| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
63,177 |
56,660 |
$14.49M |
| 99283 |
|
71,053 |
64,520 |
$12.35M |
| 99285 |
|
31,236 |
27,861 |
$8.98M |
| 99282 |
|
38,325 |
35,553 |
$5.20M |
| 74177 |
|
15,030 |
14,120 |
$4.84M |
| 96361 |
|
50,031 |
36,014 |
$3.08M |
| G0378 |
Hospital observation per hr |
22,054 |
20,134 |
$2.88M |
| 0202U |
|
8,605 |
8,239 |
$2.81M |
| 93306 |
|
11,192 |
10,641 |
$2.11M |
| 0241U |
|
20,831 |
19,610 |
$2.00M |
| 74176 |
|
6,832 |
6,431 |
$1.61M |
| 96375 |
|
45,184 |
35,653 |
$1.60M |
| U0003 |
Cov-19 amp prb hgh thruput |
19,380 |
16,879 |
$1.57M |
| 96365 |
|
23,711 |
16,710 |
$1.56M |
| 70450 |
|
13,974 |
12,866 |
$1.46M |
| 96374 |
|
49,535 |
43,435 |
$1.38M |
| 78815 |
|
1,563 |
1,325 |
$1.29M |
| 78452 |
|
3,128 |
2,997 |
$1.21M |
| 93005 |
|
67,281 |
54,557 |
$1.20M |
| 59025 |
|
11,462 |
8,434 |
$1.14M |
| 97110 |
|
43,042 |
13,083 |
$1.06M |
| 71046 |
|
23,868 |
22,032 |
$1.04M |
| 71275 |
|
5,290 |
4,939 |
$928K |
| 99281 |
|
11,480 |
10,829 |
$832K |
| 80053 |
|
143,426 |
114,520 |
$816K |
| 96360 |
|
10,814 |
9,648 |
$806K |
| 96372 |
|
30,595 |
19,248 |
$731K |
| 70553 |
|
2,125 |
2,020 |
$727K |
| 80307 |
|
22,193 |
19,815 |
$654K |
| 76705 |
|
6,848 |
6,517 |
$622K |
| 36415 |
|
44,843 |
34,094 |
$614K |
| 71045 |
|
43,069 |
36,832 |
$604K |
| 85025 |
|
157,132 |
114,943 |
$603K |
| 72148 |
|
3,766 |
3,642 |
$596K |
| 70496 |
|
2,598 |
2,447 |
$588K |
| 70551 |
|
3,380 |
3,181 |
$578K |
| G6015 |
Radiation tx delivery imrt |
1,575 |
147 |
$572K |
| 70498 |
|
2,926 |
2,758 |
$566K |
| 47562 |
|
556 |
531 |
$559K |
| 96376 |
|
17,271 |
10,904 |
$553K |
| 77336 |
|
3,827 |
1,677 |
$539K |
| 76817 |
|
4,600 |
3,897 |
$522K |
| 93458 |
|
694 |
644 |
$483K |
| 71260 |
|
3,544 |
3,388 |
$463K |
| 72125 |
|
4,306 |
4,026 |
$429K |
| 93017 |
|
5,205 |
4,963 |
$428K |
| J7030 |
Normal saline solution infus |
49,501 |
37,787 |
$420K |
| 73721 |
|
1,702 |
1,559 |
$417K |
| 43239 |
|
2,521 |
2,425 |
$398K |
| 72141 |
|
2,218 |
2,143 |
$384K |
| 96366 |
|
9,747 |
6,489 |
$376K |
| 95810 |
|
607 |
592 |
$376K |
| 94640 |
|
10,840 |
8,683 |
$374K |
| 49083 |
|
1,678 |
575 |
$353K |
| 77412 |
|
3,262 |
354 |
$323K |
| 93970 |
|
2,918 |
2,750 |
$316K |
| 84484 |
|
59,192 |
40,247 |
$310K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
33,566 |
29,090 |
$304K |
| 77334 |
|
1,304 |
902 |
$290K |
| 76770 |
|
2,887 |
2,719 |
$284K |
| 93971 |
|
3,437 |
3,200 |
$274K |
| 71250 |
|
2,605 |
2,465 |
$269K |
| J2785 |
Regadenoson injection |
4,445 |
4,225 |
$265K |
| 82553 |
|
43,013 |
29,718 |
$243K |
| 88305 |
|
13,723 |
9,102 |
$242K |
| 96367 |
|
3,890 |
3,055 |
$239K |
| 96413 |
|
3,529 |
1,973 |
$230K |
| 87070 |
|
23,790 |
20,956 |
$227K |
| D9420 |
|
406 |
360 |
$225K |
| 93880 |
|
3,197 |
3,093 |
$224K |
| 84443 |
|
21,241 |
19,734 |
$224K |
| 76830 |
|
3,033 |
2,858 |
$222K |
| 77300 |
|
913 |
770 |
$220K |
| 97112 |
