| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpt clinic visit |
2,534,307 |
2,108,085 |
$269.98M |
| 99285 |
|
518,214 |
448,053 |
$45.28M |
| 99284 |
|
582,362 |
517,566 |
$37.38M |
| J2350 |
Injection, ocrelizumab, 1 mg |
1,801 |
1,329 |
$34.27M |
| 99214 |
|
619,198 |
575,826 |
$21.59M |
| 99213 |
|
806,649 |
738,040 |
$20.33M |
| J9271 |
Inj pembrolizumab |
1,649 |
1,042 |
$14.56M |
| 99283 |
|
238,829 |
206,898 |
$14.56M |
| 96361 |
|
30,936 |
22,003 |
$11.30M |
| J0585 |
Injection,onabotulinumtoxina |
13,547 |
10,607 |
$10.12M |
| 97110 |
|
101,964 |
50,594 |
$8.69M |
| 93306 |
|
75,564 |
63,480 |
$7.85M |
| 99391 |
|
90,120 |
60,276 |
$6.98M |
| 99392 |
|
79,897 |
56,615 |
$6.68M |
| 76816 |
|
63,706 |
40,654 |
$6.33M |
| 81513 |
|
40,466 |
33,807 |
$6.31M |
| J1569 |
Gammagard liquid injection |
2,363 |
1,093 |
$5.87M |
| 96365 |
|
28,386 |
16,823 |
$5.52M |
| 96127 |
|
57,871 |
47,968 |
$5.47M |
| 43239 |
|
14,524 |
10,579 |
$5.20M |
| 88305 |
|
146,885 |
133,210 |
$5.00M |
| U0003 |
Cov-19 amp prb hgh thruput |
34,206 |
29,446 |
$4.74M |
| 99395 |
|
34,289 |
27,316 |
$4.50M |
| 87631 |
|
21,694 |
18,213 |
$4.46M |
| 95810 |
|
9,136 |
6,875 |
$4.24M |
| 99291 |
|
86,131 |
43,501 |
$4.13M |
| Q5104 |
Injection, renflexis |
2,702 |
1,941 |
$4.06M |
| 96110 |
|
15,733 |
13,589 |
$3.93M |
| J9144 |
Daratumumab, hyaluronidase |
834 |
477 |
$3.91M |
| 80053 |
|
302,267 |
240,129 |
$3.75M |
| 70450 |
|
44,727 |
39,618 |
$3.66M |
| 20610 |
|
31,755 |
20,161 |
$3.59M |
| 99233 |
Prolong inpt eval add15 m |
133,359 |
51,536 |
$3.59M |
| 74177 |
|
32,194 |
27,714 |
$3.52M |
| J3380 |
Inj vedolizumab iv 1 mg |
643 |
497 |
$3.31M |
| 45380 |
|
5,385 |
4,133 |
$3.22M |
| 99393 |
|
34,846 |
26,968 |
$3.20M |
| 77386 |
|
6,598 |
701 |
$2.88M |
| 76856 |
|
24,773 |
18,259 |
$2.87M |
| 76819 |
|
36,854 |
18,722 |
$2.84M |
| 96366 |
|
10,144 |
5,353 |
$2.82M |
| 96413 |
|
22,305 |
13,083 |
$2.77M |
| 99232 |
|
149,057 |
64,347 |
$2.69M |
| 99215 |
Prolong outpt/office vis |
52,079 |
48,369 |
$2.65M |
| 99396 |
|
21,361 |
17,617 |
$2.63M |
| 95720 |
|
23,210 |
10,073 |
$2.62M |
| 76801 |
|
24,615 |
15,822 |
$2.61M |
| 95811 |
|
5,776 |
4,322 |
$2.55M |
| 96415 |
|
7,238 |
4,662 |
$2.50M |
| 93010 |
|
454,006 |
389,398 |
$2.44M |
| C9803 |
Hopd covid-19 spec collect |
55,327 |
49,278 |
$2.44M |
| J9299 |
Injection, nivolumab |
649 |
281 |
$2.40M |
| J0178 |
Aflibercept injection |
2,260 |
1,860 |
$2.36M |
| 70553 |
|
15,369 |
14,114 |
$2.35M |
| 67028 |
|
20,315 |
13,750 |
$2.34M |
| 64615 |
|
11,417 |
8,200 |
$2.29M |
| 93303 |
|
16,393 |
12,750 |
$2.27M |
| 71260 |
|
20,246 |
18,526 |
$2.22M |
| 76805 |
|
21,444 |
13,366 |
$2.15M |
| 0241U |
|
15,824 |
13,548 |
$2.12M |
| 99394 |
|
18,593 |
14,719 |
$2.11M |
| 95715 |
|
2,363 |
814 |
$2.09M |
| 45385 |
|
2,920 |
2,217 |
$2.03M |
| 59025 |
|
12,802 |
7,815 |
$1.90M |
| G0378 |
Hospital observation per hr |
18,720 |
8,446 |
$1.80M |
| 95951 |
|
16,273 |
6,443 |
$1.78M |
| 66984 |
|
3,344 |
2,057 |
$1.75M |
| 95806 |
|
4,308 |
3,724 |
$1.74M |
| Q5119 |
Inj ruxience, 10 mg |
1,731 |
744 |
$1.74M |
| 90677 |
|
16,875 |
14,699 |
$1.73M |
| 95886 |
|
8,577 |
6,322 |
$1.73M |
| J2323 |
Natalizumab injection |
464 |
379 |
$1.72M |
| J7298 |
Mirena, 52 mg |
1,616 |
1,357 |
$1.68M |
| 69436 |
|
1,112 |
920 |
$1.68M |
| 92134 |
|
63,789 |
41,786 |
$1.64M |
| J1745 |
Infliximab not biosimil 10mg |
982 |
767 |
$1.63M |
| 76811 |
|
10,816 |
7,564 |
$1.54M |
| 99203 |
|
52,563 |
50,363 |
$1.54M |
| 96360 |
|
6,789 |
5,246 |
$1.53M |
| 71046 |
|
135,940 |
123,840 |
$1.45M |
| 96161 |
|
9,331 |
8,081 |
$1.44M |
| J0741 |
Inj, cabote rilpivir 2mg 3mg |
295 |
248 |
$1.43M |
| 76830 |
|
29,480 |
21,599 |
$1.36M |
| 52000 |
|
1,996 |
1,758 |
$1.35M |
| 11102 |
|
3,523 |
2,853 |
$1.34M |
| 96160 |
|
7,800 |
6,029 |
$1.31M |
| G0121 |
Colon ca scrn not hi rsk ind |
1,711 |
1,400 |
$1.30M |
| 95813 |
|
1,962 |
1,581 |
$1.29M |
| 87637 |
|
23,737 |
20,538 |
$1.28M |
| 74176 |
|
7,056 |
6,090 |
$1.27M |
| 42820 |
|
996 |
809 |
$1.25M |
| 94640 |
|
8,873 |
6,867 |
$1.22M |
| 90791 |
|
8,616 |
6,909 |
$1.21M |
| 36415 |
|
581,641 |
449,299 |
$1.20M |
| 85025 |
|
289,296 |
227,384 |
$1.18M |
| 76813 |
|
16,978 |
10,815 |
$1.14M |
| 90834 |
|
16,316 |
9,649 |
$1.12M |
| 84443 |
|
95,475 |
82,485 |
$1.12M |
| J3032 |
Inj. eptinezumab-jjmr 1 mg |
503 |
412 |
$1.12M |
| 90471 |
|
145,673 |
127,689 |
$1.11M |
| 97112 |
|
20,903 |
12,222 |
$1.06M |
| 11104 |
|
2,169 |
1,769 |
$1.05M |
| 19318 |
|
198 |
142 |
$1.03M |
| 71045 |
|
209,119 |
142,025 |
$1.03M |
| 43235 |
|
2,439 |
1,985 |
$1.03M |
| 94060 |
|
19,649 |
15,442 |
$1.03M |
| 95782 |
|
1,666 |
1,274 |
$1.01M |
| 76817 |
|
16,244 |
10,617 |
$1.01M |
| J0490 |
Belimumab injection |
627 |
279 |
$1.01M |
| 49083 |
|
4,673 |
2,083 |
$1000K |
| J7307 |
Etonogestrel implant system |
920 |
773 |
$988K |
| 78452 |
|
4,426 |
3,844 |
$986K |
| 99282 |
|
7,756 |
6,649 |
$984K |
| 82306 |
|
61,301 |
53,271 |
$957K |
| 80061 |
|
95,290 |
83,668 |
$955K |
| 99204 |
|
19,854 |
18,900 |
$948K |
| 31231 |
|
7,918 |
5,694 |
$946K |
| 93325 |
|
28,217 |
22,083 |
$940K |
| 77067 |
|
38,335 |
35,302 |
$937K |
| 45378 |
|
1,394 |
1,078 |
$931K |
| 97153 |
|
6,369 |
758 |
$924K |
| 78815 |
|
2,054 |
1,755 |
$924K |
| J2357 |
Omalizumab injection |
1,100 |
499 |
$922K |
| 76705 |
|
23,442 |
20,859 |
$905K |
| 87491 |
|
83,229 |
71,698 |
$903K |
| 92551 |
|
14,442 |
12,854 |
$857K |
| 17110 |
|
5,324 |
4,282 |
$848K |
| 99223 |
Prolong inpt eval add15 m |
14,496 |
13,248 |
$845K |
| 31575 |
|
5,297 |
4,243 |
$836K |
| 97161 |
|
17,290 |
15,513 |
$830K |
| 31579 |
|
4,377 |
3,176 |
$822K |
| 64643 |
|
3,871 |
2,762 |
$817K |
| 97140 |
|
27,994 |
15,009 |
$805K |
| Q5118 |
Inj., zirabev, 10 mg |
1,269 |
392 |
$803K |
| 83036 |
|
101,129 |
89,244 |
$780K |
| 71250 |
|
15,355 |
14,118 |
$772K |
| 76770 |
|
6,227 |
5,743 |
$742K |
| 80048 |
|
63,647 |
49,792 |
$736K |
| 11900 |
|
3,517 |
2,802 |
$727K |
| 87591 |
|
83,006 |
71,519 |
$715K |
| 01967 |
|
2,516 |
2,314 |
$710K |
| 99212 |
|
40,726 |
37,225 |
$710K |
| 76815 |
|
7,734 |
6,286 |
$706K |
| 97803 |
|
12,833 |
11,662 |
$705K |
| 99479 |
|
8,991 |
2,731 |
$689K |
| 90688 |
|
58,581 |
46,590 |
$674K |
| 88307 |
|
11,172 |
10,144 |
$670K |
| 90651 |
|
11,352 |
9,421 |
$665K |
| 86850 |
|
24,081 |
17,686 |
$640K |
| 93005 |
|
74,731 |
62,669 |
$634K |
| J9173 |
Inj., durvalumab, 10 mg |
74 |
40 |
$625K |
| 92557 |
|
10,251 |
8,687 |
$619K |
| 94010 |
|
26,188 |
20,934 |
$605K |
| 93970 |
|
10,612 |
8,669 |
$596K |
| 70491 |
|
1,760 |
1,500 |
$587K |
| 99460 |
|
8,181 |
7,724 |
$586K |
| 73630 |
|
46,549 |
36,295 |
$576K |
| 84439 |
|
34,611 |
30,131 |
$574K |
| 97810 |
|
22,953 |
9,752 |
$574K |
| 64483 |
|
1,509 |
1,249 |
$559K |
| 76642 |
|
8,378 |
6,817 |
$557K |
| 93975 |
|
4,359 |
3,623 |
$552K |
| 90960 |
|
8,427 |
8,024 |
$550K |
| 97535 |
|
14,687 |
10,922 |
$547K |
| 77300 |
|
1,032 |
873 |
$540K |
| 99244 |
|
10,505 |
10,134 |
$538K |
| 99238 |
|
19,247 |
18,008 |
$535K |
| J0897 |
Denosumab injection |
1,030 |
837 |
$517K |
| 73721 |
|
2,558 |
2,300 |
$509K |
| 70551 |
|
3,458 |
3,090 |
$508K |
| J2506 |
Inj pegfilgrast ex bio 0.5mg |
905 |
559 |
$508K |
| 92015 |
|
41,698 |
34,594 |
$506K |
| 77334 |
|
1,224 |
873 |
$499K |
| 85027 |
|
88,137 |
67,906 |
$498K |
| Q5103 |
Injection, inflectra |
740 |
514 |
$497K |
| 97802 |
|
6,817 |
5,902 |
$493K |
| 70498 |
|
1,868 |
1,598 |
$477K |
| 93308 |
|
5,602 |
4,800 |
