| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpt clinic visit |
311,305 |
270,206 |
$10.24M |
| 99213 |
|
207,425 |
187,382 |
$8.73M |
| 99214 |
|
143,036 |
130,377 |
$8.60M |
| 99284 |
|
27,062 |
25,658 |
$5.04M |
| 99283 |
|
32,843 |
31,368 |
$3.90M |
| 99285 |
|
9,435 |
8,969 |
$3.56M |
| 99392 |
|
39,268 |
23,771 |
$1.92M |
| 96374 |
|
20,783 |
18,819 |
$1.82M |
| 99391 |
|
40,150 |
23,969 |
$1.80M |
| 99282 |
|
24,979 |
23,889 |
$1.79M |
| 99393 |
|
33,948 |
20,423 |
$1.67M |
| 74177 |
|
15,184 |
9,289 |
$1.43M |
| 99395 |
|
26,030 |
16,564 |
$1.41M |
| 99204 |
|
17,031 |
16,660 |
$1.33M |
| 99394 |
|
22,857 |
13,589 |
$1.20M |
| 99396 |
|
19,216 |
12,013 |
$1.10M |
| 93306 |
|
10,818 |
7,527 |
$1.06M |
| 11042 |
|
11,696 |
3,296 |
$1.01M |
| 45380 |
|
3,656 |
2,182 |
$999K |
| 59426 |
|
1,156 |
1,155 |
$972K |
| U0003 |
Cov-19 amp prb hgh thruput |
14,958 |
14,292 |
$940K |
| 99215 |
Prolong outpt/office vis |
11,141 |
10,710 |
$910K |
| 59409 |
|
1,224 |
1,212 |
$897K |
| 43239 |
|
5,206 |
3,133 |
$894K |
| 45385 |
|
2,958 |
1,723 |
$845K |
| 96365 |
|
10,334 |
9,315 |
$812K |
| 96360 |
|
8,953 |
8,457 |
$793K |
| 90471 |
|
75,419 |
74,593 |
$781K |
| 99203 |
|
14,558 |
14,403 |
$758K |
| 99291 |
|
3,141 |
1,493 |
$700K |
| J7307 |
Etonogestrel implant system |
779 |
778 |
$687K |
| 96361 |
|
22,798 |
20,058 |
$676K |
| 90472 |
|
36,594 |
36,265 |
$648K |
| J0585 |
Injection,onabotulinumtoxina |
2,093 |
1,162 |
$634K |
| 97112 |
|
22,254 |
8,110 |
$598K |
| 70450 |
|
11,442 |
7,135 |
$590K |
| 99232 |
|
14,167 |
4,272 |
$571K |
| 71046 |
|
25,812 |
16,113 |
$559K |
| J7298 |
Mirena, 52 mg |
541 |
541 |
$522K |
| 90670 |
|
13,541 |
13,499 |
$483K |
| 93975 |
|
6,653 |
4,452 |
$482K |
| 99233 |
Prolong inpt eval add15 m |
8,081 |
2,733 |
$472K |
| 78452 |
|
1,920 |
1,234 |
$468K |
| 96375 |
|
16,963 |
15,190 |
$468K |
| 99223 |
Prolong inpt eval add15 m |
4,540 |
3,507 |
$457K |
| 74176 |
|
5,675 |
3,605 |
$437K |
| 76830 |
|
9,275 |
6,443 |
$424K |
| 76856 |
|
10,246 |
7,118 |
$422K |
| 70553 |
|
3,270 |
2,058 |
$411K |
| 96413 |
|
2,779 |
1,562 |
$373K |
| 80061 |
|
40,102 |
39,837 |
$373K |
| 99385 |
|
6,400 |
4,078 |
$367K |
| 71045 |
|
20,219 |
11,343 |
$367K |
| 99205 |
Prolong outpt/office vis |
3,620 |
3,582 |
$358K |
| 95810 |
|
1,307 |
804 |
$350K |
| 77067 |
|
9,854 |
5,824 |
$344K |
| 59400 |
|
173 |
163 |
$329K |
| 76816 |
|
5,719 |
4,833 |
$327K |
| 76705 |
|
9,499 |
5,844 |
$324K |
| 90651 |
|
7,391 |
7,255 |
$321K |
| 87428 |
|
15,008 |
14,681 |
$306K |
| 71275 |
|
4,529 |
2,967 |
$299K |
| 90677 |
|
2,853 |
2,846 |
$283K |
| 90750 |
|
2,048 |
2,044 |
$276K |
| 76805 |
|
3,801 |
3,401 |
$266K |
| 99381 |
|
5,458 |
3,593 |
$262K |
| 59430 |
|
1,289 |
1,288 |
$262K |
| 86900 |
|
9,099 |
8,834 |
$256K |
| 87635 |
|
8,233 |
7,932 |
$255K |
| 59025 |
|
5,806 |
2,755 |
$253K |
| 71260 |
|
3,508 |
2,276 |
$246K |
| 84443 |
|
44,968 |
44,120 |
$245K |
| 45378 |
|
1,346 |
973 |
$244K |
| 87801 |
|
11,291 |
6,367 |
$241K |
| 80053 |
|
79,854 |
74,814 |
$231K |
| 76801 |
|
4,303 |
3,184 |
$228K |
| 87426 |
|
8,069 |
7,909 |
$226K |
| 94060 |
|
3,458 |
