| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
158,358 |
145,826 |
$74.91M |
| 99283 |
|
127,082 |
119,465 |
$46.24M |
| H0035 |
Mh partial hosp tx under 24h |
89,961 |
7,484 |
$26.80M |
| G0378 |
Hospital observation per hr |
22,282 |
17,604 |
$13.80M |
| 99285 |
|
26,579 |
24,522 |
$9.44M |
| A0427 |
Als1-emergency |
39,610 |
36,523 |
$8.85M |
| 99282 |
|
42,655 |
40,750 |
$8.00M |
| 74177 |
|
14,273 |
13,763 |
$2.74M |
| A0434 |
Specialty care transport |
5,844 |
5,435 |
$2.54M |
| 97140 |
|
62,368 |
17,711 |
$2.15M |
| 97110 |
|
143,993 |
37,508 |
$2.14M |
| A0429 |
Bls-emergency |
10,777 |
9,629 |
$2.11M |
| 59025 |
|
12,820 |
7,940 |
$1.85M |
| 90863 |
|
21,006 |
19,617 |
$1.71M |
| 90847 |
|
25,610 |
20,948 |
$1.62M |
| OP278 |
|
1,784 |
1,620 |
$1.59M |
| 74176 |
|
9,369 |
8,980 |
$1.48M |
| 93306 |
|
5,598 |
5,454 |
$1.46M |
| A0425 |
Ground mileage |
67,321 |
57,728 |
$1.40M |
| OP272 |
|
14,119 |
12,229 |
$1.24M |
| 70450 |
|
17,671 |
16,795 |
$1.24M |
| 97530 |
|
36,502 |
10,823 |
$1.20M |
| 43239 |
|
990 |
963 |
$1.15M |
| 96372 |
|
64,536 |
50,667 |
$1.14M |
| 88305 |
|
16,307 |
15,544 |
$1.13M |
| 76811 |
|
3,692 |
3,614 |
$1.12M |
| 90791 |
|
6,247 |
5,622 |
$1.06M |
| 76815 |
|
8,346 |
4,978 |
$1.03M |
| 90832 |
|
13,943 |
9,104 |
$1.03M |
| 71046 |
|
27,644 |
26,729 |
$998K |
| 71275 |
|
5,125 |
4,982 |
$991K |
| OP370 |
|
9,447 |
8,966 |
$952K |
| 76805 |
|
4,529 |
4,416 |
$932K |
| OP259 |
|
230,366 |
174,822 |
$813K |
| 76816 |
|
12,404 |
11,344 |
$813K |
| 99281 |
|
6,533 |
6,375 |
$797K |
| 93005 |
|
43,751 |
39,824 |
$771K |
| 76819 |
|
5,589 |
3,603 |
$764K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
22,431 |
21,165 |
$760K |
| 97112 |
|
44,843 |
11,709 |
$750K |
| J2350 |
Injection, ocrelizumab, 1 mg |
44 |
39 |
$682K |
| 95810 |
|
718 |
699 |
$662K |
| 70551 |
|
1,610 |
1,563 |
$594K |
| A0433 |
Als 2 |
2,247 |
2,173 |
$580K |
| 70553 |
|
823 |
791 |
$542K |
| 97161 |
|
13,740 |
13,376 |
$513K |
| 85025 |
|
106,652 |
90,088 |
$497K |
| 87635 |
|
26,895 |
23,313 |
$494K |
| 71045 |
|
22,429 |
21,187 |
$487K |
| 76856 |
|
6,194 |
5,981 |
$460K |
| 0241U |
|
11,648 |
11,201 |
$418K |
| 76817 |
|
5,792 |
5,028 |
$413K |
| 97113 |
|
10,693 |
3,164 |
$401K |
| 76770 |
|
1,743 |
1,708 |
$400K |
| 80048 |
|
100,829 |
80,446 |
$381K |
| OP258 |
|
