| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
27,968 |
25,185 |
$5.54M |
| 99283 |
|
33,840 |
31,537 |
$4.79M |
| G0463 |
Hospital outpt clinic visit |
69,974 |
52,833 |
$4.65M |
| 99285 |
|
10,648 |
9,723 |
$2.66M |
| 0241U |
|
9,689 |
9,213 |
$1.33M |
| 97110 |
|
25,484 |
7,944 |
$1.13M |
| 96413 |
|
4,465 |
2,592 |
$1.05M |
| 74177 |
|
4,249 |
3,983 |
$1.01M |
| G0378 |
Hospital observation per hr |
5,040 |
2,714 |
$981K |
| 93005 |
|
19,579 |
17,348 |
$981K |
| 96375 |
|
13,105 |
10,174 |
$904K |
| 93306 |
|
3,283 |
3,025 |
$903K |
| 80053 |
|
76,132 |
64,258 |
$832K |
| 96365 |
|
8,560 |
4,873 |
$813K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,265 |
1,177 |
$788K |
| 99282 |
|
7,512 |
7,025 |
$691K |
| 70450 |
|
4,695 |
4,291 |
$672K |
| U0003 |
Cov-19 amp prb hgh thruput |
8,529 |
8,262 |
$648K |
| 96374 |
|
14,500 |
12,936 |
$596K |
| 85025 |
|
77,041 |
63,766 |
$556K |
| 97140 |
|
16,610 |
5,636 |
$498K |
| 71045 |
|
8,825 |
7,993 |
$386K |
| G0480 |
Drug test def 1-7 classes |
5,284 |
4,791 |
$380K |
| 80307 |
|
5,910 |
5,437 |
$318K |
| 84443 |
|
20,617 |
19,458 |
$297K |
| 36415 |
|
72,282 |
58,587 |
$293K |
| 84484 |
|
13,980 |
10,943 |
$276K |
| 96361 |
|
7,338 |
6,290 |
$268K |
| 87591 |
|
8,373 |
8,057 |
$266K |
| 87491 |
|
8,389 |
8,066 |
$264K |
| 97602 |
|
5,485 |
2,845 |
$254K |
| 99291 |
|
527 |
501 |
$240K |
| 87481 |
|
2,890 |
2,212 |
$218K |
| 82306 |
|
9,112 |
8,777 |
$209K |
| 72125 |
|
1,092 |
1,015 |
$204K |
| 96372 |
|
6,093 |
5,396 |
$203K |
| 59025 |
|
1,976 |
1,465 |
$188K |
| U0005 |
Infec agen detec ampli probe |
7,117 |
6,889 |
$179K |
| D2930 |
|
1,185 |
349 |
$179K |
| 78452 |
|
439 |
405 |
$178K |
| 11042 |
|
1,289 |
791 |
$171K |
| 64493 |
|
521 |
487 |
$160K |
| 95810 |
|
242 |
234 |
$157K |
| 90791 |
|
1,737 |
1,590 |
$151K |
| 93017 |
|
1,111 |
1,038 |
$149K |
| 87801 |
|
2,302 |
2,225 |
$141K |
| 80061 |
|
13,510 |
12,990 |
$138K |
| 94640 |
|
1,192 |
1,018 |
$136K |
| 71275 |
|
574 |
538 |
$130K |
| 64483 |
|
436 |
417 |
$128K |
| 96360 |
|
2,042 |
1,669 |
$127K |
| 88305 |
|
3,422 |
3,154 |
$126K |
| 71046 |
|
2,738 |
2,583 |
$125K |
| 71260 |
|
509 |
481 |
$124K |
| 20610 |
|
858 |
695 |
$118K |
| 82550 |
|
11,698 |
10,106 |
$118K |
| 73610 |
|
1,192 |
1,062 |
$112K |
| 84703 |
|
7,938 |
7,121 |
$109K |
| C9803 |
Hopd covid-19 spec collect |
5,980 |
5,650 |
$109K |
| 87086 |
|
11,969 |
11,114 |
$108K |
| 83690 |
|
13,716 |
12,363 |
