| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0020 |
Alcohol and/or drug services |
503,162 |
43,583 |
$18.92M |
| 99283 |
|
59,552 |
56,111 |
$10.45M |
| G0463 |
Hospital outpt clinic visit |
81,424 |
63,120 |
$10.10M |
| 99284 |
|
47,311 |
44,586 |
$7.83M |
| 99285 |
|
24,096 |
21,361 |
$4.17M |
| 99282 |
|
19,565 |
18,956 |
$3.37M |
| 99214 |
|
30,667 |
27,673 |
$3.37M |
| G0396 |
Alcohol/subs interv 15-30mn |
28,363 |
19,562 |
$3.22M |
| 74177 |
|
13,277 |
12,980 |
$3.03M |
| 99213 |
|
23,193 |
19,792 |
$2.58M |
| G0378 |
Hospital observation per hr |
4,581 |
3,831 |
$2.56M |
| C1713 |
Anchor/screw bn/bn,tis/bn |
911 |
904 |
$1.77M |
| 70450 |
|
8,530 |
8,204 |
$1.71M |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
17,383 |
15,776 |
$1.59M |
| 43239 |
|
2,572 |
2,554 |
$1.57M |
| C1889 |
Implant/insert device, noc |
2,104 |
2,073 |
$1.45M |
| 90832 |
|
11,439 |
7,615 |
$1.42M |
| 80053 |
|
70,470 |
62,051 |
$1.35M |
| 36415 |
|
105,147 |
76,847 |
$1.25M |
| G0397 |
Alcohol/subs interv >30 min |
7,611 |
6,115 |
$1.17M |
| 93970 |
|
2,354 |
2,308 |
$1.08M |
| 45380 |
|
1,494 |
1,478 |
$1.04M |
| 76856 |
|
2,878 |
2,830 |
$848K |
| 99212 |
|
10,816 |
9,365 |
$781K |
| 90834 |
|
4,726 |
3,118 |
$778K |
| 97110 |
|
16,772 |
4,381 |
$758K |
| H0050 |
Alcohol/drug service 15 min |
14,284 |
9,577 |
$743K |
| 77067 |
|
7,097 |
7,024 |
$729K |
| 96365 |
|
6,924 |
3,611 |
$645K |
| 12001 |
|
1,358 |
1,353 |
$558K |
| 78452 |
|
1,173 |
1,164 |
$543K |
| 99215 |
Prolong outpt/office vis |
4,351 |
4,038 |
$458K |
| 95810 |
|
536 |
520 |
$452K |
| 76816 |
|
4,615 |
4,263 |
$442K |
| 12011 |
|
1,099 |
1,096 |
$435K |
| 36430 |
|
623 |
450 |
$427K |
| 71275 |
|
1,821 |
1,796 |
$416K |
| 96361 |
|
2,060 |
1,912 |
$409K |
| D0120 |
|
10,691 |
6,760 |
$398K |
| 70551 |
|
1,430 |
1,413 |
$389K |
| 86850 |
|
11,075 |
10,340 |
$382K |
| 76770 |
|
1,748 |
1,723 |
$370K |
| 11042 |
|
746 |
488 |
$355K |
| 96413 |
|
3,394 |
2,044 |
$349K |
| D7140 |
|
6,044 |
4,561 |
$343K |
| 29515 |
|
1,590 |
1,563 |
$335K |
| 76830 |
|
4,707 |
4,538 |
$320K |
| 76819 |
|
3,782 |
2,283 |
$291K |
| 75574 |
|
1,322 |
1,313 |
$291K |
| 76700 |
|
2,023 |
2,003 |
$283K |
| 74176 |
|
1,459 |
1,440 |
$277K |
| 36416 |
|
14,659 |
4,868 |
$274K |
| 77066 |
Tomosynthesis, mammo |
2,275 |
2,240 |
$261K |
| 90837 |
|
1,775 |
1,095 |
$261K |
| C1769 |
Guide wire |
1,543 |
1,474 |
$258K |
| 99204 |
|
2,085 |
2,049 |
$251K |
| 70553 |
|
664 |
657 |
$249K |
| 99391 |
|
2,402 |
2,349 |
$249K |
| G2078 |
Take-home meth |
15,455 |
5,703 |
$249K |
| 29125 |
|
1,134 |
1,120 |
$242K |
| 10060 |
|
820 |
802 |
$241K |
| 80048 |
|
13,239 |
11,979 |