76,896 |
63,084 |
$375K |
| 76813 |
|
2,414 |
2,365 |
$339K |
| 78452 |
|
1,201 |
1,171 |
$329K |
| 0002A |
|
10,335 |
10,314 |
$328K |
| 87633 |
|
3,257 |
3,071 |
$324K |
| 76830 |
|
4,094 |
3,978 |
$321K |
| 95806 |
|
1,613 |
1,597 |
$313K |
| 0001A |
|
10,613 |
10,587 |
$312K |
| 76705 |
|
6,667 |
6,453 |
$307K |
| 72125 |
|
3,521 |
3,369 |
$301K |
| 71250 |
|
2,003 |
1,940 |
$300K |
| 93017 |
|
2,040 |
1,989 |
$281K |
| A0428 |
Bls |
12,510 |
9,578 |
$266K |
| 0240U |
|
10,157 |
9,859 |
$266K |
| 93976 |
|
6,063 |
5,806 |
$261K |
| 76818 |
|
1,374 |
992 |
$260K |
| 88342 |
|
9,251 |
9,098 |
$256K |
| 76801 |
|
5,480 |
5,004 |
$246K |
| 70486 |
|
2,048 |
2,013 |
$240K |
| 87491 |
|
23,532 |
22,656 |
$240K |
| 93970 |
|
2,434 |
2,332 |
$208K |
| 97162 |
|
6,117 |
5,948 |
$207K |
| 73630 |
|
7,618 |
7,281 |
$203K |
| 87591 |
|
23,527 |
22,652 |
$198K |
| 93971 |
|
4,213 |
4,066 |
$192K |
| 96365 |
|
2,508 |
1,661 |
$172K |
| 36415 |
|
140,137 |
109,327 |
$172K |
| 73564 |
|
5,152 |
4,867 |
$166K |
| 90837 |
|
3,343 |
2,277 |
$160K |
| 73130 |
|
6,466 |
6,231 |
$154K |
| 73610 |
|
6,506 |
6,304 |
$151K |
| 71260 |
|
910 |
874 |
$148K |
| 99214 |
|
3,802 |
3,612 |
$148K |
| 70496 |
|
798 |
756 |
$145K |
| 95782 |
|
228 |
227 |
$141K |
| 84484 |
|
32,045 |
27,336 |
$140K |
| 72110 |
|
1,642 |
1,610 |
$139K |
| 80076 |
|
43,063 |
37,403 |
$138K |
| 72148 |
|
313 |
311 |
$134K |
| 76870 |
|
1,503 |
1,424 |
$132K |
| 73030 |
|
4,801 |
4,601 |
$130K |
| 80053 |
|
24,938 |
22,683 |
$129K |
| 74018 |
|
3,797 |
3,629 |
$129K |
| 78815 |
|
160 |
152 |
$129K |
| 73721 |
|
167 |
162 |
$129K |
| 70498 |
|
782 |
740 |
$128K |
| 97165 |
|
3,821 |
3,668 |
$124K |
| 99213 |
|
4,354 |
3,815 |
$119K |
| 87086 |
|
38,769 |
36,679 |
$113K |
| 92507 |
|
2,979 |
748 |
$109K |
| 76700 |
|
503 |
490 |
$108K |
| 88313 |
|
4,637 |
4,567 |
$103K |
| 72100 |
|
3,177 |
3,113 |
$102K |
| Q0162 |
Ondansetron oral |
10,590 |
9,938 |
$100K |
| 97164 |
|
2,641 |
2,506 |
$97K |
| 87798 |
|
4,488 |
4,170 |
$89K |
| 87070 |
|
21,341 |
20,692 |
$87K |
| 87636 |
|
3,192 |
3,096 |
$86K |
| 90715 |
|
5,739 |
5,661 |
$85K |
| 84443 |
|
11,317 |
10,597 |
$83K |
| 73110 |
|
3,174 |
3,064 |
$83K |
| 85027 |
|
23,823 |
19,989 |
$81K |
| 80306 |
|
12,194 |
11,273 |
$80K |
| 83880 |
|
6,220 |
5,820 |
$79K |
| 83690 |
|
36,027 |
