| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
127,579 |
108,040 |
$35.04M |
| 99283 |
|
168,044 |
145,757 |
$32.55M |
| 99285 |
|
83,226 |
61,701 |
$30.77M |
| 74177 |
|
25,248 |
22,117 |
$11.21M |
| H0035 |
Mh partial hosp tx under 24h |
68,412 |
5,276 |
$9.46M |
| 99282 |
|
51,486 |
44,559 |
$6.47M |
| 97110 |
|
108,022 |
24,445 |
$4.67M |
| 87631 |
|
37,180 |
34,253 |
$4.38M |
| 74176 |
|
15,919 |
13,912 |
$4.37M |
| 70450 |
|
25,561 |
21,826 |
$4.20M |
| C1713 |
Anchor/screw bn/bn,tis/bn |
4,559 |
3,680 |
$4.00M |
| 96375 |
|
58,041 |
47,311 |
$3.98M |
| 96374 |
|
102,885 |
69,202 |
$3.91M |
| 93306 |
|
9,064 |
7,676 |
$3.88M |
| 96361 |
|
86,733 |
52,118 |
$3.82M |
| 93005 |
|
86,893 |
67,198 |
$3.78M |
| 71045 |
|
66,600 |
54,135 |
$3.68M |
| G0378 |
Hospital observation per hr |
40,165 |
13,636 |
$3.58M |
| 43239 |
|
6,311 |
5,082 |
$3.42M |
| 78452 |
|
5,879 |
3,713 |
$2.94M |
| H0015 |
Alcohol and/or drug services |
29,322 |
2,481 |
$2.91M |
| 93458 |
|
1,779 |
1,100 |
$2.65M |
| 80307 |
|
56,532 |
36,929 |
$2.41M |
| 71260 |
|
8,874 |
7,648 |
$2.27M |
| 71046 |
|
28,615 |
24,194 |
$2.25M |
| S9480 |
Intensive outpatient psychia |
26,529 |
2,019 |
$2.14M |
| 72125 |
|
8,056 |
6,605 |
$1.89M |
| 45378 |
|
1,969 |
1,804 |
$1.85M |
| 97530 |
|
45,166 |
11,089 |
$1.85M |
| G0480 |
Drug test def 1-7 classes |
26,528 |
16,853 |
$1.79M |
| 80053 |
|
189,531 |
127,019 |
$1.77M |
| 73630 |
|
12,289 |
10,589 |
$1.56M |
| 41899 |
|
838 |
793 |
$1.56M |
| 45380 |
|
2,876 |
2,457 |
$1.53M |
| 96365 |
|
23,357 |
13,882 |
$1.50M |
| C1776 |
Joint device (implantable) |
488 |
400 |
$1.44M |
| 87502 |
|
38,435 |
34,567 |
$1.43M |
| 45385 |
|
1,728 |
1,484 |
$1.37M |
| 71275 |
|
4,626 |
3,975 |
$1.27M |
| 96372 |
|
47,777 |
33,646 |
$1.21M |
| 70553 |
|
2,165 |
1,847 |
$1.18M |
| 96360 |
|
24,065 |
14,388 |
$1.14M |
| 85025 |
|
162,603 |
126,781 |
$1.10M |
| 73610 |
|
10,064 |
8,625 |
$1.08M |
| 76705 |
|
5,797 |
5,305 |
$1.06M |
| 87634 |
|
37,183 |
34,349 |
$1.03M |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
51,673 |
38,497 |
$1.02M |
| 97112 |
|
23,385 |
4,473 |
$1.02M |
| 93017 |
|
4,701 |
4,109 |
$981K |
| 97140 |
|
28,872 |
9,503 |
$951K |
| 88305 |
|
10,250 |
9,014 |
$919K |
| 93971 |
|
5,278 |
4,750 |
$898K |
| U0003 |
Cov-19 amp prb hgh thruput |
14,980 |
12,447 |
$868K |
| 84484 |
|
66,700 |
50,408 |
$816K |
| 73562 |
|
6,538 |
5,445 |
$814K |
| 72148 |
|
2,176 |
1,978 |
$812K |
| 92507 |
|
14,908 |
4,081 |
$812K |
| 73130 |
|
10,973 |
9,390 |
$773K |
| 73560 |
|
5,972 |
4,702 |
$758K |
| 70486 |
|
3,378 |
3,025 |
$748K |
| 83880 |
|
24,804 |
20,625 |
$734K |
| 70496 |
|
2,357 |
1,981 |
$729K |
| 78264 |
|
2,476 |
1,627 |
$711K |
| 70498 |
|
2,302 |
2,021 |
$710K |
| 70551 |
|
2,063 |
1,798 |
$700K |
| 73721 |
|
1,844 |
1,658 |
$695K |
| 72040 |
|
5,639 |
4,871 |
$661K |
| 71250 |
|
4,413 |
3,667 |
$626K |
| 36415 |
|
165,010 |
88,585 |
$612K |
| 96376 |
|
13,527 |
9,376 |
