| Code | Description | Claims | Beneficiaries | Total Paid |
| 99211 |
|
256,406 |
189,437 |
$73.54M |
| 87635 |
|
119,847 |
101,255 |
$64.64M |
| 80053 |
|
67,812 |
58,606 |
$20.09M |
| G0463 |
Hospital outpt clinic visit |
55,096 |
44,024 |
$19.00M |
| 99283 |
|
86,296 |
76,801 |
$17.97M |
| 96374 |
|
20,642 |
18,482 |
$9.56M |
| 99282 |
|
18,009 |
16,933 |
$8.01M |
| 87081 |
|
13,710 |
13,372 |
$7.85M |
| 87389 |
|
36,078 |
35,248 |
$7.44M |
| 87491 |
|
54,510 |
51,597 |
$7.36M |
| 87086 |
|
27,175 |
25,145 |
$6.98M |
| 82306 |
|
22,813 |
22,512 |
$6.54M |
| 0241U |
|
17,652 |
16,795 |
$6.22M |
| 83540 |
|
11,455 |
11,233 |
$5.97M |
| 96372 |
|
12,673 |
11,746 |
$5.65M |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
10,556 |
9,297 |
$5.49M |
| 80048 |
|
10,860 |
10,217 |
$4.58M |
| 99284 |
|
53,861 |
46,907 |
$4.37M |
| 84443 |
|
37,712 |
36,750 |
$3.98M |
| 86900 |
|
7,946 |
7,496 |
$3.92M |
| 36415 |
|
35,138 |
31,467 |
$3.12M |
| 80074 |
|
8,114 |
7,949 |
$3.10M |
| 87624 |
|
6,054 |
5,991 |
$3.04M |
| 71046 |
|
20,417 |
18,895 |
$2.77M |
| 87077 |
|
5,012 |
4,821 |
$2.59M |
| 87631 |
|
4,716 |
4,635 |
$2.43M |
| 87651 |
|
4,427 |
4,282 |
$2.40M |
| 96365 |
|
10,145 |
9,006 |
$2.39M |
| 87070 |
|
6,632 |
6,410 |
$2.37M |
| 87502 |
|
6,997 |
6,807 |
$2.32M |
| 87637 |
|
3,471 |
3,388 |
$2.25M |
| 81001 |
|
37,080 |
33,481 |
$2.07M |
| 84439 |
|
9,013 |
8,717 |
$2.05M |
| 99281 |
|
3,673 |
3,398 |
$1.79M |
| 99285 |
|
29,864 |
25,510 |
$1.78M |
| 87522 |
Neg quan hep c or qual rna |
3,819 |
3,726 |
$1.78M |
| 87210 |
|
9,444 |
9,002 |
$1.72M |
| 82043 |
|
4,181 |
4,134 |
$1.63M |
| 88305 |
|
3,946 |
3,785 |
$1.62M |
| 84702 |
|
5,868 |
4,425 |
$1.62M |
| 97110 |
|
5,538 |
3,188 |
$1.52M |
| 93306 |
|
3,879 |
3,834 |
$1.44M |
| 73610 |
|
3,900 |
3,545 |
$1.28M |
| 80076 |
|
3,538 |
3,471 |
$1.26M |
| 59025 |
|
7,976 |
5,013 |
$1.25M |
| 73130 |
|
3,452 |
3,035 |
$1.19M |
| 92557 |
|
3,060 |
2,995 |
$1.18M |
| 80306 |
|
14,539 |
12,546 |
$1.18M |
| 81025 |
|
19,843 |
18,091 |
$1.13M |
| 76818 |
|
1,810 |
1,255 |
$1.11M |
| 73630 |
|
3,789 |
3,357 |
$1.10M |
| 70450 |
|
7,129 |
6,698 |
$1.08M |
| 73140 |
|
2,274 |
2,122 |
$1.05M |
| 85025 |
|
73,226 |
62,735 |
$1.04M |
| 82570 |
|
8,810 |
8,124 |
$1.03M |
| 85610 |
|
12,635 |
11,143 |
$1.02M |
| 76811 |
|
1,588 |
1,579 |
$991K |
| 73030 |
|
2,919 |
2,695 |
$987K |
| 73110 |
|
2,827 |
2,485 |
$947K |
| 82274 |
