| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
183,622 |
167,937 |
$23.75M |
| 99214 |
|
90,503 |
78,622 |
$11.78M |
| 99213 |
|
57,755 |
48,763 |
$6.66M |
| 99285 |
|
40,695 |
37,836 |
$5.74M |
| 99283 |
|
31,962 |
30,119 |
$4.22M |
| G0463 |
Hospital outpt clinic visit |
153,029 |
110,074 |
$3.71M |
| 99212 |
|
31,232 |
23,809 |
$3.29M |
| 64405 |
|
12,278 |
10,523 |
$3.11M |
| 74177 |
|
13,599 |
13,047 |
$2.96M |
| H0010 |
Alcohol and/or drug services |
5,166 |
642 |
$2.94M |
| 99215 |
Prolong outpt/office vis |
18,272 |
16,612 |
$2.63M |
| 87633 |
|
8,027 |
7,703 |
$2.53M |
| H0011 |
Alcohol and/or drug services |
788 |
716 |
$2.34M |
| 87635 |
|
56,605 |
50,771 |
$2.19M |
| 96361 |
|
6,672 |
5,236 |
$1.93M |
| 43239 |
|
4,111 |
4,073 |
$1.89M |
| 96365 |
|
16,891 |
12,336 |
$1.85M |
| J0585 |
Injection,onabotulinumtoxina |
4,388 |
2,887 |
$1.82M |
| 45380 |
|
3,410 |
3,380 |
$1.76M |
| 96366 |
|
6,784 |
4,589 |
$1.64M |
| 70450 |
|
11,120 |
10,458 |
$1.43M |
| 97110 |
|
26,480 |
9,572 |
$1.38M |
| 45385 |
|
2,130 |
2,120 |
$1.32M |
| 99232 |
|
50,682 |
20,379 |
$1.08M |
| 85025 |
|
215,816 |
176,613 |
$1.01M |
| 93306 |
|
6,576 |
6,493 |
$961K |
| 99395 |
|
10,262 |
10,112 |
$956K |
| S9485 |
Crisis intervention mental h |
2,113 |
1,601 |
$931K |
| 76856 |
|
6,222 |
6,115 |
$925K |
| 99204 |
|
6,116 |
6,007 |
$881K |
| 59025 |
|
3,680 |
1,887 |
$877K |
| 80307 |
|
26,413 |
22,200 |
$866K |
| 87491 |
|
25,517 |
24,516 |
$863K |
| 87591 |
|
25,259 |
24,259 |
$854K |
| 80053 |
|
171,257 |
148,548 |
$834K |
| 99396 |
|
9,054 |
8,906 |
$819K |
| 87637 |
|
8,053 |
7,743 |
$812K |
| 20552 |
|
10,125 |
8,517 |
$798K |
| H0035 |
Mh partial hosp tx under 24h |
1,352 |
205 |
$791K |
| 97140 |
|
14,265 |
5,651 |
$729K |
| 45378 |
|
538 |
537 |
$714K |
| 76705 |
|
6,442 |
6,165 |
$684K |
| 82306 |
|
41,894 |
41,244 |
$682K |
| 93971 |
|
3,981 |
3,843 |
$657K |
| 84443 |
|
67,833 |
65,934 |
$657K |
| 70553 |
|
1,835 |
1,812 |
$645K |
| 70551 |
|
2,657 |
2,631 |
$644K |
| 74176 |
|
3,901 |
3,758 |
$643K |
| 41899 |
|
470 |
454 |
$614K |
| 77067 |
|
12,269 |
12,214 |
$597K |
| 99203 |
|
4,249 |
4,161 |
$581K |
| 96367 |
|
7,126 |
4,401 |
$526K |
| 76801 |
|
4,010 |
3,693 |
$523K |
| 71046 |
|
23,880 |
22,598 |
$514K |
| 72148 |
|
2,410 |
2,397 |
$499K |
| 64450 |
|
6,201 |
5,231 |
$483K |
| 73721 |
|
1,557 |
1,536 |
$475K |
| G0378 |
Hospital observation per hr |
9,008 |
6,250 |
$473K |
| 90935 |
|
1,078 |
87 |
$465K |
| 97597 |
|
7,210 |
4,331 |
$440K |
| 64615 |
|
1,573 |
1,560 |
$426K |
| 97535 |
|
8,824 |
5,700 |
$418K |
| 64493 |
|
997 |
982 |
$402K |
| 62323 |
|
1,306 |
1,288 |
$388K |
| 99211 |
|
2,828 |
2,571 |
$374K |
| G0108 |
Diab manage trn per indiv |
6,371 |
5,667 |
$356K |
| 80061 |
|
58,734 |
57,911 |
$356K |
| 96127 |
|
9,206 |
8,771 |
$349K |
| G2023 |
Specimen collect covid-19 |
20,548 |
18,855 |
$346K |
| 99205 |
Prolong outpt/office vis |
2,166 |
2,145 |
$336K |
| 76816 |
|
2,593 |
2,435 |
$331K |
| 99239 |
|
9,540 |
9,271 |
$329K |
| 77063 |
|
7,241 |
7,205 |
$321K |
| 76642 |
|
2,963 |
2,903 |
$316K |
| 96413 |
|
7,105 |
4,190 |
$308K |
| 87507 |
|
2,242 |
2,156 |
$302K |
| 76775 |
|
3,640 |
3,558 |
$300K |
| G0399 |
Home sleep test/type 3 porta |
518 |
517 |
$299K |
| 20610 |
|
2,671 |
2,502 |
$299K |
| 87070 |
|
27,580 |
26,304 |
$296K |
| 20553 |
|