2,226 |
$225K |
| 99212 |
|
10,078 |
9,677 |
$216K |
| 17110 |
|
5,017 |
2,787 |
$213K |
| 99239 |
|
3,618 |
3,459 |
$212K |
| 90792 |
|
2,223 |
1,398 |
$212K |
| 99496 |
|
2,810 |
1,855 |
$209K |
| 87491 |
|
16,373 |
16,021 |
$208K |
| U0005 |
Infec agen detec ampli probe |
10,556 |
10,125 |
$200K |
| G0108 |
Diab manage trn per indiv |
3,523 |
3,341 |
$199K |
| 82947 |
|
18,632 |
12,557 |
$193K |
| 99383 |
|
3,644 |
2,331 |
$192K |
| 87591 |
|
15,312 |
14,990 |
$192K |
| 96372 |
|
22,693 |
17,481 |
$186K |
| 58571 |
|
81 |
49 |
$185K |
| 64615 |
|
2,038 |
1,175 |
$184K |
| 90686 |
|
21,176 |
21,117 |
$181K |
| 42820 |
|
140 |
89 |
$180K |
| 99460 |
|
3,335 |
3,321 |
$179K |
| 85025 |
|
116,129 |
100,614 |
$176K |
| 20610 |
|
2,532 |
1,484 |
$175K |
| 97110 |
|
11,256 |
5,465 |
$171K |
| 99238 |
|
3,905 |
3,876 |
$165K |
| 90620 |
|
3,590 |
3,572 |
$164K |
| 99386 |
|
2,385 |
1,543 |
$159K |
| 92014 |
|
2,992 |
2,975 |
$157K |
| 99384 |
|
2,738 |
1,748 |
$156K |
| 69436 |
|
407 |
261 |
$148K |
| 99495 |
|
2,371 |
1,609 |
$146K |
| 72148 |
|
2,053 |
1,259 |
$145K |
| 87661 |
|
11,636 |
11,449 |
$144K |
| 99222 |
|
1,998 |
1,788 |
$142K |
| 99382 |
|
2,753 |
1,758 |
$141K |
| 99220 |
|
1,424 |
1,374 |
$132K |
| 90716 |
|
8,158 |
8,143 |
$131K |
| 82306 |
|
13,056 |
12,958 |
$131K |
| 99281 |
|
3,320 |
3,250 |
$130K |
| 97161 |
|
3,030 |
2,976 |
$130K |
| 36415 |
|
185,315 |
155,759 |
$129K |
| 73721 |
|
1,584 |
927 |
$126K |
| 77063 |
|
8,342 |
4,645 |
$123K |
| 88175 |
|
9,700 |
9,674 |
$119K |
| 93971 |
|
3,908 |
2,403 |
$116K |
| 93005 |
|
29,414 |
27,274 |
$112K |
| 97162 |
|
2,607 |
2,555 |
$107K |
| 96367 |
|
2,480 |
1,597 |
$107K |
| 99244 |
|
1,307 |
1,295 |
$106K |
| 76642 |
|
3,795 |
2,126 |
$106K |
| 54150 |
|
1,485 |
1,453 |
$104K |
| 90734 |
|
6,511 |
6,390 |
$102K |
| 92004 |
|
1,450 |
1,445 |
$101K |
| 90732 |
|
1,318 |
1,302 |
$100K |
| 71250 |
|
2,837 |
1,820 |
$98K |
| 76536 |
|
3,035 |
1,788 |
$96K |
| 80307 |
|
9,390 |
9,099 |
$95K |
| 99202 |
|
2,974 |
2,947 |
$94K |
| 83036 |
|
35,984 |
35,628 |
$94K |
| 93458 |
|
130 |
90 |
$93K |
| 76770 |
|
2,589 |
1,609 |
$89K |
| 59514 |
|
111 |
110 |
$89K |
| 47562 |
|
27 |
27 |
$88K |
| 95811 |
|
400 |
262 |
$87K |
| 95806 |
|
1,767 |
1,068 |
$87K |
| 97530 |
|
5,506 |
2,880 |
$86K |
| 86780 |
|
10,569 |
10,506 |
$82K |
| G9002 |
Mccd,maintenance rate |
5,232 |
5,013 |
$82K |
| 58662 |
|
63 |
36 |
$82K |
| 87389 |
|
11,496 |
11,453 |
$76K |
| 91320 |
|
715 |
713 |
$74K |
| 97140 |
|
5,877 |
2,291 |
$71K |
| 87624 |
|
5,204 |
5,180 |
$70K |
| 90837 |
|
1,016 |
369 |
$70K |
| 64405 |
|
720 |
424 |
$70K |
| 90715 |
|
11,075 |
10,876 |
$69K |
| 70496 |
|
1,215 |
749 |
$68K |
| 90688 |
|
4,605 |
4,589 |
$64K |
| 49083 |
|
311 |
98 |
$63K |
| 99462 |
|
2,616 |
2,158 |
$62K |
| 74018 |
|
8,007 |
4,598 |
$60K |
| 93010 |
|
13,214 |
12,169 |
$59K |
| 73630 |
|
10,778 |
5,953 |
$59K |
| 70551 |
|
964 |
603 |
$58K |
| 72125 |
|
3,120 |
2,077 |
$58K |
| 82728 |
|
12,130 |
11,980 |
$57K |
| 77065 |
Tomosynthesis, mammo |
1,798 |
1,029 |
$56K |
| 77066 |
Tomosynthesis, mammo |
1,376 |
800 |
$55K |
| 93303 |
|
571 |
356 |
