| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpt clinic visit |
201,954 |
136,324 |
$4.31M |
| J9271 |
Inj pembrolizumab |
3,152 |
1,981 |
$3.46M |
| 80053 |
|
123,454 |
71,809 |
$2.19M |
| 77386 |
|
12,142 |
1,078 |
$2.09M |
| 99282 |
|
35,893 |
30,972 |
$2.06M |
| 67028 |
|
16,135 |
11,901 |
$1.69M |
| 97110 |
|
33,758 |
7,584 |
$1.41M |
| J7040 |
Normal saline solution infus |
39,892 |
19,296 |
$1.32M |
| 96413 |
|
33,565 |
16,726 |
$1.14M |
| J9144 |
Daratumumab, hyaluronidase |
1,188 |
636 |
$1.03M |
| 96372 |
|
19,561 |
11,064 |
$995K |
| 77336 |
|
5,678 |
2,242 |
$976K |
| J9299 |
Injection, nivolumab |
2,607 |
1,382 |
$821K |
| 99285 |
|
15,323 |
12,566 |
$818K |
| 36415 |
|
75,472 |
43,463 |
$811K |
| J2505 |
Injection, pegfilgrastim 6mg |
2,925 |
1,733 |
$751K |
| J7030 |
Normal saline solution infus |
19,883 |
12,158 |
$744K |
| 78815 |
|
6,237 |
5,049 |
$719K |
| 77412 |
|
4,686 |
543 |
$719K |
| A9552 |
F18 fdg |
6,263 |
5,152 |
$662K |
| 85025 |
|
141,566 |
84,225 |
$645K |
| 93306 |
|
6,772 |
5,574 |
$637K |
| J7050 |
Normal saline solution infus |
27,632 |
12,494 |
$628K |
| J9035 |
Bevacizumab injection |
3,292 |
1,281 |
$605K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
17,704 |
14,524 |
$598K |
| J1745 |
Infliximab not biosimil 10mg |
1,880 |
1,218 |
$591K |
| G0378 |
Hospital observation per hr |
13,563 |
5,265 |
$574K |
| 99284 |
|
11,368 |
9,610 |
$570K |
| 66984 |
|
4,077 |
2,995 |
$568K |
| A9577 |
Inj multihance |
10,060 |
8,560 |
$541K |
| J9306 |
Injection, pertuzumab, 1 mg |
522 |
339 |
$526K |
| 96361 |
|
11,311 |
6,915 |
$501K |
| 96365 |
|
11,945 |
7,742 |
$494K |
| J1453 |
Fosaprepitant injection |
8,166 |
4,381 |
$488K |
| J0178 |
Aflibercept injection |
6,021 |
4,416 |
$474K |
| 70553 |
|
5,934 |
5,172 |
$474K |
| 74177 |
|
8,942 |
7,667 |
$473K |
| 96374 |
|
12,625 |
8,882 |
$434K |
| J1561 |
Gamunex-c/gammaked |
1,111 |
609 |
$418K |
| J9355 |
Inj trastuzumab excl biosimi |
2,298 |
908 |
$406K |
| 96402 |
|
3,907 |
3,139 |
$403K |
| C9257 |
Bevacizumab injection |
6,851 |
5,193 |
$399K |
| 99283 |
|
8,416 |
7,151 |
$371K |
| J9312 |
Inj., rituximab, 10 mg |
1,028 |
488 |
$365K |
| 96375 |
|
33,870 |
17,953 |
$361K |
| 99212 |
|
3,846 |
3,410 |
$335K |
| 31237 |
|
459 |
379 |
$331K |
| 92134 |
|
34,729 |
27,469 |
$320K |
| 87635 |
|
22,689 |
18,078 |
$312K |
| 77300 |
|
1,902 |
1,371 |
$312K |
| 43239 |
|
3,216 |
2,638 |
$305K |
| 45380 |
|
2,145 |
1,760 |
$296K |
| 96366 |
|
5,732 |
3,638 |
$296K |
| J2506 |
Inj pegfilgrast ex bio 0.5mg |
704 |
466 |
$280K |
| 49083 |
|
1,190 |
500 |
$268K |
| U0004 |
Cov-19 test non-cdc hgh thru |
6,432 |
5,326 |
$260K |
| 70450 |
|
3,636 |
2,935 |
$250K |
| 31575 |
|
3,234 |
2,750 |
$241K |
| J0897 |
Denosumab injection |
3,035 |
2,352 |
$240K |
| 80048 |
|
22,491 |
15,189 |
$225K |
| 92507 |
|
2,243 |
1,082 |
$220K |
| 77385 |
|
1,025 |
86 |
$219K |
| 76536 |
|
4,123 |
3,579 |
$215K |
| 95810 |
|
687 |
615 |
$214K |
| 92557 |
|
4,215 |
3,761 |
$214K |
| P9035 |
Platelet pheres leukoreduced |
1,006 |
221 |
$213K |
| 36430 |
|
4,776 |
2,469 |
$207K |
| 96367 |
|
9,688 |
5,279 |
$205K |
| 99213 |
|
2,053 |
1,851 |
$195K |
| J2353 |
Octreotide injection, depot |
504 |
