| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
32,304 |
27,246 |
$13.90M |
| 99285 |
|
22,037 |
13,666 |
$10.70M |
| G0378 |
Hospital observation per hr |
26,724 |
14,066 |
$9.24M |
| 74177 |
|
7,929 |
6,808 |
$5.68M |
| 74176 |
|
6,633 |
5,631 |
$3.48M |
| 80053 |
|
103,969 |
69,570 |
$2.33M |
| 93458 |
|
2,217 |
860 |
$2.29M |
| 93306 |
|
6,008 |
5,283 |
$2.28M |
| 70450 |
|
9,690 |
8,019 |
$2.25M |
| 99291 |
|
3,365 |
2,203 |
$2.15M |
| 99283 |
|
19,717 |
17,717 |
$2.06M |
| 43239 |
|
5,305 |
3,121 |
$2.00M |
| 85025 |
|
124,162 |
84,442 |
$1.79M |
| 72148 |
|
3,555 |
3,205 |
$1.66M |
| G0463 |
Hospital outpt clinic visit |
112,529 |
80,954 |
$1.63M |
| 96361 |
|
17,559 |
9,720 |
$1.63M |
| 93005 |
|
32,253 |
22,341 |
$1.06M |
| 96365 |
|
21,555 |
10,337 |
$941K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
13,831 |
10,379 |
$905K |
| 71260 |
|
3,038 |
2,100 |
$886K |
| 70551 |
|
1,999 |
1,645 |
$857K |
| 72125 |
|
2,592 |
2,333 |
$837K |
| 71045 |
|
21,594 |
17,039 |
$833K |
| 97110 |
|
12,947 |
3,226 |
$785K |
| 80307 |
|
19,776 |
16,734 |
$773K |
| 94640 |
|
8,872 |
3,809 |
$770K |
| 96374 |
|
22,099 |
13,726 |
$769K |
| 45380 |
|
2,005 |
1,326 |
$733K |
| 84484 |
|
21,965 |
14,435 |
$665K |
| 83735 |
|
26,069 |
18,083 |
$650K |
| 36415 |
|
265,448 |
92,814 |
$637K |
| 84443 |
|
24,320 |
22,345 |
$628K |
| 72131 |
|
2,332 |
2,046 |
$613K |
| 96366 |
|
9,604 |
5,301 |
$611K |
| 80048 |
|
37,914 |
24,359 |
$598K |
| 73721 |
|
1,380 |
1,166 |
$596K |
| G0480 |
Drug test def 1-7 classes |
14,983 |
9,961 |
$591K |
| 72141 |
|
1,309 |
1,107 |
$527K |
| 71275 |
|
1,135 |
1,016 |
$506K |
| 76705 |
|
5,331 |
4,747 |
$502K |
| 45378 |
|
1,044 |
707 |
$471K |
| 96372 |
|
35,250 |
17,823 |
$469K |
| 96413 |
|
5,646 |
2,119 |
$445K |
| 71250 |
|
1,809 |
1,562 |
$436K |
| 97530 |
|
7,634 |
2,518 |
$433K |
| 80061 |
|
16,751 |
12,934 |
$422K |
| 72128 |
|
1,264 |
1,145 |
$412K |
| 87040 |
|
9,748 |
7,035 |
$410K |
| 96367 |
|
9,817 |
3,373 |
$408K |
| 87631 |
|
5,604 |
5,233 |
$404K |
| 96375 |
|
17,789 |
11,708 |
$387K |
| 11042 |
|
3,528 |
1,758 |
$376K |
| 71046 |
|
11,205 |
8,262 |
$372K |
| 70553 |
|
658 |
497 |
$365K |
| 88305 |
|
5,456 |
4,397 |
$364K |
| 0241U |
|
6,393 |
5,858 |
$360K |
| 85730 |
|
11,968 |
9,752 |
$347K |
| 82607 |
|
11,509 |
10,637 |
$342K |
| 99282 |
|
4,786 |
4,407 |
$327K |
| 70486 |
|
1,293 |
1,211 |
$314K |
| 96376 |
|
9,506 |
5,085 |
$311K |
| U0002 |
