| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99211 |
|
495,590 |
414,086 |
$72.38M |
| 99284 |
|
117,580 |
106,439 |
$18.23M |
| 99285 |
|
87,551 |
77,662 |
$17.12M |
| 99283 |
|
108,518 |
100,728 |
$17.12M |
| 99212 |
|
95,197 |
86,886 |
$13.28M |
| 96361 |
|
37,935 |
25,733 |
$11.77M |
| G0463 |
Hospital outpt clinic visit |
235,418 |
189,958 |
$7.68M |
| 99215 |
Prolong outpt/office vis |
41,112 |
34,276 |
$6.21M |
| 97110 |
|
83,650 |
27,258 |
$5.25M |
| 96365 |
|
29,448 |
22,371 |
$5.16M |
| 96415 |
|
9,844 |
7,511 |
$5.14M |
| 59025 |
|
19,842 |
13,001 |
$4.81M |
| G0378 |
Hospital observation per hr |
38,459 |
35,398 |
$4.69M |
| 99213 |
|
37,056 |
35,039 |
$4.61M |
| 96413 |
|
24,823 |
14,969 |
$4.41M |
| 43239 |
|
5,527 |
5,325 |
$3.92M |
| 41899 |
|
2,406 |
2,088 |
$3.50M |
| U0003 |
Cov-19 amp prb hgh thruput |
55,597 |
48,161 |
$3.44M |
| 96366 |
|
12,645 |
8,551 |
$3.42M |
| S9485 |
Crisis intervention mental h |
8,513 |
5,657 |
$3.40M |
| 70450 |
|
24,049 |
22,201 |
$3.04M |
| 74177 |
|
23,005 |
21,744 |
$3.00M |
| 80307 |
|
51,190 |
41,988 |
$2.76M |
| 76705 |
|
24,289 |
23,150 |
$2.65M |
| 99391 |
|
23,228 |
22,002 |
$2.32M |
| 95810 |
|
2,530 |
2,488 |
$2.24M |
| 95811 |
|
3,134 |
3,070 |
$2.21M |
| Q5103 |
Injection, inflectra |
1,199 |
1,145 |
$2.17M |
| J9271 |
Inj pembrolizumab |
216 |
168 |
$2.05M |
| 93306 |
|
11,088 |
10,877 |
$2.05M |
| 92014 |
|
16,864 |
16,692 |
$1.90M |
| 87635 |
|
46,204 |
41,350 |
$1.86M |
| 99392 |
|
19,052 |
18,994 |
$1.81M |
| 45385 |
|
2,872 |
2,747 |
$1.81M |
| 95806 |
|
2,806 |
2,782 |
$1.80M |
| 93971 |
|
9,678 |
9,159 |
$1.78M |
| 77063 |
|
26,955 |
26,427 |
$1.77M |
| 99393 |
|
18,363 |
18,320 |
$1.73M |
| 76816 |
|
13,492 |
12,250 |
$1.70M |
| 0241U |
|
26,490 |
24,235 |
$1.60M |
| 58661 |
|
471 |
468 |
$1.60M |
| 76856 |
|
12,288 |
11,881 |
$1.53M |
| 96372 |
|
69,767 |
49,099 |
$1.50M |
| J1745 |
Infliximab not biosimil 10mg |
1,380 |
1,299 |
$1.49M |
| 87591 |
|
59,051 |
56,841 |
$1.47M |
| 87491 |
|
58,742 |
56,558 |
$1.47M |
| J2357 |
Omalizumab injection |
4,068 |
1,861 |
$1.46M |
| 76770 |
|
9,169 |
8,843 |
$1.45M |
| 96360 |
|
14,033 |
12,239 |
$1.44M |
| 99282 |
|
10,028 |
9,603 |
$1.40M |
| 99394 |
|
14,643 |
14,594 |
$1.39M |
| 99395 |
|
14,673 |
14,480 |
$1.26M |
| 76819 |
|
13,779 |
7,089 |
$1.25M |
| 62323 |
|
3,332 |
3,229 |
$1.24M |
| 76811 |
|
9,152 |
9,028 |
$1.21M |
| 11042 |
|
6,533 |
4,126 |
$1.19M |
| 85025 |
|
252,214 |
205,432 |
$1.17M |
| 70551 |
|
4,434 |
4,290 |
$1.16M |
| 70553 |
|
3,191 |
3,082 |
$1.14M |
| 45380 |
|
2,331 |
2,218 |
$1.11M |
| 97161 |
|
16,099 |
15,382 |
$1.11M |
| 76642 |
|
10,109 |
9,798 |
$1.11M |
| G2023 |
Specimen collect covid-19 |
58,342 |
51,692 |
$1.10M |
| 93458 |
|
1,173 |
1,146 |
$1.09M |
| 87631 |
|
13,958 |
13,603 |
$1.08M |
| 76830 |
|
10,609 |
10,311 |
$1.07M |
| 94640 |
|
15,121 |
13,974 |
$1.03M |
| 43235 |
|
1,617 |
1,517 |
$982K |
| 99214 |
|
8,653 |
8,278 |
$980K |
| 93308 |
|
5,124 |
4,911 |
$979K |
| 78452 |
|
2,619 |
2,499 |
$964K |
| 96367 |
|
5,413 |
3,870 |
$953K |
| 93970 |
|
4,302 |
4,155 |
$940K |
| H0035 |
Mh partial hosp tx under 24h |
3,316 |
432 |
$931K |
| 95886 |
|
4,405 |
4,257 |
$909K |
| 71046 |
|
66,337 |
61,289 |
$906K |
| 87633 |
|
3,506 |
3,407 |
$897K |
| 74176 |
|
5,606 |
5,323 |
$893K |
| 71275 |
|
4,945 |
4,684 |
$832K |
| 70496 |
|
4,606 |
4,393 |
$812K |
| 76801 |
|
7,285 |
6,829 |
$801K |
| 36430 |
|
2,945 |
2,038 |
$789K |
| 84443 |
|
79,257 |
75,279 |
$771K |
| 93975 |
|
10,164 |
9,697 |
$757K |
| 90834 |
|
9,936 |
6,242 |
$750K |
| 97140 |
|
20,949 |
8,859 |
$728K |
| 97162 |
|
11,587 |
11,138 |
$703K |
| 99202 |
|
4,973 |
4,893 |
$700K |
| 64415 |
|
1,708 |
1,588 |
$700K |
| 77067 |
|
28,612 |
28,067 |
$681K |
| J0585 |
Injection,onabotulinumtoxina |
1,479 |
1,059 |
$672K |
| 93798 |
|
15,150 |
3,530 |
$661K |
| 92507 |
|
5,409 |
2,406 |
$656K |
| 87481 |
|
14,187 |
12,594 |
$646K |
| 99396 |
|
8,219 |
8,069 |
$644K |
| 76536 |
|
5,220 |
5,135 |
$603K |
| 93325 |
|
5,973 |
5,773 |
$599K |
| 87389 |
|
33,670 |
33,053 |
$593K |
| 76817 |
|
9,671 |
8,664 |
$579K |
| 97530 |
|
9,827 |
5,416 |
$572K |
| 94060 |
|
5,351 |
5,251 |
$569K |
| 71260 |
|
8,615 |
8,202 |
$567K |
| Q0138 |
Ferumoxytol, non-esrd |
1,610 |
