| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpt clinic visit |
716,216 |
525,350 |
$46.93M |
| 99283 |
|
83,176 |
76,559 |
$8.34M |
| 99214 |
|
214,534 |
198,735 |
$8.32M |
| 99284 |
|
67,080 |
63,143 |
$7.71M |
| 99213 |
|
241,726 |
222,773 |
$6.57M |
| J9271 |
Inj pembrolizumab |
1,495 |
1,089 |
$6.47M |
| J3380 |
Inj vedolizumab iv 1 mg |
1,277 |
1,210 |
$4.95M |
| 99285 |
|
18,116 |
16,237 |
$4.54M |
| 74177 |
|
13,121 |
12,379 |
$2.18M |
| 96374 |
|
19,729 |
17,430 |
$1.96M |
| 96365 |
|
19,858 |
11,942 |
$1.79M |
| 96413 |
|
14,713 |
8,579 |
$1.79M |
| 90853 |
|
38,349 |
8,196 |
$1.75M |
| 78815 |
|
3,234 |
3,120 |
$1.70M |
| 43239 |
|
7,530 |
7,350 |
$1.64M |
| 45385 |
|
4,242 |
4,139 |
$1.55M |
| 99282 |
|
24,928 |
23,562 |
$1.55M |
| 99232 |
|
48,381 |
19,585 |
$1.33M |
| J1745 |
Infliximab not biosimil 10mg |
1,016 |
701 |
$1.33M |
| 92012 |
|
23,873 |
23,091 |
$1.29M |
| G0480 |
Drug test def 1-7 classes |
63,159 |
48,746 |
$1.25M |
| 97110 |
|
61,061 |
25,872 |
$1.23M |
| 90837 |
|
16,416 |
11,211 |
$1.13M |
| 77386 |
|
4,116 |
393 |
$1.10M |
| 90847 |
|
11,605 |
7,478 |
$1.09M |
| 71046 |
|
30,432 |
27,685 |
$1.09M |
| 80307 |
|
82,972 |
62,718 |
$1.08M |
| 90834 |
|
13,705 |
10,089 |
$1.02M |
| 99215 |
Prolong outpt/office vis |
17,132 |
15,118 |
$1.01M |
| Q9991 |
Buprenorph xr 100 mg or less |
602 |
570 |
$973K |
| 90832 |
|
16,428 |
12,181 |
$948K |
| 95810 |
|
2,990 |
2,959 |
$914K |
| 93306 |
|
3,556 |
3,501 |
$861K |
| 45380 |
|
2,639 |
2,566 |
$858K |
| J0585 |
Injection,onabotulinumtoxina |
2,296 |
1,583 |
$836K |
| G0008 |
Admin influenza virus vac |
30,736 |
29,635 |
$830K |
| Q9992 |
Buprenorphine xr over 100 mg |
527 |
494 |
$827K |
| 96360 |
|
8,458 |
6,188 |
$820K |
| 97530 |
|
15,755 |
5,683 |
$806K |
| 0225U |
|
4,174 |
3,878 |
$777K |
| 78452 |
|
1,868 |
1,819 |
$760K |
| 0241U |
|
11,313 |
10,463 |
$759K |
| 70450 |
|
9,373 |
8,687 |
$741K |
| 90791 |
|
6,714 |
6,291 |
$705K |
| 90471 |
|
20,957 |
20,258 |
$696K |
| 96375 |
|
20,089 |
15,145 |
$637K |
| 96361 |
|
19,110 |
15,551 |
$604K |
| J0897 |
Denosumab injection |
576 |
522 |
$597K |
| 20610 |
|
5,587 |
4,893 |
$590K |
| 96130 |
|
4,730 |
4,517 |
$560K |
| 77412 |
|
5,257 |
623 |
$522K |
| 99392 |
|
9,005 |
8,648 |
$471K |
| 92014 |
|
9,470 |
9,252 |
$470K |
| 74176 |
|
4,308 |
4,093 |
$430K |
| 96372 |
|
27,428 |
23,279 |
$402K |
| 77334 |
|
1,466 |
1,092 |
$389K |
| 76705 |
|
5,815 |
5,651 |
$366K |
| 99391 |
|
6,819 |
6,528 |
$364K |
| 95811 |
|
1,329 |
1,303 |
$358K |
| G0009 |
Admin pneumococcal vaccine |
11,382 |
11,278 |
$341K |
| J0185 |
Inj., aprepitant, 1 mg |
2,538 |
1,512 |
$339K |
| 97161 |
|
8,735 |
8,454 |
$337K |
| 90846 |
|
3,260 |
2,546 |
$333K |
| J7307 |
Etonogestrel implant system |
397 |
376 |
$329K |
| 92004 |
|
4,495 |
4,431 |
$327K |
| 90792 |
|
4,130 |
3,967 |
$321K |
| 43235 |
|
1,090 |
1,065 |
$303K |
| 97140 |
|
21,373 |
10,078 |
$303K |
| 80053 |
|
156,872 |
127,020 |
$299K |
| 52000 |
|
1,735 |
1,652 |
$280K |
| 77067 |
|
7,814 |
7,679 |
$277K |
| 94060 |
|
3,690 |
3,561 |
$273K |
| 84443 |
|
49,314 |
46,232 |
$271K |
| 76819 |
|
3,076 |
1,571 |
$265K |
| 11043 |
|
2,128 |
1,637 |
$260K |
| 96367 |
|
6,589 |
3,843 |
$258K |
| 86900 |
|
6,821 |
6,124 |
$255K |
| 92557 |
|
5,263 |
5,096 |
$245K |
| 80061 |
|
33,746 |
32,675 |
$245K |
| J9299 |
Injection, nivolumab |
146 |
77 |
$244K |
| 96366 |
|
6,570 |
3,811 |
$243K |
| 76830 |
|
3,157 |
3,065 |
$238K |
| J2505 |
Injection, pegfilgrastim 6mg |
141 |
95 |
$235K |
| 90960 |
|
4,588 |
4,398 |
$234K |
| Q5104 |
Injection, renflexis |
138 |
113 |
$222K |
| 93010 |
|
51,340 |
44,882 |
$218K |
| 99393 |
|
4,084 |
4,002 |
$215K |
| 69436 |
|
304 |
294 |
$215K |
| 87426 |
|
7,009 |
6,658 |
$213K |
| 87811 |
|
8,492 |
8,237 |
$212K |
| 77336 |
|
3,871 |
1,796 |
$204K |
| 85025 |
|
155,565 |
122,707 |
$204K |
| 87635 |
|
7,393 |
6,516 |
$202K |
| 66984 |
|
441 |
332 |
$202K |
| 82306 |
|
14,697 |
14,162 |
$192K |
| 76816 |
|
3,295 |
