| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
123,887 |
108,634 |
$67.54M |
| 99283 |
|
101,503 |
92,901 |
$39.21M |
| G0378 |
Hospital observation per hr |
33,804 |
18,624 |
$9.94M |
| 99282 |
|
47,839 |
44,312 |
$9.80M |
| 99285 |
|
26,441 |
23,835 |
$8.74M |
| OP370 |
|
18,838 |
17,494 |
$3.34M |
| 43239 |
|
2,624 |
2,532 |
$3.02M |
| 96375 |
|
59,060 |
45,418 |
$1.94M |
| 74177 |
|
21,962 |
20,646 |
$1.90M |
| 70450 |
|
26,809 |
24,711 |
$1.71M |
| 90853 |
|
22,721 |
6,370 |
$1.57M |
| 95810 |
|
943 |
918 |
$1.56M |
| 96374 |
|
68,101 |
58,121 |
$1.54M |
| H0035 |
Mh partial hosp tx under 24h |
7,208 |
1,156 |
$1.50M |
| 80307 |
|
37,072 |
31,048 |
$1.28M |
| 97110 |
|
40,807 |
9,452 |
$1.27M |
| 99281 |
|
7,082 |
6,752 |
$1.26M |
| OP270 |
|
54,694 |
46,996 |
$1.17M |
| 76811 |
|
2,493 |
2,438 |
$1.14M |
| C1713 |
Anchor/screw bn/bn,tis/bn |
859 |
772 |
$1.02M |
| 93975 |
|
7,808 |
7,471 |
$999K |
| 96365 |
|
22,226 |
18,205 |
$983K |
| 45380 |
|
1,134 |
1,093 |
$974K |
| OP710 |
|
14,416 |
13,240 |
$968K |
| 71046 |
|
39,776 |
37,491 |
$953K |
| 77067 |
|
7,460 |
7,363 |
$911K |
| 70553 |
|
1,813 |
1,735 |
$877K |
| 41899 |
|
532 |
440 |
$820K |
| 59025 |
|
3,745 |
2,641 |
$804K |
| 76830 |
|
8,959 |
8,599 |
$795K |
| U0004 |
Cov-19 test non-cdc hgh thru |
14,856 |
13,587 |
$794K |
| 76801 |
|
6,700 |
5,902 |
$780K |
| 80048 |
|
182,326 |
136,987 |
$767K |
| 96361 |
|
46,335 |
38,371 |
$764K |
| 87636 |
|
25,470 |
23,906 |
$716K |
| 72125 |
|
10,398 |
9,643 |
$708K |
| 93005 |
|
86,977 |
72,673 |
$703K |
| 85025 |
|
177,633 |
138,642 |
$685K |
| 76817 |
|
5,640 |
5,112 |
$642K |
| 76856 |
|
8,875 |
8,487 |
$638K |
| 71275 |
|
7,549 |
7,211 |
$629K |
| 96413 |
|
2,978 |
1,585 |
$596K |
| 93306 |
|
4,120 |
3,918 |
$576K |
| 74176 |
|
11,221 |
10,502 |
$569K |
| 96376 |
|
24,674 |
15,302 |
$558K |
| OP250 |
|
127,202 |
65,086 |
$532K |
| 62323 |
|
308 |
307 |
$511K |
| 76816 |
|
4,016 |
3,824 |
$504K |
| 45378 |
|
514 |
493 |
$494K |
| 71045 |
|
38,149 |
34,253 |
$488K |
| 87633 |
|
4,703 |
4,535 |
$487K |
| 70498 |
|
4,342 |
4,073 |
$484K |
| 70551 |
|
2,583 |
2,453 |
$470K |
| G0480 |
Drug test def 1-7 classes |
16,390 |
13,538 |
$468K |
| 71250 |
|
3,852 |
3,626 |
$468K |
| 99291 |
|
1,693 |
1,530 |
$467K |
| 96360 |
|
13,256 |
12,318 |
$466K |
| 97140 |
|
12,297 |
3,296 |
$460K |
| 73630 |
|
11,349 |
10,485 |
$455K |
| 93970 |
|
6,322 |
6,021 |
$450K |
| 71260 |
|
4,434 |
4,125 |
$450K |
| 72148 |
|
1,786 |
1,727 |
$440K |
| 70496 |
|
4,371 |
4,097 |
$418K |
| 76705 |
|
8,946 |
8,602 |
$416K |
| 97530 |
|
19,400 |
