| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
93,334 |
76,499 |
$4.59M |
| 99283 |
|
66,372 |
58,647 |
$4.25M |
| 99213 |
|
82,950 |
71,024 |
$4.06M |
| 96361 |
|
26,136 |
20,665 |
$3.55M |
| 99284 |
|
58,315 |
50,346 |
$3.14M |
| 97110 |
|
63,673 |
18,979 |
$2.40M |
| 99285 |
|
41,515 |
35,365 |
$2.02M |
| 80053 |
|
114,191 |
93,915 |
$2.01M |
| U0003 |
Cov-19 amp prb hgh thruput |
21,913 |
20,005 |
$1.77M |
| 87491 |
|
46,448 |
39,986 |
$1.72M |
| 87591 |
|
46,436 |
39,979 |
$1.45M |
| 87502 |
|
13,736 |
12,724 |
$1.27M |
| 87661 |
|
36,311 |
31,312 |
$1.07M |
| 99212 |
|
20,833 |
18,253 |
$904K |
| 99211 |
|
20,814 |
16,017 |
$891K |
| 80307 |
|
17,696 |
13,036 |
$858K |
| 99282 |
|
11,601 |
10,841 |
$798K |
| 85025 |
|
124,769 |
97,915 |
$773K |
| 96360 |
|
8,475 |
7,101 |
$758K |
| 96365 |
|
10,338 |
7,771 |
$741K |
| G0480 |
Drug test def 1-7 classes |
14,847 |
11,355 |
$698K |
| 70450 |
|
10,434 |
9,270 |
$670K |
| 80048 |
|
38,177 |
30,609 |
$648K |
| 84702 |
|
17,339 |
12,670 |
$646K |
| 81001 |
|
52,157 |
44,866 |
$636K |
| 87635 |
|
13,963 |
12,657 |
$616K |
| 97140 |
|
28,764 |
10,662 |
$569K |
| 59025 |
|
8,371 |
2,669 |
$557K |
| 94640 |
|
12,220 |
9,797 |
$554K |
| 74177 |
|
7,713 |
6,920 |
$509K |
| 80061 |
|
43,172 |
39,275 |
$481K |
| G0378 |
Hospital observation per hr |
14,322 |
11,551 |
$477K |
| G0463 |
Hospital outpt clinic visit |
66,763 |
46,237 |
$466K |
| 20610 |
|
7,202 |
5,711 |
$463K |
| 84443 |
|
38,330 |
33,786 |
$460K |
| 88175 |
|
17,681 |
14,608 |
$436K |
| 99215 |
Prolong outpt/office vis |
9,481 |
7,961 |
$429K |
| 82306 |
|
18,453 |
16,603 |
$428K |
| 43239 |
|
2,573 |
2,353 |
$425K |
| 83036 |
|
48,087 |
43,418 |
$415K |
| 81025 |
|
37,679 |
32,815 |
$415K |
| 87081 |
|
18,318 |
16,972 |
$401K |
| 99281 |
|
5,444 |
5,006 |
$398K |
| 93306 |
|
4,055 |
3,659 |
$383K |
| 87624 |
|
11,203 |
9,245 |
$377K |
| 87880 |
|
24,042 |
22,427 |
$375K |
| 76816 |
|
8,658 |
7,339 |
$375K |
| 96372 |
|
44,278 |
35,435 |
$363K |
| 99203 |
|
6,836 |
6,185 |
$331K |
| 87389 |
|
16,001 |
13,941 |
$312K |
| 96366 |
|
3,255 |
2,351 |
$302K |
| 99204 |
|
6,261 |
5,621 |
$297K |
| 97161 |
|
7,290 |
6,640 |
$288K |
| 81420 |
|
760 |
577 |
$262K |
| 87086 |
|
30,955 |
27,101 |
$252K |
| 76811 |
|
4,658 |
4,176 |
$238K |
| 71275 |
|
3,199 |
2,823 |
$228K |
| 82962 |
|
19,941 |
13,508 |
$226K |
| 99395 |
|
6,491 |
5,488 |
$222K |
| 74176 |
|
3,327 |
3,007 |
$219K |
| 78452 |
|
1,643 |
1,371 |
$218K |
| 76830 |
|
5,214 |
4,832 |
$215K |
| 86481 |
|
3,138 |
2,834 |
$212K |
| 97112 |
|
8,980 |
3,589 |
$211K |
| 87634 |
|
3,327 |
3,108 |
$204K |
| 90853 |
|
5,239 |
748 |
$201K |
| 85027 |
|
37,167 |
31,255 |
$199K |
| 76801 |
|
5,031 |
4,315 |
$197K |
| 86780 |
|
20,864 |
18,343 |
$194K |
| 93798 |
|
3,324 |
577 |
$192K |
| 81003 |
|
30,836 |
27,167 |
$192K |
| 70553 |
|
1,980 |
1,791 |
$187K |
| 84484 |
|
21,489 |
16,078 |
$185K |
| 90834 |
|
4,240 |
2,460 |
$182K |
| 87210 |
|
12,760 |
11,127 |
$178K |
| J7307 |
