| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
314,885 |
257,581 |
$22.94M |
| J9271 |
Inj pembrolizumab |
2,404 |
1,876 |
$18.02M |
| 99213 |
|
161,589 |
144,904 |
$7.81M |
| 99232 |
|
102,428 |
31,482 |
$4.01M |
| J0897 |
Denosumab injection |
2,830 |
2,669 |
$3.78M |
| 99204 |
|
40,096 |
39,753 |
$3.72M |
| J2505 |
Injection, pegfilgrastim 6mg |
1,348 |
984 |
$3.36M |
| 99223 |
Prolong inpt eval add15 m |
30,342 |
26,599 |
$3.09M |
| J9299 |
Injection, nivolumab |
487 |
346 |
$2.85M |
| 99233 |
Prolong inpt eval add15 m |
28,622 |
12,525 |
$1.69M |
| 99215 |
Prolong outpt/office vis |
17,849 |
16,706 |
$1.53M |
| J9022 |
Inj, atezolizumab,10 mg |
201 |
151 |
$1.40M |
| 99203 |
|
22,300 |
22,146 |
$1.38M |
| 99205 |
Prolong outpt/office vis |
11,992 |
11,828 |
$1.38M |
| 99396 |
|
14,370 |
14,088 |
$1.34M |
| 17110 |
|
23,932 |
21,004 |
$1.23M |
| 99222 |
|
16,677 |
15,180 |
$1.18M |
| J9173 |
Inj., durvalumab, 10 mg |
190 |
138 |
$1.16M |
| 96413 |
|
20,539 |
11,700 |
$958K |
| 99395 |
|
10,257 |
10,100 |
$863K |
| J9355 |
Inj trastuzumab excl biosimi |
306 |
174 |
$859K |
| Q0138 |
Ferumoxytol, non-esrd |
2,998 |
2,124 |
$754K |
| Q5118 |
Inj., zirabev, 10 mg |
978 |
294 |
$731K |
| J2506 |
Inj pegfilgrast ex bio 0.5mg |
575 |
436 |
$636K |
| 10040 |
|
10,030 |
9,106 |
$634K |
| J9217 |
Leuprolide acetate suspnsion |
2,339 |
2,265 |
$628K |
| J1439 |
Inj ferric carboxymaltos 1mg |
888 |
631 |
$583K |
| 52000 |
|
5,391 |
5,337 |
$559K |
| 59426 |
|
450 |
447 |
$409K |
| 93306 |
|
7,923 |
7,821 |
$406K |
| J0585 |
Injection,onabotulinumtoxina |
656 |
529 |
$366K |
| 85025 |
|
68,554 |
54,859 |
$360K |
| Q5116 |
Inj., trazimera, 10 mg |
313 |
227 |
$360K |
| 76816 |
|
5,660 |
4,951 |
$359K |
| 99212 |
|
12,138 |
11,070 |
$356K |
| 52356 |
|
1,556 |
1,496 |
$349K |
| 59409 |
|
447 |
441 |
$332K |
| 99385 |
|
3,223 |
3,198 |
$314K |
| 45378 |
|
2,975 |
2,944 |
$299K |
| 96365 |
|
10,019 |
6,751 |
$273K |
| J9306 |
Injection, pertuzumab, 1 mg |
67 |
51 |
$271K |
| 96372 |
|
42,392 |
34,831 |
$268K |
| 99239 |
|
4,486 |
4,287 |
$258K |
| J9202 |
Goserelin acetate implant |
668 |
626 |
$256K |
| Q5108 |
Injection, fulphila |
250 |
191 |
$254K |
| J2469 |
Palonosetron hcl |
8,743 |
5,136 |
$253K |
| 47562 |
|
683 |
675 |
$253K |
| 99231 |
|
11,068 |
6,371 |
$250K |
| 99386 |
|
2,131 |
2,100 |
$240K |
| Q5106 |
Inj retacrit non-esrd use |
2,041 |
1,257 |
$231K |
| Q5122 |
Inj, nyvepria |
120 |
95 |
$230K |
| 93000 |
|
29,360 |
28,667 |
$222K |
| 99291 |
|
1,863 |
