| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpt clinic visit |
385,039 |
315,869 |
$28.57M |
| J2350 |
Injection, ocrelizumab, 1 mg |
715 |
638 |
$8.71M |
| 96361 |
|
19,886 |
15,762 |
$5.54M |
| 77386 |
|
8,350 |
731 |
$3.81M |
| 99283 |
|
29,886 |
26,265 |
$2.85M |
| 99285 |
|
38,971 |
34,869 |
$2.72M |
| 96365 |
|
21,697 |
15,324 |
$2.55M |
| 99284 |
|
33,296 |
29,847 |
$2.39M |
| 93306 |
|
10,837 |
10,427 |
$2.21M |
| 74177 |
|
14,574 |
13,808 |
$2.13M |
| J1569 |
Gammagard liquid injection |
1,894 |
599 |
$2.09M |
| J1745 |
Infliximab not biosimil 10mg |
1,623 |
1,539 |
$2.06M |
| 93451 |
|
2,038 |
1,824 |
$2.02M |
| J2357 |
Omalizumab injection |
2,492 |
1,949 |
$1.86M |
| J3380 |
Inj vedolizumab iv 1 mg |
1,027 |
942 |
$1.81M |
| J2323 |
Natalizumab injection |
1,263 |
1,138 |
$1.76M |
| 70553 |
|
7,882 |
7,668 |
$1.70M |
| U0003 |
Cov-19 amp prb hgh thruput |
24,000 |
20,262 |
$1.61M |
| 59025 |
|
8,845 |
4,621 |
$1.33M |
| J0585 |
Injection,onabotulinumtoxina |
6,634 |
5,847 |
$1.33M |
| 96366 |
|
5,828 |
4,282 |
$1.32M |
| 45380 |
|
3,535 |
3,438 |
$1.28M |
| 43239 |
|
3,809 |
3,704 |
$1.26M |
| 70450 |
|
9,753 |
9,066 |
$1.18M |
| 97110 |
|
48,919 |
27,032 |
$1.16M |
| 96415 |
|
4,088 |
3,418 |
$1.08M |
| Q3014 |
Telehealth facility fee |
50,315 |
44,091 |
$1.01M |
| 31579 |
|
3,194 |
3,053 |
$841K |
| 96413 |
|
9,931 |
7,305 |
$836K |
| 71275 |
|
5,609 |
5,323 |
$762K |
| 52000 |
|
1,516 |
1,469 |
$752K |
| 96360 |
|
9,022 |
6,243 |
$743K |
| J9271 |
Inj pembrolizumab |
183 |
128 |
$740K |
| 93303 |
|
3,142 |
3,003 |
$733K |
| 11042 |
|
4,688 |
2,282 |
$686K |
| 64615 |
|
2,878 |
2,781 |
$657K |
| 76705 |
|
9,741 |
9,261 |
$638K |
| 76830 |
|
7,467 |
7,195 |
$601K |
| 45385 |
|
1,675 |
1,618 |
$550K |
| 87635 |
|
17,584 |
15,047 |
$542K |
| 99281 |
|
5,219 |
4,332 |
$537K |
| 99282 |
|
6,153 |
5,384 |
$531K |
| 80307 |
|
16,617 |
14,664 |
$500K |
| J2182 |
Injection, mepolizumab, 1mg |
419 |
388 |
$493K |
| 80053 |
|
122,907 |
103,528 |
$488K |
| 74183 |
|
2,815 |
2,681 |
$484K |
| Q5103 |
Injection, inflectra |
525 |
476 |
$474K |
| 74176 |
|
3,389 |
3,224 |
$447K |
| 20610 |
|
2,959 |
2,670 |
$420K |
| 31231 |
|
2,619 |
2,538 |
$415K |
| 96130 |
|
681 |
662 |
$412K |
| 97140 |
|
22,861 |
12,468 |
$406K |
| 20611 |
|
2,078 |
1,832 |
$396K |
| 78452 |
|
1,483 |
1,407 |
$394K |
| 76856 |
|
7,074 |
6,851 |
$380K |
| 11102 |
|
1,589 |
1,510 |
$373K |
| 97530 |
|
15,685 |
9,916 |
$361K |
| 73721 |
|
2,401 |
2,274 |
$359K |
| 76816 |
|
6,971 |
6,046 |
$342K |
| C9803 |
Hopd covid-19 spec collect |
13,201 |
12,416 |
$332K |
| 78815 |
|
711 |
697 |
$312K |
| 20553 |
|
2,163 |
1,637 |
$306K |
| 72148 |
|
2,582 |
2,534 |
$293K |
| 70551 |
|
2,152 |
2,103 |
$293K |
| C8929 |
Tte w or wo fol wcon,doppler |
1,602 |
1,521 |
$292K |
| 70496 |
|
1,891 |
1,824 |
$280K |
| 91010 |
|
921 |
899 |
$277K |
| 74160 |
|
2,074 |
2,007 |
$274K |
| 43235 |
|
829 |
802 |
$273K |
| 71250 |
|
5,649 |
5,371 |
$261K |
| 11104 |
|
935 |
892 |
$259K |
| 93308 |
|
1,389 |
1,301 |
$257K |
| 93970 |
|
3,114 |
2,981 |
$248K |
| 80048 |
|
60,476 |
45,757 |
$248K |
| 97112 |
|
9,796 |
6,540 |
$243K |
| 11900 |
|
1,335 |
1,261 |
$239K |
| 77334 |
|
2,104 |
1,428 |
$237K |
| 90471 |
|
12,703 |
12,406 |
$234K |
| 77470 |
|
400 |
382 |
$227K |
| 93975 |
|
4,879 |
4,560 |
$221K |
| 76770 |
|
2,943 |
2,842 |
$221K |
| 93017 |
|
3,339 |
3,194 |
$218K |
| 94618 |
|
3,448 |
3,313 |
$217K |
| 97162 |
|
6,167 |
5,964 |
$217K |
| G0378 |
Hospital observation per hr |
7,312 |
6,784 |
$216K |
| 97161 |
|
5,380 |
5,223 |
$211K |
| 76536 |
|
2,793 |
2,721 |
$206K |
| 93971 |
|
2,678 |
2,561 |
$205K |
| 11100 |
|
674 |
655 |
$205K |
| 72141 |
|
1,808 |
1,772 |
$204K |
| 70491 |
|
1,923 |
1,835 |
$198K |
| 76942 |
|
4,115 |
3,568 |
$195K |
| 76801 |
|
3,683 |
3,430 |
$195K |
| 74174 |
|
1,760 |
1,684 |
$192K |
| 77336 |
|
3,337 |
1,674 |
$191K |
| 77063 |
|
4,716 |
4,653 |
$190K |
| 96910 |
|
3,858 |
654 |
$188K |
| P9040 |
Rbc leukoreduced irradiated |
890 |
710 |
$188K |
| 72197 |
|
1,203 |
1,168 |
$183K |
| 92557 |
|
3,711 |
3,608 |
$181K |
| 31237 |
|
229 |
216 |
$180K |
| 77412 |
|
466 |
74 |
$177K |
| 17110 |
|
1,244 |
1,172 |
$175K |
| J9035 |
Bevacizumab injection |
139 |
81 |
$170K |
| 76700 |
|
1,959 |
1,888 |
$167K |
| 76805 |
|
2,547 |
2,497 |
$166K |
| 27447 |
|
46 |
46 |
$158K |
| 70486 |
|
2,568 |
2,499 |
$157K |
| 49083 |
|
506 |
288 |
$152K |
| 36415 |
|
188,435 |
151,083 |
$150K |
| 97165 |
|
3,943 |
3,815 |
$147K |
| 77290 |
|
575 |
