| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 36415 |
|
52,573 |
42,198 |
$5.70M |
| 97110 |
|
84,385 |
26,182 |
$5.47M |
| 70553 |
|
2,692 |
2,536 |
$2.86M |
| 80048 |
|
42,331 |
32,629 |
$2.73M |
| 99283 |
|
51,876 |
44,788 |
$2.55M |
| 96372 |
|
19,818 |
12,106 |
$2.40M |
| 80053 |
|
40,782 |
33,868 |
$2.15M |
| 70551 |
|
3,533 |
3,263 |
$1.93M |
| 84156 |
|
1,761 |
1,506 |
$1.70M |
| 99282 |
|
12,535 |
11,602 |
$1.60M |
| 81025 |
|
15,698 |
14,357 |
$1.55M |
| G0463 |
Hospital outpt clinic visit |
32,589 |
26,566 |
$1.53M |
| 96361 |
|
18,835 |
11,900 |
$1.50M |
| C9803 |
Hopd covid-19 spec collect |
9,274 |
8,295 |
$1.36M |
| 80069 |
|
10,443 |
4,868 |
$1.36M |
| 99212 |
|
29,027 |
25,243 |
$1.34M |
| 96365 |
|
12,645 |
8,420 |
$1.26M |
| 96374 |
|
16,110 |
13,044 |
$1.26M |
| 93306 |
|
7,824 |
7,484 |
$1.16M |
| 81003 |
|
13,764 |
10,573 |
$1.05M |
| 96360 |
|
7,254 |
6,494 |
$1.01M |
| 95810 |
|
2,019 |
1,921 |
$953K |
| 0241U |
|
11,226 |
10,609 |
$883K |
| 86850 |
|
10,176 |
8,087 |
$757K |
| 92507 |
|
12,616 |
4,199 |
$734K |
| 95782 |
|
777 |
716 |
$715K |
| 97530 |
|
18,047 |
5,975 |
$713K |
| 99211 |
|
9,373 |
8,457 |
$710K |
| 71046 |
|
20,691 |
18,879 |
$646K |
| 82306 |
|
7,551 |
7,023 |
$595K |
| 82570 |
|
4,576 |
4,203 |
$543K |
| 99213 |
|
13,927 |
11,671 |
$518K |
| 99284 |
|
29,132 |
26,025 |
$477K |
| 74018 |
|
7,669 |
6,674 |
$460K |
| 78452 |
|
1,958 |
1,866 |
$456K |
| 87491 |
|
14,680 |
13,630 |
$407K |
| 81001 |
|
27,960 |
24,902 |
$387K |
| 70450 |
|
8,869 |
7,996 |
$368K |
| 76770 |
|
2,599 |
2,506 |
$322K |
| 97161 |
|
9,569 |
9,043 |
$298K |
| 87086 |
|
15,203 |
13,789 |
$295K |
| 99281 |
|
1,962 |
1,832 |
$292K |
| 82565 |
|
1,652 |
1,554 |
$257K |
| 99391 |
|
2,672 |
2,531 |
$250K |
| U0003 |
Cov-19 amp prb hgh thruput |
8,859 |
7,979 |
$249K |
| 87804 |
|
2,317 |
1,955 |
$248K |
| 93971 |
|
1,499 |
1,402 |
$241K |
| 85347 |
|
1,828 |
1,505 |
$241K |
| 36416 |
|
2,996 |
2,652 |
$241K |
| 76700 |
|
1,469 |
1,418 |
$232K |
| 87081 |
|
4,490 |
4,297 |
$225K |
| 86900 |
|
10,909 |
8,781 |
$218K |
| 71250 |
|
1,086 |
1,036 |
$217K |
| 87481 |
|
624 |
614 |
$215K |
| 99285 |
|
21,338 |
18,501 |
$212K |
| 76705 |
|
3,859 |
3,621 |
$211K |
| 80307 |
|
6,770 |
5,925 |
$200K |
| 95951 |
|
1,322 |
516 |
$196K |
| 87210 |
|
3,607 |
3,339 |
$196K |
| 99214 |
|
4,885 |
4,220 |
$196K |
| 92526 |
|
4,272 |
1,521 |
$191K |
| 84702 |
|
4,880 |
4,047 |
$186K |
| 92551 |
|
2,366 |
2,277 |
$184K |
| 85025 |
|
74,008 |
56,871 |
$180K |
| 72141 |
|
252 |
232 |
$173K |
| 88305 |
|
5,297 |
4,787 |
$170K |
| 72148 |
|
487 |
460 |
$167K |
| 93922 |
|
1,479 |
1,438 |
$164K |
| 99392 |
|
2,852 |
2,644 |
$161K |
| 74230 |
|
1,346 |
1,220 |
$161K |
| G0378 |
