| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
28,447 |
23,795 |
$7.06M |
| 99283 |
|
42,903 |
36,939 |
$7.02M |
| 74177 |
|
10,628 |
9,434 |
$4.38M |
| 93306 |
|
8,702 |
7,825 |
$3.53M |
| 93458 |
|
3,288 |
1,384 |
$3.35M |
| 99285 |
|
9,976 |
7,109 |
$3.28M |
| G0378 |
Hospital observation per hr |
9,555 |
7,406 |
$3.00M |
| 74176 |
|
7,512 |
6,703 |
$2.67M |
| 96413 |
|
6,207 |
3,320 |
$2.35M |
| 78452 |
|
4,343 |
2,131 |
$2.06M |
| 96365 |
|
15,467 |
8,852 |
$1.87M |
| U0004 |
Cov-19 test non-cdc hgh thru |
28,526 |
25,447 |
$1.82M |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,184 |
982 |
$1.80M |
| 96375 |
|
27,864 |
18,951 |
$1.51M |
| 70450 |
|
7,451 |
6,183 |
$1.40M |
| 80053 |
|
144,228 |
95,177 |
$1.31M |
| 70553 |
|
4,138 |
3,310 |
$1.21M |
| 71275 |
|
5,040 |
4,241 |
$1.18M |
| 93005 |
|
38,322 |
27,817 |
$1.10M |
| 93017 |
|
4,105 |
3,732 |
$1.04M |
| 88305 |
|
18,706 |
11,863 |
$963K |
| 96374 |
|
36,803 |
21,754 |
$919K |
| 95886 |
|
3,052 |
2,672 |
$885K |
| 70551 |
|
3,364 |
2,962 |
$856K |
| 76811 |
|
7,881 |
7,441 |
$780K |
| 0202U |
|
3,581 |
3,200 |
$757K |
| 77067 |
|
8,904 |
8,669 |
$718K |
| 99282 |
|
6,825 |
5,980 |
$706K |
| 36415 |
|
147,778 |
85,897 |
$697K |
| 96361 |
|
9,945 |
5,908 |
$683K |
| 76816 |
|
10,040 |
8,089 |
$678K |
| 85025 |
|
97,458 |
78,056 |
$675K |
| 72148 |
|
2,426 |
2,253 |
$659K |
| 96372 |
|
19,746 |
8,678 |
$657K |
| 71260 |
|
3,410 |
2,252 |
$656K |
| 80050 |
|
17,262 |
16,156 |
$634K |
| 84443 |
|
42,156 |
39,052 |
$624K |
| 96366 |
|
4,749 |
2,361 |
$598K |
| 59025 |
|
6,471 |
4,490 |
$581K |
| 71045 |
|
20,748 |
16,917 |
$573K |
| 96376 |
|
8,985 |
5,018 |
$553K |
| 74178 |
|
742 |
636 |
$544K |
| 82306 |
|
22,474 |
20,860 |
$534K |
| 71250 |
|
3,572 |
3,119 |
$531K |
| 80061 |
|
43,765 |
38,505 |
$528K |
| 97110 |
|
11,470 |
4,234 |
$482K |
| 76819 |
|
5,783 |
4,099 |
$474K |
| 87636 |
|
6,455 |
5,488 |
$466K |
| 76705 |
|
4,722 |
4,417 |
$438K |
| C1769 |
Guide wire |
3,365 |
2,874 |
$432K |
| 96367 |
|
3,947 |
2,041 |
$416K |
| 73721 |
|
1,342 |
1,245 |
$416K |
| 83880 |
|
12,728 |
11,028 |
$400K |
| 76642 |
|
4,332 |
4,065 |
$395K |
| 97597 |
|
3,667 |
810 |
$395K |
| 72141 |
|
1,471 |
1,308 |
$390K |
| 93971 |
|
2,170 |
1,952 |
$373K |
| 43239 |
|
929 |
663 |
$364K |
| 87491 |
|
10,325 |
9,338 |
$354K |
| 71046 |
|
11,871 |
10,312 |
$346K |
| 78815 |
|
801 |
553 |
$337K |
| 96415 |
|
1,703 |
1,244 |
$336K |
| 77066 |
Tomosynthesis, mammo |
4,150 |
3,529 |
$331K |
| U0003 |
Cov-19 amp prb hgh thruput |
4,538 |
4,126 |
$323K |
| 80081 |
|
4,480 |
4,065 |
