| Code | Description | Claims | Beneficiaries | Total Paid |
| 99211 |
|
488,964 |
412,175 |
$45.85M |
| 90832 |
|
253,130 |
125,580 |
$37.59M |
| 99213 |
|
255,935 |
204,037 |
$29.29M |
| 99214 |
|
88,118 |
73,463 |
$9.97M |
| 99212 |
|
66,604 |
55,192 |
$9.74M |
| 99283 |
|
45,355 |
42,999 |
$9.69M |
| 90834 |
|
52,064 |
28,573 |
$8.06M |
| D0999 |
|
184,354 |
55,774 |
$7.43M |
| 99284 |
|
35,710 |
33,920 |
$7.39M |
| 99285 |
|
33,098 |
31,490 |
$6.50M |
| D0120 |
|
156,855 |
63,540 |
$5.80M |
| G0378 |
Hospital observation per hr |
6,291 |
5,820 |
$5.68M |
| 99282 |
|
23,214 |
21,888 |
$5.03M |
| 97110 |
|
59,664 |
20,756 |
$4.61M |
| 90686 |
|
138,199 |
69,334 |
$4.39M |
| D1120 |
|
74,804 |
42,806 |
$4.29M |
| 92507 |
|
47,599 |
12,382 |
$4.20M |
| 99392 |
|
41,825 |
35,770 |
$3.48M |
| 96361 |
|
20,882 |
17,201 |
$3.27M |
| 99393 |
|
33,805 |
30,999 |
$3.08M |
| 99391 |
|
37,500 |
30,994 |
$3.03M |
| 36415 |
|
81,342 |
47,766 |
$2.74M |
| 90460 |
|
99,557 |
98,156 |
$2.62M |
| D1110 |
|
38,285 |
25,917 |
$2.56M |
| 99395 |
|
25,062 |
23,137 |
$2.38M |
| 99396 |
|
22,427 |
20,774 |
$2.38M |
| 99394 |
|
24,369 |
22,900 |
$2.27M |
| D1351 |
|
36,477 |
12,405 |
$2.21M |
| 90791 |
|
12,552 |
12,047 |
$1.94M |
| D2392 |
|
21,396 |
12,965 |
$1.73M |
| 43239 |
|
2,476 |
2,441 |
$1.60M |
| D0150 |
|
33,268 |
15,581 |
$1.58M |
| 90651 |
|
25,503 |
11,147 |
$1.56M |
| 87880 |
|
21,474 |
13,150 |
$1.52M |
| D2391 |
|
19,984 |
12,193 |
$1.48M |
| C1889 |
Implant/insert device, noc |
4,354 |
4,051 |
$1.42M |
| G0463 |
Hospital outpt clinic visit |
25,978 |
19,143 |
$1.35M |
| 93458 |
|
761 |
735 |
$1.29M |
| 45380 |
|
1,717 |
1,697 |
$1.24M |
| 45378 |
|
1,534 |
1,524 |
$1.13M |
| U0003 |
Cov-19 amp prb hgh thruput |
17,198 |
16,473 |
$1.11M |
| Q3014 |
Telehealth facility fee |
8,499 |
8,104 |
$1.10M |
| D0220 |
|
76,894 |
62,697 |
$1.09M |
| 41899 |
|
899 |
896 |
$1.07M |
| 70450 |
|
6,634 |
6,381 |
$1.07M |
| D0272 |
|
33,902 |
20,293 |
$1.07M |
| 97530 |
|
18,655 |
6,879 |
$1.05M |
| 93975 |
|
2,893 |
2,848 |
$1.01M |
| D7140 |
|
23,012 |
9,778 |
$1.00M |
| 74177 |
|
6,020 |
5,914 |
$992K |
| 99203 |
|
7,585 |
6,793 |
$946K |
| 96360 |
|
7,319 |
7,036 |
$923K |
| 90670 |
|
48,770 |
14,302 |
$842K |
| 97112 |
|
13,282 |
4,906 |
$798K |
| 90656 |
|
21,847 |
9,433 |
$781K |
| 90471 |
|
52,159 |
50,918 |
$736K |
| D0274 |
|
32,269 |
19,863 |
$719K |
| 90792 |
|
4,184 |
4,120 |
$695K |
| 96372 |
|
25,052 |
18,760 |
$684K |
| 76700 |
|
2,836 |
2,794 |
$662K |
| 90633 |
|
27,995 |
9,439 |
$640K |
| 92012 |
|
6,080 |
5,217 |
$636K |
| S2900 |
Robotic surgical system |
422 |
417 |
$633K |
