| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
131,512 |
119,531 |
$16.89M |
| 99284 |
|
111,474 |
92,882 |
$16.21M |
| 99285 |
|
71,660 |
58,113 |
$11.72M |
| G0463 |
Hospital outpt clinic visit |
101,531 |
87,069 |
$9.27M |
| 96361 |
|
16,473 |
9,499 |
$5.90M |
| J9271 |
Inj pembrolizumab |
797 |
454 |
$5.42M |
| 70450 |
|
15,467 |
12,335 |
$4.49M |
| 97110 |
|
55,820 |
15,068 |
$4.12M |
| 99282 |
|
29,981 |
27,617 |
$3.43M |
| 74177 |
|
11,721 |
8,812 |
$3.26M |
| G0378 |
Hospital observation per hr |
34,276 |
14,178 |
$2.47M |
| 96365 |
|
13,880 |
8,751 |
$2.14M |
| 96366 |
|
7,681 |
3,984 |
$2.03M |
| 43239 |
|
3,701 |
2,884 |
$1.67M |
| 74176 |
|
5,075 |
3,836 |
$1.48M |
| 94640 |
|
10,613 |
6,344 |
$1.46M |
| 96413 |
|
10,698 |
5,224 |
$1.42M |
| 71260 |
|
6,174 |
4,683 |
$1.02M |
| 78452 |
|
2,005 |
1,623 |
$843K |
| 76819 |
|
8,182 |
5,822 |
$812K |
| 76820 |
|
7,865 |
4,579 |
$793K |
| 76817 |
|
8,546 |
6,908 |
$764K |
| 90935 |
|
2,456 |
424 |
$758K |
| 80053 |
|
90,030 |
67,885 |
$694K |
| 76811 |
|
4,538 |
4,342 |
$667K |
| 45380 |
|
1,236 |
926 |
$662K |
| 93306 |
|
2,877 |
2,496 |
$661K |
| 95810 |
|
878 |
791 |
$648K |
| 97530 |
|
9,812 |
4,419 |
$620K |
| 80048 |
|
83,636 |
63,349 |
$583K |
| 70496 |
|
2,165 |
1,560 |
$548K |
| 99392 |
|
4,482 |
4,439 |
$541K |
| 99391 |
|
4,700 |
4,545 |
$540K |
| 76805 |
|
3,407 |
3,244 |
$519K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,056 |
2,954 |
$514K |
| 99213 |
|
4,645 |
4,403 |
$489K |
| 76816 |
|
4,686 |
4,171 |
$474K |
| 45385 |
|
945 |
724 |
$473K |
| 96360 |
|
3,504 |
2,441 |
$385K |
| 70553 |
|
1,476 |
1,218 |
$385K |
| 95811 |
|
569 |
527 |
$383K |
| 92507 |
|
5,002 |
1,861 |
$356K |
| 93325 |
|
2,144 |
1,987 |
$355K |
| 64493 |
|
529 |
353 |
$352K |
| 93458 |
|
313 |
230 |
$349K |
| 78815 |
|
731 |
608 |
$346K |
| A0431 |
Rotary wing air transport |
224 |
216 |
$339K |
| 84443 |
|
19,452 |
16,292 |
$336K |
| 70491 |
|
1,075 |
789 |
$326K |
| J0897 |
Denosumab injection |
372 |
272 |
$326K |
| 41899 |
|
267 |
156 |
$324K |
| 11042 |
|
2,937 |
1,518 |
$323K |
| 85025 |
|
160,936 |
121,580 |
$323K |
| 71046 |
|
29,418 |
25,586 |
$321K |
| 76821 |
|
3,649 |
2,036 |
$314K |
| 76770 |
|
1,775 |
1,582 |
$314K |
| 99212 |
|
3,042 |
2,785 |
$308K |
| 97140 |
|
10,687 |
3,760 |
$297K |
| 76705 |
|
3,175 |
2,660 |
$296K |
| 76801 |
|
2,450 |
2,175 |
$296K |
| 76815 |
|
2,403 |
1,739 |
$294K |
| 80061 |
|
12,398 |
11,140 |
$287K |
| 84484 |
|
69,394 |
36,662 |
$280K |
| 99393 |
|
2,311 |
2,268 |
$279K |
| 76856 |
|
1,449 |
1,202 |
$274K |
| 0202U |
|
1,749 |
1,417 |
$273K |
| 99214 |
|
2,286 |
2,229 |
$252K |
| 93005 |
|
78,005 |
58,917 |
$247K |
| 49083 |
|
632 |
261 |
$246K |
| 36415 |
|
122,918 |
91,641 |
$240K |
| 45378 |
|
427 |
295 |
$239K |
| 64635 |
|
418 |
268 |
$235K |
| 99211 |
|
2,466 |
2,236 |
$231K |
| 82306 |
|
8,330 |
7,378 |
$227K |
| 97161 |
|
4,708 |
4,030 |
$215K |
| 95816 |
|
1,262 |
1,201 |
$210K |
| 72148 |
|
1,373 |
1,176 |
$207K |
| 93017 |
|
2,216 |
1,801 |
$204K |
| 83036 |
|
18,356 |
16,715 |
$201K |
| 12001 |
|
1,132 |
995 |
$200K |
| 73721 |
|
871 |
777 |
$190K |
| 77067 |
|
3,843 |
3,507 |
$187K |
| 97113 |
|
2,556 |
708 |
$185K |
| 93976 |
|
1,203 |
925 |
$181K |
| 76813 |
