| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
43,156 |
37,997 |
$18.57M |
| 99284 |
|
66,621 |
60,560 |
$12.38M |
| G0463 |
Hospital outpt clinic visit |
92,126 |
75,451 |
$6.23M |
| 99283 |
|
39,916 |
36,116 |
$6.19M |
| 97110 |
|
55,738 |
15,102 |
$3.18M |
| 96374 |
|
22,949 |
19,287 |
$3.11M |
| 99214 |
|
57,168 |
52,806 |
$2.75M |
| 90834 |
|
36,551 |
23,037 |
$2.38M |
| S9480 |
Intensive outpatient psychia |
20,664 |
3,475 |
$2.25M |
| 74177 |
|
6,999 |
6,305 |
$1.63M |
| G0382 |
Lev 3 hosp type b ed visit |
9,117 |
8,235 |
$1.39M |
| 99282 |
|
10,857 |
9,947 |
$1.21M |
| 96361 |
|
22,517 |
17,676 |
$1.11M |
| J0585 |
Injection,onabotulinumtoxina |
3,771 |
1,335 |
$1.08M |
| 99291 |
|
3,279 |
2,066 |
$1.05M |
| 93306 |
|
6,499 |
6,167 |
$1.02M |
| 99213 |
|
31,310 |
28,470 |
$939K |
| 96360 |
|
7,008 |
6,247 |
$884K |
| G0383 |
Lev 4 hosp type b ed visit |
4,599 |
4,086 |
$781K |
| 90847 |
|
7,672 |
5,058 |
$738K |
| 70450 |
|
9,161 |
7,987 |
$698K |
| 11042 |
|
6,188 |
2,893 |
$665K |
| 71046 |
|
12,121 |
10,925 |
$652K |
| 96375 |
|
15,427 |
12,607 |
$638K |
| 90791 |
|
9,070 |
7,500 |
$616K |
| 74176 |
|
4,070 |
3,662 |
$550K |
| 77067 |
|
4,481 |
4,368 |
$512K |
| 71045 |
|
11,236 |
9,812 |
$510K |
| 96365 |
|
4,841 |
3,958 |
$498K |
| U0003 |
Cov-19 amp prb hgh thruput |
6,165 |
5,514 |
$494K |
| 78452 |
|
799 |
739 |
$473K |
| 0241U |
|
4,520 |
3,954 |
$453K |
| U0004 |
Cov-19 test non-cdc hgh thru |
6,980 |
6,049 |
$444K |
| 99232 |
|
21,258 |
8,836 |
$429K |
| G0381 |
Lev 2 hosp type b ed visit |
4,452 |
4,054 |
$372K |
| G0384 |
Lev 5 hosp type b ed visit |
1,644 |
1,478 |
$358K |
| 97035 |
|
8,877 |
3,314 |
$358K |
| 97161 |
|
5,745 |
5,378 |
$348K |
| H2012 |
Behav hlth day treat, per hr |
7,343 |
402 |
$337K |
| 90832 |
|
7,226 |
5,366 |
$298K |
| 78815 |
|
491 |
460 |
$293K |
| 97140 |
|
29,330 |
9,076 |
$291K |
| H0035 |
Mh partial hosp tx under 24h |
1,920 |
298 |
$281K |
| 70553 |
|
735 |
689 |
$263K |
| 76641 |
|
2,827 |
2,252 |
$259K |
| 11056 |
|
6,403 |
6,004 |
$256K |
| 59025 |
|
1,839 |
831 |
$251K |
| 64615 |
|
2,248 |
1,720 |
$250K |
| 76770 |
|
2,878 |
2,692 |
$243K |
| 90853 |
|
18,899 |
5,781 |
$242K |
| 76705 |
|
2,603 |
2,376 |
$239K |
| 87637 |
|
2,562 |
2,400 |
$239K |
| 0202U |
|
645 |
628 |
$236K |
| 90837 |
|
2,630 |
1,950 |
$228K |
| 97010 |
|
10,225 |
3,935 |
$225K |
| 95810 |
|
442 |
422 |
$212K |
| 99203 |
|
6,140 |
5,837 |
$180K |
| 72148 |
|
759 |
726 |
$169K |
| 99215 |
Prolong outpt/office vis |
2,591 |
2,227 |
$168K |
| U0002 |
Covid-19 lab test non-cdc |
3,954 |
3,612 |
$162K |
| 77065 |
Tomosynthesis, mammo |
1,584 |
1,369 |
$155K |
| 99239 |
|
5,288 |
4,944 |
$155K |
| 76830 |
|
