| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
|
90,298 |
78,090 |
$15.42M |
| 99283 |
|
61,974 |
58,250 |
$12.14M |
| 99282 |
|
51,082 |
48,354 |
$10.51M |
| 99212 |
|
63,550 |
57,044 |
$9.99M |
| 90791 |
|
10,212 |
8,978 |
$9.42M |
| 99214 |
|
40,536 |
36,535 |
$6.97M |
| 90832 |
|
47,265 |
28,940 |
$6.71M |
| 99284 |
|
29,361 |
27,804 |
$5.27M |
| 96361 |
|
11,522 |
10,987 |
$3.24M |
| 70450 |
|
6,961 |
6,747 |
$2.13M |
| 43239 |
|
1,389 |
1,383 |
$1.64M |
| 80053 |
|
58,454 |
50,101 |
$1.63M |
| 87798 |
|
24,363 |
21,876 |
$1.62M |
| 99215 |
Prolong outpt/office vis |
7,397 |
7,080 |
$1.35M |
| 36415 |
|
105,141 |
70,344 |
$1.31M |
| 96365 |
|
7,784 |
6,782 |
$1.16M |
| 99281 |
|
4,924 |
4,813 |
$1.14M |
| 45380 |
|
720 |
713 |
$983K |
| 74177 |
|
3,642 |
3,575 |
$902K |
| 96372 |
|
30,055 |
26,883 |
$887K |
| 87491 |
|
19,547 |
18,997 |
$783K |
| 81025 |
|
25,092 |
20,047 |
$777K |
| S9485 |
Crisis intervention mental h |
607 |
540 |
$717K |
| 99391 |
|
4,538 |
4,080 |
$677K |
| 99392 |
|
4,509 |
4,473 |
$625K |
| 12011 |
|
1,195 |
1,150 |
$607K |
| 99393 |
|
4,002 |
3,987 |
$605K |
| 92551 |
|
6,419 |
6,270 |
$598K |
| 96366 |
|
3,089 |
2,852 |
$589K |
| 59025 |
|
2,403 |
1,923 |
$540K |
| 12001 |
|
1,190 |
1,063 |
$534K |
| 96360 |
|
3,587 |
3,434 |
$512K |
| 80048 |
|
22,338 |
17,813 |
$507K |
| 86850 |
|
12,909 |
11,643 |
$478K |
| 92014 |
|
4,097 |
3,364 |
$474K |
| G0463 |
Hospital outpt clinic visit |
15,088 |
11,517 |
$436K |
| 97110 |
|
7,755 |
3,780 |
$421K |
| 99394 |
|
3,073 |
3,060 |
$420K |
| 82962 |
|
39,261 |
24,039 |
$405K |
| 86900 |
|
19,599 |
12,033 |
$396K |
| 90834 |
|
1,595 |
1,096 |
$381K |
| 99285 |
|
2,141 |
2,079 |
$375K |
| 93306 |
|
2,359 |
2,336 |
$372K |
| 87591 |
|
18,898 |
18,365 |
$360K |
| 76700 |
|
1,406 |
1,375 |
$356K |
| 74176 |
|
1,183 |
1,148 |
$332K |
| 99395 |
|
1,972 |
1,948 |
$314K |
| 86901 |
|
12,945 |
11,649 |
$309K |
| 93308 |
|
1,208 |
1,190 |
$285K |
| 12002 |
|
544 |
531 |
$273K |
| 82803 |
|
12,813 |
11,963 |
$273K |
| 86480 |
|
4,539 |
4,500 |
$270K |
| 77067 |
|
3,220 |
3,163 |
$257K |
| 45378 |
|
197 |
197 |
$256K |
| 99396 |
|
1,540 |
1,488 |
$251K |
| 87536 |
|
3,910 |
3,826 |
$248K |
| 80061 |
|
23,485 |
23,219 |
$240K |
| 92004 |
|
1,254 |
1,253 |
$231K |
| 92012 |
|
1,119 |
1,022 |
$217K |
| U0002 |
Covid-19 lab test non-cdc |
8,310 |
7,619 |
$215K |
| 96367 |
|
5,871 |
1,463 |
$212K |
| 99291 |
|
1,256 |
1,121 |
$211K |
| 96415 |
|
440 |
295 |
$205K |
| 88305 |
|
5,110 |
3,634 |
$199K |