362 |
$191K |
| 31579 |
|
890 |
733 |
$188K |
| Q5101 |
Injection, zarxio |
2,709 |
636 |
$187K |
| 77338 |
|
1,159 |
792 |
$184K |
| 74176 |
|
2,785 |
2,247 |
$182K |
| 92083 |
|
11,062 |
9,240 |
$181K |
| J0585 |
Injection,onabotulinumtoxina |
1,582 |
1,223 |
$178K |
| 78452 |
|
971 |
763 |
$172K |
| 83735 |
|
24,918 |
12,536 |
$171K |
| 92250 |
|
11,397 |
9,936 |
$171K |
| 96360 |
|
3,272 |
2,121 |
$165K |
| 97140 |
|
10,248 |
2,903 |
$159K |
| 71260 |
|
7,501 |
6,368 |
$154K |
| 45385 |
|
947 |
777 |
$154K |
| 96417 |
|
8,676 |
4,765 |
$150K |
| 92567 |
|
7,242 |
6,637 |
$146K |
| 76770 |
|
2,941 |
2,491 |
$146K |
| J1200 |
Diphenhydramine hcl injectio |
18,049 |
9,700 |
$145K |
| 93005 |
|
24,317 |
18,182 |
$143K |
| 99211 |
|
1,439 |
1,360 |
$143K |
| 95811 |
|
541 |
479 |
$143K |
| 76512 |
|
2,180 |
1,874 |
$142K |
| 36561 |
|
225 |
184 |
$141K |
| 96415 |
|
5,475 |
3,084 |
$139K |
| 96523 |
|
11,275 |
6,021 |
$135K |
| 88305 |
|
8,218 |
6,653 |
$135K |
| J9202 |
Goserelin acetate implant |
1,337 |
1,175 |
$129K |
| J7060 |
5% dextrose/water |
11,129 |
3,891 |
$128K |
| 96401 |
|
4,552 |
1,826 |
$121K |
| J1100 |
Dexamethasone sodium phos |
20,399 |
13,488 |
$119K |
| 71046 |
|
6,708 |
5,615 |
$118K |
| 31231 |
|
1,400 |
1,225 |
$118K |
| 70551 |
|
1,732 |
1,480 |
$118K |
| 10005 |
|
770 |
629 |
$114K |
| 70543 |
|
1,514 |
1,323 |
$112K |
| 97112 |
|
3,049 |
890 |
$111K |
| 76700 |
|
2,010 |
1,716 |
$111K |
| J3380 |
Inj vedolizumab iv 1 mg |
52 |
49 |
$110K |
| 96416 |
|
3,357 |
1,672 |
$108K |
| 71250 |
|
4,173 |
3,420 |
$108K |
| V2632 |
Post chmbr intraocular lens |
4,473 |
3,427 |
$104K |
| P9040 |
Rbc leukoreduced irradiated |
4,494 |
1,351 |
$102K |
| 97161 |
|
3,845 |
3,070 |
$97K |
| 67228 |
|
301 |
264 |
$97K |
| 99281 |
|
1,472 |
1,281 |
$96K |
| 77066 |
Tomosynthesis, mammo |
3,003 |
2,548 |
$93K |
| 92018 |
|
656 |
590 |
$93K |
| 72148 |
|
1,682 |
1,459 |
$92K |
| 66982 |
|
518 |
390 |
$91K |
| J2405 |
Ondansetron hcl injection |
23,216 |
15,471 |
$89K |
| 74183 |
|
1,328 |
1,120 |
$87K |
| 87070 |
|
4,825 |
3,405 |
$86K |
| J9263 |
Oxaliplatin |
2,481 |
850 |
$84K |
| 97530 |
|
4,101 |
1,336 |
$83K |
| 76641 |
|
1,345 |
1,200 |
$83K |
| 72197 |
|
1,198 |
1,037 |
$81K |
| 76705 |
|
2,113 |
1,792 |
$81K |
| 83615 |
|
18,848 |
10,780 |
$80K |
| 20610 |
|
1,871 |
1,421 |
$80K |
| Q5111 |
Injection, udenyca 0.5 mg |
59 |
38 |
$79K |
| 92626 |
|
538 |
503 |
$77K |
| 73721 |
|
903 |
781 |
$74K |
| 77334 |
|
1,186 |
836 |
$74K |
| 77301 |
|
1,106 |
824 |
$73K |
| 99291 |
|
1,661 |
1,287 |
$71K |
| 86850 |
|
12,695 |
7,372 |
$71K |
| 71275 |
|
699 |
586 |
$69K |
| J3475 |
Inj magnesium sulfate |
3,786 |
1,643 |
$69K |
| 82378 |
|
12,993 |
8,534 |
$69K |
| J9045 |
Carboplatin injection |
2,571 |
1,436 |
$67K |
| 77080 |
|
2,551 |
2,089 |
$67K |
| 88304 |
|
2,122 |
1,731 |
$67K |
| J9217 |
Leuprolide acetate suspnsion |
967 |
750 |
$66K |
| J9395 |
Injection, fulvestrant |
1,393 |
1,032 |
$65K |
| 81003 |
|
9,518 |
7,385 |
$64K |
| J0475 |
Baclofen 10 mg injection |
247 |
208 |
$64K |
| 88185 |
|
2,187 |
1,310 |
$64K |
| 92588 |
|
973 |
918 |
$63K |
| 99202 |
|
624 |
612 |
$63K |
| 72141 |
|
1,098 |
935 |
$61K |
| 20611 |
|
716 |
571 |