|
14,249 |
3,990 |
$220K |
| 97140 |
|
16,532 |
5,982 |
$213K |
| 82803 |
|
19,532 |
16,162 |
$198K |
| 97161 |
|
8,325 |
7,653 |
$197K |
| 77067 |
|
2,786 |
2,714 |
$194K |
| 99291 |
|
1,143 |
1,060 |
$191K |
| 11042 |
|
1,473 |
877 |
$187K |
| 97530 |
|
18,463 |
5,972 |
$177K |
| 83880 |
|
9,343 |
8,382 |
$177K |
| 99213 |
|
4,769 |
3,916 |
$176K |
| Q9957 |
Inj perflutren lip micros,ml |
7,222 |
6,701 |
$174K |
| G0480 |
Drug test def 1-7 classes |
7,148 |
5,997 |
$171K |
| 99152 |
|
7,698 |
7,026 |
$164K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
2,595 |
2,284 |
$158K |
| 87088 |
|
28,845 |
25,923 |
$156K |
| 88342 |
|
4,825 |
4,060 |
$155K |
| D2930 |
|
550 |
469 |
$155K |
| G0463 |
Hospital outpt clinic visit |
4,055 |
3,226 |
$153K |
| 73610 |
|
3,407 |
3,139 |
$151K |
| 83735 |
|
49,238 |
35,071 |
$148K |
| 73030 |
|
3,291 |
3,013 |
$148K |
| 73130 |
|
3,075 |
2,814 |
$144K |
| 82306 |
|
6,170 |
5,890 |
$140K |
| 78227 |
|
365 |
358 |
$140K |
| 12001 |
|
1,863 |
1,754 |
$139K |
| 84703 |
|
40,257 |
35,064 |
$135K |
| 36430 |
|
937 |
638 |
$133K |
| 72100 |
|
2,386 |
2,240 |
$131K |
| 72131 |
|
1,148 |
1,096 |
$130K |
| 73630 |
|
3,517 |
3,205 |
$130K |
| 88307 |
|
2,593 |
1,902 |
$126K |
| 80048 |
|
30,643 |
20,876 |
$125K |
| 73564 |
|
3,210 |
2,895 |
$124K |
| 74018 |
|
5,527 |
4,886 |
$122K |
| APT15 |
|
10,208 |
8,449 |
$120K |
| J3490 |
Drugs unclassified injection |
26,518 |
18,139 |
$120K |
| 81001 |
|
56,858 |
49,930 |
$119K |
| 76536 |
|
1,293 |
1,257 |
$115K |
| C8929 |
Tte w or wo fol wcon,doppler |
1,958 |
1,894 |
$115K |
| 93356 |
|
2,221 |
2,128 |
$114K |
| 73110 |
|
2,334 |
2,134 |
$114K |
| 83690 |
|
31,629 |
27,991 |
$110K |
| 47563 |
|
99 |
96 |
$110K |
| 96368 |
|
1,881 |
1,094 |
$109K |
| 93010 |
|
24,563 |
20,713 |
$108K |
| 74183 |
|
458 |
436 |
$107K |
| 70486 |
|
1,029 |
956 |
$107K |
| 86850 |
|
13,529 |
11,874 |
$107K |
| U0005 |
Infec agen detec ampli probe |
7,115 |
6,497 |
$106K |
| 83605 |
|
22,688 |
17,759 |
$106K |
| 99214 |
|
2,432 |
2,095 |
$101K |
| 87631 |
|
2,251 |
2,047 |
$97K |
| 97014 |
|
8,367 |
3,066 |
$97K |
| 58661 |
|
130 |
104 |
$96K |
| 87491 |
|
5,578 |
5,176 |
$95K |
| 73590 |
|
1,831 |
1,638 |
$93K |
| J7120 |
Ringers lactate infusion |
24,931 |
20,374 |
$93K |
| 64488 |
|
1,683 |
1,502 |
$90K |
| 87077 |
|
15,083 |
13,535 |
$90K |
| 80061 |
|
18,752 |
17,783 |
$88K |
| 93925 |
|
1,197 |
1,157 |
$88K |
| 88341 |
|
5,063 |
1,805 |
$85K |
| 73090 |
|
1,973 |
1,789 |
$84K |
| 82550 |
|
51,265 |
35,613 |
$84K |
| 87591 |
|
5,566 |
5,170 |
$84K |
| 84702 |
|
15,442 |
12,551 |
$82K |
| J7040 |
Normal saline solution infus |
16,959 |
13,755 |
$82K |
| 70491 |
|
398 |
378 |
$81K |
| 76700 |
|
485 |
475 |
$78K |
| 12011 |
|
1,588 |
1,489 |
$77K |
| 97162 |
|
3,343 |
2,804 |
$77K |
| 72040 |
|
1,372 |
1,285 |
$74K |
| 93325 |
|
1,732 |
1,601 |
$73K |
| 82607 |
|
7,501 |
6,976 |
$72K |
| 85027 |
|
21,307 |