1,068 |
$566K |
| 87661 |
|
20,484 |
19,628 |
$547K |
| J3380 |
Inj vedolizumab iv 1 mg |
194 |
184 |
$546K |
| 76813 |
|
4,243 |
4,181 |
$533K |
| 97803 |
|
7,359 |
6,967 |
$532K |
| J2469 |
Palonosetron hcl |
6,177 |
3,834 |
$531K |
| 97802 |
|
7,143 |
7,027 |
$529K |
| J1050 |
Medroxyprogesterone acetate |
9,517 |
9,413 |
$524K |
| 54161 |
|
296 |
295 |
$517K |
| 96374 |
|
61,952 |
53,047 |
$506K |
| 81513 |
|
7,246 |
6,788 |
$502K |
| 76700 |
|
3,059 |
3,019 |
$492K |
| 90471 |
|
114,505 |
112,133 |
$488K |
| 72148 |
|
2,060 |
2,023 |
$484K |
| 80051 |
|
110,577 |
86,485 |
$461K |
| 19083 |
|
354 |
350 |
$440K |
| 81220 |
|
1,458 |
1,401 |
$438K |
| 90686 |
|
52,511 |
51,632 |
$431K |
| 12011 |
|
1,835 |
1,804 |
$425K |
| 95708 |
|
1,147 |
930 |
$419K |
| 83036 |
|
83,471 |
80,978 |
$418K |
| 90715 |
|
20,992 |
20,739 |
$417K |
| 99201 |
|
2,921 |
2,836 |
$416K |
| 76942 |
|
8,792 |
8,241 |
$413K |
| 80053 |
|
90,869 |
83,933 |
$406K |
| 82306 |
|
24,134 |
23,482 |
$405K |
| 12001 |
|
1,832 |
1,804 |
$404K |
| 71250 |
|
5,586 |
5,421 |
$399K |
| 83880 |
|
23,551 |
21,341 |
$399K |
| 84484 |
|
59,021 |
45,251 |
$399K |
| 93304 |
|
1,424 |
1,391 |
$398K |
| 99381 |
|
3,027 |
2,925 |
$391K |
| 88175 |
|
18,247 |
18,040 |
$389K |
| 96402 |
|
694 |
664 |
$387K |
| 95953 |
|
562 |
473 |
$384K |
| 77412 |
|
2,490 |
266 |
$381K |
| 85027 |
|
90,330 |
79,692 |
$371K |
| 93017 |
|
4,502 |
4,389 |
$367K |
| 96375 |
|
55,840 |
40,036 |
$366K |
| 58300 |
|
1,407 |
1,398 |
$366K |
| 77336 |
|
5,566 |
2,349 |
$363K |
| 45378 |
|
855 |
832 |
$360K |
| G0108 |
Diab manage trn per indiv |
6,439 |
5,791 |
$350K |
| 87086 |
|
59,656 |
54,925 |
$340K |
| 87624 |
|
14,748 |
14,527 |
$337K |
| 90791 |
|
2,573 |
2,362 |
$337K |
| 99291 |
|
1,445 |
1,371 |
$335K |
| 97597 |
|
6,382 |
3,931 |
$326K |
| 97165 |
|
3,404 |
3,298 |
$322K |
| 77065 |
Tomosynthesis, mammo |
6,556 |
6,254 |
$321K |
| 92587 |
|
2,684 |
2,666 |
$311K |
| 93005 |
|
117,991 |
103,018 |
$308K |
| 76815 |
|
2,675 |
2,475 |
$305K |
| 20552 |
|
1,536 |
1,460 |
$292K |
| 74183 |
|
717 |
689 |
$288K |
| 76805 |
|
1,821 |
1,817 |
$283K |
| 80048 |
|
80,882 |
71,462 |
$280K |
| 83605 |
|
38,376 |
33,314 |
$280K |
| 72100 |
|
7,830 |
7,590 |
$278K |
| 86780 |
|
27,186 |
26,342 |
$278K |
| 87536 |
|
6,143 |
5,981 |
$275K |
| 76870 |
|
2,765 |
2,635 |
$275K |
| 20610 |
|
1,650 |
1,511 |
$274K |
| V5160 |
Dispensing fee binaural |
676 |
610 |
$274K |
| G0480 |
Drug test def 1-7 classes |
10,055 |
8,260 |
$270K |
| 88307 |
|
3,334 |
3,180 |
$267K |
| V5261 |
Hearing aid, digit, bin, bte |
526 |
477 |
$266K |
| 81025 |
|
43,959 |
41,911 |
$257K |
| 87502 |
|
3,670 |
3,327 |
$256K |
| 94726 |
|
5,473 |
5,343 |
$253K |
| 95782 |
|
237 |
236 |
$248K |
| V5266 |
Battery for hearing device |
4,029 |
3,772 |
$247K |
| 64445 |
|
999 |
971 |
$247K |
| 87088 |
|
29,640 |
21,383 |
$246K |
| 94729 |
|
5,473 |
5,386 |
$242K |
| 86481 |
|
4,589 |
4,495 |
$241K |
| 86480 |
|
5,569 |
5,464 |
$235K |
| 77061 |
|
2,283 |
2,270 |
$224K |
| 93922 |
|
4,151 |
4,054 |
$222K |
| 86803 |
|
22,761 |
22,329 |
$221K |
| 44970 |
|
65 |
65 |
$220K |
| 77386 |
|
1,065 |
87 |
$217K |
| 64721 |
|
291 |
271 |
$217K |
| J1453 |
Fosaprepitant injection |
1,768 |
1,165 |
$216K |
| 94375 |
|
4,135 |
3,978 |
$216K |
| 58301 |
|
850 |
842 |
$209K |
| 84702 |
|
18,298 |
16,426 |
$207K |
| 81001 |
|
98,521 |
89,732 |
$206K |
| 82565 |
|
125,656 |
99,678 |
$204K |
| 77062 |
|
2,078 |
2,074 |
$203K |
| 77080 |
|
4,404 |
4,301 |
$200K |
| 11982 |
|
888 |
883 |
$196K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
37,553 |
33,205 |
$192K |
| 83690 |
|
43,103 |
38,855 |
$191K |
| Q3014 |
Telehealth facility fee |
46,683 |
40,376 |
$188K |
| 74018 |
|
7,740 |
7,220 |
$187K |
| 86850 |
|
29,711 |
27,430 |
$186K |
| Q5118 |
Inj., zirabev, 10 mg |
243 |
89 |
$186K |
| 92552 |
|
6,977 |
6,940 |
$182K |
| 87880 |
|
15,870 |
15,248 |
$182K |
| 0001A |
|
6,021 |
5,785 |
$176K |
| G0297 |
Ldct for lung ca screen |
1,999 |
1,979 |
$173K |
| 83735 |
|
47,930 |
36,683 |
$173K |
| U0005 |
Infec agen detec ampli probe |
8,426 |
7,180 |
$171K |
| 76882 |
|
1,450 |
1,420 |
$168K |
| 87653 |
|
5,668 |
5,521 |
$167K |
| 0002A |
|
5,615 |
5,414 |
$166K |
| 72141 |
|
561 |
552 |
$164K |
