| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
60,111 |
47,391 |
$9.62M |
| 99283 |
|
62,221 |
50,524 |
$9.59M |
| 99285 |
|
49,416 |
38,498 |
$8.15M |
| 96361 |
|
22,306 |
15,311 |
$6.05M |
| 70450 |
|
18,341 |
15,445 |
$3.42M |
| 97110 |
|
64,010 |
15,413 |
$3.03M |
| 99282 |
|
20,037 |
14,423 |
$2.58M |
| 74177 |
|
16,899 |
14,513 |
$2.34M |
| 78815 |
|
2,578 |
2,186 |
$1.82M |
| 59025 |
|
8,743 |
6,471 |
$1.62M |
| 96366 |
|
6,815 |
3,741 |
$1.50M |
| 96365 |
|
12,938 |
7,997 |
$1.39M |
| 71275 |
|
5,977 |
5,178 |
$1.36M |
| G0378 |
Hospital observation per hr |
7,015 |
5,285 |
$1.25M |
| 93306 |
|
4,430 |
3,710 |
$979K |
| J2357 |
Omalizumab injection |
3,749 |
1,256 |
$956K |
| 99214 |
|
7,169 |
6,248 |
$889K |
| Q5104 |
Injection, renflexis |
686 |
592 |
$866K |
| 80307 |
|
25,522 |
20,801 |
$806K |
| P9016 |
Rbc leukocytes reduced |
3,916 |
2,892 |
$775K |
| 70553 |
|
2,675 |
2,374 |
$752K |
| 96415 |
|
3,450 |
2,590 |
$749K |
| J1459 |
Inj ivig privigen 500 mg |
593 |
131 |
$732K |
| 94640 |
|
11,771 |
6,410 |
$635K |
| 96360 |
|
5,600 |
4,476 |
$604K |
| 97161 |
|
6,814 |
6,107 |
$596K |
| 36512 |
|
447 |
367 |
$558K |
| 92012 |
|
7,107 |
5,025 |
$550K |
| 74176 |
|
3,719 |
3,113 |
$547K |
| 80048 |
|
136,919 |
98,651 |
$472K |
| J1745 |
Infliximab not biosimil 10mg |
798 |
602 |
$470K |
| 80053 |
|
124,468 |
110,916 |
$465K |
| J3490 |
Drugs unclassified injection |
410,213 |
91,581 |
$439K |
| 78452 |
|
1,017 |
816 |
$438K |
| 90935 |
|
2,788 |
1,240 |
$431K |
| 36430 |
|
3,692 |
2,336 |
$411K |
| 43239 |
|
755 |
646 |
$386K |
| G0463 |
Hospital outpt clinic visit |
25,402 |
16,783 |
$371K |
| 96413 |
|
6,250 |
4,319 |
$359K |
| 92507 |
|
4,386 |
825 |
$354K |
| 97530 |
|
10,454 |
3,718 |
$344K |
| 99212 |
|
2,922 |
2,405 |
$336K |
| 97162 |
|
3,441 |
3,068 |
$332K |
| 93458 |
|
237 |
201 |
$326K |
| 76705 |
|
4,069 |
3,564 |
$323K |
| 87591 |
|
78,931 |
73,135 |
$313K |
| 99213 |
|
3,255 |
2,747 |
$297K |
| 76830 |
|
3,659 |
3,174 |
$289K |
| 76815 |
|
5,313 |
4,553 |
$271K |
| 72148 |
|
1,681 |
1,517 |
$269K |
| 97112 |
|
17,074 |
5,118 |
$269K |
| U0004 |
Cov-19 test non-cdc hgh thru |
16,823 |
14,797 |
$268K |
| 95810 |
|
542 |
474 |
$249K |
| 70551 |
|
1,352 |
1,176 |
$245K |
| 71046 |
|
37,677 |
30,519 |
$244K |
| 97140 |
|
13,675 |
4,752 |
$237K |
| 76642 |
|
2,439 |
1,916 |
$236K |
| 71260 |
|
7,569 |
6,699 |
$234K |
| 99201 |
|
2,349 |
1,863 |
$233K |
| 45380 |
|
475 |
393 |
$230K |
| 75574 |
|
756 |
703 |
$220K |
| 76856 |
|
3,780 |
3,271 |
$218K |
| J0485 |
Belatacept injection |
925 |
352 |
$215K |
| 92014 |
|
3,342 |
2,764 |
$214K |
| 85025 |
|
191,952 |
153,290 |
$210K |
| 93971 |
|
2,731 |
2,302 |
$208K |
| 84443 |
|
75,111 |
69,927 |
$207K |
| 77063 |
|
6,098 |
5,594 |
$203K |
| 93970 |
|
1,928 |
1,627 |
$198K |
| 70491 |
|
1,403 |
1,230 |
$195K |
| 10060 |
|
1,702 |
1,426 |
$193K |
| 99281 |
|
1,356 |
1,209 |
$189K |
| J2350 |
Injection, ocrelizumab, 1 mg |
15 |
12 |
$187K |
| 72141 |
|
1,084 |
979 |
$186K |
| 82306 |
|
41,457 |
38,820 |
$185K |
| 99211 |
|
1,411 |
1,034 |
$180K |
| 77386 |
|
489 |
38 |
$177K |
| 59050 |
|
1,076 |
768 |
$176K |
| G0283 |
Elec stim other than wound |
8,816 |
2,322 |
$176K |
| 96374 |
|
