| Code | Description | Claims | Beneficiaries | Total Paid |
| 99211 |
|
153,205 |
133,793 |
$16.61M |
| 97110 |
|
116,174 |
42,583 |
$10.29M |
| 99285 |
|
66,274 |
57,635 |
$10.02M |
| J1745 |
Infliximab not biosimil 10mg |
6,141 |
3,203 |
$7.85M |
| 99284 |
|
46,799 |
42,536 |
$7.02M |
| 99283 |
|
41,951 |
38,768 |
$6.14M |
| 99212 |
|
57,297 |
51,118 |
$5.62M |
| J2350 |
Injection, ocrelizumab, 1 mg |
135 |
107 |
$3.62M |
| J1459 |
Inj ivig privigen 500 mg |
2,582 |
684 |
$3.47M |
| J0585 |
Injection,onabotulinumtoxina |
4,520 |
3,254 |
$3.42M |
| 96361 |
|
9,508 |
7,115 |
$3.27M |
| 76816 |
|
21,422 |
19,265 |
$3.11M |
| 59025 |
|
15,370 |
10,655 |
$3.01M |
| G0378 |
Hospital observation per hr |
36,378 |
13,709 |
$2.89M |
| J0741 |
Inj, cabote rilpivir 2mg 3mg |
457 |
370 |
$2.56M |
| 96365 |
|
12,827 |
9,278 |
$2.45M |
| J3380 |
Inj vedolizumab iv 1 mg |
447 |
350 |
$2.41M |
| 74177 |
|
8,593 |
7,239 |
$2.31M |
| 70450 |
|
7,120 |
5,840 |
$2.06M |
| 99282 |
|
14,820 |
13,863 |
$2.01M |
| 66984 |
|
2,197 |
1,650 |
$1.81M |
| J0178 |
Aflibercept injection |
1,602 |
1,190 |
$1.77M |
| 81513 |
|
10,548 |
9,103 |
$1.70M |
| 96415 |
|
4,478 |
3,609 |
$1.66M |
| 90853 |
|
14,230 |
2,072 |
$1.65M |
| 95810 |
|
2,079 |
1,987 |
$1.62M |
| 96366 |
|
4,806 |
2,855 |
$1.59M |
| U0004 |
Cov-19 test non-cdc hgh thru |
8,635 |
7,565 |
$1.55M |
| 67028 |
|
7,796 |
6,899 |
$1.53M |
| 99213 |
|
14,392 |
12,729 |
$1.48M |
| J2357 |
Omalizumab injection |
1,186 |
436 |
$1.45M |
| 76811 |
|
9,071 |
8,626 |
$1.42M |
| 43239 |
|
2,666 |
2,244 |
$1.33M |
| 80051 |
|
121,315 |
93,930 |
$1.20M |
| 71275 |
|
4,029 |
3,306 |
$1.17M |
| 70553 |
|
3,896 |
3,501 |
$1.14M |
| 99281 |
|
8,301 |
7,735 |
$1.04M |
| 76817 |
|
13,246 |
12,072 |
$1.04M |
| 95886 |
|
3,691 |
3,459 |
$1.04M |
| 92134 |
|
20,088 |
18,428 |
$1.03M |
| 64615 |
|
3,266 |
2,887 |
$1.01M |
| 45380 |
|
1,829 |
1,524 |
$970K |
| 80053 |
|
46,934 |
40,425 |
$962K |
| 96413 |
|
8,283 |
6,986 |
$887K |
| 45385 |
|
1,343 |
1,086 |
$842K |
| Q5104 |
Injection, renflexis |
735 |
298 |
$837K |
| 93798 |
|
12,475 |
2,282 |
$705K |
| 94640 |
|
5,934 |
3,295 |
$698K |
| 93306 |
|
2,628 |
2,273 |
$688K |
| 87491 |
|
33,206 |
28,214 |
$671K |
| 97542 |
|
16,696 |
13,900 |
$664K |
| 76856 |
|
3,069 |
2,745 |
$663K |
| 62323 |
|
1,258 |
1,121 |
$644K |
| 85025 |
|
166,938 |
141,157 |
$634K |
| 84443 |
|
32,462 |
29,100 |
$630K |
| 73030 |
|
9,633 |
8,598 |
$626K |
| 82565 |
|
131,434 |
102,041 |
$623K |
| 80307 |
|
25,958 |
18,525 |
$616K |
| 76705 |
|
5,456 |
4,891 |
$611K |
| 73721 |
|
2,255 |
2,053 |
$609K |
| 90651 |
|
1,928 |
1,539 |
$595K |
| 97112 |
|
17,167 |
7,353 |
$591K |
| H0015 |
Alcohol and/or drug services |
4,883 |
850 |
$590K |
| 73564 |
|
7,092 |
6,579 |
$590K |
| 93458 |
|
515 |
406 |
$583K |
| 71046 |
|
24,647 |
21,947 |
$561K |
| 87591 |
|
33,198 |
28,210 |
$554K |
| 97530 |
|
14,847 |
8,214 |
$549K |
| 19318 |
|
102 |
82 |
$529K |
| 71260 |
|
2,064 |
1,895 |
$520K |
| 97140 |
|
21,964 |
9,467 |
$500K |
| 92250 |
|
7,367 |
7,089 |
$500K |
| 73630 |
|
8,246 |
7,450 |
$495K |
| 95885 |
|
1,614 |
1,515 |
$494K |
| 74176 |
|
1,652 |
1,425 |
$488K |
| 73502 |
|
7,503 |
6,785 |
$486K |
| 83036 |
|
34,741 |
31,592 |
$484K |
| 80076 |
|
42,787 |
36,184 |
$481K |
| 43235 |
|
1,001 |
828 |
$479K |
| 80061 |
|
29,533 |
27,025 |
$475K |
| 49083 |
|
1,099 |
540 |
$472K |
| 95811 |
|
582 |
527 |
$472K |
| 87481 |
|
22,138 |
9,802 |
$471K |
| G0463 |
Hospital outpt clinic visit |
38,622 |
32,063 |
$463K |
| 86850 |
|
18,187 |
15,564 |
$455K |
| Q5103 |
Injection, inflectra |
994 |
439 |
$452K |
| 96360 |
|
2,740 |
1,890 |
$444K |
| J0485 |
Belatacept injection |
1,058 |
423 |
$442K |
| J9312 |
Inj., rituximab, 10 mg |
97 |
69 |
$441K |
| J7307 |
Etonogestrel implant system |
379 |
288 |
$439K |
| 82306 |
|
20,477 |
18,683 |
$439K |
| J3032 |
Inj. eptinezumab-jjmr 1 mg |
161 |
144 |
$433K |
| 74183 |
|
1,604 |
1,440 |
$433K |
| 99215 |
Prolong outpt/office vis |
3,974 |
3,299 |
$424K |
| 90870 |
|
1,271 |
451 |
$421K |
| 97162 |
|
8,396 |
7,380 |
$419K |
| 70496 |
|
1,410 |
1,196 |
$417K |
| J1439 |
Inj ferric carboxymaltos 1mg |
523 |
287 |
$415K |
| 64415 |
|
1,208 |
902 |
$409K |
| 97161 |
|
7,319 |
6,554 |
$396K |
| 70491 |
|
1,311 |
1,131 |
