| Code | Description | Claims | Beneficiaries | Total Paid |
| G9005 |
Mccd, risk adj, maintenance |
62,760 |
62,739 |
$16.30M |
| 90791 |
|
20,722 |
17,990 |
$10.87M |
| 99212 |
|
72,151 |
59,418 |
$8.52M |
| 99213 |
|
104,844 |
97,112 |
$7.38M |
| 90834 |
|
50,195 |
28,976 |
$6.94M |
| 99214 |
|
55,091 |
51,504 |
$5.40M |
| 99283 |
|
26,702 |
24,764 |
$3.64M |
| 99284 |
|
28,745 |
27,162 |
$3.35M |
| 99285 |
|
18,718 |
17,700 |
$2.46M |
| G0378 |
Hospital observation per hr |
10,118 |
5,134 |
$2.27M |
| H2019 |
Ther behav svc, per 15 min |
3,459 |
3,204 |
$2.24M |
| D0999 |
|
16,771 |
15,190 |
$2.16M |
| 90832 |
|
18,419 |
11,469 |
$2.01M |
| 70450 |
|
6,203 |
6,001 |
$1.72M |
| 74177 |
|
5,785 |
5,677 |
$1.71M |
| 96361 |
|
7,859 |
7,090 |
$1.69M |
| 93458 |
|
979 |
977 |
$1.38M |
| 11042 |
|
4,602 |
1,906 |
$1.36M |
| 80053 |
|
58,578 |
53,251 |
$1.33M |
| H2016 |
Comp comm supp svc, per diem |
1,842 |
1,690 |
$1.27M |
| 36415 |
|
137,561 |
78,850 |
$1.20M |
| 99282 |
|
8,802 |
8,144 |
$1.18M |
| 59025 |
|
5,380 |
3,268 |
$1.03M |
| 99391 |
|
9,671 |
8,880 |
$960K |
| 99281 |
|
6,361 |
5,987 |
$900K |
| H0044 |
Supported housing, per month |
198 |
198 |
$870K |
| 99392 |
|
9,259 |
9,214 |
$868K |
| 99393 |
|
9,473 |
9,449 |
$854K |
| 76856 |
|
1,614 |
1,594 |
$839K |
| 71275 |
|
2,151 |
2,128 |
$683K |
| 74176 |
|
2,180 |
2,140 |
$654K |
| 87491 |
|
17,751 |
17,332 |
$652K |
| 99394 |
|
5,517 |
5,509 |
$523K |
| 99395 |
|
4,739 |
4,720 |
$521K |
| 87637 |
|
10,016 |
9,727 |
$506K |
| 80307 |
|
16,181 |
14,453 |
$495K |
| U0003 |
Cov-19 amp prb hgh thruput |
6,890 |
6,730 |
$494K |
| 42820 |
|
353 |
353 |
$470K |
| 69436 |
|
351 |
350 |
$454K |
| 96360 |
|
2,730 |
2,548 |
$435K |
| T1015 |
Clinic service |
1,225 |
1,225 |
$402K |
| 96365 |
|
3,301 |
2,749 |
$399K |
| 99396 |
|
3,350 |
3,339 |
$369K |
| H2018 |
Psysoc rehab svc, per diem |
696 |
696 |
$364K |
| 80048 |
|
17,285 |
14,970 |
$355K |
| 87591 |
|
17,754 |
17,338 |
$344K |
| 90792 |
|
1,561 |
1,559 |
$338K |
| 90460 |
|
19,761 |
19,626 |
$322K |
| 90833 |
|
5,974 |
5,457 |
$313K |
| 47562 |
|
143 |
143 |
$307K |
| H0037 |
Comm psy sup tx pgm per diem |
241 |
238 |
$282K |
| 43239 |
|
445 |
442 |
$278K |
| 86850 |
|
9,649 |
9,319 |
$270K |
| 90853 |
|
4,319 |
2,041 |
$268K |
| 97110 |
|
4,012 |
1,704 |
$268K |
| 99215 |
Prolong outpt/office vis |
2,659 |
2,440 |
$254K |
| D0120 |
|
10,863 |
7,630 |
$211K |
| 90847 |
|
983 |
751 |
$194K |
| 93975 |
|
487 |