$241K |
| 86901 |
|
10,585 |
9,929 |
$238K |
| 92014 |
|
2,361 |
2,296 |
$232K |
| 76641 |
|
3,096 |
2,804 |
$226K |
| D0140 |
|
11,624 |
10,111 |
$226K |
| 88305 |
|
5,709 |
5,537 |
$215K |
| 70496 |
|
1,065 |
1,052 |
$213K |
| 96415 |
|
526 |
384 |
$210K |
| 76705 |
|
3,682 |
3,621 |
$207K |
| 93306 |
|
1,242 |
1,231 |
$204K |
| 99392 |
|
1,941 |
1,930 |
$201K |
| 64400 |
|
487 |
472 |
$199K |
| 92012 |
|
1,970 |
1,861 |
$198K |
| 86900 |
|
11,241 |
10,496 |
$198K |
| 77065 |
Tomosynthesis, mammo |
2,268 |
1,960 |
$196K |
| 45385 |
|
327 |
322 |
$189K |
| 87491 |
|
9,595 |
9,370 |
$186K |
| 77063 |
|
7,099 |
7,037 |
$183K |
| D0220 |
|
11,402 |
10,066 |
$180K |
| 72148 |
|
697 |
693 |
$178K |
| 99281 |
|
1,014 |
888 |
$176K |
| 96372 |
|
13,380 |
12,221 |
$173K |
| 95800 |
|
139 |
132 |
$173K |
| 76815 |
|
1,746 |
1,629 |
$168K |
| 90791 |
|
978 |
892 |
$167K |
| D1120 |
|
4,443 |
4,441 |
$167K |
| 99203 |
|
1,424 |
1,407 |
$165K |
| 76818 |
|
1,714 |
779 |
$165K |
| 71260 |
|
1,471 |
1,454 |
$159K |
| 93308 |
|
565 |
560 |
$154K |
| 96374 |
|
23,800 |
22,261 |
$151K |
| G2067 |
Med assist tx meth wk |
2,480 |
1,001 |
$151K |
| D0230 |
|
10,184 |
9,303 |
$150K |
| 76642 |
|
2,848 |
2,513 |
$146K |
| J1756 |
Iron sucrose injection |
2,370 |
1,113 |
$146K |
| J3490 |
Drugs unclassified injection |
18,840 |
14,767 |
$142K |
| 99211 |
|
9,278 |
5,953 |
$141K |
| G0279 |
Tomosynthesis, mammo |
3,611 |
3,516 |
$141K |
| 71250 |
|
1,326 |
1,305 |
$138K |
| 76817 |
|
1,861 |
1,695 |
$131K |
| 11721 |
|
2,174 |
2,014 |
$130K |
| 10E0XZZ |
|
270 |
30 |
$126K |
| 87591 |
|
9,728 |
9,478 |
$126K |
| 80307 |
|
3,728 |
3,362 |
$125K |
| C1887 |
Catheter, guiding |
628 |
608 |
$122K |
| 76805 |
|
1,104 |
1,090 |
$121K |
| 83880 |
|
5,258 |
5,076 |
$120K |
| 76536 |
|
1,265 |
1,252 |
$119K |
| 99395 |
|
1,010 |
1,007 |
$116K |
| 71046 |
|
13,577 |
13,219 |
$115K |
| 97140 |
|
5,252 |
1,716 |
$115K |
| 93458 |
|
53 |
52 |
$114K |
| 87801 |
|
3,116 |
3,062 |
$114K |
| J7050 |
Normal saline solution infus |
7,943 |
4,052 |
$113K |
| D2392 |
|
1,936 |
1,383 |
$111K |
| 99393 |
|
1,072 |
1,070 |
$111K |
| D2391 |
|
2,371 |
1,568 |
$109K |
| 97112 |
|
3,971 |
1,268 |
$107K |
| 76811 |
|
831 |
821 |
$106K |
| H0004 |
Alcohol and/or drug services |
1,568 |
1,151 |
$105K |
| 76813 |
|
1,117 |
1,101 |
$105K |
| 78815 |
|
101 |
94 |
$103K |
| 93005 |
|
28,909 |
26,379 |
$102K |
| 96360 |
|
901 |
778 |
$99K |
| 80061 |
|
8,110 |
8,000 |
$96K |
| 92550 |
|
1,273 |
1,266 |
$94K |
| 59025 |
|
528 |
485 |
$92K |
| A9500 |
Tc99m sestamibi |
991 |
987 |
$87K |
| D1110 |
|
2,361 |
2,351 |
$86K |
| D0150 |
|
2,429 |
1,811 |
$85K |
