| Code | Description | Claims | Beneficiaries | Total Paid |
| 99215 |
Prolong outpt/office vis |
81,491 |
73,141 |
$10.24M |
| 99214 |
|
148,575 |
139,944 |
$9.15M |
| 76811 |
|
25,050 |
23,945 |
$4.14M |
| 99283 |
|
141,729 |
140,579 |
$3.71M |
| 99213 |
|
245,040 |
232,374 |
$3.21M |
| 99284 |
|
71,987 |
71,293 |
$3.06M |
| Z4305 |
|
30,243 |
29,427 |
$3.01M |
| Z4306 |
|
59,918 |
59,581 |
$2.98M |
| 76819 |
|
35,527 |
31,624 |
$2.89M |
| 99233 |
Prolong inpt eval add15 m |
31,835 |
13,803 |
$1.95M |
| 76817 |
|
21,901 |
21,089 |
$1.85M |
| 76805 |
|
18,234 |
18,133 |
$1.75M |
| 76816 |
|
26,866 |
24,843 |
$1.52M |
| 99203 |
|
35,726 |
35,345 |
$1.24M |
| 99480 |
|
9,382 |
3,047 |
$1.21M |
| 93303 |
|
16,545 |
16,142 |
$1.05M |
| 76813 |
|
10,472 |
9,884 |
$1.05M |
| 88305 |
|
19,771 |
10,191 |
$1.03M |
| Z4304 |
|
18,746 |
18,603 |
$1.00M |
| 99204 |
|
17,082 |
16,957 |
$995K |
| Z0104 |
|
6,902 |
2,118 |
$978K |
| 99232 |
|
18,596 |
8,699 |
$929K |
| 99285 |
|
11,860 |
11,710 |
$807K |
| Z0102 |
|
3,838 |
1,039 |
$743K |
| 93320 |
|
19,333 |
18,686 |
$682K |
| 99244 |
|
12,591 |
12,448 |
$681K |
| 76801 |
|
8,883 |
8,839 |
$654K |
| 59425 |
|
7,887 |
6,471 |
$639K |
| 93010 |
|
52,616 |
45,641 |
$538K |
| 99243 |
|
15,191 |
15,058 |
$514K |
| 76815 |
|
9,168 |
7,602 |
$478K |
| 93304 |
|
10,783 |
10,022 |
$472K |
| 99282 |
|
25,246 |
25,061 |
$437K |
| 92004 |
|
13,213 |
13,172 |
$417K |
| 93306 |
|
9,210 |
9,063 |
$416K |
| 95004 |
|
8,186 |
8,130 |
$370K |
| 99223 |
Prolong inpt eval add15 m |
4,911 |
4,704 |
$358K |
| Z4303 |
|
11,726 |
11,460 |
$348K |
| 64642 |
|
2,881 |
2,858 |
$344K |
| 64643 |
|
2,931 |
2,778 |
$343K |
| 99205 |
Prolong outpt/office vis |
3,621 |
3,564 |
$321K |
| 76820 |
|
7,543 |
6,178 |
$308K |
| 95810 |
|
3,960 |
3,944 |
$306K |
| 99460 |
|
4,701 |
4,653 |
$279K |
| 92014 |
|
11,123 |
11,066 |
$277K |
| 93321 |
|
14,213 |
13,225 |
$269K |
| 92060 |
|
9,349 |
9,040 |
$262K |
| 99469 |
|
1,158 |
327 |
$226K |
| 95720 |
|
989 |
536 |
$222K |
| 93325 |
|
40,014 |
37,227 |
$216K |
| 99241 |
|
5,117 |
5,079 |
$211K |
| 99479 |
|
1,522 |
460 |
$207K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,882 |
3,416 |
$206K |
| 92012 |
|
6,421 |
6,024 |
$199K |
| 99472 |
|
987 |
209 |
$190K |
| 97750 |
|
21,920 |
10,622 |
$186K |
| 92015 |
|
34,242 |
34,075 |
$185K |
| 99462 |
|
5,811 |
4,465 |
$179K |
| 51798 |
|
4,966 |
4,545 |
$177K |
| 99239 |
|
2,820 |
2,710 |
$154K |
| 59025 |
|
11,085 |
7,043 |
$142K |
| 31622 |
|
1,293 |
1,130 |
$139K |
| 88304 |
|
7,816 |
7,511 |
$134K |
| Z4310 |
|
15,558 |
15,305 |
$129K |
| 92340 |
|
7,197 |
7,176 |
$122K |
| T4534 |
Youth size pull-on |
811 |
778 |
$122K |
| 93227 |
|
4,610 |
4,555 |
$121K |
