| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
176,176 |
155,316 |
$20.26M |
| 0450 |
|
66,251 |
58,956 |
$9.08M |
| 99281 |
|
5,071 |
3,318 |
$8.01M |
| G0390 |
Trauma respons w/hosp criti |
951 |
938 |
$6.93M |
| 99203 |
|
115,163 |
93,471 |
$4.54M |
| 99214 |
|
67,785 |
63,163 |
$3.57M |
| 0761 |
|
120,524 |
94,221 |
$3.55M |
| 0160 |
|
8,166 |
4,786 |
$3.55M |
| J9271 |
Inj pembrolizumab |
593 |
450 |
$3.31M |
| 93306 |
|
13,872 |
12,351 |
$2.40M |
| A4649 |
Surgical supplies |
103,714 |
53,320 |
$2.38M |
| 0360 |
|
16,124 |
13,240 |
$2.14M |
| 85027 |
|
142,139 |
123,999 |
$1.98M |
| 87591 |
|
42,818 |
41,750 |
$1.74M |
| 87491 |
|
42,820 |
41,750 |
$1.73M |
| 97139 |
|
60,426 |
14,453 |
$1.67M |
| J3490 |
Drugs unclassified injection |
33,203 |
17,786 |
$1.58M |
| J9035 |
Bevacizumab injection |
655 |
282 |
$1.54M |
| J0897 |
Denosumab injection |
1,576 |
1,524 |
$1.46M |
| 76815 |
|
4,572 |
3,247 |
$1.28M |
| 99215 |
Prolong outpt/office vis |
13,559 |
11,372 |
$1.25M |
| 80053 |
|
128,431 |
114,271 |
$1.19M |
| 88305 |
|
24,436 |
23,341 |
$1.17M |
| J1439 |
Inj ferric carboxymaltos 1mg |
2,042 |
1,430 |
$1.05M |
| J7120 |
Ringers lactate infusion |
12,085 |
10,987 |
$1.03M |
| 74177 |
|
7,054 |
6,890 |
$933K |
| J2505 |
Injection, pegfilgrastim 6mg |
441 |
311 |
$896K |
| 99204 |
|
9,369 |
9,285 |
$877K |
| 90378 |
|
510 |
456 |
$827K |
| 77067 |
|
6,463 |
6,425 |
$799K |
| J9299 |
Injection, nivolumab |
120 |
91 |
$785K |
| 99291 |
|
3,906 |
2,870 |
$775K |
| J7030 |
Normal saline solution infus |
13,394 |
12,040 |
$767K |
| G0480 |
Drug test def 1-7 classes |
8,509 |
7,903 |
$744K |
| 84443 |
|
45,565 |
44,341 |
$737K |
| 90837 |
|
7,204 |
3,698 |
$707K |
| Z7502 |
|
18,508 |
18,267 |
$696K |
| S3620 |
Newborn metabolic screening |
4,493 |
4,311 |
$668K |
| 97799 |
|
21,621 |
5,030 |
$657K |
| 99232 |
|
13,726 |
5,620 |
$654K |
| 0760 |
|
12,933 |
11,188 |
$638K |
| J2506 |
Inj pegfilgrast ex bio 0.5mg |
690 |
512 |
$603K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
11,543 |
11,195 |
$575K |
| 45378 |
|
1,333 |
1,220 |
$574K |
| 99223 |
Prolong inpt eval add15 m |
5,288 |
4,642 |
$574K |
| 96372 |
|
14,294 |
12,751 |
$528K |
| 96375 |
|
16,844 |
12,145 |
$512K |
| 70553 |
|
1,422 |
1,393 |
$492K |
| 0762 |
|
405 |
266 |
$479K |
| 71046 |
|
12,569 |
12,242 |
$464K |
| 83036 |
|
42,969 |
42,645 |
$460K |
| 86003 |
|
2,636 |
1,462 |
$457K |
| 99233 |
Prolong inpt eval add15 m |
6,508 |
2,759 |
$449K |
| 87502 |
|
5,498 |
5,443 |
$398K |
| 99222 |
|
4,430 |
4,055 |
$389K |
| 96413 |
|
11,388 |
6,954 |
$386K |
| 0710 |
|
14,260 |
13,944 |
$385K |
| 97750 |
|
6,567 |
4,737 |
$373K |
| 93975 |
|
3,919 |
3,807 |
$368K |
| 87086 |
|
23,856 |
22,446 |
$367K |
| 43239 |
|
1,711 |
1,578 |
$360K |
| 96365 |
|
6,215 |
4,554 |
$353K |
| G0463 |
Hospital outpt clinic visit |
46,241 |
36,574 |
$351K |
| 70551 |
|
1,696 |
1,661 |
$339K |
| Z7500 |
|
9,775 |
7,125 |
$333K |
| 96374 |
|
14,232 |
13,322 |
$323K |
| J9355 |
Inj trastuzumab excl biosimi |
193 |
133 |
$311K |
| 87635 |
|
15,429 |
14,649 |