504 |
$146K |
| 64616 |
|
582 |
514 |
$143K |
| 97802 |
|
3,252 |
3,156 |
$139K |
| 81420 |
|
1,453 |
1,419 |
$138K |
| 93978 |
|
2,890 |
2,736 |
$138K |
| 76882 |
|
1,980 |
1,832 |
$136K |
| 30140 |
|
96 |
94 |
$136K |
| 97129 |
|
978 |
668 |
$132K |
| 31575 |
|
760 |
739 |
$127K |
| 87591 |
|
12,554 |
11,685 |
$124K |
| 93325 |
|
5,165 |
4,911 |
$124K |
| 71260 |
|
5,039 |
4,868 |
$124K |
| 97163 |
|
3,179 |
3,093 |
$124K |
| 76815 |
|
2,499 |
2,064 |
$123K |
| 85025 |
|
132,130 |
105,655 |
$123K |
| 76937 |
|
2,894 |
2,517 |
$121K |
| 76811 |
|
2,412 |
2,327 |
$120K |
| 90651 |
|
1,472 |
1,458 |
$118K |
| G0008 |
Admin influenza virus vac |
10,418 |
10,254 |
$113K |
| 97803 |
|
4,462 |
4,099 |
$112K |
| J0475 |
Baclofen 10 mg injection |
685 |
604 |
$112K |
| 17000 |
|
1,165 |
1,085 |
$112K |
| Q5115 |
Inj truxima 10 mg |
42 |
27 |
$112K |
| 71046 |
|
19,612 |
18,113 |
$110K |
| 27130 |
|
24 |
24 |
$109K |
| 96152 |
|
1,165 |
902 |
$108K |
| 97763 |
|
1,096 |
844 |
$105K |
| 90837 |
|
1,760 |
902 |
$104K |
| 83880 |
|
15,237 |
13,281 |
$103K |
| 77080 |
|
2,190 |
2,131 |
$103K |
| 73221 |
|
716 |
692 |
$102K |
| 36247 |
|
157 |
118 |
$102K |
| 91034 |
|
330 |
323 |
$102K |
| 93505 |
|
1,001 |
818 |
$101K |
| 88305 |
|
31,109 |
21,191 |
$99K |
| 64643 |
|
452 |
440 |
$97K |
| 77300 |
|
1,287 |
1,121 |
$93K |
| 93321 |
|
1,610 |
1,526 |
$90K |
| 84443 |
|
27,482 |
26,264 |
$88K |
| 93296 |
|
6,810 |
6,686 |
$86K |
| 36561 |
|
83 |
78 |
$84K |
| 92507 |
|
2,319 |
1,533 |
$83K |
| 80197 |
|
19,025 |
11,132 |
$82K |
| 64642 |
|
1,143 |
1,078 |
$82K |
| 76817 |
|
2,721 |
2,292 |
$82K |
| 92524 |
|
2,143 |
2,053 |
$82K |
| 29581 |
|
757 |
314 |
$81K |
| 76870 |
|
1,084 |
1,047 |
$81K |
| 90715 |
|
4,708 |
4,612 |
$80K |
| 88307 |
|
5,875 |
4,439 |
$80K |
| J2469 |
Palonosetron hcl |
1,041 |
711 |
$79K |
| 58300 |
|
714 |
690 |
$79K |
| 97535 |
|
4,663 |
3,571 |
$79K |
| 76642 |
|
1,110 |
951 |
$78K |
| J1756 |
Iron sucrose injection |
3,996 |
1,860 |
$76K |
| 17311 |
|
206 |
181 |
$75K |
| 84484 |
|
21,607 |
18,376 |
$74K |
| J1561 |
Gamunex-c/gammaked |
59 |
39 |
$72K |
| 72156 |
|
1,114 |
1,076 |
$72K |
| 72158 |
|
751 |
723 |
$72K |
| 78830 |
|
267 |
236 |
$71K |
| 93005 |
|
50,645 |
44,067 |
$71K |
| 90472 |
|
4,090 |
4,023 |
$70K |
| 83970 |
|
6,064 |
5,642 |
$69K |
| 93350 |
|
497 |
474 |
$69K |
| 74178 |
|
522 |
507 |
$68K |
| 96367 |
|
2,419 |
1,992 |
$65K |
| 96372 |
|
18,265 |
14,884 |
$65K |
| 82306 |
|
12,149 |
11,658 |
$63K |
| 93922 |
|
1,311 |
1,258 |
$63K |
| 36430 |
|
787 |
624 |
$62K |
| 86780 |
|
9,812 |
9,485 |
$62K |
| 85027 |
|
55,231 |
46,456 |
$61K |
| 74230 |
|
1,214 |
1,170 |
$60K |
| 95923 |
|
784 |
767 |
$60K |
| 77338 |
|
101 |
90 |
$60K |
| 80076 |
|
21,003 |
15,905 |
$59K |
| 80061 |
|
19,719 |
18,908 |
$58K |
| 96136 |
|
717 |
696 |
$58K |
| 93320 |
|
3,330 |
3,187 |
$57K |
| J7298 |
Mirena, 52 mg |
178 |
169 |
$56K |
| 87536 |
|
1,780 |
1,724 |
$55K |
| 94010 |
|
5,567 |
5,180 |
$54K |
| 96131 |
|
594 |
576 |
$53K |
| 76813 |
|
1,633 |
1,589 |
$52K |
| 75561 |
|
277 |
269 |
$52K |
| 95885 |
|
504 |
492 |
$52K |
| 88185 |
|
891 |
797 |
$51K |
| 94060 |
|
1,343 |
1,299 |
$51K |
| 86834 |
|
3,845 |
3,502 |
$50K |
| 12001 |
|
310 |
297 |
$49K |
| G0480 |
Drug test def 1-7 classes |
4,651 |
4,198 |
$49K |
| 82105 |
|
7,349 |
6,989 |
$49K |
| 87497 |
|
4,308 |
2,405 |
$49K |
| 93880 |
|
1,046 |
991 |
$49K |
| G0009 |
Admin pneumococcal vaccine |
4,474 |
4,391 |
$48K |
| 30520 |
|
131 |
129 |
$48K |
| 73030 |
|
7,795 |
6,606 |
$48K |
| 83605 |
|
10,683 |
9,377 |
$46K |
| 83036 |
|
23,363 |
22,425 |
$46K |
| 87491 |
|
12,586 |
11,711 |
$45K |
| 97166 |
|
1,412 |
1,365 |
$45K |
| 77067 |
|
4,781 |
4,715 |
$45K |
| 51705 |
|
461 |
420 |
$45K |
| 95117 |
|
2,597 |
1,448 |
$44K |
| 88142 |
|
3,759 |
3,700 |
$43K |
| 87624 |
|
4,247 |
4,167 |
$43K |
| 83735 |
|
53,202 |
37,179 |
$43K |
| 90834 |
|
972 |
537 |
$42K |
| 86480 |
|
4,200 |
4,071 |
$41K |
| 90686 |
|
4,939 |
4,865 |
$41K |
| 97116 |
|
2,478 |
1,703 |
$40K |
| 94660 |
|
211 |
127 |
$40K |
| 87799 |
|
4,148 |
3,280 |
$39K |
| 72125 |
|
4,225 |
3,969 |
$39K |
| 10060 |
|
273 |
266 |
$39K |
| 94729 |
|
3,701 |
3,575 |
$39K |
| 29888 |
|
13 |
13 |
$39K |
| 45378 |
|
91 |
83 |
$39K |
| 87507 |
|
691 |
663 |
$39K |
| 20550 |
|
228 |
216 |
$38K |
| 93454 |
|
42 |
41 |
$38K |
| 73564 |
|
6,741 |
5,330 |
$38K |
| 97542 |
|
1,675 |
1,429 |
$38K |
| 99291 |
|
928 |
896 |
$38K |
| C9399 |
Unclassified drugs or biolog |
2,697 |
2,275 |
$37K |
