| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
106,751 |
97,370 |
$10.51M |
| 99282 |
|
77,488 |
72,409 |
$9.04M |
| 92507 |
|
77,250 |
23,724 |
$8.64M |
| G0463 |
Hospital outpt clinic visit |
81,545 |
61,408 |
$6.07M |
| 97110 |
|
69,789 |
22,691 |
$5.13M |
| 97530 |
|
48,158 |
17,188 |
$4.03M |
| 99284 |
|
34,560 |
30,204 |
$2.99M |
| J7030 |
Normal saline solution infus |
18,222 |
12,055 |
$2.12M |
| 96365 |
|
18,468 |
10,202 |
$2.03M |
| 99281 |
|
16,838 |
16,036 |
$1.62M |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
17,251 |
14,026 |
$1.60M |
| 0202U |
|
15,382 |
14,954 |
$1.40M |
| 99285 |
|
11,426 |
9,490 |
$1.31M |
| 74177 |
|
8,932 |
7,649 |
$1.29M |
| 95810 |
|
2,759 |
2,624 |
$1.21M |
| 96360 |
|
11,014 |
9,357 |
$1.15M |
| 96374 |
|
34,487 |
28,493 |
$1.14M |
| 93306 |
|
6,467 |
5,583 |
$1.05M |
| G0381 |
Lev 2 hosp type b ed visit |
13,528 |
12,418 |
$993K |
| 70450 |
|
10,731 |
8,820 |
$884K |
| 80053 |
|
93,703 |
71,851 |
$725K |
| 43239 |
|
3,500 |
3,223 |
$714K |
| 42820 |
|
608 |
595 |
$709K |
| 96361 |
|
13,329 |
9,977 |
$698K |
| 69436 |
|
1,514 |
1,484 |
$697K |
| 97161 |
|
5,347 |
4,919 |
$682K |
| G0382 |
Lev 3 hosp type b ed visit |
8,910 |
8,097 |
$634K |
| 36415 |
|
21,790 |
17,141 |
$601K |
| 71046 |
|
26,455 |
24,646 |
$568K |
| 87088 |
|
35,175 |
31,822 |
$542K |
| C9803 |
Hopd covid-19 spec collect |
8,656 |
7,960 |
$522K |
| G0378 |
Hospital observation per hr |
24,192 |
12,790 |
$514K |
| 96372 |
|
16,958 |
10,014 |
$510K |
| 70553 |
|
3,445 |
3,086 |
$507K |
| 74176 |
|
3,776 |
3,191 |
$497K |
| J2405 |
Ondansetron hcl injection |
32,659 |
25,684 |
$486K |
| 95782 |
|
940 |
927 |
$455K |
| 96375 |
|
26,622 |
18,944 |
$431K |
| 97602 |
|
5,696 |
2,790 |
$424K |
| 92523 |
|
3,317 |
3,209 |
$420K |
| 29581 |
|
5,471 |
1,378 |
$414K |
| 93325 |
|
4,325 |
4,076 |
$413K |
| 92579 |
|
4,161 |
4,116 |
$393K |
| 96366 |
|
6,359 |
3,464 |
$391K |
| 72125 |
|
3,690 |
2,941 |
$391K |
| 97165 |
|
2,684 |
2,566 |
$356K |
| 44970 |
|
187 |
179 |
$352K |
| 78452 |
|
2,231 |
1,737 |
$348K |
| 97140 |
|
14,442 |
4,295 |
$348K |
| 96413 |
|
5,914 |
3,688 |
$347K |
| 87880 |
|
13,046 |
12,639 |
$324K |
| 71275 |
|
2,412 |
2,039 |
$321K |
| G0380 |
Lev 1 hosp type b ed visit |
5,427 |
4,864 |
$321K |
| 76700 |
|
4,240 |
3,983 |
$317K |
| 95816 |
|
2,031 |
1,930 |
$315K |
| 74018 |
|
17,152 |
16,142 |
$301K |
| 92557 |
|
2,364 |
2,316 |
$274K |
| 86850 |
|
8,787 |
7,410 |
$268K |
| 97162 |
|
4,254 |
3,657 |
$257K |
| 76705 |
|
6,554 |
6,057 |
$255K |
| 85025 |
|
94,344 |
74,452 |
$251K |
| 59025 |
|
10,140 |
8,109 |
$248K |
| 54161 |
|
370 |
363 |
$240K |
| 87807 |
|
3,613 |
3,516 |
$238K |
| 92526 |
|
5,801 |
2,399 |
$237K |
| 70551 |
|
2,141 |
1,919 |
$232K |
| 93320 |
|
1,050 |
1,011 |
$217K |
| J2785 |
Regadenoson injection |
1,500 |
1,149 |
$215K |
| 80307 |
|
9,708 |
