| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
152,478 |
140,097 |
$27.43M |
| 99284 |
|
77,845 |
70,646 |
$14.13M |
| 99213 |
|
173,208 |
153,260 |
$13.41M |
| 99214 |
|
91,611 |
82,044 |
$8.64M |
| 99282 |
|
32,018 |
30,297 |
$6.21M |
| U0003 |
Cov-19 amp prb hgh thruput |
82,662 |
71,600 |
$4.67M |
| 36415 |
|
303,637 |
155,850 |
$4.14M |
| 99203 |
|
27,141 |
26,555 |
$2.88M |
| S9083 |
Urgent care center global |
26,470 |
24,329 |
$2.78M |
| 99212 |
|
41,924 |
38,293 |
$2.61M |
| 99204 |
|
15,068 |
14,760 |
$2.36M |
| 70450 |
|
11,601 |
11,239 |
$2.19M |
| 96361 |
|
21,942 |
20,458 |
$1.89M |
| 99285 |
|
9,954 |
9,659 |
$1.72M |
| 90834 |
|
9,845 |
5,855 |
$1.70M |
| G0378 |
Hospital observation per hr |
1,272 |
1,240 |
$1.50M |
| 81408 |
|
1,065 |
1,057 |
$1.33M |
| 99215 |
Prolong outpt/office vis |
9,097 |
8,542 |
$1.32M |
| 99211 |
|
70,922 |
62,611 |
$1.25M |
| 99442 |
|
19,496 |
19,029 |
$1.14M |
| 81420 |
|
1,502 |
1,488 |
$1.01M |
| 90832 |
|
8,328 |
5,696 |
$995K |
| 92014 |
|
14,152 |
9,897 |
$966K |
| 99391 |
|
22,981 |
22,075 |
$894K |
| 76856 |
|
4,720 |
4,638 |
$852K |
| 45378 |
|
1,455 |
1,443 |
$851K |
| 96372 |
|
51,066 |
39,738 |
$835K |
| 81220 |
|
1,842 |
1,828 |
$813K |
| 74177 |
|
5,748 |
5,682 |
$806K |
| D9999 |
|
5,800 |
5,293 |
$770K |
| D0999 |
|
4,808 |
4,547 |
$767K |
| 80048 |
|
90,081 |
82,122 |
$751K |
| 99205 |
Prolong outpt/office vis |
3,865 |
3,764 |
$750K |
| 87491 |
|
27,817 |
27,187 |
$725K |
| 77067 |
|
5,907 |
5,867 |
$683K |
| 96365 |
|
11,793 |
11,161 |
$675K |
| 76818 |
|
5,788 |
2,529 |
$666K |
| 76816 |
|
5,843 |
5,321 |
$662K |
| 96360 |
|
8,574 |
8,308 |
$644K |
| 99392 |
|
21,043 |
20,972 |
$627K |
| 97110 |
|
14,803 |
6,496 |
$614K |
| 99202 |
|
7,235 |
7,100 |
$597K |
| 86480 |
|
11,614 |
11,435 |
$589K |
| 92012 |
|
11,304 |
8,607 |
$582K |
| 76641 |
|
4,941 |
4,012 |
$569K |
| U0005 |
Infec agen detec ampli probe |
29,405 |
25,622 |
$564K |
| 87591 |
|
23,877 |
23,307 |
$524K |
| 99441 |
|
12,335 |
11,970 |
$516K |
| 90460 |
|
44,491 |
44,335 |
$510K |
| 52000 |
|
684 |
681 |
$507K |
| 87635 |
|
11,932 |
11,027 |
$494K |
| 93306 |
|
2,853 |
2,821 |
$481K |
| 93005 |
|
45,701 |
42,662 |
$467K |
| 99443 |
|
6,310 |
5,995 |
$465K |
| 0002A |
|
14,572 |
14,526 |
$454K |
| 87536 |
|
4,702 |
4,604 |
$438K |
| 92004 |
|
3,005 |
2,988 |
$437K |
| 96374 |
|
22,826 |
20,506 |
$434K |
| 76770 |
|
2,953 |
2,916 |
$429K |
| 99051 |
|
12,890 |
8,337 |
$426K |
| 0001A |
|
15,090 |
15,040 |
$426K |
| 76811 |
|
2,669 |
2,642 |
$423K |
| 80053 |
|
41,064 |
39,485 |
$415K |
| 77066 |
Tomosynthesis, mammo |
2,774 |
2,745 |
$406K |
| H0049 |
Alcohol/drug screening |
7,574 |
6,835 |
$389K |
| 90471 |
|
47,883 |
46,892 |
$386K |
| 87637 |
|
7,179 |
6,987 |
$379K |
| 71046 |
|
26,237 |
25,458 |
$378K |
| 80061 |
|
38,577 |
37,927 |
$375K |
| 72125 |
|
3,825 |
3,725 |
$369K |
| 86703 |
|
29,620 |
29,170 |
$362K |
| 90677 |
|
2,838 |
2,824 |
$354K |
| 85027 |
|
131,350 |
121,635 |
$352K |
| 70486 |
|
2,637 |
2,601 |
$346K |
| 12001 |
|
1,592 |
1,580 |
$346K |
| 94640 |
|
15,262 |
13,962 |
$335K |
| 12011 |
|
1,615 |
1,602 |
$333K |
| 96413 |
|
2,476 |
1,279 |
$331K |
| 90651 |
|
3,432 |
3,417 |
$327K |
| H0050 |
Alcohol/drug service 15 min |
6,463 |
5,927 |
$326K |
| H2011 |
Crisis interven svc, 15 min |
1,587 |
1,370 |