16,451 |
$71K |
| 77066 |
Tomosynthesis, mammo |
1,249 |
1,205 |
$70K |
| 84439 |
|
13,703 |
12,635 |
$70K |
| J1815 |
Insulin injection |
7,974 |
4,543 |
$69K |
| 85730 |
|
25,325 |
21,797 |
$69K |
| J2704 |
Inj, propofol, 10 mg |
25,660 |
21,712 |
$68K |
| 76805 |
|
852 |
784 |
$68K |
| 76856 |
|
532 |
503 |
$67K |
| 81003 |
|
29,835 |
26,938 |
$67K |
| 93320 |
|
876 |
834 |
$66K |
| 86901 |
|
18,313 |
15,378 |
$65K |
| 87430 |
|
12,267 |
11,641 |
$65K |
| 76870 |
|
653 |
619 |
$64K |
| 73502 |
|
2,016 |
1,847 |
$64K |
| 82330 |
|
19,458 |
16,071 |
$64K |
| 85610 |
|
33,013 |
26,600 |
$63K |
| 99212 |
|
1,939 |
1,685 |
$63K |
| 83036 |
|
10,482 |
9,821 |
$61K |
| 87502 |
|
1,919 |
1,737 |
$60K |
| 77301 |
|
44 |
40 |
$59K |
| 87040 |
|
15,732 |
8,877 |
$57K |
| APT17 |
|
3,803 |
3,777 |
$56K |
| 87186 |
|
10,586 |
9,712 |
$56K |
| 93351 |
|
221 |
213 |
$55K |
| 82731 |
|
880 |
800 |
$55K |
| APT16 |
|
3,931 |
3,611 |
$54K |
| C1769 |
Guide wire |
6,353 |
5,582 |
$52K |
| J1439 |
Inj ferric carboxymaltos 1mg |
118 |
76 |
$51K |
| 72110 |
|
664 |
641 |
$50K |
| 76815 |
|
922 |
862 |
$50K |
| 86900 |
|
18,330 |
15,382 |
$49K |
| 88304 |
|
3,236 |
3,006 |
$49K |
| U0004 |
Cov-19 test non-cdc hgh thru |
477 |
454 |
$49K |
| 76937 |
|
767 |
668 |
$46K |
| J7050 |
Normal saline solution infus |
26,042 |
15,061 |
$45K |
| 45380 |
|
251 |
243 |
$44K |
| 87389 |
|
2,348 |
2,189 |
$44K |
| 44970 |
|
31 |
31 |
$43K |
| 73552 |
|
964 |
863 |
$43K |
| A9502 |
Tc99m tetrofosmin |
3,469 |
3,135 |
$42K |
| 82728 |
|
4,885 |
4,347 |
$42K |
| 86403 |
|
1,401 |
1,015 |
$41K |
| 12002 |
|
665 |
599 |
$41K |
| 74022 |
|
676 |
632 |
$41K |
| P9016 |
Rbc leukocytes reduced |
556 |
423 |
$40K |
| 73221 |
|
213 |
198 |
$39K |
| 85379 |
|
7,924 |
7,129 |
$39K |
| 80074 |
|
1,258 |
1,186 |
$39K |
| 95811 |
|
55 |
53 |
$39K |
| 81025 |
|
4,974 |
4,631 |
$37K |
| 93923 |
|
528 |
519 |
$37K |
| 77063 |
|
2,326 |
2,294 |
$36K |
| 74178 |
|
119 |
118 |
$36K |
| J8501 |
Oral aprepitant |
1,042 |
978 |
$36K |
| J3010 |
Fentanyl citrate injection |
34,440 |
26,716 |
$36K |
| J0696 |
Ceftriaxone sodium injection |
15,985 |
10,958 |
$36K |
| 76642 |
|
1,562 |
1,435 |
$35K |
| 82746 |
|
4,242 |
3,877 |
$34K |
| 82077 |
|
5,489 |
4,826 |
$34K |
| 73560 |
|
1,536 |
1,333 |
$34K |
| 58571 |
|
55 |
53 |
$34K |
| 90715 |
|
2,233 |
1,971 |
$33K |
| 86140 |
|
11,725 |
10,145 |
$33K |
| J0330 |
Succinycholine chloride inj |
3,563 |
3,272 |
$33K |
| 73060 |
|
722 |
669 |
$33K |
| 95816 |
|
186 |
177 |
$30K |
| 75574 |
|
147 |
142 |
$30K |
| 78431 |
|
898 |
831 |
$29K |
| J2405 |
Ondansetron hcl injection |
51,543 |
41,479 |
$29K |
| J1756 |
Iron sucrose injection |
1,330 |
653 |
$28K |
| 95819 |
|
153 |
148 |
$28K |
| P9047 |
Albumin (human), 25%, 50ml |
578 |
166 |
$28K |
| 73080 |
|
741 |
697 |
$27K |
| 73070 |
|
600 |
533 |
$26K |
| J2270 |
Morphine sulfate injection |
14,116 |
10,624 |
$26K |
| 87635 |
|
722 |