Hospital observation per hr |
19,088 |
12,511 |
$152K |
| 70250 |
|
436 |
410 |
$149K |
| 93888 |
|
295 |
288 |
$145K |
| 43762 |
|
1,421 |
1,246 |
$141K |
| 87480 |
|
1,937 |
1,857 |
$139K |
| 73130 |
|
2,175 |
1,940 |
$136K |
| 87077 |
|
6,243 |
5,676 |
$135K |
| 87070 |
|
3,201 |
2,820 |
$127K |
| 71045 |
|
12,154 |
10,198 |
$124K |
| 99393 |
|
2,727 |
2,629 |
$118K |
| 71260 |
|
1,417 |
1,322 |
$117K |
| 76830 |
|
1,101 |
1,044 |
$113K |
| 76870 |
|
330 |
308 |
$108K |
| 74177 |
|
4,974 |
4,633 |
$105K |
| 99394 |
|
2,251 |
2,170 |
$105K |
| 93005 |
|
28,381 |
21,937 |
$104K |
| 94640 |
|
7,745 |
4,937 |
$100K |
| 95813 |
|
614 |
583 |
$99K |
| 73721 |
|
135 |
127 |
$96K |
| 73630 |
|
2,259 |
2,045 |
$95K |
| 43760 |
|
273 |
224 |
$95K |
| 73560 |
|
2,479 |
2,239 |
$94K |
| A4649 |
Surgical supplies |
640 |
486 |
$93K |
| 80061 |
|
11,324 |
10,550 |
$93K |
| 11042 |
|
269 |
218 |
$93K |
| 71275 |
|
1,941 |
1,769 |
$93K |
| 97535 |
|
3,545 |
2,565 |
$92K |
| 86780 |
|
7,170 |
6,691 |
$88K |
| 73110 |
|
1,227 |
1,095 |
$83K |
| 93970 |
|
543 |
522 |
$82K |
| 73610 |
|
1,706 |
1,558 |
$81K |
| 93880 |
|
632 |
615 |
$80K |
| 76376 |
|
403 |
373 |
$78K |
| 87389 |
|
8,757 |
8,079 |
$77K |
| J7042 |
5% dextrose/normal saline |
1,996 |
1,230 |
$77K |
| 85018 |
|
3,018 |
2,482 |
$75K |
| 76816 |
|
1,106 |
868 |
$74K |
| 73030 |
|
1,910 |
1,736 |
$74K |
| 85027 |
|
16,216 |
12,610 |
$73K |
| 73090 |
|
704 |
638 |
$73K |
| 99202 |
|
1,379 |
1,335 |
$72K |
| 74019 |
|
1,681 |
1,570 |
$70K |
| 72040 |
|
1,226 |
1,171 |
$69K |
| 76856 |
|
1,408 |
1,316 |
$66K |
| 96375 |
|
10,852 |
7,790 |
$65K |
| 87635 |
|
2,449 |
2,093 |
$65K |
| 0202U |
|
439 |
414 |
$59K |
| 87880 |
|
1,913 |
1,805 |
$58K |
| 93017 |
|
2,364 |
2,253 |
$55K |
| 97165 |
|
1,960 |
1,773 |
$55K |
| 83655 |
|
1,177 |
1,091 |
$52K |
| 76536 |
|
471 |
462 |
$51K |
| 77063 |
|
454 |
447 |
$50K |
| 70496 |
|
581 |
524 |
$50K |
| 97112 |
|
1,839 |
732 |
$49K |
| 84703 |
|
952 |
843 |
$48K |
| 72100 |
|
1,629 |
1,559 |
$47K |
| 83036 |
|
12,488 |
11,625 |
$47K |
| 87651 |
|
2,018 |
1,957 |
$45K |
| 77067 |
|
1,485 |
1,438 |
$44K |
| 86902 |
|
2,135 |
1,602 |
$43K |
| 75809 |
|
103 |
93 |
$41K |
| 95700 |
|
481 |
432 |
$41K |
| 72125 |
|
2,278 |
2,126 |
$40K |
| 97162 |
|
1,423 |
1,249 |
$40K |
| 76937 |
|
2,729 |
2,309 |
$38K |
| 73502 |
|
1,156 |
1,077 |
$38K |
| 86140 |
|
6,450 |
5,480 |
$37K |
| 88304 |
|
2,752 |
2,529 |
$36K |
| 73590 |
|
998 |
889 |
$36K |
| 87624 |
|
1,317 |
1,264 |
$35K |
| 74176 |
|
514 |
478 |
$34K |
| 87502 |
|
436 |
404 |
$34K |
| 12011 |
|
291 |
270 |
$32K |
| 92523 |
|
859 |
790 |
$32K |
| 80074 |
|
1,727 |
1,590 |
$32K |
| 82043 |
|
2,924 |
2,807 |
$32K |
| 95716 |
|
214 |
166 |
$30K |
| 96366 |
|