Etonogestrel implant system |
1,094 |
1,002 |
$176K |
| 82728 |
|
10,923 |
9,710 |
$171K |
| 45380 |
|
1,229 |
1,154 |
$171K |
| 76856 |
|
3,822 |
3,559 |
$171K |
| 82607 |
|
13,914 |
12,315 |
$167K |
| 99244 |
|
2,409 |
2,188 |
$159K |
| 96413 |
|
3,620 |
1,840 |
$156K |
| 76705 |
|
4,022 |
3,659 |
$155K |
| 12001 |
|
1,869 |
1,761 |
$154K |
| 77067 |
|
6,028 |
5,712 |
$150K |
| 97530 |
|
7,713 |
3,803 |
$148K |
| 80074 |
|
4,070 |
3,469 |
$147K |
| 87653 |
|
4,245 |
3,814 |
$144K |
| 82950 |
|
5,187 |
4,698 |
$136K |
| 95806 |
|
1,522 |
1,314 |
$132K |
| 76819 |
|
7,761 |
5,825 |
$126K |
| 99396 |
|
3,939 |
3,498 |
$125K |
| 45385 |
|
766 |
717 |
$125K |
| 81511 |
|
930 |
869 |
$124K |
| 72148 |
|
2,056 |
1,859 |
$124K |
| 71046 |
|
21,453 |
19,312 |
$124K |
| 83690 |
|
20,846 |
17,808 |
$114K |
| 80050 |
|
9,740 |
5,119 |
$114K |
| 83880 |
|
5,453 |
4,694 |
$114K |
| 76805 |
|
2,023 |
1,806 |
$114K |
| 97165 |
|
3,394 |
3,048 |
$112K |
| 86803 |
|
9,465 |
8,295 |
$112K |
| 99243 |
|
1,708 |
1,586 |
$111K |
| 84439 |
|
13,484 |
12,029 |
$110K |
| 73721 |
|
1,438 |
1,310 |
$105K |
| 83655 |
|
8,634 |
7,393 |
$103K |
| 20553 |
|
1,872 |
1,752 |
$100K |
| 72125 |
|
3,504 |
3,136 |
$97K |
| 86850 |
|
14,325 |
12,465 |
$96K |
| 71260 |
|
1,846 |
1,629 |
$96K |
| 76815 |
|
2,419 |
2,108 |
$96K |
| 99291 |
|
2,206 |
1,953 |
$94K |
| 12011 |
|
1,087 |
1,012 |
$94K |
| 93971 |
|
2,988 |
2,715 |
$93K |
| 87340 |
|
10,033 |
8,816 |
$92K |
| 70496 |
|
1,474 |
1,309 |
$91K |
| 76642 |
|
2,348 |
2,061 |
$90K |
| 70551 |
|
1,506 |
1,350 |
$89K |
| 87070 |
|
7,985 |
7,150 |
$89K |
| 86762 |
|
6,335 |
5,637 |
$89K |
| 80305 |
|
4,239 |
2,547 |
$86K |
| 93975 |
|
1,822 |
1,683 |
$84K |
| H0015 |
Alcohol and/or drug services |
1,222 |
140 |
$84K |
| 62323 |
|
653 |
599 |
$83K |
| 70498 |
|
1,503 |
1,327 |
$81K |
| 86480 |
|
1,313 |
1,215 |
$80K |
| C9803 |
Hopd covid-19 spec collect |
2,779 |
2,542 |
$76K |
| 85610 |
|
18,172 |
13,265 |
$70K |
| 90715 |
|
6,655 |
6,037 |
$69K |
| 93017 |
|
1,957 |
1,657 |
$69K |
| 87186 |
|
9,383 |
8,315 |
$67K |
| 84112 |
|
798 |
667 |
$67K |
| 82746 |
|
6,337 |
5,472 |
$66K |
| 77063 |
|
5,200 |
4,914 |
$64K |
| 86703 |
|
3,667 |
3,193 |
$64K |
| 11981 |
|
515 |
470 |
$63K |
| 84153 |
|
3,474 |
3,159 |
$62K |
| 96367 |
|
1,292 |
934 |
$62K |
| 80143 |
|
3,439 |
2,837 |
$61K |
| 83735 |
|
13,772 |
10,500 |
$60K |
| 76536 |
|
1,468 |
1,347 |
$60K |
| G0108 |
Diab manage trn per indiv |
1,732 |
1,431 |
$60K |
| 72141 |
|
975 |
862 |
$59K |
| 82043 |
|
9,762 |
8,903 |
$57K |
| 87077 |
|
6,362 |
5,649 |
$56K |
| 76817 |
|
4,608 |
3,711 |
$56K |
| 80076 |
|
4,864 |
4,246 |
$54K |
| 76770 |
|
1,078 |
990 |
$53K |
| 87147 |
|
8,205 |
6,546 |
$53K |
| 83605 |
|
6,671 |
5,646 |
$53K |
| 45378 |
|
284 |
266 |
$52K |
| 93005 |
|
44,594 |
37,370 |
$49K |
| 52000 |
|
209 |
188 |
$47K |
| J7298 |
Mirena, 52 mg |
314 |
282 |
$47K |
| 74018 |
|
5,014 |
4,499 |
$46K |
| 87636 |
|
377 |
356 |
$46K |
| 83550 |
|
6,760 |