$299K |
| 78452 |
|
800 |
712 |
$296K |
| 83721 |
|
29,263 |
29,143 |
$289K |
| 76641 |
|
2,795 |
2,650 |
$288K |
| 86703 |
|
45,175 |
43,537 |
$273K |
| 45385 |
|
662 |
575 |
$272K |
| 99244 |
|
2,617 |
2,605 |
$268K |
| 86780 |
|
18,951 |
18,210 |
$257K |
| 86140 |
|
33,683 |
31,255 |
$256K |
| 59425 |
|
3,428 |
2,289 |
$256K |
| 81511 |
|
1,133 |
1,111 |
$255K |
| 72148 |
|
1,151 |
1,125 |
$254K |
| 70450 |
|
7,128 |
6,878 |
$253K |
| 83718 |
|
29,699 |
29,563 |
$249K |
| 0510 |
|
8,414 |
7,087 |
$248K |
| 76700 |
|
3,598 |
3,539 |
$242K |
| 71250 |
|
1,677 |
1,664 |
$237K |
| 76770 |
|
3,284 |
3,228 |
$235K |
| 87389 |
|
9,431 |
9,399 |
$230K |
| 99238 |
|
4,865 |
4,506 |
$229K |
| 88312 |
|
2,183 |
2,088 |
$223K |
| 88307 |
|
2,758 |
2,665 |
$223K |
| 81025 |
|
30,828 |
28,507 |
$215K |
| 71275 |
|
2,757 |
2,712 |
$214K |
| 99283 |
|
4,438 |
4,043 |
$211K |
| 86480 |
|
3,326 |
3,278 |
$210K |
| 77066 |
Tomosynthesis, mammo |
1,209 |
1,199 |
$208K |
| 17110 |
|
1,510 |
1,415 |
$208K |
| 88304 |
|
8,551 |
8,250 |
$208K |
| 84478 |
|
31,569 |
31,412 |
$197K |
| 99239 |
|
2,546 |
2,319 |
$190K |
| 74183 |
|
251 |
246 |
$184K |
| 45380 |
|
668 |
610 |
$183K |
| 97110 |
|
8,829 |
2,805 |
$182K |
| 74176 |
|
2,175 |
2,114 |
$176K |
| 99284 |
|
5,258 |
4,834 |
$175K |
| 88175 |
|
6,575 |
6,557 |
$163K |
| J7050 |
Normal saline solution infus |
7,650 |
4,389 |
$162K |
| 97161 |
|
2,869 |
2,029 |
$160K |
| 87633 |
|
5,854 |
5,591 |
$154K |
| 77065 |
Tomosynthesis, mammo |
1,140 |
1,118 |
$154K |
| 87880 |
|
7,085 |
6,845 |
$153K |
| 82465 |
|
31,393 |
31,254 |
$152K |
| 81002 |
|
14,895 |
12,849 |
$151K |
| 93005 |
|
28,280 |
26,093 |
$150K |
| 76856 |
|
2,908 |
2,859 |
$147K |
| 80048 |
|
7,325 |
6,963 |
$145K |
| 59025 |
|
4,675 |
3,530 |
$143K |
| 99212 |
|
6,420 |
6,153 |
$141K |
| 76830 |
|
2,893 |
2,834 |
$140K |
| 99285 |
|
3,733 |
3,417 |
$139K |
| 87637 |
|
791 |
774 |
$139K |
| A9585 |
Gadobutrol injection |
1,449 |
1,421 |
$137K |
| 74174 |
|
1,191 |
1,172 |
$137K |
| 82746 |
|
8,224 |
8,166 |
$134K |
| 87536 |
|
1,171 |
1,148 |
$133K |
| Z7610 |
|
14,734 |
8,323 |
$130K |
| 99243 |
|
1,736 |
1,717 |
$129K |
| 87503 |
|
3,964 |
3,920 |
$127K |
| 81508 |
|
554 |
533 |
$125K |
| J0131 |
Inj, acetaminophen (nos) |
4,587 |
4,466 |
$124K |
| 90750 |
|
721 |
713 |
$123K |
| 82306 |
|
7,199 |
7,167 |
$122K |
| 76536 |
|
1,960 |
1,927 |
$121K |
| 99443 |
|
1,074 |
908 |
$121K |
| 17000 |
|
1,459 |
1,425 |
$120K |
| 0121 |
|
184 |
184 |
$120K |
| 0250 |
|
5,125 |
3,906 |
$119K |
| 74178 |
|
207 |
200 |
$118K |
| 96367 |
|
3,276 |
2,116 |
$118K |
| 73562 |
|
4,320 |
3,890 |
$118K |
| 87661 |
|
2,735 |
2,697 |
$117K |
| 81000 |
|
16,513 |
15,898 |
$117K |
| 71260 |
|
717 |
712 |
$116K |
| 72125 |
|
2,076 |
2,047 |
$114K |
| 73721 |
|
366 |
363 |
$114K |
| 92507 |
|
1,439 |
668 |
$111K |
| 74018 |
|
4,127 |
3,975 |
$110K |
| 86803 |
|
7,158 |
7,109 |
$109K |
| 93010 |
|
8,038 |
7,022 |
$108K |
| 86901 |
|
8,658 |
8,005 |
$105K |
| 90686 |
|
6,778 |
6,742 |
$105K |
| 90715 |
|
5,325 |
5,276 |
$103K |
| 95819 |
|
