| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
|
372,199 |
325,941 |
$17.58M |
| 80053 |
|
169,784 |
132,574 |
$16.46M |
| 99211 |
|
233,261 |
206,779 |
$15.46M |
| 36415 |
|
246,755 |
193,765 |
$13.18M |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
52,594 |
27,980 |
$9.54M |
| 96372 |
|
31,096 |
25,609 |
$6.78M |
| 80048 |
|
75,212 |
57,165 |
$5.08M |
| A9585 |
Gadobutrol injection |
5,955 |
5,071 |
$4.87M |
| U0003 |
Cov-19 amp prb hgh thruput |
34,515 |
32,386 |
$4.40M |
| 87491 |
|
52,137 |
50,141 |
$4.23M |
| A9575 |
Inj gadoterate meglumi 0.1ml |
4,405 |
2,871 |
$3.97M |
| 99282 |
|
27,001 |
25,348 |
$3.92M |
| 86850 |
|
38,466 |
30,646 |
$3.80M |
| 88305 |
|
25,166 |
18,908 |
$3.26M |
| 70553 |
|
8,115 |
7,812 |
$3.13M |
| 99213 |
|
80,419 |
75,331 |
$3.10M |
| 97110 |
|
47,212 |
17,219 |
$2.92M |
| 96365 |
|
23,498 |
16,447 |
$2.57M |
| 96375 |
|
29,385 |
19,988 |
$2.53M |
| 70551 |
|
8,810 |
8,411 |
$2.39M |
| A9552 |
F18 fdg |
2,407 |
2,317 |
$2.17M |
| 92014 |
|
19,898 |
19,415 |
$2.16M |
| 97530 |
|
35,478 |
13,001 |
$2.15M |
| 92012 |
|
19,240 |
17,628 |
$2.07M |
| 87637 |
|
20,113 |
19,445 |
$2.05M |
| 0202U |
|
7,744 |
7,294 |
$1.99M |
| 94010 |
|
13,625 |
12,991 |
$1.79M |
| 92507 |
|
22,756 |
9,548 |
$1.71M |
| 95810 |
|
3,258 |
3,187 |
$1.66M |
| 93306 |
|
15,991 |
14,996 |
$1.65M |
| J0585 |
Injection,onabotulinumtoxina |
4,980 |
3,248 |
$1.65M |
| 95782 |
|
2,026 |
1,932 |
$1.64M |
| Q3014 |
Telehealth facility fee |
49,347 |
44,721 |
$1.59M |
| 99285 |
|
58,975 |
51,143 |
$1.55M |
| 76816 |
|
9,358 |
8,616 |
$1.53M |
| 99283 |
|
42,819 |
39,740 |
$1.42M |
| 83036 |
|
47,815 |
44,782 |
$1.41M |
| 82947 |
|
28,661 |
21,212 |
$1.40M |
| 76811 |
|
5,308 |
5,139 |
$1.39M |
| 81002 |
|
10,163 |
8,887 |
$1.33M |
| 87086 |
|
50,602 |
46,585 |
$1.26M |
| 86780 |
|
27,186 |
26,042 |
$1.22M |
| 93303 |
|
11,354 |
9,952 |
$1.17M |
| 80307 |
|
17,585 |
14,079 |
$1.16M |
| 76819 |
|
8,056 |
4,938 |
$1.06M |
| 87651 |
|
16,118 |
15,700 |
$1.04M |
| 92567 |
|
9,416 |
9,017 |
$1.01M |
| 92557 |
|
5,031 |
4,878 |
$974K |
| 99202 |
|
18,567 |
18,173 |
$948K |
| 96374 |
|
39,986 |
26,324 |
$899K |
| 87070 |
|
18,588 |
17,322 |
$887K |
| 82306 |
|
37,882 |
36,141 |
$885K |
| 76770 |
|
9,834 |
9,501 |
$871K |
| 85025 |
|
178,993 |
137,602 |
$862K |
| 95813 |
|
2,545 |
2,490 |
$850K |
| 81025 |
|
20,256 |
18,994 |
$833K |
| 87635 |
|
9,030 |
8,253 |
$829K |
| 80047 |
|
8,257 |
7,227 |
$792K |
| 96402 |
|
2,538 |
2,302 |
$727K |
| 92551 |
|
8,935 |
8,813 |
$694K |
| 96367 |
|
5,016 |
3,725 |
$688K |
| 71046 |
|
26,435 |
24,226 |
$682K |
| 82330 |
|
24,173 |
18,774 |
$679K |
| 72141 |
|
1,464 |
1,416 |
$674K |
| 83655 |
|
11,909 |
11,663 |
$673K |
| J0475 |
Baclofen 10 mg injection |
1,224 |
1,112 |
$663K |
| 87210 |
|
5,422 |
5,251 |
$656K |
| 92579 |
|
4,756 |
4,539 |
$655K |
| 99284 |
|
40,067 |
36,101 |
$643K |
| 72148 |
|
1,889 |
1,836 |
$640K |
| 99214 |
|
35,094 |
33,418 |
$621K |
| 59025 |
|
9,742 |
6,503 |
$619K |
| 76705 |
|
8,125 |
7,681 |
$615K |
| 83021 |
|
17,114 |
13,857 |
$611K |
| 87077 |
|
20,607 |
17,679 |
$601K |
| 73721 |
|
701 |
666 |
$568K |
| 82962 |
|
22,661 |
18,803 |
$556K |
| 31231 |
|
2,475 |
2,339 |
$538K |
| 87804 |
|
10,437 |
10,140 |
$538K |
| 87880 |
|
8,750 |
8,568 |
$527K |
| 93296 |
|
5,409 |
5,177 |
$524K |
| 74018 |
|
7,935 |
7,459 |
$522K |
| 92523 |
|
4,060 |
3,856 |
$516K |
| 71250 |
|
4,013 |
3,785 |
$498K |
| 31575 |
|
1,498 |
1,413 |
$494K |
| 72197 |
|
1,054 |
1,011 |
$494K |
| 80061 |
|
27,504 |
26,232 |
$493K |
| 16020 |
|
1,022 |
734 |
$481K |
| 82728 |
|
33,488 |
30,732 |
$474K |
| 96360 |
|
11,179 |
6,530 |
$466K |
| 81003 |
|
11,196 |
10,842 |
$464K |
| 74183 |
|
1,909 |
1,826 |
$463K |
| 88304 |
|
3,560 |
3,451 |
$460K |
| 92587 |
|
3,056 |
2,968 |
$450K |
| 95700 |
|
777 |
752 |
$438K |
| 96413 |
|
14,804 |
9,667 |
$437K |
| 99201 |
|
6,256 |
6,069 |
$432K |
| 96401 |
|
1,534 |
977 |
$429K |
| 94060 |
|
1,765 |
1,732 |
$428K |
| 87624 |
|
9,219 |
8,989 |
$427K |
| 82785 |
|
3,846 |
3,705 |
$425K |
| 96361 |
|
13,879 |
7,971 |
$422K |
| 86828 |
|
4,900 |
3,972 |
$422K |
| 80069 |
|
4,730 |
4,033 |
$422K |
| 81229 |
|
1,073 |
1,015 |
$399K |
| 95816 |
|
1,899 |
1,831 |
$391K |
| 74230 |
|
2,487 |
2,338 |
$384K |
| 87507 |
|
1,365 |
1,297 |
$373K |
| 82565 |
|
4,851 |
4,569 |
$360K |
| 92604 |
|
1,371 |
1,264 |
$356K |
| A9579 |
Gad-base mr contrast nos,1ml |
1,323 |
900 |
$346K |
| 96366 |
|
10,590 |
6,517 |
$339K |
| 69436 |
|
2,358 |
2,268 |
$332K |
| 92526 |
|
5,893 |
3,456 |
$331K |
| 84439 |
|
23,844 |
22,392 |
$329K |
| 82570 |
|
26,150 |
23,039 |
$319K |
| 76830 |
|
3,570 |
3,388 |
$314K |
| 96523 |
|
1,209 |
837 |
$313K |
| 80050 |
|
1,948 |
1,855 |
$309K |
| 88175 |
|
18,114 |
17,454 |
$306K |
| 73630 |
|
4,497 |
3,997 |
$304K |
| 76825 |
|
1,899 |
1,824 |
$300K |
| 11900 |
|
1,333 |
1,245 |
$290K |
| D0150 |
|
