| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
478,971 |
455,465 |
$15.44M |
| 99285 |
|
109,174 |
107,664 |
$15.05M |
| 99284 |
|
223,557 |
220,587 |
$13.15M |
| 99214 |
|
157,218 |
149,781 |
$5.70M |
| 77067 |
|
84,089 |
49,574 |
$5.18M |
| 91320 |
|
31,250 |
31,237 |
$4.47M |
| 74177 |
|
34,802 |
32,330 |
$4.25M |
| 90962 |
|
9,094 |
8,987 |
$3.42M |
| 99283 |
|
130,040 |
128,271 |
$3.12M |
| 99212 |
|
200,342 |
189,371 |
$2.75M |
| 70450 |
|
43,924 |
40,919 |
$2.54M |
| 88305 |
|
52,193 |
50,230 |
$2.38M |
| G0008 |
Admin influenza virus vac |
240,586 |
239,715 |
$2.25M |
| 90480 |
|
47,076 |
46,988 |
$2.14M |
| 93306 |
|
12,088 |
11,102 |
$1.72M |
| 93010 |
|
229,245 |
210,562 |
$1.49M |
| 92012 |
|
44,277 |
43,816 |
$1.45M |
| 71046 |
|
124,341 |
104,863 |
$1.40M |
| J2426 |
Inj, invega sustenna, 1 mg |
904 |
789 |
$1.30M |
| 90662 |
|
16,118 |
16,066 |
$1.12M |
| 92014 |
|
17,623 |
17,498 |
$1.08M |
| 92015 |
|
154,874 |
153,919 |
$1.04M |
| 0001A |
|
25,018 |
25,018 |
$959K |
| 67028 |
|
5,180 |
4,605 |
$951K |
| 0002A |
|
23,984 |
23,984 |
$948K |
| 71045 |
|
138,275 |
116,032 |
$947K |
| 99215 |
Prolong outpt/office vis |
10,441 |
9,510 |
$890K |
| 78815 |
|
628 |
339 |
$888K |
| 96413 |
|
3,760 |
2,657 |
$783K |
| 74176 |
|
7,735 |
7,025 |
$746K |
| 70551 |
|
6,182 |
5,298 |
$656K |
| 99203 |
|
19,906 |
19,697 |
$630K |
| 90686 |
|
195,854 |
194,914 |
$605K |
| 76705 |
|
21,745 |
18,147 |
$605K |
| 99442 |
|
9,505 |
9,022 |
$594K |
| 11042 |
|
2,285 |
1,687 |
$549K |
| 77080 |
|
13,792 |
8,391 |
$518K |
| 92004 |
|
11,550 |
11,523 |
$494K |
| 99282 |
|
41,940 |
41,488 |
$488K |
| 99202 |
|
22,605 |
22,405 |
$476K |
| 0124A |
|
11,543 |
11,541 |
$474K |
| 71260 |
|
5,793 |
5,084 |
$472K |
| 99392 |
|
37,526 |
37,348 |
$447K |
| 92134 |
|
12,029 |
11,777 |
$445K |
| 90378 |
|
380 |
262 |
$436K |
| 90471 |
|
182,464 |
178,985 |
$433K |
| 72148 |
|
2,577 |
1,817 |
$431K |
| J0585 |
Injection,onabotulinumtoxina |
1,121 |
858 |
$429K |
| 97110 |
|
30,496 |
24,749 |
$421K |
| 99391 |
|
21,451 |
20,846 |
$415K |
| 0064A |
|
10,237 |
10,234 |
$412K |
| 99232 |
|
29,386 |
11,866 |
$401K |
| 0054A |
|
9,221 |
9,221 |
$380K |
| 0012A |
|
9,738 |
9,738 |
$378K |
| 90837 |
|
13,725 |
11,082 |
$375K |
| 92250 |
|
13,233 |
13,120 |
$371K |
| 0071A |
|
9,032 |
9,032 |
$361K |
| 0072A |
|
8,790 |
8,790 |
$351K |
| 73630 |
|
30,485 |
18,949 |
$350K |
| 0011A |
|
9,534 |
9,534 |
$336K |
| 70553 |
|
1,640 |
1,363 |
$333K |
| 0004A |
|
8,103 |
8,072 |
$319K |
| 92002 |
|
16,098 |
16,017 |
$294K |
| 90694 |
|
4,709 |
4,708 |
$291K |
| 97810 |
|
10,956 |
9,120 |
$291K |
| 99441 |
|
11,956 |
11,453 |
$284K |
| J0178 |
Aflibercept injection |
108 |
106 |
$260K |
| 11721 |
|
2,309 |
2,298 |
$253K |
| 99393 |
|
15,963 |
15,937 |
$240K |
| 73721 |
|
3,155 |
2,221 |
$233K |
| 91322 |
|
1,641 |
1,641 |
$232K |
| 76642 |
|
