| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
230,686 |
203,467 |
$25.93M |
| 99214 |
|
140,567 |
126,278 |
$15.79M |
| 90791 |
|
10,591 |
9,649 |
$6.45M |
| H0020 |
Alcohol and/or drug services |
182,040 |
11,690 |
$4.99M |
| 96361 |
|
18,739 |
15,620 |
$4.53M |
| 99284 |
|
28,774 |
27,064 |
$4.33M |
| 99285 |
|
26,551 |
24,421 |
$4.12M |
| 99283 |
|
23,074 |
21,142 |
$3.63M |
| G2067 |
Med assist tx meth wk |
15,785 |
4,590 |
$3.29M |
| 90832 |
|
26,044 |
17,894 |
$2.89M |
| 97110 |
|
52,397 |
16,408 |
$2.72M |
| 99203 |
|
23,546 |
23,353 |
$2.70M |
| U0003 |
Cov-19 amp prb hgh thruput |
35,485 |
32,935 |
$2.68M |
| 74177 |
|
7,748 |
7,491 |
$2.63M |
| 80053 |
|
117,321 |
101,069 |
$2.45M |
| 70450 |
|
7,820 |
7,545 |
$2.33M |
| G9005 |
Mccd, risk adj, maintenance |
7,239 |
7,239 |
$2.07M |
| 43239 |
|
2,766 |
2,761 |
$2.03M |
| 96365 |
|
12,938 |
9,610 |
$1.95M |
| 99212 |
|
15,957 |
15,319 |
$1.82M |
| 99392 |
|
14,747 |
14,742 |
$1.67M |
| 99391 |
|
14,112 |
13,306 |
$1.64M |
| 59025 |
|
10,228 |
4,773 |
$1.60M |
| 99204 |
|
13,404 |
13,275 |
$1.56M |
| 90834 |
|
11,372 |
7,597 |
$1.54M |
| 99393 |
|
12,766 |
12,724 |
$1.50M |
| 99395 |
|
12,259 |
12,157 |
$1.41M |
| 87651 |
|
29,096 |
26,279 |
$1.25M |
| 74176 |
|
3,642 |
3,557 |
$1.21M |
| 99396 |
|
10,219 |
10,111 |
$1.17M |
| H0005 |
Alcohol and/or drug services |
19,023 |
4,868 |
$1.17M |
| 45380 |
|
1,381 |
1,380 |
$1.07M |
| 99394 |
|
8,926 |
8,907 |
$1.05M |
| 80307 |
|
23,190 |
19,691 |
$1.03M |
| 96360 |
|
4,590 |
4,195 |
$921K |
| 97140 |
|
34,618 |
11,869 |
$890K |
| 99282 |
|
5,763 |
5,564 |
$890K |
| 87635 |
|
18,966 |
17,771 |
$855K |
| 97112 |
|
18,870 |
6,097 |
$838K |
| 93306 |
|
2,792 |
2,786 |
$792K |
| 45385 |
|
1,084 |
1,082 |
$773K |
| H0001 |
Alcohol and/or drug assess |
4,931 |
4,029 |
$747K |
| 71275 |
|
2,041 |
1,994 |
$724K |
| 0241U |
|
5,250 |
5,017 |
$697K |
| H0004 |
Alcohol and/or drug services |
13,827 |
7,913 |
$678K |
| 99215 |
Prolong outpt/office vis |
5,771 |
5,624 |
$662K |
| J9271 |
Inj pembrolizumab |
76 |
62 |
$641K |
| 87491 |
|
20,101 |
19,739 |
$641K |
| 87637 |
|
5,380 |
5,144 |
$628K |
| 97161 |
|
6,670 |
6,566 |
$618K |
| 99281 |
|
3,912 |
3,767 |
$589K |
| 20610 |
|
2,209 |
2,166 |
$542K |
| 96366 |
|
3,452 |
2,443 |
$498K |
| 93970 |
|
1,069 |
1,055 |
$494K |
| 90853 |
|
6,517 |
1,471 |
$492K |
| 12001 |
|
1,109 |
1,093 |
$473K |
| 90686 |
|
21,637 |
21,362 |
$456K |
| 76770 |
|
1,674 |
1,653 |
$442K |
| 87591 |
|
20,112 |
19,753 |
$425K |
| 96413 |
|
3,296 |
2,165 |
$422K |
| S9480 |
Intensive outpatient psychia |
3,612 |
693 |
$413K |
| 80061 |
|
27,723 |
27,639 |
$408K |
| 96372 |
|
26,634 |
21,247 |
$407K |
| 77067 |
|
5,293 |
5,286 |
$400K |
| 97530 |
|
13,645 |
4,732 |
$400K |
| 99202 |
|
3,423 |
3,408 |
$395K |
| 88305 |
|
8,439 |
7,968 |
$385K |
| 88175 |
|
13,493 |
13,473 |
$381K |
| 45378 |
|
427 |
425 |
$381K |
| 84443 |
|
34,498 |
33,898 |
$378K |
| 82306 |
|
13,209 |
13,170 |
$378K |
| 76815 |
|
5,406 |
4,325 |
$373K |
| 96110 |
|
2,761 |
2,760 |
$366K |
| 76830 |
|
5,072 |
5,023 |
$356K |
| 17110 |
|
1,350 |
1,264 |
$348K |
| 76816 |
|
6,217 |
5,622 |
$340K |
| 86900 |
|
9,731 |
9,213 |
$336K |