2,133 |
2,066 |
$103K |
| 80069 |
|
2,575 |
2,240 |
$102K |
| 96417 |
|
2,757 |
1,792 |
$102K |
| 83013 |
|
1,313 |
1,310 |
$100K |
| 76705 |
|
4,592 |
4,483 |
$100K |
| 84439 |
|
10,339 |
10,210 |
$99K |
| 96523 |
|
1,853 |
1,464 |
$98K |
| J7040 |
Normal saline solution infus |
3,043 |
2,330 |
$98K |
| 99406 |
|
7,679 |
7,159 |
$96K |
| 87088 |
|
14,062 |
13,476 |
$96K |
| 73610 |
|
3,383 |
3,175 |
$95K |
| 70498 |
|
768 |
753 |
$94K |
| 93017 |
|
1,241 |
1,220 |
$94K |
| 70486 |
|
1,186 |
1,164 |
$93K |
| 73630 |
|
3,392 |
3,147 |
$93K |
| 70496 |
|
790 |
780 |
$92K |
| 87624 |
|
2,545 |
2,542 |
$89K |
| 72131 |
|
950 |
934 |
$88K |
| 82728 |
|
5,906 |
5,652 |
$87K |
| 73130 |
|
2,832 |
2,531 |
$87K |
| G0481 |
Drug test def 8-14 classes |
4,886 |
4,497 |
$86K |
| 71045 |
|
18,155 |
17,236 |
$84K |
| J1453 |
Fosaprepitant injection |
1,560 |
1,005 |
$84K |
| 73030 |
|
3,400 |
3,148 |
$84K |
| 90651 |
|
1,466 |
1,455 |
$83K |
| 83735 |
|
55,452 |
48,923 |
$83K |
| 0720 |
|
1,756 |
1,435 |
$82K |
| 72197 |
|
54 |
54 |
$80K |
| 84403 |
|
2,942 |
2,912 |
$80K |
| 87636 |
|
455 |
426 |
$79K |
| 94729 |
|
1,219 |
1,174 |
$78K |
| 93226 |
|
811 |
793 |
$77K |
| 71271 |
|
429 |
421 |
$75K |
| 96415 |
|
2,472 |
1,728 |
$74K |
| 87426 |
|
6,386 |
6,128 |
$74K |
| A9502 |
Tc99m tetrofosmin |
496 |
494 |
$72K |
| 93970 |
|
1,039 |
1,014 |
$71K |
| 73110 |
|
2,484 |
2,313 |
$70K |
| J9395 |
Injection, fulvestrant |
191 |
177 |
$70K |
| 94060 |
|
1,818 |
1,800 |
$70K |
| 99211 |
|
3,444 |
3,120 |
$69K |
| 87340 |
|
6,076 |
6,029 |
$65K |
| J2469 |
Palonosetron hcl |
2,869 |
1,781 |
$64K |
| 72141 |
|
309 |
300 |
$64K |
| 51798 |
|
1,058 |
1,046 |
$64K |
| 99245 |
|
486 |
484 |
$62K |
| 99358 |
Prolong nursin fac eval 15m |
1,031 |
952 |
$62K |
| 31575 |
|
568 |
551 |
$61K |
| 84481 |
|
3,184 |
3,148 |
$60K |
| 82378 |
|
2,605 |
2,231 |
$60K |
| 90471 |
|
6,939 |
6,792 |
$60K |
| 47562 |
|
196 |
191 |
$59K |
| J7060 |
5% dextrose/water |
3,157 |
1,863 |
$59K |
| 83690 |
|
51,453 |
47,386 |
$59K |
| 84153 |
|
2,836 |
2,802 |
$58K |
| J1100 |
Dexamethasone sodium phos |
12,153 |
8,647 |
$57K |
| J2704 |
Inj, propofol, 10 mg |
10,973 |
10,317 |
$57K |
| 93225 |
|
1,109 |
1,077 |
$56K |
| J2405 |
Ondansetron hcl injection |
22,875 |
19,493 |
$56K |
| 73502 |
|
1,864 |
1,682 |
$56K |
| 86850 |
|
7,934 |
7,368 |
$55K |
| 76801 |
|
1,823 |
1,620 |
$54K |
| 73140 |
|
1,507 |
1,417 |
$54K |
| 83540 |
|
7,031 |
6,865 |
$54K |
| 99391 |
|
1,306 |
1,268 |
$53K |
| 87522 |
Neg quan hep c or qual rna |
1,073 |
1,039 |
$52K |
| 99392 |
|
1,255 |
1,251 |
$52K |
| 86756 |
|
439 |
431 |
$52K |
| 83550 |
|
5,782 |
5,646 |
$51K |
| 72100 |
|
1,990 |
1,952 |
$51K |
| 87081 |
|
2,089 |
2,061 |
$50K |
| 43235 |
|
177 |
161 |
$50K |
| 99202 |
|
1,131 |
1,127 |
$50K |
| 11102 |
|
469 |
458 |
$49K |
| J1642 |
Inj heparin sodium per 10 u |
8,000 |
4,540 |
$49K |
| 90677 |
|
347 |
346 |
$48K |
| J1885 |
Ketorolac tromethamine inj |
15,914 |
14,912 |
$48K |
| 73080 |
|
1,422 |
1,329 |
$48K |
| A9579 |
Gad-base mr contrast nos,1ml |
1,554 |
1,501 |