944 |
717 |
$285K |
| 77336 |
|
2,358 |
1,211 |
$283K |
| 31579 |
|
422 |
403 |
$282K |
| 70450 |
|
9,284 |
8,434 |
$276K |
| 66984 |
|
978 |
847 |
$275K |
| 92004 |
|
2,183 |
2,151 |
$275K |
| 85027 |
|
82,188 |
64,877 |
$267K |
| 81001 |
|
58,929 |
50,502 |
$265K |
| 17110 |
|
784 |
763 |
$264K |
| 73070 |
|
1,960 |
1,783 |
$261K |
| 86900 |
|
39,091 |
31,167 |
$258K |
| 11042 |
|
289 |
196 |
$255K |
| 77334 |
|
1,206 |
875 |
$252K |
| 67028 |
|
733 |
663 |
$252K |
| 11981 |
|
293 |
284 |
$249K |
| 97542 |
|
2,863 |
2,686 |
$244K |
| 92134 |
|
5,475 |
5,176 |
$244K |
| 95811 |
|
682 |
663 |
$243K |
| 92555 |
|
1,475 |
1,407 |
$239K |
| 85018 |
|
9,217 |
8,568 |
$231K |
| 72156 |
|
1,530 |
1,465 |
$230K |
| 81511 |
|
484 |
452 |
$227K |
| 87205 |
|
7,272 |
6,406 |
$225K |
| 77062 |
|
1,273 |
1,249 |
$222K |
| J2704 |
Inj, propofol, 10 mg |
69,179 |
41,119 |
$218K |
| 93971 |
|
1,835 |
1,715 |
$215K |
| G0378 |
Hospital observation per hr |
39,574 |
18,849 |
$215K |
| 73130 |
|
2,902 |
2,596 |
$214K |
| 72082 |
|
2,199 |
2,103 |
$214K |
| 76815 |
|
4,355 |
3,919 |
$212K |
| 92585 |
|
558 |
526 |
$212K |
| 92610 |
|
3,145 |
2,930 |
$208K |
| 82784 |
|
14,938 |
10,336 |
$205K |
| 58300 |
|
365 |
358 |
$204K |
| 96376 |
|
21,644 |
9,757 |
$202K |
| 92582 |
|
2,174 |
2,074 |
$202K |
| 71045 |
|
22,214 |
18,692 |
$202K |
| 0002A |
|
4,047 |
4,001 |
$197K |
| 76805 |
|
1,250 |
1,209 |
$193K |
| 82105 |
|
7,950 |
7,546 |
$193K |
| 85610 |
|
33,757 |
26,963 |
$188K |
| 99203 |
|
3,930 |
3,842 |
$184K |
| 73610 |
|
3,320 |
3,037 |
$178K |
| 0001A |
|
3,864 |
3,827 |
$177K |
| 88720 |
|
1,519 |
1,244 |
$175K |
| 92133 |
|
3,727 |
3,623 |
$175K |
| 76817 |
|
6,765 |
5,525 |
$172K |
| 73521 |
|
2,825 |
2,689 |
$171K |
| 84702 |
|
7,069 |
5,692 |
$169K |
| 86038 |
|
4,781 |
4,629 |
$169K |
| 64642 |
|
1,602 |
1,488 |
$169K |
| 87486 |
|
1,753 |
1,493 |
$166K |
| 82247 |
|
4,497 |
3,180 |
$160K |
| 73090 |
|
2,402 |
2,124 |
$158K |
| 93922 |
|
1,166 |
1,097 |
$155K |
| 88342 |
|
3,763 |
3,395 |
$155K |
| 67311 |
|
621 |
607 |
$153K |
| 76536 |
|
1,919 |
1,858 |
$153K |
| 73590 |
|
2,808 |
2,482 |
$149K |
| 95800 |
|
746 |
702 |
$148K |
| 80197 |
|
24,765 |
14,872 |
$148K |
| 86762 |
|
9,003 |
8,555 |
$148K |
| 76885 |
|
945 |
919 |
$148K |
| 93005 |
|
46,483 |
38,177 |
$147K |
| 97802 |
|
3,907 |
3,714 |
$145K |
| 77063 |
|
1,519 |
1,495 |
$143K |
| 88307 |
|
5,124 |
4,346 |
$142K |
| 93225 |
|
2,203 |
2,100 |
$141K |
| 73560 |
|
3,806 |
3,325 |
$141K |
| 86832 |
|
6,033 |
5,301 |
$140K |
| 72158 |
|
1,259 |
1,194 |
$140K |
| 87102 |
|
3,297 |
3,016 |
$135K |
| 85007 |
|
20,863 |
15,136 |
$134K |
| 77300 |
|
299 |
271 |
$133K |
| Q9958 |
Hocm <=149 mg/ml iodine, 1ml |
994 |
804 |
$132K |
| 77295 |
|
141 |
109 |
$130K |
| 74176 |
|
2,434 |
2,252 |
$129K |
| 89051 |
|
3,074 |
2,517 |
$129K |
| 86480 |
|
5,106 |
4,763 |
$128K |
| 86359 |
|
5,576 |
5,217 |
$128K |
| 77386 |
|
1,453 |
117 |
$128K |
| 73110 |
|
2,039 |
1,840 |
$128K |
| 73030 |
|
2,868 |
2,569 |
$127K |
| 70486 |
|
1,690 |
1,604 |
$124K |
| 69210 |
|
703 |
669 |
$123K |
| G0270 |
Mnt subs tx for change dx |
5,323 |
4,751 |
$123K |
| 97162 |
|
6,468 |
6,025 |
$122K |
| 93308 |
|
1,636 |
1,458 |
$120K |
| 43762 |
|
2,307 |
2,136 |
$118K |
| 43239 |
|
4,518 |
4,396 |
$117K |
| 76801 |
|
2,649 |
2,430 |
$114K |
| 73140 |
|
867 |
817 |
$114K |
| 76642 |
|
3,112 |
2,594 |
$113K |
| 86704 |
|
4,178 |
3,775 |
$113K |
| 86803 |
|
20,149 |
19,178 |
$113K |
| 99215 |
Prolong outpt/office vis |
10,612 |
10,006 |
$111K |
| 92524 |
|
1,099 |
1,047 |
$111K |
| 82670 |
|
1,946 |
1,882 |
$111K |
| 83516 |
|
4,382 |
3,541 |
$106K |
| 64615 |
|
1,612 |
1,554 |
$106K |
| 93970 |
|
733 |
680 |
$105K |
| 82607 |
|
10,547 |
10,149 |
$101K |
| 97140 |
|
13,468 |
5,736 |
$100K |
| 94664 |
|
5,523 |
5,189 |
$100K |
| 80076 |
|
4,981 |
4,667 |
$99K |
| 82627 |
|
913 |
898 |
$97K |
| 77290 |
|
86 |
68 |
$95K |
| 97116 |
|
4,099 |
1,978 |
$95K |
| 78452 |
|
291 |
281 |
$93K |
| 97161 |
|
4,681 |
4,526 |
$93K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
1,314 |
705 |
$93K |
| 73552 |
|
1,941 |
1,731 |
$92K |
| 11982 |
|
385 |
355 |
$92K |
| 86140 |
|
17,505 |
15,887 |
$92K |
| 93304 |
|
1,169 |
997 |
$92K |
| 82043 |
|
7,524 |
7,285 |
$90K |
| 83001 |
|
3,151 |
3,081 |
$89K |
| 82040 |
|
5,041 |
4,861 |
$89K |
| 84443 |
|
35,078 |
32,672 |
$88K |
| 97535 |
|
4,583 |
2,732 |
$88K |
| 76937 |
|
3,196 |
2,673 |
$88K |
| 88341 |
|
2,105 |
1,430 |
$88K |
| 74019 |
|
1,471 |
1,411 |
$87K |
| 10060 |
|
528 |
504 |
$87K |
| 90686 |
|
16,097 |
15,734 |
$85K |
| 86003 |
|
4,927 |
3,158 |
$85K |
| 73562 |
|
1,568 |
1,341 |
$84K |
| 92602 |
|
249 |
200 |
$83K |
| 77080 |
|
779 |
744 |
$82K |
| 83519 |
|
1,390 |
1,278 |
$81K |
| 72100 |
|
2,089 |
2,011 |
$80K |
| P9016 |
Rbc leukocytes reduced |
6,400 |
5,273 |
$80K |
| 73502 |
|
2,186 |
2,055 |
$78K |
| 95886 |
|
631 |
