| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
198,682 |
172,660 |
$11.28M |
| 99213 |
|
204,326 |
179,787 |
$9.86M |
| 99215 |
Prolong outpt/office vis |
47,117 |
39,916 |
$3.47M |
| G0463 |
Hospital outpt clinic visit |
108,246 |
82,632 |
$2.58M |
| 96361 |
|
20,879 |
11,903 |
$2.08M |
| 99285 |
|
38,770 |
33,120 |
$2.03M |
| 92014 |
|
30,158 |
26,632 |
$1.56M |
| U0003 |
Cov-19 amp prb hgh thruput |
21,178 |
17,774 |
$1.50M |
| H0018 |
Alcohol and/or drug services |
7,672 |
422 |
$1.33M |
| 99284 |
|
26,476 |
23,244 |
$1.31M |
| G0483 |
Drug test def 22+ classes |
24,282 |
7,170 |
$1.31M |
| 80051 |
|
51,830 |
38,091 |
$1.04M |
| 99212 |
|
15,225 |
13,414 |
$989K |
| 80307 |
|
20,818 |
12,893 |
$898K |
| 99283 |
|
14,602 |
12,759 |
$868K |
| 88305 |
|
43,078 |
26,743 |
$808K |
| 90834 |
|
21,072 |
13,836 |
$666K |
| 96366 |
|
6,905 |
3,288 |
$606K |
| 43239 |
|
2,819 |
2,516 |
$577K |
| 97530 |
|
13,020 |
5,989 |
$563K |
| 96365 |
|
10,535 |
6,509 |
$562K |
| 93306 |
|
6,503 |
5,911 |
$511K |
| 87491 |
|
15,135 |
13,255 |
$492K |
| G0383 |
Lev 4 hosp type b ed visit |
9,670 |
8,253 |
$480K |
| J0585 |
Injection,onabotulinumtoxina |
3,904 |
2,543 |
$447K |
| 99211 |
|
8,054 |
6,662 |
$437K |
| 87651 |
|
10,107 |
9,263 |
$419K |
| 74177 |
|
7,326 |
6,569 |
$417K |
| 87635 |
|
9,695 |
8,668 |
$406K |
| 84443 |
|
32,391 |
29,102 |
$403K |
| 82306 |
|
15,843 |
14,393 |
$401K |
| C9257 |
Bevacizumab injection |
4,333 |
1,856 |
$398K |
| 87591 |
|
13,638 |
11,970 |
$388K |
| 0241U |
|
9,337 |
8,207 |
$388K |
| 70450 |
|
7,709 |
6,715 |
$387K |
| 90686 |
|
13,371 |
12,548 |
$382K |
| 85025 |
|
51,095 |
40,711 |
$364K |
| 82565 |
|
71,579 |
55,041 |
$363K |
| 80061 |
|
24,954 |
22,733 |
$353K |
| 96360 |
|
6,933 |
4,474 |
$331K |
| 76816 |
|
10,841 |
8,106 |
$319K |
| 97110 |
|
18,724 |
9,812 |
$306K |
| 45385 |
|
1,607 |
1,443 |
$297K |
| 67028 |
|
4,928 |
4,281 |
$294K |
| 76819 |
|
8,790 |
4,376 |
$270K |
| G0480 |
Drug test def 1-7 classes |
6,443 |
5,195 |
$267K |
| G0382 |
Lev 3 hosp type b ed visit |
5,585 |
4,941 |
$261K |
| 83036 |
|
25,674 |
23,538 |
$258K |
| 92012 |
|
4,281 |
3,815 |
$253K |
| 70553 |
|
2,628 |
2,330 |
$247K |
| 77067 |
|
7,523 |
6,294 |
$246K |
| 66984 |
|
1,234 |
846 |
$240K |
| U0005 |
Infec agen detec ampli probe |
19,341 |
16,106 |
$239K |
| 69436 |
|
479 |
420 |
$238K |
| 99282 |
|
3,105 |
2,838 |
$230K |
| 71046 |
|
42,707 |
36,474 |
$222K |
| 90792 |
|
2,978 |
2,524 |
$219K |
| 45380 |
|
1,250 |
1,114 |
$213K |
| G0378 |
Hospital observation per hr |
7,784 |
5,967 |
$212K |
| 94640 |
|
6,586 |
3,937 |
$211K |
| 82728 |
|
16,785 |
14,782 |
$211K |
| 93010 |
|
36,680 |
30,053 |
$208K |
| 96413 |
|
4,556 |
2,757 |
$206K |
| 87502 |
|
2,112 |
1,927 |
$188K |
| 92015 |
|
21,090 |
18,800 |
$187K |
| 20610 |
|
4,232 |
3,449 |
$186K |
| 59025 |
|
2,756 |
1,408 |
$184K |
| 90670 |
|
4,178 |
3,955 |
$179K |
| 96040 |
|
1,824 |
1,664 |
$171K |
| 62323 |
|
1,155 |
1,071 |
$170K |
| 96415 |
|
1,860 |
1,321 |
$167K |
| 82247 |
|
23,718 |
17,842 |
$165K |
| J0178 |
Aflibercept injection |
1,044 |
913 |
$164K |
| 76811 |
|
2,845 |
2,328 |
$162K |
| 42820 |
|
243 |
237 |
$159K |
| 88175 |
|
6,811 |
6,066 |
$159K |
| 87624 |
|
5,255 |
4,742 |
$156K |
| 90791 |
|
3,664 |
2,683 |
$154K |
| 92507 |
|
3,932 |
1,679 |
$150K |
| 92567 |
|
3,906 |
3,643 |
$148K |
| 97112 |
|
6,916 |
3,646 |
$146K |
| 85610 |
|
14,440 |
9,218 |
$143K |
| 82962 |
|
22,653 |
8,443 |
$140K |
| 95810 |
|
679 |
619 |
$138K |
| 41899 |
|
394 |
324 |
$138K |
| 82040 |
|
9,007 |
7,366 |
$137K |
| 87086 |
|
13,143 |
11,382 |
$135K |
| 84460 |
|