$107K |
| 83036 |
|
12,556 |
12,070 |
$106K |
| 87800 |
|
1,965 |
1,855 |
$104K |
| 83605 |
|
5,304 |
4,015 |
$102K |
| 82553 |
|
5,466 |
4,740 |
$102K |
| 73030 |
|
1,305 |
1,140 |
$102K |
| 82803 |
|
4,081 |
3,351 |
$102K |
| 73110 |
|
1,499 |
1,198 |
$96K |
| 96415 |
|
772 |
529 |
$89K |
| 83880 |
|
3,383 |
3,003 |
$86K |
| 96417 |
|
595 |
372 |
$86K |
| 73130 |
|
1,320 |
1,121 |
$84K |
| U0002 |
Covid-19 lab test non-cdc |
1,793 |
1,696 |
$84K |
| 92507 |
|
1,486 |
431 |
$82K |
| 96367 |
|
1,212 |
858 |
$81K |
| 20550 |
|
320 |
274 |
$81K |
| J2505 |
Injection, pegfilgrastim 6mg |
43 |
26 |
$80K |
| 74176 |
|
553 |
514 |
$79K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
6,653 |
6,043 |
$79K |
| 81003 |
|
18,237 |
15,553 |
$79K |
| 92557 |
|
867 |
823 |
$78K |
| 87661 |
|
2,293 |
2,216 |
$78K |
| 47562 |
|
27 |
26 |
$73K |
| 84439 |
|
9,014 |
8,581 |
$72K |
| 88175 |
|
4,073 |
3,994 |
$71K |
| C1776 |
Joint device (implantable) |
62 |
50 |
$70K |
| 76705 |
|
746 |
700 |
$66K |
| 87400 |
|
3,739 |
1,826 |
$66K |
| 82607 |
|
4,187 |
4,016 |
$65K |
| 82728 |
|
5,353 |
5,066 |
$64K |
| 96366 |
|
1,496 |
1,002 |
$63K |
| 97162 |
|
1,652 |
1,487 |
$62K |
| 99152 |
|
1,622 |
1,409 |
$61K |
| 95811 |
|
119 |
117 |
$60K |
| 64494 |
|
482 |
441 |
$58K |
| 73564 |
|
811 |
577 |
$58K |
| 73562 |
|
669 |
580 |
$57K |
| 77336 |
|
645 |
260 |
$57K |
| 73140 |
|
822 |
665 |
$56K |
| 92567 |
|
1,375 |
1,304 |
$55K |
| 86803 |
|
3,429 |
3,345 |
$55K |
| 80074 |
|
1,300 |
1,262 |
$52K |
| 81025 |
|
4,834 |
4,523 |
$52K |
| 70486 |
|
268 |
260 |
$52K |
| 85610 |
|
13,753 |
10,034 |
$51K |
| 86703 |
|
2,502 |
2,447 |
$50K |
| 86140 |
|
4,712 |
4,181 |
$50K |
| 84702 |
|
2,748 |
2,064 |
$49K |
| 88307 |
|
230 |
217 |
$49K |
| 82077 |
|
1,702 |
1,522 |
$48K |
| 36591 |
|
916 |
526 |
$48K |
| 86780 |
|
3,564 |
3,422 |
$48K |
| 87040 |
|
1,800 |
1,120 |
$48K |
| 87624 |
|
2,511 |
2,476 |
$45K |
| 85379 |
|
2,268 |
2,092 |
$44K |
| 85027 |
|
7,630 |
6,737 |
$44K |
| 83721 |
|
5,992 |
5,868 |
$43K |
| 94060 |
|
481 |
452 |
$43K |
| 93971 |
|
560 |
516 |
$43K |
| 73630 |
|
755 |
688 |
$42K |
| 73560 |
|
835 |
734 |
$42K |
| 31575 |
|
467 |
430 |
$41K |
| 82948 |
|
10,006 |
4,030 |
$41K |
| 83735 |
|
6,404 |
4,444 |
$40K |
| 84145 |
|
1,806 |
1,492 |
$40K |
| 80048 |
|
5,246 |
4,012 |
$39K |
| J2469 |
Palonosetron hcl |
1,437 |
827 |
$39K |
| 80050 |
|
1,106 |
1,077 |
$38K |
| 87070 |
|
2,841 |
2,645 |