| 92004 |
|
731 |
729 |
$81K |
| 87635 |
|
4,341 |
4,170 |
$79K |
| P9040 |
Rbc leukoreduced irradiated |
212 |
152 |
$77K |
| 99396 |
|
636 |
636 |
$76K |
| D1208 |
|
5,815 |
5,804 |
$76K |
| 80076 |
|
7,665 |
7,269 |
$76K |
| 82306 |
|
3,435 |
3,387 |
$75K |
| 90715 |
|
3,236 |
3,221 |
$74K |
| 85610 |
|
24,179 |
17,919 |
$74K |
| 58558 |
|
57 |
56 |
$74K |
| H0034 |
Med trng & support per 15min |
2,636 |
1,924 |
$73K |
| 0225U |
|
6,085 |
5,971 |
$72K |
| 70486 |
|
1,037 |
1,018 |
$71K |
| 72197 |
|
175 |
173 |
$70K |
| 90792 |
|
367 |
355 |
$68K |
| 12002 |
|
176 |
176 |
$67K |
| A4648 |
Implantable tissue marker |
394 |
377 |
$66K |
| 99394 |
|
558 |
556 |
$65K |
| 73721 |
|
242 |
206 |
$65K |
| 76870 |
|
942 |
926 |
$64K |
| 90847 |
|
206 |
82 |
$63K |
| 96367 |
|
1,097 |
709 |
$61K |
| 85025 |
|
49,311 |
43,691 |
$61K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,665 |
2,593 |
$61K |
| 99205 |
Prolong outpt/office vis |
372 |
368 |
$61K |
| C1781 |
Mesh (implantable) |
134 |
134 |
$61K |
| 96375 |
|
12,561 |
11,695 |
$60K |
| 82803 |
|
3,753 |
3,546 |
$60K |
| 85027 |
|
18,033 |
15,375 |
$60K |
| C1894 |
Intro/sheath, non-laser |
863 |
828 |
$60K |
| D0330 |
|
2,549 |
2,508 |
$60K |
| 87624 |
|
2,004 |
1,992 |
$59K |
| G9012 |
Other specified case mgmt |
2,360 |
1,375 |
$59K |
| D1351 |
|
2,034 |
1,012 |
$58K |
| 99291 |
|
334 |
331 |
$57K |
| J7120 |
Ringers lactate infusion |
12,636 |
12,128 |
$57K |
| 88304 |
|
2,266 |
2,230 |
$55K |
| 86480 |
|
905 |
902 |
$55K |
| G0108 |
Diab manage trn per indiv |
1,267 |
1,171 |
$54K |
| 16020 |
|
147 |
131 |
$52K |
| C9399 |
Unclassified drugs or biolog |
807 |
804 |
$49K |
| 83036 |
|
8,759 |
8,620 |
$48K |
| 90853 |
|
634 |
288 |
$48K |
| A9579 |
Gad-base mr contrast nos,1ml |
2,617 |
2,541 |
$48K |
| A9505 |
Tl201 thallium |
501 |
499 |
$48K |
| 77080 |
|
1,064 |
1,055 |
$48K |
| D0272 |
|
4,405 |
4,403 |
$47K |
| 92134 |
|
786 |
757 |
$47K |
| 41899 |
|
51 |
50 |
$45K |
| J7030 |
Normal saline solution infus |
14,505 |
13,192 |
$45K |
| 70491 |
|
217 |
215 |
$44K |
| 72141 |
|
184 |
182 |
$43K |
| U0001 |
2019-ncov diagnostic p |
776 |
740 |
$43K |
| 90670 |
|
3,218 |
3,201 |
$43K |
| 84443 |
|
6,152 |
6,003 |
$42K |
| 73630 |
|
3,288 |
3,072 |
$42K |
| 36000 |
|
1,465 |
1,433 |
$40K |
| 87661 |
|
4,416 |
4,317 |
$39K |
| 72082 |
|
588 |
581 |
$38K |
| 83655 |
|
2,658 |
2,642 |
$38K |
| J1453 |
Fosaprepitant injection |
618 |
375 |
$37K |
| D8670 |
|
184 |
184 |
$36K |
| 72110 |
|
832 |
831 |
$35K |
| 93017 |
|
374 |
373 |
$35K |
| 99051 |
|
2,937 |
2,883 |
$35K |
| 88312 |
|
2,179 |
2,150 |
$35K |
| 96139 |
|
333 |
274 |
$34K |
| A0429 |
Bls-emergency |
