| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J9271 |
Inj pembrolizumab |
1,900 |
1,384 |
$8.85M |
| 96365 |
|
49,398 |
34,568 |
$4.20M |
| J2350 |
Injection, ocrelizumab, 1 mg |
474 |
299 |
$4.03M |
| T1015 |
Clinic service |
237,100 |
178,927 |
$2.49M |
| 59025 |
|
18,437 |
11,279 |
$2.48M |
| 70553 |
|
5,567 |
5,118 |
$1.83M |
| 74177 |
|
12,949 |
11,512 |
$1.47M |
| 80048 |
|
120,071 |
80,590 |
$1.38M |
| 87491 |
|
33,371 |
30,587 |
$1.33M |
| J9312 |
Inj., rituximab, 10 mg |
691 |
274 |
$1.31M |
| 87591 |
|
32,553 |
29,869 |
$1.29M |
| 87633 |
|
7,593 |
6,586 |
$1.19M |
| J2505 |
Injection, pegfilgrastim 6mg |
1,205 |
637 |
$1.14M |
| 78815 |
|
1,679 |
1,494 |
$1.06M |
| 78816 |
|
1,578 |
1,361 |
$1.05M |
| 87389 |
|
34,382 |
32,303 |
$1.01M |
| 71260 |
|
7,361 |
6,697 |
$918K |
| 80053 |
|
61,252 |
48,145 |
$901K |
| 96413 |
|
7,755 |
4,970 |
$832K |
| 80307 |
|
14,665 |
11,594 |
$830K |
| U0004 |
Cov-19 test non-cdc hgh thru |
11,299 |
9,548 |
$809K |
| 70450 |
|
9,244 |
8,078 |
$783K |
| 94761 |
|
51,422 |
29,731 |
$779K |
| 93306 |
|
5,908 |
5,388 |
$767K |
| 87661 |
|
20,297 |
18,436 |
$764K |
| 86901 |
|
33,198 |
28,297 |
$740K |
| J1726 |
Makena, 10 mg |
1,045 |
327 |
$737K |
| 85027 |
|
117,695 |
91,951 |
$724K |
| 74183 |
|
1,526 |
1,395 |
$708K |
| 85025 |
|
113,651 |
79,011 |
$705K |
| G0463 |
Hospital outpt clinic visit |
63,418 |
49,985 |
$686K |
| 97110 |
|
20,431 |
6,783 |
$626K |
| 36415 |
|
45,597 |
31,122 |
$614K |
| 84443 |
|
35,598 |
31,673 |
$598K |
| 87637 |
|
6,760 |
5,214 |
$570K |
| J1459 |
Inj ivig privigen 500 mg |
896 |
373 |
$564K |
| 71275 |
|
2,945 |
2,669 |
$550K |
| J0585 |
Injection,onabotulinumtoxina |
3,982 |
2,158 |
$543K |
| 72148 |
|
2,392 |
2,167 |
$529K |
| 72125 |
|
4,793 |
4,248 |
$521K |
| 86780 |
|
31,169 |
28,850 |
$505K |
| 93005 |
|
52,428 |
40,150 |
$505K |
| 70551 |
|
2,237 |
2,020 |
$474K |
| 62370 |
|
2,427 |
2,022 |
$470K |
| 87150 |
|
9,917 |
9,416 |
$468K |
| 88305 |
|
11,031 |
9,747 |
$455K |
| 72141 |
|
2,096 |
1,891 |
$453K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
10,371 |
9,260 |
$445K |
| 82247 |
|
51,886 |
37,640 |
$434K |
| 70496 |
|
2,959 |
2,597 |
$431K |
| 83615 |
|
55,911 |
39,989 |
$399K |
| 70498 |
|
2,720 |
2,383 |
$399K |
| 82306 |
|
19,084 |
17,146 |
$385K |
| 80051 |
|
28,847 |
21,022 |
$368K |
| 84450 |
|
58,292 |
42,874 |
$365K |
| 72156 |
|
1,038 |
949 |
$361K |
| 96374 |
|
5,685 |
4,511 |
$358K |
| 64642 |
|
1,650 |
1,334 |
$350K |
| 87340 |
|
30,057 |
28,058 |
$347K |
| 83735 |
|
70,933 |
40,763 |
$336K |
| 82565 |
|
46,188 |
35,537 |
$332K |
| 96375 |
|
6,634 |
4,732 |
$327K |
| U0002 |
Covid-19 lab test non-cdc |
9,597 |
7,632 |
$324K |
| 76811 |
|
3,281 |
3,077 |
$315K |
| 84075 |
|
50,862 |
36,906 |
$314K |
| 36430 |
|
2,715 |
1,816 |
$313K |
| 84460 |
|
51,118 |
37,444 |
$313K |
| 86803 |
|
21,976 |
20,092 |
$312K |
| 87086 |
|
37,030 |
32,482 |
$307K |
| A9552 |
F18 fdg |
4,082 |
2,778 |
$307K |
| 73721 |
|
1,268 |
1,109 |
$299K |
| 43239 |
|
2,112 |
1,894 |
$296K |
| 82310 |
|
32,511 |
23,704 |
$281K |
| 64615 |
|
1,363 |
1,179 |
$275K |
| 71046 |
|
20,989 |
18,200 |
$271K |
| 70491 |
|
2,327 |
2,120 |
$261K |
| 99499 |
|
15,193 |
12,522 |
$255K |
| 84484 |
|
32,568 |
19,545 |
$254K |
| 83036 |
|
