| Code | Description | Claims | Beneficiaries | Total Paid |
| G0390 |
Trauma respons w/hosp criti |
3,980 |
3,874 |
$46.51M |
| 99283 |
|
122,675 |
113,703 |
$35.15M |
| 99285 |
|
66,578 |
55,889 |
$26.30M |
| 0450 |
|
16,579 |
14,567 |
$7.76M |
| 99284 |
|
89,343 |
87,743 |
$6.71M |
| G0463 |
Hospital outpt clinic visit |
91,953 |
74,779 |
$4.11M |
| 43239 |
|
3,153 |
2,165 |
$2.76M |
| 99282 |
|
33,916 |
33,520 |
$2.00M |
| 0762 |
|
2,552 |
1,201 |
$1.98M |
| 74177 |
|
22,687 |
21,796 |
$1.62M |
| 45380 |
|
1,620 |
1,120 |
$1.52M |
| 93306 |
|
11,543 |
11,400 |
$1.22M |
| 99232 |
|
29,278 |
15,609 |
$1.16M |
| C1713 |
Anchor/screw bn/bn,tis/bn |
542 |
395 |
$1.16M |
| 45378 |
|
1,470 |
1,061 |
$1.06M |
| 99291 |
|
9,063 |
6,254 |
$1.06M |
| 99214 |
|
18,923 |
17,864 |
$789K |
| 82306 |
|
37,436 |
36,763 |
$767K |
| 76818 |
|
18,686 |
9,093 |
$752K |
| 88307 |
|
9,878 |
9,764 |
$670K |
| 80053 |
|
92,329 |
85,813 |
$660K |
| 99213 |
|
19,508 |
18,503 |
$638K |
| 84443 |
|
49,472 |
48,129 |
$595K |
| 45385 |
|
1,235 |
840 |
$595K |
| 99238 |
|
14,239 |
14,010 |
$589K |
| 99204 |
|
6,751 |
6,584 |
$565K |
| 99233 |
Prolong inpt eval add15 m |
13,276 |
7,036 |
$558K |
| 85025 |
|
127,809 |
114,256 |
$506K |
| 88305 |
|
16,457 |
15,540 |
$505K |
| 70450 |
|
21,263 |
20,075 |
$498K |
| 80061 |
|
46,158 |
45,283 |
$452K |
| 77067 |
|
6,204 |
6,108 |
$425K |
| 59409 |
|
669 |
643 |
$422K |
| 83036 |
|
58,178 |
56,625 |
$415K |
| 99460 |
|
7,110 |
7,045 |
$408K |
| 80307 |
|
11,960 |
11,071 |
$386K |
| 87389 |
|
24,948 |
24,472 |
$383K |
| 87491 |
|
18,529 |
18,001 |
$374K |
| 87591 |
|
18,525 |
17,999 |
$372K |
| 86480 |
|
11,272 |
11,086 |
$370K |
| 93010 |
|
26,780 |
21,670 |
$343K |
| 71045 |
|
58,491 |
46,852 |
$337K |
| 99070 |
|
105,355 |
54,708 |
$330K |
| 76805 |
|
5,706 |
5,630 |
$328K |
| 99223 |
Prolong inpt eval add15 m |
3,965 |
3,877 |
$320K |
| 99222 |
|
4,098 |
4,043 |
$316K |
| 71260 |
|
9,455 |
9,173 |
$298K |
| 76705 |
|
13,741 |
13,423 |
$275K |
| 71046 |
|
33,660 |
32,370 |
$274K |
| Z1034 |
|
5,027 |
3,798 |
$255K |
| 80048 |
|
50,430 |
44,393 |
$247K |
| 86171 |
|
17,051 |
16,005 |
$239K |
| 80074 |
|
7,132 |
7,027 |
$238K |
| 76815 |
|
8,494 |
6,004 |
$238K |
| J7307 |
Etonogestrel implant system |
155 |
141 |
$205K |
| 84439 |
|
31,322 |
30,500 |
$199K |
| 99391 |
|
1,988 |
1,967 |
$196K |
| 70553 |
|
1,012 |
985 |
$196K |
| 86331 |
|
17,089 |
16,035 |
$192K |
| 74176 |
|
3,276 |
3,158 |
$173K |
| 76770 |