5,679 |
3,145 |
$227K |
| 64615 |
|
1,859 |
1,851 |
$215K |
| 76830 |
|
8,947 |
6,792 |
$205K |
| 93303 |
|
1,813 |
1,736 |
$198K |
| 90834 |
|
13,194 |
10,102 |
$197K |
| 97161 |
|
3,896 |
3,884 |
$193K |
| 0134A |
|
4,508 |
4,508 |
$188K |
| 90656 |
|
27,988 |
27,976 |
$179K |
| 73564 |
|
7,955 |
4,597 |
$167K |
| 92507 |
|
10,315 |
4,821 |
$160K |
| 95800 |
|
1,603 |
1,566 |
$155K |
| 73030 |
|
8,852 |
6,303 |
$153K |
| 99222 |
|
2,033 |
2,015 |
$153K |
| 73610 |
|
16,841 |
11,140 |
$145K |
| 92523 |
|
2,140 |
2,109 |
$140K |
| 72100 |
|
6,781 |
4,974 |
$136K |
| 98968 |
|
6,501 |
5,720 |
$131K |
| 99204 |
|
2,419 |
2,397 |
$130K |
| 99238 |
|
8,055 |
7,847 |
$128K |
| 92567 |
|
9,271 |
9,188 |
$127K |
| 99309 |
|
1,371 |
1,320 |
$126K |
| 92557 |
|
2,614 |
2,602 |
$120K |
| 73130 |
|
11,185 |
7,240 |
$120K |
| 97535 |
|
8,889 |
7,807 |
$117K |
| 0031A |
|
2,927 |
2,927 |
$116K |
| 99443 |
|
1,680 |
1,615 |
$115K |
| 90653 |
|
2,194 |
2,194 |
$114K |
| 77065 |
Tomosynthesis, mammo |
1,335 |
796 |
$113K |
| 76856 |
|
6,794 |
5,338 |
$111K |
| 93976 |
|
2,084 |
1,669 |
$110K |
| 96372 |
|
9,630 |
8,014 |
$108K |
| 90791 |
|
5,958 |
5,899 |
$105K |
| 97530 |
|
9,038 |
6,849 |
$104K |
| 73110 |
|
13,538 |
8,565 |
$104K |
| 90670 |
|
12,133 |
11,977 |
$102K |
| 72125 |
|
1,679 |
1,593 |
$101K |
| 99394 |
|
7,318 |
7,315 |
$99K |
| 11056 |
|
475 |
464 |
$98K |
| 86580 |
|
24,642 |
23,400 |
$98K |
| 71250 |
|
475 |
301 |
$98K |
| 71275 |
|
669 |
659 |
$96K |
| 90472 |
|
49,410 |
48,705 |
$94K |
| 74018 |
|
14,749 |
9,851 |
$93K |
| 93005 |
|
16,415 |
16,066 |
$88K |
| 72141 |
|
659 |
456 |
$84K |
| 76815 |
|
6,059 |
4,099 |
$83K |
| 0052A |
|
2,031 |
2,031 |
$82K |
| 90682 |
|
19,042 |
18,979 |
$81K |
| 91319 |
|
2,048 |
2,039 |
$80K |
| J7999 |
Compounded drug, noc |
1,587 |
1,509 |
$80K |
| 94729 |
|
998 |
990 |
$78K |
| 73502 |
|
2,850 |
2,172 |
$77K |
| U0003 |
Cov-19 amp prb hgh thruput |
30,085 |
23,658 |
$70K |
| 0051A |
|
1,679 |
1,679 |
$68K |
| 73560 |
|
7,398 |
5,104 |
$66K |
| 96365 |
|
858 |
715 |
$62K |
| 90792 |
|
2,140 |
1,983 |
$62K |
| A9552 |
F18 fdg |
151 |
151 |
$59K |
| 73221 |
|
338 |
237 |
$58K |
| 43239 |
|
102 |
102 |
$57K |
| 99205 |
Prolong outpt/office vis |
867 |
794 |
$56K |
| 90847 |
|
4,036 |
3,625 |
$55K |
| 0154A |
|
1,365 |
1,364 |
$52K |
| 70496 |
|
392 |
382 |
$50K |
| 95117 |
|
11,188 |
6,091 |
$49K |
| 93268 |
|
139 |
139 |
$48K |
| 90710 |
|
3,386 |
3,342 |
$46K |
| 99308 |
|
1,065 |
904 |
$45K |
| 76805 |
|
1,382 |
844 |
$44K |
| 90677 |
|
1,663 |
1,656 |
$44K |
| 78452 |
|
327 |
322 |
$43K |
| 76770 |
|
1,367 |
1,011 |
$42K |
| 70491 |
|
437 |
404 |
$42K |
| 93000 |
|
3,515 |
3,244 |
$41K |
| 97597 |
|
586 |
459 |
$40K |
| 91200 |
|
1,284 |
1,274 |
$40K |
| 99233 |
Prolong inpt eval add15 m |
1,731 |
690 |
$39K |
| 73140 |
|
6,089 |
3,831 |
$39K |
| 91318 |
|
1,518 |
1,473 |
