| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
68,486 |
64,802 |
$25.40M |
| 99284 |
|
45,204 |
42,454 |
$20.49M |
| G0378 |
Hospital observation per hr |
21,709 |
19,156 |
$18.41M |
| 99285 |
|
34,725 |
31,189 |
$14.66M |
| 93306 |
|
5,747 |
5,421 |
$4.14M |
| OP250 |
|
121,944 |
89,555 |
$4.04M |
| 99282 |
|
14,929 |
14,237 |
$3.32M |
| 96413 |
|
9,321 |
5,574 |
$3.03M |
| J2350 |
Injection, ocrelizumab, 1 mg |
130 |
99 |
$2.19M |
| 80053 |
|
115,674 |
87,478 |
$2.18M |
| 43239 |
|
776 |
755 |
$1.71M |
| 96375 |
|
24,631 |
18,775 |
$1.23M |
| 97110 |
|
34,036 |
9,191 |
$1.13M |
| 93017 |
|
2,969 |
2,666 |
$1.13M |
| 71046 |
|
21,932 |
20,922 |
$1.12M |
| 96365 |
|
7,552 |
4,861 |
$993K |
| 11042 |
|
3,698 |
1,754 |
$977K |
| 95810 |
|
295 |
291 |
$885K |
| 97140 |
|
25,383 |
6,772 |
$787K |
| 78452 |
|
2,288 |
2,100 |
$768K |
| OP370 |
|
9,914 |
8,932 |
$767K |
| 96415 |
|
2,381 |
1,717 |
$734K |
| 96361 |
|
24,242 |
20,913 |
$732K |
| Q5117 |
Inj., kanjinti, 10 mg |
256 |
181 |
$716K |
| J2323 |
Natalizumab injection |
187 |
153 |
$686K |
| 36415 |
|
140,300 |
97,191 |
$685K |
| 93005 |
|
34,773 |
30,836 |
$590K |
| 92507 |
|
7,359 |
2,075 |
$588K |
| 85025 |
|
110,072 |
83,336 |
$579K |
| 97530 |
|
14,254 |
6,371 |
$575K |
| 93970 |
|
2,213 |
2,059 |
$539K |
| OP272 |
|
13,353 |
11,352 |
$531K |
| 71045 |
|
11,401 |
10,196 |
$525K |
| 87636 |
|
26,554 |
24,635 |
$521K |
| OP710 |
|
10,305 |
9,332 |
$502K |
| 74177 |
|
4,434 |
4,202 |
$493K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
639 |
531 |
$480K |
| C1776 |
Joint device (implantable) |
236 |
162 |
$433K |
| 93458 |
|
337 |
279 |
$427K |
| 96417 |
|
2,069 |
1,182 |
$417K |
| 30140 |
|
229 |
226 |
$409K |
| 70450 |
|
7,848 |
7,186 |
$374K |
| 96374 |
|
29,390 |
26,698 |
$362K |
| 0202U |
|
4,387 |
4,194 |
$359K |
| 87651 |
|
9,207 |
8,589 |
$329K |
| 93971 |
|
1,973 |
1,858 |
$320K |
| U0004 |
Cov-19 test non-cdc hgh thru |
7,878 |
5,841 |
$314K |
| OP258 |
|
45,262 |
34,364 |
$310K |
| 96367 |
|
2,475 |
1,718 |
$307K |
| 81001 |
|
53,913 |
43,833 |
$245K |
| 96372 |
|
12,356 |
9,578 |
$243K |
| 74176 |
|
3,221 |
2,998 |
$240K |
| 96360 |
|
8,191 |
7,527 |
$235K |
| 86850 |
|
14,757 |
12,839 |
$233K |
| J9271 |
Inj pembrolizumab |
38 |
26 |
$225K |
| 92587 |
|
1,199 |
1,177 |
$221K |
| 99213 |
|
4,892 |
4,109 |
$220K |
| 97802 |
|
1,105 |
1,043 |
$202K |
| 76770 |
|
1,703 |
