| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
44,021 |
39,087 |
$5.32M |
| 41899 |
|
7,893 |
7,160 |
$4.70M |
| 96361 |
|
16,809 |
12,545 |
$4.12M |
| 99285 |
|
22,800 |
19,742 |
$2.77M |
| G0378 |
Hospital observation per hr |
12,820 |
8,700 |
$2.03M |
| 74177 |
|
8,934 |
8,116 |
$2.01M |
| G0463 |
Hospital outpt clinic visit |
308,781 |
244,456 |
$1.88M |
| 70450 |
|
7,416 |
6,700 |
$1.64M |
| 99283 |
|
15,987 |
14,627 |
$1.59M |
| 93306 |
|
4,063 |
3,872 |
$1.48M |
| 0202U |
|
4,977 |
4,673 |
$1.42M |
| 97110 |
|
21,913 |
7,854 |
$1.39M |
| 70553 |
|
3,482 |
3,284 |
$1.20M |
| 96413 |
|
7,228 |
4,278 |
$1.13M |
| 96365 |
|
10,829 |
7,720 |
$1.11M |
| 71260 |
|
6,631 |
6,106 |
$1.09M |
| 96366 |
|
4,518 |
3,395 |
$1.04M |
| J0585 |
Injection,onabotulinumtoxina |
3,065 |
1,984 |
$918K |
| 87491 |
|
25,817 |
23,487 |
$848K |
| U0004 |
Cov-19 test non-cdc hgh thru |
11,546 |
10,611 |
$796K |
| 36512 |
|
253 |
239 |
$783K |
| 80053 |
|
138,723 |
107,395 |
$770K |
| 99282 |
|
7,907 |
7,452 |
$703K |
| 87636 |
|
8,090 |
7,360 |
$694K |
| 43239 |
|
1,158 |
1,092 |
$640K |
| 87591 |
|
25,913 |
23,516 |
$638K |
| 96360 |
|
5,691 |
4,667 |
$630K |
| 90471 |
|
21,105 |
19,924 |
$524K |
| 85025 |
|
137,746 |
105,926 |
$497K |
| 71046 |
|
18,211 |
16,215 |
$494K |
| 76700 |
|
3,328 |
3,200 |
$494K |
| J1459 |
Inj ivig privigen 500 mg |
370 |
153 |
$461K |
| J3490 |
Drugs unclassified injection |
97,496 |
41,331 |
$455K |
| 76856 |
|
2,656 |
2,526 |
$437K |
| 66984 |
|
427 |
352 |
$425K |
| 87631 |
|
4,303 |
3,690 |
$418K |
| 76816 |
|
4,899 |
4,308 |
$412K |
| 59025 |
|
2,830 |
1,466 |
$399K |
| 93005 |
|
32,599 |
25,053 |
$387K |
| Q3014 |
Telehealth facility fee |
27,595 |
23,401 |
$371K |
| J2323 |
Natalizumab injection |
242 |
200 |
$368K |
| U0003 |
Cov-19 amp prb hgh thruput |
4,441 |
4,003 |
$347K |
| 74183 |
|
993 |
937 |
$347K |
| 84443 |
|
33,165 |
31,410 |
$341K |
| 99152 |
|
7,096 |
6,533 |
$338K |
| 76818 |
|
3,524 |
1,421 |
$333K |
| C9803 |
Hopd covid-19 spec collect |
18,270 |
16,491 |
$326K |
| 78815 |
|
326 |
313 |
$310K |
| 97140 |
|
7,147 |
2,725 |
$310K |
| 96415 |
|
1,741 |
1,181 |
$309K |
| P9016 |
Rbc leukocytes reduced |
1,071 |
841 |
$308K |
| 80307 |
|
14,459 |
10,949 |
$303K |
| 36415 |
|
117,113 |
97,630 |
$287K |
| G0480 |
Drug test def 1-7 classes |
13,465 |
9,805 |
$284K |
| 95806 |
|
865 |
846 |
$284K |
| 88305 |
|
9,273 |
7,521 |
$272K |
| 20610 |
|
1,686 |
1,479 |
$258K |
| 83655 |
|
16,878 |
16,683 |
$251K |
| 82306 |
|
9,803 |
9,340 |
$242K |
| 93308 |
|
746 |
673 |
$240K |
| 94640 |
|
5,308 |
3,135 |
$232K |
| 83036 |
|
29,700 |
28,021 |
$229K |
| 87633 |
|
598 |
564 |
$223K |
| 93975 |
|
2,914 |
2,721 |
$213K |
| 90670 |
|
3,171 |
3,072 |
$213K |
| 82805 |
|
3,941 |
3,204 |
$212K |
| 97165 |
|
3,253 |
2,935 |
$209K |
| 90686 |
|
14,222 |
13,602 |
$208K |
| 93976 |
|
2,173 |
2,047 |
$202K |
| 71250 |
|
2,034 |
1,925 |
$200K |
| 93971 |
|
1,748 |
1,635 |
$198K |
| 90651 |
|
2,036 |
1,965 |
$191K |
| 70486 |
|
2,078 |
1,927 |
$186K |
| 31575 |
|
727 |
679 |
$185K |
| 64615 |
|
553 |
519 |
$182K |
| 76801 |
|
2,776 |
2,366 |
$180K |
| 90837 |
|
4,473 |
2,324 |
$173K |
| 80048 |
|
34,874 |
25,380 |
$171K |
| 88142 |
|
8,119 |
7,609 |
$170K |
| 45380 |
|
464 |
439 |
$169K |
| 87624 |
|
5,091 |
4,674 |
$166K |
| 80197 |
|
17,684 |
9,634 |
$165K |
| 72125 |
|
2,848 |
2,584 |
$163K |
| 80061 |
|
22,729 |
21,522 |
$161K |
| C8930 |
Tte w or w/o contr, cont ecg |
975 |
903 |
$160K |
| 90834 |
|
4,986 |
3,250 |
$160K |
| J1100 |
Dexamethasone sodium phos |
10,863 |
9,396 |
$160K |
| U0005 |
Infec agen detec ampli probe |
10,209 |
9,201 |