29,702 |
27,217 |
$253K |
| 87536 |
|
3,878 |
3,534 |
$251K |
| J1725 |
Hydroxyprogesterone caproate |
373 |
118 |
$251K |
| 80061 |
|
24,893 |
22,453 |
$242K |
| 87486 |
|
7,538 |
6,536 |
$242K |
| 87581 |
|
7,533 |
6,535 |
$242K |
| 82977 |
|
37,048 |
28,093 |
$236K |
| 83880 |
|
9,703 |
8,134 |
$235K |
| 80050 |
|
5,663 |
5,112 |
$231K |
| 96372 |
|
6,368 |
3,954 |
$223K |
| 72157 |
|
673 |
624 |
$221K |
| 86762 |
|
12,109 |
11,356 |
$215K |
| 67028 |
|
944 |
855 |
$210K |
| 49083 |
|
1,335 |
644 |
$207K |
| J7307 |
Etonogestrel implant system |
359 |
310 |
$206K |
| 96361 |
|
3,286 |
2,334 |
$199K |
| 72146 |
|
940 |
835 |
$198K |
| 84100 |
|
65,393 |
37,474 |
$197K |
| 81025 |
|
27,564 |
23,755 |
$194K |
| 96367 |
|
1,582 |
1,088 |
$192K |
| 20552 |
|
1,187 |
1,043 |
$190K |
| 74174 |
|
1,024 |
935 |
$189K |
| 77067 |
|
4,203 |
4,030 |
$182K |
| 36591 |
|
5,367 |
3,286 |
$179K |
| J2506 |
Inj pegfilgrast ex bio 0.5mg |
192 |
98 |
$175K |
| 73221 |
|
901 |
808 |
$171K |
| 71250 |
|
2,273 |
2,080 |
$170K |
| 72158 |
|
486 |
442 |
$166K |
| 70486 |
|
1,619 |
1,478 |
$163K |
| 80074 |
|
3,396 |
3,024 |
$155K |
| 83021 |
|
7,488 |
6,336 |
$154K |
| 82728 |
|
13,663 |
11,962 |
$153K |
| 81002 |
|
39,768 |
25,592 |
$150K |
| 38222 |
|
1,494 |
1,295 |
$148K |
| 88185 |
|
3,320 |
2,572 |
$146K |
| 84520 |
|
35,238 |
26,228 |
$146K |
| 82962 |
|
39,541 |
20,293 |
$145K |
| 86900 |
|
33,187 |
28,300 |
$145K |
| 82607 |
|
12,841 |
11,584 |
$144K |
| 86850 |
|
32,880 |
28,175 |
$143K |
| 96415 |
|
2,867 |
1,984 |
$141K |
| 81001 |
|
41,775 |
33,689 |
$141K |
| C1769 |
Guide wire |
1,259 |
1,159 |
$139K |
| 88184 |
|
7,042 |
5,538 |
$138K |
| 97161 |
|
2,990 |
2,628 |
$136K |
| 72197 |
|
273 |
243 |
$133K |
| J9310 |
Rituximab injection |
82 |
26 |
$133K |
| 76830 |
|
2,948 |
2,688 |
$132K |
| 87624 |
|
3,493 |
3,274 |
$132K |
| 64405 |
|
904 |
822 |
$131K |
| J9035 |
Bevacizumab injection |
76 |
37 |
$130K |
| 74176 |
|
2,404 |
2,130 |
$129K |
| 64616 |
|
623 |
517 |
$128K |
| 93308 |
|
3,478 |
3,097 |
$125K |
| 71045 |
|
17,011 |
14,295 |
$125K |
| 87497 |
|
6,721 |
3,893 |
$122K |
| 87077 |
|
12,021 |
10,756 |
$122K |
| J1650 |
Inj enoxaparin sodium |
8,873 |
4,242 |
$122K |
| 88142 |
|
7,709 |
7,258 |
$120K |
| J0475 |
Baclofen 10 mg injection |
1,197 |
961 |
$117K |
| 31575 |
|
940 |
866 |
$115K |
| J0185 |
Inj., aprepitant, 1 mg |
1,161 |
548 |
$114K |
| 83970 |
|
5,890 |
4,980 |
$114K |
| 82784 |
|
9,164 |
6,374 |
$107K |
| 93975 |
|
2,652 |
2,405 |
$104K |
| 96366 |
|
2,293 |
1,611 |
$101K |
| 84466 |
|
11,097 |
9,807 |
$99K |
| 90715 |
|
4,990 |
4,629 |
$99K |
| J1050 |
Medroxyprogesterone acetate |
1,798 |
1,704 |
$99K |
| 95700 |
|
841 |
748 |
$99K |
| 95713 |
|
653 |
575 |
$96K |
| J9299 |
Injection, nivolumab |
41 |
24 |
$96K |
| 88307 |
|
1,758 |
1,505 |
$95K |
| 96360 |
|
1,310 |
1,054 |
$93K |
| 76805 |
|
2,091 |
2,032 |
$93K |
| J7050 |
Normal saline solution infus |
5,254 |
2,716 |
$93K |
| 77066 |
Tomosynthesis, mammo |
1,558 |
1,444 |
$93K |
| 78452 |
|
677 |
622 |
$92K |
| 85610 |
|
23,678 |
18,599 |
$91K |
| 84439 |
|
10,508 |
9,423 |
$90K |
| J7297 |
Liletta, 52 mg |
152 |
125 |
$88K |
| 83690 |
|
15,031 |
12,751 |
$88K |
| 82570 |
|
23,170 |
17,632 |
$86K |
| 88341 |
|
1,371 |
1,207 |
$85K |
