| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
133,430 |
123,531 |
$14.97M |
| 99284 |
|
93,782 |
83,215 |
$12.62M |
| 96361 |
|
33,720 |
23,780 |
$9.04M |
| 99213 |
|
119,565 |
76,579 |
$8.55M |
| U0003 |
Cov-19 amp prb hgh thruput |
30,897 |
29,139 |
$5.12M |
| 99285 |
|
29,128 |
25,131 |
$4.83M |
| 99214 |
|
46,587 |
31,556 |
$3.60M |
| 99392 |
|
42,368 |
26,516 |
$2.95M |
| 81514 |
|
17,802 |
15,165 |
$2.70M |
| 70450 |
|
10,628 |
9,126 |
$2.52M |
| 99391 |
|
36,942 |
22,595 |
$2.49M |
| G0378 |
Hospital observation per hr |
20,915 |
8,955 |
$2.46M |
| 99282 |
|
23,945 |
22,236 |
$2.29M |
| 74177 |
|
9,584 |
8,050 |
$2.13M |
| 97110 |
|
30,142 |
9,230 |
$2.13M |
| 96365 |
|
13,761 |
9,301 |
$1.94M |
| 96127 |
|
27,000 |
15,822 |
$1.92M |
| 99393 |
|
27,447 |
17,809 |
$1.90M |
| 92507 |
|
25,625 |
10,680 |
$1.84M |
| 76816 |
|
29,371 |
19,713 |
$1.77M |
| 93306 |
|
6,383 |
5,774 |
$1.66M |
| G0463 |
Hospital outpt clinic visit |
19,464 |
16,333 |
$1.62M |
| 96366 |
|
8,730 |
4,224 |
$1.49M |
| 59025 |
|
16,898 |
8,455 |
$1.48M |
| 87491 |
|
43,881 |
39,635 |
$1.33M |
| 99394 |
|
16,157 |
10,377 |
$1.15M |
| 0202U |
|
7,224 |
6,612 |
$1.15M |
| 93303 |
|
3,861 |
3,617 |
$1.14M |
| 0241U |
|
9,777 |
8,414 |
$1.11M |
| 97530 |
|
15,898 |
6,761 |
$1.10M |
| 96360 |
|
5,674 |
4,610 |
$1.07M |
| 80053 |
|
102,983 |
83,830 |
$1.06M |
| 92551 |
|
24,259 |
15,053 |
$1.02M |
| 76811 |
|
14,407 |
10,354 |
$998K |
| 69436 |
|
640 |
518 |
$872K |
| 94640 |
|
6,183 |
5,341 |
$858K |
| 43239 |
|
2,233 |
1,950 |
$848K |
| 99211 |
|
9,997 |
6,354 |
$838K |
| 87591 |
|
43,885 |
39,639 |
$794K |
| J0585 |
Injection,onabotulinumtoxina |
1,851 |
867 |
$753K |
| J1439 |
Inj ferric carboxymaltos 1mg |
1,094 |
611 |
$745K |
| 74176 |
|
2,982 |
2,570 |
$721K |
| 70553 |
|
2,586 |
2,287 |
$690K |
| 99212 |
|
8,495 |
6,392 |
$682K |
| U0005 |
Infec agen detec ampli probe |
25,168 |
23,717 |
$644K |
| 92552 |
|
11,287 |
7,047 |
$628K |
| 84443 |
|
40,270 |
36,379 |
$627K |
| 87651 |
|
14,805 |
13,594 |
$609K |
| 45380 |
|
1,258 |
1,069 |
$604K |
| 76817 |
|
17,049 |
11,624 |
$590K |
| 78452 |
|
1,231 |
973 |
$568K |
| 47562 |
|
250 |
193 |
$568K |
| 85025 |
|
177,156 |
143,956 |
$565K |
| 82306 |
|
22,376 |
20,489 |
$552K |
| 71275 |
|
2,172 |
1,791 |
$531K |
| 76815 |
|
13,647 |
7,295 |
$497K |
| 90837 |
|
6,410 |
3,013 |
$496K |
| 99215 |
Prolong outpt/office vis |
4,436 |
3,532 |
$457K |
| 80048 |
|
59,107 |
50,387 |
$454K |
| 58661 |
|
224 |
166 |
$444K |
| 80061 |
|
29,340 |
27,063 |
$436K |
| 42820 |
|
413 |
358 |
$418K |
| 93325 |
|
4,539 |
4,211 |
$400K |
| 93005 |
|
63,301 |
55,746 |
$400K |
| 36415 |
|
159,773 |
138,847 |
$399K |
| 94010 |
|
2,772 |
2,505 |
$386K |
| 96374 |
|
46,069 |
37,017 |
$370K |
| 76805 |
|
6,278 |
4,340 |
$369K |
| 99395 |
|
4,078 |
2,947 |
$356K |
| 95810 |
|
589 |
541 |
$352K |
| 45385 |
|
745 |
654 |
$352K |
| 93458 |
|
266 |
225 |
$347K |
| 76856 |
|
2,239 |
1,904 |
$347K |
| 71046 |
|
17,258 |
15,646 |
$346K |
| 97803 |
|
4,411 |
4,216 |
$344K |
| 84439 |
|
24,656 |
21,777 |
$335K |
| 66984 |
|
546 |
390 |
$332K |
| 88175 |
|
18,110 |
16,847 |
$328K |
| 82607 |
|
14,830 |
13,512 |
$325K |
| 87086 |
|
31,545 |
27,722 |
$323K |
| 45378 |
|
547 |
472 |
$315K |
| C9803 |
Hopd covid-19 spec collect |
7,875 |
7,450 |
$313K |
| J1050 |
Medroxyprogesterone acetate |
3,534 |
2,934 |
$300K |
| 97112 |
|
5,980 |
2,179 |
$298K |
| 96415 |
|
1,251 |
820 |
$288K |
| 78815 |
|
501 |
449 |
$287K |
| 96413 |
|
3,641 |
1,782 |
$273K |
| 76770 |
|
1,720 |
1,543 |
$266K |
| 87624 |
|
6,863 |
6,247 |
$264K |
| 76705 |
|
3,130 |
2,731 |
$260K |
| 80307 |
|
