| Code | Description | Claims | Beneficiaries | Total Paid |
| G0463 |
Hospital outpt clinic visit |
210,468 |
157,280 |
$12.25M |
| 99285 |
|
10,911 |
9,667 |
$2.96M |
| 99214 |
|
65,270 |
61,142 |
$2.49M |
| 99284 |
|
13,300 |
12,103 |
$1.87M |
| 99213 |
|
65,971 |
62,621 |
$1.79M |
| 99283 |
|
11,588 |
10,540 |
$1.39M |
| A0425 |
Ground mileage |
4,467 |
3,638 |
$1.33M |
| U0004 |
Cov-19 test non-cdc hgh thru |
12,800 |
11,220 |
$705K |
| 96374 |
|
7,835 |
6,818 |
$700K |
| J0178 |
Aflibercept injection |
1,692 |
1,544 |
$634K |
| 74177 |
|
7,758 |
7,212 |
$629K |
| 97530 |
|
14,326 |
4,993 |
$499K |
| 93306 |
|
5,489 |
5,351 |
$438K |
| 92507 |
|
11,990 |
4,242 |
$428K |
| 90471 |
|
12,336 |
11,924 |
$407K |
| 87636 |
|
6,532 |
5,918 |
$396K |
| 97140 |
|
14,312 |
3,999 |
$344K |
| 67028 |
|
6,654 |
6,053 |
$326K |
| 96413 |
|
3,195 |
1,791 |
$316K |
| 20610 |
|
4,153 |
3,751 |
$310K |
| 96365 |
|
4,799 |
2,986 |
$301K |
| 99282 |
|
4,391 |
4,138 |
$272K |
| 70450 |
|
6,269 |
5,707 |
$258K |
| 97110 |
|
12,868 |
3,718 |
$256K |
| 92014 |
|
8,547 |
8,117 |
$254K |
| 78452 |
|
818 |
770 |
$217K |
| 71046 |
|
11,218 |
10,478 |
$213K |
| 96375 |
|
7,545 |
5,570 |
$204K |
| 90833 |
|
17,096 |
16,081 |
$198K |
| 90792 |
|
2,834 |
2,762 |
$198K |
| 95810 |
|
1,344 |
1,306 |
$183K |
| 71045 |
|
12,400 |
10,310 |
$182K |
| 99392 |
|
3,034 |
2,987 |
$173K |
| A0428 |
Bls |
1,209 |
1,080 |
$171K |
| 97533 |
|
4,069 |
1,902 |
$166K |
| 77067 |
|
6,364 |
6,272 |
$160K |
| 99391 |
|
2,827 |
2,537 |
$155K |
| 43239 |
|
608 |
581 |
$152K |
| U0005 |
Infec agen detec ampli probe |
9,995 |
8,627 |
$141K |
| 74176 |
|
2,425 |
2,210 |
$137K |
| 71260 |
|
1,956 |
1,861 |
$127K |
| J0897 |
Denosumab injection |
136 |
101 |
$111K |
| A0429 |
Bls-emergency |
970 |
763 |
$108K |
| 99203 |
|
2,914 |
2,855 |
$104K |
| A0434 |
Specialty care transport |
292 |
274 |
$99K |
| 96372 |
|
9,199 |
7,020 |
$98K |
| 99393 |
|
1,643 |
1,619 |
$95K |
| 99215 |
Prolong outpt/office vis |
1,635 |
1,488 |
$89K |
| A0427 |
Als1-emergency |
882 |
761 |
$87K |
| 92557 |
|
3,979 |
3,814 |
$82K |
| 77063 |
|
6,286 |
6,212 |
$78K |
| 96361 |
|
2,013 |
1,667 |
$74K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,154 |
1,077 |
$72K |
| G0451 |
Devlopment test interpt&rep |
1,195 |
1,176 |
$70K |
| C9803 |
Hopd covid-19 spec collect |
8,719 |
7,670 |
$69K |
| 90834 |
|
1,460 |
987 |
$69K |
| G0008 |
Admin influenza virus vac |
4,034 |
3,925 |
$67K |
| 80061 |
|
9,514 |
9,254 |
$66K |
| 87811 |
|
2,556 |
2,433 |
$66K |
| 76705 |
|
1,764 |
1,697 |
$63K |
| 94060 |
|
959 |
900 |
$61K |
| 78815 |
|
136 |
131 |
