| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
115,681 |
98,046 |
$26.28M |
| 99284 |
|
53,269 |
41,836 |
$17.90M |
| 99285 |
|
25,230 |
15,623 |
$9.52M |
| 99282 |
|
38,673 |
35,654 |
$5.74M |
| 96374 |
|
46,787 |
32,028 |
$4.34M |
| G0378 |
Hospital observation per hr |
20,058 |
8,343 |
$4.18M |
| 80307 |
|
70,350 |
55,062 |
$4.16M |
| J9271 |
Inj pembrolizumab |
574 |
389 |
$4.09M |
| G0480 |
Drug test def 1-7 classes |
49,231 |
37,224 |
$4.06M |
| U0003 |
Cov-19 amp prb hgh thruput |
44,765 |
41,601 |
$3.25M |
| 74177 |
|
14,655 |
13,404 |
$3.13M |
| 96413 |
|
11,620 |
5,810 |
$2.85M |
| 96365 |
|
23,294 |
11,842 |
$2.33M |
| 93458 |
|
1,624 |
973 |
$2.30M |
| 93306 |
|
7,640 |
7,066 |
$2.22M |
| 59025 |
|
17,315 |
10,240 |
$2.14M |
| J3490 |
Drugs unclassified injection |
145,777 |
37,537 |
$2.05M |
| 36415 |
|
428,575 |
248,125 |
$2.00M |
| 78452 |
|
4,040 |
2,397 |
$1.74M |
| 96361 |
|
41,045 |
23,245 |
$1.72M |
| G0463 |
Hospital outpt clinic visit |
24,524 |
17,837 |
$1.72M |
| 80053 |
|
195,508 |
157,909 |
$1.69M |
| C1713 |
Anchor/screw bn/bn,tis/bn |
2,940 |
2,757 |
$1.62M |
| 87651 |
|
45,583 |
43,925 |
$1.54M |
| 87491 |
|
44,772 |
42,286 |
$1.52M |
| 71046 |
|
30,340 |
25,514 |
$1.38M |
| 78815 |
|
1,642 |
1,274 |
$1.37M |
| 84443 |
|
88,558 |
85,645 |
$1.36M |
| 81514 |
|
11,981 |
10,956 |
$1.36M |
| 87591 |
|
43,771 |
42,044 |
$1.34M |
| 97110 |
|
41,247 |
15,185 |
$1.33M |
| G0481 |
Drug test def 8-14 classes |
11,117 |
9,923 |
$1.28M |
| 87637 |
|
9,761 |
9,180 |
$1.24M |
| 96375 |
|
31,690 |
21,971 |
$1.24M |
| 76818 |
|
12,566 |
5,366 |
$1.19M |
| 11042 |
|
5,761 |
2,486 |
$1.16M |
| 96372 |
|
38,909 |
25,277 |
$1.08M |
| 76816 |
|
12,050 |
10,691 |
$1.07M |
| 76811 |
|
6,085 |
5,806 |
$1.04M |
| 87636 |
|
10,096 |
9,054 |
$1.02M |
| 85025 |
|
174,633 |
148,644 |
$1.02M |
| 80061 |
|
84,808 |
79,683 |
$981K |
| 43239 |
|
2,536 |
1,604 |
$969K |
| 70553 |
|
3,628 |
3,075 |
$955K |
| 82306 |
|
39,368 |
38,229 |
$918K |
| 70450 |
|
11,578 |
9,748 |
$911K |
| 96360 |
|
13,219 |
6,254 |
$898K |
| 93005 |
|
38,365 |
33,334 |
$882K |
| 11043 |
|
2,294 |
1,111 |
$878K |
| 71045 |
|
20,247 |
16,611 |
$865K |
| 74176 |
|
5,717 |
5,082 |
$826K |
| 64721 |
|
767 |
617 |
$806K |
| C1776 |
Joint device (implantable) |
561 |
525 |
$779K |
| 77386 |
|
2,064 |
210 |
$775K |
| 76805 |
|
7,151 |
6,891 |
$681K |
| 99291 |
|
1,672 |
1,073 |
$681K |
| 77067 |
|
9,155 |
8,874 |
$674K |
| 72148 |
|
4,265 |
3,785 |
$670K |
| 71260 |
|
4,137 |
3,155 |
$591K |
| 76801 |
|
6,440 |
5,934 |
$587K |
| 88305 |
|
12,894 |
11,571 |
$567K |
| 94640 |
|
8,088 |
7,359 |
$541K |
| 88175 |
|
22,750 |
22,126 |
$520K |
| 83036 |
|
55,390 |
53,829 |
$511K |
| 87902 |
|
2,177 |
1,969 |
$500K |
| 87635 |
|
14,579 |
12,718 |
$494K |
| 96366 |
|
6,914 |
3,930 |
$486K |
| 80048 |
|
81,390 |
63,580 |
$478K |
| 71275 |
|
4,038 |
3,649 |
$476K |
| 99281 |
|
4,413 |
4,221 |
$464K |
| 80074 |
|
9,687 |
9,132 |
$462K |
| 96367 |
|
8,823 |
3,594 |
$456K |
| 36591 |
|
8,520 |
4,532 |
$450K |
| 76705 |
|
5,973 |
5,545 |
$450K |
| 87086 |
|
63,623 |
57,310 |
$447K |
| 96376 |
|
11,758 |
7,055 |