6,046 |
$46K |
| 71250 |
|
1,648 |
1,513 |
$45K |
| 84703 |
|
5,395 |
4,841 |
$45K |
| 82565 |
|
3,409 |
2,906 |
$44K |
| 58300 |
|
681 |
627 |
$43K |
| 12002 |
|
501 |
479 |
$42K |
| 87505 |
|
390 |
361 |
$42K |
| 85379 |
|
5,434 |
4,856 |
$42K |
| T1016 |
Case management |
2,274 |
1,572 |
$42K |
| 90686 |
|
6,079 |
5,421 |
$41K |
| U0005 |
Infec agen detec ampli probe |
2,373 |
2,180 |
$41K |
| U0001 |
2019-ncov diagnostic p |
1,305 |
1,218 |
$41K |
| 83540 |
|
7,423 |
6,629 |
$40K |
| 96374 |
|
33,101 |
26,009 |
$40K |
| 84146 |
|
2,097 |
1,730 |
$40K |
| 95811 |
|
232 |
217 |
$40K |
| 83001 |
|
2,078 |
1,721 |
$38K |
| 10060 |
|
479 |
440 |
$38K |
| 97162 |
|
1,185 |
1,096 |
$38K |
| 73110 |
|
4,795 |
3,865 |
$38K |
| 73130 |
|
5,710 |
4,684 |
$37K |
| 80179 |
|
3,403 |
2,813 |
$37K |
| 70486 |
|
1,148 |
1,052 |
$37K |
| 73610 |
|
6,252 |
5,331 |
$37K |
| 87641 |
|
989 |
865 |
$36K |
| 73630 |
|
7,351 |
6,119 |
$36K |
| 86900 |
|
10,925 |
9,317 |
$35K |
| 83970 |
|
1,262 |
1,144 |
$35K |
| 90471 |
|
8,623 |
7,738 |
$35K |
| 97803 |
|
2,056 |
1,604 |
$34K |
| 97116 |
|
2,362 |
1,268 |
$34K |
| 82570 |
|
7,396 |
6,562 |
$34K |
| 95886 |
|
1,117 |
1,025 |
$33K |
| 86901 |
|
11,677 |
9,879 |
$33K |
| 87040 |
|
2,916 |
2,524 |
$33K |
| 93970 |
|
841 |
772 |
$33K |
| 88738 |
|
2,060 |
1,903 |
$32K |
| 86706 |
|
3,424 |
3,023 |
$32K |
| 76942 |
|
3,269 |
2,900 |
$31K |
| 94060 |
|
1,647 |
1,489 |
$30K |
| P9016 |
Rbc leukocytes reduced |
65 |
53 |
$29K |
| 83020 |
|
2,443 |
2,152 |
$29K |
| 99202 |
|
732 |
683 |
$29K |
| 77066 |
Tomosynthesis, mammo |
1,173 |
1,098 |
$29K |
| 73560 |
|
5,062 |
4,072 |
$29K |
| 85730 |
|
6,691 |
5,783 |
$28K |
| 97802 |
|
1,408 |
1,219 |
$28K |
| 83516 |
|
1,443 |
1,189 |
$28K |
| 87522 |
Neg quan hep c or qual rna |
672 |
567 |
$26K |
| 86140 |
|
5,894 |
4,939 |
$26K |
| 81220 |
|
137 |
124 |
$26K |
| 11982 |
|
254 |
226 |
$25K |
| 84403 |
|
1,156 |
1,008 |
$25K |
| 42820 |
|
29 |
29 |
$25K |
| 94729 |
|
2,488 |
2,291 |
$25K |
| J9271 |
Inj pembrolizumab |
20 |
12 |
$25K |
| 73140 |
|
2,955 |
2,572 |
$25K |
| 86235 |
|
566 |
309 |
$24K |
| 82784 |
|
1,970 |
1,683 |
$23K |
| H2012 |
Behav hlth day treat, per hr |
1,366 |
51 |
$23K |
| G0008 |
Admin influenza virus vac |
9,774 |
8,721 |
$23K |
| 87633 |
|
94 |
81 |
$23K |
| 73221 |
|
351 |
326 |
$23K |
| 82550 |
|
3,937 |
3,275 |
$22K |
| 86038 |
|
2,212 |
1,887 |
$21K |
| 73030 |
|
5,546 |
4,840 |
$21K |
| 76700 |
|
382 |
350 |
$21K |
| 85007 |
|
8,178 |
6,345 |
$21K |
| 72100 |
|
3,365 |
3,085 |
$20K |
| 87075 |
|
2,622 |
2,196 |
$20K |
| 92567 |
|
866 |
813 |
$20K |
| 82105 |
|
682 |
561 |
$20K |
| 87529 |
|
425 |
384 |
$19K |
| 84481 |
|
1,544 |
1,356 |
$19K |
| 87088 |
|
2,659 |
2,424 |
$19K |
| 92557 |
|
408 |
391 |
$18K |
| 66984 |
|
109 |
89 |
$18K |
| 90670 |
|
1,538 |
1,364 |
$18K |
| H1004 |
Follow up home visit/prental |
630 |
487 |
$18K |
| U0004 |
Cov-19 test non-cdc hgh thru |
195 |
178 |
$17K |
| 85652 |
|
7,085 |
6,217 |
$17K |
| 86704 |