$60K |
| 93010 |
|
16,737 |
13,824 |
$59K |
| 71275 |
|
929 |
871 |
$55K |
| 80053 |
|
37,720 |
30,825 |
$54K |
| 84443 |
|
12,014 |
11,220 |
$52K |
| 97161 |
|
1,818 |
1,671 |
$52K |
| 70553 |
|
396 |
379 |
$51K |
| 86900 |
|
1,787 |
1,587 |
$50K |
| 72148 |
|
703 |
683 |
$48K |
| 99232 |
|
2,358 |
982 |
$45K |
| Q3014 |
Telehealth facility fee |
3,445 |
3,151 |
$42K |
| 85025 |
|
42,466 |
33,725 |
$41K |
| 99394 |
|
630 |
623 |
$40K |
| 92134 |
|
12,456 |
11,548 |
$40K |
| 76830 |
|
581 |
556 |
$40K |
| 0001A |
|
2,283 |
2,220 |
$39K |
| 92004 |
|
558 |
549 |
$39K |
| 0002A |
|
2,082 |
2,026 |
$39K |
| 96360 |
|
357 |
320 |
$38K |
| 99281 |
|
780 |
756 |
$36K |
| 97165 |
|
984 |
935 |
$34K |
| 90836 |
|
1,880 |
1,756 |
$33K |
| 82306 |
|
3,285 |
3,181 |
$32K |
| 95811 |
|
458 |
428 |
$31K |
| 92523 |
|
344 |
333 |
$30K |
| 87491 |
|
3,324 |
3,192 |
$30K |
| 99204 |
|
659 |
628 |
$29K |
| 98926 |
|
2,000 |
1,514 |
$29K |
| 76817 |
|
434 |
351 |
$28K |
| 11721 |
|
4,689 |
4,551 |
$28K |
| 98927 |
|
2,026 |
1,784 |
$28K |
| 87591 |
|
2,995 |
2,866 |
$27K |
| 71250 |
|
1,028 |
987 |
$27K |
| 94726 |
|
1,441 |
1,354 |
$27K |
| 71271 |
|
833 |
820 |
$26K |
| 78451 |
|
64 |
63 |
$26K |
| 73721 |
|
325 |
304 |
$26K |
| 96366 |
|
1,361 |
725 |
$25K |
| 93017 |
|
1,036 |
977 |
$23K |
| 99233 |
Prolong inpt eval add15 m |
1,046 |
453 |
$23K |
| J1439 |
Inj ferric carboxymaltos 1mg |
98 |
53 |
$23K |
| 90686 |
|
3,649 |
3,557 |
$23K |
| 17110 |
|
698 |
623 |
$22K |
| 99395 |
|
293 |
286 |
$21K |
| 96161 |
|
939 |
755 |
$21K |
| 36415 |
|
34,256 |
29,128 |
$20K |
| 92012 |
|
474 |
430 |
$20K |
| 90473 |
|
681 |
670 |
$19K |
| 95004 |
|
52 |
44 |
$18K |
| 11057 |
|
480 |
474 |
$18K |
| 99223 |
Prolong inpt eval add15 m |
335 |
315 |
$17K |
| U0002 |
Covid-19 lab test non-cdc |
635 |
601 |
$17K |
| 95165 |
|
799 |
724 |
$17K |
| 83036 |
|
11,283 |
10,859 |
$17K |
| 73630 |
|
4,420 |
3,978 |
$17K |
| 99396 |
|
238 |
224 |
$16K |
| 74018 |
|
2,282 |
1,956 |
$16K |
| 99308 |
|
1,048 |
769 |
$15K |
| 73030 |
|
3,593 |
3,169 |
$15K |
| 62323 |
|
66 |
64 |
$15K |
| 95806 |
|
377 |
370 |
$14K |
| 99212 |
|
1,085 |
998 |
$14K |
| 72125 |
|
941 |
873 |
$13K |
| 82607 |
|
3,869 |
3,721 |
$13K |
| 31575 |
|
205 |
195 |
$13K |
| 76815 |
|
187 |
179 |
$12K |
| 99239 |
|
501 |
458 |
$12K |
| 92567 |
|
4,516 |
4,339 |
$12K |
| 73502 |
|
2,660 |
2,442 |
$12K |
| M0245 |
Bamlan and etesev infusion |
56 |
54 |
$12K |
| 80048 |
|
10,270 |
8,616 |
$12K |
| 73562 |
|
3,227 |
2,977 |
$11K |
| 82728 |
|
4,096 |
3,884 |
$11K |
| 93005 |
|
15,186 |
13,197 |
$11K |
| 70551 |
|
199 |
190 |
$11K |
