| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
77,021 |
64,659 |
$23.35M |
| 99284 |
|
84,377 |
70,411 |
$14.05M |
| 99283 |
|
79,166 |
69,477 |
$11.79M |
| 97110 |
|
117,602 |
29,340 |
$7.11M |
| 96374 |
|
33,231 |
26,959 |
$4.61M |
| G0463 |
Hospital outpt clinic visit |
41,075 |
27,015 |
$3.07M |
| 45380 |
|
4,701 |
4,399 |
$3.05M |
| 43239 |
|
6,403 |
5,885 |
$2.70M |
| 92507 |
|
22,368 |
6,230 |
$2.25M |
| 93306 |
|
8,165 |
7,318 |
$2.11M |
| 45385 |
|
2,816 |
2,643 |
$2.02M |
| 74177 |
|
10,808 |
9,335 |
$2.00M |
| U0004 |
Cov-19 test non-cdc hgh thru |
26,595 |
22,664 |
$1.76M |
| S9480 |
Intensive outpatient psychia |
12,124 |
1,624 |
$1.52M |
| 96361 |
|
24,769 |
19,083 |
$1.51M |
| 96413 |
|
7,429 |
3,763 |
$1.51M |
| 70450 |
|
13,438 |
11,508 |
$1.44M |
| 96365 |
|
10,621 |
6,421 |
$1.28M |
| 99282 |
|
10,323 |
9,540 |
$1.10M |
| 96360 |
|
7,702 |
6,099 |
$1.05M |
| 93975 |
|
5,272 |
4,495 |
$1.04M |
| 96375 |
|
24,439 |
18,726 |
$1.03M |
| 87637 |
|
8,110 |
7,458 |
$1.01M |
| 78452 |
|
1,703 |
1,551 |
$962K |
| 45378 |
|
1,545 |
1,433 |
$916K |
| 97010 |
|
11,792 |
3,740 |
$864K |
| 71046 |
|
15,719 |
13,674 |
$849K |
| 76811 |
|
3,293 |
3,063 |
$716K |
| 59025 |
|
5,569 |
2,968 |
$714K |
| 0241U |
|
6,873 |
6,268 |
$709K |
| 77067 |
|
6,556 |
6,327 |
$704K |
| 97161 |
|
12,029 |
10,976 |
$670K |
| 76819 |
|
5,582 |
3,701 |
$598K |
| 87491 |
|
21,472 |
19,720 |
$572K |
| 87591 |
|
21,433 |
19,695 |
$571K |
| 87507 |
|
2,445 |
2,151 |
$560K |
| 84443 |
|
48,990 |
43,798 |
$558K |
| 86900 |
|
16,104 |
13,302 |
$557K |
| 71045 |
|
13,102 |
10,707 |
$551K |
| 97530 |
|
15,157 |
5,040 |
$523K |
| 80053 |
|
74,674 |
64,085 |
$516K |
| 80061 |
|
52,227 |
47,049 |
$512K |
| 11042 |
|
3,398 |
1,650 |
$478K |
| 94060 |
|
2,781 |
2,566 |
$470K |
| 74176 |
|
3,183 |
2,789 |
$466K |
| 95810 |
|
575 |
549 |
$461K |
| 97140 |
|
54,156 |
15,502 |
$454K |
| 87635 |
|
13,759 |
11,406 |
$449K |
| 78815 |
|
684 |
612 |
$429K |
| U0005 |
Infec agen detec ampli probe |
17,920 |
16,032 |
$383K |
| 85025 |
|
142,652 |
112,939 |
$369K |
| 76641 |
|
3,903 |
3,669 |
$358K |
| 99291 |
|
625 |
517 |
$342K |
| 76705 |
|
3,690 |
3,228 |
$341K |
| 88305 |
|
19,512 |
16,448 |
$334K |
| 93970 |
|
2,370 |
2,071 |
$323K |
| 82306 |
|
14,571 |
12,985 |
$309K |
| 70553 |
|
1,108 |
986 |
$284K |
| 76801 |
|
2,705 |
2,314 |
$275K |
| 76816 |
|
7,221 |
5,688 |
$266K |
| 76700 |
|
2,885 |
2,646 |
$264K |
| 93971 |
|
3,557 |
2,940 |
$260K |
| 71275 |
|
2,058 |
1,766 |
$258K |
| 83036 |
|
38,205 |
34,271 |
$255K |
| Q5111 |
Injection, udenyca 0.5 mg |
266 |
123 |
