| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90832 |
|
146,136 |
96,258 |
$22.36M |
| 99213 |
|
137,612 |
115,896 |
$17.97M |
| 99214 |
|
122,595 |
99,540 |
$16.70M |
| H0020 |
Alcohol and/or drug services |
511,367 |
21,936 |
$15.06M |
| 99283 |
|
62,391 |
58,358 |
$13.60M |
| 99284 |
|
45,384 |
42,383 |
$9.00M |
| 99282 |
|
28,700 |
27,071 |
$6.59M |
| 41899 |
|
3,261 |
3,242 |
$4.95M |
| 99212 |
|
27,698 |
23,340 |
$2.89M |
| 99281 |
|
11,903 |
10,775 |
$2.75M |
| 11042 |
|
4,098 |
1,982 |
$2.18M |
| 99285 |
|
11,938 |
11,556 |
$2.06M |
| 80307 |
|
61,190 |
21,371 |
$1.88M |
| 70450 |
|
10,231 |
9,949 |
$1.72M |
| 80053 |
|
66,753 |
61,795 |
$1.59M |
| 43239 |
|
1,839 |
1,834 |
$1.55M |
| H0033 |
Oral med adm direct observe |
46,992 |
1,842 |
$1.40M |
| 45378 |
|
1,218 |
1,210 |
$1.26M |
| 96372 |
|
25,058 |
19,863 |
$1.12M |
| 90791 |
|
4,735 |
4,714 |
$1.07M |
| 92012 |
|
11,699 |
10,875 |
$1.04M |
| 45380 |
|
1,086 |
1,085 |
$952K |
| 90834 |
|
4,824 |
3,949 |
$878K |
| G0396 |
Alcohol/subs interv 15-30mn |
8,221 |
5,538 |
$842K |
| H0005 |
Alcohol and/or drug services |
9,731 |
1,959 |
$746K |
| 99203 |
|
5,577 |
5,112 |
$734K |
| D9223 |
|
2,348 |
2,308 |
$699K |
| U0003 |
Cov-19 amp prb hgh thruput |
11,022 |
9,548 |
$660K |
| J2357 |
Omalizumab injection |
2,126 |
1,304 |
$647K |
| 90792 |
|
2,465 |
2,419 |
$632K |
| G0463 |
Hospital outpt clinic visit |
14,641 |
10,601 |
$596K |
| 99204 |
|
3,358 |
3,237 |
$578K |
| 96365 |
|
5,051 |
4,021 |
$575K |
| 99215 |
Prolong outpt/office vis |
3,119 |
3,012 |
$516K |
| 99391 |
|
4,557 |
4,419 |
$502K |
| H2010 |
Comprehensive med svc 15 min |
5,860 |
5,242 |
$484K |
| 99392 |
|
4,853 |
4,845 |
$483K |
| J2426 |
Inj, invega sustenna, 1 mg |
945 |
887 |
$468K |
| 77067 |
|
5,131 |
5,130 |
$465K |
| 12001 |
|
1,620 |
1,591 |
$431K |
| 87491 |
|
17,262 |
16,831 |
$429K |
| 96361 |
|
2,495 |
2,363 |
$428K |
| 92014 |
|
3,359 |
3,315 |
$413K |
| 90460 |
|
15,786 |
14,901 |
$412K |
| G0397 |
Alcohol/subs interv >30 min |
2,728 |
1,878 |
$406K |
| 74177 |
|
3,682 |
3,562 |
$403K |
| 86902 |
|
12,159 |
10,487 |
$388K |
| 99202 |
|
4,091 |
3,533 |
$387K |
| 77066 |
Tomosynthesis, mammo |
3,198 |
3,177 |
$369K |
| 12002 |
|
1,281 |
1,259 |
$357K |
| 99393 |
|
3,592 |
3,587 |
$350K |
| 99396 |
|
2,520 |
2,505 |
$343K |
| 99395 |
|
2,668 |
2,646 |
$341K |
| 83992 |
|
25,948 |
6,361 |
$336K |
| 12011 |
|
1,299 |
1,279 |
$334K |
| 96374 |
|
29,495 |
22,299 |
$331K |
| 36415 |
|
22,259 |
18,473 |
$324K |
| 99442 |
|
5,513 |
5,128 |
$314K |
| 76641 |
|
4,180 |
4,128 |
$294K |
| 93306 |
|
1,991 |
1,914 |
$288K |
| 87635 |
|
10,326 |
8,330 |
$286K |
| 98929 |
|
4,841 |
4,248 |
$285K |
| 95810 |
|
433 |
433 |
$283K |
| 90935 |
|
2,118 |
212 |
$266K |
| 59025 |
|
2,585 |
1,687 |
$263K |
| 99443 |
|
3,327 |
3,022 |
$259K |
| 76830 |
|
3,858 |
3,748 |
$251K |
| 99394 |
|
2,449 |
2,446 |
$237K |
| 90853 |
|
3,435 |
1,978 |
$234K |
| 90846 |
|
1,497 |
1,346 |
$225K |
| 90461 |
|
5,652 |
5,627 |
$221K |
| 90651 |
|
2,382 |
