| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
92,272 |
75,088 |
$17.45M |
| 99285 |
|
36,561 |
30,141 |
$9.08M |
| G0378 |
Hospital observation per hr |
11,954 |
10,171 |
$5.49M |
| J2357 |
Omalizumab injection |
3,728 |
2,138 |
$5.43M |
| 97530 |
|
78,807 |
14,398 |
$4.72M |
| 99283 |
|
32,237 |
27,052 |
$4.37M |
| 96374 |
|
39,412 |
30,997 |
$4.17M |
| J9271 |
Inj pembrolizumab |
937 |
629 |
$3.77M |
| 92507 |
|
49,226 |
12,481 |
$2.45M |
| 96365 |
|
22,630 |
15,912 |
$2.25M |
| 96413 |
|
15,050 |
9,087 |
$2.24M |
| 74177 |
|
11,108 |
9,632 |
$1.69M |
| 96372 |
|
42,349 |
28,863 |
$1.69M |
| J0897 |
Denosumab injection |
2,890 |
2,629 |
$1.54M |
| J2323 |
Natalizumab injection |
539 |
477 |
$1.51M |
| 96361 |
|
30,295 |
22,584 |
$1.45M |
| 71045 |
|
36,759 |
31,061 |
$1.42M |
| 96375 |
|
42,385 |
30,331 |
$1.21M |
| 93458 |
|
1,278 |
1,158 |
$1.15M |
| 94640 |
|
12,976 |
8,321 |
$1.15M |
| 96360 |
|
9,785 |
7,908 |
$1.12M |
| 93306 |
|
4,593 |
4,119 |
$1.10M |
| G0463 |
Hospital outpt clinic visit |
82,557 |
69,051 |
$1.02M |
| 11042 |
|
8,437 |
3,991 |
$962K |
| 47562 |
|
391 |
343 |
$943K |
| 95810 |
|
2,293 |
2,116 |
$857K |
| 93005 |
|
41,957 |
33,382 |
$856K |
| 87428 |
|
15,344 |
13,394 |
$853K |
| 80053 |
|
117,402 |
90,672 |
$814K |
| 97110 |
|
22,598 |
6,612 |
$757K |
| 70450 |
|
14,693 |
12,772 |
$748K |
| 76811 |
|
5,638 |
4,929 |
$718K |
| 95811 |
|
2,047 |
1,903 |
$713K |
| 59025 |
|
6,994 |
4,705 |
$712K |
| J9299 |
Injection, nivolumab |
233 |
130 |
$699K |
| 71046 |
|
18,368 |
16,232 |
$672K |
| 85025 |
|
137,977 |
103,133 |
$647K |
| 64493 |
|
1,708 |
1,491 |
$641K |
| 78815 |
|
1,334 |
1,194 |
$528K |
| 87637 |
|
4,331 |
3,748 |
$486K |
| J1726 |
Makena, 10 mg |
1,211 |
302 |
$469K |
| 62323 |
|
2,311 |
2,138 |
$465K |
| 99282 |
|
5,014 |
4,226 |
$420K |
| 99213 |
|
13,660 |
10,390 |
$418K |
| 76819 |
|
6,098 |
3,959 |
$410K |
| 76820 |
|
5,326 |
3,551 |
$404K |
| 86885 |
|
6,282 |
5,126 |
$397K |
| 96366 |
|
8,425 |
4,665 |
$393K |
| 71260 |
|
5,357 |
4,554 |
$387K |
| J1439 |
Inj ferric carboxymaltos 1mg |
1,017 |
606 |
$371K |
| 92526 |
|
7,330 |
2,026 |
$362K |
| 77386 |
|
1,926 |
159 |
$359K |
| 70553 |
|
2,254 |
1,992 |
$352K |
| J1745 |
Infliximab not biosimil 10mg |
231 |
198 |
$337K |
| 74176 |
|
3,344 |
3,001 |
$326K |
| 87426 |
|
11,248 |
9,798 |
$325K |
| 87880 |
|
25,115 |
21,587 |
$325K |
| 36902 |
|
324 |
276 |
$324K |
| J0129 |
Abatacept injection |
325 |
282 |
$313K |
| 80307 |
|
7,090 |
6,075 |
$297K |
| 93304 |
|
840 |
784 |
$295K |
| 86900 |
|
6,683 |
5,394 |
$291K |
| 76816 |
|
3,875 |
2,966 |
$290K |
| 36430 |
|
2,994 |
2,110 |
$286K |
| 87804 |
|
21,760 |
10,105 |
$283K |
| 84443 |
|
21,134 |
18,343 |
$265K |
| 88307 |
|
1,642 |
1,338 |
$259K |
| 71275 |
|
3,137 |
2,825 |
$255K |
| G0481 |
Drug test def 8-14 classes |
3,240 |
2,735 |
$243K |
| 74019 |
|
4,264 |
3,732 |
$243K |
| 76705 |
|
4,146 |
3,726 |
$243K |
| 87636 |
|
2,214 |
1,863 |
$241K |
| 67028 |
|
2,809 |
2,495 |
$241K |
| G0379 |
Direct refer hospital observ |
1,844 |
1,629 |
$237K |
| 76821 |
|
3,224 |
2,032 |
$234K |
| J0475 |
Baclofen 10 mg injection |
676 |
646 |
$231K |
| 97597 |
|
4,099 |
2,253 |
