| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
495,297 |
421,088 |
$47.72M |
| 99214 |
|
445,242 |
384,457 |
$40.76M |
| 99283 |
|
189,604 |
167,399 |
$24.90M |
| 99285 |
|
126,959 |
114,920 |
$18.76M |
| 99284 |
|
147,864 |
135,254 |
$17.91M |
| 96361 |
|
46,734 |
41,028 |
$16.65M |
| G0463 |
Hospital outpt clinic visit |
287,450 |
187,279 |
$8.31M |
| 99212 |
|
60,214 |
51,145 |
$6.91M |
| 99215 |
Prolong outpt/office vis |
66,076 |
60,742 |
$6.23M |
| 99211 |
|
51,571 |
40,860 |
$4.82M |
| U0003 |
Cov-19 amp prb hgh thruput |
70,127 |
61,883 |
$4.57M |
| 97110 |
|
90,585 |
36,716 |
$4.15M |
| 92014 |
|
53,889 |
52,087 |
$4.03M |
| 99282 |
|
27,053 |
25,381 |
$3.42M |
| 99391 |
|
37,622 |
32,880 |
$3.38M |
| 87637 |
|
30,288 |
28,436 |
$3.35M |
| 74177 |
|
22,929 |
21,528 |
$3.20M |
| 43239 |
|
8,081 |
7,711 |
$3.15M |
| 45380 |
|
6,248 |
5,959 |
$3.05M |
| 96110 |
|
14,848 |
14,772 |
$2.98M |
| 93975 |
|
30,390 |
28,812 |
$2.58M |
| 70450 |
|
28,747 |
26,245 |
$2.51M |
| 90834 |
|
94,160 |
56,063 |
$2.35M |
| 87633 |
|
7,019 |
6,629 |
$2.22M |
| 92507 |
|
14,936 |
5,335 |
$2.18M |
| 99392 |
|
25,250 |
25,160 |
$2.14M |
| 96365 |
|
16,870 |
13,242 |
$2.14M |
| 59025 |
|
7,786 |
4,968 |
$2.09M |
| 20610 |
|
19,053 |
16,090 |
$2.04M |
| 76856 |
|
24,649 |
23,763 |
$1.95M |
| 99393 |
|
23,723 |
23,640 |
$1.88M |
| 45378 |
|
4,108 |
3,919 |
$1.81M |
| 74176 |
|
13,271 |
12,660 |
$1.69M |
| 99394 |
|
19,731 |
19,642 |
$1.65M |
| 93306 |
|
14,069 |
13,613 |
$1.60M |
| 76700 |
|
16,507 |
15,852 |
$1.54M |
| S9485 |
Crisis intervention mental h |
2,812 |
2,602 |
$1.49M |
| 80307 |
|
41,694 |
31,084 |
$1.47M |
| 87591 |
|
68,993 |
64,107 |
$1.42M |
| 87491 |
|
68,980 |
64,096 |
$1.41M |
| 96360 |
|
13,307 |
12,074 |
$1.37M |
| 96366 |
|
2,530 |
1,975 |
$1.37M |
| 76830 |
|
24,022 |
23,207 |
$1.36M |
| G0480 |
Drug test def 1-7 classes |
34,312 |
24,540 |
$1.27M |
| G2023 |
Specimen collect covid-19 |
60,154 |
53,193 |
$1.20M |
| 76816 |
|
8,833 |
8,356 |
$1.18M |
| 99395 |
|
23,570 |
22,576 |
$1.17M |
| 97140 |
|
47,526 |
21,145 |
$1.13M |
| J7307 |
Etonogestrel implant system |
2,282 |
2,208 |
$1.12M |
| 76801 |
|
11,590 |
10,036 |
$1.11M |
| 92588 |
|
4,314 |
4,242 |
$1.05M |
| 81220 |
|
3,230 |
3,109 |
$1.04M |
| 77063 |
|
22,860 |
22,525 |
$990K |
| 81420 |
|
1,890 |
1,819 |
$989K |
| 97161 |
|
15,864 |
15,251 |
$982K |
| 90471 |
|
174,157 |
167,602 |
$981K |
| T1040 |
Comm bh clinic svc per diem |
4,757 |
3,217 |
$907K |
| 78452 |
|
3,190 |
3,058 |
$900K |
| 99204 |
|
11,786 |
11,551 |
$892K |
| 52000 |
|
2,090 |
2,044 |
$883K |
| 45385 |
|
2,280 |
2,185 |
$867K |
| 66984 |
|
1,453 |
1,257 |
$860K |
| 99396 |
|
20,874 |
19,962 |
$848K |
| 90686 |
|
54,363 |
52,188 |
$843K |
| 99291 |
|
7,448 |
4,782 |
$843K |
| 76805 |
|
5,762 |
5,714 |
$834K |
| 86480 |
|
22,423 |
21,250 |
$834K |
| 93971 |
|
7,479 |
7,005 |
$824K |
| J7298 |
Mirena, 52 mg |
1,339 |
1,267 |
$808K |
| 76770 |
|
7,749 |
7,527 |
$800K |
| 76817 |
|
16,051 |
13,497 |
$799K |
| 99232 |
|
19,697 |
6,679 |
$750K |
| 85025 |
|
160,542 |
137,030 |
$745K |
| 99233 |
Prolong inpt eval add15 m |
14,505 |
5,439 |
$742K |
| 94640 |
|
13,565 |
9,691 |
$725K |
| 99203 |
|
14,384 |
14,140 |
$706K |
| 99381 |
|
6,625 |
6,466 |
$704K |
| 71260 |
|
6,517 |
6,151 |
$694K |
| 96413 |
|
3,566 |
1,880 |
$687K |
| 17110 |
|
4,239 |
3,884 |
$666K |
| 76642 |
|
11,078 |
9,472 |
$636K |
| 99223 |
Prolong inpt eval add15 m |
6,823 |
5,866 |
$618K |
| 92012 |
|
10,199 |
9,360 |
$616K |
| 80048 |
|
164,894 |
137,836 |
$613K |
| 73721 |
|
3,257 |
3,168 |
$597K |
| 84443 |
|
76,417 |
71,412 |
$594K |
| 12001 |
|
3,421 |
3,344 |
$578K |
| 70551 |
|
3,934 |
3,715 |
$569K |
| 71046 |
|
68,346 |
64,353 |
$564K |
| 87389 |
|
45,638 |
42,633 |
$557K |
| 90651 |
|
7,060 |
6,755 |
$553K |
| 82306 |
|
40,407 |
38,087 |
$529K |
| 91322 |
|
7,485 |
6,424 |
$527K |
| 58300 |
|
4,228 |
3,751 |
$518K |
| 93017 |
|
5,907 |
5,160 |
$472K |
| 77067 |
|
22,605 |
22,232 |
