| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
104,752 |
88,363 |
$8.48M |
| 99285 |
|
85,599 |
66,388 |
$8.40M |
| 99213 |
|
162,056 |
145,585 |
$8.12M |
| U0003 |
Cov-19 amp prb hgh thruput |
122,926 |
96,778 |
$7.14M |
| 99283 |
|
126,419 |
110,900 |
$6.32M |
| 99214 |
|
72,268 |
64,873 |
$5.20M |
| G0378 |
Hospital observation per hr |
85,895 |
29,327 |
$5.00M |
| 74177 |
|
26,258 |
20,803 |
$4.94M |
| 70450 |
|
36,990 |
29,842 |
$2.47M |
| 99202 |
|
34,442 |
32,043 |
$1.95M |
| 72125 |
|
16,846 |
13,870 |
$1.43M |
| 78452 |
|
3,627 |
2,495 |
$1.37M |
| 99282 |
|
36,384 |
32,380 |
$1.19M |
| 99203 |
|
16,514 |
14,943 |
$1.19M |
| 99469 |
|
3,611 |
1,506 |
$1.11M |
| 90999 |
|
4,627 |
787 |
$1.06M |
| 96374 |
|
64,297 |
44,455 |
$1.00M |
| 99070 |
|
100,263 |
76,351 |
$971K |
| 93306 |
|
5,849 |
4,170 |
$933K |
| 99480 |
|
8,720 |
3,698 |
$776K |
| 80053 |
|
154,476 |
103,821 |
$734K |
| 71275 |
|
4,028 |
3,031 |
$709K |
| 80307 |
|
36,046 |
28,632 |
$704K |
| 70498 |
|
2,373 |
1,919 |
$681K |
| 74176 |
|
5,072 |
3,882 |
$610K |
| 70486 |
|
5,627 |
4,747 |
$605K |
| 70553 |
|
2,064 |
1,613 |
$583K |
| 99291 |
|
3,504 |
2,658 |
$510K |
| 71046 |
|
47,008 |
39,208 |
$483K |
| 96372 |
|
56,844 |
29,503 |
$479K |
| 85025 |
|
198,851 |
115,817 |
$461K |
| 99233 |
Prolong inpt eval add15 m |
7,285 |
3,338 |
$461K |
| 93005 |
|
97,547 |
66,002 |
$440K |
| 96365 |
|
19,094 |
11,600 |
$437K |
| 71260 |
|
4,988 |
4,031 |
$433K |
| 99212 |
|
23,094 |
16,195 |
$424K |
| 96375 |
|
48,383 |
29,314 |
$412K |
| 70551 |
|
2,662 |
2,137 |
$403K |
| G0480 |
Drug test def 1-7 classes |
9,824 |
6,824 |
$382K |
| J0485 |
Belatacept injection |
1,894 |
851 |
$380K |
| 76705 |
|
7,960 |
6,409 |
$360K |
| 0450 |
|
7,573 |
6,540 |
$342K |
| J0561 |
Penicillin g benzathine inj |
1,473 |
1,085 |
$333K |
| 99223 |
Prolong inpt eval add15 m |
2,491 |
2,238 |
$331K |
| 99281 |
|
20,334 |
15,808 |
$329K |
| 99232 |
|
6,916 |
2,864 |
$320K |
| 99479 |
|
3,248 |
1,110 |
$318K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
22,189 |
19,760 |
$300K |
| 43239 |
|
1,881 |
1,436 |
$295K |
| 99238 |
|
5,116 |
4,761 |
$293K |
| 71045 |
|
58,438 |
43,578 |
$291K |
| 96361 |
|
18,868 |
13,868 |
$273K |
| 16020 |
|
7,243 |
2,257 |
$269K |
| 59025 |
|
7,940 |
5,520 |
$252K |
| 84484 |
|
80,854 |
38,359 |
$250K |
| 76700 |
|
4,896 |
3,723 |
$227K |
| 94640 |
|
15,695 |
11,972 |
$220K |
| J2785 |
Regadenoson injection |
1,476 |
1,306 |
$215K |
| 93970 |
|
2,567 |
2,019 |
$208K |
| 70491 |
|
1,277 |
1,015 |
$207K |
| 76801 |
|
5,061 |
3,816 |
$205K |
| 76830 |
|
3,885 |
3,123 |
$204K |
| 47562 |
|
211 |
161 |
$202K |
| 87389 |
|
23,127 |
18,510 |
$190K |
| 90715 |
|