52,355 |
35,987 |
$172K |
| 87491 |
|
78,824 |
73,053 |
$171K |
| 80061 |
|
74,544 |
70,207 |
$164K |
| 97165 |
|
2,602 |
2,307 |
$161K |
| 74183 |
|
610 |
557 |
$160K |
| 71250 |
|
2,790 |
2,383 |
$153K |
| 93005 |
|
53,974 |
41,472 |
$147K |
| 77067 |
|
6,615 |
6,056 |
$145K |
| 83036 |
|
65,208 |
61,038 |
$145K |
| 99202 |
|
1,093 |
960 |
$143K |
| 76770 |
|
1,520 |
1,327 |
$138K |
| 72125 |
|
8,553 |
7,399 |
$136K |
| 87661 |
|
55,652 |
51,970 |
$135K |
| 0240U |
|
2,090 |
1,899 |
$128K |
| 97116 |
|
5,644 |
2,498 |
$127K |
| 77336 |
|
2,245 |
883 |
$123K |
| 45378 |
|
200 |
180 |
$121K |
| 97113 |
|
2,724 |
772 |
$121K |
| 83880 |
|
14,447 |
11,364 |
$120K |
| 76801 |
|
2,710 |
2,274 |
$120K |
| 87536 |
|
6,418 |
5,975 |
$119K |
| 93017 |
|
1,575 |
1,279 |
$113K |
| 87635 |
|
1,850 |
1,564 |
$107K |
| 81220 |
|
3,063 |
2,691 |
$104K |
| 99215 |
Prolong outpt/office vis |
1,236 |
1,088 |
$102K |
| 45385 |
|
207 |
167 |
$92K |
| 95806 |
|
164 |
156 |
$91K |
| 97535 |
|
3,913 |
2,698 |
$90K |
| 19318 |
|
12 |
12 |
$88K |
| 86923 |
|
4,611 |
2,984 |
$87K |
| 93451 |
|
55 |
43 |
$86K |
| 70496 |
|
328 |
305 |
$85K |
| 49083 |
|
173 |
73 |
$84K |
| 70486 |
|
2,685 |
2,376 |
$81K |
| 97016 |
|
2,670 |
790 |
$75K |
| 76817 |
|
2,949 |
2,494 |
$71K |
| 96372 |
|
30,988 |
17,984 |
$71K |
| 85027 |
|
54,839 |
46,234 |
$70K |
| 12001 |
|
314 |
294 |
$64K |
| 94660 |
|
204 |
140 |
$61K |
| J1439 |
Inj ferric carboxymaltos 1mg |
305 |
187 |
$61K |
| 87481 |
|
15,155 |
13,876 |
$58K |
| 94060 |
|
1,439 |
1,206 |
$58K |
| 43235 |
|
106 |
92 |
$58K |
| 80076 |
|
35,084 |
29,255 |
$58K |
| 88185 |
|
1,407 |
579 |
$55K |
| J7307 |
Etonogestrel implant system |
82 |
75 |
$55K |
| 80047 |
|
16,459 |
13,485 |
$55K |
| 87624 |
|
16,444 |
15,850 |
$54K |
| U0002 |
Covid-19 lab test non-cdc |
5,738 |
5,346 |
$53K |
| G0480 |
Drug test def 1-7 classes |
7,179 |
5,109 |
$53K |
| 87086 |
|
60,691 |
53,268 |
$51K |
| 88305 |
|
12,036 |
10,495 |
$51K |
| 82962 |
|
46,774 |
19,949 |
$50K |
| 77065 |
Tomosynthesis, mammo |
1,567 |
1,247 |
$50K |
| 74174 |
|
378 |
324 |
$50K |
| 82607 |
|
17,747 |
16,426 |
$49K |
| 73610 |
|
4,429 |
3,616 |
$48K |
| 97166 |
|
459 |
409 |
$48K |
| 94799 |
|
4,403 |
2,549 |
$47K |
| 94618 |
|
743 |
618 |
$46K |
| 87801 |
|
15,093 |
14,509 |
$46K |
| 84439 |
|
24,010 |
22,457 |
$46K |
| 72197 |
|
139 |
129 |
$45K |
| 85379 |
|
9,766 |
8,457 |
$44K |
| 90715 |
|
3,075 |
2,729 |
$44K |
| 97035 |
|
864 |
301 |
$44K |
| 86780 |
|
26,809 |
25,339 |
$44K |
| 82728 |
|
19,257 |
17,658 |
$43K |
| 93296 |
|
2,503 |
2,001 |
$43K |
| 84484 |
|
36,553 |
19,640 |
$43K |
| 12002 |
|
210 |
193 |
$42K |
| 96375 |
|
34,747 |
24,607 |
$42K |
| 86703 |
|
33,597 |
31,613 |
$41K |
| 83970 |
|
5,328 |
4,520 |
$40K |
| 73721 |
|
210 |
194 |
$40K |
| 88142 |
|
13,021 |
12,557 |
$37K |
| 94729 |
|
2,441 |
2,040 |
$37K |
| 77066 |
Tomosynthesis, mammo |
1,214 |
1,084 |
$37K |
| 86828 |
|
1,875 |
1,372 |
$37K |
| 73590 |
|
2,696 |
2,215 |
$36K |
| 76937 |
|
1,354 |
1,103 |
$36K |
| 86361 |
|
5,603 |
5,228 |
$36K |
| 87636 |
|
5,036 |
4,632 |
$35K |
| 86803 |
|
20,019 |
18,853 |
$35K |
| 36415 |
|
48,341 |
35,269 |
$34K |
| 73030 |
|
4,142 |
3,401 |
$34K |
| 0241U |
|
412 |
375 |
$34K |