|
2,240 |
2,199 |
$945K |
| 82785 |
|
1,432 |
1,402 |
$927K |
| 81003 |
|
13,416 |
12,737 |
$868K |
| 86780 |
|
34,850 |
33,778 |
$841K |
| 97161 |
|
2,563 |
2,247 |
$830K |
| 82105 |
|
4,551 |
4,464 |
$816K |
| 73562 |
|
2,622 |
2,432 |
$796K |
| J3490 |
Drugs unclassified injection |
5,851 |
4,849 |
$775K |
| 80069 |
|
1,701 |
1,646 |
$709K |
| 86038 |
|
1,779 |
1,754 |
$699K |
| A4565 |
Slings |
1,299 |
1,266 |
$697K |
| 97530 |
|
2,848 |
1,941 |
$663K |
| 82607 |
|
6,292 |
6,193 |
$652K |
| 94640 |
|
6,074 |
4,928 |
$621K |
| 73564 |
|
1,407 |
1,306 |
$607K |
| 20610 |
|
1,197 |
1,141 |
$606K |
| 96413 |
|
1,737 |
1,243 |
$603K |
| 82962 |
|
2,058 |
1,839 |
$603K |
| 80061 |
|
9,110 |
8,972 |
$595K |
| 83880 |
|
10,706 |
9,396 |
$583K |
| 82728 |
|
12,239 |
12,013 |
$581K |
| 73590 |
|
1,739 |
1,554 |
$575K |
| 87481 |
|
1,419 |
1,371 |
$534K |
| 72100 |
|
1,491 |
1,460 |
$519K |
| 84153 |
|
2,005 |
1,960 |
$511K |
| 87880 |
|
3,115 |
3,066 |
$482K |
| 92567 |
|
5,968 |
5,816 |
$465K |
| 96366 |
|
2,865 |
2,550 |
$452K |
| 76705 |
|
2,404 |
2,329 |
$451K |
| 73502 |
|
1,198 |
1,143 |
$451K |
| 73090 |
|
1,205 |
1,045 |
$422K |
| 76816 |
|
762 |
706 |
$421K |
| 12001 |
|
1,028 |
1,011 |
$417K |
| 86141 |
|
7,494 |
7,175 |
$406K |
| 73080 |
|
1,094 |
998 |
$395K |
| 80307 |
|
1,528 |
1,383 |
$383K |
| 88142 |
|
7,591 |
7,513 |
$377K |
| 92014 |
|
805 |
775 |
$364K |
| 71250 |
|
693 |
691 |
$363K |
| 81002 |
|
751 |
731 |
$360K |
| J7060 |
5% dextrose/water |
3,404 |
3,018 |
$360K |
| 93296 |
|
610 |
585 |
$353K |
| 92004 |
|
711 |
708 |
$330K |
| 82239 |
|
710 |
623 |
$322K |
| 76642 |
|
674 |
641 |
$319K |
| 83036 |
|
9,112 |
8,986 |
$308K |
| 76775 |
|
689 |
681 |
$307K |
| 70486 |
|
1,996 |
1,940 |
$304K |
| 92015 |
|
1,523 |
1,475 |
$298K |
| 74018 |
|
838 |
744 |
$280K |
| 84703 |
|
6,968 |
6,518 |
$275K |
| 17110 |
|
557 |
521 |
$268K |
| 92555 |
|
896 |
860 |
$265K |
| U0002 |
Covid-19 lab test non-cdc |
2,377 |
2,172 |
$261K |
| 83655 |
|
416 |
404 |
$261K |
| 69210 |
|
682 |
579 |
$261K |
| 93225 |
|
605 |
597 |
$255K |
| 84156 |
|
5,190 |
4,285 |
$252K |
| S0164 |
Injection pantroprazole |
562 |
530 |
$252K |
| 91200 |
|
472 |
466 |
$239K |
| 31575 |
|
486 |
478 |
$227K |
| 83001 |
|
1,212 |
1,191 |
$224K |
| 87486 |
|
544 |
534 |
$220K |
| 20552 |
|
426 |
414 |
$220K |
| 92002 |
|
558 |
551 |
$220K |
| 93005 |
|
28,213 |
24,562 |
$217K |
| 86480 |
|
1,188 |