$596K |
| 93975 |
|
2,587 |
2,356 |
$593K |
| 72131 |
|
2,482 |
2,141 |
$592K |
| J2405 |
Ondansetron hcl injection |
69,992 |
55,752 |
$592K |
| 87804 |
|
30,100 |
19,233 |
$587K |
| 50590 |
|
484 |
358 |
$572K |
| 96366 |
|
7,500 |
5,347 |
$556K |
| 80048 |
|
73,139 |
49,731 |
$554K |
| 76830 |
|
3,357 |
3,046 |
$544K |
| 94640 |
|
21,494 |
13,503 |
$528K |
| 11042 |
|
5,147 |
2,092 |
$511K |
| 99281 |
|
13,156 |
11,529 |
$505K |
| 70491 |
|
1,690 |
1,495 |
$505K |
| 10060 |
|
3,840 |
3,340 |
$492K |
| 84703 |
|
67,980 |
60,133 |
$479K |
| 97161 |
|
9,952 |
8,383 |
$476K |
| 73030 |
|
9,006 |
7,292 |
$466K |
| 87491 |
|
14,482 |
13,331 |
$463K |
| 77067 |
|
6,122 |
5,891 |
$462K |
| 72141 |
|
1,228 |
1,069 |
$456K |
| 99291 |
|
1,268 |
1,024 |
$454K |
| 72100 |
|
10,012 |
8,743 |
$451K |
| 87651 |
|
13,322 |
12,331 |
$445K |
| J2704 |
Inj, propofol, 10 mg |
34,510 |
28,206 |
$437K |
| 73110 |
|
6,047 |
5,172 |
$428K |
| C1767 |
Generator, neuro non-recharg |
74 |
65 |
$426K |
| 97116 |
|
14,504 |
4,670 |
$411K |
| C1781 |
Mesh (implantable) |
1,662 |
1,418 |
$405K |
| 47562 |
|
271 |
221 |
$389K |
| A9500 |
Tc99m sestamibi |
3,649 |
3,306 |
$380K |
| 74018 |
|
4,763 |
4,104 |
$356K |
| 87635 |
|
9,226 |
7,397 |
$355K |
| 93798 |
|
7,282 |
1,173 |
$355K |
| 76856 |
|
2,147 |
2,002 |
$344K |
| 87880 |
|
22,873 |
20,965 |
$330K |
| 83690 |
|
54,227 |
46,949 |
$328K |
| C1820 |
Generator neuro rechg bat sy |
78 |
68 |
$309K |
| 87086 |
|
41,916 |
37,171 |
$307K |
| 73080 |
|
3,471 |
2,968 |
$303K |
| 85027 |
|
52,403 |
41,570 |
$300K |
| J1885 |
Ketorolac tromethamine inj |
45,760 |
39,784 |
$299K |
| G0463 |
Hospital outpt clinic visit |
9,426 |
6,618 |
$296K |
| 76536 |
|
1,951 |
1,776 |
$295K |
| 76700 |
|
1,519 |
1,320 |
$294K |
| 12001 |
|
3,578 |
3,270 |
$287K |
| C1889 |
Implant/insert device, noc |
119 |
106 |
$283K |
| 82947 |
|
49,345 |
26,009 |
$282K |
| 43235 |
|
460 |
376 |
$281K |
| 76870 |
|
1,588 |
1,445 |
$263K |
| 81001 |
|
88,597 |
76,130 |
$263K |
| 93970 |
|
1,213 |
1,089 |
$257K |
| 73221 |
|
638 |
572 |
$255K |
| 88304 |
|
4,232 |
3,824 |
$254K |
| 83735 |
|
44,015 |
31,425 |
$254K |
| 97535 |
|
6,833 |
2,558 |
$251K |
| J3010 |
Fentanyl citrate injection |
32,440 |
26,128 |
$248K |
| J2785 |
Regadenoson injection |
2,128 |
1,886 |
$244K |
| 76770 |
|
1,694 |
1,465 |
$238K |
| 84443 |
|
16,384 |
13,957 |
$236K |
| C1769 |
Guide wire |
1,851 |
1,494 |
$227K |
| J0696 |
Ceftriaxone sodium injection |
22,273 |
17,402 |
$226K |
| 76817 |
|
1,804 |
1,639 |
$222K |
| 87591 |
|
6,662 |
6,241 |
$222K |
| 82805 |
|
3,611 |
2,950 |
$221K |
| 73502 |
|
4,871 |
3,906 |
$220K |
| 90832 |
|
24,263 |
4,431 |
$214K |
| J0561 |
Penicillin g benzathine inj |
1,747 |
1,635 |
$212K |
| 85730 |
|
40,714 |
34,039 |
$209K |
| 90715 |
|
8,387 |
7,745 |
$205K |
| 85610 |
|
52,464 |
41,480 |
$205K |
| 87040 |
|
14,700 |
10,614 |
$201K |
| U0005 |
Infec agen detec ampli probe |
9,475 |
8,501 |
$191K |
