
|
3,027 |
2,946 |
$23K |
| 81329 |
|
453 |
450 |
$22K |
| 73610 |
|
3,947 |
3,824 |
$22K |
| H2025 |
Supp maint employ, 15 min |
80 |
75 |
$22K |
| 36592 |
|
1,972 |
1,535 |
$22K |
| 85651 |
|
5,101 |
4,964 |
$22K |
| J2930 |
Methylprednisolone injection |
1,712 |
1,491 |
$21K |
| J9000 |
Doxorubicin hcl injection |
916 |
561 |
$21K |
| 82962 |
|
32,148 |
29,305 |
$21K |
| 86880 |
|
1,175 |
1,025 |
$21K |
| H1005 |
Prenatalcare enhanced srv pk |
576 |
427 |
$21K |
| J2270 |
Morphine sulfate injection |
8,534 |
7,636 |
$21K |
| 97802 |
|
1,164 |
1,122 |
$20K |
| 92585 |
|
155 |
153 |
$20K |
| J7040 |
Normal saline solution infus |
7,416 |
5,466 |
$20K |
| J1100 |
Dexamethasone sodium phos |
15,804 |
12,911 |
$20K |
| T1013 |
Sign lang/oral interpreter |
1,583 |
1,549 |
$19K |
| J9395 |
Injection, fulvestrant |
46 |
36 |
$19K |
| 81513 |
|
359 |
356 |
$19K |
| C9290 |
Inj, bupivacaine liposome |
68 |
68 |
$19K |
| 99211 |
|
1,380 |
1,361 |
$19K |
| Q0222 |
Bebtelovimab 175 mg |
12 |
12 |
$19K |
| 84484 |
|
24,747 |
23,227 |
$19K |
| S2900 |
Robotic surgical system |
370 |
363 |
$18K |
| A9552 |
F18 fdg |
53 |
52 |
$18K |
| 86762 |
|
2,202 |
2,175 |
$18K |
| 92004 |
|
124 |
118 |
$18K |
| 90734 |
|
809 |
807 |
$18K |
| 85384 |
|
3,601 |
3,298 |
$18K |
| 73562 |
|
2,772 |
2,708 |
$18K |
| 73030 |
|
2,820 |
2,724 |
$18K |
| 90744 |
|
2,858 |
2,856 |
$17K |
| 80074 |
|
794 |
781 |
$17K |
| 86765 |
|
2,365 |
2,337 |
$17K |
| 99441 |
|
426 |
408 |
$17K |
| 99443 |
|
385 |
213 |
$17K |
| 73110 |
|
2,537 |
2,460 |
$17K |
| 42830 |
|
13 |
13 |
$17K |
| J0696 |
Ceftriaxone sodium injection |
6,469 |
5,984 |
$17K |
| 92504 |
|
219 |
206 |
$17K |
| 83690 |
|
29,669 |
28,252 |
$16K |
| 99442 |
|
260 |
231 |
$16K |
| 87798 |
|
680 |
680 |
$16K |
| J9201 |
In gemcitabine hcl nos 200mg |
422 |
215 |
$16K |
| 96377 |
|
1,077 |
797 |
$15K |
| 87340 |
|
4,925 |
4,869 |
$15K |
| 84550 |
|
5,969 |
5,290 |
$15K |
| 90700 |
|
2,119 |
2,113 |
$15K |
| 88184 |
|
214 |
214 |
$15K |
| 73090 |
|
3,084 |
2,788 |
$15K |
| A9541 |
Tc99m sulfur colloid |
67 |
66 |
$15K |
| 85246 |
|
874 |
822 |
$15K |
| J7300 |
Intra copp contra (paragard) |
14 |
14 |
$15K |
| J1720 |
Hydrocortisone sodium succ i |
996 |
569 |
$15K |
| J1170 |
Hydromorphone injection |
4,308 |
3,509 |
$15K |
| J1642 |
Inj heparin sodium per 10 u |
9,498 |
