| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
254,256 |
221,123 |
$37.80M |
| 99213 |
|
274,996 |
237,695 |
$37.78M |
| 99284 |
|
175,786 |
163,664 |
$29.93M |
| 99283 |
|
159,323 |
153,385 |
$23.18M |
| 92507 |
|
162,110 |
60,686 |
$17.77M |
| U0004 |
Cov-19 test non-cdc hgh thru |
45,562 |
44,392 |
$9.97M |
| 99285 |
|
48,381 |
43,919 |
$9.01M |
| 69436 |
|
4,459 |
4,117 |
$8.44M |
| 97110 |
|
53,843 |
26,839 |
$6.75M |
| 99215 |
Prolong outpt/office vis |
34,362 |
31,442 |
$5.61M |
| 96361 |
|
10,992 |
7,746 |
$5.53M |
| 97530 |
|
36,439 |
14,960 |
$4.88M |
| 42820 |
|
3,188 |
2,848 |
$4.62M |
| D2930 |
|
5,173 |
4,905 |
$3.91M |
| 90834 |
|
15,167 |
9,597 |
$3.02M |
| 99282 |
|
21,440 |
20,923 |
$2.66M |
| 94640 |
|
14,598 |
8,587 |
$2.43M |
| G0378 |
Hospital observation per hr |
25,630 |
11,442 |
$2.29M |
| D7140 |
|
3,926 |
3,657 |
$2.22M |
| 41899 |
|
3,308 |
3,105 |
$2.14M |
| 99392 |
|
16,231 |
15,110 |
$2.10M |
| 99391 |
|
16,793 |
15,240 |
$2.09M |
| 96110 |
|
6,790 |
6,295 |
$2.01M |
| 96365 |
|
8,858 |
7,415 |
$1.90M |
| 95810 |
|
1,703 |
1,604 |
$1.70M |
| 93306 |
|
3,376 |
3,104 |
$1.49M |
| J1745 |
Infliximab not biosimil 10mg |
749 |
645 |
$1.45M |
| 90791 |
|
4,466 |
4,061 |
$1.42M |
| 87637 |
|
33,792 |
30,519 |
$1.39M |
| 96360 |
|
4,364 |
3,769 |
$1.39M |
| 42830 |
|
1,066 |
940 |
$1.37M |
| 92587 |
|
11,765 |
10,974 |
$1.35M |
| 70450 |
|
2,465 |
2,227 |
$1.29M |
| J2357 |
Omalizumab injection |
789 |
280 |
$1.28M |
| 90837 |
|
6,119 |
3,828 |
$1.23M |
| 96366 |
|
4,937 |
2,557 |
$1.18M |
| J3590 |
Unclassified biologics |
589 |
381 |
$1.13M |
| 99212 |
|
6,761 |
6,133 |
$1.02M |
| 95708 |
|
783 |
650 |
$974K |
| 90839 |
|
4,726 |
3,855 |
$955K |
| 95716 |
|
717 |
546 |
$936K |
| 0202U |
|
4,399 |
4,130 |
$919K |
| 95782 |
|
935 |
858 |
$915K |
| 92523 |
|
8,929 |
8,369 |
$904K |
| 76770 |
|
3,536 |
3,280 |
$886K |
| 93303 |
|
2,138 |
1,942 |
$884K |
| 99393 |
|
7,397 |
6,929 |
$876K |
| D1351 |
|
1,201 |
1,126 |
$796K |
| 43239 |
|
1,009 |
906 |
$777K |
| D3220 |
|
1,361 |
1,266 |
$743K |
| A0427 |
Als1-emergency |
5,135 |
4,917 |
$732K |
| 92526 |
|
5,701 |
2,874 |
$693K |
| J0585 |
Injection,onabotulinumtoxina |
1,035 |
523 |
$690K |
| 97165 |
|
3,947 |
3,670 |
$585K |
| 25600 |
|
1,265 |
1,174 |
$575K |
| 92567 |
|
12,605 |
11,714 |
$570K |
| 81229 |
|
784 |
729 |
$552K |
| D2331 |
|
776 |
719 |
$550K |
| D2330 |
|
858 |
782 |
$540K |
| 70551 |
|
1,447 |
1,286 |
$505K |
| 90847 |
|
1,915 |
1,484 |
$497K |
| 64643 |
|
632 |
519 |
$497K |
| 90460 |
|
44,669 |
40,586 |
$487K |
| 76705 |
|
4,577 |
4,004 |
$477K |
| 80053 |
|
31,746 |
27,179 |
$457K |
| 96127 |
|
3,565 |
3,100 |
$457K |
| 94010 |
|
13,603 |
12,620 |
$456K |
| 97162 |
|
3,634 |
3,299 |
$454K |
| 95004 |
|
4,774 |
4,480 |
$450K |
| 99211 |
|
3,292 |
2,722 |
$447K |
| 71046 |
|
37,957 |
34,980 |