$229K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,584 |
3,249 |
$225K |
| 88305 |
|
7,243 |
6,024 |
$224K |
| 87591 |
|
7,557 |
6,658 |
$208K |
| 77336 |
|
3,422 |
1,398 |
$207K |
| 87491 |
|
7,415 |
6,545 |
$205K |
| 99214 |
|
3,780 |
2,752 |
$204K |
| 82306 |
|
9,813 |
8,849 |
$203K |
| G0480 |
Drug test def 1-7 classes |
4,076 |
3,379 |
$201K |
| 72125 |
|
4,483 |
3,843 |
$190K |
| 96415 |
|
4,311 |
3,039 |
$189K |
| 76817 |
|
2,547 |
1,957 |
$189K |
| 96367 |
|
5,594 |
3,260 |
$184K |
| 83880 |
|
8,987 |
7,720 |
$184K |
| 84484 |
|
27,903 |
19,549 |
$184K |
| 77067 |
|
2,318 |
2,165 |
$177K |
| 72100 |
|
3,735 |
3,318 |
$172K |
| 87086 |
|
28,053 |
23,359 |
$172K |
| 88342 |
|
2,704 |
2,213 |
$170K |
| J0585 |
Injection,onabotulinumtoxina |
863 |
674 |
$167K |
| 70551 |
|
1,685 |
1,503 |
$167K |
| 97112 |
|
3,101 |
669 |
$158K |
| J0885 |
Epoetin alfa, non-esrd |
1,921 |
1,173 |
$157K |
| 92523 |
|
1,297 |
1,142 |
$156K |
| 87081 |
|
29,462 |
22,475 |
$155K |
| 77334 |
|
870 |
596 |
$154K |
| 87536 |
|
3,275 |
2,939 |
$154K |
| 73721 |
|
1,089 |
949 |
$152K |
| 77412 |
|
2,301 |
209 |
$151K |
| 88304 |
|
3,776 |
3,293 |
$143K |
| J0178 |
Aflibercept injection |
628 |
540 |
$141K |
| 76801 |
|
1,948 |
1,613 |
$141K |
| 96401 |
|
4,166 |
2,702 |
$140K |
| 72148 |
|
1,651 |
1,513 |
$138K |
| J3262 |
Tocilizumab injection |
205 |
111 |
$137K |
| J2469 |
Palonosetron hcl |
3,166 |
1,613 |
$136K |
| 86923 |
|
2,834 |
1,718 |
$135K |
| 74018 |
|
3,016 |
2,648 |
$132K |
| 86901 |
|
8,859 |
7,183 |
$131K |
| 20610 |
|
1,756 |
1,494 |
$123K |
| 97161 |
|
3,349 |
2,911 |
$122K |
| 87807 |
|
10,179 |
8,957 |
$117K |
| 80061 |
|
11,541 |
10,369 |
$117K |
| 80048 |
|
19,539 |
15,922 |
$115K |
| 75625 |
|
93 |
84 |
$114K |
| 93308 |
|
618 |
579 |
$110K |
| 76805 |
|
1,541 |
1,291 |
$108K |
| 73030 |
|
3,260 |
2,794 |
$107K |
| P9016 |
Rbc leukocytes reduced |
1,322 |
973 |
$106K |
| 82731 |
|
2,139 |
1,775 |
$104K |
| 36415 |
|
51,791 |
36,816 |
$103K |
| 72170 |
|
2,497 |
2,159 |
$99K |
| 81001 |
|
43,654 |
35,543 |
$97K |
| 93971 |
|
2,328 |
2,079 |
$97K |
| 83690 |
|
21,433 |
17,467 |
$96K |
| 72141 |
|
1,078 |
978 |
$96K |
| 73562 |
|
2,561 |
2,279 |
$92K |
| 86003 |
|
2,112 |
1,669 |
$91K |
| 99212 |
|
5,064 |
3,908 |
$89K |
| 85027 |
|
20,743 |
17,153 |
$87K |
| 81025 |
|
13,419 |
11,234 |
$86K |
| 99211 |
|
13,628 |
10,125 |
$85K |
| 71250 |
|
2,231 |
2,032 |
$82K |
| 87186 |
|
12,375 |
10,507 |
$82K |
| 77300 |
|
623 |
537 |
$82K |
| 87077 |
|
12,865 |
10,772 |
$81K |
| 76642 |
|
2,350 |
2,166 |
$80K |
| 77066 |
Tomosynthesis, mammo |
1,363 |
1,284 |
$79K |
| 83874 |
|
10,013 |
8,477 |
$79K |
| 97162 |
|
1,996 |
1,742 |
$76K |
| 99215 |
Prolong outpt/office vis |
1,064 |
850 |
$73K |
| 96417 |
|
2,717 |
1,520 |
$72K |
| 15275 |
|
123 |
48 |
$72K |
| M0243 |
Casirivi and imdevi inj |
365 |
326 |
$72K |
| 86360 |
|
2,852 |
2,599 |
$71K |
| 10060 |
|
679 |
597 |
$71K |
| 73630 |
|
1,994 |
1,784 |
$70K |
| 82553 |
|
10,125 |
8,314 |
$70K |
| 80305 |
|
15,223 |
13,291 |
$69K |
| 93923 |
|
1,698 |
1,575 |
$69K |
| J2505 |
Injection, pegfilgrastim 6mg |
32 |
25 |
$64K |
| 83655 |
|
6,321 |
5,329 |
$64K |
| 82728 |
|
8,423 |
7,402 |
$63K |
| 86355 |
|
2,857 |