7,578 |
6,957 |
$190K |
| 93971 |
|
3,939 |
3,131 |
$187K |
| 36415 |
|
166,867 |
107,573 |
$186K |
| 96376 |
|
33,624 |
13,077 |
$185K |
| 76817 |
|
4,666 |
3,537 |
$184K |
| G0463 |
Hospital outpt clinic visit |
21,439 |
15,457 |
$176K |
| U0005 |
Infec agen detec ampli probe |
16,849 |
13,878 |
$175K |
| 72131 |
|
2,303 |
1,879 |
$174K |
| 97602 |
|
11,158 |
2,203 |
$161K |
| 96360 |
|
7,047 |
5,816 |
$158K |
| 87880 |
|
22,394 |
20,812 |
$154K |
| A9502 |
Tc99m tetrofosmin |
3,828 |
2,531 |
$153K |
| 96366 |
|
10,855 |
5,576 |
$153K |
| 99204 |
|
1,554 |
1,413 |
$144K |
| 90471 |
|
13,656 |
11,160 |
$143K |
| 83880 |
|
12,790 |
9,175 |
$130K |
| 84703 |
|
41,641 |
32,987 |
$121K |
| 42820 |
|
192 |
178 |
$111K |
| 99215 |
Prolong outpt/office vis |
1,620 |
1,082 |
$108K |
| 73130 |
|
7,140 |
5,789 |
$107K |
| 99222 |
|
1,088 |
1,011 |
$105K |
| 80048 |
|
21,406 |
14,927 |
$103K |
| 73630 |
|
5,918 |
4,864 |
$97K |
| 99460 |
|
1,361 |
1,309 |
$96K |
| 01967 |
|
182 |
176 |
$95K |
| 76856 |
|
1,949 |
1,603 |
$94K |
| G0382 |
Lev 3 hosp type b ed visit |
4,438 |
4,035 |
$93K |
| 54161 |
|
256 |
240 |
$89K |
| 80074 |
|
5,746 |
4,508 |
$89K |
| 12011 |
|
2,418 |
2,140 |
$88K |
| 83690 |
|
37,394 |
28,190 |
$87K |
| 73564 |
|
5,014 |
4,126 |
$87K |
| 72128 |
|
1,233 |
1,030 |
$86K |
| 87635 |
|
4,969 |
4,793 |
$83K |
| 10060 |
|
1,425 |
1,177 |
$82K |
| A4305 |
Drug delivery system >=50 ml |
23,527 |
18,880 |
$81K |
| 73030 |
|
7,423 |
5,829 |
$81K |
| 76805 |
|
1,333 |
1,075 |
$81K |
| J7030 |
Normal saline solution infus |
24,074 |
19,373 |
$79K |
| 73610 |
|
5,921 |
4,675 |
$78K |
| 0241U |
|
9,349 |
8,590 |
$77K |
| 97162 |
|
4,485 |
2,867 |
$76K |
| 12002 |
|
2,315 |
1,963 |
$76K |
| 99201 |
|
2,681 |
2,532 |
$75K |
| 70496 |
|
550 |
354 |
$74K |
| 12001 |
|
2,653 |
2,304 |
$73K |
| 87486 |
|
4,928 |
4,268 |
$72K |
| 87581 |
|
4,923 |
4,266 |
$71K |
| 99468 |
|
98 |
84 |
$69K |
| 81001 |
|
65,552 |
49,469 |
$69K |
| 73110 |
|
3,946 |
3,115 |
$65K |
| 0250 |
|
372 |
285 |
$63K |
| 87804 |
|
10,174 |
5,239 |
$62K |
| 84443 |
|
15,598 |
10,897 |
$62K |
| 87491 |
|
4,014 |
3,453 |
$61K |
| 73590 |
|
6,091 |
4,659 |
$61K |
| 87591 |
|
4,011 |
3,452 |
$60K |
| 45380 |
|
393 |
277 |
$60K |
| 87798 |
|
4,924 |
4,264 |
$59K |
| 99221 |
|
933 |
820 |
$59K |
| 87040 |
|
18,465 |
7,874 |
$57K |
| 73090 |
|
4,637 |
3,613 |
$57K |
| 76870 |
|
1,992 |
1,648 |
$52K |
| 44970 |
|
46 |
37 |
$51K |
| 81025 |
|
20,379 |
17,422 |
$50K |
| 70544 |
|
633 |
408 |
$49K |
| Z7502 |
|
1,245 |
1,085 |
$47K |
| 99231 |
|
2,404 |
329 |
$46K |
| 51701 |
|
2,347 |
2,068 |
$46K |
| 29125 |
|
1,900 |
1,622 |
$45K |
| 74018 |
|
4,517 |
3,677 |
$44K |
| 97110 |
|
1,634 |
