| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
383,897 |
339,839 |
$50.09M |
| 99212 |
|
82,210 |
75,291 |
$13.15M |
| 99283 |
|
60,514 |
56,901 |
$9.86M |
| 99204 |
|
62,202 |
60,936 |
$8.13M |
| 99282 |
|
44,843 |
42,014 |
$6.95M |
| 99284 |
|
38,011 |
35,438 |
$5.98M |
| J1745 |
Infliximab not biosimil 10mg |
2,767 |
2,536 |
$5.78M |
| 93306 |
|
11,511 |
11,182 |
$4.93M |
| 42820 |
|
2,890 |
2,862 |
$4.90M |
| J1569 |
Gammagard liquid injection |
2,150 |
1,376 |
$4.41M |
| G0378 |
Hospital observation per hr |
18,456 |
17,357 |
$3.83M |
| 95810 |
|
4,617 |
4,582 |
$3.49M |
| 93303 |
|
7,766 |
7,569 |
$3.33M |
| 69436 |
|
2,710 |
2,680 |
$3.30M |
| 70551 |
|
10,186 |
9,935 |
$3.25M |
| 99202 |
|
20,015 |
19,292 |
$3.01M |
| 97530 |
|
49,737 |
23,117 |
$2.78M |
| 96361 |
|
5,437 |
3,670 |
$2.62M |
| 93304 |
|
5,136 |
4,959 |
$2.24M |
| 95812 |
|
4,794 |
4,698 |
$2.23M |
| 95782 |
|
2,900 |
2,882 |
$2.22M |
| 43239 |
|
3,570 |
3,527 |
$2.20M |
| 99215 |
Prolong outpt/office vis |
17,453 |
16,992 |
$2.09M |
| 96415 |
|
4,230 |
3,606 |
$2.00M |
| D7140 |
|
2,107 |
2,002 |
$1.95M |
| 96366 |
|
4,015 |
2,817 |
$1.82M |
| 54161 |
|
1,722 |
1,680 |
$1.78M |
| 96365 |
|
9,361 |
7,073 |
$1.76M |
| 76770 |
|
11,510 |
11,336 |
$1.72M |
| 93308 |
|
3,663 |
3,588 |
$1.52M |
| 99213 |
|
14,161 |
13,649 |
$1.51M |
| Q5103 |
Injection, inflectra |
877 |
767 |
$1.32M |
| 70553 |
|
3,198 |
3,127 |
$1.23M |
| 70450 |
|
4,774 |
4,526 |
$1.20M |
| 93325 |
|
19,613 |
18,873 |
$1.18M |
| 76705 |
|
9,813 |
9,210 |
$1.18M |
| Q3014 |
Telehealth facility fee |
47,043 |
44,009 |
$1.16M |
| 97110 |
|
29,869 |
14,753 |
$1.12M |
| 29075 |
|
3,585 |
3,309 |
$1.12M |
| 49452 |
|
1,866 |
1,688 |
$1.11M |
| 96450 |
|
2,627 |
2,093 |
$1.09M |
| D2930 |
|
672 |
646 |
$1.03M |
| 29450 |
|
2,787 |
1,242 |
$1.03M |
| 96413 |
|
7,976 |
5,448 |
$922K |
| 99285 |
|
7,441 |
7,110 |
$902K |
| 87635 |
|
20,694 |
19,734 |
$887K |
| 92555 |
|
17,373 |
17,120 |
$849K |
| 96360 |
|
3,166 |
2,953 |
$817K |
| 92587 |
|
5,708 |
5,598 |
$814K |
| 29065 |
|
2,612 |
2,379 |
$811K |
| P9040 |
Rbc leukoreduced irradiated |
1,701 |
1,289 |
$803K |
| 45380 |
|
1,217 |
1,201 |
$745K |
| 36430 |
|
3,983 |
2,602 |
$740K |
| 55175 |
|
457 |
445 |
$712K |
| 92507 |
|
13,772 |
6,437 |
$652K |
| 97162 |
|
10,499 |
10,287 |
$591K |
| 42830 |
|
333 |
332 |
$578K |
| P9016 |
Rbc leukocytes reduced |
1,022 |
833 |
$564K |
| H2020 |
Ther behav svc, per diem |
1,032 |
98 |
$547K |
| U0003 |
Cov-19 amp prb hgh thruput |
6,528 |
6,217 |
$533K |
| 76700 |
|
3,764 |
3,681 |
$530K |
| 92567 |
|
24,377 |
23,924 |
$469K |
| 44970 |
|
121 |
117 |
$461K |
| 92523 |
|
3,726 |
3,643 |
$460K |
| 96112 |
|
739 |
732 |
$459K |
| 74177 |
|
1,704 |
1,655 |
$433K |
| 12011 |
|
1,598 |
1,546 |
$416K |
| 97763 |
|
1,741 |
1,618 |
$412K |
| 95716 |
|
854 |
795 |
$383K |
| 31575 |
|
1,304 |
1,272 |
$378K |
| Q5111 |
Injection, udenyca 0.5 mg |
128 |
99 |
$372K |
| 76536 |
|
2,866 |
2,778 |
$360K |
| 54360 |
|
418 |
409 |
$346K |
| 72141 |
|
2,315 |
2,284 |
$326K |
| 17110 |
|
1,072 |
1,062 |
$322K |
| 76856 |
|
2,801 |
2,697 |
$310K |
| 87497 |
|
8,905 |
5,816 |
$297K |
| 54640 |
|
208 |
203 |
$286K |
| 97166 |
|
4,894 |
4,787 |
$283K |
| 99203 |
|
3,604 |
3,526 |
$276K |
| 36415 |
|
117,185 |
103,945 |
$272K |
| 92552 |
|
3,368 |
3,322 |
$271K |
| 73721 |
|
1,174 |
1,140 |
$271K |
| 97535 |
|
5,079 |
3,720 |
$269K |
| 85025 |
|
103,566 |
78,132 |
$269K |
| 81415 |
|
891 |
881 |
$268K |
| 92553 |
|
3,143 |
3,097 |
$266K |
| 76885 |
|
2,077 |
1,975 |