| 86850 |
|
23,301 |
19,418 |
$34K |
| 86900 |
|
25,596 |
20,166 |
$33K |
| 36561 |
|
14 |
13 |
$32K |
| 94726 |
|
1,581 |
1,307 |
$32K |
| 86922 |
|
2,060 |
1,114 |
$31K |
| 88307 |
|
2,146 |
1,681 |
$30K |
| J3380 |
Inj vedolizumab iv 1 mg |
13 |
12 |
$30K |
| 72110 |
|
1,878 |
1,607 |
$29K |
| 87040 |
|
5,292 |
2,446 |
$29K |
| 73130 |
|
3,739 |
2,939 |
$29K |
| 77412 |
|
415 |
42 |
$29K |
| 73552 |
|
1,609 |
1,328 |
$28K |
| 93880 |
|
448 |
370 |
$28K |
| 64400 |
|
138 |
116 |
$28K |
| C1887 |
Catheter, guiding |
2,325 |
1,907 |
$28K |
| 80055 |
|
5,090 |
4,667 |
$28K |
| 77334 |
|
342 |
200 |
$28K |
| 88175 |
|
15,030 |
14,600 |
$28K |
| 73564 |
|
4,468 |
3,377 |
$27K |
| 84153 |
|
6,518 |
6,200 |
$27K |
| 81001 |
|
71,794 |
59,310 |
$27K |
| 86235 |
|
4,265 |
1,985 |
$27K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
704 |
559 |
$27K |
| 83735 |
|
26,233 |
18,101 |
$26K |
| 71045 |
|
10,791 |
8,885 |
$26K |
| 83020 |
|
6,703 |
6,103 |
$25K |
| 82746 |
|
11,111 |
10,308 |
$25K |
| 87522 |
Neg quan hep c or qual rna |
2,812 |
2,577 |
$25K |
| 99234 |
|
801 |
713 |
$25K |
| 73630 |
|
4,213 |
3,332 |
$25K |
| 83550 |
|
17,861 |
16,577 |
$25K |
| 73502 |
|
2,475 |
2,010 |
$24K |
| 93798 |
|
271 |
51 |
$24K |
| 77290 |
|
115 |
91 |
$24K |
| J2405 |
Ondansetron hcl injection |
37,941 |
28,476 |
$24K |
| 86920 |
|
2,418 |
1,394 |
$23K |
| 97014 |
|
945 |
203 |
$22K |
| J1200 |
Diphenhydramine hcl injectio |
10,162 |
7,257 |
$22K |
| 82043 |
|
17,059 |
15,998 |
$22K |
| 73560 |
|
993 |
753 |
$22K |
| 82565 |
|
12,587 |
9,871 |
$21K |
| 83540 |
|
19,697 |
18,287 |
$21K |
| 36000 |
|
985 |
830 |
$21K |
| 87077 |
|
23,418 |
20,773 |
$21K |
| C1729 |
Cath, drainage |
2,155 |
1,790 |
$21K |
| 86003 |
|
2,127 |
1,229 |
$20K |
| 84702 |
|
16,279 |
13,023 |
$20K |
| G0390 |
Trauma respons w/hosp criti |
2,057 |
1,892 |
$20K |
| 86832 |
|
1,797 |
1,314 |
$20K |
| 85014 |
|
18,087 |
14,681 |
$20K |
| 88341 |
|
1,494 |
1,065 |
$19K |
| 73110 |
|
2,295 |
1,863 |
$19K |
| G0279 |
Tomosynthesis, mammo |
1,595 |
1,451 |
$19K |
| 86833 |
|
1,800 |
1,315 |
$19K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
37,945 |
27,440 |
$18K |
| 70498 |
|
303 |
280 |
$18K |
| G0257 |
Unsched dialysis esrd pt hos |
2,989 |
706 |
$18K |
| 87340 |
|
20,664 |
19,240 |
$17K |
| 93308 |
|
46 |
42 |
$17K |
| 94010 |
|
633 |
539 |
$17K |
| 85610 |
|
17,583 |
13,283 |
$16K |
| 86140 |
|
9,919 |
8,380 |
$16K |
| 90471 |
|
3,869 |
3,278 |
$16K |
| 96376 |
|
15,614 |
8,559 |
$16K |
| 66984 |
|
19 |
13 |
$15K |
| 84703 |
|
14,752 |
13,010 |
$15K |
| J3010 |
Fentanyl citrate injection |
22,447 |
16,246 |
$14K |
| 77470 |
|
34 |
25 |
$14K |
| 97018 |
|
574 |
170 |
$14K |
| 86921 |
|
2,053 |
1,104 |
$14K |
| 86901 |
|
25,597 |
20,164 |
$14K |
| 84100 |
|
13,679 |
8,703 |
$14K |
| 76536 |
|
157 |
145 |
$14K |
| 96367 |
|
767 |
571 |
$14K |
| 73562 |
|
1,754 |
1,287 |
$14K |
| 84403 |
|
3,349 |
3,162 |
$14K |
| 80069 |
|
3,204 |
2,850 |
$13K |
| 76882 |
|
218 |
170 |
$13K |
| 77300 |
|
183 |
136 |
$13K |
| 82677 |
|
2,654 |
2,504 |
$13K |
| 80074 |
|
2,389 |
2,260 |
$13K |
| 87186 |
|
16,123 |
14,218 |
$12K |
| 87902 |
|
375 |
340 |
$12K |
| 87529 |
|
1,061 |
973 |
$12K |
| 12011 |
|
87 |
80 |