$55K |
| 58300 |
|
1,276 |
1,136 |
$55K |
| 0002A |
|
1,501 |
1,488 |
$54K |
| 87653 |
|
2,869 |
2,861 |
$52K |
| G0378 |
Hospital observation per hr |
4,359 |
3,880 |
$52K |
| 72141 |
|
673 |
430 |
$51K |
| 0001A |
|
1,556 |
1,554 |
$50K |
| 93970 |
|
932 |
615 |
$50K |
| 99217 |
|
1,332 |
1,290 |
$48K |
| 87633 |
|
1,297 |
1,279 |
$47K |
| 99464 |
|
1,102 |
1,096 |
$47K |
| 90474 |
|
8,007 |
7,985 |
$46K |
| 70491 |
|
650 |
402 |
$44K |
| 87086 |
|
24,481 |
23,068 |
$44K |
| 87880 |
|
11,983 |
11,766 |
$44K |
| 10060 |
|
565 |
425 |
$43K |
| 80074 |
|
2,562 |
2,550 |
$43K |
| 99243 |
|
790 |
784 |
$42K |
| 70486 |
|
1,578 |
1,009 |
$42K |
| 86003 |
|
2,390 |
1,175 |
$42K |
| G0103 |
Psa screening |
4,401 |
4,385 |
$41K |
| 88305 |
|
14,730 |
10,109 |
$41K |
| 58301 |
|
656 |
547 |
$41K |
| G0476 |
Hpv combo assay ca screen |
2,006 |
2,003 |
$40K |
| 74183 |
|
397 |
239 |
$40K |
| 84466 |
|
9,304 |
9,155 |
$40K |
| 92012 |
|
943 |
883 |
$39K |
| 80048 |
|
46,327 |
38,935 |
$38K |
| 72100 |
|
3,609 |
2,128 |
$38K |
| 93350 |
|
326 |
217 |
$38K |
| 87070 |
|
14,103 |
13,671 |
$37K |
| 86480 |
|
1,552 |
1,545 |
$37K |
| 81025 |
|
27,600 |
26,494 |
$36K |
| 20553 |
|
484 |
284 |
$36K |
| 86803 |
|
8,090 |
8,071 |
$35K |
| 88342 |
|
2,248 |
1,964 |
$35K |
| 59425 |
|
72 |
71 |
$35K |
| 73562 |
|
5,563 |
3,125 |
$34K |
| 84702 |
|
7,886 |
6,026 |
$34K |
| 87507 |
|
302 |
299 |
$33K |
| 90480 |
|
870 |
868 |
$33K |
| 73030 |
|
6,145 |
3,635 |
$31K |
| M0243 |
Casirivi and imdevi inj |
96 |
96 |
$31K |
| G9007 |
Mccd, sch team conf |
4,946 |
4,539 |
$31K |
| 76817 |
|
1,789 |
1,282 |
$30K |
| 94726 |
|
2,889 |
1,815 |
$30K |
| 93017 |
|
1,923 |
1,896 |
$30K |
| 99152 |
|
5,522 |
4,599 |
$29K |
| 96366 |
|
1,565 |
1,359 |
$29K |
| 64400 |
|
220 |
195 |
$29K |
| 82607 |
|
6,893 |
6,835 |
$29K |
| 84439 |
|
8,294 |
8,089 |
$29K |
| 73610 |
|
5,994 |
3,456 |
$28K |
| G0279 |
Tomosynthesis, mammo |
2,055 |
1,377 |
$28K |
| 11750 |
|
309 |
129 |
$27K |
| 83970 |
|
1,700 |
1,653 |
$27K |
| 0071A |
|
729 |
727 |
$27K |
| 0012A |
|
753 |
751 |
$25K |
| G0480 |
Drug test def 1-7 classes |
7,711 |
6,807 |
$25K |
| M0247 |
Sotrovimab infusion |
85 |
85 |
$25K |
| 11981 |
|
471 |
423 |
$25K |
| 73130 |
|
5,658 |
3,127 |
$25K |
| 76815 |
|
901 |
644 |
$24K |
| 82670 |
|
1,975 |
1,965 |
$24K |
| 97165 |
|
630 |
610 |
$24K |
| 0124A |
|
863 |
854 |
$24K |
| 83540 |
|
10,627 |
9,968 |
$23K |
| 84410 |
|
986 |
978 |
$23K |
| 0072A |
|
616 |
616 |
$23K |
| 95886 |
|
1,181 |
790 |
$23K |
| 59899 |
|
327 |
258 |
$22K |
| 73502 |
|
3,609 |
2,206 |
$22K |
| 83013 |
|
1,049 |
1,043 |
$21K |
| 93016 |
|
1,909 |
1,884 |
$21K |
| 70498 |
|
741 |
468 |
$21K |
| 0054A |
|
638 |
633 |
$21K |
| M0245 |
Bamlan and etesev infusion |
68 |
68 |
$21K |
| 73110 |
|
3,804 |
2,182 |
$20K |
| 94640 |
|
5,499 |
4,609 |
$20K |
| 43450 |
|
185 |
113 |
$20K |
| 73564 |
|
2,708 |
1,726 |
$19K |
| 0011A |
|
752 |
752 |
$19K |
| 11721 |
|
1,976 |
1,280 |
$18K |
| 83001 |
|
2,278 |
2,274 |
$18K |
| 99231 |
|
765 |
472 |
$18K |
| 0004A |
|
495 |
486 |
$18K |
| 96160 |
|
2,661 |
1,590 |
$18K |
| 87340 |
|
7,638 |
7,610 |
