| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
168,001 |
143,108 |
$70.97M |
| 99285 |
|
56,290 |
48,248 |
$43.48M |
| G0463 |
Hospital outpt clinic visit |
596,543 |
480,956 |
$29.16M |
| J9271 |
Inj pembrolizumab |
2,989 |
2,284 |
$28.96M |
| 74177 |
|
28,651 |
24,881 |
$22.88M |
| 99283 |
|
74,551 |
66,461 |
$20.63M |
| 77386 |
|
21,968 |
1,941 |
$14.05M |
| 99211 |
|
267,242 |
220,241 |
$13.59M |
| G0378 |
Hospital observation per hr |
55,687 |
23,096 |
$13.33M |
| J9299 |
Injection, nivolumab |
1,407 |
974 |
$11.38M |
| 70553 |
|
11,822 |
10,774 |
$10.32M |
| J1745 |
Infliximab not biosimil 10mg |
2,201 |
1,886 |
$9.51M |
| 93306 |
|
13,544 |
11,854 |
$8.19M |
| J1561 |
Gamunex-c/gammaked |
4,061 |
2,230 |
$7.20M |
| 71260 |
|
14,392 |
12,471 |
$6.96M |
| C1713 |
Anchor/screw bn/bn,tis/bn |
8,577 |
6,509 |
$6.70M |
| 96413 |
|
28,927 |
16,746 |
$6.44M |
| 93005 |
|
102,677 |
85,179 |
$6.36M |
| 80053 |
|
361,020 |
268,114 |
$6.35M |
| J3380 |
Inj vedolizumab iv 1 mg |
989 |
911 |
$6.03M |
| 71275 |
|
11,778 |
10,080 |
$5.83M |
| 70450 |
|
21,203 |
17,597 |
$5.75M |
| 70496 |
|
8,741 |
7,306 |
$5.51M |
| 96365 |
|
38,541 |
18,731 |
$5.45M |
| 78815 |
|
3,644 |
3,284 |
$4.91M |
| 99282 |
|
31,358 |
27,039 |
$4.70M |
| 96375 |
|
54,415 |
40,332 |
$4.63M |
| 43239 |
|
6,694 |
6,206 |
$4.53M |
| G0482 |
Drug test def 15-21 classes |
28,679 |
20,598 |
$4.27M |
| 96374 |
|
86,167 |
55,951 |
$4.25M |
| 70498 |
|
8,204 |
6,920 |
$4.16M |
| 72125 |
|
10,817 |
9,185 |
$4.16M |
| 74176 |
|
6,952 |
6,063 |
$4.15M |
| 88305 |
|
30,748 |
26,758 |
$4.12M |
| 71045 |
|
47,453 |
38,586 |
$4.00M |
| J0585 |
Injection,onabotulinumtoxina |
5,097 |
4,113 |
$3.96M |
| 99291 |
|
2,977 |
2,403 |
$3.47M |
| 69436 |
|
3,895 |
3,592 |
$3.45M |
| 42820 |
|
2,812 |
2,629 |
$3.45M |
| 74174 |
|
4,320 |
3,600 |
$3.39M |
| 71046 |
|
36,349 |
31,671 |
$3.34M |
| 36415 |
|
560,344 |
346,994 |
$3.28M |
| 96361 |
|
30,821 |
22,328 |
$3.23M |
| 93975 |
|
8,889 |
8,026 |
$3.17M |
| 41899 |
|
2,689 |
2,279 |
$3.14M |
| 76705 |
|
15,559 |
14,036 |
$3.14M |
| G0483 |
Drug test def 22+ classes |
19,708 |
17,199 |
$3.11M |
| 85025 |
|
272,515 |
215,037 |
$3.07M |
| C1776 |
Joint device (implantable) |
1,188 |
967 |
$3.01M |
| 70551 |
|
4,209 |
3,823 |
$2.80M |
| 87633 |
|
9,178 |
8,445 |
$2.79M |
| 70491 |
|
5,515 |
4,750 |
$2.74M |
| 95810 |
|
2,655 |
2,269 |
$2.74M |
| 74183 |
|
3,359 |
2,981 |
$2.68M |
| 72131 |
|
7,695 |
6,507 |
$2.67M |
| 71250 |
|
8,721 |
7,177 |
$2.53M |
| 97110 |
|
40,790 |
12,733 |
$2.46M |
| 72128 |
|
6,565 |
5,507 |
$2.40M |
| 76770 |
|
9,880 |
9,232 |
$2.38M |
| 95715 |
|
2,458 |
1,620 |
$2.33M |
| 70486 |
|
6,210 |
5,454 |
$2.26M |
| 96372 |
|
41,079 |
31,273 |
$2.20M |
| 96366 |
|
12,469 |
7,344 |
$2.17M |
| 49083 |
|
3,457 |
1,575 |
$2.12M |
| Q5107 |
Inj mvasi 10 mg |
804 |
342 |
$2.12M |
| G0390 |
Trauma respons w/hosp criti |
1,337 |
1,005 |
$2.05M |
| 73630 |
|
20,589 |
14,819 |
$2.03M |
| 93325 |
|
11,425 |
10,405 |
$1.99M |
| C1889 |
Implant/insert device, noc |
7,630 |
6,465 |
$1.98M |
| 77412 |
|
9,154 |
1,053 |
$1.97M |
| 47562 |
|
743 |
637 |
$1.95M |
| 45380 |
|
2,963 |
2,684 |
$1.93M |
| U0003 |
Cov-19 amp prb hgh thruput |
31,709 |
28,038 |
$1.85M |
| 72197 |
|
2,213 |
1,987 |
$1.78M |
| 93304 |
|
6,139 |
5,526 |
$1.75M |
| 84443 |
|
106,780 |
96,884 |
$1.66M |
| 87631 |
|
12,634 |
11,918 |
$1.66M |
| 76830 |
|
8,826 |
7,731 |
$1.65M |
| 96360 |
|
14,967 |
10,322 |
$1.61M |
| 73610 |
|
17,636 |
13,680 |
$1.59M |
| 36430 |
|
4,028 |
2,388 |
$1.58M |
| 67311 |
|
1,115 |
1,027 |
$1.57M |
| J2505 |
Injection, pegfilgrastim 6mg |
472 |
321 |
$1.54M |
| J9312 |
Inj., rituximab, 10 mg |
306 |
200 |
$1.51M |
| 93303 |
|
3,685 |
3,115 |
$1.50M |
| 73562 |
|
15,122 |
11,688 |
$1.47M |
| 92507 |
|
19,749 |
6,532 |
$1.46M |
| 87637 |
|
16,945 |
15,717 |
$1.44M |
| 95816 |
|
4,479 |
4,281 |
$1.43M |
| 87491 |
|
41,599 |
37,735 |
$1.43M |
| 59025 |
|
8,373 |
4,538 |
$1.42M |
| 73130 |
|
15,203 |
11,997 |
$1.36M |
| 87591 |
|
41,079 |
37,386 |
$1.35M |
| 76816 |
|
7,916 |
6,952 |
$1.33M |
| Q5103 |
Injection, inflectra |
510 |
431 |
$1.32M |
| 74018 |
|
14,522 |
12,260 |
$1.30M |
| 87636 |
|
16,254 |
14,463 |
$1.29M |
| 72148 |
|
1,742 |
1,618 |
$1.29M |
| U0002 |
Covid-19 lab test non-cdc |
33,642 |
31,018 |
$1.27M |
| 77301 |
|
979 |
872 |
$1.25M |
| 94640 |
|
19,084 |
14,010 |
$1.24M |
| 96415 |
|
7,617 |
4,731 |
$1.24M |
| 76811 |
|
4,730 |
4,292 |
$1.23M |
| Q3014 |
Telehealth facility fee |
47,176 |
40,424 |
$1.23M |
| 36591 |
|
26,143 |
12,352 |
$1.22M |
| 70543 |
|
1,330 |
1,219 |
$1.22M |
| 77334 |
|
2,320 |
1,747 |
$1.22M |
| 85027 |
|
155,484 |
123,556 |
$1.18M |
| 73110 |
|
12,534 |
9,626 |
$1.16M |
| 88185 |
|
3,578 |
3,009 |
$1.16M |
| 73030 |
|
12,256 |
9,450 |
$1.14M |
| 94060 |
|
5,876 |
5,095 |
$1.13M |
| 73590 |
|
12,253 |
9,818 |
$1.11M |
| 76642 |
|
7,733 |
5,891 |
$1.10M |
| 54161 |
|
871 |
780 |
$1.08M |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
89,007 |
62,332 |
$1.04M |
| 95951 |
|
1,411 |
597 |
$1.00M |
| 93971 |
|
4,943 |
4,420 |
$990K |
| 93321 |
|
7,057 |
6,458 |
$988K |
| 77336 |
|
5,889 |
2,492 |
$986K |
| 64488 |
|
969 |
735 |
$980K |
| 44970 |
|
536 |
437 |
$975K |
| J9035 |
Bevacizumab injection |
213 |
133 |
$967K |
| 73721 |
|
1,349 |
1,231 |
$961K |
| 74178 |
|
949 |
856 |
$956K |
| 72141 |
|
1,360 |
1,247 |
$953K |
| 82306 |
|
42,859 |
39,682 |
$940K |
| 72156 |
|
967 |
865 |
$940K |
| 80048 |
|
77,294 |
56,408 |
$930K |
| 94010 |
|
9,983 |
8,321 |
$929K |
| 72100 |
|
7,952 |
7,110 |
$925K |
| 75561 |
|
1,218 |
1,097 |
$907K |
| 45385 |
|
1,490 |
1,313 |
$900K |
| 84484 |
|
39,693 |
28,195 |
$897K |
| G0480 |
Drug test def 1-7 classes |
13,999 |
11,290 |
$892K |
| 72158 |
|
975 |
874 |
$871K |
| 73080 |
|
10,017 |
8,102 |
$864K |
| 88307 |
|
5,600 |
4,486 |
$861K |
| C1769 |
Guide wire |
13,085 |
10,360 |
$860K |
| 96376 |
|
12,449 |
9,835 |