|
1,811 |
1,594 |
$17K |
| 84550 |
|
3,743 |
3,062 |
$16K |
| 36902 |
|
29 |
27 |
$16K |
| 73564 |
|
3,029 |
2,773 |
$16K |
| 77080 |
|
590 |
545 |
$16K |
| 87205 |
|
3,897 |
3,303 |
$15K |
| 73590 |
|
1,993 |
1,679 |
$14K |
| 0042T |
|
362 |
330 |
$14K |
| 76870 |
|
241 |
217 |
$14K |
| J2469 |
Palonosetron hcl |
745 |
354 |
$14K |
| 99406 |
|
3,449 |
2,834 |
$14K |
| 94726 |
|
2,412 |
2,226 |
$14K |
| 99205 |
Prolong outpt/office vis |
391 |
354 |
$13K |
| 84132 |
|
2,192 |
1,468 |
$13K |
| J0585 |
Injection,onabotulinumtoxina |
351 |
275 |
$13K |
| 73502 |
|
2,903 |
2,649 |
$13K |
| 70491 |
|
219 |
202 |
$13K |
| 71045 |
|
26,255 |
22,670 |
$13K |
| 29848 |
|
28 |
26 |
$12K |
| 84156 |
|
2,006 |
1,614 |
$12K |
| 71271 |
|
348 |
312 |
$12K |
| 64483 |
|
87 |
78 |
$12K |
| 0002A |
|
966 |
732 |
$12K |
| 93296 |
|
632 |
554 |
$12K |
| H1003 |
Prenatal at risk education |
599 |
461 |
$12K |
| 90674 |
|
1,185 |
1,069 |
$12K |
| 99385 |
|
404 |
341 |
$11K |
| 93351 |
|
88 |
84 |
$11K |
| 73090 |
|
1,418 |
1,184 |
$11K |
| 88305 |
|
9,330 |
8,202 |
$11K |
| 0001A |
|
990 |
752 |
$11K |
| 96415 |
|
136 |
78 |
$11K |
| 90651 |
|
502 |
447 |
$11K |
| 82670 |
|
385 |
312 |
$11K |
| 82077 |
|
936 |
778 |
$11K |
| 36430 |
|
92 |
67 |
$11K |
| 77065 |
Tomosynthesis, mammo |
678 |
578 |
$11K |
| 82800 |
|
1,404 |
1,135 |
$11K |
| 76820 |
|
916 |
487 |
$10K |
| 90792 |
|
127 |
112 |
$10K |
| 95816 |
|
109 |
100 |
$10K |
| 73080 |
|
1,839 |
1,646 |
$10K |
| 80164 |
|
630 |
549 |
$9K |
| 72114 |
|
459 |
429 |
$9K |
| 86431 |
|
1,772 |
1,498 |
$9K |
| 72052 |
|
309 |
288 |
$9K |
| 91320 |
|
427 |
365 |
$9K |
| 85049 |
|
1,335 |
997 |
$9K |
| 77062 |
|
702 |
664 |
$9K |
| 72110 |
|
1,281 |
1,153 |
$9K |
| 82010 |
|
1,440 |
1,215 |
$9K |
| 83615 |
|
1,845 |
1,540 |
$9K |
| 99397 |
|
411 |
391 |
$8K |
| 29125 |
|
234 |
203 |
$8K |
| 58100 |
|
73 |
68 |
$8K |
| 72040 |
|
996 |
927 |
$8K |
| 86580 |
|
542 |
501 |
$7K |
| 82075 |
|
689 |
279 |
$7K |
| 85014 |
|
2,263 |
1,818 |
$7K |
| 82150 |
|
1,335 |
1,174 |
$7K |
| 82951 |
|
172 |
149 |
$7K |
| 78815 |
|
40 |
38 |
$7K |
| 82140 |
|
632 |
482 |
$7K |
| 36000 |
|
449 |
331 |
$6K |
| 72170 |
|
917 |
780 |
$6K |
| 80177 |
|
532 |
455 |
$6K |
| 86160 |
|
327 |
240 |
$6K |
| 83520 |
|
406 |
336 |
$6K |
| 43248 |
|
46 |
41 |
$6K |
| 82465 |
|
1,428 |
1,332 |
$6K |
| 29581 |
|
213 |
93 |
$6K |
| 84100 |
|
1,847 |
1,481 |
$6K |
| 84460 |
|
1,167 |
1,058 |
$6K |
| 90472 |
|
4,162 |
3,621 |
$6K |
| G2066 |
Inter devc remote 30d |
221 |
207 |
$5K |
| 51798 |
|
2,188 |
1,833 |
$5K |
| 87252 |
|
147 |
138 |
$5K |
| J0897 |
Denosumab injection |
86 |
64 |
$5K |
| 97163 |
|
195 |
188 |
$5K |
| 11042 |
|
74 |
55 |
$5K |
| 90716 |
|
227 |
196 |
$5K |
| 82553 |
|
1,030 |
868 |
$5K |
| 86308 |
|
482 |
437 |
$5K |
| 58301 |
|
90 |
82 |
$5K |
| 99245 |
|
77 |
68 |
$5K |
| 84165 |
|
633 |
543 |
$5K |
| G0424 |
Pulmonary rehab w exer |
87 |
24 |
$5K |
| 83002 |
|
307 |
251 |
$5K |
| 73565 |
|
2,920 |
2,563 |
$5K |