33,254 |
$77K |
| 81001 |
|
68,411 |
64,105 |
$77K |
| 70491 |
|
459 |
442 |
$76K |
| 76536 |
|
608 |
590 |
$75K |
| 93325 |
|
321 |
302 |
$75K |
| 94640 |
|
8,717 |
6,094 |
$73K |
| 74022 |
|
2,151 |
2,057 |
$70K |
| J2704 |
Inj, propofol, 10 mg |
11,402 |
8,248 |
$68K |
| 95816 |
|
520 |
506 |
$67K |
| 76775 |
|
1,196 |
1,157 |
$67K |
| 76820 |
|
1,055 |
561 |
$66K |
| 87581 |
|
3,573 |
3,374 |
$64K |
| 84703 |
|
43,225 |
40,705 |
$63K |
| 93798 |
|
1,473 |
215 |
$63K |
| 87430 |
|
19,009 |
18,602 |
$62K |
| 86850 |
|
8,902 |
8,093 |
$62K |
| 96375 |
|
773 |
640 |
$62K |
| J2785 |
Regadenoson injection |
679 |
660 |
$61K |
| 85730 |
|
24,926 |
23,268 |
$61K |
| A9500 |
Tc99m sestamibi |
1,217 |
1,176 |
$61K |
| 87486 |
|
3,494 |
3,305 |
$60K |
| A9585 |
Gadobutrol injection |
2,513 |
2,243 |
$60K |
| 82962 |
|
20,977 |
14,208 |
$59K |
| 87040 |
|
9,597 |
8,688 |
$56K |
| J0696 |
Ceftriaxone sodium injection |
8,523 |
7,068 |
$56K |
| J1885 |
Ketorolac tromethamine inj |
26,986 |
23,132 |
$55K |
| 73590 |
|
1,975 |
1,881 |
$54K |
| 85610 |
|
26,615 |
24,206 |
$54K |
| 82248 |
|
19,363 |
17,600 |
$53K |
| 88304 |
|
2,495 |
2,448 |
$53K |
| 73090 |
|
1,622 |
1,583 |
$53K |
| 80329 |
|
4,814 |
4,148 |
$53K |
| 74019 |
|
1,454 |
1,429 |
$51K |
| 86900 |
|
9,851 |
8,881 |
$51K |
| 83735 |
|
20,045 |
16,608 |
$51K |
| 73502 |
|
2,265 |
2,173 |
$51K |
| 72040 |
|
1,428 |
1,393 |
$50K |
| 73560 |
|
1,877 |
1,777 |
$50K |
| 76825 |
|
214 |
206 |
$50K |
| OP710 |
|
2,396 |
2,190 |
$47K |
| 80320 |
|
6,763 |
6,009 |
$46K |
| 83605 |
|
7,515 |
6,946 |
$46K |
| 0003A |
|
1,392 |
1,375 |
$46K |
| 87502 |
|
1,827 |
1,810 |
$45K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
16 |
15 |
$44K |
| 90792 |
|
383 |
376 |
$44K |
| 88341 |
|
550 |
518 |
$43K |
| 76827 |
|
213 |
205 |
$43K |
| 94664 |
|
6,403 |
4,795 |
$42K |
| 73140 |
|
2,422 |
2,381 |
$41K |
| 88307 |
|
633 |
552 |
$39K |
| 74183 |
|
54 |
52 |
$38K |
| J1650 |
Inj enoxaparin sodium |
4,447 |
2,112 |
$38K |
| 87077 |
|
10,581 |
10,048 |
$38K |
| 87186 |
|
9,749 |
9,269 |
$38K |
| 80061 |
|
6,309 |
5,981 |
$36K |
| 84702 |
|
7,018 |
5,995 |
$34K |
| 45380 |
|
30 |
28 |
$34K |
| 86403 |
|
5,986 |
5,821 |
$33K |
| 97535 |
|
1,846 |
1,110 |
$32K |
| 82306 |
|
2,723 |
2,551 |
$32K |
| 73080 |
|
1,198 |
1,154 |
$32K |
| 81002 |
|
16,263 |