$254K |
| 76830 |
|
2,675 |
2,369 |
$250K |
| 86235 |
|
7,151 |
2,300 |
$246K |
| 97112 |
|
6,921 |
2,479 |
$246K |
| 87389 |
|
14,751 |
13,541 |
$230K |
| 71260 |
|
2,392 |
2,100 |
$229K |
| 96367 |
|
4,861 |
2,272 |
$224K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,248 |
2,991 |
$222K |
| 72148 |
|
1,349 |
1,218 |
$199K |
| 77065 |
Tomosynthesis, mammo |
1,752 |
1,534 |
$197K |
| C8929 |
Tte w or wo fol wcon,doppler |
672 |
587 |
$191K |
| 76770 |
|
1,823 |
1,678 |
$187K |
| 86480 |
|
4,507 |
4,179 |
$181K |
| 82947 |
|
75,622 |
56,610 |
$179K |
| 74183 |
|
1,004 |
892 |
$178K |
| 36415 |
|
127,445 |
100,149 |
$163K |
| 77066 |
Tomosynthesis, mammo |
1,369 |
1,275 |
$161K |
| 81220 |
|
624 |
597 |
$158K |
| 87633 |
|
1,025 |
941 |
$154K |
| 76642 |
|
2,356 |
2,174 |
$147K |
| 93017 |
|
3,614 |
3,297 |
$144K |
| 20610 |
|
687 |
563 |
$143K |
| 76536 |
|
1,763 |
1,653 |
$139K |
| 97165 |
|
2,190 |
1,979 |
$133K |
| 96366 |
|
3,067 |
1,806 |
$133K |
| 96415 |
|
2,393 |
1,400 |
$128K |
| 87624 |
|
5,290 |
4,918 |
$127K |
| 86803 |
|
12,374 |
11,157 |
$117K |
| 86780 |
|
10,981 |
9,581 |
$113K |
| 97035 |
|
2,196 |
948 |
$112K |
| 81514 |
|
675 |
637 |
$110K |
| 87798 |
|
5,742 |
4,260 |
$110K |
| 97116 |
|
5,955 |
2,057 |
$104K |
| 82728 |
|
10,761 |
9,556 |
$101K |
| 71250 |
|
1,701 |
1,542 |
$100K |
| 97162 |
|
2,315 |
2,035 |
$99K |
| 87086 |
|
33,524 |
28,200 |
$98K |
| 82607 |
|
9,308 |
8,259 |
$95K |
| 73721 |
|
477 |
435 |
$94K |
| 88142 |
|
7,131 |
6,619 |
$80K |
| 76805 |
|
740 |
681 |
$79K |
| 44970 |
|
13 |
12 |
$78K |
| 84153 |
|
6,379 |
5,620 |
$77K |
| 77080 |
|
707 |
680 |
$75K |
| 84439 |
|
11,993 |
10,609 |
$75K |
| 77063 |
|
5,220 |
5,032 |
$74K |
| 80307 |
|
15,147 |
10,541 |
$72K |
| J9271 |
Inj pembrolizumab |
73 |
57 |
$71K |
| 93880 |
|
793 |
714 |
$69K |
| 88342 |
|
2,449 |
2,065 |
$69K |
| 97113 |
|
2,086 |
598 |
$68K |
| 47562 |
|
15 |
13 |
$68K |
| 93005 |
|
37,063 |
27,307 |
$67K |
| 97535 |
|
4,024 |
2,037 |
$67K |
| 96417 |
|
1,371 |
740 |
$66K |
| 72125 |
|
4,553 |
3,976 |
$66K |
| 70551 |
|
547 |
448 |
$65K |
| 41899 |
|
47 |
38 |
$65K |
| 83970 |
|
3,034 |
2,399 |
$64K |
| 86618 |
|
7,602 |
6,632 |
$62K |
| J1439 |
Inj ferric carboxymaltos 1mg |
291 |
171 |
$61K |
| 87081 |
|
14,330 |
13,186 |
$58K |
| 85027 |
|
17,802 |
15,025 |
$58K |
| 80048 |
|
13,738 |
11,293 |
$57K |
| 72100 |
|
2,872 |
2,571 |
$55K |
| 87536 |
|
1,216 |
1,075 |
$54K |
| 93225 |
|
953 |
907 |
$51K |
| 87340 |
|
8,533 |
7,763 |
$50K |
| 87510 |
|
3,652 |
3,331 |
$50K |
| 87480 |
|
3,654 |
3,332 |
$50K |
| 87660 |
|
3,654 |
3,332 |
