| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
526,832 |
431,905 |
$64.68M |
| 99214 |
|
269,573 |
229,986 |
$36.86M |
| 99283 |
|
102,792 |
96,518 |
$20.85M |
| 99284 |
|
91,296 |
85,972 |
$17.79M |
| 90832 |
|
130,983 |
103,248 |
$15.50M |
| 99212 |
|
134,034 |
112,329 |
$14.55M |
| 90791 |
|
14,198 |
12,016 |
$10.90M |
| 99282 |
|
43,604 |
41,670 |
$10.27M |
| 99285 |
|
38,946 |
36,422 |
$7.51M |
| 36415 |
|
357,168 |
83,431 |
$6.04M |
| 80053 |
|
239,928 |
140,449 |
$5.35M |
| 97010 |
|
122,069 |
25,589 |
$4.82M |
| 97110 |
|
68,468 |
23,551 |
$4.03M |
| 96372 |
|
90,274 |
64,315 |
$4.01M |
| 99391 |
|
71,397 |
29,478 |
$3.94M |
| U0003 |
Cov-19 amp prb hgh thruput |
53,058 |
46,566 |
$3.65M |
| 99281 |
|
17,610 |
16,607 |
$3.36M |
| H0020 |
Alcohol and/or drug services |
106,011 |
7,883 |
$3.28M |
| 45380 |
|
3,338 |
3,186 |
$3.05M |
| 96365 |
|
25,893 |
19,832 |
$3.02M |
| 92012 |
|
32,724 |
22,672 |
$2.90M |
| J2426 |
Inj, invega sustenna, 1 mg |
5,180 |
4,661 |
$2.73M |
| 99203 |
|
18,253 |
17,365 |
$2.48M |
| 96361 |
|
24,019 |
20,692 |
$2.47M |
| 43239 |
|
3,310 |
3,201 |
$2.43M |
| 99392 |
|
29,437 |
16,818 |
$2.08M |
| S9485 |
Crisis intervention mental h |
1,767 |
1,522 |
$2.05M |
| 80048 |
|
65,543 |
52,878 |
$2.00M |
| 90853 |
|
26,888 |
5,996 |
$1.90M |
| G2067 |
Med assist tx meth wk |
9,209 |
2,735 |
$1.88M |
| J0401 |
Inj, abilify maintena, 1 mg |
1,898 |
1,799 |
$1.87M |
| 45378 |
|
1,951 |
1,903 |
$1.83M |
| 94760 |
|
68,685 |
45,162 |
$1.73M |
| 99215 |
Prolong outpt/office vis |
9,696 |
7,537 |
$1.44M |
| 97162 |
|
11,301 |
11,272 |
$1.43M |
| 80307 |
|
49,568 |
36,628 |
$1.42M |
| 92551 |
|
47,225 |
21,941 |
$1.40M |
| 81002 |
|
53,096 |
29,000 |
$1.39M |
| 70450 |
|
10,377 |
10,246 |
$1.29M |
| G0463 |
Hospital outpt clinic visit |
32,910 |
26,852 |
$1.29M |
| 99211 |
|
15,135 |
11,965 |
$1.26M |
| 90846 |
|
8,469 |
6,664 |
$1.20M |
| 90834 |
|
7,188 |
6,104 |
$1.17M |
| 97014 |
|
49,587 |
16,731 |
$1.10M |
| 99204 |
|
6,677 |
6,534 |
$1.09M |
| 20610 |
|
8,939 |
6,147 |
$1.07M |
| 74177 |
|
8,245 |
8,201 |
$1.05M |
| 92014 |
|
11,892 |
7,723 |
$1.01M |
| 87491 |
|
37,784 |
36,477 |
$987K |
| 99393 |
|
10,168 |
9,619 |
$917K |
| 88305 |
|
18,491 |
17,985 |
$912K |
| G0396 |
Alcohol/subs interv 15-30mn |
8,471 |
4,456 |
$889K |
| 99173 |
|
14,490 |
14,478 |
$856K |
| 99396 |
|
6,995 |
6,866 |
$849K |
| 87536 |
|
11,953 |
11,756 |
$848K |
| 86703 |
|
51,455 |
51,107 |
$812K |
| 99395 |
|
6,629 |
6,587 |
$764K |
| 90460 |
|
26,008 |
25,879 |
$764K |
| 96360 |
|
8,083 |
7,988 |
$751K |
| 59841 |
|
649 |
642 |
$751K |
| 85610 |
|
53,810 |
40,534 |
$729K |
| 99202 |
|
7,041 |
6,688 |
$714K |
| 76856 |
|
3,272 |
3,266 |
$705K |
| 86885 |
|
26,962 |
25,744 |
$696K |
| J7307 |
Etonogestrel implant system |
806 |
802 |
$688K |
| 76830 |
|
11,049 |
10,536 |
$677K |
| 76700 |
|
3,403 |
3,398 |
$666K |
| 80061 |
|
63,604 |
57,140 |
$664K |
| 97161 |
|
5,242 |
5,235 |
$643K |
| 73630 |
|
17,598 |
11,743 |
$641K |
| 93306 |
|
7,238 |
6,758 |
$637K |
| 90792 |
|
2,629 |
2,598 |
$632K |
| 45385 |
|
1,268 |
1,251 |
$612K |
| 58558 |
|
495 |
471 |
$589K |
| 97164 |
|
5,309 |
5,186 |
$571K |
| 87086 |
|
37,837 |
30,260 |
$558K |
| 82306 |
|
25,719 |
25,613 |
$498K |
| 90471 |
|
34,959 |
34,393 |
$493K |