448 |
$188K |
| 80061 |
|
12,894 |
12,835 |
$184K |
| 41899 |
|
179 |
159 |
$183K |
| 90686 |
|
12,187 |
12,165 |
$175K |
| 86901 |
|
9,727 |
9,424 |
$175K |
| 96366 |
|
1,642 |
1,212 |
$173K |
| 76801 |
|
1,526 |
1,413 |
$162K |
| 87651 |
|
4,402 |
4,334 |
$156K |
| 76816 |
|
1,782 |
1,577 |
$155K |
| 83880 |
|
5,337 |
5,125 |
$154K |
| D9999 |
|
1,148 |
1,067 |
$153K |
| U0005 |
Infec agen detec ampli probe |
6,608 |
6,444 |
$153K |
| 96372 |
|
11,763 |
10,239 |
$152K |
| H2011 |
Crisis interven svc, 15 min |
575 |
470 |
$148K |
| 87631 |
|
2,771 |
2,749 |
$143K |
| U0002 |
Covid-19 lab test non-cdc |
4,209 |
4,087 |
$142K |
| 86900 |
|
9,758 |
9,460 |
$142K |
| 95810 |
|
210 |
210 |
$139K |
| 82306 |
|
4,583 |
4,555 |
$139K |
| 76705 |
|
2,276 |
2,238 |
$131K |
| 90846 |
|
1,195 |
929 |
$126K |
| 90715 |
|
5,716 |
5,712 |
$126K |
| 93970 |
|
235 |
231 |
$119K |
| 97140 |
|
2,272 |
802 |
$119K |
| 76805 |
|
1,175 |
1,103 |
$113K |
| 93306 |
|
689 |
687 |
$113K |
| G9001 |
Mccd, initial rate |
1,519 |
1,519 |
$112K |
| 88305 |
|
3,130 |
3,094 |
$110K |
| 88142 |
|
3,843 |
3,835 |
$110K |
| 99232 |
|
3,273 |
1,146 |
$109K |
| 97161 |
|
1,371 |
1,361 |
$108K |
| 87502 |
|
2,520 |
2,500 |
$105K |
| 97530 |
|
1,755 |
949 |
$104K |
| 99204 |
|
889 |
887 |
$102K |
| 76817 |
|
1,062 |
936 |
$101K |
| 99202 |
|
842 |
842 |
$100K |
| 87624 |
|
3,708 |
3,701 |
$97K |
| 86480 |
|
1,480 |
1,474 |
$97K |
| 12001 |
|
241 |
239 |
$94K |
| S9485 |
Crisis intervention mental h |
79 |
73 |
$90K |
| 93971 |
|
1,447 |
1,420 |
$89K |
| 76770 |
|
146 |
144 |
$75K |
| 88342 |
|
1,687 |
1,677 |
$72K |
| 76815 |
|
752 |
718 |
$71K |
| 99203 |
|
569 |
566 |
$69K |
| H0046 |
Mental health service, nos |
206 |
206 |
$68K |
| 83655 |
|
5,065 |
4,930 |
$67K |
| 76830 |
|
1,332 |
1,309 |
$66K |
| 90837 |
|
443 |
255 |
$65K |
| 72125 |
|
1,764 |
1,737 |
$63K |
| 78452 |
|
116 |
116 |
$63K |
| D0140 |
|
3,524 |
2,923 |
$57K |
| 93005 |
|
28,654 |
24,751 |
$57K |
| 10060 |
|
183 |
181 |
$56K |
| 30140 |
|
24 |
24 |
$56K |
| G0463 |
Hospital outpt clinic visit |
1,387 |
1,180 |
$55K |
| 88307 |
|
800 |
799 |
$54K |
| 90651 |
|
2,643 |
2,638 |
$53K |
| D7140 |
|
2,605 |
2,184 |
$51K |
| 90471 |
|
12,100 |
11,925 |
$50K |
| 99291 |
|
385 |
377 |
$50K |
| 80076 |
|
3,855 |
3,702 |
$49K |
| 72131 |
|
302 |
301 |
$46K |
| 76811 |
|
454 |
448 |
$44K |
| 81025 |
|
13,831 |
13,189 |
$43K |
| 87653 |
|
2,002 |
1,987 |
$42K |
| 90677 |
|
1,231 |
1,231 |
$42K |