$446K |
| 90832 |
|
3,337 |
2,367 |
$431K |
| A0434 |
Specialty care transport |
2,807 |
2,459 |
$414K |
| 97161 |
|
3,175 |
2,887 |
$413K |
| 87081 |
|
33,717 |
32,282 |
$409K |
| 74018 |
|
10,499 |
8,922 |
$405K |
| 70553 |
|
839 |
722 |
$392K |
| A0425 |
Ground mileage |
8,975 |
8,257 |
$383K |
| 99394 |
|
3,175 |
2,897 |
$370K |
| S0201 |
Partial hospitalization serv |
1,488 |
165 |
$368K |
| 92609 |
|
2,797 |
1,217 |
$350K |
| 95700 |
|
1,659 |
1,421 |
$341K |
| 90899 |
|
2,448 |
333 |
$321K |
| 01922 |
|
1,050 |
888 |
$306K |
| 83655 |
|
11,581 |
10,708 |
$306K |
| 12001 |
|
1,176 |
1,070 |
$300K |
| 97803 |
|
2,100 |
1,958 |
$275K |
| 12011 |
|
1,062 |
998 |
$271K |
| 92579 |
|
3,754 |
3,501 |
$260K |
| 76856 |
|
1,003 |
870 |
$258K |
| 42821 |
|
154 |
146 |
$255K |
| 76882 |
|
1,989 |
1,751 |
$253K |
| 92610 |
|
2,724 |
2,406 |
$249K |
| 82306 |
|
12,085 |
11,233 |
$246K |
| 93325 |
|
2,251 |
2,051 |
$244K |
| 97166 |
|
1,469 |
1,317 |
$236K |
| 95816 |
|
877 |
755 |
$231K |
| 93308 |
|
458 |
389 |
$217K |
| 95819 |
|
1,121 |
1,026 |
$211K |
| 96413 |
|
814 |
494 |
$200K |
| 73721 |
|
569 |
519 |
$198K |
| 90846 |
|
746 |
608 |
$189K |
| 87651 |
|
37,720 |
33,416 |
$189K |
| 26720 |
|
391 |
372 |
$185K |
| 84439 |
|
15,346 |
14,039 |
$184K |
| 41010 |
|
141 |
133 |
$180K |
| 93304 |
|
375 |
322 |
$179K |
| 80061 |
|
10,771 |
9,870 |
$178K |
| 90792 |
|
552 |
498 |
$177K |
| J0131 |
Inj, acetaminophen (nos) |
6,781 |
6,433 |
$171K |
| 74177 |
|
424 |
384 |
$169K |
| 87633 |
|
1,714 |
1,573 |
$168K |
| 93005 |
|
20,264 |
18,396 |
$168K |
| D2391 |
|
393 |
357 |
$163K |
| 36415 |
|
72,009 |
64,248 |
$163K |
| 92552 |
|
2,811 |
2,576 |
$161K |
| 54162 |
|
149 |
127 |
$160K |
| 93976 |
|
790 |
657 |
$160K |
| 84443 |
|
18,550 |
16,931 |
$155K |
| 12051 |
|
528 |
498 |
$150K |
| 94060 |
|
1,924 |
1,723 |
$149K |
| 90785 |
|
1,858 |
1,099 |
$146K |
| 90461 |
|
25,311 |
22,992 |
$144K |
| 87086 |
|
35,327 |
32,260 |
$142K |
| 97168 |
|
837 |
812 |
$139K |
| 45380 |
|
181 |
160 |
$138K |
| 67311 |
|
57 |
56 |
$133K |
| 96367 |
|
1,528 |
1,008 |
$132K |
| 85025 |
|
24,964 |
21,798 |
$127K |
| 97802 |
|
921 |
883 |
$126K |
| D2392 |
|
303 |
280 |
$125K |
| 74019 |
|
10,584 |
9,566 |
$124K |
| 87430 |
|
43,604 |
42,407 |
$124K |
| 76700 |
|
459 |
420 |
$124K |
| 92555 |
|
2,724 |
2,512 |
$122K |
| 83525 |
|
4,051 |
3,664 |
$119K |
| 83036 |
|
17,609 |
16,221 |
$118K |
| 54150 |
|
64 |
57 |
$115K |
| 92508 |
|
799 |
415 |
$114K |
| L8613 |
Ossicular implant |
1,722 |
1,452 |
$114K |
| 74230 |
|
503 |
457 |
$113K |
| 82728 |
|
9,381 |
8,116 |
$110K |
| D2390 |
|
299 |
274 |
$110K |
| 76885 |
|
709 |
630 |
$108K |
| 88262 |
|
626 |
570 |
$107K |
| 87801 |
|
5,646 |
5,386 |
$107K |
| 85014 |
|
9,098 |
8,433 |
$102K |
| J0561 |
Penicillin g benzathine inj |
741 |
609 |
$100K |
| 95076 |
|
351 |
310 |
