| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
|
86,214 |
77,637 |
$8.57M |
| 99214 |
|
64,857 |
58,692 |
$6.75M |
| 90834 |
|
24,359 |
14,659 |
$3.22M |
| 99284 |
|
22,708 |
21,325 |
$2.94M |
| U0004 |
Cov-19 test non-cdc hgh thru |
32,524 |
31,115 |
$2.49M |
| 99283 |
|
15,840 |
15,347 |
$2.23M |
| 96361 |
|
6,976 |
6,291 |
$1.52M |
| 80053 |
|
63,030 |
57,534 |
$1.20M |
| 99285 |
|
9,638 |
9,179 |
$1.15M |
| 70450 |
|
3,974 |
3,906 |
$1.13M |
| 74177 |
|
4,523 |
4,430 |
$1.12M |
| 97530 |
|
16,278 |
5,691 |
$1.02M |
| 36415 |
|
103,020 |
50,328 |
$940K |
| 76856 |
|
2,752 |
2,703 |
$853K |
| 74176 |
|
3,009 |
2,964 |
$831K |
| 45380 |
|
1,173 |
1,165 |
$796K |
| 43239 |
|
1,189 |
1,179 |
$712K |
| 90832 |
|
7,124 |
5,705 |
$711K |
| 96365 |
|
5,124 |
3,414 |
$680K |
| 93306 |
|
3,856 |
3,790 |
$653K |
| 99204 |
|
5,205 |
5,123 |
$578K |
| 82306 |
|
16,854 |
16,810 |
$547K |
| G0463 |
Hospital outpt clinic visit |
10,932 |
8,681 |
$479K |
| 99203 |
|
4,374 |
4,338 |
$470K |
| 87633 |
|
7,572 |
7,326 |
$466K |
| T1030 |
Rn home care per diem |
2,862 |
857 |
$462K |
| 87635 |
|
11,423 |
11,119 |
$452K |
| 76700 |
|
1,956 |
1,949 |
$416K |
| 87502 |
|
8,203 |
8,041 |
$404K |
| 99212 |
|
3,743 |
3,583 |
$395K |
| 73721 |
|
1,460 |
1,430 |
$390K |
| 72148 |
|
1,292 |
1,291 |
$358K |
| 71275 |
|
1,124 |
1,114 |
$340K |
| 99282 |
|
2,327 |
2,300 |
$324K |
| 97140 |
|
7,656 |
3,207 |
$322K |
| 99215 |
Prolong outpt/office vis |
2,830 |
2,735 |
$303K |
| 77067 |
|
5,473 |
5,465 |
$301K |
| 97161 |
|
3,364 |
3,322 |
$286K |
| S9131 |
Pt in the home per diem |
4,161 |
1,121 |
$279K |
| 99392 |
|
3,361 |
3,347 |
$278K |
| 76770 |
|
1,442 |
1,432 |
$277K |
| 84443 |
|
29,398 |
28,911 |
$275K |
| 96360 |
|
1,446 |
1,411 |
$263K |
| 99393 |
|
2,968 |
2,964 |
$256K |
| U0005 |
Infec agen detec ampli probe |
10,571 |
10,295 |
$255K |
| 97110 |
|
3,215 |
1,142 |
$247K |
| 20610 |
|
985 |
948 |
$222K |
| 99391 |
|
2,494 |
2,420 |
$202K |
| 45385 |
|
422 |
419 |
$199K |
| 80061 |
|
22,761 |
22,680 |
$186K |
| 99394 |
|
2,147 |
2,143 |
$176K |
| 87491 |
|
6,870 |
6,781 |
$175K |
| 85025 |
|
50,186 |
46,242 |
$165K |
| 88305 |
|
4,004 |
3,902 |
$164K |
| 12001 |
|
417 |
415 |
$163K |
| 70551 |
|
517 |
516 |
$156K |
| 90791 |
|
964 |
956 |
$154K |
| 83880 |
|
4,732 |
4,551 |
$148K |
| 84439 |
