| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
76,562 |
68,358 |
$19.10M |
| 99283 |
|
84,133 |
78,057 |
$14.42M |
| 99285 |
|
37,180 |
33,372 |
$11.94M |
| A0429 |
Bls-emergency |
26,364 |
20,697 |
$7.53M |
| A0427 |
Als1-emergency |
20,727 |
18,652 |
$5.86M |
| A0430 |
Fixed wing air transport |
2,666 |
2,541 |
$5.16M |
| A0435 |
Fixed wing air mileage |
2,575 |
2,497 |
$3.94M |
| 74177 |
|
8,801 |
8,357 |
$3.17M |
| G0378 |
Hospital observation per hr |
5,100 |
4,812 |
$2.89M |
| 96361 |
|
49,149 |
41,902 |
$2.83M |
| 70450 |
|
13,386 |
12,292 |
$2.78M |
| 96374 |
|
50,886 |
44,504 |
$2.50M |
| A0431 |
Rotary wing air transport |
1,203 |
1,121 |
$2.30M |
| 93005 |
|
33,716 |
28,902 |
$2.20M |
| 87631 |
|
16,865 |
16,051 |
$2.20M |
| 96375 |
|
36,273 |
31,006 |
$2.08M |
| 71045 |
|
32,924 |
30,034 |
$1.95M |
| 96365 |
|
16,542 |
10,186 |
$1.82M |
| 74176 |
|
7,061 |
6,618 |
$1.69M |
| 93306 |
|
5,088 |
4,835 |
$1.59M |
| G0480 |
Drug test def 1-7 classes |
19,397 |
16,903 |
$1.53M |
| A0436 |
Rotary wing air mileage |
1,139 |
1,071 |
$1.46M |
| 99282 |
|
12,816 |
12,172 |
$1.30M |
| 97110 |
|
22,447 |
6,867 |
$1.20M |
| 80053 |
|
103,530 |
89,451 |
$1.16M |
| 85025 |
|
123,923 |
103,140 |
$996K |
| 96360 |
|
13,081 |
11,608 |
$958K |
| D2930 |
|
6,578 |
937 |
$880K |
| 71275 |
|
2,431 |
2,301 |
$868K |
| 94640 |
|
5,273 |
3,769 |
$865K |
| 72125 |
|
3,816 |
3,589 |
$859K |
| G0463 |
Hospital outpt clinic visit |
10,663 |
6,890 |
$848K |
| 92507 |
|
11,898 |
4,040 |
$841K |
| 97530 |
|
11,226 |
4,502 |
$776K |
| 43239 |
|
1,600 |
1,554 |
$747K |
| 71260 |
|
2,549 |
2,457 |
$652K |
| 36415 |
|
123,588 |
101,815 |
$587K |
| 70553 |
|
1,065 |
1,037 |
$543K |
| 76705 |
|
4,856 |
4,657 |
$528K |
| 87426 |
|
12,219 |
11,891 |
$527K |
| 78452 |
|
980 |
918 |
$518K |
| 70486 |
|
2,353 |
2,236 |
$498K |
| 47563 |
|
135 |
135 |
$488K |
| 72148 |
|
1,551 |
1,495 |
$475K |
| 96372 |
|
15,203 |
12,847 |
$452K |
| 71046 |
|
7,651 |
7,286 |
$438K |
| 59025 |
|
3,296 |
2,375 |
$426K |
| A0428 |
Bls |
3,900 |
3,644 |
$415K |
| 87590 |
|
16,323 |
15,581 |
$403K |
| 49083 |
|
1,241 |
518 |
$401K |
| A0425 |
Ground mileage |
15,276 |
12,519 |
$367K |
| 87490 |
|
16,328 |
15,585 |
$365K |
| 70551 |
|
1,168 |
1,118 |
$353K |
| 76856 |
|
3,113 |
3,017 |
$350K |
| 97140 |
|
10,320 |
3,628 |
$339K |
| C9803 |
Hopd covid-19 spec collect |
14,193 |
13,524 |
$336K |
| 96366 |
|
4,168 |
2,956 |
$332K |
| 87086 |
|
39,257 |
35,606 |
$326K |
| 99291 |
|
725 |
677 |
$299K |
| 88305 |
|
7,328 |
6,061 |
$286K |
| 83690 |
|
42,064 |
37,461 |
$283K |
