| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
68,020 |
62,294 |
$24.45M |
| 99283 |
|
119,419 |
111,284 |
$14.37M |
| 99284 |
|
86,960 |
81,253 |
$13.94M |
| G0463 |
Hospital outpt clinic visit |
185,471 |
153,623 |
$8.93M |
| 41899 |
|
4,331 |
4,318 |
$5.70M |
| 96374 |
|
59,203 |
53,803 |
$4.50M |
| 42820 |
|
1,202 |
1,201 |
$3.08M |
| 90834 |
|
47,336 |
35,126 |
$3.01M |
| 96361 |
|
59,377 |
49,330 |
$2.78M |
| 97110 |
|
57,739 |
15,072 |
$1.94M |
| 96365 |
|
24,239 |
20,570 |
$1.87M |
| 59025 |
|
17,673 |
10,138 |
$1.51M |
| 43239 |
|
3,478 |
3,461 |
$1.26M |
| 96360 |
|
13,409 |
13,011 |
$1.20M |
| G0378 |
Hospital observation per hr |
33,891 |
20,798 |
$1.12M |
| 80061 |
|
11,057 |
10,916 |
$1.07M |
| 74177 |
|
12,279 |
11,939 |
$1.03M |
| 71046 |
|
28,169 |
27,245 |
$995K |
| 70450 |
|
15,000 |
14,441 |
$977K |
| 58661 |
|
367 |
365 |
$971K |
| 96375 |
|
50,221 |
42,371 |
$958K |
| U0003 |
Cov-19 amp prb hgh thruput |
24,866 |
24,205 |
$948K |
| 93458 |
|
802 |
780 |
$863K |
| 71045 |
|
32,114 |
29,962 |
$846K |
| 76811 |
|
7,219 |
7,035 |
$807K |
| 99282 |
|
7,647 |
7,429 |
$754K |
| 99291 |
|
1,225 |
1,195 |
$671K |
| 93975 |
|
7,609 |
7,328 |
$650K |
| 69436 |
|
1,054 |
1,051 |
$607K |
| 93306 |
|
4,900 |
4,809 |
$589K |
| 45380 |
|
1,242 |
1,232 |
$569K |
| 87491 |
|
41,200 |
39,896 |
$515K |
| 87591 |
|
41,261 |
39,952 |
$508K |
| 96372 |
|
23,475 |
21,464 |
$426K |
| 76816 |
|
12,367 |
10,760 |
$363K |
| 97162 |
|
7,549 |
7,408 |
$342K |
| 76705 |
|
7,882 |
7,332 |
$331K |
| 47562 |
|
133 |
131 |
$323K |
| 97112 |
|
16,384 |
5,493 |
$316K |
| 95810 |
|
698 |
686 |
$285K |
| 82947 |
|
8,927 |
8,442 |
$279K |
| S4005 |
Interim labor facility globa |
3,032 |
2,128 |
$275K |
| 76801 |
|
5,075 |
4,651 |
$272K |
| G0379 |
Direct refer hospital observ |
479 |
457 |
$264K |
| U0002 |
Covid-19 lab test non-cdc |
13,620 |
13,425 |
$264K |
| U0005 |
Infec agen detec ampli probe |
20,436 |
19,884 |
$257K |
| 95811 |
|
666 |
632 |
$256K |
| 71260 |
|
4,484 |
4,384 |
$252K |
| 96413 |
|
1,442 |
929 |
$237K |
| 76830 |
|
5,387 |
5,255 |
$236K |
| 97530 |
|
8,213 |
2,791 |
$216K |
| 96366 |
|
10,534 |
7,761 |
$212K |
| 70553 |
|
1,699 |
1,679 |
$212K |
| 90791 |
|
2,976 |
2,927 |
$209K |
| 92507 |
|
5,458 |
1,916 |
$201K |
| 36415 |
|
147,584 |
120,661 |
$196K |
| 76825 |
|
742 |
710 |
$194K |
| 74176 |
|
2,821 |
2,748 |
$192K |
| 93303 |
|
733 |
721 |
$185K |
| 90847 |
|
2,548 |
2,172 |
$182K |
| 80307 |
|
35,444 |
33,826 |
$179K |
| 90832 |
|
2,796 |
2,520 |
$176K |
| 95816 |
|
2,094 |
2,063 |