$99K |
| 96112 |
|
292 |
289 |
$98K |
| 72082 |
|
2,545 |
2,359 |
$94K |
| 44970 |
|
30 |
28 |
$89K |
| 81243 |
|
514 |
482 |
$88K |
| 80048 |
|
8,238 |
7,067 |
$87K |
| 97116 |
|
1,927 |
1,029 |
$83K |
| 29075 |
|
411 |
373 |
$83K |
| 85007 |
|
19,599 |
15,721 |
$81K |
| 88230 |
|
649 |
575 |
$80K |
| 87491 |
|
3,134 |
2,681 |
$78K |
| 83516 |
|
6,017 |
4,806 |
$76K |
| 80307 |
|
3,920 |
2,521 |
$75K |
| 74240 |
|
314 |
276 |
$70K |
| 73610 |
|
4,524 |
3,861 |
$70K |
| 92652 |
|
869 |
787 |
$70K |
| 43762 |
|
306 |
274 |
$69K |
| 70491 |
|
131 |
118 |
$69K |
| 92557 |
|
627 |
565 |
$65K |
| 73630 |
|
4,722 |
3,990 |
$64K |
| 85027 |
|
24,487 |
20,065 |
$64K |
| 87502 |
|
715 |
700 |
$63K |
| 29065 |
|
334 |
282 |
$63K |
| 77072 |
|
1,510 |
1,395 |
$63K |
| 92582 |
|
1,039 |
920 |
$62K |
| 95117 |
|
1,665 |
485 |
$60K |
| 86140 |
|
11,658 |
10,078 |
$59K |
| 87507 |
|
711 |
655 |
$59K |
| 96372 |
|
7,175 |
5,255 |
$58K |
| A0429 |
Bls-emergency |
735 |
687 |
$58K |
| 97164 |
|
575 |
500 |
$56K |
| 86003 |
|
4,058 |
1,841 |
$56K |
| 76000 |
|
407 |
357 |
$56K |
| 70486 |
|
454 |
395 |
$55K |
| 73090 |
|
4,116 |
3,420 |
$54K |
| 85018 |
|
8,600 |
8,042 |
$53K |
| 92611 |
|
480 |
437 |
$51K |
| 27750 |
|
119 |
108 |
$51K |
| 64642 |
|
858 |
692 |
$50K |
| 97112 |
|
1,135 |
757 |
$50K |
| D1120 |
|
5,720 |
5,391 |
$49K |
| 73100 |
|
2,679 |
2,173 |
$49K |
| 72141 |
|
178 |
167 |
$48K |
| 87804 |
|
33,213 |
31,986 |
$48K |
| 76536 |
|
306 |
274 |
$48K |
| 92060 |
|
1,537 |
1,430 |
$47K |
| 73521 |
|
1,836 |
1,633 |
$47K |
| 28470 |
|
104 |
93 |
$47K |
| 88291 |
|
636 |
574 |
$47K |
| 82784 |
|
5,273 |
4,142 |
$47K |
| 73562 |
|
2,605 |
2,205 |
$44K |
| 73130 |
|
3,108 |
2,689 |
$44K |
| 74455 |
|
218 |
177 |
$44K |
| 73590 |
|
2,630 |
2,110 |
$42K |
| 26600 |
|
90 |
80 |
$42K |
| 16020 |
|
310 |
200 |
$40K |
| 10060 |
|
165 |
156 |
$40K |
| 87591 |
|
3,132 |
2,676 |
$39K |
| 97542 |
|
286 |
274 |
$39K |
| 73140 |
|
2,804 |
2,467 |
$39K |
| 87077 |
|
4,698 |
3,576 |
$39K |
| 17250 |
|
148 |
116 |
$38K |
| 64405 |
|
150 |
105 |
$38K |
| 82247 |
|
2,383 |
1,512 |
$37K |
| 80076 |
|
3,163 |
2,888 |
$36K |
| 72148 |
|
262 |
227 |
$36K |
| 86665 |
|
4,553 |
2,065 |
$36K |
| 00170 |
|
16,470 |
15,234 |
$35K |
| 82785 |
|
2,164 |
1,878 |
$34K |
| 70360 |
|
1,500 |
1,337 |
$34K |
| 82248 |
|
4,514 |
3,223 |
$33K |
| 93320 |
|
3,129 |
2,843 |
$32K |
| 73070 |
|
2,187 |
1,784 |
$31K |
| 29425 |
|
154 |
108 |
$29K |
| 86308 |
|
2,584 |
2,291 |
$29K |
| 82947 |
|
2,150 |
1,916 |
$29K |
| 72081 |
|
690 |
631 |
$28K |
| J0558 |
Peng benzathine/procaine inj |
158 |
135 |
$26K |
| 49452 |
|
75 |
54 |
$25K |
| D2332 |
|
53 |
52 |
$25K |
| 97163 |
|
207 |
184 |
$25K |
| 80069 |
|
1,615 |
1,290 |
$25K |
| 87186 |
|
5,021 |
3,839 |
$25K |
| 24640 |
|
58 |
50 |
$25K |
| 73110 |
|
1,009 |
867 |
$25K |
| 51600 |
|