| 87631 |
|
5,006 |
4,892 |
$326K |
| 78452 |
|
677 |
586 |
$325K |
| H0037 |
Comm psy sup tx pgm per diem |
297 |
263 |
$321K |
| 76817 |
|
3,220 |
2,639 |
$311K |
| G0463 |
Hospital outpt clinic visit |
7,955 |
5,901 |
$303K |
| 87502 |
|
5,348 |
4,864 |
$280K |
| 76856 |
|
1,140 |
1,131 |
$276K |
| 87661 |
|
12,008 |
11,860 |
$276K |
| 96415 |
|
780 |
628 |
$272K |
| 76700 |
|
1,417 |
1,414 |
$270K |
| 90715 |
|
9,499 |
9,485 |
$246K |
| 87624 |
|
8,268 |
8,246 |
$243K |
| 85025 |
|
82,516 |
70,684 |
$223K |
| 90837 |
|
1,716 |
1,171 |
$219K |
| 72131 |
|
977 |
966 |
$217K |
| 76819 |
|
3,051 |
1,572 |
$216K |
| 72148 |
|
767 |
767 |
$212K |
| 36415 |
|
42,923 |
33,819 |
$208K |
| 95810 |
|
294 |
294 |
$207K |
| 70553 |
|
551 |
548 |
$202K |
| 90648 |
|
10,242 |
10,237 |
$202K |
| 90750 |
|
1,415 |
1,414 |
$199K |
| 90651 |
|
4,620 |
4,605 |
$198K |
| C9803 |
Hopd covid-19 spec collect |
9,734 |
9,043 |
$196K |
| 86850 |
|
9,349 |
8,955 |
$194K |
| 76705 |
|
2,971 |
2,923 |
$192K |
| 99385 |
|
1,617 |
1,612 |
$187K |
| 80048 |
|
11,507 |
10,346 |
$180K |
| 87633 |
|
2,790 |
2,734 |
$177K |
| 70551 |
|
603 |
601 |
$173K |
| 90723 |
|
8,342 |
8,338 |
$168K |
| 76805 |
|
2,301 |
2,299 |
$164K |
| 87798 |
|
4,460 |
3,920 |
$163K |
| 20611 |
|
374 |
364 |
$157K |
| 92567 |
|
2,256 |
2,255 |
$155K |
| 87486 |
|
3,673 |
3,597 |
$149K |
| 90680 |
|
7,407 |
7,405 |
$149K |
| 73721 |
|
526 |
515 |
$147K |
| 70491 |
|
529 |
523 |
$145K |
| 64493 |
|
207 |
200 |
$145K |
| 86480 |
|
2,520 |
2,511 |
$144K |
| 86901 |
|
9,775 |
9,229 |
$135K |
| 83036 |
|
20,895 |
18,979 |
$132K |
| 90670 |
|
6,764 |
6,758 |
$129K |
| G0382 |
Lev 3 hosp type b ed visit |
834 |
717 |
$129K |
| 99381 |
|
1,110 |
1,101 |
$128K |
| 84702 |
|
13,660 |
11,778 |
$127K |
| 12011 |
|
282 |
280 |
$126K |
| J3490 |
Drugs unclassified injection |
2,374 |
2,359 |
$124K |
| 99205 |
Prolong outpt/office vis |
1,065 |
1,060 |
$123K |
| 71260 |
|
1,654 |
1,639 |
$123K |
| 83880 |
|
3,611 |
3,406 |
$122K |
| G0482 |
Drug test def 15-21 classes |
691 |
611 |
$122K |
| 90734 |
|
5,554 |
5,549 |
$122K |
| 42820 |
|
71 |
71 |
$119K |
| G0378 |
Hospital observation per hr |
3,333 |
2,544 |
$118K |
| J1050 |
Medroxyprogesterone acetate |
3,263 |
3,261 |
$117K |
| 90633 |
|
5,905 |
5,904 |
$117K |
| D7140 |
|
1,842 |
1,204 |
$116K |
| 90677 |
|
3,303 |
3,302 |
$116K |
| 87389 |
|
8,689 |
8,643 |
$115K |
| 97165 |
|
1,375 |
1,362 |
$115K |
| G0381 |
Lev 2 hosp type b ed visit |
725 |
648 |
$115K |
| 87536 |
|
1,364 |
1,353 |
$113K |
| 93971 |
|
1,463 |
1,427 |
$112K |
| 11042 |
|
247 |
145 |
$111K |
| 71046 |
|
9,258 |
9,014 |
$111K |
| J3380 |
Inj vedolizumab iv 1 mg |
26 |
26 |
$110K |
| 96367 |
|
1,860 |
1,567 |
$105K |
| 96375 |
|
12,243 |
8,326 |
$104K |
| G0480 |
Drug test def 1-7 classes |
5,424 |
4,862 |
$103K |
| 76641 |
|
1,799 |
1,795 |
$103K |
| H0033 |
Oral med adm direct observe |
3,923 |
388 |
$103K |
| D1110 |
|
1,997 |
1,533 |
$101K |
| 97162 |
|
834 |
828 |
$101K |
| 77066 |
Tomosynthesis, mammo |
1,205 |
1,201 |
$101K |
| 84439 |
|
13,578 |
13,427 |
$101K |
| 73221 |
|
365 |
360 |
$98K |
| 76536 |
|
1,872 |
1,865 |
$98K |
| 81003 |
|
58,280 |
46,727 |