| 45380 |
|
502 |
488 |
$279K |
| 73610 |
|
2,898 |
2,731 |
$279K |
| 76830 |
|
2,431 |
2,373 |
$277K |
| J3490 |
Drugs unclassified injection |
29,383 |
13,085 |
$275K |
| 82306 |
|
8,790 |
8,578 |
$274K |
| 73030 |
|
2,929 |
2,726 |
$255K |
| J7030 |
Normal saline solution infus |
40,265 |
32,901 |
$247K |
| 77067 |
|
1,684 |
1,670 |
$247K |
| 92588 |
|
1,284 |
1,267 |
$232K |
| 84443 |
|
14,657 |
14,027 |
$226K |
| 93971 |
|
2,341 |
2,201 |
$217K |
| 45378 |
|
421 |
411 |
$209K |
| 81001 |
|
44,966 |
41,393 |
$206K |
| D3220 |
|
1,713 |
484 |
$204K |
| 73562 |
|
2,029 |
1,949 |
$202K |
| 93017 |
|
1,506 |
1,421 |
$200K |
| G0481 |
Drug test def 8-14 classes |
1,151 |
1,117 |
$198K |
| 84484 |
|
18,406 |
14,637 |
$195K |
| J7040 |
Normal saline solution infus |
11,990 |
10,962 |
$191K |
| 74018 |
|
2,917 |
2,577 |
$189K |
| G0390 |
Trauma respons w/hosp criti |
600 |
572 |
$183K |
| 80306 |
|
9,951 |
9,351 |
$179K |
| 83880 |
|
7,147 |
6,426 |
$177K |
| 72100 |
|
1,908 |
1,810 |
$173K |
| U0004 |
Cov-19 test non-cdc hgh thru |
2,631 |
2,524 |
$170K |
| 73630 |
|
2,588 |
2,475 |
$168K |
| D7140 |
|
1,435 |
396 |
$167K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
13,457 |
12,582 |
$163K |
| 97112 |
|
2,902 |
1,145 |
$162K |
| 73130 |
|
2,422 |
2,290 |
$162K |
| 82803 |
|
9,752 |
7,455 |
$160K |
| 76801 |
|
1,387 |
1,202 |
$158K |
| J1644 |
Inj heparin sodium per 1000u |
6,375 |
3,497 |
$156K |
| 45385 |
|
255 |
248 |
$155K |
| 43235 |
|
425 |
417 |
$153K |
| D2932 |
|
1,320 |
383 |
$145K |
| G0475 |
Hiv combination assay |
5,982 |
5,879 |
$145K |
| 73560 |
|
2,643 |
2,498 |
$142K |
| 80061 |
|
10,325 |
10,004 |
$141K |
| 92523 |
|
979 |
947 |
$141K |
| 12002 |
|
1,240 |
1,191 |
$139K |
| 93303 |
|
141 |
140 |
$136K |
| 80074 |
|
2,760 |
2,701 |
$135K |
| 81025 |
|
15,326 |
14,154 |
$134K |
| 73110 |
|
2,031 |
1,924 |
$132K |
| 83036 |
|
12,884 |
12,457 |
$131K |
| 82077 |
|
6,566 |
5,650 |
$126K |
| 71250 |
|
806 |
767 |
$126K |
| 12001 |
|
1,116 |
1,076 |
$126K |
| 87635 |
|
2,524 |
2,422 |
$120K |
| 92567 |
|
2,687 |
2,626 |
$120K |
| 76700 |
|
1,075 |
1,055 |
$119K |
| 94726 |
|
817 |
785 |
$116K |
| 87633 |
|
267 |
259 |
$98K |
| G0123 |
Screen cerv/vag thin layer |
3,862 |
3,815 |
$98K |
| 92557 |
|
833 |
814 |
$95K |
| 87186 |
|
10,438 |
9,834 |
$93K |
| J8501 |
Oral aprepitant |
1,560 |
1,520 |
$93K |
| 84439 |
|
9,306 |
9,043 |
$92K |
| 83605 |
|
8,986 |
7,127 |
$92K |
| 96376 |
|
6,950 |
5,460 |
$92K |
| J0561 |
Penicillin g benzathine inj |
865 |
828 |
$92K |
| 76770 |
|
906 |
873 |
$89K |
| P9047 |