$439K |
| 76817 |
|
8,232 |
6,762 |
$430K |
| 10060 |
|
2,676 |
2,409 |
$427K |
| 93017 |
|
3,060 |
2,855 |
$425K |
| 76830 |
|
4,935 |
4,561 |
$421K |
| 87661 |
|
13,175 |
12,658 |
$385K |
| 77066 |
Tomosynthesis, mammo |
4,634 |
3,752 |
$381K |
| 77336 |
|
5,173 |
1,456 |
$374K |
| 82607 |
|
22,834 |
21,971 |
$369K |
| 87624 |
|
12,125 |
11,514 |
$366K |
| 95886 |
|
3,489 |
3,038 |
$366K |
| 87389 |
|
18,352 |
17,746 |
$349K |
| 76642 |
|
5,287 |
4,756 |
$331K |
| 97140 |
|
13,640 |
5,660 |
$330K |
| 85027 |
|
65,325 |
60,397 |
$329K |
| 72100 |
|
6,601 |
5,902 |
$329K |
| 47562 |
|
458 |
85 |
$320K |
| 84702 |
|
33,736 |
28,851 |
$305K |
| 70551 |
|
1,899 |
1,689 |
$301K |
| 72141 |
|
1,805 |
1,590 |
$298K |
| 99211 |
|
21,641 |
18,243 |
$297K |
| 95911 |
|
842 |
803 |
$289K |
| J1745 |
Infliximab not biosimil 10mg |
97 |
75 |
$279K |
| 86900 |
|
15,681 |
13,887 |
$275K |
| 76815 |
|
4,002 |
2,449 |
$274K |
| 77334 |
|
524 |
378 |
$259K |
| 96415 |
|
3,544 |
2,492 |
$257K |
| 12001 |
|
2,454 |
2,269 |
$251K |
| 73721 |
|
1,351 |
1,187 |
$251K |
| 73630 |
|
7,137 |
6,513 |
$247K |
| 97162 |
|
4,380 |
3,630 |
$245K |
| 88342 |
|
3,147 |
2,858 |
$241K |
| 71250 |
|
3,469 |
2,696 |
$237K |
| 87801 |
|
3,773 |
3,621 |
$235K |
| G0472 |
Hep c screen high risk/other |
6,171 |
5,832 |
$235K |
| 87522 |
Neg quan hep c or qual rna |
6,285 |
5,966 |
$233K |
| 97161 |
|
6,497 |
3,424 |
$224K |
| 92507 |
|
4,806 |
1,690 |
$223K |
| 94726 |
|
1,582 |
1,403 |
$223K |
| 88307 |
|
1,893 |
1,694 |
$220K |
| 87653 |
|
6,773 |
6,616 |
$218K |
| 73564 |
|
4,824 |
4,369 |
$218K |
| 84439 |
|
24,809 |
23,856 |
$217K |
| 27447 |
|
87 |
24 |
$207K |
| 99215 |
Prolong outpt/office vis |
9,733 |
7,335 |
$205K |
| 82746 |
|
14,315 |
13,962 |
$205K |
| 73130 |
|
5,606 |
5,041 |
$202K |
| 45380 |
|
355 |
281 |
$200K |
| 76856 |
|
4,643 |
4,499 |
$199K |
| 86780 |
|
16,459 |
15,629 |
$196K |
| 77063 |
|
7,999 |
7,095 |
$191K |
| 77412 |
|
1,134 |
130 |
$191K |
| 29125 |
|
2,130 |
1,973 |
$191K |
| 84484 |
|
29,961 |
18,714 |
$191K |
| 80076 |
|
25,344 |
23,376 |
$191K |
| J2785 |
Regadenoson injection |
2,018 |
1,470 |
$185K |
| 87481 |
|
2,954 |
2,129 |
$184K |
| 70491 |
|
1,368 |
1,190 |
$182K |
| 97530 |
|
5,709 |
3,667 |
$182K |
| 93971 |
|
2,369 |
2,243 |
$178K |
| 86003 |
|
1,669 |
1,527 |
$175K |
| 73610 |
|
5,408 |
4,908 |
$173K |
| 82962 |
|
27,035 |
12,688 |
$170K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
31,162 |
25,706 |
$169K |
| 93880 |
|
1,518 |
1,349 |
$168K |
| 93225 |
|
2,294 |
1,960 |
$168K |
| 71271 |
|
2,180 |
1,978 |
$164K |
| 87077 |
|
20,022 |
16,748 |
$162K |
| 97112 |
|
4,953 |
2,049 |
$160K |
| 12011 |
|
1,533 |
1,460 |
$160K |
| 97010 |
|
22,472 |
7,625 |
$157K |
| 96417 |
|
2,383 |
1,481 |
$156K |
| 73030 |
|
4,503 |
3,895 |
$151K |
| C9290 |
Inj, bupivacaine liposome |
1,682 |
1,314 |
$151K |
| J2405 |
Ondansetron hcl injection |
45,111 |
34,720 |
$147K |
| 93970 |
|
972 |
918 |
$147K |
| 84403 |
|
5,992 |
5,706 |
$144K |
| 77300 |
|
500 |
293 |
$139K |
| 76942 |
|
2,075 |
1,966 |
$139K |
| 86481 |
|
1,707 |
1,648 |
$137K |
| 70486 |
|
1,778 |
1,631 |
$136K |