377 |
$44K |
| 81002 |
|
33,539 |
29,272 |
$44K |
| J2270 |
Morphine sulfate injection |
17,950 |
12,049 |
$44K |
| 84702 |
|
8,640 |
6,386 |
$42K |
| 88305 |
|
6,767 |
4,539 |
$42K |
| 99205 |
Prolong outpt/office vis |
310 |
287 |
$41K |
| 73502 |
|
2,917 |
2,301 |
$41K |
| G0381 |
Lev 2 hosp type b ed visit |
2,500 |
2,359 |
$41K |
| 73080 |
|
2,717 |
2,253 |
$40K |
| 99239 |
|
695 |
618 |
$39K |
| 87086 |
|
14,406 |
11,230 |
$39K |
| 76815 |
|
661 |
553 |
$39K |
| 87430 |
|
4,509 |
3,491 |
$39K |
| 85730 |
|
26,711 |
18,982 |
$39K |
| J7120 |
Ringers lactate infusion |
14,152 |
11,128 |
$38K |
| 93017 |
|
3,704 |
2,535 |
$38K |
| 76770 |
|
772 |
582 |
$37K |
| 83735 |
|
42,528 |
16,292 |
$37K |
| 0001A |
|
2,354 |
1,789 |
$34K |
| 97161 |
|
1,665 |
1,180 |
$34K |
| 99152 |
|
2,454 |
1,677 |
$33K |
| 87651 |
|
1,879 |
1,732 |
$33K |
| 73560 |
|
3,115 |
2,320 |
$33K |
| J7050 |
Normal saline solution infus |
5,977 |
3,964 |
$32K |
| 0002A |
|
1,934 |
1,497 |
$31K |
| J3370 |
Vancomycin hcl injection |
3,937 |
1,608 |
$31K |
| 80061 |
|
11,575 |
8,015 |
$30K |
| 83605 |
|
10,527 |
6,185 |
$30K |
| 87428 |
|
1,455 |
1,340 |
$29K |
| 95819 |
|
142 |
115 |
$29K |
| 96367 |
|
3,502 |
2,194 |
$29K |
| J0696 |
Ceftriaxone sodium injection |
11,907 |
8,544 |
$29K |
| 85610 |
|
31,153 |
21,103 |
$28K |
| 80069 |
|
27,684 |
10,360 |
$28K |
| 73552 |
|
2,350 |
1,860 |
$28K |
| 69436 |
|
44 |
37 |
$28K |
| J0295 |
Ampicillin sulbactam 1.5 gm |
5,765 |
1,956 |
$28K |
| 14040 |
|
107 |
101 |
$27K |
| 73120 |
|
2,266 |
1,762 |
$27K |
| 73700 |
|
290 |
210 |
$26K |
| 70487 |
|
155 |
128 |
$26K |
| A9577 |
Inj multihance |
1,040 |
851 |
$25K |
| 0270 |
|
926 |
785 |
$23K |
| 54360 |
|
32 |
29 |
$23K |
| 74019 |
|
1,439 |
1,317 |
$23K |
| 94644 |
|
967 |
826 |
$22K |
| 73060 |
|
2,096 |
1,599 |
$22K |
| 70549 |
|
90 |
65 |
$22K |
| 87077 |
|
7,797 |
5,407 |
$21K |
| 83036 |
|
12,510 |
8,381 |
$21K |
| J1650 |
Inj enoxaparin sodium |
9,663 |
4,033 |
$21K |
| 73140 |
|
1,376 |
1,160 |
$21K |
| 29105 |
|
587 |
509 |
$20K |
| 82962 |
|
39,616 |
11,986 |
$20K |
| 71250 |
|
308 |
245 |
$20K |
| J1815 |
Insulin injection |
7,288 |
2,503 |
$19K |
| 73562 |
|
1,432 |
1,157 |
$19K |
| 3074F |
|
30,743 |
29,402 |
$19K |
| 99472 |
|
64 |
12 |
$19K |
| 97166 |
|
1,435 |
903 |
$18K |
| J8540 |
Oral dexamethasone |
9,883 |
9,129 |
$18K |
| J0780 |
Prochlorperazine injection |
2,429 |
2,228 |
$18K |
| 86901 |
|
21,459 |
15,787 |
$18K |
| 86900 |
|
21,524 |
15,826 |
$18K |
| 73600 |
|
1,804 |
1,340 |
$17K |
| 73100 |
|
1,308 |
1,031 |
$17K |
| 87186 |
|
4,947 |
3,527 |
$17K |
| G0383 |
Lev 4 hosp type b ed visit |
902 |
833 |
$16K |
| 72100 |
|
1,310 |
1,127 |
$16K |