$470K |
| 87635 |
|
12,976 |
11,538 |
$465K |
| 76705 |
|
7,341 |
6,974 |
$450K |
| 71275 |
|
2,341 |
2,241 |
$442K |
| 80053 |
|
96,804 |
86,617 |
$433K |
| 90715 |
|
24,110 |
23,040 |
$406K |
| 97803 |
|
7,245 |
6,927 |
$403K |
| 70553 |
|
1,985 |
1,901 |
$401K |
| 92004 |
|
7,305 |
7,107 |
$400K |
| 90791 |
|
10,841 |
10,132 |
$394K |
| 96372 |
|
47,796 |
42,033 |
$390K |
| 74183 |
|
2,109 |
2,022 |
$385K |
| 95810 |
|
1,123 |
1,085 |
$375K |
| 76536 |
|
5,384 |
5,233 |
$370K |
| 20550 |
|
3,097 |
2,774 |
$369K |
| 85027 |
|
101,273 |
89,240 |
$361K |
| 76819 |
|
3,696 |
2,545 |
$354K |
| 72148 |
|
2,417 |
2,366 |
$352K |
| J2315 |
Naltrexone, depot form |
303 |
284 |
$342K |
| 84484 |
|
42,660 |
34,272 |
$340K |
| 99281 |
|
2,772 |
2,524 |
$340K |
| 97802 |
|
6,156 |
6,057 |
$337K |
| 87624 |
|
24,692 |
22,428 |
$334K |
| 71250 |
|
6,471 |
6,245 |
$330K |
| 81513 |
|
3,643 |
3,413 |
$315K |
| 92557 |
|
4,890 |
4,763 |
$311K |
| J2426 |
Inj, invega sustenna, 1 mg |
273 |
228 |
$310K |
| 99222 |
|
7,781 |
5,022 |
$310K |
| 87481 |
|
10,327 |
9,382 |
$308K |
| 87502 |
|
5,825 |
5,598 |
$303K |
| 97112 |
|
10,149 |
6,188 |
$302K |
| 99385 |
|
6,644 |
6,319 |
$300K |
| 92558 |
|
14,654 |
14,583 |
$299K |
| 86803 |
|
40,760 |
38,107 |
$296K |
| 94060 |
|
3,615 |
3,315 |
$295K |
| 99239 |
|
5,519 |
5,283 |
$294K |
| 90853 |
|
16,340 |
6,571 |
$288K |
| 90750 |
|
7,422 |
7,142 |
$286K |
| 10060 |
|
1,836 |
1,755 |
$284K |
| 11981 |
|
2,169 |
2,094 |
$284K |
| 83036 |
|
79,465 |
74,802 |
$282K |
| 87536 |
|
5,976 |
5,555 |
$276K |
| 12011 |
|
1,514 |
1,483 |
$276K |
| 93010 |
|
60,751 |
50,446 |
$274K |
| 70498 |
|
1,914 |
1,764 |
$259K |
| 88305 |
|
28,588 |
26,257 |
$255K |
| 90832 |
|
13,938 |
10,836 |
$254K |
| 90480 |
|
9,814 |
8,739 |
$253K |
| J1050 |
Medroxyprogesterone acetate |
7,253 |
7,103 |
$252K |
| 83735 |
|
63,648 |
49,871 |
$246K |
| 88142 |
|
29,856 |
27,817 |
$245K |
| 99460 |
|
2,420 |
2,390 |
$243K |
| 76815 |
|
7,237 |
6,423 |
$238K |
| 81025 |
|
52,360 |
47,581 |
$229K |
| 76870 |
|
3,576 |
3,389 |
$227K |
| 92567 |
|
7,610 |
7,427 |
$227K |
| 93970 |
|
1,954 |
1,881 |
$222K |
| 71045 |
|
31,765 |
27,263 |
$222K |
| 81329 |
|
2,343 |
2,246 |
$221K |
| 74178 |
|
1,522 |
1,502 |
$221K |
| 87070 |
|
33,276 |
31,564 |
$221K |
| 99238 |
|
4,330 |
4,260 |
$217K |
| ATP08 |
|
32,394 |
26,020 |
$217K |
| 99219 |
|
13,309 |
4,481 |
$214K |
| 83880 |
|
12,805 |
11,490 |
$210K |
| 90677 |
|
6,073 |
5,817 |
$210K |
| 99231 |
|
11,231 |
4,083 |
$204K |
| 87880 |
|
19,023 |
18,207 |
$203K |
| 87086 |
|
35,640 |
32,554 |
$201K |
| 99205 |
Prolong outpt/office vis |
2,481 |
2,447 |
$199K |
| 31575 |
|
1,540 |
1,492 |
$198K |
| J3490 |
Drugs unclassified injection |
17,140 |
11,918 |
$198K |
| 88182 |
|
3,087 |
2,910 |
$198K |
| 86780 |
|
24,266 |
22,347 |
$196K |
| 90792 |
|
4,360 |
4,213 |
$194K |
| 80050 |
|
13,906 |
12,951 |
$191K |
| ATP14 |
|
23,035 |
18,630 |
$189K |
| 87486 |
|
6,888 |
6,520 |
$188K |
| 87581 |
|
6,890 |
6,520 |
$188K |
| 58301 |
|
2,157 |
1,939 |
$187K |
| 31231 |
|
1,599 |
1,503 |
$185K |
| 80061 |
|
71,442 |
67,125 |
$184K |
| 0124A |
|
6,950 |
6,683 |
$183K |
| 83690 |
|
38,410 |
34,090 |
$179K |
| G0378 |
Hospital observation per hr |
10,858 |
5,480 |
$178K |
| 82948 |
|
68,497 |
49,082 |
$176K |
| 82728 |
|
26,243 |
24,614 |
$174K |
| 97162 |
|
3,296 |
3,139 |
$169K |
| 96374 |
|
55,865 |
49,498 |
$165K |
| 82607 |
|
25,163 |
23,661 |
$165K |
| 77062 |
|
4,076 |
3,667 |
$161K |
| 0002A |
|
4,137 |
4,101 |
$161K |
| 87801 |
|
6,944 |
6,434 |
$158K |
| 11102 |
|
502 |
486 |
$155K |
| 0001A |
|
4,438 |
4,365 |
$154K |
| 12002 |
|
993 |
972 |
$153K |
| 97530 |
|
3,905 |
2,788 |
$152K |
| 92083 |
|
4,597 |
4,467 |
$152K |
| 77080 |
|
3,958 |
3,853 |
$151K |
| 73221 |
|
1,018 |
995 |
$151K |
| 99443 |
|
13,950 |
11,723 |
$151K |
| 81003 |
|
88,546 |
78,943 |
$149K |
| 73630 |
|
17,852 |
15,636 |
$149K |
| 94726 |
|
3,484 |
3,165 |
$146K |
| 81514 |
|
2,706 |
2,532 |