$18K |
| 83655 |
|
2,792 |
2,699 |
$18K |
| 74178 |
|
188 |
120 |
$17K |
| 95911 |
|
95 |
57 |
$17K |
| G0121 |
Colon ca scrn not hi rsk ind |
41 |
41 |
$17K |
| 84146 |
|
2,435 |
2,404 |
$17K |
| 97802 |
|
370 |
369 |
$17K |
| 87205 |
|
13,216 |
12,715 |
$17K |
| 98966 |
|
12,522 |
11,521 |
$16K |
| 95251 |
|
900 |
895 |
$16K |
| 78815 |
|
44 |
25 |
$16K |
| 51798 |
|
1,054 |
893 |
$16K |
| 83735 |
|
13,304 |
10,915 |
$16K |
| 82570 |
|
11,516 |
11,210 |
$16K |
| 69210 |
|
1,202 |
757 |
$15K |
| 0064A |
|
473 |
450 |
$15K |
| 87186 |
|
8,261 |
7,604 |
$15K |
| 85027 |
|
8,278 |
7,797 |
$15K |
| 92133 |
|
890 |
889 |
$15K |
| 83002 |
|
1,768 |
1,763 |
$15K |
| 81001 |
|
37,400 |
35,151 |
$15K |
| 85055 |
|
1,845 |
1,395 |
$14K |
| 98926 |
|
1,941 |
1,227 |
$14K |
| 92015 |
|
1,659 |
1,658 |
$14K |
| 93320 |
|
2,432 |
1,549 |
$14K |
| 99406 |
|
2,243 |
1,499 |
$14K |
| 11982 |
|
242 |
196 |
$14K |
| 84403 |
|
1,277 |
1,265 |
$14K |
| 93018 |
|
1,880 |
1,857 |
$14K |
| 82043 |
|
9,532 |
9,474 |
$14K |
| 83880 |
|
2,679 |
2,513 |
$13K |
| 31231 |
|
309 |
198 |
$13K |
| 81002 |
|
13,284 |
12,777 |
$13K |
| J1453 |
Fosaprepitant injection |
187 |
114 |
$13K |
| 90656 |
|
1,254 |
1,254 |
$13K |
| 72131 |
|
440 |
271 |
$13K |
| 71271 |
|
302 |
169 |
$13K |
| 84144 |
|
1,665 |
1,612 |
$13K |
| 31575 |
|
271 |
177 |
$12K |
| 58558 |
|
22 |
12 |
$12K |
| J2785 |
Regadenoson injection |
749 |
738 |
$12K |
| 86580 |
|
1,372 |
1,290 |
$12K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
849 |
841 |
$12K |
| 93298 |
|
853 |
852 |
$12K |
| 76870 |
|
681 |
383 |
$12K |
| 86850 |
|
8,253 |
8,084 |
$12K |
| 99245 |
|
108 |
108 |
$12K |
| 72114 |
|
777 |
433 |
$11K |
| 74019 |
|
1,429 |
838 |
$11K |
| 96127 |
|
10,663 |
10,493 |
$11K |
| 73221 |
|
137 |
77 |
$11K |
| 86225 |
|
2,618 |
2,536 |
$10K |
| 76641 |
|
279 |
151 |
$10K |
| 98967 |
|
5,497 |
5,041 |
$10K |
| 83722 |
|
1,172 |
1,155 |
$10K |
| 73140 |
|
1,798 |
1,036 |
$10K |
| 43235 |
|
58 |
39 |
$10K |
| J1756 |
Iron sucrose injection |
310 |
128 |
$10K |
| 97597 |
|
240 |
116 |
$10K |
| 86769 |
|
535 |
373 |
$10K |
| 82784 |
|
2,950 |
2,510 |
$10K |
| 93296 |
|
575 |
575 |
$10K |
| 90833 |
|
385 |
254 |
$10K |
| C8929 |
Tte w or wo fol wcon,doppler |
39 |
39 |
$9K |
| 87804 |
|
2,024 |
2,008 |
$9K |
| 86762 |
|
3,455 |
3,435 |
$9K |
| 86376 |
|
1,749 |
1,727 |
$9K |
| 82746 |
|
1,904 |
1,888 |
$9K |
| 88307 |
|
886 |
779 |
$9K |
| 94729 |
|
3,896 |
2,432 |
$9K |
| 81003 |
|
11,573 |
11,255 |
$9K |
| 72040 |
|
989 |
566 |
$9K |
| 86787 |
|
3,517 |
3,504 |
$9K |
| 66984 |
|
25 |
13 |
$9K |
| 99219 |
|
122 |
121 |
$8K |
| 84481 |
|
1,177 |
1,152 |
$8K |
| 86038 |
|
2,447 |
2,438 |
$8K |
| 97803 |
|
316 |
313 |
$8K |
| 87077 |
|
4,184 |
3,778 |
$8K |
| 73590 |
|
1,972 |
1,119 |
$8K |
| 86140 |
|
5,833 |
5,601 |
$8K |
| 85610 |
|
10,188 |
8,672 |
$8K |
| 80076 |
|
5,480 |
5,299 |
$8K |
| 72050 |
|
808 |
482 |
$8K |
| 72110 |
|
915 |
664 |
$8K |
| 57454 |
|
78 |
74 |
$8K |
| 87529 |
|
709 |
366 |
$7K |
| 82950 |
|
2,805 |
2,795 |
$7K |
| 86141 |
|
2,128 |
2,070 |
$7K |
| 93244 |
|
552 |
551 |
$7K |
| 85018 |
|
5,540 |
5,476 |
$7K |