| 86140 |
|
9,482 |
7,075 |
$16K |
| 73620 |
|
1,495 |
1,139 |
$16K |
| 94060 |
|
333 |
297 |
$16K |
| 87799 |
|
3,997 |
1,629 |
$15K |
| 87070 |
|
3,651 |
2,607 |
$15K |
| 87633 |
|
5,439 |
4,757 |
$15K |
| J2272 |
Inj, morphine (fresenius) |
4,651 |
3,425 |
$15K |
| 73070 |
|
1,328 |
1,036 |
$15K |
| 93458 |
|
32 |
24 |
$15K |
| 99199 |
|
312 |
242 |
$15K |
| 82803 |
|
2,830 |
1,850 |
$14K |
| 99211 |
|
3,181 |
1,859 |
$14K |
| 72040 |
|
992 |
865 |
$14K |
| 99218 |
|
436 |
184 |
$14K |
| 72170 |
|
1,533 |
1,211 |
$14K |
| 29515 |
|
540 |
445 |
$14K |
| 86850 |
|
14,829 |
10,998 |
$13K |
| 82550 |
|
7,498 |
4,945 |
$13K |
| J1790 |
Droperidol injection |
2,434 |
2,143 |
$13K |
| 12013 |
|
384 |
331 |
$13K |
| 87081 |
|
4,093 |
3,649 |
$13K |
| 99252 |
|
258 |
207 |
$13K |
| 90732 |
|
375 |
328 |
$13K |
| 11042 |
|
170 |
97 |
$12K |
| 54300 |
|
12 |
12 |
$12K |
| L4361 |
Pneuma/vac walk boot pre ots |
230 |
209 |
$11K |
| J3372 |
Inj, vancomycin hcl (xellia) |
720 |
532 |
$11K |
| 97530 |
|
2,056 |
736 |
$11K |
| 00731 |
|
189 |
172 |
$11K |
| 36592 |
|
1,154 |
873 |
$10K |
| J1170 |
Hydromorphone injection |
6,515 |
3,960 |
$10K |
| J3490 |
Drugs unclassified injection |
1,294 |
1,022 |
$10K |
| 36430 |
|
1,006 |
610 |
$10K |
| J1885 |
Ketorolac tromethamine inj |
12,505 |
10,299 |
$10K |
| 97116 |
|
2,207 |
845 |
$10K |
| 94729 |
|
367 |
331 |
$9K |
| 93308 |
|
142 |
127 |
$9K |
| 86803 |
|
2,532 |
2,042 |
$9K |
| 97163 |
|
725 |
420 |
$9K |
| J2405 |
Ondansetron hcl injection |
30,171 |
21,717 |
$9K |
| 80197 |
|
8,708 |
2,500 |
$9K |
| 74021 |
|
542 |
473 |
$9K |
| 96127 |
|
2,222 |
2,160 |
$9K |
| 85027 |
|
7,400 |
4,484 |
$8K |
| 94726 |
|
316 |
285 |
$8K |
| 85380 |
|
2,473 |
1,900 |
$8K |
| 87497 |
|
1,472 |
808 |
$7K |
| 70480 |
|
73 |
62 |
$7K |
| 94664 |
|
905 |
707 |
$7K |
| 72141 |
|
80 |
63 |
$7K |
| 0031A |
|
334 |
243 |
$7K |
| 90670 |
|
119 |
92 |
$7K |
| J1953 |
Levetiracetam injection |
1,196 |
822 |
$7K |
| J8499 |
Oral prescrip drug non chemo |
2,296 |
1,997 |
$7K |
| 87340 |
|
3,271 |
2,584 |
$7K |
| 85060 |
|
1,040 |
854 |
$7K |
| 86780 |
|
1,818 |
1,343 |
$6K |
| A4248 |
Chlorhexidine antisept |
1,728 |
1,615 |
$6K |
| 82010 |
|
2,286 |
1,733 |
$6K |
| J2358 |
Olanzapine long-acting inj |
534 |
372 |
$6K |
| 87210 |
|
4,039 |
3,329 |
$6K |
| 99396 |
|
54 |
52 |
$6K |
| 84100 |
|
12,107 |
4,703 |
$6K |
| J3010 |
Fentanyl citrate injection |
16,475 |
13,377 |
$6K |
| 84439 |
|
2,849 |
2,044 |
$6K |
| J0690 |
Cefazolin sodium injection |
9,715 |
7,192 |
$6K |
| 74174 |
|
20 |
12 |
$6K |
| 85652 |
|
7,047 |
4,976 |
$5K |
| 99462 |
|
182 |
151 |
$5K |
| A6206 |
Contact layer <= 16 sq in |
112 |
66 |
$5K |
| M0243 |