$145K |
| 87340 |
|
26,484 |
24,746 |
$144K |
| 94729 |
|
3,069 |
2,665 |
$143K |
| 84702 |
|
12,423 |
8,954 |
$142K |
| 70486 |
|
3,707 |
3,609 |
$141K |
| 93225 |
|
3,250 |
3,131 |
$139K |
| 97165 |
|
1,895 |
1,807 |
$138K |
| 57454 |
|
827 |
753 |
$137K |
| 72197 |
|
704 |
679 |
$132K |
| 88185 |
|
3,640 |
2,997 |
$131K |
| 88184 |
|
3,304 |
3,084 |
$131K |
| C8929 |
Tte w or wo fol wcon,doppler |
2,091 |
1,920 |
$128K |
| 11982 |
|
1,371 |
1,279 |
$127K |
| 87510 |
|
8,505 |
8,043 |
$125K |
| 87660 |
|
8,503 |
8,038 |
$125K |
| 93976 |
|
4,211 |
4,137 |
$122K |
| 86003 |
|
2,099 |
1,831 |
$121K |
| 87480 |
|
8,507 |
8,042 |
$121K |
| ATP15 |
|
14,237 |
11,159 |
$119K |
| 90670 |
|
5,102 |
4,910 |
$115K |
| 73562 |
|
14,420 |
12,333 |
$114K |
| 93005 |
|
96,825 |
84,190 |
$113K |
| 72125 |
|
8,105 |
7,483 |
$112K |
| 86762 |
|
12,032 |
11,392 |
$112K |
| 90472 |
|
62,173 |
60,459 |
$107K |
| 83655 |
|
10,226 |
9,989 |
$106K |
| 93350 |
|
797 |
787 |
$104K |
| 90746 |
|
6,969 |
6,707 |
$103K |
| 90714 |
|
5,859 |
5,593 |
$101K |
| 86850 |
|
14,583 |
13,209 |
$95K |
| 73130 |
|
12,752 |
10,650 |
$95K |
| 86706 |
|
19,366 |
18,024 |
$93K |
| 94664 |
|
7,854 |
6,921 |
$93K |
| 10061 |
|
613 |
580 |
$93K |
| 64615 |
|
341 |
333 |
$91K |
| 87186 |
|
15,190 |
13,825 |
$91K |
| 99462 |
|
2,078 |
1,620 |
$90K |
| 99442 |
|
11,161 |
10,058 |
$88K |
| 72100 |
|
6,352 |
6,112 |
$88K |
| 58100 |
|
888 |
803 |
$87K |
| 70491 |
|
884 |
850 |
$87K |
| 99397 |
|
1,923 |
1,842 |
$86K |
| 99386 |
|
2,622 |
2,439 |
$85K |
| 73610 |
|
13,072 |
12,060 |
$85K |
| 80179 |
|
13,593 |
11,654 |
$83K |
| 0054A |
|
2,929 |
2,820 |
$83K |
| 73030 |
|
12,338 |
11,060 |
$83K |
| 92015 |
|
18,721 |
17,751 |
$83K |
| 77066 |
Tomosynthesis, mammo |
5,228 |
4,786 |
$82K |
| 47562 |
|
45 |
36 |
$81K |
| 82274 |
|
10,527 |
10,299 |
$81K |
| 44970 |
|
42 |
40 |
$81K |
| 92133 |
|
4,777 |
4,637 |
$81K |
| 77065 |
Tomosynthesis, mammo |
2,763 |
2,687 |
$80K |
| 86787 |
|
10,212 |
9,613 |
$80K |
| 81001 |
|
39,742 |
35,981 |
$80K |
| 83970 |
|
5,532 |
5,144 |
$80K |
| 29125 |
|
1,521 |
1,430 |
$79K |
| 83789 |
|
5,150 |
4,709 |
$78K |
| 90656 |
|
5,324 |
4,918 |
$77K |
| 90662 |
|
10,270 |
9,754 |
$76K |
| 95811 |
|
208 |
204 |
$76K |
| 84703 |
|
13,696 |
12,447 |
$76K |
| 87505 |
|
882 |
837 |
$75K |
| 73110 |
|
9,445 |
8,160 |
$74K |
| 87338 |
|
7,146 |
6,964 |
$73K |
| G0399 |
Home sleep test/type 3 porta |
369 |
369 |
$73K |
| 99221 |
|
1,361 |
1,288 |
$72K |
| 84153 |
|
10,109 |
9,478 |
$70K |
| 83605 |
|
10,284 |
8,390 |
$69K |
| 0004A |
|
1,982 |
1,945 |
$68K |
| 83550 |
|
16,157 |
15,100 |
$68K |
| 99464 |
|
1,343 |
1,337 |
$68K |
| 93226 |
|
2,789 |
2,707 |
$67K |
| 87522 |
Neg quan hep c or qual rna |
2,240 |
2,172 |
$67K |
| 95886 |
|
405 |
400 |
$67K |
| J0561 |
Penicillin g benzathine inj |
1,002 |
754 |
$66K |
| 83540 |
|
20,768 |
19,439 |
$65K |
| 82570 |
|
28,473 |
26,687 |
$65K |
| J0585 |
Injection,onabotulinumtoxina |
87 |
86 |
$64K |
| 80076 |
|
47,133 |
42,326 |
$62K |
| 87661 |
|
3,213 |
2,984 |
$62K |
| 67028 |
|
358 |
341 |
$61K |
| 90734 |
|
1,478 |
1,460 |
$60K |
| 62323 |
|
175 |
172 |
$59K |
| S0302 |
Completed epsdt |
6,637 |
6,616 |
$58K |
| 70496 |
|
1,862 |
1,707 |
$57K |
| 82043 |
|
24,137 |
22,928 |
$57K |
| 97535 |
|
1,577 |
1,378 |
$56K |
| 97597 |
|
873 |
611 |
$55K |
| G0008 |
Admin influenza virus vac |
10,356 |
10,035 |
$55K |
| 95806 |
|
110 |
110 |
$55K |
| 11721 |
|
3,811 |
3,741 |
$54K |
| 84403 |
|
4,844 |
4,479 |
$54K |
| 0012A |
|
2,337 |
2,324 |
$53K |
| 84439 |
|
12,725 |
11,909 |
$53K |
| 72141 |
|
267 |
261 |
$52K |
| 71271 |
|
1,146 |
1,119 |
$50K |
| 86682 |
|
6,249 |
5,598 |
$50K |
| 84146 |
|
5,306 |
4,833 |
$49K |
| 85610 |
|
29,984 |
20,236 |
$48K |
| 73502 |
|
5,259 |
4,918 |
$48K |
| 0011A |
|
2,492 |
2,459 |
$47K |
| 99202 |
|
1,792 |
1,780 |
$47K |
| 86592 |
|
17,573 |
16,652 |
$46K |
| J1885 |
Ketorolac tromethamine inj |
52,512 |
44,188 |
$46K |
| 0071A |
|
1,100 |