|
14,983 |
14,853 |
$146K |
| 73221 |
|
535 |
521 |
$144K |
| 99395 |
|
1,797 |
1,792 |
$143K |
| 87591 |
|
6,953 |
6,859 |
$141K |
| 76801 |
|
1,773 |
1,483 |
$136K |
| 93970 |
|
357 |
353 |
$135K |
| 80048 |
|
8,764 |
7,813 |
$126K |
| 83036 |
|
15,925 |
15,837 |
$125K |
| S9128 |
Speech therapy, in the home, |
1,199 |
433 |
$123K |
| 99396 |
|
1,638 |
1,626 |
$121K |
| 76805 |
|
2,406 |
2,150 |
$115K |
| 95810 |
|
164 |
164 |
$113K |
| 96366 |
|
801 |
618 |
$111K |
| 93971 |
|
1,392 |
1,312 |
$108K |
| 70553 |
|
361 |
361 |
$107K |
| 76705 |
|
2,411 |
2,370 |
$105K |
| 72141 |
|
372 |
370 |
$105K |
| 86850 |
|
4,117 |
3,956 |
$104K |
| 96372 |
|
8,122 |
7,107 |
$104K |
| 42820 |
|
77 |
77 |
$103K |
| 87070 |
|
16,952 |
16,621 |
$102K |
| 71250 |
|
968 |
961 |
$100K |
| 88175 |
|
3,527 |
3,522 |
$99K |
| 94726 |
|
1,788 |
1,770 |
$97K |
| 99205 |
Prolong outpt/office vis |
850 |
840 |
$97K |
| 99281 |
|
662 |
603 |
$96K |
| 71260 |
|
755 |
750 |
$93K |
| 88342 |
|
1,494 |
1,462 |
$92K |
| 97535 |
|
2,701 |
2,264 |
$92K |
| 87661 |
|
4,021 |
3,968 |
$81K |
| 93010 |
|
11,542 |
10,734 |
$80K |
| 87086 |
|
14,763 |
14,001 |
$79K |
| 76641 |
|
3,159 |
3,146 |
$77K |
| 86901 |
|
4,468 |
4,229 |
$74K |
| 82607 |
|
5,810 |
5,736 |
$73K |
| 90686 |
|
3,529 |
3,509 |
$71K |
| 86900 |
|
4,470 |
4,232 |
$62K |
| 71046 |
|
8,322 |
8,166 |
$61K |
| S9129 |
Occupational therapy, in the |
981 |
306 |
$61K |
| 87389 |
|
4,310 |
4,258 |
$61K |
| 76830 |
|
1,506 |
1,456 |
$59K |
| 90715 |
|
2,171 |
2,155 |
$55K |
| 94060 |
|
622 |
603 |
$55K |
| 78452 |
|
136 |
127 |
$54K |
| G0378 |
Hospital observation per hr |
1,758 |
1,228 |
$54K |
| 11042 |
|
93 |
54 |
$52K |
| 84153 |
|
3,222 |
3,192 |
$51K |
| 77063 |
|
4,646 |
4,639 |
$51K |
| 87634 |
|
2,466 |
2,422 |
$46K |
| 93005 |
|
12,538 |
11,449 |
$45K |
| 87624 |
|
1,593 |
1,581 |
$45K |
| 82728 |
|
3,680 |
3,640 |
$43K |
| 85610 |
|
12,744 |
11,499 |
$42K |
| 71271 |
|
720 |
719 |
$42K |
| 70491 |
|
163 |
159 |
$40K |
| 76942 |
|
241 |
241 |
$40K |
| 76536 |
|
1,661 |
1,652 |
$39K |
| 99406 |
|
1,141 |
1,113 |
$38K |
| 90651 |
|
836 |
829 |
$37K |
| 84702 |
|
3,664 |
3,016 |
$37K |
| 86480 |
|
582 |
579 |
$36K |
| 77080 |
|
720 |
718 |
$35K |
| 87077 |
|
5,166 |
5,024 |
$35K |
| 41899 |
|
30 |
30 |
$35K |
| 94010 |
|
827 |
811 |
$35K |