| 93970 |
|
890 |
816 |
$193K |
| 82306 |
|
7,578 |
7,519 |
$189K |
| 76816 |
|
3,970 |
3,304 |
$187K |
| 90792 |
|
645 |
636 |
$186K |
| 83880 |
|
7,441 |
7,122 |
$182K |
| 71275 |
|
534 |
525 |
$179K |
| 76815 |
|
1,843 |
1,704 |
$173K |
| 99173 |
|
5,878 |
5,706 |
$170K |
| 70486 |
|
1,875 |
1,846 |
$167K |
| 10060 |
|
502 |
442 |
$163K |
| 99442 |
|
3,891 |
3,585 |
$162K |
| 92250 |
|
2,657 |
2,462 |
$162K |
| 96374 |
|
12,124 |
11,630 |
$149K |
| 90686 |
|
7,152 |
7,123 |
$148K |
| 96413 |
|
1,879 |
1,108 |
$141K |
| 85025 |
|
74,964 |
68,872 |
$135K |
| 96110 |
|
653 |
639 |
$132K |
| 80076 |
|
10,099 |
9,668 |
$129K |
| 76770 |
|
688 |
676 |
$129K |
| 86360 |
|
3,664 |
3,628 |
$125K |
| 94640 |
|
13,588 |
8,315 |
$118K |
| 29125 |
|
429 |
387 |
$115K |
| 90715 |
|
5,211 |
5,173 |
$112K |
| 90460 |
|
16,344 |
10,635 |
$110K |
| 76817 |
|
1,148 |
1,060 |
$109K |
| 76856 |
|
148 |
146 |
$106K |
| 87389 |
|
14,478 |
14,337 |
$105K |
| 99443 |
|
1,631 |
1,514 |
$103K |
| 76811 |
|
1,240 |
1,213 |
$93K |
| 80307 |
|
3,912 |
3,806 |
$92K |
| 71046 |
|
14,210 |
13,747 |
$90K |
| 82652 |
|
3,476 |
3,442 |
$90K |
| 76819 |
|
2,188 |
1,993 |
$82K |
| 41899 |
|
81 |
79 |
$80K |
| 83036 |
|
22,055 |
21,810 |
$75K |
| 86355 |
|
2,594 |
2,571 |
$74K |
| 83655 |
|
4,733 |
4,710 |
$71K |
| 90750 |
|
625 |
624 |
$70K |
| 88142 |
|
2,157 |
2,152 |
$68K |
| 92550 |
|
1,412 |
1,161 |
$67K |
| 99441 |
|
1,348 |
1,292 |
$66K |
| 99211 |
|
2,762 |
2,511 |
$65K |
| 84443 |
|
18,765 |
18,437 |
$65K |
| 71260 |
|
518 |
507 |
$64K |
| 71045 |
|
7,666 |
6,931 |
$61K |
| 83970 |
|
1,926 |
1,862 |
$58K |
| 81001 |
|
42,606 |
28,067 |
$57K |
| 70551 |
|
156 |
156 |
$56K |
| 80320 |
|
3,358 |
3,197 |
$56K |
| 99203 |
|
417 |
410 |
$56K |
| 72125 |
|
2,174 |
2,129 |
$55K |
| 86580 |
|
2,026 |
1,995 |
$55K |
| 97802 |
|
1,308 |
1,298 |
$53K |
| 85610 |
|
18,037 |
16,793 |
$53K |
| 76641 |
|
1,697 |
1,663 |
$52K |
| 36592 |
|
2,305 |
1,029 |
$51K |
| 86803 |
|
13,084 |
12,969 |
$51K |
| 84439 |
|
12,927 |
12,722 |
$50K |
| 87661 |
|
1,374 |
1,368 |
$50K |
| 96375 |
|
9,196 |
8,665 |
$50K |
| 54161 |
|
29 |
29 |
$50K |
| 86357 |
|
2,596 |
2,571 |
$49K |
| 86359 |
|
2,594 |
2,570 |
$49K |
| 76775 |
|
531 |
517 |
$48K |
| 1033F |
|
8,087 |
4,267 |
$47K |
| 76818 |
|
826 |
555 |
$47K |
| J1050 |
Medroxyprogesterone acetate |
1,018 |
1,018 |
$44K |
| G0378 |
Hospital observation per hr |
674 |
658 |
$42K |
| 94726 |
|
964 |
958 |
$39K |
| A4657 |
Syringe w/wo needle |
1,844 |
122 |
$39K |