$98K |
| G0283 |
Elec stim other than wound |
5,311 |
1,819 |
$97K |
| 71250 |
|
1,168 |
1,157 |
$97K |
| 51798 |
|
332 |
318 |
$97K |
| 76942 |
|
483 |
478 |
$96K |
| 76820 |
|
2,471 |
1,080 |
$94K |
| 99383 |
|
794 |
791 |
$94K |
| 72125 |
|
2,286 |
2,235 |
$93K |
| J0592 |
Buprenorphine hydrochloride |
6,011 |
266 |
$93K |
| C8929 |
Tte w or wo fol wcon,doppler |
401 |
399 |
$93K |
| 92557 |
|
1,551 |
1,551 |
$92K |
| 72141 |
|
356 |
356 |
$92K |
| 93005 |
|
20,038 |
18,150 |
$91K |
| 88342 |
|
1,540 |
1,479 |
$90K |
| 87522 |
Neg quan hep c or qual rna |
2,253 |
2,222 |
$89K |
| 77065 |
Tomosynthesis, mammo |
1,014 |
973 |
$88K |
| 12002 |
|
191 |
189 |
$87K |
| 83655 |
|
6,929 |
6,881 |
$86K |
| 99386 |
|
739 |
738 |
$86K |
| 93880 |
|
261 |
261 |
$82K |
| 69436 |
|
46 |
46 |
$82K |
| 96374 |
|
8,721 |
7,813 |
$80K |
| 87581 |
|
3,675 |
3,597 |
$80K |
| 97116 |
|
2,451 |
1,050 |
$79K |
| 93017 |
|
912 |
909 |
$78K |
| 85610 |
|
19,698 |
17,727 |
$78K |
| 87086 |
|
21,642 |
20,335 |
$77K |
| 81025 |
|
16,881 |
15,920 |
$76K |
| 70486 |
|
942 |
929 |
$75K |
| 86803 |
|
8,263 |
8,227 |
$74K |
| 77063 |
|
4,363 |
4,358 |
$74K |
| G2078 |
Take-home meth |
1,751 |
929 |
$72K |
| J7307 |
Etonogestrel implant system |
97 |
97 |
$71K |
| Q5103 |
Injection, inflectra |
87 |
77 |
$71K |
| 87390 |
|
2,856 |
2,827 |
$70K |
| 87634 |
|
1,508 |
1,488 |
$67K |
| 80329 |
|
928 |
697 |
$67K |
| 58300 |
|
438 |
435 |
$67K |
| 90792 |
|
402 |
402 |
$67K |
| 20550 |
|
275 |
269 |
$65K |
| 90710 |
|
3,195 |
3,194 |
$64K |
| 83970 |
|
1,698 |
1,672 |
$63K |
| 76642 |
|
1,258 |
1,253 |
$62K |
| J7298 |
Mirena, 52 mg |
96 |
95 |
$61K |
| 19083 |
|
37 |
36 |
$60K |
| 90707 |
|
2,850 |
2,847 |
$59K |
| 36416 |
|
3,973 |
2,752 |
$58K |
| 90716 |
|
2,715 |
2,715 |
$57K |
| 86360 |
|
1,353 |
1,333 |
$55K |
| 90696 |
|
2,783 |
2,783 |
$55K |
| 92587 |
|
795 |
794 |
$55K |
| 58100 |
|
128 |
128 |
$54K |
| 90700 |
|
2,703 |
2,700 |
$54K |
| 88307 |
|
454 |
429 |
$53K |
| 10060 |
|
180 |
173 |
$52K |
| M0243 |
Casirivi and imdevi inj |
162 |
160 |
$52K |
| 88304 |
|
1,319 |
1,298 |
$52K |
| 99384 |
|
442 |
442 |
$52K |
| 93225 |
|
495 |
495 |
$52K |
| 94060 |
|
375 |
372 |
$51K |
| 90656 |
|
2,533 |
2,400 |
$50K |
| J1726 |
Makena, 10 mg |
96 |
37 |
$50K |
| D0140 |
|
2,297 |
1,867 |
$49K |
| G0380 |
Lev 1 hosp type b ed visit |
280 |
237 |
$49K |
| 87340 |
|
6,362 |
6,339 |
$49K |
| 82607 |
|
4,815 |
4,794 |
$49K |
| 73110 |
|
2,744 |
2,411 |
$49K |
| S9484 |
Crisis intervention per hour |
99 |
98 |
$48K |
| 97535 |
|
1,147 |
830 |
$48K |
| 87070 |
|
14,151 |
13,854 |
$47K |
| 29125 |
|
225 |
214 |
$47K |
| 85027 |
|
12,404 |
12,000 |
$45K |
| 84403 |
|
1,959 |
1,940 |
$45K |
| 95816 |
|
253 |
251 |
$44K |
| 41899 |
|
45 |
45 |
$43K |
| S9485 |
Crisis intervention mental h |
30 |
28 |
$41K |
| 82728 |
|
4,294 |
4,242 |
$41K |
| 98968 |
|
366 |
231 |
$41K |
| 82670 |
|
1,612 |
1,526 |
$40K |
| 72100 |
|
1,258 |
1,236 |
$38K |
| 86762 |
|
4,060 |
4,033 |
$37K |
| 98967 |
|
324 |
160 |
$36K |
| C1763 |
Conn tiss, non-human |
33 |
28 |
$36K |
| 73630 |
|
3,503 |
3,310 |
$35K |
| 87625 |
|
1,213 |
1,212 |
$34K |
| 90671 |
|
1,609 |
1,608 |
$34K |
| 86140 |