| 87088 |
|
3,710 |
3,611 |
$7K |
| 94010 |
|
1,381 |
867 |
$7K |
| 84480 |
|
1,154 |
1,122 |
$7K |
| A9500 |
Tc99m sestamibi |
684 |
666 |
$6K |
| 92557 |
|
876 |
865 |
$6K |
| 92083 |
|
222 |
222 |
$6K |
| 74174 |
|
66 |
39 |
$6K |
| 87081 |
|
5,327 |
4,993 |
$6K |
| 73560 |
|
1,537 |
874 |
$6K |
| 83993 |
|
604 |
602 |
$6K |
| 83516 |
|
1,356 |
1,054 |
$6K |
| 99254 |
|
61 |
61 |
$6K |
| 84703 |
|
5,164 |
5,046 |
$6K |
| 90662 |
|
629 |
622 |
$5K |
| 98927 |
|
972 |
687 |
$5K |
| 93242 |
|
424 |
423 |
$5K |
| 82248 |
|
11,814 |
10,593 |
$5K |
| 86200 |
|
1,373 |
1,372 |
$5K |
| 92551 |
|
1,663 |
1,663 |
$5K |
| 84153 |
|
761 |
751 |
$5K |
| 87147 |
|
4,563 |
3,097 |
$5K |
| 86431 |
|
2,961 |
2,953 |
$5K |
| 76937 |
|
1,130 |
776 |
$5K |
| 83690 |
|
13,947 |
12,977 |
$4K |
| 93325 |
|
3,507 |
2,292 |
$4K |
| 86364 |
|
1,191 |
1,171 |
$4K |
| 71101 |
|
541 |
297 |
$4K |
| 99397 |
|
135 |
108 |
$4K |
| 86706 |
|
1,112 |
1,106 |
$4K |
| 88304 |
|
1,648 |
1,440 |
$4K |
| 0134A |
|
172 |
170 |
$4K |
| 90473 |
|
426 |
426 |
$4K |
| 98968 |
|
1,478 |
1,308 |
$4K |
| 86901 |
|
9,148 |
8,883 |
$4K |
| 76882 |
|
77 |
49 |
$4K |
| J1050 |
Medroxyprogesterone acetate |
1,284 |
1,282 |
$4K |
| 85652 |
|
4,929 |
4,786 |
$3K |
| 99221 |
|
70 |
66 |
$3K |
| 86696 |
|
471 |
468 |
$3K |
| 95713 |
|
13 |
13 |
$3K |
| 93308 |
|
93 |
68 |
$3K |
| 93000 |
|
404 |
403 |
$3K |
| 72197 |
|
24 |
15 |
$3K |
| 99421 |
|
329 |
315 |
$3K |
| 99459 |
|
277 |
271 |
$3K |
| 98925 |
|
531 |
315 |
$3K |
| 73080 |
|
631 |
392 |
$3K |
| 96110 |
|
747 |
746 |
$3K |
| 93227 |
|
209 |
208 |
$3K |
| 0081A |
|
86 |
86 |
$3K |
| 84550 |
|
1,975 |
1,892 |
$3K |
| 93880 |
|
54 |
39 |
$3K |
| 82247 |
|
1,033 |
635 |
$3K |
| 85730 |
|
5,163 |
4,697 |
$3K |
| 90679 |
|
12 |
12 |
$3K |
| 80069 |
|
753 |
649 |
$3K |
| 82105 |
|
555 |
545 |
$3K |
| 11045 |
|
237 |
87 |
$3K |
| 88341 |
|
1,187 |
744 |
$3K |
| 73700 |
|
86 |
54 |
$3K |
| Q0111 |
Wet mounts/ w preparations |
362 |
359 |
$3K |
| 85651 |
|
2,879 |
2,754 |
$3K |
| 72202 |
|
441 |
249 |
$3K |
| 88112 |
|
322 |
312 |
$3K |
| 99417 |
Prolong home eval add 15m |
119 |
112 |
$3K |
| 73070 |
|
665 |
365 |
$3K |
| 90632 |
|
651 |
649 |
$3K |
| 86704 |
|
648 |
642 |
$3K |
| 83014 |
|
1,048 |
1,043 |
$3K |
| 73090 |
|
621 |
347 |
$2K |
| 93225 |
|
52 |
51 |
$2K |
| 83615 |
|
1,291 |
1,163 |
$2K |
| 86695 |
|
471 |
468 |
$2K |
| 82565 |
|
1,863 |
1,769 |
$2K |
| 72070 |
|
215 |
120 |
$2K |
| 84100 |
|
2,725 |
2,154 |
$2K |
| 92567 |
|
2,211 |
2,140 |
$2K |
| 86160 |
|
512 |
275 |
$2K |
| 0154A |
|
60 |
60 |
$2K |
| 76818 |
|
29 |
24 |
$2K |
| 86235 |
|
107 |
55 |
$2K |
| 86812 |
|
289 |
288 |
$2K |
| 84156 |
|
1,621 |
1,495 |
$2K |
| 82550 |
|
1,421 |
1,301 |
$2K |
| 87522 |
Neg quan hep c or qual rna |
113 |
95 |
$2K |
| 90744 |
|
179 |
177 |
$2K |
| 51701 |
|
581 |
550 |
$2K |
| 82977 |
|
778 |
735 |
$2K |
| 86665 |
|
376 |
189 |
$2K |
| J7120 |
Ringers lactate infusion |
12,897 |
11,175 |
$2K |
| 0074A |
|
63 |
63 |
$2K |
| 0051A |
|
46 |
46 |
$2K |
| J1644 |
Inj heparin sodium per 1000u |
6,300 |
2,935 |
$2K |
| 90672 |
|
369 |
369 |
$2K |
| 86308 |
|
1,198 |
