| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
617,043 |
562,999 |
$32.91M |
| 99213 |
|
577,204 |
496,035 |
$23.00M |
| 99233 |
Prolong inpt eval add15 m |
150,550 |
52,214 |
$6.86M |
| 99284 |
|
87,096 |
82,387 |
$6.50M |
| 99204 |
|
60,684 |
56,454 |
$5.13M |
| 99203 |
|
92,874 |
87,337 |
$4.97M |
| 99215 |
Prolong outpt/office vis |
56,402 |
48,399 |
$3.49M |
| 99391 |
|
52,661 |
47,815 |
$3.18M |
| 87635 |
|
83,449 |
73,080 |
$3.17M |
| 99232 |
|
83,969 |
36,301 |
$2.85M |
| 99392 |
|
39,096 |
37,258 |
$2.67M |
| 70450 |
|
62,531 |
56,892 |
$2.55M |
| 93306 |
|
52,226 |
48,486 |
$2.48M |
| 99285 |
|
24,985 |
23,398 |
$2.18M |
| 74177 |
|
37,025 |
34,932 |
$2.03M |
| 93010 |
|
389,606 |
324,808 |
$1.87M |
| 88305 |
|
55,557 |
48,708 |
$1.83M |
| 99223 |
Prolong inpt eval add15 m |
23,042 |
19,145 |
$1.73M |
| 87502 |
|
25,270 |
23,207 |
$1.46M |
| 99479 |
|
15,707 |
5,322 |
$1.32M |
| 99472 |
|
6,773 |
1,335 |
$1.30M |
| 99291 |
|
12,297 |
5,019 |
$1.22M |
| 71045 |
|
277,730 |
217,978 |
$1.12M |
| 90833 |
|
38,588 |
17,009 |
$1.08M |
| 77067 |
|
35,422 |
33,670 |
$1.03M |
| 70553 |
|
6,769 |
6,310 |
$1.01M |
| 99393 |
|
14,613 |
13,960 |
$994K |
| 99395 |
|
15,473 |
14,568 |
$950K |
| 76816 |
|
36,574 |
33,208 |
$921K |
| 99212 |
|
37,395 |
32,060 |
$916K |
| 93303 |
|
14,455 |
13,577 |
$907K |
| 99469 |
|
4,529 |
1,207 |
$903K |
| 99239 |
|
15,841 |
14,521 |
$823K |
| 99480 |
|
10,190 |
3,374 |
$792K |
| 71046 |
|
97,086 |
91,782 |
$783K |
| 99238 |
|
17,432 |
16,333 |
$776K |
| 01967 |
|
3,000 |
2,704 |
$761K |
| 87811 |
|
27,224 |
24,742 |
$673K |
| 99205 |
Prolong outpt/office vis |
6,148 |
5,587 |
$652K |
| 87651 |
|
21,933 |
20,171 |
$599K |
| 71275 |
|
5,972 |
5,585 |
$543K |
| 74176 |
|
15,555 |
14,777 |
$534K |
| 99394 |
|
7,092 |
6,851 |
$533K |
| 92004 |
|
9,908 |
8,617 |
$529K |
| 70551 |
|
6,659 |
6,208 |
$521K |
| 76811 |
|
8,467 |
7,711 |
$515K |
| 99283 |
|
11,951 |
11,323 |
$511K |
| 43239 |
|
3,108 |
2,940 |
$507K |
| 87804 |
|
40,912 |
19,129 |
$491K |
| 69436 |
|
3,334 |
3,097 |
$470K |
| 76801 |
|
15,112 |
13,924 |
$463K |
| 93325 |
|
32,274 |
27,102 |
$445K |
| 76819 |
|
15,840 |
12,376 |
$435K |
| 92014 |
|
10,502 |
8,960 |
$412K |
| 90471 |
|
29,830 |
27,510 |
$402K |
| 93304 |
|
11,011 |
8,962 |
$398K |
| 59409 |
|
641 |
611 |
$381K |
| 76805 |
|
10,125 |
9,625 |
$357K |
| 96110 |
