| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
64,453 |
58,966 |
$9.74M |
| 99284 |
|
54,860 |
50,246 |
$8.09M |
| 99285 |
|
46,451 |
41,616 |
$7.34M |
| 96361 |
|
19,178 |
16,506 |
$7.12M |
| G0378 |
Hospital observation per hr |
35,610 |
17,434 |
$5.48M |
| 97110 |
|
43,149 |
13,046 |
$2.65M |
| 99212 |
|
16,858 |
15,054 |
$2.44M |
| 96365 |
|
17,329 |
12,362 |
$2.14M |
| 74177 |
|
11,841 |
11,195 |
$1.94M |
| 87637 |
|
14,237 |
13,497 |
$1.93M |
| 70450 |
|
13,580 |
12,521 |
$1.57M |
| 96366 |
|
8,866 |
4,905 |
$1.54M |
| 11042 |
|
10,662 |
4,544 |
$1.52M |
| 80307 |
|
35,081 |
29,318 |
$1.40M |
| S9485 |
Crisis intervention mental h |
2,764 |
1,948 |
$1.36M |
| 80053 |
|
152,591 |
130,489 |
$1.12M |
| 85025 |
|
203,512 |
166,261 |
$1.10M |
| U0003 |
Cov-19 amp prb hgh thruput |
16,838 |
15,939 |
$1.07M |
| 74176 |
|
6,654 |
6,237 |
$1.02M |
| 99282 |
|
6,387 |
6,140 |
$978K |
| 77063 |
|
13,598 |
13,453 |
$886K |
| 87591 |
|
33,476 |
32,067 |
$849K |
| 87491 |
|
33,135 |
31,761 |
$837K |
| 93306 |
|
6,093 |
5,833 |
$826K |
| 71046 |
|
36,853 |
34,402 |
$757K |
| 99291 |
|
4,811 |
4,436 |
$756K |
| 96360 |
|
5,755 |
4,473 |
$721K |
| 99211 |
|
4,843 |
4,070 |
$712K |
| 93971 |
|
3,794 |
3,526 |
$659K |
| 96413 |
|
6,859 |
4,362 |
$595K |
| 76830 |
|
5,219 |
4,993 |
$583K |
| 94640 |
|
8,838 |
6,458 |
$568K |
| 76642 |
|
5,021 |
4,887 |
$559K |
| 71275 |
|
2,894 |
2,738 |
$550K |
| G0480 |
Drug test def 1-7 classes |
14,065 |
12,217 |
$542K |
| 76705 |
|
5,309 |
5,064 |
$534K |
| 83735 |
|
25,976 |
20,016 |
$494K |
| 43239 |
|
911 |
869 |
$492K |
| 76817 |
|
4,751 |
4,047 |
$487K |
| G0463 |
Hospital outpt clinic visit |
18,547 |
15,771 |
$483K |
| Q0081 |
Infusion ther other than che |
4,980 |
2,951 |
$467K |
| 87389 |
|
27,382 |
26,825 |
$466K |
| 99281 |
|
3,244 |
3,114 |
$463K |
| 96375 |
|
27,760 |
21,674 |
$450K |
| 80050 |
|
29,899 |
29,183 |
$425K |
| 97140 |
|
12,978 |
4,766 |
$425K |
| 82306 |
|
24,818 |
24,187 |
$414K |
| 77067 |
|
15,488 |
15,319 |
$413K |
| 72148 |
|
1,850 |
1,790 |
$412K |
| J1170 |
Hydromorphone injection |
5,539 |
4,041 |
$392K |
| 96372 |
|
32,398 |
20,978 |
$355K |
| 83690 |
|
60,140 |
53,262 |
$341K |
| 70551 |
|
1,732 |
1,634 |
$333K |
| 97161 |
|
5,536 |
5,231 |
$328K |
| 84443 |
|
40,059 |
38,559 |
$311K |
| J1642 |
Inj heparin sodium per 10 u |
1,433 |
761 |
$301K |
| 93005 |
|
48,242 |
39,563 |
$296K |
| 76700 |
|
1,680 |
1,644 |
$280K |
| ATP14 |
|
38,577 |
32,715 |
$279K |
| 96415 |
|
1,410 |
1,161 |
$268K |
| 87086 |
|
43,777 |
40,023 |
$264K |
| 76536 |