| 82728 |
|
10,134 |
9,667 |
$135K |
| J1644 |
Inj heparin sodium per 1000u |
7,225 |
3,130 |
$134K |
| 72050 |
|
2,304 |
2,042 |
$133K |
| 70496 |
|
1,268 |
1,190 |
$132K |
| 29881 |
|
112 |
75 |
$129K |
| 76770 |
|
1,875 |
1,667 |
$127K |
| 87186 |
|
16,533 |
15,583 |
$125K |
| A9552 |
F18 fdg |
1,261 |
1,221 |
$125K |
| 74018 |
|
3,573 |
3,197 |
$124K |
| 83690 |
|
28,739 |
26,234 |
$123K |
| 83970 |
|
3,419 |
3,285 |
$121K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
3,707 |
2,994 |
$121K |
| 45385 |
|
241 |
169 |
$119K |
| 76536 |
|
1,418 |
1,343 |
$114K |
| 72125 |
|
2,226 |
2,046 |
$114K |
| 77065 |
Tomosynthesis, mammo |
2,107 |
1,633 |
$114K |
| 73110 |
|
3,580 |
3,200 |
$112K |
| J0131 |
Inj, acetaminophen (nos) |
6,684 |
4,869 |
$112K |
| J1100 |
Dexamethasone sodium phos |
23,156 |
17,592 |
$110K |
| J2790 |
Rho d immune globulin inj |
2,054 |
1,896 |
$109K |
| 83880 |
|
5,020 |
4,682 |
$107K |
| J0185 |
Inj., aprepitant, 1 mg |
534 |
284 |
$107K |
| J1756 |
Iron sucrose injection |
2,139 |
861 |
$106K |
| C1889 |
Implant/insert device, noc |
162 |
140 |
$105K |
| 73502 |
|
3,178 |
2,711 |
$101K |
| 82565 |
|
8,358 |
5,862 |
$99K |
| A9502 |
Tc99m tetrofosmin |
2,550 |
2,167 |
$98K |
| 70498 |
|
1,295 |
1,244 |
$97K |
| 76820 |
|
2,148 |
1,018 |
$96K |
| J1200 |
Diphenhydramine hcl injectio |
12,950 |
8,388 |
$95K |
| 90471 |
|
3,788 |
3,448 |
$95K |
| J1642 |
Inj heparin sodium per 10 u |
16,271 |
6,697 |
$94K |
| J2270 |
Morphine sulfate injection |
20,422 |
13,778 |
$93K |
| 87510 |
|
4,333 |
4,161 |
$92K |
| 87480 |
|
4,488 |
4,203 |
$92K |
| 86850 |
|
13,796 |
12,837 |
$92K |
| 95810 |
|
151 |
149 |
$92K |
| 87631 |
|
895 |
857 |
$91K |
| J0689 |
Inj cefazolin sodium, baxter |
3,733 |
2,040 |
$90K |
| 87650 |
|
3,637 |
3,530 |
$88K |
| J1439 |
Inj ferric carboxymaltos 1mg |
161 |
104 |
$87K |
| 94010 |
|
1,116 |
972 |
$86K |
| 87660 |
|
4,007 |
3,844 |
$85K |
| 87070 |
|
11,049 |
9,145 |
$85K |
| G0279 |
Tomosynthesis, mammo |
4,929 |
4,334 |
$84K |
| 84153 |
|
5,417 |
5,256 |
$84K |
| 93226 |
|
1,756 |
1,708 |
$83K |
| 83550 |
|
10,619 |
10,327 |
$81K |
| 64447 |
|
359 |
301 |
$80K |
| 86803 |
|
6,737 |
6,554 |
$80K |
| 86762 |
|
6,552 |
6,316 |
$80K |
| 87340 |
|
9,495 |
9,160 |
$80K |
| J1453 |
Fosaprepitant injection |
1,399 |
672 |
$80K |
| 95811 |
|
127 |
124 |
$78K |
| 81001 |
|
35,902 |
32,562 |
$76K |
| 83540 |
|
12,749 |
12,288 |
$75K |
| 85610 |
|
20,248 |
15,579 |
$74K |
| 84481 |
|
4,809 |
4,634 |
$73K |
| 73221 |
|
445 |
382 |
$72K |
| 82570 |
|
13,702 |
12,612 |
$70K |
| 83735 |
|
13,480 |
11,004 |
$70K |
| J0561 |
Penicillin g benzathine inj |
686 |
647 |
$70K |
| 86140 |
|
15,375 |
14,072 |
$70K |
| 87536 |
|
851 |
823 |
$68K |
| J0690 |
Cefazolin sodium injection |
8,637 |
6,899 |
$68K |
| 94729 |
|
1,343 |
1,313 |
$68K |
| 12002 |
|
752 |
674 |
$67K |
| 91200 |
|
703 |
687 |
$67K |
| 86706 |
|
6,117 |
5,931 |
$67K |
| 83001 |
|
3,537 |
3,437 |
$66K |
| 73562 |
|
1,411 |
1,247 |
$66K |
| 96411 |
|
941 |
565 |
$65K |
| 75574 |
|
480 |
430 |
$65K |
| 88341 |
|
686 |
617 |
$64K |
| 95910 |
|
352 |
329 |
$64K |
| 82533 |
|
4,029 |