|
45,653 |
37,561 |
$346K |
| 93320 |
|
15,814 |
14,151 |
$345K |
| 88307 |
|
7,846 |
6,964 |
$343K |
| 77063 |
|
26,345 |
25,077 |
$329K |
| 74018 |
|
58,755 |
39,294 |
$328K |
| 90791 |
|
4,904 |
4,066 |
$320K |
| 90472 |
|
18,342 |
17,320 |
$301K |
| 95720 |
|
2,822 |
1,438 |
$286K |
| 00170 |
|
2,807 |
2,597 |
$285K |
| 99222 |
|
4,627 |
3,994 |
$277K |
| 20610 |
|
6,560 |
5,627 |
$272K |
| 59025 |
|
23,699 |
18,321 |
$257K |
| 99460 |
|
5,939 |
5,675 |
$240K |
| 90792 |
|
3,055 |
2,799 |
$237K |
| 76705 |
|
12,931 |
11,553 |
$235K |
| 76856 |
|
9,533 |
8,969 |
$227K |
| 69210 |
|
8,608 |
7,699 |
$224K |
| 78815 |
|
3,712 |
2,194 |
$205K |
| 90837 |
|
4,107 |
2,151 |
$200K |
| 76830 |
|
7,663 |
7,297 |
$198K |
| 73630 |
|
23,102 |
21,547 |
$198K |
| 76817 |
|
8,206 |
7,363 |
$195K |
| 95951 |
|
1,248 |
519 |
$165K |
| 59430 |
|
1,754 |
1,686 |
$161K |
| 90834 |
|
4,609 |
2,652 |
$157K |
| 95810 |
|
1,030 |
971 |
$152K |
| 72125 |
|
3,196 |
2,989 |
$151K |
| 54300 |
|
501 |
405 |
$150K |
| 87880 |
|
12,239 |
11,395 |
$147K |
| 88342 |
|
7,420 |
6,478 |
$145K |
| 45378 |
|
624 |
591 |
$144K |
| 88141 |
|
8,255 |
7,540 |
$143K |
| 31575 |
|
2,017 |
1,866 |
$143K |
| 93975 |
|
1,995 |
1,622 |
$124K |
| 99396 |
|
1,776 |
1,699 |
$122K |
| 49083 |
|
919 |
629 |
$119K |
| 73610 |
|
13,985 |
12,971 |
$117K |
| 95816 |
|
2,251 |
2,132 |
$113K |
| 93321 |
|
11,315 |
9,263 |
$110K |
| 01961 |
|
602 |
574 |
$109K |
| 67028 |
|
1,621 |
1,410 |
$108K |
| 99282 |
|
3,658 |
3,508 |
$106K |
| 71250 |
|
2,806 |
2,579 |
$105K |
| 96113 |
|
874 |
752 |
$104K |
| 73721 |
|
1,198 |
1,127 |
$101K |
| 92012 |
|
2,929 |
2,686 |
$100K |
| 96112 |
|
1,214 |
1,024 |
$97K |
| 93000 |
|
6,548 |
6,137 |
$96K |
| 73130 |
|
11,018 |
10,208 |
$94K |
| 99231 |
|
4,539 |
3,339 |
$93K |
| 76815 |
|
4,454 |
3,973 |
$92K |
| 73562 |
|
10,710 |
10,036 |
$92K |
| 99202 |
|
2,745 |
2,511 |
$92K |
| 93970 |
|
2,321 |
1,924 |
$91K |
| 45385 |
|
329 |
302 |
$90K |
| 92060 |
|
6,696 |
5,749 |
$90K |
| 76770 |
|
3,565 |
3,324 |
$84K |
| 99385 |
|
1,233 |
1,133 |
$78K |
| 93298 |
|
4,369 |
3,910 |
$75K |
| 76642 |
|
3,468 |
3,155 |
$74K |
| 42820 |
|
364 |
349 |
$70K |
| 95811 |
|
453 |
429 |
$69K |
| 99220 |
|
1,185 |
1,079 |
$69K |
| 99462 |
|
3,202 |
2,698 |
$67K |
| 74183 |
|
490 |
459 |
$64K |
| 55175 |
|
526 |
423 |
$60K |
| 73030 |
|
7,985 |
7,453 |