$173K |
| 97161 |
|
2,816 |
2,750 |
$168K |
| P9016 |
Rbc leukocytes reduced |
1,553 |
1,299 |
$164K |
| 45378 |
|
460 |
455 |
$161K |
| 76819 |
|
2,749 |
1,600 |
$152K |
| G0108 |
Diab manage trn per indiv |
2,965 |
2,556 |
$151K |
| 76770 |
|
3,414 |
3,343 |
$146K |
| G0480 |
Drug test def 1-7 classes |
8,781 |
8,110 |
$135K |
| 45385 |
|
315 |
311 |
$132K |
| 76815 |
|
10,841 |
9,434 |
$132K |
| 76805 |
|
2,383 |
2,263 |
$129K |
| 36430 |
|
1,145 |
951 |
$121K |
| 71275 |
|
2,733 |
2,685 |
$119K |
| 90837 |
|
1,879 |
1,311 |
$111K |
| 86780 |
|
14,665 |
14,387 |
$111K |
| G0475 |
Hiv combination assay |
7,525 |
7,463 |
$107K |
| 94640 |
|
17,614 |
14,381 |
$105K |
| 87389 |
|
13,289 |
13,196 |
$102K |
| 86900 |
|
24,570 |
23,110 |
$99K |
| 73610 |
|
7,260 |
6,501 |
$99K |
| 94060 |
|
678 |
678 |
$98K |
| 10060 |
|
1,474 |
1,438 |
$98K |
| 97140 |
|
8,087 |
3,550 |
$93K |
| 84443 |
|
24,653 |
24,180 |
$88K |
| 73130 |
|
7,128 |
6,382 |
$86K |
| 76856 |
|
2,031 |
2,007 |
$85K |
| 93971 |
|
2,471 |
2,396 |
$85K |
| 76700 |
|
1,620 |
1,586 |
$77K |
| 96367 |
|
3,631 |
2,924 |
$75K |
| 73562 |
|
6,948 |
6,274 |
$74K |
| 97166 |
|
1,745 |
1,703 |
$73K |
| 76818 |
|
1,297 |
853 |
$72K |
| 73630 |
|
6,253 |
5,879 |
$72K |
| 74018 |
|
6,042 |
5,749 |
$72K |
| 99281 |
|
945 |
915 |
$68K |
| 93798 |
|
1,205 |
215 |
$66K |
| 93970 |
|
1,120 |
1,097 |
$66K |
| 82306 |
|
7,428 |
7,377 |
$66K |
| 92523 |
|
747 |
683 |
$64K |
| 70491 |
|
1,006 |
985 |
$64K |
| 70551 |
|
613 |
610 |
$62K |
| 83036 |
|
25,597 |
25,258 |
$61K |
| 93005 |
|
58,771 |
40,693 |
$58K |
| 74174 |
|
774 |
760 |
$57K |
| 73140 |
|
2,829 |
2,712 |
$55K |
| 85025 |
|
108,067 |
91,405 |
$55K |
| 87081 |
|
29,283 |
28,406 |
$53K |
| 87086 |
|
25,482 |
24,371 |
$53K |
| 16020 |
|
2,076 |
1,538 |
$53K |
| 80053 |
|
43,478 |
38,867 |
$53K |
| A9579 |
Gad-base mr contrast nos,1ml |
1,009 |
974 |
$51K |
| 10061 |
|
471 |
456 |
$51K |
| 73110 |
|
5,063 |
4,388 |
$50K |
| 73523 |
|
1,303 |
1,268 |
$49K |
| 73030 |
|
5,603 |
5,130 |
$49K |
| 87210 |
|
31,721 |
30,615 |
$48K |
| 90471 |
|
6,663 |
6,460 |
$48K |
| 78452 |
|
366 |
350 |
$47K |
| 70486 |
|
3,116 |
3,067 |
$46K |
| 87624 |
|
3,108 |
3,097 |
$44K |
| 72125 |
|
6,101 |
5,958 |
$38K |
| 88305 |
|
10,120 |
9,928 |
$36K |
| 84702 |
|
20,392 |
17,625 |
$36K |
| 25605 |
|
52 |
51 |
$35K |
| 87633 |
|
6,119 |
6,035 |
$35K |
| 64721 |
|
62 |
61 |
$34K |
| G0109 |
Diab manage trn ind/group |
1,333 |
903 |
$34K |
| 70496 |
|
1,267 |
1,241 |
$31K |
| 86762 |
|
6,403 |
6,345 |
$31K |
| 85027 |
|
40,894 |