$852K |
| 80307 |
|
19,116 |
16,199 |
$838K |
| 96417 |
|
6,578 |
4,150 |
$824K |
| 87902 |
|
3,747 |
3,432 |
$807K |
| 43264 |
|
697 |
580 |
$795K |
| 19083 |
|
534 |
470 |
$793K |
| 76536 |
|
5,136 |
4,776 |
$790K |
| 97530 |
|
17,767 |
6,662 |
$781K |
| J2350 |
Injection, ocrelizumab, 1 mg |
45 |
38 |
$778K |
| 87522 |
Neg quan hep c or qual rna |
18,286 |
16,095 |
$771K |
| 43235 |
|
1,864 |
1,618 |
$762K |
| 36561 |
|
488 |
435 |
$755K |
| 93308 |
|
3,582 |
3,166 |
$753K |
| A9585 |
Gadobutrol injection |
23,446 |
19,691 |
$751K |
| 87536 |
|
10,785 |
9,942 |
$748K |
| 73700 |
|
1,981 |
1,611 |
$747K |
| 62323 |
|
956 |
878 |
$745K |
| 76817 |
|
5,525 |
4,335 |
$742K |
| 64493 |
|
901 |
748 |
$741K |
| 81229 |
|
1,011 |
817 |
$739K |
| 73090 |
|
9,159 |
7,451 |
$738K |
| Q5118 |
Inj., zirabev, 10 mg |
468 |
208 |
$737K |
| 80061 |
|
57,174 |
52,750 |
$725K |
| J0185 |
Inj., aprepitant, 1 mg |
3,151 |
2,006 |
$717K |
| 82805 |
|
14,122 |
11,254 |
$715K |
| 78452 |
|
1,038 |
646 |
$711K |
| 73552 |
|
8,727 |
6,887 |
$701K |
| D7140 |
|
1,905 |
1,236 |
$686K |
| 58571 |
|
260 |
176 |
$685K |
| 83036 |
|
76,022 |
69,567 |
$685K |
| 76857 |
|
2,805 |
2,498 |
$674K |
| 97140 |
|
15,054 |
5,532 |
$665K |
| 96367 |
|
6,351 |
3,858 |
$664K |
| 99281 |
|
8,808 |
7,372 |
$658K |
| J7050 |
Normal saline solution infus |
62,901 |
28,842 |
$638K |
| 77338 |
|
1,131 |
917 |
$629K |
| 76700 |
|
2,426 |
2,121 |
$627K |
| 83605 |
|
44,915 |
36,594 |
$620K |
| J9355 |
Inj trastuzumab excl biosimi |
138 |
92 |
$619K |
| 20680 |
|
377 |
309 |
$617K |
| 88304 |
|
9,172 |
8,036 |
$616K |
| 72040 |
|
5,469 |
4,691 |
$609K |
| J2506 |
Inj pegfilgrast ex bio 0.5mg |
224 |
153 |
$609K |
| 77300 |
|
1,788 |
1,385 |
$597K |
| 93970 |
|
2,153 |
1,940 |
$585K |
| P9016 |
Rbc leukocytes reduced |
1,992 |
1,516 |
$582K |
| 88341 |
|
3,898 |
3,134 |
$576K |
| 76000 |
|
4,751 |
3,889 |
$575K |
| C1726 |
Cath, bal dil, non-vascular |
2,720 |
2,191 |
$574K |
| 11042 |
|
2,713 |
1,822 |
$573K |
| 87507 |
|
2,189 |
1,985 |
$572K |
| 76815 |
|
3,985 |
3,380 |
$568K |
| 64615 |
|
2,734 |
2,378 |
$555K |
| 83735 |
|
77,938 |
53,129 |
$553K |
| 87389 |
|
34,431 |
31,472 |
$535K |
| 93017 |
|
1,978 |
1,719 |
$535K |
| 73060 |
|
6,602 |
5,488 |
$531K |
| 73502 |
|
7,291 |
5,897 |
$531K |
| 76805 |
|
2,334 |
2,098 |
$527K |
| 83690 |
|
45,952 |
38,255 |
$525K |
| 20610 |
|
2,073 |
1,788 |
$516K |
| C9803 |
Hopd covid-19 spec collect |
57,864 |
47,501 |
$514K |
| 87086 |
|
55,584 |
47,539 |
$504K |
| 94726 |
|
4,707 |
4,205 |
$501K |
| 86480 |
|
9,833 |
9,015 |
$498K |
| 88342 |
|
7,121 |
6,025 |
$497K |
| 31624 |
|
731 |
587 |
$496K |
| 73560 |
|
5,628 |
3,890 |
$493K |
| 52356 |
|
182 |
146 |
$485K |
| 77066 |
Tomosynthesis, mammo |
4,393 |
3,785 |
$484K |
| 51798 |
|
5,589 |
5,249 |
$482K |
| 73120 |
|
4,966 |
4,518 |
$481K |
| C1874 |
Stent, coated/cov w/del sys |
335 |
278 |
$473K |
| A9552 |
F18 fdg |
4,726 |
3,747 |
$472K |
| 72170 |
|
5,820 |
4,753 |
$472K |
| 84439 |
|
52,602 |
48,515 |
$471K |
| 77290 |
|
962 |
589 |
$466K |
| 10060 |
|
2,489 |
2,236 |
$457K |
| 73221 |
|
642 |
586 |
$453K |
| 96411 |
|
3,035 |
2,032 |
$452K |
| 76870 |
|
2,374 |
2,144 |
$452K |
| 87651 |
|
13,842 |
13,176 |
$449K |
| 95700 |
|
2,743 |
2,515 |
$447K |
| 78816 |
|
267 |
238 |
$441K |
| 86803 |
|
33,516 |
30,383 |
$440K |
| 86850 |
|
33,812 |
27,626 |
$438K |
| 93320 |
|
2,269 |
2,016 |
$437K |
| 94729 |
|
4,636 |
4,257 |
$432K |
| 81001 |
|
60,858 |
52,680 |
$429K |
| 93225 |
|
2,218 |
1,953 |
$427K |
| 97112 |
|
5,746 |
1,603 |
$421K |
| 83880 |
|
14,152 |
12,070 |
$419K |
| 20553 |
|
1,739 |
1,623 |
$418K |
| 80074 |
|
9,167 |
8,316 |
$417K |
| 70480 |
|
1,344 |
1,246 |
$417K |
| 97161 |
|
6,898 |
5,878 |
$414K |
| 76801 |
|
2,582 |
2,208 |
$402K |
| 87040 |
|
11,837 |
8,768 |
$402K |
| 77067 |
|
6,154 |
5,737 |
$400K |
| C1887 |
Catheter, guiding |
2,933 |
2,323 |
$395K |
| C1894 |
Intro/sheath, non-laser |
6,677 |
5,319 |
$383K |
| 85610 |
|
76,061 |
61,835 |
$380K |
| 86360 |
|
9,819 |
9,080 |
$376K |
| 95885 |
|
2,509 |
1,878 |
$375K |
| 86140 |
|
52,828 |
46,122 |
$373K |
| 93226 |
|
2,420 |
2,246 |
$366K |
| 75574 |
|
1,091 |
1,015 |
$365K |
| 64494 |
|
918 |
600 |
$361K |
| 76819 |
|
2,027 |
1,571 |
$357K |
| 31575 |
|
1,402 |
1,231 |
$355K |
| A0425 |
Ground mileage |
6,497 |
4,574 |
$354K |
| 77065 |
Tomosynthesis, mammo |
3,693 |
3,119 |
$354K |
| 81003 |
|
87,197 |
71,941 |
$353K |
| 84702 |
|
19,835 |
15,997 |
$353K |
| 36592 |
|
9,042 |
3,307 |
$351K |
| 72082 |
|
3,269 |
2,918 |
$350K |
| 86235 |
|
6,982 |
6,374 |
$349K |
| 95708 |
|
317 |
252 |
$346K |
| 86832 |
|
1,946 |
1,642 |
$343K |
| 84703 |
|
30,047 |
26,139 |
$337K |
| 90471 |
|
18,056 |
16,713 |
$336K |
| 76813 |
|
2,447 |
2,151 |
$335K |
| 74230 |
|
2,534 |
1,993 |
$332K |
| D1120 |
|
828 |
721 |
$332K |
| 90460 |
|
36,211 |
34,960 |
$330K |
| 76942 |
|
2,115 |
1,762 |
$329K |
| 82565 |
|
30,470 |
22,897 |
$327K |
| 86833 |
|
1,916 |
1,636 |
$327K |
| 83970 |
|
9,540 |
8,297 |
$326K |
| 87581 |
|
9,589 |
8,866 |
$326K |
| 76856 |
|
1,434 |
1,293 |
$322K |
| 70487 |
|
844 |
746 |
$319K |
| 73564 |
|
2,719 |
1,900 |
$318K |
| C1725 |
Cath, translumin non-laser |
997 |
828 |
$315K |
| 12001 |
|
2,484 |
2,249 |
$314K |
| 81025 |
|
31,133 |
27,280 |
$313K |
| 87486 |
|
9,702 |
8,861 |
$311K |
| 90677 |
|
6,612 |
6,364 |
$309K |
| 95911 |
|
840 |
787 |
$309K |
| J2704 |
Inj, propofol, 10 mg |
91,326 |
65,563 |
$307K |
| 77295 |
|
187 |
147 |
$305K |
| 45378 |
|
522 |
457 |
$303K |
| 95886 |
|
2,128 |
1,790 |
$303K |
| 86359 |
|
9,827 |
9,080 |
$302K |
| 82330 |
|
21,032 |
15,943 |
$296K |
| 64635 |
|
302 |
235 |
$294K |
| 93976 |
|
1,506 |
1,360 |
$291K |
| 10005 |
|
509 |
480 |
$286K |
| 90378 |
|
385 |
335 |
$283K |
| 64445 |
|
651 |
511 |
$282K |
| 72157 |
|
292 |
265 |
$281K |
| 95806 |
|
1,499 |
1,362 |
$280K |
| 77080 |
|
2,780 |
2,317 |
$280K |
| 90651 |
|
4,972 |
