| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
321,046 |
239,780 |
$20.78M |
| 99284 |
|
257,029 |
186,838 |
$15.80M |
| 99285 |
|
133,722 |
93,721 |
$8.60M |
| 92507 |
|
69,144 |
17,523 |
$8.32M |
| 97110 |
|
97,984 |
27,675 |
$5.02M |
| 74177 |
|
39,952 |
29,584 |
$5.00M |
| 90935 |
|
27,376 |
3,315 |
$4.83M |
| 80053 |
|
293,891 |
195,889 |
$4.28M |
| 96367 |
|
13,266 |
7,730 |
$3.79M |
| 99282 |
|
59,414 |
44,629 |
$3.51M |
| 96365 |
|
53,172 |
35,156 |
$2.98M |
| 96361 |
|
63,179 |
45,620 |
$2.94M |
| 84703 |
|
151,325 |
108,642 |
$2.92M |
| G0378 |
Hospital observation per hr |
118,397 |
45,182 |
$2.83M |
| 97530 |
|
63,893 |
20,529 |
$2.61M |
| U0003 |
Cov-19 amp prb hgh thruput |
58,028 |
34,128 |
$2.30M |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
54,385 |
40,800 |
$2.17M |
| 70450 |
|
40,311 |
29,109 |
$2.14M |
| 96375 |
|
135,597 |
83,567 |
$1.87M |
| J9271 |
Inj pembrolizumab |
1,317 |
959 |
$1.85M |
| 74176 |
|
17,609 |
12,659 |
$1.56M |
| 99281 |
|
21,126 |
15,623 |
$1.52M |
| 96374 |
|
151,513 |
105,535 |
$1.36M |
| J2001 |
Lidocaine injection |
29,777 |
21,179 |
$1.34M |
| 77386 |
|
6,960 |
504 |
$1.30M |
| 71275 |
|
11,706 |
8,561 |
$1.21M |
| 97161 |
|
15,103 |
12,498 |
$1.18M |
| 96360 |
|
24,335 |
18,040 |
$1.17M |
| 80048 |
|
140,748 |
90,232 |
$1.15M |
| 96413 |
|
15,317 |
8,164 |
$1.10M |
| 80307 |
|
33,213 |
23,814 |
$1.07M |
| 86900 |
|
32,617 |
23,331 |
$1.05M |
| 96372 |
|
87,007 |
53,310 |
$1.05M |
| 77412 |
|
7,006 |
653 |
$970K |
| 44970 |
|
1,045 |
827 |
$960K |
| J0885 |
Epoetin alfa, non-esrd |
11,591 |
1,153 |
$932K |
| 82947 |
|
121,149 |
42,581 |
$923K |
| 90999 |
|
4,096 |
324 |
$851K |
| 59025 |
|
27,198 |
16,749 |
$851K |
| Q4081 |
Epoetin alfa, 100 units esrd |
5,927 |
537 |
$795K |
| 84484 |
|
119,005 |
55,664 |
$754K |
| 97140 |
|
27,795 |
8,445 |
$738K |
| 01999 |
|
17,815 |
12,862 |
$723K |
| 95810 |
|
2,060 |
1,567 |
$718K |
| A0431 |
Rotary wing air transport |
782 |
674 |
$692K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
5,979 |
4,417 |
$680K |
| 87636 |
|
59,707 |
44,580 |
$668K |
| 84702 |
|
30,742 |
19,401 |
$623K |
| 43239 |
|
6,047 |
4,779 |
$607K |
| 47562 |
|
994 |
683 |
$577K |
| 92523 |
|
4,661 |
4,367 |
$563K |
| 81003 |
|
220,069 |
158,199 |
$546K |
| 93306 |
|
11,898 |
8,659 |
$536K |
| 41899 |
|
2,933 |
2,626 |
$512K |
| J2505 |
Injection, pegfilgrastim 6mg |
1,149 |
814 |
$506K |
| A0426 |
Als 1 |
6,566 |
5,033 |
$503K |
| A0427 |
Als1-emergency |
4,542 |
2,910 |
$501K |
| D2930 |
|
1,429 |
682 |
$493K |
| 85025 |
|
373,912 |
238,433 |
$479K |
| 94640 |
|
26,505 |
18,450 |
$473K |
| J9035 |
Bevacizumab injection |
1,523 |
777 |
$460K |
| J1644 |
Inj heparin sodium per 1000u |
33,435 |
5,634 |
$454K |
| 92526 |
|
11,900 |
4,354 |
$447K |
| 87633 |
|
17,051 |
13,692 |
$433K |
| 70553 |
|
5,194 |
3,920 |
$421K |
| 88305 |
|
20,561 |
12,662 |
$417K |
| 87880 |
|
19,115 |
15,208 |
$407K |
| 87635 |
|
24,202 |
17,746 |
$394K |
| 75574 |
|
4,503 |
3,063 |
$392K |
| 71046 |
|
34,335 |
26,392 |
$388K |
| 58661 |
|
496 |
384 |
$382K |
| 85027 |
|
61,327 |
39,520 |
$379K |
| J1756 |
Iron sucrose injection |
7,487 |
2,246 |
$365K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,840 |
1,284 |
$358K |
| 87088 |
|
82,543 |
60,952 |
$356K |
| 97112 |
|
17,485 |
5,319 |
$355K |
| 70551 |
|
5,895 |
4,203 |
$340K |
| 84443 |
|
46,812 |
33,921 |
$339K |
| 99213 |
|
8,176 |
5,514 |
$336K |
| 96415 |
|
3,888 |
2,391 |
$327K |
| 54161 |
|
729 |
692 |
$314K |
| 96376 |
|
51,622 |
22,483 |
$314K |
| 99291 |
|
5,674 |
4,110 |
$314K |
| J1745 |
Infliximab not biosimil 10mg |
784 |
673 |
$312K |
| 49083 |
|
3,600 |
1,379 |
$300K |
| 83880 |
|
29,658 |
21,191 |
$290K |
| 87804 |
|
21,452 |
17,393 |
$280K |
| 93005 |
|
159,608 |
101,653 |
$279K |
| 71045 |
|
109,978 |
77,929 |
$279K |
| 95811 |
|
826 |
600 |
$274K |
| 97165 |
|
3,922 |
3,148 |
$269K |
| 78815 |
|
2,174 |
1,663 |
$265K |
| 36415 |
|
77,864 |
42,028 |
$264K |
| 95813 |
|
957 |
907 |
$258K |
| 84520 |
|
7,702 |
4,868 |
$252K |
| 85610 |
|
73,135 |
45,455 |
$250K |
| 45380 |
|
2,332 |
1,784 |
$243K |
| 96366 |
|
9,564 |