$474K |
| 90837 |
|
3,602 |
2,482 |
$470K |
| 96367 |
|
9,470 |
4,314 |
$467K |
| 91200 |
|
7,454 |
5,533 |
$455K |
| 38222 |
|
599 |
414 |
$452K |
| 92567 |
|
24,357 |
19,836 |
$450K |
| 51784 |
|
3,421 |
2,613 |
$450K |
| 99309 |
|
28,079 |
14,080 |
$450K |
| 92587 |
|
5,945 |
4,839 |
$445K |
| 90750 |
|
2,287 |
1,962 |
$444K |
| 99349 |
|
16,847 |
14,713 |
$439K |
| 20611 |
|
1,458 |
1,110 |
$437K |
| 52310 |
|
595 |
549 |
$437K |
| 77301 |
|
571 |
508 |
$436K |
| J9022 |
Inj, atezolizumab,10 mg |
76 |
51 |
$429K |
| 99308 |
|
42,862 |
31,321 |
$427K |
| 71275 |
|
1,806 |
1,501 |
$427K |
| 73564 |
|
35,200 |
26,653 |
$425K |
| 96372 |
|
49,379 |
34,493 |
$425K |
| 76820 |
|
6,411 |
2,655 |
$423K |
| 87497 |
|
11,160 |
5,453 |
$422K |
| 97113 |
|
4,960 |
2,077 |
$422K |
| 80307 |
|
19,703 |
15,032 |
$416K |
| 87481 |
|
41,287 |
34,518 |
$412K |
| 76536 |
|
4,631 |
4,030 |
$410K |
| 82728 |
|
29,382 |
24,592 |
$408K |
| 90792 |
|
2,792 |
2,392 |
$408K |
| Q3014 |
Telehealth facility fee |
15,656 |
14,530 |
$407K |
| 86780 |
|
28,401 |
23,974 |
$407K |
| 93451 |
|
348 |
274 |
$407K |
| 57454 |
|
1,168 |
1,013 |
$385K |
| 82607 |
|
25,800 |
21,994 |
$378K |
| 86803 |
|
28,432 |
23,800 |
$374K |
| 87086 |
|
58,022 |
48,531 |
$371K |
| 80197 |
|
24,089 |
12,721 |
$369K |
| 87661 |
|
55,389 |
46,463 |
$368K |
| 92083 |
|
12,914 |
9,300 |
$365K |
| 93017 |
|
3,819 |
3,241 |
$353K |
| 74018 |
|
49,827 |
39,091 |
$347K |
| 74183 |
|
1,599 |
1,427 |
$340K |
| 77412 |
|
1,984 |
293 |
$338K |
| 99239 |
|
9,896 |
9,173 |
$336K |
| 72197 |
|
1,117 |
987 |
$334K |
| 86900 |
|
24,819 |
17,843 |
$333K |
| 87636 |
|
13,632 |
11,830 |
$331K |
| 77063 |
|
7,583 |
7,232 |
$328K |
| J0475 |
Baclofen 10 mg injection |
972 |
861 |
$327K |
| 95004 |
|
4,036 |
3,665 |
$321K |
| 91320 |
|
6,717 |
6,027 |
$320K |
| 95885 |
|
1,109 |
989 |
$319K |
| 86140 |
|
29,865 |
24,743 |
$317K |
| 87389 |
|
29,527 |
24,773 |
$317K |
| 64405 |
|
841 |
672 |
$316K |
| 97811 |
|
22,915 |
9,733 |
$313K |
| 93971 |
|
4,898 |
4,125 |
$309K |
| 90935 |
|
14,563 |
8,057 |
$308K |
| 19083 |
|
356 |
289 |
$308K |
| 77336 |
|
2,504 |
1,295 |
$306K |
| 58558 |
|
216 |
161 |
$304K |
| 93321 |
|
4,842 |
4,124 |
$302K |
| 84702 |
|
15,615 |
11,606 |
$302K |
| 87340 |
|
21,651 |
17,827 |
$301K |
| J7300 |
Intra copp contra (paragard) |
292 |
248 |
$301K |
| 77295 |
|
353 |
269 |
$301K |
| 76821 |
|
3,957 |
1,731 |
$299K |
| 95117 |
|
8,959 |
4,473 |
$296K |
| U0005 |
Infec agen detec ampli probe |
31,107 |
26,541 |
$293K |
| 77371 |
|
104 |
76 |
$291K |
| 73130 |
|
20,333 |
15,287 |
$289K |
| 64493 |
|
774 |
562 |
$288K |
| J0177 |
Inj, aflibercept hd, 1 mg |
169 |
161 |
$286K |
| 93454 |
|
266 |
204 |
$284K |
| 73030 |
|
22,289 |
18,571 |
$284K |
| 90460 |
|
54,902 |
46,868 |
$284K |
| 87651 |
|
49,823 |
43,537 |
$283K |
| 76882 |
|
6,433 |
4,434 |
$283K |
| 94729 |
|
16,515 |
13,935 |
$282K |
| 73610 |
|
19,243 |
16,650 |
$278K |
| 52287 |
|
578 |
458 |
$278K |
| P9040 |
Rbc leukoreduced irradiated |
991 |
540 |
$278K |
| J1050 |
Medroxyprogesterone acetate |
3,675 |
3,018 |
$276K |
| 77373 |
|
305 |
100 |
$268K |
| 72100 |
|
14,561 |
13,243 |
$266K |
| 72148 |
|
1,715 |
1,587 |
$265K |
| 83540 |
|
31,567 |
26,581 |
$263K |
| 58300 |
|
2,174 |
1,835 |
$260K |
| 94618 |
|
5,754 |
4,775 |
$260K |
| 20550 |
|
1,624 |
1,187 |
$258K |
| 92014 |
|
7,575 |
6,908 |
$256K |
| 96900 |
|
6,914 |
1,595 |
$248K |
| 0202U |
|
1,554 |
1,328 |
$245K |
| 97530 |
|
7,398 |
3,709 |
$243K |
| 62323 |
|
553 |
460 |
$243K |
| 11721 |
|
12,948 |
8,689 |
$243K |
| 96416 |
|
1,690 |
734 |
$241K |
| G0105 |
Colorectal scrn; hi risk ind |
388 |
292 |
$237K |
| 58100 |
|
1,390 |
1,182 |
$233K |
| 73221 |
|
973 |
885 |
$233K |
| 88141 |
|
11,042 |
10,628 |
$230K |
| 92133 |
|
10,005 |
7,685 |
$230K |
| 10005 |
|
601 |
527 |
$230K |
| J0561 |
Penicillin g benzathine inj |
664 |
386 |
$229K |
| 90715 |
|
16,997 |
13,747 |
$229K |
| 83735 |
|
76,405 |
53,209 |
$225K |
| 93505 |
|
198 |
127 |
$224K |
| 93798 |
|
3,841 |
1,114 |
$223K |
| 25600 |
|
725 |
561 |
$222K |
| 01922 |
|
977 |
787 |
$221K |
| 99243 |
|
7,058 |
6,801 |
$220K |
| 93320 |
|
16,911 |
13,129 |
$220K |
| 98940 |
|
8,397 |
4,838 |
$216K |
| 83550 |
|
31,152 |
26,209 |
$213K |
| 36430 |
|
1,533 |
791 |
$207K |
| 84165 |
|
24,514 |
22,035 |
$206K |
| 64642 |
|
4,463 |
3,136 |
$204K |
| 10060 |
|
1,058 |
928 |
$203K |
| 99202 |
|
10,798 |
10,298 |
$201K |
| 77338 |
|
602 |
525 |
$201K |
| 11056 |
|
2,485 |
1,639 |
$200K |
| 87624 |
|
16,292 |
13,372 |
$197K |
| 87505 |
|
1,648 |
1,420 |
$197K |
| 76831 |
|
1,005 |
824 |
$195K |
| 86334 |
|
19,958 |
17,691 |
$195K |
| 72141 |
|
1,077 |
975 |
$192K |
| 86832 |
|
5,246 |
4,116 |
$192K |
| 97116 |
|
7,394 |
3,708 |
$191K |
| 55700 |
|
282 |
238 |
$189K |
| 86480 |
|
7,809 |
6,636 |
$189K |
| 83970 |
|
8,299 |
6,935 |
$189K |
| 95816 |
|
4,812 |
4,116 |
$189K |
| 93880 |
|
2,197 |
1,863 |
$186K |
| 73502 |
|
12,494 |
11,367 |
$185K |
| C1776 |
Joint device (implantable) |
201 |
123 |
$184K |
| C9290 |
Inj, bupivacaine liposome |
1,581 |
1,169 |
$183K |
| 97162 |
|
4,330 |
3,829 |
$182K |
| 83655 |
|
11,207 |
9,733 |
$181K |
| 95909 |
|
1,637 |
1,463 |
$178K |
| 96116 |
|
768 |
686 |
$177K |
| 88175 |
|
23,777 |
20,897 |
$177K |
| 75561 |
|
586 |
488 |
$175K |
| 99469 |
|
815 |
226 |
$175K |
| G0296 |
Visit to determ ldct elig |
5,205 |
3,914 |
$174K |
| 86901 |
|
24,760 |
17,794 |
$173K |
| 85610 |
|
44,843 |
29,614 |
$170K |
| 82570 |
|
25,436 |
21,346 |
$170K |
| 92579 |
|
3,401 |
2,777 |
$169K |
| 86762 |
|
6,862 |
5,788 |
$168K |
| 95718 |
|
2,278 |
2,082 |
$167K |
| 85390 |
|
8,840 |
7,778 |
$167K |
| C8929 |
Tte w or wo fol wcon,doppler |
576 |
482 |
$166K |
| 97165 |
|
2,581 |
2,122 |
$166K |
| 95012 |
|
3,363 |
2,986 |
$166K |
| J1756 |
Iron sucrose injection |
5,692 |
2,400 |
$164K |
| 58301 |
|
1,597 |
1,420 |
$163K |
| 90832 |
|
2,397 |
1,769 |
$162K |
| 95700 |
|
1,063 |
877 |
$161K |
| J9217 |
Leuprolide acetate suspnsion |
571 |
465 |
$160K |
| 77470 |
|
462 |
400 |
$159K |
| J3490 |
Drugs unclassified injection |
4,978 |
3,000 |
$159K |
| 74178 |
|
577 |
512 |
$158K |
| 93226 |
|
1,197 |
1,078 |
$158K |
| 99254 |
|
2,547 |
2,395 |
$158K |
| 90480 |
|
8,935 |
8,095 |
$157K |
| 20526 |
|
636 |
512 |
$156K |
| P9045 |
Albumin (human), 5%, 250 ml |
912 |
487 |
$156K |
| J7318 |
Inj, durolane 1 mg |
619 |
532 |
$154K |
| 12001 |
|
809 |
709 |
$154K |
| 99281 |
|
958 |
868 |
$153K |
| J1950 |
Leuprolide acetate /3.75 mg |
92 |
80 |
$153K |
| Q5112 |
Inj ontruzant 10 mg |
114 |
63 |
$152K |
| 80069 |
|
10,535 |
7,469 |
$151K |
| 87510 |
|
11,104 |
10,308 |
$151K |
| 43249 |
|
377 |
303 |
$151K |
| 29075 |
|
994 |
828 |
$150K |
| 71271 |
|
1,321 |
1,208 |
$148K |
| 11982 |
|
657 |
578 |
$148K |
| 91120 |
|
2,468 |
1,850 |
$147K |
| J9306 |
Injection, pertuzumab, 1 mg |
33 |
26 |
$147K |
| 70486 |
|
1,544 |
1,331 |
$147K |
| 99462 |
|
4,741 |
4,068 |
$147K |
| 92507 |
|
2,523 |
1,466 |
$146K |
| 0124A |
|
5,676 |
3,668 |
$146K |
| 90670 |
|
20,077 |
17,356 |
$146K |
| 86706 |
|
11,164 |
9,136 |
$145K |
| 88342 |
|
10,491 |
9,093 |
$144K |
| 00731 |
|
8,672 |
6,640 |
$142K |
| 11981 |
|
620 |
520 |
$138K |
| 67228 |
|
420 |
340 |
$138K |
| 87635 |
|
9,453 |
8,110 |
$136K |
| 83880 |
|
16,125 |
12,667 |
$136K |
| 86038 |
|
7,988 |
6,470 |
$134K |
| 78264 |
|
646 |
586 |
$132K |
| 83020 |
|
10,528 |
9,199 |
$130K |
| 88341 |
|
2,372 |
1,879 |
$129K |
| 95076 |
|
620 |
540 |
$128K |