2,967 |
$190K |
| 92507 |
|
4,927 |
1,829 |
$187K |
| 99204 |
|
3,045 |
2,973 |
$180K |
| 96131 |
|
4,223 |
4,024 |
$179K |
| 99233 |
Prolong inpt eval add15 m |
4,915 |
2,391 |
$178K |
| 71275 |
|
2,314 |
2,209 |
$171K |
| G0010 |
Admin hepatitis b vaccine |
5,185 |
5,144 |
$171K |
| 71250 |
|
4,536 |
4,417 |
$167K |
| U0004 |
Cov-19 test non-cdc hgh thru |
3,366 |
3,129 |
$159K |
| 77300 |
|
837 |
792 |
$159K |
| J2426 |
Inj, invega sustenna, 1 mg |
136 |
126 |
$156K |
| G0475 |
Hiv combination assay |
8,784 |
8,463 |
$152K |
| 93971 |
|
3,001 |
2,840 |
$148K |
| 96101 |
|
1,191 |
1,069 |
$148K |
| 10060 |
|
1,329 |
1,265 |
$145K |
| 87491 |
|
13,025 |
12,289 |
$144K |
| 87591 |
|
12,950 |
12,216 |
$144K |
| 99310 |
Prolong nursin fac eval 15m |
5,751 |
4,218 |
$144K |
| 93017 |
|
3,394 |
3,285 |
$138K |
| 71260 |
|
4,485 |
4,281 |
$136K |
| 64615 |
|
1,648 |
1,613 |
$136K |
| 71045 |
|
4,215 |
3,858 |
$134K |
| 76770 |
|
2,168 |
2,128 |
$134K |
| 94726 |
|
5,083 |
4,913 |
$131K |
| 96415 |
|
3,574 |
2,517 |
$126K |
| Q3014 |
Telehealth facility fee |
9,360 |
5,253 |
$123K |
| 92060 |
|
10,573 |
10,387 |
$121K |
| G2212 |
Prolong outpt/office vis |
1,610 |
1,192 |
$121K |
| 97112 |
|
6,338 |
3,259 |
$119K |
| 36415 |
|
196,326 |
161,757 |
$119K |
| 97803 |
|
4,018 |
3,853 |
$118K |
| 92552 |
|
1,730 |
1,688 |
$116K |
| 70491 |
|
852 |
813 |
$116K |
| 99203 |
|
3,591 |
3,496 |
$115K |
| 76805 |
|
1,312 |
1,251 |
$115K |
| 90686 |
|
22,032 |
20,994 |
$113K |
| 99212 |
|
7,646 |
7,174 |
$112K |
| 93798 |
|
2,226 |
355 |
$112K |
| 70496 |
|
684 |
653 |
$112K |
| 76817 |
|
2,098 |
1,842 |
$111K |
| 47562 |
|
40 |
40 |
$109K |
| 45378 |
|
320 |
311 |
$105K |
| 97162 |
|
3,394 |
3,275 |
$103K |
| C9803 |
Hopd covid-19 spec collect |
33,992 |
31,343 |
$103K |
| 76536 |
|
1,655 |
1,611 |
$96K |
| 92002 |
|
1,238 |
1,229 |
$95K |
| 93880 |
|
1,365 |
1,336 |
$95K |
| 96417 |
|
3,344 |
2,000 |
$94K |
| 83036 |
|
36,958 |
35,716 |
$94K |
| 93005 |
|
43,932 |
36,141 |
$93K |
| J0178 |
Aflibercept injection |
81 |
75 |
$92K |
| 72100 |
|
4,041 |
3,815 |
$92K |
| 71271 |
|
1,793 |
1,779 |
$91K |
| G0399 |
Home sleep test/type 3 porta |
1,462 |
1,450 |
$91K |
| 74018 |
|
4,660 |
4,079 |
$90K |
| 97597 |
|
1,862 |
1,071 |
$88K |
| 76642 |
|
1,953 |
1,883 |
$85K |
| 95004 |
|
2,406 |
2,367 |
$83K |
| 20553 |
|
773 |
671 |
$81K |
| 90677 |
|
2,140 |
2,120 |
$80K |
| 11102 |
|
1,139 |
1,100 |
$80K |
| 73630 |
|
7,228 |
6,331 |
$80K |
| 11721 |
|
13,286 |
12,873 |
$80K |
| Q5107 |
Inj mvasi 10 mg |
66 |
37 |
$79K |
| 73564 |
|
3,585 |
3,126 |
$79K |
| 73030 |
|
6,720 |
5,988 |
$78K |
| 91200 |
|
1,363 |
1,348 |
$78K |
| 92588 |
|
420 |
417 |
$78K |
| 20611 |
|
623 |
565 |
$77K |
| J7298 |
Mirena, 52 mg |
102 |
95 |
$77K |
| 93970 |
|
700 |
669 |
$77K |
| 86780 |
|
7,001 |
6,649 |
$75K |
| 17110 |
|
2,485 |
2,312 |
$75K |
| 99222 |
|
1,240 |
1,210 |
$73K |
| 88142 |
|
6,220 |
6,107 |
$71K |
| 77063 |
|
7,132 |
7,008 |
$70K |
| 20550 |
|
494 |
431 |
$69K |
| J2357 |
Omalizumab injection |
47 |
25 |
$69K |
| 73610 |
|
5,565 |
4,940 |
$69K |
| 99223 |
Prolong inpt eval add15 m |
1,065 |
1,034 |
$68K |
| Q0091 |
Obtaining screen pap smear |
4,026 |
3,943 |
$66K |
| 99205 |
Prolong outpt/office vis |
696 |
686 |
$66K |
| J9035 |
Bevacizumab injection |
36 |
24 |
$64K |
| 76882 |
|
1,296 |
1,197 |
$63K |
| J1453 |
Fosaprepitant injection |
407 |
256 |
$63K |
| 99239 |
|
1,273 |
1,250 |
$62K |
| 95117 |
|
2,223 |
1,109 |
$61K |
| 77080 |
|
1,838 |
1,816 |
$61K |
| C8929 |
Tte w or wo fol wcon,doppler |
950 |
917 |
$60K |
| 88184 |
|
476 |
428 |
$59K |
| 11042 |
|
533 |
359 |
$59K |
| 87522 |
Neg quan hep c or qual rna |
2,591 |
2,467 |
$59K |
| 77066 |
Tomosynthesis, mammo |
1,084 |
1,061 |
$57K |
| 94010 |
|
4,653 |
4,522 |
$57K |
| 97165 |
|
1,474 |
1,433 |
$55K |
| 95115 |
|
2,091 |
1,120 |
$54K |
| 86003 |
|
1,727 |
1,470 |
$53K |
| 31575 |
|
709 |
681 |
$52K |
| 77301 |
|
112 |
108 |
$52K |
| 82607 |
|
9,630 |
9,244 |
$51K |
