| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
558,247 |
493,214 |
$75.16M |
| 99213 |
|
440,043 |
390,235 |
$57.41M |
| 96361 |
|
80,652 |
63,955 |
$32.06M |
| 99285 |
|
149,366 |
131,151 |
$29.40M |
| 99283 |
|
168,222 |
149,761 |
$28.33M |
| 99215 |
Prolong outpt/office vis |
190,774 |
173,688 |
$28.01M |
| 99284 |
|
123,361 |
111,075 |
$21.67M |
| G0463 |
Hospital outpt clinic visit |
523,396 |
373,699 |
$17.75M |
| 99212 |
|
96,271 |
84,047 |
$11.15M |
| 87633 |
|
35,771 |
33,981 |
$10.33M |
| 99211 |
|
83,404 |
65,497 |
$10.06M |
| 99204 |
|
82,693 |
79,986 |
$10.02M |
| J9271 |
Inj pembrolizumab |
2,320 |
1,749 |
$9.84M |
| 99203 |
|
78,003 |
75,687 |
$8.92M |
| 97110 |
|
197,189 |
74,783 |
$7.70M |
| 96413 |
|
31,453 |
20,164 |
$7.58M |
| Q5103 |
Injection, inflectra |
3,647 |
3,376 |
$7.10M |
| T1040 |
Comm bh clinic svc per diem |
29,380 |
19,553 |
$6.87M |
| 99282 |
|
44,193 |
39,911 |
$6.77M |
| 43239 |
|
9,506 |
9,196 |
$6.58M |
| J2357 |
Omalizumab injection |
5,504 |
3,539 |
$6.24M |
| 74177 |
|
33,564 |
31,901 |
$6.13M |
| G0378 |
Hospital observation per hr |
69,899 |
41,668 |
$5.83M |
| 45385 |
|
8,406 |
8,130 |
$5.51M |
| 45378 |
|
9,140 |
8,794 |
$5.30M |
| U0004 |
Cov-19 test non-cdc hgh thru |
85,922 |
79,051 |
$5.28M |
| 59025 |
|
17,956 |
12,077 |
$5.25M |
| 80307 |
|
118,190 |
89,324 |
$5.17M |
| 93306 |
|
27,747 |
26,773 |
$5.17M |
| Q9992 |
Buprenorphine xr over 100 mg |
3,215 |
3,029 |
$4.79M |
| J9144 |
Daratumumab, hyaluronidase |
1,902 |
1,147 |
$4.38M |
| 62323 |
|
9,077 |
8,781 |
$4.35M |
| 96110 |
|
30,907 |
27,279 |
$4.30M |
| 92014 |
|
46,817 |
45,927 |
$4.27M |
| 45380 |
|
7,162 |
6,920 |
$4.18M |
| 70553 |
|
13,133 |
12,776 |
$3.99M |
| 99205 |
Prolong outpt/office vis |
28,908 |
27,847 |
$3.86M |
| 95810 |
|
5,531 |
5,378 |
$3.85M |
| 70450 |
|
27,148 |
25,156 |
$3.70M |
| 96365 |
|
26,836 |
23,518 |
$3.63M |
| 76700 |
|
22,576 |
22,035 |
$3.47M |
| 76816 |
|
23,766 |
20,961 |
$3.43M |
| 96366 |
|
13,589 |
8,717 |
$3.38M |
| 78815 |
|
4,622 |
4,335 |
$3.38M |
| 87631 |
|
37,155 |
33,419 |
$3.33M |
| 99391 |
|
30,838 |
29,055 |
$3.26M |
| 87591 |
|
118,793 |
113,905 |
$3.12M |
| 87491 |
|
117,650 |
112,831 |
$3.07M |
| 43235 |
|
3,979 |
3,830 |
$3.03M |
| 96360 |
|
25,221 |
23,159 |
$2.96M |
| 76856 |
|
23,904 |
23,364 |
$2.89M |
| 96415 |
|
7,312 |
5,461 |
$2.76M |
| 66984 |
|
4,515 |
4,307 |
$2.73M |
| 97140 |
|
62,706 |
30,379 |
$2.52M |
| 52000 |
|
3,973 |
3,855 |
$2.50M |
| J7307 |
Etonogestrel implant system |
2,121 |
2,089 |
$2.43M |
| 92012 |
|
31,043 |
29,462 |
$2.32M |
| 76830 |
|
23,809 |
23,177 |
$2.31M |
| J2315 |
Naltrexone, depot form |
1,646 |
1,575 |
$2.31M |
| 76801 |
|
19,439 |
17,526 |
$2.25M |
| 70551 |
|
8,686 |
8,375 |
$2.19M |
| 87481 |
|
52,834 |
47,773 |
$2.19M |
| 93971 |
|
14,655 |
12,905 |
$2.17M |
| 20610 |
|
15,342 |
14,228 |
$2.15M |
| 99392 |
|
25,476 |
25,318 |
$2.15M |
| 31575 |
|
10,980 |
10,601 |
$2.13M |
| 92004 |
|
23,348 |
22,946 |
$1.99M |
| J0585 |
Injection,onabotulinumtoxina |
4,238 |
3,498 |
$1.86M |
| 80053 |
|
373,943 |
314,049 |
$1.85M |
| 85025 |
|
404,657 |
318,486 |
$1.83M |
| 76770 |
|
11,805 |
11,474 |
$1.81M |
| 47562 |
|
705 |
665 |
$1.78M |
| 77386 |
|
7,570 |
752 |
$1.75M |
| 97161 |
|
29,523 |
28,525 |
$1.73M |
| 72148 |
|
9,162 |
8,944 |
$1.60M |
| S9485 |
Crisis intervention mental h |
2,864 |
2,234 |
$1.60M |
| 86481 |
|
26,321 |
25,559 |
$1.58M |
| 87798 |
|
60,827 |
57,962 |
$1.58M |
| 99202 |
|
13,570 |
13,328 |
$1.56M |
| 77063 |
|
25,044 |
24,730 |
$1.56M |
| 82306 |
|
102,892 |
99,210 |
$1.55M |
| J9217 |
Leuprolide acetate suspnsion |
3,126 |
2,919 |
$1.55M |
| 76819 |
|
13,389 |
9,022 |
$1.54M |
| 95886 |
|
6,087 |
5,877 |
$1.53M |
| J0178 |
Aflibercept injection |
1,609 |
1,492 |
$1.52M |
| 11043 |
|
3,437 |
2,002 |
$1.48M |
| 77067 |
|
37,048 |
36,424 |
$1.48M |
| 97803 |
|
20,789 |
20,409 |
$1.48M |
| 94640 |
|
21,486 |
16,647 |
$1.48M |
| 71275 |
|
6,878 |
6,515 |
$1.44M |
| 31231 |
|
7,588 |
7,415 |
$1.44M |
| 78452 |
|
2,960 |
2,865 |
$1.43M |
| 76642 |
|
18,045 |
17,036 |
$1.39M |
| G0480 |
Drug test def 1-7 classes |
33,586 |
28,286 |
$1.37M |
| 87389 |
|
82,907 |
80,575 |
$1.37M |
| 74183 |
|
4,931 |
4,790 |
$1.37M |
| Q5114 |
Inj ogivri 10 mg |
1,046 |
561 |
$1.36M |
| 76811 |
|
9,071 |
8,956 |
$1.34M |
| 92552 |
|
19,145 |
18,995 |
$1.33M |
| 87661 |
|
50,190 |
47,822 |
$1.31M |
| 87511 |
|
49,948 |
47,603 |
$1.30M |
| J1950 |
Leuprolide acetate /3.75 mg |
1,094 |
1,039 |
$1.28M |
| 87636 |
|
12,004 |
11,180 |
$1.28M |
| 67028 |
|
8,402 |
7,768 |
$1.27M |
| 77412 |
|
8,539 |
928 |
$1.23M |
| 19083 |
|
1,777 |
1,671 |
$1.22M |
| 31579 |
|
2,984 |
2,870 |
$1.22M |
| 70496 |
|
4,788 |
4,542 |
$1.22M |
| 76536 |
|
13,631 |
13,348 |
$1.22M |
| 96372 |
|
90,936 |
73,260 |
$1.20M |
| 99393 |
|
15,680 |
15,597 |
$1.19M |
| 76805 |
|
8,357 |
8,173 |
$1.18M |
| 72141 |
|
5,165 |
5,038 |
$1.17M |
| 95811 |
|
2,266 |
2,159 |
$1.17M |
| 76817 |
|
19,485 |
17,182 |
$1.17M |
| J7298 |
Mirena, 52 mg |
852 |
830 |
$1.16M |
| 82805 |
|
33,022 |
28,837 |
$1.14M |
| 96402 |
|
4,712 |
4,217 |
$1.12M |
| 83036 |
|
216,352 |
208,756 |
$1.10M |
| 74176 |
|
5,860 |
5,672 |
$1.09M |
| 71046 |
|
84,715 |
79,021 |
$1.07M |
| 99395 |
|
11,565 |
11,399 |
$1.07M |
| 99442 |
|
6,137 |
5,870 |
$1.07M |
| 73721 |
|
4,597 |
4,421 |
$1.06M |
| 84443 |
|
111,853 |
108,042 |
$1.05M |
| 98967 |
|
8,834 |
8,160 |
$1.05M |
| J3380 |
Inj vedolizumab iv 1 mg |
328 |
301 |
$1.04M |
| 20611 |
|
4,022 |
3,814 |
$1.01M |
| 99443 |
|
5,701 |
5,493 |
$996K |
| Q5115 |
Inj truxima 10 mg |
538 |
313 |
$973K |
| 77300 |
|
2,078 |
1,983 |
$961K |
| Q9991 |
Buprenorph xr 100 mg or less |
1,221 |
1,165 |
$945K |
| 11042 |
|
4,425 |
2,943 |
$934K |
| 93975 |
|
7,400 |
7,061 |
$931K |
| 97802 |
|
14,923 |
14,732 |
$927K |
| 99396 |
|
10,580 |
10,404 |
$927K |
| 97535 |
|
25,507 |
19,794 |
$926K |
| 92567 |
|
21,677 |
21,278 |
$921K |
| 87486 |
|
35,762 |
33,979 |
$916K |
| 87581 |
|
35,764 |
33,980 |
$915K |
| 76815 |
|
10,050 |
8,978 |
$913K |
| 81220 |
|
2,605 |
2,566 |
$913K |
| 76705 |
|
8,328 |
7,952 |
$875K |
| 87536 |
|
17,287 |
16,636 |
$874K |
| 71250 |
|
11,054 |
10,718 |
