| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
78,669 |
70,777 |
$8.12M |
| 96361 |
|
28,649 |
24,688 |
$8.04M |
| 99284 |
|
57,847 |
52,399 |
$4.46M |
| 99285 |
|
59,430 |
53,511 |
$3.95M |
| G0463 |
Hospital outpt clinic visit |
39,577 |
27,262 |
$3.04M |
| 74177 |
|
13,737 |
13,045 |
$2.21M |
| 99282 |
|
17,705 |
16,059 |
$1.80M |
| 93306 |
|
7,087 |
6,938 |
$1.46M |
| 70450 |
|
10,910 |
10,244 |
$1.41M |
| 43239 |
|
4,767 |
4,604 |
$1.32M |
| 96365 |
|
13,660 |
10,633 |
$1.27M |
| 96366 |
|
5,255 |
3,952 |
$974K |
| 96360 |
|
8,448 |
7,726 |
$901K |
| 58661 |
|
348 |
341 |
$838K |
| 45385 |
|
2,370 |
2,292 |
$837K |
| 29581 |
|
5,357 |
2,150 |
$735K |
| 78452 |
|
2,208 |
2,143 |
$720K |
| 74176 |
|
4,244 |
4,069 |
$706K |
| 59025 |
|
4,868 |
3,542 |
$684K |
| 45380 |
|
2,016 |
1,956 |
$573K |
| 87635 |
|
18,100 |
17,179 |
$568K |
| 71275 |
|
3,710 |
3,530 |
$541K |
| 95806 |
|
1,848 |
1,827 |
$525K |
| 80307 |
|
20,022 |
16,736 |
$496K |
| 10060 |
|
1,933 |
1,801 |
$330K |
| 12001 |
|
1,802 |
1,754 |
$324K |
| 76705 |
|
3,999 |
3,771 |
$305K |
| 96413 |
|
5,277 |
2,966 |
$294K |
| 93971 |
|
3,578 |
3,417 |
$281K |
| 97597 |
|
6,522 |
3,616 |
$280K |
| 80053 |
|
78,183 |
67,509 |
$279K |
| 70553 |
|
1,519 |
1,446 |
$271K |
| 93976 |
|
4,781 |
4,512 |
$268K |
| 99281 |
|
2,542 |
2,302 |
$237K |
| 70496 |
|
1,728 |
1,671 |
$230K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,659 |
2,403 |
$220K |
| 96415 |
|
1,586 |
1,034 |
$219K |
| 93017 |
|
2,893 |
2,798 |
$215K |
| 50590 |
|
130 |
128 |
$206K |
| 93458 |
|
241 |
237 |
$170K |
| 96367 |
|
3,795 |
2,212 |
$168K |
| 87591 |
|
12,426 |
11,964 |
$157K |
| 78815 |
|
301 |
297 |
$153K |
| 43248 |
|
404 |
379 |
$150K |
| 76830 |
|
2,043 |
1,947 |
$147K |
| 45378 |
|
282 |
278 |
$146K |
| 69436 |
|
137 |
134 |
$146K |
| 76856 |
|
2,592 |
2,461 |
$143K |
| 12002 |
|
849 |
815 |
$137K |
| 12011 |
|
722 |
692 |
$131K |
| 42820 |
|
63 |
63 |
$106K |
| 93970 |
|
1,217 |
1,154 |
$100K |
| 70491 |
|
666 |
658 |
$97K |
| 87491 |
|
12,462 |
12,002 |
$92K |
| 84484 |
|
23,530 |
17,788 |
$92K |
| 87086 |
|
31,036 |
29,204 |
$91K |
| 76801 |
|
2,368 |
2,180 |
$89K |
| 76811 |
|
2,145 |
2,048 |
$81K |
| 17250 |
|
832 |
593 |
$79K |
| 76816 |
|
2,476 |
2,166 |
$76K |
| 70486 |
|
2,595 |
2,471 |
$75K |
| 76937 |
|
2,300 |
2,095 |
$71K |
| G0378 |
Hospital observation per hr |
9,874 |
5,054 |
$68K |
| 80048 |
|
17,088 |
14,138 |
$61K |
| 94640 |
|
8,885 |
7,089 |
$60K |
| 52356 |
|
27 |
27 |
$59K |
| 29125 |
|
463 |
448 |
$55K |
| 71260 |
|
1,105 |
1,076 |
$55K |