|
1,825 |
1,700 |
$174K |
| 77386 |
|
406 |
37 |
$171K |
| 87636 |
|
7,881 |
6,719 |
$167K |
| 10060 |
|
922 |
763 |
$166K |
| 76825 |
|
1,798 |
1,645 |
$164K |
| 97016 |
|
5,402 |
1,538 |
$164K |
| 96374 |
|
69,791 |
54,002 |
$163K |
| 96416 |
|
533 |
202 |
$158K |
| 87591 |
|
18,808 |
15,684 |
$155K |
| 74174 |
|
670 |
516 |
$152K |
| 96415 |
|
1,039 |
531 |
$151K |
| 76827 |
|
1,894 |
1,745 |
$150K |
| 70551 |
|
1,019 |
804 |
$149K |
| 97112 |
|
3,633 |
1,159 |
$147K |
| 93970 |
|
957 |
810 |
$147K |
| 71045 |
|
36,487 |
30,156 |
$143K |
| 90870 |
|
428 |
165 |
$142K |
| 80307 |
|
8,238 |
6,340 |
$135K |
| 76642 |
|
1,237 |
1,033 |
$133K |
| 76818 |
|
1,869 |
1,031 |
$130K |
| P9016 |
Rbc leukocytes reduced |
487 |
308 |
$129K |
| 74018 |
|
2,857 |
2,347 |
$124K |
| 12011 |
|
737 |
628 |
$123K |
| 71250 |
|
1,436 |
1,210 |
$119K |
| 71271 |
|
1,041 |
944 |
$116K |
| 72141 |
|
785 |
665 |
$116K |
| 85027 |
|
23,607 |
17,080 |
$114K |
| 97162 |
|
3,144 |
2,618 |
$113K |
| 99394 |
|
906 |
882 |
$110K |
| 74183 |
|
472 |
385 |
$109K |
| 72125 |
|
5,686 |
4,493 |
$108K |
| 94060 |
|
899 |
805 |
$108K |
| 72131 |
|
1,694 |
1,301 |
$107K |
| 86900 |
|
4,988 |
3,720 |
$107K |
| 12002 |
|
613 |
539 |
$106K |
| 90471 |
|
11,816 |
11,140 |
$100K |
| 76536 |
|
890 |
807 |
$100K |
| 52356 |
|
50 |
31 |
$97K |
| 93975 |
|
652 |
486 |
$97K |
| 93971 |
|
1,196 |
1,011 |
$95K |
| 99281 |
|
688 |
546 |
$91K |
| 96367 |
|
2,310 |
1,389 |
$87K |
| 80320 |
|
7,726 |
5,944 |
$86K |
| 84439 |
|
6,834 |
5,849 |
$86K |
| 82607 |
|
5,107 |
4,504 |
$86K |
| 87510 |
|
12,755 |
10,300 |
$84K |
| 72100 |
|
2,961 |
2,462 |
$83K |
| J1439 |
Inj ferric carboxymaltos 1mg |
116 |
50 |
$81K |
| 71275 |
|
678 |
515 |
$81K |
| 47562 |
|
23 |
14 |
$79K |
| 97535 |
|
2,550 |
1,480 |
$78K |
| 84702 |
|
5,151 |
3,615 |
$77K |
| G0008 |
Admin influenza virus vac |
7,293 |
7,006 |
$75K |
| 73700 |
|
642 |
492 |
$74K |
| 77336 |
|
782 |
342 |
$73K |
| 70498 |
|
2,307 |
1,673 |
$72K |
| 87086 |
|
24,527 |
20,374 |
$71K |
| 87389 |
|
4,124 |
3,595 |
$71K |
| 82805 |
|
1,991 |
1,387 |
$70K |
| 73562 |
|
4,510 |
3,667 |
$67K |
| 97116 |
|
3,188 |
1,433 |
$65K |
| 11045 |
|
221 |
134 |
$65K |
| 86780 |
|
2,737 |
2,297 |
$65K |
| 76830 |
|
1,824 |
1,412 |
$65K |
| 96372 |
|
57,362 |
42,709 |
$65K |
| 90686 |
|
5,552 |
5,311 |
$64K |
| 83655 |
|
1,822 |
1,735 |
$63K |
| 77334 |
|
135 |
92 |
$63K |
| 77300 |
|
132 |
102 |
$62K |
| A9609 |
F18 fdg, 15 millicuries |
246 |
227 |
$61K |
| 83550 |
|
4,305 |
3,701 |
$61K |
| 82728 |
|
4,515 |
3,895 |
$59K |
| 83735 |
|
24,115 |
17,375 |
$59K |
| 96375 |
|
51,820 |
34,731 |
$59K |
| 82746 |
|
4,116 |
3,622 |
$59K |
| 96161 |
|
228 |
211 |
$58K |
| 73630 |
|
5,119 |
4,236 |
$58K |
| 70486 |
|
1,407 |
1,087 |
$58K |
| 97166 |
|
1,505 |
1,176 |
$57K |
| 82947 |
|
29,947 |
13,971 |
$56K |
| 36430 |
|
563 |
356 |
$56K |
| 73221 |
|
270 |
233 |
$55K |
| 87635 |
|
18,179 |
15,175 |
$55K |
| 97165 |
|
772 |
636 |
$55K |
| 86140 |
|
5,706 |
4,182 |
$55K |
| 86850 |
|
4,517 |
3,428 |
$54K |
| 87660 |
|
12,921 |
10,461 |
$53K |
| 58558 |
|
36 |
31 |
$53K |
| 94726 |
|
803 |
717 |
$52K |
| 86803 |
|
2,101 |
1,855 |
$52K |
| 72040 |
|
1,416 |
1,207 |
$51K |
| 73030 |
|
3,621 |
2,860 |
$51K |