$261K |
| 62252 |
|
2,249 |
2,121 |
$259K |
| 92611 |
|
4,081 |
4,037 |
$258K |
| 31622 |
|
242 |
233 |
$237K |
| 87799 |
|
10,039 |
5,877 |
$228K |
| 97112 |
|
6,869 |
3,830 |
$226K |
| 93975 |
|
3,532 |
3,388 |
$226K |
| 92585 |
|
784 |
754 |
$223K |
| 76870 |
|
1,846 |
1,785 |
$220K |
| D2391 |
|
434 |
415 |
$217K |
| 11900 |
|
660 |
651 |
$209K |
| J9217 |
Leuprolide acetate suspnsion |
374 |
369 |
$209K |
| D2330 |
|
215 |
207 |
$209K |
| 92060 |
|
7,398 |
7,306 |
$208K |
| 82306 |
|
27,927 |
27,358 |
$206K |
| 97161 |
|
3,754 |
3,693 |
$205K |
| 95700 |
|
1,395 |
1,347 |
$192K |
| 29105 |
|
890 |
842 |
$191K |
| 24538 |
|
43 |
41 |
$190K |
| 92557 |
|
1,993 |
1,971 |
$189K |
| 12001 |
|
709 |
682 |
$189K |
| 43762 |
|
819 |
793 |
$186K |
| U0002 |
Covid-19 lab test non-cdc |
22,612 |
20,934 |
$186K |
| 76882 |
|
1,613 |
1,437 |
$183K |
| 87507 |
|
2,792 |
2,711 |
$171K |
| 71046 |
|
21,141 |
19,983 |
$165K |
| 80069 |
|
22,857 |
18,814 |
$159K |
| 87631 |
|
7,410 |
7,151 |
$157K |
| 71250 |
|
1,088 |
1,069 |
$157K |
| 29405 |
|
465 |
354 |
$155K |
| 90686 |
|
16,268 |
16,013 |
$145K |
| 96367 |
|
1,975 |
1,673 |
$143K |
| 82784 |
|
15,965 |
13,468 |
$142K |
| 87637 |
|
21,290 |
20,365 |
$141K |
| 92522 |
|
2,331 |
2,283 |
$136K |
| 81416 |
|
911 |
813 |
$132K |
| J0475 |
Baclofen 10 mg injection |
263 |
259 |
$130K |
| 49500 |
|
56 |
51 |
$129K |
| 92610 |
|
2,596 |
2,551 |
$126K |
| 92579 |
|
8,019 |
7,881 |
$123K |
| 36592 |
|
5,220 |
2,839 |
$123K |
| 67311 |
|
43 |
41 |
$123K |
| 92582 |
|
7,503 |
7,382 |
$121K |
| 72148 |
|
2,446 |
2,417 |
$121K |
| 81229 |
|
1,169 |
1,136 |
$121K |
| 84443 |
|
36,759 |
35,678 |
$116K |
| 73718 |
|
487 |
481 |
$115K |
| 80048 |
|
13,191 |
11,363 |
$113K |
| J0585 |
Injection,onabotulinumtoxina |
325 |
258 |
$113K |
| 80197 |
|
10,650 |
6,224 |
$112K |
| 80053 |
|
17,277 |
14,652 |
$112K |
| 99205 |
Prolong outpt/office vis |
1,026 |
1,014 |
$110K |
| 87633 |
|
4,223 |
4,008 |
$108K |
| J1439 |
Inj ferric carboxymaltos 1mg |
315 |
290 |
$106K |
| 71260 |
|
946 |
925 |
$105K |
| 76825 |
|
2,561 |
2,373 |
$103K |
| 80061 |
|
14,077 |
13,692 |
$98K |
| 70486 |
|
924 |
905 |
$97K |
| 81479 |
|
2,694 |
2,553 |
$96K |
| 69210 |
|
2,301 |
2,264 |
$96K |
| 96409 |
|
6,674 |
3,383 |
$95K |
| 97164 |
|
2,456 |
2,403 |
$94K |
| 99001 |
|
27,959 |
26,427 |
$93K |
| 84439 |
|
20,939 |
20,337 |
$93K |
| 97760 |
|
2,237 |
2,143 |
$92K |
| 82248 |
|
34,187 |
23,419 |
$91K |
| 90471 |
|
20,049 |
19,662 |
$90K |
| 95816 |
|
366 |
360 |
$89K |
| 83735 |
|
40,577 |
30,021 |
$88K |
| 93005 |
|
33,382 |
31,765 |
$88K |
| 97165 |
|
1,535 |
1,506 |
$88K |
| 80051 |
|
24,233 |
20,611 |
$87K |
| 82728 |
|
22,322 |
21,106 |
$86K |
| 83880 |
|
5,524 |
4,697 |
$83K |
| D2331 |
|
168 |
162 |
$83K |
| 72170 |
|
8,063 |
7,815 |
$83K |
| 94640 |
|
9,441 |
8,887 |
$83K |
| 38220 |
|
98 |
92 |
$82K |
| 96374 |
|
5,119 |
4,583 |
$81K |
| 88305 |
|
10,870 |
8,614 |
$81K |
| 93226 |
|
1,885 |
1,851 |
$80K |
| 93271 |
|
558 |
556 |
$80K |
| 77080 |
|
1,072 |
1,063 |
$80K |
| 87040 |
|
5,351 |
4,519 |
$79K |
| 86834 |
|
3,063 |
2,804 |
$79K |
| 72146 |
|
2,396 |
2,367 |
$79K |
| 70544 |
|
316 |
313 |
$79K |
| 83970 |
|
3,909 |
3,730 |
$78K |
| D2392 |
|
386 |
376 |
$78K |
| 20680 |
|
88 |
76 |
$76K |
| 95951 |
|
176 |
146 |
$75K |
| 86923 |
|
4,094 |
2,764 |
$74K |
| 96375 |
|
6,560 |
4,820 |
$74K |
| 24640 |
|
151 |
145 |
$72K |
| 74240 |
|
713 |
703 |
$72K |
| 74018 |
|
5,891 |
5,372 |
$70K |
| 80307 |
|
1,633 |
1,495 |
$68K |
| 97140 |
|
3,403 |
1,911 |
$64K |
| 82565 |