2,606 |
$61K |
| 72040 |
|
1,794 |
1,562 |
$61K |
| 87040 |
|
9,312 |
5,500 |
$61K |
| 72072 |
|
1,285 |
1,140 |
$61K |
| 84702 |
|
5,330 |
3,710 |
$60K |
| 12001 |
|
621 |
558 |
$60K |
| 82607 |
|
6,431 |
5,813 |
$60K |
| 77065 |
Tomosynthesis, mammo |
1,582 |
1,410 |
$60K |
| 73130 |
|
1,737 |
1,540 |
$59K |
| 73560 |
|
1,868 |
1,620 |
$59K |
| 73610 |
|
1,455 |
1,298 |
$59K |
| 86357 |
|
2,852 |
2,599 |
$59K |
| 77301 |
|
127 |
111 |
$59K |
| 94010 |
|
5,987 |
5,536 |
$58K |
| 86359 |
|
2,852 |
2,600 |
$58K |
| 73502 |
|
2,086 |
1,787 |
$57K |
| 70486 |
|
1,125 |
970 |
$57K |
| 36600 |
|
1,827 |
1,575 |
$57K |
| 78227 |
|
200 |
188 |
$55K |
| 74230 |
|
820 |
738 |
$55K |
| 76770 |
|
973 |
877 |
$54K |
| P9040 |
Rbc leukoreduced irradiated |
630 |
442 |
$54K |
| Q5106 |
Inj retacrit non-esrd use |
1,381 |
785 |
$53K |
| 76830 |
|
712 |
636 |
$53K |
| 90471 |
|
2,480 |
2,174 |
$53K |
| 73590 |
|
1,485 |
1,261 |
$52K |
| Q5103 |
Injection, inflectra |
176 |
145 |
$52K |
| 84703 |
|
9,083 |
7,685 |
$51K |
| 83735 |
|
13,235 |
9,976 |
$51K |
| J9312 |
Inj., rituximab, 10 mg |
17 |
12 |
$49K |
| 97140 |
|
2,526 |
1,030 |
$49K |
| J2182 |
Injection, mepolizumab, 1mg |
29 |
27 |
$49K |
| 95812 |
|
222 |
196 |
$48K |
| 93312 |
|
384 |
363 |
$46K |
| 93880 |
|
862 |
805 |
$44K |
| 36591 |
|
9,159 |
5,349 |
$43K |
| 12011 |
|
460 |
387 |
$43K |
| 70496 |
|
540 |
480 |
$43K |
| 97165 |
|
1,250 |
1,073 |
$42K |
| 73090 |
|
1,074 |
871 |
$42K |
| 36561 |
|
43 |
38 |
$42K |
| 86480 |
|
1,293 |
1,162 |
$41K |
| Q5107 |
Inj mvasi 10 mg |
50 |
25 |
$41K |
| G0127 |
Trim nail(s) |
4,167 |
4,017 |
$40K |
| 86738 |
|
3,640 |
3,175 |
$40K |
| 75716 |
|
57 |
54 |
$40K |
| 49083 |
|
188 |
85 |
$40K |
| 76856 |
|
603 |
541 |
$39K |
| 86140 |
|
13,922 |
11,955 |
$38K |
| 64483 |
|
120 |
101 |
$38K |
| 95990 |
|
605 |
570 |
$37K |
| 97116 |
|
2,145 |
737 |
$37K |
| 82784 |
|
3,923 |
2,956 |
$37K |
| 84146 |
|
2,825 |
2,405 |
$37K |
| 15271 |
|
61 |
24 |
$37K |
| 73620 |
|
1,074 |
912 |
$36K |
| D2930 |
|
677 |
73 |
$36K |
| 76700 |
|
589 |
541 |
$35K |
| 99281 |
|
769 |
670 |
$35K |
| 92134 |
|
5,386 |
4,887 |
$34K |
| 82378 |
|
4,044 |
3,586 |
$34K |
| 83520 |
|
2,108 |
1,628 |
$33K |
| 74178 |
|
258 |
234 |
$33K |
| 87070 |
|
5,026 |
4,296 |
$32K |
| 73110 |
|
790 |
697 |
$32K |
| G0260 |
Inj for sacroiliac jt anesth |
415 |
310 |
$32K |
| 97113 |
|
642 |
183 |
$31K |
| 11719 |
|
1,618 |
1,523 |
$31K |
| 88175 |
|
1,280 |
1,167 |
$31K |
| 81003 |
|
18,501 |
15,647 |
$31K |
| 96416 |
|
277 |
114 |
$31K |
| 82746 |
|
4,018 |
3,592 |
$31K |
| 93017 |
|
283 |
271 |
$30K |
| 97167 |
|
776 |
655 |
$30K |
| J1200 |
Diphenhydramine hcl injectio |
11,957 |
7,823 |
$30K |
| 78452 |
|
76 |
73 |
$29K |
| 83605 |
|
5,230 |
4,221 |
$29K |
| 70491 |
|
334 |
296 |
$29K |
| 72110 |
|
782 |
709 |
$28K |
| 83550 |
|
6,654 |
5,905 |
$28K |
| 83970 |
|
1,328 |
1,118 |
$28K |
| 87641 |
|
1,423 |
1,309 |
$27K |
| 86038 |
|
2,847 |
2,514 |
$27K |
| 83036 |
|
4,334 |
3,690 |
$26K |
| J1642 |
Inj heparin sodium per 10 u |
18,999 |
8,196 |
$26K |
| 84439 |
|
3,484 |
2,915 |
$26K |
| 86703 |
|
2,299 |
2,045 |
$25K |
| 73600 |
|
677 |
584 |
$24K |
| 70498 |
|
312 |
279 |
$24K |
| 83540 |
|