1,092 |
$46K |
| 90732 |
|
3,965 |
3,820 |
$46K |
| 76376 |
|
23,328 |
22,455 |
$46K |
| J1644 |
Inj heparin sodium per 1000u |
20,612 |
8,174 |
$45K |
| 69210 |
|
1,269 |
1,198 |
$43K |
| 96367 |
|
871 |
580 |
$43K |
| 87077 |
|
8,665 |
8,105 |
$43K |
| 92340 |
|
2,259 |
1,957 |
$43K |
| 83021 |
|
2,885 |
2,775 |
$43K |
| 87517 |
|
1,673 |
1,574 |
$43K |
| 86704 |
|
8,217 |
7,570 |
$43K |
| 99217 |
|
1,190 |
1,152 |
$42K |
| 83718 |
|
10,643 |
10,058 |
$42K |
| 90716 |
|
1,341 |
1,308 |
$42K |
| 99220 |
|
578 |
565 |
$42K |
| 92579 |
|
386 |
386 |
$41K |
| 0072A |
|
967 |
964 |
$41K |
| 88341 |
|
3,126 |
2,462 |
$41K |
| 82746 |
|
5,934 |
5,515 |
$40K |
| 73564 |
|
6,952 |
5,676 |
$40K |
| C9803 |
Hopd covid-19 spec collect |
11,972 |
10,641 |
$40K |
| 83001 |
|
4,672 |
4,251 |
$39K |
| 83037 |
|
20,871 |
19,652 |
$39K |
| 86140 |
|
14,013 |
12,464 |
$39K |
| 0064A |
|
1,615 |
1,554 |
$38K |
| 85379 |
|
5,709 |
5,350 |
$38K |
| 11750 |
|
65 |
54 |
$38K |
| 87040 |
|
4,032 |
3,106 |
$38K |
| 11720 |
|
2,347 |
2,293 |
$38K |
| 86900 |
|
15,946 |
14,440 |
$38K |
| 76519 |
|
699 |
685 |
$37K |
| 99383 |
|
508 |
508 |
$37K |
| 96375 |
|
36,540 |
31,936 |
$37K |
| 86901 |
|
15,938 |
14,433 |
$36K |
| 20605 |
|
251 |
245 |
$36K |
| 95816 |
|
296 |
289 |
$34K |
| 73140 |
|
5,046 |
4,715 |
$34K |
| 72052 |
|
1,468 |
1,422 |
$33K |
| 73080 |
|
4,896 |
4,458 |
$33K |
| 80143 |
|
10,764 |
9,151 |
$32K |
| 86735 |
|
5,567 |
5,159 |
$32K |
| 86765 |
|
5,585 |
5,166 |
$32K |
| 52310 |
|
52 |
52 |
$31K |
| 76811 |
|
592 |
586 |
$31K |
| J1100 |
Dexamethasone sodium phos |
18,187 |
15,960 |
$31K |
| 87209 |
|
1,608 |
1,448 |
$31K |
| 92134 |
|
2,522 |
2,374 |
$30K |
| 92523 |
|
176 |
176 |
$29K |
| 90707 |
|
2,026 |
1,967 |
$29K |
| 0031A |
|
972 |
957 |
$29K |
| 52356 |
|
25 |
25 |
$29K |
| 99384 |
|
405 |
405 |
$29K |
| 77061 |
|
800 |
786 |
$28K |
| 82950 |
|
6,666 |
6,584 |
$28K |
| 92552 |
|
222 |
221 |
$28K |
| 0003A |
|
848 |
835 |
$28K |
| J0696 |
Ceftriaxone sodium injection |
10,199 |
7,726 |
$28K |
| 82670 |
|
2,199 |
1,952 |
$28K |
| 11056 |
|
463 |
453 |
$27K |
| J3010 |
Fentanyl citrate injection |
21,801 |
16,818 |
$27K |
| G0439 |
Ppps, subseq visit |
2,721 |
2,685 |
$27K |
| 85651 |
|
13,917 |
12,782 |
$27K |
| 83516 |
|
3,846 |
3,563 |
$27K |
| 86038 |
|
4,915 |
4,378 |
$26K |
| 51729 |
|
169 |
165 |
$26K |
| 93296 |
|
992 |
950 |
$25K |
| 90633 |
|
2,042 |
2,003 |
$25K |
| ATP09 |
|
4,417 |
2,681 |
$25K |
| 86708 |
|
4,251 |
3,880 |
$24K |
| 90882 |
|
351 |
264 |
$24K |
| 95117 |
|
1,309 |
615 |
$24K |
| 82077 |
|
10,041 |
8,527 |
$24K |
| 99309 |
|
1,183 |
1,120 |
$23K |
| 88342 |
|
6,703 |
5,875 |
$23K |
| J0171 |
Adrenalin epinephrine inject |
3,344 |
2,732 |
$22K |
| 0051A |
|
598 |
590 |
$22K |
| 11100 |
|
103 |
101 |
$22K |
| 25600 |
|
49 |
39 |
$21K |
| J2250 |
Inj midazolam hydrochloride |
16,828 |
14,356 |
$21K |
| 83002 |
|
2,292 |
2,105 |
$21K |
| 88112 |
|
1,364 |
1,236 |
$21K |
| 72170 |
|
2,718 |
2,591 |
$21K |
| 82565 |
|
10,978 |
10,125 |
$21K |
| H2011 |
Crisis interven svc, 15 min |
346 |
180 |
$21K |
| J0248 |
Inj, remdesivir, 1 mg |
123 |
38 |
$20K |
| 74019 |
|
2,426 |
2,222 |
$20K |
| 73590 |
|
2,855 |
2,587 |
$20K |
| 93308 |
|
402 |
381 |
$20K |
| 71101 |
|
2,643 |
2,549 |
$20K |
| 92250 |
|
2,503 |
2,359 |
$19K |
| 85730 |
|
6,122 |
5,377 |
$19K |
| 96415 |
|
49 |
25 |
$18K |
| 72070 |
|
1,018 |
996 |
$18K |
| 92341 |
|
739 |
714 |
$17K |
| 10005 |
|
62 |
61 |
$17K |
| 85007 |
|
8,149 |
7,360 |
$17K |
| 50590 |
|
12 |
12 |
$16K |
| 76377 |
|
795 |
777 |
$16K |
| 97116 |
|
1,093 |
602 |
$16K |
| 51798 |
|
9,328 |
8,911 |
$16K |
| 87177 |
|
1,618 |
1,451 |
$15K |
| 90739 |
|
980 |
962 |
$15K |
| 85018 |
|
7,078 |
7,058 |
$15K |
| 0052A |
|
359 |
358 |
$15K |
| 73560 |
|
1,775 |
1,611 |
$14K |
| 83026 |
|
5,555 |
5,307 |
$14K |
| 82105 |
|
1,229 |
1,172 |
$14K |
| 83020 |
|
1,399 |
1,339 |
$14K |
| 82803 |
|
1,117 |
960 |
$14K |
| 76000 |
|
935 |
812 |
$14K |
| J0690 |