| A0425 |
Ground mileage |
994 |
939 |
$51K |
| 72197 |
|
212 |
173 |
$50K |
| 94729 |
|
825 |
734 |
$50K |
| 80076 |
|
10,157 |
7,827 |
$50K |
| 83970 |
|
1,519 |
1,295 |
$48K |
| 81001 |
|
60,127 |
50,408 |
$48K |
| 88307 |
|
544 |
321 |
$47K |
| 77063 |
|
3,743 |
3,421 |
$46K |
| 83516 |
|
2,018 |
1,055 |
$46K |
| 94664 |
|
2,228 |
1,820 |
$45K |
| 95951 |
|
103 |
37 |
$45K |
| 85055 |
|
4,211 |
2,968 |
$44K |
| 87491 |
|
18,813 |
15,692 |
$44K |
| J0561 |
Penicillin g benzathine inj |
212 |
120 |
$43K |
| 87506 |
|
375 |
296 |
$41K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,205 |
868 |
$41K |
| 83540 |
|
4,723 |
4,050 |
$41K |
| 73610 |
|
3,867 |
3,159 |
$40K |
| A0427 |
Als1-emergency |
260 |
249 |
$40K |
| 93798 |
|
905 |
145 |
$40K |
| J3490 |
Drugs unclassified injection |
749 |
335 |
$40K |
| G0108 |
Diab manage trn per indiv |
480 |
339 |
$39K |
| 36591 |
|
11,245 |
5,660 |
$38K |
| J1756 |
Iron sucrose injection |
1,785 |
674 |
$38K |
| 90670 |
|
3,889 |
3,829 |
$37K |
| 90651 |
|
747 |
691 |
$37K |
| 73130 |
|
4,403 |
3,644 |
$36K |
| 90715 |
|
2,252 |
1,848 |
$35K |
| 83880 |
|
9,825 |
7,586 |
$35K |
| 73502 |
|
2,190 |
1,773 |
$34K |
| 72128 |
|
901 |
680 |
$34K |
| 88341 |
|
604 |
321 |
$34K |
| 95800 |
|
124 |
113 |
$33K |
| 85610 |
|
17,286 |
11,732 |
$32K |
| 96523 |
|
538 |
243 |
$32K |
| 83525 |
|
1,045 |
932 |
$31K |
| J0881 |
Darbepoetin alfa, non-esrd |
219 |
77 |
$30K |
| 36561 |
|
35 |
27 |
$30K |
| 74230 |
|
235 |
202 |
$30K |
| J0588 |
Incobotulinumtoxin a |
33 |
25 |
$30K |
| 82570 |
|
3,436 |
2,911 |
$30K |
| 97014 |
|
1,083 |
387 |
$30K |
| 93923 |
|
344 |
302 |
$30K |
| 43235 |
|
95 |
70 |
$29K |
| 82565 |
|
7,536 |
5,738 |
$29K |
| A0434 |
Specialty care transport |
182 |
178 |
$29K |
| 99204 |
|
292 |
284 |
$29K |
| 86003 |
|
1,563 |
700 |
$28K |
| 77065 |
Tomosynthesis, mammo |
681 |
560 |
$28K |
| 86480 |
|
556 |
495 |
$28K |
| 77080 |
|
431 |
389 |
$28K |
| 95886 |
|
271 |
225 |
$27K |
| 74178 |
|
130 |
98 |
$27K |
| 77066 |
Tomosynthesis, mammo |
622 |
554 |
$27K |
| 87522 |
Neg quan hep c or qual rna |
571 |
494 |
$26K |
| 64483 |
|
68 |
52 |
$26K |
| 95714 |
|
20 |
12 |
$26K |
| 96376 |
|
16,891 |
8,073 |
$26K |
| 82105 |
|
1,159 |
1,017 |
$26K |
| 99152 |
|
1,009 |
716 |
$26K |
| 86225 |
|
1,069 |
911 |
$25K |
| 93880 |
|
320 |
276 |
$25K |
| 87340 |
|
1,854 |
1,539 |
$25K |
| 99203 |
|
236 |
231 |
$25K |
| 74019 |
|
440 |
392 |
$25K |
| 83690 |
|
38,222 |
29,486 |
$24K |
| 83605 |
|
11,502 |
6,973 |
$24K |
| 29881 |
|
21 |
12 |
$23K |
| 84481 |
|
952 |
833 |
$23K |
| 90698 |
|
3,284 |
3,228 |
$23K |
| 99153 |
Mod sedat endo service >5yrs |
677 |
475 |
$23K |
| U0005 |
Infec agen detec ampli probe |
2,044 |
1,983 |
$23K |
| 82784 |
|
1,465 |
959 |
$23K |
| 86901 |
|
4,817 |
3,708 |
$22K |
| 11721 |
|
801 |
758 |
$22K |
| 85652 |
|
4,571 |
3,461 |
$22K |
| 72170 |
|
636 |
494 |
$21K |
| 77301 |
|
20 |
14 |
$21K |
| 73110 |
|
2,489 |
1,973 |
$21K |
| J0500 |
Dicyclomine injection |
1,449 |
961 |
$20K |
| U0004 |
Cov-19 test non-cdc hgh thru |
149 |
144 |
$20K |
| 86920 |
|
916 |
433 |
$20K |
| 73080 |
|
1,622 |
1,292 |
$20K |
| 82785 |
|
832 |
708 |
$20K |
| A0436 |
Rotary wing air mileage |
222 |
214 |
$20K |
| C8908 |