| 94726 |
|
3,983 |
3,401 |
$127K |
| 80076 |
|
10,418 |
8,645 |
$126K |
| 93922 |
|
2,600 |
2,194 |
$126K |
| 64612 |
|
424 |
342 |
$124K |
| 64616 |
|
469 |
384 |
$123K |
| 20552 |
|
1,055 |
827 |
$123K |
| 86833 |
|
5,335 |
4,111 |
$122K |
| 93296 |
|
5,924 |
5,681 |
$122K |
| 73110 |
|
7,196 |
6,026 |
$122K |
| J0586 |
Abobotulinumtoxina |
174 |
112 |
$121K |
| 95923 |
|
463 |
367 |
$119K |
| 91010 |
|
692 |
524 |
$118K |
| 77290 |
|
207 |
176 |
$117K |
| 99255 |
|
1,388 |
1,268 |
$117K |
| 91122 |
|
2,833 |
2,097 |
$115K |
| 82784 |
|
13,780 |
10,829 |
$115K |
| 90698 |
|
21,064 |
18,294 |
$115K |
| 95910 |
|
1,325 |
1,174 |
$114K |
| 78431 |
|
187 |
133 |
$113K |
| 72050 |
|
3,056 |
2,744 |
$113K |
| 81001 |
|
64,829 |
54,781 |
$113K |
| 90636 |
|
501 |
409 |
$113K |
| 87077 |
|
18,452 |
15,520 |
$113K |
| 99222 |
|
3,182 |
2,951 |
$112K |
| 77049 |
|
291 |
275 |
$111K |
| 96156 |
|
695 |
612 |
$110K |
| Q5107 |
Inj mvasi 10 mg |
130 |
50 |
$110K |
| 95924 |
|
464 |
403 |
$109K |
| 69210 |
|
4,647 |
3,835 |
$109K |
| 92004 |
|
3,204 |
3,014 |
$109K |
| 98941 |
|
3,860 |
2,490 |
$108K |
| 90472 |
|
42,502 |
38,067 |
$108K |
| 88112 |
|
7,673 |
6,944 |
$107K |
| 20600 |
|
629 |
513 |
$107K |
| 90620 |
|
2,699 |
2,241 |
$107K |
| 90945 |
|
3,258 |
957 |
$107K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,261 |
949 |
$106K |
| 90619 |
|
6,896 |
5,677 |
$105K |
| 84484 |
|
36,756 |
21,228 |
$105K |
| 17000 |
|
956 |
875 |
$104K |
| 86704 |
|
8,426 |
6,828 |
$104K |
| 92235 |
|
830 |
657 |
$103K |
| 95819 |
|
1,259 |
1,069 |
$103K |
| H1000 |
Prenatal care atrisk assessm |
794 |
707 |
$103K |
| 70544 |
|
558 |
501 |
$102K |
| 92136 |
|
4,192 |
3,463 |
$102K |
| G0480 |
Drug test def 1-7 classes |
6,015 |
4,876 |
$102K |
| J2777 |
Inj, faricimab-svoa, 0.1mg |
98 |
82 |
$101K |
| 99205 |
Prolong outpt/office vis |
2,104 |
1,973 |
$101K |
| 30140 |
|
80 |
66 |
$101K |
| 86077 |
|
3,460 |
3,182 |
$100K |
| 70496 |
|
2,187 |
1,871 |
$100K |
| 93016 |
|
7,008 |
6,689 |
$100K |
| 84100 |
|
27,055 |
15,783 |
$98K |
| J0129 |
Abatacept injection |
73 |
50 |
$97K |
| 87799 |
|
6,997 |
4,568 |
$97K |
| 99231 |
|
8,198 |
4,973 |
$97K |
| 99480 |
|
1,323 |
466 |
$97K |
| 99442 |
|
5,986 |
5,659 |
$96K |
| 0002A |
|
2,702 |
2,645 |
$96K |
| J3111 |
Inj. romosozumab-aqqg 1 mg |
97 |
88 |
$95K |
| 20605 |
|
539 |
432 |
$95K |
| 26600 |
|
261 |
220 |
$94K |
| 26720 |
|
276 |
223 |
$94K |
| 88184 |
|
1,208 |
877 |
$94K |
| 81455 |
|
268 |
198 |
$93K |
| 93225 |
|
1,358 |
1,136 |
$93K |
| 84403 |
|
6,774 |
5,864 |
$93K |
| 82977 |
|
9,227 |
5,304 |
$93K |
| 76512 |
|
997 |
795 |
$93K |
| 77080 |
|
1,840 |
1,603 |
$92K |
| 72156 |
|
967 |
836 |
$91K |
| 11042 |
|
752 |
459 |
$91K |
| 66821 |
|
429 |
381 |
$90K |
| 99472 |
|
415 |
123 |
$90K |
| 76700 |
|
450 |
426 |
$90K |
| 17250 |
|
413 |
369 |
$89K |
| J9070 |
Cyclophosphamide 100 mg inj |
701 |
269 |
$89K |
| 77062 |
|
2,078 |
1,883 |
$88K |
| J9041 |
Injection, bortezomib, 0.1mg |
2,209 |
514 |
$87K |
| 84153 |
|
7,967 |
6,880 |
$87K |
| 50200 |
|
228 |
169 |
$87K |
| 97804 |
|
4,027 |
3,748 |
$86K |
| 87522 |
Neg quan hep c or qual rna |
4,449 |
3,476 |
$86K |
| 70546 |
|
447 |
389 |
$86K |
| 0001A |
|
2,924 |
2,771 |
$85K |
| 31237 |
|
163 |
123 |
$85K |
| 96374 |
|
37,145 |
29,329 |
$85K |
| 87660 |
|
11,366 |
10,515 |
$84K |
| 12011 |
|
444 |
382 |
$84K |
| 94621 |
|
767 |
630 |
$84K |
| 99497 |
|
1,381 |
1,192 |
$84K |
| 76881 |
|
857 |
704 |
$84K |
| 99217 |
|
3,467 |
3,344 |
$84K |
| 87653 |
|
5,108 |
4,622 |
$83K |
| 82670 |
|
4,028 |
3,465 |
$83K |
| 11055 |
|
761 |
584 |
$81K |
| 17311 |
|
222 |
190 |
$81K |
| 64721 |
|
91 |
74 |
$81K |
| 74230 |
|
522 |
475 |
$81K |
| 97164 |
|
1,086 |
964 |
$81K |
| 20553 |
|
790 |
664 |
$81K |
| 99152 |
|
7,050 |
5,221 |
$80K |
| J7323 |
Euflexxa inj per dose |
759 |
330 |
$80K |
| 97166 |
|
1,332 |
1,153 |
$80K |
| 74174 |
|
1,049 |
834 |
$80K |
| 99306 |
Prolong nursin fac eval 15m |
3,096 |
2,819 |
$79K |
| 97155 |
|
964 |
458 |
$79K |
| 84481 |
|
8,016 |
6,892 |
$79K |
| 90658 |
|
8,433 |
8,358 |
$79K |
| 73700 |
|
591 |
497 |
$79K |
| 82533 |
|
3,236 |
2,524 |
$78K |
| 94642 |
|
699 |
573 |
$78K |
| 88304 |
|
9,792 |
8,959 |
$78K |
| 90633 |
|
10,188 |
8,516 |
$78K |
| 73560 |
|
4,346 |
3,453 |
$76K |
| 76825 |
|
642 |
554 |
$75K |
| 93246 |
|
1,943 |
1,595 |
$75K |
| 72125 |
|
3,057 |
2,596 |
$74K |
| 00104 |
|
1,963 |
1,163 |
$73K |
| 99253 |
|
1,804 |
1,634 |
$73K |
| 81370 |
|
616 |
489 |
$73K |
| 85652 |
|
23,769 |
20,109 |
$71K |
| 64450 |
|
446 |
366 |
$71K |
| 82043 |
|
15,175 |
13,208 |
$71K |
| 11983 |
|
183 |
155 |
$71K |
| 93799 |
|
8,383 |
2,498 |
$71K |
| 77061 |
|
1,567 |
1,401 |
$70K |
| 99245 |
|
974 |
926 |
$70K |
| 74160 |
|
435 |
368 |
$70K |
| 90716 |
|
4,821 |
4,031 |
$68K |
| P9047 |
Albumin (human), 25%, 50ml |
272 |
142 |
$68K |
| 82805 |
|
2,671 |
1,694 |
$68K |
| 84146 |
|
4,240 |
3,620 |
$67K |
| 99397 |
|
738 |
642 |
$67K |
| 78816 |
|
75 |
66 |
$66K |
| 96130 |
|
1,579 |
1,252 |
$66K |
| C9257 |
Bevacizumab injection |
2,439 |
2,097 |
$66K |
| 94660 |
|
778 |
342 |
$66K |
| 00811 |
|
4,389 |
3,402 |
$66K |
| 95911 |
|
730 |
654 |
$65K |
| 99406 |
|
2,582 |
2,344 |
$65K |
| 00142 |
|
4,853 |
3,424 |
$65K |
| 88346 |
|
1,412 |
1,147 |
$65K |
| P9016 |
Rbc leukocytes reduced |
238 |
159 |
$64K |
| 86258 |
|
3,478 |
2,980 |
$64K |
| 99350 |
Prolong home eval add 15m |
1,688 |
1,508 |
$64K |
| 87493 |
|
1,859 |
1,595 |
$64K |
| 29405 |
|
421 |
301 |
$63K |
| 73140 |
|
3,127 |
2,762 |
$63K |
| 98927 |
|
2,111 |
1,398 |
$63K |
| 58340 |
|
1,022 |
838 |
$62K |
| G0500 |
Mod sedat endo service >5yrs |
5,306 |
4,097 |
$62K |
| 93990 |
|
1,594 |
1,197 |
$61K |
| 86364 |
|
4,893 |
4,162 |
$61K |
| 83001 |
|
4,441 |
3,806 |
$61K |
| 77014 |
|
2,286 |
749 |
$61K |
| 51728 |
|
311 |
281 |
$60K |
| 72131 |
|
746 |
646 |
$60K |
| 36514 |
|
67 |
13 |
$60K |
| 74240 |
|
335 |
304 |
$59K |
| 36589 |
|
186 |
162 |
$59K |
| 90686 |
|
8,239 |
6,851 |
$59K |
| 72158 |
|
408 |
348 |
$58K |
| 74019 |
|
1,621 |
1,444 |
$58K |
| 85396 |
|
5,469 |
2,842 |
$58K |
| 72110 |
|
1,640 |
1,477 |
$58K |
| 99443 |
|
2,787 |
2,627 |
$57K |
| 88185 |
|
1,208 |
872 |
$57K |
| 31624 |
|
125 |
87 |
$57K |
| 93923 |
|
1,082 |
977 |
$57K |
| 86003 |
|
3,528 |
2,936 |
$56K |
| 82627 |
|
2,861 |
2,464 |
$55K |
| 51798 |
|
7,898 |
6,893 |
$55K |
| 92012 |
|
1,878 |
1,647 |
$54K |
| 85060 |
|
4,840 |
4,216 |
$54K |
| 93660 |
|
495 |
407 |
$54K |
| 82746 |
|
9,420 |
7,900 |
$54K |
| 82962 |
|
34,773 |
15,760 |
$53K |
| 81003 |
|
61,868 |
52,496 |
$53K |
| 81206 |
|
347 |
282 |
$53K |
| 77065 |
Tomosynthesis, mammo |
3,207 |
2,757 |
$53K |
| 90853 |
|
1,626 |
847 |
$52K |
| 45381 |
|
78 |
55 |
$52K |
| 82950 |
|
4,434 |
3,804 |
$52K |
| 76857 |
|
2,197 |
1,808 |
$52K |
| 82105 |
|
4,066 |
3,430 |
$51K |
| 90870 |
|
1,760 |
876 |
$51K |
| 99358 |
Prolong nursin fac eval 15m |
338 |
322 |
$51K |
| J9312 |
Inj., rituximab, 10 mg |
25 |
16 |
$51K |
| 70552 |
|
350 |
277 |
$51K |
| 90839 |
|
552 |
488 |
$50K |
| 86147 |
|
1,889 |
1,403 |
$50K |
| 81025 |
|
46,312 |
39,183 |
$50K |
| J9264 |
Paclitaxel protein bound |
43 |
12 |
$49K |
| 72040 |
|
1,461 |
1,303 |
$49K |
| 43248 |
|
141 |
123 |
$49K |
| 86431 |
|
5,057 |
4,227 |
$49K |
| 86376 |
|
3,206 |
2,669 |
$49K |
| 87186 |
|
14,116 |
12,035 |
$49K |
| 73562 |
|
1,541 |
1,320 |
$48K |
| 45330 |
|
103 |
79 |
$48K |
| 86160 |
|
4,426 |
3,474 |
$48K |
| 95992 |
|
570 |
401 |
$48K |
| 11750 |
|
121 |
