| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpt clinic visit |
288,588 |
230,254 |
$20.29M |
| 99284 |
|
52,670 |
47,062 |
$9.43M |
| 99285 |
|
13,986 |
12,957 |
$3.89M |
| 99283 |
|
23,491 |
22,226 |
$2.86M |
| 96374 |
|
16,300 |
14,631 |
$1.72M |
| 99282 |
|
15,116 |
14,140 |
$1.28M |
| 97110 |
|
44,189 |
15,589 |
$1.07M |
| 64493 |
|
2,932 |
2,815 |
$1.06M |
| 74177 |
|
6,450 |
6,251 |
$881K |
| 90471 |
|
18,150 |
17,745 |
$690K |
| 99392 |
|
10,587 |
10,501 |
$646K |
| 90832 |
|
6,182 |
4,205 |
$628K |
| 96360 |
|
6,489 |
6,202 |
$626K |
| 99391 |
|
10,297 |
9,994 |
$619K |
| 20610 |
|
5,558 |
5,140 |
$611K |
| 43239 |
|
1,822 |
1,807 |
$604K |
| G0008 |
Admin influenza virus vac |
22,600 |
22,378 |
$604K |
| 99393 |
|
9,496 |
9,423 |
$582K |
| 45385 |
|
1,110 |
1,104 |
$577K |
| 96365 |
|
6,557 |
5,414 |
$555K |
| 96361 |
|
14,965 |
13,335 |
$538K |
| J0585 |
Injection,onabotulinumtoxina |
1,665 |
936 |
$523K |
| 70450 |
|
6,930 |
6,573 |
$519K |
| 71046 |
|
14,769 |
13,946 |
$517K |
| 99213 |
|
20,676 |
19,679 |
$506K |
| 93306 |
|
3,694 |
3,635 |
$505K |
| G0410 |
Grp psych php/iop 45-50 |
4,491 |
799 |
$477K |
| 99214 |
|
15,752 |
14,872 |
$444K |
| 45380 |
|
978 |
965 |
$433K |
| 90834 |
|
5,102 |
3,721 |
$432K |
| 99395 |
|
7,082 |
6,879 |
$431K |
| 99394 |
|
6,553 |
6,480 |
$406K |
| 87636 |
|
5,598 |
5,375 |
$401K |
| U0003 |
Cov-19 amp prb hgh thruput |
8,331 |
7,288 |
$369K |
| 96375 |
|
10,996 |
9,455 |
$357K |
| 99396 |
|
5,790 |
5,609 |
$343K |
| 77067 |
|
6,404 |
6,364 |
$337K |
| 11042 |
|
2,077 |
1,153 |
$333K |
| 74176 |
|
3,388 |
3,300 |
$321K |
| 64635 |
|
525 |
494 |
$318K |
| 76819 |
|
3,270 |
1,907 |
$291K |
| C8929 |
Tte w or wo fol wcon,doppler |
1,490 |
1,462 |
$289K |
| 76705 |
|
4,077 |
3,988 |
$278K |
| 90791 |
|
3,642 |
3,549 |
$264K |
| 76856 |
|
3,619 |
3,542 |
$261K |
| 78452 |
|
845 |
822 |
$259K |
| 96372 |
|
11,699 |
10,220 |
$235K |
| 72148 |
|
2,039 |
2,013 |
$230K |
| 97140 |
|
15,969 |
6,441 |
$229K |
| G0260 |
Inj for sacroiliac jt anesth |
969 |
947 |
$229K |
| 76830 |
|
2,938 |
2,869 |
$227K |
| 71045 |
|
7,010 |
6,610 |
$220K |
| G0009 |
Admin pneumococcal vaccine |
8,094 |
8,047 |
$214K |
| 97161 |
|
5,046 |
4,959 |
$200K |
| 71260 |
|
1,732 |
1,704 |
$198K |
| 70553 |
|
912 |
907 |
$192K |
| 70496 |
|
1,248 |
1,222 |
$191K |
| C9803 |
Hopd covid-19 spec collect |
24,051 |
21,678 |
$184K |
| J2426 |
Inj, invega sustenna, 1 mg |
146 |
135 |
$180K |
| J7298 |
Mirena, 52 mg |
209 |
205 |
$176K |
| 71275 |
|
2,263 |
2,200 |
$170K |
| 80061 |
|
24,801 |
24,319 |
$168K |
| 95810 |
|
365 |
360 |
$166K |
| 84443 |
|
26,827 |
25,932 |
$162K |
| 90853 |
|
1,781 |
507 |
$157K |
| 94060 |
|
1,298 |
1,288 |
$157K |
| 59025 |
|
1,155 |
879 |
$156K |
| 80053 |
|
71,556 |
62,533 |
$152K |
| 99291 |