$388K |
| 92083 |
|
4,941 |
4,686 |
$383K |
| 72148 |
|
1,988 |
1,797 |
$381K |
| 97113 |
|
3,962 |
1,523 |
$368K |
| H0012 |
Alcohol and/or drug services |
1,158 |
327 |
$365K |
| 36415 |
|
177,317 |
151,571 |
$359K |
| 99214 |
|
3,390 |
2,979 |
$353K |
| 99202 |
|
2,976 |
2,732 |
$335K |
| 73221 |
|
1,225 |
1,126 |
$325K |
| J3490 |
Drugs unclassified injection |
23,080 |
13,916 |
$318K |
| 71250 |
|
2,563 |
2,341 |
$317K |
| 73610 |
|
5,286 |
4,722 |
$317K |
| 86780 |
|
20,961 |
18,018 |
$314K |
| 70551 |
|
1,636 |
1,462 |
$312K |
| 84520 |
|
125,308 |
97,503 |
$311K |
| 64493 |
|
446 |
386 |
$309K |
| 94375 |
|
2,829 |
2,590 |
$305K |
| 85027 |
|
49,530 |
35,646 |
$304K |
| 81220 |
|
1,093 |
931 |
$298K |
| 72197 |
|
921 |
837 |
$297K |
| 78452 |
|
682 |
587 |
$295K |
| 72141 |
|
1,421 |
1,257 |
$290K |
| 27130 |
|
66 |
50 |
$290K |
| 76805 |
|
1,904 |
1,793 |
$284K |
| 86803 |
|
16,487 |
14,506 |
$267K |
| 87389 |
|
21,573 |
18,954 |
$263K |
| J1050 |
Medroxyprogesterone acetate |
2,924 |
2,668 |
$259K |
| 86900 |
|
19,161 |
15,767 |
$259K |
| 82728 |
|
15,190 |
13,703 |
$258K |
| 87661 |
|
13,287 |
11,492 |
$252K |
| 84439 |
|
10,825 |
9,555 |
$240K |
| 90837 |
|
2,098 |
1,448 |
$237K |
| 66982 |
|
323 |
253 |
$235K |
| 97016 |
|
5,255 |
1,811 |
$228K |
| 92133 |
|
5,258 |
4,992 |
$227K |
| 97535 |
|
6,641 |
4,247 |
$224K |
| 76815 |
|
3,572 |
2,379 |
$217K |
| 11042 |
|
1,252 |
946 |
$214K |
| 41899 |
|
284 |
259 |
$210K |
| 76770 |
|
1,249 |
1,130 |
$210K |
| 82607 |
|
10,547 |
9,593 |
$206K |
| 80048 |
|
21,991 |
17,333 |
$206K |
| C9257 |
Bevacizumab injection |
3,764 |
2,687 |
$202K |
| 94726 |
|
3,269 |
3,031 |
$200K |
| 87088 |
|
19,104 |
16,316 |
$198K |
| 45378 |
|
308 |
239 |
$198K |
| 93308 |
|
711 |
599 |
$190K |
| 94618 |
|
1,920 |
1,776 |
$190K |
| 97163 |
|
3,850 |
3,625 |
$189K |
| J0897 |
Denosumab injection |
285 |
259 |
$187K |
| 87502 |
|
8,293 |
6,986 |
$184K |
| 85610 |
|
40,919 |
31,327 |
$183K |
| 29848 |
|
115 |
73 |
$178K |
| P9016 |
Rbc leukocytes reduced |
706 |
536 |
$177K |
| 64721 |
|
243 |
190 |
$175K |
| 72110 |
|
4,432 |
4,158 |
$174K |
| 97165 |
|
2,354 |
1,977 |
$174K |
| 87340 |
|
13,409 |
11,794 |
$171K |
| G0480 |
Drug test def 1-7 classes |
10,129 |
7,296 |
$169K |
| 77063 |
|
2,958 |
2,703 |
$164K |
| G0121 |
Colon ca scrn not hi rsk ind |
247 |
192 |
$163K |
| 76536 |
|
1,271 |
1,161 |
$163K |
| 88341 |
|
3,840 |
795 |
$161K |
| 83735 |
|
67,520 |
48,116 |
$159K |
| 72158 |
|
898 |
789 |
$158K |
| 86140 |
|
15,057 |
12,982 |
$157K |
| 36430 |
|
950 |
698 |
$157K |
| 82947 |
|
96,058 |
72,291 |
$156K |
| 93005 |
|
35,978 |
30,124 |
$155K |
| 94729 |
|
3,048 |
2,826 |
$153K |
| 87505 |
|
1,352 |
955 |
$153K |
| G0260 |
Inj for sacroiliac jt anesth |
482 |
418 |
$152K |
| 97116 |
|
5,466 |
2,460 |
$152K |
| 76820 |
|
2,231 |
1,285 |
$150K |
| 94010 |
|
1,756 |
1,600 |
$149K |
| 93296 |
|
6,042 |
5,800 |
$145K |
| 64450 |
|
1,035 |
731 |
$145K |
| 74174 |
|
1,681 |
1,428 |
$143K |
| 77073 |
|
1,748 |
1,685 |
$142K |
| 86706 |
|
8,557 |
7,540 |
$141K |
| 78264 |
|
486 |
432 |
$141K |
| 75561 |
|
457 |
421 |
$139K |
| 84466 |
|
14,568 |
13,169 |
$138K |
| J2323 |
Natalizumab injection |
19 |
12 |
$138K |
| 86704 |
|
7,818 |
6,656 |
$137K |
| 70543 |
|
391 |
356 |
$136K |
| 88185 |
|
4,342 |
585 |
$135K |
| 97166 |
|
2,619 |
2,209 |
$134K |
| 99291 |
|
1,127 |
907 |
$132K |
| 86480 |
|
4,236 |
3,695 |
$132K |
| G0476 |
Hpv combo assay ca screen |
4,755 |
4,246 |
$131K |
| 27447 |
|
34 |
27 |
$131K |
| 74178 |
|
468 |
425 |
$130K |
| 81001 |
|
47,897 |
41,354 |
$129K |
| 88175 |
|
9,411 |
8,389 |
$127K |
| 83540 |
|
14,144 |
12,724 |
$127K |
| 87640 |
|
3,673 |
3,392 |
$126K |
| 86832 |
|
4,406 |
3,773 |
$125K |
| 72156 |
|
828 |
743 |
$124K |
| 73562 |
|
3,905 |
3,396 |
$124K |
| 10060 |
|
662 |
554 |
$124K |
| P9047 |
Albumin (human), 25%, 50ml |
485 |
232 |
$123K |
| 70487 |
|
396 |
328 |
$123K |
| 73700 |
|
723 |
625 |
$123K |
| 83970 |
|
6,757 |
5,902 |
$122K |
| 75574 |
|
402 |
347 |
$122K |
| 84484 |
|
38,809 |
25,896 |
$121K |
| 72084 |
|
2,255 |
2,165 |
$118K |
| J7297 |
Liletta, 52 mg |
301 |
235 |
$117K |
| 76830 |
|
2,962 |
2,658 |
$117K |
| 72050 |
|
1,971 |
1,810 |
$116K |
| 93017 |
|
1,467 |
1,256 |
$116K |
| 93971 |
