| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0450 |
|
55,416 |
50,598 |
$10.63M |
| 99285 |
|
33,974 |
31,333 |
$2.69M |
| 80053 |
|
33,648 |
26,627 |
$2.36M |
| 93306 |
|
29,492 |
26,955 |
$1.98M |
| 85025 |
|
82,720 |
70,319 |
$1.98M |
| 99284 |
|
25,967 |
23,732 |
$1.67M |
| 74177 |
|
6,488 |
6,323 |
$1.62M |
| 78815 |
|
1,617 |
1,590 |
$1.58M |
| J1459 |
Inj ivig privigen 500 mg |
915 |
472 |
$1.43M |
| 99291 |
|
18,065 |
6,355 |
$1.34M |
| J0485 |
Belatacept injection |
1,774 |
1,620 |
$1.25M |
| 74183 |
|
2,294 |
2,250 |
$1.25M |
| 0710 |
|
3,820 |
3,540 |
$1.16M |
| 80048 |
|
55,805 |
48,540 |
$1.11M |
| A0429 |
Bls-emergency |
1,134 |
626 |
$1.03M |
| 99283 |
|
10,765 |
9,749 |
$864K |
| G0463 |
Hospital outpt clinic visit |
35,574 |
29,890 |
$846K |
| 87798 |
|
3,084 |
2,334 |
$800K |
| 87496 |
|
2,182 |
1,594 |
$788K |
| 70450 |
|
5,623 |
5,417 |
$755K |
| 96365 |
|
8,562 |
6,972 |
$739K |
| 99281 |
|
3,003 |
2,637 |
$690K |
| J3262 |
Tocilizumab injection |
634 |
431 |
$656K |
| 70553 |
|
1,661 |
1,623 |
$652K |
| 96413 |
|
5,026 |
3,630 |
$631K |
| 99232 |
|
18,917 |
5,693 |
$623K |
| 96375 |
|
13,403 |
10,577 |
$617K |
| 83735 |
|
17,461 |
12,396 |
$597K |
| 71250 |
|
4,995 |
4,932 |
$585K |
| 94375 |
|
3,977 |
3,342 |
$561K |
| 93005 |
|
17,364 |
15,920 |
$525K |
| 93010 |
|
107,399 |
66,190 |
$514K |
| 93970 |
|
16,951 |
15,091 |
$507K |
| 86832 |
|
3,213 |
3,080 |
$498K |
| 96374 |
|
12,631 |
11,539 |
$498K |
| 86833 |
|
3,268 |
3,095 |
$490K |
| 99233 |
Prolong inpt eval add15 m |
12,869 |
4,440 |
$478K |
| 71260 |
|
3,431 |
3,335 |
$462K |
| 0270 |
|
5,323 |
3,480 |
$441K |
| 71046 |
|
8,684 |
8,263 |
$440K |
| 70551 |
|
1,979 |
1,937 |
$433K |
| 86900 |
|
5,414 |
4,429 |
$428K |
| J3490 |
Drugs unclassified injection |
14,076 |
8,484 |
$424K |
| G0378 |
Hospital observation per hr |
2,229 |
1,426 |
$410K |
| 74176 |
|
2,300 |
2,246 |
$406K |
| 93454 |
|
1,069 |
1,009 |
$405K |
| 99214 |
|
12,820 |
11,351 |
$398K |
| 87497 |
|
1,547 |
1,301 |
$386K |
| 84100 |
|
13,877 |
9,892 |
$386K |
| 99213 |
|
6,548 |
6,243 |
$380K |
| 71045 |
|
12,760 |
11,956 |
$372K |
| 86850 |
|
4,810 |
3,851 |
$367K |
| 72125 |
|
1,983 |
1,929 |
$352K |
| 0250 |
|
13,527 |
8,925 |
$351K |
| 80197 |
|
12,292 |
7,928 |
$303K |
| 86975 |
|
4,490 |
3,455 |
$303K |
| 71275 |
|
1,838 |
1,803 |
$295K |
| 0761 |
|
3,135 |
2,675 |
$291K |
| A9552 |
F18 fdg |
1,365 |
1,332 |
$271K |
| Q3014 |