|
42,058 |
34,437 |
$64K |
| 88185 |
|
1,047 |
919 |
$64K |
| 96372 |
|
6,702 |
5,361 |
$63K |
| 51741 |
|
263 |
259 |
$62K |
| 94010 |
|
4,884 |
4,798 |
$61K |
| 72082 |
|
5,836 |
5,765 |
$60K |
| 38222 |
|
80 |
78 |
$60K |
| 84311 |
|
31,509 |
21,687 |
$57K |
| 84460 |
|
69,525 |
58,225 |
$57K |
| 86835 |
|
3,068 |
2,808 |
$56K |
| 82670 |
|
3,588 |
3,526 |
$56K |
| Q5120 |
Inj pegfilgrastim-bmez 0.5mg |
16 |
12 |
$56K |
| 76827 |
|
2,531 |
2,358 |
$55K |
| 51600 |
|
245 |
244 |
$55K |
| 84305 |
|
4,019 |
3,962 |
$54K |
| 31624 |
|
67 |
66 |
$53K |
| 73560 |
|
4,675 |
4,394 |
$53K |
| J3490 |
Drugs unclassified injection |
5,870 |
2,342 |
$53K |
| 0001A |
|
1,838 |
1,781 |
$53K |
| 97750 |
|
1,462 |
1,366 |
$52K |
| 82947 |
|
8,315 |
7,516 |
$52K |
| 97803 |
|
2,103 |
1,874 |
$51K |
| 43760 |
|
186 |
179 |
$51K |
| 97116 |
|
2,003 |
1,340 |
$51K |
| 93321 |
|
8,630 |
8,387 |
$50K |
| 11100 |
|
84 |
83 |
$50K |
| 77072 |
|
4,245 |
4,187 |
$49K |
| 92652 |
|
1,192 |
1,163 |
$49K |
| 73070 |
|
5,572 |
4,562 |
$48K |
| 95819 |
|
207 |
204 |
$48K |
| 86140 |
|
30,431 |
27,699 |
$47K |
| 85027 |
|
23,778 |
22,696 |
$46K |
| 0002A |
|
1,239 |
1,225 |
$46K |
| 93320 |
|
7,739 |
7,542 |
$46K |
| 86850 |
|
8,367 |
6,399 |
$45K |
| 92556 |
|
1,010 |
1,001 |
$44K |
| 74241 |
|
360 |
356 |
$44K |
| 82533 |
|
2,661 |
2,490 |
$43K |
| 84403 |
|
3,982 |
3,920 |
$43K |
| 83001 |
|
3,699 |
3,601 |
$42K |
| 83550 |
|
16,636 |
16,096 |
$42K |
| 92526 |
|
803 |
625 |
$41K |
| 83002 |
|
4,073 |
3,960 |
$40K |
| J3262 |
Tocilizumab injection |
126 |
85 |
$39K |
| 88313 |
|
3,506 |
2,333 |
$38K |
| 83498 |
|
3,239 |
3,079 |
$37K |
| 86376 |
|
2,400 |
2,364 |
$37K |
| 82157 |
|
1,111 |
1,076 |
$37K |
| 83540 |
|
17,293 |
16,724 |
$37K |
| J3380 |
Inj vedolizumab iv 1 mg |
13 |
13 |
$36K |
| G0379 |
Direct refer hospital observ |
231 |
224 |
$36K |
| 87591 |
|
2,857 |
2,667 |
$36K |
| 86356 |
|
2,269 |
1,556 |
$36K |
| 86481 |
|
2,501 |
2,447 |
$36K |
| 88307 |
|
1,344 |
1,243 |
$35K |
| 83655 |
|
3,103 |
3,011 |
$34K |
| 92524 |
|
618 |
592 |
$34K |
| 97168 |
|
841 |
820 |
$34K |
| 70480 |
|
254 |
254 |
$33K |
| 94060 |
|
2,056 |
2,030 |
$33K |
| 86359 |
|
3,565 |
2,677 |
$33K |
| 83036 |
|
22,766 |
22,302 |
$33K |
| 86355 |
|
3,059 |
2,477 |
$32K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
2,222 |
2,164 |
$32K |
| J2704 |
Inj, propofol, 10 mg |
65,557 |
27,031 |
$31K |
| 29345 |
|
101 |
91 |
$30K |
| 84450 |
|
27,133 |
23,376 |
$30K |
| 73610 |
|
5,128 |
4,697 |
$30K |
| 84520 |
|
30,296 |
24,192 |
$30K |
| 83520 |
|
5,485 |
5,085 |
$29K |
| 84075 |
|
32,070 |
25,823 |
$29K |
| 92609 |
|
439 |
305 |
$29K |
| 62370 |
|
234 |
231 |
$29K |
| 99460 |
|
340 |
331 |
$29K |
| 94726 |
|
939 |
921 |
$28K |
| 20670 |
|
12 |
12 |
$28K |
| 82139 |
|
2,731 |
2,517 |
$28K |
| 84100 |
|
19,716 |
14,355 |
$28K |
| 82785 |
|
2,846 |
2,805 |
$28K |
| 73552 |
|
2,074 |
1,836 |
$27K |
| 74019 |
|
5,209 |
4,861 |
$27K |
| G0480 |
Drug test def 1-7 classes |
2,577 |
2,386 |
$27K |
| 86360 |
|
2,050 |
1,986 |
$26K |
| 29125 |
|
86 |
84 |
$26K |
| 86003 |
|
4,841 |
3,407 |
$26K |
| 97542 |
|
449 |
419 |
$26K |
| 83615 |
|
10,983 |
7,518 |
$25K |
| 80169 |
|
1,986 |
1,450 |
$24K |
| 82570 |
|
12,461 |
11,300 |
$24K |
| 73620 |
|
2,389 |
2,264 |
$24K |
| 72081 |
|
2,621 |
2,560 |
$24K |
| 82627 |
|
1,654 |
1,633 |
$24K |
| G0463 |
Hospital outpt clinic visit |
2,440 |
1,660 |
$23K |
| 84146 |
|
2,082 |
2,001 |
$23K |
| 70543 |
|
52 |
52 |
$23K |
| 10060 |
|
117 |
106 |
$23K |
| 73090 |
|
6,396 |
5,104 |
