| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpt clinic visit |
1,139,423 |
963,643 |
$105.05M |
| A0429 |
Bls-emergency |
118,666 |
90,596 |
$78.06M |
| A0427 |
Als1-emergency |
94,266 |
82,551 |
$67.71M |
| 99284 |
|
262,223 |
224,415 |
$53.35M |
| 99285 |
|
202,775 |
169,882 |
$49.63M |
| 99214 |
|
460,726 |
395,864 |
$32.68M |
| 99283 |
|
190,002 |
166,029 |
$32.39M |
| 99213 |
|
298,027 |
266,842 |
$14.61M |
| A0425 |
Ground mileage |
218,688 |
165,992 |
$13.99M |
| 99232 |
|
261,070 |
61,757 |
$13.54M |
| 99291 |
|
69,483 |
32,817 |
$13.50M |
| H0020 |
Alcohol and/or drug services |
807,067 |
34,044 |
$12.98M |
| 99233 |
Prolong inpt eval add15 m |
145,923 |
38,920 |
$10.09M |
| 99215 |
Prolong outpt/office vis |
92,877 |
80,421 |
$9.18M |
| 90870 |
|
34,052 |
10,791 |
$7.12M |
| 95004 |
|
2,618 |
1,853 |
$4.80M |
| T1013 |
Sign lang/oral interpreter |
228,242 |
153,281 |
$4.69M |
| 36415 |
|
355,455 |
308,112 |
$4.62M |
| U0004 |
Cov-19 test non-cdc hgh thru |
59,602 |
48,014 |
$4.31M |
| 99223 |
Prolong inpt eval add15 m |
36,910 |
28,994 |
$4.24M |
| S0302 |
Completed epsdt |
77,248 |
75,262 |
$3.39M |
| 90834 |
|
38,999 |
25,768 |
$3.31M |
| J2357 |
Omalizumab injection |
3,955 |
1,840 |
$3.27M |
| 74177 |
|
38,139 |
35,003 |
$3.24M |
| 99391 |
|
38,879 |
31,540 |
$3.18M |
| 93308 |
|
58,413 |
49,049 |
$2.84M |
| 70450 |
|
61,333 |
50,357 |
$2.80M |
| 99392 |
|
29,989 |
24,744 |
$2.65M |
| A0433 |
Als 2 |
2,291 |
2,227 |
$2.62M |
| 99239 |
|
32,866 |
29,866 |
$2.54M |
| 99204 |
|
24,236 |
23,157 |
$2.42M |
| 71046 |
|
112,437 |
101,397 |
$2.26M |
| G0378 |
Hospital observation per hr |
15,731 |
13,348 |
$2.26M |
| D7140 |
|
27,595 |
9,041 |
$2.24M |
| 99203 |
|
36,238 |
34,810 |
$2.10M |
| 99309 |
|
44,281 |
29,735 |
$1.99M |
| 71260 |
|
30,694 |
27,962 |
$1.96M |
| 90837 |
|
16,313 |
10,440 |
$1.92M |
| 99254 |
|
13,768 |
11,350 |
$1.91M |
| 87591 |
|
39,751 |
36,285 |
$1.89M |
| 96127 |
|
91,624 |
75,767 |
$1.87M |
| 99220 |
|
16,723 |
14,279 |
$1.86M |
| 87491 |
|
39,479 |
36,107 |
$1.84M |
| 00104 |
|
29,398 |
9,612 |
$1.75M |
| 93005 |
|
61,493 |
51,693 |
$1.66M |
| 93306 |
|
23,330 |
21,394 |
$1.64M |
| 99231 |
|
52,509 |
23,734 |
$1.63M |
| 90832 |
|
27,624 |
21,332 |
$1.58M |
| 90471 |
|
106,375 |
102,236 |
$1.57M |
| 99393 |
|
19,633 |
17,190 |
$1.47M |
| 96374 |
|
12,426 |
11,200 |
$1.46M |
| 97110 |
|
20,438 |
10,915 |
$1.41M |
| 88305 |
|
30,855 |
28,389 |
$1.40M |
| X5622 |
|
33,241 |
28,929 |
$1.36M |
| 99238 |
|
27,169 |
24,702 |
$1.35M |
| 99222 |
|
18,908 |
14,679 |
$1.28M |
| 96372 |
|
29,533 |
23,269 |
$1.27M |
| 93010 |
|
181,798 |
129,418 |
$1.24M |
| 80048 |
|
92,809 |
81,320 |
$1.22M |
| 72125 |
|
21,289 |
19,823 |
$1.21M |
| 96413 |
|
5,503 |
3,411 |
$1.19M |
| S0281 |
Medical home, maintenance |
36,067 |
35,519 |
$1.15M |
| 90961 |
|
10,340 |
9,281 |
$1.14M |
| 20610 |
|
13,841 |
9,712 |
$1.14M |
| 85025 |
|
146,254 |
120,938 |
$1.14M |
| 99244 |
|
10,689 |
10,212 |
$1.13M |
| H2012 |
Behav hlth day treat, per hr |
22,614 |
1,854 |
$1.11M |
| 87636 |
|
8,712 |
8,472 |
$1.09M |
| 99217 |
|
22,721 |
19,453 |
$1.05M |
| 59410 |
|
1,485 |
1,407 |
$1.04M |
| 92014 |
|
17,853 |
16,973 |
$1.03M |
| 92004 |
|
12,404 |
12,080 |
$1.03M |
| C9803 |
Hopd covid-19 spec collect |
44,756 |
41,164 |
$1.03M |
| D1206 |
|
27,542 |
25,703 |
$1.01M |
| 90791 |
|
10,694 |
10,169 |
$977K |
| 99253 |
|
11,294 |
9,038 |
$955K |
| J0741 |
Inj, cabote rilpivir 2mg 3mg |
146 |
134 |
$949K |
| 99255 |
|
6,541 |
4,989 |
$927K |
| 99282 |
|
11,575 |
10,823 |
$927K |
| 76604 |
|
23,143 |
19,849 |
$882K |
| 92015 |
|
31,255 |
27,700 |
$846K |
| 99212 |
|
34,966 |
33,339 |
$839K |
| 76705 |
|
25,499 |
22,007 |
$833K |
| 45385 |
|
1,822 |
1,502 |
$828K |
| 00170 |
|
4,093 |
2,053 |
$828K |
| D2930 |
|
6,168 |
1,417 |
$816K |
| 99310 |
Prolong nursin fac eval 15m |
10,567 |
7,570 |
$783K |