Telehealth facility fee |
14,714 |
13,303 |
$268K |
| 87799 |
|
1,606 |
1,330 |
$258K |
| 99215 |
Prolong outpt/office vis |
6,469 |
5,427 |
$257K |
| 86901 |
|
5,364 |
4,324 |
$248K |
| 0510 |
|
14,101 |
11,887 |
$237K |
| 94726 |
|
1,629 |
1,436 |
$233K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
12,933 |
11,907 |
$231K |
| 80076 |
|
19,025 |
16,305 |
$229K |
| 99223 |
Prolong inpt eval add15 m |
3,318 |
3,117 |
$224K |
| 81001 |
|
27,129 |
23,206 |
$217K |
| 88305 |
|
1,747 |
1,415 |
$215K |
| 0760 |
|
6,788 |
5,679 |
$205K |
| 72148 |
|
1,557 |
1,541 |
$200K |
| 0272 |
|
4,230 |
3,897 |
$199K |
| 99203 |
|
2,166 |
1,927 |
$185K |
| Z7500 |
|
5,157 |
4,287 |
$175K |
| 96372 |
|
6,266 |
4,868 |
$175K |
| 75574 |
|
1,912 |
1,886 |
$171K |
| 80061 |
|
8,736 |
8,560 |
$166K |
| 93505 |
|
118 |
95 |
$163K |
| 80307 |
|
1,805 |
1,670 |
$161K |
| G0480 |
Drug test def 1-7 classes |
4,807 |
3,619 |
$158K |
| 96376 |
|
2,763 |
2,163 |
$156K |
| 72197 |
|
801 |
791 |
$156K |
| 99222 |
|
2,986 |
2,740 |
$151K |
| 87635 |
|
4,861 |
4,587 |
$148K |
| 96361 |
|
4,540 |
3,828 |
$147K |
| J0897 |
Denosumab injection |
291 |
285 |
$145K |
| 85610 |
|
10,455 |
9,329 |
$144K |
| 96415 |
|
1,632 |
1,354 |
$143K |
| 93325 |
|
5,386 |
4,366 |
$142K |
| 87088 |
|
7,521 |
6,652 |
$141K |
| C9803 |
Hopd covid-19 spec collect |
7,005 |
6,501 |
$136K |
| 93971 |
|
4,191 |
3,637 |
$135K |
| 76700 |
|
2,250 |
2,216 |
$133K |
| 82784 |
|
2,582 |
1,539 |
$132K |
| 83880 |
|
7,890 |
7,240 |
$132K |
| 83615 |
|
3,453 |
2,447 |
$130K |
| C1769 |
Guide wire |
862 |
815 |
$119K |
| 93880 |
|
2,603 |
2,284 |
$117K |
| 96366 |
|
2,564 |
1,842 |
$117K |
| 0370 |
|
1,853 |
1,795 |
$117K |
| 74174 |
|
410 |
406 |
$114K |
| 99282 |
|
2,131 |
1,940 |
$113K |
| 94729 |
|
1,847 |
1,638 |
$112K |
| 87040 |
|
3,279 |
2,588 |
$109K |
| 38222 |
|
161 |
143 |
$107K |
| 84484 |
|
11,270 |
9,455 |
$101K |
| 88185 |
|
77 |
51 |
$96K |
| 78812 |
|
307 |
295 |
$93K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,041 |
2,752 |
$89K |
| J2704 |
Inj, propofol, 10 mg |
3,390 |
2,944 |
$89K |
| A9581 |
Gadoxetate disodium inj |
925 |
825 |
$88K |
| J1561 |
Gamunex-c/gammaked |
32 |
17 |
$87K |
| J7030 |
Normal saline solution infus |
5,310 |
4,504 |
$87K |
| 82803 |
|
467 |
403 |
$86K |
| 72141 |
|
517 |
513 |
$84K |
| 83690 |
|
10,191 |
9,499 |
$83K |
| 99199 |
|
3,070 |
2,681 |
$80K |
| 93312 |
|
1,167 |
1,016 |
$79K |
| 88341 |
|
380 |
257 |
$79K |