619 |
$77K |
| 83520 |
|
2,245 |
2,075 |
$77K |
| 69209 |
|
530 |
515 |
$77K |
| 92025 |
|
1,044 |
1,002 |
$76K |
| 92083 |
|
3,583 |
3,467 |
$75K |
| 94776 |
|
310 |
285 |
$74K |
| 72125 |
|
3,656 |
3,405 |
$73K |
| G0108 |
Diab manage trn per indiv |
1,269 |
1,212 |
$72K |
| 93017 |
|
1,196 |
1,153 |
$70K |
| 84484 |
|
26,365 |
17,198 |
$69K |
| 87389 |
|
31,202 |
29,930 |
$69K |
| 96368 |
|
1,290 |
1,002 |
$69K |
| 87529 |
|
2,572 |
1,621 |
$68K |
| 97112 |
|
2,548 |
1,024 |
$68K |
| 77072 |
|
1,518 |
1,477 |
$67K |
| 74220 |
|
727 |
710 |
$67K |
| 94618 |
|
2,574 |
2,438 |
$67K |
| 76870 |
|
645 |
612 |
$66K |
| 80074 |
|
1,348 |
1,248 |
$65K |
| 82310 |
|
2,075 |
1,852 |
$65K |
| 87075 |
|
2,370 |
2,025 |
$64K |
| J2405 |
Ondansetron hcl injection |
64,349 |
51,598 |
$64K |
| 81220 |
|
670 |
620 |
$64K |
| 87807 |
|
772 |
756 |
$63K |
| 0064U |
|
206 |
189 |
$61K |
| 95885 |
|
417 |
412 |
$59K |
| 99281 |
|
289 |
286 |
$59K |
| 0065U |
|
249 |
234 |
$59K |
| 0099U |
|
920 |
869 |
$58K |
| 0003A |
|
1,683 |
1,632 |
$58K |
| 94640 |
|
15,421 |
11,423 |
$56K |
| 83880 |
|
12,981 |
11,051 |
$56K |
| 94621 |
|
299 |
283 |
$56K |
| 76856 |
|
2,315 |
2,210 |
$56K |
| 87015 |
|
952 |
841 |
$55K |
| 42820 |
|
954 |
941 |
$54K |
| P9612 |
Catheterize for urine spec |
1,240 |
1,165 |
$54K |
| 93320 |
|
11,357 |
9,928 |
$53K |
| 72040 |
|
1,171 |
1,140 |
$53K |
| 97165 |
|
2,138 |
1,996 |
$53K |
| D1120 |
|
777 |
613 |
$53K |
| C1729 |
Cath, drainage |
2,353 |
1,743 |
$52K |
| 90715 |
|
7,622 |
7,440 |
$51K |
| 36593 |
|
1,299 |
882 |
$50K |
| 92552 |
|
303 |
290 |
$49K |
| 71260 |
|
7,499 |
7,122 |
$49K |
| 92250 |
|
3,101 |
2,968 |
$48K |
| 49083 |
|
444 |
240 |
$47K |
| 86146 |
|
1,550 |
1,031 |
$47K |
| 78815 |
|
1,771 |
1,719 |
$46K |
| 77066 |
Tomosynthesis, mammo |
1,750 |
1,717 |
$45K |
| 76942 |
|
1,159 |
1,078 |
$45K |
| 80164 |
|
2,395 |
2,183 |
$44K |
| 82550 |
|
5,135 |
4,431 |
$44K |
| 78306 |
|
264 |
251 |
$44K |
| 93975 |
|
3,306 |
3,091 |
$44K |
| 20610 |
|
647 |
620 |
$44K |
| 77067 |
|
2,351 |
2,321 |
$43K |
| 74177 |
|
10,685 |
10,061 |
$43K |
| 77061 |
|
302 |
294 |
$43K |
| J1170 |
Hydromorphone injection |
37,105 |
19,131 |
$43K |
| 84305 |
|
2,117 |
2,050 |
$43K |
| C1769 |
Guide wire |
10,879 |
9,397 |
$43K |
| Q9950 |
Inj sulf hexa lipid microsph |
287 |
142 |
$42K |
| 97803 |
|
3,195 |
2,906 |
$41K |
| J0330 |
Succinycholine chloride inj |
4,673 |
3,836 |
$40K |
| 80177 |
|
1,495 |
1,397 |
$39K |
| 86592 |
|
1,161 |
1,051 |
$39K |
| 87040 |
|
8,342 |
5,512 |
$38K |
| 86902 |
|
7,654 |
4,797 |
$38K |
| 73060 |
|
771 |
708 |
$38K |
| G2066 |
Inter devc remote 30d |
940 |
895 |
$36K |
| 97166 |
|
2,867 |
2,619 |
$36K |
| 88184 |
|
2,216 |
1,666 |
$36K |
| J2274 |
Inj morphine pf epid ithc |
6,578 |
5,741 |
$36K |
| 86706 |
|
5,530 |
5,055 |
$36K |
| 88172 |
|
1,266 |
1,107 |
$36K |
| 45378 |
|
624 |
598 |
$36K |
| 80320 |
|
3,471 |
3,057 |
$36K |
| 93880 |
|
268 |
239 |
$36K |
| 99204 |
|
1,474 |
1,426 |
$35K |
| 76700 |
|
334 |
323 |
$35K |
| 86225 |
|
6,076 |
5,804 |
$35K |
| 93299 |
|
532 |
510 |
$35K |
| 76512 |
|
417 |
374 |
$35K |
| 0072A |
|
872 |
852 |
$34K |
| 87340 |
|
18,035 |
16,870 |
$34K |
| 83735 |
|
64,678 |
41,201 |
$34K |
| 92136 |
|
646 |
623 |
$33K |
| 43235 |
|
1,243 |
1,212 |
$32K |
| 76882 |
|
538 |
506 |
$32K |
| G0480 |
Drug test def 1-7 classes |
1,694 |
1,573 |
$32K |
| 72146 |
|
157 |
149 |
$31K |
| 84146 |
|
2,341 |
2,284 |
$31K |
| 82390 |
|
4,697 |
4,631 |
$31K |
| J1650 |
Inj enoxaparin sodium |
5,741 |
2,524 |
$30K |
| 87536 |
|
4,645 |
4,387 |
$30K |
| 87661 |
|
43,673 |
42,090 |
$30K |
| 97750 |
|
731 |
663 |
$30K |
| 82803 |
|
30,575 |
22,960 |
$30K |
| 90670 |
|
7,129 |
7,042 |
$29K |
| Q2036 |
Flulaval vacc, 3 yrs & >, im |
7,425 |
7,321 |
$29K |
| 86695 |
|
1,206 |
1,051 |
$28K |
| 73100 |
|
318 |
287 |
$28K |
| 86355 |
|
2,503 |
2,249 |
$28K |
| 87522 |
Neg quan hep c or qual rna |
2,846 |
2,647 |
$28K |
| 72157 |
|
838 |
792 |
$27K |
| 76818 |
|
229 |
198 |
$27K |
| A9577 |
Inj multihance |
3,965 |
2,815 |
$27K |
| 72170 |
|
929 |
878 |
$27K |
| 17250 |
|
69 |
62 |
$27K |
| J1644 |
Inj heparin sodium per 1000u |
15,253 |
8,648 |
$27K |
| 87426 |
|
612 |
549 |
$26K |
| 94726 |
|
2,170 |
2,061 |
$26K |
| C9113 |
Inj pantoprazole sodium, via |
1,910 |
681 |
$26K |
| 96409 |
|
2,798 |
1,795 |
$26K |
| 93321 |
|
2,706 |
2,350 |
$26K |
| 86644 |
|
2,859 |
2,485 |
$26K |
| 87101 |
|
322 |
294 |
$26K |
| 54161 |
|
607 |
605 |
$26K |
| J1642 |
Inj heparin sodium per 10 u |
31,354 |
12,729 |
$26K |
| 0399T |
|
789 |
613 |
$26K |
| 86769 |
|
843 |
803 |
$25K |
| 88302 |
|
123 |
116 |
$25K |
| 76376 |
|
185 |
181 |
$25K |
| 12011 |
|
210 |
205 |
$25K |
| 82103 |
|
697 |
646 |
$24K |
| 78451 |
|
98 |
95 |
$24K |
| 36416 |
|
19,253 |
17,697 |
$23K |
| 95951 |
|
204 |
149 |
$23K |
| 82085 |
|
594 |
564 |
$23K |
| 83993 |
|
919 |
876 |
$23K |
