| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0510 |
|
58,413 |
52,167 |
$2.49M |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
1,787 |
1,755 |
$1.96M |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
2,892 |
2,837 |
$1.85M |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
34,561 |
30,126 |
$1.76M |
| 95782 |
|
1,095 |
1,085 |
$1.36M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,107 |
5,187 |
$1.20M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
3,517 |
3,403 |
$1.15M |
| 0360 |
|
6,014 |
3,010 |
$1.13M |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
2,788 |
2,780 |
$1.12M |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
11,679 |
11,042 |
$1.09M |
| J1745 |
Injection, infliximab, excludes biosimilar, 10 mg |
228 |
216 |
$995K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
2,705 |
2,596 |
$916K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
11,779 |
5,274 |
$865K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
10,434 |
9,415 |
$692K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
9,936 |
6,516 |
$678K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
5,015 |
4,696 |
$536K |
| 93325 |
|
4,021 |
3,830 |
$519K |
| 80053 |
Comprehensive metabolic panel |
20,146 |
16,722 |
$456K |
| 0762 |
|
6,102 |
4,619 |
$416K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
32,482 |
26,584 |
$382K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
3,378 |
3,361 |
$363K |
| J1569 |
Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg |
155 |
68 |
$356K |
| 92587 |
|
6,406 |
6,371 |
$353K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
697 |
691 |
$327K |
| 93320 |
|
2,665 |
2,528 |
$296K |
| 76813 |
|
4,042 |
3,610 |
$285K |
| 0710 |
|
4,792 |
4,664 |
$283K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
8,026 |
7,939 |
$269K |
| 59025 |
Fetal non-stress test |
10,657 |
5,100 |
$257K |
| 84443 |
Thyroid stimulating hormone (TSH) |
9,572 |
9,452 |
$245K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
5,615 |
5,414 |
$235K |
| 92550 |
|
3,807 |
3,787 |
$229K |
| 92557 |
|
3,270 |
3,258 |
$219K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
2,239 |
1,802 |
$218K |
| 74183 |
|
593 |
581 |
$215K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
399 |
398 |
$206K |
| 92567 |
|
6,126 |
6,106 |
$202K |
| 97139 |
|
9,037 |
2,343 |
$188K |
| 87799 |
|
2,662 |
1,492 |
$183K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
4,073 |
2,148 |
$175K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
3,422 |
2,088 |
$175K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
913 |
783 |
$163K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,454 |
1,407 |
$162K |
| 72197 |
|
510 |
504 |
$147K |
| 92522 |
|
1,158 |
1,134 |
$138K |
| 86003 |
|
1,400 |
1,069 |
$137K |
| J3490 |
Unclassified drugs |
7,493 |
3,416 |
$134K |
| 83735 |
|
12,313 |
8,306 |
$133K |
| 72141 |
|
203 |
200 |
$131K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,261 |
1,668 |
$131K |
| 92579 |
|
3,226 |
3,216 |
$131K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
3,295 |
2,285 |
$125K |
| 97799 |
|
4,469 |
1,636 |
$118K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
1,233 |
1,169 |