1,667 |
$199K |
| 76856 |
|
2,386 |
2,295 |
$198K |
| 87633 |
|
2,279 |
2,195 |
$195K |
| G0463 |
Hospital outpt clinic visit |
18,005 |
11,937 |
$181K |
| 97112 |
|
5,529 |
2,083 |
$174K |
| 77336 |
|
1,150 |
469 |
$172K |
| J2469 |
Palonosetron hcl |
1,674 |
856 |
$163K |
| 80197 |
|
17,209 |
9,264 |
$163K |
| 88305 |
|
4,268 |
3,894 |
$162K |
| OP270 |
|
4,650 |
4,205 |
$160K |
| 76817 |
|
2,655 |
2,348 |
$158K |
| 77334 |
|
279 |
192 |
$154K |
| 76805 |
|
2,509 |
2,244 |
$154K |
| 85027 |
|
19,356 |
13,971 |
$149K |
| J2505 |
Injection, pegfilgrastim 6mg |
34 |
24 |
$149K |
| 97014 |
|
3,568 |
1,086 |
$147K |
| 80048 |
|
10,965 |
8,064 |
$146K |
| 87491 |
|
4,214 |
4,072 |
$142K |
| 92567 |
|
1,864 |
1,805 |
$140K |
| 73564 |
|
3,326 |
2,994 |
$140K |
| 71275 |
|
1,399 |
1,326 |
$137K |
| 70553 |
|
202 |
199 |
$132K |
| 73630 |
|
3,180 |
2,971 |
$132K |
| 99211 |
|
4,325 |
3,996 |
$130K |
| 87081 |
|
4,642 |
4,597 |
$128K |
| A9500 |
Tc99m sestamibi |
2,265 |
1,952 |
$124K |
| J0897 |
Denosumab injection |
79 |
72 |
$124K |
| 74021 |
|
3,161 |
3,025 |
$122K |
| 73030 |
|
2,111 |
1,936 |
$119K |
| G0379 |
Direct refer hospital observ |
2,424 |
2,119 |
$118K |
| 83735 |
|
27,104 |
16,736 |
$117K |
| 86900 |
|
16,541 |
14,616 |
$117K |
| 87635 |
|
2,867 |
2,547 |
$113K |
| 80061 |
|
8,067 |
7,135 |
$107K |
| 76700 |
|
1,322 |
1,277 |
$107K |
| 87804 |
|
5,239 |
5,183 |
$106K |
| 96411 |
|
325 |
185 |
$104K |
| 95816 |
|
402 |
357 |
$102K |
| 97161 |
|
3,080 |
2,910 |
$101K |
| 87086 |
|
17,848 |
15,645 |
$101K |
| 97803 |
|
625 |
573 |
$97K |
| 82962 |
|
11,467 |
8,221 |
$96K |
| 82043 |
|
3,126 |
2,790 |
$96K |
| 82306 |
|
4,939 |
4,398 |
$95K |
| 85610 |
|
18,103 |
14,416 |
$94K |
| 87799 |
|
6,209 |
4,830 |
$92K |
| 76830 |
|
1,623 |
1,561 |
$92K |
| 73130 |
|
2,144 |
2,011 |
$89K |
| 76705 |
|
1,458 |
1,385 |
$88K |
| 94729 |
|
673 |
567 |
$87K |
| J1756 |
Iron sucrose injection |
2,378 |
969 |
$86K |
| 70551 |
|
460 |
426 |
$84K |
| 84443 |
|
8,134 |
7,207 |
$81K |
| J1200 |
Diphenhydramine hcl injectio |
3,006 |
2,215 |
$79K |
| 73610 |
|
2,788 |
2,607 |
$78K |
| 97535 |
|
3,124 |
2,088 |
$78K |
| 83970 |
|
2,766 |
2,344 |
$76K |
| 72125 |
|
1,528 |
1,369 |
$75K |
| 99281 |
|
412 |
385 |
$74K |
| 74018 |
|
1,947 |
1,861 |
$74K |
| 80307 |
|
3,169 |
2,802 |
$74K |
| U0005 |
Infec agen detec ampli probe |
5,544 |
4,246 |
$72K |
| 87631 |
