| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpt clinic visit |
149,570 |
112,893 |
$16.25M |
| 99213 |
|
73,448 |
63,784 |
$15.70M |
| 99283 |
|
72,316 |
64,638 |
$15.58M |
| 99284 |
|
61,392 |
55,595 |
$14.25M |
| 96361 |
|
27,064 |
21,449 |
$14.02M |
| 99214 |
|
56,675 |
50,138 |
$11.08M |
| 99215 |
Prolong outpt/office vis |
55,816 |
48,444 |
$10.83M |
| 99285 |
|
47,184 |
42,734 |
$9.38M |
| 99212 |
|
48,508 |
37,892 |
$8.58M |
| J9271 |
Inj pembrolizumab |
1,112 |
799 |
$7.99M |
| 70450 |
|
18,968 |
17,455 |
$4.70M |
| 59025 |
|
13,750 |
7,626 |
$4.48M |
| 43239 |
|
4,766 |
4,465 |
$3.41M |
| 93306 |
|
8,616 |
7,859 |
$3.34M |
| 96360 |
|
12,712 |
11,320 |
$3.03M |
| 99282 |
|
17,145 |
15,190 |
$3.02M |
| 74177 |
|
13,962 |
13,008 |
$2.86M |
| 99281 |
|
9,360 |
8,455 |
$2.53M |
| 99203 |
|
13,464 |
12,279 |
$2.34M |
| 77412 |
|
7,816 |
755 |
$2.32M |
| 99204 |
|
12,978 |
11,819 |
$2.32M |
| 45380 |
|
3,795 |
3,588 |
$2.22M |
| 20610 |
|
5,786 |
5,269 |
$2.16M |
| 45385 |
|
2,541 |
2,403 |
$2.14M |
| 78815 |
|
1,998 |
1,770 |
$1.98M |
| 45378 |
|
1,958 |
1,871 |
$1.89M |
| 66984 |
|
1,579 |
1,349 |
$1.66M |
| 71275 |
|
5,330 |
4,954 |
$1.53M |
| S9480 |
Intensive outpatient psychia |
5,509 |
918 |
$1.53M |
| 36902 |
|
873 |
807 |
$1.53M |
| 96365 |
|
9,633 |
8,250 |
$1.47M |
| 70553 |
|
3,655 |
3,443 |
$1.45M |
| 93798 |
|
5,728 |
900 |
$1.44M |
| 96415 |
|
3,789 |
2,607 |
$1.42M |
| G0378 |
Hospital observation per hr |
20,511 |
14,211 |
$1.39M |
| 76816 |
|
10,005 |
8,947 |
$1.38M |
| 74176 |
|
6,306 |
5,858 |
$1.36M |
| 96366 |
|
3,323 |
2,616 |
$1.25M |
| 76856 |
|
6,487 |
6,179 |
$1.22M |
| 96413 |
|
11,840 |
7,030 |
$1.19M |
| 92012 |
|
9,415 |
7,681 |
$1.15M |
| 94640 |
|
10,575 |
5,503 |
$1.11M |
| V5261 |
Hearing aid, digit, bin, bte |
537 |
445 |
$1.09M |
| 99202 |
|
6,228 |
5,678 |
$1.08M |
| 99211 |
|
7,254 |
5,633 |
$991K |
| 77063 |
|
14,688 |
14,069 |
$991K |
| 93976 |
|
5,026 |
4,500 |
$984K |
| 71260 |
|
5,405 |
5,042 |
$901K |
| 76815 |
|
13,017 |
8,244 |
$895K |
| 92014 |
|
8,723 |
7,824 |
$859K |
| 99205 |
Prolong outpt/office vis |
4,299 |
3,926 |
$805K |
| 78452 |
|
1,356 |
1,258 |
$793K |
| 76642 |
|
5,577 |
5,241 |
$776K |
| 90853 |
|
5,242 |
1,399 |
$723K |
| 72148 |
|
3,838 |
3,625 |
$709K |
| 93970 |
|
4,122 |
3,821 |
$694K |
| 76830 |
|
6,193 |
5,894 |
$668K |
| 19083 |
|
532 |
465 |
$662K |
| 76805 |
|
8,654 |
6,842 |
$656K |
| 70551 |
|
3,027 |
2,809 |
$636K |
| 76811 |
|
5,242 |
4,824 |
$621K |
| 71046 |
|
37,372 |
34,508 |
$607K |
| 74183 |
|
1,692 |
1,577 |
$605K |
| 36821 |
|
217 |
200 |
$604K |
| 0241U |
|
3,649 |
3,449 |
$580K |
| 64483 |
|
638 |
583 |
$571K |
| 76700 |
|
3,412 |
3,167 |
$549K |
| J9355 |
Inj trastuzumab excl biosimi |
615 |
273 |
$546K |
| 93971 |
|
4,817 |
4,458 |
$540K |
| 72197 |
|
1,046 |
993 |
$530K |
| P9016 |
Rbc leukocytes reduced |
1,434 |
1,121 |
$507K |
| 72141 |
|
2,600 |
2,430 |
$501K |
| 11042 |
|
1,127 |
699 |
$495K |
| J0897 |
Denosumab injection |
618 |
528 |
$470K |
| Q5118 |
Inj., zirabev, 10 mg |
250 |
110 |
$450K |
| 76705 |
|
3,943 |
3,640 |
$439K |
| 20550 |
|
1,165 |
998 |
$432K |
| 77386 |
|
657 |
66 |
$416K |
| 97165 |
|
3,046 |
2,711 |
$408K |
| 97161 |
|
4,035 |