Mri w/o fol w/cont, breast, |
69 |
54 |
$19K |
| 80074 |
|
965 |
815 |
$19K |
| 64415 |
|
63 |
42 |
$19K |
| 72156 |
|
194 |
155 |
$19K |
| 90472 |
|
5,841 |
5,746 |
$19K |
| 93303 |
|
52 |
50 |
$19K |
| 90633 |
|
1,971 |
1,946 |
$19K |
| 99201 |
|
212 |
212 |
$19K |
| 93225 |
|
228 |
194 |
$19K |
| 85730 |
|
6,822 |
5,289 |
$19K |
| 86317 |
|
900 |
763 |
$18K |
| 80051 |
|
3,310 |
2,545 |
$18K |
| C9290 |
Inj, bupivacaine liposome |
274 |
202 |
$17K |
| 72158 |
|
125 |
101 |
$17K |
| 80323 |
|
640 |
573 |
$17K |
| 90744 |
|
2,119 |
2,077 |
$17K |
| 72082 |
|
209 |
194 |
$16K |
| 64447 |
|
136 |
97 |
$16K |
| 81025 |
|
17,665 |
13,833 |
$16K |
| 62323 |
|
48 |
35 |
$16K |
| 52000 |
|
20 |
15 |
$16K |
| 87186 |
|
4,564 |
3,306 |
$16K |
| 87641 |
|
554 |
478 |
$16K |
| 19083 |
|
15 |
12 |
$16K |
| 84146 |
|
662 |
553 |
$16K |
| 84703 |
|
28,034 |
22,481 |
$15K |
| 11043 |
|
90 |
49 |
$15K |
| 86038 |
|
1,047 |
892 |
$15K |
| 72110 |
|
307 |
282 |
$15K |
| 73590 |
|
1,553 |
1,228 |
$15K |
| 81003 |
|
9,548 |
7,420 |
$15K |
| 84630 |
|
583 |
524 |
$15K |
| G0009 |
Admin pneumococcal vaccine |
4,400 |
4,264 |
$15K |
| 85379 |
|
8,346 |
6,627 |
$14K |
| 84153 |
|
868 |
766 |
$14K |
| 99202 |
|
140 |
129 |
$14K |
| 72072 |
|
657 |
538 |
$14K |
| 87480 |
|
12,838 |
10,372 |
$14K |
| G0121 |
Colon ca scrn not hi rsk ind |
32 |
25 |
$14K |
| 92611 |
|
230 |
199 |
$14K |
| G0279 |
Tomosynthesis, mammo |
1,071 |
951 |
$13K |
| 82043 |
|
1,815 |
1,635 |
$13K |
| 70360 |
|
483 |
389 |
$13K |
| 84403 |
|
642 |
559 |
$13K |
| 86762 |
|
746 |
599 |
$13K |
| 84550 |
|
1,866 |
1,612 |
$13K |
| 87902 |
|
61 |
50 |
$12K |
| 72050 |
|
241 |
228 |
$12K |
| S9445 |
Pt education noc individ |
253 |
167 |
$12K |
| 73564 |
|
458 |
375 |
$12K |
| 82533 |
|
1,601 |
1,059 |
$12K |
| 90680 |
|
2,243 |
2,197 |
$12K |
| 76882 |
|
101 |
88 |
$11K |
| 94010 |
|
493 |
466 |
$11K |
| 84590 |
|
526 |
468 |
$11K |
| 73090 |
|
1,314 |
997 |
$10K |
| 94660 |
|
124 |
68 |
$10K |
| 73560 |
|
220 |
168 |
$10K |
| 84425 |
|
661 |
587 |
$9K |
| 84100 |
|
3,319 |
2,412 |
$9K |
| 76870 |
|
598 |
500 |
$9K |
| 84520 |
|
5,702 |
4,090 |
$9K |
| 94776 |
|
159 |
133 |
$9K |
| 82670 |
|
350 |
301 |
$9K |
| 64450 |
|
35 |
24 |
$9K |
| 87651 |
|
5,822 |
5,031 |
$9K |
| 80164 |
|
746 |
575 |
$9K |
| 90688 |
|
762 |
743 |
$9K |
| J2270 |
Morphine sulfate injection |
14,425 |
8,093 |
$8K |
| 59025 |
|
75 |
62 |
$8K |
| 54161 |
|
15 |
13 |
$8K |
| 86403 |
|
1,667 |
1,194 |
$8K |
| 77338 |
|
21 |
15 |
$8K |
| J1642 |
Inj heparin sodium per 10 u |
15,859 |
6,967 |
$8K |
| 76775 |
|
85 |
68 |
$8K |
| J2469 |
Palonosetron hcl |
1,575 |
727 |
$8K |
| 83001 |
|
474 |
420 |
$8K |
| J1650 |
Inj enoxaparin sodium |
9,827 |
4,810 |
$8K |
| 82330 |
|
2,880 |
2,061 |
$8K |
| 87077 |
|
2,933 |
2,129 |
$8K |
| 85045 |
|
1,418 |
940 |
$8K |
| 87804 |
|
18,623 |
8,069 |
$8K |
| 82248 |
|
792 |
667 |
$7K |
| 86376 |
|
354 |
309 |
$7K |
| G0010 |
Admin hepatitis b vaccine |
2,089 |
2,050 |
$7K |
| 73140 |
|
276 |
236 |
$7K |
| 00731 |
|
2,721 |
2,059 |
$7K |
| 86147 |
|
221 |
89 |
$7K |
| 73552 |
|
684 |
537 |
$7K |
| 73100 |
|
164 |
111 |
$7K |
| 72146 |
|
64 |
58 |
$7K |
| 84156 |
|
1,686 |
1,333 |
$7K |
| 81241 |
|
97 |
77 |
$6K |
| 92587 |
|
54 |
54 |
$6K |
