| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80053 |
|
164,067 |
134,903 |
$16.62M |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
28,982 |
26,175 |
$9.77M |
| J7040 |
Normal saline solution infus |
18,714 |
13,212 |
$9.02M |
| J7030 |
Normal saline solution infus |
46,507 |
34,876 |
$8.27M |
| 99213 |
|
110,819 |
90,695 |
$7.83M |
| 99283 |
|
128,416 |
112,546 |
$7.33M |
| J7050 |
Normal saline solution infus |
12,258 |
9,051 |
$6.12M |
| 36415 |
|
58,376 |
49,172 |
$6.04M |
| 81001 |
|
105,409 |
91,111 |
$5.93M |
| J7120 |
Ringers lactate infusion |
20,993 |
18,127 |
$5.73M |
| 96372 |
|
23,522 |
19,665 |
$5.43M |
| 97110 |
|
94,419 |
31,299 |
$5.21M |
| 97530 |
|
58,804 |
20,677 |
$4.62M |
| 81025 |
|
52,303 |
46,746 |
$4.37M |
| 92507 |
|
79,140 |
26,684 |
$4.32M |
| 87636 |
|
29,619 |
27,376 |
$3.87M |
| 80048 |
|
43,281 |
32,972 |
$3.50M |
| A0427 |
Als1-emergency |
22,449 |
19,544 |
$3.32M |
| 99214 |
|
64,378 |
57,466 |
$3.01M |
| A0429 |
Bls-emergency |
37,483 |
31,433 |
$3.01M |
| 99391 |
|
31,102 |
27,681 |
$2.35M |
| 99282 |
|
15,247 |
14,059 |
$2.35M |
| A9552 |
F18 fdg |
1,674 |
1,556 |
$2.24M |
| 99211 |
|
21,389 |
16,355 |
$1.62M |
| U0003 |
Cov-19 amp prb hgh thruput |
16,774 |
15,439 |
$1.55M |
| 96401 |
|
1,179 |
780 |
$1.54M |
| A9576 |
Inj prohance multipack |
2,251 |
2,114 |
$1.46M |
| 87491 |
|
24,986 |
23,442 |
$1.38M |
| 70553 |
|
2,715 |
2,566 |
$1.32M |
| 96365 |
|
14,549 |
11,853 |
$1.30M |
| A0425 |
Ground mileage |
66,880 |
54,007 |
$1.28M |
| 87081 |
|
11,946 |
11,453 |
$1.22M |
| 73721 |
|
1,721 |
1,675 |
$1.18M |
| 87804 |
|
9,471 |
8,799 |
$1.15M |
| 81003 |
|
12,165 |
11,536 |
$1.14M |
| 85018 |
|
20,363 |
19,408 |
$1.05M |
| 96374 |
|
36,254 |
30,488 |
$1.03M |
| 72148 |
|
2,029 |
1,942 |
$939K |
| 80307 |
|
27,560 |
24,763 |
$927K |
| 88305 |
|
9,797 |
9,101 |
$925K |
| A9579 |
Gad-base mr contrast nos,1ml |
1,123 |
1,017 |
$885K |
| 77336 |
|
2,703 |
1,152 |
$799K |
| 99392 |
|
20,958 |
20,672 |
$796K |
| 96402 |
|
706 |
590 |
$767K |
| 71046 |
|
18,110 |
16,734 |
$764K |
| 96361 |
|
28,700 |
21,638 |
$755K |
| 85025 |
|
156,162 |
123,817 |
$742K |
| 90723 |
|
6,702 |
6,514 |
$708K |
| 87075 |
|
7,432 |
7,016 |
$653K |
| 99212 |
|
8,843 |
8,051 |
$575K |
| 87070 |
|
3,265 |
2,978 |
$570K |
| 99393 |
|
10,931 |
10,555 |
$556K |
| 71045 |
|
36,274 |
31,814 |
$545K |
| 36416 |
|
4,826 |
4,349 |
$512K |
| 70450 |
|
17,037 |
15,611 |
$510K |
| 73610 |
|
3,830 |
3,543 |
$502K |
| 86318 |
|
2,003 |
1,917 |
$484K |
| 93971 |
|
3,485 |
3,244 |
$479K |
| 73130 |
|
3,477 |
3,247 |
$478K |
| 99284 |
|
57,718 |
51,023 |
$459K |
| 10060 |
|
800 |
747 |
$421K |
| 12011 |
|
1,283 |
1,208 |
$412K |
| 76830 |
|
3,519 |
3,332 |
$404K |
| 73630 |
|
4,553 |
4,213 |
$395K |
| 72141 |
|
744 |
695 |
$395K |
| 70551 |
|
1,504 |
1,446 |
$389K |
| 12001 |
|
1,556 |
1,468 |
$384K |
| 73030 |
|
3,751 |
3,483 |
$382K |
| 73562 |
|
4,508 |
4,209 |
$377K |
| 77063 |
|
3,894 |
3,756 |
$374K |
| 73090 |
|
1,601 |
1,463 |
$356K |
| 95810 |
|
1,253 |
1,212 |
$353K |
| 73110 |
|
2,564 |
2,374 |
$344K |
| 71250 |
|
1,977 |
1,878 |
$338K |
| 59025 |
|
14,011 |
9,482 |
$337K |
| 85027 |
|
45,646 |
36,616 |