4,791 |
$279K |
| 74160 |
|
673 |
571 |
$277K |
| 42830 |
|
378 |
354 |
$275K |
| 76825 |
|
762 |
706 |
$273K |
| 52332 |
|
275 |
203 |
$262K |
| 58661 |
|
155 |
121 |
$262K |
| 75565 |
|
906 |
835 |
$261K |
| 95819 |
|
836 |
786 |
$258K |
| 86355 |
|
8,622 |
7,974 |
$258K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
11,732 |
10,542 |
$257K |
| 86357 |
|
8,581 |
7,981 |
$254K |
| 12011 |
|
2,050 |
1,891 |
$252K |
| 91200 |
|
2,266 |
2,078 |
$251K |
| 86900 |
|
34,709 |
28,118 |
$251K |
| 92611 |
|
1,937 |
1,699 |
$250K |
| 86703 |
|
16,773 |
15,005 |
$248K |
| 78830 |
|
262 |
215 |
$246K |
| J7120 |
Ringers lactate infusion |
92,554 |
71,462 |
$246K |
| 82607 |
|
19,819 |
18,350 |
$244K |
| 72050 |
|
1,657 |
1,437 |
$243K |
| 76820 |
|
1,922 |
1,569 |
$243K |
| 72110 |
|
1,429 |
1,279 |
$243K |
| J7030 |
Normal saline solution infus |
50,914 |
34,728 |
$240K |
| 82728 |
|
20,894 |
18,815 |
$240K |
| 99218 |
|
869 |
391 |
$238K |
| 36226 |
|
97 |
77 |
$238K |
| D1206 |
|
796 |
671 |
$236K |
| 76882 |
|
1,600 |
1,383 |
$233K |
| G0481 |
Drug test def 8-14 classes |
2,112 |
1,941 |
$228K |
| G0101 |
Ca screen;pelvic/breast exam |
5,824 |
5,096 |
$227K |
| 93296 |
|
6,056 |
5,584 |
$226K |
| 76937 |
|
4,086 |
3,459 |
$225K |
| 29125 |
|
2,449 |
2,080 |
$224K |
| 72190 |
|
1,985 |
1,700 |
$223K |
| 49650 |
|
92 |
82 |
$222K |
| 85730 |
|
31,011 |
26,663 |
$219K |
| 96409 |
|
2,300 |
974 |
$218K |
| 78306 |
|
511 |
414 |
$217K |
| 73521 |
|
1,797 |
1,644 |
$216K |
| 87624 |
|
7,545 |
6,705 |
$215K |
| 82784 |
|
15,787 |
14,333 |
$213K |
| 87070 |
|
17,022 |
13,967 |
$212K |
| 75635 |
|
452 |
395 |
$212K |
| 87077 |
|
20,115 |
17,160 |
$211K |
| 77387 |
|
1,714 |
211 |
$211K |
| 90715 |
|
10,215 |
9,388 |
$209K |
| 95909 |
|
968 |
930 |
$208K |
| 64447 |
|
538 |
415 |
$208K |
| 52000 |
|
466 |
431 |
$207K |
| 80069 |
|
21,248 |
15,046 |
$207K |
| 72070 |
|
2,161 |
1,890 |
$206K |
| 64721 |
|
151 |
132 |
$205K |
| 93880 |
|
961 |
873 |
$205K |
| 97162 |
|
3,560 |
3,001 |
$203K |
| A0427 |
Als1-emergency |
3,758 |
2,808 |
$202K |
| 96416 |
|
749 |
415 |
$201K |
| 82542 |
|
6,928 |
5,959 |
$200K |
| 73100 |
|
2,072 |
1,263 |
$196K |
| 84100 |
|
34,879 |
23,897 |
$195K |
| 83516 |
|
12,924 |
11,676 |
$192K |
| 86901 |
|
34,456 |
28,100 |
$190K |
| J3010 |
Fentanyl citrate injection |
91,920 |
65,311 |
$190K |
| 70355 |
|
2,503 |
2,112 |
$189K |
| 94618 |
|
1,687 |
1,426 |
$189K |
| 95712 |
|
413 |
382 |
$189K |
| J2997 |
Alteplase recombinant |
1,021 |
650 |
$184K |
| 86780 |
|
14,482 |
13,108 |
$183K |
| 77063 |
|
6,940 |
6,099 |
$181K |
| 88312 |
|
3,265 |
2,810 |
$181K |
| J7307 |
Etonogestrel implant system |
234 |
206 |
$179K |
| 88173 |
|
2,838 |
2,364 |
$178K |
| 77014 |
|
737 |
107 |
$176K |
| 97165 |
|
3,761 |
3,115 |
$175K |
| 77002 |
|
901 |
823 |
$174K |
| 54150 |
|
311 |
302 |
$174K |
| 64450 |
|
382 |
319 |
$174K |
| 64636 |
|
241 |
182 |
$174K |
| 87635 |
|
4,389 |
4,200 |
$173K |
| 73200 |
|
492 |
402 |
$173K |
| 87340 |
|
16,061 |
14,555 |
$172K |
| 87186 |
|
13,998 |
12,484 |
$169K |
| 93923 |
|
784 |
699 |
$169K |
| 86923 |
|
3,785 |
2,672 |
$169K |
| 74170 |
|
314 |
283 |
$168K |
| 88112 |
|
3,186 |
2,689 |
$168K |
| 72202 |
|
1,691 |
1,598 |
$165K |
| 88184 |
|
3,606 |
3,040 |
$164K |
| 92524 |
|
1,784 |
1,418 |
$161K |
| 87808 |
|
12,653 |
11,614 |
$161K |
| 87880 |
|
8,589 |
7,998 |
$158K |
| 86160 |
|
7,712 |
7,044 |
$158K |
| 80197 |
|
14,515 |
8,508 |
$158K |
| 62322 |
|
414 |
338 |
$157K |
| 73000 |
|
1,766 |
1,475 |
$157K |
| 51600 |
|
631 |
589 |
$155K |
| J0131 |
Inj, acetaminophen (nos) |
14,041 |
12,243 |
$155K |
| 84403 |
|
6,953 |
6,504 |
$154K |
| 12002 |
|
1,129 |
993 |
$153K |
| J2405 |
Ondansetron hcl injection |
99,191 |
73,349 |
$152K |
| 72146 |
|
205 |
187 |
$150K |
| 90670 |
|
6,617 |
6,368 |
$149K |
| 86762 |
|
8,378 |
7,432 |
$148K |
| 76818 |
|
756 |
497 |
$147K |
| 82570 |
|
26,342 |
23,665 |
$147K |
| 97016 |
|
5,486 |
1,635 |
$145K |
| 90750 |
|
1,387 |
1,320 |
$145K |
| 93922 |
|
1,150 |
988 |
$144K |
| G0279 |
Tomosynthesis, mammo |
6,690 |
5,569 |
$141K |
| 76827 |
|
754 |
705 |
$140K |
| 74240 |
|
786 |
722 |
$139K |
| 36593 |
|
632 |
415 |
$139K |
| 87081 |
|
14,664 |
13,537 |
$138K |
| 66984 |
|
196 |
139 |
$136K |
| 90686 |
|
20,773 |
19,785 |
$136K |
| C1781 |
Mesh (implantable) |
304 |
250 |
$136K |
| 64642 |
|
806 |
482 |
$135K |
| 27130 |
|
49 |
38 |
$134K |
| 73501 |
|
1,838 |
1,687 |
$134K |
| 87497 |
|
4,011 |
2,292 |
$133K |
| 74019 |
|
1,185 |
1,080 |
$132K |
| 88300 |
|
6,457 |
5,703 |
$130K |
| D1110 |
|
278 |
192 |
$130K |
| J9305 |
Inj. pemetrexed nos 10mg |
377 |
164 |
$129K |
| J0330 |
Succinycholine chloride inj |
15,006 |
12,225 |
$129K |
| 77012 |
|
558 |
470 |
$129K |
| 80305 |
|
8,685 |
4,597 |
$128K |
| 43762 |
|
419 |
361 |
$128K |
| 86706 |
|
12,333 |
11,254 |
$128K |
| C2617 |
Stent, non-cor, tem w/o del |
2,369 |
1,894 |
$128K |
| 72192 |
|
504 |
431 |
$127K |
| 82670 |
|
4,841 |
4,511 |
$127K |
| 77076 |
|
623 |
557 |
$127K |
| 96401 |
|
1,489 |
666 |
$125K |
| 87798 |
|
3,774 |
3,577 |
$125K |
| J0561 |
Penicillin g benzathine inj |
705 |
627 |
$124K |
| 82105 |
|
8,132 |
7,305 |
$124K |
| P9047 |
Albumin (human), 25%, 50ml |
1,526 |
735 |
$124K |
| C1788 |
Port, indwelling, imp |
550 |
486 |
$121K |
| T1019 |
Personal care ser per 15 min |
687 |
61 |
$121K |
| 21235 |
|
56 |
53 |
$120K |
| 87799 |
|
4,129 |
2,770 |
$120K |
| 95782 |
|
112 |
96 |
$120K |
| 88360 |
|
1,047 |
894 |
$120K |
| 85379 |
|
8,420 |
7,525 |
$119K |
| 97116 |
|
4,698 |
2,518 |
$117K |
| 88313 |
|
2,449 |
2,098 |
$117K |
| D2930 |
|
510 |
294 |
$116K |
| 83550 |
|
15,824 |
14,483 |
$114K |
| 29075 |
|
789 |
667 |
$114K |
| 92526 |
|
1,634 |
937 |
$112K |
| 80076 |
|
8,997 |
7,685 |
$111K |
| 62270 |
|
390 |
340 |
$111K |
| J9070 |
Cyclophosphamide 100 mg inj |
332 |
222 |
$111K |
| 72120 |
|
907 |
831 |
$111K |
| 88172 |
|
2,505 |
2,040 |
$111K |