218 |
177 |
$24K |
| 86663 |
|
2,349 |
2,065 |
$23K |
| 24530 |
|
48 |
47 |
$23K |
| 87070 |
|
3,231 |
2,687 |
$23K |
| 97140 |
|
629 |
397 |
$23K |
| 81000 |
|
6,361 |
5,590 |
$23K |
| 20680 |
|
19 |
12 |
$23K |
| 23500 |
|
41 |
41 |
$22K |
| 92556 |
|
2,254 |
2,032 |
$22K |
| 87426 |
|
8,010 |
7,829 |
$21K |
| 92522 |
|
174 |
173 |
$21K |
| 85651 |
|
8,392 |
7,377 |
$21K |
| 83735 |
|
3,523 |
2,531 |
$21K |
| 95953 |
|
38 |
26 |
$20K |
| 81003 |
|
14,985 |
13,579 |
$20K |
| 81479 |
|
444 |
387 |
$20K |
| 83021 |
|
2,120 |
1,935 |
$20K |
| 87806 |
|
1,189 |
1,029 |
$20K |
| 97032 |
|
210 |
111 |
$20K |
| 83993 |
|
907 |
810 |
$20K |
| 83540 |
|
2,137 |
1,903 |
$20K |
| 82977 |
|
3,044 |
2,485 |
$19K |
| 86664 |
|
2,349 |
2,065 |
$19K |
| 85610 |
|
3,194 |
2,689 |
$18K |
| 96374 |
|
6,721 |
5,668 |
$18K |
| 87635 |
|
1,159 |
1,091 |
$18K |
| 80320 |
|
769 |
615 |
$18K |
| 84466 |
|
2,011 |
1,794 |
$18K |
| 54161 |
|
20 |
12 |
$18K |
| 90697 |
|
1,394 |
1,363 |
$18K |
| 74183 |
|
32 |
29 |
$18K |
| 73552 |
|
1,316 |
1,075 |
$17K |
| 93225 |
|
404 |
352 |
$17K |
| 72100 |
|
850 |
770 |
$17K |
| 84146 |
|
563 |
505 |
$17K |
| 84450 |
|
2,325 |
2,072 |
$17K |
| 86376 |
|
1,484 |
1,312 |
$17K |
| 73560 |
|
947 |
763 |
$16K |
| 73030 |
|
1,013 |
876 |
$16K |
| J1756 |
Iron sucrose injection |
921 |
488 |
$16K |
| 86008 |
|
1,270 |
574 |
$15K |
| 71260 |
|
26 |
26 |
$15K |
| 93268 |
|
336 |
285 |
$14K |
| 84460 |
|
2,307 |
2,059 |
$14K |
| 73000 |
|
844 |
742 |
$14K |
| 86900 |
|
785 |
678 |
$14K |
| 72070 |
|
647 |
583 |
$14K |
| 86481 |
|
509 |
442 |
$14K |
| D2335 |
|
14 |
14 |
$14K |
| 85240 |
|
677 |
586 |
$13K |
| 85244 |
|
620 |
554 |
$13K |
| 29405 |
|
64 |
40 |
$13K |
| 80197 |
|
425 |
238 |
$13K |
| 92553 |
|
211 |
179 |
$13K |
| 86592 |
|
1,055 |
918 |
$13K |
| 76800 |
|
75 |
70 |
$13K |
| 81001 |
|
12,455 |
11,253 |
$13K |
| 84100 |
|
3,025 |
2,128 |
$12K |
| 87205 |
|
3,326 |
2,651 |
$12K |
| 29515 |
|
63 |
62 |
$12K |
| 72040 |
|
819 |
746 |
$12K |
| 94664 |
|
1,771 |
1,574 |
$12K |
| 31575 |
|
52 |
36 |
$11K |
| 87088 |
|
2,468 |
2,343 |
$11K |
| 95012 |
|
387 |
344 |
$11K |
| 76825 |
|
285 |
240 |
$11K |
| 99203 |
|
157 |
146 |
$11K |
| 86039 |
|
509 |
467 |
$10K |
| J0735 |
Clonidine hydrochloride |
903 |
768 |
$10K |
| 84305 |
|
723 |
664 |
$10K |
| 73060 |
|
831 |
719 |
$10K |
| 85245 |
|
660 |
580 |
$10K |
| D2140 |
|
14 |
13 |
$10K |
| 86800 |
|
1,413 |
1,232 |
$10K |
| 29125 |
|
137 |
132 |
$10K |
| 86850 |
|
452 |
378 |
$10K |
| 85247 |
|
664 |
569 |
$10K |
| 90658 |
|
1,133 |
1,104 |
$10K |
| 73660 |
|
725 |
627 |
$10K |
| 81025 |
|
10,612 |
9,374 |
$10K |
| 82607 |
|
700 |
619 |
$10K |
| 76870 |
|
175 |
139 |
$10K |
| 99219 |
|
222 |
188 |
$9K |
| 70220 |
|
265 |
237 |
$9K |
| 83001 |
|
661 |
555 |
$9K |
| 83721 |
|
689 |
637 |
$9K |
| 72170 |
|
458 |
412 |
$9K |
| 90670 |
|