2,323 |
$216K |
| 76770 |
|
1,195 |
1,182 |
$214K |
| 74176 |
|
1,637 |
1,625 |
$212K |
| 87591 |
|
17,792 |
17,409 |
$196K |
| 81025 |
|
6,786 |
6,297 |
$194K |
| 87426 |
|
6,073 |
4,548 |
$193K |
| J2182 |
Injection, mepolizumab, 1mg |
99 |
97 |
$186K |
| H0002 |
Alcohol and/or drug screenin |
990 |
904 |
$183K |
| T1013 |
Sign lang/oral interpreter |
18,432 |
16,943 |
$181K |
| 93970 |
|
884 |
869 |
$180K |
| 10060 |
|
848 |
810 |
$179K |
| 86480 |
|
3,984 |
3,123 |
$178K |
| 90471 |
|
15,971 |
15,664 |
$168K |
| 99406 |
|
5,768 |
5,478 |
$155K |
| 92551 |
|
4,884 |
4,871 |
$150K |
| 11721 |
|
2,551 |
2,369 |
$146K |
| J1439 |
Inj ferric carboxymaltos 1mg |
392 |
267 |
$145K |
| D7210 |
|
1,725 |
980 |
$145K |
| 90671 |
|
1,345 |
1,343 |
$143K |
| 82962 |
|
18,578 |
11,919 |
$143K |
| D9222 |
|
1,856 |
1,786 |
$138K |
| 80048 |
|
7,373 |
7,145 |
$137K |
| D7240 |
|
499 |
247 |
$137K |
| U0005 |
Infec agen detec ampli probe |
6,695 |
6,317 |
$132K |
| D7140 |
|
2,323 |
1,877 |
$132K |
| 76705 |
|
3,001 |
2,959 |
$131K |
| 82306 |
|
7,942 |
7,816 |
$131K |
| 77065 |
Tomosynthesis, mammo |
1,873 |
1,822 |
$130K |
| 76817 |
|
2,283 |
2,182 |
$129K |
| 76815 |
|
1,752 |
1,624 |
$128K |
| 90686 |
|
11,862 |
11,824 |
$125K |
| 15853 |
|
409 |
403 |
$123K |
| 77063 |
|
4,324 |
4,324 |
$115K |
| G0279 |
Tomosynthesis, mammo |
4,001 |
3,982 |
$114K |
| 71275 |
|
837 |
793 |
$112K |
| 45385 |
|
102 |
102 |
$111K |
| 76818 |
|
1,185 |
748 |
$104K |
| 87637 |
|
1,864 |
1,823 |
$104K |
| 96413 |
|
962 |
526 |
$103K |
| 92083 |
|
1,758 |
1,723 |
$103K |
| 29125 |
|
752 |
689 |
$102K |
| 83880 |
|
2,658 |
2,516 |
$99K |
| 99441 |
|
2,413 |
2,299 |
$95K |
| 76700 |
|
543 |
542 |
$92K |
| 80061 |
|
13,821 |
13,713 |
$91K |
| 1159F |
|
22,659 |
15,268 |
$91K |
| 99173 |
|
4,780 |
4,769 |
$88K |
| 87389 |
|
9,644 |
9,559 |
$87K |
| D0140 |
|
5,247 |
4,935 |
$85K |
| 99205 |
Prolong outpt/office vis |
477 |
472 |
$84K |
| 66984 |
|
77 |
77 |
$84K |
| 90714 |
|
5,613 |
5,577 |
$82K |
| 92134 |
|
2,029 |
1,628 |
$82K |
| 88305 |
|
4,676 |
4,514 |
$81K |
| G2067 |
Med assist tx meth wk |
1,665 |
533 |
$77K |
| 70486 |
|
2,396 |
2,372 |
$73K |
| 92133 |
|
1,681 |
1,610 |
$73K |
| 0002A |
|
2,047 |
1,804 |
$73K |
| 73130 |
|
4,944 |
4,135 |
$72K |
| 82803 |
|
7,524 |
7,195 |
$71K |
| 85025 |
|
69,093 |
63,697 |
$71K |
| 87661 |
|
3,882 |
3,795 |
$69K |
| 99291 |
|
517 |
510 |
$69K |
| J0882 |
Darbepoetin alfa, esrd use |
321 |
97 |
$68K |
| 19083 |
|
42 |
41 |
$67K |
| 73700 |
|
564 |
545 |
$66K |
| D0367 |
|
249 |
249 |
$66K |
| 96366 |
|
696 |
669 |
$65K |
| 71046 |
|
12,987 |
12,629 |
$65K |
| J1050 |
Medroxyprogesterone acetate |
1,047 |
1,044 |
$64K |
| 90746 |
|
1,102 |
1,100 |
$64K |
| 0001A |
|
1,965 |
1,705 |
$63K |
| 94640 |
|
12,074 |
7,580 |
$60K |
| 83036 |
|
17,279 |
17,147 |
$59K |
| 82607 |
|
6,256 |
6,227 |
$58K |
| 90715 |
|
2,534 |
2,528 |
$58K |
| 90677 |
|
322 |
322 |
$57K |
| 73630 |
|
5,038 |
4,412 |
$57K |
| 12013 |
|
197 |
196 |
$56K |
| 87624 |
|
1,627 |