| 86704 |
|
376 |
333 |
$6K |
| 92551 |
|
65 |
64 |
$6K |
| 82140 |
|
1,107 |
769 |
$6K |
| J1170 |
Hydromorphone injection |
7,259 |
3,001 |
$6K |
| J0640 |
Leucovorin calcium injection |
240 |
53 |
$6K |
| 83002 |
|
372 |
328 |
$6K |
| J1453 |
Fosaprepitant injection |
527 |
240 |
$6K |
| 85014 |
|
4,086 |
2,598 |
$5K |
| 86787 |
|
156 |
136 |
$5K |
| 64400 |
|
25 |
12 |
$5K |
| 87040 |
|
4,454 |
1,907 |
$5K |
| 71101 |
|
667 |
562 |
$5K |
| 97163 |
|
91 |
81 |
$5K |
| 84132 |
|
2,825 |
1,832 |
$5K |
| 86334 |
|
272 |
210 |
$5K |
| 84460 |
|
793 |
677 |
$5K |
| 86431 |
|
274 |
233 |
$5K |
| 95819 |
|
29 |
26 |
$5K |
| 83521 |
|
679 |
341 |
$5K |
| 82977 |
|
436 |
330 |
$5K |
| 64636 |
|
416 |
266 |
$5K |
| 90677 |
|
19 |
19 |
$5K |
| 92523 |
|
81 |
53 |
$5K |
| 84165 |
|
547 |
423 |
$5K |
| 82378 |
|
647 |
380 |
$4K |
| 73060 |
|
653 |
514 |
$4K |
| 51798 |
|
706 |
511 |
$4K |
| 88305 |
|
9,379 |
5,873 |
$4K |
| 74022 |
|
602 |
462 |
$4K |
| J1953 |
Levetiracetam injection |
825 |
491 |
$4K |
| 82550 |
|
2,189 |
1,496 |
$4K |
| 81002 |
|
670 |
584 |
$4K |
| 75574 |
|
13 |
12 |
$4K |
| 90696 |
|
451 |
443 |
$4K |
| 82950 |
|
335 |
275 |
$4K |
| 88172 |
|
42 |
27 |
$4K |
| 83615 |
|
954 |
725 |
$4K |
| 90685 |
|
427 |
421 |
$4K |
| 84480 |
|
150 |
130 |
$4K |
| 90710 |
|
703 |
692 |
$4K |
| 87661 |
|
1,088 |
851 |
$4K |
| 80177 |
|
1,043 |
740 |
$4K |
| 84450 |
|
679 |
571 |
$4K |
| 83520 |
|
132 |
81 |
$4K |
| A0426 |
Als 1 |
46 |
46 |
$3K |
| 87088 |
|
1,752 |
1,382 |
$3K |
| 80143 |
|
3,456 |
2,596 |
$3K |
| C1776 |
Joint device (implantable) |
297 |
223 |
$3K |
| 85018 |
|
1,707 |
979 |
$3K |
| 97802 |
|
40 |
37 |
$3K |
| 20610 |
|
42 |
28 |
$3K |
| 83883 |
|
73 |
58 |
$3K |
| 87070 |
|
1,440 |
1,044 |
$3K |
| 82803 |
|
2,150 |
1,471 |
$3K |
| 84145 |
|
1,013 |
764 |
$3K |
| 77072 |
|
40 |
38 |
$3K |
| 90716 |
|
356 |
349 |
$3K |
| 96368 |
|
1,301 |
691 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
45,982 |
33,607 |
$3K |
| 86695 |
|
146 |
115 |
$3K |
| J9045 |
Carboplatin injection |
258 |
122 |
$3K |
| 93226 |
|
55 |
43 |
$3K |
| J2310 |
Inj naloxone hydrochloride |
324 |
181 |
$3K |
| 87205 |
|
1,877 |
1,231 |
$3K |
| 83874 |
|
2,644 |
1,640 |
$3K |
| 86696 |
|
146 |
115 |
$3K |
| 12013 |
|
16 |
14 |
$3K |
| 76981 |
|
30 |
27 |
$3K |
| 83013 |
|
42 |
27 |
$2K |
| 86694 |
|
130 |
101 |
$2K |
| 87449 |
|
380 |
290 |
$2K |
| 78264 |
|
13 |
12 |
$2K |
| 97750 |
|
31 |
25 |
$2K |
| 73718 |
|
14 |
14 |
$2K |
| J2785 |
Regadenoson injection |
1,676 |
1,336 |
$2K |
| 81000 |
|
246 |
234 |
$2K |
| 82435 |
|
988 |
670 |
$2K |
| 85049 |
|
1,069 |
759 |
$2K |
| 69210 |
|
99 |
99 |
$2K |
| 82310 |
|
429 |
349 |
$2K |
| 86708 |
|
80 |
66 |
$2K |
| 90707 |
|
351 |
344 |
$2K |
| U0002 |
Covid-19 lab test non-cdc |
304 |
287 |
$2K |
| 81220 |
|
17 |
15 |
$2K |
| J3010 |
Fentanyl citrate injection |
23,681 |
14,605 |
$2K |
| 87880 |
|
2,066 |
1,495 |
$2K |
| 86644 |
|
92 |
76 |
$2K |
| 76885 |
|
12 |
12 |
$2K |
| 81240 |
|
67 |
52 |
$2K |
| 87324 |
|
260 |
200 |
$2K |
| 82652 |
|
81 |
66 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
22,869 |
11,631 |
$2K |
| 00400 |
|
530 |
369 |
$2K |
| J2543 |
Piperacillin/tazobactam |
1,000 |
298 |
$2K |
| 86777 |
|
63 |
52 |
$2K |