|
2,240 |
2,193 |
$261K |
| 92567 |
|
2,864 |
2,814 |
$256K |
| 83036 |
|
46,491 |
45,264 |
$252K |
| 81513 |
|
2,207 |
2,141 |
$244K |
| 86780 |
|
23,430 |
22,936 |
$232K |
| 84484 |
|
29,242 |
21,841 |
$227K |
| 84702 |
|
17,281 |
13,846 |
$226K |
| 71250 |
|
3,474 |
3,328 |
$220K |
| 76770 |
|
1,673 |
1,617 |
$219K |
| 80061 |
|
68,369 |
66,606 |
$215K |
| 87635 |
|
5,262 |
4,967 |
$213K |
| J3475 |
Inj magnesium sulfate |
425 |
299 |
$204K |
| 74018 |
|
4,709 |
4,354 |
$201K |
| 87902 |
|
1,193 |
1,166 |
$199K |
| 86481 |
|
3,327 |
3,240 |
$198K |
| 87480 |
|
12,755 |
12,200 |
$193K |
| 87070 |
|
27,276 |
25,769 |
$193K |
| 87660 |
|
12,761 |
12,202 |
$192K |
| 87510 |
|
12,756 |
12,201 |
$192K |
| 86803 |
|
18,051 |
17,685 |
$186K |
| 87426 |
|
8,483 |
7,453 |
$184K |
| 82607 |
|
18,122 |
17,547 |
$174K |
| 84703 |
|
21,517 |
19,807 |
$169K |
| 80048 |
|
43,037 |
35,331 |
$167K |
| 96374 |
|
28,043 |
25,054 |
$165K |
| 87798 |
|
3,311 |
3,024 |
$162K |
| 82728 |
|
15,793 |
15,082 |
$152K |
| 92587 |
|
1,150 |
1,134 |
$146K |
| 76805 |
|
928 |
911 |
$146K |
| 72100 |
|
5,811 |
5,558 |
$144K |
| 0241U |
|
4,755 |
4,301 |
$143K |
| 87522 |
Neg quan hep c or qual rna |
3,989 |
3,901 |
$136K |
| 82962 |
|
22,122 |
8,656 |
$131K |
| 83550 |
|
19,435 |
18,618 |
$129K |
| 36415 |
|
131,040 |
93,568 |
$129K |
| 81001 |
|
47,460 |
43,587 |
$123K |
| J1200 |
Diphenhydramine hcl injectio |
8,801 |
7,062 |
$122K |
| 87653 |
|
4,153 |
4,097 |
$120K |
| 85610 |
|
46,921 |
30,599 |
$118K |
| 83970 |
|
5,734 |
5,498 |
$117K |
| 71260 |
|
1,800 |
1,715 |
$113K |
| 83540 |
|
20,634 |
19,343 |
$111K |
| 77080 |
|
2,289 |
2,254 |
$108K |
| 87340 |
|
12,861 |
12,583 |
$108K |
| 83880 |
|
6,889 |
5,834 |
$105K |
| 87400 |
|
5,659 |
5,149 |
$102K |
| 84439 |
|
18,621 |
17,931 |
$98K |
| J1756 |
Iron sucrose injection |
1,791 |
894 |
$97K |
| 73560 |
|
2,934 |
2,622 |
$97K |
| 87186 |
|
16,935 |
14,747 |
$95K |
| 77065 |
Tomosynthesis, mammo |
1,999 |
1,938 |
$95K |
| 87481 |
|
2,759 |
2,143 |
$95K |
| 86850 |
|
14,159 |
13,061 |
$93K |
| 92507 |
|
772 |
269 |
$93K |
| 92579 |
|
1,633 |
1,606 |
$92K |
| 73030 |
|
4,063 |
3,812 |
$91K |
| J3010 |
Fentanyl citrate injection |
13,067 |
12,028 |
$90K |
| 97597 |
|
1,953 |
1,180 |
$87K |
| J2060 |
Lorazepam injection |
5,696 |
4,667 |
$83K |
| 73630 |
|
4,885 |
4,546 |
$83K |
| 87661 |
|
2,947 |
2,856 |
$82K |
| 84403 |
|
4,844 |
4,672 |
$81K |
| 87521 |
Neg quan hep c or qual rna |
3,172 |
3,023 |
$80K |
| 97165 |
|
1,338 |
1,251 |
$78K |
| 76856 |
|
695 |
669 |
$77K |
| J1644 |