|
21,208 |
19,181 |
$34K |
| 99382 |
|
299 |
297 |
$33K |
| 84146 |
|
1,953 |
1,918 |
$32K |
| 86592 |
|
8,506 |
8,465 |
$32K |
| 82803 |
|
957 |
878 |
$32K |
| 73564 |
|
2,094 |
2,034 |
$32K |
| 57454 |
|
71 |
71 |
$32K |
| H0038 |
Self-help/peer svc per 15min |
851 |
594 |
$31K |
| 72110 |
|
798 |
796 |
$31K |
| 70498 |
|
84 |
84 |
$31K |
| 84153 |
|
2,102 |
2,088 |
$31K |
| 87880 |
|
5,263 |
4,497 |
$30K |
| 86357 |
|
1,316 |
1,296 |
$30K |
| 86359 |
|
1,314 |
1,294 |
$30K |
| 76870 |
|
449 |
440 |
$30K |
| 86355 |
|
1,313 |
1,293 |
$30K |
| 71271 |
|
513 |
512 |
$29K |
| 98966 |
|
244 |
192 |
$29K |
| 84144 |
|
1,531 |
1,296 |
$28K |
| 87529 |
|
679 |
585 |
$28K |
| 73130 |
|
2,408 |
2,199 |
$28K |
| 82570 |
|
6,462 |
6,299 |
$28K |
| G9001 |
Mccd, initial rate |
373 |
373 |
$28K |
| 99211 |
|
1,393 |
1,211 |
$28K |
| 76801 |
|
358 |
351 |
$28K |
| 83001 |
|
1,692 |
1,678 |
$27K |
| 84402 |
|
1,197 |
1,186 |
$27K |
| 77080 |
|
386 |
385 |
$27K |
| 86618 |
|
2,636 |
2,606 |
$27K |
| D0330 |
|
688 |
473 |
$27K |
| 86787 |
|
4,439 |
4,414 |
$26K |
| 73610 |
|
2,727 |
2,537 |
$26K |
| 82043 |
|
5,523 |
5,463 |
$26K |
| 97760 |
|
681 |
667 |
$25K |
| 88341 |
|
528 |
482 |
$25K |
| 97014 |
|
1,248 |
479 |
$24K |
| 93458 |
|
14 |
14 |
$24K |
| 58661 |
|
13 |
13 |
$24K |
| 92526 |
|
214 |
107 |
$23K |
| 73030 |
|
2,354 |
2,248 |
$23K |
| 72040 |
|
926 |
918 |
$23K |
| 71045 |
|
7,592 |
7,178 |
$23K |
| 90471 |
|
9,661 |
9,502 |
$23K |
| 85018 |
|
2,587 |
2,261 |
$22K |
| 97035 |
|
1,527 |
656 |
$21K |
| 81511 |
|
257 |
256 |
$21K |
| 86003 |
|
644 |
512 |
$21K |
| 82784 |
|
2,207 |
2,046 |
$21K |
| G0481 |
Drug test def 8-14 classes |
172 |
150 |
$21K |
| H0002 |
Alcohol and/or drug screenin |
125 |
125 |
$21K |
| 87902 |
|
76 |
76 |
$20K |
| 73502 |
|
1,328 |
1,299 |
$20K |
| 86706 |
|
2,405 |
2,388 |
$19K |
| 94726 |
|
361 |
361 |
$19K |
| 92507 |
|
171 |
50 |
$19K |
| 80361 |
|
1,016 |
932 |
$18K |
| 83002 |
|
1,114 |
1,080 |
$18K |
| 80076 |
|
1,546 |
1,516 |
$18K |
| 80050 |
|
440 |
429 |
$18K |
| 87077 |
|
4,857 |
4,496 |
$18K |
| 74018 |
|
1,165 |
1,129 |
$18K |
| 86580 |
|
1,930 |
1,695 |
$18K |
| 64483 |
|
24 |
24 |
$17K |
| 90620 |
|
639 |
637 |
$17K |
| 11102 |
|
40 |
40 |
$17K |
| 90833 |
|
273 |
263 |
$17K |
| H2011 |
Crisis interven svc, 15 min |
111 |
96 |
$17K |
| G0108 |
Diab manage trn per indiv |
329 |
325 |
$17K |
| 11981 |
|
69 |
68 |
$17K |
| 83550 |
|
3,446 |
3,400 |
$17K |
| 93226 |
|
311 |
311 |
$16K |
| 73140 |
|
1,410 |
1,301 |
$16K |
| 80069 |
|
1,450 |
1,414 |
$16K |
| 86039 |
|
2,844 |
2,828 |
$16K |
| 86160 |
|
1,075 |
973 |
$16K |
| 58301 |
|
117 |
117 |
$16K |
| 87186 |
|
4,726 |
4,344 |
$16K |
| 83540 |
|
3,855 |
3,801 |
$16K |
| 11721 |
|
358 |
329 |
$16K |
| 80320 |
|
1,704 |
1,552 |
$16K |
| 82950 |
|
2,970 |
2,967 |
$15K |
| 87081 |
|
4,280 |
4,226 |
$15K |
| A9502 |
Tc99m tetrofosmin |
233 |
231 |
$15K |
| 69210 |
|
149 |
148 |
$15K |
| 0001A |
|
381 |
381 |
$15K |
| 90460 |
|
1,175 |
1,166 |
$15K |
| 52000 |
|
12 |
12 |
$15K |
| G0483 |
Drug test def 22+ classes |
68 |
68 |
$15K |
| 43248 |
|
31 |
31 |
$14K |
| 86703 |
|
1,199 |
1,196 |
$14K |
| 87205 |
|
8,866 |
8,669 |
$14K |