3,196 |
$64K |
| 87804 |
|
6,736 |
4,583 |
$63K |
| 73080 |
|
2,049 |
1,881 |
$63K |
| 88304 |
|
2,452 |
2,337 |
$62K |
| 73140 |
|
1,913 |
1,748 |
$62K |
| J2469 |
Palonosetron hcl |
2,878 |
1,793 |
$62K |
| J0171 |
Adrenalin epinephrine inject |
3,322 |
1,749 |
$61K |
| 96416 |
|
239 |
143 |
$60K |
| 99212 |
|
4,101 |
3,560 |
$60K |
| 97535 |
|
2,280 |
1,398 |
$58K |
| 29515 |
|
464 |
413 |
$56K |
| 84146 |
|
3,042 |
2,936 |
$56K |
| 58571 |
|
40 |
13 |
$56K |
| 87205 |
|
14,249 |
13,510 |
$56K |
| 96368 |
|
1,109 |
680 |
$56K |
| 87088 |
|
8,077 |
7,755 |
$56K |
| 83605 |
|
9,302 |
7,728 |
$55K |
| 82043 |
|
9,326 |
8,773 |
$55K |
| 94761 |
|
2,058 |
1,050 |
$52K |
| J0585 |
Injection,onabotulinumtoxina |
145 |
69 |
$52K |
| A9577 |
Inj multihance |
3,078 |
2,544 |
$51K |
| 77080 |
|
928 |
839 |
$51K |
| J1815 |
Insulin injection |
8,348 |
2,428 |
$51K |
| J0696 |
Ceftriaxone sodium injection |
9,025 |
5,176 |
$50K |
| 82077 |
|
5,398 |
4,854 |
$50K |
| 83002 |
|
2,813 |
2,750 |
$50K |
| 82670 |
|
1,715 |
1,627 |
$49K |
| J1885 |
Ketorolac tromethamine inj |
24,269 |
20,767 |
$49K |
| 85379 |
|
8,021 |
7,677 |
$49K |
| 97016 |
|
5,089 |
1,756 |
$49K |
| 96523 |
|
1,420 |
881 |
$48K |
| 19083 |
|
48 |
38 |
$48K |
| 81025 |
|
5,760 |
5,308 |
$48K |
| 99219 |
|
955 |
360 |
$48K |
| 73590 |
|
1,524 |
1,367 |
$48K |
| 83516 |
|
3,515 |
2,960 |
$47K |
| M0245 |
Bamlan and etesev infusion |
133 |
131 |
$46K |
| 66984 |
|
213 |
38 |
$46K |
| G0297 |
Ldct for lung ca screen |
776 |
715 |
$46K |
| 86038 |
|
4,340 |
4,187 |
$45K |
| J2250 |
Inj midazolam hydrochloride |
17,854 |
15,621 |
$45K |
| 86235 |
|
1,343 |
973 |
$44K |
| 82024 |
|
1,068 |
975 |
$43K |
| 84703 |
|
8,542 |
8,022 |
$42K |
| J1650 |
Inj enoxaparin sodium |
7,298 |
1,844 |
$42K |
| 97014 |
|
3,445 |
1,413 |
$41K |
| 90715 |
|
2,778 |
2,477 |
$41K |
| 81003 |
|
22,198 |
19,929 |
$40K |
| J3010 |
Fentanyl citrate injection |
24,915 |
17,514 |
$40K |
| 29848 |
|
40 |
28 |
$40K |
| 64415 |
|
662 |
518 |
$39K |
| 71101 |
|
774 |
671 |
$39K |
| 82784 |
|
3,195 |
2,943 |
$38K |
| 97165 |
|
644 |
470 |
$37K |
| 80069 |
|
3,984 |
3,205 |
$37K |
| 82803 |
|
2,696 |
2,453 |
$37K |
| 87046 |
|
1,501 |
1,395 |
$35K |
| 93798 |
|
550 |
77 |
$35K |
| A4648 |
Implantable tissue marker |
407 |
244 |
$35K |
| 87808 |
|
5,802 |
5,622 |
$34K |
| 84550 |
|
8,422 |
7,815 |
$34K |
| 85652 |
|
13,937 |
12,739 |
$34K |
| 86901 |
|
16,105 |
14,866 |
$32K |
| G0103 |
Psa screening |
3,485 |
1,967 |
$32K |
| G0475 |
Hiv combination assay |
1,642 |
1,611 |
$32K |
| H0015 |
Alcohol and/or drug services |
420 |
63 |
$32K |
| 93923 |
|
368 |
291 |
$31K |
| 87529 |
|
939 |
910 |
$31K |
| 73090 |
|
1,074 |
1,002 |
$31K |
| 86480 |
|
538 |
525 |
$31K |
| J2930 |
Methylprednisolone injection |
3,046 |
2,132 |
$30K |
| 73700 |
|
353 |
329 |
$29K |
| 82985 |
|
1,977 |
1,948 |
$29K |
| 76937 |
|
563 |
505 |
$28K |
| 59812 |
|
15 |
12 |
$28K |
| 82785 |
|
1,566 |
1,506 |
$28K |
| P9612 |
Catheterize for urine spec |
1,101 |
666 |
$28K |
| 93325 |
|
389 |
365 |
$28K |
| 84402 |
|
1,197 |
1,150 |
$28K |
| 87430 |
|
5,337 |
5,156 |
$27K |
| 72070 |