Inj heparin sodium per 1000u |
9,907 |
4,982 |
$77K |
| 82746 |
|
9,545 |
9,230 |
$77K |
| 72125 |
|
4,457 |
4,176 |
$76K |
| 86317 |
|
2,179 |
2,107 |
$75K |
| 73130 |
|
3,834 |
3,531 |
$74K |
| 93970 |
|
361 |
336 |
$74K |
| 93226 |
|
1,493 |
1,462 |
$74K |
| 86762 |
|
5,727 |
5,622 |
$71K |
| 87880 |
|
6,138 |
5,915 |
$71K |
| 87624 |
|
3,392 |
3,330 |
$70K |
| 73610 |
|
4,039 |
3,762 |
$70K |
| 73721 |
|
374 |
358 |
$70K |
| 84550 |
|
17,555 |
12,989 |
$70K |
| 85730 |
|
12,805 |
11,807 |
$67K |
| J2405 |
Ondansetron hcl injection |
25,375 |
21,106 |
$66K |
| 86141 |
|
4,920 |
4,596 |
$66K |
| 76816 |
|
383 |
349 |
$65K |
| 87147 |
|
10,349 |
9,089 |
$65K |
| 86901 |
|
14,585 |
13,434 |
$64K |
| 84100 |
|
3,417 |
2,712 |
$64K |
| 73564 |
|
3,596 |
3,372 |
$63K |
| 81003 |
|
24,548 |
22,905 |
$62K |
| 87040 |
|
6,028 |
4,046 |
$61K |
| 83655 |
|
5,613 |
5,538 |
$61K |
| 86706 |
|
7,518 |
7,347 |
$61K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
16,373 |
14,935 |
$60K |
| 96367 |
|
1,291 |
994 |
$60K |
| 76815 |
|
560 |
492 |
$60K |
| 87536 |
|
1,340 |
1,316 |
$60K |
| 88142 |
|
4,425 |
4,348 |
$59K |
| 45380 |
|
68 |
66 |
$59K |
| 77062 |
|
606 |
603 |
$59K |
| 97162 |
|
1,409 |
1,273 |
$58K |
| 77061 |
|
561 |
551 |
$58K |
| J2704 |
Inj, propofol, 10 mg |
14,116 |
12,304 |
$57K |
| 12001 |
|
306 |
292 |
$57K |
| J2250 |
Inj midazolam hydrochloride |
11,244 |
10,417 |
$56K |
| 71045 |
|
10,545 |
9,618 |
$55K |
| J0131 |
Inj, acetaminophen (nos) |
2,143 |
1,831 |
$54K |
| 87088 |
|
9,272 |
8,716 |
$52K |
| 73502 |
|
2,466 |
2,344 |
$52K |
| 83615 |
|
14,337 |
9,956 |
$51K |
| 88305 |
|
7,263 |
5,625 |
$51K |
| J1885 |
Ketorolac tromethamine inj |
23,797 |
20,490 |
$49K |
| 85027 |
|
10,817 |
10,143 |
$48K |
| 84146 |
|
3,426 |
3,321 |
$47K |
| 0001A |
|
2,064 |
2,035 |
$47K |
| 80076 |
|
14,558 |
13,956 |
$47K |
| 86900 |
|
14,610 |
13,461 |
$46K |
| 86704 |
|
4,971 |
4,876 |
$45K |
| 0002A |
|
1,947 |
1,919 |
$44K |
| 83516 |
|
4,050 |
3,906 |
$43K |
| 70486 |
|
845 |
806 |
$43K |
| 83605 |
|
4,474 |
3,865 |
$42K |
| J1630 |
Haloperidol injection |
1,096 |
873 |
$42K |
| 81025 |
|
6,178 |
5,949 |
$42K |
| J1100 |
Dexamethasone sodium phos |
13,598 |
11,184 |
$42K |
| 87077 |
|
8,542 |
7,266 |
$41K |
| 84402 |
|
2,559 |
2,478 |
$41K |
| J1650 |
Inj enoxaparin sodium |
3,965 |
1,505 |
$40K |
| 86618 |
|
3,485 |
3,359 |
$40K |
| 86787 |
|
3,192 |
3,020 |
$40K |
| J2270 |
Morphine sulfate injection |
9,209 |
6,748 |
$39K |
| 84153 |
|
4,788 |
4,611 |
$39K |
| 83001 |
|
3,050 |
2,964 |
$38K |