$325K |
| 83036 |
|
46,938 |
44,474 |
$321K |
| J2357 |
Omalizumab injection |
386 |
227 |
$313K |
| 80076 |
|
54,047 |
51,500 |
$303K |
| 86360 |
|
6,282 |
6,131 |
$300K |
| 90461 |
|
17,389 |
17,369 |
$298K |
| 90847 |
|
1,135 |
762 |
$294K |
| 71250 |
|
1,651 |
1,630 |
$292K |
| 76700 |
|
1,572 |
1,563 |
$287K |
| 80307 |
|
10,191 |
9,250 |
$284K |
| 59025 |
|
2,795 |
1,856 |
$281K |
| 99393 |
|
12,612 |
12,552 |
$279K |
| 99201 |
|
4,247 |
4,137 |
$278K |
| 74176 |
|
2,364 |
2,341 |
$276K |
| 86850 |
|
15,932 |
14,950 |
$264K |
| G0463 |
Hospital outpt clinic visit |
9,608 |
7,169 |
$257K |
| 90715 |
|
11,318 |
11,160 |
$247K |
| 71260 |
|
1,446 |
1,427 |
$244K |
| 88305 |
|
3,461 |
3,320 |
$240K |
| 90750 |
|
3,159 |
3,128 |
$238K |
| 90791 |
|
1,182 |
1,025 |
$234K |
| J1050 |
Medroxyprogesterone acetate |
3,172 |
3,148 |
$233K |
| 86359 |
|
6,275 |
6,124 |
$231K |
| 12002 |
|
1,077 |
1,055 |
$229K |
| 84443 |
|
22,926 |
22,305 |
$227K |
| 71275 |
|
1,107 |
1,094 |
$223K |
| 82948 |
|
50,889 |
41,426 |
$220K |
| 81161 |
|
1,101 |
1,092 |
$209K |
| 81329 |
|
1,690 |
1,654 |
$202K |
| 97140 |
|
7,800 |
3,508 |
$189K |
| 96375 |
|
17,436 |
13,998 |
$188K |
| 99381 |
|
6,632 |
4,751 |
$186K |
| 77065 |
Tomosynthesis, mammo |
1,670 |
1,592 |
$184K |
| 90686 |
|
21,421 |
21,005 |
$183K |
| 76705 |
|
3,719 |
3,657 |
$178K |
| 10060 |
|
1,184 |
1,131 |
$175K |
| 82306 |
|
8,751 |
8,638 |
$174K |
| 76830 |
|
3,706 |
3,586 |
$171K |
| 86901 |
|
15,930 |
14,984 |
$171K |
| H0005 |
Alcohol and/or drug services |
2,528 |
566 |
$161K |
| 97802 |
|
7,072 |
6,714 |
$158K |
| 0004A |
|
4,330 |
4,325 |
$158K |
| 86780 |
|
18,381 |
17,703 |
$156K |
| 99394 |
|
7,888 |
7,845 |
$156K |
| 81025 |
|
34,978 |
33,518 |
$154K |
| 87633 |
|
1,750 |
1,724 |
$153K |
| 93970 |
|
702 |
694 |
$151K |
| J0517 |
Inj., benralizumab, 1 mg |
270 |
260 |
$150K |
| 96110 |
|
3,476 |
3,332 |
$142K |
| 90935 |
|
866 |
75 |
$140K |
| 59841 |
|
249 |
247 |
$140K |
| 97010 |
|
20,094 |
7,097 |
$137K |
| U0001 |
2019-ncov diagnostic p |
3,363 |
3,203 |
$137K |
| 72148 |
|
362 |
359 |
$136K |
| 29580 |
|
1,554 |
616 |
$130K |
| 97530 |
|
3,635 |
2,341 |
$130K |
| J0561 |
Penicillin g benzathine inj |
771 |
597 |
$129K |
| J1756 |
Iron sucrose injection |
3,706 |
1,701 |
$128K |
| D7210 |
|
3,205 |
2,444 |
$128K |
| 96366 |
|
2,826 |
2,737 |
$127K |
| 97161 |
|
1,362 |
1,361 |
$124K |
| T1013 |
Sign lang/oral interpreter |
11,025 |
10,268 |
$123K |
| 86900 |
|
15,891 |
14,947 |
$121K |
| J7307 |
Etonogestrel implant system |
119 |
114 |
$116K |
| 45380 |
|
166 |
166 |
$111K |
| 76642 |
|
1,329 |
1,240 |
$110K |
| D0330 |
|
5,929 |
5,684 |
$110K |
| D0140 |
|
9,348 |
8,553 |
$110K |
| 73610 |
|
5,683 |
5,067 |
$109K |
| 87624 |
|
3,253 |
3,201 |
$108K |
| 86803 |
|
11,562 |
11,369 |
$108K |
| 87502 |
|
3,898 |
3,822 |
$106K |
| 57452 |
|
539 |
532 |
$106K |
| 73630 |
|
5,850 |
5,435 |
$106K |
| 87800 |
|
3,595 |
3,496 |
$106K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
11,331 |
8,457 |
$104K |
| 83655 |
|
9,674 |
9,586 |
$104K |
| 71045 |
|
14,411 |
13,809 |
$100K |
| 99396 |
|
1,409 |
1,363 |
$97K |
| 96127 |
|
29,894 |
27,376 |
$97K |
| 11900 |
|
1,004 |
944 |
$97K |
| 88142 |
|
4,249 |
4,161 |
$96K |
| 99395 |
|
2,737 |
2,711 |
$96K |
| 76536 |
|
972 |
965 |
$93K |
| 99281 |
|
504 |
493 |
$92K |