11,371 |
$32K |
| J2543 |
Piperacillin/tazobactam |
2,076 |
1,098 |
$31K |
| J2405 |
Ondansetron hcl injection |
28,851 |
24,111 |
$31K |
| 81003 |
|
29,432 |
28,262 |
$31K |
| 87631 |
|
708 |
706 |
$30K |
| S2900 |
Robotic surgical system |
258 |
227 |
$29K |
| 90853 |
|
1,066 |
270 |
$29K |
| 88312 |
|
1,080 |
1,066 |
$28K |
| 90675 |
|
135 |
68 |
$27K |
| 86703 |
|
2,206 |
2,134 |
$26K |
| J1644 |
Inj heparin sodium per 1000u |
6,490 |
2,840 |
$26K |
| 86901 |
|
9,884 |
8,887 |
$26K |
| 85379 |
|
8,653 |
8,349 |
$26K |
| J1200 |
Diphenhydramine hcl injectio |
8,177 |
6,901 |
$26K |
| 36430 |
|
284 |
207 |
$26K |
| J2930 |
Methylprednisolone injection |
2,410 |
2,130 |
$25K |
| J1100 |
Dexamethasone sodium phos |
15,936 |
14,434 |
$24K |
| J3370 |
Vancomycin hcl injection |
1,886 |
1,246 |
$24K |
| 83036 |
|
7,989 |
7,563 |
$24K |
| P9016 |
Rbc leukocytes reduced |
195 |
149 |
$24K |
| OP229 |
|
464 |
415 |
$23K |
| 77412 |
|
114 |
12 |
$23K |
| J1756 |
Iron sucrose injection |
475 |
227 |
$23K |
| OP720 |
|
190 |
157 |
$22K |
| 73700 |
|
134 |
129 |
$22K |
| J3010 |
Fentanyl citrate injection |
9,958 |
7,623 |
$21K |
| 86780 |
|
3,019 |
2,915 |
$21K |
| 70360 |
|
582 |
566 |
$21K |
| 90471 |
|
7,553 |
7,073 |
$21K |
| J1815 |
Insulin injection |
4,998 |
2,324 |
$20K |
| 80307 |
|
482 |
469 |
$20K |
| 95800 |
|
207 |
203 |
$20K |
| 72070 |
|
665 |
653 |
$20K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
1,310 |
1,157 |
$20K |
| 94760 |
|
8,745 |
6,489 |
$20K |
| 87205 |
|
3,996 |
3,724 |
$20K |
| 72050 |
|
253 |
250 |
$20K |
| 90846 |
|
383 |
350 |
$19K |
| J2270 |
Morphine sulfate injection |
9,197 |
7,002 |
$19K |
| 59050 |
|
159 |
151 |
$19K |
| 71101 |
|
1,012 |
984 |
$18K |
| 96360 |
|
386 |
345 |
$18K |
| 77336 |
|
186 |
80 |
$18K |
| 97116 |
|
2,151 |
1,137 |
$17K |
| 86803 |
|
1,307 |
1,252 |
$17K |
| C1776 |
Joint device (implantable) |
25 |
24 |
$17K |
| Q0163 |
Diphenhydramine hcl 50mg |
3,406 |
2,928 |
$16K |
| 90375 |
|
13 |
12 |
$16K |
| J1170 |
Hydromorphone injection |
7,008 |
4,389 |
$16K |
| 85007 |
|
8,786 |
7,890 |
$16K |
| 77067 |
|
118 |
113 |
$15K |
| 96366 |
|
318 |
238 |
$15K |
| 70544 |
|
76 |
74 |
$15K |
| 77334 |
|
19 |
12 |
$14K |
| 0072A |
|
404 |
394 |
$14K |
| 0071A |
|
399 |
389 |
$14K |
| 99203 |
|
576 |
572 |
$13K |
| J2250 |