| 84100 |
|
48,940 |
31,246 |
$23K |
| 97163 |
|
2,588 |
2,443 |
$23K |
| A9609 |
F18 fdg, 15 millicuries |
67 |
65 |
$23K |
| 0071A |
|
588 |
583 |
$22K |
| 82533 |
|
1,780 |
1,631 |
$22K |
| 87497 |
|
9,550 |
6,288 |
$22K |
| 86317 |
|
5,384 |
3,127 |
$22K |
| 93351 |
|
561 |
504 |
$22K |
| 77065 |
Tomosynthesis, mammo |
869 |
851 |
$22K |
| 70480 |
|
105 |
102 |
$21K |
| 83615 |
|
18,494 |
14,203 |
$21K |
| 74455 |
|
468 |
462 |
$21K |
| 95819 |
|
143 |
138 |
$21K |
| 90633 |
|
5,555 |
5,466 |
$21K |
| 31526 |
|
339 |
297 |
$21K |
| 94681 |
|
76 |
71 |
$21K |
| 82378 |
|
1,189 |
1,104 |
$21K |
| 86481 |
|
1,087 |
1,025 |
$21K |
| 43760 |
|
358 |
324 |
$21K |
| 76000 |
|
999 |
967 |
$20K |
| D2930 |
|
397 |
322 |
$20K |
| 76820 |
|
4,293 |
2,255 |
$20K |
| 20680 |
|
89 |
88 |
$20K |
| 12001 |
|
102 |
99 |
$20K |
| J1885 |
Ketorolac tromethamine inj |
23,855 |
20,615 |
$20K |
| 86696 |
|
1,437 |
1,273 |
$19K |
| 95708 |
|
109 |
50 |
$19K |
| 93270 |
|
100 |
95 |
$19K |
| 93298 |
|
417 |
407 |
$19K |
| 85014 |
|
28,684 |
23,513 |
$18K |
| 84402 |
|
1,390 |
1,353 |
$18K |
| 92651 |
|
176 |
173 |
$18K |
| 74240 |
|
127 |
123 |
$18K |
| 76813 |
|
264 |
247 |
$18K |
| 83540 |
|
22,025 |
20,670 |
$18K |
| 70491 |
|
1,710 |
1,618 |
$17K |
| 92611 |
|
2,613 |
2,451 |
$17K |
| 42830 |
|
89 |
87 |
$17K |
| J2270 |
Morphine sulfate injection |
10,314 |
7,795 |
$16K |
| 84155 |
|
5,395 |
5,149 |
$16K |
| U0002 |
Covid-19 lab test non-cdc |
290 |
243 |
$16K |
| 0097U |
|
568 |
534 |
$16K |
| J2250 |
Inj midazolam hydrochloride |
29,319 |
26,625 |
$16K |
| 85730 |
|
14,652 |
12,547 |
$16K |
| 86200 |
|
1,896 |
1,865 |
$15K |
| 84436 |
|
683 |
669 |
$15K |
| 73080 |
|
190 |
177 |
$15K |
| 90651 |
|
5,250 |
5,178 |
$15K |
| 0053A |
|
890 |
866 |
$15K |
| 88314 |
|
989 |
756 |
$15K |
| 88112 |
|
1,451 |
1,329 |
$14K |
| 72081 |
|
151 |
143 |
$14K |
| 87591 |
|
51,502 |
49,428 |
$14K |
| J3475 |
Inj magnesium sulfate |
5,589 |
3,627 |
$14K |
| J0696 |
Ceftriaxone sodium injection |
7,677 |
5,903 |
$14K |
| C1751 |
Cath, inf, per/cent/midline |
2,287 |
1,814 |
$14K |
| 84481 |
|
2,385 |
2,223 |
$13K |
| 41899 |
|
572 |
518 |
$13K |
| J2550 |
Promethazine hcl injection |
4,879 |
3,579 |
$13K |
| 77001 |
|
919 |
857 |
$13K |
| 82150 |
|
1,909 |
1,391 |
$13K |
| 92586 |
|
60 |
56 |
$13K |
| 80175 |
|
630 |
592 |
$13K |
| 54150 |
|
52 |
52 |
$12K |
| 82024 |
|
211 |
200 |
$12K |
| 70543 |
|
73 |
73 |
$12K |
| 95953 |
|
32 |
13 |
$12K |
| 82270 |
|
146 |
136 |
$12K |
| 90696 |
|
1,879 |
1,853 |
$12K |
| J3010 |
Fentanyl citrate injection |
44,800 |
39,740 |
$12K |
| 83921 |
|
605 |
555 |
$12K |
| 84145 |
|
1,472 |
1,328 |
$12K |
| 86235 |
|
4,150 |
2,701 |
$12K |
| P9038 |
Rbc irradiated |
1,312 |
986 |
$12K |
| J0690 |
Cefazolin sodium injection |
21,193 |
17,626 |
$12K |
| L0172 |
Cerv col sr foam 2pc pre ots |
196 |
185 |
$11K |
| 82525 |
|
505 |
479 |
$11K |
| 82610 |
|
7,335 |
6,405 |
$11K |
| 85396 |
|
141 |
135 |
$11K |
| 82652 |
|
476 |
449 |
$11K |
| C1725 |
Cath, translumin non-laser |
2,436 |
2,088 |
$11K |
| P9040 |
Rbc leukoreduced irradiated |
645 |
479 |
$11K |
| 72070 |
|
283 |
274 |
$10K |
| 83498 |
|
940 |
922 |
$10K |
| 87631 |
|
887 |
818 |
$10K |
| 58301 |
|
66 |
64 |
$10K |
| J3480 |
Inj potassium chloride |
2,535 |
1,409 |
$10K |
| 85379 |
|
3,158 |
2,896 |
$10K |
| 84134 |
|
4,495 |
4,239 |
$10K |
| 84403 |
|
4,282 |
4,031 |
$10K |
| 87186 |
|
12,029 |
10,987 |
$10K |
| 70250 |
|
82 |
73 |
$10K |
| J0780 |
Prochlorperazine injection |
3,057 |
2,728 |
$10K |
| J1100 |
Dexamethasone sodium phos |
31,673 |
27,168 |
$10K |
| 97032 |
|
108 |
52 |
$9K |
| J1200 |
Diphenhydramine hcl injectio |
12,350 |
8,308 |
$9K |
| 86364 |
|
2,554 |
2,118 |
$9K |
| 84270 |
|
479 |
467 |
$9K |
| 90471 |
|
48,709 |
47,487 |
$9K |
| 85652 |
|
17,128 |
16,056 |
$9K |
| 73120 |
|
540 |
337 |
$9K |
| 83690 |
|
17,144 |
14,431 |
$9K |
| 45385 |
|
871 |
841 |
$9K |
| 86645 |
|
234 |
219 |
$9K |
| 90677 |
|
2,353 |
2,307 |
$9K |
| 77073 |
|
117 |
114 |
$9K |
| 84156 |
|
20,515 |
17,454 |
$9K |
| 84144 |
|
241 |
226 |
$9K |
| 73564 |
|
208 |
152 |
$8K |
| 92556 |
|
178 |
166 |
$8K |
| 84446 |
|
1,201 |
1,171 |
$8K |
| 78264 |
|
27 |
26 |
$8K |
| 84630 |
|
6,097 |
5,926 |
$8K |
| 88230 |
|
483 |
460 |
$8K |
| 83970 |
|
10,092 |
9,347 |
$8K |
| 86787 |
|
4,621 |
4,219 |
$8K |
| J2765 |
Metoclopramide hcl injection |
1,027 |
858 |
$8K |
| 81513 |
|
91 |
85 |
$8K |
| 93325 |
|
15,874 |
13,939 |
$8K |
| 82077 |
|
854 |
772 |
$8K |
| 84681 |
|
768 |
721 |
$7K |
| 82657 |
|
70 |
66 |
$7K |
| 88346 |
|
2,089 |
1,629 |
$7K |
| L3908 |
Who cock-up nonmolde pre ots |
74 |
69 |
$7K |
| 73620 |
|
518 |
353 |
$7K |
| 86160 |
|
6,255 |
4,092 |
$7K |
| 88185 |
|
2,709 |
1,477 |
$7K |
| 82746 |
|
9,060 |
8,698 |
$7K |
| 87150 |
|
69 |
64 |
$7K |
| 86705 |
|
632 |
567 |
$7K |
| 75809 |
|
97 |
87 |
$7K |
| 92652 |
|
120 |
117 |