| D0150 |
|
6,258 |
5,793 |
$778K |
| 99443 |
|
14,933 |
13,300 |
$757K |
| 95165 |
|
5,155 |
1,306 |
$751K |
| D1110 |
|
12,076 |
10,563 |
$732K |
| 76811 |
|
5,780 |
4,889 |
$716K |
| 99607 |
|
23,003 |
18,630 |
$704K |
| 76816 |
|
9,461 |
7,457 |
$670K |
| D0140 |
|
22,223 |
20,018 |
$664K |
| U0005 |
Infec agen detec ampli probe |
31,842 |
24,920 |
$658K |
| 99394 |
|
9,471 |
8,797 |
$657K |
| G2067 |
Med assist tx meth wk |
9,421 |
2,957 |
$655K |
| 62323 |
|
1,820 |
1,260 |
$652K |
| 80307 |
|
25,995 |
21,302 |
$642K |
| 45378 |
|
1,820 |
1,435 |
$642K |
| Q3014 |
Telehealth facility fee |
29,703 |
23,599 |
$632K |
| 71045 |
|
84,483 |
48,472 |
$626K |
| 96361 |
|
9,184 |
7,629 |
$622K |
| 99460 |
|
6,069 |
5,871 |
$612K |
| 70553 |
|
5,219 |
4,961 |
$601K |
| 97810 |
|
20,740 |
12,828 |
$600K |
| D1120 |
|
12,924 |
12,406 |
$598K |
| D0120 |
|
18,018 |
17,426 |
$584K |
| 99221 |
|
12,996 |
10,465 |
$583K |
| 95117 |
|
17,528 |
8,749 |
$563K |
| 88307 |
|
4,854 |
4,609 |
$559K |
| 59025 |
|
10,900 |
5,934 |
$553K |
| 83036 |
|
51,621 |
48,601 |
$550K |
| 99243 |
|
8,545 |
8,309 |
$546K |
| 99219 |
|
5,911 |
5,368 |
$541K |
| 16020 |
|
5,400 |
2,590 |
$539K |
| 82947 |
|
92,344 |
83,033 |
$521K |
| 80051 |
|
89,698 |
80,720 |
$515K |
| 82330 |
|
89,962 |
80,913 |
$495K |
| 97811 |
|
20,030 |
12,522 |
$485K |
| 99205 |
Prolong outpt/office vis |
4,260 |
4,090 |
$483K |
| 77067 |
|
12,339 |
12,055 |
$483K |
| 92551 |
|
42,400 |
41,465 |
$482K |
| 87536 |
|
14,069 |
13,125 |
$477K |
| 98941 |
|
27,017 |
13,994 |
$433K |
| 96365 |
|
2,943 |
2,232 |
$425K |
| 99202 |
|
12,681 |
12,382 |
$415K |
| 80053 |
|
27,784 |
19,151 |
$411K |
| 99396 |
|
6,042 |
5,777 |
$408K |
| 99480 |
|
2,153 |
471 |
$400K |
| 70496 |
|
4,595 |
4,129 |
$392K |
| 36592 |
|
14,577 |
12,734 |
$391K |
| 80076 |
|
39,652 |
36,081 |
$387K |
| 76801 |
|
7,654 |
6,717 |
$383K |
| 99442 |
|
10,661 |
9,440 |
$375K |
| 99152 |
|
22,155 |
18,122 |
$372K |
| 95811 |
|
766 |
647 |
$370K |
| 81001 |
|
43,852 |
40,603 |
$368K |
| 43239 |
|
1,387 |
1,102 |
$368K |
| 76700 |
|
8,537 |
8,108 |
$367K |
| 99606 |
|
14,915 |
11,807 |
$364K |
| 95810 |
|
633 |
511 |
$362K |
| 92587 |
|
2,894 |
2,798 |
$361K |
| 90853 |
|
14,963 |
5,827 |
$345K |
| 99245 |
|
2,949 |
2,830 |
$342K |
| H0035 |
Mh partial hosp tx under 24h |
1,351 |
174 |
$334K |
| 73630 |
|
22,776 |
18,277 |
$333K |
| 45380 |
|
778 |
606 |
$333K |
| D0272 |
|
8,159 |
7,940 |
$330K |
| 86592 |
|
27,345 |
25,529 |
$330K |
| D0330 |
|
6,521 |
6,338 |
$330K |
| 70498 |
|
3,857 |
3,649 |
$329K |
| G0108 |
Diab manage trn per indiv |
4,790 |
4,369 |
$323K |
| D2391 |
|
5,625 |
2,989 |
$323K |
| 71250 |
|
6,324 |
5,734 |
$322K |
| 11042 |
|
2,164 |
1,040 |
$322K |
| 76815 |
|
11,039 |
9,733 |
$312K |
| D0220 |
|
12,091 |
11,007 |
$312K |
| 99395 |
|
4,651 |
4,534 |
$307K |
| 90686 |
|
46,419 |
44,611 |
$306K |
| 72131 |
|
6,124 |
5,834 |
$301K |
| D7240 |
|
1,103 |
469 |
$298K |
| 82565 |
|
92,314 |
82,988 |
$293K |
| 76856 |
|
7,185 |
6,801 |
$289K |
| J0585 |
Injection,onabotulinumtoxina |
516 |
250 |
$287K |
| 90472 |
|
38,317 |
35,704 |
$285K |
| 0002A |
|
10,427 |
9,934 |
$280K |
| D0274 |
|
5,779 |
5,401 |
$280K |
| 77063 |
|
7,684 |
7,491 |
$275K |
| 31500 |
|
3,299 |
2,874 |
$275K |
| 80061 |
|
15,383 |
14,324 |
$264K |
| 31575 |
|
4,010 |
3,304 |
$262K |
| D1351 |
|
8,093 |
2,677 |
$260K |
| 87661 |
|
7,378 |
6,932 |
$260K |
| 74176 |
|
4,555 |
4,179 |
$257K |
| 36591 |
|
7,502 |
4,399 |
$257K |
| 99292 |
|
2,449 |
1,928 |
$255K |
| 43235 |
|
1,566 |
1,313 |
$254K |
| T2022 |
Case management, per month |
1,102 |
1,096 |
$253K |
| 72128 |
|
4,759 |
4,559 |
$249K |
| 76830 |
|
6,501 |
6,012 |
$249K |
| 72148 |
|
3,265 |
3,133 |
$249K |
| D7210 |
|
1,624 |
1,016 |
$245K |
| 86481 |
|
2,869 |
2,715 |
$244K |
| 76805 |
|
4,436 |
3,908 |
$242K |
| 92557 |
|
2,799 |
2,703 |
$240K |
| 85027 |
