| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpt clinic visit |
651,324 |
484,205 |
$120.56M |
| 99283 |
|
115,061 |
97,838 |
$28.32M |
| 99214 |
|
160,141 |
126,648 |
$26.37M |
| 92507 |
|
86,272 |
32,415 |
$24.24M |
| 99284 |
|
83,799 |
68,954 |
$19.42M |
| 99213 |
|
116,764 |
97,934 |
$18.49M |
| 99285 |
|
66,291 |
54,864 |
$16.16M |
| 96110 |
|
25,809 |
24,105 |
$15.80M |
| 96361 |
|
34,999 |
24,947 |
$14.71M |
| J9271 |
Inj pembrolizumab |
2,346 |
1,385 |
$14.11M |
| J1569 |
Gammagard liquid injection |
5,152 |
2,168 |
$9.94M |
| 97110 |
|
154,465 |
57,444 |
$9.40M |
| G0378 |
Hospital observation per hr |
49,357 |
31,168 |
$9.24M |
| 41899 |
|
4,470 |
3,903 |
$8.76M |
| 99212 |
|
47,510 |
40,660 |
$7.22M |
| 77386 |
|
11,560 |
971 |
$6.65M |
| 93306 |
|
14,180 |
12,176 |
$6.32M |
| 97530 |
|
84,511 |
36,738 |
$6.29M |
| 96366 |
|
16,656 |
11,112 |
$6.20M |
| 96365 |
|
38,832 |
25,543 |
$6.17M |
| 74177 |
|
19,903 |
17,207 |
$5.42M |
| 96413 |
|
27,229 |
15,027 |
$5.40M |
| 70450 |
|
21,347 |
18,163 |
$5.40M |
| J1745 |
Infliximab not biosimil 10mg |
3,543 |
2,486 |
$5.36M |
| 43239 |
|
6,377 |
5,081 |
$4.89M |
| 70553 |
|
10,498 |
9,366 |
$4.77M |
| 99282 |
|
21,019 |
18,428 |
$4.76M |
| 20610 |
|
12,876 |
9,884 |
$3.59M |
| 77412 |
|
7,428 |
863 |
$3.26M |
| 96415 |
|
7,430 |
4,123 |
$3.09M |
| 78815 |
|
2,581 |
2,261 |
$3.05M |
| 59899 |
|
4,135 |
3,259 |
$3.04M |
| 92014 |
|
21,721 |
19,247 |
$3.03M |
| J0178 |
Aflibercept injection |
2,359 |
1,793 |
$2.87M |
| 90837 |
|
15,372 |
9,185 |
$2.81M |
| G0439 |
Ppps, subseq visit |
15,292 |
14,000 |
$2.79M |
| 92012 |
|
19,309 |
16,873 |
$2.78M |
| 42820 |
|
1,123 |
955 |
$2.75M |
| 99215 |
Prolong outpt/office vis |
16,860 |
14,050 |
$2.71M |
| 45385 |
|
3,482 |
2,799 |
$2.67M |
| 45378 |
|
2,937 |
2,564 |
$2.63M |
| 96360 |
|
15,412 |
10,435 |
$2.63M |
| 78452 |
|
2,829 |
2,415 |
$2.55M |
| 97112 |
|
53,181 |
22,750 |
$2.51M |
| 99281 |
|
10,066 |
8,844 |
$2.46M |
| 93303 |
|
4,298 |
3,588 |
$2.45M |
| 99391 |
|
21,101 |
17,762 |
$2.39M |
| J0585 |
Injection,onabotulinumtoxina |
8,426 |
4,744 |
$2.33M |
| J2505 |
Injection, pegfilgrastim 6mg |
1,172 |
531 |
$2.22M |
| 71275 |
|
8,825 |
7,700 |
$2.19M |
| 97161 |
|
15,736 |
13,787 |
$2.16M |
| 43235 |
|
2,809 |
2,417 |
$2.13M |
| 80307 |
|
36,174 |
29,183 |
$2.10M |
| 93308 |
|
4,504 |
3,866 |
$2.09M |
| 52000 |
|
1,929 |
1,652 |
$2.03M |
| 76770 |
|
8,911 |
8,158 |
$2.01M |
| 99392 |
|
15,159 |
14,223 |
$1.96M |
| 93458 |
|
872 |
748 |
$1.96M |
| Q5111 |
Injection, udenyca 0.5 mg |
744 |
417 |
$1.96M |
| Q5121 |
Inj. avsola, 10 mg |
977 |
682 |
$1.96M |
| 69436 |
|
1,637 |
1,134 |
$1.95M |
| 97140 |
|
49,610 |
19,875 |
$1.84M |
| 36430 |
|
7,566 |
3,838 |
$1.81M |
| 92526 |
|
24,270 |
12,144 |
$1.77M |
| J0485 |
Belatacept injection |
3,276 |
1,554 |
$1.73M |
| 76705 |
|
14,199 |
12,355 |
$1.72M |
| 90834 |
|
10,846 |
7,456 |
$1.71M |
| 74183 |
|
3,835 |
3,401 |
$1.64M |
| 45380 |
|
2,413 |
1,921 |
$1.64M |
| 74176 |
|
5,425 |
4,677 |
$1.63M |
| 97162 |
|
9,209 |
8,165 |
$1.58M |
| 67028 |
|
5,377 |
3,922 |
$1.54M |
| 80048 |
|
191,528 |
127,041 |
$1.53M |
| 70551 |
|
4,195 |
3,756 |
$1.50M |
| P9016 |
Rbc leukocytes reduced |
4,202 |
2,997 |
$1.49M |
| 80053 |
|
191,489 |
141,609 |
$1.40M |
| 94640 |
|
13,175 |
7,181 |
$1.40M |
| G0330 |
Facility svs dental rehab |
775 |
692 |
$1.39M |
| 99393 |
|
8,868 |
8,330 |
$1.38M |
| 64615 |
|
2,846 |
2,422 |
$1.37M |
| U0003 |
Cov-19 amp prb hgh thruput |
31,722 |
26,303 |
$1.34M |
| 95810 |
|
1,376 |
1,291 |
$1.33M |
| 76816 |
|
11,236 |
9,630 |
$1.30M |
| 92551 |
|
8,751 |
8,206 |
$1.29M |
| 31575 |
|
4,108 |
3,612 |
$1.29M |
| J9035 |
Bevacizumab injection |
887 |
519 |
$1.27M |
| 92523 |
|
4,258 |
4,061 |
$1.25M |
| 76815 |
|
11,293 |
8,759 |
$1.22M |
| 36561 |
|
625 |
518 |
$1.20M |
| 97535 |
|
23,104 |
14,947 |
$1.19M |
| 73721 |
|
3,905 |
3,435 |
$1.19M |
| 72148 |
|
4,990 |
4,532 |
$1.17M |
| 97116 |
|
20,619 |
9,532 |
$1.16M |
| J2357 |
Omalizumab injection |
1,330 |
702 |
$1.15M |
| 76805 |
|
8,444 |
7,572 |
$1.14M |
| 92004 |
|
8,709 |
8,062 |
$1.10M |
| 87536 |
|
15,172 |
12,522 |
$1.08M |
| 90791 |
|
4,420 |
4,000 |
$1.06M |
| 49083 |
|
1,434 |
595 |
$1.06M |
| 70498 |
|
6,223 |
5,369 |
$1.05M |
| 76830 |
|
6,224 |
5,471 |
$1.01M |
| 90471 |
|
80,720 |
74,698 |
$1.00M |
| 90792 |
|
3,653 |
3,405 |
$993K |
| 87633 |
|
12,991 |
11,112 |
$977K |
| P9040 |
Rbc leukoreduced irradiated |
2,703 |
1,224 |
$963K |
| 77067 |
|
13,146 |
12,160 |
$935K |
| 95816 |
|
2,532 |
2,327 |
$923K |
| 36512 |
|
459 |
371 |
$913K |
| 81420 |
|
1,361 |
1,241 |
$911K |
| 97163 |
|
2,932 |
2,782 |
$897K |
| 72141 |
|
3,591 |
3,268 |
$860K |
| 54161 |
|
519 |
478 |
$851K |
| 59025 |
|
3,282 |
2,472 |
$846K |
| 93017 |
|
5,407 |
4,626 |
$830K |
| 64643 |
|
1,593 |
1,385 |
$822K |
| 71260 |
|
9,355 |
8,205 |
$801K |
| 38222 |
|
1,358 |
867 |
$794K |
| J7307 |
Etonogestrel implant system |
1,129 |
1,023 |
$792K |
| 93971 |
|
5,731 |
4,859 |
$784K |
| 93325 |
|
6,919 |
5,671 |
$779K |
| J3380 |
Inj vedolizumab iv 1 mg |
201 |
168 |
$778K |
| 71250 |
|
7,341 |
6,342 |
$772K |
| 81220 |
|
1,334 |
1,227 |
$739K |
| 92610 |
|
3,503 |
3,153 |
$728K |
| Q5119 |
Inj ruxience, 10 mg |
235 |
95 |
$715K |
| 99394 |
|
4,920 |
4,621 |
$714K |
| 66984 |
|
414 |
360 |
$708K |
| 76819 |
|
5,681 |
3,448 |
$708K |
| 97165 |
|
5,958 |
5,064 |
$706K |
| 64483 |
|
973 |
781 |
$705K |
| J2323 |
Natalizumab injection |
254 |
189 |
$701K |
| 64642 |
|
2,226 |
1,938 |
$701K |
| 90853 |
|
4,578 |
1,766 |
$672K |
| 75561 |
|
1,418 |
1,295 |
$644K |
| 70491 |
|
3,111 |
2,742 |
$642K |
| P9045 |
Albumin (human), 5%, 250 ml |
2,632 |
1,640 |
$640K |
| 99177 |
|
5,000 |
4,715 |
$639K |
| 70496 |
|
2,632 |
2,306 |
$632K |
| 76642 |
|
3,910 |
3,420 |
$631K |
| 90832 |
|
4,588 |
3,311 |
$630K |
| 90686 |
|
42,951 |
39,149 |
$621K |
| 87591 |
|
38,305 |
32,959 |
$619K |
| 93970 |
|
3,531 |
3,032 |
$617K |
| 76801 |
|