$7K |
| 45380 |
|
1,455 |
1,390 |
$7K |
| 31622 |
|
294 |
263 |
$6K |
| 82010 |
|
1,318 |
1,179 |
$6K |
| 86255 |
|
176 |
153 |
$6K |
| 76377 |
|
131 |
100 |
$6K |
| 99205 |
Prolong outpt/office vis |
269 |
264 |
$6K |
| D1351 |
|
303 |
241 |
$6K |
| 97760 |
|
31 |
27 |
$6K |
| 97597 |
|
416 |
287 |
$6K |
| 87799 |
|
11,619 |
7,556 |
$6K |
| 82248 |
|
17,899 |
15,675 |
$6K |
| 92609 |
|
892 |
387 |
$6K |
| 75574 |
|
942 |
897 |
$6K |
| 77370 |
|
36 |
24 |
$6K |
| C1830 |
Power bone marrow bx needle |
13 |
12 |
$6K |
| 0052A |
|
246 |
239 |
$6K |
| 85045 |
|
24,846 |
18,679 |
$6K |
| J2543 |
Piperacillin/tazobactam |
1,518 |
762 |
$6K |
| 85384 |
|
3,127 |
2,053 |
$6K |
| 73522 |
|
129 |
129 |
$6K |
| 86880 |
|
98 |
81 |
$6K |
| 70496 |
|
764 |
724 |
$6K |
| D0220 |
|
309 |
265 |
$6K |
| 84165 |
|
3,014 |
2,743 |
$6K |
| 76857 |
|
1,145 |
1,117 |
$6K |
| 71275 |
|
1,326 |
1,234 |
$6K |
| 83002 |
|
2,663 |
2,582 |
$6K |
| 75561 |
|
68 |
67 |
$6K |
| 36430 |
|
6,990 |
4,961 |
$6K |
| 87798 |
|
2,203 |
1,863 |
$5K |
| 90620 |
|
1,637 |
1,602 |
$5K |
| 80195 |
|
667 |
458 |
$5K |
| D0240 |
|
51 |
44 |
$5K |
| 84550 |
|
6,809 |
5,188 |
$5K |
| 86663 |
|
371 |
364 |
$5K |
| 88173 |
|
1,545 |
1,345 |
$5K |
| 95713 |
|
94 |
93 |
$5K |
| 64643 |
|
1,050 |
947 |
$5K |
| 84207 |
|
3,115 |
3,080 |
$5K |
| D7140 |
|
585 |
450 |
$5K |
| 90700 |
|
1,969 |
1,954 |
$5K |
| 87081 |
|
481 |
462 |
$5K |
| 87206 |
|
1,825 |
1,534 |
$5K |
| 86304 |
|
1,506 |
1,228 |
$5K |
| 76641 |
|
108 |
103 |
$5K |
| 0241U |
|
127 |
126 |
$5K |
| 49591 |
|
26 |
26 |
$5K |
| 82945 |
|
2,052 |
1,705 |
$5K |
| 93750 |
|
1,417 |
1,060 |
$5K |
| 90935 |
|
1,989 |
814 |
$5K |
| 82977 |
|
6,133 |
5,213 |
$5K |
| 99195 |
|
2,368 |
1,928 |
$5K |
| D0272 |
|
250 |
217 |
$5K |
| 51784 |
|
404 |
379 |
$5K |
| 93886 |
|
459 |
450 |
$5K |
| 84480 |
|
1,109 |
1,029 |
$5K |
| 84295 |
|
14,326 |
11,495 |
$4K |
| G2023 |
Specimen collect covid-19 |
33 |
32 |
$4K |
| 80183 |
|
383 |
373 |
$4K |
| 81370 |
|
226 |
200 |
$4K |
| 36226 |
|
121 |
114 |
$4K |
| 90732 |
|
1,145 |
1,089 |
$4K |
| 85613 |
|
693 |
630 |
$4K |
| 90656 |
|
1,321 |
1,286 |
$4K |
| 87641 |
|
1,544 |
1,439 |
$4K |
| 0012A |
|
70 |
69 |
$4K |
| 91308 |
|
144 |
135 |
$4K |
| 84703 |
|
535 |
513 |
$4K |
| J2795 |
Ropivacaine hcl injection |
4,246 |
3,682 |
$4K |
| J2710 |
Neostigmine methylslfte inj |
1,664 |
1,542 |
$4K |
| 80158 |
|
405 |
176 |
$4K |
| 83525 |
|
872 |
827 |
$4K |
| 81479 |
|
29 |
26 |
$4K |
| 85240 |
|
395 |
368 |
$4K |
| 87640 |
|
1,048 |
991 |
$4K |
| J1630 |
Haloperidol injection |
3,155 |
2,783 |
$4K |
| J1745 |
Infliximab not biosimil 10mg |
1,115 |
926 |
$4K |
| 92550 |
|
42 |
41 |
$4K |
| M0243 |
Casirivi and imdevi inj |
68 |
68 |
$4K |
| 82950 |
|
2,900 |
2,813 |
$4K |
| 81243 |
|
160 |
149 |
$4K |
| 19318 |
|
61 |
61 |
$4K |
| 62369 |
|
611 |
572 |
$4K |
| 64644 |
|
100 |
90 |
$4K |
| A9502 |
Tc99m tetrofosmin |
432 |
391 |
$4K |
| J3370 |
Vancomycin hcl injection |
2,152 |
1,582 |
$4K |
| 92597 |
|
106 |
96 |
$4K |
| 49465 |
|
29 |
27 |
$4K |
| 84425 |
|
4,717 |
4,661 |
$3K |
| J1940 |
Furosemide injection |
2,524 |
1,792 |
$3K |
| 74178 |
|
441 |
424 |
$3K |
| J1050 |
Medroxyprogesterone acetate |
11,411 |
11,063 |
$3K |
| 87338 |
|
212 |
209 |
$3K |
| C1758 |
Catheter, ureteral |
1,746 |
1,649 |
$3K |
| 84157 |
|
2,169 |
1,795 |
$3K |
| 73000 |
|
39 |
36 |
$3K |
| 84132 |
|
14,943 |
11,950 |
$3K |
| 82140 |
|
238 |
224 |
$3K |
| 90734 |
|
4,679 |
4,604 |
$3K |
| 87481 |
|
100 |
95 |
$3K |
| 82951 |
|
447 |
431 |
$3K |
| 54640 |
|
13 |
13 |
$3K |
| 86665 |
|
2,707 |
2,365 |
$3K |
| 83605 |
|
25,227 |
20,001 |
$3K |
| 86923 |
|
10,070 |
6,104 |
$3K |
| 84432 |
|
83 |
78 |
$3K |
| J2060 |
Lorazepam injection |
2,534 |
2,043 |
$3K |
| 92511 |
|
30 |
29 |
$3K |
| 81231 |
|
15 |
13 |
$3K |
| B4088 |
Gastro/jejuno tube, low-pro |
13 |
13 |
$3K |
| 97014 |
|
27 |
12 |
$3K |
| J2370 |
Phenylephrine hcl injection |
3,221 |
2,964 |
$3K |
| 90710 |
|
2,575 |
2,540 |
$3K |
| 11100 |
|
165 |
160 |
$3K |
| 73600 |
|
62 |
52 |
$3K |
| J0171 |
Adrenalin epinephrine inject |
5,246 |
4,923 |
$3K |
| J0131 |
Inj, acetaminophen (nos) |
5,435 |
4,996 |
$3K |
| 11102 |
|
195 |
187 |
$3K |
| J1610 |
Glucagon hydrochloride/1 mg |
29 |
25 |
$2K |
| 83521 |
|
1,537 |
699 |
$2K |
| J3301 |
Triamcinolone acet inj nos |
2,319 |
2,138 |
$2K |
| 70544 |
|
12 |
12 |
$2K |
| C1894 |
Intro/sheath, non-laser |
7,907 |
6,737 |
$2K |
| 51600 |
|
541 |
523 |
$2K |
| 86147 |
|
1,564 |
1,049 |
$2K |
| J0612 |
Inj, calcium gluconate, nos |
365 |
244 |
$2K |
| 0124A |
|
508 |
498 |
$2K |
| 83020 |
|
60 |
56 |
$2K |
| 84300 |
|
556 |
515 |
$2K |
| 94644 |
|
675 |
594 |
$2K |
| 74181 |
|
12 |
12 |
$2K |
| 96411 |
|
1,910 |
1,286 |
$2K |
| J1790 |
Droperidol injection |
1,373 |
1,154 |
$2K |
| 96118 |
|
42 |
40 |
$2K |
| 51798 |
|
373 |
346 |
$2K |
| 0051A |
|
109 |
108 |
$2K |
| 51741 |