| 82553 |
|
13,543 |
10,860 |
$191K |
| J2270 |
Morphine sulfate injection |
27,537 |
19,701 |
$187K |
| 90471 |
|
8,532 |
7,753 |
$186K |
| 71101 |
|
2,905 |
2,410 |
$185K |
| 80076 |
|
23,593 |
20,548 |
$185K |
| 73590 |
|
3,403 |
2,911 |
$184K |
| 73700 |
|
1,138 |
952 |
$178K |
| 73090 |
|
3,578 |
3,036 |
$177K |
| 97113 |
|
2,659 |
662 |
$171K |
| C2617 |
Stent, non-cor, tem w/o del |
1,260 |
1,107 |
$164K |
| 90847 |
|
10,969 |
4,634 |
$160K |
| 83605 |
|
15,947 |
13,169 |
$157K |
| 71271 |
|
985 |
869 |
$157K |
| J0690 |
Cefazolin sodium injection |
15,074 |
12,044 |
$156K |
| 43659 |
|
112 |
70 |
$151K |
| J1100 |
Dexamethasone sodium phos |
19,518 |
16,924 |
$151K |
| 97162 |
|
3,488 |
2,813 |
$151K |
| C1874 |
Stent, coated/cov w/del sys |
150 |
121 |
$150K |
| J2250 |
Inj midazolam hydrochloride |
27,233 |
23,489 |
$147K |
| 97032 |
|
8,925 |
1,453 |
$144K |
| 92523 |
|
1,577 |
1,445 |
$143K |
| J1170 |
Hydromorphone injection |
15,700 |
10,770 |
$138K |
| 87905 |
|
11,884 |
11,023 |
$137K |
| J0585 |
Injection,onabotulinumtoxina |
270 |
170 |
$134K |
| 12002 |
|
1,773 |
1,606 |
$132K |
| 64590 |
|
245 |
115 |
$131K |
| J7030 |
Normal saline solution infus |
10,124 |
8,186 |
$128K |
| 29125 |
|
2,312 |
2,125 |
$128K |
| 82550 |
|
18,198 |
14,326 |
$126K |
| 77063 |
|
5,107 |
4,483 |
$125K |
| J3370 |
Vancomycin hcl injection |
8,480 |
4,856 |
$125K |
| 76642 |
|
1,234 |
1,076 |
$124K |
| 74183 |
|
282 |
236 |
$124K |
| 64721 |
|
146 |
124 |
$123K |
| 87077 |
|
14,923 |
13,241 |
$123K |
| 87808 |
|
9,423 |
8,780 |
$122K |
| 99218 |
|
1,832 |
1,205 |
$122K |
| 76000 |
|
2,209 |
1,892 |
$122K |
| 99153 |
Mod sedat endo service >5yrs |
2,040 |
1,709 |
$120K |
| 80061 |
|
11,379 |
7,607 |
$120K |
| 95810 |
|
167 |
157 |
$119K |
| 84702 |
|
8,927 |
7,820 |
$119K |
| J7120 |
Ringers lactate infusion |
9,190 |
7,604 |
$116K |
| 74022 |
|
2,111 |
1,924 |
$115K |
| J2543 |
Piperacillin/tazobactam |
7,145 |
3,799 |
$115K |
| 76801 |
|
1,103 |
1,011 |
$113K |
| A9579 |
Gad-base mr contrast nos,1ml |
227 |
162 |
$111K |
| 12011 |
|
1,662 |
1,529 |
$110K |
| 95806 |
|
682 |
611 |
$108K |
| 85379 |
|
12,103 |
10,839 |
$107K |
| 97165 |
|
2,203 |
1,948 |
$105K |
| 73140 |
|
2,516 |
2,192 |
$105K |
| C8929 |
Tte w or wo fol wcon,doppler |
305 |
251 |
$104K |
| 72070 |
|
1,921 |
1,660 |
$103K |
| 93976 |
|
537 |
496 |
$101K |
| G0283 |
Elec stim other than wound |
5,928 |
1,944 |
$101K |
| J2795 |
Ropivacaine hcl injection |
5,053 |
4,190 |
$101K |
| 93880 |
|
594 |
507 |
$99K |
| J0171 |
Adrenalin epinephrine inject |
4,068 |
3,496 |
$97K |
| C9113 |
Inj pantoprazole sodium, via |
9,541 |
6,613 |
$97K |
| J1644 |
Inj heparin sodium per 1000u |
9,902 |
4,994 |
$96K |
| 74220 |
|
716 |
656 |
$96K |
| J1650 |
Inj enoxaparin sodium |
7,241 |
3,605 |
$96K |
| 29540 |
|
1,910 |
1,770 |
$94K |
| 78227 |
|
263 |
219 |
$93K |
| A9577 |
Inj multihance |
3,251 |
2,744 |
$92K |
| 77066 |
Tomosynthesis, mammo |