3,608 |
$401K |
| 10060 |
|
1,451 |
1,365 |
$398K |
| 71250 |
|
5,200 |
4,831 |
$396K |
| 92557 |
|
4,900 |
4,371 |
$389K |
| Q0138 |
Ferumoxytol, non-esrd |
916 |
610 |
$373K |
| J2505 |
Injection, pegfilgrastim 6mg |
296 |
193 |
$372K |
| G0257 |
Unsched dialysis esrd pt hos |
1,693 |
945 |
$372K |
| 73721 |
|
1,513 |
1,348 |
$369K |
| 70491 |
|
1,592 |
1,486 |
$364K |
| 90791 |
|
1,312 |
1,138 |
$360K |
| 93922 |
|
3,360 |
3,116 |
$357K |
| 78306 |
|
1,060 |
994 |
$353K |
| 76536 |
|
2,573 |
2,380 |
$351K |
| 93975 |
|
2,308 |
2,187 |
$351K |
| 77336 |
|
3,311 |
1,399 |
$337K |
| 92950 |
|
834 |
664 |
$329K |
| 96367 |
|
3,491 |
2,238 |
$327K |
| 77334 |
|
1,649 |
863 |
$311K |
| 74174 |
|
1,717 |
1,598 |
$308K |
| 73630 |
|
11,888 |
10,492 |
$304K |
| 70544 |
|
1,189 |
1,086 |
$304K |
| 80048 |
|
78,841 |
56,388 |
$290K |
| 76770 |
|
2,181 |
2,027 |
$289K |
| 93925 |
|
1,985 |
1,829 |
$287K |
| 36561 |
|
128 |
114 |
$279K |
| 94660 |
|
1,008 |
623 |
$279K |
| 90833 |
|
2,335 |
2,144 |
$276K |
| 90715 |
|
9,145 |
8,588 |
$274K |
| 92083 |
|
4,702 |
4,259 |
$272K |
| 31575 |
|
1,960 |
1,822 |
$264K |
| 80307 |
|
7,680 |
6,968 |
$261K |
| J1453 |
Fosaprepitant injection |
1,977 |
1,129 |
$246K |
| J0881 |
Darbepoetin alfa, non-esrd |
1,616 |
1,045 |
$246K |
| 52000 |
|
270 |
253 |
$246K |
| 76801 |
|
2,385 |
2,108 |
$244K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,690 |
3,227 |
$230K |
| 76819 |
|
3,194 |
2,051 |
$221K |
| 92004 |
|
2,658 |
2,421 |
$218K |
| 31579 |
|
284 |
260 |
$213K |
| 76817 |
|
5,663 |
4,615 |
$207K |
| 73562 |
|
8,704 |
7,743 |
$199K |
| 67028 |
|
847 |
739 |
$195K |
| 93005 |
|
49,094 |
43,208 |
$193K |
| 96372 |
|
41,322 |
24,686 |
$192K |
| 77062 |
|
3,137 |
3,000 |
$188K |
| 12001 |
|
642 |
611 |
$181K |
| 94060 |
|
1,591 |
1,453 |
$179K |
| 70486 |
|
4,030 |
3,794 |
$177K |
| 96040 |
|
577 |
543 |
$175K |
| 73030 |
|
7,909 |
7,179 |
$170K |
| 92550 |
|
1,672 |
1,488 |
$166K |
| 80053 |
|
51,823 |
42,957 |
$159K |
| 72125 |
|
4,679 |
4,352 |
$159K |
| 77067 |
|
14,732 |
14,115 |
$159K |
| 93017 |
|
2,112 |
1,943 |
$157K |
| 72100 |
|
6,265 |
5,823 |
$156K |
| 77080 |
|
2,999 |
2,873 |
$152K |
| 90686 |
|
5,723 |
5,275 |
$149K |
| 73560 |
|
5,852 |
5,246 |
$142K |
| 70498 |
|
737 |
687 |
$137K |
| 71271 |
|
974 |
948 |
$132K |
| 69210 |
|
2,876 |
2,675 |
$131K |
| 88305 |
|
16,595 |
15,156 |
$120K |
| 73610 |
|
7,797 |
6,728 |
$119K |
| 77470 |
|
273 |
230 |
$118K |
| Q3014 |
Telehealth facility fee |
9,417 |
8,300 |
$118K |
| 75574 |
|
249 |
236 |
$117K |
| 94726 |
|
2,477 |
2,299 |
$117K |
| 97535 |
|
1,187 |
772 |
$116K |
| 77300 |
|
1,112 |
488 |
$111K |
| 73130 |
|
7,349 |
6,480 |
$107K |
| 73221 |
|
513 |
462 |
$106K |
| 93320 |
|
471 |
437 |
$104K |
| 97116 |
|
1,388 |
794 |
$103K |
| 93880 |
|
952 |
865 |
$102K |
| 70496 |
|
255 |
235 |
$100K |
| 88341 |
|
2,723 |
2,489 |
$99K |
| 92504 |
|
2,527 |
2,339 |
$97K |
| 76813 |
|
1,881 |
1,730 |
$96K |
| 83880 |
|
11,877 |
10,717 |
$94K |
| 77061 |
|
1,649 |
1,583 |
$92K |
| 93750 |
|
2,236 |
1,639 |
$90K |
| 94010 |
|
880 |
798 |
$90K |
| J9312 |
Inj., rituximab, 10 mg |
30 |
12 |
$87K |
| 72110 |
|
2,741 |
2,554 |
$86K |
| 73110 |
|
4,846 |
4,219 |
$85K |
| 77065 |