$61K |
| 70491 |
|
1,234 |
1,047 |
$59K |
| 76513 |
|
913 |
753 |
$58K |
| 92235 |
|
1,669 |
1,429 |
$58K |
| 76642 |
|
1,749 |
1,529 |
$57K |
| 78306 |
|
897 |
733 |
$57K |
| J9190 |
Fluorouracil injection |
5,789 |
2,175 |
$56K |
| 45378 |
|
219 |
195 |
$56K |
| 92133 |
|
6,895 |
5,804 |
$56K |
| J9358 |
Inj fam-trastu deru-nxki 1mg |
76 |
41 |
$56K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
2,057 |
1,630 |
$55K |
| 84443 |
|
18,591 |
12,728 |
$55K |
| 85610 |
|
20,710 |
15,280 |
$55K |
| 93970 |
|
1,897 |
1,603 |
$54K |
| 87015 |
|
2,683 |
1,881 |
$54K |
| 72110 |
|
1,610 |
1,374 |
$52K |
| J9022 |
Inj, atezolizumab,10 mg |
19 |
12 |
$51K |
| J0881 |
Darbepoetin alfa, non-esrd |
2,824 |
1,025 |
$51K |
| 84550 |
|
3,787 |
2,081 |
$49K |
| 76856 |
|
903 |
807 |
$47K |
| 82728 |
|
11,985 |
8,475 |
$47K |
| 71045 |
|
11,109 |
8,709 |
$45K |
| 77065 |
Tomosynthesis, mammo |
1,750 |
1,416 |
$45K |
| 86900 |
|
14,839 |
6,905 |
$44K |
| 76830 |
|
1,126 |
1,028 |
$44K |
| J3010 |
Fentanyl citrate injection |
10,201 |
8,081 |
$44K |
| 42820 |
|
15 |
14 |
$43K |
| 77012 |
|
275 |
213 |
$43K |
| 92550 |
|
674 |
607 |
$43K |
| C1769 |
Guide wire |
3,647 |
2,676 |
$42K |
| 31615 |
|
91 |
67 |
$41K |
| 70544 |
|
551 |
469 |
$41K |
| 81002 |
|
3,445 |
2,418 |
$41K |
| 85027 |
|
12,937 |
7,614 |
$41K |
| 92060 |
|
1,188 |
1,119 |
$41K |
| J1644 |
Inj heparin sodium per 1000u |
7,892 |
3,379 |
$40K |
| J9267 |
Paclitaxel injection |
3,207 |
1,227 |
$39K |
| A9579 |
Gad-base mr contrast nos,1ml |
1,066 |
903 |
$39K |
| J2250 |
Inj midazolam hydrochloride |
9,332 |
7,667 |
$39K |
| 73030 |
|
1,754 |
1,368 |
$39K |
| 81025 |
|
1,038 |
887 |
$38K |
| J7120 |
Ringers lactate infusion |
12,136 |
9,932 |
$38K |
| Q0162 |
Ondansetron oral |
2,340 |
929 |
$38K |
| 86901 |
|
14,664 |
6,858 |
$38K |
| 38222 |
|
188 |
150 |
$37K |
| P9016 |
Rbc leukocytes reduced |
2,322 |
863 |
$37K |
| Q5122 |
Inj, nyvepria |
21 |
14 |
$36K |
| 73564 |
|
1,231 |
966 |
$36K |
| J1442 |
Inj filgrastim excl biosimil |
304 |
64 |
$36K |
| 93017 |
|
1,575 |
1,268 |
$35K |
| 88342 |
|
2,642 |
2,148 |
$35K |
| 96411 |
|
3,958 |
2,288 |
$35K |
| 94010 |
|
1,270 |
1,097 |
$35K |
| 97162 |
|
710 |
600 |
$35K |
| 66821 |
|
459 |
333 |
$35K |
| 81001 |
|
14,369 |
10,688 |
$34K |
| 96377 |
|
2,415 |
1,476 |
$34K |
| 86301 |
|
3,588 |
2,087 |
$34K |
| J9171 |
Docetaxel injection |
1,618 |
679 |
$34K |
| 85730 |
|
14,718 |
11,139 |
$34K |
| 62370 |
|
283 |
239 |
$33K |
| 99214 |
|
459 |
402 |
$33K |
| 77067 |
|
2,892 |
2,510 |
$33K |
| J9145 |
Injection, daratumumab 10 mg |
623 |
171 |
$33K |
| J9041 |
Injection, bortezomib, 0.1mg |
281 |
61 |
$31K |
| 97535 |
|
1,490 |
1,028 |
$31K |
| 87086 |
|
8,981 |
6,891 |
$31K |
| J9201 |
In gemcitabine hcl nos 200mg |
2,307 |
955 |
$31K |
| 77290 |
|
222 |
174 |
$30K |
| J2777 |
Inj, faricimab-svoa, 0.1mg |
123 |
94 |
$30K |
| 78816 |
|
255 |
226 |
$30K |
| G1004 |
Cdsm ndsc |
38,015 |
26,398 |
$29K |
| 76514 |
|
856 |
742 |
$29K |
| 11042 |
|
307 |
162 |
$29K |
| 88341 |
|
1,437 |
1,061 |
$28K |
| 74178 |
|
883 |
731 |
$28K |
| 67113 |
|
73 |
52 |
$28K |
| J9264 |
Paclitaxel protein bound |
418 |
78 |
$28K |
| 87040 |
|
5,594 |
2,496 |
$27K |
| 86300 |
|