1,076 |
886 |
$90K |
| 77080 |
|
1,881 |
1,402 |
$90K |
| 43770 |
|
137 |
108 |
$88K |
| 72072 |
|
1,151 |
1,003 |
$85K |
| C1762 |
Conn tiss, human(inc fascia) |
29 |
25 |
$83K |
| 80320 |
|
2,646 |
2,330 |
$82K |
| 88342 |
|
1,213 |
1,054 |
$79K |
| 82565 |
|
7,854 |
5,838 |
$79K |
| 87186 |
|
9,292 |
8,363 |
$78K |
| 72128 |
|
320 |
269 |
$78K |
| 87902 |
|
318 |
284 |
$77K |
| 83036 |
|
9,206 |
7,862 |
$77K |
| C1778 |
Lead, neurostimulator |
26 |
26 |
$77K |
| 87081 |
|
10,318 |
9,260 |
$74K |
| J3475 |
Inj magnesium sulfate |
7,464 |
5,622 |
$73K |
| 99152 |
|
2,523 |
2,114 |
$72K |
| 81003 |
|
31,640 |
26,982 |
$70K |
| 97166 |
|
1,278 |
1,076 |
$70K |
| J2930 |
Methylprednisolone injection |
8,337 |
6,954 |
$69K |
| 73060 |
|
1,376 |
1,178 |
$69K |
| J1200 |
Diphenhydramine hcl injectio |
13,109 |
11,091 |
$68K |
| 82306 |
|
3,283 |
2,621 |
$68K |
| 97750 |
|
1,991 |
1,384 |
$68K |
| J0500 |
Dicyclomine injection |
1,622 |
1,473 |
$67K |
| 73552 |
|
1,243 |
1,063 |
$67K |
| 72082 |
|
595 |
523 |
$67K |
| 81268 |
|
376 |
309 |
$65K |
| 96367 |
|
1,749 |
1,368 |
$65K |
| C1894 |
Intro/sheath, non-laser |
2,052 |
1,274 |
$64K |
| J0330 |
Succinycholine chloride inj |
6,489 |
5,238 |
$64K |
| 86141 |
|
5,867 |
4,531 |
$62K |
| 87641 |
|
2,262 |
1,982 |
$60K |
| Q9950 |
Inj sulf hexa lipid microsph |
545 |
402 |
$60K |
| J2710 |
Neostigmine methylslfte inj |
3,701 |
3,213 |
$60K |
| 82607 |
|
4,555 |
3,799 |
$59K |
| A9541 |
Tc99m sulfur colloid |
1,576 |
1,306 |
$58K |
| J2315 |
Naltrexone, depot form |
43 |
37 |
$57K |
| 95811 |
|
66 |
64 |
$57K |
| 93225 |
|
488 |
427 |
$56K |
| C1760 |
Closure dev, vasc |
181 |
154 |
$56K |
| A9548 |
In111 pentetate |
504 |
382 |
$55K |
| J0780 |
Prochlorperazine injection |
5,074 |
4,306 |
$55K |
| 64415 |
|
144 |
130 |
$54K |
| 88313 |
|
1,062 |
923 |
$54K |
| 93356 |
|
552 |
455 |
$54K |
| 10061 |
|
345 |
307 |
$54K |
| 90834 |
|
3,772 |
2,012 |
$53K |
| 74330 |
|
345 |
317 |
$53K |
| 82728 |
|
4,673 |
3,968 |
$53K |
| 88307 |
|
395 |
331 |
$53K |
| J3490 |
Drugs unclassified injection |
14,313 |
4,903 |
$52K |
| J2310 |
Inj naloxone hydrochloride |
2,125 |
1,670 |
$49K |
| 80197 |
|
4,771 |
2,561 |
$49K |
| 95980 |
|
62 |
52 |
$47K |
| A9573 |
Inj, gadopiclenol, 1 ml |
907 |
721 |
$47K |
| 87522 |
Neg quan hep c or qual rna |
1,184 |
1,050 |
$47K |
| 94760 |
|
6,314 |
2,967 |
$46K |
| 95982 |
|
600 |
540 |
$45K |
| 87075 |
|
5,379 |
4,890 |
$43K |
| 90846 |
|
3,723 |
1,807 |
$43K |
| 84466 |
|
4,028 |
3,466 |
$43K |
| 86850 |
|
5,813 |
4,947 |
$43K |
| Q9957 |
Inj perflutren lip micros,ml |
456 |
356 |
$42K |
| 82150 |
|
6,334 |
5,612 |
$42K |
| 80329 |
|
1,017 |
874 |
$41K |
| 84145 |
|
2,027 |
1,628 |
$40K |
| J1790 |
Droperidol injection |
4,626 |
3,944 |
$39K |
| 88312 |
|
1,332 |
1,181 |
$39K |
| 87070 |
|
5,307 |
4,116 |
$38K |
| J7050 |
Normal saline solution infus |
3,549 |
2,128 |
$37K |
| 86832 |
|
188 |
142 |
$37K |
| 96368 |
|
910 |
769 |