1,175 |
$211K |
| 73721 |
|
828 |
649 |
$203K |
| 86803 |
|
14,727 |
14,527 |
$198K |
| 84146 |
|
1,275 |
1,208 |
$194K |
| 92552 |
|
456 |
441 |
$191K |
| 71101 |
|
426 |
410 |
$184K |
| 92504 |
|
2,391 |
2,135 |
$179K |
| 77063 |
|
257 |
256 |
$172K |
| 96367 |
|
2,024 |
1,686 |
$169K |
| 96360 |
|
6,755 |
6,382 |
$168K |
| 97162 |
|
682 |
643 |
$165K |
| 84030 |
|
301 |
295 |
$159K |
| 87661 |
|
48,594 |
46,263 |
$159K |
| 73560 |
|
448 |
375 |
$155K |
| 71045 |
|
3,724 |
3,529 |
$154K |
| V5011 |
Hearing aid fitting/checking |
530 |
403 |
$152K |
| 82784 |
|
972 |
940 |
$151K |
| 82247 |
|
323 |
275 |
$149K |
| 88175 |
|
1,125 |
1,078 |
$138K |
| 20611 |
|
302 |
271 |
$131K |
| 10060 |
|
788 |
769 |
$130K |
| 70553 |
|
420 |
390 |
$130K |
| 31231 |
|
303 |
290 |
$130K |
| 76815 |
|
327 |
264 |
$129K |
| 85027 |
|
4,965 |
4,812 |
$129K |
| J7030 |
Normal saline solution infus |
2,400 |
1,713 |
$127K |
| 86704 |
|
3,222 |
3,175 |
$126K |
| 73000 |
|
295 |
276 |
$121K |
| 70551 |
|
548 |
511 |
$118K |
| 72110 |
|
209 |
209 |
$116K |
| 96368 |
|
675 |
608 |
$116K |
| 82330 |
|
1,331 |
1,240 |
$116K |
| L3260 |
Ambulatory surgical boot eac |
209 |
207 |
$115K |
| 84403 |
|
885 |
849 |
$114K |
| 95886 |
|
240 |
235 |
$114K |
| 80164 |
|
364 |
345 |
$110K |
| 74176 |
|
1,048 |
1,021 |
$110K |
| 74230 |
|
170 |
168 |
$110K |
| A9585 |
Gadobutrol injection |
1,607 |
1,525 |
$107K |
| 72125 |
|
1,921 |
1,819 |
$106K |
| L3908 |
Who cock-up nonmolde pre ots |
181 |
175 |
$104K |
| 87420 |
|
1,427 |
1,381 |
$98K |
| 72040 |
|
213 |
209 |
$98K |
| 99213 |
|
364 |
318 |
$96K |
| 86592 |
|
1,273 |
1,221 |
$94K |
| 92012 |
|
218 |
205 |
$93K |
| 51798 |
|
473 |
457 |
$90K |
| 84484 |
|
12,608 |
11,026 |
$88K |
| S0020 |
Injection, bupivicaine hydro |
193 |
188 |
$85K |
| 86593 |
|
1,005 |
961 |
$84K |
| 12011 |
|
223 |
220 |
$79K |
| 93971 |
|
266 |
254 |
$78K |
| 80171 |
|
151 |
128 |
$75K |
| 83735 |
|
14,990 |
13,246 |
$74K |
| 86200 |
|
749 |
742 |
$74K |
| G0378 |
Hospital observation per hr |
129 |
104 |
$73K |
| A4216 |
Sterile water/saline, 10 ml |
861 |
746 |
$71K |
| 92060 |
|
810 |
788 |
$69K |
| 93351 |
|
174 |
172 |
$69K |
| 97165 |
|
314 |
305 |
$69K |
| 87040 |
|
2,901 |
2,615 |
$67K |
| 82670 |
|
286 |
270 |
$65K |
| 96375 |
|
17,391 |
14,900 |
$65K |
| J1885 |
Ketorolac tromethamine inj |
10,389 |
9,207 |
$64K |
| L4350 |
Ankle control ortho pre ots |
112 |
