| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80053 |
|
105,844 |
91,373 |
$7.30M |
| 36415 |
|
71,607 |
52,144 |
$6.50M |
| 99283 |
|
93,539 |
86,459 |
$5.64M |
| 70553 |
|
3,850 |
3,650 |
$4.30M |
| 99282 |
|
28,544 |
26,788 |
$4.13M |
| 80048 |
|
56,818 |
43,064 |
$3.53M |
| A9552 |
F18 fdg |
1,633 |
1,591 |
$2.91M |
| 70551 |
|
4,623 |
4,504 |
$2.70M |
| 96361 |
|
40,798 |
29,574 |
$2.48M |
| 86850 |
|
17,522 |
16,084 |
$1.82M |
| C9803 |
Hopd covid-19 spec collect |
16,459 |
15,526 |
$1.77M |
| 96360 |
|
15,580 |
14,619 |
$1.68M |
| U0003 |
Cov-19 amp prb hgh thruput |
20,780 |
19,675 |
$1.59M |
| 96372 |
|
34,066 |
17,513 |
$1.54M |
| 96374 |
|
33,138 |
29,218 |
$1.46M |
| 88305 |
|
9,989 |
9,479 |
$1.41M |
| 81025 |
|
24,398 |
22,785 |
$1.39M |
| 96365 |
|
16,495 |
14,364 |
$1.31M |
| 80307 |
|
24,745 |
21,649 |
$1.26M |
| 87086 |
|
54,677 |
51,490 |
$1.01M |
| 0202U |
|
6,533 |
6,306 |
$1.01M |
| 0241U |
|
11,761 |
11,273 |
$945K |
| 99284 |
|
55,364 |
51,159 |
$912K |
| 99213 |
|
20,761 |
17,908 |
$891K |
| 93041 |
|
2,825 |
2,350 |
$705K |
| 71046 |
|
20,205 |
19,208 |
$673K |
| 87491 |
|
11,751 |
11,300 |
$664K |
| 72141 |
|
910 |
894 |
$659K |
| 99212 |
|
13,133 |
11,249 |
$654K |
| 81001 |
|
54,531 |
50,007 |
$599K |
| 87081 |
|
27,849 |
27,367 |
$593K |
| 81003 |
|
18,283 |
17,291 |
$552K |
| 97110 |
|
7,871 |
1,932 |
$531K |
| 87077 |
|
20,770 |
19,749 |
$529K |
| 70450 |
|
15,304 |
14,246 |
$522K |
| 99285 |
|
60,497 |
54,819 |
$518K |
| 96375 |
|
24,145 |
19,493 |
$495K |
| U0005 |
Infec agen detec ampli probe |
5,987 |
5,684 |
$471K |
| 87070 |
|
10,535 |
10,034 |
$422K |
| 76705 |
|
10,590 |
9,979 |
$405K |
| 76870 |
|
1,548 |
1,489 |
$403K |
| 76775 |
|
4,097 |
3,984 |
$390K |
| 85610 |
|
20,875 |
15,972 |
$378K |
| 74018 |
|
6,521 |
6,025 |
$364K |
| 76770 |
|
2,959 |
2,894 |
$353K |
| 99281 |
|
2,849 |
2,685 |
$330K |
| 71045 |
|
27,865 |
24,721 |
$325K |
| 86900 |
|
18,139 |
16,647 |
$321K |
| 83986 |
|
1,440 |
1,320 |
$319K |
| 82565 |
|
1,797 |
1,631 |
$309K |
| 72148 |
|
1,399 |
1,371 |
$309K |
| G0378 |
Hospital observation per hr |
40,342 |
32,394 |
$304K |
| 99214 |
|
9,699 |
8,580 |
$298K |
| 87635 |
|
17,646 |
16,727 |
$298K |
| H1001 |
Antepartum management |
1,732 |
847 |
$290K |
| 51600 |
|
939 |
922 |
$285K |
| 76885 |
|
1,974 |
1,932 |
$278K |
| J7121 |
5% dextrose in lac ringers |
1,067 |
713 |
$267K |
| 93306 |
|
2,958 |
2,800 |
$244K |
| 76700 |
|
1,850 |
1,812 |
$228K |
| 74019 |
|
3,571 |
3,405 |
$223K |
| 31575 |
|
570 |
549 |
$217K |
| 76000 |
|
4,143 |
3,831 |
$209K |
| 74230 |
|
1,843 |
1,807 |
$204K |
| 99211 |
|
9,021 |
5,843 |
$199K |
| 73080 |
|
2,032 |
1,929 |
$196K |
| 87804 |
|
4,185 |
2,638 |
$189K |
| 80047 |
|
2,424 |
2,275 |
$189K |
| 73090 |
|
2,409 |
2,308 |
$186K |
| 87486 |
|
2,173 |
2,094 |