233 |
214 |
$34K |
| 74183 |
|
97 |
95 |
$34K |
| 96417 |
|
605 |
401 |
$34K |
| 95782 |
|
31 |
31 |
$33K |
| 97116 |
|
1,833 |
1,054 |
$32K |
| 90685 |
|
3,640 |
3,625 |
$31K |
| 73562 |
|
2,230 |
2,094 |
$31K |
| 77412 |
|
71 |
12 |
$31K |
| 92557 |
|
725 |
721 |
$31K |
| 81220 |
|
295 |
294 |
$31K |
| H0014 |
Alcohol and/or drug services |
163 |
130 |
$29K |
| 76775 |
|
526 |
524 |
$28K |
| 71045 |
|
11,275 |
10,579 |
$27K |
| 76801 |
|
269 |
266 |
$27K |
| T1013 |
Sign lang/oral interpreter |
2,073 |
1,840 |
$27K |
| 88142 |
|
1,039 |
1,038 |
$27K |
| 0241U |
|
5,751 |
5,677 |
$25K |
| 94070 |
|
532 |
531 |
$25K |
| 96138 |
|
316 |
261 |
$25K |
| 88307 |
|
347 |
342 |
$25K |
| 72125 |
|
1,632 |
1,582 |
$25K |
| A9552 |
F18 fdg |
84 |
84 |
$25K |
| 97161 |
|
259 |
257 |
$24K |
| 87481 |
|
612 |
607 |
$23K |
| H0038 |
Self-help/peer svc per 15min |
572 |
368 |
$23K |
| C1725 |
Cath, translumin non-laser |
50 |
48 |
$23K |
| 99381 |
|
186 |
185 |
$23K |
| J1050 |
Medroxyprogesterone acetate |
302 |
302 |
$22K |
| 70498 |
|
809 |
799 |
$22K |
| D2930 |
|
242 |
209 |
$22K |
| 87653 |
|
1,219 |
1,204 |
$22K |
| 81420 |
|
131 |
126 |
$22K |
| 87798 |
|
3,497 |
3,419 |
$21K |
| 82728 |
|
3,224 |
3,133 |
$21K |
| 94729 |
|
545 |
541 |
$21K |
| J1885 |
Ketorolac tromethamine inj |
13,901 |
12,914 |
$21K |
| 97010 |
|
3,199 |
1,004 |
$21K |
| 87641 |
|
735 |
734 |
$21K |
| 90648 |
|
2,273 |
2,265 |
$21K |
| 51701 |
|
64 |
64 |
$20K |
| 19083 |
|
27 |
27 |
$20K |
| 73130 |
|
2,423 |
2,314 |
$20K |
| 80050 |
|
79 |
78 |
$20K |
| HZ2ZZZZ |
|
82 |
12 |
$20K |
| 81025 |
|
3,846 |
3,717 |
$20K |
| 93971 |
|
206 |
202 |
$19K |
| J2405 |
Ondansetron hcl injection |
13,348 |
11,527 |
$19K |
| 85730 |
|
10,585 |
10,150 |
$19K |
| 90651 |
|
421 |
416 |
$18K |
| D9310 |
|
720 |
720 |
$18K |
| 92507 |
|
183 |
68 |
$18K |
| 96116 |
|
95 |
92 |
$17K |
| 69436 |
|
14 |
14 |
$17K |
| 82962 |
|
12,480 |
9,560 |
$17K |
| 94640 |
|
4,938 |
3,876 |
$17K |
| 73030 |
|
1,866 |
1,759 |
$17K |
| 97162 |
|
167 |
164 |
$17K |
| 42820 |
|
13 |
13 |
$17K |
| D3220 |
|
243 |
213 |
$16K |
| 90680 |
|
1,755 |
1,745 |
$16K |
| J2704 |
Inj, propofol, 10 mg |
4,800 |
4,278 |
$16K |
| 81507 |
|
57 |
57 |
$16K |
| 66984 |
|
12 |
12 |
$16K |
| 87389 |
|
2,015 |
1,998 |
$15K |
| 92133 |
|
244 |
244 |
$15K |
| 92060 |
|
216 |
207 |
$15K |
| 73610 |
|
2,265 |
2,170 |
$14K |
| 99242 |
|
132 |
132 |
$14K |
| 87086 |
|
13,820 |
13,246 |
$14K |
| 90633 |
|
1,497 |
1,491 |
$14K |
| 94726 |
|
329 |
329 |
$14K |
| 73110 |
|
1,593 |
1,511 |
$13K |
| 82607 |
|
1,429 |
1,400 |
$13K |
| 86780 |
|
2,872 |
2,850 |
$13K |
| 88342 |
|
397 |
386 |
$13K |