5,797 |
$15K |
| 84439 |
|
4,234 |
4,097 |
$15K |
| 83605 |
|
15,873 |
14,844 |
$14K |
| 82746 |
|
2,147 |
2,080 |
$14K |
| 87481 |
|
358 |
355 |
$14K |
| 31579 |
|
65 |
65 |
$13K |
| 73590 |
|
2,542 |
2,394 |
$13K |
| 90685 |
|
1,050 |
1,045 |
$13K |
| 81267 |
|
132 |
79 |
$13K |
| 82105 |
|
2,007 |
1,917 |
$13K |
| 86870 |
|
500 |
475 |
$13K |
| 90648 |
|
1,616 |
1,613 |
$12K |
| 72158 |
|
37 |
37 |
$12K |
| 99383 |
|
115 |
102 |
$12K |
| 95782 |
|
13 |
13 |
$12K |
| 87631 |
|
344 |
340 |
$12K |
| J7307 |
Etonogestrel implant system |
30 |
30 |
$12K |
| 86300 |
|
994 |
915 |
$12K |
| 94760 |
|
3,026 |
2,865 |
$12K |
| 72157 |
|
27 |
27 |
$11K |
| 73564 |
|
1,434 |
1,401 |
$11K |
| 86787 |
|
2,252 |
2,223 |
$11K |
| 84156 |
|
4,504 |
3,939 |
$11K |
| J2250 |
Inj midazolam hydrochloride |
8,519 |
7,901 |
$11K |
| 87040 |
|
10,048 |
9,675 |
$11K |
| 73080 |
|
2,190 |
2,113 |
$11K |
| 84238 |
|
264 |
243 |
$11K |
| J0690 |
Cefazolin sodium injection |
4,906 |
4,772 |
$11K |
| 72100 |
|
1,038 |
1,023 |
$11K |
| 73221 |
|
29 |
28 |
$10K |
| 90677 |
|
61 |
61 |
$10K |
| 74220 |
|
193 |
192 |
$10K |
| J3475 |
Inj magnesium sulfate |
3,229 |
2,342 |
$10K |
| J3489 |
Zoledronic acid 1mg |
78 |
75 |
$10K |
| 85018 |
|
11,008 |
10,112 |
$10K |
| J2001 |
Lidocaine injection |
6,610 |
6,291 |
$10K |
| 88360 |
|
204 |
198 |
$10K |
| J2765 |
Metoclopramide hcl injection |
10,841 |
10,359 |
$9K |
| J3480 |
Inj potassium chloride |
1,855 |
1,296 |
$9K |
| 86304 |
|
810 |
711 |
$9K |
| 29130 |
|
43 |
43 |
$9K |
| 86140 |
|
7,207 |
6,962 |
$9K |
| J1644 |
Inj heparin sodium per 1000u |
2,304 |
1,831 |
$9K |
| 80076 |
|
890 |
871 |
$9K |
| 87661 |
|
507 |
501 |
$9K |
| 81243 |
|
175 |
174 |
$8K |
| 86334 |
|
574 |
551 |
$8K |
| J1200 |
Diphenhydramine hcl injectio |
8,951 |
6,647 |
$8K |
| 76978 |
|
26 |
26 |
$8K |
| 84146 |
|
671 |
666 |
$8K |
| 88112 |
|
233 |
225 |
$8K |
| 73502 |
|
1,046 |
1,021 |
$7K |
| 97533 |
|
89 |
24 |
$7K |
| D0140 |
|
73 |
60 |
$7K |
| M0247 |
Sotrovimab infusion |
34 |
33 |
$7K |
| 87522 |
Neg quan hep c or qual rna |
199 |
197 |
$7K |
| G0475 |
Hiv combination assay |
614 |
608 |
$7K |
| 83521 |
|
483 |
459 |
$7K |
| A9500 |
Tc99m sestamibi |
77 |
76 |
$7K |
| 90656 |
|
1,008 |
1,004 |
$7K |
| 73140 |
|
1,186 |
1,164 |
$7K |
| 93308 |
|
27 |
27 |
$7K |
| 88237 |
|
85 |
84 |