7,120 |
6,309 |
$24K |
| 80076 |
|
6,988 |
6,234 |
$23K |
| 87400 |
|
1,071 |
949 |
$22K |
| 85379 |
|
3,385 |
2,993 |
$22K |
| 82803 |
|
1,735 |
1,481 |
$22K |
| 86225 |
|
3,060 |
2,728 |
$21K |
| 80177 |
|
2,391 |
2,001 |
$21K |
| 86235 |
|
562 |
410 |
$20K |
| 85610 |
|
9,020 |
7,171 |
$20K |
| 84153 |
|
1,518 |
1,391 |
$20K |
| 86803 |
|
2,321 |
2,088 |
$20K |
| 86300 |
|
2,538 |
2,242 |
$20K |
| 93970 |
|
239 |
219 |
$20K |
| 99291 |
|
55 |
51 |
$20K |
| 87811 |
|
705 |
233 |
$20K |
| 0241U |
|
3,193 |
2,945 |
$19K |
| 97166 |
|
396 |
367 |
$19K |
| 96411 |
|
566 |
322 |
$19K |
| 85730 |
|
5,966 |
5,106 |
$19K |
| 73552 |
|
632 |
538 |
$19K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
21,817 |
18,307 |
$19K |
| 86160 |
|
3,275 |
2,502 |
$18K |
| 92611 |
|
500 |
459 |
$18K |
| 97760 |
|
546 |
449 |
$18K |
| 83615 |
|
4,778 |
3,638 |
$17K |
| 71101 |
|
310 |
285 |
$17K |
| 82565 |
|
8,545 |
6,999 |
$17K |
| 82962 |
|
11,050 |
6,141 |
$17K |
| 76825 |
|
53 |
51 |
$17K |
| 72131 |
|
458 |
404 |
$16K |
| 82550 |
|
4,705 |
3,932 |
$16K |
| 82247 |
|
3,707 |
1,583 |
$16K |
| 85652 |
|
11,739 |
10,297 |
$16K |
| 78226 |
|
78 |
68 |
$16K |
| 87635 |
|
297 |
279 |
$15K |
| 80074 |
|
491 |
439 |
$15K |
| J1720 |
Hydrocortisone sodium succ i |
2,915 |
2,117 |
$15K |
| 87205 |
|
5,009 |
3,854 |
$15K |
| 11056 |
|
285 |
267 |
$15K |
| 19083 |
|
40 |
36 |
$14K |
| 88184 |
|
163 |
135 |
$14K |
| 92014 |
|
680 |
636 |
$14K |
| 87046 |
|
1,639 |
1,277 |
$14K |
| 29125 |
|
227 |
203 |
$13K |
| 84550 |
|
4,378 |
3,364 |
$13K |
| 93925 |
|
278 |
252 |
$13K |
| 94726 |
|
467 |
460 |
$13K |
| 87493 |
|
446 |
394 |
$13K |
| 86592 |
|
4,161 |
3,691 |
$13K |
| 64447 |
|
118 |
96 |
$12K |
| 92610 |
|
407 |
360 |
$12K |
| 82570 |
|
4,191 |
3,473 |
$12K |
| 73120 |
|
182 |
158 |
$12K |
| 87045 |
|
1,506 |
1,276 |
$12K |
| 87661 |
|
347 |
305 |
$12K |
| J1459 |
Inj ivig privigen 500 mg |
15 |
12 |
$12K |
| 80164 |
|
1,271 |
1,088 |
$12K |
| 73080 |
|
285 |
248 |
$11K |
| 31720 |
|
86 |
71 |
$11K |
| 11057 |
|
196 |
184 |
$11K |
| 84450 |
|
2,936 |
2,129 |
$11K |
| 64635 |
|
15 |
12 |
$11K |
| 93226 |
|
194 |
171 |
$11K |
| 77338 |
|
114 |
99 |
$11K |
| 64415 |
|
126 |
98 |
$11K |
| 86308 |
|
2,174 |
1,909 |
$11K |
| 76815 |
|
161 |
138 |
$10K |
| 86334 |
|
1,300 |
1,178 |
$10K |
| 90791 |
|
337 |
224 |
$10K |
| 84165 |
|
2,366 |
2,141 |
$10K |
| 93225 |
|
182 |
159 |
$9K |
| 87075 |
|
1,632 |
1,360 |
$9K |
| 93975 |
|
62 |
57 |
$9K |
| 0240U |
|
1,833 |
1,711 |
$9K |
| 64450 |
|
82 |
72 |
$9K |
| 90686 |
|
2,059 |
1,882 |
$9K |
| 84156 |
|
3,821 |
2,958 |
$9K |
| J7030 |
Normal saline solution infus |
33,635 |
24,740 |
$9K |
| 80047 |
|
883 |
844 |
$9K |
| 86704 |
|
1,386 |
1,222 |
$9K |
| D7140 |
|
60 |
12 |
$9K |
| 87340 |
|
1,577 |
1,392 |
$8K |
| 78306 |
|
60 |
55 |
$8K |
| 85014 |
|
4,859 |
3,856 |
$8K |
| 12002 |
|
100 |
83 |
$8K |
| 84132 |
|
2,873 |
2,457 |
$8K |
| 97163 |
|
137 |
125 |
$8K |
| 77290 |
|
44 |
38 |
$8K |
| 64615 |
|
203 |
181 |
$8K |
| 78264 |
|
43 |
41 |
$7K |
| 62321 |
|
44 |
39 |
$7K |
| 82948 |
|
2,111 |
1,606 |
$7K |
| 88312 |
|
386 |
231 |
$7K |
| 82140 |
|
1,032 |
837 |
$7K |
| 27096 |
|
95 |
91 |
$7K |
| G0008 |