36,941 |
$30K |
| 72131 |
|
2,077 |
2,046 |
$29K |
| 73080 |
|
3,418 |
3,029 |
$28K |
| M0243 |
Casirivi and imdevi inj |
151 |
151 |
$28K |
| 87536 |
|
799 |
787 |
$28K |
| 96376 |
|
25,137 |
16,686 |
$26K |
| 72100 |
|
968 |
953 |
$25K |
| 86850 |
|
24,148 |
22,930 |
$25K |
| 97014 |
|
3,159 |
1,213 |
$24K |
| M0245 |
Bamlan and etesev infusion |
135 |
135 |
$24K |
| 82951 |
|
4,045 |
4,018 |
$24K |
| 72141 |
|
273 |
269 |
$23K |
| 87340 |
|
8,326 |
8,171 |
$23K |
| 97022 |
|
4,069 |
1,112 |
$23K |
| 73502 |
|
2,563 |
2,468 |
$22K |
| 73590 |
|
3,681 |
3,203 |
$22K |
| 80048 |
|
88,430 |
73,641 |
$21K |
| 73090 |
|
3,746 |
3,284 |
$21K |
| 72110 |
|
1,741 |
1,698 |
$21K |
| 87529 |
|
963 |
949 |
$21K |
| 76536 |
|
978 |
943 |
$19K |
| 83020 |
|
4,652 |
4,546 |
$18K |
| 88307 |
|
1,201 |
1,171 |
$17K |
| 72148 |
|
253 |
245 |
$17K |
| 96415 |
|
396 |
326 |
$17K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
1,272 |
1,263 |
$17K |
| 84439 |
|
7,191 |
7,059 |
$16K |
| 87088 |
|
7,784 |
7,585 |
$16K |
| 70487 |
|
336 |
334 |
$16K |
| 97116 |
|
2,156 |
1,186 |
$16K |
| 83655 |
|
4,190 |
4,153 |
$16K |
| 93308 |
|
238 |
233 |
$15K |
| 86141 |
|
9,152 |
8,472 |
$15K |
| 87186 |
|
8,054 |
7,847 |
$15K |
| 88175 |
|
1,151 |
1,148 |
$14K |
| 86803 |
|
2,811 |
2,797 |
$14K |
| 82728 |
|
3,775 |
3,672 |
$14K |
| 77067 |
|
332 |
327 |
$13K |
| 83001 |
|
2,152 |
2,117 |
$13K |
| G0390 |
Trauma respons w/hosp criti |
26 |
24 |
$13K |
| 86360 |
|
679 |
672 |
$13K |
| 72070 |
|
839 |
820 |
$13K |
| 70498 |
|
1,610 |
1,581 |
$12K |
| 73700 |
|
354 |
345 |
$12K |
| 83002 |
|
2,060 |
2,024 |
$12K |
| 82670 |
|
1,304 |
1,268 |
$12K |
| 94375 |
|
823 |
821 |
$12K |
| 81001 |
|
35,693 |
33,817 |
$12K |
| 96112 |
|
103 |
103 |
$12K |
| 95782 |
|
27 |
27 |
$11K |
| 82570 |
|
8,034 |
7,573 |
$11K |
| 87400 |
|
6,336 |
6,181 |
$11K |
| L3670 |
So acro/clav can web pre ots |
1,228 |
1,196 |
$11K |
| 72128 |
|
1,550 |
1,524 |
$11K |
| 84403 |
|
1,234 |
1,212 |
$10K |
| 12011 |
|
1,727 |
1,716 |
$10K |
| 73560 |
|
1,205 |
1,044 |
$10K |
| 80074 |
|
1,312 |
1,296 |
$10K |
| 76870 |
|
1,448 |
1,399 |
$10K |
| 90686 |
|
724 |
711 |
$10K |
| 12001 |
|
1,954 |
1,937 |
$9K |
| 86355 |
|
550 |
543 |
$9K |
| 86359 |
|
550 |
543 |
$9K |
| 86357 |
|
550 |
543 |
$9K |
| 88342 |
|
2,237 |
2,215 |
$9K |
| J2770 |
Quinupristin/dalfopristin |
270 |
187 |
$9K |
| 29515 |
|
190 |
181 |
$9K |
| 83516 |
|
688 |
688 |
$9K |
| 71250 |
|
243 |
243 |
$8K |
| 74021 |
|
1,137 |
1,100 |
$8K |
| G0123 |
Screen cerv/vag thin layer |
816 |
815 |