| 78492 |
|
156 |
150 |
$79K |
| 93975 |
|
656 |
601 |
$77K |
| A9585 |
Gadobutrol injection |
3,334 |
2,778 |
$75K |
| 85730 |
|
6,925 |
6,539 |
$75K |
| 73502 |
|
912 |
885 |
$74K |
| 99231 |
|
3,791 |
1,891 |
$72K |
| 93308 |
|
4,198 |
3,377 |
$70K |
| 82565 |
|
4,575 |
4,477 |
$68K |
| 99221 |
|
1,913 |
1,750 |
$68K |
| 97140 |
|
6,272 |
2,895 |
$66K |
| 94200 |
|
1,447 |
1,300 |
$64K |
| 99204 |
|
1,781 |
1,746 |
$63K |
| J9310 |
Rituximab injection |
29 |
24 |
$63K |
| 76856 |
|
1,364 |
1,302 |
$62K |
| 83605 |
|
4,129 |
3,769 |
$62K |
| 96360 |
|
1,194 |
1,086 |
$62K |
| 99205 |
Prolong outpt/office vis |
1,481 |
1,456 |
$62K |
| 73721 |
|
390 |
353 |
$59K |
| 84703 |
|
5,928 |
5,537 |
$58K |
| 88342 |
|
688 |
580 |
$58K |
| 99238 |
|
1,140 |
1,107 |
$56K |
| 77080 |
|
1,249 |
1,232 |
$55K |
| Z7502 |
|
1,447 |
1,403 |
$54K |
| Q5119 |
Inj ruxience, 10 mg |
134 |
73 |
$52K |
| 36556 |
|
932 |
833 |
$51K |
| 84550 |
|
3,778 |
3,503 |
$51K |
| J1644 |
Inj heparin sodium per 1000u |
3,865 |
2,073 |
$51K |
| A4649 |
Surgical supplies |
121 |
73 |
$50K |
| 76830 |
|
1,270 |
1,211 |
$49K |
| 92928 |
|
186 |
145 |
$49K |
| 84443 |
|
8,031 |
7,880 |
$49K |
| 76937 |
|
1,515 |
1,370 |
$48K |
| 77066 |
Tomosynthesis, mammo |
1,331 |
1,323 |
$48K |
| 82378 |
|
2,418 |
2,281 |
$47K |
| 82728 |
|
3,538 |
3,434 |
$47K |
| J2405 |
Ondansetron hcl injection |
6,758 |
5,878 |
$46K |
| 90471 |
|
1,462 |
1,430 |
$46K |
| 73562 |
|
1,872 |
1,563 |
$46K |
| 97110 |
|
7,936 |
3,885 |
$45K |
| 72131 |
|
416 |
415 |
$44K |
| 87186 |
|
2,640 |
2,353 |
$44K |
| J1642 |
Inj heparin sodium per 10 u |
2,203 |
1,423 |
$43K |
| 91065 |
|
363 |
264 |
$43K |
| 43239 |
|
431 |
414 |
$42K |
| 82306 |
|
4,787 |
4,713 |
$42K |
| 93922 |
|
2,401 |
2,210 |
$39K |
| 31624 |
|
297 |
265 |
$38K |
| 73030 |
|
1,520 |
1,376 |
$37K |
| 87340 |
|
1,199 |
1,154 |
$37K |
| 82550 |
|
1,931 |
1,795 |
$36K |
| 73610 |
|
1,478 |
1,320 |
$36K |
| 94010 |
|
245 |
202 |
$36K |
| 78452 |
|
238 |
232 |
$36K |
| C1887 |
Catheter, guiding |
257 |
246 |
$35K |
| 93451 |
|
31 |
28 |
$35K |
| 94618 |
|
472 |
410 |
$35K |
| 0241U |
|
913 |
864 |
$34K |
| 77334 |
|
339 |
266 |
$33K |
| J2001 |
Lidocaine injection |
2,842 |
2,478 |
$33K |
| 93321 |
|
5,301 |
4,229 |
$32K |
| 92978 |
|
72 |
64 |
$32K |
| 82570 |
|
3,874 |
3,442 |
$32K |
| J3010 |
Fentanyl citrate injection |
2,998 |
2,779 |
$32K |
| 87070 |
|
1,611 |
1,498 |
$31K |
| 86803 |
|
1,645 |
1,617 |