| 87522 |
Neg quan hep c or qual rna |
3,144 |
2,975 |
$37K |
| 94770 |
|
444 |
428 |
$36K |
| 10061 |
|
184 |
175 |
$36K |
| J0185 |
Inj., aprepitant, 1 mg |
502 |
362 |
$36K |
| J3490 |
Drugs unclassified injection |
8,632 |
6,741 |
$34K |
| 82728 |
|
12,683 |
12,179 |
$34K |
| 77002 |
|
577 |
547 |
$34K |
| 96158 |
|
379 |
272 |
$34K |
| 52310 |
|
64 |
62 |
$33K |
| 70544 |
|
302 |
291 |
$33K |
| 73130 |
|
4,894 |
3,912 |
$33K |
| 84439 |
|
8,831 |
8,354 |
$32K |
| 11045 |
|
146 |
76 |
$32K |
| 85610 |
|
52,115 |
40,174 |
$32K |
| 87040 |
|
5,833 |
5,031 |
$31K |
| 74420 |
|
499 |
481 |
$31K |
| 96374 |
|
25,180 |
21,581 |
$30K |
| 91200 |
|
501 |
478 |
$30K |
| 90674 |
|
2,270 |
2,229 |
$29K |
| 71045 |
|
16,976 |
15,205 |
$29K |
| 73110 |
|
4,770 |
4,040 |
$29K |
| 82784 |
|
6,382 |
3,793 |
$29K |
| 72157 |
|
976 |
943 |
$29K |
| 94726 |
|
1,258 |
1,221 |
$29K |
| 70498 |
|
1,751 |
1,690 |
$29K |
| 90670 |
|
2,816 |
2,761 |
$29K |
| 95924 |
|
736 |
720 |
$28K |
| 92567 |
|
3,122 |
3,044 |
$28K |
| 72100 |
|
3,625 |
3,454 |
$28K |
| 86835 |
|
3,845 |
3,502 |
$28K |
| 82607 |
|
7,258 |
7,040 |
$27K |
| 87517 |
|
2,528 |
2,394 |
$27K |
| 87086 |
|
25,943 |
23,117 |
$27K |
| 37243 |
|
37 |
36 |
$27K |
| 73630 |
|
4,133 |
3,461 |
$26K |
| 70487 |
|
176 |
169 |
$26K |
| 82533 |
|
2,734 |
2,141 |
$26K |
| 87631 |
|
1,626 |
1,557 |
$26K |
| 73700 |
|
486 |
429 |
$26K |
| 93976 |
|
286 |
273 |
$26K |
| 95886 |
|
429 |
424 |
$25K |
| 84403 |
|
2,915 |
2,803 |
$25K |
| 90677 |
|
1,003 |
987 |
$24K |
| 77301 |
|
86 |
77 |
$24K |
| 93246 |
|
841 |
784 |
$23K |
| J9217 |
Leuprolide acetate suspnsion |
149 |
130 |
$23K |
| 86140 |
|
12,237 |
11,310 |
$23K |
| 95816 |
|
200 |
191 |
$23K |
| 86235 |
|
3,005 |
1,733 |
$23K |
| 93242 |
|
910 |
876 |
$23K |
| 96112 |
|
34 |
34 |
$22K |
| 86304 |
|
2,784 |
2,311 |
$22K |
| 90792 |
|
612 |
588 |
$22K |
| 77001 |
|
430 |
395 |
$22K |
| 86803 |
|
11,405 |
10,972 |
$22K |
| 82570 |
|
17,149 |
14,231 |
$22K |
| 29075 |
|
84 |
74 |
$21K |
| 92579 |
|
428 |
399 |
$21K |
| 80069 |
|
5,004 |
4,413 |
$21K |
| 86923 |
|
1,368 |
1,170 |
$20K |
| 73502 |
|
2,959 |
2,803 |
$20K |
| 84270 |
|
2,548 |
2,450 |
$20K |
| 72131 |
|
1,317 |
1,278 |
$19K |
| 64483 |
|
54 |
53 |
$19K |
| 84702 |
|
15,340 |
13,600 |
$19K |
| 11056 |
|
288 |
252 |
$19K |
| 10005 |
|
75 |
69 |
$19K |
| 81001 |
|
55,694 |
48,544 |
$19K |
| 82670 |
|
1,672 |
1,616 |
$18K |
| 73140 |
|
2,568 |
2,234 |
$18K |
| 97167 |
|
471 |
454 |
$18K |
| 11721 |
|
1,245 |
1,197 |
$18K |
| 72195 |
|
111 |
108 |
$18K |
| 87389 |
|
10,616 |
10,236 |
$17K |
| 51702 |
|
1,479 |
1,303 |
$17K |
| 82785 |
|
2,478 |
2,412 |
$17K |
| 78306 |
|
96 |
95 |
$17K |
| 90648 |
|
1,119 |
1,101 |
$17K |
| 85379 |
|
4,609 |
4,382 |
$17K |
| 74018 |
|
1,806 |
1,571 |
$17K |
| 87340 |
|
9,677 |
9,279 |
$17K |
| 73610 |
|
3,522 |
2,987 |
$17K |
| 20680 |
|
13 |
12 |
$16K |
| 94640 |
|
2,710 |
2,111 |
$16K |
| 88342 |
|
4,437 |
4,172 |
$16K |
| 72110 |
|
1,473 |
1,427 |
$16K |
| 99392 |
|
418 |
417 |
$15K |
| 84146 |
|
1,743 |
1,675 |
$15K |
| 99391 |
|
473 |
446 |
$15K |
| 52356 |
|
14 |
13 |
$15K |
| 72040 |
|
1,754 |
1,661 |
$15K |
| 11055 |
|
188 |
174 |
$14K |
| 86141 |
|
7,569 |
7,180 |
$14K |
| 51798 |
|
3,746 |
3,538 |
$14K |
| 84466 |
|
9,084 |
8,684 |
$14K |
| 88341 |
|
2,819 |
2,352 |
$14K |
| 87661 |
|
2,730 |
2,640 |
$14K |
| 90688 |
|
1,481 |
1,473 |
$14K |
| 84100 |
|
27,153 |
17,487 |
$14K |
| 86695 |
|
2,178 |
2,075 |
$14K |
| 83001 |
|
1,698 |
1,655 |
$13K |
| 86850 |
|
11,279 |
10,564 |
$13K |
| 95908 |
|
103 |
102 |
$13K |
| 76820 |
|
714 |
342 |
$13K |
| 58558 |
|
12 |
12 |
$13K |
| 92611 |
|
375 |
359 |
$13K |
| 85652 |
|
16,377 |
15,449 |
$13K |
| G2215 |
Home supply nasal naloxone |
288 |
279 |
$12K |
| 0124A |
|
501 |
493 |
$12K |
| 73120 |
|
2,066 |
1,113 |
$12K |
| 64493 |
|
25 |
24 |
$12K |
| 83520 |
|
5,556 |
3,546 |
$12K |
| 80180 |
|
3,241 |
2,475 |
$12K |
| 93247 |
|
533 |
506 |
$12K |
| 86003 |
|
2,762 |
2,247 |
$12K |
| 0011A |
|
461 |
458 |
$12K |
| 83540 |
|
9,345 |
8,928 |
$12K |
| 62369 |
|
249 |
220 |
$12K |
| 0001A |
|
449 |
443 |
$12K |
| 86900 |
|
13,091 |
11,554 |
$12K |
| 96375 |
|
24,160 |
18,917 |
$12K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
3,445 |
3,208 |
$11K |
| 77332 |
|
116 |
107 |
$11K |
| 91299 |
|
180 |
166 |
$11K |
| 88313 |
|
2,018 |
1,632 |
$11K |
| C1769 |
Guide wire |
10,863 |
9,235 |
$11K |
| 76376 |
|
3,678 |
3,523 |
$11K |
| P9047 |
Albumin (human), 25%, 50ml |
83 |
50 |
$11K |
| 86360 |
|