5,065 |
3,076 |
$28K |
| 36591 |
|
1,628 |
1,135 |
$28K |
| 90460 |
|
8,588 |
8,156 |
$28K |
| 93925 |
|
511 |
503 |
$28K |
| 76811 |
|
161 |
160 |
$28K |
| 77072 |
|
675 |
660 |
$27K |
| 94760 |
|
2,971 |
1,388 |
$27K |
| 76000 |
|
1,166 |
1,083 |
$26K |
| P9016 |
Rbc leukocytes reduced |
3,274 |
2,515 |
$25K |
| 76805 |
|
240 |
222 |
$25K |
| 82272 |
|
740 |
676 |
$24K |
| 76642 |
|
438 |
399 |
$24K |
| 87637 |
|
513 |
478 |
$24K |
| 84439 |
|
3,885 |
3,626 |
$23K |
| 97140 |
|
4,913 |
2,192 |
$23K |
| 93458 |
|
709 |
598 |
$22K |
| 80081 |
|
464 |
432 |
$22K |
| 84443 |
|
12,262 |
11,209 |
$22K |
| 84145 |
|
3,156 |
2,522 |
$21K |
| 85610 |
|
11,148 |
8,473 |
$19K |
| 80076 |
|
3,415 |
2,995 |
$18K |
| 54360 |
|
169 |
162 |
$18K |
| 93926 |
|
371 |
351 |
$18K |
| 87428 |
|
206 |
200 |
$18K |
| 73070 |
|
140 |
131 |
$18K |
| 82728 |
|
4,580 |
4,021 |
$18K |
| 97597 |
|
603 |
426 |
$18K |
| C1769 |
Guide wire |
2,838 |
2,480 |
$17K |
| U0005 |
Infec agen detec ampli probe |
1,576 |
1,391 |
$17K |
| C8929 |
Tte w or wo fol wcon,doppler |
279 |
265 |
$17K |
| 12001 |
|
144 |
138 |
$16K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
718 |
680 |
$16K |
| 85660 |
|
1,214 |
904 |
$16K |
| 82950 |
|
2,078 |
1,999 |
$15K |
| 76801 |
|
1,274 |
1,091 |
$15K |
| 92610 |
|
812 |
700 |
$15K |
| 76885 |
|
104 |
100 |
$15K |
| 10060 |
|
128 |
121 |
$15K |
| J1642 |
Inj heparin sodium per 10 u |
2,001 |
1,115 |
$15K |
| 81220 |
|
30 |
27 |
$15K |
| 82550 |
|
2,897 |
2,119 |
$14K |
| 85014 |
|
953 |
764 |
$14K |
| 89051 |
|
452 |
379 |
$14K |
| 84484 |
|
13,256 |
9,166 |
$14K |
| 95811 |
|
50 |
49 |
$14K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
11,884 |
9,958 |
$14K |
| 73080 |
|
27 |
24 |
$14K |
| 80177 |
|
1,053 |
903 |
$13K |
| 90686 |
|
6,386 |
6,119 |
$13K |
| 74022 |
|
458 |
418 |
$13K |
| 99174 |
|
194 |
192 |
$13K |
| 83735 |
|
22,513 |
16,270 |
$12K |
| 59025 |
|
279 |
187 |
$12K |
| 70360 |
|
161 |
146 |
$12K |
| 84132 |
|
1,442 |
1,207 |
$11K |
| 88142 |
|
1,638 |
1,558 |
$11K |
| 70486 |
|
248 |
240 |
$11K |
| 74183 |
|
12 |
12 |
$10K |
| 97113 |
|
407 |
161 |
$10K |
| 87807 |
|
232 |
209 |
$10K |
| 86901 |
|
10,933 |
8,802 |
$10K |
| 36600 |
|
221 |
184 |
$9K |
| 87641 |
|
460 |
379 |
$9K |
| 99215 |
Prolong outpt/office vis |
459 |
366 |
$9K |
| 17250 |
|
31 |
26 |
$9K |
| 83037 |
|
683 |
628 |
$8K |
| J3490 |
Drugs unclassified injection |
14,577 |
9,736 |
$8K |
| 97116 |
|
2,723 |
1,159 |
$8K |
| 99203 |
|
133 |
131 |
$8K |
| 83020 |
|
4,585 |
3,883 |
$8K |
| 82607 |
|
2,062 |
1,898 |
$8K |
| J7120 |
Ringers lactate infusion |
30,967 |
26,337 |
$7K |
| J1650 |
Inj enoxaparin sodium |
4,381 |
925 |
$7K |
| 87631 |
|
965 |
877 |
$7K |
| 75574 |
|
119 |
117 |