$31K |
| 49083 |
|
363 |
217 |
$31K |
| 0301 |
|
935 |
652 |
$30K |
| 73630 |
|
1,428 |
1,251 |
$30K |
| J1170 |
Hydromorphone injection |
2,768 |
2,109 |
$30K |
| 99292 |
|
798 |
478 |
$30K |
| 88184 |
|
159 |
129 |
$29K |
| 85027 |
|
5,106 |
4,581 |
$29K |
| J7120 |
Ringers lactate infusion |
506 |
438 |
$29K |
| 86480 |
|
493 |
481 |
$28K |
| 76642 |
|
1,310 |
1,154 |
$28K |
| 87591 |
|
1,466 |
1,403 |
$28K |
| 87491 |
|
1,448 |
1,385 |
$28K |
| 83036 |
|
7,248 |
7,157 |
$27K |
| 81370 |
|
29 |
25 |
$27K |
| 0002A |
|
771 |
769 |
$27K |
| 32555 |
|
697 |
514 |
$27K |
| 99239 |
|
584 |
562 |
$27K |
| 84156 |
|
2,553 |
2,330 |
$27K |
| 70496 |
|
102 |
102 |
$26K |
| 31623 |
|
14 |
13 |
$26K |
| P9040 |
Rbc leukoreduced irradiated |
168 |
142 |
$25K |
| 72100 |
|
962 |
932 |
$25K |
| 70491 |
|
149 |
145 |
$25K |
| 43264 |
|
66 |
62 |
$25K |
| J2250 |
Inj midazolam hydrochloride |
2,372 |
2,189 |
$24K |
| 86140 |
|
4,740 |
4,526 |
$24K |
| 93320 |
|
279 |
240 |
$24K |
| 20610 |
|
1,199 |
1,080 |
$24K |
| 87077 |
|
5,201 |
4,637 |
$24K |
| 0001A |
|
687 |
686 |
$24K |
| 86592 |
|
471 |
449 |
$24K |
| 93017 |
|
745 |
721 |
$23K |
| J2920 |
Methylprednisolone injection |
982 |
705 |
$22K |
| 72170 |
|
664 |
649 |
$22K |
| 70486 |
|
253 |
245 |
$22K |
| 87522 |
Neg quan hep c or qual rna |
191 |
163 |
$22K |
| 88307 |
|
143 |
122 |
$22K |
| J1100 |
Dexamethasone sodium phos |
2,917 |
2,194 |
$22K |
| 93923 |
|
716 |
600 |
$21K |
| 85379 |
|
2,027 |
1,974 |
$21K |
| 0949 |
|
582 |
432 |
$21K |
| 87389 |
|
1,422 |
1,395 |
$21K |
| 86923 |
|
192 |
177 |
$20K |
| 36415 |
|
5,486 |
4,215 |
$20K |
| 0160 |
|
453 |
279 |
$20K |
| Z9726 |
|
440 |
436 |
$19K |
| 73130 |
|
920 |
757 |
$19K |
| J1885 |
Ketorolac tromethamine inj |
4,502 |
3,977 |
$19K |
| 90715 |
|
794 |
775 |
$19K |
| J2785 |
Regadenoson injection |
560 |
546 |
$18K |
| 93296 |
|
842 |
838 |
$18K |
| 76705 |
|
488 |
458 |
$18K |
| J2270 |
Morphine sulfate injection |
2,842 |
2,475 |
$18K |
| 88350 |
|
85 |
54 |
$18K |
| 83550 |
|
4,265 |
4,167 |
$18K |
| 83540 |
|
4,604 |
4,486 |
$18K |
| 76770 |
|
353 |
344 |
$17K |
| 82962 |
|
929 |
663 |
$17K |
| 86930 |
|
71 |
57 |
$17K |
| 87517 |
|
207 |
202 |
$17K |
| 96367 |
|
445 |
342 |
$16K |
| 70498 |
|
72 |
71 |
$16K |
| 77065 |
Tomosynthesis, mammo |
557 |
557 |
$15K |
| J9312 |
Inj., rituximab, 10 mg |
14 |
12 |
$15K |
| 83883 |
|
546 |
376 |
$15K |
| J1200 |
Diphenhydramine hcl injectio |
2,981 |