$8K |
| 87798 |
|
6,342 |
6,244 |
$8K |
| 86901 |
|
24,509 |
23,050 |
$8K |
| 80076 |
|
23,533 |
22,038 |
$8K |
| 83970 |
|
522 |
502 |
$7K |
| 73060 |
|
1,563 |
1,410 |
$7K |
| G0297 |
Ldct for lung ca screen |
233 |
232 |
$7K |
| 87077 |
|
3,503 |
3,414 |
$6K |
| 97163 |
|
179 |
175 |
$6K |
| 83550 |
|
2,823 |
2,785 |
$6K |
| 97165 |
|
168 |
167 |
$6K |
| 87070 |
|
4,807 |
4,560 |
$6K |
| 71271 |
|
129 |
129 |
$6K |
| 73620 |
|
368 |
338 |
$6K |
| 82784 |
|
1,721 |
1,710 |
$6K |
| M0239 |
Bamlanivimab-xxxx infusion |
63 |
61 |
$6K |
| 82607 |
|
2,221 |
2,172 |
$6K |
| 88304 |
|
4,663 |
4,628 |
$6K |
| 73660 |
|
249 |
239 |
$6K |
| 73120 |
|
397 |
347 |
$6K |
| 84100 |
|
76,547 |
64,152 |
$5K |
| 88142 |
|
393 |
393 |
$5K |
| 84156 |
|
5,446 |
4,831 |
$5K |
| M0247 |
Sotrovimab infusion |
30 |
30 |
$5K |
| 74019 |
|
346 |
338 |
$5K |
| 81003 |
|
20,562 |
19,893 |
$5K |
| Q3014 |
Telehealth facility fee |
897 |
721 |
$5K |
| 83540 |
|
3,014 |
2,973 |
$5K |
| Q5103 |
Injection, inflectra |
14 |
13 |
$5K |
| 85610 |
|
26,645 |
24,219 |
$5K |
| 82043 |
|
3,016 |
2,931 |
$5K |
| 86258 |
|
686 |
683 |
$5K |
| 86364 |
|
707 |
704 |
$5K |
| 83735 |
|
79,419 |
66,301 |
$5K |
| 84146 |
|
808 |
797 |
$4K |
| 73552 |
|
1,549 |
1,425 |
$4K |
| 84681 |
|
821 |
800 |
$4K |
| 94762 |
|
687 |
541 |
$4K |
| 85730 |
|
24,807 |
23,020 |
$4K |
| G0257 |
Unsched dialysis esrd pt hos |
52 |
36 |
$4K |
| 73070 |
|
556 |
461 |
$4K |
| 83525 |
|
1,143 |
1,116 |
$4K |
| 82247 |
|
2,624 |
1,988 |
$3K |
| J0134 |
Inj acetaminophen -fresenius |
6,216 |
5,433 |
$3K |
| 86376 |
|
1,162 |
1,157 |
$3K |
| 64400 |
|
26 |
24 |
$3K |
| 71100 |
|
278 |
273 |
$3K |
| 82948 |
|
6,076 |
4,994 |
$3K |
| 82533 |
|
731 |
706 |
$3K |
| G0008 |
Admin influenza virus vac |
592 |
583 |
$3K |
| 96116 |
|
51 |
41 |
$3K |
| 87205 |
|
4,940 |
4,682 |
$3K |
| 87486 |
|
6,132 |
6,047 |
$3K |
| 12032 |
|
27 |
25 |
$3K |
| 87581 |
|
6,135 |
6,050 |
$3K |
| 94799 |
|
4,638 |
4,255 |
$3K |
| P9612 |
Catheterize for urine spec |
1,810 |
1,788 |
$3K |
| 83880 |
|
5,788 |
5,443 |
$3K |
| 76882 |
|
319 |
311 |
$3K |
| 99495 |
|
39 |
39 |
$3K |
| G0483 |
Drug test def 22+ classes |
167 |
161 |
$3K |
| 85652 |
|
6,468 |
6,073 |
$3K |
| 82248 |
|
2,877 |
2,666 |
$2K |
| 85045 |
|
3,238 |
2,549 |
$2K |
| L1830 |
Ko immob canvas long pre ots |
222 |
219 |
$2K |
| 84460 |
|
2,047 |
1,886 |
$2K |
| 85014 |
|
6,298 |
5,611 |
$2K |
| 82565 |
|
3,100 |
2,618 |
$2K |
| 82746 |
|
724 |
718 |
$2K |
| 82024 |
|
193 |
192 |
$2K |
| 85018 |
|
6,559 |
5,856 |
$2K |
| 72040 |
