| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
25,229 |
19,549 |
$6.32M |
| 99285 |
|
17,616 |
12,027 |
$5.95M |
| 99283 |
|
27,714 |
23,423 |
$5.00M |
| 0202U |
|
9,067 |
8,123 |
$2.87M |
| 74177 |
|
8,521 |
7,066 |
$2.65M |
| 96374 |
|
48,889 |
19,034 |
$2.13M |
| 70450 |
|
9,071 |
7,052 |
$1.35M |
| 96413 |
|
6,092 |
2,540 |
$1.34M |
| 96375 |
|
22,793 |
13,786 |
$1.29M |
| 99282 |
|
11,500 |
9,814 |
$1.28M |
| 96365 |
|
17,757 |
5,492 |
$1.10M |
| J0585 |
Injection,onabotulinumtoxina |
2,437 |
1,585 |
$1.06M |
| 93306 |
|
3,916 |
3,194 |
$921K |
| G0463 |
Hospital outpt clinic visit |
14,311 |
10,992 |
$863K |
| 78452 |
|
2,524 |
1,184 |
$834K |
| 70553 |
|
3,170 |
2,392 |
$799K |
| 96361 |
|
7,153 |
3,213 |
$769K |
| 71045 |
|
13,700 |
10,346 |
$752K |
| 97597 |
|
5,339 |
2,535 |
$733K |
| 71046 |
|
12,559 |
10,167 |
$720K |
| 96366 |
|
6,406 |
2,531 |
$690K |
| 36415 |
|
181,701 |
89,809 |
$524K |
| 80053 |
|
76,989 |
59,424 |
$514K |
| 96372 |
|
27,255 |
12,061 |
$507K |
| 43239 |
|
1,696 |
982 |
$503K |
| 93005 |
|
18,642 |
14,658 |
$488K |
| 20553 |
|
3,202 |
2,480 |
$452K |
| 74176 |
|
2,393 |
1,997 |
$444K |
| 20611 |
|
2,510 |
1,804 |
$399K |
| 87635 |
|
10,592 |
8,613 |
$392K |
| 85025 |
|
77,697 |
59,258 |
$389K |
| 97110 |
|
12,206 |
2,937 |
$383K |
| 93458 |
|
365 |
225 |
$376K |
| U0003 |
Cov-19 amp prb hgh thruput |
6,508 |
5,435 |
$366K |
| 72125 |
|
3,068 |
2,620 |
$363K |
| 76830 |
|
3,454 |
3,185 |
$348K |
| 62323 |
|
1,222 |
1,001 |
$343K |
| 76705 |
|
3,439 |
3,122 |
$295K |
| 95810 |
|
353 |
325 |
$294K |
| G0378 |
Hospital observation per hr |
12,132 |
4,321 |
$289K |
| 96367 |
|
3,939 |
990 |
$274K |
| 84443 |
|
20,063 |
17,689 |
$268K |
| 72148 |
|
1,898 |
1,691 |
$266K |
| 77067 |
|
3,764 |
3,465 |
$264K |
| 71275 |
|
1,483 |
1,243 |
$250K |
| 88305 |
|
9,894 |
5,963 |
$246K |
| 72100 |
|
3,470 |
2,962 |
$244K |
| 93971 |
|
1,718 |
1,486 |
$243K |
| 80307 |
|
8,553 |
7,204 |
$241K |
| 82306 |
|
11,470 |
9,919 |
$239K |
| 11042 |
|
1,517 |
753 |
$234K |
| 96376 |
|
6,675 |
3,975 |
$232K |
| 80061 |
|
21,931 |
18,427 |
$224K |
| 93017 |
|
1,670 |
1,424 |
$219K |
| 71260 |
|
2,214 |
1,597 |
$217K |
| 74150 |
|
1,431 |
1,258 |
$217K |
| 96360 |
|
2,743 |
1,198 |
$204K |
| 76536 |
|
1,308 |
1,211 |
$198K |
| 72131 |
|
1,633 |
1,339 |
$190K |
| 72141 |
|
1,101 |
945 |
$189K |
| 80050 |
|
6,693 |
5,755 |
$188K |
| 70551 |
|
1,170 |
969 |
$185K |
| 73030 |
|
2,978 |
2,361 |
$166K |
| 93880 |
|
1,393 |
1,117 |
$166K |
| 73630 |
|
3,025 |
2,561 |