$313K |
| A9555 |
Rb82 rubidium |
697 |
371 |
$295K |
| 95910 |
|
860 |
797 |
$289K |
| 80307 |
|
6,102 |
5,332 |
$284K |
| J2785 |
Regadenoson injection |
1,728 |
1,583 |
$278K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
25,482 |
19,812 |
$273K |
| 87591 |
|
10,017 |
9,289 |
$271K |
| 72125 |
|
1,337 |
1,174 |
$266K |
| 73560 |
|
3,414 |
2,932 |
$266K |
| 72100 |
|
3,454 |
3,042 |
$258K |
| 77300 |
|
427 |
168 |
$254K |
| A9577 |
Inj multihance |
5,474 |
5,082 |
$254K |
| 83036 |
|
31,982 |
29,685 |
$253K |
| 73221 |
|
874 |
796 |
$245K |
| 73630 |
|
2,783 |
2,500 |
$239K |
| 82607 |
|
17,911 |
16,610 |
$237K |
| 76817 |
|
2,664 |
2,365 |
$235K |
| 84484 |
|
24,465 |
15,713 |
$230K |
| A9500 |
Tc99m sestamibi |
1,713 |
1,611 |
$229K |
| 73030 |
|
2,999 |
2,512 |
$228K |
| 85027 |
|
35,661 |
30,959 |
$222K |
| 76775 |
|
1,266 |
1,201 |
$221K |
| 87798 |
|
8,863 |
3,595 |
$220K |
| 58571 |
|
161 |
107 |
$214K |
| 86803 |
|
16,723 |
15,551 |
$207K |
| 76536 |
|
2,134 |
2,038 |
$206K |
| 77336 |
|
1,864 |
519 |
$205K |
| 87086 |
|
26,640 |
23,771 |
$203K |
| 72040 |
|
2,296 |
1,932 |
$202K |
| 70496 |
|
914 |
751 |
$199K |
| C1776 |
Joint device (implantable) |
46 |
43 |
$196K |
| 87801 |
|
3,363 |
3,090 |
$189K |
| 73610 |
|
2,297 |
2,002 |
$183K |
| C1894 |
Intro/sheath, non-laser |
3,612 |
2,957 |
$180K |
| 80048 |
|
21,909 |
15,330 |
$179K |
| 74018 |
|
2,737 |
2,449 |
$176K |
| 96360 |
|
1,855 |
1,362 |
$175K |
| 77065 |
Tomosynthesis, mammo |
2,444 |
2,043 |
$173K |
| 73130 |
|
1,848 |
1,672 |
$173K |
| 76830 |
|
2,001 |
1,863 |
$170K |
| 84439 |
|
19,907 |
18,108 |
$166K |
| 93325 |
|
1,853 |
1,693 |
$166K |
| J7050 |
Normal saline solution infus |
3,630 |
1,487 |
$162K |
| 70498 |
|
793 |
686 |
$159K |
| 84702 |
|
11,484 |
8,849 |
$158K |
| 97161 |
|
5,198 |
3,608 |
$155K |
| 72110 |
|
997 |
887 |
$152K |
| 72131 |
|
694 |
604 |
$152K |
| 83690 |
|
26,478 |
23,320 |
$151K |
| C9803 |
Hopd covid-19 spec collect |
16,339 |
12,089 |
$150K |
| 97140 |
|
3,875 |
1,633 |
$144K |
| 80074 |
|
3,610 |
3,255 |
$143K |
| 93880 |
|
1,033 |
905 |
$142K |
| 74240 |
|
665 |
602 |
$142K |
| 76820 |
|
3,280 |
1,797 |
$141K |
| 87637 |
|
1,736 |
1,571 |
$137K |
| 80306 |
|
9,384 |
8,315 |
$136K |
| 87507 |
|
480 |
448 |
$134K |
| 87661 |
|
5,768 |
5,291 |
$128K |
| 88307 |
|
2,154 |
1,429 |
$125K |
| G0480 |
Drug test def 1-7 classes |
1,604 |
1,226 |
$125K |
| J3490 |
Drugs unclassified injection |
1,280 |
1,066 |
$124K |
| 93970 |
|
536 |
471 |
$120K |
| G0463 |
Hospital outpt clinic visit |
8,806 |
6,625 |
$118K |
| G0432 |