|
424 |
412 |
$147K |
| 64490 |
|
348 |
335 |
$138K |
| 77063 |
|
6,187 |
6,149 |
$135K |
| 70551 |
|
1,318 |
1,303 |
$134K |
| 86900 |
|
4,011 |
3,685 |
$125K |
| 71250 |
|
2,893 |
2,832 |
$124K |
| 82306 |
|
9,673 |
9,471 |
$124K |
| C8930 |
Tte w or w/o contr, cont ecg |
455 |
441 |
$122K |
| 90686 |
|
20,938 |
20,720 |
$121K |
| 90677 |
|
782 |
773 |
$117K |
| 93971 |
|
2,393 |
2,303 |
$115K |
| 87491 |
|
9,268 |
8,963 |
$115K |
| 87591 |
|
9,259 |
8,948 |
$115K |
| 73721 |
|
776 |
756 |
$111K |
| G0480 |
Drug test def 1-7 classes |
8,899 |
8,131 |
$111K |
| 76770 |
|
1,729 |
1,700 |
$105K |
| 72141 |
|
716 |
707 |
$98K |
| 76817 |
|
2,073 |
1,867 |
$96K |
| 85025 |
|
73,627 |
61,692 |
$94K |
| 10060 |
|
671 |
641 |
$84K |
| 97112 |
|
4,839 |
2,109 |
$82K |
| 90732 |
|
1,330 |
1,318 |
$78K |
| 76816 |
|
2,749 |
2,558 |
$77K |
| 76805 |
|
873 |
844 |
$76K |
| 66984 |
|
165 |
140 |
$76K |
| J0401 |
Inj, abilify maintena, 1 mg |
95 |
86 |
$76K |
| 36415 |
|
84,464 |
73,726 |
$75K |
| 97162 |
|
3,041 |
2,952 |
$74K |
| 76642 |
|
1,632 |
1,608 |
$73K |
| 80307 |
|
7,100 |
6,537 |
$73K |
| D0145 |
|
4,389 |
4,376 |
$72K |
| U0005 |
Infec agen detec ampli probe |
5,810 |
5,023 |
$70K |
| 76536 |
|
1,296 |
1,278 |
$69K |
| 83036 |
|
23,214 |
22,723 |
$65K |
| 76700 |
|
934 |
923 |
$62K |
| 87481 |
|
10,605 |
5,191 |
$60K |
| 93005 |
|
30,793 |
26,787 |
$55K |
| 97165 |
|
1,650 |
1,617 |
$55K |
| 97597 |
|
1,009 |
638 |
$54K |
| 97530 |
|
3,838 |
2,086 |
$53K |
| 29581 |
|
857 |
407 |
$53K |
| 97803 |
|
1,691 |
1,399 |
$52K |
| 62323 |
|
211 |
209 |
$52K |
| 41899 |
|
24 |
24 |
$50K |
| 92507 |
|
1,365 |
530 |
$49K |
| 43235 |
|
160 |
159 |
$49K |
| 77066 |
Tomosynthesis, mammo |
668 |
663 |
$48K |
| 72100 |
|
2,051 |
2,007 |
$46K |
| 80048 |
|
25,565 |
20,820 |
$46K |
| 87389 |
|
5,146 |
5,055 |
$45K |
| 74018 |
|
2,232 |
2,142 |
$45K |
| 73221 |
|
324 |
314 |
$43K |
| 87624 |
|
3,530 |
3,461 |
$42K |
| 90651 |
|
3,685 |
3,649 |
$42K |
| 87635 |
|
1,987 |
1,884 |
$42K |
| 64721 |
|
52 |
52 |
$42K |
| 0002A |
|
1,708 |
1,683 |
$39K |
| 96366 |
|
1,547 |
1,300 |
$39K |
| 77080 |
|
1,248 |
1,240 |
$39K |
| 82607 |
|
7,420 |
7,201 |
$39K |
| 76801 |
|
429 |
393 |
$38K |
| 88142 |
|
3,298 |
3,250 |
$38K |
| C8928 |
Tte w or w/o fol w/con,stres |
120 |
119 |
$37K |
| 73562 |
|
4,245 |
4,038 |
$36K |
| 86780 |
|
3,131 |
3,046 |
$36K |
| 64615 |
|
291 |
283 |
$35K |
| 86003 |
|
909 |
877 |
$35K |
| 82728 |
|
5,929 |
5,701 |
$33K |
| 96127 |
|
4,238 |
3,830 |
$32K |
| 0001A |
|
1,686 |
1,674 |
$32K |
| 0011A |
|
1,257 |
1,256 |
$32K |
| 90870 |
|
213 |
86 |
$32K |
| 0012A |
|
1,230 |
1,211 |
$32K |
| 20611 |
|
292 |
284 |
$32K |
| 73030 |
|
4,645 |
4,159 |
$32K |
| 77065 |
Tomosynthesis, mammo |
614 |
564 |
$32K |
| 96110 |
|
3,755 |
3,616 |
$31K |