Tomosynthesis, mammo |
3,724 |
3,385 |
$83K |
| J1745 |
Infliximab not biosimil 10mg |
57 |
49 |
$80K |
| 97530 |
|
1,081 |
583 |
$79K |
| 72040 |
|
2,472 |
2,245 |
$77K |
| 20605 |
|
186 |
169 |
$77K |
| 73502 |
|
5,631 |
5,069 |
$76K |
| 62323 |
|
60 |
60 |
$76K |
| 72131 |
|
1,574 |
1,464 |
$75K |
| 90677 |
|
501 |
468 |
$75K |
| 93296 |
|
1,477 |
1,391 |
$72K |
| 93458 |
|
89 |
86 |
$72K |
| 87637 |
|
845 |
785 |
$70K |
| 12011 |
|
325 |
303 |
$70K |
| 87635 |
|
23,994 |
21,618 |
$69K |
| 73700 |
|
555 |
518 |
$69K |
| 71045 |
|
15,377 |
13,628 |
$68K |
| J1750 |
Inj iron dextran |
985 |
636 |
$68K |
| 77066 |
Tomosynthesis, mammo |
4,464 |
4,225 |
$66K |
| 96375 |
|
26,341 |
18,356 |
$66K |
| 76820 |
|
1,771 |
940 |
$65K |
| 87633 |
|
500 |
452 |
$63K |
| 86923 |
|
1,730 |
1,339 |
$62K |
| 51705 |
|
493 |
452 |
$61K |
| 12002 |
|
232 |
218 |
$60K |
| 93613 |
|
15 |
12 |
$60K |
| 92133 |
|
3,776 |
3,472 |
$58K |
| 92020 |
|
595 |
554 |
$58K |
| 49083 |
|
213 |
94 |
$55K |
| J9217 |
Leuprolide acetate suspnsion |
257 |
229 |
$54K |
| V5020 |
Conformity evaluation |
1,399 |
1,083 |
$52K |
| 94729 |
|
2,469 |
2,293 |
$52K |
| 96374 |
|
36,385 |
32,294 |
$51K |
| 75561 |
|
80 |
78 |
$51K |
| C1776 |
Joint device (implantable) |
293 |
262 |
$51K |
| 76000 |
|
2,780 |
2,538 |
$50K |
| 76821 |
|
1,591 |
843 |
$49K |
| 90471 |
|
14,973 |
13,837 |
$47K |
| M0243 |
Casirivi and imdevi inj |
128 |
114 |
$47K |
| 73564 |
|
1,274 |
1,176 |
$47K |
| V5010 |
Assessment for hearing aid |
1,210 |
954 |
$46K |
| 90750 |
|
617 |
578 |
$45K |
| 29581 |
|
188 |
98 |
$44K |
| 88307 |
|
2,179 |
1,718 |
$44K |
| 85025 |
|
126,830 |
92,001 |
$43K |
| 31231 |
|
214 |
209 |
$43K |
| 37607 |
|
84 |
77 |
$42K |
| 76512 |
|
341 |
302 |
$41K |
| 76775 |
|
293 |
276 |
$41K |
| V5011 |
Hearing aid fitting/checking |
1,364 |
1,062 |
$41K |
| 43235 |
|
74 |
65 |
$41K |
| 84484 |
|
41,368 |
33,427 |
$41K |
| 92567 |
|
2,074 |
1,848 |
$40K |
| 36830 |
|
55 |
51 |
$40K |
| 95816 |
|
176 |
162 |
$40K |
| 16020 |
|
218 |
183 |
$38K |
| 74178 |
|
135 |
125 |
$38K |
| 72050 |
|
1,161 |
1,063 |
$38K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,299 |
1,191 |
$37K |
| 99201 |
|
263 |
229 |
$37K |
| 73120 |
|
761 |
684 |
$37K |
| 60100 |
|
43 |
40 |
$35K |
| 36832 |
|
14 |
12 |
$35K |
| 90792 |
|
104 |
87 |
$35K |
| 99396 |
|
160 |
156 |
$35K |
| 99395 |
|
159 |
153 |
$34K |
| 93247 |
|
328 |
313 |
$32K |
| 76870 |
|
489 |
445 |
$32K |
| 99291 |
|
324 |
304 |
$32K |
| 72070 |
|
1,519 |
1,405 |
$32K |
| 90670 |
|
815 |
743 |
$31K |
| 85379 |
|
6,139 |
5,730 |
$31K |
| 72146 |
|
449 |
426 |
$31K |
| 77049 |
|
52 |
51 |
$28K |
| C8929 |
Tte w or wo fol wcon,doppler |
110 |
106 |
$27K |
| 73590 |
|
3,914 |
3,375 |
$27K |
| 77301 |
|
14 |
13 |
$27K |
| C9257 |
Bevacizumab injection |
43 |
39 |
$26K |
| C1769 |
Guide wire |
8,011 |
7,137 |
$25K |
| 93926 |
|
364 |
340 |
$25K |
| 92136 |
|
711 |
641 |
$23K |
| 73080 |
|
2,333 |
2,100 |
$23K |
| 94618 |
|
130 |
112 |
$23K |
| 64493 |
|
29 |
28 |
$22K |
| 80076 |
|
10,812 |
8,899 |
$22K |
| M0245 |
Bamlan and etesev infusion |
73 |
62 |
$21K |
| 77290 |
|
62 |
57 |
$21K |
| 87040 |
|
2,735 |
2,264 |
$21K |
| 87591 |
|
1,399 |
1,245 |
$20K |
| 64454 |