| 31526 |
|
753 |
688 |
$113K |
| J1950 |
Leuprolide acetate /3.75 mg |
15 |
13 |
$109K |
| 99242 |
|
2,048 |
2,032 |
$100K |
| 99234 |
|
3,987 |
3,628 |
$96K |
| V2020 |
Vision svcs frames purchases |
5,535 |
5,517 |
$95K |
| 97110 |
|
8,510 |
2,863 |
$91K |
| 51741 |
|
5,756 |
5,266 |
$90K |
| 99199 |
|
6,153 |
5,422 |
$84K |
| 99222 |
|
1,268 |
1,237 |
$83K |
| 92226 |
|
776 |
487 |
$77K |
| 51784 |
|
2,484 |
2,101 |
$76K |
| 96112 |
|
507 |
499 |
$74K |
| 17110 |
|
4,438 |
4,377 |
$74K |
| 90791 |
|
358 |
358 |
$73K |
| 90834 |
|
838 |
527 |
$71K |
| 95874 |
|
2,652 |
2,640 |
$69K |
| 90832 |
|
744 |
568 |
$63K |
| 92504 |
|
4,440 |
4,372 |
$61K |
| 0450 |
|
47,199 |
43,439 |
$59K |
| 99212 |
|
25,526 |
24,504 |
$55K |
| 88108 |
|
2,109 |
1,706 |
$53K |
| 93308 |
|
1,483 |
1,408 |
$51K |
| 43239 |
|
439 |
429 |
$51K |
| T4541 |
Large disposable underpad |
1,328 |
1,235 |
$50K |
| 88300 |
|
10,166 |
9,947 |
$49K |
| 99238 |
|
1,268 |
1,207 |
$48K |
| 31575 |
|
741 |
730 |
$48K |
| 88313 |
|
1,034 |
439 |
$47K |
| 87491 |
|
3,310 |
3,222 |
$46K |
| 94010 |
|
6,647 |
6,483 |
$45K |
| 76825 |
|
615 |
594 |
$44K |
| A6250 |
Skin seal protect moisturizr |
1,556 |
1,466 |
$43K |
| 87635 |
|
63,647 |
60,152 |
$42K |
| 25600 |
|
1,764 |
1,663 |
$37K |
| 92201 |
|
1,798 |
1,285 |
$37K |
| 99245 |
|
417 |
411 |
$35K |
| L4361 |
Pneuma/vac walk boot pre ots |
299 |
297 |
$34K |
| 99254 |
|
419 |
404 |
$32K |
| 95951 |
|
131 |
79 |
$32K |
| 62369 |
|
885 |
869 |
$31K |
| 76827 |
|
581 |
564 |
$30K |
| 64644 |
|
381 |
380 |
$29K |
| J0585 |
Injection,onabotulinumtoxina |
24 |
24 |
$29K |
| 88342 |
|
726 |
661 |
$28K |
| J0475 |
Baclofen 10 mg injection |
33 |
33 |
$28K |
| 36415 |
|
6,606 |
6,423 |
$25K |
| 95251 |
|
599 |
595 |
$25K |
| T4525 |
Adult size pull-on sm |
268 |
265 |
$24K |
| 96450 |
|
162 |
142 |
$24K |
| 80061 |
|
9,644 |
9,564 |
$23K |
| 29075 |
|
963 |
944 |
$23K |
| 42820 |
|
391 |
389 |
$23K |
| 62370 |
|
468 |
462 |
$22K |
| 99309 |
|
571 |
248 |
$21K |
| 95782 |
|
342 |
340 |
$19K |
| 90847 |
|
138 |
113 |
$19K |
| 99255 |
|
182 |
172 |
$19K |
| 83655 |
|
12,647 |
12,488 |
$17K |
| 69436 |
|
317 |
207 |
$17K |
| 99451 |
|
1,116 |
1,113 |
$16K |
| 99291 |
|
128 |
122 |
$15K |
| 88307 |
|
197 |
165 |
$14K |
| 96110 |
|
2,316 |
2,143 |
$14K |
| 99417 |
Prolong home eval add 15m |
336 |
333 |
$13K |
| 99211 |
|
7,365 |
7,192 |
$13K |
| 83036 |
|
5,233 |
5,190 |
$12K |
| 92507 |
|
26,787 |
10,251 |
$12K |
| 41010 |
|
74 |
73 |
$12K |
| 96158 |
|
173 |
128 |
$12K |
| S0265 |
Genetic counsel 15 mins |
479 |
477 |
$12K |
| 29425 |
|
271 |
183 |
$12K |
| 12011 |
|
1,335 |
1,316 |
$11K |
| 85025 |
|
20,954 |
19,582 |
$11K |
| 69210 |
|
361 |
332 |
$11K |
| 95819 |