4,152 |
3,912 |
$293K |
| 97112 |
|
5,445 |
2,641 |
$276K |
| 71275 |
|
2,300 |
2,242 |
$274K |
| J7298 |
Mirena, 52 mg |
177 |
176 |
$270K |
| 76770 |
|
1,619 |
1,578 |
$266K |
| 59899 |
|
394 |
316 |
$261K |
| 87624 |
|
10,679 |
10,516 |
$261K |
| J1050 |
Medroxyprogesterone acetate |
4,741 |
4,709 |
$258K |
| 87088 |
|
40,182 |
36,178 |
$257K |
| 96372 |
|
27,579 |
20,515 |
$253K |
| 96360 |
|
2,505 |
2,102 |
$253K |
| 76830 |
|
3,947 |
3,859 |
$250K |
| 71250 |
|
4,933 |
4,853 |
$249K |
| G0480 |
Drug test def 1-7 classes |
13,030 |
10,141 |
$248K |
| 83036 |
|
51,497 |
50,633 |
$247K |
| 76819 |
|
2,052 |
1,037 |
$241K |
| 87486 |
|
8,092 |
7,765 |
$240K |
| 88142 |
|
12,839 |
12,428 |
$234K |
| 72125 |
|
5,664 |
5,389 |
$234K |
| 99223 |
Prolong inpt eval add15 m |
3,272 |
3,228 |
$233K |
| 76805 |
|
1,337 |
1,331 |
$233K |
| 58300 |
|
941 |
915 |
$231K |
| 64483 |
|
790 |
779 |
$231K |
| 96374 |
|
30,975 |
27,339 |
$230K |
| 97530 |
|
5,635 |
2,928 |
$223K |
| 88305 |
|
16,408 |
15,803 |
$223K |
| 94060 |
|
2,884 |
2,855 |
$218K |
| 95886 |
|
926 |
923 |
$214K |
| 87389 |
|
11,229 |
11,064 |
$211K |
| 76813 |
|
1,402 |
1,320 |
$208K |
| 92507 |
|
1,659 |
705 |
$206K |
| 93005 |
|
50,312 |
42,016 |
$203K |
| 97803 |
|
2,575 |
2,203 |
$203K |
| 93017 |
|
2,501 |
2,470 |
$196K |
| 82728 |
|
21,130 |
20,407 |
$190K |
| 71260 |
|
3,953 |
3,881 |
$187K |
| 99233 |
Prolong inpt eval add15 m |
5,967 |
2,891 |
$184K |
| 80048 |
|
57,893 |
47,545 |
$184K |
| 96375 |
|
25,504 |
20,020 |
$179K |
| 76536 |
|
1,477 |
1,466 |
$177K |
| 87510 |
|
8,951 |
8,687 |
$176K |
| 87660 |
|
8,948 |
8,685 |
$176K |
| 86003 |
|
1,339 |
1,187 |
$176K |
| 97161 |
|
2,976 |
2,936 |
$175K |
| 87480 |
|
8,949 |
8,686 |
$174K |
| 72141 |
|
721 |
718 |
$173K |
| 11042 |
|
2,286 |
1,485 |
$170K |
| 84439 |
|
28,954 |
28,197 |
$169K |
| 73221 |
|
564 |
551 |
$166K |
| 12001 |
|
881 |
858 |
$166K |
| 86803 |
|
15,646 |
15,350 |
$166K |
| 84466 |
|
19,805 |
19,189 |
$165K |
| 84484 |
|
26,020 |
19,588 |
$164K |
| 84703 |
|
19,898 |
17,819 |
$146K |
| 83655 |
|
7,271 |
7,083 |
$145K |
| 87798 |
|
5,238 |
3,635 |
$145K |
| 73030 |
|
3,982 |
3,711 |
$140K |
| 87481 |
|
3,363 |
2,730 |
$140K |
| 73110 |
|
2,606 |
2,470 |
$138K |
| 76817 |
|
1,170 |
1,037 |
$137K |
| 94640 |
|
3,013 |
1,935 |
$134K |
| 70486 |
|
1,367 |
1,346 |
$133K |
| 87502 |
|
2,792 |
2,714 |
$130K |
| 73630 |
|
4,440 |
4,259 |
$128K |
| 83690 |
|
24,480 |
21,857 |
$126K |
| 83880 |
|
10,742 |
9,451 |
$122K |
| 81513 |
|
2,853 |
2,728 |
$119K |
| 74018 |
|
2,246 |
2,132 |
$119K |
| 77080 |
|
4,850 |
4,820 |
$118K |
| 73562 |
|
4,328 |
4,058 |
$115K |
| 73610 |
|
3,540 |
3,418 |
$115K |
| 72100 |
|
2,831 |
2,797 |
$113K |
| 99222 |
|
2,187 |
1,955 |
$112K |
| Q0222 |
Bebtelovimab 175 mg |
118 |
111 |
$110K |
| 82607 |
|
12,866 |
12,642 |
$109K |
| 86618 |
|
7,881 |
7,592 |
$108K |
| 86780 |
|
9,891 |
9,677 |
$108K |
| J2469 |
Palonosetron hcl |
1,669 |
963 |
$108K |
| 83605 |
|
15,335 |
13,195 |
$107K |
| 90715 |
|
3,874 |
3,841 |
$105K |
| 87522 |
Neg quan hep c or qual rna |
2,689 |
2,653 |
$104K |
| 73130 |
|
3,507 |
3,364 |
$104K |
| G0297 |
Ldct for lung ca screen |
1,114 |
1,106 |
$103K |
| 83735 |
|
27,994 |
22,716 |
$103K |
| 97750 |
|
3,819 |
2,940 |
$102K |
| 84702 |
|
6,293 |
4,697 |
$101K |
| ATP14 |
|
27,818 |
24,030 |
$95K |