$183K |
| 88300 |
|
1,704 |
1,664 |
$179K |
| 96366 |
|
10,239 |
6,222 |
$174K |
| 88307 |
|
1,985 |
1,858 |
$171K |
| 99152 |
|
4,404 |
3,886 |
$168K |
| 73130 |
|
2,466 |
2,320 |
$162K |
| 88304 |
|
2,981 |
2,835 |
$162K |
| T1001 |
Nursing assessment/evaluatn |
929 |
601 |
$158K |
| 71260 |
|
2,522 |
2,378 |
$156K |
| 83655 |
|
10,080 |
10,000 |
$156K |
| 78815 |
|
1,609 |
1,566 |
$151K |
| 84702 |
|
8,685 |
7,387 |
$149K |
| 86140 |
|
18,472 |
16,763 |
$143K |
| 80061 |
|
21,523 |
20,928 |
$139K |
| 12011 |
|
1,429 |
1,406 |
$137K |
| 85025 |
|
115,183 |
93,716 |
$135K |
| 87389 |
|
14,583 |
14,006 |
$130K |
| 73110 |
|
2,369 |
2,234 |
$130K |
| 96413 |
|
398 |
285 |
$127K |
| 12001 |
|
1,136 |
1,127 |
$127K |
| 74022 |
|
3,713 |
3,557 |
$118K |
| J7042 |
5% dextrose/normal saline |
1,051 |
772 |
$116K |
| 73030 |
|
2,742 |
2,540 |
$115K |
| 76536 |
|
1,124 |
1,103 |
$115K |
| 96376 |
|
14,504 |
9,133 |
$113K |
| 93971 |
|
1,410 |
1,329 |
$111K |
| 76937 |
|
2,965 |
2,588 |
$111K |
| 94640 |
|
13,809 |
11,233 |
$110K |
| 73610 |
|
3,205 |
2,976 |
$110K |
| 73590 |
|
2,743 |
2,464 |
$109K |
| 73630 |
|
2,879 |
2,711 |
$105K |
| 80076 |
|
8,806 |
7,726 |
$105K |
| 96367 |
|
2,890 |
2,315 |
$101K |
| 71275 |
|
3,304 |
3,124 |
$101K |
| 86780 |
|
8,956 |
8,683 |
$100K |
| 72146 |
|
418 |
409 |
$98K |
| 94010 |
|
250 |
244 |
$98K |
| 78452 |
|
790 |
752 |
$96K |
| 85027 |
|
51,099 |
43,146 |
$94K |
| 73564 |
|
3,030 |
2,813 |
$93K |
| 82306 |
|
9,136 |
8,887 |
$85K |
| 95782 |
|
95 |
95 |
$85K |
| J7120 |
Ringers lactate infusion |
44,568 |
39,147 |
$85K |
| 82728 |
|
8,527 |
8,114 |
$84K |
| 93005 |
|
43,936 |
36,868 |
$83K |
| 43239 |
|
4,391 |
4,240 |
$82K |
| 87210 |
|
3,313 |
3,169 |
$82K |
| 87636 |
|
574 |
569 |
$82K |
| 42820 |
|
1,379 |
1,345 |
$81K |
| C1769 |
Guide wire |
7,048 |
6,231 |
$80K |
| 76856 |
|
5,091 |
4,753 |
$79K |
| J3490 |
Drugs unclassified injection |
39,281 |
22,820 |
$76K |
| 87340 |
|
7,476 |
6,984 |
$74K |
| 84443 |
|
30,501 |
29,306 |
$72K |
| 97530 |
|
7,038 |
2,194 |
$69K |
| 74177 |
|
9,213 |
8,650 |
$68K |
| 87637 |
|
1,201 |
1,162 |
$67K |
| 72040 |
|
1,687 |
1,617 |
$66K |
| 82950 |
|
5,105 |
5,038 |
$65K |
| 87880 |
|
3,952 |
3,884 |
$64K |
| 82247 |
|
2,601 |
1,842 |
$63K |
| 80074 |
|
2,015 |
1,899 |
$60K |
| 73140 |
|
477 |
457 |
$60K |
| 84484 |
|
22,673 |
18,066 |
$58K |
| J0690 |
Cefazolin sodium injection |
16,926 |
13,451 |
$56K |
| 70250 |
|
315 |
284 |
$52K |
| 87502 |
|
621 |
611 |
$51K |
| 83036 |
|
17,192 |
16,419 |
$50K |
| 87045 |
|
1,303 |
1,265 |
$49K |
| 87624 |
|
1,312 |
1,308 |
$48K |
| J2405 |
Ondansetron hcl injection |
40,635 |
33,658 |
$47K |
| 82570 |
|
8,438 |
7,501 |
$47K |
| 73060 |
|
872 |
821 |
$46K |
| 82945 |
|
613 |
573 |
$46K |
| 90471 |
|
4,663 |
4,392 |
$46K |
| 95810 |
|
78 |
78 |
$45K |