|
678 |
673 |
$11K |
| H2027 |
Psychoed svc, per 15 min |
351 |
337 |
$11K |
| 99231 |
|
289 |
183 |
$10K |
| 85060 |
|
792 |
740 |
$10K |
| 71046 |
|
9,850 |
9,291 |
$10K |
| 80053 |
|
15,683 |
14,777 |
$9K |
| 99393 |
|
5,682 |
5,636 |
$9K |
| 87591 |
|
3,221 |
3,135 |
$9K |
| 99202 |
|
3,944 |
3,925 |
$9K |
| 72082 |
|
1,683 |
1,650 |
$8K |
| 99253 |
|
147 |
112 |
$8K |
| Z4302 |
|
970 |
970 |
$8K |
| 99356 |
|
148 |
98 |
$8K |
| 74177 |
|
343 |
321 |
$8K |
| 99392 |
|
5,239 |
5,125 |
$7K |
| 70450 |
|
848 |
832 |
$7K |
| 0760 |
|
4,781 |
4,352 |
$7K |
| 97139 |
|
55,582 |
15,383 |
$7K |
| 92250 |
|
162 |
162 |
$7K |
| A4927 |
Non-sterile gloves |
783 |
726 |
$7K |
| 71045 |
|
714 |
693 |
$7K |
| 29065 |
|
166 |
160 |
$6K |
| 97010 |
|
1,584 |
435 |
$6K |
| 93005 |
|
8,700 |
8,314 |
$6K |
| 92225 |
|
57 |
43 |
$6K |
| 99354 |
|
80 |
42 |
$6K |
| Z5406 |
|
491 |
421 |
$6K |
| 99072 |
|
24,230 |
23,055 |
$6K |
| 99000 |
|
6,061 |
5,885 |
$6K |
| 85018 |
|
8,258 |
8,193 |
$5K |
| 97799 |
|
29,809 |
8,732 |
$5K |
| T1014 |
Telehealth transmit, per min |
9,268 |
4,820 |
$5K |
| 90471 |
|
6,737 |
6,698 |
$5K |
| 99394 |
|
2,626 |
2,615 |
$5K |
| 87804 |
|
2,783 |
2,413 |
$5K |
| 95873 |
|
203 |
202 |
$5K |
| Z1034 |
|
99 |
89 |
$5K |
| V2025 |
Eyeglasses delux frames |
59 |
59 |
$5K |
| A4335 |
Incontinence supply |
1,571 |
1,480 |
$5K |
| 90686 |
|
26,390 |
26,158 |
$5K |
| 93790 |
|
349 |
348 |
$5K |
| 88341 |
|
247 |
168 |
$5K |
| 92557 |
|
4,439 |
4,408 |
$5K |
| 77427 |
|
37 |
13 |
$5K |
| 87636 |
|
980 |
948 |
$4K |
| 87086 |
|
14,321 |
13,416 |
$4K |
| 93000 |
|
218 |
209 |
$4K |
| 87633 |
|
2,890 |
2,800 |
$4K |
| 12001 |
|
718 |
702 |
$4K |
| 92588 |
|
4,721 |
4,667 |
$4K |
| 95117 |
|
950 |
501 |
$4K |
| 87880 |
|
4,438 |
4,330 |
$4K |
| 87081 |
|
15,552 |
15,229 |
$4K |
| 80307 |
|
1,439 |
1,348 |
$4K |
| 76770 |
|
3,117 |
3,070 |
$4K |
| L3908 |
Who cock-up nonmolde pre ots |
143 |
141 |
$4K |
| 73110 |
|
1,530 |
1,436 |
$4K |
| 76885 |
|
95 |
61 |
$4K |
| Z4301 |
|
211 |
209 |
$4K |
| 84443 |
|
9,045 |
8,931 |
$3K |
| 73630 |
|
3,289 |
3,183 |
$3K |
| 96159 |
|
140 |
107 |
$3K |
| 94640 |
|
4,096 |
3,880 |
$3K |
| 73610 |
|
3,628 |
3,397 |
$3K |
| 76937 |
|
187 |
177 |
$3K |
| 73080 |
|
1,383 |
1,254 |
$3K |
| 76705 |
|
2,883 |
2,626 |
$3K |
| 92523 |
|
2,756 |
2,725 |
$3K |
| 80048 |
|
2,590 |
2,387 |
$3K |
| 84439 |
|
3,261 |
3,228 |
$3K |
| 92551 |
|
22,795 |
22,595 |
$3K |
| 73090 |
|
4,100 |
3,389 |
$3K |
| 96113 |
|
49 |
33 |
$3K |
| 87088 |
|
292 |
276 |
$3K |
| 81001 |
|
5,598 |
5,375 |
$3K |
| 99070 |
|
530 |
497 |
$3K |
| 92227 |
|
177 |
177 |
$3K |
| 81025 |
|
3,238 |
3,163 |
$3K |
| 96156 |
|
40,564 |
40,127 |
$2K |
| 92567 |
|
6,102 |
5,990 |