| 99394 |
|
5,598 |
5,458 |
$492K |
| 74176 |
|
3,844 |
3,827 |
$487K |
| 83655 |
|
26,865 |
15,261 |
$487K |
| 97112 |
|
18,631 |
9,896 |
$475K |
| 11721 |
|
7,338 |
5,786 |
$469K |
| 80051 |
|
48,316 |
43,268 |
$459K |
| 76805 |
|
4,949 |
4,884 |
$456K |
| 76816 |
|
5,944 |
5,569 |
$453K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
2,330 |
2,278 |
$451K |
| 90670 |
|
9,096 |
9,066 |
$427K |
| 93970 |
|
2,707 |
2,681 |
$423K |
| 87591 |
|
36,965 |
36,471 |
$415K |
| 90651 |
|
2,982 |
2,978 |
$409K |
| 94060 |
|
4,714 |
4,009 |
$398K |
| 52000 |
|
642 |
637 |
$397K |
| 77067 |
|
7,929 |
7,921 |
$395K |
| 76815 |
|
6,373 |
5,975 |
$391K |
| J3490 |
Drugs unclassified injection |
63,307 |
38,043 |
$377K |
| 96413 |
|
3,239 |
1,857 |
$374K |
| 86592 |
|
65,718 |
50,513 |
$348K |
| 86901 |
|
27,038 |
25,839 |
$346K |
| 12001 |
|
1,505 |
1,496 |
$343K |
| 90697 |
|
3,205 |
3,198 |
$333K |
| 76818 |
|
3,768 |
3,013 |
$332K |
| 71046 |
|
35,040 |
33,929 |
$327K |
| G8978 |
Mobility current status |
8,404 |
3,314 |
$320K |
| 97140 |
|
15,003 |
7,500 |
$320K |
| 85025 |
|
159,847 |
150,391 |
$313K |
| 76817 |
|
3,928 |
3,243 |
$310K |
| 83036 |
|
72,505 |
71,602 |
$304K |
| 86900 |
|
27,038 |
25,839 |
$303K |
| 81025 |
|
20,512 |
17,841 |
$302K |
| J1756 |
Iron sucrose injection |
9,086 |
4,035 |
$300K |
| J2794 |
Inj risperdal consta, 0.5 mg |
1,304 |
712 |
$299K |
| 10060 |
|
1,564 |
1,538 |
$293K |
| 99381 |
|
2,181 |
2,073 |
$292K |
| 76641 |
|
3,969 |
3,883 |
$292K |
| 76705 |
|
6,385 |
6,349 |
$291K |
| 87210 |
|
25,986 |
22,039 |
$288K |
| 95810 |
|
562 |
554 |
$284K |
| 51741 |
|
2,115 |
1,701 |
$281K |
| 12011 |
|
1,276 |
1,273 |
$272K |
| 99232 |
|
3,560 |
1,252 |
$270K |
| 86803 |
|
39,119 |
38,860 |
$265K |
| T1013 |
Sign lang/oral interpreter |
14,891 |
14,161 |
$265K |
| 99457 |
|
1,853 |
1,841 |
$261K |
| 90461 |
|
12,049 |
12,012 |
$260K |
| J1050 |
Medroxyprogesterone acetate |
3,999 |
3,993 |
$248K |
| 92134 |
|
7,533 |
6,362 |
$247K |
| 92083 |
|
3,485 |
3,092 |
$243K |
| 97803 |
|
2,068 |
2,019 |
$238K |
| 86706 |
|
35,349 |
35,092 |
$235K |
| 97166 |
|
1,901 |
1,895 |
$223K |
| 99454 |
|
2,837 |
2,775 |
$220K |
| 82607 |
|
25,504 |
25,203 |
$216K |
| 29581 |
|
1,914 |
651 |
$211K |
| 90686 |
|
15,895 |
15,851 |
$205K |
| 73721 |
|
1,111 |
1,080 |
$202K |
| 73562 |
|
8,929 |
7,595 |
$201K |
| 20550 |
|
1,263 |
1,012 |
$201K |
| 58100 |
|
700 |
694 |
$199K |
| 97597 |
|
843 |
624 |
$194K |
| 87635 |
|
6,047 |
5,877 |
$194K |
| C9290 |
Inj, bupivacaine liposome |
367 |
363 |
$193K |
| 90715 |
|
8,717 |
8,258 |
$190K |
| 90677 |
|
1,281 |
1,280 |
$187K |
| 90671 |
|
1,064 |
1,060 |
$183K |
| 99000 |
|
8,097 |
7,393 |
$181K |
| 76801 |
|
2,213 |
2,180 |
$180K |
| 99406 |
|
6,313 |
5,957 |
$178K |
| 77066 |
Tomosynthesis, mammo |
2,207 |
2,204 |
$176K |
| 97165 |
|
1,490 |
1,483 |
$175K |
| 11981 |
|
797 |
794 |
$172K |
| J2505 |
Injection, pegfilgrastim 6mg |
36 |
27 |
$169K |
| 92133 |
|
4,128 |
3,767 |
$157K |
| 73030 |
|
7,165 |
5,978 |
$156K |
| 84443 |
|
31,606 |
31,341 |
$154K |
| GZHZZZZ |
|
78 |
14 |
$151K |
| 87340 |
|
35,228 |
34,962 |
$151K |
| 71275 |
|
1,097 |
1,094 |
$141K |
| 73130 |
|
6,672 |
5,389 |
$141K |
| 0002A |
|
4,074 |
4,074 |
$138K |
| 12002 |
|
552 |
549 |
$136K |
| 87077 |
|
4,754 |