|
1,367 |
1,168 |
$116K |
| 87522 |
Neg quan hep c or qual rna |
3,377 |
2,902 |
$115K |
| 86901 |
|
19,155 |
15,762 |
$115K |
| J1750 |
Inj iron dextran |
991 |
397 |
$114K |
| 93321 |
|
494 |
448 |
$114K |
| 82570 |
|
14,931 |
11,995 |
$111K |
| 90791 |
|
460 |
363 |
$111K |
| 93970 |
|
730 |
631 |
$111K |
| 97035 |
|
1,538 |
628 |
$109K |
| 87902 |
|
581 |
500 |
$108K |
| 86038 |
|
4,616 |
3,582 |
$108K |
| 90834 |
|
1,036 |
803 |
$108K |
| 76981 |
|
748 |
702 |
$107K |
| 71271 |
|
519 |
481 |
$106K |
| 96372 |
|
15,648 |
11,751 |
$105K |
| 88307 |
|
1,197 |
810 |
$103K |
| 70486 |
|
1,322 |
1,153 |
$103K |
| 99203 |
|
1,025 |
942 |
$101K |
| 73130 |
|
2,984 |
2,545 |
$101K |
| 87536 |
|
2,499 |
2,186 |
$100K |
| 86235 |
|
7,372 |
1,050 |
$98K |
| 71045 |
|
13,825 |
11,301 |
$97K |
| 76801 |
|
2,067 |
1,773 |
$97K |
| 64405 |
|
287 |
258 |
$97K |
| 93451 |
|
74 |
62 |
$97K |
| C8929 |
Tte w or wo fol wcon,doppler |
434 |
362 |
$95K |
| 94660 |
|
977 |
471 |
$95K |
| 0202U |
|
842 |
693 |
$94K |
| 87077 |
|
11,360 |
5,725 |
$91K |
| 36224 |
|
51 |
37 |
$91K |
| 80197 |
|
6,035 |
3,343 |
$87K |
| 72125 |
|
2,776 |
2,353 |
$87K |
| 76882 |
|
755 |
654 |
$87K |
| 31624 |
|
162 |
128 |
$87K |
| 16020 |
|
2,000 |
1,354 |
$86K |
| 86360 |
|
1,645 |
1,447 |
$84K |
| 82784 |
|
9,374 |
3,739 |
$84K |
| 77080 |
|
1,138 |
1,063 |
$83K |
| 73120 |
|
1,043 |
939 |
$83K |
| 72082 |
|
1,830 |
1,725 |
$82K |
| 97167 |
|
2,089 |
1,958 |
$82K |
| 52356 |
|
50 |
38 |
$82K |
| 90832 |
|
1,027 |
777 |
$81K |
| H0005 |
Alcohol and/or drug services |
1,157 |
512 |
$80K |
| 94060 |
|
631 |
585 |
$80K |
| 93975 |
|
530 |
478 |
$79K |
| 73110 |
|
1,824 |
1,548 |
$79K |
| U0005 |
Infec agen detec ampli probe |
8,605 |
7,554 |
$79K |
| 87641 |
|
3,733 |
3,448 |
$78K |
| 20610 |
|
387 |
326 |
$77K |
| 20680 |
|
90 |
65 |
$76K |
| 70498 |
|
1,465 |
1,233 |
$76K |
| 72100 |
|
2,023 |
1,797 |
$75K |
| 91200 |
|
603 |
561 |
$74K |
| 43264 |
|
93 |
68 |
$73K |
| 43237 |
|
191 |
153 |
$73K |
| J0491 |
Inj anifrolumab-fnia 1mg |
18 |
13 |
$71K |
| 29881 |
|
104 |
81 |
$70K |
| 86003 |
|
7,188 |
531 |
$70K |
| 87150 |
|
2,663 |
2,367 |
$70K |
| 82105 |
|
4,250 |
3,926 |
$69K |
| 73200 |
|
454 |
394 |
$69K |
| 87517 |
|
1,625 |
1,481 |
$69K |
| 74018 |
|
1,947 |
1,573 |
$68K |
| 85652 |
|
13,637 |
11,914 |
$67K |
| 86833 |
|
4,410 |
3,771 |
$66K |
| 20553 |
|
378 |
315 |
$66K |
| 73560 |
|
1,127 |
988 |
$65K |
| 86160 |
|
5,433 |
2,534 |
$65K |
| 82248 |
|
17,117 |
13,290 |
$65K |
| 81370 |
|
475 |
394 |
$65K |
| 95715 |
|
110 |
44 |
$65K |
| 99201 |
|
652 |
638 |
$64K |
| 84153 |
|
3,490 |
3,173 |
$63K |
| Q0222 |
Bebtelovimab 175 mg |
68 |
66 |
$63K |
| 88184 |
|
696 |
595 |
$63K |
| 86364 |
|
4,471 |
2,163 |
$62K |
| 92025 |
|
735 |
684 |
$62K |
| 72146 |
|
542 |
488 |
$61K |
| J0561 |
Penicillin g benzathine inj |
179 |
119 |
$61K |
| 83880 |
|
11,367 |
9,080 |
$60K |
| 80069 |
|
2,836 |
1,881 |
$60K |
| 72157 |
|
610 |
531 |
$59K |
| 84100 |
|
37,467 |
28,289 |
$58K |
| 95909 |
|
407 |
374 |
$58K |
| 64483 |
|
91 |
80 |
$58K |
| 81329 |
|
948 |
801 |
$57K |
| 73590 |
|
1,629 |
1,409 |
$57K |
| 74220 |
|
784 |
696 |
$56K |
| 84702 |
|
6,092 |
4,532 |
$56K |
| 85730 |
|
19,073 |
13,928 |
$56K |
| 93350 |
|
530 |
446 |
$55K |
| 93976 |
|
225 |
179 |
$54K |
| 90471 |
|
5,273 |
4,237 |
$54K |
| 93325 |
|
593 |
519 |
$54K |
| 12001 |
|
304 |
249 |
$53K |
| 86762 |
|
3,929 |
3,540 |
$53K |
| 87497 |
|
1,762 |
1,152 |
$53K |
| 72131 |
|
1,834 |
1,563 |
$52K |
| 92136 |
|
1,247 |
1,153 |
$52K |
| 93299 |
|
2,068 |
1,994 |
$51K |
| 76813 |
|
388 |
354 |
$51K |
| 82043 |
|
6,378 |
5,858 |
$50K |
| 84403 |
|
2,359 |
2,136 |
$50K |
| 73503 |
|
596 |
554 |
$49K |
| 81222 |
|
557 |
494 |
$48K |
| 64635 |
|
74 |
59 |
$46K |
| 77067 |
|
3,160 |
2,891 |
$46K |
| 72070 |
|
1,076 |
952 |
$45K |
| 82310 |
|
8,697 |
7,735 |
$45K |
| 83520 |
|
2,837 |
1,461 |
$45K |
| 95910 |
|
495 |
460 |
$44K |
| 82670 |
|
1,433 |
1,310 |
$44K |
| 92020 |
|
745 |
701 |
$44K |
| 76512 |
|
591 |
513 |
$44K |
| 73080 |
|
1,136 |
998 |
$43K |
| 95912 |
|
391 |
363 |
$42K |
| 76819 |
|
487 |
368 |
$42K |
| 58300 |
|
337 |
269 |
$41K |
| 43244 |
|
77 |
55 |
$41K |
| 86923 |
|
1,866 |
713 |
$41K |
| 64494 |
|
416 |
329 |
$41K |
| 82040 |
|
4,249 |