| 76801 |
|
583 |
558 |
$50K |
| 99394 |
|
922 |
894 |
$50K |
| 99496 |
|
1,008 |
984 |
$50K |
| G0101 |
Ca screen;pelvic/breast exam |
1,011 |
983 |
$49K |
| 97163 |
|
974 |
955 |
$49K |
| 87086 |
|
25,456 |
23,197 |
$48K |
| 87624 |
|
3,935 |
3,869 |
$48K |
| 85027 |
|
22,364 |
20,075 |
$47K |
| 64483 |
|
122 |
120 |
$47K |
| 82728 |
|
10,948 |
10,321 |
$47K |
| 73110 |
|
3,608 |
3,176 |
$47K |
| 73130 |
|
4,033 |
3,473 |
$47K |
| 99231 |
|
3,154 |
2,014 |
$46K |
| Q0138 |
Ferumoxytol, non-esrd |
361 |
229 |
$45K |
| 80048 |
|
24,130 |
19,808 |
$44K |
| 77290 |
|
352 |
288 |
$44K |
| 73562 |
|
4,464 |
3,987 |
$44K |
| 70486 |
|
1,101 |
1,050 |
$42K |
| 84702 |
|
6,922 |
5,577 |
$42K |
| 90651 |
|
4,530 |
4,486 |
$42K |
| 29581 |
|
453 |
180 |
$41K |
| 99358 |
Prolong nursin fac eval 15m |
790 |
405 |
$39K |
| 88305 |
|
24,019 |
16,211 |
$39K |
| 83655 |
|
4,872 |
4,660 |
$38K |
| 87536 |
|
1,269 |
1,245 |
$38K |
| 93225 |
|
625 |
616 |
$37K |
| 67028 |
|
753 |
709 |
$37K |
| 99308 |
|
3,119 |
2,042 |
$37K |
| 96411 |
|
1,301 |
810 |
$36K |
| 98927 |
|
5,361 |
5,002 |
$36K |
| 96136 |
|
4,643 |
4,436 |
$36K |
| 36561 |
|
25 |
25 |
$36K |
| 99426 |
|
557 |
533 |
$35K |
| 73140 |
|
2,708 |
2,310 |
$35K |
| 92567 |
|
10,113 |
9,800 |
$34K |
| G0472 |
Hep c screen high risk/other |
4,337 |
4,181 |
$34K |
| 84439 |
|
11,723 |
10,881 |
$34K |
| 99454 |
|
2,270 |
2,202 |
$33K |
| 80074 |
|
2,051 |
1,976 |
$33K |
| 73502 |
|
2,961 |
2,760 |
$32K |
| 64721 |
|
40 |
38 |
$32K |
| 87510 |
|
3,183 |
3,045 |
$32K |
| 87480 |
|
3,183 |
3,045 |
$31K |
| 87660 |
|
3,183 |
3,045 |
$31K |
| 90480 |
|
1,826 |
1,789 |
$31K |
| 86480 |
|
868 |
812 |
$31K |
| H0041 |
Fos c chld non-ther per diem |
27 |
27 |
$31K |
| 90670 |
|
8,208 |
8,154 |
$31K |
| 72040 |
|
1,891 |
1,770 |
$31K |
| 84403 |
|
2,220 |
2,084 |
$30K |
| 83970 |
|
2,700 |
2,567 |
$30K |
| 62323 |
|
134 |
125 |
$30K |
| 90732 |
|
676 |
658 |
$30K |
| 76856 |
|
446 |
422 |
$30K |
| 11100 |
|
293 |
287 |
$30K |
| 97802 |
|
488 |
481 |
$29K |
| 96150 |
|
690 |
598 |
$29K |
| 93923 |
|
665 |
647 |
$28K |
| 12001 |
|
1,206 |
1,165 |
$28K |
| 83550 |
|
10,773 |
10,210 |
$28K |
| 91320 |
|
806 |
780 |
$28K |
| 73560 |
|
2,892 |
2,464 |
$28K |
| 93016 |
|
2,618 |
2,510 |
$27K |
| 77280 |
|
517 |
473 |
$27K |
| 83540 |
|
12,593 |
11,934 |
$26K |
| 83516 |
|
4,506 |
2,920 |
$26K |
| 91322 |
|
616 |
605 |
$26K |
| 72110 |
|
709 |
683 |
$26K |
| 73100 |
|
1,484 |
1,195 |
$25K |
| 97166 |
|
931 |
887 |
$25K |
| 99495 |
|
534 |
520 |
$25K |
| 82746 |
|
4,705 |
4,533 |
$24K |
| J1750 |
Inj iron dextran |
197 |
177 |
$24K |
| D1206 |
|
2,029 |
2,014 |
$24K |
| 96152 |
|
674 |
515 |
$23K |
| 96110 |
|
3,244 |
2,569 |
$23K |
| 86140 |
|
18,777 |
15,670 |
$23K |
| 77065 |
Tomosynthesis, mammo |
644 |
608 |
$23K |
| 51705 |
|
480 |
396 |
$23K |
| 58301 |
|
127 |
118 |
$23K |
| 72125 |
|
3,431 |
3,222 |
$22K |
| 97116 |
|
3,041 |
1,560 |
$22K |
| 86618 |
|
4,344 |
3,605 |
$21K |
| J0881 |
Darbepoetin alfa, non-esrd |
171 |
146 |
$21K |
| 97035 |
|
4,336 |
2,056 |
$21K |
| 96910 |
|
784 |
139 |
$21K |
| 76870 |
|
550 |
523 |
$20K |
| 51702 |
|
1,398 |
1,238 |
$20K |
| 0002A |
|
599 |
590 |
$20K |
| 87186 |
|
9,997 |
9,180 |
$20K |
| 43249 |
|
31 |
28 |
$20K |
| 0001A |
|
618 |
612 |
$20K |
| 87081 |
|
9,020 |
8,735 |
$20K |
| 76815 |
|
2,101 |
1,392 |
$20K |
| 36430 |
|
165 |
115 |
$19K |
| 99177 |
|
2,571 |
2,510 |
$19K |
| 96158 |
|
989 |
615 |
$19K |
| 78264 |
|
102 |
101 |
$19K |
| 58300 |
|
460 |
432 |
$18K |
| 82105 |
|
2,394 |
2,275 |
$18K |
| G0103 |
Psa screening |
2,669 |
2,588 |
$18K |
| 87340 |
|
5,423 |
5,187 |
$18K |
| 11056 |
|
729 |
697 |
$18K |
| 90746 |
|
310 |
300 |
$18K |
| 83735 |
|
32,683 |
23,687 |
$17K |
| 99221 |
|
433 |
393 |
$17K |
| 90961 |
|
462 |
436 |
$17K |
| 96127 |
|
3,496 |
3,360 |
$17K |
| 95816 |
|
631 |
594 |
$17K |
| 86762 |
|
3,419 |
3,298 |
$16K |
| G0279 |
Tomosynthesis, mammo |
1,491 |
1,454 |
$16K |
| 70498 |
|
667 |
643 |
$16K |
| 11046 |