4,453 |
3,748 |
$599K |
| 90472 |
|
27,478 |
25,726 |
$599K |
| 97803 |
|
6,110 |
5,650 |
$596K |
| 77336 |
|
5,236 |
2,289 |
$588K |
| 90651 |
|
9,025 |
8,456 |
$587K |
| 93975 |
|
3,709 |
3,287 |
$570K |
| 96367 |
|
7,517 |
4,854 |
$565K |
| 95806 |
|
678 |
625 |
$559K |
| 99395 |
|
3,769 |
3,409 |
$549K |
| 76536 |
|
3,622 |
3,274 |
$549K |
| C9257 |
Bevacizumab injection |
955 |
763 |
$545K |
| 82306 |
|
35,524 |
29,663 |
$535K |
| G0257 |
Unsched dialysis esrd pt hos |
2,609 |
1,400 |
$535K |
| 42830 |
|
177 |
160 |
$525K |
| 90677 |
|
6,239 |
5,892 |
$519K |
| 85025 |
|
264,397 |
182,646 |
$518K |
| 17250 |
|
1,255 |
1,072 |
$510K |
| 77334 |
|
2,356 |
1,639 |
$510K |
| 71046 |
|
42,663 |
35,092 |
$509K |
| 77301 |
|
356 |
308 |
$507K |
| 72197 |
|
1,389 |
1,254 |
$503K |
| 97166 |
|
2,817 |
2,605 |
$495K |
| 87635 |
|
10,921 |
9,021 |
$491K |
| 95819 |
|
1,340 |
1,249 |
$489K |
| 95708 |
|
691 |
615 |
$477K |
| 83880 |
|
29,479 |
23,023 |
$469K |
| 87491 |
|
38,304 |
32,958 |
$465K |
| J1561 |
Gamunex-c/gammaked |
239 |
126 |
$462K |
| 20550 |
|
1,571 |
1,156 |
$459K |
| 90670 |
|
25,023 |
23,042 |
$452K |
| 73221 |
|
1,611 |
1,466 |
$449K |
| 74178 |
|
1,516 |
1,340 |
$438K |
| 94010 |
|
11,581 |
9,979 |
$435K |
| 77002 |
|
2,729 |
2,303 |
$418K |
| 76700 |
|
2,101 |
1,874 |
$417K |
| 97167 |
|
1,673 |
1,575 |
$415K |
| 31231 |
|
1,790 |
1,621 |
$411K |
| 58300 |
|
1,587 |
1,410 |
$405K |
| 96161 |
|
13,186 |
10,684 |
$402K |
| 97755 |
|
1,697 |
1,503 |
$395K |
| 93005 |
|
95,720 |
74,371 |
$392K |
| J9299 |
Injection, nivolumab |
146 |
66 |
$388K |
| J2350 |
Injection, ocrelizumab, 1 mg |
13 |
13 |
$387K |
| 88305 |
|
23,875 |
18,847 |
$383K |
| 96409 |
|
4,001 |
2,054 |
$378K |
| 88185 |
|
7,063 |
1,759 |
$378K |
| 77295 |
|
382 |
337 |
$378K |
| 93451 |
|
158 |
128 |
$377K |
| 95886 |
|
2,235 |
2,019 |
$375K |
| 96372 |
|
46,034 |
33,466 |
$373K |
| 85027 |
|
117,168 |
85,041 |
$364K |
| 87661 |
|
27,133 |
23,411 |
$362K |
| P9073 |
Platelets pheresis path redu |
618 |
188 |
$361K |
| 99173 |
|
5,716 |
5,331 |
$352K |
| 76942 |
|
4,832 |
3,749 |
$351K |
| 95885 |
|
2,003 |
1,844 |
$347K |
| J2353 |
Octreotide injection, depot |
125 |
105 |
$346K |
| 76604 |
|
3,421 |
2,930 |
$340K |
| 90715 |
|
14,994 |
13,480 |
$338K |
| 80197 |
|
21,067 |
11,274 |
$334K |
| 76937 |
|
4,427 |
3,472 |
$332K |
| 80061 |
|
48,654 |
41,188 |
$330K |
| G0483 |
Drug test def 22+ classes |
1,787 |
1,524 |
$329K |
| 72158 |
|
1,529 |
1,358 |
$323K |
| 95700 |
|
1,572 |
1,237 |
$315K |
| 87389 |
|
22,680 |
19,022 |
$313K |
| 97016 |
|
8,407 |
2,905 |
$312K |
| 36415 |
|
260,919 |
200,183 |
$307K |
| 96133 |
|
1,280 |
1,045 |
$306K |
| J0475 |
Baclofen 10 mg injection |
695 |
607 |
$301K |
| Q5103 |
Injection, inflectra |
191 |
115 |
$301K |
| 96160 |
|
2,572 |
2,140 |
$299K |
| 76811 |
|
1,852 |
1,721 |
$298K |
| 93296 |
|
8,916 |
7,956 |
$292K |
| 96416 |
|
665 |
344 |
$291K |
| Q5104 |
Injection, renflexis |
220 |
118 |
$290K |
| 83735 |
|
115,256 |
70,416 |
$290K |
| 80076 |
|
33,627 |
22,374 |
$290K |
| 87522 |
Neg quan hep c or qual rna |
9,455 |
7,584 |
$288K |
| 97602 |
|
850 |
471 |
$288K |
| 74174 |
|
770 |
691 |
$284K |
| 90648 |
|
24,846 |
23,067 |
$281K |
| 93922 |
|
3,020 |
2,525 |
$279K |
| 76856 |
|
1,508 |
1,348 |
$278K |
| 97597 |
|
3,054 |
1,769 |
$277K |
| 96130 |
|
645 |
573 |
$274K |
| 77001 |
|
2,103 |
1,597 |
$273K |
| 95716 |
|
661 |
354 |
$272K |
| 97802 |
|
3,095 |
2,845 |
$271K |
| 76775 |
|
1,748 |
1,558 |
$270K |
| 76870 |
|
1,954 |
1,710 |
$270K |
| 11981 |
|
717 |
643 |
$270K |
| 20680 |
|
258 |
216 |
$268K |
| J9144 |
Daratumumab, hyaluronidase |
122 |
64 |
$268K |
| 97032 |
|
5,032 |
2,594 |
$260K |
| 74230 |
|
1,730 |
1,581 |
$257K |
| 83970 |
|
11,557 |
9,041 |
$257K |
| 70486 |
|
2,970 |
2,579 |
$252K |
| 84443 |
|
56,094 |
46,323 |
$249K |
| 87632 |
|
2,058 |
1,972 |
$247K |
| 62323 |
|
318 |
277 |
$242K |
| 95811 |
|
388 |
337 |
$241K |
| 72125 |
|
8,546 |
7,330 |
$241K |
| 11982 |
|
488 |
454 |
$241K |
| 73610 |
|
14,223 |
10,701 |
$239K |
| 97760 |
|
5,102 |
4,104 |
$238K |
| 86833 |
|
2,131 |
1,777 |
$238K |
| 36591 |
|
13,765 |
6,048 |
$235K |
| 11042 |
|
658 |
424 |
$233K |
| 12001 |
|
756 |
704 |
$232K |
| 87653 |
|
4,890 |
4,319 |
$231K |
| 10060 |
|
1,219 |
1,035 |
$229K |
| 76882 |
|
1,808 |
1,563 |
$227K |
| 72156 |
|
1,403 |
1,271 |
$225K |
| 99291 |
|
946 |
779 |
$224K |
| 96137 |
|
1,264 |
1,089 |
$221K |
| 86832 |
|
2,125 |
1,771 |
$220K |
| J7298 |
Mirena, 52 mg |
355 |
319 |
$217K |
| 86780 |
|
20,693 |
17,699 |
$217K |
| 43762 |
|
776 |
706 |
$217K |
| 76817 |
|
2,127 |
1,742 |
$215K |
| 76813 |
|
2,221 |
1,957 |
$212K |
| 97035 |
|
4,825 |
2,351 |
$211K |
| 94726 |
|
4,317 |
3,712 |
$210K |
| 73700 |
|
1,646 |
1,321 |
$210K |
| 99211 |
|
1,682 |
1,488 |
$209K |
| 94729 |
|
5,177 |
4,458 |
$204K |
| 77280 |
|
595 |
396 |
$202K |
| 74018 |
|
7,908 |
6,703 |
$200K |
| J1756 |
Iron sucrose injection |
5,192 |
2,132 |
$199K |
| 83655 |
|
8,671 |
7,566 |
$198K |
| 93880 |
|
1,615 |
1,364 |
$197K |
| 58301 |
|
837 |
748 |
$196K |
| J2997 |
Alteplase recombinant |
1,768 |
775 |
$195K |
| 51784 |
|
753 |
649 |
$194K |
| 76498 |
|
651 |
561 |
$193K |
| G0438 |
Ppps, initial visit |
1,562 |
1,458 |
$193K |
| 92015 |
|
20,903 |
19,454 |
$189K |
| 29405 |
|
634 |
272 |
$188K |
| 72146 |
|
959 |
873 |
$186K |
| 76820 |
|
1,562 |
786 |
$183K |
| 73630 |
|
17,501 |
12,382 |
$183K |
| 94060 |
|
2,475 |
2,223 |
$183K |
| 87637 |
|
15,110 |
14,157 |
$181K |
| 77066 |
Tomosynthesis, mammo |
2,966 |
2,688 |
$181K |
| 99396 |
|
1,780 |
1,602 |
$181K |
| 83036 |
|
61,687 |
52,675 |
$178K |
| 97018 |
|
6,805 |
2,651 |
$178K |
| 86830 |
|
2,198 |
1,593 |
$177K |
| 78264 |
|
382 |
321 |
$176K |
| 77300 |
|
1,842 |
1,551 |
$175K |
| 96450 |
|
379 |
209 |
$175K |
| 86803 |
|
19,820 |
16,778 |
$174K |
| 95782 |
|
154 |
146 |
$174K |
| J1459 |
Inj ivig privigen 500 mg |
185 |
93 |
$170K |
| 62370 |
|
1,161 |