Eia hiv-1/hiv-2 screen |
7,704 |
6,765 |
$117K |
| A9552 |
F18 fdg |
401 |
370 |
$114K |
| C1889 |
Implant/insert device, noc |
875 |
513 |
$107K |
| 73502 |
|
1,828 |
1,574 |
$107K |
| 73110 |
|
1,160 |
1,028 |
$105K |
| 81001 |
|
32,723 |
28,164 |
$103K |
| 93976 |
|
822 |
758 |
$101K |
| 82728 |
|
8,197 |
7,395 |
$101K |
| 94640 |
|
4,203 |
3,540 |
$100K |
| 75574 |
|
305 |
265 |
$100K |
| 81025 |
|
18,175 |
15,803 |
$97K |
| 82746 |
|
7,685 |
7,180 |
$95K |
| 84466 |
|
8,273 |
7,740 |
$91K |
| 87522 |
Neg quan hep c or qual rna |
2,385 |
2,157 |
$90K |
| 83605 |
|
10,381 |
8,012 |
$89K |
| 82962 |
|
17,338 |
7,524 |
$87K |
| 78431 |
|
522 |
192 |
$87K |
| 76700 |
|
919 |
862 |
$86K |
| 84112 |
|
980 |
870 |
$84K |
| 96417 |
|
665 |
390 |
$84K |
| 95806 |
|
565 |
517 |
$84K |
| 77290 |
|
340 |
127 |
$82K |
| 83735 |
|
14,027 |
10,651 |
$81K |
| 84403 |
|
3,551 |
3,277 |
$77K |
| 84145 |
|
3,869 |
3,269 |
$77K |
| 78264 |
|
214 |
154 |
$77K |
| 76815 |
|
804 |
696 |
$76K |
| 86850 |
|
9,426 |
8,333 |
$76K |
| 71271 |
|
1,188 |
1,102 |
$72K |
| J3010 |
Fentanyl citrate injection |
14,775 |
9,251 |
$69K |
| Q9950 |
Inj sulf hexa lipid microsph |
767 |
637 |
$69K |
| 72156 |
|
181 |
160 |
$69K |
| 76825 |
|
794 |
702 |
$68K |
| 77063 |
|
10,346 |
9,323 |
$66K |
| 70486 |
|
300 |
281 |
$63K |
| 77280 |
|
303 |
91 |
$62K |
| 83540 |
|
10,787 |
9,986 |
$62K |
| 87186 |
|
7,916 |
6,930 |
$60K |
| 87804 |
|
2,131 |
1,980 |
$59K |
| 82670 |
|
2,352 |
2,141 |
$59K |
| 87040 |
|
7,318 |
3,464 |
$59K |
| 0100U |
|
292 |
211 |
$58K |
| 97162 |
|
2,187 |
1,276 |
$57K |
| 86480 |
|
1,068 |
1,000 |
$56K |
| 87635 |
|
1,614 |
1,351 |
$55K |
| 87070 |
|
6,999 |
5,415 |
$55K |
| C1887 |
Catheter, guiding |
555 |
478 |
$54K |
| 83001 |
|
3,259 |
3,028 |
$53K |
| 86235 |
|
635 |
574 |
$51K |
| 72072 |
|
550 |
475 |
$51K |
| 83013 |
|
827 |
788 |
$51K |
| G0103 |
Psa screening |
4,376 |
3,081 |
$50K |
| 82948 |
|
6,620 |
2,681 |
$50K |
| 87081 |
|
7,439 |
6,978 |
$49K |
| 84144 |
|
2,699 |
2,361 |
$48K |
| C1760 |
Closure dev, vasc |
172 |
126 |
$48K |
| C1874 |
Stent, coated/cov w/del sys |
34 |
29 |
$47K |
| 19083 |
|
43 |
39 |
$47K |
| 72158 |
|
123 |
114 |
$47K |
| 86140 |
|
10,699 |
9,122 |
$47K |
| 85610 |
|
12,109 |
8,835 |
$46K |
| 77080 |
|
930 |
804 |
$45K |
| 74241 |
|
230 |
216 |
$45K |
| 86038 |
|
4,201 |
3,854 |
$45K |
| 99291 |
|
72 |
62 |
$45K |
| 84402 |
|
2,110 |
1,949 |
$45K |
| 88342 |
|
1,438 |
1,058 |
$44K |
| J2795 |
Ropivacaine hcl injection |
892 |
626 |
$44K |
| 82805 |
|
891 |
704 |
$44K |
| J1170 |
Hydromorphone injection |
10,994 |