$50K |
| 83550 |
|
8,046 |
7,161 |
$48K |
| 97597 |
|
524 |
319 |
$47K |
| 86617 |
|
4,395 |
2,155 |
$47K |
| 84403 |
|
2,266 |
2,040 |
$45K |
| 83540 |
|
9,667 |
8,574 |
$43K |
| 72141 |
|
246 |
221 |
$43K |
| 69436 |
|
27 |
27 |
$42K |
| 92526 |
|
612 |
177 |
$42K |
| 80051 |
|
53,376 |
37,855 |
$41K |
| 86039 |
|
5,471 |
4,680 |
$41K |
| 82784 |
|
4,458 |
3,642 |
$41K |
| 82570 |
|
12,535 |
10,628 |
$40K |
| 36430 |
|
279 |
161 |
$39K |
| 70486 |
|
1,142 |
1,038 |
$38K |
| 86706 |
|
4,884 |
4,424 |
$37K |
| 87502 |
|
2,347 |
2,163 |
$35K |
| 93296 |
|
2,162 |
2,052 |
$34K |
| 86140 |
|
12,322 |
10,512 |
$34K |
| 82746 |
|
3,487 |
3,077 |
$33K |
| 84481 |
|
2,653 |
2,365 |
$32K |
| 87186 |
|
9,095 |
7,884 |
$32K |
| 87077 |
|
9,411 |
8,121 |
$32K |
| C9803 |
Hopd covid-19 spec collect |
16,461 |
14,440 |
$31K |
| 96372 |
|
15,349 |
10,103 |
$30K |
| 99281 |
|
428 |
387 |
$30K |
| 95816 |
|
176 |
166 |
$29K |
| 88304 |
|
2,609 |
2,209 |
$29K |
| 82105 |
|
2,437 |
2,205 |
$29K |
| 86360 |
|
1,194 |
1,046 |
$29K |
| 96416 |
|
135 |
65 |
$28K |
| 84702 |
|
6,845 |
5,052 |
$28K |
| 80074 |
|
818 |
741 |
$28K |
| 82043 |
|
7,071 |
6,295 |
$27K |
| 86003 |
|
452 |
342 |
$27K |
| 86225 |
|
2,992 |
2,451 |
$27K |
| 83525 |
|
2,741 |
2,620 |
$27K |
| 73030 |
|
2,797 |
2,359 |
$25K |
| 93350 |
|
58 |
56 |
$25K |
| 74018 |
|
2,789 |
2,358 |
$25K |
| 86762 |
|
3,644 |
3,312 |
$25K |
| 73564 |
|
2,829 |
2,333 |
$25K |
| 81001 |
|
36,051 |
30,378 |
$24K |
| 87636 |
|
207 |
204 |
$24K |
| 83516 |
|
2,810 |
2,095 |
$23K |
| 83655 |
|
2,373 |
2,230 |
$23K |
| 94726 |
|
1,823 |
1,708 |
$23K |
| 77336 |
|
277 |
113 |
$23K |
| 86160 |
|
1,517 |
1,255 |
$22K |
| 84146 |
|
1,447 |
1,295 |
$21K |
| 83001 |
|
1,414 |
1,297 |
$21K |
| J2469 |
Palonosetron hcl |
2,435 |
1,191 |
$20K |
| 86787 |
|
2,544 |
2,363 |
$20K |
| 83020 |
|
1,842 |
1,740 |
$19K |
| 84410 |
|
536 |
490 |
$19K |
| 86704 |
|
2,381 |
2,102 |
$19K |
| P9016 |
Rbc leukocytes reduced |
220 |
130 |
$19K |
| 87338 |
|
1,639 |
1,555 |
$19K |
| 76856 |
|
370 |
343 |
$18K |
| 82247 |
|
45,987 |
36,578 |
$18K |
| 83735 |
|
20,468 |
14,992 |
$17K |
| 86850 |
|
15,537 |
13,082 |
$17K |
| G0390 |
Trauma respons w/hosp criti |
32 |
29 |
$17K |
| 87070 |
|
5,051 |
4,383 |
$17K |
| 70496 |
|
101 |
86 |
$17K |
| 77412 |
|
108 |
12 |
$16K |
| 76825 |
|
31 |
28 |
$16K |
| 80069 |
|
3,391 |
2,519 |
$16K |
| 94010 |
|
168 |
163 |
$16K |
| 83002 |
|
1,065 |
975 |
$15K |
| 85652 |
|
10,338 |
8,689 |
$15K |
| 77334 |
|
49 |
40 |
$15K |
| 82565 |
|
79,206 |
57,428 |
$15K |
| 85610 |
|
29,753 |
18,876 |
$15K |
| 96411 |