Admin influenza virus vac |
2,329 |
2,129 |
$7K |
| J0696 |
Ceftriaxone sodium injection |
11,925 |
9,245 |
$7K |
| 85045 |
|
3,228 |
2,196 |
$7K |
| 90834 |
|
620 |
305 |
$7K |
| 73060 |
|
202 |
170 |
$7K |
| 88112 |
|
375 |
325 |
$6K |
| 41899 |
|
12 |
12 |
$6K |
| 84238 |
|
398 |
362 |
$6K |
| 88185 |
|
484 |
147 |
$6K |
| 73140 |
|
154 |
125 |
$6K |
| J1100 |
Dexamethasone sodium phos |
18,392 |
12,532 |
$6K |
| 86902 |
|
23 |
12 |
$6K |
| 86665 |
|
158 |
121 |
$6K |
| 73100 |
|
173 |
132 |
$6K |
| 82150 |
|
1,017 |
883 |
$6K |
| 93325 |
|
3,180 |
2,899 |
$5K |
| J9045 |
Carboplatin injection |
724 |
380 |
$5K |
| U0002 |
Covid-19 lab test non-cdc |
143 |
130 |
$5K |
| 86769 |
|
182 |
171 |
$5K |
| 88360 |
|
113 |
65 |
$5K |
| 84100 |
|
1,416 |
1,194 |
$5K |
| 80069 |
|
1,351 |
923 |
$5K |
| J2405 |
Ondansetron hcl injection |
41,447 |
31,192 |
$5K |
| 76641 |
|
76 |
65 |
$5K |
| 93321 |
|
1,545 |
1,445 |
$5K |
| 86431 |
|
1,359 |
1,215 |
$5K |
| 87624 |
|
140 |
131 |
$5K |
| 85576 |
|
248 |
213 |
$5K |
| 70360 |
|
97 |
85 |
$4K |
| 80143 |
|
635 |
522 |
$4K |
| 73221 |
|
57 |
54 |
$4K |
| 86200 |
|
627 |
554 |
$4K |
| 72050 |
|
114 |
109 |
$4K |
| 85018 |
|
2,523 |
2,161 |
$4K |
| 97542 |
|
169 |
124 |
$4K |
| 83883 |
|
659 |
380 |
$4K |
| 80179 |
|
620 |
519 |
$4K |
| M0245 |
Bamlan and etesev infusion |
20 |
19 |
$4K |
| 84481 |
|
274 |
254 |
$4K |
| 20553 |
|
47 |
42 |
$4K |
| 82272 |
|
1,563 |
1,359 |
$4K |
| 76827 |
|
53 |
51 |
$3K |
| J3489 |
Zoledronic acid 1mg |
174 |
156 |
$3K |
| A9579 |
Gad-base mr contrast nos,1ml |
2,615 |
2,327 |
$3K |
| 86706 |
|
569 |
491 |
$3K |
| 85049 |
|
713 |
683 |
$3K |
| 96376 |
|
11,014 |
7,122 |
$3K |
| J1170 |
Hydromorphone injection |
14,029 |
9,614 |
$3K |
| 93976 |
|
53 |
37 |
$3K |
| 86664 |
|
144 |
121 |
$3K |
| J7040 |
Normal saline solution infus |
9,482 |
7,158 |
$3K |
| 20552 |
|
48 |
42 |
$3K |
| 87210 |
|
754 |
651 |
$3K |
| 82010 |
|
488 |
400 |
$3K |
| 82274 |
|
186 |
180 |
$3K |
| 76870 |
|
41 |
36 |
$3K |
| 73070 |
|
64 |
55 |
$3K |
| J2930 |
Methylprednisolone injection |
4,836 |
3,733 |
$3K |
| J1756 |
Iron sucrose injection |
853 |
351 |
$3K |
| J3420 |
Vitamin b12 injection |
1,621 |
1,184 |
$2K |
| 87899 |
|
274 |
237 |
$2K |
| 86430 |
|
451 |
386 |
$2K |
| 82310 |
|
1,559 |
1,295 |
$2K |
| 72197 |
|
25 |
24 |
$2K |
| 82465 |
|
695 |
643 |
$2K |
| 83721 |
|
320 |
295 |
$2K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
7,005 |
5,934 |
$2K |
| 97535 |
|
695 |
408 |
$2K |
| 93990 |
|
99 |
98 |
$2K |
| J7120 |
Ringers lactate infusion |
6,655 |
4,964 |
$2K |
| 77280 |
|
42 |
36 |
$2K |
| 80050 |
|
1,132 |
957 |
$2K |
| 51702 |
|
65 |
64 |
$2K |
| 80185 |
|
181 |
148 |
$2K |
| 87502 |
|
34 |
28 |
$2K |
| G0144 |
Scr c/v cyto,thinlayer,rescr |
57 |
56 |
$2K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,192 |
948 |
$2K |
| 99205 |
Prolong outpt/office vis |
121 |
89 |
$2K |
| 73521 |
|
53 |
51 |
$2K |
| J2270 |
Morphine sulfate injection |
17,429 |
12,936 |
$2K |
| 91010 |
|
15 |
12 |
$2K |
| 72158 |
|
12 |
12 |
$2K |
| J9190 |
Fluorouracil injection |
262 |
88 |
$2K |
| 87177 |
|
180 |
159 |
$2K |
| 86696 |
|
112 |
101 |
$2K |
| 31624 |
|
15 |
15 |
$2K |
| 95816 |
|
12 |
12 |