$37K |
| 94060 |
|
280 |
209 |
$37K |
| 87210 |
|
7,372 |
6,800 |
$36K |
| 87149 |
|
298 |
249 |
$36K |
| J1815 |
Insulin injection |
10,967 |
3,298 |
$36K |
| G0297 |
Ldct for lung ca screen |
262 |
229 |
$36K |
| 84100 |
|
8,904 |
5,620 |
$35K |
| J2060 |
Lorazepam injection |
5,823 |
4,589 |
$35K |
| 73564 |
|
324 |
265 |
$34K |
| 97802 |
|
1,047 |
984 |
$34K |
| 86833 |
|
169 |
130 |
$34K |
| J1953 |
Levetiracetam injection |
2,138 |
1,578 |
$33K |
| J2765 |
Metoclopramide hcl injection |
6,630 |
5,739 |
$33K |
| 29505 |
|
446 |
401 |
$32K |
| C1725 |
Cath, translumin non-laser |
201 |
157 |
$31K |
| 76641 |
|
297 |
258 |
$30K |
| 97533 |
|
983 |
328 |
$30K |
| 97602 |
|
534 |
331 |
$30K |
| 94726 |
|
442 |
409 |
$30K |
| 72050 |
|
251 |
162 |
$29K |
| 87807 |
|
2,270 |
2,144 |
$29K |
| J3480 |
Inj potassium chloride |
2,035 |
1,304 |
$29K |
| M0243 |
Casirivi and imdevi inj |
245 |
223 |
$29K |
| J0360 |
Hydralazine hcl injection |
2,917 |
2,154 |
$28K |
| 84439 |
|
3,421 |
2,996 |
$28K |
| J3486 |
Ziprasidone mesylate |
915 |
749 |
$28K |
| G0279 |
Tomosynthesis, mammo |
1,109 |
970 |
$27K |
| 36600 |
|
1,147 |
820 |
$27K |
| 95981 |
|
397 |
365 |
$26K |
| 93922 |
|
365 |
311 |
$26K |
| 87633 |
|
104 |
96 |
$26K |
| 80074 |
|
707 |
609 |
$26K |
| 83540 |
|
4,596 |
3,933 |
$25K |
| 94644 |
|
566 |
507 |
$25K |
| 69436 |
|
50 |
42 |
$25K |
| 94729 |
|
438 |
407 |
$25K |
| J2920 |
Methylprednisolone injection |
1,664 |
705 |
$23K |
| 86901 |
|
6,874 |
5,858 |
$23K |
| 72170 |
|
743 |
447 |
$22K |
| 86677 |
|
1,373 |
1,268 |
$21K |
| U0002 |
Covid-19 lab test non-cdc |
739 |
581 |
$21K |
| 83970 |
|
425 |
351 |
$21K |
| 29515 |
|
267 |
242 |
$20K |
| J3301 |
Triamcinolone acet inj nos |
1,095 |
1,005 |
$20K |
| 74178 |
|
37 |
37 |
$20K |
| 88300 |
|
1,135 |
1,012 |
$20K |
| 87205 |
|
4,613 |
3,918 |
$20K |
| 93226 |
|
229 |
217 |
$20K |
| 87088 |
|
2,396 |
2,190 |
$20K |
| 87340 |
|
2,371 |
2,028 |
$20K |
| 86900 |
|
6,849 |
5,741 |
$20K |
| 86038 |
|
1,936 |
1,761 |
$20K |
| 82746 |
|
1,576 |
1,382 |
$19K |
| C1887 |
Catheter, guiding |
532 |
420 |
$19K |
| 91132 |
|
213 |
136 |
$19K |
| 90837 |
|
924 |
587 |
$18K |
| 36430 |
|
126 |
94 |
$18K |
| Q0162 |
Ondansetron oral |
10,137 |
9,021 |
$18K |
| 82784 |
|
934 |
780 |
$18K |
| 86803 |
|
1,455 |
1,262 |
$18K |
| J2370 |
Phenylephrine hcl injection |
1,960 |
1,457 |
$18K |
| 86328 |
|
550 |
494 |
$17K |
| 29130 |
|
324 |
293 |
$17K |
| 86140 |
|
3,674 |
2,947 |
$17K |
| 29530 |
|
587 |
531 |
$17K |
| J1940 |
Furosemide injection |
2,732 |
1,591 |
$17K |
| 43281 |
|
24 |
24 |
$16K |
| 86704 |
|
1,587 |
1,326 |
$16K |
| 84481 |
|
1,112 |
994 |
$15K |
| 86706 |
|
1,592 |
1,391 |
$15K |
| 43236 |
|
42 |
42 |
$15K |
| 86255 |
|
528 |
367 |
$15K |
| 81596 |
|
313 |
276 |
$15K |
| 43274 |
|
13 |
13 |
$15K |
| 70487 |
|
69 |
57 |
$15K |
| 82140 |
|
1,243 |
999 |
$15K |
| 87389 |
|
832 |
748 |
$15K |
| J0878 |
Daptomycin injection |
74 |
12 |
$14K |