$12K |
| 86480 |
|
1,360 |
1,288 |
$12K |
| 82024 |
|
853 |
717 |
$12K |
| 80197 |
|
5,029 |
2,731 |
$12K |
| 84481 |
|
5,846 |
5,482 |
$12K |
| 82105 |
|
6,518 |
6,157 |
$11K |
| 72190 |
|
216 |
204 |
$11K |
| 73080 |
|
1,344 |
1,138 |
$11K |
| 84402 |
|
2,077 |
1,968 |
$11K |
| 86300 |
|
1,541 |
1,423 |
$11K |
| 72100 |
|
989 |
838 |
$11K |
| J0690 |
Cefazolin sodium injection |
9,233 |
6,618 |
$11K |
| 87497 |
|
2,685 |
1,794 |
$10K |
| 84145 |
|
977 |
803 |
$10K |
| 84146 |
|
3,634 |
3,435 |
$10K |
| 73090 |
|
1,118 |
922 |
$10K |
| 87502 |
|
884 |
762 |
$10K |
| C1769 |
Guide wire |
5,599 |
4,503 |
$10K |
| J2930 |
Methylprednisolone injection |
3,109 |
2,051 |
$10K |
| 83516 |
|
3,030 |
1,953 |
$10K |
| 29125 |
|
74 |
60 |
$10K |
| 81003 |
|
21,129 |
18,091 |
$9K |
| 80164 |
|
2,285 |
1,925 |
$9K |
| 97760 |
|
208 |
182 |
$9K |
| 88184 |
|
705 |
577 |
$9K |
| 76700 |
|
60 |
59 |
$9K |
| 71271 |
|
104 |
97 |
$9K |
| 83690 |
|
23,668 |
19,384 |
$9K |
| 93976 |
|
291 |
247 |
$9K |
| 86160 |
|
1,819 |
1,449 |
$9K |
| 83605 |
|
7,719 |
5,900 |
$9K |
| 93922 |
|
204 |
164 |
$9K |
| 82784 |
|
3,340 |
2,312 |
$9K |
| 86038 |
|
4,475 |
4,123 |
$9K |
| 78803 |
|
17 |
13 |
$9K |
| 92610 |
|
153 |
125 |
$8K |
| 83001 |
|
3,476 |
3,315 |
$8K |
| 83615 |
|
8,314 |
6,772 |
$8K |
| J1756 |
Iron sucrose injection |
1,005 |
496 |
$8K |
| 87070 |
|
6,920 |
6,103 |
$8K |
| 87150 |
|
5,102 |
4,933 |
$8K |
| 99205 |
Prolong outpt/office vis |
87 |
80 |
$8K |
| 36600 |
|
975 |
806 |
$8K |
| 77080 |
|
238 |
189 |
$8K |
| 85018 |
|
8,029 |
6,587 |
$8K |
| 87081 |
|
12,799 |
12,136 |
$8K |
| 82330 |
|
3,514 |
2,358 |
$8K |
| 74178 |
|
26 |
25 |
$8K |
| 87798 |
|
2,394 |
2,207 |
$8K |
| 86706 |
|
5,122 |
4,806 |
$8K |
| 81025 |
|
27,625 |
23,368 |
$8K |
| 86317 |
|
2,198 |
1,663 |
$8K |
| 86902 |
|
2,056 |
1,181 |
$7K |
| 85652 |
|
11,471 |
9,821 |
$7K |
| 82533 |
|
1,346 |
1,114 |
$7K |
| 93923 |
|
136 |
119 |
$7K |
| 74018 |
|
771 |
675 |
$7K |
| C1757 |
Cath, thrombectomy/embolect |
167 |
131 |
$7K |
| 82670 |
|
1,882 |
1,775 |
$7K |
| 84550 |
|
9,714 |
8,436 |
$7K |
| 86334 |
|
1,604 |
1,456 |
$7K |
| 90686 |
|
853 |
731 |
$7K |
| 88342 |
|
2,984 |
2,339 |
$7K |
| 83721 |
|
2,814 |
2,675 |
$7K |
| 82570 |
|
7,041 |
6,004 |
$7K |
| 87109 |
|
964 |
891 |
$6K |
| 73060 |
|
630 |
515 |
$6K |
| 0225U |
|
80 |
77 |
$6K |
| M0243 |
Casirivi and imdevi inj |
21 |
21 |
$6K |
| 82378 |
|
1,089 |
946 |
$6K |
| C1894 |
Intro/sheath, non-laser |
5,523 |
4,399 |
$6K |
| 95811 |
|
19 |
12 |
$6K |
| 83883 |
|
1,349 |
1,104 |
$6K |
| 82947 |
|
2,055 |
1,814 |
$6K |
| 72050 |
|
367 |
305 |
$6K |
| 72158 |
|
39 |
38 |
$6K |
| 88304 |
|
1,865 |
1,650 |
$6K |
| 73700 |
|
59 |
50 |
$6K |
| 83002 |
|
2,625 |
2,488 |
$5K |
| 86696 |
|
2,993 |
2,828 |
$5K |
| P9045 |
Albumin (human), 5%, 250 ml |
22 |
12 |
$5K |
| 86593 |
|
2,342 |
2,177 |
$5K |
| 92083 |
|
970 |
842 |
$5K |
| 84425 |
|
1,660 |
1,520 |
$5K |
| 86225 |
|
2,642 |
2,348 |
$5K |
| C8929 |
Tte w or wo fol wcon,doppler |
13 |
12 |
$5K |
| 86360 |
|
531 |
509 |
$5K |
| 82550 |
|
5,627 |
4,421 |
$5K |
| 82077 |
|
15,149 |
12,366 |
$5K |
| 94727 |
|
262 |
221 |
$5K |
| 85730 |
|
7,357 |
6,109 |
$5K |
| 86695 |
|
2,619 |
2,463 |
$5K |
| 87255 |