|
124 |
120 |
$2K |
| 84450 |
|
1,981 |
1,824 |
$2K |
| 87635 |
|
86 |
86 |
$2K |
| 86480 |
|
96 |
95 |
$2K |
| 87522 |
Neg quan hep c or qual rna |
192 |
188 |
$2K |
| 72170 |
|
1,481 |
1,463 |
$2K |
| 99392 |
|
39 |
39 |
$2K |
| 64999 |
|
13 |
13 |
$2K |
| 87184 |
|
566 |
563 |
$2K |
| M0222 |
Bebtelovimab injection |
16 |
16 |
$2K |
| 99496 |
|
24 |
24 |
$2K |
| 84550 |
|
1,529 |
1,490 |
$2K |
| 99391 |
|
27 |
27 |
$2K |
| 81015 |
|
2,725 |
2,689 |
$2K |
| C1769 |
Guide wire |
2,152 |
2,043 |
$2K |
| 97597 |
|
20 |
15 |
$1K |
| 16025 |
|
16 |
13 |
$1K |
| 82677 |
|
173 |
173 |
$1K |
| 87075 |
|
1,623 |
1,517 |
$1K |
| 12002 |
|
1,139 |
1,132 |
$1K |
| 87147 |
|
314 |
308 |
$1K |
| 82550 |
|
3,839 |
3,492 |
$1K |
| 83690 |
|
29,707 |
27,486 |
$1K |
| 86706 |
|
405 |
398 |
$1K |
| 84480 |
|
223 |
221 |
$1K |
| 82105 |
|
361 |
357 |
$1K |
| 97535 |
|
329 |
258 |
$1K |
| 76820 |
|
4,006 |
1,880 |
$1K |
| 82310 |
|
1,719 |
1,413 |
$1K |
| 99394 |
|
18 |
18 |
$1K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
23,329 |
21,949 |
$1K |
| 80051 |
|
3,354 |
2,941 |
$1K |
| 72052 |
|
43 |
42 |
$1K |
| 81025 |
|
34,005 |
32,109 |
$1K |
| 76817 |
|
8,448 |
7,193 |
$963.08 |
| 88341 |
|
27 |
27 |
$945.37 |
| 87420 |
|
1,178 |
1,159 |
$934.02 |
| 86336 |
|
173 |
173 |
$913.19 |
| 87641 |
|
211 |
208 |
$884.92 |
| 84402 |
|
90 |
89 |
$857.43 |
| J1885 |
Ketorolac tromethamine inj |
45,099 |
39,611 |
$850.72 |
| 87631 |
|
1,995 |
1,976 |
$840.34 |
| 96111 |
|
12 |
12 |
$832.68 |
| 0241U |
|
5,453 |
5,390 |
$799.78 |
| 85049 |
|
966 |
908 |
$729.19 |
| 84520 |
|
2,073 |
1,731 |
$677.47 |
| 99152 |
|
2,743 |
2,653 |
$669.00 |
| 93017 |
|
504 |
483 |
$628.01 |
| 82150 |
|
4,711 |
4,571 |
$602.38 |
| 86870 |
|
14 |
14 |
$602.22 |
| 73200 |
|
27 |
26 |
$587.77 |
| 86696 |
|
97 |
96 |
$584.37 |
| 97035 |
|
134 |
61 |
$577.90 |
| 83615 |
|
607 |
569 |
$567.54 |
| 87505 |
|
25 |
25 |
$531.19 |
| L3908 |
Who cock-up nonmolde pre ots |
42 |
41 |
$516.00 |
| 29125 |
|
319 |
304 |
$505.26 |
| 80164 |
|
1,888 |
1,628 |
$469.45 |
| 88302 |
|
1,156 |
1,130 |
$465.78 |
| 73600 |
|
40 |
36 |
$453.97 |
| G0103 |
Psa screening |
50 |
49 |
$431.55 |
| 97602 |
|
271 |
202 |
$421.09 |
| 86038 |
|
118 |
118 |
$414.37 |
| 73522 |
|
15 |
15 |
$407.82 |
| 86695 |
|
97 |
96 |
$398.21 |
| 87640 |
|
38 |
38 |
$396.24 |
| 87040 |
|
3,094 |
2,942 |
$372.74 |
| J0689 |
Inj cefazolin sodium, baxter |
2,253 |
1,725 |
$369.75 |
| 82330 |
|
1,668 |
1,266 |
$360.61 |
| 84484 |
|
24,012 |
19,846 |
$355.35 |
| 84481 |
|
55 |
55 |
$353.27 |
| 76857 |