1,611 |
$55K |
| J0897 |
Denosumab injection |
174 |
174 |
$54K |
| 96110 |
|
803 |
801 |
$54K |
| 71250 |
|
677 |
672 |
$54K |
| 86803 |
|
9,639 |
9,537 |
$53K |
| 73562 |
|
4,248 |
3,857 |
$52K |
| 73610 |
|
4,460 |
3,899 |
$51K |
| 90697 |
|
1,252 |
1,247 |
$50K |
| 93005 |
|
33,478 |
30,812 |
$50K |
| 82947 |
|
9,391 |
5,881 |
$49K |
| 76856 |
|
449 |
444 |
$47K |
| D0150 |
|
1,590 |
1,571 |
$47K |
| 96360 |
|
691 |
680 |
$47K |
| 72125 |
|
4,550 |
4,453 |
$46K |
| 0241U |
|
3,509 |
3,413 |
$45K |
| 93458 |
|
26 |
25 |
$45K |
| J7030 |
Normal saline solution infus |
7,907 |
7,435 |
$45K |
| 86359 |
|
1,798 |
1,774 |
$44K |
| 71260 |
|
734 |
726 |
$44K |
| D0330 |
|
1,393 |
1,377 |
$43K |
| 96367 |
|
1,660 |
1,145 |
$42K |
| 11900 |
|
342 |
329 |
$42K |
| 88300 |
|
7,616 |
6,305 |
$41K |
| 76536 |
|
472 |
470 |
$40K |
| 76642 |
|
1,099 |
950 |
$38K |
| 86850 |
|
2,120 |
2,050 |
$36K |
| D9310 |
|
1,240 |
1,225 |
$35K |
| 86762 |
|
3,077 |
3,062 |
$34K |
| 86780 |
|
9,182 |
8,755 |
$34K |
| 99493 |
|
417 |
340 |
$34K |
| 73110 |
|
2,570 |
2,146 |
$34K |
| 86360 |
|
844 |
838 |
$34K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
7,722 |
5,465 |
$34K |
| 76816 |
|
439 |
428 |
$33K |
| 99407 |
|
958 |
914 |
$33K |
| 90670 |
|
2,030 |
2,025 |
$32K |
| 86706 |
|
6,805 |
6,741 |
$32K |
| 80050 |
|
2,006 |
1,987 |
$31K |
| 73030 |
|
2,924 |
2,734 |
$30K |
| 86704 |
|
5,955 |
5,924 |
$30K |
| 73560 |
|
1,865 |
1,604 |
$30K |
| 90739 |
|
217 |
217 |
$29K |
| 87522 |
Neg quan hep c or qual rna |
730 |
720 |
$29K |
| 84443 |
|
9,688 |
9,564 |
$29K |
| 80354 |
|
24,198 |
10,474 |
$28K |
| 82728 |
|
3,352 |
3,334 |
$28K |
| 77049 |
|
88 |
87 |
$28K |
| 86900 |
|
2,123 |
2,057 |
$28K |
| 72110 |
|
1,048 |
1,042 |
$28K |
| 3008F |
|
10,850 |
8,012 |
$28K |
| 91320 |
|
376 |
376 |
$28K |
| 71045 |
|
11,688 |
11,271 |
$27K |
| J2250 |
Inj midazolam hydrochloride |
12,983 |
12,302 |
$27K |
| 97803 |
|
1,002 |
984 |
$27K |
| 29515 |
|
209 |
183 |
$26K |
| 87804 |
|
2,428 |
2,344 |
$26K |
| 20552 |
|
340 |
284 |
$26K |
| 87340 |
|
9,573 |
9,479 |
$26K |
| 88142 |
|
1,105 |
1,100 |
$26K |
| 86765 |
|
2,505 |
2,495 |
$26K |
| 90674 |
|
1,060 |
1,059 |
$25K |
| 82746 |
|
2,678 |
2,671 |
$24K |
| 80076 |
|
2,969 |
2,947 |
$24K |
| 76805 |
|
242 |
241 |
$24K |
| 76937 |
|
204 |
198 |
$23K |
| 80324 |
|
21,998 |
9,179 |
$23K |
| U0002 |
Covid-19 lab test non-cdc |
595 |
591 |
$23K |
| 80365 |
|
4,092 |
1,930 |
$23K |
| J7120 |
Ringers lactate infusion |
11,062 |
10,014 |
$22K |
| 90472 |
|
1,570 |
1,564 |
$22K |
| 90707 |
|
897 |
896 |
$21K |
| 76942 |
|
419 |
413 |
$21K |
| 87502 |
|
1,262 |
1,241 |
$21K |
| 90836 |
|
309 |
197 |
$21K |
| 82043 |
|
4,697 |
4,263 |
$21K |
| 80353 |
|
21,947 |
9,132 |
$21K |
| 96375 |
|
15,918 |
15,007 |
$21K |
| 99051 |
|
1,139 |
1,093 |
$21K |
| J0561 |
Penicillin g benzathine inj |
352 |
306 |
$20K |
| 64640 |
|
210 |
182 |
$20K |
| 80346 |
|
21,954 |
9,145 |
$20K |
| 96127 |
|
3,413 |
3,401 |
$20K |
| 80358 |
|
14,298 |
5,427 |
$20K |