12,130 |
10,207 |
$251K |
| 86780 |
|
13,124 |
11,905 |
$243K |
| 83036 |
|
20,594 |
18,895 |
$235K |
| 86850 |
|
10,790 |
9,328 |
$227K |
| 71260 |
|
1,768 |
1,486 |
$225K |
| 87389 |
|
15,310 |
13,885 |
$216K |
| 70491 |
|
769 |
615 |
$207K |
| 97140 |
|
5,621 |
2,021 |
$201K |
| 82728 |
|
13,151 |
11,790 |
$201K |
| 85027 |
|
28,591 |
24,655 |
$193K |
| 70551 |
|
1,067 |
938 |
$190K |
| 70496 |
|
869 |
704 |
$190K |
| 87480 |
|
10,159 |
9,610 |
$182K |
| 76820 |
|
6,546 |
3,033 |
$178K |
| 52000 |
|
299 |
258 |
$173K |
| 95816 |
|
1,096 |
943 |
$173K |
| A0425 |
Ground mileage |
3,048 |
2,766 |
$170K |
| 93975 |
|
1,468 |
1,243 |
$169K |
| 99232 |
|
6,192 |
3,840 |
$164K |
| 96367 |
|
3,088 |
1,899 |
$161K |
| 72148 |
|
1,133 |
989 |
$161K |
| 87510 |
|
10,147 |
9,598 |
$154K |
| 93970 |
|
1,177 |
1,042 |
$153K |
| 86900 |
|
10,511 |
9,052 |
$150K |
| 11042 |
|
1,463 |
883 |
$149K |
| Q0138 |
Ferumoxytol, non-esrd |
677 |
432 |
$149K |
| 73721 |
|
729 |
645 |
$146K |
| 76642 |
|
1,412 |
1,200 |
$146K |
| 74018 |
|
4,278 |
3,796 |
$142K |
| 97802 |
|
1,741 |
1,650 |
$141K |
| 97113 |
|
2,018 |
588 |
$141K |
| 83540 |
|
15,879 |
14,341 |
$141K |
| A0428 |
Bls |
1,471 |
1,365 |
$140K |
| 43235 |
|
357 |
294 |
$140K |
| 87660 |
|
10,951 |
10,371 |
$136K |
| 87150 |
|
4,373 |
3,972 |
$135K |
| 71045 |
|
24,381 |
21,451 |
$132K |
| 83970 |
|
4,617 |
4,182 |
$132K |
| 93017 |
|
1,631 |
1,330 |
$129K |
| 64615 |
|
563 |
459 |
$128K |
| 97162 |
|
3,031 |
2,582 |
$126K |
| 97010 |
|
3,401 |
1,160 |
$125K |
| 83655 |
|
7,093 |
6,582 |
$124K |
| J9271 |
Inj pembrolizumab |
22 |
15 |
$124K |
| 77063 |
|
2,971 |
2,711 |
$124K |
| 76801 |
|
3,645 |
2,704 |
$123K |
| 97161 |
|
2,381 |
2,157 |
$120K |
| 72141 |
|
777 |
668 |
$118K |
| 64483 |
|
256 |
234 |
$118K |
| 90460 |
|
42,368 |
37,988 |
$116K |
| J1756 |
Iron sucrose injection |
3,707 |
1,157 |
$115K |
| 12001 |
|
742 |
660 |
$114K |
| 94060 |
|
1,025 |
915 |
$112K |
| 75574 |
|
474 |
410 |
$110K |
| A0426 |
Als 1 |
1,087 |
1,021 |
$108K |
| 99291 |
|
505 |
388 |
$108K |
| 76536 |
|
1,030 |
945 |
$105K |
| 80076 |
|
9,400 |
7,911 |
$104K |
| 84484 |
|
34,640 |
28,617 |
$102K |
| 83550 |
|
13,119 |
11,768 |
$102K |
| 99381 |
|
2,680 |
2,456 |
$101K |
| 58571 |
|
32 |
27 |
$97K |
| J7307 |
Etonogestrel implant system |
81 |
49 |
$94K |
| 41899 |
|
105 |
96 |
$93K |
| 74183 |
|
491 |
422 |
$93K |
| 84702 |
|
6,068 |
4,317 |
$92K |
| 76830 |
|
2,511 |
2,125 |
$91K |
| 99396 |
|
956 |
738 |
$91K |
| P9016 |
Rbc leukocytes reduced |
432 |
294 |
$90K |
| 87507 |
|
951 |
833 |
$90K |
| 96375 |
|
31,824 |
22,145 |
$89K |
| 12011 |
|
584 |
537 |
$88K |
| 99177 |
|
10,409 |
9,699 |
$87K |
| 93010 |
|
17,641 |
15,253 |
$87K |
| 92567 |
|
2,809 |
2,312 |
$85K |
| 86140 |
|
9,472 |
8,327 |
$85K |
| 90686 |
|
12,668 |
11,377 |
$84K |
| 76819 |
|
1,338 |
603 |
$83K |
| 73562 |
|
4,250 |
3,381 |
$83K |
| 71250 |
|
987 |
886 |
$83K |
| 82570 |
|
10,052 |
8,755 |
$82K |
| 97166 |
|
1,476 |
1,216 |
$80K |
| 99231 |
|
5,022 |
3,386 |
$80K |
| 86803 |
|
5,883 |
5,237 |
$79K |
| 86762 |
|
4,999 |
4,539 |
$77K |
| 76825 |
|
1,121 |
791 |
$77K |
| 83735 |
|
26,261 |
17,265 |
$77K |
| 88305 |
|
6,877 |
6,005 |
$76K |
| 74240 |
|
521 |
482 |
$75K |
| 87502 |
|
2,947 |
2,678 |
$75K |
| 96372 |
|
28,044 |
21,198 |
$73K |
| 87340 |
|
6,066 |
5,430 |
$72K |
| 10060 |
|
465 |
410 |
$72K |
| 72100 |
|
2,621 |
2,334 |
$72K |
| 82746 |
|
6,906 |
6,249 |
$69K |
| 36430 |
|
609 |
404 |
$69K |
| 74174 |
|
598 |
478 |
$67K |
| 80074 |
|
3,329 |
2,894 |
$67K |
| 93971 |
|
812 |
706 |
$66K |
| 97535 |
|
2,500 |
1,297 |
$66K |
| 70486 |
|
1,218 |
1,025 |