91 |
$48K |
| 90680 |
|
12,730 |
11,126 |
$48K |
| 86359 |
|
2,360 |
1,847 |
$47K |
| 70543 |
|
131 |
115 |
$47K |
| 28470 |
|
152 |
132 |
$47K |
| 96523 |
|
1,049 |
682 |
$46K |
| 86235 |
|
4,370 |
3,324 |
$46K |
| 92025 |
|
1,032 |
868 |
$46K |
| 92524 |
|
573 |
479 |
$46K |
| 95115 |
|
1,320 |
648 |
$46K |
| 90746 |
|
2,615 |
2,014 |
$46K |
| 62369 |
|
1,742 |
908 |
$45K |
| 85018 |
|
8,466 |
6,935 |
$45K |
| 54161 |
|
32 |
31 |
$45K |
| 77066 |
Tomosynthesis, mammo |
2,616 |
2,356 |
$45K |
| 73590 |
|
2,292 |
1,882 |
$45K |
| 51705 |
|
870 |
703 |
$44K |
| 76514 |
|
1,097 |
903 |
$44K |
| J2791 |
Rhophylac injection |
699 |
554 |
$44K |
| 87536 |
|
1,937 |
1,577 |
$44K |
| 91112 |
|
255 |
180 |
$44K |
| 92250 |
|
1,283 |
1,173 |
$44K |
| 84402 |
|
2,850 |
2,451 |
$43K |
| 87070 |
|
7,734 |
6,232 |
$43K |
| 98926 |
|
1,394 |
903 |
$43K |
| 83615 |
|
9,528 |
6,747 |
$43K |
| 93018 |
|
5,049 |
4,830 |
$43K |
| 78306 |
|
332 |
293 |
$42K |
| 99153 |
Mod sedat endo service >5yrs |
5,090 |
3,887 |
$42K |
| 77370 |
|
532 |
422 |
$42K |
| 82525 |
|
3,488 |
2,865 |
$42K |
| 11100 |
|
209 |
102 |
$41K |
| 90697 |
|
4,981 |
4,748 |
$41K |
| 82024 |
|
1,404 |
1,146 |
$41K |
| 43762 |
|
255 |
234 |
$41K |
| 70480 |
|
261 |
234 |
$41K |
| 87640 |
|
1,965 |
1,599 |
$41K |
| 72082 |
|
1,320 |
1,228 |
$41K |
| 68840 |
|
103 |
89 |
$40K |
| 72157 |
|
528 |
454 |
$40K |
| 96375 |
|
36,903 |
20,883 |
$40K |
| 88360 |
|
804 |
671 |
$40K |
| 76827 |
|
642 |
554 |
$39K |
| 73070 |
|
1,241 |
989 |
$39K |
| 92611 |
|
527 |
470 |
$39K |
| 84630 |
|
3,974 |
3,321 |
$39K |
| 19081 |
|
41 |
38 |
$39K |
| 86225 |
|
4,474 |
3,542 |
$39K |
| 84156 |
|
11,919 |
9,353 |
$39K |
| 96368 |
|
2,129 |
1,301 |
$39K |
| 41899 |
|
56 |
42 |
$39K |
| 85576 |
|
1,626 |
1,188 |
$38K |
| 97150 |
|
2,067 |
907 |
$38K |
| 99221 |
|
1,487 |
1,368 |
$38K |
| G0108 |
Diab manage trn per indiv |
573 |
452 |
$38K |
| 93926 |
|
656 |
571 |
$37K |
| 80502 |
|
1,338 |
1,107 |
$37K |
| 81220 |
|
100 |
81 |
$37K |
| 27447 |
|
37 |
37 |
$37K |
| 88365 |
|
377 |
300 |
$36K |
| 86335 |
|
2,688 |
2,465 |
$36K |
| 90739 |
|
2,150 |
1,779 |
$36K |
| 88313 |
|
4,940 |
4,362 |
$36K |
| 81240 |
|
435 |
326 |
$36K |
| 86200 |
|
3,555 |
2,964 |
$36K |
| 83525 |
|
1,858 |
1,561 |
$36K |
| 81382 |
|
309 |
236 |
$35K |
| 90744 |
|
7,411 |
6,110 |
$35K |
| 51741 |
|
649 |
592 |
$35K |
| 92582 |
|
506 |
454 |
$35K |
| 73718 |
|
134 |
124 |
$35K |
| 93978 |
|
314 |
280 |
$35K |
| 90696 |
|
4,867 |
4,120 |
$34K |
| 73523 |
|
1,413 |
1,227 |
$34K |
| 72072 |
|
1,194 |
1,071 |
$34K |
| 83002 |
|
2,909 |
2,475 |
$34K |
| 88264 |
|
263 |
206 |
$34K |
| U0004 |
Cov-19 test non-cdc hgh thru |
170 |
166 |
$34K |
| 86256 |
|
3,483 |
2,863 |
$34K |
| J0702 |
Betamethasone acet&sod phosp |
3,488 |
2,898 |
$34K |
| 73080 |
|
1,955 |
1,597 |
$34K |
| 72146 |
|
325 |
285 |
$34K |
| 81256 |
|
290 |
231 |
$34K |
| 92526 |
|
578 |
431 |
$34K |
| Q5106 |
Inj retacrit non-esrd use |
632 |
258 |
$34K |
| 87502 |
|
1,651 |
1,397 |
$33K |
| C1874 |
Stent, coated/cov w/del sys |
144 |
97 |
$33K |
| 82550 |
|
8,423 |
6,422 |
$33K |
| 84166 |
|
3,522 |
3,228 |
$33K |
| 31628 |
|
102 |
70 |
$33K |
| 85240 |
|
937 |
764 |
$32K |
| 82947 |
|
4,678 |
3,503 |
$32K |
| 84480 |
|
3,269 |
2,767 |
$32K |
| 86800 |
|
2,517 |
2,119 |
$32K |
| 83520 |
|
2,353 |
1,857 |
$31K |
| 73090 |
|
1,553 |
1,242 |
$31K |
| 97163 |
|
643 |
578 |
$31K |
| 83993 |
|
1,558 |
1,421 |
$31K |
| J1453 |
Fosaprepitant injection |
2,397 |
1,210 |
$31K |
| J2997 |
Alteplase recombinant |
146 |
96 |
$31K |
| 96146 |
|
287 |
258 |
$31K |
| 99417 |
Prolong home eval add 15m |
441 |
413 |
$30K |
| 96101 |
|
627 |
419 |
$30K |
| 92340 |
|
1,796 |
1,659 |
$30K |
| 83521 |
|
4,770 |
3,681 |
$30K |
| J0640 |
Leucovorin calcium injection |
1,356 |
544 |
$30K |
| 84550 |
|
6,437 |
5,094 |
$30K |
| 90662 |
|
5,220 |
4,546 |
$30K |
| 62328 |
|
47 |
37 |
$29K |
| 87641 |
|
1,974 |
1,600 |
$29K |
| J9305 |
Inj. pemetrexed nos 10mg |
218 |
54 |
$29K |
| 92553 |
|
371 |
337 |
$29K |
| 87902 |
|
183 |
151 |
$29K |
| J9035 |
Bevacizumab injection |
105 |
70 |
$29K |
| 95024 |
|
685 |
579 |
$29K |
| 88311 |
|
4,685 |
4,253 |
$28K |
| 82785 |
|
2,686 |
2,237 |
$28K |
| 86923 |
|
978 |
615 |
$28K |
| 87633 |
|
270 |
195 |
$28K |
| 36591 |
|
1,491 |
893 |
$28K |
| 88172 |
|
348 |
253 |
$28K |
| 88350 |
|
893 |
696 |
$28K |
| 99385 |
|
552 |
382 |
$27K |
| G2211 |
Complex e/m visit add on |
21,265 |
20,015 |
$27K |
| 86870 |
|
797 |
595 |
$27K |
| 55250 |
|
20 |
13 |
$27K |
| 76818 |
|
239 |
193 |
$27K |
| 87517 |
|
958 |
694 |
$27K |
| 82330 |
|
3,971 |
2,636 |
$27K |
| 77427 |
|
288 |
150 |
$27K |
| 93312 |
|
158 |
120 |
$27K |
| 83690 |
|
19,746 |
15,858 |
$27K |
| 99464 |
|
386 |
372 |
$27K |
| 12002 |
|
160 |
137 |
$27K |
| 87529 |
|
2,237 |
1,872 |
$27K |
| 84425 |
|
3,064 |
2,652 |
$26K |
| 76937 |
|
1,308 |
939 |
$26K |
| 11103 |
|
528 |
468 |
$26K |
| 90461 |
|
19,581 |
17,368 |
$26K |
| 64415 |
|
49 |
41 |
$26K |
| 85730 |
|
11,269 |
7,808 |
$26K |
| 87480 |
|
11,110 |
10,313 |
$25K |
| 87205 |
|
7,280 |
5,786 |
$25K |
| 27786 |
|
80 |
71 |
$25K |
| 64644 |
|
576 |
507 |
$25K |
| 73100 |
|
567 |
448 |
$25K |
| 29065 |
|
153 |
123 |
$25K |
| 72070 |
|
820 |
716 |
$25K |
| 83516 |
|
1,849 |
1,198 |
$25K |
| 82565 |
|
4,138 |
3,472 |
$25K |
| 93298 |
|
1,218 |
1,167 |
$25K |
| 80074 |
|
2,700 |
2,250 |
$25K |
| 76870 |
|
925 |
783 |
$24K |
| 93750 |
|
2,012 |
1,254 |
$24K |
| 74270 |
|
173 |
147 |
$24K |
| 82951 |
|
937 |
856 |
$24K |
| 96401 |
|
2,782 |
1,178 |
$24K |
| 86787 |
|
2,185 |
1,824 |
$24K |
| 52356 |
|
16 |
12 |
$23K |
| 77072 |
|
543 |
496 |
$23K |
| 15275 |
|
105 |
25 |
$23K |
| 82103 |
|
2,357 |
1,798 |
$23K |
| 84207 |
|
2,355 |
1,928 |
$23K |
| 90833 |
|
885 |
804 |
$23K |
| 85597 |
|
888 |
723 |
$23K |
| U0001 |
2019-ncov diagnostic p |
297 |
288 |
$23K |
| 95912 |
|
357 |
313 |
$22K |
| J9074 |
Inj, cyclophosphamd, sandoz |
69 |
40 |
$22K |
| 92541 |
|
417 |
333 |
$22K |
| 84460 |
|
3,993 |
3,488 |
$22K |
| 81596 |
|
308 |
250 |
$22K |
| 66982 |
|
34 |
27 |
$22K |
| 82610 |
|
1,744 |
1,313 |
$22K |
| 84432 |
|
996 |
850 |
$22K |
| 86304 |
|
1,512 |
1,102 |
$22K |
| 86141 |
|
1,198 |
996 |
$22K |
| 84144 |
|
1,119 |
927 |
$22K |
| 99441 |
|
2,572 |
2,467 |
$22K |
| 31615 |
|
26 |
24 |
$22K |
| 29515 |
|
466 |
368 |
$21K |
| 86708 |
|
2,112 |
1,728 |
$21K |
| 95251 |
|
1,373 |
1,282 |
$21K |
| J2469 |
Palonosetron hcl |
5,148 |
2,476 |
$21K |
| 11440 |
|
53 |
42 |
$21K |
| 90710 |
|
5,038 |
4,247 |
$21K |
| 84155 |
|
5,391 |
4,191 |
$21K |
| 99220 |
|
394 |
368 |
$21K |
| 78582 |
|
32 |
25 |
$21K |
| 90961 |
|
544 |
515 |
$21K |
| 74021 |
|
549 |
506 |
$21K |
| 77280 |
|
154 |
118 |
$21K |
| 82088 |
|
934 |
728 |
$21K |
| 84450 |
|
3,309 |
2,908 |
$20K |
| G0179 |
Md recertification hha pt |
3,283 |
3,012 |
$20K |
| 90707 |
|
5,056 |
4,259 |
$20K |
| 73552 |
|
1,204 |
965 |
$20K |
| 99219 |
|
366 |
364 |
$20K |
| 93925 |
|
162 |
144 |
$20K |
| 86361 |
|
1,511 |
1,220 |
$20K |
| 91065 |
|
522 |
387 |
$20K |
| 86355 |
|
2,293 |
1,760 |
$20K |
| 86920 |
|
592 |
344 |
$20K |
| 10061 |
|
101 |
87 |
$19K |
| 86015 |
|
952 |
792 |
$19K |
| 96112 |
|
149 |
126 |
$19K |
| 97813 |
|
755 |
305 |
$19K |
| 11200 |
|
100 |
84 |
$19K |
| 00170 |
|
1,554 |
1,280 |
$19K |
| 86765 |
|
1,900 |
1,581 |
$19K |
| 36573 |
|
15 |
13 |
$19K |
| 88237 |
|
353 |
270 |
$19K |
| 72200 |
|
589 |
526 |
$19K |
| 96376 |
|
6,472 |
3,568 |
$19K |
| 86039 |
|
2,010 |
1,621 |