| 93880 |
|
492 |
481 |
$31K |
| 99495 |
|
726 |
717 |
$31K |
| 73630 |
|
4,797 |
4,229 |
$31K |
| 87511 |
|
5,397 |
5,193 |
$30K |
| 86803 |
|
5,461 |
5,325 |
$30K |
| G0279 |
Tomosynthesis, mammo |
1,332 |
1,309 |
$30K |
| 97802 |
|
570 |
537 |
$30K |
| 90670 |
|
5,983 |
5,953 |
$29K |
| 99188 |
|
1,173 |
1,149 |
$29K |
| 95811 |
|
55 |
55 |
$28K |
| 87661 |
|
5,473 |
5,266 |
$28K |
| 90847 |
|
255 |
201 |
$28K |
| G0010 |
Admin hepatitis b vaccine |
869 |
868 |
$28K |
| 85027 |
|
16,690 |
14,800 |
$28K |
| 82746 |
|
5,591 |
5,416 |
$28K |
| 73502 |
|
3,079 |
2,965 |
$27K |
| 98929 |
|
2,334 |
2,021 |
$27K |
| J7307 |
Etonogestrel implant system |
29 |
29 |
$26K |
| 98928 |
|
2,845 |
2,411 |
$25K |
| 93225 |
|
599 |
594 |
$25K |
| 87798 |
|
1,407 |
1,369 |
$24K |
| D1206 |
|
4,022 |
4,015 |
$23K |
| G0399 |
Home sleep test/type 3 porta |
253 |
244 |
$23K |
| 87426 |
|
859 |
841 |
$22K |
| 71271 |
|
376 |
373 |
$22K |
| 99203 |
|
704 |
695 |
$22K |
| 94640 |
|
6,296 |
5,299 |
$21K |
| 97166 |
|
1,296 |
1,249 |
$21K |
| 93970 |
|
217 |
214 |
$21K |
| 76811 |
|
106 |
105 |
$20K |
| 83655 |
|
4,324 |
4,211 |
$20K |
| 91320 |
|
607 |
603 |
$20K |
| 87522 |
Neg quan hep c or qual rna |
856 |
828 |
$19K |
| 17110 |
|
429 |
408 |
$19K |
| 83550 |
|
5,674 |
5,476 |
$19K |
| 85610 |
|
16,397 |
10,653 |
$19K |
| 94010 |
|
352 |
349 |
$18K |
| 84702 |
|
3,320 |
2,530 |
$18K |
| 73130 |
|
2,847 |
2,514 |
$18K |
| 74174 |
|
126 |
124 |
$18K |
| 74183 |
|
111 |
111 |
$18K |
| 87086 |
|
18,377 |
16,821 |
$18K |
| 93010 |
|
4,751 |
3,770 |
$18K |
| 73110 |
|
2,991 |
2,657 |
$18K |
| 72125 |
|
3,045 |
2,916 |
$18K |
| 83540 |
|
6,375 |
6,154 |
$17K |
| 83970 |
|
1,145 |
1,105 |
$17K |
| 73600 |
|
1,695 |
1,441 |
$17K |
| 84439 |
|
4,177 |
4,010 |
$16K |
| G0103 |
Psa screening |
2,220 |
2,166 |
$16K |
| 12001 |
|
1,020 |
997 |
$16K |
| 0054A |
|
846 |
837 |
$16K |
| 80076 |
|
4,663 |
4,430 |
$15K |
| 97116 |
|
2,325 |
1,255 |
$15K |
| 87070 |
|
11,148 |
10,818 |
$15K |
| 97014 |
|
1,128 |
528 |
$15K |
| 99232 |
|
645 |
290 |
$14K |
| 84403 |
|
1,003 |
961 |
$14K |
| 93017 |
|
789 |
782 |
$14K |
| Q3014 |
Telehealth facility fee |
967 |
947 |
$14K |
| 73610 |
|
3,024 |
2,854 |
$14K |
| 99204 |
|
308 |
301 |
$14K |
| 70486 |
|
412 |
401 |
$14K |
| 99212 |
|
982 |
863 |
$13K |
| 94660 |
|
243 |
227 |
$13K |
| 58300 |
|
385 |
378 |
$13K |
| 88175 |
|
816 |
806 |
$12K |
| 69209 |
|
1,326 |
1,290 |
$12K |
| 83735 |
|
19,669 |
15,752 |
$12K |
| 0124A |
|
1,091 |
1,083 |
$12K |
| 73140 |
|
1,600 |
1,469 |
$12K |
| 83880 |
|
4,575 |
4,200 |
$11K |
| 95911 |
|
38 |
37 |
$11K |
| 99233 |
Prolong inpt eval add15 m |
339 |
176 |
$11K |
| 87340 |
|
3,346 |
3,283 |
$11K |
| 90480 |
|
1,030 |
1,012 |
$11K |
| 81220 |
|
183 |
166 |
$11K |
| 64495 |
|
2,311 |
1,945 |
$11K |