| 73110 |
|
1,751 |
1,632 |
$38K |
| J2930 |
Methylprednisolone injection |
1,195 |
1,006 |
$37K |
| 45378 |
|
40 |
40 |
$37K |
| 70553 |
|
116 |
108 |
$36K |
| 80074 |
|
973 |
951 |
$35K |
| 82784 |
|
4,470 |
3,875 |
$34K |
| 74183 |
|
154 |
148 |
$34K |
| 87430 |
|
2,351 |
2,274 |
$33K |
| 77066 |
Tomosynthesis, mammo |
1,237 |
1,218 |
$33K |
| 82043 |
|
13,129 |
12,835 |
$32K |
| 82670 |
|
1,637 |
1,561 |
$32K |
| 87338 |
|
3,186 |
3,129 |
$32K |
| 71271 |
|
810 |
797 |
$31K |
| ATP08 |
|
10,377 |
8,260 |
$31K |
| 86708 |
|
3,603 |
3,547 |
$31K |
| 82950 |
|
7,278 |
7,191 |
$30K |
| 86038 |
|
3,817 |
3,719 |
$29K |
| 86003 |
|
418 |
366 |
$29K |
| 83002 |
|
2,118 |
2,035 |
$28K |
| G0123 |
Screen cerv/vag thin layer |
1,422 |
1,420 |
$28K |
| 76819 |
|
285 |
193 |
$26K |
| 93458 |
|
26 |
25 |
$26K |
| 86235 |
|
498 |
407 |
$25K |
| 80164 |
|
1,591 |
1,413 |
$25K |
| 85379 |
|
3,130 |
2,947 |
$25K |
| 72141 |
|
148 |
143 |
$25K |
| 87808 |
|
2,540 |
2,400 |
$24K |
| 97112 |
|
892 |
364 |
$23K |
| 11045 |
|
140 |
65 |
$23K |
| J0690 |
Cefazolin sodium injection |
4,584 |
3,717 |
$23K |
| 82570 |
|
6,699 |
6,162 |
$23K |
| 88112 |
|
886 |
857 |
$23K |
| 76882 |
|
215 |
212 |
$22K |
| 84481 |
|
2,089 |
2,035 |
$22K |
| 85652 |
|
11,554 |
10,864 |
$22K |
| 87205 |
|
6,036 |
5,505 |
$21K |
| 90715 |
|
862 |
814 |
$20K |
| J9271 |
Inj pembrolizumab |
18 |
12 |
$20K |
| 99218 |
|
120 |
55 |
$20K |
| 88342 |
|
709 |
612 |
$19K |
| 82550 |
|
6,092 |
5,593 |
$19K |
| 17250 |
|
258 |
158 |
$18K |
| 86709 |
|
2,385 |
2,339 |
$18K |
| 86696 |
|
901 |
762 |
$18K |
| 93017 |
|
261 |
244 |
$17K |
| J0689 |
Inj cefazolin sodium, baxter |
1,579 |
1,385 |
$17K |
| 87450 |
|
2,825 |
2,611 |
$17K |
| 10060 |
|
108 |
105 |
$17K |
| 82652 |
|
711 |
703 |
$17K |
| 84156 |
|
5,763 |
5,005 |
$17K |
| 82565 |
|
7,552 |
7,046 |
$17K |
| 70491 |
|
111 |
107 |
$17K |
| G0103 |
Psa screening |
2,453 |
2,423 |
$16K |
| 97530 |
|
232 |
146 |
$16K |
| 86376 |
|
1,513 |
1,460 |
$16K |
| ATP17 |
|
10,544 |
9,404 |
$16K |
| 74019 |
|
421 |
407 |
$15K |
| 82951 |
|
1,292 |
1,270 |
$15K |
| 87468 |
|
976 |
928 |
$15K |
| 87469 |
|
976 |
928 |
$15K |
| ATP16 |
|
2,567 |
1,691 |
$15K |
| 87484 |
|
974 |
926 |
$15K |
| 87478 |
|
976 |
927 |
$15K |
| 90471 |
|
1,802 |
1,617 |
$15K |
| ATP03 |
|
5,184 |
4,592 |
$14K |
| ATP15 |
|
3,528 |
2,865 |
$14K |
| 71101 |
|
975 |
923 |
$14K |
| 86705 |
|
1,411 |
1,384 |
$14K |
| 70496 |
|
117 |
101 |
$14K |
| 78452 |
|
92 |
84 |
$14K |
| 86431 |
|
3,331 |
3,169 |
$14K |
| 0031A |
|
506 |
461 |
$13K |
| 82172 |