Inj midazolam hydrochloride |
7,430 |
6,698 |
$13K |
| 82728 |
|
2,146 |
1,942 |
$12K |
| J2710 |
Neostigmine methylslfte inj |
2,522 |
2,352 |
$12K |
| G0463 |
Hospital outpt clinic visit |
4,907 |
4,300 |
$12K |
| 94644 |
|
688 |
659 |
$12K |
| D1110 |
|
812 |
795 |
$11K |
| 99202 |
|
371 |
368 |
$11K |
| 84100 |
|
6,026 |
4,506 |
$11K |
| 73552 |
|
476 |
454 |
$11K |
| 82607 |
|
1,893 |
1,797 |
$11K |
| 90834 |
|
228 |
188 |
$11K |
| J7620 |
Albuterol ipratrop non-comp |
12,570 |
10,714 |
$11K |
| 81220 |
|
41 |
41 |
$10K |
| 82550 |
|
4,081 |
3,638 |
$10K |
| 97168 |
|
252 |
244 |
$10K |
| 84439 |
|
2,492 |
2,358 |
$9K |
| 74174 |
|
57 |
55 |
$9K |
| OP255 |
|
447 |
428 |
$9K |
| 80074 |
|
658 |
618 |
$9K |
| 73070 |
|
330 |
315 |
$9K |
| 70490 |
|
56 |
55 |
$8K |
| 73060 |
|
320 |
303 |
$8K |
| J3475 |
Inj magnesium sulfate |
1,548 |
1,290 |
$8K |
| 93356 |
|
480 |
455 |
$8K |
| 90686 |
|
1,031 |
1,028 |
$7K |
| J2060 |
Lorazepam injection |
4,218 |
3,263 |
$7K |
| D0120 |
|
559 |
548 |
$7K |
| 82803 |
|
1,204 |
1,116 |
$7K |
| 86140 |
|
4,045 |
3,756 |
$7K |
| 97166 |
|
340 |
326 |
$7K |
| 86787 |
|
607 |
593 |
$7K |
| 82247 |
|
3,065 |
2,698 |
$6K |
| 83550 |
|
1,855 |
1,722 |
$6K |
| 72141 |
|
24 |
24 |
$6K |
| 86618 |
|
698 |
669 |
$6K |
| 73660 |
|
353 |
345 |
$6K |
| 87340 |
|
867 |
835 |
$6K |
| 77063 |
|
113 |
108 |
$5K |
| J0690 |
Cefazolin sodium injection |
4,279 |
2,796 |
$5K |
| 97760 |
|
313 |
280 |
$5K |
| J7512 |
Prednisone ir or dr oral 1mg |
16,893 |
13,121 |
$5K |
| 81025 |
|
2,447 |
2,350 |
$5K |
| D0140 |
|
435 |
423 |
$5K |
| 84156 |
|
1,637 |
1,422 |
$5K |
| J0780 |
Prochlorperazine injection |
682 |
563 |
$5K |
| 72195 |
|
12 |
12 |
$5K |
| 76642 |
|
38 |
37 |
$4K |
| 82947 |
|
3,230 |
3,089 |
$4K |
| 82310 |
|
3,210 |
3,017 |
$4K |
| 83970 |
|
202 |
180 |
$4K |
| 97602 |
|
137 |
101 |
$4K |
| 80164 |
|
619 |
493 |
$4K |
| 99241 |
|
57 |
41 |
$4K |
| 11042 |
|
148 |
90 |
$4K |
| 0031A |
|
119 |
119 |
$4K |
| J2765 |
Metoclopramide hcl injection |
5,603 |
5,023 |
$4K |
| 82374 |
|
2,876 |
2,750 |
$4K |
| 82746 |
|
831 |
788 |
$4K |
| 82565 |
|
3,039 |
2,908 |
$4K |
| J0500 |
Dicyclomine injection |
334 |
319 |
$4K |
| 84295 |
|
2,898 |
2,771 |
$4K |
| D0210 |
|
165 |
161 |
$4K |
| 87507 |
|
70 |
64 |
$3K |
| 84520 |
|
2,977 |
2,850 |
$3K |
| 86762 |
|
502 |
491 |