$159K |
| 97112 |
|
2,906 |
1,054 |
$158K |
| 74176 |
|
852 |
763 |
$153K |
| 96374 |
|
20,269 |
16,871 |
$153K |
| 76805 |
|
2,050 |
1,943 |
$149K |
| 36591 |
|
4,823 |
3,144 |
$149K |
| 64643 |
|
300 |
257 |
$143K |
| 76811 |
|
1,722 |
1,571 |
$138K |
| 72148 |
|
769 |
721 |
$137K |
| 76817 |
|
2,369 |
1,869 |
$136K |
| 93970 |
|
930 |
870 |
$136K |
| 49083 |
|
323 |
146 |
$136K |
| 87086 |
|
21,149 |
19,293 |
$134K |
| 76536 |
|
1,096 |
1,025 |
$133K |
| 90715 |
|
6,620 |
6,325 |
$132K |
| J7030 |
Normal saline solution infus |
25,634 |
17,490 |
$127K |
| 85027 |
|
29,272 |
22,887 |
$126K |
| 92557 |
|
1,784 |
1,726 |
$125K |
| 83880 |
|
8,641 |
7,294 |
$124K |
| 87389 |
|
9,932 |
9,204 |
$123K |
| 92134 |
|
3,507 |
3,106 |
$121K |
| 77336 |
|
1,086 |
513 |
$121K |
| 73630 |
|
3,877 |
3,276 |
$121K |
| J2469 |
Palonosetron hcl |
986 |
549 |
$119K |
| 73610 |
|
3,583 |
3,070 |
$118K |
| 72100 |
|
3,070 |
2,860 |
$118K |
| 90791 |
|
2,105 |
1,937 |
$118K |
| J1756 |
Iron sucrose injection |
1,742 |
649 |
$117K |
| 45385 |
|
179 |
175 |
$116K |
| 76641 |
|
960 |
772 |
$115K |
| 77067 |
|
3,814 |
3,646 |
$115K |
| J8499 |
Oral prescrip drug non chemo |
103,875 |
25,075 |
$115K |
| 81025 |
|
22,562 |
20,131 |
$113K |
| 87480 |
|
11,337 |
10,055 |
$113K |
| 70496 |
|
471 |
426 |
$112K |
| J7307 |
Etonogestrel implant system |
180 |
166 |
$110K |
| 76705 |
|
1,181 |
1,065 |
$109K |
| 70491 |
|
439 |
414 |
$109K |
| 70355 |
|
2,527 |
2,377 |
$108K |
| 84439 |
|
12,348 |
11,677 |
$108K |
| 45378 |
|
150 |
147 |
$107K |
| J1453 |
Fosaprepitant injection |
600 |
338 |
$106K |
| 96375 |
|
17,119 |
12,905 |
$105K |
| 97597 |
|
772 |
604 |
$105K |
| 83735 |
|
40,213 |
24,322 |
$103K |
| 87660 |
|
11,495 |
10,206 |
$103K |
| 92083 |
|
3,030 |
2,739 |
$102K |
| 87536 |
|
2,585 |
2,395 |
$100K |
| 73030 |
|
3,448 |
2,937 |
$98K |
| 97161 |
|
3,209 |
2,979 |
$96K |
| 73562 |
|
2,863 |
2,392 |
$93K |
| 93798 |
|
1,659 |
248 |
$93K |
| 86850 |
|
8,318 |
7,259 |
$92K |
| 87510 |
|
11,334 |
10,053 |
$91K |
| 82728 |
|
9,990 |
9,329 |
$91K |
| 73130 |
|
2,747 |
2,272 |
$90K |
| 82607 |
|
8,371 |
7,955 |
$90K |
| 87497 |
|
2,868 |
1,596 |
$86K |
| 96372 |
|
17,341 |
13,622 |
$85K |
| 83970 |
|
3,003 |
2,798 |
$84K |
| 93321 |
|
1,301 |
1,176 |
$84K |
| 96417 |
|
1,428 |
836 |
$84K |
| J2704 |
Inj, propofol, 10 mg |
10,931 |
8,609 |
$82K |
| 0241U |
|
729 |
695 |
$82K |
| 86780 |
|
9,014 |
8,268 |
$80K |
| 73560 |
|
2,576 |
2,175 |
$80K |
| 76820 |
|
980 |
374 |
$79K |
| 86923 |
|
1,831 |
1,402 |
$78K |
| 90677 |
|
779 |
758 |
$77K |
| 88307 |
|
1,107 |
961 |
$76K |
| 76815 |
|
1,802 |
991 |
$73K |
| 90853 |
|
2,031 |
619 |
$73K |
| 73110 |
|
2,242 |
1,844 |
$71K |
| 94618 |
|
391 |
374 |
$71K |
| 90472 |
|
4,378 |
4,115 |
$70K |
| 73502 |
|
2,227 |
1,949 |
$70K |
| 95812 |
|
201 |
195 |
$68K |
| 95886 |
|
797 |
778 |
$68K |
| 90832 |
|
2,126 |
1,703 |
$67K |
| 97530 |
|
4,340 |
2,237 |
$66K |
| 81003 |
|
27,745 |
23,658 |
$66K |
| 77080 |
|
1,542 |
1,486 |
$65K |
| 72040 |
|
1,813 |
1,691 |
$65K |
| 87081 |
|
8,892 |
8,336 |
$64K |
| 87507 |
|
204 |
197 |
$63K |
| 58300 |
|
472 |
419 |
$62K |
| J7298 |
Mirena, 52 mg |
108 |
104 |
$62K |
| J1568 |
Octagam injection |
30 |
12 |
$61K |
| 86900 |
|
9,548 |
8,113 |
$61K |
| 86140 |
|
10,173 |
9,208 |
$60K |
| 94375 |
|
1,615 |
1,447 |
$59K |
| 90750 |
|
894 |
853 |
$59K |
| 94729 |
|
1,732 |
1,678 |
$59K |
| 77063 |
|
3,431 |
3,285 |
$57K |
| Q9957 |
Inj perflutren lip micros,ml |
3,249 |
2,644 |
$57K |
| 87880 |
|
5,008 |
4,791 |
$55K |
| 93325 |
|
580 |
526 |
$55K |
| 72141 |
|
366 |
343 |
$55K |
| 77386 |
|
234 |
24 |
$54K |
| J7120 |