| 97165 |
|
145 |
142 |
$13K |
| J2270 |
Morphine sulfate injection |
4,937 |
4,269 |
$13K |
| 85380 |
|
594 |
588 |
$12K |
| 90723 |
|
1,634 |
1,629 |
$12K |
| 99442 |
|
78 |
75 |
$12K |
| 90686 |
|
675 |
655 |
$12K |
| 86703 |
|
1,026 |
1,016 |
$12K |
| J3010 |
Fentanyl citrate injection |
3,770 |
3,687 |
$12K |
| 99406 |
|
179 |
179 |
$11K |
| 76937 |
|
83 |
80 |
$11K |
| 84439 |
|
1,470 |
1,440 |
$11K |
| 81002 |
|
9,234 |
6,299 |
$11K |
| U0005 |
Infec agen detec ampli probe |
2,149 |
2,083 |
$11K |
| 97802 |
|
251 |
251 |
$11K |
| 97597 |
|
37 |
26 |
$11K |
| 59820 |
|
13 |
13 |
$11K |
| 80074 |
|
323 |
320 |
$11K |
| 86701 |
|
944 |
936 |
$11K |
| 81513 |
|
565 |
560 |
$10K |
| 76820 |
|
240 |
108 |
$10K |
| 90471 |
|
4,436 |
4,176 |
$10K |
| H0005 |
Alcohol and/or drug services |
156 |
102 |
$9K |
| J1170 |
Hydromorphone injection |
2,316 |
2,056 |
$9K |
| 87631 |
|
262 |
259 |
$9K |
| 96376 |
|
2,198 |
2,113 |
$9K |
| 83020 |
|
1,234 |
1,208 |
$9K |
| D2150 |
|
238 |
205 |
$9K |
| 86803 |
|
1,620 |
1,608 |
$9K |
| 90716 |
|
635 |
633 |
$9K |
| 0042T |
|
137 |
137 |
$9K |
| 96132 |
|
191 |
153 |
$8K |
| 88341 |
|
211 |
204 |
$8K |
| 86762 |
|
925 |
916 |
$8K |
| 86003 |
|
97 |
57 |
$8K |
| 73080 |
|
1,012 |
949 |
$8K |
| M0243 |
Casirivi and imdevi inj |
70 |
67 |
$8K |
| 83735 |
|
9,855 |
8,274 |
$8K |
| G0008 |
Admin influenza virus vac |
430 |
429 |
$8K |
| 84702 |
|
3,099 |
2,773 |
$8K |
| 97602 |
|
13 |
13 |
$8K |
| 90698 |
|
877 |
872 |
$7K |
| 74018 |
|
960 |
900 |
$7K |
| 29130 |
|
37 |
37 |
$7K |
| 83605 |
|
10,648 |
9,959 |
$7K |
| J1100 |
Dexamethasone sodium phos |
5,786 |
4,851 |
$7K |
| 77336 |
|
17 |
12 |
$7K |
| J2930 |
Methylprednisolone injection |
806 |
687 |
$7K |
| 73502 |
|
490 |
473 |
$7K |
| 87536 |
|
69 |
69 |
$7K |
| 97803 |
|
171 |
167 |
$7K |
| J2785 |
Regadenoson injection |
27 |
26 |
$7K |
| 81003 |
|
7,822 |
7,647 |
$7K |
| J2001 |
Lidocaine injection |
1,480 |
1,430 |
$7K |
| 87340 |
|
1,833 |
1,818 |
$7K |
| 86923 |
|
228 |
180 |
$6K |
| J3475 |
Inj magnesium sulfate |
1,297 |
1,056 |
$6K |
| D9110 |
|
273 |
265 |
$6K |
| A0425 |
Ground mileage |
686 |
612 |
$6K |
| 83540 |
|
2,293 |
2,243 |
$6K |
| 87633 |
|
88 |
87 |
$6K |
| 90734 |
|
435 |
435 |
$6K |
| 83520 |
|
101 |
97 |
$6K |
| 96121 |
|
94 |
91 |
$6K |
| 99202 |
|
44 |
44 |
$6K |
| 90707 |
|
628 |
623 |
$6K |
| 86765 |
|
638 |
632 |
$6K |
| 82378 |
|
644 |
596 |
$5K |
| 84484 |
|
11,636 |
10,188 |
$5K |
| 81001 |
|
11,337 |
10,828 |
$5K |
| S2900 |
Robotic surgical system |
108 |
107 |
$5K |
| 16025 |
|
22 |
16 |
$5K |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
612 |
601 |
$5K |
| 83550 |
|
2,249 |