$871K |
| 36430 |
|
3,488 |
2,693 |
$853K |
| 86803 |
|
82,730 |
80,459 |
$840K |
| 90471 |
|
153,691 |
149,885 |
$801K |
| 99394 |
|
10,793 |
10,745 |
$800K |
| 95004 |
|
2,040 |
2,001 |
$799K |
| J0881 |
Darbepoetin alfa, non-esrd |
4,859 |
3,943 |
$784K |
| 87086 |
|
137,941 |
126,664 |
$760K |
| J0741 |
Inj, cabote rilpivir 2mg 3mg |
560 |
557 |
$757K |
| 95782 |
|
596 |
593 |
$752K |
| 0241U |
|
9,373 |
9,022 |
$752K |
| 99281 |
|
5,226 |
4,868 |
$743K |
| 97530 |
|
24,944 |
17,324 |
$740K |
| 85027 |
|
175,395 |
160,404 |
$728K |
| 11900 |
|
4,190 |
4,055 |
$711K |
| 70544 |
|
3,409 |
3,254 |
$710K |
| 72197 |
|
2,824 |
2,761 |
$709K |
| 87902 |
|
4,578 |
4,401 |
$709K |
| 93017 |
|
6,827 |
6,622 |
$707K |
| 92015 |
|
31,575 |
31,147 |
$703K |
| 71260 |
|
14,797 |
14,115 |
$671K |
| 98966 |
|
5,738 |
5,249 |
$666K |
| 92557 |
|
12,102 |
11,857 |
$659K |
| 86780 |
|
66,883 |
64,921 |
$658K |
| 58300 |
|
2,950 |
2,809 |
$642K |
| 97010 |
|
16,662 |
9,205 |
$641K |
| 93325 |
|
7,107 |
6,923 |
$638K |
| 20550 |
|
4,676 |
4,079 |
$634K |
| 11981 |
|
1,595 |
1,577 |
$632K |
| 76813 |
|
7,383 |
7,204 |
$632K |
| 80048 |
|
155,644 |
131,743 |
$630K |
| 87522 |
Neg quan hep c or qual rna |
21,254 |
20,464 |
$629K |
| ATP14 |
|
68,578 |
57,523 |
$627K |
| 93321 |
|
4,052 |
3,954 |
$617K |
| 10060 |
|
3,285 |
3,132 |
$617K |
| 11056 |
|
5,232 |
5,111 |
$608K |
| 77336 |
|
8,647 |
3,696 |
$608K |
| 92588 |
|
4,385 |
4,321 |
$605K |
| 96374 |
|
89,770 |
78,933 |
$603K |
| 84702 |
|
50,523 |
42,318 |
$602K |
| 73221 |
|
2,793 |
2,683 |
$599K |
| 77080 |
|
11,195 |
11,001 |
$597K |
| 87624 |
|
28,207 |
27,346 |
$589K |
| 92610 |
|
4,026 |
3,786 |
$585K |
| 97162 |
|
11,064 |
10,558 |
$585K |
| 91200 |
|
6,229 |
6,071 |
$578K |
| 87507 |
|
2,143 |
2,044 |
$578K |
| 0001A |
|
16,741 |
14,586 |
$575K |
| 82728 |
|
73,100 |
69,742 |
$572K |
| 97112 |
|
12,941 |
7,798 |
$559K |
| 94060 |
|
6,297 |
6,147 |
$554K |
| 70491 |
|
4,295 |
4,122 |
$545K |
| 93970 |
|
3,104 |
2,914 |
$545K |
| 84484 |
|
70,022 |
52,947 |
$544K |
| 77066 |
Tomosynthesis, mammo |
14,327 |
13,859 |
$542K |
| 96401 |
|
5,893 |
2,628 |
$541K |
| 98968 |
|
4,813 |
4,569 |
$537K |
| 74178 |
|
2,784 |
2,700 |
$534K |
| 96409 |
|
1,376 |
994 |
$531K |
| 42820 |
|
235 |
235 |
$530K |
| 99291 |
|
2,509 |
2,397 |
$514K |
| 70355 |
|
10,584 |
10,202 |
$511K |
| 77065 |
Tomosynthesis, mammo |
12,007 |
11,329 |
$506K |
| J9299 |
Injection, nivolumab |
284 |
206 |
$504K |
| 76882 |
|
5,200 |
5,020 |
$499K |
| 83970 |
|
32,478 |
30,561 |
$497K |
| 90756 |
|
22,723 |
22,347 |
$491K |
| 99385 |
|
4,970 |
4,867 |
$491K |
| 95816 |
|
1,586 |
1,549 |
$481K |
| 20553 |
|
3,100 |
2,946 |
$477K |
| 80061 |
|
153,458 |
149,173 |
$477K |
| 86141 |
|
58,271 |
52,374 |
$472K |
| 99441 |
|
2,828 |
2,600 |
$469K |
| 80050 |
|
33,513 |
30,898 |
$465K |
| 76818 |
|
3,734 |
2,968 |
$465K |
| 76857 |
|
5,383 |
5,269 |
$464K |
| 11721 |
|
19,181 |
18,728 |
$463K |
| 90715 |
|
23,737 |
23,223 |
$460K |
| 90834 |
|
25,667 |
18,527 |
$459K |
| 0011A |
|
20,227 |
18,581 |
$458K |
| 77062 |
|
3,736 |
3,734 |
$453K |
| 62321 |
|
790 |
760 |
$450K |
| 97165 |
|
6,171 |
5,866 |
$450K |
| 84703 |
|
79,696 |
74,387 |
$447K |
| 93005 |
|
206,273 |
176,238 |
$439K |
| 95819 |
|
1,537 |
1,499 |
$433K |
| J7297 |
Liletta, 52 mg |
539 |
533 |
$426K |
| 70486 |
|
6,029 |
5,838 |
$423K |
| 76881 |
|
3,947 |
3,728 |
$422K |
| 91322 |
|
6,515 |
6,324 |
$420K |
| 83880 |
|
24,575 |
21,809 |
$418K |
| 88305 |
|
51,271 |
48,679 |
$418K |
| 86850 |
|
72,986 |
64,492 |
$417K |
| 76870 |
|
3,993 |
3,831 |
$415K |
| 83550 |
|
78,203 |
75,421 |
$414K |
| 88142 |
|
32,487 |
31,559 |
$413K |
| 96127 |
|
8,998 |
8,928 |
$402K |
| J1750 |
Inj iron dextran |
5,389 |
2,849 |
$401K |
| 96416 |
|
2,197 |
1,084 |
$399K |
| 93303 |
|
1,382 |
1,375 |
$397K |
| 58301 |
|
2,054 |
1,940 |
$374K |
| 64405 |
|
1,115 |
1,082 |
$374K |
| 77061 |
|
2,847 |
2,797 |
$362K |
| 11102 |
|
1,016 |
994 |
$361K |
| 17110 |
|
2,278 |
2,196 |
$358K |
| J1050 |
Medroxyprogesterone acetate |
8,435 |
8,273 |
$354K |
| 76820 |
|
7,883 |
4,559 |
$354K |
| A9576 |
Inj prohance multipack |
7,874 |
7,679 |
$348K |
| 86360 |
|
14,046 |
13,485 |
$343K |
| 82607 |
|
45,929 |
44,375 |
$339K |
| 94726 |
|
7,889 |
7,698 |
$335K |
| 12001 |
|
1,449 |
1,413 |
$331K |
| 81001 |
|
162,633 |
147,192 |
$328K |
| Q3014 |
Telehealth facility fee |
81,028 |
64,844 |
$319K |
| 96367 |
|
5,007 |
3,708 |
$315K |
| 83540 |
|
79,228 |
76,354 |
$311K |
| 44970 |
|
87 |
80 |
$310K |
| 87340 |
|
46,762 |
45,096 |
$309K |
| 77334 |
|
2,088 |
1,656 |
$306K |
| 87641 |
|
17,709 |
16,778 |
$303K |
| 92083 |
|
14,920 |
14,596 |
$301K |
| 83735 |
|
86,913 |
62,036 |
$299K |
| 83605 |
|
39,519 |
32,393 |
$297K |
| 51741 |
|
4,274 |
4,180 |
$288K |
| 86359 |
|
14,876 |
14,227 |
$285K |
| 90651 |
|
6,047 |
5,922 |
$285K |
| J9306 |
Injection, pertuzumab, 1 mg |
251 |
153 |
$285K |
| 83690 |
|
59,631 |
54,071 |
$284K |
| J1745 |
Infliximab not biosimil 10mg |
250 |
227 |
$278K |
| 94010 |
|
5,405 |
5,255 |
$278K |
| 58100 |
|
1,439 |
1,370 |
$277K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
31,474 |
29,357 |
$276K |
| 88307 |
|
5,681 |
4,852 |
$276K |
| 82330 |
|
33,831 |
29,663 |
$275K |
| 86706 |
|
42,083 |
40,523 |
$273K |
| 97166 |
|
4,032 |
3,676 |
$271K |
| 92134 |
|
24,422 |
23,108 |
$270K |
| 0002A |
|
7,339 |
6,769 |
$267K |
| 87563 |
|
12,586 |
12,158 |
$266K |
| 57454 |
|
840 |
829 |
$263K |
| 94729 |
|
7,443 |
7,270 |
$257K |
| 72100 |
|
13,653 |
13,213 |
$255K |
| 11055 |
|
1,925 |
1,889 |
$253K |
| 71271 |
|
5,808 |
5,676 |
$252K |
| 73630 |
|
22,636 |
19,347 |
$249K |
| 96375 |
|
64,382 |
49,700 |
$247K |
| 92507 |
|
2,941 |
2,008 |
$245K |
| 11982 |
|
1,187 |
1,163 |
$244K |
| J3010 |
Fentanyl citrate injection |
72,155 |
59,206 |
$242K |
| G0297 |
Ldct for lung ca screen |
2,407 |
2,370 |
$241K |
| 70547 |
|
1,741 |
1,643 |
$239K |
| 0064A |
|
9,962 |
9,671 |
$234K |
| G2023 |
Specimen collect covid-19 |
9,848 |
9,563 |
$230K |
| 73030 |
|
17,665 |
16,210 |
$229K |
| 64493 |
|
704 |
671 |
$229K |
| Q5108 |
Injection, fulphila |
138 |
96 |
$226K |
| 99386 |
|
2,766 |
2,718 |
$224K |
| 97116 |
|