7,242 |
$44K |
| 82784 |
|
3,008 |
2,725 |
$43K |
| 87340 |
|
4,928 |
4,580 |
$43K |
| 81003 |
|
17,838 |
16,026 |
$43K |
| 95911 |
|
120 |
111 |
$42K |
| 78227 |
|
111 |
87 |
$42K |
| 85379 |
|
4,797 |
4,409 |
$41K |
| 87389 |
|
1,942 |
1,821 |
$41K |
| 87077 |
|
5,215 |
4,469 |
$41K |
| 99211 |
|
2,452 |
1,998 |
$40K |
| J2704 |
Inj, propofol, 10 mg |
11,267 |
8,010 |
$38K |
| 84146 |
|
2,296 |
2,133 |
$38K |
| 87880 |
|
2,971 |
2,782 |
$38K |
| A4648 |
Implantable tissue marker |
322 |
280 |
$37K |
| 99152 |
|
932 |
733 |
$37K |
| 93613 |
|
15 |
12 |
$36K |
| 82077 |
|
2,928 |
2,446 |
$35K |
| 88304 |
|
1,452 |
1,293 |
$35K |
| 70491 |
|
152 |
136 |
$34K |
| 83002 |
|
2,132 |
1,998 |
$34K |
| 93246 |
|
976 |
923 |
$34K |
| 0042T |
|
110 |
101 |
$33K |
| 87529 |
|
899 |
823 |
$32K |
| J7040 |
Normal saline solution infus |
1,216 |
518 |
$32K |
| 97165 |
|
1,191 |
962 |
$31K |
| J7030 |
Normal saline solution infus |
7,723 |
4,364 |
$31K |
| 84481 |
|
1,902 |
1,790 |
$31K |
| 73562 |
|
321 |
296 |
$31K |
| J2469 |
Palonosetron hcl |
1,189 |
692 |
$30K |
| J1439 |
Inj ferric carboxymaltos 1mg |
40 |
25 |
$30K |
| 82043 |
|
5,636 |
5,058 |
$28K |
| 83516 |
|
1,630 |
962 |
$28K |
| 82247 |
|
4,745 |
3,431 |
$28K |
| 0002A |
|
1,018 |
994 |
$27K |
| 83615 |
|
4,650 |
3,665 |
$27K |
| J3370 |
Vancomycin hcl injection |
2,353 |
1,395 |
$26K |
| 76801 |
|
314 |
286 |
$26K |
| 86901 |
|
8,039 |
7,051 |
$26K |
| 76885 |
|
243 |
233 |
$26K |
| 87147 |
|
3,483 |
2,487 |
$25K |
| J1650 |
Inj enoxaparin sodium |
3,705 |
1,476 |
$25K |
| 86900 |
|
8,156 |
7,064 |
$25K |
| 0001A |
|
1,117 |
1,065 |
$25K |
| 84550 |
|
6,145 |
5,087 |
$24K |
| 85730 |
|
3,911 |
3,391 |
$24K |
| 76870 |
|
288 |
270 |
$23K |
| 82570 |
|
5,177 |
4,868 |
$23K |
| 82550 |
|
3,751 |
3,081 |
$23K |
| 87205 |
|
6,057 |
5,427 |
$23K |
| 94010 |
|
394 |
341 |
$23K |
| 47562 |
|
12 |
12 |
$22K |
| 86592 |
|
5,322 |
4,946 |
$22K |
| 95816 |
|
79 |
76 |
$22K |
| 83970 |
|
625 |
569 |
$22K |
| 85652 |
|
9,029 |
7,862 |
$22K |
| 86696 |
|
1,240 |
949 |
$21K |
| 94729 |
|
634 |
602 |
$21K |
| 86376 |
|
1,660 |
1,562 |
$21K |
| 78492 |
|
62 |
49 |
$21K |
| 86780 |
|
1,951 |
1,833 |
$21K |
| 86706 |
|
2,172 |
1,999 |
$20K |
| J7120 |
Ringers lactate infusion |
3,036 |
2,112 |
$20K |
| A9541 |
Tc99m sulfur colloid |
165 |
153 |
$20K |
| 84132 |
|
4,383 |
3,577 |
$20K |
| 97535 |
|
1,237 |
774 |
$19K |
| 82950 |
|
5,790 |
5,384 |
$19K |
| 36591 |
|
1,074 |
401 |
$19K |
| 86762 |
|
1,561 |
1,473 |
$19K |
| G0279 |
Tomosynthesis, mammo |
5,591 |
4,943 |
$19K |
| 82565 |
|
3,569 |
2,622 |