|
1,086 |
1,030 |
$5K |
| 86147 |
|
890 |
467 |
$5K |
| 97167 |
|
90 |
80 |
$5K |
| 73140 |
|
539 |
461 |
$5K |
| 80177 |
|
1,286 |
1,111 |
$4K |
| 92250 |
|
1,121 |
962 |
$4K |
| 85384 |
|
3,784 |
2,817 |
$4K |
| 84450 |
|
5,482 |
4,814 |
$4K |
| 84156 |
|
6,668 |
5,576 |
$4K |
| 84445 |
|
391 |
360 |
$4K |
| 86376 |
|
1,732 |
1,613 |
$4K |
| 82950 |
|
8,200 |
7,913 |
$4K |
| 87205 |
|
6,406 |
5,468 |
$4K |
| 84436 |
|
2,853 |
2,676 |
$4K |
| 86705 |
|
3,256 |
3,062 |
$4K |
| 84460 |
|
4,976 |
4,414 |
$4K |
| 86431 |
|
3,825 |
3,595 |
$4K |
| 82652 |
|
837 |
782 |
$4K |
| 84520 |
|
4,766 |
3,283 |
$4K |
| 87625 |
|
1,391 |
1,339 |
$4K |
| 88112 |
|
306 |
277 |
$4K |
| J1644 |
Inj heparin sodium per 1000u |
14,686 |
6,361 |
$4K |
| 87210 |
|
13,677 |
11,877 |
$4K |
| J2270 |
Morphine sulfate injection |
15,562 |
10,986 |
$4K |
| 87563 |
|
1,142 |
1,096 |
$4K |
| 87799 |
|
1,556 |
1,091 |
$3K |
| 82785 |
|
1,482 |
1,326 |
$3K |
| 86704 |
|
1,912 |
1,763 |
$3K |
| 75561 |
|
12 |
12 |
$3K |
| 80143 |
|
785 |
687 |
$3K |
| 86200 |
|
1,915 |
1,808 |
$3K |
| 76870 |
|
44 |
37 |
$3K |
| 92020 |
|
13 |
12 |
$3K |
| 83921 |
|
685 |
641 |
$3K |
| 82274 |
|
833 |
803 |
$3K |
| 97163 |
|
95 |
78 |
$3K |
| 20610 |
|
31 |
25 |
$3K |
| 86769 |
|
547 |
519 |
$3K |
| 86256 |
|
996 |
501 |
$3K |
| G0328 |
Fecal blood scrn immunoassay |
800 |
770 |
$3K |
| 84165 |
|
1,470 |
1,338 |
$3K |
| 82627 |
|
1,025 |
974 |
$3K |
| 83520 |
|
875 |
777 |
$3K |
| 86677 |
|
920 |
864 |
$3K |
| 84480 |
|
1,051 |
958 |
$3K |
| 84681 |
|
566 |
524 |
$3K |
| 80320 |
|
1,864 |
1,571 |
$3K |
| 83655 |
|
2,262 |
2,212 |
$3K |
| 86708 |
|
1,139 |
1,076 |
$3K |
| J2250 |
Inj midazolam hydrochloride |
14,785 |
12,807 |
$2K |
| 86146 |
|
220 |
172 |
$2K |
| 86039 |
|
1,738 |
1,616 |
$2K |
| 86709 |
|
2,377 |
2,262 |
$2K |
| G0008 |
Admin influenza virus vac |
695 |
538 |
$2K |
| 82150 |
|
1,516 |
1,371 |
$2K |
| 81329 |
|
500 |
469 |
$2K |
| 83718 |
|
1,356 |
1,279 |
$2K |
| 87530 |
|
364 |
352 |
$2K |
| 86800 |
|
1,149 |
1,039 |
$2K |
| 85045 |
|
2,441 |
1,865 |
$2K |
| 78580 |
|
13 |
12 |
$2K |
| 87517 |
|
215 |
200 |
$2K |
| 86336 |
|
2,985 |
2,821 |
$2K |
| 87449 |
|
978 |
877 |
$2K |
| 82803 |
|
1,911 |
1,511 |
$2K |
| 72040 |
|
80 |
79 |
$2K |
| 80178 |
|
780 |
707 |
$2K |
| 88360 |
|
114 |
94 |
$2K |
| 82465 |
|
2,347 |
2,222 |
$2K |
| 36591 |
|
250 |
154 |
$2K |
| 87209 |
|
545 |
496 |
$2K |
| 83010 |
|
859 |
748 |
$2K |
| 86870 |
|
772 |
556 |
$2K |
| 86762 |
|
4,557 |
4,046 |
$2K |
| 82140 |
|
784 |
622 |
$2K |
| 85460 |
|
268 |
229 |
$2K |
| P9603 |
One-way allow prorated miles |
11,903 |
6,858 |
$2K |
| 84154 |
|
384 |
335 |
$2K |
| J1100 |
Dexamethasone sodium phos |
10,934 |
9,278 |
$2K |
| 86592 |
|
1,441 |
1,311 |
$2K |
| C1751 |
Cath, inf, per/cent/midline |
37 |
30 |
$2K |
| 82553 |
|
456 |
304 |
$2K |
| 76816 |
|
26 |
24 |
$2K |
| J2060 |
Lorazepam injection |
3,783 |
2,874 |
$2K |
| 80179 |
|
707 |
630 |
$2K |
| 80185 |
|
552 |
404 |
$2K |
| 81243 |
|
483 |
452 |
$2K |
| 82977 |
|
1,383 |
1,223 |
$2K |
| 86618 |
|
454 |
430 |
$2K |
| 84132 |
|
2,384 |
1,780 |
$2K |
| 82951 |
|
1,612 |
1,546 |
$2K |
| 93975 |
|
28 |
26 |
$1K |
| 92134 |
|
1,178 |
965 |
$1K |
| 84144 |
|
723 |
658 |