9,076 |
5,748 |
$224K |
| 90677 |
|
8,637 |
8,533 |
$224K |
| 85610 |
|
98,854 |
75,884 |
$223K |
| 86003 |
|
5,435 |
5,287 |
$221K |
| 73564 |
|
15,657 |
13,721 |
$220K |
| J1569 |
Gammagard liquid injection |
277 |
152 |
$218K |
| 90791 |
|
6,978 |
6,658 |
$217K |
| J1885 |
Ketorolac tromethamine inj |
73,670 |
59,817 |
$216K |
| 77280 |
|
2,145 |
2,015 |
$214K |
| J2405 |
Ondansetron hcl injection |
74,268 |
61,286 |
$213K |
| 0012A |
|
8,285 |
7,652 |
$212K |
| 82746 |
|
29,825 |
28,759 |
$212K |
| 51728 |
|
1,008 |
995 |
$212K |
| 0004A |
|
6,650 |
6,454 |
$211K |
| 12011 |
|
889 |
874 |
$209K |
| 78999 |
|
3,890 |
3,688 |
$208K |
| ATP08 |
|
29,740 |
23,967 |
$208K |
| 90480 |
|
7,911 |
7,717 |
$206K |
| 81329 |
|
2,070 |
2,008 |
$205K |
| J2704 |
Inj, propofol, 10 mg |
71,675 |
63,797 |
$205K |
| J1100 |
Dexamethasone sodium phos |
39,276 |
35,408 |
$203K |
| 76942 |
|
4,026 |
3,817 |
$200K |
| 77014 |
|
22,160 |
2,521 |
$199K |
| 82784 |
|
20,274 |
18,434 |
$198K |
| G0382 |
Lev 3 hosp type b ed visit |
5,021 |
4,741 |
$197K |
| 84403 |
|
12,873 |
12,412 |
$197K |
| J2426 |
Inj, invega sustenna, 1 mg |
450 |
409 |
$195K |
| 90688 |
|
12,502 |
12,303 |
$194K |
| 88342 |
|
8,257 |
7,664 |
$194K |
| 92579 |
|
4,724 |
4,665 |
$194K |
| J0561 |
Penicillin g benzathine inj |
1,925 |
1,392 |
$194K |
| 90837 |
|
8,157 |
5,051 |
$193K |
| Q5104 |
Injection, renflexis |
103 |
101 |
$193K |
| 84439 |
|
35,420 |
33,473 |
$191K |
| 87502 |
|
3,356 |
3,276 |
$190K |
| 72125 |
|
11,791 |
10,953 |
$189K |
| 86704 |
|
27,188 |
26,022 |
$189K |
| J1437 |
Inj. fe derisomaltose 10 mg |
220 |
219 |
$183K |
| 70498 |
|
4,124 |
3,902 |
$182K |
| G0279 |
Tomosynthesis, mammo |
16,499 |
15,815 |
$182K |
| 85730 |
|
37,138 |
33,802 |
$181K |
| J0574 |
Bupren/nal 6.1 to 10mg bupre |
6,501 |
3,174 |
$180K |
| 83021 |
|
12,920 |
11,986 |
$179K |
| 87480 |
|
10,294 |
9,812 |
$178K |
| 86900 |
|
73,504 |
64,331 |
$177K |
| 87510 |
|
10,300 |
9,817 |
$177K |
| 87660 |
|
10,298 |
9,816 |
$176K |
| J2250 |
Inj midazolam hydrochloride |
58,492 |
53,891 |
$176K |
| 74174 |
|
1,544 |
1,471 |
$175K |
| 73610 |
|
17,696 |
15,485 |
$174K |
| 69210 |
|
5,021 |
4,863 |
$173K |
| 87635 |
|
4,151 |
4,043 |
$172K |
| 87077 |
|
29,410 |
27,492 |
$172K |
| J1650 |
Inj enoxaparin sodium |
17,307 |
6,368 |
$170K |
| 72158 |
|
939 |
914 |
$170K |
| J0897 |
Denosumab injection |
328 |
305 |
$169K |
| 90746 |
|
8,262 |
8,080 |
$169K |
| 73130 |
|
19,089 |
15,370 |
$168K |
| D7140 |
|
706 |
374 |
$168K |
| 84153 |
|
22,263 |
20,600 |
$167K |
| 87430 |
|
13,811 |
13,386 |
$165K |
| 93923 |
|
2,210 |
2,133 |
$164K |
| 10005 |
|
766 |
734 |
$164K |
| 86901 |
|
73,877 |
64,623 |
$163K |
| 86480 |
|
3,817 |
3,675 |
$161K |
| 81229 |
|
188 |
173 |
$161K |
| 82274 |
|
19,638 |
19,308 |
$161K |
| 64615 |
|
607 |
587 |
$160K |
| 46607 |
|
296 |
294 |
$160K |
| 86762 |
|
15,455 |
15,002 |
$157K |
| 86787 |
|
17,007 |
16,483 |
$157K |
| U0002 |
Covid-19 lab test non-cdc |
4,123 |
3,541 |
$155K |
| 92504 |
|
6,244 |
5,995 |
$155K |
| J3490 |
Drugs unclassified injection |
9,272 |
7,568 |
$152K |
| 78431 |
|
138 |
130 |
$151K |
| 84425 |
|
14,526 |
14,161 |
$148K |
| 87186 |
|
24,997 |
23,384 |
$148K |
| J0690 |
Cefazolin sodium injection |
29,250 |
23,764 |
$147K |
| J0131 |
Inj, acetaminophen (nos) |
4,994 |
4,560 |
$147K |
| 90832 |
|
10,960 |
9,318 |
$147K |
| 52356 |
|
45 |
42 |
$146K |
| 82948 |
|
39,883 |
30,227 |
$146K |
| D7230 |
|
290 |
257 |
$145K |
| Q0139 |
Ferumoxytol, esrd use |
624 |
465 |
$144K |
| J9312 |
Inj., rituximab, 10 mg |
121 |
76 |
$144K |
| 88112 |
|
5,795 |
5,506 |
$142K |
| 73560 |
|
13,527 |
12,090 |
$141K |
| 90674 |
|
7,064 |
6,884 |
$139K |
| ATP15 |
|
16,328 |
13,275 |
$138K |
| 87517 |
|
5,718 |
5,504 |
$137K |
| 87040 |
|
12,271 |
9,789 |
$136K |
| 87081 |
|
23,942 |
23,300 |
$135K |
| 80069 |
|
42,682 |
35,421 |
$134K |
| 92553 |
|
4,099 |
4,027 |
$134K |
| 77295 |
|
331 |
315 |
$134K |
| G0108 |
Diab manage trn per indiv |
2,543 |
2,287 |
$134K |
| 74230 |
|
912 |
890 |
$133K |
| 36561 |
|
170 |
162 |
$132K |
| J0696 |
Ceftriaxone sodium injection |
21,620 |
16,736 |
$131K |
| J1644 |
Inj heparin sodium per 1000u |
29,775 |
15,790 |
$130K |
| 92133 |
|
12,914 |
12,647 |
$130K |
| 12002 |
|
595 |
580 |
$129K |
| J1815 |
Insulin injection |
35,332 |
12,216 |
$127K |
| J9041 |
Injection, bortezomib, 0.1mg |
319 |
65 |
$127K |
| J0702 |
Betamethasone acet&sod phosp |
8,489 |
6,089 |
$126K |
| 71045 |
|
30,789 |
27,783 |
$125K |
| 82105 |
|
12,326 |
11,781 |
$124K |
| G0270 |
Mnt subs tx for change dx |
8,262 |
7,937 |
$123K |
| 86708 |
|
14,736 |
14,280 |
$121K |
| 72040 |
|
6,120 |
5,945 |
$119K |
| 82947 |
|
60,707 |
42,634 |
$118K |
| G0008 |
Admin influenza virus vac |
21,298 |
20,605 |
$117K |
| D7240 |
|
269 |
213 |
$116K |
| 82670 |
|
6,527 |
6,202 |
$116K |
| 93798 |
|
2,780 |
711 |
$115K |
| 70543 |
|
371 |
361 |
$114K |
| 92020 |
|
1,569 |
1,528 |
$114K |
| 83001 |
|
9,432 |
9,111 |
$113K |
| J1642 |
Inj heparin sodium per 10 u |
13,309 |
8,343 |
$112K |
| 82043 |
|
43,052 |
41,661 |
$111K |
| 77290 |
|
675 |
652 |
$110K |
| 72156 |
|
459 |
446 |
$110K |
| 95115 |
|
3,885 |
1,465 |
$110K |
| 19318 |
|
39 |
38 |
$109K |
| 84146 |
|
9,158 |
8,849 |
$109K |
| 78803 |
|
462 |
417 |
$109K |
| 99218 |
|
977 |
429 |
$108K |
| 81025 |
|
20,671 |
18,937 |
$106K |
| G0481 |
Drug test def 8-14 classes |
2,402 |
2,160 |
$106K |
| 90472 |
|
55,091 |
53,732 |
$105K |
| 69436 |
|
56 |
56 |
$104K |
| 93880 |
|
942 |
897 |
$104K |
| 87428 |
|
1,777 |
1,736 |
$104K |
| 0124A |
|
3,864 |
3,751 |
$104K |
| 95911 |
|
1,439 |
1,419 |
$102K |
| 11104 |
|
276 |
270 |
$102K |
| 11100 |
|
425 |
412 |
$101K |
| 73502 |
|
10,344 |
9,835 |
$101K |
| 95912 |
|
1,113 |
1,105 |
$100K |
| 99201 |
|
840 |
821 |
$100K |
| 82951 |
|
8,831 |
8,130 |
$99K |
| 10061 |
|
565 |
541 |
$97K |
| 88341 |
|
5,234 |
4,674 |
$97K |
| 84480 |
|
12,286 |
11,338 |
$96K |
| 73110 |
|
9,801 |
8,646 |
$96K |
| 97804 |
|
989 |
985 |
$95K |
| 95028 |
|
477 |
474 |
$94K |
| 84270 |
|
6,281 |
6,127 |
$92K |
| 72110 |
|
7,417 |
7,231 |
$92K |
| 36415 |
|
143,329 |
126,249 |
$91K |
| 20605 |
|
707 |
657 |
$91K |
| 86334 |