| 77067 |
|
5,395 |
5,330 |
$591K |
| D0140 |
|
18,927 |
11,448 |
$588K |
| 90846 |
|
5,656 |
4,070 |
$586K |
| D1206 |
|
23,735 |
22,834 |
$571K |
| 81025 |
|
10,645 |
6,894 |
$541K |
| 99202 |
|
4,133 |
4,026 |
$540K |
| 87633 |
|
5,291 |
5,208 |
$529K |
| J2426 |
Inj, invega sustenna, 1 mg |
488 |
452 |
$528K |
| 10E0XZZ |
|
728 |
91 |
$507K |
| 83036 |
|
20,874 |
16,228 |
$494K |
| 95708 |
|
1,548 |
871 |
$486K |
| 80048 |
|
54,967 |
47,147 |
$484K |
| 80076 |
|
35,645 |
32,176 |
$480K |
| 90853 |
|
4,457 |
2,473 |
$422K |
| 90750 |
|
3,422 |
3,387 |
$397K |
| 99381 |
|
4,457 |
4,377 |
$386K |
| 86703 |
|
8,812 |
5,552 |
$381K |
| 90837 |
|
1,983 |
1,425 |
$369K |
| 99281 |
|
1,746 |
1,703 |
$369K |
| 45385 |
|
701 |
693 |
$359K |
| D0230 |
|
40,855 |
37,744 |
$356K |
| 76856 |
|
3,736 |
3,646 |
$350K |
| C1769 |
Guide wire |
1,979 |
1,841 |
$338K |
| 96365 |
|
3,657 |
3,456 |
$337K |
| 93976 |
|
1,106 |
1,080 |
$331K |
| 76770 |
|
1,394 |
1,368 |
$318K |
| 90715 |
|
12,792 |
12,281 |
$306K |
| 86850 |
|
15,768 |
15,018 |
$306K |
| D9310 |
|
4,908 |
3,087 |
$288K |
| 97161 |
|
3,912 |
3,881 |
$281K |
| 90461 |
|
18,749 |
18,509 |
$279K |
| 99291 |
|
1,481 |
1,457 |
$274K |
| 93306 |
|
1,787 |
1,767 |
$271K |
| 99385 |
|
2,567 |
2,537 |
$261K |
| 12001 |
|
951 |
946 |
$260K |
| 88305 |
|
6,867 |
6,743 |
$255K |
| 76830 |
|
4,514 |
4,256 |
$255K |
| 84703 |
|
32,521 |
28,494 |
$251K |
| 74176 |
|
1,403 |
1,383 |
$249K |
| 90746 |
|
4,358 |
4,343 |
$244K |
| 92014 |
|
2,289 |
1,989 |
$242K |
| 59025 |
|
3,628 |
3,187 |
$237K |
| 54161 |
|
193 |
193 |
$232K |
| 90681 |
|
14,285 |
6,651 |
$228K |
| 86900 |
|
15,839 |
15,071 |
$224K |
| 12011 |
|
780 |
772 |
$220K |
| 76641 |
|
2,429 |
1,979 |
$217K |
| 97140 |
|
9,110 |
3,974 |
$205K |
| 85610 |
|
17,763 |
15,140 |
$199K |
| 99204 |
|
1,570 |
1,477 |
$197K |
| 0002A |
|
5,079 |
5,072 |
$196K |
| 86901 |
|
15,833 |
15,062 |
$195K |
| D2930 |
|
2,640 |
1,310 |
$194K |
| U0005 |
Infec agen detec ampli probe |
11,708 |
11,201 |
$193K |
| C7901 |
Hopd mntl hlt, 30-60 min |
3,397 |
1,860 |
$190K |
| 87635 |
|
13,256 |
12,780 |
$189K |
| J3490 |
Drugs unclassified injection |
27,317 |
16,216 |
$189K |
| 82948 |
|
31,151 |
21,034 |
$187K |
| 0001A |
|
5,337 |
5,319 |
$184K |
| 97802 |
|
4,545 |
4,519 |
$183K |
| D0210 |
|
5,803 |
4,951 |
$181K |
| 95700 |
|
958 |
954 |
$180K |
| 76815 |
|
3,424 |
2,999 |
$173K |
| 90674 |
|
4,860 |
1,811 |
$172K |
| 71275 |
|
949 |
932 |
$168K |
| 87631 |
|
3,298 |
2,255 |
$167K |
| 99386 |
|
1,480 |
1,462 |
$162K |
| 99401 |
|
2,633 |
2,549 |
$158K |
| D0160 |
|
4,936 |
2,577 |
$155K |
| 90620 |