$7K |
| 87040 |
|
3,421 |
2,606 |
$7K |
| 82247 |
|
127 |
91 |
$7K |
| 76817 |
|
1,122 |
961 |
$7K |
| 0002A |
|
272 |
270 |
$7K |
| 96523 |
|
151 |
112 |
$7K |
| 83001 |
|
281 |
269 |
$7K |
| J7050 |
Normal saline solution infus |
3,569 |
2,542 |
$6K |
| 82657 |
|
346 |
329 |
$6K |
| 76815 |
|
194 |
185 |
$6K |
| 87661 |
|
9,445 |
8,802 |
$6K |
| A9585 |
Gadobutrol injection |
2,632 |
2,452 |
$6K |
| 95957 |
|
992 |
427 |
$6K |
| J2704 |
Inj, propofol, 10 mg |
2,185 |
1,688 |
$6K |
| 43239 |
|
2,056 |
1,952 |
$6K |
| J3010 |
Fentanyl citrate injection |
21,831 |
18,271 |
$5K |
| 97166 |
|
125 |
106 |
$5K |
| 74455 |
|
24 |
24 |
$5K |
| 73552 |
|
244 |
219 |
$5K |
| 99381 |
|
76 |
73 |
$5K |
| 69209 |
|
12 |
12 |
$5K |
| 86803 |
|
4,641 |
4,277 |
$5K |
| 87591 |
|
14,893 |
13,745 |
$5K |
| 82330 |
|
919 |
765 |
$5K |
| 90656 |
|
543 |
537 |
$5K |
| 93325 |
|
176 |
167 |
$5K |
| 72156 |
|
13 |
13 |
$5K |
| 86580 |
|
354 |
272 |
$5K |
| 70498 |
|
618 |
551 |
$5K |
| J1815 |
Insulin injection |
2,496 |
1,013 |
$5K |
| C1751 |
Cath, inf, per/cent/midline |
82 |
69 |
$5K |
| 82105 |
|
386 |
366 |
$5K |
| 76886 |
|
26 |
25 |
$5K |
| 96413 |
|
190 |
91 |
$4K |
| J7030 |
Normal saline solution infus |
10,147 |
7,845 |
$4K |
| J1100 |
Dexamethasone sodium phos |
15,946 |
13,770 |
$4K |
| U0002 |
Covid-19 lab test non-cdc |
53 |
50 |
$4K |
| 99204 |
|
69 |
66 |
$4K |
| 86361 |
|
509 |
468 |
$4K |
| J2270 |
Morphine sulfate injection |
5,646 |
4,087 |
$4K |
| 87426 |
|
37 |
33 |
$4K |
| 70491 |
|
39 |
39 |
$4K |
| J0690 |
Cefazolin sodium injection |
7,702 |
5,842 |
$4K |
| 93226 |
|
14 |
13 |
$4K |
| 96367 |
|
673 |
532 |
$4K |
| 82945 |
|
20 |
12 |
$4K |
| 86592 |
|
585 |
454 |
$4K |
| 83516 |
|
408 |
392 |
$4K |
| 72170 |
|
167 |
149 |
$4K |
| J2405 |
Ondansetron hcl injection |
23,430 |
18,979 |
$4K |
| 85379 |
|
831 |
754 |
$4K |
| 83540 |
|
3,113 |
2,856 |
$4K |
| G8978 |
Mobility current status |
347 |
255 |
$4K |
| 86920 |
|
3,213 |
2,329 |
$4K |
| 76818 |
|
182 |
95 |
$3K |
| 82805 |
|
1,350 |
1,123 |
$3K |
| 99173 |
|
570 |
529 |
$3K |
| J0780 |
Prochlorperazine injection |
515 |
470 |
$3K |
| 84146 |
|
256 |
247 |
$3K |
| 99395 |
|
60 |
55 |
$3K |
| 76775 |
|
31 |
31 |
$3K |
| 93297 |
|
86 |
86 |
$3K |
| 93923 |
|
12 |
12 |
$3K |
| G0480 |
Drug test def 1-7 classes |
365 |
342 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
10,556 |
8,529 |
$3K |
| 0072A |
|
103 |
102 |
$3K |
| J0330 |
Succinycholine chloride inj |
3,610 |
3,144 |
$3K |
| 80143 |
|
153 |
141 |
$3K |
| 90715 |
|
3,628 |
3,421 |
$3K |
| 82784 |
|
870 |
767 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
5,178 |
3,857 |
$3K |
| 85730 |
|
6,263 |
5,137 |
$3K |
| 86706 |
|
895 |
724 |
$3K |
| 77066 |