637 |
$218K |
| 59025 |
|
7,342 |
2,566 |
$203K |
| 99238 |
|
5,068 |
4,880 |
$201K |
| 76805 |
|
2,543 |
2,509 |
$200K |
| 96367 |
|
11,298 |
6,342 |
$190K |
| 76811 |
|
1,762 |
1,757 |
$183K |
| 96417 |
|
6,435 |
4,095 |
$180K |
| 80047 |
|
21,170 |
16,445 |
$170K |
| 99220 |
|
1,827 |
1,769 |
$169K |
| 10060 |
|
2,412 |
2,248 |
$168K |
| 52310 |
|
1,197 |
1,186 |
$168K |
| 52332 |
|
2,087 |
1,984 |
$151K |
| Q5117 |
Inj., kanjinti, 10 mg |
58 |
39 |
$148K |
| 36415 |
|
55,059 |
49,277 |
$147K |
| 52352 |
|
1,161 |
1,086 |
$140K |
| 71046 |
|
8,753 |
8,461 |
$136K |
| 96375 |
|
14,064 |
7,689 |
$133K |
| 93010 |
|
28,371 |
24,320 |
$130K |
| J9035 |
Bevacizumab injection |
82 |
26 |
$130K |
| J1453 |
Fosaprepitant injection |
3,113 |
2,051 |
$126K |
| J0885 |
Epoetin alfa, non-esrd |
644 |
421 |
$121K |
| 93458 |
|
973 |
942 |
$118K |
| 43235 |
|
2,134 |
2,071 |
$116K |
| 96416 |
|
1,696 |
1,001 |
$115K |
| 59430 |
|
489 |
474 |
$112K |
| 76872 |
|
1,520 |
1,497 |
$111K |
| 45385 |
|
810 |
802 |
$111K |
| 51728 |
|
802 |
800 |
$110K |
| 51798 |
|
18,457 |
17,830 |
$108K |
| J1756 |
Iron sucrose injection |
2,831 |
1,548 |
$105K |
| 99442 |
|
2,540 |
2,472 |
$101K |
| 76801 |
|
1,481 |
1,390 |
$99K |
| 81003 |
|
57,177 |
53,811 |
$93K |
| 76818 |
|
1,288 |
648 |
$90K |
| 90838 |
|
1,538 |
1,188 |
$89K |
| 50590 |
|
282 |
281 |
$88K |
| 99219 |
|
1,303 |
1,255 |
$88K |
| 76856 |
|
1,631 |
1,608 |
$87K |
| J0640 |
Leucovorin calcium injection |
4,421 |
1,741 |
$86K |
| 80305 |
|
10,234 |
8,971 |
$85K |
| 90471 |
|
9,046 |
8,766 |
$85K |
| 31575 |
|
1,276 |
1,260 |
$83K |
| 11901 |
|
3,473 |
2,953 |
$83K |
| 99202 |
|
1,945 |
1,931 |
$82K |
| 96411 |
|
3,622 |
2,241 |
$81K |
| 99496 |
|
738 |
719 |
$80K |
| 94060 |
|
3,390 |
3,322 |
$79K |
| 99495 |
|
908 |
891 |
$76K |
| 76770 |
|
1,343 |
1,327 |
$76K |
| 99195 |
|
1,354 |
1,149 |
$75K |
| 99284 |
|
1,220 |
1,149 |
$74K |
| 90853 |
|
5,115 |
2,744 |
$73K |
| 90837 |
|
975 |
709 |
$73K |
| G0121 |
Colon ca scrn not hi rsk ind |
697 |
694 |
$73K |
| 99441 |
|
2,642 |
2,340 |
$71K |
| 11102 |
|
1,377 |
1,346 |
$68K |
| 99211 |
|
5,044 |
3,984 |
$67K |
| 55700 |
|
637 |
628 |
$66K |
| 43239 |
|
991 |
980 |
$66K |
| 88112 |
|
2,190 |
2,159 |
$61K |
| 76830 |
|
872 |
858 |
$61K |
| 17004 |
|
682 |
587 |
$58K |
| 90682 |
|
973 |
965 |
$58K |
| 96402 |
|
4,125 |
3,852 |
$57K |
| 95165 |
|
905 |
897 |
$54K |
| 99443 |
|
1,011 |
974 |
$53K |
| 78452 |
|
376 |
375 |
$53K |
| J0185 |
Inj., aprepitant, 1 mg |
252 |
166 |