| 94729 |
|
1,762 |
1,741 |
$33K |
| 83655 |
|
2,364 |
2,347 |
$32K |
| 80307 |
|
1,557 |
1,458 |
$31K |
| 87081 |
|
7,744 |
7,651 |
$31K |
| 90647 |
|
1,749 |
1,737 |
$30K |
| 90837 |
|
217 |
164 |
$30K |
| 93017 |
|
265 |
264 |
$29K |
| 93975 |
|
104 |
102 |
$29K |
| 86780 |
|
2,839 |
2,817 |
$29K |
| 12011 |
|
76 |
76 |
$29K |
| 82746 |
|
2,831 |
2,809 |
$29K |
| 90723 |
|
1,667 |
1,654 |
$29K |
| 84403 |
|
1,196 |
1,177 |
$28K |
| 86803 |
|
3,504 |
3,473 |
$28K |
| 84144 |
|
1,408 |
1,224 |
$28K |
| 76819 |
|
761 |
433 |
$27K |
| G0480 |
Drug test def 1-7 classes |
1,070 |
1,023 |
$26K |
| 82043 |
|
5,015 |
4,981 |
$26K |
| 99211 |
|
1,379 |
1,112 |
$26K |
| 90680 |
|
1,437 |
1,423 |
$25K |
| 73630 |
|
4,488 |
4,310 |
$25K |
| M0243 |
Casirivi and imdevi inj |
114 |
114 |
$25K |
| 86140 |
|
11,402 |
10,347 |
$24K |
| 90688 |
|
1,203 |
1,183 |
$24K |
| 94618 |
|
869 |
599 |
$24K |
| G0447 |
Behavior counsel obesity 15m |
266 |
217 |
$24K |
| 81001 |
|
11,348 |
10,785 |
$23K |
| 86618 |
|
1,967 |
1,951 |
$23K |
| 90670 |
|
1,220 |
1,214 |
$23K |
| 87340 |
|
2,505 |
2,478 |
$23K |
| 80076 |
|
1,956 |
1,844 |
$22K |
| 86762 |
|
1,752 |
1,741 |
$22K |
| 90633 |
|
1,319 |
1,307 |
$22K |
| 73610 |
|
3,885 |
3,650 |
$21K |
| 97035 |
|
1,128 |
466 |
$21K |
| 97112 |
|
379 |
188 |
$21K |
| 87653 |
|
955 |
953 |
$20K |
| 82670 |
|
738 |
699 |
$19K |
| 90734 |
|
1,036 |
1,025 |
$19K |
| 73130 |
|
3,272 |
3,065 |
$19K |
| 88304 |
|
506 |
503 |
$19K |
| 86003 |
|
399 |
394 |
$18K |
| 84466 |
|
1,822 |
1,797 |
$18K |
| 83001 |
|
1,010 |
996 |
$18K |
| 99385 |
|
214 |
213 |
$18K |
| 85027 |
|
6,951 |
6,491 |
$18K |
| 84146 |
|
922 |
906 |
$17K |
| 73030 |
|
2,791 |
2,727 |
$17K |
| 87186 |
|
3,966 |
3,876 |
$17K |
| 88112 |
|
335 |
326 |
$17K |
| 90677 |
|
380 |
377 |
$17K |
| 73562 |
|
2,643 |
2,603 |
$17K |
| 83540 |
|
3,654 |
3,603 |
$17K |
| 81025 |
|
5,256 |
5,153 |
$16K |
| 87522 |
Neg quan hep c or qual rna |
340 |
320 |
$16K |
| 83970 |
|
395 |
388 |
$16K |
| 72125 |
|
278 |
273 |
$16K |
| 12002 |
|
40 |
40 |
$16K |
| 70486 |
|
153 |
153 |
$16K |
| 87205 |
|
6,282 |
6,130 |
$15K |
| Q3014 |
Telehealth facility fee |
894 |
832 |
$15K |
| 29515 |
|
76 |
76 |
$15K |
| 77065 |
Tomosynthesis, mammo |
205 |
193 |
$15K |
| 82805 |
|
572 |
532 |
$15K |
| C9803 |
Hopd covid-19 spec collect |