6,601 |
$408K |
| 95811 |
|
265 |
265 |
$400K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
28,436 |
26,074 |
$399K |
| 93971 |
|
4,958 |
4,709 |
$398K |
| 76815 |
|
4,102 |
3,073 |
$396K |
| 64493 |
|
231 |
228 |
$381K |
| 64483 |
|
209 |
200 |
$372K |
| 95806 |
|
1,299 |
1,277 |
$365K |
| 88305 |
|
8,029 |
7,671 |
$355K |
| 96372 |
|
33,332 |
22,569 |
$349K |
| 70486 |
|
3,235 |
3,110 |
$333K |
| 76770 |
|
3,813 |
3,636 |
$314K |
| 73130 |
|
8,764 |
8,146 |
$314K |
| OP272 |
|
7,537 |
7,001 |
$310K |
| 94640 |
|
14,390 |
11,054 |
$303K |
| 90791 |
|
4,391 |
4,037 |
$295K |
| 76642 |
|
2,613 |
2,420 |
$275K |
| 77066 |
Tomosynthesis, mammo |
1,656 |
1,615 |
$267K |
| 0241U |
|
6,438 |
6,129 |
$266K |
| 87635 |
|
10,741 |
9,941 |
$265K |
| 76700 |
|
1,883 |
1,846 |
$264K |
| 80076 |
|
80,896 |
69,017 |
$263K |
| 84484 |
|
60,112 |
47,051 |
$258K |
| 73610 |
|
7,821 |
7,286 |
$258K |
| 96366 |
|
8,146 |
6,222 |
$257K |
| 80329 |
|
13,189 |
11,234 |
$245K |
| 76813 |
|
1,919 |
1,869 |
$239K |
| 64635 |
|
122 |
111 |
$229K |
| 77063 |
|
5,959 |
5,868 |
$225K |
| 27096 |
|
111 |
111 |
$218K |
| 47562 |
|
160 |
154 |
$214K |
| 73564 |
|
8,468 |
7,756 |
$201K |
| 92507 |
|
3,316 |
789 |
$200K |
| 72141 |
|
863 |
833 |
$198K |
| 76536 |
|
1,751 |
1,722 |
$198K |
| 72110 |
|
2,262 |
2,193 |
$182K |
| 83735 |
|
70,103 |
52,923 |
$180K |
| 78815 |
|
163 |
141 |
$180K |
| 97597 |
|
1,557 |
803 |
$179K |
| 94799 |
|
2,278 |
1,284 |
$176K |
| 80320 |
|
18,042 |
14,615 |
$172K |
| 87491 |
|
11,357 |
10,961 |
$164K |
| 11042 |
|
580 |
348 |
$164K |
| 70491 |
|
1,357 |
1,286 |
$162K |
| 84443 |
|
13,090 |
12,047 |
$161K |
| 73030 |
|
7,116 |
6,590 |
$151K |
| 85610 |
|
51,285 |
44,846 |
$147K |
| 87591 |
|
11,357 |
10,964 |
$145K |
| 83880 |
|
15,848 |
14,126 |
$142K |
| OP258 |
|
66,340 |
39,554 |
$138K |
| 78452 |
|
442 |
429 |
$134K |
| 83690 |
|
58,242 |
50,900 |
$131K |
| OP229 |
|
2,466 |
2,352 |
$125K |
| 94761 |
|
8,466 |
7,274 |
$123K |
| 80053 |
|
10,955 |
8,515 |
$120K |
| 73502 |
|
3,724 |
3,425 |
$117K |
| 85730 |
|
40,107 |
36,338 |
$116K |
| J9271 |
Inj pembrolizumab |
20 |
12 |
$116K |
| 73721 |
|
321 |
309 |
$113K |
| 82550 |
|
29,250 |
25,081 |
$113K |
| 74022 |
|
4,627 |
4,355 |
$112K |
| 82977 |
|
19,589 |
17,896 |
$111K |
| 82948 |
|
29,700 |
17,966 |
$108K |
| 97162 |
|
4,234 |
3,892 |
$106K |
| 74240 |
|
893 |
878 |
$105K |
| J1756 |
Iron sucrose injection |
1,672 |
582 |
$104K |
| 97161 |
|
4,301 |
4,057 |
$103K |
| 90834 |
|
1,019 |
282 |
$102K |
| 72100 |
|
5,311 |
5,075 |
$101K |
| A9270 |
Non-covered item or service |