Cefazolin sodium injection |
10,726 |
8,425 |
$14K |
| 91307 |
|
1,475 |
1,324 |
$14K |
| 87205 |
|
5,187 |
4,674 |
$14K |
| 93227 |
|
864 |
862 |
$13K |
| 86235 |
|
1,314 |
1,038 |
$13K |
| 11900 |
|
65 |
64 |
$13K |
| 88307 |
|
561 |
439 |
$13K |
| 43235 |
|
43 |
43 |
$13K |
| 82784 |
|
1,670 |
1,423 |
$13K |
| 90474 |
|
15,200 |
15,078 |
$12K |
| 82951 |
|
843 |
838 |
$12K |
| 80159 |
|
1,584 |
1,236 |
$12K |
| 99441 |
|
1,872 |
1,604 |
$12K |
| 88304 |
|
6,450 |
5,642 |
$12K |
| ATP07 |
|
1,937 |
1,721 |
$12K |
| 82465 |
|
10,070 |
9,507 |
$12K |
| 0053A |
|
345 |
340 |
$12K |
| 10022 |
|
59 |
55 |
$12K |
| 93880 |
|
166 |
165 |
$12K |
| 90833 |
|
1,046 |
972 |
$12K |
| 73090 |
|
1,851 |
1,729 |
$12K |
| 92553 |
|
227 |
225 |
$12K |
| 93224 |
|
66 |
64 |
$12K |
| 99307 |
|
503 |
500 |
$11K |
| J1170 |
Hydromorphone injection |
7,839 |
5,140 |
$11K |
| 84156 |
|
5,341 |
4,543 |
$11K |
| J1756 |
Iron sucrose injection |
3,418 |
1,976 |
$11K |
| 92002 |
|
199 |
197 |
$11K |
| 74018 |
|
988 |
839 |
$10K |
| J7300 |
Intra copp contra (paragard) |
126 |
104 |
$10K |
| 99382 |
|
147 |
147 |
$10K |
| ATP17 |
|
1,706 |
1,453 |
$10K |
| 73700 |
|
222 |
209 |
$10K |
| 76881 |
|
174 |
157 |
$10K |
| 17000 |
|
117 |
117 |
$10K |
| 70544 |
|
95 |
94 |
$10K |
| 82040 |
|
5,665 |
5,199 |
$10K |
| 83721 |
|
2,401 |
2,302 |
$9K |
| 76857 |
|
448 |
445 |
$9K |
| J7120 |
Ringers lactate infusion |
4,602 |
3,977 |
$9K |
| 84460 |
|
10,945 |
9,969 |
$9K |
| 90632 |
|
527 |
514 |
$9K |
| 74181 |
|
78 |
74 |
$9K |
| ATP03 |
|
7,614 |
6,418 |
$9K |
| 97035 |
|
142 |
63 |
$8K |
| U0002 |
Covid-19 lab test non-cdc |
550 |
430 |
$8K |
| 20552 |
|
65 |
63 |
$8K |
| 93018 |
|
958 |
952 |
$8K |
| 99308 |
|
545 |
487 |
$8K |
| M0222 |
Bebtelovimab injection |
40 |
40 |
$8K |
| 86160 |
|
1,005 |
854 |
$8K |
| 86200 |
|
1,422 |
1,308 |
$8K |
| ATP16 |
|
1,057 |
665 |
$7K |
| 84165 |
|
1,918 |
1,696 |
$7K |
| ATP11 |
|
1,386 |
1,209 |
$7K |
| 90837 |
|
236 |
139 |
$7K |
| 90688 |
|
698 |
658 |
$7K |
| 20611 |
|
26 |
25 |
$7K |
| J2791 |
Rhophylac injection |
41 |
36 |
$7K |
| 90847 |
|
141 |
93 |
$7K |
| 90836 |
|
290 |
241 |
$7K |
| J2270 |
Morphine sulfate injection |
8,309 |
6,087 |
$7K |
| 11042 |
|
35 |
27 |
$7K |
| 86665 |
|
238 |
228 |
$6K |
| 84100 |
|
16,592 |
11,336 |
$6K |
| 87255 |
|
352 |
317 |
$6K |
| 90710 |
|
400 |
399 |
$6K |
| 88312 |
|
2,863 |
2,685 |
$6K |
| J7050 |
Normal saline solution infus |
4,067 |
2,455 |
$6K |
| 11719 |
|
568 |
557 |
$6K |
| 82550 |
|
5,889 |
5,171 |
$6K |
| 90696 |
|
512 |
508 |
$6K |
| 72110 |
|
531 |
521 |
$6K |
| J3301 |
Triamcinolone acet inj nos |
6,624 |
6,219 |
$6K |
| 99226 |
|
101 |
68 |
$6K |
| 86618 |
|
482 |
446 |
$6K |
| ATP02 |
|
1,215 |
1,007 |
$6K |
| Q0091 |
Obtaining screen pap smear |
10,931 |
10,425 |
$5K |
| 77002 |
|
213 |
197 |
$5K |
| 77049 |
|
63 |
61 |
$5K |
| J1200 |
Diphenhydramine hcl injectio |
12,888 |
10,860 |
$5K |
| 88300 |
|
997 |
837 |
$5K |
| G2211 |
Complex e/m visit add on |
1,382 |
1,277 |
$5K |
| J3475 |
Inj magnesium sulfate |
3,915 |
2,911 |
$5K |
| C8928 |
Tte w or w/o fol w/con,stres |
508 |
378 |
$5K |
| 87081 |
|
1,293 |
1,247 |
$5K |
| J7030 |
Normal saline solution infus |
2,176 |
1,544 |
$5K |
| 87427 |
|
651 |
369 |
$5K |
| 80178 |
|
1,399 |
1,259 |
$5K |
| 90678 |
|
288 |
253 |
$5K |
| 84450 |
|
7,556 |
6,903 |
$5K |
| J2060 |
Lorazepam injection |
8,246 |
6,484 |
$5K |
| 80164 |
|
794 |
732 |
$5K |
| 91306 |
|
793 |
789 |
$5K |
| Q0162 |
Ondansetron oral |
9,370 |
8,154 |
$5K |
| J2272 |
Inj, morphine (fresenius) |
3,303 |
2,390 |
$5K |
| 90713 |
|
364 |
353 |
$4K |
| 11055 |
|
92 |
91 |
$4K |
| 73523 |
|
249 |
245 |
$4K |
| 93228 |
|
296 |
293 |
$4K |
| 99292 |
|
102 |
91 |
$4K |
| 57456 |
|
32 |
25 |
$4K |
| 87902 |
|
55 |
55 |
$4K |
| 84480 |
|
751 |
694 |
$4K |
| 73565 |
|
1,426 |
1,339 |
$4K |
| 20600 |
|
26 |
26 |
$4K |
| G0279 |
Tomosynthesis, mammo |
540 |
521 |
$4K |
| 98926 |
|
69 |
52 |
$4K |
| 51784 |
|
42 |
41 |