| 77002 |
|
301 |
296 |
$38K |
| 88304 |
|
722 |
679 |
$38K |
| 76705 |
|
978 |
964 |
$38K |
| 97161 |
|
452 |
447 |
$38K |
| 97140 |
|
1,605 |
970 |
$36K |
| 87340 |
|
9,218 |
9,084 |
$36K |
| 90670 |
|
2,358 |
2,351 |
$36K |
| 96127 |
|
16,884 |
16,074 |
$35K |
| 97803 |
|
847 |
827 |
$35K |
| 84702 |
|
10,055 |
9,285 |
$34K |
| 71250 |
|
266 |
258 |
$34K |
| 81220 |
|
133 |
130 |
$34K |
| 82947 |
|
5,666 |
4,730 |
$33K |
| 76604 |
|
453 |
447 |
$32K |
| 92020 |
|
495 |
481 |
$32K |
| 90651 |
|
1,198 |
1,192 |
$31K |
| 85730 |
|
17,200 |
16,504 |
$31K |
| 82607 |
|
4,723 |
4,657 |
$29K |
| 86003 |
|
1,050 |
870 |
$29K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,582 |
4,513 |
$29K |
| 88307 |
|
113 |
102 |
$29K |
| 82728 |
|
4,668 |
4,591 |
$27K |
| 87088 |
|
6,427 |
6,262 |
$27K |
| 11721 |
|
395 |
385 |
$26K |
| 95810 |
|
31 |
31 |
$26K |
| 76813 |
|
526 |
519 |
$25K |
| 97162 |
|
212 |
210 |
$24K |
| 73130 |
|
3,793 |
3,481 |
$24K |
| 77063 |
|
994 |
993 |
$24K |
| 92133 |
|
436 |
405 |
$24K |
| 12013 |
|
53 |
51 |
$24K |
| 77066 |
Tomosynthesis, mammo |
266 |
263 |
$23K |
| 76514 |
|
215 |
215 |
$23K |
| 87624 |
|
573 |
573 |
$22K |
| 73610 |
|
3,351 |
3,015 |
$22K |
| P9016 |
Rbc leukocytes reduced |
41 |
40 |
$21K |
| 86706 |
|
5,659 |
5,618 |
$21K |
| 90935 |
|
143 |
37 |
$20K |
| 86592 |
|
11,890 |
11,736 |
$20K |
| 93971 |
|
260 |
243 |
$19K |
| 87070 |
|
5,880 |
5,778 |
$19K |
| 93005 |
|
17,714 |
16,560 |
$19K |
| 80305 |
|
3,940 |
3,623 |
$19K |
| 90471 |
|
7,461 |
7,263 |
$19K |
| 95004 |
|
68 |
68 |
$18K |
| 77065 |
Tomosynthesis, mammo |
199 |
193 |
$18K |
| 73560 |
|
3,348 |
3,073 |
$18K |
| J0561 |
Penicillin g benzathine inj |
168 |
148 |
$18K |
| 81002 |
|
2,780 |
2,220 |
$18K |
| 90633 |
|
1,626 |
1,618 |
$17K |
| 97530 |
|
777 |
411 |
$17K |
| 88312 |
|
1,677 |
1,159 |
$17K |
| 82746 |
|
3,249 |
3,214 |
$17K |
| 99204 |
|
113 |
112 |
$17K |
| 82043 |
|
6,449 |
6,372 |
$16K |
| 94729 |
|
960 |
954 |
$16K |
| 97112 |
|
739 |
374 |
$16K |
| 88175 |
|
590 |
587 |
$16K |
| H2011 |
Crisis interven svc, 15 min |
90 |
75 |
$16K |
| 92557 |
|
599 |
594 |
$15K |
| 73110 |
|
2,614 |
2,320 |
$15K |
| 90671 |
|
629 |
629 |
$15K |
| 86762 |
|
2,416 |
2,378 |
$15K |
| 92563 |
|
464 |
461 |
$15K |
| 73630 |
|
3,495 |
3,319 |
$14K |
| H0037 |
Comm psy sup tx pgm per diem |
17 |
15 |
$14K |
| 86780 |
|
4,233 |
4,021 |
$14K |
| 99202 |
|
96 |
95 |
$13K |
| 54150 |
|
12 |
12 |
$12K |
| J3490 |
Drugs unclassified injection |
5,266 |
4,759 |
$12K |