6,104 |
5,858 |
$15K |
| 90460 |
|
8,717 |
8,544 |
$15K |
| 73564 |
|
1,745 |
1,734 |
$14K |
| 85730 |
|
6,785 |
6,487 |
$14K |
| 93880 |
|
52 |
52 |
$14K |
| 72110 |
|
1,079 |
1,077 |
$14K |
| 11721 |
|
256 |
251 |
$14K |
| 77002 |
|
91 |
91 |
$14K |
| 93225 |
|
175 |
174 |
$14K |
| 97165 |
|
200 |
199 |
$13K |
| 77066 |
Tomosynthesis, mammo |
218 |
216 |
$13K |
| 99202 |
|
131 |
131 |
$13K |
| 29125 |
|
66 |
64 |
$13K |
| 83002 |
|
791 |
758 |
$13K |
| 62323 |
|
27 |
27 |
$13K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
3,501 |
3,417 |
$13K |
| 76870 |
|
311 |
305 |
$13K |
| 72100 |
|
2,000 |
1,981 |
$12K |
| 76816 |
|
633 |
589 |
$12K |
| 85007 |
|
5,741 |
5,336 |
$12K |
| 73110 |
|
2,046 |
1,943 |
$11K |
| 83735 |
|
5,734 |
4,913 |
$11K |
| 86376 |
|
870 |
867 |
$11K |
| 87798 |
|
224 |
147 |
$11K |
| 97014 |
|
522 |
214 |
$10K |
| 85652 |
|
4,531 |
4,253 |
$10K |
| 90707 |
|
506 |
503 |
$10K |
| 82565 |
|
2,208 |
2,173 |
$10K |
| 82784 |
|
986 |
972 |
$10K |
| 81003 |
|
7,872 |
7,644 |
$10K |
| 92550 |
|
336 |
310 |
$9K |
| 10060 |
|
36 |
36 |
$9K |
| 76775 |
|
156 |
154 |
$9K |
| 90700 |
|
536 |
531 |
$9K |
| 86038 |
|
1,959 |
1,921 |
$9K |
| 86706 |
|
1,150 |
1,128 |
$9K |
| 90696 |
|
415 |
413 |
$9K |
| 90716 |
|
481 |
477 |
$8K |
| 73700 |
|
65 |
65 |
$8K |
| 82570 |
|
1,914 |
1,883 |
$8K |
| 45378 |
|
12 |
12 |
$8K |
| 51798 |
|
27 |
27 |
$8K |
| 96413 |
|
188 |
128 |
$8K |
| 86765 |
|
787 |
781 |
$8K |
| 90471 |
|
4,473 |
4,359 |
$8K |
| 90710 |
|
452 |
448 |
$8K |
| 84481 |
|
911 |
905 |
$8K |
| 80305 |
|
3,867 |
3,511 |
$8K |
| 86431 |
|
1,535 |
1,527 |
$7K |
| J3490 |
Drugs unclassified injection |
118 |
117 |
$7K |
| 76642 |
|
417 |
405 |
$7K |
| 86800 |
|
663 |
658 |
$7K |
| 73502 |
|
1,350 |
1,328 |
$7K |
| 86769 |
|
235 |
234 |
$7K |
| 97162 |
|
60 |
60 |
$7K |
| 73140 |
|
1,945 |
1,768 |
$7K |
| 96374 |
|
4,383 |
4,081 |
$7K |
| 87804 |
|
1,119 |
1,099 |
$7K |
| 93922 |
|
89 |
89 |
$7K |
| 86704 |
|
790 |
769 |
$6K |
| 99493 |
|
165 |
149 |
$6K |
| 87880 |
|
8,831 |
8,628 |
$6K |
| 97802 |
|
315 |
315 |
$6K |
| 74183 |
|
24 |
24 |
$6K |
| 97803 |
|
308 |
300 |
$6K |
| 72040 |
|
926 |
918 |
$6K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
501 |
495 |
$6K |
| 99442 |
|
68 |
63 |
$5K |
| 99383 |
|
59 |
59 |
$5K |
| 84436 |
|
818 |
711 |
$5K |
| 83021 |