1,033 |
$164K |
| 73030 |
|
14,038 |
10,585 |
$162K |
| 57454 |
|
271 |
218 |
$161K |
| 93350 |
|
489 |
408 |
$160K |
| 96523 |
|
3,500 |
1,489 |
$160K |
| 96132 |
|
1,351 |
1,100 |
$157K |
| 96116 |
|
776 |
669 |
$156K |
| 90723 |
|
17,033 |
15,839 |
$155K |
| 20552 |
|
589 |
509 |
$155K |
| 88142 |
|
9,158 |
7,612 |
$155K |
| 90633 |
|
14,418 |
13,602 |
$152K |
| 90870 |
|
351 |
187 |
$151K |
| 93926 |
|
1,477 |
1,178 |
$151K |
| J9312 |
Inj., rituximab, 10 mg |
96 |
28 |
$151K |
| P9047 |
Albumin (human), 25%, 50ml |
421 |
211 |
$149K |
| 72040 |
|
6,229 |
5,228 |
$149K |
| 87799 |
|
5,560 |
3,441 |
$146K |
| 86831 |
|
2,127 |
1,560 |
$146K |
| 90734 |
|
6,231 |
5,663 |
$146K |
| 52310 |
|
171 |
129 |
$145K |
| 72100 |
|
9,960 |
8,493 |
$145K |
| 92083 |
|
4,801 |
4,105 |
$145K |
| U0005 |
Infec agen detec ampli probe |
18,918 |
15,811 |
$144K |
| 76818 |
|
1,058 |
738 |
$144K |
| 77080 |
|
1,350 |
1,273 |
$143K |
| 12011 |
|
536 |
478 |
$142K |
| 71045 |
|
26,072 |
20,942 |
$140K |
| 87497 |
|
3,294 |
1,870 |
$140K |
| 77338 |
|
389 |
334 |
$139K |
| 86360 |
|
12,933 |
10,559 |
$139K |
| 87624 |
|
5,780 |
4,728 |
$138K |
| 88307 |
|
3,846 |
2,913 |
$138K |
| 49452 |
|
209 |
177 |
$137K |
| J1453 |
Fosaprepitant injection |
1,667 |
778 |
$135K |
| 20605 |
|
478 |
385 |
$133K |
| 86850 |
|
39,830 |
30,230 |
$133K |
| 85610 |
|
55,610 |
38,931 |
$133K |
| 51728 |
|
367 |
326 |
$133K |
| 86359 |
|
12,946 |
10,568 |
$132K |
| 90636 |
|
1,364 |
1,187 |
$132K |
| 84484 |
|
52,195 |
38,891 |
$131K |
| 73590 |
|
8,655 |
6,568 |
$131K |
| 73562 |
|
8,486 |
6,265 |
$129K |
| 73564 |
|
12,639 |
10,006 |
$128K |
| 93304 |
|
320 |
216 |
$128K |
| 77063 |
|
4,326 |
4,104 |
$127K |
| Q9992 |
Buprenorphine xr over 100 mg |
240 |
184 |
$127K |
| 86787 |
|
6,452 |
5,324 |
$127K |
| 90833 |
|
997 |
907 |
$125K |
| 96374 |
|
49,450 |
39,296 |
$125K |
| 77065 |
Tomosynthesis, mammo |
2,077 |
1,791 |
$124K |
| 77290 |
|
316 |
232 |
$124K |
| 86762 |
|
6,195 |
5,432 |
$123K |
| 82728 |
|
27,164 |
22,058 |
$122K |
| 87086 |
|
45,019 |
37,178 |
$121K |
| 96401 |
|
1,847 |
786 |
$120K |
| 71271 |
|
804 |
740 |
$120K |
| 86923 |
|
4,579 |
2,916 |
$120K |
| 73560 |
|
9,592 |
7,211 |
$119K |
| 69210 |
|
2,153 |
1,892 |
$119K |
| 87040 |
|
9,243 |
6,858 |
$119K |
| 73130 |
|
9,865 |
7,034 |
$118K |
| J1642 |
Inj heparin sodium per 10 u |
12,594 |
4,783 |
$117K |
| 87641 |
|
4,517 |
3,847 |
$117K |
| 90681 |
|
13,867 |
12,692 |
$116K |
| 72157 |
|
693 |
627 |
$115K |
| 93925 |
|
856 |
706 |
$115K |
| J7120 |
Ringers lactate infusion |
71,177 |
55,536 |
$115K |
| 87798 |
|
13,365 |
11,651 |
$113K |
| 58100 |
|
485 |
355 |
$113K |
| 86900 |
|
42,547 |
31,964 |
$112K |
| 97164 |
|
773 |
701 |
$112K |
| 91322 |
|
2,118 |
1,894 |
$112K |
| 70543 |
|
287 |
225 |
$110K |
| 11102 |
|
270 |
176 |
$109K |
| 73502 |
|
10,152 |
8,106 |
$108K |
| 43248 |
|
125 |
90 |
$106K |
| 90847 |
|
443 |
360 |
$105K |
| C8929 |
Tte w or wo fol wcon,doppler |
248 |
209 |
$104K |
| 91200 |
|
960 |
786 |
$103K |
| 92134 |
|
14,545 |
11,669 |
$103K |
| 84702 |
|
24,307 |
19,763 |
$102K |
| 80305 |
|
24,364 |
15,682 |
$100K |
| 84439 |
|
20,742 |
17,309 |
$100K |
| 88237 |
|
1,385 |
849 |
$99K |
| 82105 |
|
9,777 |
8,056 |
$99K |
| 81370 |
|
274 |
200 |
$98K |
| 92020 |
|
317 |
288 |
$98K |
| 83605 |
|
33,031 |
25,711 |
$96K |
| 90710 |
|
5,420 |
5,177 |
$95K |
| 0001A |
|
4,207 |
3,918 |
$95K |
| 82607 |
|
16,353 |
13,680 |
$94K |
| 96139 |
|
570 |
486 |
$93K |
| 86829 |
|
631 |
449 |
$93K |
| 87486 |
|
13,125 |
11,481 |
$93K |
| 0042T |
|
552 |
492 |
$90K |
| 90716 |
|
6,343 |
5,935 |
$90K |
| 52356 |
|
16 |
12 |
$88K |
| 0002A |
|
2,792 |
2,667 |
$86K |
| 99204 |
|
657 |
606 |
$85K |
| 43760 |
|
239 |
212 |
$85K |
| 91300 |
|
8,127 |
7,139 |
$84K |
| 73110 |
|
6,590 |
5,167 |
$84K |
| 31615 |
|
43 |
39 |
$81K |
| G0472 |
Hep c screen high risk/other |
3,719 |
3,483 |
$81K |
| 19083 |
|
48 |
37 |
$81K |
| 90474 |
|
5,587 |
5,162 |
$80K |
| U0002 |
Covid-19 lab test non-cdc |
5,124 |
4,281 |
$79K |
| 36590 |
|
82 |
65 |
$79K |
| 92607 |
|
275 |
260 |
$79K |
| 96402 |
|
1,984 |
1,568 |
$79K |
| 97010 |
|
2,085 |
1,162 |
$78K |
| J0882 |
Darbepoetin alfa, esrd use |
83 |
24 |
$78K |
| 82784 |
|
8,998 |
7,063 |
$77K |
| 57420 |
|
126 |
98 |
$76K |
| 90707 |
|
7,498 |
7,037 |
$76K |
| 97763 |
|
1,640 |
1,191 |
$75K |
| 66982 |
|
46 |
39 |
$75K |
| 87340 |
|
20,813 |
17,692 |
$74K |
| 74455 |
|
321 |
293 |
$74K |
| 77073 |
|
4,803 |
4,129 |
$73K |
| 87581 |
|
13,124 |
11,482 |
$73K |
| 87517 |
|
2,151 |
1,784 |
$73K |
| 86901 |
|
42,395 |
31,930 |
$73K |
| 95951 |
|
156 |
96 |
$71K |
| 64450 |
|
190 |
141 |
$70K |
| 90671 |
|
678 |
630 |
$69K |
| L8699 |
Prosthetic implant nos |
1,330 |
665 |
$69K |
| 88341 |
|
3,078 |
2,271 |
$69K |
| J7050 |
Normal saline solution infus |
23,469 |
12,704 |
$69K |
| 76881 |
|
429 |
357 |
$69K |
| 70487 |
|
170 |
146 |
$68K |
| 20553 |
|
311 |
260 |
$68K |
| 81001 |
|
77,848 |
62,806 |
$68K |
| J2795 |
Ropivacaine hcl injection |
9,455 |
5,855 |
$68K |
| 77470 |
|
78 |
68 |
$67K |
| 54150 |
|
28 |
26 |
$67K |
| 82248 |
|
45,623 |
32,528 |
$67K |
| 86003 |
|
3,588 |
3,037 |
$66K |
| 88262 |
|
1,296 |
879 |
$66K |
| J3490 |
Drugs unclassified injection |
73,521 |
36,467 |
$66K |
| 90698 |
|
6,493 |
6,034 |
$65K |
| J9070 |
Cyclophosphamide 100 mg inj |
606 |
198 |
$65K |
| 73552 |
|
5,985 |
4,755 |
$65K |
| 29075 |
|
152 |
118 |
$64K |
| 73070 |
|
3,204 |
2,517 |
$64K |
| 99203 |
|
518 |
475 |
$63K |
| 84100 |
|
42,985 |
25,198 |
$63K |
| 86480 |
|
3,842 |
3,236 |
$63K |
| 90700 |
|
6,771 |
6,371 |
$63K |
| 92504 |
|
407 |
381 |
$63K |
| 70355 |
|
1,287 |
1,088 |
$63K |
| 87507 |
|
439 |
402 |
$62K |
| 78451 |
|
106 |
92 |
$62K |
| 73090 |
|
5,226 |
3,969 |
$61K |
| 72170 |
|
4,429 |
3,840 |
$61K |
| 73080 |
|
4,355 |
3,557 |
$61K |
| 92611 |
|
1,502 |
1,367 |
$61K |
| 90656 |
|
3,789 |
3,628 |
$60K |
| J2704 |
Inj, propofol, 10 mg |
92,516 |
49,232 |
$60K |