$50K |
| 99221 |
|
1,001 |
970 |
$49K |
| 96415 |
|
4,125 |
2,708 |
$49K |
| 99254 |
|
544 |
517 |
$48K |
| 95115 |
|
9,326 |
3,467 |
$48K |
| 83036 |
|
7,376 |
7,252 |
$45K |
| 20610 |
|
2,979 |
2,498 |
$44K |
| 90674 |
|
1,821 |
1,796 |
$44K |
| 17000 |
|
2,032 |
1,829 |
$44K |
| 51700 |
|
1,294 |
1,196 |
$43K |
| 92557 |
|
2,039 |
2,022 |
$42K |
| 90756 |
|
2,038 |
1,978 |
$42K |
| 76813 |
|
618 |
609 |
$42K |
| 76820 |
|
1,503 |
883 |
$39K |
| J9070 |
Cyclophosphamide 100 mg inj |
336 |
151 |
$39K |
| 76825 |
|
258 |
246 |
$39K |
| Q0091 |
Obtaining screen pap smear |
2,311 |
2,286 |
$38K |
| 45380 |
|
359 |
351 |
$37K |
| A9502 |
Tc99m tetrofosmin |
281 |
281 |
$37K |
| 88305 |
|
157 |
149 |
$36K |
| J9190 |
Fluorouracil injection |
4,608 |
1,871 |
$34K |
| 52005 |
|
772 |
750 |
$34K |
| 99490 |
Ccm add 20min |
2,598 |
2,581 |
$34K |
| 96401 |
|
1,137 |
519 |
$34K |
| 59514 |
|
40 |
40 |
$34K |
| J9263 |
Oxaliplatin |
3,481 |
1,032 |
$33K |
| 94729 |
|
1,277 |
1,273 |
$33K |
| J9305 |
Inj. pemetrexed nos 10mg |
181 |
68 |
$32K |
| 94726 |
|
1,257 |
1,254 |
$31K |
| 69210 |
|
1,415 |
1,349 |
$31K |
| J9045 |
Carboplatin injection |
1,920 |
1,236 |
$30K |
| 93298 |
|
1,567 |
1,511 |
$30K |
| 99406 |
|
4,717 |
4,593 |
$29K |
| 99217 |
|
815 |
790 |
$28K |
| 87635 |
|
790 |
724 |
$28K |
| 76817 |
|
567 |
491 |
$28K |
| 76815 |
|
579 |
523 |
$26K |
| 74420 |
|
1,986 |
1,853 |
$25K |
| J3489 |
Zoledronic acid 1mg |
1,105 |
1,013 |
$24K |
| 99255 |
|
213 |
207 |
$24K |
| 17003 |
|
1,332 |
1,237 |
$23K |
| 92567 |
|
2,565 |
2,486 |
$22K |
| 81002 |
|
10,515 |
9,744 |
$21K |
| 99497 |
|
1,090 |
1,008 |
$20K |
| 88121 |
|
88 |
88 |
$20K |
| J9041 |
Injection, bortezomib, 0.1mg |
463 |
78 |
$20K |
| 93356 |
|
1,956 |
1,947 |
$20K |
| 90688 |
|
1,177 |
1,158 |
$20K |
| 96360 |
|
1,293 |
677 |
$19K |
| 94750 |
|
426 |
424 |
$19K |
| 81025 |
|
3,017 |
2,942 |
$19K |
| 96368 |
|
2,689 |
1,625 |
$19K |
| J9267 |
Paclitaxel injection |
1,361 |
561 |
$19K |
| 99394 |
|
241 |
225 |
$18K |
| 99000 |
|
3,502 |
2,826 |
$18K |
| 99283 |
|
439 |
426 |
$17K |
| 93015 |
|
667 |
663 |
$17K |
| 76942 |
|
840 |
824 |
$17K |
| 72110 |
|
700 |
673 |
$16K |
| 96127 |
|
5,872 |
5,495 |
$16K |
| J9395 |
Injection, fulvestrant |
102 |
90 |
$15K |
| 30520 |
|
40 |
40 |
$15K |
| 90686 |
|
900 |
890 |
$15K |
| 54150 |
|
241 |
241 |
$14K |
| 99309 |
|
454 |
284 |
$14K |
| 82962 |
|
6,411 |
5,526 |
$14K |
| 51705 |
|
324 |
297 |
$13K |
| 81000 |
|
5,217 |
4,880 |
$13K |
| 94010 |
|
816 |
782 |
$13K |