| 86704 |
|
3,615 |
3,601 |
$12K |
| 72100 |
|
1,366 |
1,331 |
$11K |
| 73030 |
|
1,960 |
1,780 |
$11K |
| 87522 |
Neg quan hep c or qual rna |
313 |
302 |
$11K |
| 87637 |
|
463 |
462 |
$10K |
| 90723 |
|
1,343 |
1,342 |
$10K |
| 93017 |
|
187 |
185 |
$10K |
| 84153 |
|
1,498 |
1,478 |
$10K |
| 73590 |
|
2,292 |
2,155 |
$10K |
| 96376 |
|
1,362 |
1,180 |
$9K |
| 90461 |
|
1,361 |
1,351 |
$9K |
| 29130 |
|
40 |
40 |
$9K |
| 83021 |
|
1,105 |
1,013 |
$9K |
| J0882 |
Darbepoetin alfa, esrd use |
454 |
51 |
$9K |
| 83020 |
|
951 |
934 |
$9K |
| 87636 |
|
280 |
278 |
$9K |
| 94664 |
|
2,247 |
2,133 |
$8K |
| 1036F |
|
6,724 |
4,508 |
$8K |
| 73080 |
|
1,305 |
1,184 |
$8K |
| 88300 |
|
202 |
196 |
$8K |
| 90620 |
|
634 |
633 |
$8K |
| J0131 |
Inj, acetaminophen (nos) |
1,625 |
1,529 |
$8K |
| 90734 |
|
879 |
877 |
$7K |
| 82248 |
|
10,986 |
10,508 |
$7K |
| 80321 |
|
2,095 |
2,017 |
$7K |
| T1013 |
Sign lang/oral interpreter |
436 |
403 |
$7K |
| 73562 |
|
914 |
867 |
$7K |
| J0696 |
Ceftriaxone sodium injection |
3,829 |
3,734 |
$7K |
| 82533 |
|
721 |
719 |
$7K |
| 82785 |
|
741 |
700 |
$7K |
| 90853 |
|
119 |
59 |
$7K |
| 82570 |
|
2,967 |
2,716 |
$7K |
| 86765 |
|
1,277 |
1,251 |
$7K |
| 73140 |
|
1,198 |
1,111 |
$7K |
| 87635 |
|
170 |
168 |
$7K |
| 83550 |
|
3,050 |
2,999 |
$7K |
| 90677 |
|
65 |
65 |
$7K |
| 86703 |
|
532 |
508 |
$7K |
| 90680 |
|
1,258 |
1,256 |
$6K |
| 80074 |
|
330 |
330 |
$6K |
| 97165 |
|
79 |
79 |
$6K |
| 20553 |
|
107 |
97 |
$6K |
| 94760 |
|
2,690 |
2,527 |
$6K |
| 86593 |
|
5,113 |
5,056 |
$6K |
| 1159F |
|
8,426 |
5,737 |
$6K |
| 90662 |
|
408 |
402 |
$6K |
| 73090 |
|
1,467 |
1,335 |
$6K |
| 72170 |
|
1,562 |
1,543 |
$5K |
| 76536 |
|
178 |
176 |
$5K |
| 76805 |
|
76 |
76 |
$5K |
| 84484 |
|
12,838 |
11,373 |
$5K |
| 94010 |
|
269 |
265 |
$5K |
| 84100 |
|
6,096 |
5,742 |
$5K |
| 90710 |
|
369 |
368 |
$5K |
| 84156 |
|
2,695 |
2,435 |
$5K |
| 88342 |
|
79 |
71 |
$5K |
| 90707 |
|
419 |
418 |
$5K |
| 99024 |
|
638 |
589 |
$5K |
| 83001 |
|
412 |
409 |
$5K |
| 73502 |
|
947 |
901 |
$5K |
| 86735 |
|
1,116 |
1,102 |
$5K |
| 83735 |
|
10,275 |
9,435 |
$4K |
| G1004 |
Cdsm ndsc |
2,045 |
1,976 |
$4K |
| G2067 |
Med assist tx meth wk |
22 |
12 |
$4K |
| 81003 |
|
6,714 |
6,591 |
$4K |
| 86787 |
|
1,020 |
1,013 |
$4K |
| 87077 |
|
1,067 |
988 |
$4K |
| 84425 |
|
355 |
355 |
$4K |
| G0103 |
Psa screening |
500 |
494 |
$4K |
| 90716 |
|
360 |
358 |
$4K |
| 99205 |
Prolong outpt/office vis |
28 |
28 |
$4K |
| 90698 |
|
695 |
694 |
$4K |