669 |
$26K |
| 99153 |
Mod sedat endo service >5yrs |
2,624 |
2,397 |
$26K |
| 99215 |
Prolong outpt/office vis |
559 |
511 |
$25K |
| 82565 |
|
20,751 |
17,600 |
$25K |
| 76641 |
|
457 |
399 |
$25K |
| C2617 |
Stent, non-cor, tem w/o del |
298 |
268 |
$24K |
| 83550 |
|
4,245 |
3,911 |
$24K |
| 97116 |
|
4,890 |
1,833 |
$24K |
| J1650 |
Inj enoxaparin sodium |
15,077 |
5,126 |
$23K |
| J3480 |
Inj potassium chloride |
6,483 |
4,146 |
$23K |
| 94060 |
|
308 |
300 |
$23K |
| J0690 |
Cefazolin sodium injection |
14,026 |
10,486 |
$23K |
| 64415 |
|
823 |
779 |
$22K |
| J0131 |
Inj, acetaminophen (nos) |
4,310 |
3,707 |
$22K |
| 72170 |
|
820 |
741 |
$22K |
| 73140 |
|
396 |
366 |
$22K |
| 83718 |
|
1,898 |
1,840 |
$22K |
| 72072 |
|
289 |
271 |
$22K |
| J1100 |
Dexamethasone sodium phos |
22,945 |
19,349 |
$21K |
| 72146 |
|
171 |
165 |
$21K |
| 84112 |
|
375 |
353 |
$21K |
| D7140 |
|
153 |
135 |
$21K |
| 97165 |
|
1,624 |
1,410 |
$20K |
| 92507 |
|
610 |
174 |
$20K |
| 86923 |
|
1,473 |
772 |
$20K |
| 93308 |
|
430 |
386 |
$20K |
| 86803 |
|
2,250 |
2,143 |
$19K |
| 94664 |
|
1,577 |
1,164 |
$19K |
| 0399T |
|
698 |
669 |
$19K |
| 83540 |
|
4,393 |
4,047 |
$19K |
| 87340 |
|
2,201 |
1,935 |
$18K |
| 80069 |
|
4,694 |
2,139 |
$18K |
| J2370 |
Phenylephrine hcl injection |
7,830 |
6,304 |
$18K |
| 51701 |
|
1,139 |
1,034 |
$18K |
| 75625 |
|
50 |
46 |
$18K |
| J1170 |
Hydromorphone injection |
11,392 |
8,714 |
$17K |
| 97597 |
|
429 |
327 |
$17K |
| 93990 |
|
734 |
706 |
$17K |
| 74174 |
|
57 |
57 |
$17K |
| 86762 |
|
1,421 |
1,236 |
$16K |
| 73100 |
|
217 |
177 |
$16K |
| C1894 |
Intro/sheath, non-laser |
5,111 |
4,576 |
$16K |
| 94729 |
|
296 |
287 |
$15K |
| 77065 |
Tomosynthesis, mammo |
572 |
545 |
$15K |
| J2930 |
Methylprednisolone injection |
3,911 |
3,338 |
$15K |
| 52356 |
|
16 |
16 |
$15K |
| 93321 |
|
523 |
468 |
$15K |
| 84132 |
|
22,613 |
17,491 |
$15K |
| J1885 |
Ketorolac tromethamine inj |
25,038 |
21,054 |
$15K |
| 82435 |
|
18,371 |
15,226 |
$15K |
| C9399 |
Unclassified drugs or biolog |
776 |
655 |
$14K |
| 82570 |
|
3,615 |
2,991 |
$14K |
| G0103 |
Psa screening |
816 |
803 |
$14K |
| 96417 |
|
201 |
127 |
$14K |
| 36561 |
|
13 |
12 |
$14K |
| 78264 |
|
56 |
53 |
$14K |
| 88112 |
|
720 |
588 |
$14K |
| A9585 |
Gadobutrol injection |
3,861 |
3,620 |
$13K |
| 74019 |
|
274 |
262 |
$13K |
| 88142 |
|
1,043 |
975 |
$13K |
| 87653 |
|
711 |
686 |
$13K |
| 82140 |
|
2,057 |
1,689 |
$13K |
| 64447 |
|
376 |
355 |
$13K |
| J2543 |
Piperacillin/tazobactam |
3,060 |
1,308 |
$13K |
| 94644 |
|
1,335 |
1,244 |
$13K |
| 90471 |
|
2,733 |
2,177 |
$13K |
| 84145 |
|
3,378 |
2,864 |
$12K |
| 94726 |
|
181 |
178 |
$12K |
| A9555 |
Rb82 rubidium |
1,329 |
1,242 |
$12K |
| 85520 |
|
3,302 |
1,447 |
$12K |
| 83615 |
|
4,038 |
3,170 |
$12K |
| J2550 |
Promethazine hcl injection |
8,871 |
6,684 |
$12K |
| 70360 |
|
377 |
362 |
$12K |
| A9552 |
F18 fdg |
1,685 |
1,420 |