| 83970 |
|
5,854 |
5,711 |
$95K |
| 87340 |
|
9,648 |
9,459 |
$93K |
| 78452 |
|
461 |
457 |
$93K |
| 87625 |
|
6,737 |
6,653 |
$91K |
| 81220 |
|
455 |
448 |
$91K |
| 81329 |
|
1,015 |
1,005 |
$91K |
| 90471 |
|
11,615 |
11,049 |
$90K |
| 77065 |
Tomosynthesis, mammo |
1,831 |
1,689 |
$89K |
| 87186 |
|
14,463 |
13,480 |
$87K |
| 71271 |
|
2,670 |
2,658 |
$87K |
| 10060 |
|
477 |
456 |
$86K |
| 83540 |
|
20,431 |
19,791 |
$86K |
| 71045 |
|
11,503 |
10,662 |
$86K |
| 70498 |
|
784 |
752 |
$84K |
| J7050 |
Normal saline solution infus |
29,361 |
9,450 |
$84K |
| 58301 |
|
417 |
417 |
$84K |
| 83520 |
|
7,205 |
5,010 |
$84K |
| J0185 |
Inj., aprepitant, 1 mg |
626 |
385 |
$82K |
| 84153 |
|
6,515 |
6,363 |
$81K |
| 97162 |
|
2,074 |
2,043 |
$81K |
| 92567 |
|
1,912 |
1,875 |
$80K |
| J0131 |
Inj, acetaminophen (nos) |
4,540 |
3,757 |
$78K |
| 87661 |
|
2,890 |
2,761 |
$75K |
| 98929 |
|
2,466 |
2,029 |
$75K |
| J2505 |
Injection, pegfilgrastim 6mg |
65 |
52 |
$75K |
| 86141 |
|
9,850 |
8,999 |
$71K |
| 86850 |
|
8,944 |
8,349 |
$70K |
| 72131 |
|
1,887 |
1,841 |
$69K |
| 94729 |
|
2,601 |
2,570 |
$69K |
| 76376 |
|
45,903 |
38,185 |
$67K |
| 87653 |
|
1,965 |
1,946 |
$66K |
| J1644 |
Inj heparin sodium per 1000u |
17,056 |
4,530 |
$64K |
| 77066 |
Tomosynthesis, mammo |
1,171 |
1,167 |
$64K |
| 87902 |
|
310 |
308 |
$64K |
| 76815 |
|
748 |
687 |
$63K |
| M0243 |
Casirivi and imdevi inj |
231 |
230 |
$62K |
| 86704 |
|
6,907 |
6,748 |
$62K |
| 99406 |
|
9,234 |
8,827 |
$62K |
| 86706 |
|
7,589 |
7,413 |
$62K |
| 84403 |
|
2,872 |
2,791 |
$60K |
| 77062 |
|
686 |
686 |
$60K |
| 87040 |
|
7,790 |
5,090 |
$59K |
| 80076 |
|
13,522 |
12,612 |
$59K |
| 90791 |
|
486 |
469 |
$58K |
| 99238 |
|
1,637 |
1,615 |
$58K |
| 57454 |
|
157 |
156 |
$58K |
| 90686 |
|
3,613 |
3,575 |
$57K |
| 88341 |
|
2,068 |
1,994 |
$57K |
| 99282 |
|
1,607 |
1,586 |
$56K |
| 81000 |
|
26,049 |
23,229 |
$56K |
| 87880 |
|
4,068 |
3,979 |
$56K |
| M0222 |
Bebtelovimab injection |
326 |
317 |
$56K |
| J3490 |
Drugs unclassified injection |
3,247 |
2,693 |
$53K |
| 86480 |
|
1,740 |
1,681 |
$53K |
| 81001 |
|
16,357 |
14,781 |
$52K |
| 88342 |
|
5,208 |
5,096 |
$52K |
| G2066 |
Inter devc remote 30d |
1,882 |
1,757 |
$51K |
| 90834 |
|
678 |
491 |
$51K |
| 00170 |
|
420 |
406 |
$51K |
| 85610 |
|
33,154 |
21,098 |
$50K |
| 73502 |
|
2,423 |
2,224 |
$50K |
| 95806 |
|
39 |
39 |
$50K |
| 86709 |
|
6,909 |
6,735 |
$49K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
23,665 |
22,369 |
$49K |
| 86762 |
|
3,013 |
2,988 |
$49K |
| 85027 |
|
10,410 |
8,871 |
$48K |
| 83516 |
|
3,213 |
2,903 |
$47K |
| 90792 |
|
544 |
521 |
$46K |
| 77061 |
|
507 |
496 |
$45K |
| 94726 |
|
1,601 |
1,583 |
$45K |
| 84481 |
|
4,222 |
4,062 |
$45K |
| 90832 |
|
881 |
689 |
$43K |
| 86787 |
|
3,059 |
3,028 |
$43K |
| 29125 |
|
273 |
268 |
$42K |
| 81508 |
|
717 |
713 |
$41K |
| 97116 |
|
1,753 |
800 |
$40K |
| 86140 |
|
11,244 |
10,031 |
$39K |
| 87631 |
|
517 |
506 |
$39K |
| 86038 |
|
4,475 |
4,408 |
$39K |
| 93296 |
|
2,245 |
2,225 |
$37K |
| J0882 |
Darbepoetin alfa, esrd use |
239 |
75 |
$37K |
| 52000 |
|
192 |
190 |
$37K |
| 99202 |
|
274 |
269 |
$36K |
| J1100 |
Dexamethasone sodium phos |
24,221 |
14,948 |
$36K |
| 87426 |
|
1,531 |
1,386 |
$36K |
| 81002 |
|
22,231 |
20,676 |
$36K |
| 88304 |
|
2,409 |
2,375 |
$36K |