8,253 |
$214K |
| 97166 |
|
2,203 |
2,000 |
$206K |
| 82962 |
|
19,882 |
10,518 |
$202K |
| 81001 |
|
53,790 |
48,073 |
$199K |
| 81003 |
|
15,435 |
13,643 |
$193K |
| 87635 |
|
17,981 |
15,665 |
$190K |
| 93304 |
|
1,320 |
1,293 |
$185K |
| 94640 |
|
9,624 |
8,529 |
$175K |
| 73630 |
|
3,458 |
2,939 |
$168K |
| 87633 |
|
3,254 |
3,023 |
$167K |
| 81025 |
|
28,464 |
25,578 |
$167K |
| 87804 |
|
10,254 |
5,265 |
$162K |
| 73562 |
|
4,224 |
3,357 |
$162K |
| 84484 |
|
17,857 |
11,880 |
$161K |
| 99211 |
|
3,158 |
1,081 |
$155K |
| 99212 |
|
2,072 |
1,901 |
$155K |
| 42830 |
|
111 |
109 |
$147K |
| 76815 |
|
7,230 |
6,282 |
$145K |
| 80305 |
|
4,420 |
3,854 |
$142K |
| 87502 |
|
5,061 |
4,902 |
$142K |
| 95714 |
|
496 |
407 |
$141K |
| 95811 |
|
413 |
360 |
$141K |
| 76856 |
|
2,686 |
2,537 |
$137K |
| 94060 |
|
1,858 |
1,573 |
$134K |
| 76775 |
|
2,544 |
2,348 |
$134K |
| 73130 |
|
3,595 |
2,824 |
$134K |
| 73610 |
|
2,960 |
2,627 |
$133K |
| 72148 |
|
2,216 |
1,865 |
$133K |
| 76536 |
|
2,125 |
1,936 |
$132K |
| 84112 |
|
1,692 |
1,536 |
$132K |
| 76770 |
|
1,531 |
1,493 |
$130K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,719 |
1,310 |
$127K |
| 93005 |
|
32,080 |
26,166 |
$126K |
| 80048 |
|
15,950 |
11,518 |
$125K |
| 84702 |
|
6,136 |
4,736 |
$124K |
| 71045 |
|
23,582 |
19,653 |
$123K |
| 93975 |
|
3,366 |
3,140 |
$122K |
| 96523 |
|
2,017 |
1,540 |
$121K |
| A9579 |
Gad-base mr contrast nos,1ml |
6,189 |
5,367 |
$121K |
| 93303 |
|
1,089 |
1,050 |
$116K |
| 96376 |
|
10,591 |
6,084 |
$114K |
| 45380 |
|
1,205 |
1,119 |
$111K |
| 77067 |
|
3,692 |
3,464 |
$110K |
| 97164 |
|
820 |
804 |
$107K |
| 97112 |
|
2,296 |
862 |
$106K |
| 87081 |
|
13,586 |
13,093 |
$104K |
| 99291 |
|
628 |
537 |
$103K |
| 76642 |
|
1,951 |
1,747 |
$103K |
| 71250 |
|
2,601 |
2,079 |
$103K |
| 93308 |
|
1,083 |
980 |
$102K |
| 96415 |
|
2,092 |
1,429 |
$100K |
| 73721 |
|
913 |
797 |
$100K |
| J7060 |
5% dextrose/water |
3,196 |
1,582 |
$100K |
| 73110 |
|
2,533 |
2,103 |
$98K |
| 95886 |
|
1,271 |
1,107 |
$93K |
| 73030 |
|
3,472 |
2,800 |
$92K |
| 36430 |
|
1,677 |
1,211 |
$92K |
| A9552 |
F18 fdg |
544 |
449 |
$91K |
| 88305 |
|
7,961 |
6,439 |
$87K |
| 76817 |
|
4,641 |
3,895 |
$86K |
| 94618 |
|
2,012 |
1,566 |
$84K |
| 92588 |
|
1,566 |
1,541 |
$84K |
| 0241U |
|
2,364 |
2,285 |
$84K |
| 93017 |
|
3,034 |
2,451 |
$77K |
| G0257 |
Unsched dialysis esrd pt hos |
182 |
38 |
$76K |
| 97168 |
|
940 |
921 |
$75K |
| 73140 |
|
1,365 |
1,240 |
$74K |
| 78815 |
|
459 |
370 |
$74K |
| 74183 |
|
454 |
405 |
$72K |
| 85027 |
|
25,855 |
18,677 |
$72K |
| 72141 |
|
1,044 |
908 |
$71K |
| 73080 |
|
1,444 |
1,277 |
$71K |
| 96368 |
|
1,488 |
879 |
$71K |
| 70491 |
|
488 |
431 |
$69K |
| 72110 |
|
1,441 |
1,267 |
$66K |
| 85610 |
|
21,879 |
15,833 |
$64K |
| 99213 |
|
1,454 |
1,384 |
$64K |
| 87637 |
|
13,644 |
13,145 |
$63K |