| 64494 |
|
3,288 |
2,637 |
$11K |
| 82784 |
|
1,798 |
1,745 |
$10K |
| 86140 |
|
8,077 |
7,197 |
$10K |
| 86618 |
|
2,164 |
2,127 |
$9K |
| 58301 |
|
43 |
40 |
$9K |
| 86480 |
|
202 |
201 |
$9K |
| 97035 |
|
1,842 |
811 |
$9K |
| 97163 |
|
299 |
293 |
$8K |
| 86706 |
|
1,491 |
1,450 |
$8K |
| 81511 |
|
133 |
133 |
$8K |
| 76870 |
|
229 |
220 |
$8K |
| 73560 |
|
1,002 |
927 |
$7K |
| 92551 |
|
893 |
879 |
$7K |
| 98927 |
|
1,324 |
1,207 |
$7K |
| 29075 |
|
41 |
39 |
$7K |
| 82950 |
|
1,525 |
1,505 |
$7K |
| 73564 |
|
1,002 |
939 |
$7K |
| 70491 |
|
59 |
59 |
$7K |
| 59430 |
|
41 |
39 |
$7K |
| 94726 |
|
291 |
291 |
$7K |
| 87186 |
|
6,719 |
6,389 |
$6K |
| 73080 |
|
917 |
856 |
$6K |
| 86038 |
|
1,229 |
1,202 |
$6K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
943 |
929 |
$6K |
| 83001 |
|
493 |
478 |
$6K |
| 87801 |
|
1,414 |
1,395 |
$5K |
| 84146 |
|
519 |
499 |
$5K |
| 70498 |
|
1,239 |
1,213 |
$5K |
| 83516 |
|
912 |
814 |
$5K |
| 73590 |
|
607 |
533 |
$5K |
| 85652 |
|
6,130 |
5,558 |
$5K |
| 0071A |
|
616 |
611 |
$5K |
| 86704 |
|
815 |
795 |
$5K |
| 82043 |
|
3,780 |
3,685 |
$5K |
| 87046 |
|
452 |
443 |
$5K |
| 90662 |
|
1,548 |
1,530 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
97 |
96 |
$5K |
| 82785 |
|
578 |
566 |
$5K |
| 72040 |
|
277 |
273 |
$5K |
| 90716 |
|
1,953 |
1,934 |
$5K |
| 97535 |
|
983 |
612 |
$5K |
| 88305 |
|
6,492 |
6,325 |
$5K |
| 84425 |
|
380 |
370 |
$4K |
| 81025 |
|
3,994 |
3,870 |
$4K |
| 82947 |
|
1,624 |
1,560 |
$4K |
| 99173 |
|
1,703 |
1,671 |
$4K |
| 64415 |
|
60 |
58 |
$4K |
| 81001 |
|
15,805 |
14,550 |
$4K |
| 72110 |
|
130 |
128 |
$4K |
| 0052A |
|
144 |
144 |
$4K |
| 87077 |
|
7,110 |
6,768 |
$4K |
| 84153 |
|
690 |
671 |
$4K |
| 96132 |
|
22 |
17 |
$4K |
| 90734 |
|
2,386 |
2,377 |
$4K |
| 86850 |
|
4,181 |
3,928 |
$4K |
| 87493 |
|
448 |
434 |
$4K |
| 0072A |
|
518 |
517 |
$4K |
| 84402 |
|
247 |
242 |
$4K |
| 87502 |
|
3,520 |
3,430 |
$4K |
| 83690 |
|
11,309 |
10,328 |
$3K |
| 83721 |
|
1,006 |
994 |
$3K |
| 82670 |
|
196 |
190 |
$3K |
| 99239 |
|
121 |
121 |
$3K |
| 90739 |
|
29 |
28 |
$3K |
| 84100 |
|
2,704 |
1,855 |
$3K |
| 11102 |
|
56 |
54 |
$3K |
| 99403 |
|
63 |
52 |
$3K |
| 99402 |
|
169 |
154 |
$3K |
| J3010 |
Fentanyl citrate injection |
11,096 |
10,495 |
$3K |
| 73100 |
|
478 |
353 |
$3K |
| 86762 |
|
1,733 |
1,704 |
$3K |
| 85018 |
|
4,994 |
4,804 |
$3K |
| 90792 |
|
50 |
40 |
$3K |
| 71101 |
|
545 |
534 |
$3K |
| 20550 |
|
26 |
24 |
$3K |
| 88342 |
|
1,371 |
1,328 |
$3K |
| 80164 |
|
665 |
638 |
$3K |
| 86364 |
|
538 |
529 |
$3K |
| 83993 |
|
199 |
197 |
$3K |
| G0378 |
Hospital observation per hr |
2,970 |
2,604 |
$3K |
| 29405 |
|
20 |
13 |
$3K |
| 0004A |
|
968 |
964 |
$3K |
| 0051A |
|
104 |
103 |
$3K |
| 81003 |
|
17,383 |
16,235 |
$3K |
| 72070 |
|
87 |
87 |