|
381 |
162 |
$14K |
| 86665 |
|
1,557 |
720 |
$14K |
| 83880 |
|
4,082 |
3,367 |
$14K |
| 87486 |
|
1,111 |
1,021 |
$14K |
| 87581 |
|
1,111 |
1,021 |
$13K |
| 88307 |
|
802 |
656 |
$13K |
| 81003 |
|
20,961 |
18,382 |
$13K |
| 86695 |
|
1,161 |
613 |
$13K |
| 73630 |
|
2,150 |
1,899 |
$13K |
| 73130 |
|
2,174 |
1,770 |
$13K |
| 86708 |
|
1,517 |
1,343 |
$12K |
| 73502 |
|
1,515 |
1,343 |
$12K |
| 73610 |
|
2,554 |
2,280 |
$12K |
| 88112 |
|
1,324 |
909 |
$11K |
| 86376 |
|
1,147 |
1,040 |
$11K |
| 85730 |
|
7,748 |
6,564 |
$11K |
| 83690 |
|
25,591 |
21,091 |
$11K |
| 82670 |
|
484 |
447 |
$11K |
| 82950 |
|
2,707 |
2,511 |
$11K |
| 86769 |
|
287 |
276 |
$10K |
| 93798 |
|
144 |
25 |
$10K |
| 86431 |
|
2,697 |
2,330 |
$10K |
| 84156 |
|
5,320 |
4,252 |
$10K |
| 86696 |
|
732 |
611 |
$10K |
| 87075 |
|
2,755 |
2,367 |
$10K |
| 80076 |
|
1,708 |
1,541 |
$10K |
| 80050 |
|
341 |
316 |
$9K |
| 73110 |
|
1,572 |
1,360 |
$9K |
| 87503 |
|
2,343 |
2,159 |
$9K |
| 82533 |
|
1,168 |
892 |
$9K |
| 10005 |
|
18 |
15 |
$9K |
| 86359 |
|
1,213 |
1,062 |
$9K |
| 87625 |
|
397 |
380 |
$9K |
| 84450 |
|
49,476 |
39,456 |
$8K |
| 82378 |
|
1,307 |
1,057 |
$8K |
| 96402 |
|
227 |
197 |
$8K |
| 86765 |
|
773 |
710 |
$8K |
| 82550 |
|
4,402 |
3,612 |
$8K |
| 84165 |
|
1,461 |
1,194 |
$8K |
| 86735 |
|
727 |
669 |
$8K |
| 76817 |
|
1,822 |
1,387 |
$8K |
| 84703 |
|
14,152 |
11,786 |
$8K |
| 95806 |
|
61 |
55 |
$7K |
| 82150 |
|
6,682 |
5,899 |
$7K |
| 86200 |
|
792 |
694 |
$7K |
| 86364 |
|
797 |
725 |
$7K |
| 99203 |
|
219 |
180 |
$7K |
| J7030 |
Normal saline solution infus |
30,025 |
22,409 |
$7K |
| 10060 |
|
54 |
51 |
$7K |
| 0240U |
|
72 |
58 |
$7K |
| 83521 |
|
566 |
472 |
$7K |
| 73560 |
|
696 |
518 |
$7K |
| J0185 |
Inj., aprepitant, 1 mg |
154 |
79 |
$7K |
| 81511 |
|
77 |
71 |
$7K |
| G0480 |
Drug test def 1-7 classes |
1,321 |
1,088 |
$6K |
| 83883 |
|
626 |
387 |
$6K |
| 86664 |
|
850 |
706 |
$6K |
| 84550 |
|
3,693 |
3,133 |
$5K |
| 29581 |
|
131 |
52 |
$5K |
| 82330 |
|
1,461 |
1,134 |
$5K |
| 83615 |
|
3,129 |
2,524 |
$5K |
| 43249 |
|
12 |
12 |
$5K |
| 99213 |
|
757 |
600 |
$5K |
| 85651 |
|
2,393 |
2,200 |
$5K |
| 73562 |
|
274 |
192 |
$5K |
| 85380 |
|
4,873 |
4,120 |
$5K |
| 87631 |
|
1,059 |
964 |
$5K |
| 86901 |
|
16,027 |
13,275 |
$5K |
| 93978 |
|
53 |
52 |
$5K |
| 84075 |
|
45,516 |
36,334 |
$4K |
| 82977 |
|
5,784 |
4,646 |
$4K |
| 97014 |
|
107 |
37 |
$4K |
| G0279 |
Tomosynthesis, mammo |
2,012 |
1,893 |
$4K |
| 88173 |
|
593 |
469 |
$4K |
| 84480 |
|
376 |
350 |
$4K |
| 86709 |
|
562 |
490 |
$4K |
| 84100 |
|
5,117 |
3,371 |
$4K |