| 47562 |
|
27 |
26 |
$54K |
| 90715 |
|
3,108 |
2,986 |
$53K |
| 93005 |
|
38,004 |
32,600 |
$51K |
| 76805 |
|
1,410 |
1,357 |
$48K |
| 74174 |
|
400 |
382 |
$45K |
| C8929 |
Tte w or wo fol wcon,doppler |
1,292 |
1,243 |
$45K |
| 87505 |
|
716 |
691 |
$44K |
| 76819 |
|
1,518 |
1,052 |
$44K |
| 95811 |
|
138 |
134 |
$44K |
| 76817 |
|
2,112 |
1,876 |
$42K |
| 72125 |
|
5,223 |
4,968 |
$42K |
| 96374 |
|
45,976 |
40,522 |
$42K |
| 70498 |
|
1,731 |
1,679 |
$40K |
| 83605 |
|
8,612 |
7,705 |
$39K |
| G0480 |
Drug test def 1-7 classes |
4,423 |
3,841 |
$38K |
| 87077 |
|
11,314 |
10,799 |
$37K |
| 76870 |
|
468 |
446 |
$35K |
| 87040 |
|
6,386 |
3,663 |
$35K |
| 96372 |
|
24,640 |
18,467 |
$32K |
| 96416 |
|
121 |
65 |
$31K |
| 70551 |
|
210 |
199 |
$31K |
| 93880 |
|
670 |
642 |
$30K |
| 64615 |
|
128 |
125 |
$29K |
| 83880 |
|
6,284 |
5,641 |
$29K |
| 95810 |
|
97 |
96 |
$29K |
| 95813 |
|
106 |
103 |
$28K |
| 77386 |
|
122 |
12 |
$28K |
| 71046 |
|
14,491 |
13,750 |
$26K |
| 80047 |
|
3,716 |
3,479 |
$26K |
| 93350 |
|
106 |
104 |
$25K |
| J0585 |
Injection,onabotulinumtoxina |
107 |
103 |
$25K |
| 87254 |
|
1,646 |
1,614 |
$24K |
| 93325 |
|
553 |
532 |
$22K |
| 95819 |
|
157 |
155 |
$21K |
| J3490 |
Drugs unclassified injection |
865 |
771 |
$20K |
| 85379 |
|
5,449 |
5,177 |
$20K |
| 84145 |
|
2,463 |
2,255 |
$20K |
| 99291 |
|
544 |
529 |
$19K |
| 96523 |
|
559 |
406 |
$19K |
| 87070 |
|
10,213 |
9,686 |
$19K |
| 87637 |
|
5,172 |
5,022 |
$18K |
| 85025 |
|
87,206 |
73,346 |
$18K |
| 88307 |
|
1,067 |
1,003 |
$18K |
| 80050 |
|
3,253 |
3,093 |
$17K |
| 86850 |
|
6,501 |
5,983 |
$17K |
| 97598 |
|
1,085 |
444 |
$17K |
| 77334 |
|
226 |
168 |
$16K |
| 87400 |
|
1,539 |
1,483 |
$14K |
| 87186 |
|
8,079 |
7,695 |
$14K |
| 77336 |
|
306 |
151 |
$14K |
| 87184 |
|
5,196 |
5,046 |
$14K |
| 71045 |
|
19,065 |
17,510 |
$13K |
| 74420 |
|
198 |
191 |
$13K |
| 76770 |
|
162 |
152 |
$13K |
| 86900 |
|
6,935 |
6,153 |
$13K |
| G0108 |
Diab manage trn per indiv |
1,011 |
696 |
$12K |
| A4649 |
Surgical supplies |
7,186 |
6,281 |
$12K |
| 76815 |
|
339 |
281 |
$11K |
| 96375 |
|
35,098 |
28,906 |
$11K |
| 76820 |
|
883 |
490 |
$11K |
| 87205 |
|
7,981 |
7,517 |
$11K |
| 77295 |
|
30 |
27 |
$10K |
| 36415 |
|
21,797 |
16,455 |
$10K |
| 76818 |
|
894 |
454 |
$10K |
| 97162 |
|
309 |
298 |
$10K |
| 80179 |
|
2,401 |
2,187 |
$9K |
| 87209 |
|
1,318 |
1,292 |
$8K |
| 43235 |
|
28 |
26 |
$8K |
| 87636 |
|
1,569 |
1,545 |
$8K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,151 |
1,029 |
$8K |
| 36592 |
|
26,781 |
24,265 |
$8K |