| 0002A |
|
347 |
341 |
$14K |
| 82746 |
|
1,392 |
1,385 |
$14K |
| 77336 |
|
53 |
27 |
$14K |
| 72082 |
|
293 |
293 |
$14K |
| 99442 |
|
136 |
132 |
$14K |
| 86235 |
|
1,026 |
634 |
$13K |
| 84480 |
|
1,796 |
1,774 |
$13K |
| 85652 |
|
8,799 |
8,395 |
$13K |
| 83735 |
|
9,614 |
8,205 |
$13K |
| 85730 |
|
9,609 |
9,047 |
$13K |
| 0071A |
|
335 |
333 |
$13K |
| 51702 |
|
38 |
37 |
$13K |
| 73560 |
|
1,041 |
977 |
$13K |
| 86376 |
|
1,102 |
1,094 |
$12K |
| 0012A |
|
375 |
375 |
$12K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
6,232 |
5,963 |
$12K |
| 11104 |
|
25 |
25 |
$12K |
| 82105 |
|
1,365 |
1,351 |
$12K |
| 83021 |
|
1,086 |
1,079 |
$12K |
| 11750 |
|
26 |
24 |
$12K |
| 36600 |
|
411 |
389 |
$12K |
| 93242 |
|
134 |
133 |
$12K |
| 90732 |
|
299 |
299 |
$12K |
| 96127 |
|
3,979 |
3,894 |
$12K |
| 0225U |
|
677 |
658 |
$11K |
| 0072A |
|
290 |
290 |
$11K |
| D0120 |
|
409 |
407 |
$11K |
| 0011A |
|
433 |
432 |
$11K |
| D0220 |
|
815 |
808 |
$11K |
| G0279 |
Tomosynthesis, mammo |
350 |
347 |
$11K |
| 99291 |
|
71 |
70 |
$10K |
| 90682 |
|
416 |
416 |
$10K |
| 86765 |
|
981 |
979 |
$10K |
| 99050 |
|
1,151 |
1,145 |
$10K |
| 92579 |
|
162 |
162 |
$9K |
| 73590 |
|
765 |
688 |
$9K |
| 74183 |
|
25 |
25 |
$9K |
| 36430 |
|
37 |
26 |
$9K |
| 75574 |
|
67 |
67 |
$9K |
| 97802 |
|
219 |
219 |
$9K |
| 91322 |
|
285 |
284 |
$9K |
| 64635 |
|
14 |
13 |
$9K |
| T1023 |
Program intake assessment |
153 |
149 |
$8K |
| 93010 |
|
1,040 |
969 |
$8K |
| 73090 |
|
506 |
430 |
$8K |
| D1120 |
|
194 |
182 |
$8K |
| 83020 |
|
1,087 |
1,079 |
$8K |
| 86364 |
|
1,079 |
1,075 |
$8K |
| 86431 |
|
1,765 |
1,754 |
$8K |
| A9573 |
Inj, gadopiclenol, 1 ml |
381 |
377 |
$7K |
| 86800 |
|
637 |
630 |
$7K |
| 84481 |
|
700 |
698 |
$7K |
| 90739 |
|
150 |
150 |
$7K |
| 86735 |
|
815 |
812 |
$7K |
| 80159 |
|
544 |
479 |
$7K |
| 86665 |
|
275 |
255 |
$6K |
| 86666 |
|
547 |
523 |
$6K |
| 73080 |
|
612 |
557 |
$6K |
| P9016 |
Rbc leukocytes reduced |
18 |
13 |
$6K |
| 84550 |
|
2,224 |
1,970 |
$6K |
| 87040 |
|
3,185 |
2,627 |
$6K |
| 82533 |
|
921 |
885 |
$6K |
| 82248 |
|
1,404 |
1,336 |
$6K |
| 97016 |
|
340 |
127 |
$6K |
| 94729 |
|
362 |
362 |
$6K |
| 80164 |
|
488 |
456 |
$6K |
| 94640 |
|
1,703 |
1,353 |
$6K |
| 83690 |
|
10,935 |
10,096 |
$6K |
| 86704 |
|
703 |
701 |
$6K |
| 80178 |
|
891 |
836 |
$6K |
| 86708 |
|
638 |
635 |
$6K |
| 74019 |
|
290 |
288 |
$5K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
213 |
213 |
$5K |
| 93798 |
|
188 |
41 |
$5K |
| 73562 |
|
600 |
590 |
$5K |
| 88185 |
|
44 |
42 |
$5K |
| 76825 |
|
26 |
26 |
$5K |
| 99051 |
|
595 |
590 |
$5K |
| 83615 |
|
1,684 |
1,477 |
$5K |
| 82627 |
|
248 |
246 |
$5K |
| 86753 |
|
449 |
445 |
$5K |
| 0003A |
|
138 |
138 |
$5K |
| 90714 |
|
178 |
177 |
$5K |
| 84100 |
|
1,649 |
1,475 |
$5K |
| 90678 |
|
75 |
75 |
$5K |
| 86696 |
|
422 |
415 |
$5K |
| 82962 |
|
7,108 |
5,062 |
$5K |
| 82550 |
|
6,579 |
5,804 |
$4K |
| 76882 |
|
79 |
78 |
$4K |
| J2785 |
Regadenoson injection |
69 |
69 |
$4K |
| 80358 |
|
857 |
807 |
$4K |
| 83721 |
|
858 |
850 |
$4K |
| 91200 |
|
64 |
64 |
$4K |
| J0574 |
Bupren/nal 6.1 to 10mg bupre |
604 |
77 |
$4K |
| 95886 |
|
63 |
61 |
$4K |
| 86617 |