|
31 |
25 |
$19K |
| 29125 |
|
86 |
83 |
$18K |
| 90656 |
|
734 |
713 |
$18K |
| 15275 |
|
16 |
13 |
$18K |
| 20553 |
|
50 |
47 |
$17K |
| 36901 |
|
13 |
12 |
$17K |
| V5275 |
Ear impression |
452 |
378 |
$17K |
| 76827 |
|
605 |
351 |
$17K |
| 83605 |
|
13,278 |
11,643 |
$16K |
| 86850 |
|
13,069 |
11,048 |
$16K |
| 76942 |
|
219 |
209 |
$16K |
| 77002 |
|
109 |
104 |
$16K |
| 90694 |
|
1,180 |
1,125 |
$16K |
| 86900 |
|
14,862 |
12,633 |
$16K |
| 73620 |
|
300 |
282 |
$16K |
| 74018 |
|
996 |
863 |
$15K |
| C1725 |
Cath, translumin non-laser |
3,625 |
3,280 |
$15K |
| 73552 |
|
2,349 |
2,106 |
$15K |
| 73522 |
|
406 |
380 |
$15K |
| 36247 |
|
17 |
13 |
$15K |
| 90836 |
|
136 |
127 |
$15K |
| 59020 |
|
56 |
55 |
$15K |
| 87491 |
|
1,428 |
1,270 |
$15K |
| 73140 |
|
863 |
768 |
$14K |
| C1887 |
Catheter, guiding |
2,735 |
2,433 |
$14K |
| 96401 |
|
717 |
316 |
$14K |
| 82962 |
|
51,473 |
33,460 |
$14K |
| 77280 |
|
98 |
83 |
$14K |
| V5264 |
Ear mold/insert |
223 |
188 |
$13K |
| 90732 |
|
889 |
823 |
$13K |
| M0239 |
Bamlanivimab-xxxx infusion |
82 |
67 |
$13K |
| 96416 |
|
182 |
99 |
$13K |
| 31720 |
|
1,052 |
946 |
$13K |
| 72170 |
|
1,373 |
1,271 |
$12K |
| 77001 |
|
152 |
139 |
$12K |
| 73060 |
|
1,613 |
1,413 |
$12K |
| 95819 |
|
58 |
53 |
$12K |
| 90837 |
|
112 |
54 |
$12K |
| 96376 |
|
14,414 |
8,277 |
$12K |
| 99218 |
|
176 |
147 |
$12K |
| 76937 |
|
318 |
278 |
$12K |
| 80320 |
|
4,005 |
3,550 |
$12K |
| 29515 |
|
47 |
47 |
$12K |
| 92570 |
|
1,928 |
1,754 |
$11K |
| 83735 |
|
31,483 |
19,654 |
$11K |
| A4648 |
Implantable tissue marker |
1,025 |
896 |
$11K |
| 73521 |
|
596 |
552 |
$11K |
| 90834 |
|
83 |
55 |
$10K |
| 77338 |
|
27 |
25 |
$10K |
| 93298 |
|
221 |
194 |
$10K |
| 76641 |
|
53 |
50 |
$10K |
| 85027 |
|
6,545 |
4,807 |
$10K |
| M0247 |
Sotrovimab infusion |
27 |
27 |
$10K |
| 93460 |
|
19 |
17 |
$10K |
| 70547 |
|
145 |
129 |
$9K |
| 93325 |
|
421 |
391 |
$9K |
| 78582 |
|
49 |
48 |
$9K |
| 96368 |
|
1,027 |
674 |
$9K |
| 36590 |
|
12 |
12 |
$9K |
| 87086 |
|
8,124 |
7,381 |
$9K |
| 87426 |
|
8,918 |
7,924 |
$9K |
| 88312 |
|
5,348 |
4,942 |
$8K |
| 77295 |
|
17 |
13 |
$8K |
| 97802 |
|
59 |
24 |
$8K |
| 97597 |
|
40 |
26 |
$8K |
| 36905 |
|
14 |
13 |
$8K |
| 92587 |
|
74 |
70 |
$8K |
| 93923 |
|
33 |
32 |
$8K |
| 72192 |
|
41 |
40 |
$8K |
| 72128 |
|
522 |
480 |
$8K |
| 92082 |
|
70 |
68 |
$8K |
| 88304 |
|
1,383 |
1,218 |
$8K |
| 73600 |
|
200 |
165 |
$7K |
| 95913 |
|
55 |
51 |
$7K |
| 81001 |
|
35,369 |
31,950 |
$7K |
| 51702 |
|
701 |
634 |
$7K |
| 73090 |
|
1,741 |
1,553 |
$7K |
| G0279 |
Tomosynthesis, mammo |
1,808 |
1,778 |
$7K |
| 92134 |
|
4,496 |
3,903 |
$7K |
| 82803 |
|
7,285 |
6,593 |
$7K |
| J3489 |
Zoledronic acid 1mg |
112 |
106 |
$7K |
| 80061 |
|
3,319 |
2,907 |
$7K |
| 88342 |
|
3,825 |
3,073 |
$7K |
| 76514 |
|
405 |
367 |
$7K |
| 88313 |
|
761 |
653 |
$7K |
| 86901 |
|
14,873 |
12,632 |
$6K |
| 83036 |
|
9,005 |
8,007 |
$6K |
| 64484 |
|
164 |
150 |
$6K |
| J7325 |
Synvisc or synvisc-one |
41 |
40 |
$6K |
| 91322 |
|
190 |
189 |
$6K |
| 96523 |
|
145 |
93 |
$6K |
| 82375 |
|
7,316 |
6,619 |
$6K |
| 85610 |
|
24,593 |
18,592 |
$5K |
| C1768 |
Graft, vascular |
76 |
69 |
$5K |
| 95886 |
|
31 |
29 |
$5K |
| 99385 |