$155K |
| 64615 |
|
1,794 |
1,295 |
$154K |
| 74018 |
|
3,710 |
3,200 |
$152K |
| 73610 |
|
2,597 |
2,201 |
$150K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
545 |
420 |
$146K |
| 95886 |
|
2,436 |
2,095 |
$139K |
| 76770 |
|
976 |
871 |
$139K |
| 72040 |
|
2,064 |
1,683 |
$138K |
| 99213 |
|
4,899 |
4,193 |
$132K |
| 76642 |
|
1,940 |
1,603 |
$131K |
| C1769 |
Guide wire |
4,939 |
1,770 |
$130K |
| 93923 |
|
1,511 |
1,355 |
$128K |
| 76817 |
|
1,496 |
1,179 |
$127K |
| 70486 |
|
938 |
816 |
$126K |
| 74178 |
|
735 |
542 |
$122K |
| 99211 |
|
4,697 |
3,373 |
$122K |
| 95800 |
|
1,339 |
664 |
$119K |
| U0005 |
Infec agen detec ampli probe |
6,282 |
5,630 |
$115K |
| 73130 |
|
2,281 |
1,915 |
$114K |
| 83036 |
|
17,375 |
15,130 |
$113K |
| G0480 |
Drug test def 1-7 classes |
2,418 |
1,934 |
$107K |
| 95811 |
|
147 |
142 |
$106K |
| 71250 |
|
1,101 |
903 |
$105K |
| 80081 |
|
1,993 |
1,671 |
$101K |
| 87801 |
|
1,857 |
1,668 |
$101K |
| 87624 |
|
3,650 |
3,241 |
$92K |
| U0002 |
Covid-19 lab test non-cdc |
2,158 |
1,940 |
$92K |
| 76801 |
|
754 |
648 |
$90K |
| 84439 |
|
12,392 |
10,878 |
$89K |
| 96417 |
|
1,181 |
689 |
$88K |
| 87086 |
|
17,144 |
13,825 |
$87K |
| 88342 |
|
1,645 |
1,339 |
$83K |
| 82607 |
|
7,040 |
6,068 |
$81K |
| 87591 |
|
3,706 |
3,149 |
$81K |
| C8929 |
Tte w or wo fol wcon,doppler |
291 |
206 |
$81K |
| 88175 |
|
4,422 |
3,963 |
$81K |
| 87491 |
|
3,766 |
3,165 |
$80K |
| 64405 |
|
421 |
308 |
$77K |
| 93350 |
|
368 |
295 |
$77K |
| 94640 |
|
4,025 |
2,717 |
$77K |
| 85027 |
|
14,990 |
12,243 |
$76K |
| A9500 |
Tc99m sestamibi |
644 |
566 |
$76K |
| 97162 |
|
1,407 |
1,224 |
$76K |
| 73560 |
|
2,634 |
2,047 |
$75K |
| 83880 |
|
4,467 |
3,751 |
$73K |
| 95911 |
|
314 |
281 |
$72K |
| 73110 |
|
1,446 |
1,190 |
$71K |
| 95909 |
|
473 |
409 |
$70K |
| 84484 |
|
13,960 |
8,284 |
$70K |
| 99212 |
|
2,747 |
2,338 |
$70K |
| 78227 |
|
243 |
197 |
$68K |
| 87507 |
|
337 |
308 |
$66K |
| 80048 |
|
12,328 |
8,377 |
$66K |
| 90853 |
|
1,152 |
113 |
$65K |
| 86900 |
|
6,372 |
3,248 |
$63K |
| 88304 |
|
2,207 |
1,566 |
$62K |
| 84403 |
|
2,956 |
2,521 |
$62K |
| 73562 |
|
1,159 |
960 |
$61K |
| J2785 |
Regadenoson injection |
581 |
514 |
$60K |
| 99152 |
|
1,269 |
1,048 |
$58K |
| 87806 |
|
2,472 |
2,139 |
$57K |
| 73502 |
|
1,659 |
1,332 |
$56K |
| 87804 |
|
6,672 |
4,263 |
$56K |
| 73721 |
|
265 |
253 |
$55K |
| 99215 |
Prolong outpt/office vis |
1,035 |
978 |
$54K |
| 84703 |
|
14,859 |
12,604 |
$54K |
| 82947 |
|
5,276 |
1,974 |
$53K |
| 77063 |
|
