| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90791 |
|
30,256 |
23,617 |
$20.18M |
| 90834 |
|
96,989 |
59,639 |
$14.45M |
| T1040 |
Comm bh clinic svc per diem |
134,597 |
21,308 |
$13.82M |
| 99213 |
|
96,117 |
81,941 |
$12.77M |
| 90832 |
|
84,712 |
53,713 |
$11.93M |
| J9271 |
Inj pembrolizumab |
1,294 |
1,012 |
$11.16M |
| 99284 |
|
56,745 |
53,006 |
$10.66M |
| 99214 |
|
71,832 |
62,623 |
$9.73M |
| S9485 |
Crisis intervention mental h |
7,605 |
6,943 |
$9.26M |
| U0003 |
Cov-19 amp prb hgh thruput |
110,219 |
104,712 |
$8.82M |
| 99283 |
|
51,733 |
48,740 |
$8.78M |
| J2350 |
Injection, ocrelizumab, 1 mg |
358 |
343 |
$8.68M |
| H0040 |
Assert comm tx pgm per diem |
4,801 |
4,760 |
$8.11M |
| 97110 |
|
95,523 |
47,540 |
$7.99M |
| H0020 |
Alcohol and/or drug services |
261,949 |
22,221 |
$7.61M |
| H2011 |
Crisis interven svc, 15 min |
37,895 |
15,727 |
$5.18M |
| Q5103 |
Injection, inflectra |
4,473 |
4,091 |
$4.93M |
| J1459 |
Inj ivig privigen 500 mg |
1,830 |
1,061 |
$4.58M |
| G0463 |
Hospital outpt clinic visit |
32,491 |
26,429 |
$4.23M |
| 90837 |
|
24,356 |
15,244 |
$4.02M |
| H0035 |
Mh partial hosp tx under 24h |
16,448 |
2,305 |
$3.81M |
| 99282 |
|
24,501 |
23,201 |
$3.61M |
| J3380 |
Inj vedolizumab iv 1 mg |
1,052 |
991 |
$3.41M |
| 99285 |
|
17,053 |
16,295 |
$3.31M |
| H0005 |
Alcohol and/or drug services |
14,833 |
4,116 |
$3.18M |
| 41899 |
|
2,904 |
2,900 |
$3.16M |
| 96415 |
|
6,475 |
5,575 |
$3.14M |
| G0396 |
Alcohol/subs interv 15-30mn |
13,402 |
9,326 |
$3.13M |
| 96365 |
|
17,134 |
11,303 |
$3.04M |
| 87491 |
|
84,865 |
81,675 |
$2.97M |
| 99212 |
|
22,774 |
18,868 |
$2.95M |
| 99215 |
Prolong outpt/office vis |
21,061 |
18,709 |
$2.94M |
| 87591 |
|
83,390 |
81,200 |
$2.73M |
| 96413 |
|
12,957 |
9,416 |
$2.70M |
| 96361 |
|
12,517 |
10,810 |
$2.68M |
| 87631 |
|
25,903 |
25,532 |
$2.60M |
| 43239 |
|
3,512 |
3,502 |
$2.52M |
| G0397 |
Alcohol/subs interv >30 min |
9,950 |
6,059 |
$2.41M |
| J2426 |
Inj, invega sustenna, 1 mg |
2,127 |
1,747 |
$2.30M |
| J1745 |
Infliximab not biosimil 10mg |
805 |
729 |
$2.30M |
| 95810 |
|
3,217 |
3,216 |
$2.26M |
| 70450 |
|
7,732 |
7,583 |
$2.11M |
| 80053 |
|
165,677 |
148,013 |
$2.06M |
| 93306 |
|
8,653 |
8,306 |
$1.97M |
| D9223 |
|
5,393 |
3,961 |
$1.92M |
| 42820 |
|
1,270 |
1,268 |
$1.83M |
| G0378 |
Hospital observation per hr |
4,102 |
3,202 |
$1.81M |
| 69436 |
|
1,387 |
1,385 |
$1.80M |
| 90853 |
|
15,144 |
5,886 |
$1.77M |
| 74177 |
|
7,185 |
7,109 |
$1.75M |
| 88305 |
|
16,432 |
14,267 |
$1.74M |
| J0490 |
Belimumab injection |
732 |
508 |
$1.74M |
| U0005 |
Infec agen detec ampli probe |
69,411 |
66,449 |
$1.70M |
| 70553 |
|
4,563 |
4,541 |
$1.60M |
| 76856 |
|
6,801 |
6,685 |
$1.59M |
| 45380 |
|
2,163 |
2,161 |
$1.53M |
| 87661 |
|
47,881 |
47,060 |
$1.44M |
| 80307 |
|
31,652 |
26,485 |
$1.39M |
| 97161 |
|
13,427 |
13,326 |
$1.37M |
| 84443 |
|
90,755 |
89,672 |
$1.35M |
| 80048 |
|
79,247 |
71,302 |
$1.24M |
| 90847 |
|
5,522 |
3,898 |
$1.19M |
| D7210 |
|
10,628 |
2,368 |
$1.16M |
| 52000 |
|
962 |
959 |
$1.12M |
| D7240 |
|
3,324 |
1,277 |
$1.10M |
| 59025 |
|
7,627 |
4,697 |
$1.08M |
| 80061 |
|
89,332 |
88,849 |
$1.06M |
| J0585 |
Injection,onabotulinumtoxina |
2,542 |
2,238 |
$1.04M |
| 64483 |
|
1,808 |
1,777 |
$1.03M |
| 99281 |
|
7,101 |
6,524 |
$1.03M |
| 97530 |
|
12,871 |
7,629 |
$984K |
| J2323 |
Natalizumab injection |
771 |
734 |
$969K |
| 82306 |
|
34,895 |
34,790 |
$968K |
| D2930 |
|
8,101 |
2,184 |
$923K |
| 85025 |
|
140,516 |
128,028 |
$893K |
| 59841 |
|
990 |
989 |
$886K |
| 73721 |
|
2,849 |
2,796 |
$877K |
| 36415 |
|
183,369 |
131,299 |
$874K |
| J1950 |
Leuprolide acetate /3.75 mg |
429 |
413 |
$869K |
| 96366 |
|
4,784 |
3,234 |
$867K |
| D7140 |
|
8,476 |
2,803 |
$825K |
| 87389 |
|
40,900 |
40,680 |
$819K |
| 76770 |
|
6,589 |
6,553 |
$815K |
| 96360 |
|
3,676 |
3,209 |
$809K |
| D9222 |
|
4,134 |
3,816 |
$804K |
| 95782 |
|
1,141 |
1,138 |
$800K |
| H0038 |
Self-help/peer svc per 15min |
3,520 |
1,719 |
$772K |
| G0480 |
Drug test def 1-7 classes |
14,519 |
13,257 |
$767K |
| 71260 |
|
3,842 |
3,822 |
$761K |
| 71275 |
|
2,315 |
2,298 |
$711K |
| 97162 |
|
5,772 |
5,720 |
$705K |
| 12001 |
|
1,752 |
1,745 |
$652K |
| 64493 |
|
1,072 |
938 |
$646K |
| 72148 |
|
2,125 |
2,121 |
$635K |
| D0120 |
|
15,947 |
5,049 |
$627K |
| T1016 |
Case management |
3,626 |
1,541 |
$620K |
| 87536 |
|
7,476 |