36,420 |
29,612 |
$132K |
| 92004 |
|
3,204 |
2,868 |
$131K |
| 90651 |
|
1,716 |
1,607 |
$130K |
| 99391 |
|
2,637 |
2,447 |
$128K |
| 82947 |
|
41,235 |
34,201 |
$126K |
| 90837 |
|
2,395 |
1,645 |
$124K |
| 93303 |
|
825 |
739 |
$122K |
| 76805 |
|
2,435 |
1,877 |
$121K |
| 74176 |
|
1,980 |
1,795 |
$121K |
| 93325 |
|
4,029 |
3,460 |
$115K |
| 87661 |
|
3,997 |
3,509 |
$112K |
| H2012 |
Behav hlth day treat, per hr |
5,333 |
288 |
$109K |
| 76705 |
|
3,335 |
2,982 |
$108K |
| 96372 |
|
27,811 |
16,657 |
$108K |
| 86900 |
|
4,964 |
3,959 |
$107K |
| 97162 |
|
4,166 |
3,771 |
$106K |
| 90633 |
|
2,233 |
2,088 |
$105K |
| 92340 |
|
5,706 |
5,456 |
$105K |
| 11721 |
|
5,297 |
4,850 |
$105K |
| 96367 |
|
1,919 |
1,138 |
$100K |
| 81001 |
|
18,764 |
15,812 |
$99K |
| 99203 |
|
2,251 |
2,119 |
$98K |
| 84450 |
|
24,531 |
19,825 |
$97K |
| 81025 |
|
9,720 |
8,377 |
$96K |
| 78815 |
|
489 |
421 |
$95K |
| 87210 |
|
6,065 |
5,249 |
$95K |
| 76817 |
|
2,690 |
2,120 |
$92K |
| 85027 |
|
19,298 |
15,105 |
$92K |
| 87081 |
|
7,713 |
7,065 |
$90K |
| 97140 |
|
6,241 |
3,428 |
$90K |
| J2315 |
Naltrexone, depot form |
606 |
481 |
$89K |
| 82043 |
|
8,700 |
8,002 |
$87K |
| 90715 |
|
3,466 |
3,193 |
$85K |
| 84439 |
|
7,786 |
6,947 |
$84K |
| 90853 |
|
5,265 |
1,961 |
$84K |
| 83970 |
|
3,784 |
3,331 |
$82K |
| 86703 |
|
6,497 |
5,706 |
$82K |
| 64615 |
|
925 |
820 |
$82K |
| 99204 |
|
1,152 |
1,096 |
$81K |
| 81003 |
|
11,298 |
9,528 |
$81K |
| 96101 |
|
309 |
259 |
$79K |
| 49083 |
|
528 |
261 |
$78K |
| 84520 |
|
33,011 |
26,177 |
$77K |
| 97597 |
|
2,272 |
1,501 |
$76K |
| 99392 |
|
1,438 |
1,410 |
$73K |
| 71275 |
|
1,068 |
956 |
$71K |
| 97161 |
|
2,268 |
2,055 |
$70K |
| 86803 |
|
6,376 |
5,624 |
$68K |
| 97165 |
|
2,337 |
2,124 |
$68K |
| 99232 |
|
3,831 |
1,446 |
$66K |
| 76815 |
|
1,767 |
1,222 |
$65K |
| 83655 |
|
4,310 |
3,936 |
$64K |
| 87077 |
|
6,198 |
4,893 |
$63K |
| 84075 |
|
18,351 |
14,587 |
$63K |
| 71260 |
|
1,412 |
1,284 |
$62K |
| 96130 |
|
576 |
422 |
$62K |
| 93320 |
|
865 |
775 |
$61K |
| 94010 |
|
3,947 |
3,438 |
$60K |
| 82310 |
|
14,267 |
11,803 |
$58K |
| 98940 |
|
4,852 |
2,780 |
$58K |
| 76642 |
|
1,802 |
1,525 |
$57K |
| 82607 |
|
5,608 |
5,046 |
$57K |
| 97166 |
|
1,885 |
1,721 |
$56K |
| 82805 |
|
2,377 |
1,671 |
$56K |
| 3008F |
|
6,673 |
6,561 |
$55K |
| 95886 |
|
962 |
893 |
$55K |
| 77063 |
|
3,216 |
2,719 |
$54K |
| 97535 |
|
3,772 |
2,343 |
$54K |
| 83735 |
|
12,179 |
8,229 |
$53K |
| 72148 |
|
914 |
807 |
$53K |
| 84484 |
|
7,412 |
4,308 |
$53K |
| 83690 |
|
10,942 |
9,073 |
$53K |
| 92523 |
|
662 |
624 |
$53K |
| 51705 |
|
951 |
746 |
$52K |
| 83550 |
|
9,293 |
8,210 |
$52K |
| 94060 |
|
2,264 |
2,027 |
$51K |
| 90471 |
|
10,689 |
9,807 |
$51K |
| 11042 |
|
982 |
725 |
$49K |
| 90688 |
|
1,072 |
1,010 |
$48K |
| G0108 |
Diab manage trn per indiv |
3,715 |
3,382 |
$48K |
| 76770 |
|
737 |
658 |
$48K |
| 91320 |
|
972 |
893 |
$48K |
| 87340 |
|
6,457 |
5,562 |
$47K |
| 87070 |
|
3,204 |
2,652 |
$47K |
| 86780 |
|
5,196 |
4,562 |
$45K |
| 99460 |
|
513 |
482 |
$45K |
| 84132 |
|
13,302 |
10,908 |
$44K |
| 84702 |
|
2,267 |
1,511 |
$44K |
| 87798 |
|
1,304 |
1,047 |
$44K |
| 0002A |
|
1,355 |
1,319 |
$44K |
| 83516 |
|
3,710 |
1,962 |
$44K |
| 99393 |
|
861 |
851 |
$43K |
| 93971 |
|
1,702 |
1,554 |
$43K |
| 80164 |
|
1,339 |
1,175 |
$43K |
| 99238 |
|
1,232 |
1,153 |
$43K |
| 86140 |
|
8,286 |
7,131 |
$43K |
| 87505 |
|
504 |
455 |
$42K |
| 76830 |
|
1,312 |
1,189 |
$41K |
| 90680 |
|
2,452 |
2,335 |
$41K |
| 83880 |
|
2,472 |
2,130 |
$41K |
| 82784 |
|
3,296 |
1,962 |
$41K |
| 78452 |
|
317 |
289 |
$40K |