| J1453 |
Fosaprepitant injection |
124 |
80 |
$7K |
| 86901 |
|
7,303 |
6,473 |
$7K |
| 73630 |
|
3,571 |
3,362 |
$7K |
| 73130 |
|
3,304 |
3,076 |
$6K |
| 87088 |
|
6,446 |
6,169 |
$6K |
| 77300 |
|
161 |
140 |
$6K |
| 82947 |
|
9,510 |
6,063 |
$6K |
| 36430 |
|
96 |
50 |
$6K |
| J2469 |
Palonosetron hcl |
88 |
53 |
$6K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
25,452 |
23,633 |
$6K |
| J2405 |
Ondansetron hcl injection |
41,204 |
33,906 |
$6K |
| 85027 |
|
9,762 |
8,369 |
$5K |
| 87147 |
|
1,623 |
1,569 |
$5K |
| 87149 |
|
1,212 |
1,204 |
$5K |
| J1885 |
Ketorolac tromethamine inj |
25,318 |
22,882 |
$5K |
| 81003 |
|
42,461 |
37,724 |
$5K |
| 97165 |
|
173 |
167 |
$5K |
| 87045 |
|
1,004 |
970 |
$5K |
| 72131 |
|
375 |
364 |
$5K |
| 80143 |
|
2,485 |
2,273 |
$5K |
| 74018 |
|
1,913 |
1,759 |
$5K |
| 84443 |
|
6,856 |
6,124 |
$5K |
| 87420 |
|
401 |
391 |
$5K |
| 90471 |
|
3,881 |
3,659 |
$5K |
| 87177 |
|
1,334 |
1,306 |
$5K |
| 72100 |
|
1,956 |
1,910 |
$4K |
| 93308 |
|
29 |
24 |
$4K |
| 87081 |
|
2,116 |
2,080 |
$4K |
| 87634 |
|
187 |
186 |
$4K |
| 97161 |
|
157 |
153 |
$4K |
| J1756 |
Iron sucrose injection |
1,063 |
483 |
$4K |
| 83735 |
|
12,512 |
10,759 |
$4K |
| 84112 |
|
366 |
318 |
$4K |
| 81025 |
|
27,116 |
24,866 |
$4K |
| 84702 |
|
3,655 |
3,258 |
$3K |
| 95812 |
|
13 |
13 |
$3K |
| 87427 |
|
552 |
535 |
$3K |
| Q3014 |
Telehealth facility fee |
134 |
129 |
$3K |
| 77002 |
|
25 |
25 |
$3K |
| 73610 |
|
3,594 |
3,387 |
$3K |
| 73560 |
|
2,687 |
2,487 |
$3K |
| 73502 |
|
1,820 |
1,698 |
$3K |
| 83690 |
|
17,270 |
15,361 |
$3K |
| 95816 |
|
17 |
17 |
$3K |
| 73030 |
|
3,059 |
2,790 |
$3K |
| J2785 |
Regadenoson injection |
1,436 |
1,386 |
$3K |
| 64505 |
|
17 |
14 |
$3K |
| A9500 |
Tc99m sestamibi |
2,241 |
2,140 |
$3K |
| 70487 |
|
16 |
16 |
$3K |
| 70552 |
|
12 |
12 |
$2K |
| Q0138 |
Ferumoxytol, non-esrd |
21 |
12 |
$2K |
| 81001 |
|
22,032 |
20,224 |
$2K |
| 76821 |
|
216 |
81 |
$2K |
| 73110 |
|
2,392 |
2,235 |
$2K |
| J1170 |
Hydromorphone injection |
15,185 |
11,321 |
$2K |
| 82077 |
|
9,492 |
8,319 |
$2K |
| J1642 |
Inj heparin sodium per 10 u |
7,101 |
3,650 |
$2K |
| 73700 |
|
39 |
39 |
$2K |
| 71250 |
|
57 |
54 |
$2K |
| J3010 |
Fentanyl citrate injection |
19,179 |
17,153 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
27,737 |
21,703 |
$2K |
| J1100 |
Dexamethasone sodium phos |
19,084 |
16,433 |
$2K |
| 71101 |
|
1,294 |
1,239 |
$2K |
| 88305 |
|
7,478 |
7,004 |
$2K |
| 87899 |
|
689 |
377 |
$2K |
| 36591 |
|
977 |
630 |
$2K |
| 96376 |
|
11,250 |
8,196 |
$2K |