|
249 |
249 |
$5K |
| 71045 |
|
4,916 |
4,708 |
$5K |
| 82950 |
|
959 |
957 |
$5K |
| 83690 |
|
5,547 |
5,200 |
$5K |
| 93242 |
|
40 |
40 |
$5K |
| 99443 |
|
52 |
50 |
$4K |
| 73100 |
|
843 |
696 |
$4K |
| 82105 |
|
550 |
541 |
$4K |
| 85014 |
|
1,005 |
906 |
$4K |
| 99386 |
|
52 |
52 |
$4K |
| 84550 |
|
996 |
975 |
$4K |
| G0297 |
Ldct for lung ca screen |
43 |
42 |
$4K |
| D2930 |
|
14 |
14 |
$4K |
| 86787 |
|
575 |
561 |
$4K |
| 99401 |
|
158 |
81 |
$3K |
| 72170 |
|
663 |
661 |
$3K |
| 84484 |
|
6,075 |
5,198 |
$3K |
| 73560 |
|
686 |
658 |
$3K |
| 92507 |
|
34 |
15 |
$3K |
| 85045 |
|
1,008 |
979 |
$3K |
| 86665 |
|
122 |
122 |
$3K |
| 72131 |
|
13 |
13 |
$3K |
| 87040 |
|
2,635 |
2,131 |
$3K |
| 74018 |
|
1,027 |
1,005 |
$3K |
| 74019 |
|
488 |
479 |
$3K |
| 17110 |
|
12 |
12 |
$3K |
| 83550 |
|
653 |
649 |
$3K |
| 87902 |
|
13 |
12 |
$3K |
| 82785 |
|
263 |
259 |
$3K |
| 85379 |
|
1,344 |
1,296 |
$3K |
| 77427 |
|
25 |
12 |
$3K |
| 87469 |
|
125 |
125 |
$3K |
| 82533 |
|
176 |
164 |
$3K |
| 92557 |
|
104 |
103 |
$3K |
| 73080 |
|
561 |
533 |
$3K |
| 72050 |
|
269 |
269 |
$2K |
| 99051 |
|
206 |
157 |
$2K |
| 86757 |
|
128 |
127 |
$2K |
| 85018 |
|
1,062 |
959 |
$2K |
| 82150 |
|
1,598 |
1,549 |
$2K |
| 97116 |
|
57 |
39 |
$2K |
| 86364 |
|
386 |
381 |
$2K |
| 86308 |
|
690 |
683 |
$2K |
| 83605 |
|
4,043 |
3,705 |
$2K |
| 84480 |
|
371 |
368 |
$2K |
| 90750 |
|
14 |
14 |
$2K |
| 82550 |
|
1,271 |
1,170 |
$2K |
| 86141 |
|
227 |
227 |
$2K |
| 86708 |
|
292 |
289 |
$2K |
| 86258 |
|
195 |
193 |
$2K |
| 84703 |
|
4,456 |
4,234 |
$2K |
| 90656 |
|
195 |
195 |
$2K |
| 92567 |
|
82 |
80 |
$2K |
| 73590 |
|
444 |
407 |
$2K |
| 80069 |
|
91 |
79 |
$2K |
| 87468 |
|
58 |
58 |
$2K |
| 73090 |
|
462 |
413 |
$2K |
| 90620 |
|
62 |
62 |
$2K |
| 84100 |
|
460 |
381 |
$2K |
| 81002 |
|
3,789 |
3,662 |
$2K |
| 82962 |
|
5,067 |
3,895 |
$2K |
| 0011A |
|
40 |
40 |
$2K |
| 0012A |
|
38 |
38 |
$1K |
| 99441 |
|
22 |
21 |
$1K |
| G0109 |
Diab manage trn ind/group |
79 |
50 |
$1K |
| 94640 |
|
818 |
726 |
$1K |
| 86664 |
|
122 |
122 |
$1K |
| 69210 |
|
50 |
50 |
$1K |
| 86235 |
|
108 |
98 |
$1K |
| C9399 |
Unclassified drugs or biolog |
25 |
25 |
$1K |
| 82248 |
|
317 |
263 |
$1K |
| 74210 |
|
124 |
124 |
$1K |
| 96367 |
|
26 |
26 |
$1K |
| 96375 |
|
3,017 |
2,564 |
$1K |
| 86663 |
|
122 |