4,751 |
$132K |
| 77065 |
Tomosynthesis, mammo |
2,193 |
2,158 |
$132K |
| 72148 |
|
1,311 |
1,311 |
$128K |
| 83880 |
|
8,390 |
8,231 |
$128K |
| 84153 |
|
7,131 |
5,986 |
$127K |
| 82728 |
|
15,031 |
14,715 |
$126K |
| 90746 |
|
3,166 |
3,134 |
$126K |
| 86762 |
|
11,128 |
11,050 |
$124K |
| 93971 |
|
2,865 |
2,822 |
$124K |
| 11982 |
|
562 |
556 |
$123K |
| 57454 |
|
379 |
359 |
$122K |
| 69210 |
|
2,049 |
1,534 |
$122K |
| 76536 |
|
1,602 |
1,598 |
$122K |
| 86769 |
|
7,161 |
4,046 |
$122K |
| 93010 |
|
14,409 |
12,667 |
$121K |
| 31575 |
|
1,359 |
1,131 |
$119K |
| 97802 |
|
1,202 |
1,193 |
$119K |
| 76819 |
|
1,547 |
1,304 |
$116K |
| 36416 |
|
4,113 |
1,397 |
$115K |
| 0012A |
|
3,333 |
3,333 |
$114K |
| 92587 |
|
2,255 |
2,238 |
$113K |
| 71250 |
|
1,279 |
1,274 |
$112K |
| 94640 |
|
13,409 |
12,728 |
$112K |
| 0202U |
|
10,689 |
10,412 |
$111K |
| 96367 |
|
3,760 |
3,362 |
$111K |
| 70486 |
|
1,980 |
1,968 |
$110K |
| 84702 |
|
18,546 |
15,135 |
$109K |
| 58300 |
|
992 |
986 |
$109K |
| G8984 |
Carry current status |
3,001 |
1,209 |
$108K |
| 0001A |
|
3,879 |
3,879 |
$108K |
| G0108 |
Diab manage trn per indiv |
1,573 |
1,495 |
$107K |
| 97168 |
|
1,023 |
983 |
$106K |
| 86765 |
|
9,779 |
9,760 |
$104K |
| 76813 |
|
1,526 |
1,507 |
$104K |
| 29355 |
|
491 |
484 |
$103K |
| 97530 |
|
936 |
605 |
$100K |
| G8981 |
Body pos current status |
2,747 |
1,061 |
$98K |
| 83020 |
|
8,411 |
7,652 |
$96K |
| C1729 |
Cath, drainage |
1,157 |
1,116 |
$95K |
| 73565 |
|
2,476 |
1,836 |
$93K |
| 36000 |
|
7,117 |
7,037 |
$92K |
| 84439 |
|
18,422 |
18,197 |
$92K |
| 82746 |
|
14,378 |
14,169 |
$91K |
| 88142 |
|
4,690 |
4,661 |
$91K |
| 90680 |
|
7,264 |
7,245 |
$89K |
| 90656 |
|
8,964 |
8,943 |
$89K |
| 29125 |
|
737 |
730 |
$89K |
| 58301 |
|
704 |
692 |
$89K |
| 99291 |
|
413 |
242 |
$88K |
| 0011A |
|
3,121 |
3,121 |
$87K |
| 92557 |
|
4,270 |
4,256 |
$87K |
| 90619 |
|
668 |
667 |
$86K |
| 86140 |
|
11,584 |
9,752 |
$85K |
| 96415 |
|
794 |
557 |
$85K |
| 73221 |
|
472 |
461 |
$84K |
| 92550 |
|
3,190 |
3,168 |
$83K |
| 96417 |
|
1,413 |
880 |
$83K |
| 73610 |
|
5,262 |
4,755 |
$83K |
| 90691 |
|
1,047 |
1,044 |
$81K |
| 71260 |
|
1,086 |
1,084 |
$80K |
| J7030 |
Normal saline solution infus |
37,064 |
30,450 |
$80K |
| 86580 |
|
3,284 |
3,207 |
$77K |
| 90837 |
|
507 |
126 |
$77K |
| 76811 |
|
521 |
520 |
$75K |
| J0561 |
Penicillin g benzathine inj |
506 |
478 |
$74K |
| 90620 |
|
791 |
791 |
$74K |
| 99205 |
Prolong outpt/office vis |
556 |
548 |
$74K |
| 96110 |
|
1,487 |
1,485 |
$74K |
| 76942 |
|
783 |
737 |
$73K |
| 70551 |
|
607 |
605 |
$72K |
| H0004 |
Alcohol and/or drug services |
1,369 |
883 |
$71K |
| 88104 |
|
830 |
824 |
$69K |
| 86704 |
|
9,756 |
9,724 |
$69K |
| C1769 |
Guide wire |
684 |
669 |
$68K |
| 90698 |
|
5,357 |
5,347 |
$67K |
| 99385 |
|
628 |
621 |
$64K |
| 87522 |
Neg quan hep c or qual rna |
1,884 |
1,864 |
$63K |
| HZ2ZZZZ |
|
124 |
25 |
$63K |
| 72100 |
|
3,107 |
2,982 |
$62K |
| 51798 |
|
463 |
438 |
$61K |
| 99386 |
|
561 |
557 |
$61K |
| D7140 |
|
1,251 |
786 |
$61K |
| H0037 |
Comm psy sup tx pgm per diem |
56 |
46 |
$60K |
| H0005 |
Alcohol and/or drug services |
1,028 |
198 |
$59K |
| 99402 |
|
621 |
541 |
$58K |
| 87517 |
|
1,569 |
1,554 |
$58K |
| 94727 |
|
1,967 |
1,957 |
$57K |