$1K |
| 80202 |
|
375 |
130 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
16,485 |
13,323 |
$1K |
| 86787 |
|
1,962 |
1,789 |
$1K |
| J1650 |
Inj enoxaparin sodium |
3,161 |
1,413 |
$1K |
| 80156 |
|
400 |
334 |
$1K |
| 85378 |
|
217 |
182 |
$1K |
| J2785 |
Regadenoson injection |
859 |
688 |
$1K |
| 83525 |
|
764 |
722 |
$1K |
| 99204 |
|
12 |
12 |
$1K |
| 82040 |
|
1,530 |
1,419 |
$1K |
| 82985 |
|
223 |
213 |
$1K |
| Q0162 |
Ondansetron oral |
6,388 |
5,256 |
$1K |
| J3301 |
Triamcinolone acet inj nos |
965 |
836 |
$1K |
| 82248 |
|
1,280 |
1,082 |
$1K |
| U0005 |
Infec agen detec ampli probe |
645 |
607 |
$1K |
| 87427 |
|
676 |
629 |
$1K |
| 86341 |
|
175 |
137 |
$1K |
| 88271 |
|
39 |
24 |
$1K |
| 88275 |
|
37 |
24 |
$1K |
| 70355 |
|
138 |
117 |
$1K |
| 86694 |
|
689 |
644 |
$1K |
| 82164 |
|
532 |
492 |
$1K |
| 84478 |
|
1,076 |
819 |
$1K |
| 84479 |
|
800 |
755 |
$1K |
| 92526 |
|
38 |
25 |
$1K |
| 83498 |
|
399 |
383 |
$1K |
| A9552 |
F18 fdg |
2,615 |
2,240 |
$1K |
| 87804 |
|
1,254 |
862 |
$1K |
| J2550 |
Promethazine hcl injection |
2,784 |
1,890 |
$987.13 |
| 87045 |
|
675 |
627 |
$981.95 |
| 87899 |
|
378 |
356 |
$976.82 |
| 97129 |
|
46 |
12 |
$976.37 |
| 81596 |
|
31 |
30 |
$920.06 |
| A9540 |
Tc99m maa |
13 |
12 |
$907.24 |
| Q4081 |
Epoetin alfa, 100 units esrd |
61 |
12 |
$884.78 |
| 87637 |
|
379 |
355 |
$879.51 |
| J1170 |
Hydromorphone injection |
14,868 |
8,954 |
$859.18 |
| 77012 |
|
48 |
38 |
$858.11 |
| 51798 |
|
67 |
43 |
$846.86 |
| 87102 |
|
888 |
772 |
$786.12 |
| 77417 |
|
44 |
24 |
$779.09 |
| J0696 |
Ceftriaxone sodium injection |
12,883 |
8,599 |
$777.91 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
5,780 |
4,083 |
$766.76 |
| 82310 |
|
2,950 |
2,571 |
$762.15 |
| J1642 |
Inj heparin sodium per 10 u |
2,872 |
1,563 |
$737.81 |
| 73000 |
|
31 |
26 |
$731.82 |
| 90656 |
|
47 |
47 |
$730.65 |
| 87046 |
|
680 |
612 |
$726.66 |
| 85613 |
|
505 |
363 |
$723.99 |
| A9500 |
Tc99m sestamibi |
1,047 |
854 |
$721.04 |
| 99203 |
|
15 |
12 |
$702.88 |
| 87116 |
|
78 |
63 |
$688.57 |
| 77002 |
|
29 |
26 |
$680.86 |
| 83013 |
|
95 |
93 |
$647.21 |
| 87177 |
|
495 |
454 |
$631.15 |
| 82247 |
|
616 |
503 |
$618.57 |
| 87880 |
|
2,894 |
2,582 |
$614.17 |
| 85046 |
|
1,983 |
1,492 |
$601.27 |
| 82390 |
|
238 |
223 |
$591.92 |
| J2765 |
Metoclopramide hcl injection |
1,947 |
1,473 |
$575.68 |
| G0103 |
Psa screening |
602 |
536 |
$571.14 |
| 82172 |
|
109 |
105 |
$567.71 |
| 84075 |
|
472 |
443 |
$566.01 |
| 86141 |
|
194 |
176 |
$558.12 |
| 81479 |
|
30 |
26 |
$541.13 |
| 0012A |
|
29 |
27 |
$519.63 |
| J1630 |
Haloperidol injection |
6,612 |
5,297 |
$514.59 |
| J0171 |
Adrenalin epinephrine inject |
1,294 |
944 |
$504.29 |
| 86735 |
|
354 |
340 |
$497.65 |
| 92133 |
|
1,041 |
918 |
$492.65 |
| 87075 |
|
440 |
367 |
$480.00 |
| 82107 |
|
30 |
27 |
$475.39 |
| 93282 |
|
32 |
26 |
$465.19 |
| 85660 |
|
782 |
745 |
$454.54 |
| 89051 |
|
291 |
198 |
$452.93 |
| C1725 |
Cath, translumin non-laser |
1,708 |
1,370 |
$452.20 |
| 74220 |
|
15 |
15 |
$448.07 |
| 76805 |
|
60 |
58 |
$436.80 |
| 86304 |
|
112 |
105 |
$435.26 |
| J0702 |
Betamethasone acet&sod phosp |
218 |
122 |
$423.99 |
| 84466 |
|
236 |
226 |
$406.48 |
| 80175 |
|
118 |