|
10,912 |
9,572 |
$90K |
| 76775 |
|
743 |
729 |
$89K |
| 90792 |
|
2,861 |
2,761 |
$89K |
| 86920 |
|
877 |
776 |
$88K |
| 93351 |
|
3,054 |
2,988 |
$88K |
| 90662 |
|
11,352 |
10,856 |
$87K |
| 82962 |
|
55,476 |
36,839 |
$87K |
| 80074 |
|
2,761 |
2,622 |
$86K |
| 97810 |
|
1,246 |
648 |
$86K |
| 76937 |
|
2,107 |
1,974 |
$85K |
| 20526 |
|
766 |
715 |
$85K |
| 93308 |
|
508 |
486 |
$84K |
| 85652 |
|
50,880 |
46,309 |
$83K |
| 84445 |
|
2,938 |
2,854 |
$83K |
| ATP17 |
|
10,589 |
9,635 |
$83K |
| 94618 |
|
811 |
750 |
$83K |
| 95913 |
|
912 |
896 |
$82K |
| 66761 |
|
123 |
110 |
$82K |
| 86160 |
|
6,981 |
6,627 |
$82K |
| 0134A |
|
4,400 |
4,236 |
$81K |
| 83013 |
|
1,680 |
1,666 |
$79K |
| 88173 |
|
2,809 |
2,544 |
$77K |
| 78492 |
|
59 |
58 |
$77K |
| J9263 |
Oxaliplatin |
1,428 |
585 |
$77K |
| 80076 |
|
21,101 |
20,170 |
$76K |
| 0071A |
|
1,914 |
1,911 |
$76K |
| 86038 |
|
11,381 |
10,903 |
$76K |
| 0072A |
|
1,706 |
1,705 |
$76K |
| 19499 |
|
95 |
95 |
$75K |
| J0791 |
Inj crizanlizumab-tmca 5mg |
122 |
113 |
$75K |
| 83002 |
|
5,781 |
5,622 |
$75K |
| J7120 |
Ringers lactate infusion |
29,007 |
24,218 |
$74K |
| 87150 |
|
2,388 |
2,351 |
$74K |
| 0031A |
|
2,651 |
2,457 |
$74K |
| 85379 |
|
10,842 |
9,909 |
$74K |
| 82570 |
|
30,673 |
26,152 |
$74K |
| 82378 |
|
10,012 |
7,353 |
$74K |
| 92136 |
|
2,641 |
2,546 |
$73K |
| 86765 |
|
9,133 |
8,830 |
$72K |
| J3489 |
Zoledronic acid 1mg |
2,866 |
2,705 |
$72K |
| 99381 |
|
465 |
460 |
$71K |
| 51784 |
|
622 |
611 |
$71K |
| 87799 |
|
5,157 |
4,339 |
$71K |
| P9040 |
Rbc leukoreduced irradiated |
2,178 |
1,729 |
$70K |
| 86735 |
|
8,757 |
8,491 |
$70K |
| J1170 |
Hydromorphone injection |
27,924 |
16,782 |
$69K |
| 96411 |
|
3,460 |
2,186 |
$69K |
| H2016 |
Comp comm supp svc, per diem |
2,481 |
101 |
$69K |
| 86923 |
|
3,089 |
2,506 |
$68K |
| 72052 |
|
3,360 |
3,254 |
$68K |
| 90732 |
|
4,663 |
4,537 |
$67K |
| 92611 |
|
851 |
829 |
$67K |
| 87070 |
|
11,512 |
10,483 |
$67K |
| 93296 |
|
2,322 |
2,261 |
$66K |
| 92526 |
|
800 |
641 |
$65K |
| 82248 |
|
35,121 |
29,738 |
$64K |
| 81003 |
|
42,738 |
40,187 |
$64K |
| 82565 |
|
30,605 |
28,744 |
$64K |
| 83525 |
|
8,692 |
8,502 |
$62K |
| 95806 |
|
242 |
241 |
$62K |
| 77387 |
|
2,908 |
429 |
$62K |
| 96376 |
|
23,077 |
14,309 |
$61K |
| 92558 |
|
3,402 |
3,350 |
$61K |
| 83883 |
|
9,950 |
5,735 |
$60K |
| 87529 |
|
2,390 |
2,284 |
$60K |
| 86235 |
|
3,536 |
3,330 |
$60K |
| J3471 |
Ovine, up to 999 usp units |
789 |
742 |
$60K |
| 88185 |
|
454 |
416 |
$59K |
| 87535 |
|
2,442 |
2,361 |
$58K |
| 74240 |
|
348 |
346 |
$58K |
| 87338 |
|
5,987 |
5,900 |
$58K |
| 20551 |
|
422 |
392 |
$58K |
| ATP10 |
|
8,720 |
6,513 |
$57K |
| 95117 |
|
1,734 |
886 |
$57K |
| G0483 |
Drug test def 22+ classes |
554 |
520 |
$57K |
| C9257 |
Bevacizumab injection |
4,515 |
4,152 |
$57K |
| J2270 |
Morphine sulfate injection |
22,035 |
17,710 |
$57K |
| 76604 |
|
796 |
767 |
$57K |
| 82785 |
|
5,051 |
4,926 |
$57K |
| 88304 |
|
11,282 |
10,612 |
$56K |
| 90694 |
|
4,574 |
4,443 |
$55K |
| 87538 |
|
2,260 |
2,184 |
$54K |
| 51785 |
|
504 |
496 |
$54K |
| 84156 |
|
31,980 |
27,227 |
$53K |
| J0485 |
Belatacept injection |
119 |
61 |
$53K |
| 64483 |
|
94 |
87 |
$53K |
| 73562 |
|
7,501 |
6,034 |
$53K |
| G0271 |
Group mnt 2 or more 30 mins |
1,872 |
1,826 |
$53K |
| 87640 |
|
3,890 |
3,700 |
$52K |
| Q5118 |
Inj., zirabev, 10 mg |
347 |
165 |
$52K |
| 93280 |
|
1,842 |
1,775 |
$52K |
| 99397 |
|
1,018 |
983 |
$52K |
| 64721 |
|
91 |
90 |
$51K |
| 84145 |
|
3,408 |
2,880 |
$51K |
| 87088 |
|
9,632 |
9,129 |
$51K |
| 84165 |
|
11,588 |
10,282 |
$51K |
| 11720 |
|
1,629 |
1,601 |
$50K |
| 84100 |
|
37,071 |
29,305 |
$50K |
| 73140 |
|
4,291 |
4,024 |
$49K |
| 77072 |
|
970 |
968 |
$48K |
| 80177 |
|
5,465 |
4,989 |
$48K |
| 90734 |
|
2,200 |
2,149 |
$48K |
| 73590 |
|
7,129 |
6,419 |
$47K |
| 99495 |
|
997 |
977 |
$47K |
| J1439 |
Inj ferric carboxymaltos 1mg |
56 |
52 |
$46K |
| 58558 |
|
76 |
65 |
$46K |
| 70480 |
|
578 |
561 |
$46K |
| 77049 |
|
264 |
258 |
$45K |
| ATP03 |
|
20,006 |
17,666 |
$45K |
| J7644 |
Ipratropium bromide non-comp |
12,041 |
7,961 |
$44K |
| C8929 |
Tte w or wo fol wcon,doppler |
326 |
320 |
$44K |
| 92555 |
|
4,676 |
4,596 |
$43K |
| 84163 |
|
3,116 |
3,053 |
$43K |
| 83516 |
|
4,516 |
4,365 |
$43K |
| Q0162 |
Ondansetron oral |
13,069 |
11,657 |
$42K |
| J9035 |
Bevacizumab injection |
69 |
48 |
$42K |
| 90632 |
|
1,770 |
1,736 |
$42K |
| 99496 |
|
729 |
711 |
$41K |
| 81596 |
|
841 |
827 |
$41K |
| C9803 |
Hopd covid-19 spec collect |
22,152 |
20,410 |
$41K |
| 90670 |
|
9,863 |
9,714 |
$40K |
| 92002 |
|
610 |
595 |
$40K |
| 86800 |
|
5,062 |
4,870 |
$40K |
| 58661 |
|
82 |
44 |
$40K |
| 90658 |
|
2,215 |
2,109 |
$39K |
| 90853 |
|
2,419 |
1,369 |
$39K |
| 90739 |
|
2,049 |
2,014 |
$39K |
| G0381 |
Lev 2 hosp type b ed visit |
1,239 |
1,190 |
$39K |
| J3301 |
Triamcinolone acet inj nos |
23,910 |
22,826 |
$38K |
| 86376 |
|
4,340 |
4,217 |
$38K |
| 97164 |
|
865 |
820 |
$38K |
| 73080 |
|
4,723 |
4,338 |
$37K |
| 86255 |
|
5,244 |
4,966 |
$37K |
| J1200 |
Diphenhydramine hcl injectio |
11,810 |
8,320 |
$37K |
| 82533 |
|
3,903 |
3,508 |
$37K |
| J9310 |
Rituximab injection |
58 |
38 |
$37K |
| 49650 |
|
32 |
29 |
$36K |
| 82550 |
|
19,412 |
17,451 |
$36K |
| 96111 |
|
426 |
379 |
$36K |
| 90620 |
|
194 |
194 |
$36K |
| 74018 |
|
2,882 |
2,581 |
$36K |
| 77073 |
|
6,381 |
6,147 |
$36K |
| 85045 |
|
14,915 |
12,868 |
$36K |
| 82088 |
|
1,936 |
1,852 |
$36K |
| 80164 |
|
4,344 |
3,894 |
$35K |
| J2370 |
Phenylephrine hcl injection |
7,669 |
6,779 |
$35K |
| 80197 |
|
9,644 |
6,673 |
$35K |
| 83519 |
|
3,008 |
2,847 |
$34K |
| 0003A |
|
1,129 |
1,096 |
$34K |
| 20552 |
|
208 |
200 |
$34K |
| 87880 |
|
2,622 |
2,572 |
$34K |
| 87205 |
|
12,028 |
10,962 |
$34K |
| ATP16 |
|
3,946 |
3,150 |
$34K |
| 97811 |
|
1,038 |
538 |
$33K |
| 83521 |
|
5,963 |
5,247 |
$33K |
| 92587 |
|
159 |
158 |
$33K |
| 92582 |
|
1,154 |
1,142 |
$33K |
| 83921 |
|
3,853 |
3,716 |
$32K |
| 92250 |
|
3,937 |
3,625 |
$32K |
| 30520 |
|
26 |
25 |
$32K |
| 96112 |
|
2,251 |
2,175 |
$32K |
| 77301 |
|
72 |
70 |
$32K |
| 96910 |
|
763 |
131 |
$32K |
| 99383 |
|
291 |
290 |