110 |
$63K |
| J8499 |
Oral prescrip drug non chemo |
4,556 |
2,963 |
$62K |
| 83690 |
|
19,496 |
17,215 |
$62K |
| 29125 |
|
706 |
657 |
$61K |
| 85379 |
|
1,966 |
1,903 |
$60K |
| 93246 |
|
121 |
118 |
$57K |
| 86431 |
|
1,741 |
1,721 |
$54K |
| 76830 |
|
513 |
497 |
$54K |
| 92507 |
|
100 |
41 |
$51K |
| 82378 |
|
1,298 |
1,130 |
$50K |
| 95819 |
|
104 |
103 |
$50K |
| 82565 |
|
756 |
753 |
$50K |
| 76536 |
|
85 |
84 |
$50K |
| 92134 |
|
772 |
738 |
$48K |
| 83970 |
|
1,454 |
1,407 |
$47K |
| 92591 |
|
309 |
294 |
$43K |
| 82533 |
|
198 |
190 |
$42K |
| 76000 |
|
167 |
167 |
$41K |
| L3040 |
Ft arch suprt premold longit |
93 |
91 |
$41K |
| 86706 |
|
3,464 |
3,407 |
$39K |
| 71260 |
|
980 |
974 |
$39K |
| 83605 |
|
9,437 |
8,222 |
$39K |
| 87015 |
|
197 |
175 |
$38K |
| 82947 |
|
1,146 |
1,070 |
$38K |
| J7512 |
Prednisone ir or dr oral 1mg |
210 |
145 |
$38K |
| 84145 |
|
1,918 |
1,835 |
$38K |
| 82951 |
|
72 |
71 |
$37K |
| 80051 |
|
189 |
173 |
$36K |
| 92593 |
|
137 |
130 |
$36K |
| 94060 |
|
74 |
74 |
$36K |
| 77077 |
|
137 |
136 |
$34K |
| 74022 |
|
369 |
348 |
$33K |
| 83516 |
|
523 |
511 |
$33K |
| 72170 |
|
107 |
102 |
$33K |
| 82746 |
|
3,363 |
3,314 |
$32K |
| 11900 |
|
316 |
305 |
$32K |
| 88304 |
|
191 |
190 |
$31K |
| 96361 |
|
20,000 |
17,441 |
$31K |
| 82550 |
|
1,957 |
1,854 |
$30K |
| J1100 |
Dexamethasone sodium phos |
4,349 |
4,107 |
$29K |
| 99214 |
|
104 |
100 |
$29K |
| 73070 |
|
77 |
66 |
$29K |
| 81015 |
|
460 |
447 |
$29K |
| 64615 |
|
56 |
56 |
$28K |
| J0696 |
Ceftriaxone sodium injection |
5,229 |
4,861 |
$28K |
| J7050 |
Normal saline solution infus |
2,073 |
1,519 |
$27K |
| 87798 |
|
658 |
642 |
$27K |
| 87536 |
|
223 |
219 |
$27K |
| L1810 |
Ko elastic with joints |
45 |
44 |
$24K |
| 86003 |
|
1,637 |
1,486 |
$23K |
| 72148 |
|
109 |
96 |
$23K |
| 73120 |
|
139 |
91 |
$23K |
| 77065 |
Tomosynthesis, mammo |
108 |
103 |
$23K |
| 92553 |
|
60 |
58 |
$23K |
| J2405 |
Ondansetron hcl injection |
13,444 |
11,375 |
$22K |
| S0119 |
Ondansetron 4 mg |
406 |
394 |
$22K |
| 90715 |
|
2,360 |
2,300 |
$21K |
| 36416 |
|
538 |
518 |
$21K |
| 74177 |
|
5,840 |
5,622 |
$21K |
| 92556 |
|
337 |
328 |
$20K |
| 93308 |
|
117 |
114 |
$20K |
| 86695 |
|
416 |
409 |
$20K |
| 93976 |
|
264 |
253 |
$20K |
| J1200 |
Diphenhydramine hcl injectio |
2,826 |
2,508 |
$19K |
| 76801 |
|
501 |
456 |
$18K |
| 99203 |
|
279 |
274 |
$18K |
| Q0162 |
Ondansetron oral |