|
5,355 |
2,593 |
$154K |
| 97162 |
|
2,235 |
2,214 |
$150K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
73 |
73 |
$150K |
| 90707 |
|
6,108 |
4,601 |
$150K |
| 0241U |
|
20,836 |
19,598 |
$144K |
| 47562 |
|
68 |
66 |
$143K |
| 77065 |
Tomosynthesis, mammo |
1,366 |
1,322 |
$143K |
| 77066 |
Tomosynthesis, mammo |
1,044 |
1,026 |
$136K |
| 76642 |
|
1,827 |
1,726 |
$135K |
| D0270 |
|
6,957 |
5,200 |
$134K |
| 58558 |
|
103 |
103 |
$130K |
| 90472 |
|
8,603 |
8,499 |
$125K |
| 96374 |
|
20,535 |
19,019 |
$125K |
| 92550 |
|
3,211 |
3,115 |
$120K |
| 82803 |
|
10,362 |
9,516 |
$119K |
| 87651 |
|
4,995 |
4,952 |
$116K |
| 99201 |
|
1,576 |
1,517 |
$111K |
| 77063 |
|
2,807 |
2,772 |
$107K |
| 93970 |
|
433 |
424 |
$107K |
| 3E0234Z |
|
344 |
45 |
$107K |
| 87502 |
|
2,359 |
1,765 |
$101K |
| 88342 |
|
2,182 |
2,152 |
$96K |
| 97803 |
|
3,516 |
3,482 |
$96K |
| D9430 |
|
1,981 |
1,483 |
$94K |
| J1050 |
Medroxyprogesterone acetate |
1,983 |
1,965 |
$94K |
| J0561 |
Penicillin g benzathine inj |
561 |
477 |
$93K |
| 94640 |
|
2,428 |
1,758 |
$91K |
| 92523 |
|
445 |
441 |
$91K |
| 97535 |
|
2,871 |
1,158 |
$91K |
| C1874 |
Stent, coated/cov w/del sys |
24 |
24 |
$88K |
| 90685 |
|
2,599 |
1,112 |
$84K |
| 90734 |
|
3,193 |
2,393 |
$82K |
| 96366 |
|
846 |
805 |
$82K |
| J7307 |
Etonogestrel implant system |
110 |
109 |
$78K |
| 93005 |
|
34,648 |
32,411 |
$77K |
| 88307 |
|
1,179 |
1,169 |
$76K |
| J7298 |
Mirena, 52 mg |
70 |
68 |
$76K |
| 76705 |
|
2,310 |
2,270 |
$74K |
| D9110 |
|
2,068 |
1,406 |
$71K |
| C1725 |
Cath, translumin non-laser |
68 |
65 |
$71K |
| 71046 |
|
12,582 |
12,251 |
$70K |
| D9230 |
|
2,855 |
2,440 |
$70K |
| 12002 |
|
255 |
251 |
$69K |
| 90732 |
|
899 |
883 |
$68K |
| 90716 |
|
3,452 |
3,422 |
$68K |
| J7050 |
Normal saline solution infus |
15,963 |
13,591 |
$68K |
| 90677 |
|
892 |
892 |
$67K |
| 86580 |
|
3,235 |
2,697 |
$67K |
| 95816 |
|
222 |
219 |
$67K |
| 76817 |
|
1,169 |
1,054 |
$66K |
| 76000 |
|
1,306 |
1,273 |
$65K |
| 99215 |
Prolong outpt/office vis |
552 |
525 |
$63K |
| J7120 |
Ringers lactate infusion |
19,508 |
17,510 |
$63K |
| 99397 |
|
821 |
809 |
$63K |
| 83880 |
|
4,239 |
4,087 |
$60K |
| 92526 |
|
837 |
320 |
$60K |
| D1354 |
|
2,591 |
496 |
$59K |
| C1887 |
Catheter, guiding |
424 |
412 |
$58K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
8,349 |
8,066 |
$56K |
| 80307 |
|
2,236 |
2,107 |
$55K |
| 88720 |
|
4,130 |
3,005 |
$55K |
| 99406 |
|
5,722 |
5,571 |
$55K |
| D0330 |
|
2,178 |
1,777 |
$54K |
| 90662 |
|
1,794 |
1,773 |
$54K |
| 93798 |
|
1,408 |
320 |
$54K |
| 87491 |
|
2,576 |
2,531 |
$53K |
| 0004A |