344,361 |
91,818 |
$99K |
| 88342 |
|
4,733 |
4,511 |
$97K |
| 73110 |
|
5,029 |
4,675 |
$95K |
| 72050 |
|
1,271 |
1,235 |
$92K |
| 77065 |
Tomosynthesis, mammo |
1,161 |
1,083 |
$91K |
| 76870 |
|
1,606 |
1,526 |
$89K |
| 76805 |
|
425 |
418 |
$88K |
| 87086 |
|
25,016 |
23,217 |
$87K |
| 86900 |
|
12,246 |
10,746 |
$84K |
| 87040 |
|
16,907 |
14,339 |
$84K |
| 36415 |
|
33,964 |
24,034 |
$83K |
| 97112 |
|
4,986 |
1,746 |
$82K |
| 87507 |
|
743 |
710 |
$77K |
| 86850 |
|
8,646 |
7,593 |
$76K |
| J3490 |
Drugs unclassified injection |
46,676 |
26,021 |
$75K |
| C1889 |
Implant/insert device, noc |
388 |
367 |
$74K |
| 81001 |
|
52,279 |
47,431 |
$74K |
| J1439 |
Inj ferric carboxymaltos 1mg |
108 |
69 |
$72K |
| 81003 |
|
34,367 |
31,761 |
$72K |
| 96367 |
|
3,552 |
2,819 |
$71K |
| 83605 |
|
15,108 |
13,146 |
$69K |
| 88341 |
|
1,221 |
1,130 |
$65K |
| 73590 |
|
4,022 |
3,722 |
$64K |
| 83970 |
|
713 |
711 |
$63K |
| 81025 |
|
22,550 |
20,236 |
$61K |
| J2469 |
Palonosetron hcl |
1,382 |
756 |
$60K |
| 80061 |
|
6,484 |
6,181 |
$59K |
| 74174 |
|
916 |
880 |
$58K |
| 74018 |
|
2,606 |
2,464 |
$58K |
| G0330 |
Facility svs dental rehab |
25 |
25 |
$58K |
| 72131 |
|
861 |
823 |
$57K |
| 96417 |
|
409 |
261 |
$57K |
| 76882 |
|
742 |
710 |
$55K |
| 73080 |
|
2,972 |
2,818 |
$55K |
| 99214 |
|
2,752 |
2,537 |
$54K |
| 73090 |
|
2,991 |
2,804 |
$54K |
| 85027 |
|
15,702 |
12,116 |
$54K |
| 87880 |
|
15,486 |
15,072 |
$54K |
| 12001 |
|
1,264 |
1,216 |
$53K |
| 84100 |
|
17,026 |
11,798 |
$53K |
| A9585 |
Gadobutrol injection |
3,055 |
2,801 |
$51K |
| P9016 |
Rbc leukocytes reduced |
745 |
563 |
$50K |
| 86901 |
|
12,338 |
10,766 |
$49K |
| 93017 |
|
500 |
481 |
$49K |
| C1769 |
Guide wire |
1,125 |
966 |
$48K |
| 72040 |
|
1,931 |
1,831 |
$48K |
| 72070 |
|
1,386 |
1,332 |
$48K |
| G0279 |
Tomosynthesis, mammo |
1,177 |
1,145 |
$48K |
| 84702 |
|
10,367 |
9,115 |
$45K |
| 76376 |
|
1,641 |
1,495 |
$44K |
| 90715 |
|
5,225 |
5,069 |
$43K |
| 80365 |
|
2,306 |
1,220 |
$41K |
| 29125 |
|
1,373 |
1,314 |
$40K |
| 29515 |
|
1,403 |
1,366 |
$40K |
| 80349 |
|
995 |
501 |
$39K |
| 87641 |
|
1,311 |
1,221 |
$39K |
| 87186 |
|
6,608 |
6,169 |
$38K |
| 83036 |
|
7,507 |
7,095 |
$37K |
| 93041 |
|
2,582 |
2,484 |
$36K |
| 73552 |
|
2,163 |
1,974 |
$33K |
| 90471 |
|
5,106 |
4,580 |
$33K |
| 88304 |
|
1,763 |
1,707 |
$33K |
| 87070 |
|
7,079 |
6,807 |
$32K |
| 87400 |
|
7,827 |
7,706 |
$32K |
| 82553 |
|
4,813 |
4,202 |
$32K |
| 73060 |
|
1,921 |
1,802 |
$31K |
| J2060 |
Lorazepam injection |
10,371 |
7,719 |
$30K |
| 73562 |
|
1,013 |