Casirivi and imdevi inj |
23 |
22 |
$5K |
| J1200 |
Diphenhydramine hcl injectio |
5,471 |
4,333 |
$5K |
| U0002 |
Covid-19 lab test non-cdc |
376 |
196 |
$5K |
| J2930 |
Methylprednisolone injection |
809 |
609 |
$5K |
| 87807 |
|
726 |
689 |
$5K |
| J2704 |
Inj, propofol, 10 mg |
14,913 |
12,011 |
$5K |
| J0360 |
Hydralazine hcl injection |
1,248 |
745 |
$5K |
| 85576 |
|
185 |
132 |
$5K |
| 83970 |
|
229 |
154 |
$5K |
| 86593 |
|
2,503 |
2,079 |
$5K |
| 3044F |
|
5,106 |
4,796 |
$5K |
| 86705 |
|
1,266 |
985 |
$5K |
| A6210 |
Foam drg >16<=48 sq in w/o b |
813 |
342 |
$5K |
| 92610 |
|
193 |
130 |
$5K |
| 83615 |
|
9,253 |
2,937 |
$5K |
| Q0162 |
Ondansetron oral |
8,162 |
7,434 |
$5K |
| 36591 |
|
987 |
653 |
$4K |
| 00920 |
|
28 |
28 |
$4K |
| 86706 |
|
1,165 |
963 |
$4K |
| J3480 |
Inj potassium chloride |
3,573 |
2,150 |
$4K |
| 76604 |
|
124 |
110 |
$4K |
| 90935 |
|
220 |
97 |
$4K |
| 29580 |
|
228 |
38 |
$4K |
| J1100 |
Dexamethasone sodium phos |
10,810 |
9,054 |
$4K |
| J7042 |
5% dextrose/normal saline |
2,381 |
1,471 |
$4K |
| J0171 |
Adrenalin epinephrine inject |
1,442 |
1,096 |
$4K |
| J2060 |
Lorazepam injection |
4,475 |
3,467 |
$4K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,966 |
1,494 |
$4K |
| 1160F |
|
47,999 |
45,536 |
$4K |
| A9585 |
Gadobutrol injection |
142 |
139 |
$4K |
| G0390 |
Trauma respons w/hosp criti |
287 |
217 |
$4K |
| 99253 |
|
41 |
38 |
$4K |
| 86923 |
|
635 |
336 |
$4K |
| 87088 |
|
1,502 |
1,064 |
$4K |
| 45378 |
|
19 |
12 |
$3K |
| 88307 |
|
405 |
264 |
$3K |
| 99153 |
Mod sedat endo service >5yrs |
1,453 |
898 |
$3K |
| J3475 |
Inj magnesium sulfate |
1,728 |
1,276 |
$3K |
| J1644 |
Inj heparin sodium per 1000u |
3,287 |
1,292 |
$3K |
| 88304 |
|
2,392 |
1,757 |
$3K |
| J2795 |
Ropivacaine hcl injection |
3,401 |
2,469 |
$3K |
| 62270 |
|
59 |
39 |
$3K |
| 20610 |
|
71 |
62 |
$3K |
| J1940 |
Furosemide injection |
1,416 |
585 |
$3K |
| 90746 |
|
128 |
103 |
$3K |
| J2765 |
Metoclopramide hcl injection |
3,761 |
3,127 |
$3K |
| 97165 |
|
184 |
125 |
$3K |
| 82728 |
|
1,849 |
1,119 |
$3K |
| 31526 |
|
13 |
13 |
$3K |
| 90472 |
|
265 |
223 |
$3K |
| 73200 |
|
28 |
24 |
$3K |
| 96368 |
|
390 |
272 |
$2K |
| 86141 |
|
474 |
372 |
$2K |
| C9113 |
Inj pantoprazole sodium, via |
2,147 |
1,016 |
$2K |
| 84481 |
|
597 |
424 |
$2K |
| J2800 |
Methocarbamol injection |
476 |
397 |
$2K |
| P9016 |
Rbc leukocytes reduced |
813 |
524 |
$2K |
| 80050 |
|
238 |
228 |
$2K |
| 84145 |
|
375 |
263 |
$2K |
| E0114 |
Crutch underarm pair no wood |
701 |
628 |
$2K |
| 99254 |
|
29 |
24 |
$2K |
| 87205 |
|
854 |
760 |
$2K |
| 99464 |
|
32 |
30 |
$2K |
| Z7610 |
|
195 |
162 |
$2K |
| C1769 |
Guide wire |