|
1,353 |
1,347 |
$52K |
| 92250 |
|
1,214 |
1,200 |
$52K |
| G0481 |
Drug test def 8-14 classes |
1,384 |
1,303 |
$49K |
| 76536 |
|
502 |
497 |
$48K |
| 99383 |
|
472 |
471 |
$47K |
| 93303 |
|
282 |
280 |
$45K |
| 92579 |
|
1,332 |
1,329 |
$45K |
| 73630 |
|
2,945 |
2,688 |
$44K |
| C1894 |
Intro/sheath, non-laser |
642 |
627 |
$43K |
| 99384 |
|
410 |
406 |
$43K |
| 92557 |
|
1,626 |
1,618 |
$41K |
| 88341 |
|
836 |
817 |
$41K |
| 87636 |
|
1,544 |
1,519 |
$40K |
| 99173 |
|
806 |
466 |
$39K |
| 10060 |
|
163 |
163 |
$39K |
| 90648 |
|
2,669 |
919 |
$38K |
| C9600 |
Perc drug-el cor stent sing |
14 |
13 |
$37K |
| 0071A |
|
940 |
937 |
$36K |
| 90833 |
|
427 |
365 |
$35K |
| 70486 |
|
1,122 |
1,104 |
$34K |
| 88304 |
|
1,140 |
1,138 |
$33K |
| 93971 |
|
713 |
699 |
$33K |
| 0072A |
|
826 |
826 |
$33K |
| 58300 |
|
402 |
396 |
$33K |
| 71260 |
|
429 |
424 |
$32K |
| 97542 |
|
216 |
211 |
$31K |
| 70496 |
|
185 |
183 |
$31K |
| D1208 |
|
1,402 |
1,299 |
$29K |
| 87591 |
|
2,573 |
2,527 |
$29K |
| 96375 |
|
11,462 |
10,608 |
$27K |
| 93325 |
|
1,375 |
1,347 |
$26K |
| 87428 |
|
566 |
513 |
$26K |
| 97165 |
|
368 |
366 |
$24K |
| 44970 |
|
12 |
12 |
$24K |
| J2704 |
Inj, propofol, 10 mg |
19,017 |
11,933 |
$24K |
| 72125 |
|
2,159 |
2,104 |
$24K |
| 90480 |
|
587 |
586 |
$23K |
| 99442 |
|
483 |
468 |
$23K |
| 85025 |
|
44,688 |
38,404 |
$22K |
| J7300 |
Intra copp contra (paragard) |
24 |
24 |
$22K |
| 93454 |
|
12 |
12 |
$22K |
| 93304 |
|
176 |
172 |
$21K |
| S9465 |
Diabetic management program, |
195 |
172 |
$21K |
| 90696 |
|
2,176 |
1,553 |
$19K |
| D1353 |
|
503 |
182 |
$19K |
| J7030 |
Normal saline solution infus |
6,279 |
5,475 |
$19K |
| 93320 |
|
307 |
306 |
$19K |
| 0012A |
|
456 |
455 |
$18K |
| S9140 |
Diabetic management program, |
146 |
132 |
$17K |
| D2393 |
|
175 |
94 |
$17K |
| 77061 |
|
713 |
704 |
$17K |
| D3330 |
|
65 |
42 |
$17K |
| 90744 |
|
4,226 |
4,015 |
$16K |
| 99382 |
|
164 |
163 |
$16K |
| 90882 |
|
74 |
36 |
$16K |
| 77062 |
|
695 |
683 |
$16K |
| 73562 |
|
1,773 |
1,646 |
$16K |
| 71045 |
|
6,889 |
6,597 |
$15K |
| 81002 |
|
2,471 |
2,365 |
$15K |
| 90473 |
|
2,548 |
2,540 |
$15K |
| D0190 |
|
752 |
750 |
$15K |
| 90749 |
|
849 |
760 |
$14K |
| 90697 |
|
3,587 |
3,356 |
$14K |
| J1885 |
Ketorolac tromethamine inj |
18,397 |
16,736 |
$14K |
| 0124A |
|
373 |
372 |
$14K |
| 72100 |
|
856 |
851 |
$14K |
| 87426 |
|
451 |
266 |
$13K |
| 73610 |
|
2,060 |
1,985 |
$12K |
| D9219 |
|
270 |
155 |
$12K |
| 91320 |
|
115 |
115 |
$12K |
| 92004 |
|
119 |
63 |
$12K |
| 0011A |
|
536 |
531 |
$12K |
| 80061 |
|
1,150 |
1,138 |
$12K |
| D4341 |
|
174 |