Tomosynthesis, mammo |
33 |
27 |
$3K |
| 87015 |
|
29 |
24 |
$2K |
| J2060 |
Lorazepam injection |
2,532 |
1,751 |
$2K |
| 11982 |
|
13 |
12 |
$2K |
| J1170 |
Hydromorphone injection |
6,826 |
3,580 |
$2K |
| 82040 |
|
132 |
106 |
$2K |
| 83690 |
|
8,613 |
7,558 |
$2K |
| 94664 |
|
3,424 |
1,687 |
$2K |
| 86704 |
|
385 |
275 |
$2K |
| 86480 |
|
421 |
351 |
$2K |
| T1015 |
Clinic service |
45 |
42 |
$2K |
| 83880 |
|
4,567 |
3,826 |
$2K |
| 0001A |
|
336 |
313 |
$2K |
| 69436 |
|
531 |
476 |
$2K |
| J7040 |
Normal saline solution infus |
6,071 |
4,559 |
$2K |
| 90620 |
|
497 |
480 |
$2K |
| G2066 |
Inter devc remote 30d |
165 |
158 |
$2K |
| 72146 |
|
12 |
12 |
$2K |
| J2710 |
Neostigmine methylslfte inj |
1,962 |
1,719 |
$2K |
| J3480 |
Inj potassium chloride |
1,298 |
823 |
$2K |
| J1200 |
Diphenhydramine hcl injectio |
3,057 |
2,112 |
$2K |
| 93299 |
|
31 |
28 |
$2K |
| 90647 |
|
1,813 |
1,717 |
$2K |
| G0476 |
Hpv combo assay ca screen |
39 |
31 |
$2K |
| 96376 |
|
7,856 |
4,281 |
$2K |
| 88300 |
|
91 |
85 |
$2K |
| J1050 |
Medroxyprogesterone acetate |
3,906 |
3,813 |
$2K |
| 80164 |
|
240 |
193 |
$2K |
| 99291 |
|
319 |
309 |
$1K |
| 0071A |
|
154 |
151 |
$1K |
| 92609 |
|
128 |
41 |
$1K |
| 95816 |
|
14 |
12 |
$1K |
| 41899 |
|
819 |
699 |
$1K |
| 87340 |
|
5,172 |
4,600 |
$1K |
| 83615 |
|
1,864 |
1,280 |
$1K |
| J7512 |
Prednisone ir or dr oral 1mg |
552 |
309 |
$1K |
| 87205 |
|
2,979 |
2,624 |
$1K |
| 36430 |
|
3,819 |
2,751 |
$1K |
| 74240 |
|
12 |
12 |
$1K |
| 29515 |
|
58 |
28 |
$1K |
| 82140 |
|
47 |
39 |
$1K |
| 86762 |
|
2,514 |
2,204 |
$1K |
| 80197 |
|
457 |
267 |
$1K |
| 76882 |
|
15 |
13 |
$1K |
| J2250 |
Inj midazolam hydrochloride |
10,675 |
9,347 |
$1K |
| 90633 |
|
1,790 |
1,696 |
$1K |
| Q5106 |
Inj retacrit non-esrd use |
660 |
90 |
$1K |
| 83993 |
|
26 |
26 |
$953.57 |
| 82785 |
|
91 |
89 |
$896.77 |
| 94010 |
|
12 |
12 |
$893.62 |
| 76819 |
|
140 |
68 |
$876.33 |
| 90471 |
|
4,740 |
4,422 |
$850.69 |
| 90670 |
|
2,164 |
2,001 |
$835.73 |
| 84100 |
|
5,496 |
3,517 |
$828.49 |
| 90651 |
|
1,113 |
1,084 |
$817.29 |
| 73060 |
|
54 |
50 |
$770.16 |
| 0004A |
|
206 |
198 |
$763.60 |
| 72070 |
|
30 |
29 |
$735.26 |
| 76641 |
|
12 |
12 |
$719.45 |
| G1004 |
Cdsm ndsc |
7,811 |
5,717 |
$695.42 |
| 87536 |
|
565 |
538 |
$695.22 |
| 74220 |
|
12 |
12 |
$676.95 |
| 88307 |
|
122 |
107 |
$662.65 |
| G0123 |
Screen cerv/vag thin layer |
84 |
77 |
$649.18 |
| 87486 |
|
49 |
38 |
$617.86 |
| 82670 |
|
38 |
37 |
$614.46 |
| 82310 |
|
120 |
106 |
$571.75 |
| 83605 |
|
3,183 |
2,586 |
$543.03 |
| 88342 |
|
685 |
591 |
$540.64 |
| 87522 |
Neg quan hep c or qual rna |
121 |
112 |
$538.32 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
1,144 |
759 |
$532.40 |