4,307 |
2,643 |
$2K |
| G0257 |
Unsched dialysis esrd pt hos |
128 |
47 |
$2K |
| 69209 |
|
201 |
179 |
$2K |
| 99497 |
|
558 |
308 |
$2K |
| 72110 |
|
67 |
61 |
$2K |
| 88312 |
|
910 |
607 |
$2K |
| 3075F |
|
1,431 |
1,366 |
$2K |
| 85384 |
|
575 |
458 |
$2K |
| 99499 |
|
33 |
25 |
$2K |
| 97605 |
|
142 |
41 |
$2K |
| 71101 |
|
91 |
84 |
$2K |
| C9803 |
Hopd covid-19 spec collect |
20,412 |
18,571 |
$2K |
| 93041 |
|
3,019 |
1,269 |
$2K |
| 73000 |
|
91 |
78 |
$1K |
| G0438 |
Ppps, initial visit |
14 |
13 |
$1K |
| J7512 |
Prednisone ir or dr oral 1mg |
2,869 |
1,936 |
$1K |
| 86709 |
|
1,293 |
1,002 |
$1K |
| J2250 |
Inj midazolam hydrochloride |
9,372 |
7,833 |
$1K |
| 3078F |
|
22,197 |
21,275 |
$1K |
| J1630 |
Haloperidol injection |
1,075 |
864 |
$1K |
| 0004A |
|
58 |
50 |
$1K |
| Q9957 |
Inj perflutren lip micros,ml |
89 |
84 |
$1K |
| 80202 |
|
333 |
210 |
$1K |
| J0456 |
Azithromycin |
453 |
273 |
$1K |
| 70360 |
|
107 |
93 |
$1K |
| 84156 |
|
2,469 |
1,607 |
$1K |
| 90686 |
|
430 |
368 |
$1K |
| 85007 |
|
1,657 |
1,329 |
$1K |
| J2001 |
Lidocaine injection |
17,037 |
13,875 |
$1K |
| J2543 |
Piperacillin/tazobactam |
387 |
161 |
$1K |
| 82607 |
|
811 |
472 |
$1K |
| L1830 |
Ko immob canvas long pre ots |
37 |
25 |
$1K |
| 73522 |
|
87 |
65 |
$1K |
| J2360 |
Orphenadrine injection |
131 |
117 |
$1K |
| 3079F |
|
7,099 |
6,771 |
$984.00 |
| 51702 |
|
157 |
87 |
$982.22 |
| 37799 |
|
81 |
55 |
$959.70 |
| 87811 |
|
47 |
45 |
$953.50 |
| 70355 |
|
128 |
116 |
$909.17 |
| 84466 |
|
1,015 |
566 |
$898.50 |
| 0012A |
|
173 |
112 |
$896.53 |
| 88342 |
|
335 |
218 |
$889.56 |
| 0011A |
|
268 |
166 |
$817.19 |
| 85018 |
|
2,031 |
1,144 |
$775.86 |
| 70250 |
|
58 |
49 |
$768.39 |
| 82140 |
|
207 |
146 |
$752.64 |
| 99394 |
|
14 |
14 |
$738.00 |
| 97167 |
|
94 |
54 |
$735.50 |
| J2359 |
Inj. olanzapine, 0.5mg |
70 |
55 |
$726.42 |
| J7799 |
Non-inhalation drug for dme |
858 |
308 |
$707.95 |
| 1126F |
|
18,006 |
17,046 |
$699.01 |
| 99384 |
|
13 |
12 |
$687.00 |
| 83540 |
|
1,277 |
776 |
$684.83 |
| A4314 |
Cath w/drainage 2-way latex |
510 |
369 |
$675.27 |
| G0380 |
Lev 1 hosp type b ed visit |
42 |
42 |
$653.59 |
| 89051 |
|
406 |
233 |
$644.40 |
| 1157F |
|
8,171 |
7,594 |
$624.00 |
| 82306 |
|
331 |
197 |
$623.69 |
| 0353U |
|
1,568 |
1,356 |
$599.62 |
| 84132 |
|
1,034 |
565 |
$593.28 |
| 76377 |
|
18 |
17 |
$558.00 |
| 86769 |
|
33 |
21 |
$547.69 |
| 93307 |
|
16 |
12 |
$545.86 |
| A0429 |
Bls-emergency |
21 |
12 |
$509.77 |
| 86592 |
|
254 |
220 |
$507.61 |
| 29540 |
|
46 |
39 |
$497.68 |
| 84550 |
|
966 |
672 |
$485.75 |
| 82570 |
|
1,295 |
817 |
$484.09 |
| 87536 |
|
30 |
25 |
$464.40 |
| Q0163 |
Diphenhydramine hcl 50mg |
1,024 |