68 |
$12K |
| 58301 |
|
132 |
129 |
$11K |
| 72131 |
|
411 |
409 |
$11K |
| 96161 |
|
424 |
373 |
$11K |
| P9016 |
Rbc leukocytes reduced |
33 |
27 |
$11K |
| D9991 |
|
367 |
204 |
$11K |
| 36416 |
|
1,805 |
1,626 |
$10K |
| J0690 |
Cefazolin sodium injection |
4,099 |
3,764 |
$10K |
| 73502 |
|
730 |
704 |
$10K |
| 92340 |
|
50 |
50 |
$10K |
| G0238 |
Oth resp proc, indiv |
161 |
51 |
$10K |
| 87070 |
|
3,220 |
3,004 |
$10K |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
2,135 |
2,098 |
$10K |
| 94060 |
|
160 |
159 |
$10K |
| 0054A |
|
275 |
272 |
$9K |
| 36430 |
|
33 |
27 |
$9K |
| 29125 |
|
44 |
43 |
$9K |
| J0401 |
Inj, abilify maintena, 1 mg |
15 |
12 |
$9K |
| G0283 |
Elec stim other than wound |
958 |
429 |
$9K |
| 80053 |
|
1,086 |
938 |
$8K |
| J1170 |
Hydromorphone injection |
4,516 |
3,397 |
$8K |
| 73030 |
|
1,865 |
1,778 |
$8K |
| 57454 |
|
28 |
28 |
$8K |
| 97166 |
|
132 |
130 |
$8K |
| J3010 |
Fentanyl citrate injection |
9,820 |
9,232 |
$8K |
| 90847 |
|
81 |
73 |
$8K |
| 88142 |
|
189 |
122 |
$8K |
| 76818 |
|
128 |
123 |
$8K |
| J0696 |
Ceftriaxone sodium injection |
3,641 |
3,142 |
$7K |
| C1753 |
Cath, intravas ultrasound |
13 |
12 |
$7K |
| 93321 |
|
386 |
378 |
$7K |
| 71250 |
|
87 |
87 |
$7K |
| D2331 |
|
91 |
49 |
$7K |
| 94729 |
|
158 |
157 |
$7K |
| J2001 |
Lidocaine injection |
9,406 |
8,567 |
$6K |
| 81001 |
|
20,848 |
19,687 |
$6K |
| 81003 |
|
2,599 |
2,538 |
$6K |
| 90647 |
|
484 |
185 |
$6K |
| 99441 |
|
234 |
234 |
$6K |
| 77080 |
|
181 |
181 |
$6K |
| 97035 |
|
166 |
94 |
$6K |
| 73130 |
|
1,916 |
1,837 |
$6K |
| 90688 |
|
154 |
79 |
$6K |
| J2250 |
Inj midazolam hydrochloride |
8,388 |
8,173 |
$6K |
| 85730 |
|
10,998 |
10,464 |
$6K |
| 87254 |
|
164 |
109 |
$6K |
| 0003A |
|
161 |
161 |
$6K |
| 90649 |
|
120 |
29 |
$6K |
| D0603 |
|
3,784 |
3,640 |
$6K |
| J1644 |
Inj heparin sodium per 1000u |
5,111 |
3,285 |
$5K |
| 90632 |
|
162 |
160 |
$5K |
| 0064A |
|
137 |
132 |
$5K |
| 87086 |
|
6,061 |
5,837 |
$5K |
| 86780 |
|
1,088 |
1,071 |
$5K |
| 84443 |
|
3,571 |
3,444 |
$5K |
| 73110 |
|
1,351 |
1,281 |
$5K |
| G0439 |
Ppps, subseq visit |
135 |
133 |
$5K |
| J3370 |
Vancomycin hcl injection |
774 |
624 |
$4K |
| 97116 |
|
136 |
79 |
$4K |
| 94727 |
|
143 |
142 |
$4K |
| 84484 |
|
15,480 |
11,969 |
$4K |
| J3535 |
Metered dose inhaler drug |
1,687 |
1,444 |
$4K |
| J2270 |
Morphine sulfate injection |
3,443 |
2,919 |
$4K |
| J2710 |
Neostigmine methylslfte inj |
836 |
820 |
$4K |
| 78452 |
|
12 |
12 |
$4K |
| J1100 |
Dexamethasone sodium phos |
7,921 |
7,097 |
$4K |
| 73560 |
|
328 |
284 |
$4K |
| 99443 |
|
52 |
52 |
$4K |
| J1815 |