|
4,387 |
4,343 |
$167K |
| Q3014 |
Telehealth facility fee |
6,936 |
6,368 |
$166K |
| 72125 |
|
7,882 |
7,674 |
$164K |
| 76856 |
|
5,631 |
5,578 |
$163K |
| 86003 |
|
1,531 |
1,374 |
$160K |
| 86780 |
|
19,307 |
17,850 |
$153K |
| 77066 |
Tomosynthesis, mammo |
1,611 |
1,544 |
$149K |
| 96365 |
|
7,552 |
5,710 |
$144K |
| 86803 |
|
14,732 |
14,527 |
$136K |
| 96361 |
|
13,360 |
10,536 |
$136K |
| 76642 |
|
2,706 |
2,594 |
$129K |
| 87086 |
|
31,196 |
28,125 |
$128K |
| 95720 |
|
663 |
369 |
$127K |
| 99203 |
|
2,066 |
1,987 |
$121K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
9,272 |
9,034 |
$114K |
| 76801 |
|
3,305 |
3,110 |
$111K |
| 73721 |
|
837 |
784 |
$111K |
| 71250 |
|
1,418 |
1,390 |
$105K |
| 74178 |
|
456 |
452 |
$98K |
| 87536 |
|
1,618 |
1,576 |
$97K |
| 76641 |
|
1,876 |
1,857 |
$96K |
| 86235 |
|
4,157 |
3,928 |
$94K |
| 81001 |
|
68,013 |
61,869 |
$93K |
| 99243 |
|
1,610 |
1,525 |
$92K |
| 94729 |
|
2,918 |
2,885 |
$92K |
| 76830 |
|
2,526 |
2,454 |
$92K |
| 87340 |
|
11,626 |
11,354 |
$90K |
| 80076 |
|
23,697 |
21,850 |
$90K |
| 94726 |
|
2,894 |
2,862 |
$89K |
| 0710 |
|
7,213 |
6,120 |
$87K |
| 59025 |
|
7,942 |
5,594 |
$87K |
| 87522 |
Neg quan hep c or qual rna |
2,448 |
2,377 |
$85K |
| 82570 |
|
21,281 |
20,126 |
$85K |
| 94060 |
|
3,074 |
3,030 |
$84K |
| 83970 |
|
2,933 |
2,852 |
$84K |
| 99239 |
|
1,580 |
1,550 |
$81K |
| 82043 |
|
18,416 |
17,858 |
$79K |
| 99462 |
|
2,749 |
2,362 |
$78K |
| 97597 |
|
1,497 |
962 |
$73K |
| U0002 |
Covid-19 lab test non-cdc |
7,292 |
7,111 |
$73K |
| 96374 |
|
23,875 |
20,744 |
$70K |
| 88304 |
|
3,317 |
3,175 |
$66K |
| 73110 |
|
6,702 |
5,690 |
$63K |
| 82728 |
|
6,189 |
5,978 |
$62K |
| 99464 |
|
808 |
798 |
$61K |
| 82105 |
|
2,933 |
2,795 |
$61K |
| 73630 |
|
7,531 |
6,505 |
$61K |
| 99215 |
Prolong outpt/office vis |
854 |
832 |
$59K |
| 77065 |
Tomosynthesis, mammo |
783 |
767 |
$59K |
| 73130 |
|
8,336 |
7,209 |
$59K |
| 86140 |
|
16,686 |
15,917 |
$58K |
| 99212 |
|
2,857 |
2,539 |
$58K |
| 73610 |
|
7,348 |
6,516 |
$58K |
| 90791 |
|
358 |
349 |
$58K |
| 83880 |
|
4,227 |
3,920 |
$57K |
| 73562 |
|
8,036 |
6,931 |
$55K |
| 76536 |
|
1,479 |
1,463 |
$54K |
| 99231 |
|
2,028 |
810 |
$51K |
| 72100 |
|
3,471 |
3,377 |
$51K |
| 86762 |
|
4,665 |
4,544 |
$51K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,442 |
1,345 |
$50K |
| 0510 |
|
2,066 |
1,914 |
$50K |
| 83735 |
|
22,192 |
17,444 |
$49K |
| 99152 |
|
1,392 |
1,315 |
$48K |
| 86317 |