1,371 |
1,321 |
$11K |
| 76881 |
|
152 |
147 |
$11K |
| 86706 |
|
7,033 |
6,708 |
$11K |
| 90480 |
|
998 |
974 |
$11K |
| 93226 |
|
324 |
321 |
$11K |
| 82746 |
|
4,429 |
4,301 |
$10K |
| 82977 |
|
9,642 |
6,338 |
$10K |
| 12002 |
|
72 |
65 |
$10K |
| 90853 |
|
481 |
152 |
$10K |
| C1887 |
Catheter, guiding |
3,760 |
3,400 |
$10K |
| 99393 |
|
316 |
314 |
$10K |
| 36556 |
|
13 |
13 |
$10K |
| 83516 |
|
4,415 |
2,677 |
$10K |
| 73080 |
|
2,220 |
1,982 |
$10K |
| 87116 |
|
1,421 |
1,202 |
$10K |
| G0481 |
Drug test def 8-14 classes |
412 |
384 |
$10K |
| 86255 |
|
1,066 |
1,007 |
$10K |
| 99214 |
|
258 |
249 |
$10K |
| 87081 |
|
6,378 |
6,145 |
$9K |
| 92610 |
|
467 |
422 |
$9K |
| 90846 |
|
78 |
69 |
$9K |
| 86038 |
|
5,227 |
5,068 |
$9K |
| 91322 |
|
703 |
691 |
$9K |
| 73562 |
|
814 |
611 |
$9K |
| Q5118 |
Inj., zirabev, 10 mg |
31 |
12 |
$9K |
| 86704 |
|
5,548 |
5,307 |
$9K |
| 64415 |
|
56 |
54 |
$9K |
| 77280 |
|
66 |
51 |
$9K |
| 84156 |
|
14,031 |
11,171 |
$9K |
| 86762 |
|
3,770 |
3,621 |
$9K |
| 74241 |
|
114 |
113 |
$9K |
| 87800 |
|
1,644 |
1,590 |
$9K |
| 88184 |
|
939 |
850 |
$9K |
| J2704 |
Inj, propofol, 10 mg |
39,698 |
30,196 |
$9K |
| 88350 |
|
1,357 |
1,094 |
$8K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
36,933 |
33,453 |
$8K |
| 86481 |
|
698 |
666 |
$8K |
| 99394 |
|
201 |
200 |
$8K |
| 86665 |
|
2,148 |
1,210 |
$8K |
| 86256 |
|
729 |
712 |
$8K |
| 93243 |
|
356 |
348 |
$8K |
| 83050 |
|
1,194 |
802 |
$8K |
| J1453 |
Fosaprepitant injection |
65 |
50 |
$8K |
| 97130 |
|
961 |
659 |
$8K |
| 92526 |
|
291 |
253 |
$8K |
| 86355 |
|
1,293 |
1,251 |
$8K |
| 80195 |
|
1,268 |
940 |
$8K |
| 84153 |
|
3,057 |
2,842 |
$8K |
| 88304 |
|
3,276 |
2,871 |
$8K |
| 17003 |
|
476 |
430 |
$8K |
| 84630 |
|
1,226 |
1,180 |
$8K |
| 70543 |
|
52 |
50 |
$8K |
| 86901 |
|
13,402 |
11,819 |
$8K |
| 64447 |
|
92 |
91 |
$8K |
| 62323 |
|
37 |
37 |
$7K |
| 86644 |
|
1,551 |
1,456 |
$7K |
| 80143 |
|
2,127 |
1,929 |
$7K |
| 83010 |
|
1,969 |
1,480 |
$7K |
| C1751 |
Cath, inf, per/cent/midline |
1,972 |
1,768 |
$7K |
| 87077 |
|
9,480 |
6,846 |
$7K |
| 11720 |
|
606 |
569 |
$7K |
| 82542 |
|
1,128 |
1,099 |
$7K |
| 88312 |
|
1,952 |
1,718 |
$7K |
| 96368 |
|
318 |
260 |
$7K |
| 78999 |
|
252 |
197 |
$7K |
| 95910 |
|
49 |
48 |
$7K |
| 51741 |
|
340 |
325 |
$7K |
| 84163 |
|
632 |
619 |
$7K |
| 73560 |
|
2,326 |
1,885 |
$7K |
| 72128 |
|
873 |
850 |
$7K |
| J2405 |
Ondansetron hcl injection |
44,803 |
36,976 |
$7K |
| 87186 |
|
8,798 |
7,944 |
$7K |
| 36248 |
|
21 |
12 |
$7K |
| 72050 |
|
608 |
591 |
$7K |
| 82550 |
|
5,735 |
5,229 |
$6K |
| 96137 |
|
715 |
693 |
$6K |
| 87070 |
|
6,644 |
6,118 |
$6K |
| 81479 |
|
188 |
183 |
$6K |
| C1894 |
Intro/sheath, non-laser |
8,212 |
7,260 |
$6K |
| 88346 |
|
1,224 |
1,149 |
$6K |
| 72146 |
|
162 |
161 |
$6K |
| C8928 |
Tte w or w/o fol w/con,stres |
33 |
30 |
$6K |
| 83690 |
|
21,054 |
18,671 |
$6K |
| 96138 |
|
12 |
12 |
$6K |
| 94621 |
|
71 |
71 |
$6K |
| 76857 |
|
127 |
123 |
$6K |
| 0002A |
|
188 |
185 |
$6K |
| 82565 |
|
3,581 |
3,309 |
$6K |
| 85730 |
|
22,988 |
20,579 |
$6K |
| 93351 |
|
37 |
36 |
$6K |
| 83002 |
|
910 |
884 |
$6K |
| 86696 |
|
2,205 |
2,100 |
$6K |
| 51700 |
|
119 |
105 |
$6K |
| Q9957 |
Inj perflutren lip micros,ml |
2,497 |
2,346 |
$5K |
| C1874 |
Stent, coated/cov w/del sys |
569 |
537 |
$5K |
| 97035 |
|
826 |
464 |
$5K |
| 73590 |
|
1,769 |
1,554 |
$5K |
| G0108 |
Diab manage trn per indiv |
93 |
69 |
$5K |
| 96150 |
|
67 |
66 |
$5K |
| 99213 |
|
247 |
245 |
$5K |
| 0297T |
|
316 |
312 |
$5K |
| 76377 |
|
2,207 |
2,139 |
$5K |
| 86359 |
|
625 |
606 |
$5K |
| 86664 |
|
1,232 |
1,159 |
$5K |
| 36591 |
|
2,110 |
1,471 |
$5K |
| 88108 |
|
1,707 |
1,319 |
$5K |
| 96101 |
|
12 |
12 |
$5K |
| 84480 |
|
1,964 |
1,867 |
$5K |
| 86334 |
|
882 |
846 |
$5K |
| 93662 |
|
37 |
37 |
$5K |
| 85014 |
|
3,360 |
2,840 |
$5K |
| U0002 |
Covid-19 lab test non-cdc |
563 |
530 |
$5K |
| 84165 |
|
2,397 |
2,273 |
$5K |
| 85018 |
|
6,467 |
5,688 |
$5K |
| 82103 |
|
634 |
616 |
$5K |
| 90750 |
|
132 |
130 |
$5K |
| 90734 |
|
505 |
502 |
$5K |
| 72070 |
|
555 |
530 |
$5K |
| 90935 |
|
22 |
13 |
$5K |
| J0881 |
Darbepoetin alfa, non-esrd |
30 |
25 |
$5K |
| 86769 |
|
384 |
368 |
$5K |
| 93926 |
|
56 |
55 |
$5K |
| 93750 |
|
101 |
70 |
$4K |
| 0241U |
|
7,908 |
7,463 |
$4K |
| 86160 |
|
2,548 |
2,450 |
$4K |
| J2250 |
Inj midazolam hydrochloride |
26,491 |
24,998 |
$4K |
| 86376 |
|
298 |
289 |
$4K |
| 91321 |
|
223 |
217 |
$4K |
| 90832 |
|
225 |
186 |
$4K |
| J7120 |