$3K |
| J7613 |
Albuterol non-comp unit |
3,843 |
3,356 |
$3K |
| 0064A |
|
88 |
88 |
$3K |
| 82435 |
|
2,864 |
2,738 |
$3K |
| 82272 |
|
1,181 |
1,130 |
$3K |
| 82150 |
|
1,225 |
1,195 |
$3K |
| D0150 |
|
178 |
176 |
$3K |
| 92610 |
|
115 |
106 |
$3K |
| 73562 |
|
60 |
53 |
$3K |
| 0004A |
|
101 |
101 |
$2K |
| 85652 |
|
2,693 |
2,485 |
$2K |
| 73521 |
|
62 |
55 |
$2K |
| 97163 |
|
90 |
89 |
$2K |
| A9552 |
F18 fdg |
152 |
141 |
$2K |
| 94729 |
|
63 |
61 |
$2K |
| 72131 |
|
13 |
12 |
$2K |
| 87147 |
|
1,011 |
934 |
$2K |
| 84075 |
|
1,664 |
1,575 |
$2K |
| 84460 |
|
1,753 |
1,662 |
$2K |
| 84145 |
|
219 |
188 |
$2K |
| 84450 |
|
1,768 |
1,674 |
$2K |
| 81329 |
|
26 |
26 |
$2K |
| A0998 |
Ambulance response/treatment |
28 |
27 |
$2K |
| 99152 |
|
188 |
170 |
$2K |
| 85384 |
|
348 |
324 |
$2K |
| J0360 |
Hydralazine hcl injection |
263 |
189 |
$2K |
| 91300 |
|
18,162 |
16,206 |
$2K |
| J0295 |
Ampicillin sulbactam 1.5 gm |
141 |
70 |
$2K |
| 73120 |
|
42 |
36 |
$2K |
| 87088 |
|
582 |
559 |
$2K |
| 73620 |
|
62 |
62 |
$2K |
| 87641 |
|
321 |
283 |
$2K |
| 82040 |
|
1,839 |
1,737 |
$2K |
| 86710 |
|
254 |
252 |
$1K |
| 86923 |
|
160 |
126 |
$1K |
| 87640 |
|
332 |
288 |
$1K |
| 72170 |
|
63 |
61 |
$1K |
| G8979 |
Mobility goal status |
643 |
605 |
$1K |
| G8978 |
Mobility current status |
604 |
577 |
$1K |
| 71271 |
|
13 |
13 |
$1K |
| 80177 |
|
197 |
187 |
$1K |
| 84155 |
|
1,661 |
1,575 |
$1K |
| 99212 |
|
138 |
112 |
$1K |
| 82140 |
|
242 |
204 |
$1K |
| G0480 |
Drug test def 1-7 classes |
556 |
480 |
$1K |
| 78580 |
|
15 |
15 |
$1K |
| 86308 |
|
638 |
628 |
$1K |
| D0274 |
|
161 |
157 |
$1K |
| J7510 |
Prednisolone oral per 5 mg |
2,948 |
2,800 |
$1K |
| D0220 |
|
413 |
397 |
$1K |
| 73000 |
|
24 |
24 |
$1K |
| 76882 |
|
26 |
25 |
$1K |
| 86580 |
|
279 |
255 |
$1K |
| 94010 |
|
14 |
14 |
$1K |
| 90688 |
|
76 |
76 |
$1K |
| J3480 |
Inj potassium chloride |
584 |
375 |
$991.62 |
| 58300 |
|
33 |
27 |
$991.52 |
| 82657 |
|
278 |
201 |
$985.33 |
| 99001 |
|
801 |
790 |
$931.91 |
| 82010 |
|
224 |
200 |
$890.94 |
| 94726 |
|
34 |
34 |
$855.67 |
| 36600 |
|
108 |
98 |
$848.64 |
| 87529 |
|
54 |
53 |
$832.25 |
| J0131 |
Inj, acetaminophen (nos) |
104 |
102 |
$811.80 |
| 80365 |
|
133 |
121 |
$792.34 |
| 80361 |
|
133 |
121 |
$770.29 |
| 84550 |
|
518 |
475 |
$768.51 |
| 80367 |
|
133 |