|
7,855 |
7,732 |
$48K |
| A9577 |
Inj multihance |
1,452 |
1,402 |
$48K |
| 85610 |
|
24,338 |
20,799 |
$47K |
| 73030 |
|
5,434 |
4,850 |
$47K |
| 99281 |
|
442 |
428 |
$45K |
| 99202 |
|
1,283 |
1,282 |
$45K |
| 96360 |
|
5,543 |
5,110 |
$44K |
| 88312 |
|
2,579 |
2,498 |
$44K |
| M0243 |
Casirivi and imdevi inj |
122 |
121 |
$43K |
| 99244 |
|
430 |
423 |
$43K |
| 86255 |
|
4,451 |
4,290 |
$42K |
| 80299 |
|
3,248 |
2,962 |
$42K |
| 85730 |
|
18,266 |
16,686 |
$42K |
| 70551 |
|
343 |
336 |
$42K |
| 70486 |
|
1,317 |
1,274 |
$41K |
| 83550 |
|
7,078 |
6,879 |
$41K |
| 20680 |
|
23 |
12 |
$40K |
| 72148 |
|
339 |
333 |
$40K |
| 90674 |
|
920 |
911 |
$38K |
| 95700 |
|
168 |
166 |
$38K |
| 83540 |
|
8,074 |
7,756 |
$38K |
| 86160 |
|
3,062 |
2,969 |
$37K |
| 96110 |
|
714 |
709 |
$37K |
| 71275 |
|
778 |
752 |
$34K |
| 93005 |
|
21,520 |
18,329 |
$34K |
| J7030 |
Normal saline solution infus |
10,635 |
9,369 |
$33K |
| 82607 |
|
3,245 |
3,167 |
$33K |
| 0202U |
|
1,500 |
1,483 |
$32K |
| 87186 |
|
7,000 |
6,214 |
$30K |
| 99211 |
|
2,235 |
1,318 |
$30K |
| 85652 |
|
16,024 |
15,317 |
$29K |
| 84100 |
|
19,635 |
15,887 |
$29K |
| 74018 |
|
4,114 |
3,439 |
$29K |
| 84153 |
|
4,730 |
4,571 |
$29K |
| 76811 |
|
442 |
412 |
$29K |
| 87529 |
|
913 |
911 |
$28K |
| 86704 |
|
4,372 |
4,312 |
$27K |
| 93351 |
|
187 |
187 |
$27K |
| H1001 |
Antepartum management |
568 |
390 |
$26K |
| 93970 |
|
433 |
420 |
$26K |
| 86360 |
|
1,149 |
1,111 |
$26K |
| 96375 |
|
15,207 |
13,011 |
$26K |
| 96372 |
|
15,082 |
13,532 |
$25K |
| 85018 |
|
14,136 |
13,860 |
$25K |
| 90739 |
|
217 |
215 |
$25K |
| 25600 |
|
285 |
267 |
$25K |
| 93971 |
|
1,297 |
1,260 |
$25K |
| 95718 |
|
210 |
208 |
$25K |
| 85027 |
|
6,623 |
5,837 |
$24K |
| 99381 |
|
212 |
212 |
$24K |
| 82378 |
|
1,693 |
1,419 |
$24K |
| 86708 |
|
3,307 |
3,273 |
$23K |
| 86039 |
|
3,459 |
3,386 |
$23K |
| 83690 |
|
19,022 |
17,313 |
$23K |
| 86038 |
|
7,822 |
7,568 |
$23K |
| 0001A |
|
619 |
619 |
$23K |
| 86200 |
|
2,959 |
2,915 |
$23K |
| 87077 |
|
5,482 |
5,222 |
$22K |
| 73590 |
|
3,646 |
3,174 |
$22K |
| 84702 |
|
4,572 |
3,361 |
$22K |
| 73080 |
|
2,451 |
2,245 |
$21K |
| 99254 |
|
280 |
277 |
$21K |
| 95886 |
|
368 |
360 |
$21K |
| 86901 |
|
13,612 |
12,700 |
$21K |
| 88175 |
|
920 |
917 |
$21K |
| 86850 |
|
11,950 |
11,263 |
$21K |
| 81025 |
|
22,434 |
20,516 |
$20K |
| 0370 |
|
7,475 |
3,204 |
$20K |
| 83655 |
|
4,574 |
4,427 |
$20K |
| M0222 |
Bebtelovimab injection |
64 |
64 |