| 85046 |
|
1,416 |
1,214 |
$4K |
| 84402 |
|
429 |
388 |
$4K |
| 99214 |
|
245 |
212 |
$4K |
| 83993 |
|
251 |
239 |
$4K |
| G0378 |
Hospital observation per hr |
7,256 |
5,498 |
$4K |
| 99204 |
|
58 |
55 |
$4K |
| 74174 |
|
12 |
12 |
$4K |
| 87522 |
Neg quan hep c or qual rna |
137 |
114 |
$4K |
| U0002 |
Covid-19 lab test non-cdc |
312 |
214 |
$4K |
| 82951 |
|
307 |
297 |
$3K |
| 87634 |
|
57 |
54 |
$3K |
| 97760 |
|
78 |
68 |
$3K |
| 99212 |
|
513 |
464 |
$3K |
| 94640 |
|
6,363 |
3,851 |
$3K |
| 82374 |
|
24,590 |
18,890 |
$3K |
| 82248 |
|
3,532 |
2,626 |
$3K |
| 77300 |
|
18 |
15 |
$3K |
| 86870 |
|
14 |
12 |
$3K |
| 73080 |
|
665 |
594 |
$3K |
| G2066 |
Inter devc remote 30d |
260 |
243 |
$3K |
| 73140 |
|
766 |
704 |
$3K |
| 72070 |
|
96 |
88 |
$2K |
| 87205 |
|
2,262 |
1,891 |
$2K |
| 97166 |
|
38 |
36 |
$2K |
| 82652 |
|
74 |
68 |
$2K |
| 87209 |
|
261 |
196 |
$2K |
| 82040 |
|
1,601 |
1,233 |
$2K |
| 87040 |
|
4,180 |
3,014 |
$2K |
| 82310 |
|
5,775 |
4,754 |
$2K |
| 93270 |
|
117 |
110 |
$2K |
| 84144 |
|
119 |
105 |
$2K |
| 80164 |
|
483 |
403 |
$2K |
| G0399 |
Home sleep test/type 3 porta |
24 |
16 |
$2K |
| 86146 |
|
106 |
27 |
$2K |
| 87177 |
|
274 |
208 |
$2K |
| 82435 |
|
24,694 |
18,975 |
$2K |
| 12001 |
|
1,173 |
1,090 |
$2K |
| 86334 |
|
133 |
101 |
$2K |
| 73221 |
|
12 |
12 |
$2K |
| 84300 |
|
511 |
434 |
$1K |
| 72170 |
|
598 |
537 |
$1K |
| 85007 |
|
1,644 |
1,328 |
$1K |
| 76377 |
|
6,233 |
5,505 |
$1K |
| 97022 |
|
24 |
12 |
$1K |
| 87529 |
|
80 |
39 |
$1K |
| 73590 |
|
430 |
344 |
$1K |
| 96376 |
|
8,701 |
6,537 |
$1K |
| 70498 |
|
119 |
99 |
$1K |
| 83721 |
|
353 |
282 |
$1K |
| 97533 |
|
61 |
24 |
$1K |
| 86308 |
|
660 |
549 |
$989.71 |
| 81025 |
|
8,553 |
7,360 |
$983.01 |
| 82077 |
|
7,629 |
5,734 |
$967.09 |
| 76882 |
|
19 |
15 |
$966.04 |
| 76820 |
|
282 |
112 |
$948.22 |
| 93923 |
|
12 |
12 |
$946.43 |
| 97164 |
|
13 |
13 |
$944.13 |
| 86800 |
|
87 |
80 |
$943.62 |
| 84520 |
|
78,448 |
56,930 |
$942.26 |
| 82627 |
|
49 |
49 |
$934.12 |
| 84425 |
|
55 |
54 |
$899.14 |
| 93298 |
|
94 |
85 |
$860.94 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
15,433 |
13,216 |
$829.20 |
| G2023 |
Specimen collect covid-19 |
975 |
913 |
$813.59 |
| 86300 |
|
170 |
100 |
$794.80 |
| 84154 |
|
72 |
65 |
$785.02 |
| 84460 |
|
48,130 |
38,397 |
$776.49 |
| 82340 |
|
211 |
174 |
$756.93 |
| 86304 |
|
107 |
89 |
$738.66 |
| 76813 |
|
1,565 |
1,409 |
$732.32 |
| 84445 |
|
18 |
15 |
$728.55 |
| 83605 |
|
12,410 |
9,617 |
$717.06 |
| 83718 |
|
121 |
114 |
$711.62 |
| 74019 |
|
70 |
63 |
$700.88 |
| 87468 |
|
786 |
662 |