6,184 |
$242K |
| 10060 |
|
3,811 |
2,833 |
$239K |
| 76705 |
|
16,640 |
12,237 |
$239K |
| 97116 |
|
17,190 |
7,229 |
$238K |
| J2501 |
Paricalcitol |
11,744 |
779 |
$233K |
| 97164 |
|
2,964 |
2,614 |
$232K |
| 87651 |
|
25,628 |
19,603 |
$228K |
| D7140 |
|
958 |
544 |
$227K |
| 80047 |
|
9,228 |
7,088 |
$226K |
| G0463 |
Hospital outpt clinic visit |
10,675 |
6,285 |
$218K |
| 70491 |
|
2,286 |
1,755 |
$218K |
| 73610 |
|
11,631 |
8,343 |
$216K |
| J2270 |
Morphine sulfate injection |
60,725 |
32,542 |
$214K |
| 36561 |
|
564 |
409 |
$212K |
| 83970 |
|
5,758 |
3,932 |
$208K |
| 72125 |
|
8,650 |
6,145 |
$208K |
| J3490 |
Drugs unclassified injection |
4,529 |
3,039 |
$204K |
| 78452 |
|
2,351 |
1,692 |
$196K |
| 70498 |
|
1,467 |
992 |
$195K |
| 97162 |
|
6,367 |
4,695 |
$193K |
| J9355 |
Inj trastuzumab excl biosimi |
527 |
236 |
$191K |
| J7030 |
Normal saline solution infus |
159,596 |
96,978 |
$190K |
| P9016 |
Rbc leukocytes reduced |
2,911 |
1,881 |
$189K |
| A9270 |
Non-covered item or service |
22,599 |
9,092 |
$184K |
| 76819 |
|
6,546 |
4,520 |
$182K |
| J0690 |
Cefazolin sodium injection |
19,268 |
11,739 |
$173K |
| 77334 |
|
2,027 |
1,088 |
$169K |
| 76830 |
|
13,766 |
10,235 |
$169K |
| 86850 |
|
18,743 |
13,490 |
$168K |
| 97168 |
|
1,619 |
1,460 |
$168K |
| J1642 |
Inj heparin sodium per 10 u |
18,027 |
9,017 |
$161K |
| 92587 |
|
3,971 |
3,079 |
$161K |
| 58571 |
|
118 |
73 |
$160K |
| C1769 |
Guide wire |
7,645 |
5,352 |
$159K |
| 92610 |
|
2,643 |
2,184 |
$159K |
| 76700 |
|
3,287 |
2,623 |
$155K |
| 73130 |
|
9,434 |
6,592 |
$152K |
| 88185 |
|
2,739 |
1,317 |
$152K |
| 36430 |
|
5,005 |
2,832 |
$151K |
| 93971 |
|
9,103 |
6,849 |
$151K |
| 73630 |
|
13,099 |
9,202 |
$145K |
| 87491 |
|
41,238 |
32,001 |
$145K |
| 80076 |
|
22,909 |
17,094 |
$143K |
| 97535 |
|
6,859 |
3,602 |
$141K |
| 76801 |
|
19,264 |
12,794 |
$140K |
| 97150 |
|
11,246 |
5,091 |
$137K |
| 97602 |
|
2,595 |
1,106 |
$133K |
| 92588 |
|
1,171 |
1,113 |
$133K |
| 87591 |
|
41,379 |
32,174 |
$133K |
| 84100 |
|
16,555 |
9,658 |
$133K |
| 99211 |
|
2,673 |
1,996 |
$132K |
| A0434 |
Specialty care transport |
755 |
492 |
$131K |
| 76770 |
|
4,533 |
3,450 |
$130K |
| Q5105 |
Inj retacrit esrd on dialysi |
6,050 |
518 |
$129K |
| J0610 |
Calcium glucon (fresenius) |
692 |
333 |
$128K |
| 45385 |
|
968 |
717 |
$124K |
| 73564 |
|
11,083 |
7,853 |
$123K |
| J0897 |
Denosumab injection |
1,088 |
924 |
$123K |
| 82803 |
|
7,166 |
5,151 |
$122K |
| 82306 |
|
13,659 |
10,471 |
$121K |
| 76817 |
|
23,118 |
16,323 |
$120K |
| 82728 |
|
11,696 |
8,597 |
$119K |
| 86923 |
|
3,213 |
1,881 |
$117K |
| Q5106 |
Inj retacrit non-esrd use |
4,584 |
613 |
$117K |
| J0485 |
Belatacept injection |
1,048 |
507 |
$117K |
| 45378 |
|
534 |
416 |
$115K |
| J1439 |
Inj ferric carboxymaltos 1mg |
741 |
461 |
$114K |
| J2506 |
Inj pegfilgrast ex bio 0.5mg |
253 |
166 |
$113K |
| 84132 |
|
8,260 |
5,147 |
$110K |
| 77336 |
|
4,368 |
1,583 |
$109K |
| 83550 |
|
7,875 |
5,711 |
$108K |
| 36591 |
|
3,504 |
2,187 |
$106K |
| 70496 |
|
1,879 |
1,306 |
$105K |
| 87389 |
|
3,606 |
3,033 |
$105K |
| 77295 |
|
375 |
249 |
$105K |
| 83540 |
|
10,325 |
7,493 |
$103K |
| J2405 |
Ondansetron hcl injection |
118,914 |
75,823 |
$102K |
| 99212 |
|
4,029 |
2,242 |
$101K |
| 82657 |
|
1,095 |
1,000 |
$101K |
| 87210 |
|
37,743 |
28,950 |
$100K |
| 97113 |
|
2,280 |
800 |
$98K |
| A0436 |
Rotary wing air mileage |
748 |
657 |
$97K |
| 93458 |
|
424 |
309 |
$96K |
| A0428 |
Bls |
3,037 |
2,240 |
$95K |
| 76856 |
|
6,012 |
4,202 |
$95K |
| 73140 |
|
4,092 |
2,954 |
$95K |
| 74018 |
|
7,744 |
5,713 |
$95K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
3,998 |
3,095 |
$90K |
| 77290 |
|
658 |
437 |
$89K |
| 71260 |
|
5,378 |
3,940 |
$89K |
| 99203 |
|
2,372 |
1,831 |
$88K |
| J7050 |
Normal saline solution infus |
40,520 |
20,385 |
$88K |
| 76536 |
|
2,084 |
1,600 |
$87K |
| 73030 |
|
9,367 |
6,544 |
$86K |
| P9040 |
Rbc leukoreduced irradiated |
1,065 |
622 |
$85K |
| 70310 |
|
1,798 |
1,562 |
$85K |
| 82274 |
|
4,232 |
3,175 |
$82K |
| 82565 |
|
15,396 |
10,964 |
$81K |
| 84436 |
|
1,783 |