$18K |
| C1732 |
Cath, ep, diag/abl, 3d/vect |
16 |
12 |
$18K |
| 94664 |
|
715 |
330 |
$18K |
| 77412 |
|
108 |
12 |
$18K |
| J2405 |
Ondansetron hcl injection |
25,976 |
19,516 |
$18K |
| 97116 |
|
1,565 |
829 |
$17K |
| J0696 |
Ceftriaxone sodium injection |
6,440 |
4,318 |
$17K |
| J2543 |
Piperacillin/tazobactam |
1,086 |
468 |
$17K |
| 87493 |
|
592 |
542 |
$17K |
| 82627 |
|
813 |
749 |
$17K |
| 74455 |
|
76 |
71 |
$17K |
| J2710 |
Neostigmine methylslfte inj |
2,798 |
2,279 |
$17K |
| J1100 |
Dexamethasone sodium phos |
13,462 |
9,507 |
$16K |
| J1885 |
Ketorolac tromethamine inj |
13,754 |
11,448 |
$16K |
| 86704 |
|
1,500 |
1,344 |
$16K |
| 84450 |
|
3,503 |
2,728 |
$16K |
| 84460 |
|
3,528 |
2,762 |
$16K |
| J2930 |
Methylprednisolone injection |
2,026 |
1,604 |
$15K |
| J1644 |
Inj heparin sodium per 1000u |
7,320 |
3,591 |
$15K |
| 86695 |
|
1,176 |
948 |
$15K |
| 86431 |
|
2,747 |
2,531 |
$15K |
| 84075 |
|
3,114 |
2,398 |
$15K |
| U0002 |
Covid-19 lab test non-cdc |
571 |
474 |
$15K |
| 80047 |
|
1,643 |
1,183 |
$15K |
| 99153 |
Mod sedat endo service >5yrs |
169 |
144 |
$14K |
| 80143 |
|
891 |
804 |
$14K |
| 73590 |
|
187 |
169 |
$14K |
| 97530 |
|
976 |
486 |
$14K |
| 84165 |
|
835 |
766 |
$13K |
| 86003 |
|
151 |
135 |
$13K |
| 82533 |
|
929 |
751 |
$13K |
| 86364 |
|
1,000 |
964 |
$13K |
| 86800 |
|
948 |
895 |
$13K |
| 88341 |
|
180 |
139 |
$13K |
| 84100 |
|
2,793 |
1,929 |
$12K |
| 94727 |
|
345 |
326 |
$12K |
| C1725 |
Cath, translumin non-laser |
65 |
51 |
$12K |
| 80179 |
|
836 |
764 |
$11K |
| 87902 |
|
53 |
50 |
$11K |
| 87641 |
|
404 |
367 |
$11K |
| 87088 |
|
1,572 |
1,493 |
$11K |
| C1730 |
Cath, ep, 19 or few elect |
33 |
26 |
$11K |
| 36416 |
|
4,486 |
1,963 |
$11K |
| P9612 |
Catheterize for urine spec |
2,242 |
1,055 |
$11K |
| 74183 |
|
34 |
29 |
$11K |
| 72132 |
|
48 |
36 |
$11K |
| G0108 |
Diab manage trn per indiv |
721 |
612 |
$11K |
| 77334 |
|
16 |
12 |
$11K |
| 94726 |
|
220 |
208 |
$10K |
| 82947 |
|
3,021 |
2,547 |
$10K |
| J3411 |
Thiamine hcl 100 mg |
1,671 |
869 |
$10K |
| G0399 |
Home sleep test/type 3 porta |
59 |
56 |
$10K |
| 76813 |
|
131 |
122 |
$10K |
| 95810 |
|
14 |
12 |
$10K |
| 94060 |
|
96 |
85 |
$10K |
| 92523 |
|
162 |
143 |
$10K |
| 93623 |
|
17 |
13 |
$10K |
| 82150 |
|
1,517 |
1,392 |
$10K |
| J2916 |
Na ferric gluconate complex |
469 |
212 |
$9K |
| 77049 |
|
29 |
26 |
$9K |
| 86258 |
|
544 |
521 |
$9K |
| 72120 |
|
114 |
98 |
$9K |
| 83921 |
|
520 |
479 |
$9K |
| 87481 |
|
271 |
144 |
$9K |
| A9537 |
Tc99m mebrofenin |
122 |
109 |
$8K |
| 86147 |
|
178 |
160 |
$8K |