2,413 |
$15K |
| 99254 |
|
206 |
168 |
$15K |
| 82607 |
|
2,539 |
2,501 |
$15K |
| 0305 |
|
659 |
551 |
$14K |
| 73110 |
|
549 |
464 |
$14K |
| 87205 |
|
1,576 |
1,471 |
$14K |
| 93458 |
|
50 |
46 |
$14K |
| 96116 |
|
336 |
294 |
$14K |
| 99212 |
|
3,802 |
3,293 |
$14K |
| 97162 |
|
508 |
505 |
$14K |
| 85652 |
|
4,323 |
4,165 |
$13K |
| 93925 |
|
830 |
732 |
$13K |
| 99070 |
|
40 |
26 |
$13K |
| 87536 |
|
167 |
163 |
$13K |
| 86300 |
|
1,583 |
1,425 |
$13K |
| U0002 |
Covid-19 lab test non-cdc |
873 |
859 |
$13K |
| J7040 |
Normal saline solution infus |
489 |
380 |
$13K |
| 74181 |
|
12 |
12 |
$13K |
| 87400 |
|
1,052 |
920 |
$12K |
| 73590 |
|
738 |
641 |
$12K |
| A9500 |
Tc99m sestamibi |
308 |
297 |
$12K |
| 77067 |
|
1,106 |
1,103 |
$12K |
| 76942 |
|
155 |
151 |
$11K |
| J0696 |
Ceftriaxone sodium injection |
1,924 |
1,743 |
$11K |
| 99152 |
|
438 |
408 |
$11K |
| 77300 |
|
76 |
68 |
$10K |
| 83970 |
|
1,116 |
1,096 |
$10K |
| 84702 |
|
784 |
678 |
$10K |
| J0690 |
Cefazolin sodium injection |
1,003 |
823 |
$10K |
| 94640 |
|
654 |
554 |
$10K |
| 76376 |
|
514 |
468 |
$9K |
| 0306 |
|
321 |
299 |
$9K |
| J0585 |
Injection,onabotulinumtoxina |
15 |
12 |
$9K |
| 0511 |
|
1,453 |
1,360 |
$9K |
| 80306 |
|
909 |
878 |
$8K |
| 99253 |
|
99 |
86 |
$8K |
| 88313 |
|
72 |
51 |
$8K |
| 86704 |
|
464 |
455 |
$8K |
| 0271 |
|
1,400 |
1,313 |
$8K |
| 36600 |
|
78 |
72 |
$8K |
| 86706 |
|
503 |
496 |
$8K |
| 82746 |
|
1,337 |
1,320 |
$7K |
| 97112 |
|
916 |
560 |
$7K |
| 88346 |
|
63 |
56 |
$7K |
| 97530 |
|
1,135 |
721 |
$7K |
| 87081 |
|
1,246 |
1,096 |
$7K |
| J2930 |
Methylprednisolone injection |
360 |
285 |
$7K |
| J2060 |
Lorazepam injection |
1,125 |
978 |
$6K |
| 0004A |
|
154 |
154 |
$6K |
| 76536 |
|
249 |
240 |
$6K |
| 95720 |
|
75 |
36 |
$6K |
| 93990 |
|
242 |
188 |
$6K |
| 81376 |
|
18 |
12 |
$6K |
| 0762 |
|
244 |
212 |
$6K |
| 81025 |
|
384 |
368 |
$6K |
| 73560 |
|
485 |
419 |
$6K |
| 99443 |
|
97 |
86 |
$6K |
| J2765 |
Metoclopramide hcl injection |
931 |
874 |
$5K |
| 86039 |
|
623 |
615 |
$5K |
| 72040 |
|
178 |
173 |
$5K |
| 93926 |
|
174 |
138 |
$5K |
| 73221 |
|
67 |
64 |
$5K |
| 73700 |
|
58 |
55 |
$5K |
| 84165 |
|
84 |
77 |
$5K |
| Q4051 |
Splint supplies misc |
18 |
13 |
$5K |
| 0324 |
|
267 |
260 |
$5K |
| 73564 |
|
181 |
163 |
$5K |
| 96130 |
|
158 |
157 |
$5K |
| 77290 |
|
41 |
39 |
$4K |
| 84439 |
|
1,714 |
1,673 |
$4K |
| 31500 |
|
101 |
92 |
$4K |
| 84153 |
|
854 |
842 |