| J0171 |
Adrenalin epinephrine inject |
7,368 |
5,756 |
$110K |
| 95811 |
|
127 |
115 |
$110K |
| 95910 |
|
414 |
398 |
$108K |
| 54640 |
|
68 |
64 |
$108K |
| 81374 |
|
1,788 |
1,632 |
$107K |
| 90697 |
|
6,100 |
5,943 |
$107K |
| 85652 |
|
29,607 |
26,580 |
$107K |
| G0008 |
Admin influenza virus vac |
7,932 |
7,246 |
$106K |
| 96450 |
|
377 |
278 |
$106K |
| 78264 |
|
226 |
200 |
$105K |
| 83615 |
|
17,279 |
13,286 |
$104K |
| 83001 |
|
5,631 |
5,263 |
$104K |
| G0379 |
Direct refer hospital observ |
977 |
878 |
$104K |
| J7040 |
Normal saline solution infus |
16,302 |
9,573 |
$103K |
| 64415 |
|
218 |
184 |
$101K |
| J1100 |
Dexamethasone sodium phos |
58,941 |
47,919 |
$99K |
| J2270 |
Morphine sulfate injection |
32,156 |
20,936 |
$98K |
| 95874 |
|
1,268 |
1,145 |
$95K |
| 92610 |
|
952 |
796 |
$95K |
| P9035 |
Platelet pheres leukoreduced |
208 |
95 |
$95K |
| Q0162 |
Ondansetron oral |
34,070 |
25,761 |
$95K |
| 42821 |
|
58 |
57 |
$94K |
| 86255 |
|
7,730 |
7,129 |
$94K |
| 86704 |
|
8,391 |
7,601 |
$93K |
| 97166 |
|
1,647 |
1,414 |
$92K |
| 25605 |
|
251 |
226 |
$92K |
| J9045 |
Carboplatin injection |
3,024 |
1,968 |
$92K |
| 86038 |
|
9,010 |
8,256 |
$91K |
| 88331 |
|
1,246 |
940 |
$91K |
| 95716 |
|
84 |
61 |
$91K |
| 86147 |
|
1,969 |
1,791 |
$90K |
| 83655 |
|
7,293 |
6,945 |
$89K |
| 86708 |
|
7,811 |
7,107 |
$89K |
| 97535 |
|
3,681 |
2,300 |
$89K |
| 77373 |
|
88 |
25 |
$89K |
| 96368 |
|
849 |
530 |
$89K |
| J3420 |
Vitamin b12 injection |
1,575 |
1,284 |
$88K |
| 20550 |
|
360 |
310 |
$87K |
| 84146 |
|
4,739 |
4,358 |
$87K |
| 93285 |
|
2,130 |
1,827 |
$87K |
| 92609 |
|
1,193 |
457 |
$87K |
| 99152 |
|
7,223 |
6,179 |
$86K |
| J0897 |
Denosumab injection |
62 |
55 |
$86K |
| P9040 |
Rbc leukoreduced irradiated |
627 |
342 |
$86K |
| 82947 |
|
13,828 |
10,392 |
$86K |
| 74328 |
|
390 |
324 |
$86K |
| 76001 |
|
408 |
313 |
$86K |
| 62370 |
|
564 |
376 |
$86K |
| 86376 |
|
6,886 |
6,481 |
$85K |
| 82746 |
|
6,987 |
6,468 |
$85K |
| J1885 |
Ketorolac tromethamine inj |
51,934 |
39,873 |
$85K |
| 36224 |
|
12 |
12 |
$84K |
| 87517 |
|
2,402 |
2,212 |
$84K |
| J9267 |
Paclitaxel injection |
2,443 |
1,252 |
$83K |
| 87483 |
|
285 |
270 |
$83K |
| 87205 |
|
13,372 |
11,544 |
$83K |
| 82378 |
|
3,867 |
3,389 |
$83K |
| C1760 |
Closure dev, vasc |
399 |
305 |
$83K |
| J2250 |
Inj midazolam hydrochloride |
50,610 |
40,269 |
$83K |
| 87653 |
|
2,325 |
2,145 |
$82K |
| 80050 |
|
1,971 |
1,895 |
$82K |
| 86800 |
|
5,279 |
4,943 |
$82K |
| J2785 |
Regadenoson injection |
636 |
566 |
$82K |
| J2710 |
Neostigmine methylslfte inj |
5,764 |
4,385 |
$82K |
| 38222 |
|
171 |
139 |
$81K |
| 29705 |
|
958 |
797 |
$79K |
| J2795 |
Ropivacaine hcl injection |
7,153 |
5,380 |
$79K |
| 82550 |
|
11,676 |
9,729 |
$78K |
| 78018 |
|
159 |
125 |
$77K |
| J1720 |
Hydrocortisone sodium succ i |
3,633 |
2,646 |
$75K |
| 31622 |
|
121 |
104 |
$75K |
| 92523 |
|
618 |
549 |
$75K |
| 93229 |
|
363 |
333 |
$74K |
| 86304 |
|
3,280 |
2,577 |
$73K |
| 96112 |
|
813 |
786 |
$72K |
| 81415 |
|
35 |
27 |
$72K |
| 88175 |
|
3,218 |
2,862 |
$71K |
| 86200 |
|
6,252 |
5,799 |
$70K |
| 74220 |
|
513 |
452 |
$70K |
| 84145 |
|
2,839 |
2,430 |
$70K |
| 29888 |
|
97 |
83 |
$69K |
| 20611 |
|
110 |
96 |
$69K |
| 64495 |
|
187 |
112 |
$68K |
| 82652 |
|
2,546 |
2,372 |
$68K |
| 73140 |
|
906 |
774 |
$67K |
| C1729 |
Cath, drainage |
1,411 |
1,078 |
$67K |
| J9310 |
Rituximab injection |
21 |
13 |
$66K |
| 87529 |
|
989 |
921 |
$66K |
| A4648 |
Implantable tissue marker |
989 |
840 |
$66K |
| Q9957 |
Inj perflutren lip micros,ml |
856 |
549 |
$66K |
| 82610 |
|
4,187 |
3,869 |
$65K |
| 88302 |
|
1,582 |
1,311 |
$65K |
| 77001 |
|
370 |
326 |
$64K |
| 90472 |
|
3,639 |
3,404 |
$64K |
| 82077 |
|
3,310 |
2,868 |
$64K |
| J0690 |
Cefazolin sodium injection |
34,272 |
24,814 |
$63K |
| 87102 |
|
5,122 |
4,308 |
$63K |
| 31652 |
|
66 |
49 |
$62K |
| J1170 |
Hydromorphone injection |
29,456 |
17,233 |
$62K |
| 84156 |
|
17,124 |
14,976 |
$62K |
| 86146 |
|
1,301 |
1,205 |
$62K |
| 84432 |
|
3,710 |
3,329 |
$62K |
| 43259 |
|
102 |
84 |
$61K |
| 83002 |
|
3,703 |
3,496 |
$60K |
| 54163 |
|
68 |
62 |
$60K |
| 87900 |
|
635 |
550 |
$60K |
| J2001 |
Lidocaine injection |
20,906 |
16,699 |
$59K |
| 70250 |
|
541 |
469 |
$59K |
| J8501 |
Oral aprepitant |
1,902 |
1,675 |
$59K |
| 49591 |
|
50 |
42 |
$59K |
| 47000 |
|
66 |
53 |
$59K |
| 62328 |
|
74 |
65 |
$58K |
| 89051 |
|
6,155 |
3,912 |
$58K |
| 95004 |
|
301 |
292 |
$58K |
| J1756 |
Iron sucrose injection |
1,523 |
687 |
$58K |
| P9612 |
Catheterize for urine spec |
4,292 |
3,323 |
$58K |
| 84600 |
|
2,943 |
2,438 |
$57K |
| 87088 |
|
6,497 |
5,980 |
$57K |
| 86003 |
|
1,623 |
1,491 |
$57K |
| J7060 |
5% dextrose/water |
5,037 |
2,629 |
$57K |
| 86701 |
|
5,833 |
4,801 |
$57K |
| 87661 |
|
2,187 |
2,070 |
$56K |
| 76885 |
|
252 |
240 |
$56K |
| 82043 |
|
10,869 |
10,086 |
$56K |
| 84134 |
|
4,700 |
3,986 |
$56K |
| 83520 |
|
2,623 |
2,333 |
$55K |
| 58300 |
|
135 |
105 |
$55K |
| 51701 |
|
815 |
746 |
$55K |
| J1453 |
Fosaprepitant injection |
185 |
119 |
$55K |
| J1050 |
Medroxyprogesterone acetate |
1,035 |
969 |
$55K |
| J3475 |
Inj magnesium sulfate |
15,584 |
8,282 |
$54K |
| 93786 |
|
442 |
429 |
$54K |
| 99153 |
Mod sedat endo service >5yrs |
5,372 |
4,445 |
$54K |
| G2066 |
Inter devc remote 30d |
2,209 |
1,859 |
$54K |
| 83540 |
|
10,156 |
9,464 |
$53K |
| 93356 |
|
1,176 |
920 |
$53K |
| 87181 |
|
3,014 |
2,617 |
$53K |
| G0108 |
Diab manage trn per indiv |
1,154 |
994 |
$53K |
| 86317 |
|
910 |
818 |
$52K |
| 82248 |
|
9,148 |
7,121 |
$52K |
| 82533 |
|
3,087 |
2,673 |
$52K |
| 82024 |
|
1,450 |
1,309 |
$51K |
| G0260 |
Inj for sacroiliac jt anesth |
104 |
99 |
$51K |
| 90739 |
|
496 |
463 |
$50K |
| 83993 |
|
2,822 |
2,602 |
$50K |
| 86592 |
|
11,710 |
10,576 |
$49K |
| 90632 |
|
1,004 |
905 |
$49K |
| 84402 |
|
2,294 |
2,134 |
$49K |
| 84550 |
|
10,485 |
8,870 |