|
25,564 |
22,326 |
$240K |
| V2020 |
Vision svcs frames purchases |
3,704 |
3,576 |
$239K |
| 99479 |
|
1,206 |
252 |
$235K |
| 0001A |
|
10,665 |
9,811 |
$235K |
| 99188 |
|
21,227 |
20,850 |
$227K |
| 98940 |
|
19,358 |
10,895 |
$225K |
| 90792 |
|
1,565 |
1,477 |
$209K |
| V2784 |
Lens polycarb or equal |
2,816 |
2,696 |
$207K |
| 99281 |
|
2,539 |
2,436 |
$207K |
| 92012 |
|
9,060 |
7,740 |
$206K |
| 97112 |
|
2,459 |
1,500 |
$205K |
| 87389 |
|
8,551 |
7,977 |
$202K |
| 99605 |
|
5,044 |
4,900 |
$198K |
| 91320 |
|
2,421 |
2,323 |
$198K |
| 97803 |
|
4,566 |
4,409 |
$196K |
| 76819 |
|
2,672 |
1,786 |
$190K |
| 93976 |
|
4,290 |
3,965 |
$190K |
| D2392 |
|
2,877 |
1,937 |
$189K |
| 77336 |
|
1,603 |
628 |
$189K |
| 36416 |
|
14,457 |
11,444 |
$187K |
| 88342 |
|
5,140 |
4,528 |
$182K |
| D1354 |
|
6,565 |
1,865 |
$182K |
| 96900 |
|
5,507 |
1,609 |
$181K |
| S0280 |
Medical home, initial plan |
1,943 |
1,570 |
$178K |
| 70551 |
|
2,431 |
2,329 |
$178K |
| 93296 |
|
3,953 |
3,823 |
$177K |
| 59515 |
|
215 |
183 |
$173K |
| 99252 |
|
3,123 |
2,850 |
$172K |
| 01967 |
|
1,087 |
1,062 |
$170K |
| 96110 |
|
19,146 |
15,951 |
$169K |
| 92060 |
|
4,088 |
3,273 |
$169K |
| D0230 |
|
12,830 |
5,839 |
$165K |
| 82306 |
|
8,461 |
7,779 |
$164K |
| 84484 |
|
27,021 |
16,906 |
$158K |
| D0240 |
|
4,018 |
2,402 |
$158K |
| 97140 |
|
4,360 |
2,481 |
$158K |
| U0002 |
Covid-19 lab test non-cdc |
5,194 |
4,762 |
$158K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
6,916 |
5,973 |
$157K |
| 92567 |
|
6,865 |
6,629 |
$153K |
| 80502 |
|
2,868 |
2,724 |
$152K |
| G0330 |
Facility svs dental rehab |
75 |
69 |
$150K |
| 64400 |
|
2,348 |
2,101 |
$147K |
| 99308 |
|
5,309 |
4,151 |
$146K |
| 99183 |
|
1,182 |
395 |
$144K |
| 84443 |
|
11,429 |
10,492 |
$143K |
| 01961 |
|
570 |
284 |
$143K |
| 76775 |
|
6,964 |
6,134 |
$141K |
| Q9991 |
Buprenorph xr 100 mg or less |
62 |
57 |
$137K |
| 93970 |
|
5,168 |
4,313 |
$135K |
| 77427 |
|
606 |
275 |
$134K |
| 87633 |
|
694 |
674 |
$133K |
| 73610 |
|
14,402 |
11,670 |
$133K |
| 96360 |
|
1,775 |
1,413 |
$132K |
| 73030 |
|
11,245 |
9,624 |
$131K |
| 74018 |
|
16,837 |
11,396 |
$122K |
| 29581 |
|
1,163 |
406 |
$122K |
| Q9992 |
Buprenorphine xr over 100 mg |
56 |
50 |
$121K |
| 82948 |
|
27,136 |
18,184 |
$121K |
| 93971 |
|
7,477 |
6,577 |
$118K |
| 64615 |
|
617 |
305 |
$118K |
| 92340 |
|
6,058 |
5,878 |
$118K |
| 95024 |
|
577 |
446 |
$118K |
| 00840 |
|
402 |
202 |
$116K |
| 99173 |
|
46,475 |
45,410 |
$115K |
| 92341 |
|
5,809 |
5,436 |
$110K |
| 90677 |
|
2,082 |
2,031 |
$103K |
| H1001 |
Antepartum management |
1,829 |
1,785 |
$100K |
| 96132 |
|
898 |
766 |
$99K |
| 46600 |
|
1,705 |
1,235 |
$99K |
| 90662 |
|
2,999 |
2,733 |
$99K |
| 70486 |
|
2,295 |
2,224 |
$98K |
| 17110 |
|
1,439 |
1,290 |
$96K |
| D2330 |
|
1,570 |
974 |
$96K |
| J2250 |
Inj midazolam hydrochloride |
15,611 |
13,567 |
$96K |
| 85610 |
|
16,110 |
10,503 |
$96K |
| 96139 |
|
807 |
668 |
$96K |
| 95886 |
|
1,764 |
1,499 |
$95K |
| 76813 |
|
1,051 |
830 |
$95K |
| J7050 |
Normal saline solution infus |
18,959 |
7,904 |
$93K |
| 86803 |
|
4,509 |
4,195 |
$90K |
| J3490 |
Drugs unclassified injection |
20,097 |
15,797 |
$89K |
| 97535 |
|
3,275 |
2,393 |
$89K |
| 73562 |
|
7,105 |
5,211 |
$88K |
| 84439 |
|
4,092 |
3,704 |
$87K |
| 93458 |
|
126 |
96 |
$87K |
| 73130 |
|
10,106 |
8,266 |
$86K |
| 96375 |
|
3,069 |
2,412 |
$86K |
| 73721 |
|
810 |
737 |
$84K |
| 90670 |
|
5,942 |
5,720 |
$83K |
| 90962 |
|
2,058 |
1,768 |
$82K |
| 99462 |
|
2,076 |
1,558 |
$82K |
| 97530 |
|
1,960 |
1,191 |
$81K |
| 91200 |
|
1,124 |
852 |
$80K |
| 90480 |
|
4,701 |
4,573 |
$80K |
| 99153 |
Mod sedat endo service >5yrs |
5,630 |
4,898 |
$80K |
| J3010 |
Fentanyl citrate injection |
17,069 |
14,444 |
$80K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
1,143 |
1,041 |
$80K |
| 97162 |
|
2,554 |
2,276 |
$79K |