7,741 |
6,949 |
$18K |
| 87255 |
|
77 |
76 |
$17K |
| 90686 |
|
662 |
659 |
$17K |
| 85652 |
|
4,979 |
4,796 |
$17K |
| 86762 |
|
3,857 |
3,822 |
$16K |
| 97140 |
|
219 |
116 |
$16K |
| V5014 |
Hearing aid repair/modifying |
220 |
206 |
$16K |
| 99212 |
|
34 |
30 |
$15K |
| 95004 |
|
86 |
83 |
$15K |
| 87517 |
|
647 |
640 |
$15K |
| 86580 |
|
38 |
37 |
$15K |
| L3334 |
Shoe lifts elevation heel /i |
53 |
53 |
$14K |
| 73600 |
|
45 |
37 |
$14K |
| 77061 |
|
25 |
24 |
$14K |
| 92579 |
|
725 |
704 |
$14K |
| 52000 |
|
37 |
37 |
$14K |
| 73660 |
|
42 |
40 |
$13K |
| 76856 |
|
716 |
690 |
$12K |
| 10061 |
|
127 |
121 |
$12K |
| 96411 |
|
54 |
39 |
$12K |
| 20680 |
|
14 |
13 |
$12K |
| 87340 |
|
8,570 |
8,464 |
$12K |
| 77066 |
Tomosynthesis, mammo |
53 |
53 |
$11K |
| J2001 |
Lidocaine injection |
3,457 |
3,220 |
$11K |
| 93242 |
|
26 |
26 |
$11K |
| 73620 |
|
87 |
55 |
$11K |
| 83013 |
|
14 |
13 |
$11K |
| 83615 |
|
1,116 |
959 |
$11K |
| 82542 |
|
1,319 |
949 |
$11K |
| 92133 |
|
52 |
52 |
$11K |
| 12002 |
|
39 |
39 |
$10K |
| 73700 |
|
25 |
24 |
$10K |
| 95812 |
|
12 |
12 |
$9K |
| 77062 |
|
15 |
15 |
$9K |
| 73552 |
|
27 |
24 |
$9K |
| J2250 |
Inj midazolam hydrochloride |
1,222 |
1,078 |
$9K |
| J2060 |
Lorazepam injection |
5,142 |
4,262 |
$9K |
| 84305 |
|
36 |
36 |
$8K |
| 84450 |
|
519 |
510 |
$8K |
| 90688 |
|
717 |
714 |
$8K |
| 82140 |
|
48 |
41 |
$8K |
| 77067 |
|
285 |
284 |
$8K |
| 99215 |
Prolong outpt/office vis |
30 |
29 |
$7K |
| 86850 |
|
7,456 |
7,089 |
$7K |
| 95816 |
|
14 |
14 |
$7K |
| 76641 |
|
14 |
13 |
$7K |
| J3301 |
Triamcinolone acet inj nos |
1,572 |
1,538 |
$7K |
| L4386 |
Non-pneum walk boot pre cst |
12 |
12 |
$7K |
| 84481 |
|
1,700 |
1,659 |
$7K |
| Q0144 |
Azithromycin dihydrate, oral |
2,116 |
1,931 |
$7K |
| 76700 |
|
26 |
24 |
$7K |
| J1790 |
Droperidol injection |
1,644 |
1,467 |
$7K |
| 87529 |
|
149 |
147 |
$6K |
| 80178 |
|
27 |
24 |
$6K |
| 76817 |
|
409 |
370 |
$6K |
| 72050 |
|
13 |
12 |
$6K |
| L3807 |
Whfo w/o joints pre cst |
14 |
13 |
$6K |
| 86708 |
|
1,340 |
1,322 |
$6K |
| J2270 |
Morphine sulfate injection |
3,606 |
3,171 |
$6K |
| 82150 |
|
540 |
528 |
$6K |
| J3010 |
Fentanyl citrate injection |
2,687 |
2,300 |
$6K |
| 92587 |
|
1,272 |
1,231 |
$6K |
| 85730 |
|
9,385 |
8,646 |
$5K |
| Q0177 |
Hydroxyzine pamoate 25mg |
1,192 |
1,021 |
$5K |
| 11721 |
|
14 |
14 |
$5K |
| J0588 |
Incobotulinumtoxin a |
83 |
82 |