Covid-19 lab test non-cdc |
12,384 |
9,789 |
$304K |
| U0003 |
Cov-19 amp prb hgh thruput |
10,230 |
8,944 |
$292K |
| 47563 |
|
253 |
179 |
$282K |
| 73221 |
|
639 |
555 |
$274K |
| 83690 |
|
10,578 |
9,002 |
$263K |
| 78815 |
|
547 |
375 |
$255K |
| 87086 |
|
16,190 |
13,302 |
$254K |
| 74022 |
|
2,785 |
2,561 |
$252K |
| 87902 |
|
1,084 |
986 |
$240K |
| 80074 |
|
4,647 |
4,176 |
$232K |
| 81001 |
|
30,403 |
25,163 |
$228K |
| D7140 |
|
372 |
308 |
$227K |
| 74018 |
|
5,362 |
4,409 |
$221K |
| 85610 |
|
16,502 |
12,868 |
$215K |
| 82306 |
|
5,886 |
5,421 |
$210K |
| 74178 |
|
304 |
223 |
$208K |
| 81025 |
|
10,420 |
9,042 |
$205K |
| 87502 |
|
4,617 |
4,249 |
$203K |
| J1439 |
Inj ferric carboxymaltos 1mg |
306 |
180 |
$201K |
| 93971 |
|
1,790 |
1,596 |
$198K |
| 96360 |
|
4,472 |
2,605 |
$193K |
| 92507 |
|
4,205 |
1,563 |
$188K |
| 73630 |
|
4,163 |
3,593 |
$186K |
| 82728 |
|
6,003 |
5,259 |
$185K |
| 87522 |
Neg quan hep c or qual rna |
5,213 |
4,777 |
$184K |
| C9803 |
Hopd covid-19 spec collect |
29,259 |
19,083 |
$182K |
| 93041 |
|
10,794 |
7,694 |
$181K |
| 71271 |
|
599 |
573 |
$178K |
| 73610 |
|
3,694 |
3,184 |
$170K |
| 73030 |
|
4,161 |
3,405 |
$166K |
| 82553 |
|
7,542 |
5,673 |
$166K |
| 84702 |
|
6,022 |
5,139 |
$162K |
| 84145 |
|
3,387 |
2,538 |
$162K |
| 78452 |
|
1,726 |
773 |
$159K |
| 82150 |
|
4,021 |
3,529 |
$158K |
| A9552 |
F18 fdg |
703 |
483 |
$157K |
| 87389 |
|
4,654 |
4,321 |
$156K |
| 78227 |
|
839 |
681 |
$150K |
| 83605 |
|
5,676 |
4,400 |
$150K |
| 72110 |
|
2,179 |
1,853 |
$143K |
| 73110 |
|
2,909 |
2,421 |
$141K |
| 84439 |
|
5,684 |
5,319 |
$140K |
| 72100 |
|
3,457 |
2,725 |
$139K |
| 87186 |
|
5,653 |
4,840 |
$139K |
| 82550 |
|
11,454 |
8,787 |
$134K |
| 73130 |
|
2,966 |
2,645 |
$134K |
| 83880 |
|
3,971 |
3,183 |
$131K |
| G0283 |
Elec stim other than wound |
4,403 |
1,045 |
$130K |
| 88342 |
|
1,230 |
1,035 |
$130K |
| 87070 |
|
6,683 |
4,637 |
$125K |
| 93970 |
|
868 |
783 |
$125K |
| 97597 |
|
2,146 |
1,168 |
$123K |
| G0379 |
Direct refer hospital observ |
3,260 |
1,828 |
$122K |
| 76536 |
|
1,011 |
921 |
$118K |
| 43235 |
|
282 |
191 |
$112K |
| 93880 |
|
1,117 |
959 |
$112K |
| 83036 |
|
10,024 |
9,358 |
$110K |
| 87651 |
|
5,804 |
5,440 |
$107K |
| 77067 |
|
2,732 |
2,627 |
$105K |
| 73564 |
|
1,908 |
1,686 |
$104K |
| 80076 |
|
4,912 |
4,373 |
$102K |
| 82746 |
|
2,781 |
2,530 |
$97K |
| 93017 |
|
997 |
921 |
$97K |
| J1756 |