$2K |
| 82306 |
|
4,540 |
4,480 |
$2K |
| 96374 |
|
1,581 |
1,394 |
$2K |
| 61070 |
|
19 |
18 |
$2K |
| 99418 |
Prolong nursin fac eval 15m |
52 |
33 |
$2K |
| 73140 |
|
3,064 |
2,786 |
$2K |
| 92511 |
|
107 |
107 |
$2K |
| 76942 |
|
86 |
69 |
$2K |
| 99355 |
|
30 |
12 |
$2K |
| 93975 |
|
2,771 |
2,612 |
$2K |
| V2784 |
Lens polycarb or equal |
12 |
12 |
$2K |
| 95816 |
|
76 |
76 |
$2K |
| 73130 |
|
2,149 |
2,021 |
$2K |
| 94760 |
|
3,975 |
3,542 |
$2K |
| 64640 |
|
17 |
13 |
$2K |
| 87631 |
|
2,250 |
2,182 |
$2K |
| 99173 |
|
20,352 |
20,229 |
$2K |
| 92002 |
|
43 |
41 |
$2K |
| 96160 |
|
13,769 |
13,703 |
$2K |
| 82947 |
|
5,785 |
5,514 |
$2K |
| 76881 |
|
28 |
27 |
$2K |
| 73562 |
|
1,478 |
1,450 |
$2K |
| 76882 |
|
87 |
80 |
$2K |
| 26720 |
|
425 |
400 |
$1K |
| 96360 |
|
2,664 |
2,290 |
$1K |
| 31231 |
|
39 |
39 |
$1K |
| 81002 |
|
4,084 |
4,033 |
$1K |
| 99252 |
|
34 |
29 |
$1K |
| G0108 |
Diab manage trn per indiv |
27 |
26 |
$1K |
| G9920 |
Scrning perf and negative |
3,385 |
3,339 |
$1K |
| 87040 |
|
1,407 |
1,263 |
$1K |
| 73590 |
|
1,981 |
1,742 |
$1K |
| 73070 |
|
2,073 |
1,847 |
$1K |
| 73564 |
|
365 |
364 |
$1K |
| 47000 |
|
21 |
21 |
$1K |
| 96372 |
|
752 |
682 |
$1K |
| 86480 |
|
42 |
42 |
$1K |
| 85027 |
|
5,440 |
5,307 |
$1K |
| 74018 |
|
3,440 |
3,261 |
$1K |
| 29125 |
|
435 |
432 |
$976.89 |
| 94060 |
|
190 |
188 |
$972.37 |
| 92508 |
|
5,839 |
2,212 |
$929.91 |
| 85014 |
|
1,639 |
1,631 |
$915.95 |
| 73100 |
|
2,931 |
2,625 |
$899.91 |
| 25605 |
|
70 |
67 |
$893.40 |
| 93298 |
|
27 |
24 |
$881.79 |
| 83690 |
|
3,323 |
3,071 |
$815.97 |
| 81015 |
|
4,279 |
4,018 |
$779.18 |
| 96361 |
|
2,398 |
2,019 |
$762.48 |
| 80076 |
|
2,538 |
2,462 |
$755.60 |
| 96365 |
|
676 |
587 |
$747.80 |
| 99358 |
Prolong nursin fac eval 15m |
13 |
13 |
$745.35 |
| 87661 |
|
1,300 |
1,263 |
$728.78 |
| 72170 |
|
2,406 |
2,367 |
$727.50 |
| 90460 |
|
43,371 |
42,589 |
$716.24 |
| 73030 |
|
340 |
325 |
$700.44 |
| 84702 |
|
118 |
115 |
$648.45 |
| 87186 |
|
3,193 |
3,082 |
$648.39 |
| 97802 |
|
1,372 |
1,362 |
$641.98 |
| 85652 |
|
5,226 |
4,957 |
$641.73 |
| 93015 |
|
12 |
12 |
$636.72 |
| 84450 |
|
4,358 |
4,299 |
$632.79 |
| 76700 |
|
1,188 |
1,148 |
$625.34 |
| 84460 |
|
4,702 |
4,635 |
$608.72 |
| 92134 |
|
21 |
21 |
$606.56 |
| 86140 |
|
8,062 |
7,353 |
$579.88 |
| 86003 |
|
1,678 |
1,582 |
$555.51 |
| G2023 |
Specimen collect covid-19 |
1,103 |
802 |
$539.58 |
| 23500 |
|
14 |
13 |
$530.44 |
| 86580 |
|
171 |
171 |
$518.40 |
| 83735 |
|
1,230 |
1,096 |
$516.86 |
| 73600 |
|
88 |
84 |
$492.55 |
| L4350 |
Ankle control ortho pre ots |
766 |
762 |
$489.30 |
| 87798 |
|
1,349 |
1,324 |
$477.67 |
| 76870 |
|
1,154 |
1,130 |
$469.13 |
| 29105 |
|
71 |
70 |
$462.32 |