$4K |
| 99255 |
|
43 |
38 |
$4K |
| J3475 |
Inj magnesium sulfate |
500 |
398 |
$4K |
| 96417 |
|
358 |
226 |
$4K |
| 76604 |
|
256 |
223 |
$4K |
| 0637 |
|
837 |
621 |
$4K |
| 97161 |
|
122 |
121 |
$4K |
| 95951 |
|
43 |
14 |
$4K |
| 72110 |
|
298 |
294 |
$4K |
| C1894 |
Intro/sheath, non-laser |
88 |
81 |
$4K |
| 86830 |
|
56 |
54 |
$4K |
| 0300 |
|
388 |
326 |
$4K |
| 86780 |
|
461 |
429 |
$4K |
| 36430 |
|
29 |
25 |
$4K |
| 86831 |
|
56 |
54 |
$4K |
| 0403 |
|
25 |
25 |
$4K |
| 93319 |
|
246 |
201 |
$3K |
| 93798 |
|
43 |
12 |
$3K |
| G0279 |
Tomosynthesis, mammo |
480 |
479 |
$3K |
| 73552 |
|
142 |
131 |
$3K |
| J2780 |
Ranitidine hydrochloride inj |
326 |
302 |
$3K |
| 86352 |
|
98 |
95 |
$3K |
| 0031A |
|
77 |
77 |
$3K |
| 99211 |
|
1,055 |
909 |
$3K |
| 77263 |
|
79 |
78 |
$3K |
| 80320 |
|
345 |
310 |
$3K |
| 74160 |
|
14 |
13 |
$3K |
| 75572 |
|
12 |
12 |
$3K |
| 90656 |
|
178 |
142 |
$3K |
| 62270 |
|
28 |
27 |
$3K |
| 93280 |
|
198 |
170 |
$3K |
| 89051 |
|
579 |
531 |
$3K |
| 85007 |
|
513 |
481 |
$3K |
| 73080 |
|
102 |
91 |
$2K |
| 86334 |
|
12 |
12 |
$2K |
| 82105 |
|
226 |
215 |
$2K |
| 87505 |
|
87 |
62 |
$2K |
| 87880 |
|
315 |
303 |
$2K |
| Z9725 |
|
54 |
52 |
$2K |
| 31628 |
|
26 |
25 |
$2K |
| 82330 |
|
235 |
229 |
$2K |
| 82043 |
|
1,352 |
1,341 |
$2K |
| 88188 |
|
30 |
29 |
$2K |
| 86235 |
|
449 |
242 |
$2K |
| 84436 |
|
763 |
755 |
$2K |
| 0401 |
|
398 |
398 |
$2K |
| J7507 |
Tacrolimus imme rel oral 1mg |
191 |
181 |
$2K |
| 93978 |
|
34 |
26 |
$2K |
| 85347 |
|
47 |
37 |
$2K |
| 83521 |
|
737 |
685 |
$2K |
| 85014 |
|
194 |
189 |
$2K |
| 84132 |
|
126 |
123 |
$2K |
| 0352 |
|
25 |
24 |
$2K |
| 87651 |
|
85 |
85 |
$2K |
| 82375 |
|
17 |
16 |
$2K |
| J7999 |
Compounded drug, noc |
28 |
27 |
$2K |
| 90686 |
|
113 |
111 |
$2K |
| 45380 |
|
14 |
13 |
$2K |
| 96132 |
|
42 |
37 |
$2K |
| 99252 |
|
35 |
26 |
$2K |
| 91200 |
|
42 |
28 |
$2K |
| 36620 |
|
96 |
85 |
$2K |
| 93355 |
|
52 |
52 |
$2K |
| 87116 |
|
18 |
15 |
$2K |
| 85651 |
|
450 |
432 |
$2K |
| 93247 |
|
68 |
68 |
$1K |
| 96131 |
|
106 |
105 |
$1K |
| 78306 |
|
28 |
28 |
$1K |
| S0119 |
Ondansetron 4 mg |
226 |
214 |
$1K |
| 87420 |
|
67 |
64 |
$1K |
| 0298T |
|
122 |
121 |
$1K |
| J0702 |
Betamethasone acet&sod phosp |
153 |
128 |
$1K |
| 80158 |
|
48 |
38 |
$1K |
| 87102 |
|
48 |
44 |
$1K |
| A9555 |
Rb82 rubidium |
48 |
45 |
$1K |
| 92611 |
|
59 |
57 |
$1K |
| 97010 |
|
720 |
385 |
$1K |
| 85046 |
|
340 |
312 |