894 |
$30K |
| T1015 |
Clinic service |
1,778 |
442 |
$30K |
| 10060 |
|
425 |
392 |
$28K |
| J1100 |
Dexamethasone sodium phos |
19,204 |
16,467 |
$28K |
| 97113 |
|
765 |
238 |
$27K |
| 95819 |
|
221 |
214 |
$27K |
| 97116 |
|
4,524 |
3,341 |
$27K |
| 82728 |
|
2,350 |
2,166 |
$26K |
| J1815 |
Insulin injection |
11,325 |
4,113 |
$26K |
| 29505 |
|
327 |
317 |
$25K |
| 72170 |
|
1,069 |
1,047 |
$25K |
| C1781 |
Mesh (implantable) |
68 |
64 |
$25K |
| OP278 |
|
43 |
41 |
$25K |
| 86803 |
|
1,255 |
1,220 |
$24K |
| 87081 |
|
9,465 |
9,167 |
$24K |
| 82962 |
|
2,488 |
2,297 |
$23K |
| 36410 |
|
504 |
460 |
$23K |
| 82607 |
|
2,525 |
2,330 |
$23K |
| C2617 |
Stent, non-cor, tem w/o del |
336 |
293 |
$22K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
3,681 |
3,424 |
$22K |
| 70371 |
|
287 |
286 |
$22K |
| 82306 |
|
976 |
931 |
$22K |
| 82803 |
|
3,130 |
2,800 |
$21K |
| 80164 |
|
2,350 |
2,000 |
$21K |
| 77334 |
|
52 |
38 |
$21K |
| 97165 |
|
1,426 |
1,320 |
$21K |
| 87077 |
|
5,489 |
5,092 |
$21K |
| G0283 |
Elec stim other than wound |
1,041 |
321 |
$20K |
| 74183 |
|
43 |
39 |
$20K |
| 86140 |
|
10,264 |
8,804 |
$20K |
| 97803 |
|
325 |
314 |
$20K |
| J3475 |
Inj magnesium sulfate |
7,907 |
6,102 |
$20K |
| 74230 |
|
442 |
390 |
$20K |
| 83550 |
|
2,608 |
2,437 |
$19K |
| 97802 |
|
195 |
193 |
$19K |
| 85379 |
|
9,996 |
9,551 |
$19K |
| 12011 |
|
490 |
468 |
$19K |
| A9500 |
Tc99m sestamibi |
478 |
442 |
$18K |
| G0463 |
Hospital outpt clinic visit |
6,688 |
5,480 |
$18K |
| 77336 |
|
202 |
90 |
$18K |
| J1885 |
Ketorolac tromethamine inj |
29,167 |
24,038 |
$18K |
| J2704 |
Inj, propofol, 10 mg |
14,920 |
12,047 |
$17K |
| 70544 |
|
113 |
106 |
$17K |
| 71101 |
|
837 |
806 |
$17K |
| J2405 |
Ondansetron hcl injection |
34,733 |
27,098 |
$17K |
| 12002 |
|
324 |
309 |
$17K |
| 84145 |
|
2,375 |
2,044 |
$17K |
| 87340 |
|
914 |
894 |
$16K |
| 71271 |
|
236 |
234 |
$16K |
| J0696 |
Ceftriaxone sodium injection |
5,730 |
4,256 |
$16K |
| 84439 |
|
2,102 |
1,945 |
$16K |
| J0690 |
Cefazolin sodium injection |
7,147 |
5,365 |
$16K |
| 92611 |
|
302 |
265 |
$15K |
| 01999 |
|
178 |
176 |
$14K |
| J2270 |
Morphine sulfate injection |
15,190 |
9,651 |
$14K |
| J1200 |
Diphenhydramine hcl injectio |
12,328 |
9,349 |
$14K |
| 87147 |
|
3,112 |
2,992 |
$14K |
| J1650 |
Inj enoxaparin sodium |
10,726 |
5,127 |
$13K |
| 82150 |
|
1,370 |
1,345 |
$13K |
| 82746 |
|
1,636 |
1,501 |
$13K |
| 77085 |
|
408 |
402 |
$13K |
| 90847 |
|
239 |
69 |
$13K |
| 97166 |
|
1,407 |
1,231 |
$13K |
| J1642 |
Inj heparin sodium per 10 u |
4,043 |
1,921 |