| 77072 |
|
1,561 |
1,543 |
$63K |
| J1100 |
Dexamethasone sodium phos |
27,276 |
23,867 |
$62K |
| 92610 |
|
627 |
577 |
$61K |
| 11042 |
|
513 |
202 |
$60K |
| 86140 |
|
10,154 |
8,440 |
$59K |
| G0383 |
Lev 4 hosp type b ed visit |
951 |
884 |
$59K |
| 76819 |
|
4,448 |
3,615 |
$55K |
| 77066 |
Tomosynthesis, mammo |
1,318 |
1,172 |
$55K |
| C8929 |
Tte w or wo fol wcon,doppler |
451 |
374 |
$55K |
| 94664 |
|
2,028 |
1,321 |
$55K |
| 93971 |
|
1,940 |
1,666 |
$54K |
| 45378 |
|
346 |
317 |
$53K |
| 84443 |
|
8,210 |
7,152 |
$52K |
| 99202 |
|
696 |
660 |
$51K |
| J1439 |
Inj ferric carboxymaltos 1mg |
234 |
136 |
$50K |
| 87491 |
|
3,396 |
3,153 |
$49K |
| 83880 |
|
4,491 |
3,529 |
$49K |
| 72100 |
|
1,346 |
1,223 |
$48K |
| 71260 |
|
1,995 |
1,674 |
$48K |
| 74240 |
|
581 |
555 |
$44K |
| 82550 |
|
5,079 |
3,999 |
$43K |
| 77080 |
|
1,323 |
1,136 |
$43K |
| 96367 |
|
2,001 |
1,313 |
$43K |
| 73565 |
|
1,299 |
1,160 |
$42K |
| 72131 |
|
1,374 |
1,103 |
$42K |
| 76830 |
|
2,361 |
2,208 |
$41K |
| 99203 |
|
934 |
890 |
$40K |
| 95951 |
|
275 |
190 |
$40K |
| J0696 |
Ceftriaxone sodium injection |
8,222 |
5,776 |
$40K |
| 87070 |
|
2,711 |
2,241 |
$40K |
| 73221 |
|
465 |
380 |
$39K |
| 76870 |
|
1,071 |
998 |
$39K |
| 97116 |
|
1,583 |
692 |
$39K |
| 97010 |
|
2,828 |
1,069 |
$38K |
| 86900 |
|
9,513 |
7,985 |
$38K |
| P9040 |
Rbc leukoreduced irradiated |
535 |
422 |
$37K |
| U0002 |
Covid-19 lab test non-cdc |
3,604 |
3,377 |
$37K |
| 87428 |
|
3,847 |
3,734 |
$36K |
| 92585 |
|
280 |
275 |
$36K |
| 82565 |
|
2,430 |
1,816 |
$36K |
| 80320 |
|
5,180 |
4,475 |
$35K |
| 36591 |
|
724 |
442 |
$35K |
| 70486 |
|
1,044 |
930 |
$35K |
| 12011 |
|
1,333 |
1,257 |
$34K |
| 93970 |
|
1,047 |
876 |
$34K |
| 81229 |
|
70 |
68 |
$34K |
| G1004 |
Cdsm ndsc |
6,668 |
4,259 |
$33K |
| 73090 |
|
1,097 |
977 |
$33K |
| 96450 |
|
294 |
253 |
$33K |
| 73590 |
|
1,160 |
990 |
$32K |
| 74022 |
|
799 |
779 |
$32K |
| J1815 |
Insulin injection |
5,293 |
1,766 |
$32K |
| 71271 |
|
646 |
583 |
$32K |
| 92582 |
|
421 |
414 |
$31K |
| 93226 |
|
822 |
722 |
$31K |
| 12001 |
|
976 |
916 |
$31K |
| 83735 |
|
12,885 |
8,166 |
$29K |
| J1650 |
Inj enoxaparin sodium |
6,538 |
2,784 |
$28K |
| 85730 |
|
8,498 |
6,944 |
$28K |
| 94644 |
|
1,533 |
1,364 |
$27K |
| 97163 |
|
315 |
279 |
$27K |
| 95910 |
|
313 |
288 |
$27K |
| 95819 |
|
182 |
173 |
$26K |
| 76882 |
|
717 |
637 |
$26K |
| 77065 |
Tomosynthesis, mammo |
1,095 |
869 |
$25K |
| J3010 |
Fentanyl citrate injection |
16,184 |
13,415 |
$24K |
| 73502 |
|
1,628 |
1,373 |
$23K |
| 95911 |
|
302 |
275 |
$23K |
| 74019 |
|
1,683 |
1,627 |
$23K |
| J2250 |
Inj midazolam hydrochloride |
10,862 |
9,219 |
$23K |
| J1200 |
Diphenhydramine hcl injectio |
6,090 |
4,365 |
$23K |
| J0131 |
Inj, acetaminophen (nos) |
5,463 |
4,092 |
$23K |
| 76801 |
|
2,283 |
2,012 |
$21K |
| 59050 |
|
1,998 |