Albumin (human), 25%, 50ml |
476 |
167 |
$88K |
| 97161 |
|
2,897 |
2,748 |
$87K |
| 84702 |
|
5,260 |
3,827 |
$86K |
| 85610 |
|
23,934 |
20,586 |
$84K |
| 83735 |
|
13,651 |
10,490 |
$84K |
| 73140 |
|
1,200 |
1,131 |
$84K |
| 73080 |
|
1,284 |
1,200 |
$84K |
| 76536 |
|
752 |
729 |
$83K |
| 88304 |
|
2,797 |
2,715 |
$81K |
| 10060 |
|
709 |
675 |
$80K |
| A6260 |
Wound cleanser any type/size |
6,308 |
3,145 |
$78K |
| 88342 |
|
1,540 |
1,487 |
$76K |
| A9270 |
Non-covered item or service |
34,499 |
14,424 |
$76K |
| 72141 |
|
238 |
230 |
$74K |
| 82962 |
|
22,193 |
10,938 |
$72K |
| 80048 |
|
9,772 |
8,301 |
$70K |
| 90471 |
|
2,834 |
2,739 |
$70K |
| J8499 |
Oral prescrip drug non chemo |
47,659 |
30,718 |
$70K |
| 87081 |
|
8,393 |
8,115 |
$70K |
| 73502 |
|
1,441 |
1,332 |
$70K |
| 12011 |
|
644 |
625 |
$70K |
| G0476 |
Hpv combo assay ca screen |
1,798 |
1,778 |
$70K |
| 77063 |
|
1,316 |
1,297 |
$69K |
| 87480 |
|
3,007 |
2,875 |
$69K |
| P9016 |
Rbc leukocytes reduced |
252 |
199 |
$69K |
| 86920 |
|
342 |
281 |
$68K |
| 87510 |
|
3,007 |
2,875 |
$68K |
| 87660 |
|
3,008 |
2,876 |
$68K |
| 81220 |
|
121 |
118 |
$67K |
| 85730 |
|
11,779 |
10,727 |
$67K |
| 36430 |
|
279 |
210 |
$67K |
| 87502 |
|
1,065 |
1,012 |
$66K |
| J2785 |
Regadenoson injection |
694 |
649 |
$64K |
| J0131 |
Inj, acetaminophen (nos) |
3,622 |
3,114 |
$62K |
| 87040 |
|
8,233 |
4,311 |
$62K |
| 86003 |
|
369 |
240 |
$62K |
| 76817 |
|
804 |
696 |
$61K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
475 |
465 |
$60K |
| 78815 |
|
103 |
99 |
$60K |
| 82728 |
|
4,849 |
4,668 |
$59K |
| 29125 |
|
481 |
454 |
$58K |
| 87077 |
|
7,305 |
6,890 |
$58K |
| 86850 |
|
7,225 |
6,319 |
$58K |
| A9500 |
Tc99m sestamibi |
939 |
879 |
$58K |
| 87070 |
|
6,477 |
6,129 |
$58K |
| 73590 |
|
920 |
877 |
$57K |
| 87880 |
|
3,629 |
3,461 |
$56K |
| J7120 |
Ringers lactate infusion |
6,549 |
5,510 |
$52K |
| 76642 |
|
506 |
490 |
$52K |
| 84703 |
|
5,628 |
5,364 |
$52K |
| 86900 |
|
7,640 |
6,863 |
$51K |
| 82607 |
|
3,595 |
3,481 |
$50K |
| 94729 |
|
843 |
810 |
$50K |
| J2704 |
Inj, propofol, 10 mg |
6,848 |
6,525 |
$50K |
| G0482 |
Drug test def 15-21 classes |
262 |
251 |
$50K |
| 97597 |
|
482 |
357 |
$49K |
| 86140 |
|
7,931 |
7,103 |
$48K |
| 86803 |
|
3,001 |
2,940 |
$47K |
| 97162 |
|
1,088 |
1,016 |
$47K |
| J7050 |
Normal saline solution infus |
4,302 |
2,593 |
$47K |
| 83550 |
|
5,181 |
5,000 |
$46K |
| 73090 |
|
676 |
643 |
$46K |
| 80055 |
|
829 |
806 |
$46K |
| 70491 |
|
131 |
130 |
$45K |
| C1769 |
Guide wire |
1,952 |
1,627 |
$45K |
| J0696 |
Ceftriaxone sodium injection |