| 86140 |
|
16,856 |
11,060 |
$81K |
| 87522 |
Neg quan hep c or qual rna |
2,952 |
2,672 |
$81K |
| 82950 |
|
13,293 |
12,655 |
$80K |
| 76820 |
|
1,535 |
843 |
$80K |
| 76815 |
|
4,963 |
4,153 |
$79K |
| 97530 |
|
3,174 |
1,358 |
$78K |
| 90686 |
|
6,941 |
6,490 |
$77K |
| 76817 |
|
2,214 |
1,801 |
$75K |
| Q3014 |
Telehealth facility fee |
19,439 |
16,693 |
$75K |
| 87040 |
|
6,346 |
3,730 |
$73K |
| 86920 |
|
1,988 |
1,657 |
$73K |
| 94010 |
|
4,191 |
3,838 |
$73K |
| J9145 |
Injection, daratumumab 10 mg |
65 |
25 |
$72K |
| 66984 |
|
432 |
374 |
$69K |
| 86704 |
|
7,322 |
6,629 |
$68K |
| 76821 |
|
1,308 |
744 |
$68K |
| 0001A |
|
3,272 |
3,149 |
$67K |
| 86706 |
|
8,285 |
7,526 |
$67K |
| 76642 |
|
2,924 |
2,368 |
$66K |
| 84702 |
|
6,700 |
4,625 |
$66K |
| 73630 |
|
3,553 |
3,142 |
$65K |
| 96377 |
|
540 |
379 |
$65K |
| 76536 |
|
2,377 |
2,159 |
$64K |
| 99285 |
|
8,106 |
6,943 |
$64K |
| 76856 |
|
2,844 |
2,593 |
$64K |
| J9045 |
Carboplatin injection |
951 |
614 |
$63K |
| 82040 |
|
7,169 |
5,683 |
$63K |
| 94729 |
|
3,249 |
2,965 |
$62K |
| 76816 |
|
5,364 |
4,620 |
$61K |
| 0002A |
|
2,931 |
2,848 |
$60K |
| J7120 |
Ringers lactate infusion |
4,097 |
3,065 |
$60K |
| 97001 |
|
1,437 |
1,361 |
$59K |
| 97162 |
|
1,080 |
971 |
$59K |
| 88342 |
|
3,018 |
2,656 |
$59K |
| 86334 |
|
4,890 |
3,571 |
$58K |
| 94726 |
|
3,158 |
2,894 |
$58K |
| 82232 |
|
2,787 |
2,183 |
$58K |
| 51798 |
|
641 |
575 |
$57K |
| 92134 |
|
7,778 |
6,881 |
$56K |
| 99283 |
|
5,389 |
4,602 |
$56K |
| 82746 |
|
5,287 |
4,751 |
$56K |
| 80197 |
|
14,386 |
6,679 |
$56K |
| 83605 |
|
5,563 |
3,740 |
$56K |
| 76705 |
|
4,321 |
3,836 |
$56K |
| 84156 |
|
19,165 |
13,396 |
$55K |
| J1745 |
Infliximab not biosimil 10mg |
43 |
24 |
$54K |
| 83521 |
|
2,750 |
1,705 |
$54K |
| 84165 |
|
7,119 |
4,696 |
$54K |
| 77065 |
Tomosynthesis, mammo |
1,263 |
1,124 |
$54K |
| 87070 |
|
4,711 |
4,052 |
$53K |
| 73130 |
|
3,142 |
2,808 |
$53K |
| 83540 |
|
11,209 |
9,887 |
$52K |
| 87186 |
|
8,358 |
7,443 |
$51K |
| 81003 |
|
26,442 |
21,642 |
$51K |
| 73562 |
|
2,175 |
1,934 |
$51K |
| 82248 |
|
12,910 |
9,726 |
$50K |
| 93351 |
|
421 |
400 |
$50K |
| J3489 |
Zoledronic acid 1mg |
338 |
285 |
$49K |
| 72195 |
|
263 |
231 |
$47K |
| 73590 |
|
2,581 |
2,229 |
$47K |
| 94640 |
|
10,111 |
4,759 |
$45K |
| 73610 |
|
3,066 |
2,562 |
$44K |
| J9041 |
Injection, bortezomib, 0.1mg |
347 |
102 |
$44K |
| 80047 |
|
1,680 |
1,133 |
$44K |
| 87205 |
|
9,775 |
8,475 |
$43K |
| 90677 |
|
402 |
320 |
$43K |
| 86709 |
|
4,858 |
4,415 |
$43K |
| 76801 |
|
1,272 |
1,140 |
$43K |
| 73030 |
|
2,814 |
2,433 |
$42K |
| 76700 |
|
1,573 |
1,454 |
$42K |
| 97165 |
|
879 |
766 |
$42K |
| 87507 |
|
161 |
126 |
$42K |
| 72131 |
|
467 |
434 |
$41K |
| J2323 |
Natalizumab injection |
15 |
14 |
$41K |
| 99284 |
|
5,242 |
4,584 |
$40K |
| 82947 |
|
7,446 |
6,329 |
$40K |
| J2916 |
Na ferric gluconate complex |
1,572 |
729 |
$40K |
| 87641 |
|
1,858 |
1,687 |
$40K |
| 73502 |
|
2,276 |
1,968 |
$39K |
| 80076 |
|
4,175 |
3,780 |
$39K |
| 87631 |
|
632 |
590 |
$38K |
| J0485 |
Belatacept injection |
924 |
426 |
$38K |
| 84145 |
|
2,309 |
1,829 |
$37K |
| 86235 |
|
1,139 |
1,026 |
$37K |
| J1100 |
Dexamethasone sodium phos |
11,423 |
8,015 |
$36K |
| 82951 |
|
2,172 |
2,071 |
$36K |