1,360 |
$80K |
| J9263 |
Oxaliplatin |
393 |
143 |
$79K |
| 97597 |
|
1,957 |
657 |
$79K |
| 97166 |
|
1,471 |
1,168 |
$77K |
| 85014 |
|
15,343 |
11,311 |
$76K |
| 52356 |
|
104 |
62 |
$76K |
| 93970 |
|
4,621 |
3,369 |
$76K |
| 73110 |
|
6,926 |
5,064 |
$74K |
| 89060 |
|
2,202 |
1,692 |
$74K |
| J2704 |
Inj, propofol, 10 mg |
31,100 |
23,550 |
$74K |
| 82731 |
|
1,027 |
838 |
$74K |
| 96402 |
|
1,441 |
1,239 |
$73K |
| 77066 |
Tomosynthesis, mammo |
1,894 |
1,375 |
$73K |
| J1200 |
Diphenhydramine hcl injectio |
33,117 |
20,756 |
$73K |
| 93976 |
|
4,155 |
3,164 |
$72K |
| J1442 |
Inj filgrastim excl biosimil |
1,814 |
496 |
$72K |
| 93017 |
|
2,757 |
2,052 |
$71K |
| J3010 |
Fentanyl citrate injection |
29,300 |
21,258 |
$71K |
| 78306 |
|
1,028 |
749 |
$70K |
| 80197 |
|
6,718 |
3,447 |
$70K |
| P9047 |
Albumin (human), 25%, 50ml |
1,275 |
527 |
$69K |
| J1453 |
Fosaprepitant injection |
1,859 |
1,223 |
$69K |
| 73080 |
|
4,711 |
3,430 |
$68K |
| 76815 |
|
12,473 |
9,511 |
$68K |
| 70486 |
|
3,288 |
2,382 |
$66K |
| J1561 |
Gamunex-c/gammaked |
295 |
187 |
$66K |
| 83735 |
|
58,822 |
38,072 |
$66K |
| J2250 |
Inj midazolam hydrochloride |
22,969 |
16,135 |
$66K |
| 71250 |
|
3,762 |
2,654 |
$65K |
| J1100 |
Dexamethasone sodium phos |
59,756 |
43,719 |
$65K |
| J9395 |
Injection, fulvestrant |
351 |
300 |
$65K |
| 80061 |
|
30,949 |
22,822 |
$65K |
| 12001 |
|
4,054 |
3,037 |
$64K |
| G0283 |
Elec stim other than wound |
5,086 |
1,422 |
$64K |
| 72148 |
|
1,499 |
1,081 |
$62K |
| J9299 |
Injection, nivolumab |
67 |
50 |
$60K |
| 85018 |
|
8,264 |
4,297 |
$59K |
| 96416 |
|
1,205 |
708 |
$59K |
| 86901 |
|
32,489 |
23,226 |
$59K |
| J0696 |
Ceftriaxone sodium injection |
39,860 |
25,702 |
$58K |
| 86833 |
|
1,062 |
773 |
$57K |
| J9312 |
Inj., rituximab, 10 mg |
211 |
102 |
$56K |
| C1788 |
Port, indwelling, imp |
602 |
442 |
$55K |
| J7120 |
Ringers lactate infusion |
40,576 |
27,214 |
$55K |
| 84156 |
|
7,705 |
5,294 |
$55K |
| J2997 |
Alteplase recombinant |
852 |
547 |
$55K |
| 29125 |
|
2,471 |
1,890 |
$55K |
| 74230 |
|
686 |
543 |
$54K |
| 12011 |
|
3,816 |
2,855 |
$53K |
| 72131 |
|
2,694 |
2,019 |
$52K |
| 77067 |
|
2,754 |
1,959 |
$52K |
| 87497 |
|
2,683 |
1,666 |
$51K |
| 89050 |
|
2,132 |
1,397 |
$51K |
| 74183 |
|
1,411 |
1,022 |
$51K |
| 87070 |
|
8,475 |
6,168 |
$51K |
| 76642 |
|
2,393 |
1,724 |
$51K |
| 93308 |
|
1,040 |
762 |
$50K |
| 80074 |
|
1,813 |
1,404 |
$50K |
| 96368 |
|
2,360 |
1,604 |
$49K |
| 86832 |
|
1,112 |
801 |
$49K |
| 72100 |
|
7,390 |
5,492 |
$49K |
| 82247 |
|
2,599 |
1,683 |
$48K |
| 88307 |
|
3,996 |
2,615 |
$48K |
| 84112 |
|
405 |
351 |
$48K |
| 96523 |
|
4,109 |
3,207 |
$46K |
| 88304 |
|
4,181 |
2,942 |
$46K |
| C1894 |
Intro/sheath, non-laser |
3,984 |
2,858 |
$45K |
| 0100U |
|
1,426 |
1,046 |
$45K |
| 97014 |
|
11,889 |
3,619 |
$44K |
| 76870 |
|
2,721 |
1,996 |
$42K |
| 73502 |
|
4,864 |
3,689 |
$41K |
| 96377 |
|
509 |
380 |
$41K |
| 83690 |
|
79,181 |
56,248 |
$41K |
| 74021 |
|
2,565 |
2,047 |
$39K |
| J1170 |
Hydromorphone injection |
23,068 |
10,936 |
$39K |
| 87637 |
|
5,120 |
4,344 |
$39K |
| 78264 |
|
337 |
254 |
$38K |
| J7040 |
Normal saline solution infus |
26,906 |
19,114 |
$38K |
| 83036 |
|
29,962 |
21,969 |
$38K |
| G8978 |
Mobility current status |
1,854 |
1,092 |
$37K |
| 77300 |
|
1,333 |
933 |
$36K |
| J2370 |
Phenylephrine hcl injection |
6,888 |
4,604 |
$36K |
| 93505 |
|
116 |
91 |
$35K |
| 72197 |
|
558 |
421 |
$35K |
| G8987 |
Self care current status |
1,164 |
477 |
$34K |
| 73090 |
|
5,781 |
4,095 |
$34K |
| 73100 |
|
1,900 |
1,271 |
$33K |
| 52332 |
|
231 |
159 |
$33K |
| 84460 |
|
1,683 |
1,088 |
$33K |
| 92950 |
|
632 |
355 |
$33K |
| 95716 |
|
835 |
574 |
$33K |
| G8988 |
Self care goal status |
1,237 |
509 |
$33K |
| U0002 |
Covid-19 lab test non-cdc |
1,167 |
790 |
$32K |
| 95816 |
|
948 |
660 |
$32K |
| 84439 |
|
18,453 |
13,506 |
$32K |
| J3370 |
Vancomycin hcl injection |
3,952 |
1,810 |
$32K |
| 92650 |
|
1,079 |
756 |
$32K |
| 73590 |
|
5,484 |
3,908 |
$31K |
| 73660 |
|
1,487 |
1,101 |
$31K |
| J0561 |
Penicillin g benzathine inj |
921 |
720 |
$30K |