1,047 |
$21K |
| 82306 |
|
1,720 |
1,566 |
$21K |
| 99201 |
|
280 |
251 |
$20K |
| J3480 |
Inj potassium chloride |
1,695 |
867 |
$20K |
| 83690 |
|
15,958 |
13,504 |
$19K |
| 80061 |
|
4,860 |
4,060 |
$19K |
| 96409 |
|
1,316 |
764 |
$19K |
| 87077 |
|
9,468 |
8,063 |
$19K |
| 92567 |
|
3,033 |
2,950 |
$18K |
| 92587 |
|
2,991 |
2,949 |
$18K |
| L8699 |
Prosthetic implant nos |
1,157 |
1,137 |
$18K |
| J2930 |
Methylprednisolone injection |
3,184 |
2,210 |
$18K |
| 96417 |
|
564 |
351 |
$18K |
| 99157 |
|
2,215 |
2,069 |
$17K |
| 86901 |
|
9,666 |
8,065 |
$17K |
| P9016 |
Rbc leukocytes reduced |
622 |
476 |
$17K |
| 87899 |
|
1,552 |
1,199 |
$17K |
| 87186 |
|
7,916 |
6,754 |
$16K |
| 76805 |
|
334 |
318 |
$15K |
| 72040 |
|
709 |
639 |
$15K |
| 72158 |
|
260 |
218 |
$15K |
| J1642 |
Inj heparin sodium per 10 u |
401 |
177 |
$15K |
| 92522 |
|
117 |
113 |
$14K |
| J1745 |
Infliximab not biosimil 10mg |
78 |
69 |
$14K |
| 82728 |
|
3,155 |
2,850 |
$14K |
| 64493 |
|
134 |
96 |
$14K |
| J1885 |
Ketorolac tromethamine inj |
15,946 |
12,701 |
$14K |
| 97535 |
|
706 |
443 |
$14K |
| 87046 |
|
1,310 |
1,220 |
$13K |
| 73620 |
|
214 |
189 |
$13K |
| 92550 |
|
5,628 |
5,527 |
$13K |
| 88304 |
|
1,900 |
1,732 |
$13K |
| 94729 |
|
1,208 |
1,016 |
$12K |
| J0690 |
Cefazolin sodium injection |
8,073 |
5,833 |
$12K |
| J2704 |
Inj, propofol, 10 mg |
16,501 |
14,652 |
$12K |
| 82247 |
|
707 |
503 |
$12K |
| 86902 |
|
115 |
104 |
$12K |
| 84100 |
|
3,791 |
2,250 |
$12K |
| J1644 |
Inj heparin sodium per 1000u |
2,982 |
1,085 |
$11K |
| 87205 |
|
2,818 |
2,309 |
$11K |
| 72156 |
|
83 |
74 |
$11K |
| G0480 |
Drug test def 1-7 classes |
2,365 |
1,567 |
$11K |
| 75574 |
|
62 |
55 |
$11K |
| 45385 |
|
163 |
141 |
$11K |
| 0100U |
|
243 |
234 |
$11K |
| A9500 |
Tc99m sestamibi |
2,494 |
1,774 |
$11K |
| 84439 |
|
3,858 |
3,480 |
$11K |
| 10061 |
|
216 |
186 |
$11K |
| 99152 |
|
1,800 |
1,440 |
$11K |
| J2550 |
Promethazine hcl injection |
2,308 |
1,731 |
$11K |
| 82805 |
|
800 |
665 |
$10K |
| 94760 |
|
3,589 |
2,912 |
$10K |
| 83036 |
|
4,864 |
4,105 |
$10K |
| 84703 |
|
5,557 |
5,057 |
$10K |
| G0283 |
Elec stim other than wound |
1,114 |
385 |
$10K |
| 87040 |
|
6,108 |
4,780 |
$9K |
| 64721 |
|
14 |
13 |
$9K |
| 87651 |
|
14,502 |
14,082 |
$9K |
| 92652 |
|
168 |
165 |
$9K |
| J7510 |
Prednisolone oral per 5 mg |
982 |
917 |
$9K |
| G8979 |
Mobility goal status |
556 |
472 |
$9K |
| 73070 |
|
88 |
77 |
$9K |
| 84156 |
|
1,151 |
907 |
$9K |
| 72050 |
|
310 |
275 |
$9K |
| 88307 |
|
859 |
735 |
$8K |
| G8978 |
Mobility current status |
515 |
442 |
$8K |
| 83615 |
|
2,731 |
2,280 |
$8K |
| Q0163 |
Diphenhydramine hcl 50mg |
2,180 |
2,094 |
$8K |
| 93880 |
|
428 |
326 |
$8K |
| 90715 |
|
967 |
832 |
$8K |
| 72197 |
|
91 |
76 |
$8K |
| 72072 |
|
554 |
503 |
$8K |
| J2765 |
Metoclopramide hcl injection |
2,255 |
1,795 |
$8K |