|
371 |
200 |
$4K |
| 74174 |
|
12 |
12 |
$4K |
| J2469 |
Palonosetron hcl |
493 |
285 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
34 |
12 |
$4K |
| 0064A |
|
101 |
101 |
$4K |
| 84484 |
|
10,379 |
8,730 |
$4K |
| 85014 |
|
1,691 |
1,575 |
$4K |
| 86225 |
|
622 |
619 |
$4K |
| 84156 |
|
1,439 |
1,337 |
$4K |
| 92588 |
|
63 |
63 |
$4K |
| 87147 |
|
2,405 |
2,300 |
$4K |
| 99441 |
|
58 |
54 |
$4K |
| 82565 |
|
1,002 |
950 |
$4K |
| 84436 |
|
1,282 |
1,176 |
$4K |
| 83516 |
|
629 |
550 |
$4K |
| 31575 |
|
47 |
47 |
$4K |
| J0131 |
Inj, acetaminophen (nos) |
2,527 |
2,411 |
$4K |
| J0702 |
Betamethasone acet&sod phosp |
713 |
581 |
$4K |
| 82150 |
|
3,415 |
3,300 |
$3K |
| 97803 |
|
101 |
99 |
$3K |
| 80365 |
|
548 |
440 |
$3K |
| 87806 |
|
183 |
183 |
$3K |
| 29405 |
|
14 |
14 |
$3K |
| 99443 |
|
49 |
48 |
$3K |
| 86709 |
|
488 |
486 |
$3K |
| 0051A |
|
87 |
85 |
$3K |
| A9579 |
Gad-base mr contrast nos,1ml |
214 |
210 |
$3K |
| G0476 |
Hpv combo assay ca screen |
99 |
98 |
$3K |
| 87506 |
|
28 |
28 |
$3K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
274 |
274 |
$3K |
| 90480 |
|
281 |
280 |
$3K |
| 80362 |
|
255 |
232 |
$3K |
| 80350 |
|
253 |
225 |
$3K |
| 85379 |
|
2,987 |
2,872 |
$3K |
| 88108 |
|
43 |
43 |
$3K |
| 99232 |
|
39 |
15 |
$3K |
| 72128 |
|
13 |
13 |
$3K |
| 81596 |
|
44 |
44 |
$3K |
| 29515 |
|
12 |
12 |
$3K |
| 73700 |
|
13 |
13 |
$2K |
| 84112 |
|
55 |
50 |
$2K |
| 86664 |
|
216 |
215 |
$2K |
| 90713 |
|
111 |
110 |
$2K |
| 80356 |
|
476 |
434 |
$2K |
| 82947 |
|
372 |
366 |
$2K |
| 80346 |
|
472 |
430 |
$2K |
| 90381 |
|
89 |
89 |
$2K |
| 80348 |
|
455 |
413 |
$2K |
| 82247 |
|
582 |
412 |
$2K |
| G0008 |
Admin influenza virus vac |
245 |
243 |
$2K |
| 80353 |
|
477 |
435 |
$2K |
| 86920 |
|
39 |
38 |
$2K |
| 90694 |
|
185 |
184 |
$2K |
| 0031A |
|
58 |
58 |
$2K |
| D1208 |
|
150 |
150 |
$2K |
| 90380 |
|
80 |
80 |
$2K |
| 74178 |
|
12 |
12 |
$2K |
| J0185 |
Inj., aprepitant, 1 mg |
18 |
12 |
$2K |
| 87468 |
|
83 |
82 |
$2K |
| 87484 |
|
83 |
82 |
$2K |
| 87469 |
|
81 |
79 |
$2K |
| 99239 |
|
16 |
16 |
$2K |
| 86769 |
|
49 |
49 |
$2K |
| 88184 |
|
27 |
26 |
$2K |
| 90744 |
|
80 |
80 |
$2K |
| 99401 |
|
38 |
38 |
$2K |
| D0274 |
|
44 |
44 |
$2K |
| 94799 |
|
27 |
24 |
$2K |
| 83993 |
|
126 |
125 |
$2K |
| 95909 |
|
13 |
13 |
$2K |
| 84520 |
|
461 |
443 |
$1K |
| 73620 |
|
176 |
165 |
$1K |
| 99454 |
|
14 |
14 |
$1K |
| 97010 |
|
114 |
54 |
$1K |
| 91321 |
|
56 |
56 |
$1K |
| 82553 |
|
40 |
40 |
$1K |
| 86308 |
|
961 |
956 |
$1K |
| 85576 |
|
63 |
62 |
$1K |
| 83525 |
|
125 |
124 |
$1K |
| 96411 |
|
58 |
37 |
$1K |
| 86870 |
|
14 |
12 |
$1K |
| 82951 |
|
126 |
126 |
$1K |
| 90636 |
|
19 |
19 |
$1K |
| 80325 |
|
237 |
217 |
$1K |
| 80306 |
|
148 |
132 |
$1K |
| 72072 |
|
51 |
51 |
$1K |
| 80349 |
|
232 |
210 |
$1K |
| Q9950 |
Inj sulf hexa lipid microsph |
56 |
56 |
$1K |
| 99406 |
|
25 |
25 |
$1K |
| 72050 |
|
51 |
51 |
$1K |
| 73120 |
|
78 |
77 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
2,689 |
1,904 |
$942.03 |
| 90679 |
|
24 |
24 |
$917.82 |
| J7030 |
Normal saline solution infus |
15,064 |
12,161 |
$917.58 |
| J3370 |
Vancomycin hcl injection |
687 |
436 |
$917.22 |