| 99233 |
Prolong inpt eval add15 m |
512 |
139 |
$57K |
| 73110 |
|
3,284 |
2,811 |
$57K |
| 83970 |
|
1,539 |
1,508 |
$56K |
| 96374 |
|
18,787 |
18,221 |
$56K |
| 76870 |
|
1,193 |
1,174 |
$55K |
| 86735 |
|
6,773 |
6,759 |
$54K |
| 92015 |
|
2,806 |
2,374 |
$54K |
| A4605 |
Trach suction cath close sys |
862 |
858 |
$54K |
| 90716 |
|
2,319 |
2,307 |
$51K |
| 96375 |
|
16,888 |
15,683 |
$51K |
| 90734 |
|
2,154 |
2,147 |
$51K |
| 83001 |
|
3,531 |
3,513 |
$50K |
| 90649 |
|
1,231 |
1,228 |
$50K |
| J2506 |
Inj pegfilgrast ex bio 0.5mg |
36 |
25 |
$50K |
| 73140 |
|
2,786 |
2,279 |
$50K |
| 93017 |
|
540 |
538 |
$49K |
| A4649 |
Surgical supplies |
4,168 |
3,701 |
$47K |
| 82670 |
|
2,238 |
2,223 |
$47K |
| 82570 |
|
14,298 |
14,115 |
$47K |
| 90717 |
|
462 |
458 |
$46K |
| 73564 |
|
1,360 |
1,087 |
$46K |
| 71045 |
|
7,360 |
7,230 |
$46K |
| 93296 |
|
617 |
598 |
$45K |
| 99453 |
|
749 |
585 |
$45K |
| 84146 |
|
3,377 |
3,354 |
$43K |
| 88304 |
|
1,815 |
1,801 |
$43K |
| 82043 |
|
11,825 |
11,788 |
$43K |
| 11055 |
|
295 |
287 |
$42K |
| 90707 |
|
2,670 |
2,660 |
$42K |
| J3301 |
Triamcinolone acet inj nos |
5,133 |
5,048 |
$41K |
| 99238 |
|
539 |
518 |
$40K |
| 83540 |
|
13,214 |
13,036 |
$40K |
| 72125 |
|
1,567 |
1,557 |
$39K |
| H2011 |
Crisis interven svc, 15 min |
112 |
97 |
$39K |
| 95816 |
|
192 |
191 |
$37K |
| 72170 |
|
2,370 |
1,897 |
$37K |
| 83550 |
|
11,309 |
11,170 |
$37K |
| 90472 |
|
5,207 |
5,181 |
$36K |
| 67028 |
|
626 |
508 |
$36K |
| 90710 |
|
1,678 |
1,678 |
$35K |
| 70553 |
|
197 |
196 |
$35K |
| 76000 |
|
412 |
400 |
$35K |
| Q0162 |
Ondansetron oral |
6,152 |
6,019 |
$35K |
| G0397 |
Alcohol/subs interv >30 min |
241 |
209 |
$34K |
| 0064A |
|
911 |
910 |
$34K |
| 93005 |
|
36,216 |
34,649 |
$34K |
| 71271 |
|
423 |
422 |
$34K |
| 11900 |
|
229 |
194 |
$33K |
| C1776 |
Joint device (implantable) |
356 |
356 |
$32K |
| 83002 |
|
2,230 |
2,221 |
$32K |
| 77062 |
|
622 |
621 |
$32K |
| D1120 |
|
769 |
769 |
$32K |
| 59025 |
|
355 |
325 |
$31K |
| 90633 |
|
4,374 |
4,359 |
$30K |
| 51702 |
|
168 |
157 |
$30K |
| C9803 |
Hopd covid-19 spec collect |
3,605 |
3,512 |
$30K |
| 90833 |
|
368 |
349 |
$30K |
| 73502 |
|
2,549 |
2,395 |
$30K |
| 92250 |
|
1,099 |
991 |
$30K |
| 96152 |
|
265 |
226 |
$29K |
| 86708 |
|
3,950 |
3,932 |
$29K |
| 87400 |
|
5,860 |
5,818 |
$28K |
| 87081 |
|
3,536 |
3,360 |
$27K |
| 88720 |
|
1,592 |
1,293 |
$27K |
| 20605 |
|
158 |
157 |
$27K |
| 92579 |
|
696 |
690 |
$27K |
| 72114 |
|
808 |
617 |
$27K |
| 76820 |
|
437 |
334 |
$26K |
| 90732 |
|
386 |
383 |
$26K |
| 41899 |
|
24 |
24 |
$26K |
| 86787 |
|
3,396 |
3,386 |
$26K |
| 99051 |
|
1,351 |
1,185 |
$25K |
| 92567 |
|
2,927 |
2,897 |
$25K |
| 92060 |
|
340 |
331 |
$25K |
| 90839 |
|
182 |
154 |
$25K |
| 72141 |
|
257 |
257 |
$24K |
| 96127 |
|
3,448 |
3,345 |
$23K |
| 0004A |
|
744 |
743 |
$23K |
| 94729 |
|
1,972 |
1,962 |
$23K |
| 99201 |
|
353 |
320 |
$22K |
| 95800 |
|
374 |
340 |
$22K |
| 99222 |
|
152 |
143 |
$22K |
| 93925 |
|
271 |
267 |
$22K |
| 86316 |
|
2,571 |
2,514 |
$22K |
| 72197 |
|
129 |
129 |
$22K |
| 88300 |
|
1,331 |
1,319 |
$22K |
| 82785 |
|
1,651 |
1,535 |
$21K |
| 80050 |
|
832 |
828 |
$20K |
| 91322 |
|
401 |
401 |
$20K |
| 73560 |
|
1,087 |
1,029 |
$20K |
| 96402 |
|
259 |
257 |
$20K |