| 97014 |
|
1,896 |
810 |
$163K |
| 82728 |
|
20,366 |
19,635 |
$163K |
| 97035 |
|
2,489 |
1,016 |
$160K |
| 27447 |
|
28 |
26 |
$158K |
| 73630 |
|
8,133 |
7,857 |
$158K |
| 88305 |
|
27,633 |
25,299 |
$157K |
| 12002 |
|
699 |
685 |
$156K |
| 20553 |
|
683 |
588 |
$155K |
| 83655 |
|
13,501 |
13,399 |
$154K |
| J1650 |
Inj enoxaparin sodium |
15,667 |
7,891 |
$154K |
| 64615 |
|
513 |
466 |
$152K |
| 90847 |
|
1,682 |
1,325 |
$152K |
| 73130 |
|
7,909 |
7,554 |
$151K |
| 97166 |
|
1,538 |
1,482 |
$148K |
| 11981 |
|
488 |
485 |
$148K |
| 93225 |
|
2,791 |
2,732 |
$147K |
| 73030 |
|
7,855 |
7,489 |
$146K |
| 73560 |
|
8,832 |
8,452 |
$146K |
| 70491 |
|
1,035 |
998 |
$144K |
| 51725 |
|
488 |
472 |
$144K |
| 73610 |
|
7,872 |
7,532 |
$143K |
| 87798 |
|
4,427 |
4,095 |
$143K |
| 93880 |
|
2,425 |
2,365 |
$142K |
| J7297 |
Liletta, 52 mg |
216 |
216 |
$141K |
| 96523 |
|
3,430 |
2,452 |
$140K |
| 92523 |
|
1,050 |
1,040 |
$140K |
| 72040 |
|
3,582 |
3,448 |
$140K |
| 87040 |
|
17,982 |
11,803 |
$138K |
| 82607 |
|
17,117 |
16,656 |
$136K |
| 84439 |
|
24,464 |
23,494 |
$136K |
| 84520 |
|
110,468 |
89,490 |
$136K |
| 80061 |
|
35,083 |
34,226 |
$136K |
| 99383 |
|
1,368 |
1,355 |
$135K |
| 47562 |
|
37 |
36 |
$134K |
| J7307 |
Etonogestrel implant system |
181 |
181 |
$134K |
| 71045 |
|
20,796 |
18,851 |
$133K |
| 84703 |
|
24,358 |
22,494 |
$133K |
| 76825 |
|
1,087 |
1,049 |
$130K |
| J1644 |
Inj heparin sodium per 1000u |
21,332 |
11,752 |
$129K |
| ATP14 |
|
19,110 |
15,552 |
$128K |
| 64447 |
|
835 |
815 |
$127K |
| 90651 |
|
11,107 |
11,080 |
$126K |
| J2405 |
Ondansetron hcl injection |
65,124 |
55,176 |
$125K |
| J0690 |
Cefazolin sodium injection |
30,871 |
23,733 |
$125K |
| 99385 |
|
1,323 |
1,320 |
$124K |
| J2704 |
Inj, propofol, 10 mg |
54,474 |
50,103 |
$123K |
| 95816 |
|
387 |
387 |
$121K |
| J0485 |
Belatacept injection |
455 |
217 |
$121K |
| 87340 |
|
16,618 |
16,179 |
$120K |
| 87522 |
Neg quan hep c or qual rna |
3,997 |
3,899 |
$120K |
| 90662 |
|
4,351 |
4,163 |
$118K |
| 90674 |
|
5,525 |
5,483 |
$115K |
| 71271 |
|
2,824 |
2,752 |
$115K |
| 82947 |
|
79,200 |
69,960 |
$114K |
| 87811 |
|
3,789 |
3,611 |
$113K |
| G0121 |
Colon ca scrn not hi rsk ind |
111 |
111 |
$110K |
| 77300 |
|
869 |
780 |
$110K |
| 77066 |
Tomosynthesis, mammo |
3,972 |
3,873 |
$109K |
| 70498 |
|
4,458 |
4,263 |
$108K |
| 76775 |
|
1,378 |
1,334 |
$108K |
| 87081 |
|
18,549 |
18,032 |
$107K |
| 76604 |
|
1,257 |
1,209 |
$107K |
| 58558 |
|
58 |
57 |
$105K |
| 86140 |
|
26,473 |
24,680 |
$103K |
| 84460 |
|
62,434 |
55,662 |
$103K |
| ATP08 |
|
17,453 |
13,560 |
$102K |
| 90677 |
|
4,358 |
4,310 |
$101K |
| J3010 |
Fentanyl citrate injection |
40,445 |
38,251 |
$100K |
| J2250 |
Inj midazolam hydrochloride |
23,875 |
22,656 |
$99K |
| 69209 |
|
1,404 |
1,322 |
$98K |
| 86923 |
|
2,144 |
1,732 |
$97K |
| 20680 |
|
82 |
79 |
$97K |
| 88342 |
|
4,728 |
4,402 |
$96K |
| 10060 |
|
545 |
539 |
$95K |
| 73110 |
|
5,049 |
4,782 |
$95K |
| 86003 |
|
1,569 |
1,489 |
$94K |
| 86762 |
|
8,000 |
7,811 |
$94K |
| 76820 |
|
1,907 |
991 |
$94K |
| 72125 |
|
10,329 |
9,586 |
$93K |
| 84450 |
|
57,824 |
51,348 |
$93K |
| 92567 |
|
3,257 |
3,206 |
$93K |
| 29824 |
|
94 |
88 |
$93K |
| 99384 |
|
932 |
929 |
$93K |
| 90837 |
|
934 |
720 |
$92K |
| 86360 |
|
4,242 |
4,169 |
$91K |
| 73502 |
|
4,724 |
4,519 |
$89K |
| 70486 |
|
2,350 |
2,264 |
$87K |
| 64493 |
|
139 |
133 |
$87K |
| 87186 |
|
15,172 |
14,388 |
$87K |
| 85610 |
|
46,213 |
33,603 |
$87K |
| 83970 |
|
5,212 |
4,978 |
$87K |
| 87801 |
|
1,563 |
1,520 |
$87K |
| 73562 |
|
2,552 |
2,515 |
$85K |
| 27130 |
|
13 |
13 |
$84K |
| V5264 |
Ear mold/insert |
1,076 |
990 |
$84K |
| J1950 |
Leuprolide acetate /3.75 mg |
37 |
36 |
$83K |
| J1170 |
Hydromorphone injection |
24,816 |
15,193 |
$83K |
| 57454 |
|
226 |
225 |
$82K |
| 99188 |
|
6,139 |
6,105 |
$81K |
| ATP07 |
|
12,573 |
9,891 |
$81K |
| J1885 |
Ketorolac tromethamine inj |
30,884 |
27,053 |
$81K |
| 76885 |
|
550 |
548 |
$80K |
| 76857 |
|
898 |
876 |
$80K |
| 92250 |
|
7,197 |
7,135 |
$78K |
| 83550 |
|
15,891 |
15,397 |
$78K |
| 82570 |
|
29,748 |
27,471 |
$78K |
| 90670 |
|
16,144 |
15,988 |
$77K |
| 74220 |
|
1,187 |
1,176 |
$77K |
| 97016 |
|
959 |
391 |
$77K |
| 83013 |
|
1,481 |