$20K |
| 82247 |
|
5,402 |
3,724 |
$20K |
| 82950 |
|
5,198 |
5,077 |
$19K |
| 76857 |
|
905 |
855 |
$19K |
| Q9956 |
Inj octafluoropropane mic,ml |
190 |
188 |
$19K |
| 86592 |
|
7,509 |
7,302 |
$18K |
| 86021 |
|
1,303 |
1,264 |
$18K |
| 0002A |
|
437 |
437 |
$17K |
| J7120 |
Ringers lactate infusion |
4,021 |
3,642 |
$17K |
| 82397 |
|
1,255 |
1,230 |
$17K |
| 90662 |
|
185 |
184 |
$17K |
| 0760 |
|
932 |
784 |
$17K |
| J3301 |
Triamcinolone acet inj nos |
1,049 |
798 |
$17K |
| 86431 |
|
3,911 |
3,848 |
$17K |
| 83883 |
|
1,056 |
1,007 |
$17K |
| J7040 |
Normal saline solution infus |
1,543 |
1,020 |
$16K |
| 72040 |
|
1,044 |
1,012 |
$15K |
| 84154 |
|
3,665 |
3,580 |
$15K |
| 90715 |
|
3,717 |
3,593 |
$15K |
| 70498 |
|
380 |
379 |
$15K |
| J3010 |
Fentanyl citrate injection |
10,839 |
9,313 |
$15K |
| 82746 |
|
1,297 |
1,280 |
$14K |
| 86705 |
|
1,498 |
1,490 |
$14K |
| 83001 |
|
951 |
937 |
$13K |
| 82951 |
|
1,209 |
1,188 |
$13K |
| 84403 |
|
1,984 |
1,910 |
$13K |
| 77080 |
|
298 |
294 |
$13K |
| 86900 |
|
7,284 |
7,027 |
$12K |
| 90686 |
|
728 |
598 |
$12K |
| 73120 |
|
1,136 |
649 |
$12K |
| 73502 |
|
856 |
790 |
$12K |
| 76700 |
|
208 |
202 |
$12K |
| 76817 |
|
896 |
807 |
$12K |
| 82731 |
|
500 |
476 |
$11K |
| 87624 |
|
610 |
607 |
$11K |
| 99253 |
|
212 |
208 |
$11K |
| 83516 |
|
812 |
604 |
$11K |
| 93271 |
|
146 |
145 |
$11K |
| 84146 |
|
748 |
740 |
$11K |
| 86812 |
|
814 |
805 |
$11K |
| 73090 |
|
2,284 |
1,954 |
$10K |
| 82248 |
|
2,848 |
2,013 |
$10K |
| 83615 |
|
2,560 |
2,351 |
$10K |
| 84550 |
|
3,156 |
3,048 |
$10K |
| 73560 |
|
886 |
660 |
$10K |
| 90694 |
|
115 |
115 |
$10K |
| 83002 |
|
684 |
673 |
$9K |
| 45390 |
|
54 |
46 |
$9K |
| 76000 |
|
1,518 |
1,118 |
$9K |
| 96366 |
|
1,762 |
1,312 |
$9K |
| 73221 |
|
73 |
70 |
$9K |
| 95713 |
|
13 |
13 |
$9K |
| 82565 |
|
2,463 |
2,406 |
$9K |
| 86225 |
|
1,605 |
1,585 |
$9K |
| 84480 |
|
1,834 |
1,774 |
$9K |
| 12002 |
|
1,056 |
1,032 |
$9K |
| 93270 |
|
283 |
282 |
$9K |
| 88302 |
|
501 |
486 |
$9K |
| 82785 |
|
1,276 |
1,254 |
$9K |
| E0114 |
Crutch underarm pair no wood |
128 |
121 |
$9K |
| 84156 |
|
3,087 |
2,773 |
$9K |
| J2270 |
Morphine sulfate injection |
14,318 |
10,243 |
$9K |
| 99463 |
|
80 |
80 |
$9K |
| 73700 |
|
201 |
194 |
$9K |
| 87109 |
|
670 |
602 |
$8K |
| 95911 |
|
82 |
80 |
$8K |
| 82330 |
|
909 |
877 |
$8K |
| 82948 |
|
14,653 |
11,573 |
$8K |
| 86376 |
|
1,005 |
999 |
$8K |
| 20550 |
|
191 |
171 |
$8K |
| 70496 |
|
123 |
123 |