|
433 |
364 |
$27K |
| 84145 |
|
1,886 |
1,762 |
$27K |
| 72072 |
|
818 |
706 |
$27K |
| 76870 |
|
492 |
468 |
$26K |
| 94060 |
|
144 |
128 |
$26K |
| J2795 |
Ropivacaine hcl injection |
1,480 |
1,346 |
$26K |
| 97163 |
|
379 |
367 |
$26K |
| J0780 |
Prochlorperazine injection |
3,285 |
2,359 |
$26K |
| 87040 |
|
4,317 |
2,470 |
$24K |
| 86200 |
|
1,951 |
1,890 |
$24K |
| 85730 |
|
5,768 |
5,271 |
$24K |
| 99153 |
Mod sedat endo service >5yrs |
1,848 |
1,693 |
$23K |
| 97113 |
|
426 |
154 |
$23K |
| 86376 |
|
1,802 |
1,758 |
$23K |
| 99213 |
|
1,264 |
1,144 |
$22K |
| 82550 |
|
3,977 |
3,537 |
$22K |
| 82248 |
|
4,960 |
4,178 |
$22K |
| S2900 |
Robotic surgical system |
334 |
307 |
$22K |
| 87493 |
|
703 |
672 |
$21K |
| J0330 |
Succinycholine chloride inj |
6,190 |
5,666 |
$21K |
| C9113 |
Inj pantoprazole sodium, via |
3,197 |
1,445 |
$21K |
| M0243 |
Casirivi and imdevi inj |
75 |
71 |
$20K |
| 82950 |
|
4,152 |
4,064 |
$20K |
| 84156 |
|
5,759 |
4,984 |
$19K |
| 86665 |
|
739 |
566 |
$19K |
| 36561 |
|
40 |
12 |
$19K |
| 86430 |
|
3,447 |
3,354 |
$19K |
| 97116 |
|
1,189 |
653 |
$19K |
| C1769 |
Guide wire |
2,670 |
2,245 |
$19K |
| 86696 |
|
1,087 |
1,059 |
$19K |
| 93270 |
|
799 |
777 |
$18K |
| J0897 |
Denosumab injection |
99 |
27 |
$18K |
| 83615 |
|
3,556 |
3,111 |
$18K |
| 29130 |
|
215 |
208 |
$18K |
| 97012 |
|
1,269 |
459 |
$18K |
| 86704 |
|
1,741 |
1,678 |
$18K |
| 74174 |
|
66 |
63 |
$17K |
| 82951 |
|
1,326 |
1,295 |
$17K |
| 83525 |
|
1,675 |
1,583 |
$17K |
| 86769 |
|
535 |
519 |
$17K |
| J7512 |
Prednisone ir or dr oral 1mg |
5,703 |
4,513 |
$16K |
| 82627 |
|
886 |
863 |
$16K |
| 84425 |
|
872 |
850 |
$16K |
| G0283 |
Elec stim other than wound |
2,016 |
589 |
$16K |
| 84100 |
|
4,287 |
3,622 |
$16K |
| C8923 |
2d tte w or w/o fol w/con,co |
40 |
32 |
$16K |
| 84207 |
|
606 |
595 |
$15K |
| 93925 |
|
101 |
95 |
$15K |
| R0070 |
Transport portable x-ray |
646 |
565 |
$14K |
| 87427 |
|
1,382 |
1,348 |
$14K |
| M0247 |
Sotrovimab infusion |
48 |
47 |
$14K |
| 80306 |
|
1,965 |
1,847 |
$14K |
| 82977 |
|
2,045 |
1,942 |
$14K |
| J2550 |
Promethazine hcl injection |
2,961 |
2,152 |
$14K |
| 74183 |
|
58 |
51 |
$14K |
| 29105 |
|
108 |
103 |
$14K |
| 88112 |
|
326 |
297 |
$14K |
| 84681 |
|
698 |
683 |
$14K |
| 86160 |
|
1,237 |
623 |
$14K |
| 87045 |
|
1,740 |
1,458 |
$14K |
| 99152 |
|
3,001 |
2,757 |
$14K |
| 82805 |
|
464 |
438 |
$13K |
| 82247 |
|
3,283 |
2,546 |
$13K |
| J2060 |
Lorazepam injection |
4,606 |
3,680 |
$13K |
| 86361 |
|
554 |
541 |
$13K |
| 90675 |
|
52 |
28 |
$13K |
| J8501 |
Oral aprepitant |
866 |
782 |
$13K |
| 72110 |
|
183 |
151 |
$13K |
| 86923 |
|
69 |
60 |
$12K |
| 88738 |
|
1,391 |
873 |
$12K |
| 82150 |
|
2,073 |
1,969 |
$12K |
| J2765 |
Metoclopramide hcl injection |
3,027 |
2,566 |
$12K |
| 84165 |
|
1,251 |
1,171 |
$12K |
| 84480 |
|
963 |
934 |
$12K |
| J3370 |
Vancomycin hcl injection |
1,407 |
834 |
$12K |
| 87328 |
|
950 |
844 |
$12K |
| S9480 |
Intensive outpatient psychia |
160 |
33 |
$11K |
| 86708 |
|
913 |
872 |
$11K |
| 76000 |
|
89 |
80 |
$11K |
| 83521 |
|
438 |
403 |
$11K |
| C1887 |
Catheter, guiding |