| 93017 |
|
939 |
856 |
$40K |
| 96116 |
|
516 |
429 |
$39K |
| 83540 |
|
9,342 |
8,251 |
$39K |
| 87801 |
|
852 |
787 |
$39K |
| 0001A |
|
1,341 |
1,275 |
$39K |
| 87186 |
|
7,103 |
5,856 |
$39K |
| G0379 |
Direct refer hospital observ |
1,214 |
999 |
$39K |
| 73630 |
|
6,342 |
5,091 |
$38K |
| 90685 |
|
1,022 |
975 |
$37K |
| 99239 |
|
600 |
555 |
$37K |
| 99233 |
Prolong inpt eval add15 m |
1,463 |
699 |
$36K |
| 86850 |
|
7,487 |
6,254 |
$36K |
| 89051 |
|
1,092 |
720 |
$35K |
| 72125 |
|
1,491 |
1,304 |
$35K |
| 83605 |
|
5,558 |
3,991 |
$35K |
| 86617 |
|
1,387 |
1,204 |
$34K |
| 95874 |
|
853 |
806 |
$34K |
| 71250 |
|
1,332 |
1,227 |
$34K |
| V2020 |
Vision svcs frames purchases |
1,061 |
1,028 |
$33K |
| 84403 |
|
1,510 |
1,312 |
$33K |
| 90698 |
|
2,861 |
2,726 |
$33K |
| 73721 |
|
444 |
389 |
$33K |
| 71045 |
|
10,363 |
8,101 |
$32K |
| 96374 |
|
16,380 |
12,508 |
$32K |
| 73610 |
|
4,849 |
4,005 |
$31K |
| 86480 |
|
742 |
652 |
$31K |
| 87040 |
|
5,221 |
2,446 |
$31K |
| 93296 |
|
1,532 |
1,481 |
$31K |
| 86235 |
|
398 |
348 |
$31K |
| 92587 |
|
545 |
498 |
$31K |
| 90832 |
|
1,598 |
1,256 |
$30K |
| Q0138 |
Ferumoxytol, non-esrd |
685 |
360 |
$30K |
| 90734 |
|
1,036 |
972 |
$30K |
| 85018 |
|
10,014 |
7,694 |
$30K |
| 97803 |
|
2,930 |
2,329 |
$29K |
| 84153 |
|
1,949 |
1,786 |
$29K |
| 97116 |
|
2,306 |
1,169 |
$29K |
| 99222 |
|
684 |
642 |
$29K |
| 92557 |
|
1,253 |
1,210 |
$27K |
| 90847 |
|
350 |
284 |
$27K |
| 12001 |
|
268 |
252 |
$26K |
| 93308 |
|
329 |
294 |
$26K |
| 64643 |
|
158 |
150 |
$26K |
| 86762 |
|
1,935 |
1,650 |
$26K |
| M0243 |
Casirivi and imdevi inj |
83 |
62 |
$25K |
| 84145 |
|
1,874 |
1,542 |
$25K |
| 82570 |
|
3,196 |
2,567 |
$25K |
| 80305 |
|
1,561 |
922 |
$24K |
| 92134 |
|
5,258 |
4,609 |
$24K |
| 99202 |
|
844 |
806 |
$24K |
| 84100 |
|
8,290 |
5,772 |
$24K |
| 64642 |
|
273 |
259 |
$24K |
| G2212 |
Prolong outpt/office vis |
4,301 |
3,961 |
$23K |
| 86704 |
|
2,465 |
2,151 |
$23K |
| J1944 |
Aripiprazole lauroxil 1 mg |
160 |
131 |
$23K |
| 82950 |
|
1,927 |
1,683 |
$23K |
| 88307 |
|
1,161 |
938 |
$23K |
| 73562 |
|
3,873 |
2,899 |
$22K |
| 73502 |
|
3,253 |
2,798 |
$22K |
| 70551 |
|
298 |
271 |
$22K |
| 36415 |
|
17,629 |
13,920 |
$21K |
| 17110 |
|
347 |
321 |
$21K |
| 74018 |
|
3,535 |
3,099 |
$21K |
| 99205 |
Prolong outpt/office vis |
207 |
193 |
$21K |
| 84295 |
|
7,397 |
6,503 |
$21K |
| 87522 |
Neg quan hep c or qual rna |
570 |
501 |
$20K |
| 77066 |
Tomosynthesis, mammo |
821 |
760 |
$20K |
| 86706 |
|
2,558 |
2,243 |
$20K |
| 77065 |
Tomosynthesis, mammo |
823 |
770 |
$20K |
| 82465 |
|
1,424 |
1,282 |
$19K |
| G0279 |
Tomosynthesis, mammo |
2,289 |
2,125 |
$19K |
| 87631 |
|
176 |
160 |
$19K |
| 82274 |
|
1,393 |
1,275 |
$18K |
| J1610 |
Glucagon hydrochloride/1 mg |
881 |
608 |
$18K |
| 80306 |
|
1,128 |
944 |
$18K |
| 85379 |
|
2,487 |
2,261 |
$18K |
| 99291 |
|
291 |
178 |
$17K |
| J1756 |
Iron sucrose injection |
928 |
630 |
$17K |
| 90696 |
|
607 |
580 |
$17K |
| 95819 |
|
181 |
167 |
$16K |
| 93321 |
|
235 |
215 |
$16K |
| 97163 |
|
709 |
663 |
$16K |
| 86364 |
|
1,922 |
1,153 |
$16K |
| 90716 |
|
896 |
839 |
$16K |
| 82105 |
|
319 |
286 |
$16K |
| 10060 |
|
178 |
170 |
$15K |
| 77336 |
|
273 |
121 |
$15K |
| 73030 |
|
3,930 |
3,205 |
$15K |
| G0399 |
Home sleep test/type 3 porta |
344 |
318 |
$15K |
| 90732 |
|
1,090 |
1,000 |
$15K |
| 72100 |
|
2,728 |
2,451 |
$14K |
| 73110 |
|
2,105 |
1,722 |
$14K |
| 90648 |
|
268 |
266 |
$14K |
| 86003 |
|
1,264 |
183 |
$14K |
| 86708 |
|
1,434 |
1,276 |
$14K |
| 93005 |
|
20,636 |
17,087 |
$14K |
| 95806 |
|
253 |
230 |