| 88304 |
|
1,165 |
1,162 |
$42K |
| 87481 |
|
1,060 |
1,033 |
$41K |
| 90732 |
|
593 |
591 |
$38K |
| 36901 |
|
156 |
150 |
$38K |
| D0220 |
|
4,728 |
4,113 |
$38K |
| 85610 |
|
10,253 |
9,717 |
$37K |
| 80047 |
|
1,577 |
1,510 |
$37K |
| 90670 |
|
4,601 |
4,597 |
$37K |
| 93017 |
|
381 |
374 |
$36K |
| 95806 |
|
886 |
885 |
$35K |
| 70486 |
|
564 |
557 |
$35K |
| G0472 |
Hep c screen high risk/other |
911 |
904 |
$33K |
| D2392 |
|
1,831 |
1,651 |
$33K |
| 87641 |
|
1,476 |
1,471 |
$32K |
| 82803 |
|
1,504 |
1,395 |
$31K |
| 90648 |
|
1,375 |
1,375 |
$31K |
| 90723 |
|
2,391 |
2,390 |
$31K |
| 99406 |
|
887 |
882 |
$30K |
| 90633 |
|
3,486 |
3,484 |
$30K |
| D2391 |
|
1,782 |
1,571 |
$30K |
| 87798 |
|
1,424 |
1,410 |
$29K |
| 83036 |
|
15,433 |
15,362 |
$29K |
| 58558 |
|
25 |
25 |
$28K |
| 99443 |
|
310 |
285 |
$28K |
| J1756 |
Iron sucrose injection |
278 |
148 |
$26K |
| 99442 |
|
210 |
203 |
$25K |
| D0150 |
|
2,478 |
1,970 |
$25K |
| Q3014 |
Telehealth facility fee |
3,754 |
2,518 |
$25K |
| 97162 |
|
227 |
227 |
$25K |
| 12002 |
|
69 |
68 |
$25K |
| D1110 |
|
5,425 |
5,190 |
$24K |
| 90620 |
|
880 |
878 |
$24K |
| 87635 |
|
701 |
692 |
$24K |
| 90750 |
|
189 |
185 |
$24K |
| 87661 |
|
1,190 |
1,162 |
$23K |
| 88175 |
|
828 |
827 |
$23K |
| 84443 |
|
17,207 |
16,884 |
$23K |
| 85027 |
|
21,890 |
19,542 |
$22K |
| 90734 |
|
2,151 |
2,150 |
$22K |
| 0011A |
|
627 |
627 |
$21K |
| 90656 |
|
1,075 |
1,074 |
$21K |
| 0012A |
|
575 |
575 |
$21K |
| 99381 |
|
172 |
170 |
$20K |
| 90710 |
|
2,113 |
2,110 |
$20K |
| 96110 |
|
152 |
152 |
$19K |
| C9600 |
Perc drug-el cor stent sing |
15 |
13 |
$18K |
| 95811 |
|
27 |
26 |
$18K |
| 86703 |
|
1,180 |
1,165 |
$18K |
| 76937 |
|
110 |
106 |
$17K |
| 97597 |
|
31 |
14 |
$17K |
| G0123 |
Screen cerv/vag thin layer |
588 |
587 |
$17K |
| 85025 |
|
50,875 |
46,634 |
$17K |
| 81220 |
|
54 |
54 |
$17K |
| 90681 |
|
589 |
589 |
$14K |
| 90680 |
|
2,678 |
2,676 |
$14K |
| 87086 |
|
13,076 |
12,226 |
$13K |
| 90700 |
|
1,218 |
1,217 |
$13K |
| 88341 |
|
284 |
284 |
$13K |
| 90707 |
|
746 |
740 |
$13K |
| 90696 |
|
1,332 |
1,330 |
$13K |
| 90716 |
|
709 |
708 |
$12K |
| 99211 |
|
641 |
612 |
$12K |
| 85730 |
|
8,260 |
7,727 |
$12K |
| 71046 |
|
12,356 |
11,855 |
$12K |
| 81511 |
|
264 |
263 |
$11K |
| 81003 |
|
33,888 |
26,507 |
$11K |
| 86780 |
|
6,614 |
6,514 |
$11K |
| 90698 |
|
1,930 |
1,929 |
$11K |
| 87660 |
|
12,696 |
12,335 |
$10K |
| 70491 |
|
36 |
36 |
$10K |
| 87389 |