|
13 |
13 |
$349.56 |
| 73100 |
|
48 |
41 |
$327.21 |
| J2270 |
Morphine sulfate injection |
25,097 |
18,989 |
$320.21 |
| 82627 |
|
44 |
44 |
$307.05 |
| 82010 |
|
3,204 |
2,875 |
$295.51 |
| 86592 |
|
132 |
132 |
$295.32 |
| J0696 |
Ceftriaxone sodium injection |
11,121 |
9,302 |
$278.20 |
| 86645 |
|
56 |
56 |
$275.75 |
| J0690 |
Cefazolin sodium injection |
7,156 |
5,707 |
$275.65 |
| 86705 |
|
34 |
34 |
$272.41 |
| J3010 |
Fentanyl citrate injection |
29,377 |
24,380 |
$270.31 |
| J1200 |
Diphenhydramine hcl injectio |
15,421 |
13,210 |
$270.07 |
| 94150 |
|
1,042 |
950 |
$270.00 |
| 89050 |
|
446 |
395 |
$269.86 |
| 87449 |
|
496 |
486 |
$267.41 |
| 87502 |
|
54 |
52 |
$242.75 |
| 86644 |
|
56 |
56 |
$235.44 |
| 85379 |
|
4,661 |
4,569 |
$223.35 |
| 96127 |
|
484 |
478 |
$210.56 |
| 82077 |
|
11,716 |
11,083 |
$209.84 |
| 87880 |
|
2,923 |
2,883 |
$201.45 |
| 86694 |
|
30 |
30 |
$188.43 |
| 82803 |
|
6,528 |
6,082 |
$184.84 |
| J1630 |
Haloperidol injection |
5,178 |
4,490 |
$177.49 |
| J0131 |
Inj, acetaminophen (nos) |
7,473 |
6,934 |
$174.93 |
| J1650 |
Inj enoxaparin sodium |
4,208 |
2,070 |
$174.55 |
| 80069 |
|
305 |
288 |
$173.02 |
| 86778 |
|
31 |
30 |
$170.54 |
| 86777 |
|
31 |
30 |
$170.32 |
| J1953 |
Levetiracetam injection |
2,300 |
1,823 |
$157.46 |
| J2704 |
Inj, propofol, 10 mg |
26,270 |
25,557 |
$157.44 |
| J2765 |
Metoclopramide hcl injection |
7,681 |
6,582 |
$146.69 |
| 70360 |
|
38 |
36 |
$144.02 |
| J7512 |
Prednisone ir or dr oral 1mg |
4,305 |
3,241 |
$138.98 |
| J1720 |
Hydrocortisone sodium succ i |
912 |
855 |
$135.98 |
| J2250 |
Inj midazolam hydrochloride |
18,080 |
16,842 |
$135.21 |
| J2550 |
Promethazine hcl injection |
2,199 |
1,879 |
$135.00 |
| 83605 |
|
7,468 |
6,776 |
$134.90 |
| 83986 |
|
218 |
205 |
$134.81 |
| 84075 |
|
516 |
486 |
$132.34 |
| 81002 |
|
12,809 |
12,446 |
$130.15 |
| C1894 |
Intro/sheath, non-laser |
1,517 |
1,449 |
$129.00 |
| 84132 |
|
214 |
178 |
$114.61 |
| 83498 |
|
15 |
15 |
$107.59 |
| 90715 |
|
6,183 |
6,126 |
$104.96 |
| 84436 |
|
25 |
25 |
$104.14 |
| 96110 |
|
3,530 |
3,515 |
$101.20 |
| 86800 |
|
116 |
116 |
$98.06 |
| 94660 |
|
111 |
76 |
$97.14 |
| 76010 |
|
15 |
13 |
$96.28 |
| 76642 |
|
12 |
12 |
$94.86 |
| 85246 |
|
13 |
13 |
$86.74 |
| 97012 |
|
23 |
13 |
$85.40 |
| 84145 |
|
955 |
929 |
$83.83 |
| 76827 |
|
557 |
543 |
$79.62 |
| 82800 |
|
2,443 |
2,029 |
$77.48 |
| 85007 |
|
308 |
266 |
$76.83 |
| 80047 |
|
947 |
706 |
$70.75 |
| 85240 |
|
13 |
13 |
$69.55 |
| 86308 |
|
205 |
204 |
$65.80 |
| 84157 |
|
118 |
106 |