| J2790 |
Rho d immune globulin inj |
20 |
12 |
$2K |
| 84295 |
|
1,318 |
882 |
$2K |
| 80179 |
|
3,390 |
2,561 |
$2K |
| 84436 |
|
187 |
167 |
$2K |
| 90734 |
|
337 |
292 |
$2K |
| 86665 |
|
65 |
24 |
$2K |
| 80326 |
|
185 |
162 |
$2K |
| 82951 |
|
53 |
42 |
$2K |
| 84270 |
|
66 |
59 |
$1K |
| 88280 |
|
15 |
12 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
7,180 |
4,465 |
$1K |
| 90700 |
|
206 |
204 |
$1K |
| 86308 |
|
528 |
411 |
$1K |
| 76937 |
|
76 |
70 |
$1K |
| 90714 |
|
90 |
81 |
$1K |
| 90732 |
|
79 |
76 |
$1K |
| 86645 |
|
79 |
66 |
$1K |
| 82627 |
|
69 |
56 |
$1K |
| 82150 |
|
1,955 |
1,336 |
$1K |
| 77073 |
|
17 |
15 |
$1K |
| C1887 |
Catheter, guiding |
238 |
164 |
$1K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
26,114 |
20,043 |
$1K |
| G0379 |
Direct refer hospital observ |
154 |
107 |
$1K |
| 82040 |
|
481 |
391 |
$1K |
| 64494 |
|
516 |
341 |
$1K |
| 86800 |
|
70 |
52 |
$1K |
| 00910 |
|
514 |
363 |
$1K |
| 86778 |
|
61 |
52 |
$1K |
| 64445 |
|
29 |
13 |
$1K |
| 96417 |
|
1,225 |
619 |
$1K |
| 73620 |
|
51 |
45 |
$1K |
| 87075 |
|
943 |
659 |
$1K |
| G0296 |
Visit to determ ldct elig |
13 |
13 |
$1K |
| 82103 |
|
92 |
80 |
$1K |
| 82247 |
|
151 |
109 |
$1K |
| 86160 |
|
102 |
41 |
$1K |
| J0690 |
Cefazolin sodium injection |
6,113 |
3,885 |
$1K |
| 76942 |
|
233 |
174 |
$1K |
| J2405 |
Ondansetron hcl injection |
44,545 |
29,352 |
$994.20 |
| 01992 |
|
184 |
158 |
$980.24 |
| 90648 |
|
102 |
102 |
$979.80 |
| 83721 |
|
58 |
52 |
$968.24 |
| 83020 |
|
50 |
42 |
$966.50 |
| 80175 |
|
220 |
179 |
$961.11 |
| 83090 |
|
73 |
53 |
$953.16 |
| J1200 |
Diphenhydramine hcl injectio |
13,019 |
7,248 |
$943.49 |
| 80355 |
|
127 |
109 |
$932.71 |
| C1769 |
Guide wire |
1,868 |
1,269 |
$921.11 |
| 82397 |
|
33 |
25 |
$905.25 |
| 83993 |
|
44 |
39 |
$897.99 |
| C1889 |
Implant/insert device, noc |
547 |
387 |
$893.94 |
| 86304 |
|
51 |
38 |
$853.46 |
| 86747 |
|
52 |
26 |
$845.17 |
| 97597 |
|
23 |
12 |
$840.37 |
| J2360 |
Orphenadrine injection |
2,650 |
1,858 |
$839.57 |
| 88342 |
|
1,795 |
1,247 |
$831.77 |
| 00940 |
|
25 |
14 |
$806.24 |
| J1100 |
Dexamethasone sodium phos |
20,438 |
13,187 |
$787.35 |
| G0480 |
Drug test def 1-7 classes |
363 |
280 |
$777.13 |
| 97035 |
|
64 |
25 |
$775.64 |
| 72120 |
|
16 |
15 |
$774.11 |
| 72070 |
|
37 |
36 |
$754.26 |
| J1644 |
Inj heparin sodium per 1000u |
5,415 |
1,563 |
$704.12 |
| J0780 |
Prochlorperazine injection |
3,796 |
2,416 |
$701.78 |
| J2250 |
Inj midazolam hydrochloride |
13,739 |
9,360 |
$647.54 |
| 80347 |
|
82 |
68 |
$645.77 |
| J1456 |
Inj, fosaprepitant (teva) |
96 |
51 |
$633.37 |
| 82952 |
|
39 |
30 |
$632.12 |
| J2550 |
Promethazine hcl injection |
1,771 |
954 |
$605.80 |
| 73521 |
|
13 |
13 |
$600.10 |
| 73000 |
|
19 |
14 |
$596.54 |
| 87807 |
|
1,161 |
979 |
$583.85 |
| 85613 |
|
84 |
67 |
$583.81 |
| 29125 |
|
760 |
630 |
$582.64 |
| J0360 |
Hydralazine hcl injection |
886 |
554 |
$554.47 |
| 01480 |
|
379 |
260 |
$533.44 |
| 90620 |
|
51 |
51 |
$529.40 |
| 82962 |
|
260 |
239 |
$527.07 |
| 90746 |
|
31 |
30 |
$496.82 |
| 85576 |
|
20 |
13 |
$495.50 |
| 85300 |
|
42 |
38 |
$492.15 |
| C9113 |
Inj pantoprazole sodium, via |
946 |
460 |
$488.88 |
| 90846 |
|
14 |
12 |
$477.45 |
| 72220 |
|
45 |