7,548 |
4,287 |
$42K |
| 86235 |
|
679 |
333 |
$40K |
| 96367 |
|
1,118 |
942 |
$39K |
| 87491 |
|
930 |
908 |
$36K |
| 86901 |
|
7,636 |
6,860 |
$36K |
| 85379 |
|
3,389 |
3,194 |
$35K |
| 73120 |
|
313 |
304 |
$35K |
| 87591 |
|
917 |
895 |
$35K |
| 88307 |
|
207 |
201 |
$35K |
| 86592 |
|
6,054 |
5,900 |
$34K |
| 82746 |
|
2,250 |
2,182 |
$34K |
| 80050 |
|
2,644 |
2,492 |
$34K |
| M0243 |
Casirivi and imdevi inj |
83 |
81 |
$34K |
| 86038 |
|
2,328 |
2,262 |
$33K |
| 70498 |
|
78 |
76 |
$32K |
| 82330 |
|
2,706 |
2,490 |
$32K |
| D2929 |
|
111 |
29 |
$30K |
| 76942 |
|
476 |
461 |
$29K |
| 72170 |
|
395 |
381 |
$29K |
| 83970 |
|
901 |
850 |
$29K |
| 82075 |
|
1,339 |
1,093 |
$29K |
| 93458 |
|
26 |
25 |
$29K |
| 11750 |
|
102 |
99 |
$28K |
| 94010 |
|
206 |
197 |
$27K |
| 90715 |
|
2,083 |
2,007 |
$26K |
| 95812 |
|
153 |
150 |
$26K |
| 92552 |
|
224 |
221 |
$26K |
| 83540 |
|
3,803 |
3,659 |
$25K |
| 84146 |
|
1,151 |
1,113 |
$25K |
| 81003 |
|
7,908 |
6,709 |
$24K |
| 80076 |
|
2,285 |
2,045 |
$24K |
| 84100 |
|
5,294 |
4,424 |
$24K |
| 97165 |
|
755 |
719 |
$24K |
| 84403 |
|
851 |
809 |
$24K |
| A9577 |
Inj multihance |
1,852 |
1,775 |
$23K |
| 74183 |
|
37 |
36 |
$23K |
| 92579 |
|
194 |
190 |
$23K |
| 93970 |
|
145 |
142 |
$22K |
| C1725 |
Cath, translumin non-laser |
969 |
751 |
$22K |
| 84145 |
|
1,478 |
1,244 |
$22K |
| 41899 |
|
12 |
12 |
$22K |
| 94060 |
|
266 |
257 |
$22K |
| 84481 |
|
1,091 |
1,059 |
$21K |
| J1885 |
Ketorolac tromethamine inj |
18,886 |
17,007 |
$21K |
| 87641 |
|
1,029 |
954 |
$20K |
| 76981 |
|
157 |
157 |
$20K |
| 85652 |
|
5,467 |
5,001 |
$20K |
| 87340 |
|
1,814 |
1,777 |
$20K |
| 92610 |
|
215 |
209 |
$19K |
| 10061 |
|
168 |
157 |
$19K |
| 72070 |
|
230 |
225 |
$19K |
| 82140 |
|
1,465 |
1,281 |
$19K |
| 83516 |
|
1,180 |
1,072 |
$18K |
| J0690 |
Cefazolin sodium injection |
5,582 |
4,089 |
$18K |
| S0119 |
Ondansetron 4 mg |
9,802 |
8,349 |
$18K |
| 71101 |
|
203 |
193 |
$18K |
| 92555 |
|
183 |
183 |
$17K |
| 87205 |
|
3,880 |
2,990 |
$17K |
| 76870 |
|
142 |
138 |
$17K |
| 77066 |
Tomosynthesis, mammo |
100 |
100 |
$17K |
| 76000 |
|
127 |
118 |
$17K |
| 87400 |
|
1,264 |
613 |
$17K |
| 81005 |
|
6,921 |
6,483 |
$16K |
| 84550 |
|
3,418 |
2,982 |
$15K |
| A0433 |
Als 2 |
43 |
43 |
$15K |
| 82248 |
|
2,884 |
2,305 |
$15K |
| 73660 |
|
249 |
235 |
$15K |
| 86762 |
|
974 |
946 |
$15K |
| 80069 |
|
2,580 |
1,699 |
$15K |
| 82105 |
|
813 |
797 |
$15K |
| G0257 |
Unsched dialysis esrd pt hos |
241 |
144 |
$14K |
| 86780 |
|
957 |
937 |
$14K |
| 82950 |
|
2,677 |
2,407 |
$14K |