7,341 |
$591K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
19,124 |
19,113 |
$586K |
| 77336 |
|
1,639 |
842 |
$583K |
| 96372 |
|
11,333 |
9,335 |
$582K |
| 87480 |
|
31,445 |
30,696 |
$573K |
| 96374 |
|
9,756 |
8,882 |
$566K |
| 87624 |
|
17,854 |
17,829 |
$565K |
| 90846 |
|
3,589 |
2,991 |
$565K |
| 87510 |
|
30,956 |
30,233 |
$561K |
| 86780 |
|
41,521 |
41,223 |
$551K |
| 74176 |
|
2,537 |
2,517 |
$550K |
| 12011 |
|
1,400 |
1,391 |
$532K |
| 83036 |
|
59,004 |
58,519 |
$530K |
| 87635 |
|
12,570 |
12,127 |
$519K |
| 64615 |
|
1,386 |
1,385 |
$511K |
| 86803 |
|
39,333 |
39,101 |
$508K |
| 74183 |
|
1,471 |
1,470 |
$495K |
| 93303 |
|
3,562 |
3,549 |
$466K |
| 67028 |
|
2,996 |
1,758 |
$460K |
| 70551 |
|
1,493 |
1,484 |
$452K |
| 45385 |
|
837 |
836 |
$447K |
| 36430 |
|
1,064 |
778 |
$442K |
| 90378 |
|
382 |
377 |
$439K |
| 93975 |
|
1,475 |
1,433 |
$439K |
| 87660 |
|
24,250 |
23,736 |
$436K |
| 86850 |
|
19,306 |
16,824 |
$417K |
| J2506 |
Inj pegfilgrast ex bio 0.5mg |
312 |
244 |
$404K |
| 97112 |
|
8,053 |
4,329 |
$400K |
| 80076 |
|
33,665 |
31,757 |
$398K |
| H0037 |
Comm psy sup tx pgm per diem |
298 |
277 |
$397K |
| 81220 |
|
1,372 |
1,371 |
$385K |
| 76705 |
|
5,886 |
5,771 |
$382K |
| J0178 |
Aflibercept injection |
238 |
238 |
$381K |
| 92567 |
|
6,655 |
6,613 |
$380K |
| P9016 |
Rbc leukocytes reduced |
913 |
799 |
$371K |
| 72141 |
|
1,226 |
1,223 |
$369K |
| 86480 |
|
6,355 |
6,317 |
$365K |
| 58999 |
|
761 |
743 |
$362K |
| 84439 |
|
42,070 |
41,382 |
$355K |
| 87086 |
|
48,037 |
46,003 |
$355K |
| 73221 |
|
1,171 |
1,151 |
$351K |
| 11042 |
|
834 |
591 |
$347K |
| 97113 |
|
3,148 |
1,350 |
$346K |
| 82607 |
|
24,434 |
24,289 |
$331K |
| 70496 |
|
1,211 |
1,196 |
$325K |
| J1631 |
Haloperidol decanoate inj |
3,746 |
1,230 |
$312K |
| 92557 |
|
4,510 |
4,483 |
$305K |
| 12002 |
|
755 |
754 |
$298K |
| J0741 |
Inj, cabote rilpivir 2mg 3mg |
77 |
77 |
$284K |
| 82728 |
|
23,019 |
22,447 |
$284K |
| D7230 |
|
906 |
476 |
$283K |
| 78815 |
|
379 |
379 |
$281K |
| 84403 |
|
11,792 |
11,593 |
$280K |
| S9484 |
Crisis intervention per hour |
2,899 |
2,090 |
$280K |
| 76700 |
|
1,719 |
1,715 |
$276K |
| 93320 |
|
4,684 |
4,671 |
$271K |
| 96375 |
|
9,687 |
7,798 |
$270K |
| 86008 |
|
2,569 |
2,079 |
$270K |
| 0241U |
|
5,362 |
5,257 |
$267K |
| 83970 |
|
7,022 |
6,829 |
$267K |
| 85027 |
|
47,713 |
44,509 |
$262K |
| 86901 |
|
19,718 |
17,283 |
$260K |
| 97165 |
|
2,695 |
2,680 |
$255K |
| 92507 |
|
2,394 |
1,537 |
$255K |
| 93970 |
|
907 |
899 |
$249K |
| 97140 |
|
11,021 |
5,915 |
$249K |
| 87340 |
|
25,415 |
25,265 |
$247K |
| 76816 |
|
8,882 |
7,126 |
$246K |
| Q0138 |
Ferumoxytol, non-esrd |
1,087 |
778 |
$245K |
| 87506 |
|
1,338 |
1,330 |
$243K |
| 20553 |
|
1,164 |
1,152 |
$243K |
| 80051 |
|
11,765 |
10,868 |
$243K |
| H0001 |
Alcohol and/or drug assess |
891 |
818 |
$241K |
| J1439 |
Inj ferric carboxymaltos 1mg |
578 |
451 |
$231K |
| 95812 |
|
1,591 |
1,586 |
$230K |
| 97164 |
|
2,354 |
2,333 |
$228K |
| 86900 |
|
19,768 |
17,302 |
$226K |
| Q5111 |
Injection, udenyca 0.5 mg |
176 |
139 |
$224K |
| 71046 |
|
10,013 |
9,779 |
$222K |
| 86360 |
|
6,102 |
6,010 |
$220K |
| Q3014 |
Telehealth facility fee |
2,905 |
2,543 |
$220K |
| 92134 |
|
4,537 |
4,409 |
$219K |
| 70491 |
|
946 |
940 |
$217K |
| 20611 |
|
506 |
497 |
$213K |
| 94060 |
|
2,561 |
2,556 |
$212K |
| 97803 |
|
4,866 |
4,706 |
$211K |
| D0150 |
|
5,449 |
4,734 |
$205K |
| 27096 |
|
419 |
418 |
$203K |
| 83880 |
|
6,429 |
5,720 |
$203K |
| 87081 |
|
29,719 |
29,287 |
$202K |
| 88342 |
|
2,746 |
2,608 |
$199K |
| 82670 |
|
7,506 |
7,377 |
$199K |
| 83655 |
|
17,038 |
16,962 |
$198K |
| 77334 |
|
744 |
599 |
$197K |
| 97010 |
|
12,765 |
6,861 |
$196K |
| J0185 |
Inj., aprepitant, 1 mg |
1,644 |
1,178 |
$194K |
| 71250 |
|
1,927 |
1,918 |
$192K |
| 86359 |
|
5,900 |
5,809 |
$189K |
| 93350 |
|
1,470 |
1,470 |
$188K |
| 93971 |
|
2,249 |
2,193 |
$188K |
| 76830 |
|
3,903 |
3,886 |
$187K |
| 81329 |
|
1,961 |
1,958 |
$186K |
| 88185 |
|
1,302 |
823 |
$183K |
| J2997 |
Alteplase recombinant |
967 |
393 |
$179K |
| H2017 |
Psysoc rehab svc, per 15 min |
1,253 |
513 |
$177K |
| 20610 |
|
765 |
721 |
$175K |
| 84702 |
|
12,739 |
9,586 |
$175K |
| 87522 |
Neg quan hep c or qual rna |
4,355 |
4,246 |
$174K |
| 96367 |
|
1,083 |
843 |
$173K |
| D1120 |
|
3,465 |
2,583 |
$170K |
| H0004 |
Alcohol and/or drug services |
723 |
570 |
$169K |