| 82435 |
|
6,171 |
5,151 |
$36K |
| 82077 |
|
2,945 |
2,508 |
$36K |
| 72100 |
|
2,001 |
1,817 |
$36K |
| 73560 |
|
2,083 |
1,788 |
$35K |
| 84403 |
|
1,611 |
1,374 |
$34K |
| 80164 |
|
2,476 |
2,001 |
$34K |
| 84153 |
|
2,301 |
2,032 |
$33K |
| 64483 |
|
192 |
177 |
$33K |
| 84132 |
|
6,043 |
4,988 |
$33K |
| 64644 |
|
156 |
133 |
$33K |
| 76604 |
|
2,221 |
1,974 |
$32K |
| 82105 |
|
2,479 |
2,208 |
$32K |
| 99282 |
|
1,622 |
1,374 |
$32K |
| 87177 |
|
3,100 |
2,861 |
$32K |
| 82805 |
|
1,321 |
1,062 |
$32K |
| 31579 |
|
203 |
182 |
$32K |
| 82533 |
|
1,897 |
1,473 |
$31K |
| 85007 |
|
11,405 |
8,168 |
$31K |
| 86038 |
|
3,264 |
2,952 |
$30K |
| 85730 |
|
5,890 |
4,852 |
$30K |
| 43235 |
|
214 |
193 |
$30K |
| 86923 |
|
2,712 |
2,042 |
$30K |
| 85379 |
|
3,363 |
2,835 |
$30K |
| 73552 |
|
1,991 |
1,804 |
$29K |
| 45380 |
|
252 |
220 |
$29K |
| 84295 |
|
6,337 |
5,251 |
$29K |
| 36592 |
|
1,005 |
667 |
$28K |
| 86160 |
|
3,476 |
1,640 |
$28K |
| J2405 |
Ondansetron hcl injection |
18,564 |
13,877 |
$28K |
| 84550 |
|
8,198 |
5,494 |
$28K |
| 82043 |
|
5,946 |
5,443 |
$27K |
| 87305 |
|
3,629 |
1,865 |
$26K |
| 82670 |
|
962 |
836 |
$26K |
| A9500 |
Tc99m sestamibi |
823 |
738 |
$26K |
| 10060 |
|
157 |
151 |
$26K |
| 92557 |
|
1,688 |
1,541 |
$25K |
| 84481 |
|
1,781 |
1,606 |
$25K |
| 82378 |
|
1,551 |
1,377 |
$25K |
| 95811 |
|
238 |
221 |
$25K |
| 84146 |
|
1,277 |
1,079 |
$25K |
| 31231 |
|
152 |
140 |
$25K |
| 85055 |
|
2,223 |
1,744 |
$24K |
| 80069 |
|
1,826 |
1,340 |
$24K |
| 86592 |
|
5,807 |
5,326 |
$24K |
| 77001 |
|
305 |
262 |
$24K |
| 96417 |
|
1,049 |
692 |
$24K |
| 82550 |
|
4,370 |
3,629 |
$23K |
| 92133 |
|
3,298 |
3,021 |
$23K |
| J7030 |
Normal saline solution infus |
2,334 |
1,577 |
$23K |
| 83001 |
|
1,228 |
1,116 |
$23K |
| 87081 |
|
2,698 |
2,408 |
$22K |
| 83520 |
|
1,932 |
1,377 |
$22K |
| J0696 |
Ceftriaxone sodium injection |
5,931 |
4,129 |
$21K |
| 77085 |
|
1,349 |
1,273 |
$21K |
| J2785 |
Regadenoson injection |
431 |
377 |
$20K |
| 71020 |
|
1,711 |
1,554 |
$20K |
| 72170 |
|
1,441 |
1,263 |
$20K |
| 64400 |
|
139 |
123 |
$19K |
| 52000 |
|
170 |
156 |
$19K |
| 86225 |
|
2,020 |
1,789 |
$19K |
| 97003 |
|
493 |
465 |
$19K |
| 64493 |
|
100 |
86 |
$19K |
| 93971 |
|
502 |
456 |
$19K |
| 36593 |
|
117 |
91 |
$19K |
| 86922 |
|
453 |
357 |
$18K |
| 96376 |
|
3,149 |
1,778 |
$17K |
| M0243 |
Casirivi and imdevi inj |
99 |
95 |
$17K |
| 74230 |
|
802 |
714 |
$17K |
| 86480 |
|
282 |
260 |
$16K |
| J7060 |
5% dextrose/water |
1,054 |
493 |
$16K |
| 85652 |
|
7,428 |
6,663 |
$16K |
| 95951 |
|
252 |
221 |
$16K |
| J0640 |
Leucovorin calcium injection |
215 |
116 |
$16K |
| 99152 |
|
2,138 |
1,825 |
$16K |
| C8929 |
Tte w or wo fol wcon,doppler |
308 |
290 |
$15K |
| 82375 |
|
1,316 |
1,062 |
$15K |
| J1885 |
Ketorolac tromethamine inj |
10,598 |
8,390 |
$15K |
| J1953 |
Levetiracetam injection |
654 |
458 |
$15K |
| 91320 |
|
309 |
291 |
$14K |
| 94760 |
|
906 |
805 |
$14K |
| 11100 |
|
114 |
106 |
$14K |
| 87449 |
|
2,395 |
1,492 |
$14K |
| 85384 |
|
1,729 |
1,229 |
$14K |
| 95810 |
|
162 |
143 |
$14K |
| 88720 |
|
2,465 |
2,017 |
$14K |
| V2632 |
Post chmbr intraocular lens |
118 |
102 |
$14K |
| 82330 |
|
1,662 |
1,245 |
$14K |
| 72190 |
|
687 |
618 |
$14K |
| 77063 |
|
1,837 |