3,773 |
$41K |
| G0239 |
Oth resp proc, group |
1,257 |
215 |
$40K |
| 92235 |
|
351 |
325 |
$39K |
| 62328 |
|
75 |
63 |
$39K |
| 84460 |
|
7,142 |
5,530 |
$38K |
| 86708 |
|
2,412 |
2,155 |
$38K |
| 86787 |
|
3,689 |
3,152 |
$38K |
| 81373 |
|
264 |
239 |
$38K |
| 84703 |
|
29,311 |
25,273 |
$37K |
| 72040 |
|
935 |
829 |
$37K |
| 84450 |
|
6,800 |
5,196 |
$37K |
| 82247 |
|
3,780 |
2,580 |
$36K |
| 00104 |
|
1,433 |
481 |
$36K |
| 96367 |
|
1,069 |
795 |
$36K |
| 83013 |
|
637 |
593 |
$36K |
| 93922 |
|
563 |
503 |
$36K |
| 73552 |
|
1,034 |
894 |
$36K |
| H2036 |
A/d tx program, per diem |
445 |
41 |
$36K |
| 87081 |
|
3,006 |
2,633 |
$35K |
| 97597 |
|
359 |
293 |
$35K |
| U0002 |
Covid-19 lab test non-cdc |
8,425 |
7,322 |
$34K |
| M0243 |
Casirivi and imdevi inj |
171 |
169 |
$34K |
| 62321 |
|
62 |
58 |
$34K |
| 83516 |
|
2,067 |
835 |
$34K |
| 82746 |
|
5,134 |
4,617 |
$33K |
| 43249 |
|
100 |
81 |
$32K |
| 95913 |
|
350 |
318 |
$32K |
| 90715 |
|
1,582 |
1,226 |
$32K |
| 82977 |
|
4,656 |
3,285 |
$32K |
| 86376 |
|
1,537 |
1,386 |
$31K |
| 86431 |
|
1,916 |
1,712 |
$31K |
| 87798 |
|
1,479 |
821 |
$30K |
| 97602 |
|
174 |
129 |
$29K |
| 87493 |
|
916 |
789 |
$29K |
| 87070 |
|
3,874 |
2,946 |
$29K |
| 87510 |
|
4,784 |
4,184 |
$29K |
| 97750 |
|
531 |
393 |
$29K |
| 82550 |
|
3,831 |
2,885 |
$29K |
| 72052 |
|
741 |
689 |
$29K |
| 64447 |
|
210 |
158 |
$29K |
| 36589 |
|
76 |
66 |
$28K |
| 86147 |
|
1,209 |
538 |
$28K |
| 66821 |
|
119 |
90 |
$27K |
| 86334 |
|
1,563 |
1,409 |
$27K |
| 88305 |
|
22,844 |
9,938 |
$27K |
| 83721 |
|
2,778 |
2,551 |
$27K |
| 84075 |
|
5,604 |
4,211 |
$27K |
| 96374 |
|
21,035 |
16,876 |
$27K |
| 73140 |
|
434 |
381 |
$27K |
| 01916 |
|
130 |
90 |
$27K |
| 84156 |
|
7,414 |
6,214 |
$27K |
| G2066 |
Inter devc remote 30d |
1,841 |
1,754 |
$26K |
| 83001 |
|
1,289 |
1,173 |
$26K |
| 87529 |
|
1,353 |
604 |
$25K |
| 87186 |
|
4,265 |
3,065 |
$25K |
| 84146 |
|
1,327 |
1,194 |
$25K |
| 84270 |
|
1,254 |
1,147 |
$25K |
| 86200 |
|
1,394 |
1,242 |
$25K |
| 86225 |
|
1,929 |
1,670 |
$24K |
| 72128 |
|
1,493 |
1,255 |
$23K |
| 83690 |
|
24,593 |
20,838 |
$23K |
| 84550 |
|
5,179 |
4,303 |
$23K |
| 82103 |
|
1,390 |
823 |
$23K |
| 82533 |
|
994 |
702 |
$23K |
| 90714 |
|
1,168 |
917 |
$23K |
| 84481 |
|
1,691 |
1,533 |
$23K |
| 93320 |
|
186 |
153 |
$23K |
| 70480 |
|
119 |
110 |
$22K |
| 87660 |
|
4,929 |
4,314 |
$22K |
| 87799 |
|
1,825 |
1,402 |
$21K |
| 90686 |
|
985 |
861 |
$21K |
| 97150 |
|
1,038 |
630 |
$21K |
| 86870 |
|
666 |
511 |
$21K |
| M0247 |
Sotrovimab infusion |
87 |
83 |
$21K |
| 86015 |
|
1,211 |
683 |
$20K |
| 84480 |
|
1,491 |
1,329 |
$20K |
| 82077 |
|
4,682 |
3,746 |
$20K |
| 80143 |
|
1,633 |
1,358 |
$19K |
| 71100 |
|
617 |
560 |
$19K |
| 83605 |
|
9,092 |
5,492 |
$18K |
| 83021 |
|
1,172 |
1,030 |
$18K |
| 85007 |
|
4,151 |
2,803 |
$18K |
| 86341 |
|
1,104 |
367 |
$18K |
| 80377 |
|
1,086 |
828 |
$18K |
| 92507 |
|
334 |
197 |
$17K |
| 97760 |
|
278 |
223 |
$17K |
| J1170 |
Hydromorphone injection |
14,697 |
7,366 |
$17K |
| 86592 |
|
1,611 |
1,371 |
$17K |
| 73060 |
|
646 |
520 |
$17K |
| 83993 |
|
832 |
745 |
$17K |
| 87480 |
|
4,872 |
4,247 |
$17K |
| 95816 |
|
92 |
84 |
$17K |
| 90935 |
|
56 |
27 |
$17K |
| 80320 |
|
685 |
285 |
$16K |
| 57452 |
|
59 |
55 |
$16K |
| 95911 |
|
206 |
190 |
$16K |
| 72114 |
|
900 |
857 |
$16K |
| 78306 |
|
81 |
80 |
$16K |
| J7999 |
Compounded drug, noc |
3,517 |
2,665 |
$15K |
| 82803 |
|
5,939 |
3,905 |
$15K |
| 82785 |
|
569 |
504 |
$15K |
| 74022 |
|
272 |
239 |
$15K |
| 76870 |
|
551 |
475 |
$15K |
| 83876 |
|
719 |
634 |
$15K |
| 83655 |
|
630 |
577 |
$15K |
| 75635 |
|
61 |
54 |
$14K |
| 80329 |
|
603 |
493 |
$14K |
| 72202 |
|
329 |
304 |
$14K |
| 70544 |
|
79 |
68 |
$14K |
| 82088 |
|
448 |
361 |
$14K |
| 86381 |
|
870 |
772 |
$14K |
| 85018 |
|
6,435 |
4,229 |
$14K |
| 82627 |
|
532 |
475 |
$14K |
| 81025 |
|
5,898 |
5,053 |
$14K |
| 72190 |
|
219 |
181 |
$14K |
| 82951 |
|
525 |
483 |
$14K |
| 87040 |
|
5,726 |
2,376 |
$14K |
| 82525 |
|
796 |
703 |
$14K |
| 92523 |
|
321 |
274 |
$13K |
| 94625 |
|
451 |
67 |
$13K |
| 84630 |
|
1,184 |
1,057 |
$13K |
| 84165 |
|
1,798 |
1,600 |
$13K |
| 96375 |
|
16,617 |
12,271 |
$13K |
| 87205 |
|
3,451 |
2,587 |
$13K |
| C1776 |