$334K |
| 93306 |
|
3,785 |
3,629 |
$324K |
| 93922 |
|
1,827 |
1,737 |
$313K |
| 73140 |
|
1,177 |
1,104 |
$310K |
| 99394 |
|
5,937 |
5,737 |
$305K |
| 82784 |
|
1,777 |
1,636 |
$305K |
| 97032 |
|
2,386 |
1,190 |
$303K |
| 96375 |
|
22,950 |
18,111 |
$290K |
| 96413 |
|
10,994 |
7,228 |
$286K |
| 82247 |
|
3,559 |
2,214 |
$282K |
| 83655 |
|
4,646 |
4,547 |
$278K |
| 96523 |
|
2,512 |
1,750 |
$276K |
| 92526 |
|
7,720 |
3,033 |
$274K |
| 87086 |
|
40,656 |
36,881 |
$265K |
| 77066 |
Tomosynthesis, mammo |
2,741 |
2,587 |
$255K |
| 84112 |
|
2,543 |
2,228 |
$250K |
| 93970 |
|
1,630 |
1,536 |
$234K |
| 94640 |
|
16,107 |
10,098 |
$222K |
| 76700 |
|
2,148 |
2,042 |
$216K |
| 72100 |
|
4,449 |
4,196 |
$215K |
| 87150 |
|
4,465 |
4,367 |
$213K |
| A0998 |
Ambulance response/treatment |
6,027 |
5,381 |
$212K |
| 86780 |
|
13,002 |
12,329 |
$210K |
| 80061 |
|
29,720 |
28,436 |
$208K |
| 97113 |
|
6,198 |
1,854 |
$205K |
| 99215 |
Prolong outpt/office vis |
7,989 |
6,972 |
$198K |
| 84702 |
|
11,729 |
8,878 |
$198K |
| 87400 |
|
975 |
874 |
$196K |
| 93880 |
|
1,494 |
1,419 |
$196K |
| 99281 |
|
1,457 |
1,286 |
$196K |
| 76705 |
|
5,279 |
4,952 |
$196K |
| 95811 |
|
802 |
764 |
$194K |
| 72125 |
|
5,898 |
5,493 |
$191K |
| 76642 |
|
4,856 |
4,574 |
$190K |
| 87077 |
|
13,040 |
12,044 |
$189K |
| 74018 |
|
3,939 |
3,600 |
$188K |
| 82947 |
|
4,386 |
4,211 |
$174K |
| 77067 |
|
7,107 |
6,875 |
$172K |
| 73080 |
|
1,291 |
1,207 |
$170K |
| A9577 |
Inj multihance |
200 |
189 |
$168K |
| A0426 |
Als 1 |
1,320 |
1,263 |
$158K |
| 82728 |
|
9,413 |
8,895 |
$157K |
| 76801 |
|
5,983 |
5,241 |
$156K |
| 84443 |
|
30,760 |
29,022 |
$155K |
| 73590 |
|
1,908 |
1,768 |
$147K |
| 87807 |
|
2,710 |
2,568 |
$141K |
| A0428 |
Bls |
3,702 |
3,176 |
$141K |
| 87880 |
|
11,360 |
10,778 |
$140K |
| 93925 |
|
1,702 |
1,626 |
$137K |
| 99285 |
|
30,282 |
27,106 |
$135K |
| 74176 |
|
4,340 |
4,056 |
$135K |
| 77300 |
|
414 |
354 |
$134K |
| 87661 |
|
16,188 |
15,172 |
$130K |
| 92523 |
|
2,542 |
2,430 |
$129K |
| 76536 |
|
1,318 |
1,273 |
$126K |
| J1050 |
Medroxyprogesterone acetate |
5,986 |
5,733 |
$125K |
| 73221 |
|
240 |
224 |
$125K |
| 76770 |
|
1,547 |
1,497 |
$122K |
| 77065 |
Tomosynthesis, mammo |
2,449 |
2,204 |
$119K |
| 84484 |
|
40,630 |
27,098 |
$116K |
| 97140 |
|
27,622 |
10,705 |
$116K |
| 73502 |
|
2,807 |
2,591 |
$115K |
| 83036 |
|
21,594 |
20,594 |
$107K |
| 82306 |
|
9,033 |
8,635 |
$106K |
| G0378 |
Hospital observation per hr |
23,940 |
16,980 |
$104K |
| 93005 |
|
48,554 |
40,970 |
$104K |
| 88307 |
|
1,834 |
1,767 |
$104K |
| 87210 |
|
5,069 |
4,786 |
$98K |
| 97161 |
|
10,949 |
10,432 |
$98K |
| 84439 |
|
8,136 |
7,654 |
$96K |
| 90680 |
|
5,313 |
5,149 |
$91K |
| J3480 |
Inj potassium chloride |
3,127 |
1,917 |
$89K |
| 86850 |
|
17,158 |
15,695 |
$89K |
| 41899 |
|
1,926 |
1,904 |
$89K |
| 78815 |
|
1,710 |
1,599 |
$86K |
| 78452 |
|
1,278 |
1,214 |
$83K |
| 10061 |
|
149 |
135 |
$83K |
| 85007 |
|
4,612 |
4,013 |
$81K |
| 95816 |
|
566 |
554 |
$80K |
| 88720 |
|
836 |
657 |
$79K |
| 12002 |
|
504 |
468 |
$78K |
| 85610 |
|
17,029 |
13,712 |
$74K |
| 72070 |
|
1,303 |
1,240 |
$74K |
| 82570 |
|
7,785 |