| 82248 |
|
338 |
257 |
$529.91 |
| A9500 |
Tc99m sestamibi |
1,197 |
1,174 |
$517.62 |
| 99152 |
|
1,374 |
1,284 |
$514.11 |
| 90677 |
|
958 |
931 |
$504.86 |
| 76857 |
|
81 |
76 |
$504.38 |
| A9270 |
Non-covered item or service |
9,450 |
4,456 |
$502.16 |
| 99188 |
|
265 |
247 |
$501.55 |
| 85652 |
|
3,630 |
3,224 |
$490.01 |
| 86038 |
|
398 |
382 |
$473.43 |
| 90662 |
|
521 |
508 |
$467.24 |
| 82746 |
|
1,082 |
1,001 |
$428.18 |
| 0124A |
|
510 |
498 |
$393.20 |
| H0002 |
Alcohol and/or drug screenin |
15 |
15 |
$375.72 |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$363.13 |
| 0054A |
|
232 |
228 |
$355.86 |
| 90685 |
|
400 |
371 |
$324.58 |
| 86870 |
|
15 |
12 |
$317.48 |
| 91320 |
|
442 |
425 |
$286.82 |
| 87102 |
|
41 |
26 |
$284.68 |
| G0472 |
Hep c screen high risk/other |
268 |
229 |
$282.96 |
| 86923 |
|
1,090 |
842 |
$257.99 |
| 85045 |
|
9,633 |
7,572 |
$249.26 |
| 80162 |
|
14 |
12 |
$242.40 |
| 99396 |
|
17 |
14 |
$240.46 |
| 82627 |
|
28 |
26 |
$221.53 |
| 86682 |
|
120 |
64 |
$220.74 |
| 82962 |
|
17 |
12 |
$213.25 |
| 86003 |
|
96 |
90 |
$206.49 |
| 82947 |
|
233 |
205 |
$198.18 |
| 84403 |
|
184 |
175 |
$196.56 |
| 90649 |
|
489 |
469 |
$195.18 |
| Q9957 |
Inj perflutren lip micros,ml |
515 |
490 |
$184.69 |
| C1760 |
Closure dev, vasc |
50 |
48 |
$160.14 |
| 90746 |
|
31 |
30 |
$153.58 |
| 0081A |
|
41 |
41 |
$122.22 |
| 90480 |
|
510 |
478 |
$122.22 |
| 36592 |
|
29 |
12 |
$121.93 |
| 90472 |
|
263 |
241 |
$121.93 |
| 84550 |
|
180 |
164 |
$118.37 |
| 90723 |
|
1,777 |
1,677 |
$112.62 |
| 90734 |
|
1,394 |
1,328 |
$107.91 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
57 |
56 |
$107.79 |
| 84481 |
|
330 |
322 |
$94.17 |
| 90682 |
|
154 |
136 |
$93.42 |
| 82077 |
|
901 |
827 |
$90.00 |
| 90700 |
|
116 |
111 |
$88.21 |
| 92611 |
|
1,197 |
1,083 |
$85.94 |
| 0154A |
|
28 |
28 |
$77.78 |
| 90696 |
|
162 |
159 |
$65.74 |
| 0051A |
|
14 |
13 |
$40.74 |
| 90707 |
|
122 |
115 |
$38.00 |
| 86708 |
|
178 |
105 |
$35.85 |
| 87116 |
|
38 |
24 |
$34.92 |
| 84425 |
|
596 |
583 |
$30.11 |
| C1894 |
Intro/sheath, non-laser |
2,254 |
1,982 |
$30.11 |
| 86787 |
|
456 |
370 |
$26.42 |
| 85576 |
|
44 |
38 |
$22.64 |
| 87075 |
|
290 |
276 |
$19.47 |
| 84134 |
|
543 |
517 |
$18.80 |
| 90710 |
|
140 |
137 |
$18.00 |
| 84295 |
|
166 |
130 |
$15.26 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
41 |
26 |
$12.88 |
| 86200 |
|
56 |
52 |
$12.58 |
| J2795 |
Ropivacaine hcl injection |
2,599 |
2,393 |
$7.27 |
| J0171 |
Adrenalin epinephrine inject |
344 |
270 |
$0.76 |
| J0280 |
Aminophyllin 250 mg inj |
731 |
711 |
$0.00 |
| J2785 |
Regadenoson injection |
1,696 |
1,616 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
1,120 |
832 |
$0.00 |
| 90716 |
|
117 |
112 |