| 86787 |
|
622 |
567 |
$5K |
| 87449 |
|
480 |
439 |
$5K |
| 77061 |
|
353 |
309 |
$5K |
| 73562 |
|
1,786 |
1,557 |
$5K |
| 90656 |
|
617 |
574 |
$5K |
| 84450 |
|
890 |
818 |
$5K |
| 86039 |
|
562 |
431 |
$5K |
| 82803 |
|
256 |
218 |
$4K |
| 82947 |
|
813 |
720 |
$4K |
| 95819 |
|
66 |
61 |
$4K |
| 86225 |
|
396 |
305 |
$4K |
| 86696 |
|
257 |
206 |
$4K |
| 85018 |
|
1,708 |
1,374 |
$4K |
| 36415 |
|
91,869 |
71,052 |
$4K |
| 57454 |
|
35 |
25 |
$4K |
| Q3014 |
Telehealth facility fee |
1,644 |
1,355 |
$4K |
| 93976 |
|
97 |
92 |
$4K |
| 95909 |
|
102 |
96 |
$4K |
| 71101 |
|
1,459 |
1,323 |
$4K |
| 85046 |
|
679 |
571 |
$4K |
| G0297 |
Ldct for lung ca screen |
90 |
82 |
$4K |
| 78580 |
|
18 |
14 |
$4K |
| 86364 |
|
452 |
399 |
$3K |
| 84480 |
|
272 |
256 |
$3K |
| 88307 |
|
476 |
410 |
$3K |
| 73552 |
|
686 |
602 |
$3K |
| 11983 |
|
31 |
25 |
$3K |
| 86923 |
|
97 |
77 |
$3K |
| 96375 |
|
24,971 |
19,076 |
$3K |
| 36591 |
|
2,269 |
1,096 |
$3K |
| 78830 |
|
19 |
15 |
$3K |
| 86200 |
|
287 |
251 |
$3K |
| 95874 |
|
53 |
51 |
$3K |
| 94070 |
|
67 |
65 |
$3K |
| 86695 |
|
241 |
192 |
$3K |
| 96368 |
|
109 |
67 |
$3K |
| 87563 |
|
122 |
109 |
$3K |
| 95910 |
|
129 |
116 |
$3K |
| 95813 |
|
26 |
24 |
$3K |
| 77336 |
|
85 |
25 |
$3K |
| 77091 |
|
349 |
308 |
$3K |
| 74178 |
|
41 |
35 |
$3K |
| 76813 |
|
120 |
67 |
$3K |
| 20550 |
|
32 |
28 |
$3K |
| 90480 |
|
258 |
220 |
$2K |
| 93225 |
|
82 |
78 |
$2K |
| 95810 |
|
16 |
12 |
$2K |
| 19083 |
|
13 |
12 |
$2K |
| 86255 |
|
209 |
188 |
$2K |
| 64450 |
|
67 |
55 |
$2K |
| 74183 |
|
31 |
29 |
$2K |
| 90677 |
|
656 |
513 |
$2K |
| 94150 |
|
4,647 |
3,679 |
$2K |
| 84145 |
|
148 |
129 |
$2K |
| 82627 |
|
101 |
80 |
$2K |
| 29515 |
|
17 |
16 |
$2K |
| 87109 |
|
157 |
135 |
$2K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,174 |
1,003 |
$2K |
| 10061 |
|
14 |
12 |
$2K |
| 31575 |
|
16 |
12 |
$2K |
| 80175 |
|
87 |
78 |
$2K |
| 97035 |
|
127 |
65 |
$2K |
| 90837 |
|
36 |
24 |
$2K |
| G0009 |
Admin pneumococcal vaccine |
3,672 |
3,207 |
$2K |
| 82533 |
|
129 |
80 |
$2K |
| 72070 |
|
429 |
392 |
$2K |
| 90662 |
|
1,157 |
1,023 |
$2K |
| 90380 |
|
14 |
12 |
$2K |
| 87536 |
|
16 |
12 |
$2K |
| 87324 |
|
88 |
86 |
$2K |
| 90633 |
|
606 |
531 |
$2K |
| 86258 |
|
129 |
112 |
$2K |
| Q0091 |
Obtaining screen pap smear |
421 |
367 |
$1K |
| 90791 |
|
154 |
90 |
$1K |
| 87110 |
|
87 |
78 |
$1K |
| 93298 |
|
104 |
99 |
$1K |
| 87798 |
|
19 |
18 |
$1K |
| 64493 |
|
21 |
13 |
$1K |
| 83037 |
|
296 |
275 |
$1K |
| 88304 |
|
1,340 |
1,214 |
$1K |
| 99386 |
|
49 |
39 |
$1K |
| 82248 |
|
299 |
216 |
$1K |
| 86376 |
|
71 |
63 |
$1K |
| 72156 |
|
13 |
12 |
$1K |
| 94375 |
|
155 |
147 |
$1K |
| 96417 |
|
32 |
13 |
$1K |
| H1002 |
Carecoordination prenatal |
34 |
26 |
$1K |
| 80047 |
|
12 |
12 |
$1K |
| 74019 |
|
755 |
702 |
$1K |
| 64415 |
|
15 |
12 |
$1K |
| 86618 |
|
60 |
53 |
$983.22 |
| 93226 |
|
83 |
79 |
$978.80 |
| 93321 |
|
15 |
12 |
$964.32 |
| 90734 |
|
177 |
170 |
$955.76 |
| 90732 |
|