| 0250 |
|
1,216 |
1,153 |
$462.24 |
| 73000 |
|
734 |
701 |
$446.07 |
| 94680 |
|
41 |
41 |
$434.66 |
| 86769 |
|
250 |
245 |
$406.68 |
| 0272 |
|
2,587 |
2,546 |
$396.22 |
| 93016 |
|
26 |
26 |
$392.54 |
| 73620 |
|
552 |
538 |
$370.35 |
| 87070 |
|
80 |
71 |
$360.97 |
| 84436 |
|
2,816 |
2,785 |
$360.97 |
| 87486 |
|
2,879 |
2,789 |
$359.09 |
| 87581 |
|
2,880 |
2,790 |
$359.09 |
| 82728 |
|
2,074 |
2,009 |
$355.52 |
| J3535 |
Metered dose inhaler drug |
279 |
277 |
$326.17 |
| 82465 |
|
474 |
464 |
$319.92 |
| 11900 |
|
271 |
265 |
$313.41 |
| 98960 |
|
27 |
27 |
$303.18 |
| J3490 |
Drugs unclassified injection |
9,826 |
8,450 |
$299.95 |
| 70553 |
|
221 |
212 |
$298.15 |
| 29130 |
|
332 |
322 |
$295.53 |
| 69200 |
|
12 |
12 |
$293.89 |
| 87502 |
|
228 |
224 |
$265.82 |
| 99281 |
|
51 |
51 |
$263.16 |
| 82784 |
|
2,170 |
2,146 |
$257.33 |
| 99221 |
|
12 |
12 |
$252.13 |
| J1100 |
Dexamethasone sodium phos |
6,294 |
6,224 |
$248.27 |
| 0270 |
|
744 |
636 |
$247.27 |
| 99157 |
|
250 |
243 |
$246.38 |
| 92579 |
|
409 |
407 |
$246.25 |
| 81000 |
|
4,423 |
4,353 |
$241.29 |
| 93018 |
|
26 |
26 |
$240.76 |
| 85007 |
|
1,568 |
1,503 |
$239.19 |
| 99201 |
|
769 |
759 |
$238.21 |
| 84100 |
|
1,140 |
1,021 |
$228.67 |
| 93226 |
|
131 |
125 |
$226.56 |
| 92700 |
|
978 |
710 |
$225.00 |
| 97803 |
|
1,121 |
1,118 |
$224.60 |
| 83516 |
|
1,568 |
1,534 |
$220.70 |
| 84315 |
|
50 |
43 |
$211.84 |
| 74019 |
|
2,766 |
2,629 |
$209.40 |
| 82550 |
|
771 |
734 |
$207.30 |
| L3260 |
Ambulatory surgical boot eac |
271 |
267 |
$206.64 |
| 82977 |
|
3,724 |
3,553 |
$201.12 |
| 94644 |
|
522 |
473 |
$200.38 |
| A9585 |
Gadobutrol injection |
332 |
326 |
$199.94 |
| 73721 |
|
74 |
74 |
$194.06 |
| 85610 |
|
2,317 |
2,183 |
$187.03 |
| 73560 |
|
597 |
572 |
$176.22 |
| 90461 |
|
4,665 |
4,572 |
$175.40 |
| 93225 |
|
131 |
125 |
$173.22 |
| 96127 |
|
5,342 |
4,193 |
$171.57 |
| 75565 |
|
13 |
13 |
$167.53 |
| 90688 |
|
565 |
563 |
$161.42 |
| G2012 |
Brief check in by md/qhp |
18 |
18 |
$160.25 |
| 83540 |
|
2,364 |
2,297 |
$155.82 |
| 83550 |
|
2,019 |
1,967 |
$152.08 |
| 73660 |
|
509 |
482 |
$147.63 |
| 85730 |
|
1,600 |
1,530 |
$144.18 |
| 3074F |
|
1,449 |
1,356 |
$143.70 |
| 0360 |
|
8,259 |
5,250 |
$142.66 |
| 72100 |
|
294 |
290 |
$137.37 |
| 84484 |
|
134 |
131 |
$131.25 |
| 0271 |
|
5,831 |
5,640 |
$124.60 |
| 88311 |
|
15 |
14 |
$124.31 |
| 96375 |
|
203 |
185 |
$114.60 |
| 83880 |
|
72 |
69 |
$107.72 |
| 87806 |
|
162 |
159 |
$106.14 |
| 87426 |
|
27 |
25 |
$105.99 |
| 86901 |
|
299 |
283 |
$103.65 |
| G0442 |
Annual alcohol screen 15 min |
29 |
29 |
$101.40 |
| 99156 |
|
31 |
28 |
$99.30 |
| 86900 |
|
297 |
282 |
$95.97 |
| 77072 |
|
1,406 |
1,396 |
$95.58 |
| 87045 |
|
1,342 |