| 90732 |
|
212 |
212 |
$20K |
| 94070 |
|
364 |
364 |
$20K |
| 93971 |
|
611 |
600 |
$20K |
| 77080 |
|
789 |
786 |
$20K |
| 81001 |
|
20,925 |
20,187 |
$19K |
| 78452 |
|
70 |
69 |
$19K |
| 86787 |
|
2,776 |
2,769 |
$19K |
| C1780 |
Lens, intraocular (new tech) |
478 |
105 |
$19K |
| 86901 |
|
2,125 |
2,059 |
$18K |
| D9610 |
|
1,793 |
1,770 |
$18K |
| 90847 |
|
82 |
73 |
$18K |
| 90833 |
|
342 |
336 |
$18K |
| 92020 |
|
614 |
595 |
$17K |
| 90480 |
|
414 |
414 |
$17K |
| 70551 |
|
84 |
84 |
$17K |
| 86735 |
|
2,192 |
2,181 |
$16K |
| G0480 |
Drug test def 1-7 classes |
1,243 |
1,005 |
$16K |
| 57454 |
|
28 |
26 |
$16K |
| 87086 |
|
12,903 |
12,387 |
$16K |
| 93017 |
|
429 |
425 |
$16K |
| J0131 |
Inj, acetaminophen (nos) |
1,072 |
1,067 |
$16K |
| 85730 |
|
17,356 |
16,734 |
$15K |
| 90716 |
|
732 |
732 |
$15K |
| 90620 |
|
769 |
769 |
$15K |
| 73590 |
|
1,851 |
1,711 |
$14K |
| 73502 |
|
832 |
794 |
$14K |
| J1885 |
Ketorolac tromethamine inj |
13,451 |
12,310 |
$14K |
| 71271 |
|
219 |
219 |
$13K |
| 87801 |
|
355 |
348 |
$13K |
| 86708 |
|
1,644 |
1,641 |
$13K |
| 73721 |
|
68 |
66 |
$13K |
| 90681 |
|
1,467 |
1,464 |
$13K |
| J1756 |
Iron sucrose injection |
597 |
190 |
$12K |
| 90691 |
|
135 |
135 |
$12K |
| 87077 |
|
3,852 |
3,553 |
$12K |
| 80361 |
|
11,993 |
6,733 |
$12K |
| 90619 |
|
328 |
326 |
$12K |
| 84439 |
|
1,934 |
1,912 |
$12K |
| 0003A |
|
340 |
229 |
$11K |
| 83550 |
|
3,383 |
3,364 |
$11K |
| 76514 |
|
318 |
316 |
$11K |
| 96415 |
|
234 |
118 |
$11K |
| 94010 |
|
582 |
451 |
$11K |
| 86141 |
|
2,367 |
2,309 |
$11K |
| H0001 |
Alcohol and/or drug assess |
62 |
58 |
$11K |
| 88304 |
|
813 |
806 |
$11K |
| 90633 |
|
1,529 |
1,528 |
$10K |
| 94729 |
|
299 |
299 |
$10K |
| 64520 |
|
144 |
142 |
$10K |
| 72170 |
|
2,262 |
2,232 |
$10K |
| 94726 |
|
293 |
292 |
$9K |
| D2930 |
|
62 |
59 |
$9K |
| 87070 |
|
2,828 |
2,643 |
$9K |
| 92202 |
|
316 |
315 |
$8K |
| 88175 |
|
345 |
345 |
$8K |
| 90999 |
|
163 |
14 |
$8K |
| 80348 |
|
1,897 |
1,370 |
$8K |
| 88307 |
|
40 |
40 |
$8K |
| 90698 |
|
716 |
715 |
$8K |
| 90656 |
|
766 |
766 |
$8K |
| J7040 |
Normal saline solution infus |
2,305 |
1,969 |
$8K |
| 93298 |
|
255 |
245 |
$8K |
| 92283 |
|
146 |
145 |
$8K |
| 84702 |
|
5,006 |
4,524 |
$7K |
| 0031A |
|
209 |
200 |
$7K |
| 95004 |
|
43 |
42 |
$7K |
| 73080 |
|
971 |
883 |
$7K |
| 73090 |
|
1,114 |
1,044 |
$7K |
| D0220 |
|
783 |
757 |
$7K |
| J7050 |
Normal saline solution infus |
4,875 |
3,516 |
$7K |
| 11045 |
|
23 |
13 |
$6K |
| 73552 |
|
569 |
539 |
$6K |
| 87880 |
|
2,163 |
2,097 |
$6K |
| 72100 |
|
300 |
300 |
$6K |
| A9500 |
Tc99m sestamibi |
41 |
41 |
$6K |
| 90750 |
|
244 |
244 |
$6K |
| J1100 |
Dexamethasone sodium phos |
6,501 |
5,844 |
$6K |
| 87088 |
|
2,342 |
2,260 |
$6K |
| D3220 |
|
59 |
56 |
$6K |
| 90662 |
|
261 |
259 |
$6K |
| 99381 |
|
87 |
87 |
$6K |
| J2270 |
Morphine sulfate injection |
4,935 |
4,352 |
$6K |
| Q3014 |
Telehealth facility fee |
858 |
656 |
$6K |
| J2274 |
Inj morphine pf epid ithc |
885 |
860 |
$6K |
| 99211 |