$49K |
| J1650 |
Inj enoxaparin sodium |
20,915 |
6,028 |
$49K |
| A9500 |
Tc99m sestamibi |
1,170 |
993 |
$48K |
| 88309 |
|
399 |
305 |
$48K |
| 86945 |
|
906 |
400 |
$48K |
| 90620 |
|
1,203 |
1,178 |
$48K |
| 82977 |
|
7,865 |
6,372 |
$48K |
| 64400 |
|
246 |
217 |
$47K |
| 84480 |
|
3,742 |
3,488 |
$47K |
| 93451 |
|
28 |
25 |
$46K |
| J3370 |
Vancomycin hcl injection |
8,465 |
4,470 |
$46K |
| C1753 |
Cath, intravas ultrasound |
728 |
546 |
$46K |
| 84153 |
|
3,113 |
2,814 |
$46K |
| 82785 |
|
2,811 |
2,545 |
$46K |
| 95117 |
|
2,574 |
1,094 |
$46K |
| 88311 |
|
2,544 |
2,123 |
$45K |
| 88333 |
|
758 |
634 |
$45K |
| 63030 |
|
13 |
12 |
$45K |
| J1610 |
Glucagon hydrochloride/1 mg |
509 |
427 |
$45K |
| 82803 |
|
1,865 |
1,439 |
$44K |
| 86870 |
|
751 |
633 |
$44K |
| 87341 |
|
5,233 |
4,731 |
$43K |
| 93798 |
|
911 |
198 |
$43K |
| 85347 |
|
1,922 |
1,475 |
$43K |
| 87116 |
|
2,984 |
2,435 |
$41K |
| 85520 |
|
1,921 |
1,493 |
$41K |
| 87147 |
|
5,191 |
4,624 |
$41K |
| 97113 |
|
378 |
113 |
$40K |
| 96111 |
|
345 |
324 |
$40K |
| J8540 |
Oral dexamethasone |
17,232 |
10,737 |
$40K |
| 93299 |
|
1,202 |
1,135 |
$39K |
| 80143 |
|
2,202 |
1,866 |
$39K |
| 0296T |
|
528 |
477 |
$39K |
| 36590 |
|
42 |
38 |
$39K |
| 31628 |
|
93 |
66 |
$38K |
| 85046 |
|
6,791 |
5,608 |
$38K |
| J1644 |
Inj heparin sodium per 1000u |
21,841 |
8,020 |
$38K |
| 86431 |
|
7,580 |
7,024 |
$38K |
| 83498 |
|
1,531 |
1,443 |
$38K |
| J3480 |
Inj potassium chloride |
6,217 |
2,626 |
$37K |
| 81508 |
|
943 |
790 |
$37K |
| A0429 |
Bls-emergency |
605 |
517 |
$37K |
| 85007 |
|
7,735 |
5,566 |
$37K |
| V2632 |
Post chmbr intraocular lens |
407 |
329 |
$37K |
| 82140 |
|
2,452 |
2,049 |
$37K |
| Q0163 |
Diphenhydramine hcl 50mg |
5,418 |
3,866 |
$37K |
| 77280 |
|
159 |
120 |
$36K |
| J2930 |
Methylprednisolone injection |
3,660 |
2,821 |
$36K |
| J3301 |
Triamcinolone acet inj nos |
4,313 |
3,888 |
$36K |
| 99292 |
|
46 |
34 |
$35K |
| 97750 |
|
769 |
625 |
$35K |
| 27447 |
|
16 |
12 |
$34K |
| 80179 |
|
2,011 |
1,722 |
$34K |
| 29515 |
|
404 |
343 |
$34K |
| 43247 |
|
31 |
25 |
$34K |
| G0121 |
Colon ca scrn not hi rsk ind |
39 |
39 |
$34K |
| 86301 |
|
1,855 |
1,642 |
$33K |
| 72195 |
|
66 |
63 |
$33K |
| 60240 |
|
21 |
12 |
$33K |
| 87075 |
|
1,829 |
1,537 |
$33K |
| 85576 |
|
1,096 |
876 |
$33K |
| 82010 |
|
3,578 |
2,891 |
$33K |
| C9463 |
Injection, aprepitant |
148 |
94 |
$32K |
| 82627 |
|
1,704 |
1,597 |
$32K |
| G0283 |
Elec stim other than wound |
915 |
403 |
$32K |
| 74455 |
|
125 |
121 |
$32K |
| 73650 |
|
453 |
346 |
$32K |
| 43275 |
|
34 |
25 |
$32K |
| 84305 |
|
1,638 |
1,548 |
$32K |
| 36500 |
|
32 |
24 |
$32K |
| C8929 |
Tte w or wo fol wcon,doppler |
72 |
54 |
$31K |
| 97035 |
|
1,018 |
429 |
$31K |
| 84165 |
|
3,688 |
3,304 |
$31K |
| J1950 |
Leuprolide acetate /3.75 mg |
12 |
12 |
$31K |
| 83519 |
|
1,751 |
1,628 |
$31K |
| J9190 |
Fluorouracil injection |
1,580 |
686 |
$31K |
| 87184 |
|
3,879 |
3,446 |
$31K |
| 90732 |
|
562 |
488 |
$31K |
| J1030 |
Methylprednisolone 40 mg inj |
2,880 |
2,581 |
$31K |
| G0009 |
Admin pneumococcal vaccine |
2,213 |
2,029 |
$30K |
| D2391 |
|
151 |
87 |
$30K |
| 76604 |
|
514 |
453 |
$29K |
| Q5121 |
Inj. avsola, 10 mg |
15 |
12 |
$29K |
| 76982 |
|
479 |
395 |
$29K |
| 84450 |
|
5,240 |
4,393 |
$29K |
| 82950 |
|
6,230 |
5,823 |
$29K |
| 84460 |
|
5,343 |
4,502 |
$29K |
| 94760 |
|
2,714 |
2,018 |
$28K |
| 77062 |
|
560 |
479 |
$28K |
| 90647 |
|
3,847 |
3,620 |
$28K |
| 85384 |
|
2,280 |
1,770 |
$28K |
| 97802 |
|
1,075 |
1,012 |
$27K |
| J3240 |
Thyrotropin injection |
26 |
12 |
$27K |
| 80164 |
|
2,143 |
1,774 |
$27K |
| 97803 |
|
1,270 |
1,173 |
$27K |
| 82150 |
|
4,107 |
3,645 |
$27K |
| 88237 |
|
282 |
235 |
$27K |
| 20600 |
|
120 |
99 |
$27K |
| 97014 |
|
807 |
336 |
$27K |
| 83921 |
|
1,615 |
1,481 |
$27K |
| 99499 |
|
65 |
56 |
$27K |
| 84446 |
|
2,517 |
2,295 |
$27K |
| 86039 |
|
3,075 |
2,805 |
$26K |
| 84132 |
|
4,961 |
3,765 |
$26K |
| 69631 |
|
13 |
12 |
$26K |
| 96138 |
|
529 |
465 |
$26K |
| 84425 |
|
1,612 |
1,513 |
$25K |
| 91322 |
|
363 |
345 |
$25K |
| 71271 |
|
1,062 |
966 |
$25K |
| 86341 |
|
566 |
517 |
$24K |
| 90791 |
|
687 |
615 |
$24K |
| 84030 |
|
4,489 |
1,823 |
$24K |
| 90636 |
|
327 |
298 |
$24K |
| 80177 |
|
2,086 |
1,885 |
$24K |
| 11981 |
|
164 |
142 |
$23K |
| J3473 |
Hyaluronidase recombinant |
894 |
777 |
$23K |
| A9541 |
Tc99m sulfur colloid |
274 |
264 |
$23K |
| 87206 |
|
2,817 |
2,290 |
$23K |
| 74241 |
|
95 |
86 |
$23K |
| 94621 |
|
54 |
53 |
$23K |
| 83883 |
|
1,519 |
1,339 |
$23K |
| 87338 |
|
1,653 |
1,565 |
$23K |
| 86334 |
|
1,391 |
1,250 |
$23K |
| 92597 |
|
384 |
311 |
$22K |
| 85240 |
|
1,160 |
1,050 |
$22K |
| 85004 |
|
4,193 |
3,188 |
$22K |
| D2330 |
|
79 |
53 |
$22K |
| 29883 |
|
29 |
25 |
$22K |
| 46600 |
|
109 |
96 |
$22K |
| 64644 |
|
90 |
69 |
$22K |
| 84234 |
|
420 |
386 |
$22K |
| 77075 |
|
122 |
99 |
$22K |
| 88280 |
|
976 |
806 |
$22K |
| 70490 |
|
60 |
58 |
$22K |
| 82948 |
|
2,161 |
1,671 |
$22K |
| 85018 |
|
6,001 |
5,194 |
$21K |
| 64483 |
|
14 |
12 |
$21K |
| 82104 |
|
1,798 |
1,641 |
$21K |
| 84157 |
|
3,862 |
2,635 |
$21K |
| 86256 |
|
2,073 |
1,866 |
$21K |
| 31579 |
|
69 |
62 |
$21K |
| 85014 |
|
5,848 |
4,848 |
$21K |
| C1758 |
Catheter, ureteral |
1,550 |
1,235 |
$21K |
| 82103 |
|
1,884 |
1,720 |
$21K |
| 84590 |
|
2,344 |
2,139 |
$21K |
| 88275 |
|
137 |
105 |
$21K |
| 84270 |
|
1,100 |
1,019 |
$20K |
| 97018 |
|
1,218 |
560 |
$20K |
| 90734 |
|
2,994 |
2,931 |
$20K |
| 70545 |
|
44 |
36 |
$20K |
| 81479 |
|
226 |
181 |
$20K |
| J2370 |
Phenylephrine hcl injection |
6,354 |
4,606 |
$20K |
| 82088 |
|
592 |
541 |
$20K |
| 86665 |
|
762 |
696 |
$19K |
| 83021 |
|
1,070 |
912 |
$19K |
| 85246 |
|
893 |
830 |
$19K |
| L3808 |
Whfo, rigid w/o joints |
265 |
238 |
$19K |
| 20552 |
|
106 |
96 |
$19K |
| 90746 |
|
554 |
504 |
$19K |
| 84080 |
|
2,054 |
1,853 |
$18K |
| 88264 |
|
199 |
167 |