$12K |
| 87205 |
|
6,110 |
5,483 |
$12K |
| J0500 |
Dicyclomine injection |
700 |
659 |
$12K |
| 87427 |
|
995 |
871 |
$12K |
| 82947 |
|
19,039 |
15,703 |
$12K |
| M0243 |
Casirivi and imdevi inj |
90 |
85 |
$12K |
| 10060 |
|
154 |
147 |
$11K |
| 88173 |
|
270 |
228 |
$11K |
| 73600 |
|
229 |
195 |
$11K |
| 80164 |
|
1,164 |
1,042 |
$11K |
| 58558 |
|
26 |
24 |
$11K |
| G0379 |
Direct refer hospital observ |
294 |
276 |
$11K |
| 85652 |
|
6,397 |
5,435 |
$11K |
| 80143 |
|
1,338 |
1,212 |
$11K |
| C1887 |
Catheter, guiding |
2,257 |
2,044 |
$10K |
| C9113 |
Inj pantoprazole sodium, via |
6,446 |
3,243 |
$10K |
| 86703 |
|
911 |
797 |
$10K |
| 84295 |
|
18,779 |
15,358 |
$10K |
| J1805 |
Inj, esmolol hcl, 10mg |
1,965 |
959 |
$10K |
| 73700 |
|
90 |
84 |
$10K |
| 85014 |
|
7,752 |
6,028 |
$10K |
| 36591 |
|
352 |
166 |
$9K |
| 93225 |
|
156 |
152 |
$9K |
| 77080 |
|
139 |
139 |
$9K |
| 84156 |
|
3,198 |
2,552 |
$9K |
| 86038 |
|
887 |
851 |
$9K |
| 80179 |
|
1,176 |
1,075 |
$9K |
| P9045 |
Albumin (human), 5%, 250 ml |
281 |
238 |
$9K |
| 80047 |
|
1,218 |
1,052 |
$9K |
| A9537 |
Tc99m mebrofenin |
477 |
468 |
$9K |
| 84550 |
|
3,540 |
3,016 |
$9K |
| 77386 |
|
236 |
24 |
$9K |
| 87045 |
|
1,030 |
974 |
$8K |
| 71101 |
|
155 |
152 |
$8K |
| 82010 |
|
2,000 |
1,716 |
$8K |
| 29105 |
|
351 |
338 |
$8K |
| 36600 |
|
697 |
646 |
$8K |
| 77290 |
|
27 |
25 |
$8K |
| 77338 |
|
95 |
80 |
$8K |
| J3370 |
Vancomycin hcl injection |
3,880 |
2,104 |
$8K |
| J3475 |
Inj magnesium sulfate |
5,207 |
3,528 |
$8K |
| 77280 |
|
32 |
25 |
$7K |
| C1776 |
Joint device (implantable) |
168 |
149 |
$7K |
| 86592 |
|
2,229 |
2,017 |
$7K |
| J1790 |
Droperidol injection |
3,277 |
2,937 |
$7K |
| D1120 |
|
131 |
104 |
$7K |
| 82247 |
|
2,126 |
1,333 |
$7K |
| 85046 |
|
2,595 |
2,319 |
$7K |
| 84450 |
|
2,130 |
1,789 |
$7K |
| J0248 |
Inj, remdesivir, 1 mg |
43 |
19 |
$7K |
| C1729 |
Cath, drainage |
765 |
643 |
$7K |
| 87624 |
|
545 |
508 |
$7K |
| C1781 |
Mesh (implantable) |
279 |
260 |
$7K |
| 83970 |
|
220 |
200 |
$7K |
| 45385 |
|
52 |
51 |
$6K |
| 74246 |
|
77 |
74 |
$6K |
| 82040 |
|
2,165 |
1,818 |
$6K |
| C9290 |
Inj, bupivacaine liposome |
447 |
408 |
$6K |
| 92526 |
|
678 |
214 |
$6K |
| 82248 |
|
2,640 |
1,646 |
$6K |
| 93226 |
|
156 |
152 |
$6K |
| 97035 |
|
1,035 |
468 |
$6K |
| 95800 |
|
87 |
85 |
$6K |
| J0134 |
Inj acetaminophen -fresenius |
1,314 |
1,109 |
$6K |
| 84520 |
|
2,174 |
1,760 |
$5K |
| 82272 |
|
2,131 |
1,978 |
$5K |
| 74220 |
|
91 |
90 |
$5K |
| J1980 |
Hyoscyamine sulfate inj |
449 |
396 |
$5K |
| 10005 |
|
53 |
51 |
$5K |
| 87420 |
|
175 |
151 |
$5K |
| J1200 |
Diphenhydramine hcl injectio |
10,006 |
7,797 |
$5K |
| 51702 |
|
183 |
124 |
$5K |
| 99203 |
|
106 |
99 |
$5K |
| 73620 |
|
192 |
161 |
$5K |
| 84481 |
|
341 |
315 |
$5K |
| 84153 |
|
284 |
279 |
$5K |
| J1953 |
Levetiracetam injection |
467 |
285 |
$4K |
| 27447 |
|
17 |
12 |
$4K |
| 72050 |
|
63 |