121 |
$737.32 |
| 90707 |
|
24 |
24 |
$720.55 |
| 82043 |
|
851 |
803 |
$712.66 |
| 86696 |
|
137 |
132 |
$710.29 |
| J1630 |
Haloperidol injection |
1,077 |
893 |
$701.26 |
| J3360 |
Diazepam injection |
296 |
253 |
$674.35 |
| 0082A |
|
25 |
21 |
$664.65 |
| J2310 |
Inj naloxone hydrochloride |
24 |
24 |
$662.90 |
| J2370 |
Phenylephrine hcl injection |
460 |
394 |
$660.41 |
| 36416 |
|
146 |
137 |
$653.73 |
| 82105 |
|
94 |
89 |
$645.19 |
| 80348 |
|
132 |
121 |
$630.74 |
| 70487 |
|
13 |
13 |
$609.93 |
| J7611 |
Albuterol non-comp con |
781 |
722 |
$609.57 |
| 88173 |
|
12 |
12 |
$601.27 |
| 80356 |
|
132 |
121 |
$599.60 |
| 80354 |
|
131 |
121 |
$583.12 |
| 80358 |
|
133 |
121 |
$583.12 |
| 0073A |
|
15 |
15 |
$572.93 |
| 94645 |
|
28 |
25 |
$535.06 |
| J2919 |
Inj, methylpred sod succ 5mg |
391 |
291 |
$525.75 |
| J1050 |
Medroxyprogesterone acetate |
15 |
14 |
$515.62 |
| 87045 |
|
87 |
84 |
$510.83 |
| J1953 |
Levetiracetam injection |
35 |
28 |
$508.13 |
| 86039 |
|
95 |
89 |
$505.27 |
| 86695 |
|
137 |
132 |
$498.19 |
| J3301 |
Triamcinolone acet inj nos |
138 |
134 |
$485.46 |
| 85045 |
|
199 |
176 |
$460.10 |
| J2920 |
Methylprednisolone injection |
91 |
56 |
$455.35 |
| 99204 |
|
16 |
16 |
$437.92 |
| J3411 |
Thiamine hcl 100 mg |
139 |
105 |
$413.81 |
| 0083A |
|
12 |
12 |
$401.86 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
277 |
240 |
$380.47 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
154 |
106 |
$351.80 |
| 90472 |
|
233 |
232 |
$335.39 |
| 90649 |
|
173 |
173 |
$331.18 |
| 86481 |
|
12 |
12 |
$327.14 |
| 82784 |
|
91 |
80 |
$310.49 |
| 88302 |
|
29 |
27 |
$308.40 |
| 83020 |
|
53 |
53 |
$302.79 |
| Q0091 |
Obtaining screen pap smear |
12 |
12 |
$294.32 |
| 84132 |
|
48 |
45 |
$270.72 |
| 83037 |
|
54 |
54 |
$256.32 |
| 82375 |
|
93 |
86 |
$251.15 |
| 85651 |
|
35 |
35 |
$242.35 |
| 87046 |
|
137 |
132 |
$233.31 |
| 90732 |
|
15 |
15 |
$232.33 |
| J2550 |
Promethazine hcl injection |
650 |
510 |
$226.01 |
| 90633 |
|
12 |
12 |
$224.41 |
| 90687 |
|
31 |
31 |
$211.60 |
| J7042 |
5% dextrose/normal saline |
97 |
90 |
$208.41 |
| 87102 |
|
66 |
58 |
$195.57 |
| J7030 |
Normal saline solution infus |
82 |
81 |
$185.56 |
| G8985 |
Carry goal status |
67 |
62 |
$183.42 |
| G8984 |
Carry current status |
61 |
58 |
$183.42 |
| 90734 |
|
83 |
83 |