| J2680 |
Fluphenazine decanoate 25 mg |
1,966 |
495 |
$168K |
| D9310 |
|
2,276 |
2,234 |
$167K |
| 88112 |
|
2,157 |
2,134 |
$166K |
| 87529 |
|
2,813 |
2,788 |
$164K |
| 70486 |
|
1,143 |
1,140 |
$160K |
| 92579 |
|
2,439 |
2,410 |
$160K |
| D3220 |
|
1,926 |
1,173 |
$159K |
| 92552 |
|
2,150 |
2,149 |
$159K |
| 97166 |
|
1,362 |
1,348 |
$158K |
| 77386 |
|
872 |
92 |
$155K |
| 88341 |
|
1,285 |
1,049 |
$154K |
| 76811 |
|
2,235 |
2,233 |
$154K |
| 93976 |
|
741 |
724 |
$153K |
| J1756 |
Iron sucrose injection |
3,339 |
1,628 |
$153K |
| 96416 |
|
352 |
234 |
$152K |
| 72156 |
|
472 |
469 |
$151K |
| 92611 |
|
802 |
801 |
$151K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
17,817 |
11,852 |
$150K |
| 86706 |
|
14,856 |
14,778 |
$148K |
| 74178 |
|
1,145 |
1,142 |
$147K |
| 86704 |
|
13,355 |
13,280 |
$147K |
| 42830 |
|
107 |
107 |
$144K |
| 87150 |
|
4,276 |
4,248 |
$143K |
| 72197 |
|
447 |
445 |
$141K |
| 29125 |
|
701 |
695 |
$140K |
| 93017 |
|
2,384 |
2,375 |
$139K |
| 93325 |
|
5,392 |
5,347 |
$139K |
| 87505 |
|
1,319 |
1,291 |
$139K |
| Q9956 |
Inj octafluoropropane mic,ml |
2,358 |
1,771 |
$138K |
| 99401 |
|
1,397 |
596 |
$136K |
| 76801 |
|
2,894 |
2,840 |
$135K |
| 87651 |
|
3,614 |
3,591 |
$132K |
| 94010 |
|
2,963 |
2,953 |
$131K |
| J2505 |
Injection, pegfilgrastim 6mg |
68 |
53 |
$130K |
| 97802 |
|
2,759 |
2,754 |
$128K |
| 83540 |
|
22,307 |
21,822 |
$127K |
| 76817 |
|
3,138 |
2,620 |
$127K |
| 70498 |
|
600 |
594 |
$122K |
| G0103 |
Psa screening |
7,047 |
7,034 |
$118K |
| 93308 |
|
551 |
544 |
$117K |
| 83735 |
|
20,901 |
14,577 |
$116K |
| 64405 |
|
293 |
282 |
$116K |
| 77300 |
|
306 |
295 |
$116K |
| 82570 |
|
26,757 |
25,704 |
$115K |
| 88307 |
|
1,226 |
1,130 |
$115K |
| 10060 |
|
428 |
420 |
$115K |
| 77067 |
|
1,769 |
1,768 |
$113K |
| 84146 |
|
5,927 |
5,842 |
$109K |
| 87186 |
|
12,412 |
12,128 |
$109K |
| 83001 |
|
6,159 |
6,124 |
$108K |
| 76815 |
|
1,276 |
1,228 |
$108K |
| 82746 |
|
8,649 |
8,600 |
$107K |
| 99417 |
Prolong home eval add 15m |
821 |
336 |
$106K |
| 87158 |
|
19,368 |
18,987 |
$105K |
| D9420 |
|
1,225 |
1,224 |
$105K |
| 64450 |
|
315 |
302 |
$103K |
| 81420 |
|
191 |
190 |
$103K |
| 93005 |
|
8,206 |
7,494 |
$102K |
| 85610 |
|
27,066 |
20,827 |
$102K |
| A0225 |
Neonatal emergency transport |
168 |
168 |
$101K |
| 83550 |
|
13,597 |
13,255 |
$101K |
| 86762 |
|
9,857 |
9,821 |
$100K |
| 99204 |
|
909 |
908 |
$97K |
| 64635 |
|
172 |
161 |
$97K |
| 76805 |
|
1,955 |
1,942 |
$96K |
| J2357 |
Omalizumab injection |
130 |
87 |
$95K |
| 84402 |
|
4,195 |
4,166 |
$94K |
| 82043 |
|
17,858 |
17,723 |
$94K |
| 95886 |
|
1,810 |
1,806 |
$93K |
| 86140 |
|
25,170 |
23,078 |
$93K |
| 84270 |
|
4,646 |
4,567 |
$92K |
| 76942 |
|
674 |
656 |
$91K |
| 81001 |
|
31,060 |
29,716 |
$90K |
| 92133 |
|
2,713 |
2,678 |
$90K |
| 72125 |
|
694 |
687 |
$89K |
| 86708 |
|
7,892 |
7,865 |
$89K |
| 80069 |
|
9,470 |
8,058 |
$89K |
| 62323 |
|
186 |
185 |
$87K |
| 88142 |
|
1,102 |
1,101 |
$87K |
| C7901 |
Hopd mntl hlt, 30-60 min |
799 |
458 |
$86K |
| 73610 |
|
5,270 |
4,902 |
$85K |
| 96402 |
|
1,595 |
1,506 |
$84K |
| 92556 |
|
2,265 |
2,259 |
$83K |
| J1602 |
Golimumab for iv use 1mg |
63 |
61 |
$82K |
| 76882 |
|
2,216 |
2,047 |
$82K |
| 64400 |
|
138 |
130 |
$81K |
| 76536 |
|
2,695 |
2,685 |
$81K |
| 86923 |
|
1,794 |
1,225 |
$80K |
| 90715 |
|
3,097 |
3,090 |
$80K |
| 86235 |
|
1,859 |
1,842 |
$79K |
| 86038 |
|
7,459 |
7,406 |
$78K |
| 84466 |
|
6,842 |
6,765 |
$78K |
| 94640 |
|
5,708 |
5,291 |
$76K |
| 0071A |
|
1,859 |
1,830 |
$76K |
| 97035 |
|
5,157 |
2,660 |
$76K |
| 0001A |
|
2,434 |
2,381 |
$75K |
| 82784 |
|
6,482 |
6,319 |
$74K |
| A9573 |
Inj, gadopiclenol, 1 ml |
2,083 |
1,225 |
$74K |
| 83002 |
|
4,186 |
4,156 |
$73K |
| A9576 |
Inj prohance multipack |
2,884 |
2,843 |
$70K |
| G0124 |
Screen c/v thin layer by md |
2,534 |
2,530 |
$70K |
| 45378 |
|
106 |
106 |
$69K |
| 87497 |
|
1,763 |
1,118 |
$68K |
| 70543 |
|
181 |
180 |
$67K |
| 76000 |
|
483 |
479 |
$66K |
| 73630 |
|
4,999 |
4,666 |
$65K |
| 92083 |
|
2,114 |
2,090 |
$65K |
| 83690 |
|
13,769 |
13,039 |
$64K |
| 99152 |
|
1,806 |
1,783 |
$62K |
| 87799 |
|
1,538 |
1,135 |
$62K |
| 86160 |
|
4,104 |
2,788 |
$61K |
| 73030 |
|
3,525 |
3,376 |
$58K |
| 81025 |
|
10,468 |
10,223 |
$58K |
| 87632 |
|
331 |
330 |
$57K |
| 82105 |
|
4,046 |
3,975 |
$57K |
| V5264 |
Ear mold/insert |
1,150 |
1,147 |
$57K |