1,783 |
$13K |
| 71271 |
|
353 |
333 |
$13K |
| G0202 |
Scr mammo bi incl cad |
339 |
337 |
$13K |
| 88313 |
|
2,232 |
1,819 |
$13K |
| 86870 |
|
1,163 |
963 |
$13K |
| 82575 |
|
874 |
809 |
$13K |
| 82140 |
|
1,905 |
1,589 |
$13K |
| J3010 |
Fentanyl citrate injection |
13,432 |
10,451 |
$13K |
| 92611 |
|
819 |
730 |
$13K |
| 93270 |
|
612 |
588 |
$13K |
| 76937 |
|
1,454 |
1,255 |
$13K |
| 76819 |
|
863 |
543 |
$12K |
| 87210 |
|
2,538 |
2,076 |
$12K |
| 86481 |
|
1,155 |
1,055 |
$12K |
| 93296 |
|
1,083 |
995 |
$12K |
| 85046 |
|
3,253 |
2,541 |
$12K |
| J9263 |
Oxaliplatin |
45 |
24 |
$12K |
| 74178 |
|
132 |
117 |
$12K |
| C1894 |
Intro/sheath, non-laser |
502 |
461 |
$12K |
| G0500 |
Mod sedat endo service >5yrs |
573 |
522 |
$12K |
| 90670 |
|
314 |
283 |
$12K |
| 73110 |
|
622 |
540 |
$11K |
| 87799 |
|
4,765 |
2,904 |
$11K |
| 72040 |
|
620 |
564 |
$11K |
| 80143 |
|
885 |
768 |
$11K |
| 77062 |
|
226 |
202 |
$11K |
| 82952 |
|
2,157 |
2,056 |
$11K |
| 51701 |
|
140 |
136 |
$11K |
| 99281 |
|
678 |
554 |
$11K |
| J7040 |
Normal saline solution infus |
1,178 |
790 |
$11K |
| J1453 |
Fosaprepitant injection |
406 |
249 |
$11K |
| 36561 |
|
51 |
51 |
$11K |
| 85097 |
|
234 |
215 |
$11K |
| 58100 |
|
69 |
55 |
$10K |
| G0279 |
Tomosynthesis, mammo |
672 |
624 |
$10K |
| 90870 |
|
509 |
152 |
$10K |
| 80179 |
|
786 |
697 |
$10K |
| G0008 |
Admin influenza virus vac |
2,344 |
2,227 |
$10K |
| 73090 |
|
691 |
596 |
$9K |
| 87804 |
|
1,174 |
1,091 |
$9K |
| 77061 |
|
247 |
211 |
$9K |
| 99401 |
|
985 |
938 |
$9K |
| J3475 |
Inj magnesium sulfate |
3,621 |
2,259 |
$9K |
| 87493 |
|
355 |
314 |
$9K |
| 92083 |
|
1,289 |
1,189 |
$9K |
| 71270 |
|
49 |
43 |
$9K |
| 76770 |
|
361 |
334 |
$9K |
| 86696 |
|
518 |
461 |
$9K |
| 99153 |
Mod sedat endo service >5yrs |
1,600 |
1,397 |
$9K |
| 84134 |
|
1,091 |
886 |
$9K |
| 80185 |
|
689 |
553 |
$8K |
| 87015 |
|
1,168 |
972 |
$8K |
| 74018 |
|
681 |
568 |
$8K |
| 45385 |
|
112 |
101 |
$8K |
| J2930 |
Methylprednisolone injection |
3,066 |
2,005 |
$8K |
| 88311 |
|
1,235 |
1,073 |
$7K |
| G0480 |
Drug test def 1-7 classes |
697 |
632 |
$7K |
| J3480 |
Inj potassium chloride |
3,438 |
2,360 |
$7K |
| 69210 |
|
86 |
77 |
$7K |
| 87426 |
|
289 |
258 |
$7K |
| 91200 |
|
760 |
707 |
$7K |
| 83883 |
|
504 |
314 |
$7K |
| 86304 |
|
361 |
300 |
$7K |
| 82610 |
|
1,124 |
947 |
$7K |
| 92567 |
|
958 |
884 |
$7K |
| J7298 |
Mirena, 52 mg |
14 |
12 |
$7K |
| 77084 |
|
44 |
40 |
$7K |
| 88304 |
|
286 |
257 |
$7K |
| G0475 |
Hiv combination assay |
3,281 |
2,879 |
$6K |
| 0004A |
|
748 |
650 |
$6K |
| 77003 |
|
125 |
104 |
$6K |
| 87102 |
|
586 |
475 |
$6K |
| 83050 |
|
1,295 |
1,049 |
$6K |
| 73060 |
|
444 |
386 |
$6K |
| 87075 |
|
651 |
513 |
$6K |
| J1200 |
Diphenhydramine hcl injectio |
9,580 |
6,594 |
$6K |
| 95886 |
|
198 |
189 |
$6K |
| 96401 |
|
249 |
107 |
$6K |
| 80178 |
|
932 |
768 |
$6K |
| 90746 |
|
199 |
184 |
$6K |
| 83002 |
|
307 |
276 |
$6K |
| 82150 |
|
1,088 |
935 |
$6K |
| 88172 |
|
107 |
94 |
$5K |
| 64643 |
|
171 |
150 |
$5K |
| 76514 |
|
489 |
439 |
$5K |
| J0897 |
Denosumab injection |
13 |
12 |
$5K |
| 86695 |
|
518 |
461 |
$5K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
47 |
42 |
$5K |
| 86593 |
|
1,086 |
962 |
$5K |
| 87147 |
|
657 |
590 |
$5K |