Ringers lactate infusion |
18,005 |
14,187 |
$53K |
| 71045 |
|
8,553 |
7,357 |
$53K |
| 92250 |
|
1,792 |
1,551 |
$52K |
| 86803 |
|
6,072 |
5,612 |
$52K |
| 97162 |
|
2,726 |
2,566 |
$51K |
| 99213 |
|
5,342 |
4,570 |
$51K |
| 31231 |
|
317 |
295 |
$51K |
| 0097U |
|
500 |
459 |
$50K |
| 87340 |
|
6,658 |
6,191 |
$50K |
| J1720 |
Hydrocortisone sodium succ i |
913 |
671 |
$50K |
| 84484 |
|
20,453 |
13,640 |
$50K |
| 74018 |
|
1,804 |
1,601 |
$49K |
| 95810 |
|
77 |
74 |
$49K |
| 73590 |
|
1,956 |
1,726 |
$49K |
| J0897 |
Denosumab injection |
189 |
166 |
$49K |
| 85610 |
|
19,775 |
13,375 |
$48K |
| 94060 |
|
978 |
943 |
$48K |
| 88341 |
|
1,298 |
1,032 |
$48K |
| 36592 |
|
1,710 |
832 |
$48K |
| 99153 |
Mod sedat endo service >5yrs |
4,475 |
4,124 |
$47K |
| 76830 |
|
1,997 |
1,884 |
$47K |
| 74174 |
|
341 |
303 |
$47K |
| 73552 |
|
1,370 |
1,235 |
$47K |
| 90734 |
|
1,086 |
1,051 |
$46K |
| 84466 |
|
7,444 |
6,978 |
$46K |
| 88342 |
|
2,543 |
2,270 |
$45K |
| J3010 |
Fentanyl citrate injection |
14,408 |
11,820 |
$45K |
| 72156 |
|
299 |
275 |
$45K |
| 84100 |
|
24,369 |
14,497 |
$45K |
| 96367 |
|
1,977 |
1,328 |
$45K |
| 12001 |
|
210 |
199 |
$44K |
| 86235 |
|
3,891 |
1,272 |
$44K |
| 76770 |
|
324 |
306 |
$44K |
| 76819 |
|
545 |
240 |
$44K |
| 70551 |
|
290 |
269 |
$44K |
| 70498 |
|
536 |
470 |
$43K |
| 86762 |
|
3,323 |
3,082 |
$43K |
| 94761 |
|
5,986 |
5,238 |
$43K |
| 94726 |
|
1,405 |
1,367 |
$43K |
| 84702 |
|
3,571 |
2,729 |
$42K |
| A0210 |
Noner transport meals escort |
3,929 |
629 |
$42K |
| 86480 |
|
1,362 |
1,277 |
$42K |
| 82784 |
|
5,287 |
3,958 |
$42K |
| J7050 |
Normal saline solution infus |
17,323 |
8,355 |
$41K |
| 87522 |
Neg quan hep c or qual rna |
1,351 |
1,274 |
$41K |
| A9270 |
Non-covered item or service |
61,936 |
6,614 |
$41K |
| 90680 |
|
1,636 |
1,596 |
$41K |
| 93296 |
|
1,812 |
1,761 |
$41K |
| 70320 |
|
572 |
559 |
$41K |
| 87077 |
|
8,287 |
7,178 |
$41K |
| 83540 |
|
9,731 |
9,157 |
$40K |
| 0099U |
|
331 |
313 |
$40K |
| 36430 |
|
816 |
517 |
$40K |
| 92550 |
|
425 |
409 |
$40K |
| 82570 |
|
10,973 |
10,011 |
$39K |
| A0180 |
Noner transport lodgng recip |
2,579 |
448 |
$39K |
| 90732 |
|
2,003 |
1,919 |
$39K |
| 82746 |
|
4,953 |
4,657 |
$38K |
| 97535 |
|
1,417 |
775 |
$37K |
| 93017 |
|
385 |
374 |
$37K |
| 93225 |
|
658 |
628 |
$37K |
| 88185 |
|
680 |
577 |
$36K |
| 0124A |
|
1,217 |
1,176 |
$36K |
| 96411 |
|
182 |
108 |
$35K |
| 96523 |
|
682 |
494 |
$35K |
| J0475 |
Baclofen 10 mg injection |
111 |
93 |
$35K |
| 80074 |
|
1,954 |
1,815 |
$35K |
| 86787 |
|
3,753 |
3,482 |
$34K |
| C8957 |
Prolonged iv inf, req pump |
206 |
188 |
$34K |
| 92133 |
|
1,680 |
1,500 |
$34K |
| 72197 |
|
130 |
120 |
$33K |
| 76882 |
|
259 |
239 |
$33K |
| G0108 |
Diab manage trn per indiv |
1,495 |
1,304 |
$33K |
| A4217 |
Sterile water/saline, 500 ml |
6,467 |
4,114 |
$33K |
| 71275 |
|
333 |
291 |
$32K |
| 87798 |
|
1,027 |
916 |
$32K |
| 87799 |
|
2,086 |
1,425 |
$32K |
| 73140 |
|
895 |
757 |
$32K |
| 96401 |
|
981 |
630 |
$32K |
| 86359 |
|
1,701 |
1,572 |
$31K |
| 84403 |
|
2,131 |
2,028 |
$31K |
| 90647 |
|
1,981 |
1,913 |
$31K |
| C8929 |
Tte w or wo fol wcon,doppler |
482 |
461 |
$30K |
| 87070 |
|
4,911 |
4,467 |
$30K |
| M0243 |
Casirivi and imdevi inj |
87 |
86 |
$30K |
| 81001 |
|
21,819 |
18,844 |
$30K |
| 87186 |
|
5,483 |
4,883 |
$30K |
| 76642 |
|
201 |
172 |
$30K |
| 99156 |
|
1,116 |
1,012 |
$29K |
| J1885 |
Ketorolac tromethamine inj |
11,098 |
9,217 |
$29K |
| 93350 |
|
167 |
157 |
$28K |
| 90633 |
|
1,236 |
1,202 |
$28K |
| 0001A |
|
966 |
886 |
$28K |
| 87804 |
|
1,915 |
1,279 |
$27K |
| 93922 |
|
613 |
574 |
$27K |