1,292 |
$89.06 |
| 0710 |
|
4,590 |
4,549 |
$79.63 |
| 77073 |
|
423 |
422 |
$79.17 |
| 87899 |
|
654 |
323 |
$79.04 |
| 87046 |
|
1,338 |
1,288 |
$78.99 |
| 85045 |
|
1,142 |
1,084 |
$78.92 |
| 70360 |
|
125 |
122 |
$78.60 |
| 74455 |
|
61 |
61 |
$75.61 |
| 83993 |
|
478 |
468 |
$75.40 |
| 84478 |
|
305 |
298 |
$73.27 |
| 95115 |
|
17 |
12 |
$64.67 |
| 82570 |
|
1,232 |
1,139 |
$58.97 |
| T4537 |
Reusable underpad bed size |
89 |
74 |
$58.46 |
| 51701 |
|
155 |
152 |
$55.00 |
| S0119 |
Ondansetron 4 mg |
192 |
183 |
$54.17 |
| U0005 |
Infec agen detec ampli probe |
1,643 |
1,360 |
$50.00 |
| 82785 |
|
894 |
889 |
$45.76 |
| 1036F |
|
2,002 |
1,994 |
$45.20 |
| 87071 |
|
1,550 |
1,529 |
$45.12 |
| 87015 |
|
325 |
321 |
$43.96 |
| 72070 |
|
66 |
66 |
$43.78 |
| 99058 |
|
14 |
13 |
$41.20 |
| 0002A |
|
14 |
13 |
$40.00 |
| 93786 |
|
54 |
54 |
$36.97 |
| 87205 |
|
1,342 |
1,321 |
$34.92 |
| 0510 |
|
39,793 |
37,214 |
$34.10 |
| 85384 |
|
824 |
794 |
$33.92 |
| 92552 |
|
3,973 |
3,957 |
$33.78 |
| 99391 |
|
362 |
361 |
$33.00 |
| 1159F |
|
1,698 |
1,573 |
$32.80 |
| 90651 |
|
395 |
395 |
$31.00 |
| 76377 |
|
113 |
113 |
$29.36 |
| 87338 |
|
173 |
173 |
$27.62 |
| 73060 |
|
82 |
74 |
$26.15 |
| J2175 |
Meperidine hydrochl /100 mg |
2,250 |
2,225 |
$24.67 |
| 0456 |
|
30,533 |
28,855 |
$23.77 |
| J2250 |
Inj midazolam hydrochloride |
448 |
444 |
$21.37 |
| 87650 |
|
14 |
13 |
$20.60 |
| A9286 |
Any hygienic item, device |
20 |
20 |
$20.52 |
| 84156 |
|
766 |
701 |
$20.34 |
| J2704 |
Inj, propofol, 10 mg |
792 |
707 |
$19.55 |
| 82248 |
|
56 |
51 |
$19.08 |
| 87503 |
|
215 |
211 |
$18.08 |
| J0690 |
Cefazolin sodium injection |
1,167 |
1,142 |
$16.97 |
| 51600 |
|
61 |
61 |
$14.50 |
| 87077 |
|
12 |
12 |
$14.16 |
| 86376 |
|
12 |
12 |
$13.96 |
| 82607 |
|
126 |
125 |
$13.03 |
| 83525 |
|
1,036 |
1,031 |
$9.87 |
| 90734 |
|
246 |
242 |
$9.00 |
| 90670 |
|
561 |
561 |
$9.00 |
| 90656 |
|
502 |
501 |
$9.00 |
| 90698 |
|
437 |
436 |
$9.00 |
| 84550 |
|
410 |
391 |
$8.66 |
| J8540 |
Oral dexamethasone |
360 |
338 |
$8.55 |
| 87400 |
|
447 |
408 |
$8.12 |
| 84703 |
|
172 |
161 |
$8.11 |
| 83615 |
|
271 |
251 |
$7.66 |
| 80069 |
|
66 |
62 |
$7.49 |
| J2405 |
Ondansetron hcl injection |
277 |
214 |
$6.99 |
| 27786 |
|
29 |
27 |
$6.75 |
| 93788 |
|
54 |
54 |
$6.49 |
| 90696 |
|
12 |
12 |
$6.00 |
| 90674 |
|
264 |
264 |
$5.80 |
| 82310 |
|
96 |
92 |
$4.43 |
| 90710 |
|
15 |
15 |
$3.00 |
| 36416 |
|
3,985 |
3,914 |
$3.00 |
| J7611 |
Albuterol non-comp con |
1,829 |
1,662 |
$2.64 |
| 81003 |
|
103 |
94 |
$0.78 |
| Q0163 |
Diphenhydramine hcl 50mg |
630 |
616 |
$0.43 |
| 92582 |
|
255 |
253 |
$0.00 |
| 0402 |
|
240 |
237 |
$0.00 |
| 87329 |
|
284 |
265 |
$0.00 |
| 94664 |
|
254 |