$3K |
| 80050 |
|
151 |
144 |
$2K |
| 99385 |
|
39 |
36 |
$2K |
| 99215 |
Prolong outpt/office vis |
69 |
69 |
$2K |
| 93296 |
|
165 |
163 |
$2K |
| 93308 |
|
27 |
26 |
$2K |
| 87469 |
|
378 |
376 |
$2K |
| 87468 |
|
377 |
375 |
$2K |
| 0081A |
|
162 |
161 |
$2K |
| 99496 |
|
82 |
81 |
$2K |
| 76815 |
|
996 |
532 |
$2K |
| 82550 |
|
1,636 |
1,521 |
$2K |
| 87427 |
|
458 |
449 |
$2K |
| 84550 |
|
1,511 |
1,353 |
$2K |
| 86481 |
|
64 |
64 |
$2K |
| J2405 |
Ondansetron hcl injection |
14,547 |
13,060 |
$2K |
| J1100 |
Dexamethasone sodium phos |
7,747 |
7,388 |
$2K |
| 82565 |
|
1,088 |
1,007 |
$2K |
| 87880 |
|
12,935 |
12,426 |
$2K |
| 99202 |
|
101 |
94 |
$2K |
| 11100 |
|
15 |
14 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
8,846 |
8,192 |
$2K |
| 84703 |
|
2,477 |
2,416 |
$2K |
| 0134A |
|
209 |
206 |
$2K |
| 85730 |
|
1,997 |
1,796 |
$2K |
| 87045 |
|
464 |
455 |
$2K |
| 72131 |
|
81 |
79 |
$2K |
| 0082A |
|
115 |
113 |
$2K |
| 84165 |
|
596 |
574 |
$2K |
| 87536 |
|
62 |
61 |
$2K |
| 93976 |
|
20 |
20 |
$2K |
| 86431 |
|
705 |
690 |
$2K |
| 90619 |
|
903 |
883 |
$2K |
| 90681 |
|
3,046 |
3,023 |
$2K |
| 90715 |
|
6,778 |
6,686 |
$1K |
| 80178 |
|
728 |
680 |
$1K |
| 80074 |
|
111 |
107 |
$1K |
| 99222 |
|
38 |
35 |
$1K |
| 87209 |
|
136 |
119 |
$1K |
| 12011 |
|
80 |
79 |
$1K |
| 72050 |
|
31 |
31 |
$1K |
| 90744 |
|
3,876 |
3,841 |
$1K |
| 80069 |
|
558 |
503 |
$1K |
| 99397 |
|
92 |
83 |
$1K |
| 20605 |
|
13 |
12 |
$1K |
| 99238 |
|
77 |
75 |
$1K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
12,430 |
11,863 |
$1K |
| 51798 |
|
208 |
194 |
$1K |
| J3301 |
Triamcinolone acet inj nos |
3,132 |
3,014 |
$1K |
| 0154A |
|
87 |
85 |
$1K |
| 99231 |
|
84 |
41 |
$1K |
| 73090 |
|
178 |
154 |
$1K |
| 93226 |
|
621 |
616 |
$1K |
| J2704 |
Inj, propofol, 10 mg |
12,214 |
11,432 |
$1K |
| 52000 |
|
12 |
12 |
$985.85 |
| 11981 |
|
12 |
12 |
$975.90 |
| 82570 |
|
694 |
617 |
$973.39 |
| U0002 |
Covid-19 lab test non-cdc |
66 |
60 |
$961.85 |
| 73070 |
|
84 |
76 |
$916.62 |
| 84460 |
|
293 |
290 |
$908.48 |
| 0031A |
|
26 |
26 |
$867.72 |
| 96160 |
|
37 |
37 |
$858.98 |
| 94664 |
|
134 |
132 |
$852.90 |
| 85379 |
|
3,380 |
3,233 |
$850.07 |
| 93922 |
|
36 |
36 |
$846.52 |
| 84156 |
|
781 |
680 |
$834.71 |
| 87205 |
|
2,578 |
2,468 |
$819.31 |
| 84484 |
|
16,083 |
10,953 |
$816.87 |
| 90710 |
|
1,890 |
1,875 |
$810.90 |
| 72170 |
|
40 |
39 |
$806.50 |
| 87804 |
|
4,896 |
2,470 |
$791.09 |
| 80305 |
|
782 |
727 |
$778.70 |
| 0064A |
|
129 |
129 |
$777.51 |
| Q9957 |
Inj perflutren lip micros,ml |
2,606 |
2,528 |
$649.15 |
| 88304 |
|
671 |
659 |
$626.83 |
| 86682 |
|
63 |
40 |
$618.76 |
| 93246 |
|
115 |
112 |
$614.56 |
| 87177 |
|
117 |
105 |
$610.98 |
| 93923 |
|
12 |
12 |
$593.24 |
| 64636 |
|
687 |
445 |
$567.37 |
| 88112 |
|
57 |