|
73 |
67 |
$2K |
| 86431 |
|
1,844 |
1,804 |
$2K |
| 36600 |
|
195 |
167 |
$2K |
| 51701 |
|
668 |
613 |
$2K |
| J7307 |
Etonogestrel implant system |
608 |
574 |
$2K |
| 76506 |
|
15 |
12 |
$2K |
| 86376 |
|
1,748 |
1,682 |
$2K |
| 84445 |
|
163 |
160 |
$2K |
| G0379 |
Direct refer hospital observ |
263 |
239 |
$2K |
| 92626 |
|
43 |
41 |
$2K |
| 82272 |
|
45 |
42 |
$2K |
| 93280 |
|
12 |
12 |
$2K |
| 84153 |
|
812 |
698 |
$2K |
| 97035 |
|
43 |
26 |
$2K |
| 82157 |
|
50 |
48 |
$2K |
| 96138 |
|
103 |
95 |
$2K |
| J2930 |
Methylprednisolone injection |
3,337 |
2,592 |
$2K |
| 83883 |
|
1,707 |
1,115 |
$2K |
| 36561 |
|
53 |
52 |
$2K |
| 88313 |
|
2,508 |
1,897 |
$2K |
| 80143 |
|
114 |
103 |
$2K |
| 80329 |
|
249 |
229 |
$2K |
| 87517 |
|
540 |
492 |
$2K |
| 82164 |
|
52 |
49 |
$2K |
| 52310 |
|
46 |
41 |
$2K |
| 86870 |
|
594 |
369 |
$2K |
| 76821 |
|
2,448 |
1,318 |
$2K |
| L4386 |
Non-pneum walk boot pre cst |
14 |
14 |
$2K |
| 86162 |
|
119 |
113 |
$2K |
| 86833 |
|
5,847 |
5,142 |
$2K |
| 86357 |
|
1,816 |
1,644 |
$2K |
| 90678 |
|
59 |
57 |
$2K |
| 86258 |
|
460 |
233 |
$1K |
| 88360 |
|
52 |
47 |
$1K |
| 80321 |
|
434 |
391 |
$1K |
| 36591 |
|
12,997 |
7,760 |
$1K |
| 85046 |
|
3,474 |
2,527 |
$1K |
| 85397 |
|
25 |
24 |
$1K |
| 97164 |
|
57 |
54 |
$1K |
| G0008 |
Admin influenza virus vac |
6,559 |
6,429 |
$1K |
| 74022 |
|
266 |
252 |
$1K |
| 80179 |
|
75 |
70 |
$1K |
| 94770 |
|
15 |
12 |
$1K |
| 80323 |
|
78 |
67 |
$1K |
| 84450 |
|
1,177 |
1,105 |
$1K |
| 50435 |
|
59 |
51 |
$1K |
| 90716 |
|
1,732 |
1,693 |
$1K |
| 90707 |
|
1,674 |
1,651 |
$1K |
| 11721 |
|
15 |
15 |
$1K |
| 91307 |
|
55 |
55 |
$1K |
| J2785 |
Regadenoson injection |
310 |
292 |
$1K |
| 87633 |
|
852 |
787 |
$1K |
| M0244 |
Casirivi and imdevi inj hm |
31 |
30 |
$1K |
| 94729 |
|
5,739 |
5,438 |
$1K |
| 85347 |
|
2,792 |
1,956 |
$1K |
| 0154A |
|
91 |
91 |
$1K |
| G0481 |
Drug test def 8-14 classes |
160 |
143 |
$1K |
| J1580 |
Garamycin gentamicin inj |
163 |
138 |
$1K |
| J3420 |
Vitamin b12 injection |
653 |
563 |
$1K |
| 0082A |
|
112 |
110 |
$1K |
| 99407 |
|
35 |
28 |
$987.52 |
| J3372 |
Inj, vancomycin hcl (xellia) |
418 |
267 |
$976.88 |
| 86735 |
|
203 |
193 |
$967.83 |
| 95911 |
|
27 |
25 |
$966.22 |
| M0222 |
Bebtelovimab injection |
20 |
19 |
$963.83 |
| 86777 |
|
1,053 |
871 |
$945.76 |
| 86580 |
|
111 |
99 |
$935.41 |
| 84460 |
|
2,659 |
2,529 |
$933.83 |
| 95874 |
|
1,307 |
1,214 |
$927.80 |
| J0561 |
Penicillin g benzathine inj |
190 |
132 |
$903.89 |
| 76827 |
|
976 |
929 |
$901.11 |
| J1815 |
Insulin injection |
145 |
72 |
$876.32 |
| J1756 |
Iron sucrose injection |
2,468 |
1,467 |
$869.27 |
| 92504 |
|
904 |
870 |
$863.16 |
| 70498 |
|
1,103 |
1,047 |
$844.30 |
| 77412 |
|
300 |
39 |
$837.42 |
| 90660 |
|
85 |
84 |
$832.02 |
| A4210 |
Nonneedle injection device |
82 |
81 |
$818.73 |
| 82435 |
|
1,001 |
910 |
$811.05 |
| 86708 |
|
967 |
851 |
$779.17 |
| 84590 |
|
1,218 |
1,188 |
$776.86 |
| 90685 |
|
306 |
301 |
$744.68 |
| 78803 |
|
12 |
12 |
$730.59 |
| 0011A |
|
12 |
12 |
$728.79 |
| 84478 |
|
390 |
255 |
$698.02 |
| 86341 |
|
54 |
49 |
$695.95 |
| 93356 |
|
3,157 |
2,749 |
$681.67 |
| 90723 |
|
6,265 |
6,213 |
$659.37 |
| 84075 |
|
753 |
685 |
$654.28 |
| 92522 |
|
12 |
12 |
$637.15 |
| 90744 |
|
287 |
260 |
$635.08 |
| 97022 |
|
27 |
12 |
$603.87 |
| 90472 |
|
16,903 |
16,628 |
$580.00 |
| 72131 |
|
12 |
12 |
$550.67 |
| 62270 |
|
307 |
260 |
$537.38 |
| 90694 |
|
432 |
414 |
$532.08 |
| 90661 |
|
273 |
272 |
$519.24 |
| 82379 |
|
168 |
161 |
$498.88 |
| J9370 |
Vincristine sulfate 1 mg inj |
2,088 |
1,389 |
$493.29 |
| 87184 |
|
800 |
727 |
$490.38 |
| J0881 |
Darbepoetin alfa, non-esrd |
435 |
317 |
$475.45 |
| 99173 |
|
9,243 |
9,120 |
$460.22 |
| 81374 |
|
12 |
12 |
$454.87 |
| 87177 |
|
15 |
14 |
$433.96 |
| 86301 |
|
172 |
158 |
$424.42 |
| 87625 |
|
317 |
311 |
$402.26 |
| 82365 |
|
14 |
13 |
$387.30 |
| 29065 |
|
25 |
25 |
$377.96 |
| 76776 |
|
56 |
51 |
$355.35 |
| 99152 |
|
5,263 |
4,833 |
$337.84 |
| 76932 |
|
252 |
179 |
$314.60 |
| 91320 |
|
112 |
108 |
$311.00 |
| 0081A |
|
65 |
65 |
$287.00 |
| 86039 |
|
2,148 |
2,078 |
$285.28 |
| 90680 |
|
3,262 |
3,243 |
$276.77 |
| M0247 |
Sotrovimab infusion |
74 |
69 |
$268.50 |
| 82088 |
|
13 |
13 |
$259.75 |
| J0735 |
Clonidine hydrochloride |
424 |
417 |
$246.19 |
| 86308 |
|
12 |
12 |
$238.69 |
| J0610 |
Calcium glucon (fresenius) |
1,836 |
1,159 |
$231.47 |
| 83930 |
|
76 |
66 |
$230.45 |
| 83010 |
|
404 |
372 |
$214.03 |
| 85246 |
|
58 |
57 |
$203.24 |
| 86901 |
|
36,812 |
29,543 |
$197.61 |
| 86334 |
|
1,391 |
1,239 |
$190.48 |
| 96120 |
|
118 |
115 |
$182.39 |
| 80201 |
|
14 |
14 |
$155.99 |
| 87116 |
|
1,009 |
885 |
$145.02 |
| 75573 |
|
61 |
54 |
$144.36 |
| 96139 |
|
102 |
94 |
$144.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,747 |
1,624 |
$140.90 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