|
308 |
298 |
$5K |
| 90710 |
|
393 |
393 |
$5K |
| 87798 |
|
354 |
347 |
$5K |
| 90694 |
|
236 |
236 |
$5K |
| J2785 |
Regadenoson injection |
51 |
51 |
$5K |
| 92002 |
|
53 |
52 |
$5K |
| 85027 |
|
2,098 |
2,081 |
$5K |
| 0072A |
|
105 |
97 |
$5K |
| 83516 |
|
527 |
520 |
$5K |
| 86592 |
|
3,165 |
3,125 |
$5K |
| J3490 |
Drugs unclassified injection |
5,381 |
4,213 |
$5K |
| J3420 |
Vitamin b12 injection |
2,877 |
2,067 |
$4K |
| J1631 |
Haloperidol decanoate inj |
1,157 |
1,096 |
$4K |
| 90837 |
|
22 |
15 |
$4K |
| 94760 |
|
1,418 |
1,387 |
$4K |
| A4657 |
Syringe w/wo needle |
3,065 |
1,109 |
$4K |
| 97802 |
|
120 |
120 |
$4K |
| 84403 |
|
176 |
176 |
$4K |
| 83970 |
|
155 |
154 |
$4K |
| 82105 |
|
673 |
667 |
$4K |
| 29130 |
|
16 |
15 |
$4K |
| 84166 |
|
420 |
418 |
$4K |
| 90381 |
|
22 |
13 |
$4K |
| 00170 |
|
1,431 |
1,427 |
$4K |
| 83001 |
|
242 |
240 |
$4K |
| 80320 |
|
14,115 |
13,209 |
$4K |
| 84460 |
|
1,201 |
1,190 |
$4K |
| 82570 |
|
1,295 |
1,222 |
$3K |
| 31500 |
|
12 |
12 |
$3K |
| 59430 |
|
26 |
26 |
$3K |
| 86703 |
|
311 |
308 |
$3K |
| 82785 |
|
321 |
319 |
$3K |
| 84436 |
|
1,335 |
1,310 |
$3K |
| 95822 |
|
12 |
12 |
$3K |
| 85018 |
|
1,656 |
1,617 |
$3K |
| D1208 |
|
276 |
272 |
$3K |
| 87186 |
|
2,681 |
2,603 |
$3K |
| 17110 |
|
25 |
24 |
$3K |
| J1630 |
Haloperidol injection |
6,537 |
6,046 |
$3K |
| 80329 |
|
2,620 |
2,559 |
$3K |
| 64450 |
|
16 |
16 |
$3K |
| 85651 |
|
2,547 |
2,497 |
$3K |
| 98927 |
|
90 |
85 |
$3K |
| 99385 |
|
14 |
14 |
$3K |
| 0202U |
|
140 |
140 |
$3K |
| 70360 |
|
212 |
211 |
$3K |
| 86038 |
|
612 |
600 |
$3K |
| 90380 |
|
19 |
19 |
$3K |
| 98926 |
|
75 |
70 |
$3K |
| 84146 |
|
187 |
179 |
$3K |
| 91318 |
|
76 |
76 |
$3K |
| 84484 |
|
11,961 |
11,293 |
$3K |
| 96368 |
|
190 |
188 |
$3K |
| 92136 |
|
68 |
68 |
$3K |
| 83021 |
|
337 |
333 |
$3K |
| 78469 |
|
56 |
56 |
$3K |
| C1819 |
Tissue localization-excision |
41 |
41 |
$3K |
| 72040 |
|
108 |
108 |
$3K |
| 82009 |
|
1,858 |
1,753 |
$3K |
| 84402 |
|
122 |
121 |
$3K |
| 83002 |
|
154 |
152 |
$2K |
| 81002 |
|
1,061 |
972 |
$2K |
| 82248 |
|
868 |
846 |
$2K |
| G0297 |
Ldct for lung ca screen |
13 |
13 |
$2K |
| 85610 |
|
1,991 |
1,957 |
$2K |
| 99397 |
|
46 |
46 |
$2K |
| 83615 |
|
1,212 |
1,121 |
$2K |
| 87338 |
|
299 |
297 |
$2K |
| 1126F |
|
2,083 |
1,492 |
$2K |
| 91319 |
|
43 |
43 |
$2K |
| J2405 |
Ondansetron hcl injection |
9,947 |
9,490 |
$2K |
| 0004A |
|
53 |
49 |
$2K |
| 76870 |
|
64 |
62 |
$2K |
| 93308 |
|
12 |
12 |
$2K |
| 80164 |
|
1,213 |
1,152 |
$2K |
| 69200 |
|
15 |
15 |
$2K |
| 87040 |
|
1,915 |
1,849 |
$2K |
| 80321 |
|
6,718 |
2,820 |
$2K |
| 83735 |
|
8,256 |
7,916 |
$2K |
| 96376 |
|
4,371 |
4,192 |
$2K |
| 93280 |
|
91 |
37 |
$2K |
| G0008 |
Admin influenza virus vac |
362 |
358 |
$2K |
| 90733 |
|
311 |
311 |
$2K |
| 96417 |
|
35 |
26 |
$2K |
| 84153 |
|
330 |
323 |
$2K |
| D9430 |
|
91 |
83 |
$2K |
| 93291 |
|
24 |
24 |
$2K |
| 72141 |
|
12 |
12 |
$2K |
| J2765 |
Metoclopramide hcl injection |
3,471 |
3,324 |
$2K |
| 87184 |
|
1,549 |