Iron sucrose injection |
1,348 |
316 |
$92K |
| 83540 |
|
4,946 |
4,479 |
$92K |
| 96368 |
|
1,981 |
1,326 |
$91K |
| 99213 |
|
3,157 |
2,635 |
$91K |
| 86140 |
|
6,481 |
5,087 |
$91K |
| 83970 |
|
1,243 |
1,126 |
$90K |
| 73560 |
|
2,183 |
1,810 |
$89K |
| 47562 |
|
120 |
67 |
$88K |
| 94761 |
|
2,641 |
1,620 |
$85K |
| 73562 |
|
1,749 |
1,535 |
$84K |
| 59025 |
|
1,791 |
1,133 |
$84K |
| 77412 |
|
357 |
28 |
$83K |
| 45385 |
|
197 |
137 |
$83K |
| 99214 |
|
4,401 |
3,641 |
$82K |
| D2391 |
|
182 |
152 |
$82K |
| 86038 |
|
2,133 |
1,933 |
$80K |
| 73590 |
|
1,976 |
1,618 |
$79K |
| 84100 |
|
8,437 |
5,780 |
$79K |
| 76700 |
|
560 |
504 |
$77K |
| 76856 |
|
625 |
567 |
$77K |
| 97035 |
|
2,308 |
677 |
$77K |
| 83550 |
|
3,870 |
3,560 |
$71K |
| 73090 |
|
1,774 |
1,432 |
$71K |
| 87517 |
|
1,041 |
948 |
$69K |
| 73700 |
|
293 |
254 |
$69K |
| 86706 |
|
2,600 |
2,384 |
$68K |
| 82570 |
|
2,387 |
2,172 |
$68K |
| G2023 |
Specimen collect covid-19 |
4,077 |
3,170 |
$65K |
| 66984 |
|
141 |
52 |
$63K |
| 83516 |
|
1,701 |
1,346 |
$63K |
| U0005 |
Infec agen detec ampli probe |
8,067 |
6,874 |
$62K |
| 84146 |
|
1,975 |
1,713 |
$61K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
1,235 |
1,062 |
$61K |
| 87340 |
|
1,924 |
1,795 |
$59K |
| 76815 |
|
533 |
446 |
$57K |
| 72040 |
|
1,450 |
1,155 |
$57K |
| 80299 |
|
543 |
464 |
$57K |
| 73502 |
|
1,820 |
1,487 |
$56K |
| 82140 |
|
2,469 |
1,680 |
$55K |
| 97162 |
|
1,564 |
1,137 |
$55K |
| 76775 |
|
977 |
818 |
$55K |
| 85652 |
|
5,679 |
4,668 |
$53K |
| 0100U |
|
918 |
748 |
$52K |
| 97140 |
|
1,595 |
472 |
$50K |
| 87077 |
|
3,884 |
2,668 |
$49K |
| J2405 |
Ondansetron hcl injection |
5,747 |
3,912 |
$49K |
| 83883 |
|
1,488 |
1,281 |
$49K |
| 87880 |
|
4,732 |
4,245 |
$47K |
| 87076 |
|
4,797 |
3,067 |
$47K |
| 76830 |
|
387 |
358 |
$47K |
| 76000 |
|
882 |
753 |
$47K |
| 82172 |
|
1,660 |
1,437 |
$45K |
| 84703 |
|
3,287 |
2,927 |
$45K |
| A9500 |
Tc99m sestamibi |
441 |
405 |
$44K |
| 82803 |
|
1,432 |
1,092 |
$43K |
| 86850 |
|
3,711 |
2,961 |
$43K |
| 86803 |
|
2,005 |
1,887 |
$42K |
| 12001 |
|
558 |
513 |
$42K |
| 86704 |
|
1,772 |
1,655 |
$42K |
| C1769 |
Guide wire |
2,092 |
1,760 |
$41K |
| 73080 |
|
842 |
715 |
$40K |
| 96417 |
|
1,177 |
693 |
$40K |
| 76801 |
|
209 |
179 |
$38K |
| 97014 |
|
742 |
249 |
$37K |
| 91200 |
|
771 |
728 |
$37K |
| 97161 |
|
980 |
708 |
$36K |
| 86900 |
|
4,696 |
3,540 |
$36K |
| 97602 |
|
828 |
552 |
$35K |