$65K |
| 94726 |
|
1,470 |
1,283 |
$64K |
| 71271 |
|
466 |
414 |
$64K |
| 77336 |
|
600 |
249 |
$63K |
| 95819 |
|
358 |
345 |
$62K |
| 77300 |
|
124 |
102 |
$62K |
| 73610 |
|
3,086 |
2,583 |
$60K |
| 59430 |
|
586 |
476 |
$60K |
| 92588 |
|
531 |
447 |
$60K |
| 94619 |
|
510 |
438 |
$60K |
| 72110 |
|
1,046 |
964 |
$59K |
| 92557 |
|
781 |
703 |
$59K |
| 87077 |
|
8,617 |
7,623 |
$58K |
| 77334 |
|
230 |
148 |
$58K |
| 86787 |
|
3,536 |
3,210 |
$58K |
| 90670 |
|
9,416 |
8,462 |
$58K |
| 73030 |
|
2,881 |
2,436 |
$58K |
| 73221 |
|
310 |
269 |
$57K |
| 87081 |
|
4,313 |
3,915 |
$56K |
| 72040 |
|
1,417 |
1,251 |
$56K |
| 86901 |
|
10,458 |
9,003 |
$56K |
| 81001 |
|
14,354 |
12,657 |
$55K |
| 84481 |
|
3,863 |
3,538 |
$54K |
| D7140 |
|
88 |
83 |
$54K |
| 77290 |
|
94 |
72 |
$53K |
| 99188 |
|
2,719 |
2,384 |
$52K |
| 95811 |
|
105 |
85 |
$51K |
| 72125 |
|
3,403 |
2,829 |
$50K |
| 70498 |
|
975 |
786 |
$50K |
| 73630 |
|
3,228 |
2,714 |
$49K |
| 88307 |
|
650 |
507 |
$49K |
| 93225 |
|
551 |
503 |
$49K |
| 93880 |
|
652 |
578 |
$49K |
| J1745 |
Infliximab not biosimil 10mg |
14 |
12 |
$48K |
| 86038 |
|
2,447 |
2,205 |
$48K |
| 72197 |
|
199 |
173 |
$48K |
| 90710 |
|
7,750 |
6,997 |
$47K |
| 76818 |
|
701 |
397 |
$47K |
| 94762 |
|
834 |
724 |
$46K |
| 90651 |
|
6,182 |
5,407 |
$46K |
| 77067 |
|
3,082 |
2,815 |
$46K |
| 81220 |
|
317 |
289 |
$46K |
| 73502 |
|
1,884 |
1,654 |
$45K |
| 86003 |
|
1,722 |
1,526 |
$45K |
| 92523 |
|
788 |
694 |
$45K |
| 87186 |
|
6,352 |
5,619 |
$44K |
| U0002 |
Covid-19 lab test non-cdc |
4,953 |
4,528 |
$44K |
| 99238 |
|
1,468 |
1,392 |
$44K |
| 93923 |
|
627 |
564 |
$44K |
| 99460 |
|
585 |
574 |
$43K |
| 93308 |
|
167 |
147 |
$43K |
| 83525 |
|
2,000 |
1,848 |
$42K |
| 88348 |
|
419 |
371 |
$42K |
| 87661 |
|
2,207 |
1,991 |
$41K |
| 73700 |
|
385 |
314 |
$40K |
| 82950 |
|
4,191 |
3,815 |
$40K |
| 90715 |
|
4,319 |
3,666 |
$39K |
| 92526 |
|
654 |
288 |
$39K |
| 86480 |
|
991 |
901 |
$39K |
| 78800 |
|
51 |
51 |
$39K |
| 12002 |
|
277 |
254 |
$39K |
| 76813 |
|
833 |
437 |
$39K |
| 95700 |
|
306 |
262 |
$38K |
| 74230 |
|
373 |
333 |
$38K |
| 86592 |
|
1,069 |
927 |
$38K |
| 97116 |
|
1,748 |
925 |
$38K |
| U0004 |
Cov-19 test non-cdc hgh thru |
193 |
190 |
$38K |
| 81003 |
|
63,635 |
57,224 |
$37K |
| 86800 |
|
1,382 |
1,253 |
$37K |
| 82670 |
|
1,539 |
1,379 |
$36K |
| 36591 |
|
3,411 |
1,449 |
$36K |
| 94772 |
|
246 |
203 |
$36K |
| 85610 |
|
21,839 |
15,173 |
$36K |
| D2930 |
|
50 |
45 |
$35K |
| 82043 |
|
5,385 |
4,993 |
$35K |
| 73130 |
|
2,701 |
2,169 |
$35K |
| 90999 |
|
197 |
66 |
$35K |
| 72050 |
|
594 |
524 |
$34K |
| 84403 |
|
2,101 |
1,905 |
$34K |
| 52356 |
|
19 |
14 |
$33K |
| 73564 |
|
692 |
507 |
$32K |
| 85652 |
|
7,719 |
6,893 |
$32K |
| 72120 |
|
556 |
501 |
$32K |
| 73110 |
|
1,773 |
1,435 |
$32K |
| 84153 |
|
2,180 |
1,992 |
$32K |
| 82784 |
|
2,516 |
2,179 |
$32K |
| 99281 |
|
345 |
314 |
$31K |
| 76886 |
|
292 |
255 |
$31K |
| 87529 |
|
889 |
786 |
$31K |
| 86696 |
|
1,044 |
943 |
$30K |
| 77062 |
|
826 |
740 |
$30K |
| 87070 |
|
3,773 |
3,334 |
$30K |
| 94729 |
|
476 |
428 |
$29K |
| 95806 |
|
72 |
69 |
$29K |
| 86364 |
|
1,304 |
1,183 |
$28K |
| 77080 |
|
524 |
479 |
$28K |
| 99078 |
|
1,007 |
585 |
$28K |
| 95885 |
|
106 |
103 |
$27K |
| 87522 |
Neg quan hep c or qual rna |
775 |
683 |
$27K |
| 84146 |
|
1,839 |
1,630 |
$26K |
| 72158 |
|
170 |
142 |
$26K |
| 72072 |
|
943 |
846 |
$25K |
| 72131 |
|
615 |
510 |
$25K |
| 86706 |
|
1,505 |
1,347 |
$25K |
| 88184 |
|
395 |
315 |
$25K |
| 82565 |
|
5,026 |
3,956 |
$25K |
| 83001 |
|
1,523 |
1,391 |
$25K |
| 77049 |
|
66 |
60 |
$25K |
| 82785 |
|