|
144 |
105 |
$16K |
| 73080 |
|
1,438 |
1,282 |
$16K |
| 82784 |
|
4,369 |
3,836 |
$16K |
| 93308 |
|
125 |
125 |
$16K |
| 94762 |
|
318 |
317 |
$16K |
| 96137 |
|
3,301 |
3,126 |
$16K |
| 93922 |
|
791 |
783 |
$16K |
| G0297 |
Ldct for lung ca screen |
848 |
838 |
$16K |
| 87798 |
|
889 |
767 |
$15K |
| 97535 |
|
1,592 |
821 |
$15K |
| 83880 |
|
6,341 |
5,648 |
$15K |
| 77338 |
|
118 |
114 |
$15K |
| 72050 |
|
420 |
411 |
$15K |
| 90661 |
|
864 |
858 |
$15K |
| J2997 |
Alteplase recombinant |
74 |
57 |
$14K |
| 73590 |
|
1,426 |
1,250 |
$14K |
| 0064A |
|
1,020 |
930 |
$14K |
| 99238 |
|
357 |
351 |
$14K |
| 80076 |
|
4,188 |
3,960 |
$14K |
| 99188 |
|
1,080 |
1,078 |
$13K |
| 86706 |
|
2,953 |
2,805 |
$13K |
| 98928 |
|
3,375 |
3,141 |
$13K |
| 82570 |
|
9,177 |
8,562 |
$13K |
| 86038 |
|
2,556 |
2,421 |
$13K |
| 85610 |
|
35,171 |
24,633 |
$13K |
| 99406 |
|
868 |
830 |
$12K |
| 90716 |
|
2,672 |
2,662 |
$12K |
| 81001 |
|
38,805 |
34,412 |
$12K |
| 74178 |
|
72 |
66 |
$12K |
| 87427 |
|
2,162 |
1,051 |
$12K |
| 97167 |
|
361 |
355 |
$12K |
| 92015 |
|
6,702 |
6,570 |
$12K |
| 74174 |
|
79 |
78 |
$11K |
| 90870 |
|
52 |
24 |
$11K |
| 11055 |
|
572 |
554 |
$11K |
| 77295 |
|
27 |
24 |
$11K |
| 0124A |
|
852 |
846 |
$11K |
| 88342 |
|
4,721 |
4,498 |
$11K |
| J1097 |
Phenylep ketorolac opth soln |
427 |
321 |
$11K |
| 73090 |
|
879 |
732 |
$11K |
| 92523 |
|
84 |
84 |
$11K |
| 86666 |
|
3,053 |
1,487 |
$11K |
| 17000 |
|
1,725 |
1,636 |
$11K |
| 87905 |
|
4,118 |
3,930 |
$11K |
| 98926 |
|
2,742 |
2,543 |
$10K |
| 0004A |
|
574 |
561 |
$10K |
| 85652 |
|
12,224 |
10,364 |
$10K |
| 76700 |
|
155 |
154 |
$10K |
| 82785 |
|
1,687 |
1,500 |
$10K |
| 87077 |
|
9,269 |
8,445 |
$10K |
| 80164 |
|
2,646 |
2,340 |
$10K |
| 72070 |
|
461 |
445 |
$10K |
| 93793 |
|
4,009 |
2,039 |
$10K |
| 84146 |
|
993 |
959 |
$10K |
| 87808 |
|
3,928 |
3,750 |
$10K |
| 82043 |
|
6,871 |
6,640 |
$9K |
| 81025 |
|
20,100 |
18,452 |
$9K |
| 83690 |
|
19,574 |
17,460 |
$9K |
| G0105 |
Colorectal scrn; hi risk ind |
27 |
26 |
$9K |
| 83993 |
|
682 |
661 |
$9K |
| 0003A |
|
326 |
324 |
$9K |
| 80178 |
|
3,306 |
2,903 |
$9K |
| 90620 |
|
499 |
495 |
$8K |
| 64493 |
|
31 |
25 |
$8K |
| 86704 |
|
2,052 |
1,945 |
$8K |
| 90662 |
|
2,623 |
2,573 |
$8K |
| M0243 |
Casirivi and imdevi inj |
80 |
76 |
$8K |
| C9447 |
Inj, phenylephrine ketorolac |
143 |
111 |
$8K |
| 80159 |
|
1,576 |
1,317 |
$8K |
| 94729 |
|
5,070 |
4,900 |
$8K |
| 52310 |
|
12 |
12 |
$8K |
| 86850 |
|
7,108 |
6,394 |
$7K |
| 84425 |
|
704 |
682 |
$7K |
| 83001 |
|
844 |
809 |
$7K |
| 87070 |
|
5,222 |
4,698 |
$7K |
| 73501 |
|
963 |
875 |
$7K |
| 82947 |
|
2,245 |
2,183 |
$7K |
| 96112 |
|
49 |
48 |
$7K |
| 96156 |
|
201 |
188 |
$7K |
| 99427 |
|
174 |
166 |
$7K |
| 69209 |
|
2,832 |
2,727 |
$7K |
| 86803 |
|
1,294 |
1,241 |
$7K |
| 99359 |
Prolong nursin fac eval 15m |
220 |
106 |
$7K |
| 87147 |
|
3,110 |
2,635 |
$7K |
| 72170 |
|
497 |
463 |
$7K |
| 99309 |
|
395 |
291 |
$7K |
| 92134 |
|
1,898 |
1,839 |
$6K |
| 0081A |
|
156 |
153 |
$6K |
| 86200 |
|
1,324 |
1,237 |
$6K |
| 90619 |
|
1,060 |
1,044 |
$6K |
| 87205 |
|
8,482 |
7,724 |
$6K |
| 84153 |
|
1,722 |
1,614 |
$6K |
| 11730 |
|
82 |
78 |
$6K |
| 96161 |
|
209 |
209 |
$6K |
| 0011A |
|
217 |
216 |
$6K |
| 96523 |
|
324 |
305 |
$5K |
| 73700 |
|
89 |
82 |
$5K |
| 84100 |
|
7,175 |
5,827 |
$5K |
| 93242 |
|
226 |
225 |
$5K |
| 86753 |
|
1,597 |
1,478 |
$5K |
| 99202 |
|
190 |
189 |
$5K |
| 90734 |
|
3,446 |
3,423 |
$5K |
| 69210 |
|
927 |
899 |
$5K |
| 36593 |
|
52 |
41 |
$5K |
| 87045 |
|
1,144 |
1,101 |
$5K |
| 86255 |
|
803 |
722 |
$5K |
| G0499 |
Hepb screen high risk indiv |
357 |
338 |
$5K |
| 74160 |
|
39 |
38 |
$5K |
| 82950 |
|
1,124 |
1,104 |
$5K |
| 86430 |
|
2,113 |
1,984 |
$5K |
| 0012A |
|
196 |
195 |
$5K |
| 64450 |
|
25 |
24 |
$5K |
| 86617 |
|
752 |
654 |
$5K |
| 99173 |
|
2,327 |
2,294 |
$5K |
| 88307 |
|
1,032 |
818 |
$4K |
| 97150 |
|
2,485 |
482 |
$4K |
| 91010 |
|
25 |
25 |
$4K |
| 0134A |