| 83690 |
|
12,163 |
10,432 |
$26K |
| 84145 |
|
4,533 |
3,935 |
$26K |
| 86901 |
|
9,444 |
8,014 |
$26K |
| 86360 |
|
1,020 |
940 |
$26K |
| 74178 |
|
110 |
105 |
$25K |
| 72170 |
|
1,049 |
970 |
$25K |
| 83516 |
|
2,945 |
2,273 |
$25K |
| 83605 |
|
12,584 |
9,228 |
$25K |
| 97116 |
|
1,786 |
922 |
$25K |
| 0002A |
|
802 |
775 |
$24K |
| 77300 |
|
185 |
149 |
$24K |
| 77334 |
|
164 |
132 |
$24K |
| 88184 |
|
764 |
659 |
$23K |
| 96376 |
|
4,865 |
3,643 |
$23K |
| 83021 |
|
1,875 |
1,357 |
$23K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
15,370 |
12,131 |
$22K |
| 71271 |
|
274 |
259 |
$22K |
| 97166 |
|
480 |
442 |
$22K |
| 93458 |
|
12 |
12 |
$22K |
| 86255 |
|
2,937 |
2,489 |
$22K |
| 85007 |
|
7,396 |
4,404 |
$22K |
| 67028 |
|
162 |
138 |
$21K |
| 85018 |
|
7,326 |
6,416 |
$21K |
| 76380 |
|
220 |
209 |
$21K |
| 73080 |
|
716 |
615 |
$21K |
| 86832 |
|
854 |
707 |
$20K |
| C1769 |
Guide wire |
2,652 |
2,272 |
$20K |
| 93246 |
|
405 |
376 |
$20K |
| 20553 |
|
129 |
122 |
$20K |
| J7040 |
Normal saline solution infus |
6,764 |
4,463 |
$20K |
| 88304 |
|
1,209 |
1,098 |
$20K |
| 17110 |
|
123 |
115 |
$19K |
| 80076 |
|
2,950 |
2,760 |
$19K |
| 82105 |
|
2,051 |
1,932 |
$19K |
| 86706 |
|
2,415 |
2,279 |
$19K |
| 87486 |
|
609 |
575 |
$19K |
| 87581 |
|
609 |
575 |
$19K |
| G0481 |
Drug test def 8-14 classes |
117 |
48 |
$18K |
| J2405 |
Ondansetron hcl injection |
16,563 |
12,818 |
$18K |
| 12011 |
|
101 |
97 |
$18K |
| 82043 |
|
6,043 |
5,693 |
$18K |
| 82977 |
|
3,204 |
2,368 |
$18K |
| 90723 |
|
1,871 |
1,828 |
$18K |
| 11981 |
|
50 |
50 |
$18K |
| J1644 |
Inj heparin sodium per 1000u |
4,583 |
2,186 |
$17K |
| 95165 |
|
850 |
418 |
$17K |
| A4216 |
Sterile water/saline, 10 ml |
5,828 |
3,920 |
$17K |
| 94664 |
|
2,008 |
1,790 |
$17K |
| 84153 |
|
1,672 |
1,576 |
$17K |
| 92014 |
|
3,585 |
3,248 |
$17K |
| 90662 |
|
1,908 |
1,778 |
$17K |
| J0690 |
Cefazolin sodium injection |
4,704 |
3,638 |
$17K |
| 97035 |
|
399 |
168 |
$17K |
| 85652 |
|
6,073 |
5,615 |
$16K |
| 87529 |
|
667 |
589 |
$16K |
| 95117 |
|
856 |
408 |
$16K |
| 90620 |
|
161 |
157 |
$16K |
| 72070 |
|
507 |
466 |
$16K |
| 82803 |
|
1,755 |
1,540 |
$16K |
| 84481 |
|
1,607 |
1,551 |
$16K |
| J2270 |
Morphine sulfate injection |
5,546 |
4,239 |
$15K |
| 0003A |
|
668 |
647 |
$15K |
| 83615 |
|
4,842 |
3,207 |
$15K |
| 93226 |
|
320 |
311 |
$15K |
| 82950 |
|
2,824 |
2,686 |
$15K |
| 83550 |
|
1,901 |
1,817 |
$14K |
| 87635 |
|
289 |
285 |
$14K |
| 72157 |
|
103 |
96 |
$14K |
| 84146 |
|
1,093 |
1,035 |
$14K |
| 87205 |
|
4,521 |
4,110 |
$14K |
| J3535 |
Metered dose inhaler drug |
2,468 |
1,871 |
$14K |
| A9577 |
Inj multihance |
1,812 |
1,719 |
$14K |
| 0004A |
|
544 |
525 |
$14K |
| J1170 |
Hydromorphone injection |
6,759 |
4,424 |
$14K |
| 85379 |
|
5,689 |
5,154 |
$14K |
| 93925 |
|
158 |
152 |
$14K |
| 87210 |
|
3,953 |
3,648 |
$14K |
| 95874 |
|
1,241 |
858 |
$13K |
| 11982 |
|
44 |
42 |
$13K |
| 83520 |
|
1,867 |
1,342 |
$13K |
| 0352U |
|
760 |
695 |
$13K |
| 84156 |
|
5,749 |
5,074 |
$13K |
| 92507 |
|
244 |
122 |
$13K |
| 87040 |
|
3,538 |
1,918 |
$12K |
| 95813 |
|
38 |
38 |
$12K |
| 86833 |
|
780 |
647 |
$12K |
| 76813 |
|
154 |
145 |
$12K |
| 86355 |
|
636 |
605 |
$12K |
| G0257 |
Unsched dialysis esrd pt hos |
139 |
67 |
$12K |
| 76775 |
|
146 |
134 |
$12K |
| 10060 |
|
67 |
63 |
$12K |
| 86704 |
|
1,542 |
1,456 |
$12K |
| 82670 |
|
758 |
724 |
$12K |
| 73090 |
|
544 |
461 |
$11K |
| 82330 |
|
4,079 |
3,438 |
$11K |
| 96416 |
|
38 |
24 |
$11K |
| 83001 |
|
979 |
933 |
$11K |
| 82378 |
|
1,275 |
1,103 |
$11K |
| 86256 |
|
1,346 |
1,151 |
$11K |
| 20550 |
|
46 |
41 |
$11K |