| 86923 |
|
12 |
12 |
$907.32 |
| 90685 |
|
52 |
52 |
$900.00 |
| 83605 |
|
3,136 |
2,750 |
$881.43 |
| J2543 |
Piperacillin/tazobactam |
409 |
286 |
$836.18 |
| 99152 |
|
131 |
131 |
$807.92 |
| 72170 |
|
114 |
114 |
$789.61 |
| 87478 |
|
33 |
32 |
$745.11 |
| 96376 |
|
2,632 |
1,711 |
$734.79 |
| 70496 |
|
13 |
13 |
$703.64 |
| 87210 |
|
832 |
819 |
$696.59 |
| 96523 |
|
16 |
12 |
$694.44 |
| 72114 |
|
27 |
27 |
$690.37 |
| 87476 |
|
32 |
32 |
$676.68 |
| J3475 |
Inj magnesium sulfate |
1,757 |
1,436 |
$668.93 |
| J0134 |
Inj acetaminophen -fresenius |
2,004 |
1,707 |
$667.74 |
| 86705 |
|
92 |
90 |
$637.31 |
| 86200 |
|
88 |
87 |
$565.39 |
| 80324 |
|
111 |
102 |
$563.97 |
| A9585 |
Gadobutrol injection |
77 |
76 |
$560.29 |
| 84165 |
|
79 |
76 |
$546.12 |
| Q9957 |
Inj perflutren lip micros,ml |
27 |
27 |
$542.07 |
| 73000 |
|
27 |
25 |
$541.20 |
| J7120 |
Ringers lactate infusion |
7,772 |
7,074 |
$525.38 |
| 96417 |
|
159 |
106 |
$522.02 |
| 92555 |
|
15 |
15 |
$500.80 |
| 80345 |
|
77 |
65 |
$476.32 |
| J7050 |
Normal saline solution infus |
6,572 |
4,362 |
$474.78 |
| 82378 |
|
82 |
63 |
$461.32 |
| 80323 |
|
88 |
77 |
$459.94 |
| 94760 |
|
389 |
357 |
$459.86 |
| 86255 |
|
66 |
65 |
$428.72 |
| 73660 |
|
12 |
12 |
$404.38 |
| 73521 |
|
13 |
13 |
$391.88 |
| 94664 |
|
241 |
219 |
$369.10 |
| D1206 |
|
12 |
12 |
$360.00 |
| 90632 |
|
12 |
12 |
$331.08 |
| J2360 |
Orphenadrine injection |
900 |
791 |
$328.72 |
| 86780 |
|
27 |
27 |
$327.65 |
| J1885 |
Ketorolac tromethamine inj |
9,657 |
8,628 |
$326.76 |
| 99000 |
|
17 |
17 |
$321.64 |
| 80354 |
|
30 |
24 |
$312.06 |
| J2310 |
Inj naloxone hydrochloride |
13 |
12 |
$309.94 |
| 73070 |
|
15 |
13 |
$297.68 |
| C1769 |
Guide wire |
658 |
644 |
$279.54 |
| J2405 |
Ondansetron hcl injection |
10,278 |
8,973 |
$279.22 |
| C9290 |
Inj, bupivacaine liposome |
536 |
532 |
$272.29 |
| 83521 |
|
21 |
12 |
$241.47 |
| 80359 |
|
43 |
42 |
$218.45 |
| J1100 |
Dexamethasone sodium phos |
7,010 |
5,958 |
$216.00 |
| 82785 |
|
16 |
16 |
$208.98 |
| 84155 |
|
98 |
96 |
$206.50 |
| 85045 |
|
84 |
79 |
$199.69 |
| J1200 |
Diphenhydramine hcl injectio |
3,145 |
2,516 |
$194.32 |
| 76376 |
|
183 |
159 |
$171.36 |
| 88302 |
|
28 |
27 |
$170.89 |
| J0690 |
Cefazolin sodium injection |
4,056 |
3,299 |
$167.72 |
| J3301 |
Triamcinolone acet inj nos |
1,549 |
1,510 |
$165.94 |
| 82140 |
|
65 |
63 |
$160.71 |
| 98940 |
|
628 |
353 |
$160.33 |
| 86141 |
|
14 |
14 |
$156.09 |
| J3486 |
Ziprasidone mesylate |
306 |
242 |
$153.42 |
| 90662 |
|
17 |
17 |
$153.01 |
| Q3014 |
Telehealth facility fee |
28 |
28 |
$152.55 |
| J2704 |
Inj, propofol, 10 mg |
6,020 |
5,833 |
$147.16 |
| 80177 |
|
27 |
27 |
$141.16 |
| 76827 |
|
15 |
15 |
$136.80 |
| 83527 |
|
13 |
13 |
$128.40 |
| J7040 |
Normal saline solution infus |
463 |
244 |
$125.34 |
| 94010 |
|
14 |
14 |
$125.31 |
| 71101 |
|
13 |
12 |
$124.07 |
| 87329 |
|
16 |
15 |
$120.16 |
| J3010 |
Fentanyl citrate injection |
10,406 |
9,564 |
$120.01 |
| 86695 |
|
39 |
38 |
$116.71 |
| J7060 |
5% dextrose/water |
1,287 |
927 |
$107.85 |
| C1894 |
Intro/sheath, non-laser |
139 |
136 |
$103.31 |
| 90472 |
|
932 |
929 |
$99.37 |
| J1644 |
Inj heparin sodium per 1000u |