| S9342 |
Hit enteral pump diem |
122 |
98 |
$56K |
| 93225 |
|
1,059 |
1,054 |
$56K |
| J0897 |
Denosumab injection |
38 |
38 |
$55K |
| 80197 |
|
4,522 |
2,810 |
$55K |
| 86355 |
|
1,557 |
1,538 |
$54K |
| 87070 |
|
6,521 |
6,389 |
$54K |
| 82533 |
|
3,235 |
2,892 |
$54K |
| 83516 |
|
4,243 |
4,095 |
$54K |
| 85652 |
|
22,702 |
21,542 |
$52K |
| J9312 |
Inj., rituximab, 10 mg |
22 |
12 |
$52K |
| D2710 |
|
361 |
354 |
$51K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
167 |
161 |
$51K |
| L3808 |
Whfo, rigid w/o joints |
204 |
192 |
$51K |
| 73130 |
|
3,158 |
2,880 |
$50K |
| 86364 |
|
5,946 |
5,758 |
$50K |
| 92250 |
|
1,099 |
1,079 |
$50K |
| D1110 |
|
1,242 |
380 |
$50K |
| 74230 |
|
781 |
780 |
$50K |
| 80050 |
|
1,580 |
1,561 |
$50K |
| 82150 |
|
14,215 |
13,363 |
$50K |
| J9217 |
Leuprolide acetate suspnsion |
194 |
186 |
$49K |
| 86376 |
|
3,577 |
3,550 |
$49K |
| 84480 |
|
4,027 |
3,863 |
$49K |
| 90686 |
|
2,218 |
2,216 |
$48K |
| 99205 |
Prolong outpt/office vis |
355 |
345 |
$48K |
| 96411 |
|
1,327 |
923 |
$48K |
| L2280 |
Molded inner boot |
152 |
112 |
$47K |
| 95909 |
|
667 |
667 |
$47K |
| 87338 |
|
3,585 |
3,578 |
$46K |
| 84481 |
|
3,064 |
3,012 |
$46K |
| 72100 |
|
2,627 |
2,610 |
$46K |
| 83993 |
|
2,603 |
2,585 |
$46K |
| 0124A |
|
1,091 |
1,091 |
$45K |
| 84100 |
|
11,387 |
7,753 |
$45K |
| 87798 |
|
1,424 |
1,410 |
$45K |
| 0002A |
|
1,504 |
1,504 |
$44K |
| 73562 |
|
2,682 |
2,606 |
$44K |
| A9579 |
Gad-base mr contrast nos,1ml |
1,758 |
1,742 |
$44K |
| 88304 |
|
785 |
750 |
$44K |
| 86787 |
|
4,692 |
4,676 |
$43K |
| 82565 |
|
11,654 |
10,990 |
$42K |
| 86357 |
|
1,559 |
1,539 |
$41K |
| 92551 |
|
710 |
206 |
$41K |
| 55899 |
|
40 |
40 |
$41K |
| 93922 |
|
741 |
736 |
$41K |
| D1206 |
|
1,259 |
1,213 |
$40K |
| 82805 |
|
1,280 |
1,170 |
$40K |
| D0330 |
|
842 |
793 |
$40K |
| 86800 |
|
3,262 |
3,244 |
$40K |
| 96376 |
|
2,388 |
1,710 |
$40K |
| 73700 |
|
240 |
235 |
$40K |
| 0072A |
|
944 |
944 |
$39K |
| 73564 |
|
1,794 |
1,777 |
$39K |
| 82627 |
|
1,800 |
1,787 |
$38K |
| 86665 |
|
2,210 |
1,794 |
$38K |
| 71045 |
|
1,243 |
1,207 |
$38K |
| 74018 |
|
3,216 |
3,082 |
$38K |
| D9610 |
|
2,358 |
2,284 |
$38K |
| 76819 |
|
1,000 |
647 |
$37K |
| 96409 |
|
763 |
526 |
$37K |
| 83020 |
|
2,919 |
2,809 |
$37K |
| P9604 |
One-way allow prorated trip |
3,498 |
2,071 |
$37K |
| 86225 |
|
3,118 |
3,032 |
$37K |
| 84460 |
|
8,164 |
8,032 |
$37K |
| A9552 |
F18 fdg |
402 |
374 |
$36K |
| 84156 |
|
10,610 |
9,561 |
$36K |
| D1208 |
|
875 |
833 |
$36K |
| 71271 |
|
1,321 |
1,321 |
$35K |
| G0121 |
Colon ca scrn not hi rsk ind |
54 |
54 |
$35K |
| 99091 |
|
746 |
741 |
$35K |
| 73110 |
|
2,682 |
2,450 |
$35K |
| 86765 |
|
3,553 |
3,540 |
$35K |
| 72082 |
|
1,626 |
1,622 |
$34K |
| 86696 |
|
1,915 |
1,911 |
$33K |
| J0401 |
Inj, abilify maintena, 1 mg |
24 |
24 |
$33K |
| 16020 |
|
78 |
77 |
$33K |
| J1437 |
Inj. fe derisomaltose 10 mg |
56 |
55 |
$33K |
| 82785 |
|
2,202 |
2,197 |
$33K |
| D9999 |
|
237 |
202 |
$33K |
| J0640 |
Leucovorin calcium injection |
772 |
466 |
$33K |
| 76870 |
|
868 |
856 |
$33K |
| 84144 |
|
1,704 |
1,585 |
$33K |
| 83520 |
|
2,494 |
2,302 |
$33K |
| 83615 |
|
6,464 |
4,841 |
$32K |
| 87517 |
|
827 |
796 |
$32K |
| 99406 |
|
876 |
842 |
$32K |
| 86618 |
|
2,951 |
2,941 |
$32K |
| 86304 |
|
1,651 |
1,403 |
$32K |
| 88175 |
|
955 |
955 |
$32K |
| 72146 |
|
108 |
106 |
$32K |
| 82248 |
|
7,317 |
6,606 |
$31K |
| G0328 |
Fecal blood scrn immunoassay |
2,508 |
2,495 |
$31K |
| D1351 |
|
892 |
616 |
$31K |
| 86200 |
|
2,615 |
2,605 |
$31K |
| 81511 |
|
300 |
297 |
$31K |
| 31575 |
|
235 |
233 |
$31K |
| 99153 |
Mod sedat endo service >5yrs |
709 |
700 |
$30K |
| 77412 |
|
105 |
12 |
$30K |
| 92610 |
|
236 |
234 |
$30K |
| C7900 |
Hopd mntl hlt, 15-29 min |
139 |
116 |
$30K |
| 82977 |
|
4,639 |
4,098 |
$30K |
| 10061 |
|
98 |
95 |
$30K |
| 96401 |
|
585 |
341 |
$30K |
| 64721 |
|
31 |
30 |
$30K |
| 73560 |
|
2,850 |
2,775 |
$29K |
| 86735 |
|
3,141 |
3,131 |
$29K |
| 88321 |
|
457 |
432 |
$29K |
| 73502 |
|
2,218 |
2,169 |
$29K |
| 84153 |
|
1,766 |
1,721 |
$28K |
| 85380 |
|
2,145 |
2,120 |
$28K |
| 86141 |
|
2,392 |
2,352 |
$28K |
| 95885 |
|
579 |
576 |
$28K |
| G0108 |
Diab manage trn per indiv |
577 |
539 |
$28K |
| 82947 |
|
9,424 |
8,636 |
$28K |
| 84207 |
|
1,077 |
1,073 |
$28K |
| J7307 |
Etonogestrel implant system |
27 |
27 |
$28K |
| 85730 |
|
5,180 |
5,046 |
$27K |