$2K |
| 82947 |
|
604 |
535 |
$2K |
| 89050 |
|
660 |
544 |
$2K |
| 87116 |
|
394 |
340 |
$1K |
| 74174 |
|
19 |
12 |
$1K |
| 87102 |
|
413 |
364 |
$1K |
| J1815 |
Insulin injection |
4,284 |
1,714 |
$1K |
| 90715 |
|
2,345 |
2,102 |
$1K |
| J9267 |
Paclitaxel injection |
293 |
121 |
$1K |
| 84134 |
|
133 |
113 |
$1K |
| 0202U |
|
290 |
252 |
$1K |
| 86039 |
|
175 |
162 |
$1K |
| 86695 |
|
113 |
102 |
$1K |
| 82800 |
|
184 |
150 |
$1K |
| A9270 |
Non-covered item or service |
15,420 |
9,271 |
$1K |
| J2997 |
Alteplase recombinant |
14 |
13 |
$1K |
| G0103 |
Psa screening |
112 |
107 |
$1K |
| 84460 |
|
251 |
239 |
$1K |
| J0561 |
Penicillin g benzathine inj |
12 |
12 |
$1K |
| 36589 |
|
13 |
12 |
$1K |
| 82043 |
|
576 |
519 |
$1K |
| 88173 |
|
82 |
69 |
$1K |
| J3010 |
Fentanyl citrate injection |
16,184 |
13,755 |
$1K |
| 84403 |
|
56 |
56 |
$1K |
| 96402 |
|
64 |
39 |
$989.77 |
| J2704 |
Inj, propofol, 10 mg |
15,888 |
13,067 |
$929.64 |
| 72128 |
|
32 |
28 |
$895.16 |
| 99152 |
|
9,641 |
8,487 |
$884.52 |
| 89055 |
|
276 |
241 |
$877.58 |
| 86880 |
|
83 |
80 |
$872.45 |
| 92650 |
|
40 |
37 |
$869.04 |
| J3475 |
Inj magnesium sulfate |
2,590 |
1,129 |
$841.16 |
| 77470 |
|
13 |
13 |
$832.18 |
| 77002 |
|
947 |
819 |
$808.50 |
| 84155 |
|
1,184 |
1,072 |
$781.65 |
| L3030 |
Foot arch support remov prem |
73 |
43 |
$755.90 |
| 87015 |
|
343 |
295 |
$747.20 |
| 86757 |
|
26 |
14 |
$700.29 |
| 64494 |
|
1,148 |
983 |
$675.32 |
| 88311 |
|
254 |
230 |
$672.68 |
| 97014 |
|
114 |
49 |
$655.93 |
| J1885 |
Ketorolac tromethamine inj |
19,867 |
16,105 |
$652.81 |
| J7060 |
5% dextrose/water |
1,444 |
367 |
$645.05 |
| Q3014 |
Telehealth facility fee |
113 |
109 |
$638.06 |
| J0640 |
Leucovorin calcium injection |
26 |
12 |
$636.85 |
| 97032 |
|
140 |
61 |
$605.18 |
| A9552 |
F18 fdg |
1,306 |
1,173 |
$599.51 |
| 87503 |
|
35 |
29 |
$577.12 |
| A9537 |
Tc99m mebrofenin |
294 |
271 |
$566.50 |
| 96101 |
|
39 |
30 |
$561.38 |
| J7050 |
Normal saline solution infus |
9,524 |
4,173 |
$542.93 |
| 76942 |
|
324 |
281 |
$538.39 |
| 76882 |
|
16 |
12 |
$533.15 |
| J1980 |
Hyoscyamine sulfate inj |
909 |
796 |
$528.20 |
| 86376 |
|
33 |
30 |
$523.69 |
| J0500 |
Dicyclomine injection |
138 |
123 |
$514.00 |
| J2710 |
Neostigmine methylslfte inj |
4,293 |
3,670 |
$503.09 |
| 74220 |
|
12 |
12 |
$463.60 |
| 92004 |
|
26 |
21 |
$404.34 |
| 88321 |
|
28 |
25 |
$403.17 |
| 87206 |
|
252 |
222 |
$397.98 |
| J0330 |
Succinycholine chloride inj |
6,755 |
5,672 |
$363.14 |
| J2919 |
Inj, methylpred sod succ 5mg |
799 |
518 |
$358.32 |
| 82805 |
|
14 |
12 |
$354.45 |
| 99406 |
|
325 |
310 |
$348.32 |
| J2175 |
Meperidine hydrochl /100 mg |
716 |
578 |
$343.54 |
| C9399 |
Unclassified drugs or biolog |
162 |
137 |
$338.72 |
| 82085 |
|
64 |
54 |
$335.93 |
| J2360 |
Orphenadrine injection |
3,657 |
3,121 |
$328.30 |
| 82785 |
|
17 |
12 |
$319.10 |
| 83001 |
|
24 |
24 |
$309.04 |
| 86618 |
|
22 |
15 |
$306.60 |
| C1725 |
Cath, translumin non-laser |
1,989 |
1,703 |
$300.75 |
| J0171 |
Adrenalin epinephrine inject |
1,319 |
1,093 |
$288.16 |
| J0690 |
Cefazolin sodium injection |
10,700 |
8,128 |
$272.88 |
| 82955 |
|
35 |
24 |
$269.91 |
| J3480 |
Inj potassium chloride |