| 93321 |
|
1,168 |
918 |
$59K |
| 90999 |
|
587 |
64 |
$59K |
| 96375 |
|
43,993 |
30,794 |
$58K |
| 0064U |
|
6,258 |
5,253 |
$58K |
| 87902 |
|
767 |
640 |
$58K |
| 92133 |
|
6,500 |
5,594 |
$57K |
| 84466 |
|
20,157 |
16,432 |
$57K |
| 95004 |
|
2,067 |
1,882 |
$57K |
| 36224 |
|
12 |
12 |
$57K |
| 62322 |
|
144 |
133 |
$57K |
| 77049 |
|
80 |
73 |
$57K |
| 95911 |
|
329 |
291 |
$57K |
| 95117 |
|
1,619 |
952 |
$56K |
| 88342 |
|
6,188 |
4,658 |
$56K |
| 80321 |
|
1,636 |
1,287 |
$56K |
| 96411 |
|
3,003 |
1,596 |
$55K |
| 86140 |
|
27,801 |
22,451 |
$54K |
| 96127 |
|
1,058 |
953 |
$53K |
| 83021 |
|
7,605 |
5,862 |
$53K |
| 95910 |
|
424 |
388 |
$53K |
| J2250 |
Inj midazolam hydrochloride |
36,764 |
28,520 |
$53K |
| 86255 |
|
2,413 |
1,959 |
$53K |
| J3010 |
Fentanyl citrate injection |
50,191 |
35,998 |
$53K |
| 70544 |
|
210 |
182 |
$52K |
| J2405 |
Ondansetron hcl injection |
62,240 |
45,048 |
$52K |
| 92002 |
|
404 |
361 |
$52K |
| 90732 |
|
2,408 |
2,054 |
$51K |
| 93798 |
|
341 |
84 |
$50K |
| 11100 |
|
133 |
92 |
$50K |
| 36592 |
|
3,735 |
2,327 |
$50K |
| 90480 |
|
2,524 |
2,278 |
$50K |
| 73100 |
|
3,070 |
2,325 |
$49K |
| 70320 |
|
1,255 |
1,060 |
$49K |
| 36558 |
|
34 |
24 |
$49K |
| 83540 |
|
22,694 |
18,741 |
$49K |
| 99354 |
|
1,074 |
829 |
$49K |
| J7030 |
Normal saline solution infus |
49,709 |
32,100 |
$49K |
| 86235 |
|
2,559 |
2,065 |
$48K |
| 74240 |
|
302 |
279 |
$48K |
| 72131 |
|
572 |
501 |
$48K |
| 88184 |
|
2,899 |
1,836 |
$47K |
| 88275 |
|
1,034 |
637 |
$47K |
| 84153 |
|
6,341 |
5,151 |
$46K |
| J2001 |
Lidocaine injection |
32,985 |
24,183 |
$46K |
| 72110 |
|
2,007 |
1,691 |
$46K |
| 84403 |
|
4,249 |
3,602 |
$45K |
| 88360 |
|
1,787 |
1,213 |
$45K |
| 99188 |
|
2,223 |
2,092 |
$45K |
| 95913 |
|
239 |
221 |
$45K |
| 81003 |
|
31,774 |
26,606 |
$45K |
| 83615 |
|
12,276 |
7,180 |
$44K |
| 88271 |
|
1,106 |
716 |
$44K |
| 54300 |
|
14 |
12 |
$43K |
| 82565 |
|
16,831 |
13,974 |
$43K |
| 72190 |
|
1,074 |
926 |
$42K |
| 86706 |
|
10,136 |
8,406 |
$42K |
| 10005 |
|
87 |
69 |
$42K |
| J3475 |
Inj magnesium sulfate |
21,764 |
13,209 |
$42K |
| 92609 |
|
683 |
564 |
$41K |
| J3262 |
Tocilizumab injection |
59 |
24 |
$41K |
| 87502 |
|
2,061 |
1,852 |
$41K |
| 84402 |
|
1,982 |
1,679 |
$41K |
| 73200 |
|
258 |
228 |
$40K |
| G0476 |
Hpv combo assay ca screen |
1,111 |
1,048 |
$40K |
| 76512 |
|
265 |
228 |
$40K |
| 64493 |
|
45 |
30 |
$40K |
| 85730 |
|
21,099 |
16,740 |
$39K |
| 80364 |
|
3,278 |
2,489 |
$39K |
| 72082 |
|
3,290 |
2,910 |
$39K |
| 73060 |
|
3,250 |
2,589 |
$38K |
| 76000 |
|
2,499 |
2,049 |
$38K |
| Q5107 |
Inj mvasi 10 mg |
41 |
12 |
$38K |
| 96040 |
|
258 |
222 |
$38K |
| G0297 |
Ldct for lung ca screen |
265 |
250 |
$38K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
5,747 |
4,004 |
$38K |
| 64416 |
|
123 |
93 |
$37K |
| 73140 |
|
2,896 |
2,405 |
$37K |
| 80164 |
|
2,939 |
2,384 |
$37K |
| 82948 |
|
39,552 |
25,813 |
$36K |
| 77072 |
|
1,102 |
970 |
$36K |
| 84146 |
|
2,570 |
2,239 |
$36K |
| 85018 |
|
12,957 |
10,872 |
$35K |
| 82247 |
|
22,850 |
17,160 |
$35K |
| 81025 |
|
26,730 |
22,343 |
$35K |
| G2066 |
Inter devc remote 30d |
1,345 |
1,241 |
$35K |
| 82533 |
|
2,246 |
1,760 |
$35K |
| J0690 |
Cefazolin sodium injection |
27,199 |
17,976 |
$35K |
| G0480 |
Drug test def 1-7 classes |
4,847 |
3,388 |
$35K |
| J8540 |
Oral dexamethasone |
7,591 |
2,978 |
$34K |
| 84425 |
|
2,758 |
2,431 |
$34K |
| G0123 |
Screen cerv/vag thin layer |
1,956 |
1,785 |
$34K |
| 73620 |
|
2,613 |
1,827 |
$34K |
| 84156 |
|
17,297 |
13,576 |
$34K |
| G0008 |
Admin influenza virus vac |
7,064 |
6,175 |
$34K |
| A9552 |
F18 fdg |
2,970 |
2,647 |
$34K |
| 82805 |
|
11,464 |
9,335 |
$34K |
| 81329 |
|
1,164 |
1,076 |
$33K |
| 77062 |
|
963 |
907 |
$33K |
| 86704 |
|
7,666 |
6,270 |
$33K |
| 36593 |
|
170 |
128 |
$33K |
| 43249 |
|
41 |
37 |
$33K |
| 90746 |
|
1,474 |
1,297 |
$33K |
| 54640 |
|
14 |
12 |
$32K |
| 76827 |
|
1,060 |
879 |
$32K |
| C1894 |
Intro/sheath, non-laser |
9,581 |
7,449 |
$32K |
| 86644 |
|
2,132 |
1,584 |
$32K |
| C1769 |
Guide wire |
12,077 |
9,230 |
$32K |
| 86334 |
|
3,030 |
2,386 |
$30K |
| 90696 |
|
2,731 |
2,649 |
$30K |
| 74221 |
|
245 |
229 |
$30K |
| 95874 |
|
1,015 |
846 |
$30K |
| 12002 |
|
114 |
104 |
$30K |
| 86160 |
|
3,986 |
3,091 |
$30K |
| J1950 |
Leuprolide acetate /3.75 mg |
80 |
66 |
$30K |
| 95909 |
|
214 |
203 |
$30K |
| 93799 |
|
3,415 |
1,778 |
$30K |
| 96138 |
|
565 |
485 |
$29K |
| 82746 |
|
8,733 |
7,298 |
$29K |
| 82977 |
|
2,352 |
1,794 |
$29K |
| 64644 |
|
184 |
153 |
$29K |
| 73600 |
|
2,174 |
1,682 |
$29K |
| 90662 |
|
2,870 |
2,391 |
$29K |
| 88312 |
|
1,481 |
1,120 |
$29K |
| 72070 |
|
1,874 |
1,628 |
$28K |
| 0124A |
|
2,011 |
1,766 |
$28K |
| 82670 |
|
1,753 |
1,467 |
$28K |
| 97542 |
|
507 |
326 |
$28K |
| 87631 |
|
1,351 |
1,178 |
$28K |
| 91312 |
|
2,037 |
1,796 |
$28K |
| 86665 |
|
1,290 |
958 |
$28K |
| J0131 |
Inj, acetaminophen (nos) |
10,535 |
8,036 |
$27K |
| 92522 |
|
66 |
65 |
$27K |
| 49450 |
|
35 |
29 |
$27K |
| 96376 |
|
20,421 |
11,956 |
$27K |
| 87077 |
|
15,227 |
12,454 |
$26K |
| 95953 |
|
75 |
64 |
$26K |
| 86038 |
|
6,091 |
5,023 |
$26K |
| 83516 |
|
1,893 |
1,591 |
$26K |
| 85379 |
|
4,176 |
3,617 |
$26K |
| 29826 |
|
27 |
25 |
$26K |
| 86870 |
|
1,171 |
860 |
$26K |
| 88313 |
|
3,101 |
2,113 |
$25K |
| 94618 |
|
169 |
150 |
$25K |
| 83690 |
|
33,859 |
27,732 |
$25K |
| 87529 |
|
1,098 |
925 |
$25K |
| 88304 |
|
3,046 |
2,629 |
$25K |
| 86922 |
|
816 |
501 |
$25K |
| 80177 |
|
3,373 |
2,664 |
$25K |
| 86708 |
|
4,516 |
3,857 |
$25K |
| 95970 |
|
469 |
402 |
$25K |
| 87640 |
|
3,889 |
3,258 |
$25K |
| 81382 |
|
200 |
169 |
$25K |
| G0475 |
Hiv combination assay |
3,766 |
3,525 |
$24K |
| 86825 |
|
198 |
158 |
$24K |
| 91321 |
|
472 |
441 |
$24K |
| 0100U |
|
1,069 |
913 |
$24K |
| 72050 |
|
1,391 |
1,221 |
$24K |
| 82785 |
|
4,167 |
3,081 |
$23K |
| 88143 |
|
1,257 |
1,011 |
$23K |
| 83001 |
|
2,250 |