| 90677 |
|
669 |
643 |
$10K |
| 96415 |
|
336 |
213 |
$10K |
| 73610 |
|
2,478 |
2,233 |
$10K |
| 72100 |
|
725 |
685 |
$10K |
| 99443 |
|
319 |
299 |
$10K |
| 95117 |
|
2,764 |
1,030 |
$10K |
| C8929 |
Tte w or wo fol wcon,doppler |
40 |
39 |
$10K |
| 92588 |
|
97 |
87 |
$10K |
| 96127 |
|
1,089 |
1,062 |
$10K |
| 64493 |
|
18 |
15 |
$10K |
| 84702 |
|
1,114 |
877 |
$9K |
| 80307 |
|
880 |
858 |
$9K |
| D1206 |
|
876 |
865 |
$9K |
| 73130 |
|
1,736 |
1,490 |
$9K |
| 82962 |
|
22,775 |
4,894 |
$9K |
| 45380 |
|
28 |
25 |
$9K |
| 97112 |
|
458 |
186 |
$9K |
| 73110 |
|
2,104 |
1,747 |
$8K |
| 93247 |
|
184 |
178 |
$8K |
| 87661 |
|
1,691 |
1,634 |
$8K |
| 99490 |
Ccm add 20min |
417 |
411 |
$8K |
| 93971 |
|
260 |
243 |
$8K |
| 95024 |
|
281 |
135 |
$7K |
| 84439 |
|
2,519 |
2,366 |
$7K |
| 99188 |
|
284 |
282 |
$7K |
| 90480 |
|
526 |
513 |
$7K |
| 31231 |
|
83 |
77 |
$7K |
| 93225 |
|
303 |
292 |
$6K |
| 0004A |
|
429 |
413 |
$6K |
| 83550 |
|
3,620 |
3,422 |
$6K |
| 72141 |
|
64 |
57 |
$6K |
| 52000 |
|
43 |
37 |
$6K |
| 90651 |
|
1,006 |
979 |
$6K |
| 83735 |
|
7,482 |
5,982 |
$6K |
| 0071A |
|
266 |
155 |
$6K |
| 87086 |
|
7,532 |
6,883 |
$6K |
| 77080 |
|
445 |
439 |
$5K |
| 73221 |
|
55 |
54 |
$5K |
| 85027 |
|
3,715 |
3,507 |
$5K |
| 91322 |
|
130 |
130 |
$5K |
| M0243 |
Casirivi and imdevi inj |
26 |
25 |
$5K |
| 82746 |
|
1,774 |
1,688 |
$5K |
| 97162 |
|
202 |
193 |
$5K |
| 90732 |
|
112 |
108 |
$5K |
| 83540 |
|
3,853 |
3,627 |
$5K |
| C9257 |
Bevacizumab injection |
1,858 |
1,698 |
$5K |
| 97116 |
|
420 |
163 |
$5K |
| 88142 |
|
631 |
607 |
$5K |
| 99307 |
|
561 |
408 |
$5K |
| 0072A |
|
227 |
120 |
$4K |
| G0127 |
Trim nail(s) |
660 |
648 |
$4K |
| 69210 |
|
774 |
731 |
$4K |
| 96110 |
|
546 |
534 |
$4K |
| 85610 |
|
6,735 |
3,860 |
$4K |
| 86140 |
|
4,520 |
4,080 |
$4K |
| G0108 |
Diab manage trn per indiv |
194 |
179 |
$4K |
| 20611 |
|
38 |
37 |
$4K |
| 99309 |
|
244 |
188 |
$4K |
| 76536 |
|
79 |
78 |
$3K |
| 11056 |
|
1,053 |
1,020 |
$3K |
| 86803 |
|
1,032 |
999 |
$3K |
| 73564 |
|
350 |
318 |
$3K |
| 84153 |
|
1,020 |
946 |
$3K |
| G0260 |
Inj for sacroiliac jt anesth |
14 |
13 |
$3K |
| 77336 |
|
102 |
39 |
$3K |
| 87390 |
|
646 |
620 |
$3K |
| 70486 |
|
68 |
67 |
$3K |
| 99406 |
|
229 |
219 |
$3K |
| 99231 |
|
211 |
80 |
$3K |
| 90656 |
|
361 |
360 |
$3K |
| 90670 |
|
1,776 |
1,757 |
$3K |
| 87081 |
|
2,224 |
2,146 |
$3K |
| 83880 |
|
2,002 |
1,764 |
$3K |
| 86038 |
|
807 |
775 |
$3K |
| 11720 |
|
1,733 |
1,692 |
$3K |
| 90838 |
|
271 |
265 |
$3K |
| G0480 |
Drug test def 1-7 classes |
1,084 |
972 |
$2K |
| 88305 |
|
3,087 |
2,914 |
$2K |
| 0124A |