|
3,122 |
2,938 |
$72K |
| J1100 |
Dexamethasone sodium phos |
11,411 |
8,929 |
$69K |
| 94060 |
|
314 |
293 |
$69K |
| 82378 |
|
3,203 |
2,494 |
$68K |
| 72100 |
|
1,909 |
1,784 |
$66K |
| 84100 |
|
22,273 |
13,537 |
$66K |
| 96401 |
|
460 |
353 |
$65K |
| 86803 |
|
14,288 |
13,552 |
$64K |
| 92557 |
|
437 |
412 |
$64K |
| 82803 |
|
3,057 |
2,704 |
$63K |
| 86901 |
|
16,628 |
14,596 |
$62K |
| OP278 |
|
129 |
104 |
$62K |
| 36430 |
|
600 |
415 |
$62K |
| 85730 |
|
12,849 |
11,442 |
$59K |
| 16020 |
|
1,050 |
813 |
$58K |
| 73110 |
|
1,349 |
1,272 |
$57K |
| 87070 |
|
4,032 |
3,774 |
$57K |
| 99214 |
|
602 |
487 |
$57K |
| J1439 |
Inj ferric carboxymaltos 1mg |
91 |
59 |
$57K |
| A9270 |
Non-covered item or service |
14,898 |
9,985 |
$53K |
| 83036 |
|
9,408 |
8,371 |
$52K |
| 87389 |
|
3,293 |
3,091 |
$52K |
| 82542 |
|
1,958 |
1,915 |
$52K |
| 87040 |
|
4,437 |
3,979 |
$52K |
| J2785 |
Regadenoson injection |
1,056 |
905 |
$52K |
| 86300 |
|
1,605 |
1,263 |
$51K |
| 97162 |
|
1,798 |
1,678 |
$51K |
| 84550 |
|
15,144 |
9,918 |
$51K |
| 80047 |
|
5,069 |
4,508 |
$47K |
| 82728 |
|
3,946 |
3,363 |
$46K |
| 84156 |
|
8,701 |
7,058 |
$43K |
| 94640 |
|
2,138 |
1,800 |
$42K |
| 96402 |
|
560 |
459 |
$42K |
| 76801 |
|
474 |
408 |
$41K |
| 83615 |
|
13,781 |
8,427 |
$41K |
| 92552 |
|
439 |
433 |
$41K |
| 84702 |
|
5,782 |
4,628 |
$39K |
| 87880 |
|
5,423 |
5,355 |
$39K |
| 81003 |
|
12,620 |
11,123 |
$39K |
| 87591 |
|
3,901 |
3,761 |
$39K |
| 81025 |
|
6,680 |
5,866 |
$36K |
| 96366 |
|
491 |
378 |
$34K |
| 73590 |
|
785 |
698 |
$34K |
| 74022 |
|
466 |
423 |
$34K |
| 83880 |
|
4,342 |
3,692 |
$33K |
| 84484 |
|
11,023 |
9,490 |
$32K |
| 30520 |
|
28 |
27 |
$32K |
| 99215 |
Prolong outpt/office vis |
227 |
201 |
$32K |
| Q5108 |
Injection, fulphila |
28 |
13 |
$31K |
| 77290 |
|
56 |
51 |
$30K |
| 88342 |
|
1,870 |
1,705 |
$29K |
| 96416 |
|
110 |
52 |
$29K |
| J0131 |
Inj, acetaminophen (nos) |
8,199 |
6,720 |
$29K |
| J1642 |
Inj heparin sodium per 10 u |
2,284 |
1,435 |
$27K |
| 87186 |
|
3,171 |
2,732 |
$27K |
| 76775 |
|
240 |
233 |
$26K |
| C9290 |
Inj, bupivacaine liposome |
503 |
426 |
$24K |
| J3010 |
Fentanyl citrate injection |
6,901 |
6,061 |
$24K |
| 73502 |
|
1,237 |
1,085 |
$24K |
| 96376 |
|
2,848 |
2,187 |
$24K |
| J2704 |
Inj, propofol, 10 mg |
6,930 |
6,009 |
$24K |
| C1769 |
Guide wire |
1,906 |
1,569 |
$23K |
| 84439 |
|
2,485 |