$37K |
| 87186 |
|
4,076 |
3,651 |
$37K |
| 94726 |
|
485 |
456 |
$37K |
| 97161 |
|
1,174 |
1,118 |
$37K |
| 82375 |
|
3,197 |
2,544 |
$36K |
| 82330 |
|
2,580 |
2,004 |
$36K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
3,083 |
2,778 |
$36K |
| 96416 |
|
122 |
72 |
$35K |
| 87389 |
|
1,171 |
1,155 |
$33K |
| 86769 |
|
1,337 |
1,251 |
$33K |
| 52000 |
|
119 |
107 |
$32K |
| 96376 |
|
1,369 |
1,241 |
$32K |
| 76830 |
|
338 |
319 |
$32K |
| 73502 |
|
764 |
630 |
$31K |
| C1769 |
Guide wire |
882 |
767 |
$31K |
| J0585 |
Injection,onabotulinumtoxina |
78 |
42 |
$30K |
| 84403 |
|
1,439 |
1,389 |
$30K |
| 72100 |
|
433 |
409 |
$30K |
| 76856 |
|
323 |
304 |
$30K |
| 82310 |
|
3,374 |
2,740 |
$30K |
| 94729 |
|
662 |
623 |
$29K |
| 87635 |
|
559 |
512 |
$28K |
| D3220 |
|
282 |
111 |
$28K |
| 77300 |
|
111 |
99 |
$27K |
| 81001 |
|
5,517 |
5,070 |
$27K |
| 83970 |
|
789 |
699 |
$27K |
| 77334 |
|
95 |
80 |
$27K |
| 83550 |
|
4,198 |
4,013 |
$27K |
| 86850 |
|
3,495 |
3,216 |
$27K |
| G0283 |
Elec stim other than wound |
1,622 |
708 |
$26K |
| 88304 |
|
768 |
733 |
$25K |
| 84480 |
|
2,286 |
2,173 |
$25K |
| 74018 |
|
457 |
431 |
$25K |
| 82731 |
|
298 |
235 |
$24K |
| 64635 |
|
44 |
39 |
$24K |
| 73080 |
|
340 |
290 |
$23K |
| 87651 |
|
859 |
832 |
$23K |
| 70553 |
|
65 |
62 |
$22K |
| 83050 |
|
3,193 |
2,542 |
$22K |
| 97165 |
|
615 |
591 |
$22K |
| 73590 |
|
339 |
289 |
$22K |
| 82947 |
|
4,283 |
3,569 |
$22K |
| 80051 |
|
1,050 |
907 |
$21K |
| 84132 |
|
3,255 |
2,594 |
$21K |
| 99195 |
|
363 |
305 |
$21K |
| 83540 |
|
4,274 |
4,084 |
$20K |
| 84100 |
|
2,797 |
1,842 |
$20K |
| 84481 |
|
1,270 |
1,230 |
$20K |
| J0897 |
Denosumab injection |
42 |
38 |
$19K |
| 85018 |
|
5,470 |
4,260 |
$19K |
| 96402 |
|
185 |
168 |
$18K |
| J0131 |
Inj, acetaminophen (nos) |
1,659 |
1,453 |
$18K |
| 90471 |
|
825 |
786 |
$18K |
| 20600 |
|
111 |
90 |
$18K |
| 87804 |
|
946 |
485 |
$18K |
| J2785 |
Regadenoson injection |
228 |
208 |
$17K |
| 62323 |
|
56 |
55 |
$17K |
| 84295 |
|
3,147 |
2,510 |
$17K |
| 86762 |
|
815 |
793 |
$17K |
| 87077 |
|
2,421 |
2,144 |
$17K |
| 82570 |
|
3,543 |
3,161 |
$17K |
| 84153 |
|
1,439 |
1,326 |
$17K |
| 90715 |
|
569 |
537 |
$17K |
| 86039 |
|
1,459 |
1,403 |
$16K |
| 43235 |
|
38 |
37 |
$16K |
| 10060 |
|
171 |
164 |
$16K |
| G0399 |
Home sleep test/type 3 porta |
94 |
91 |
$16K |
| 87340 |
|
1,809 |
1,761 |
$16K |
| 94750 |
|
232 |
222 |
$16K |
| A9500 |
Tc99m sestamibi |