|
290 |
281 |
$2K |
| G0433 |
Elisa hiv-1/hiv-2 screen |
277 |
273 |
$2K |
| 64483 |
|
13 |
13 |
$2K |
| 97035 |
|
410 |
131 |
$2K |
| 83655 |
|
1,099 |
1,082 |
$2K |
| 91320 |
|
233 |
223 |
$2K |
| 0054A |
|
143 |
142 |
$2K |
| 99205 |
Prolong outpt/office vis |
44 |
44 |
$2K |
| G0009 |
Admin pneumococcal vaccine |
346 |
338 |
$2K |
| 85652 |
|
4,580 |
4,172 |
$2K |
| 92083 |
|
979 |
935 |
$2K |
| 11102 |
|
40 |
38 |
$2K |
| 98928 |
|
150 |
133 |
$2K |
| 81025 |
|
3,997 |
3,732 |
$2K |
| 87077 |
|
4,831 |
4,364 |
$2K |
| 99222 |
|
43 |
38 |
$2K |
| 77427 |
|
63 |
25 |
$2K |
| 90620 |
|
333 |
323 |
$2K |
| 93880 |
|
58 |
56 |
$2K |
| 94729 |
|
1,414 |
1,335 |
$2K |
| 94010 |
|
104 |
93 |
$2K |
| 87340 |
|
965 |
939 |
$2K |
| 80305 |
|
3,901 |
3,459 |
$2K |
| 97597 |
|
41 |
26 |
$2K |
| 86702 |
|
651 |
624 |
$2K |
| 93016 |
|
213 |
206 |
$2K |
| A0426 |
Als 1 |
16 |
15 |
$2K |
| 86592 |
|
500 |
475 |
$2K |
| 87186 |
|
3,106 |
2,896 |
$2K |
| 92015 |
|
2,371 |
2,216 |
$2K |
| 87070 |
|
5,158 |
4,930 |
$2K |
| 93018 |
|
261 |
253 |
$2K |
| 82043 |
|
2,358 |
2,277 |
$2K |
| 87624 |
|
152 |
150 |
$1K |
| 73560 |
|
345 |
305 |
$1K |
| G0297 |
Ldct for lung ca screen |
106 |
105 |
$1K |
| 86701 |
|
651 |
624 |
$1K |
| 76642 |
|
25 |
25 |
$1K |
| 58300 |
|
26 |
24 |
$1K |
| 93243 |
|
24 |
24 |
$1K |
| 97163 |
|
40 |
39 |
$1K |
| 87205 |
|
3,183 |
2,984 |
$1K |
| 84703 |
|
2,095 |
1,823 |
$1K |
| 99220 |
|
27 |
26 |
$1K |
| 82784 |
|
538 |
412 |
$1K |
| 90662 |
|
1,105 |
1,067 |
$1K |
| 93227 |
|
108 |
106 |
$1K |
| 72110 |
|
157 |
153 |
$1K |
| 90682 |
|
44 |
44 |
$1K |
| 80076 |
|
465 |
439 |
$1K |
| 94640 |
|
1,837 |
1,274 |
$1K |
| 86706 |
|
249 |
246 |
$1K |
| 99496 |
|
27 |
26 |
$1K |
| 81001 |
|
6,153 |
5,340 |
$977.56 |
| 82533 |
|
176 |
133 |
$955.37 |
| 83970 |
|
125 |
120 |
$885.50 |
| 76805 |
|
13 |
13 |
$882.64 |
| 93248 |
|
123 |
118 |
$880.39 |
| 83690 |
|
4,778 |
4,168 |
$879.92 |
| 83615 |
|
1,245 |
920 |
$869.55 |
| 84403 |
|
69 |
65 |
$851.13 |
| 81003 |
|
7,497 |
6,916 |
$844.71 |
| 82105 |
|
82 |
78 |
$820.96 |
| 82570 |
|
890 |
852 |
$810.93 |
| 87880 |
|
4,703 |
4,516 |
$784.53 |
| 87804 |
|
4,206 |
4,026 |
$763.68 |
| 82565 |
|
680 |
554 |
$697.56 |
| 96376 |
|
2,969 |
1,891 |
$675.47 |
| 99442 |
|
57 |
50 |
$656.75 |
| 86850 |
|
1,721 |
1,523 |
$643.57 |
| 90715 |
|
2,856 |
2,704 |
$640.44 |
| 97018 |
|
323 |
87 |
$630.29 |
| J2405 |
Ondansetron hcl injection |
7,697 |
6,388 |
$604.98 |
| 84100 |
|
769 |
637 |
$602.69 |
| J2270 |
Morphine sulfate injection |
1,703 |
1,385 |
$599.82 |
| 11719 |
|
1,017 |
988 |
$590.94 |
| 69209 |
|
195 |
187 |