| D2930 |
|
50 |
46 |
$35K |
| 76770 |
|
530 |
428 |
$34K |
| 86901 |
|
4,445 |
3,496 |
$34K |
| 72050 |
|
701 |
542 |
$34K |
| 87491 |
|
1,658 |
1,556 |
$33K |
| 95819 |
|
299 |
269 |
$33K |
| 80305 |
|
4,370 |
3,152 |
$33K |
| 99281 |
|
1,161 |
1,081 |
$33K |
| 88304 |
|
1,576 |
1,407 |
$32K |
| 86708 |
|
1,679 |
1,514 |
$32K |
| 72170 |
|
823 |
697 |
$32K |
| 90471 |
|
2,670 |
2,387 |
$32K |
| 82977 |
|
2,032 |
1,832 |
$31K |
| 83010 |
|
1,688 |
1,537 |
$31K |
| 94060 |
|
490 |
323 |
$30K |
| J2930 |
Methylprednisolone injection |
4,044 |
2,845 |
$29K |
| 36600 |
|
1,376 |
1,060 |
$29K |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
727 |
610 |
$28K |
| 77063 |
|
3,842 |
3,145 |
$28K |
| 83615 |
|
2,374 |
1,970 |
$28K |
| 82043 |
|
2,162 |
1,971 |
$27K |
| 82103 |
|
582 |
512 |
$25K |
| M0243 |
Casirivi and imdevi inj |
213 |
191 |
$24K |
| 85378 |
|
2,111 |
1,915 |
$23K |
| J1885 |
Ketorolac tromethamine inj |
15,985 |
11,801 |
$23K |
| 73565 |
|
483 |
456 |
$22K |
| 77336 |
|
254 |
71 |
$22K |
| 80202 |
|
802 |
371 |
$21K |
| 20610 |
|
463 |
377 |
$21K |
| 83521 |
|
549 |
440 |
$21K |
| 62323 |
|
115 |
111 |
$21K |
| J2710 |
Neostigmine methylslfte inj |
881 |
688 |
$21K |
| 87804 |
|
1,847 |
1,601 |
$20K |
| J0780 |
Prochlorperazine injection |
2,763 |
1,810 |
$20K |
| 86431 |
|
751 |
695 |
$20K |
| J0561 |
Penicillin g benzathine inj |
400 |
382 |
$19K |
| 82247 |
|
1,722 |
1,444 |
$19K |
| 85027 |
|
2,271 |
1,502 |
$19K |
| 86200 |
|
1,036 |
967 |
$19K |
| G0103 |
Psa screening |
2,246 |
730 |
$18K |
| 70491 |
|
92 |
63 |
$18K |
| 87591 |
|
915 |
878 |
$18K |
| 84156 |
|
1,276 |
1,145 |
$18K |
| G0297 |
Ldct for lung ca screen |
84 |
72 |
$18K |
| 86480 |
|
477 |
465 |
$18K |
| 94762 |
|
384 |
219 |
$18K |
| J0330 |
Succinycholine chloride inj |
1,785 |
1,499 |
$18K |
| 10061 |
|
16 |
14 |
$17K |
| 84550 |
|
1,837 |
1,595 |
$16K |
| 88341 |
|
154 |
111 |
$16K |
| 80164 |
|
1,323 |
1,142 |
$16K |
| 87507 |
|
83 |
76 |
$15K |
| 87275 |
|
1,727 |
1,458 |
$15K |
| 90715 |
|
415 |
401 |
$15K |
| J1644 |
Inj heparin sodium per 1000u |
3,536 |
1,943 |
$15K |
| 84460 |
|
1,507 |
1,355 |
$14K |
| 76642 |
|
339 |
319 |
$14K |
| Q0222 |
Bebtelovimab 175 mg |
61 |
57 |
$14K |
| 87634 |
|
388 |
357 |
$14K |
| 73100 |
|
370 |
326 |
$14K |
| J2920 |
Methylprednisolone injection |
1,868 |
642 |
$13K |
| J0696 |
Ceftriaxone sodium injection |
4,237 |
2,091 |
$13K |
| 82947 |
|
1,206 |
1,065 |