$32K |
| 82525 |
|
5,288 |
5,139 |
$31K |
| 84630 |
|
5,578 |
5,419 |
$31K |
| 0013A |
|
1,578 |
1,532 |
$31K |
| 78306 |
|
244 |
237 |
$30K |
| Q5111 |
Injection, udenyca 0.5 mg |
71 |
49 |
$30K |
| 73700 |
|
434 |
416 |
$30K |
| 72131 |
|
732 |
711 |
$30K |
| ATP11 |
|
4,448 |
4,128 |
$30K |
| 92025 |
|
1,538 |
1,483 |
$30K |
| 96417 |
|
6,989 |
4,389 |
$29K |
| J3370 |
Vancomycin hcl injection |
13,777 |
6,164 |
$29K |
| J2060 |
Lorazepam injection |
12,066 |
9,258 |
$29K |
| 82077 |
|
5,627 |
5,320 |
$29K |
| 67228 |
|
75 |
69 |
$29K |
| 84436 |
|
7,259 |
6,740 |
$29K |
| 95910 |
|
333 |
325 |
$28K |
| 11730 |
|
356 |
348 |
$28K |
| 86870 |
|
386 |
364 |
$28K |
| 86677 |
|
3,193 |
3,095 |
$28K |
| 74019 |
|
2,328 |
2,237 |
$27K |
| 84134 |
|
4,705 |
4,490 |
$27K |
| 55700 |
|
79 |
75 |
$27K |
| G0472 |
Hep c screen high risk/other |
11,869 |
11,117 |
$27K |
| 82627 |
|
1,726 |
1,687 |
$26K |
| 72070 |
|
1,747 |
1,678 |
$26K |
| 84460 |
|
19,964 |
19,199 |
$26K |
| A9552 |
F18 fdg |
3,658 |
3,438 |
$26K |
| 86753 |
|
2,920 |
2,820 |
$26K |
| S0020 |
Injection, bupivicaine hydro |
2,530 |
2,297 |
$26K |
| 73090 |
|
4,747 |
4,386 |
$26K |
| 0054A |
|
771 |
762 |
$26K |
| 83721 |
|
6,108 |
5,913 |
$26K |
| 99382 |
|
209 |
208 |
$26K |
| J7512 |
Prednisone ir or dr oral 1mg |
14,156 |
8,535 |
$26K |
| 84450 |
|
18,778 |
18,054 |
$25K |
| 73552 |
|
3,104 |
2,822 |
$25K |
| 84432 |
|
3,511 |
3,361 |
$25K |
| 64450 |
|
173 |
169 |
$25K |
| 90686 |
|
18,523 |
18,341 |
$25K |
| G2066 |
Inter devc remote 30d |
935 |
804 |
$25K |
| 84166 |
|
3,319 |
3,036 |
$25K |
| 90653 |
|
1,742 |
1,727 |
$25K |
| J1726 |
Makena, 10 mg |
297 |
103 |
$25K |
| 86902 |
|
489 |
430 |
$25K |
| J2001 |
Lidocaine injection |
23,592 |
21,194 |
$25K |
| 87075 |
|
4,051 |
3,684 |
$24K |
| 83615 |
|
15,883 |
13,084 |
$24K |
| J1630 |
Haloperidol injection |
10,795 |
8,640 |
$24K |
| 29125 |
|
272 |
253 |
$24K |
| 72170 |
|
2,400 |
2,227 |
$23K |
| 84305 |
|
1,613 |
1,584 |
$23K |
| 86617 |
|
1,559 |
1,365 |
$23K |
| 76000 |
|
469 |
422 |
$23K |
| 25600 |
|
41 |
40 |
$23K |
| 92060 |
|
1,282 |
1,251 |
$23K |
| 87901 |
|
141 |
139 |
$22K |
| J7999 |
Compounded drug, noc |
3,109 |
2,963 |
$22K |
| 46600 |
|
2,913 |
2,854 |
$22K |
| 86200 |
|
3,625 |
3,449 |
$22K |
| Q9957 |
Inj perflutren lip micros,ml |
2,866 |
2,751 |
$22K |
| 96040 |
|
3,012 |
2,817 |
$22K |
| J3411 |
Thiamine hcl 100 mg |
4,083 |
3,046 |
$22K |
| J0248 |
Inj, remdesivir, 1 mg |
86 |
26 |
$22K |
| G0482 |
Drug test def 15-21 classes |
282 |
257 |
$21K |
| 86580 |
|
2,542 |
2,429 |
$21K |
| 70487 |
|
179 |
174 |
$21K |
| 84550 |
|
14,113 |
12,186 |
$21K |
| G0009 |
Admin pneumococcal vaccine |
4,232 |
4,140 |
$21K |
| 99384 |
|
155 |
155 |
$21K |
| 83014 |
|
4,039 |
3,978 |
$21K |
| H2015 |
Comp comm supp svc, 15 min |
1,153 |
935 |
$21K |
| 80179 |
|
3,255 |
3,041 |
$21K |
| 86147 |
|
1,561 |
1,483 |
$21K |
| 86316 |
|
3,247 |
2,462 |
$20K |
| 77001 |
|
541 |
515 |
$20K |
| 96368 |
|
3,801 |
2,404 |
$20K |
| J3475 |
Inj magnesium sulfate |
8,596 |
6,220 |
$20K |
| 76998 |
|
310 |
305 |
$20K |
| 0154A |
|
432 |
432 |
$20K |
| 90935 |
|
271 |
171 |
$20K |
| 84244 |
|
1,993 |
1,922 |
$20K |
| V2632 |
Post chmbr intraocular lens |
1,989 |
1,900 |
$20K |
| 86039 |
|
3,239 |
3,101 |
$20K |
| 82040 |
|
11,223 |
10,813 |
$20K |
| 73060 |
|
3,635 |
3,341 |
$19K |
| 82150 |
|
4,378 |
4,199 |
$19K |
| 87184 |
|
4,209 |
3,899 |
$19K |
| 86364 |
|
3,565 |
3,506 |
$18K |
| Q5126 |
Inj alymsys 10 mg |
92 |
73 |
$18K |
| 83520 |
|
1,976 |
1,918 |
$18K |
| ATP07 |
|
2,536 |
2,331 |
$18K |
| 73100 |
|
2,222 |
1,876 |
$18K |
| 84479 |
|
5,082 |
4,935 |
$17K |
| 64612 |
|
99 |
98 |
$17K |
| 86665 |
|
857 |
768 |
$17K |
| J2777 |
Inj, faricimab-svoa, 0.1mg |
28 |
25 |
$17K |
| G0399 |
Home sleep test/type 3 porta |
230 |
223 |
$17K |
| J0171 |
Adrenalin epinephrine inject |
4,479 |
4,127 |
$17K |
| 83789 |
|
1,070 |
1,025 |
$16K |
| 88313 |
|
1,332 |
1,145 |
$16K |
| 87102 |
|
3,092 |
2,809 |
$16K |
| J1040 |
Methylprednisolone 80 mg inj |
5,851 |
5,287 |
$16K |
| 86431 |
|
5,677 |
5,438 |
$16K |
| 0081A |
|
533 |
531 |
$16K |
| 87015 |
|
3,841 |
3,136 |
$16K |
| 72082 |
|
727 |
706 |
$16K |
| 90833 |
|
792 |
693 |
$16K |
| 86592 |
|
5,641 |
5,418 |
$16K |
| J2785 |
Regadenoson injection |
3,201 |
3,061 |
$16K |
| 19081 |
|
13 |
12 |
$16K |
| J0572 |
Bupren/nal up to 3mg bupreno |
412 |
220 |
$16K |
| ATP09 |
|
2,137 |
1,802 |
$15K |
| 0052A |
|
366 |
364 |
$15K |
| 86146 |
|
1,157 |
1,092 |
$15K |
| 86696 |
|
1,289 |
1,190 |
$15K |
| J7300 |
Intra copp contra (paragard) |
53 |
53 |
$15K |
| 93304 |
|
54 |
53 |
$15K |
| J0401 |
Inj, abilify maintena, 1 mg |
12 |
12 |
$15K |
| 86335 |
|
1,636 |
1,493 |
$15K |
| 87632 |
|
106 |
106 |
$15K |
| 87906 |
|
186 |
180 |
$15K |
| 82024 |
|
720 |
685 |
$14K |
| 80143 |
|
2,767 |
2,610 |
$14K |
| 86682 |
|
1,904 |
1,792 |
$14K |
| 86705 |
|
2,069 |
2,006 |
$14K |
| 29581 |
|
113 |
54 |
$14K |
| 82553 |
|
2,608 |
2,352 |
$14K |
| 88184 |
|
635 |
559 |
$14K |
| 82960 |
|
2,812 |
2,743 |
$13K |
| 92524 |
|
197 |
194 |
$13K |
| ATP02 |
|
3,398 |
2,970 |
$13K |
| ATP18 |
|
1,698 |
1,515 |
$13K |
| M0220 |
Tixagev and cilgav inj |
329 |
260 |
$13K |
| 65855 |
|
48 |
41 |
$13K |
| 0051A |
|
322 |
320 |
$13K |
| 87900 |
|
141 |
139 |
$13K |
| G0121 |
Colon ca scrn not hi rsk ind |
169 |
155 |
$13K |
| 76512 |
|
214 |
190 |
$13K |
| 87116 |
|
2,298 |
1,626 |
$13K |
| 84132 |
|
12,832 |
11,502 |
$13K |
| 73523 |
|
948 |
919 |
$13K |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
6,460 |
5,993 |
$13K |
| 93282 |
|
466 |
454 |
$13K |
| 96523 |
|
514 |
406 |
$13K |
| 76885 |
|
92 |
92 |
$13K |
| 84590 |
|
2,271 |
2,212 |
$13K |
| 51600 |
|
96 |
94 |
$13K |
| 85384 |
|
2,553 |
2,033 |
$13K |
| 72146 |
|
129 |
126 |
$12K |
| J9355 |
Inj trastuzumab excl biosimi |
45 |
25 |
$12K |
| G0103 |
Psa screening |
2,523 |
2,451 |
$12K |
| 89051 |
|
4,012 |
3,580 |
$12K |
| 85018 |
|
8,487 |
7,701 |
$12K |
| 15852 |
|
44 |
25 |
$12K |
| 76514 |
|
507 |
486 |
$12K |
| 99412 |
|
348 |
217 |
$12K |
| ATP04 |
|
2,141 |
1,765 |
$12K |
| 90707 |
|
4,283 |
4,219 |
$12K |
| 86021 |
|
1,464 |
1,363 |
$12K |
| 82977 |
|
5,580 |