Ringers lactate infusion |
38,297 |
31,427 |
$4K |
| 87205 |
|
9,379 |
8,654 |
$4K |
| 82077 |
|
10,857 |
9,438 |
$4K |
| Q0111 |
Wet mounts/ w preparations |
383 |
373 |
$4K |
| 86708 |
|
2,922 |
2,798 |
$4K |
| 82950 |
|
2,732 |
2,468 |
$4K |
| 73620 |
|
519 |
311 |
$4K |
| 86777 |
|
1,118 |
1,041 |
$4K |
| 93225 |
|
318 |
311 |
$4K |
| 90791 |
|
396 |
375 |
$4K |
| 80164 |
|
981 |
863 |
$4K |
| 58301 |
|
41 |
40 |
$4K |
| 82248 |
|
2,086 |
1,949 |
$4K |
| C1725 |
Cath, translumin non-laser |
1,563 |
1,447 |
$4K |
| 90732 |
|
479 |
469 |
$4K |
| 82043 |
|
5,007 |
4,786 |
$4K |
| 86787 |
|
2,359 |
2,250 |
$4K |
| 73090 |
|
1,126 |
1,018 |
$4K |
| 82390 |
|
836 |
812 |
$4K |
| C1776 |
Joint device (implantable) |
817 |
797 |
$4K |
| 82375 |
|
1,385 |
959 |
$4K |
| 74240 |
|
54 |
54 |
$4K |
| 77370 |
|
27 |
26 |
$4K |
| 58100 |
|
14 |
14 |
$4K |
| 50200 |
|
14 |
12 |
$4K |
| 95115 |
|
185 |
104 |
$4K |
| 89051 |
|
1,394 |
1,274 |
$4K |
| 99395 |
|
281 |
280 |
$3K |
| 86317 |
|
383 |
283 |
$3K |
| 98968 |
|
887 |
847 |
$3K |
| 91035 |
|
22 |
13 |
$3K |
| 83615 |
|
5,878 |
4,524 |
$3K |
| 86833 |
|
180 |
173 |
$3K |
| 93925 |
|
83 |
76 |
$3K |
| 86832 |
|
168 |
162 |
$3K |
| 77065 |
Tomosynthesis, mammo |
121 |
116 |
$3K |
| 96450 |
|
16 |
12 |
$3K |
| 92978 |
|
143 |
137 |
$3K |
| 93798 |
|
800 |
166 |
$3K |
| 11101 |
|
145 |
143 |
$3K |
| Q9968 |
Visualization adjunct |
279 |
261 |
$3K |
| 93356 |
|
1,470 |
1,385 |
$3K |
| 82677 |
|
162 |
158 |
$3K |
| 57456 |
|
12 |
12 |
$3K |
| 86431 |
|
2,855 |
2,775 |
$3K |
| 72142 |
|
320 |
315 |
$3K |
| 0054A |
|
110 |
110 |
$3K |
| 71271 |
|
39 |
38 |
$3K |
| 90707 |
|
391 |
382 |
$3K |
| 92504 |
|
344 |
335 |
$3K |
| 86200 |
|
2,361 |
2,301 |
$3K |
| C1726 |
Cath, bal dil, non-vascular |
1,411 |
1,332 |
$3K |
| J0690 |
Cefazolin sodium injection |
13,570 |
11,297 |
$3K |
| 90636 |
|
180 |
171 |
$3K |
| 70546 |
|
17 |
17 |
$3K |
| 95819 |
|
14 |
14 |
$3K |
| 88112 |
|
1,881 |
1,759 |
$3K |
| J1170 |
Hydromorphone injection |
15,501 |
11,340 |
$3K |
| 97804 |
|
187 |
178 |
$3K |
| 86147 |
|
337 |
300 |
$3K |
| 0296T |
|
398 |
385 |
$3K |
| 88323 |
|
135 |
132 |
$3K |
| 81025 |
|
8,323 |
7,909 |
$3K |
| 84550 |
|
4,148 |
3,655 |
$3K |
| 87046 |
|
962 |
917 |
$3K |
| 80178 |
|
504 |
471 |
$3K |
| 77066 |
Tomosynthesis, mammo |
106 |
105 |
$3K |
| 96116 |
|
12 |
12 |
$3K |
| 86828 |
|
248 |
229 |
$3K |
| 83521 |
|
1,188 |
568 |
$3K |
| 95874 |
|
2,365 |
2,244 |
$3K |
| 82803 |
|
4,213 |
3,695 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
8,080 |
6,717 |
$2K |
| 72082 |
|
224 |
212 |
$2K |
| 87147 |
|
3,512 |
2,860 |
$2K |
| 82947 |
|
2,531 |
2,372 |
$2K |
| 80179 |
|
1,441 |
1,313 |
$2K |
| 0064A |
|
116 |
114 |
$2K |
| 92552 |
|
25 |
25 |
$2K |
| 86225 |
|
2,058 |
1,998 |
$2K |
| 80306 |
|
3,154 |
2,956 |
$2K |
| 90662 |
|
798 |
779 |
$2K |
| 96376 |
|
8,483 |
6,549 |
$2K |
| 80162 |
|
285 |
208 |
$2K |
| 87102 |
|
3,330 |
3,165 |
$2K |
| 51728 |
|
12 |
12 |
$2K |
| 92083 |
|
671 |
656 |
$2K |
| 86146 |
|
338 |
301 |
$2K |
| 11103 |
|
78 |
70 |
$2K |
| J3010 |
Fentanyl citrate injection |
25,689 |
22,006 |
$2K |
| 87015 |
|
2,288 |
2,027 |
$2K |
| 12011 |
|
12 |
12 |
$2K |
| 73222 |
|
13 |
12 |
$2K |
| 92587 |
|
25 |
25 |
$2K |
| 90656 |
|
552 |
544 |
$2K |
| 84134 |
|
1,283 |
1,135 |
$2K |
| A9552 |
F18 fdg |
1,488 |
1,455 |
$2K |
| 86765 |
|
1,533 |
1,448 |
$2K |
| 0004A |
|
77 |
75 |
$2K |
| 82525 |
|
355 |
343 |
$2K |
| 82962 |
|
17,021 |
12,324 |
$2K |
| 73701 |
|
13 |
12 |
$2K |
| 73200 |
|
24 |
24 |
$2K |
| 86364 |
|
763 |
752 |
$2K |
| 87593 |
|
33 |
31 |
$2K |
| 86735 |
|
1,240 |
1,163 |
$2K |
| 87075 |
|
3,248 |
2,989 |
$2K |
| 87088 |
|
3,358 |
2,948 |
$2K |
| C1730 |
Cath, ep, 19 or few elect |
1,175 |
1,085 |
$2K |
| 0154A |
|
45 |
45 |
$2K |
| 75574 |
|
12 |
12 |
$2K |
| C1753 |
Cath, intravas ultrasound |
799 |
756 |
$2K |
| 88348 |
|
80 |
76 |
$2K |
| 72170 |
|
601 |
575 |
$2K |
| 0031A |
|
40 |
39 |
$2K |
| 73552 |
|
673 |
581 |
$2K |
| A9579 |
Gad-base mr contrast nos,1ml |
13,928 |
13,220 |
$2K |
| 88360 |
|
161 |
133 |
$2K |
| 69210 |
|
27 |
27 |
$2K |
| 75572 |
|
13 |
12 |
$1K |
| C1760 |
Closure dev, vasc |
1,786 |
1,609 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
14,795 |
12,200 |
$1K |
| 85384 |
|
1,803 |
1,542 |
$1K |
| 83051 |
|
778 |
479 |
$1K |
| 82150 |
|
731 |
652 |
$1K |
| 84481 |
|
495 |
468 |
$1K |
| 92523 |
|
12 |
12 |
$1K |
| 97760 |
|
54 |
51 |
$1K |
| 92133 |
|
987 |
954 |
$1K |
| 92537 |
|
31 |
26 |
$1K |
| 73521 |
|
123 |