$18K |
| 93978 |
|
79 |
69 |
$18K |
| 84244 |
|
984 |
906 |
$18K |
| 87220 |
|
3,010 |
2,452 |
$18K |
| G0103 |
Psa screening |
1,374 |
1,262 |
$18K |
| 96402 |
|
267 |
190 |
$18K |
| S5102 |
Adult day care per diem |
159 |
47 |
$17K |
| J0295 |
Ampicillin sulbactam 1.5 gm |
5,225 |
2,061 |
$17K |
| J2543 |
Piperacillin/tazobactam |
6,176 |
2,253 |
$17K |
| 86709 |
|
2,580 |
2,318 |
$17K |
| 30520 |
|
12 |
12 |
$17K |
| J9263 |
Oxaliplatin |
599 |
350 |
$17K |
| 81596 |
|
457 |
428 |
$17K |
| 96523 |
|
423 |
285 |
$16K |
| 93243 |
|
169 |
132 |
$16K |
| 83020 |
|
1,562 |
1,316 |
$16K |
| 29105 |
|
196 |
184 |
$16K |
| J9370 |
Vincristine sulfate 1 mg inj |
2,593 |
1,762 |
$16K |
| 87285 |
|
2,259 |
2,073 |
$16K |
| J3489 |
Zoledronic acid 1mg |
712 |
612 |
$16K |
| J9060 |
Cisplatin 10 mg injection |
1,183 |
535 |
$16K |
| 99406 |
|
1,810 |
1,688 |
$16K |
| 20551 |
|
137 |
123 |
$16K |
| 91321 |
|
338 |
337 |
$16K |
| 80158 |
|
1,228 |
740 |
$16K |
| 82247 |
|
2,430 |
1,903 |
$16K |
| 93242 |
|
237 |
223 |
$15K |
| Q9958 |
Hocm <=149 mg/ml iodine, 1ml |
535 |
485 |
$15K |
| 87493 |
|
621 |
564 |
$15K |
| A9503 |
Tc99m medronate |
532 |
488 |
$15K |
| 82390 |
|
1,676 |
1,541 |
$15K |
| 85097 |
|
122 |
104 |
$15K |
| J1790 |
Droperidol injection |
6,235 |
5,365 |
$15K |
| 87106 |
|
1,451 |
1,287 |
$15K |
| 86705 |
|
2,744 |
2,486 |
$15K |
| 84481 |
|
1,015 |
936 |
$15K |
| A4565 |
Slings |
620 |
500 |
$15K |
| 90381 |
|
97 |
97 |
$15K |
| 76377 |
|
110 |
91 |
$15K |
| 82397 |
|
987 |
904 |
$15K |
| J1200 |
Diphenhydramine hcl injectio |
12,405 |
9,555 |
$15K |
| 82523 |
|
1,342 |
1,172 |
$15K |
| J0780 |
Prochlorperazine injection |
3,979 |
3,148 |
$15K |
| J2550 |
Promethazine hcl injection |
7,520 |
5,273 |
$15K |
| 81015 |
|
2,974 |
2,644 |
$15K |
| D7240 |
|
14 |
13 |
$15K |
| 95012 |
|
487 |
451 |
$14K |
| J9171 |
Docetaxel injection |
143 |
99 |
$14K |
| J1815 |
Insulin injection |
14,704 |
3,825 |
$14K |
| 82075 |
|
673 |
569 |
$14K |
| 90834 |
|
1,552 |
1,198 |
$14K |
| 69421 |
|
14 |
13 |
$14K |
| 43276 |
|
17 |
16 |
$14K |
| 84295 |
|
3,499 |
2,711 |
$14K |
| A9609 |
F18 fdg, 15 millicuries |
277 |
249 |
$14K |
| 87210 |
|
1,595 |
1,245 |
$14K |
| C1751 |
Cath, inf, per/cent/midline |
91 |
62 |
$14K |
| D1351 |
|
55 |
27 |
$13K |
| 87641 |
|
399 |
364 |
$13K |
| J2765 |
Metoclopramide hcl injection |
5,953 |
4,854 |
$13K |
| 86696 |
|
924 |
852 |
$13K |
| 64616 |
|
38 |
26 |
$13K |
| 93246 |
|
222 |
205 |
$13K |
| 97163 |
|
193 |
153 |
$13K |
| 96113 |
|
416 |
369 |
$13K |
| J2357 |
Omalizumab injection |
62 |
38 |
$13K |
| 97542 |
|
267 |
185 |
$13K |
| 74430 |
|
69 |
64 |
$13K |
| 87177 |
|
1,224 |
1,106 |
$13K |
| J0696 |
Ceftriaxone sodium injection |
11,209 |
8,404 |
$12K |
| J9201 |
In gemcitabine hcl nos 200mg |
831 |
387 |
$12K |
| 71552 |
|
12 |
12 |
$12K |
| 86777 |
|
1,142 |
946 |
$12K |
| 82164 |
|
923 |
855 |
$12K |
| 90710 |
|
3,870 |
3,783 |
$12K |
| 77061 |
|
428 |
350 |
$12K |
| 86308 |
|
1,419 |
1,333 |
$12K |
| G0010 |
Admin hepatitis b vaccine |
679 |
617 |
$12K |
| 88271 |
|
134 |
104 |
$11K |
| 90716 |
|
1,664 |
1,628 |
$11K |
| 90681 |
|
5,295 |
5,137 |
$11K |
| 83525 |
|
998 |
950 |
$11K |
| 82085 |
|
1,251 |
1,137 |
$11K |
| L3933 |
Fo w/o joints cf |
200 |
176 |
$11K |
| 82525 |
|
1,077 |
969 |
$11K |
| 80230 |
|
119 |
113 |
$11K |
| 83704 |
|
341 |
311 |
$11K |
| 69210 |
|
44 |
41 |
$11K |
| 87640 |
|
396 |
384 |
$11K |
| 82435 |
|
2,251 |
1,860 |
$11K |
| 86695 |
|
924 |
852 |
$11K |
| 83521 |
|
547 |
499 |
$11K |
| 90792 |
|
582 |
520 |
$11K |
| 82040 |
|
2,234 |
2,029 |
$10K |
| J1953 |
Levetiracetam injection |
2,196 |
1,586 |
$10K |
| 0399T |
|
352 |
284 |
$10K |
| 87511 |
|
356 |
344 |
$10K |
| 86644 |
|
784 |
687 |
$10K |
| 87176 |
|
1,205 |
985 |
$10K |
| 93926 |
|
52 |
49 |
$10K |
| 89230 |
|
185 |
129 |
$10K |
| 84207 |
|
468 |
440 |
$10K |
| 82232 |
|
643 |
569 |
$10K |
| 77077 |
|
164 |
133 |
$10K |
| J1642 |
Inj heparin sodium per 10 u |
13,139 |
7,305 |
$9K |
| 93925 |
|
48 |
39 |
$9K |
| 86769 |
|
339 |
308 |
$9K |
| 29086 |
|
102 |
87 |
$9K |
| A6212 |
Foam drg <=16 sq in w/border |
2,262 |
1,900 |
$9K |
| 83937 |
|
504 |
461 |
$9K |
| 84182 |
|
163 |
150 |
$9K |
| 78709 |
|
15 |
13 |
$9K |
| 73522 |
|
79 |
65 |
$9K |
| 81206 |
|
94 |
83 |
$9K |
| 74330 |
|
50 |
44 |
$9K |
| 73070 |
|
193 |
163 |
$9K |
| 64643 |
|
54 |
50 |
$9K |
| D2392 |
|
36 |
25 |
$9K |
| G0109 |
Diab manage trn ind/group |
232 |
216 |
$9K |
| 80299 |
|
483 |
426 |
$9K |
| 85245 |
|
467 |
438 |
$9K |
| 41874 |
|
31 |
12 |
$9K |
| 96139 |
|
94 |
74 |
$8K |
| 84252 |
|
479 |
471 |
$8K |
| G0451 |
Devlopment test interpt&rep |
202 |
199 |
$8K |
| 83721 |
|
2,152 |
2,062 |
$8K |
| 86612 |
|
534 |
493 |
$8K |
| 83010 |
|
581 |
439 |
$8K |
| 70360 |
|
101 |
93 |
$8K |
| 82945 |
|
1,733 |
1,553 |
$8K |
| 90461 |
|
3,189 |
2,941 |
$8K |
| 86698 |
|
280 |
242 |
$8K |
| 86364 |
|
2,463 |
2,399 |
$8K |
| 87015 |
|
1,465 |
1,047 |
$8K |
| 87901 |
|
33 |
30 |
$8K |
| J9000 |
Doxorubicin hcl injection |
355 |
218 |
$8K |
| 85613 |
|
906 |
810 |
$8K |
| 96133 |
|
116 |
97 |
$8K |
| 95165 |
|
15 |
14 |
$8K |
| 77332 |
|
39 |
24 |
$8K |
| A9520 |
Tc99 tilmanocept diag 0.5mci |
27 |
26 |
$8K |
| 85049 |
|
1,205 |
789 |
$7K |
| 86787 |
|
685 |
646 |
$7K |
| 74022 |
|
85 |
72 |
$7K |
| 70544 |
|
14 |
13 |
$7K |
| J9206 |
Irinotecan injection |
298 |
157 |
$7K |
| 82310 |
|
1,340 |
1,166 |
$7K |
| G8989 |
Self care d/c status |
193 |
142 |
$7K |
| 87350 |
|
688 |
641 |
$7K |
| H2017 |
Psysoc rehab svc, per 15 min |
82 |
38 |
$7K |
| 87385 |
|
487 |
449 |
$7K |
| 69209 |
|
60 |
49 |
$7K |
| 82810 |
|
470 |
385 |
$7K |
| 75809 |
|
58 |
54 |
$7K |
| 86593 |
|
1,689 |
1,562 |
$7K |
| 76886 |
|
40 |
35 |
$7K |
| 20605 |
|
29 |
24 |
$7K |
| C9113 |
Inj pantoprazole sodium, via |
2,410 |
1,222 |
$7K |
| C1730 |
Cath, ep, 19 or few elect |
19 |
13 |
$7K |
| J1020 |
Methylprednisolone 20 mg inj |
649 |