$38K |
| 94060 |
|
639 |
635 |
$37K |
| J1944 |
Aripiprazole lauroxil 1 mg |
13 |
13 |
$37K |
| 0073A |
|
971 |
971 |
$37K |
| 73562 |
|
1,721 |
932 |
$35K |
| 72040 |
|
1,928 |
1,397 |
$33K |
| 77063 |
|
790 |
500 |
$33K |
| 70498 |
|
227 |
225 |
$32K |
| 92526 |
|
722 |
493 |
$30K |
| 76811 |
|
421 |
217 |
$30K |
| 73080 |
|
4,349 |
2,821 |
$28K |
| 0081A |
|
733 |
732 |
$28K |
| G0127 |
Trim nail(s) |
312 |
310 |
$26K |
| 90674 |
|
2,639 |
2,624 |
$25K |
| 96416 |
|
94 |
53 |
$25K |
| 88307 |
|
678 |
666 |
$25K |
| 94726 |
|
342 |
336 |
$25K |
| 31575 |
|
157 |
153 |
$24K |
| 0082A |
|
643 |
642 |
$24K |
| 45385 |
|
25 |
25 |
$23K |
| 90853 |
|
4,793 |
2,727 |
$23K |
| 99211 |
|
39,295 |
38,104 |
$22K |
| 91321 |
|
583 |
576 |
$22K |
| 99395 |
|
2,810 |
2,762 |
$21K |
| 76882 |
|
423 |
243 |
$21K |
| 0003A |
|
530 |
530 |
$21K |
| 97811 |
|
232 |
167 |
$19K |
| 95819 |
|
109 |
107 |
$19K |
| 93971 |
|
1,138 |
1,085 |
$18K |
| 76536 |
|
331 |
236 |
$18K |
| 99281 |
|
3,832 |
3,784 |
$18K |
| 73590 |
|
2,603 |
1,644 |
$18K |
| 90648 |
|
13,560 |
13,403 |
$16K |
| 90651 |
|
5,057 |
5,049 |
$16K |
| 0111A |
|
471 |
471 |
$16K |
| 90750 |
|
1,976 |
1,968 |
$15K |
| 99397 |
|
217 |
217 |
$15K |
| 72082 |
|
991 |
587 |
$15K |
| 77066 |
Tomosynthesis, mammo |
145 |
118 |
$15K |
| 0112A |
|
407 |
407 |
$14K |
| 99307 |
|
837 |
766 |
$14K |
| 70486 |
|
345 |
326 |
$14K |
| 90734 |
|
2,893 |
2,892 |
$13K |
| 92133 |
|
697 |
688 |
$13K |
| 90723 |
|
5,126 |
5,096 |
$13K |
| 0013A |
|
318 |
318 |
$13K |
| 88304 |
|
2,108 |
1,977 |
$12K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,611 |
1,604 |
$12K |
| 90691 |
|
944 |
944 |
$12K |
| 92504 |
|
585 |
547 |
$12K |
| 90679 |
|
69 |
69 |
$12K |
| 52000 |
|
25 |
25 |
$11K |
| 20610 |
|
447 |
432 |
$11K |
| 76000 |
|
947 |
914 |
$11K |
| 99396 |
|
1,795 |
1,770 |
$11K |
| 97140 |
|
2,184 |
1,530 |
$11K |
| 11055 |
|
67 |
64 |
$10K |
| 93923 |
|
167 |
161 |
$10K |
| 99306 |
Prolong nursin fac eval 15m |
158 |
150 |
$10K |
| G0009 |
Admin pneumococcal vaccine |
9,323 |
9,187 |
$10K |
| 96040 |
|
433 |
422 |
$9K |
| 97112 |
|
978 |
836 |
$9K |
| 84443 |
|
34,687 |
33,904 |
$9K |
| 74170 |
|
34 |
27 |
$9K |
| 11719 |
|
334 |
333 |
$9K |
| 93296 |
|
141 |
139 |
$9K |
| 73090 |
|
2,107 |
1,338 |
$9K |
| 78451 |
|
56 |
56 |
$9K |
| 90833 |
|
2,247 |
2,191 |
$8K |
| 82306 |
|
11,730 |
11,629 |
$8K |
| 90633 |
|
4,715 |
4,620 |
$8K |
| 93280 |
|
27 |
26 |
$8K |
| 88342 |
|
1,303 |
1,152 |
$8K |
| 98967 |
|
495 |
486 |
$8K |
| 87651 |
|
6,927 |
6,783 |
$8K |
| 99201 |
|
5,031 |
4,947 |
$7K |
| 97165 |
|
251 |
249 |
$7K |
| G2012 |
Brief check in by md/qhp |
46,773 |
45,198 |
$7K |
| 92228 |
|
288 |
259 |
$7K |
| 70544 |
|
38 |
36 |
$7K |
| 87506 |
|
1,407 |
1,389 |
$6K |
| 95782 |
|
39 |
39 |
$6K |
| J0885 |
Epoetin alfa, non-esrd |
27 |
12 |
$6K |
| 92083 |
|
368 |
365 |
$6K |
| 99291 |