| 99218 |
|
1,182 |
1,130 |
$79K |
| 94375 |
|
2,006 |
1,701 |
$78K |
| 77334 |
|
329 |
166 |
$78K |
| 96133 |
|
720 |
583 |
$78K |
| 77080 |
|
1,821 |
1,422 |
$77K |
| 76817 |
|
2,578 |
2,080 |
$76K |
| 87088 |
|
6,571 |
5,959 |
$75K |
| 00400 |
|
546 |
233 |
$73K |
| 99417 |
Prolong home eval add 15m |
1,753 |
1,624 |
$71K |
| 97602 |
|
957 |
394 |
$71K |
| D9230 |
|
4,323 |
4,073 |
$69K |
| 72100 |
|
6,329 |
5,779 |
$69K |
| 86360 |
|
4,783 |
4,472 |
$68K |
| C8929 |
Tte w or wo fol wcon,doppler |
228 |
182 |
$66K |
| 0124A |
|
2,433 |
2,339 |
$65K |
| 90785 |
|
7,972 |
5,829 |
$65K |
| 86682 |
|
2,305 |
2,083 |
$65K |
| J7120 |
Ringers lactate infusion |
19,145 |
10,507 |
$64K |
| 36620 |
|
2,323 |
1,974 |
$64K |
| D0145 |
|
1,705 |
1,699 |
$64K |
| G2211 |
Complex e/m visit add on |
20,978 |
19,733 |
$64K |
| 99242 |
|
1,633 |
1,598 |
$64K |
| 99402 |
|
1,233 |
1,156 |
$63K |
| 87209 |
|
2,530 |
1,382 |
$63K |
| 99236 |
Prolong inpt eval add15 m |
453 |
437 |
$62K |
| D2150 |
|
784 |
545 |
$62K |
| T1016 |
Case management |
2,361 |
1,147 |
$62K |
| 73502 |
|
4,565 |
4,159 |
$61K |
| 86359 |
|
4,762 |
4,460 |
$61K |
| 94060 |
|
955 |
881 |
$61K |
| 00790 |
|
313 |
142 |
$60K |
| D2331 |
|
812 |
548 |
$60K |
| 59426 |
|
264 |
262 |
$59K |
| 36556 |
|
975 |
805 |
$59K |
| 70491 |
|
1,074 |
1,026 |
$58K |
| J2426 |
Inj, invega sustenna, 1 mg |
14 |
12 |
$58K |
| 87340 |
|
4,469 |
4,061 |
$57K |
| 83020 |
|
3,174 |
3,070 |
$57K |
| 0054A |
|
1,802 |
1,716 |
$57K |
| 83655 |
|
2,495 |
2,279 |
$56K |
| 72141 |
|
721 |
693 |
$56K |
| 82728 |
|
4,765 |
4,210 |
$55K |
| 99441 |
|
3,017 |
2,541 |
$55K |
| 96118 |
|
572 |
510 |
$54K |
| V5266 |
Battery for hearing device |
1,867 |
1,830 |
$53K |
| 52000 |
|
234 |
168 |
$52K |
| J7030 |
Normal saline solution infus |
14,660 |
12,486 |
$52K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
948 |
886 |
$52K |
| 90691 |
|
1,453 |
1,383 |
$51K |
| 76641 |
|
1,418 |
1,212 |
$51K |
| 01480 |
|
256 |
126 |
$50K |
| 73110 |
|
6,021 |
4,790 |
$50K |
| 96130 |
|
456 |
411 |
$50K |
| G2078 |
Take-home meth |
3,064 |
1,123 |
$50K |
| J2704 |
Inj, propofol, 10 mg |
13,287 |
7,358 |
$49K |
| 93295 |
|
755 |
720 |
$49K |
| 0072A |
|
1,207 |
1,196 |
$49K |
| 86706 |
|
3,772 |
3,440 |
$49K |
| D2140 |
|
728 |
384 |
$48K |
| 0004A |
|
1,745 |
1,636 |
$48K |
| 87177 |
|
2,571 |
1,401 |
$48K |
| 99226 |
|
505 |
306 |
$48K |
| 77066 |
Tomosynthesis, mammo |
775 |
744 |
$47K |
| G0279 |
Tomosynthesis, mammo |
1,276 |
1,231 |
$46K |
| 92553 |
|
560 |
539 |
$46K |
| 73564 |
|
4,549 |
3,952 |
$46K |
| 99464 |
|
837 |
828 |
$46K |
| 69210 |
|
1,568 |
1,325 |
$45K |
| 95924 |
|
225 |
129 |
$45K |
| 84153 |
|
1,047 |
982 |
$45K |
| 71271 |
|
930 |
869 |
$45K |
| 95720 |
|
298 |
149 |
$45K |
| 84165 |
|
2,862 |
2,628 |
$45K |
| Q0091 |
Obtaining screen pap smear |
5,876 |
5,621 |
$43K |
| 92083 |
|
1,653 |
1,335 |
$42K |
| 99385 |
|
730 |
719 |
$42K |
| 59425 |
|
255 |
250 |
$42K |
| 83605 |
|
8,111 |
5,822 |
$41K |
| 11900 |
|
369 |
332 |
$41K |
| 92579 |
|
307 |
301 |
$40K |
| 92588 |
|
287 |
279 |
$39K |
| 96116 |
|
223 |
211 |
$39K |
| A0998 |
Ambulance response/treatment |
151 |
145 |
$39K |
| 88341 |
|
476 |
400 |
$39K |
| 87210 |
|
6,651 |
6,123 |
$39K |
| 86704 |
|
2,954 |
2,688 |
$39K |
| 88304 |
|
2,991 |
2,906 |
$38K |
| 20553 |
|
645 |
603 |
$38K |
| 76642 |
|
627 |
545 |
$37K |
| 92370 |
|
1,411 |
1,340 |
$37K |
| 51798 |
|
1,712 |
1,611 |
$37K |
| 59409 |
|
82 |
79 |
$37K |
| 97802 |
|
601 |
592 |
$37K |
| S9445 |
Pt education noc individ |
516 |
512 |
$37K |
| 74183 |
|
238 |
225 |
$36K |
| 86787 |
|
2,630 |
2,423 |
$36K |
| 96158 |
|
718 |
464 |
$36K |
| 93294 |
|
1,535 |
1,417 |
$36K |
| 99397 |
|
639 |
605 |
$36K |
| 81025 |
|
8,541 |
8,051 |
$35K |
| 49083 |
|
152 |
63 |
$35K |
| 96138 |
|
1,001 |
885 |
$35K |
| 82043 |
|
3,526 |
3,175 |
$34K |
| 97163 |
|
495 |