122 |
$1K |
| 87430 |
|
1,175 |
1,157 |
$1K |
| 87484 |
|
58 |
58 |
$1K |
| J0696 |
Ceftriaxone sodium injection |
1,578 |
1,036 |
$1K |
| G0103 |
Psa screening |
146 |
145 |
$1K |
| 83516 |
|
43 |
41 |
$1K |
| 71101 |
|
129 |
123 |
$1K |
| 84520 |
|
306 |
285 |
$1K |
| 86709 |
|
150 |
149 |
$1K |
| 0071A |
|
27 |
24 |
$1K |
| 86735 |
|
160 |
157 |
$1K |
| 82947 |
|
242 |
242 |
$1K |
| 90472 |
|
217 |
214 |
$994.20 |
| H0049 |
Alcohol/drug screening |
21 |
21 |
$933.33 |
| 87507 |
|
13 |
13 |
$918.50 |
| 82627 |
|
49 |
49 |
$890.27 |
| 80349 |
|
511 |
490 |
$882.33 |
| 87252 |
|
26 |
25 |
$866.12 |
| 80047 |
|
80 |
64 |
$862.34 |
| 83020 |
|
69 |
69 |
$834.23 |
| 86225 |
|
161 |
161 |
$789.18 |
| 76817 |
|
13 |
12 |
$722.44 |
| 73070 |
|
190 |
169 |
$708.91 |
| P9612 |
Catheterize for urine spec |
39 |
38 |
$679.25 |
| 92587 |
|
24 |
24 |
$672.66 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
82 |
82 |
$671.77 |
| 0031A |
|
17 |
17 |
$620.96 |
| G0008 |
Admin influenza virus vac |
86 |
86 |
$606.57 |
| J0690 |
Cefazolin sodium injection |
1,250 |
1,084 |
$589.21 |
| 90732 |
|
14 |
14 |
$569.89 |
| J3301 |
Triamcinolone acet inj nos |
845 |
826 |
$497.14 |
| 88313 |
|
53 |
53 |
$489.10 |
| 84425 |
|
39 |
39 |
$469.34 |
| 96127 |
|
335 |
319 |
$433.41 |
| 86617 |
|
28 |
26 |
$420.42 |
| 0202U |
|
63 |
63 |
$416.78 |
| 83615 |
|
122 |
112 |
$384.36 |
| 72114 |
|
25 |
25 |
$381.27 |
| 86200 |
|
50 |
50 |
$369.76 |
| 80178 |
|
50 |
48 |
$360.17 |
| 94760 |
|
978 |
944 |
$357.27 |
| 76815 |
|
13 |
13 |
$347.10 |
| 96376 |
|
336 |
218 |
$313.08 |
| J2405 |
Ondansetron hcl injection |
4,668 |
4,163 |
$249.66 |
| J3010 |
Fentanyl citrate injection |
3,672 |
3,525 |
$246.74 |
| 82378 |
|
15 |
13 |
$237.02 |
| J0131 |
Inj, acetaminophen (nos) |
447 |
433 |
$227.46 |
| 72072 |
|
13 |
13 |
$220.89 |
| 86580 |
|
42 |
39 |
$213.71 |
| 87210 |
|
95 |
92 |
$195.80 |
| J1885 |
Ketorolac tromethamine inj |
4,414 |
4,090 |
$184.38 |
| J1100 |
Dexamethasone sodium phos |
3,140 |
2,924 |
$183.52 |
| 87045 |
|
27 |
26 |
$180.41 |
| 99495 |
|
412 |
408 |
$175.72 |
| 73620 |
|
56 |
54 |
$158.13 |
| 87147 |
|
108 |
108 |
$155.97 |
| J2250 |
Inj midazolam hydrochloride |
3,509 |
3,395 |
$154.93 |
| 93000 |
|
12 |
12 |
$154.00 |
| 82985 |
|
15 |
15 |
$153.25 |
| 81015 |
|
53 |
53 |
$139.10 |
| J7050 |