$117K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
7,856 |
7,776 |
$116K |
| J2704 |
Injection, propofol, 10 mg |
9,556 |
7,548 |
$116K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
2,789 |
1,768 |
$116K |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
7,039 |
2,740 |
$114K |
| 93247 |
|
721 |
713 |
$113K |
| Z7500 |
|
3,196 |
2,687 |
$109K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
949 |
943 |
$102K |
| 97803 |
|
2,659 |
2,532 |
$101K |
| 82728 |
|
5,087 |
4,766 |
$95K |
| 99201 |
|
1,415 |
1,042 |
$94K |
| 92523 |
|
699 |
688 |
$92K |
| 84439 |
|
6,512 |
6,414 |
$91K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
3,585 |
3,004 |
$90K |
| 71046 |
Radiologic examination, chest; 2 views |
2,181 |
2,112 |
$89K |
| 80197 |
|
3,302 |
2,056 |
$88K |
| 87497 |
|
1,380 |
1,029 |
$87K |
| 72082 |
|
1,324 |
1,314 |
$82K |
| 86832 |
|
554 |
346 |
$81K |
| 92555 |
|
4,307 |
4,288 |
$81K |
| 87632 |
|
439 |
427 |
$80K |
| 76825 |
|
370 |
364 |
$78K |
| T1024 |
Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter |
3,900 |
3,560 |
$77K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
1,331 |
1,316 |
$76K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,068 |
841 |
$76K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,369 |
1,314 |
$75K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,373 |
1,312 |
$74K |
| 76820 |
|
1,340 |
951 |
$74K |
| 86850 |
|
5,722 |
3,939 |
$73K |
| 72146 |
|
159 |
157 |
$72K |
| 88185 |
|
107 |
94 |
$71K |
| 76827 |
|
453 |
448 |
$71K |
| 87150 |
|
2,479 |
2,383 |
$71K |
| 84100 |
|
9,437 |
6,401 |
$68K |
| 80061 |
Lipid panel |
3,828 |
3,785 |
$68K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
2,681 |
2,651 |
$64K |
| 95700 |
|
195 |
195 |
$63K |
| 93356 |
|
898 |
879 |
$61K |
| 71250 |
|
181 |
180 |
$60K |
| 97165 |
|
1,141 |
651 |
$58K |
| 94010 |
|
1,928 |
1,886 |
$58K |
| 74230 |
|
712 |
709 |
$57K |
| V5008 |
Hearing screening |
1,542 |
1,536 |
$57K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
3,400 |
3,201 |
$57K |
| Z5924 |
|
795 |
794 |
$55K |
| 82784 |
|
4,536 |
3,987 |
$54K |
| 82248 |
|
7,410 |
4,837 |
$53K |
| 97750 |
|
1,335 |
761 |
$52K |
| 92582 |
|
909 |
907 |
$51K |
| Z9725 |
|
1,181 |
1,172 |
$51K |
| 97802 |
|
989 |
954 |
$50K |
| 92556 |
|
2,025 |
2,020 |
$49K |
| 95819 |
|
838 |
835 |
$48K |
| 96450 |
|
187 |
165 |
$48K |
| 81001 |
|
7,765 |
7,151 |
$46K |
| 86140 |
|
5,739 |
5,411 |
$46K |
| 99070 |
|
10,688 |
5,419 |
$45K |
| 87070 |
|
2,923 |
2,803 |
$45K |
| 83970 |
|
619 |
569 |
$44K |
| J7050 |
Infusion, normal saline solution, 250 cc |
6,426 |
3,599 |
$44K |
| 83550 |
|
4,059 |
3,936 |
$43K |
| Z5916 |
|
821 |
819 |
$42K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
6,204 |
3,970 |
$42K |
| 96409 |
|
1,558 |
1,025 |
$41K |
| 76775 |
|
539 |
539 |
$41K |
| 86923 |
|
243 |
199 |
$40K |
| 84403 |
|
1,051 |
1,046 |
$40K |
| 92526 |
|
782 |
672 |
$40K |
| 85027 |
|
3,835 |
3,505 |
$40K |
| 86901 |
|
6,102 |
4,291 |
$40K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,143 |
746 |
$39K |
| 84460 |
|
5,006 |
4,280 |
$39K |
| 95816 |
|
434 |
431 |
$39K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,717 |
2,252 |
$38K |