1,472 |
987 |
$140.10 |
| 86825 |
|
17 |
12 |
$135.29 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
2,133 |
1,568 |
$129.94 |
| 81406 |
|
26 |
24 |
$126.40 |
| 86920 |
|
2,211 |
1,461 |
$122.85 |
| 92227 |
|
47 |
45 |
$120.60 |
| C1760 |
Closure dev, vasc |
313 |
294 |
$118.00 |
| 96146 |
|
77 |
74 |
$103.83 |
| 86360 |
|
5,548 |
5,174 |
$92.70 |
| 88108 |
|
617 |
516 |
$91.09 |
| 31502 |
|
12 |
12 |
$85.09 |
| 87088 |
|
1,467 |
1,389 |
$81.73 |
| 51728 |
|
100 |
91 |
$75.19 |
| 86008 |
|
202 |
187 |
$69.16 |
| 86800 |
|
966 |
921 |
$65.91 |
| 86141 |
|
34 |
25 |
$64.43 |
| J0360 |
Hydralazine hcl injection |
864 |
740 |
$52.39 |
| 90655 |
|
82 |
79 |
$46.69 |
| 87581 |
|
1,752 |
1,493 |
$45.24 |
| 51797 |
|
94 |
87 |
$40.90 |
| 86682 |
|
26 |
22 |
$30.89 |
| 84244 |
|
27 |
27 |
$27.79 |
| 83935 |
|
13 |
12 |
$25.33 |
| 82239 |
|
12 |
12 |
$23.42 |
| 85245 |
|
61 |
61 |
$23.28 |
| 82373 |
|
27 |
27 |
$23.27 |
| 82397 |
|
14 |
13 |
$19.31 |
| 88312 |
|
1,426 |
1,210 |
$19.17 |
| 84466 |
|
9,110 |
8,565 |
$17.45 |
| 86765 |
|
242 |
232 |
$16.94 |
| J7611 |
Albuterol non-comp con |
3,849 |
3,315 |
$5.01 |
| 84166 |
|
90 |
80 |
$0.24 |
| 91318 |
|
27 |
27 |
$0.02 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
589 |
541 |
$0.00 |
| 88261 |
|
425 |
400 |
$0.00 |
| G8985 |
Carry goal status |
110 |
85 |
$0.00 |
| 86922 |
|
833 |
547 |
$0.00 |
| 84597 |
|
281 |
279 |
$0.00 |
| 87107 |
|
123 |
119 |
$0.00 |
| Q5107 |
Inj mvasi 10 mg |
16 |
12 |
$0.00 |
| 96417 |
|
2,822 |
1,866 |
$0.00 |
| 93567 |
|
101 |
85 |
$0.00 |
| C1887 |
Catheter, guiding |
3,337 |
2,803 |
$0.00 |
| 77012 |
|
305 |
290 |
$0.00 |
| A4216 |
Sterile water/saline, 10 ml |
118 |
96 |
$0.00 |
| J1453 |
Fosaprepitant injection |
1,402 |
987 |
$0.00 |
| 82374 |
|
935 |
857 |
$0.00 |
| D2391 |
|
80 |
66 |
$0.00 |
| 76981 |
|
477 |
455 |
$0.00 |
| 85670 |
|
170 |
158 |
$0.00 |
| 88237 |
|
295 |
234 |
$0.00 |
| 36592 |
|
202 |
123 |
$0.00 |
| D2929 |
|
66 |
50 |
$0.00 |
| 36224 |
|
86 |
71 |
$0.00 |
| J0744 |
Ciprofloxacin iv |
376 |
317 |
$0.00 |
| J9271 |
Inj pembrolizumab |
914 |
728 |
$0.00 |
| 82542 |
|
13 |
12 |
$0.00 |
| G8984 |
Carry current status |
89 |
68 |
$0.00 |
| 81450 |
|
52 |
43 |
$0.00 |
| 11104 |
|
24 |
24 |
$0.00 |
| 81329 |
|
231 |
203 |
$0.00 |
| 84520 |
|
967 |
887 |
$0.00 |
| J1953 |
Levetiracetam injection |
466 |
339 |
$0.00 |
| 85300 |
|
16 |
13 |
$0.00 |
| 75970 |
|
35 |
24 |
$0.00 |
| G8979 |
Mobility goal status |
455 |
376 |
$0.00 |
| G8996 |
Swallow current status |
95 |
71 |
$0.00 |
| J3489 |
Zoledronic acid 1mg |
14 |
12 |
$0.00 |
| J9190 |
Fluorouracil injection |
212 |
111 |
$0.00 |
| G8978 |
Mobility current status |
446 |
373 |
$0.00 |
| 75827 |
|
30 |
25 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
53 |
45 |
$0.00 |
| 80365 |
|
380 |
243 |
$0.00 |
| 87899 |
|
19 |
17 |
$0.00 |
| J0692 |
Cefepime hcl for injection |
64 |
38 |
$0.00 |
| C1788 |
Port, indwelling, imp |
134 |
126 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
201 |
148 |
$0.00 |
| 90713 |
|
42 |
41 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
29 |
28 |
$0.00 |
| J9260 |
Inj methotrexate sodium 50mg |
57 |
41 |
$0.00 |
| 85049 |
|
142 |
92 |
$0.00 |
| 82465 |
|
18 |
17 |
$0.00 |
| J0897 |
Denosumab injection |
13 |
12 |
$0.00 |
| 36005 |
|
47 |
45 |
$0.00 |
| 93460 |
|
54 |
50 |
$0.00 |
| A4315 |
Cath w/drainage 2-way silcne |
112 |
107 |
$0.00 |
| A9541 |
Tc99m sulfur colloid |
37 |
37 |
$0.00 |
| P9045 |
Albumin (human), 5%, 250 ml |
87 |
42 |
$0.00 |
| C1757 |
Cath, thrombectomy/embolect |
46 |
40 |
$0.00 |
| 85306 |
|
17 |
14 |
$0.00 |
| 90473 |
|
55 |
54 |
$0.00 |
| 36010 |
|
12 |
12 |
$0.00 |
| J1569 |
Gammagard liquid injection |
58 |
39 |
$0.00 |
| J2506 |
Inj pegfilgrast ex bio 0.5mg |
45 |
24 |
$0.00 |
| 87076 |
|
13 |
13 |
$0.00 |
| J2323 |
Natalizumab injection |
13 |
12 |
$0.00 |
| G8997 |
Swallow goal status |
95 |
71 |
$0.00 |
| C1776 |
Joint device (implantable) |
13 |
13 |
$0.00 |
| 10005 |
|
13 |
13 |
$0.00 |
| J7511 |
Antithymocyte globuln rabbit |
85 |
40 |
$0.00 |
| 87209 |
|
15 |
14 |
$0.00 |
| 54360 |
|
12 |
12 |
$0.00 |
| J9035 |
Bevacizumab injection |
28 |
24 |
$0.00 |
| 47562 |
|
12 |
12 |
$0.00 |
| 83718 |
|
19 |
18 |
$0.00 |
| J9201 |
In gemcitabine hcl nos 200mg |
23 |
12 |
$0.00 |
| C1874 |
Stent, coated/cov w/del sys |
42 |
39 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
707 |
346 |
$0.00 |
| 87902 |
|
26 |
26 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
23 |
12 |
$0.00 |
| 78816 |
|
28 |
25 |
$0.00 |
| 93568 |
|
16 |
14 |
$0.00 |
| 77003 |
|
51 |
39 |
$0.00 |
| 38222 |
|
30 |
29 |
$0.00 |
| 66982 |
|
16 |
13 |
$0.00 |
| 94642 |
|
29 |
24 |
$0.00 |
| M0220 |
Tixagev and cilgav inj |
21 |
20 |
$0.00 |
| 31624 |
|
15 |
14 |
$0.00 |
| J9310 |
Rituximab injection |
17 |
12 |
$0.00 |
| 70360 |
|
15 |
15 |
$0.00 |
| 0042T |
|
13 |
13 |
$0.00 |