| 87517 |
|
259 |
225 |
$5K |
| 73080 |
|
333 |
297 |
$5K |
| 86146 |
|
168 |
126 |
$5K |
| J2250 |
Inj midazolam hydrochloride |
7,604 |
6,494 |
$5K |
| G0378 |
Hospital observation per hr |
7,042 |
5,293 |
$5K |
| M0247 |
Sotrovimab infusion |
20 |
18 |
$5K |
| 88264 |
|
41 |
38 |
$5K |
| 76512 |
|
162 |
139 |
$5K |
| 0071A |
|
118 |
106 |
$5K |
| 82374 |
|
1,107 |
976 |
$5K |
| 86147 |
|
152 |
138 |
$5K |
| 87206 |
|
1,030 |
810 |
$5K |
| J9267 |
Paclitaxel injection |
302 |
172 |
$5K |
| J3370 |
Vancomycin hcl injection |
2,484 |
1,406 |
$4K |
| 96368 |
|
81 |
51 |
$4K |
| 92136 |
|
298 |
262 |
$4K |
| 87184 |
|
591 |
543 |
$4K |
| J0692 |
Cefepime hcl for injection |
823 |
441 |
$4K |
| 85014 |
|
2,007 |
1,487 |
$4K |
| 73700 |
|
43 |
38 |
$4K |
| 87116 |
|
518 |
445 |
$4K |
| 86800 |
|
307 |
281 |
$4K |
| 85018 |
|
2,148 |
1,599 |
$4K |
| 84480 |
|
274 |
254 |
$4K |
| G0204 |
Dx mammo incl cad bi |
108 |
105 |
$4K |
| 0124A |
|
267 |
260 |
$4K |
| 0054A |
|
238 |
206 |
$4K |
| 86431 |
|
789 |
723 |
$4K |
| 84154 |
|
357 |
321 |
$4K |
| 95874 |
|
488 |
425 |
$4K |
| 0003A |
|
236 |
207 |
$4K |
| 80195 |
|
293 |
189 |
$4K |
| 90732 |
|
565 |
530 |
$3K |
| 72128 |
|
28 |
26 |
$3K |
| 45378 |
|
30 |
25 |
$3K |
| C1726 |
Cath, bal dil, non-vascular |
83 |
72 |
$3K |
| 72202 |
|
334 |
318 |
$3K |
| J9190 |
Fluorouracil injection |
610 |
270 |
$3K |
| 0072A |
|
75 |
67 |
$3K |
| 84681 |
|
196 |
184 |
$3K |
| J0690 |
Cefazolin sodium injection |
5,390 |
3,997 |
$3K |
| 51702 |
|
58 |
54 |
$3K |
| 64635 |
|
17 |
13 |
$3K |
| 82803 |
|
177 |
160 |
$3K |
| 97166 |
|
63 |
56 |
$3K |
| J1644 |
Inj heparin sodium per 1000u |
3,616 |
2,014 |
$3K |
| 90636 |
|
39 |
39 |
$3K |
| 84703 |
|
452 |
375 |
$3K |
| 90480 |
|
160 |
159 |
$3K |
| 76775 |
|
219 |
201 |
$3K |
| 72070 |
|
173 |
156 |
$3K |
| J0881 |
Darbepoetin alfa, non-esrd |
56 |
36 |
$3K |
| 89051 |
|
532 |
464 |
$3K |
| 93356 |
|
170 |
150 |
$3K |
| 93017 |
|
134 |
126 |
$3K |
| 57454 |
|
12 |
12 |
$3K |
| 71010 |
|
346 |
327 |
$3K |
| 82103 |
|
292 |
266 |
$3K |
| 82010 |
|
349 |
295 |
$3K |
| J1447 |
Inj tbo filgrastim 1 microg |
22 |
14 |
$3K |
| 88173 |
|
225 |
205 |
$3K |
| J1750 |
Inj iron dextran |
19 |
13 |
$2K |
| J1815 |
Insulin injection |
2,160 |
1,144 |
$2K |
| J2001 |
Lidocaine injection |
2,577 |
2,049 |
$2K |
| 11102 |
|
29 |
28 |
$2K |
| 86376 |
|
210 |
199 |
$2K |
| J0561 |
Penicillin g benzathine inj |
41 |
31 |
$2K |
| 92507 |
|
138 |
64 |
$2K |
| 84432 |
|
141 |
133 |
$2K |
| 62323 |
|
16 |
14 |
$2K |
| C1725 |
Cath, translumin non-laser |
17 |
15 |
$2K |
| 86200 |
|
187 |
178 |
$2K |
| 19083 |
|
13 |
12 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
11,194 |
9,663 |
$2K |
| 77080 |
|
57 |
50 |
$2K |
| J2060 |
Lorazepam injection |
2,065 |
1,584 |
$2K |
| J0780 |
Prochlorperazine injection |
3,353 |
2,455 |
$2K |
| 86335 |
|
167 |
149 |
$2K |
| 84300 |
|
614 |
548 |
$2K |
| M0239 |
Bamlanivimab-xxxx infusion |
19 |
18 |
$2K |
| 86301 |
|
157 |
147 |
$2K |
| 85396 |
|
525 |
403 |
$2K |
| 86832 |
|
84 |
67 |
$2K |
| 94060 |
|
43 |
41 |
$2K |
| 92015 |
|
3,838 |
3,543 |
$2K |
| J2790 |
Rho d immune globulin inj |
21 |
14 |
$2K |
| 90656 |
|
149 |
143 |
$2K |
| 86833 |
|
84 |
67 |
$1K |
| J1170 |
Hydromorphone injection |
4,689 |