354 |
323 |
$16K |
| 97010 |
|
1,573 |
940 |
$15K |
| 85652 |
|
4,223 |
3,759 |
$15K |
| 96411 |
|
110 |
69 |
$15K |
| G0260 |
Inj for sacroiliac jt anesth |
57 |
55 |
$15K |
| 82670 |
|
564 |
548 |
$14K |
| 43239 |
|
45 |
40 |
$14K |
| 86141 |
|
989 |
939 |
$14K |
| 76937 |
|
940 |
747 |
$14K |
| 84156 |
|
1,894 |
1,616 |
$14K |
| 94664 |
|
165 |
153 |
$14K |
| 93798 |
|
490 |
88 |
$14K |
| 97035 |
|
1,047 |
460 |
$14K |
| 86235 |
|
180 |
100 |
$14K |
| 86900 |
|
3,705 |
3,321 |
$13K |
| 86901 |
|
3,962 |
3,513 |
$13K |
| J1885 |
Ketorolac tromethamine inj |
7,832 |
6,918 |
$13K |
| 82435 |
|
3,091 |
2,498 |
$13K |
| 84550 |
|
1,499 |
1,335 |
$13K |
| 83001 |
|
762 |
747 |
$13K |
| 69210 |
|
332 |
303 |
$13K |
| 97150 |
|
731 |
453 |
$12K |
| 87147 |
|
1,166 |
1,024 |
$12K |
| 87205 |
|
2,258 |
2,029 |
$12K |
| 87653 |
|
306 |
302 |
$12K |
| 64636 |
|
29 |
26 |
$11K |
| 85730 |
|
1,978 |
1,698 |
$11K |
| 51705 |
|
210 |
183 |
$11K |
| 97164 |
|
471 |
434 |
$11K |
| D1120 |
|
69 |
67 |
$11K |
| 88342 |
|
264 |
238 |
$11K |
| 29075 |
|
58 |
55 |
$11K |
| J2405 |
Ondansetron hcl injection |
13,801 |
11,927 |
$11K |
| 82378 |
|
686 |
523 |
$10K |
| 82248 |
|
1,429 |
1,005 |
$10K |
| 82962 |
|
2,455 |
1,301 |
$10K |
| 80143 |
|
311 |
295 |
$10K |
| 86431 |
|
854 |
816 |
$9K |
| 82043 |
|
1,566 |
1,463 |
$9K |
| 83615 |
|
1,743 |
1,443 |
$9K |
| 12001 |
|
104 |
100 |
$9K |
| 70551 |
|
44 |
42 |
$9K |
| J0185 |
Inj., aprepitant, 1 mg |
159 |
93 |
$9K |
| D7140 |
|
73 |
29 |
$9K |
| J1453 |
Fosaprepitant injection |
166 |
111 |
$9K |
| C8929 |
Tte w or wo fol wcon,doppler |
25 |
25 |
$9K |
| 51702 |
|
156 |
130 |
$9K |
| 20553 |
|
47 |
45 |
$9K |
| M0243 |
Casirivi and imdevi inj |
27 |
27 |
$8K |
| 80179 |
|
272 |
260 |
$8K |
| 82247 |
|
1,238 |
756 |
$8K |
| 85014 |
|
1,628 |
1,369 |
$8K |
| 86480 |
|
164 |
154 |
$8K |
| 36410 |
|
514 |
395 |
$8K |
| 83516 |
|
520 |
370 |
$8K |
| 87081 |
|
1,076 |
1,058 |
$8K |
| 12011 |
|
84 |
82 |
$8K |
| 85651 |
|
1,633 |
1,519 |
$8K |
| 73090 |
|
112 |
101 |
$7K |
| 87880 |
|
412 |
401 |
$7K |
| 72170 |
|
100 |
91 |
$7K |
| 82140 |
|
415 |
354 |
$7K |
| 97530 |
|
411 |
261 |
$7K |
| 84402 |
|
288 |
267 |
$7K |
| 73070 |
|
98 |
97 |
$7K |
| 83090 |
|
394 |
389 |
$7K |
| 97166 |
|
164 |
154 |
$6K |
| 87522 |
Neg quan hep c or qual rna |
132 |
125 |
$6K |
| 82024 |
|
186 |
148 |
$6K |
| 84112 |
|
98 |
92 |
$6K |
| 86376 |
|
285 |
274 |
$6K |
| 31231 |
|
41 |