$14K |
| 0004A |
|
906 |
738 |
$14K |
| 52000 |
|
80 |
77 |
$13K |
| 82550 |
|
2,197 |
1,730 |
$13K |
| 96368 |
|
262 |
178 |
$13K |
| 76942 |
|
2,069 |
1,841 |
$13K |
| 70498 |
|
197 |
166 |
$13K |
| 70496 |
|
191 |
163 |
$13K |
| G2211 |
Complex e/m visit add on |
12,592 |
11,484 |
$13K |
| 99479 |
|
148 |
26 |
$12K |
| 85045 |
|
4,204 |
3,410 |
$12K |
| 85652 |
|
6,258 |
5,475 |
$12K |
| Q9992 |
Buprenorphine xr over 100 mg |
38 |
36 |
$12K |
| 77002 |
|
634 |
591 |
$12K |
| 96102 |
|
58 |
50 |
$11K |
| 82077 |
|
1,220 |
996 |
$11K |
| 90677 |
|
876 |
743 |
$11K |
| 99442 |
|
531 |
440 |
$11K |
| E0114 |
Crutch underarm pair no wood |
598 |
552 |
$11K |
| 96112 |
|
101 |
87 |
$11K |
| 80048 |
|
2,812 |
2,078 |
$11K |
| 86592 |
|
944 |
829 |
$11K |
| 85730 |
|
2,644 |
1,927 |
$11K |
| 92002 |
|
364 |
338 |
$11K |
| 96417 |
|
166 |
87 |
$11K |
| 84480 |
|
957 |
842 |
$10K |
| 84146 |
|
681 |
590 |
$10K |
| 87880 |
|
510 |
460 |
$10K |
| 97167 |
|
437 |
396 |
$10K |
| 86901 |
|
4,973 |
3,958 |
$10K |
| 73560 |
|
2,756 |
2,175 |
$10K |
| 73130 |
|
1,980 |
1,616 |
$10K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
249 |
216 |
$10K |
| 88342 |
|
2,488 |
2,077 |
$10K |
| 20553 |
|
158 |
144 |
$10K |
| 64493 |
|
69 |
57 |
$10K |
| 95992 |
|
482 |
332 |
$10K |
| 87205 |
|
3,277 |
2,619 |
$9K |
| 83718 |
|
1,265 |
1,138 |
$9K |
| 90750 |
|
570 |
528 |
$9K |
| V2025 |
Eyeglasses delux frames |
912 |
891 |
$9K |
| 82746 |
|
923 |
831 |
$9K |
| 84703 |
|
926 |
814 |
$9K |
| 73140 |
|
1,393 |
1,158 |
$9K |
| 86618 |
|
481 |
436 |
$9K |
| 94729 |
|
2,787 |
2,503 |
$9K |
| 64400 |
|
48 |
41 |
$9K |
| 87493 |
|
351 |
311 |
$9K |
| 0064A |
|
564 |
478 |
$8K |
| 99243 |
|
152 |
148 |
$8K |
| 86039 |
|
1,011 |
883 |
$8K |
| 84156 |
|
2,877 |
2,288 |
$8K |
| 73564 |
|
1,026 |
629 |
$8K |
| 96121 |
|
143 |
115 |
$8K |
| 82977 |
|
1,390 |
1,054 |
$8K |
| 99281 |
|
99 |
94 |
$8K |
| 83615 |
|
2,134 |
1,599 |
$8K |
| 76536 |
|
248 |
219 |
$8K |
| 0072A |
|
422 |
316 |
$8K |
| 31575 |
|
245 |
216 |
$8K |
| L4386 |
Non-pneum walk boot pre cst |
567 |
523 |
$7K |
| 90744 |
|
1,410 |
1,349 |
$7K |
| 99443 |
|
272 |
216 |
$7K |
| 92552 |
|
72 |
71 |
$7K |
| 20611 |
|
84 |
76 |
$7K |
| 90656 |
|
539 |
532 |
$7K |
| 90960 |
|
117 |
105 |
$7K |
| J2426 |
Inj, invega sustenna, 1 mg |
47 |
36 |
$7K |
| 0071A |
|
448 |
331 |
$7K |
| 86580 |
|
250 |
224 |
$7K |
| 36591 |
|
4,765 |
2,426 |
$7K |
| 92136 |
|
400 |
344 |
$7K |
| 87150 |
|
230 |
213 |
$7K |
| 95885 |
|
116 |
104 |
$6K |
| L4387 |
Non-pneum walk boot pre ots |
275 |
252 |
$6K |
| 82670 |
|
316 |
270 |
$6K |
| 99221 |
|
148 |
132 |
$6K |
| 90707 |
|
875 |
822 |
$6K |
| J0475 |
Baclofen 10 mg injection |
28 |
24 |
$6K |
| 90480 |
|
702 |
632 |
$6K |
| 82533 |
|
545 |
422 |
$6K |
| 84165 |
|
1,186 |
1,046 |
$6K |
| 72040 |
|
715 |
641 |
$6K |
| 99358 |
Prolong nursin fac eval 15m |
200 |
161 |
$6K |
| 90714 |
|
190 |
178 |
$6K |
| 96136 |
|
110 |
79 |
$6K |
| 83001 |
|
411 |
368 |
$6K |
| 86038 |
|
638 |
545 |
$6K |
| 80143 |
|
544 |
461 |
$6K |
| 80053 |
|
481 |
271 |
$6K |
| 96139 |
|
87 |
72 |
$6K |
| 90619 |
|
62 |
62 |
$6K |
| 90682 |
|
142 |
135 |
$6K |
| 86200 |
|
603 |
524 |
$5K |
| 80179 |
|
523 |
445 |
$5K |
| 64494 |
|
56 |
41 |
$5K |
| 87328 |
|
420 |
388 |
$5K |
| 58100 |
|
28 |
25 |
$5K |
| 97802 |
|
460 |
405 |
$5K |
| 85049 |
|
283 |
211 |
$5K |
| J7297 |
Liletta, 52 mg |
28 |
24 |
$5K |
| 90687 |
|
94 |
89 |
$5K |
| 84550 |
|
1,851 |
1,509 |
$5K |
| 0124A |
|
428 |
384 |
$5K |
| 99394 |
|
93 |
92 |
$5K |
| 72141 |
|
62 |
54 |
$5K |
| 64721 |
|
15 |
13 |
$5K |
| 96138 |
|
122 |
104 |