774 |
$462.85 |
| 85347 |
|
257 |
197 |
$448.35 |
| 76010 |
|
27 |
25 |
$432.74 |
| U0001 |
2019-ncov diagnostic p |
63 |
57 |
$431.00 |
| 73660 |
|
42 |
36 |
$384.27 |
| 88300 |
|
1,020 |
828 |
$361.57 |
| J0330 |
Succinycholine chloride inj |
1,050 |
876 |
$360.20 |
| 0099U |
|
135 |
76 |
$339.38 |
| 97535 |
|
67 |
27 |
$338.36 |
| 99000 |
|
123 |
112 |
$331.61 |
| 3048F |
|
2,342 |
2,214 |
$321.00 |
| 82248 |
|
243 |
167 |
$317.50 |
| 3077F |
|
755 |
712 |
$272.01 |
| J0500 |
Dicyclomine injection |
30 |
27 |
$269.88 |
| J2919 |
Inj, methylpred sod succ 5mg |
79 |
66 |
$257.53 |
| 86480 |
|
18 |
14 |
$256.33 |
| 94010 |
|
13 |
12 |
$252.55 |
| L3260 |
Ambulatory surgical boot eac |
29 |
24 |
$244.55 |
| 97606 |
|
32 |
13 |
$238.32 |
| J2175 |
Meperidine hydrochl /100 mg |
422 |
346 |
$234.34 |
| 1125F |
|
14,278 |
13,657 |
$225.03 |
| 87653 |
|
19 |
16 |
$215.46 |
| 82565 |
|
196 |
134 |
$206.71 |
| 81003 |
|
544 |
378 |
$194.65 |
| 85014 |
|
1,140 |
507 |
$193.74 |
| 87075 |
|
234 |
166 |
$192.64 |
| S0119 |
Ondansetron 4 mg |
169 |
155 |
$179.33 |
| 87147 |
|
108 |
85 |
$178.36 |
| L3908 |
Who cock-up nonmolde pre ots |
13 |
13 |
$173.01 |
| J2470 |
Inj pantoprazole sodium 40mg |
116 |
86 |
$157.50 |
| 86704 |
|
14 |
12 |
$145.27 |
| 0352U |
|
617 |
548 |
$142.63 |
| J0692 |
Cefepime hcl for injection |
32 |
26 |
$129.50 |
| J0131 |
Inj, acetaminophen (nos) |
116 |
101 |
$127.78 |
| J7613 |
Albuterol non-comp unit |
318 |
300 |
$126.43 |
| 3049F |
|
505 |
467 |
$126.00 |
| J3371 |
Inj, vancomycin hcl (mylan) |
180 |
154 |
$124.14 |
| 84520 |
|
139 |
96 |
$122.36 |
| 87046 |
|
38 |
29 |
$121.07 |
| 87045 |
|
38 |
29 |
$121.07 |
| J3301 |
Triamcinolone acet inj nos |
47 |
38 |
$120.81 |
| 84157 |
|
119 |
88 |
$106.35 |
| 82945 |
|
119 |
87 |
$106.10 |
| 99490 |
Ccm add 20min |
13 |
12 |
$104.56 |
| J1836 |
Inj, metronidazole, 10 mg |
226 |
129 |
$102.89 |
| 82746 |
|
102 |
57 |
$89.27 |
| J0687 |
Inj cefazolin (wg crit care) |
508 |
454 |
$85.94 |
| 86317 |
|
16 |
14 |
$81.84 |
| 86644 |
|
19 |
18 |
$81.17 |
| 86664 |
|
17 |
13 |
$75.85 |
| 86682 |
|
15 |
13 |
$71.04 |
| J0744 |
Ciprofloxacin iv |
20 |
12 |
$70.26 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
196 |
141 |
$68.96 |
| J0610 |
Calcium glucon (fresenius) |
41 |
31 |
$64.13 |
| J7620 |
Albuterol ipratrop non-comp |
122 |
92 |
$64.04 |
| 86787 |
|
17 |
16 |
$63.31 |
| 86735 |
|
14 |
12 |
$62.30 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
940 |
816 |
$62.25 |
| J1580 |
Garamycin gentamicin inj |
85 |
57 |
$62.05 |
| 86765 |
|
14 |
12 |
$61.53 |
| 86635 |
|
15 |
14 |
$56.40 |
| J0571 |
Buprenorphine oral 1mg |
21 |
13 |
$55.75 |
| 80076 |
|
42 |
26 |
$49.58 |