$8K |
| 76816 |
|
235 |
232 |
$8K |
| J1885 |
Ketorolac tromethamine inj |
14,430 |
12,836 |
$8K |
| 83010 |
|
746 |
716 |
$8K |
| 86706 |
|
1,977 |
1,948 |
$8K |
| 76870 |
|
348 |
339 |
$8K |
| 82977 |
|
2,266 |
2,142 |
$7K |
| 81003 |
|
4,923 |
3,909 |
$7K |
| 73564 |
|
690 |
621 |
$7K |
| P9011 |
Blood split unit |
5,385 |
4,938 |
$7K |
| 72170 |
|
2,062 |
1,994 |
$7K |
| 82533 |
|
603 |
570 |
$7K |
| 88300 |
|
1,363 |
1,308 |
$7K |
| 84445 |
|
243 |
237 |
$7K |
| P9016 |
Rbc leukocytes reduced |
120 |
94 |
$7K |
| 82150 |
|
1,507 |
1,433 |
$7K |
| J2250 |
Inj midazolam hydrochloride |
4,620 |
3,603 |
$7K |
| J7611 |
Albuterol non-comp con |
1,449 |
1,344 |
$7K |
| G0480 |
Drug test def 1-7 classes |
2,264 |
2,187 |
$7K |
| J2001 |
Lidocaine injection |
3,839 |
2,885 |
$7K |
| J3490 |
Drugs unclassified injection |
13,082 |
7,126 |
$7K |
| 82172 |
|
470 |
460 |
$7K |
| 84402 |
|
1,165 |
1,145 |
$7K |
| 95951 |
|
30 |
12 |
$6K |
| 96127 |
|
1,662 |
1,598 |
$6K |
| 99245 |
|
52 |
52 |
$6K |
| V5008 |
Hearing screening |
204 |
187 |
$6K |
| J2405 |
Ondansetron hcl injection |
12,773 |
10,572 |
$6K |
| 87210 |
|
5,631 |
5,288 |
$6K |
| 25605 |
|
58 |
53 |
$6K |
| 20605 |
|
164 |
152 |
$6K |
| M0247 |
Sotrovimab infusion |
18 |
18 |
$6K |
| 99606 |
|
377 |
350 |
$6K |
| 83519 |
|
409 |
400 |
$5K |
| 86695 |
|
1,419 |
876 |
$5K |
| 84484 |
|
9,184 |
8,023 |
$5K |
| 86696 |
|
1,417 |
875 |
$5K |
| 80055 |
|
174 |
157 |
$5K |
| 82784 |
|
761 |
730 |
$5K |
| 93000 |
|
253 |
251 |
$5K |
| C8929 |
Tte w or wo fol wcon,doppler |
12 |
12 |
$5K |
| 82550 |
|
2,733 |
2,474 |
$5K |
| J7060 |
5% dextrose/water |
669 |
139 |
$5K |
| 87088 |
|
1,412 |
1,000 |
$5K |
| J1200 |
Diphenhydramine hcl injectio |
4,889 |
4,345 |
$5K |
| 87070 |
|
2,032 |
1,848 |
$5K |
| 73100 |
|
445 |
254 |
$5K |
| 84481 |
|
967 |
949 |
$5K |
| 45384 |
|
13 |
12 |
$4K |
| 96156 |
|
92 |
92 |
$4K |
| 86800 |
|
745 |
728 |
$4K |
| 88108 |
|
206 |
193 |
$4K |
| 99205 |
Prolong outpt/office vis |
44 |
44 |
$4K |
| 95714 |
|
15 |
12 |
$4K |
| 95861 |
|
158 |
155 |
$4K |
| 70491 |
|
65 |
65 |
$4K |
| 90677 |
|
12 |
12 |
$4K |
| 82947 |
|
1,317 |
1,185 |
$4K |
| 86300 |
|
448 |
271 |
$4K |
| 73552 |
|
562 |
471 |
$4K |
| 76819 |
|
116 |
30 |
$4K |
| J0690 |
Cefazolin sodium injection |
2,955 |
2,190 |
$4K |
| 82672 |
|
205 |
203 |
$4K |
| 17250 |
|
182 |
97 |
$4K |
| 86301 |
|
484 |
447 |
$4K |
| 85014 |
|
1,958 |
1,906 |
$3K |
| 84703 |
|
2,321 |
2,097 |
$3K |
| 93308 |