$1K |
| 84481 |
|
281 |
271 |
$1K |
| 0003A |
|
31 |
31 |
$1K |
| 0258 |
|
76 |
71 |
$1K |
| 86790 |
|
150 |
147 |
$1K |
| 76817 |
|
47 |
41 |
$1K |
| 93294 |
|
115 |
115 |
$1K |
| 77014 |
|
111 |
12 |
$1K |
| 0054A |
|
28 |
28 |
$1K |
| J2919 |
Inj, methylpred sod succ 5mg |
233 |
157 |
$1K |
| 86769 |
|
26 |
15 |
$1K |
| 82150 |
|
194 |
181 |
$1K |
| 72070 |
|
18 |
18 |
$1K |
| 82947 |
|
132 |
129 |
$1K |
| Q0511 |
Sup fee antiem,antica,immuno |
297 |
289 |
$1K |
| 84520 |
|
146 |
143 |
$989.64 |
| J2710 |
Neostigmine methylslfte inj |
28 |
26 |
$986.59 |
| J7620 |
Albuterol ipratrop non-comp |
349 |
314 |
$955.45 |
| 74018 |
|
57 |
56 |
$939.31 |
| 99442 |
|
25 |
25 |
$868.55 |
| 77063 |
|
427 |
427 |
$859.17 |
| 86431 |
|
237 |
235 |
$856.51 |
| 72158 |
|
12 |
12 |
$846.53 |
| 99202 |
|
198 |
194 |
$832.31 |
| 74230 |
|
60 |
58 |
$825.13 |
| 86359 |
|
18 |
16 |
$797.72 |
| 97116 |
|
100 |
68 |
$791.31 |
| 12001 |
|
15 |
14 |
$776.99 |
| 87210 |
|
74 |
69 |
$749.10 |
| 84479 |
|
160 |
159 |
$744.27 |
| 72082 |
|
85 |
84 |
$727.80 |
| J1756 |
Iron sucrose injection |
31 |
12 |
$723.42 |
| 81003 |
|
255 |
185 |
$722.28 |
| Q0512 |
Px sup fee anti-can sub pres |
288 |
253 |
$701.96 |
| 12011 |
|
13 |
12 |
$682.35 |
| 0071A |
|
17 |
17 |
$680.00 |
| 76815 |
|
54 |
42 |
$645.35 |
| 0072A |
|
16 |
16 |
$640.00 |
| 72128 |
|
26 |
26 |
$637.02 |
| 93246 |
|
51 |
51 |
$602.48 |
| 0730 |
|
129 |
126 |
$582.67 |
| 93248 |
|
126 |
125 |
$524.01 |
| 74328 |
|
41 |
40 |
$487.07 |
| J3370 |
Vancomycin hcl injection |
63 |
54 |
$478.89 |
| 0320 |
|
32 |
30 |
$470.37 |
| 0360 |
|
222 |
125 |
$456.17 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
123 |
108 |
$433.77 |
| 74022 |
|
41 |
40 |
$431.23 |
| 80047 |
|
27 |
26 |
$428.94 |
| 87480 |
|
182 |
175 |
$428.64 |
| 87510 |
|
182 |
175 |
$428.64 |
| 93979 |
|
26 |
26 |
$425.07 |
| 93279 |
|
32 |
25 |
$385.79 |
| 87660 |
|
182 |
175 |
$350.37 |
| 82232 |
|
321 |
311 |
$339.33 |
| G8978 |
Mobility current status |
125 |
124 |
$321.81 |
| J7517 |
Mycophenolate mofetil oral |
40 |
38 |
$318.90 |
| 87015 |
|
39 |
30 |
$287.28 |
| 75571 |
|
24 |
24 |
$250.66 |
| J1626 |
Granisetron hcl injection |
79 |
49 |
$248.19 |
| 76377 |
|
124 |
118 |
$248.13 |
| 86160 |
|
391 |
205 |
$244.03 |
| J0330 |
Succinycholine chloride inj |
12 |
12 |
$242.98 |
| 76801 |
|
15 |
12 |
$239.20 |
| 86301 |
|
152 |
140 |
$233.81 |
| 84295 |
|
28 |
28 |
$225.74 |
| 86360 |
|
15 |
15 |