1,272 |
1,228 |
$9K |
| 41115 |
|
16 |
16 |
$9K |
| 90686 |
|
872 |
820 |
$9K |
| 36416 |
|
9,275 |
7,697 |
$9K |
| 85730 |
|
3,023 |
2,556 |
$9K |
| 76506 |
|
65 |
52 |
$9K |
| 86317 |
|
566 |
246 |
$9K |
| 90378 |
|
58 |
54 |
$9K |
| 90648 |
|
930 |
897 |
$8K |
| 86803 |
|
644 |
582 |
$8K |
| 92511 |
|
52 |
49 |
$8K |
| 82803 |
|
1,309 |
1,029 |
$8K |
| 87661 |
|
1,436 |
1,219 |
$8K |
| 93321 |
|
473 |
402 |
$8K |
| 87340 |
|
506 |
447 |
$8K |
| 73502 |
|
277 |
247 |
$8K |
| 82670 |
|
408 |
330 |
$8K |
| 83002 |
|
685 |
580 |
$8K |
| 86706 |
|
478 |
405 |
$8K |
| 82397 |
|
879 |
776 |
$8K |
| 82139 |
|
333 |
269 |
$8K |
| 81244 |
|
42 |
38 |
$7K |
| 94799 |
|
115 |
73 |
$7K |
| 84403 |
|
670 |
573 |
$7K |
| 88307 |
|
39 |
26 |
$7K |
| 77075 |
|
27 |
25 |
$7K |
| 76010 |
|
804 |
668 |
$7K |
| 82962 |
|
3,967 |
2,283 |
$7K |
| 82570 |
|
1,260 |
1,033 |
$7K |
| 96101 |
|
28 |
26 |
$7K |
| 88305 |
|
2,475 |
1,256 |
$7K |
| 92607 |
|
56 |
50 |
$7K |
| 12002 |
|
30 |
29 |
$6K |
| 71045 |
|
909 |
766 |
$6K |
| 82550 |
|
1,343 |
1,094 |
$6K |
| 90471 |
|
497 |
489 |
$6K |
| 97167 |
|
27 |
24 |
$6K |
| 99204 |
|
94 |
84 |
$6K |
| 83690 |
|
3,842 |
3,297 |
$6K |
| 77077 |
|
424 |
392 |
$6K |
| 01999 |
|
36 |
30 |
$6K |
| 87040 |
|
1,864 |
1,459 |
$6K |
| 27786 |
|
14 |
13 |
$6K |
| 90715 |
|
570 |
517 |
$6K |
| 74270 |
|
25 |
25 |
$6K |
| 86160 |
|
612 |
294 |
$5K |
| 12031 |
|
12 |
12 |
$5K |
| 96376 |
|
1,467 |
898 |
$5K |
| 76827 |
|
285 |
240 |
$5K |
| 73564 |
|
275 |
239 |
$5K |
| 25560 |
|
16 |
12 |
$5K |
| 87581 |
|
357 |
352 |
$5K |
| 87493 |
|
181 |
114 |
$5K |
| 94644 |
|
1,239 |
1,064 |
$5K |
| 87045 |
|
234 |
203 |
$5K |
| J1050 |
Medroxyprogesterone acetate |
85 |
81 |
$5K |
| 85045 |
|
3,189 |
2,652 |
$5K |
| 99381 |
|
40 |
38 |
$5K |
| 99217 |
|
166 |
145 |
$5K |
| 84145 |
|
1,751 |
1,517 |
$5K |
| 25605 |
|
20 |
17 |
$5K |
| 29705 |
|
31 |
29 |
$5K |
| 00731 |
|
754 |
672 |
$4K |
| 97150 |
|
106 |
78 |
$4K |
| 87798 |
|
318 |
83 |
$4K |
| 25565 |
|
14 |
13 |
$4K |
| 96375 |
|
5,932 |
4,387 |
$4K |
| 82272 |
|
456 |
394 |
$4K |
| 86704 |
|
332 |
293 |
$4K |
| 90633 |
|
437 |
425 |
$4K |
| 83615 |
|
743 |
623 |
$4K |
| 96138 |
|
12 |
12 |
$4K |
| 99232 |
|
175 |
49 |
$4K |
| 82627 |
|
228 |
192 |
$4K |
| J7120 |
Ringers lactate infusion |
30,254 |
24,114 |
$4K |
| 90681 |
|
485 |
458 |
$4K |
| 82533 |
|
258 |
215 |
$4K |
| 74220 |
|
40 |
40 |
$4K |
| 29085 |
|
18 |
14 |
$4K |
| 70250 |
|
149 |
135 |
$4K |
| 77076 |
|
110 |
91 |
$3K |
| 87807 |
|
2,334 |
2,245 |
$3K |
| 97760 |
|
28 |
25 |
$3K |
| 00400 |
|
379 |
313 |
$3K |
| 87529 |
|
230 |
187 |
$3K |
| 85576 |
|
188 |
164 |
$3K |
| J7030 |
Normal saline solution infus |
15,292 |
12,366 |
$3K |
| 72146 |
|
72 |
66 |
$3K |
| 84270 |
|
255 |
206 |
$3K |
| 87046 |
|
277 |
205 |
$3K |
| 90723 |
|
636 |
611 |
$3K |
| 93010 |
|
402 |
378 |