| 82746 |
|
4,256 |
4,197 |
$35K |
| 0002A |
|
821 |
809 |
$35K |
| 86765 |
|
2,223 |
2,195 |
$34K |
| 76818 |
|
159 |
82 |
$34K |
| 82784 |
|
4,066 |
3,466 |
$34K |
| 99496 |
|
703 |
691 |
$34K |
| 85652 |
|
17,262 |
15,566 |
$33K |
| J7307 |
Etonogestrel implant system |
66 |
66 |
$33K |
| 84146 |
|
1,732 |
1,696 |
$32K |
| 84425 |
|
2,170 |
2,159 |
$32K |
| 98928 |
|
1,057 |
891 |
$32K |
| J1756 |
Iron sucrose injection |
901 |
395 |
$32K |
| 76942 |
|
246 |
227 |
$31K |
| ATP08 |
|
14,653 |
11,578 |
$31K |
| 84182 |
|
1,686 |
1,668 |
$31K |
| 00731 |
|
825 |
808 |
$30K |
| 85730 |
|
9,204 |
8,742 |
$30K |
| 82043 |
|
11,397 |
11,221 |
$30K |
| 83001 |
|
1,217 |
1,202 |
$30K |
| 0001A |
|
694 |
689 |
$29K |
| 96376 |
|
10,116 |
6,993 |
$29K |
| C9290 |
Inj, bupivacaine liposome |
1,101 |
1,076 |
$29K |
| 11102 |
|
53 |
53 |
$29K |
| 82570 |
|
11,552 |
10,803 |
$28K |
| 70496 |
|
755 |
738 |
$28K |
| 85379 |
|
3,778 |
3,669 |
$28K |
| 92557 |
|
415 |
409 |
$28K |
| J2405 |
Ondansetron hcl injection |
30,225 |
23,604 |
$28K |
| J2704 |
Inj, propofol, 10 mg |
20,055 |
13,910 |
$28K |
| 81025 |
|
3,483 |
3,423 |
$27K |
| 82670 |
|
791 |
763 |
$27K |
| C9803 |
Hopd covid-19 spec collect |
8,634 |
8,076 |
$27K |
| 96415 |
|
595 |
457 |
$27K |
| 82105 |
|
1,827 |
1,772 |
$26K |
| 86900 |
|
8,791 |
8,148 |
$26K |
| 86901 |
|
8,721 |
8,148 |
$25K |
| V5266 |
Battery for hearing device |
660 |
631 |
$25K |
| 0003A |
|
1,007 |
993 |
$25K |
| ATP15 |
|
6,541 |
5,355 |
$25K |
| 99408 |
|
3,151 |
2,241 |
$25K |
| 99217 |
|
728 |
710 |
$24K |
| J7030 |
Normal saline solution infus |
23,546 |
16,649 |
$24K |
| 87205 |
|
8,001 |
7,230 |
$24K |
| 85007 |
|
10,351 |
8,834 |
$23K |
| 86481 |
|
360 |
351 |
$23K |
| 80050 |
|
272 |
266 |
$23K |
| 84520 |
|
10,634 |
9,302 |
$23K |
| 76870 |
|
175 |
170 |
$23K |
| 73140 |
|
396 |
383 |
$22K |
| ATP17 |
|
15,620 |
14,083 |
$22K |
| 95885 |
|
82 |
82 |
$22K |
| 87581 |
|
722 |
707 |
$22K |
| 99219 |
|
747 |
712 |
$22K |
| 69436 |
|
12 |
12 |
$22K |
| 83921 |
|
2,174 |
2,149 |
$22K |
| 27096 |
|
49 |
49 |
$21K |
| 84207 |
|
1,048 |
1,044 |
$20K |
| 29581 |
|
321 |
87 |
$20K |
| 70491 |
|
122 |
121 |
$19K |
| 99495 |
|
515 |
509 |
$19K |
| 93299 |
|
971 |
954 |
$19K |
| 96160 |
|
816 |
811 |
$19K |
| 93225 |
|
368 |
363 |
$18K |
| 81003 |
|
8,032 |
7,533 |
$17K |
| 99462 |
|
407 |
206 |
$17K |
| 74183 |
|
48 |
48 |
$17K |
| 84100 |
|
17,912 |
14,963 |
$17K |
| 99291 |
|
80 |
75 |
$17K |
| J1885 |
Ketorolac tromethamine inj |
24,477 |
16,557 |
$17K |
| J3010 |
Fentanyl citrate injection |
23,731 |
19,610 |
$16K |
| J0897 |
Denosumab injection |
150 |
148 |
$16K |
| 90677 |
|
548 |
545 |
$16K |
| 80164 |
|
3,037 |
2,791 |
$16K |
| 72110 |
|
219 |
215 |
$16K |
| G0270 |
Mnt subs tx for change dx |
405 |
397 |
$15K |
| 95810 |
|
12 |
12 |
$15K |
| 86235 |
|
438 |
414 |
$15K |
| 74019 |
|
470 |
455 |
$15K |
| 12011 |
|
81 |
81 |
$15K |
| 84134 |
|
1,984 |
1,708 |
$15K |
| 86430 |
|
3,066 |
3,012 |
$14K |
| 92587 |
|
136 |
136 |
$14K |
| 86376 |
|
946 |
937 |
$14K |
| 99385 |
|
182 |
181 |
$14K |
| 83525 |
|
1,128 |
1,117 |
$14K |
| 91320 |
|
200 |
198 |
$14K |
| J2250 |
Inj midazolam hydrochloride |
19,586 |
16,979 |
$13K |
| 82378 |
|
2,231 |
2,043 |
$13K |
| 11981 |
|
51 |
51 |
$13K |
| 83002 |
|
481 |
471 |
$13K |
| 97166 |
|
186 |
183 |
$12K |