5,360 |
$11K |
| G0383 |
Lev 4 hosp type b ed visit |
352 |
342 |
$11K |
| 72114 |
|
1,270 |
1,248 |
$11K |
| 83010 |
|
1,871 |
1,663 |
$11K |
| A9581 |
Gadoxetate disodium inj |
628 |
624 |
$11K |
| 84295 |
|
11,791 |
10,642 |
$11K |
| 81002 |
|
5,417 |
4,960 |
$11K |
| 91321 |
|
1,106 |
1,100 |
$11K |
| 97597 |
|
85 |
68 |
$11K |
| Q0138 |
Ferumoxytol, non-esrd |
17 |
14 |
$10K |
| 77338 |
|
72 |
70 |
$10K |
| 83498 |
|
513 |
507 |
$10K |
| Q5123 |
Inj. riabni, 10 mg |
68 |
25 |
$10K |
| 81401 |
|
129 |
125 |
$10K |
| 64494 |
|
361 |
345 |
$10K |
| A9500 |
Tc99m sestamibi |
2,160 |
2,072 |
$10K |
| 86709 |
|
1,653 |
1,567 |
$10K |
| 86645 |
|
934 |
864 |
$10K |
| 0082A |
|
230 |
230 |
$9K |
| 91301 |
|
21,688 |
19,255 |
$9K |
| 51798 |
|
4,255 |
4,133 |
$9K |
| J0137 |
Inj, acetaminophen (hikma) |
972 |
909 |
$9K |
| 82610 |
|
1,145 |
1,100 |
$9K |
| ATP05 |
|
1,411 |
1,180 |
$9K |
| 86301 |
|
1,159 |
937 |
$9K |
| J1580 |
Garamycin gentamicin inj |
3,309 |
2,672 |
$9K |
| G0010 |
Admin hepatitis b vaccine |
1,851 |
1,796 |
$9K |
| 85705 |
|
1,732 |
1,646 |
$9K |
| 82397 |
|
977 |
931 |
$9K |
| 82435 |
|
10,994 |
9,884 |
$9K |
| 90656 |
|
2,042 |
2,039 |
$9K |
| 20600 |
|
54 |
49 |
$8K |
| 86644 |
|
934 |
864 |
$8K |
| 74241 |
|
28 |
28 |
$8K |
| J7626 |
Budesonide non-comp unit |
1,325 |
641 |
$8K |
| 17000 |
|
153 |
147 |
$8K |
| 72157 |
|
89 |
88 |
$8K |
| Q0166 |
Granisetron hcl 1 mg oral |
12,886 |
7,043 |
$8K |
| 93299 |
|
290 |
281 |
$8K |
| 84466 |
|
1,436 |
1,395 |
$8K |
| 87493 |
|
410 |
398 |
$8K |
| 86695 |
|
945 |
877 |
$8K |
| J9045 |
Carboplatin injection |
1,828 |
1,113 |
$8K |
| C8930 |
Tte w or w/o contr, cont ecg |
64 |
62 |
$8K |
| 90691 |
|
923 |
916 |
$8K |
| 81455 |
|
14 |
14 |
$8K |
| 86664 |
|
830 |
780 |
$8K |
| 83993 |
|
682 |
649 |
$8K |
| 86304 |
|
1,126 |
916 |
$8K |
| 80230 |
|
350 |
331 |
$8K |
| J2997 |
Alteplase recombinant |
86 |
70 |
$7K |
| 65426 |
|
12 |
12 |
$7K |
| J8540 |
Oral dexamethasone |
20,444 |
10,913 |
$7K |
| 99173 |
|
461 |
460 |
$7K |
| 72190 |
|
595 |
567 |
$7K |
| 82310 |
|
4,974 |
4,681 |
$7K |
| J9171 |
Docetaxel injection |
69 |
51 |
$7K |
| 76821 |
|
766 |
711 |
$7K |
| 82247 |
|
3,932 |
3,224 |
$7K |
| 87899 |
|
755 |
710 |
$7K |
| J0640 |
Leucovorin calcium injection |
3,739 |
1,904 |
$7K |
| J2550 |
Promethazine hcl injection |
1,738 |
1,571 |
$7K |
| 90714 |
|
562 |
553 |
$7K |
| 82985 |
|
1,053 |
1,025 |
$7K |
| 10022 |
|
78 |
77 |
$7K |
| 95714 |
|
35 |
27 |
$7K |
| J2710 |
Neostigmine methylslfte inj |
9,881 |
9,104 |
$7K |
| 85613 |
|
1,234 |
1,167 |
$6K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
1,039 |
996 |
$6K |
| 82652 |
|
370 |
367 |
$6K |
| 86336 |
|
447 |
431 |
$6K |
| J0330 |
Succinycholine chloride inj |
9,712 |
9,019 |
$6K |
| A9595 |
Piflu f-18, dia 1 millicurie |
16 |
14 |
$6K |
| 86663 |
|
777 |
736 |
$6K |
| 73070 |
|
813 |
716 |
$6K |
| 93225 |
|
175 |
165 |
$6K |
| 86355 |
|
262 |
243 |
$6K |
| J0295 |
Ampicillin sulbactam 1.5 gm |
5,043 |
1,597 |
$6K |
| 97022 |
|
116 |
51 |
$6K |
| 90661 |
|
497 |
470 |
$6K |
| J1030 |
Methylprednisolone 40 mg inj |
3,554 |
3,412 |
$6K |
| 90847 |
|
89 |
77 |
$6K |
| 87154 |
|
34 |
33 |
$6K |
| 84520 |
|
4,667 |
4,323 |
$6K |
| 86357 |
|
244 |
227 |
$6K |
| 77003 |
|
87 |
84 |
$6K |
| 0034A |
|
362 |
344 |
$6K |
| 83655 |
|
642 |
607 |
$6K |
| C1894 |
Intro/sheath, non-laser |
1,064 |
982 |
$6K |
| C1769 |
Guide wire |
2,197 |
1,986 |
$6K |
| Q0163 |
Diphenhydramine hcl 50mg |
15,395 |
10,433 |
$6K |
| 42826 |
|
12 |
12 |
$6K |
| G0127 |
Trim nail(s) |
465 |
454 |
$6K |
| J2930 |
Methylprednisolone injection |
2,685 |
2,292 |
$5K |
| 95716 |
|
14 |
13 |
$5K |
| 90474 |
|
8,541 |
8,443 |
$5K |
| 84681 |
|
519 |
502 |
$5K |
| 90717 |
|
134 |
134 |
$5K |
| 87426 |
|
202 |
199 |
$5K |
| 82677 |
|
266 |
255 |
$5K |
| J9206 |
Irinotecan injection |
106 |
61 |
$5K |
| 51701 |
|
723 |
711 |
$5K |
| 83835 |
|
607 |
561 |
$5K |
| 88300 |
|
1,114 |
1,093 |
$5K |
| J2310 |
Inj naloxone hydrochloride |
193 |
167 |
$5K |
| J3420 |
Vitamin b12 injection |
5,209 |
4,722 |
$5K |
| 57456 |
|
12 |
12 |
$5K |
| 25605 |
|
13 |
12 |
$5K |
| 74220 |
|
139 |
133 |
$5K |
| 84300 |
|
1,626 |
1,364 |
$5K |
| J0135 |
Adalimumab injection |
333 |
197 |
$5K |
| 92523 |
|
29 |
29 |
$4K |
| 72072 |
|
189 |
186 |
$4K |
| 82103 |
|
730 |
709 |
$4K |
| J0290 |
Ampicillin 500 mg inj |
865 |
412 |
$4K |
| 86922 |
|
50 |
39 |
$4K |
| 92550 |
|
14 |
14 |
$4K |
| M0243 |
Casirivi and imdevi inj |
19 |
17 |
$4K |
| 73620 |
|
1,244 |
1,135 |
$4K |
| 51797 |
|
889 |
876 |
$4K |
| 86593 |
|
1,290 |
1,261 |
$4K |
| J7613 |
Albuterol non-comp unit |
11,426 |
7,446 |
$4K |
| 99407 |
|
314 |
283 |
$4K |
| 86618 |
|
350 |
337 |
$4K |
| J9070 |
Cyclophosphamide 100 mg inj |
89 |
55 |
$4K |
| 81243 |
|
77 |
77 |
$4K |
| 77417 |
|
607 |
275 |
$4K |
| 90716 |
|
4,380 |
4,324 |
$4K |
| Q5117 |
Inj., kanjinti, 10 mg |
104 |
53 |
$4K |
| 94660 |
|
16 |
12 |
$4K |
| 87272 |
|
408 |
401 |
$3K |
| 76098 |
|
309 |
289 |
$3K |
| 0111A |
|
211 |
211 |
$3K |
| D0150 |
|
82 |
77 |
$3K |
| 30140 |
|
14 |
14 |
$3K |
| 97163 |
|
54 |
54 |
$3K |
| 87046 |
|
449 |
432 |
$3K |
| 83090 |
|
317 |
307 |
$3K |
| 72128 |
|
150 |
142 |
$3K |
| 87045 |
|
448 |
431 |
$3K |
| 72195 |
|
12 |
12 |
$3K |
| 78264 |
|
12 |
12 |
$3K |
| 92585 |
|
12 |
12 |
$3K |
| J2765 |
Metoclopramide hcl injection |
13,382 |
11,188 |
$3K |
| 90713 |
|
744 |
722 |
$3K |
| 36475 |
|
13 |
13 |
$3K |
| 80171 |
|
181 |
159 |
$3K |
| A4550 |
Surgical trays |
3,317 |
3,169 |
$3K |
| 82075 |
|
452 |
391 |
$3K |
| 59200 |
|
13 |
12 |
$3K |
| 0112A |
|
76 |
76 |
$3K |
| 86777 |
|
284 |
269 |
$3K |
| 99404 |
|
30 |
30 |
$3K |
| J0689 |
Inj cefazolin sodium, baxter |
1,035 |
757 |
$3K |
| A9555 |
Rb82 rubidium |
250 |
239 |
$3K |
| 36591 |
|
284 |
257 |
$3K |
| 80299 |
|
347 |
325 |
$3K |
| 84207 |
|
144 |
144 |
$3K |
| J1453 |
Fosaprepitant injection |
120 |
64 |
$3K |
| 74181 |
|
17 |
16 |
$3K |
| 87341 |
|
369 |
367 |
$3K |
| 88311 |
|
1,216 |
1,145 |
$3K |
| 76519 |
|
83 |
80 |
$3K |
| 82390 |
|
431 |
421 |
$3K |
| 51700 |
|
59 |
52 |
$3K |
| 51702 |
|
265 |
222 |
$3K |
| 82731 |
|
44 |
41 |
$3K |
| 0073A |
|
55 |
55 |
$3K |