Normal saline solution infus |
349 |
214 |
$126.84 |
| 73660 |
|
30 |
30 |
$103.80 |
| J7030 |
Normal saline solution infus |
104 |
53 |
$80.95 |
| J1040 |
Methylprednisolone 80 mg inj |
81 |
80 |
$78.16 |
| J1030 |
Methylprednisolone 40 mg inj |
119 |
117 |
$76.32 |
| J3370 |
Vancomycin hcl injection |
53 |
25 |
$75.16 |
| J2270 |
Morphine sulfate injection |
1,007 |
834 |
$74.44 |
| 82977 |
|
13 |
12 |
$64.00 |
| 84132 |
|
13 |
12 |
$59.73 |
| 72070 |
|
12 |
12 |
$46.80 |
| 83721 |
|
17 |
16 |
$43.04 |
| 82077 |
|
172 |
165 |
$35.92 |
| J1200 |
Diphenhydramine hcl injectio |
920 |
806 |
$35.73 |
| 87207 |
|
12 |
12 |
$31.15 |
| J1170 |
Hydromorphone injection |
125 |
109 |
$30.84 |
| 80320 |
|
153 |
149 |
$26.51 |
| J2765 |
Metoclopramide hcl injection |
773 |
695 |
$20.13 |
| J2930 |
Methylprednisolone injection |
25 |
25 |
$18.47 |
| J0330 |
Succinycholine chloride inj |
139 |
138 |
$15.40 |
| 99490 |
Ccm add 20min |
25 |
25 |
$14.11 |
| J0702 |
Betamethasone acet&sod phosp |
28 |
26 |
$13.58 |
| T2022 |
Case management, per month |
25 |
25 |
$13.00 |
| J2704 |
Inj, propofol, 10 mg |
38 |
38 |
$6.07 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
65 |
59 |
$3.28 |
| 99173 |
|
48 |
48 |
$3.09 |
| 87220 |
|
14 |
14 |
$2.90 |
| J1644 |
Inj heparin sodium per 1000u |
83 |
38 |
$2.07 |
| J7613 |
Albuterol non-comp unit |
215 |
202 |
$2.06 |
| J7620 |
Albuterol ipratrop non-comp |
409 |
381 |
$1.30 |
| J7512 |
Prednisone ir or dr oral 1mg |
53 |
50 |
$0.63 |
| Q0162 |
Ondansetron oral |
15 |
14 |
$0.02 |
| Q0243 |
Casirivimab and imdevimab |
28 |
28 |
$0.02 |
| 91301 |
|
107 |
106 |
$0.00 |
| J2060 |
Lorazepam injection |
29 |
26 |
$0.00 |
| 91303 |
|
17 |
17 |
$0.00 |
| 95806 |
|
24 |
24 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
16 |
15 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
14 |
14 |
$0.00 |
| 99496 |
|
26 |
25 |
$0.00 |
| 99024 |
|
14 |
12 |
$0.00 |
| 99492 |
|
12 |
12 |
$0.00 |
| 88300 |
|
14 |
14 |
$0.00 |
| 87400 |
|
146 |
144 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
55 |
50 |
$0.00 |
| 99152 |
|
98 |
94 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
83 |
49 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
40 |
39 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
15 |
15 |
$0.00 |
| 90461 |
|
32 |
32 |
$0.00 |