$205.70 |
| 82652 |
|
13 |
13 |
$200.72 |
| 87624 |
|
155 |
155 |
$199.94 |
| 96121 |
|
16 |
12 |
$196.44 |
| 77280 |
|
14 |
12 |
$195.49 |
| 82310 |
|
219 |
217 |
$194.56 |
| 86787 |
|
13 |
13 |
$187.88 |
| 82977 |
|
12 |
12 |
$187.48 |
| G2012 |
Brief check in by md/qhp |
15 |
15 |
$185.40 |
| 73521 |
|
43 |
43 |
$175.39 |
| A9503 |
Tc99m medronate |
39 |
39 |
$175.09 |
| 97166 |
|
17 |
16 |
$166.29 |
| 82533 |
|
146 |
130 |
$165.78 |
| J3301 |
Triamcinolone acet inj nos |
44 |
41 |
$161.68 |
| 87206 |
|
17 |
14 |
$159.76 |
| 86225 |
|
272 |
258 |
$158.37 |
| 73090 |
|
16 |
12 |
$146.07 |
| J1630 |
Haloperidol injection |
35 |
27 |
$144.68 |
| 94060 |
|
13 |
12 |
$144.12 |
| 0780 |
|
220 |
206 |
$140.30 |
| 77081 |
|
43 |
43 |
$136.37 |
| 73060 |
|
15 |
12 |
$135.05 |
| G0008 |
Admin influenza virus vac |
27 |
27 |
$134.39 |
| Q9969 |
Non-heu tc-99m add-on/dose |
335 |
325 |
$128.57 |
| 0309 |
|
161 |
152 |
$123.95 |
| 88142 |
|
148 |
147 |
$115.40 |
| 97802 |
|
13 |
13 |
$97.12 |
| 86376 |
|
123 |
123 |
$91.36 |
| J2305 |
Inj, nitroglycerin, 5 mg |
103 |
103 |
$85.14 |
| 80349 |
|
56 |
51 |
$75.74 |
| 72050 |
|
25 |
25 |
$71.07 |
| 84402 |
|
43 |
39 |
$69.74 |
| 86200 |
|
128 |
127 |
$59.84 |
| 0636 |
|
45 |
23 |
$51.24 |
| J7512 |
Prednisone ir or dr oral 1mg |
29 |
26 |
$50.87 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
43 |
18 |
$50.85 |
| 83721 |
|
197 |
197 |
$49.04 |
| 84403 |
|
204 |
193 |
$48.56 |
| 83010 |
|
85 |
81 |
$47.77 |
| J0780 |
Prochlorperazine injection |
15 |
12 |
$37.30 |
| 86141 |
|
48 |
48 |
$34.81 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
44 |
44 |
$34.64 |
| 82274 |
|
174 |
127 |
$32.97 |
| J3480 |
Inj potassium chloride |
14 |
12 |
$31.89 |
| 80324 |
|
40 |
36 |
$25.07 |
| 80359 |
|
40 |
36 |
$25.03 |
| 84300 |
|
44 |
42 |
$24.49 |
| 82435 |
|
15 |
15 |
$20.57 |
| 84154 |
|
12 |
12 |
$18.02 |
| G8979 |
Mobility goal status |
165 |
161 |
$17.94 |
| 82374 |
|
14 |
14 |
$14.73 |
| 83921 |
|
26 |
26 |
$13.24 |
| 83951 |
|
39 |
39 |
$12.05 |
| J7613 |
Albuterol non-comp unit |
78 |
74 |
$10.42 |
| 82107 |
|
25 |
25 |
$9.93 |
| G8980 |
Mobility d/c status |
39 |
39 |
$0.20 |
| S9445 |
Pt education noc individ |
54 |
29 |
$0.00 |
| 0307 |
|
13 |
13 |
$0.00 |
| 0120 |
|
12 |
12 |
$0.00 |
| 0302 |
|
174 |
65 |
$0.00 |
| J7643 |
Glycopyrrolate comp unit |
13 |
13 |
$0.00 |
| 86765 |
|
12 |
12 |
$0.00 |
| 86709 |
|
14 |
12 |
$0.00 |
| 74178 |
|
12 |
12 |
$0.00 |