471 |
$34K |
| J1642 |
Inj heparin sodium per 10 u |
15,209 |
8,846 |
$34K |
| D7230 |
|
153 |
93 |
$33K |
| G2212 |
Prolong outpt/office vis |
940 |
865 |
$33K |
| 0071A |
|
872 |
837 |
$33K |
| 94640 |
|
1,837 |
1,288 |
$33K |
| 80504 |
|
856 |
803 |
$32K |
| 90750 |
|
452 |
416 |
$32K |
| 74230 |
|
1,035 |
944 |
$31K |
| 87077 |
|
2,758 |
2,480 |
$31K |
| 73590 |
|
4,203 |
3,310 |
$30K |
| 83690 |
|
5,196 |
4,601 |
$30K |
| 66984 |
|
22 |
12 |
$30K |
| 76882 |
|
1,624 |
1,476 |
$30K |
| 76536 |
|
1,051 |
1,022 |
$30K |
| 11981 |
|
585 |
572 |
$29K |
| 54150 |
|
384 |
349 |
$29K |
| 99383 |
|
554 |
541 |
$29K |
| 99451 |
|
1,057 |
1,032 |
$29K |
| J3301 |
Triamcinolone acet inj nos |
2,387 |
2,237 |
$29K |
| 97116 |
|
1,231 |
758 |
$28K |
| 72170 |
|
4,061 |
3,592 |
$28K |
| 99384 |
|
375 |
370 |
$28K |
| D0210 |
|
536 |
435 |
$27K |
| 72040 |
|
2,043 |
1,745 |
$27K |
| 99140 |
|
3,398 |
3,004 |
$27K |
| 83540 |
|
3,843 |
3,409 |
$25K |
| G0179 |
Md recertification hha pt |
1,782 |
1,637 |
$25K |
| 92134 |
|
1,451 |
1,254 |
$25K |
| 77014 |
|
781 |
88 |
$25K |
| 78816 |
|
84 |
66 |
$25K |
| 96040 |
|
574 |
557 |
$24K |
| 20611 |
|
203 |
151 |
$23K |
| 99401 |
|
657 |
614 |
$23K |
| G0008 |
Admin influenza virus vac |
4,275 |
3,665 |
$23K |
| 86790 |
|
1,462 |
1,337 |
$23K |
| J0330 |
Succinycholine chloride inj |
14,613 |
6,049 |
$22K |
| 31231 |
|
286 |
248 |
$22K |
| V5299 |
Hearing service |
2,360 |
1,819 |
$22K |
| 96156 |
|
394 |
325 |
$22K |
| 84460 |
|
3,150 |
2,946 |
$21K |
| 82570 |
|
4,600 |
4,062 |
$21K |
| 99225 |
|
461 |
328 |
$21K |
| 87522 |
Neg quan hep c or qual rna |
1,282 |
1,179 |
$21K |
| 97130 |
|
321 |
209 |
$21K |
| 90474 |
|
2,887 |
2,789 |
$21K |
| 99356 |
|
286 |
194 |
$21K |
| 0052A |
|
488 |
471 |
$21K |
| 84466 |
|
3,605 |
3,246 |
$21K |
| 95800 |
|
150 |
89 |
$20K |
| 94664 |
|
228 |
221 |
$20K |
| 77002 |
|
605 |
531 |
$20K |
| 95923 |
|
243 |
142 |
$19K |
| 73560 |
|
2,812 |
2,139 |
$19K |
| 90656 |
|
3,296 |
3,271 |
$18K |
| 82803 |
|
2,238 |
1,650 |
$18K |
| 73221 |
|
150 |
136 |
$18K |
| 81003 |
|
4,911 |
4,443 |
$18K |
| 83735 |
|
6,491 |
4,248 |
$18K |
| 77263 |
|
113 |
104 |
$18K |
| 87517 |
|
427 |
411 |
$18K |
| D5110 |
|
25 |
24 |
$17K |
| 87502 |
|
1,765 |
1,585 |
$17K |
| G0180 |
Md certification hha patient |
1,268 |
1,147 |
$16K |
| 86708 |
|
905 |
827 |
$16K |
| Q9957 |
Inj perflutren lip micros,ml |
583 |
410 |
$16K |
| 99406 |
|
2,577 |
2,310 |
$16K |
| 92552 |
|
259 |
251 |
$16K |
| 52332 |
|
24 |
15 |
$15K |
| 86593 |
|
493 |
461 |
$15K |
| 96119 |
|
584 |
459 |
$15K |
| 93793 |
|
2,166 |
1,500 |
$15K |
| 82607 |
|
1,559 |
1,396 |
$15K |
| H1003 |
Prenatal at risk education |
473 |
440 |
$15K |
| 80069 |
|
1,662 |
1,419 |
$15K |
| 90717 |
|
360 |
341 |
$15K |
| 96101 |
|
433 |
289 |
$15K |
| 99201 |
|
901 |
887 |
$15K |
| 87635 |
|
508 |
404 |
$15K |
| 80503 |
|
693 |
655 |
$14K |
| 73700 |
|
218 |
192 |
$14K |
| 80050 |
|
173 |
136 |
$14K |
| S9446 |
Pt education noc group |
651 |
520 |
$14K |
| 84703 |
|
5,367 |
4,958 |
$14K |
| 58300 |
|
397 |
381 |
$14K |
| 85018 |
|
3,327 |
2,756 |
$14K |
| G0249 |
Provide inr test mater/equip |
200 |
165 |
$14K |
| 74420 |
|
209 |
133 |
$14K |
| 77300 |
|
62 |
37 |
$13K |
| 86003 |
|
91 |
60 |
$13K |
| 90715 |
|
910 |
840 |
$13K |
| 99316 |
|
274 |
245 |
$13K |
| 86900 |
|
594 |
540 |
$13K |
| 73080 |
|
1,817 |
1,601 |
$12K |
| 86141 |
|
1,816 |
1,604 |
$12K |
| 52310 |
|
21 |
12 |
$12K |
| 93351 |
|
371 |
363 |
$12K |
| 92133 |
|
488 |
388 |
$12K |
| 90651 |
|
606 |
593 |
$12K |
| J0702 |
Betamethasone acet&sod phosp |
888 |
811 |
$12K |
| J2315 |
Naltrexone, depot form |
13 |
12 |
$11K |
| 95910 |
|
65 |
51 |
$11K |
| G0141 |
Scr c/v cyto,autosys and md |
343 |
324 |
$11K |
| 76937 |
|
1,142 |
963 |
$11K |
| 78452 |
|
58 |
53 |
$11K |
| 0012A |
|
435 |
430 |
$11K |
| 10061 |
|
182 |
169 |
$11K |
| H1002 |