|
30 |
26 |
$5K |
| 74220 |
|
102 |
97 |
$5K |
| 84443 |
|
8,466 |
7,393 |
$5K |
| 99386 |
|
44 |
39 |
$5K |
| 90688 |
|
260 |
244 |
$5K |
| 90838 |
|
47 |
45 |
$5K |
| 90832 |
|
60 |
41 |
$5K |
| 11104 |
|
13 |
12 |
$4K |
| 51798 |
|
1,481 |
1,390 |
$4K |
| G0121 |
Colon ca scrn not hi rsk ind |
14 |
14 |
$4K |
| 90662 |
|
230 |
225 |
$4K |
| J1050 |
Medroxyprogesterone acetate |
2,274 |
2,180 |
$4K |
| 36430 |
|
33 |
24 |
$4K |
| 92593 |
|
178 |
116 |
$4K |
| C1760 |
Closure dev, vasc |
1,750 |
1,556 |
$4K |
| J3490 |
Drugs unclassified injection |
14,037 |
7,905 |
$4K |
| 84100 |
|
15,389 |
8,212 |
$4K |
| 70487 |
|
13 |
12 |
$3K |
| 86317 |
|
928 |
810 |
$3K |
| 96417 |
|
3,197 |
1,906 |
$3K |
| 36415 |
|
26,984 |
23,447 |
$3K |
| 88185 |
|
92 |
78 |
$3K |
| 92511 |
|
13 |
13 |
$3K |
| 74181 |
|
14 |
14 |
$3K |
| 84703 |
|
13,033 |
12,120 |
$3K |
| 51700 |
|
24 |
24 |
$3K |
| 92591 |
|
123 |
83 |
$3K |
| 83690 |
|
23,319 |
21,077 |
$3K |
| G2066 |
Inter devc remote 30d |
94 |
91 |
$3K |
| 90651 |
|
20 |
18 |
$3K |
| C2623 |
Cath, translumin, drug-coat |
14 |
14 |
$3K |
| 87581 |
|
492 |
447 |
$3K |
| 70480 |
|
14 |
12 |
$2K |
| 82570 |
|
1,624 |
1,373 |
$2K |
| 80329 |
|
114 |
108 |
$2K |
| 71101 |
|
488 |
456 |
$2K |
| 83615 |
|
3,351 |
2,346 |
$2K |
| 84702 |
|
6,943 |
5,623 |
$2K |
| 90746 |
|
128 |
123 |
$2K |
| 82330 |
|
3,531 |
2,429 |
$2K |
| 81025 |
|
16,944 |
15,743 |
$2K |
| 87389 |
|
1,518 |
1,362 |
$2K |
| 74240 |
|
12 |
12 |
$2K |
| 90653 |
|
892 |
801 |
$2K |
| 74022 |
|
586 |
547 |
$2K |
| 93246 |
|
35 |
32 |
$2K |
| C1874 |
Stent, coated/cov w/del sys |
42 |
40 |
$2K |
| 86592 |
|
1,083 |
990 |
$2K |
| 87077 |
|
3,406 |
3,130 |
$2K |
| J0561 |
Penicillin g benzathine inj |
61 |
42 |
$2K |
| 74230 |
|
26 |
25 |
$2K |
| 92588 |
|
27 |
24 |
$2K |
| C1894 |
Intro/sheath, non-laser |
4,136 |
3,694 |
$2K |
| 36591 |
|
288 |
191 |
$2K |
| G0297 |
Ldct for lung ca screen |
86 |
86 |
$2K |
| 81003 |
|
14,958 |
13,915 |
$2K |
| 75635 |
|
12 |
12 |
$2K |
| J2405 |
Ondansetron hcl injection |
34,983 |
27,265 |
$1K |
| 86141 |
|
2,406 |
2,090 |
$1K |
| G0379 |
Direct refer hospital observ |
58 |
53 |
$1K |
| 72158 |
|
12 |
12 |
$1K |
| 80164 |
|
312 |
270 |
$1K |
| 77417 |
|
726 |
387 |
$1K |
| 85730 |
|
4,031 |
3,259 |
$1K |
| 73100 |
|
39 |
36 |
$1K |
| 84439 |
|
1,654 |
1,435 |
$1K |
| 90658 |
|
75 |
72 |
$1K |
| 87804 |
|
3,696 |
3,481 |
$1K |
| 92002 |
|
12 |
12 |
$1K |
| 80185 |
|
140 |
112 |
$1K |
| 76882 |
|
13 |
12 |
$1K |
| 82607 |
|
1,285 |
1,145 |
$1K |
| 73070 |
|
12 |
12 |
$1K |
| 73200 |
|
14 |
12 |
$1K |
| 82728 |
|
1,232 |
1,047 |
$1K |
| 84550 |
|
1,951 |
1,549 |
$1K |
| 92611 |
|
44 |
38 |
$965.63 |
| J3010 |
Fentanyl citrate injection |
26,680 |
23,422 |
$930.28 |
| 99152 |
|
1,795 |
1,599 |
$929.84 |
| 87798 |
|
528 |
477 |
$866.20 |
| 90678 |
|
14 |
14 |
$855.06 |
| C1726 |
Cath, bal dil, non-vascular |
471 |
445 |
$840.44 |
| 46600 |
|
603 |
551 |
$834.29 |
| 88184 |
|
97 |
78 |
$827.47 |
| 80050 |
|
66 |
55 |
$825.38 |
| 96402 |
|
706 |
295 |
$823.96 |
| 87070 |
|
3,012 |
2,611 |
$815.10 |
| 84156 |
|
1,270 |
1,039 |
$753.40 |
| 90739 |
|
28 |
24 |
$748.71 |
| 87081 |
|
268 |
236 |
$712.78 |
| 93282 |
|
54 |
50 |
$693.96 |