| 86231 |
|
859 |
828 |
$8K |
| 86787 |
|
750 |
707 |
$8K |
| 85014 |
|
3,933 |
3,114 |
$8K |
| J2250 |
Inj midazolam hydrochloride |
6,065 |
5,114 |
$8K |
| 82248 |
|
1,792 |
1,243 |
$8K |
| 82330 |
|
773 |
583 |
$8K |
| J2270 |
Morphine sulfate injection |
3,906 |
2,861 |
$8K |
| 80076 |
|
996 |
805 |
$8K |
| 96368 |
|
100 |
66 |
$8K |
| J1200 |
Diphenhydramine hcl injectio |
6,694 |
4,551 |
$7K |
| 36430 |
|
21 |
13 |
$7K |
| 88302 |
|
319 |
271 |
$7K |
| 0097U |
|
50 |
26 |
$7K |
| 86708 |
|
704 |
644 |
$7K |
| 51600 |
|
76 |
71 |
$7K |
| 83655 |
|
603 |
588 |
$7K |
| 86334 |
|
259 |
234 |
$7K |
| 85347 |
|
296 |
137 |
$7K |
| 83520 |
|
420 |
273 |
$7K |
| 84480 |
|
529 |
501 |
$7K |
| 86255 |
|
504 |
431 |
$7K |
| J3475 |
Inj magnesium sulfate |
1,554 |
1,055 |
$7K |
| 86225 |
|
552 |
495 |
$6K |
| G0297 |
Ldct for lung ca screen |
99 |
91 |
$6K |
| J1790 |
Droperidol injection |
1,250 |
1,115 |
$6K |
| 83550 |
|
694 |
630 |
$6K |
| 86665 |
|
173 |
158 |
$6K |
| J2550 |
Promethazine hcl injection |
2,137 |
1,557 |
$6K |
| 81374 |
|
98 |
96 |
$6K |
| 73070 |
|
91 |
69 |
$6K |
| 78226 |
|
20 |
13 |
$6K |
| 83498 |
|
247 |
221 |
$6K |
| P9016 |
Rbc leukocytes reduced |
21 |
13 |
$6K |
| Q9969 |
Non-heu tc-99m add-on/dose |
3,264 |
3,040 |
$5K |
| J0780 |
Prochlorperazine injection |
1,308 |
1,013 |
$5K |
| 84445 |
|
122 |
119 |
$5K |
| 82951 |
|
511 |
474 |
$5K |
| J2805 |
Sincalide injection |
57 |
52 |
$5K |
| 0296T |
|
142 |
122 |
$5K |
| 84153 |
|
300 |
272 |
$5K |
| J2765 |
Metoclopramide hcl injection |
3,088 |
2,330 |
$5K |
| 90715 |
|
166 |
153 |
$5K |
| 84156 |
|
1,423 |
1,258 |
$5K |
| 83525 |
|
456 |
437 |
$4K |
| 85018 |
|
2,315 |
1,679 |
$4K |
| J2272 |
Inj, morphine (fresenius) |
1,650 |
1,238 |
$4K |
| J0690 |
Cefazolin sodium injection |
1,498 |
992 |
$4K |
| 86200 |
|
358 |
348 |
$4K |
| 71101 |
|
38 |
37 |
$4K |
| 84436 |
|
721 |
629 |
$4K |
| J1756 |
Iron sucrose injection |
61 |
24 |
$4K |
| 87046 |
|
310 |
178 |
$4K |
| J3360 |
Diazepam injection |
220 |
163 |
$4K |
| J0689 |
Inj cefazolin sodium, baxter |
780 |
582 |
$4K |
| 70544 |
|
14 |
13 |
$4K |
| 95909 |
|
15 |
14 |
$4K |
| 93975 |
|
12 |
12 |
$4K |
| J0688 |
Inj cefazolin sodium, hikma |
1,058 |
669 |
$4K |
| 29581 |
|
144 |
24 |
$4K |
| 82140 |
|
307 |
267 |
$3K |
| J2060 |
Lorazepam injection |
2,528 |
1,923 |
$3K |
| 80069 |
|
547 |
383 |
$3K |
| 82652 |
|
126 |
114 |
$3K |
| C1819 |
Tissue localization-excision |
14 |
13 |
$3K |
| 36600 |
|
190 |
155 |
$3K |
| 72146 |
|
14 |
13 |
$3K |
| G0379 |
Direct refer hospital observ |
14 |
12 |
$3K |
| 82803 |