63 |
$4K |
| A9577 |
Inj multihance |
579 |
541 |
$4K |
| D2391 |
|
48 |
38 |
$4K |
| 77062 |
|
498 |
492 |
$4K |
| A9541 |
Tc99m sulfur colloid |
196 |
189 |
$4K |
| 85018 |
|
3,412 |
2,164 |
$4K |
| J2920 |
Methylprednisolone injection |
2,049 |
916 |
$4K |
| 96415 |
|
239 |
184 |
$4K |
| 76885 |
|
70 |
68 |
$4K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
647 |
625 |
$4K |
| 77012 |
|
43 |
41 |
$4K |
| J0780 |
Prochlorperazine injection |
2,308 |
2,055 |
$4K |
| 41899 |
|
27 |
27 |
$4K |
| M0245 |
Bamlan and etesev infusion |
55 |
53 |
$4K |
| 73200 |
|
25 |
25 |
$4K |
| 80055 |
|
126 |
126 |
$4K |
| 95886 |
|
44 |
39 |
$4K |
| J2765 |
Metoclopramide hcl injection |
3,863 |
3,224 |
$4K |
| J2250 |
Inj midazolam hydrochloride |
14,207 |
12,612 |
$4K |
| 87081 |
|
814 |
545 |
$4K |
| 97166 |
|
196 |
165 |
$4K |
| C1725 |
Cath, translumin non-laser |
1,398 |
1,235 |
$4K |
| J0171 |
Adrenalin epinephrine inject |
954 |
821 |
$4K |
| 36416 |
|
979 |
726 |
$3K |
| 80081 |
|
85 |
84 |
$3K |
| 80076 |
|
706 |
584 |
$3K |
| D2330 |
|
28 |
26 |
$3K |
| 76819 |
|
57 |
54 |
$3K |
| J1644 |
Inj heparin sodium per 1000u |
10,441 |
4,355 |
$3K |
| 87633 |
|
35 |
32 |
$3K |
| 97535 |
|
1,686 |
993 |
$3K |
| 86308 |
|
1,046 |
978 |
$3K |
| 73562 |
|
29 |
25 |
$3K |
| J2371 |
Inj phenylephrine hcl 20 mcg |
2,913 |
2,223 |
$3K |
| 82652 |
|
105 |
100 |
$3K |
| 88302 |
|
195 |
167 |
$3K |
| 29125 |
|
136 |
129 |
$3K |
| J1453 |
Fosaprepitant injection |
91 |
52 |
$3K |
| 88313 |
|
105 |
57 |
$3K |
| 80050 |
|
2,279 |
2,198 |
$3K |
| C1726 |
Cath, bal dil, non-vascular |
67 |
62 |
$3K |
| J2060 |
Lorazepam injection |
4,946 |
3,799 |
$3K |
| 64450 |
|
39 |
37 |
$3K |
| 87075 |
|
373 |
348 |
$3K |
| 82784 |
|
218 |
198 |
$3K |
| 92610 |
|
610 |
537 |
$3K |
| 84100 |
|
3,826 |
2,041 |
$3K |
| J2800 |
Methocarbamol injection |
589 |
517 |
$2K |
| 95911 |
|
13 |
13 |
$2K |
| 72070 |
|
27 |
26 |
$2K |
| J0456 |
Azithromycin |
945 |
588 |
$2K |
| A9578 |
Inj multihance multipack |
497 |
460 |
$2K |
| J0295 |
Ampicillin sulbactam 1.5 gm |
1,126 |
390 |
$2K |
| 85384 |
|
589 |
340 |
$2K |
| H0031 |
Mh health assess by non-md |
28 |
26 |
$2K |
| J7510 |
Prednisolone oral per 5 mg |
2,179 |
1,813 |
$2K |
| 82950 |
|
623 |
574 |
$2K |
| J0885 |
Epoetin alfa, non-esrd |
60 |
25 |
$2K |
| J1817 |
Insulin for insulin pump use |
383 |
311 |
$2K |
| L4386 |
Non-pneum walk boot pre cst |
28 |
26 |
$2K |
| 43249 |
|
12 |
12 |
$2K |
| 93978 |
|
37 |
37 |
$2K |
| 78492 |
|
155 |
148 |
$2K |
| 87493 |
|
290 |
263 |
$2K |
| 87210 |
|
767 |
731 |
$2K |
| C1758 |
Catheter, ureteral |
271 |
241 |
$2K |
| J0137 |
Inj, acetaminophen (hikma) |
636 |
541 |
$2K |
| 97016 |
|
368 |
152 |
$2K |
| A9540 |
Tc99m maa |
29 |
29 |
$2K |
| D1206 |
|
51 |
42 |
$2K |
| D2392 |
|
13 |
13 |
$2K |
| M0222 |
Bebtelovimab injection |
15 |
15 |
$2K |
| J0595 |
Butorphanol tartrate 1 mg |
598 |
450 |
$2K |
| L0150 |