$19K |
| 82248 |
|
2,561 |
2,036 |
$18K |
| 92652 |
|
398 |
344 |
$18K |
| 82274 |
|
890 |
813 |
$18K |
| 75574 |
|
86 |
73 |
$18K |
| 71101 |
|
1,076 |
963 |
$18K |
| G0425 |
Inpt/ed teleconsult30 |
336 |
319 |
$18K |
| 80324 |
|
1,871 |
1,640 |
$18K |
| J1610 |
Glucagon hydrochloride/1 mg |
161 |
121 |
$18K |
| 87328 |
|
828 |
733 |
$18K |
| 82378 |
|
2,037 |
1,552 |
$18K |
| 87338 |
|
854 |
747 |
$18K |
| 92555 |
|
492 |
447 |
$18K |
| 86735 |
|
1,079 |
923 |
$18K |
| 99252 |
|
563 |
523 |
$18K |
| 84445 |
|
877 |
771 |
$18K |
| 86665 |
|
1,697 |
1,385 |
$18K |
| 59409 |
|
28 |
27 |
$17K |
| 86308 |
|
1,144 |
947 |
$17K |
| 0004A |
|
519 |
502 |
$17K |
| 85045 |
|
6,168 |
4,283 |
$17K |
| 70355 |
|
488 |
398 |
$17K |
| 87798 |
|
2,935 |
2,463 |
$17K |
| 52332 |
|
15 |
12 |
$17K |
| J0881 |
Darbepoetin alfa, non-esrd |
127 |
76 |
$17K |
| 86580 |
|
563 |
396 |
$16K |
| 86317 |
|
1,448 |
653 |
$16K |
| 69209 |
|
2,155 |
1,893 |
$16K |
| 95874 |
|
6,513 |
4,623 |
$16K |
| 86146 |
|
1,375 |
1,057 |
$16K |
| 86695 |
|
1,712 |
1,422 |
$16K |
| 30520 |
|
18 |
15 |
$16K |
| 83498 |
|
1,162 |
997 |
$16K |
| 76775 |
|
123 |
107 |
$16K |
| 83921 |
|
2,172 |
1,821 |
$16K |
| 82542 |
|
1,279 |
1,057 |
$16K |
| 80164 |
|
1,312 |
1,107 |
$15K |
| 0081A |
|
563 |
295 |
$15K |
| 46221 |
|
29 |
25 |
$15K |
| 78830 |
|
29 |
25 |
$15K |
| J9075 |
Inj, cyclophosphamide, nos |
93 |
73 |
$15K |
| 92700 |
|
316 |
276 |
$15K |
| J9171 |
Docetaxel injection |
238 |
150 |
$15K |
| 84305 |
|
863 |
747 |
$15K |
| 72170 |
|
917 |
747 |
$15K |
| 62321 |
|
27 |
26 |
$15K |
| 73000 |
|
391 |
333 |
$15K |
| 11402 |
|
26 |
25 |
$15K |
| 73200 |
|
96 |
81 |
$15K |
| 86644 |
|
1,062 |
804 |
$14K |
| 95044 |
|
40 |
25 |
$14K |
| 62370 |
|
293 |
269 |
$14K |
| 73060 |
|
846 |
691 |
$14K |
| 46600 |
|
1,235 |
1,066 |
$14K |
| 17003 |
|
531 |
482 |
$14K |
| 86301 |
|
1,186 |
916 |
$14K |
| 54150 |
|
369 |
330 |
$14K |
| 11720 |
|
408 |
386 |
$14K |
| 0054A |
|
787 |
711 |
$14K |
| 73660 |
|
767 |
686 |
$14K |
| 86036 |
|
1,012 |
821 |
$14K |
| 99471 |
|
26 |
26 |
$14K |
| 99386 |
|
240 |
164 |
$14K |
| 80175 |
|
910 |
784 |
$13K |
| 51720 |
|
50 |
27 |
$13K |
| J3489 |
Zoledronic acid 1mg |
816 |
668 |
$13K |
| 86696 |
|
1,697 |
1,409 |
$13K |
| 92556 |
|
335 |
305 |
$13K |
| 96131 |
|
365 |
324 |
$13K |
| 00300 |
|
724 |
539 |
$13K |
| 0154A |
|
350 |
286 |
$13K |
| 84681 |
|
1,089 |
885 |
$13K |
| G0426 |
Inpt/ed teleconsult50 |
179 |
170 |
$13K |
| 57456 |
|
33 |
25 |
$13K |
| 84244 |
|
876 |
717 |
$13K |
| 77085 |
|
277 |
250 |
$13K |
| 86341 |
|
977 |
752 |
$13K |
| 80177 |
|
1,406 |
1,163 |
$13K |
| 71555 |
|
81 |
68 |
$13K |
| 82952 |
|
782 |
712 |
$13K |
| 94799 |
|
694 |
362 |
$13K |
| 99348 |
|
644 |
579 |
$13K |
| 81332 |
|
389 |
301 |
$13K |
| 77387 |
|
248 |
40 |
$13K |
| 82390 |
|
1,306 |
1,045 |
$13K |
| 99242 |
|
527 |
515 |
$12K |
| 72128 |
|
262 |
221 |
$12K |
| 92546 |
|
154 |
120 |
$12K |
| 92552 |
|
187 |
173 |
$12K |
| 84154 |
|
1,326 |
1,158 |
$12K |
| 0071A |
|
422 |
328 |
$12K |
| 23500 |
|
34 |
27 |
$12K |
| 93295 |
|
434 |
417 |
$12K |
| 00840 |
|
725 |
505 |
$12K |
| 51700 |
|
224 |
191 |
$12K |
| 82040 |
|
1,823 |
1,568 |
$12K |
| 93351 |
|
712 |
626 |
$11K |
| 83010 |
|
1,498 |
1,088 |
$11K |
| J9206 |
Irinotecan injection |
1,040 |
358 |
$11K |
| 43237 |
|
29 |
26 |
$11K |
| 0402T |
|
16 |
13 |
$11K |
| 97814 |
|
754 |
304 |
$11K |
| 80158 |
|
741 |
377 |
$11K |
| J2704 |
Inj, propofol, 10 mg |
33,447 |
22,915 |
$11K |
| 80323 |
|
1,327 |
1,059 |
$11K |
| 84163 |
|
418 |
373 |
$11K |
| 82653 |
|
515 |
464 |
$11K |
| 82150 |
|
2,496 |
1,999 |
$11K |
| 84270 |
|
709 |
614 |
$11K |
| 86381 |
|
873 |
716 |
$11K |
| 95018 |
|
347 |
302 |
$11K |
| 85041 |
|
2,301 |
1,902 |
$11K |
| J9395 |
Injection, fulvestrant |
99 |
75 |
$10K |
| J9323 |
Inj pemetrexed ditromethamin |
93 |
25 |
$10K |
| 0082A |
|
343 |
225 |
$10K |
| J9045 |
Carboplatin injection |
1,356 |
772 |
$10K |
| 00140 |
|
815 |
662 |
$10K |
| 92523 |
|
294 |
260 |
$10K |
| 81268 |
|
45 |
36 |
$10K |
| 88312 |
|
991 |
866 |
$10K |
| 80348 |
|
1,902 |
1,666 |
$10K |
| 84436 |
|
936 |
796 |
$10K |
| 82397 |
|
796 |
566 |
$10K |
| 80361 |
|
1,870 |
1,640 |
$10K |
| 80365 |
|
1,969 |
1,727 |
$10K |
| 86255 |
|
1,325 |
840 |
$10K |
| J9201 |
In gemcitabine hcl nos 200mg |
815 |
316 |
$10K |
| 76942 |
|
1,732 |
1,394 |
$10K |
| 80373 |
|
1,870 |
1,640 |
$10K |
| 90474 |
|
2,234 |
1,795 |
$10K |
| 92626 |
|
135 |
121 |
$10K |
| 51600 |
|
209 |
169 |
$10K |
| 92550 |
|
228 |
157 |
$10K |
| 90632 |
|
459 |
394 |
$10K |
| 83605 |
|
7,688 |
5,016 |
$10K |
| 93985 |
|
142 |
125 |
$10K |
| 27130 |
|
13 |
12 |
$9K |
| 96402 |
|
1,255 |
992 |
$9K |
| 86705 |
|
693 |
577 |
$9K |
| 83721 |
|
1,645 |
1,439 |
$9K |
| 86618 |
|
879 |
735 |
$9K |
| 86664 |
|
667 |
548 |
$9K |
| 85379 |
|
5,059 |
4,145 |
$9K |
| 80354 |
|
1,870 |
1,640 |
$9K |
| 80349 |
|
1,870 |
1,640 |
$9K |
| 84132 |
|
3,773 |
2,671 |
$9K |
| 70487 |
|
29 |
29 |
$9K |
| 90785 |
|
978 |
678 |
$9K |
| 75565 |
|
645 |
552 |
$9K |
| 51797 |
|
498 |
453 |
$9K |
| 86300 |
|
531 |
419 |
$9K |
| 00813 |
|
2,692 |
2,094 |
$9K |
| 64447 |
|
54 |
40 |
$9K |
| J3470 |
Hyaluronidase injection |
684 |
543 |
$9K |
| 87040 |
|
4,636 |
2,282 |
$9K |
| 80356 |
|
1,858 |
1,628 |
$9K |
| 92545 |
|
276 |
218 |
$9K |
| 80353 |
|
1,871 |
1,640 |
$9K |
| 86880 |
|
515 |
411 |
$9K |
| 82085 |
|
897 |
747 |
$9K |
| 87329 |
|
822 |
732 |
$9K |
| 86922 |
|
424 |
243 |
$8K |
| 92285 |
|
203 |
159 |
$8K |
| 90685 |
|
1,569 |
1,324 |
$8K |
| 80178 |
|
567 |
442 |
$8K |
| J9263 |
Oxaliplatin |
961 |
410 |
$8K |
| 00145 |
|
523 |
440 |
$8K |
| 36471 |
|
12 |
12 |
$8K |
| 80364 |
|
1,870 |
1,640 |
$8K |
| 80358 |
|
1,871 |
1,640 |
$8K |
| 86592 |
|
1,574 |
1,263 |
$8K |
| 0072A |
|
277 |
236 |
$8K |
| 00520 |
|
887 |
662 |
$8K |
| 11980 |
|
26 |
24 |
$8K |
| 77075 |
|
78 |
66 |
$8K |
| 87177 |
|
374 |
327 |
$8K |
| 92060 |
|
661 |
584 |
$8K |
| 96132 |
|
779 |
697 |
$8K |
| 82652 |
|
899 |
769 |
$8K |
| 84590 |
|
1,169 |
960 |
$8K |
| 82164 |
|
692 |
574 |
$8K |
| G0452 |
Molecular pathology interpr |
909 |
820 |
$8K |
| 76883 |
|
59 |
52 |
$8K |
| 82310 |
|
956 |
810 |
$8K |
| 47000 |
|
18 |
12 |
$8K |
| 92519 |
|
37 |
31 |
$8K |
| 83835 |
|
527 |
442 |
$8K |
| 87015 |
|
1,318 |
1,012 |
$8K |
| 82232 |
|
666 |
510 |
$8K |
| 93000 |
|
521 |
502 |
$8K |
| 96152 |
|
214 |
158 |
$8K |
| A9270 |
Non-covered item or service |
8,875 |
4,502 |
$8K |
| 96158 |
|
300 |
266 |
$8K |
| 83695 |
|
861 |
736 |
$8K |
| 82677 |
|
237 |
209 |
$8K |
| 64494 |
|
688 |
471 |
$8K |
| 70250 |
|
244 |
190 |
$8K |
| 92542 |
|
317 |
238 |
$8K |
| 97597 |
|
189 |
81 |
$8K |
| 96136 |
|
883 |
786 |
$7K |
| 86921 |
|
389 |
215 |
$7K |
| 86357 |
|
807 |
595 |
$7K |
| 90847 |
|
59 |
36 |
$7K |
| 99383 |
|
145 |
133 |
$7K |
| 74220 |
|
168 |
164 |
$7K |
| 72220 |
|
347 |
310 |
$7K |
| 84134 |
|
769 |
645 |
$7K |
| 29125 |
|
429 |
372 |
$7K |
| 80299 |
|
431 |
340 |
$7K |
| 51702 |
|
573 |
467 |
$7K |
| J1815 |
Insulin injection |
678 |
440 |
$7K |
| 95165 |
|
288 |
230 |
$7K |
| 86360 |
|
788 |
585 |
$7K |
| 87102 |
|
1,762 |
1,396 |
$7K |
| 0298T |
|
117 |
115 |
$7K |
| 36226 |
|
15 |
12 |
$7K |
| 93976 |
|
55 |
40 |
$7K |
| 20551 |
|
32 |
25 |
$7K |
| 99305 |
|
347 |
311 |
$7K |
| 99201 |
|
692 |
682 |
$7K |
| 82077 |
|
4,612 |
3,478 |
$7K |
| 85520 |
|
1,333 |
1,049 |
$7K |
| 77293 |
|
53 |
52 |
$7K |
| J2543 |
Piperacillin/tazobactam |
2,496 |
1,296 |
$7K |
| 0051A |
|
282 |
175 |