2,193 |
$23K |
| 83550 |
|
3,316 |
2,893 |
$23K |
| J3535 |
Metered dose inhaler drug |
539 |
423 |
$22K |
| 87340 |
|
7,322 |
6,891 |
$22K |
| 83690 |
|
17,819 |
16,289 |
$22K |
| 82570 |
|
6,628 |
5,324 |
$20K |
| 83540 |
|
3,774 |
3,263 |
$20K |
| 73140 |
|
571 |
551 |
$20K |
| 77300 |
|
87 |
75 |
$20K |
| 94760 |
|
388 |
342 |
$19K |
| 72040 |
|
449 |
417 |
$18K |
| 82607 |
|
2,383 |
2,161 |
$18K |
| 0241U |
|
368 |
360 |
$18K |
| 10060 |
|
431 |
390 |
$17K |
| 85007 |
|
5,833 |
4,819 |
$17K |
| 90471 |
|
2,561 |
2,286 |
$17K |
| 87088 |
|
5,224 |
4,795 |
$17K |
| J2250 |
Inj midazolam hydrochloride |
4,585 |
3,938 |
$16K |
| G0480 |
Drug test def 1-7 classes |
923 |
792 |
$16K |
| 87497 |
|
822 |
544 |
$16K |
| 99202 |
|
348 |
338 |
$16K |
| 83605 |
|
3,558 |
3,164 |
$16K |
| G0382 |
Lev 3 hosp type b ed visit |
369 |
363 |
$16K |
| 12011 |
|
352 |
322 |
$15K |
| G0008 |
Admin influenza virus vac |
1,407 |
1,317 |
$15K |
| 71250 |
|
125 |
113 |
$15K |
| G0257 |
Unsched dialysis esrd pt hos |
36 |
12 |
$15K |
| 92579 |
|
66 |
66 |
$14K |
| J1644 |
Inj heparin sodium per 1000u |
2,371 |
1,366 |
$14K |
| J2405 |
Ondansetron hcl injection |
13,386 |
11,366 |
$14K |
| 97165 |
|
515 |
457 |
$14K |
| P9016 |
Rbc leukocytes reduced |
347 |
248 |
$13K |
| 50200 |
|
14 |
14 |
$13K |
| 86140 |
|
6,462 |
5,523 |
$13K |
| 92555 |
|
113 |
112 |
$13K |
| 97116 |
|
985 |
476 |
$13K |
| 70486 |
|
225 |
215 |
$12K |
| J1170 |
Hydromorphone injection |
4,757 |
3,846 |
$12K |
| 88304 |
|
1,361 |
1,298 |
$12K |
| 87077 |
|
2,011 |
1,875 |
$12K |
| 29125 |
|
405 |
384 |
$12K |
| 85055 |
|
853 |
601 |
$12K |
| 82784 |
|
241 |
198 |
$11K |
| 82746 |
|
1,619 |
1,455 |
$11K |
| 94727 |
|
162 |
135 |
$11K |
| J2930 |
Methylprednisolone injection |
1,075 |
909 |
$11K |
| 73562 |
|
266 |
242 |
$10K |
| 87807 |
|
1,332 |
1,316 |
$10K |
| 87798 |
|
972 |
959 |
$10K |
| 29581 |
|
336 |
104 |
$10K |
| 93880 |
|
27 |
27 |
$10K |
| J1885 |
Ketorolac tromethamine inj |
17,002 |
15,157 |
$10K |
| 73080 |
|
502 |
475 |
$10K |
| 83655 |
|
300 |
287 |
$10K |
| 74019 |
|
219 |
203 |
$9K |
| J1453 |
Fosaprepitant injection |
230 |
124 |
$9K |
| 85014 |
|
7,289 |
6,479 |
$9K |
| 85651 |
|
3,699 |
3,079 |
$9K |
| 12001 |
|
265 |
244 |
$9K |
| 71260 |
|
67 |
64 |
$9K |
| J0690 |
Cefazolin sodium injection |
2,384 |
1,667 |
$9K |
| 86920 |
|
295 |
246 |
$8K |
| 87147 |
|
831 |
822 |