Insulin injection |
2,022 |
998 |
$4K |
| 92978 |
|
14 |
13 |
$4K |
| 76870 |
|
171 |
160 |
$4K |
| 88184 |
|
71 |
69 |
$4K |
| 83735 |
|
9,863 |
7,599 |
$4K |
| 90380 |
|
178 |
128 |
$4K |
| 73590 |
|
1,242 |
1,177 |
$4K |
| 87389 |
|
952 |
932 |
$3K |
| J2405 |
Ondansetron hcl injection |
12,966 |
11,844 |
$3K |
| 85027 |
|
1,796 |
1,646 |
$3K |
| 74220 |
|
32 |
32 |
$3K |
| G0008 |
Admin influenza virus vac |
637 |
635 |
$3K |
| J7060 |
5% dextrose/water |
1,222 |
1,005 |
$3K |
| 70551 |
|
25 |
25 |
$3K |
| 86360 |
|
81 |
81 |
$3K |
| 83690 |
|
15,450 |
14,550 |
$3K |
| J1650 |
Inj enoxaparin sodium |
1,853 |
1,101 |
$3K |
| 84702 |
|
5,675 |
5,174 |
$3K |
| J2765 |
Metoclopramide hcl injection |
3,719 |
3,511 |
$3K |
| 70498 |
|
135 |
133 |
$3K |
| 87804 |
|
199 |
198 |
$3K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
1,284 |
1,249 |
$3K |
| 72195 |
|
13 |
13 |
$3K |
| 73564 |
|
325 |
296 |
$3K |
| 90474 |
|
265 |
264 |
$3K |
| 87507 |
|
38 |
37 |
$3K |
| 82962 |
|
1,014 |
974 |
$3K |
| 95705 |
|
14 |
13 |
$2K |
| D0321 |
|
116 |
108 |
$2K |
| 90381 |
|
129 |
48 |
$2K |
| T2101 |
Breast milk proc/store/dist |
68 |
29 |
$2K |
| 72128 |
|
190 |
190 |
$2K |
| 99496 |
|
15 |
15 |
$2K |
| D9995 |
|
66 |
40 |
$2K |
| 11981 |
|
24 |
24 |
$2K |
| J2370 |
Phenylephrine hcl injection |
1,551 |
1,517 |
$2K |
| 90839 |
|
15 |
12 |
$2K |
| 96376 |
|
1,834 |
1,665 |
$2K |
| 90661 |
|
42 |
14 |
$2K |
| 97760 |
|
45 |
40 |
$2K |
| 72170 |
|
1,091 |
1,071 |
$2K |
| U0002 |
Covid-19 lab test non-cdc |
66 |
66 |
$2K |
| 92083 |
|
23 |
12 |
$2K |
| 0081A |
|
52 |
52 |
$2K |
| G0480 |
Drug test def 1-7 classes |
417 |
398 |
$2K |
| 74018 |
|
465 |
451 |
$2K |
| 97163 |
|
25 |
25 |
$2K |
| G0009 |
Admin pneumococcal vaccine |
184 |
183 |
$2K |
| 88185 |
|
71 |
69 |
$2K |
| S0028 |
Injection, famotidine, 20 mg |
4,341 |
4,054 |
$2K |
| 82306 |
|
168 |
165 |
$2K |
| 87040 |
|
5,072 |
3,010 |
$2K |
| 86803 |
|
362 |
349 |
$2K |
| 87801 |
|
59 |
59 |
$2K |
| J2795 |
Ropivacaine hcl injection |
548 |
384 |
$2K |
| 73080 |
|
853 |
829 |
$2K |
| J7512 |
Prednisone ir or dr oral 1mg |
1,353 |
977 |
$1K |
| Q0144 |
Azithromycin dihydrate, oral |
217 |
203 |
$1K |
| J3411 |
Thiamine hcl 100 mg |
708 |
547 |
$1K |
| J1631 |
Haloperidol decanoate inj |
66 |
62 |
$1K |
| J0780 |
Prochlorperazine injection |
423 |
404 |
$1K |
| 82570 |
|
655 |
576 |
$1K |
| G0010 |
Admin hepatitis b vaccine |
106 |
106 |
$1K |
| 73060 |
|
467 |
445 |
$1K |
| 84439 |
|
1,192 |
1,173 |
$1K |
| J8540 |
Oral dexamethasone |
1,488 |
1,034 |
$1K |
| J3475 |
Inj magnesium sulfate |
1,289 |
1,138 |
$1K |
| 86140 |
|
2,736 |