$4K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
233 |
231 |
$4K |
| 86430 |
|
1,477 |
1,378 |
$4K |
| G0179 |
Md recertification hha pt |
308 |
308 |
$4K |
| 83918 |
|
261 |
252 |
$4K |
| 26720 |
|
13 |
12 |
$4K |
| 70547 |
|
41 |
39 |
$3K |
| G0009 |
Admin pneumococcal vaccine |
1,867 |
1,806 |
$3K |
| 86580 |
|
285 |
274 |
$3K |
| G0472 |
Hep c screen high risk/other |
469 |
460 |
$3K |
| 82533 |
|
426 |
359 |
$3K |
| J1642 |
Inj heparin sodium per 10 u |
1,156 |
630 |
$3K |
| 74220 |
|
41 |
41 |
$3K |
| 99310 |
Prolong nursin fac eval 15m |
203 |
173 |
$3K |
| 86431 |
|
1,366 |
1,235 |
$3K |
| H2015 |
Comp comm supp svc, 15 min |
104 |
90 |
$3K |
| J1630 |
Haloperidol injection |
4,750 |
3,697 |
$3K |
| 74174 |
|
56 |
54 |
$3K |
| 82247 |
|
1,393 |
1,029 |
$3K |
| 86593 |
|
1,229 |
1,120 |
$3K |
| G2066 |
Inter devc remote 30d |
76 |
68 |
$3K |
| 73660 |
|
394 |
381 |
$3K |
| 94761 |
|
29,081 |
25,162 |
$3K |
| 78264 |
|
12 |
12 |
$3K |
| 82378 |
|
676 |
544 |
$3K |
| 29130 |
|
69 |
63 |
$3K |
| 20526 |
|
12 |
12 |
$3K |
| J2785 |
Regadenoson injection |
1,215 |
1,134 |
$3K |
| 96381 |
|
300 |
281 |
$3K |
| 73060 |
|
470 |
444 |
$3K |
| 84550 |
|
5,415 |
4,926 |
$3K |
| G0103 |
Psa screening |
639 |
621 |
$3K |
| 86376 |
|
378 |
358 |
$3K |
| 0121A |
|
241 |
212 |
$3K |
| J1040 |
Methylprednisolone 80 mg inj |
4,991 |
4,711 |
$2K |
| 87046 |
|
400 |
369 |
$2K |
| 87045 |
|
400 |
369 |
$2K |
| 86684 |
|
194 |
189 |
$2K |
| 86753 |
|
710 |
612 |
$2K |
| 85045 |
|
1,108 |
988 |
$2K |
| J0574 |
Bupren/nal 6.1 to 10mg bupre |
28 |
17 |
$2K |
| 11976 |
|
34 |
33 |
$2K |
| 86663 |
|
210 |
205 |
$2K |
| 36000 |
|
3,661 |
3,479 |
$2K |
| 85013 |
|
1,003 |
903 |
$2K |
| 90691 |
|
127 |
127 |
$2K |
| J2405 |
Ondansetron hcl injection |
987 |
861 |
$2K |
| 76820 |
|
38 |
25 |
$2K |
| 99188 |
|
1,749 |
1,749 |
$2K |
| 93280 |
|
265 |
256 |
$2K |
| 99218 |
|
47 |
47 |
$2K |
| J2795 |
Ropivacaine hcl injection |
1,114 |
985 |
$2K |
| 51702 |
|
372 |
324 |
$2K |
| 86617 |
|
77 |
77 |
$2K |
| 82310 |
|
1,729 |
1,525 |
$2K |
| 82627 |
|
92 |
92 |
$2K |
| 99350 |
Prolong home eval add 15m |
46 |
39 |
$2K |
| 91321 |
|
56 |
55 |
$2K |
| G0297 |
Ldct for lung ca screen |
40 |
40 |
$2K |
| 99406 |
|
721 |
674 |
$2K |
| 93229 |
|
26 |
24 |
$2K |
| 99401 |
|
748 |
701 |
$2K |
| 90473 |
|
441 |
412 |
$2K |
| 36415 |
|
63,210 |
52,648 |
$2K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
129 |
128 |
$2K |
| 76942 |
|
106 |
93 |
$2K |
| 84144 |
|
133 |
118 |
$2K |
| 86677 |
|
181 |
170 |
$2K |
| 73552 |
|
254 |
241 |
$2K |
| 88173 |
|
73 |
63 |
$2K |
| 51797 |
|
143 |
137 |
$1K |
| 73503 |
|
321 |
312 |
$1K |
| 99349 |
|
53 |
50 |
$1K |
| 87075 |
|
299 |
251 |
$1K |
| 36410 |
|
53 |
50 |
$1K |
| J1030 |
Methylprednisolone 40 mg inj |
2,640 |
2,513 |
$1K |
| 86334 |
|
217 |
187 |
$1K |
| 99225 |
|
89 |
53 |
$1K |
| 84402 |
|
100 |
89 |
$1K |
| 84132 |
|
1,714 |
1,517 |
$1K |
| 74221 |
|
14 |
14 |
$1K |
| 93298 |
|
40 |
40 |
$1K |
| 81050 |
|
464 |
386 |
$1K |
| 96376 |
|
3,772 |
3,299 |
$1K |
| 72050 |
|
82 |
82 |
$1K |
| J1815 |
Insulin injection |
312 |
156 |
$1K |
| A9579 |
Gad-base mr contrast nos,1ml |
2,729 |
2,572 |
$1K |
| 29515 |
|
68 |
66 |
$1K |
| 81002 |
|
2,948 |
2,744 |
$1K |
| 51741 |
|
130 |
124 |
$1K |
| V2020 |
Vision svcs frames purchases |
122 |
122 |
$972.84 |
| 98968 |
|
109 |
70 |
$969.81 |
| 82272 |
|
543 |
505 |
$956.64 |
| 76981 |
|
68 |
65 |
$906.31 |
| 90620 |
|
13 |
13 |
$896.09 |
| 93352 |
|
25 |
25 |
$896.02 |
| 87563 |
|
39 |
38 |
$866.60 |
| 86308 |
|
209 |
204 |
$861.80 |
| A4217 |
Sterile water/saline, 500 ml |
810 |
625 |
$837.48 |
| 70360 |
|
26 |
26 |
$822.25 |
| 90846 |
|
14 |
12 |
$813.30 |
| 85041 |
|
562 |
532 |
$808.05 |
| 84520 |
|
1,234 |
1,160 |
$793.85 |
| 72131 |
|
25 |
25 |
$786.50 |
| 73200 |
|
14 |
14 |
$774.09 |
| A4615 |
Cannula nasal |
719 |
695 |
$771.46 |
| C1773 |
Ret dev, insertable |
218 |
208 |
$727.34 |
| 93288 |
|
13 |
12 |
$703.55 |
| 69209 |
|