$8K |
| 88307 |
|
234 |
198 |
$8K |
| 87522 |
Neg quan hep c or qual rna |
794 |
607 |
$8K |
| 95800 |
|
12 |
12 |
$8K |
| 85378 |
|
3,415 |
3,210 |
$8K |
| 76870 |
|
115 |
105 |
$8K |
| 84480 |
|
826 |
614 |
$8K |
| 84145 |
|
1,007 |
893 |
$8K |
| 87999 |
|
38 |
37 |
$8K |
| 87430 |
|
239 |
238 |
$7K |
| 93923 |
|
14 |
14 |
$7K |
| 87486 |
|
966 |
956 |
$7K |
| C1894 |
Intro/sheath, non-laser |
1,191 |
968 |
$7K |
| 96368 |
|
195 |
105 |
$7K |
| 87641 |
|
738 |
561 |
$7K |
| 90677 |
|
449 |
444 |
$7K |
| 86706 |
|
952 |
790 |
$7K |
| 90715 |
|
1,630 |
1,536 |
$6K |
| 85045 |
|
2,250 |
1,969 |
$6K |
| 97597 |
|
54 |
41 |
$6K |
| 87205 |
|
2,694 |
2,405 |
$6K |
| 90686 |
|
1,216 |
1,142 |
$6K |
| 86592 |
|
1,686 |
1,538 |
$6K |
| 87637 |
|
79 |
76 |
$6K |
| 73090 |
|
185 |
171 |
$6K |
| 99212 |
|
115 |
91 |
$5K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
286 |
266 |
$5K |
| J2270 |
Morphine sulfate injection |
2,094 |
1,752 |
$5K |
| 90472 |
|
789 |
775 |
$5K |
| 90791 |
|
270 |
256 |
$5K |
| 87581 |
|
968 |
958 |
$5K |
| 84134 |
|
967 |
774 |
$5K |
| 82248 |
|
615 |
512 |
$5K |
| 82553 |
|
2,196 |
1,971 |
$5K |
| 92523 |
|
56 |
54 |
$5K |
| J2765 |
Metoclopramide hcl injection |
4,429 |
4,035 |
$4K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,652 |
3,259 |
$4K |
| 0001A |
|
127 |
127 |
$4K |
| 80074 |
|
254 |
223 |
$4K |
| 82550 |
|
2,628 |
2,348 |
$4K |
| J9217 |
Leuprolide acetate suspnsion |
31 |
27 |
$4K |
| 77280 |
|
32 |
28 |
$4K |
| 82652 |
|
129 |
107 |
$4K |
| 97150 |
|
1,495 |
557 |
$4K |
| 82950 |
|
211 |
184 |
$4K |
| 87536 |
|
206 |
149 |
$4K |
| 82150 |
|
2,030 |
1,861 |
$4K |
| M0245 |
Bamlan and etesev infusion |
99 |
99 |
$4K |
| 93975 |
|
14 |
14 |
$3K |
| G0009 |
Admin pneumococcal vaccine |
528 |
524 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
2,965 |
2,646 |
$3K |
| 0002A |
|
111 |
111 |
$3K |
| 81220 |
|
12 |
12 |
$3K |
| 84436 |
|
666 |
535 |
$3K |
| 87426 |
|
261 |
251 |
$3K |
| 82947 |
|
1,645 |
1,467 |
$3K |
| 80164 |
|
693 |
591 |
$3K |
| 87075 |
|
323 |
261 |
$3K |
| 83521 |
|
106 |
81 |
$3K |
| C1887 |
Catheter, guiding |
504 |
392 |
$3K |
| J1815 |
Insulin injection |
1,029 |
757 |
$3K |
| M0222 |
Bebtelovimab injection |
32 |
26 |
$3K |
| 97022 |
|
220 |
62 |
$3K |
| 86334 |
|
172 |
141 |
$3K |
| 95951 |
|
35 |
13 |
$3K |
| 86336 |
|
108 |
104 |
$3K |
| 82985 |
|
443 |
356 |
$3K |
| J2060 |