|
347 |
207 |
$6K |
| 72050 |
|
200 |
177 |
$6K |
| 99385 |
|
850 |
839 |
$6K |
| E1390 |
Oxygen concentrator |
2,261 |
2,251 |
$6K |
| S9480 |
Intensive outpatient psychia |
994 |
491 |
$6K |
| 0083A |
|
276 |
276 |
$5K |
| 20611 |
|
40 |
37 |
$5K |
| 59025 |
|
1,018 |
855 |
$5K |
| 92060 |
|
229 |
216 |
$5K |
| 45380 |
|
12 |
12 |
$5K |
| 76376 |
|
280 |
228 |
$5K |
| 94010 |
|
133 |
132 |
$5K |
| K0001 |
Standard wheelchair |
1,478 |
1,467 |
$5K |
| 99386 |
|
488 |
485 |
$4K |
| 94660 |
|
820 |
806 |
$4K |
| 85025 |
|
24,669 |
23,674 |
$4K |
| 43235 |
|
12 |
12 |
$4K |
| 87491 |
|
13,878 |
12,374 |
$4K |
| 0121A |
|
251 |
251 |
$4K |
| 83036 |
|
34,305 |
34,009 |
$4K |
| 74022 |
|
687 |
597 |
$4K |
| 84439 |
|
8,227 |
7,835 |
$4K |
| 92568 |
|
211 |
211 |
$4K |
| B4035 |
Enteral feed supp pump per d |
63 |
62 |
$4K |
| 95165 |
|
35 |
33 |
$3K |
| 73120 |
|
366 |
259 |
$3K |
| 92025 |
|
65 |
65 |
$3K |
| 72070 |
|
189 |
154 |
$3K |
| 72081 |
|
246 |
131 |
$3K |
| 84460 |
|
33,820 |
32,804 |
$3K |
| 93015 |
|
269 |
254 |
$3K |
| 73620 |
|
784 |
529 |
$3K |
| 51798 |
|
129 |
124 |
$3K |
| 93970 |
|
107 |
102 |
$3K |
| A0427 |
Als1-emergency |
1,162 |
994 |
$3K |
| 99239 |
|
118 |
117 |
$3K |
| 87591 |
|
13,874 |
12,374 |
$3K |
| 93320 |
|
72 |
61 |
$3K |
| 99221 |
|
372 |
343 |
$3K |
| 92136 |
|
41 |
41 |
$3K |
| G0438 |
Ppps, initial visit |
19 |
19 |
$3K |
| 74019 |
|
581 |
425 |
$3K |
| 99460 |
|
1,141 |
1,109 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
86 |
78 |
$3K |
| 80061 |
|
22,455 |
22,328 |
$3K |
| 99173 |
|
3,179 |
3,176 |
$3K |
| 97166 |
|
79 |
78 |
$2K |
| 59840 |
|
101 |
100 |
$2K |
| 96112 |
|
173 |
167 |
$2K |
| 90832 |
|
736 |
650 |
$2K |
| 97813 |
|
195 |
157 |
$2K |
| 87631 |
|
918 |
900 |
$2K |
| 90672 |
|
411 |
411 |
$2K |
| 97026 |
|
234 |
168 |
$2K |
| 84450 |
|
15,536 |
14,866 |
$2K |
| 83970 |
|
2,519 |
2,456 |
$2K |
| 82728 |
|
19,493 |
19,059 |
$2K |
| 90785 |
|
529 |
436 |
$2K |
| 83516 |
|
3,065 |
3,048 |
$2K |
| 97533 |
|
49 |
40 |
$2K |
| 90715 |
|
2,613 |
2,613 |
$2K |
| 96417 |
|
16 |
14 |
$2K |
| 90661 |
|
461 |
461 |
$2K |
| 82565 |
|
36,373 |
35,013 |
$2K |
| 96110 |
|
1,456 |
1,403 |
$2K |
| 86003 |
|
1,676 |
1,654 |
$2K |
| 73552 |
|
102 |
75 |
$2K |
| 93325 |
|
72 |
61 |
$2K |
| 88141 |
|
970 |
969 |
$2K |
| 90681 |
|
786 |
785 |
$2K |
| T4530 |
Ped size brief/diaper lg |
89 |
88 |
$2K |
| 73660 |
|
195 |
131 |
$2K |
| A0425 |
Ground mileage |
1,956 |
1,504 |
$2K |
| 86235 |
|
379 |
376 |
$2K |
| E0570 |
Nebulizer with compression |
219 |
215 |
$2K |
| 92511 |
|
12 |
12 |
$1K |
| 92550 |
|
63 |
63 |
$1K |
| 92579 |
|
147 |
147 |
$1K |
| 80051 |
|
8,807 |
8,345 |
$1K |
| 0164A |
|
36 |
36 |
$1K |
| 93922 |
|
41 |
39 |
$1K |
| 73522 |
|
122 |
84 |
$1K |
| T4526 |
Adult size pull-on med |
1,521 |
1,474 |
$1K |
| 87636 |
|
383 |
376 |
$1K |
| 11900 |
|
25 |
25 |
$1K |