1,918 |
$23K |
| 87081 |
|
7,281 |
6,413 |
$23K |
| 77012 |
|
414 |
290 |
$22K |
| 87070 |
|
8,571 |
6,709 |
$22K |
| 85652 |
|
24,785 |
19,953 |
$22K |
| J1650 |
Inj enoxaparin sodium |
10,186 |
3,955 |
$22K |
| 94660 |
|
97 |
54 |
$21K |
| C1751 |
Cath, inf, per/cent/midline |
2,877 |
2,217 |
$21K |
| 80320 |
|
3,374 |
2,579 |
$21K |
| 87075 |
|
3,384 |
2,642 |
$21K |
| 74019 |
|
1,971 |
1,759 |
$21K |
| J2545 |
Pentamidine non-comp unit |
60 |
50 |
$21K |
| 70480 |
|
111 |
109 |
$21K |
| 94621 |
|
148 |
141 |
$21K |
| 99406 |
|
762 |
656 |
$21K |
| 87184 |
|
11,197 |
9,111 |
$21K |
| A9609 |
F18 fdg, 15 millicuries |
103 |
86 |
$21K |
| 97014 |
|
489 |
226 |
$20K |
| 87210 |
|
4,779 |
4,204 |
$20K |
| 82043 |
|
11,251 |
9,501 |
$20K |
| 99153 |
Mod sedat endo service >5yrs |
3,426 |
2,717 |
$20K |
| 82950 |
|
3,850 |
3,475 |
$20K |
| 96417 |
|
4,610 |
2,427 |
$19K |
| J3315 |
Triptorelin pamoate |
50 |
44 |
$19K |
| 93225 |
|
461 |
391 |
$19K |
| G0009 |
Admin pneumococcal vaccine |
2,294 |
2,055 |
$19K |
| 86902 |
|
2,072 |
1,480 |
$19K |
| J0561 |
Penicillin g benzathine inj |
491 |
397 |
$19K |
| 20611 |
|
58 |
50 |
$19K |
| P9037 |
Plate pheres leukoredu irrad |
37 |
12 |
$18K |
| 93320 |
|
4,160 |
3,469 |
$18K |
| 73000 |
|
1,014 |
786 |
$18K |
| 51700 |
|
50 |
41 |
$18K |
| 96368 |
|
2,704 |
1,788 |
$18K |
| 80323 |
|
1,123 |
947 |
$18K |
| 88311 |
|
1,933 |
1,377 |
$18K |
| 83002 |
|
1,646 |
1,377 |
$17K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
26,257 |
21,748 |
$17K |
| 96121 |
|
30 |
28 |
$17K |
| 73120 |
|
1,194 |
842 |
$17K |
| 82103 |
|
1,354 |
1,163 |
$17K |
| J7040 |
Normal saline solution infus |
17,309 |
11,630 |
$17K |
| 87900 |
|
390 |
317 |
$17K |
| 89051 |
|
4,469 |
2,693 |
$17K |
| 95076 |
|
27 |
25 |
$17K |
| 84450 |
|
26,462 |
21,384 |
$16K |
| 36581 |
|
20 |
12 |
$16K |
| 74220 |
|
394 |
324 |
$16K |
| 59841 |
|
71 |
47 |
$16K |
| 82947 |
|
5,784 |
4,713 |
$16K |
| 88173 |
|
732 |
546 |
$16K |
| 70250 |
|
1,310 |
1,120 |
$16K |
| 11900 |
|
52 |
47 |
$16K |
| 73718 |
|
62 |
49 |
$16K |
| 64494 |
|
38 |
25 |
$16K |
| J3489 |
Zoledronic acid 1mg |
428 |
331 |
$16K |
| J1644 |
Inj heparin sodium per 1000u |
16,777 |
7,714 |
$16K |
| 83520 |
|
3,826 |
2,766 |
$16K |
| J1885 |
Ketorolac tromethamine inj |
39,811 |
28,985 |
$15K |
| J1050 |
Medroxyprogesterone acetate |
2,747 |
2,407 |
$15K |
| 10061 |
|
60 |
55 |
$15K |
| 99152 |
|
4,215 |
3,376 |
$15K |
| G0481 |
Drug test def 8-14 classes |
287 |
232 |
$15K |
| 84520 |
|
3,739 |
2,740 |
$14K |
| 82378 |
|
2,245 |
1,630 |
$14K |
| 99496 |
|
107 |
95 |
$14K |
| Q9957 |
Inj perflutren lip micros,ml |
895 |
771 |
$14K |
| 84480 |
|
3,588 |
2,956 |
$14K |
| 90460 |
|
3,345 |
3,020 |
$14K |
| C1889 |
Implant/insert device, noc |
3,392 |
2,924 |
$14K |
| C1725 |
Cath, translumin non-laser |
1,647 |
1,257 |
$14K |
| 97039 |
|
280 |
161 |
$14K |
| 80348 |
|
1,844 |
1,411 |
$13K |
| 86805 |
|
151 |
104 |
$13K |
| 0004A |
|
709 |
614 |
$13K |
| 87901 |
|
196 |
160 |
$13K |
| 84460 |
|
24,026 |
19,399 |
$13K |
| C1781 |
Mesh (implantable) |
53 |
39 |
$13K |
| 84270 |
|
1,988 |
1,683 |
$13K |
| 84165 |
|
3,847 |
2,886 |
$13K |
| 84207 |
|
1,641 |
1,483 |
$13K |
| 73222 |
|
13 |
13 |
$13K |
| Q0162 |
Ondansetron oral |
17,144 |
11,441 |
$13K |
| 86355 |
|
1,177 |
882 |
$13K |
| 0012A |
|
470 |
460 |
$13K |
| 81479 |
|
72 |
42 |
$12K |
| 92608 |
|
76 |
72 |
$12K |
| 85049 |
|
1,568 |
1,150 |
$12K |
| 93290 |
|
97 |
86 |
$12K |
| C1887 |
Catheter, guiding |
5,067 |
3,867 |
$12K |
| 95974 |
|
53 |
47 |
$12K |
| 87205 |
|
11,388 |
9,393 |
$12K |
| C9399 |
Unclassified drugs or biolog |
1,277 |
1,043 |
$12K |
| 91301 |
|
876 |
837 |
$12K |
| 95713 |
|
34 |
30 |
$12K |
| Q0138 |
Ferumoxytol, non-esrd |
83 |
54 |
$12K |
| 99202 |
|
109 |
96 |
$12K |
| 86481 |
|
745 |
599 |
$12K |
| 86709 |
|
1,446 |
1,124 |
$12K |
| 84630 |
|
1,314 |
1,173 |
$12K |
| 92136 |
|
655 |
537 |
$12K |
| 86256 |
|
848 |
713 |
$12K |
| 74241 |
|
73 |
62 |
$12K |
| 36416 |
|
9,076 |
7,611 |
$11K |
| C1726 |
Cath, bal dil, non-vascular |
1,168 |
891 |
$11K |
| 91308 |
|
747 |
723 |
$11K |
| 83921 |
|
1,384 |
1,135 |
$11K |
| J2785 |
Regadenoson injection |
2,694 |
2,315 |
$11K |
| 99495 |
|
223 |
198 |
$11K |
| 82525 |
|
1,628 |
1,404 |
$11K |
| 81243 |
|
286 |
248 |
$11K |
| 86304 |
|
544 |
430 |
$11K |
| 51600 |
|
40 |
40 |
$11K |
| 51798 |
|
3,373 |
2,910 |
$11K |
| 74170 |
|
49 |
43 |
$11K |
| Q0221 |
Tixagev and cilgav, 600mg |
284 |
237 |
$10K |
| 64721 |
|
16 |
12 |
$10K |
| J0881 |
Darbepoetin alfa, non-esrd |
49 |
38 |
$10K |
| 80050 |
|
740 |
636 |
$10K |
| 93242 |
|
366 |
338 |
$10K |
| 0011A |
|
438 |
428 |
$10K |
| 93226 |
|
394 |
330 |
$10K |
| 82040 |
|
5,236 |
4,037 |
$10K |
| 36000 |
|
1,174 |
884 |
$10K |
| 95912 |
|
77 |
69 |
$10K |
| 92250 |
|
1,241 |
1,060 |
$10K |
| 82550 |
|
7,909 |
6,201 |
$10K |
| 86592 |
|
3,554 |
2,989 |
$10K |
| 82390 |
|
1,148 |
999 |
$10K |
| 90750 |
|
61 |
59 |
$10K |
| 94642 |
|
420 |
313 |
$10K |
| 88344 |
|
400 |
296 |
$9K |
| 36589 |
|
63 |
54 |
$9K |
| J1750 |
Inj iron dextran |
96 |
45 |
$9K |
| 81206 |
|
82 |
60 |
$9K |
| 84305 |
|
635 |
562 |
$9K |
| 93750 |
|
262 |
197 |
$9K |
| 82677 |
|
524 |
486 |
$9K |
| J9263 |
Oxaliplatin |
339 |
67 |
$9K |
| 85046 |
|
8,600 |
5,648 |
$9K |
| 92310 |
|
109 |
97 |
$9K |
| 86352 |
|
684 |
596 |
$9K |
| J9045 |
Carboplatin injection |
1,630 |
731 |
$9K |
| 82627 |
|
903 |
790 |
$9K |
| 93886 |
|
46 |
40 |
$9K |
| 88108 |
|
1,564 |
1,070 |
$9K |
| 51741 |
|
726 |
610 |
$9K |
| 84550 |
|
6,265 |
4,681 |
$8K |
| J1200 |
Diphenhydramine hcl injectio |
8,709 |
6,586 |
$8K |
| 83993 |
|
680 |
631 |
$8K |
| 95977 |
|
45 |
41 |
$8K |
| 80354 |
|
2,422 |
1,766 |
$8K |
| 92025 |
|
128 |
112 |
$8K |
| 82951 |
|
409 |
389 |
$8K |
| J2543 |
Piperacillin/tazobactam |
4,497 |
2,066 |
$8K |
| G0108 |
Diab manage trn per indiv |
302 |
282 |
$8K |
| 80183 |
|
809 |
685 |
$8K |
| 95812 |
|
13 |
13 |
$8K |
| 29581 |