$7K |
| 89051 |
|
350 |
306 |
$7K |
| J9260 |
Inj methotrexate sodium 50mg |
1,941 |
1,309 |
$6K |
| J2919 |
Inj, methylpred sod succ 5mg |
380 |
308 |
$6K |
| 93880 |
|
12 |
12 |
$6K |
| 86335 |
|
167 |
163 |
$6K |
| 90472 |
|
700 |
692 |
$6K |
| J9171 |
Docetaxel injection |
31 |
25 |
$6K |
| L8699 |
Prosthetic implant nos |
65 |
63 |
$6K |
| 99386 |
|
41 |
41 |
$6K |
| 73060 |
|
1,228 |
1,193 |
$6K |
| 86706 |
|
971 |
960 |
$6K |
| 92604 |
|
105 |
99 |
$6K |
| 85732 |
|
839 |
804 |
$6K |
| J2997 |
Alteplase recombinant |
26 |
24 |
$6K |
| 87186 |
|
5,781 |
5,646 |
$5K |
| 87651 |
|
399 |
399 |
$5K |
| 84480 |
|
1,639 |
1,572 |
$5K |
| 85379 |
|
4,478 |
4,400 |
$5K |
| 82677 |
|
445 |
432 |
$5K |
| D2930 |
|
12 |
12 |
$5K |
| 74240 |
|
65 |
64 |
$5K |
| D1120 |
|
135 |
111 |
$5K |
| J0295 |
Ampicillin sulbactam 1.5 gm |
689 |
555 |
$5K |
| 90620 |
|
82 |
82 |
$5K |
| 73552 |
|
861 |
833 |
$5K |
| 82570 |
|
4,072 |
3,824 |
$5K |
| 87799 |
|
124 |
108 |
$5K |
| 87081 |
|
5,992 |
5,944 |
$5K |
| 82668 |
|
388 |
385 |
$5K |
| Q9957 |
Inj perflutren lip micros,ml |
41 |
40 |
$5K |
| 57454 |
|
12 |
12 |
$4K |
| 90785 |
|
49 |
28 |
$4K |
| 62270 |
|
30 |
30 |
$4K |
| J9060 |
Cisplatin 10 mg injection |
187 |
80 |
$4K |
| 72170 |
|
909 |
893 |
$4K |
| J2060 |
Lorazepam injection |
3,017 |
2,627 |
$4K |
| 86905 |
|
149 |
126 |
$4K |
| 82950 |
|
1,505 |
1,494 |
$4K |
| 82043 |
|
832 |
815 |
$4K |
| J0330 |
Succinycholine chloride inj |
1,051 |
1,019 |
$4K |
| 86320 |
|
130 |
127 |
$4K |
| 88271 |
|
87 |
84 |
$4K |
| 82951 |
|
364 |
362 |
$4K |
| 83010 |
|
644 |
558 |
$4K |
| 87077 |
|
3,330 |
3,256 |
$4K |
| J0171 |
Adrenalin epinephrine inject |
506 |
443 |
$4K |
| J2370 |
Phenylephrine hcl injection |
1,168 |
1,117 |
$4K |
| 89050 |
|
1,484 |
1,258 |
$4K |
| J0561 |
Penicillin g benzathine inj |
27 |
27 |
$4K |
| 97537 |
|
41 |
14 |
$4K |
| 92523 |
|
12 |
12 |
$4K |
| 99417 |
Prolong home eval add 15m |
157 |
153 |
$4K |
| 76937 |
|
24 |
24 |
$4K |
| 80178 |
|
675 |
611 |
$4K |
| 73620 |
|
682 |
658 |
$3K |
| 83001 |
|
301 |
299 |
$3K |
| 86301 |
|
360 |
301 |
$3K |
| 86704 |
|
601 |
593 |
$3K |
| 82150 |
|
1,445 |
1,312 |
$3K |
| J3420 |
Vitamin b12 injection |
1,495 |
1,159 |
$3K |
| 86336 |
|
776 |
729 |
$3K |
| 87529 |
|
114 |
111 |
$3K |
| 86481 |
|
74 |
74 |
$3K |
| 88275 |
|
70 |
70 |
$3K |