|
5,674 |
5,652 |
$10K |
| 87480 |
|
12,652 |
12,292 |
$10K |
| 96374 |
|
8,132 |
7,662 |
$9K |
| D0274 |
|
3,352 |
3,205 |
$9K |
| 87510 |
|
12,600 |
12,242 |
$9K |
| G0330 |
Facility svs dental rehab |
39 |
39 |
$9K |
| 86701 |
|
769 |
758 |
$8K |
| 90744 |
|
1,415 |
1,414 |
$8K |
| 84702 |
|
7,117 |
6,143 |
$8K |
| D2330 |
|
254 |
195 |
$8K |
| 99441 |
|
66 |
66 |
$8K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
7,957 |
7,666 |
$8K |
| 97116 |
|
300 |
229 |
$8K |
| 85055 |
|
227 |
207 |
$7K |
| 90647 |
|
1,407 |
1,405 |
$7K |
| 82728 |
|
3,517 |
3,480 |
$7K |
| 99385 |
|
66 |
66 |
$7K |
| 84439 |
|
5,701 |
5,583 |
$6K |
| C9803 |
Hopd covid-19 spec collect |
3,977 |
3,880 |
$6K |
| 86762 |
|
2,568 |
2,553 |
$6K |
| G0108 |
Diab manage trn per indiv |
154 |
121 |
$6K |
| 29125 |
|
27 |
27 |
$6K |
| 99238 |
|
172 |
172 |
$6K |
| 90472 |
|
2,545 |
2,542 |
$6K |
| 87340 |
|
3,980 |
3,956 |
$5K |
| D2331 |
|
151 |
126 |
$5K |
| 82607 |
|
2,624 |
2,610 |
$5K |
| 84484 |
|
18,942 |
14,323 |
$5K |
| M0243 |
Casirivi and imdevi inj |
15 |
15 |
$5K |
| D0230 |
|
2,085 |
1,924 |
$5K |
| 86803 |
|
3,102 |
3,091 |
$5K |
| 76870 |
|
42 |
41 |
$5K |
| C8929 |
Tte w or wo fol wcon,doppler |
26 |
26 |
$5K |
| D9110 |
|
413 |
395 |
$4K |
| 71045 |
|
4,407 |
4,256 |
$4K |
| 86003 |
|
514 |
511 |
$4K |
| 20610 |
|
12 |
12 |
$4K |
| 70551 |
|
13 |
13 |
$4K |
| 76819 |
|
56 |
40 |
$4K |
| 72148 |
|
12 |
12 |
$4K |
| 99383 |
|
35 |
35 |
$4K |
| 71250 |
|
26 |
24 |
$4K |
| 95115 |
|
152 |
96 |
$4K |
| D0210 |
|
216 |
175 |
$4K |
| 83735 |
|
20,387 |
18,958 |
$4K |
| 74174 |
|
24 |
24 |
$3K |
| C7901 |
Hopd mntl hlt, 30-60 min |
177 |
101 |
$3K |
| 94060 |
|
24 |
24 |
$3K |
| 94640 |
|
1,682 |
1,603 |
$3K |
| 86787 |
|
2,205 |
2,197 |
$3K |
| 99205 |
Prolong outpt/office vis |
26 |
26 |
$3K |
| 87640 |
|
279 |
278 |
$3K |
| 83690 |
|
15,971 |
15,046 |
$3K |
| 81001 |
|
9,486 |
9,035 |
$3K |
| 94010 |
|
25 |
25 |
$3K |
| D0330 |
|
1,096 |
1,073 |
$2K |
| 83020 |
|
1,591 |
1,578 |
$2K |
| 86618 |
|
270 |
268 |
$2K |
| H0002 |
Alcohol and/or drug screenin |
13 |
13 |
$2K |
| 0064A |
|
70 |
70 |
$2K |
| 82570 |
|
3,600 |
3,390 |
$2K |
| 83540 |
|
3,480 |
3,443 |
$2K |
| 83550 |
|
3,370 |
3,335 |
$2K |
| 0241U |
|
174 |
171 |
$2K |
| 98927 |
|
65 |
63 |
$2K |
| 82043 |
|
2,077 |
2,070 |
$2K |
| J7050 |
Normal saline solution infus |
449 |
287 |
$2K |
| D0272 |
|
1,169 |
1,137 |
$2K |
| 87077 |
|
2,580 |
2,512 |
$2K |
| 86140 |
|