$64.87 |
| 86431 |
|
27 |
27 |
$62.76 |
| J2920 |
Methylprednisolone injection |
2,574 |
1,538 |
$62.01 |
| 86708 |
|
26 |
25 |
$61.25 |
| 84155 |
|
486 |
457 |
$60.45 |
| 85384 |
|
25 |
25 |
$59.02 |
| 82140 |
|
514 |
454 |
$48.34 |
| 82977 |
|
12 |
12 |
$45.30 |
| 82945 |
|
87 |
78 |
$41.65 |
| 80143 |
|
2,859 |
2,775 |
$41.32 |
| 84466 |
|
12 |
12 |
$39.44 |
| 85660 |
|
13 |
13 |
$38.06 |
| 82950 |
|
14 |
14 |
$36.71 |
| 82040 |
|
162 |
152 |
$27.90 |
| 87328 |
|
12 |
12 |
$26.31 |
| 80202 |
|
35 |
26 |
$20.66 |
| J2405 |
Ondansetron hcl injection |
45,145 |
38,734 |
$20.52 |
| 76821 |
|
1,582 |
771 |
$20.10 |
| J3411 |
Thiamine hcl 100 mg |
2,642 |
2,172 |
$20.03 |
| J1940 |
Furosemide injection |
1,705 |
954 |
$17.23 |
| J0612 |
Inj, calcium gluconate, nos |
14 |
13 |
$16.44 |
| 86039 |
|
12 |
12 |
$16.31 |
| J2930 |
Methylprednisolone injection |
3,859 |
3,370 |
$15.51 |
| 87324 |
|
12 |
12 |
$15.06 |
| 87076 |
|
12 |
12 |
$10.64 |
| J1920 |
Inj, labetalol hcl, 5mg |
20 |
19 |
$8.76 |
| J3490 |
Drugs unclassified injection |
1,130 |
1,048 |
$6.76 |
| 86905 |
|
12 |
12 |
$5.44 |
| 80179 |
|
2,704 |
2,642 |
$4.75 |
| J1100 |
Dexamethasone sodium phos |
24,238 |
23,207 |
$4.39 |
| 82272 |
|
958 |
920 |
$3.58 |
| J2060 |
Lorazepam injection |
6,963 |
5,756 |
$2.88 |
| J1836 |
Inj, metronidazole, 10 mg |
25 |
14 |
$2.84 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
101 |
63 |
$1.14 |
| J0330 |
Succinycholine chloride inj |
6,959 |
6,813 |
$0.37 |
| J2370 |
Phenylephrine hcl injection |
2,355 |
2,283 |
$0.31 |
| J1642 |
Inj heparin sodium per 10 u |
2,396 |
1,188 |
$0.23 |
| J3475 |
Inj magnesium sulfate |
3,149 |
2,753 |
$0.23 |
| J7121 |
5% dextrose in lac ringers |
2,030 |
1,462 |
$0.20 |
| J1170 |
Hydromorphone injection |
13,459 |
9,896 |
$0.05 |
| J1644 |
Inj heparin sodium per 1000u |
4,674 |
2,749 |
$0.02 |
| A9500 |
Tc99m sestamibi |
357 |
339 |
$0.00 |
| J2785 |
Regadenoson injection |
166 |
162 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
283 |
276 |
$0.00 |
| J3480 |
Inj potassium chloride |
1,505 |
1,024 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
745 |
710 |
$0.00 |
| 96368 |
|
61 |
61 |
$0.00 |
| C1889 |
Implant/insert device, noc |
836 |
818 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
1,527 |
1,271 |
$0.00 |
| 97010 |
|
6,128 |
2,202 |
$0.00 |
| J1597 |
Inj glycopyrrolate, glyrx-pf |
371 |
369 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
177 |
84 |
$0.00 |
| J1790 |
Droperidol injection |
249 |
203 |
$0.00 |
| 93320 |
|
724 |
710 |
$0.00 |