| 73140 |
|
2,274 |
2,046 |
$27K |
| 99442 |
|
257 |
157 |
$27K |
| J9070 |
Cyclophosphamide 100 mg inj |
81 |
54 |
$27K |
| 86305 |
|
1,391 |
1,183 |
$27K |
| 92524 |
|
187 |
187 |
$27K |
| 76825 |
|
423 |
407 |
$26K |
| G0123 |
Screen cerv/vag thin layer |
1,038 |
1,036 |
$26K |
| 85007 |
|
8,864 |
7,305 |
$26K |
| 82550 |
|
4,524 |
4,199 |
$26K |
| 73590 |
|
2,084 |
1,884 |
$26K |
| A9585 |
Gadobutrol injection |
1,061 |
1,049 |
$26K |
| 82610 |
|
2,279 |
2,181 |
$26K |
| 87581 |
|
750 |
744 |
$26K |
| 82950 |
|
6,007 |
5,999 |
$26K |
| 84450 |
|
5,460 |
5,376 |
$25K |
| 86147 |
|
938 |
931 |
$25K |
| 87493 |
|
770 |
764 |
$25K |
| 86430 |
|
4,635 |
4,617 |
$25K |
| 84703 |
|
4,716 |
4,572 |
$24K |
| 99394 |
|
381 |
194 |
$24K |
| 92582 |
|
381 |
379 |
$24K |
| 97116 |
|
663 |
435 |
$24K |
| G0176 |
Opps/php/iop; activity thrpy |
164 |
35 |
$24K |
| 83498 |
|
918 |
914 |
$24K |
| 85014 |
|
10,403 |
10,300 |
$24K |
| 0054A |
|
565 |
565 |
$24K |
| 87804 |
|
577 |
573 |
$23K |
| 86769 |
|
548 |
548 |
$23K |
| 97535 |
|
319 |
248 |
$23K |
| 88184 |
|
378 |
355 |
$23K |
| 94729 |
|
1,450 |
1,447 |
$23K |
| 77002 |
|
81 |
76 |
$23K |
| 95911 |
|
175 |
173 |
$23K |
| 91322 |
|
174 |
174 |
$22K |
| 87102 |
|
2,786 |
2,744 |
$22K |
| J2469 |
Palonosetron hcl |
2,539 |
1,648 |
$22K |
| L1970 |
Afo plastic molded w/ankle j |
28 |
24 |
$22K |
| 72157 |
|
80 |
79 |
$22K |
| 92587 |
|
310 |
306 |
$22K |
| D7220 |
|
181 |
96 |
$21K |
| 0012A |
|
1,025 |
1,023 |
$21K |
| 84134 |
|
1,679 |
1,385 |
$20K |
| 0011A |
|
1,183 |
1,183 |
$20K |
| 72158 |
|
68 |
67 |
$20K |
| 95910 |
|
304 |
304 |
$20K |
| 76821 |
|
843 |
411 |
$20K |
| 82024 |
|
548 |
539 |
$20K |
| 73100 |
|
1,641 |
1,391 |
$20K |
| 87641 |
|
732 |
731 |
$20K |
| D0272 |
|
1,176 |
1,175 |
$20K |
| 83525 |
|
1,828 |
1,815 |
$20K |
| 72170 |
|
1,171 |
1,146 |
$20K |
| 87902 |
|
76 |
75 |
$20K |
| 84425 |
|
1,041 |
1,032 |
$19K |
| 84305 |
|
1,038 |
1,036 |
$19K |
| 81003 |
|
8,545 |
8,405 |
$19K |
| 0004A |
|
453 |
453 |
$19K |
| 66984 |
|
16 |
13 |
$18K |
| 58661 |
|
12 |
12 |
$18K |
| J9045 |
Carboplatin injection |
679 |
478 |
$18K |
| C9803 |
Hopd covid-19 spec collect |
1,299 |
1,272 |
$18K |
| 86077 |
|
511 |
372 |
$18K |
| U0002 |
Covid-19 lab test non-cdc |
360 |
358 |
$18K |
| L3908 |
Who cock-up nonmolde pre ots |
349 |
342 |
$18K |
| L3913 |
Hfo w/o joints cf |
86 |
84 |
$18K |
| 85576 |
|
551 |
543 |
$18K |
| 84165 |
|
1,922 |
1,776 |
$18K |
| 80159 |
|
1,091 |
762 |
$18K |
| 88312 |
|
207 |
192 |
$18K |
| 43235 |
|
26 |
26 |
$18K |
| 73090 |
|
1,356 |
1,134 |
$17K |
| 84550 |
|
4,188 |
3,987 |
$17K |
| 20680 |
|
12 |
12 |
$17K |
| 82247 |
|
4,510 |
4,021 |
$17K |
| 87901 |
|
76 |
76 |
$17K |
| 76937 |
|
98 |
91 |
$17K |
| 92526 |
|
186 |
138 |
$17K |
| J9190 |
Fluorouracil injection |
1,182 |
685 |
$17K |
| 77073 |
|
664 |
659 |
$17K |
| 84484 |
|
2,840 |
1,779 |
$17K |
| 85390 |
|
2,391 |
2,349 |
$16K |
| T1023 |
Program intake assessment |
88 |
87 |
$16K |
| 77072 |
|
910 |
910 |
$16K |
| 81507 |
|
30 |
30 |
$16K |
| 73080 |
|
1,009 |
926 |
$16K |
| 72040 |
|
923 |
917 |
$16K |
| 87535 |
|
520 |
519 |
$15K |
| G0008 |
Admin influenza virus vac |
1,289 |
1,287 |
$15K |
| 87538 |
|
482 |
481 |
$15K |
| 70487 |
|
47 |
47 |
$15K |
| 87205 |
|
4,783 |
4,693 |
$15K |
| 77063 |
|
1,127 |
1,127 |
$15K |
| 64490 |
|
29 |
26 |
$14K |
| 84520 |
|
6,967 |
6,282 |
$14K |
| 73070 |
|
1,247 |
1,076 |
$14K |
| 82378 |
|
906 |
775 |
$14K |
| H2014 |
Skills train and dev, 15 min |
41 |
24 |
$14K |
| J9267 |
Paclitaxel injection |
485 |
261 |
$14K |
| 82330 |
|
1,328 |
1,281 |
$13K |
| 82951 |
|
1,242 |
1,239 |
$13K |
| 76642 |
|
338 |
333 |
$13K |
| 74220 |
|
518 |
518 |
$13K |
| 92025 |
|
339 |
337 |
$13K |
| 82040 |
|
3,592 |
3,471 |
$13K |
| 87040 |
|
1,757 |
1,459 |
$13K |
| 72110 |
|
511 |
510 |
$13K |
| 87880 |
|
1,619 |
1,590 |
$13K |
| 82626 |
|
540 |
538 |
$13K |
| 29515 |
|
62 |
62 |
$13K |
| 54161 |
|
13 |
13 |
$13K |
| V5266 |
Battery for hearing device |
1,498 |
1,495 |
$12K |
| 99443 |
|
120 |
86 |
$12K |
| 83090 |
|
768 |
766 |
$12K |
| 0051A |
|
283 |
283 |
$12K |
| 86039 |
|
1,230 |
1,214 |
$12K |
| 76376 |
|
200 |
199 |
$12K |
| 93226 |
|
203 |
203 |
$11K |
| 76813 |
|
316 |
315 |
$11K |
| 81508 |
|
307 |
305 |
$11K |
| 86695 |
|
1,277 |
1,273 |
$11K |
| 82103 |
|
888 |
882 |
$11K |
| 85244 |
|
485 |
476 |
$11K |
| 0081A |
|
263 |
262 |
$11K |
| 96417 |
|