$58K |
| 11042 |
|
2,406 |
1,155 |
$58K |
| 99211 |
|
5,552 |
4,813 |
$57K |
| 54360 |
|
154 |
110 |
$56K |
| 95251 |
|
2,638 |
2,482 |
$56K |
| 93793 |
|
12,174 |
2,839 |
$55K |
| 90847 |
|
1,271 |
894 |
$55K |
| 11043 |
|
632 |
277 |
$53K |
| 93971 |
|
1,690 |
1,510 |
$51K |
| 71260 |
|
941 |
863 |
$50K |
| 88304 |
|
3,613 |
3,329 |
$49K |
| 54161 |
|
725 |
572 |
$48K |
| 73110 |
|
5,536 |
5,038 |
$48K |
| 77065 |
Tomosynthesis, mammo |
1,675 |
1,546 |
$48K |
| 72148 |
|
710 |
671 |
$47K |
| 72100 |
|
5,522 |
5,241 |
$47K |
| 74019 |
|
5,068 |
4,765 |
$46K |
| 64615 |
|
728 |
704 |
$45K |
| 99221 |
|
1,070 |
809 |
$45K |
| 90853 |
|
4,011 |
1,274 |
$43K |
| 64642 |
|
529 |
465 |
$42K |
| 42830 |
|
424 |
391 |
$40K |
| 76700 |
|
1,597 |
1,489 |
$39K |
| 94010 |
|
4,727 |
4,402 |
$37K |
| 88189 |
|
815 |
692 |
$36K |
| 93227 |
|
2,133 |
1,995 |
$36K |
| 90935 |
|
2,899 |
1,533 |
$35K |
| 76820 |
|
1,699 |
1,264 |
$35K |
| 94729 |
|
3,620 |
3,438 |
$35K |
| 81025 |
|
6,312 |
5,826 |
$34K |
| 90960 |
|
993 |
972 |
$33K |
| 90474 |
|
3,909 |
3,588 |
$32K |
| 81003 |
|
18,615 |
16,873 |
$31K |
| 76506 |
|
1,466 |
1,149 |
$31K |
| 90832 |
|
1,341 |
961 |
$30K |
| 73564 |
|
2,660 |
2,286 |
$30K |
| 96040 |
|
2,007 |
1,610 |
$28K |
| 77066 |
Tomosynthesis, mammo |
741 |
676 |
$27K |
| 59514 |
|
65 |
63 |
$27K |
| 92551 |
|
3,398 |
3,270 |
$27K |
| 99219 |
|
364 |
334 |
$27K |
| 72082 |
|
1,814 |
1,689 |
$26K |
| 25600 |
|
131 |
128 |
$25K |
| 93294 |
|
1,141 |
1,057 |
$25K |
| 95800 |
|
115 |
114 |
$25K |
| 93976 |
|
573 |
492 |
$24K |
| 99051 |
|
1,714 |
1,519 |
$22K |
| 95886 |
|
762 |
712 |
$22K |
| 95819 |
|
417 |
391 |
$22K |
| 92134 |
|
4,345 |
3,768 |
$21K |
| 78452 |
|
421 |
383 |
$21K |
| 84165 |
|
6,789 |
6,141 |
$21K |
| 94060 |
|
1,762 |
1,696 |
$21K |
| 86334 |
|
3,952 |
3,562 |
$21K |
| 94618 |
|
2,961 |
2,780 |
$21K |
| 99404 |
|
512 |
421 |
$20K |
| 90785 |
|
8,596 |
5,677 |
$19K |
| 88341 |
|
471 |
298 |
$19K |
| 90846 |
|
500 |
359 |
$19K |
| 45380 |
|
121 |
104 |
$18K |
| 95806 |
|
404 |
378 |
$18K |
| 64721 |
|
94 |
93 |
$18K |
| G2211 |
Complex e/m visit add on |
12,833 |
11,057 |
$18K |
| 00731 |
|
462 |
439 |
$18K |
| 11721 |
|
1,844 |
1,726 |
$18K |
| 01922 |
|
172 |
161 |
$18K |
| 64643 |
|
239 |
214 |
$17K |
| 99226 |
|
537 |
331 |
$16K |
| 99402 |
|
663 |
494 |
$16K |
| 88302 |
|
978 |
895 |
$16K |