7,044 |
$74K |
| 72050 |
|
727 |
678 |
$73K |
| 99395 |
|
961 |
929 |
$70K |
| 82785 |
|
889 |
860 |
$67K |
| 59430 |
|
661 |
652 |
$66K |
| 87581 |
|
1,282 |
1,253 |
$64K |
| 86803 |
|
13,403 |
12,734 |
$63K |
| A4648 |
Implantable tissue marker |
301 |
280 |
$62K |
| 71101 |
|
512 |
482 |
$61K |
| 82607 |
|
6,084 |
5,771 |
$61K |
| A9270 |
Non-covered item or service |
5,482 |
4,740 |
$57K |
| 70486 |
|
1,407 |
1,300 |
$57K |
| 97112 |
|
7,292 |
3,065 |
$57K |
| 77080 |
|
309 |
289 |
$54K |
| 74021 |
|
1,302 |
1,214 |
$52K |
| 97162 |
|
5,792 |
5,437 |
$52K |
| 71271 |
|
315 |
311 |
$48K |
| J2704 |
Inj, propofol, 10 mg |
39,668 |
20,370 |
$48K |
| 83690 |
|
47,408 |
41,104 |
$47K |
| 73700 |
|
326 |
300 |
$45K |
| 73060 |
|
448 |
419 |
$45K |
| 97165 |
|
4,737 |
4,473 |
$45K |
| 83020 |
|
1,861 |
1,791 |
$44K |
| 87430 |
|
652 |
641 |
$40K |
| 97166 |
|
2,242 |
2,099 |
$39K |
| 88304 |
|
1,629 |
1,559 |
$38K |
| 86738 |
|
1,709 |
1,636 |
$37K |
| 97535 |
|
6,677 |
3,955 |
$36K |
| 97016 |
|
344 |
97 |
$36K |
| 11982 |
|
122 |
111 |
$35K |
| 92610 |
|
1,608 |
1,510 |
$35K |
| 76856 |
|
3,983 |
3,780 |
$35K |
| 87040 |
|
7,964 |
5,399 |
$33K |
| 73552 |
|
633 |
589 |
$32K |
| 80076 |
|
2,798 |
2,606 |
$32K |
| 93017 |
|
1,646 |
1,566 |
$32K |
| 76815 |
|
526 |
496 |
$31K |
| 43239 |
|
2,824 |
2,685 |
$31K |
| 81015 |
|
611 |
556 |
$31K |
| 82565 |
|
1,048 |
971 |
$31K |
| 77412 |
|
2,815 |
313 |
$30K |
| 82950 |
|
2,984 |
2,926 |
$30K |
| 90707 |
|
1,837 |
1,812 |
$29K |
| 76775 |
|
488 |
460 |
$29K |
| 92551 |
|
445 |
429 |
$27K |
| 90620 |
|
159 |
125 |
$27K |
| C1894 |
Intro/sheath, non-laser |
2,862 |
2,517 |
$27K |
| 76870 |
|
415 |
381 |
$27K |
| J3490 |
Drugs unclassified injection |
35,726 |
19,360 |
$26K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,274 |
1,224 |
$26K |
| 82731 |
|
715 |
656 |
$26K |
| 74177 |
|
14,473 |
13,485 |
$25K |
| 97035 |
|
459 |
209 |
$25K |
| 45378 |
|
511 |
479 |
$24K |
| 82272 |
|
1,602 |
1,485 |
$24K |
| 87428 |
|
220 |
205 |
$24K |
| 82670 |
|
395 |
385 |
$24K |
| 76817 |
|
4,464 |
3,906 |
$24K |
| U0001 |
2019-ncov diagnostic p |
472 |
446 |
$24K |
| C1773 |
Ret dev, insertable |
69 |
62 |
$23K |
| 96377 |
|
51 |
39 |
$23K |
| 76805 |
|
918 |
876 |
$23K |
| 99291 |
|
3,233 |
3,011 |
$23K |
| J0185 |
Inj., aprepitant, 1 mg |
1,814 |
1,047 |
$23K |
| 36600 |
|
446 |
397 |
$22K |
| 82043 |
|
4,624 |
4,435 |
$22K |
| S9152 |
Speech therapy, re-eval |
787 |
765 |
$22K |
| 93270 |
|
83 |
83 |
$22K |
| 90471 |
|
4,420 |
3,963 |
$22K |
| J2001 |
Lidocaine injection |
27,125 |
18,945 |
$22K |
| 77290 |
|
66 |
54 |
$22K |
| 90696 |
|
1,329 |
1,283 |
$21K |
| 89051 |
|
68 |
40 |
$21K |
| 74183 |
|
25 |
24 |
$21K |
| 83880 |
|
14,735 |
12,582 |
$21K |
| 96366 |
|
4,084 |
2,926 |
$21K |
| 73070 |
|
101 |
92 |
$21K |
| 86762 |
|
7,744 |
7,291 |
$20K |
| J2405 |
Ondansetron hcl injection |
40,606 |
31,905 |
$20K |
| 73564 |
|
178 |
171 |
$20K |
| C1769 |
Guide wire |
3,794 |
3,340 |
$19K |
| J1650 |
Inj enoxaparin sodium |
13,302 |
5,111 |
$19K |
| 49083 |
|
32 |
24 |
$19K |
| 74230 |
|
206 |
191 |
$19K |
| 97116 |
|
7,500 |
3,423 |
$19K |
| 86695 |
|
172 |
166 |
$18K |
| 0202U |
|
66 |