39 |
$6K |
| 95819 |
|
40 |
39 |
$6K |
| 43244 |
|
14 |
14 |
$6K |
| 97163 |
|
104 |
99 |
$6K |
| 82784 |
|
771 |
479 |
$6K |
| 86787 |
|
367 |
355 |
$5K |
| 96368 |
|
218 |
157 |
$5K |
| 49083 |
|
19 |
13 |
$5K |
| 93351 |
|
12 |
12 |
$5K |
| 87449 |
|
340 |
335 |
$5K |
| 86328 |
|
197 |
173 |
$5K |
| 71101 |
|
80 |
75 |
$5K |
| 82533 |
|
288 |
258 |
$5K |
| 82105 |
|
229 |
219 |
$5K |
| 70498 |
|
19 |
15 |
$5K |
| J2001 |
Lidocaine injection |
1,993 |
1,742 |
$5K |
| H0050 |
Alcohol/drug service 15 min |
66 |
64 |
$4K |
| 64490 |
|
18 |
16 |
$4K |
| J1040 |
Methylprednisolone 80 mg inj |
1,417 |
1,273 |
$4K |
| G0103 |
Psa screening |
324 |
293 |
$4K |
| 29580 |
|
83 |
26 |
$4K |
| 64615 |
|
13 |
13 |
$4K |
| 87807 |
|
134 |
133 |
$4K |
| J2704 |
Inj, propofol, 10 mg |
755 |
695 |
$4K |
| 0077U |
|
46 |
40 |
$4K |
| 76817 |
|
48 |
43 |
$4K |
| 82747 |
|
284 |
277 |
$4K |
| 94760 |
|
675 |
484 |
$4K |
| 29125 |
|
28 |
27 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
525 |
326 |
$3K |
| 84144 |
|
122 |
121 |
$3K |
| 80069 |
|
461 |
414 |
$3K |
| 80076 |
|
371 |
344 |
$3K |
| G2023 |
Specimen collect covid-19 |
112 |
110 |
$3K |
| J1200 |
Diphenhydramine hcl injectio |
2,469 |
1,996 |
$3K |
| 99153 |
Mod sedat endo service >5yrs |
306 |
267 |
$3K |
| Q0162 |
Ondansetron oral |
242 |
223 |
$3K |
| Q0138 |
Ferumoxytol, non-esrd |
19 |
12 |
$3K |
| 87798 |
|
70 |
44 |
$3K |
| 86200 |
|
223 |
213 |
$3K |
| 83655 |
|
204 |
196 |
$3K |
| J2795 |
Ropivacaine hcl injection |
563 |
487 |
$3K |
| 93225 |
|
51 |
51 |
$3K |
| 36000 |
|
99 |
92 |
$3K |
| 83013 |
|
41 |
41 |
$3K |
| 82746 |
|
276 |
260 |
$3K |
| G0008 |
Admin influenza virus vac |
122 |
114 |
$3K |
| 90686 |
|
114 |
107 |
$3K |
| 84270 |
|
125 |
116 |
$3K |
| 77338 |
|
14 |
12 |
$3K |
| 88141 |
|
454 |
449 |
$3K |
| 82977 |
|
171 |
162 |
$2K |
| 86304 |
|
149 |
132 |
$2K |
| 93246 |
|
51 |
51 |
$2K |
| 12002 |
|
27 |
27 |
$2K |
| A9579 |
Gad-base mr contrast nos,1ml |
397 |
362 |
$2K |
| J0690 |
Cefazolin sodium injection |
893 |
621 |
$2K |
| 95912 |
|
27 |
26 |
$2K |
| 84146 |
|
124 |
121 |
$2K |
| 81015 |
|
708 |
682 |
$2K |
| 29581 |
|
51 |
12 |
$2K |
| 87420 |
|
132 |
131 |
$2K |
| 86696 |
|
67 |
67 |
$2K |
| 86038 |
|
138 |
130 |
$2K |
| 86800 |
|
96 |
90 |
$2K |
| J1100 |
Dexamethasone sodium phos |
2,946 |
2,491 |
$2K |
| 82950 |
|
265 |
260 |
$2K |
| 76700 |
|
27 |
27 |
$2K |
| 87075 |
|
120 |
101 |
$2K |
| J1170 |