7,916 |
4,052 |
$27K |
| 51798 |
|
1,637 |
1,346 |
$27K |
| 77063 |
|
2,805 |
2,404 |
$26K |
| J0485 |
Belatacept injection |
1,904 |
755 |
$26K |
| J9070 |
Cyclophosphamide 100 mg inj |
912 |
469 |
$26K |
| 36592 |
|
2,401 |
1,127 |
$26K |
| 84439 |
|
8,299 |
5,751 |
$26K |
| 73130 |
|
854 |
634 |
$25K |
| 84100 |
|
12,051 |
6,231 |
$25K |
| 73630 |
|
1,596 |
1,256 |
$25K |
| 84484 |
|
9,823 |
6,106 |
$25K |
| J0640 |
Leucovorin calcium injection |
3,692 |
1,849 |
$25K |
| 77001 |
|
1,919 |
1,541 |
$25K |
| 92025 |
|
1,376 |
1,194 |
$25K |
| 69210 |
|
481 |
444 |
$24K |
| 94726 |
|
1,089 |
917 |
$24K |
| 72100 |
|
1,154 |
992 |
$24K |
| 85007 |
|
7,894 |
4,426 |
$23K |
| Q9956 |
Inj octafluoropropane mic,ml |
1,247 |
1,019 |
$23K |
| 99201 |
|
255 |
252 |
$23K |
| 70486 |
|
436 |
390 |
$23K |
| 73610 |
|
745 |
616 |
$22K |
| 52000 |
|
89 |
71 |
$22K |
| 94060 |
|
682 |
532 |
$22K |
| 92587 |
|
961 |
927 |
$22K |
| 96368 |
|
2,722 |
1,501 |
$22K |
| 92582 |
|
585 |
562 |
$22K |
| 87077 |
|
5,175 |
3,722 |
$22K |
| 97116 |
|
611 |
272 |
$22K |
| J2997 |
Alteplase recombinant |
1,726 |
1,223 |
$22K |
| C1894 |
Intro/sheath, non-laser |
1,471 |
1,113 |
$21K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
203 |
177 |
$21K |
| 70480 |
|
368 |
332 |
$21K |
| 82784 |
|
12,808 |
5,255 |
$21K |
| 82248 |
|
9,547 |
6,148 |
$21K |
| J1756 |
Iron sucrose injection |
2,599 |
1,080 |
$21K |
| J0690 |
Cefazolin sodium injection |
7,001 |
5,274 |
$21K |
| 86923 |
|
4,260 |
1,882 |
$20K |
| 64612 |
|
193 |
145 |
$20K |
| 69436 |
|
62 |
53 |
$20K |
| 93971 |
|
1,055 |
873 |
$20K |
| 87075 |
|
2,862 |
2,097 |
$20K |
| 77295 |
|
63 |
52 |
$19K |
| 92285 |
|
2,603 |
2,131 |
$19K |
| J9305 |
Inj. pemetrexed nos 10mg |
135 |
64 |
$19K |
| 77373 |
|
84 |
12 |
$18K |
| 96409 |
|
1,673 |
902 |
$18K |
| 83540 |
|
8,064 |
6,012 |
$18K |
| J3480 |
Inj potassium chloride |
1,457 |
556 |
$18K |
| 83550 |
|
7,843 |
5,870 |
$18K |
| 82306 |
|
6,320 |
4,922 |
$18K |
| Q0163 |
Diphenhydramine hcl 50mg |
5,234 |
2,986 |
$18K |
| 72050 |
|
520 |
456 |
$17K |
| 77280 |
|
86 |
61 |
$17K |
| 84156 |
|
1,813 |
1,329 |
$17K |
| 66180 |
|
15 |
13 |
$17K |
| U0003 |
Cov-19 amp prb hgh thruput |
478 |
403 |
$17K |
| 72158 |
|
402 |
347 |
$17K |
| 94640 |
|
2,263 |
1,059 |
$17K |
| 82607 |
|
4,493 |
3,486 |
$17K |
| J1170 |
Hydromorphone injection |
7,239 |
4,138 |
$16K |
| 73502 |
|
922 |
741 |
$16K |
| 83880 |
|
3,635 |
2,814 |
$16K |
| 73110 |
|
405 |
324 |
$15K |
| 19083 |
|
31 |
25 |
$15K |
| 76882 |
|
188 |
163 |
$15K |
| 92604 |
|
842 |
726 |
$15K |
| 84481 |
|
2,235 |
1,404 |
$14K |
| J1439 |
Inj ferric carboxymaltos 1mg |
44 |
25 |
$14K |
| 72157 |
|
147 |
127 |
$14K |
| 88313 |
|
1,489 |
1,096 |
$14K |
| 86304 |
|
1,854 |
1,251 |
$14K |
| 72156 |
|
208 |
192 |
$14K |
| 92136 |
|
1,269 |
1,065 |
$14K |
| 88360 |
|
817 |
624 |
$14K |
| J1815 |
Insulin injection |
4,671 |
1,745 |
$13K |
| 74160 |
|
308 |
262 |
$13K |
| C9803 |
Hopd covid-19 spec collect |
12,604 |
10,077 |
$13K |
| 85651 |
|
3,691 |
2,976 |
$13K |
| J3301 |
Triamcinolone acet inj nos |
3,261 |
2,718 |
$13K |
| 73221 |
|
119 |
108 |
$13K |
| 88112 |
|
650 |
446 |
$13K |
| 0202U |
|
216 |
192 |
$13K |
| 92020 |
|
1,704 |