4,889 |
3,956 |
$52K |
| 47562 |
|
14 |
12 |
$52K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
13,904 |
12,000 |
$51K |
| 99214 |
|
1,149 |
1,019 |
$49K |
| 84702 |
|
4,816 |
3,467 |
$49K |
| 59025 |
|
404 |
219 |
$45K |
| 77065 |
Tomosynthesis, mammo |
864 |
662 |
$45K |
| 83690 |
|
13,630 |
11,378 |
$44K |
| 76805 |
|
296 |
255 |
$44K |
| J3490 |
Drugs unclassified injection |
3,196 |
509 |
$44K |
| J7050 |
Normal saline solution infus |
5,841 |
1,504 |
$44K |
| 72110 |
|
375 |
310 |
$41K |
| 87070 |
|
6,043 |
4,424 |
$37K |
| 74022 |
|
478 |
420 |
$37K |
| Q9957 |
Inj perflutren lip micros,ml |
1,022 |
919 |
$37K |
| J7040 |
Normal saline solution infus |
971 |
235 |
$36K |
| G0379 |
Direct refer hospital observ |
173 |
106 |
$35K |
| 87661 |
|
2,775 |
2,393 |
$35K |
| C1894 |
Intro/sheath, non-laser |
1,623 |
1,074 |
$35K |
| 87880 |
|
4,677 |
4,353 |
$34K |
| 81001 |
|
19,505 |
16,497 |
$34K |
| J3010 |
Fentanyl citrate injection |
8,865 |
7,091 |
$34K |
| 86850 |
|
3,906 |
2,809 |
$33K |
| 82728 |
|
3,232 |
2,800 |
$33K |
| 87186 |
|
5,838 |
4,783 |
$32K |
| J1040 |
Methylprednisolone 80 mg inj |
2,356 |
1,818 |
$32K |
| 86803 |
|
3,014 |
2,638 |
$31K |
| J3301 |
Triamcinolone acet inj nos |
2,585 |
2,270 |
$31K |
| 76942 |
|
485 |
410 |
$31K |
| 84144 |
|
1,815 |
1,547 |
$30K |
| J1170 |
Hydromorphone injection |
8,720 |
5,949 |
$30K |
| 82565 |
|
2,225 |
1,098 |
$30K |
| 96523 |
|
1,150 |
738 |
$30K |
| 73590 |
|
399 |
324 |
$29K |
| 85610 |
|
10,317 |
7,971 |
$29K |
| 82077 |
|
3,808 |
3,018 |
$28K |
| 83735 |
|
8,001 |
5,861 |
$27K |
| 88142 |
|
1,520 |
1,397 |
$27K |
| 73221 |
|
147 |
138 |
$27K |
| 96415 |
|
429 |
267 |
$26K |
| J2704 |
Inj, propofol, 10 mg |
9,432 |
7,122 |
$25K |
| A9577 |
Inj multihance |
3,520 |
3,155 |
$25K |
| 87081 |
|
5,937 |
4,861 |
$24K |
| J2270 |
Morphine sulfate injection |
8,137 |
6,184 |
$24K |
| 82746 |
|
2,267 |
2,012 |
$24K |
| 87653 |
|
1,006 |
929 |
$24K |
| 45380 |
|
45 |
42 |
$23K |
| 12001 |
|
215 |
196 |
$23K |
| J2405 |
Ondansetron hcl injection |
20,533 |
15,199 |
$23K |
| 72072 |
|
364 |
297 |
$23K |
| 70496 |
|
118 |
91 |
$23K |
| 82570 |
|
6,068 |
5,147 |
$22K |
| 87077 |
|
4,272 |
2,983 |
$22K |
| 83001 |
|
1,428 |
1,251 |
$22K |
| 83550 |
|
3,243 |
2,899 |
$21K |
| A9502 |
Tc99m tetrofosmin |
124 |
113 |
$21K |
| 81003 |
|
14,523 |
12,603 |
$21K |
| 82043 |
|
4,851 |
4,251 |
$21K |
| 27096 |
|
122 |
111 |
$21K |
| J2469 |
Palonosetron hcl |
1,224 |
638 |
$20K |
| J7120 |
Ringers lactate infusion |
3,725 |