| 84439 |
|
6,741 |
6,449 |
$43K |
| 85014 |
|
5,120 |
4,114 |
$43K |
| 88313 |
|
155 |
145 |
$41K |
| 86592 |
|
1,869 |
1,737 |
$39K |
| 97162 |
|
4,461 |
3,935 |
$39K |
| 49083 |
|
64 |
49 |
$39K |
| 82330 |
|
1,726 |
1,526 |
$39K |
| 72100 |
|
1,850 |
1,783 |
$39K |
| 25605 |
|
107 |
107 |
$39K |
| 70486 |
|
996 |
952 |
$37K |
| 97161 |
|
684 |
623 |
$37K |
| 85007 |
|
13,849 |
11,571 |
$36K |
| 73552 |
|
1,559 |
1,421 |
$36K |
| 82043 |
|
3,899 |
3,806 |
$36K |
| 70496 |
|
1,235 |
1,166 |
$35K |
| 69436 |
|
894 |
794 |
$34K |
| 74455 |
|
882 |
856 |
$34K |
| J1650 |
Inj enoxaparin sodium |
12,989 |
4,532 |
$34K |
| 93458 |
|
458 |
432 |
$33K |
| 82805 |
|
1,532 |
1,310 |
$32K |
| 76857 |
|
1,438 |
1,379 |
$31K |
| 76882 |
|
497 |
472 |
$30K |
| 82607 |
|
4,761 |
4,563 |
$29K |
| 73560 |
|
980 |
897 |
$28K |
| 76830 |
|
2,634 |
2,402 |
$27K |
| 72125 |
|
4,757 |
4,468 |
$27K |
| 70491 |
|
420 |
407 |
$26K |
| J7030 |
Normal saline solution infus |
34,495 |
28,347 |
$26K |
| D2930 |
|
138 |
133 |
$25K |
| 10060 |
|
170 |
164 |
$25K |
| 83020 |
|
1,734 |
1,480 |
$24K |
| J2250 |
Inj midazolam hydrochloride |
18,751 |
16,526 |
$24K |
| 94060 |
|
77 |
74 |
$24K |
| 81220 |
|
76 |
69 |
$24K |
| 99502 |
|
135 |
115 |
$24K |
| 45378 |
|
406 |
395 |
$24K |
| M0243 |
Casirivi and imdevi inj |
117 |
101 |
$23K |
| 12002 |
|
354 |
349 |
$23K |
| 70544 |
|
132 |
124 |
$23K |
| 87807 |
|
375 |
368 |
$22K |
| 74176 |
|
2,233 |
2,107 |
$22K |
| 72170 |
|
1,724 |
1,638 |
$22K |
| 87651 |
|
742 |
727 |
$22K |
| 82947 |
|
2,794 |
2,519 |
$21K |
| 80069 |
|
736 |
622 |
$20K |
| 70360 |
|
263 |
256 |
$20K |
| 82670 |
|
431 |
407 |
$20K |
| 82550 |
|
4,529 |
3,979 |
$19K |
| 89051 |
|
1,797 |
1,638 |
$18K |
| 83993 |
|
470 |
459 |
$18K |
| 73501 |
|
892 |
838 |
$18K |
| 72197 |
|
13 |
12 |
$18K |
| 73070 |
|
167 |
161 |
$18K |
| 93975 |
|
870 |
833 |
$18K |
| 85018 |
|
3,433 |
2,454 |
$17K |
| 99291 |
|
1,771 |
1,697 |
$17K |
| 84132 |
|
3,625 |
3,120 |
$17K |
| 90686 |
|
1,655 |
1,581 |
$16K |
| 36416 |
|
3,578 |
2,374 |
$16K |
| 87507 |
|
440 |
431 |
$16K |
| 45385 |
|
1,615 |
1,568 |
$16K |
| 92507 |
|
574 |
158 |
$16K |
| 84145 |
|
4,873 |
4,367 |
$16K |
| 87040 |
|
10,221 |
9,237 |
$15K |
| 76815 |
|
595 |
573 |
$15K |
| 82784 |
|
1,784 |
1,696 |
$15K |
| J3480 |
Inj potassium chloride |
6,526 |
4,527 |
$15K |
| 86308 |
|
980 |
974 |
$15K |
| 84100 |
|
10,935 |
7,557 |
$15K |
| 84146 |
|
1,258 |
1,206 |
$15K |
| 45380 |
|
1,729 |
1,683 |
$15K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
20,876 |
18,264 |
$14K |
| 82105 |
|
1,377 |
1,327 |
$14K |
| 93308 |
|
1,949 |
1,834 |
$14K |
| 97542 |
|
367 |
284 |
$14K |
| J1815 |
Insulin injection |
11,341 |
4,131 |
$14K |
| 43235 |
|
296 |
286 |
$13K |
| 88173 |
|
260 |
243 |
$13K |
| 83001 |
|
947 |
935 |
$13K |
| 70498 |
|