|
804 |
800 |
$13K |
| 85007 |
|
4,908 |
4,574 |
$13K |
| 91300 |
|
40 |
39 |
$13K |
| 83883 |
|
1,207 |
1,148 |
$13K |
| 87046 |
|
1,064 |
883 |
$13K |
| 97116 |
|
385 |
227 |
$13K |
| 86665 |
|
519 |
471 |
$13K |
| 82248 |
|
3,292 |
2,709 |
$12K |
| 83010 |
|
1,079 |
1,059 |
$12K |
| 86695 |
|
892 |
756 |
$12K |
| C9113 |
Inj pantoprazole sodium, via |
1,360 |
902 |
$12K |
| 97802 |
|
124 |
122 |
$11K |
| 87210 |
|
2,921 |
2,762 |
$11K |
| 96376 |
|
3,123 |
1,942 |
$11K |
| J2469 |
Palonosetron hcl |
152 |
88 |
$11K |
| 86140 |
|
3,548 |
3,332 |
$11K |
| 80178 |
|
2,959 |
2,717 |
$10K |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
1,179 |
1,049 |
$10K |
| 82952 |
|
1,298 |
1,119 |
$10K |
| 85014 |
|
4,040 |
3,708 |
$10K |
| 85018 |
|
4,021 |
3,700 |
$9K |
| 84460 |
|
7,292 |
6,932 |
$9K |
| 82803 |
|
984 |
874 |
$9K |
| ATP07 |
|
1,908 |
1,782 |
$9K |
| 83721 |
|
1,543 |
1,500 |
$9K |
| 84425 |
|
567 |
556 |
$9K |
| 86160 |
|
628 |
511 |
$9K |
| 87427 |
|
928 |
893 |
$9K |
| 97535 |
|
223 |
133 |
$8K |
| G0279 |
Tomosynthesis, mammo |
484 |
468 |
$8K |
| J0696 |
Ceftriaxone sodium injection |
5,522 |
4,015 |
$8K |
| 12011 |
|
40 |
38 |
$8K |
| 94060 |
|
67 |
63 |
$8K |
| 72197 |
|
27 |
26 |
$8K |
| 76870 |
|
54 |
52 |
$8K |
| 72050 |
|
194 |
184 |
$7K |
| ATP02 |
|
1,840 |
1,410 |
$7K |
| 87045 |
|
927 |
892 |
$7K |
| J2765 |
Metoclopramide hcl injection |
3,275 |
2,797 |
$7K |
| 88307 |
|
56 |
48 |
$7K |
| 87015 |
|
1,124 |
1,077 |
$7K |
| 97803 |
|
87 |
80 |
$7K |
| P9604 |
One-way allow prorated trip |
22,292 |
11,794 |
$6K |
| 82150 |
|
1,373 |
1,273 |
$6K |
| 86225 |
|
601 |
586 |
$6K |
| C1769 |
Guide wire |
1,712 |
1,503 |
$6K |
| 86308 |
|
1,226 |
1,166 |
$6K |
| 90686 |
|
294 |
274 |
$6K |
| 82977 |
|
1,831 |
1,804 |
$6K |
| 72070 |
|
211 |
200 |
$6K |
| 84450 |
|
5,880 |
5,554 |
$6K |
| G1004 |
Cdsm ndsc |
10,508 |
8,910 |
$6K |
| 86664 |
|
473 |
452 |
$5K |
| 83520 |
|
1,070 |
695 |
$5K |
| 73140 |
|
400 |
381 |
$5K |
| 73700 |
|
131 |
118 |
$5K |
| 29125 |
|
29 |
29 |
$5K |
| 82247 |
|
1,403 |
1,047 |
$5K |
| 73080 |
|
446 |
413 |
$5K |
| 93880 |
|
167 |
147 |
$5K |
| M0243 |
Casirivi and imdevi inj |
23 |
21 |
$5K |
| 87801 |
|
103 |
100 |
$5K |
| C1894 |
Intro/sheath, non-laser |
1,474 |
1,299 |
$5K |
| 84144 |
|
378 |
350 |
$5K |
| 74420 |
|
54 |
51 |
$5K |
| ATP18 |
|
4,269 |
3,824 |
$5K |
| 93225 |
|
54 |
54 |
$5K |
| 77049 |
|
12 |
12 |
$5K |
| J0134 |
Inj acetaminophen -fresenius |
945 |
819 |
$4K |
| 82627 |
|
237 |
228 |
$4K |
| ATP09 |
|
1,401 |
1,216 |
$4K |
| 86360 |
|