| 91200 |
|
186 |
174 |
$14K |
| 84134 |
|
885 |
715 |
$14K |
| 85652 |
|
5,405 |
4,452 |
$14K |
| G0481 |
Drug test def 8-14 classes |
122 |
103 |
$13K |
| 86780 |
|
1,289 |
1,062 |
$13K |
| C1726 |
Cath, bal dil, non-vascular |
311 |
244 |
$13K |
| J0456 |
Azithromycin |
1,241 |
775 |
$13K |
| 75716 |
|
17 |
13 |
$13K |
| J1630 |
Haloperidol injection |
1,968 |
1,591 |
$12K |
| 62323 |
|
23 |
13 |
$12K |
| J2550 |
Promethazine hcl injection |
3,776 |
2,945 |
$12K |
| 78815 |
|
15 |
13 |
$12K |
| 96139 |
|
31 |
27 |
$12K |
| 51702 |
|
72 |
52 |
$12K |
| 82570 |
|
2,651 |
2,221 |
$11K |
| 90853 |
|
344 |
12 |
$11K |
| 77065 |
Tomosynthesis, mammo |
247 |
192 |
$11K |
| 93350 |
|
42 |
33 |
$11K |
| 93325 |
|
237 |
212 |
$11K |
| 83615 |
|
2,169 |
1,500 |
$11K |
| 86708 |
|
928 |
815 |
$11K |
| 75574 |
|
58 |
54 |
$11K |
| J1956 |
Levofloxacin injection |
997 |
676 |
$11K |
| 86703 |
|
927 |
782 |
$11K |
| 43253 |
|
14 |
14 |
$11K |
| 72220 |
|
137 |
122 |
$10K |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
1,335 |
1,235 |
$10K |
| J7512 |
Prednisone ir or dr oral 1mg |
10,595 |
9,085 |
$10K |
| P9016 |
Rbc leukocytes reduced |
116 |
76 |
$10K |
| 83519 |
|
151 |
130 |
$9K |
| 84550 |
|
2,144 |
1,782 |
$8K |
| 82010 |
|
1,096 |
929 |
$8K |
| J0692 |
Cefepime hcl for injection |
604 |
245 |
$8K |
| 86709 |
|
789 |
712 |
$8K |
| G0177 |
Opps/php/iop; train & educ |
1,138 |
137 |
$8K |
| J2919 |
Inj, methylpred sod succ 5mg |
767 |
573 |
$8K |
| 83516 |
|
478 |
400 |
$8K |
| 82105 |
|
557 |
475 |
$8K |
| 29580 |
|
216 |
106 |
$8K |
| 88321 |
|
211 |
193 |
$7K |
| 87426 |
|
297 |
246 |
$7K |
| M0245 |
Bamlan and etesev infusion |
50 |
49 |
$7K |
| A9537 |
Tc99m mebrofenin |
293 |
267 |
$7K |
| 77001 |
|
68 |
64 |
$7K |
| J7040 |
Normal saline solution infus |
605 |
477 |
$7K |
| 73070 |
|
131 |
114 |
$7K |
| 83520 |
|
514 |
427 |
$7K |
| 86308 |
|
1,296 |
1,173 |
$7K |
| J3360 |
Diazepam injection |
320 |
262 |
$7K |
| 76882 |
|
57 |
53 |
$7K |
| J1040 |
Methylprednisolone 80 mg inj |
740 |
665 |
$7K |
| 87428 |
|
149 |
113 |
$7K |
| 93923 |
|
48 |
43 |
$7K |
| A9552 |
F18 fdg |
37 |
27 |
$6K |
| G0237 |
Therapeutic procd strg endur |
150 |
24 |
$6K |
| J8540 |
Oral dexamethasone |
2,201 |
2,027 |
$6K |
| J3411 |
Thiamine hcl 100 mg |
586 |
354 |
$6K |
| 64615 |
|
30 |
25 |
$6K |
| 88341 |
|
57 |
46 |
$6K |
| 84132 |
|
1,686 |
1,331 |
$6K |
| 72146 |
|
12 |
12 |
$6K |
| 82378 |
|
376 |
284 |
$6K |
| 84478 |
|
1,282 |
764 |
$5K |
| 70360 |
|
66 |
59 |
$5K |
| 84156 |
|
1,738 |
1,437 |
$5K |
| 74174 |
|
13 |
12 |
$5K |
| 93320 |
|
63 |
54 |
$5K |
| 76857 |
|
44 |
40 |
$5K |
| 85651 |
|
1,547 |
1,003 |
$5K |
| 74170 |
|
16 |
16 |
$5K |
| 86769 |
|
137 |
118 |
$5K |
| J2001 |
Lidocaine injection |
1,946 |
1,515 |
$5K |
| J2371 |
Inj phenylephrine hcl 20 mcg |
736 |
618 |
$5K |
| J2805 |
Sincalide injection |
61 |
55 |
$4K |
| J1642 |
Inj heparin sodium per 10 u |
1,017 |
827 |
$4K |
| 97167 |
|