Carecoordination prenatal |
504 |
470 |
$11K |
| V5261 |
Hearing aid, digit, bin, bte |
14 |
12 |
$11K |
| G0500 |
Mod sedat endo service >5yrs |
939 |
717 |
$10K |
| 93298 |
|
382 |
275 |
$10K |
| 88112 |
|
312 |
288 |
$10K |
| 0051A |
|
241 |
225 |
$9K |
| 97129 |
|
338 |
221 |
$9K |
| 00142 |
|
198 |
93 |
$9K |
| 99100 |
|
2,580 |
1,520 |
$9K |
| 94010 |
|
189 |
131 |
$9K |
| 99382 |
|
106 |
101 |
$8K |
| C9399 |
Unclassified drugs or biolog |
159 |
122 |
$8K |
| G0297 |
Ldct for lung ca screen |
328 |
259 |
$8K |
| 99306 |
Prolong nursin fac eval 15m |
74 |
62 |
$8K |
| 95885 |
|
91 |
55 |
$8K |
| 62321 |
|
23 |
12 |
$8K |
| 87186 |
|
1,660 |
1,412 |
$8K |
| 73552 |
|
1,020 |
746 |
$8K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
1,366 |
1,246 |
$8K |
| 77412 |
|
120 |
12 |
$8K |
| 86480 |
|
182 |
163 |
$8K |
| 83880 |
|
1,113 |
895 |
$8K |
| 78813 |
|
28 |
25 |
$8K |
| 92586 |
|
48 |
46 |
$8K |
| A9585 |
Gadobutrol injection |
287 |
244 |
$8K |
| V5267 |
Hearing aid sup/access/dev |
1,127 |
886 |
$8K |
| J2001 |
Lidocaine injection |
2,604 |
1,888 |
$7K |
| 0011A |
|
545 |
509 |
$7K |
| J0696 |
Ceftriaxone sodium injection |
258 |
194 |
$7K |
| 80197 |
|
1,372 |
905 |
$7K |
| 93248 |
|
363 |
358 |
$7K |
| 84403 |
|
344 |
333 |
$7K |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
304 |
265 |
$7K |
| 0082A |
|
187 |
186 |
$7K |
| 77065 |
Tomosynthesis, mammo |
132 |
109 |
$7K |
| 83721 |
|
1,166 |
1,042 |
$7K |
| 86780 |
|
433 |
410 |
$7K |
| J2003 |
Inj, lidocaine hcl, 1 mg |
177 |
161 |
$7K |
| 87081 |
|
3,084 |
2,896 |
$7K |
| 97165 |
|
219 |
190 |
$7K |
| 76870 |
|
304 |
285 |
$7K |
| J2405 |
Ondansetron hcl injection |
5,051 |
3,770 |
$6K |
| 83970 |
|
470 |
441 |
$6K |
| J1790 |
Droperidol injection |
784 |
704 |
$6K |
| 74019 |
|
736 |
660 |
$6K |
| 0003A |
|
256 |
242 |
$6K |
| 90734 |
|
254 |
243 |
$6K |
| 96376 |
|
85 |
50 |
$6K |
| 73090 |
|
886 |
708 |
$6K |
| 99447 |
|
226 |
219 |
$6K |
| G2066 |
Inter devc remote 30d |
188 |
183 |
$6K |
| 90966 |
|
66 |
64 |
$6K |
| G0480 |
Drug test def 1-7 classes |
346 |
298 |
$6K |
| D1330 |
|
835 |
817 |
$6K |
| 86762 |
|
466 |
433 |
$6K |
| 86334 |
|
273 |
271 |
$5K |
| 99407 |
|
170 |
144 |
$5K |
| 0031A |
|
156 |
152 |
$5K |
| D2393 |
|
59 |
44 |
$5K |
| 94726 |
|
397 |
377 |
$5K |
| 91300 |
|
2,502 |
2,422 |
$5K |
| 82105 |
|
588 |
562 |
$5K |
| J1100 |
Dexamethasone sodium phos |
2,146 |
1,725 |
$5K |
| J1030 |
Methylprednisolone 40 mg inj |
1,335 |
1,216 |
$5K |
| 90619 |
|
91 |
88 |
$5K |
| 88312 |
|
105 |
101 |
$5K |
| C9290 |
Inj, bupivacaine liposome |
120 |
110 |
$5K |
| 99381 |
|
107 |
105 |
$5K |
| 29580 |
|
127 |
53 |
$5K |
| 73140 |
|
984 |
901 |
$5K |
| 86850 |
|
594 |
542 |
$5K |
| 84450 |
|
679 |
664 |
$5K |
| 87880 |
|
2,817 |
2,686 |
$5K |
| 10005 |
|
21 |
12 |
$5K |
| 95012 |
|
336 |
323 |
$4K |
| 86355 |
|
74 |
72 |
$4K |
| D9420 |
|
286 |
285 |
$4K |
| 86357 |
|
74 |
72 |
$4K |
| 90473 |
|
288 |
283 |
$4K |
| 99403 |
|
75 |
62 |
$4K |
| 92582 |
|
69 |
67 |
$4K |
| G0101 |
Ca screen;pelvic/breast exam |
497 |
477 |
$4K |
| V2207 |
Lens sphcy bifocal 4.25-7d/. |
33 |
32 |
$4K |
| D9222 |
|
14 |
14 |
$4K |
| 82670 |
|
251 |
243 |
$4K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
202 |
158 |
$4K |
| C1769 |
Guide wire |
337 |
225 |
$4K |
| J1815 |
Insulin injection |
898 |
357 |
$4K |
| V5160 |
Dispensing fee binaural |
27 |
24 |
$4K |
| 86079 |
|
57 |
53 |
$4K |
| D2332 |
|
34 |
24 |
$4K |
| 76818 |
|
93 |
66 |
$4K |
| 10060 |
|
50 |
49 |
$4K |
| 87149 |
|
725 |
381 |
$4K |
| 12001 |
|
113 |
107 |
$4K |
| 96366 |
|
163 |
124 |
$4K |
| 84100 |
|
3,005 |
2,022 |
$3K |
| J1170 |
Hydromorphone injection |
1,634 |
902 |
$3K |
| 99386 |
|
50 |
50 |
$3K |
| 93352 |
|
126 |
123 |
$3K |
| 96417 |
|
34 |
26 |
$3K |
| 97813 |
|
112 |
63 |
$3K |
| 41899 |
|
39 |
28 |
$3K |
| 94729 |
|
450 |
429 |
$3K |
| 77049 |
|
29 |