$3K |
| 84703 |
|
1,537 |
1,323 |
$3K |
| 90674 |
|
224 |
187 |
$3K |
| 84156 |
|
854 |
707 |
$3K |
| 31526 |
|
22 |
12 |
$3K |
| 82540 |
|
216 |
154 |
$3K |
| 90657 |
|
334 |
325 |
$3K |
| 83520 |
|
393 |
364 |
$3K |
| 87338 |
|
123 |
89 |
$3K |
| 82610 |
|
186 |
148 |
$3K |
| J1100 |
Dexamethasone sodium phos |
33,846 |
29,356 |
$3K |
| 84550 |
|
658 |
579 |
$3K |
| 83498 |
|
237 |
194 |
$3K |
| 82330 |
|
828 |
661 |
$2K |
| 83789 |
|
220 |
158 |
$2K |
| 86256 |
|
149 |
119 |
$2K |
| Q4012 |
Cast sup sht arm ped fbrglas |
928 |
833 |
$2K |
| 87177 |
|
121 |
114 |
$2K |
| 86901 |
|
785 |
678 |
$2K |
| 82043 |
|
792 |
705 |
$2K |
| 84681 |
|
324 |
277 |
$2K |
| 82525 |
|
164 |
149 |
$2K |
| Q4008 |
Cast sup long arm ped fbrgls |
970 |
871 |
$2K |
| 94770 |
|
12 |
12 |
$2K |
| 00300 |
|
515 |
449 |
$2K |
| 69210 |
|
560 |
466 |
$2K |
| 82017 |
|
191 |
174 |
$2K |
| 99382 |
|
16 |
12 |
$2K |
| 99205 |
Prolong outpt/office vis |
25 |
24 |
$2K |
| 82103 |
|
174 |
145 |
$2K |
| Q4040 |
Cast sup shrt leg ped fbrgls |
272 |
231 |
$2K |
| 84630 |
|
186 |
160 |
$2K |
| 82373 |
|
159 |
142 |
$2K |
| 90677 |
|
188 |
174 |
$2K |
| 00160 |
|
65 |
55 |
$2K |
| 88304 |
|
2,360 |
1,879 |
$2K |
| 89230 |
|
28 |
24 |
$2K |
| 94645 |
|
115 |
95 |
$1K |
| 90661 |
|
141 |
138 |
$1K |
| 85384 |
|
444 |
360 |
$1K |
| J2704 |
Inj, propofol, 10 mg |
39,279 |
23,284 |
$1K |
| 83605 |
|
321 |
278 |
$1K |
| 84481 |
|
65 |
61 |
$1K |
| 00140 |
|
346 |
335 |
$1K |
| 84484 |
|
494 |
410 |
$1K |
| Q4014 |
Cast sup gauntlet fiberglass |
338 |
248 |
$1K |
| 87650 |
|
31 |
31 |
$1K |
| 82310 |
|
231 |
176 |
$1K |
| 83020 |
|
86 |
78 |
$1K |
| 82565 |
|
152 |
115 |
$1K |
| 82746 |
|
243 |
214 |
$1K |
| 87800 |
|
27 |
26 |
$1K |
| 90675 |
|
37 |
13 |
$1K |
| 82150 |
|
827 |
688 |
$1K |
| 73620 |
|
56 |
37 |
$1K |
| 00126 |
|
2,358 |
2,210 |
$1K |
| 82010 |
|
390 |
284 |
$1K |
| 96368 |
|
42 |
28 |
$1K |
| J7050 |
Normal saline solution infus |
12,761 |
7,404 |
$984.61 |
| 72197 |
|
31 |
28 |
$979.13 |
| J3480 |
Inj potassium chloride |
5,764 |
3,386 |
$947.18 |
| 82157 |
|
46 |
39 |
$911.35 |
| 70160 |
|
28 |
26 |
$894.64 |
| 80074 |
|
108 |
97 |
$886.56 |
| 00813 |
|
177 |
155 |
$863.44 |
| J2270 |
Morphine sulfate injection |
16,183 |
14,060 |
$853.01 |
| 83864 |
|
44 |
44 |
$840.06 |
| 86355 |
|
85 |
69 |
$789.21 |
| 73080 |
|
47 |
37 |
$765.06 |
| J2405 |
Ondansetron hcl injection |
41,066 |
25,771 |
$764.21 |
| 84436 |
|
87 |
76 |
$756.21 |
| 85660 |
|
199 |
183 |
$724.11 |
| 90840 |
|
134 |
118 |
$706.77 |
| 84134 |
|
58 |
50 |
$702.20 |
| 92583 |
|
49 |
43 |
$696.16 |
| 84446 |
|
93 |
80 |
$672.97 |
| J1885 |
Ketorolac tromethamine inj |
22,149 |
11,849 |
$646.02 |
| 87427 |
|
71 |
51 |
$638.12 |
| 80377 |
|
418 |
374 |
$623.32 |
| 88313 |
|
209 |
118 |
$600.20 |
| 87185 |
|
175 |
110 |
$592.98 |
| J0696 |