106 |
$405.92 |
| 86765 |
|
375 |
358 |
$370.04 |
| 80183 |
|
95 |
79 |
$364.25 |
| 82952 |
|
1,324 |
1,281 |
$363.65 |
| 88173 |
|
97 |
82 |
$351.24 |
| 82103 |
|
118 |
108 |
$342.94 |
| 87076 |
|
456 |
407 |
$342.71 |
| 88172 |
|
13 |
12 |
$342.39 |
| J3535 |
Metered dose inhaler drug |
81 |
57 |
$308.78 |
| J2704 |
Inj, propofol, 10 mg |
14,694 |
12,818 |
$304.99 |
| 0011A |
|
32 |
29 |
$288.08 |
| 80329 |
|
21 |
15 |
$274.17 |
| 85049 |
|
813 |
699 |
$267.04 |
| 92015 |
|
67 |
61 |
$256.38 |
| J3370 |
Vancomycin hcl injection |
1,920 |
1,108 |
$256.30 |
| 82010 |
|
869 |
747 |
$255.08 |
| 82672 |
|
37 |
37 |
$254.96 |
| 87338 |
|
56 |
54 |
$249.00 |
| G0475 |
Hiv combination assay |
384 |
326 |
$246.39 |
| Q5105 |
Inj retacrit esrd on dialysi |
100 |
24 |
$238.66 |
| 86162 |
|
85 |
79 |
$236.88 |
| 81420 |
|
18 |
12 |
$236.69 |
| J7613 |
Albuterol non-comp unit |
4,240 |
3,090 |
$235.83 |
| 86880 |
|
214 |
164 |
$218.54 |
| 77001 |
|
97 |
82 |
$215.43 |
| 86644 |
|
69 |
43 |
$192.95 |
| 83835 |
|
27 |
24 |
$179.65 |
| 82668 |
|
27 |
24 |
$164.95 |
| 72072 |
|
16 |
13 |
$159.73 |
| J1940 |
Furosemide injection |
1,976 |
1,228 |
$152.88 |
| 88311 |
|
32 |
24 |
$148.28 |
| 88312 |
|
14 |
14 |
$122.24 |
| J2543 |
Piperacillin/tazobactam |
1,750 |
653 |
$119.01 |
| 84163 |
|
180 |
166 |
$114.65 |
| 36410 |
|
60 |
50 |
$112.51 |
| 82239 |
|
42 |
38 |
$108.89 |
| 82088 |
|
15 |
13 |
$101.46 |
| 82575 |
|
101 |
95 |
$98.78 |
| 87329 |
|
56 |
53 |
$98.74 |
| 87206 |
|
193 |
148 |
$95.48 |
| J0613 |
Calcium glucon (wg critical) |
67 |
39 |
$90.00 |
| J0780 |
Prochlorperazine injection |
1,982 |
1,702 |
$87.87 |
| J1815 |
Insulin injection |
1,062 |
499 |
$86.75 |
| 86301 |
|
14 |
12 |
$86.56 |
| 81401 |
|
42 |
37 |
$84.76 |
| 85347 |
|
783 |
591 |
$81.02 |
| 86255 |
|
29 |
25 |
$80.80 |
| 84134 |
|
98 |
73 |
$80.30 |
| 51702 |
|
13 |
12 |
$79.91 |
| 72070 |
|
12 |
12 |
$77.85 |
| 91301 |
|
14 |
14 |
$75.58 |
| A9585 |
Gadobutrol injection |
1,143 |
650 |
$74.48 |
| 81374 |
|
12 |
12 |
$66.90 |
| 82397 |
|
28 |
26 |
$60.77 |
| 82085 |
|
27 |
24 |
$60.48 |
| 87521 |
Neg quan hep c or qual rna |
47 |
45 |
$60.42 |
| J7644 |
Ipratropium bromide non-comp |
684 |
538 |
$58.17 |
| J0360 |
Hydralazine hcl injection |
1,092 |
805 |
$56.08 |
| 86707 |
|
31 |
27 |
$53.22 |
| 83993 |
|
12 |
12 |
$53.01 |
| 86617 |
|
26 |
12 |
$49.79 |
| 82525 |
|
12 |
12 |
$49.17 |
| J7030 |
Normal saline solution infus |
1,164 |
774 |
$44.73 |
| G0123 |
Screen cerv/vag thin layer |
63 |
57 |
$42.41 |
| 87350 |
|
26 |
25 |
$41.52 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
893 |
566 |
$40.00 |
| 85048 |
|
16 |
12 |
$36.64 |
| 86665 |
|
113 |
98 |
$36.47 |
| J3480 |
Inj potassium chloride |
418 |
281 |
$35.52 |
| Q9969 |
Non-heu tc-99m add-on/dose |
1,504 |
1,321 |
$34.77 |
| 36592 |
|
61 |
33 |
$33.12 |
| C1758 |
Catheter, ureteral |
59 |
42 |
$32.00 |
| J7611 |
Albuterol non-comp con |
196 |
165 |
$30.93 |
| 90674 |
|
28 |
21 |
$29.66 |
| 85240 |
|
13 |
13 |
$27.80 |
| 86328 |
|
28 |
25 |
$24.53 |
| Q0177 |
Hydroxyzine pamoate 25mg |
1,137 |
817 |
$24.16 |
| J8597 |
Antiemetic drug oral nos |
527 |
411 |
$23.03 |
| J8540 |
Oral dexamethasone |
68 |
38 |
$18.15 |
| 84300 |
|
18 |
17 |