1,465 |
$76K |
| 93926 |
|
529 |
514 |
$75K |
| 64450 |
|
400 |
381 |
$75K |
| 96368 |
|
2,545 |
1,726 |
$74K |
| 86355 |
|
4,250 |
4,178 |
$74K |
| 86357 |
|
4,237 |
4,166 |
$73K |
| 86359 |
|
4,232 |
4,161 |
$73K |
| 94660 |
|
723 |
433 |
$72K |
| 86317 |
|
6,733 |
6,555 |
$72K |
| 90732 |
|
2,663 |
2,577 |
$71K |
| 82330 |
|
9,864 |
7,758 |
$70K |
| G0008 |
Admin influenza virus vac |
10,179 |
9,558 |
$70K |
| 87486 |
|
2,823 |
2,732 |
$70K |
| 80305 |
|
10,530 |
7,372 |
$70K |
| 87581 |
|
2,828 |
2,735 |
$70K |
| 93226 |
|
2,815 |
2,755 |
$69K |
| J1100 |
Dexamethasone sodium phos |
42,132 |
38,310 |
$69K |
| 88341 |
|
1,635 |
1,475 |
$69K |
| 86900 |
|
27,106 |
24,909 |
$68K |
| 82784 |
|
9,129 |
7,930 |
$68K |
| 92550 |
|
903 |
888 |
$67K |
| 82247 |
|
43,681 |
37,668 |
$67K |
| 29826 |
|
94 |
94 |
$65K |
| 83540 |
|
17,529 |
16,974 |
$65K |
| 83021 |
|
4,172 |
4,073 |
$64K |
| 83718 |
|
11,567 |
11,406 |
$64K |
| 86787 |
|
6,000 |
5,858 |
$64K |
| 82746 |
|
7,954 |
7,731 |
$63K |
| 87210 |
|
15,523 |
11,933 |
$63K |
| J1200 |
Diphenhydramine hcl injectio |
16,753 |
11,240 |
$63K |
| 92557 |
|
1,259 |
1,225 |
$62K |
| 90472 |
|
44,822 |
44,402 |
$62K |
| 76827 |
|
1,055 |
1,021 |
$62K |
| 80076 |
|
18,850 |
17,643 |
$61K |
| 17250 |
|
502 |
409 |
$61K |
| 0124A |
|
2,450 |
2,367 |
$59K |
| 87480 |
|
3,882 |
3,778 |
$58K |
| 77334 |
|
383 |
316 |
$58K |
| 29125 |
|
375 |
339 |
$58K |
| 93296 |
|
2,073 |
2,046 |
$58K |
| 87510 |
|
3,880 |
3,775 |
$58K |
| 87660 |
|
3,866 |
3,764 |
$57K |
| 84403 |
|
3,217 |
3,091 |
$57K |
| 87070 |
|
9,486 |
8,879 |
$56K |
| 64417 |
|
129 |
125 |
$54K |
| J0696 |
Ceftriaxone sodium injection |
12,747 |
9,190 |
$54K |
| 0054A |
|
1,822 |
1,767 |
$54K |
| 82043 |
|
20,662 |
19,897 |
$54K |
| 85730 |
|
15,887 |
14,483 |
$54K |
| 85379 |
|
8,747 |
8,229 |
$53K |
| 86901 |
|
27,016 |
24,904 |
$53K |
| 84075 |
|
33,297 |
30,084 |
$52K |
| 95910 |
|
966 |
944 |
$51K |
| 90480 |
|
1,276 |
1,273 |
$51K |
| 83516 |
|
4,191 |
3,700 |
$51K |
| 73140 |
|
2,010 |
1,953 |
$50K |
| 90746 |
|
2,200 |
2,156 |
$50K |
| 69436 |
|
30 |
30 |
$50K |
| 82105 |
|
3,550 |
3,480 |
$49K |
| 36415 |
|
164,644 |
142,180 |
$48K |
| 73080 |
|
3,680 |
3,494 |
$48K |
| 91320 |
|
904 |
902 |
$47K |
| 86704 |
|
6,444 |
6,267 |
$46K |
| 90832 |
|
1,059 |
737 |
$46K |
| 85652 |
|
24,398 |
23,108 |
$45K |
| 19081 |
|
43 |
41 |
$45K |
| 75574 |
|
363 |
345 |
$44K |
| 72072 |
|
1,316 |
1,288 |
$44K |
| 80050 |
|
2,774 |
2,754 |
$44K |
| 87147 |
|
10,251 |
9,711 |
$43K |
| J0171 |
Adrenalin epinephrine inject |
7,269 |
6,896 |
$43K |
| 0004A |
|
1,681 |
1,622 |
$43K |
| 87636 |
|
334 |
328 |
$43K |
| 96118 |
|
93 |
93 |
$43K |
| 99382 |
|
463 |
458 |
$43K |
| ATP11 |
|
7,026 |
5,547 |
$42K |
| Q5108 |
Injection, fulphila |
21 |
14 |
$42K |
| 97012 |
|
576 |
226 |
$41K |
| 81003 |
|
26,690 |
24,543 |
$41K |
| 74240 |
|
221 |
221 |
$41K |
| 82803 |
|
2,623 |
2,338 |
$40K |
| 49083 |
|
90 |
51 |
$40K |
| 10005 |
|
118 |
116 |
$40K |
| 52356 |
|
14 |
13 |
$40K |
| J0885 |
Epoetin alfa, non-esrd |
116 |
49 |
$40K |
| 84146 |
|
2,689 |
2,644 |
$39K |
| ATP15 |
|
5,788 |
4,700 |
$39K |
| 74174 |
|
350 |
335 |
$39K |
| 87529 |
|
1,020 |
973 |
$38K |
| 87077 |
|
10,204 |
9,413 |
$37K |
| 58100 |
|
134 |
132 |
$36K |
| 95819 |
|
116 |
115 |
$36K |
| 92579 |
|
856 |
850 |
$35K |
| 83001 |
|
2,334 |
2,308 |
$34K |
| 96040 |
|
1,050 |
977 |
$33K |
| 0071A |
|
725 |
722 |
$33K |
| 84153 |
|
3,791 |
3,635 |
$33K |
| 54150 |
|
15 |
15 |
$32K |
| ATP17 |
|
6,185 |
4,499 |
$31K |
| 73590 |
|
3,547 |
3,383 |
$31K |
| 74230 |
|
214 |
212 |
$30K |
| 90656 |
|
2,564 |
2,539 |
$30K |
| 83721 |
|
6,895 |
6,473 |
$30K |
| J3490 |
Drugs unclassified injection |
10,498 |
7,014 |
$30K |
| 82465 |
|
12,154 |
11,972 |
$30K |
| 82950 |
|
7,078 |
6,995 |
$30K |
| 96411 |
|
1,800 |
1,100 |
$30K |
| 97116 |
|
927 |
548 |
$29K |
| Q5106 |
Inj retacrit non-esrd use |
309 |
67 |
$29K |
| 86618 |
|
2,353 |
2,301 |
$28K |
| G0279 |
Tomosynthesis, mammo |
2,119 |
2,059 |
$27K |
| 42830 |
|
13 |
13 |
$27K |
| 27096 |
|
65 |
65 |
$27K |
| 81508 |
|
1,515 |
1,366 |
$27K |
| 0072A |
|
631 |
630 |
$27K |
| 82670 |
|
1,236 |
1,206 |
$27K |
| 87902 |
|
241 |
239 |
$26K |
| 86038 |
|
3,106 |
3,067 |
$26K |
| 0031A |
|