27 |
$3K |
| 20552 |
|
27 |
14 |
$3K |
| 92504 |
|
428 |
377 |
$3K |
| 85652 |
|
1,327 |
1,161 |
$3K |
| 12002 |
|
61 |
60 |
$3K |
| 86901 |
|
596 |
540 |
$3K |
| 93280 |
|
85 |
69 |
$3K |
| 97597 |
|
62 |
37 |
$3K |
| 93926 |
|
121 |
115 |
$3K |
| 71275 |
|
25 |
25 |
$3K |
| D2335 |
|
33 |
27 |
$3K |
| 96415 |
|
35 |
25 |
$3K |
| H0038 |
Self-help/peer svc per 15min |
130 |
114 |
$3K |
| 90672 |
|
449 |
439 |
$3K |
| 0154A |
|
73 |
73 |
$3K |
| 97814 |
|
110 |
63 |
$3K |
| 58301 |
|
65 |
65 |
$3K |
| 99499 |
|
41 |
40 |
$3K |
| 80349 |
|
44 |
44 |
$3K |
| 87637 |
|
43 |
43 |
$3K |
| 12011 |
|
91 |
90 |
$3K |
| 87086 |
|
1,787 |
1,469 |
$3K |
| G9002 |
Mccd,maintenance rate |
186 |
186 |
$3K |
| D7111 |
|
31 |
17 |
$3K |
| 0081A |
|
77 |
77 |
$3K |
| V2107 |
Spherocylinder 4.25d/12-2d |
27 |
27 |
$3K |
| 88350 |
|
13 |
12 |
$3K |
| 93282 |
|
45 |
39 |
$3K |
| G0103 |
Psa screening |
12 |
12 |
$2K |
| 11982 |
|
53 |
52 |
$2K |
| 75716 |
|
29 |
24 |
$2K |
| 96159 |
|
129 |
76 |
$2K |
| 72146 |
|
14 |
12 |
$2K |
| 90723 |
|
4,138 |
3,981 |
$2K |
| 92002 |
|
154 |
147 |
$2K |
| 11102 |
|
25 |
25 |
$2K |
| 74174 |
|
13 |
12 |
$2K |
| 76942 |
|
171 |
157 |
$2K |
| 99347 |
|
49 |
49 |
$2K |
| 92136 |
|
71 |
65 |
$2K |
| 72070 |
|
181 |
170 |
$2K |
| J1644 |
Inj heparin sodium per 1000u |
1,029 |
506 |
$2K |
| D4355 |
|
39 |
39 |
$2K |
| 99421 |
|
1,023 |
981 |
$2K |
| 70544 |
|
40 |
39 |
$2K |
| G0109 |
Diab manage trn ind/group |
58 |
55 |
$2K |
| 62270 |
|
47 |
41 |
$2K |
| 85730 |
|
460 |
381 |
$2K |
| J0690 |
Cefazolin sodium injection |
1,197 |
883 |
$2K |
| 76770 |
|
82 |
78 |
$2K |
| 88291 |
|
42 |
40 |
$2K |
| 90746 |
|
51 |
43 |
$2K |
| 99305 |
|
13 |
13 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
707 |
421 |
$2K |
| 99235 |
|
14 |
14 |
$2K |
| 87799 |
|
215 |
176 |
$1K |
| 90970 |
|
318 |
26 |
$1K |
| 99349 |
|
14 |
12 |
$1K |
| 88108 |
|
61 |
55 |
$1K |
| 93299 |
|
41 |
39 |
$1K |
| 51741 |
|
136 |
116 |
$1K |
| 82533 |
|
94 |
78 |
$1K |
| 87070 |
|
109 |
76 |
$1K |
| 82950 |
|
262 |
245 |
$1K |
| 85384 |
|
169 |
142 |
$1K |
| 76820 |
|
159 |
102 |
$1K |
| H1000 |
Prenatal care atrisk assessm |
2,410 |
2,264 |
$1K |
| 86769 |
|
36 |
34 |
$1K |
| D2160 |
|
14 |
12 |
$1K |
| 98968 |
|
395 |
335 |
$1K |
| G0123 |
Screen cerv/vag thin layer |
66 |
62 |
$1K |
| 73060 |
|
172 |
138 |
$1K |
| 88302 |
|
79 |
72 |
$1K |
| 95874 |
|
44 |
26 |
$1K |
| 90846 |
|
47 |
44 |
$1K |
| 99336 |
|
22 |
15 |
$1K |
| 91301 |
|
239 |
239 |
$1K |
| 29540 |
|
35 |
14 |
$1K |
| J8540 |
Oral dexamethasone |
881 |
510 |
$1K |
| 84156 |
|
206 |
183 |
$1K |
| 90460 |
|
21 |
17 |
$1K |
| M0239 |
Bamlanivimab-xxxx infusion |
13 |
13 |
$968.29 |
| 82785 |
|
74 |
67 |
$967.45 |
| 0074A |
|
26 |
25 |
$931.43 |
| 0151A |
|
24 |
24 |
$922.74 |
| V5264 |
Ear mold/insert |
12 |
12 |
$911.82 |
| 98967 |
|
266 |
242 |
$883.68 |
| Q0162 |
Ondansetron oral |
2,204 |
1,733 |
$876.70 |
| 84132 |
|
1,050 |
631 |
$853.35 |
| 80177 |
|
15 |
14 |
$818.13 |
| 92593 |
|
26 |
26 |
$804.20 |
| 87624 |
|
38 |
37 |
$803.07 |
| 96161 |
|
27 |
24 |
$792.28 |
| J2359 |
Inj. olanzapine, 0.5mg |
16 |
12 |
$776.00 |
| 84550 |
|
439 |
337 |
$755.92 |
| J1650 |
Inj enoxaparin sodium |
208 |
76 |
$724.10 |
| 95908 |
|
12 |
12 |
$707.35 |
| 97161 |
|
12 |
12 |
$684.37 |
| 99211 |
|
40 |
38 |
$679.04 |
| 99251 |
|
14 |
14 |
$641.89 |
| 73522 |
|
26 |
26 |
$641.31 |
| 99452 |
|
29 |
26 |
$638.35 |
| 83615 |
|
1,183 |
875 |
$636.65 |
| 96381 |
|
60 |
59 |
$633.72 |
| 86160 |
|
145 |
133 |
$607.14 |
| C1773 |
Ret dev, insertable |
67 |
63 |
$605.98 |
| 0298T |
|
42 |
41 |
$597.86 |
| 99307 |
|
25 |
21 |
$597.07 |
| G0009 |
Admin pneumococcal vaccine |
358 |
297 |
$580.08 |
| 85379 |
|
461 |
353 |
$578.64 |
| 93016 |
|
38 |
38 |
$576.50 |
| J7040 |
Normal saline solution infus |
126 |
79 |
$557.32 |
| Q0144 |
Azithromycin dihydrate, oral |
31 |
27 |
$548.97 |