1,183 |
$2K |
| J7030 |
Normal saline solution infus |
26,426 |
23,001 |
$2K |
| 92587 |
|
12 |
12 |
$2K |
| U0001 |
2019-ncov diagnostic p |
63 |
63 |
$1K |
| Q9950 |
Inj sulf hexa lipid microsph |
208 |
148 |
$1K |
| 0052A |
|
40 |
40 |
$1K |
| 86694 |
|
250 |
249 |
$1K |
| 86255 |
|
349 |
253 |
$1K |
| 10022 |
|
15 |
13 |
$1K |
| 84425 |
|
217 |
215 |
$1K |
| 82627 |
|
110 |
110 |
$1K |
| J2930 |
Methylprednisolone injection |
1,343 |
1,236 |
$1K |
| 99487 |
Ccm add 20min |
67 |
64 |
$1K |
| 85379 |
|
2,859 |
2,804 |
$1K |
| 92552 |
|
85 |
83 |
$1K |
| 90714 |
|
623 |
619 |
$1K |
| 69209 |
|
318 |
206 |
$1K |
| 87045 |
|
254 |
254 |
$1K |
| 74021 |
|
202 |
192 |
$1K |
| 0031A |
|
29 |
29 |
$1K |
| 92136 |
|
51 |
50 |
$992.69 |
| 95700 |
|
13 |
13 |
$988.83 |
| 96417 |
|
41 |
25 |
$963.04 |
| J7040 |
Normal saline solution infus |
10,300 |
9,418 |
$961.45 |
| 72128 |
|
25 |
14 |
$951.06 |
| 96415 |
|
22 |
12 |
$900.41 |
| 87807 |
|
240 |
236 |
$867.06 |
| 82533 |
|
123 |
119 |
$854.92 |
| 87400 |
|
3,232 |
1,599 |
$852.10 |
| 73552 |
|
184 |
112 |
$830.02 |
| 86800 |
|
128 |
126 |
$824.82 |
| G2023 |
Specimen collect covid-19 |
233 |
228 |
$810.71 |
| G0008 |
Admin influenza virus vac |
1,351 |
1,336 |
$799.94 |
| 97014 |
|
105 |
55 |
$785.65 |
| 87109 |
|
108 |
108 |
$763.88 |
| 0003A |
|
21 |
21 |
$757.00 |
| 86008 |
|
13 |
12 |
$749.47 |
| 76857 |
|
23 |
14 |
$723.22 |
| 86664 |
|
189 |
189 |
$720.77 |
| 99441 |
|
93 |
92 |
$718.60 |
| 87563 |
|
88 |
87 |
$707.02 |
| 90707 |
|
7,794 |
7,771 |
$698.60 |
| J2790 |
Rho d immune globulin inj |
13 |
12 |
$679.86 |
| 92002 |
|
17 |
17 |
$667.32 |
| 84155 |
|
585 |
564 |
$651.69 |
| 73660 |
|
141 |
87 |
$639.47 |
| 86663 |
|
189 |
189 |
$618.63 |
| 87420 |
|
1,080 |
1,075 |
$613.76 |
| J3301 |
Triamcinolone acet inj nos |
2,058 |
2,009 |
$613.20 |
| 82951 |
|
76 |
76 |
$591.37 |
| 73521 |
|
48 |
27 |
$591.18 |
| 86039 |
|
301 |
300 |
$579.64 |
| 87220 |
|
529 |
464 |
$563.08 |
| 84484 |
|
11,763 |
9,238 |
$508.12 |
| 80164 |
|
111 |
102 |
$474.27 |
| 84590 |
|
88 |
88 |
$446.61 |
| J1885 |
Ketorolac tromethamine inj |
18,095 |
16,812 |
$435.71 |
| 80178 |
|
182 |
160 |
$405.73 |
| 87449 |
|
93 |
93 |
$403.77 |
| 11900 |
|
15 |
13 |
$389.90 |
| G0123 |
Screen cerv/vag thin layer |
36 |
36 |
$387.80 |
| 84165 |
|
106 |
105 |
$366.37 |
| 99442 |
|
40 |
38 |
$359.06 |
| 72170 |
|
56 |
39 |
$351.21 |
| 17000 |
|
14 |
12 |
$345.13 |
| 83021 |
|
81 |
81 |
$317.99 |
| 93321 |
|
117 |
82 |
$317.94 |
| 87493 |
|
27 |
27 |
$312.71 |
| 87075 |
|
371 |
328 |
$308.10 |
| Q9957 |
Inj perflutren lip micros,ml |
96 |
95 |
$299.42 |
| 11102 |
|
15 |
15 |
$295.69 |
| 95249 |
|
13 |
13 |
$286.92 |
| 72220 |
|
43 |
24 |
$278.12 |
| J2405 |
Ondansetron hcl injection |
25,914 |
22,106 |
$270.82 |
| 97535 |
|
40 |
26 |
$243.43 |
| 81000 |
|
345 |
343 |
$235.66 |
| 94760 |
|
24,177 |
22,667 |
$218.81 |
| 84154 |
|
38 |
38 |
$208.74 |
| 93248 |
|
14 |
14 |
$207.76 |
| 92250 |
|
12 |
12 |
$203.22 |
| 76942 |
|
13 |
12 |
$200.53 |
| 87040 |
|
859 |
441 |
$200.40 |
| 85014 |
|
5,415 |
5,121 |
$182.72 |
| G2211 |
Complex e/m visit add on |
739 |
717 |