| 99152 |
|
3,222 |
3,017 |
$2K |
| 96368 |
|
652 |
555 |
$2K |
| 93923 |
|
31 |
30 |
$2K |
| 87493 |
|
214 |
209 |
$1K |
| 85014 |
|
5,385 |
4,873 |
$1K |
| 85610 |
|
8,431 |
7,396 |
$1K |
| J1200 |
Diphenhydramine hcl injectio |
11,372 |
9,414 |
$1K |
| 86140 |
|
3,230 |
2,813 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
8,594 |
7,293 |
$1K |
| 72148 |
|
12 |
12 |
$1K |
| J2270 |
Morphine sulfate injection |
12,517 |
10,319 |
$1K |
| 73564 |
|
863 |
823 |
$1K |
| 87252 |
|
83 |
80 |
$1K |
| 20553 |
|
17 |
14 |
$1K |
| 73140 |
|
1,399 |
1,310 |
$1K |
| 77470 |
|
13 |
12 |
$1K |
| J7120 |
Ringers lactate infusion |
27,364 |
24,802 |
$1K |
| 90714 |
|
76 |
76 |
$1K |
| 72040 |
|
386 |
360 |
$1K |
| 85730 |
|
5,262 |
4,586 |
$1K |
| 73090 |
|
903 |
838 |
$1K |
| 86923 |
|
95 |
83 |
$1K |
| 84703 |
|
5,825 |
5,530 |
$1K |
| 80061 |
|
333 |
312 |
$1K |
| 73080 |
|
840 |
806 |
$1K |
| 83630 |
|
85 |
84 |
$987.49 |
| J2765 |
Metoclopramide hcl injection |
6,110 |
5,589 |
$930.82 |
| 99153 |
Mod sedat endo service >5yrs |
2,218 |
2,067 |
$912.14 |
| 87430 |
|
4,389 |
4,262 |
$904.78 |
| 72128 |
|
107 |
102 |
$837.00 |
| 73590 |
|
1,177 |
1,086 |
$833.87 |
| 82553 |
|
247 |
180 |
$777.26 |
| 85018 |
|
1,022 |
826 |
$776.70 |
| 82731 |
|
58 |
54 |
$766.35 |
| 82550 |
|
2,120 |
1,703 |
$760.19 |
| 87798 |
|
92 |
92 |
$744.99 |
| 90674 |
|
70 |
65 |
$740.30 |
| 87486 |
|
57 |
57 |
$740.01 |
| 83036 |
|
747 |
710 |
$730.36 |
| 85007 |
|
4,549 |
3,966 |
$728.08 |
| 87804 |
|
2,498 |
1,361 |
$716.97 |
| J0780 |
Prochlorperazine injection |
2,932 |
2,704 |
$701.49 |
| 93321 |
|
326 |
313 |
$613.28 |
| A9585 |
Gadobutrol injection |
935 |
906 |
$603.62 |
| J2930 |
Methylprednisolone injection |
3,149 |
2,742 |
$589.60 |
| J2060 |
Lorazepam injection |
5,841 |
4,781 |
$585.80 |
| 97530 |
|
35 |
26 |
$542.12 |
| C1894 |
Intro/sheath, non-laser |
3,093 |
2,557 |
$540.93 |
| 74022 |
|
272 |
262 |
$539.32 |
| 82565 |
|
1,391 |
1,336 |
$538.70 |
| 82962 |
|
1,117 |
663 |
$535.59 |
| 93922 |
|
12 |
12 |
$520.66 |
| 87075 |
|
499 |
451 |
$516.62 |
| 93798 |
|
41 |
13 |
$502.64 |
| 90686 |
|
55 |
55 |
$494.50 |
| A9577 |
Inj multihance |
1,597 |
1,496 |
$493.03 |
| 87210 |
|
1,273 |
1,186 |
$471.37 |
| 87633 |
|
79 |
75 |
$469.16 |
| 87046 |
|
83 |
82 |
$460.45 |
| 76376 |
|
303 |
291 |
$453.24 |
| 64400 |
|
18 |
15 |
$449.15 |
| 88342 |
|
1,519 |
1,444 |
$436.27 |
| 86780 |
|
202 |
202 |
$429.30 |
| 96417 |
|
1,037 |
636 |
$425.57 |
| J2250 |
Inj midazolam hydrochloride |
10,700 |
10,109 |
$419.79 |
| 80178 |
|
54 |
36 |
$415.88 |