$47K |
| 69210 |
|
1,146 |
968 |
$46K |
| 82043 |
|
7,177 |
7,137 |
$46K |
| 96416 |
|
917 |
552 |
$45K |
| 87186 |
|
5,043 |
4,905 |
$45K |
| J9217 |
Leuprolide acetate suspnsion |
180 |
178 |
$45K |
| 90670 |
|
1,723 |
1,701 |
$45K |
| 52000 |
|
340 |
339 |
$44K |
| 87070 |
|
3,512 |
3,365 |
$43K |
| C9803 |
Hopd covid-19 spec collect |
1,529 |
1,494 |
$43K |
| J0690 |
Cefazolin sodium injection |
6,016 |
5,328 |
$42K |
| 99396 |
|
289 |
288 |
$42K |
| 76805 |
|
598 |
376 |
$42K |
| 86360 |
|
693 |
686 |
$42K |
| 93971 |
|
1,341 |
1,294 |
$42K |
| J3010 |
Fentanyl citrate injection |
8,687 |
8,368 |
$41K |
| 73590 |
|
1,892 |
1,723 |
$41K |
| 85730 |
|
10,420 |
9,814 |
$40K |
| 96360 |
|
4,183 |
4,044 |
$39K |
| 85610 |
|
13,785 |
12,537 |
$38K |
| 76870 |
|
1,112 |
1,081 |
$38K |
| 59514 |
|
144 |
142 |
$38K |
| 72040 |
|
1,349 |
1,304 |
$36K |
| 84702 |
|
2,898 |
2,377 |
$36K |
| J1170 |
Hydromorphone injection |
5,456 |
4,516 |
$36K |
| J2250 |
Inj midazolam hydrochloride |
9,362 |
9,047 |
$35K |
| J9202 |
Goserelin acetate implant |
39 |
36 |
$35K |
| G9012 |
Other specified case mgmt |
2,619 |
1,377 |
$34K |
| 86706 |
|
2,869 |
2,858 |
$34K |
| 86705 |
|
2,881 |
2,857 |
$34K |
| 0270 |
|
5,539 |
4,316 |
$34K |
| 99152 |
|
539 |
521 |
$33K |
| 0750 |
|
2,177 |
2,083 |
$33K |
| H0033 |
Oral med adm direct observe |
1,358 |
96 |
$33K |
| 72082 |
|
390 |
385 |
$33K |
| 96366 |
|
889 |
535 |
$32K |
| J2001 |
Lidocaine injection |
415 |
405 |
$32K |
| 0129 |
|
108 |
104 |
$31K |
| 96411 |
|
1,333 |
882 |
$31K |
| 83615 |
|
4,284 |
3,613 |
$31K |
| 83880 |
|
3,709 |
3,538 |
$30K |
| 86762 |
|
1,889 |
1,880 |
$30K |
| 0420 |
|
1,186 |
322 |
$30K |
| 84146 |
|
1,347 |
1,338 |
$29K |
| 17003 |
|
873 |
841 |
$29K |
| 92551 |
|
2,582 |
2,576 |
$29K |
| 83001 |
|
1,383 |
1,376 |
$29K |
| 90834 |
|
391 |
233 |
$28K |
| 76811 |
|
152 |
151 |
$28K |
| 94727 |
|
732 |
690 |
$28K |
| 86038 |
|
2,063 |
2,045 |
$28K |
| 99282 |
|
419 |
392 |
$28K |
| 76817 |
|
1,084 |
957 |
$28K |
| 82274 |
|
1,516 |
1,264 |
$27K |
| 84402 |
|
1,267 |
1,237 |
$27K |
| 85018 |
|
6,394 |
6,386 |
$26K |
| J2785 |
Regadenoson injection |
236 |
234 |
$26K |
| 81003 |
|
6,796 |
6,621 |
$26K |
| 0430 |
|
691 |
215 |
$26K |
| 90716 |
|
1,115 |
1,100 |
$26K |
| 99255 |
|
276 |
258 |
$26K |
| 83655 |
|
3,589 |
3,579 |
$25K |
| G0378 |
Hospital observation per hr |
1,352 |
815 |
$25K |
| 86900 |
|
8,883 |
8,168 |
$24K |
| 87205 |
|
3,993 |
3,822 |
$24K |
| J7307 |
Etonogestrel implant system |
26 |
26 |
$24K |
| J2270 |
Morphine sulfate injection |
9,742 |
8,299 |
$23K |
| 77063 |
|
608 |
607 |
$23K |
| 99393 |
|
497 |
497 |
$23K |
| 0721 |
|
766 |
668 |
$23K |
| 0636 |
|
1,066 |
419 |
$23K |
| 82670 |
|
810 |
794 |
$23K |
| 97140 |
|
2,064 |
1,012 |
$21K |
| 86235 |
|
656 |
648 |
$21K |
| Q9957 |
Inj perflutren lip micros,ml |
187 |
187 |
$21K |
| 99201 |
|
719 |
718 |
$21K |
| 82784 |
|
1,502 |
1,476 |
$20K |
| 87651 |
|
1,013 |
1,010 |
$20K |
| 85651 |
|
8,286 |
7,966 |
$20K |
| 73090 |
|
818 |
761 |
$20K |
| 86580 |
|
1,156 |
1,131 |
$20K |