2,201 |
$5K |
| 76857 |
|
488 |
462 |
$5K |
| J0131 |
Inj, acetaminophen (nos) |
676 |
647 |
$5K |
| 73221 |
|
12 |
12 |
$5K |
| 82746 |
|
757 |
742 |
$5K |
| 92567 |
|
85 |
84 |
$5K |
| G0480 |
Drug test def 1-7 classes |
216 |
187 |
$5K |
| 99459 |
|
489 |
476 |
$5K |
| 71271 |
|
69 |
69 |
$5K |
| J0696 |
Ceftriaxone sodium injection |
1,891 |
1,778 |
$5K |
| 83690 |
|
14,087 |
13,294 |
$5K |
| M0239 |
Bamlanivimab-xxxx infusion |
60 |
58 |
$5K |
| 72170 |
|
1,335 |
1,303 |
$5K |
| J2250 |
Inj midazolam hydrochloride |
3,752 |
3,623 |
$4K |
| 96402 |
|
110 |
103 |
$4K |
| 72100 |
|
206 |
206 |
$4K |
| J2765 |
Metoclopramide hcl injection |
3,359 |
3,245 |
$4K |
| 73090 |
|
1,008 |
964 |
$4K |
| 87186 |
|
2,243 |
2,174 |
$4K |
| 92579 |
|
80 |
79 |
$4K |
| 96130 |
|
86 |
67 |
$4K |
| 80367 |
|
784 |
710 |
$4K |
| 96366 |
|
34 |
26 |
$4K |
| D0274 |
|
249 |
248 |
$4K |
| 73590 |
|
1,144 |
1,101 |
$4K |
| 90700 |
|
490 |
484 |
$4K |
| 77072 |
|
119 |
119 |
$4K |
| 92551 |
|
66 |
66 |
$4K |
| 81329 |
|
228 |
228 |
$4K |
| 86787 |
|
671 |
664 |
$4K |
| 58300 |
|
26 |
26 |
$4K |
| 74178 |
|
16 |
15 |
$4K |
| 84153 |
|
160 |
160 |
$4K |
| J0690 |
Cefazolin sodium injection |
1,633 |
1,567 |
$3K |
| 76882 |
|
145 |
123 |
$3K |
| 94664 |
|
287 |
286 |
$3K |
| 90677 |
|
14 |
14 |
$3K |
| 83615 |
|
1,549 |
1,462 |
$3K |
| 74174 |
|
31 |
29 |
$3K |
| 83970 |
|
56 |
56 |
$3K |
| 72050 |
|
52 |
51 |
$3K |
| 86769 |
|
563 |
550 |
$3K |
| 86706 |
|
358 |
353 |
$3K |
| J1200 |
Diphenhydramine hcl injectio |
2,931 |
2,186 |
$3K |
| 86355 |
|
79 |
78 |
$3K |
| 94727 |
|
122 |
122 |
$3K |
| 87522 |
Neg quan hep c or qual rna |
68 |
67 |
$3K |
| 84403 |
|
70 |
66 |
$2K |
| 92002 |
|
14 |
14 |
$2K |
| 99382 |
|
20 |
20 |
$2K |
| 86357 |
|
78 |
77 |
$2K |
| 73564 |
|
484 |
473 |
$2K |
| T1023 |
Program intake assessment |
41 |
41 |
$2K |
| 87486 |
|
69 |
68 |
$2K |
| 96110 |
|
16 |
16 |
$2K |
| 87640 |
|
695 |
692 |
$2K |
| V2632 |
Post chmbr intraocular lens |
13 |
12 |
$2K |
| 87077 |
|
1,217 |
1,174 |
$2K |
| 82670 |
|
69 |
61 |
$2K |
| 92202 |
|
25 |
25 |
$2K |
| 82043 |
|
428 |
426 |
$2K |
| 85046 |
|
1,468 |
1,324 |
$2K |
| H0001 |
Alcohol and/or drug assess |
13 |
13 |
$2K |
| 82105 |
|
267 |
261 |
$2K |
| 86140 |
|
945 |
906 |
$2K |
| 84480 |
|
212 |
206 |
$2K |
| 90710 |
|
219 |
218 |
$2K |
| 82550 |
|
1,180 |
1,089 |
$2K |
| 84146 |
|
70 |
70 |
$2K |
| 82677 |
|
91 |
86 |
$2K |
| 86618 |
|
36 |
36 |
$2K |
| 82950 |
|
427 |
427 |
$2K |
| 87070 |
|
857 |
797 |
$2K |
| 74019 |
|
64 |
63 |
$2K |
| 84436 |
|
278 |
274 |
$2K |
| 73060 |
|
399 |
383 |
$2K |
| 76821 |
|
27 |
12 |
$2K |
| 84703 |
|
8,391 |
8,031 |
$2K |