79 |
69 |
$4K |
| 85049 |
|
490 |
341 |
$4K |
| 80202 |
|
348 |
162 |
$4K |
| 64450 |
|
21 |
16 |
$4K |
| J1920 |
Inj, labetalol hcl, 5mg |
552 |
469 |
$4K |
| J1610 |
Glucagon hydrochloride/1 mg |
72 |
42 |
$4K |
| 87147 |
|
876 |
775 |
$4K |
| J0295 |
Ampicillin sulbactam 1.5 gm |
414 |
254 |
$4K |
| 85347 |
|
521 |
378 |
$4K |
| G8978 |
Mobility current status |
1,287 |
392 |
$4K |
| 82465 |
|
1,179 |
720 |
$4K |
| 85240 |
|
238 |
199 |
$4K |
| 70480 |
|
12 |
12 |
$4K |
| 83550 |
|
3,255 |
2,735 |
$4K |
| 80321 |
|
2,261 |
830 |
$4K |
| 73120 |
|
43 |
37 |
$4K |
| C1751 |
Cath, inf, per/cent/midline |
24 |
24 |
$3K |
| 96138 |
|
47 |
39 |
$3K |
| 92526 |
|
63 |
27 |
$3K |
| 97127 |
|
71 |
12 |
$3K |
| 73660 |
|
52 |
45 |
$3K |
| J1171 |
Inj, hydromorphone, 0.1 mg |
350 |
279 |
$3K |
| 97542 |
|
109 |
50 |
$3K |
| 73620 |
|
55 |
44 |
$3K |
| 87497 |
|
74 |
61 |
$3K |
| 86480 |
|
55 |
53 |
$3K |
| 74019 |
|
53 |
47 |
$3K |
| 85384 |
|
341 |
286 |
$3K |
| 82172 |
|
181 |
143 |
$3K |
| 82043 |
|
448 |
401 |
$2K |
| 97597 |
|
20 |
16 |
$2K |
| 82542 |
|
2,752 |
1,142 |
$2K |
| 93308 |
|
18 |
13 |
$2K |
| 73200 |
|
12 |
12 |
$2K |
| 83883 |
|
171 |
150 |
$2K |
| 29105 |
|
41 |
39 |
$2K |
| 83010 |
|
196 |
173 |
$2K |
| 29260 |
|
58 |
53 |
$2K |
| 99406 |
|
120 |
104 |
$2K |
| 86705 |
|
171 |
159 |
$2K |
| 82985 |
|
149 |
141 |
$2K |
| C1788 |
Port, indwelling, imp |
18 |
15 |
$2K |
| 87341 |
|
116 |
108 |
$2K |
| J0131 |
Inj, acetaminophen (nos) |
172 |
155 |
$2K |
| 82375 |
|
138 |
108 |
$2K |
| 76937 |
|
44 |
38 |
$2K |
| J1010 |
Inj, methylpred acetate 1 mg |
209 |
203 |
$2K |
| 84460 |
|
353 |
312 |
$2K |
| 85018 |
|
800 |
648 |
$2K |
| M0239 |
Bamlanivimab-xxxx infusion |
18 |
13 |
$2K |
| 85014 |
|
874 |
698 |
$2K |
| 94010 |
|
27 |
25 |
$2K |
| 94664 |
|
73 |
70 |
$1K |
| 82977 |
|
223 |
191 |
$1K |
| 82810 |
|
123 |
86 |
$1K |
| P9045 |
Albumin (human), 5%, 250 ml |
29 |
26 |
$1K |
| 16020 |
|
17 |
15 |
$1K |
| J2470 |
Inj pantoprazole sodium 40mg |
239 |
177 |
$1K |
| 87806 |
|
45 |
42 |
$1K |
| 87140 |
|
163 |
122 |
$1K |
| 82247 |
|
297 |
239 |
$1K |
| G0008 |
Admin influenza virus vac |
105 |
92 |
$1K |
| 82270 |
|
296 |
265 |
$1K |
| 86920 |
|
14 |
14 |
$1K |
| 97012 |
|
35 |
12 |
$1K |
| 82803 |
|
68 |
55 |
$1K |
| 97760 |
|
56 |
53 |
$1K |
| 85045 |
|
265 |
234 |
$1K |
| 82668 |
|
51 |
49 |
$983.52 |
| 84153 |
|
71 |
66 |
$969.79 |
| 76942 |
|
15 |
12 |
$961.82 |
| 85576 |
|
46 |
41 |
$921.73 |
| 88104 |
|
44 |
30 |
$908.69 |
| 87799 |
|
38 |
25 |
$904.94 |
| 80164 |
|
80 |
65 |
$896.05 |
| 73600 |
|
13 |
12 |
$892.59 |
| C1883 |
Adapt/ext, pacing/neuro lead |
12 |
12 |
$863.08 |
| 71100 |
|
26 |
13 |
$852.04 |
| 73501 |
|
29 |
25 |
$846.45 |
| A9503 |
Tc99m medronate |
13 |
12 |
$841.76 |
| J7510 |
Prednisolone oral per 5 mg |
541 |
515 |
$840.65 |
| C1752 |
Cath,hemodialysis,short-term |
44 |
37 |
$840.35 |
| 73000 |
|
15 |
13 |
$810.46 |
| 87536 |
|
12 |
12 |
$790.57 |
| 86828 |