| 74240 |
|
105 |
105 |
$19K |
| 72110 |
|
1,172 |
1,171 |
$19K |
| 86705 |
|
3,200 |
3,181 |
$19K |
| 87070 |
|
2,625 |
2,596 |
$19K |
| J2469 |
Palonosetron hcl |
1,549 |
872 |
$19K |
| 70491 |
|
153 |
153 |
$18K |
| G0279 |
Tomosynthesis, mammo |
742 |
739 |
$18K |
| 29827 |
|
12 |
12 |
$18K |
| 84165 |
|
3,335 |
3,312 |
$18K |
| 88141 |
|
1,187 |
1,148 |
$17K |
| 92227 |
|
380 |
370 |
$17K |
| 80076 |
|
746 |
644 |
$17K |
| 77080 |
|
783 |
782 |
$17K |
| 95012 |
|
1,454 |
1,440 |
$17K |
| 86038 |
|
3,787 |
3,774 |
$17K |
| 88307 |
|
181 |
178 |
$17K |
| A4624 |
Tracheal suction tube |
633 |
554 |
$16K |
| G2066 |
Inter devc remote 30d |
87 |
87 |
$16K |
| 90847 |
|
57 |
55 |
$16K |
| 93225 |
|
223 |
220 |
$16K |
| 84480 |
|
4,678 |
4,629 |
$16K |
| J1631 |
Haloperidol decanoate inj |
2,477 |
2,409 |
$15K |
| 82784 |
|
1,418 |
1,399 |
$15K |
| 82533 |
|
999 |
982 |
$15K |
| 86376 |
|
1,222 |
1,221 |
$15K |
| J2250 |
Inj midazolam hydrochloride |
7,845 |
7,745 |
$15K |
| D1206 |
|
711 |
711 |
$15K |
| 83735 |
|
14,526 |
13,899 |
$14K |
| 82627 |
|
743 |
740 |
$14K |
| 92228 |
|
303 |
299 |
$14K |
| 99383 |
|
124 |
124 |
$14K |
| 0072A |
|
360 |
360 |
$14K |
| 90739 |
|
154 |
154 |
$14K |
| 84403 |
|
756 |
752 |
$14K |
| 90480 |
|
549 |
549 |
$14K |
| 99223 |
Prolong inpt eval add15 m |
64 |
54 |
$14K |
| 96366 |
|
190 |
175 |
$13K |
| J7300 |
Intra copp contra (paragard) |
27 |
27 |
$13K |
| 73080 |
|
1,437 |
1,354 |
$13K |
| 86334 |
|
1,156 |
1,147 |
$13K |
| 83010 |
|
1,135 |
963 |
$13K |
| 73590 |
|
1,632 |
1,604 |
$12K |
| 93243 |
|
115 |
115 |
$12K |
| G0328 |
Fecal blood scrn immunoassay |
889 |
889 |
$12K |
| 90714 |
|
901 |
897 |
$12K |
| 99221 |
|
106 |
105 |
$12K |
| 15853 |
|
279 |
275 |
$12K |
| 93303 |
|
192 |
192 |
$12K |
| 74178 |
|
69 |
69 |
$11K |
| 95886 |
|
111 |
89 |
$11K |
| 29515 |
|
110 |
109 |
$11K |
| 94762 |
|
471 |
454 |
$11K |
| 90723 |
|
1,793 |
1,786 |
$11K |
| 85044 |
|
8,744 |
8,526 |
$11K |
| 92235 |
|
114 |
105 |
$11K |
| J1885 |
Ketorolac tromethamine inj |
32,545 |
31,293 |
$11K |
| 20611 |
|
27 |
27 |
$11K |
| 83615 |
|
4,415 |
4,300 |
$11K |
| 93321 |
|
205 |
205 |
$11K |
| J1642 |
Inj heparin sodium per 10 u |
1,770 |
1,219 |
$11K |
| 0071A |
|
270 |
270 |
$11K |
| 80320 |
|
17,199 |
13,411 |
$11K |
| 93242 |
|
182 |
181 |
$11K |
| 72052 |
|
428 |
388 |
$10K |
| 73700 |
|
122 |
121 |
$10K |
| 92004 |
|
48 |
43 |
$10K |
| 72131 |
|
201 |
200 |
$10K |
| 99408 |
|
304 |
296 |
$10K |
| 86161 |
|
1,246 |
1,234 |
$10K |
| 86880 |
|
527 |
510 |
$10K |
| 90662 |
|
600 |
600 |
$10K |
| A4615 |
Cannula nasal |
168 |
168 |
$9K |
| 90696 |
|
1,544 |
1,543 |
$9K |
| 90744 |
|
1,394 |
1,390 |
$9K |
| 85651 |
|
7,974 |
7,848 |
$9K |
| 86431 |
|
2,463 |
2,450 |
$9K |
| 72040 |
|
364 |
346 |
$9K |
| 77049 |
|
74 |
74 |
$9K |
| Q0166 |
Granisetron hcl 1 mg oral |
642 |
353 |
$9K |
| 73090 |
|
1,273 |
1,197 |
$9K |
| 91320 |
|
119 |
119 |
$9K |
| 90648 |
|
1,865 |
1,859 |
$9K |
| 11056 |
|
64 |
58 |
$8K |
| 93299 |
|
76 |
73 |
$8K |
| 29826 |
|
13 |
13 |
$8K |
| 95811 |
|
12 |
12 |
$8K |
| 74018 |
|
923 |
909 |
$8K |
| 29130 |
|
78 |
76 |
$8K |
| D0120 |
|
314 |
314 |
$8K |
| 83690 |
|
25,521 |
24,637 |
$8K |
| 57456 |
|
31 |
31 |
$8K |
| 88346 |
|
67 |
67 |
$8K |
| 73100 |
|
466 |
417 |
$8K |
| 0124A |