| 99383 |
|
12 |
12 |
$1K |
| 76512 |
|
60 |
53 |
$1K |
| J2919 |
Inj, methylpred sod succ 5mg |
186 |
177 |
$1K |
| 86695 |
|
49 |
48 |
$1K |
| 90656 |
|
80 |
80 |
$1K |
| 76885 |
|
13 |
13 |
$1K |
| 83516 |
|
29 |
28 |
$1K |
| 84144 |
|
58 |
51 |
$1K |
| D0340 |
|
24 |
24 |
$1K |
| Q2039 |
Influenza virus vaccine, nos |
56 |
56 |
$1K |
| 87581 |
|
69 |
68 |
$1K |
| 86735 |
|
109 |
109 |
$1K |
| 83001 |
|
75 |
75 |
$1K |
| 84100 |
|
1,257 |
1,044 |
$1K |
| 92582 |
|
15 |
15 |
$1K |
| J7040 |
Normal saline solution infus |
489 |
357 |
$1K |
| 86704 |
|
85 |
84 |
$1K |
| J7060 |
5% dextrose/water |
388 |
284 |
$1K |
| 87081 |
|
271 |
270 |
$1K |
| 86038 |
|
132 |
131 |
$1K |
| 82785 |
|
64 |
64 |
$1K |
| 81243 |
|
75 |
75 |
$1K |
| 87502 |
|
29 |
29 |
$982.60 |
| 84704 |
|
97 |
92 |
$963.98 |
| 85651 |
|
314 |
308 |
$956.67 |
| 51702 |
|
12 |
12 |
$945.74 |
| 82330 |
|
2,866 |
2,703 |
$936.74 |
| 80365 |
|
447 |
370 |
$907.25 |
| 83002 |
|
46 |
46 |
$892.35 |
| 84481 |
|
72 |
72 |
$881.18 |
| D9230 |
|
295 |
248 |
$865.00 |
| 87040 |
|
1,410 |
1,328 |
$847.02 |
| 82248 |
|
355 |
298 |
$842.96 |
| 96161 |
|
21 |
20 |
$839.72 |
| J0153 |
Adenosine inj 1mg |
12 |
12 |
$831.16 |
| 90749 |
|
52 |
52 |
$819.58 |
| 80164 |
|
84 |
74 |
$799.75 |
| 74220 |
|
12 |
12 |
$793.09 |
| 90744 |
|
62 |
61 |
$790.80 |
| 86696 |
|
48 |
48 |
$783.49 |
| 92225 |
|
12 |
12 |
$779.77 |
| 85379 |
|
2,035 |
1,999 |
$779.46 |
| 88311 |
|
12 |
12 |
$776.00 |
| 85652 |
|
947 |
914 |
$761.20 |
| 86160 |
|
30 |
30 |
$757.91 |
| 87651 |
|
27 |
27 |
$755.04 |
| 73552 |
|
147 |
142 |
$737.09 |
| J1650 |
Inj enoxaparin sodium |
424 |
184 |
$729.56 |
| 82465 |
|
183 |
183 |
$723.46 |
| 86336 |
|
97 |
83 |
$699.88 |
| Q3014 |
Telehealth facility fee |
63 |
59 |
$689.18 |
| J1644 |
Inj heparin sodium per 1000u |
271 |
164 |
$673.50 |
| 96133 |
|
147 |
121 |
$672.61 |
| 96136 |
|
15 |
13 |
$671.49 |
| D0210 |
|
42 |
40 |
$671.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
441 |
438 |
$668.13 |
| 84402 |
|
37 |
31 |
$650.69 |
| 86880 |
|
25 |
25 |
$590.85 |
| 82784 |
|
66 |
63 |
$574.98 |
| 84132 |
|
3,795 |
3,598 |
$574.16 |
| 86481 |
|
13 |
13 |
$573.48 |
| 80361 |
|
26 |
25 |
$566.39 |
| 82570 |
|
171 |
166 |
$525.64 |
| J2060 |
Lorazepam injection |
292 |
265 |
$464.88 |
| 90696 |
|
72 |
72 |
$464.26 |
| 86430 |
|
76 |
75 |
$453.35 |
| 84466 |
|
43 |
43 |
$439.56 |
| 86376 |
|
24 |
24 |
$436.77 |
| 82977 |
|
72 |
70 |
$433.55 |
| 84550 |
|
199 |
190 |
$431.16 |
| 80324 |
|
13 |
12 |
$428.36 |
| J1720 |
Hydrocortisone sodium succ i |
18 |
12 |
$399.11 |
| J0330 |
Succinycholine chloride inj |
173 |
173 |
$387.81 |
| D9990 |
|
73 |