57 |
$545.08 |
| 0083A |
|
49 |
49 |
$540.60 |
| 87040 |
|
2,839 |
2,324 |
$529.68 |
| 74022 |
|
146 |
140 |
$517.17 |
| 86787 |
|
48 |
43 |
$502.32 |
| 73521 |
|
25 |
25 |
$487.67 |
| 86580 |
|
44 |
32 |
$477.11 |
| G0297 |
Ldct for lung ca screen |
14 |
14 |
$476.15 |
| J1200 |
Diphenhydramine hcl injectio |
2,787 |
2,366 |
$463.57 |
| 98926 |
|
160 |
149 |
$461.89 |
| 96367 |
|
12 |
12 |
$458.91 |
| 12002 |
|
75 |
75 |
$451.58 |
| G0177 |
Opps/php/iop; train & educ |
3,659 |
698 |
$447.09 |
| 94729 |
|
1,220 |
1,211 |
$439.19 |
| 83020 |
|
43 |
43 |
$437.58 |
| 87505 |
|
15 |
12 |
$423.31 |
| 84163 |
|
40 |
40 |
$421.40 |
| 82533 |
|
40 |
38 |
$404.00 |
| 99221 |
|
15 |
15 |
$403.80 |
| 84481 |
|
50 |
48 |
$398.44 |
| 87081 |
|
414 |
400 |
$394.68 |
| G0176 |
Opps/php/iop; activity thrpy |
4,293 |
785 |
$366.40 |
| 83615 |
|
249 |
185 |
$356.04 |
| 80306 |
|
1,742 |
1,645 |
$345.23 |
| 86617 |
|
76 |
44 |
$344.26 |
| 82465 |
|
82 |
82 |
$340.65 |
| 83002 |
|
40 |
39 |
$334.40 |
| J1790 |
Droperidol injection |
1,517 |
1,248 |
$331.28 |
| 87210 |
|
1,057 |
923 |
$324.12 |
| J1040 |
Methylprednisolone 80 mg inj |
5,191 |
5,037 |
$323.18 |
| 87420 |
|
865 |
835 |
$321.70 |
| 83605 |
|
3,879 |
3,431 |
$311.44 |
| 73660 |
|
42 |
42 |
$304.62 |
| J0131 |
Inj, acetaminophen (nos) |
1,415 |
1,342 |
$289.44 |
| G0238 |
Oth resp proc, indiv |
18 |
13 |
$286.41 |
| J0690 |
Cefazolin sodium injection |
4,351 |
3,721 |
$284.05 |
| J1885 |
Ketorolac tromethamine inj |
9,191 |
8,049 |
$282.90 |
| J0171 |
Adrenalin epinephrine inject |
720 |
602 |
$276.85 |
| 73620 |
|
84 |
70 |
$263.28 |
| 82040 |
|
327 |
316 |
$255.91 |
| 81002 |
|
1,793 |
1,730 |
$255.82 |
| 90833 |
|
15 |
13 |
$253.29 |
| 85007 |
|
824 |
668 |
$242.81 |
| 82105 |
|
27 |
26 |
$231.02 |
| 87338 |
|
26 |
26 |
$221.10 |
| 86308 |
|
316 |
309 |
$220.38 |
| 96376 |
|
3,409 |
2,848 |
$217.72 |
| 82805 |
|
627 |
566 |
$197.57 |
| J1170 |
Hydromorphone injection |
3,771 |
3,006 |
$194.50 |
| A9500 |
Tc99m sestamibi |
893 |
868 |
$193.78 |
| J1644 |
Inj heparin sodium per 1000u |
3,278 |
1,419 |
$192.12 |
| 97150 |
|
25 |
13 |
$189.78 |
| J1050 |
Medroxyprogesterone acetate |
3,106 |
3,008 |
$177.52 |
| 90688 |
|
14 |
14 |
$172.53 |
| 0074A |
|
54 |
54 |
$169.50 |
| 84450 |
|
79 |
78 |
$163.57 |
| 87529 |
|
30 |
30 |
$157.72 |
| 82103 |
|
43 |
39 |
$155.13 |
| 86360 |
|
38 |
38 |
$148.61 |
| 82150 |
|
99 |
92 |
$146.82 |
| 91322 |
|
128 |
124 |
$145.92 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
2,433 |
2,249 |
$142.77 |
| 82248 |
|
46 |
38 |
$141.83 |
| J2270 |
Morphine sulfate injection |
5,145 |
4,315 |
$134.52 |
| 11721 |
|
12 |
12 |
$132.90 |
| J3475 |
Inj magnesium sulfate |
2,087 |
1,708 |
$123.81 |
| 86359 |
|
38 |
38 |
$123.18 |
| 87634 |
|
63 |
62 |
$121.32 |
| 84520 |
|