1,162 |
1,099 |
$13K |
| 83735 |
|
26,039 |
17,969 |
$12K |
| J1644 |
Inj heparin sodium per 1000u |
16,577 |
6,693 |
$12K |
| 86706 |
|
1,368 |
1,281 |
$12K |
| 77001 |
|
696 |
624 |
$12K |
| 86803 |
|
7,535 |
7,295 |
$12K |
| 85347 |
|
117 |
108 |
$12K |
| 93970 |
|
139 |
128 |
$12K |
| 82803 |
|
4,627 |
4,189 |
$12K |
| 97140 |
|
1,325 |
310 |
$12K |
| 83516 |
|
1,327 |
1,293 |
$12K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,358 |
1,255 |
$12K |
| G0463 |
Hospital outpt clinic visit |
297 |
267 |
$11K |
| 87205 |
|
5,700 |
5,293 |
$11K |
| J3370 |
Vancomycin hcl injection |
2,454 |
1,506 |
$11K |
| 93017 |
|
906 |
863 |
$11K |
| J2543 |
Piperacillin/tazobactam |
2,995 |
1,454 |
$11K |
| J2550 |
Promethazine hcl injection |
3,508 |
2,735 |
$11K |
| 42975 |
|
234 |
203 |
$11K |
| 94664 |
|
2,073 |
1,795 |
$11K |
| 86480 |
|
622 |
587 |
$10K |
| 36600 |
|
243 |
193 |
$10K |
| J1200 |
Diphenhydramine hcl injectio |
6,701 |
5,539 |
$10K |
| 83880 |
|
8,382 |
7,356 |
$10K |
| 83540 |
|
7,252 |
6,920 |
$10K |
| 83690 |
|
21,634 |
19,288 |
$10K |
| 97112 |
|
191 |
54 |
$9K |
| 84157 |
|
727 |
675 |
$9K |
| 86038 |
|
1,654 |
1,589 |
$9K |
| J0696 |
Ceftriaxone sodium injection |
10,286 |
7,914 |
$9K |
| G0480 |
Drug test def 1-7 classes |
5,212 |
4,497 |
$9K |
| 78264 |
|
37 |
36 |
$9K |
| J2270 |
Morphine sulfate injection |
11,529 |
8,939 |
$9K |
| C1760 |
Closure dev, vasc |
549 |
503 |
$9K |
| J1885 |
Ketorolac tromethamine inj |
21,325 |
17,617 |
$9K |
| 43762 |
|
290 |
269 |
$9K |
| 92610 |
|
734 |
653 |
$9K |
| 31622 |
|
828 |
736 |
$9K |
| 84550 |
|
2,859 |
2,562 |
$9K |
| 10061 |
|
111 |
109 |
$8K |
| 95811 |
|
15 |
15 |
$8K |
| 82077 |
|
6,155 |
5,559 |
$8K |
| 83615 |
|
3,577 |
3,176 |
$7K |
| 87798 |
|
2,348 |
2,260 |
$7K |
| 82272 |
|
123 |
119 |
$7K |
| J3475 |
Inj magnesium sulfate |
4,379 |
3,479 |
$7K |
| 87522 |
Neg quan hep c or qual rna |
1,366 |
1,294 |
$7K |
| 82270 |
|
67 |
64 |
$7K |
| G0379 |
Direct refer hospital observ |
1,040 |
1,004 |
$7K |
| 72156 |
|
12 |
12 |
$7K |
| 59025 |
|
4,443 |
3,686 |
$7K |
| 44970 |
|
437 |
425 |
$7K |
| 97116 |
|
1,371 |
511 |
$7K |
| 84156 |
|
5,887 |
4,890 |
$7K |
| 87661 |
|
4,696 |
4,551 |
$7K |
| J1100 |
Dexamethasone sodium phos |
28,221 |
24,922 |
$7K |
| 91010 |
|
26 |
25 |
$7K |
| J1170 |
Hydromorphone injection |
18,382 |
13,353 |
$7K |
| 73100 |
|
109 |
99 |
$7K |
| 93798 |
|
122 |
25 |
$6K |
| 76377 |
|
13 |
13 |
$6K |
| 86695 |
|
284 |
271 |
$6K |
| 82951 |
|
579 |
576 |
$6K |
| J2272 |
Inj, morphine (fresenius) |
3,532 |
2,881 |
$6K |
| C1894 |
Intro/sheath, non-laser |
4,292 |
3,688 |
$6K |
| 73562 |
|
193 |
177 |
$6K |
| J1745 |
Infliximab not biosimil 10mg |
163 |
90 |
$6K |
| 82627 |
|
100 |
100 |
$6K |
| A4314 |
Cath w/drainage 2-way latex |
254 |
224 |
$6K |
| 62270 |
|
150 |
136 |