Ceftriaxone sodium injection |
2,814 |
1,757 |
$589.81 |
| 94760 |
|
18,893 |
17,822 |
$588.49 |
| Q4010 |
Cast sup sht arm adult fbrgl |
507 |
429 |
$558.23 |
| 80164 |
|
33 |
25 |
$551.12 |
| 97535 |
|
16 |
13 |
$545.87 |
| 86359 |
|
129 |
105 |
$543.38 |
| 83695 |
|
77 |
71 |
$523.92 |
| 99238 |
|
27 |
25 |
$516.34 |
| 84295 |
|
649 |
510 |
$506.88 |
| 84132 |
|
691 |
549 |
$502.24 |
| 86360 |
|
127 |
104 |
$494.25 |
| 90716 |
|
55 |
53 |
$482.50 |
| 86430 |
|
40 |
39 |
$475.83 |
| J3010 |
Fentanyl citrate injection |
10,164 |
8,869 |
$446.62 |
| 82438 |
|
28 |
24 |
$434.70 |
| 00840 |
|
231 |
209 |
$431.72 |
| J7121 |
5% dextrose in lac ringers |
321 |
224 |
$419.98 |
| 69200 |
|
41 |
39 |
$418.94 |
| J1642 |
Inj heparin sodium per 10 u |
1,972 |
1,193 |
$411.75 |
| 86357 |
|
85 |
69 |
$394.59 |
| 29105 |
|
13 |
12 |
$376.81 |
| 82465 |
|
84 |
81 |
$373.65 |
| 90651 |
|
37 |
37 |
$357.60 |
| 83519 |
|
23 |
12 |
$335.77 |
| 84590 |
|
68 |
55 |
$331.58 |
| 82653 |
|
16 |
14 |
$309.32 |
| 86231 |
|
14 |
14 |
$306.55 |
| 87522 |
Neg quan hep c or qual rna |
38 |
37 |
$298.24 |
| 90696 |
|
30 |
30 |
$289.60 |
| 90707 |
|
52 |
50 |
$289.45 |
| 84155 |
|
84 |
59 |
$280.13 |
| J0737 |
Inj, clindamycin (baxter) |
378 |
192 |
$276.69 |
| 90700 |
|
40 |
40 |
$264.05 |
| J0780 |
Prochlorperazine injection |
775 |
645 |
$263.19 |
| 80299 |
|
12 |
12 |
$240.33 |
| 86225 |
|
30 |
29 |
$236.31 |
| 40806 |
|
13 |
13 |
$231.09 |
| 30300 |
|
12 |
12 |
$230.65 |
| 90710 |
|
44 |
44 |
$228.35 |
| Q4032 |
Cast sup lng leg ped fbrgls |
75 |
65 |
$213.39 |
| 92551 |
|
35 |
34 |
$197.48 |
| 84300 |
|
118 |
110 |
$185.66 |
| 83986 |
|
14 |
13 |
$183.52 |
| 99225 |
|
47 |
17 |
$178.44 |
| 95250 |
|
32 |
31 |
$175.91 |
| 90734 |
|
29 |
29 |
$171.60 |
| 87449 |
|
13 |
12 |
$170.10 |
| 84075 |
|
31 |
28 |
$166.49 |
| Q0162 |
Ondansetron oral |
878 |
865 |
$165.47 |
| 84480 |
|
14 |
13 |
$157.38 |
| 94761 |
|
7,078 |
4,607 |
$155.64 |
| 90620 |
|
16 |
16 |
$150.60 |
| J7613 |
Albuterol non-comp unit |
7,086 |
5,774 |
$148.01 |
| J7510 |
Prednisolone oral per 5 mg |
887 |
641 |
$147.50 |
| Q0163 |
Diphenhydramine hcl 50mg |
992 |
789 |
$133.72 |
| J2250 |
Inj midazolam hydrochloride |
1,076 |
800 |
$133.32 |
| 87385 |
|
14 |
12 |
$132.69 |
| J1200 |
Diphenhydramine hcl injectio |
1,689 |
1,214 |
$131.59 |
| J1170 |
Hydromorphone injection |
1,305 |
832 |
$131.25 |
| 84376 |
|
12 |
12 |
$126.26 |
| J7040 |
Normal saline solution infus |
2,491 |
1,804 |
$122.92 |
| J7620 |
Albuterol ipratrop non-comp |
7,718 |
6,473 |
$121.64 |
| 80360 |
|
17 |
13 |
$118.97 |
| J0134 |
Inj acetaminophen -fresenius |
806 |
633 |
$113.26 |
| 88104 |
|
135 |
99 |
$105.62 |
| J2795 |
Ropivacaine hcl injection |
1,761 |
1,411 |
$104.91 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,092 |
1,338 |
$104.50 |
| Q4038 |
Cast sup shrt leg fiberglass |