| 90686 |
|
1,482 |
1,471 |
$37K |
| X4540 |
|
1,110 |
1,106 |
$36K |
| 82977 |
|
3,413 |
2,834 |
$36K |
| 83540 |
|
4,173 |
4,041 |
$36K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
5,481 |
4,956 |
$35K |
| 95812 |
|
446 |
445 |
$35K |
| 86900 |
|
6,114 |
4,297 |
$34K |
| 83516 |
|
2,233 |
2,123 |
$34K |
| 93976 |
|
158 |
157 |
$32K |
| Z5910 |
|
691 |
683 |
$32K |
| 86480 |
|
706 |
701 |
$32K |
| 72170 |
|
1,046 |
1,040 |
$31K |
| 86833 |
|
546 |
346 |
$31K |
| 96367 |
|
597 |
456 |
$31K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
765 |
580 |
$29K |
| 85730 |
|
3,006 |
2,662 |
$29K |
| 80076 |
|
2,041 |
1,992 |
$29K |
| 84450 |
|
3,566 |
2,845 |
$29K |
| 81002 |
|
4,886 |
3,369 |
$28K |
| V5010 |
Assessment for hearing aid |
334 |
333 |
$27K |
| 82570 |
|
3,818 |
3,593 |
$27K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
357 |
357 |
$27K |
| 74018 |
|
876 |
827 |
$26K |
| 82565 |
|
2,372 |
1,963 |
$26K |
| 85045 |
|
4,318 |
3,957 |
$26K |
| 85610 |
|
3,931 |
3,623 |
$26K |
| 80069 |
|
1,767 |
1,412 |
$25K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
3,823 |
3,319 |
$25K |
| 95811 |
|
64 |
64 |
$23K |
| 81025 |
|
2,574 |
2,460 |
$23K |
| J9370 |
Vincristine sulfate, 1 mg |
1,102 |
824 |
$23K |
| C9285 |
Lidocaine 70 mg/tetracaine 70 mg, per patch |
631 |
605 |
$22K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
396 |
379 |
$22K |
| 82670 |
|
547 |
544 |
$22K |
| 83002 |
|
811 |
801 |
$21K |
| 83615 |
|
2,517 |
1,845 |
$21K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
2,259 |
2,038 |
$20K |
| 0761 |
|
185 |
158 |
$20K |
| 99367 |
|
137 |
137 |
$20K |
| 92588 |
|
295 |
295 |
$20K |
| 82785 |
|
785 |
782 |
$20K |
| 84550 |
|
2,586 |
1,923 |
$19K |
| 83001 |
|
690 |
683 |
$18K |
| 70543 |
|
38 |
38 |
$18K |
| 84270 |
|
551 |
539 |
$18K |
| 0270 |
|
1,093 |
740 |
$17K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
283 |
280 |
$17K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
186 |
182 |
$17K |
| Z5918 |
|
781 |
780 |
$17K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
675 |
597 |
$17K |
| Z5928 |
|
350 |
349 |
$17K |
| Z5944 |
|
201 |
198 |
$16K |
| V5264 |
Ear mold/insert, not disposable, any type |
327 |
326 |
$16K |
| 87340 |
|
1,002 |
979 |
$16K |
| 85652 |
|
4,337 |
4,232 |
$16K |
| 76821 |
|
107 |
81 |
$16K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
787 |
603 |
$16K |
| 92611 |
|
281 |
281 |
$15K |
| 99368 |
|
1,626 |
1,337 |
$15K |
| 82247 |
|
2,125 |
1,487 |
$15K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
742 |
686 |
$15K |
| 87077 |
|
1,321 |
1,152 |
$15K |
| 85246 |
|
518 |
498 |
$15K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,236 |
2,164 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,035 |
1,999 |
$14K |
| 76536 |
|
157 |
155 |
$14K |
| 85240 |
|
615 |
580 |
$14K |
| 86803 |
|
622 |
614 |
$13K |
| 85245 |
|
455 |
437 |
$13K |
| 85384 |
|
946 |
871 |
$13K |
| 81479 |
Unlisted molecular pathology procedure |
68 |
60 |
$13K |
| 93246 |
|
511 |
507 |
$13K |
| 92609 |
|
162 |
124 |
$12K |
| 86360 |
|
213 |
199 |
$12K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
2,011 |
1,945 |
$12K |
| 72081 |
|
354 |
351 |
$12K |
| 84156 |
|
2,828 |