| 77062 |
|
591 |
586 |
$92K |
| 97803 |
|
2,055 |
2,035 |
$90K |
| 73564 |
|
3,935 |
3,708 |
$90K |
| 90746 |
|
1,721 |
1,698 |
$90K |
| D7140 |
|
3,732 |
2,968 |
$90K |
| 81422 |
|
165 |
162 |
$88K |
| 72100 |
|
3,862 |
3,824 |
$86K |
| 86769 |
|
3,545 |
3,426 |
$85K |
| 76820 |
|
1,811 |
938 |
$84K |
| 76801 |
|
1,098 |
1,048 |
$84K |
| 97124 |
|
3,115 |
1,732 |
$83K |
| 90853 |
|
1,221 |
304 |
$82K |
| 83880 |
|
5,668 |
5,415 |
$80K |
| 90732 |
|
878 |
845 |
$79K |
| J2426 |
Inj, invega sustenna, 1 mg |
150 |
144 |
$78K |
| 73030 |
|
4,634 |
4,349 |
$78K |
| 74019 |
|
3,193 |
3,161 |
$77K |
| 81001 |
|
49,693 |
47,422 |
$75K |
| 73130 |
|
4,869 |
4,544 |
$75K |
| 93975 |
|
456 |
449 |
$74K |
| 90472 |
|
11,368 |
11,275 |
$74K |
| 81243 |
|
1,630 |
1,596 |
$73K |
| 73110 |
|
4,003 |
3,522 |
$73K |
| 87340 |
|
10,193 |
9,954 |
$72K |
| 77336 |
|
324 |
82 |
$72K |
| 76825 |
|
277 |
261 |
$71K |
| 92250 |
|
1,821 |
1,734 |
$70K |
| 83970 |
|
2,599 |
2,532 |
$70K |
| 29125 |
|
636 |
605 |
$69K |
| 77063 |
|
1,418 |
1,416 |
$69K |
| 99401 |
|
3,458 |
3,340 |
$68K |
| 87522 |
Neg quan hep c or qual rna |
1,731 |
1,704 |
$67K |
| D1110 |
|
3,554 |
3,436 |
$67K |
| G2023 |
Specimen collect covid-19 |
3,392 |
2,972 |
$67K |
| 90697 |
|
3,116 |
3,113 |
$66K |
| H0001 |
Alcohol and/or drug assess |
395 |
356 |
$66K |
| 92567 |
|
2,678 |
2,645 |
$66K |
| 93971 |
|
1,407 |
1,387 |
$65K |
| 92579 |
|
1,192 |
1,160 |
$65K |
| 86003 |
|
2,270 |
2,068 |
$64K |
| 87086 |
|
15,797 |
15,259 |
$64K |
| 17110 |
|
392 |
380 |
$63K |
| 0072A |
|
1,499 |
1,497 |
$63K |
| 97167 |
|
577 |
576 |
$62K |
| 84153 |
|
4,409 |
4,294 |
$61K |
| 0071A |
|
1,589 |
1,589 |
$61K |
| J2315 |
Naltrexone, depot form |
72 |
71 |
$59K |
| 20610 |
|
702 |
686 |
$59K |
| S9088 |
Services provided in urgent |
1,086 |
1,031 |
$58K |
| 86762 |
|
4,829 |
4,667 |
$58K |
| 92557 |
|
1,782 |
1,528 |
$58K |
| 77049 |
|
153 |
151 |
$56K |
| 99291 |
|
268 |
267 |
$56K |
| 86706 |
|
7,189 |
7,001 |
$55K |
| 83020 |
|
4,363 |
4,265 |
$53K |
| 73562 |
|
2,455 |
2,242 |
$53K |
| J0882 |
Darbepoetin alfa, esrd use |
275 |
87 |
$52K |
| 84702 |
|
14,044 |
12,959 |
$52K |
| 73721 |
|
140 |
138 |
$52K |
| 88175 |
|
1,850 |
1,849 |
$51K |
| 76815 |
|
768 |
666 |
$51K |
| 87535 |
|
1,490 |
1,482 |
$51K |
| 90670 |
|
4,913 |
4,900 |
$50K |
| 90792 |
|
263 |
248 |
$50K |
| 92133 |
|
1,381 |
1,373 |
$48K |
| 90734 |
|
1,534 |
1,527 |
$48K |
| 84439 |
|
6,221 |
6,078 |
$44K |
| D9430 |
|
2,844 |
2,501 |
$44K |
| 76870 |
|
714 |
703 |
$42K |
| 77412 |
|
193 |
24 |
$41K |
| 73590 |
|
3,094 |
2,907 |
$41K |
| 97162 |
|
419 |
418 |
$41K |
| 19083 |
|
62 |
56 |
$41K |
| 94375 |
|
891 |
703 |
$40K |
| 45385 |
|
81 |
81 |
$40K |
| 87798 |
|
2,535 |
2,494 |
$39K |
| 90620 |
|
1,459 |
1,456 |
$39K |
| 76000 |
|
459 |
449 |
$39K |
| 82951 |
|
3,786 |
3,451 |
$39K |
| 96367 |
|
2,145 |
1,953 |
$38K |
| 76819 |
|
495 |
466 |
$38K |
| 94729 |
|
787 |
786 |
$38K |
| 0124A |
|
938 |
936 |
$38K |
| 74178 |
|
126 |
126 |
$37K |
| 99383 |
|
684 |
682 |
$37K |
| D0150 |
|
3,170 |
2,886 |
$36K |
| 99382 |
|
608 |
606 |
$36K |
| A9585 |
Gadobutrol injection |
1,284 |
1,258 |
$36K |
| 83735 |
|
33,365 |
31,152 |
$35K |
| 92083 |
|
647 |
637 |
$35K |
| D0220 |
|
5,863 |
5,688 |
$35K |
| 92015 |
|
1,558 |
1,553 |
$34K |
| 82728 |
|
4,010 |
3,920 |