2,786 |
$1K |
| 96411 |
|
36 |
26 |
$1K |
| 83930 |
|
239 |
214 |
$1K |
| 95911 |
|
54 |
46 |
$1K |
| Q0162 |
Ondansetron oral |
10,913 |
6,672 |
$1K |
| 80156 |
|
112 |
100 |
$1K |
| 76882 |
|
119 |
111 |
$1K |
| 87902 |
|
28 |
26 |
$1K |
| 93454 |
|
19 |
15 |
$1K |
| 74022 |
|
60 |
53 |
$1K |
| 86902 |
|
172 |
134 |
$1K |
| 88312 |
|
122 |
107 |
$1K |
| 93458 |
|
16 |
12 |
$1K |
| J2765 |
Metoclopramide hcl injection |
3,172 |
2,543 |
$1K |
| 93321 |
|
43 |
37 |
$1K |
| P9040 |
Rbc leukoreduced irradiated |
74 |
50 |
$1K |
| J1790 |
Droperidol injection |
1,537 |
1,314 |
$1K |
| J1940 |
Furosemide injection |
2,100 |
1,261 |
$1K |
| 87880 |
|
114 |
105 |
$1K |
| 72082 |
|
42 |
37 |
$1K |
| 86352 |
|
401 |
242 |
$1K |
| 88237 |
|
15 |
15 |
$1K |
| 10005 |
|
15 |
12 |
$1K |
| J2270 |
Morphine sulfate injection |
6,142 |
4,818 |
$968.53 |
| 85049 |
|
375 |
151 |
$948.80 |
| 88108 |
|
71 |
60 |
$930.88 |
| 43762 |
|
14 |
14 |
$919.68 |
| 0225U |
|
1,154 |
1,019 |
$882.72 |
| U0003 |
Cov-19 amp prb hgh thruput |
121 |
101 |
$878.97 |
| 95813 |
|
15 |
12 |
$813.93 |
| 82390 |
|
136 |
127 |
$807.72 |
| 0064A |
|
90 |
85 |
$803.90 |
| G2066 |
Inter devc remote 30d |
210 |
199 |
$766.90 |
| C9803 |
Hopd covid-19 spec collect |
2,883 |
2,594 |
$758.70 |
| 83090 |
|
63 |
53 |
$735.57 |
| 83516 |
|
258 |
206 |
$722.61 |
| 0012A |
|
160 |
153 |
$702.28 |
| J2550 |
Promethazine hcl injection |
928 |
682 |
$702.04 |
| 83010 |
|
62 |
43 |
$696.56 |
| 93297 |
|
148 |
136 |
$681.42 |
| 80177 |
|
158 |
137 |
$654.01 |
| J2997 |
Alteplase recombinant |
33 |
24 |
$644.19 |
| 0011A |
|
167 |
155 |
$641.31 |
| 11900 |
|
16 |
15 |
$640.01 |
| 92250 |
|
92 |
86 |
$623.63 |
| 84166 |
|
64 |
54 |
$622.18 |
| 84155 |
|
107 |
87 |
$584.78 |
| 80158 |
|
61 |
37 |
$581.20 |
| J3420 |
Vitamin b12 injection |
198 |
145 |
$564.43 |
| 85613 |
|
111 |
103 |
$552.06 |
| 87635 |
|
483 |
455 |
$525.38 |
| 82274 |
|
26 |
26 |
$511.06 |
| J8540 |
Oral dexamethasone |
2,307 |
1,213 |
$501.00 |
| 95910 |
|
13 |
13 |
$483.94 |
| 87324 |
|
107 |
90 |
$482.40 |
| 72083 |
|
15 |
13 |
$433.76 |
| 92020 |
|
119 |
109 |
$426.59 |
| 90662 |
|
821 |
773 |
$415.25 |
| 73551 |
|
45 |
39 |
$409.82 |
| A4648 |
Implantable tissue marker |
14 |
12 |
$403.22 |
| G0257 |
Unsched dialysis esrd pt hos |
111 |
74 |
$395.20 |
| 0031A |
|
20 |
18 |
$369.20 |
| J0171 |
Adrenalin epinephrine inject |
997 |
856 |
$365.08 |
| 95970 |
|
77 |
69 |
$344.11 |
| 83525 |
|
36 |
30 |
$331.92 |
| 86364 |
|
28 |
27 |
$325.20 |
| J1250 |
Inj dobutamine hcl/250 mg |
388 |
357 |
$324.11 |
| 76857 |
|
15 |
12 |
$321.00 |
| 86705 |
|
51 |
39 |
$309.88 |
| 86039 |
|
44 |
42 |
$302.86 |
| 74000 |
|
18 |
14 |
$300.00 |
| J0461 |
Atropine sulfate injection |
552 |
441 |
$255.52 |
| 72110 |
|
12 |
12 |
$243.94 |
| 85306 |
|
15 |
14 |
$240.79 |
| 73600 |
|
13 |
12 |
$240.00 |
| 89060 |
|
26 |
24 |
$211.16 |
| 93225 |
|
16 |
14 |
$202.30 |
| 82272 |
|
69 |
59 |
$200.80 |
| 85303 |
|
14 |
13 |
$197.50 |
| 73620 |
|
14 |
13 |
$181.41 |
| S0164 |
Injection pantroprazole |
355 |
207 |
$173.27 |
| 84157 |
|
41 |
39 |
$170.00 |
| 85300 |
|
12 |
12 |
$169.30 |
| 90471 |
|
508 |
469 |
$169.26 |
| 82945 |
|
42 |
38 |
$169.13 |
| 93280 |
|
12 |
12 |
$168.38 |
| 88302 |
|
15 |
12 |
$164.88 |
| J2791 |