| J3480 |
Inj potassium chloride |
1,471 |
1,107 |
$397.82 |
| 88304 |
|
1,695 |
1,650 |
$397.48 |
| A4314 |
Cath w/drainage 2-way latex |
1,132 |
1,043 |
$394.08 |
| 87641 |
|
80 |
79 |
$391.73 |
| C1769 |
Guide wire |
4,130 |
3,768 |
$391.38 |
| J1815 |
Insulin injection |
4,971 |
2,355 |
$382.11 |
| 87581 |
|
57 |
57 |
$370.05 |
| G2215 |
Home supply nasal naloxone |
37 |
33 |
$369.54 |
| 36416 |
|
6,997 |
5,606 |
$336.30 |
| 87880 |
|
376 |
372 |
$327.57 |
| J1790 |
Droperidol injection |
2,007 |
1,810 |
$319.71 |
| 93797 |
|
46 |
13 |
$296.16 |
| J2370 |
Phenylephrine hcl injection |
2,688 |
2,402 |
$292.21 |
| J3489 |
Zoledronic acid 1mg |
14 |
12 |
$287.07 |
| 64405 |
|
17 |
14 |
$287.06 |
| J1644 |
Inj heparin sodium per 1000u |
6,580 |
4,203 |
$278.89 |
| 87279 |
|
800 |
757 |
$275.68 |
| 80074 |
|
66 |
62 |
$271.94 |
| J0690 |
Cefazolin sodium injection |
9,668 |
8,077 |
$271.38 |
| 84132 |
|
1,976 |
1,814 |
$257.24 |
| 87300 |
|
1,043 |
1,033 |
$246.15 |
| J2310 |
Inj naloxone hydrochloride |
59 |
53 |
$236.77 |
| 87808 |
|
682 |
669 |
$235.66 |
| 84439 |
|
789 |
724 |
$232.47 |
| J2543 |
Piperacillin/tazobactam |
707 |
463 |
$223.57 |
| 85652 |
|
1,690 |
1,580 |
$215.67 |
| J3420 |
Vitamin b12 injection |
327 |
211 |
$202.37 |
| 87631 |
|
13 |
13 |
$197.40 |
| 82140 |
|
163 |
142 |
$195.41 |
| J7060 |
5% dextrose/water |
3,628 |
1,470 |
$187.82 |
| 84100 |
|
518 |
445 |
$186.02 |
| 51798 |
|
196 |
170 |
$180.24 |
| J7040 |
Normal saline solution infus |
1,173 |
1,066 |
$179.57 |
| 85046 |
|
56 |
43 |
$176.57 |
| J2550 |
Promethazine hcl injection |
1,572 |
1,323 |
$174.60 |
| C1781 |
Mesh (implantable) |
288 |
277 |
$172.08 |
| 73660 |
|
83 |
81 |
$163.32 |
| 82803 |
|
1,856 |
1,601 |
$160.79 |
| J0640 |
Leucovorin calcium injection |
168 |
92 |
$157.80 |
| C1726 |
Cath, bal dil, non-vascular |
215 |
191 |
$156.92 |
| C9399 |
Unclassified drugs or biolog |
109 |
65 |
$155.19 |
| 87253 |
|
13 |
13 |
$152.93 |
| J0280 |
Aminophyllin 250 mg inj |
247 |
236 |
$152.78 |
| 72170 |
|
99 |
76 |
$151.19 |
| J1956 |
Levofloxacin injection |
419 |
336 |
$147.14 |
| J1650 |
Inj enoxaparin sodium |
3,087 |
1,508 |
$145.09 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
930 |
722 |
$143.93 |
| J3475 |
Inj magnesium sulfate |
2,189 |
1,830 |
$143.45 |
| J0171 |
Adrenalin epinephrine inject |
350 |
294 |
$140.35 |
| J3370 |
Vancomycin hcl injection |
2,436 |
1,537 |
$138.10 |
| 80305 |
|
327 |
314 |
$137.74 |
| C1887 |
Catheter, guiding |
1,436 |
1,131 |
$121.93 |
| C1725 |
Cath, translumin non-laser |
307 |