| J1030 |
Methylprednisolone 40 mg inj |
3,528 |
3,358 |
$13K |
| 92928 |
|
51 |
39 |
$13K |
| J3420 |
Vitamin b12 injection |
13,024 |
11,617 |
$13K |
| 93299 |
|
237 |
228 |
$13K |
| 99152 |
|
1,884 |
1,758 |
$12K |
| 73030 |
|
870 |
801 |
$12K |
| 96374 |
|
902 |
630 |
$12K |
| J1100 |
Dexamethasone sodium phos |
13,569 |
7,630 |
$12K |
| 99407 |
|
895 |
860 |
$12K |
| U0001 |
2019-ncov diagnostic p |
412 |
384 |
$12K |
| 64615 |
|
216 |
215 |
$12K |
| 51797 |
|
170 |
168 |
$12K |
| 76857 |
|
545 |
538 |
$11K |
| 0001A |
|
309 |
307 |
$11K |
| 0002A |
|
287 |
286 |
$11K |
| 90834 |
|
247 |
200 |
$11K |
| 51702 |
|
372 |
348 |
$11K |
| J1040 |
Methylprednisolone 80 mg inj |
1,304 |
1,211 |
$10K |
| 73630 |
|
564 |
501 |
$10K |
| 96361 |
|
1,581 |
952 |
$10K |
| J2785 |
Regadenoson injection |
99 |
99 |
$10K |
| 93351 |
|
170 |
165 |
$10K |
| 92004 |
|
111 |
111 |
$10K |
| 80053 |
|
1,315 |
1,097 |
$9K |
| 90715 |
|
298 |
293 |
$9K |
| 92552 |
|
533 |
511 |
$9K |
| 11900 |
|
274 |
270 |
$9K |
| 82247 |
|
4,027 |
3,085 |
$9K |
| 93308 |
|
513 |
481 |
$8K |
| J3301 |
Triamcinolone acet inj nos |
2,310 |
2,224 |
$8K |
| J3490 |
Drugs unclassified injection |
2,512 |
1,270 |
$8K |
| 95004 |
|
113 |
110 |
$8K |
| 90836 |
|
179 |
152 |
$8K |
| G0498 |
Chemo extend iv infus w/pump |
316 |
190 |
$8K |
| 90670 |
|
54 |
54 |
$7K |
| J1885 |
Ketorolac tromethamine inj |
6,467 |
5,951 |
$7K |
| 92555 |
|
543 |
517 |
$7K |
| J2916 |
Na ferric gluconate complex |
399 |
230 |
$7K |
| 14040 |
|
29 |
29 |
$7K |
| 99225 |
|
654 |
492 |
$7K |
| 11103 |
|
177 |
175 |
$7K |
| G2211 |
Complex e/m visit add on |
6,602 |
5,882 |
$7K |
| 99308 |
|
248 |
119 |
$7K |
| 54161 |
|
89 |
88 |
$7K |
| 99244 |
|
74 |
70 |
$6K |
| 96377 |
|
936 |
706 |
$6K |
| G0008 |
Admin influenza virus vac |
2,019 |
1,972 |
$6K |
| J9171 |
Docetaxel injection |
126 |
97 |
$6K |
| 90732 |
|
89 |
88 |
$6K |
| 99235 |
|
65 |
64 |
$6K |
| 93325 |
|
858 |
831 |
$6K |
| J0561 |
Penicillin g benzathine inj |
16 |
14 |
$6K |
| 92550 |
|
454 |
442 |
$5K |
| 90673 |
|
85 |
85 |
$5K |
| 87880 |
|
454 |
448 |
$5K |
| J1626 |
Granisetron hcl injection |
2,199 |
986 |
$5K |
| 93018 |
|
694 |
680 |
$5K |
| 0012A |
|
133 |
132 |
$5K |
| 96160 |
|
1,958 |
1,936 |
$5K |
| 52351 |
|
33 |
29 |
$4K |
| 73560 |
|
288 |
277 |
$4K |
| 87804 |
|
355 |
250 |
$4K |
| 76000 |
|
827 |
782 |
$4K |
| 51741 |
|
929 |
912 |
$4K |
| 95806 |
|
95 |
95 |
$4K |
| 0011A |
|
123 |
122 |
$4K |
| 92540 |
|
68 |
68 |
$4K |
| 76819 |
|
93 |
79 |
$4K |