|
370 |
366 |
$4K |
| 11981 |
|
79 |
77 |
$4K |
| 84165 |
|
1,940 |
1,793 |
$4K |
| 74230 |
|
89 |
85 |
$4K |
| 90688 |
|
433 |
427 |
$4K |
| G0121 |
Colon ca scrn not hi rsk ind |
13 |
12 |
$4K |
| 87902 |
|
66 |
63 |
$4K |
| 11750 |
|
20 |
12 |
$4K |
| J9217 |
Leuprolide acetate suspnsion |
26 |
25 |
$4K |
| 98929 |
|
1,024 |
978 |
$4K |
| P9040 |
Rbc leukoreduced irradiated |
52 |
37 |
$4K |
| 86787 |
|
690 |
673 |
$4K |
| 85018 |
|
5,271 |
4,830 |
$4K |
| 96402 |
|
664 |
609 |
$4K |
| 82533 |
|
2,405 |
2,056 |
$4K |
| G2211 |
Complex e/m visit add on |
5,910 |
5,278 |
$4K |
| 82550 |
|
4,966 |
4,211 |
$3K |
| J7323 |
Euflexxa inj per dose |
70 |
38 |
$3K |
| 84481 |
|
412 |
394 |
$3K |
| 83615 |
|
8,382 |
6,449 |
$3K |
| 0082A |
|
79 |
79 |
$3K |
| 0154A |
|
147 |
147 |
$3K |
| 73522 |
|
146 |
140 |
$3K |
| 82565 |
|
4,108 |
3,743 |
$3K |
| 94640 |
|
7,206 |
6,439 |
$3K |
| 99281 |
|
148 |
103 |
$3K |
| 86360 |
|
428 |
415 |
$3K |
| 82248 |
|
1,176 |
1,019 |
$3K |
| 81514 |
|
1,960 |
1,903 |
$3K |
| 84156 |
|
2,239 |
1,880 |
$3K |
| 73620 |
|
533 |
497 |
$3K |
| 86481 |
|
84 |
82 |
$3K |
| 82024 |
|
2,068 |
1,743 |
$3K |
| 99460 |
|
49 |
49 |
$3K |
| 84402 |
|
244 |
229 |
$3K |
| 99442 |
|
582 |
558 |
$3K |
| 88108 |
|
706 |
663 |
$3K |
| 84550 |
|
2,216 |
1,988 |
$3K |
| 86160 |
|
292 |
260 |
$3K |
| 93976 |
|
38 |
37 |
$3K |
| 87329 |
|
413 |
397 |
$3K |
| 86359 |
|
456 |
440 |
$3K |
| 78306 |
|
26 |
25 |
$3K |
| 82670 |
|
169 |
163 |
$3K |
| 85730 |
|
3,885 |
3,475 |
$3K |
| 96160 |
|
81 |
81 |
$3K |
| 77470 |
|
13 |
12 |
$2K |
| 81003 |
|
23,898 |
21,910 |
$2K |
| 96113 |
|
49 |
48 |
$2K |
| 85379 |
|
4,748 |
4,463 |
$2K |
| 73600 |
|
200 |
176 |
$2K |
| 64400 |
|
15 |
12 |
$2K |
| 86696 |
|
183 |
175 |
$2K |
| G0481 |
Drug test def 8-14 classes |
34 |
25 |
$2K |
| 87328 |
|
317 |
304 |
$2K |
| 96116 |
|
27 |
27 |
$2K |
| 80305 |
|
2,245 |
1,218 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
23,289 |
21,775 |
$2K |
| 82378 |
|
1,916 |
1,565 |
$2K |
| 85014 |
|
2,368 |
1,990 |
$2K |
| 99350 |
Prolong home eval add 15m |
99 |
79 |
$2K |
| 86708 |
|
438 |
411 |
$2K |
| 99462 |
|
74 |
64 |
$2K |
| 29125 |
|
612 |
579 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
25,210 |
23,115 |
$2K |
| 87880 |
|
16,829 |
16,128 |
$2K |
| 86580 |
|
193 |
169 |
$2K |
| 96121 |
|
25 |
25 |
$2K |
| 92555 |
|
1,246 |
1,220 |
$2K |
| 96132 |
|
12 |
12 |
$2K |
| 74220 |
|
26 |
26 |
$2K |
| 73000 |
|
85 |
66 |
$2K |
| 86694 |
|
155 |
134 |
$2K |
| 82140 |
|
678 |
583 |
$2K |
| 11982 |
|
13 |
12 |
$2K |
| 82103 |
|
457 |
421 |
$2K |
| 0031A |
|
65 |
65 |
$2K |
| 12002 |
|
204 |
197 |
$2K |
| 17250 |
|
18 |
15 |
$1K |
| 84484 |
|
19,287 |
13,386 |
$1K |
| 86695 |
|
183 |
175 |
$1K |
| J7120 |
Ringers lactate infusion |
26,986 |
23,957 |
$1K |
| 88304 |
|
1,808 |
1,565 |
$1K |
| 73070 |
|
105 |
93 |
$1K |
| 95909 |
|
14 |
14 |
$1K |
| 87040 |
|
4,871 |
2,752 |
$1K |
| 84460 |
|
534 |
509 |
$1K |
| 87449 |
|
368 |
351 |
$1K |
| 90935 |
|
70 |
25 |
$1K |
| 70355 |
|
45 |
38 |
$1K |
| 87075 |
|
765 |
681 |
$1K |
| 29515 |
|
17 |
16 |
$1K |
| 86364 |
|
207 |
191 |
$1K |
| 0073A |
|
30 |
30 |
$1K |
| 81511 |
|
12 |
12 |
$1K |
| 11104 |
|
17 |
15 |
$1K |
| 90833 |
|
109 |
105 |
$1K |
| 72114 |
|
26 |
26 |
$1K |
| 12011 |
|
84 |
80 |
$1K |
| 87324 |
|
330 |
315 |
$1K |
| 80175 |
|
238 |
222 |
$1K |
| 0071A |
|
28 |
28 |
$1K |
| 95806 |
|
26 |
24 |
$1K |
| J7030 |
Normal saline solution infus |
26,747 |
19,471 |
$1K |
| 64405 |
|
14 |
14 |
$1K |
| 99306 |
Prolong nursin fac eval 15m |
39 |
39 |
$1K |
| 77399 |
|
14 |
14 |
$1K |
| 92551 |
|
157 |
157 |
$1K |
| 83002 |
|
95 |
90 |
$1K |
| 87478 |
|
119 |
117 |
$999.89 |
| J3010 |
Fentanyl citrate injection |
20,294 |
17,650 |
$987.20 |
| 86376 |
|
108 |
101 |
$977.48 |
| 86235 |
|
62 |
37 |
$964.20 |
| 73660 |
|
106 |
104 |
$922.29 |
| 83520 |
|
149 |
139 |
$920.94 |
| U0003 |
Cov-19 amp prb hgh thruput |
17 |
17 |
$910.00 |
| 82150 |
|
1,042 |
935 |
$902.81 |