| 80050 |
|
149 |
144 |
$4K |
| 83519 |
|
321 |
321 |
$4K |
| C1769 |
Guide wire |
26 |
26 |
$4K |
| 87400 |
|
1,128 |
1,048 |
$4K |
| 93923 |
|
74 |
68 |
$4K |
| 90846 |
|
34 |
25 |
$4K |
| 92567 |
|
999 |
987 |
$4K |
| 84146 |
|
371 |
365 |
$4K |
| J7120 |
Ringers lactate infusion |
8,140 |
7,681 |
$4K |
| 86708 |
|
805 |
798 |
$4K |
| 87901 |
|
13 |
13 |
$3K |
| 73060 |
|
628 |
581 |
$3K |
| 84597 |
|
327 |
327 |
$3K |
| 82270 |
|
867 |
498 |
$3K |
| J7030 |
Normal saline solution infus |
8,805 |
8,163 |
$3K |
| 83690 |
|
10,491 |
10,018 |
$3K |
| 83615 |
|
1,927 |
1,809 |
$3K |
| 92015 |
|
894 |
821 |
$3K |
| 90648 |
|
559 |
558 |
$3K |
| 85732 |
|
1,458 |
1,413 |
$3K |
| 40800 |
|
15 |
15 |
$3K |
| 73552 |
|
895 |
847 |
$3K |
| G0283 |
Elec stim other than wound |
859 |
508 |
$3K |
| 84446 |
|
301 |
301 |
$3K |
| 77080 |
|
80 |
78 |
$3K |
| 90619 |
|
149 |
149 |
$3K |
| 87902 |
|
14 |
14 |
$3K |
| 84154 |
|
369 |
368 |
$3K |
| 82525 |
|
326 |
326 |
$3K |
| 87081 |
|
860 |
846 |
$3K |
| G0480 |
Drug test def 1-7 classes |
242 |
207 |
$3K |
| 93010 |
|
295 |
179 |
$3K |
| 1126F |
|
3,436 |
2,586 |
$3K |
| 84590 |
|
315 |
315 |
$3K |
| 29515 |
|
13 |
12 |
$3K |
| 80164 |
|
836 |
801 |
$3K |
| 78452 |
|
24 |
24 |
$3K |
| 90472 |
|
1,030 |
997 |
$3K |
| 3051F |
|
891 |
655 |
$3K |
| 83002 |
|
245 |
243 |
$3K |
| 93325 |
|
338 |
336 |
$3K |
| J7060 |
5% dextrose/water |
8,563 |
6,644 |
$3K |
| 99381 |
|
17 |
17 |
$2K |
| 85660 |
|
1,203 |
1,168 |
$2K |
| J1100 |
Dexamethasone sodium phos |
7,874 |
7,313 |
$2K |
| 97116 |
|
110 |
59 |
$2K |
| 83605 |
|
5,771 |
5,161 |
$2K |
| 85379 |
|
1,867 |
1,832 |
$2K |
| 84630 |
|
355 |
353 |
$2K |
| J7050 |
Normal saline solution infus |
7,153 |
5,194 |
$2K |
| 86769 |
|
109 |
109 |
$2K |
| 86140 |
|
2,147 |
2,112 |
$2K |
| 87186 |
|
1,071 |
992 |
$2K |
| 77062 |
|
27 |
27 |
$2K |
| 91320 |
|
74 |
74 |
$2K |
| 93320 |
|
270 |
269 |
$2K |
| 83540 |
|
1,021 |
1,012 |
$2K |
| 85046 |
|
1,859 |
1,734 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
13,153 |
12,504 |
$2K |
| 96401 |
|
22 |
13 |
$2K |
| 90696 |
|
272 |
272 |
$2K |
| 90688 |
|
243 |
242 |
$2K |
| 83921 |
|
223 |
219 |
$2K |
| 97804 |
|
146 |
65 |
$2K |
| 86038 |
|
664 |
657 |
$2K |
| 82950 |
|
475 |
470 |
$2K |
| J0690 |
Cefazolin sodium injection |
2,881 |
2,736 |
$2K |
| 73600 |
|
451 |
427 |
$2K |
| 86880 |
|
63 |
60 |
$2K |
| 3052F |
|
837 |
593 |
$2K |
| G0008 |
Admin influenza virus vac |
283 |
281 |
$2K |
| 82105 |
|
332 |
325 |
$2K |
| 93303 |
|
12 |