| 77001 |
|
12 |
12 |
$3K |
| 86665 |
|
785 |
775 |
$3K |
| D0274 |
|
53 |
13 |
$3K |
| 87070 |
|
2,401 |
2,338 |
$3K |
| D1206 |
|
116 |
116 |
$3K |
| 0042T |
|
51 |
50 |
$3K |
| 87640 |
|
924 |
907 |
$3K |
| 73070 |
|
833 |
799 |
$3K |
| 82330 |
|
1,212 |
1,156 |
$3K |
| M0243 |
Casirivi and imdevi inj |
15 |
14 |
$3K |
| Q3014 |
Telehealth facility fee |
290 |
173 |
$3K |
| S9484 |
Crisis intervention per hour |
12 |
12 |
$3K |
| 87205 |
|
2,539 |
2,458 |
$3K |
| 84132 |
|
12,668 |
11,772 |
$3K |
| 82565 |
|
4,302 |
4,021 |
$3K |
| 17250 |
|
12 |
12 |
$3K |
| 86147 |
|
96 |
96 |
$2K |
| C9113 |
Inj pantoprazole sodium, via |
719 |
689 |
$2K |
| 88173 |
|
85 |
82 |
$2K |
| J0736 |
Inj, clindamycin phosp 300mg |
341 |
301 |
$2K |
| Q0114 |
Fern test |
491 |
464 |
$2K |
| 82947 |
|
12,479 |
11,658 |
$2K |
| C2617 |
Stent, non-cor, tem w/o del |
44 |
42 |
$2K |
| 76506 |
|
38 |
38 |
$2K |
| J9075 |
Inj, cyclophosphamide, nos |
18 |
12 |
$2K |
| J1650 |
Inj enoxaparin sodium |
537 |
465 |
$2K |
| 87536 |
|
41 |
41 |
$2K |
| 87880 |
|
853 |
843 |
$2K |
| 82232 |
|
195 |
190 |
$2K |
| 80197 |
|
187 |
75 |
$2K |
| 80047 |
|
131 |
110 |
$2K |
| T1006 |
Family/couple counseling |
15 |
12 |
$2K |
| 84436 |
|
1,802 |
1,770 |
$2K |
| 90732 |
|
140 |
132 |
$2K |
| 95819 |
|
12 |
12 |
$2K |
| 85611 |
|
295 |
285 |
$2K |
| 81002 |
|
3,188 |
3,051 |
$2K |
| 87497 |
|
60 |
52 |
$2K |
| 86663 |
|
658 |
650 |
$2K |
| 84145 |
|
898 |
878 |
$2K |
| 87636 |
|
530 |
525 |
$2K |
| 82550 |
|
4,469 |
4,345 |
$2K |
| 87521 |
Neg quan hep c or qual rna |
70 |
69 |
$2K |
| Q0091 |
Obtaining screen pap smear |
1,143 |
1,125 |
$2K |
| 70544 |
|
28 |
26 |
$2K |
| J0461 |
Atropine sulfate injection |
402 |
239 |
$2K |
| 73120 |
|
109 |
105 |
$2K |
| J1630 |
Haloperidol injection |
2,037 |
1,809 |
$2K |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
1,613 |
1,604 |
$2K |
| J2710 |
Neostigmine methylslfte inj |
861 |
857 |
$2K |
| 69200 |
|
13 |
13 |
$2K |
| 84295 |
|
12,020 |
11,181 |
$1K |
| 86664 |
|
655 |
647 |
$1K |
| 84165 |
|
291 |
284 |
$1K |
| 90713 |
|
240 |
239 |
$1K |
| 99241 |
|
13 |
12 |
$1K |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
217 |
215 |
$1K |
| 96127 |
|
837 |
833 |
$1K |
| 84704 |
|
194 |
184 |
$1K |
| 85044 |
|
422 |
421 |
$1K |
| 85014 |
|
7,986 |
7,393 |
$1K |
| 85652 |
|