$34K |
| 99384 |
|
801 |
794 |
$33K |
| 90833 |
|
487 |
439 |
$32K |
| 73502 |
|
1,655 |
1,546 |
$31K |
| 93303 |
|
141 |
139 |
$31K |
| 84484 |
|
24,837 |
22,819 |
$30K |
| 92582 |
|
332 |
319 |
$30K |
| 91320 |
|
680 |
680 |
$30K |
| 82105 |
|
2,451 |
2,414 |
$30K |
| 82043 |
|
7,114 |
6,970 |
$29K |
| 93325 |
|
1,217 |
1,141 |
$29K |
| 82607 |
|
3,388 |
3,308 |
$29K |
| 73090 |
|
2,292 |
2,058 |
$29K |
| 85610 |
|
13,467 |
12,624 |
$29K |
| 76817 |
|
476 |
451 |
$28K |
| 82803 |
|
3,821 |
3,667 |
$28K |
| 77080 |
|
1,092 |
1,078 |
$27K |
| 41899 |
|
61 |
61 |
$27K |
| 82785 |
|
1,933 |
1,893 |
$27K |
| 81002 |
|
8,362 |
6,551 |
$27K |
| 94726 |
|
469 |
469 |
$27K |
| 73565 |
|
779 |
741 |
$26K |
| 93923 |
|
252 |
243 |
$26K |
| 86765 |
|
2,523 |
2,464 |
$26K |
| 87486 |
|
1,789 |
1,764 |
$26K |
| 81405 |
|
149 |
147 |
$25K |
| 77061 |
|
189 |
189 |
$25K |
| 90739 |
|
264 |
262 |
$24K |
| 80320 |
|
9,637 |
8,846 |
$24K |
| 73700 |
|
124 |
119 |
$24K |
| 87081 |
|
5,845 |
5,800 |
$24K |
| 90656 |
|
2,117 |
2,116 |
$24K |
| 70491 |
|
118 |
118 |
$23K |
| 86787 |
|
2,526 |
2,463 |
$23K |
| D0120 |
|
2,637 |
2,498 |
$23K |
| 84402 |
|
970 |
942 |
$23K |
| 85730 |
|
11,212 |
10,928 |
$23K |
| 95165 |
|
717 |
530 |
$23K |
| 86735 |
|
2,412 |
2,366 |
$22K |
| 73080 |
|
1,562 |
1,429 |
$22K |
| 96161 |
|
4,587 |
4,441 |
$22K |
| 90480 |
|
761 |
761 |
$22K |
| 76821 |
|
253 |
205 |
$22K |
| D0274 |
|
2,399 |
2,353 |
$21K |
| G0447 |
Behavior counsel obesity 15m |
1,601 |
1,505 |
$21K |
| 84100 |
|
24,740 |
23,336 |
$21K |
| 70498 |
|
115 |
115 |
$21K |
| 82677 |
|
1,073 |
1,051 |
$21K |
| 87517 |
|
498 |
476 |
$21K |
| 88104 |
|
430 |
423 |
$21K |
| 87631 |
|
642 |
640 |
$21K |
| 87581 |
|
1,790 |
1,765 |
$21K |
| 90698 |
|
4,140 |
4,132 |
$21K |
| 90707 |
|
1,556 |
1,551 |
$20K |
| 88108 |
|
446 |
437 |
$20K |
| 51798 |
|
130 |
130 |
$20K |
| J7030 |
Normal saline solution infus |
26,812 |
25,069 |
$19K |
| 90674 |
|
972 |
968 |
$19K |
| 81361 |
|
190 |
187 |
$19K |
| 95819 |
|
44 |
44 |
$19K |
| 90633 |
|
3,038 |
3,036 |
$19K |
| 73120 |
|
864 |
819 |
$19K |
| 83001 |
|
1,048 |
1,010 |
$19K |
| 82274 |
|
1,941 |
1,930 |
$19K |
| 76827 |
|
277 |
261 |
$19K |
| 73600 |
|
1,022 |
969 |
$18K |
| 83550 |
|
3,629 |
3,554 |
$18K |
| 58300 |
|
165 |
159 |
$18K |
| Q0162 |
Ondansetron oral |
6,711 |
6,562 |
$18K |
| S0190 |
Mifepristone, oral, 200 mg |
286 |
286 |
$18K |
| 84146 |
|
984 |
947 |
$18K |
| 0003A |
|
451 |
451 |
$18K |
| 87651 |
|
1,384 |
1,368 |
$18K |
| 90846 |
|
128 |
109 |
$18K |
| D1120 |
|
2,169 |
2,153 |
$17K |
| 86704 |
|
1,930 |
1,883 |
$17K |
| 95117 |
|
1,397 |
974 |
$17K |
| 83690 |
|
21,439 |
20,498 |
$16K |
| 83525 |
|
1,444 |
1,425 |
$16K |
| 73140 |
|
1,112 |
1,089 |
$16K |
| J2704 |
Inj, propofol, 10 mg |
6,292 |
6,162 |
$15K |
| 90716 |
|
1,519 |
1,518 |
$15K |
| 11982 |
|
53 |
43 |
$15K |
| 97164 |
|
238 |
236 |
$15K |
| 94060 |
|
424 |
397 |
$15K |
| 83540 |
|
3,809 |
3,723 |
$15K |
| 70551 |
|
40 |
39 |
$15K |
| 87186 |
|
3,522 |
3,276 |
$15K |
| 74018 |
|
836 |
829 |
$15K |
| 90681 |
|
2,866 |
2,860 |
$15K |
| 84403 |
|
598 |
569 |
$15K |
| 73552 |
|
1,114 |
1,065 |
$15K |
| 88304 |
|
542 |
537 |
$14K |
| 81401 |
|
182 |
179 |
$14K |
| 96910 |
|
111 |
25 |
$14K |
| 83002 |
|
781 |
747 |
$14K |
| 73560 |
|
539 |
496 |
$14K |
| 73070 |
|
1,024 |