$23K |
| G0268 |
Removal of impacted wax md |
506 |
496 |
$23K |
| 92607 |
|
294 |
292 |
$23K |
| 97163 |
|
431 |
424 |
$23K |
| 73590 |
|
4,242 |
3,606 |
$23K |
| 87103 |
|
2,887 |
2,341 |
$22K |
| 82977 |
|
23,259 |
20,363 |
$22K |
| 99238 |
|
516 |
495 |
$22K |
| 73630 |
|
4,243 |
4,051 |
$22K |
| 70360 |
|
3,393 |
3,327 |
$21K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
10,246 |
6,362 |
$21K |
| 85610 |
|
14,039 |
12,041 |
$21K |
| 84630 |
|
2,246 |
2,211 |
$21K |
| 76942 |
|
244 |
238 |
$20K |
| 86357 |
|
2,382 |
1,567 |
$20K |
| 85045 |
|
8,982 |
7,525 |
$20K |
| 93786 |
|
1,612 |
1,596 |
$20K |
| 94729 |
|
859 |
838 |
$20K |
| 72156 |
|
132 |
127 |
$20K |
| 86900 |
|
8,748 |
6,718 |
$20K |
| 81001 |
|
28,841 |
26,280 |
$19K |
| 86812 |
|
1,054 |
1,032 |
$19K |
| 83883 |
|
1,755 |
1,702 |
$19K |
| 82040 |
|
12,798 |
11,801 |
$19K |
| 0071A |
|
507 |
473 |
$19K |
| 82610 |
|
2,817 |
2,660 |
$19K |
| 83993 |
|
1,516 |
1,496 |
$18K |
| 81425 |
|
58 |
58 |
$18K |
| 83918 |
|
1,603 |
1,482 |
$18K |
| 82657 |
|
2,168 |
1,806 |
$18K |
| 85652 |
|
25,869 |
24,017 |
$18K |
| 14040 |
|
55 |
55 |
$17K |
| 72020 |
|
773 |
751 |
$17K |
| 96411 |
|
2,450 |
1,446 |
$17K |
| 84446 |
|
2,762 |
2,689 |
$17K |
| 99211 |
|
124 |
114 |
$17K |
| 72195 |
|
381 |
377 |
$17K |
| 84590 |
|
2,823 |
2,755 |
$17K |
| 88342 |
|
2,170 |
2,039 |
$16K |
| 86800 |
|
1,699 |
1,673 |
$16K |
| 74455 |
|
90 |
89 |
$16K |
| 88108 |
|
3,342 |
2,675 |
$16K |
| 92604 |
|
308 |
289 |
$16K |
| 71275 |
|
41 |
41 |
$16K |
| 73080 |
|
2,225 |
1,912 |
$16K |
| J2405 |
Ondansetron hcl injection |
31,602 |
28,724 |
$16K |
| 87077 |
|
13,192 |
10,746 |
$15K |
| 87086 |
|
14,134 |
13,226 |
$15K |
| 73140 |
|
3,089 |
2,799 |
$15K |
| 70491 |
|
92 |
92 |
$15K |
| D1351 |
|
962 |
930 |
$15K |
| 82247 |
|
16,364 |
13,619 |
$15K |
| 82105 |
|
1,421 |
1,355 |
$15K |
| 36591 |
|
262 |
190 |
$15K |
| 93225 |
|
1,441 |
1,417 |
$15K |
| 82310 |
|
12,062 |
9,927 |
$14K |
| 93296 |
|
392 |
388 |
$14K |
| 73100 |
|
5,138 |
4,246 |
$14K |
| 82607 |
|
2,378 |
2,324 |
$14K |
| P9037 |
Plate pheres leukoredu irrad |
19 |
12 |
$14K |
| 85378 |
|
2,042 |
1,800 |
$14K |
| 86901 |
|
8,698 |
6,681 |
$14K |
| 77073 |
|
2,444 |
2,397 |
$13K |
| J7030 |
Normal saline solution infus |
13,856 |
10,171 |
$13K |
| 0072A |
|
343 |
331 |
$13K |
| G0108 |
Diab manage trn per indiv |
543 |
483 |
$13K |
| 86665 |
|
2,642 |
1,558 |
$13K |
| 73130 |
|
3,659 |
3,353 |
$13K |
| 69209 |
|
118 |
116 |
$13K |
| 90685 |
|
774 |
760 |
$13K |
| 86160 |
|
4,189 |
2,627 |
$13K |
| 76377 |
|
3,284 |
3,181 |
$13K |
| 74181 |
|
63 |
57 |
$13K |
| 86663 |
|
1,588 |
1,544 |
$12K |
| 73720 |
|
38 |
38 |
$12K |
| 86317 |
|
1,947 |
731 |
$12K |
| 83605 |
|
1,390 |
1,273 |
$12K |
| 82542 |
|
1,470 |
1,337 |
$12K |
| 84402 |
|
1,407 |
1,387 |
$12K |
| 84436 |
|
1,741 |
1,706 |
$12K |
| 82017 |
|
978 |
952 |
$12K |
| 86341 |
|
1,523 |
837 |
$11K |
| 0202U |
|
11,320 |
10,636 |
$11K |
| 86337 |
|
713 |
690 |
$11K |
| 83021 |
|
1,152 |
922 |
$11K |
| 0004A |
|
299 |
282 |
$11K |
| 70250 |
|
1,967 |
1,862 |
$11K |
| 86364 |
|
5,445 |
5,365 |
$11K |
| 81403 |
|
140 |
129 |
$11K |
| 86235 |
|
1,036 |
707 |
$10K |
| 72197 |
|
41 |
38 |
$10K |
| 84703 |
|
12,668 |
11,900 |
$10K |
| 71045 |
|
1,352 |
1,241 |
$10K |
| 82962 |
|
15,515 |
11,935 |
$10K |
| 83020 |
|
1,552 |
1,429 |
$10K |
| 0241U |
|
346 |
316 |
$10K |
| 87070 |
|
5,918 |
5,576 |
$10K |
| 87486 |
|
444 |
425 |
$9K |
| 76800 |
|
71 |
69 |
$9K |
| 72040 |
|
1,079 |
1,039 |
$9K |
| 83516 |
|
5,964 |
5,658 |
$9K |