$6K |
| 88112 |
|
158 |
146 |
$5K |
| 84295 |
|
1,668 |
1,402 |
$5K |
| 80164 |
|
1,786 |
1,510 |
$5K |
| 76604 |
|
279 |
265 |
$5K |
| 31526 |
|
528 |
483 |
$5K |
| 82962 |
|
116 |
96 |
$5K |
| 82435 |
|
567 |
499 |
$5K |
| C1726 |
Cath, bal dil, non-vascular |
333 |
300 |
$5K |
| 76942 |
|
1,185 |
1,098 |
$5K |
| 71250 |
|
69 |
64 |
$5K |
| 88302 |
|
61 |
58 |
$5K |
| 36430 |
|
1,087 |
827 |
$5K |
| 80143 |
|
2,265 |
2,098 |
$5K |
| 69210 |
|
45 |
45 |
$5K |
| 74270 |
|
29 |
29 |
$4K |
| 01961 |
|
38 |
38 |
$4K |
| 80177 |
|
537 |
492 |
$4K |
| 95700 |
|
707 |
688 |
$4K |
| J7050 |
Normal saline solution infus |
1,441 |
1,367 |
$4K |
| 87324 |
|
212 |
198 |
$4K |
| 93976 |
|
3,465 |
3,266 |
$4K |
| 87338 |
|
134 |
131 |
$4K |
| J7040 |
Normal saline solution infus |
5,276 |
4,671 |
$4K |
| J2710 |
Neostigmine methylslfte inj |
5,441 |
5,080 |
$4K |
| A9502 |
Tc99m tetrofosmin |
944 |
643 |
$4K |
| A9585 |
Gadobutrol injection |
4,506 |
4,187 |
$4K |
| 74420 |
|
138 |
130 |
$4K |
| J3010 |
Fentanyl citrate injection |
15,911 |
14,358 |
$4K |
| C1725 |
Cath, translumin non-laser |
1,283 |
1,059 |
$4K |
| 97166 |
|
1,086 |
920 |
$4K |
| J2060 |
Lorazepam injection |
3,614 |
2,784 |
$3K |
| M0245 |
Bamlan and etesev infusion |
39 |
38 |
$3K |
| 87177 |
|
312 |
301 |
$3K |
| 86704 |
|
321 |
306 |
$3K |
| J7512 |
Prednisone ir or dr oral 1mg |
3,895 |
2,189 |
$3K |
| 84402 |
|
506 |
498 |
$3K |
| 72070 |
|
97 |
96 |
$3K |
| 85379 |
|
4,619 |
4,381 |
$3K |
| 76801 |
|
542 |
496 |
$3K |
| G0257 |
Unsched dialysis esrd pt hos |
1,705 |
465 |
$3K |
| 83970 |
|
1,574 |
1,475 |
$3K |
| 88184 |
|
30 |
27 |
$3K |
| 51798 |
|
1,238 |
879 |
$3K |
| 86762 |
|
4,960 |
4,725 |
$3K |
| 85384 |
|
1,147 |
949 |
$3K |
| 87102 |
|
284 |
262 |
$3K |
| 84403 |
|
1,330 |
1,288 |
$3K |
| C9285 |
Patch, lidocaine/tetracaine |
909 |
851 |
$3K |
| 83605 |
|
9,854 |
8,321 |
$3K |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
2,154 |
1,636 |
$3K |
| 82150 |
|
249 |
233 |
$2K |
| J2785 |
Regadenoson injection |
677 |
640 |
$2K |
| 31720 |
|
17 |
15 |
$2K |
| P9016 |
Rbc leukocytes reduced |
1,008 |
825 |
$2K |
| 95716 |
|
216 |
192 |
$2K |
| 43248 |
|
393 |
371 |
$2K |
| J0330 |
Succinycholine chloride inj |
6,599 |
6,024 |
$2K |
| 73000 |
|
26 |
26 |
$2K |
| 72158 |
|
39 |
39 |
$2K |
| 90715 |
|
2,614 |
2,525 |
$2K |
| 87591 |
|
11,583 |
11,116 |
$2K |
| 83520 |
|
109 |
108 |
$2K |
| 95249 |
|
15 |
12 |
$2K |
| 86769 |
|
200 |
196 |
$2K |
| 97165 |
|
754 |
693 |
$2K |
| 52356 |
|
39 |
39 |
$2K |
| 0002A |
|
50 |
49 |
$2K |
| 82533 |
|
183 |
168 |
$2K |
| 85730 |
|
8,822 |
7,851 |
$2K |
| 86580 |
|
2,065 |
1,663 |
$2K |
| 86160 |
|
274 |
263 |
$1K |
| 25600 |
|
37 |
37 |
$1K |
| 36561 |
|
28 |
28 |
$1K |
| C1751 |
Cath, inf, per/cent/midline |
19 |
17 |
$1K |
| Q3014 |
Telehealth facility fee |