1,516 |
1,365 |
$148K |
| 76856 |
|
1,682 |
1,526 |
$146K |
| 97014 |
|
3,189 |
1,164 |
$142K |
| 93971 |
|
2,098 |
1,878 |
$141K |
| 94010 |
|
3,177 |
2,899 |
$139K |
| U0005 |
Infec agen detec ampli probe |
6,616 |
5,797 |
$139K |
| 76700 |
|
1,298 |
1,240 |
$132K |
| 11721 |
|
17,287 |
16,322 |
$129K |
| 90792 |
|
1,446 |
1,296 |
$127K |
| 76536 |
|
1,933 |
1,822 |
$123K |
| 99231 |
|
8,422 |
2,520 |
$122K |
| 97597 |
|
2,235 |
1,187 |
$120K |
| 71250 |
|
2,174 |
2,015 |
$119K |
| 93010 |
|
42,352 |
37,476 |
$119K |
| 52000 |
|
425 |
378 |
$117K |
| 77066 |
Tomosynthesis, mammo |
978 |
922 |
$111K |
| 97112 |
|
5,035 |
1,786 |
$110K |
| 94060 |
|
869 |
831 |
$109K |
| 93017 |
|
1,644 |
1,507 |
$106K |
| 71260 |
|
1,497 |
1,384 |
$106K |
| 99204 |
|
1,269 |
1,188 |
$100K |
| 71275 |
|
968 |
861 |
$96K |
| 99222 |
|
2,195 |
1,981 |
$92K |
| 97162 |
|
2,563 |
2,292 |
$92K |
| 97530 |
|
7,430 |
3,012 |
$92K |
| 70551 |
|
550 |
516 |
$89K |
| 99233 |
Prolong inpt eval add15 m |
3,158 |
1,912 |
$85K |
| 76642 |
|
1,091 |
992 |
$80K |
| 0002A |
|
2,332 |
2,219 |
$79K |
| 99238 |
|
2,772 |
2,544 |
$77K |
| 0001A |
|
2,514 |
2,347 |
$77K |
| 31575 |
|
744 |
673 |
$76K |
| 99223 |
Prolong inpt eval add15 m |
1,265 |
1,185 |
$72K |
| 73630 |
|
6,493 |
5,424 |
$62K |
| 93005 |
|
38,614 |
32,531 |
$60K |
| 43239 |
|
220 |
204 |
$60K |
| 80053 |
|
54,206 |
43,835 |
$60K |
| 80061 |
|
6,819 |
6,377 |
$56K |
| 84443 |
|
10,041 |
9,138 |
$54K |
| 99212 |
|
3,212 |
2,852 |
$54K |
| 72110 |
|
1,031 |
973 |
$53K |
| 77063 |
|
3,647 |
3,550 |
$51K |
| 96366 |
|
2,010 |
1,371 |
$45K |
| 95816 |
|
283 |
270 |
$43K |
| 70486 |
|
734 |
685 |
$43K |
| 92557 |
|
2,359 |
2,021 |
$38K |
| 82306 |
|
2,142 |
2,015 |
$36K |
| 80307 |
|
10,265 |
8,319 |
$33K |
| 90846 |
|
325 |
266 |
$32K |
| 72125 |
|
2,843 |
2,510 |
$31K |
| 72100 |
|
1,636 |
1,511 |
$31K |
| 93798 |
|
447 |
58 |
$31K |
| 73030 |
|
2,475 |
2,226 |
$30K |
| 86900 |
|
2,938 |
2,505 |
$30K |
| 93975 |
|
142 |
124 |
$30K |
| 73564 |
|
1,402 |
1,284 |
$29K |
| 96372 |
|
6,481 |
5,052 |
$29K |
| 85025 |
|
61,454 |
47,503 |
$28K |
| 97165 |
|
392 |
374 |
$28K |
| 76857 |
|
296 |
289 |
$28K |
| 10060 |
|
203 |
182 |
$28K |
| 36415 |
|
31,585 |
25,962 |
$27K |
| 93976 |
|
290 |
268 |
$26K |
| 95806 |
|
349 |
338 |
$26K |
| 73610 |
|
2,612 |
2,380 |
$26K |
| 97116 |
|
1,616 |
981 |
$26K |
| 87635 |
|
816 |
754 |
$26K |
| 98968 |
|
689 |
403 |
$25K |
| 98967 |
|
940 |
431 |
$24K |
| 72141 |
|
103 |
99 |
$24K |
| 76801 |
|
221 |
188 |
$24K |
| 74183 |
|
63 |
62 |
$23K |
| 73721 |
|
98 |
95 |
$23K |
| 73130 |
|
2,198 |
1,992 |
$23K |
| 73502 |
|
1,845 |
1,668 |
$22K |
| 74018 |
|
1,638 |
1,410 |
$22K |
| 83036 |
|