| 87491 |
|
2,876 |
2,681 |
$9K |
| 88237 |
|
134 |
127 |
$9K |
| 11104 |
|
28 |
28 |
$9K |
| 92504 |
|
92 |
89 |
$9K |
| 80158 |
|
625 |
224 |
$9K |
| 95811 |
|
12 |
12 |
$9K |
| 87798 |
|
750 |
699 |
$9K |
| 88184 |
|
1,200 |
1,099 |
$9K |
| J0690 |
Cefazolin sodium injection |
14,129 |
11,441 |
$9K |
| J9370 |
Vincristine sulfate 1 mg inj |
4,501 |
2,932 |
$9K |
| 84255 |
|
1,381 |
1,356 |
$9K |
| 80076 |
|
2,203 |
2,042 |
$9K |
| 80195 |
|
783 |
500 |
$9K |
| 81426 |
|
56 |
56 |
$9K |
| 87081 |
|
9,136 |
8,859 |
$9K |
| 97802 |
|
161 |
159 |
$9K |
| 73110 |
|
2,056 |
1,948 |
$9K |
| 84156 |
|
6,120 |
5,263 |
$8K |
| 73600 |
|
1,325 |
1,243 |
$8K |
| 73562 |
|
1,341 |
1,313 |
$8K |
| 99243 |
|
135 |
133 |
$8K |
| 86664 |
|
1,589 |
1,545 |
$8K |
| 93788 |
|
310 |
307 |
$8K |
| 80164 |
|
632 |
611 |
$8K |
| 82525 |
|
947 |
929 |
$8K |
| C1769 |
Guide wire |
1,725 |
1,588 |
$8K |
| 85520 |
|
700 |
481 |
$8K |
| 88264 |
|
134 |
127 |
$8K |
| 85730 |
|
7,207 |
6,572 |
$8K |
| 85246 |
|
1,579 |
1,503 |
$7K |
| 83690 |
|
13,738 |
12,753 |
$7K |
| 82550 |
|
5,406 |
4,977 |
$7K |
| 72100 |
|
925 |
906 |
$7K |
| 82010 |
|
4,085 |
2,710 |
$7K |
| P9073 |
Platelets pheresis path redu |
20 |
12 |
$7K |
| 31231 |
|
43 |
43 |
$7K |
| 80299 |
|
552 |
412 |
$7K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
6,072 |
4,343 |
$7K |
| 73060 |
|
1,335 |
1,162 |
$7K |
| 86480 |
|
366 |
358 |
$7K |
| 86902 |
|
1,578 |
962 |
$7K |
| 92133 |
|
1,067 |
1,059 |
$7K |
| 83789 |
|
1,306 |
1,193 |
$7K |
| 73030 |
|
1,198 |
1,141 |
$7K |
| 93971 |
|
57 |
54 |
$6K |
| 81321 |
|
27 |
27 |
$6K |
| J1200 |
Diphenhydramine hcl injectio |
3,209 |
2,327 |
$6K |
| 73218 |
|
28 |
28 |
$6K |
| Q0162 |
Ondansetron oral |
3,701 |
3,033 |
$6K |
| 85240 |
|
1,081 |
1,044 |
$6K |
| 82465 |
|
3,094 |
2,957 |
$6K |
| J1885 |
Ketorolac tromethamine inj |
23,360 |
20,887 |
$6K |
| 85044 |
|
2,636 |
2,142 |
$6K |
| 82803 |
|
2,584 |
2,314 |
$6K |
| 82379 |
|
726 |
703 |
$6K |
| 86038 |
|
3,114 |
3,057 |
$6K |
| 81003 |
|
15,327 |
14,628 |
$6K |
| J7040 |
Normal saline solution infus |
3,778 |
3,088 |
$6K |
| 82140 |
|
1,323 |
1,131 |
$6K |
| 85245 |
|
1,308 |
1,167 |
$6K |
| 62270 |
|
17 |
13 |
$6K |
| 82043 |
|
5,492 |
5,310 |
$5K |
| 95813 |
|
12 |
12 |
$5K |
| 84134 |
|
2,023 |
1,963 |
$5K |
| 73000 |
|
1,386 |
1,273 |
$5K |
| 73120 |
|
982 |
924 |
$5K |
| 87581 |
|
465 |
446 |
$5K |
| 87340 |
|
1,888 |
1,835 |
$5K |
| 84480 |
|
1,495 |
1,421 |
$5K |
| 87184 |
|
7,739 |
7,214 |
$5K |
| 85384 |
|
3,395 |
2,965 |
$5K |
| J9250 |
Methotrexate sodium inj |
2,863 |
2,149 |
$5K |
| 99233 |
Prolong inpt eval add15 m |
102 |
41 |
$5K |
| 86803 |
|
1,625 |
1,582 |
$5K |
| 84244 |
|
478 |
461 |
$5K |
| J1100 |
Dexamethasone sodium phos |
15,694 |
14,600 |
$5K |
| 82103 |
|
546 |
529 |
$5K |
| 92012 |
|
148 |
139 |
$5K |
| 82261 |
|
942 |
852 |
$5K |
| J2795 |
Ropivacaine hcl injection |
5,094 |
4,357 |
$5K |
| 87205 |
|
6,249 |
5,865 |
$5K |
| 77074 |
|
809 |
768 |
$5K |
| 82390 |
|
784 |
769 |
$5K |
| 86780 |
|
723 |
704 |
$5K |
| 88304 |
|
2,513 |
2,409 |
$4K |
| 74021 |
|
493 |
464 |
$4K |
| 84681 |
|
753 |
730 |
$4K |
| 17250 |
|
14 |
13 |
$4K |
| 87529 |
|
616 |
411 |
$4K |
| 86706 |
|
1,842 |
1,789 |
$4K |
| 86644 |
|
547 |
529 |
$4K |
| 72158 |
|
124 |
121 |
$4K |
| 92608 |
|
131 |
131 |
$4K |
| 77001 |
|
30 |
28 |
$4K |
| 87338 |
|
813 |
792 |
$4K |
| 80143 |
|
741 |
671 |
$4K |
| 84478 |
|
4,203 |
3,948 |
$4K |
| 93976 |
|
28 |
27 |
$4K |
| 76000 |
|
895 |
869 |
$4K |
| 74183 |
|
12 |
12 |
$4K |
| L2820 |