$5K |
| 11102 |
|
125 |
118 |
$4K |
| 45378 |
|
14 |
12 |
$4K |
| 70486 |
|
148 |
125 |
$4K |
| 90662 |
|
1,464 |
1,307 |
$4K |
| 83883 |
|
759 |
406 |
$4K |
| 87625 |
|
155 |
135 |
$4K |
| 87045 |
|
239 |
215 |
$4K |
| 92250 |
|
716 |
613 |
$4K |
| 96375 |
|
13,310 |
8,977 |
$4K |
| 83520 |
|
247 |
168 |
$4K |
| 92060 |
|
85 |
67 |
$4K |
| L3908 |
Who cock-up nonmolde pre ots |
1,034 |
882 |
$4K |
| 99231 |
|
397 |
149 |
$4K |
| 86376 |
|
313 |
295 |
$4K |
| 86431 |
|
971 |
853 |
$4K |
| 86160 |
|
533 |
243 |
$4K |
| 86258 |
|
394 |
182 |
$4K |
| 90620 |
|
49 |
44 |
$4K |
| 84425 |
|
257 |
231 |
$4K |
| 87329 |
|
420 |
388 |
$4K |
| 29125 |
|
96 |
78 |
$4K |
| 94664 |
|
749 |
670 |
$4K |
| 88304 |
|
1,632 |
1,403 |
$4K |
| 0031A |
|
107 |
104 |
$3K |
| 51702 |
|
178 |
140 |
$3K |
| 99396 |
|
51 |
51 |
$3K |
| 82140 |
|
426 |
327 |
$3K |
| 91300 |
|
3,486 |
3,042 |
$3K |
| 58300 |
|
61 |
54 |
$3K |
| 84163 |
|
75 |
67 |
$3K |
| 73590 |
|
364 |
315 |
$3K |
| 64635 |
|
27 |
26 |
$3K |
| 96131 |
|
38 |
24 |
$3K |
| G0257 |
Unsched dialysis esrd pt hos |
41 |
24 |
$3K |
| 87468 |
|
127 |
121 |
$3K |
| 80197 |
|
180 |
101 |
$3K |
| 84155 |
|
1,450 |
1,246 |
$3K |
| 69209 |
|
104 |
100 |
$3K |
| 99244 |
|
45 |
45 |
$3K |
| 90710 |
|
647 |
617 |
$3K |
| 97542 |
|
464 |
424 |
$3K |
| 77080 |
|
134 |
119 |
$3K |
| 90460 |
|
84 |
84 |
$3K |
| 91319 |
|
90 |
88 |
$3K |
| 87529 |
|
79 |
76 |
$3K |
| 51798 |
|
1,277 |
1,074 |
$3K |
| 92341 |
|
110 |
106 |
$3K |
| 90672 |
|
32 |
32 |
$3K |
| 0012A |
|
98 |
94 |
$3K |
| 76820 |
|
196 |
79 |
$3K |
| 82248 |
|
819 |
660 |
$3K |
| 87536 |
|
40 |
38 |
$3K |
| 20550 |
|
29 |
26 |
$3K |
| 90697 |
|
531 |
474 |
$3K |
| 0134A |
|
235 |
219 |
$3K |
| 86255 |
|
235 |
174 |
$3K |
| 0011A |
|
98 |
96 |
$3K |
| 90472 |
|
1,463 |
1,334 |
$2K |
| 99152 |
|
4,075 |
3,630 |
$2K |
| 43235 |
|
15 |
13 |
$2K |
| 36592 |
|
1,288 |
812 |
$2K |
| 20552 |
|
41 |
38 |
$2K |
| 73090 |
|
107 |
88 |
$2K |
| G0381 |
Lev 2 hosp type b ed visit |
23 |
23 |
$2K |
| 99495 |
|
80 |
69 |
$2K |
| 72170 |
|
262 |
234 |
$2K |
| L3807 |
Whfo w/o joints pre cst |
112 |
95 |
$2K |
| 88341 |
|
317 |
233 |
$2K |
| 00170 |
|
27 |
25 |
$2K |
| Q0139 |
Ferumoxytol, esrd use |
47 |
30 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
25,549 |
13,072 |
$2K |
| J7030 |
Normal saline solution infus |
22,399 |
15,886 |
$2K |
| 74019 |
|
740 |
669 |
$2K |
| 88142 |
|
121 |
103 |
$2K |
| 96137 |
|
49 |
38 |
$2K |
| J1453 |
Fosaprepitant injection |
41 |
24 |
$2K |
| 76857 |
|
100 |
82 |
$2K |
| 96376 |
|
6,262 |
3,759 |
$2K |
| 95800 |
|
40 |
36 |
$2K |
| 76818 |
|
67 |
39 |
$2K |
| 87046 |
|
241 |
215 |
$2K |
| 69210 |
|
197 |
176 |
$2K |
| 98967 |
|
26 |
24 |
$2K |
| L1833 |
Ko adj jnt pos r sup pre ots |
33 |
29 |
$2K |
| 72158 |
|
16 |
14 |
$2K |
| 95910 |
|
40 |
38 |
$2K |
| 97032 |
|
239 |
171 |
$2K |
| 73080 |
|
151 |
136 |
$2K |
| 11100 |
|
67 |
62 |
$2K |
| 87075 |
|
204 |
149 |
$1K |
| 98968 |
|
29 |
26 |
$1K |
| 73552 |
|
183 |
138 |
$1K |
| U0001 |
2019-ncov diagnostic p |
297 |
269 |
$1K |
| 0054A |
|
133 |
129 |
$1K |
| Q0244 |
Casirivi and imdevi 1200 mg |
60 |
45 |
$1K |
| 87220 |
|
198 |
157 |
$1K |
| 93294 |
|
114 |
112 |
$1K |
| 10061 |
|
13 |
12 |
$1K |
| 80177 |
|
35 |
28 |
$1K |
| 95908 |
|
60 |
53 |
$1K |
| 88141 |
|
70 |
63 |
$1K |
| 84704 |
|
75 |
67 |
$1K |
| 93922 |
|
103 |
94 |
$1K |
| 90961 |
|
25 |
25 |
$1K |
| 0081A |
|
69 |
63 |
$1K |
| 93295 |
|
48 |
47 |
$1K |
| 36430 |
|
14 |
12 |
$1K |
| 83993 |
|
66 |
61 |
$1K |
| J2250 |
Inj midazolam hydrochloride |
15,053 |
12,138 |
$1K |
| 62370 |
|
28 |
27 |
$1K |
| 86308 |