Joint device (implantable) |
662 |
522 |
$13K |
| 73522 |
|
382 |
362 |
$13K |
| 84425 |
|
1,833 |
1,704 |
$13K |
| 85014 |
|
2,935 |
2,016 |
$13K |
| 84590 |
|
1,875 |
1,759 |
$13K |
| 12002 |
|
71 |
66 |
$13K |
| 80074 |
|
1,115 |
909 |
$13K |
| 83921 |
|
1,472 |
1,326 |
$12K |
| 82465 |
|
1,277 |
1,076 |
$12K |
| 73090 |
|
653 |
556 |
$12K |
| 73720 |
|
51 |
49 |
$12K |
| 86644 |
|
1,056 |
854 |
$12K |
| 97012 |
|
280 |
122 |
$12K |
| 83883 |
|
314 |
283 |
$12K |
| 88112 |
|
475 |
383 |
$12K |
| 84207 |
|
880 |
789 |
$12K |
| 96376 |
|
4,506 |
2,867 |
$12K |
| 87651 |
|
2,123 |
1,812 |
$11K |
| 88360 |
|
212 |
118 |
$11K |
| 74160 |
|
62 |
46 |
$11K |
| 30140 |
|
46 |
28 |
$11K |
| 82330 |
|
2,232 |
1,650 |
$11K |
| 86696 |
|
1,782 |
995 |
$11K |
| 86665 |
|
1,267 |
856 |
$11K |
| 83615 |
|
3,026 |
1,989 |
$11K |
| 86593 |
|
862 |
727 |
$11K |
| 93298 |
|
525 |
519 |
$11K |
| 86695 |
|
1,762 |
982 |
$11K |
| 11982 |
|
45 |
38 |
$11K |
| 74230 |
|
91 |
83 |
$11K |
| 83002 |
|
614 |
564 |
$11K |
| J1650 |
Inj enoxaparin sodium |
10,016 |
3,823 |
$10K |
| 87015 |
|
1,940 |
1,267 |
$10K |
| 00731 |
|
3,779 |
3,157 |
$10K |
| 83519 |
|
968 |
422 |
$10K |
| 95700 |
|
89 |
81 |
$10K |
| 29581 |
|
62 |
27 |
$10K |
| 86036 |
|
832 |
732 |
$10K |
| 36600 |
|
513 |
470 |
$10K |
| 86146 |
|
1,020 |
351 |
$10K |
| 82390 |
|
799 |
723 |
$10K |
| 72170 |
|
1,108 |
941 |
$10K |
| 83521 |
|
1,399 |
641 |
$10K |
| 84244 |
|
413 |
369 |
$9K |
| 86255 |
|
1,209 |
105 |
$9K |
| 67228 |
|
41 |
38 |
$9K |
| 84134 |
|
1,033 |
856 |
$9K |
| 73000 |
|
178 |
156 |
$9K |
| 85049 |
|
2,533 |
1,795 |
$9K |
| 72200 |
|
187 |
157 |
$9K |
| 86707 |
|
406 |
352 |
$9K |
| 87154 |
|
107 |
84 |
$9K |
| 84681 |
|
776 |
663 |
$9K |
| 86880 |
|
674 |
481 |
$9K |
| 80323 |
|
301 |
293 |
$9K |
| 99204 |
|
135 |
135 |
$8K |
| 51798 |
|
713 |
566 |
$8K |
| 92285 |
|
193 |
172 |
$8K |
| J0881 |
Darbepoetin alfa, non-esrd |
122 |
74 |
$8K |
| 81379 |
|
64 |
57 |
$8K |
| 82164 |
|
503 |
434 |
$8K |
| 88142 |
|
528 |
512 |
$8K |
| 93303 |
|
27 |
25 |
$8K |
| 83525 |
|
394 |
308 |
$8K |
| 92611 |
|
85 |
75 |
$7K |
| 86800 |
|
374 |
342 |
$7K |
| 82952 |
|
469 |
437 |
$7K |
| 80164 |
|
599 |
506 |
$7K |
| 86705 |
|
364 |
332 |
$7K |
| 58301 |
|
62 |
55 |
$7K |
| 81003 |
|
7,041 |
6,419 |
$7K |
| 85379 |
|
2,763 |
2,322 |
$7K |
| 84144 |
|
215 |
174 |
$7K |
| 82140 |
|
1,037 |
820 |
$7K |
| 86709 |
|
738 |
607 |
$7K |
| 62370 |
|
129 |
112 |
$6K |
| 84132 |
|
3,199 |
2,339 |
$6K |
| 86920 |
|
418 |
102 |
$6K |
| 82104 |
|
641 |
581 |
$6K |
| 86765 |
|
491 |
428 |
$6K |
| 83010 |
|
637 |
558 |
$6K |
| 73020 |
|
83 |
76 |
$6K |
| 96368 |
|
319 |
253 |
$6K |
| 94799 |
|
131 |
128 |
$6K |
| G0297 |
Ldct for lung ca screen |
43 |
41 |
$6K |
| 75565 |
|
549 |
506 |
$6K |
| 84182 |
|
358 |
95 |
$6K |
| J1756 |
Iron sucrose injection |
80 |
29 |
$6K |
| 73718 |
|
31 |
27 |
$6K |
| 76514 |
|
562 |
520 |
$6K |
| 29916 |
|
13 |
13 |
$6K |
| 82150 |
|
1,010 |
713 |
$6K |
| 88342 |
|
2,391 |
1,660 |
$6K |
| 80178 |
|
383 |
321 |
$6K |
| 82172 |
|
362 |
323 |
$6K |
| 87350 |
|
333 |
290 |
$5K |
| 92225 |
|
262 |
148 |
$5K |
| 93880 |
|
89 |
84 |
$5K |
| 12011 |
|
31 |
30 |
$5K |
| 85045 |
|
1,828 |
1,215 |
$5K |
| 86037 |
|
351 |
291 |
$5K |
| 81050 |
|
614 |
560 |
$5K |
| 82950 |
|
896 |
849 |
$5K |
| 73702 |
|
15 |
13 |
$5K |
| 86301 |
|
325 |
293 |
$5K |
| 88173 |
|
965 |
434 |
$5K |
| 73723 |
|
12 |
12 |
$5K |
| 87449 |
|
1,230 |
586 |
$5K |
| J3475 |
Inj magnesium sulfate |
3,424 |
2,205 |
$5K |
| 86735 |
|
219 |
207 |
$5K |
| 86231 |
|
271 |
178 |
$5K |
| G0008 |
Admin influenza virus vac |
1,252 |
1,091 |
$5K |
| 64445 |
|
23 |
15 |
$5K |
| 84446 |
|
527 |
474 |
$4K |
| G0257 |
Unsched dialysis esrd pt hos |
409 |
170 |
$4K |
| J2543 |
Piperacillin/tazobactam |
1,103 |
508 |
$4K |
| 86258 |
|
374 |
175 |
$4K |
| 74181 |
|
17 |
12 |
$4K |
| 11981 |
|
21 |
13 |
$4K |
| 29823 |
|
63 |
36 |
$4K |
| 95908 |
|
208 |
204 |
$4K |
| 82436 |
|
823 |
610 |
$4K |
| 83498 |
|
241 |
207 |
$4K |
| 74019 |
|
200 |
169 |
$4K |
| 86304 |
|
239 |
198 |
$4K |
| 72193 |
|
13 |
12 |
$4K |
| 89051 |
|
852 |
712 |
$4K |
| 84300 |
|
1,122 |
853 |
$4K |
| 87206 |
|
1,296 |
834 |
$4K |
| 76937 |
|
401 |
314 |
$4K |
| J1611 |
Inj glucagon hcl, fresenius |
63 |
48 |