Soft interface below knee se |
42 |
26 |
$4K |
| 84550 |
|
4,182 |
3,415 |
$4K |
| 85014 |
|
2,281 |
2,098 |
$4K |
| 81243 |
|
158 |
157 |
$4K |
| 0111A |
|
94 |
91 |
$4K |
| J0131 |
Inj, acetaminophen (nos) |
4,052 |
3,910 |
$4K |
| 84484 |
|
658 |
575 |
$4K |
| 82746 |
|
1,040 |
1,025 |
$4K |
| 83921 |
|
669 |
656 |
$4K |
| L2840 |
Tibial length sock fx or equ |
69 |
39 |
$4K |
| 87449 |
|
909 |
873 |
$4K |
| 80180 |
|
335 |
293 |
$4K |
| J2930 |
Methylprednisolone injection |
3,564 |
2,725 |
$4K |
| 87389 |
|
1,339 |
1,300 |
$3K |
| 99232 |
|
79 |
52 |
$3K |
| G0109 |
Diab manage trn ind/group |
97 |
96 |
$3K |
| 83525 |
|
976 |
953 |
$3K |
| 0124A |
|
111 |
103 |
$3K |
| 87651 |
|
3,467 |
3,363 |
$3K |
| 89050 |
|
2,992 |
2,479 |
$3K |
| 92602 |
|
44 |
39 |
$3K |
| 87880 |
|
9,908 |
9,605 |
$3K |
| 0081A |
|
94 |
84 |
$3K |
| L4361 |
Pneuma/vac walk boot pre ots |
832 |
797 |
$3K |
| 88312 |
|
420 |
362 |
$3K |
| 99462 |
|
78 |
72 |
$3K |
| 0112A |
|
72 |
72 |
$3K |
| 80175 |
|
283 |
275 |
$3K |
| 86774 |
|
534 |
527 |
$3K |
| 92700 |
|
88 |
82 |
$3K |
| 36416 |
|
5,359 |
4,739 |
$3K |
| 93242 |
|
198 |
198 |
$3K |
| D1206 |
|
1,768 |
1,705 |
$3K |
| J3010 |
Fentanyl citrate injection |
7,055 |
6,738 |
$3K |
| 0154A |
|
67 |
65 |
$3K |
| 0074A |
|
98 |
92 |
$3K |
| J9070 |
Cyclophosphamide 100 mg inj |
17 |
12 |
$3K |
| A9579 |
Gad-base mr contrast nos,1ml |
1,901 |
1,853 |
$3K |
| 92004 |
|
46 |
44 |
$3K |
| 0082A |
|
67 |
61 |
$3K |
| C1887 |
Catheter, guiding |
564 |
517 |
$3K |
| 97113 |
|
25 |
13 |
$2K |
| 86645 |
|
462 |
448 |
$2K |
| 73660 |
|
665 |
623 |
$2K |
| J1720 |
Hydrocortisone sodium succ i |
309 |
230 |
$2K |
| 90656 |
|
1,512 |
1,500 |
$2K |
| 82330 |
|
1,689 |
1,438 |
$2K |
| 92250 |
|
512 |
503 |
$2K |
| 86225 |
|
1,955 |
1,841 |
$2K |
| 88311 |
|
744 |
627 |
$2K |
| 36000 |
|
1,635 |
1,565 |
$2K |
| 84445 |
|
143 |
140 |
$2K |
| 72157 |
|
98 |
95 |
$2K |
| J3475 |
Inj magnesium sulfate |
360 |
290 |
$2K |
| 87102 |
|
1,048 |
984 |
$2K |
| 80183 |
|
161 |
158 |
$2K |
| 87324 |
|
487 |
470 |
$2K |
| 80179 |
|
684 |
627 |
$2K |
| 51798 |
|
829 |
820 |
$2K |
| J0295 |
Ampicillin sulbactam 1.5 gm |
1,897 |
621 |
$2K |
| 87181 |
|
3,391 |
2,540 |
$2K |
| 93010 |
|
374 |
366 |
$2K |
| 92015 |
|
252 |
240 |
$2K |
| 82150 |
|
1,196 |
1,038 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
8,160 |
6,262 |
$2K |
| 0083A |
|
46 |
45 |
$2K |
| 88291 |
|
522 |
384 |
$2K |
| D0220 |
|
1,530 |
1,440 |
$2K |
| 73564 |
|
637 |
625 |
$2K |
| 91322 |
|
83 |
79 |
$2K |
| 87075 |
|
2,785 |
2,605 |
$2K |
| 86787 |
|
550 |
533 |
$2K |
| 87071 |
|
1,630 |
1,606 |
$2K |
| D1120 |
|
1,148 |
1,106 |
$2K |
| 76010 |
|
658 |
618 |
$2K |
| 82024 |
|
197 |
192 |
$2K |
| D0230 |
|
1,238 |
1,162 |
$2K |
| P9612 |
Catheterize for urine spec |
5,732 |
5,498 |
$2K |
| 51784 |
|
12 |
12 |
$2K |
| 96999 |
|
12 |
12 |
$2K |
| 77076 |
|
84 |
72 |
$2K |
| J9075 |
Inj, cyclophosphamide, nos |
33 |
13 |
$2K |
| 93243 |
|
198 |
198 |
$2K |
| D4355 |
|
14 |
14 |
$1K |
| 86431 |
|
1,243 |
1,216 |
$1K |
| 91321 |
|
53 |
52 |
$1K |
| 93356 |
|
144 |
142 |
$1K |
| 87147 |
|
2,352 |
2,147 |
$1K |
| 96040 |
|
595 |
591 |
$1K |
| 96113 |
|
596 |
589 |
$1K |
| 86039 |
|
998 |
978 |
$1K |
| 88346 |
|
286 |
209 |
$1K |
| 86147 |
|
176 |
114 |
$1K |
| 87210 |
|
1,571 |
1,513 |
$1K |
| 86200 |
|
966 |
949 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
3,310 |
2,355 |
$1K |
| 86308 |
|
1,134 |
1,104 |
$1K |
| 82085 |
|
968 |
863 |
$1K |
| J2274 |
Inj morphine pf epid ithc |
3,981 |
3,373 |
$1K |