1,622 |
1,433 |
$24K |
| 20680 |
|
22 |
14 |
$24K |
| 82105 |
|
1,575 |
1,392 |
$24K |
| 92652 |
|
566 |
479 |
$24K |
| 86235 |
|
1,536 |
685 |
$24K |
| 19083 |
|
28 |
25 |
$24K |
| 82248 |
|
2,520 |
2,077 |
$24K |
| 97533 |
|
395 |
236 |
$23K |
| 81025 |
|
43,337 |
38,286 |
$23K |
| 86704 |
|
895 |
793 |
$23K |
| 97163 |
|
455 |
399 |
$23K |
| 0012A |
|
633 |
585 |
$22K |
| 72156 |
|
177 |
149 |
$22K |
| 86376 |
|
1,467 |
1,333 |
$22K |
| 73590 |
|
1,423 |
1,123 |
$22K |
| 97165 |
|
331 |
298 |
$22K |
| 87493 |
|
805 |
710 |
$22K |
| 93304 |
|
70 |
67 |
$21K |
| 76870 |
|
517 |
453 |
$21K |
| J7298 |
Mirena, 52 mg |
19 |
14 |
$21K |
| 87633 |
|
209 |
204 |
$20K |
| 76882 |
|
237 |
200 |
$20K |
| 86431 |
|
1,474 |
1,323 |
$20K |
| 86200 |
|
731 |
652 |
$19K |
| 78264 |
|
92 |
82 |
$19K |
| 87205 |
|
3,291 |
2,880 |
$19K |
| 58558 |
|
17 |
13 |
$19K |
| 96376 |
|
11,576 |
5,211 |
$19K |
| 77065 |
Tomosynthesis, mammo |
821 |
708 |
$19K |
| 96368 |
|
1,220 |
670 |
$18K |
| 82533 |
|
939 |
780 |
$18K |
| 84425 |
|
1,665 |
1,547 |
$18K |
| 83020 |
|
1,538 |
1,361 |
$18K |
| 88341 |
|
355 |
310 |
$18K |
| 84100 |
|
5,845 |
3,945 |
$18K |
| 99222 |
|
342 |
324 |
$18K |
| 95714 |
|
33 |
14 |
$17K |
| J3490 |
Drugs unclassified injection |
1,919 |
1,656 |
$17K |
| 82310 |
|
1,622 |
1,465 |
$17K |
| 92579 |
|
313 |
271 |
$17K |
| 73560 |
|
573 |
451 |
$17K |
| 82525 |
|
1,085 |
998 |
$17K |
| 92611 |
|
365 |
327 |
$16K |
| 99244 |
|
309 |
301 |
$16K |
| 84590 |
|
835 |
782 |
$16K |
| 95911 |
|
60 |
53 |
$16K |
| H1000 |
Prenatal care atrisk assessm |
663 |
507 |
$16K |
| 0011A |
|
741 |
646 |
$16K |
| 86870 |
|
499 |
394 |
$15K |
| 84156 |
|
4,468 |
3,600 |
$15K |
| 83002 |
|
1,087 |
983 |
$15K |
| 99243 |
|
515 |
465 |
$15K |
| 77061 |
|
379 |
337 |
$15K |
| 73552 |
|
800 |
680 |
$15K |
| 83690 |
|
19,720 |
16,398 |
$15K |
| 54150 |
|
291 |
282 |
$14K |
| 83880 |
|
3,964 |
3,261 |
$14K |
| 77072 |
|
197 |
181 |
$14K |
| 86695 |
|
1,004 |
903 |
$14K |
| 83021 |
|
1,041 |
962 |
$14K |
| 90677 |
|
1,731 |
1,620 |
$14K |
| 72081 |
|
245 |
229 |
$14K |
| 87631 |
|
214 |
212 |
$14K |
| 82951 |
|
681 |
612 |
$14K |
| 64643 |
|
25 |
13 |
$14K |
| 86147 |
|
435 |
373 |
$13K |
| 84550 |
|
3,452 |
2,818 |
$13K |
| 82627 |
|
512 |
464 |
$13K |
| 85014 |
|
4,904 |
3,760 |
$13K |
| 54161 |
|
25 |
18 |
$13K |
| 88185 |
|
385 |
311 |
$13K |
| 85246 |
|
645 |
564 |
$13K |
| 96110 |
|
2,723 |
2,525 |
$13K |
| 82550 |
|
2,377 |
1,825 |
$13K |
| 73080 |
|
1,099 |
936 |
$13K |
| 81596 |
|
120 |
104 |
$13K |
| 87635 |
|
461 |
450 |
$13K |
| 77066 |
Tomosynthesis, mammo |
965 |
860 |
$13K |
| 70544 |
|
71 |
65 |
$12K |
| S9445 |
Pt education noc individ |
419 |
379 |
$12K |
| 99383 |
|
220 |
169 |
$12K |
| 86225 |
|
451 |
396 |
$12K |
| 0002A |
|
334 |
329 |
$12K |
| 84402 |
|
768 |
694 |
$12K |
| 80323 |
|
516 |
471 |
$12K |
| 85730 |
|
7,472 |
6,254 |
$11K |
| 83993 |
|
726 |
653 |
$11K |
| 84630 |
|
1,023 |
950 |
$11K |
| 83615 |
|
2,943 |
2,324 |
$11K |
| 0001A |
|
370 |
347 |
$11K |
| 97012 |
|
435 |
145 |
$11K |
| 73090 |
|
954 |
797 |
$11K |
| 43248 |
|
42 |
37 |
$11K |
| 87798 |
|
739 |
681 |
$11K |
| 59812 |
|
13 |
12 |
$11K |
| 72146 |
|
133 |
113 |
$11K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,231 |
1,004 |
$10K |
| 99152 |
|
858 |
762 |
$10K |
| 86160 |
|
838 |
735 |
$10K |
| 90620 |
|
1,566 |
1,370 |
$10K |
| 85576 |
|
547 |
478 |
$10K |
| 83013 |
|
204 |
179 |
$10K |
| 82947 |
|
2,435 |
2,005 |
$10K |
| 88342 |
|
988 |
841 |
$9K |
| 84144 |
|
403 |
347 |
$9K |
| 87102 |
|
851 |
753 |
$9K |
| 73140 |
|
552 |
483 |
$9K |
| 85379 |
|
6,496 |
5,558 |
$9K |
| 77280 |
|