| 83002 |
|
943 |
938 |
$19K |
| 92511 |
|
370 |
366 |
$19K |
| 96402 |
|
1,933 |
1,828 |
$19K |
| 90707 |
|
875 |
864 |
$19K |
| 96110 |
|
208 |
208 |
$19K |
| 80076 |
|
2,134 |
2,061 |
$18K |
| 83516 |
|
1,438 |
1,392 |
$18K |
| 90734 |
|
719 |
717 |
$18K |
| 82570 |
|
1,337 |
1,277 |
$18K |
| J9264 |
Paclitaxel protein bound |
37 |
13 |
$18K |
| 87902 |
|
130 |
128 |
$17K |
| 99231 |
|
520 |
225 |
$17K |
| 90682 |
|
327 |
327 |
$17K |
| 99394 |
|
307 |
306 |
$17K |
| 0258 |
|
2,280 |
1,880 |
$16K |
| 82105 |
|
1,057 |
1,031 |
$16K |
| 86708 |
|
1,121 |
1,120 |
$16K |
| 97165 |
|
123 |
123 |
$15K |
| 84156 |
|
674 |
638 |
$15K |
| 86709 |
|
1,385 |
1,381 |
$15K |
| 86787 |
|
1,152 |
1,127 |
$15K |
| S9470 |
Nutritional counseling, diet |
325 |
324 |
$15K |
| 84480 |
|
943 |
936 |
$15K |
| 73560 |
|
1,046 |
893 |
$15K |
| 83525 |
|
1,100 |
1,094 |
$15K |
| 84425 |
|
607 |
603 |
$14K |
| 20550 |
|
247 |
230 |
$14K |
| 96361 |
|
4,701 |
4,301 |
$14K |
| 0969 |
|
205 |
138 |
$14K |
| Z9725 |
|
326 |
316 |
$14K |
| 87338 |
|
852 |
846 |
$14K |
| 82550 |
|
11,022 |
10,121 |
$14K |
| J1200 |
Diphenhydramine hcl injectio |
3,660 |
2,601 |
$14K |
| 82652 |
|
606 |
606 |
$13K |
| 99254 |
|
204 |
200 |
$13K |
| 90744 |
|
1,092 |
1,006 |
$13K |
| 84484 |
|
13,043 |
11,686 |
$13K |
| 99205 |
Prolong outpt/office vis |
119 |
119 |
$13K |
| 82785 |
|
1,084 |
780 |
$13K |
| 84550 |
|
2,270 |
2,198 |
$13K |
| 91322 |
|
123 |
123 |
$13K |
| 90698 |
|
1,171 |
1,152 |
$13K |
| 72128 |
|
188 |
187 |
$13K |
| 73620 |
|
619 |
534 |
$13K |
| 72120 |
|
373 |
370 |
$13K |
| 20610 |
|
368 |
351 |
$13K |
| 94664 |
|
972 |
929 |
$12K |
| 87045 |
|
868 |
848 |
$12K |
| 82247 |
|
509 |
367 |
$12K |
| 90633 |
|
1,116 |
1,100 |
$12K |
| 90832 |
|
203 |
182 |
$12K |
| 99460 |
|
206 |
206 |
$12K |
| 82950 |
|
1,384 |
1,262 |
$11K |
| 86592 |
|
2,194 |
2,181 |
$11K |
| 85014 |
|
4,120 |
4,112 |
$11K |
| J9190 |
Fluorouracil injection |
492 |
281 |
$11K |
| 77077 |
|
311 |
299 |
$11K |
| 76942 |
|
317 |
243 |
$11K |
| 83883 |
|
631 |
603 |
$11K |
| 86635 |
|
842 |
823 |
$11K |
| 11100 |
|
225 |
225 |
$11K |
| 94640 |
|
3,638 |
3,134 |
$11K |
| 87507 |
|
108 |
108 |
$11K |
| 86593 |
|
1,709 |
1,666 |
$11K |
| 90732 |
|
177 |
177 |
$11K |
| 90791 |
|
80 |
69 |
$11K |
| 81001 |
|
7,646 |
7,248 |
$10K |
| 84100 |
|
10,579 |
9,123 |
$10K |
| 86376 |
|
801 |
796 |
$10K |
| 99395 |
|
187 |
187 |
$10K |
| 87154 |
|
424 |
417 |
$10K |
| 59409 |
|
16 |
15 |
$10K |
| 99451 |
|
249 |
248 |
$10K |
| 90739 |
|
98 |
98 |
$10K |
| 99442 |
|
103 |
101 |
$9K |
| 70491 |
|
55 |
54 |
$9K |
| 76816 |
|
153 |
91 |
$9K |
| 86696 |
|
426 |
423 |
$9K |
| J2765 |
Metoclopramide hcl injection |
4,528 |
4,249 |
$9K |
| 17004 |
|
38 |
37 |
$9K |
| J1815 |
Insulin injection |
1,013 |
690 |
$9K |
| 82985 |
|
451 |
448 |
$8K |
| 86430 |
|
1,329 |
1,326 |
$8K |
| 82533 |
|
429 |
415 |
$8K |
| 86334 |
|
392 |
389 |
$8K |
| 86255 |
|
593 |
586 |
$8K |
| J3301 |
Triamcinolone acet inj nos |
982 |
954 |
$8K |
| 86765 |
|
557 |
531 |
$8K |
| 86039 |
|
631 |
627 |
$8K |
| 94726 |
|