280 |
235 |
$1K |
| 74330 |
|
48 |
40 |
$1K |
| 51701 |
|
418 |
347 |
$1K |
| 96368 |
|
314 |
291 |
$1K |
| 80081 |
|
12 |
12 |
$1K |
| 82465 |
|
221 |
215 |
$1K |
| 82785 |
|
14 |
14 |
$1K |
| J2765 |
Metoclopramide hcl injection |
2,874 |
2,378 |
$1K |
| 82746 |
|
2,609 |
2,486 |
$1K |
| 97535 |
|
414 |
253 |
$1K |
| 85652 |
|
4,421 |
4,148 |
$1K |
| 86696 |
|
393 |
373 |
$1K |
| L4386 |
Non-pneum walk boot pre cst |
13 |
12 |
$1K |
| 86738 |
|
58 |
58 |
$1K |
| 80179 |
|
2,004 |
1,874 |
$1K |
| 49591 |
|
12 |
12 |
$1K |
| 80197 |
|
643 |
357 |
$1K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
4,303 |
3,447 |
$986.30 |
| 0001A |
|
78 |
74 |
$981.27 |
| 84425 |
|
472 |
456 |
$978.55 |
| 77003 |
|
26 |
25 |
$961.40 |
| J2370 |
Phenylephrine hcl injection |
785 |
678 |
$884.42 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
881 |
861 |
$874.92 |
| J2930 |
Methylprednisolone injection |
1,652 |
1,290 |
$868.36 |
| M0247 |
Sotrovimab infusion |
30 |
30 |
$856.19 |
| J0360 |
Hydralazine hcl injection |
64 |
52 |
$848.80 |
| 73502 |
|
84 |
82 |
$809.58 |
| 99156 |
|
311 |
304 |
$807.85 |
| 87493 |
|
137 |
130 |
$807.12 |
| 77076 |
|
13 |
12 |
$796.65 |
| 86902 |
|
31 |
24 |
$769.85 |
| J1940 |
Furosemide injection |
2,281 |
1,414 |
$718.37 |
| 83013 |
|
13 |
13 |
$715.05 |
| 90682 |
|
759 |
730 |
$709.98 |
| 93320 |
|
26 |
25 |
$704.93 |
| 84144 |
|
51 |
43 |
$693.56 |
| 86431 |
|
672 |
656 |
$675.86 |
| 82977 |
|
346 |
310 |
$647.28 |
| J1953 |
Levetiracetam injection |
1,334 |
963 |
$645.62 |
| 82140 |
|
1,115 |
957 |
$638.15 |
| 0097U |
|
14 |
14 |
$608.98 |
| 80178 |
|
43 |
37 |
$582.00 |
| 82010 |
|
1,279 |
1,101 |
$572.54 |
| 86787 |
|
690 |
666 |
$566.09 |
| J0131 |
Inj, acetaminophen (nos) |
1,630 |
1,398 |
$530.10 |
| 88342 |
|
1,478 |
1,355 |
$517.79 |
| 73620 |
|
26 |
25 |
$514.68 |
| 86200 |
|
129 |
127 |
$472.59 |
| C9113 |
Inj pantoprazole sodium, via |
807 |
382 |
$466.08 |
| 36591 |
|
311 |
220 |
$461.78 |
| 86376 |
|
392 |
384 |
$457.11 |
| 87633 |
|
2,178 |
2,094 |
$444.50 |
| U0002 |
Covid-19 lab test non-cdc |
38 |
37 |
$444.05 |
| J1836 |
Inj, metronidazole, 10 mg |
303 |
217 |
$440.58 |
| 86644 |
|
13 |
12 |
$431.99 |
| 82310 |
|
43 |
39 |
$426.52 |
| 86901 |
|
18,129 |
16,638 |
$419.32 |
| 93325 |
|
106 |
101 |
$401.64 |
| 87529 |
|
12 |
12 |
$398.09 |
| 76817 |
|
264 |
239 |
$378.80 |
| 86870 |
|
651 |
605 |
$376.54 |
| 87186 |
|
15,084 |
14,238 |
$340.02 |
| 85651 |
|
4,601 |
4,260 |
$257.74 |
| 84481 |
|
270 |
261 |
$256.58 |
| 90732 |
|
193 |
191 |
$252.49 |
| 73600 |
|
13 |
12 |
$245.62 |
| 36410 |
|
1,174 |
999 |
$241.55 |
| 92250 |
|
14 |
14 |
$238.63 |
| 86255 |
|
758 |
720 |
$203.96 |
| 99153 |
Mod sedat endo service >5yrs |
2,952 |
2,631 |
$199.02 |
| 0004A |
|
49 |
49 |
$196.34 |
| G0103 |
Psa screening |
158 |
156 |