2,589 |
$12K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
103 |
72 |
$12K |
| 87205 |
|
1,383 |
1,309 |
$11K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
1,135 |
1,018 |
$11K |
| 82610 |
|
691 |
663 |
$11K |
| 94375 |
|
247 |
245 |
$11K |
| 99401 |
|
689 |
522 |
$11K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
515 |
501 |
$11K |
| 86359 |
|
228 |
212 |
$11K |
| 82962 |
|
1,464 |
1,103 |
$11K |
| 92552 |
|
480 |
479 |
$11K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
182 |
182 |
$10K |
| 83520 |
|
486 |
475 |
$10K |
| 88230 |
|
146 |
143 |
$10K |
| A9573 |
Injection, gadopiclenol, 1 ml |
78 |
78 |
$10K |
| 84305 |
|
397 |
396 |
$10K |
| 87186 |
|
664 |
551 |
$10K |
| Z5920 |
|
415 |
415 |
$9K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
964 |
824 |
$9K |
| 86780 |
|
641 |
632 |
$8K |
| 82947 |
|
1,279 |
1,275 |
$8K |
| 92610 |
|
130 |
130 |
$8K |
| 83525 |
|
474 |
471 |
$8K |
| 83993 |
|
379 |
371 |
$8K |
| 73070 |
|
304 |
282 |
$8K |
| 90715 |
|
138 |
138 |
$7K |
| S9446 |
Patient education, not otherwise classified, non-physician provider, group, per session |
469 |
467 |
$6K |
| 95708 |
|
15 |
14 |
$6K |
| 96415 |
|
103 |
64 |
$6K |
| 82550 |
|
615 |
527 |
$6K |
| 86977 |
|
243 |
155 |
$6K |
| 95115 |
|
715 |
383 |
$6K |
| 82139 |
|
265 |
250 |
$6K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
88 |
86 |
$6K |
| 73100 |
|
243 |
207 |
$6K |
| 73720 |
|
14 |
14 |
$6K |
| 88342 |
|
137 |
135 |
$6K |
| 87210 |
|
444 |
429 |
$6K |
| J2370 |
Injection, phenylephrine hcl, up to 1 ml |
344 |
329 |
$6K |
| Z5908 |
|
106 |
104 |
$6K |
| 93243 |
|
39 |
38 |
$5K |
| J1720 |
Injection, hydrocortisone sodium succinate, up to 100 mg |
159 |
136 |
$5K |
| 92626 |
|
85 |
81 |
$5K |
| 90678 |
|
16 |
16 |
$5K |
| 99366 |
|
564 |
557 |
$5K |
| 84478 |
|
516 |
480 |
$5K |
| 86355 |
|
139 |
132 |
$5K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
12 |
12 |
$5K |
| 88184 |
|
88 |
80 |
$5K |
| 86357 |
|
139 |
132 |
$5K |
| 84630 |
|
332 |
330 |
$5K |
| 87507 |
|
13 |
13 |
$5K |
| 85576 |
|
205 |
187 |
$5K |
| J9260 |
Injection, methotrexate sodium, 50 mg |
402 |
303 |
$4K |
| 85651 |
|
839 |
798 |
$4K |
| 94150 |
|
243 |
241 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
128 |
127 |
$4K |
| 70355 |
|
79 |
79 |
$4K |
| X4500 |
|
41 |
41 |
$4K |
| Z7514 |
|
65 |
50 |
$4K |
| 82042 |
|
800 |
786 |
$4K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
68 |
48 |
$4K |
| 82105 |
|
156 |
148 |
$4K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
52 |
52 |
$3K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
95 |
92 |
$3K |
| 83498 |
|
76 |
76 |
$3K |
| 82330 |
|
184 |
66 |
$3K |
| 81243 |
|
51 |
50 |
$3K |
| 83690 |
|
317 |
307 |
$3K |
| 86160 |
|
163 |
110 |
$3K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
108 |
75 |
$3K |
| 86706 |
|
220 |
212 |
$3K |
| 94726 |
|
52 |
52 |
$3K |
| 94729 |
|
55 |
55 |
$3K |
| Z5822 |
|
119 |
77 |
$3K |
| 80195 |
|
228 |
167 |
$3K |
| 90656 |
|
89 |
89 |
$3K |
| Z5958 |
|
15 |
12 |
$3K |
| 93505 |
|
26 |
24 |
$3K |
| 82465 |
|
381 |
356 |
$3K |
| 94642 |
|
14 |
12 |
$3K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
39 |
37 |
$2K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