| T4528 |
Adult size pull-on xl |
1,413 |
1,366 |
$1K |
| 99381 |
|
62 |
61 |
$1K |
| 96374 |
|
143 |
78 |
$1K |
| 90473 |
|
328 |
328 |
$1K |
| 96158 |
|
35 |
26 |
$1K |
| 99231 |
|
622 |
321 |
$1K |
| 69210 |
|
186 |
180 |
$1K |
| E1392 |
Portable oxygen concentrator |
571 |
571 |
$1K |
| 83735 |
|
4,580 |
4,258 |
$1K |
| 73100 |
|
519 |
332 |
$1K |
| 99304 |
|
38 |
37 |
$1K |
| 87088 |
|
12,206 |
11,418 |
$1K |
| 97802 |
|
444 |
441 |
$1K |
| 84480 |
|
1,230 |
1,200 |
$1K |
| 86140 |
|
6,145 |
5,837 |
$1K |
| 87389 |
|
8,869 |
8,770 |
$1K |
| T4534 |
Youth size pull-on |
872 |
844 |
$1K |
| 83550 |
|
8,921 |
8,732 |
$1K |
| 90838 |
|
28 |
27 |
$1K |
| 84520 |
|
10,219 |
9,696 |
$1K |
| T4522 |
Adult size brief/diaper med |
74 |
73 |
$1K |
| 87502 |
|
628 |
611 |
$1K |
| 90696 |
|
937 |
937 |
$1K |
| 97803 |
|
83 |
80 |
$1K |
| A0428 |
Bls |
678 |
489 |
$964.44 |
| 84403 |
|
2,525 |
2,484 |
$960.96 |
| 87210 |
|
1,762 |
1,706 |
$928.52 |
| J1631 |
Haloperidol decanoate inj |
28 |
25 |
$922.00 |
| 82607 |
|
8,021 |
7,978 |
$915.32 |
| 83540 |
|
8,940 |
8,750 |
$889.46 |
| 90885 |
|
472 |
195 |
$882.46 |
| G2023 |
Specimen collect covid-19 |
3,643 |
1,857 |
$868.02 |
| J9190 |
Fluorouracil injection |
53 |
28 |
$850.89 |
| 73600 |
|
150 |
117 |
$835.24 |
| 76885 |
|
27 |
26 |
$834.49 |
| 84075 |
|
7,708 |
7,334 |
$834.26 |
| 86665 |
|
789 |
776 |
$820.02 |
| 90632 |
|
27 |
27 |
$820.00 |
| 82247 |
|
7,459 |
7,043 |
$815.28 |
| 90700 |
|
1,031 |
1,018 |
$792.91 |
| 77072 |
|
104 |
53 |
$781.68 |
| 80048 |
|
2,038 |
1,937 |
$781.34 |
| 96415 |
|
160 |
117 |
$777.04 |
| 17999 |
|
454 |
451 |
$776.00 |
| 84100 |
|
3,835 |
3,523 |
$767.54 |
| 95806 |
|
93 |
92 |
$694.00 |
| T4527 |
Adult size pull-on lg |
1,049 |
1,008 |
$689.04 |
| 85027 |
|
19,194 |
18,756 |
$684.74 |
| 82947 |
|
13,691 |
13,435 |
$680.96 |
| 87070 |
|
2,257 |
2,168 |
$679.14 |
| 92555 |
|
68 |
68 |
$664.00 |
| 87798 |
|
314 |
307 |
$663.30 |
| 82570 |
|
3,911 |
3,552 |
$660.29 |
| 86360 |
|
332 |
326 |
$651.84 |
| 90836 |
|
24 |
24 |
$637.92 |
| 87209 |
|
1,631 |
1,601 |
$620.34 |
| 70250 |
|
150 |
145 |
$619.39 |
| D1206 |
|
1,050 |
1,048 |
$616.30 |
| 73020 |
|
107 |
76 |
$606.43 |
| 83993 |
|
571 |
560 |
$585.09 |
| 92587 |
|
119 |
117 |
$578.00 |
| 90707 |
|
325 |
325 |
$564.25 |
| 80307 |
|
3,713 |
3,528 |
$561.70 |
| 86480 |
|
1,027 |
1,024 |
$560.00 |
| H0004 |
Alcohol and/or drug services |
952 |
546 |
$550.00 |
| 73060 |
|
26 |
15 |
$547.84 |
| 87661 |
|
960 |
952 |
$534.90 |
| 83655 |
|
1,790 |
1,708 |
$532.63 |
| 90716 |
|
232 |
232 |
$532.04 |
| 82784 |
|
1,547 |
1,386 |
$510.72 |
| 70460 |
|
17 |
17 |
$505.19 |
| 82310 |
|
6,653 |
6,376 |
$504.30 |
| 93308 |
|
13 |
13 |
$494.58 |
| 86780 |
|
8,858 |
8,763 |
$493.50 |
| B9002 |
Enter nutr inf pump any type |
26 |
26 |
$481.60 |
| 82040 |
|
4,363 |
4,094 |
$480.66 |
| K0003 |