601 |
$7K |
| J1580 |
Garamycin gentamicin inj |
1,554 |
1,039 |
$7K |
| J3411 |
Thiamine hcl 100 mg |
1,854 |
972 |
$7K |
| 83835 |
|
459 |
427 |
$7K |
| 86694 |
|
509 |
474 |
$6K |
| 86707 |
|
632 |
584 |
$6K |
| 86682 |
|
627 |
580 |
$6K |
| 90837 |
|
1,254 |
950 |
$6K |
| 73010 |
|
73 |
57 |
$6K |
| 97167 |
|
75 |
62 |
$6K |
| 89050 |
|
722 |
561 |
$6K |
| L3913 |
Hfo w/o joints cf |
84 |
76 |
$6K |
| 82787 |
|
365 |
341 |
$6K |
| 82139 |
|
349 |
290 |
$6K |
| G0297 |
Ldct for lung ca screen |
278 |
265 |
$6K |
| 73503 |
|
56 |
53 |
$6K |
| A0428 |
Bls |
1,266 |
788 |
$6K |
| 82340 |
|
1,173 |
1,047 |
$6K |
| A9270 |
Non-covered item or service |
7,805 |
4,538 |
$6K |
| 81243 |
|
142 |
120 |
$6K |
| 90662 |
|
586 |
476 |
$6K |
| 86381 |
|
470 |
443 |
$6K |
| J2920 |
Methylprednisolone injection |
1,656 |
1,286 |
$6K |
| 16020 |
|
44 |
41 |
$6K |
| J0461 |
Atropine sulfate injection |
1,517 |
1,171 |
$6K |
| J9074 |
Inj, cyclophosphamd, sandoz |
33 |
18 |
$6K |
| 84155 |
|
2,414 |
2,129 |
$6K |
| 80171 |
|
311 |
293 |
$5K |
| 43244 |
|
12 |
12 |
$5K |
| 82951 |
|
443 |
411 |
$5K |
| 86331 |
|
365 |
348 |
$5K |
| 90707 |
|
1,278 |
1,253 |
$5K |
| 78999 |
|
18 |
15 |
$5K |
| J1010 |
Inj, methylpred acetate 1 mg |
586 |
541 |
$5K |
| 86606 |
|
270 |
233 |
$5K |
| 78300 |
|
13 |
12 |
$5K |
| 86403 |
|
576 |
512 |
$5K |
| 0081A |
|
208 |
203 |
$5K |
| 87305 |
|
485 |
246 |
$5K |
| 84520 |
|
1,361 |
884 |
$5K |
| 72080 |
|
44 |
38 |
$5K |
| L0172 |
Cerv col sr foam 2pc pre ots |
295 |
173 |
$5K |
| 76506 |
|
27 |
26 |
$5K |
| 97033 |
|
149 |
65 |
$5K |
| 90480 |
|
399 |
387 |
$5K |
| 91010 |
|
13 |
12 |
$5K |
| J0360 |
Hydralazine hcl injection |
1,820 |
1,318 |
$5K |
| 82365 |
|
453 |
386 |
$5K |
| L1832 |
Ko adj jnt pos r sup pre cst |
138 |
108 |
$5K |
| 86905 |
|
60 |
54 |
$5K |
| 84630 |
|
571 |
519 |
$5K |
| 84597 |
|
449 |
422 |
$5K |
| D2331 |
|
25 |
15 |
$5K |
| 80349 |
|
270 |
263 |
$5K |
| 86635 |
|
245 |
209 |
$5K |
| 98927 |
|
274 |
241 |
$5K |
| Q0177 |
Hydroxyzine pamoate 25mg |
4,218 |
3,139 |
$5K |
| 74175 |
|
17 |
15 |
$5K |
| 87071 |
|
483 |
374 |
$4K |
| 51702 |
|
61 |
53 |
$4K |
| 86258 |
|
318 |
312 |
$4K |
| 98929 |
|
222 |
204 |
$4K |
| 87481 |
|
35 |
35 |
$4K |
| A9551 |
Tc99m succimer |
16 |
15 |
$4K |
| P9041 |
Albumin (human),5%, 50ml |
84 |
58 |
$4K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
1,008 |
889 |
$4K |
| 84300 |
|
882 |
734 |
$4K |
| 71101 |
|
30 |
28 |
$4K |
| 43249 |
|
17 |
12 |
$4K |
| M0245 |
Bamlan and etesev infusion |
13 |
13 |
$4K |
| 96127 |
|
430 |
417 |
$4K |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
3,137 |
2,857 |
$4K |
| 86021 |
|
276 |
240 |
$4K |
| A9562 |
Tc99m mertiatide |
12 |
12 |
$4K |
| 96130 |
|
94 |
86 |
$4K |
| H0038 |
Self-help/peer svc per 15min |
39 |
13 |
$4K |
| 82657 |
|
173 |
160 |
$4K |
| 11102 |
|
28 |
28 |
$4K |
| 87905 |
|
309 |
294 |
$4K |
| J2310 |
Inj naloxone hydrochloride |
304 |
232 |
$4K |
| 90380 |
|
45 |
42 |
$3K |
| T1017 |
Targeted case management |
63 |
45 |
$3K |
| U0005 |
Infec agen detec ampli probe |
5,037 |
4,485 |
$3K |
| 76981 |
|
59 |
57 |
$3K |
| C2625 |
Stent, non-cor, tem w/del sy |
16 |
13 |
$3K |
| 11104 |
|
14 |
13 |
$3K |
| 84681 |
|
186 |
178 |
$3K |
| 86036 |
|
407 |
389 |
$3K |
| 10022 |
|
15 |
12 |
$3K |
| 12013 |
|
28 |
27 |
$3K |
| 81050 |
|
786 |
676 |
$3K |
| J1956 |
Levofloxacin injection |
1,938 |
1,560 |
$3K |
| 86363 |
|
98 |
87 |
$3K |
| 99407 |
|
246 |
238 |
$3K |
| 82955 |
|
458 |
396 |
$3K |
| 84478 |
|
429 |
270 |
$3K |
| 64405 |
|
12 |
12 |
$3K |
| 85660 |
|
492 |
394 |
$3K |
| 90633 |
|
5,964 |
5,839 |
$3K |
| 90696 |
|
2,464 |
2,428 |
$3K |
| J2060 |
Lorazepam injection |
4,515 |
3,363 |
$3K |
| 80175 |
|
269 |
251 |
$3K |
| 17250 |
|
28 |
25 |
$3K |
| 81220 |
|
18 |
13 |
$3K |
| 87209 |
|
223 |
207 |
$3K |
| 97760 |
|
73 |
53 |
$3K |
| 97168 |
|
95 |
82 |
$3K |
| J7510 |
Prednisolone oral per 5 mg |
1,488 |
1,206 |
$3K |
| 88344 |
|
15 |
12 |
$3K |
| 96132 |
|
30 |
28 |
$3K |
| 86352 |
|
16 |
14 |
$3K |
| 20526 |
|
14 |
13 |
$3K |
| 87502 |
|
28 |
27 |
$3K |
| 86922 |
|
50 |
38 |
$3K |
| J7512 |
Prednisone ir or dr oral 1mg |
5,011 |
2,906 |
$3K |
| J1040 |
Methylprednisolone 80 mg inj |
369 |
341 |
$3K |
| J0692 |
Cefepime hcl for injection |
729 |
213 |
$3K |
| J7070 |
D5w infusion |
19 |
13 |
$3K |
| 93750 |
|
31 |
14 |
$2K |
| 96137 |
|
81 |
70 |
$2K |
| 80325 |
|
127 |
121 |
$2K |
| 82180 |
|
333 |
314 |
$2K |
| 86141 |
|
200 |
191 |
$2K |
| 90700 |
|
2,375 |
2,321 |
$2K |
| 76983 |
|
100 |
87 |
$2K |
| 99151 |
|
136 |
131 |
$2K |
| J0688 |
Inj cefazolin sodium, hikma |
3,232 |
2,501 |
$2K |
| 86645 |
|
133 |
129 |
$2K |
| 86008 |
|
101 |
101 |
$2K |
| 76098 |
|
18 |
12 |
$2K |
| 82270 |
|
513 |
465 |
$2K |
| 80346 |
|
125 |
116 |
$2K |
| J2919 |
Inj, methylpred sod succ 5mg |
567 |
453 |
$2K |
| 85612 |
|
134 |
132 |
$2K |
| 83789 |
|
138 |
113 |
$2K |
| 84466 |
|
189 |
176 |
$2K |
| G0237 |
Therapeutic procd strg endur |
67 |
41 |
$2K |
| J1630 |
Haloperidol injection |
907 |
688 |
$2K |
| 86162 |
|
114 |
103 |
$2K |
| J1940 |
Furosemide injection |
2,097 |
1,433 |
$2K |
| J0137 |
Inj, acetaminophen (hikma) |
791 |
708 |
$2K |
| 88365 |
|
26 |
25 |
$2K |
| 87804 |
|
112 |
101 |
$2K |
| 29065 |
|
13 |
13 |
$2K |
| 84075 |
|
452 |
402 |
$2K |
| L4350 |
Ankle control ortho pre ots |
265 |
218 |
$2K |
| J1171 |
Inj, hydromorphone, 0.1 mg |
809 |
527 |
$2K |
| 36600 |
|
68 |
59 |
$2K |
| 90698 |
|
974 |
949 |
$2K |
| T1016 |
Case management |
29 |
16 |
$2K |
| J2272 |
Inj, morphine (fresenius) |
1,420 |
1,172 |
$2K |
| 82952 |
|
443 |
411 |
$2K |
| 88262 |
|
14 |
14 |
$2K |
| J2003 |
Inj, lidocaine hcl, 1 mg |
2,385 |
1,855 |
$2K |
| 96131 |
|
37 |
36 |
$2K |
| 36416 |
|
281 |
257 |
$2K |
| 84591 |
|
158 |
108 |
$2K |
| 0556T |
|
46 |
38 |
$2K |
| 86053 |
|
34 |
32 |
$1K |
| 96377 |
|
82 |
51 |
$1K |
| J0694 |
Cefoxitin sodium injection |
328 |
141 |