| 87340 |
|
4,250 |
3,389 |
$30K |
| 85730 |
|
33,447 |
24,211 |
$30K |
| 84145 |
|
4,649 |
3,265 |
$30K |
| 72141 |
|
1,096 |
796 |
$30K |
| G8979 |
Mobility goal status |
1,911 |
1,114 |
$30K |
| J0360 |
Hydralazine hcl injection |
4,409 |
2,799 |
$30K |
| 87186 |
|
23,789 |
17,163 |
$29K |
| 80177 |
|
3,354 |
2,206 |
$29K |
| 72040 |
|
4,262 |
3,173 |
$29K |
| 86304 |
|
778 |
595 |
$29K |
| 76010 |
|
578 |
433 |
$29K |
| 77280 |
|
222 |
155 |
$29K |
| 86706 |
|
2,435 |
1,834 |
$29K |
| 70544 |
|
2,137 |
1,373 |
$28K |
| 74240 |
|
542 |
439 |
$28K |
| 69200 |
|
400 |
312 |
$28K |
| 12002 |
|
2,069 |
1,470 |
$27K |
| 82040 |
|
226 |
171 |
$27K |
| 84450 |
|
758 |
559 |
$27K |
| 50590 |
|
66 |
50 |
$26K |
| 73070 |
|
1,626 |
1,057 |
$26K |
| 96401 |
|
1,666 |
976 |
$26K |
| 66984 |
|
404 |
257 |
$25K |
| 73700 |
|
1,292 |
924 |
$25K |
| M0243 |
Casirivi and imdevi inj |
321 |
282 |
$24K |
| J3380 |
Inj vedolizumab iv 1 mg |
100 |
85 |
$24K |
| 85097 |
|
538 |
337 |
$24K |
| 76641 |
|
668 |
448 |
$24K |
| 87653 |
|
1,673 |
1,412 |
$23K |
| 73552 |
|
2,194 |
1,633 |
$23K |
| 82607 |
|
11,569 |
8,670 |
$23K |
| G0121 |
Colon ca scrn not hi rsk ind |
72 |
57 |
$23K |
| 87040 |
|
11,543 |
5,982 |
$22K |
| 77080 |
|
999 |
776 |
$22K |
| 97163 |
|
799 |
564 |
$22K |
| 87205 |
|
7,644 |
5,088 |
$22K |
| 83605 |
|
13,737 |
8,724 |
$22K |
| Q5107 |
Inj mvasi 10 mg |
36 |
15 |
$22K |
| 74022 |
|
4,697 |
3,631 |
$22K |
| 76805 |
|
368 |
305 |
$22K |
| 99152 |
|
3,344 |
2,514 |
$21K |
| J7070 |
D5w infusion |
30,204 |
15,486 |
$21K |
| J1885 |
Ketorolac tromethamine inj |
96,368 |
63,560 |
$21K |
| 69209 |
|
316 |
241 |
$21K |
| 36592 |
|
867 |
459 |
$20K |
| J9310 |
Rituximab injection |
49 |
12 |
$20K |
| 86140 |
|
21,519 |
15,523 |
$20K |
| 71101 |
|
2,594 |
1,949 |
$20K |
| 87799 |
|
2,418 |
1,596 |
$20K |
| J0131 |
Inj, acetaminophen (nos) |
13,118 |
9,210 |
$20K |
| 29515 |
|
1,161 |
898 |
$20K |
| 92508 |
|
894 |
345 |
$20K |
| 87506 |
|
1,392 |
1,074 |
$19K |
| D2392 |
|
32 |
27 |
$19K |
| 82784 |
|
3,265 |
2,332 |
$19K |
| 82310 |
|
143 |
107 |
$19K |
| 84295 |
|
2,041 |
1,509 |
$19K |
| 86922 |
|
1,513 |
846 |
$19K |
| 96409 |
|
1,050 |
773 |
$19K |
| 77301 |
|
49 |
36 |
$19K |
| C1781 |
Mesh (implantable) |
607 |
415 |
$19K |
| 29105 |
|
626 |
495 |
$18K |
| A0425 |
Ground mileage |
17,297 |
12,390 |
$18K |
| C1758 |
Catheter, ureteral |
1,698 |
1,099 |
$18K |
| 87420 |
|
3,391 |
2,891 |
$18K |
| 73562 |
|
2,519 |
1,703 |
$18K |
| 82746 |
|
6,243 |
4,660 |
$18K |
| 82533 |
|
1,369 |
941 |
$18K |
| D2330 |
|
209 |
131 |
$18K |
| 88341 |
|
1,789 |
1,083 |
$18K |
| 70360 |
|
1,181 |
929 |
$17K |
| C1751 |
Cath, inf, per/cent/midline |
555 |
408 |
$17K |
| C1725 |
Cath, translumin non-laser |
1,045 |
658 |
$17K |
| 93303 |
|
109 |
97 |
$17K |
| 38222 |
|
166 |
98 |
$17K |
| 54304 |
|
14 |
14 |
$17K |
| 84481 |
|
2,655 |
2,063 |
$16K |
| 82330 |
|
1,832 |
1,330 |
$16K |
| 76937 |
|
1,407 |
1,030 |
$16K |
| 96417 |
|
4,503 |
2,870 |
$15K |
| 77072 |
|
589 |
406 |
$15K |
| J9267 |
Paclitaxel injection |
1,192 |
570 |
$15K |
| 82010 |
|
4,841 |
3,458 |
$15K |
| 43235 |
|
77 |
65 |
$14K |
| 94010 |
|
275 |
225 |
$14K |
| 85379 |
|
21,129 |
15,446 |
$14K |
| 84075 |
|
68 |
53 |
$14K |
| 84155 |
|
44 |
39 |
$14K |
| 99153 |
Mod sedat endo service >5yrs |
2,262 |
1,666 |
$14K |
| 76775 |
|
724 |
541 |
$14K |
| 24640 |
|
154 |
126 |
$14K |
| 70487 |
|
112 |
98 |
$13K |
| 80143 |
|
6,996 |
4,898 |
$13K |
| 86828 |
|
689 |
517 |
$13K |
| 77065 |
Tomosynthesis, mammo |
611 |
441 |
$13K |
| J2060 |
Lorazepam injection |
18,280 |
11,456 |
$13K |
| 87077 |
|
22,850 |
16,010 |
$13K |
| 72156 |
|
272 |
181 |
$13K |
| 94660 |
|
641 |
358 |
$12K |
| 72158 |
|
424 |
306 |
$12K |
| J2930 |
Methylprednisolone injection |
12,021 |
8,237 |
$12K |
| 73560 |
|
884 |
604 |
$12K |
| 94761 |
|
2,095 |
1,334 |
$12K |
| 88173 |
|
283 |
189 |
$12K |
| 74178 |
|
170 |
125 |
$11K |
| 73060 |
|
2,114 |
1,553 |
$11K |
| C2617 |
Stent, non-cor, tem w/o del |
1,298 |
899 |
$11K |
| D3220 |
|
422 |
234 |
$11K |
| 86038 |
|
1,493 |
1,175 |
$11K |
| 85049 |
|
3,202 |
2,235 |
$11K |
| 99214 |