980 |
851 |
$11K |
| 87075 |
|
912 |
850 |
$11K |
| 84144 |
|
580 |
491 |
$10K |
| Q9969 |
Non-heu tc-99m add-on/dose |
816 |
770 |
$10K |
| 77301 |
|
14 |
14 |
$10K |
| C1760 |
Closure dev, vasc |
90 |
83 |
$10K |
| 36416 |
|
1,837 |
1,375 |
$10K |
| 80164 |
|
842 |
786 |
$9K |
| 84460 |
|
2,133 |
1,992 |
$9K |
| 83655 |
|
574 |
563 |
$9K |
| 87798 |
|
291 |
282 |
$9K |
| 72156 |
|
44 |
36 |
$9K |
| 82652 |
|
285 |
274 |
$9K |
| 84450 |
|
2,063 |
1,931 |
$9K |
| 82172 |
|
420 |
412 |
$9K |
| J1170 |
Hydromorphone injection |
7,395 |
5,614 |
$8K |
| Q0092 |
Set up port xray equipment |
2,257 |
1,562 |
$8K |
| J3411 |
Thiamine hcl 100 mg |
638 |
516 |
$8K |
| 81220 |
|
38 |
37 |
$8K |
| 83883 |
|
758 |
500 |
$8K |
| 87329 |
|
827 |
809 |
$8K |
| Q0162 |
Ondansetron oral |
6,979 |
6,255 |
$8K |
| 86694 |
|
404 |
379 |
$8K |
| J3480 |
Inj potassium chloride |
1,650 |
866 |
$8K |
| J8540 |
Oral dexamethasone |
2,632 |
1,493 |
$7K |
| J1790 |
Droperidol injection |
4,102 |
3,369 |
$7K |
| J0735 |
Clonidine hydrochloride |
488 |
398 |
$7K |
| J0744 |
Ciprofloxacin iv |
841 |
504 |
$7K |
| 88173 |
|
186 |
170 |
$7K |
| 86304 |
|
481 |
417 |
$7K |
| 99214 |
|
304 |
283 |
$7K |
| 80143 |
|
863 |
835 |
$7K |
| J2370 |
Phenylephrine hcl injection |
3,193 |
2,812 |
$7K |
| 97166 |
|
86 |
84 |
$7K |
| 64615 |
|
21 |
21 |
$7K |
| J0640 |
Leucovorin calcium injection |
267 |
91 |
$7K |
| 82330 |
|
600 |
496 |
$7K |
| 45378 |
|
12 |
12 |
$7K |
| U0005 |
Infec agen detec ampli probe |
2,502 |
1,043 |
$7K |
| G1004 |
Cdsm ndsc |
965 |
448 |
$7K |
| 82105 |
|
459 |
438 |
$7K |
| 83986 |
|
1,508 |
1,295 |
$6K |
| 64400 |
|
30 |
26 |
$6K |
| 96401 |
|
61 |
28 |
$6K |
| J1030 |
Methylprednisolone 40 mg inj |
1,358 |
1,210 |
$6K |
| Q0177 |
Hydroxyzine pamoate 25mg |
1,585 |
1,030 |
$6K |
| M0239 |
Bamlanivimab-xxxx infusion |
24 |
23 |
$6K |
| 86695 |
|
428 |
411 |
$6K |
| 86709 |
|
496 |
470 |
$6K |
| 10005 |
|
20 |
12 |
$6K |
| L3808 |
Whfo, rigid w/o joints |
30 |
25 |
$5K |
| C1758 |
Catheter, ureteral |
232 |
215 |
$5K |
| 77280 |
|
110 |
36 |
$5K |
| 87807 |
|
877 |
852 |
$5K |
| 80179 |
|
679 |
658 |
$5K |
| Q9957 |
Inj perflutren lip micros,ml |
59 |
55 |
$5K |
| 73560 |
|
152 |
130 |
$5K |
| 84134 |
|
408 |
363 |
$5K |
| C2617 |
Stent, non-cor, tem w/o del |
64 |
55 |
$5K |
| 86787 |
|
397 |
384 |
$5K |
| 82010 |
|
1,280 |
1,140 |
$5K |
| 73200 |
|
57 |
43 |
$5K |
| J0360 |
Hydralazine hcl injection |
592 |
140 |
$5K |
| 72146 |
|
41 |
36 |
$5K |
| 16020 |
|
25 |
24 |
$5K |
| 71100 |
|
153 |
122 |
$4K |
| J3475 |
Inj magnesium sulfate |
3,163 |
1,812 |
$4K |
| 83695 |
|
376 |
371 |
$4K |
| 87625 |
|
203 |
194 |
$4K |
| M0222 |
Bebtelovimab injection |
20 |
18 |
$4K |
| 86308 |
|
914 |
884 |
$4K |
| C1725 |
Cath, translumin non-laser |
303 |
189 |
$4K |
| 84155 |
|
1,303 |
1,226 |
$4K |
| 86677 |
|
269 |
262 |
$4K |
| 73660 |
|
117 |
105 |
$4K |
| 85046 |
|
1,025 |
964 |
$4K |
| 72197 |
|
20 |
14 |
$4K |
| J2919 |
Inj, methylpred sod succ 5mg |
597 |
277 |
$4K |
| 85014 |
|
1,775 |
1,219 |
$4K |
| J9045 |
Carboplatin injection |
182 |
108 |
$4K |
| 86225 |
|
330 |
320 |
$4K |
| 74178 |