106 |
101 |
$8K |
| 0424 |
|
183 |
137 |
$8K |
| 86200 |
|
890 |
885 |
$8K |
| 85007 |
|
2,766 |
2,217 |
$8K |
| 99153 |
Mod sedat endo service >5yrs |
216 |
213 |
$8K |
| 87177 |
|
543 |
508 |
$8K |
| 82172 |
|
462 |
461 |
$8K |
| H1001 |
Antepartum management |
91 |
75 |
$7K |
| 72170 |
|
502 |
501 |
$7K |
| 84165 |
|
621 |
605 |
$7K |
| 0439 |
|
348 |
138 |
$7K |
| 90480 |
|
181 |
181 |
$7K |
| J1790 |
Droperidol injection |
733 |
661 |
$7K |
| G9008 |
Mccd,phys coor-care ovrsght |
1,001 |
496 |
$7K |
| 96368 |
|
279 |
187 |
$7K |
| 0124A |
|
167 |
167 |
$7K |
| J2543 |
Piperacillin/tazobactam |
19 |
15 |
$7K |
| 45384 |
|
15 |
15 |
$7K |
| 83090 |
|
342 |
341 |
$6K |
| 90696 |
|
432 |
431 |
$6K |
| J0702 |
Betamethasone acet&sod phosp |
207 |
185 |
$6K |
| 95886 |
|
129 |
93 |
$6K |
| 90688 |
|
330 |
330 |
$6K |
| 82248 |
|
567 |
523 |
$6K |
| J9070 |
Cyclophosphamide 100 mg inj |
44 |
25 |
$6K |
| 73070 |
|
237 |
213 |
$6K |
| 83921 |
|
340 |
337 |
$6K |
| 73552 |
|
172 |
161 |
$6K |
| 87040 |
|
3,713 |
3,485 |
$6K |
| 59020 |
|
247 |
221 |
$6K |
| 86695 |
|
392 |
390 |
$6K |
| 90710 |
|
365 |
363 |
$6K |
| 82977 |
|
719 |
706 |
$6K |
| 0001A |
|
143 |
143 |
$6K |
| 82947 |
|
1,326 |
1,301 |
$6K |
| 86735 |
|
532 |
530 |
$6K |
| 19301 |
|
13 |
13 |
$5K |
| 82077 |
|
1,612 |
1,524 |
$5K |
| C1781 |
Mesh (implantable) |
12 |
12 |
$5K |
| 84134 |
|
337 |
337 |
$5K |
| 90662 |
|
579 |
577 |
$5K |
| 84432 |
|
311 |
305 |
$5K |
| 84445 |
|
95 |
94 |
$5K |
| 90680 |
|
470 |
460 |
$5K |
| 90685 |
|
412 |
411 |
$5K |
| 72110 |
|
139 |
138 |
$5K |
| 73100 |
|
305 |
274 |
$5K |
| G0279 |
Tomosynthesis, mammo |
183 |
183 |
$5K |
| J0694 |
Cefoxitin sodium injection |
456 |
428 |
$5K |
| 0002A |
|
117 |
117 |
$5K |
| 90746 |
|
119 |
118 |
$5K |
| 84305 |
|
225 |
225 |
$5K |
| J3475 |
Inj magnesium sulfate |
1,381 |
916 |
$5K |
| 86308 |
|
419 |
416 |
$4K |
| 82150 |
|
814 |
798 |
$4K |
| 73564 |
|
154 |
141 |
$4K |
| 92504 |
|
206 |
187 |
$4K |
| J9267 |
Paclitaxel injection |
186 |
80 |
$4K |
| 86812 |
|
199 |
196 |
$4K |
| 86141 |
|
277 |
276 |
$4K |
| 0272 |
|
3,069 |
2,917 |
$4K |
| 87493 |
|
198 |
191 |
$4K |
| 0004A |
|
91 |
91 |
$4K |
| 87529 |
|
50 |
49 |
$4K |
| 83010 |
|
390 |
383 |
$4K |
| 73000 |
|
85 |
78 |
$3K |
| 42820 |
|
27 |
27 |
$3K |
| 96409 |
|
136 |
60 |
$3K |
| 86615 |
|
195 |
195 |
$3K |
| 86304 |
|
534 |
456 |
$3K |
| J0171 |
Adrenalin epinephrine inject |
152 |
149 |
$3K |
| 96127 |
|
405 |
394 |
$3K |
| 85044 |
|
1,167 |
1,074 |
$3K |
| 86800 |
|
410 |
404 |
$3K |
| 73660 |
|
72 |
63 |
$3K |
| 82565 |
|
606 |
601 |
$3K |
| 10060 |
|
302 |
293 |
$3K |
| 84145 |
|
1,623 |
1,532 |
$3K |
| 73060 |
|
64 |
57 |
$3K |
| 83605 |
|
4,052 |
3,724 |
$3K |
| 49650 |
|
16 |
13 |
$3K |
| 76000 |
|
87 |
78 |
$3K |
| 83993 |
|
121 |
120 |
$3K |
| 74022 |
|
118 |
117 |
$3K |
| 82627 |
|
319 |
316 |
$3K |
| 86147 |
|
79 |
77 |
$3K |
| 76937 |
|
81 |
80 |
$3K |
| 0064A |
|
67 |
67 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
2,865 |
2,656 |
$3K |
| 85378 |
|
734 |
702 |
$3K |
| 82803 |
|
2,402 |