$5K |
| 97760 |
|
32 |
29 |
$5K |
| 92582 |
|
294 |
291 |
$5K |
| 70480 |
|
12 |
12 |
$5K |
| V5275 |
Ear impression |
118 |
115 |
$5K |
| 84460 |
|
530 |
520 |
$5K |
| 94010 |
|
14 |
13 |
$5K |
| 87507 |
|
18 |
17 |
$5K |
| 86160 |
|
115 |
111 |
$5K |
| 92592 |
|
24 |
24 |
$4K |
| 82805 |
|
2,026 |
1,899 |
$4K |
| 86901 |
|
7,947 |
7,498 |
$4K |
| 84075 |
|
12 |
12 |
$4K |
| 83002 |
|
220 |
219 |
$4K |
| 85014 |
|
201 |
180 |
$4K |
| J2765 |
Metoclopramide hcl injection |
2,793 |
2,535 |
$4K |
| 70491 |
|
105 |
103 |
$4K |
| 87205 |
|
1,828 |
1,768 |
$4K |
| Q0163 |
Diphenhydramine hcl 50mg |
1,486 |
1,329 |
$3K |
| 11056 |
|
14 |
14 |
$3K |
| 87591 |
|
54,449 |
51,540 |
$3K |
| 97112 |
|
17 |
12 |
$3K |
| 87185 |
|
12 |
12 |
$3K |
| 84100 |
|
1,415 |
1,344 |
$3K |
| J7620 |
Albuterol ipratrop non-comp |
3,020 |
2,206 |
$3K |
| 71275 |
|
1,374 |
1,327 |
$3K |
| 72070 |
|
12 |
12 |
$3K |
| 73100 |
|
16 |
12 |
$3K |
| 84550 |
|
78 |
77 |
$3K |
| J1170 |
Hydromorphone injection |
322 |
259 |
$3K |
| J0136 |
Inj, acetaminophen (b braun) |
177 |
173 |
$3K |
| 84132 |
|
158 |
134 |
$3K |
| 83721 |
|
7,785 |
7,660 |
$3K |
| 87088 |
|
2,276 |
2,189 |
$3K |
| 84134 |
|
13 |
13 |
$2K |
| 86304 |
|
12 |
12 |
$2K |
| 92136 |
|
100 |
99 |
$2K |
| 87493 |
|
42 |
39 |
$2K |
| 87075 |
|
1,510 |
1,460 |
$2K |
| 96040 |
|
37 |
24 |
$2K |
| 83921 |
|
36 |
36 |
$2K |
| 86376 |
|
172 |
171 |
$2K |
| 86787 |
|
12 |
12 |
$2K |
| 86360 |
|
45 |
44 |
$2K |
| 51741 |
|
13 |
13 |
$2K |
| 83789 |
|
679 |
467 |
$2K |
| J1745 |
Infliximab not biosimil 10mg |
55 |
52 |
$2K |
| J3411 |
Thiamine hcl 100 mg |
4,444 |
3,988 |
$2K |
| 87147 |
|
6,371 |
6,151 |
$2K |
| J7613 |
Albuterol non-comp unit |
2,240 |
2,120 |
$2K |
| J0561 |
Penicillin g benzathine inj |
1,129 |
1,103 |
$1K |
| 87186 |
|
9,393 |
8,972 |
$1K |
| 87045 |
|
129 |
124 |
$1K |
| 96376 |
|
4,842 |
4,349 |
$1K |
| 88312 |
|
81 |
80 |
$1K |
| 93226 |
|
367 |
363 |
$1K |
| 96416 |
|
14 |
12 |
$1K |
| 87902 |
|
172 |
166 |
$1K |
| J8540 |
Oral dexamethasone |
710 |
455 |
$1K |
| J2704 |
Inj, propofol, 10 mg |
554 |
512 |
$1K |
| J0171 |
Adrenalin epinephrine inject |
249 |
221 |
$1K |
| 84295 |
|
147 |
124 |
$1K |
| 92083 |
|
13 |
12 |
$1K |
| 76857 |
|
18 |
14 |
$1K |
| J2560 |
Phenobarbital sodium inj |
7,694 |
5,595 |
$1K |
| 85018 |
|
177 |
155 |
$1K |
| 86225 |
|
52 |
52 |
$784.00 |
| 29130 |
|
14 |
14 |
$784.00 |
| 92235 |
|
12 |