248 |
244 |
$4K |
| 85045 |
|
1,660 |
1,558 |
$4K |
| 87449 |
|
625 |
577 |
$4K |
| 93296 |
|
175 |
163 |
$4K |
| 20610 |
|
40 |
36 |
$4K |
| U0005 |
Infec agen detec ampli probe |
1,925 |
1,814 |
$4K |
| 87209 |
|
271 |
263 |
$4K |
| 87324 |
|
541 |
505 |
$4K |
| 93325 |
|
71 |
65 |
$3K |
| 92557 |
|
56 |
55 |
$3K |
| 86359 |
|
228 |
225 |
$3K |
| 93000 |
|
150 |
137 |
$3K |
| 86663 |
|
305 |
295 |
$3K |
| G8979 |
Mobility goal status |
599 |
527 |
$3K |
| G8978 |
Mobility current status |
482 |
455 |
$3K |
| 72040 |
|
77 |
75 |
$3K |
| 84165 |
|
1,025 |
966 |
$3K |
| 97035 |
|
69 |
26 |
$3K |
| 82947 |
|
2,534 |
2,422 |
$3K |
| 70360 |
|
40 |
39 |
$3K |
| 73590 |
|
109 |
99 |
$3K |
| 82105 |
|
247 |
241 |
$3K |
| ATP11 |
|
1,209 |
1,068 |
$3K |
| Q5106 |
Inj retacrit non-esrd use |
56 |
36 |
$2K |
| 84520 |
|
3,470 |
3,223 |
$2K |
| Q3014 |
Telehealth facility fee |
719 |
684 |
$2K |
| 36430 |
|
15 |
12 |
$2K |
| 85651 |
|
1,022 |
957 |
$2K |
| 0012A |
|
106 |
106 |
$2K |
| 94729 |
|
29 |
27 |
$2K |
| 82533 |
|
207 |
185 |
$2K |
| 92650 |
|
28 |
15 |
$2K |
| 84480 |
|
244 |
235 |
$2K |
| ATP10 |
|
874 |
750 |
$2K |
| 99213 |
|
12 |
12 |
$2K |
| 87177 |
|
271 |
263 |
$2K |
| 99292 |
|
41 |
37 |
$2K |
| 99152 |
|
697 |
621 |
$2K |
| J2543 |
Piperacillin/tazobactam |
115 |
41 |
$2K |
| 82140 |
|
169 |
131 |
$2K |
| J2370 |
Phenylephrine hcl injection |
849 |
762 |
$2K |
| 88304 |
|
610 |
576 |
$2K |
| 45385 |
|
12 |
12 |
$1K |
| 86200 |
|
162 |
160 |
$1K |
| 87420 |
|
131 |
128 |
$1K |
| 86039 |
|
130 |
126 |
$1K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
3,648 |
3,435 |
$1K |
| 0011A |
|
105 |
101 |
$1K |
| 83630 |
|
103 |
99 |
$1K |
| 70498 |
|
128 |
112 |
$1K |
| 82785 |
|
76 |
73 |
$1K |
| 80051 |
|
1,351 |
1,293 |
$1K |
| 84436 |
|
184 |
176 |
$899.16 |
| 86800 |
|
73 |
73 |
$896.37 |
| 83993 |
|
77 |
76 |
$851.79 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
19 |
16 |
$827.66 |
| ATP04 |
|
170 |
160 |
$770.40 |
| 93312 |
|
12 |
12 |
$730.56 |
| 97166 |
|
30 |
29 |
$684.31 |
| 88341 |
|
74 |
49 |
$665.44 |
| 82040 |
|
510 |
474 |
$661.56 |
| 80069 |
|
401 |
372 |
$654.84 |
| 87150 |
|
36 |
36 |
$608.19 |
| 87563 |
|
15 |
15 |
$464.25 |
| 84479 |
|
103 |
96 |
$460.23 |
| 93797 |
|
32 |
14 |
$445.50 |
| 87625 |
|
12 |
12 |
$357.70 |
| 85347 |
|
90 |
40 |
$347.10 |
| 36600 |
|
144 |
136 |
$338.85 |
| 82378 |
|
91 |
76 |
$335.25 |
| 93010 |
|
56 |
55 |
$328.95 |
| P9016 |
Rbc leukocytes reduced |
15 |
12 |
$302.80 |
| ATP19 |
|
335 |
283 |
$301.14 |
| 83021 |
|
18 |
18 |
$297.56 |
| 83525 |