38 |
$471.18 |
| 82010 |
|
1,339 |
950 |
$461.35 |
| J2930 |
Methylprednisolone injection |
1,733 |
985 |
$452.28 |
| J2272 |
Inj, morphine (fresenius) |
791 |
569 |
$450.01 |
| 77002 |
|
13 |
13 |
$445.42 |
| 85306 |
|
63 |
40 |
$435.86 |
| 84155 |
|
79 |
73 |
$427.18 |
| 83010 |
|
36 |
26 |
$402.73 |
| 00813 |
|
1,076 |
789 |
$395.59 |
| 01400 |
|
52 |
29 |
$395.59 |
| 00840 |
|
338 |
213 |
$395.59 |
| 00811 |
|
937 |
693 |
$395.59 |
| 00812 |
|
806 |
594 |
$395.59 |
| 83527 |
|
20 |
14 |
$354.26 |
| J2765 |
Metoclopramide hcl injection |
4,029 |
2,456 |
$341.14 |
| 85651 |
|
138 |
124 |
$338.91 |
| 82270 |
|
111 |
82 |
$338.22 |
| 83930 |
|
154 |
109 |
$332.47 |
| 82390 |
|
25 |
18 |
$326.80 |
| 93320 |
|
40 |
38 |
$316.50 |
| J0280 |
Aminophyllin 250 mg inj |
88 |
79 |
$311.60 |
| 88112 |
|
18 |
15 |
$301.14 |
| J8540 |
Oral dexamethasone |
1,327 |
940 |
$296.81 |
| 84305 |
|
13 |
12 |
$288.37 |
| J2060 |
Lorazepam injection |
3,074 |
1,937 |
$286.91 |
| J3475 |
Inj magnesium sulfate |
2,974 |
1,769 |
$273.82 |
| 80364 |
|
82 |
68 |
$267.32 |
| 00104 |
|
242 |
97 |
$266.72 |
| 86301 |
|
33 |
24 |
$242.24 |
| 85303 |
|
35 |
26 |
$239.17 |
| 74220 |
|
14 |
12 |
$227.51 |
| 88304 |
|
867 |
627 |
$223.99 |
| J3370 |
Vancomycin hcl injection |
1,830 |
843 |
$220.12 |
| A9500 |
Tc99m sestamibi |
2,084 |
1,606 |
$217.07 |
| J2920 |
Methylprednisolone injection |
375 |
121 |
$213.46 |
| C1894 |
Intro/sheath, non-laser |
1,388 |
993 |
$208.44 |
| 84300 |
|
135 |
103 |
$194.44 |
| 73600 |
|
20 |
12 |
$182.92 |
| J2919 |
Inj, methylpred sod succ 5mg |
1,119 |
615 |
$182.82 |
| J2470 |
Inj pantoprazole sodium 40mg |
354 |
230 |
$180.22 |
| 84478 |
|
27 |
13 |
$171.32 |
| P9603 |
One-way allow prorated miles |
2,818 |
1,464 |
$164.37 |
| J1790 |
Droperidol injection |
1,372 |
893 |
$163.40 |
| 86300 |
|
43 |
25 |
$160.73 |
| 82272 |
|
33 |
29 |
$153.43 |
| 87076 |
|
60 |
26 |
$152.33 |
| J2370 |
Phenylephrine hcl injection |
292 |
164 |
$149.83 |
| 77001 |
|
45 |
37 |
$149.82 |
| 96402 |
|
18 |
13 |
$139.40 |
| 73070 |
|
17 |
12 |
$120.01 |
| J3480 |
Inj potassium chloride |
1,816 |
828 |
$116.19 |
| 84075 |
|
32 |
26 |
$114.38 |
| 82274 |
|
12 |
12 |
$112.97 |
| J7030 |
Normal saline solution infus |
1,712 |
1,259 |
$112.96 |
| 80235 |
|
18 |
13 |
$112.60 |
| J0171 |
Adrenalin epinephrine inject |
731 |
467 |
$102.47 |
| 87081 |
|
19 |
12 |
$93.12 |
| 88173 |
|
67 |
44 |
$89.48 |
| J1630 |
Haloperidol injection |
1,057 |
674 |
$82.69 |
| J3420 |
Vitamin b12 injection |
146 |
89 |
$80.79 |
| Q0162 |
Ondansetron oral |
1,034 |
908 |
$80.68 |
| G0103 |
Psa screening |
204 |
186 |
$74.08 |
| 94761 |
|
4,269 |
2,626 |
$66.48 |
| 51702 |
|
49 |
25 |
$66.06 |
| J1940 |
Furosemide injection |
589 |
338 |
$59.89 |
| J2795 |
Ropivacaine hcl injection |
693 |
485 |
$59.61 |
| J7120 |
Ringers lactate infusion |
1,056 |
846 |
$59.57 |
| J3411 |
Thiamine hcl 100 mg |
756 |
375 |
$58.11 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
870 |
656 |
$56.64 |
| 64484 |
|
19 |
15 |
$54.72 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
2,695 |
1,799 |
$54.57 |
| 80165 |
|
18 |
15 |
$47.86 |
| 87801 |
|
13 |
13 |
$41.44 |
| 87184 |
|
17 |
12 |
$37.90 |
| 85384 |
|
14 |
13 |