278 |
198 |
$11K |
| 0154A |
|
265 |
265 |
$11K |
| 85045 |
|
3,184 |
2,871 |
$11K |
| 86003 |
|
681 |
486 |
$11K |
| 86902 |
|
417 |
369 |
$11K |
| 43762 |
|
203 |
91 |
$11K |
| 0052A |
|
254 |
254 |
$11K |
| 73552 |
|
986 |
914 |
$11K |
| 86709 |
|
1,016 |
1,015 |
$10K |
| 88173 |
|
156 |
145 |
$10K |
| V5257 |
Hearing aid, digit, mon, bte |
12 |
12 |
$10K |
| 95819 |
|
69 |
69 |
$10K |
| 80164 |
|
869 |
837 |
$10K |
| 85384 |
|
1,425 |
1,381 |
$10K |
| 81002 |
|
1,192 |
1,146 |
$10K |
| 84075 |
|
2,718 |
2,671 |
$10K |
| 82310 |
|
2,841 |
2,755 |
$10K |
| 88189 |
|
189 |
186 |
$10K |
| 92012 |
|
238 |
176 |
$10K |
| J7120 |
Ringers lactate infusion |
7,593 |
7,213 |
$10K |
| 78452 |
|
32 |
32 |
$10K |
| 95811 |
|
12 |
12 |
$10K |
| 82677 |
|
466 |
465 |
$9K |
| 73718 |
|
28 |
27 |
$9K |
| 99195 |
|
155 |
107 |
$9K |
| 97167 |
|
70 |
70 |
$9K |
| 86592 |
|
3,013 |
2,959 |
$9K |
| 83521 |
|
712 |
386 |
$9K |
| 95908 |
|
138 |
136 |
$9K |
| 85245 |
|
436 |
429 |
$9K |
| D9997 |
|
159 |
55 |
$9K |
| D2330 |
|
102 |
84 |
$9K |
| 0082A |
|
199 |
199 |
$8K |
| 86334 |
|
433 |
389 |
$8K |
| 82088 |
|
229 |
226 |
$8K |
| 70546 |
|
24 |
24 |
$8K |
| 90677 |
|
130 |
130 |
$8K |
| C1769 |
Guide wire |
438 |
432 |
$8K |
| 84630 |
|
883 |
880 |
$8K |
| 87449 |
|
820 |
806 |
$8K |
| 76820 |
|
714 |
379 |
$8K |
| 72070 |
|
515 |
508 |
$8K |
| 88262 |
|
40 |
39 |
$8K |
| 87906 |
|
71 |
71 |
$8K |
| A9541 |
Tc99m sulfur colloid |
49 |
49 |
$8K |
| 64494 |
|
37 |
29 |
$8K |
| 46607 |
|
14 |
14 |
$8K |
| 99203 |
|
105 |
105 |
$8K |
| Q9957 |
Inj perflutren lip micros,ml |
121 |
111 |
$8K |
| 84140 |
|
390 |
389 |
$8K |
| V2632 |
Post chmbr intraocular lens |
542 |
25 |
$8K |
| 87101 |
|
1,002 |
1,001 |
$8K |
| 84155 |
|
3,019 |
2,951 |
$7K |
| D0140 |
|
287 |
231 |
$7K |
| 82390 |
|
816 |
811 |
$7K |
| 84163 |
|
547 |
547 |
$7K |
| 84295 |
|
2,697 |
2,582 |
$7K |
| 86146 |
|
278 |
278 |
$7K |
| 95012 |
|
330 |
329 |
$7K |
| 87900 |
|
61 |
61 |
$7K |
| 92014 |
|
197 |
146 |
$7K |
| 10005 |
|
16 |
16 |
$7K |
| G0297 |
Ldct for lung ca screen |
101 |
101 |
$7K |
| 0064A |
|
161 |
161 |
$7K |
| D9230 |
|
188 |
159 |
$7K |
| 86308 |
|
1,238 |
1,230 |
$7K |
| 95700 |
|
81 |
81 |
$6K |
| 82397 |
|
439 |
437 |
$6K |
| L1960 |
Afo pos solid ank plastic mo |
15 |
12 |
$6K |
| 76827 |
|
372 |
357 |
$6K |
| 86336 |
|
466 |
464 |
$6K |
| H0002 |
Alcohol and/or drug screenin |
38 |
24 |
$6K |
| 90480 |
|
169 |
169 |
$6K |
| 83921 |
|
386 |
386 |
$6K |
| 36591 |
|
134 |
100 |
$6K |
| 99291 |
|
37 |
37 |
$6K |
| J2704 |
Inj, propofol, 10 mg |
5,633 |
5,472 |
$6K |
| 88313 |
|
102 |
89 |
$6K |
| 64454 |
|
19 |
15 |
$6K |
| 83605 |
|
962 |
898 |
$6K |
| 85240 |
|
324 |
317 |
$6K |
| 88300 |
|
269 |
255 |
$6K |
| D0230 |
|
683 |
683 |
$6K |
| 95708 |
|
52 |
52 |
$6K |
| 74170 |
|
36 |
36 |
$6K |
| L3002 |
Foot insert plastazote or eq |
27 |
24 |
$6K |
| 46601 |
|
13 |
13 |
$5K |
| 92136 |
|
174 |
173 |
$5K |
| 93880 |
|
51 |
51 |
$5K |
| 86664 |
|
521 |
521 |
$5K |
| 86593 |
|
1,317 |
1,292 |
$5K |
| 82166 |
|
164 |
164 |
$5K |
| 96127 |
|
479 |
477 |
$5K |
| 90661 |
|
198 |
198 |
$5K |
| 77066 |
Tomosynthesis, mammo |
84 |
82 |
$5K |
| 73000 |
|
351 |
317 |
$5K |
| 80178 |
|
823 |
774 |
$5K |
| 86663 |
|
511 |
511 |
$5K |
| 87324 |
|
568 |
555 |
$5K |
| 82374 |
|
1,878 |
1,815 |
$5K |
| 82435 |
|
2,026 |
1,960 |
$5K |
| 0031A |
|
185 |
185 |
$5K |
| 0083A |
|
116 |
116 |
$5K |
| 92593 |
|
53 |
53 |
$5K |
| 82525 |
|
405 |
398 |
$5K |
| 86481 |
|
83 |
83 |
$5K |
| 85613 |
|
528 |
526 |
$5K |
| 87502 |
|
69 |
69 |
$5K |
| 80299 |
|
190 |
180 |
$5K |
| 84132 |
|
1,530 |
1,477 |
$4K |
| 84436 |
|
743 |
733 |
$4K |
| 82952 |
|
1,238 |
1,236 |
$4K |
| M0243 |
Casirivi and imdevi inj |
12 |
12 |
$4K |
| 87206 |
|
673 |
659 |
$4K |
| 77049 |
|
12 |
12 |
$4K |
| 86301 |
|
238 |
225 |
$4K |
| D0999 |
|
26 |
25 |
$4K |
| 77290 |
|
12 |
12 |
$4K |
| 87184 |
|
592 |
585 |
$4K |
| 75561 |
|
12 |
12 |
$4K |
| 86381 |
|
264 |
262 |
$4K |
| 76641 |
|
75 |
75 |
$4K |
| 87507 |
|
14 |
14 |
$4K |
| 78264 |
|
43 |
43 |
$4K |
| D2392 |
|
33 |
25 |
$4K |
| 84478 |
|
797 |
676 |
$4K |
| 64484 |
|
13 |
13 |
$4K |
| 94726 |
|
51 |
51 |
$4K |
| 86255 |
|
254 |
240 |
$4K |
| 97537 |
|
53 |
42 |
$4K |
| 84681 |
|
196 |
194 |
$4K |
| 90471 |
|
891 |
883 |
$4K |
| 86644 |
|
373 |
371 |
$4K |
| 73060 |
|
239 |
221 |
$4K |
| A9500 |
Tc99m sestamibi |
55 |
54 |
$4K |
| 74240 |
|
72 |
72 |