243 |
$117.56 |
| J2710 |
Neostigmine methylslfte inj |
3,090 |
2,860 |
$107.42 |
| C2617 |
Stent, non-cor, tem w/o del |
354 |
337 |
$106.47 |
| 96411 |
|
296 |
182 |
$100.12 |
| 87280 |
|
377 |
374 |
$93.48 |
| J0330 |
Succinycholine chloride inj |
5,104 |
4,911 |
$80.33 |
| 86141 |
|
12 |
12 |
$79.92 |
| 72070 |
|
146 |
144 |
$79.52 |
| 85651 |
|
302 |
279 |
$67.99 |
| 87389 |
|
97 |
96 |
$64.69 |
| U0002 |
Covid-19 lab test non-cdc |
16 |
16 |
$63.57 |
| 86762 |
|
19 |
13 |
$61.47 |
| C1760 |
Closure dev, vasc |
113 |
103 |
$61.03 |
| 82009 |
|
510 |
442 |
$60.47 |
| J9190 |
Fluorouracil injection |
454 |
104 |
$59.54 |
| J1630 |
Haloperidol injection |
2,252 |
1,877 |
$46.53 |
| G0379 |
Direct refer hospital observ |
38 |
37 |
$45.98 |
| 84550 |
|
227 |
192 |
$43.75 |
| 73000 |
|
13 |
13 |
$43.48 |
| 73060 |
|
81 |
77 |
$41.72 |
| C1758 |
Catheter, ureteral |
704 |
649 |
$41.49 |
| 88302 |
|
304 |
286 |
$38.06 |
| 82010 |
|
232 |
204 |
$36.31 |
| 87206 |
|
19 |
12 |
$36.26 |
| 82570 |
|
91 |
80 |
$33.74 |
| 84156 |
|
91 |
77 |
$31.28 |
| 87260 |
|
29 |
29 |
$26.36 |
| 87101 |
|
14 |
12 |
$25.85 |
| 87807 |
|
196 |
196 |
$24.04 |
| J7512 |
Prednisone ir or dr oral 1mg |
4,241 |
3,448 |
$15.72 |
| C1729 |
Cath, drainage |
155 |
94 |
$15.00 |
| J1940 |
Furosemide injection |
1,470 |
1,065 |
$14.81 |
| 88341 |
|
41 |
38 |
$10.80 |
| 83615 |
|
15 |
13 |
$10.43 |
| 81000 |
|
165 |
142 |
$9.07 |
| 82800 |
|
239 |
214 |
$7.73 |
| J0744 |
Ciprofloxacin iv |
73 |
55 |
$6.90 |
| J2175 |
Meperidine hydrochl /100 mg |
165 |
157 |
$2.99 |
| J1580 |
Garamycin gentamicin inj |
260 |
233 |
$2.90 |
| J0461 |
Atropine sulfate injection |
22 |
14 |
$2.16 |
| C9113 |
Inj pantoprazole sodium, via |
707 |
472 |
$1.43 |
| J0571 |
Buprenorphine oral 1mg |
2,142 |
1,359 |
$1.33 |
| C1732 |
Cath, ep, diag/abl, 3d/vect |
49 |
45 |
$1.04 |
| J8540 |
Oral dexamethasone |
1,139 |
1,084 |
$0.73 |
| G1004 |
Cdsm ndsc |
13,628 |
10,710 |
$0.00 |
| J2800 |
Methocarbamol injection |
303 |
261 |
$0.00 |
| 0042T |
|
425 |
410 |
$0.00 |
| Q9950 |
Inj sulf hexa lipid microsph |
502 |
470 |
$0.00 |
| 85347 |
|
72 |
53 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
286 |
279 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
617 |
571 |
$0.00 |
| 80076 |
|
53 |
52 |
$0.00 |
| A9552 |
F18 fdg |
425 |
418 |
$0.00 |
| J2359 |
Inj. olanzapine, 0.5mg |
31 |
27 |
$0.00 |
| G8978 |
Mobility current status |
77 |
74 |
$0.00 |
| G8989 |
Self care d/c status |
28 |
26 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
39 |