| 88360 |
|
363 |
334 |
$3K |
| ATP13 |
|
367 |
347 |
$2K |
| 99497 |
|
119 |
107 |
$2K |
| J3371 |
Inj, vancomycin hcl (mylan) |
1,855 |
955 |
$2K |
| 83937 |
|
206 |
198 |
$2K |
| 11057 |
|
13 |
13 |
$2K |
| J0136 |
Inj, acetaminophen (b braun) |
614 |
552 |
$2K |
| J1836 |
Inj, metronidazole, 10 mg |
1,181 |
796 |
$2K |
| 86778 |
|
223 |
214 |
$2K |
| 83020 |
|
217 |
215 |
$2K |
| 80185 |
|
393 |
306 |
$2K |
| 86341 |
|
159 |
143 |
$2K |
| 87209 |
|
167 |
164 |
$2K |
| 84478 |
|
1,340 |
1,258 |
$2K |
| J1956 |
Levofloxacin injection |
29 |
24 |
$2K |
| 87269 |
|
232 |
228 |
$2K |
| 97750 |
|
77 |
71 |
$2K |
| 81050 |
|
1,397 |
1,306 |
$2K |
| 84075 |
|
2,894 |
2,740 |
$2K |
| 82955 |
|
244 |
242 |
$2K |
| 86231 |
|
189 |
187 |
$2K |
| 85060 |
|
554 |
531 |
$2K |
| 87497 |
|
194 |
154 |
$2K |
| 64642 |
|
12 |
12 |
$2K |
| L3908 |
Who cock-up nonmolde pre ots |
656 |
635 |
$2K |
| 80175 |
|
229 |
211 |
$2K |
| 90887 |
|
220 |
206 |
$2K |
| 69209 |
|
63 |
63 |
$2K |
| 86769 |
|
39 |
38 |
$2K |
| G2212 |
Prolong outpt/office vis |
432 |
422 |
$2K |
| 80178 |
|
410 |
368 |
$2K |
| 93797 |
|
35 |
13 |
$2K |
| 90675 |
|
27 |
14 |
$2K |
| 76376 |
|
2,688 |
2,647 |
$2K |
| J7060 |
5% dextrose/water |
2,775 |
1,010 |
$2K |
| 19301 |
|
14 |
12 |
$2K |
| 86036 |
|
549 |
528 |
$2K |
| 86015 |
|
348 |
346 |
$2K |
| 99152 |
|
702 |
649 |
$2K |
| 92593 |
|
24 |
24 |
$1K |
| J9267 |
Paclitaxel injection |
1,061 |
446 |
$1K |
| J1940 |
Furosemide injection |
3,933 |
2,443 |
$1K |
| 87350 |
|
207 |
200 |
$1K |
| J0461 |
Atropine sulfate injection |
552 |
338 |
$1K |
| 90678 |
|
205 |
205 |
$1K |
| 96900 |
|
91 |
12 |
$1K |
| 0164A |
|
30 |
30 |
$1K |
| 31237 |
|
29 |
25 |
$1K |
| 93284 |
|
82 |
77 |
$1K |
| 0173A |
|
39 |
39 |
$1K |
| 82465 |
|
859 |
818 |
$1K |
| 88312 |
|
402 |
385 |
$1K |
| 99406 |
|
109 |
102 |
$1K |
| 57160 |
|
24 |
24 |
$1K |
| 71101 |
|
70 |
67 |
$1K |
| 92285 |
|
227 |
222 |
$1K |
| J1920 |
Inj, labetalol hcl, 5mg |
399 |
340 |
$1K |
| 82166 |
|
37 |
37 |
$1K |
| 92235 |
|
12 |
12 |
$1K |
| A4215 |
Sterile needle |
1,232 |
1,196 |
$1K |
| V5266 |
Battery for hearing device |
54 |
53 |
$1K |
| 82523 |
|
211 |
203 |
$1K |
| 76825 |
|
622 |
611 |
$1K |
| 0094A |
|
49 |
49 |
$1K |
| J0134 |
Inj acetaminophen -fresenius |
174 |
168 |
$1K |
| 84144 |
|
94 |
87 |
$1K |
| 80156 |
|
131 |
124 |
$1K |
| 85240 |
|
68 |
66 |
$1K |
| J9190 |
Fluorouracil injection |
4,531 |
1,873 |
$980.90 |
| 73000 |
|
67 |
62 |
$979.62 |
| 93320 |
|
1,497 |
1,486 |
$976.46 |
| 87177 |
|
155 |
152 |
$975.59 |
| J3480 |
Inj potassium chloride |
5,027 |
3,056 |
$967.45 |
| 94250 |
|
12 |
12 |
$967.02 |
| 83718 |
|
175 |
171 |
$949.24 |
| 86308 |
|
224 |
220 |
$943.62 |
| G0439 |
Ppps, subseq visit |
38 |
37 |
$940.38 |
| 83930 |
|
264 |
244 |
$915.80 |
| 87593 |
|
13 |
13 |
$892.50 |
| 99417 |
Prolong home eval add 15m |
1,727 |
1,617 |
$891.12 |
| 95249 |
|
85 |
74 |
$882.00 |
| 86256 |
|
145 |
135 |
$876.48 |
| 0174A |
|
41 |
41 |
$825.66 |
| 85049 |
|
398 |
375 |
$822.18 |
| 76377 |
|
480 |
464 |
$811.97 |
| 90687 |
|
1,678 |
1,638 |
$779.24 |
| ATP19 |
|
80 |
77 |
$764.90 |
| 91306 |
|
9,349 |
9,059 |
$756.40 |
| 36592 |
|
160 |
150 |
$752.81 |
| 84155 |
|
1,262 |
1,185 |
$716.93 |
| 92556 |
|
37 |
37 |
$705.30 |
| 82172 |
|
64 |
56 |
$655.59 |
| 11901 |
|
12 |
12 |
$650.02 |
| 97012 |
|
19 |
12 |
$622.79 |
| 93786 |
|
52 |
50 |
$621.41 |
| 76827 |
|
616 |
608 |
$611.02 |
| 86905 |
|
227 |
216 |
$602.52 |
| 83695 |
|
36 |
36 |
$594.96 |
| 95250 |
|
26 |
26 |
$585.81 |
| 95165 |
|
40 |
40 |
$583.23 |
| 86317 |
|
92 |
81 |
$567.22 |
| H0033 |
Oral med adm direct observe |
794 |
563 |
$565.11 |
| L4360 |
Pneumat walking boot pre cst |
87 |
83 |
$557.20 |
| 88302 |
|
254 |
176 |
$550.15 |
| 85246 |
|
29 |
28 |
$547.36 |
| 85245 |
|
29 |
28 |
$547.36 |
| J9250 |
Methotrexate sodium inj |
53 |
24 |
$545.66 |
| 96132 |
|
95 |
93 |
$541.68 |
| Q2035 |
Afluria vacc, 3 yrs & >, im |
294 |
293 |
$502.03 |
| 84157 |
|
258 |
233 |
$479.83 |
| 84446 |
|
57 |
55 |
$469.98 |
| 82085 |
|
128 |
122 |
$446.38 |
| 86258 |
|
40 |
39 |
$444.12 |
| U0001 |
2019-ncov diagnostic p |
20 |
19 |
$437.27 |
| 85014 |
|
314 |
295 |
$428.35 |
| 83935 |
|
142 |
138 |
$419.60 |
| 85055 |
|
15 |
13 |
$409.76 |
| 95885 |
|
14 |
14 |
$388.17 |
| A9561 |
Tc99m oxidronate |
216 |
209 |
$386.98 |
| 73660 |
|
39 |
38 |
$380.91 |
| 89320 |
|
126 |
117 |
$380.88 |
| 73522 |
|
14 |
13 |
$380.42 |
| 82164 |
|
61 |
55 |
$376.50 |
| 91307 |
|
3,639 |
3,350 |
$361.20 |
| 91319 |
|
12 |
12 |
$351.12 |
| G0444 |
Depression screen annual |
123 |
120 |
$346.11 |
| 93226 |
|
49 |
41 |
$339.96 |
| Q0091 |
Obtaining screen pap smear |
401 |
339 |
$338.02 |
| 93922 |
|
13 |
13 |
$337.50 |
| 73521 |
|
12 |
12 |
$334.63 |
| 97168 |
|
14 |
13 |
$329.16 |
| L1902 |
Afo ankle gauntlet pre ots |
12 |
12 |
$322.79 |
| J1010 |
Inj, methylpred acetate 1 mg |
1,379 |
1,168 |
$321.94 |
| 95874 |
|
27 |
25 |
$314.45 |
| Q0164 |
Prochlorperazine maleate 5mg |
2,847 |
1,757 |
$308.54 |
| 82365 |
|
31 |
28 |
$305.76 |
| A9579 |
Gad-base mr contrast nos,1ml |
2,030 |
2,007 |
$295.79 |
| 86381 |
|
26 |
26 |
$291.85 |
| J9999 |
Chemotherapy drug |
1,945 |
1,246 |
$289.20 |
| 71110 |
|
17 |
13 |
$289.13 |
| 96116 |
|
13 |
12 |
$284.42 |
| 82140 |
|
33 |
25 |
$275.63 |
| 82945 |
|
116 |
103 |
$254.10 |
| 86707 |
|
25 |
25 |
$248.65 |
| 90836 |
|
17 |
15 |
$246.60 |
| Q0111 |
Wet mounts/ w preparations |
41 |
41 |
$244.45 |
| 96137 |
|
38 |
37 |
$240.00 |
| 95700 |
|
187 |
183 |
$237.64 |
| 86789 |
|
35 |
27 |
$222.60 |
| 86788 |
|
35 |
27 |
$220.80 |
| 91303 |
|
2,575 |
2,376 |
$219.66 |
| 82232 |
|
41 |
39 |
$217.13 |
| 82952 |
|
61 |
61 |
$211.92 |
| J7042 |
5% dextrose/normal saline |
445 |
339 |
$208.90 |
| 99172 |
|
890 |
888 |
$198.04 |
| 82595 |
|
52 |
50 |
$196.42 |
| J0692 |
Cefepime hcl for injection |
308 |
125 |
$195.87 |
| A9609 |
F18 fdg, 15 millicuries |
591 |
560 |
$195.20 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
38 |
36 |
$185.08 |
| L8000 |
Mastectomy bra |
947 |
858 |
$184.04 |
| A4300 |
Cath impl vasc access portal |
26 |
25 |
$183.51 |
| 86382 |
|
12 |
12 |
$178.92 |
| 82542 |
|
13 |
13 |
$167.58 |
| J2470 |