1,516 |
$2K |
| A9585 |
Gadobutrol injection |
100 |
98 |
$2K |
| J2930 |
Methylprednisolone injection |
833 |
794 |
$2K |
| 82552 |
|
1,051 |
1,028 |
$2K |
| 82951 |
|
204 |
198 |
$2K |
| 86769 |
|
63 |
61 |
$2K |
| 86696 |
|
158 |
158 |
$2K |
| 86695 |
|
140 |
140 |
$2K |
| 90756 |
|
109 |
109 |
$2K |
| 76000 |
|
15 |
15 |
$1K |
| J1200 |
Diphenhydramine hcl injectio |
3,362 |
2,917 |
$1K |
| 3075F |
|
3,206 |
3,016 |
$1K |
| 70496 |
|
12 |
12 |
$1K |
| J2704 |
Inj, propofol, 10 mg |
5,374 |
5,286 |
$1K |
| 73060 |
|
281 |
262 |
$1K |
| Q0162 |
Ondansetron oral |
4,368 |
4,253 |
$1K |
| T2022 |
Case management, per month |
14 |
14 |
$1K |
| G2066 |
Inter devc remote 30d |
40 |
40 |
$1K |
| A6250 |
Skin seal protect moisturizr |
731 |
652 |
$1K |
| 0071A |
|
32 |
22 |
$1K |
| 99401 |
|
43 |
42 |
$1K |
| 90723 |
|
1,125 |
1,123 |
$1K |
| J1815 |
Insulin injection |
727 |
648 |
$1K |
| 76801 |
|
15 |
15 |
$1K |
| J1644 |
Inj heparin sodium per 1000u |
3,492 |
593 |
$1K |
| 90658 |
|
106 |
102 |
$1K |
| 82710 |
|
136 |
135 |
$1K |
| D7230 |
|
16 |
16 |
$1K |
| 84156 |
|
324 |
308 |
$1K |
| 84100 |
|
1,741 |
1,698 |
$1K |
| 88141 |
|
148 |
147 |
$1K |
| J0690 |
Cefazolin sodium injection |
2,374 |
2,294 |
$1K |
| 82784 |
|
159 |
153 |
$1K |
| 73200 |
|
12 |
12 |
$1K |
| 83690 |
|
8,313 |
7,892 |
$1K |
| J2310 |
Inj naloxone hydrochloride |
144 |
129 |
$1K |
| J3475 |
Inj magnesium sulfate |
1,582 |
1,479 |
$1K |
| 90696 |
|
358 |
358 |
$1K |
| 84703 |
|
8,070 |
7,788 |
$1K |
| 3074F |
|
14,548 |
12,817 |
$1K |
| 94400 |
|
29 |
29 |
$1K |
| 84550 |
|
451 |
421 |
$1K |
| 82550 |
|
1,159 |
1,131 |
$995.71 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
81 |
81 |
$990.40 |
| D0270 |
|
149 |
148 |
$924.39 |
| 87147 |
|
565 |
553 |
$899.94 |
| 73140 |
|
57 |
54 |
$895.74 |
| G2077 |
Periodic assessment |
94 |
78 |
$851.79 |
| 86580 |
|
130 |
81 |
$850.00 |
| J0696 |
Ceftriaxone sodium injection |
2,649 |
2,595 |
$830.87 |
| 3044F |
|
3,732 |
3,053 |
$786.52 |
| 93297 |
|
41 |
41 |
$765.60 |
| D0120 |
|
34 |
34 |
$764.60 |
| J3010 |
Fentanyl citrate injection |
3,782 |
3,742 |
$756.69 |
| 80178 |
|
379 |
369 |
$736.48 |
| Q0144 |
Azithromycin dihydrate, oral |
579 |
574 |
$717.42 |
| J7512 |
Prednisone ir or dr oral 1mg |
4,178 |
3,478 |
$696.37 |
| 85379 |
|
902 |
884 |
$680.12 |
| J7060 |
5% dextrose/water |
793 |
577 |
$672.99 |
| 80345 |
|
987 |
939 |
$656.97 |
| 76376 |
|
1,101 |
1,084 |
$634.53 |
| 85652 |
|
672 |
658 |
$631.76 |
| J1626 |
Granisetron hcl injection |
228 |
106 |
$603.20 |
| 80349 |
|
986 |
935 |
$574.06 |
| 86335 |
|
13 |
13 |
$568.31 |
| J2680 |
Fluphenazine decanoate 25 mg |
83 |
64 |
$559.42 |
| J7613 |
Albuterol non-comp unit |
2,928 |
2,727 |
$548.31 |
| 84155 |
|
638 |
620 |
$545.37 |
| 1160F |
|
16,684 |
14,071 |
$545.00 |
| R0075 |
Transport port x-ray multipl |
308 |
308 |
$530.69 |
| 90653 |
|
156 |
156 |
$516.13 |
| J1817 |
Insulin for insulin pump use |
16 |
16 |
$498.00 |
| 86430 |
|
132 |
130 |
$483.36 |
| A6549 |