66 |
$18K |
| 87536 |
|
1,668 |
1,549 |
$18K |
| J7060 |
5% dextrose/water |
1,100 |
658 |
$18K |
| U0002 |
Covid-19 lab test non-cdc |
366 |
349 |
$17K |
| 74022 |
|
647 |
595 |
$17K |
| 0241U |
|
145 |
144 |
$17K |
| 87635 |
|
333 |
320 |
$17K |
| 85379 |
|
5,798 |
5,483 |
$17K |
| C1725 |
Cath, translumin non-laser |
1,287 |
1,134 |
$16K |
| 86308 |
|
376 |
356 |
$16K |
| 83540 |
|
8,051 |
7,607 |
$16K |
| J1642 |
Inj heparin sodium per 10 u |
13,296 |
6,405 |
$15K |
| 87389 |
|
11,825 |
11,257 |
$15K |
| J0696 |
Ceftriaxone sodium injection |
12,515 |
8,882 |
$15K |
| 86704 |
|
1,197 |
1,143 |
$15K |
| 90651 |
|
1,692 |
1,546 |
$15K |
| 58300 |
|
43 |
36 |
$15K |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
35 |
21 |
$14K |
| J2270 |
Morphine sulfate injection |
13,750 |
10,670 |
$14K |
| 97168 |
|
590 |
540 |
$13K |
| 82951 |
|
1,492 |
1,464 |
$13K |
| 71260 |
|
7,682 |
7,265 |
$13K |
| 85652 |
|
6,163 |
5,714 |
$13K |
| 86480 |
|
795 |
746 |
$13K |
| 84153 |
|
1,938 |
1,804 |
$13K |
| 76882 |
|
543 |
508 |
$13K |
| J0897 |
Denosumab injection |
2,352 |
2,146 |
$13K |
| 90460 |
|
32,092 |
30,871 |
$13K |
| 83735 |
|
30,795 |
21,514 |
$13K |
| 83615 |
|
1,359 |
1,189 |
$12K |
| J1644 |
Inj heparin sodium per 1000u |
13,113 |
6,314 |
$12K |
| 97750 |
|
1,471 |
1,243 |
$11K |
| 87522 |
Neg quan hep c or qual rna |
735 |
691 |
$11K |
| 86580 |
|
1,820 |
1,535 |
$11K |
| 70498 |
|
1,016 |
956 |
$11K |
| 80164 |
|
2,989 |
2,524 |
$11K |
| 84436 |
|
586 |
550 |
$10K |
| 96360 |
|
9,472 |
6,969 |
$10K |
| 77334 |
|
758 |
533 |
$10K |
| J2505 |
Injection, pegfilgrastim 6mg |
137 |
96 |
$9K |
| 69210 |
|
65 |
59 |
$9K |
| 43235 |
|
150 |
142 |
$9K |
| 0002A |
|
262 |
257 |
$9K |
| 87633 |
|
128 |
123 |
$9K |
| 0001A |
|
259 |
253 |
$9K |
| 86003 |
|
743 |
721 |
$9K |
| 73560 |
|
148 |
133 |
$9K |
| 82550 |
|
4,408 |
3,761 |
$8K |
| 97150 |
|
2,966 |
1,153 |
$8K |
| 84146 |
|
786 |
748 |
$8K |
| 84132 |
|
1,154 |
1,024 |
$8K |
| J1170 |
Hydromorphone injection |
10,161 |
7,716 |
$8K |
| 95806 |
|
49 |
49 |
$8K |
| 87045 |
|
317 |
294 |
$8K |
| J2370 |
Phenylephrine hcl injection |
5,097 |
4,726 |
$8K |
| 77001 |
|
396 |
360 |
$7K |
| 84145 |
|
1,431 |
1,351 |
$7K |
| 83001 |
|
694 |
676 |
$7K |
| 86706 |
|
1,733 |
1,643 |
$7K |
| 45385 |
|
351 |
322 |
$7K |
| 51798 |
|
2,020 |
1,896 |
$6K |
| 99203 |
|
119 |
112 |
$6K |
| 87591 |
|
24,774 |
23,111 |
$6K |
| 72040 |
|
67 |
65 |
$6K |
| 84703 |
|
245 |
232 |
$6K |
| 31645 |
|
55 |
48 |
$6K |
| 84403 |
|
1,346 |
1,259 |
$6K |
| 87641 |
|
534 |
518 |
$6K |
| 84144 |
|
96 |
88 |
$6K |
| J1885 |
Ketorolac tromethamine inj |
32,604 |
20,972 |
$6K |
| 86140 |
|
11,214 |
9,925 |
$6K |
| A4649 |
Surgical supplies |
314 |
299 |
$6K |
| 82803 |
|
2,963 |
2,590 |
$6K |
| 77280 |
|
15 |
12 |
$5K |
| 86900 |
|
20,157 |
17,986 |
$5K |
| 58301 |
|
27 |
27 |
$5K |
| 82105 |
|
184 |
175 |
$5K |
| 77386 |
|
730 |
51 |
$5K |
| 84550 |
|
1,223 |
1,126 |
$5K |
| 93458 |
|
137 |
117 |
$5K |
| 99204 |
|
226 |
214 |
$5K |
| 88341 |
|
843 |
792 |
$5K |
| 86038 |
|
1,767 |
1,684 |
$5K |
| 84156 |
|
4,458 |
3,714 |
$5K |
| 82330 |
|
915 |
839 |
$5K |
| 86360 |
|
784 |
741 |
$4K |
| J2791 |