| J3301 |
Triamcinolone acet inj nos |
4,102 |
3,781 |
$690.56 |
| 87186 |
|
3,255 |
3,014 |
$686.14 |
| 74019 |
|
47 |
38 |
$685.78 |
| 70490 |
|
18 |
14 |
$683.27 |
| U0005 |
Infec agen detec ampli probe |
469 |
416 |
$679.99 |
| 82550 |
|
2,158 |
1,781 |
$656.46 |
| 88172 |
|
1,010 |
939 |
$649.70 |
| 97166 |
|
12 |
12 |
$649.28 |
| C9290 |
Inj, bupivacaine liposome |
683 |
623 |
$641.86 |
| 93350 |
|
70 |
63 |
$641.76 |
| G0008 |
Admin influenza virus vac |
3,001 |
2,817 |
$619.91 |
| 92555 |
|
50 |
39 |
$618.92 |
| 87801 |
|
29 |
29 |
$579.10 |
| 0352U |
|
16 |
14 |
$554.70 |
| 82947 |
|
5,501 |
4,940 |
$539.63 |
| J1885 |
Ketorolac tromethamine inj |
11,864 |
9,982 |
$506.32 |
| 89051 |
|
425 |
275 |
$501.03 |
| 0124A |
|
13 |
13 |
$466.40 |
| 85652 |
|
2,643 |
2,368 |
$464.86 |
| 92132 |
|
17 |
16 |
$448.62 |
| 87486 |
|
175 |
169 |
$441.28 |
| 90472 |
|
405 |
370 |
$440.86 |
| G0480 |
Drug test def 1-7 classes |
777 |
688 |
$433.98 |
| 70355 |
|
485 |
434 |
$414.86 |
| 87340 |
|
1,167 |
1,013 |
$405.29 |
| 86360 |
|
37 |
31 |
$373.19 |
| 93280 |
|
28 |
26 |
$349.12 |
| 51703 |
|
49 |
49 |
$348.36 |
| 82077 |
|
3,792 |
3,390 |
$339.63 |
| 96409 |
|
216 |
105 |
$329.42 |
| 80047 |
|
41 |
37 |
$321.50 |
| 82270 |
|
1,173 |
1,081 |
$309.26 |
| 90480 |
|
194 |
189 |
$304.02 |
| 87899 |
|
369 |
334 |
$298.32 |
| 83540 |
|
847 |
752 |
$275.45 |
| A9503 |
Tc99m medronate |
912 |
868 |
$275.40 |
| 87075 |
|
1,586 |
1,271 |
$239.55 |
| 84132 |
|
2,415 |
2,144 |
$236.82 |
| J0696 |
Ceftriaxone sodium injection |
9,858 |
7,159 |
$226.93 |
| 82248 |
|
923 |
614 |
$226.19 |
| 82746 |
|
522 |
470 |
$215.10 |
| 82010 |
|
586 |
528 |
$215.03 |
| 87205 |
|
2,358 |
1,987 |
$211.05 |
| 82306 |
|
113 |
110 |
$208.19 |
| J2785 |
Regadenoson injection |
1,181 |
1,102 |
$200.83 |
| 83550 |
|
574 |
516 |
$195.26 |
| 82820 |
|
2,221 |
1,977 |
$195.23 |
| 94762 |
|
749 |
643 |
$187.26 |
| 87428 |
|
390 |
383 |
$176.93 |
| J1630 |
Haloperidol injection |
1,553 |
1,284 |
$175.92 |
| A9502 |
Tc99m tetrofosmin |
1,259 |
1,172 |
$166.65 |
| J1170 |
Hydromorphone injection |
6,638 |
4,947 |
$164.90 |
| C1750 |
Cath, hemodialysis,long-term |
62 |
52 |
$159.94 |
| 88360 |
|
16 |
15 |
$155.19 |
| 91065 |
|
12 |
12 |
$150.67 |
| J1650 |
Inj enoxaparin sodium |
11,299 |
3,744 |
$150.54 |
| 88112 |
|
103 |
98 |
$149.14 |
| J1100 |
Dexamethasone sodium phos |
23,516 |
17,705 |
$146.76 |
| 85045 |
|
572 |
440 |
$142.41 |
| U0004 |
Cov-19 test non-cdc hgh thru |
16 |
16 |
$140.44 |
| 94760 |
|
1,635 |
1,108 |
$134.28 |
| 87147 |
|
318 |
295 |
$132.70 |
| J0702 |
Betamethasone acet&sod phosp |
1,065 |
881 |
$114.14 |
| 82565 |
|
102 |
100 |
$106.48 |
| J1642 |
Inj heparin sodium per 10 u |
8,751 |
4,775 |
$104.98 |
| 84295 |
|
2,187 |
1,940 |
$104.92 |
| 87480 |
|
39 |
39 |
$101.32 |
| 86870 |
|
28 |
24 |
$99.16 |
| J1644 |
Inj heparin sodium per 1000u |
20,797 |
9,933 |
$94.35 |
| C1733 |
Cath, ep, othr than cool-tip |
309 |
268 |
$89.11 |
| 81002 |
|
1,113 |
1,033 |
$87.69 |
| 99153 |
Mod sedat endo service >5yrs |
690 |
610 |
$87.63 |
| J2704 |
Inj, propofol, 10 mg |
27,846 |
25,488 |
$82.41 |
| 88311 |
|
136 |
122 |
$78.14 |
| J2270 |
Morphine sulfate injection |
9,060 |
6,669 |
$71.08 |