| 58300 |
|
57 |
56 |
$4K |
| 99218 |
|
119 |
113 |
$4K |
| 92587 |
|
873 |
829 |
$4K |
| 0031A |
|
105 |
105 |
$4K |
| J9206 |
Irinotecan injection |
398 |
154 |
$4K |
| 80061 |
|
502 |
475 |
$3K |
| 93295 |
|
171 |
171 |
$3K |
| 96366 |
|
312 |
249 |
$3K |
| 51784 |
|
184 |
181 |
$3K |
| 80048 |
|
650 |
526 |
$3K |
| 99201 |
|
122 |
122 |
$3K |
| 95816 |
|
27 |
27 |
$3K |
| J1200 |
Diphenhydramine hcl injectio |
5,906 |
3,237 |
$3K |
| 96523 |
|
209 |
198 |
$3K |
| 0004A |
|
86 |
86 |
$3K |
| 92941 |
|
12 |
12 |
$3K |
| 94640 |
|
523 |
494 |
$3K |
| 90662 |
|
455 |
413 |
$3K |
| 93296 |
|
257 |
257 |
$3K |
| 49650 |
|
14 |
13 |
$3K |
| 84153 |
|
156 |
149 |
$3K |
| 85651 |
|
1,429 |
1,391 |
$3K |
| 73562 |
|
139 |
119 |
$3K |
| 93297 |
|
69 |
69 |
$2K |
| J1020 |
Methylprednisolone 20 mg inj |
923 |
875 |
$2K |
| 90677 |
|
13 |
13 |
$2K |
| J2010 |
Lincomycin injection |
315 |
289 |
$2K |
| 76775 |
|
81 |
77 |
$2K |
| 99234 |
|
30 |
25 |
$2K |
| 90661 |
|
73 |
72 |
$2K |
| 92014 |
|
41 |
41 |
$2K |
| 73130 |
|
151 |
110 |
$2K |
| 93312 |
|
38 |
38 |
$2K |
| 11308 |
|
29 |
24 |
$2K |
| 55250 |
|
12 |
12 |
$2K |
| 99306 |
Prolong nursin fac eval 15m |
22 |
21 |
$2K |
| 11402 |
|
27 |
25 |
$2K |
| 85060 |
|
176 |
172 |
$2K |
| 90658 |
|
177 |
160 |
$2K |
| 51720 |
|
114 |
53 |
$2K |
| 93248 |
|
141 |
141 |
$2K |
| 95811 |
|
14 |
14 |
$2K |
| 95251 |
|
112 |
111 |
$2K |
| 95810 |
|
25 |
25 |
$2K |
| 87502 |
|
27 |
27 |
$2K |
| G0180 |
Md certification hha patient |
180 |
180 |
$2K |
| 99051 |
|
446 |
426 |
$2K |
| J9000 |
Doxorubicin hcl injection |
121 |
62 |
$2K |
| 90472 |
|
177 |
173 |
$2K |
| 73502 |
|
97 |
94 |
$2K |
| 82947 |
|
622 |
572 |
$2K |
| 87086 |
|
379 |
354 |
$2K |
| J3475 |
Inj magnesium sulfate |
809 |
452 |
$2K |
| 99393 |
|
25 |
25 |
$2K |
| 11042 |
|
52 |
25 |
$2K |
| 64450 |
|
141 |
138 |
$2K |
| 82570 |
|
514 |
507 |
$2K |
| 91320 |
|
30 |
30 |
$2K |
| 0134A |
|
52 |
52 |
$1K |
| J7030 |
Normal saline solution infus |
807 |
434 |
$1K |
| 77080 |
|
130 |
124 |
$1K |
| 92015 |
|
130 |
130 |
$1K |
| G2066 |
Inter devc remote 30d |
207 |
205 |
$1K |
| 82043 |
|
355 |
352 |
$1K |
| 93320 |
|
96 |
96 |
$1K |
| 90656 |
|
71 |
71 |
$1K |
| 96409 |
|
38 |
13 |
$1K |
| 93244 |
|
105 |
102 |
$1K |
| 51610 |
|
55 |
51 |
$1K |
| 99384 |
|
12 |
12 |
$1K |
| 95024 |
|
13 |
13 |
$1K |
| 64566 |
|
27 |
13 |
$1K |
| Q9991 |
Buprenorph xr 100 mg or less |
225 |
196 |
$1K |
| 92537 |
|
54 |
54 |
$1K |
| 95117 |
|
151 |
73 |
$1K |
| 11303 |
|
15 |
13 |
$1K |