464 |
418 |
$944.84 |
| 91300 |
|
257 |
163 |
$920.93 |
| 96150 |
|
28 |
26 |
$902.19 |
| G0109 |
Diab manage trn ind/group |
45 |
38 |
$883.23 |
| 73070 |
|
76 |
58 |
$872.50 |
| G0279 |
Tomosynthesis, mammo |
145 |
133 |
$840.14 |
| 93242 |
|
127 |
104 |
$823.75 |
| 88142 |
|
56 |
39 |
$817.74 |
| 86593 |
|
131 |
108 |
$799.86 |
| 82378 |
|
98 |
86 |
$799.40 |
| 83721 |
|
155 |
136 |
$784.14 |
| 86334 |
|
59 |
51 |
$752.18 |
| J0885 |
Epoetin alfa, non-esrd |
23 |
14 |
$736.91 |
| 99496 |
|
61 |
55 |
$732.21 |
| 76937 |
|
355 |
314 |
$720.12 |
| 80178 |
|
133 |
118 |
$719.53 |
| 97150 |
|
176 |
104 |
$710.44 |
| 86800 |
|
37 |
28 |
$705.89 |
| 96160 |
|
433 |
402 |
$679.66 |
| 93922 |
|
61 |
51 |
$678.82 |
| 0124A |
|
46 |
44 |
$674.32 |
| 0004A |
|
109 |
99 |
$662.68 |
| 86141 |
|
57 |
51 |
$659.82 |
| J1050 |
Medroxyprogesterone acetate |
13,159 |
12,516 |
$637.45 |
| 90384 |
|
14 |
13 |
$622.65 |
| 73060 |
|
164 |
142 |
$621.86 |
| 84155 |
|
93 |
85 |
$599.90 |
| 73600 |
|
93 |
82 |
$562.56 |
| 85045 |
|
204 |
163 |
$558.81 |
| 84402 |
|
26 |
24 |
$549.85 |
| 90746 |
|
125 |
111 |
$546.18 |
| J7323 |
Euflexxa inj per dose |
16 |
12 |
$545.32 |
| 92587 |
|
13 |
12 |
$545.16 |
| 73700 |
|
14 |
14 |
$506.47 |
| 73620 |
|
31 |
25 |
$505.17 |
| 90707 |
|
111 |
96 |
$476.41 |
| 72050 |
|
84 |
70 |
$476.23 |
| 93299 |
|
27 |
26 |
$471.69 |
| 89051 |
|
28 |
24 |
$461.20 |
| 90714 |
|
104 |
89 |
$458.66 |
| 84704 |
|
32 |
24 |
$454.61 |
| 84163 |
|
32 |
24 |
$454.00 |
| 83525 |
|
45 |
41 |
$448.59 |
| 93880 |
|
13 |
12 |
$442.81 |
| 90713 |
|
192 |
120 |
$423.67 |
| A9500 |
Tc99m sestamibi |
1,656 |
1,386 |
$422.81 |
| 87140 |
|
88 |
79 |
$421.76 |
| 90632 |
|
85 |
68 |
$417.10 |
| 77090 |
|
69 |
60 |
$412.77 |
| 90678 |
|
62 |
58 |
$407.06 |
| 88342 |
|
1,346 |
1,162 |
$382.63 |
| 99292 |
|
990 |
876 |
$379.37 |
| 51702 |
|
16 |
13 |
$372.81 |
| 90710 |
|
74 |
49 |
$370.14 |
| 82952 |
|
94 |
84 |
$369.24 |
| G0010 |
Admin hepatitis b vaccine |
569 |
496 |
$362.93 |
| 90681 |
|
162 |
156 |
$362.32 |
| 69210 |
|
42 |
38 |
$361.69 |
| 96402 |
|
33 |
24 |
$346.94 |
| 87209 |
|
16 |
13 |
$329.36 |
| 90750 |
|
67 |
52 |
$323.85 |
| 86694 |
|
30 |
26 |
$311.61 |
| 96376 |
|
5,527 |
4,068 |
$310.81 |
| 83718 |
|
43 |
43 |
$285.65 |
| 94760 |
|
1,459 |
1,120 |
$280.30 |
| 82977 |
|
57 |
51 |
$279.63 |
| 82805 |
|
18 |
13 |
$279.37 |
| U0002 |
Covid-19 lab test non-cdc |
805 |
703 |
$275.12 |
| 84270 |
|
14 |
12 |
$268.68 |
| 73660 |
|
68 |
66 |
$266.43 |
| G0136 |
Adm of pa/n assess 5-15 m |
121 |
115 |
$253.76 |
| 90723 |
|
184 |
173 |
$248.30 |
| 70360 |
|
42 |
38 |
$236.15 |
| J2790 |
Rho d immune globulin inj |
12 |
12 |
$227.63 |
| 84436 |
|
25 |
25 |
$217.57 |
| 99407 |
|
254 |
217 |
$213.98 |
| 90698 |
|
174 |
166 |
$210.61 |
| 82247 |
|
59 |
39 |
$203.11 |
| 87329 |
|
12 |
12 |
$200.75 |
| 86870 |
|
109 |
90 |
$200.72 |
| 90687 |
|
28 |
27 |
$196.75 |
| J3490 |
Drugs unclassified injection |
694 |
576 |
$188.00 |
| 93325 |
|
16 |