|
211 |
211 |
$7K |
| 71100 |
|
667 |
663 |
$7K |
| 88112 |
|
181 |
143 |
$7K |
| 84446 |
|
741 |
740 |
$7K |
| 83498 |
|
312 |
308 |
$7K |
| 99411 |
|
270 |
197 |
$7K |
| 94799 |
|
493 |
492 |
$7K |
| 86256 |
|
569 |
564 |
$7K |
| 85384 |
|
1,609 |
1,541 |
$7K |
| 90678 |
|
39 |
39 |
$7K |
| 70498 |
|
39 |
39 |
$7K |
| 82378 |
|
627 |
603 |
$7K |
| 84540 |
|
2,067 |
1,996 |
$7K |
| 0054A |
|
187 |
186 |
$6K |
| 80164 |
|
1,922 |
1,851 |
$6K |
| 90473 |
|
896 |
894 |
$6K |
| 86696 |
|
702 |
698 |
$6K |
| 0134A |
|
182 |
182 |
$6K |
| 84100 |
|
2,715 |
2,693 |
$6K |
| 82550 |
|
4,716 |
4,640 |
$6K |
| G0257 |
Unsched dialysis esrd pt hos |
64 |
50 |
$6K |
| 82626 |
|
270 |
270 |
$6K |
| 85730 |
|
1,518 |
1,506 |
$6K |
| 77063 |
|
1,111 |
1,109 |
$5K |
| 96368 |
|
625 |
622 |
$5K |
| 86225 |
|
1,462 |
1,453 |
$5K |
| 86147 |
|
327 |
324 |
$5K |
| 77061 |
|
191 |
191 |
$5K |
| 84630 |
|
915 |
913 |
$5K |
| D9995 |
|
184 |
181 |
$5K |
| 74022 |
|
997 |
993 |
$5K |
| 87390 |
|
357 |
356 |
$5K |
| 90681 |
|
255 |
255 |
$5K |
| Q3014 |
Telehealth facility fee |
427 |
410 |
$5K |
| 69200 |
|
60 |
57 |
$5K |
| G0283 |
Elec stim other than wound |
1,468 |
552 |
$5K |
| 97032 |
|
520 |
429 |
$5K |
| J7060 |
5% dextrose/water |
6,181 |
5,786 |
$5K |
| 92526 |
|
18 |
14 |
$5K |
| 93325 |
|
697 |
662 |
$5K |
| 99253 |
|
113 |
88 |
$5K |
| 84484 |
|
13,664 |
13,260 |
$5K |
| 11042 |
|
16 |
12 |
$5K |
| 82131 |
|
447 |
442 |
$4K |
| D0330 |
|
150 |
149 |
$4K |
| J2930 |
Methylprednisolone injection |
1,849 |
1,827 |
$4K |
| J1170 |
Hydromorphone injection |
3,643 |
3,027 |
$4K |
| 73060 |
|
486 |
476 |
$4K |
| 74183 |
|
12 |
12 |
$4K |
| Q0144 |
Azithromycin dihydrate, oral |
1,790 |
1,770 |
$4K |
| 82747 |
|
467 |
467 |
$4K |
| J3420 |
Vitamin b12 injection |
1,636 |
1,360 |
$4K |
| J3010 |
Fentanyl citrate injection |
9,151 |
9,008 |
$4K |
| 36573 |
|
63 |
54 |
$4K |
| 93926 |
|
77 |
77 |
$4K |
| 86003 |
|
1,001 |
997 |
$4K |
| J7298 |
Mirena, 52 mg |
14 |
14 |
$4K |
| 84436 |
|
2,119 |
2,096 |
$4K |
| 84999 |
|
1,241 |
1,240 |
$4K |
| P9019 |
Platelets, each unit |
13 |
13 |
$4K |
| Q0163 |
Diphenhydramine hcl 50mg |
5,509 |
4,612 |
$4K |
| 76882 |
|
76 |
73 |
$4K |
| 73552 |
|
418 |
396 |
$4K |
| C1888 |
Endovas non-cardiac abl cath |
14 |
12 |
$3K |
| G0297 |
Ldct for lung ca screen |
42 |
42 |
$3K |
| 90655 |
|
847 |
844 |
$3K |
| 92610 |
|
38 |
38 |
$3K |
| J8540 |
Oral dexamethasone |
5,615 |
4,910 |
$3K |
| 73600 |
|
336 |
333 |
$3K |
| 83525 |
|
363 |
362 |
$3K |
| J0131 |
Inj, acetaminophen (nos) |
1,771 |
1,766 |
$3K |
| 85362 |
|
4,929 |
4,879 |
$3K |
| 87798 |
|
48 |
47 |
$3K |
| 80299 |
|
366 |
365 |
$3K |
| 77002 |
|
28 |
28 |
$3K |
| 84144 |
|
221 |
218 |
$3K |
| 93320 |
|
262 |
252 |
$3K |
| 90743 |
|
67 |
67 |
$3K |
| 93280 |
|
51 |
50 |
$3K |
| D0220 |
|
558 |
553 |
$3K |
| 73620 |
|
291 |
290 |
$3K |
| 0052A |
|
65 |
65 |
$2K |
| J2270 |
Morphine sulfate injection |
2,834 |
2,719 |
$2K |
| 80178 |
|
1,267 |
1,230 |
$2K |
| J1630 |
Haloperidol injection |
2,923 |
2,637 |
$2K |
| 93307 |
|
229 |
228 |
$2K |
| 95812 |
|
12 |
12 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
14,514 |
14,265 |
$2K |
| 82270 |
|
483 |
481 |
$2K |
| G8985 |
Carry goal status |
450 |
418 |
$2K |
| D0140 |
|
344 |
338 |
$2K |
| 86235 |