$680.58 |
| 84484 |
|
16,756 |
11,580 |
$677.45 |
| 99202 |
|
25 |
25 |
$625.67 |
| 88300 |
|
130 |
66 |
$598.88 |
| 97763 |
|
19 |
15 |
$498.96 |
| 84132 |
|
25,084 |
19,185 |
$494.52 |
| 90853 |
|
1,422 |
244 |
$494.00 |
| 86923 |
|
132 |
67 |
$474.12 |
| 86301 |
|
42 |
39 |
$457.01 |
| 90715 |
|
1,882 |
1,696 |
$451.34 |
| 85384 |
|
69 |
65 |
$446.99 |
| 87880 |
|
3,893 |
3,609 |
$439.09 |
| 84155 |
|
345 |
294 |
$416.41 |
| 87469 |
|
769 |
650 |
$410.00 |
| 93280 |
|
34 |
26 |
$405.15 |
| 86255 |
|
40 |
37 |
$404.91 |
| 84466 |
|
42 |
39 |
$402.27 |
| 82465 |
|
123 |
116 |
$381.00 |
| 86036 |
|
33 |
25 |
$353.36 |
| 90471 |
|
2,566 |
2,113 |
$343.19 |
| 93922 |
|
17 |
13 |
$309.45 |
| 82103 |
|
26 |
25 |
$276.05 |
| 86812 |
|
12 |
12 |
$271.15 |
| 83519 |
|
24 |
24 |
$236.25 |
| 84295 |
|
24,759 |
18,988 |
$232.30 |
| 85018 |
|
228 |
187 |
$232.08 |
| 84305 |
|
15 |
13 |
$223.30 |
| 90686 |
|
51 |
40 |
$220.85 |
| 84181 |
|
281 |
253 |
$219.74 |
| 94750 |
|
1,079 |
993 |
$216.55 |
| 82962 |
|
16,888 |
9,077 |
$202.63 |
| J3490 |
Drugs unclassified injection |
39,140 |
21,391 |
$198.85 |
| 85613 |
|
24 |
24 |
$191.94 |
| 82785 |
|
12 |
12 |
$188.76 |
| 82010 |
|
1,455 |
1,118 |
$176.17 |
| 36416 |
|
11,905 |
4,545 |
$175.17 |
| 83520 |
|
14 |
12 |
$173.04 |
| 86592 |
|
50 |
46 |
$154.66 |
| 97150 |
|
38 |
16 |
$140.00 |
| 82800 |
|
1,281 |
993 |
$134.66 |
| 84478 |
|
132 |
94 |
$129.64 |
| 76870 |
|
230 |
200 |
$129.34 |
| 80177 |
|
12 |
12 |
$113.94 |
| 86705 |
|
12 |
12 |
$112.50 |
| 51701 |
|
128 |
108 |
$91.65 |
| 85014 |
|
68 |
60 |
$85.88 |
| 89051 |
|
52 |
47 |
$84.16 |
| 86060 |
|
14 |
13 |
$83.64 |
| 99211 |
|
998 |
535 |
$83.00 |
| 73090 |
|
101 |
91 |
$79.46 |
| 12002 |
|
95 |
83 |
$72.00 |
| 73565 |
|
41 |
26 |
$71.19 |
| 82140 |
|
33 |
26 |
$69.60 |
| 80178 |
|
32 |
25 |
$63.10 |
| 99152 |
|
1,460 |
1,204 |
$58.06 |
| 85670 |
|
12 |
12 |
$55.10 |
| 82360 |
|
12 |
12 |
$49.16 |
| 12011 |
|
728 |
688 |
$49.11 |
| 81050 |
|
17 |
15 |
$37.18 |
| 82803 |
|
45 |
37 |
$33.89 |
| J7120 |
Ringers lactate infusion |
12,323 |
9,299 |
$33.21 |
| 85060 |
|
35 |
29 |
$32.20 |
| 81002 |
|
1,442 |
1,315 |
$31.72 |
| S0077 |
Injection, clindamycin phosp |
85 |
63 |
$24.00 |
| J7040 |
Normal saline solution infus |
6,684 |
5,594 |
$22.97 |
| J0696 |
Ceftriaxone sodium injection |
7,018 |
4,876 |
$21.41 |
| J1170 |
Hydromorphone injection |
14,105 |
9,653 |
$18.33 |
| J1885 |
Ketorolac tromethamine inj |
21,048 |
16,834 |
$14.57 |
| 51798 |
|
268 |
242 |
$9.88 |
| J2405 |
Ondansetron hcl injection |
28,003 |
21,542 |
$5.39 |
| J1100 |