13 |
$186.85 |
| 73000 |
|
68 |
50 |
$180.30 |
| 87338 |
|
15 |
14 |
$179.21 |
| 72220 |
|
29 |
26 |
$176.12 |
| 80171 |
|
18 |
14 |
$173.76 |
| 87177 |
|
16 |
13 |
$170.07 |
| 96153 |
|
343 |
130 |
$159.32 |
| 94762 |
|
45 |
41 |
$149.05 |
| 86765 |
|
14 |
13 |
$148.58 |
| 90739 |
|
21 |
20 |
$112.92 |
| 88112 |
|
31 |
24 |
$109.10 |
| 51701 |
|
61 |
57 |
$97.71 |
| 87206 |
|
13 |
12 |
$89.20 |
| G0296 |
Visit to determ ldct elig |
17 |
16 |
$85.24 |
| J3301 |
Triamcinolone acet inj nos |
3,549 |
3,185 |
$84.53 |
| L3808 |
Whfo, rigid w/o joints |
26 |
25 |
$83.31 |
| 73100 |
|
13 |
12 |
$82.49 |
| 94010 |
|
313 |
284 |
$81.90 |
| 82575 |
|
14 |
12 |
$80.03 |
| 0071A |
|
17 |
14 |
$77.08 |
| J1040 |
Methylprednisolone 80 mg inj |
699 |
646 |
$74.54 |
| J2405 |
Ondansetron hcl injection |
23,058 |
17,866 |
$74.12 |
| 91307 |
|
63 |
57 |
$72.80 |
| 93270 |
|
14 |
12 |
$68.76 |
| L1270 |
Abdominal pad |
33 |
13 |
$63.83 |
| 90474 |
|
386 |
359 |
$62.51 |
| J1100 |
Dexamethasone sodium phos |
12,254 |
9,945 |
$58.96 |
| 72072 |
|
13 |
12 |
$50.60 |
| 87185 |
|
14 |
13 |
$48.94 |
| 73523 |
|
14 |
12 |
$47.12 |
| 80069 |
|
13 |
13 |
$47.08 |
| 36416 |
|
216 |
166 |
$44.63 |
| 82330 |
|
15 |
13 |
$41.96 |
| G8984 |
Carry current status |
79 |
67 |
$38.40 |
| 0072A |
|
20 |
19 |
$38.16 |
| 90744 |
|
13 |
12 |
$36.84 |
| J0696 |
Ceftriaxone sodium injection |
5,822 |
4,273 |
$29.42 |
| J1953 |
Levetiracetam injection |
353 |
286 |
$24.83 |
| 99152 |
|
1,782 |
1,583 |
$22.65 |
| C1769 |
Guide wire |
2,794 |
2,074 |
$19.85 |
| J3420 |
Vitamin b12 injection |
1,860 |
1,371 |
$19.02 |
| J3010 |
Fentanyl citrate injection |
8,378 |
6,907 |
$15.12 |
| P9612 |
Catheterize for urine spec |
189 |
175 |
$12.60 |
| 99153 |
Mod sedat endo service >5yrs |
1,107 |
988 |
$11.33 |
| J2704 |
Inj, propofol, 10 mg |
15,175 |
11,253 |
$9.97 |
| J2270 |
Morphine sulfate injection |
7,277 |
5,714 |
$8.29 |
| 90696 |
|
13 |
13 |
$7.99 |
| J1030 |
Methylprednisolone 40 mg inj |
2,774 |
2,440 |
$6.31 |
| J3475 |
Inj magnesium sulfate |
3,451 |
2,519 |
$4.40 |
| G0433 |
Elisa hiv-1/hiv-2 screen |
14 |
12 |
$3.66 |
| J1885 |
Ketorolac tromethamine inj |
21,193 |
17,647 |
$2.23 |
| J1170 |
Hydromorphone injection |
6,070 |
4,599 |
$1.89 |
| J2930 |
Methylprednisolone injection |
1,779 |
1,372 |
$1.34 |
| J0690 |
Cefazolin sodium injection |
7,389 |
5,504 |
$0.90 |
| J2250 |
Inj midazolam hydrochloride |
11,868 |
10,132 |
$0.44 |
| J2765 |
Metoclopramide hcl injection |
5,774 |
4,944 |
$0.41 |
| J1630 |
Haloperidol injection |
1,115 |
870 |
$0.27 |
| J1644 |
Inj heparin sodium per 1000u |
2,716 |
1,251 |
$0.14 |
| J2060 |
Lorazepam injection |
2,638 |
2,142 |
$0.08 |
| G1004 |
Cdsm ndsc |
2,521 |
1,998 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
3,205 |
1,416 |
$0.00 |
| J0780 |
Prochlorperazine injection |
267 |
218 |
$0.00 |
| G8979 |
Mobility goal status |
701 |
560 |
$0.00 |
| J1756 |
Iron sucrose injection |
1,159 |
409 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