Rhophylac injection |
50 |
50 |
$157.34 |
| J2370 |
Phenylephrine hcl injection |
1,522 |
1,262 |
$149.29 |
| 87640 |
|
77 |
64 |
$148.46 |
| G0123 |
Screen cerv/vag thin layer |
110 |
88 |
$142.60 |
| 80202 |
|
20 |
13 |
$135.38 |
| 93242 |
|
15 |
13 |
$126.64 |
| G1004 |
Cdsm ndsc |
10,140 |
7,593 |
$117.86 |
| J0360 |
Hydralazine hcl injection |
295 |
242 |
$106.39 |
| 86708 |
|
133 |
120 |
$91.93 |
| 92610 |
|
32 |
27 |
$81.15 |
| J2704 |
Inj, propofol, 10 mg |
485 |
317 |
$78.68 |
| J1630 |
Haloperidol injection |
322 |
249 |
$78.66 |
| S0028 |
Injection, famotidine, 20 mg |
2,751 |
1,932 |
$78.41 |
| U0005 |
Infec agen detec ampli probe |
1,147 |
1,032 |
$77.43 |
| 96379 |
|
41 |
25 |
$75.00 |
| J3301 |
Triamcinolone acet inj nos |
378 |
345 |
$64.85 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
955 |
734 |
$63.74 |
| 84133 |
|
13 |
12 |
$42.98 |
| J7999 |
Compounded drug, noc |
2,012 |
1,702 |
$42.07 |
| 94618 |
|
12 |
12 |
$40.08 |
| 94642 |
|
49 |
39 |
$36.88 |
| J0689 |
Inj cefazolin sodium, baxter |
71 |
52 |
$32.69 |
| G0328 |
Fecal blood scrn immunoassay |
12 |
12 |
$31.61 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
334 |
231 |
$30.31 |
| J1920 |
Inj, labetalol hcl, 5mg |
96 |
67 |
$30.23 |
| J2272 |
Inj, morphine (fresenius) |
146 |
119 |
$27.87 |
| J0456 |
Azithromycin |
29 |
24 |
$24.32 |
| G0103 |
Psa screening |
13 |
13 |
$21.14 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
250 |
227 |
$19.76 |
| J2543 |
Piperacillin/tazobactam |
63 |
38 |
$17.44 |
| J2919 |
Inj, methylpred sod succ 5mg |
200 |
157 |
$13.37 |
| Q0163 |
Diphenhydramine hcl 50mg |
1,800 |
1,222 |
$3.63 |
| J1642 |
Inj heparin sodium per 10 u |
55 |
49 |
$3.60 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
39 |
23 |
$1.28 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,105 |
586 |
$1.17 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
192 |
142 |
$0.83 |
| G8979 |
Mobility goal status |
326 |
273 |
$0.74 |
| G8978 |
Mobility current status |
300 |
251 |
$0.64 |
| G8980 |
Mobility d/c status |
107 |
96 |
$0.23 |
| G8985 |
Carry goal status |
31 |
29 |
$0.12 |
| G8984 |
Carry current status |
30 |
29 |
$0.11 |
| C9113 |
Inj pantoprazole sodium, via |
449 |
175 |
$0.04 |
| G8988 |
Self care goal status |
24 |
24 |
$0.03 |
| G8987 |
Self care current status |
24 |
24 |
$0.03 |
| G8996 |
Swallow current status |
66 |
56 |
$0.02 |
| G8997 |
Swallow goal status |
66 |
56 |
$0.02 |
| Q9957 |
Inj perflutren lip micros,ml |
1,047 |
957 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
206 |
162 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
175 |
139 |
$0.00 |
| 81241 |
|
15 |
13 |
$0.00 |
| J0688 |
Inj cefazolin sodium, hikma |
73 |
60 |
$0.00 |
| 84425 |
|
13 |
12 |
$0.00 |
| 97116 |
|
22 |
13 |
$0.00 |
| J3473 |
Hyaluronidase recombinant |
13 |
12 |
$0.00 |
| C1887 |
Catheter, guiding |
14 |
13 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
257 |
209 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
143 |
142 |
$0.00 |
| J3490 |
Drugs unclassified injection |
18 |
14 |
$0.00 |
| J8501 |
Oral aprepitant |
46 |
31 |
$0.00 |
| 81240 |
|
13 |
12 |
$0.00 |
| 94660 |
|
20 |
12 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
15 |
12 |
$0.00 |
| 86769 |
|
17 |
16 |
$0.00 |