| A6213 |
Foam drg >16<=48 sq in w/bdr |
1,215 |
864 |
$14K |
| 97113 |
|
218 |
84 |
$14K |
| 83615 |
|
2,525 |
2,037 |
$14K |
| 82565 |
|
3,575 |
3,163 |
$14K |
| A9150 |
Misc/exper non-prescript dru |
10,709 |
8,529 |
$13K |
| 82570 |
|
2,840 |
2,551 |
$13K |
| 87389 |
|
641 |
622 |
$13K |
| A6021 |
Collagen dressing <=16 sq in |
407 |
223 |
$13K |
| 86160 |
|
942 |
461 |
$13K |
| 97166 |
|
206 |
206 |
$13K |
| 87147 |
|
2,850 |
2,751 |
$13K |
| 83001 |
|
557 |
550 |
$13K |
| 36416 |
|
14,145 |
9,961 |
$12K |
| 84425 |
|
582 |
563 |
$12K |
| C1887 |
Catheter, guiding |
865 |
649 |
$12K |
| 92526 |
|
140 |
81 |
$11K |
| 97163 |
|
201 |
193 |
$11K |
| 12013 |
|
140 |
133 |
$11K |
| C1776 |
Joint device (implantable) |
54 |
51 |
$11K |
| 86431 |
|
1,359 |
1,317 |
$11K |
| 84156 |
|
2,980 |
2,630 |
$11K |
| 74022 |
|
133 |
130 |
$10K |
| 86376 |
|
604 |
594 |
$10K |
| 82951 |
|
661 |
585 |
$10K |
| 99281 |
|
158 |
145 |
$10K |
| 11042 |
|
62 |
48 |
$10K |
| 84600 |
|
683 |
624 |
$9K |
| C9113 |
Inj pantoprazole sodium, via |
3,848 |
2,981 |
$9K |
| 97167 |
|
134 |
123 |
$9K |
| 72040 |
|
95 |
90 |
$9K |
| 82550 |
|
1,284 |
1,082 |
$9K |
| 82784 |
|
871 |
773 |
$8K |
| 78227 |
|
27 |
27 |
$8K |
| 76815 |
|
134 |
121 |
$8K |
| A0998 |
Ambulance response/treatment |
465 |
448 |
$8K |
| 83655 |
|
547 |
540 |
$8K |
| J0330 |
Succinycholine chloride inj |
1,337 |
1,277 |
$8K |
| 85027 |
|
1,016 |
991 |
$8K |
| 96413 |
|
30 |
27 |
$8K |
| J3010 |
Fentanyl citrate injection |
16,501 |
13,766 |
$7K |
| 84402 |
|
277 |
265 |
$7K |
| 81511 |
|
148 |
146 |
$7K |
| 87899 |
|
377 |
181 |
$7K |
| 82670 |
|
225 |
218 |
$7K |
| 99156 |
|
835 |
770 |
$7K |
| C9290 |
Inj, bupivacaine liposome |
150 |
148 |
$7K |
| 85014 |
|
2,700 |
2,374 |
$7K |
| J1170 |
Hydromorphone injection |
7,936 |
5,933 |
$7K |
| 86225 |
|
265 |
231 |
$6K |
| 88142 |
|
333 |
321 |
$6K |
| 77080 |
|
82 |
81 |
$6K |
| 29515 |
|
80 |
80 |
$6K |
| 93270 |
|
157 |
149 |
$6K |
| 91200 |
|
41 |
41 |
$6K |
| J1100 |
Dexamethasone sodium phos |
9,673 |
9,088 |
$6K |
| G0279 |
Tomosynthesis, mammo |
160 |
157 |
$6K |
| D2391 |
|
53 |
12 |
$6K |
| J1953 |
Levetiracetam injection |
418 |
364 |
$5K |
| 80047 |
|
408 |
391 |
$5K |
| J2405 |
Ondansetron hcl injection |
28,436 |
24,383 |
$5K |
| A4649 |
Surgical supplies |
615 |
417 |
$5K |
| 86200 |
|
384 |
379 |
$5K |
| 76376 |
|
1,008 |
956 |
$5K |
| 87522 |
Neg quan hep c or qual rna |
93 |
90 |
$5K |
| A4216 |
Sterile water/saline, 10 ml |
5,769 |
3,793 |
$5K |
| A6210 |
Foam drg >16<=48 sq in w/o b |
222 |
141 |
$5K |
| 73600 |
|
54 |