5,220 |
4,834 |
$21K |
| 69210 |
|
1,689 |
1,589 |
$21K |
| 93970 |
|
155 |
141 |
$19K |
| 97166 |
|
574 |
515 |
$19K |
| 73110 |
|
1,483 |
1,331 |
$19K |
| 87491 |
|
1,082 |
995 |
$18K |
| 87591 |
|
1,090 |
1,003 |
$18K |
| 92507 |
|
254 |
98 |
$18K |
| 94640 |
|
5,690 |
4,188 |
$17K |
| 70491 |
|
103 |
96 |
$16K |
| 0004A |
|
437 |
430 |
$16K |
| 70496 |
|
171 |
161 |
$15K |
| 88305 |
|
3,894 |
3,306 |
$14K |
| 85027 |
|
5,890 |
4,942 |
$14K |
| 20553 |
|
119 |
114 |
$14K |
| 99244 |
|
100 |
99 |
$12K |
| 99221 |
|
408 |
373 |
$12K |
| 99217 |
|
383 |
356 |
$11K |
| 87389 |
|
889 |
839 |
$11K |
| 84439 |
|
2,432 |
2,245 |
$11K |
| G0378 |
Hospital observation per hr |
12,443 |
8,141 |
$11K |
| 80048 |
|
10,020 |
8,042 |
$10K |
| 84403 |
|
555 |
530 |
$9K |
| 73562 |
|
1,252 |
1,146 |
$9K |
| 73140 |
|
963 |
850 |
$9K |
| 90785 |
|
671 |
334 |
$9K |
| 82947 |
|
4,279 |
3,637 |
$9K |
| 72050 |
|
192 |
189 |
$8K |
| 31231 |
|
135 |
125 |
$8K |
| 82607 |
|
1,197 |
1,108 |
$8K |
| 95811 |
|
12 |
12 |
$8K |
| 97535 |
|
387 |
280 |
$8K |
| 78451 |
|
16 |
14 |
$8K |
| 99281 |
|
136 |
129 |
$8K |
| 64493 |
|
16 |
12 |
$7K |
| 11750 |
|
30 |
24 |
$7K |
| 86618 |
|
1,897 |
1,707 |
$7K |
| 86803 |
|
711 |
672 |
$6K |
| 0031A |
|
247 |
195 |
$6K |
| 0064A |
|
176 |
174 |
$6K |
| 82728 |
|
876 |
812 |
$6K |
| 99254 |
|
69 |
64 |
$6K |
| 83655 |
|
515 |
502 |
$5K |
| 99443 |
|
575 |
536 |
$5K |
| 84153 |
|
537 |
519 |
$5K |
| 45385 |
|
12 |
12 |
$5K |
| 99202 |
|
85 |
78 |
$5K |
| 94375 |
|
2,312 |
2,207 |
$5K |
| 10061 |
|
13 |
13 |
$5K |
| 84402 |
|
282 |
272 |
$5K |
| 85610 |
|
7,563 |
5,925 |
$4K |
| 99245 |
|
29 |
29 |
$4K |
| 87086 |
|
8,102 |
6,986 |
$4K |
| 87502 |
|
2,048 |
1,884 |
$4K |
| 72040 |
|
220 |
205 |
$4K |
| 84702 |
|
3,880 |
3,367 |
$4K |
| 87522 |
Neg quan hep c or qual rna |
123 |
114 |
$4K |
| 0003A |
|
107 |
106 |
$4K |
| 93880 |
|
49 |
48 |
$4K |
| 82746 |
|
619 |
572 |
$4K |
| G0279 |
Tomosynthesis, mammo |
1,811 |
1,721 |
$4K |
| 73560 |
|
143 |
133 |
$4K |
| 95251 |
|
390 |
384 |
$3K |
| 84152 |
|
384 |
352 |
$3K |
| 82627 |
|
243 |
233 |
$3K |
| 84481 |
|
354 |
331 |
$3K |
| 20611 |
|
16 |
15 |
$3K |
| 73080 |
|
334 |
309 |
$3K |
| 83550 |
|
731 |
681 |
$3K |
| 86780 |
|
300 |
271 |
$3K |
| 83540 |
|
914 |
842 |
$3K |
| 99205 |
Prolong outpt/office vis |
89 |
58 |
$3K |
| 80076 |
|
999 |
902 |
$3K |
| P9604 |
One-way allow prorated trip |
2,831 |
1,597 |
$3K |
| 82043 |
|
1,087 |
1,028 |
$3K |
| 88112 |
|
437 |
382 |
$3K |
| 0012A |
|
112 |
105 |
$3K |
| 97032 |
|
44 |
12 |
$3K |
| G0480 |
Drug test def 1-7 classes |
9,527 |
7,490 |
$3K |
| 0011A |
|
105 |
101 |
$2K |
| 92567 |
|
4,777 |
4,166 |
$2K |
| C9803 |
Hopd covid-19 spec collect |