2,607 |
$1K |
| 93017 |
|
20 |
19 |
$1K |
| 0134A |
|
31 |
31 |
$1K |
| 0082A |
|
28 |
28 |
$1K |
| 82607 |
|
400 |
395 |
$1K |
| 91300 |
|
9,933 |
8,989 |
$1K |
| D9248 |
|
54 |
53 |
$1K |
| 85384 |
|
424 |
372 |
$1K |
| J3420 |
Vitamin b12 injection |
865 |
613 |
$1K |
| 84100 |
|
4,091 |
2,916 |
$998.90 |
| 73090 |
|
836 |
808 |
$992.14 |
| J2305 |
Inj, nitroglycerin, 5 mg |
196 |
194 |
$934.81 |
| 90698 |
|
4,708 |
4,695 |
$933.09 |
| D1999 |
|
18 |
18 |
$900.00 |
| 87186 |
|
1,283 |
1,249 |
$855.88 |
| 90710 |
|
1,345 |
1,332 |
$825.21 |
| 0013A |
|
20 |
20 |
$823.45 |
| D4342 |
|
27 |
14 |
$766.55 |
| D2390 |
|
24 |
12 |
$764.50 |
| 99152 |
|
415 |
396 |
$690.57 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
896 |
798 |
$675.44 |
| D0145 |
|
16 |
12 |
$639.82 |
| J7042 |
5% dextrose/normal saline |
442 |
395 |
$638.12 |
| 87430 |
|
136 |
136 |
$615.11 |
| 0052A |
|
15 |
15 |
$596.63 |
| 96380 |
|
24 |
24 |
$594.48 |
| 76882 |
|
15 |
13 |
$590.41 |
| A9585 |
Gadobutrol injection |
48 |
48 |
$586.88 |
| 84156 |
|
299 |
275 |
$578.70 |
| 0154A |
|
14 |
14 |
$571.47 |
| J2543 |
Piperacillin/tazobactam |
177 |
102 |
$567.46 |
| 86357 |
|
17 |
17 |
$514.09 |
| 96367 |
|
16 |
15 |
$506.03 |
| 85652 |
|
1,897 |
1,819 |
$503.94 |
| 73010 |
|
130 |
124 |
$499.82 |
| J1630 |
Haloperidol injection |
580 |
511 |
$480.94 |
| 84112 |
|
12 |
12 |
$475.65 |
| 73552 |
|
144 |
141 |
$465.48 |
| 85379 |
|
2,577 |
2,520 |
$449.47 |
| 83605 |
|
1,537 |
1,459 |
$434.36 |
| J1200 |
Diphenhydramine hcl injectio |
920 |
851 |
$432.97 |
| 73140 |
|
297 |
291 |
$425.32 |
| 82728 |
|
354 |
341 |
$397.67 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
140 |
91 |
$393.73 |
| 86923 |
|
15 |
12 |
$380.41 |
| 86359 |
|
17 |
17 |
$354.09 |
| 88172 |
|
12 |
12 |
$350.37 |
| J7644 |
Ipratropium bromide non-comp |
2,082 |
1,611 |
$345.90 |
| 87340 |
|
115 |
109 |
$324.99 |
| 82248 |
|
135 |
108 |
$315.78 |
| 88173 |
|
13 |
12 |
$304.88 |
| 84550 |
|
180 |
169 |
$299.31 |
| D2330 |
|
13 |
13 |
$257.35 |
| 87205 |
|
523 |
505 |
$254.20 |
| J0330 |
Succinycholine chloride inj |
121 |
119 |
$244.66 |
| 82550 |
|
1,304 |
1,246 |
$241.77 |
| 74019 |
|
97 |
96 |
$238.89 |
| D0240 |
|
14 |
13 |
$221.21 |
| 91307 |
|
310 |
291 |
$215.75 |
| D1330 |
|
1,794 |
1,786 |
$210.23 |
| 86706 |
|
131 |
128 |
$195.18 |
| 99407 |
|
25 |
25 |
$184.17 |
| 80320 |
|
1,325 |
1,228 |
$182.15 |
| 82746 |
|
108 |
106 |
$175.50 |
| 87275 |
|
67 |
66 |
$171.54 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
723 |
716 |
$166.80 |
| 92133 |
|
13 |
12 |
$153.02 |
| 86769 |
|
13 |
12 |
$151.68 |
| 73120 |
|
25 |
24 |