116 |
$1K |
| 70549 |
|
13 |
13 |
$1K |
| 86258 |
|
453 |
449 |
$1K |
| 76819 |
|
45 |
25 |
$1K |
| 80047 |
|
546 |
525 |
$1K |
| 81002 |
|
2,067 |
1,892 |
$1K |
| 75565 |
|
420 |
406 |
$1K |
| 95909 |
|
13 |
12 |
$1K |
| 84295 |
|
2,098 |
1,725 |
$1K |
| 74328 |
|
24 |
24 |
$1K |
| 99001 |
|
97 |
96 |
$1K |
| 82140 |
|
491 |
444 |
$1K |
| J7050 |
Normal saline solution infus |
20,482 |
13,848 |
$1K |
| A9541 |
Tc99m sulfur colloid |
784 |
756 |
$1K |
| 0111A |
|
27 |
24 |
$1K |
| J7030 |
Normal saline solution infus |
15,489 |
11,728 |
$1K |
| 73060 |
|
608 |
539 |
$1K |
| 82575 |
|
794 |
770 |
$1K |
| 84166 |
|
150 |
143 |
$1K |
| 83655 |
|
94 |
94 |
$1K |
| 0081A |
|
25 |
25 |
$1K |
| 82274 |
|
263 |
261 |
$1K |
| 77331 |
|
27 |
24 |
$988.44 |
| 88300 |
|
753 |
654 |
$976.67 |
| 82365 |
|
160 |
152 |
$975.25 |
| 84202 |
|
75 |
72 |
$968.52 |
| J3370 |
Vancomycin hcl injection |
5,174 |
3,269 |
$946.82 |
| 84305 |
|
109 |
107 |
$899.83 |
| 96132 |
|
13 |
13 |
$899.51 |
| 76872 |
|
27 |
26 |
$875.25 |
| 82378 |
|
196 |
167 |
$864.55 |
| 82330 |
|
2,245 |
1,791 |
$862.18 |
| 86357 |
|
124 |
123 |
$837.83 |
| J1100 |
Dexamethasone sodium phos |
14,926 |
13,573 |
$837.28 |
| 86036 |
|
638 |
624 |
$834.33 |
| G0103 |
Psa screening |
293 |
288 |
$818.84 |
| 82805 |
|
333 |
318 |
$803.41 |
| 90746 |
|
55 |
49 |
$800.28 |
| J3489 |
Zoledronic acid 1mg |
15 |
14 |
$797.30 |
| J3111 |
Inj. romosozumab-aqqg 1 mg |
13 |
13 |
$795.87 |
| 99202 |
|
39 |
38 |
$795.71 |
| J1642 |
Inj heparin sodium per 10 u |
1,976 |
684 |
$783.03 |
| 84460 |
|
1,099 |
1,027 |
$761.36 |
| Q0112 |
Potassium hydroxide preps |
108 |
108 |
$757.28 |
| 83013 |
|
38 |
38 |
$718.39 |
| J2785 |
Regadenoson injection |
1,431 |
1,352 |
$704.28 |
| 87801 |
|
177 |
169 |
$702.04 |
| 85046 |
|
1,746 |
1,278 |
$696.38 |
| 88720 |
|
194 |
166 |
$695.73 |
| 84450 |
|
796 |
729 |
$693.43 |
| 94799 |
|
242 |
238 |
$676.92 |
| 80305 |
|
330 |
318 |
$671.07 |
| 87206 |
|
1,309 |
1,180 |
$669.45 |
| 84378 |
|
408 |
401 |
$665.09 |
| J1650 |
Inj enoxaparin sodium |
5,743 |
2,604 |
$662.02 |
| 96159 |
|
299 |
214 |
$639.16 |
| 99385 |
|
12 |
12 |
$626.49 |
| 87633 |
|
12 |
12 |
$617.40 |
| 84132 |
|
2,760 |
2,418 |
$613.32 |
| 82247 |
|
279 |
244 |
$606.74 |
| 84446 |
|
223 |
216 |
$603.95 |
| 62370 |
|
16 |
15 |
$600.07 |
| 93280 |
|
102 |
97 |
$587.08 |
| 92540 |
|
31 |
26 |
$585.79 |
| J1644 |
Inj heparin sodium per 1000u |
10,160 |
5,708 |
$585.26 |
| J0171 |
Adrenalin epinephrine inject |
2,752 |
2,535 |
$582.29 |
| 86015 |
|
245 |
239 |
$581.99 |
| 87210 |
|
1,284 |
1,202 |
$572.44 |
| J2765 |
Metoclopramide hcl injection |
4,724 |
4,044 |
$569.02 |
| 88738 |
|
200 |
190 |
$567.55 |
| J3301 |
Triamcinolone acet inj nos |
6,731 |
6,225 |
$554.28 |
| 80175 |
|
123 |
119 |
$549.25 |
| G0279 |
Tomosynthesis, mammo |
145 |
137 |
$545.81 |
| 93041 |
|
3,772 |
3,378 |
$532.40 |
| 93010 |
|
102 |
81 |
$529.83 |
| 86778 |
|
55 |
53 |
$520.25 |
| J2310 |
Inj naloxone hydrochloride |
51 |
42 |
$506.07 |
| 80299 |
|
85 |
65 |
$501.56 |
| 72147 |
|
189 |
187 |
$491.04 |
| 0072A |
|
12 |
12 |
$487.20 |
| 0003A |
|
22 |
22 |
$486.00 |
| 92548 |
|
14 |
14 |
$479.38 |
| C1729 |
Cath, drainage |
1,609 |
1,265 |
$458.13 |
| 95004 |
|
663 |
652 |
$445.25 |
| 83020 |
|
121 |
112 |
$432.61 |
| 73522 |
|
58 |
56 |
$428.24 |
| A9502 |
Tc99m tetrofosmin |
1,588 |
1,416 |
$420.34 |
| C2628 |
Catheter, occlusion |
490 |
473 |
$416.66 |
| 92551 |
|
13 |
13 |
$412.52 |
| 81003 |
|
963 |
750 |
$404.81 |
| 87181 |
|
303 |
280 |
$402.00 |
| J3475 |
Inj magnesium sulfate |
4,289 |
3,163 |
$401.39 |
| 96417 |
|
1,206 |
774 |
$381.61 |
| 82627 |
|
53 |
53 |
$381.06 |
| 87106 |
|
721 |
620 |
$374.67 |
| 86336 |
|
164 |
161 |
$372.62 |
| 81220 |
|
12 |
12 |
$372.20 |
| 0171A |
|
15 |
15 |
$368.40 |
| 87880 |
|
1,580 |
1,525 |
$366.59 |
| 86800 |
|
64 |
64 |
$365.27 |
| 94761 |
|
2,913 |
2,640 |
$360.66 |
| J0131 |
Inj, acetaminophen (nos) |
4,967 |
4,740 |
$357.64 |
| 84590 |
|
154 |
145 |
$353.37 |
| 84080 |
|
79 |
74 |
$329.76 |
| 98967 |
|
242 |
234 |
$328.95 |
| 82465 |
|
241 |
221 |
$326.92 |
| C2625 |
Stent, non-cor, tem w/del sy |
262 |
245 |
$324.68 |
| M0220 |
Tixagev and cilgav inj |
78 |
75 |
$314.97 |
| 96402 |
|
151 |
134 |
$308.91 |
| 51797 |
|
12 |
12 |
$305.92 |
| 86352 |
|
56 |
50 |
$301.04 |
| 90632 |
|
29 |
27 |
$298.00 |
| J1815 |
Insulin injection |
5,151 |
2,584 |
$297.57 |
| 78205 |
|
35 |
26 |
$296.96 |
| 36600 |
|
124 |
121 |
$291.34 |
| J2930 |
Methylprednisolone injection |