| 0083A |
|
21 |
21 |
$891.24 |
| 87102 |
|
569 |
500 |
$890.92 |
| 99443 |
|
86 |
81 |
$888.23 |
| 83883 |
|
652 |
558 |
$885.37 |
| 87400 |
|
3,021 |
1,785 |
$876.34 |
| 0173A |
|
36 |
36 |
$865.45 |
| 51798 |
|
2,086 |
1,879 |
$822.13 |
| J1885 |
Ketorolac tromethamine inj |
18,616 |
16,115 |
$817.24 |
| 86765 |
|
97 |
91 |
$802.01 |
| 90653 |
|
273 |
272 |
$794.86 |
| 73120 |
|
44 |
39 |
$784.37 |
| 82247 |
|
233 |
141 |
$768.66 |
| 97810 |
|
69 |
61 |
$767.08 |
| 99336 |
|
26 |
26 |
$764.41 |
| 74022 |
|
101 |
96 |
$748.61 |
| 87484 |
|
119 |
117 |
$722.70 |
| 87469 |
|
119 |
117 |
$722.39 |
| 87468 |
|
119 |
117 |
$722.39 |
| 85045 |
|
678 |
606 |
$720.65 |
| 86308 |
|
1,303 |
1,250 |
$714.91 |
| 98925 |
|
248 |
228 |
$693.13 |
| 86705 |
|
72 |
72 |
$659.12 |
| 87430 |
|
2,167 |
2,091 |
$658.56 |
| 64447 |
|
80 |
75 |
$651.38 |
| 86735 |
|
81 |
76 |
$633.93 |
| 90744 |
|
4,571 |
4,555 |
$626.74 |
| 96377 |
|
142 |
95 |
$606.76 |
| 96159 |
|
115 |
89 |
$583.59 |
| 70030 |
|
16 |
13 |
$579.17 |
| 82542 |
|
154 |
139 |
$559.84 |
| 80197 |
|
187 |
89 |
$548.01 |
| 93243 |
|
13 |
13 |
$545.27 |
| J2405 |
Ondansetron hcl injection |
26,573 |
21,470 |
$541.58 |
| 0034A |
|
32 |
32 |
$527.02 |
| 95886 |
|
210 |
204 |
$489.59 |
| 92133 |
|
438 |
415 |
$477.23 |
| 74019 |
|
43 |
42 |
$473.13 |
| 51784 |
|
15 |
12 |
$470.11 |
| 80156 |
|
113 |
105 |
$444.26 |
| 86225 |
|
104 |
98 |
$443.12 |
| 86682 |
|
44 |
44 |
$429.14 |
| J3490 |
Drugs unclassified injection |
1,034 |
494 |
$424.60 |
| 90656 |
|
959 |
958 |
$418.00 |
| 93270 |
|
25 |
24 |
$417.02 |
| 87804 |
|
5,757 |
3,639 |
$412.76 |
| 86920 |
|
266 |
181 |
$372.19 |
| 83605 |
|
5,103 |
4,351 |
$370.56 |
| A4649 |
Surgical supplies |
509 |
378 |
$364.94 |
| 87015 |
|
144 |
142 |
$357.10 |
| J2250 |
Inj midazolam hydrochloride |
14,865 |
13,670 |
$352.00 |
| 84132 |
|
475 |
315 |
$346.85 |
| 99334 |
|
24 |
22 |
$344.34 |
| 88187 |
|
17 |
12 |
$339.30 |
| 82010 |
|
858 |
756 |
$324.85 |
| 90680 |
|
5,925 |
5,903 |
$316.72 |
| J1100 |
Dexamethasone sodium phos |
18,221 |
14,553 |
$313.28 |
| 99441 |
|
96 |
93 |
$310.63 |
| 11719 |
|
88 |
84 |
$306.80 |
| 94761 |
|
516 |
481 |
$305.04 |
| 81002 |
|
1,389 |
1,345 |
$303.58 |
| 82671 |
|
14 |
12 |
$290.70 |
| 86709 |
|
67 |
63 |
$285.53 |
| 82962 |
|
6,789 |
4,467 |
$283.27 |
| 92250 |
|
127 |
123 |
$278.22 |
| 86769 |
|
12 |
12 |
$274.42 |
| 86800 |
|
39 |
37 |
$271.72 |
| 82390 |
|
92 |
87 |
$263.93 |
| 82310 |
|
197 |
169 |
$256.11 |
| 80050 |
|
15 |
15 |
$245.00 |
| 94664 |
|
1,719 |
1,331 |
$243.99 |
| J2270 |
Morphine sulfate injection |
4,152 |
3,477 |
$235.45 |
| 83021 |
|
83 |
83 |
$234.78 |
| 72220 |
|
49 |
44 |
$234.09 |
| 92083 |
|
57 |
56 |
$231.35 |
| G0283 |
Elec stim other than wound |
164 |
83 |
$223.94 |
| 87338 |
|
29 |
28 |
$223.79 |
| 0013A |
|
13 |
13 |
$223.50 |
| J0736 |
Inj, clindamycin phosp 300mg |
313 |
268 |
$213.75 |
| 87389 |
|
14 |
12 |
$200.70 |
| 87420 |
|
250 |
237 |
$199.07 |
| 71101 |
|
16 |
16 |
$191.42 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
1,440 |
1,330 |
$185.88 |
| 83020 |
|
84 |
83 |
$180.18 |
| J0690 |
Cefazolin sodium injection |
7,308 |
6,140 |
$179.89 |
| 80069 |
|
54 |
52 |
$178.95 |
| 36600 |
|
31 |
25 |
$175.26 |
| 90715 |
|
10,221 |
9,819 |
$173.66 |
| 84480 |
|
29 |
27 |
$155.98 |
| 84450 |
|
68 |
63 |
$154.76 |
| 82803 |
|
951 |
832 |
$148.83 |
| A9552 |
F18 fdg |
3,209 |
3,094 |
$147.76 |
| 86677 |
|
16 |
16 |
$147.30 |
| J7040 |
Normal saline solution infus |
7,397 |
5,190 |
$146.86 |
| 73060 |
|
15 |
14 |
$146.74 |
| 82951 |
|
12 |
12 |
$141.57 |
| J0696 |
Ceftriaxone sodium injection |
4,570 |
2,798 |
$140.36 |
| 92556 |
|
213 |
203 |
$129.12 |
| J3480 |
Inj potassium chloride |
956 |
711 |
$125.75 |
| 94375 |
|
13 |
13 |
$124.65 |
| 99348 |
|
19 |
17 |
$120.65 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
9,393 |
8,721 |
$116.57 |
| J1200 |
Diphenhydramine hcl injectio |
9,267 |
6,532 |
$115.12 |
| 82985 |
|
26 |
25 |
$103.75 |