12 |
$2K |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
538 |
524 |
$2K |
| 77336 |
|
34 |
14 |
$2K |
| 76882 |
|
13 |
13 |
$2K |
| 1035F |
|
339 |
234 |
$2K |
| J8540 |
Oral dexamethasone |
2,649 |
2,338 |
$2K |
| 96368 |
|
111 |
110 |
$2K |
| 86710 |
|
2,261 |
1,441 |
$2K |
| 82985 |
|
199 |
190 |
$2K |
| 74018 |
|
752 |
715 |
$1K |
| Q3014 |
Telehealth facility fee |
587 |
515 |
$1K |
| 86696 |
|
251 |
232 |
$1K |
| C9290 |
Inj, bupivacaine liposome |
1,057 |
1,011 |
$1K |
| 84481 |
|
249 |
248 |
$1K |
| 85651 |
|
1,966 |
1,933 |
$1K |
| 82550 |
|
3,405 |
3,247 |
$1K |
| 83516 |
|
296 |
240 |
$1K |
| 99051 |
|
108 |
68 |
$1K |
| 84550 |
|
686 |
658 |
$1K |
| 87040 |
|
1,795 |
1,664 |
$1K |
| J2001 |
Lidocaine injection |
6,038 |
5,449 |
$1K |
| G0101 |
Ca screen;pelvic/breast exam |
182 |
182 |
$1K |
| 92587 |
|
14 |
14 |
$1K |
| 36416 |
|
107 |
107 |
$1K |
| 87880 |
|
2,329 |
2,270 |
$1K |
| 87593 |
|
21 |
18 |
$1K |
| H2010 |
Comprehensive med svc 15 min |
13 |
13 |
$1K |
| J1630 |
Haloperidol injection |
2,382 |
2,101 |
$1K |
| J2270 |
Morphine sulfate injection |
2,700 |
2,418 |
$1K |
| 84403 |
|
79 |
70 |
$1K |
| 92582 |
|
26 |
26 |
$1K |
| J2785 |
Regadenoson injection |
12 |
12 |
$984.12 |
| J3475 |
Inj magnesium sulfate |
1,775 |
1,459 |
$964.99 |
| J2405 |
Ondansetron hcl injection |
9,044 |
8,402 |
$953.27 |
| J2704 |
Inj, propofol, 10 mg |
5,744 |
5,670 |
$941.05 |
| 90647 |
|
241 |
241 |
$921.20 |
| 92579 |
|
28 |
28 |
$908.44 |
| 86141 |
|
346 |
336 |
$891.18 |
| 82565 |
|
593 |
586 |
$843.45 |
| 90732 |
|
12 |
12 |
$840.95 |
| J1170 |
Hydromorphone injection |
1,605 |
1,119 |
$780.77 |
| G0279 |
Tomosynthesis, mammo |
24 |
24 |
$768.43 |
| G0390 |
Trauma respons w/hosp criti |
14 |
14 |
$762.68 |
| J1105 |
Dexmedetomidine film, 1 mcg |
64 |
63 |
$752.40 |
| 86701 |
|
92 |
91 |
$749.30 |
| J1650 |
Inj enoxaparin sodium |
217 |
158 |
$733.48 |
| 94060 |
|
35 |
35 |
$718.68 |
| 72128 |
|
12 |
12 |
$700.02 |
| 87338 |
|
115 |
113 |
$689.84 |
| J1631 |
Haloperidol decanoate inj |
90 |
88 |
$666.92 |
| S0028 |
Injection, famotidine, 20 mg |
612 |
596 |
$627.86 |
| 90480 |
|
74 |
74 |
$583.80 |
| 90744 |
|
122 |
121 |
$562.40 |
| 87210 |
|
1,107 |
1,099 |
$556.74 |
| 72131 |
|
12 |
12 |
$556.04 |
| 3044F |
|
8,369 |
5,775 |
$552.03 |
| J1953 |
Levetiracetam injection |
497 |
443 |
$545.38 |
| J2710 |
Neostigmine methylslfte inj |
394 |
392 |
$544.81 |
| 86403 |
|
434 |
419 |
$540.31 |
| 86870 |
|
13 |
12 |
$538.74 |
| J2930 |