| 87880 |
|
473 |
459 |
$67.20 |
| 88173 |
|
1,081 |
1,007 |
$57.04 |
| 87510 |
|
39 |
39 |
$54.44 |
| 86140 |
|
299 |
274 |
$53.98 |
| U0002 |
Covid-19 lab test non-cdc |
30 |
29 |
$53.20 |
| 85014 |
|
341 |
302 |
$49.50 |
| J1200 |
Diphenhydramine hcl injectio |
7,817 |
5,224 |
$48.43 |
| J3411 |
Thiamine hcl 100 mg |
2,152 |
1,616 |
$47.95 |
| J3420 |
Vitamin b12 injection |
2,102 |
1,642 |
$47.49 |
| 87660 |
|
39 |
39 |
$46.88 |
| 84520 |
|
99 |
97 |
$41.46 |
| 80074 |
|
61 |
54 |
$40.22 |
| J7799 |
Non-inhalation drug for dme |
1,444 |
1,100 |
$39.51 |
| 88302 |
|
80 |
74 |
$34.86 |
| 82436 |
|
46 |
41 |
$34.80 |
| J7050 |
Normal saline solution infus |
10,151 |
6,192 |
$32.49 |
| J2250 |
Inj midazolam hydrochloride |
22,368 |
20,152 |
$29.87 |
| J1940 |
Furosemide injection |
3,800 |
2,117 |
$28.92 |
| J2919 |
Inj, methylpred sod succ 5mg |
144 |
128 |
$27.25 |
| J0690 |
Cefazolin sodium injection |
19,063 |
13,034 |
$23.82 |
| J0360 |
Hydralazine hcl injection |
4,014 |
3,126 |
$21.53 |
| 84133 |
|
45 |
40 |
$20.86 |
| 84300 |
|
88 |
79 |
$20.69 |
| 88108 |
|
38 |
37 |
$20.43 |
| 85384 |
|
16 |
13 |
$16.53 |
| C9399 |
Unclassified drugs or biolog |
4,425 |
4,038 |
$16.52 |
| J2543 |
Piperacillin/tazobactam |
2,076 |
1,081 |
$16.28 |
| J7999 |
Compounded drug, noc |
4,625 |
4,176 |
$16.28 |
| J0171 |
Adrenalin epinephrine inject |
2,944 |
2,587 |
$15.27 |
| J7030 |
Normal saline solution infus |
1,859 |
1,546 |
$14.83 |
| J2060 |
Lorazepam injection |
3,241 |
2,570 |
$14.42 |
| 82150 |
|
13 |
12 |
$14.11 |
| J7120 |
Ringers lactate infusion |
1,989 |
1,775 |
$11.81 |
| 87280 |
|
61 |
59 |
$11.81 |
| J1790 |
Droperidol injection |
2,800 |
2,587 |
$10.30 |
| 87015 |
|
103 |
66 |
$10.13 |
| J3475 |
Inj magnesium sulfate |
4,656 |
3,261 |
$9.40 |
| 85008 |
|
19 |
15 |
$8.78 |
| J2001 |
Lidocaine injection |
4,657 |
4,221 |
$5.34 |
| J3370 |
Vancomycin hcl injection |
2,704 |
1,683 |
$4.88 |
| J2765 |
Metoclopramide hcl injection |
4,175 |
3,550 |
$2.90 |
| C9113 |
Inj pantoprazole sodium, via |
1,946 |
966 |
$2.00 |
| J2930 |
Methylprednisolone injection |
1,423 |
1,252 |
$1.53 |
| J9190 |
Fluorouracil injection |
360 |
195 |
$1.27 |
| J0330 |
Succinycholine chloride inj |
1,316 |
1,190 |
$1.05 |
| J2370 |
Phenylephrine hcl injection |
5,684 |
5,133 |
$1.05 |
| J0780 |
Prochlorperazine injection |
1,001 |
861 |
$0.96 |
| J0456 |
Azithromycin |
540 |
368 |
$0.65 |
| J3480 |
Inj potassium chloride |
1,792 |
1,256 |
$0.49 |
| J0131 |
Inj, acetaminophen (nos) |
1,330 |
1,208 |
$0.26 |
| J2272 |
Inj, morphine (fresenius) |
1,583 |
1,270 |
$0.08 |
| A9552 |
F18 fdg |
2,011 |
1,809 |
$0.00 |
| C1758 |
Catheter, ureteral |
487 |
445 |
$0.00 |
| C1729 |
Cath, drainage |
445 |
385 |
$0.00 |
| A4216 |
Sterile water/saline, 10 ml |
2,497 |
1,485 |
$0.00 |
| J2550 |
Promethazine hcl injection |
580 |
485 |
$0.00 |
| J0688 |
Inj cefazolin sodium, hikma |
150 |
112 |
$0.00 |
| G8978 |
Mobility current status |
809 |
700 |
$0.00 |
| J0640 |
Leucovorin calcium injection |
113 |
59 |
$0.00 |
| G8979 |
Mobility goal status |
799 |
669 |
$0.00 |
| J1953 |
Levetiracetam injection |
349 |
272 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
999 |
898 |
$0.00 |
| J1580 |