883 |
775 |
$26K |
| ATP06 |
|
4,459 |
3,075 |
$26K |
| J2270 |
Morphine sulfate injection |
22,665 |
16,436 |
$25K |
| 58340 |
|
37 |
37 |
$25K |
| G0399 |
Home sleep test/type 3 porta |
927 |
886 |
$25K |
| 90734 |
|
8,665 |
8,634 |
$25K |
| 49450 |
|
69 |
63 |
$25K |
| 82962 |
|
69,771 |
46,987 |
$24K |
| 93797 |
|
772 |
422 |
$24K |
| 84100 |
|
18,871 |
13,855 |
$24K |
| 90714 |
|
963 |
961 |
$23K |
| 82550 |
|
10,442 |
9,179 |
$23K |
| 88173 |
|
707 |
672 |
$23K |
| 95885 |
|
87 |
85 |
$23K |
| 87205 |
|
7,741 |
7,285 |
$22K |
| ATP09 |
|
3,704 |
2,614 |
$22K |
| 77002 |
|
264 |
245 |
$22K |
| 72170 |
|
1,810 |
1,709 |
$22K |
| 84481 |
|
1,972 |
1,882 |
$22K |
| J2182 |
Injection, mepolizumab, 1mg |
26 |
24 |
$22K |
| J3301 |
Triamcinolone acet inj nos |
12,055 |
11,640 |
$22K |
| 86708 |
|
2,751 |
2,701 |
$22K |
| 97535 |
|
401 |
278 |
$22K |
| 96417 |
|
5,668 |
3,461 |
$22K |
| 93923 |
|
251 |
247 |
$21K |
| 83002 |
|
1,483 |
1,458 |
$21K |
| 94664 |
|
1,893 |
1,834 |
$21K |
| 80179 |
|
2,749 |
2,507 |
$21K |
| 84163 |
|
1,671 |
1,649 |
$21K |
| 82150 |
|
4,894 |
4,615 |
$21K |
| 84156 |
|
9,803 |
8,480 |
$21K |
| J1720 |
Hydrocortisone sodium succ i |
3,250 |
2,336 |
$21K |
| 0052A |
|
537 |
533 |
$21K |
| J2543 |
Piperacillin/tazobactam |
878 |
473 |
$20K |
| 96416 |
|
157 |
99 |
$20K |
| 80074 |
|
679 |
659 |
$20K |
| 29881 |
|
12 |
12 |
$20K |
| 86665 |
|
1,101 |
726 |
$20K |
| J2790 |
Rho d immune globulin inj |
130 |
126 |
$20K |
| 82010 |
|
3,659 |
3,281 |
$19K |
| J3370 |
Vancomycin hcl injection |
5,306 |
3,452 |
$19K |
| 81002 |
|
7,109 |
6,065 |
$19K |
| 80164 |
|
2,762 |
2,521 |
$19K |
| J0780 |
Prochlorperazine injection |
3,828 |
3,360 |
$19K |
| ATP10 |
|
4,506 |
3,720 |
$19K |
| 99281 |
|
127 |
124 |
$18K |
| 93303 |
|
65 |
65 |
$18K |
| 72131 |
|
690 |
667 |
$18K |
| 88112 |
|
517 |
429 |
$18K |
| 99218 |
|
750 |
700 |
$18K |
| 80047 |
|
6,143 |
4,610 |
$17K |
| 88304 |
|
5,670 |
5,410 |
$17K |
| ATP03 |
|
6,644 |
5,266 |
$17K |
| 82785 |
|
1,428 |
1,386 |
$17K |
| 84270 |
|
1,142 |
1,112 |
$17K |
| 86334 |
|
1,992 |
1,809 |
$17K |
| 97804 |
|
281 |
117 |
$16K |
| P9016 |
Rbc leukocytes reduced |
716 |
546 |
$16K |
| 96133 |
|
76 |
72 |
$16K |
| 86765 |
|
1,665 |
1,648 |
$16K |
| 93978 |
|
341 |
327 |
$16K |
| ATP04 |
|
3,215 |
2,547 |
$15K |
| 82378 |
|
1,492 |
1,361 |
$15K |
| 87075 |
|
2,526 |
2,342 |
$15K |
| 77290 |
|
49 |
42 |
$15K |
| 73090 |
|
2,699 |
2,506 |
$15K |
| 85045 |
|
5,079 |
4,377 |
$15K |
| 10022 |
|
45 |
36 |
$14K |
| V5267 |
Hearing aid sup/access/dev |
1,559 |
1,497 |
$14K |
| 86735 |
|
1,432 |
1,415 |
$14K |
| 0051A |
|
361 |
360 |
$14K |
| ATP02 |
|
3,954 |
3,292 |
$14K |
| 86580 |
|
596 |
587 |
$13K |
| 82248 |
|
10,662 |
9,628 |
$13K |
| 96139 |
|
87 |
85 |
$13K |
| J3489 |
Zoledronic acid 1mg |
556 |
518 |
$13K |
| 82040 |
|
8,366 |
7,737 |
$13K |
| 84132 |
|
8,841 |
7,756 |
$13K |
| 82310 |
|
8,509 |
7,277 |
$13K |
| J0131 |
Inj, acetaminophen (nos) |
2,073 |
1,919 |
$13K |
| 83615 |
|
7,554 |
6,631 |
$13K |
| 83520 |
|
1,155 |
1,107 |
$13K |
| 95700 |
|
689 |
629 |
$12K |
| 87046 |
|
809 |
684 |
$12K |
| 51784 |
|
77 |
73 |
$12K |
| J2060 |
Lorazepam injection |
10,362 |
8,397 |
$12K |
| 90707 |
|
4,894 |
4,888 |
$12K |
| 95912 |
|
149 |
143 |
$12K |
| 85014 |
|
8,107 |
7,270 |
$12K |
| 86376 |
|
1,139 |
1,120 |
$11K |
| 90632 |
|
3,575 |
3,571 |
$11K |
| 87507 |
|
31 |
30 |
$11K |
| 87517 |
|
485 |
475 |
$11K |
| 82274 |
|
1,563 |
1,524 |
$11K |
| 96401 |
|
86 |
62 |
$11K |
| 74019 |
|
600 |
571 |
$11K |
| 90649 |
|
861 |
855 |
$11K |
| 85018 |
|
5,586 |
5,284 |
$10K |
| 82140 |
|
1,364 |
1,251 |
$10K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
1,436 |
1,392 |
$10K |
| 92611 |
|
156 |
156 |
$10K |
| 77072 |
|
116 |
116 |
$10K |
| J1630 |
Haloperidol injection |
8,774 |
7,722 |
$10K |
| 86664 |
|
739 |
726 |
$10K |
| G0257 |
Unsched dialysis esrd pt hos |
88 |
52 |
$10K |
| 11721 |
|
280 |
279 |
$10K |
| 90716 |
|
4,627 |
4,622 |
$10K |
| 77280 |
|
89 |
75 |
$9K |
| 77295 |
|
12 |
12 |
$9K |
| 80069 |
|
5,386 |
4,968 |
$9K |
| 84550 |
|
6,857 |
6,310 |
$9K |
| Q0114 |
Fern test |
1,702 |
1,590 |
$9K |
| 72158 |
|
55 |
53 |
$9K |
| 82652 |
|
454 |
435 |
$9K |
| 72050 |
|
168 |
168 |
$9K |
| 92558 |
|
65 |
65 |