16,415 |
14,331 |
$2K |
| 82570 |
|
1,018 |
952 |
$2K |
| 87088 |
|
2,537 |
2,261 |
$2K |
| 86140 |
|
2,302 |
1,965 |
$2K |
| 99220 |
|
51 |
49 |
$2K |
| 88342 |
|
841 |
681 |
$2K |
| 87077 |
|
4,206 |
3,689 |
$2K |
| 11055 |
|
40 |
40 |
$2K |
| 71101 |
|
434 |
406 |
$2K |
| 95819 |
|
13 |
12 |
$2K |
| 93225 |
|
27 |
25 |
$2K |
| 87081 |
|
2,128 |
2,008 |
$2K |
| 92552 |
|
73 |
66 |
$2K |
| 94727 |
|
913 |
875 |
$2K |
| 76870 |
|
45 |
37 |
$2K |
| 11720 |
|
225 |
201 |
$2K |
| 86038 |
|
260 |
247 |
$2K |
| 87186 |
|
3,236 |
2,791 |
$2K |
| 97799 |
|
897 |
360 |
$2K |
| G0103 |
Psa screening |
158 |
155 |
$2K |
| 93270 |
|
121 |
115 |
$2K |
| 90674 |
|
174 |
163 |
$2K |
| 85651 |
|
1,115 |
998 |
$2K |
| 83516 |
|
211 |
162 |
$2K |
| 93016 |
|
209 |
186 |
$2K |
| 87340 |
|
270 |
250 |
$2K |
| 99441 |
|
136 |
126 |
$2K |
| 90686 |
|
202 |
165 |
$2K |
| 84270 |
|
100 |
97 |
$1K |
| 12001 |
|
866 |
811 |
$1K |
| 97012 |
|
21 |
12 |
$1K |
| 83690 |
|
13,515 |
11,568 |
$1K |
| 0071A |
|
35 |
35 |
$1K |
| 87798 |
|
621 |
469 |
$1K |
| 82550 |
|
1,915 |
1,640 |
$1K |
| G2211 |
Complex e/m visit add on |
456 |
446 |
$1K |
| 97163 |
|
32 |
29 |
$1K |
| 83735 |
|
13,133 |
10,506 |
$1K |
| 99218 |
|
39 |
39 |
$1K |
| 86617 |
|
262 |
136 |
$1K |
| 73523 |
|
12 |
12 |
$1K |
| 0072A |
|
30 |
30 |
$1K |
| 73590 |
|
201 |
180 |
$1K |
| 96367 |
|
81 |
72 |
$1K |
| C9399 |
Unclassified drugs or biolog |
14 |
13 |
$1K |
| 81003 |
|
27,383 |
23,195 |
$1K |
| 81001 |
|
4,640 |
4,005 |
$1K |
| 81050 |
|
750 |
727 |
$1K |
| 99253 |
|
15 |
15 |
$1K |
| 82565 |
|
4,681 |
3,994 |
$889.38 |
| 51798 |
|
1,254 |
1,173 |
$883.30 |
| 84146 |
|
60 |
53 |
$814.44 |
| 70498 |
|
183 |
171 |
$807.76 |
| 29125 |
|
211 |
201 |
$778.67 |
| 85018 |
|
1,550 |
1,299 |
$775.63 |
| 80164 |
|
169 |
150 |
$773.68 |
| 87070 |
|
1,911 |
1,636 |
$765.11 |
| 95886 |
|
176 |
156 |
$746.72 |
| 82784 |
|
135 |
117 |
$745.92 |
| 86666 |
|
165 |
82 |
$738.72 |
| 86850 |
|
2,549 |
2,210 |
$722.26 |
| 85730 |
|
1,023 |
917 |
$689.93 |
| 94729 |
|
911 |
873 |
$658.35 |
| 99442 |
|
143 |
126 |
$574.40 |
| 0054A |
|
17 |
17 |
$560.00 |
| J0134 |
Inj acetaminophen -fresenius |
209 |
185 |
$540.05 |
| 85652 |
|
1,176 |
999 |
$520.60 |
| 83880 |
|
3,744 |
3,265 |
$504.59 |
| 82075 |
|
84 |
52 |
$494.93 |
| 82140 |
|
208 |
171 |
$459.36 |
| 99252 |
|
13 |
12 |
$449.57 |
| 82040 |
|
191 |
182 |
$444.26 |
| 0124A |
|
13 |
12 |
$440.00 |
| 86705 |
|
44 |
44 |
$438.75 |
| 86769 |
|
14 |
12 |
$421.30 |
| 85007 |
|
724 |
659 |
$406.59 |
| 90839 |
|
1,307 |
1,002 |
$403.75 |
| 88108 |
|
138 |
131 |
$399.67 |
| 82150 |
|
274 |
262 |
$396.16 |
| 84550 |
|
300 |
275 |
$375.19 |
| 76376 |
|
2,897 |
2,580 |