|
15 |
12 |
$778.61 |
| 86923 |
|
31 |
26 |
$769.96 |
| 90686 |
|
138 |
115 |
$751.57 |
| 12013 |
|
13 |
12 |
$735.27 |
| J1805 |
Inj, esmolol hcl, 10mg |
58 |
53 |
$719.52 |
| 82308 |
|
36 |
28 |
$692.84 |
| 83050 |
|
103 |
76 |
$687.01 |
| Q0163 |
Diphenhydramine hcl 50mg |
658 |
576 |
$666.26 |
| 97164 |
|
15 |
15 |
$665.77 |
| 87102 |
|
58 |
52 |
$629.99 |
| J2360 |
Orphenadrine injection |
75 |
67 |
$628.41 |
| J0687 |
Inj cefazolin (wg crit care) |
85 |
79 |
$613.62 |
| 83789 |
|
26 |
25 |
$608.78 |
| G0379 |
Direct refer hospital observ |
37 |
33 |
$608.77 |
| 97163 |
|
13 |
12 |
$587.32 |
| A9270 |
Non-covered item or service |
11,507 |
1,584 |
$538.00 |
| 82248 |
|
123 |
107 |
$523.72 |
| J7999 |
Compounded drug, noc |
109 |
14 |
$509.33 |
| 74021 |
|
12 |
12 |
$484.84 |
| 82379 |
|
26 |
25 |
$481.53 |
| 82139 |
|
89 |
26 |
$474.31 |
| Q0177 |
Hydroxyzine pamoate 25mg |
631 |
387 |
$467.52 |
| G2066 |
Inter devc remote 30d |
100 |
73 |
$443.08 |
| 89051 |
|
76 |
64 |
$389.89 |
| 86849 |
|
100 |
83 |
$389.74 |
| J0736 |
Inj, clindamycin phosp 300mg |
47 |
40 |
$377.38 |
| 86790 |
|
29 |
28 |
$361.39 |
| 87116 |
|
43 |
38 |
$354.42 |
| J0595 |
Butorphanol tartrate 1 mg |
64 |
59 |
$320.37 |
| Q0169 |
Promethazine hcl 12.5mg oral |
388 |
308 |
$308.97 |
| J0670 |
Inj mepivacaine hcl/10 ml |
47 |
44 |
$290.64 |
| 84165 |
|
31 |
27 |
$290.37 |
| 86334 |
|
13 |
12 |
$274.57 |
| 83090 |
|
14 |
12 |
$273.80 |
| 83921 |
|
14 |
13 |
$252.05 |
| 93299 |
|
91 |
83 |
$244.22 |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
44 |
41 |
$239.66 |
| 87449 |
|
27 |
25 |
$220.44 |
| 87045 |
|
38 |
27 |
$220.34 |
| 86645 |
|
14 |
12 |
$209.88 |
| J2305 |
Inj, nitroglycerin, 5 mg |
14 |
12 |
$199.06 |
| 86644 |
|
13 |
12 |
$197.80 |
| 84210 |
|
13 |
13 |
$190.55 |
| J0461 |
Atropine sulfate injection |
17 |
14 |
$184.03 |
| 87220 |
|
41 |
41 |
$172.92 |
| 87206 |
|
41 |
36 |
$165.95 |
| 84482 |
|
12 |
12 |
$161.25 |
| J1836 |
Inj, metronidazole, 10 mg |
20 |
12 |
$146.77 |
| 94761 |
|
15 |
13 |
$138.00 |
| 87015 |
|
26 |
24 |
$130.17 |
| J2272 |
Inj, morphine (fresenius) |
17 |
15 |
$118.98 |
| J7060 |
5% dextrose/water |
23 |
13 |
$115.14 |
| 99201 |
|
16 |
16 |
$108.06 |
| 86593 |
|
25 |
25 |
$104.39 |
| G8979 |
Mobility goal status |
576 |
323 |
$102.71 |
| 84436 |
|
12 |
12 |
$71.39 |
| 82009 |
|
14 |
13 |
$66.34 |
| J1580 |
Garamycin gentamicin inj |
13 |
12 |
$60.30 |
| G8980 |
Mobility d/c status |
175 |
134 |
$54.19 |
| 86592 |
|
12 |
12 |
$52.93 |
| G8987 |
Self care current status |
79 |
42 |
$49.59 |
| 82310 |
|
14 |
12 |
$31.21 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
15 |
14 |
$16.76 |
| Q0244 |
Casirivi and imdevi 1200 mg |
270 |
228 |
$3.46 |
| Q0239 |
Bamlanivimab-xxxx |
17 |
12 |
$0.53 |
| Q0245 |
Bamlanivimab and etesevima |
73 |
67 |
$0.17 |
| G8988 |
Self care goal status |
73 |
51 |
$0.01 |
| 96119 |
|
12 |
12 |
$0.00 |
| J0897 |
Denosumab injection |
27 |
14 |
$0.00 |