| 99417 |
Prolong home eval add 15m |
434 |
359 |
$16K |
| 70496 |
|
204 |
191 |
$15K |
| 93244 |
|
913 |
863 |
$15K |
| 99308 |
|
1,750 |
1,577 |
$15K |
| 0072A |
|
550 |
392 |
$14K |
| 0071A |
|
578 |
390 |
$14K |
| 93295 |
|
578 |
546 |
$13K |
| 99350 |
Prolong home eval add 15m |
331 |
309 |
$13K |
| 31231 |
|
154 |
150 |
$12K |
| 70498 |
|
165 |
155 |
$12K |
| 92201 |
|
1,375 |
845 |
$12K |
| 76825 |
|
283 |
243 |
$12K |
| 99173 |
|
5,777 |
5,323 |
$11K |
| 99407 |
|
678 |
628 |
$11K |
| 73140 |
|
1,378 |
1,238 |
$10K |
| 31622 |
|
76 |
61 |
$10K |
| 99386 |
|
127 |
123 |
$10K |
| 94727 |
|
1,257 |
1,206 |
$10K |
| 90961 |
|
507 |
493 |
$10K |
| 73221 |
|
135 |
128 |
$10K |
| J1100 |
Dexamethasone sodium phos |
13,299 |
12,613 |
$10K |
| 99459 |
|
1,344 |
929 |
$9K |
| 87634 |
|
204 |
193 |
$9K |
| 93016 |
|
838 |
785 |
$9K |
| 94726 |
|
798 |
766 |
$9K |
| 73502 |
|
961 |
893 |
$9K |
| 77072 |
|
1,476 |
1,416 |
$9K |
| 99201 |
|
351 |
339 |
$8K |
| 67311 |
|
31 |
28 |
$8K |
| 73560 |
|
1,365 |
1,250 |
$8K |
| 73080 |
|
939 |
856 |
$8K |
| 95782 |
|
42 |
40 |
$8K |
| 72040 |
|
895 |
857 |
$8K |
| 94640 |
|
926 |
865 |
$8K |
| 0004A |
|
406 |
278 |
$8K |
| 95004 |
|
76 |
71 |
$8K |
| 92250 |
|
938 |
634 |
$7K |
| 99497 |
|
730 |
435 |
$7K |
| 92511 |
|
80 |
77 |
$7K |
| 77062 |
|
428 |
400 |
$7K |
| 73590 |
|
1,040 |
954 |
$7K |
| 00126 |
|
133 |
130 |
$7K |
| 77061 |
|
437 |
411 |
$7K |
| 93018 |
|
988 |
931 |
$7K |
| 0002A |
|
500 |
360 |
$7K |
| 54150 |
|
55 |
49 |
$7K |
| 76942 |
|
245 |
218 |
$7K |
| 87807 |
|
551 |
506 |
$6K |
| 76827 |
|
285 |
243 |
$6K |
| 95718 |
|
103 |
88 |
$6K |
| 92083 |
|
472 |
403 |
$6K |
| 72197 |
|
43 |
43 |
$6K |
| 99381 |
|
131 |
111 |
$6K |
| 90686 |
|
5,817 |
5,526 |
$6K |
| 72141 |
|
68 |
68 |
$5K |
| 70491 |
|
71 |
67 |
$5K |
| 74230 |
|
321 |
286 |
$5K |
| 99292 |
|
116 |
37 |
$5K |
| 0001A |
|
471 |
367 |
$5K |
| 43235 |
|
41 |
39 |
$5K |
| 73521 |
|
513 |
489 |
$5K |
| 00920 |
|
43 |
41 |
$5K |
| 91200 |
|
490 |
482 |
$5K |
| 76813 |
|
137 |
127 |
$4K |
| 73090 |
|
601 |
552 |
$4K |
| 70486 |
|
89 |
77 |
$4K |
| 88313 |
|
254 |
188 |
$4K |
| 97802 |
|
315 |
259 |
$4K |
| 0054A |
|
129 |
127 |
$4K |
| 0003A |
|
353 |
287 |
$4K |
| 99225 |
|
159 |
119 |
$4K |
| 92226 |
|
384 |
347 |
$3K |
| 92015 |
|
14,971 |
12,421 |
$3K |
| 14040 |
|
14 |
12 |
$3K |
| 95813 |
|
76 |
67 |