2,406 |
1,251 |
$95.65 |
| J2250 |
Inj midazolam hydrochloride |
7,963 |
7,780 |
$80.13 |
| C9113 |
Inj pantoprazole sodium, via |
461 |
300 |
$78.43 |
| 85300 |
|
12 |
12 |
$78.29 |
| J2930 |
Methylprednisolone injection |
380 |
327 |
$74.58 |
| J1650 |
Inj enoxaparin sodium |
1,050 |
691 |
$73.51 |
| 82952 |
|
30 |
30 |
$71.50 |
| 89055 |
|
29 |
29 |
$70.03 |
| J2920 |
Methylprednisolone injection |
125 |
107 |
$53.72 |
| 82977 |
|
14 |
14 |
$45.18 |
| J1040 |
Methylprednisolone 80 mg inj |
392 |
389 |
$44.27 |
| J1815 |
Insulin injection |
806 |
381 |
$38.61 |
| 73060 |
|
12 |
12 |
$37.15 |
| J1170 |
Hydromorphone injection |
1,495 |
1,249 |
$32.78 |
| J0330 |
Succinycholine chloride inj |
280 |
235 |
$32.35 |
| 84145 |
|
108 |
102 |
$29.22 |
| 73600 |
|
12 |
12 |
$28.37 |
| J2765 |
Metoclopramide hcl injection |
1,791 |
1,512 |
$27.25 |
| J2270 |
Morphine sulfate injection |
1,146 |
948 |
$20.23 |
| J2060 |
Lorazepam injection |
1,809 |
1,428 |
$19.79 |
| J2919 |
Inj, methylpred sod succ 5mg |
219 |
183 |
$14.58 |
| J0171 |
Adrenalin epinephrine inject |
39 |
39 |
$10.81 |
| J3480 |
Inj potassium chloride |
59 |
37 |
$8.91 |
| J2370 |
Phenylephrine hcl injection |
270 |
269 |
$8.89 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
627 |
512 |
$8.47 |
| 84075 |
|
15 |
15 |
$7.59 |
| 88300 |
|
24 |
24 |
$6.54 |
| 84460 |
|
13 |
13 |
$6.32 |
| C1889 |
Implant/insert device, noc |
836 |
835 |
$5.31 |
| J0136 |
Inj, acetaminophen (b braun) |
13 |
13 |
$5.26 |
| J2470 |
Inj pantoprazole sodium 40mg |
34 |
26 |
$5.19 |
| J7620 |
Albuterol ipratrop non-comp |
829 |
704 |
$4.43 |
| J7613 |
Albuterol non-comp unit |
415 |
390 |
$4.25 |
| 82040 |
|
15 |
15 |
$2.46 |
| J2800 |
Methocarbamol injection |
31 |
28 |
$2.45 |
| Q0162 |
Ondansetron oral |
207 |
198 |
$1.82 |
| J1630 |
Haloperidol injection |
65 |
53 |
$1.39 |
| J3420 |
Vitamin b12 injection |
14 |
12 |
$0.74 |
| J2795 |
Ropivacaine hcl injection |
101 |
101 |
$0.63 |
| 3008F |
|
66 |
66 |
$0.63 |
| J0689 |
Inj cefazolin sodium, baxter |
29 |
29 |
$0.62 |
| J7512 |
Prednisone ir or dr oral 1mg |
199 |
165 |
$0.48 |
| S0077 |
Injection, clindamycin phosp |
57 |
51 |
$0.24 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
43 |
42 |
$0.19 |
| A4649 |
Surgical supplies |
922 |
847 |
$0.15 |
| J2710 |
Neostigmine methylslfte inj |
239 |
237 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
343 |
277 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
51 |
42 |
$0.00 |
| E0114 |
Crutch underarm pair no wood |
15 |
15 |
$0.00 |
| S0119 |
Ondansetron 4 mg |
162 |
156 |
$0.00 |
| J0137 |
Inj, acetaminophen (hikma) |
15 |
15 |
$0.00 |
| J0780 |
Prochlorperazine injection |
53 |
39 |
$0.00 |
| 99231 |
|
48 |
12 |
$0.00 |
| C1887 |
Catheter, guiding |
16 |
16 |
$0.00 |
| A4364 |
Adhesive, liquid or equal |
163 |
163 |
$0.00 |
| G0399 |
Home sleep test/type 3 porta |
29 |
26 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
18 |
14 |
$0.00 |
| 95806 |
|
15 |
14 |
$0.00 |
| 99496 |
|
14 |
13 |
$0.00 |
| 99417 |
Prolong home eval add 15m |
50 |
49 |
$0.00 |
| J8540 |
Oral dexamethasone |
18 |
15 |
$0.00 |
| J1836 |
Inj, metronidazole, 10 mg |
17 |
12 |
$0.00 |