$13K |
| 87205 |
|
3,832 |
3,516 |
$13K |
| 92523 |
|
103 |
100 |
$13K |
| 84132 |
|
1,270 |
696 |
$12K |
| 99152 |
|
421 |
397 |
$12K |
| 86618 |
|
892 |
869 |
$12K |
| 85007 |
|
1,852 |
1,613 |
$12K |
| 78264 |
|
68 |
64 |
$12K |
| 84703 |
|
1,119 |
964 |
$12K |
| 87389 |
|
513 |
510 |
$12K |
| G0257 |
Unsched dialysis esrd pt hos |
439 |
254 |
$11K |
| 87075 |
|
2,152 |
1,990 |
$11K |
| 84520 |
|
879 |
708 |
$11K |
| 73560 |
|
427 |
356 |
$11K |
| 99213 |
|
865 |
743 |
$11K |
| 83615 |
|
1,933 |
1,546 |
$11K |
| 51701 |
|
248 |
246 |
$11K |
| 97164 |
|
751 |
741 |
$11K |
| 76000 |
|
893 |
830 |
$11K |
| 82570 |
|
3,790 |
2,545 |
$11K |
| 99070 |
|
529 |
311 |
$11K |
| OP637 |
|
2,919 |
1,811 |
$10K |
| G8978 |
Mobility current status |
527 |
513 |
$10K |
| 88313 |
|
1,076 |
1,040 |
$9K |
| G8979 |
Mobility goal status |
526 |
510 |
$9K |
| J1644 |
Inj heparin sodium per 1000u |
7,374 |
3,006 |
$9K |
| 77080 |
|
119 |
119 |
$9K |
| J3370 |
Vancomycin hcl injection |
2,382 |
1,339 |
$9K |
| 90675 |
|
89 |
41 |
$9K |
| 82310 |
|
992 |
666 |
$9K |
| 96368 |
|
1,132 |
891 |
$9K |
| 94642 |
|
347 |
189 |
$9K |
| 80178 |
|
752 |
629 |
$9K |
| 88307 |
|
486 |
455 |
$8K |
| 80348 |
|
186 |
115 |
$8K |
| J1630 |
Haloperidol injection |
5,526 |
4,320 |
$8K |
| 31720 |
|
31 |
25 |
$8K |
| J0131 |
Inj, acetaminophen (nos) |
3,195 |
2,824 |
$7K |
| 85018 |
|
1,661 |
880 |
$7K |
| J2001 |
Lidocaine injection |
16,359 |
12,194 |
$7K |
| 70487 |
|
85 |
80 |
$7K |
| 86780 |
|
728 |
700 |
$7K |
| 84550 |
|
1,931 |
1,643 |
$7K |
| 73221 |
|
13 |
13 |
$7K |
| 82140 |
|
1,022 |
886 |
$6K |
| J2930 |
Methylprednisolone injection |
3,238 |
2,873 |
$6K |
| 97535 |
|
1,175 |
880 |
$6K |
| 45385 |
|
13 |
13 |
$6K |
| 73501 |
|
201 |
178 |
$6K |
| 82784 |
|
140 |
118 |
$6K |
| 78582 |
|
111 |
109 |
$6K |
| 36600 |
|
45 |
39 |
$6K |
| 36430 |
|
544 |
366 |
$6K |
| 88300 |
|
474 |
449 |
$6K |
| J3010 |
Fentanyl citrate injection |
13,287 |
9,880 |
$5K |
| J3535 |
Metered dose inhaler drug |
290 |
214 |
$5K |
| C1894 |
Intro/sheath, non-laser |
228 |
187 |
$5K |
| 84075 |
|
641 |
640 |
$5K |
| J1170 |
Hydromorphone injection |
7,614 |
3,732 |
$5K |
| 84295 |
|
640 |
637 |
$5K |
| 0012A |
|
187 |
186 |
$5K |
| J1453 |
Fosaprepitant injection |
59 |
37 |
$5K |
| G1004 |
Cdsm ndsc |
7,084 |
4,609 |
$5K |
| 0011A |
|
211 |
210 |
$5K |
| 78580 |
|
121 |
114 |
$5K |
| 93880 |
|
39 |
38 |
$5K |
| J2543 |
Piperacillin/tazobactam |
1,542 |
875 |
$5K |
| 84460 |
|
806 |
805 |
$5K |
| 84450 |
|
793 |
792 |
$5K |
| 72220 |
|
239 |
239 |
$5K |
| 95816 |
|
25 |
25 |
$5K |