$143.72 |
| 90723 |
|
328 |
328 |
$143.58 |
| 91312 |
|
309 |
309 |
$142.93 |
| 73100 |
|
55 |
54 |
$132.62 |
| J2060 |
Lorazepam injection |
244 |
213 |
$112.53 |
| 86704 |
|
126 |
123 |
$110.66 |
| 83540 |
|
76 |
74 |
$103.63 |
| J0694 |
Cefoxitin sodium injection |
14 |
14 |
$101.09 |
| 82247 |
|
84 |
65 |
$99.43 |
| J2930 |
Methylprednisolone injection |
28 |
26 |
$98.24 |
| 72070 |
|
26 |
26 |
$96.67 |
| J7613 |
Albuterol non-comp unit |
2,934 |
2,373 |
$93.92 |
| 91305 |
|
201 |
194 |
$88.07 |
| J7040 |
Normal saline solution infus |
46 |
44 |
$87.95 |
| D9920 |
|
13 |
13 |
$71.86 |
| J2272 |
Inj, morphine (fresenius) |
38 |
37 |
$61.93 |
| J1580 |
Garamycin gentamicin inj |
33 |
33 |
$54.92 |
| 83550 |
|
48 |
47 |
$54.31 |
| J3480 |
Inj potassium chloride |
95 |
69 |
$53.25 |
| J1836 |
Inj, metronidazole, 10 mg |
68 |
56 |
$50.93 |
| J0697 |
Sterile cefuroxime injection |
26 |
26 |
$49.90 |
| 91308 |
|
110 |
106 |
$49.86 |
| J2919 |
Inj, methylpred sod succ 5mg |
27 |
25 |
$49.56 |
| 73620 |
|
13 |
13 |
$42.82 |
| 83615 |
|
27 |
26 |
$42.16 |
| 82010 |
|
265 |
252 |
$34.98 |
| 90713 |
|
48 |
47 |
$33.53 |
| J7510 |
Prednisolone oral per 5 mg |
39 |
39 |
$29.00 |
| 90700 |
|
383 |
382 |
$28.71 |
| 87899 |
|
14 |
13 |
$24.91 |
| J7614 |
Levalbuterol non-comp unit |
73 |
55 |
$21.37 |
| 85347 |
|
26 |
25 |
$20.11 |
| 82150 |
|
15 |
13 |
$16.54 |
| 91315 |
|
13 |
13 |
$10.30 |
| 91313 |
|
18 |
18 |
$9.95 |
| A4216 |
Sterile water/saline, 10 ml |
210 |
202 |
$9.87 |
| 86592 |
|
12 |
12 |
$9.53 |
| Q0163 |
Diphenhydramine hcl 50mg |
954 |
839 |
$8.44 |
| 91301 |
|
696 |
678 |
$5.94 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
58 |
42 |
$2.25 |
| G1004 |
Cdsm ndsc |
23 |
21 |
$1.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
71 |
63 |
$0.21 |
| G8979 |
Mobility goal status |
141 |
134 |
$0.00 |
| G8984 |
Carry current status |
64 |
61 |
$0.00 |
| 81007 |
|
134 |
131 |
$0.00 |
| 84145 |
|
126 |
122 |
$0.00 |
| 99080 |
|
55 |
13 |
$0.00 |
| G0390 |
Trauma respons w/hosp criti |
13 |
13 |
$0.00 |
| 71100 |
|
27 |
27 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
16 |
16 |
$0.00 |
| G8978 |
Mobility current status |
122 |
116 |
$0.00 |
| G8985 |
Carry goal status |
72 |
66 |
$0.00 |
| 87075 |
|
12 |
12 |
$0.00 |
| D1310 |
|
1,770 |
1,765 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
197 |
195 |
$0.00 |
| J1597 |
Inj glycopyrrolate, glyrx-pf |
16 |
14 |
$0.00 |
| G8980 |
Mobility d/c status |
12 |
12 |
$0.00 |
| 80329 |
|
121 |
120 |
$0.00 |
| 86361 |
|
56 |
56 |
$0.00 |
| J7999 |
Compounded drug, noc |
12 |
12 |
$0.00 |
| 81015 |
|
22 |
22 |
$0.00 |