$4K |
| J3370 |
Vancomycin hcl injection |
3,306 |
1,756 |
$4K |
| 87116 |
|
1,295 |
827 |
$4K |
| 82610 |
|
366 |
335 |
$4K |
| 73223 |
|
13 |
13 |
$3K |
| 82523 |
|
343 |
313 |
$3K |
| 76821 |
|
45 |
12 |
$3K |
| 85613 |
|
830 |
539 |
$3K |
| 84145 |
|
980 |
777 |
$3K |
| 0346T |
|
33 |
31 |
$3K |
| 87075 |
|
1,073 |
738 |
$3K |
| 80169 |
|
144 |
91 |
$3K |
| G0390 |
Trauma respons w/hosp criti |
598 |
488 |
$3K |
| 87102 |
|
1,353 |
918 |
$3K |
| 72192 |
|
19 |
13 |
$3K |
| 85670 |
|
688 |
594 |
$3K |
| 82024 |
|
128 |
98 |
$3K |
| 84155 |
|
590 |
525 |
$3K |
| 51702 |
|
295 |
249 |
$3K |
| 88313 |
|
1,303 |
533 |
$3K |
| J2270 |
Morphine sulfate injection |
4,220 |
2,588 |
$3K |
| 00142 |
|
2,789 |
2,054 |
$3K |
| 82085 |
|
225 |
192 |
$3K |
| J8501 |
Oral aprepitant |
213 |
154 |
$3K |
| 80177 |
|
410 |
347 |
$3K |
| 82010 |
|
1,093 |
782 |
$3K |
| J2310 |
Inj naloxone hydrochloride |
270 |
165 |
$3K |
| M0239 |
Bamlanivimab-xxxx infusion |
37 |
33 |
$3K |
| 80158 |
|
211 |
165 |
$3K |
| 82652 |
|
279 |
241 |
$3K |
| 88365 |
|
37 |
14 |
$3K |
| 87109 |
|
138 |
135 |
$3K |
| 86905 |
|
140 |
28 |
$2K |
| 86335 |
|
43 |
39 |
$2K |
| 84133 |
|
860 |
634 |
$2K |
| 84478 |
|
439 |
316 |
$2K |
| 76881 |
|
16 |
14 |
$2K |
| 76825 |
|
12 |
12 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
33,104 |
19,568 |
$2K |
| 95992 |
|
24 |
16 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
14,553 |
9,969 |
$2K |
| 92610 |
|
79 |
58 |
$2K |
| 97014 |
|
26 |
12 |
$2K |
| 95819 |
|
15 |
12 |
$2K |
| 80348 |
|
873 |
576 |
$2K |
| 87653 |
|
185 |
181 |
$2K |
| 00811 |
|
956 |
799 |
$2K |
| J0171 |
Adrenalin epinephrine inject |
4,003 |
2,894 |
$2K |
| 86618 |
|
217 |
197 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
4,299 |
2,747 |
$2K |
| 81256 |
|
15 |
13 |
$2K |
| 83935 |
|
645 |
434 |
$2K |
| 81382 |
|
93 |
74 |
$2K |
| 80202 |
|
135 |
80 |
$2K |
| 72220 |
|
35 |
30 |
$2K |
| 92060 |
|
17 |
16 |
$2K |
| J1100 |
Dexamethasone sodium phos |
13,070 |
9,963 |
$2K |
| 85384 |
|
634 |
464 |
$2K |
| J1953 |
Levetiracetam injection |
436 |
277 |
$2K |
| 64488 |
|
13 |
12 |
$2K |
| H2020 |
Ther behav svc, per diem |
47 |
15 |
$2K |
| J0780 |
Prochlorperazine injection |
3,625 |
2,513 |
$2K |
| 83090 |
|
341 |
312 |
$2K |
| 83930 |
|
809 |
635 |
$2K |
| 72083 |
|
26 |
17 |
$2K |
| 00840 |
|
675 |
465 |
$2K |
| J1644 |
Inj heparin sodium per 1000u |
4,916 |
2,239 |
$2K |
| 86308 |
|
278 |
217 |
$2K |
| 86828 |
|
43 |
40 |
$2K |
| J3411 |
Thiamine hcl 100 mg |
824 |
214 |
$2K |
| M0245 |
Bamlan and etesev infusion |
12 |
12 |
$2K |
| 86337 |
|
76 |
68 |
$2K |
| J0692 |
Cefepime hcl for injection |
1,121 |
582 |
$2K |
| 0753T |
|
1,725 |
1,657 |
$2K |
| 87624 |
|
71 |
68 |
$2K |
| 84432 |
|
70 |
64 |
$2K |
| 76942 |
|
1,198 |
895 |
$2K |
| 81596 |
|
26 |
26 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
22,085 |
17,812 |
$2K |
| J0295 |
Ampicillin sulbactam 1.5 gm |
1,917 |
740 |
$2K |
| 84295 |
|
2,015 |
1,343 |
$2K |
| 76827 |
|
13 |
12 |
$2K |
| 88304 |
|
1,006 |
739 |
$2K |
| 31629 |
|
17 |
12 |
$1K |
| 00400 |
|
366 |
292 |
$1K |
| 80179 |
|
962 |
804 |
$1K |
| 80195 |
|
152 |
109 |
$1K |
| 82239 |
|
92 |
77 |
$1K |
| J0689 |
Inj cefazolin sodium, baxter |
6,753 |
4,673 |
$1K |
| 00170 |
|
279 |
240 |
$1K |
| C2625 |
Stent, non-cor, tem w/del sy |
648 |
529 |
$1K |
| 00537 |
|
18 |
12 |
$1K |
| 31628 |
|
20 |
13 |
$1K |
| G0237 |
Therapeutic procd strg endur |
29 |
28 |
$1K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
21,529 |
17,554 |
$1K |
| 01922 |
|
13 |
12 |
$1K |
| 99152 |
|
403 |
367 |
$1K |
| 80299 |
|
136 |
126 |
$1K |
| 29826 |
|
17 |
14 |
$1K |
| 00790 |
|
349 |
287 |
$1K |
| 85732 |
|
334 |
266 |
$1K |
| J0330 |
Succinycholine chloride inj |
2,983 |
1,765 |
$1K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
2,715 |
2,069 |
$1K |
| 87385 |
|
109 |
78 |
$1K |
| J2405 |
Ondansetron hcl injection |
26,326 |
17,614 |
$1K |
| Q0162 |
Ondansetron oral |
4,963 |
3,503 |
$1K |
| 93356 |
|
129 |
126 |
$1K |
| J1250 |
Inj dobutamine hcl/250 mg |
316 |
251 |
$1K |
| V2632 |
Post chmbr intraocular lens |
174 |
144 |
$1K |
| 82378 |
|
120 |
106 |
$1K |
| 90656 |
|
101 |
99 |
$1K |
| J3010 |
Fentanyl citrate injection |
23,884 |
17,598 |
$1K |
| 80321 |
|