$9K |
| 83014 |
|
1,464 |
1,447 |
$9K |
| 86304 |
|
887 |
786 |
$9K |
| 62322 |
|
13 |
13 |
$9K |
| 83883 |
|
1,186 |
1,049 |
$8K |
| 64405 |
|
26 |
24 |
$8K |
| 96132 |
|
88 |
84 |
$8K |
| 86431 |
|
2,048 |
2,034 |
$8K |
| 82553 |
|
1,644 |
1,465 |
$8K |
| 80177 |
|
965 |
906 |
$8K |
| 80143 |
|
2,079 |
1,800 |
$8K |
| G2066 |
Inter devc remote 30d |
519 |
484 |
$8K |
| 84436 |
|
2,516 |
2,044 |
$8K |
| 86160 |
|
666 |
540 |
$8K |
| ATP12 |
|
1,329 |
1,006 |
$8K |
| 84295 |
|
5,685 |
5,095 |
$8K |
| 75561 |
|
27 |
27 |
$8K |
| G0260 |
Inj for sacroiliac jt anesth |
205 |
198 |
$8K |
| 99386 |
|
82 |
82 |
$8K |
| 82627 |
|
442 |
430 |
$7K |
| ATP05 |
|
1,351 |
1,068 |
$7K |
| 82533 |
|
581 |
530 |
$7K |
| 76937 |
|
407 |
376 |
$7K |
| 86706 |
|
1,022 |
1,002 |
$7K |
| 73552 |
|
1,061 |
1,003 |
$7K |
| 86235 |
|
276 |
227 |
$7K |
| 0003A |
|
423 |
414 |
$7K |
| 86677 |
|
677 |
663 |
$7K |
| 90739 |
|
106 |
106 |
$7K |
| 82800 |
|
1,092 |
988 |
$7K |
| ATP18 |
|
1,298 |
944 |
$7K |
| 24640 |
|
12 |
12 |
$7K |
| J0640 |
Leucovorin calcium injection |
1,638 |
461 |
$6K |
| 0012A |
|
376 |
370 |
$6K |
| 87799 |
|
382 |
350 |
$6K |
| 72132 |
|
484 |
461 |
$6K |
| 36591 |
|
3,847 |
2,750 |
$6K |
| ATP13 |
|
1,304 |
986 |
$6K |
| 51729 |
|
22 |
16 |
$6K |
| M0220 |
Tixagev and cilgav inj |
82 |
74 |
$6K |
| 83010 |
|
684 |
635 |
$6K |
| 87209 |
|
461 |
418 |
$6K |
| 86696 |
|
476 |
467 |
$6K |
| 84165 |
|
1,293 |
1,169 |
$6K |
| 11045 |
|
19 |
14 |
$5K |
| 73700 |
|
124 |
117 |
$5K |
| 90473 |
|
4,238 |
4,225 |
$5K |
| 80197 |
|
2,257 |
1,165 |
$5K |
| 82977 |
|
1,819 |
1,766 |
$5K |
| 87899 |
|
594 |
571 |
$5K |
| 92555 |
|
346 |
344 |
$5K |
| 70360 |
|
102 |
101 |
$5K |
| G0283 |
Elec stim other than wound |
1,042 |
426 |
$5K |
| 74740 |
|
25 |
25 |
$5K |
| 90839 |
|
778 |
642 |
$5K |
| 86200 |
|
582 |
573 |
$5K |
| 86308 |
|
1,041 |
1,020 |
$5K |
| 84480 |
|
661 |
639 |
$5K |
| 73060 |
|
830 |
786 |
$5K |
| C9803 |
Hopd covid-19 spec collect |
14,787 |
12,920 |
$5K |
| 97112 |
|
112 |
75 |
$5K |
| 87206 |
|
1,149 |
956 |
$4K |
| G0009 |
Admin pneumococcal vaccine |
1,961 |
1,908 |
$4K |
| 0011A |
|
385 |
376 |
$4K |
| 87045 |
|
699 |
682 |
$4K |
| 87476 |
|
146 |
144 |
$4K |
| 82951 |
|
388 |
384 |
$4K |
| 87338 |
|
464 |
461 |
$4K |
| 84134 |
|
498 |
423 |
$4K |
| 96376 |
|
25,872 |
14,204 |
$4K |
| ATP16 |
|
765 |
555 |
$4K |
| 86800 |
|
447 |
428 |
$4K |
| 86870 |
|
84 |
74 |
$4K |
| 86039 |
|
527 |
519 |
$4K |
| 89051 |
|
1,056 |
736 |
$4K |
| 51600 |
|
12 |
12 |
$4K |
| 83921 |
|
479 |
473 |
$4K |
| 86364 |
|
872 |
836 |
$4K |
| 95913 |
|
103 |
101 |
$4K |
| 76981 |
|
42 |
42 |
$3K |
| 71101 |
|
117 |
114 |
$3K |
| 92551 |
|
390 |
390 |
$3K |
| 96409 |
|
83 |
52 |
$3K |
| 92610 |
|
38 |
37 |
$3K |
| 92650 |
|
55 |
54 |
$3K |
| 78264 |
|
14 |
14 |
$3K |
| 86617 |
|
285 |
281 |
$3K |
| 82172 |
|
262 |
261 |
$3K |
| 84466 |
|
369 |
361 |
$3K |
| J3475 |
Inj magnesium sulfate |
3,974 |
2,994 |
$3K |
| 84155 |
|
3,214 |
2,964 |
$3K |
| H0046 |
Mental health service, nos |
67 |
52 |
$3K |
| 90474 |
|
6,950 |
6,912 |
$3K |
| 87177 |
|
460 |
417 |
$3K |
| 86593 |
|
802 |
789 |
$3K |
| 86255 |
|
320 |
307 |
$3K |
| 86695 |
|
287 |
280 |
$3K |
| 93298 |
|
183 |
181 |
$3K |
| 0134A |
|
84 |
83 |
$3K |
| J0134 |
Inj acetaminophen -fresenius |
418 |
388 |
$2K |
| 80178 |
|
766 |
711 |
$2K |
| 87449 |
|
418 |
405 |
$2K |
| 94644 |
|
2,829 |
2,614 |
$2K |
| 73660 |
|
70 |
68 |
$2K |
| 87324 |
|
396 |
385 |
$2K |
| 84144 |
|
161 |
152 |
$2K |
| J2920 |
Methylprednisolone injection |
628 |
474 |
$2K |
| 78306 |
|
12 |
12 |
$2K |
| 83521 |
|
421 |
270 |
$2K |
| 88312 |
|
166 |
154 |
$2K |
| 88302 |
|
566 |
533 |
$2K |
| 77470 |
|
13 |
12 |
$2K |
| 80180 |
|
511 |
442 |
$2K |
| J2930 |
Methylprednisolone injection |
3,163 |
2,330 |
$2K |
| 0081A |
|
66 |
66 |
$2K |
| 85246 |
|
96 |
92 |
$2K |
| 77338 |
|
27 |
25 |
$2K |
| 64494 |
|
80 |
79 |
$2K |
| 74178 |
|
12 |
12 |
$2K |
| J2272 |
Inj, morphine (fresenius) |
1,835 |
1,400 |
$2K |
| J9045 |
Carboplatin injection |
597 |
346 |
$2K |
| 96138 |
|
85 |
83 |
$2K |
| 73521 |
|
28 |
28 |
$2K |
| 83525 |
|
235 |
231 |
$2K |
| 94668 |
|
13 |
12 |
$2K |
| 96119 |
|
25 |
25 |
$2K |
| 88300 |
|
763 |
753 |
$2K |
| 96116 |
|
13 |
12 |
$2K |
| 96121 |