148 |
145 |
$120.62 |
| 87207 |
|
20 |
20 |
$119.80 |
| 86334 |
|
17 |
17 |
$107.83 |
| C1769 |
Guide wire |
707 |
671 |
$105.08 |
| 93270 |
|
12 |
12 |
$104.97 |
| 90472 |
|
15,295 |
15,079 |
$101.14 |
| 83525 |
|
15 |
13 |
$92.44 |
| 86901 |
|
4,095 |
3,768 |
$91.47 |
| 93242 |
|
25 |
25 |
$88.53 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
1,174 |
982 |
$84.46 |
| J1630 |
Haloperidol injection |
1,612 |
1,235 |
$79.71 |
| J1030 |
Methylprednisolone 40 mg inj |
3,149 |
2,973 |
$78.81 |
| J0153 |
Adenosine inj 1mg |
421 |
411 |
$76.27 |
| 0003A |
|
28 |
28 |
$75.90 |
| 87484 |
|
69 |
69 |
$73.68 |
| 83521 |
|
14 |
12 |
$69.30 |
| 86765 |
|
15 |
13 |
$67.30 |
| 84155 |
|
101 |
95 |
$66.60 |
| J3420 |
Vitamin b12 injection |
1,752 |
1,545 |
$66.01 |
| G0101 |
Ca screen;pelvic/breast exam |
25 |
25 |
$65.34 |
| 84466 |
|
12 |
12 |
$65.25 |
| 83010 |
|
13 |
13 |
$64.30 |
| J3370 |
Vancomycin hcl injection |
760 |
536 |
$57.20 |
| 85045 |
|
38 |
36 |
$56.99 |
| 86039 |
|
12 |
12 |
$56.05 |
| C1894 |
Intro/sheath, non-laser |
242 |
231 |
$54.39 |
| G0500 |
Mod sedat endo service >5yrs |
318 |
310 |
$52.13 |
| 80175 |
|
13 |
12 |
$49.64 |
| 69210 |
|
13 |
12 |
$45.18 |
| 88341 |
|
38 |
36 |
$43.79 |
| J0330 |
Succinycholine chloride inj |
996 |
531 |
$37.68 |
| J2543 |
Piperacillin/tazobactam |
310 |
190 |
$37.65 |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
348 |
335 |
$37.45 |
| J0780 |
Prochlorperazine injection |
624 |
580 |
$31.87 |
| 95886 |
|
766 |
759 |
$30.08 |
| 80177 |
|
15 |
13 |
$27.97 |
| 85014 |
|
80 |
65 |
$24.48 |
| 87807 |
|
59 |
57 |
$23.42 |
| 29125 |
|
26 |
26 |
$23.33 |
| G0472 |
Hep c screen high risk/other |
216 |
216 |
$22.55 |
| 80051 |
|
12 |
12 |
$21.51 |
| G0283 |
Elec stim other than wound |
23 |
12 |
$19.62 |
| J1815 |
Insulin injection |
2,375 |
1,477 |
$18.47 |
| J2001 |
Lidocaine injection |
1,053 |
991 |
$16.16 |
| C9290 |
Inj, bupivacaine liposome |
164 |
158 |
$15.28 |
| J0696 |
Ceftriaxone sodium injection |
3,171 |
2,339 |
$14.80 |
| J2765 |
Metoclopramide hcl injection |
1,457 |
1,308 |
$14.73 |
| 83986 |
|
41 |
40 |
$14.24 |
| J2060 |
Lorazepam injection |
3,262 |
2,716 |
$12.26 |
| J1650 |
Inj enoxaparin sodium |
1,924 |
619 |
$10.82 |
| 82272 |
|
16 |
15 |
$6.66 |
| 90474 |
|
3,133 |
3,103 |
$5.37 |
| 81000 |
|
249 |
221 |
$4.80 |
| J2930 |
Methylprednisolone injection |
519 |
483 |
$4.14 |
| G8982 |
Body pos goal status |
27 |
24 |
$0.00 |
| J2372 |
Inj, biorphen, 20 micrograms |
392 |
283 |
$0.00 |
| 36416 |
|
9,154 |
8,055 |
$0.00 |
| J3480 |
Inj potassium chloride |
248 |
179 |
$0.00 |
| 90698 |
|
6,798 |
6,738 |
$0.00 |
| 90696 |
|
1,776 |
1,761 |
$0.00 |
| A6454 |
Self-adher band w>=3" <5"/yd |
428 |
128 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
233 |
228 |
$0.00 |