1,382 |
$12K |
| 88307 |
|
897 |
767 |
$12K |
| 82550 |
|
7,419 |
5,336 |
$12K |
| J3420 |
Vitamin b12 injection |
2,217 |
1,380 |
$12K |
| 80061 |
|
7,559 |
5,698 |
$12K |
| 82746 |
|
3,169 |
2,464 |
$12K |
| J2469 |
Palonosetron hcl |
1,138 |
678 |
$11K |
| 87186 |
|
5,223 |
3,624 |
$11K |
| 72131 |
|
571 |
470 |
$11K |
| 92524 |
|
575 |
462 |
$11K |
| 84153 |
|
4,259 |
3,095 |
$11K |
| 81050 |
|
1,227 |
914 |
$11K |
| 67036 |
|
49 |
40 |
$11K |
| 82570 |
|
1,239 |
816 |
$10K |
| G8978 |
Mobility current status |
620 |
402 |
$10K |
| G0279 |
Tomosynthesis, mammo |
4,036 |
3,413 |
$10K |
| J9206 |
Irinotecan injection |
2,678 |
1,025 |
$10K |
| C1725 |
Cath, translumin non-laser |
385 |
310 |
$10K |
| J2370 |
Phenylephrine hcl injection |
2,419 |
1,946 |
$10K |
| 87206 |
|
2,085 |
1,161 |
$10K |
| 76937 |
|
1,585 |
1,313 |
$9K |
| 88321 |
|
467 |
395 |
$9K |
| 76942 |
|
503 |
368 |
$9K |
| 83036 |
|
7,529 |
5,711 |
$9K |
| 82553 |
|
6,047 |
4,442 |
$9K |
| J2060 |
Lorazepam injection |
1,348 |
895 |
$9K |
| G0260 |
Inj for sacroiliac jt anesth |
91 |
75 |
$9K |
| G8979 |
Mobility goal status |
637 |
418 |
$9K |
| 86140 |
|
4,178 |
3,252 |
$9K |
| J9310 |
Rituximab injection |
41 |
28 |
$9K |
| 80307 |
|
992 |
849 |
$9K |
| 87340 |
|
1,900 |
1,497 |
$9K |
| 73560 |
|
712 |
526 |
$9K |
| 64483 |
|
114 |
92 |
$9K |
| 72082 |
|
299 |
265 |
$8K |
| 73562 |
|
657 |
504 |
$8K |
| 83970 |
|
1,272 |
926 |
$8K |
| 92579 |
|
1,218 |
1,188 |
$8K |
| 83690 |
|
8,289 |
6,038 |
$8K |
| 72125 |
|
378 |
313 |
$8K |
| 70496 |
|
67 |
57 |
$8K |
| 85045 |
|
11,555 |
8,060 |
$8K |
| J1885 |
Ketorolac tromethamine inj |
8,392 |
6,529 |
$8K |
| 83883 |
|
3,268 |
2,337 |
$8K |
| 82375 |
|
770 |
594 |
$8K |
| 82105 |
|
1,688 |
1,238 |
$8K |
| 87502 |
|
1,243 |
1,062 |
$7K |
| 84155 |
|
4,448 |
3,322 |
$7K |
| 88300 |
|
555 |
449 |
$7K |
| 73521 |
|
285 |
232 |
$7K |
| 87205 |
|
3,283 |
2,353 |
$7K |
| J3489 |
Zoledronic acid 1mg |
1,704 |
1,307 |
$7K |
| 84132 |
|
560 |
411 |
$7K |
| 84165 |
|
4,515 |
3,335 |
$7K |
| 76881 |
|
144 |
121 |
$7K |
| 84480 |
|
990 |
709 |
$7K |
| 77332 |
|
204 |
160 |
$7K |
| 93975 |
|
379 |
328 |
$7K |
| 72040 |
|
177 |
143 |
$7K |
| G0482 |
Drug test def 15-21 classes |
123 |
110 |
$6K |
| 87799 |
|
3,830 |
1,430 |
$6K |
| 86334 |
|
3,843 |
2,816 |
$6K |
| 84702 |
|
1,441 |
1,176 |
$6K |
| P9047 |
Albumin (human), 25%, 50ml |
1,053 |
426 |
$6K |
| 86803 |
|
2,203 |
1,809 |
$6K |
| 84436 |
|
1,593 |
1,089 |
$6K |
| J0131 |
Inj, acetaminophen (nos) |
5,775 |
4,958 |
$6K |
| C9097 |
Inj, faricimab-svoa, 0.1 mg |
34 |
27 |
$6K |
| 77072 |
|
114 |
114 |
$6K |
| 94664 |
|
2,469 |
1,979 |
$6K |
| 87497 |
|
4,442 |
2,060 |
$6K |
| 97165 |
|
1,545 |
1,253 |
$6K |
| 74150 |
|
44 |
37 |
$6K |
| G8984 |
Carry current status |
275 |
162 |
$6K |
| 86704 |
|
1,211 |
994 |
$5K |
| 92556 |
|
117 |
115 |
$5K |
| 83605 |
|
3,834 |
2,672 |
$5K |
| 83020 |
|
2,193 |
2,000 |
$5K |
| 74018 |
|
361 |
298 |
$5K |
| 29581 |
|
365 |
139 |
$5K |
| J0696 |
Ceftriaxone sodium injection |
2,515 |
1,631 |
$5K |
| J2778 |
Ranibizumab injection |
42 |
39 |
$5K |
| J0330 |
Succinycholine chloride inj |
1,565 |
1,270 |
$5K |
| Q3014 |
Telehealth facility fee |
17,602 |
13,838 |