$7K |
| C1760 |
Closure dev, vasc |
612 |
420 |
$7K |
| 76604 |
|
94 |
81 |
$6K |
| 83519 |
|
609 |
473 |
$6K |
| 88142 |
|
1,234 |
1,125 |
$6K |
| 87088 |
|
1,871 |
1,697 |
$6K |
| G0101 |
Ca screen;pelvic/breast exam |
495 |
463 |
$6K |
| 90966 |
|
65 |
63 |
$6K |
| 93248 |
|
363 |
357 |
$6K |
| 12032 |
|
307 |
274 |
$6K |
| 87563 |
|
479 |
413 |
$6K |
| 88173 |
|
1,206 |
1,010 |
$6K |
| Q5121 |
Inj. avsola, 10 mg |
14 |
12 |
$6K |
| 99421 |
|
684 |
663 |
$6K |
| J3301 |
Triamcinolone acet inj nos |
20,076 |
16,713 |
$6K |
| 73522 |
|
153 |
134 |
$6K |
| 81479 |
|
89 |
74 |
$6K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
23,708 |
19,198 |
$6K |
| 84466 |
|
880 |
732 |
$6K |
| 82340 |
|
531 |
445 |
$6K |
| 89051 |
|
2,339 |
1,521 |
$6K |
| 80235 |
|
623 |
528 |
$6K |
| 92082 |
|
123 |
110 |
$6K |
| 77091 |
|
276 |
265 |
$6K |
| 88291 |
|
695 |
575 |
$6K |
| 80143 |
|
1,036 |
775 |
$6K |
| 84446 |
|
890 |
723 |
$6K |
| 90648 |
|
930 |
754 |
$5K |
| 94681 |
|
147 |
89 |
$5K |
| 82180 |
|
567 |
469 |
$5K |
| 00790 |
|
363 |
254 |
$5K |
| 64999 |
|
44 |
37 |
$5K |
| 83090 |
|
1,113 |
927 |
$5K |
| 74221 |
|
31 |
27 |
$5K |
| G0297 |
Ldct for lung ca screen |
28 |
28 |
$5K |
| 90678 |
|
755 |
707 |
$5K |
| 82175 |
|
388 |
296 |
$5K |
| 84080 |
|
720 |
621 |
$5K |
| 99307 |
|
695 |
459 |
$5K |
| 36600 |
|
808 |
630 |
$5K |
| 85014 |
|
999 |
820 |
$5K |
| 28490 |
|
13 |
12 |
$5K |
| 80203 |
|
579 |
480 |
$5K |
| 82668 |
|
448 |
360 |
$5K |
| U0002 |
Covid-19 lab test non-cdc |
152 |
150 |
$5K |
| 80346 |
|
579 |
470 |
$5K |
| 00400 |
|
970 |
697 |
$5K |
| 93280 |
|
617 |
550 |
$5K |
| J7325 |
Synvisc or synvisc-one |
25 |
14 |
$5K |
| 80321 |
|
642 |
465 |
$5K |
| 85384 |
|
1,324 |
868 |
$5K |
| 0052A |
|
211 |
163 |
$5K |
| 81374 |
|
31 |
25 |
$5K |
| 26750 |
|
14 |
12 |
$5K |
| 93284 |
|
362 |
292 |
$5K |
| 82247 |
|
1,192 |
859 |
$5K |
| 73521 |
|
152 |
146 |
$5K |
| 82140 |
|
629 |
530 |
$5K |
| 97032 |
|
353 |
181 |
$5K |
| 94664 |
|
474 |
429 |
$5K |
| 86593 |
|
535 |
448 |
$5K |
| 88331 |
|
82 |
66 |
$5K |
| 30901 |
|
114 |
93 |
$4K |
| 80047 |
|
593 |
335 |
$4K |
| 70360 |
|
282 |
236 |
$4K |
| J3420 |
Vitamin b12 injection |
7,381 |
5,162 |
$4K |
| 80183 |
|
420 |
358 |
$4K |
| 86703 |
|
2,365 |
1,982 |
$4K |
| 90681 |
|
578 |
512 |
$4K |
| C1883 |
Adapt/ext, pacing/neuro lead |
64 |
39 |
$4K |
| 85613 |
|
1,483 |
728 |
$4K |
| 93356 |
|
566 |
455 |
$4K |
| 73650 |
|
133 |
97 |
$4K |
| 90700 |
|
780 |
644 |
$4K |
| 83013 |
|
80 |
69 |
$4K |
| 93299 |
|
158 |
151 |
$4K |
| J0131 |
Inj, acetaminophen (nos) |
2,046 |
1,534 |
$4K |
| 01961 |
|
13 |
13 |
$4K |
| 95712 |
|
42 |
38 |
$4K |
| 87206 |
|
1,354 |
1,069 |
$4K |
| 75635 |
|
12 |
12 |
$4K |
| 97750 |
|
45 |
37 |
$4K |
| G0008 |
Admin influenza virus vac |
6,509 |
5,614 |
$4K |
| 85598 |
|
624 |
530 |
$4K |
| 90732 |
|
359 |
248 |
$4K |
| 88300 |
|
1,432 |
1,188 |
$4K |
| 82495 |
|
340 |
282 |
$4K |
| 74712 |
|
17 |
12 |
$4K |
| 86677 |
|
494 |
393 |
$4K |
| 84238 |
|
233 |
182 |
$4K |
| 86709 |
|
547 |
453 |
$4K |
| 00120 |
|
203 |
148 |
$4K |
| J9000 |
Doxorubicin hcl injection |
513 |
240 |
$4K |
| 84703 |
|
3,438 |
3,045 |
$4K |
| 69200 |
|
210 |
180 |
$4K |
| 64495 |
|
261 |
172 |
$4K |
| 93793 |
|
1,040 |
585 |
$4K |
| 80201 |
|
277 |
241 |
$4K |
| 87209 |
|
350 |
308 |
$4K |
| 84075 |
|
832 |
691 |
$4K |
| 82787 |
|
437 |
359 |
$4K |
| 98928 |
|
163 |
131 |
$4K |
| 85670 |
|
1,193 |
976 |
$4K |
| J9060 |
Cisplatin 10 mg injection |
336 |
104 |
$4K |
| 92597 |
|
72 |
62 |
$4K |
| 83825 |
|
516 |
387 |
$4K |
| 77002 |
|
320 |
275 |
$4K |
| J1170 |
Hydromorphone injection |
6,166 |
3,048 |
$4K |
| 87880 |
|
3,072 |
2,736 |
$4K |
| 87116 |
|
1,050 |
793 |
$4K |
| 99195 |
|
112 |
81 |
$3K |
| 87801 |
|
438 |
426 |
$3K |
| 86828 |
|
520 |
428 |
$3K |
| 82523 |
|
374 |
340 |
$3K |
| J1644 |
Inj heparin sodium per 1000u |
8,988 |
3,413 |
$3K |
| 86682 |
|
370 |
313 |
$3K |
| 11901 |
|
14 |
12 |
$3K |
| 99173 |
|
1,499 |
1,420 |
$3K |
| 00160 |
|
531 |
417 |
$3K |
| 87507 |
|
97 |
84 |
$3K |
| 90734 |
|
553 |
381 |
$3K |
| 77074 |
|
147 |
120 |
$3K |
| 92341 |
|
173 |
135 |
$3K |
| 0003A |
|
87 |
80 |
$3K |
| 99236 |
Prolong inpt eval add15 m |
53 |
50 |
$3K |
| 92504 |
|
2,342 |
1,760 |
$3K |
| 96137 |
|
238 |
224 |
$3K |
| 36592 |
|
150 |
87 |
$3K |
| J0885 |
Epoetin alfa, non-esrd |
29 |
12 |
$3K |
| 96118 |
|
22 |
12 |
$3K |
| 29425 |
|
15 |
14 |
$3K |
| 76377 |
|
2,296 |
2,039 |
$3K |
| G0481 |
Drug test def 8-14 classes |
410 |
321 |
$3K |
| 11730 |
|
32 |
25 |
$3K |
| 93227 |
|
142 |
137 |
$3K |
| 87101 |
|
488 |
425 |
$3K |
| 82803 |
|
1,803 |
1,406 |
$3K |
| 83630 |
|
142 |
122 |
$3K |
| 82375 |
|
1,692 |
1,021 |
$3K |
| 93458 |
|
29 |
29 |
$3K |
| 90656 |
|
362 |
357 |
$3K |
| 95079 |
|
15 |
12 |
$3K |
| J1650 |
Inj enoxaparin sodium |
2,558 |
911 |
$3K |
| 98929 |
|
55 |
54 |
$3K |
| 92020 |
|
424 |
412 |
$3K |
| 80179 |
|
945 |
719 |
$3K |
| 77077 |
|
141 |
132 |
$3K |
| 86008 |
|
411 |
353 |
$3K |
| 81002 |
|
4,065 |
3,506 |
$3K |
| 92604 |
|
176 |
128 |
$3K |
| J1611 |
Inj glucagon hcl, fresenius |
69 |
63 |
$3K |
| 92242 |
|
12 |
12 |
$3K |
| 82010 |
|
1,323 |
1,042 |
$3K |
| J7120 |
Ringers lactate infusion |
24,207 |
18,124 |
$3K |
| 77073 |
|
123 |
113 |
$3K |
| 76506 |
|
94 |
67 |
$3K |
| 74150 |
|
17 |
13 |
$2K |
| 12031 |
|
41 |
39 |
$2K |
| 84145 |
|
687 |
537 |
$2K |
| 00812 |
|
969 |
774 |
$2K |
| 95908 |
|
14 |
14 |
$2K |
| J1720 |
Hydrocortisone sodium succ i |
1,371 |
830 |
$2K |
| 90962 |
|
87 |
79 |
$2K |
| 87486 |
|
277 |
196 |
$2K |
| 93283 |
|
265 |
234 |
$2K |
| 84478 |
|
369 |
282 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
30,061 |
21,332 |
$2K |
| D1208 |
|
164 |
153 |
$2K |
| C1781 |
Mesh (implantable) |
93 |
68 |
$2K |
| J0485 |
Belatacept injection |
26 |
12 |
$2K |
| 85046 |
|
383 |
335 |
$2K |
| 93319 |
|
47 |
38 |
$2K |
| 90714 |
|
158 |
133 |
$2K |
| 93282 |
|
159 |
138 |
$2K |
| C1889 |
Implant/insert device, noc |
781 |
660 |
$2K |
| 97129 |
|
88 |
50 |
$2K |
| 82530 |
|
105 |
94 |
$2K |
| 86777 |
|
152 |
119 |
$2K |
| J1040 |
Methylprednisolone 80 mg inj |
3,160 |
2,419 |
$2K |
| 94070 |
|
13 |
13 |
$2K |
| 96111 |
|
64 |
61 |
$2K |
| 84300 |
|
517 |
421 |
$2K |
| 82166 |
|
127 |
112 |
$2K |
| 88189 |
|
53 |
46 |
$2K |
| 96417 |
|
3,925 |
2,088 |
$2K |
| 92132 |
|
98 |
82 |
$2K |
| 83785 |
|
291 |
243 |
$2K |
| G2066 |
Inter devc remote 30d |
685 |
646 |
$2K |
| 74022 |
|
331 |
291 |
$2K |
| 00320 |
|
469 |
317 |
$2K |
| 83021 |
|
164 |
142 |
$2K |
| G0260 |
Inj for sacroiliac jt anesth |
21 |
13 |
$2K |
| J2371 |
Inj phenylephrine hcl 20 mcg |
2,181 |
1,510 |
$2K |
| J1100 |
Dexamethasone sodium phos |
28,225 |
17,978 |
$2K |
| C1887 |
Catheter, guiding |
1,282 |
880 |
$2K |
| 82365 |
|
303 |
263 |
$2K |
| J2800 |
Methocarbamol injection |
717 |
237 |
$2K |
| C9113 |
Inj pantoprazole sodium, via |
1,050 |
542 |
$2K |
| 92610 |
|
46 |
39 |
$2K |
| 85732 |
|
468 |
356 |
$2K |
| 88302 |
|
207 |
169 |
$2K |
| 85307 |
|
276 |
216 |
$2K |
| J3010 |
Fentanyl citrate injection |
33,834 |
23,842 |
$2K |
| 73600 |
|
68 |
62 |
$2K |
| 87900 |
|
16 |
12 |
$2K |
| 85097 |
|
57 |
53 |
$2K |
| 88271 |
|
20 |
13 |
$2K |
| 88177 |
|
472 |
233 |
$2K |
| 84182 |
|
123 |
102 |
$2K |
| 80320 |
|
279 |
197 |
$2K |
| J2930 |
Methylprednisolone injection |
3,590 |
2,334 |
$2K |
| 84252 |
|
229 |
186 |
$2K |
| 99384 |
|
24 |
24 |
$2K |
| 96150 |
|
32 |
26 |
$2K |
| J2270 |
Morphine sulfate injection |
5,801 |
3,880 |
$2K |