$374.73 |
| 87427 |
|
58 |
54 |
$366.40 |
| 87205 |
|
1,925 |
1,600 |
$359.63 |
| 87040 |
|
7,688 |
3,843 |
$352.44 |
| 87045 |
|
74 |
67 |
$351.78 |
| 84484 |
|
19,117 |
11,771 |
$347.95 |
| 81025 |
|
6,178 |
5,482 |
$345.57 |
| 82105 |
|
27 |
26 |
$336.42 |
| 87400 |
|
213 |
170 |
$333.80 |
| 87046 |
|
61 |
54 |
$333.74 |
| 92610 |
|
12 |
12 |
$323.41 |
| 99201 |
|
44 |
37 |
$313.65 |
| 93296 |
|
38 |
38 |
$307.69 |
| 86901 |
|
2,942 |
2,505 |
$301.11 |
| 90715 |
|
1,959 |
1,803 |
$294.84 |
| 84100 |
|
1,180 |
872 |
$287.63 |
| 87880 |
|
2,415 |
2,275 |
$279.28 |
| T1016 |
Case management |
15 |
13 |
$270.00 |
| 86709 |
|
29 |
29 |
$268.75 |
| 99406 |
|
312 |
280 |
$258.80 |
| 76817 |
|
52 |
44 |
$249.76 |
| 74019 |
|
27 |
24 |
$236.92 |
| 82977 |
|
62 |
58 |
$229.81 |
| 84703 |
|
5,265 |
4,664 |
$225.60 |
| 93793 |
|
95 |
68 |
$223.41 |
| 84460 |
|
150 |
142 |
$221.87 |
| 86431 |
|
80 |
77 |
$211.38 |
| 73090 |
|
57 |
55 |
$206.49 |
| 84436 |
|
65 |
59 |
$203.36 |
| 36600 |
|
45 |
37 |
$196.89 |
| 86696 |
|
16 |
15 |
$184.80 |
| 12002 |
|
144 |
130 |
$179.59 |
| 90471 |
|
1,325 |
1,157 |
$165.84 |
| 87075 |
|
372 |
319 |
$161.48 |
| 80178 |
|
47 |
39 |
$151.44 |
| G0283 |
Elec stim other than wound |
242 |
100 |
$145.38 |
| 87209 |
|
16 |
16 |
$129.25 |
| 94618 |
|
130 |
125 |
$127.08 |
| 83605 |
|
8,248 |
6,378 |
$123.09 |
| 80051 |
|
338 |
312 |
$121.07 |
| 83525 |
|
16 |
14 |
$120.01 |
| J1885 |
Ketorolac tromethamine inj |
12,877 |
10,693 |
$118.94 |
| 87147 |
|
153 |
141 |
$118.56 |
| 86695 |
|
16 |
15 |
$113.40 |
| J7030 |
Normal saline solution infus |
27,064 |
20,699 |
$106.92 |
| 82247 |
|
87 |
74 |
$106.83 |
| 97164 |
|
12 |
12 |
$106.68 |
| 84145 |
|
1,221 |
1,000 |
$102.59 |
| 87177 |
|
16 |
16 |
$93.50 |
| 86706 |
|
16 |
14 |
$82.08 |
| 82374 |
|
3,376 |
2,847 |
$81.33 |
| 87651 |
|
690 |
645 |
$77.34 |
| 85379 |
|
3,144 |
2,825 |
$75.54 |
| 87468 |
|
243 |
220 |
$72.18 |
| 82962 |
|
9,879 |
4,214 |
$71.65 |
| 82248 |
|
48 |
36 |
$65.12 |
| 84132 |
|
3,783 |
3,166 |
$64.99 |
| 84520 |
|
4,424 |
3,750 |
$63.26 |
| 82803 |
|
667 |
561 |
$53.15 |
| 87484 |
|
243 |
220 |
$52.86 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
11,413 |
10,171 |
$51.57 |
| 81002 |
|
131 |
114 |
$51.24 |
| G0127 |
Trim nail(s) |
38 |
36 |
$50.78 |
| 86592 |
|
15 |
14 |
$48.84 |
| 86308 |
|
50 |
47 |
$39.52 |
| 84295 |
|
3,407 |
2,875 |
$36.62 |
| 94760 |
|
1,766 |
1,668 |
$35.00 |
| 87510 |
|
28 |
25 |
$33.59 |
| 87480 |
|
29 |
26 |
$33.57 |
| 87641 |
|
340 |
286 |
$33.51 |
| 87660 |
|
29 |
26 |
$33.51 |
| J7120 |
Ringers lactate infusion |
9,833 |
7,195 |
$33.12 |
| 88304 |
|
635 |
574 |
$32.99 |
| 89055 |
|
13 |
13 |
$32.56 |
| 82553 |
|