| 41874 |
|
14 |
14 |
$10K |
| 82533 |
|
903 |
706 |
$10K |
| 86902 |
|
653 |
529 |
$10K |
| 97163 |
|
223 |
217 |
$10K |
| 86364 |
|
1,322 |
1,217 |
$10K |
| 85730 |
|
4,688 |
3,753 |
$10K |
| 72158 |
|
63 |
58 |
$10K |
| J0696 |
Ceftriaxone sodium injection |
3,717 |
2,792 |
$10K |
| 73721 |
|
56 |
51 |
$10K |
| 85014 |
|
5,751 |
4,871 |
$10K |
| A9578 |
Inj multihance multipack |
3,153 |
2,972 |
$10K |
| J2250 |
Inj midazolam hydrochloride |
11,078 |
9,792 |
$10K |
| 82550 |
|
3,689 |
3,144 |
$9K |
| 90002 |
|
641 |
373 |
$9K |
| 93880 |
|
77 |
73 |
$9K |
| 82565 |
|
2,981 |
2,807 |
$9K |
| 11102 |
|
25 |
24 |
$9K |
| 92567 |
|
1,212 |
1,178 |
$9K |
| 72131 |
|
269 |
240 |
$9K |
| G0447 |
Behavior counsel obesity 15m |
1,700 |
1,474 |
$9K |
| 76512 |
|
53 |
43 |
$9K |
| 52000 |
|
13 |
12 |
$9K |
| 96132 |
|
166 |
154 |
$9K |
| 80164 |
|
1,266 |
1,126 |
$9K |
| 92012 |
|
1,234 |
1,089 |
$9K |
| Q5107 |
Inj mvasi 10 mg |
32 |
12 |
$9K |
| 92025 |
|
145 |
131 |
$9K |
| M0247 |
Sotrovimab infusion |
35 |
30 |
$9K |
| 86200 |
|
1,017 |
972 |
$8K |
| 11104 |
|
13 |
13 |
$8K |
| 86334 |
|
1,080 |
995 |
$8K |
| 12002 |
|
29 |
27 |
$8K |
| 90710 |
|
671 |
643 |
$8K |
| G0008 |
Admin influenza virus vac |
3,367 |
3,225 |
$8K |
| 86225 |
|
1,157 |
1,096 |
$8K |
| 94660 |
|
38 |
15 |
$8K |
| 83721 |
|
1,453 |
1,347 |
$8K |
| 69210 |
|
173 |
164 |
$7K |
| 99157 |
|
808 |
718 |
$7K |
| 96127 |
|
521 |
411 |
$7K |
| 74019 |
|
194 |
170 |
$7K |
| 86431 |
|
1,318 |
1,255 |
$7K |
| 90716 |
|
124 |
121 |
$7K |
| J3475 |
Inj magnesium sulfate |
3,184 |
2,177 |
$7K |
| 82525 |
|
647 |
620 |
$7K |
| 0054A |
|
269 |
263 |
$7K |
| 85046 |
|
2,294 |
1,745 |
$7K |
| 84270 |
|
649 |
618 |
$7K |
| 87338 |
|
749 |
725 |
$7K |
| 84165 |
|
1,548 |
1,422 |
$7K |
| 64644 |
|
141 |
111 |
$7K |
| 76519 |
|
71 |
65 |
$7K |
| 93247 |
|
174 |
167 |
$7K |
| 64400 |
|
26 |
12 |
$6K |
| 83020 |
|
591 |
550 |
$6K |
| 11900 |
|
27 |
25 |
$6K |
| 86376 |
|
604 |
583 |
$6K |
| Q0162 |
Ondansetron oral |
7,821 |
5,740 |
$6K |
| 85651 |
|
2,189 |
2,015 |
$6K |
| J7620 |
Albuterol ipratrop non-comp |
2,307 |
1,587 |
$6K |
| 86141 |
|
721 |
686 |
$6K |
| 64642 |
|
103 |
93 |
$6K |
| 95004 |
|
99 |
91 |
$6K |
| J0500 |
Dicyclomine injection |
729 |
667 |
$6K |
| J3301 |
Triamcinolone acet inj nos |
2,629 |
2,281 |
$6K |
| 73060 |
|
286 |
238 |
$6K |
| 84550 |
|
1,950 |
1,685 |
$6K |
| J1650 |
Inj enoxaparin sodium |
9,550 |
3,504 |
$6K |
| 78452 |
|
18 |
15 |
$6K |
| 87517 |
|
174 |
163 |
$6K |
| 90021 |
|
412 |
233 |
$6K |
| 86038 |
|
685 |
656 |
$5K |
| 82948 |
|
1,799 |
1,716 |
$5K |
| 90696 |
|
330 |
322 |
$5K |
| 87075 |
|
1,774 |
1,559 |
$5K |
| 84703 |
|
1,730 |
1,613 |
$5K |
| 83002 |
|
519 |
500 |
$5K |
| 83030 |
|
660 |
617 |
$5K |
| 76942 |
|
114 |
104 |
$5K |
| J2997 |
Alteplase recombinant |
83 |
52 |
$5K |
| 86160 |
|
827 |
636 |
$5K |
| 91320 |
|
102 |
98 |
$5K |
| 94621 |
|
31 |
28 |
$5K |
| 86708 |
|
728 |
661 |
$5K |
| 88360 |
|
121 |
96 |
$5K |
| 87902 |
|
34 |
32 |
$5K |
| 86301 |
|
644 |
519 |
$5K |
| 84134 |
|
625 |
564 |
$5K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
360 |
299 |
$4K |
| 86849 |
|
1,300 |
1,075 |
$4K |
| P9041 |
Albumin (human),5%, 50ml |
303 |
250 |
$4K |
| 76937 |
|
324 |
271 |
$4K |
| 0071A |
|
149 |
148 |
$4K |
| 72132 |
|
595 |
534 |
$4K |
| 80299 |
|
508 |
452 |
$4K |
| 96368 |
|
742 |
413 |
$4K |
| U0002 |
Covid-19 lab test non-cdc |
152 |
145 |
$4K |
| 88313 |
|
549 |
451 |
$4K |
| 87801 |
|
208 |
193 |
$4K |
| 82040 |
|
1,597 |
1,491 |
$4K |
| 82247 |
|
766 |
507 |
$4K |
| 0297T |
|
66 |
65 |
$4K |
| 86592 |
|
547 |
486 |
$4K |
| 84480 |
|
397 |
381 |
$4K |