$183.12 |
| 83519 |
|
50 |
30 |
$179.31 |
| 86923 |
|
896 |
709 |
$172.74 |
| 82438 |
|
27 |
26 |
$142.82 |
| 83721 |
|
598 |
553 |
$142.56 |
| 82248 |
|
3,033 |
2,244 |
$136.86 |
| A4338 |
Indwelling catheter latex |
338 |
328 |
$120.00 |
| 90662 |
|
375 |
353 |
$118.58 |
| 85045 |
|
4,491 |
3,938 |
$115.36 |
| 86235 |
|
74 |
67 |
$104.76 |
| 84466 |
|
7,052 |
6,734 |
$84.88 |
| 83002 |
|
343 |
340 |
$83.38 |
| 87581 |
|
2,195 |
2,109 |
$77.27 |
| 87634 |
|
17 |
16 |
$69.33 |
| J2001 |
Lidocaine injection |
1,053 |
979 |
$53.45 |
| J1790 |
Droperidol injection |
345 |
317 |
$51.14 |
| G1004 |
Cdsm ndsc |
9,188 |
6,754 |
$45.63 |
| G8978 |
Mobility current status |
432 |
356 |
$41.98 |
| 84460 |
|
38 |
37 |
$41.62 |
| 84480 |
|
27 |
27 |
$37.66 |
| 90750 |
|
51 |
48 |
$33.00 |
| J0702 |
Betamethasone acet&sod phosp |
491 |
255 |
$27.77 |
| 87075 |
|
1,788 |
1,664 |
$27.69 |
| J1630 |
Haloperidol injection |
1,487 |
1,110 |
$23.43 |
| 86039 |
|
38 |
36 |
$15.11 |
| 82390 |
|
14 |
14 |
$14.53 |
| 85385 |
|
415 |
319 |
$10.61 |
| 84450 |
|
12 |
12 |
$10.03 |
| J0780 |
Prochlorperazine injection |
2,013 |
1,768 |
$8.12 |
| 86003 |
|
14 |
14 |
$6.32 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
1,466 |
1,278 |
$5.86 |
| T1015 |
Clinic service |
28 |
20 |
$5.47 |
| 85660 |
|
53 |
36 |
$4.07 |
| J3105 |
Terbutaline sulfate inj |
63 |
51 |
$3.02 |
| 97163 |
|
13 |
12 |
$2.09 |
| C2617 |
Stent, non-cor, tem w/o del |
604 |
571 |
$0.00 |
| G0008 |
Admin influenza virus vac |
709 |
673 |
$0.00 |
| 88341 |
|
473 |
428 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
203 |
176 |
$0.00 |
| 94660 |
|
220 |
83 |
$0.00 |
| 86664 |
|
59 |
54 |
$0.00 |
| 82952 |
|
303 |
303 |
$0.00 |
| P9612 |
Catheterize for urine spec |
254 |
229 |
$0.00 |
| J2305 |
Inj, nitroglycerin, 5 mg |
87 |
85 |
$0.00 |
| D7140 |
|
16 |
13 |
$0.00 |
| J2360 |
Orphenadrine injection |
98 |
89 |
$0.00 |
| J1805 |
Inj, esmolol hcl, 10mg |
243 |
166 |
$0.00 |
| 94760 |
|
87 |
86 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
493 |
464 |
$0.00 |
| J0461 |
Atropine sulfate injection |
66 |
64 |
$0.00 |
| 90656 |
|
43 |
40 |
$0.00 |
| J1459 |
Inj ivig privigen 500 mg |
120 |
78 |
$0.00 |
| J1920 |
Inj, labetalol hcl, 5mg |
116 |
80 |
$0.00 |
| J8540 |
Oral dexamethasone |
211 |
139 |
$0.00 |
| 87449 |
|
257 |
239 |
$0.00 |
| 90677 |
|
54 |
54 |
$0.00 |
| G8980 |
Mobility d/c status |
50 |
44 |
$0.00 |
| 75710 |
|
117 |
93 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
29 |
26 |
$0.00 |
| 87206 |
|
40 |
36 |
$0.00 |
| 86317 |
|
17 |
17 |
$0.00 |
| 84134 |
|
29 |
26 |
$0.00 |
| 88185 |
|
31 |
28 |
$0.00 |
| 96415 |
|
217 |
192 |
$0.00 |
| 94644 |
|
41 |
38 |
$0.00 |
| A9270 |
Non-covered item or service |
61 |
37 |
$0.00 |
| J3420 |
Vitamin b12 injection |
21 |
12 |
$0.00 |
| 87116 |
|