|
56 |
49 |
$1K |
| 86256 |
|
86 |
62 |
$997.53 |
| 11055 |
|
12 |
12 |
$989.65 |
| 95816 |
|
26 |
24 |
$960.55 |
| 90935 |
|
32 |
13 |
$931.61 |
| 92610 |
|
29 |
24 |
$915.77 |
| 99441 |
|
78 |
47 |
$911.25 |
| 99223 |
Prolong inpt eval add15 m |
31 |
31 |
$905.19 |
| 0082A |
|
29 |
26 |
$890.84 |
| G2066 |
Inter devc remote 30d |
35 |
24 |
$887.62 |
| L3260 |
Ambulatory surgical boot eac |
495 |
442 |
$883.91 |
| 91318 |
|
71 |
58 |
$874.92 |
| 82951 |
|
12 |
12 |
$828.37 |
| 83002 |
|
60 |
56 |
$825.42 |
| 81015 |
|
235 |
218 |
$807.18 |
| 90723 |
|
210 |
208 |
$806.58 |
| 27096 |
|
12 |
12 |
$804.40 |
| 86481 |
|
14 |
12 |
$802.38 |
| 84590 |
|
104 |
94 |
$801.51 |
| 11056 |
|
15 |
14 |
$796.60 |
| 86334 |
|
80 |
69 |
$763.17 |
| 84402 |
|
39 |
37 |
$761.84 |
| 93880 |
|
14 |
13 |
$761.60 |
| 72156 |
|
17 |
13 |
$757.80 |
| 90746 |
|
19 |
18 |
$737.27 |
| J1885 |
Ketorolac tromethamine inj |
23,467 |
11,326 |
$733.12 |
| 90621 |
|
28 |
24 |
$730.69 |
| 93976 |
|
15 |
12 |
$729.48 |
| H0022 |
Alcohol and/or drug interven |
46 |
26 |
$727.20 |
| 76882 |
|
38 |
24 |
$723.42 |
| 73120 |
|
103 |
42 |
$722.29 |
| 73070 |
|
43 |
37 |
$710.68 |
| E2601 |
Gen w/c cushion wdth < 22 in |
150 |
123 |
$687.24 |
| 76813 |
|
14 |
14 |
$663.18 |
| 99451 |
|
26 |
26 |
$662.21 |
| 99395 |
|
13 |
12 |
$660.35 |
| 86709 |
|
74 |
69 |
$658.01 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,164 |
938 |
$644.39 |
| C7901 |
Hopd mntl hlt, 30-60 min |
225 |
146 |
$602.83 |
| 92083 |
|
418 |
396 |
$595.52 |
| J2469 |
Palonosetron hcl |
45 |
25 |
$570.69 |
| 91301 |
|
295 |
279 |
$568.88 |
| 82330 |
|
95 |
51 |
$561.00 |
| 80156 |
|
31 |
26 |
$558.83 |
| 82150 |
|
37 |
37 |
$535.19 |
| 83921 |
|
55 |
48 |
$524.31 |
| 66821 |
|
12 |
12 |
$512.04 |
| 96523 |
|
47 |
38 |
$506.15 |
| 93227 |
|
28 |
28 |
$497.33 |
| 87811 |
|
13 |
13 |
$496.28 |
| Q0162 |
Ondansetron oral |
6,124 |
4,578 |
$496.12 |
| 0154A |
|
13 |
13 |
$496.08 |
| 93970 |
|
17 |
15 |
$490.84 |
| 64636 |
|
14 |
13 |
$475.89 |
| 83930 |
|
89 |
74 |
$459.58 |
| 99220 |
|
12 |
12 |
$458.76 |
| J7050 |
Normal saline solution infus |
24,766 |
9,749 |
$458.38 |
| 91306 |
|
299 |
260 |
$435.17 |
| 96381 |
|
51 |
50 |
$408.72 |
| 83986 |
|
27 |
25 |
$392.83 |
| 77334 |
|
15 |
12 |
$372.13 |
| 76000 |
|
61 |
52 |
$365.94 |
| 96380 |
|
35 |
35 |
$357.63 |
| 87338 |
|
30 |
28 |
$353.48 |
| 51701 |
|
93 |
88 |
$351.06 |
| 93225 |
|
26 |
26 |
$320.12 |
| 98941 |
|
22 |
14 |
$308.48 |
| 86787 |
|
43 |
43 |
$307.34 |
| 84305 |
|
15 |
12 |
$307.20 |
| 90461 |
|
14 |
14 |
$294.54 |
| 76870 |
|
15 |
12 |
$293.85 |
| C1780 |
Lens, intraocular (new tech) |
293 |
211 |
$286.08 |
| 84478 |
|
71 |
63 |
$284.87 |
| 91303 |
|
101 |
98 |
$284.86 |
| 95004 |
|
150 |
144 |
$264.68 |
| L4350 |
Ankle control ortho pre ots |
60 |
53 |
$259.19 |
| 86225 |
|
34 |
27 |
$250.08 |
| 93298 |
|
29 |
26 |
$249.84 |
| 84270 |
|
13 |
13 |
$244.79 |
| J1644 |
Inj heparin sodium per 1000u |
4,321 |
1,876 |
$239.50 |
| 86147 |
|
26 |
24 |
$238.86 |
| J7120 |
Ringers lactate infusion |
20,452 |
15,032 |
$238.36 |
| 91307 |
|
746 |
536 |
$223.31 |
| 73100 |
|
29 |
25 |
$215.54 |
| 80178 |
|
47 |
38 |
$204.92 |
| 99496 |
|
25 |
24 |
$194.64 |
| 93272 |
|
15 |
12 |
$184.35 |
| 85613 |
|
31 |
24 |
$182.98 |
| J3010 |
Fentanyl citrate injection |
17,874 |
13,647 |
$182.63 |
| 76937 |
|
47 |
36 |
$179.53 |
| 99406 |
|
30 |
24 |
$177.03 |
| 84630 |
|
19 |
15 |
$173.13 |
| 93244 |
|
12 |
12 |
$171.41 |
| 96132 |
|
14 |
14 |
$168.24 |
| 99217 |
|
13 |
12 |
$166.96 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
1,837 |
1,578 |