928 |
$13K |
| 96417 |
|
212 |
139 |
$13K |
| 73620 |
|
745 |
694 |
$13K |
| 84704 |
|
1,072 |
1,050 |
$13K |
| 82550 |
|
12,727 |
12,245 |
$13K |
| 90744 |
|
2,424 |
2,420 |
$13K |
| J1885 |
Ketorolac tromethamine inj |
24,930 |
23,621 |
$13K |
| 72040 |
|
563 |
561 |
$12K |
| 73060 |
|
1,039 |
959 |
$12K |
| 81257 |
|
205 |
203 |
$12K |
| 73100 |
|
546 |
471 |
$12K |
| 82570 |
|
4,734 |
4,549 |
$12K |
| 51741 |
|
65 |
65 |
$12K |
| G8510 |
Scr dep neg, no plan reqd |
2,698 |
2,559 |
$12K |
| 90733 |
|
103 |
103 |
$12K |
| 97014 |
|
841 |
490 |
$12K |
| 92550 |
|
373 |
346 |
$11K |
| 86336 |
|
1,072 |
1,050 |
$11K |
| J7040 |
Normal saline solution infus |
8,385 |
6,997 |
$11K |
| 83605 |
|
10,378 |
9,904 |
$11K |
| 84154 |
|
711 |
676 |
$11K |
| 76857 |
|
297 |
297 |
$11K |
| 58301 |
|
64 |
55 |
$11K |
| 72070 |
|
447 |
425 |
$11K |
| 92650 |
|
341 |
337 |
$11K |
| 82805 |
|
1,641 |
1,603 |
$11K |
| 0081A |
|
246 |
246 |
$11K |
| 12013 |
|
36 |
36 |
$10K |
| J7120 |
Ringers lactate infusion |
8,610 |
7,748 |
$10K |
| 82746 |
|
1,106 |
1,073 |
$10K |
| 88300 |
|
761 |
738 |
$10K |
| D0230 |
|
2,755 |
2,745 |
$10K |
| 82533 |
|
564 |
469 |
$10K |
| D9310 |
|
328 |
311 |
$9K |
| 93226 |
|
182 |
182 |
$9K |
| 71271 |
|
51 |
51 |
$9K |
| 11104 |
|
59 |
52 |
$9K |
| 70496 |
|
84 |
84 |
$9K |
| 99385 |
|
145 |
144 |
$9K |
| J2356 |
Inj tezepelumab-ekko, 1mg |
13 |
12 |
$9K |
| 51702 |
|
100 |
91 |
$9K |
| 81381 |
|
69 |
68 |
$9K |
| J3475 |
Inj magnesium sulfate |
4,701 |
4,290 |
$9K |
| 76805 |
|
85 |
80 |
$9K |
| D1206 |
|
2,152 |
2,133 |
$9K |
| 96523 |
|
237 |
87 |
$9K |
| 86038 |
|
1,101 |
1,054 |
$8K |
| 82248 |
|
2,452 |
2,155 |
$8K |
| 84550 |
|
3,160 |
3,014 |
$8K |
| 86592 |
|
2,574 |
2,288 |
$8K |
| J1953 |
Levetiracetam injection |
1,503 |
1,320 |
$8K |
| 99493 |
|
144 |
143 |
$8K |
| 72050 |
|
286 |
286 |
$8K |
| J0690 |
Cefazolin sodium injection |
2,566 |
2,507 |
$8K |
| 84156 |
|
3,018 |
2,859 |
$8K |
| 71101 |
|
563 |
550 |
$8K |
| 0082A |
|
174 |
174 |
$8K |
| A9500 |
Tc99m sestamibi |
37 |
36 |
$8K |
| 83516 |
|
732 |
699 |
$8K |
| 87338 |
|
799 |
797 |
$8K |
| J1631 |
Haloperidol decanoate inj |
736 |
692 |
$8K |
| 83615 |
|
2,370 |
2,209 |
$7K |
| 97139 |
|
453 |
312 |
$7K |
| 95930 |
|
3,147 |
3,146 |
$7K |
| 81003 |
|
3,612 |
3,501 |
$7K |
| 87521 |
Neg quan hep c or qual rna |
277 |
270 |
$7K |
| D0210 |
|
825 |
813 |
$7K |
| 93225 |
|
125 |
125 |
$7K |
| 90710 |
|
917 |
917 |
$7K |
| 72170 |
|
887 |
873 |
$7K |
| H0002 |
Alcohol and/or drug screenin |
34 |
34 |
$7K |
| 82670 |
|
242 |
234 |
$7K |
| 57460 |
|
14 |
14 |
$7K |
| 81400 |
|
183 |
180 |
$7K |
| 10120 |
|
37 |
37 |
$6K |
| 93320 |
|
139 |
138 |
$6K |
| J1642 |
Inj heparin sodium per 10 u |
2,044 |
1,266 |
$6K |
| H0038 |
Self-help/peer svc per 15min |
241 |
232 |
$6K |
| 81255 |
|
183 |
180 |
$6K |
| 85045 |
|
2,195 |
1,996 |
$6K |
| 96156 |
|
69 |
61 |
$6K |
| 82977 |
|
928 |
882 |
$6K |
| 81251 |
|
182 |
179 |
$6K |
| 81200 |
|
181 |
178 |
$6K |
| H2010 |
Comprehensive med svc 15 min |
78 |
71 |
$6K |
| 92555 |
|
156 |
153 |
$5K |
| 99407 |
|
211 |
193 |
$5K |
| J1650 |
Inj enoxaparin sodium |
1,345 |
994 |
$5K |
| 96402 |
|
176 |
170 |
$5K |
| 86376 |
|
379 |
368 |
$5K |
| 97032 |
|
354 |
210 |
$5K |
| 88141 |
|
272 |
271 |
$5K |
| 78452 |
|
12 |
12 |
$5K |
| 86140 |
|
2,236 |