| 87207 |
|
15 |
13 |
$0.00 |
| 43246 |
|
12 |
12 |
$0.00 |
| P9041 |
Albumin (human),5%, 50ml |
16 |
16 |
$0.00 |
| J0689 |
Inj cefazolin sodium, baxter |
14 |
12 |
$0.00 |
| 36227 |
|
18 |
12 |
$0.00 |
| 88350 |
|
3,144 |
1,622 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
3,887 |
3,602 |
$0.00 |
| J2997 |
Alteplase recombinant |
2,369 |
1,831 |
$0.00 |
| D0230 |
|
318 |
278 |
$0.00 |
| 88311 |
|
770 |
662 |
$0.00 |
| 81277 |
|
213 |
182 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
1,085 |
1,043 |
$0.00 |
| D1206 |
|
1,084 |
795 |
$0.00 |
| C1726 |
Cath, bal dil, non-vascular |
1,215 |
1,115 |
$0.00 |
| 96415 |
|
4,392 |
3,320 |
$0.00 |
| 36512 |
|
2,371 |
2,134 |
$0.00 |
| J0461 |
Atropine sulfate injection |
538 |
412 |
$0.00 |
| 90474 |
|
3,084 |
3,062 |
$0.00 |
| 86664 |
|
386 |
379 |
$0.00 |
| J0586 |
Abobotulinumtoxina |
1,136 |
964 |
$0.00 |
| J9045 |
Carboplatin injection |
456 |
283 |
$0.00 |
| C9285 |
Patch, lidocaine/tetracaine |
1,376 |
1,333 |
$0.00 |
| 82952 |
|
332 |
321 |
$0.00 |
| J1097 |
Phenylep ketorolac opth soln |
802 |
692 |
$0.00 |
| 93505 |
|
817 |
592 |
$0.00 |
| C2617 |
Stent, non-cor, tem w/o del |
386 |
359 |
$0.00 |
| J1250 |
Inj dobutamine hcl/250 mg |
258 |
233 |
$0.00 |
| P9035 |
Platelet pheres leukoreduced |
165 |
75 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
610 |
577 |
$0.00 |
| 86921 |
|
604 |
369 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
638 |
633 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
1,332 |
1,159 |
$0.00 |
| 74174 |
|
260 |
250 |
$0.00 |
| J9312 |
Inj., rituximab, 10 mg |
41 |
24 |
$0.00 |
| J7298 |
Mirena, 52 mg |
122 |
116 |
$0.00 |
| D9420 |
|
509 |
370 |
$0.00 |
| 88264 |
|
250 |
200 |
$0.00 |
| J1439 |
Inj ferric carboxymaltos 1mg |
116 |
76 |
$0.00 |
| J7060 |
5% dextrose/water |
447 |
271 |
$0.00 |
| G0010 |
Admin hepatitis b vaccine |
221 |
208 |
$0.00 |
| 90480 |
|
254 |
250 |
$0.00 |
| J0185 |
Inj., aprepitant, 1 mg |
797 |
535 |
$0.00 |
| 88331 |
|
167 |
100 |
$0.00 |
| J9250 |
Methotrexate sodium inj |
409 |
283 |
$0.00 |
| 85303 |
|
19 |
16 |
$0.00 |
| 86687 |
|
78 |
63 |
$0.00 |
| A9503 |
Tc99m medronate |
98 |
89 |
$0.00 |
| A4344 |
Cath indw foley 2 way silicn |
41 |
39 |
$0.00 |
| 52000 |
|
97 |
91 |
$0.00 |
| J1459 |
Inj ivig privigen 500 mg |
156 |
54 |
$0.00 |
| 94660 |
|
90 |
51 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
659 |
598 |
$0.00 |
| 87147 |
|
272 |
259 |
$0.00 |
| 85097 |
|
55 |
36 |
$0.00 |
| J0178 |
Aflibercept injection |
125 |
105 |
$0.00 |
| J2353 |
Octreotide injection, depot |
31 |
24 |
$0.00 |
| 84255 |
|
57 |
50 |
$0.00 |
| 82104 |
|
127 |
119 |
$0.00 |
| 96450 |
|
119 |
106 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
26 |
26 |
$0.00 |
| 83550 |
|
4,249 |
3,994 |
$0.00 |
| J0485 |
Belatacept injection |
183 |
162 |
$0.00 |
| J1950 |
Leuprolide acetate /3.75 mg |
192 |
182 |
$0.00 |
| 93531 |
|
134 |
104 |
$0.00 |
| C1892 |
Intro/sheath,fixed,peel-away |
313 |
278 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
240 |
205 |
$0.00 |
| 93597 |
|
97 |
84 |
$0.00 |
| J1836 |
Inj, metronidazole, 10 mg |
70 |
57 |
$0.00 |
| 50200 |
|
45 |
41 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
47 |
37 |
$0.00 |
| 91319 |
|
15 |
15 |
$0.00 |
| 86945 |
|
67 |
30 |
$0.00 |
| G8987 |
Self care current status |
96 |
74 |
$0.00 |
| G8980 |
Mobility d/c status |
13 |
13 |
$0.00 |
| G8982 |
Body pos goal status |
85 |
76 |
$0.00 |
| J9267 |
Paclitaxel injection |
91 |
46 |
$0.00 |
| 93451 |
|
214 |
191 |
$0.00 |
| C1755 |
Catheter, intraspinal |
40 |
37 |
$0.00 |
| 96377 |
|
15 |
12 |
$0.00 |
| G8981 |
Body pos current status |
69 |
62 |
$0.00 |
| G8988 |
Self care goal status |
98 |
75 |
$0.00 |
| J9070 |
Cyclophosphamide 100 mg inj |
108 |
62 |
$0.00 |
| G8998 |
Swallow d/c status |
19 |
12 |
$0.00 |
| 62367 |
|
13 |
12 |
$0.00 |
| 99291 |
|
39 |
37 |
$0.00 |
| 86905 |
|
47 |
42 |
$0.00 |
| 93463 |
|
14 |
12 |
$0.00 |
| C9463 |
Injection, aprepitant |
30 |
25 |
$0.00 |
| J0697 |
Sterile cefuroxime injection |
82 |
60 |
$0.00 |
| 87158 |
|
66 |
62 |
$0.00 |
| Q0221 |
Tixagev and cilgav, 600mg |
20 |
19 |
$0.00 |
| 93458 |
|
63 |
52 |
$0.00 |
| 82553 |
|
23 |
13 |
$0.00 |
| J1805 |
Inj, esmolol hcl, 10mg |
39 |
36 |
$0.00 |
| 86826 |
|
17 |
12 |
$0.00 |
| 86593 |
|
72 |
69 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
26 |
24 |
$0.00 |
| 29075 |
|
39 |
38 |
$0.00 |
| 86356 |
|
16 |
12 |
$0.00 |
| D0210 |
|
45 |
25 |
$0.00 |
| 88239 |
|
118 |
103 |
$0.00 |
| 62370 |
|
21 |
16 |
$0.00 |
| 87176 |
|
14 |
13 |
$0.00 |
| C9290 |
Inj, bupivacaine liposome |
12 |
12 |
$0.00 |
| 85660 |
|
20 |
20 |
$0.00 |
| J2505 |
Injection, pegfilgrastim 6mg |
21 |
12 |
$0.00 |
| 93596 |
|
18 |
16 |
$0.00 |
| 86353 |
|
15 |
15 |
$0.00 |
| J0456 |
Azithromycin |
21 |
12 |
$0.00 |
| 75820 |
|
45 |
44 |
$0.00 |
| Q0247 |
Sotrovimab |
26 |
25 |
$0.00 |