|
275 |
217 |
$11K |
| 70547 |
|
1,492 |
962 |
$11K |
| 73721 |
|
230 |
153 |
$11K |
| C1729 |
Cath, drainage |
2,532 |
1,500 |
$10K |
| J2469 |
Palonosetron hcl |
1,205 |
716 |
$10K |
| 83615 |
|
4,634 |
3,375 |
$10K |
| 93798 |
|
310 |
48 |
$10K |
| J1815 |
Insulin injection |
23,349 |
6,589 |
$10K |
| 83020 |
|
1,277 |
961 |
$10K |
| 86835 |
|
298 |
209 |
$10K |
| C1887 |
Catheter, guiding |
756 |
522 |
$10K |
| 19083 |
|
13 |
12 |
$10K |
| 70481 |
|
45 |
41 |
$9K |
| 77001 |
|
1,279 |
934 |
$9K |
| 92522 |
|
71 |
71 |
$9K |
| G8982 |
Body pos goal status |
501 |
170 |
$9K |
| 16020 |
|
600 |
413 |
$9K |
| 82550 |
|
14,348 |
9,847 |
$9K |
| 77470 |
|
36 |
26 |
$9K |
| 77387 |
|
1,558 |
176 |
$9K |
| 96411 |
|
1,323 |
932 |
$8K |
| 97750 |
|
469 |
364 |
$8K |
| 78582 |
|
172 |
121 |
$8K |
| 96450 |
|
145 |
115 |
$8K |
| G8981 |
Body pos current status |
451 |
149 |
$8K |
| 81001 |
|
21,868 |
15,959 |
$8K |
| 31624 |
|
78 |
57 |
$8K |
| 88312 |
|
7,821 |
5,206 |
$8K |
| 99215 |
Prolong outpt/office vis |
267 |
228 |
$8K |
| 86834 |
|
298 |
209 |
$8K |
| 87631 |
|
244 |
190 |
$8K |
| 87075 |
|
2,863 |
1,995 |
$8K |
| 95951 |
|
608 |
240 |
$7K |
| 88342 |
|
3,103 |
2,083 |
$7K |
| J1610 |
Glucagon hydrochloride/1 mg |
357 |
264 |
$7K |
| 81025 |
|
16,202 |
12,088 |
$7K |
| 87081 |
|
7,876 |
6,268 |
$7K |
| 64450 |
|
159 |
112 |
$7K |
| 73000 |
|
621 |
460 |
$7K |
| 92567 |
|
1,246 |
1,188 |
$7K |
| J9045 |
Carboplatin injection |
884 |
600 |
$7K |
| 62328 |
|
42 |
39 |
$7K |
| 76857 |
|
3,894 |
2,967 |
$7K |
| D2391 |
|
126 |
59 |
$7K |
| 87015 |
|
3,038 |
2,053 |
$7K |
| 97022 |
|
639 |
182 |
$7K |
| 92579 |
|
688 |
660 |
$7K |
| 90471 |
|
7,066 |
4,821 |
$7K |
| 86403 |
|
1,233 |
1,011 |
$7K |
| 93325 |
|
1,612 |
1,272 |
$7K |
| 78226 |
|
110 |
73 |
$7K |
| 76882 |
|
248 |
191 |
$7K |
| 88112 |
|
1,166 |
791 |
$7K |
| 0450 |
|
199 |
179 |
$6K |
| J0702 |
Betamethasone acet&sod phosp |
471 |
256 |
$6K |
| 85652 |
|
13,819 |
10,430 |
$6K |
| 73523 |
|
1,055 |
687 |
$6K |
| 84681 |
|
335 |
284 |
$6K |
| 93880 |
|
728 |
540 |
$6K |
| J2710 |
Neostigmine methylslfte inj |
3,009 |
2,433 |
$6K |
| 74181 |
|
196 |
138 |
$6K |
| 82077 |
|
10,105 |
6,834 |
$6K |
| A9552 |
F18 fdg |
2,326 |
1,799 |
$6K |
| 87086 |
|
8,155 |
6,209 |
$6K |
| 87102 |
|
1,265 |
888 |
$6K |
| 72128 |
|
852 |
643 |
$6K |
| 90715 |
|
6,402 |
4,629 |
$6K |
| 93320 |
|
552 |
446 |
$6K |
| 90686 |
|
2,344 |
1,705 |
$6K |
| A9500 |
Tc99m sestamibi |
2,599 |
1,752 |
$6K |
| J2800 |
Methocarbamol injection |
3,564 |
2,152 |
$6K |
| 29130 |
|
746 |
573 |
$6K |
| 36590 |
|
51 |
40 |
$6K |
| 99204 |
|
227 |
209 |
$6K |
| 92557 |
|
403 |
366 |
$5K |
| J3475 |
Inj magnesium sulfate |
5,163 |
3,210 |
$5K |
| 10061 |
|
74 |
56 |
$5K |
| 87529 |
|
640 |
473 |
$5K |
| 87116 |
|
1,318 |
867 |
$5K |
| 82435 |
|
657 |
497 |
$5K |
| 87624 |
|
281 |
241 |
$5K |
| 82374 |
|
17 |
14 |
$5K |
| 86334 |
|
721 |
553 |
$5K |
| J2550 |
Promethazine hcl injection |
9,860 |
5,766 |
$5K |
| D1310 |
|
396 |
364 |
$5K |
| 82108 |
|
111 |
86 |
$5K |
| 72072 |
|
2,039 |
1,524 |
$5K |
| C1726 |
Cath, bal dil, non-vascular |
46 |
37 |
$5K |
| P9037 |
Plate pheres leukoredu irrad |
53 |
29 |
$5K |
| 88313 |
|
4,500 |
2,981 |
$5K |
| 87206 |
|
1,306 |
857 |
$5K |
| 80202 |
|
686 |
248 |
$5K |
| 51702 |
|
1,553 |
1,041 |
$5K |
| 43762 |
|
590 |
383 |
$5K |
| 73620 |
|
495 |
333 |
$5K |
| 84403 |
|
1,037 |
847 |
$4K |
| 86480 |
|
515 |
370 |
$4K |
| 95806 |
|
122 |
108 |
$4K |
| 58558 |
|
30 |
25 |
$4K |
| 74174 |
|
14 |
12 |
$4K |
| 94760 |
|
3,676 |
2,187 |
$4K |
| 80164 |
|
2,676 |
1,928 |
$4K |
| J0330 |
Succinycholine chloride inj |
1,544 |
1,116 |
$4K |
| J2360 |
Orphenadrine injection |
15,064 |
10,557 |
$4K |
| J2543 |
Piperacillin/tazobactam |
8,381 |
3,207 |
$4K |
| G1010 |
Cdsm stanson |
2,137 |
1,172 |
$4K |
| 80185 |
|
960 |
632 |
$4K |
| 73200 |
|
280 |
201 |
$4K |
| 84153 |
|
1,601 |
1,288 |
$4K |
| 59050 |
|
424 |
332 |
$4K |
| J2765 |
Metoclopramide hcl injection |
15,781 |
10,850 |
$4K |
| J1650 |
Inj enoxaparin sodium |
11,588 |
4,616 |
$4K |
| J0780 |
Prochlorperazine injection |
7,303 |
5,197 |