| 51705 |
|
193 |
165 |
$12K |
| 90674 |
|
627 |
618 |
$12K |
| 76882 |
|
113 |
108 |
$12K |
| 12002 |
|
53 |
53 |
$12K |
| 82077 |
|
7,921 |
6,792 |
$12K |
| J0696 |
Ceftriaxone sodium injection |
4,172 |
2,764 |
$12K |
| 82150 |
|
1,943 |
1,860 |
$12K |
| 82131 |
|
536 |
528 |
$12K |
| 93923 |
|
318 |
308 |
$12K |
| 82805 |
|
257 |
226 |
$11K |
| 87634 |
|
275 |
268 |
$11K |
| 0124A |
|
457 |
438 |
$11K |
| 72128 |
|
467 |
457 |
$11K |
| 73080 |
|
370 |
356 |
$11K |
| 72040 |
|
215 |
213 |
$11K |
| 84460 |
|
4,208 |
4,036 |
$11K |
| G0279 |
Tomosynthesis, mammo |
707 |
691 |
$11K |
| 94761 |
|
379 |
364 |
$11K |
| 93970 |
|
111 |
108 |
$11K |
| 93308 |
|
74 |
69 |
$11K |
| 82977 |
|
2,466 |
2,361 |
$11K |
| 97035 |
|
243 |
102 |
$10K |
| 82565 |
|
5,594 |
5,319 |
$10K |
| J2543 |
Piperacillin/tazobactam |
695 |
385 |
$10K |
| 84132 |
|
4,669 |
2,877 |
$10K |
| 83615 |
|
6,853 |
5,722 |
$10K |
| 81420 |
|
13 |
13 |
$10K |
| 91200 |
|
67 |
67 |
$10K |
| 84165 |
|
2,444 |
2,370 |
$10K |
| J0690 |
Cefazolin sodium injection |
7,938 |
6,163 |
$9K |
| J1650 |
Inj enoxaparin sodium |
1,917 |
840 |
$9K |
| 77336 |
|
212 |
79 |
$9K |
| 86666 |
|
344 |
279 |
$9K |
| 83721 |
|
2,093 |
2,054 |
$9K |
| 93270 |
|
186 |
185 |
$9K |
| 82550 |
|
5,428 |
4,963 |
$9K |
| J1170 |
Hydromorphone injection |
10,289 |
5,999 |
$9K |
| 86708 |
|
772 |
766 |
$8K |
| 88307 |
|
148 |
143 |
$8K |
| 0012A |
|
321 |
316 |
$8K |
| 00813 |
|
174 |
174 |
$8K |
| 76857 |
|
196 |
193 |
$8K |
| 17110 |
|
33 |
33 |
$8K |
| 84450 |
|
3,129 |
2,949 |
$8K |
| 96523 |
|
448 |
420 |
$7K |
| 51798 |
|
2,179 |
2,104 |
$7K |
| 46600 |
|
24 |
24 |
$7K |
| J2270 |
Morphine sulfate injection |
9,864 |
6,910 |
$7K |
| J3301 |
Triamcinolone acet inj nos |
5,269 |
4,948 |
$7K |
| 99460 |
|
70 |
68 |
$7K |
| 86696 |
|
351 |
240 |
$7K |
| J2930 |
Methylprednisolone injection |
2,331 |
1,777 |
$7K |
| 87804 |
|
677 |
658 |
$7K |
| J1200 |
Diphenhydramine hcl injectio |
6,847 |
4,978 |
$7K |
| 86316 |
|
503 |
491 |
$7K |
| 99231 |
|
636 |
335 |
$7K |
| 90656 |
|
367 |
367 |
$7K |
| 97165 |
|
55 |
53 |
$6K |
| M0247 |
Sotrovimab infusion |
27 |
27 |
$6K |
| V5160 |
Dispensing fee binaural |
13 |
13 |
$6K |
| 00812 |
|
140 |
140 |
$6K |
| 94664 |
|
568 |
533 |
$6K |
| 90678 |
|
46 |
46 |
$6K |
| 84550 |
|
4,808 |
4,502 |
$6K |
| 93298 |
|
247 |
247 |
$6K |
| 36415 |
|
84,100 |
69,855 |
$6K |
| J7620 |
Albuterol ipratrop non-comp |
1,249 |
842 |
$6K |
| 86665 |
|
202 |
103 |
$6K |
| 82040 |
|
4,512 |
4,148 |
$6K |
| 82248 |
|
2,917 |
2,578 |
$6K |
| 98927 |
|
227 |
194 |
$5K |
| 99308 |
|
398 |
388 |
$5K |
| 72072 |
|
100 |
100 |
$5K |
| A9585 |
Gadobutrol injection |
6,126 |
5,815 |
$5K |
| M0239 |
Bamlanivimab-xxxx infusion |
51 |
49 |
$5K |
| ATP03 |
|
6,861 |
5,823 |
$5K |
| 82310 |
|
2,544 |
1,859 |
$5K |
| J0248 |
Inj, remdesivir, 1 mg |
47 |
17 |
$5K |
| 0054A |
|
249 |
248 |
$5K |
| 01967 |
|
35 |
34 |
$5K |
| 90688 |
|
381 |
380 |
$5K |
| 82533 |
|
322 |
283 |
$5K |
| 76700 |
|
26 |
26 |
$5K |
| 82950 |
|
763 |
758 |
$5K |
| 90480 |
|
202 |
200 |
$5K |
| ATP09 |
|
1,895 |
1,585 |
$5K |
| 99224 |
|
114 |
44 |
$5K |
| 97163 |
|
174 |
173 |
$5K |
| J7120 |
Ringers lactate infusion |
4,226 |
3,116 |
$5K |
| 86308 |
|
556 |
550 |
$4K |
| 64494 |
|
1,181 |
925 |
$4K |
| 88112 |
|
478 |
447 |
$4K |
| 97802 |
|
56 |
50 |
$4K |