| 93226 |
|
498 |
490 |
$102.27 |
| C1769 |
Guide wire |
3,038 |
2,788 |
$102.26 |
| 82977 |
|
24 |
24 |
$94.79 |
| 36416 |
|
34,579 |
28,714 |
$92.44 |
| 83721 |
|
25 |
24 |
$84.43 |
| J3301 |
Triamcinolone acet inj nos |
2,221 |
1,943 |
$82.47 |
| 89051 |
|
527 |
305 |
$78.49 |
| 98968 |
|
22 |
12 |
$76.68 |
| 86901 |
|
6,821 |
6,124 |
$75.89 |
| Q9957 |
Inj perflutren lip micros,ml |
2,515 |
2,410 |
$72.39 |
| J1644 |
Inj heparin sodium per 1000u |
3,507 |
2,217 |
$63.56 |
| C9290 |
Inj, bupivacaine liposome |
1,417 |
1,338 |
$63.56 |
| J0131 |
Inj, acetaminophen (nos) |
7,942 |
7,306 |
$60.29 |
| J1642 |
Inj heparin sodium per 10 u |
16,301 |
7,087 |
$58.22 |
| A9502 |
Tc99m tetrofosmin |
1,863 |
1,815 |
$57.32 |
| J2785 |
Regadenoson injection |
1,314 |
1,283 |
$57.32 |
| J1170 |
Hydromorphone injection |
4,192 |
2,938 |
$57.23 |
| J1040 |
Methylprednisolone 80 mg inj |
2,266 |
2,158 |
$52.96 |
| 96376 |
|
3,379 |
2,999 |
$52.00 |
| 17003 |
|
241 |
218 |
$49.90 |
| 90472 |
|
19,630 |
19,187 |
$41.04 |
| J0330 |
Succinycholine chloride inj |
2,177 |
1,528 |
$40.63 |
| 92136 |
|
27 |
24 |
$37.36 |
| 84075 |
|
29 |
25 |
$37.33 |
| G0476 |
Hpv combo assay ca screen |
362 |
357 |
$35.09 |
| 82952 |
|
12 |
12 |
$32.34 |
| V2632 |
Post chmbr intraocular lens |
542 |
407 |
$28.13 |
| G0143 |
Scr c/v cyto,thinlayer,rescr |
700 |
688 |
$27.85 |
| 83010 |
|
15 |
13 |
$25.16 |
| J9045 |
Carboplatin injection |
839 |
483 |
$24.43 |
| J7060 |
5% dextrose/water |
5,276 |
2,530 |
$24.43 |
| 80177 |
|
12 |
12 |
$24.32 |
| L4350 |
Ankle control ortho pre ots |
26 |
25 |
$24.00 |
| 84520 |
|
14 |
12 |
$23.86 |
| J7512 |
Prednisone ir or dr oral 1mg |
3,236 |
2,743 |
$23.25 |
| 73552 |
|
14 |
13 |
$22.63 |
| 94760 |
|
1,883 |
1,325 |
$22.00 |
| 86301 |
|
16 |
14 |
$20.81 |
| J1580 |
Garamycin gentamicin inj |
715 |
659 |
$16.67 |
| J8499 |
Oral prescrip drug non chemo |
1,456 |
1,151 |
$13.76 |
| 82040 |
|
25 |
24 |
$13.76 |
| J1030 |
Methylprednisolone 40 mg inj |
1,777 |
1,681 |
$12.68 |
| J3475 |
Inj magnesium sulfate |
1,993 |
1,301 |
$11.78 |
| 96368 |
|
2,043 |
1,194 |
$11.78 |
| 88173 |
|
587 |
410 |
$9.96 |
| 85384 |
|
12 |
12 |
$8.68 |
| 82800 |
|
61 |
53 |
$8.66 |
| 82553 |
|
30 |
28 |
$7.92 |
| J7050 |
Normal saline solution infus |
6,796 |
3,777 |
$7.46 |
| 90474 |
|
5,877 |
5,858 |
$5.94 |
| C9113 |
Inj pantoprazole sodium, via |
1,214 |
1,027 |
$5.25 |
| J2765 |
Metoclopramide hcl injection |
2,602 |
2,407 |
$1.47 |
| J1836 |
Inj, metronidazole, 10 mg |
27 |
24 |
$0.21 |
| A4216 |
Sterile water/saline, 10 ml |
24,361 |
13,181 |
$0.00 |
| C1776 |
Joint device (implantable) |
440 |
404 |
$0.00 |
| 90633 |
|
5,499 |
5,473 |
$0.00 |
| 99051 |
|
1,788 |
1,745 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,016 |
846 |
$0.00 |
| 90707 |
|
2,638 |
2,626 |
$0.00 |
| A6212 |
Foam drg <=16 sq in w/border |
343 |
328 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
2,111 |
1,899 |
$0.00 |
| 90710 |
|
2,638 |
2,626 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
3,175 |
3,124 |
$0.00 |
| J1756 |
Iron sucrose injection |
770 |
291 |
$0.00 |
| 91300 |
|
1,058 |
983 |
$0.00 |
| G8984 |
Carry current status |
280 |
274 |
$0.00 |
| 87999 |
|
44 |
41 |
$0.00 |
| 90713 |
|
245 |
244 |
$0.00 |
| 93321 |
|
314 |
310 |
$0.00 |
| J2930 |
Methylprednisolone injection |
2,342 |
2,062 |
$0.00 |
| 90700 |
|
310 |
308 |
$0.00 |
| G1004 |
Cdsm ndsc |
873 |
847 |
$0.00 |
| 99152 |
|
2,648 |
2,507 |
$0.00 |
| J0640 |
Leucovorin calcium injection |
691 |
387 |
$0.00 |
| G8978 |
Mobility current status |
582 |
568 |
$0.00 |
| 90685 |
|
3,127 |
3,113 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
1,137 |
867 |
$0.00 |
| 76942 |
|
485 |
472 |
$0.00 |
| J0780 |
Prochlorperazine injection |
1,111 |
1,020 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
150 |
67 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
271 |
245 |
$0.00 |
| 84145 |
|
39 |
38 |
$0.00 |
| 76937 |
|
1,154 |
1,080 |
$0.00 |
| J0694 |