68 |
$374.00 |
| 85245 |
|
12 |
12 |
$373.81 |
| 80346 |
|
13 |
12 |
$359.75 |
| 96137 |
|
16 |
13 |
$356.82 |
| 80353 |
|
42 |
37 |
$326.18 |
| 84156 |
|
131 |
122 |
$315.86 |
| 76000 |
|
13 |
13 |
$304.70 |
| 85045 |
|
190 |
162 |
$304.12 |
| 80358 |
|
13 |
12 |
$291.13 |
| 80345 |
|
13 |
12 |
$291.13 |
| 86592 |
|
72 |
71 |
$283.07 |
| 84300 |
|
559 |
524 |
$266.08 |
| 86225 |
|
25 |
25 |
$263.72 |
| 82652 |
|
14 |
14 |
$262.99 |
| 80329 |
|
317 |
309 |
$250.33 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
83 |
75 |
$247.35 |
| 82247 |
|
154 |
121 |
$246.40 |
| 86255 |
|
28 |
28 |
$236.12 |
| 86334 |
|
12 |
12 |
$217.02 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
65 |
65 |
$207.89 |
| 85246 |
|
12 |
12 |
$205.92 |
| 80349 |
|
65 |
61 |
$205.05 |
| 85007 |
|
499 |
486 |
$203.37 |
| J1630 |
Haloperidol injection |
186 |
163 |
$189.70 |
| 99050 |
|
17 |
17 |
$187.27 |
| 80299 |
|
14 |
13 |
$186.71 |
| C9113 |
Inj pantoprazole sodium, via |
39 |
25 |
$185.32 |
| 73620 |
|
25 |
25 |
$175.36 |
| 84295 |
|
2,998 |
2,842 |
$173.27 |
| 94200 |
|
12 |
12 |
$156.00 |
| 85384 |
|
58 |
50 |
$118.85 |
| J7070 |
D5w infusion |
75 |
49 |
$118.05 |
| 80354 |
|
80 |
79 |
$106.95 |
| 73140 |
|
53 |
51 |
$99.83 |
| 82951 |
|
12 |
12 |
$99.02 |
| 82310 |
|
55 |
53 |
$99.02 |
| 90714 |
|
30 |
29 |
$97.83 |
| 86300 |
|
12 |
12 |
$83.90 |
| J2710 |
Neostigmine methylslfte inj |
44 |
44 |
$83.66 |
| 82010 |
|
399 |
383 |
$73.48 |
| 82947 |
|
25 |
25 |
$72.88 |
| 85018 |
|
3,653 |
3,471 |
$72.05 |
| 82150 |
|
16 |
14 |
$69.59 |
| 80178 |
|
13 |
12 |
$68.61 |
| 85014 |
|
2,939 |
2,787 |
$66.00 |
| 80348 |
|
185 |
162 |
$65.00 |
| 87205 |
|
92 |
89 |
$63.33 |
| 87088 |
|
19 |
18 |
$62.78 |
| 93041 |
|
566 |
545 |
$59.28 |
| 84479 |
|
54 |
51 |
$57.69 |
| 94761 |
|
50 |
49 |
$51.15 |
| 99152 |
|
68 |
67 |
$49.57 |
| 83921 |
|
13 |
13 |
$47.26 |
| 82948 |
|
276 |
175 |
$40.12 |
| 85044 |
|
24 |
24 |
$39.15 |
| 88302 |
|
26 |
26 |
$39.00 |
| Q0162 |
Ondansetron oral |
13 |
13 |
$37.27 |
| 82553 |
|
67 |
64 |
$27.76 |
| 84600 |
|
295 |
286 |
$26.15 |
| 83986 |
|
13 |
12 |
$21.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
12 |
12 |
$20.73 |
| 99173 |
|
26 |
26 |
$14.84 |
| J1836 |
Inj, metronidazole, 10 mg |
14 |
12 |
$13.47 |
| 90472 |
|
15 |
15 |
$8.62 |
| 84155 |
|
12 |
12 |
$4.53 |
| G8420 |
Calc bmi norm parameters |
28 |
28 |
$0.03 |
| 82657 |
|
56 |
56 |
$0.00 |
| D2331 |
|
32 |
31 |
$0.00 |
| D0170 |
|
21 |
19 |
$0.00 |
| D2330 |
|
12 |
12 |
$0.00 |
| 99080 |
|
560 |
161 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
28 |
28 |
$0.00 |
| D2140 |
|
49 |
39 |
$0.00 |
| D8660 |
|
12 |
12 |
$0.00 |