| 84156 |
|
1,619 |
1,437 |
$4K |
| 84255 |
|
172 |
172 |
$4K |
| 82785 |
|
187 |
184 |
$4K |
| 84630 |
|
373 |
370 |
$4K |
| J7512 |
Prednisone ir or dr oral 1mg |
2,188 |
1,769 |
$4K |
| 99225 |
|
90 |
58 |
$4K |
| J2550 |
Promethazine hcl injection |
2,685 |
1,962 |
$4K |
| 87536 |
|
107 |
106 |
$4K |
| 99386 |
|
63 |
63 |
$4K |
| 82247 |
|
1,403 |
1,016 |
$4K |
| 59430 |
|
30 |
30 |
$4K |
| J2060 |
Lorazepam injection |
5,369 |
4,148 |
$4K |
| 73590 |
|
169 |
160 |
$4K |
| 84270 |
|
184 |
179 |
$4K |
| 97167 |
|
66 |
63 |
$4K |
| 86695 |
|
240 |
160 |
$3K |
| 80179 |
|
221 |
215 |
$3K |
| ATP07 |
|
1,471 |
1,351 |
$3K |
| 86735 |
|
264 |
264 |
$3K |
| 82947 |
|
1,747 |
1,664 |
$3K |
| G0444 |
Depression screen annual |
2,476 |
2,450 |
$3K |
| 62321 |
|
12 |
12 |
$3K |
| 86256 |
|
350 |
336 |
$3K |
| 73120 |
|
61 |
55 |
$3K |
| 36430 |
|
18 |
14 |
$3K |
| 0053A |
|
79 |
79 |
$3K |
| 84591 |
|
182 |
180 |
$3K |
| 00811 |
|
103 |
103 |
$3K |
| 80178 |
|
1,104 |
991 |
$3K |
| 86300 |
|
494 |
473 |
$3K |
| 0031A |
|
105 |
103 |
$3K |
| ATP02 |
|
1,523 |
1,379 |
$3K |
| J7040 |
Normal saline solution infus |
2,507 |
1,799 |
$3K |
| 86160 |
|
121 |
119 |
$3K |
| Q0162 |
Ondansetron oral |
2,446 |
1,950 |
$3K |
| J1030 |
Methylprednisolone 40 mg inj |
5,116 |
4,735 |
$3K |
| 90746 |
|
53 |
53 |
$3K |
| 72193 |
|
112 |
109 |
$3K |
| ATP11 |
|
2,188 |
1,988 |
$2K |
| 90694 |
|
458 |
447 |
$2K |
| 99152 |
|
4,620 |
4,514 |
$2K |
| 99221 |
|
45 |
44 |
$2K |
| 86200 |
|
190 |
186 |
$2K |
| 11719 |
|
74 |
72 |
$2K |
| J3475 |
Inj magnesium sulfate |
1,282 |
1,009 |
$2K |
| 90732 |
|
242 |
237 |
$2K |
| 0134A |
|
100 |
98 |
$2K |
| G0396 |
Alcohol/subs interv 15-30mn |
282 |
212 |
$2K |
| 93880 |
|
80 |
79 |
$2K |
| 86664 |
|
106 |
103 |
$2K |
| J1610 |
Glucagon hydrochloride/1 mg |
99 |
98 |
$2K |
| 90714 |
|
120 |
120 |
$2K |
| 86663 |
|
106 |
103 |
$2K |
| 82140 |
|
378 |
328 |
$2K |
| G0008 |
Admin influenza virus vac |
2,687 |
2,664 |
$2K |
| 86769 |
|
258 |
256 |
$2K |
| J1790 |
Droperidol injection |
723 |
592 |
$2K |
| 94010 |
|
12 |
12 |
$2K |
| 87255 |
|
49 |
48 |
$2K |
| J0171 |
Adrenalin epinephrine inject |
219 |
144 |
$2K |
| ATP18 |
|
1,321 |
1,165 |
$2K |
| J2710 |
Neostigmine methylslfte inj |
1,092 |
1,046 |
$2K |
| 87476 |
|
55 |
54 |
$2K |
| 99459 |
|
934 |
924 |
$2K |
| 80329 |
|
280 |
179 |
$2K |
| 87468 |
|
904 |
889 |
$2K |
| 93798 |
|
80 |
15 |
$2K |
| 99407 |
|
116 |
116 |
$1K |
| ATP16 |
|
330 |
239 |
$1K |
| J3370 |
Vancomycin hcl injection |
452 |
268 |
$1K |
| 99220 |
|
12 |
12 |
$1K |
| A9500 |
Tc99m sestamibi |
1,093 |
1,082 |
$1K |
| 80197 |
|
1,962 |
1,311 |
$1K |
| 87081 |
|
141 |
137 |
$1K |
| 0013A |
|
66 |
66 |
$1K |
| 87338 |
|
136 |
133 |
$1K |
| 87469 |
|
908 |
897 |
$1K |
| 82652 |
|
39 |
38 |
$1K |
| 80143 |
|
293 |
286 |
$1K |
| 82962 |
|
20,333 |
7,938 |
$1K |
| 86360 |
|
38 |
38 |
$1K |
| 84155 |
|
1,994 |
1,926 |
$1K |
| 85384 |
|
172 |
168 |
$1K |
| 86258 |
|
80 |
78 |
$1K |
| G0103 |
Psa screening |
2,901 |
2,877 |
$1K |
| 11720 |
|
81 |
79 |
$996.11 |
| 11721 |
|
138 |
137 |
$992.61 |
| 97168 |
|
35 |
34 |
$977.71 |
| 73600 |
|
33 |
33 |
$929.43 |
| 64495 |
|
494 |
460 |
$899.12 |
| J0330 |
Succinycholine chloride inj |
562 |
497 |
$891.72 |
| 87210 |
|
161 |
157 |
$871.45 |
| C1769 |
Guide wire |
583 |
548 |
$869.63 |
| 86359 |
|
38 |