|
467 |
464 |
$3K |
| 86341 |
|
109 |
71 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
5,699 |
5,001 |
$3K |
| 90744 |
|
340 |
338 |
$3K |
| 83525 |
|
451 |
380 |
$3K |
| 83520 |
|
2,560 |
2,040 |
$3K |
| G0500 |
Mod sedat endo service >5yrs |
2,338 |
2,274 |
$3K |
| 87804 |
|
2,166 |
1,332 |
$3K |
| 87081 |
|
586 |
563 |
$3K |
| 73140 |
|
391 |
337 |
$3K |
| 84157 |
|
1,244 |
699 |
$3K |
| 80069 |
|
409 |
380 |
$3K |
| 99255 |
|
31 |
30 |
$3K |
| J1250 |
Inj dobutamine hcl/250 mg |
67 |
66 |
$3K |
| 89051 |
|
1,580 |
960 |
$3K |
| 82272 |
|
1,670 |
1,637 |
$3K |
| 99153 |
Mod sedat endo service >5yrs |
2,230 |
2,063 |
$2K |
| 11042 |
|
65 |
49 |
$2K |
| 82627 |
|
343 |
341 |
$2K |
| J1170 |
Hydromorphone injection |
2,013 |
1,164 |
$2K |
| 84165 |
|
704 |
666 |
$2K |
| 99221 |
|
56 |
56 |
$2K |
| 86304 |
|
319 |
276 |
$2K |
| 90670 |
|
250 |
248 |
$2K |
| 87102 |
|
377 |
307 |
$2K |
| 84425 |
|
247 |
243 |
$2K |
| 84460 |
|
464 |
453 |
$2K |
| 0004A |
|
57 |
57 |
$2K |
| J2765 |
Metoclopramide hcl injection |
5,466 |
4,693 |
$2K |
| 90647 |
|
222 |
221 |
$2K |
| 84155 |
|
705 |
668 |
$2K |
| 72070 |
|
116 |
116 |
$2K |
| 12001 |
|
1,179 |
1,133 |
$2K |
| 99465 |
|
12 |
12 |
$2K |
| 96367 |
|
453 |
406 |
$2K |
| 26600 |
|
12 |
12 |
$2K |
| 73060 |
|
274 |
233 |
$2K |
| 86593 |
|
1,266 |
1,090 |
$2K |
| 99394 |
|
14 |
13 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
3,871 |
3,003 |
$2K |
| J1642 |
Inj heparin sodium per 10 u |
199 |
156 |
$2K |
| 99384 |
|
12 |
12 |
$2K |
| 80177 |
|
147 |
144 |
$2K |
| 88311 |
|
300 |
298 |
$2K |
| 90723 |
|
175 |
175 |
$2K |
| 82670 |
|
176 |
171 |
$2K |
| 29125 |
|
514 |
496 |
$2K |
| 87205 |
|
1,299 |
1,130 |
$2K |
| 85379 |
|
923 |
893 |
$2K |
| 90680 |
|
166 |
166 |
$2K |
| 86256 |
|
149 |
148 |
$1K |
| 85613 |
|
155 |
141 |
$1K |
| C9803 |
Hopd covid-19 spec collect |
66 |
66 |
$1K |
| 82024 |
|
154 |
148 |
$1K |
| 92551 |
|
269 |
268 |
$1K |
| 84432 |
|
213 |
209 |
$1K |
| 93017 |
|
26 |
24 |
$1K |
| 76604 |
|
114 |
113 |
$1K |
| 86334 |
|
136 |
129 |
$1K |
| 82390 |
|
205 |
203 |
$1K |
| 0031A |
|
34 |
34 |
$1K |
| 85045 |
|
433 |
396 |
$1K |
| 87040 |
|
2,286 |
1,661 |
$1K |
| 95812 |
|
31 |
29 |
$1K |
| 92650 |
|
41 |
41 |
$1K |
| 73000 |
|
136 |
111 |
$1K |
| 90471 |
|
247 |
247 |
$1K |
| 82040 |
|
325 |
312 |
$1K |
| 94640 |
|
1,602 |
1,420 |
$1K |
| 82140 |
|
244 |
222 |
$1K |
| 84681 |
|
144 |
140 |
$1K |
| 28470 |
|
45 |
44 |
$1K |
| 83605 |
|
4,384 |
3,647 |