$538.44 |
| 85730 |
|
815 |
731 |
$538.01 |
| 97166 |
|
13 |
12 |
$528.18 |
| 72050 |
|
12 |
12 |
$524.07 |
| 0064A |
|
42 |
42 |
$513.25 |
| 0083A |
|
27 |
14 |
$511.98 |
| 87040 |
|
1,499 |
1,254 |
$505.16 |
| 82948 |
|
3,584 |
745 |
$498.01 |
| 85018 |
|
812 |
717 |
$480.35 |
| 84550 |
|
536 |
455 |
$460.22 |
| 0081A |
|
18 |
13 |
$432.88 |
| 87807 |
|
2,393 |
2,225 |
$431.48 |
| 86430 |
|
322 |
310 |
$428.65 |
| 73140 |
|
111 |
83 |
$428.64 |
| 72131 |
|
27 |
25 |
$424.39 |
| 86003 |
|
13 |
13 |
$423.63 |
| 11765 |
|
15 |
15 |
$422.81 |
| 0031A |
|
17 |
17 |
$421.98 |
| 99238 |
|
12 |
12 |
$417.87 |
| 82677 |
|
29 |
26 |
$414.92 |
| 93246 |
|
191 |
190 |
$393.45 |
| 81002 |
|
1,427 |
1,323 |
$391.36 |
| 17000 |
|
171 |
158 |
$391.24 |
| 0012A |
|
47 |
46 |
$391.20 |
| 73080 |
|
73 |
60 |
$385.51 |
| 84484 |
|
6,839 |
5,516 |
$352.06 |
| 86762 |
|
173 |
170 |
$325.25 |
| 0003A |
|
80 |
79 |
$312.00 |
| J2704 |
Inj, propofol, 10 mg |
5,932 |
5,480 |
$308.47 |
| J3010 |
Fentanyl citrate injection |
5,448 |
4,817 |
$303.29 |
| 95886 |
|
38 |
38 |
$296.68 |
| 11055 |
|
54 |
53 |
$294.08 |
| 82550 |
|
503 |
442 |
$285.77 |
| 86336 |
|
29 |
26 |
$279.91 |
| 96417 |
|
18 |
12 |
$276.56 |
| J2250 |
Inj midazolam hydrochloride |
4,720 |
4,265 |
$256.30 |
| 0296T |
|
57 |
44 |
$250.04 |
| 92025 |
|
62 |
56 |
$249.52 |
| 86481 |
|
16 |
14 |
$244.20 |
| 76000 |
|
41 |
37 |
$232.11 |
| 84165 |
|
178 |
153 |
$231.07 |
| 93000 |
|
15 |
15 |
$230.50 |
| 96381 |
|
18 |
18 |
$225.76 |
| 76775 |
|
12 |
12 |
$220.84 |
| 74022 |
|
42 |
39 |
$214.26 |
| 82950 |
|
50 |
49 |
$213.75 |
| 99202 |
|
14 |
13 |
$213.03 |
| 87075 |
|
791 |
728 |
$199.78 |
| 90734 |
|
233 |
231 |
$194.98 |
| 92504 |
|
76 |
75 |
$188.03 |
| 83605 |
|
2,968 |
2,591 |
$185.89 |
| 82274 |
|
65 |
62 |
$183.25 |
| 85046 |
|
175 |
159 |
$173.77 |
| 83516 |
|
41 |
35 |
$173.67 |
| 92555 |
|
31 |
31 |
$169.45 |
| G0103 |
Psa screening |
67 |
64 |
$168.34 |
| 82803 |
|
1,074 |
863 |
$166.61 |
| 87493 |
|
26 |
25 |
$165.87 |
| 82077 |
|
2,114 |
1,668 |
$145.60 |
| 85379 |
|
1,055 |
982 |
$139.83 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
425 |
346 |
$137.85 |
| 92133 |
|
788 |
764 |
$132.95 |
| 95115 |
|
31 |
12 |
$126.61 |
| G0378 |
Hospital observation per hr |
2,281 |
1,797 |
$125.32 |
| 0298T |
|
26 |
25 |
$124.42 |
| 73590 |
|
29 |
25 |
$120.52 |
| 84156 |
|
88 |
78 |
$116.47 |
| G2211 |
Complex e/m visit add on |
96 |
92 |
$114.48 |
| 73660 |
|
26 |
24 |
$111.57 |
| 82140 |
|
63 |
49 |
$104.91 |
| 86141 |
|
33 |
30 |
$101.92 |
| 84480 |
|
13 |
12 |
$99.26 |
| 82947 |
|
45 |
42 |
$93.68 |
| 97535 |
|
15 |