12 |
12 |
$0.00 |
| 43259 |
|
12 |
12 |
$0.00 |
| 86800 |
|
26 |
26 |
$0.00 |
| 85240 |
|
13 |
13 |
$0.00 |
| 86920 |
|
13 |
12 |
$0.00 |
| 86364 |
|
12 |
12 |
$0.00 |
| C2623 |
Cath, translumin, drug-coat |
14 |
13 |
$0.00 |
| 90480 |
|
13 |
12 |
$0.00 |
| 70543 |
|
12 |
12 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
23 |
13 |
$0.00 |
| 86225 |
|
12 |
12 |
$0.00 |
| 88312 |
|
586 |
569 |
$0.00 |
| C1887 |
Catheter, guiding |
2,284 |
1,996 |
$0.00 |
| 85460 |
|
13 |
13 |
$0.00 |
| Q9958 |
Hocm <=149 mg/ml iodine, 1ml |
276 |
269 |
$0.00 |
| 86665 |
|
62 |
57 |
$0.00 |
| P9045 |
Albumin (human), 5%, 250 ml |
18 |
13 |
$0.00 |
| 87329 |
|
16 |
15 |
$0.00 |
| 82610 |
|
143 |
126 |
$0.00 |
| C1757 |
Cath, thrombectomy/embolect |
38 |
28 |
$0.00 |
| 87328 |
|
16 |
15 |
$0.00 |
| 90460 |
|
471 |
411 |
$0.00 |
| 77012 |
|
14 |
13 |
$0.00 |
| 90685 |
|
30 |
30 |
$0.00 |
| 90472 |
|
81 |
75 |
$0.00 |
| 94729 |
|
178 |
174 |
$0.00 |
| 95951 |
|
212 |
166 |
$0.00 |
| 87209 |
|
325 |
314 |
$0.00 |
| J0735 |
Clonidine hydrochloride |
84 |
67 |
$0.00 |
| 90670 |
|
42 |
36 |
$0.00 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
192 |
101 |
$0.00 |
| J0585 |
Injection,onabotulinumtoxina |
103 |
72 |
$0.00 |
| 94770 |
|
315 |
308 |
$0.00 |
| 95812 |
|
34 |
31 |
$0.00 |
| J0694 |
Cefoxitin sodium injection |
172 |
151 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
25 |
24 |
$0.00 |
| Q9960 |
Hocm 200-249mg/ml iodine,1ml |
154 |
152 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
157 |
119 |
$0.00 |
| G8979 |
Mobility goal status |
433 |
356 |
$0.00 |
| J0670 |
Inj mepivacaine hcl/10 ml |
14 |
12 |
$0.00 |
| 95816 |
|
14 |
13 |
$0.00 |
| G0390 |
Trauma respons w/hosp criti |
100 |
94 |
$0.00 |
| J0612 |
Inj, calcium gluconate, nos |
25 |
12 |
$0.00 |
| C1758 |
Catheter, ureteral |
52 |
51 |
$0.00 |
| 86708 |
|
46 |
40 |
$0.00 |
| 47562 |
|
65 |
64 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
281 |
230 |
$0.00 |
| 87899 |
|
38 |
26 |
$0.00 |
| C1874 |
Stent, coated/cov w/del sys |
93 |
89 |
$0.00 |
| C1788 |
Port, indwelling, imp |
42 |
40 |
$0.00 |
| 85245 |
|
13 |
13 |
$0.00 |
| 29125 |
|
12 |
12 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
54 |
45 |
$0.00 |
| 10005 |
|
15 |
15 |
$0.00 |
| J1580 |
Garamycin gentamicin inj |
109 |
68 |
$0.00 |
| 84165 |
|
13 |
13 |
$0.00 |
| 87207 |
|
26 |
13 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
41 |
36 |
$0.00 |
| C8929 |
Tte w or wo fol wcon,doppler |
12 |
12 |
$0.00 |
| J0692 |
Cefepime hcl for injection |
22 |
12 |
$0.00 |
| 0124A |
|
28 |
27 |
$0.00 |
| 58661 |
|
30 |
29 |
$0.00 |
| 87902 |
|
12 |
12 |
$0.00 |
| 91320 |
|
13 |
12 |
$0.00 |
| 90461 |
|
12 |
12 |
$0.00 |
| 85246 |
|
13 |
13 |
$0.00 |
| J1956 |
Levofloxacin injection |
15 |
12 |
$0.00 |
| 99394 |
|
13 |
13 |
$0.00 |