$13K |
| 76805 |
|
82 |
74 |
$13K |
| J0131 |
Inj, acetaminophen (nos) |
1,217 |
1,051 |
$13K |
| 82652 |
|
510 |
472 |
$13K |
| 87350 |
|
675 |
610 |
$13K |
| G0390 |
Trauma respons w/hosp criti |
32 |
31 |
$12K |
| A9537 |
Tc99m mebrofenin |
739 |
689 |
$12K |
| 87590 |
|
711 |
665 |
$12K |
| 86707 |
|
615 |
568 |
$12K |
| 72146 |
|
42 |
26 |
$12K |
| S2900 |
Robotic surgical system |
16 |
16 |
$11K |
| J3490 |
Drugs unclassified injection |
1,298 |
959 |
$11K |
| 73060 |
|
258 |
225 |
$11K |
| 99244 |
|
470 |
423 |
$11K |
| 81002 |
|
2,366 |
1,799 |
$11K |
| 84481 |
|
222 |
211 |
$11K |
| J2270 |
Morphine sulfate injection |
3,659 |
1,799 |
$11K |
| J0690 |
Cefazolin sodium injection |
2,323 |
1,433 |
$11K |
| 78454 |
|
81 |
38 |
$11K |
| 73521 |
|
135 |
126 |
$10K |
| 86709 |
|
505 |
452 |
$10K |
| 84153 |
|
453 |
397 |
$10K |
| 86592 |
|
1,160 |
1,073 |
$10K |
| 0002A |
|
957 |
921 |
$10K |
| 87276 |
|
1,535 |
1,408 |
$10K |
| 96415 |
|
211 |
137 |
$9K |
| 70488 |
|
26 |
26 |
$9K |
| 74246 |
|
76 |
58 |
$9K |
| 93925 |
|
77 |
69 |
$9K |
| 77066 |
Tomosynthesis, mammo |
132 |
105 |
$9K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
152 |
131 |
$8K |
| 72072 |
|
148 |
127 |
$8K |
| 99203 |
|
889 |
783 |
$8K |
| 76870 |
|
77 |
67 |
$8K |
| M0247 |
Sotrovimab infusion |
74 |
63 |
$8K |
| 94729 |
|
208 |
201 |
$8K |
| 0001A |
|
1,073 |
1,014 |
$8K |
| 88175 |
|
679 |
641 |
$8K |
| 73523 |
|
183 |
112 |
$8K |
| 77080 |
|
377 |
310 |
$8K |
| 99204 |
|
555 |
476 |
$8K |
| 96523 |
|
839 |
484 |
$7K |
| J2805 |
Sincalide injection |
92 |
86 |
$7K |
| 90714 |
|
475 |
447 |
$7K |
| 84436 |
|
352 |
318 |
$7K |
| J3370 |
Vancomycin hcl injection |
285 |
119 |
$7K |
| J2543 |
Piperacillin/tazobactam |
300 |
115 |
$7K |
| 84403 |
|
246 |
227 |
$7K |
| J3010 |
Fentanyl citrate injection |
3,301 |
2,800 |
$7K |
| 12002 |
|
98 |
97 |
$7K |
| 85379 |
|
424 |
385 |
$7K |
| 88185 |
|
77 |
49 |
$7K |
| 99499 |
|
129 |
115 |
$6K |
| 82390 |
|
231 |
213 |
$6K |
| D2392 |
|
13 |
13 |
$6K |
| 82565 |
|
439 |
385 |
$6K |
| D2330 |
|
13 |
12 |
$6K |
| 82465 |
|
536 |
421 |
$6K |
| 84132 |
|
630 |
488 |
$6K |
| 80143 |
|
548 |
506 |
$6K |
| 86256 |
|
105 |
92 |
$6K |
| 86804 |
|
243 |
212 |
$6K |
| 17110 |
|
402 |
354 |
$5K |
| 82248 |
|
249 |
207 |
$5K |
| 87430 |
|
598 |
510 |
$5K |
| J1040 |
Methylprednisolone 80 mg inj |
464 |
419 |
$5K |
| 84478 |
|
519 |
450 |
$5K |
| C1776 |
Joint device (implantable) |