$178.94 |
| 92555 |
|
88 |
85 |
$176.24 |
| J0696 |
Ceftriaxone sodium injection |
4,097 |
3,589 |
$175.04 |
| 82952 |
|
75 |
75 |
$168.94 |
| 85046 |
|
81 |
79 |
$165.78 |
| 12001 |
|
266 |
256 |
$164.30 |
| 85660 |
|
66 |
66 |
$150.16 |
| 76377 |
|
33 |
28 |
$143.16 |
| 12002 |
|
53 |
52 |
$141.76 |
| 93922 |
|
17 |
12 |
$135.05 |
| 73060 |
|
44 |
25 |
$133.98 |
| 93246 |
|
14 |
14 |
$133.04 |
| 84080 |
|
39 |
39 |
$130.79 |
| J2919 |
Inj, methylpred sod succ 5mg |
130 |
111 |
$126.94 |
| J1100 |
Dexamethasone sodium phos |
17,165 |
15,621 |
$121.60 |
| 86618 |
|
26 |
26 |
$108.56 |
| 82310 |
|
96 |
77 |
$105.27 |
| 87324 |
|
29 |
29 |
$104.44 |
| 83605 |
|
2,607 |
1,971 |
$103.92 |
| J2550 |
Promethazine hcl injection |
6,968 |
6,279 |
$100.59 |
| 73600 |
|
21 |
12 |
$90.89 |
| 82103 |
|
26 |
26 |
$87.08 |
| 82378 |
|
13 |
13 |
$82.15 |
| 87328 |
|
12 |
12 |
$77.42 |
| 73620 |
|
19 |
12 |
$75.19 |
| 29125 |
|
14 |
14 |
$74.88 |
| 99211 |
|
12 |
12 |
$71.04 |
| 90696 |
|
3,440 |
3,435 |
$69.00 |
| J3411 |
Thiamine hcl 100 mg |
77 |
60 |
$68.08 |
| 87329 |
|
12 |
12 |
$67.14 |
| 98928 |
|
58 |
50 |
$66.96 |
| 12011 |
|
39 |
39 |
$66.17 |
| J3420 |
Vitamin b12 injection |
1,136 |
991 |
$63.13 |
| 36000 |
|
6,805 |
6,656 |
$63.02 |
| 83525 |
|
12 |
12 |
$62.50 |
| 82272 |
|
52 |
50 |
$59.42 |
| J0780 |
Prochlorperazine injection |
689 |
590 |
$57.48 |
| J2360 |
Orphenadrine injection |
3,740 |
3,613 |
$53.65 |
| 80047 |
|
5,206 |
4,958 |
$53.54 |
| 82085 |
|
12 |
12 |
$53.25 |
| 82652 |
|
15 |
15 |
$52.32 |
| A9270 |
Non-covered item or service |
32,466 |
30,236 |
$40.38 |
| J2469 |
Palonosetron hcl |
152 |
93 |
$40.22 |
| 87102 |
|
43 |
39 |
$38.12 |
| G0009 |
Admin pneumococcal vaccine |
86 |
85 |
$36.58 |
| J7050 |
Normal saline solution infus |
7,882 |
4,193 |
$35.43 |
| 87641 |
|
33 |
30 |
$34.66 |
| A9698 |
Non-rad contrast materialnoc |
81 |
62 |
$33.00 |
| 84132 |
|
24 |
24 |
$32.31 |
| 87210 |
|
27 |
27 |
$26.03 |
| 82140 |
|
12 |
12 |
$25.56 |
| J1040 |
Methylprednisolone 80 mg inj |
152 |
152 |
$23.43 |
| S0020 |
Injection, bupivicaine hydro |
2,727 |
2,645 |
$22.06 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
525 |
466 |
$21.91 |
| 82150 |
|
13 |
13 |
$21.34 |
| J2250 |
Inj midazolam hydrochloride |
13,672 |
13,103 |
$20.29 |
| 83520 |
|
27 |
26 |
$19.09 |
| 96376 |
|
2,362 |
2,235 |
$18.77 |
| 95012 |
|
120 |
76 |
$16.00 |
| 85045 |
|
13 |
13 |
$15.81 |
| 93041 |
|
3,174 |
3,087 |
$15.64 |
| C9803 |
Hopd covid-19 spec collect |
74 |
71 |
$14.02 |
| J1200 |
Diphenhydramine hcl injectio |
5,784 |
5,096 |
$11.74 |
| J3475 |
Inj magnesium sulfate |
1,328 |
909 |
$11.16 |
| J7070 |
D5w infusion |
1,627 |
732 |
$10.41 |
| J0280 |
Aminophyllin 250 mg inj |
12 |
12 |
$10.34 |
| 89051 |
|
50 |
26 |
$7.34 |
| 82010 |
|
26 |
25 |
$4.78 |
| J2704 |
Inj, propofol, 10 mg |
12,561 |
11,760 |
$3.49 |
| J3480 |
Inj potassium chloride |
380 |
198 |
$3.00 |
| S0028 |
Injection, famotidine, 20 mg |
2,072 |
1,731 |
$2.25 |
| J1815 |
Insulin injection |
2,387 |
1,566 |
$2.12 |
| J2274 |
Inj morphine pf epid ithc |
16 |
16 |
$0.00 |
| 90700 |
|
4,738 |
4,722 |
$0.00 |