Cerv semi-rig adj molded chn |
13 |
13 |
$2K |
| 80177 |
|
162 |
155 |
$2K |
| J2272 |
Inj, morphine (fresenius) |
1,491 |
1,245 |
$2K |
| J0702 |
Betamethasone acet&sod phosp |
97 |
49 |
$2K |
| 83525 |
|
131 |
127 |
$1K |
| 93975 |
|
13 |
13 |
$1K |
| J1580 |
Garamycin gentamicin inj |
923 |
784 |
$1K |
| J1630 |
Haloperidol injection |
3,740 |
3,049 |
$1K |
| M0247 |
Sotrovimab infusion |
17 |
17 |
$1K |
| 75710 |
|
14 |
14 |
$1K |
| J0736 |
Inj, clindamycin phosp 300mg |
255 |
217 |
$1K |
| J0744 |
Ciprofloxacin iv |
702 |
489 |
$1K |
| J1643 |
Inj heparin, pfizer, 1000u |
157 |
141 |
$1K |
| 83930 |
|
412 |
377 |
$1K |
| 87899 |
|
147 |
84 |
$1K |
| J0360 |
Hydralazine hcl injection |
2,027 |
1,526 |
$1K |
| 89051 |
|
634 |
527 |
$1K |
| J3411 |
Thiamine hcl 100 mg |
453 |
282 |
$1K |
| 73660 |
|
12 |
12 |
$1K |
| J2919 |
Inj, methylpred sod succ 5mg |
347 |
234 |
$1K |
| L1830 |
Ko immob canvas long pre ots |
27 |
24 |
$1K |
| 93926 |
|
12 |
12 |
$1K |
| C1760 |
Closure dev, vasc |
443 |
409 |
$1K |
| 84146 |
|
70 |
68 |
$987.72 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
142 |
128 |
$962.76 |
| J0136 |
Inj, acetaminophen (b braun) |
296 |
245 |
$945.72 |
| 77387 |
|
59 |
13 |
$889.10 |
| J0694 |
Cefoxitin sodium injection |
96 |
89 |
$870.50 |
| 86706 |
|
323 |
286 |
$866.46 |
| J7060 |
5% dextrose/water |
1,860 |
1,047 |
$846.63 |
| APT04 |
|
96 |
92 |
$836.94 |
| J1940 |
Furosemide injection |
3,348 |
1,835 |
$797.43 |
| 85055 |
|
46 |
24 |
$792.93 |
| APT18 |
|
60 |
56 |
$788.40 |
| 87177 |
|
99 |
93 |
$761.62 |
| APT09 |
|
74 |
62 |
$738.42 |
| 80320 |
|
306 |
296 |
$724.17 |
| 87102 |
|
103 |
97 |
$712.88 |
| 86431 |
|
146 |
139 |
$698.36 |
| 99204 |
|
14 |
14 |
$628.65 |
| 77332 |
|
15 |
14 |
$605.47 |
| J2470 |
Inj pantoprazole sodium 40mg |
292 |
155 |
$603.81 |
| 83516 |
|
67 |
52 |
$600.37 |
| 71271 |
|
30 |
29 |
$583.74 |
| C9145 |
Inj, aponvie, 1 mg |
32 |
30 |
$577.56 |
| 78434 |
|
845 |
782 |
$571.54 |
| 94667 |
|
12 |
12 |
$567.83 |
| 87641 |
|
58 |
56 |
$564.96 |
| 87220 |
|
161 |
154 |
$558.41 |
| 94660 |
|
18 |
13 |
$553.35 |
| 77061 |
|
122 |
119 |
$545.41 |
| J7999 |
Compounded drug, noc |
1,158 |
929 |
$510.27 |
| 99202 |
|
13 |
13 |
$509.30 |
| 85347 |
|
352 |
315 |
$479.71 |
| 88172 |
|
43 |
38 |
$475.16 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
246 |
147 |
$473.92 |
| Q4081 |
Epoetin alfa, 100 units esrd |
78 |
39 |
$439.80 |
| J1836 |
Inj, metronidazole, 10 mg |
212 |
157 |
$430.09 |
| 97012 |
|
33 |
13 |
$426.60 |
| J2720 |
Inj protamine sulfate/10 mg |
428 |
384 |
$421.13 |
| 82274 |
|
45 |
39 |
$411.99 |
| 87338 |
|
32 |
31 |
$410.86 |
| S0028 |
Injection, famotidine, 20 mg |
331 |
298 |
$375.25 |
| 97163 |
|
26 |
15 |
$353.51 |
| 83655 |
|
43 |
42 |
$344.21 |
| APT11 |
|
25 |
25 |
$315.12 |
| 74230 |
|
18 |
12 |
$308.46 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
393 |
220 |
$307.58 |
| J3105 |