12 |
$784.00 |
| 73060 |
|
13 |
12 |
$784.00 |
| 83550 |
|
11,234 |
11,028 |
$695.75 |
| 90471 |
|
3,397 |
3,346 |
$635.46 |
| J1940 |
Furosemide injection |
100 |
80 |
$592.00 |
| J2274 |
Inj morphine pf epid ithc |
249 |
238 |
$566.00 |
| J0702 |
Betamethasone acet&sod phosp |
38 |
36 |
$566.00 |
| 82977 |
|
13 |
13 |
$566.00 |
| 87046 |
|
139 |
126 |
$566.00 |
| 86696 |
|
416 |
409 |
$548.00 |
| C9113 |
Inj pantoprazole sodium, via |
126 |
119 |
$548.00 |
| J2469 |
Palonosetron hcl |
629 |
427 |
$548.00 |
| J1040 |
Methylprednisolone 80 mg inj |
13 |
13 |
$548.00 |
| 86769 |
|
559 |
533 |
$228.00 |
| G0008 |
Admin influenza virus vac |
1,946 |
1,942 |
$119.00 |
| 90662 |
|
423 |
422 |
$77.86 |
| 80361 |
|
82 |
76 |
$0.00 |
| 84163 |
|
12 |
12 |
$0.00 |
| 81513 |
|
1,463 |
1,414 |
$0.00 |
| 0054A |
|
160 |
160 |
$0.00 |
| 87150 |
|
1,183 |
1,149 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
2,680 |
2,424 |
$0.00 |
| G1004 |
Cdsm ndsc |
8,644 |
7,918 |
$0.00 |
| 0202U |
|
153 |
150 |
$0.00 |
| 86336 |
|
79 |
79 |
$0.00 |
| 91312 |
|
207 |
205 |
$0.00 |
| 93041 |
|
416 |
407 |
$0.00 |
| 82248 |
|
88 |
83 |
$0.00 |
| J1756 |
Iron sucrose injection |
57 |
33 |
$0.00 |
| 91322 |
|
74 |
74 |
$0.00 |
| 27096 |
|
15 |
14 |
$0.00 |
| 81420 |
|
304 |
293 |
$0.00 |
| J9263 |
Oxaliplatin |
219 |
67 |
$0.00 |
| 96417 |
|
185 |
127 |
$0.00 |
| J2930 |
Methylprednisolone injection |
646 |
571 |
$0.00 |
| 87633 |
|
498 |
489 |
$0.00 |
| 87899 |
|
121 |
109 |
$0.00 |
| J1453 |
Fosaprepitant injection |
609 |
408 |
$0.00 |
| 91300 |
|
341 |
337 |
$0.00 |
| J0780 |
Prochlorperazine injection |
533 |
454 |
$0.00 |
| 0003A |
|
125 |
125 |
$0.00 |
| 82010 |
|
13 |
13 |
$0.00 |
| J7643 |
Glycopyrrolate comp unit |
56 |
53 |
$0.00 |
| 94726 |
|
14 |
14 |
$0.00 |
| J0137 |
Inj, acetaminophen (hikma) |
33 |
33 |
$0.00 |
| 91320 |
|
167 |
166 |
$0.00 |
| J7120 |
Ringers lactate infusion |
1,080 |
1,005 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
56 |
53 |
$0.00 |
| 76937 |
|
111 |
96 |
$0.00 |
| 94729 |
|
63 |
61 |
$0.00 |
| 90670 |
|
37 |
36 |
$0.00 |
| 84165 |
|
13 |
13 |
$0.00 |
| G8979 |
Mobility goal status |
73 |
71 |
$0.00 |
| 0124A |
|
214 |
212 |
$0.00 |
| 87634 |
|
17 |
17 |
$0.00 |
| G8978 |
Mobility current status |
72 |
71 |
$0.00 |
| S8100 |
Spacer without mask |
13 |
13 |
$0.00 |
| 0004A |
|
117 |
115 |
$0.00 |
| 84155 |
|
12 |
12 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