| 80500 |
|
276 |
205 |
$2K |
| 83883 |
|
134 |
122 |
$2K |
| 82384 |
|
55 |
39 |
$2K |
| 90713 |
|
337 |
287 |
$2K |
| 87581 |
|
289 |
204 |
$2K |
| 84295 |
|
1,892 |
1,239 |
$2K |
| 84520 |
|
693 |
498 |
$2K |
| 77263 |
|
25 |
24 |
$2K |
| 82671 |
|
114 |
104 |
$2K |
| 82553 |
|
240 |
150 |
$2K |
| 00902 |
|
387 |
301 |
$2K |
| 72052 |
|
27 |
24 |
$1K |
| 99292 |
|
32 |
15 |
$1K |
| 94760 |
|
12,322 |
7,031 |
$1K |
| 0083A |
|
87 |
34 |
$1K |
| 99495 |
|
391 |
367 |
$1K |
| 87081 |
|
232 |
203 |
$1K |
| 77001 |
|
229 |
171 |
$1K |
| 82379 |
|
256 |
212 |
$1K |
| 36620 |
|
258 |
230 |
$1K |
| 81329 |
|
15 |
13 |
$1K |
| 83789 |
|
142 |
107 |
$1K |
| 96409 |
|
498 |
201 |
$1K |
| 82104 |
|
203 |
157 |
$1K |
| 00537 |
|
45 |
36 |
$1K |
| 96133 |
|
711 |
639 |
$1K |
| A9552 |
F18 fdg |
1,241 |
1,073 |
$1K |
| J3535 |
Metered dose inhaler drug |
95 |
56 |
$1K |
| 00910 |
|
334 |
274 |
$1K |
| 82139 |
|
135 |
107 |
$1K |
| V2020 |
Vision svcs frames purchases |
150 |
147 |
$1K |
| 01810 |
|
334 |
257 |
$1K |
| 86336 |
|
229 |
201 |
$1K |
| 36556 |
|
101 |
89 |
$1K |
| 82955 |
|
105 |
92 |
$1K |
| 85245 |
|
57 |
51 |
$1K |
| J1071 |
Inj testosterone cypionate |
416 |
196 |
$1K |
| 01920 |
|
21 |
13 |
$1K |
| J0690 |
Cefazolin sodium injection |
9,912 |
6,173 |
$1K |
| 87109 |
|
226 |
193 |
$1K |
| 87210 |
|
517 |
384 |
$1K |
| 01480 |
|
162 |
111 |
$1K |
| 85246 |
|
61 |
53 |
$1K |
| 00940 |
|
121 |
73 |
$1K |
| J0171 |
Adrenalin epinephrine inject |
3,591 |
2,644 |
$1K |
| 99218 |
|
33 |
30 |
$1K |
| 99459 |
|
32 |
32 |
$1K |
| 11105 |
|
928 |
698 |
$1K |
| 83050 |
|
1,765 |
897 |
$1K |
| 01844 |
|
38 |
27 |
$1K |
| 94761 |
|
1,332 |
1,169 |
$1K |
| 85660 |
|
293 |
244 |
$1K |
| 88377 |
|
82 |
56 |
$1K |
| 51701 |
|
101 |
92 |
$1K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
9,289 |
8,093 |
$1K |
| 84433 |
|
157 |
131 |
$992.29 |
| J0696 |
Ceftriaxone sodium injection |
6,168 |
4,249 |
$992.18 |
| 92002 |
|
31 |
27 |
$987.69 |
| 80165 |
|
118 |
100 |
$979.40 |
| 85300 |
|
302 |
238 |
$957.50 |
| 86825 |
|
13 |
13 |
$928.17 |
| 99483 |
Prolong outpt/office vis |
59 |
57 |
$926.79 |
| 86053 |
|
88 |
76 |
$917.21 |
| 82747 |
|
124 |
105 |
$914.61 |
| 97763 |
|
13 |
12 |
$898.85 |
| 99310 |
Prolong nursin fac eval 15m |
37 |
29 |
$894.45 |
| 88344 |
|
15 |
12 |
$887.30 |
| 00920 |
|
466 |
401 |
$880.11 |
| J7050 |
Normal saline solution infus |
17,320 |
10,192 |
$878.87 |
| 84479 |
|
158 |
138 |
$877.09 |
| 80195 |
|
105 |
62 |
$869.50 |
| J2405 |
Ondansetron hcl injection |
37,510 |
23,959 |
$849.50 |
| J2785 |
Regadenoson injection |
1,848 |
1,474 |
$836.23 |
| C1751 |
Cath, inf, per/cent/midline |
630 |
430 |
$829.82 |
| 87324 |
|
71 |
60 |
$822.27 |
| 78492 |
|
16 |
13 |
$820.40 |
| J7030 |
Normal saline solution infus |
17,375 |
11,723 |
$806.20 |
| 96103 |
|
101 |
94 |
$805.87 |
| 96153 |
|
79 |
41 |
$797.84 |
| 99211 |
|
66 |
61 |
$794.20 |
| 99225 |
|
60 |
39 |
$793.95 |
| 98968 |
|
209 |
189 |
$787.81 |
| 87220 |
|
275 |
224 |
$783.35 |
| J3370 |
Vancomycin hcl injection |
3,244 |
1,781 |
$775.72 |
| 11719 |
|
47 |
27 |
$755.18 |
| J0360 |
Hydralazine hcl injection |
1,131 |
758 |
$751.41 |
| 80377 |
|
30 |
30 |
$747.65 |
| 86041 |
|
134 |
116 |
$746.15 |
| 96139 |
|
737 |
665 |
$743.62 |
| 85303 |
|
281 |
226 |
$738.21 |
| 87075 |
|
630 |
492 |
$737.29 |
| 85306 |
|
263 |
213 |
$725.27 |
| 87106 |
|
226 |
192 |
$723.76 |
| 83935 |
|
151 |
124 |
$717.80 |
| V2100 |
Lens spher single plano 4.00 |
69 |
67 |
$711.61 |
| A9541 |
Tc99m sulfur colloid |
622 |
542 |
$699.53 |
| 59430 |
|
13 |
12 |
$696.28 |
| G0475 |
Hiv combination assay |
812 |
645 |
$688.25 |
| Q9957 |
Inj perflutren lip micros,ml |
809 |
678 |
$680.99 |
| C1769 |
Guide wire |
3,222 |
2,494 |
$680.53 |
| 88720 |
|
3,035 |
2,147 |
$659.69 |
| 80230 |
|
130 |
103 |
$652.49 |
| 36416 |
|
5,320 |
3,879 |
$638.26 |
| A9502 |
Tc99m tetrofosmin |
2,162 |
1,794 |
$637.14 |
| 86316 |
|
64 |
45 |
$630.31 |
| J2250 |
Inj midazolam hydrochloride |
29,252 |
20,612 |
$627.45 |
| 93244 |
|
38 |
37 |
$627.03 |
| 74328 |
|
25 |
25 |
$624.52 |
| 89060 |
|
345 |
295 |
$597.95 |
| 76376 |
|
173 |
150 |
$596.03 |
| J1010 |
Inj, methylpred acetate 1 mg |
1,136 |
1,021 |
$591.83 |
| 99241 |
|
43 |
42 |
$589.10 |
| J1642 |
Inj heparin sodium per 10 u |
2,763 |
949 |
$588.63 |
| 76098 |
|
15 |
13 |
$583.88 |
| 99226 |
|
17 |
14 |
$556.05 |
| 86363 |
|
92 |
77 |
$555.29 |
| 80185 |
|
73 |
62 |
$550.26 |
| J0780 |
Prochlorperazine injection |
2,362 |
1,579 |
$543.39 |
| 00126 |
|
704 |
600 |
$542.39 |
| 83930 |
|
145 |
118 |
$540.08 |
| 0064A |
|
19 |
19 |
$539.52 |
| 64646 |
|
27 |
24 |
$532.99 |
| 86808 |
|
38 |
29 |
$514.34 |
| 96910 |
|
18 |
14 |
$495.06 |
| 86645 |
|
36 |
26 |
$492.80 |
| 87305 |
|
91 |
58 |
$492.38 |
| 0399T |
|
15 |
13 |
$489.81 |
| 90723 |
|
181 |
143 |
$488.50 |
| 84210 |
|
95 |
67 |
$487.39 |
| V2784 |
Lens polycarb or equal |
165 |
158 |
$481.15 |
| 83986 |
|
144 |
110 |
$478.67 |
| 86060 |
|
22 |
15 |
$476.16 |
| J0461 |
Atropine sulfate injection |
390 |
237 |
$474.57 |
| J3475 |
Inj magnesium sulfate |
7,148 |
4,144 |
$472.94 |
| 87341 |
|
75 |
65 |
$468.77 |
| C1830 |
Power bone marrow bx needle |
518 |
378 |
$467.58 |
| 99345 |
Prolong home eval add 15m |
13 |
13 |
$464.76 |
| 87176 |
|
463 |
328 |
$460.60 |
| G0444 |
Depression screen annual |
1,004 |
902 |
$454.48 |
| 99354 |
|
14 |
12 |
$453.16 |
| 83918 |
|
49 |
41 |
$452.58 |
| 93042 |
|
251 |
232 |
$437.78 |
| 01470 |
|
19 |
13 |
$435.37 |
| 86753 |
|
43 |
29 |
$431.45 |
| 00732 |
|
112 |
75 |
$428.85 |
| J0834 |
Inj., cosyntropin, 0.25 mg |
19 |
12 |
$425.92 |
| J9181 |
Etoposide injection |
95 |
27 |
$417.42 |
| J0330 |
Succinycholine chloride inj |
1,304 |
970 |
$415.49 |
| J1200 |
Diphenhydramine hcl injectio |
10,388 |
6,242 |
$408.73 |
| J2795 |
Ropivacaine hcl injection |
1,833 |
1,312 |
$401.70 |
| 85049 |
|
173 |
129 |
$398.16 |
| J2310 |
Inj naloxone hydrochloride |
25 |
16 |
$397.25 |
| 96377 |
|
698 |
462 |
$395.31 |
| 80162 |
|
37 |
25 |
$389.86 |
| 90846 |
|
12 |
12 |
$384.40 |
| G0009 |
Admin pneumococcal vaccine |
1,845 |
1,546 |
$384.32 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
1,268 |
713 |
$381.82 |
| 96138 |
|
737 |
665 |
$378.73 |
| 86687 |
|
38 |
25 |
$369.76 |
| 82945 |
|
516 |
390 |
$365.26 |
| J2710 |
Neostigmine methylslfte inj |
2,550 |
1,731 |
$359.05 |
| 83014 |
|
25 |
24 |
$356.52 |
| G0180 |
Md certification hha patient |
103 |
94 |
$356.07 |
| 80169 |
|
15 |
12 |
$356.06 |
| 87154 |
|
12 |
12 |
$355.98 |
| 01830 |
|
170 |
124 |
$351.00 |
| 62252 |
|
63 |
50 |
$349.87 |
| 95822 |
|
33 |
30 |
$343.61 |
| 82172 |
|
14 |
12 |
$336.42 |
| 29130 |
|
14 |
12 |
$334.32 |
| G0472 |
Hep c screen high risk/other |
1,103 |
847 |
$332.46 |
| C1725 |
Cath, translumin non-laser |
579 |
411 |
$329.43 |
| 87184 |
|
192 |
149 |
$322.73 |
| J1940 |
Furosemide injection |
2,136 |
1,110 |
$322.24 |
| 36410 |
|
82 |
69 |
$321.99 |
| 99496 |
|
129 |
121 |
$321.36 |
| 0031A |
|
13 |
12 |
$315.13 |
| 92226 |
|
27 |
27 |
$303.81 |
| 93261 |
|
15 |
14 |
$303.51 |
| A9555 |
Rb82 rubidium |
518 |
392 |
$298.51 |
| 84255 |
|
59 |
54 |
$294.87 |
| G0279 |
Tomosynthesis, mammo |
199 |
176 |
$289.30 |
| 84157 |
|
654 |
488 |
$284.84 |
| A9540 |
Tc99m maa |
169 |
135 |
$283.58 |
| 87147 |
|
126 |
109 |
$275.30 |
| 86606 |
|
31 |
26 |
$274.53 |
| 95249 |
|
32 |
31 |
$272.48 |
| J2360 |
Orphenadrine injection |
515 |
396 |
$269.39 |
| C1894 |
Intro/sheath, non-laser |