2,170 |
2,106 |
$2K |
| 83605 |
|
8,106 |
7,267 |
$2K |
| 82746 |
|
966 |
959 |
$2K |
| 90480 |
|
239 |
239 |
$2K |
| 87806 |
|
89 |
89 |
$2K |
| 76536 |
|
13 |
13 |
$2K |
| 91320 |
|
85 |
85 |
$2K |
| 73564 |
|
1,112 |
1,076 |
$2K |
| 86580 |
|
319 |
311 |
$2K |
| 84481 |
|
472 |
462 |
$2K |
| 88112 |
|
27 |
25 |
$2K |
| 87522 |
Neg quan hep c or qual rna |
41 |
41 |
$1K |
| 84146 |
|
483 |
480 |
$1K |
| C1769 |
Guide wire |
1,414 |
1,382 |
$1K |
| 99220 |
|
26 |
26 |
$1K |
| 87186 |
|
2,544 |
2,471 |
$1K |
| 87040 |
|
4,234 |
2,986 |
$1K |
| 96375 |
|
5,600 |
5,113 |
$1K |
| 83001 |
|
390 |
389 |
$1K |
| 99217 |
|
53 |
52 |
$1K |
| 90619 |
|
71 |
71 |
$1K |
| 82950 |
|
2,140 |
2,132 |
$1K |
| 80074 |
|
86 |
86 |
$1K |
| 87070 |
|
1,927 |
1,879 |
$1K |
| 86038 |
|
857 |
850 |
$1K |
| 72100 |
|
667 |
665 |
$1K |
| J1630 |
Haloperidol injection |
1,350 |
1,214 |
$1K |
| 86765 |
|
289 |
286 |
$1K |
| 82248 |
|
786 |
716 |
$1K |
| 86706 |
|
475 |
471 |
$1K |
| 85379 |
|
2,832 |
2,784 |
$1K |
| 99231 |
|
61 |
46 |
$1K |
| 80349 |
|
1,839 |
1,712 |
$1K |
| 36600 |
|
42 |
41 |
$1K |
| J7030 |
Normal saline solution infus |
10,354 |
9,062 |
$933.96 |
| 84703 |
|
3,620 |
3,554 |
$907.24 |
| 90621 |
|
203 |
203 |
$903.47 |
| 93798 |
|
61 |
12 |
$887.64 |
| 93621 |
|
12 |
12 |
$868.40 |
| 85014 |
|
1,504 |
1,393 |
$863.42 |
| 73630 |
|
1,253 |
1,209 |
$779.63 |
| Q9957 |
Inj perflutren lip micros,ml |
14 |
14 |
$771.40 |
| J7040 |
Normal saline solution infus |
4,025 |
3,419 |
$742.40 |
| D2393 |
|
28 |
28 |
$668.60 |
| 88360 |
|
16 |
16 |
$661.80 |
| 82785 |
|
358 |
353 |
$572.38 |
| 84550 |
|
1,802 |
1,639 |
$566.91 |
| 73130 |
|
1,300 |
1,253 |
$546.00 |
| 85651 |
|
1,730 |
1,696 |
$515.00 |
| C1776 |
Joint device (implantable) |
24 |
24 |
$502.90 |
| 82550 |
|
2,241 |
2,054 |
$471.34 |
| 73610 |
|
1,216 |
1,191 |
$454.73 |
| 83615 |
|
1,130 |
987 |
$451.48 |
| D1208 |
|
3,710 |
3,706 |
$429.16 |
| 83002 |
|
154 |
154 |
$420.30 |
| 73030 |
|
1,256 |
1,227 |
$402.90 |
| 84156 |
|
1,547 |
1,355 |
$402.25 |
| 87088 |
|
628 |
614 |
$379.17 |
| 86735 |
|
162 |
159 |
$351.92 |
| D1120 |
|
2,763 |
2,759 |
$349.39 |
| 73502 |
|
255 |
242 |
$326.48 |
| J0696 |
Ceftriaxone sodium injection |
2,935 |
2,624 |
$323.82 |
| 84100 |
|
1,783 |
1,560 |
$318.93 |
| G0480 |
Drug test def 1-7 classes |
1,090 |
1,009 |
$293.43 |
| 82105 |
|
415 |
411 |
$287.74 |
| 99495 |
|
13 |
13 |
$284.55 |
| 96376 |
|
2,061 |
1,466 |