2,250 |
$3K |
| 83520 |
|
195 |
195 |
$3K |
| 73221 |
|
12 |
12 |
$3K |
| 83498 |
|
141 |
140 |
$3K |
| J3420 |
Vitamin b12 injection |
325 |
300 |
$2K |
| 99497 |
|
29 |
24 |
$2K |
| 86701 |
|
133 |
133 |
$2K |
| 95885 |
|
83 |
55 |
$2K |
| 84460 |
|
400 |
399 |
$2K |
| 0637 |
|
6,551 |
4,475 |
$2K |
| L3808 |
Whfo, rigid w/o joints |
12 |
12 |
$2K |
| 87102 |
|
238 |
231 |
$2K |
| 93289 |
|
50 |
50 |
$2K |
| 90713 |
|
122 |
117 |
$2K |
| 94010 |
|
89 |
89 |
$2K |
| S0020 |
Injection, bupivicaine hydro |
235 |
230 |
$2K |
| 80164 |
|
123 |
111 |
$2K |
| 85379 |
|
2,145 |
2,075 |
$2K |
| 0012A |
|
47 |
47 |
$2K |
| 97166 |
|
29 |
29 |
$2K |
| 82330 |
|
2,005 |
1,901 |
$2K |
| 85613 |
|
165 |
163 |
$2K |
| 90619 |
|
78 |
76 |
$2K |
| 72072 |
|
42 |
41 |
$2K |
| 76881 |
|
13 |
13 |
$2K |
| 87427 |
|
202 |
201 |
$2K |
| V5008 |
Hearing screening |
45 |
44 |
$2K |
| 99441 |
|
69 |
69 |
$2K |
| 70360 |
|
25 |
25 |
$2K |
| J3489 |
Zoledronic acid 1mg |
67 |
64 |
$2K |
| 99242 |
|
26 |
26 |
$2K |
| 83021 |
|
59 |
59 |
$2K |
| J0561 |
Penicillin g benzathine inj |
27 |
24 |
$2K |
| 96401 |
|
93 |
39 |
$2K |
| J0640 |
Leucovorin calcium injection |
180 |
104 |
$2K |
| 0054A |
|
38 |
38 |
$2K |
| 84630 |
|
141 |
141 |
$2K |
| 84450 |
|
268 |
267 |
$1K |
| J9370 |
Vincristine sulfate 1 mg inj |
135 |
49 |
$1K |
| 84155 |
|
408 |
402 |
$1K |
| 95816 |
|
28 |
28 |
$1K |
| J9394 |
Inj, fulvestrant (fresenius) |
43 |
37 |
$1K |
| J2795 |
Ropivacaine hcl injection |
327 |
319 |
$1K |
| 81015 |
|
226 |
224 |
$1K |
| J2175 |
Meperidine hydrochl /100 mg |
156 |
150 |
$1K |
| 64721 |
|
15 |
13 |
$1K |
| 84270 |
|
53 |
52 |
$1K |
| J2780 |
Ranitidine hydrochloride inj |
177 |
177 |
$1K |
| 73120 |
|
81 |
72 |
$1K |
| 73551 |
|
40 |
40 |
$1K |
| 71020 |
|
48 |
29 |
$1K |
| 99173 |
|
404 |
403 |
$1K |
| Q9959 |
Hocm 150-199mg/ml iodine,1ml |
12 |
12 |
$1K |
| J0330 |
Succinycholine chloride inj |
194 |
194 |
$1K |
| G9621 |
Scr unheal etoh w/counsel |
159 |
144 |
$1K |
| J2060 |
Lorazepam injection |
3,099 |
2,740 |
$1K |
| 86665 |
|
28 |
28 |
$1K |
| 82024 |
|
63 |
63 |
$1K |
| 86920 |
|
26 |
24 |
$1K |
| 86146 |
|
27 |
25 |
$997.44 |
| 72081 |
|
25 |
25 |
$942.28 |
| J3300 |
Triamcinolone a inj prs-free |
27 |
27 |
$894.10 |
| 84681 |
|
69 |
69 |
$886.60 |
| 77001 |
|
12 |
12 |
$874.70 |
| 83519 |
|
54 |
53 |
$867.11 |
| 83789 |
|
35 |
35 |
$856.64 |
| 86021 |
|
40 |
40 |
$832.68 |
| 99199 |
|
16 |
16 |
$826.83 |
| J9045 |
Carboplatin injection |
43 |
28 |
$820.15 |
| 99462 |
|
27 |
13 |
$811.98 |
| 0071A |
|
20 |
20 |
$800.00 |
| 90681 |
|
78 |
78 |
$782.15 |
| 93018 |
|
44 |
44 |
$752.50 |
| 82140 |
|
123 |
114 |
$739.79 |
| P9016 |
Rbc leukocytes reduced |
22 |
17 |
$726.57 |
| 0300 |
|
523 |
480 |
$723.19 |
| 99422 |
|
26 |
26 |
$694.85 |
| 90697 |
|
65 |
65 |
$676.06 |
| 88342 |
|
14 |
14 |
$669.38 |
| 82310 |
|
108 |
95 |
$643.69 |
| 86603 |
|
36 |
36 |
$634.24 |
| 99423 |
|
14 |
14 |
$601.07 |
| 0072A |
|
15 |
15 |
$600.00 |
| 93925 |
|
13 |
13 |
$571.50 |
| 11901 |
|
15 |
15 |
$570.88 |
| 72050 |
|
13 |
13 |
$563.94 |
| 82261 |