1,638 |
$20K |
| 84146 |
|
1,303 |
1,109 |
$20K |
| C9290 |
Inj, bupivacaine liposome |
243 |
219 |
$19K |
| 83605 |
|
4,127 |
3,222 |
$19K |
| 83540 |
|
3,878 |
3,451 |
$19K |
| 88720 |
|
3,311 |
2,039 |
$19K |
| 82948 |
|
3,330 |
1,263 |
$18K |
| 93970 |
|
99 |
86 |
$18K |
| 86140 |
|
5,134 |
4,283 |
$18K |
| 86694 |
|
967 |
731 |
$18K |
| M0243 |
Casirivi and imdevi inj |
72 |
62 |
$18K |
| G0279 |
Tomosynthesis, mammo |
1,577 |
1,174 |
$18K |
| 85730 |
|
5,590 |
4,626 |
$17K |
| M0245 |
Bamlan and etesev infusion |
57 |
55 |
$17K |
| 80074 |
|
525 |
455 |
$17K |
| J1100 |
Dexamethasone sodium phos |
11,707 |
8,514 |
$17K |
| 77066 |
Tomosynthesis, mammo |
251 |
203 |
$17K |
| C1760 |
Closure dev, vasc |
249 |
220 |
$17K |
| 00731 |
|
354 |
291 |
$17K |
| 94060 |
|
257 |
140 |
$17K |
| 86901 |
|
4,139 |
3,043 |
$17K |
| 86787 |
|
2,013 |
1,673 |
$17K |
| 87040 |
|
3,663 |
1,823 |
$17K |
| 86038 |
|
1,811 |
1,599 |
$17K |
| J1885 |
Ketorolac tromethamine inj |
10,689 |
8,760 |
$16K |
| 73521 |
|
210 |
182 |
$16K |
| 99153 |
Mod sedat endo service >5yrs |
302 |
263 |
$15K |
| 82962 |
|
3,288 |
1,263 |
$15K |
| 84270 |
|
864 |
766 |
$15K |
| J7030 |
Normal saline solution infus |
2,833 |
751 |
$15K |
| 84153 |
|
1,187 |
1,015 |
$15K |
| 93246 |
|
667 |
606 |
$15K |
| 76815 |
|
223 |
184 |
$15K |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
1,832 |
1,288 |
$15K |
| 77080 |
|
505 |
346 |
$14K |
| 97530 |
|
798 |
355 |
$14K |
| C1889 |
Implant/insert device, noc |
26 |
25 |
$14K |
| 71271 |
|
374 |
318 |
$14K |
| J2250 |
Inj midazolam hydrochloride |
7,738 |
6,075 |
$14K |
| 85379 |
|
3,291 |
2,898 |
$14K |
| 82670 |
|
567 |
511 |
$13K |
| 00840 |
|
137 |
108 |
$13K |
| 76856 |
|
186 |
178 |
$13K |
| 72128 |
|
91 |
81 |
$13K |
| 83970 |
|
463 |
405 |
$12K |
| 99281 |
|
224 |
200 |
$12K |
| 70491 |
|
73 |
52 |
$12K |
| 80306 |
|
1,561 |
1,348 |
$11K |
| 83002 |
|
700 |
628 |
$11K |
| 85652 |
|
5,071 |
4,313 |
$11K |
| J0690 |
Cefazolin sodium injection |
5,683 |
3,601 |
$11K |
| 94760 |
|
1,694 |
809 |
$10K |
| 87641 |
|
608 |
539 |
$10K |
| 80076 |
|
1,534 |
1,212 |
$10K |
| 81025 |
|
1,533 |
1,288 |
$9K |
| 80143 |
|
1,173 |
1,003 |
$9K |
| 80179 |
|
1,101 |
950 |
$9K |
| 73090 |
|
197 |
176 |
$9K |
| 97161 |
|
313 |
155 |
$9K |
| 80354 |
|
1,141 |
1,012 |
$9K |
| 10060 |
|
63 |
48 |
$8K |
| J2360 |
Orphenadrine injection |
2,866 |
2,482 |
$8K |
| S9443 |
Lactation class |
501 |
329 |
$8K |
| 86431 |
|
1,686 |
1,430 |
$8K |
| J1650 |
Inj enoxaparin sodium |
3,502 |
1,639 |