Grad com garm noc day use |
210 |
210 |
$480.90 |
| 87075 |
|
326 |
320 |
$477.69 |
| 0124A |
|
13 |
13 |
$477.26 |
| J2060 |
Lorazepam injection |
1,664 |
1,571 |
$465.27 |
| 1125F |
|
2,587 |
1,960 |
$436.49 |
| 84450 |
|
554 |
545 |
$435.16 |
| 3077F |
|
3,608 |
3,280 |
$415.27 |
| J3370 |
Vancomycin hcl injection |
386 |
361 |
$407.60 |
| 88104 |
|
52 |
49 |
$401.50 |
| 69209 |
|
60 |
59 |
$401.48 |
| 85045 |
|
161 |
160 |
$383.18 |
| J2001 |
Lidocaine injection |
1,772 |
1,707 |
$371.49 |
| 99417 |
Prolong home eval add 15m |
27 |
27 |
$370.26 |
| 86705 |
|
337 |
334 |
$364.85 |
| J7620 |
Albuterol ipratrop non-comp |
5,698 |
5,058 |
$357.82 |
| A6258 |
Transparent film >16<=48 in |
215 |
215 |
$349.21 |
| 83930 |
|
1,078 |
1,038 |
$346.99 |
| 70498 |
|
12 |
12 |
$333.48 |
| 87081 |
|
89 |
89 |
$324.96 |
| 73070 |
|
94 |
87 |
$321.24 |
| 90734 |
|
653 |
653 |
$317.77 |
| 91308 |
|
83 |
80 |
$305.98 |
| J2710 |
Neostigmine methylslfte inj |
1,042 |
1,039 |
$294.16 |
| 82533 |
|
30 |
26 |
$290.96 |
| 74018 |
|
39 |
38 |
$285.88 |
| 90474 |
|
27 |
27 |
$277.99 |
| 86140 |
|
137 |
135 |
$275.48 |
| 36620 |
|
82 |
80 |
$262.72 |
| A7002 |
Tubing used w suction pump |
916 |
822 |
$260.22 |
| 82247 |
|
590 |
562 |
$258.03 |
| 86200 |
|
26 |
26 |
$255.10 |
| J2501 |
Paricalcitol |
118 |
12 |
$253.54 |
| 87205 |
|
258 |
252 |
$252.62 |
| 86593 |
|
219 |
214 |
$245.77 |
| D0170 |
|
63 |
57 |
$245.68 |
| 85014 |
|
236 |
189 |
$231.65 |
| 76377 |
|
1,345 |
1,331 |
$228.82 |
| S0109 |
Methadone oral 5mg |
15 |
14 |
$227.00 |
| 82652 |
|
17 |
17 |
$222.38 |
| 82310 |
|
567 |
557 |
$218.58 |
| Q0163 |
Diphenhydramine hcl 50mg |
1,518 |
1,445 |
$217.22 |
| 72070 |
|
13 |
13 |
$206.60 |
| 73600 |
|
27 |
27 |
$201.90 |
| J3301 |
Triamcinolone acet inj nos |
112 |
112 |
$184.42 |
| 86682 |
|
25 |
25 |
$176.70 |
| J0171 |
Adrenalin epinephrine inject |
469 |
462 |
$172.26 |
| 91300 |
|
1,699 |
1,237 |
$169.83 |
| 85008 |
|
278 |
273 |
$168.54 |
| S0028 |
Injection, famotidine, 20 mg |
5,910 |
5,549 |
$145.14 |
| 86376 |
|
12 |
12 |
$143.32 |
| J1953 |
Levetiracetam injection |
84 |
75 |
$142.56 |
| J1741 |
Ibuprofen injection |
261 |
260 |
$140.52 |
| 99152 |
|
180 |
178 |
$136.50 |
| 73120 |
|
15 |
15 |
$131.00 |
| 84075 |
|
519 |
509 |
$128.96 |
| C1769 |
Guide wire |
27 |
27 |
$125.25 |
| 86340 |
|
17 |
17 |
$121.33 |
| 90688 |
|
16 |
16 |
$120.58 |
| A4217 |
Sterile water/saline, 500 ml |
442 |
441 |
$109.84 |
| 99429 |
|
361 |
267 |
$100.50 |
| 83883 |
|
15 |
14 |
$93.10 |
| J8540 |
Oral dexamethasone |
261 |
240 |
$83.93 |
| 85007 |
|
214 |
214 |
$80.78 |
| 84165 |
|
14 |
14 |
$78.52 |
| 82565 |
|
548 |
536 |
$74.74 |
| 84520 |
|
581 |
567 |
$65.77 |
| 84540 |
|
61 |
60 |
$61.09 |
| 91303 |
|
47 |
47 |
$57.38 |
| A6253 |
Absorpt drg > 48 sq in w/o b |
110 |
110 |
$56.47 |
| J0290 |
Ampicillin 500 mg inj |
1,500 |
1,497 |
$56.14 |
| 82040 |
|
524 |
515 |
$50.36 |
| 85384 |
|
25 |
24 |
$50.01 |
| J7510 |
Prednisolone oral per 5 mg |
113 |
112 |
$48.71 |
| 86431 |
|
12 |
12 |