33 |
24 |
$702.44 |
| 85048 |
|
563 |
533 |
$683.30 |
| 87538 |
|
121 |
99 |
$680.77 |
| 99306 |
Prolong nursin fac eval 15m |
41 |
41 |
$673.59 |
| J7040 |
Normal saline solution infus |
1,393 |
1,343 |
$641.86 |
| 82150 |
|
150 |
143 |
$641.49 |
| 82360 |
|
75 |
64 |
$639.89 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
7,273 |
6,420 |
$634.00 |
| 87811 |
|
79 |
66 |
$620.70 |
| 90674 |
|
22 |
22 |
$619.10 |
| G0237 |
Therapeutic procd strg endur |
479 |
401 |
$617.12 |
| 82248 |
|
1,623 |
1,309 |
$607.80 |
| 90839 |
|
12 |
12 |
$600.20 |
| 86769 |
|
16 |
16 |
$589.82 |
| 87641 |
|
69 |
55 |
$588.05 |
| J1790 |
Droperidol injection |
1,443 |
1,188 |
$552.80 |
| G0296 |
Visit to determ ldct elig |
142 |
130 |
$544.50 |
| 83883 |
|
98 |
61 |
$543.22 |
| 88141 |
|
25 |
25 |
$532.42 |
| 87150 |
|
954 |
948 |
$517.77 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
470 |
464 |
$507.39 |
| 76882 |
|
25 |
25 |
$489.21 |
| 93297 |
|
53 |
51 |
$478.86 |
| 86756 |
|
43 |
42 |
$470.40 |
| 73000 |
|
114 |
108 |
$449.30 |
| 86705 |
|
55 |
54 |
$447.36 |
| 83521 |
|
430 |
240 |
$446.72 |
| 99336 |
|
14 |
13 |
$411.76 |
| 72082 |
|
24 |
24 |
$409.59 |
| 99335 |
|
18 |
13 |
$393.39 |
| 82785 |
|
28 |
28 |
$376.98 |
| 93041 |
|
5,209 |
4,849 |
$373.40 |
| J2001 |
Lidocaine injection |
6,330 |
5,693 |
$351.79 |
| 74175 |
|
14 |
14 |
$351.75 |
| 73620 |
|
112 |
105 |
$343.58 |
| J7070 |
D5w infusion |
696 |
183 |
$340.98 |
| S0119 |
Ondansetron 4 mg |
6,100 |
5,084 |
$315.53 |
| 85060 |
|
29 |
29 |
$313.44 |
| 92555 |
|
54 |
54 |
$302.19 |
| 86664 |
|
29 |
28 |
$301.74 |
| 87210 |
|
109 |
99 |
$286.19 |
| 83615 |
|
278 |
260 |
$281.00 |
| Q9950 |
Inj sulf hexa lipid microsph |
281 |
210 |
$276.66 |
| 86702 |
|
71 |
69 |
$264.30 |
| 82977 |
|
644 |
599 |
$259.80 |
| 87390 |
|
15 |
15 |
$259.52 |
| 82166 |
|
105 |
40 |
$258.83 |
| 94375 |
|
14 |
13 |
$255.59 |
| 83090 |
|
43 |
39 |
$255.29 |
| 87535 |
|
38 |
26 |
$247.55 |
| ATP04 |
|
64 |
53 |
$246.16 |
| 93294 |
|
41 |
41 |
$245.22 |
| 82010 |
|
61 |
50 |
$214.45 |
| A9500 |
Tc99m sestamibi |
1,074 |
949 |
$214.32 |
| 86701 |
|
71 |
69 |
$203.45 |
| Q9956 |
Inj octafluoropropane mic,ml |
1,773 |
1,436 |
$202.91 |
| 99418 |
Prolong nursin fac eval 15m |
15 |
14 |
$198.51 |
| G0123 |
Screen cerv/vag thin layer |
383 |
374 |
$195.01 |
| 83993 |
|
28 |
25 |
$190.41 |
| 0013A |
|
25 |
25 |
$183.48 |
| 82088 |
|
20 |
14 |
$179.70 |
| J3420 |
Vitamin b12 injection |
738 |
640 |
$178.23 |
| 86255 |
|
31 |
30 |
$175.17 |
| G0180 |
Md certification hha patient |
14 |
14 |
$168.76 |
| 87109 |
|
13 |
13 |
$162.84 |
| J3360 |
Diazepam injection |
212 |
168 |
$155.11 |
| J7060 |
5% dextrose/water |
403 |
172 |
$155.11 |
| 88311 |
|
184 |
129 |
$145.70 |
| J1020 |
Methylprednisolone 20 mg inj |
910 |
856 |
$143.03 |
| J2930 |
Methylprednisolone injection |
116 |
97 |
$120.95 |
| 86880 |
|
14 |
12 |
$114.00 |
| 87449 |
|
30 |
26 |
$112.01 |
| 86709 |
|
31 |
25 |
$109.23 |
| J2765 |
Metoclopramide hcl injection |
9,192 |
7,726 |
$100.62 |
| 82610 |
|
32 |
26 |
$97.98 |
| 94760 |
|
7,106 |
4,903 |
$97.35 |
| 84244 |
|
20 |
14 |
$97.00 |
| 91317 |
|
205 |
205 |
$96.66 |
| 87102 |
|
14 |
13 |
$96.46 |
| 87640 |
|
14 |
14 |
$92.85 |
| G0127 |
Trim nail(s) |
49 |
49 |
$85.94 |
| 51792 |
|
17 |
16 |
$85.73 |
| 82103 |
|
14 |
14 |
$83.16 |
| 84145 |
|
276 |
240 |
$82.83 |
| 88360 |
|
18 |
15 |
$81.58 |
| J0780 |
Prochlorperazine injection |
82 |
81 |
$81.06 |
| 72202 |
|
13 |
13 |
$70.28 |
| 90648 |
|
3,557 |
3,473 |
$68.93 |
| 82390 |
|
15 |
14 |
$66.42 |
| 99451 |
|
30 |
30 |
$66.40 |
| 82960 |
|
12 |
12 |
$64.08 |
| 93246 |
|
20 |
14 |
$58.31 |
| 76514 |
|
27 |
27 |
$54.48 |
| 17003 |
|
17 |
17 |
$54.06 |
| 93042 |
|
26 |
26 |
$53.92 |
| J7620 |
Albuterol ipratrop non-comp |
100 |
94 |
$47.30 |
| 87324 |
|
16 |
12 |
$47.24 |
| J8540 |
Oral dexamethasone |
3,495 |
2,256 |
$41.38 |
| G8979 |
Mobility goal status |
855 |
787 |
$39.46 |
| 83921 |
|
17 |
12 |
$37.41 |
| 82947 |