|
161 |
132 |
$3K |
| 97166 |
|
192 |
117 |
$3K |
| 87807 |
|
218 |
214 |
$3K |
| 90471 |
|
275 |
249 |
$3K |
| 72050 |
|
28 |
24 |
$3K |
| 76942 |
|
71 |
53 |
$3K |
| 86304 |
|
77 |
64 |
$3K |
| 95819 |
|
15 |
15 |
$3K |
| 82977 |
|
451 |
429 |
$3K |
| 94761 |
|
374 |
176 |
$3K |
| J2919 |
Inj, methylpred sod succ 5mg |
262 |
206 |
$3K |
| 99281 |
|
37 |
36 |
$3K |
| 82785 |
|
170 |
127 |
$3K |
| J1453 |
Fosaprepitant injection |
64 |
38 |
$3K |
| J0330 |
Succinycholine chloride inj |
536 |
454 |
$3K |
| 82172 |
|
167 |
122 |
$3K |
| 84425 |
|
144 |
139 |
$3K |
| J2370 |
Phenylephrine hcl injection |
698 |
497 |
$2K |
| 86308 |
|
542 |
511 |
$2K |
| 82105 |
|
143 |
135 |
$2K |
| 87109 |
|
101 |
86 |
$2K |
| 87210 |
|
497 |
477 |
$2K |
| 73140 |
|
38 |
37 |
$2K |
| 92610 |
|
53 |
41 |
$2K |
| 82375 |
|
242 |
173 |
$2K |
| G0109 |
Diab manage trn ind/group |
49 |
48 |
$2K |
| 87502 |
|
31 |
28 |
$2K |
| 97010 |
|
247 |
141 |
$2K |
| 87045 |
|
288 |
210 |
$2K |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
783 |
627 |
$2K |
| 86481 |
|
24 |
22 |
$2K |
| 72114 |
|
13 |
13 |
$2K |
| 93242 |
|
57 |
56 |
$2K |
| 87220 |
|
455 |
434 |
$2K |
| 86146 |
|
34 |
31 |
$2K |
| 10060 |
|
15 |
13 |
$2K |
| G0283 |
Elec stim other than wound |
84 |
46 |
$2K |
| 86160 |
|
95 |
91 |
$2K |
| J0592 |
Buprenorphine hydrochloride |
189 |
143 |
$2K |
| J1642 |
Inj heparin sodium per 10 u |
3,640 |
1,745 |
$2K |
| 86664 |
|
116 |
106 |
$2K |
| 96040 |
|
63 |
63 |
$2K |
| 82024 |
|
37 |
34 |
$2K |
| 81002 |
|
454 |
361 |
$2K |
| 81596 |
|
28 |
27 |
$2K |
| J3480 |
Inj potassium chloride |
311 |
185 |
$2K |
| 76805 |
|
53 |
53 |
$2K |
| Q9958 |
Hocm <=149 mg/ml iodine, 1ml |
78 |
70 |
$2K |
| 86769 |
|
48 |
39 |
$2K |
| G8978 |
Mobility current status |
294 |
69 |
$2K |
| 85045 |
|
479 |
432 |
$2K |
| 76882 |
|
12 |
12 |
$2K |
| 82952 |
|
462 |
438 |
$1K |
| 83010 |
|
136 |
134 |
$1K |
| 86037 |
|
50 |
47 |
$1K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
77 |
72 |
$1K |
| 86381 |
|
65 |
61 |
$1K |
| 0012A |
|
63 |
59 |
$1K |
| 83050 |
|
223 |
169 |
$1K |
| 86677 |
|
27 |
26 |
$1K |
| 86430 |
|
210 |
184 |
$1K |
| 87209 |
|
64 |
60 |
$1K |
| 86870 |
|
55 |
50 |
$1K |
| 86663 |
|
87 |
80 |
$1K |
| 84134 |
|
99 |
91 |
$1K |
| 73090 |
|
17 |
14 |
$1K |
| 82103 |
|
73 |
65 |
$1K |
| 82010 |
|
166 |
137 |
$1K |
| J0171 |
Adrenalin epinephrine inject |
116 |
94 |
$981.39 |
| J9045 |
Carboplatin injection |
32 |
13 |
$965.78 |
| 84703 |
|
128 |
125 |
$941.33 |
| 83721 |
|
109 |
103 |
$919.09 |
| 86015 |
|
78 |
74 |
$825.54 |
| 84295 |
|
200 |
169 |