$8K |
| 82803 |
|
800 |
659 |
$8K |
| C1725 |
Cath, translumin non-laser |
279 |
39 |
$8K |
| 76700 |
|
78 |
77 |
$8K |
| 87205 |
|
2,628 |
2,172 |
$7K |
| 82950 |
|
1,995 |
1,752 |
$7K |
| 90471 |
|
1,271 |
1,103 |
$7K |
| 00813 |
|
134 |
126 |
$7K |
| J1030 |
Methylprednisolone 40 mg inj |
352 |
272 |
$7K |
| 84550 |
|
2,000 |
1,682 |
$7K |
| 87075 |
|
1,272 |
1,007 |
$7K |
| 82150 |
|
1,585 |
1,352 |
$7K |
| J1756 |
Iron sucrose injection |
190 |
87 |
$7K |
| J2795 |
Ropivacaine hcl injection |
1,060 |
771 |
$7K |
| 94664 |
|
551 |
467 |
$7K |
| 70498 |
|
41 |
37 |
$7K |
| 73080 |
|
130 |
109 |
$6K |
| J1010 |
Inj, methylpred acetate 1 mg |
366 |
316 |
$6K |
| 93356 |
|
144 |
126 |
$6K |
| 88307 |
|
143 |
92 |
$6K |
| 87522 |
Neg quan hep c or qual rna |
142 |
133 |
$6K |
| 93225 |
|
69 |
48 |
$6K |
| A4216 |
Sterile water/saline, 10 ml |
431 |
194 |
$6K |
| G0103 |
Psa screening |
688 |
420 |
$6K |
| 83525 |
|
592 |
542 |
$6K |
| J1642 |
Inj heparin sodium per 10 u |
4,988 |
2,605 |
$6K |
| G0260 |
Inj for sacroiliac jt anesth |
23 |
15 |
$6K |
| 97014 |
|
233 |
72 |
$5K |
| Q0111 |
Wet mounts/ w preparations |
428 |
379 |
$5K |
| 83516 |
|
356 |
258 |
$5K |
| J2274 |
Inj morphine pf epid ithc |
363 |
284 |
$5K |
| 90715 |
|
1,086 |
977 |
$5K |
| C1887 |
Catheter, guiding |
197 |
140 |
$5K |
| J3370 |
Vancomycin hcl injection |
741 |
435 |
$5K |
| J2930 |
Methylprednisolone injection |
1,522 |
1,186 |
$5K |
| 86592 |
|
1,423 |
1,238 |
$5K |
| J1200 |
Diphenhydramine hcl injectio |
5,167 |
3,562 |
$5K |
| J0696 |
Ceftriaxone sodium injection |
4,078 |
3,229 |
$5K |
| G0399 |
Home sleep test/type 3 porta |
43 |
30 |
$5K |
| 82550 |
|
1,440 |
1,148 |
$5K |
| 45385 |
|
21 |
14 |
$5K |
| 87633 |
|
18 |
12 |
$5K |
| 99204 |
|
106 |
95 |
$5K |
| 86696 |
|
328 |
283 |
$4K |
| 36600 |
|
703 |
519 |
$4K |
| J2060 |
Lorazepam injection |
2,326 |
1,737 |
$4K |
| 88312 |
|
207 |
182 |
$4K |
| 84156 |
|
1,427 |
1,083 |
$4K |
| 86701 |
|
439 |
388 |
$4K |
| G0283 |
Elec stim other than wound |
210 |
54 |
$4K |
| J2765 |
Metoclopramide hcl injection |
3,015 |
2,400 |
$4K |
| 62321 |
|
14 |
13 |
$4K |
| J0330 |
Succinycholine chloride inj |
994 |
812 |
$4K |
| 84100 |
|
1,417 |
1,016 |
$4K |
| J1644 |
Inj heparin sodium per 1000u |
2,887 |
1,530 |
$4K |
| 95816 |
|
29 |
26 |
$4K |
| J2550 |
Promethazine hcl injection |
3,634 |
2,620 |
$4K |
| 87185 |
|
763 |
648 |
$3K |
| 76870 |
|
58 |
51 |
$3K |
| 86695 |
|
341 |
284 |
$3K |
| 81514 |
|
42 |
41 |
$3K |
| 87389 |
|
216 |
185 |
$3K |