$3K |
| 20611 |
|
49 |
37 |
$3K |
| 75561 |
|
31 |
27 |
$3K |
| 93451 |
|
27 |
27 |
$3K |
| 92285 |
|
492 |
398 |
$3K |
| 36558 |
|
14 |
14 |
$3K |
| G0108 |
Diab manage trn per indiv |
124 |
120 |
$3K |
| 88112 |
|
167 |
139 |
$3K |
| 99478 |
|
36 |
12 |
$3K |
| 85097 |
|
91 |
69 |
$3K |
| 87426 |
|
81 |
77 |
$3K |
| 00811 |
|
59 |
57 |
$3K |
| 95913 |
|
45 |
41 |
$3K |
| 76536 |
|
150 |
141 |
$3K |
| 93750 |
|
4,947 |
1,358 |
$2K |
| 31579 |
|
31 |
27 |
$2K |
| 92133 |
|
459 |
369 |
$2K |
| 77080 |
|
228 |
218 |
$2K |
| 99383 |
|
27 |
27 |
$2K |
| 85060 |
|
2,255 |
2,058 |
$2K |
| 70544 |
|
40 |
27 |
$2K |
| 0124A |
|
88 |
79 |
$2K |
| 77427 |
|
34 |
13 |
$2K |
| 00140 |
|
28 |
26 |
$2K |
| 11750 |
|
18 |
13 |
$2K |
| 90677 |
|
778 |
743 |
$2K |
| 01926 |
|
12 |
12 |
$2K |
| 99422 |
|
1,132 |
1,068 |
$2K |
| 43259 |
|
12 |
12 |
$2K |
| 99490 |
Ccm add 20min |
371 |
361 |
$2K |
| 99354 |
|
643 |
521 |
$2K |
| 92567 |
|
181 |
176 |
$2K |
| 96127 |
|
258 |
203 |
$2K |
| 17110 |
|
30 |
28 |
$2K |
| 92557 |
|
83 |
78 |
$2K |
| 78816 |
|
19 |
13 |
$1K |
| 26720 |
|
12 |
12 |
$1K |
| 62322 |
|
16 |
13 |
$1K |
| 99451 |
|
83 |
79 |
$1K |
| 30901 |
|
13 |
13 |
$1K |
| 72110 |
|
161 |
157 |
$1K |
| 99384 |
|
15 |
15 |
$1K |
| 96156 |
|
35 |
34 |
$1K |
| 11730 |
|
29 |
27 |
$1K |
| 92587 |
|
145 |
134 |
$1K |
| 90945 |
|
41 |
17 |
$1K |
| 77049 |
|
13 |
13 |
$1K |
| 92228 |
|
552 |
471 |
$1K |
| 92225 |
|
93 |
54 |
$1K |
| 11056 |
|
64 |
64 |
$1K |
| 52000 |
|
13 |
13 |
$1K |
| 0064A |
|
50 |
39 |
$1K |
| 57454 |
|
18 |
13 |
$1K |
| 74240 |
|
39 |
39 |
$1K |
| 11765 |
|
20 |
20 |
$998.94 |
| 20550 |
|
25 |
25 |
$988.81 |
| 93990 |
|
68 |
61 |
$986.79 |
| 80305 |
|
117 |
114 |
$946.15 |
| 99403 |
|
25 |
19 |
$912.63 |
| J0696 |
Ceftriaxone sodium injection |
538 |
494 |
$905.81 |
| 99442 |
|
72 |
60 |
$876.78 |
| 99421 |
|
560 |
531 |
$842.45 |
| 94664 |
|
180 |
165 |
$822.25 |
| 76937 |
|
172 |
144 |
$818.32 |
| 73552 |
|
103 |
93 |
$817.09 |
| 99349 |
|
34 |
24 |
$812.14 |
| 74241 |
|
28 |
27 |
$762.77 |
| 99188 |
|
53 |
41 |
$756.83 |
| 93356 |
|
38 |
37 |
$743.81 |
| 95911 |
|
14 |
13 |
$718.33 |
| 93005 |
|
161 |
157 |
$697.73 |
| 97803 |
|
63 |
55 |
$690.45 |
| 97110 |
|
56 |
44 |
$687.22 |
| 96101 |
|
23 |
17 |
$686.25 |
| 99464 |
|
13 |
12 |
$657.52 |
| 97760 |
|
48 |
40 |
$654.58 |
| 96132 |
|
38 |
25 |
$653.01 |