Cefoxitin sodium injection |
26 |
24 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
721 |
659 |
$0.00 |
| 88313 |
|
225 |
129 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
116 |
90 |
$0.00 |
| 77387 |
|
154 |
24 |
$0.00 |
| C1887 |
Catheter, guiding |
440 |
397 |
$0.00 |
| J1953 |
Levetiracetam injection |
15 |
13 |
$0.00 |
| 91321 |
|
309 |
309 |
$0.00 |
| G8985 |
Carry goal status |
383 |
363 |
$0.00 |
| G8979 |
Mobility goal status |
699 |
672 |
$0.00 |
| A9541 |
Tc99m sulfur colloid |
218 |
214 |
$0.00 |
| C1788 |
Port, indwelling, imp |
24 |
24 |
$0.00 |
| 80143 |
|
56 |
50 |
$0.00 |
| J3489 |
Zoledronic acid 1mg |
13 |
12 |
$0.00 |
| 88104 |
|
13 |
12 |
$0.00 |
| J9190 |
Fluorouracil injection |
286 |
166 |
$0.00 |
| 90648 |
|
36 |
36 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
130 |
108 |
$0.00 |
| A6021 |
Collagen dressing <=16 sq in |
32 |
24 |
$0.00 |
| J9263 |
Oxaliplatin |
78 |
50 |
$0.00 |
| 90671 |
|
44 |
44 |
$0.00 |
| 90380 |
|
30 |
30 |
$0.00 |
| J9060 |
Cisplatin 10 mg injection |
34 |
13 |
$0.00 |
| G0500 |
Mod sedat endo service >5yrs |
123 |
117 |
$0.00 |
| C1758 |
Catheter, ureteral |
44 |
40 |
$0.00 |
| 90649 |
|
13 |
13 |
$0.00 |
| 80179 |
|
51 |
46 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
58 |
58 |
$0.00 |
| L1830 |
Ko immob canvas long pre ots |
12 |
12 |
$0.00 |
| 96133 |
|
12 |
12 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
27 |
27 |
$0.00 |
| A9270 |
Non-covered item or service |
1,327 |
1,127 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
1,963 |
1,855 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
1,948 |
1,749 |
$0.00 |
| A9503 |
Tc99m medronate |
120 |
116 |
$0.00 |
| J1815 |
Insulin injection |
522 |
281 |
$0.00 |
| 90696 |
|
2,262 |
2,250 |
$0.00 |
| J1630 |
Haloperidol injection |
832 |
662 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
267 |
177 |
$0.00 |
| J3420 |
Vitamin b12 injection |
1,922 |
1,799 |
$0.00 |
| 90697 |
|
292 |
291 |
$0.00 |
| G8980 |
Mobility d/c status |
220 |
217 |
$0.00 |
| 91306 |
|
280 |
235 |
$0.00 |
| J2060 |
Lorazepam injection |
3,339 |
2,651 |
$0.00 |
| C1781 |
Mesh (implantable) |
58 |
51 |
$0.00 |
| 90698 |
|
8,190 |
8,162 |
$0.00 |
| 36000 |
|
135 |
122 |
$0.00 |
| J0500 |
Dicyclomine injection |
37 |
36 |
$0.00 |
| G8986 |
Carry d/c status |
54 |
53 |
$0.00 |
| 88172 |
|
87 |
79 |
$0.00 |
| 90636 |
|
27 |
25 |
$0.00 |
| G0378 |
Hospital observation per hr |
648 |
607 |
$0.00 |
| J7999 |
Compounded drug, noc |
52 |
38 |
$0.00 |
| A6197 |
Alginate drsg >16 <=48 sq in |
241 |
185 |
$0.00 |
| G8988 |
Self care goal status |
143 |
139 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
661 |
619 |
$0.00 |
| 88185 |
|
295 |
177 |
$0.00 |
| 90632 |
|
213 |
209 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
94 |
81 |
$0.00 |
| G8987 |
Self care current status |
100 |
98 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
498 |
481 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
675 |
614 |
$0.00 |
| G8982 |
Body pos goal status |
68 |
65 |
$0.00 |
| J1940 |
Furosemide injection |
404 |
309 |
$0.00 |
| C1726 |
Cath, bal dil, non-vascular |
168 |
163 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
761 |
673 |
$0.00 |
| 88300 |
|
13 |
13 |
$0.00 |
| 64494 |
|
16 |
12 |
$0.00 |
| J0461 |
Atropine sulfate injection |
42 |
24 |
$0.00 |
| 77417 |
|
69 |
39 |
$0.00 |
| 91301 |
|
305 |
297 |
$0.00 |
| C2617 |
Stent, non-cor, tem w/o del |
16 |
14 |
$0.00 |
| 74420 |
|
63 |
61 |
$0.00 |
| A4364 |
Adhesive, liquid or equal |
110 |
108 |
$0.00 |
| J9267 |
Paclitaxel injection |
207 |
78 |
$0.00 |
| 88341 |
|
317 |
255 |
$0.00 |
| 77001 |
|
74 |
71 |
$0.00 |
| 88311 |
|
45 |
36 |
$0.00 |
| A4627 |
Spacer bag/reservoir |
26 |
26 |
$0.00 |
| 91303 |
|
46 |
46 |
$0.00 |
| 29130 |
|
13 |
13 |
$0.00 |
| 90381 |
|
84 |
84 |
$0.00 |
| 64415 |
|
16 |
16 |
$0.00 |
| G8981 |
Body pos current status |
14 |
13 |
$0.00 |
| J2920 |
Methylprednisolone injection |
33 |
26 |
$0.00 |