$4K |
| 74246 |
|
69 |
55 |
$3K |
| 87798 |
|
207 |
144 |
$3K |
| 82378 |
|
1,965 |
1,418 |
$3K |
| 86592 |
|
4,271 |
3,489 |
$3K |
| J2920 |
Methylprednisolone injection |
5,651 |
2,404 |
$3K |
| 95700 |
|
718 |
678 |
$3K |
| 86300 |
|
1,287 |
946 |
$3K |
| 72195 |
|
42 |
25 |
$3K |
| 82140 |
|
3,186 |
2,032 |
$3K |
| 83883 |
|
384 |
291 |
$3K |
| 77338 |
|
66 |
47 |
$3K |
| 43259 |
|
138 |
115 |
$3K |
| 84479 |
|
81 |
71 |
$3K |
| J2785 |
Regadenoson injection |
2,052 |
1,468 |
$3K |
| 85045 |
|
3,937 |
2,593 |
$3K |
| 78227 |
|
47 |
26 |
$3K |
| 72192 |
|
78 |
64 |
$3K |
| J1953 |
Levetiracetam injection |
1,768 |
1,007 |
$3K |
| 25605 |
|
85 |
66 |
$3K |
| 95819 |
|
72 |
63 |
$3K |
| G8980 |
Mobility d/c status |
226 |
203 |
$3K |
| 86870 |
|
121 |
76 |
$3K |
| 87522 |
Neg quan hep c or qual rna |
140 |
113 |
$3K |
| 94762 |
|
484 |
305 |
$3K |
| 72157 |
|
99 |
75 |
$3K |
| J1940 |
Furosemide injection |
4,812 |
2,454 |
$3K |
| 10080 |
|
39 |
26 |
$3K |
| C9113 |
Inj pantoprazole sodium, via |
15,269 |
7,906 |
$3K |
| 51701 |
|
2,601 |
2,082 |
$3K |
| L3908 |
Who cock-up nonmolde pre ots |
58 |
54 |
$3K |
| 84146 |
|
386 |
326 |
$3K |
| Q9957 |
Inj perflutren lip micros,ml |
243 |
183 |
$3K |
| 86803 |
|
1,990 |
1,688 |
$3K |
| 85384 |
|
1,112 |
868 |
$3K |
| 82785 |
|
482 |
409 |
$3K |
| 31500 |
|
167 |
115 |
$2K |
| M0239 |
Bamlanivimab-xxxx infusion |
47 |
42 |
$2K |
| G0480 |
Drug test def 1-7 classes |
326 |
300 |
$2K |
| 56420 |
|
28 |
12 |
$2K |
| G0238 |
Oth resp proc, indiv |
251 |
62 |
$2K |
| 85347 |
|
615 |
312 |
$2K |
| 82670 |
|
260 |
225 |
$2K |
| M0245 |
Bamlan and etesev infusion |
18 |
16 |
$2K |
| 70250 |
|
192 |
155 |
$2K |
| 82553 |
|
328 |
246 |
$2K |
| G0257 |
Unsched dialysis esrd pt hos |
492 |
267 |
$2K |
| J0744 |
Ciprofloxacin iv |
1,319 |
754 |
$2K |
| J1580 |
Garamycin gentamicin inj |
1,014 |
641 |
$2K |
| 83630 |
|
247 |
197 |
$2K |
| A9581 |
Gadoxetate disodium inj |
50 |
39 |
$2K |
| 84550 |
|
5,878 |
4,299 |
$2K |
| 83525 |
|
1,107 |
895 |
$2K |
| 82105 |
|
613 |
491 |
$2K |
| 84157 |
|
1,387 |
1,057 |
$2K |
| 62270 |
|
93 |
75 |
$2K |
| A0429 |
Bls-emergency |
14 |
14 |
$2K |
| 86003 |
|
499 |
300 |
$2K |
| D1206 |
|
162 |
152 |
$2K |
| 88184 |
|
1,982 |
1,315 |
$2K |
| 84466 |
|
1,706 |
1,343 |
$2K |
| J0456 |
Azithromycin |
2,061 |
1,195 |
$2K |
| 80195 |
|
291 |
134 |
$2K |
| 87661 |
|
365 |
327 |
$2K |
| J3105 |
Terbutaline sulfate inj |
282 |
237 |
$2K |
| 87807 |
|
170 |
153 |
$2K |
| 86762 |
|
1,478 |
1,216 |
$2K |
| 12013 |
|
215 |
173 |
$2K |
| J3486 |
Ziprasidone mesylate |
1,787 |
1,110 |
$2K |
| 90670 |
|
421 |
241 |
$2K |
| 90732 |
|
52 |
25 |
$2K |
| J0171 |
Adrenalin epinephrine inject |
1,455 |
957 |
$2K |
| 82945 |
|
1,143 |
918 |
$2K |
| 72170 |
|
818 |
591 |
$2K |
| J3480 |
Inj potassium chloride |
3,868 |
2,064 |
$2K |
| 82570 |
|
7,873 |
5,666 |
$2K |
| J0692 |
Cefepime hcl for injection |
3,187 |
1,346 |
$2K |
| 82627 |
|
97 |
92 |
$2K |
| D1120 |
|
392 |
363 |
$2K |
| 86665 |
|
487 |
345 |
$2K |
| D1330 |
|
327 |
306 |
$1K |
| 73600 |
|
306 |
212 |
$1K |
| C8929 |
Tte w or wo fol wcon,doppler |
44 |
42 |
$1K |
| J0461 |
Atropine sulfate injection |
166 |
105 |
$1K |
| 94729 |
|
308 |
258 |
$1K |
| 87449 |
|
1,449 |
1,093 |
$1K |
| 74019 |
|
245 |
214 |
$1K |
| 82024 |
|
224 |
203 |
$1K |
| J9250 |
Methotrexate sodium inj |
384 |
221 |
$1K |
| G0008 |
Admin influenza virus vac |
321 |
254 |
$1K |
| J1030 |
Methylprednisolone 40 mg inj |
68 |
54 |
$1K |
| A9541 |
Tc99m sulfur colloid |
469 |
340 |
$1K |
| 82232 |
|
165 |
130 |
$1K |
| 87324 |
|
1,359 |
1,016 |
$1K |
| 92611 |
|
565 |
450 |
$1K |
| 82248 |
|
2,941 |
2,023 |
$1K |
| 87505 |
|
304 |
236 |
$1K |
| 97010 |
|
547 |
255 |
$1K |
| 94726 |
|
207 |
171 |
$1K |
| OP250 |
|
250 |
144 |
$1K |
| 82365 |
|
171 |
88 |
$1K |
| J0207 |
Amifostine |
42 |
27 |
$997.04 |
| 73120 |
|
142 |
104 |
$994.61 |
| A9503 |
Tc99m medronate |
980 |
711 |
$979.73 |
| 80179 |
|
6,828 |
4,839 |
$947.30 |
| 86880 |
|
15 |
14 |
$938.87 |
| 86787 |
|
639 |
433 |
$935.57 |
| 43760 |
|
16 |
13 |
$923.49 |
| 87184 |
|
1,852 |
1,340 |
$907.26 |
| 77012 |