$1K |
| G0108 |
Diab manage trn per indiv |
43 |
43 |
$1K |
| 86580 |
|
293 |
249 |
$1K |
| 87635 |
|
195 |
181 |
$1K |
| 92134 |
|
32 |
32 |
$983.73 |
| 92228 |
|
46 |
46 |
$960.90 |
| 88342 |
|
25 |
24 |
$944.20 |
| 82945 |
|
387 |
334 |
$921.89 |
| 90746 |
|
12 |
12 |
$906.27 |
| 73620 |
|
93 |
67 |
$888.62 |
| 93272 |
|
40 |
40 |
$878.95 |
| 26720 |
|
34 |
34 |
$850.00 |
| 97802 |
|
12 |
12 |
$847.83 |
| A9579 |
Gad-base mr contrast nos,1ml |
429 |
388 |
$843.77 |
| 90633 |
|
89 |
89 |
$841.05 |
| 0054A |
|
21 |
21 |
$840.00 |
| 99241 |
|
29 |
29 |
$836.75 |
| 84436 |
|
193 |
189 |
$836.17 |
| 92015 |
|
214 |
214 |
$803.76 |
| 82952 |
|
265 |
255 |
$760.23 |
| 29515 |
|
200 |
194 |
$757.16 |
| 92004 |
|
12 |
12 |
$732.59 |
| 86146 |
|
25 |
25 |
$724.56 |
| 12011 |
|
430 |
420 |
$720.75 |
| 83498 |
|
49 |
49 |
$714.53 |
| 99242 |
|
13 |
13 |
$702.14 |
| 86870 |
|
28 |
25 |
$698.55 |
| 29075 |
|
28 |
28 |
$680.25 |
| J1815 |
Insulin injection |
564 |
324 |
$658.56 |
| 86923 |
|
134 |
113 |
$636.64 |
| J1100 |
Dexamethasone sodium phos |
4,081 |
3,282 |
$590.16 |
| 90649 |
|
59 |
59 |
$557.55 |
| 82747 |
|
129 |
128 |
$548.72 |
| 72202 |
|
54 |
54 |
$529.94 |
| Z1038 |
|
12 |
12 |
$526.84 |
| 84166 |
|
132 |
131 |
$516.94 |
| 90710 |
|
54 |
54 |
$510.30 |
| 99188 |
|
52 |
52 |
$504.90 |
| 92558 |
|
16 |
16 |
$504.00 |
| 86008 |
|
14 |
14 |
$503.72 |
| 90700 |
|
51 |
51 |
$481.95 |
| 84270 |
|
44 |
42 |
$458.45 |
| 74220 |
|
14 |
13 |
$452.60 |
| J3475 |
Inj magnesium sulfate |
567 |
458 |
$448.07 |
| 93880 |
|
14 |
14 |
$437.27 |
| 88104 |
|
28 |
28 |
$433.86 |
| 87338 |
|
42 |
41 |
$422.74 |
| 86709 |
|
49 |
49 |
$402.95 |
| J2175 |
Meperidine hydrochl /100 mg |
347 |
227 |
$346.62 |
| 72046 |
|
19 |
19 |
$342.90 |
| 73070 |
|
50 |
39 |
$328.34 |
| 73600 |
|
23 |
13 |
$305.97 |
| 81002 |
|
1,058 |
957 |
$304.23 |
| 86671 |
|
12 |
12 |
$300.61 |
| 80143 |
|
1,273 |
1,214 |
$295.38 |
| J1630 |
Haloperidol injection |
616 |
565 |
$293.88 |
| J2920 |
Methylprednisolone injection |
42 |
12 |
$284.66 |
| J2060 |
Lorazepam injection |
1,631 |
1,389 |
$271.33 |
| 10060 |
|
485 |
427 |
$266.81 |
| 80164 |
|
62 |
51 |
$258.74 |
| 83993 |
|
14 |
14 |
$251.28 |
| 86335 |
|
27 |
26 |
$244.57 |
| J7613 |
Albuterol non-comp unit |
1,613 |
1,555 |
$244.34 |
| 90734 |
|
25 |
25 |
$236.25 |
| 84630 |
|
25 |
25 |
$222.39 |
| 84244 |
|
18 |
12 |
$219.35 |
| 82103 |
|
27 |
26 |
$219.11 |
| 86787 |
|
44 |
44 |
$218.38 |
| 80179 |
|
819 |
806 |