$164.98 |
| G0103 |
Psa screening |
33 |
31 |
$164.87 |
| J3371 |
Inj, vancomycin hcl (mylan) |
17 |
12 |
$158.07 |
| 93016 |
|
12 |
12 |
$157.50 |
| J2704 |
Inj, propofol, 10 mg |
29,454 |
12,550 |
$152.44 |
| 99417 |
Prolong home eval add 15m |
189 |
176 |
$149.34 |
| 86146 |
|
15 |
12 |
$143.42 |
| J1050 |
Medroxyprogesterone acetate |
1,597 |
1,483 |
$140.86 |
| 92133 |
|
393 |
370 |
$137.77 |
| 17000 |
|
26 |
24 |
$131.67 |
| 99153 |
Mod sedat endo service >5yrs |
1,777 |
1,591 |
$128.58 |
| J8540 |
Oral dexamethasone |
2,377 |
1,446 |
$125.58 |
| A9579 |
Gad-base mr contrast nos,1ml |
4,441 |
2,587 |
$115.05 |
| 93018 |
|
12 |
12 |
$98.74 |
| Q9957 |
Inj perflutren lip micros,ml |
688 |
616 |
$97.09 |
| L1832 |
Ko adj jnt pos r sup pre cst |
15 |
12 |
$91.20 |
| G0008 |
Admin influenza virus vac |
2,702 |
2,579 |
$90.75 |
| 90700 |
|
19 |
19 |
$80.16 |
| 88112 |
|
15 |
12 |
$80.00 |
| J1170 |
Hydromorphone injection |
6,232 |
4,042 |
$77.87 |
| J0696 |
Ceftriaxone sodium injection |
3,822 |
2,401 |
$75.44 |
| G0500 |
Mod sedat endo service >5yrs |
572 |
530 |
$73.78 |
| 91305 |
|
104 |
102 |
$69.24 |
| G1004 |
Cdsm ndsc |
8,214 |
6,672 |
$66.23 |
| J1815 |
Insulin injection |
5,960 |
1,529 |
$62.62 |
| J2405 |
Ondansetron hcl injection |
19,634 |
13,688 |
$58.04 |
| 0074A |
|
23 |
14 |
$55.64 |
| Q0163 |
Diphenhydramine hcl 50mg |
377 |
275 |
$49.66 |
| 77001 |
|
28 |
24 |
$49.28 |
| J1040 |
Methylprednisolone 80 mg inj |
1,962 |
1,665 |
$48.53 |
| J1100 |
Dexamethasone sodium phos |
13,557 |
9,850 |
$43.47 |
| 87102 |
|
14 |
12 |
$42.22 |
| A9300 |
Exercise equipment |
243 |
211 |
$41.00 |
| 71101 |
|
35 |
28 |
$40.74 |
| 94618 |
|
12 |
12 |
$39.90 |
| A4649 |
Surgical supplies |
5,651 |
4,414 |
$35.79 |
| A9576 |
Inj prohance multipack |
1,016 |
590 |
$35.49 |
| J0690 |
Cefazolin sodium injection |
5,266 |
4,095 |
$33.98 |
| J3301 |
Triamcinolone acet inj nos |
4,622 |
3,940 |
$33.06 |
| 91321 |
|
17 |
14 |
$27.99 |
| C1769 |
Guide wire |
2,861 |
2,396 |
$27.31 |
| J7040 |
Normal saline solution infus |
7,844 |
4,766 |
$25.40 |
| J3490 |
Drugs unclassified injection |
6,449 |
4,803 |
$24.85 |
| 88312 |
|
14 |
12 |
$24.10 |
| 99418 |
Prolong nursin fac eval 15m |
38 |
25 |
$22.59 |
| J2765 |
Metoclopramide hcl injection |
3,057 |
2,476 |
$22.25 |
| 85048 |
|
16 |
12 |
$20.60 |
| J2710 |
Neostigmine methylslfte inj |
1,831 |
1,592 |
$20.46 |
| 73522 |
|
17 |
14 |
$20.37 |
| J1200 |
Diphenhydramine hcl injectio |
3,837 |
2,700 |
$14.04 |
| 90739 |
|
13 |
13 |
$11.96 |
| 91313 |
|
45 |
43 |
$8.66 |
| P9612 |
Catheterize for urine spec |
202 |
175 |
$7.60 |
| J1240 |
Dimenhydrinate injection |
1,352 |
1,133 |
$7.42 |
| J0171 |
Adrenalin epinephrine inject |
401 |
272 |
$7.20 |
| J0780 |
Prochlorperazine injection |
736 |
605 |
$6.68 |
| J1650 |
Inj enoxaparin sodium |
4,700 |
1,205 |
$6.68 |
| U0002 |
Covid-19 lab test non-cdc |
55 |
54 |
$5.28 |
| J0330 |
Succinycholine chloride inj |
2,682 |
2,098 |
$5.18 |
| J1790 |
Droperidol injection |
1,130 |
937 |
$4.28 |
| J1642 |
Inj heparin sodium per 10 u |
10,995 |
3,587 |
$3.26 |
| A4216 |
Sterile water/saline, 10 ml |
836 |
486 |
$2.98 |
| S0028 |
Injection, famotidine, 20 mg |
882 |
651 |
$2.93 |
| A6457 |
Tubular dressing |
270 |
219 |
$2.06 |
| J7060 |
5% dextrose/water |
3,474 |
1,556 |
$1.69 |
| A9270 |
Non-covered item or service |
2,694 |
2,054 |
$1.24 |
| C1894 |
Intro/sheath, non-laser |
1,350 |
1,180 |
$0.67 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,928 |
1,184 |
$0.40 |
| A4450 |
Non-waterproof tape |
105 |
78 |
$0.24 |
| J3420 |
Vitamin b12 injection |
488 |
426 |