| 92134 |
|
282 |
277 |
$1K |
| 84295 |
|
1,016 |
851 |
$1K |
| 92622 |
|
54 |
54 |
$1K |
| 92014 |
|
22 |
22 |
$1K |
| 92083 |
|
107 |
107 |
$1K |
| 93000 |
|
104 |
103 |
$1K |
| J0834 |
Inj., cosyntropin, 0.25 mg |
14 |
13 |
$1K |
| 94644 |
|
2,687 |
2,519 |
$1K |
| 84481 |
|
261 |
254 |
$1K |
| 82272 |
|
389 |
351 |
$1K |
| 86146 |
|
177 |
115 |
$1K |
| 82104 |
|
208 |
202 |
$1K |
| 85670 |
|
1,019 |
947 |
$986.41 |
| 86258 |
|
293 |
289 |
$984.76 |
| 85018 |
|
459 |
430 |
$959.82 |
| 90480 |
|
176 |
169 |
$948.01 |
| 82180 |
|
205 |
202 |
$913.08 |
| 80306 |
|
855 |
794 |
$903.80 |
| 87088 |
|
1,581 |
1,510 |
$898.26 |
| 80177 |
|
83 |
83 |
$879.12 |
| 70370 |
|
31 |
31 |
$878.75 |
| J0171 |
Adrenalin epinephrine inject |
1,037 |
983 |
$878.63 |
| 85097 |
|
24 |
24 |
$869.56 |
| 87177 |
|
213 |
207 |
$838.71 |
| 81406 |
|
42 |
41 |
$837.25 |
| 85347 |
|
388 |
273 |
$833.69 |
| 86705 |
|
342 |
330 |
$814.14 |
| L3908 |
Who cock-up nonmolde pre ots |
1,563 |
1,518 |
$760.11 |
| 88300 |
|
1,251 |
1,223 |
$759.47 |
| 71550 |
|
54 |
54 |
$727.22 |
| 88341 |
|
109 |
77 |
$697.96 |
| 96152 |
|
25 |
13 |
$697.17 |
| 87045 |
|
140 |
138 |
$692.43 |
| 86008 |
|
225 |
212 |
$681.40 |
| 87101 |
|
703 |
688 |
$676.36 |
| 90472 |
|
53 |
51 |
$675.09 |
| 0134A |
|
24 |
19 |
$654.00 |
| J3370 |
Vancomycin hcl injection |
858 |
595 |
$653.14 |
| 86353 |
|
42 |
40 |
$643.40 |
| D0140 |
|
15 |
14 |
$641.38 |
| 93270 |
|
106 |
104 |
$627.04 |
| 86648 |
|
85 |
82 |
$625.68 |
| 97150 |
|
58 |
27 |
$605.25 |
| 84157 |
|
206 |
179 |
$588.08 |
| 82945 |
|
216 |
190 |
$568.25 |
| J8540 |
Oral dexamethasone |
9,365 |
8,232 |
$559.67 |
| 81405 |
|
26 |
24 |
$558.60 |
| 85576 |
|
75 |
49 |
$554.20 |
| J1170 |
Hydromorphone injection |
2,075 |
1,777 |
$523.09 |
| J9260 |
Inj methotrexate sodium 50mg |
236 |
169 |
$520.08 |
| 87046 |
|
199 |
138 |
$514.32 |
| 87116 |
|
26 |
24 |
$513.23 |
| 84466 |
|
92 |
89 |
$512.59 |
| 88230 |
|
13 |
13 |
$489.87 |
| 69200 |
|
64 |
63 |
$478.40 |
| J2765 |
Metoclopramide hcl injection |
429 |
355 |
$468.42 |
| 81404 |
|
26 |
25 |
$466.48 |
| 87427 |
|
126 |
124 |
$457.99 |
| 89230 |
|
18 |
18 |
$448.95 |
| 0054A |
|
12 |
12 |
$448.00 |
| L4386 |
Non-pneum walk boot pre cst |
180 |
169 |
$446.41 |
| 90715 |
|
54 |
53 |
$402.51 |
| J7120 |
Ringers lactate infusion |
915 |
886 |
$388.07 |
| 81302 |
|
14 |
14 |
$386.03 |
| 84702 |
|
172 |
168 |
$384.17 |
| 84202 |
|
94 |
93 |
$375.01 |
| 86769 |
|
233 |
223 |
$369.61 |
| 84155 |
|
538 |
488 |
$356.99 |
| 85613 |
|
56 |
55 |
$354.35 |
| 84210 |
|
42 |
41 |
$347.39 |
| 86704 |
|
77 |
76 |
$346.44 |
| 93246 |
|
37 |
37 |
$342.61 |
| 74220 |
|
14 |
12 |
$334.87 |
| 12051 |
|
12 |
12 |
$323.29 |
| D1110 |
|
98 |
93 |
$321.95 |
| 86592 |
|
90 |
87 |
$318.61 |
| J1644 |
Inj heparin sodium per 1000u |
2,309 |
1,534 |
$313.76 |
| 88271 |
|
17 |
12 |
$311.67 |
| 83090 |
|
12 |
12 |
$308.53 |
| 72070 |
|
66 |
63 |
$306.82 |
| 80203 |
|
31 |
28 |
$302.94 |
| 90732 |
|
52 |
51 |
$298.11 |
| 76811 |
|
26 |
26 |
$283.73 |
| J0134 |
Inj acetaminophen -fresenius |
686 |
478 |
$268.36 |
| 87536 |
|
14 |
13 |
$266.11 |
| J0137 |
Inj, acetaminophen (hikma) |
18 |
15 |
$264.56 |
| 86413 |
|
108 |
106 |
$235.86 |
| 86015 |
|
232 |
232 |
$234.41 |
| J7050 |
Normal saline solution infus |
925 |
694 |
$231.51 |
| D0274 |
|
413 |
386 |
$220.32 |
| 82397 |
|
44 |
28 |
$214.90 |
| C1894 |
Intro/sheath, non-laser |
13 |
12 |
$214.31 |
| 87328 |
|
38 |
37 |
$207.17 |
| 72190 |
|
12 |
12 |
$176.98 |
| 94799 |
|
70 |
65 |
$174.93 |
| C1725 |