| 90694 |
|
214 |
211 |
$1K |
| 0013A |
|
30 |
30 |
$1K |
| Q2037 |
Fluvirin vacc, 3 yrs & >, im |
77 |
73 |
$1K |
| 85610 |
|
399 |
310 |
$1K |
| 52281 |
|
13 |
13 |
$1K |
| 87389 |
|
56 |
56 |
$1K |
| 30901 |
|
12 |
12 |
$1K |
| 93290 |
|
47 |
39 |
$989.29 |
| 11104 |
|
14 |
14 |
$979.02 |
| 54056 |
|
12 |
12 |
$939.18 |
| 0124A |
|
38 |
37 |
$921.77 |
| 58301 |
|
15 |
15 |
$920.78 |
| 99224 |
|
186 |
165 |
$915.64 |
| 80076 |
|
272 |
216 |
$908.04 |
| G0101 |
Ca screen;pelvic/breast exam |
52 |
47 |
$904.11 |
| 92551 |
|
128 |
125 |
$903.86 |
| J9201 |
In gemcitabine hcl nos 200mg |
51 |
26 |
$867.08 |
| 97750 |
|
204 |
188 |
$836.76 |
| J1010 |
Inj, methylpred acetate 1 mg |
318 |
304 |
$831.91 |
| J1071 |
Inj testosterone cypionate |
1,124 |
971 |
$794.35 |
| G9008 |
Mccd,phys coor-care ovrsght |
68 |
68 |
$754.87 |
| 99401 |
|
34 |
34 |
$731.50 |
| 92012 |
|
14 |
13 |
$730.50 |
| 92978 |
|
16 |
12 |
$725.46 |
| 99310 |
Prolong nursin fac eval 15m |
16 |
12 |
$712.96 |
| G0439 |
Ppps, subseq visit |
2,686 |
2,582 |
$683.72 |
| G2012 |
Brief check in by md/qhp |
143 |
120 |
$660.91 |
| 93246 |
|
107 |
106 |
$659.34 |
| 90480 |
|
42 |
42 |
$634.52 |
| J2405 |
Ondansetron hcl injection |
1,310 |
742 |
$616.69 |
| 0003A |
|
16 |
16 |
$614.69 |
| 11721 |
|
28 |
28 |
$614.06 |
| 74018 |
|
37 |
37 |
$598.74 |
| 87077 |
|
106 |
99 |
$589.88 |
| 94664 |
|
151 |
144 |
$581.85 |
| G0481 |
Drug test def 8-14 classes |
55 |
55 |
$575.00 |
| 92625 |
|
14 |
14 |
$566.08 |
| 87088 |
|
92 |
86 |
$565.19 |
| 83735 |
|
130 |
87 |
$556.98 |
| 93242 |
|
85 |
82 |
$548.61 |
| 99305 |
|
27 |
26 |
$526.98 |
| 83615 |
|
218 |
174 |
$516.49 |
| J2930 |
Methylprednisolone injection |
113 |
104 |
$497.95 |
| J0461 |
Atropine sulfate injection |
316 |
168 |
$495.40 |
| 93350 |
|
13 |
13 |
$494.64 |
| 99153 |
Mod sedat endo service >5yrs |
380 |
342 |
$486.39 |
| 99451 |
|
26 |
26 |
$482.50 |
| 92553 |
|
25 |
25 |
$473.35 |
| 87426 |
|
16 |
13 |
$453.36 |
| G2058 |
Ccm add 20min |
23 |
21 |
$448.65 |
| 76870 |
|
13 |
12 |
$436.74 |
| 84100 |
|
239 |
183 |
$435.89 |
| 84550 |
|
228 |
172 |
$420.84 |
| 82044 |
|
133 |
130 |
$420.23 |
| J2315 |
Naltrexone, depot form |
354 |
310 |
$396.27 |
| 86580 |
|
90 |
86 |
$363.62 |
| 73110 |
|
19 |
13 |
$357.71 |
| 92250 |
|
17 |
17 |
$352.47 |
| 87186 |
|
47 |
43 |
$335.59 |
| 93922 |
|
13 |
13 |
$307.81 |
| 92547 |
|
69 |
68 |
$277.67 |
| 72100 |
|
15 |
15 |
$275.52 |
| 45330 |
|
12 |
12 |
$275.04 |
| J0696 |
Ceftriaxone sodium injection |
346 |
339 |