2,182 |
$5K |
| 81260 |
|
185 |
182 |
$5K |
| J7613 |
Albuterol non-comp unit |
13,937 |
12,320 |
$5K |
| J3301 |
Triamcinolone acet inj nos |
1,637 |
1,597 |
$5K |
| 82247 |
|
1,211 |
957 |
$5K |
| 86696 |
|
401 |
378 |
$5K |
| Q3014 |
Telehealth facility fee |
1,189 |
1,008 |
$5K |
| 72131 |
|
28 |
28 |
$5K |
| G0109 |
Diab manage trn ind/group |
270 |
253 |
$5K |
| 90653 |
|
277 |
277 |
$5K |
| J1644 |
Inj heparin sodium per 1000u |
3,712 |
488 |
$5K |
| 90662 |
|
366 |
366 |
$4K |
| 97168 |
|
75 |
74 |
$4K |
| J1100 |
Dexamethasone sodium phos |
7,796 |
6,951 |
$4K |
| 97035 |
|
306 |
145 |
$4K |
| J0696 |
Ceftriaxone sodium injection |
5,523 |
5,313 |
$4K |
| 85007 |
|
2,861 |
2,758 |
$4K |
| 90696 |
|
756 |
756 |
$4K |
| D2392 |
|
156 |
131 |
$4K |
| 97116 |
|
154 |
102 |
$4K |
| 70553 |
|
14 |
14 |
$4K |
| 82947 |
|
1,063 |
1,042 |
$4K |
| 86593 |
|
1,411 |
1,387 |
$4K |
| J3010 |
Fentanyl citrate injection |
4,829 |
4,723 |
$4K |
| 85651 |
|
1,677 |
1,627 |
$4K |
| 99412 |
|
129 |
129 |
$4K |
| 59425 |
|
76 |
61 |
$4K |
| 11981 |
|
27 |
26 |
$4K |
| 97112 |
|
96 |
52 |
$4K |
| 51726 |
|
15 |
15 |
$4K |
| 73521 |
|
173 |
171 |
$4K |
| 82310 |
|
1,017 |
551 |
$4K |
| 87636 |
|
307 |
301 |
$4K |
| J1170 |
Hydromorphone injection |
2,341 |
1,864 |
$4K |
| 87880 |
|
779 |
768 |
$4K |
| 92551 |
|
5,045 |
5,038 |
$4K |
| 87400 |
|
148 |
147 |
$4K |
| 69200 |
|
42 |
40 |
$3K |
| C9803 |
Hopd covid-19 spec collect |
808 |
721 |
$3K |
| 82397 |
|
1,843 |
1,808 |
$3K |
| 96368 |
|
547 |
537 |
$3K |
| 92227 |
|
198 |
198 |
$3K |
| 0074A |
|
74 |
74 |
$3K |
| 93308 |
|
32 |
32 |
$3K |
| 87070 |
|
908 |
877 |
$3K |
| J9217 |
Leuprolide acetate suspnsion |
13 |
13 |
$3K |
| 93017 |
|
55 |
54 |
$3K |
| 86695 |
|
337 |
315 |
$3K |
| 80165 |
|
575 |
539 |
$3K |
| Q0163 |
Diphenhydramine hcl 50mg |
4,103 |
3,858 |
$3K |
| 82952 |
|
380 |
369 |
$3K |
| 84703 |
|
922 |
909 |
$3K |
| 85018 |
|
2,561 |
1,415 |
$3K |
| 94760 |
|
1,752 |
1,738 |
$3K |
| 87040 |
|
1,356 |
1,309 |
$3K |
| 92202 |
|
115 |
114 |
$3K |
| 85379 |
|
2,026 |
1,995 |
$3K |
| 29130 |
|
28 |
26 |
$3K |
| T2022 |
Case management, per month |
238 |
230 |
$3K |
| J7510 |
Prednisolone oral per 5 mg |
2,935 |
2,891 |
$3K |
| 20550 |
|
25 |
25 |
$2K |
| 76942 |
|
18 |
18 |
$2K |
| 0154A |
|
70 |
70 |
$2K |
| 82010 |
|
2,346 |
2,201 |
$2K |
| 99386 |
|
25 |
24 |
$2K |
| 96160 |
|
199 |
185 |
$2K |
| 72190 |
|
127 |
125 |
$2K |
| 76377 |
|
13 |
13 |
$2K |
| H0004 |
Alcohol and/or drug services |
39 |
27 |
$2K |
| 70360 |
|
85 |
85 |
$2K |
| 0012A |
|
105 |
105 |
$2K |
| J7050 |
Normal saline solution infus |
2,721 |
2,059 |
$2K |
| 90694 |
|
193 |
193 |
$2K |
| 84481 |
|
161 |
156 |
$2K |
| 90714 |
|
179 |
178 |
$2K |
| 92002 |
|
37 |
35 |
$2K |
| 99242 |
|
26 |
26 |
$2K |
| J2270 |
Morphine sulfate injection |
4,356 |
3,972 |
$2K |
| J2405 |
Ondansetron hcl injection |
11,872 |
11,279 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
4,935 |
4,743 |
$2K |
| 96380 |
|
232 |
232 |
$2K |
| J8540 |
Oral dexamethasone |
448 |
391 |
$2K |
| 99173 |
|
5,509 |
5,503 |
$2K |
| 90678 |
|
29 |
29 |
$2K |
| 90849 |
|
21 |
13 |
$2K |
| J2710 |
Neostigmine methylslfte inj |
851 |
845 |
$2K |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
382 |
378 |
$2K |
| G0390 |
Trauma respons w/hosp criti |
112 |
111 |
$2K |
| 99152 |