60 |
48 |
$9K |
| 77301 |
|
13 |
12 |
$9K |
| 11045 |
|
47 |
24 |
$9K |
| 72128 |
|
273 |
207 |
$9K |
| 85018 |
|
5,321 |
4,089 |
$9K |
| 83520 |
|
403 |
377 |
$9K |
| 86705 |
|
313 |
293 |
$9K |
| 58300 |
|
103 |
86 |
$8K |
| 85397 |
|
598 |
509 |
$8K |
| 59514 |
|
12 |
12 |
$8K |
| 86735 |
|
227 |
217 |
$8K |
| 70360 |
|
264 |
221 |
$8K |
| 95886 |
|
28 |
27 |
$7K |
| 90471 |
|
1,294 |
1,152 |
$7K |
| 82952 |
|
579 |
521 |
$7K |
| 71101 |
|
577 |
511 |
$7K |
| 0071A |
|
174 |
171 |
$7K |
| 99204 |
|
127 |
113 |
$7K |
| 82024 |
|
277 |
223 |
$7K |
| 96523 |
|
186 |
126 |
$7K |
| 99462 |
|
202 |
142 |
$7K |
| 99205 |
Prolong outpt/office vis |
97 |
96 |
$7K |
| 82150 |
|
3,539 |
3,000 |
$6K |
| 87880 |
|
7,654 |
7,030 |
$6K |
| 84132 |
|
3,253 |
2,105 |
$6K |
| 81229 |
|
26 |
25 |
$6K |
| 92587 |
|
56 |
54 |
$6K |
| 84270 |
|
477 |
424 |
$6K |
| 84165 |
|
771 |
660 |
$6K |
| 73000 |
|
166 |
134 |
$6K |
| 88142 |
|
336 |
303 |
$6K |
| 72170 |
|
975 |
857 |
$6K |
| 82247 |
|
2,088 |
1,673 |
$6K |
| 76857 |
|
68 |
58 |
$6K |
| 84460 |
|
2,636 |
2,323 |
$6K |
| 85045 |
|
2,490 |
1,778 |
$6K |
| 99173 |
|
2,892 |
2,799 |
$6K |
| 84681 |
|
393 |
365 |
$6K |
| 86334 |
|
467 |
385 |
$6K |
| 87206 |
|
844 |
751 |
$6K |
| 82977 |
|
2,261 |
1,878 |
$6K |
| 86304 |
|
362 |
261 |
$5K |
| 84305 |
|
229 |
213 |
$5K |
| 73521 |
|
96 |
90 |
$5K |
| 84445 |
|
143 |
135 |
$5K |
| 86146 |
|
373 |
320 |
$5K |
| 90461 |
|
23,779 |
21,516 |
$5K |
| 83521 |
|
459 |
385 |
$5K |
| 25605 |
|
13 |
13 |
$5K |
| 93312 |
|
30 |
26 |
$5K |
| 84410 |
|
134 |
118 |
$5K |
| 73060 |
|
465 |
386 |
$5K |
| 94664 |
|
3,382 |
2,829 |
$5K |
| 99202 |
|
283 |
255 |
$5K |
| J0561 |
Penicillin g benzathine inj |
32 |
17 |
$5K |
| 93320 |
|
3,892 |
3,637 |
$5K |
| 80197 |
|
369 |
192 |
$5K |
| 73523 |
|
115 |
108 |
$5K |
| 86765 |
|
260 |
244 |
$5K |
| 99153 |
Mod sedat endo service >5yrs |
642 |
568 |
$5K |
| 74019 |
|
1,009 |
912 |
$4K |
| J2997 |
Alteplase recombinant |
68 |
25 |
$4K |
| 83605 |
|
6,260 |
5,019 |
$4K |
| 87563 |
|
116 |
113 |
$4K |
| 74420 |
|
37 |
27 |
$4K |
| 92610 |
|
180 |
147 |
$4K |
| 88112 |
|
520 |
450 |
$4K |
| 82378 |
|
557 |
372 |
$4K |
| 80051 |
|
1,893 |
1,450 |
$4K |
| 84154 |
|
224 |
212 |
$4K |
| 0072A |
|
106 |
105 |
$4K |
| 88304 |
|
836 |
691 |
$4K |
| 83721 |
|
331 |
302 |
$4K |
| 80164 |
|
297 |
254 |
$4K |
| 84703 |
|
824 |
722 |
$4K |
| 86920 |
|
174 |
109 |
$4K |
| 82040 |
|
2,107 |
1,818 |
$4K |
| 85048 |
|
658 |
361 |
$4K |
| 99239 |
|
68 |
65 |
$3K |
| 84450 |
|
2,016 |
1,748 |
$3K |
| Q9957 |
Inj perflutren lip micros,ml |
551 |
457 |
$3K |
| 87040 |
|
2,432 |
1,991 |
$3K |
| 83516 |
|
206 |
185 |
$3K |
| 99203 |
|
109 |
106 |
$3K |
| 77338 |
|
14 |
13 |
$3K |
| G0480 |
Drug test def 1-7 classes |
333 |
297 |
$3K |
| 82330 |
|
689 |
417 |
$3K |
| 85049 |
|
1,380 |
812 |
$3K |
| 78227 |
|
16 |
13 |
$3K |
| 87210 |
|
1,423 |
1,303 |
$3K |
| 0124A |
|
80 |
64 |
$3K |
| 73100 |
|
145 |
107 |
$3K |
| 86665 |
|
174 |
161 |
$3K |
| 99221 |
|
82 |
78 |
$3K |
| 87426 |
|
1,116 |
1,085 |
$3K |
| 99384 |
|
44 |
24 |
$3K |
| 81015 |
|
522 |
468 |
$3K |
| 83498 |
|
160 |
150 |
$3K |
| 74022 |
|
317 |
274 |
$3K |
| 84145 |
|
1,363 |
1,094 |
$3K |
| 85240 |
|
639 |
556 |
$3K |
| 86036 |
|
211 |
187 |
$3K |
| M0243 |
Casirivi and imdevi inj |
12 |
12 |
$3K |
| 74178 |
|
15 |
15 |
$3K |
| 99382 |
|
51 |
38 |
$3K |
| 82077 |
|
3,525 |
2,898 |
$3K |
| 99458 |
|
124 |
53 |
$3K |
| 80354 |
|
313 |
290 |
$3K |
| 80177 |
|
421 |
357 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
61 |
24 |
$3K |
| J9045 |
Carboplatin injection |
136 |
54 |
$2K |
| D2391 |
|
13 |
13 |
$2K |