767 |
759 |
$1K |
| 88300 |
|
143 |
139 |
$1K |
| 76813 |
|
14 |
14 |
$1K |
| 86160 |
|
203 |
191 |
$1K |
| 85670 |
|
215 |
212 |
$1K |
| 82435 |
|
11,600 |
10,786 |
$1K |
| 76811 |
|
12 |
12 |
$1K |
| 83986 |
|
519 |
489 |
$1K |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
345 |
345 |
$1K |
| 58301 |
|
13 |
12 |
$1K |
| 87486 |
|
95 |
95 |
$1K |
| 87581 |
|
95 |
95 |
$1K |
| 76010 |
|
154 |
139 |
$1K |
| 88311 |
|
107 |
107 |
$1K |
| 76800 |
|
12 |
12 |
$993.02 |
| 82652 |
|
45 |
44 |
$972.29 |
| 62272 |
|
41 |
38 |
$833.68 |
| 88331 |
|
117 |
116 |
$830.14 |
| 87150 |
|
29 |
29 |
$824.79 |
| 80164 |
|
305 |
291 |
$820.13 |
| 80159 |
|
62 |
52 |
$801.01 |
| J2543 |
Piperacillin/tazobactam |
221 |
210 |
$787.97 |
| 90649 |
|
15 |
15 |
$763.57 |
| G0009 |
Admin pneumococcal vaccine |
50 |
49 |
$761.81 |
| 88367 |
|
12 |
12 |
$758.31 |
| 85250 |
|
26 |
25 |
$748.20 |
| 82247 |
|
993 |
923 |
$731.37 |
| 73560 |
|
85 |
83 |
$700.57 |
| 82272 |
|
814 |
770 |
$684.39 |
| 82553 |
|
1,201 |
1,174 |
$662.63 |
| H1000 |
Prenatal care atrisk assessm |
15 |
13 |
$633.12 |
| 86146 |
|
59 |
57 |
$607.87 |
| 86038 |
|
128 |
126 |
$602.78 |
| 87400 |
|
495 |
493 |
$601.64 |
| 87625 |
|
234 |
233 |
$588.70 |
| 86430 |
|
127 |
127 |
$584.58 |
| J1953 |
Levetiracetam injection |
57 |
54 |
$582.50 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
787 |
760 |
$582.40 |
| 92134 |
|
16 |
15 |
$562.32 |
| 82010 |
|
929 |
860 |
$541.42 |
| J2920 |
Methylprednisolone injection |
14 |
12 |
$535.62 |
| 73100 |
|
100 |
97 |
$533.89 |
| J0610 |
Calcium glucon (fresenius) |
42 |
36 |
$489.88 |
| 73592 |
|
13 |
12 |
$474.50 |
| 88302 |
|
54 |
54 |
$471.31 |
| J0612 |
Inj, calcium gluconate, nos |
30 |
24 |
$435.76 |
| 84155 |
|
290 |
283 |
$429.88 |
| S0028 |
Injection, famotidine, 20 mg |
483 |
302 |
$426.37 |
| 77417 |
|
75 |
40 |
$417.21 |
| 80069 |
|
40 |
38 |
$415.57 |
| J1940 |
Furosemide injection |
369 |
302 |
$395.76 |
| J7042 |
5% dextrose/normal saline |
117 |
115 |
$395.69 |
| 86360 |
|
12 |
12 |
$395.60 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
208 |
206 |
$394.80 |
| 99354 |
|
30 |
30 |
$391.66 |
| C1758 |
Catheter, ureteral |
14 |
13 |
$389.43 |
| 82310 |
|
327 |
301 |
$386.78 |
| 73600 |
|
125 |
122 |
$386.07 |
| 86225 |
|
101 |
100 |
$385.07 |
| 85613 |
|
41 |
41 |
$361.47 |
| 82977 |