$252.60 |
| J9060 |
Cisplatin 10 mg injection |
25 |
12 |
$232.55 |
| 76376 |
|
53 |
52 |
$232.15 |
| 97802 |
|
526 |
504 |
$210.00 |
| J1580 |
Garamycin gentamicin inj |
66 |
62 |
$184.91 |
| J2060 |
Lorazepam injection |
486 |
230 |
$182.78 |
| 51701 |
|
12 |
12 |
$173.81 |
| G0136 |
Adm of pa/n assess 5-15 m |
38 |
38 |
$146.90 |
| G9007 |
Mccd, sch team conf |
12 |
12 |
$144.06 |
| 36591 |
|
63 |
48 |
$113.12 |
| G0403 |
Ekg for initial prevent exam |
21 |
21 |
$109.68 |
| J3480 |
Inj potassium chloride |
103 |
64 |
$102.98 |
| G0444 |
Depression screen annual |
2,695 |
2,593 |
$96.52 |
| G0009 |
Admin pneumococcal vaccine |
42 |
42 |
$89.18 |
| 90653 |
|
34 |
34 |
$83.49 |
| 3074F |
|
50,923 |
47,103 |
$81.23 |
| 0296T |
|
13 |
12 |
$73.82 |
| Q2039 |
Influenza virus vaccine, nos |
15 |
15 |
$72.01 |
| G0442 |
Annual alcohol screen 15 min |
758 |
720 |
$66.67 |
| 3078F |
|
40,788 |
38,117 |
$65.60 |
| 86689 |
|
12 |
12 |
$64.12 |
| 81001 |
|
25 |
25 |
$55.25 |
| 3079F |
|
29,724 |
28,054 |
$54.00 |
| 93321 |
|
12 |
12 |
$41.60 |
| 82270 |
|
14 |
14 |
$29.32 |
| 3075F |
|
16,270 |
15,476 |
$28.87 |
| J2919 |
Inj, methylpred sod succ 5mg |
15 |
13 |
$26.38 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
92 |
80 |
$25.31 |
| 94761 |
|
1,313 |
1,281 |
$25.00 |
| 1000F |
|
7,248 |
6,766 |
$23.39 |
| 0298T |
|
12 |
12 |
$21.51 |
| 3077F |
|
13,013 |
12,342 |
$16.00 |
| 99072 |
|
5,931 |
3,723 |
$15.25 |
| 3008F |
|
27,927 |
25,677 |
$12.42 |
| 4013F |
|
3,662 |
3,581 |
$11.24 |
| G8417 |
Calc bmi abv up param f/u |
7,607 |
7,058 |
$6.02 |
| G9275 |
Doc of non tobacco user |
6,507 |
6,239 |
$6.01 |
| G8419 |
Calc bmi out nrm param nof/u |
1,824 |
1,729 |
$6.00 |
| 3080F |
|
10,010 |
9,495 |
$5.76 |
| G8510 |
Scr dep neg, no plan reqd |
4,482 |
4,318 |
$5.01 |
| 0502F |
|
1,051 |
758 |
$1.38 |
| 4010F |
|
3,561 |
3,422 |
$0.98 |
| 1160F |
|
4,237 |
4,129 |
$0.32 |
| 2028F |
|
243 |
224 |
$0.18 |
| 1159F |
|
6,760 |
6,458 |
$0.16 |
| G8420 |
Calc bmi norm parameters |
4,231 |
3,997 |
$0.09 |
| 3051F |
|
659 |
652 |
$0.08 |
| 1033F |
|
1,302 |
1,176 |
$0.06 |
| G9903 |
Pt scrn tbco id as non user |
300 |
278 |
$0.06 |
| G8752 |
Sys bp less 140 |
7,080 |
6,241 |
$0.05 |
| G8754 |
Dias bp less 90 |
8,425 |
7,386 |
$0.05 |
| G8427 |
Docrev cur meds by elig clin |
5,819 |
4,949 |
$0.02 |
| 4000F |
|
419 |
366 |
$0.02 |
| 3052F |
|
117 |
115 |
$0.02 |
| G8482 |
Flu immunize order/admin |
151 |
111 |
$0.01 |
| 3044F |
|
5,250 |
5,124 |
$0.01 |
| 3014F |
|
54 |
53 |