52 |
$5K |
| 87505 |
|
313 |
307 |
$5K |
| M0245 |
Bamlan and etesev infusion |
13 |
13 |
$5K |
| 70496 |
|
14 |
14 |
$5K |
| 80320 |
|
1,639 |
1,426 |
$5K |
| 87088 |
|
960 |
918 |
$5K |
| J2270 |
Morphine sulfate injection |
7,176 |
5,829 |
$5K |
| 82947 |
|
1,359 |
1,261 |
$5K |
| J3370 |
Vancomycin hcl injection |
401 |
254 |
$5K |
| 83002 |
|
202 |
198 |
$5K |
| 85018 |
|
1,405 |
1,186 |
$5K |
| 73552 |
|
82 |
77 |
$4K |
| 82043 |
|
598 |
583 |
$4K |
| J2560 |
Phenobarbital sodium inj |
484 |
434 |
$4K |
| J1790 |
Droperidol injection |
1,457 |
1,341 |
$4K |
| 84460 |
|
766 |
660 |
$4K |
| 72114 |
|
43 |
40 |
$4K |
| J7070 |
D5w infusion |
75 |
70 |
$4K |
| J2930 |
Methylprednisolone injection |
971 |
803 |
$4K |
| 86696 |
|
149 |
116 |
$4K |
| J2795 |
Ropivacaine hcl injection |
446 |
425 |
$4K |
| 74230 |
|
42 |
42 |
$4K |
| 82800 |
|
496 |
464 |
$4K |
| 64488 |
|
202 |
199 |
$4K |
| 87338 |
|
207 |
201 |
$3K |
| 74300 |
|
69 |
69 |
$3K |
| J1815 |
Insulin injection |
2,493 |
1,354 |
$3K |
| A6196 |
Alginate dressing <=16 sq in |
227 |
127 |
$3K |
| 93226 |
|
54 |
52 |
$3K |
| 97116 |
|
162 |
98 |
$3K |
| 64450 |
|
14 |
13 |
$3K |
| 93225 |
|
52 |
50 |
$3K |
| M0222 |
Bebtelovimab injection |
13 |
13 |
$3K |
| J0295 |
Ampicillin sulbactam 1.5 gm |
353 |
197 |
$3K |
| G0008 |
Admin influenza virus vac |
177 |
167 |
$3K |
| 87210 |
|
594 |
564 |
$3K |
| 0241U |
|
70 |
70 |
$3K |
| 92582 |
|
25 |
25 |
$3K |
| J0780 |
Prochlorperazine injection |
692 |
647 |
$3K |
| 72110 |
|
38 |
38 |
$3K |
| 80143 |
|
163 |
149 |
$3K |
| J3480 |
Inj potassium chloride |
656 |
492 |
$3K |
| G0103 |
Psa screening |
139 |
137 |
$3K |
| 87807 |
|
191 |
184 |
$3K |
| 82977 |
|
335 |
304 |
$3K |
| S0166 |
Inj olanzapine 2.5mg |
55 |
54 |
$3K |
| J2250 |
Inj midazolam hydrochloride |
7,455 |
6,882 |
$3K |
| A6212 |
Foam drg <=16 sq in w/border |
168 |
110 |
$3K |
| J2060 |
Lorazepam injection |
6,575 |
5,543 |
$3K |
| 83021 |
|
111 |
109 |
$2K |
| 84520 |
|
790 |
730 |
$2K |
| 72131 |
|
16 |
15 |
$2K |
| 99157 |
|
584 |
546 |
$2K |
| 84478 |
|
419 |
406 |
$2K |
| 86800 |
|
144 |
142 |
$2K |
| 80179 |
|
140 |
130 |
$2K |
| 97035 |
|
107 |
50 |
$2K |
| 82310 |
|
465 |
436 |
$2K |
| 73060 |
|
39 |
39 |
$2K |
| 93307 |
|
15 |
13 |
$2K |
| 92611 |
|
30 |
30 |
$2K |
| 87798 |
|
51 |
35 |
$2K |
| 84450 |
|
428 |
347 |
$2K |
| 82010 |
|
249 |
225 |
$2K |
| 76819 |
|
13 |
12 |
$2K |
| 94799 |
|
24 |
24 |
$2K |
| 36901 |
|
27 |
24 |
$2K |
| 87634 |
|
177 |
169 |
$2K |
| 97763 |
|
34 |
24 |
$2K |
| A9552 |
F18 fdg |
68 |
66 |
$2K |
| 70360 |
|
26 |
26 |