$1K |
| 80203 |
|
130 |
123 |
$1K |
| 88230 |
|
12 |
12 |
$1K |
| 90656 |
|
336 |
336 |
$1K |
| 94761 |
|
50 |
47 |
$1K |
| 95970 |
|
13 |
12 |
$1K |
| 83003 |
|
78 |
72 |
$1K |
| 80348 |
|
57 |
51 |
$1K |
| S5170 |
Homedelivered prepared meal |
25 |
25 |
$1K |
| 87449 |
|
105 |
81 |
$1K |
| J2371 |
Inj phenylephrine hcl 20 mcg |
1,879 |
1,646 |
$1K |
| 80183 |
|
117 |
110 |
$1K |
| 90853 |
|
577 |
318 |
$1K |
| J7042 |
5% dextrose/normal saline |
419 |
329 |
$1K |
| G8979 |
Mobility goal status |
1,117 |
876 |
$1K |
| 82017 |
|
69 |
64 |
$1K |
| 85390 |
|
17 |
12 |
$1K |
| 80353 |
|
54 |
52 |
$1K |
| 88334 |
|
47 |
41 |
$1K |
| 83930 |
|
212 |
181 |
$1K |
| S5161 |
Emer rspns sys serv permonth |
410 |
409 |
$1K |
| 86765 |
|
129 |
124 |
$1K |
| J9250 |
Methotrexate sodium inj |
920 |
504 |
$1K |
| 90733 |
|
16 |
15 |
$1K |
| 86880 |
|
68 |
61 |
$1K |
| 87512 |
|
40 |
40 |
$1K |
| 96136 |
|
82 |
71 |
$1K |
| 80354 |
|
63 |
60 |
$1K |
| 83090 |
|
54 |
51 |
$1K |
| 85549 |
|
56 |
54 |
$970.47 |
| G9171 |
Voice current status |
297 |
203 |
$965.33 |
| J1805 |
Inj, esmolol hcl, 10mg |
208 |
181 |
$951.36 |
| 82595 |
|
157 |
144 |
$950.69 |
| 84445 |
|
28 |
26 |
$919.08 |
| 86735 |
|
101 |
97 |
$907.36 |
| 90680 |
|
14 |
14 |
$882.03 |
| 85300 |
|
84 |
63 |
$814.85 |
| 87185 |
|
172 |
152 |
$811.14 |
| 82172 |
|
50 |
39 |
$794.82 |
| J1920 |
Inj, labetalol hcl, 5mg |
414 |
329 |
$794.02 |
| G8980 |
Mobility d/c status |
309 |
247 |
$786.56 |
| 90832 |
|
277 |
216 |
$768.17 |
| G8985 |
Carry goal status |
297 |
248 |
$759.68 |
| J0736 |
Inj, clindamycin phosp 300mg |
125 |
102 |
$708.63 |
| P9045 |
Albumin (human), 5%, 250 ml |
16 |
14 |
$705.29 |
| A4306 |
Drug delivery system <=50 ml |
30 |
26 |
$692.90 |
| 82157 |
|
26 |
24 |
$679.91 |
| 94664 |
|
25 |
25 |
$677.66 |
| 86316 |
|
42 |
37 |
$640.11 |
| 29130 |
|
14 |
14 |
$638.00 |
| 82438 |
|
152 |
105 |
$626.27 |
| 80178 |
|
88 |
73 |
$622.01 |
| 84166 |
|
44 |
38 |
$612.82 |
| 80201 |
|
39 |
37 |
$608.79 |
| 87426 |
|
26 |
18 |
$608.40 |
| G8978 |
Mobility current status |
1,221 |
888 |
$579.71 |
| 96380 |
|
137 |
134 |
$578.39 |
| 93280 |
|
15 |
13 |
$575.02 |
| 83935 |
|
99 |
91 |
$533.38 |
| 77091 |
|
43 |
38 |
$529.85 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
978 |
847 |
$522.60 |
| J3360 |
Diazepam injection |
33 |
25 |
$519.46 |
| 80361 |
|
20 |
20 |
$504.35 |
| J0737 |
Inj, clindamycin (baxter) |
196 |
159 |
$495.17 |
| L4360 |
Pneumat walking boot pre cst |
17 |
14 |
$484.95 |
| J7611 |
Albuterol non-comp con |
30 |
26 |
$484.05 |
| 86664 |
|
37 |
36 |
$463.08 |
| 80195 |
|
53 |
36 |
$452.11 |
| G8987 |
Self care current status |
434 |
297 |
$443.56 |
| Q0164 |
Prochlorperazine maleate 5mg |
585 |
247 |
$435.69 |
| J1626 |
Granisetron hcl injection |
313 |
205 |
$412.29 |
| 84105 |
|
77 |
68 |
$390.18 |
| A9537 |
Tc99m mebrofenin |
12 |
12 |
$389.60 |
| 86618 |
|
25 |
25 |
$386.78 |
| 0346T |
|
21 |
14 |
$386.75 |
| 90744 |
|
361 |
345 |
$383.33 |
| 99443 |
|
22 |
18 |
$375.01 |
| 85598 |
|
31 |
27 |
$361.38 |
| 85303 |
|
29 |
26 |
$354.75 |
| 92504 |
|
19 |
18 |
$353.85 |
| 84154 |
|
27 |
25 |
$353.74 |
| 80202 |
|
21 |
12 |
$346.49 |
| 86617 |
|
13 |
13 |
$335.03 |
| 98928 |
|
13 |
12 |
$332.07 |
| 96119 |
|
15 |
13 |
$329.76 |
| 80235 |
|
26 |
25 |
$325.94 |
| A9561 |
Tc99m oxidronate |
12 |
12 |
$303.46 |
| 82375 |
|
18 |
15 |
$299.94 |
| J9260 |
Inj methotrexate sodium 50mg |
144 |
91 |
$292.96 |
| 90648 |
|
1,268 |
1,242 |
$282.21 |
| J0612 |
Inj, calcium gluconate, nos |
24 |
12 |
$260.00 |
| 85306 |
|
20 |
15 |
$256.87 |
| J9181 |
Etoposide injection |
38 |
13 |
$254.31 |
| 82668 |
|
15 |
13 |
$250.56 |
| 83916 |
|
13 |
13 |
$247.94 |
| 86702 |
|
48 |
41 |
$243.47 |
| 86692 |
|
12 |
12 |
$241.56 |
| 86231 |
|
29 |
29 |
$235.63 |
| 84163 |
|
16 |
13 |
$233.38 |
| L1830 |
Ko immob canvas long pre ots |
39 |
26 |
$230.97 |
| 84144 |
|
13 |
13 |
$226.33 |
| J0574 |
Bupren/nal 6.1 to 10mg bupre |
70 |
35 |
$217.59 |
| J2470 |
Inj pantoprazole sodium 40mg |
162 |
89 |
$212.63 |
| 82775 |
|
13 |
12 |
$210.70 |
| 96381 |
|
44 |
44 |
$203.16 |
| 82379 |
|
14 |
13 |
$202.44 |
| 90619 |
|
15 |
15 |
$197.57 |
| 85999 |
|
59 |
41 |
$189.75 |
| G8998 |
Swallow d/c status |
264 |
231 |
$168.00 |
| 83873 |
|
12 |
12 |
$152.03 |
| 82272 |
|
44 |
43 |
$147.01 |
| 87899 |
|
15 |
14 |
$145.68 |
| Q0169 |
Promethazine hcl 12.5mg oral |
1,088 |
741 |
$131.92 |
| G8988 |
Self care goal status |
431 |
296 |
$125.23 |
| 86663 |
|
13 |
12 |
$124.41 |
| 82042 |
|
18 |
13 |
$123.68 |
| 98926 |
|
14 |
13 |
$108.60 |
| 86580 |
|
21 |
14 |
$102.48 |
| 88177 |
|
14 |
13 |
$98.29 |
| G8984 |
Carry current status |
301 |
245 |
$90.29 |
| J2598 |
Inj, vasopressin, 1 unit |
49 |
40 |
$82.23 |
| 90713 |
|
26 |
25 |
$76.68 |
| A0433 |
Als 2 |
38 |
27 |
$66.44 |
| J1836 |
Inj, metronidazole, 10 mg |
26 |
13 |
$63.24 |
| A0426 |
Als 1 |
20 |
12 |
$57.53 |
| 90474 |
|
24 |
24 |
$50.94 |
| J2305 |
Inj, nitroglycerin, 5 mg |
149 |
129 |
$44.21 |
| J2274 |
Inj morphine pf epid ithc |
21 |
16 |
$43.73 |
| G8996 |
Swallow current status |
424 |
327 |
$43.35 |
| 0054A |
|
13 |
13 |
$40.03 |
| 90833 |
|
16 |
13 |
$33.50 |
| J2720 |
Inj protamine sulfate/10 mg |
18 |
12 |
$30.98 |
| G9174 |
Speech lang current status |
62 |
36 |
$27.96 |
| 85008 |
|
35 |
31 |
$17.71 |
| J2469 |
Palonosetron hcl |
13 |
13 |
$7.74 |
| J7613 |
Albuterol non-comp unit |
30 |
24 |
$5.92 |
| J0697 |
Sterile cefuroxime injection |
14 |
12 |
$1.34 |
| G8997 |
Swallow goal status |
406 |
321 |
$0.84 |
| Q0220 |
Tixagev and cilgav, 300mg |
137 |
105 |
$0.00 |
| G9176 |
Speech lang d/c status |
22 |
12 |
$0.00 |
| G8981 |
Body pos current status |
39 |
26 |
$0.00 |
| G9175 |
Speech lang goal status |
37 |
24 |
$0.00 |
| G9173 |
Voice d/c status |
133 |
110 |
$0.00 |
| G9172 |
Voice goal status |
238 |
194 |
$0.00 |
| G8982 |
Body pos goal status |
39 |
26 |
$0.00 |
| 90723 |
|
15 |
15 |
$0.00 |