$17.74 |
| 80299 |
|
43 |
37 |
$15.79 |
| 82272 |
|
176 |
145 |
$14.21 |
| 85245 |
|
14 |
12 |
$13.89 |
| C1760 |
Closure dev, vasc |
517 |
418 |
$11.96 |
| 86645 |
|
14 |
13 |
$10.93 |
| 86308 |
|
13 |
13 |
$10.38 |
| J3411 |
Thiamine hcl 100 mg |
155 |
68 |
$7.99 |
| J3475 |
Inj magnesium sulfate |
382 |
221 |
$6.44 |
| 84295 |
|
20 |
15 |
$4.82 |
| 89055 |
|
16 |
14 |
$3.97 |
| 82945 |
|
18 |
12 |
$3.54 |
| J1580 |
Garamycin gentamicin inj |
84 |
53 |
$3.16 |
| J2720 |
Inj protamine sulfate/10 mg |
163 |
132 |
$2.67 |
| 84432 |
|
15 |
13 |
$2.05 |
| J2272 |
Inj, morphine (fresenius) |
757 |
664 |
$1.74 |
| Q0163 |
Diphenhydramine hcl 50mg |
25 |
24 |
$1.14 |
| J3360 |
Diazepam injection |
106 |
77 |
$0.38 |
| A6258 |
Transparent film >16<=48 in |
144 |
123 |
$0.24 |
| G8979 |
Mobility goal status |
366 |
221 |
$0.01 |
| G8978 |
Mobility current status |
310 |
191 |
$0.01 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
187 |
178 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
632 |
330 |
$0.00 |
| G8990 |
Other pt/ot current status |
41 |
24 |
$0.00 |
| J0692 |
Cefepime hcl for injection |
53 |
26 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
299 |
203 |
$0.00 |
| J2310 |
Inj naloxone hydrochloride |
17 |
13 |
$0.00 |
| J1953 |
Levetiracetam injection |
591 |
404 |
$0.00 |
| 88333 |
|
50 |
42 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
272 |
263 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
14 |
14 |
$0.00 |
| J2800 |
Methocarbamol injection |
94 |
86 |
$0.00 |
| G1004 |
Cdsm ndsc |
438 |
381 |
$0.00 |
| C1874 |
Stent, coated/cov w/del sys |
30 |
26 |
$0.00 |
| J0688 |
Inj cefazolin sodium, hikma |
89 |
57 |
$0.00 |
| J0736 |
Inj, clindamycin phosp 300mg |
55 |
39 |
$0.00 |
| C1788 |
Port, indwelling, imp |
14 |
13 |
$0.00 |
| 76376 |
|
175 |
161 |
$0.00 |
| Q0243 |
Casirivimab and imdevimab |
16 |
16 |
$0.00 |
| C2625 |
Stent, non-cor, tem w/del sy |
15 |
13 |
$0.00 |
| 88313 |
|
17 |
13 |
$0.00 |
| A9577 |
Inj multihance |
419 |
337 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
54 |
48 |
$0.00 |
| 86663 |
|
13 |
13 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
591 |
404 |
$0.00 |
| 36416 |
|
384 |
199 |
$0.00 |
| C1893 |
Intro/sheath, fixed,non-peel |
209 |
181 |
$0.00 |
| G8991 |
Other pt/ot goal status |
85 |
49 |
$0.00 |
| J1817 |
Insulin for insulin pump use |
367 |
146 |
$0.00 |
| J1920 |
Inj, labetalol hcl, 5mg |
32 |
31 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
452 |
339 |
$0.00 |
| A4648 |
Implantable tissue marker |
26 |
25 |
$0.00 |
| C1726 |
Cath, bal dil, non-vascular |
36 |
26 |
$0.00 |
| 88331 |
|
12 |
12 |
$0.00 |
| 72170 |
|
40 |
39 |
$0.00 |
| C1781 |
Mesh (implantable) |
27 |
27 |
$0.00 |
| 73660 |
|
14 |
12 |
$0.00 |
| C1750 |
Cath, hemodialysis,long-term |
68 |
54 |
$0.00 |
| 84157 |
|
19 |
13 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
39 |
35 |
$0.00 |
| G0269 |
Occlusive device in vein art |
19 |
13 |
$0.00 |
| 87426 |
|
28 |
25 |
$0.00 |
| J1805 |
Inj, esmolol hcl, 10mg |
29 |
29 |
$0.00 |
| C1730 |
Cath, ep, 19 or few elect |
14 |
12 |
$0.00 |
| C9290 |
Inj, bupivacaine liposome |
17 |
15 |
$0.00 |
| A6257 |
Transparent film <= 16 sq in |
14 |
13 |
$0.00 |