|
14 |
13 |
$4K |
| 73521 |
|
54 |
53 |
$4K |
| 76819 |
|
50 |
37 |
$4K |
| J0702 |
Betamethasone acet&sod phosp |
453 |
232 |
$4K |
| 81050 |
|
1,213 |
1,156 |
$4K |
| 73718 |
|
22 |
15 |
$3K |
| 72158 |
|
23 |
14 |
$3K |
| J0688 |
Inj cefazolin sodium, hikma |
90 |
29 |
$3K |
| 84305 |
|
154 |
151 |
$3K |
| 82947 |
|
809 |
670 |
$3K |
| C1894 |
Intro/sheath, non-laser |
1,459 |
1,321 |
$3K |
| 88185 |
|
12 |
12 |
$3K |
| 85018 |
|
1,854 |
1,284 |
$3K |
| J2710 |
Neostigmine methylslfte inj |
962 |
890 |
$3K |
| 76821 |
|
73 |
26 |
$3K |
| 86364 |
|
374 |
359 |
$3K |
| 80178 |
|
504 |
477 |
$3K |
| 89051 |
|
749 |
639 |
$3K |
| 86039 |
|
290 |
276 |
$3K |
| 87102 |
|
462 |
422 |
$3K |
| 83993 |
|
172 |
162 |
$3K |
| 82378 |
|
207 |
183 |
$3K |
| 77338 |
|
14 |
14 |
$3K |
| 72220 |
|
110 |
104 |
$3K |
| 86735 |
|
216 |
213 |
$3K |
| 83520 |
|
200 |
194 |
$3K |
| 72131 |
|
26 |
26 |
$2K |
| J9267 |
Paclitaxel injection |
127 |
49 |
$2K |
| 96402 |
|
40 |
26 |
$2K |
| 82274 |
|
122 |
116 |
$2K |
| J0134 |
Inj acetaminophen -fresenius |
533 |
462 |
$2K |
| C1781 |
Mesh (implantable) |
14 |
14 |
$2K |
| 84520 |
|
753 |
641 |
$2K |
| 86258 |
|
187 |
173 |
$2K |
| 74021 |
|
67 |
57 |
$2K |
| 84270 |
|
109 |
106 |
$2K |
| 80305 |
|
416 |
408 |
$2K |
| J2997 |
Alteplase recombinant |
13 |
13 |
$2K |
| 86765 |
|
211 |
207 |
$2K |
| 86403 |
|
236 |
235 |
$2K |
| J9190 |
Fluorouracil injection |
230 |
90 |
$2K |
| Q0163 |
Diphenhydramine hcl 50mg |
832 |
762 |
$2K |
| 72202 |
|
28 |
26 |
$2K |
| C1751 |
Cath, inf, per/cent/midline |
45 |
25 |
$2K |
| J0500 |
Dicyclomine injection |
163 |
159 |
$2K |
| 76981 |
|
51 |
51 |
$2K |
| 82952 |
|
414 |
407 |
$2K |
| 86870 |
|
12 |
12 |
$2K |
| J2310 |
Inj naloxone hydrochloride |
125 |
118 |
$2K |
| 64445 |
|
54 |
50 |
$2K |
| R0075 |
Transport port x-ray multipl |
176 |
155 |
$2K |
| 82140 |
|
175 |
155 |
$2K |
| 84075 |
|
345 |
326 |
$2K |
| 87641 |
|
54 |
53 |
$2K |
| 15853 |
|
25 |
25 |
$1K |
| 86255 |
|
146 |
124 |
$1K |
| J1010 |
Inj, methylpred acetate 1 mg |
169 |
128 |
$1K |
| 86800 |
|
95 |
91 |
$1K |
| J0461 |
Atropine sulfate injection |
106 |
24 |
$1K |
| 84132 |
|
409 |
354 |
$1K |
| 73060 |
|
83 |
64 |
$1K |
| G8978 |
Mobility current status |
629 |
438 |
$1K |
| 97763 |
|
44 |
24 |
$1K |
| 86645 |
|
76 |
75 |
$1K |
| 81511 |
|
12 |
12 |
$1K |
| 94618 |
|
17 |
17 |
$1K |
| J0280 |
Aminophyllin 250 mg inj |
22 |
16 |
$1K |
| 84630 |
|
109 |
107 |
$1K |
| 76827 |
|
28 |
26 |
$1K |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
1,168 |
1,026 |
$1K |
| 80202 |
|
89 |
40 |
$1K |
| 86644 |
|
76 |
72 |
$994.14 |
| 90686 |
|
100 |
98 |
$943.11 |
| 82390 |
|
89 |
88 |
$936.23 |
| J2543 |
Piperacillin/tazobactam |
107 |
53 |
$935.95 |
| 83013 |
|
14 |
14 |
$877.97 |
| 86147 |
|
23 |
14 |
$814.40 |
| 82677 |
|
36 |
35 |
$771.74 |
| 82365 |
|
97 |
92 |
$757.85 |
| J3489 |
Zoledronic acid 1mg |
55 |
39 |
$751.26 |
| 86705 |
|
67 |
63 |
$746.48 |
| J1630 |
Haloperidol injection |
577 |
481 |
$671.41 |
| J7510 |
Prednisolone oral per 5 mg |
322 |
297 |
$654.91 |
| J3486 |
Ziprasidone mesylate |
78 |
65 |
$648.69 |
| 85613 |
|
68 |