$2K |
| 84132 |
|
668 |
598 |
$2K |
| 86039 |
|
137 |
134 |
$2K |
| 76881 |
|
12 |
12 |
$2K |
| 85046 |
|
273 |
265 |
$2K |
| 87045 |
|
189 |
181 |
$2K |
| 86695 |
|
113 |
110 |
$2K |
| 84295 |
|
543 |
507 |
$2K |
| J1200 |
Diphenhydramine hcl injectio |
4,845 |
4,393 |
$2K |
| 99212 |
|
255 |
184 |
$2K |
| 82465 |
|
392 |
379 |
$2K |
| 74220 |
|
14 |
14 |
$2K |
| 99213 |
|
548 |
374 |
$2K |
| J7613 |
Albuterol non-comp unit |
2,269 |
1,794 |
$2K |
| 86318 |
|
109 |
106 |
$2K |
| 84075 |
|
326 |
267 |
$2K |
| 90686 |
|
111 |
103 |
$2K |
| 87046 |
|
150 |
143 |
$1K |
| 82553 |
|
151 |
96 |
$1K |
| 16020 |
|
17 |
16 |
$1K |
| J3475 |
Inj magnesium sulfate |
350 |
321 |
$1K |
| 82533 |
|
70 |
66 |
$1K |
| 73100 |
|
14 |
12 |
$1K |
| 82435 |
|
428 |
399 |
$1K |
| J2550 |
Promethazine hcl injection |
3,305 |
2,862 |
$1K |
| 92556 |
|
29 |
29 |
$1K |
| 87536 |
|
15 |
14 |
$1K |
| 80329 |
|
188 |
129 |
$1K |
| 82247 |
|
206 |
189 |
$1K |
| J3360 |
Diazepam injection |
311 |
295 |
$1K |
| 80164 |
|
85 |
80 |
$1K |
| 87075 |
|
118 |
111 |
$1K |
| 86481 |
|
16 |
16 |
$1K |
| 87625 |
|
39 |
38 |
$1K |
| 82378 |
|
59 |
50 |
$1K |
| 93880 |
|
14 |
14 |
$999.95 |
| A6457 |
Tubular dressing |
238 |
143 |
$991.16 |
| 29105 |
|
13 |
13 |
$949.10 |
| 80051 |
|
111 |
107 |
$927.38 |
| S0028 |
Injection, famotidine, 20 mg |
2,392 |
2,212 |
$920.50 |
| J8540 |
Oral dexamethasone |
1,784 |
1,704 |
$910.05 |
| 11730 |
|
12 |
12 |
$894.28 |
| C1750 |
Cath, hemodialysis,long-term |
31 |
27 |
$872.56 |
| 87109 |
|
43 |
43 |
$867.51 |
| 89051 |
|
158 |
124 |
$816.33 |
| J2765 |
Metoclopramide hcl injection |
1,787 |
1,633 |
$737.19 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,548 |
1,439 |
$715.81 |
| 87324 |
|
59 |
57 |
$708.87 |
| 87449 |
|
62 |
60 |
$690.95 |
| 87339 |
|
53 |
52 |
$676.30 |
| Q9950 |
Inj sulf hexa lipid microsph |
18 |
18 |
$657.77 |
| 94761 |
|
147 |
101 |
$631.33 |
| J2370 |
Phenylephrine hcl injection |
732 |
667 |
$627.52 |
| 83930 |
|
84 |
76 |
$614.86 |
| 87624 |
|
32 |
32 |
$600.11 |
| J7620 |
Albuterol ipratrop non-comp |
624 |
546 |
$596.94 |
| J1740 |
Ibandronate sodium injection |
48 |
47 |
$545.95 |
| 96368 |
|
79 |
76 |
$539.25 |
| 83883 |
|
32 |
24 |
$512.33 |
| J0280 |
Aminophyllin 250 mg inj |
245 |
233 |
$482.10 |
| A6197 |
Alginate drsg >16 <=48 sq in |
16 |
13 |
$463.77 |
| 87328 |
|
26 |
26 |
$442.45 |
| 86255 |
|
37 |
37 |
$418.51 |
| 86361 |
|
14 |
14 |
$409.30 |
| 87329 |
|
24 |
24 |
$375.23 |
| J2919 |
Inj, methylpred sod succ 5mg |
103 |
69 |
$369.40 |
| J1642 |
Inj heparin sodium per 10 u |
367 |
50 |