| 0053A |
|
17 |
15 |
$622.28 |
| 58300 |
|
12 |
12 |
$590.16 |
| 00142 |
|
50 |
33 |
$582.61 |
| 99177 |
|
1,580 |
1,316 |
$561.19 |
| 0034A |
|
31 |
24 |
$560.60 |
| 90863 |
|
138 |
61 |
$538.78 |
| 96131 |
|
15 |
13 |
$537.80 |
| G0180 |
Md certification hha patient |
12 |
12 |
$531.75 |
| 96136 |
|
50 |
41 |
$529.20 |
| 29540 |
|
28 |
25 |
$511.95 |
| 88312 |
|
27 |
26 |
$511.93 |
| 71271 |
|
30 |
25 |
$503.80 |
| 99443 |
|
38 |
29 |
$472.51 |
| 96130 |
|
20 |
16 |
$440.46 |
| 0013A |
|
13 |
13 |
$404.46 |
| 99152 |
|
163 |
141 |
$403.97 |
| 76818 |
|
13 |
12 |
$397.24 |
| 94799 |
|
28 |
24 |
$396.46 |
| 99423 |
|
166 |
158 |
$391.14 |
| 70250 |
|
55 |
43 |
$378.62 |
| 51701 |
|
16 |
12 |
$346.02 |
| J8499 |
Oral prescrip drug non chemo |
942 |
884 |
$345.55 |
| 20605 |
|
15 |
12 |
$342.73 |
| 93042 |
|
182 |
168 |
$339.70 |
| 74328 |
|
12 |
12 |
$334.61 |
| 76870 |
|
13 |
12 |
$320.62 |
| 93297 |
|
70 |
57 |
$306.54 |
| 99358 |
Prolong nursin fac eval 15m |
206 |
152 |
$300.61 |
| 0082A |
|
15 |
14 |
$300.16 |
| 92202 |
|
44 |
39 |
$299.21 |
| 96372 |
|
57 |
55 |
$289.83 |
| 88311 |
|
111 |
79 |
$273.87 |
| 77073 |
|
26 |
24 |
$266.02 |
| 72020 |
|
58 |
50 |
$261.85 |
| J1885 |
Ketorolac tromethamine inj |
4,620 |
3,968 |
$249.15 |
| 98960 |
|
58 |
25 |
$239.17 |
| 99406 |
|
29 |
28 |
$236.67 |
| 90962 |
|
20 |
20 |
$235.71 |
| 72050 |
|
27 |
25 |
$235.22 |
| 11057 |
|
12 |
12 |
$231.47 |
| 93922 |
|
14 |
13 |
$211.14 |
| 96102 |
|
20 |
15 |
$210.48 |
| 86308 |
|
39 |
38 |
$183.05 |
| 77001 |
|
14 |
14 |
$172.24 |
| 99050 |
|
14 |
12 |
$171.36 |
| 86077 |
|
161 |
134 |
$164.53 |
| 96161 |
|
54 |
54 |
$158.24 |
| 88300 |
|
35 |
31 |
$157.67 |
| 88720 |
|
45 |
36 |
$155.56 |
| 84166 |
|
27 |
26 |
$151.58 |
| 72170 |
|
33 |
30 |
$150.69 |
| 99441 |
|
13 |
13 |
$143.63 |
| J0702 |
Betamethasone acet&sod phosp |
753 |
674 |
$139.61 |
| 96137 |
|
15 |
12 |
$138.00 |
| 76776 |
|
12 |
12 |
$129.54 |
| 94728 |
|
14 |
13 |
$126.03 |
| 96138 |
|
21 |
16 |
$104.40 |
| 72120 |
|
16 |
16 |
$104.17 |
| 96380 |
|
15 |
12 |
$93.72 |
| 81002 |
|
44 |
36 |
$80.06 |
| 82962 |
|
39 |
28 |
$76.95 |
| 1159F |
|
653,537 |
577,605 |
$74.93 |
| 90694 |
|
12 |
12 |
$71.68 |
| S0119 |
Ondansetron 4 mg |
144 |
130 |
$61.20 |
| 95874 |
|
14 |
14 |
$45.84 |
| 3044F |
|
13,835 |
12,362 |
$30.00 |
| 90656 |
|
395 |
369 |
$21.40 |
| 36415 |
|
16 |