Methylprednisolone injection |
382 |
328 |
$535.21 |
| 84210 |
|
92 |
91 |
$527.78 |
| J3010 |
Fentanyl citrate injection |
3,741 |
3,678 |
$514.99 |
| 1111F |
|
375 |
270 |
$472.15 |
| 84520 |
|
646 |
616 |
$472.08 |
| 94618 |
|
101 |
101 |
$471.66 |
| J2310 |
Inj naloxone hydrochloride |
27 |
24 |
$450.46 |
| 82310 |
|
413 |
402 |
$440.62 |
| 86225 |
|
147 |
142 |
$405.38 |
| 73620 |
|
111 |
105 |
$385.42 |
| 90681 |
|
26 |
26 |
$373.44 |
| J1200 |
Diphenhydramine hcl injectio |
3,340 |
2,599 |
$369.77 |
| 83520 |
|
41 |
41 |
$362.62 |
| 90746 |
|
15 |
15 |
$359.84 |
| 90736 |
|
12 |
12 |
$356.96 |
| 82670 |
|
27 |
27 |
$352.04 |
| 71100 |
|
153 |
144 |
$342.43 |
| 85008 |
|
625 |
595 |
$338.68 |
| 86160 |
|
54 |
38 |
$332.78 |
| 82010 |
|
1,248 |
1,133 |
$326.21 |
| 94761 |
|
488 |
439 |
$322.24 |
| 84703 |
|
3,355 |
3,239 |
$314.39 |
| 82677 |
|
56 |
54 |
$312.55 |
| 82784 |
|
63 |
50 |
$299.89 |
| 80178 |
|
135 |
132 |
$295.21 |
| 73070 |
|
63 |
52 |
$293.73 |
| J7040 |
Normal saline solution infus |
1,141 |
959 |
$290.65 |
| 86431 |
|
144 |
115 |
$288.13 |
| J2765 |
Metoclopramide hcl injection |
2,747 |
2,616 |
$282.89 |
| 96523 |
|
13 |
12 |
$279.03 |
| 82150 |
|
534 |
526 |
$260.04 |
| 3008F |
|
5,887 |
4,300 |
$256.09 |
| 1125F |
|
997 |
777 |
$256.07 |
| 1157F |
|
93 |
68 |
$256.05 |
| 84999 |
|
1,795 |
1,751 |
$254.60 |
| J0171 |
Adrenalin epinephrine inject |
136 |
127 |
$247.94 |
| 15853 |
|
94 |
94 |
$245.29 |
| 85652 |
|
353 |
344 |
$236.64 |
| 72110 |
|
18 |
18 |
$228.00 |
| 90700 |
|
12 |
12 |
$225.90 |
| 83525 |
|
26 |
26 |
$221.54 |
| 92555 |
|
27 |
27 |
$206.49 |
| J1817 |
Insulin for insulin pump use |
75 |
62 |
$202.62 |
| 86235 |
|
34 |
24 |
$184.17 |
| 86695 |
|
52 |
52 |
$182.03 |
| 70360 |
|
39 |
39 |
$180.00 |
| J2250 |
Inj midazolam hydrochloride |
3,580 |
3,447 |
$176.46 |
| 83930 |
|
417 |
384 |
$172.51 |
| 80329 |
|
562 |
469 |
$170.37 |
| 84295 |
|
346 |
340 |
$167.65 |
| J2060 |
Lorazepam injection |
1,592 |
1,404 |
$156.20 |
| 82374 |
|
341 |
335 |
$145.47 |
| 86336 |
|
57 |
54 |
$139.56 |
| 82435 |
|
322 |
316 |
$132.52 |
| 84480 |
|
55 |
54 |
$125.97 |
| 86705 |
|
27 |
27 |
$121.20 |
| 73565 |
|
12 |
12 |
$120.30 |
| 72040 |
|
66 |
64 |
$107.63 |
| 84460 |
|
48 |
47 |
$100.98 |
| 93270 |
|
12 |
12 |
$99.10 |
| 86430 |
|
63 |
61 |
$91.36 |
| 84155 |
|
145 |
143 |
$87.94 |
| 81015 |
|
104 |
104 |
$84.00 |
| J7042 |
5% dextrose/normal saline |
481 |
449 |
$80.83 |
| 73564 |
|
15 |
12 |
$79.70 |
| 87205 |
|
155 |
149 |
$79.35 |
| M1064 |