Dexamethasone sodium phos |
14,266 |
10,369 |
$5.38 |
| Q9957 |
Inj perflutren lip micros,ml |
760 |
660 |
$4.55 |
| 94729 |
|
3,125 |
2,891 |
$3.89 |
| J2060 |
Lorazepam injection |
3,819 |
2,766 |
$3.81 |
| J2930 |
Methylprednisolone injection |
609 |
489 |
$3.74 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
1,875 |
1,608 |
$3.60 |
| G8979 |
Mobility goal status |
531 |
457 |
$2.66 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
1,251 |
1,001 |
$2.19 |
| J1200 |
Diphenhydramine hcl injectio |
5,212 |
3,694 |
$2.18 |
| G8978 |
Mobility current status |
448 |
401 |
$2.17 |
| J1630 |
Haloperidol injection |
677 |
464 |
$1.24 |
| J1650 |
Inj enoxaparin sodium |
2,149 |
855 |
$0.36 |
| G8991 |
Other pt/ot goal status |
165 |
143 |
$0.35 |
| Q0162 |
Ondansetron oral |
1,355 |
1,250 |
$0.29 |
| J1815 |
Insulin injection |
609 |
212 |
$0.23 |
| J2250 |
Inj midazolam hydrochloride |
9,332 |
8,074 |
$0.23 |
| J3010 |
Fentanyl citrate injection |
11,618 |
9,951 |
$0.21 |
| G8980 |
Mobility d/c status |
49 |
43 |
$0.19 |
| G8990 |
Other pt/ot current status |
82 |
75 |
$0.17 |
| 93226 |
|
953 |
907 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
615 |
498 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
2,516 |
1,387 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,213 |
1,032 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
851 |
615 |
$0.00 |
| 80179 |
|
1,341 |
1,103 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
3,661 |
1,722 |
$0.00 |
| J2270 |
Morphine sulfate injection |
2,314 |
1,728 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
3,876 |
3,322 |
$0.00 |
| 80143 |
|
1,427 |
1,165 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
2,169 |
1,867 |
$0.00 |
| 93325 |
|
74 |
63 |
$0.00 |
| C1887 |
Catheter, guiding |
400 |
320 |
$0.00 |
| A9552 |
F18 fdg |
744 |
647 |
$0.00 |
| 87641 |
|
14 |
13 |
$0.00 |
| 94727 |
|
17 |
13 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
203 |
165 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
220 |
126 |
$0.00 |
| J2800 |
Methocarbamol injection |
185 |
98 |
$0.00 |
| 36592 |
|
19 |
14 |
$0.00 |
| G8984 |
Carry current status |
57 |
49 |
$0.00 |
| J0640 |
Leucovorin calcium injection |
102 |
50 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
325 |
227 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
504 |
432 |
$0.00 |
| J9190 |
Fluorouracil injection |
436 |
114 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
140 |
97 |
$0.00 |
| C1776 |
Joint device (implantable) |
16 |
16 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
41 |
40 |
$0.00 |