251 |
$0.00 |
| 0730 |
|
31 |
30 |
$0.00 |
| S9470 |
Nutritional counseling, diet |
73 |
73 |
$0.00 |
| 86644 |
|
15 |
15 |
$0.00 |
| 99051 |
|
68 |
68 |
$0.00 |
| S9342 |
Hit enteral pump diem |
1,140 |
1,125 |
$0.00 |
| 0113 |
|
768 |
764 |
$0.00 |
| 90661 |
|
20 |
20 |
$0.00 |
| L1830 |
Ko immob canvas long pre ots |
78 |
78 |
$0.00 |
| 0123 |
|
642 |
636 |
$0.00 |
| 92081 |
|
194 |
193 |
$0.00 |
| 99367 |
|
1,229 |
1,207 |
$0.00 |
| 99053 |
|
142 |
142 |
$0.00 |
| 1160F |
|
391 |
368 |
$0.00 |
| 76856 |
|
29 |
19 |
$0.00 |
| 99499 |
|
100,493 |
87,153 |
$0.00 |
| 3078F |
|
1,448 |
1,355 |
$0.00 |
| 87101 |
|
85 |
84 |
$0.00 |
| 73551 |
|
224 |
220 |
$0.00 |
| 92550 |
|
320 |
318 |
$0.00 |
| 99188 |
|
689 |
685 |
$0.00 |
| 84295 |
|
97 |
87 |
$0.00 |
| 84145 |
|
104 |
95 |
$0.00 |
| 92555 |
|
109 |
109 |
$0.00 |
| 99401 |
|
65 |
65 |
$0.00 |
| 0320 |
|
621 |
613 |
$0.00 |
| 0302 |
|
615 |
609 |
$0.00 |
| 90700 |
|
173 |
157 |
$0.00 |
| 99490 |
Ccm add 20min |
1,715 |
454 |
$0.00 |
| 84681 |
|
117 |
117 |
$0.00 |
| 92585 |
|
26 |
25 |
$0.00 |
| 90715 |
|
41 |
41 |
$0.00 |
| S9999 |
Sales tax |
75 |
75 |
$0.00 |
| 87811 |
|
187 |
185 |
$0.00 |
| G9919 |
Scrn nd pos nd prov of rec |
181 |
181 |
$0.00 |
| 87328 |
|
284 |
265 |
$0.00 |
| 90633 |
|
148 |
137 |
$0.00 |
| 86756 |
|
13 |
13 |
$0.00 |
| 90707 |
|
133 |
118 |
$0.00 |
| 99155 |
|
32 |
31 |
$0.00 |
| 90685 |
|
52 |
45 |
$0.00 |
| 90713 |
|
97 |
83 |
$0.00 |
| 0300 |
|
27 |
26 |
$0.00 |
| 82272 |
|
13 |
12 |
$0.00 |
| J2941 |
Somatropin injection |
12 |
12 |
$0.00 |
| J0136 |
Inj, acetaminophen (b braun) |
36 |
36 |
$0.00 |
| 86665 |
|
73 |
71 |
$0.00 |
| 86703 |
|
45 |
45 |
$0.00 |
| 98970 |
|
142 |
134 |
$0.00 |
| 87324 |
|
24 |
24 |
$0.00 |
| 90655 |
|
16 |
16 |
$0.00 |
| 90648 |
|
14 |
14 |
$0.00 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
26 |
25 |
$0.00 |
| 90472 |
|
12 |
12 |
$0.00 |
| 97530 |
|
45 |
16 |
$0.00 |
| A7005 |
Nondisposable nebulizer set |
15 |
15 |
$0.00 |
| 99421 |
|
15 |
14 |
$0.00 |
| 88399 |
|
12 |
12 |
$0.00 |
| 83970 |
|
28 |
26 |
$0.00 |
| 87420 |
|
13 |
12 |
$0.00 |
| 0071A |
|
14 |
14 |
$0.00 |
| 86645 |
|
15 |
15 |
$0.00 |
| 54161 |
|
13 |
12 |
$0.00 |
| 91300 |
|
33 |
32 |
$0.00 |
| 97039 |
|
36 |
13 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
12 |
12 |
$0.00 |
| 11750 |
|
13 |
13 |
$0.00 |
| 99442 |
|
23 |
23 |
$0.00 |
| G0447 |
Behavior counsel obesity 15m |
874 |
866 |
$0.00 |
| 0305 |
|
846 |
834 |
$0.00 |
| G0378 |
Hospital observation per hr |
1,430 |
1,330 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
1,223 |
1,214 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
25 |
25 |
$0.00 |
| 0258 |
|
1,147 |
1,124 |
$0.00 |
| 99174 |
|
42 |
42 |