Rhophylac injection |
83 |
78 |
$4K |
| J7042 |
5% dextrose/normal saline |
89 |
52 |
$4K |
| J1439 |
Inj ferric carboxymaltos 1mg |
1,565 |
952 |
$4K |
| J3370 |
Vancomycin hcl injection |
2,222 |
1,389 |
$4K |
| 87637 |
|
26 |
25 |
$4K |
| 83605 |
|
10,250 |
8,427 |
$4K |
| 87420 |
|
154 |
150 |
$4K |
| J1745 |
Infliximab not biosimil 10mg |
1,068 |
651 |
$4K |
| 73660 |
|
27 |
27 |
$4K |
| G0463 |
Hospital outpt clinic visit |
21 |
19 |
$4K |
| 71275 |
|
825 |
778 |
$4K |
| 88184 |
|
12 |
12 |
$4K |
| J3420 |
Vitamin b12 injection |
772 |
564 |
$4K |
| 87324 |
|
78 |
70 |
$4K |
| 82077 |
|
9,682 |
8,304 |
$3K |
| 80050 |
|
38 |
35 |
$3K |
| J1100 |
Dexamethasone sodium phos |
34,636 |
22,114 |
$3K |
| 90686 |
|
7,639 |
7,457 |
$3K |
| J2250 |
Inj midazolam hydrochloride |
16,179 |
12,298 |
$3K |
| C1887 |
Catheter, guiding |
1,002 |
918 |
$3K |
| G1004 |
Cdsm ndsc |
13,899 |
10,296 |
$3K |
| 36902 |
|
261 |
236 |
$3K |
| 83021 |
|
1,816 |
1,756 |
$3K |
| 31624 |
|
43 |
39 |
$3K |
| J1200 |
Diphenhydramine hcl injectio |
9,225 |
7,417 |
$3K |
| 82378 |
|
345 |
303 |
$3K |
| 87140 |
|
5,407 |
4,905 |
$3K |
| J0456 |
Azithromycin |
584 |
375 |
$3K |
| 72170 |
|
154 |
146 |
$3K |
| J0690 |
Cefazolin sodium injection |
10,667 |
8,768 |
$3K |
| J3475 |
Inj magnesium sulfate |
5,551 |
3,629 |
$3K |
| 84134 |
|
494 |
442 |
$3K |
| P9016 |
Rbc leukocytes reduced |
1,640 |
1,272 |
$3K |
| 94668 |
|
19 |
12 |
$2K |
| 73100 |
|
19 |
18 |
$2K |
| 45380 |
|
494 |
449 |
$2K |
| C1726 |
Cath, bal dil, non-vascular |
13 |
13 |
$2K |
| 97164 |
|
235 |
206 |
$2K |
| 94760 |
|
409 |
256 |
$2K |
| A9502 |
Tc99m tetrofosmin |
1,456 |
1,155 |
$2K |
| J2550 |
Promethazine hcl injection |
2,159 |
1,847 |
$2K |
| 81005 |
|
22 |
16 |
$2K |
| 83986 |
|
27 |
27 |
$2K |
| 82140 |
|
1,640 |
1,383 |
$2K |
| 86592 |
|
72 |
72 |
$2K |
| 52000 |
|
27 |
25 |
$2K |
| 70360 |
|
26 |
25 |
$2K |
| 92611 |
|
209 |
182 |
$2K |
| 73620 |
|
14 |
13 |
$2K |
| G0659 |
Drug test def simple all cl |
3,810 |
3,548 |
$2K |
| 72072 |
|
25 |
25 |
$2K |
| 72052 |
|
12 |
12 |
$2K |
| 87640 |
|
139 |
132 |
$2K |
| C9113 |
Inj pantoprazole sodium, via |
1,250 |
679 |
$2K |
| G0480 |
Drug test def 1-7 classes |
1,971 |
1,681 |
$2K |
| J2060 |
Lorazepam injection |
3,595 |
2,769 |
$2K |
| J2765 |
Metoclopramide hcl injection |
3,395 |
2,864 |
$2K |
| 90715 |
|
4,346 |
4,043 |
$2K |
| 70491 |
|
353 |
326 |
$2K |
| J1940 |
Furosemide injection |
3,034 |
1,715 |
$2K |
| 85660 |
|
169 |
153 |
$2K |
| 87811 |
|
198 |
194 |
$2K |
| J3010 |
Fentanyl citrate injection |
18,043 |
15,358 |
$2K |
| 97542 |
|
15 |
13 |
$2K |
| 86334 |
|
450 |
415 |
$2K |
| 85730 |
|
12,045 |
10,555 |
$2K |
| 88309 |
|
49 |
48 |
$2K |
| 86769 |
|
153 |
148 |
$1K |
| C1766 |
Intro/sheath,strble,non-peel |
776 |
679 |
$1K |
| J1953 |
Levetiracetam injection |
896 |
611 |
$1K |
| 87651 |
|
34 |
33 |
$1K |
| 85460 |
|
158 |
150 |
$1K |
| 71100 |
|
14 |
13 |
$1K |
| 86705 |
|
63 |
58 |
$1K |
| 86870 |
|
157 |
130 |
$1K |
| J2795 |
Ropivacaine hcl injection |
1,099 |
632 |
$1K |
| J0780 |
Prochlorperazine injection |
4,504 |
3,947 |
$1K |
| J1756 |
Iron sucrose injection |
1,516 |
489 |
$1K |
| 84030 |
|
15 |