| 82374 |
|
644 |
639 |
$5K |
| 82435 |
|
643 |
640 |
$5K |
| J2765 |
Metoclopramide hcl injection |
6,807 |
5,743 |
$5K |
| 80074 |
|
176 |
171 |
$4K |
| C9113 |
Inj pantoprazole sodium, via |
2,915 |
1,886 |
$4K |
| 74247 |
|
29 |
29 |
$4K |
| J2710 |
Neostigmine methylslfte inj |
503 |
491 |
$4K |
| 92610 |
|
292 |
245 |
$4K |
| C1773 |
Ret dev, insertable |
316 |
294 |
$4K |
| 86920 |
|
123 |
114 |
$4K |
| M0222 |
Bebtelovimab injection |
62 |
57 |
$4K |
| 80165 |
|
1,710 |
1,437 |
$4K |
| 72114 |
|
62 |
62 |
$4K |
| 88312 |
|
360 |
358 |
$4K |
| 81220 |
|
80 |
80 |
$4K |
| J2250 |
Inj midazolam hydrochloride |
9,992 |
8,940 |
$4K |
| 87150 |
|
186 |
153 |
$4K |
| 82040 |
|
768 |
683 |
$3K |
| J2920 |
Methylprednisolone injection |
1,190 |
586 |
$3K |
| 83721 |
|
209 |
209 |
$3K |
| 0064A |
|
95 |
95 |
$3K |
| 84478 |
|
210 |
210 |
$3K |
| G0433 |
Elisa hiv-1/hiv-2 screen |
281 |
272 |
$3K |
| J7030 |
Normal saline solution infus |
31,444 |
26,455 |
$3K |
| 86706 |
|
240 |
234 |
$3K |
| 74420 |
|
73 |
70 |
$3K |
| J3480 |
Inj potassium chloride |
2,140 |
1,647 |
$3K |
| J7512 |
Prednisone ir or dr oral 1mg |
5,622 |
4,727 |
$3K |
| U0002 |
Covid-19 lab test non-cdc |
2,267 |
1,888 |
$3K |
| J0360 |
Hydralazine hcl injection |
1,535 |
970 |
$3K |
| 86787 |
|
191 |
190 |
$3K |
| J1953 |
Levetiracetam injection |
978 |
698 |
$3K |
| 87661 |
|
112 |
107 |
$3K |
| 80362 |
|
61 |
43 |
$3K |
| 96415 |
|
32 |
25 |
$3K |
| J3411 |
Thiamine hcl 100 mg |
1,393 |
833 |
$3K |
| 76820 |
|
46 |
27 |
$3K |
| 94760 |
|
1,811 |
904 |
$3K |
| A9540 |
Tc99m maa |
221 |
201 |
$2K |
| G0108 |
Diab manage trn per indiv |
48 |
47 |
$2K |
| 73521 |
|
54 |
54 |
$2K |
| 72146 |
|
12 |
12 |
$2K |
| 94060 |
|
14 |
14 |
$2K |
| 82247 |
|
326 |
249 |
$2K |
| 93923 |
|
24 |
24 |
$2K |
| 72158 |
|
14 |
14 |
$2K |
| 80358 |
|
133 |
94 |
$2K |
| 76641 |
|
31 |
28 |
$2K |
| 72200 |
|
134 |
133 |
$2K |
| 82947 |
|
475 |
427 |
$2K |
| 86923 |
|
399 |
289 |
$2K |
| J0171 |
Adrenalin epinephrine inject |
1,277 |
1,080 |
$2K |
| 73700 |
|
25 |
24 |
$2K |
| 29130 |
|
76 |
74 |
$2K |
| 94660 |
|
150 |
97 |
$2K |
| J2272 |
Inj, morphine (fresenius) |
3,842 |
2,561 |
$2K |
| M0243 |
Casirivi and imdevi inj |
92 |
88 |
$2K |
| J7999 |
Compounded drug, noc |
3,650 |
2,335 |
$2K |
| J7050 |
Normal saline solution infus |
2,392 |
1,508 |
$2K |
| 73620 |
|
52 |
48 |
$2K |
| 99153 |
Mod sedat endo service >5yrs |
75 |
73 |
$2K |
| J0689 |
Inj cefazolin sodium, baxter |
1,562 |
1,055 |
$2K |
| C2625 |
Stent, non-cor, tem w/del sy |
14 |
13 |
$2K |
| C1758 |
Catheter, ureteral |