| A4565 |
Slings |
1,984 |
1,951 |
$0.00 |
| 90633 |
|
8,522 |
8,495 |
$0.00 |
| G1004 |
Cdsm ndsc |
517 |
397 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
370 |
351 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
15,803 |
15,070 |
$0.00 |
| J2270 |
Morphine sulfate injection |
8,879 |
7,576 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
602 |
595 |
$0.00 |
| 90681 |
|
6,517 |
6,498 |
$0.00 |
| C1776 |
Joint device (implantable) |
473 |
469 |
$0.00 |
| 90713 |
|
795 |
791 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
535 |
449 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
93 |
51 |
$0.00 |
| C1729 |
Cath, drainage |
684 |
401 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
1,177 |
1,119 |
$0.00 |
| 99173 |
|
800 |
799 |
$0.00 |
| 90648 |
|
909 |
909 |
$0.00 |
| A9552 |
F18 fdg |
25 |
25 |
$0.00 |
| S0119 |
Ondansetron 4 mg |
321 |
304 |
$0.00 |
| 82800 |
|
153 |
143 |
$0.00 |
| C1887 |
Catheter, guiding |
51 |
49 |
$0.00 |
| C1751 |
Cath, inf, per/cent/midline |
207 |
199 |
$0.00 |
| 88173 |
|
76 |
53 |
$0.00 |
| 90685 |
|
96 |
96 |
$0.00 |
| 84145 |
|
57 |
53 |
$0.00 |
| C1780 |
Lens, intraocular (new tech) |
18 |
12 |
$0.00 |
| 99001 |
|
16 |
16 |
$0.00 |
| 76000 |
|
12 |
12 |
$0.00 |
| A9578 |
Inj multihance multipack |
21 |
20 |
$0.00 |
| C1769 |
Guide wire |
1,974 |
1,824 |
$0.00 |
| A9585 |
Gadobutrol injection |
3,572 |
3,505 |
$0.00 |
| J1630 |
Haloperidol injection |
850 |
756 |
$0.00 |
| 90723 |
|
11,458 |
11,438 |
$0.00 |
| 90647 |
|
10,706 |
10,677 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
506 |
482 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
5,967 |
5,105 |
$0.00 |
| J3490 |
Drugs unclassified injection |
1,048 |
974 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
1,278 |
1,250 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
7,396 |
6,991 |
$0.00 |
| 90698 |
|
161 |
161 |
$0.00 |
| Q0162 |
Ondansetron oral |
2,693 |
2,536 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
2,937 |
1,578 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
782 |
639 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
1,195 |
1,140 |
$0.00 |
| J8501 |
Oral aprepitant |
633 |
625 |
$0.00 |
| J2060 |
Lorazepam injection |
2,632 |
2,141 |
$0.00 |
| 90680 |
|
399 |
399 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
252 |
194 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
105 |
100 |
$0.00 |
| S2900 |
Robotic surgical system |
49 |
48 |
$0.00 |
| 88300 |
|
176 |
171 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
127 |
110 |
$0.00 |
| C1889 |
Implant/insert device, noc |
479 |
476 |
$0.00 |
| C1726 |
Cath, bal dil, non-vascular |
12 |
12 |
$0.00 |
| J3360 |
Diazepam injection |
298 |
273 |
$0.00 |
| 91318 |
|
25 |
25 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
152 |
134 |
$0.00 |
| C1893 |
Intro/sheath, fixed,non-peel |
67 |
64 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
28 |
27 |
$0.00 |
| 91319 |
|
59 |
59 |
$0.00 |
| 96368 |
|
18 |
14 |
$0.00 |
| G0283 |
Elec stim other than wound |
45 |
24 |
$0.00 |
| 36416 |
|
28 |
26 |
$0.00 |
| 90660 |
|
15 |
15 |
$0.00 |