|
33 |
33 |
$562.65 |
| J1644 |
Inj heparin sodium per 1000u |
275 |
205 |
$560.20 |
| 89051 |
|
207 |
179 |
$559.80 |
| 88300 |
|
99 |
96 |
$540.39 |
| 83992 |
|
77 |
76 |
$530.00 |
| 82948 |
|
308 |
299 |
$521.06 |
| 73600 |
|
41 |
38 |
$518.75 |
| 90700 |
|
40 |
38 |
$512.80 |
| 0301 |
|
533 |
489 |
$511.62 |
| 94760 |
|
58 |
58 |
$499.90 |
| 76642 |
|
13 |
13 |
$498.12 |
| 86664 |
|
28 |
28 |
$453.60 |
| 93246 |
|
26 |
26 |
$452.08 |
| 71100 |
|
13 |
13 |
$448.16 |
| 86663 |
|
28 |
28 |
$430.38 |
| 90674 |
|
43 |
43 |
$426.60 |
| 0255 |
|
158 |
156 |
$425.46 |
| 86316 |
|
17 |
15 |
$424.83 |
| 87255 |
|
14 |
13 |
$402.75 |
| 64493 |
|
12 |
12 |
$397.23 |
| 82525 |
|
30 |
30 |
$382.24 |
| 90472 |
|
43 |
41 |
$349.74 |
| 97530 |
|
55 |
38 |
$339.53 |
| 82776 |
|
33 |
33 |
$320.76 |
| J1580 |
Garamycin gentamicin inj |
26 |
25 |
$294.67 |
| 11900 |
|
12 |
12 |
$291.76 |
| 97162 |
|
25 |
25 |
$289.51 |
| 77072 |
|
12 |
12 |
$249.84 |
| 90648 |
|
25 |
25 |
$248.40 |
| 83835 |
|
12 |
12 |
$246.96 |
| 0306 |
|
267 |
258 |
$240.44 |
| J2370 |
Phenylephrine hcl injection |
27 |
26 |
$239.54 |
| 82390 |
|
29 |
29 |
$232.00 |
| 82668 |
|
13 |
13 |
$231.00 |
| J2930 |
Methylprednisolone injection |
79 |
69 |
$209.93 |
| 87075 |
|
27 |
27 |
$200.82 |
| 0370 |
|
634 |
618 |
$154.92 |
| 64483 |
|
13 |
13 |
$147.60 |
| 99000 |
|
31 |
29 |
$145.28 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
28 |
28 |
$131.44 |
| 87116 |
|
16 |
16 |
$123.42 |
| 87329 |
|
12 |
12 |
$122.98 |
| 80178 |
|
27 |
24 |
$122.80 |
| 88302 |
|
13 |
12 |
$112.95 |
| 84132 |
|
25 |
24 |
$110.67 |
| 0302 |
|
280 |
270 |
$100.95 |
| 87015 |
|
16 |
16 |
$78.64 |
| 86431 |
|
12 |
12 |
$74.58 |
| J3370 |
Vancomycin hcl injection |
17 |
13 |
$66.23 |
| 87206 |
|
16 |
16 |
$65.89 |
| J8540 |
Oral dexamethasone |
304 |
291 |
$63.75 |
| 0307 |
|
281 |
280 |
$59.89 |
| 82553 |
|
142 |
129 |
$47.61 |
| J1650 |
Inj enoxaparin sodium |
184 |
139 |
$41.42 |
| 0324 |
|
300 |
300 |
$35.52 |
| 84157 |
|
15 |
12 |
$32.31 |
| 80051 |
|
46 |
41 |
$21.52 |
| J7644 |
Ipratropium bromide non-comp |
1,453 |
1,309 |
$17.95 |
| 84300 |
|
12 |
12 |
$16.17 |
| J7613 |
Albuterol non-comp unit |
897 |
823 |
$16.01 |
| 0305 |
|
306 |
305 |
$15.30 |
| 12001 |
|
28 |
28 |
$12.00 |
| J3360 |
Diazepam injection |
26 |
25 |
$9.62 |
| J0360 |
Hydralazine hcl injection |
13 |
12 |
$8.66 |
| 0260 |
|
241 |
239 |
$0.00 |
| 0730 |
|
285 |
285 |
$0.00 |
| J7610 |
Albuterol comp con |
994 |
890 |
$0.00 |
| H0043 |
Supported housing, per diem |
217 |
152 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
26 |
26 |
$0.00 |
| Q0163 |
Diphenhydramine hcl 50mg |
64 |
60 |
$0.00 |
| 0351 |
|
14 |
14 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
359 |
339 |
$0.00 |
| 0352 |
|
116 |
116 |
$0.00 |
| 0434 |
|
26 |
26 |
$0.00 |
| J3480 |
Inj potassium chloride |
44 |
38 |
$0.00 |
| 0410 |
|
31 |
31 |
$0.00 |
| J1940 |
Furosemide injection |
14 |
13 |
$0.00 |
| 12002 |
|
13 |
13 |
$0.00 |
| 80329 |
|
24 |
23 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
14 |
13 |
$0.00 |