14 |
$1K |
| Q9957 |
Inj perflutren lip micros,ml |
37 |
37 |
$1K |
| J2920 |
Methylprednisolone injection |
3,400 |
2,452 |
$1K |
| J0561 |
Penicillin g benzathine inj |
48 |
38 |
$1K |
| J7307 |
Etonogestrel implant system |
116 |
96 |
$1K |
| 86923 |
|
1,040 |
820 |
$1K |
| 87255 |
|
28 |
28 |
$1K |
| 77049 |
|
12 |
12 |
$1K |
| 87505 |
|
14 |
14 |
$1K |
| 83516 |
|
668 |
596 |
$1K |
| 0352U |
|
103 |
99 |
$1K |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
982 |
622 |
$986.81 |
| 80306 |
|
183 |
179 |
$983.53 |
| Q0162 |
Ondansetron oral |
8,389 |
7,392 |
$978.29 |
| 70496 |
|
1,047 |
990 |
$971.79 |
| 87798 |
|
55 |
54 |
$968.36 |
| 20610 |
|
29 |
27 |
$948.54 |
| C9463 |
Injection, aprepitant |
54 |
33 |
$916.34 |
| 78306 |
|
28 |
27 |
$910.26 |
| 87449 |
|
567 |
477 |
$888.72 |
| J7512 |
Prednisone ir or dr oral 1mg |
2,536 |
1,743 |
$884.66 |
| 85396 |
|
813 |
758 |
$873.41 |
| 74220 |
|
12 |
12 |
$841.31 |
| J0171 |
Adrenalin epinephrine inject |
1,848 |
1,177 |
$832.39 |
| 82746 |
|
2,443 |
2,309 |
$817.65 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
2,267 |
1,153 |
$817.00 |
| 19083 |
|
71 |
67 |
$816.08 |
| 80143 |
|
977 |
878 |
$811.61 |
| 87340 |
|
11,264 |
10,602 |
$795.67 |
| 86361 |
|
316 |
289 |
$760.67 |
| 87338 |
|
43 |
41 |
$745.66 |
| 51702 |
|
55 |
54 |
$692.75 |
| 87493 |
|
136 |
125 |
$653.29 |
| G8978 |
Mobility current status |
783 |
711 |
$651.12 |
| 84100 |
|
5,740 |
4,059 |
$643.56 |
| 87186 |
|
14,195 |
12,779 |
$624.17 |
| 86304 |
|
13 |
12 |
$621.57 |
| 90670 |
|
9,055 |
8,820 |
$601.00 |
| G0475 |
Hiv combination assay |
620 |
612 |
$596.33 |
| 90677 |
|
62 |
60 |
$582.66 |
| 88112 |
|
13 |
12 |
$526.00 |
| 82553 |
|
728 |
517 |
$503.95 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
536 |
376 |
$490.98 |
| 90461 |
|
13,173 |
12,561 |
$459.89 |
| J2469 |
Palonosetron hcl |
3,855 |
2,269 |
$452.00 |
| 94660 |
|
252 |
165 |
$447.78 |
| 84481 |
|
811 |
780 |
$426.26 |
| J2930 |
Methylprednisolone injection |
1,799 |
1,356 |
$416.50 |
| 84466 |
|
6,259 |
5,906 |
$415.20 |
| J7999 |
Compounded drug, noc |
1,916 |
1,792 |
$408.50 |
| 86787 |
|
128 |
119 |
$391.10 |
| 83525 |
|
69 |
64 |
$381.46 |
| 86200 |
|
232 |
225 |
$368.44 |
| 88342 |
|
2,510 |
2,261 |
$365.46 |
| 99205 |
Prolong outpt/office vis |
14 |
14 |
$344.12 |
| 82533 |
|
55 |
50 |
$322.27 |
| 86664 |
|
12 |
12 |
$305.94 |
| 85045 |
|
2,230 |
1,949 |
$273.05 |
| 80178 |
|
83 |
63 |
$264.85 |
| 99459 |
|
117 |
109 |
$255.05 |
| 82150 |
|
161 |
153 |
$237.73 |
| 84402 |
|
79 |
75 |
$232.60 |
| 82010 |
|
114 |
106 |
$232.11 |
| 86677 |
|
16 |
15 |
$232.09 |
| 97163 |
|
141 |
135 |
$228.50 |
| G8996 |
Swallow current status |
66 |
53 |
$214.06 |
| 88360 |
|
14 |
13 |
$213.12 |
| 82952 |
|
1,504 |
1,476 |
$195.75 |
| 96376 |
|
3,121 |
2,872 |
$188.31 |
| 90647 |
|
6,580 |
6,397 |
$179.66 |
| 90662 |
|
169 |
137 |
$179.46 |
| 83970 |
|
305 |
248 |
$173.63 |
| C1729 |
Cath, drainage |
28 |
27 |
$172.06 |
| 84165 |
|
635 |
588 |
$170.16 |
| 90633 |
|
3,480 |
3,395 |
$161.10 |
| 90656 |
|
106 |
106 |
$157.62 |
| 82248 |
|
306 |
253 |
$145.52 |
| 86901 |
|
20,155 |
17,983 |
$142.23 |
| 87101 |
|
12 |
12 |
$132.05 |