| 82465 |
|
879 |
843 |
$4K |
| 84478 |
|
1,105 |
957 |
$4K |
| 82962 |
|
928 |
803 |
$4K |
| 87147 |
|
785 |
747 |
$4K |
| A0200 |
Noner transport lodgng escrt |
89 |
12 |
$4K |
| 86800 |
|
422 |
396 |
$4K |
| 84630 |
|
475 |
453 |
$4K |
| J2060 |
Lorazepam injection |
2,003 |
1,362 |
$4K |
| 62370 |
|
33 |
26 |
$4K |
| 84446 |
|
591 |
550 |
$4K |
| 86147 |
|
135 |
89 |
$4K |
| 84132 |
|
3,759 |
3,242 |
$4K |
| 82150 |
|
903 |
746 |
$4K |
| 87449 |
|
847 |
773 |
$3K |
| 58301 |
|
15 |
13 |
$3K |
| 99211 |
|
141 |
132 |
$3K |
| 88312 |
|
394 |
325 |
$3K |
| 92235 |
|
41 |
38 |
$3K |
| 86665 |
|
539 |
283 |
$3K |
| 90746 |
|
152 |
141 |
$3K |
| 36416 |
|
2,154 |
1,797 |
$3K |
| 90480 |
|
132 |
125 |
$3K |
| 77066 |
Tomosynthesis, mammo |
297 |
261 |
$3K |
| A9552 |
F18 fdg |
529 |
508 |
$3K |
| 84425 |
|
469 |
447 |
$3K |
| 90474 |
|
502 |
498 |
$3K |
| 73700 |
|
44 |
41 |
$3K |
| 20611 |
|
12 |
12 |
$3K |
| 87324 |
|
567 |
521 |
$3K |
| 82947 |
|
3,522 |
3,075 |
$3K |
| 91312 |
|
1,217 |
1,176 |
$3K |
| 90656 |
|
120 |
118 |
$3K |
| G0279 |
Tomosynthesis, mammo |
78 |
66 |
$3K |
| 72129 |
|
523 |
473 |
$3K |
| 84155 |
|
1,265 |
1,159 |
$3K |
| J1815 |
Insulin injection |
4,966 |
1,397 |
$3K |
| 82248 |
|
843 |
645 |
$3K |
| 80178 |
|
372 |
326 |
$3K |
| 84460 |
|
1,099 |
1,032 |
$3K |
| C1894 |
Intro/sheath, non-laser |
1,012 |
868 |
$3K |
| M0239 |
Bamlanivimab-xxxx infusion |
18 |
15 |
$2K |
| 96116 |
|
27 |
25 |
$2K |
| J2765 |
Metoclopramide hcl injection |
3,167 |
2,585 |
$2K |
| 88262 |
|
50 |
39 |
$2K |
| 92004 |
|
984 |
933 |
$2K |
| 84295 |
|
3,271 |
2,802 |
$2K |
| 90999 |
|
19 |
12 |
$2K |
| 92523 |
|
62 |
54 |
$2K |
| 51798 |
|
46 |
41 |
$2K |
| 80177 |
|
361 |
329 |
$2K |
| C1725 |
Cath, translumin non-laser |
134 |
114 |
$2K |
| 82024 |
|
75 |
68 |
$2K |
| J0330 |
Succinycholine chloride inj |
1,979 |
1,565 |
$2K |
| J3370 |
Vancomycin hcl injection |
1,094 |
696 |
$2K |
| 86663 |
|
304 |
282 |
$2K |
| 74230 |
|
30 |
29 |
$2K |
| 59425 |
|
15 |
12 |
$2K |
| G2023 |
Specimen collect covid-19 |
114 |
113 |
$2K |
| 84590 |
|
377 |
346 |
$2K |
| 82610 |
|
221 |
214 |
$2K |
| J1439 |
Inj ferric carboxymaltos 1mg |
18 |
12 |
$2K |
| 86304 |
|
445 |
358 |
$2K |
| J0780 |
Prochlorperazine injection |
996 |
810 |
$2K |
| 43235 |
|
13 |
13 |
$2K |
| 72128 |
|
146 |
127 |
$2K |
| 84520 |
|
695 |
627 |
$2K |
| 82140 |
|
404 |
342 |
$2K |
| 95970 |
|
28 |
25 |
$2K |
| 72110 |
|
38 |
37 |
$2K |
| 80169 |
|
158 |
85 |
$2K |
| 91307 |
|
274 |
250 |
$2K |
| 86664 |
|
304 |
282 |
$2K |
| 82435 |
|
2,987 |
2,600 |
$2K |
| 76604 |
|
13 |
13 |
$2K |
| 90785 |
|
61 |
56 |
$2K |
| J1200 |
Diphenhydramine hcl injectio |
3,890 |
2,907 |
$2K |
| 74246 |
|
17 |
14 |
$2K |
| 91305 |
|
418 |
403 |
$2K |
| 82390 |
|
149 |
145 |
$2K |
| 94010 |
|
59 |
52 |
$2K |
| J2930 |
Methylprednisolone injection |
1,492 |
1,151 |
$2K |
| 77062 |
|
81 |
78 |
$2K |
| J7613 |
Albuterol non-comp unit |
1,393 |
1,102 |
$1K |
| 0072A |
|
63 |
63 |
$1K |
| 73120 |
|
45 |
38 |
$1K |
| 96133 |
|
75 |
65 |
$1K |
| 96130 |
|
16 |
12 |
$1K |
| G0379 |
Direct refer hospital observ |
15 |
13 |
$1K |
| J0171 |
Adrenalin epinephrine inject |
1,397 |
1,095 |
$1K |
| 90700 |
|
125 |
121 |
$1K |
| 86357 |
|
60 |
58 |
$1K |
| J1040 |
Methylprednisolone 80 mg inj |
380 |
349 |
$1K |
| 82951 |
|
95 |
90 |
$1K |
| 86003 |
|
104 |
63 |
$1K |
| 87102 |
|
525 |
438 |
$1K |
| 80195 |
|
119 |
65 |
$1K |
| J7070 |
D5w infusion |
1,316 |
719 |
$1K |
| 80347 |
|
252 |
157 |
$1K |
| 73564 |
|
41 |
31 |
$1K |
| 86644 |
|
151 |
135 |
$1K |
| 85660 |
|
372 |
235 |
$1K |
| 82010 |
|
790 |
651 |
$1K |
| 80179 |
|
4,052 |
3,386 |