Lightweight wheelchair |
115 |
115 |
$477.84 |
| 82248 |
|
1,883 |
1,718 |
$475.90 |
| E0601 |
Cont airway pressure device |
312 |
312 |
$465.70 |
| 86803 |
|
7,749 |
7,703 |
$464.90 |
| 87635 |
|
504 |
442 |
$461.79 |
| 72170 |
|
44 |
37 |
$453.21 |
| E0431 |
Portable gaseous 02 |
494 |
491 |
$444.32 |
| 76817 |
|
177 |
140 |
$443.41 |
| 81025 |
|
4,183 |
4,029 |
$439.90 |
| 82043 |
|
5,431 |
5,393 |
$436.90 |
| 99462 |
|
212 |
188 |
$434.27 |
| 84156 |
|
3,306 |
3,017 |
$424.31 |
| 92588 |
|
25 |
25 |
$420.00 |
| 96159 |
|
16 |
12 |
$396.00 |
| 99348 |
|
16 |
14 |
$388.52 |
| 0173A |
|
57 |
57 |
$374.22 |
| E0603 |
Electric breast pump |
412 |
411 |
$372.60 |
| 73521 |
|
75 |
41 |
$363.47 |
| E0562 |
Humidifier heated used w pap |
599 |
595 |
$362.38 |
| 86664 |
|
789 |
776 |
$353.19 |
| 86160 |
|
114 |
102 |
$348.24 |
| 87329 |
|
1,591 |
1,563 |
$322.92 |
| T1999 |
Noc retail items andsupplies |
36 |
36 |
$320.40 |
| 87340 |
|
6,462 |
6,400 |
$319.72 |
| 80069 |
|
768 |
707 |
$305.66 |
| T4541 |
Large disposable underpad |
2,574 |
2,512 |
$300.00 |
| 86225 |
|
542 |
533 |
$296.79 |
| 81002 |
|
2,656 |
2,355 |
$295.49 |
| 76827 |
|
24 |
12 |
$290.00 |
| 90658 |
|
1,529 |
1,523 |
$289.47 |
| 83690 |
|
2,724 |
2,610 |
$288.42 |
| 97167 |
|
91 |
90 |
$282.00 |
| 76937 |
|
13 |
12 |
$280.00 |
| E0143 |
Walker folding wheeled w/o s |
246 |
244 |
$279.05 |
| B4088 |
Gastro/jejuno tube, low-pro |
12 |
12 |
$274.70 |
| 85610 |
|
5,228 |
4,573 |
$272.77 |
| 96113 |
|
12 |
12 |
$264.00 |
| 90713 |
|
106 |
106 |
$260.00 |
| 99091 |
|
360 |
322 |
$259.00 |
| 94760 |
|
480 |
470 |
$254.59 |
| J1010 |
Inj, methylpred acetate 1 mg |
12 |
12 |
$246.56 |
| 82150 |
|
1,276 |
1,191 |
$237.36 |
| 84146 |
|
1,678 |
1,654 |
$220.82 |
| 88341 |
|
222 |
187 |
$196.40 |
| G9012 |
Other specified case mgmt |
4,954 |
3,726 |
$195.00 |
| 84550 |
|
2,994 |
2,830 |
$193.25 |
| 82670 |
|
697 |
686 |
$189.41 |
| 88344 |
|
27 |
27 |
$184.24 |
| 86706 |
|
2,947 |
2,924 |
$178.85 |
| 98971 |
|
12 |
12 |
$177.00 |
| 87426 |
|
367 |
274 |
$176.65 |
| G9920 |
Scrning perf and negative |
30,899 |
29,887 |
$174.51 |
| 76801 |
|
13 |
13 |
$166.48 |
| 84132 |
|
16,003 |
15,691 |
$161.68 |
| 87102 |
|
1,651 |
1,618 |
$159.36 |
| T4535 |
Disposable liner/shield/pad |
3,180 |
2,994 |
$150.00 |
| 82977 |
|
474 |
454 |
$150.00 |
| 86038 |
|
592 |
589 |
$146.90 |
| 83001 |
|
1,220 |
1,212 |
$146.14 |
| 99305 |
|
45 |
44 |
$146.00 |
| 87529 |
|
283 |
279 |
$145.67 |
| 82550 |
|
1,068 |
1,020 |
$140.10 |
| 82746 |
|
501 |
497 |
$140.02 |
| 90474 |
|
317 |
316 |
$139.00 |
| 86704 |
|
1,993 |
1,959 |
$137.93 |
| 70360 |
|
20 |
12 |
$135.02 |
| 99070 |
|
14 |
14 |
$132.20 |
| 84295 |
|
8,838 |
8,612 |
$129.87 |
| 82105 |
|
411 |
394 |
$120.30 |
| 98966 |
|
28 |
28 |
$120.00 |
| 83615 |
|
973 |
920 |
$116.83 |
| 86376 |
|
232 |
232 |
$116.49 |
| A0130 |
Noner transport wheelch van |