| P9047 |
Albumin (human), 25%, 50ml |
31 |
24 |
$123.51 |
| J8597 |
Antiemetic drug oral nos |
3,580 |
3,214 |
$118.95 |
| 84460 |
|
61 |
58 |
$109.21 |
| 96415 |
|
3,438 |
2,621 |
$95.22 |
| 85384 |
|
189 |
170 |
$85.51 |
| G8997 |
Swallow goal status |
75 |
57 |
$82.51 |
| 83520 |
|
39 |
29 |
$81.88 |
| 96417 |
|
2,838 |
1,851 |
$78.46 |
| 88302 |
|
145 |
141 |
$73.03 |
| 96367 |
|
3,242 |
2,149 |
$60.64 |
| 83883 |
|
419 |
382 |
$51.29 |
| 80051 |
|
21 |
13 |
$47.01 |
| 86431 |
|
907 |
866 |
$45.64 |
| 83921 |
|
17 |
17 |
$44.56 |
| J0330 |
Succinycholine chloride inj |
930 |
798 |
$41.60 |
| 96411 |
|
360 |
234 |
$35.92 |
| J2272 |
Inj, morphine (fresenius) |
1,467 |
1,305 |
$35.30 |
| 80177 |
|
29 |
29 |
$30.25 |
| 96416 |
|
550 |
297 |
$28.33 |
| 87205 |
|
4,135 |
3,703 |
$24.07 |
| 82652 |
|
25 |
24 |
$21.04 |
| 88300 |
|
25 |
24 |
$18.57 |
| 86376 |
|
56 |
55 |
$18.49 |
| 80179 |
|
840 |
768 |
$14.91 |
| 80185 |
|
13 |
12 |
$13.69 |
| J0360 |
Hydralazine hcl injection |
1,821 |
1,483 |
$12.71 |
| J1790 |
Droperidol injection |
549 |
496 |
$12.66 |
| 87206 |
|
43 |
36 |
$7.62 |
| G8984 |
Carry current status |
112 |
89 |
$3.19 |
| G8979 |
Mobility goal status |
884 |
782 |
$1.31 |
| J8540 |
Oral dexamethasone |
296 |
222 |
$1.00 |
| Q9969 |
Non-heu tc-99m add-on/dose |
1,624 |
1,515 |
$0.77 |
| 96368 |
|
1,190 |
754 |
$0.00 |
| 83550 |
|
1,176 |
1,119 |
$0.00 |
| J2785 |
Regadenoson injection |
1,148 |
1,091 |
$0.00 |
| J0610 |
Calcium glucon (fresenius) |
63 |
53 |
$0.00 |
| G8980 |
Mobility d/c status |
234 |
213 |
$0.00 |
| G0008 |
Admin influenza virus vac |
373 |
341 |
$0.00 |
| 90694 |
|
85 |
73 |
$0.00 |
| C2617 |
Stent, non-cor, tem w/o del |
13 |
13 |
$0.00 |
| J1630 |
Haloperidol injection |
537 |
425 |
$0.00 |
| 87181 |
|
17 |
16 |
$0.00 |
| G0257 |
Unsched dialysis esrd pt hos |
673 |
344 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
2,418 |
2,122 |
$0.00 |
| 36430 |
|
1,232 |
967 |
$0.00 |
| 90716 |
|
1,933 |
1,906 |
$0.00 |
| P9612 |
Catheterize for urine spec |
130 |
120 |
$0.00 |
| C9399 |
Unclassified drugs or biolog |
150 |
140 |
$0.00 |
| 87046 |
|
176 |
166 |
$0.00 |
| 87088 |
|
52 |
52 |
$0.00 |
| G8987 |
Self care current status |
179 |
163 |
$0.00 |
| 83002 |
|
170 |
161 |
$0.00 |
| 75574 |
|
25 |
25 |
$0.00 |
| J2997 |
Alteplase recombinant |
54 |
42 |
$0.00 |
| J9045 |
Carboplatin injection |
342 |
237 |
$0.00 |
| 86225 |
|
28 |
27 |
$0.00 |
| G0379 |
Direct refer hospital observ |
145 |
140 |
$0.00 |
| 86880 |
|
233 |
211 |
$0.00 |
| J9267 |
Paclitaxel injection |
27 |
12 |
$0.00 |
| 86258 |
|
14 |
14 |
$0.00 |
| G8988 |
Self care goal status |
181 |
163 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
16 |
12 |
$0.00 |
| A9561 |
Tc99m oxidronate |
24 |
24 |
$0.00 |
| A9503 |
Tc99m medronate |
94 |
81 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
36 |
25 |
$0.00 |
| 36561 |
|
12 |
12 |
$0.00 |
| J1950 |
Leuprolide acetate /3.75 mg |
14 |
12 |
$0.00 |
| 74174 |
|
37 |
36 |
$0.00 |
| 80320 |
|
504 |
465 |
$0.00 |
| J9299 |
Injection, nivolumab |
21 |
13 |
$0.00 |
| J1836 |
Inj, metronidazole, 10 mg |
63 |
46 |
$0.00 |
| 86364 |
|
14 |
14 |
$0.00 |
| J1920 |