2,185 |
1,288 |
$269.07 |
| 82670 |
|
14 |
14 |
$257.95 |
| 82040 |
|
50 |
46 |
$244.11 |
| J2550 |
Promethazine hcl injection |
5,850 |
4,174 |
$242.90 |
| G0279 |
Tomosynthesis, mammo |
168 |
152 |
$232.80 |
| J9263 |
Oxaliplatin |
23 |
12 |
$227.64 |
| 97150 |
|
392 |
261 |
$219.22 |
| 88313 |
|
23 |
13 |
$212.66 |
| J2250 |
Inj midazolam hydrochloride |
13,012 |
10,825 |
$211.14 |
| 87209 |
|
14 |
12 |
$195.57 |
| 87420 |
|
19 |
13 |
$187.96 |
| 82077 |
|
46 |
40 |
$186.65 |
| J2001 |
Lidocaine injection |
9,158 |
7,705 |
$181.50 |
| C1769 |
Guide wire |
3,550 |
3,188 |
$181.07 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
935 |
812 |
$148.80 |
| 83010 |
|
58 |
57 |
$148.51 |
| J1650 |
Inj enoxaparin sodium |
3,503 |
2,133 |
$146.83 |
| 87329 |
|
13 |
12 |
$146.52 |
| J0131 |
Inj, acetaminophen (nos) |
860 |
670 |
$144.65 |
| 94729 |
|
486 |
479 |
$143.00 |
| J0780 |
Prochlorperazine injection |
2,608 |
2,120 |
$138.00 |
| 88341 |
|
2,088 |
1,287 |
$137.50 |
| 90656 |
|
292 |
266 |
$104.64 |
| J2060 |
Lorazepam injection |
2,138 |
1,725 |
$97.20 |
| 90732 |
|
18 |
18 |
$85.04 |
| 77012 |
|
242 |
222 |
$74.16 |
| 80178 |
|
12 |
12 |
$73.40 |
| 90670 |
|
13 |
13 |
$66.57 |
| J2370 |
Phenylephrine hcl injection |
2,169 |
1,859 |
$64.35 |
| J0461 |
Atropine sulfate injection |
197 |
146 |
$58.48 |
| 84145 |
|
3,444 |
2,996 |
$54.42 |
| 92201 |
|
389 |
334 |
$53.53 |
| J2272 |
Inj, morphine (fresenius) |
2,128 |
1,652 |
$52.36 |
| 82330 |
|
14 |
12 |
$49.61 |
| J1644 |
Inj heparin sodium per 1000u |
5,602 |
3,953 |
$44.36 |
| 86593 |
|
15 |
13 |
$41.56 |
| J1580 |
Garamycin gentamicin inj |
260 |
218 |
$40.70 |
| 82525 |
|
15 |
14 |
$39.25 |
| 82365 |
|
14 |
13 |
$34.83 |
| 82668 |
|
12 |
12 |
$33.82 |
| J7512 |
Prednisone ir or dr oral 1mg |
218 |
171 |
$26.40 |
| J1940 |
Furosemide injection |
2,441 |
1,765 |
$23.07 |
| J3370 |
Vancomycin hcl injection |
2,544 |
1,474 |
$21.71 |
| G8978 |
Mobility current status |
615 |
568 |
$18.02 |
| C9113 |
Inj pantoprazole sodium, via |
2,157 |
1,434 |
$15.93 |
| J2795 |
Ropivacaine hcl injection |
637 |
485 |
$14.72 |
| J0736 |
Inj, clindamycin phosp 300mg |
204 |
167 |
$12.12 |
| J2765 |
Metoclopramide hcl injection |
2,468 |
1,890 |
$10.45 |
| 91300 |
|
17 |
17 |
$9.33 |
| J2471 |
Inj pantoprazole(hikma) 40mg |
153 |
113 |
$6.53 |
| 95874 |
|
39 |
37 |
$5.89 |
| J0134 |
Inj acetaminophen -fresenius |
238 |
186 |
$3.90 |
| 92202 |
|
77 |
73 |
$3.62 |
| J1956 |
Levofloxacin injection |
37 |
24 |
$2.94 |
| 99153 |
Mod sedat endo service >5yrs |
4,360 |
3,855 |
$2.20 |
| G0283 |
Elec stim other than wound |
112 |
44 |
$2.13 |
| 77063 |
|
1,239 |
1,123 |
$1.52 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
388 |
305 |
$1.02 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
300 |
276 |
$0.66 |
| Q0162 |
Ondansetron oral |
135 |
111 |
$0.66 |
| 36592 |
|
22 |
17 |
$0.13 |
| J1920 |
Inj, labetalol hcl, 5mg |
33 |
25 |
$0.07 |
| J0702 |
Betamethasone acet&sod phosp |
701 |
416 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
5,042 |
4,481 |
$0.00 |
| J1953 |
Levetiracetam injection |
563 |
356 |
$0.00 |
| C1788 |
Port, indwelling, imp |
70 |
61 |
$0.00 |
| G1004 |
Cdsm ndsc |
235 |