1,573 |
160 |
$111.20 |
| 92132 |
|
12 |
12 |
$108.00 |
| 96116 |
|
16 |
12 |
$107.00 |
| 87624 |
|
8,865 |
8,858 |
$105.73 |
| 88142 |
|
6,585 |
6,580 |
$88.02 |
| 82533 |
|
153 |
140 |
$86.94 |
| 82627 |
|
392 |
390 |
$76.64 |
| 82465 |
|
913 |
889 |
$76.10 |
| 90756 |
|
14 |
14 |
$74.12 |
| 80164 |
|
80 |
77 |
$71.93 |
| 17000 |
|
13 |
13 |
$69.80 |
| 83002 |
|
473 |
470 |
$63.95 |
| 80197 |
|
19 |
13 |
$61.05 |
| J0696 |
Ceftriaxone sodium injection |
173 |
121 |
$59.51 |
| 11100 |
|
165 |
163 |
$58.89 |
| J1030 |
Methylprednisolone 40 mg inj |
14 |
14 |
$55.84 |
| J3420 |
Vitamin b12 injection |
364 |
345 |
$52.38 |
| 83721 |
|
1,393 |
1,390 |
$49.32 |
| 76870 |
|
42 |
39 |
$46.81 |
| 83498 |
|
80 |
78 |
$45.66 |
| 86787 |
|
1,069 |
1,066 |
$45.52 |
| 86328 |
|
164 |
140 |
$45.23 |
| 85018 |
|
2,243 |
2,208 |
$44.46 |
| 92551 |
|
13 |
13 |
$44.00 |
| 85014 |
|
2,274 |
2,236 |
$43.53 |
| 99417 |
Prolong home eval add 15m |
60 |
59 |
$43.38 |
| A4520 |
Incontinence garment anytype |
256 |
249 |
$42.88 |
| 86769 |
|
35 |
35 |
$42.13 |
| 87081 |
|
1,545 |
1,530 |
$39.76 |
| 86762 |
|
1,749 |
1,743 |
$38.51 |
| 82950 |
|
1,742 |
1,636 |
$37.32 |
| 90660 |
|
13 |
13 |
$37.00 |
| 97116 |
|
33 |
24 |
$33.84 |
| 84153 |
|
2,595 |
2,546 |
$31.06 |
| 90744 |
|
125 |
125 |
$30.60 |
| 84165 |
|
714 |
695 |
$28.68 |
| J1071 |
Inj testosterone cypionate |
329 |
174 |
$28.02 |
| 86431 |
|
540 |
538 |
$19.10 |
| J1885 |
Ketorolac tromethamine inj |
726 |
672 |
$15.52 |
| 86200 |
|
219 |
218 |
$14.20 |
| A4927 |
Non-sterile gloves |
740 |
711 |
$13.97 |
| 84702 |
|
153 |
121 |
$13.24 |
| 86765 |
|
185 |
185 |
$11.45 |
| 86709 |
|
12 |
12 |
$9.91 |
| 86708 |
|
253 |
251 |
$9.91 |
| 86901 |
|
1,664 |
1,654 |
$9.77 |
| 86900 |
|
1,662 |
1,652 |
$9.52 |
| 87338 |
|
223 |
221 |
$8.40 |
| 85007 |
|
25 |
25 |
$8.13 |
| 86850 |
|
1,465 |
1,458 |
$7.80 |
| 85008 |
|
453 |
434 |
$7.28 |
| 17110 |
|
467 |
449 |
$7.06 |
| 84630 |
|
138 |
134 |
$7.00 |
| 84703 |
|
801 |
787 |
$6.46 |
| E0604 |
Hosp grade elec breast pump |
2,685 |
2,661 |
$5.44 |
| 85045 |
|
13 |
13 |
$3.55 |
| J7613 |
Albuterol non-comp unit |
299 |
290 |
$2.29 |
| A7015 |
Aerosol mask used w nebulize |
12 |
12 |
$1.54 |
| A7013 |
Disposable compressor filter |
26 |
24 |
$1.36 |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
135 |
73 |
$0.00 |
| 1036F |
|
55,679 |
53,482 |
$0.00 |
| 94640 |
|
58 |
53 |
$0.00 |
| K0738 |
Portable gas oxygen system |
522 |
520 |
$0.00 |
| A7037 |
Pos airway pressure tubing |
2,058 |
2,050 |
$0.00 |
| 82525 |
|
79 |
77 |
$0.00 |
| 3074F |
|
37 |
37 |
$0.00 |
| 84478 |
|
107 |
93 |
$0.00 |
| 11102 |
|
69 |
68 |
$0.00 |
| A7030 |
Cpap full face mask |
822 |
814 |
$0.00 |
| A7032 |
Replacement nasal cushion |
326 |
323 |
$0.00 |
| G9008 |
Mccd,phys coor-care ovrsght |
11,783 |
6,383 |
$0.00 |
| 99024 |
|
390 |
324 |
$0.00 |