Lorazepam injection |
722 |
617 |
$3K |
| 88300 |
|
75 |
64 |
$3K |
| M0220 |
Tixagev and cilgav inj |
89 |
62 |
$3K |
| Q0247 |
Sotrovimab |
24 |
21 |
$3K |
| 85652 |
|
1,149 |
980 |
$2K |
| 15853 |
|
97 |
89 |
$2K |
| 88311 |
|
301 |
297 |
$2K |
| 84165 |
|
396 |
290 |
$2K |
| 36416 |
|
810 |
554 |
$2K |
| 83883 |
|
210 |
140 |
$2K |
| 90670 |
|
32 |
32 |
$2K |
| 73552 |
|
57 |
49 |
$2K |
| M0239 |
Bamlanivimab-xxxx infusion |
55 |
55 |
$2K |
| 90381 |
|
17 |
16 |
$2K |
| 85379 |
|
675 |
633 |
$2K |
| J9190 |
Fluorouracil injection |
168 |
88 |
$2K |
| 36591 |
|
159 |
118 |
$2K |
| 82330 |
|
418 |
391 |
$2K |
| 83021 |
|
101 |
90 |
$2K |
| J0640 |
Leucovorin calcium injection |
116 |
56 |
$2K |
| 76776 |
|
32 |
30 |
$2K |
| 80320 |
|
934 |
885 |
$2K |
| U0002 |
Covid-19 lab test non-cdc |
175 |
148 |
$2K |
| 84153 |
|
107 |
86 |
$2K |
| 80348 |
|
57 |
53 |
$1K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| M0247 |
Sotrovimab infusion |
37 |
33 |
$1K |
| 80179 |
|
407 |
362 |
$1K |
| 80177 |
|
369 |
307 |
$1K |
| 86038 |
|
233 |
217 |
$1K |
| 87517 |
|
147 |
106 |
$1K |
| OP637 |
|
1,431 |
974 |
$1K |
| C1760 |
Closure dev, vasc |
30 |
25 |
$1K |
| A9585 |
Gadobutrol injection |
82 |
81 |
$1K |
| 86160 |
|
45 |
38 |
$1K |
| 84703 |
|
187 |
181 |
$1K |
| 82247 |
|
79 |
61 |
$1K |
| 80358 |
|
57 |
53 |
$1K |
| 88313 |
|
50 |
39 |
$1K |
| 92522 |
|
13 |
13 |
$1K |
| Q3014 |
Telehealth facility fee |
238 |
212 |
$1K |
| 29505 |
|
36 |
36 |
$974.33 |
| J0171 |
Adrenalin epinephrine inject |
292 |
226 |
$910.71 |
| 29515 |
|
39 |
37 |
$894.24 |
| C2617 |
Stent, non-cor, tem w/o del |
14 |
12 |
$830.46 |
| 84132 |
|
1,280 |
1,111 |
$825.71 |
| 84520 |
|
1,607 |
1,421 |
$814.23 |
| J9263 |
Oxaliplatin |
21 |
12 |
$785.44 |
| J2919 |
Inj, methylpred sod succ 5mg |
217 |
193 |
$778.74 |
| 99203 |
|
29 |
27 |
$767.18 |
| 80051 |
|
368 |
312 |
$751.93 |
| 95700 |
|
27 |
24 |
$735.94 |
| 86762 |
|
126 |
111 |
$721.68 |
| J2272 |
Inj, morphine (fresenius) |
687 |
575 |
$681.82 |
| 96523 |
|
15 |
12 |
$681.52 |
| P9604 |
One-way allow prorated trip |
1,297 |
757 |
$676.89 |
| OP229 |
|
13 |
13 |
$667.29 |
| 82465 |
|
163 |
154 |
$658.30 |
| L4350 |
Ankle control ortho pre ots |
72 |
72 |
$600.56 |
| 81401 |
|
26 |
26 |
$598.00 |
| 84295 |
|
1,171 |
1,014 |
$592.15 |
| 87624 |
|
45 |
40 |
$585.79 |
| 90651 |
|
57 |
56 |
$584.28 |
| 80143 |
|
136 |
123 |