|
13 |
12 |
$2K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| J1439 |
Inj ferric carboxymaltos 1mg |
36 |
24 |
$2K |
| 86147 |
|
79 |
74 |
$2K |
| 90678 |
|
110 |
104 |
$2K |
| 90887 |
|
29 |
27 |
$2K |
| 95911 |
|
12 |
12 |
$2K |
| 72081 |
|
24 |
24 |
$2K |
| 84305 |
|
110 |
109 |
$2K |
| 77001 |
|
17 |
15 |
$2K |
| 92556 |
|
100 |
98 |
$1K |
| 87329 |
|
196 |
193 |
$1K |
| 99397 |
|
149 |
131 |
$1K |
| 87102 |
|
313 |
284 |
$1K |
| 72128 |
|
136 |
129 |
$1K |
| 86225 |
|
197 |
188 |
$1K |
| 51798 |
|
783 |
753 |
$1K |
| 84145 |
|
280 |
253 |
$1K |
| 85245 |
|
61 |
57 |
$1K |
| 80156 |
|
254 |
246 |
$1K |
| 80175 |
|
227 |
221 |
$1K |
| 74175 |
|
53 |
53 |
$1K |
| 97163 |
|
13 |
13 |
$1K |
| 99203 |
|
12 |
12 |
$1K |
| 93041 |
|
2,577 |
2,078 |
$1K |
| 82952 |
|
389 |
385 |
$1K |
| 82435 |
|
962 |
874 |
$1K |
| 85347 |
|
418 |
403 |
$1K |
| 87804 |
|
234 |
174 |
$1K |
| 0053A |
|
28 |
28 |
$1K |
| 86709 |
|
143 |
137 |
$1K |
| 85397 |
|
52 |
50 |
$1K |
| J2560 |
Phenobarbital sodium inj |
130 |
104 |
$1K |
| 85651 |
|
453 |
447 |
$1K |
| 90633 |
|
1,810 |
1,810 |
$1K |
| 82677 |
|
56 |
55 |
$981.47 |
| 88313 |
|
240 |
181 |
$979.56 |
| 86336 |
|
66 |
66 |
$972.29 |
| 93321 |
|
2,582 |
2,519 |
$953.94 |
| 0082A |
|
26 |
26 |
$939.36 |
| 94761 |
|
3,089 |
2,425 |
$937.69 |
| 85660 |
|
223 |
217 |
$921.09 |
| 72129 |
|
288 |
275 |
$914.53 |
| 83090 |
|
93 |
93 |
$869.17 |
| 80162 |
|
154 |
140 |
$861.23 |
| 83993 |
|
72 |
69 |
$854.01 |
| 74160 |
|
13 |
13 |
$852.46 |
| J1836 |
Inj, metronidazole, 10 mg |
234 |
183 |
$849.55 |
| 86644 |
|
75 |
63 |
$827.23 |
| 91319 |
|
158 |
158 |
$790.02 |
| 82088 |
|
26 |
26 |
$776.81 |
| 90696 |
|
3,837 |
3,832 |
$753.62 |
| 70310 |
|
444 |
423 |
$747.41 |
| 91305 |
|
2,637 |
2,520 |
$740.96 |
| 83498 |
|
39 |
36 |
$739.73 |
| 93280 |
|
41 |
40 |
$718.62 |
| 82397 |
|
62 |
62 |
$692.23 |
| 84425 |
|
70 |
68 |
$689.91 |
| 0121A |
|
38 |
38 |
$688.05 |
| 91318 |
|
125 |
125 |
$653.60 |
| 0154A |
|
14 |
14 |
$642.18 |
| 84630 |
|
86 |
86 |
$605.02 |
| J0330 |
Succinycholine chloride inj |
3,127 |
2,547 |
$594.90 |
| 90671 |
|
217 |
216 |
$588.84 |
| 86141 |
|
90 |
89 |
$585.35 |
| 84300 |
|
244 |
227 |
$563.74 |
| 82340 |
|
198 |
188 |
$561.46 |
| 86341 |
|
24 |
15 |
$561.33 |
| 83835 |
|
42 |
38 |
$542.62 |
| 82272 |
|
244 |
232 |
$540.62 |
| ATP19 |
|
127 |
106 |
$513.45 |
| 86300 |
|
42 |
38 |
$511.65 |
| 86146 |
|
19 |
12 |
$496.94 |
| 84402 |
|
24 |
24 |
$488.04 |
| 96136 |
|
13 |
13 |
$466.00 |
| 76000 |
|
30 |
29 |
$431.84 |
| 85240 |
|
27 |
27 |
$431.79 |
| 81596 |
|
47 |
46 |
$428.65 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
160 |
89 |
$424.20 |
| 85613 |
|
69 |
69 |
$420.82 |
| 80299 |
|
55 |
52 |
$409.48 |
| 80230 |
|
12 |
12 |
$408.12 |
| A9500 |
Tc99m sestamibi |
1,944 |
1,863 |
$386.40 |
| 88142 |
|
28 |
28 |
$378.42 |
| 84244 |
|
25 |
25 |
$373.98 |
| 94645 |
|
507 |
473 |
$371.35 |
| 70320 |
|
414 |
348 |
$354.88 |
| 72220 |
|
14 |
14 |
$349.64 |
| 87350 |
|
55 |
55 |
$344.49 |
| 90682 |
|
14 |
14 |
$319.15 |
| 86707 |
|
44 |
44 |
$317.97 |
| 11719 |
|
12 |
12 |
$317.11 |
| G8978 |
Mobility current status |
2,661 |
2,485 |
$307.46 |
| J1580 |
Garamycin gentamicin inj |
187 |
162 |
$299.29 |
| J1920 |
Inj, labetalol hcl, 5mg |
16 |
12 |
$297.04 |
| 84154 |
|
41 |
41 |
$292.16 |
| J1790 |
Droperidol injection |
1,048 |
950 |
$283.16 |
| 81050 |
|
205 |
201 |
$266.84 |
| 82103 |
|
26 |
24 |
$259.05 |
| J1940 |
Furosemide injection |
336 |
240 |
$248.97 |
| 93299 |
|
12 |
12 |
$239.62 |
| 89055 |
|
99 |
99 |
$236.92 |
| J9190 |
Fluorouracil injection |
1,528 |
564 |
$228.37 |
| 86258 |
|
15 |
14 |
$221.52 |
| 93750 |
|
13 |
13 |
$210.62 |
| J0561 |
Penicillin g benzathine inj |
19 |
12 |
$173.80 |
| 82390 |
|
36 |
36 |
$172.04 |
| J2765 |
Metoclopramide hcl injection |
2,810 |
2,433 |
$171.22 |
| 94010 |
|
18 |
18 |
$170.84 |
| 90620 |
|
16 |
16 |
$170.36 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
194 |
184 |
$164.44 |
| 80185 |
|
57 |
52 |
$159.30 |
| 85384 |
|
30 |
28 |
$158.82 |
| 84432 |
|
12 |
12 |
$156.04 |
| 73000 |
|
15 |
15 |
$154.32 |
| 86301 |
|
39 |
27 |
$146.80 |
| 86335 |
|
12 |
12 |
$142.03 |
| 90685 |
|
2,051 |
2,028 |
$139.83 |
| 82525 |
|
12 |
12 |
$132.30 |
| J2710 |