150 |
131 |
$101.70 |
| 85044 |
|
133 |
119 |
$98.28 |
| Q4006 |
Cast sup long arm adult fbrg |
41 |
26 |
$94.05 |
| 86644 |
|
12 |
12 |
$92.22 |
| 90733 |
|
26 |
26 |
$90.35 |
| 85250 |
|
13 |
13 |
$88.84 |
| 82390 |
|
12 |
12 |
$77.43 |
| J7042 |
5% dextrose/normal saline |
1,436 |
1,039 |
$74.68 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
1,124 |
612 |
$69.76 |
| J0690 |
Cefazolin sodium injection |
1,893 |
1,273 |
$66.12 |
| 84311 |
|
205 |
63 |
$63.09 |
| 85670 |
|
14 |
13 |
$58.26 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
566 |
528 |
$56.15 |
| J0688 |
Inj cefazolin sodium, hikma |
930 |
682 |
$48.17 |
| 86645 |
|
12 |
12 |
$46.12 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
194 |
84 |
$42.25 |
| J2920 |
Methylprednisolone injection |
259 |
198 |
$40.76 |
| 90480 |
|
490 |
426 |
$39.94 |
| J0330 |
Succinycholine chloride inj |
1,400 |
841 |
$38.78 |
| J0137 |
Inj, acetaminophen (hikma) |
142 |
103 |
$38.04 |
| J0171 |
Adrenalin epinephrine inject |
369 |
278 |
$37.66 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
1,458 |
1,280 |
$32.50 |
| 84378 |
|
18 |
13 |
$30.06 |
| 90472 |
|
25 |
24 |
$27.36 |
| J3475 |
Inj magnesium sulfate |
273 |
226 |
$25.86 |
| J8540 |
Oral dexamethasone |
122 |
99 |
$22.56 |
| J2004 |
Inj, lidocaine w epinephrine |
390 |
297 |
$21.24 |
| J2919 |
Inj, methylpred sod succ 5mg |
144 |
120 |
$19.74 |
| J9370 |
Vincristine sulfate 1 mg inj |
19 |
12 |
$19.64 |
| 88342 |
|
70 |
53 |
$12.66 |
| J1626 |
Granisetron hcl injection |
494 |
235 |
$9.87 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
416 |
106 |
$9.22 |
| 80230 |
|
44 |
42 |
$5.93 |
| J7060 |
5% dextrose/water |
88 |
29 |
$3.64 |
| 89051 |
|
113 |
81 |
$2.90 |
| J7644 |
Ipratropium bromide non-comp |
101 |
90 |
$2.62 |
| J1836 |
Inj, metronidazole, 10 mg |
46 |
38 |
$1.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
66 |
26 |
$0.60 |
| J2001 |
Lidocaine injection |
894 |
383 |
$0.34 |
| 00920 |
|
705 |
649 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
351 |
326 |
$0.00 |
| 95957 |
|
14 |
13 |
$0.00 |
| 01820 |
|
17 |
17 |
$0.00 |
| 69209 |
|
78 |
51 |
$0.00 |
| J0136 |
Inj, acetaminophen (b braun) |
36 |
27 |
$0.00 |
| Q9958 |
Hocm <=149 mg/ml iodine, 1ml |
482 |
267 |
$0.00 |
| J2930 |
Methylprednisolone injection |
34 |
25 |
$0.00 |
| 0071A |
|
26 |
19 |
$0.00 |
| 0124A |
|
14 |
13 |
$0.00 |
| 00120 |
|
92 |
78 |
$0.00 |
| 0072A |
|
26 |
26 |
$0.00 |
| Q4016 |
Cast sup gauntlet ped fbrgls |
27 |
27 |
$0.00 |
| C1889 |
Implant/insert device, noc |
1,013 |
815 |
$0.00 |
| C1769 |
Guide wire |
808 |
650 |
$0.00 |
| 0082A |
|
53 |
27 |
$0.00 |
| 01480 |
|
34 |
27 |
$0.00 |
| 87073 |
|
18 |
14 |
$0.00 |
| 01400 |
|
17 |
12 |
$0.00 |
| 0081A |
|
66 |
27 |
$0.00 |
| 0173A |
|
92 |
67 |
$0.00 |
| J0687 |
Inj cefazolin (wg crit care) |
16 |
16 |
$0.00 |