|
821 |
509 |
$903.96 |
| S0028 |
Injection, famotidine, 20 mg |
1,283 |
766 |
$878.29 |
| 72084 |
|
34 |
26 |
$875.08 |
| 87536 |
|
46 |
30 |
$854.46 |
| 88360 |
|
534 |
276 |
$848.97 |
| 97533 |
|
1,031 |
511 |
$835.08 |
| 70490 |
|
21 |
13 |
$821.95 |
| A4216 |
Sterile water/saline, 10 ml |
14 |
12 |
$820.49 |
| C9290 |
Inj, bupivacaine liposome |
1,132 |
832 |
$801.83 |
| J9070 |
Cyclophosphamide 100 mg inj |
71 |
27 |
$800.55 |
| J1630 |
Haloperidol injection |
2,101 |
1,380 |
$796.88 |
| 87252 |
|
121 |
97 |
$787.96 |
| 83002 |
|
650 |
572 |
$786.20 |
| 87634 |
|
789 |
689 |
$769.31 |
| P9046 |
Albumin (human), 25%, 20 ml |
84 |
39 |
$750.26 |
| 84134 |
|
580 |
429 |
$719.43 |
| 36593 |
|
31 |
25 |
$691.81 |
| J3420 |
Vitamin b12 injection |
1,288 |
949 |
$688.63 |
| 88311 |
|
937 |
614 |
$687.72 |
| 77063 |
|
2,126 |
1,408 |
$677.66 |
| L1830 |
Ko immob canvas long pre ots |
17 |
13 |
$672.91 |
| 80162 |
|
116 |
83 |
$672.73 |
| J0640 |
Leucovorin calcium injection |
871 |
403 |
$642.73 |
| 76942 |
|
250 |
144 |
$633.31 |
| G0148 |
Scr c/v cyto, autosys, rescr |
236 |
208 |
$616.67 |
| 70480 |
|
37 |
28 |
$597.89 |
| A9540 |
Tc99m maa |
397 |
272 |
$570.69 |
| 83001 |
|
763 |
668 |
$566.69 |
| G0279 |
Tomosynthesis, mammo |
428 |
322 |
$557.78 |
| G0379 |
Direct refer hospital observ |
448 |
388 |
$556.66 |
| 87181 |
|
397 |
272 |
$549.78 |
| 82150 |
|
2,153 |
1,593 |
$547.69 |
| 87147 |
|
2,930 |
2,223 |
$540.50 |
| J1950 |
Leuprolide acetate /3.75 mg |
13 |
12 |
$537.61 |
| 72080 |
|
18 |
14 |
$533.35 |
| J9190 |
Fluorouracil injection |
776 |
394 |
$522.71 |
| 80156 |
|
251 |
213 |
$506.76 |
| 87046 |
|
456 |
231 |
$490.46 |
| 83521 |
|
79 |
37 |
$487.72 |
| 83516 |
|
937 |
606 |
$474.17 |
| J7042 |
5% dextrose/normal saline |
2,089 |
1,399 |
$462.85 |
| 90714 |
|
192 |
133 |
$462.68 |
| 86376 |
|
697 |
580 |
$458.66 |
| L1906 |
Afo multilig ank sup pre ots |
15 |
13 |
$448.30 |
| 85460 |
|
29 |
26 |
$439.01 |
| 94150 |
|
244 |
200 |
$437.25 |
| 80184 |
|
117 |
90 |
$395.03 |
| 72146 |
|
52 |
44 |
$390.46 |
| 82043 |
|
2,325 |
1,897 |
$388.69 |
| G8991 |
Other pt/ot goal status |
65 |
27 |
$388.22 |
| 82575 |
|
15 |
13 |
$364.03 |
| 87641 |
|
145 |
120 |
$361.30 |
| 76981 |
|
13 |
13 |
$358.60 |
| 80178 |
|
30 |
26 |
$352.84 |
| G8990 |
Other pt/ot current status |
61 |
27 |
$344.30 |
| G0103 |
Psa screening |
246 |
194 |
$341.82 |
| A9567 |
Technetium tc-99m aerosol |
121 |
92 |
$341.39 |
| J2272 |
Inj, morphine (fresenius) |
173 |
130 |
$336.69 |
| 87045 |
|
294 |
231 |
$336.58 |
| 95713 |
|
27 |
18 |
$332.40 |
| 10120 |
|
18 |
15 |
$322.28 |
| 93321 |
|
695 |
536 |
$317.13 |
| 77062 |
|
922 |
616 |
$316.42 |
| 86800 |
|
246 |
195 |
$309.44 |
| 86352 |
|
89 |
67 |
$303.76 |
| J3411 |
Thiamine hcl 100 mg |
1,145 |
735 |
$297.87 |
| 82397 |
|
125 |
115 |
$266.41 |
| 49465 |
|
102 |
82 |
$263.68 |
| J0290 |
Ampicillin 500 mg inj |
31 |
15 |
$259.43 |
| 86364 |
|
431 |
249 |
$258.27 |
| 11730 |
|
13 |
13 |
$256.33 |
| G0500 |
Mod sedat endo service >5yrs |
89 |
64 |
$216.47 |
| J2310 |
Inj naloxone hydrochloride |
147 |
102 |
$214.55 |
| 88142 |
|
75 |
67 |
$205.65 |
| 86645 |
|
341 |
288 |
$201.39 |
| 84480 |
|
869 |
687 |
$199.54 |
| 0042T |
|
18 |
16 |
$192.82 |
| 87640 |
|
119 |
97 |
$188.95 |
| 82950 |
|
140 |
127 |
$184.25 |
| 85007 |
|
2,386 |
1,742 |
$178.69 |
| J7512 |
Prednisone ir or dr oral 1mg |
9,987 |
6,732 |
$178.04 |
| J7121 |
5% dextrose in lac ringers |
569 |
403 |
$173.54 |
| M0220 |
Tixagev and cilgav inj |
27 |
19 |
$165.79 |
| 85060 |
|
72 |
52 |
$159.21 |
| 82977 |
|
1,222 |
702 |
$155.85 |
| 86769 |
|
226 |
189 |
$153.28 |
| 86301 |
|
80 |
63 |
$153.17 |
| 72220 |
|
31 |
25 |
$139.80 |
| J9370 |
Vincristine sulfate 1 mg inj |
1,031 |
703 |
$139.00 |
| V2632 |
Post chmbr intraocular lens |
189 |
103 |
$138.66 |
| 97129 |
|
145 |
24 |
$136.30 |
| J1790 |
Droperidol injection |
3,316 |
2,245 |
$132.83 |
| 86644 |
|
419 |
304 |
$129.69 |
| 88302 |
|
542 |
328 |
$114.16 |
| 77003 |
|
40 |
37 |
$110.68 |
| 94200 |
|
50 |
41 |
$108.14 |
| 86430 |
|
448 |
348 |
$102.00 |
| 85246 |
|
16 |
12 |
$96.92 |
| 87899 |
|
608 |