38 |
$868.56 |
| 0011A |
|
18 |
18 |
$825.68 |
| 80361 |
|
487 |
447 |
$766.17 |
| G0442 |
Annual alcohol screen 15 min |
451 |
447 |
$735.59 |
| 80354 |
|
2,582 |
2,111 |
$728.98 |
| 74160 |
|
129 |
126 |
$726.12 |
| 0064A |
|
42 |
42 |
$690.34 |
| ATP06 |
|
356 |
319 |
$680.12 |
| 80177 |
|
142 |
135 |
$679.60 |
| 73564 |
|
13 |
13 |
$677.52 |
| 96368 |
|
37 |
26 |
$625.79 |
| J0780 |
Prochlorperazine injection |
107 |
102 |
$617.78 |
| 87521 |
Neg quan hep c or qual rna |
16 |
16 |
$607.67 |
| 99490 |
Ccm add 20min |
554 |
548 |
$566.47 |
| 86146 |
|
13 |
12 |
$557.04 |
| V5014 |
Hearing aid repair/modifying |
14 |
13 |
$555.00 |
| ATP10 |
|
349 |
327 |
$549.93 |
| ATP04 |
|
201 |
174 |
$542.77 |
| G0379 |
Direct refer hospital observ |
14 |
13 |
$532.40 |
| C1760 |
Closure dev, vasc |
64 |
64 |
$512.73 |
| 90651 |
|
12 |
12 |
$506.04 |
| 84295 |
|
572 |
505 |
$499.54 |
| G0260 |
Inj for sacroiliac jt anesth |
124 |
124 |
$434.83 |
| J1815 |
Insulin injection |
4,908 |
1,279 |
$434.20 |
| 90653 |
|
130 |
129 |
$426.94 |
| J3360 |
Diazepam injection |
150 |
82 |
$424.02 |
| 73020 |
|
50 |
45 |
$415.30 |
| 86800 |
|
24 |
24 |
$406.09 |
| P9016 |
Rbc leukocytes reduced |
17 |
14 |
$404.36 |
| 80348 |
|
2,288 |
1,778 |
$383.07 |
| 82627 |
|
12 |
12 |
$378.30 |
| ATP05 |
|
135 |
131 |
$377.87 |
| 80051 |
|
1,699 |
1,574 |
$371.30 |
| J2370 |
Phenylephrine hcl injection |
1,843 |
1,712 |
$358.11 |
| 88313 |
|
235 |
231 |
$353.50 |
| 96417 |
|
144 |
104 |
$334.65 |
| J3489 |
Zoledronic acid 1mg |
12 |
12 |
$328.98 |
| 83704 |
|
64 |
64 |
$328.96 |
| 80346 |
|
1,134 |
1,012 |
$326.83 |
| 99309 |
|
31 |
28 |
$323.22 |
| J1630 |
Haloperidol injection |
377 |
296 |
$316.93 |
| G0123 |
Screen cerv/vag thin layer |
1,900 |
1,834 |
$312.09 |
| J7042 |
5% dextrose/normal saline |
1,997 |
1,404 |
$309.54 |
| 86617 |
|
12 |
12 |
$280.64 |
| 84075 |
|
482 |
423 |
$278.82 |
| 84144 |
|
15 |
12 |
$276.00 |
| 86658 |
|
12 |
12 |
$275.76 |
| 86039 |
|
28 |
27 |
$266.35 |
| J2795 |
Ropivacaine hcl injection |
280 |
239 |
$262.83 |
| 82274 |
|
29 |
29 |
$255.59 |
| 64484 |
|
92 |
85 |
$254.72 |
| J2765 |
Metoclopramide hcl injection |
1,587 |
1,327 |
$247.37 |
| 86753 |
|
24 |
12 |
$244.06 |
| 82010 |
|
17 |
12 |
$239.46 |
| G0447 |
Behavior counsel obesity 15m |
447 |
440 |
$232.42 |
| J7060 |
5% dextrose/water |
71 |
65 |
$232.08 |
| 84432 |
|
12 |
12 |
$228.94 |
| 93010 |
|
35 |
33 |
$214.17 |
| 90662 |
|
198 |
198 |
$203.15 |
| 74220 |
|
67 |
67 |
$193.63 |
| C9113 |
Inj pantoprazole sodium, via |
621 |
409 |
$183.03 |
| 73620 |
|
15 |
12 |
$174.55 |
| 73090 |
|
13 |
13 |
$171.90 |
| 86225 |
|
14 |
14 |
$169.68 |
| J1040 |
Methylprednisolone 80 mg inj |
240 |
226 |
$163.84 |
| J7613 |
Albuterol non-comp unit |
1,379 |
913 |
$156.66 |
| 88312 |
|
12 |
12 |
$153.04 |
| M0220 |
Tixagev and cilgav inj |
31 |
28 |
$150.50 |
| 99417 |
Prolong home eval add 15m |
12 |
12 |
$149.60 |
| 95911 |
|
14 |
14 |
$148.47 |
| 85014 |
|
88 |
54 |
$146.45 |
| 85018 |
|
88 |
54 |
$146.45 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
152 |
146 |
$143.13 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
212 |
209 |
$142.31 |
| 89050 |
|
28 |
28 |
$142.08 |
| 92591 |
|
18 |
13 |
$139.96 |
| J1010 |
Inj, methylpred acetate 1 mg |
649 |
530 |
$138.67 |
| 90670 |
|
24 |
24 |
$130.82 |
| G0499 |