$0.01 |
| 1170F |
|
224 |
219 |
$0.01 |
| G9906 |
Pt recv tbco cess interv |
13 |
13 |
$0.01 |
| 3046F |
|
495 |
478 |
$0.00 |
| G8483 |
Flu imm no admin doc rea |
704 |
673 |
$0.00 |
| 3725F |
|
672 |
661 |
$0.00 |
| G8783 |
Bp scrn perf rec interval |
389 |
359 |
$0.00 |
| G8753 |
Sys bp > or = 140 |
3,639 |
3,279 |
$0.00 |
| 3288F |
|
58 |
57 |
$0.00 |
| 91300 |
|
181 |
162 |
$0.00 |
| 3045F |
|
361 |
346 |
$0.00 |
| 91313 |
|
46 |
46 |
$0.00 |
| G9276 |
Doc of tobacco user |
265 |
265 |
$0.00 |
| G8539 |
Doc funct and care plan |
32 |
24 |
$0.00 |
| G8511 |
Scr dep pos, no plan doc rng |
16 |
15 |
$0.00 |
| 99071 |
|
429 |
421 |
$0.00 |
| 90611 |
|
89 |
85 |
$0.00 |
| 3015F |
|
12 |
12 |
$0.00 |
| 4004F |
|
108 |
103 |
$0.00 |
| G8730 |
Pain doc pos and plan |
46 |
45 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
44 |
43 |
$0.00 |
| 3028F |
|
12 |
12 |
$0.00 |
| 99409 |
|
40 |
33 |
$0.00 |
| S9470 |
Nutritional counseling, diet |
40 |
39 |
$0.00 |
| G8484 |
Flu immunize no admin |
17 |
17 |
$0.00 |
| G2023 |
Specimen collect covid-19 |
13 |
13 |
$0.00 |
| 2022F |
|
12 |
12 |
$0.00 |
| 3050F |
|
12 |
12 |
$0.00 |
| G8418 |
Calc bmi blw low param f/u |
1,748 |
1,684 |
$0.00 |
| 3017F |
|
320 |
307 |
$0.00 |
| G8755 |
Dias bp > or = 90 |
2,141 |
1,958 |
$0.00 |
| G9664 |
Taking statin or rec'd order |
170 |
149 |
$0.00 |
| G8432 |
Dep scr not doc, rng |
4,951 |
4,710 |
$0.00 |
| 1036F |
|
3,026 |
2,891 |
$0.00 |
| 0500F |
|
488 |
484 |
$0.00 |
| 1111F |
|
189 |
185 |
$0.00 |
| 4086F |
|
4,431 |
4,306 |
$0.00 |
| G9226 |
3 comp foot exam completed |
65 |
63 |
$0.00 |
| 4011F |
|
2,520 |
2,473 |
$0.00 |
| 3048F |
|
98 |
80 |
$0.00 |
| 1123F |
|
180 |
171 |
$0.00 |
| 4008F |
|
2,259 |
2,221 |
$0.00 |
| 3351F |
|
470 |
459 |
$0.00 |
| 3353F |
|
43 |
43 |
$0.00 |
| 99024 |
|
83 |
76 |
$0.00 |
| G0447 |
Behavior counsel obesity 15m |
299 |
279 |
$0.00 |
| 1034F |
|
259 |
241 |
$0.00 |
| G9189 |
Beta pres or already taking |
57 |
53 |
$0.00 |
| 91301 |
|
119 |
119 |
$0.00 |
| 3011F |
|
162 |
133 |
$0.00 |
| 2010F |
|
141 |
130 |
$0.00 |
| 91303 |
|
40 |
40 |
$0.00 |
| G9281 |
Pne scrn done doc not ind |
57 |
57 |
$0.00 |
| Q3014 |
Telehealth facility fee |
130 |
122 |
$0.00 |
| 1101F |
|
99 |
96 |
$0.00 |
| 1125F |
|
14 |
14 |
$0.00 |
| G8428 |
Cur meds not document |
58 |
56 |
$0.00 |
| 1006F |
|
13 |
13 |
$0.00 |
| 3061F |
|
12 |
12 |
$0.00 |
| 36416 |
|
13 |
13 |
$0.00 |
| 3352F |
|
16 |
16 |
$0.00 |
| H0038 |
Self-help/peer svc per 15min |
15 |
12 |
$0.00 |