15 |
12 |
$5K |
| 87661 |
|
281 |
263 |
$5K |
| 94010 |
|
336 |
273 |
$5K |
| 73600 |
|
142 |
125 |
$5K |
| 99212 |
|
514 |
436 |
$5K |
| 73620 |
|
148 |
124 |
$5K |
| 97166 |
|
99 |
94 |
$5K |
| 82274 |
|
199 |
148 |
$5K |
| J3420 |
Vitamin b12 injection |
1,348 |
1,134 |
$5K |
| V2632 |
Post chmbr intraocular lens |
47 |
32 |
$5K |
| 86703 |
|
449 |
355 |
$5K |
| 84450 |
|
491 |
430 |
$5K |
| J2919 |
Inj, methylpred sod succ 5mg |
432 |
230 |
$5K |
| J1170 |
Hydromorphone injection |
2,560 |
1,784 |
$5K |
| 86705 |
|
144 |
139 |
$5K |
| 73070 |
|
197 |
168 |
$5K |
| 90686 |
|
481 |
423 |
$5K |
| Q0247 |
Sotrovimab |
87 |
66 |
$5K |
| 93242 |
|
467 |
452 |
$4K |
| 85045 |
|
738 |
683 |
$4K |
| 86160 |
|
29 |
29 |
$4K |
| J1956 |
Levofloxacin injection |
733 |
396 |
$4K |
| 82948 |
|
1,536 |
939 |
$4K |
| 87449 |
|
83 |
68 |
$4K |
| 11045 |
|
22 |
14 |
$4K |
| J1100 |
Dexamethasone sodium phos |
1,758 |
1,354 |
$4K |
| 86762 |
|
321 |
304 |
$4K |
| 94726 |
|
207 |
200 |
$4K |
| 87205 |
|
908 |
752 |
$4K |
| 73522 |
|
44 |
43 |
$4K |
| 72020 |
|
150 |
123 |
$4K |
| 70544 |
|
15 |
13 |
$3K |
| 84480 |
|
128 |
118 |
$3K |
| G0279 |
Tomosynthesis, mammo |
402 |
310 |
$3K |
| 51702 |
|
120 |
98 |
$3K |
| 77065 |
Tomosynthesis, mammo |
52 |
41 |
$3K |
| J2360 |
Orphenadrine injection |
353 |
316 |
$3K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
25 |
25 |
$3K |
| 78306 |
|
41 |
27 |
$3K |
| 0012A |
|
330 |
322 |
$3K |
| 73552 |
|
60 |
55 |
$3K |
| J2785 |
Regadenoson injection |
50 |
49 |
$3K |
| 86235 |
|
70 |
66 |
$3K |
| 83001 |
|
70 |
66 |
$3K |
| 83520 |
|
53 |
53 |
$3K |
| A9270 |
Non-covered item or service |
3,483 |
275 |
$3K |
| 73120 |
|
86 |
82 |
$3K |
| 82104 |
|
351 |
323 |
$3K |
| 83037 |
|
760 |
709 |
$3K |
| 87150 |
|
13 |
12 |
$2K |
| 82962 |
|
1,383 |
786 |
$2K |
| 71101 |
|
42 |
38 |
$2K |
| 29125 |
|
61 |
54 |
$2K |
| 83921 |
|
62 |
57 |
$2K |
| J2806 |
Inj sincalide, maia, 5 mcg |
18 |
18 |
$2K |
| 86308 |
|
195 |
181 |
$2K |
| 77417 |
|
37 |
14 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
2,004 |
1,769 |
$2K |
| 87633 |
|
20 |
18 |
$2K |
| 95910 |
|
74 |
67 |
$2K |
| 99215 |
Prolong outpt/office vis |
45 |
40 |
$2K |
| 0011A |
|
355 |
338 |
$2K |
| 88307 |
|
18 |
15 |
$2K |
| 87075 |
|
85 |
73 |
$2K |
| J3475 |
Inj magnesium sulfate |
294 |
156 |
$2K |
| 10060 |
|
15 |
14 |
$2K |
| J1030 |
Methylprednisolone 40 mg inj |
227 |
206 |
$2K |
| J0736 |