$0.00 |
| 87510 |
|
1,937 |
1,857 |
$0.00 |
| J1940 |
Furosemide injection |
1,199 |
783 |
$0.00 |
| 94644 |
|
744 |
650 |
$0.00 |
| 86800 |
|
25 |
25 |
$0.00 |
| 42820 |
|
1,064 |
1,026 |
$0.00 |
| 42830 |
|
39 |
38 |
$0.00 |
| 36410 |
|
1,112 |
924 |
$0.00 |
| G0257 |
Unsched dialysis esrd pt hos |
1,461 |
498 |
$0.00 |
| G0008 |
Admin influenza virus vac |
1,651 |
1,595 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
735 |
679 |
$0.00 |
| J1630 |
Haloperidol injection |
294 |
165 |
$0.00 |
| 86921 |
|
674 |
498 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
220 |
169 |
$0.00 |
| S0020 |
Injection, bupivicaine hydro |
1,481 |
1,219 |
$0.00 |
| J0697 |
Sterile cefuroxime injection |
30 |
24 |
$0.00 |
| Q9969 |
Non-heu tc-99m add-on/dose |
296 |
271 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
219 |
215 |
$0.00 |
| 88341 |
|
67 |
63 |
$0.00 |
| 82553 |
|
903 |
501 |
$0.00 |
| 86317 |
|
101 |
90 |
$0.00 |
| G0379 |
Direct refer hospital observ |
790 |
756 |
$0.00 |
| G8998 |
Swallow d/c status |
15 |
12 |
$0.00 |
| 90378 |
|
314 |
238 |
$0.00 |
| 31231 |
|
15 |
12 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
575 |
521 |
$0.00 |
| 86160 |
|
242 |
219 |
$0.00 |
| 83002 |
|
195 |
185 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
207 |
163 |
$0.00 |
| 86376 |
|
78 |
74 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
204 |
195 |
$0.00 |
| J2780 |
Ranitidine hydrochloride inj |
16 |
12 |
$0.00 |
| 86225 |
|
31 |
28 |
$0.00 |
| 87581 |
|
49 |
38 |
$0.00 |
| D7140 |
|
90 |
84 |
$0.00 |
| 12002 |
|
14 |
14 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
27 |
25 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
16 |
14 |
$0.00 |
| 45380 |
|
13 |
12 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
14 |
12 |
$0.00 |
| 90732 |
|
56 |
53 |
$0.00 |
| 86255 |
|
193 |
184 |
$0.00 |
| D1206 |
|
38 |
38 |
$0.00 |
| G8988 |
Self care goal status |
15 |
12 |
$0.00 |
| 86364 |
|
13 |
13 |
$0.00 |
| 84436 |
|
57 |
54 |
$0.00 |
| 85651 |
|
162 |
153 |
$0.00 |
| 31622 |
|
16 |
12 |
$0.00 |
| 83520 |
|
12 |
12 |
$0.00 |
| J7060 |
5% dextrose/water |
19 |
14 |
$0.00 |
| 90935 |
|
24 |
12 |
$0.00 |
| G8987 |
Self care current status |
15 |
12 |
$0.00 |
| 77001 |
|
14 |
12 |
$0.00 |
| 84402 |
|
16 |
14 |
$0.00 |
| 87206 |
|
23 |
12 |
$0.00 |
| 51600 |
|
24 |
24 |
$0.00 |
| G8980 |
Mobility d/c status |
17 |
12 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
6,343 |
3,004 |
$0.00 |
| 86922 |
|
1,276 |
921 |
$0.00 |
| 87799 |
|
757 |
696 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
703 |
461 |
$0.00 |
| C1887 |
Catheter, guiding |
983 |
880 |
$0.00 |
| 90461 |
|
1,665 |
1,555 |
$0.00 |
| 87660 |
|
1,917 |