Inj, labetalol hcl, 5mg |
246 |
135 |
$0.00 |
| 86255 |
|
83 |
79 |
$0.00 |
| 86300 |
|
90 |
64 |
$0.00 |
| A0433 |
Als 2 |
29 |
27 |
$0.00 |
| 84480 |
|
18 |
16 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
45 |
37 |
$0.00 |
| 96380 |
|
53 |
53 |
$0.00 |
| J8501 |
Oral aprepitant |
26 |
26 |
$0.00 |
| 66984 |
|
16 |
14 |
$0.00 |
| 88185 |
|
12 |
12 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
17 |
14 |
$0.00 |
| 90688 |
|
27 |
27 |
$0.00 |
| G0432 |
Eia hiv-1/hiv-2 screen |
71 |
55 |
$0.00 |
| J9022 |
Inj, atezolizumab,10 mg |
17 |
12 |
$0.00 |
| 99406 |
|
13 |
13 |
$0.00 |
| 86800 |
|
12 |
12 |
$0.00 |
| G8991 |
Other pt/ot goal status |
14 |
12 |
$0.00 |
| S2900 |
Robotic surgical system |
35 |
32 |
$0.00 |
| 85576 |
|
15 |
12 |
$0.00 |
| 80329 |
|
12 |
12 |
$0.00 |
| 84479 |
|
24 |
24 |
$0.00 |
| C1892 |
Intro/sheath,fixed,peel-away |
17 |
14 |
$0.00 |
| G0283 |
Elec stim other than wound |
26 |
13 |
$0.00 |
| 90700 |
|
1,681 |
1,645 |
$0.00 |
| G0279 |
Tomosynthesis, mammo |
1,171 |
1,132 |
$0.00 |
| 87899 |
|
320 |
313 |
$0.00 |
| J2506 |
Inj pegfilgrast ex bio 0.5mg |
36 |
28 |
$0.00 |
| J0694 |
Cefoxitin sodium injection |
100 |
88 |
$0.00 |
| 86696 |
|
145 |
138 |
$0.00 |
| J1453 |
Fosaprepitant injection |
231 |
134 |
$0.00 |
| 90734 |
|
1,483 |
1,324 |
$0.00 |
| J0692 |
Cefepime hcl for injection |
303 |
159 |
$0.00 |
| 88313 |
|
58 |
53 |
$0.00 |
| J0736 |
Inj, clindamycin phosp 300mg |
134 |
123 |
$0.00 |
| J3486 |
Ziprasidone mesylate |
338 |
185 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
446 |
327 |
$0.00 |
| 58571 |
|
37 |
36 |
$0.00 |
| J0640 |
Leucovorin calcium injection |
701 |
254 |
$0.00 |
| 29125 |
|
42 |
38 |
$0.00 |
| 90710 |
|
1,364 |
1,318 |
$0.00 |
| C1757 |
Cath, thrombectomy/embolect |
358 |
297 |
$0.00 |
| J9190 |
Fluorouracil injection |
759 |
260 |
$0.00 |
| 96381 |
|
15 |
15 |
$0.00 |
| 58661 |
|
182 |
180 |
$0.00 |
| C1776 |
Joint device (implantable) |
81 |
75 |
$0.00 |
| J9271 |
Inj pembrolizumab |
381 |
291 |
$0.00 |
| S0119 |
Ondansetron 4 mg |
163 |
143 |
$0.00 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
100 |
43 |
$0.00 |
| 74178 |
|
40 |
39 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
311 |
180 |
$0.00 |
| J1580 |
Garamycin gentamicin inj |
269 |
196 |
$0.00 |
| G8985 |
Carry goal status |
137 |
109 |
$0.00 |
| 87427 |
|
176 |
167 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
155 |
88 |
$0.00 |
| 51701 |
|
13 |
13 |
$0.00 |
| 90685 |
|
27 |
27 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
126 |
102 |
$0.00 |
| J1956 |
Levofloxacin injection |
19 |
14 |
$0.00 |
| 82705 |
|
12 |
12 |
$0.00 |
| 47562 |
|
89 |
89 |
$0.00 |
| 90672 |
|
45 |
43 |
$0.00 |
| J3489 |
Zoledronic acid 1mg |
110 |
103 |
$0.00 |
| 83721 |
|
12 |
12 |
$0.00 |
| J9263 |
Oxaliplatin |
34 |
12 |
$0.00 |
| 84425 |
|
29 |
28 |
$0.00 |
| 86235 |
|
55 |
42 |
$0.00 |
| 90678 |
|
17 |
15 |
$0.00 |
| 84450 |
|
15 |
14 |
$0.00 |
| D2930 |
|
15 |
15 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
15 |
13 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
13 |
13 |
$0.00 |
| 86665 |
|
12 |
12 |
$0.00 |
| C1788 |
Port, indwelling, imp |
12 |
12 |
$0.00 |