Terbutaline sulfate inj |
129 |
109 |
$305.34 |
| Q0162 |
Ondansetron oral |
1,714 |
1,400 |
$278.26 |
| 81015 |
|
135 |
131 |
$276.38 |
| 29515 |
|
12 |
12 |
$272.78 |
| J7512 |
Prednisone ir or dr oral 1mg |
2,265 |
1,389 |
$267.36 |
| 85007 |
|
82 |
79 |
$246.25 |
| J3486 |
Ziprasidone mesylate |
21 |
13 |
$244.74 |
| 84403 |
|
12 |
12 |
$241.28 |
| 87116 |
|
25 |
24 |
$238.44 |
| 82150 |
|
46 |
40 |
$236.32 |
| S0077 |
Injection, clindamycin phosp |
19 |
14 |
$233.10 |
| 83001 |
|
13 |
13 |
$225.54 |
| 86780 |
|
572 |
499 |
$216.57 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
480 |
418 |
$215.08 |
| 80202 |
|
38 |
15 |
$213.47 |
| 51798 |
|
18 |
13 |
$207.84 |
| L4350 |
Ankle control ortho pre ots |
12 |
12 |
$203.15 |
| 87015 |
|
72 |
65 |
$199.62 |
| 87449 |
|
48 |
37 |
$191.12 |
| 85045 |
|
65 |
54 |
$180.12 |
| J0280 |
Aminophyllin 250 mg inj |
73 |
67 |
$174.79 |
| C1751 |
Cath, inf, per/cent/midline |
35 |
25 |
$172.88 |
| J7070 |
D5w infusion |
103 |
42 |
$161.43 |
| U0002 |
Covid-19 lab test non-cdc |
117 |
116 |
$154.84 |
| C1788 |
Port, indwelling, imp |
13 |
12 |
$151.53 |
| 97803 |
|
13 |
12 |
$147.24 |
| 84376 |
|
28 |
27 |
$141.66 |
| APT06 |
|
13 |
12 |
$139.74 |
| 84480 |
|
13 |
12 |
$135.68 |
| 90686 |
|
13 |
12 |
$127.74 |
| 82805 |
|
16 |
13 |
$126.47 |
| J1920 |
Inj, labetalol hcl, 5mg |
80 |
32 |
$126.27 |
| J2001 |
Lidocaine injection |
1,068 |
936 |
$124.41 |
| 82043 |
|
25 |
25 |
$123.26 |
| 83986 |
|
40 |
38 |
$118.33 |
| APT02 |
|
16 |
15 |
$113.60 |
| J3360 |
Diazepam injection |
66 |
58 |
$111.53 |
| 86039 |
|
12 |
12 |
$103.71 |
| P9612 |
Catheterize for urine spec |
1,604 |
1,475 |
$102.08 |
| 82533 |
|
15 |
13 |
$95.46 |
| 87324 |
|
34 |
25 |
$94.63 |
| Q5106 |
Inj retacrit non-esrd use |
21 |
12 |
$90.18 |
| 84157 |
|
17 |
14 |
$86.98 |
| 87181 |
|
30 |
28 |
$73.64 |
| 85390 |
|
30 |
24 |
$59.06 |
| J1642 |
Inj heparin sodium per 10 u |
279 |
158 |
$51.46 |
| 85576 |
|
15 |
13 |
$49.82 |
| S0020 |
Injection, bupivicaine hydro |
14 |
12 |
$49.59 |
| 84300 |
|
74 |
51 |
$49.44 |
| 84478 |
|
67 |
44 |
$35.52 |
| A9270 |
Non-covered item or service |
53,704 |
8,615 |
$22.38 |
| J2004 |
Inj, lidocaine w epinephrine |
18 |
12 |
$12.89 |
| Q0169 |
Promethazine hcl 12.5mg oral |
202 |
145 |
$10.03 |
| J8540 |
Oral dexamethasone |
17 |
12 |
$8.44 |
| J2710 |
Neostigmine methylslfte inj |
14 |
13 |
$0.94 |
| J1956 |
Levofloxacin injection |
16 |
12 |
$0.00 |
| G8979 |
Mobility goal status |
140 |
131 |
$0.00 |
| G1004 |
Cdsm ndsc |
4,633 |
3,559 |
$0.00 |
| G8978 |
Mobility current status |
124 |
119 |
$0.00 |
| J0692 |
Cefepime hcl for injection |
38 |
12 |
$0.00 |
| G8985 |
Carry goal status |
12 |
12 |
$0.00 |
| Q0177 |
Hydroxyzine pamoate 25mg |
133 |
99 |
$0.00 |
| C1874 |
Stent, coated/cov w/del sys |
30 |
24 |
$0.00 |
| 93798 |
|
208 |
30 |
$0.00 |
| A4216 |
Sterile water/saline, 10 ml |
61 |
38 |
$0.00 |
| 90935 |
|
598 |
266 |
$0.00 |