| D0270 |
|
50 |
50 |
$516.23 |
| 72120 |
|
12 |
12 |
$514.97 |
| J7042 |
5% dextrose/normal saline |
17 |
14 |
$491.85 |
| 88346 |
|
13 |
12 |
$489.06 |
| 90732 |
|
69 |
49 |
$488.26 |
| G0124 |
Screen c/v thin layer by md |
12 |
12 |
$471.30 |
| 99241 |
|
15 |
15 |
$463.67 |
| 92540 |
|
13 |
12 |
$453.37 |
| 96136 |
|
15 |
14 |
$450.27 |
| 86140 |
|
174 |
143 |
$434.97 |
| 97542 |
|
12 |
12 |
$404.28 |
| 99497 |
|
18 |
16 |
$389.37 |
| 93018 |
|
38 |
38 |
$386.85 |
| 73070 |
|
36 |
28 |
$345.44 |
| 90461 |
|
16 |
14 |
$343.25 |
| 82040 |
|
40 |
38 |
$338.68 |
| 96367 |
|
31 |
25 |
$303.38 |
| 93320 |
|
13 |
12 |
$298.45 |
| 95251 |
|
14 |
13 |
$254.54 |
| 82784 |
|
86 |
77 |
$250.38 |
| 88311 |
|
14 |
12 |
$245.02 |
| 92555 |
|
12 |
12 |
$231.96 |
| G0328 |
Fecal blood scrn immunoassay |
12 |
12 |
$226.78 |
| 82746 |
|
27 |
26 |
$226.42 |
| J0744 |
Ciprofloxacin iv |
17 |
14 |
$221.97 |
| 72020 |
|
34 |
13 |
$217.25 |
| 91303 |
|
85 |
84 |
$215.93 |
| 92650 |
|
29 |
25 |
$210.36 |
| 86256 |
|
130 |
120 |
$199.16 |
| 87272 |
|
21 |
15 |
$179.55 |
| 83718 |
|
36 |
36 |
$176.45 |
| 99358 |
Prolong nursin fac eval 15m |
29 |
27 |
$164.37 |
| 72190 |
|
14 |
12 |
$152.97 |
| 82610 |
|
12 |
12 |
$128.40 |
| 84520 |
|
167 |
119 |
$126.88 |
| 86235 |
|
81 |
72 |
$122.66 |
| J3475 |
Inj magnesium sulfate |
76 |
64 |
$122.08 |
| 90647 |
|
3,537 |
3,415 |
$115.92 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
18 |
13 |
$114.28 |
| 84702 |
|
14 |
12 |
$109.56 |
| G2063 |
Qual nonmd est pt 21>min |
16 |
15 |
$105.48 |
| 99177 |
|
26 |
24 |
$99.19 |
| 82465 |
|
12 |
12 |
$94.87 |
| 93922 |
|
12 |
12 |
$87.74 |
| 82550 |
|
60 |
54 |
$83.22 |
| 80081 |
|
14 |
14 |
$83.11 |
| G2062 |
Qual nonmd est pt 11-20m |
15 |
14 |
$80.80 |
| H0048 |
Spec coll non-blood:a/d test |
218 |
92 |
$79.20 |
| 83789 |
|
187 |
129 |
$77.13 |
| 98966 |
|
197 |
180 |
$71.25 |
| 93325 |
|
17 |
12 |
$63.26 |
| 99422 |
|
86 |
80 |
$62.85 |
| 82024 |
|
18 |
12 |
$61.79 |
| 87109 |
|
62 |
60 |
$61.25 |
| 98962 |
|
31 |
16 |
$59.15 |
| 90681 |
|
445 |
432 |
$40.26 |
| 82248 |
|
26 |
25 |
$39.69 |
| 83516 |
|
46 |
24 |
$27.98 |
| 90611 |
|
163 |
132 |
$19.73 |
| 84295 |
|
19 |
13 |
$17.32 |
| 86039 |
|
24 |
21 |
$13.54 |
| J7060 |
5% dextrose/water |
23 |
13 |
$10.12 |
| 90713 |
|
15 |
15 |
$9.81 |
| J7512 |
Prednisone ir or dr oral 1mg |
424 |
218 |
$2.97 |
| Q0163 |
Diphenhydramine hcl 50mg |
132 |
86 |
$2.42 |
| J1200 |
Diphenhydramine hcl injectio |
19 |
17 |
$1.89 |
| 90685 |
|
134 |
100 |
$0.01 |
| T1001 |
Nursing assessment/evaluatn |
46 |
46 |
$0.00 |
| 86325 |
|
14 |
13 |
$0.00 |
| G8978 |
Mobility current status |
316 |
224 |
$0.00 |
| 90633 |
|
599 |
578 |
$0.00 |
| G8979 |
Mobility goal status |
351 |
255 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
17 |
15 |
$0.00 |
| 84630 |
|
19 |
17 |
$0.00 |
| 86200 |
|
30 |
28 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
82 |
57 |
$0.00 |
| 90707 |
|
56 |
55 |
$0.00 |
| 85045 |
|
18 |
12 |
$0.00 |
| 86431 |
|
32 |
30 |
$0.00 |
| 82247 |
|
15 |
13 |
$0.00 |
| 87040 |
|
37 |
14 |
$0.00 |
| 90680 |
|
1,444 |
1,382 |
$0.00 |
| G8988 |
Self care goal status |
138 |
88 |
$0.00 |
| G8987 |
Self care current status |
109 |
69 |
$0.00 |
| 87430 |
|
494 |
456 |
$0.00 |
| 91318 |
|
180 |
177 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
26 |
14 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
15 |
13 |
$0.00 |
| G8980 |
Mobility d/c status |
50 |
36 |
$0.00 |
| 90688 |
|
22 |
20 |
$0.00 |
| D1353 |
|
134 |
50 |
$0.00 |
| 76519 |
|
57 |
41 |
$0.00 |
| 82525 |
|
20 |
17 |
$0.00 |
| G0475 |
Hiv combination assay |
22 |
13 |
$0.00 |
| 91319 |
|
52 |
49 |
$0.00 |
| 90899 |
|
18 |
13 |
$0.00 |
| D3120 |
|
21 |
12 |
$0.00 |
| 90660 |
|
38 |
38 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
27 |
17 |
$0.00 |
| 90716 |
|
24 |
24 |
$0.00 |
| 83088 |
|
18 |
16 |
$0.00 |