13 |
12 |
$1K |
| 85046 |
|
259 |
144 |
$1K |
| A9552 |
F18 fdg |
131 |
105 |
$1K |
| 85014 |
|
42 |
27 |
$1K |
| 87088 |
|
389 |
383 |
$1K |
| 84156 |
|
487 |
447 |
$1K |
| A9541 |
Tc99m sulfur colloid |
121 |
108 |
$1K |
| 87449 |
|
52 |
51 |
$1K |
| 86592 |
|
486 |
482 |
$1K |
| G0297 |
Ldct for lung ca screen |
14 |
14 |
$1K |
| 94770 |
|
81 |
81 |
$1K |
| 82465 |
|
208 |
208 |
$1K |
| 77061 |
|
112 |
109 |
$1K |
| 96523 |
|
57 |
42 |
$1K |
| 10061 |
|
24 |
24 |
$1K |
| S2900 |
Robotic surgical system |
13 |
12 |
$1K |
| J7040 |
Normal saline solution infus |
1,720 |
1,341 |
$1K |
| 82010 |
|
308 |
249 |
$1K |
| 86738 |
|
16 |
14 |
$1K |
| J0295 |
Ampicillin sulbactam 1.5 gm |
992 |
444 |
$1K |
| 85384 |
|
87 |
79 |
$1K |
| 87420 |
|
277 |
273 |
$1K |
| J2310 |
Inj naloxone hydrochloride |
231 |
185 |
$997.57 |
| J1940 |
Furosemide injection |
911 |
533 |
$986.36 |
| 70360 |
|
62 |
62 |
$949.57 |
| 86308 |
|
742 |
719 |
$921.81 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
570 |
534 |
$918.13 |
| 87536 |
|
38 |
37 |
$911.66 |
| J2919 |
Inj, methylpred sod succ 5mg |
710 |
563 |
$895.37 |
| J7120 |
Ringers lactate infusion |
9,351 |
7,033 |
$889.21 |
| 93356 |
|
30 |
27 |
$858.49 |
| 73000 |
|
28 |
25 |
$832.95 |
| 82248 |
|
265 |
258 |
$827.27 |
| J9267 |
Paclitaxel injection |
55 |
25 |
$809.10 |
| J1040 |
Methylprednisolone 80 mg inj |
27 |
26 |
$764.18 |
| 86038 |
|
133 |
124 |
$733.01 |
| 87493 |
|
99 |
91 |
$731.22 |
| 88311 |
|
214 |
196 |
$717.09 |
| OP271 |
|
108 |
89 |
$667.35 |
| 85651 |
|
345 |
336 |
$647.85 |
| J2795 |
Ropivacaine hcl injection |
196 |
184 |
$605.62 |
| A9558 |
Xe133 xenon 10mci |
94 |
92 |
$599.74 |
| 94729 |
|
19 |
19 |
$555.29 |
| 90792 |
|
13 |
12 |
$541.05 |
| J3250 |
Trimethobenzamide hcl inj |
53 |
36 |
$521.17 |
| G8989 |
Self care d/c status |
13 |
13 |
$502.17 |
| G8988 |
Self care goal status |
57 |
57 |
$502.17 |
| G8987 |
Self care current status |
57 |
57 |
$502.17 |
| G8980 |
Mobility d/c status |
73 |
73 |
$502.17 |
| 94727 |
|
19 |
19 |
$452.94 |
| 70250 |
|
16 |
13 |
$441.09 |
| J3230 |
Chlorpromazine hcl injection |
18 |
12 |
$435.40 |
| J8499 |
Oral prescrip drug non chemo |
1,001 |
668 |
$433.72 |
| J1245 |
Dipyridamole injection |
58 |
54 |
$421.88 |
| J2785 |
Regadenoson injection |
12 |
12 |
$417.15 |
| 0031A |
|
16 |
16 |
$408.63 |
| 90682 |
|
19 |
16 |
$403.68 |
| 90686 |
|
98 |
88 |
$403.07 |
| 73100 |
|
17 |
15 |
$385.70 |
| 86762 |
|
41 |
41 |
$381.40 |
| J0780 |
Prochlorperazine injection |
537 |
455 |
$378.58 |
| 97163 |
|
19 |
18 |
$376.54 |
| 73120 |
|
13 |