|
25 |
24 |
$289.99 |
| 86735 |
|
24 |
24 |
$280.92 |
| 83921 |
|
40 |
39 |
$261.94 |
| 84155 |
|
239 |
230 |
$237.26 |
| 96402 |
|
16 |
14 |
$230.03 |
| 87081 |
|
39 |
39 |
$223.48 |
| 80177 |
|
42 |
38 |
$217.76 |
| 73090 |
|
13 |
12 |
$211.44 |
| G0008 |
Admin influenza virus vac |
266 |
253 |
$198.35 |
| 84132 |
|
37 |
29 |
$187.39 |
| G8980 |
Mobility d/c status |
208 |
196 |
$185.60 |
| G0472 |
Hep c screen high risk/other |
1,058 |
1,046 |
$182.99 |
| G8988 |
Self care goal status |
213 |
190 |
$182.66 |
| G8987 |
Self care current status |
193 |
180 |
$182.66 |
| 92610 |
|
15 |
12 |
$176.19 |
| 77002 |
|
13 |
13 |
$169.96 |
| 99153 |
Mod sedat endo service >5yrs |
407 |
358 |
$164.90 |
| 86617 |
|
21 |
17 |
$159.32 |
| 82330 |
|
15 |
14 |
$149.64 |
| 86765 |
|
12 |
12 |
$141.00 |
| ATP05 |
|
51 |
38 |
$138.78 |
| C1887 |
Catheter, guiding |
137 |
117 |
$136.72 |
| J2360 |
Orphenadrine injection |
406 |
375 |
$131.67 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
133 |
130 |
$98.40 |
| 96523 |
|
43 |
36 |
$85.20 |
| J2710 |
Neostigmine methylslfte inj |
76 |
69 |
$84.74 |
| J2920 |
Methylprednisolone injection |
614 |
423 |
$83.86 |
| J2272 |
Inj, morphine (fresenius) |
108 |
77 |
$74.36 |
| A9500 |
Tc99m sestamibi |
147 |
122 |
$72.81 |
| J3360 |
Diazepam injection |
182 |
171 |
$55.84 |
| J0780 |
Prochlorperazine injection |
302 |
261 |
$54.23 |
| J0500 |
Dicyclomine injection |
12 |
12 |
$52.83 |
| 0013A |
|
13 |
13 |
$45.87 |
| 86334 |
|
14 |
12 |
$39.40 |
| 82270 |
|
13 |
12 |
$33.60 |
| 80175 |
|
12 |
12 |
$21.83 |
| J2785 |
Regadenoson injection |
42 |
40 |
$20.23 |
| 90662 |
|
13 |
13 |
$19.08 |
| 80185 |
|
18 |
13 |
$13.67 |
| A6219 |
Gauze <= 16 sq in w/border |
104 |
96 |
$11.85 |
| J3370 |
Vancomycin hcl injection |
133 |
94 |
$10.80 |
| G0499 |
Hepb screen high risk indiv |
594 |
584 |
$9.32 |
| J2470 |
Inj pantoprazole sodium 40mg |
105 |
68 |
$2.90 |
| G0297 |
Ldct for lung ca screen |
13 |
13 |
$0.81 |
| A9573 |
Inj, gadopiclenol, 1 ml |
195 |
187 |
$0.00 |
| 94760 |
|
24 |
12 |
$0.00 |
| J3480 |
Inj potassium chloride |
14 |
12 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
14 |
13 |
$0.00 |
| 93320 |
|
12 |
12 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
30 |
27 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
243 |
180 |
$0.00 |
| G8985 |
Carry goal status |
57 |
53 |
$0.00 |
| C1760 |
Closure dev, vasc |
27 |
25 |
$0.00 |
| 76937 |
|
15 |
13 |
$0.00 |
| G8984 |
Carry current status |
28 |
26 |
$0.00 |
| G8989 |
Self care d/c status |
14 |
13 |
$0.00 |