194 |
177 |
$30.16 |
| 87207 |
|
694 |
390 |
$28.38 |
| 82435 |
|
3,375 |
2,846 |
$27.23 |
| 51702 |
|
13 |
12 |
$25.87 |
| 76815 |
|
19 |
14 |
$25.25 |
| P9612 |
Catheterize for urine spec |
47 |
42 |
$23.10 |
| 94761 |
|
1,888 |
1,726 |
$18.98 |
| 96376 |
|
5,758 |
4,002 |
$18.59 |
| 87015 |
|
317 |
265 |
$17.81 |
| 84450 |
|
27 |
25 |
$17.48 |
| 80179 |
|
414 |
380 |
$16.44 |
| 85378 |
|
330 |
292 |
$13.62 |
| 82077 |
|
2,053 |
1,669 |
$12.36 |
| 87804 |
|
182 |
170 |
$11.45 |
| 82375 |
|
550 |
468 |
$11.24 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
1,214 |
1,045 |
$9.61 |
| 83050 |
|
516 |
450 |
$6.69 |
| J2765 |
Metoclopramide hcl injection |
2,472 |
2,074 |
$5.22 |
| 83615 |
|
32 |
25 |
$4.98 |
| J2270 |
Morphine sulfate injection |
7,267 |
5,168 |
$3.01 |
| J1200 |
Diphenhydramine hcl injectio |
3,007 |
2,509 |
$2.87 |
| J3490 |
Drugs unclassified injection |
174,985 |
50,419 |
$2.27 |
| J2405 |
Ondansetron hcl injection |
15,918 |
12,881 |
$1.80 |
| G8979 |
Mobility goal status |
241 |
207 |
$1.69 |
| G8978 |
Mobility current status |
212 |
187 |
$1.50 |
| J7512 |
Prednisone ir or dr oral 1mg |
3,453 |
2,789 |
$1.22 |
| Q0162 |
Ondansetron oral |
2,959 |
2,573 |
$1.12 |
| J2250 |
Inj midazolam hydrochloride |
5,716 |
4,962 |
$1.00 |
| J2060 |
Lorazepam injection |
4,188 |
3,203 |
$0.87 |
| G8980 |
Mobility d/c status |
21 |
16 |
$0.11 |
| Q0163 |
Diphenhydramine hcl 50mg |
748 |
642 |
$0.00 |
| C1758 |
Catheter, ureteral |
14 |
12 |
$0.00 |
| J2930 |
Methylprednisolone injection |
1,355 |
1,165 |
$0.00 |
| A4216 |
Sterile water/saline, 10 ml |
52 |
35 |
$0.00 |
| J7040 |
Normal saline solution infus |
718 |
616 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
1,028 |
530 |
$0.00 |
| 76942 |
|
114 |
97 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
1,323 |
540 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
307 |
284 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
77 |
65 |
$0.00 |
| A9552 |
F18 fdg |
432 |
404 |
$0.00 |
| 93356 |
|
223 |
212 |
$0.00 |
| J0780 |
Prochlorperazine injection |
271 |
243 |
$0.00 |
| 91300 |
|
5,105 |
4,428 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
497 |
452 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
518 |
444 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
73 |
70 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
193 |
162 |
$0.00 |
| 80143 |
|
423 |
386 |
$0.00 |
| A9541 |
Tc99m sulfur colloid |
12 |
12 |
$0.00 |
| 87469 |
|
83 |
81 |
$0.00 |
| 12011 |
|
41 |
39 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
154 |
102 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
127 |
117 |
$0.00 |
| J2550 |
Promethazine hcl injection |
73 |