$268.77 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
14 |
14 |
$265.20 |
| 73090 |
|
67 |
65 |
$261.25 |
| 99156 |
|
1,036 |
1,032 |
$228.07 |
| J1644 |
Inj heparin sodium per 1000u |
2,888 |
1,976 |
$211.57 |
| 74018 |
|
226 |
219 |
$211.01 |
| 0001A |
|
15 |
15 |
$194.34 |
| 88300 |
|
368 |
368 |
$192.43 |
| 0002A |
|
13 |
13 |
$191.92 |
| J7120 |
Ringers lactate infusion |
1,562 |
1,306 |
$190.87 |
| 87205 |
|
1,389 |
1,328 |
$173.79 |
| G0475 |
Hiv combination assay |
567 |
563 |
$171.35 |
| J0330 |
Succinycholine chloride inj |
581 |
553 |
$161.13 |
| J3010 |
Fentanyl citrate injection |
8,333 |
7,864 |
$147.02 |
| J1100 |
Dexamethasone sodium phos |
6,422 |
6,286 |
$145.54 |
| 83721 |
|
871 |
863 |
$136.38 |
| J2270 |
Morphine sulfate injection |
2,720 |
2,270 |
$134.55 |
| 86364 |
|
14 |
14 |
$125.64 |
| 86258 |
|
13 |
13 |
$125.64 |
| 73110 |
|
533 |
513 |
$122.49 |
| J1885 |
Ketorolac tromethamine inj |
7,489 |
6,956 |
$122.28 |
| 86308 |
|
169 |
169 |
$119.74 |
| 85652 |
|
341 |
325 |
$114.19 |
| 82784 |
|
13 |
13 |
$111.60 |
| 87075 |
|
645 |
623 |
$104.92 |
| J1170 |
Hydromorphone injection |
1,588 |
1,391 |
$99.80 |
| 86592 |
|
98 |
96 |
$98.67 |
| 72170 |
|
224 |
207 |
$89.91 |
| 90474 |
|
323 |
323 |
$89.65 |
| 84403 |
|
39 |
39 |
$89.58 |
| 86376 |
|
13 |
13 |
$88.76 |
| J2710 |
Neostigmine methylslfte inj |
1,185 |
1,176 |
$86.02 |
| 82977 |
|
82 |
81 |
$83.45 |
| J3475 |
Inj magnesium sulfate |
1,293 |
1,218 |
$79.50 |
| 87338 |
|
69 |
68 |
$69.80 |
| J2704 |
Inj, propofol, 10 mg |
2,595 |
2,548 |
$65.27 |
| 80305 |
|
69 |
69 |
$64.05 |
| J2405 |
Ondansetron hcl injection |
11,236 |
10,429 |
$59.43 |
| J0690 |
Cefazolin sodium injection |
1,909 |
1,541 |
$56.60 |
| J2370 |
Phenylephrine hcl injection |
851 |
848 |
$56.17 |
| 90461 |
|
568 |
568 |
$55.00 |
| 86431 |
|
274 |
273 |
$52.99 |
| D1351 |
|
19 |
16 |
$49.74 |
| J1200 |
Diphenhydramine hcl injectio |
2,288 |
2,101 |
$49.54 |
| 84132 |
|
65 |
64 |
$48.14 |
| J2060 |
Lorazepam injection |
2,563 |
2,159 |
$33.76 |
| 96127 |
|
826 |
815 |
$33.49 |
| 73080 |
|
70 |
70 |
$31.86 |
| J2250 |
Inj midazolam hydrochloride |
6,014 |
5,922 |
$30.29 |
| J1650 |
Inj enoxaparin sodium |
891 |
612 |
$28.82 |
| J7042 |
5% dextrose/normal saline |
255 |
191 |
$26.84 |
| 85018 |
|
47 |
41 |
$24.16 |
| J2765 |
Metoclopramide hcl injection |
2,304 |
2,154 |
$21.61 |
| 87081 |
|
12 |
12 |
$20.63 |
| 82040 |
|
12 |
12 |
$20.05 |
| 73590 |
|
116 |
114 |
$20.00 |
| 80143 |
|
289 |