$4K |
| 92520 |
|
57 |
57 |
$4K |
| 86317 |
|
67 |
67 |
$4K |
| 0003A |
|
88 |
88 |
$3K |
| 99441 |
|
34 |
16 |
$3K |
| J9263 |
Oxaliplatin |
153 |
91 |
$3K |
| 99395 |
|
32 |
17 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
6,043 |
5,404 |
$3K |
| 86015 |
|
403 |
397 |
$3K |
| 87593 |
|
25 |
18 |
$3K |
| 93321 |
|
88 |
87 |
$3K |
| J1642 |
Inj heparin sodium per 10 u |
2,481 |
1,526 |
$3K |
| 72050 |
|
178 |
178 |
$3K |
| 85018 |
|
1,435 |
1,414 |
$3K |
| 72081 |
|
258 |
252 |
$3K |
| 80074 |
|
107 |
107 |
$3K |
| J0131 |
Inj, acetaminophen (nos) |
698 |
688 |
$3K |
| 82104 |
|
217 |
215 |
$3K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
1,386 |
1,163 |
$3K |
| M0220 |
Tixagev and cilgav inj |
28 |
27 |
$3K |
| 82340 |
|
497 |
488 |
$3K |
| J2794 |
Inj risperdal consta, 0.5 mg |
48 |
12 |
$3K |
| 76818 |
|
71 |
53 |
$3K |
| 96377 |
|
114 |
94 |
$3K |
| 0173A |
|
70 |
70 |
$3K |
| J1100 |
Dexamethasone sodium phos |
5,126 |
4,797 |
$3K |
| 77001 |
|
12 |
12 |
$3K |
| 73522 |
|
195 |
193 |
$3K |
| G0009 |
Admin pneumococcal vaccine |
201 |
201 |
$3K |
| 82523 |
|
162 |
160 |
$3K |
| 86999 |
|
66 |
27 |
$3K |
| 92592 |
|
38 |
38 |
$3K |
| 81050 |
|
928 |
912 |
$3K |
| 88333 |
|
28 |
28 |
$3K |
| 99396 |
|
26 |
14 |
$2K |
| 74455 |
|
24 |
24 |
$2K |
| 95912 |
|
24 |
24 |
$2K |
| 84244 |
|
126 |
123 |
$2K |
| 92558 |
|
76 |
67 |
$2K |
| 0134A |
|
51 |
51 |
$2K |
| 20552 |
|
12 |
12 |
$2K |
| 90750 |
|
14 |
14 |
$2K |
| 84445 |
|
65 |
65 |
$2K |
| 0053A |
|
47 |
47 |
$2K |
| 86036 |
|
205 |
203 |
$2K |
| 69209 |
|
25 |
25 |
$2K |
| J1650 |
Inj enoxaparin sodium |
361 |
172 |
$2K |
| 83789 |
|
114 |
114 |
$2K |
| 86677 |
|
234 |
233 |
$2K |
| 83010 |
|
158 |
136 |
$2K |
| 94727 |
|
114 |
114 |
$2K |
| 87075 |
|
265 |
260 |
$2K |
| 99392 |
|
37 |
37 |
$2K |
| D9920 |
|
31 |
13 |
$2K |
| 74174 |
|
12 |
12 |
$2K |
| 80143 |
|
409 |
364 |
$2K |
| C1894 |
Intro/sheath, non-laser |
144 |
143 |
$2K |
| J9370 |
Vincristine sulfate 1 mg inj |
265 |
176 |
$2K |
| 99493 |
|
16 |
14 |
$2K |
| D0367 |
|
12 |
12 |
$2K |
| J0171 |
Adrenalin epinephrine inject |
223 |
219 |
$2K |
| 83721 |
|
585 |
576 |
$2K |
| 80175 |
|
138 |
135 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
5,194 |
5,089 |
$2K |
| 92555 |
|
37 |
37 |
$2K |
| 87634 |
|
30 |
30 |
$2K |
| 83630 |
|
94 |
94 |
$2K |
| 96368 |
|
18 |
13 |
$2K |
| J2785 |
Regadenoson injection |
14 |
14 |
$2K |
| 92004 |
|
19 |
12 |
$2K |
| J3010 |
Fentanyl citrate injection |
5,520 |
5,414 |
$2K |
| 73200 |
|
12 |
12 |
$2K |
| 76885 |
|
74 |
73 |
$2K |
| 90785 |
|
115 |
27 |
$1K |
| J1720 |
Hydrocortisone sodium succ i |
222 |
180 |
$1K |
| 77263 |
|
12 |
12 |
$1K |
| 82157 |
|
51 |
50 |
$1K |
| J1630 |
Haloperidol injection |
626 |
586 |
$1K |
| 83835 |
|
88 |
86 |
$1K |
| J1170 |
Hydromorphone injection |
1,751 |
1,432 |
$1K |
| 0074A |
|
32 |
32 |
$1K |
| 99393 |
|
46 |
46 |
$1K |
| 92652 |
|
12 |
12 |
$1K |
| J1644 |
Inj heparin sodium per 1000u |
1,068 |
503 |
$1K |
| J0690 |
Cefazolin sodium injection |
1,824 |
1,632 |
$1K |
| 86341 |
|
38 |
38 |
$1K |
| 87116 |
|
110 |
107 |
$1K |
| D2391 |
|
18 |
12 |
$1K |
| 76775 |
|
12 |
12 |
$1K |
| D2140 |
|
13 |
13 |
$1K |
| J9206 |
Irinotecan injection |
47 |
25 |
$1K |
| E0143 |
Walker folding wheeled w/o s |
13 |
13 |
$1K |
| J8540 |
Oral dexamethasone |
2,667 |
1,469 |
$1K |
| 86617 |
|
37 |
37 |
$1K |
| 90619 |
|
50 |
41 |
$1K |
| J2405 |
Ondansetron hcl injection |
8,047 |
7,222 |
$1K |
| D0220 |
|
109 |
109 |
$1K |
| J1200 |
Diphenhydramine hcl injectio |
1,632 |
1,259 |
$999.38 |
| Q9969 |
Non-heu tc-99m add-on/dose |
120 |
117 |
$987.06 |
| 74022 |
|
24 |
24 |
$979.79 |
| 84080 |
|
77 |
77 |
$979.20 |
| 0073A |
|
19 |
19 |
$966.49 |
| 99391 |
|
30 |
30 |
$965.86 |
| 84432 |
|
107 |
106 |
$960.87 |
| J0330 |
Succinycholine chloride inj |
228 |
225 |
$955.57 |
| J9060 |
Cisplatin 10 mg injection |
86 |
52 |
$953.07 |
| J1030 |
Methylprednisolone 40 mg inj |
380 |
375 |
$934.64 |
| 88311 |
|
42 |
40 |
$909.02 |
| 82010 |
|
129 |
118 |
$879.52 |
| 76512 |
|
15 |
12 |
$840.02 |
| 88302 |
|
14 |
13 |
$830.54 |
| 86645 |
|
88 |
88 |
$826.62 |
| J7060 |
5% dextrose/water |
597 |
400 |
$820.65 |
| J2270 |
Morphine sulfate injection |
1,095 |
992 |
$805.03 |
| J2550 |
Promethazine hcl injection |
642 |
546 |
$751.59 |
| L3040 |
Ft arch suprt premold longit |
35 |
29 |
$732.28 |
| 82140 |
|
58 |
54 |
$724.08 |
| 80177 |
|
58 |