12 |
$91.24 |
| 82150 |
|
262 |
247 |
$87.17 |
| 36591 |
|
17 |
14 |
$83.72 |
| 88304 |
|
154 |
149 |
$76.75 |
| 0011A |
|
29 |
29 |
$71.34 |
| J7613 |
Albuterol non-comp unit |
518 |
483 |
$71.17 |
| 82785 |
|
14 |
14 |
$66.03 |
| 86200 |
|
12 |
12 |
$64.75 |
| 85014 |
|
189 |
133 |
$63.86 |
| 93923 |
|
13 |
13 |
$58.77 |
| J1885 |
Ketorolac tromethamine inj |
5,623 |
4,786 |
$57.24 |
| J1170 |
Hydromorphone injection |
1,139 |
831 |
$55.98 |
| 86901 |
|
1,824 |
1,619 |
$52.13 |
| J0131 |
Inj, acetaminophen (nos) |
2,073 |
1,845 |
$48.57 |
| 84600 |
|
27 |
26 |
$47.29 |
| 87427 |
|
12 |
12 |
$45.84 |
| 93970 |
|
13 |
12 |
$43.47 |
| J0690 |
Cefazolin sodium injection |
2,341 |
1,990 |
$41.81 |
| 93280 |
|
14 |
12 |
$41.70 |
| 80143 |
|
1,598 |
1,196 |
$41.48 |
| 82378 |
|
17 |
12 |
$38.15 |
| 87046 |
|
12 |
12 |
$37.56 |
| 87045 |
|
12 |
12 |
$37.56 |
| J1030 |
Methylprednisolone 40 mg inj |
2,643 |
2,457 |
$37.23 |
| 86704 |
|
15 |
15 |
$36.96 |
| G2012 |
Brief check in by md/qhp |
26 |
25 |
$33.37 |
| 80178 |
|
33 |
26 |
$33.05 |
| 81015 |
|
57 |
55 |
$32.34 |
| J1100 |
Dexamethasone sodium phos |
4,769 |
3,980 |
$29.33 |
| 84460 |
|
16 |
13 |
$27.46 |
| J3301 |
Triamcinolone acet inj nos |
2,056 |
1,898 |
$25.95 |
| 84466 |
|
56 |
47 |
$25.52 |
| G0283 |
Elec stim other than wound |
50 |
12 |
$24.13 |
| 80179 |
|
1,682 |
1,177 |
$23.14 |
| 84450 |
|
12 |
12 |
$21.16 |
| 86308 |
|
60 |
54 |
$20.72 |
| J2272 |
Inj, morphine (fresenius) |
13 |
12 |
$17.48 |
| 84132 |
|
17 |
12 |
$14.07 |
| 84155 |
|
29 |
26 |
$12.77 |
| J7620 |
Albuterol ipratrop non-comp |
66 |
57 |
$12.66 |
| 84520 |
|
29 |
24 |
$11.59 |
| 86738 |
|
17 |
16 |
$10.67 |
| 82248 |
|
29 |
29 |
$10.26 |
| 92136 |
|
229 |
199 |
$5.24 |
| 17003 |
|
43 |
40 |
$4.29 |
| 99397 |
|
13 |
13 |
$3.96 |
| 90716 |
|
1,259 |
1,237 |
$0.06 |
| 90723 |
|
512 |
511 |
$0.04 |
| 90619 |
|
395 |
381 |
$0.03 |
| 90733 |
|
78 |
77 |
$0.02 |
| 90680 |
|
1,469 |
1,450 |
$0.01 |
| J0696 |
Ceftriaxone sodium injection |
1,165 |
687 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
374 |
349 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
2,677 |
1,501 |
$0.00 |
| J2060 |
Lorazepam injection |
816 |
615 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
115 |
106 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
479 |
462 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
26 |
25 |
$0.00 |
| 90696 |
|
380 |
375 |
$0.00 |
| A9500 |
Tc99m sestamibi |
743 |
696 |
$0.00 |
| 91305 |
|
280 |
264 |
$0.00 |
| 90697 |
|
705 |
686 |
$0.00 |
| 91307 |
|
151 |
103 |
$0.00 |
| J2785 |
Regadenoson injection |
401 |