$572.60 |
| J2543 |
Piperacillin/tazobactam |
194 |
120 |
$547.38 |
| 82565 |
|
380 |
326 |
$519.90 |
| 85008 |
|
1,750 |
1,613 |
$512.47 |
| 82610 |
|
32 |
27 |
$504.35 |
| 99201 |
|
13 |
13 |
$488.06 |
| 84481 |
|
120 |
106 |
$485.71 |
| 0031A |
|
32 |
31 |
$479.67 |
| 86704 |
|
71 |
52 |
$465.61 |
| 86304 |
|
97 |
51 |
$465.59 |
| 85018 |
|
214 |
201 |
$465.52 |
| 86308 |
|
530 |
517 |
$452.62 |
| 88142 |
|
12 |
12 |
$431.10 |
| G0103 |
Psa screening |
72 |
57 |
$422.21 |
| 72170 |
|
45 |
37 |
$417.90 |
| 87493 |
|
92 |
76 |
$404.67 |
| 97164 |
|
12 |
12 |
$364.52 |
| 86769 |
|
12 |
12 |
$349.86 |
| 86617 |
|
24 |
24 |
$341.43 |
| 86790 |
|
27 |
26 |
$322.18 |
| 12002 |
|
16 |
13 |
$320.50 |
| 29130 |
|
34 |
28 |
$313.32 |
| J3370 |
Vancomycin hcl injection |
426 |
319 |
$303.35 |
| 89230 |
|
12 |
12 |
$294.79 |
| 82435 |
|
1,029 |
912 |
$270.48 |
| 86301 |
|
32 |
26 |
$263.95 |
| 73560 |
|
12 |
12 |
$258.13 |
| 80329 |
|
66 |
62 |
$256.68 |
| 82951 |
|
95 |
94 |
$252.56 |
| 82670 |
|
14 |
13 |
$237.25 |
| J3480 |
Inj potassium chloride |
117 |
81 |
$235.44 |
| 80076 |
|
103 |
89 |
$217.15 |
| G0283 |
Elec stim other than wound |
60 |
24 |
$211.37 |
| 82232 |
|
15 |
12 |
$204.24 |
| 74420 |
|
17 |
13 |
$178.62 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
448 |
401 |
$169.99 |
| 77012 |
|
30 |
24 |
$156.76 |
| 87045 |
|
27 |
26 |
$154.04 |
| M0244 |
Casirivi and imdevi inj hm |
20 |
18 |
$130.00 |
| 88112 |
|
72 |
53 |
$122.46 |
| L1830 |
Ko immob canvas long pre ots |
18 |
18 |
$120.30 |
| 88341 |
|
13 |
13 |
$116.02 |
| J7613 |
Albuterol non-comp unit |
615 |
552 |
$115.77 |
| J0689 |
Inj cefazolin sodium, baxter |
88 |
59 |
$113.91 |
| 87046 |
|
14 |
14 |
$113.42 |
| J9045 |
Carboplatin injection |
28 |
13 |
$110.04 |
| J1720 |
Hydrocortisone sodium succ i |
15 |
13 |
$108.90 |
| J1940 |
Furosemide injection |
167 |
98 |
$107.47 |
| 85041 |
|
129 |
124 |
$103.20 |
| 90656 |
|
61 |
61 |
$102.94 |
| 90716 |
|
183 |
176 |
$84.62 |
| 80158 |
|
25 |
12 |
$80.20 |
| 87640 |
|
534 |
398 |
$72.76 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
279 |
251 |
$71.96 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
122 |
85 |
$69.80 |
| OP255 |
|
543 |
443 |
$68.63 |
| J0134 |
Inj acetaminophen -fresenius |
74 |
64 |
$64.34 |
| 87899 |
|
15 |
15 |
$61.07 |
| 88348 |
|
12 |
12 |
$59.71 |
| 90681 |
|
195 |
185 |
$58.66 |
| 88329 |
|