285 |
$17.99 |
| 80178 |
|
29 |
29 |
$13.88 |
| 73140 |
|
66 |
66 |
$12.51 |
| J1815 |
Insulin injection |
868 |
472 |
$12.38 |
| 84270 |
|
42 |
41 |
$10.75 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
574 |
493 |
$10.71 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,203 |
1,033 |
$10.46 |
| 82330 |
|
12 |
12 |
$10.06 |
| 80179 |
|
277 |
273 |
$8.99 |
| 87880 |
|
15 |
15 |
$7.58 |
| 86200 |
|
65 |
65 |
$5.54 |
| J2930 |
Methylprednisolone injection |
145 |
142 |
$5.44 |
| C1894 |
Intro/sheath, non-laser |
905 |
865 |
$5.03 |
| J2272 |
Inj, morphine (fresenius) |
55 |
51 |
$4.46 |
| 85046 |
|
13 |
12 |
$4.39 |
| J3480 |
Inj potassium chloride |
117 |
97 |
$3.36 |
| C1887 |
Catheter, guiding |
875 |
869 |
$3.33 |
| J0360 |
Hydralazine hcl injection |
41 |
41 |
$0.83 |
| 82010 |
|
166 |
150 |
$0.42 |
| C1758 |
Catheter, ureteral |
298 |
294 |
$0.20 |
| 83986 |
|
131 |
124 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
68 |
68 |
$0.00 |
| C1892 |
Intro/sheath,fixed,peel-away |
37 |
37 |
$0.00 |
| C1781 |
Mesh (implantable) |
90 |
90 |
$0.00 |
| 81514 |
|
591 |
574 |
$0.00 |
| J1790 |
Droperidol injection |
102 |
98 |
$0.00 |
| 71101 |
|
100 |
100 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
25 |
25 |
$0.00 |
| A9500 |
Tc99m sestamibi |
14 |
12 |
$0.00 |
| 74021 |
|
56 |
55 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
40 |
25 |
$0.00 |
| S2900 |
Robotic surgical system |
13 |
13 |
$0.00 |
| J2920 |
Methylprednisolone injection |
83 |
79 |
$0.00 |
| J7799 |
Non-inhalation drug for dme |
80 |
61 |
$0.00 |
| J1940 |
Furosemide injection |
20 |
12 |
$0.00 |
| J2785 |
Regadenoson injection |
12 |
12 |
$0.00 |
| 82150 |
|
12 |
12 |
$0.00 |
| 73560 |
|
12 |
12 |
$0.00 |
| 99157 |
|
372 |
372 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
512 |
511 |
$0.00 |
| 81002 |
|
311 |
311 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
97 |
79 |
$0.00 |
| D0270 |
|
24 |
24 |
$0.00 |
| 96381 |
|
15 |
15 |
$0.00 |
| 84145 |
|
24 |
24 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
12 |
12 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
13 |
12 |
$0.00 |
| 81513 |
|
835 |
816 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
15 |
12 |
$0.00 |
| 90685 |
|
70 |
70 |
$0.00 |
| 82140 |
|
28 |
24 |
$0.00 |
| 87102 |
|
12 |
12 |
$0.00 |
| 87210 |
|
16 |
14 |
$0.00 |
| Q0245 |
Bamlanivimab and etesevima |
14 |
14 |
$0.00 |
| 87804 |
|
14 |
13 |
$0.00 |
| 88313 |
|
15 |
15 |
$0.00 |