Garamycin gentamicin inj |
213 |
124 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
227 |
204 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
146 |
141 |
$0.00 |
| 0272 |
|
482 |
436 |
$0.00 |
| 64495 |
|
29 |
28 |
$0.00 |
| J3371 |
Inj, vancomycin hcl (mylan) |
87 |
76 |
$0.00 |
| C1757 |
Cath, thrombectomy/embolect |
123 |
106 |
$0.00 |
| C1788 |
Port, indwelling, imp |
100 |
89 |
$0.00 |
| G8989 |
Self care d/c status |
384 |
342 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
732 |
707 |
$0.00 |
| 82805 |
|
123 |
112 |
$0.00 |
| 87102 |
|
47 |
38 |
$0.00 |
| J7040 |
Normal saline solution infus |
1,219 |
1,111 |
$0.00 |
| 51701 |
|
31 |
25 |
$0.00 |
| J0736 |
Inj, clindamycin phosp 300mg |
92 |
62 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
57 |
57 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
249 |
240 |
$0.00 |
| A9541 |
Tc99m sulfur colloid |
12 |
12 |
$0.00 |
| C1751 |
Cath, inf, per/cent/midline |
14 |
12 |
$0.00 |
| J9263 |
Oxaliplatin |
107 |
26 |
$0.00 |
| 80143 |
|
17 |
15 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
106 |
74 |
$0.00 |
| 93356 |
|
14 |
14 |
$0.00 |
| J0744 |
Ciprofloxacin iv |
60 |
36 |
$0.00 |
| 80179 |
|
15 |
14 |
$0.00 |
| J0670 |
Inj mepivacaine hcl/10 ml |
15 |
12 |
$0.00 |
| J3260 |
Tobramycin sulfate injection |
13 |
13 |
$0.00 |
| C1766 |
Intro/sheath,strble,non-peel |
668 |
604 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
620 |
567 |
$0.00 |
| 0270 |
|
196 |
176 |
$0.00 |
| G8987 |
Self care current status |
676 |
565 |
$0.00 |
| J0461 |
Atropine sulfate injection |
126 |
93 |
$0.00 |
| J9045 |
Carboplatin injection |
673 |
393 |
$0.00 |
| J2920 |
Methylprednisolone injection |
37 |
30 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
749 |
441 |
$0.00 |
| 96411 |
|
593 |
373 |
$0.00 |
| C1819 |
Tissue localization-excision |
420 |
379 |
$0.00 |
| J0610 |
Calcium glucon (fresenius) |
309 |
221 |
$0.00 |
| 0250 |
|
1,359 |
784 |
$0.00 |
| 0370 |
|
349 |
347 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
454 |
362 |
$0.00 |
| 0721 |
|
192 |
164 |
$0.00 |
| C1773 |
Ret dev, insertable |
310 |
292 |
$0.00 |
| 0710 |
|
333 |
329 |
$0.00 |
| G8988 |
Self care goal status |
632 |
526 |
$0.00 |
| G8980 |
Mobility d/c status |
427 |
384 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
275 |
272 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
622 |
571 |
$0.00 |
| C1781 |
Mesh (implantable) |
27 |
25 |
$0.00 |
| J1920 |
Inj, labetalol hcl, 5mg |
180 |
102 |
$0.00 |
| J9267 |
Paclitaxel injection |
477 |
216 |
$0.00 |
| J2780 |
Ranitidine hydrochloride inj |
28 |
17 |
$0.00 |
| C1892 |
Intro/sheath,fixed,peel-away |
16 |
13 |
$0.00 |
| C2617 |
Stent, non-cor, tem w/o del |
57 |
53 |
$0.00 |
| A9558 |
Xe133 xenon 10mci |
41 |
41 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
213 |
205 |
$0.00 |
| A9540 |
Tc99m maa |
60 |
58 |
$0.00 |
| C1732 |
Cath, ep, diag/abl, 3d/vect |
15 |
12 |
$0.00 |
| 64494 |
|
29 |
28 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
17 |
16 |
$0.00 |
| 96377 |
|
34 |
27 |
$0.00 |
| C1730 |
Cath, ep, 19 or few elect |
16 |
13 |
$0.00 |
| 88300 |
|
17 |
15 |
$0.00 |
| J2373 |
Inj, immphentiv, 20 mcg |
19 |
18 |
$0.00 |