| 12013 |
|
70 |
70 |
$0.00 |
| Q0162 |
Ondansetron oral |
181 |
174 |
$0.00 |
| A9270 |
Non-covered item or service |
201 |
67 |
$0.00 |
| Q0222 |
Bebtelovimab 175 mg |
16 |
16 |
$0.00 |
| J2360 |
Orphenadrine injection |
13 |
13 |
$0.00 |
| C1781 |
Mesh (implantable) |
96 |
95 |
$0.00 |
| J2280 |
Inj, moxifloxacin 100 mg |
29 |
14 |
$0.00 |
| 64402 |
|
29 |
27 |
$0.00 |
| J0561 |
Penicillin g benzathine inj |
25 |
24 |
$0.00 |
| J0610 |
Calcium glucon (fresenius) |
33 |
30 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
399 |
387 |
$0.00 |
| Q0247 |
Sotrovimab |
30 |
30 |
$0.00 |
| 29130 |
|
19 |
19 |
$0.00 |
| J0456 |
Azithromycin |
16 |
12 |
$0.00 |
| J8540 |
Oral dexamethasone |
15 |
14 |
$0.00 |
| J1756 |
Iron sucrose injection |
2,821 |
1,284 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
2,212 |
1,049 |
$0.00 |
| J2310 |
Inj naloxone hydrochloride |
179 |
167 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
963 |
932 |
$0.00 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
4,026 |
1,852 |
$0.00 |
| G8978 |
Mobility current status |
198 |
174 |
$0.00 |
| 76376 |
|
90 |
90 |
$0.00 |
| C1887 |
Catheter, guiding |
777 |
753 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
919 |
812 |
$0.00 |
| J0780 |
Prochlorperazine injection |
308 |
300 |
$0.00 |
| G8979 |
Mobility goal status |
258 |
223 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
1,989 |
1,334 |
$0.00 |
| 93325 |
|
2,434 |
2,281 |
$0.00 |
| 51702 |
|
40 |
37 |
$0.00 |
| J2916 |
Na ferric gluconate complex |
315 |
132 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
617 |
457 |
$0.00 |
| J8499 |
Oral prescrip drug non chemo |
252 |
252 |
$0.00 |
| 85396 |
|
234 |
230 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
21 |
18 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
160 |
147 |
$0.00 |
| A4628 |
Oropharyngeal suction cath |
95 |
86 |
$0.00 |
| J1580 |
Garamycin gentamicin inj |
18 |
12 |
$0.00 |
| J0692 |
Cefepime hcl for injection |
43 |
24 |
$0.00 |
| Q0245 |
Bamlanivimab and etesevima |
235 |
135 |
$0.00 |
| C1760 |
Closure dev, vasc |
53 |
49 |
$0.00 |
| L0140 |
Cervical semi-rigid adjustab |
30 |
30 |
$0.00 |
| Q0239 |
Bamlanivimab-xxxx |
47 |
45 |
$0.00 |
| G1004 |
Cdsm ndsc |
50 |
43 |
$0.00 |
| J0744 |
Ciprofloxacin iv |
135 |
96 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
258 |
196 |
$0.00 |
| Q9956 |
Inj octafluoropropane mic,ml |
68 |
66 |
$0.00 |
| 76813 |
|
16 |
13 |
$0.00 |
| 73000 |
|
17 |
14 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
79 |
49 |
$0.00 |