Inj, clindamycin phosp 300mg |
179 |
128 |
$2K |
| 76882 |
|
60 |
48 |
$2K |
| 80185 |
|
105 |
80 |
$2K |
| C9290 |
Inj, bupivacaine liposome |
23 |
13 |
$2K |
| 93270 |
|
41 |
41 |
$2K |
| 84520 |
|
139 |
131 |
$2K |
| 12011 |
|
31 |
31 |
$2K |
| 94760 |
|
311 |
262 |
$2K |
| 92523 |
|
21 |
19 |
$2K |
| 88108 |
|
144 |
115 |
$2K |
| 88142 |
|
77 |
70 |
$1K |
| 77085 |
|
88 |
47 |
$1K |
| 82009 |
|
110 |
96 |
$1K |
| J1650 |
Inj enoxaparin sodium |
63 |
25 |
$1K |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
802 |
710 |
$1K |
| C1730 |
Cath, ep, 19 or few elect |
164 |
152 |
$1K |
| 80171 |
|
30 |
29 |
$1K |
| 86756 |
|
215 |
206 |
$1K |
| 96416 |
|
19 |
12 |
$1K |
| 0097U |
|
31 |
24 |
$1K |
| 93320 |
|
18 |
15 |
$1K |
| J2780 |
Ranitidine hydrochloride inj |
151 |
131 |
$1K |
| Q2039 |
Influenza virus vaccine, nos |
103 |
100 |
$1K |
| 83655 |
|
46 |
45 |
$1K |
| C1894 |
Intro/sheath, non-laser |
253 |
205 |
$1K |
| J2370 |
Phenylephrine hcl injection |
225 |
185 |
$1K |
| 74420 |
|
13 |
13 |
$1K |
| 87480 |
|
114 |
102 |
$1K |
| 83002 |
|
28 |
25 |
$1K |
| 87510 |
|
100 |
98 |
$1K |
| Q0162 |
Ondansetron oral |
25 |
12 |
$1K |
| 84270 |
|
61 |
54 |
$1K |
| 85384 |
|
61 |
47 |
$1K |
| 82272 |
|
324 |
239 |
$998.64 |
| 95909 |
|
30 |
28 |
$994.24 |
| 72070 |
|
13 |
12 |
$967.10 |
| G8978 |
Mobility current status |
176 |
55 |
$965.95 |
| J3301 |
Triamcinolone acet inj nos |
96 |
72 |
$960.77 |
| 81490 |
|
14 |
14 |
$955.50 |
| 85014 |
|
138 |
95 |
$945.64 |
| 87660 |
|
100 |
98 |
$924.35 |
| 87338 |
|
44 |
39 |
$901.14 |
| 85018 |
|
126 |
88 |
$900.98 |
| 93922 |
|
32 |
28 |
$868.83 |
| G0008 |
Admin influenza virus vac |
130 |
125 |
$868.61 |
| C1889 |
Implant/insert device, noc |
29 |
25 |
$833.08 |
| 95886 |
|
73 |
66 |
$757.83 |
| 82378 |
|
15 |
12 |
$754.52 |
| C1725 |
Cath, translumin non-laser |
13 |
13 |
$726.27 |
| 82785 |
|
13 |
13 |
$725.37 |
| 99195 |
|
19 |
18 |
$720.80 |
| 87653 |
|
42 |
38 |
$708.60 |
| J1720 |
Hydrocortisone sodium succ i |
58 |
51 |
$672.71 |
| 76857 |
|
30 |
27 |
$671.99 |
| 85660 |
|
75 |
47 |
$650.41 |
| Q3014 |
Telehealth facility fee |
326 |
277 |
$639.66 |
| 90791 |
|
29 |
16 |
$625.70 |
| 93000 |
|
45 |
29 |
$615.76 |
| 82105 |
|
44 |
40 |
$609.57 |
| J9190 |
Fluorouracil injection |
30 |
12 |
$587.88 |
| G0296 |
Visit to determ ldct elig |
102 |
66 |
$586.38 |
| 99243 |
|
33 |
31 |
$575.85 |
| 80050 |
|
32 |
29 |
$572.26 |
| C2617 |
Stent, non-cor, tem w/o del |