|
544 |
542 |
$2K |
| 85240 |
|
183 |
176 |
$2K |
| 20526 |
|
12 |
12 |
$2K |
| 82977 |
|
626 |
622 |
$2K |
| 92020 |
|
35 |
32 |
$2K |
| J1100 |
Dexamethasone sodium phos |
7,683 |
7,251 |
$2K |
| 90849 |
|
29 |
27 |
$2K |
| C9257 |
Bevacizumab injection |
792 |
723 |
$2K |
| G2023 |
Specimen collect covid-19 |
102 |
101 |
$2K |
| 82150 |
|
1,164 |
1,141 |
$2K |
| 76825 |
|
13 |
12 |
$2K |
| 82525 |
|
248 |
247 |
$2K |
| 99401 |
|
57 |
56 |
$2K |
| 95911 |
|
13 |
13 |
$2K |
| 82105 |
|
470 |
469 |
$2K |
| 73521 |
|
129 |
126 |
$2K |
| 78452 |
|
12 |
12 |
$2K |
| 80329 |
|
2,701 |
2,639 |
$2K |
| 73660 |
|
123 |
117 |
$2K |
| 82951 |
|
347 |
344 |
$2K |
| J1200 |
Diphenhydramine hcl injectio |
5,366 |
4,526 |
$2K |
| 88108 |
|
292 |
270 |
$2K |
| 90657 |
|
625 |
624 |
$2K |
| 0051A |
|
42 |
42 |
$2K |
| 86340 |
|
201 |
200 |
$2K |
| 93282 |
|
24 |
24 |
$2K |
| J3370 |
Vancomycin hcl injection |
99 |
95 |
$2K |
| 70496 |
|
36 |
36 |
$2K |
| 99254 |
|
26 |
24 |
$2K |
| 87040 |
|
2,879 |
2,843 |
$2K |
| J2405 |
Ondansetron hcl injection |
14,924 |
14,493 |
$1K |
| 82960 |
|
336 |
333 |
$1K |
| 93226 |
|
26 |
26 |
$1K |
| 99218 |
|
12 |
12 |
$1K |
| 98960 |
|
87 |
85 |
$1K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
186 |
183 |
$1K |
| 90700 |
|
246 |
246 |
$1K |
| D0272 |
|
118 |
118 |
$1K |
| 93041 |
|
2,240 |
2,230 |
$1K |
| 90733 |
|
29 |
29 |
$1K |
| J7512 |
Prednisone ir or dr oral 1mg |
5,003 |
4,829 |
$1K |
| 90785 |
|
15 |
14 |
$1K |
| J2765 |
Metoclopramide hcl injection |
5,905 |
5,773 |
$1K |
| J2680 |
Fluphenazine decanoate 25 mg |
366 |
274 |
$1K |
| C9113 |
Inj pantoprazole sodium, via |
920 |
881 |
$986.41 |
| 76821 |
|
16 |
14 |
$982.53 |
| 0031A |
|
23 |
23 |
$923.98 |
| 92002 |
|
14 |
14 |
$899.07 |
| 97124 |
|
17 |
13 |
$861.36 |
| 72074 |
|
51 |
51 |
$860.73 |
| 84681 |
|
53 |
53 |
$854.91 |
| J2060 |
Lorazepam injection |
2,470 |
2,337 |
$832.40 |
| 99397 |
|
12 |
12 |
$813.14 |
| J0696 |
Ceftriaxone sodium injection |
2,494 |
2,429 |
$803.83 |
| 85247 |
|
43 |
42 |
$795.27 |
| 92555 |
|
31 |
31 |
$777.65 |
| 85246 |
|
23 |
23 |
$761.71 |
| J1561 |
Gamunex-c/gammaked |
29 |
29 |
$737.44 |
| 97116 |
|
41 |
34 |
$733.93 |
| 88161 |
|
76 |
73 |
$708.02 |
| 72050 |
|
28 |
28 |
$683.21 |
| J7120 |
Ringers lactate infusion |
1,491 |
1,481 |
$670.63 |
| 82232 |
|
93 |
93 |
$669.84 |
| 87350 |
|
80 |
80 |
$652.72 |
| D1110 |
|
15 |
15 |
$630.00 |
| J1450 |
Fluconazole |
213 |
209 |
$627.68 |
| J7620 |
Albuterol ipratrop non-comp |
5,701 |
5,448 |
$625.08 |
| D0230 |
|
86 |
82 |
$620.00 |
| 77047 |
|
12 |
12 |
$614.73 |
| 86709 |
|
197 |
196 |
$608.19 |
| 96900 |
|
31 |
12 |
$606.58 |
| 85007 |
|
2,060 |
2,026 |
$600.78 |
| 88312 |
|
12 |
12 |
$576.27 |
| 83516 |
|
86 |
86 |
$544.52 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
6,538 |
6,500 |
$529.16 |
| 73070 |
|
27 |
27 |
$514.05 |
| 86870 |
|
27 |
25 |
$512.84 |
| 71048 |
|
28 |
28 |
$479.10 |
| 84590 |
|
68 |
68 |
$476.58 |
| J2310 |
Inj naloxone hydrochloride |
41 |
39 |
$476.10 |
| 86301 |
|
135 |
134 |
$471.02 |
| J8499 |
Oral prescrip drug non chemo |
816 |
485 |
$464.81 |
| A9585 |
Gadobutrol injection |
1,712 |
1,648 |
$451.87 |
| 72070 |
|
15 |
15 |
$442.47 |
| 90672 |
|
19 |
18 |
$441.17 |
| 82390 |
|
92 |
91 |
$411.99 |
| J1790 |