65 |
$605.76 |
| 97035 |
|
66 |
25 |
$564.18 |
| 82103 |
|
45 |
45 |
$513.14 |
| 86336 |
|
37 |
36 |
$508.16 |
| J3420 |
Vitamin b12 injection |
258 |
154 |
$505.20 |
| 82180 |
|
54 |
54 |
$460.45 |
| 87015 |
|
86 |
68 |
$456.79 |
| 86812 |
|
25 |
25 |
$452.61 |
| 83921 |
|
26 |
26 |
$427.62 |
| 90674 |
|
30 |
28 |
$415.80 |
| 73600 |
|
13 |
12 |
$397.90 |
| G8990 |
Other pt/ot current status |
339 |
276 |
$379.92 |
| 85347 |
|
109 |
61 |
$373.38 |
| 86618 |
|
24 |
24 |
$372.03 |
| 83498 |
|
13 |
12 |
$370.71 |
| 77001 |
|
17 |
12 |
$346.63 |
| V2632 |
Post chmbr intraocular lens |
28 |
24 |
$345.80 |
| 77399 |
|
12 |
12 |
$344.74 |
| 88184 |
|
22 |
13 |
$342.00 |
| 86341 |
|
14 |
14 |
$336.48 |
| 84446 |
|
31 |
29 |
$317.47 |
| J3360 |
Diazepam injection |
58 |
56 |
$313.43 |
| Q0239 |
Bamlanivimab-xxxx |
35 |
27 |
$313.25 |
| 82085 |
|
18 |
18 |
$302.07 |
| 73552 |
|
13 |
12 |
$280.69 |
| 90632 |
|
13 |
13 |
$280.43 |
| 88312 |
|
12 |
12 |
$279.44 |
| 70360 |
|
26 |
26 |
$266.54 |
| 84590 |
|
29 |
26 |
$246.58 |
| 84478 |
|
50 |
49 |
$242.55 |
| 36600 |
|
25 |
25 |
$234.30 |
| J0136 |
Inj, acetaminophen (b braun) |
51 |
44 |
$206.16 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
131 |
101 |
$205.71 |
| J3371 |
Inj, vancomycin hcl (mylan) |
164 |
127 |
$204.59 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
504 |
465 |
$199.48 |
| J2470 |
Inj pantoprazole sodium 40mg |
191 |
119 |
$198.61 |
| J9263 |
Oxaliplatin |
30 |
12 |
$195.99 |
| 86593 |
|
42 |
42 |
$193.56 |
| J1741 |
Ibuprofen injection |
28 |
28 |
$191.31 |
| 86381 |
|
13 |
13 |
$183.24 |
| 90714 |
|
24 |
22 |
$181.52 |
| 85045 |
|
52 |
49 |
$176.46 |
| 72170 |
|
13 |
12 |
$158.90 |
| J1240 |
Dimenhydrinate injection |
136 |
129 |
$149.09 |
| 88720 |
|
29 |
28 |
$145.58 |
| J1836 |
Inj, metronidazole, 10 mg |
133 |
77 |
$142.44 |
| 82525 |
|
13 |
12 |
$132.21 |
| 81002 |
|
21 |
12 |
$111.48 |
| J3105 |
Terbutaline sulfate inj |
475 |
385 |
$107.48 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
845 |
712 |
$91.80 |
| G8985 |
Carry goal status |
236 |
209 |
$74.65 |
| G8991 |
Other pt/ot goal status |
312 |
285 |
$74.11 |
| G8984 |
Carry current status |
259 |
201 |
$72.69 |
| 84300 |
|
19 |
13 |
$64.57 |
| J2272 |
Inj, morphine (fresenius) |
69 |
60 |
$62.50 |
| 84157 |
|
27 |
26 |
$57.27 |
| A9270 |
Non-covered item or service |
1,645 |
480 |
$46.25 |
| 85049 |
|
15 |
12 |
$45.92 |
| G8982 |
Body pos goal status |
48 |
37 |
$23.32 |
| 82945 |
|
12 |
12 |
$22.81 |
| J1940 |
Furosemide injection |
45 |
26 |
$19.79 |
| J0694 |
Cefoxitin sodium injection |
29 |
15 |
$18.52 |
| J0595 |
Butorphanol tartrate 1 mg |
16 |
12 |
$17.95 |
| J1626 |
Granisetron hcl injection |
17 |
13 |
$14.97 |
| G8979 |
Mobility goal status |
483 |
437 |
$14.93 |
| J1920 |
Inj, labetalol hcl, 5mg |
67 |
47 |
$11.52 |
| J2175 |
Meperidine hydrochl /100 mg |
50 |
50 |
$2.64 |
| Q0222 |
Bebtelovimab 175 mg |
30 |
29 |
$0.08 |
| Q0247 |
Sotrovimab |
55 |
53 |
$0.02 |
| J3590 |
Unclassified biologics |
131 |
128 |
$0.00 |
| G8980 |
Mobility d/c status |
15 |
12 |
$0.00 |
| G8981 |
Body pos current status |
13 |
13 |
$0.00 |