| 93296 |
|
794 |
621 |
$7K |
| 85652 |
|
6,381 |
5,704 |
$7K |
| J2469 |
Palonosetron hcl |
537 |
313 |
$7K |
| 99499 |
|
56 |
53 |
$7K |
| J9370 |
Vincristine sulfate 1 mg inj |
1,037 |
704 |
$7K |
| 84550 |
|
2,535 |
2,142 |
$7K |
| J2543 |
Piperacillin/tazobactam |
2,046 |
777 |
$7K |
| J1170 |
Hydromorphone injection |
6,153 |
3,817 |
$7K |
| 87116 |
|
684 |
527 |
$7K |
| 73560 |
|
1,528 |
1,108 |
$7K |
| 83605 |
|
3,810 |
2,746 |
$7K |
| G0297 |
Ldct for lung ca screen |
172 |
139 |
$7K |
| 49083 |
|
20 |
13 |
$7K |
| 62323 |
|
161 |
140 |
$7K |
| 64635 |
|
16 |
13 |
$7K |
| 85007 |
|
8,682 |
6,800 |
$7K |
| 96411 |
|
198 |
121 |
$7K |
| 99153 |
Mod sedat endo service >5yrs |
873 |
680 |
$6K |
| 82607 |
|
1,630 |
1,393 |
$6K |
| 97597 |
|
64 |
34 |
$6K |
| 87591 |
|
3,377 |
3,137 |
$6K |
| 96401 |
|
91 |
52 |
$6K |
| 82731 |
|
82 |
74 |
$6K |
| 74241 |
|
89 |
83 |
$6K |
| 94762 |
|
1,058 |
696 |
$6K |
| 12002 |
|
295 |
269 |
$6K |
| 19083 |
|
26 |
24 |
$6K |
| 99214 |
|
284 |
271 |
$6K |
| U0003 |
Cov-19 amp prb hgh thruput |
841 |
521 |
$6K |
| C1769 |
Guide wire |
619 |
507 |
$6K |
| 73552 |
|
311 |
270 |
$6K |
| 87015 |
|
686 |
527 |
$5K |
| 85379 |
|
3,308 |
2,868 |
$5K |
| 87798 |
|
3,276 |
3,039 |
$5K |
| 27096 |
|
27 |
25 |
$5K |
| 87206 |
|
685 |
526 |
$5K |
| 73660 |
|
113 |
102 |
$5K |
| J1720 |
Hydrocortisone sodium succ i |
305 |
212 |
$5K |
| 82784 |
|
1,838 |
1,586 |
$5K |
| 72146 |
|
79 |
69 |
$5K |
| 86923 |
|
1,210 |
774 |
$5K |
| 87486 |
|
3,257 |
3,022 |
$5K |
| J1756 |
Iron sucrose injection |
1,786 |
869 |
$5K |
| 97167 |
|
91 |
78 |
$5K |
| 87102 |
|
667 |
518 |
$5K |
| G0379 |
Direct refer hospital observ |
129 |
124 |
$5K |
| 87581 |
|
3,253 |
3,020 |
$5K |
| 64483 |
|
87 |
79 |
$5K |
| 87425 |
|
482 |
462 |
$5K |
| 87075 |
|
493 |
386 |
$5K |
| 92521 |
|
31 |
31 |
$5K |
| A0428 |
Bls |
497 |
467 |
$5K |
| 83550 |
|
2,330 |
2,121 |
$4K |
| 83540 |
|
2,584 |
2,331 |
$4K |
| J2060 |
Lorazepam injection |
3,841 |
2,683 |
$4K |
| 80197 |
|
386 |
252 |
$4K |
| 29125 |
|
1,360 |
1,274 |
$4K |
| 88108 |
|
831 |
692 |
$4K |
| J3301 |
Triamcinolone acet inj nos |
866 |
703 |
$4K |
| 87389 |
|
700 |
644 |
$4K |
| 83970 |
|
276 |
229 |
$4K |
| 70480 |
|
46 |
43 |
$4K |
| 99204 |
|
156 |
156 |
$4K |
| G2066 |
Inter devc remote 30d |
356 |
270 |
$4K |
| 29530 |
|
475 |
430 |
$4K |
| J2370 |
Phenylephrine hcl injection |
1,385 |
1,150 |
$4K |
| 87210 |
|
1,806 |
1,689 |
$4K |
| 73060 |
|
169 |
155 |
$4K |
| 88312 |
|
2,631 |
2,327 |
$3K |
| 82248 |
|
4,680 |
3,574 |
$3K |
| 89050 |
|
506 |
436 |
$3K |
| 36592 |
|
246 |
98 |
$3K |
| 80074 |
|
322 |
294 |
$3K |
| 73000 |
|
111 |
102 |
$3K |
| 72157 |
|
14 |
13 |
$3K |
| 93321 |
|
2,826 |
2,648 |
$3K |
| 10060 |
|
95 |
90 |
$3K |
| 87653 |
|
230 |
215 |
$3K |
| 29515 |
|
1,114 |
1,061 |
$3K |
| 96160 |
|
297 |
234 |
$3K |
| 58661 |
|
14 |
13 |