$348.01 |
| 82374 |
|
116 |
107 |
$340.06 |
| G2023 |
Specimen collect covid-19 |
22 |
20 |
$339.08 |
| 86430 |
|
39 |
39 |
$331.86 |
| J1030 |
Methylprednisolone 40 mg inj |
50 |
46 |
$299.26 |
| Q0222 |
Bebtelovimab 175 mg |
13 |
13 |
$280.00 |
| J7644 |
Ipratropium bromide non-comp |
405 |
370 |
$257.71 |
| 84153 |
|
14 |
14 |
$254.15 |
| J2359 |
Inj. olanzapine, 0.5mg |
15 |
12 |
$238.67 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
36 |
35 |
$234.72 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
308 |
296 |
$232.70 |
| J1940 |
Furosemide injection |
157 |
92 |
$229.44 |
| G8978 |
Mobility current status |
588 |
484 |
$224.15 |
| 82150 |
|
29 |
28 |
$223.69 |
| Q9957 |
Inj perflutren lip micros,ml |
16 |
15 |
$222.35 |
| J0171 |
Adrenalin epinephrine inject |
15 |
12 |
$208.72 |
| 85007 |
|
56 |
55 |
$202.96 |
| 86706 |
|
19 |
19 |
$200.78 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
374 |
363 |
$194.86 |
| 82040 |
|
37 |
37 |
$194.02 |
| 86705 |
|
15 |
15 |
$155.27 |
| 83525 |
|
12 |
12 |
$143.42 |
| A9537 |
Tc99m mebrofenin |
14 |
14 |
$137.91 |
| 86709 |
|
15 |
15 |
$135.76 |
| C2617 |
Stent, non-cor, tem w/o del |
14 |
12 |
$132.16 |
| 82375 |
|
16 |
14 |
$128.70 |
| J1650 |
Inj enoxaparin sodium |
72 |
40 |
$100.24 |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
15 |
13 |
$86.33 |
| Q2036 |
Flulaval vacc, 3 yrs & >, im |
14 |
14 |
$79.75 |
| 84160 |
|
15 |
15 |
$76.80 |
| Q0243 |
Casirivimab and imdevimab |
163 |
80 |
$75.85 |
| 99214 |
|
44 |
42 |
$68.86 |
| 85396 |
|
13 |
12 |
$49.13 |
| Q0162 |
Ondansetron oral |
34 |
29 |
$46.88 |
| J2001 |
Lidocaine injection |
18 |
18 |
$44.93 |
| J2305 |
Inj, nitroglycerin, 5 mg |
13 |
13 |
$42.08 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
102 |
72 |
$41.30 |
| 92650 |
|
25 |
25 |
$33.09 |
| J2470 |
Inj pantoprazole sodium 40mg |
169 |
133 |
$17.40 |
| J0670 |
Inj mepivacaine hcl/10 ml |
14 |
14 |
$11.13 |
| G8979 |
Mobility goal status |
705 |
564 |
$6.12 |
| J1630 |
Haloperidol injection |
14 |
12 |
$4.85 |
| J7614 |
Levalbuterol non-comp unit |
13 |
13 |
$3.14 |
| Q0245 |
Bamlanivimab and etesevima |
12 |
12 |
$0.05 |
| G1004 |
Cdsm ndsc |
115 |
106 |
$0.00 |
| G8985 |
Carry goal status |
238 |
197 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
15 |
13 |
$0.00 |
| G8984 |
Carry current status |
170 |
145 |
$0.00 |
| G8980 |
Mobility d/c status |
107 |
94 |
$0.00 |
| G8988 |
Self care goal status |
16 |
13 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
14 |
14 |
$0.00 |
| G8987 |
Self care current status |
16 |
13 |
$0.00 |