12 |
$19.64 |
| J7613 |
Albuterol non-comp unit |
769 |
650 |
$18.81 |
| 90970 |
|
24 |
13 |
$11.28 |
| J7644 |
Ipratropium bromide non-comp |
370 |
303 |
$9.67 |
| J3490 |
Drugs unclassified injection |
15 |
12 |
$8.35 |
| 96160 |
|
167 |
140 |
$6.04 |
| 86335 |
|
13 |
12 |
$1.81 |
| 3078F |
|
101,064 |
91,952 |
$1.35 |
| J7620 |
Albuterol ipratrop non-comp |
93 |
77 |
$0.43 |
| 3079F |
|
37,026 |
34,176 |
$0.20 |
| 90633 |
|
2,569 |
2,415 |
$0.11 |
| 90648 |
|
3,863 |
3,542 |
$0.01 |
| 3008F |
|
238,055 |
213,616 |
$0.00 |
| 4010F |
|
17,595 |
15,608 |
$0.00 |
| 3074F |
|
126,076 |
114,638 |
$0.00 |
| 90723 |
|
2,759 |
2,524 |
$0.00 |
| 3075F |
|
9,710 |
9,118 |
$0.00 |
| 90744 |
|
1,097 |
1,068 |
$0.00 |
| 90651 |
|
931 |
893 |
$0.00 |
| 90698 |
|
3,112 |
2,944 |
$0.00 |
| 90680 |
|
3,696 |
3,468 |
$0.00 |
| 3066F |
|
1,515 |
1,381 |
$0.00 |
| 91307 |
|
496 |
439 |
$0.00 |
| 3061F |
|
326 |
306 |
$0.00 |
| 3080F |
|
3,111 |
2,895 |
$0.00 |
| 91301 |
|
14 |
14 |
$0.00 |
| 91305 |
|
168 |
161 |
$0.00 |
| 0031A |
|
83 |
61 |
$0.00 |
| 99000 |
|
370 |
324 |
$0.00 |
| J7611 |
Albuterol non-comp con |
82 |
74 |
$0.00 |
| G0439 |
Ppps, subseq visit |
50 |
50 |
$0.00 |
| 1111F |
|
134 |
121 |
$0.00 |
| 90647 |
|
174 |
171 |
$0.00 |
| U0002 |
Covid-19 lab test non-cdc |
780 |
549 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
49 |
42 |
$0.00 |
| 90696 |
|
41 |
40 |
$0.00 |
| 96111 |
|
129 |
101 |
$0.00 |
| G0008 |
Admin influenza virus vac |
113 |
104 |
$0.00 |
| 90716 |
|
57 |
55 |
$0.00 |
| 90620 |
|
50 |
49 |
$0.00 |
| 2023F |
|
14 |
12 |
$0.00 |
| 99355 |
|
23 |
19 |
$0.00 |
| 91303 |
|
14 |
14 |
$0.00 |
| 3052F |
|
14 |
14 |
$0.00 |
| 1160F |
|
424,449 |
375,485 |
$0.00 |
| 90670 |
|
6,681 |
6,246 |
$0.00 |
| 3077F |
|
7,507 |
6,838 |
$0.00 |
| 90734 |
|
951 |
895 |
$0.00 |
| 90685 |
|
221 |
216 |
$0.00 |
| 2025F |
|
138 |
123 |
$0.00 |
| 90715 |
|
119 |
117 |
$0.00 |
| 3046F |
|
89 |
81 |
$0.00 |
| G0101 |
Ca screen;pelvic/breast exam |
25 |
25 |
$0.00 |
| 0298T |
|
190 |
176 |
$0.00 |
| 99078 |
|
188 |
138 |
$0.00 |
| 91300 |
|
606 |
547 |
$0.00 |
| 91312 |
|
70 |
54 |
$0.00 |
| 90707 |
|
95 |
91 |
$0.00 |
| 90700 |
|
65 |
64 |
$0.00 |
| 0295T |
|
15 |
14 |
$0.00 |
| 92504 |
|
17 |
15 |
$0.00 |
| 90710 |
|
41 |
40 |
$0.00 |
| 90662 |
|
84 |
74 |
$0.00 |
| 1158F |
|
12 |
12 |
$0.00 |
| 3051F |
|
27 |
24 |
$0.00 |