1,837 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
341 |
316 |
$0.00 |
| 90681 |
|
842 |
799 |
$0.00 |
| 87186 |
|
4,916 |
4,458 |
$0.00 |
| 86235 |
|
59 |
55 |
$0.00 |
| 93976 |
|
1,973 |
1,794 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
1,693 |
1,271 |
$0.00 |
| 84466 |
|
2,700 |
2,473 |
$0.00 |
| S0077 |
Injection, clindamycin phosp |
200 |
154 |
$0.00 |
| J1756 |
Iron sucrose injection |
130 |
65 |
$0.00 |
| 80323 |
|
54 |
53 |
$0.00 |
| 82610 |
|
45 |
44 |
$0.00 |
| J2930 |
Methylprednisolone injection |
698 |
535 |
$0.00 |
| 83970 |
|
412 |
380 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
48 |
47 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
433 |
418 |
$0.00 |
| D1120 |
|
39 |
37 |
$0.00 |
| 87512 |
|
625 |
615 |
$0.00 |
| G8979 |
Mobility goal status |
357 |
264 |
$0.00 |
| J2550 |
Promethazine hcl injection |
975 |
680 |
$0.00 |
| S5010 |
5% dextrose and 0.45% saline |
1,409 |
771 |
$0.00 |
| 84460 |
|
138 |
131 |
$0.00 |
| J1598 |
Inj glycopyrrolate fres kabi |
234 |
220 |
$0.00 |
| 85384 |
|
238 |
195 |
$0.00 |
| 82010 |
|
50 |
45 |
$0.00 |
| J1953 |
Levetiracetam injection |
261 |
191 |
$0.00 |
| 82977 |
|
283 |
222 |
$0.00 |
| 84450 |
|
139 |
132 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
685 |
543 |
$0.00 |
| 86431 |
|
112 |
106 |
$0.00 |
| 88312 |
|
16 |
13 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
194 |
89 |
$0.00 |
| G0390 |
Trauma respons w/hosp criti |
50 |
47 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
155 |
129 |
$0.00 |
| G8997 |
Swallow goal status |
51 |
38 |
$0.00 |
| 80179 |
|
131 |
124 |
$0.00 |
| 86735 |
|
134 |
68 |
$0.00 |
| 93750 |
|
258 |
196 |
$0.00 |
| G8996 |
Swallow current status |
50 |
37 |
$0.00 |
| 86774 |
|
129 |
64 |
$0.00 |
| J2274 |
Inj morphine pf epid ithc |
498 |
354 |
$0.00 |
| J9370 |
Vincristine sulfate 1 mg inj |
22 |
12 |
$0.00 |
| 86765 |
|
133 |
67 |
$0.00 |
| 54161 |
|
41 |
41 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
147 |
109 |
$0.00 |
| D2934 |
|
13 |
13 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
14 |
14 |
$0.00 |
| 94645 |
|
16 |
15 |
$0.00 |
| J0736 |
Inj, clindamycin phosp 300mg |
24 |
14 |
$0.00 |
| 93356 |
|
12 |
12 |
$0.00 |
| 84305 |
|
58 |
57 |
$0.00 |
| 86696 |
|
14 |
13 |
$0.00 |
| J0885 |
Epoetin alfa, non-esrd |
76 |
14 |
$0.00 |
| 87798 |
|
79 |
62 |
$0.00 |
| 45385 |
|
15 |
13 |
$0.00 |
| 54163 |
|
13 |
12 |
$0.00 |
| 84590 |
|
13 |
12 |
$0.00 |
| 95714 |
|
64 |
50 |
$0.00 |
| D2930 |
|
16 |
14 |
$0.00 |
| 87633 |
|
48 |
37 |
$0.00 |
| J0692 |
Cefepime hcl for injection |
23 |
12 |
$0.00 |
| 88104 |
|
29 |
26 |
$0.00 |
| 86705 |
|
16 |
13 |
$0.00 |
| 84630 |
|
18 |
17 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
89 |
69 |
$0.00 |