| 85046 |
|
42 |
27 |
$45.32 |
| 3080F |
|
270 |
247 |
$45.00 |
| J2710 |
Neostigmine methylslfte inj |
309 |
264 |
$41.44 |
| G0008 |
Admin influenza virus vac |
512 |
317 |
$40.65 |
| G0009 |
Admin pneumococcal vaccine |
682 |
375 |
$40.65 |
| 86308 |
|
12 |
12 |
$38.83 |
| 80164 |
|
20 |
12 |
$36.82 |
| J0134 |
Inj acetaminophen -fresenius |
66 |
62 |
$26.85 |
| J0736 |
Inj, clindamycin phosp 300mg |
13 |
12 |
$25.22 |
| J2370 |
Phenylephrine hcl injection |
164 |
139 |
$24.87 |
| 85045 |
|
42 |
24 |
$24.37 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
558 |
487 |
$23.09 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
16 |
14 |
$22.71 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
431 |
369 |
$22.16 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
88 |
80 |
$14.10 |
| J0694 |
Cefoxitin sodium injection |
30 |
12 |
$13.00 |
| 86703 |
|
13 |
12 |
$9.35 |
| 1170F |
|
10,495 |
9,979 |
$6.00 |
| 3050F |
|
106 |
95 |
$6.00 |
| J2004 |
Inj, lidocaine w epinephrine |
30 |
29 |
$4.60 |
| 84300 |
|
36 |
12 |
$3.32 |
| 91300 |
|
2,039 |
1,619 |
$2.86 |
| J1920 |
Inj, labetalol hcl, 5mg |
31 |
27 |
$2.40 |
| 91303 |
|
106 |
100 |
$0.15 |
| G1004 |
Cdsm ndsc |
8,280 |
5,318 |
$0.07 |
| 91301 |
|
85 |
75 |
$0.05 |
| 3008F |
|
30,287 |
28,718 |
$0.00 |
| 4010F |
|
2,764 |
2,584 |
$0.00 |
| 99024 |
|
1,507 |
1,062 |
$0.00 |
| G8988 |
Self care goal status |
275 |
177 |
$0.00 |
| 1111F |
|
7,381 |
7,009 |
$0.00 |
| G8987 |
Self care current status |
275 |
177 |
$0.00 |
| C1781 |
Mesh (implantable) |
12 |
12 |
$0.00 |
| A9270 |
Non-covered item or service |
217 |
116 |
$0.00 |
| C1830 |
Power bone marrow bx needle |
1,094 |
753 |
$0.00 |
| 80329 |
|
215 |
113 |
$0.00 |
| 80320 |
|
164 |
135 |
$0.00 |
| 3061F |
|
268 |
249 |
$0.00 |
| G8980 |
Mobility d/c status |
366 |
248 |
$0.00 |
| 87507 |
|
85 |
68 |
$0.00 |
| S2900 |
Robotic surgical system |
53 |
39 |
$0.00 |
| 94760 |
|
15 |
12 |
$0.00 |
| L0150 |
Cerv semi-rig adj molded chn |
16 |
12 |
$0.00 |
| E0130 |
Walker rigid adjust/fixed ht |
16 |
12 |
$0.00 |
| 90739 |
|
13 |
12 |
$0.00 |
| 3288F |
|
47,674 |
45,409 |
$0.00 |
| 1159F |
|
21,577 |
20,644 |
$0.00 |
| 3725F |
|
40,187 |
38,205 |
$0.00 |
| C1751 |
Cath, inf, per/cent/midline |
129 |
87 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
1,685 |
995 |
$0.00 |
| G8978 |
Mobility current status |
1,032 |
677 |
$0.00 |
| C1887 |
Catheter, guiding |
929 |
563 |
$0.00 |
| G8979 |
Mobility goal status |
1,033 |
683 |
$0.00 |
| 0202U |
|
170 |
136 |
$0.00 |
| C1729 |
Cath, drainage |
323 |
142 |
$0.00 |
| 3046F |
|
15 |
13 |
$0.00 |
| 87631 |
|
14 |
12 |
$0.00 |
| G2211 |
Complex e/m visit add on |
14 |
13 |
$0.00 |