| 64493 |
|
19 |
14 |
$3K |
| 80164 |
|
394 |
285 |
$3K |
| 94729 |
|
127 |
108 |
$3K |
| C1776 |
Joint device (implantable) |
14 |
12 |
$3K |
| 97140 |
|
236 |
83 |
$3K |
| 87420 |
|
329 |
307 |
$3K |
| J8501 |
Oral aprepitant |
281 |
229 |
$3K |
| 82378 |
|
213 |
182 |
$3K |
| G0297 |
Ldct for lung ca screen |
123 |
98 |
$3K |
| 95813 |
|
13 |
13 |
$3K |
| 72146 |
|
15 |
12 |
$3K |
| 00790 |
|
44 |
39 |
$3K |
| 93229 |
|
39 |
37 |
$2K |
| 84402 |
|
130 |
122 |
$2K |
| 12002 |
|
17 |
12 |
$2K |
| 71101 |
|
65 |
51 |
$2K |
| 93226 |
|
37 |
28 |
$2K |
| 87210 |
|
765 |
584 |
$2K |
| 86308 |
|
452 |
414 |
$2K |
| 00400 |
|
16 |
13 |
$2K |
| 99205 |
Prolong outpt/office vis |
49 |
45 |
$2K |
| A9537 |
Tc99m mebrofenin |
342 |
315 |
$2K |
| 84132 |
|
838 |
676 |
$2K |
| 83615 |
|
270 |
239 |
$2K |
| 70544 |
|
12 |
12 |
$2K |
| J0780 |
Prochlorperazine injection |
710 |
630 |
$2K |
| 82784 |
|
269 |
199 |
$2K |
| 73140 |
|
30 |
24 |
$2K |
| 80320 |
|
960 |
720 |
$2K |
| 12011 |
|
13 |
13 |
$1K |
| 84165 |
|
204 |
169 |
$1K |
| 94726 |
|
58 |
51 |
$1K |
| 64494 |
|
19 |
14 |
$1K |
| 84436 |
|
220 |
205 |
$1K |
| C9113 |
Inj pantoprazole sodium, via |
534 |
277 |
$1K |
| 82248 |
|
360 |
207 |
$1K |
| C9399 |
Unclassified drugs or biolog |
94 |
79 |
$1K |
| 20610 |
|
13 |
12 |
$1K |
| C1773 |
Ret dev, insertable |
107 |
59 |
$1K |
| 71100 |
|
18 |
12 |
$1K |
| 80329 |
|
308 |
155 |
$1K |
| J1453 |
Fosaprepitant injection |
39 |
24 |
$1K |
| 84145 |
|
72 |
59 |
$1K |
| 86003 |
|
13 |
12 |
$1K |
| 83655 |
|
97 |
88 |
$948.71 |
| 72120 |
|
33 |
25 |
$937.42 |
| 84112 |
|
13 |
12 |
$912.42 |
| 93922 |
|
18 |
12 |
$907.34 |
| A9585 |
Gadobutrol injection |
97 |
77 |
$865.24 |
| 86618 |
|
73 |
66 |
$792.61 |
| J3480 |
Inj potassium chloride |
337 |
184 |
$790.88 |
| 86757 |
|
49 |
29 |
$766.26 |
| 82533 |
|
60 |
55 |
$734.97 |
| 36591 |
|
50 |
26 |
$721.61 |
| 81002 |
|
283 |
263 |
$712.00 |
| 86617 |
|
28 |
25 |
$707.91 |
| 00812 |
|
18 |
12 |
$658.91 |
| 83721 |
|
166 |
141 |
$642.87 |
| 86403 |
|
77 |
71 |
$626.84 |
| 82140 |
|
80 |
62 |
$563.77 |
| J2919 |
Inj, methylpred sod succ 5mg |
203 |
150 |
$553.30 |
| 97165 |
|
13 |
12 |
$524.01 |
| J2370 |
Phenylephrine hcl injection |
452 |
358 |
$513.55 |
| 86376 |
|
33 |
28 |
$449.61 |
| 87045 |
|
46 |
45 |
$436.58 |
| 84481 |
|
29 |
25 |
$426.84 |
| Q0162 |
Ondansetron oral |
785 |
713 |
$418.34 |
| J3475 |
Inj magnesium sulfate |
107 |
74 |
$396.69 |
| 96368 |
|
17 |
12 |
$391.30 |
| C1729 |
Cath, drainage |
61 |
24 |
$385.51 |