Inj pantoprazole sodium 40mg |
229 |
133 |
$167.14 |
| 87185 |
|
38 |
38 |
$162.73 |
| 17003 |
|
13 |
13 |
$162.50 |
| 90749 |
|
13 |
13 |
$162.38 |
| 87420 |
|
13 |
13 |
$159.51 |
| 76001 |
|
78 |
66 |
$157.66 |
| J2795 |
Ropivacaine hcl injection |
101 |
92 |
$152.57 |
| 88363 |
|
16 |
16 |
$142.14 |
| J1953 |
Levetiracetam injection |
201 |
142 |
$141.36 |
| J1817 |
Insulin for insulin pump use |
2,008 |
890 |
$136.77 |
| J1756 |
Iron sucrose injection |
64 |
42 |
$135.78 |
| 82340 |
|
60 |
56 |
$132.80 |
| 0171A |
|
31 |
31 |
$129.83 |
| J0360 |
Hydralazine hcl injection |
118 |
100 |
$121.89 |
| 80329 |
|
1,276 |
1,157 |
$115.50 |
| 87206 |
|
41 |
37 |
$114.00 |
| 96381 |
|
227 |
227 |
$110.88 |
| 80051 |
|
149 |
122 |
$105.17 |
| 82180 |
|
30 |
26 |
$104.64 |
| 91300 |
|
23,082 |
19,499 |
$103.21 |
| J7510 |
Prednisolone oral per 5 mg |
55 |
52 |
$89.36 |
| 87181 |
|
13 |
12 |
$87.99 |
| 86880 |
|
25 |
24 |
$86.46 |
| 87449 |
|
25 |
24 |
$80.93 |
| 70360 |
|
12 |
12 |
$79.44 |
| J2560 |
Phenobarbital sodium inj |
115 |
86 |
$71.00 |
| G0105 |
Colorectal scrn; hi risk ind |
15 |
15 |
$62.43 |
| 90696 |
|
2,096 |
2,084 |
$62.41 |
| 90633 |
|
5,407 |
5,361 |
$54.25 |
| 85260 |
|
13 |
12 |
$48.99 |
| 86702 |
|
15 |
12 |
$43.56 |
| 81015 |
|
16 |
16 |
$40.35 |
| 99153 |
Mod sedat endo service >5yrs |
771 |
725 |
$37.47 |
| 86701 |
|
15 |
12 |
$36.64 |
| 69200 |
|
12 |
12 |
$35.76 |
| 30901 |
|
13 |
13 |
$34.24 |
| G1004 |
Cdsm ndsc |
3,304 |
2,639 |
$29.38 |
| 90611 |
|
68 |
63 |
$25.80 |
| 87210 |
|
15 |
13 |
$23.33 |
| 99606 |
|
22 |
15 |
$21.50 |
| 91305 |
|
1,241 |
1,209 |
$16.90 |
| 87176 |
|
13 |
13 |
$15.57 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
556 |
495 |
$8.47 |
| 98941 |
|
17 |
14 |
$7.08 |
| C9113 |
Inj pantoprazole sodium, via |
1,620 |
982 |
$6.82 |
| A6209 |
Foam drsg <=16 sq in w/o bdr |
41 |
41 |
$4.44 |
| 91313 |
|
4,080 |
3,908 |
$4.37 |
| 91312 |
|
3,724 |
3,596 |
$0.01 |
| Q0220 |
Tixagev and cilgav, 300mg |
192 |
127 |
$0.01 |
| 90700 |
|
3,010 |
2,991 |
$0.00 |
| 90710 |
|
1,939 |
1,927 |
$0.00 |
| G9011 |
Mccd, risk adj, level 5 |
26,094 |
20,438 |
$0.00 |
| T2024 |
Serv asmnt/care plan waiver |
6,936 |
4,687 |
$0.00 |
| 90681 |
|
5,734 |
5,712 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
717 |
692 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
324 |
275 |
$0.00 |
| G8978 |
Mobility current status |
1,540 |
1,444 |
$0.00 |
| 96113 |
|
1,637 |
1,591 |
$0.00 |
| J9000 |
Doxorubicin hcl injection |
197 |
116 |
$0.00 |
| 90648 |
|
2,737 |
2,721 |
$0.00 |
| 90685 |
|
286 |
262 |
$0.00 |
| 90690 |
|
15 |
15 |
$0.00 |
| G9004 |
Mccd, risk adj lo, initial |
863 |
654 |
$0.00 |
| T2038 |
Comm trans waiver/service |
330 |
280 |
$0.00 |
| G0390 |
Trauma respons w/hosp criti |
107 |
97 |
$0.00 |
| 78434 |
|
13 |
13 |
$0.00 |
| G0500 |
Mod sedat endo service >5yrs |
250 |
237 |
$0.00 |
| M0247 |
Sotrovimab infusion |
18 |
14 |
$0.00 |
| 91311 |
|
322 |
320 |
$0.00 |
| G8979 |
Mobility goal status |
1,695 |
1,539 |
$0.00 |
| 91308 |
|
743 |
737 |
$0.00 |
| G8985 |
Carry goal status |
369 |
346 |
$0.00 |
| 88344 |
|
12 |
12 |
$0.00 |
| J1450 |
Fluconazole |
144 |
116 |
$0.00 |
| G9919 |
Scrn nd pos nd prov of rec |
143 |
143 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
217 |
170 |
$0.00 |
| G8984 |
Carry current status |
343 |
323 |
$0.00 |
| L1820 |
Ko elas w/ condyle pads & jo |
28 |
27 |
$0.00 |
| G8996 |
Swallow current status |
123 |
94 |
$0.00 |
| J3473 |
Hyaluronidase recombinant |
16 |
16 |
$0.00 |
| G8997 |
Swallow goal status |
110 |
81 |
$0.00 |
| 96133 |
|
38 |
38 |
$0.00 |
| 94664 |
|
28 |
28 |
$0.00 |
| A9541 |
Tc99m sulfur colloid |
12 |
12 |
$0.00 |
| 93356 |
|
13 |
13 |
$0.00 |
| 94375 |
|
26 |
26 |
$0.00 |
| G8989 |
Self care d/c status |
13 |
12 |
$0.00 |
| Q9961 |
Hocm 250-299mg/ml iodine,1ml |
12 |
12 |
$0.00 |
| 96136 |
|
24 |
24 |
$0.00 |
| 72202 |
|
16 |
13 |
$0.00 |
| 99221 |
|
20 |
18 |
$0.00 |
| 75565 |
|
12 |
12 |
$0.00 |
| 90380 |
|
38 |
38 |
$0.00 |
| J1631 |
Haloperidol decanoate inj |
15 |
13 |
$0.00 |
| 94761 |
|
122 |
114 |
$0.00 |
| G8980 |
Mobility d/c status |
507 |
475 |
$0.00 |
| 80320 |
|
1,627 |
1,484 |
$0.00 |
| 90744 |
|
3,354 |
3,308 |
$0.00 |
| 90680 |
|
413 |
370 |
$0.00 |
| G0506 |
Comp asses care plan ccm svc |
1,252 |
1,022 |
$0.00 |
| J8501 |
Oral aprepitant |
551 |
357 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
28 |
28 |
$0.00 |
| 91309 |
|
48 |
48 |
$0.00 |
| 90657 |
|
246 |
245 |
$0.00 |
| G9005 |
Mccd, risk adj, maintenance |
48,340 |
34,331 |
$0.00 |
| G9007 |
Mccd, sch team conf |
693 |
436 |
$0.00 |
| 73600 |
|
14 |
13 |
$0.00 |
| 90697 |
|
3,522 |
3,501 |
$0.00 |
| 91316 |
|
30 |
30 |
$0.00 |
| J1805 |
Inj, esmolol hcl, 10mg |
109 |
104 |
$0.00 |
| 91317 |
|
228 |
220 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
12 |
12 |
$0.00 |
| G8988 |
Self care goal status |
45 |
38 |
$0.00 |
| 78320 |
|
46 |
45 |
$0.00 |
| J7611 |
Albuterol non-comp con |
49 |
29 |
$0.00 |
| 90619 |
|
58 |
58 |
$0.00 |
| J1921 |
Inj labetalol hcl hikma, 5mg |
14 |
12 |
$0.00 |
| J3590 |
Unclassified biologics |
247 |
185 |
$0.00 |
| 91315 |
|
442 |
441 |
$0.00 |
| J2920 |
Methylprednisolone injection |
13 |
12 |
$0.00 |
| 90698 |
|
268 |
230 |
$0.00 |
| G0416 |
Prostate biopsy, any mthd |
79 |
75 |
$0.00 |
| 99402 |
|
54 |
53 |
$0.00 |
| 73120 |
|
12 |
12 |
$0.00 |
| J3357 |
Ustekinumab sub cu inj, 1 mg |
13 |
13 |
$0.00 |
| 90381 |
|
161 |
161 |
$0.00 |
| J2020 |
Linezolid injection |
42 |
26 |
$0.00 |
| 95831 |
|
25 |
25 |
$0.00 |
| J0611 |
Calcium glucon (wg critical) |
30 |
24 |
$0.00 |
| G8987 |
Self care current status |
44 |
38 |
$0.00 |
| Q0221 |
Tixagev and cilgav, 600mg |
60 |
57 |
$0.00 |
| 96380 |
|
22 |
22 |
$0.00 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
13 |
12 |
$0.00 |
| C9399 |
Unclassified drugs or biolog |
21 |
20 |
$0.00 |
| J0604 |
Cinacalcet, esrd on dialysis |
28 |
13 |
$0.00 |
| 54235 |
|
14 |
13 |
$0.00 |
| G0123 |
Screen cerv/vag thin layer |
91 |
89 |
$0.00 |
| 96377 |
|
21 |
12 |
$0.00 |
| 88331 |
|
14 |
13 |
$0.00 |
| J0456 |
Azithromycin |
17 |
14 |
$0.00 |
| A9597 |
Pet, dx, for tumor id, noc |
13 |
13 |
$0.00 |