2,653 |
2,206 |
$289.23 |
| 86308 |
|
356 |
348 |
$288.84 |
| 73000 |
|
52 |
38 |
$288.56 |
| 86413 |
|
114 |
111 |
$276.81 |
| 87798 |
|
67 |
65 |
$266.40 |
| 87184 |
|
681 |
639 |
$266.14 |
| 17312 |
|
18 |
14 |
$265.93 |
| J7040 |
Normal saline solution infus |
5,098 |
4,432 |
$256.62 |
| 82172 |
|
32 |
31 |
$248.52 |
| J0780 |
Prochlorperazine injection |
1,852 |
1,532 |
$244.64 |
| 87176 |
|
410 |
369 |
$243.58 |
| 86592 |
|
153 |
147 |
$238.34 |
| J1200 |
Diphenhydramine hcl injectio |
4,715 |
3,478 |
$236.96 |
| J2270 |
Morphine sulfate injection |
2,026 |
1,579 |
$236.44 |
| 81229 |
|
13 |
12 |
$229.20 |
| 86381 |
|
160 |
159 |
$227.49 |
| C1788 |
Port, indwelling, imp |
86 |
82 |
$222.58 |
| 83014 |
|
38 |
38 |
$219.78 |
| 80158 |
|
29 |
25 |
$217.07 |
| J2710 |
Neostigmine methylslfte inj |
2,476 |
2,388 |
$215.69 |
| 90678 |
|
75 |
74 |
$213.45 |
| 85670 |
|
753 |
723 |
$212.47 |
| 84425 |
|
59 |
58 |
$211.22 |
| 87481 |
|
44 |
41 |
$210.99 |
| 77091 |
|
60 |
58 |
$198.85 |
| 88173 |
|
471 |
366 |
$198.08 |
| 86870 |
|
32 |
25 |
$194.92 |
| 82945 |
|
203 |
178 |
$188.84 |
| G2066 |
Inter devc remote 30d |
12 |
12 |
$187.03 |
| 84157 |
|
200 |
170 |
$186.22 |
| C9290 |
Inj, bupivacaine liposome |
317 |
304 |
$183.17 |
| 83883 |
|
14 |
13 |
$179.46 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
1,513 |
1,208 |
$178.19 |
| C1819 |
Tissue localization-excision |
425 |
337 |
$176.46 |
| C2617 |
Stent, non-cor, tem w/o del |
787 |
750 |
$174.73 |
| 84145 |
|
13 |
12 |
$174.24 |
| 82010 |
|
626 |
536 |
$173.89 |
| 90694 |
|
299 |
292 |
$172.44 |
| 36592 |
|
184 |
152 |
$169.88 |
| 82104 |
|
27 |
26 |
$166.44 |
| 84478 |
|
284 |
210 |
$163.60 |
| 90474 |
|
800 |
788 |
$147.94 |
| 83021 |
|
47 |
38 |
$139.88 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
879 |
760 |
$137.28 |
| 82787 |
|
40 |
39 |
$136.31 |
| 87806 |
|
1,008 |
976 |
$136.06 |
| 73100 |
|
45 |
40 |
$130.25 |
| A9577 |
Inj multihance |
1,198 |
1,054 |
$125.27 |
| 83993 |
|
12 |
12 |
$123.99 |
| J2795 |
Ropivacaine hcl injection |
1,040 |
961 |
$121.98 |
| 82085 |
|
42 |
41 |
$117.72 |
| J8501 |
Oral aprepitant |
939 |
908 |
$116.82 |
| 82523 |
|
15 |
12 |
$115.82 |
| J1790 |
Droperidol injection |
865 |
748 |
$114.43 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
480 |
368 |
$114.40 |
| 96133 |
|
17 |
13 |
$108.88 |
| 90647 |
|
36 |
36 |
$107.80 |
| A9503 |
Tc99m medronate |
478 |
453 |
$102.16 |
| 51701 |
|
175 |
169 |
$89.99 |
| J0330 |
Succinycholine chloride inj |
3,791 |
3,542 |
$88.96 |
| J3420 |
Vitamin b12 injection |
160 |
131 |
$85.07 |
| J2370 |
Phenylephrine hcl injection |
6,303 |
5,133 |
$83.90 |
| J1940 |
Furosemide injection |
801 |
609 |
$83.20 |
| J7060 |
5% dextrose/water |
1,853 |
1,014 |
$81.87 |
| 82310 |
|
69 |
61 |
$80.91 |
| 86709 |
|
56 |
54 |
$80.34 |
| 85049 |
|
135 |
127 |
$77.62 |
| 91300 |
|
797 |
660 |
$77.58 |
| 96040 |
|
68 |
63 |
$71.59 |
| 82040 |
|
183 |
182 |
$69.20 |
| J0689 |
Inj cefazolin sodium, baxter |
1,743 |
1,430 |
$69.12 |
| J8540 |
Oral dexamethasone |
881 |
519 |
$67.49 |
| 91301 |
|
494 |
489 |
$64.73 |
| 76000 |
|
54 |
52 |
$64.11 |
| J2060 |
Lorazepam injection |
2,641 |
2,230 |
$60.96 |
| 82239 |
|
28 |
25 |
$59.15 |
| 87529 |
|
30 |
25 |
$58.94 |
| 84436 |
|
14 |
14 |
$54.76 |
| 84300 |
|
52 |
46 |
$54.20 |
| 94727 |
|
16 |
16 |
$53.52 |
| 87999 |
|
25 |
24 |
$52.48 |
| 94760 |
|
364 |
326 |
$52.28 |
| 87220 |
|
97 |
94 |
$47.92 |
| J0134 |
Inj acetaminophen -fresenius |
1,792 |
1,685 |
$44.88 |
| 92134 |
|
31 |
31 |
$44.17 |
| 82166 |
|
14 |
14 |
$34.91 |
| 88302 |
|
16 |
13 |
$33.08 |
| J3480 |
Inj potassium chloride |
2,218 |
1,445 |
$32.08 |
| J1630 |
Haloperidol injection |
1,195 |
1,059 |
$30.33 |
| J3360 |
Diazepam injection |
249 |
213 |
$29.40 |
| 87493 |
|
12 |
12 |
$29.30 |
| 90716 |
|
176 |
171 |
$28.04 |
| 84681 |
|
14 |
12 |
$27.15 |
| A9270 |
Non-covered item or service |
32,488 |
8,009 |
$27.02 |
| A9555 |
Rb82 rubidium |
52 |
50 |
$26.43 |
| A9540 |
Tc99m maa |
66 |
63 |
$25.11 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
789 |
763 |
$24.14 |
| 81000 |
|
445 |
425 |
$23.03 |
| C1892 |
Intro/sheath,fixed,peel-away |
33 |
31 |
$18.93 |
| 84520 |
|
12 |
12 |
$17.22 |
| J0702 |
Betamethasone acet&sod phosp |
233 |
186 |
$16.81 |
| 82948 |
|
134 |
102 |
$15.29 |
| 86682 |
|
13 |
12 |
$14.91 |
| 83930 |
|
32 |
26 |
$14.29 |
| J7512 |
Prednisone ir or dr oral 1mg |
3,153 |
1,802 |
$14.17 |
| 0097U |
|
151 |
142 |
$13.54 |
| 90723 |
|
704 |
694 |