2,341 |
1,748 |
$268.54 |
| 85247 |
|
24 |
24 |
$262.35 |
| A4648 |
Implantable tissue marker |
801 |
629 |
$261.27 |
| J7512 |
Prednisone ir or dr oral 1mg |
5,547 |
3,143 |
$259.42 |
| 93294 |
|
25 |
25 |
$259.07 |
| 73620 |
|
52 |
25 |
$252.16 |
| J1030 |
Methylprednisolone 40 mg inj |
2,007 |
1,727 |
$248.32 |
| J3360 |
Diazepam injection |
433 |
330 |
$246.98 |
| J1790 |
Droperidol injection |
2,949 |
2,246 |
$238.72 |
| 77081 |
|
16 |
14 |
$235.40 |
| 99251 |
|
12 |
12 |
$231.10 |
| 93228 |
|
12 |
12 |
$228.75 |
| 86596 |
|
54 |
41 |
$227.86 |
| J2720 |
Inj protamine sulfate/10 mg |
379 |
185 |
$226.84 |
| J1953 |
Levetiracetam injection |
75 |
53 |
$221.46 |
| J2370 |
Phenylephrine hcl injection |
925 |
550 |
$213.54 |
| 82272 |
|
30 |
24 |
$203.75 |
| 90647 |
|
18 |
12 |
$200.05 |
| 92650 |
|
16 |
12 |
$197.38 |
| J1250 |
Inj dobutamine hcl/250 mg |
40 |
24 |
$197.09 |
| J9370 |
Vincristine sulfate 1 mg inj |
313 |
149 |
$197.04 |
| 80156 |
|
13 |
12 |
$196.83 |
| J2060 |
Lorazepam injection |
1,708 |
1,201 |
$193.55 |
| J2919 |
Inj, methylpred sod succ 5mg |
1,738 |
1,286 |
$184.24 |
| 99327 |
|
13 |
13 |
$176.98 |
| 96040 |
|
13 |
12 |
$176.40 |
| C1726 |
Cath, bal dil, non-vascular |
974 |
779 |
$172.78 |
| 93041 |
|
131 |
54 |
$172.58 |
| J1580 |
Garamycin gentamicin inj |
755 |
562 |
$171.03 |
| 87899 |
|
95 |
82 |
$170.25 |
| J3480 |
Inj potassium chloride |
2,592 |
1,574 |
$169.20 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
1,614 |
1,410 |
$160.86 |
| 96411 |
|
1,139 |
648 |
$150.08 |
| 86698 |
|
18 |
12 |
$146.31 |
| J7040 |
Normal saline solution infus |
5,262 |
3,200 |
$144.24 |
| J3590 |
Unclassified biologics |
15 |
13 |
$144.06 |
| 86635 |
|
17 |
12 |
$141.09 |
| 86612 |
|
19 |
12 |
$134.65 |
| 86001 |
|
25 |
16 |
$133.67 |
| J2920 |
Methylprednisolone injection |
1,254 |
569 |
$125.13 |
| 00952 |
|
138 |
108 |
$124.50 |
| 90672 |
|
12 |
12 |
$123.50 |
| Q9969 |
Non-heu tc-99m add-on/dose |
3,864 |
3,262 |
$122.66 |
| J0744 |
Ciprofloxacin iv |
651 |
431 |
$119.38 |
| C1729 |
Cath, drainage |
409 |
270 |
$118.35 |
| 87255 |
|
12 |
12 |
$111.38 |
| 0121A |
|
102 |
97 |
$101.29 |
| G0010 |
Admin hepatitis b vaccine |
370 |
281 |
$96.65 |
| 98967 |
|
24 |
24 |
$92.12 |
| 91300 |
|
6,515 |
5,704 |
$91.68 |
| 96380 |
|
186 |
185 |
$91.01 |
| 84597 |
|
13 |
13 |
$90.87 |
| A4627 |
Spacer bag/reservoir |
28 |
25 |
$90.45 |
| 83529 |
|
41 |
35 |
$87.37 |
| 84591 |
|
31 |
26 |
$87.13 |
| J2765 |
Metoclopramide hcl injection |
2,299 |
1,716 |
$86.51 |
| J2175 |
Meperidine hydrochl /100 mg |
453 |
361 |
$79.40 |
| J3411 |
Thiamine hcl 100 mg |
414 |
213 |
$79.18 |
| 0173A |
|
133 |
128 |
$79.08 |
| 69220 |
|
13 |
12 |
$78.97 |
| 00918 |
|
17 |
13 |
$77.12 |
| Q0091 |
Obtaining screen pap smear |
188 |
171 |
$73.42 |
| J2540 |
Penicillin g potassium inj |
124 |
99 |
$71.34 |
| J2470 |
Inj pantoprazole sodium 40mg |
178 |
125 |
$69.07 |
| 81000 |
|
131 |
96 |
$61.79 |
| J9267 |
Paclitaxel injection |
1,284 |
542 |
$60.64 |
| J2272 |
Inj, morphine (fresenius) |
116 |
62 |
$55.44 |
| L3908 |
Who cock-up nonmolde pre ots |
28 |
27 |
$55.24 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
303 |
224 |
$54.65 |
| 88364 |
|
16 |
13 |
$53.01 |
| J2305 |
Inj, nitroglycerin, 5 mg |
114 |
96 |
$52.54 |
| 36140 |
|
17 |
13 |
$49.86 |
| 87071 |
|
108 |
84 |
$49.56 |
| A6449 |
Lt compres band >=3" <5"/yd |
925 |
825 |
$49.06 |
| G0103 |
Psa screening |
486 |
421 |
$47.24 |
| 72020 |
|
24 |
24 |
$47.03 |
| J0688 |
Inj cefazolin sodium, hikma |
689 |
584 |
$45.36 |
| 82435 |
|
94 |
84 |
$42.26 |
| A9585 |
Gadobutrol injection |
534 |
454 |
$39.84 |
| J1630 |
Haloperidol injection |
236 |
184 |
$38.08 |
| 83051 |
|
18 |
12 |
$37.31 |
| 85347 |
|
39 |
25 |
$36.03 |
| J0689 |
Inj cefazolin sodium, baxter |
137 |
124 |
$35.44 |
| J7042 |
5% dextrose/normal saline |
349 |
191 |
$34.68 |
| 01402 |
|
44 |
24 |
$33.55 |
| G0438 |
Ppps, initial visit |
16 |
12 |
$32.74 |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
84 |
65 |
$31.36 |
| J7507 |
Tacrolimus imme rel oral 1mg |
72 |
12 |
$29.01 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
668 |
619 |
$26.02 |
| 87430 |
|
68 |
53 |
$25.98 |
| L8509 |
Trach-esoph voice pros md in |
14 |
12 |
$25.85 |
| J2916 |
Na ferric gluconate complex |
311 |
145 |
$21.40 |
| 96167 |
|
21 |
20 |
$20.13 |
| 89343 |
|
70 |
47 |
$20.00 |
| J2001 |
Lidocaine injection |
6,083 |
4,524 |
$18.92 |
| J1920 |
Inj, labetalol hcl, 5mg |
222 |
204 |
$18.91 |
| G0439 |
Ppps, subseq visit |
104 |
91 |
$15.70 |
| 91312 |
|
3,241 |
1,602 |
$14.88 |
| 87185 |
|
18 |
13 |
$14.36 |
| 90611 |
|
93 |
35 |
$13.89 |
| J2004 |
Inj, lidocaine w epinephrine |
217 |
209 |
$11.68 |
| J0737 |
Inj, clindamycin (baxter) |
14 |
13 |
$8.46 |
| J0736 |
Inj, clindamycin phosp 300mg |
47 |
43 |
$7.15 |
| J0456 |
Azithromycin |
316 |
222 |
$6.26 |
| 91305 |
|
1,005 |
783 |
$5.94 |
| 91307 |
|
802 |
558 |
$5.44 |
| J7060 |
5% dextrose/water |
1,734 |
758 |
$5.29 |
| 91308 |
|
750 |
338 |
$4.98 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
259 |
238 |
$4.74 |
| 87804 |
|
438 |
383 |
$3.29 |
| J7620 |
Albuterol ipratrop non-comp |
147 |
76 |
$3.20 |
| Q4049 |
Finger splint, static |
79 |
76 |
$2.63 |
| J1956 |
Levofloxacin injection |
15 |
12 |
$2.30 |
| G0268 |
Removal of impacted wax md |
183 |
169 |
$1.58 |
| 91315 |
|
108 |
65 |
$1.06 |
| G8978 |
Mobility current status |
355 |
321 |
$0.87 |
| J0290 |
Ampicillin 500 mg inj |
31 |
27 |
$0.82 |
| 91306 |
|
17 |
17 |
$0.14 |
| G8984 |
Carry current status |
14 |
13 |
$0.14 |
| G8985 |
Carry goal status |
16 |
15 |
$0.13 |
| 91303 |
|
13 |
12 |
$0.11 |
| G8979 |
Mobility goal status |
422 |
373 |
$0.07 |
| 3078F |
|
295,319 |
275,834 |
$0.02 |
| 3074F |
|
326,000 |
304,012 |
$0.00 |
| 3075F |
|
16,734 |
15,834 |
$0.00 |
| 3079F |
|
46,930 |
43,743 |
$0.00 |
| 3080F |
|
2,184 |
2,048 |
$0.00 |
| 3044F |
|
225 |
223 |
$0.00 |
| 1220F |
|
105 |
101 |
$0.00 |
| 31629 |
|
24 |
12 |
$0.00 |
| 1123F |
|
370 |
320 |
$0.00 |
| 1111F |
|
91 |
73 |
$0.00 |
| A9561 |
Tc99m oxidronate |
199 |
185 |
$0.00 |
| A9503 |
Tc99m medronate |
95 |
77 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
238 |
168 |
$0.00 |
| 87808 |
|
43 |
42 |
$0.00 |
| J2787 |
Riboflavin 5'phos opth<=3ml |
16 |
13 |
$0.00 |
| J1110 |
Inj dihydroergotamine mesylt |
47 |
20 |
$0.00 |
| C2617 |
Stent, non-cor, tem w/o del |
60 |
40 |
$0.00 |
| 91317 |
|
42 |
42 |
$0.00 |
| C1753 |
Cath, intravas ultrasound |
18 |
12 |
$0.00 |
| C1733 |
Cath, ep, othr than cool-tip |
15 |
13 |
$0.00 |
| Q9968 |
Visualization adjunct |
12 |
12 |
$0.00 |
| 82985 |
|
15 |
14 |
$0.00 |
| C1759 |
Cath, intra echocardiography |
27 |
13 |
$0.00 |
| A9567 |
Technetium tc-99m aerosol |
18 |
13 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
30 |
27 |
$0.00 |
| 3077F |
|
11,214 |
10,575 |
$0.00 |
| J9190 |
Fluorouracil injection |
2,050 |
746 |
$0.00 |
| G1004 |
Cdsm ndsc |
2,229 |
1,909 |
$0.00 |
| 3046F |
|
200 |
173 |
$0.00 |
| C2625 |
Stent, non-cor, tem w/del sy |
213 |
179 |
$0.00 |
| 00402 |
|
405 |
290 |
$0.00 |
| 99091 |
|
15 |
13 |
$0.00 |
| C1758 |
Catheter, ureteral |
171 |
128 |
$0.00 |
| 1124F |
|
18 |
15 |
$0.00 |
| 98966 |
|
16 |
16 |
$0.00 |
| 3051F |
|
12 |
12 |
$0.00 |
| Q9958 |
Hocm <=149 mg/ml iodine, 1ml |
52 |
43 |
$0.00 |
| 43450 |
|
16 |
13 |
$0.00 |
| J3250 |
Trimethobenzamide hcl inj |
38 |
26 |
$0.00 |
| 0502F |
|
16 |
14 |
$0.00 |
| C1762 |
Conn tiss, human(inc fascia) |
16 |
16 |
$0.00 |