$994.92 |
| 84144 |
|
80 |
72 |
$975.82 |
| G0473 |
Group behave couns 2-10 |
60 |
43 |
$969.40 |
| 88112 |
|
52 |
42 |
$966.78 |
| 80143 |
|
4,115 |
3,427 |
$958.26 |
| 94667 |
|
42 |
37 |
$952.04 |
| 83521 |
|
410 |
261 |
$939.31 |
| 87385 |
|
151 |
119 |
$902.98 |
| 82627 |
|
73 |
70 |
$902.33 |
| 86696 |
|
133 |
125 |
$898.80 |
| 99497 |
|
112 |
104 |
$882.25 |
| 80326 |
|
246 |
151 |
$868.32 |
| 83525 |
|
76 |
70 |
$864.23 |
| 84445 |
|
26 |
24 |
$828.82 |
| 86593 |
|
123 |
112 |
$827.05 |
| 82103 |
|
114 |
109 |
$811.65 |
| 82542 |
|
28 |
27 |
$806.14 |
| J7060 |
5% dextrose/water |
643 |
348 |
$801.16 |
| J1817 |
Insulin for insulin pump use |
550 |
171 |
$784.66 |
| 88280 |
|
56 |
44 |
$783.86 |
| 73620 |
|
34 |
25 |
$782.40 |
| J7512 |
Prednisone ir or dr oral 1mg |
2,270 |
1,440 |
$764.95 |
| 76857 |
|
12 |
12 |
$763.37 |
| J3473 |
Hyaluronidase recombinant |
24 |
15 |
$761.02 |
| 85055 |
|
40 |
39 |
$710.61 |
| 77065 |
Tomosynthesis, mammo |
75 |
65 |
$708.51 |
| 87807 |
|
50 |
47 |
$697.61 |
| 86769 |
|
28 |
27 |
$676.92 |
| 83718 |
|
104 |
99 |
$672.56 |
| 84450 |
|
279 |
265 |
$661.54 |
| 81511 |
|
13 |
13 |
$650.00 |
| 92611 |
|
14 |
14 |
$637.37 |
| 83993 |
|
51 |
49 |
$620.38 |
| J1642 |
Inj heparin sodium per 10 u |
1,026 |
759 |
$612.39 |
| 81015 |
|
590 |
551 |
$608.60 |
| 88271 |
|
41 |
30 |
$594.96 |
| 0052A |
|
18 |
18 |
$582.17 |
| 0296T |
|
15 |
13 |
$579.03 |
| 83921 |
|
98 |
93 |
$565.86 |
| 62369 |
|
30 |
28 |
$561.88 |
| 11100 |
|
12 |
12 |
$543.60 |
| 86695 |
|
70 |
66 |
$539.64 |
| 96139 |
|
13 |
12 |
$516.32 |
| 92593 |
|
33 |
31 |
$514.80 |
| 94760 |
|
472 |
421 |
$513.96 |
| Q5105 |
Inj retacrit esrd on dialysi |
23 |
14 |
$512.03 |
| 83090 |
|
68 |
66 |
$504.39 |
| 90707 |
|
64 |
64 |
$502.64 |
| J3420 |
Vitamin b12 injection |
1,135 |
898 |
$489.83 |
| J3480 |
Inj potassium chloride |
884 |
637 |
$482.03 |
| 82952 |
|
96 |
90 |
$453.01 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
980 |
893 |
$452.86 |
| 82785 |
|
42 |
39 |
$446.65 |
| L0140 |
Cervical semi-rigid adjustab |
27 |
24 |
$434.32 |
| 80364 |
|
248 |
153 |
$434.07 |
| 80355 |
|
248 |
153 |
$434.06 |
| 84432 |
|
38 |
36 |
$430.98 |
| C1780 |
Lens, intraocular (new tech) |
493 |
402 |
$426.47 |
| 89051 |
|
432 |
361 |
$417.54 |
| 93282 |
|
14 |
12 |
$417.22 |
| 80158 |
|
70 |
51 |
$407.62 |
| 29125 |
|
14 |
12 |
$407.40 |
| 85520 |
|
189 |
151 |
$400.60 |
| 86580 |
|
33 |
25 |
$364.35 |
| J7999 |
Compounded drug, noc |
32 |
28 |
$359.83 |
| 77001 |
|
51 |
42 |
$348.21 |
| 0051A |
|
13 |
13 |
$347.27 |
| 88275 |
|
42 |
30 |
$347.06 |
| 70250 |
|
14 |
14 |
$337.26 |
| 99212 |
|
55 |
52 |
$337.00 |
| 92136 |
|
14 |
14 |
$332.01 |
| C1729 |
Cath, drainage |
468 |
401 |
$328.78 |
| G0009 |
Admin pneumococcal vaccine |
896 |
856 |
$319.57 |
| 73070 |
|
48 |
41 |
$310.31 |
| 70350 |
|
12 |
12 |
$301.13 |
| 82274 |
|
28 |
26 |
$300.09 |
| J1956 |
Levofloxacin injection |
16 |
15 |
$295.95 |
| 83010 |
|
88 |
76 |
$286.76 |
| 84207 |
|
55 |
54 |
$281.11 |
| 88311 |
|
112 |
91 |
$272.87 |
| C1887 |
Catheter, guiding |
562 |
483 |
$272.29 |
| Q0239 |
Bamlanivimab-xxxx |
19 |
14 |
$270.13 |
| G1010 |
Cdsm stanson |
9,005 |
7,544 |
$266.13 |
| J1050 |
Medroxyprogesterone acetate |
716 |
685 |
$255.52 |
| 86308 |
|
79 |
78 |
$253.82 |
| 80349 |
|
33 |
27 |
$232.19 |
| 76870 |
|
53 |
51 |
$230.68 |
| 84206 |
|
13 |
12 |
$221.32 |
| L3906 |
Who w/o joints cf |
60 |
52 |
$219.19 |
| G0123 |
Screen cerv/vag thin layer |
271 |
263 |
$179.92 |
| 91308 |
|
17 |
17 |
$174.79 |
| 82671 |
|
12 |
12 |
$171.02 |
| 86645 |
|
25 |
24 |
$161.90 |
| 83883 |
|
18 |
14 |
$145.27 |
| 90685 |
|
40 |