39 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
305 |
244 |
$0.00 |
| J0737 |
Inj, clindamycin (baxter) |
14 |
14 |
$0.00 |
| 73562 |
|
13 |
13 |
$0.00 |
| J1953 |
Levetiracetam injection |
62 |
50 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
80 |
80 |
$0.00 |
| 0225U |
|
27 |
26 |
$0.00 |
| J0134 |
Inj acetaminophen -fresenius |
99 |
96 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
341 |
310 |
$0.00 |
| C1751 |
Cath, inf, per/cent/midline |
74 |
71 |
$0.00 |
| G8979 |
Mobility goal status |
84 |
76 |
$0.00 |
| 93356 |
|
26 |
25 |
$0.00 |
| 82272 |
|
46 |
45 |
$0.00 |
| J1245 |
Dipyridamole injection |
67 |
65 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
83 |
79 |
$0.00 |
| 83540 |
|
12 |
12 |
$0.00 |
| 73070 |
|
14 |
14 |
$0.00 |
| J3371 |
Inj, vancomycin hcl (mylan) |
16 |
14 |
$0.00 |
| 85049 |
|
26 |
26 |
$0.00 |
| A4358 |
Urinary leg or abdomen bag |
13 |
12 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
338 |
321 |
$0.00 |
| S2900 |
Robotic surgical system |
60 |
58 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
460 |
438 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
111 |
77 |
$0.00 |
| Q9969 |
Non-heu tc-99m add-on/dose |
719 |
683 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
617 |
521 |
$0.00 |
| G8980 |
Mobility d/c status |
70 |
66 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
46 |
43 |
$0.00 |
| J2305 |
Inj, nitroglycerin, 5 mg |
26 |
25 |
$0.00 |
| J1836 |
Inj, metronidazole, 10 mg |
132 |
103 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
135 |
126 |
$0.00 |
| J1920 |
Inj, labetalol hcl, 5mg |
28 |
26 |
$0.00 |
| A4351 |
Straight tip urine catheter |
79 |
77 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
189 |
125 |
$0.00 |
| A9270 |
Non-covered item or service |
540 |
26 |
$0.00 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
25 |
25 |
$0.00 |
| 74019 |
|
24 |
24 |
$0.00 |
| G8988 |
Self care goal status |
42 |
40 |
$0.00 |
| J0456 |
Azithromycin |
58 |
47 |
$0.00 |
| G8987 |
Self care current status |
40 |
39 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
83 |
62 |
$0.00 |
| Q0162 |
Ondansetron oral |
644 |
604 |
$0.00 |
| J3360 |
Diazepam injection |
92 |
85 |
$0.00 |
| C9290 |
Inj, bupivacaine liposome |
55 |
53 |
$0.00 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
56 |
51 |
$0.00 |
| A4338 |
Indwelling catheter latex |
12 |
12 |
$0.00 |
| J7050 |
Normal saline solution infus |
27 |
14 |
$0.00 |
| C1747 |
Endo, single, urinary tract |
15 |
14 |
$0.00 |
| J0561 |
Penicillin g benzathine inj |
12 |
12 |
$0.00 |