$793.66 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
43 |
40 |
$790.92 |
| 86618 |
|
29 |
28 |
$741.59 |
| 86923 |
|
24 |
17 |
$721.84 |
| J2404 |
Inj, nicardipine 0.1 mg |
239 |
202 |
$696.43 |
| 84207 |
|
29 |
26 |
$680.98 |
| 81050 |
|
162 |
135 |
$594.39 |
| 83883 |
|
39 |
39 |
$578.20 |
| 85613 |
|
49 |
45 |
$577.69 |
| 0011A |
|
69 |
61 |
$557.46 |
| 88312 |
|
21 |
16 |
$548.61 |
| 87177 |
|
58 |
50 |
$524.30 |
| 97802 |
|
65 |
62 |
$522.17 |
| 93270 |
|
12 |
12 |
$504.90 |
| 82164 |
|
34 |
26 |
$475.52 |
| 97803 |
|
43 |
40 |
$469.46 |
| 86707 |
|
44 |
40 |
$451.23 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
108 |
93 |
$449.42 |
| 87350 |
|
43 |
39 |
$438.14 |
| J1940 |
Furosemide injection |
161 |
106 |
$413.03 |
| 83993 |
|
17 |
17 |
$412.31 |
| 82270 |
|
117 |
104 |
$388.16 |
| 82378 |
|
29 |
25 |
$382.37 |
| 90686 |
|
12 |
12 |
$382.01 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
123 |
97 |
$380.36 |
| 87102 |
|
59 |
51 |
$355.71 |
| 82465 |
|
96 |
92 |
$353.65 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
229 |
162 |
$334.00 |
| J2920 |
Methylprednisolone injection |
36 |
26 |
$333.21 |
| J0360 |
Hydralazine hcl injection |
68 |
54 |
$321.75 |
| G0008 |
Admin influenza virus vac |
27 |
25 |
$315.72 |
| 86705 |
|
31 |
28 |
$306.02 |
| 84155 |
|
129 |
113 |
$298.44 |
| 0004A |
|
15 |
13 |
$284.00 |
| 84681 |
|
12 |
12 |
$249.72 |
| 81015 |
|
66 |
66 |
$248.79 |
| 85598 |
|
16 |
15 |
$220.34 |
| 87116 |
|
33 |
27 |
$216.00 |
| 87206 |
|
70 |
39 |
$211.20 |
| 84478 |
|
35 |
26 |
$188.07 |
| 82085 |
|
26 |
25 |
$186.14 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
361 |
261 |
$175.16 |
| 80164 |
|
13 |
12 |
$167.20 |
| 87449 |
|
15 |
14 |
$157.80 |
| 85670 |
|
32 |
28 |
$156.71 |
| C1755 |
Catheter, intraspinal |
12 |
12 |
$134.37 |
| 86362 |
|
13 |
13 |
$132.55 |
| J2001 |
Lidocaine injection |
491 |
440 |
$132.36 |
| 85007 |
|
40 |
39 |
$119.82 |
| 86141 |
|
13 |
13 |
$116.55 |
| 94760 |
|
18 |
14 |
$114.72 |
| J2720 |
Inj protamine sulfate/10 mg |
19 |
13 |
$112.90 |
| 87075 |
|
15 |
13 |
$101.44 |
| 99499 |
|
155 |
136 |
$97.89 |
| J1030 |
Methylprednisolone 40 mg inj |
15 |
12 |
$89.59 |
| 80178 |
|
12 |
12 |
$83.25 |
| J2305 |
Inj, nitroglycerin, 5 mg |
17 |
16 |
$74.64 |
| 87185 |
|
14 |
12 |
$70.32 |
| 82310 |
|
21 |
13 |
$67.08 |
| J1805 |
Inj, esmolol hcl, 10mg |
34 |
29 |
$58.60 |
| J1953 |
Levetiracetam injection |
17 |
12 |
$55.70 |
| J2004 |
Inj, lidocaine w epinephrine |
41 |
41 |
$53.46 |
| 85732 |
|
12 |
12 |
$37.21 |
| G8979 |
Mobility goal status |
28 |
26 |
$0.00 |