15 |
14 |
$2K |
| 73590 |
|
82 |
71 |
$2K |
| 80180 |
|
131 |
112 |
$2K |
| 86787 |
|
109 |
105 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
247 |
213 |
$2K |
| 73560 |
|
79 |
78 |
$2K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
64 |
57 |
$2K |
| 88304 |
|
91 |
90 |
$2K |
| 82627 |
|
63 |
63 |
$2K |
| 82379 |
|
80 |
77 |
$2K |
| 84446 |
|
89 |
88 |
$2K |
| 97003 |
|
40 |
25 |
$2K |
| 84590 |
|
107 |
101 |
$2K |
| 74240 |
|
24 |
24 |
$2K |
| 73090 |
|
55 |
50 |
$1K |
| 82945 |
|
324 |
289 |
$1K |
| 82657 |
|
38 |
38 |
$1K |
| 86255 |
|
74 |
69 |
$1K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
13 |
13 |
$1K |
| 92570 |
|
14 |
14 |
$1K |
| 83655 |
|
75 |
75 |
$1K |
| 86682 |
|
53 |
53 |
$1K |
| 73620 |
|
29 |
27 |
$1K |
| 93017 |
|
15 |
15 |
$1K |
| 88307 |
|
27 |
24 |
$1K |
| 77073 |
|
39 |
39 |
$957.56 |
| 76801 |
|
12 |
12 |
$954.90 |
| 73630 |
|
26 |
25 |
$950.94 |
| 73610 |
|
34 |
29 |
$948.05 |
| 0272 |
|
13 |
13 |
$912.90 |
| 89051 |
|
438 |
388 |
$877.28 |
| Z4300 |
|
12 |
12 |
$864.00 |
| 86376 |
|
50 |
50 |
$779.01 |
| 86225 |
|
42 |
39 |
$778.30 |
| 83020 |
|
37 |
37 |
$757.17 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
68 |
65 |
$744.00 |
| 84157 |
|
207 |
197 |
$740.16 |
| 96411 |
|
23 |
12 |
$709.82 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
45 |
43 |
$639.01 |
| Z5932 |
|
13 |
13 |
$630.24 |
| 87102 |
|
58 |
57 |
$611.09 |
| 77072 |
|
13 |
13 |
$590.28 |
| J1453 |
Injection, fosaprepitant, 1 mg |
30 |
12 |
$583.41 |
| 0636 |
|
47 |
25 |
$554.15 |
| 82390 |
|
38 |
38 |
$549.26 |
| 86038 |
|
39 |
39 |
$548.14 |
| J2371 |
Injection, phenylephrine hydrochloride, 20 micrograms |
88 |
81 |
$534.27 |
| 83721 |
|
38 |
38 |
$527.79 |
| 96151 |
|
39 |
39 |
$514.20 |
| 96150 |
|
24 |
24 |
$498.06 |
| 84480 |
|
25 |
24 |
$476.29 |
| 86704 |
|
31 |
30 |
$465.95 |
| Z7610 |
|
58 |
49 |
$423.29 |
| 82103 |
|
42 |
42 |
$408.05 |
| 82104 |
|
40 |
40 |
$398.32 |
| 83090 |
|
12 |
12 |
$358.41 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
46 |
40 |
$354.54 |
| 97804 |
|
14 |
14 |
$352.77 |
| 92700 |
|
13 |
13 |
$351.25 |
| Z6400 |
|
17 |
12 |
$349.80 |
| 85270 |
|
13 |
13 |
$343.16 |
| 84425 |
|
12 |
12 |
$342.93 |
| 82542 |
|
14 |
14 |
$341.35 |
| 84146 |
|
13 |
13 |
$333.48 |
| J9100 |
Injection, cytarabine, 100 mg |
37 |
25 |
$330.57 |
| 99000 |
|
73 |
72 |
$322.80 |
| 85613 |
|
22 |
12 |
$277.97 |
| 82607 |
|
13 |
13 |
$268.44 |
| 82525 |
|
12 |
12 |
$259.27 |
| 43762 |
|
14 |
14 |
$258.30 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
48 |
42 |
$252.44 |
| 86762 |
|
12 |
12 |
$247.51 |
| 90685 |
|
12 |
12 |
$244.72 |
| 80164 |
|
12 |
12 |
$225.15 |
| 86800 |
|
12 |
12 |
$216.55 |
| 86708 |
|
14 |
14 |
$210.79 |
| 86592 |
|
41 |
41 |
$205.45 |
| 82746 |
|
12 |
12 |
$188.83 |
| 86141 |
|
12 |
12 |
$148.49 |
| 84520 |
|
32 |
25 |
$144.83 |
| 84295 |
|
28 |
26 |
$122.89 |
| 86880 |
|
17 |
12 |
$120.17 |
| 82085 |
|
13 |
13 |
$117.00 |
| Z4311 |
|
12 |
12 |
$98.43 |
| 82310 |
|
13 |
13 |
$83.69 |
| 89220 |
|
14 |
14 |
$40.79 |
| 36415 |
Collection of venous blood by venipuncture |
17 |
12 |
$2.67 |
| S9470 |
Nutritional counseling, dietitian visit |
12 |
12 |
$0.00 |