| 58100 |
|
12 |
12 |
$2K |
| 84520 |
|
2,149 |
1,709 |
$2K |
| 84134 |
|
217 |
179 |
$2K |
| 76826 |
|
50 |
38 |
$2K |
| 97750 |
|
61 |
53 |
$2K |
| 82103 |
|
154 |
137 |
$2K |
| 85613 |
|
317 |
268 |
$2K |
| 97167 |
|
54 |
51 |
$2K |
| 83921 |
|
231 |
203 |
$2K |
| 86255 |
|
166 |
151 |
$2K |
| 99242 |
|
124 |
100 |
$2K |
| C2629 |
Intro/sheath, laser |
413 |
357 |
$2K |
| 82140 |
|
497 |
393 |
$2K |
| 87641 |
|
100 |
97 |
$2K |
| 95251 |
|
100 |
97 |
$2K |
| 96417 |
|
825 |
409 |
$2K |
| A9270 |
Non-covered item or service |
1,032 |
687 |
$2K |
| 86308 |
|
334 |
288 |
$2K |
| 93702 |
|
12 |
12 |
$2K |
| 29515 |
|
252 |
232 |
$2K |
| 11043 |
|
28 |
25 |
$2K |
| 80047 |
|
3,477 |
2,919 |
$2K |
| 86039 |
|
201 |
192 |
$2K |
| J1453 |
Fosaprepitant injection |
137 |
80 |
$2K |
| 87486 |
|
209 |
204 |
$2K |
| 86341 |
|
76 |
68 |
$2K |
| 84207 |
|
168 |
150 |
$2K |
| 86355 |
|
47 |
38 |
$2K |
| 0154A |
|
41 |
30 |
$2K |
| 89051 |
|
592 |
453 |
$2K |
| C1769 |
Guide wire |
2,834 |
2,300 |
$2K |
| 86360 |
|
58 |
49 |
$2K |
| M0245 |
Bamlan and etesev infusion |
16 |
16 |
$2K |
| 99442 |
|
44 |
42 |
$1K |
| 99464 |
|
24 |
24 |
$1K |
| 64642 |
|
41 |
28 |
$1K |
| 86923 |
|
79 |
59 |
$1K |
| 97804 |
|
15 |
13 |
$1K |
| 73070 |
|
83 |
63 |
$1K |
| 80175 |
|
133 |
114 |
$1K |
| 85384 |
|
1,061 |
914 |
$1K |
| 98968 |
|
36 |
27 |
$1K |
| 87581 |
|
209 |
204 |
$1K |
| 82803 |
|
1,328 |
1,099 |
$1K |
| 86317 |
|
108 |
77 |
$1K |
| 87338 |
|
59 |
52 |
$1K |
| G0108 |
Diab manage trn per indiv |
14 |
14 |
$1K |
| J2405 |
Ondansetron hcl injection |
9,270 |
6,947 |
$1K |
| 0064A |
|
31 |
31 |
$1K |
| 85245 |
|
80 |
76 |
$1K |
| 99385 |
|
27 |
24 |
$1K |
| 99252 |
|
43 |
37 |
$1K |
| G0109 |
Diab manage trn ind/group |
27 |
25 |
$1K |
| 86015 |
|
58 |
54 |
$1K |
| 90656 |
|
112 |
111 |
$1K |
| 86359 |
|
47 |
38 |
$1K |
| 86357 |
|
47 |
38 |
$1K |
| 99245 |
|
12 |
12 |
$1K |
| 82010 |
|
994 |
765 |
$1K |
| 99457 |
|
74 |
55 |
$1K |
| 86880 |
|
53 |
37 |
$1K |
| 0031A |
|
39 |
39 |
$1K |
| 84432 |
|
58 |
54 |
$1K |
| J2704 |
Inj, propofol, 10 mg |
7,321 |
6,194 |
$1K |
| 77002 |
|
16 |
14 |
$1K |
| 29125 |
|
369 |
332 |
$1K |
| 84075 |
|
1,739 |
1,486 |
$1K |
| 97016 |
|
28 |
12 |
$970.13 |
| 95711 |
|
29 |
25 |
$943.15 |
| 76937 |
|
95 |
80 |
$931.64 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
19,977 |
16,470 |
$913.61 |
| 83874 |
|
612 |
502 |
$892.17 |
| A9579 |
Gad-base mr contrast nos,1ml |
5,143 |
4,568 |
$858.83 |
| C9290 |
Inj, bupivacaine liposome |
219 |
202 |
$849.60 |
| 87503 |
|
53 |
53 |
$825.16 |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
62 |
62 |
$802.73 |
| 80143 |
|
915 |
757 |
$785.00 |
| 99386 |
|
13 |
12 |
$733.18 |
| 87116 |
|
137 |
104 |
$705.26 |
| 99454 |
|
37 |
28 |
$696.01 |
| 88360 |
|
13 |
12 |
$676.59 |
| J1170 |
Hydromorphone injection |
1,259 |
704 |
$621.22 |
| 0054A |
|
14 |
13 |
$608.29 |
| 86231 |
|
17 |
12 |
$527.51 |
| J2785 |
Regadenoson injection |
887 |
686 |
$526.90 |
| J3475 |
Inj magnesium sulfate |
4,061 |
2,341 |
$509.58 |
| J7050 |
Normal saline solution infus |
5,741 |
2,783 |
$504.97 |
| 81050 |
|
88 |
78 |
$474.29 |
| 72157 |
|
13 |
13 |
$461.50 |
| J0736 |
Inj, clindamycin phosp 300mg |
380 |
274 |
$452.81 |
| 81002 |
|
2,766 |
2,510 |
$451.10 |
| 86008 |
|
20 |
17 |
$444.17 |
| 86301 |
|
30 |
24 |
$427.02 |
| 86708 |
|
33 |
32 |
$418.48 |
| 82088 |
|
20 |
13 |
$411.18 |
| 87634 |
|
512 |
454 |
$361.24 |
| 83835 |
|
20 |
16 |
$360.95 |
| J2930 |
Methylprednisolone injection |
1,081 |
694 |
$359.96 |
| J2272 |
Inj, morphine (fresenius) |
675 |
477 |
$354.22 |
| G0008 |
Admin influenza virus vac |
42 |
41 |