Cath, translumin non-laser |
43 |
43 |
$171.80 |
| 93247 |
|
37 |
37 |
$171.29 |
| Q9958 |
Hocm <=149 mg/ml iodine, 1ml |
221 |
209 |
$166.12 |
| 81408 |
|
12 |
12 |
$153.79 |
| 82374 |
|
150 |
147 |
$142.05 |
| 87305 |
|
32 |
29 |
$139.19 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
638 |
631 |
$137.85 |
| 87329 |
|
38 |
37 |
$129.81 |
| J7611 |
Albuterol non-comp con |
1,026 |
887 |
$124.13 |
| 87641 |
|
12 |
12 |
$123.90 |
| 80074 |
|
13 |
13 |
$120.77 |
| J2060 |
Lorazepam injection |
170 |
121 |
$120.07 |
| J9100 |
Cytarabine hcl 100 mg inj |
251 |
60 |
$118.29 |
| 86703 |
|
25 |
25 |
$116.36 |
| 86021 |
|
44 |
39 |
$112.48 |
| 87106 |
|
129 |
127 |
$109.35 |
| 82232 |
|
15 |
12 |
$98.32 |
| 87186 |
|
248 |
236 |
$96.95 |
| 86361 |
|
67 |
64 |
$81.66 |
| 86688 |
|
26 |
25 |
$78.23 |
| 87207 |
|
30 |
29 |
$74.16 |
| 86687 |
|
26 |
25 |
$71.39 |
| 87640 |
|
12 |
12 |
$70.56 |
| J3301 |
Triamcinolone acet inj nos |
557 |
539 |
$59.06 |
| J7507 |
Tacrolimus imme rel oral 1mg |
165 |
65 |
$44.69 |
| J2919 |
Inj, methylpred sod succ 5mg |
254 |
208 |
$43.20 |
| 84145 |
|
171 |
167 |
$40.85 |
| 86708 |
|
39 |
39 |
$40.41 |
| 86762 |
|
13 |
12 |
$38.15 |
| J1815 |
Insulin injection |
994 |
602 |
$37.76 |
| 84132 |
|
64 |
57 |
$36.57 |
| 82166 |
|
13 |
13 |
$35.61 |
| 87220 |
|
192 |
190 |
$30.51 |
| 85004 |
|
17 |
16 |
$25.52 |
| 85247 |
|
46 |
45 |
$25.07 |
| 84300 |
|
12 |
12 |
$18.48 |
| 87015 |
|
44 |
42 |
$15.70 |
| J7644 |
Ipratropium bromide non-comp |
2,348 |
2,186 |
$14.29 |
| J7510 |
Prednisolone oral per 5 mg |
371 |
239 |
$13.28 |
| 85250 |
|
24 |
24 |
$12.39 |
| J1940 |
Furosemide injection |
43 |
38 |
$8.77 |
| 86709 |
|
24 |
24 |
$5.63 |
| J7613 |
Albuterol non-comp unit |
1,931 |
1,559 |
$3.92 |
| J7512 |
Prednisone ir or dr oral 1mg |
89 |
37 |
$0.24 |
| 91307 |
|
1,073 |
929 |
$0.01 |
| B4088 |
Gastro/jejuno tube, low-pro |
534 |
495 |
$0.00 |
| J7042 |
5% dextrose/normal saline |
215 |
170 |
$0.00 |
| 80320 |
|
158 |
149 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
90 |
90 |
$0.00 |
| 96376 |
|
30 |
26 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
353 |
89 |
$0.00 |
| D4212 |
|
16 |
16 |
$0.00 |
| 91301 |
|
12 |
12 |
$0.00 |
| L3923 |
Hfo without joints pre cst |
56 |
55 |
$0.00 |
| 87206 |
|
12 |
12 |
$0.00 |
| 91315 |
|
67 |
65 |
$0.00 |
| J7121 |
5% dextrose in lac ringers |
32 |
26 |
$0.00 |
| C1889 |
Implant/insert device, noc |
15 |
12 |
$0.00 |
| G0008 |
Admin influenza virus vac |
12 |
12 |
$0.00 |
| A9573 |
Inj, gadopiclenol, 1 ml |
92 |
91 |
$0.00 |
| D0272 |
|
32 |
31 |
$0.00 |
| 91305 |
|
22 |
20 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
16 |
13 |
$0.00 |
| 74430 |
|
12 |
12 |
$0.00 |
| 91312 |
|
111 |
103 |
$0.00 |
| L1906 |
Afo multilig ank sup pre ots |
14 |
14 |
$0.00 |
| J0694 |
Cefoxitin sodium injection |
132 |
126 |
$0.00 |
| Q9961 |
Hocm 250-299mg/ml iodine,1ml |
159 |
156 |
$0.00 |
| 91308 |
|
250 |
219 |
$0.00 |
| 94645 |
|
342 |
320 |
$0.00 |
| 76001 |
|
27 |
27 |
$0.00 |
| J1756 |
Iron sucrose injection |
78 |
39 |
$0.00 |
| 91300 |
|
3,490 |
3,079 |
$0.00 |
| J0780 |
Prochlorperazine injection |
46 |
37 |
$0.00 |
| 91311 |
|
201 |
185 |
$0.00 |
| 91313 |
|
24 |
19 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
83 |
82 |
$0.00 |
| J0136 |
Inj, acetaminophen (b braun) |
25 |
21 |
$0.00 |
| L1851 |
Ko single upright prefab ots |
39 |
37 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
42 |
39 |
$0.00 |
| 75565 |
|
24 |
24 |
$0.00 |
| J1071 |
Inj testosterone cypionate |
14 |
12 |
$0.00 |