$47.25 |
| 83540 |
|
25 |
25 |
$44.33 |
| 93010 |
|
243 |
232 |
$43.85 |
| 82270 |
|
31 |
29 |
$43.75 |
| 82950 |
|
12 |
12 |
$42.75 |
| J2920 |
Methylprednisolone injection |
37 |
37 |
$41.74 |
| J0330 |
Succinycholine chloride inj |
87 |
85 |
$35.78 |
| 87210 |
|
14 |
14 |
$34.00 |
| A4364 |
Adhesive, liquid or equal |
43 |
43 |
$32.84 |
| 84132 |
|
15 |
12 |
$31.58 |
| 82374 |
|
511 |
502 |
$28.55 |
| 99153 |
Mod sedat endo service >5yrs |
69 |
68 |
$28.44 |
| 99024 |
|
430 |
379 |
$27.98 |
| J7644 |
Ipratropium bromide non-comp |
233 |
222 |
$26.84 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
58 |
58 |
$26.23 |
| 80305 |
|
51 |
48 |
$25.25 |
| J0692 |
Cefepime hcl for injection |
24 |
17 |
$25.20 |
| A4215 |
Sterile needle |
380 |
377 |
$22.80 |
| A9579 |
Gad-base mr contrast nos,1ml |
17 |
17 |
$20.02 |
| J2919 |
Inj, methylpred sod succ 5mg |
14 |
14 |
$15.30 |
| 84295 |
|
514 |
504 |
$13.71 |
| 82435 |
|
513 |
504 |
$13.11 |
| J2795 |
Ropivacaine hcl injection |
12 |
12 |
$12.25 |
| J7642 |
Glycopyrrolate comp con |
2,061 |
2,054 |
$12.16 |
| 90687 |
|
13 |
13 |
$10.45 |
| 87420 |
|
37 |
37 |
$8.03 |
| J2370 |
Phenylephrine hcl injection |
12 |
12 |
$7.92 |
| J0456 |
Azithromycin |
25 |
25 |
$5.71 |
| A4606 |
Oxygen probe used w oximeter |
120 |
117 |
$5.00 |
| A6403 |
Sterile gauze>16 <= 48 sq in |
12 |
12 |
$3.69 |
| A4550 |
Surgical trays |
135 |
135 |
$3.58 |
| 91307 |
|
370 |
341 |
$3.09 |
| A6402 |
Sterile gauze <= 16 sq in |
241 |
240 |
$1.80 |
| G9903 |
Pt scrn tbco id as non user |
256 |
245 |
$1.71 |
| A6446 |
Conform band s w>=3" <5"/yd |
12 |
12 |
$0.56 |
| G9902 |
Pt scrn tbco and id as user |
37 |
36 |
$0.27 |
| 3078F |
|
13,773 |
12,139 |
$0.24 |
| 91311 |
|
20 |
20 |
$0.18 |
| 3079F |
|
6,078 |
5,524 |
$0.10 |
| 91312 |
|
12 |
12 |
$0.08 |
| 3080F |
|
1,523 |
1,428 |
$0.08 |
| J2356 |
Inj tezepelumab-ekko, 1mg |
12 |
12 |
$0.08 |
| G9664 |
Taking statin or rec'd order |
29 |
29 |
$0.07 |
| A4452 |
Waterproof tape |
118 |
116 |
$0.00 |
| D0190 |
|
459 |
459 |
$0.00 |
| 4013F |
|
805 |
714 |
$0.00 |
| A4649 |
Surgical supplies |
1,682 |
1,577 |
$0.00 |
| 99499 |
|
65 |
25 |
$0.00 |
| 3051F |
|
605 |
473 |
$0.00 |
| 3046F |
|
301 |
239 |
$0.00 |
| 99080 |
|
4,409 |
1,380 |
$0.00 |
| 1158F |
|
195 |
181 |
$0.00 |
| G0390 |
Trauma respons w/hosp criti |
99 |
97 |
$0.00 |
| 82375 |
|
27 |
26 |
$0.00 |
| C1758 |
Catheter, ureteral |
19 |
16 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
32 |
32 |
$0.00 |
| 3725F |
|
19 |
19 |
$0.00 |
| D1120 |
|
16 |
16 |
$0.00 |
| D0230 |
|
33 |
33 |
$0.00 |
| D1206 |
|
25 |
24 |
$0.00 |
| 3052F |
|
254 |
201 |
$0.00 |
| D1351 |
|
17 |
13 |
$0.00 |
| A4580 |
Cast supplies (plaster) |
163 |
163 |
$0.00 |
| 82553 |
|
38 |
37 |
$0.00 |
| 1170F |
|
145 |
137 |
$0.00 |
| 1036F |
|
49 |
48 |
$0.00 |
| D0240 |
|
14 |
14 |
$0.00 |
| A6024 |
Collagen dsg wound filler |
12 |
12 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
133 |
133 |
$0.00 |
| A4930 |
Sterile, gloves per pair |
13 |
13 |
$0.00 |