$182.86 |
| 99153 |
Mod sedat endo service >5yrs |
53 |
45 |
$165.98 |
| 86870 |
|
13 |
13 |
$162.23 |
| 89051 |
|
243 |
135 |
$158.91 |
| J2791 |
Rhophylac injection |
12 |
12 |
$157.49 |
| 87624 |
|
15 |
12 |
$150.26 |
| 86617 |
|
14 |
12 |
$149.30 |
| 86592 |
|
92 |
90 |
$146.34 |
| 84153 |
|
40 |
39 |
$143.57 |
| J1940 |
Furosemide injection |
219 |
138 |
$140.07 |
| J0171 |
Adrenalin epinephrine inject |
72 |
62 |
$134.32 |
| 87081 |
|
25 |
25 |
$132.30 |
| 82950 |
|
91 |
90 |
$125.58 |
| 86880 |
|
26 |
25 |
$119.47 |
| J0456 |
Azithromycin |
40 |
26 |
$89.15 |
| 93010 |
|
54 |
54 |
$83.17 |
| C9113 |
Inj pantoprazole sodium, via |
41 |
26 |
$81.80 |
| G8980 |
Mobility d/c status |
64 |
64 |
$80.00 |
| 87804 |
|
26 |
14 |
$78.98 |
| 84466 |
|
26 |
25 |
$78.75 |
| 84481 |
|
15 |
15 |
$75.00 |
| J8540 |
Oral dexamethasone |
78 |
77 |
$69.13 |
| 90619 |
|
29 |
29 |
$68.85 |
| J1790 |
Droperidol injection |
26 |
24 |
$60.95 |
| J7643 |
Glycopyrrolate comp unit |
223 |
201 |
$58.31 |
| A9540 |
Tc99m maa |
19 |
15 |
$54.49 |
| 91307 |
|
762 |
698 |
$51.00 |
| G0008 |
Admin influenza virus vac |
207 |
203 |
$45.29 |
| 85046 |
|
18 |
14 |
$41.25 |
| 87210 |
|
82 |
79 |
$36.72 |
| 87799 |
|
37 |
25 |
$35.27 |
| 83540 |
|
29 |
27 |
$33.04 |
| 83050 |
|
40 |
37 |
$32.69 |
| D0230 |
|
15 |
12 |
$27.50 |
| 83615 |
|
15 |
13 |
$26.60 |
| 82570 |
|
15 |
12 |
$22.73 |
| C9285 |
Patch, lidocaine/tetracaine |
37 |
30 |
$20.46 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
32 |
31 |
$19.80 |
| Q0111 |
Wet mounts/ w preparations |
32 |
30 |
$19.74 |
| J1642 |
Inj heparin sodium per 10 u |
15 |
13 |
$16.53 |
| 85014 |
|
34 |
25 |
$13.18 |
| 90662 |
|
29 |
29 |
$12.12 |
| 85018 |
|
34 |
25 |
$11.82 |
| J7060 |
5% dextrose/water |
20 |
19 |
$10.32 |
| 91303 |
|
91 |
91 |
$8.00 |
| J3490 |
Drugs unclassified injection |
18 |
14 |
$5.35 |
| 91306 |
|
79 |
79 |
$5.00 |
| 91308 |
|
69 |
52 |
$3.00 |
| Q0247 |
Sotrovimab |
16 |
15 |
$3.00 |
| A4216 |
Sterile water/saline, 10 ml |
12 |
12 |
$1.00 |
| J7120 |
Ringers lactate infusion |
21 |
17 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
12 |
12 |
$0.00 |
| J1094 |
Inj dexamethasone acetate |
32 |
31 |
$0.00 |
| OP636 |
|
200 |
197 |
$0.00 |
| G8988 |
Self care goal status |
13 |
13 |
$0.00 |
| Q9968 |
Visualization adjunct |
13 |
12 |
$0.00 |