$0.01 |
| C1887 |
Catheter, guiding |
47 |
39 |
$0.00 |
| A9552 |
F18 fdg |
546 |
459 |
$0.00 |
| G8978 |
Mobility current status |
477 |
426 |
$0.00 |
| C1729 |
Cath, drainage |
1,207 |
689 |
$0.00 |
| 91308 |
|
121 |
107 |
$0.00 |
| J2930 |
Methylprednisolone injection |
389 |
281 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
119 |
58 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
93 |
52 |
$0.00 |
| A9577 |
Inj multihance |
96 |
52 |
$0.00 |
| 97150 |
|
763 |
225 |
$0.00 |
| C1776 |
Joint device (implantable) |
19 |
12 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
606 |
337 |
$0.00 |
| J0688 |
Inj cefazolin sodium, hikma |
790 |
567 |
$0.00 |
| J0136 |
Inj, acetaminophen (b braun) |
93 |
85 |
$0.00 |
| G8979 |
Mobility goal status |
533 |
469 |
$0.00 |
| A4358 |
Urinary leg or abdomen bag |
83 |
50 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
665 |
341 |
$0.00 |
| 88173 |
|
33 |
26 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
144 |
112 |
$0.00 |
| J1071 |
Inj testosterone cypionate |
197 |
61 |
$0.00 |
| J8499 |
Oral prescrip drug non chemo |
122 |
67 |
$0.00 |
| G8985 |
Carry goal status |
42 |
40 |
$0.00 |
| 91312 |
|
125 |
111 |
$0.00 |
| 99354 |
|
76 |
71 |
$0.00 |
| A4565 |
Slings |
27 |
26 |
$0.00 |
| J2270 |
Morphine sulfate injection |
14 |
13 |
$0.00 |
| 0034A |
|
15 |
13 |
$0.00 |
| G8984 |
Carry current status |
15 |
15 |
$0.00 |
| J3489 |
Zoledronic acid 1mg |
12 |
12 |
$0.00 |
| 91311 |
|
13 |
12 |
$0.00 |
| J1940 |
Furosemide injection |
14 |
13 |
$0.00 |
| A9500 |
Tc99m sestamibi |
343 |
312 |
$0.00 |
| J2372 |
Inj, biorphen, 20 micrograms |
235 |
202 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
809 |
628 |
$0.00 |
| J3535 |
Metered dose inhaler drug |
391 |
355 |
$0.00 |
| J3480 |
Inj potassium chloride |
201 |
78 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
444 |
416 |
$0.00 |
| A4215 |
Sterile needle |
2,338 |
1,153 |
$0.00 |
| G8988 |
Self care goal status |
68 |
56 |
$0.00 |
| J2060 |
Lorazepam injection |
1,099 |
734 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
79 |
53 |
$0.00 |
| J2785 |
Regadenoson injection |
182 |
162 |
$0.00 |
| G8981 |
Body pos current status |
29 |
25 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
136 |
118 |
$0.00 |
| A4648 |
Implantable tissue marker |
134 |
119 |
$0.00 |
| G8980 |
Mobility d/c status |
208 |
193 |
$0.00 |
| A4467 |
Belt strap sleev grmnt cover |
63 |
60 |
$0.00 |
| J1836 |
Inj, metronidazole, 10 mg |
38 |
26 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
122 |
78 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
71 |
39 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
86 |
73 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
125 |
63 |
$0.00 |
| J2373 |
Inj, immphentiv, 20 mcg |
68 |
58 |
$0.00 |
| 76377 |
|
105 |
85 |
$0.00 |
| V2784 |
Lens polycarb or equal |
66 |
33 |
$0.00 |
| J0687 |
Inj cefazolin (wg crit care) |
105 |
84 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
316 |
266 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
143 |
94 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
15 |
13 |
$0.00 |
| G8987 |
Self care current status |
66 |
54 |
$0.00 |
| S0109 |
Methadone oral 5mg |
2,394 |
84 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
78 |
48 |
$0.00 |
| G8982 |
Body pos goal status |
41 |
37 |
$0.00 |
| 20560 |
|
26 |
14 |
$0.00 |
| 91315 |
|
13 |
13 |
$0.00 |
| A6240 |
Hydrocolld drg filler paste |
15 |
13 |
$0.00 |
| C1726 |
Cath, bal dil, non-vascular |
13 |
12 |
$0.00 |
| 90381 |
|
12 |
12 |
$0.00 |
| 31231 |
|
18 |
15 |
$0.00 |