$353.65 |
| J0131 |
Inj, acetaminophen (nos) |
1,580 |
1,333 |
$347.78 |
| J0500 |
Dicyclomine injection |
188 |
166 |
$329.93 |
| 82397 |
|
15 |
15 |
$322.51 |
| 82955 |
|
16 |
12 |
$318.63 |
| 96380 |
|
23 |
23 |
$315.82 |
| J3420 |
Vitamin b12 injection |
670 |
388 |
$312.84 |
| J1644 |
Inj heparin sodium per 1000u |
1,481 |
794 |
$311.13 |
| 99251 |
|
14 |
12 |
$306.75 |
| 88300 |
|
474 |
391 |
$305.60 |
| J1885 |
Ketorolac tromethamine inj |
7,291 |
5,820 |
$303.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
689 |
474 |
$298.56 |
| 82164 |
|
26 |
26 |
$293.05 |
| 87106 |
|
12 |
12 |
$290.25 |
| A4648 |
Implantable tissue marker |
317 |
281 |
$284.23 |
| 84478 |
|
53 |
24 |
$278.40 |
| 80179 |
|
822 |
683 |
$275.14 |
| 82542 |
|
30 |
28 |
$272.12 |
| G0279 |
Tomosynthesis, mammo |
41 |
39 |
$267.86 |
| 87075 |
|
283 |
231 |
$258.35 |
| A0130 |
Noner transport wheelch van |
15 |
12 |
$256.20 |
| C1894 |
Intro/sheath, non-laser |
1,502 |
1,205 |
$255.90 |
| J0780 |
Prochlorperazine injection |
1,131 |
882 |
$252.84 |
| J3010 |
Fentanyl citrate injection |
7,824 |
5,411 |
$250.52 |
| J2360 |
Orphenadrine injection |
575 |
496 |
$250.36 |
| 80202 |
|
20 |
12 |
$224.43 |
| 51702 |
|
60 |
51 |
$218.65 |
| A9500 |
Tc99m sestamibi |
1,385 |
1,121 |
$215.22 |
| 84244 |
|
17 |
12 |
$214.11 |
| 36416 |
|
464 |
416 |
$210.51 |
| 82653 |
|
13 |
13 |
$209.41 |
| J1200 |
Diphenhydramine hcl injectio |
5,050 |
3,271 |
$208.17 |
| 84300 |
|
91 |
75 |
$205.59 |
| 82365 |
|
24 |
16 |
$202.67 |
| 83010 |
|
16 |
13 |
$202.09 |
| 51701 |
|
512 |
461 |
$200.19 |
| J1642 |
Inj heparin sodium per 10 u |
1,567 |
597 |
$194.91 |
| 87140 |
|
19 |
16 |
$194.33 |
| 82272 |
|
60 |
52 |
$192.27 |
| J1100 |
Dexamethasone sodium phos |
7,028 |
5,834 |
$189.38 |
| 96411 |
|
31 |
14 |
$188.25 |
| 82274 |
|
16 |
12 |
$178.06 |
| 84155 |
|
1,558 |
1,330 |
$171.99 |
| 85670 |
|
184 |
168 |
$167.94 |
| 80178 |
|
17 |
12 |
$167.22 |
| 87110 |
|
19 |
16 |
$156.69 |
| 80183 |
|
12 |
12 |
$151.71 |
| 84446 |
|
13 |
12 |
$143.03 |
| 86645 |
|
12 |
12 |
$140.59 |
| 73660 |
|
25 |
25 |
$132.39 |
| J0360 |
Hydralazine hcl injection |
384 |
310 |
$131.63 |
| 86381 |
|
14 |
14 |
$126.24 |
| J0690 |
Cefazolin sodium injection |
2,491 |
1,718 |
$125.89 |
| 82390 |
|
12 |
12 |
$107.61 |
| 85520 |
|
58 |
26 |
$102.67 |
| J0696 |
Ceftriaxone sodium injection |
1,790 |
1,292 |
$93.27 |
| 29105 |
|
15 |
14 |
$93.00 |
| J2920 |
Methylprednisolone injection |
59 |
29 |
$90.56 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
2,878 |
1,807 |
$80.07 |
| J3480 |
Inj potassium chloride |
1,380 |
695 |
$77.29 |
| J2060 |
Lorazepam injection |
549 |
421 |
$63.08 |
| 92227 |
|
15 |
12 |
$61.22 |
| 94760 |
|
1,828 |
1,541 |
$59.98 |
| J1940 |
Furosemide injection |
328 |
193 |
$58.70 |
| J7999 |
Compounded drug, noc |
1,177 |
1,059 |
$58.05 |
| J3370 |
Vancomycin hcl injection |
733 |
384 |
$57.19 |
| 69210 |
|
44 |
39 |
$52.95 |
| 82945 |
|
14 |
12 |
$49.37 |
| S0209 |
Wc van mileage per mi |
15 |
12 |
$43.41 |
| J1580 |
Garamycin gentamicin inj |
258 |
212 |
$42.21 |
| J2765 |
Metoclopramide hcl injection |
1,202 |
969 |
$39.44 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
282 |
238 |
$37.78 |
| J2469 |
Palonosetron hcl |
272 |
151 |
$35.29 |
| C1887 |
Catheter, guiding |
768 |
645 |
$34.79 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
316 |
157 |
$34.20 |
| J2543 |
Piperacillin/tazobactam |
178 |
49 |
$33.58 |
| G0103 |
Psa screening |
15 |
15 |
$31.68 |
| J3301 |
Triamcinolone acet inj nos |
90 |
72 |
$31.24 |
| J0134 |
Inj acetaminophen -fresenius |
252 |
226 |
$30.86 |
| J2471 |