Droperidol injection |
877 |
829 |
$407.53 |
| 93351 |
|
13 |
13 |
$391.96 |
| 72082 |
|
12 |
12 |
$377.02 |
| 99441 |
|
22 |
21 |
$360.54 |
| D9310 |
|
12 |
12 |
$360.00 |
| 86021 |
|
40 |
40 |
$344.96 |
| Q4106 |
Dermagraft |
13 |
13 |
$333.51 |
| J0171 |
Adrenalin epinephrine inject |
238 |
236 |
$319.53 |
| D0274 |
|
25 |
25 |
$312.00 |
| 85270 |
|
18 |
16 |
$296.20 |
| 85280 |
|
17 |
16 |
$292.79 |
| 92202 |
|
12 |
12 |
$286.14 |
| J9190 |
Fluorouracil injection |
21 |
12 |
$282.20 |
| J7510 |
Prednisolone oral per 5 mg |
2,143 |
2,109 |
$261.10 |
| D9430 |
|
13 |
12 |
$260.00 |
| 90713 |
|
39 |
39 |
$259.61 |
| 85303 |
|
41 |
40 |
$221.71 |
| 98925 |
|
17 |
15 |
$209.57 |
| D0270 |
|
64 |
61 |
$200.00 |
| 99442 |
|
16 |
16 |
$198.47 |
| 99382 |
|
12 |
12 |
$198.12 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
2,324 |
2,299 |
$174.95 |
| G0008 |
Admin influenza virus vac |
40 |
40 |
$140.09 |
| 81050 |
|
90 |
89 |
$135.69 |
| G0270 |
Mnt subs tx for change dx |
34 |
34 |
$134.02 |
| 83030 |
|
26 |
26 |
$127.76 |
| J2001 |
Lidocaine injection |
1,855 |
1,837 |
$121.89 |
| 87420 |
|
1,214 |
1,199 |
$116.22 |
| 74021 |
|
30 |
30 |
$113.58 |
| J0690 |
Cefazolin sodium injection |
244 |
242 |
$108.71 |
| 82180 |
|
12 |
12 |
$98.90 |
| 96376 |
|
2,117 |
2,013 |
$98.62 |
| J7042 |
5% dextrose/normal saline |
293 |
288 |
$76.25 |
| 82140 |
|
25 |
25 |
$74.87 |
| J0720 |
Chloramphenicol sodium injec |
12 |
12 |
$65.36 |
| J2919 |
Inj, methylpred sod succ 5mg |
189 |
188 |
$62.58 |
| S0077 |
Injection, clindamycin phosp |
131 |
128 |
$62.47 |
| J7613 |
Albuterol non-comp unit |
1,113 |
1,094 |
$58.74 |
| J0360 |
Hydralazine hcl injection |
53 |
51 |
$57.52 |
| 82009 |
|
2,109 |
2,036 |
$55.55 |
| 84134 |
|
28 |
27 |
$55.54 |
| 86790 |
|
14 |
14 |
$55.51 |
| 82103 |
|
12 |
12 |
$51.25 |
| J1644 |
Inj heparin sodium per 1000u |
160 |
104 |
$49.29 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
63 |
58 |
$36.78 |
| J2470 |
Inj pantoprazole sodium 40mg |
44 |
36 |
$32.73 |
| J8597 |
Antiemetic drug oral nos |
392 |
392 |
$26.41 |
| J1580 |
Garamycin gentamicin inj |
17 |
16 |
$26.37 |
| J3475 |
Inj magnesium sulfate |
313 |
304 |
$23.90 |
| 87449 |
|
47 |
46 |
$15.60 |
| J1953 |
Levetiracetam injection |
262 |
253 |
$14.88 |
| 86738 |
|
49 |
48 |
$14.65 |
| J7040 |
Normal saline solution infus |
31 |
28 |
$8.18 |
| J0744 |
Ciprofloxacin iv |
95 |
92 |
$7.96 |
| S0191 |
Misoprostol, oral, 200 mcg |
17 |
17 |
$7.84 |
| 87207 |
|
36 |
33 |
$5.99 |
| J3480 |
Inj potassium chloride |
258 |
255 |
$5.88 |
| 89051 |
|
15 |
15 |
$5.60 |
| J2795 |
Ropivacaine hcl injection |
57 |
56 |
$0.60 |
| J0735 |
Clonidine hydrochloride |
17 |
13 |
$0.57 |
| J7050 |
Normal saline solution infus |
12 |
12 |
$0.02 |
| G8979 |
Mobility goal status |
869 |
847 |
$0.02 |
| 99429 |
|
1,909 |
1,195 |
$0.00 |
| J3535 |
Metered dose inhaler drug |
128 |
127 |
$0.00 |
| G8982 |
Body pos goal status |
245 |
241 |
$0.00 |
| A4580 |
Cast supplies (plaster) |
12 |
12 |
$0.00 |
| D1310 |
|
13 |
13 |
$0.00 |
| 83625 |
|
13 |
13 |
$0.00 |
| J7644 |
Ipratropium bromide non-comp |
19 |
19 |
$0.00 |
| 99080 |
|
11,999 |
3,407 |
$0.00 |
| 99499 |
|
467 |
245 |
$0.00 |
| 93793 |
|
20 |
12 |
$0.00 |
| Q0091 |
Obtaining screen pap smear |
24 |
24 |
$0.00 |