|
31 |
12 |
$8K |
| 20526 |
|
17 |
14 |
$8K |
| 20206 |
|
15 |
12 |
$8K |
| 11104 |
|
19 |
13 |
$8K |
| 87116 |
|
707 |
497 |
$8K |
| 76825 |
|
118 |
98 |
$8K |
| 59425 |
|
58 |
40 |
$8K |
| 93270 |
|
345 |
316 |
$7K |
| 20600 |
|
29 |
26 |
$7K |
| 74022 |
|
860 |
722 |
$7K |
| 84075 |
|
18,418 |
14,823 |
$7K |
| 99195 |
|
172 |
138 |
$7K |
| 86777 |
|
499 |
396 |
$7K |
| 96136 |
|
1,417 |
1,225 |
$7K |
| 0003A |
|
380 |
320 |
$7K |
| 90744 |
|
861 |
783 |
$7K |
| 72072 |
|
504 |
436 |
$7K |
| 90682 |
|
218 |
198 |
$7K |
| 90381 |
|
192 |
187 |
$7K |
| 85045 |
|
5,673 |
4,319 |
$7K |
| 82610 |
|
1,933 |
1,636 |
$7K |
| 91320 |
|
120 |
102 |
$7K |
| 86147 |
|
344 |
285 |
$7K |
| 51797 |
|
491 |
436 |
$7K |
| 84163 |
|
737 |
622 |
$7K |
| J1170 |
Hydromorphone injection |
21,583 |
11,159 |
$6K |
| 82150 |
|
3,028 |
2,431 |
$6K |
| 86336 |
|
1,681 |
1,465 |
$6K |
| 87102 |
|
2,075 |
1,607 |
$6K |
| 80203 |
|
476 |
413 |
$6K |
| 86376 |
|
574 |
514 |
$6K |
| 84134 |
|
1,680 |
1,278 |
$6K |
| 81002 |
|
5,866 |
5,302 |
$6K |
| J2930 |
Methylprednisolone injection |
5,385 |
3,374 |
$6K |
| J2270 |
Morphine sulfate injection |
10,185 |
6,975 |
$6K |
| 86317 |
|
268 |
231 |
$6K |
| 72081 |
|
494 |
441 |
$6K |
| 80377 |
|
269 |
220 |
$6K |
| 92060 |
|
2,332 |
2,199 |
$6K |
| 83498 |
|
710 |
632 |
$6K |
| 90694 |
|
233 |
214 |
$6K |
| 93246 |
|
410 |
380 |
$6K |
| 84132 |
|
7,740 |
6,110 |
$6K |
| 82962 |
|
6,782 |
5,394 |
$6K |
| J7297 |
Liletta, 52 mg |
12 |
12 |
$5K |
| 90658 |
|
521 |
484 |
$5K |
| J7325 |
Synvisc or synvisc-one |
14 |
14 |
$5K |
| 82553 |
|
773 |
592 |
$5K |
| 96131 |
|
139 |
122 |
$5K |
| 27096 |
|
12 |
12 |
$5K |
| J1100 |
Dexamethasone sodium phos |
28,667 |
21,638 |
$5K |
| G0499 |
Hepb screen high risk indiv |
1,033 |
955 |
$5K |
| 80362 |
|
2,092 |
1,544 |
$5K |
| 87088 |
|
5,558 |
4,398 |
$5K |
| 86431 |
|
3,387 |
2,786 |
$5K |
| 76514 |
|
275 |
241 |
$5K |
| 97168 |
|
67 |
57 |
$5K |
| J2791 |
Rhophylac injection |
43 |
37 |
$5K |
| 95908 |
|
47 |
44 |
$5K |
| 87493 |
|
455 |
402 |
$5K |
| 86200 |
|
2,368 |
1,922 |
$5K |
| 82570 |
|
2,467 |
2,034 |
$5K |
| 82075 |
|
1,123 |
738 |
$5K |
| 83521 |
|
1,468 |
1,148 |
$5K |
| 80069 |
|
1,316 |
1,113 |
$5K |
| 86039 |
|
1,666 |
1,327 |
$5K |
| 86335 |
|
270 |
215 |
$5K |
| 99205 |
Prolong outpt/office vis |
135 |
115 |
$5K |
| 93261 |
|
32 |
27 |
$5K |
| 90685 |
|
337 |
323 |
$5K |
| 82330 |
|
2,668 |
2,050 |
$5K |
| 75565 |
|
369 |
331 |
$5K |
| 0082A |
|
88 |
86 |
$5K |
| G0500 |
Mod sedat endo service >5yrs |
2,045 |
1,508 |
$5K |
| 87880 |
|
4,154 |
3,825 |
$5K |
| 87015 |
|
2,642 |
1,991 |
$4K |
| 81378 |
|
37 |
31 |
$4K |
| 86225 |
|
2,285 |
1,816 |
$4K |
| 76776 |
|
32 |
24 |
$4K |
| 95012 |
|
620 |
549 |
$4K |
| 73722 |
|
23 |
17 |
$4K |
| 88300 |
|
1,746 |
1,419 |
$4K |
| 72120 |
|
456 |
400 |
$4K |
| 82985 |
|
1,105 |
894 |
$4K |
| 88172 |
|
372 |
288 |
$4K |
| 87186 |
|
3,426 |
2,764 |
$4K |
| A9502 |
Tc99m tetrofosmin |
3,881 |
3,008 |
$4K |
| 72114 |
|
284 |
252 |
$4K |
| J2370 |
Phenylephrine hcl injection |
391 |
300 |
$4K |
| 86364 |
|
1,130 |
1,039 |
$4K |
| 90461 |
|
1,923 |
1,784 |
$4K |
| 73523 |
|
457 |
336 |
$4K |
| J0696 |
Ceftriaxone sodium injection |
11,645 |
8,847 |
$4K |
| C1729 |
Cath, drainage |
2,626 |
1,678 |
$4K |
| 85384 |
|
1,553 |
1,108 |
$4K |
| 74420 |
|
14 |
13 |
$4K |
| 78306 |
|
15 |
12 |
$4K |
| 74450 |
|
15 |
13 |
$4K |
| 93356 |
|
781 |
696 |
$4K |
| J3470 |
Hyaluronidase injection |
73 |
67 |
$4K |
| 77077 |
|
206 |
168 |
$4K |
| 90713 |
|
223 |
201 |
$4K |
| 86593 |
|
1,577 |
1,357 |
$4K |
| 86800 |
|
451 |
373 |
$4K |
| 82140 |
|
1,449 |
1,183 |
$4K |
| 82397 |
|
947 |
821 |
$4K |
| 83010 |
|
1,010 |
745 |
$3K |
| 86880 |
|
1,304 |
954 |
$3K |
| 86695 |
|
303 |
237 |
$3K |
| 74246 |
|
16 |
16 |
$3K |
| J0702 |
Betamethasone acet&sod phosp |
2,278 |
1,834 |
$3K |
| 80175 |
|
487 |
411 |
$3K |
| 87535 |
|
92 |
82 |
$3K |
| 87147 |
|
3,070 |
2,650 |
$3K |
| Q0240 |
Casirivi and imdevi 600 mg |
32 |
19 |
$3K |
| J0574 |
Bupren/nal 6.1 to 10mg bupre |
677 |
429 |
$3K |
| 74181 |
|
15 |
12 |
$3K |
| Q0163 |
Diphenhydramine hcl 50mg |
8,246 |
5,433 |
$3K |
| 90846 |
|
15 |
12 |
$3K |
| 11056 |
|
14 |
13 |
$3K |
| J9217 |
Leuprolide acetate suspnsion |
14 |
12 |
$3K |
| 64447 |
|
14 |
12 |
$3K |
| 95115 |
|
82 |
51 |
$3K |
| 86696 |
|
303 |
237 |
$3K |
| J1953 |
Levetiracetam injection |
1,589 |
1,107 |
$3K |
| J3370 |
Vancomycin hcl injection |
4,910 |
2,689 |
$3K |
| 83883 |
|
459 |
311 |
$3K |
| 62270 |
|
15 |
12 |
$3K |
| J0780 |
Prochlorperazine injection |
7,998 |
6,137 |
$3K |
| 87634 |
|
94 |
84 |
$3K |
| 51705 |
|
14 |
12 |
$3K |
| 82465 |
|
819 |
700 |
$3K |
| 59426 |
|
23 |
12 |
$3K |
| 83951 |
|
125 |
93 |
$3K |
| 64415 |
|
22 |
15 |
$3K |
| 84436 |
|
961 |
793 |
$3K |
| 0081A |
|
65 |
64 |
$3K |
| 90655 |
|
279 |
253 |
$2K |
| 84244 |
|
245 |
213 |
$2K |
| 82088 |
|
147 |
127 |
$2K |
| 87636 |
|
170 |
159 |
$2K |
| 83090 |
|
128 |
104 |
$2K |
| J7512 |
Prednisone ir or dr oral 1mg |
8,977 |
5,137 |
$2K |
| G0103 |
Psa screening |
345 |
314 |
$2K |
| 97129 |
|
94 |
55 |
$2K |
| J2060 |
Lorazepam injection |
3,910 |
2,877 |
$2K |
| J3480 |
Inj potassium chloride |
5,068 |
2,867 |
$2K |
| 90611 |
|
79 |
70 |
$2K |
| A9577 |
Inj multihance |
8,514 |
7,653 |
$2K |
| 11055 |
|
13 |
12 |
$2K |
| 51701 |
|
212 |
188 |
$2K |
| 85007 |
|
658 |
417 |
$2K |
| 0031A |
|
77 |
69 |
$2K |
| H0005 |
Alcohol and/or drug services |
318 |
212 |
$2K |
| 80201 |
|
204 |
164 |
$2K |
| 70360 |
|
132 |
123 |
$2K |
| J9370 |
Vincristine sulfate 1 mg inj |
2,697 |
1,473 |
$2K |
| 86886 |
|
82 |
64 |
$2K |
| J1940 |
Furosemide injection |
4,157 |
2,356 |
$2K |
| 96422 |
|
23 |
12 |
$2K |
| 90630 |
|
163 |
137 |
$2K |
| 85246 |
|
186 |
151 |
$2K |
| 36600 |
|
51 |
38 |
$2K |
| 82310 |
|
1,134 |
806 |
$2K |
| 93299 |
|
47 |
40 |
$2K |
| 72128 |
|
43 |
41 |
$2K |
| 89050 |
|
694 |
457 |
$2K |
| 82024 |
|
70 |
64 |
$2K |
| 88720 |
|
303 |