$3K |
| 97035 |
|
274 |
109 |
$3K |
| 73523 |
|
141 |
130 |
$3K |
| G0279 |
Tomosynthesis, mammo |
1,802 |
1,559 |
$3K |
| 00731 |
|
2,286 |
2,085 |
$3K |
| G2023 |
Specimen collect covid-19 |
24 |
22 |
$3K |
| 95912 |
|
41 |
37 |
$3K |
| 85384 |
|
1,817 |
1,554 |
$3K |
| 20553 |
|
45 |
34 |
$2K |
| 70360 |
|
138 |
132 |
$2K |
| J1453 |
Fosaprepitant injection |
76 |
49 |
$2K |
| 72170 |
|
451 |
388 |
$2K |
| 74174 |
|
13 |
12 |
$2K |
| 71101 |
|
57 |
51 |
$2K |
| Q0162 |
Ondansetron oral |
649 |
639 |
$2K |
| J2270 |
Morphine sulfate injection |
367 |
263 |
$2K |
| 83516 |
|
622 |
559 |
$2K |
| 80164 |
|
555 |
412 |
$2K |
| 87045 |
|
1,277 |
1,215 |
$2K |
| 73564 |
|
81 |
58 |
$2K |
| C1894 |
Intro/sheath, non-laser |
205 |
169 |
$2K |
| 88302 |
|
158 |
148 |
$2K |
| J0330 |
Succinycholine chloride inj |
2,303 |
2,030 |
$2K |
| 92551 |
|
97 |
97 |
$2K |
| J0702 |
Betamethasone acet&sod phosp |
1,477 |
967 |
$2K |
| 80329 |
|
2,039 |
1,737 |
$2K |
| 76857 |
|
297 |
281 |
$2K |
| 94660 |
|
84 |
51 |
$2K |
| 85045 |
|
5,243 |
4,370 |
$2K |
| 29105 |
|
589 |
553 |
$2K |
| 29540 |
|
301 |
286 |
$2K |
| 64450 |
|
40 |
30 |
$2K |
| 93225 |
|
834 |
734 |
$2K |
| 73100 |
|
131 |
106 |
$2K |
| 77063 |
|
3,060 |
2,856 |
$2K |
| 20610 |
|
79 |
68 |
$2K |
| 84481 |
|
176 |
164 |
$2K |
| 90834 |
|
67 |
26 |
$2K |
| Q9950 |
Inj sulf hexa lipid microsph |
1,110 |
592 |
$2K |
| J1940 |
Furosemide injection |
1,236 |
727 |
$2K |
| 82533 |
|
226 |
198 |
$2K |
| 74181 |
|
15 |
13 |
$2K |
| 88313 |
|
1,387 |
1,232 |
$2K |
| 72128 |
|
356 |
298 |
$1K |
| J0561 |
Penicillin g benzathine inj |
47 |
41 |
$1K |
| J0780 |
Prochlorperazine injection |
1,183 |
1,010 |
$1K |
| 51701 |
|
3,176 |
2,934 |
$1K |
| 87340 |
|
470 |
422 |
$1K |
| 86803 |
|
454 |
410 |
$1K |
| 82043 |
|
302 |
246 |
$1K |
| 86592 |
|
838 |
742 |
$1K |
| 86003 |
|
315 |
280 |
$1K |
| 00400 |
|
865 |
750 |
$1K |
| J3370 |
Vancomycin hcl injection |
857 |
309 |
$1K |
| 87147 |
|
579 |
544 |
$1K |
| 86364 |
|
309 |
296 |
$1K |
| J2795 |
Ropivacaine hcl injection |
944 |
856 |
$1K |
| 74230 |
|
13 |
12 |
$1K |
| Q9969 |
Non-heu tc-99m add-on/dose |
358 |
300 |
$1K |
| 82553 |
|
105 |
85 |
$1K |
| 89055 |
|
243 |
215 |
$1K |
| 99156 |
|
1,472 |
1,352 |
$1K |
| 93356 |
|
320 |
288 |
$1K |
| 94727 |
|
1,148 |
963 |
$1K |
| 94010 |
|
43 |
40 |
$1K |
| 76886 |
|
12 |
12 |
$1K |
| J2360 |
Orphenadrine injection |
913 |
780 |
$1K |
| 00813 |
|
1,492 |
1,368 |
$1K |
| 84134 |
|
282 |
258 |
$1K |
| 82746 |
|
724 |
622 |
$1K |
| 82785 |
|
590 |
521 |
$1K |
| 82150 |
|
1,902 |
1,744 |
$978.10 |
| 87507 |
|
158 |
112 |
$938.06 |
| A0425 |
Ground mileage |
381 |
356 |
$919.45 |
| 82330 |
|
645 |
466 |
$918.79 |
| 83020 |
|
392 |
347 |
$851.39 |
| 92555 |
|
578 |
568 |
$805.50 |
| 64447 |
|
153 |
129 |
$798.25 |
| 88341 |
|
79 |
66 |
$774.89 |
| 86665 |
|
81 |
79 |
$765.31 |