22 |
20 |
$0.00 |
| 0002A |
|
19 |
19 |
$0.00 |
| 96523 |
|
16 |
12 |
$0.00 |
| 90653 |
|
28 |
28 |
$0.00 |
| 86039 |
|
40 |
40 |
$0.00 |
| J0585 |
Injection,onabotulinumtoxina |
36 |
35 |
$0.00 |
| A0170 |
Transport parking fees/tolls |
150 |
102 |
$0.00 |
| 86923 |
|
12 |
12 |
$0.00 |
| J2550 |
Promethazine hcl injection |
92 |
76 |
$0.00 |
| J0640 |
Leucovorin calcium injection |
15 |
12 |
$0.00 |
| 81425 |
|
12 |
12 |
$0.00 |
| 86235 |
|
12 |
12 |
$0.00 |
| J9190 |
Fluorouracil injection |
15 |
12 |
$0.00 |
| J7121 |
5% dextrose in lac ringers |
438 |
406 |
$0.00 |
| 80320 |
|
6,775 |
5,765 |
$0.00 |
| J7644 |
Ipratropium bromide non-comp |
808 |
792 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
162 |
162 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
129 |
126 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
2,931 |
2,262 |
$0.00 |
| 96415 |
|
776 |
624 |
$0.00 |
| 84480 |
|
32 |
28 |
$0.00 |
| J3480 |
Inj potassium chloride |
421 |
393 |
$0.00 |
| 87581 |
|
543 |
533 |
$0.00 |
| 83930 |
|
83 |
73 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
154 |
154 |
$0.00 |
| J1630 |
Haloperidol injection |
549 |
420 |
$0.00 |
| 36000 |
|
29 |
27 |
$0.00 |
| 0064A |
|
27 |
26 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
249 |
239 |
$0.00 |
| J7999 |
Compounded drug, noc |
178 |
167 |
$0.00 |
| 90694 |
|
205 |
204 |
$0.00 |
| 81511 |
|
39 |
38 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
97 |
93 |
$0.00 |
| 36591 |
|
15 |
12 |
$0.00 |
| 82677 |
|
78 |
78 |
$0.00 |
| 91305 |
|
160 |
160 |
$0.00 |
| 90480 |
|
252 |
251 |
$0.00 |
| 86800 |
|
38 |
38 |
$0.00 |
| 82435 |
|
132 |
110 |
$0.00 |
| 70498 |
|
162 |
157 |
$0.00 |
| 82803 |
|
141 |
124 |
$0.00 |
| 91306 |
|
13 |
12 |
$0.00 |
| 90656 |
|
23 |
23 |
$0.00 |
| 93247 |
|
38 |
38 |
$0.00 |
| 0011A |
|
552 |
551 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
27 |
27 |
$0.00 |
| G9035 |
Oseltamivir phosp, brand |
13 |
12 |
$0.00 |
| 93243 |
|
26 |
26 |
$0.00 |
| A0140 |
Nonemergency transport air |
169 |
62 |
$0.00 |
| 84704 |
|
12 |
12 |
$0.00 |
| 0012A |
|
440 |
440 |
$0.00 |
| 0001A |
|
14 |
14 |
$0.00 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
42 |
42 |
$0.00 |
| 95907 |
|
12 |
12 |
$0.00 |
| 80359 |
|
13 |
12 |
$0.00 |
| 91301 |
|
994 |
993 |
$0.00 |
| 90732 |
|
13 |
13 |
$0.00 |
| 82270 |
|
12 |
12 |
$0.00 |
| 70496 |
|
12 |
12 |
$0.00 |