| J7298 |
Mirena, 52 mg |
155 |
155 |
$0.00 |
| 80178 |
|
374 |
354 |
$0.00 |
| 73501 |
|
35 |
28 |
$0.00 |
| 58300 |
|
310 |
303 |
$0.00 |
| 90732 |
|
719 |
719 |
$0.00 |
| J7611 |
Albuterol non-comp con |
51 |
50 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
140 |
129 |
$0.00 |
| 82985 |
|
115 |
112 |
$0.00 |
| 82435 |
|
155 |
124 |
$0.00 |
| 82378 |
|
58 |
52 |
$0.00 |
| 97162 |
|
12 |
12 |
$0.00 |
| 57454 |
|
53 |
53 |
$0.00 |
| 86304 |
|
94 |
89 |
$0.00 |
| T4523 |
Adult size brief/diaper lg |
54 |
54 |
$0.00 |
| 95115 |
|
173 |
77 |
$0.00 |
| 58301 |
|
40 |
40 |
$0.00 |
| A0999 |
Unlisted ambulance service |
783 |
324 |
$0.00 |
| 58100 |
|
183 |
182 |
$0.00 |
| 97035 |
|
104 |
66 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
29 |
27 |
$0.00 |
| 90381 |
|
13 |
13 |
$0.00 |
| 87536 |
|
12 |
12 |
$0.00 |
| 87040 |
|
12 |
12 |
$0.00 |
| 96150 |
|
17 |
15 |
$0.00 |
| K0739 |
Repair/svc dme non-oxygen eq |
28 |
27 |
$0.00 |
| 83020 |
|
26 |
26 |
$0.00 |
| 83718 |
|
161 |
161 |
$0.00 |
| A0170 |
Transport parking fees/tolls |
5,428 |
485 |
$0.00 |
| 82274 |
|
6,454 |
6,399 |
$0.00 |
| 81329 |
|
413 |
413 |
$0.00 |
| 84425 |
|
382 |
374 |
$0.00 |
| A7046 |
Repl water chamber, pap dev |
1,153 |
1,145 |
$0.00 |
| A7035 |
Pos airway press headgear |
2,412 |
2,374 |
$0.00 |
| 86677 |
|
373 |
373 |
$0.00 |
| A7038 |
Pos airway pressure filter |
2,462 |
2,449 |
$0.00 |
| 90714 |
|
375 |
375 |
$0.00 |
| 86735 |
|
107 |
107 |
$0.00 |
| A7034 |
Nasal application device |
1,732 |
1,706 |
$0.00 |
| J1756 |
Iron sucrose injection |
105 |
45 |
$0.00 |
| 96153 |
|
52 |
25 |
$0.00 |
| A7031 |
Replacement facemask interfa |
349 |
347 |
$0.00 |
| 54150 |
|
26 |
26 |
$0.00 |
| V2020 |
Vision svcs frames purchases |
620 |
581 |
$0.00 |
| J7307 |
Etonogestrel implant system |
69 |
69 |
$0.00 |
| A7033 |
Replacement nasal pillows |
245 |
243 |
$0.00 |
| S5199 |
Personal care item nos each |
334 |
313 |
$0.00 |
| 84207 |
|
13 |
13 |
$0.00 |
| 90746 |
|
144 |
143 |
$0.00 |
| 82374 |
|
157 |
127 |
$0.00 |
| 90846 |
|
114 |
99 |
$0.00 |
| U0004 |
Cov-19 test non-cdc hgh thru |
156 |
128 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
520 |
515 |
$0.00 |
| 73000 |
|
20 |
14 |
$0.00 |
| V2750 |
Anti-reflective coating |
206 |
103 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
24 |
24 |
$0.00 |
| 96900 |
|
782 |
151 |
$0.00 |
| H0032 |
Mh svc plan dev by non-md |
624 |
232 |
$0.00 |
| 92552 |
|
38 |
38 |
$0.00 |
| 87811 |
|
88 |
64 |
$0.00 |
| J7030 |
Normal saline solution infus |
17 |
16 |
$0.00 |
| 3078F |
|
52 |
50 |
$0.00 |
| 90461 |
|
12 |
12 |
$0.00 |
| 59409 |
|
30 |
30 |
$0.00 |
| 51701 |
|
12 |
12 |
$0.00 |
| A4604 |
Tubing with heating element |
54 |
53 |
$0.00 |
| A6250 |
Skin seal protect moisturizr |
12 |
12 |
$0.00 |
| 96367 |
|
14 |
12 |
$0.00 |
| 90460 |
|
28 |
28 |
$0.00 |
| 01967 |
|
13 |
13 |
$0.00 |