202 |
$2K |
| 90935 |
|
31 |
18 |
$2K |
| 51702 |
|
54 |
45 |
$2K |
| 83051 |
|
206 |
125 |
$2K |
| 73503 |
|
212 |
159 |
$2K |
| 11721 |
|
424 |
385 |
$2K |
| 85613 |
|
319 |
277 |
$2K |
| 80346 |
|
200 |
162 |
$2K |
| 73565 |
|
221 |
167 |
$2K |
| 86618 |
|
170 |
139 |
$2K |
| 88177 |
|
126 |
100 |
$2K |
| 87449 |
|
109 |
85 |
$1K |
| 90620 |
|
59 |
57 |
$1K |
| G0279 |
Tomosynthesis, mammo |
75 |
73 |
$1K |
| 87338 |
|
230 |
214 |
$1K |
| 84481 |
|
351 |
303 |
$1K |
| 87899 |
|
823 |
669 |
$1K |
| G0460 |
Autolog prp not diab ulcer |
40 |
31 |
$1K |
| 0083A |
|
23 |
23 |
$1K |
| 86301 |
|
216 |
169 |
$1K |
| 82375 |
|
1,523 |
1,237 |
$1K |
| 91313 |
|
196 |
166 |
$1K |
| 86705 |
|
310 |
264 |
$1K |
| 93923 |
|
14 |
12 |
$1K |
| J7613 |
Albuterol non-comp unit |
6,891 |
4,312 |
$1K |
| J1030 |
Methylprednisolone 40 mg inj |
6,041 |
5,094 |
$1K |
| 80299 |
|
272 |
245 |
$1K |
| 97130 |
|
51 |
34 |
$1K |
| J2765 |
Metoclopramide hcl injection |
1,673 |
1,284 |
$1K |
| 86308 |
|
631 |
580 |
$1K |
| 90632 |
|
42 |
40 |
$1K |
| 84155 |
|
1,169 |
880 |
$1K |
| 82274 |
|
202 |
166 |
$1K |
| 76857 |
|
18 |
12 |
$1K |
| 85240 |
|
189 |
146 |
$1K |
| J1815 |
Insulin injection |
4,587 |
1,639 |
$1K |
| 88230 |
|
29 |
24 |
$1K |
| 73522 |
|
127 |
98 |
$1K |
| C1788 |
Port, indwelling, imp |
588 |
492 |
$1K |
| 91303 |
|
74 |
67 |
$1K |
| 87140 |
|
199 |
177 |
$972.46 |
| 72192 |
|
14 |
13 |
$961.87 |
| 99381 |
|
18 |
14 |
$954.80 |
| 95983 |
|
12 |
12 |
$947.50 |
| J7644 |
Ipratropium bromide non-comp |
3,074 |
1,791 |
$945.11 |
| 87101 |
|
257 |
201 |
$942.55 |
| 84445 |
|
61 |
59 |
$909.57 |
| Q3014 |
Telehealth facility fee |
634 |
530 |
$896.78 |
| 84295 |
|
2,268 |
1,806 |
$878.13 |
| 82164 |
|
95 |
67 |
$867.97 |
| C2617 |
Stent, non-cor, tem w/o del |
190 |
153 |
$861.00 |
| 81267 |
|
17 |
12 |
$841.98 |
| J1720 |
Hydrocortisone sodium succ i |
483 |
300 |
$841.06 |
| 80349 |
|
179 |
141 |
$832.76 |
| 82955 |
|
193 |
157 |
$815.63 |
| A4663 |
Dialysis blood pressure cuff |
2,032 |
485 |
$791.29 |
| 92285 |
|
67 |
61 |
$779.28 |
| J0280 |
Aminophyllin 250 mg inj |
782 |
665 |
$765.66 |
| 76376 |
|
216 |
195 |
$751.07 |
| J7999 |
Compounded drug, noc |
2,461 |
905 |
$731.61 |
| J9196 |
Inj gemcitabine hcl (accord) |
20 |
12 |
$729.72 |
| J0461 |
Atropine sulfate injection |
344 |
202 |
$725.24 |
| J0330 |
Succinycholine chloride inj |
4,210 |
3,092 |
$716.84 |
| 80230 |
|
301 |
272 |
$710.97 |
| 83718 |
|
267 |
232 |
$689.79 |
| J0610 |
Calcium glucon (fresenius) |
886 |
372 |
$688.91 |
| 90678 |
|
20 |
20 |
$683.10 |
| 23350 |
|
49 |
42 |
$679.89 |
| 88112 |
|
98 |
83 |
$675.18 |
| 90739 |
|
19 |
18 |
$673.34 |
| 0013A |
|
31 |
25 |
$667.93 |
| J1630 |
Haloperidol injection |
1,809 |
1,379 |
$661.84 |
| 84166 |
|
107 |
93 |
$661.11 |
| 82435 |
|
1,974 |
1,584 |
$657.78 |
| 88299 |
|
24 |
13 |
$653.05 |
| 87506 |
|
12 |
12 |
$651.97 |
| 84300 |
|
477 |
383 |
$642.07 |
| 85347 |
|
285 |
226 |
$632.08 |
| 80195 |
|
18 |
12 |
$562.48 |
| J3301 |
Triamcinolone acet inj nos |
3,272 |
2,756 |
$543.31 |
| 80158 |
|
82 |
25 |
$541.93 |
| 84157 |
|
610 |
458 |
$505.72 |
| 96118 |
|
46 |
37 |
$504.21 |
| 93289 |
|
12 |
12 |
$502.74 |
| 84681 |
|
112 |
94 |
$495.95 |
| 84478 |
|
384 |
309 |
$493.87 |
| J7060 |
5% dextrose/water |
2,446 |
922 |
$489.23 |
| 80339 |
|
32 |
26 |
$482.87 |
| G0010 |
Admin hepatitis b vaccine |
87 |
77 |
$480.63 |
| G0101 |
Ca screen;pelvic/breast exam |
147 |
119 |
$477.65 |
| 86146 |
|
122 |
106 |
$474.60 |
| 70030 |
|
28 |
24 |
$473.74 |
| 84590 |
|
106 |
92 |
$467.64 |
| 93280 |
|
17 |
15 |
$466.18 |
| A9541 |
Tc99m sulfur colloid |
641 |
513 |
$464.22 |
| 84446 |
|
120 |
102 |
$449.84 |
| 83930 |
|
416 |
319 |
$445.13 |
| 85732 |
|
315 |
278 |
$440.16 |
| A9579 |
Gad-base mr contrast nos,1ml |
1,029 |
944 |
$439.70 |
| J0572 |
Bupren/nal up to 3mg bupreno |
46 |
37 |
$435.94 |
| C1760 |
Closure dev, vasc |
1,322 |
1,003 |
$433.01 |
| J0171 |
Adrenalin epinephrine inject |
1,729 |
1,450 |
$424.13 |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
53 |
42 |
$422.81 |
| 82945 |
|
385 |
285 |
$400.40 |
| 90680 |
|
139 |
118 |
$397.60 |
| 87110 |
|
222 |
189 |
$387.19 |
| C1750 |
Cath, hemodialysis,long-term |
95 |
70 |
$377.25 |
| 94761 |
|
2,631 |
1,953 |
$367.74 |
| J9000 |
Doxorubicin hcl injection |
108 |
41 |
$362.84 |
| H0004 |
Alcohol and/or drug services |
36 |
31 |
$338.50 |
| 73660 |
|
45 |
40 |
$336.00 |
| J1250 |
Inj dobutamine hcl/250 mg |
158 |
124 |
$332.93 |
| 94664 |
|
341 |
290 |
$326.13 |
| 87206 |
|
385 |
255 |
$326.03 |
| 83050 |
|
1,300 |
1,057 |
$323.46 |
| J0360 |
Hydralazine hcl injection |
1,424 |
1,036 |
$312.77 |
| 86769 |
|
108 |
87 |
$309.17 |
| 83721 |
|
176 |
147 |
$303.52 |
| 72020 |
|
57 |
49 |
$299.65 |
| 80235 |
|
109 |
99 |
$299.41 |
| 82239 |
|
28 |
24 |
$295.37 |
| 73650 |
|
14 |
12 |
$288.61 |
| 80358 |
|
153 |
117 |
$284.96 |
| J7042 |
5% dextrose/normal saline |
2,689 |
2,009 |
$281.43 |
| 73501 |
|
67 |
55 |
$277.81 |
| 86341 |
|
29 |
28 |
$271.77 |
| 87255 |
|
18 |
13 |
$266.25 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
1,559 |
1,448 |
$265.24 |
| J1580 |
Garamycin gentamicin inj |
119 |
76 |
$263.34 |
| 88346 |
|
16 |
12 |
$262.26 |
| C9113 |
Inj pantoprazole sodium, via |
1,915 |
994 |
$259.60 |
| 83695 |
|
61 |
59 |
$245.64 |
| 84479 |
|
58 |
49 |
$239.15 |
| 86765 |
|
17 |
15 |
$232.61 |
| 86735 |
|
17 |
15 |
$211.14 |
| 85014 |
|
181 |
113 |
$208.29 |
| 86920 |
|
163 |
96 |
$208.03 |
| J1836 |
Inj, metronidazole, 10 mg |
717 |
450 |
$186.50 |
| 87045 |
|
62 |
55 |
$185.34 |
| G0451 |
Devlopment test interpt&rep |
12 |
12 |
$183.37 |
| M0220 |
Tixagev and cilgav inj |
52 |
38 |
$179.47 |
| 69209 |
|
173 |
152 |
$177.58 |
| 72080 |
|
14 |
13 |
$173.94 |
| J0612 |
Inj, calcium gluconate, nos |
348 |
234 |
$165.73 |
| 86008 |
|
78 |
70 |
$165.70 |
| 0134A |
|
20 |
16 |
$164.70 |
| A4215 |
Sterile needle |
356 |
256 |
$162.64 |
| 86645 |
|
14 |
12 |
$160.19 |