25 |
25 |
$57.86 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
170 |
153 |
$57.17 |
| J3420 |
Vitamin b12 injection |
52 |
26 |
$54.86 |
| J7512 |
Prednisone ir or dr oral 1mg |
881 |
851 |
$54.80 |
| J3475 |
Inj magnesium sulfate |
129 |
94 |
$53.31 |
| 85347 |
|
19 |
12 |
$49.44 |
| 87427 |
|
14 |
14 |
$45.80 |
| J1030 |
Methylprednisolone 40 mg inj |
68 |
55 |
$44.86 |
| 75571 |
|
13 |
13 |
$43.42 |
| 87206 |
|
12 |
12 |
$39.56 |
| J2370 |
Phenylephrine hcl injection |
80 |
61 |
$34.05 |
| 90648 |
|
408 |
384 |
$31.70 |
| J0360 |
Hydralazine hcl injection |
129 |
107 |
$29.33 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
346 |
272 |
$29.12 |
| J0136 |
Inj, acetaminophen (b braun) |
23 |
23 |
$26.00 |
| J7510 |
Prednisolone oral per 5 mg |
146 |
131 |
$25.73 |
| 87102 |
|
32 |
26 |
$24.00 |
| 82010 |
|
33 |
26 |
$22.29 |
| J3371 |
Inj, vancomycin hcl (mylan) |
175 |
136 |
$21.63 |
| J0687 |
Inj cefazolin (wg crit care) |
317 |
273 |
$21.28 |
| J1010 |
Inj, methylpred acetate 1 mg |
38 |
30 |
$20.39 |
| Q0245 |
Bamlanivimab and etesevima |
90 |
90 |
$19.00 |
| J1650 |
Inj enoxaparin sodium |
19 |
12 |
$15.30 |
| P9603 |
One-way allow prorated miles |
6,864 |
3,854 |
$14.14 |
| J1580 |
Garamycin gentamicin inj |
31 |
26 |
$13.36 |
| J1020 |
Methylprednisolone 20 mg inj |
17 |
16 |
$12.18 |
| G8978 |
Mobility current status |
273 |
268 |
$12.00 |
| Q0239 |
Bamlanivimab-xxxx |
57 |
57 |
$12.00 |
| G8979 |
Mobility goal status |
268 |
263 |
$12.00 |
| 90633 |
|
231 |
216 |
$10.98 |
| G0472 |
Hep c screen high risk/other |
16 |
13 |
$8.66 |
| J2004 |
Inj, lidocaine w epinephrine |
32 |
30 |
$7.66 |
| C1758 |
Catheter, ureteral |
84 |
57 |
$7.15 |
| Q0222 |
Bebtelovimab 175 mg |
32 |
26 |
$6.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
19 |
14 |
$4.78 |
| Q0220 |
Tixagev and cilgav, 300mg |
52 |
31 |
$4.00 |
| Q0221 |
Tixagev and cilgav, 600mg |
16 |
14 |
$2.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
38 |
33 |
$2.00 |
| J0461 |
Atropine sulfate injection |
27 |
12 |
$1.63 |
| 90723 |
|
316 |
297 |
$0.00 |
| 90696 |
|
30 |
29 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
13 |
13 |
$0.00 |
| 87116 |
|
15 |
13 |
$0.00 |
| 90697 |
|
21 |
21 |
$0.00 |
| 90707 |
|
184 |
176 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 91300 |
|
238 |
191 |
$0.00 |
| 86618 |
|
13 |
13 |
$0.00 |
| 90700 |
|
47 |
46 |
$0.00 |