172 |
133 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
4,319 |
3,432 |
$0.00 |
| G8978 |
Mobility current status |
504 |
444 |
$0.00 |
| J1729 |
Inj hydroxyprogst capoat nos |
266 |
94 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
102 |
77 |
$0.00 |
| J3260 |
Tobramycin sulfate injection |
56 |
40 |
$0.00 |
| C1887 |
Catheter, guiding |
86 |
68 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
106 |
92 |
$0.00 |
| L3040 |
Ft arch suprt premold longit |
14 |
13 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
593 |
486 |
$0.00 |
| A4550 |
Surgical trays |
43 |
43 |
$0.00 |
| G8985 |
Carry goal status |
175 |
141 |
$0.00 |
| C1758 |
Catheter, ureteral |
17 |
12 |
$0.00 |
| A6219 |
Gauze <= 16 sq in w/border |
87 |
50 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
45 |
38 |
$0.00 |
| 91312 |
|
19 |
19 |
$0.00 |
| C1780 |
Lens, intraocular (new tech) |
32 |
25 |
$0.00 |
| 69209 |
|
14 |
12 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
13 |
12 |
$0.00 |
| A9552 |
F18 fdg |
53 |
50 |
$0.00 |
| 31720 |
|
61 |
59 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
20 |
12 |
$0.00 |
| J0694 |
Cefoxitin sodium injection |
21 |
14 |
$0.00 |
| 95913 |
|
16 |
13 |
$0.00 |
| C9290 |
Inj, bupivacaine liposome |
965 |
810 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
417 |
342 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
115 |
96 |
$0.00 |
| J2785 |
Regadenoson injection |
1,249 |
1,064 |
$0.00 |
| J1726 |
Makena, 10 mg |
265 |
92 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
734 |
584 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
380 |
301 |
$0.00 |
| J1790 |
Droperidol injection |
2,200 |
1,820 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
246 |
223 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
114 |
93 |
$0.00 |
| J3360 |
Diazepam injection |
247 |
213 |
$0.00 |
| G8980 |
Mobility d/c status |
263 |
242 |
$0.00 |
| J3480 |
Inj potassium chloride |
1,519 |
971 |
$0.00 |
| Q0162 |
Ondansetron oral |
1,159 |
1,108 |
$0.00 |
| A9270 |
Non-covered item or service |
14,009 |
10,533 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
814 |
665 |
$0.00 |
| C9399 |
Unclassified drugs or biolog |
138 |
126 |
$0.00 |
| J1940 |
Furosemide injection |
748 |
498 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
201 |
179 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
24 |
14 |
$0.00 |
| 88300 |
|
116 |
106 |
$0.00 |
| 3008F |
|
232 |
220 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
67 |
55 |
$0.00 |
| 95911 |
|
26 |
25 |
$0.00 |
| 88341 |
|
46 |
38 |
$0.00 |
| C1781 |
Mesh (implantable) |
16 |
12 |
$0.00 |
| A9540 |
Tc99m maa |
19 |
15 |
$0.00 |
| J7674 |
Methacholine chloride, neb |
52 |
39 |
$0.00 |
| G8988 |
Self care goal status |
18 |
12 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
78 |
71 |
$0.00 |
| J7611 |
Albuterol non-comp con |
47 |
40 |
$0.00 |
| J1920 |
Inj, labetalol hcl, 5mg |
14 |
13 |
$0.00 |