$5K |
| 84703 |
|
2,018 |
1,754 |
$5K |
| C1788 |
Port, indwelling, imp |
216 |
184 |
$5K |
| 88184 |
|
1,878 |
1,327 |
$4K |
| J2930 |
Methylprednisolone injection |
3,079 |
1,878 |
$4K |
| G8985 |
Carry goal status |
275 |
162 |
$4K |
| 87633 |
|
294 |
230 |
$4K |
| 92586 |
|
91 |
81 |
$4K |
| 82150 |
|
3,338 |
1,894 |
$4K |
| 88172 |
|
667 |
483 |
$4K |
| 76377 |
|
373 |
303 |
$4K |
| 94729 |
|
2,017 |
1,704 |
$4K |
| V2785 |
Corneal tissue processing |
82 |
68 |
$4K |
| 70482 |
|
13 |
12 |
$4K |
| 0399T |
|
43 |
35 |
$4K |
| 74240 |
|
70 |
63 |
$4K |
| 87449 |
|
3,266 |
1,330 |
$4K |
| 80076 |
|
3,822 |
3,160 |
$4K |
| C8908 |
Mri w/o fol w/cont, breast, |
33 |
26 |
$4K |
| 83516 |
|
746 |
355 |
$4K |
| 64642 |
|
29 |
26 |
$3K |
| 93320 |
|
110 |
87 |
$3K |
| 99215 |
Prolong outpt/office vis |
71 |
63 |
$3K |
| 87102 |
|
878 |
638 |
$3K |
| 92132 |
|
435 |
362 |
$3K |
| 93225 |
|
336 |
260 |
$3K |
| 36593 |
|
228 |
173 |
$3K |
| 96376 |
|
1,745 |
1,014 |
$3K |
| 74230 |
|
69 |
52 |
$3K |
| G0268 |
Removal of impacted wax md |
152 |
126 |
$3K |
| 88108 |
|
833 |
669 |
$3K |
| J2270 |
Morphine sulfate injection |
4,650 |
3,178 |
$3K |
| C1887 |
Catheter, guiding |
295 |
226 |
$3K |
| 94618 |
|
370 |
310 |
$3K |
| 76870 |
|
33 |
28 |
$3K |
| 84403 |
|
1,230 |
973 |
$3K |
| J0461 |
Atropine sulfate injection |
1,113 |
631 |
$3K |
| 65222 |
|
70 |
64 |
$3K |
| 64643 |
|
26 |
24 |
$2K |
| J9000 |
Doxorubicin hcl injection |
523 |
299 |
$2K |
| 80197 |
|
1,390 |
486 |
$2K |
| 83625 |
|
133 |
87 |
$2K |
| A9503 |
Tc99m medronate |
673 |
550 |
$2K |
| 36410 |
|
214 |
176 |
$2K |
| 82043 |
|
1,927 |
1,469 |
$2K |
| 87081 |
|
2,008 |
1,591 |
$2K |
| 93880 |
|
125 |
93 |
$2K |
| 92520 |
|
181 |
148 |
$2K |
| 74220 |
|
77 |
66 |
$2K |
| A9500 |
Tc99m sestamibi |
297 |
248 |
$2K |
| J1030 |
Methylprednisolone 40 mg inj |
1,274 |
1,034 |
$2K |
| J3370 |
Vancomycin hcl injection |
1,218 |
653 |
$2K |
| 93226 |
|
245 |
188 |
$2K |
| C1729 |
Cath, drainage |
315 |
229 |
$2K |
| 88311 |
|
588 |
446 |
$2K |
| 87389 |
|
1,029 |
895 |
$2K |
| 86902 |
|
538 |
294 |
$2K |
| G0498 |
Chemo extend iv infus w/pump |
642 |
274 |
$2K |
| P9021 |
Red blood cells unit |
72 |
44 |
$2K |
| J1650 |
Inj enoxaparin sodium |
2,366 |
999 |
$2K |
| 94660 |
|
31 |
28 |
$2K |
| 86706 |
|
1,131 |
906 |
$2K |
| 82803 |
|
776 |
598 |
$2K |
| 43235 |
|
35 |
27 |
$2K |
| 88312 |
|
14 |
12 |
$1K |
| 80198 |
|
73 |
67 |
$1K |
| 92652 |
|
45 |
37 |
$1K |
| 17311 |
|
37 |
26 |
$1K |
| J2920 |
Methylprednisolone injection |
125 |
42 |
$1K |
| 92240 |
|
31 |
27 |
$1K |
| 87533 |
|
1,568 |
845 |
$1K |
| 83050 |
|
772 |
596 |
$1K |
| 94727 |
|
486 |
401 |
$1K |
| J1940 |
Furosemide injection |
1,109 |
598 |
$1K |
| 86769 |
|
26 |
15 |
$1K |
| 82945 |
|
180 |
134 |
$1K |
| 87507 |
|
46 |
39 |
$1K |
| 10060 |
|
14 |
12 |
$1K |
| 72114 |
|
14 |
14 |
$1K |
| 76000 |
|
636 |
511 |
$1K |
| 36600 |
|
414 |
326 |
$1K |
| 82533 |
|
1,293 |
870 |
$1K |
| 86328 |
|
54 |
31 |
$1K |
| 99203 |
|
13 |
13 |
$1K |
| 15770 |
|
28 |
26 |
$1K |
| 72070 |
|
65 |
53 |
$1K |
| 82977 |
|
2,811 |
1,445 |
$1K |
| J7070 |
D5w infusion |
131 |
79 |
$1K |
| 86038 |
|
487 |
388 |
$1K |
| 93356 |
|
1,385 |
1,223 |
$1K |
| J0702 |