Hydromorphone injection |
1,132 |
779 |
$2K |
| 82805 |
|
47 |
42 |
$2K |
| 86812 |
|
56 |
55 |
$2K |
| J2930 |
Methylprednisolone injection |
344 |
322 |
$2K |
| 51798 |
|
68 |
56 |
$2K |
| J2710 |
Neostigmine methylslfte inj |
186 |
181 |
$2K |
| 64491 |
|
17 |
15 |
$2K |
| J0330 |
Succinycholine chloride inj |
107 |
99 |
$1K |
| 86695 |
|
67 |
67 |
$1K |
| 87073 |
|
101 |
87 |
$1K |
| 97112 |
|
36 |
24 |
$1K |
| 93970 |
|
13 |
13 |
$1K |
| 36592 |
|
49 |
38 |
$1K |
| J3010 |
Fentanyl citrate injection |
3,293 |
2,520 |
$1K |
| 86706 |
|
113 |
111 |
$1K |
| 87046 |
|
120 |
101 |
$1K |
| 76820 |
|
15 |
12 |
$1K |
| 86300 |
|
55 |
42 |
$1K |
| 87045 |
|
102 |
101 |
$1K |
| 93270 |
|
43 |
40 |
$1K |
| 86256 |
|
78 |
57 |
$1K |
| 80299 |
|
26 |
25 |
$1K |
| 83002 |
|
66 |
65 |
$1K |
| J3301 |
Triamcinolone acet inj nos |
281 |
257 |
$1K |
| 87088 |
|
155 |
147 |
$1K |
| 82951 |
|
46 |
44 |
$1K |
| 83718 |
|
142 |
134 |
$990.41 |
| 73552 |
|
14 |
13 |
$966.54 |
| 83921 |
|
46 |
38 |
$933.72 |
| 84478 |
|
145 |
137 |
$931.80 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
770 |
551 |
$914.79 |
| G0108 |
Diab manage trn per indiv |
12 |
12 |
$878.63 |
| 88173 |
|
15 |
14 |
$867.94 |
| 97167 |
|
13 |
13 |
$856.36 |
| 82150 |
|
68 |
66 |
$844.56 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
525 |
420 |
$829.19 |
| 83520 |
|
135 |
66 |
$827.86 |
| 99281 |
|
14 |
12 |
$813.43 |
| 76770 |
|
12 |
12 |
$772.79 |
| 86308 |
|
58 |
57 |
$771.62 |
| 97032 |
|
42 |
26 |
$744.86 |
| 89051 |
|
93 |
81 |
$742.03 |
| J9190 |
Fluorouracil injection |
208 |
72 |
$728.60 |
| 87338 |
|
54 |
54 |
$724.86 |
| 82465 |
|
142 |
134 |
$719.39 |
| J2370 |
Phenylephrine hcl injection |
121 |
110 |
$706.96 |
| 88112 |
|
26 |
25 |
$678.98 |
| 86225 |
|
48 |
48 |
$631.33 |
| 86364 |
|
57 |
39 |
$596.99 |
| J7120 |
Ringers lactate infusion |
438 |
378 |
$586.89 |
| 87641 |
|
12 |
12 |
$545.96 |
| 84436 |
|
103 |
95 |
$533.65 |
| J3475 |
Inj magnesium sulfate |
407 |
353 |
$515.76 |
| J7050 |
Normal saline solution infus |
144 |
104 |
$504.73 |
| J2060 |
Lorazepam injection |
370 |
319 |
$500.60 |
| 82627 |
|
26 |
26 |
$498.90 |
| 93242 |
|
17 |
16 |
$448.93 |
| 97803 |
|
12 |
12 |
$431.68 |
| J2250 |
Inj midazolam hydrochloride |
2,032 |
1,716 |
$424.52 |
| A6258 |
Transparent film >16<=48 in |
163 |
151 |
$414.16 |
| J2270 |
Morphine sulfate injection |
433 |
347 |
$412.38 |
| C1894 |
Intro/sheath, non-laser |
13 |
12 |