| 82107 |
|
70 |
57 |
$159.65 |
| 84255 |
|
29 |
26 |
$154.61 |
| 83835 |
|
31 |
26 |
$154.32 |
| 84145 |
|
214 |
188 |
$153.52 |
| 86580 |
|
15 |
13 |
$140.33 |
| 71100 |
|
32 |
28 |
$137.17 |
| G8985 |
Carry goal status |
234 |
124 |
$131.22 |
| 87046 |
|
63 |
55 |
$127.91 |
| J0692 |
Cefepime hcl for injection |
261 |
122 |
$125.86 |
| 89060 |
|
82 |
67 |
$123.14 |
| 80373 |
|
14 |
13 |
$121.42 |
| 88333 |
|
95 |
64 |
$119.82 |
| V2632 |
Post chmbr intraocular lens |
930 |
782 |
$116.19 |
| J1920 |
Inj, labetalol hcl, 5mg |
422 |
310 |
$113.26 |
| 86258 |
|
69 |
62 |
$105.66 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
2,788 |
1,994 |
$101.88 |
| 85660 |
|
1,259 |
884 |
$99.91 |
| 82340 |
|
28 |
26 |
$98.91 |
| 88334 |
|
103 |
64 |
$96.41 |
| 80165 |
|
13 |
12 |
$95.85 |
| 86361 |
|
47 |
29 |
$95.83 |
| 87350 |
|
27 |
26 |
$94.34 |
| 80156 |
|
23 |
16 |
$94.33 |
| J0134 |
Inj acetaminophen -fresenius |
1,793 |
907 |
$90.48 |
| J3420 |
Vitamin b12 injection |
663 |
505 |
$89.38 |
| 87324 |
|
54 |
44 |
$88.20 |
| C1819 |
Tissue localization-excision |
2,693 |
2,448 |
$87.49 |
| C1755 |
Catheter, intraspinal |
209 |
148 |
$84.41 |
| J9260 |
Inj methotrexate sodium 50mg |
356 |
217 |
$81.34 |
| 83519 |
|
18 |
15 |
$80.57 |
| 86707 |
|
15 |
12 |
$77.98 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
3,978 |
2,863 |
$74.76 |
| 88331 |
|
14 |
12 |
$74.02 |
| 87181 |
|
14 |
13 |
$67.72 |
| 86037 |
|
49 |
45 |
$67.36 |
| 87176 |
|
517 |
226 |
$64.09 |
| 87106 |
|
37 |
27 |
$61.94 |
| Q0111 |
Wet mounts/ w preparations |
15 |
12 |
$60.45 |
| J9250 |
Methotrexate sodium inj |
71 |
37 |
$56.38 |
| 91311 |
|
13 |
13 |
$54.51 |
| 91317 |
|
17 |
16 |
$54.50 |
| J1020 |
Methylprednisolone 20 mg inj |
630 |
503 |
$53.06 |
| G8979 |
Mobility goal status |
961 |
656 |
$49.13 |
| 88240 |
|
19 |
13 |
$47.18 |
| 86677 |
|
14 |
13 |
$44.42 |
| 90380 |
|
14 |
12 |
$44.15 |
| J9267 |
Paclitaxel injection |
358 |
155 |
$43.82 |
| 46600 |
|
14 |
13 |
$43.70 |
| 85306 |
|
18 |
14 |
$42.36 |
| S0077 |
Injection, clindamycin phosp |
136 |
78 |
$40.18 |
| A4649 |
Surgical supplies |
122 |
77 |
$38.88 |
| A9585 |
Gadobutrol injection |
1,610 |
1,486 |
$35.34 |
| 82374 |
|
35 |
35 |
$34.58 |
| J0153 |
Adenosine inj 1mg |
13 |
13 |
$34.48 |
| 82077 |
|
30 |
29 |
$28.90 |
| S5010 |
5% dextrose and 0.45% saline |
764 |
486 |
$27.31 |
| J2920 |
Methylprednisolone injection |
483 |
315 |
$26.65 |
| 85303 |
|
13 |
12 |
$25.77 |
| 81000 |
|
168 |
129 |
$25.67 |
| J1040 |
Methylprednisolone 80 mg inj |
1,097 |
943 |
$22.29 |
| J2272 |
Inj, morphine (fresenius) |
1,711 |
1,357 |
$19.32 |
| 86403 |
|
13 |
13 |
$16.66 |
| 99070 |
|
1,575 |
766 |
$16.20 |
| 94760 |
|
599 |
510 |
$15.92 |
| 84560 |
|
19 |
17 |
$14.78 |
| G8978 |
Mobility current status |
886 |
606 |
$13.95 |
| 80047 |
|
31 |
27 |
$10.38 |
| J2710 |
Neostigmine methylslfte inj |
66 |
45 |
$9.87 |
| J0744 |
Ciprofloxacin iv |
73 |
48 |
$8.64 |
| 82010 |
|
13 |
12 |
$8.49 |
| J7620 |
Albuterol ipratrop non-comp |
65 |
42 |
$8.02 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
526 |
329 |
$7.59 |
| J2919 |
Inj, methylpred sod succ 5mg |
745 |
569 |
$7.41 |
| A4550 |
Surgical trays |
77 |
66 |
$4.62 |
| L8613 |
Ossicular implant |
437 |
390 |
$0.33 |
| J2310 |
Inj naloxone hydrochloride |
416 |
331 |
$0.32 |
| A9503 |
Tc99m medronate |
129 |
115 |
$0.00 |
| C1733 |
Cath, ep, othr than cool-tip |
15 |
13 |
$0.00 |
| G8987 |
Self care current status |
35 |
24 |
$0.00 |
| 99220 |
|
23 |
22 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
206 |
148 |
$0.00 |
| D7140 |
|
67 |
55 |
$0.00 |
| A4648 |
Implantable tissue marker |
306 |
267 |
$0.00 |
| J1805 |
Inj, esmolol hcl, 10mg |
148 |
85 |
$0.00 |
| G8988 |
Self care goal status |
59 |
37 |
$0.00 |
| G8980 |
Mobility d/c status |
49 |
39 |
$0.00 |
| A6197 |
Alginate drsg >16 <=48 sq in |
63 |
51 |
$0.00 |
| D1206 |
|
18 |
18 |
$0.00 |
| C1892 |
Intro/sheath,fixed,peel-away |
44 |
29 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
909 |
837 |
$0.00 |
| C1766 |
Intro/sheath,strble,non-peel |
16 |
14 |
$0.00 |
| D1351 |
|
16 |
15 |
$0.00 |
| 71101 |
|
13 |
12 |
$0.00 |
| A4300 |
Cath impl vasc access portal |
28 |
21 |
$0.00 |
| J0611 |
Calcium glucon (wg critical) |
16 |
13 |
$0.00 |
| C9290 |
Inj, bupivacaine liposome |
37 |
25 |
$0.00 |
| 99156 |
|
31 |
30 |
$0.00 |
| J0613 |
Calcium glucon (wg critical) |
29 |
25 |
$0.00 |
| J7507 |
Tacrolimus imme rel oral 1mg |
32 |
12 |
$0.00 |
| C1730 |
Cath, ep, 19 or few elect |
15 |
12 |
$0.00 |
| D2930 |
|
92 |
78 |
$0.00 |
| J0737 |
Inj, clindamycin (baxter) |
254 |
151 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
1,026 |
528 |
$0.00 |
| J1598 |
Inj glycopyrrolate fres kabi |
106 |
76 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
84 |
67 |
$0.00 |
| C1776 |
Joint device (implantable) |
401 |
273 |
$0.00 |
| 99157 |
|
15 |
15 |
$0.00 |
| C1874 |
Stent, coated/cov w/del sys |
63 |
49 |
$0.00 |
| Q9950 |
Inj sulf hexa lipid microsph |
498 |
412 |
$0.00 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
367 |
122 |
$0.00 |
| J7070 |
D5w infusion |
390 |
230 |
$0.00 |
| J0670 |
Inj mepivacaine hcl/10 ml |
62 |
48 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
65 |
52 |
$0.00 |
| J0136 |
Inj, acetaminophen (b braun) |
41 |
25 |
$0.00 |
| Q9958 |
Hocm <=149 mg/ml iodine, 1ml |
105 |
89 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
310 |
300 |
$0.00 |
| J0640 |
Leucovorin calcium injection |
156 |
39 |
$0.00 |
| D1120 |
|
29 |
27 |
$0.00 |
| C1758 |
Catheter, ureteral |
50 |
39 |
$0.00 |
| G8984 |
Carry current status |
152 |
88 |
$0.00 |
| D7210 |
|
14 |
12 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
90 |
61 |
$0.00 |
| J9190 |
Fluorouracil injection |
40 |
15 |
$0.00 |
| Q9956 |
Inj octafluoropropane mic,ml |
15 |
14 |
$0.00 |
| C1757 |
Cath, thrombectomy/embolect |
16 |
12 |
$0.00 |
| J2720 |
Inj protamine sulfate/10 mg |
18 |
14 |
$0.00 |