13 |
$375.29 |
| 86318 |
|
141 |
140 |
$369.78 |
| 84315 |
|
124 |
71 |
$346.72 |
| 29540 |
|
44 |
41 |
$346.31 |
| 74020 |
|
19 |
19 |
$345.70 |
| 86666 |
|
28 |
28 |
$343.18 |
| 86757 |
|
26 |
26 |
$296.64 |
| 29105 |
|
12 |
12 |
$290.92 |
| J2470 |
Inj pantoprazole sodium 40mg |
266 |
195 |
$273.84 |
| U0005 |
Infec agen detec ampli probe |
1,474 |
1,239 |
$254.21 |
| 86753 |
|
30 |
30 |
$244.69 |
| 88302 |
|
25 |
24 |
$235.49 |
| J7510 |
Prednisolone oral per 5 mg |
418 |
384 |
$223.20 |
| 88112 |
|
12 |
12 |
$213.11 |
| 88142 |
|
13 |
13 |
$211.10 |
| 29530 |
|
17 |
17 |
$204.45 |
| 80156 |
|
12 |
12 |
$204.16 |
| 99204 |
|
25 |
24 |
$200.57 |
| 82043 |
|
77 |
76 |
$182.97 |
| J0736 |
Inj, clindamycin phosp 300mg |
82 |
74 |
$181.01 |
| 90732 |
|
21 |
21 |
$178.48 |
| 76080 |
|
13 |
12 |
$173.29 |
| C1729 |
Cath, drainage |
55 |
42 |
$164.34 |
| J3420 |
Vitamin b12 injection |
30 |
13 |
$161.42 |
| 86665 |
|
14 |
12 |
$158.40 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
371 |
300 |
$152.30 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
387 |
358 |
$118.70 |
| 73140 |
|
26 |
26 |
$111.67 |
| 84436 |
|
27 |
27 |
$109.50 |
| 83020 |
|
15 |
15 |
$105.00 |
| 82330 |
|
27 |
24 |
$95.18 |
| 86701 |
|
12 |
12 |
$89.25 |
| J1836 |
Inj, metronidazole, 10 mg |
171 |
112 |
$82.38 |
| 84480 |
|
14 |
14 |
$78.75 |
| 86664 |
|
14 |
12 |
$66.80 |
| 82365 |
|
86 |
81 |
$64.14 |
| 90662 |
|
16 |
14 |
$62.58 |
| 82565 |
|
15 |
12 |
$51.75 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
198 |
118 |
$44.95 |
| J1030 |
Methylprednisolone 40 mg inj |
224 |
199 |
$39.25 |
| J2550 |
Promethazine hcl injection |
186 |
110 |
$30.27 |
| 85652 |
|
36 |
33 |
$25.05 |
| J2004 |
Inj, lidocaine w epinephrine |
63 |
63 |
$18.27 |
| J7060 |
5% dextrose/water |
23 |
14 |
$15.31 |
| Q0222 |
Bebtelovimab 175 mg |
62 |
57 |
$11.00 |
| J1580 |
Garamycin gentamicin inj |
14 |
12 |
$9.91 |
| 89050 |
|
29 |
24 |
$5.80 |
| J2274 |
Inj morphine pf epid ithc |
150 |
108 |
$4.42 |
| G0008 |
Admin influenza virus vac |
190 |
161 |
$2.62 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
753 |
689 |
$2.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
105 |
100 |
$1.00 |
| J2370 |
Phenylephrine hcl injection |
15 |
15 |
$1.00 |
| 91301 |
|
455 |
439 |
$0.01 |
| A4216 |
Sterile water/saline, 10 ml |
80 |
79 |
$0.00 |
| Q9969 |
Non-heu tc-99m add-on/dose |
35 |
33 |
$0.00 |
| 90656 |
|
21 |
16 |
$0.00 |
| OP324 |
|
19 |
19 |
$0.00 |
| 91303 |
|
15 |
15 |
$0.00 |
| 91306 |
|
90 |
90 |
$0.00 |
| 64484 |
|
18 |
15 |
$0.00 |
| 91305 |
|
18 |
18 |
$0.00 |