38 |
$143.33 |
| 85613 |
|
56 |
52 |
$136.99 |
| 87116 |
|
135 |
93 |
$129.44 |
| 86300 |
|
19 |
16 |
$126.39 |
| 86381 |
|
30 |
28 |
$122.38 |
| A0190 |
Noner transport meals recip |
43 |
12 |
$119.92 |
| 83519 |
|
21 |
12 |
$113.12 |
| 85670 |
|
56 |
52 |
$109.79 |
| 95249 |
|
116 |
111 |
$106.78 |
| 87015 |
|
58 |
39 |
$106.56 |
| 86341 |
|
15 |
13 |
$106.05 |
| 86015 |
|
29 |
28 |
$99.96 |
| C1892 |
Intro/sheath,fixed,peel-away |
16 |
13 |
$96.42 |
| 87206 |
|
113 |
79 |
$90.00 |
| J8540 |
Oral dexamethasone |
1,943 |
884 |
$86.49 |
| J7607 |
Levalbuterol comp con |
26 |
18 |
$85.32 |
| 86060 |
|
13 |
12 |
$83.16 |
| 86709 |
|
16 |
14 |
$76.23 |
| G0499 |
Hepb screen high risk indiv |
89 |
52 |
$75.91 |
| A9573 |
Inj, gadopiclenol, 1 ml |
94 |
90 |
$74.10 |
| 96040 |
|
599 |
572 |
$68.64 |
| J1940 |
Furosemide injection |
759 |
406 |
$67.33 |
| J0561 |
Penicillin g benzathine inj |
19 |
13 |
$65.10 |
| J7510 |
Prednisolone oral per 5 mg |
32 |
24 |
$60.78 |
| J1030 |
Methylprednisolone 40 mg inj |
196 |
147 |
$58.32 |
| 82104 |
|
12 |
12 |
$56.00 |
| 91300 |
|
3,389 |
3,018 |
$45.04 |
| J1580 |
Garamycin gentamicin inj |
19 |
12 |
$41.35 |
| 84300 |
|
46 |
43 |
$35.44 |
| 83935 |
|
14 |
13 |
$25.40 |
| 85384 |
|
20 |
12 |
$24.99 |
| J2370 |
Phenylephrine hcl injection |
1,153 |
1,058 |
$18.58 |
| 85347 |
|
125 |
69 |
$16.22 |
| 98968 |
|
45 |
29 |
$15.40 |
| J2001 |
Lidocaine injection |
4,070 |
3,631 |
$7.49 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
108 |
98 |
$6.63 |
| S4990 |
Nicotine patch legend |
1,512 |
662 |
$5.31 |
| J8597 |
Antiemetic drug oral nos |
27 |
13 |
$5.12 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
276 |
150 |
$4.11 |
| Q9950 |
Inj sulf hexa lipid microsph |
156 |
144 |
$2.57 |
| J1250 |
Inj dobutamine hcl/250 mg |
495 |
418 |
$0.93 |
| J0461 |
Atropine sulfate injection |
503 |
341 |
$0.92 |
| J1630 |
Haloperidol injection |
1,577 |
1,303 |
$0.90 |
| J0360 |
Hydralazine hcl injection |
73 |
56 |
$0.07 |
| G8978 |
Mobility current status |
465 |
414 |
$0.01 |
| G8979 |
Mobility goal status |
468 |
418 |
$0.01 |
| G8988 |
Self care goal status |
329 |
296 |
$0.01 |
| G8987 |
Self care current status |
328 |
296 |
$0.01 |
| Q0163 |
Diphenhydramine hcl 50mg |
13 |
13 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
16 |
14 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
76 |
50 |
$0.00 |
| G8985 |
Carry goal status |
74 |
68 |
$0.00 |
| A6457 |
Tubular dressing |
291 |
211 |
$0.00 |
| 96402 |
|
67 |
52 |
$0.00 |
| J3489 |
Zoledronic acid 1mg |
195 |
182 |
$0.00 |
| J1953 |
Levetiracetam injection |
18 |
13 |
$0.00 |
| J0153 |
Adenosine inj 1mg |
88 |
81 |
$0.00 |
| 92504 |
|
28 |
25 |
$0.00 |
| 96136 |
|
33 |
29 |
$0.00 |
| G8984 |
Carry current status |
60 |
56 |
$0.00 |
| J0694 |
Cefoxitin sodium injection |
29 |
25 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
30 |
28 |
$0.00 |
| C1760 |
Closure dev, vasc |
50 |
36 |
$0.00 |
| J9190 |
Fluorouracil injection |
19 |
12 |
$0.00 |
| 96138 |
|
13 |
12 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
334 |
145 |
$0.00 |
| C9290 |
Inj, bupivacaine liposome |
123 |
115 |
$0.00 |
| 95911 |
|
14 |
13 |
$0.00 |
| Q0164 |
Prochlorperazine maleate 5mg |
67 |
42 |
$0.00 |
| J0610 |
Calcium glucon (fresenius) |
52 |
39 |
$0.00 |
| 84157 |
|
14 |
14 |
$0.00 |
| 92285 |
|
16 |
12 |
$0.00 |
| J7644 |
Ipratropium bromide non-comp |
24 |
15 |
$0.00 |
| 92002 |
|
26 |
24 |
$0.00 |
| 87071 |
|
15 |
12 |
$0.00 |
| G8980 |
Mobility d/c status |
40 |
36 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
51 |
27 |
$0.00 |
| C1773 |
Ret dev, insertable |
28 |
27 |
$0.00 |