|
259 |
258 |
$1K |
| 85060 |
|
90 |
86 |
$1K |
| 92552 |
|
37 |
36 |
$1K |
| 88342 |
|
25 |
25 |
$1K |
| 84132 |
|
510 |
479 |
$1K |
| 93247 |
|
12 |
12 |
$1K |
| 76813 |
|
14 |
13 |
$1K |
| 17250 |
|
15 |
15 |
$1K |
| 0011A |
|
112 |
106 |
$1K |
| 85025 |
|
5,584 |
5,506 |
$1K |
| 86708 |
|
152 |
142 |
$1K |
| J2001 |
Lidocaine injection |
732 |
724 |
$1K |
| 0083A |
|
31 |
31 |
$1K |
| 99397 |
|
68 |
68 |
$1K |
| J2930 |
Methylprednisolone injection |
754 |
710 |
$1K |
| G0108 |
Diab manage trn per indiv |
30 |
29 |
$1K |
| J7512 |
Prednisone ir or dr oral 1mg |
8,447 |
7,297 |
$1K |
| J1200 |
Diphenhydramine hcl injectio |
3,310 |
2,709 |
$1K |
| 86255 |
|
64 |
56 |
$1K |
| D1351 |
|
271 |
102 |
$1K |
| 15853 |
|
20 |
19 |
$1K |
| 80069 |
|
177 |
168 |
$1K |
| D1330 |
|
3,386 |
3,273 |
$1K |
| J2765 |
Metoclopramide hcl injection |
3,774 |
3,648 |
$1K |
| 86580 |
|
360 |
357 |
$1K |
| J7644 |
Ipratropium bromide non-comp |
11,421 |
10,176 |
$1K |
| J0171 |
Adrenalin epinephrine inject |
387 |
380 |
$1K |
| 87420 |
|
462 |
451 |
$1K |
| D2391 |
|
125 |
101 |
$1K |
| 0502F |
|
246 |
176 |
$1K |
| 92134 |
|
25 |
25 |
$1K |
| 94727 |
|
30 |
30 |
$1K |
| J7060 |
5% dextrose/water |
1,646 |
1,479 |
$997.24 |
| D0272 |
|
506 |
506 |
$957.87 |
| J1790 |
Droperidol injection |
1,941 |
1,806 |
$935.13 |
| 87109 |
|
92 |
92 |
$916.20 |
| 90685 |
|
346 |
346 |
$897.92 |
| 76775 |
|
55 |
53 |
$893.45 |
| T1023 |
Program intake assessment |
15 |
12 |
$885.87 |
| 76881 |
|
12 |
12 |
$884.41 |
| 86008 |
|
15 |
12 |
$880.99 |
| 82652 |
|
26 |
26 |
$872.80 |
| 20552 |
|
28 |
28 |
$871.15 |
| 83883 |
|
61 |
53 |
$861.01 |
| J1815 |
Insulin injection |
1,446 |
1,076 |
$820.89 |
| 87075 |
|
258 |
252 |
$814.45 |
| 96376 |
|
893 |
837 |
$813.44 |
| 93246 |
|
12 |
12 |
$789.97 |
| J0131 |
Inj, acetaminophen (nos) |
181 |
179 |
$773.30 |
| J7620 |
Albuterol ipratrop non-comp |
3,311 |
2,548 |
$760.39 |
| D8660 |
|
45 |
45 |
$739.50 |
| D9222 |
|
36 |
36 |
$735.94 |
| 82378 |
|
53 |
51 |
$732.89 |
| D9230 |
|
143 |
139 |
$720.00 |
| 83010 |
|
69 |
68 |
$718.23 |
| 95251 |
|
16 |
16 |
$684.64 |
| 84445 |
|
13 |
13 |
$673.67 |
| 86430 |
|
142 |
133 |
$661.98 |
| 11721 |
|
37 |
37 |
$644.69 |
| J0330 |
Succinycholine chloride inj |
411 |
408 |
$621.20 |
| 84112 |
|
43 |
38 |
$566.22 |
| D5899 |
|
46 |
37 |
$554.91 |
| 86880 |
|
63 |
59 |
$553.43 |
| 84520 |
|
319 |
195 |
$540.42 |
| S0191 |
Misoprostol, oral, 200 mcg |
396 |
385 |
$523.81 |
| 86160 |
|
48 |
37 |
$513.96 |
| J1630 |
Haloperidol injection |
2,636 |
2,293 |
$506.00 |
| 73200 |
|
12 |
12 |
$498.67 |
| 82465 |
|
114 |
110 |
$496.38 |
| 73660 |
|
41 |
40 |
$478.58 |
| 74022 |
|
25 |
25 |
$475.28 |
| Q0166 |
Granisetron hcl 1 mg oral |
224 |
133 |
$471.34 |
| 87529 |
|
16 |
12 |
$464.13 |
| J2060 |
Lorazepam injection |
3,472 |
3,025 |
$454.11 |
| D4341 |
|
38 |
24 |
$446.46 |
| 92588 |
|
13 |
13 |
$444.04 |
| 90682 |
|
93 |
93 |
$440.30 |
| 86235 |
|
16 |
12 |
$436.46 |
| 86705 |
|
78 |
78 |
$428.67 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
376 |
365 |
$420.91 |
| 87593 |
|
12 |
12 |
$413.37 |
| 0241U |
|
58 |
58 |
$402.56 |
| J3411 |
Thiamine hcl 100 mg |
442 |
402 |
$376.88 |
| 82955 |
|
30 |
28 |
$355.79 |
| 88143 |
|
13 |
13 |
$344.98 |
| D0603 |
|
204 |
196 |
$340.76 |
| 82784 |
|
29 |
24 |
$338.86 |