Betamethasone acet&sod phosp |
208 |
168 |
$1K |
| 93325 |
|
140 |
102 |
$1K |
| 82610 |
|
1,852 |
1,053 |
$1K |
| A9502 |
Tc99m tetrofosmin |
540 |
440 |
$1K |
| 73120 |
|
59 |
40 |
$1K |
| 85384 |
|
276 |
205 |
$1K |
| 92597 |
|
68 |
52 |
$1K |
| 76516 |
|
37 |
37 |
$974.83 |
| 77470 |
|
14 |
12 |
$953.13 |
| 82024 |
|
1,135 |
762 |
$880.22 |
| J0171 |
Adrenalin epinephrine inject |
1,084 |
936 |
$824.22 |
| M0243 |
Casirivi and imdevi inj |
15 |
13 |
$797.52 |
| 64493 |
|
32 |
25 |
$772.04 |
| 87636 |
|
410 |
363 |
$744.88 |
| 93296 |
|
48 |
39 |
$736.52 |
| 92526 |
|
16 |
13 |
$677.02 |
| 86703 |
|
147 |
124 |
$667.69 |
| G8981 |
Body pos current status |
43 |
26 |
$635.43 |
| 92082 |
|
119 |
91 |
$609.72 |
| 83021 |
|
115 |
98 |
$593.35 |
| 72202 |
|
41 |
38 |
$593.18 |
| 85240 |
|
120 |
102 |
$582.02 |
| 72146 |
|
32 |
25 |
$581.78 |
| 86592 |
|
386 |
322 |
$562.78 |
| 93350 |
|
19 |
12 |
$552.19 |
| 73620 |
|
15 |
12 |
$543.28 |
| C1751 |
Cath, inf, per/cent/midline |
365 |
311 |
$523.85 |
| 86922 |
|
160 |
67 |
$523.44 |
| L8509 |
Trach-esoph voice pros md in |
14 |
12 |
$516.01 |
| 92602 |
|
14 |
14 |
$505.30 |
| 93246 |
|
29 |
26 |
$502.95 |
| 83521 |
|
1,930 |
965 |
$502.71 |
| 92650 |
|
32 |
32 |
$500.01 |
| 95874 |
|
291 |
241 |
$497.20 |
| 80069 |
|
309 |
199 |
$485.44 |
| P3000 |
Screen pap by tech w md supv |
56 |
55 |
$476.07 |
| U0005 |
Infec agen detec ampli probe |
4,078 |
3,400 |
$472.37 |
| 20553 |
|
65 |
55 |
$462.02 |
| 36590 |
|
16 |
12 |
$461.56 |
| 82232 |
|
451 |
336 |
$454.39 |
| 80377 |
|
28 |
28 |
$437.96 |
| 64447 |
|
15 |
13 |
$420.43 |
| 83001 |
|
51 |
39 |
$391.08 |
| 10022 |
|
20 |
13 |
$384.09 |
| 80320 |
|
132 |
99 |
$382.36 |
| 20605 |
|
21 |
13 |
$380.73 |
| C1758 |
Catheter, ureteral |
42 |
30 |
$361.80 |
| 82670 |
|
59 |
50 |
$348.05 |
| 86708 |
|
121 |
103 |
$345.14 |
| J3300 |
Triamcinolone a inj prs-free |
82 |
57 |
$341.75 |
| J0134 |
Inj acetaminophen -fresenius |
53 |
49 |
$341.71 |
| 75572 |
|
14 |
12 |
$340.16 |
| 86403 |
|
21 |
15 |
$333.11 |
| 70498 |
|
15 |
12 |
$332.48 |
| G8982 |
Body pos goal status |
43 |
26 |
$322.99 |
| 85230 |
|
13 |
12 |
$314.56 |
| C1726 |
Cath, bal dil, non-vascular |
47 |
38 |
$309.24 |
| 86606 |
|
200 |
70 |
$301.87 |
| 87516 |
|
89 |
63 |
$294.55 |
| 81015 |
|
263 |
198 |
$281.87 |
| J1040 |
Methylprednisolone 80 mg inj |
66 |
54 |
$272.54 |
| 89051 |
|
119 |
88 |
$266.52 |
| 87305 |
|
391 |
232 |
$256.94 |
| 86235 |
|
74 |
36 |
$255.65 |
| M0247 |
Sotrovimab infusion |
17 |
15 |
$245.96 |
| J2785 |
Regadenoson injection |
474 |
385 |
$236.61 |
| 86880 |
|
119 |
76 |
$235.88 |
| 90471 |
|
395 |
331 |
$220.54 |
| 85014 |
|
260 |
195 |
$216.43 |
| 82664 |
|
13 |
13 |
$203.97 |
| 87798 |
|
57 |
30 |
$198.12 |
| 83520 |
|
36 |
24 |
$191.02 |
| 87116 |
|
399 |
291 |
$187.17 |
| 85378 |
|
669 |
519 |
$175.18 |
| 77003 |
|
14 |
13 |
$169.40 |
| 86480 |
|
138 |
109 |
$166.77 |
| G0480 |
Drug test def 1-7 classes |
69 |
58 |
$165.39 |
| 90715 |
|
307 |
262 |
$165.05 |
| G0483 |
Drug test def 22+ classes |
17 |
14 |
$157.05 |
| 84311 |
|
182 |
127 |
$138.18 |
| 86357 |
|
14 |
13 |
$134.81 |
| 86255 |
|
27 |
24 |
$123.92 |
| G8997 |
Swallow goal status |
66 |
42 |
$114.33 |
| G8996 |