$36.44 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
562 |
195 |
$32.90 |
| J3301 |
Triamcinolone acet inj nos |
378 |
255 |
$31.03 |
| J8501 |
Oral aprepitant |
13 |
12 |
$29.10 |
| 82553 |
|
80 |
56 |
$27.20 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
419 |
246 |
$26.39 |
| J1920 |
Inj, labetalol hcl, 5mg |
536 |
386 |
$25.30 |
| J7050 |
Normal saline solution infus |
1,498 |
794 |
$25.11 |
| A9579 |
Gad-base mr contrast nos,1ml |
2,675 |
2,185 |
$24.99 |
| 82800 |
|
73 |
38 |
$24.13 |
| 82375 |
|
13 |
12 |
$23.15 |
| J9190 |
Fluorouracil injection |
917 |
204 |
$20.16 |
| J0737 |
Inj, clindamycin (baxter) |
98 |
69 |
$17.86 |
| C1892 |
Intro/sheath,fixed,peel-away |
208 |
157 |
$14.51 |
| J0456 |
Azithromycin |
180 |
113 |
$13.72 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
1,506 |
1,060 |
$13.59 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
543 |
451 |
$13.21 |
| J7040 |
Normal saline solution infus |
514 |
341 |
$12.45 |
| 89051 |
|
33 |
27 |
$11.35 |
| J2305 |
Inj, nitroglycerin, 5 mg |
191 |
125 |
$10.88 |
| J0744 |
Ciprofloxacin iv |
286 |
128 |
$10.50 |
| J2004 |
Inj, lidocaine w epinephrine |
15 |
15 |
$9.56 |
| J0330 |
Succinycholine chloride inj |
490 |
329 |
$8.49 |
| J2710 |
Neostigmine methylslfte inj |
248 |
169 |
$8.36 |
| J0461 |
Atropine sulfate injection |
53 |
27 |
$6.30 |
| J0692 |
Cefepime hcl for injection |
347 |
107 |
$5.44 |
| H1000 |
Prenatal care atrisk assessm |
138 |
134 |
$4.49 |
| A9576 |
Inj prohance multipack |
625 |
512 |
$1.42 |
| Q0244 |
Casirivi and imdevi 1200 mg |
17 |
14 |
$0.14 |
| 96411 |
|
274 |
128 |
$0.00 |
| C1781 |
Mesh (implantable) |
94 |
60 |
$0.00 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
1,148 |
877 |
$0.00 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
97 |
56 |
$0.00 |
| 88311 |
|
16 |
13 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
265 |
219 |
$0.00 |
| C2617 |
Stent, non-cor, tem w/o del |
424 |
248 |
$0.00 |
| 94760 |
|
1,079 |
706 |
$0.00 |
| 00790 |
|
298 |
199 |
$0.00 |
| 94762 |
|
241 |
192 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
111 |
88 |
$0.00 |
| 00952 |
|
143 |
95 |
$0.00 |
| J9267 |
Paclitaxel injection |
44 |
14 |
$0.00 |
| J7999 |
Compounded drug, noc |
57 |
56 |
$0.00 |
| C9399 |
Unclassified drugs or biolog |
126 |
87 |
$0.00 |
| A4648 |
Implantable tissue marker |
70 |
54 |
$0.00 |
| 84157 |
|
14 |
13 |
$0.00 |
| G0283 |
Elec stim other than wound |
79 |
19 |
$0.00 |
| 00170 |
|
393 |
227 |
$0.00 |
| 64495 |
|
209 |
142 |
$0.00 |
| C1760 |
Closure dev, vasc |
39 |
27 |
$0.00 |
| A9537 |
Tc99m mebrofenin |
14 |
12 |
$0.00 |
| 00300 |
|
182 |
121 |
$0.00 |
| 01810 |
|
110 |
67 |
$0.00 |
| C1758 |
Catheter, ureteral |
375 |
220 |
$0.00 |
| 88360 |
|
18 |
12 |
$0.00 |
| 00920 |
|
143 |
140 |
$0.00 |
| 00918 |
|
86 |
56 |
$0.00 |
| C1788 |
Port, indwelling, imp |
18 |
16 |
$0.00 |
| A9552 |
F18 fdg |
436 |
333 |
$0.00 |
| G8978 |
Mobility current status |
42 |
41 |
$0.00 |
| A9541 |
Tc99m sulfur colloid |
34 |
27 |
$0.00 |
| 85520 |
|
31 |
12 |
$0.00 |
| C1729 |
Cath, drainage |
36 |
26 |
$0.00 |
| A4641 |
Radiopharm dx agent noc |
37 |
21 |
$0.00 |
| G8979 |
Mobility goal status |
42 |
41 |
$0.00 |
| J1956 |
Levofloxacin injection |
26 |
13 |
$0.00 |