15 |
12 |
$547.35 |
| G0403 |
Ekg for initial prevent exam |
37 |
28 |
$538.45 |
| 0004A |
|
70 |
68 |
$532.83 |
| 93010 |
|
138 |
115 |
$521.64 |
| J8540 |
Oral dexamethasone |
277 |
121 |
$519.48 |
| 99205 |
Prolong outpt/office vis |
33 |
32 |
$518.24 |
| J2310 |
Inj naloxone hydrochloride |
32 |
26 |
$473.29 |
| 90656 |
|
19 |
19 |
$456.74 |
| J2469 |
Palonosetron hcl |
64 |
38 |
$435.06 |
| 83721 |
|
35 |
32 |
$428.07 |
| U0004 |
Cov-19 test non-cdc hgh thru |
15 |
12 |
$424.00 |
| 97116 |
|
21 |
12 |
$420.16 |
| 90633 |
|
18 |
18 |
$414.47 |
| 90662 |
|
33 |
30 |
$405.24 |
| 99202 |
|
60 |
50 |
$404.04 |
| J1790 |
Droperidol injection |
48 |
45 |
$400.27 |
| 87635 |
|
17 |
16 |
$396.20 |
| J1200 |
Diphenhydramine hcl injectio |
549 |
455 |
$387.82 |
| 36416 |
|
191 |
111 |
$386.93 |
| Q9969 |
Non-heu tc-99m add-on/dose |
294 |
275 |
$383.93 |
| 0064A |
|
54 |
50 |
$372.84 |
| J0360 |
Hydralazine hcl injection |
58 |
41 |
$365.61 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
57 |
36 |
$364.84 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
316 |
246 |
$357.72 |
| 90632 |
|
23 |
20 |
$348.80 |
| 83525 |
|
14 |
13 |
$344.44 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
43 |
16 |
$328.60 |
| 87493 |
|
22 |
17 |
$295.99 |
| 87081 |
|
17 |
14 |
$289.41 |
| 97164 |
|
25 |
12 |
$273.17 |
| 84402 |
|
20 |
16 |
$271.72 |
| J2470 |
Inj pantoprazole sodium 40mg |
92 |
51 |
$267.59 |
| J2765 |
Metoclopramide hcl injection |
330 |
259 |
$239.86 |
| 0296T |
|
14 |
13 |
$229.50 |
| 86037 |
|
24 |
24 |
$216.35 |
| J7510 |
Prednisolone oral per 5 mg |
118 |
110 |
$214.65 |
| J1940 |
Furosemide injection |
118 |
63 |
$203.00 |
| 84134 |
|
13 |
13 |
$184.75 |
| 29700 |
|
38 |
28 |
$171.26 |
| J2060 |
Lorazepam injection |
238 |
189 |
$167.96 |
| 80178 |
|
14 |
12 |
$154.01 |
| 85007 |
|
19 |
13 |
$150.48 |
| A9503 |
Tc99m medronate |
78 |
73 |
$138.69 |
| 88302 |
|
22 |
13 |
$136.17 |
| J3411 |
Thiamine hcl 100 mg |
39 |
27 |
$107.17 |
| 81003 |
|
15 |
13 |
$104.26 |
| J3480 |
Inj potassium chloride |
17 |
13 |
$97.11 |
| 0003A |
|
14 |
14 |
$86.40 |
| 86580 |
|
30 |
28 |
$83.97 |
| J3410 |
Hydroxyzine hcl injection |
15 |
12 |
$68.39 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
13 |
12 |
$17.16 |
| Q0244 |
Casirivi and imdevi 1200 mg |
174 |
160 |
$0.18 |
| G8979 |
Mobility goal status |
21 |
14 |
$0.02 |
| Q0243 |
Casirivimab and imdevimab |
39 |
31 |
$0.01 |