| 74270 |
|
14 |
12 |
$748.26 |
| 94761 |
|
60 |
54 |
$737.10 |
| J0689 |
Inj cefazolin sodium, baxter |
120 |
104 |
$735.93 |
| G8980 |
Mobility d/c status |
25 |
24 |
$733.06 |
| 74220 |
|
25 |
25 |
$729.87 |
| 90686 |
|
651 |
614 |
$722.86 |
| 83002 |
|
221 |
214 |
$706.84 |
| 64415 |
|
71 |
59 |
$697.07 |
| 99155 |
|
1,392 |
1,270 |
$680.08 |
| 86870 |
|
64 |
44 |
$614.82 |
| 95700 |
|
526 |
491 |
$587.71 |
| 01830 |
|
143 |
127 |
$581.20 |
| 01480 |
|
13 |
12 |
$550.17 |
| 62322 |
|
13 |
12 |
$549.41 |
| J0134 |
Inj acetaminophen -fresenius |
151 |
135 |
$533.30 |
| 77001 |
|
43 |
37 |
$523.27 |
| 41899 |
|
14 |
14 |
$490.52 |
| 29130 |
|
135 |
129 |
$488.40 |
| J1040 |
Methylprednisolone 80 mg inj |
134 |
113 |
$476.41 |
| A4590 |
Special casting material |
105 |
101 |
$458.71 |
| 77002 |
|
111 |
91 |
$455.22 |
| 82105 |
|
83 |
68 |
$445.70 |
| 00840 |
|
1,289 |
1,186 |
$439.16 |
| J1030 |
Methylprednisolone 40 mg inj |
401 |
307 |
$427.23 |
| 24640 |
|
19 |
18 |
$424.17 |
| 51798 |
|
27 |
27 |
$394.22 |
| 00790 |
|
283 |
255 |
$362.32 |
| G8987 |
Self care current status |
15 |
13 |
$358.80 |
| G8988 |
Self care goal status |
15 |
13 |
$358.80 |
| 82274 |
|
12 |
12 |
$350.34 |
| 86922 |
|
87 |
63 |
$345.28 |
| C9290 |
Inj, bupivacaine liposome |
1,321 |
1,126 |
$327.88 |
| J3105 |
Terbutaline sulfate inj |
1,083 |
913 |
$312.32 |
| 83993 |
|
13 |
12 |
$286.76 |
| 82010 |
|
390 |
331 |
$264.04 |
| J0692 |
Cefepime hcl for injection |
71 |
27 |
$234.78 |
| 86308 |
|
514 |
506 |
$233.86 |
| J0360 |
Hydralazine hcl injection |
482 |
322 |
$223.58 |
| 92653 |
|
12 |
12 |
$208.28 |
| 74178 |
|
30 |
28 |
$196.24 |
| 84145 |
|
734 |
618 |
$191.64 |
| 00170 |
|
2,143 |
2,080 |
$190.57 |
| J1335 |
Ertapenem injection |
61 |
12 |
$189.61 |
| 83655 |
|
66 |
65 |
$187.15 |
| 85018 |
|
128 |
95 |
$183.73 |
| 0650T |
|
29 |
24 |
$182.00 |
| 84157 |
|
45 |
40 |
$173.24 |
| 69210 |
|
12 |
12 |
$170.22 |
| 72220 |
|
13 |
13 |
$164.23 |
| J2272 |
Inj, morphine (fresenius) |
47 |
39 |
$160.72 |
| J3411 |
Thiamine hcl 100 mg |
379 |
199 |
$155.96 |
| 00300 |
|
484 |
447 |
$154.60 |
| C1776 |
Joint device (implantable) |
479 |
419 |
$150.00 |
| J1790 |
Droperidol injection |
414 |
348 |
$142.39 |
| J2920 |
Methylprednisolone injection |
670 |
356 |
$142.21 |
| 00811 |
|
615 |
558 |
$141.50 |
| 95885 |
|
142 |
129 |
$132.00 |
| G0399 |
Home sleep test/type 3 porta |
14 |
12 |
$116.60 |
| 84305 |
|
527 |
521 |
$116.20 |
| 93280 |
|
16 |
12 |
$114.24 |
| 87076 |
|
17 |
12 |
$112.36 |
| J0171 |
Adrenalin epinephrine inject |
210 |
161 |
$112.22 |
| 86376 |
|
399 |
378 |
$112.13 |
| J3475 |
Inj magnesium sulfate |
356 |
148 |
$102.32 |
| 86038 |
|
276 |
258 |
$99.95 |
| V5299 |
Hearing service |
81 |
69 |
$89.32 |
| 82977 |
|
680 |
563 |
$86.32 |
| 83021 |
|
42 |
40 |
$77.36 |
| 84132 |
|
283 |
204 |
$68.77 |
| 76827 |
|