| J3490 |
Drugs unclassified injection |
648 |
630 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
253 |
128 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
238 |
207 |
$0.00 |
| 93320 |
|
284 |
276 |
$0.00 |
| G8987 |
Self care current status |
132 |
129 |
$0.00 |
| G8988 |
Self care goal status |
134 |
131 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
150 |
147 |
$0.00 |
| C9399 |
Unclassified drugs or biolog |
195 |
192 |
$0.00 |
| Q2039 |
Influenza virus vaccine, nos |
85 |
85 |
$0.00 |
| G8980 |
Mobility d/c status |
125 |
122 |
$0.00 |
| A4627 |
Spacer bag/reservoir |
82 |
81 |
$0.00 |
| 91307 |
|
1,085 |
1,013 |
$0.00 |
| 64492 |
|
159 |
146 |
$0.00 |
| 91305 |
|
834 |
813 |
$0.00 |
| 91306 |
|
30 |
30 |
$0.00 |
| 91315 |
|
70 |
69 |
$0.00 |
| G0123 |
Screen cerv/vag thin layer |
118 |
117 |
$0.00 |
| 82803 |
|
12 |
12 |
$0.00 |
| J1940 |
Furosemide injection |
76 |
50 |
$0.00 |
| J2785 |
Regadenoson injection |
75 |
74 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
40 |
40 |
$0.00 |
| 90632 |
|
25 |
23 |
$0.00 |
| 88307 |
|
24 |
24 |
$0.00 |
| 91318 |
|
35 |
35 |
$0.00 |
| 91301 |
|
1,639 |
1,591 |
$0.00 |
| 96368 |
|
25 |
25 |
$0.00 |
| 91317 |
|
36 |
36 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
18 |
17 |
$0.00 |
| C1726 |
Cath, bal dil, non-vascular |
12 |
12 |
$0.00 |
| 91303 |
|
25 |
23 |
$0.00 |
| G1004 |
Cdsm ndsc |
2,658 |
2,479 |
$0.00 |
| G8985 |
Carry goal status |
265 |
249 |
$0.00 |
| 91308 |
|
369 |
340 |
$0.00 |
| 91300 |
|
2,413 |
2,213 |
$0.00 |
| 90633 |
|
4,190 |
4,139 |
$0.00 |
| 91321 |
|
211 |
203 |
$0.00 |
| 81329 |
|
338 |
335 |
$0.00 |
| J0689 |
Inj cefazolin sodium, baxter |
325 |
308 |
$0.00 |
| J2550 |
Promethazine hcl injection |
234 |
205 |
$0.00 |
| 76942 |
|
111 |
109 |
$0.00 |
| 90714 |
|
64 |
64 |
$0.00 |
| 90707 |
|
2,006 |
1,986 |
$0.00 |
| 82009 |
|
216 |
190 |
$0.00 |
| 93325 |
|
372 |
363 |
$0.00 |
| G8979 |
Mobility goal status |
722 |
672 |
$0.00 |
| 90713 |
|
144 |
142 |
$0.00 |
| G8984 |
Carry current status |
213 |
207 |
$0.00 |
| 64491 |
|
316 |
266 |
$0.00 |
| 36600 |
|
12 |
12 |
$0.00 |
| 77002 |
|
16 |
16 |
$0.00 |
| C1776 |
Joint device (implantable) |
64 |
62 |
$0.00 |
| 90671 |
|
1,254 |
1,220 |
$0.00 |
| G8978 |
Mobility current status |
612 |
590 |
$0.00 |
| 91313 |
|
105 |
103 |
$0.00 |
| 91312 |
|
684 |
677 |
$0.00 |
| J7120 |
Ringers lactate infusion |
670 |
621 |
$0.00 |
| 82375 |
|
13 |
13 |
$0.00 |
| 82140 |
|
15 |
14 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
22 |
17 |
$0.00 |
| 90685 |
|
165 |
164 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
18 |
18 |
$0.00 |
| 94727 |
|
13 |
13 |
$0.00 |
| 90672 |
|
27 |
27 |
$0.00 |
| 87400 |
|
42 |
42 |
$0.00 |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
15 |
15 |
$0.00 |