$0.00 |
| 92587 |
|
521 |
519 |
$0.00 |
| 76536 |
|
166 |
162 |
$0.00 |
| 0636 |
|
1,234 |
1,215 |
$0.00 |
| 99441 |
|
15 |
14 |
$0.00 |
| 97166 |
|
2,879 |
2,058 |
$0.00 |
| 97165 |
|
95 |
90 |
$0.00 |
| 96151 |
|
303 |
303 |
$0.00 |
| 0301 |
|
854 |
843 |
$0.00 |
| 97535 |
|
45 |
16 |
$0.00 |
| B4160 |
Ef ped caloric dense>/=0.7kc |
552 |
546 |
$0.00 |
| 0306 |
|
1,120 |
1,101 |
$0.00 |
| S9088 |
Services provided in urgent |
309 |
301 |
$0.00 |
| 86664 |
|
71 |
69 |
$0.00 |
| 41899 |
|
1,801 |
1,796 |
$0.00 |
| 86780 |
|
136 |
132 |
$0.00 |
| 82150 |
|
378 |
361 |
$0.00 |
| J7644 |
Ipratropium bromide non-comp |
625 |
595 |
$0.00 |
| S0020 |
Injection, bupivicaine hydro |
12 |
12 |
$0.00 |
| 0307 |
|
122 |
122 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
78 |
48 |
$0.00 |
| 0370 |
|
442 |
441 |
$0.00 |
| 76010 |
|
66 |
65 |
$0.00 |
| 90716 |
|
179 |
165 |
$0.00 |
| 87181 |
|
104 |
104 |
$0.00 |
| 99366 |
|
456 |
116 |
$0.00 |
| 0206 |
|
72 |
72 |
$0.00 |
| 90744 |
|
38 |
38 |
$0.00 |
| 72040 |
|
103 |
100 |
$0.00 |
| S9452 |
Nutrition class |
13 |
13 |
$0.00 |
| 91307 |
|
51 |
43 |
$0.00 |
| 86308 |
|
68 |
68 |
$0.00 |
| 87807 |
|
40 |
40 |
$0.00 |
| 99384 |
|
28 |
28 |
$0.00 |
| 0410 |
|
398 |
392 |
$0.00 |
| S9451 |
Exercise class |
66 |
66 |
$0.00 |
| 84132 |
|
27 |
27 |
$0.00 |
| 3351F |
|
137 |
125 |
$0.00 |
| 0310 |
|
206 |
206 |
$0.00 |
| G9902 |
Pt scrn tbco and id as user |
190 |
188 |
$0.00 |
| A7015 |
Aerosol mask used w nebulize |
25 |
25 |
$0.00 |
| 74010 |
|
55 |
48 |
$0.00 |
| 1000F |
|
13 |
13 |
$0.00 |
| 0072A |
|
28 |
28 |
$0.00 |
| 87147 |
|
13 |
13 |
$0.00 |
| 1220F |
|
149 |
141 |
$0.00 |
| 82746 |
|
25 |
25 |
$0.00 |
| 86850 |
|
97 |
90 |
$0.00 |
| 99383 |
|
27 |
27 |
$0.00 |
| 96150 |
|
80 |
80 |
$0.00 |
| E0570 |
Nebulizer with compression |
28 |
28 |
$0.00 |
| 90620 |
|
14 |
14 |
$0.00 |
| 82043 |
|
53 |
51 |
$0.00 |
| D0120 |
|
65 |
65 |
$0.00 |
| 90680 |
|
56 |
56 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
34 |
34 |
$0.00 |
| 82330 |
|
57 |
50 |
$0.00 |
| 90697 |
|
12 |
12 |
$0.00 |
| 90677 |
|
26 |
26 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
72 |
62 |
$0.00 |
| 90480 |
|
42 |
40 |
$0.00 |
| J1170 |
Hydromorphone injection |
102 |
102 |
$0.00 |
| 71020 |
|
82 |
40 |
$0.00 |
| 24530 |
|
30 |
24 |
$0.00 |
| 28470 |
|
15 |
14 |
$0.00 |
| S9558 |
Ht inj growth horm diem |
12 |
12 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
13 |
12 |
$0.00 |
| 26600 |
|
24 |
20 |
$0.00 |
| 82803 |
|
13 |
13 |
$0.00 |
| 87340 |
|
12 |
12 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
23 |
22 |
$0.00 |
| 98941 |
|
18 |
12 |
$0.00 |
| 4037F |
|
24 |
24 |
$0.00 |
| S9446 |
Pt education noc group |
25 |
12 |
$0.00 |