216 |
$0.00 |
| C1887 |
Catheter, guiding |
1,436 |
1,242 |
$0.00 |
| C1760 |
Closure dev, vasc |
1,241 |
1,106 |
$0.00 |
| 77387 |
|
1,103 |
105 |
$0.00 |
| C9257 |
Bevacizumab injection |
901 |
811 |
$0.00 |
| 97598 |
|
139 |
78 |
$0.00 |
| 84112 |
|
934 |
790 |
$0.00 |
| Q4186 |
Epifix 1 sq cm |
712 |
275 |
$0.00 |
| G8979 |
Mobility goal status |
727 |
653 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
1,056 |
887 |
$0.00 |
| G8997 |
Swallow goal status |
201 |
185 |
$0.00 |
| C1776 |
Joint device (implantable) |
99 |
84 |
$0.00 |
| C1874 |
Stent, coated/cov w/del sys |
94 |
82 |
$0.00 |
| G8996 |
Swallow current status |
178 |
163 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
90 |
87 |
$0.00 |
| 93356 |
|
52 |
48 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
332 |
302 |
$0.00 |
| 76937 |
|
71 |
65 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
63 |
61 |
$0.00 |
| A9541 |
Tc99m sulfur colloid |
43 |
41 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
363 |
268 |
$0.00 |
| 0042T |
|
13 |
12 |
$0.00 |
| J3260 |
Tobramycin sulfate injection |
72 |
64 |
$0.00 |
| 64636 |
|
15 |
12 |
$0.00 |
| 84166 |
|
25 |
24 |
$0.00 |
| 77085 |
|
33 |
27 |
$0.00 |
| J1020 |
Methylprednisolone 20 mg inj |
16 |
16 |
$0.00 |
| Q0245 |
Bamlanivimab and etesevima |
17 |
17 |
$0.00 |
| J2305 |
Inj, nitroglycerin, 5 mg |
72 |
67 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
1,363 |
1,123 |
$0.00 |
| 36416 |
|
4,001 |
1,911 |
$0.00 |
| J1630 |
Haloperidol injection |
307 |
260 |
$0.00 |
| A4648 |
Implantable tissue marker |
180 |
159 |
$0.00 |
| 96368 |
|
574 |
361 |
$0.00 |
| 77001 |
|
557 |
483 |
$0.00 |
| 93320 |
|
338 |
318 |
$0.00 |
| 94760 |
|
986 |
723 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
1,449 |
1,347 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
429 |
179 |
$0.00 |
| 11045 |
|
199 |
113 |
$0.00 |
| 99243 |
|
1,432 |
1,255 |
$0.00 |
| J7999 |
Compounded drug, noc |
3,243 |
2,498 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
200 |
199 |
$0.00 |
| A9561 |
Tc99m oxidronate |
41 |
40 |
$0.00 |
| C1889 |
Implant/insert device, noc |
860 |
699 |
$0.00 |
| J1741 |
Ibuprofen injection |
448 |
263 |
$0.00 |
| G8988 |
Self care goal status |
173 |
163 |
$0.00 |
| G8987 |
Self care current status |
144 |
138 |
$0.00 |
| A9503 |
Tc99m medronate |
94 |
86 |
$0.00 |
| 77417 |
|
276 |
120 |
$0.00 |
| C2623 |
Cath, translumin, drug-coat |
71 |
71 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
190 |
176 |
$0.00 |
| C2617 |
Stent, non-cor, tem w/o del |
204 |
168 |
$0.00 |
| 94660 |
|
68 |
39 |
$0.00 |
| 80320 |
|
513 |
430 |
$0.00 |
| 80329 |
|
193 |
145 |
$0.00 |
| G8982 |
Body pos goal status |
15 |
14 |
$0.00 |
| J2920 |
Methylprednisolone injection |
243 |
142 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
147 |
84 |
$0.00 |
| J2785 |
Regadenoson injection |
51 |
49 |
$0.00 |
| G8980 |
Mobility d/c status |
90 |
89 |
$0.00 |
| G8998 |
Swallow d/c status |
44 |
42 |
$0.00 |
| J3490 |
Drugs unclassified injection |
52 |
43 |
$0.00 |
| J0456 |
Azithromycin |
22 |
12 |
$0.00 |
| J3410 |
Hydroxyzine hcl injection |
16 |
16 |
$0.00 |
| J3360 |
Diazepam injection |
31 |
26 |
$0.00 |