56 |
53 |
$1K |
| 80175 |
|
118 |
105 |
$1K |
| J2550 |
Promethazine hcl injection |
1,608 |
940 |
$998.46 |
| 01810 |
|
1,208 |
936 |
$994.51 |
| C1781 |
Mesh (implantable) |
267 |
210 |
$972.97 |
| 77002 |
|
145 |
120 |
$958.38 |
| 82542 |
|
70 |
55 |
$947.09 |
| J0360 |
Hydralazine hcl injection |
1,081 |
759 |
$918.51 |
| C9113 |
Inj pantoprazole sodium, via |
324 |
159 |
$902.12 |
| J3301 |
Triamcinolone acet inj nos |
2,894 |
2,580 |
$895.84 |
| 70355 |
|
53 |
40 |
$866.11 |
| J0736 |
Inj, clindamycin phosp 300mg |
471 |
309 |
$861.38 |
| 00300 |
|
496 |
403 |
$856.69 |
| J2001 |
Lidocaine injection |
5,029 |
4,080 |
$847.57 |
| C1769 |
Guide wire |
2,936 |
2,281 |
$823.08 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
3,257 |
2,366 |
$818.76 |
| 00520 |
|
332 |
252 |
$778.36 |
| 00145 |
|
464 |
364 |
$754.77 |
| J1200 |
Diphenhydramine hcl injectio |
6,000 |
4,260 |
$754.74 |
| 84445 |
|
32 |
32 |
$708.98 |
| 90678 |
|
101 |
83 |
$703.70 |
| 20561 |
|
20 |
12 |
$678.42 |
| 01400 |
|
553 |
404 |
$670.54 |
| 99153 |
Mod sedat endo service >5yrs |
301 |
274 |
$656.22 |
| 84080 |
|
59 |
55 |
$637.08 |
| 89060 |
|
106 |
99 |
$632.37 |
| 84255 |
|
55 |
53 |
$613.00 |
| 92609 |
|
14 |
13 |
$590.87 |
| 87535 |
|
13 |
13 |
$563.40 |
| 00120 |
|
54 |
50 |
$549.54 |
| 82810 |
|
833 |
353 |
$548.83 |
| 70250 |
|
51 |
36 |
$546.55 |
| 83835 |
|
30 |
30 |
$541.86 |
| J1790 |
Droperidol injection |
2,044 |
1,536 |
$514.74 |
| 90472 |
|
128 |
87 |
$495.59 |
| J2060 |
Lorazepam injection |
2,118 |
1,431 |
$495.41 |
| 64636 |
|
90 |
59 |
$490.08 |
| C1894 |
Intro/sheath, non-laser |
2,314 |
1,832 |
$472.50 |
| 93352 |
|
44 |
30 |
$469.94 |
| J2919 |
Inj, methylpred sod succ 5mg |
1,008 |
815 |
$458.61 |
| 83695 |
|
50 |
49 |
$446.66 |
| J2930 |
Methylprednisolone injection |
2,117 |
1,443 |
$442.47 |
| Q0247 |
Sotrovimab |
87 |
85 |
$436.40 |
| 85549 |
|
66 |
58 |
$435.33 |
| 00732 |
|
510 |
349 |
$433.80 |
| 82805 |
|
455 |
423 |
$430.72 |
| 00320 |
|
154 |
65 |
$414.08 |
| J3480 |
Inj potassium chloride |
1,135 |
726 |
$408.97 |
| C1725 |
Cath, translumin non-laser |
278 |
204 |
$408.00 |
| 77012 |
|
89 |
71 |
$400.40 |
| 86363 |
|
49 |
40 |
$399.71 |
| 90662 |
|
35 |
28 |
$390.05 |
| 00812 |
|
131 |
110 |
$384.00 |
| 86777 |
|
41 |
30 |
$383.46 |
| A9500 |
Tc99m sestamibi |
755 |
621 |
$378.40 |
| 73565 |
|
12 |
12 |
$376.23 |
| J0690 |
Cefazolin sodium injection |
2,974 |
2,217 |
$375.28 |
| 85240 |
|
19 |
12 |
$360.23 |
| J1630 |
Haloperidol injection |
3,136 |
2,345 |
$336.00 |
| J2920 |
Methylprednisolone injection |
414 |
259 |
$335.66 |
| J1940 |
Furosemide injection |
1,351 |
715 |
$333.23 |
| J2795 |
Ropivacaine hcl injection |
3,462 |
2,243 |
$332.43 |
| J2765 |
Metoclopramide hcl injection |
1,526 |
941 |
$314.93 |
| 80159 |
|
16 |
12 |
$307.07 |
| 86053 |
|
41 |
37 |
$301.40 |
| 82375 |
|
495 |
453 |
$298.56 |
| J1580 |
Garamycin gentamicin inj |
303 |
232 |
$287.20 |
| 82945 |
|
462 |
377 |
$286.50 |
| 01830 |
|
404 |
288 |
$274.77 |
| J2598 |
Inj, vasopressin, 1 unit |
422 |
351 |
$262.81 |
| 82657 |
|
16 |
16 |
$259.41 |
| 80156 |
|
13 |
13 |
$242.63 |
| 88108 |
|
44 |
31 |
$241.25 |
| 82787 |
|
27 |
14 |
$233.84 |
| J0702 |
Betamethasone acet&sod phosp |
15 |
12 |
$229.48 |
| J7512 |
Prednisone ir or dr oral 1mg |
5,136 |
2,068 |
$226.72 |
| 76510 |
|
14 |
12 |
$226.70 |
| 82365 |
|
93 |
77 |
$224.77 |
| 84540 |
|
51 |
37 |
$191.85 |
| 36416 |
|
3,393 |
3,184 |
$188.41 |
| 36591 |
|
20 |
15 |
$187.34 |
| G8982 |
Body pos goal status |
176 |
160 |
$186.33 |
| G0475 |
Hiv combination assay |
537 |
517 |
$182.84 |
| 46600 |
|
139 |
132 |
$177.25 |
| 84157 |
|
458 |
372 |
$176.06 |
| 84252 |
|
14 |
13 |
$170.71 |
| G8979 |
Mobility goal status |
337 |
299 |
$160.81 |
| J0456 |
Azithromycin |
437 |
289 |
$159.89 |
| J8540 |
Oral dexamethasone |
583 |
393 |
$152.75 |
| C1729 |
Cath, drainage |
403 |
250 |
$151.44 |
| 86692 |
|
18 |
15 |
$151.17 |
| J2710 |
Neostigmine methylslfte inj |
1,545 |
1,128 |
$146.35 |
| J2785 |
Regadenoson injection |
140 |
134 |
$144.36 |
| 86645 |
|
17 |
15 |
$143.23 |
| G8978 |
Mobility current status |
299 |
274 |
$139.37 |
| G8981 |
Body pos current status |
142 |
131 |
$137.96 |
| 83518 |
|
17 |
16 |
$132.09 |
| J2470 |
Inj pantoprazole sodium 40mg |