|
53 |
52 |
$37.24 |
| 90685 |
|
1,020 |
994 |
$31.75 |
| G8978 |
Mobility current status |
861 |
798 |
$27.99 |
| 90611 |
|
108 |
101 |
$23.88 |
| 36591 |
|
266 |
153 |
$22.00 |
| 84300 |
|
14 |
14 |
$17.84 |
| 36416 |
|
1,912 |
1,883 |
$15.42 |
| 83695 |
|
25 |
12 |
$12.63 |
| 91312 |
|
3,568 |
3,266 |
$12.13 |
| 84478 |
|
110 |
77 |
$10.12 |
| 84155 |
|
62 |
42 |
$6.48 |
| 86364 |
|
1,026 |
906 |
$5.19 |
| 91301 |
|
565 |
526 |
$3.60 |
| 82962 |
|
24 |
24 |
$2.42 |
| A4215 |
Sterile needle |
77 |
68 |
$1.15 |
| Q0222 |
Bebtelovimab 175 mg |
40 |
40 |
$1.00 |
| A6402 |
Sterile gauze <= 16 sq in |
171 |
165 |
$0.01 |
| V2632 |
Post chmbr intraocular lens |
754 |
637 |
$0.00 |
| 90723 |
|
2,684 |
2,612 |
$0.00 |
| 1123F |
|
359 |
357 |
$0.00 |
| 90680 |
|
2,114 |
2,021 |
$0.00 |
| 90619 |
|
72 |
72 |
$0.00 |
| A4620 |
Variable concentration mask |
27 |
27 |
$0.00 |
| A6441 |
Pad band w>=3" <5"/yd |
24 |
24 |
$0.00 |
| A4556 |
Electrodes, pair |
208 |
204 |
$0.00 |
| 90744 |
|
357 |
357 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
522 |
452 |
$0.00 |
| 90697 |
|
78 |
78 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
38 |
38 |
$0.00 |
| J7110 |
Dextran 75 infusion |
55 |
51 |
$0.00 |
| J1940 |
Furosemide injection |
21 |
12 |
$0.00 |
| 91305 |
|
1,685 |
1,553 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
113 |
58 |
$0.00 |
| G8952 |
Pre-htn/htn, no f/u, not gvn |
596 |
489 |
$0.00 |
| J1817 |
Insulin for insulin pump use |
148 |
81 |
$0.00 |
| A6257 |
Transparent film <= 16 sq in |
57 |
56 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
84 |
69 |
$0.00 |
| A4657 |
Syringe w/wo needle |
886 |
881 |
$0.00 |
| 91303 |
|
123 |
112 |
$0.00 |
| 87625 |
|
12 |
12 |
$0.00 |
| 84075 |
|
13 |
13 |
$0.00 |
| 0134A |
|
15 |
15 |
$0.00 |
| G8950 |
Pre-htn or htn doc, f/u indc |
146 |
134 |
$0.00 |
| 80320 |
|
127 |
106 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
145 |
84 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
15 |
12 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
22 |
13 |
$0.00 |
| J2920 |
Methylprednisolone injection |
12 |
12 |
$0.00 |
| C1769 |
Guide wire |
12 |
12 |
$0.00 |
| 87593 |
|
12 |
12 |
$0.00 |
| 95115 |
|
23 |
12 |
$0.00 |
| G0010 |
Admin hepatitis b vaccine |
14 |
14 |
$0.00 |
| J1580 |
Garamycin gentamicin inj |
16 |
14 |
$0.00 |
| C1887 |
Catheter, guiding |
1,141 |
1,113 |
$0.00 |
| G1004 |
Cdsm ndsc |
7,522 |
5,010 |
$0.00 |
| 0502F |
|
219 |
187 |
$0.00 |
| A4628 |
Oropharyngeal suction cath |
142 |
139 |
$0.00 |
| A9576 |
Inj prohance multipack |
150 |
144 |
$0.00 |
| 91300 |
|
1,909 |
1,723 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
1,858 |
701 |
$0.00 |
| 90700 |
|
753 |
751 |
$0.00 |
| A4212 |
Non coring needle or stylet |
19 |
13 |
$0.00 |
| A4550 |
Surgical trays |
851 |
773 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
614 |
523 |
$0.00 |
| A4618 |
Breathing circuits |
527 |
516 |
$0.00 |
| S1015 |
Iv tubing extension set |
69 |
68 |
$0.00 |
| A6403 |
Sterile gauze>16 <= 48 sq in |
78 |
78 |
$0.00 |
| C1776 |
Joint device (implantable) |
15 |
12 |
$0.00 |
| S4005 |
Interim labor facility globa |
320 |
224 |
$0.00 |
| A4606 |
Oxygen probe used w oximeter |
62 |
62 |
$0.00 |
| J8499 |
Oral prescrip drug non chemo |
57 |
56 |
$0.00 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
19 |
13 |
$0.00 |
| G8984 |
Carry current status |
24 |
24 |
$0.00 |
| G8783 |
Bp scrn perf rec interval |
337 |
273 |
$0.00 |
| A7002 |
Tubing used w suction pump |
43 |
42 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
64 |
44 |
$0.00 |
| G9744 |
Pt not eli d/t act dig htn |
1,026 |
848 |
$0.00 |
| A4208 |
3 cc sterile syringe&needle |
60 |
59 |
$0.00 |
| 88302 |
|
106 |
38 |
$0.00 |
| 86015 |
|
14 |
12 |
$0.00 |
| G8985 |
Carry goal status |
12 |
12 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
15 |
12 |
$0.00 |
| 81401 |
|
12 |
12 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
14 |
14 |
$0.00 |