Shing vac doc adm or pv rec |
13 |
13 |
$79.30 |
| 87450 |
|
538 |
533 |
$77.55 |
| C9113 |
Inj pantoprazole sodium, via |
29 |
27 |
$72.65 |
| 84300 |
|
61 |
57 |
$67.43 |
| 84450 |
|
29 |
29 |
$67.42 |
| J2795 |
Ropivacaine hcl injection |
320 |
320 |
$65.22 |
| 87650 |
|
255 |
253 |
$63.44 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
71 |
70 |
$60.85 |
| Q0091 |
Obtaining screen pap smear |
178 |
178 |
$53.53 |
| 82977 |
|
26 |
26 |
$51.68 |
| J1815 |
Insulin injection |
376 |
315 |
$47.02 |
| 80156 |
|
13 |
13 |
$40.24 |
| J2919 |
Inj, methylpred sod succ 5mg |
29 |
26 |
$37.95 |
| J3370 |
Vancomycin hcl injection |
16 |
16 |
$23.47 |
| 84075 |
|
13 |
13 |
$21.85 |
| J3420 |
Vitamin b12 injection |
104 |
91 |
$20.65 |
| 73020 |
|
15 |
15 |
$20.00 |
| J1644 |
Inj heparin sodium per 1000u |
183 |
50 |
$17.77 |
| 84540 |
|
14 |
14 |
$15.09 |
| 87807 |
|
104 |
104 |
$14.94 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
83 |
83 |
$14.50 |
| J0687 |
Inj cefazolin (wg crit care) |
51 |
51 |
$13.74 |
| 82247 |
|
12 |
12 |
$13.06 |
| J2370 |
Phenylephrine hcl injection |
102 |
100 |
$12.98 |
| J3411 |
Thiamine hcl 100 mg |
25 |
24 |
$11.17 |
| 82140 |
|
14 |
14 |
$10.13 |
| 84132 |
|
12 |
12 |
$9.52 |
| J3480 |
Inj potassium chloride |
80 |
64 |
$9.45 |
| J7613 |
Albuterol non-comp unit |
903 |
787 |
$7.97 |
| J7611 |
Albuterol non-comp con |
122 |
114 |
$7.85 |
| 84133 |
|
12 |
12 |
$4.73 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
49 |
47 |
$3.03 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
31 |
31 |
$2.54 |
| 1160F |
|
6,364 |
4,589 |
$0.01 |
| 3048F |
|
1,881 |
1,249 |
$0.01 |
| 3077F |
|
741 |
583 |
$0.00 |
| 99080 |
|
5,011 |
1,147 |
$0.00 |
| 3046F |
|
342 |
216 |
$0.00 |
| 3511F |
|
13 |
13 |
$0.00 |
| 3050F |
|
738 |
481 |
$0.00 |
| 3288F |
|
15 |
15 |
$0.00 |
| 3078F |
|
2,939 |
2,176 |
$0.00 |
| 3062F |
|
2,521 |
1,703 |
$0.00 |
| 69210 |
|
16 |
16 |
$0.00 |
| 1032F |
|
204 |
191 |
$0.00 |
| 1090F |
|
13 |
12 |
$0.00 |
| 1158F |
|
13 |
12 |
$0.00 |
| 3725F |
|
878 |
760 |
$0.00 |
| 3075F |
|
796 |
633 |
$0.00 |
| 1101F |
|
14 |
13 |
$0.00 |
| 1170F |
|
67 |
62 |
$0.00 |
| 3049F |
|
946 |
636 |
$0.00 |
| 3074F |
|
3,220 |
2,376 |
$0.00 |
| 3061F |
|
3,039 |
1,998 |
$0.00 |
| 3080F |
|
407 |
319 |
$0.00 |
| 3079F |
|
1,373 |
1,071 |
$0.00 |
| 3060F |
|
17 |
14 |
$0.00 |
| 4010F |
|
893 |
583 |
$0.00 |
| 73660 |
|
12 |
12 |
$0.00 |
| 99429 |
|
23 |
20 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
13 |
13 |
$0.00 |