$8.92 |
| 85130 |
|
168 |
164 |
$8.10 |
| 81374 |
|
25 |
25 |
$7.38 |
| C1781 |
Mesh (implantable) |
264 |
259 |
$6.99 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
974 |
868 |
$5.92 |
| 36416 |
|
1,362 |
994 |
$5.38 |
| C1758 |
Catheter, ureteral |
987 |
939 |
$4.76 |
| Q0162 |
Ondansetron oral |
561 |
494 |
$4.14 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
1,393 |
1,288 |
$4.11 |
| J7620 |
Albuterol ipratrop non-comp |
1,021 |
700 |
$3.21 |
| J7613 |
Albuterol non-comp unit |
479 |
384 |
$2.20 |
| A4344 |
Cath indw foley 2 way silicn |
51 |
48 |
$1.48 |
| 99072 |
|
86 |
74 |
$1.06 |
| J2920 |
Methylprednisolone injection |
232 |
189 |
$0.72 |
| J1920 |
Inj, labetalol hcl, 5mg |
379 |
346 |
$0.64 |
| C2627 |
Cath, suprapubic/cystoscopic |
81 |
62 |
$0.43 |
| Q0221 |
Tixagev and cilgav, 600mg |
79 |
75 |
$0.26 |
| J3411 |
Thiamine hcl 100 mg |
1,122 |
690 |
$0.20 |
| 90633 |
|
994 |
980 |
$0.01 |
| 90680 |
|
1,002 |
989 |
$0.00 |
| 90697 |
|
440 |
431 |
$0.00 |
| J2305 |
Inj, nitroglycerin, 5 mg |
221 |
209 |
$0.00 |
| S2900 |
Robotic surgical system |
344 |
335 |
$0.00 |
| 90696 |
|
52 |
52 |
$0.00 |
| J1836 |
Inj, metronidazole, 10 mg |
497 |
389 |
$0.00 |
| 90381 |
|
41 |
41 |
$0.00 |
| A9698 |
Non-rad contrast materialnoc |
1,059 |
1,011 |
$0.00 |
| J9267 |
Paclitaxel injection |
60 |
37 |
$0.00 |
| 81511 |
|
117 |
115 |
$0.00 |
| 91315 |
|
44 |
44 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
226 |
212 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
260 |
230 |
$0.00 |
| J1250 |
Inj dobutamine hcl/250 mg |
26 |
24 |
$0.00 |
| G0010 |
Admin hepatitis b vaccine |
99 |
95 |
$0.00 |
| U0005 |
Infec agen detec ampli probe |
2,616 |
1,996 |
$0.00 |
| J1805 |
Inj, esmolol hcl, 10mg |
59 |
55 |
$0.00 |
| 91317 |
|
69 |
68 |
$0.00 |
| 90698 |
|
109 |
108 |
$0.00 |
| C1759 |
Cath, intra echocardiography |
13 |
12 |
$0.00 |
| G8988 |
Self care goal status |
17 |
15 |
$0.00 |
| J9045 |
Carboplatin injection |
170 |
82 |
$0.00 |
| 91305 |
|
216 |
213 |
$0.00 |
| A4340 |
Indwelling catheter special |
14 |
13 |
$0.00 |
| J7507 |
Tacrolimus imme rel oral 1mg |
38 |
12 |
$0.00 |
| J0456 |
Azithromycin |
20 |
17 |
$0.00 |
| J7042 |
5% dextrose/normal saline |
74 |
57 |
$0.00 |
| 38900 |
|
27 |
26 |
$0.00 |
| J0461 |
Atropine sulfate injection |
12 |
12 |
$0.00 |
| G8991 |
Other pt/ot goal status |
13 |
12 |
$0.00 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
111 |
108 |
$0.00 |
| 88311 |
|
15 |
15 |
$0.00 |
| 91306 |
|
53 |
52 |
$0.00 |
| C1732 |
Cath, ep, diag/abl, 3d/vect |
13 |
13 |
$0.00 |
| 81370 |
|
13 |
12 |
$0.00 |
| 91303 |
|
40 |
39 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
23 |
12 |
$0.00 |
| G8987 |
Self care current status |
17 |
15 |
$0.00 |
| G8980 |
Mobility d/c status |
12 |
12 |
$0.00 |
| 96139 |
|
12 |
12 |
$0.00 |
| 99396 |
|
429 |
424 |
$0.00 |
| C1731 |
Cath, ep, 20 or more elec |
79 |
70 |
$0.00 |
| G8979 |
Mobility goal status |
241 |
223 |
$0.00 |
| G1004 |
Cdsm ndsc |
2,764 |
2,070 |
$0.00 |
| 91311 |
|
68 |
64 |
$0.00 |
| J1956 |
Levofloxacin injection |
172 |
157 |
$0.00 |
| 90836 |
|
204 |
144 |
$0.00 |
| 90833 |
|
450 |
400 |
$0.00 |
| J0290 |
Ampicillin 500 mg inj |
14 |
13 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
83 |
80 |
$0.00 |
| 91308 |
|
109 |
107 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
442 |
354 |
$0.00 |
| G8985 |
Carry goal status |
177 |
162 |
$0.00 |
| J1580 |
Garamycin gentamicin inj |
178 |
158 |
$0.00 |
| J2916 |
Na ferric gluconate complex |
29 |
15 |
$0.00 |
| 90681 |
|
261 |
255 |
$0.00 |
| 76098 |
|
12 |
12 |
$0.00 |
| A4346 |
Cath indw foley 3 way |
201 |
172 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
422 |
364 |
$0.00 |
| 91312 |
|
518 |
510 |
$0.00 |
| 90700 |
|
70 |
69 |
$0.00 |
| J0692 |
Cefepime hcl for injection |
16 |
13 |
$0.00 |
| G8978 |
Mobility current status |
215 |
201 |
$0.00 |
| 90611 |
|
63 |
62 |
$0.00 |
| J0688 |
Inj cefazolin sodium, hikma |
521 |
484 |
$0.00 |
| G8984 |
Carry current status |
156 |
143 |
$0.00 |
| 90710 |
|
83 |
83 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
89 |
85 |
$0.00 |
| J2720 |
Inj protamine sulfate/10 mg |
16 |
15 |
$0.00 |
| J2598 |
Inj, vasopressin, 1 unit |
112 |
103 |
$0.00 |
| 94690 |
|
13 |
13 |
$0.00 |
| G8990 |
Other pt/ot current status |
13 |
12 |
$0.00 |
| J0136 |
Inj, acetaminophen (b braun) |
13 |
13 |
$0.00 |
| J2550 |
Promethazine hcl injection |
19 |
16 |
$0.00 |
| 90838 |
|
21 |
13 |
$0.00 |
| 77387 |
|
71 |
12 |
$0.00 |