354 |
$96.47 |
| J2790 |
Rho d immune globulin inj |
119 |
91 |
$94.38 |
| 84305 |
|
311 |
267 |
$85.74 |
| J7060 |
5% dextrose/water |
329 |
214 |
$84.58 |
| 86039 |
|
145 |
106 |
$81.06 |
| 88175 |
|
36 |
25 |
$79.38 |
| 86255 |
|
185 |
136 |
$74.58 |
| 70160 |
|
18 |
17 |
$73.49 |
| 86225 |
|
73 |
52 |
$69.77 |
| 86308 |
|
989 |
753 |
$66.65 |
| G8997 |
Swallow goal status |
34 |
26 |
$62.77 |
| 86704 |
|
122 |
97 |
$62.66 |
| 76802 |
|
23 |
17 |
$59.00 |
| J0500 |
Dicyclomine injection |
316 |
244 |
$49.83 |
| 82652 |
|
26 |
13 |
$49.81 |
| 83520 |
|
17 |
13 |
$46.73 |
| 97035 |
|
31 |
13 |
$46.17 |
| G8996 |
Swallow current status |
33 |
26 |
$45.50 |
| 86160 |
|
66 |
37 |
$41.82 |
| U0005 |
Infec agen detec ampli probe |
1,256 |
482 |
$40.51 |
| 87185 |
|
68 |
53 |
$37.02 |
| 82270 |
|
61 |
48 |
$36.67 |
| A9585 |
Gadobutrol injection |
142 |
119 |
$30.38 |
| P9604 |
One-way allow prorated trip |
615 |
403 |
$30.27 |
| 86141 |
|
126 |
96 |
$25.96 |
| 86147 |
|
20 |
14 |
$24.59 |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
12 |
12 |
$24.46 |
| 82747 |
|
12 |
12 |
$24.23 |
| 86695 |
|
112 |
80 |
$23.72 |
| 94664 |
|
12 |
12 |
$20.61 |
| 89051 |
|
87 |
44 |
$19.88 |
| 72070 |
|
208 |
134 |
$19.84 |
| 85660 |
|
122 |
104 |
$18.70 |
| 84478 |
|
48 |
26 |
$16.27 |
| 84402 |
|
15 |
14 |
$15.89 |
| 99406 |
|
13 |
12 |
$15.67 |
| 80175 |
|
17 |
12 |
$15.16 |
| 82272 |
|
113 |
95 |
$14.43 |
| 83655 |
|
33 |
26 |
$10.67 |
| A9537 |
Tc99m mebrofenin |
317 |
208 |
$8.74 |
| P9603 |
One-way allow prorated miles |
169 |
138 |
$8.71 |
| 88108 |
|
329 |
276 |
$8.50 |
| 86735 |
|
16 |
13 |
$6.72 |
| 86765 |
|
16 |
13 |
$6.72 |
| 83930 |
|
37 |
36 |
$4.72 |
| 94644 |
|
177 |
135 |
$4.44 |
| 85362 |
|
95 |
83 |
$1.26 |
| 51798 |
|
53 |
42 |
$0.89 |
| G0328 |
Fecal blood scrn immunoassay |
146 |
123 |
$0.00 |
| D0272 |
|
35 |
30 |
$0.00 |
| C1768 |
Graft, vascular |
45 |
25 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
291 |
224 |
$0.00 |
| J3360 |
Diazepam injection |
300 |
172 |
$0.00 |
| D1208 |
|
99 |
89 |
$0.00 |
| Q3014 |
Telehealth facility fee |
145 |
78 |
$0.00 |
| 0001A |
|
12 |
12 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
14 |
12 |
$0.00 |
| 76377 |
|
81 |
39 |
$0.00 |
| L8000 |
Mastectomy bra |
56 |
38 |
$0.00 |
| J2791 |
Rhophylac injection |
69 |
61 |
$0.00 |
| 88738 |
|
13 |
12 |
$0.00 |
| D3240 |
|
32 |
24 |
$0.00 |
| 87426 |
|
24 |
22 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$0.00 |
| D0230 |
|
26 |
26 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
52 |
43 |
$0.00 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
75 |
58 |
$0.00 |
| J1720 |
Hydrocortisone sodium succ i |
14 |
13 |
$0.00 |
| 86258 |
|
118 |
60 |
$0.00 |
| 83498 |
|
30 |
25 |
$0.00 |
| 84300 |
|
17 |
12 |
$0.00 |
| 82626 |
|
13 |
12 |
$0.00 |
| 84270 |
|
27 |
25 |
$0.00 |
| 76820 |
|
16 |
12 |
$0.00 |
| 74420 |
|
17 |
12 |
$0.00 |
| 86664 |
|
15 |
12 |
$0.00 |
| 87071 |
|
36 |
26 |
$0.00 |
| 90723 |
|
40 |
12 |
$0.00 |
| J0136 |
Inj, acetaminophen (b braun) |
73 |
71 |
$0.00 |
| 31720 |
|
115 |
55 |
$0.00 |
| J2916 |
Na ferric gluconate complex |
42 |
16 |
$0.00 |
| D0220 |
|
47 |
44 |
$0.00 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
1,208 |
504 |
$0.00 |
| J0736 |
Inj, clindamycin phosp 300mg |
31 |
31 |
$0.00 |
| J9206 |
Irinotecan injection |
25 |
12 |
$0.00 |
| 86663 |
|
16 |
13 |
$0.00 |
| J0834 |
Inj., cosyntropin, 0.25 mg |
29 |
28 |
$0.00 |
| 93356 |
|
139 |
98 |
$0.00 |
| 85245 |
|
16 |
12 |
$0.00 |
| 87329 |
|
42 |
29 |
$0.00 |
| 87328 |
|
41 |
26 |
$0.00 |
| 90648 |
|
75 |
56 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
33 |
32 |
$0.00 |
| 83003 |
|
28 |
14 |
$0.00 |
| C1760 |
Closure dev, vasc |
51 |
39 |
$0.00 |
| 87336 |
|
38 |
26 |
$0.00 |
| D0350 |
|
15 |
14 |
$0.00 |
| D2940 |
|
40 |
40 |
$0.00 |
| 15853 |
|
22 |
22 |
$0.00 |
| 76376 |
|
16 |
15 |
$0.00 |
| 90675 |
|
27 |
12 |
$0.00 |
| 82042 |
|
34 |
25 |
$0.00 |
| 86235 |
|
25 |
12 |
$0.00 |
| J9000 |
Doxorubicin hcl injection |
48 |
25 |
$0.00 |
| 86705 |
|
14 |
12 |
$0.00 |
| 87149 |
|
20 |
12 |
$0.00 |
| 62323 |
|
14 |
13 |
$0.00 |