228 |
131 |
$128.84 |
| 85300 |
|
30 |
28 |
$120.60 |
| 83050 |
|
480 |
436 |
$114.48 |
| 95907 |
|
429 |
409 |
$108.44 |
| J0461 |
Atropine sulfate injection |
88 |
69 |
$107.07 |
| 0752T |
|
165 |
157 |
$103.90 |
| 87635 |
|
447 |
387 |
$103.55 |
| J1805 |
Inj, esmolol hcl, 10mg |
571 |
483 |
$102.71 |
| 77001 |
|
79 |
56 |
$97.02 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
972 |
624 |
$95.52 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
1,138 |
990 |
$94.99 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
2,021 |
1,589 |
$94.84 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
4,956 |
4,241 |
$91.01 |
| J3489 |
Zoledronic acid 1mg |
19 |
19 |
$80.16 |
| J1030 |
Methylprednisolone 40 mg inj |
441 |
346 |
$75.99 |
| 88300 |
|
15 |
12 |
$74.50 |
| G1004 |
Cdsm ndsc |
1,256 |
915 |
$73.50 |
| J0737 |
Inj, clindamycin (baxter) |
112 |
97 |
$72.67 |
| J2370 |
Phenylephrine hcl injection |
372 |
250 |
$72.23 |
| 97164 |
|
15 |
13 |
$69.39 |
| J1836 |
Inj, metronidazole, 10 mg |
317 |
191 |
$67.10 |
| J0744 |
Ciprofloxacin iv |
425 |
301 |
$66.07 |
| 84436 |
|
13 |
13 |
$61.72 |
| J7120 |
Ringers lactate infusion |
509 |
452 |
$59.30 |
| 88312 |
|
60 |
26 |
$53.66 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
1,292 |
1,121 |
$52.21 |
| J0688 |
Inj cefazolin sodium, hikma |
463 |
402 |
$46.91 |
| J1920 |
Inj, labetalol hcl, 5mg |
939 |
709 |
$46.58 |
| 88311 |
|
15 |
13 |
$39.03 |
| A9573 |
Inj, gadopiclenol, 1 ml |
2,910 |
2,747 |
$38.26 |
| J3360 |
Diazepam injection |
35 |
26 |
$36.93 |
| Q9957 |
Inj perflutren lip micros,ml |
875 |
718 |
$36.00 |
| Q0164 |
Prochlorperazine maleate 5mg |
719 |
487 |
$32.47 |
| J1642 |
Inj heparin sodium per 10 u |
1,136 |
856 |
$31.73 |
| 0754T |
|
195 |
181 |
$28.84 |
| G0103 |
Psa screening |
102 |
82 |
$23.20 |
| J3260 |
Tobramycin sulfate injection |
20 |
15 |
$23.14 |
| 87210 |
|
12 |
12 |
$20.87 |
| A9585 |
Gadobutrol injection |
521 |
478 |
$18.24 |
| J7507 |
Tacrolimus imme rel oral 1mg |
196 |
63 |
$18.21 |
| J2720 |
Inj protamine sulfate/10 mg |
19 |
13 |
$17.96 |
| G8980 |
Mobility d/c status |
16 |
15 |
$16.89 |
| J1040 |
Methylprednisolone 80 mg inj |
224 |
197 |
$13.49 |
| J0173 |
Inj, epinephrine (belcher) |
372 |
333 |
$13.20 |
| J7517 |
Mycophenolate mofetil oral |
66 |
27 |
$8.66 |
| Q0169 |
Promethazine hcl 12.5mg oral |
423 |
233 |
$4.86 |
| 74328 |
|
245 |
180 |
$4.36 |
| 87305 |
|
26 |
12 |
$4.06 |
| J2004 |
Inj, lidocaine w epinephrine |
21 |
21 |
$3.75 |
| Q0243 |
Casirivimab and imdevimab |
119 |
63 |
$1.04 |
| J0612 |
Inj, calcium gluconate, nos |
50 |
38 |
$0.78 |
| Q0244 |
Casirivi and imdevi 1200 mg |
75 |
72 |
$0.67 |
| Q0239 |
Bamlanivimab-xxxx |
14 |
14 |
$0.14 |
| Q0245 |
Bamlanivimab and etesevima |
12 |
12 |
$0.06 |
| 00910 |
|
191 |
158 |
$0.00 |
| 00918 |
|
153 |
106 |
$0.00 |
| M0222 |
Bebtelovimab injection |
69 |
66 |
$0.00 |
| 00402 |
|
140 |
115 |
$0.00 |
| C1887 |
Catheter, guiding |
794 |
598 |
$0.00 |
| 00140 |
|
168 |
127 |
$0.00 |
| C1760 |
Closure dev, vasc |
250 |
185 |
$0.00 |
| 01630 |
|
274 |
183 |
$0.00 |
| 01202 |
|
12 |
12 |
$0.00 |
| A9541 |
Tc99m sulfur colloid |
500 |
445 |
$0.00 |
| 01402 |
|
34 |
27 |
$0.00 |
| C1874 |
Stent, coated/cov w/del sys |
31 |
24 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
108 |
107 |
$0.00 |
| C1762 |
Conn tiss, human(inc fascia) |
60 |
45 |
$0.00 |
| C1751 |
Cath, inf, per/cent/midline |
56 |
43 |
$0.00 |
| 76376 |
|
29 |
27 |
$0.00 |
| 88302 |
|
90 |
51 |
$0.00 |
| A9537 |
Tc99m mebrofenin |
13 |
12 |
$0.00 |
| C1730 |
Cath, ep, 19 or few elect |
269 |
219 |
$0.00 |
| 00902 |
|
60 |
51 |
$0.00 |
| C1726 |
Cath, bal dil, non-vascular |
946 |
733 |
$0.00 |
| 76377 |
|
898 |
784 |
$0.00 |
| 01214 |
|
82 |
62 |
$0.00 |
| 00813 |
|
450 |
379 |
$0.00 |
| 01480 |
|
224 |
173 |
$0.00 |
| C1889 |
Implant/insert device, noc |
16 |
15 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
236 |
224 |
$0.00 |
| A9503 |
Tc99m medronate |
89 |
88 |
$0.00 |
| J1720 |
Hydrocortisone sodium succ i |
19 |
13 |
$0.00 |
| 00160 |
|
56 |
43 |
$0.00 |
| 80349 |
|
15 |
13 |
$0.00 |
| 36226 |
|
36 |
27 |
$0.00 |
| C1778 |
Lead, neurostimulator |
14 |
12 |
$0.00 |
| 73501 |
|
29 |
25 |
$0.00 |
| 00952 |
|
14 |
12 |
$0.00 |