$215.63 |
| 77063 |
|
30 |
30 |
$197.53 |
| 84145 |
|
243 |
238 |
$195.66 |
| J7050 |
Normal saline solution infus |
39 |
32 |
$194.34 |
| 80189 |
|
12 |
12 |
$192.49 |
| A4217 |
Sterile water/saline, 500 ml |
628 |
543 |
$189.70 |
| 83930 |
|
43 |
38 |
$179.54 |
| 92552 |
|
12 |
12 |
$158.64 |
| 86753 |
|
12 |
12 |
$158.53 |
| 82239 |
|
33 |
25 |
$157.33 |
| 97750 |
|
877 |
522 |
$135.42 |
| 76937 |
|
36 |
34 |
$134.61 |
| 82010 |
|
734 |
683 |
$127.80 |
| 84466 |
|
26 |
26 |
$121.71 |
| J1644 |
Inj heparin sodium per 1000u |
254 |
115 |
$121.40 |
| 76775 |
|
12 |
12 |
$108.65 |
| J1940 |
Furosemide injection |
65 |
55 |
$108.22 |
| 84300 |
|
43 |
41 |
$107.57 |
| 74022 |
|
117 |
104 |
$105.88 |
| 87045 |
|
12 |
12 |
$102.17 |
| 81000 |
|
48 |
48 |
$98.98 |
| 73020 |
|
15 |
14 |
$92.55 |
| 84133 |
|
41 |
39 |
$87.77 |
| J2274 |
Inj morphine pf epid ithc |
113 |
95 |
$86.02 |
| 87880 |
|
319 |
314 |
$85.15 |
| 83935 |
|
15 |
15 |
$81.87 |
| 82803 |
|
202 |
187 |
$79.41 |
| 97110 |
|
743 |
455 |
$78.54 |
| 80329 |
|
243 |
225 |
$75.96 |
| 82085 |
|
12 |
12 |
$71.64 |
| J2370 |
Phenylephrine hcl injection |
94 |
63 |
$69.02 |
| 99607 |
|
41 |
41 |
$66.00 |
| 90673 |
|
140 |
140 |
$62.78 |
| 92133 |
|
17 |
16 |
$62.08 |
| 83021 |
|
12 |
12 |
$58.37 |
| G9008 |
Mccd,phys coor-care ovrsght |
2,956 |
2,144 |
$44.67 |
| 36000 |
|
36 |
34 |
$34.16 |
| J3370 |
Vancomycin hcl injection |
233 |
191 |
$26.10 |
| 0250 |
|
355 |
160 |
$21.69 |
| 92020 |
|
14 |
14 |
$17.29 |
| J0780 |
Prochlorperazine injection |
211 |
203 |
$15.78 |
| J1650 |
Inj enoxaparin sodium |
426 |
262 |
$11.40 |
| 87807 |
|
51 |
50 |
$7.20 |
| 0270 |
|
25 |
25 |
$0.30 |
| 3079F |
|
217 |
193 |
$0.00 |
| 3074F |
|
720 |
613 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
146 |
146 |
$0.00 |
| S0020 |
Injection, bupivicaine hydro |
24 |
24 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
50 |
45 |
$0.00 |
| 3075F |
|
29 |
25 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
55 |
39 |
$0.00 |
| 99156 |
|
28 |
27 |
$0.00 |
| 0258 |
|
22 |
13 |
$0.00 |
| G0442 |
Annual alcohol screen 15 min |
12 |
12 |
$0.00 |
| G0008 |
Admin influenza virus vac |
12 |
12 |
$0.00 |
| 3078F |
|
634 |
540 |
$0.00 |
| 3077F |
|
104 |
92 |
$0.00 |
| 51702 |
|
15 |
12 |
$0.00 |
| 99173 |
|
39 |
39 |
$0.00 |
| J1953 |
Levetiracetam injection |
41 |
37 |
$0.00 |
| 99157 |
|
26 |
26 |
$0.00 |
| 0272 |
|
25 |
15 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
13 |
13 |
$0.00 |