$407.10 |
| J3490 |
Drugs unclassified injection |
657 |
503 |
$394.42 |
| 84165 |
|
45 |
37 |
$376.35 |
| A4351 |
Straight tip urine catheter |
148 |
144 |
$371.97 |
| J3370 |
Vancomycin hcl injection |
250 |
179 |
$356.93 |
| 97012 |
|
23 |
12 |
$351.31 |
| J1650 |
Inj enoxaparin sodium |
366 |
181 |
$341.57 |
| 97168 |
|
14 |
12 |
$322.55 |
| J7030 |
Normal saline solution infus |
225 |
149 |
$274.35 |
| J0702 |
Betamethasone acet&sod phosp |
17 |
13 |
$270.29 |
| 84300 |
|
68 |
64 |
$264.80 |
| 84630 |
|
13 |
13 |
$261.18 |
| J0136 |
Inj, acetaminophen (b braun) |
600 |
539 |
$246.12 |
| 82565 |
|
45 |
42 |
$233.35 |
| 84155 |
|
61 |
51 |
$197.57 |
| 80354 |
|
22 |
21 |
$192.47 |
| J0640 |
Leucovorin calcium injection |
64 |
37 |
$161.90 |
| J2765 |
Metoclopramide hcl injection |
332 |
304 |
$160.67 |
| J1010 |
Inj, methylpred acetate 1 mg |
177 |
149 |
$156.95 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
89 |
84 |
$155.43 |
| A4216 |
Sterile water/saline, 10 ml |
216 |
164 |
$150.80 |
| 80178 |
|
19 |
15 |
$137.68 |
| G1010 |
Cdsm stanson |
449 |
391 |
$132.34 |
| J2550 |
Promethazine hcl injection |
215 |
177 |
$128.37 |
| 97116 |
|
15 |
12 |
$118.59 |
| A4213 |
20+ cc syringe only |
12 |
12 |
$112.24 |
| J1756 |
Iron sucrose injection |
41 |
24 |
$90.15 |
| J1626 |
Granisetron hcl injection |
25 |
15 |
$67.29 |
| J7512 |
Prednisone ir or dr oral 1mg |
43 |
38 |
$62.88 |
| 82009 |
|
14 |
14 |
$59.38 |
| C9113 |
Inj pantoprazole sodium, via |
24 |
18 |
$54.54 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
42 |
26 |
$46.32 |
| A9585 |
Gadobutrol injection |
12 |
12 |
$39.66 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
59 |
57 |
$38.89 |
| J2919 |
Inj, methylpred sod succ 5mg |
43 |
38 |
$24.25 |
| J7040 |
Normal saline solution infus |
47 |
26 |
$24.16 |
| J1644 |
Inj heparin sodium per 1000u |
48 |
26 |
$18.79 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
93 |
84 |
$15.47 |
| J1030 |
Methylprednisolone 40 mg inj |
16 |
14 |
$15.42 |
| J2272 |
Inj, morphine (fresenius) |
30 |
24 |
$15.04 |
| J2470 |
Inj pantoprazole sodium 40mg |
69 |
56 |
$2.53 |
| G8978 |
Mobility current status |
153 |
132 |
$0.00 |
| 77002 |
|
86 |
78 |
$0.00 |
| G8979 |
Mobility goal status |
180 |
151 |
$0.00 |
| JLL00 |
|
38 |
27 |
$0.00 |
| S0020 |
Injection, bupivicaine hydro |
187 |
145 |
$0.00 |
| G8988 |
Self care goal status |
27 |
24 |
$0.00 |
| 88341 |
|
13 |
13 |
$0.00 |