Neostigmine methylslfte inj |
5,520 |
5,159 |
$121.27 |
| 86694 |
|
14 |
13 |
$118.72 |
| 36416 |
|
9,034 |
7,298 |
$113.17 |
| 83930 |
|
45 |
38 |
$107.40 |
| 87101 |
|
14 |
14 |
$105.03 |
| 82360 |
|
15 |
14 |
$102.15 |
| 88360 |
|
14 |
12 |
$100.14 |
| 80183 |
|
13 |
13 |
$95.69 |
| 82375 |
|
13 |
12 |
$94.93 |
| 36410 |
|
41 |
39 |
$81.95 |
| 83935 |
|
34 |
28 |
$81.84 |
| 93282 |
|
12 |
12 |
$76.50 |
| 72020 |
|
25 |
25 |
$70.53 |
| 82787 |
|
13 |
13 |
$64.60 |
| 87106 |
|
13 |
13 |
$53.25 |
| 88311 |
|
82 |
77 |
$51.00 |
| 86063 |
|
14 |
12 |
$35.70 |
| 86008 |
|
35 |
27 |
$32.72 |
| 87176 |
|
14 |
12 |
$32.16 |
| 90710 |
|
4,072 |
4,072 |
$31.84 |
| 94760 |
|
2,791 |
2,664 |
$31.77 |
| 84478 |
|
212 |
140 |
$29.60 |
| ATP20 |
|
14 |
12 |
$25.99 |
| 74022 |
|
13 |
13 |
$25.81 |
| J9267 |
Paclitaxel injection |
348 |
159 |
$23.13 |
| 90680 |
|
11,137 |
11,102 |
$22.02 |
| 87015 |
|
16 |
12 |
$18.27 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
7,657 |
6,898 |
$13.14 |
| C1894 |
Intro/sheath, non-laser |
3,286 |
2,897 |
$7.14 |
| 91307 |
|
1,384 |
1,261 |
$5.64 |
| C9113 |
Inj pantoprazole sodium, via |
210 |
113 |
$4.99 |
| C1769 |
Guide wire |
4,728 |
4,408 |
$3.58 |
| J2370 |
Phenylephrine hcl injection |
7,156 |
6,328 |
$2.13 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
228 |
181 |
$1.44 |
| 91300 |
|
8,039 |
7,184 |
$0.08 |
| G8979 |
Mobility goal status |
3,426 |
2,902 |
$0.08 |
| G8980 |
Mobility d/c status |
1,652 |
1,530 |
$0.05 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
454 |
421 |
$0.05 |
| 99153 |
Mod sedat endo service >5yrs |
3,210 |
3,043 |
$0.00 |
| 90723 |
|
4,732 |
4,730 |
$0.00 |
| 90744 |
|
1,262 |
1,260 |
$0.00 |
| 90698 |
|
6,756 |
6,743 |
$0.00 |
| 90697 |
|
3,950 |
3,935 |
$0.00 |
| 81511 |
|
184 |
128 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
470 |
449 |
$0.00 |
| 90634 |
|
5,967 |
5,967 |
$0.00 |
| J7999 |
Compounded drug, noc |
213 |
210 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
67 |
51 |
$0.00 |
| 91301 |
|
247 |
239 |
$0.00 |
| G0103 |
Psa screening |
259 |
259 |
$0.00 |
| 93320 |
|
179 |
177 |
$0.00 |
| C1732 |
Cath, ep, diag/abl, 3d/vect |
27 |
25 |
$0.00 |
| J0461 |
Atropine sulfate injection |
42 |
24 |
$0.00 |
| J2785 |
Regadenoson injection |
687 |
666 |
$0.00 |
| A4648 |
Implantable tissue marker |
26 |
26 |
$0.00 |
| 91303 |
|
561 |
460 |
$0.00 |
| J0610 |
Calcium glucon (fresenius) |
38 |
25 |
$0.00 |
| J3420 |
Vitamin b12 injection |
13 |
12 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
17 |
15 |
$0.00 |
| C1893 |
Intro/sheath, fixed,non-peel |
13 |
13 |
$0.00 |
| 90688 |
|
567 |
567 |
$0.00 |
| 91315 |
|
45 |
45 |
$0.00 |
| G8998 |
Swallow d/c status |
12 |
12 |
$0.00 |
| 90381 |
|
24 |
24 |
$0.00 |
| J0456 |
Azithromycin |
16 |
14 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
13 |
13 |
$0.00 |
| 91317 |
|
13 |
13 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,494 |
1,439 |
$0.00 |
| J2359 |
Inj. olanzapine, 0.5mg |
13 |
12 |
$0.00 |
| 99152 |
|
4,009 |
3,814 |
$0.00 |
| 90648 |
|
6,100 |
6,097 |
$0.00 |
| 90700 |
|
1,822 |
1,822 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
132 |
126 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
65 |
38 |
$0.00 |
| J0689 |
Inj cefazolin sodium, baxter |
129 |
117 |
$0.00 |
| C1760 |
Closure dev, vasc |
31 |
27 |
$0.00 |
| 91312 |
|
2,102 |
2,034 |
$0.00 |
| G8996 |
Swallow current status |
33 |
30 |
$0.00 |
| 01992 |
|
78 |
78 |
$0.00 |
| 91313 |
|
82 |
81 |
$0.00 |
| 91308 |
|
185 |
178 |
$0.00 |
| J1956 |
Levofloxacin injection |
29 |
26 |
$0.00 |
| C1887 |
Catheter, guiding |
76 |
69 |
$0.00 |
| Q0220 |
Tixagev and cilgav, 300mg |
37 |
32 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
73 |
70 |
$0.00 |
| 90611 |
|
28 |
27 |
$0.00 |
| G8997 |
Swallow goal status |
34 |
30 |
$0.00 |
| 76376 |
|
93 |
90 |
$0.00 |
| 77387 |
|
115 |
12 |
$0.00 |
| C8929 |
Tte w or wo fol wcon,doppler |
12 |
12 |
$0.00 |
| 90713 |
|
40 |
40 |
$0.00 |
| C1776 |
Joint device (implantable) |
40 |
40 |
$0.00 |
| J1756 |
Iron sucrose injection |
39 |
25 |
$0.00 |
| J2310 |
Inj naloxone hydrochloride |
13 |
12 |
$0.00 |
| J1953 |
Levetiracetam injection |
40 |
26 |
$0.00 |
| J9370 |
Vincristine sulfate 1 mg inj |
21 |
12 |
$0.00 |