|
92 |
76 |
$355.38 |
| 83002 |
|
12 |
12 |
$330.12 |
| 86039 |
|
141 |
136 |
$313.24 |
| 84481 |
|
60 |
60 |
$297.00 |
| 84466 |
|
65 |
65 |
$279.79 |
| 86593 |
|
100 |
99 |
$269.41 |
| 85013 |
|
2,799 |
2,618 |
$255.60 |
| 70360 |
|
132 |
131 |
$252.42 |
| 86359 |
|
12 |
12 |
$249.56 |
| C7901 |
Hopd mntl hlt, 30-60 min |
26 |
12 |
$248.56 |
| 88313 |
|
16 |
16 |
$237.12 |
| 83520 |
|
15 |
13 |
$236.78 |
| 99355 |
|
29 |
29 |
$223.63 |
| 85335 |
|
29 |
26 |
$208.90 |
| 73000 |
|
41 |
40 |
$204.88 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
83 |
76 |
$204.33 |
| 87075 |
|
227 |
220 |
$203.76 |
| 82438 |
|
41 |
41 |
$199.15 |
| 82525 |
|
14 |
14 |
$192.89 |
| 82952 |
|
81 |
81 |
$185.04 |
| 98960 |
|
13 |
12 |
$181.84 |
| 90662 |
|
19 |
19 |
$176.29 |
| 83921 |
|
12 |
12 |
$176.13 |
| 87804 |
|
18 |
12 |
$175.68 |
| 73660 |
|
47 |
45 |
$170.61 |
| 86644 |
|
12 |
12 |
$124.57 |
| 71101 |
|
80 |
80 |
$112.98 |
| Q0162 |
Ondansetron oral |
41 |
32 |
$108.87 |
| J2470 |
Inj pantoprazole sodium 40mg |
50 |
49 |
$105.31 |
| 72040 |
|
12 |
12 |
$101.69 |
| J3370 |
Vancomycin hcl injection |
41 |
39 |
$97.62 |
| 86778 |
|
12 |
12 |
$95.39 |
| 82180 |
|
12 |
12 |
$84.04 |
| 82009 |
|
720 |
710 |
$79.66 |
| 90657 |
|
34 |
34 |
$76.65 |
| J2004 |
Inj, lidocaine w epinephrine |
97 |
97 |
$74.93 |
| J2795 |
Ropivacaine hcl injection |
30 |
30 |
$71.55 |
| J0456 |
Azithromycin |
33 |
31 |
$70.29 |
| 84703 |
|
1,901 |
1,836 |
$65.91 |
| J1836 |
Inj, metronidazole, 10 mg |
52 |
50 |
$53.80 |
| J7070 |
D5w infusion |
102 |
86 |
$45.80 |
| 80177 |
|
37 |
37 |
$38.07 |
| 83721 |
|
53 |
52 |
$30.50 |
| 82948 |
|
38 |
38 |
$28.00 |
| 84478 |
|
14 |
13 |
$26.87 |
| J0744 |
Ciprofloxacin iv |
12 |
12 |
$24.91 |
| 87116 |
|
17 |
16 |
$21.60 |
| 86308 |
|
483 |
478 |
$20.08 |
| 87102 |
|
15 |
14 |
$16.82 |
| 87206 |
|
13 |
13 |
$16.17 |
| 99152 |
|
13 |
12 |
$13.37 |
| 87015 |
|
12 |
12 |
$9.84 |
| J3411 |
Thiamine hcl 100 mg |
13 |
13 |
$4.51 |
| J7512 |
Prednisone ir or dr oral 1mg |
21 |
21 |
$4.00 |
| G8510 |
Scr dep neg, no plan reqd |
212 |
202 |
$0.00 |
| 99429 |
|
33 |
28 |
$0.00 |
| 99080 |
|
7,400 |
2,048 |
$0.00 |
| 81257 |
|
13 |
13 |
$0.00 |
| 86618 |
|
13 |
13 |
$0.00 |
| 82365 |
|
13 |
12 |
$0.00 |
| 73020 |
|
42 |
42 |
$0.00 |
| 70250 |
|
13 |
12 |
$0.00 |
| 88365 |
|
13 |
13 |
$0.00 |