56 |
$0.00 |
| 99490 |
Ccm add 20min |
90 |
90 |
$0.00 |
| 91312 |
|
13 |
12 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
44 |
39 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
27 |
25 |
$0.00 |
| G0179 |
Md recertification hha pt |
12 |
12 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
42 |
38 |
$0.00 |
| 82805 |
|
42 |
36 |
$0.00 |
| 87420 |
|
20 |
18 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
32 |
30 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
18 |
14 |
$0.00 |
| J0736 |
Inj, clindamycin phosp 300mg |
15 |
14 |
$0.00 |
| 82010 |
|
14 |
12 |
$0.00 |
| J1170 |
Hydromorphone injection |
5,079 |
3,056 |
$0.00 |
| J2785 |
Regadenoson injection |
407 |
378 |
$0.00 |
| J2001 |
Lidocaine injection |
10,655 |
7,733 |
$0.00 |
| A9585 |
Gadobutrol injection |
2,630 |
2,311 |
$0.00 |
| C1769 |
Guide wire |
488 |
399 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
6,044 |
5,124 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
4,292 |
3,823 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
9,552 |
6,371 |
$0.00 |
| J1630 |
Haloperidol injection |
1,436 |
1,145 |
$0.00 |
| J7050 |
Normal saline solution infus |
1,431 |
918 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
4,108 |
3,269 |
$0.00 |
| J3480 |
Inj potassium chloride |
165 |
95 |
$0.00 |
| J3360 |
Diazepam injection |
133 |
111 |
$0.00 |
| 88341 |
|
88 |
50 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
4,640 |
3,565 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
28 |
24 |
$0.00 |
| 91303 |
|
168 |
162 |
$0.00 |
| J1815 |
Insulin injection |
1,671 |
606 |
$0.00 |
| A4217 |
Sterile water/saline, 500 ml |
130 |
123 |
$0.00 |
| 91306 |
|
176 |
174 |
$0.00 |
| J1940 |
Furosemide injection |
92 |
53 |
$0.00 |
| A9500 |
Tc99m sestamibi |
857 |
794 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
131 |
89 |
$0.00 |
| 91305 |
|
17 |
17 |
$0.00 |
| G0008 |
Admin influenza virus vac |
347 |
306 |
$0.00 |
| G0108 |
Diab manage trn per indiv |
13 |
12 |
$0.00 |
| J1790 |
Droperidol injection |
87 |
76 |
$0.00 |
| C9290 |
Inj, bupivacaine liposome |
105 |
91 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
358 |
307 |
$0.00 |
| 91307 |
|
65 |
65 |
$0.00 |
| 91301 |
|
255 |
247 |
$0.00 |
| 87807 |
|
22 |
19 |
$0.00 |
| 93280 |
|
30 |
28 |
$0.00 |
| 92556 |
|
70 |
63 |
$0.00 |
| J1836 |
Inj, metronidazole, 10 mg |
71 |
38 |
$0.00 |
| J0280 |
Aminophyllin 250 mg inj |
26 |
25 |
$0.00 |
| A4648 |
Implantable tissue marker |
13 |
13 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
13 |
12 |
$0.00 |
| 72020 |
|
31 |
25 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
33 |
33 |
$0.00 |
| 29130 |
|
14 |
14 |
$0.00 |