| J2550 |
Promethazine hcl injection |
44 |
40 |
$0.00 |
| 99157 |
|
45 |
39 |
$0.00 |
| Q0144 |
Azithromycin dihydrate, oral |
28 |
25 |
$0.00 |
| 97803 |
|
19 |
18 |
$0.00 |
| 76942 |
|
32 |
24 |
$0.00 |
| J1453 |
Fosaprepitant injection |
26 |
12 |
$0.00 |
| G8985 |
Carry goal status |
58 |
50 |
$0.00 |
| 76827 |
|
31 |
28 |
$0.00 |
| Q0163 |
Diphenhydramine hcl 50mg |
14 |
14 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
6,641 |
5,143 |
$0.00 |
| J7050 |
Normal saline solution infus |
3,718 |
2,385 |
$0.00 |
| C1769 |
Guide wire |
2,222 |
1,508 |
$0.00 |
| J2785 |
Regadenoson injection |
1,318 |
1,177 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
153 |
84 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
796 |
663 |
$0.00 |
| A9500 |
Tc99m sestamibi |
1,732 |
1,579 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
1,097 |
956 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
1,714 |
1,462 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
20,225 |
17,362 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
952 |
708 |
$0.00 |
| J7060 |
5% dextrose/water |
934 |
434 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
452 |
350 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
2,790 |
2,113 |
$0.00 |
| 88341 |
|
875 |
706 |
$0.00 |
| J8540 |
Oral dexamethasone |
233 |
204 |
$0.00 |
| C1889 |
Implant/insert device, noc |
300 |
253 |
$0.00 |
| J2001 |
Lidocaine injection |
103 |
93 |
$0.00 |
| J3360 |
Diazepam injection |
457 |
379 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
1,514 |
889 |
$0.00 |
| 71101 |
|
75 |
65 |
$0.00 |
| 96368 |
|
77 |
39 |
$0.00 |
| 88141 |
|
245 |
148 |
$0.00 |
| 99156 |
|
108 |
91 |
$0.00 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
297 |
277 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
145 |
124 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
158 |
121 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
54 |
36 |
$0.00 |
| C1781 |
Mesh (implantable) |
14 |
12 |
$0.00 |
| Q3014 |
Telehealth facility fee |
33 |
17 |
$0.00 |
| J9267 |
Paclitaxel injection |
19 |
12 |
$0.00 |
| A4648 |
Implantable tissue marker |
59 |
44 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
100 |
90 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
81 |
78 |
$0.00 |
| J1790 |
Droperidol injection |
32 |
28 |
$0.00 |
| C1726 |
Cath, bal dil, non-vascular |
27 |
27 |
$0.00 |
| J1940 |
Furosemide injection |
74 |
39 |
$0.00 |
| G8982 |
Body pos goal status |
38 |
32 |
$0.00 |
| G8981 |
Body pos current status |
33 |
29 |
$0.00 |
| 88311 |
|
15 |
12 |
$0.00 |