Inj pantoprazole(hikma) 40mg |
117 |
66 |
$28.82 |
| 83930 |
|
14 |
12 |
$25.86 |
| J1836 |
Inj, metronidazole, 10 mg |
447 |
204 |
$24.94 |
| 88302 |
|
256 |
197 |
$22.65 |
| J1650 |
Inj enoxaparin sodium |
19 |
12 |
$21.76 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
954 |
852 |
$20.82 |
| J0137 |
Inj, acetaminophen (hikma) |
116 |
92 |
$20.75 |
| J0688 |
Inj cefazolin sodium, hikma |
30 |
25 |
$19.00 |
| 85347 |
|
47 |
36 |
$15.98 |
| 91301 |
|
1,392 |
1,249 |
$11.89 |
| J1805 |
Inj, esmolol hcl, 10mg |
22 |
12 |
$11.80 |
| J1953 |
Levetiracetam injection |
38 |
30 |
$10.82 |
| 88720 |
|
15 |
14 |
$10.75 |
| 88173 |
|
18 |
12 |
$9.92 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
521 |
467 |
$9.33 |
| 99441 |
|
13 |
12 |
$9.29 |
| J1920 |
Inj, labetalol hcl, 5mg |
528 |
285 |
$9.08 |
| 73600 |
|
13 |
13 |
$8.45 |
| J2250 |
Inj midazolam hydrochloride |
1,969 |
1,715 |
$8.03 |
| 91300 |
|
888 |
757 |
$7.36 |
| J7040 |
Normal saline solution infus |
388 |
258 |
$7.10 |
| J1630 |
Haloperidol injection |
226 |
193 |
$6.98 |
| C1729 |
Cath, drainage |
677 |
533 |
$5.94 |
| 91307 |
|
583 |
566 |
$5.63 |
| J3411 |
Thiamine hcl 100 mg |
108 |
49 |
$4.53 |
| J2004 |
Inj, lidocaine w epinephrine |
113 |
111 |
$2.89 |
| J0692 |
Cefepime hcl for injection |
306 |
102 |
$2.69 |
| J0171 |
Adrenalin epinephrine inject |
690 |
505 |
$2.50 |
| 91308 |
|
275 |
210 |
$2.28 |
| J1790 |
Droperidol injection |
59 |
56 |
$2.20 |
| J1626 |
Granisetron hcl injection |
170 |
80 |
$1.96 |
| J2001 |
Lidocaine injection |
298 |
259 |
$1.26 |
| 91312 |
|
83 |
66 |
$0.77 |
| Q0245 |
Bamlanivimab and etesevima |
19 |
15 |
$0.67 |
| J2372 |
Inj, biorphen, 20 micrograms |
131 |
101 |
$0.56 |
| 91315 |
|
52 |
41 |
$0.50 |
| 91317 |
|
54 |
44 |
$0.46 |
| 91303 |
|
39 |
39 |
$0.35 |
| 91306 |
|
31 |
31 |
$0.30 |
| 91305 |
|
60 |
59 |
$0.19 |
| G1004 |
Cdsm ndsc |
788 |
569 |
$0.00 |
| C1776 |
Joint device (implantable) |
141 |
126 |
$0.00 |
| 76376 |
|
163 |
152 |
$0.00 |
| 87804 |
|
32 |
28 |
$0.00 |
| A9541 |
Tc99m sulfur colloid |
102 |
93 |
$0.00 |
| A9552 |
F18 fdg |
433 |
390 |
$0.00 |
| C1751 |
Cath, inf, per/cent/midline |
311 |
250 |
$0.00 |
| C1760 |
Closure dev, vasc |
233 |
195 |
$0.00 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
118 |
44 |
$0.00 |
| C1758 |
Catheter, ureteral |
320 |
256 |
$0.00 |
| J7070 |
D5w infusion |
625 |
216 |
$0.00 |
| 90380 |
|
20 |
20 |
$0.00 |
| J0640 |
Leucovorin calcium injection |
30 |
14 |
$0.00 |
| A9537 |
Tc99m mebrofenin |
17 |
14 |
$0.00 |
| C1874 |
Stent, coated/cov w/del sys |
14 |
13 |
$0.00 |
| J9263 |
Oxaliplatin |
66 |
12 |
$0.00 |
| G0500 |
Mod sedat endo service >5yrs |
31 |
29 |
$0.00 |
| A9577 |
Inj multihance |
56 |
55 |
$0.00 |
| 96402 |
|
18 |
13 |
$0.00 |
| 95874 |
|
63 |
48 |
$0.00 |
| J9190 |
Fluorouracil injection |
69 |
14 |
$0.00 |
| 00170 |
|
13 |
12 |
$0.00 |
| 88313 |
|
13 |
13 |
$0.00 |
| C1726 |
Cath, bal dil, non-vascular |
328 |
267 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
382 |
306 |
$0.00 |
| C2617 |
Stent, non-cor, tem w/o del |
191 |
153 |
$0.00 |
| A9585 |
Gadobutrol injection |
131 |
121 |
$0.00 |
| 84436 |
|
15 |
15 |
$0.00 |
| C1889 |
Implant/insert device, noc |
116 |
83 |
$0.00 |
| 00126 |
|
303 |
238 |
$0.00 |
| 80050 |
|
136 |
135 |
$0.00 |
| 94761 |
|
1,021 |
574 |
$0.00 |
| 88311 |
|
14 |
13 |
$0.00 |
| C1781 |
Mesh (implantable) |
141 |
116 |
$0.00 |
| 86141 |
|
15 |
15 |
$0.00 |
| 76377 |
|
191 |
165 |
$0.00 |
| 77001 |
|
138 |
118 |
$0.00 |
| 84479 |
|
15 |
15 |
$0.00 |
| J3360 |
Diazepam injection |
16 |
13 |
$0.00 |
| 83090 |
|
15 |
15 |
$0.00 |
| 90381 |
|
15 |
15 |
$0.00 |