Hepb screen high risk indiv |
1,797 |
1,606 |
$125.49 |
| 86334 |
|
51 |
51 |
$124.99 |
| 82390 |
|
13 |
13 |
$120.46 |
| 80156 |
|
44 |
42 |
$118.49 |
| 99307 |
|
26 |
26 |
$117.54 |
| 80355 |
|
307 |
241 |
$112.18 |
| V5011 |
Hearing aid fitting/checking |
20 |
12 |
$109.08 |
| 99497 |
|
648 |
642 |
$108.66 |
| 87493 |
|
247 |
228 |
$90.79 |
| 80365 |
|
222 |
217 |
$87.56 |
| 85046 |
|
41 |
38 |
$84.99 |
| 93246 |
|
13 |
13 |
$82.77 |
| 82374 |
|
179 |
168 |
$79.84 |
| 90472 |
|
97 |
97 |
$78.37 |
| 87075 |
|
15 |
12 |
$77.76 |
| J8540 |
Oral dexamethasone |
90 |
63 |
$61.94 |
| 94799 |
|
114 |
108 |
$60.35 |
| J2470 |
Inj pantoprazole sodium 40mg |
17 |
12 |
$59.64 |
| 86364 |
|
79 |
78 |
$58.44 |
| 81596 |
|
40 |
39 |
$53.90 |
| 90833 |
|
312 |
88 |
$49.50 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
50 |
33 |
$48.40 |
| 83550 |
|
314 |
310 |
$46.95 |
| 86301 |
|
205 |
173 |
$42.90 |
| 80185 |
|
39 |
24 |
$39.43 |
| 84154 |
|
28 |
26 |
$37.92 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
287 |
276 |
$37.36 |
| 86920 |
|
15 |
13 |
$34.72 |
| 82232 |
|
49 |
42 |
$33.36 |
| P9612 |
Catheterize for urine spec |
58 |
56 |
$30.84 |
| 80162 |
|
16 |
14 |
$27.38 |
| 80175 |
|
13 |
12 |
$24.18 |
| 82330 |
|
13 |
13 |
$24.13 |
| 84145 |
|
124 |
115 |
$24.01 |
| 82270 |
|
16 |
16 |
$20.16 |
| 51702 |
|
20 |
16 |
$16.92 |
| 87150 |
|
719 |
391 |
$16.84 |
| J3480 |
Inj potassium chloride |
271 |
174 |
$11.54 |
| G0009 |
Admin pneumococcal vaccine |
841 |
834 |
$10.61 |
| 82465 |
|
40 |
39 |
$8.32 |
| 90756 |
|
34 |
33 |
$7.51 |
| J7070 |
D5w infusion |
542 |
171 |
$6.00 |
| Q0163 |
Diphenhydramine hcl 50mg |
774 |
408 |
$5.71 |
| S5145 |
Child fostercare th per diem |
24 |
24 |
$0.00 |
| G8989 |
Self care d/c status |
37 |
37 |
$0.00 |
| 91300 |
|
1,401 |
1,315 |
$0.00 |
| G8979 |
Mobility goal status |
574 |
483 |
$0.00 |
| 91312 |
|
233 |
225 |
$0.00 |
| G1004 |
Cdsm ndsc |
397 |
372 |
$0.00 |
| H0041 |
Fos c chld non-ther per diem |
61 |
60 |
$0.00 |
| G8978 |
Mobility current status |
440 |
408 |
$0.00 |
| 91313 |
|
35 |
35 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
110 |
54 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
12 |
12 |
$0.00 |
| G0177 |
Opps/php/iop; train & educ |
91 |
13 |
$0.00 |
| 96402 |
|
12 |
12 |
$0.00 |
| 80353 |
|
69 |
49 |
$0.00 |
| J0461 |
Atropine sulfate injection |
15 |
12 |
$0.00 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
173 |
168 |
$0.00 |
| 80324 |
|
875 |
829 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
104 |
103 |
$0.00 |
| G8987 |
Self care current status |
228 |
213 |
$0.00 |
| G8988 |
Self care goal status |
254 |
224 |
$0.00 |
| J3420 |
Vitamin b12 injection |
191 |
160 |
$0.00 |
| J1940 |
Furosemide injection |
35 |
28 |
$0.00 |
| 91305 |
|
200 |
199 |
$0.00 |
| J2785 |
Regadenoson injection |
547 |
544 |
$0.00 |
| 91301 |
|
201 |
201 |
$0.00 |
| G8980 |
Mobility d/c status |
263 |
254 |
$0.00 |
| 74174 |
|
13 |
12 |
$0.00 |
| 95012 |
|
44 |
44 |
$0.00 |
| 91303 |
|
44 |
44 |
$0.00 |
| G8982 |
Body pos goal status |
12 |
12 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
57 |
49 |
$0.00 |
| 80320 |
|
54 |
48 |
$0.00 |
| C1819 |
Tissue localization-excision |
13 |
13 |
$0.00 |
| 73501 |
|
13 |
13 |
$0.00 |
| 91306 |
|
14 |
14 |
$0.00 |
| J0280 |
Aminophyllin 250 mg inj |
34 |
33 |
$0.00 |