Swallow current status |
65 |
42 |
$114.33 |
| 80074 |
|
129 |
106 |
$113.85 |
| C2617 |
Stent, non-cor, tem w/o del |
39 |
25 |
$109.56 |
| 86431 |
|
82 |
42 |
$106.82 |
| Q0247 |
Sotrovimab |
20 |
19 |
$104.48 |
| J7325 |
Synvisc or synvisc-one |
18 |
13 |
$102.44 |
| 87426 |
|
86 |
75 |
$100.44 |
| 36591 |
|
44 |
29 |
$95.97 |
| J2360 |
Orphenadrine injection |
779 |
668 |
$94.25 |
| A9541 |
Tc99m sulfur colloid |
14 |
14 |
$94.02 |
| 86225 |
|
39 |
37 |
$89.92 |
| G8987 |
Self care current status |
17 |
13 |
$86.05 |
| G8988 |
Self care goal status |
17 |
13 |
$86.05 |
| 92226 |
|
15 |
13 |
$73.62 |
| 82330 |
|
178 |
87 |
$70.86 |
| 89050 |
|
31 |
25 |
$67.67 |
| 83986 |
|
95 |
84 |
$55.11 |
| J1720 |
Hydrocortisone sodium succ i |
319 |
233 |
$51.43 |
| J2765 |
Metoclopramide hcl injection |
882 |
681 |
$47.93 |
| 99153 |
Mod sedat endo service >5yrs |
44 |
37 |
$45.83 |
| 83002 |
|
50 |
39 |
$42.05 |
| 86777 |
|
18 |
13 |
$38.50 |
| 84402 |
|
30 |
24 |
$37.87 |
| 84146 |
|
30 |
26 |
$24.30 |
| 84154 |
|
220 |
170 |
$24.11 |
| 86355 |
|
15 |
14 |
$23.28 |
| 86360 |
|
13 |
13 |
$23.28 |
| 86359 |
|
15 |
14 |
$23.28 |
| J0360 |
Hydralazine hcl injection |
315 |
203 |
$22.43 |
| 87535 |
|
17 |
12 |
$22.06 |
| 77387 |
|
266 |
40 |
$19.68 |
| 99152 |
|
31 |
27 |
$19.35 |
| 83010 |
|
47 |
36 |
$17.58 |
| 84145 |
|
151 |
105 |
$17.17 |
| G8998 |
Swallow d/c status |
26 |
13 |
$15.63 |
| 82530 |
|
222 |
144 |
$6.75 |
| 87804 |
|
25 |
21 |
$4.79 |
| 85660 |
|
18 |
12 |
$3.96 |
| 84479 |
|
16 |
13 |
$3.84 |
| 77002 |
|
17 |
13 |
$0.51 |
| 87556 |
|
18 |
12 |
$0.00 |
| 86870 |
|
57 |
25 |
$0.00 |
| G0008 |
Admin influenza virus vac |
61 |
43 |
$0.00 |
| J1741 |
Ibuprofen injection |
245 |
224 |
$0.00 |
| 97802 |
|
103 |
87 |
$0.00 |
| 92700 |
|
48 |
44 |
$0.00 |
| 90935 |
|
112 |
53 |
$0.00 |
| 85018 |
|
16 |
15 |
$0.00 |
| 90686 |
|
15 |
12 |
$0.00 |
| J7042 |
5% dextrose/normal saline |
48 |
25 |
$0.00 |
| 94200 |
|
16 |
12 |
$0.00 |
| 87651 |
|
57 |
50 |
$0.00 |
| 87661 |
|
13 |
12 |
$0.00 |
| 64494 |
|
16 |
14 |
$0.00 |
| 88377 |
|
22 |
14 |
$0.00 |
| 10006 |
|
14 |
13 |
$0.00 |
| 86945 |
|
17 |
12 |
$0.00 |
| 73720 |
|
17 |
13 |
$0.00 |
| 87591 |
|
13 |
12 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
15 |
14 |
$0.00 |
| J9370 |
Vincristine sulfate 1 mg inj |
306 |
184 |
$0.00 |
| 90682 |
|
28 |
25 |
$0.00 |
| 88237 |
|
18 |
13 |
$0.00 |
| J1956 |
Levofloxacin injection |
146 |
85 |
$0.00 |
| 99499 |
|
140 |
130 |
$0.00 |
| J9260 |
Inj methotrexate sodium 50mg |
114 |
64 |
$0.00 |
| 88365 |
|
31 |
24 |
$0.00 |
| J0692 |
Cefepime hcl for injection |
313 |
155 |
$0.00 |
| G0121 |
Colon ca scrn not hi rsk ind |
12 |
12 |
$0.00 |
| J9060 |
Cisplatin 10 mg injection |
47 |
27 |
$0.00 |
| J2550 |
Promethazine hcl injection |
115 |
79 |
$0.00 |
| 86787 |
|
17 |
12 |
$0.00 |
| 92585 |
|
12 |
12 |
$0.00 |
| J1738 |
Inj. meloxicam 1 mg |
13 |
12 |
$0.00 |
| J0137 |
Inj, acetaminophen (hikma) |
13 |
13 |
$0.00 |
| 87101 |
|
13 |
12 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
33 |
13 |
$0.00 |
| 87491 |
|
13 |
12 |
$0.00 |
| 01999 |
|
26 |
24 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
13 |
12 |
$0.00 |
| 82652 |
|
13 |
12 |
$0.00 |