12 |
12 |
$68.54 |
| 86800 |
|
87 |
83 |
$67.19 |
| 83520 |
|
48 |
42 |
$63.95 |
| 88342 |
|
286 |
251 |
$63.47 |
| 86304 |
|
16 |
13 |
$62.01 |
| P9612 |
Catheterize for urine spec |
3,389 |
3,250 |
$59.11 |
| 82945 |
|
28 |
28 |
$56.45 |
| 85014 |
|
56 |
32 |
$48.35 |
| 82575 |
|
26 |
25 |
$45.07 |
| 88331 |
|
19 |
13 |
$42.12 |
| 86360 |
|
27 |
26 |
$42.07 |
| 84403 |
|
362 |
344 |
$39.97 |
| 83525 |
|
217 |
213 |
$39.62 |
| 87634 |
|
14 |
14 |
$35.00 |
| J0136 |
Inj, acetaminophen (b braun) |
406 |
234 |
$34.01 |
| 86359 |
|
27 |
26 |
$31.56 |
| 86762 |
|
30 |
29 |
$28.47 |
| 80076 |
|
15 |
12 |
$27.27 |
| 81243 |
|
14 |
14 |
$27.21 |
| 84402 |
|
121 |
119 |
$25.01 |
| J9045 |
Carboplatin injection |
19 |
12 |
$24.64 |
| J1953 |
Levetiracetam injection |
87 |
64 |
$22.50 |
| J0694 |
Cefoxitin sodium injection |
64 |
49 |
$22.09 |
| 87799 |
|
19 |
12 |
$21.02 |
| J9250 |
Methotrexate sodium inj |
524 |
279 |
$17.64 |
| J1630 |
Haloperidol injection |
146 |
116 |
$16.80 |
| 87806 |
|
12 |
12 |
$16.67 |
| A9541 |
Tc99m sulfur colloid |
44 |
39 |
$14.18 |
| 64494 |
|
137 |
80 |
$13.00 |
| 83001 |
|
165 |
160 |
$12.92 |
| 00126 |
|
734 |
725 |
$12.91 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
14 |
12 |
$11.04 |
| 76942 |
|
19 |
13 |
$8.06 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
15 |
12 |
$7.39 |
| 82140 |
|
33 |
26 |
$6.68 |
| 84311 |
|
145 |
137 |
$6.16 |
| 01810 |
|
151 |
141 |
$6.16 |
| 64495 |
|
40 |
26 |
$5.32 |
| 87329 |
|
16 |
13 |
$2.32 |
| 87328 |
|
16 |
13 |
$2.32 |
| G0008 |
Admin influenza virus vac |
115 |
96 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
136 |
116 |
$0.00 |
| L4360 |
Pneumat walking boot pre cst |
16 |
16 |
$0.00 |
| 90656 |
|
257 |
257 |
$0.00 |
| 86664 |
|
97 |
96 |
$0.00 |
| 90677 |
|
136 |
136 |
$0.00 |
| 88184 |
|
16 |
12 |
$0.00 |
| 01400 |
|
73 |
68 |
$0.00 |
| J0456 |
Azithromycin |
40 |
26 |
$0.00 |
| 90697 |
|
31 |
31 |
$0.00 |
| 87449 |
|
13 |
12 |
$0.00 |
| M0243 |
Casirivi and imdevi inj |
15 |
13 |
$0.00 |
| 86403 |
|
14 |
13 |
$0.00 |
| 00160 |
|
38 |
38 |
$0.00 |
| 76377 |
|
13 |
12 |
$0.00 |
| 88311 |
|
30 |
25 |
$0.00 |
| 90680 |
|
45 |
45 |
$0.00 |
| C1726 |
Cath, bal dil, non-vascular |
13 |
12 |
$0.00 |
| 86141 |
|
16 |
13 |
$0.00 |
| 00920 |
|
605 |
591 |
$0.00 |
| J1105 |
Dexmedetomidine film, 1 mcg |
40 |
40 |
$0.00 |
| J7040 |
Normal saline solution infus |
12 |
12 |
$0.00 |
| 94645 |
|
33 |
30 |
$0.00 |
| C1876 |
Stent, non-coa/non-cov w/del |
83 |
71 |
$0.00 |
| 29505 |
|
27 |
26 |
$0.00 |
| L1830 |
Ko immob canvas long pre ots |
13 |
13 |
$0.00 |
| J0744 |
Ciprofloxacin iv |
22 |
14 |
$0.00 |
| 64636 |
|
16 |
13 |
$0.00 |
| 92611 |
|
13 |
12 |
$0.00 |
| 82272 |
|
12 |
12 |
$0.00 |
| J2310 |
Inj naloxone hydrochloride |
16 |
13 |
$0.00 |
| J2800 |
Methocarbamol injection |
57 |
25 |
$0.00 |
| 82570 |
|
14 |
14 |
$0.00 |