| 87335 |
|
29 |
29 |
$372.51 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
287 |
230 |
$356.29 |
| 82247 |
|
97 |
43 |
$355.26 |
| 83883 |
|
31 |
25 |
$350.88 |
| 87046 |
|
46 |
45 |
$341.22 |
| 86334 |
|
27 |
24 |
$332.83 |
| 97116 |
|
53 |
26 |
$316.52 |
| 84155 |
|
204 |
169 |
$315.06 |
| 62369 |
|
28 |
16 |
$314.08 |
| 85014 |
|
236 |
167 |
$300.08 |
| J1250 |
Inj dobutamine hcl/250 mg |
46 |
39 |
$262.39 |
| 94727 |
|
29 |
29 |
$260.52 |
| 87015 |
|
134 |
64 |
$247.57 |
| G8981 |
Body pos current status |
145 |
84 |
$245.68 |
| J3411 |
Thiamine hcl 100 mg |
104 |
55 |
$245.46 |
| 87324 |
|
32 |
29 |
$234.93 |
| 87899 |
|
36 |
28 |
$230.65 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
198 |
109 |
$217.54 |
| 36416 |
|
67 |
30 |
$213.88 |
| 83021 |
|
15 |
13 |
$207.71 |
| 86703 |
|
16 |
13 |
$201.16 |
| 85018 |
|
136 |
99 |
$197.70 |
| 82977 |
|
34 |
27 |
$196.68 |
| 31720 |
|
12 |
12 |
$188.16 |
| 86039 |
|
23 |
12 |
$153.76 |
| 82175 |
|
12 |
12 |
$149.10 |
| G8978 |
Mobility current status |
275 |
209 |
$144.12 |
| 82785 |
|
14 |
12 |
$136.63 |
| Q0112 |
Potassium hydroxide preps |
32 |
26 |
$129.65 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
62 |
58 |
$127.55 |
| 87807 |
|
24 |
23 |
$124.04 |
| J2805 |
Sincalide injection |
14 |
14 |
$115.61 |
| 83825 |
|
12 |
12 |
$115.45 |
| 87427 |
|
14 |
13 |
$104.61 |
| J2175 |
Meperidine hydrochl /100 mg |
35 |
25 |
$103.91 |
| 87340 |
|
15 |
13 |
$99.81 |
| 85045 |
|
32 |
31 |
$91.38 |
| 87449 |
|
17 |
14 |
$87.17 |
| 64447 |
|
13 |
12 |
$70.98 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
12 |
12 |
$69.31 |
| A4364 |
Adhesive, liquid or equal |
13 |
13 |
$67.34 |
| G8979 |
Mobility goal status |
268 |
220 |
$66.24 |
| J1720 |
Hydrocortisone sodium succ i |
14 |
13 |
$64.81 |
| J2305 |
Inj, nitroglycerin, 5 mg |
20 |
17 |
$59.24 |
| 89050 |
|
17 |
12 |
$35.56 |
| J0744 |
Ciprofloxacin iv |
17 |
12 |
$33.22 |
| 81015 |
|
20 |
15 |
$31.72 |
| S0028 |
Injection, famotidine, 20 mg |
27 |
20 |
$26.40 |
| J0360 |
Hydralazine hcl injection |
18 |
12 |
$21.12 |
| J1456 |
Inj, fosaprepitant (teva) |
22 |
13 |
$19.50 |
| J1790 |
Droperidol injection |
19 |
14 |
$19.41 |
| A4217 |
Sterile water/saline, 500 ml |
22 |
15 |
$12.80 |
| J0171 |
Adrenalin epinephrine inject |
29 |
25 |
$10.48 |
| Q0245 |
Bamlanivimab and etesevima |
64 |
59 |
$0.29 |
| Q0244 |
Casirivi and imdevi 1200 mg |
21 |
16 |
$0.17 |
| S2900 |
Robotic surgical system |
203 |
161 |
$0.00 |
| G8982 |
Body pos goal status |
93 |
84 |
$0.00 |