370 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
40 |
31 |
$0.00 |
| G8988 |
Self care goal status |
13 |
12 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
369 |
319 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
264 |
228 |
$0.00 |
| 90474 |
|
49 |
49 |
$0.00 |
| 99439 |
|
225 |
179 |
$0.00 |
| 11900 |
|
26 |
24 |
$0.00 |
| J2469 |
Palonosetron hcl |
21 |
12 |
$0.00 |
| G8987 |
Self care current status |
13 |
12 |
$0.00 |
| 91317 |
|
12 |
12 |
$0.00 |
| J3420 |
Vitamin b12 injection |
233 |
167 |
$0.00 |
| A9270 |
Non-covered item or service |
486 |
428 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
21 |
17 |
$0.00 |
| 88342 |
|
24 |
24 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
30 |
26 |
$0.00 |
| 91301 |
|
354 |
126 |
$0.00 |
| 90381 |
|
37 |
37 |
$0.00 |
| C1769 |
Guide wire |
28 |
25 |
$0.00 |
| 90632 |
|
148 |
147 |
$0.00 |
| 91318 |
|
14 |
13 |
$0.00 |
| 51798 |
|
12 |
12 |
$0.00 |
| J1630 |
Haloperidol injection |
14 |
12 |
$0.00 |
| 81508 |
|
13 |
13 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
318 |
185 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
659 |
648 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
1,483 |
1,153 |
$0.00 |
| 87631 |
|
28 |
28 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
71 |
54 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
35 |
35 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
396 |
369 |
$0.00 |
| 90707 |
|
1,240 |
1,221 |
$0.00 |
| 90472 |
|
7,911 |
7,760 |
$0.00 |
| 77002 |
|
207 |
187 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
52 |
51 |
$0.00 |
| 93226 |
|
286 |
279 |
$0.00 |
| 90648 |
|
900 |
895 |
$0.00 |
| 90633 |
|
1,270 |
1,245 |
$0.00 |
| G8978 |
Mobility current status |
106 |
102 |
$0.00 |
| A9552 |
F18 fdg |
223 |
216 |
$0.00 |
| J2930 |
Methylprednisolone injection |
143 |
122 |
$0.00 |
| 93325 |
|
13 |
13 |
$0.00 |
| 90700 |
|
327 |
325 |
$0.00 |
| 91308 |
|
137 |
74 |
$0.00 |
| 91312 |
|
170 |
168 |
$0.00 |
| G8979 |
Mobility goal status |
108 |
104 |
$0.00 |
| 91300 |
|
3,084 |
2,253 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
235 |
198 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
189 |
131 |
$0.00 |
| U0001 |
2019-ncov diagnostic p |
21 |
21 |
$0.00 |
| J0780 |
Prochlorperazine injection |
17 |
13 |
$0.00 |
| Q0245 |
Bamlanivimab and etesevima |
35 |
35 |
$0.00 |
| 76937 |
|
29 |
26 |
$0.00 |
| 85380 |
|
12 |
12 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
12 |
12 |
$0.00 |
| 87220 |
|
15 |
15 |
$0.00 |
| 91321 |
|
36 |
36 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
44 |
24 |
$0.00 |