55 |
$719.77 |
| L3933 |
Fo w/o joints cf |
12 |
12 |
$715.00 |
| C1725 |
Cath, translumin non-laser |
25 |
25 |
$704.86 |
| J2060 |
Lorazepam injection |
156 |
150 |
$696.86 |
| L3420 |
Full sole/heel wedge btween |
16 |
13 |
$646.79 |
| 82465 |
|
153 |
153 |
$624.65 |
| 74019 |
|
13 |
13 |
$616.40 |
| 85046 |
|
136 |
135 |
$612.51 |
| 80179 |
|
327 |
316 |
$612.47 |
| 92553 |
|
12 |
12 |
$601.94 |
| J9201 |
In gemcitabine hcl nos 200mg |
26 |
12 |
$594.97 |
| 90460 |
|
38 |
38 |
$583.47 |
| 82172 |
|
40 |
40 |
$552.68 |
| J7042 |
5% dextrose/normal saline |
397 |
357 |
$551.66 |
| J0780 |
Prochlorperazine injection |
290 |
277 |
$541.05 |
| 80047 |
|
42 |
41 |
$537.68 |
| 84446 |
|
39 |
39 |
$521.64 |
| 87110 |
|
30 |
30 |
$509.49 |
| J2930 |
Methylprednisolone injection |
120 |
103 |
$504.68 |
| 84255 |
|
24 |
24 |
$498.07 |
| 86063 |
|
116 |
116 |
$456.27 |
| J0702 |
Betamethasone acet&sod phosp |
82 |
72 |
$452.43 |
| 83883 |
|
39 |
39 |
$410.60 |
| J3489 |
Zoledronic acid 1mg |
12 |
12 |
$392.55 |
| 85660 |
|
80 |
80 |
$388.81 |
| 70355 |
|
12 |
12 |
$388.62 |
| 90670 |
|
21 |
21 |
$380.60 |
| 97012 |
|
24 |
12 |
$364.12 |
| 90472 |
|
63 |
63 |
$360.55 |
| 80165 |
|
25 |
24 |
$347.69 |
| 88141 |
|
12 |
12 |
$346.92 |
| 87045 |
|
38 |
38 |
$319.47 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
115 |
80 |
$314.32 |
| 87046 |
|
38 |
38 |
$303.87 |
| J1815 |
Insulin injection |
243 |
142 |
$290.28 |
| 87811 |
|
25 |
25 |
$282.34 |
| 87640 |
|
14 |
14 |
$281.32 |
| 82239 |
|
45 |
39 |
$278.78 |
| 90662 |
|
40 |
40 |
$248.14 |
| P9603 |
One-way allow prorated miles |
140 |
89 |
$234.72 |
| J2272 |
Inj, morphine (fresenius) |
41 |
33 |
$223.69 |
| 82077 |
|
141 |
136 |
$223.36 |
| J0696 |
Ceftriaxone sodium injection |
644 |
585 |
$223.08 |
| 87088 |
|
27 |
27 |
$216.73 |
| 73600 |
|
31 |
25 |
$210.61 |
| J2919 |
Inj, methylpred sod succ 5mg |
43 |
38 |
$206.71 |
| C1887 |
Catheter, guiding |
12 |
12 |
$206.38 |
| 84510 |
|
18 |
12 |
$205.68 |
| 86431 |
|
39 |
39 |
$202.83 |
| C1729 |
Cath, drainage |
12 |
12 |
$197.00 |
| 90656 |
|
20 |
20 |
$190.76 |
| 85060 |
|
12 |
12 |
$189.07 |
| 73660 |
|
26 |
24 |
$185.27 |
| 86258 |
|
22 |
13 |
$176.82 |
| 87015 |
|
72 |
71 |
$173.78 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
215 |
208 |
$167.93 |
| 84482 |
|
24 |
24 |
$164.29 |
| J3475 |
Inj magnesium sulfate |
159 |
112 |
$135.58 |
| 82379 |
|
12 |
12 |
$132.84 |
| 82274 |
|
12 |
12 |
$130.24 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
19 |
12 |
$130.05 |
| J2274 |
Inj morphine pf epid ithc |
297 |
296 |
$126.81 |
| J3420 |
Vitamin b12 injection |
212 |
174 |
$122.60 |
| 90734 |
|
12 |
12 |
$119.00 |
| 93296 |
|
13 |
12 |
$118.79 |
| J7510 |
Prednisolone oral per 5 mg |
131 |
129 |
$115.47 |
| 84030 |
|
18 |
12 |
$108.65 |
| C9257 |
Bevacizumab injection |
13 |
12 |
$108.64 |
| 85347 |
|
31 |
27 |
$107.76 |
| 84300 |
|
25 |
24 |
$105.20 |
| Q0162 |
Ondansetron oral |
1,440 |
1,383 |
$90.16 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
419 |
408 |
$88.78 |
| J2310 |
Inj naloxone hydrochloride |
13 |
12 |
$88.51 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
46 |
45 |
$81.33 |
| J2175 |
Meperidine hydrochl /100 mg |
29 |
29 |
$78.51 |
| J2765 |
Metoclopramide hcl injection |
136 |
117 |
$62.09 |
| 85049 |
|
16 |
13 |
$61.89 |
| J1010 |
Inj, methylpred acetate 1 mg |
13 |
13 |
$58.81 |
| Q0164 |
Prochlorperazine maleate 5mg |
259 |
175 |
$54.45 |
| J2370 |
Phenylephrine hcl injection |
315 |
314 |
$49.70 |
| J3480 |
Inj potassium chloride |
18 |
12 |
$41.92 |
| Q0163 |
Diphenhydramine hcl 50mg |
602 |
446 |
$33.97 |
| J2710 |
Neostigmine methylslfte inj |
52 |
52 |
$29.64 |
| S0020 |
Injection, bupivicaine hydro |
51 |
49 |
$25.97 |
| J7620 |
Albuterol ipratrop non-comp |
334 |
258 |
$25.93 |
| J2004 |
Inj, lidocaine w epinephrine |
56 |
56 |
$24.37 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
19 |
19 |
$16.51 |
| J0744 |
Ciprofloxacin iv |
14 |
14 |
$11.61 |
| J7613 |
Albuterol non-comp unit |
117 |
103 |
$10.71 |
| J7644 |
Ipratropium bromide non-comp |
14 |
13 |
$0.94 |
| J7611 |
Albuterol non-comp con |
15 |
13 |
$0.90 |
| 90723 |
|
12 |
12 |
$0.00 |
| D9995 |
|
80 |
80 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
12 |
12 |
$0.00 |
| E0603 |
Electric breast pump |
12 |
12 |
$0.00 |
| G2212 |
Prolong outpt/office vis |
14 |
14 |
$0.00 |
| 90648 |
|
16 |
16 |
$0.00 |