| 87205 |
|
350 |
334 |
$331.39 |
| 90611 |
|
311 |
310 |
$331.20 |
| 98960 |
|
15 |
14 |
$327.58 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
316 |
314 |
$319.57 |
| 86800 |
|
25 |
24 |
$308.74 |
| D4355 |
|
603 |
601 |
$280.79 |
| 86225 |
|
37 |
36 |
$279.54 |
| 73000 |
|
15 |
14 |
$267.53 |
| 86334 |
|
15 |
12 |
$262.19 |
| 86709 |
|
32 |
31 |
$260.87 |
| 90756 |
|
12 |
12 |
$258.72 |
| 71047 |
|
14 |
14 |
$258.18 |
| 82172 |
|
14 |
13 |
$250.43 |
| 88720 |
|
553 |
461 |
$245.00 |
| J3420 |
Vitamin b12 injection |
401 |
361 |
$243.68 |
| 84165 |
|
38 |
38 |
$225.79 |
| 86777 |
|
14 |
14 |
$209.60 |
| 87661 |
|
16 |
16 |
$200.46 |
| 76514 |
|
12 |
12 |
$199.27 |
| J2310 |
Inj naloxone hydrochloride |
27 |
26 |
$181.05 |
| G2012 |
Brief check in by md/qhp |
18 |
18 |
$176.10 |
| 86141 |
|
78 |
76 |
$166.96 |
| 88280 |
|
13 |
13 |
$166.15 |
| 83021 |
|
268 |
268 |
$145.98 |
| 82150 |
|
94 |
92 |
$143.45 |
| D1208 |
|
242 |
241 |
$135.95 |
| 90381 |
|
39 |
37 |
$101.25 |
| J2919 |
Inj, methylpred sod succ 5mg |
140 |
127 |
$97.09 |
| G0008 |
Admin influenza virus vac |
540 |
539 |
$96.92 |
| 80178 |
|
26 |
25 |
$90.65 |
| J7042 |
5% dextrose/normal saline |
138 |
136 |
$90.59 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
12 |
12 |
$86.79 |
| 84155 |
|
39 |
39 |
$86.73 |
| D0350 |
|
13 |
13 |
$80.30 |
| 90688 |
|
12 |
12 |
$76.71 |
| 36416 |
|
110 |
107 |
$70.70 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
21 |
21 |
$56.93 |
| 90713 |
|
12 |
12 |
$54.97 |
| 3078F |
|
65,328 |
50,476 |
$53.12 |
| 90380 |
|
13 |
13 |
$50.70 |
| J3480 |
Inj potassium chloride |
109 |
96 |
$50.45 |
| 82553 |
|
38 |
38 |
$46.71 |
| 81015 |
|
19 |
18 |
$46.34 |
| J0456 |
Azithromycin |
53 |
44 |
$33.19 |
| 3074F |
|
66,529 |
51,571 |
$27.71 |
| 3079F |
|
26,369 |
22,682 |
$25.00 |
| 3075F |
|
17,801 |
15,783 |
$25.00 |
| J2370 |
Phenylephrine hcl injection |
51 |
51 |
$22.71 |
| 86701 |
|
59 |
59 |
$20.00 |
| 82540 |
|
356 |
356 |
$19.44 |
| 87077 |
|
116 |
116 |
$17.46 |
| 85660 |
|
12 |
12 |
$16.49 |
| 85384 |
|
12 |
12 |
$12.24 |
| J1580 |
Garamycin gentamicin inj |
13 |
13 |
$10.01 |
| J3360 |
Diazepam injection |
12 |
12 |
$6.29 |
| J2004 |
Inj, lidocaine w epinephrine |
32 |
31 |
$5.34 |
| J0736 |
Inj, clindamycin phosp 300mg |
25 |
25 |
$4.40 |
| 1159F |
|
7,022 |
4,415 |
$0.82 |
| 1160F |
|
5,268 |
3,876 |
$0.82 |
| 3077F |
|
13,095 |
10,782 |
$0.66 |
| 3080F |
|
5,238 |
4,702 |
$0.25 |
| D0601 |
|
36 |
36 |
$0.00 |
| 3044F |
|
320 |
319 |
$0.00 |
| 80050 |
|
284 |
284 |
$0.00 |
| 4293F |
|
953 |
743 |
$0.00 |
| 99429 |
|
131 |
118 |
$0.00 |
| 71020 |
|
105 |
105 |
$0.00 |
| D1310 |
|
190 |
190 |
$0.00 |
| 87301 |
|
13 |
13 |
$0.00 |
| 1220F |
|
1,670 |
1,445 |
$0.00 |
| 99406 |
|
739 |
737 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
14 |
14 |
$0.00 |
| 44388 |
|
14 |
14 |
$0.00 |
| 90474 |
|
25 |
25 |
$0.00 |
| 1126F |
|
17 |
17 |
$0.00 |
| 1170F |
|
38 |
38 |
$0.00 |
| 99499 |
|
7,874 |
5,842 |
$0.00 |
| 99408 |
|
828 |
742 |
$0.00 |
| D0190 |
|
604 |
604 |
$0.00 |
| 99080 |
|
5,883 |
1,223 |
$0.00 |
| 86431 |
|
12 |
12 |
$0.00 |
| 48510 |
|
36 |
36 |
$0.00 |
| 71010 |
|
28 |
26 |
$0.00 |
| G8984 |
Carry current status |
14 |
14 |
$0.00 |
| G8985 |
Carry goal status |
14 |
14 |
$0.00 |
| 2022F |
|
13 |
13 |
$0.00 |
| 3725F |
|
18 |
15 |
$0.00 |