| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
51,617 |
43,707 |
$12.11M |
| 74177 |
|
11,752 |
10,346 |
$7.45M |
| 99284 |
|
21,484 |
17,719 |
$6.14M |
| 99285 |
|
8,860 |
7,301 |
$3.18M |
| 70450 |
|
7,455 |
6,150 |
$2.19M |
| 74176 |
|
3,529 |
3,115 |
$1.95M |
| 43239 |
|
4,173 |
2,962 |
$1.93M |
| 78452 |
|
3,421 |
1,419 |
$1.85M |
| 99282 |
|
11,335 |
10,146 |
$1.61M |
| 96374 |
|
38,217 |
20,531 |
$1.49M |
| 96365 |
|
11,565 |
5,514 |
$1.41M |
| 96375 |
|
20,243 |
15,181 |
$1.41M |
| 93306 |
|
2,507 |
2,232 |
$1.34M |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,112 |
828 |
$1.30M |
| 41899 |
|
537 |
511 |
$1.30M |
| 96413 |
|
2,622 |
1,366 |
$1.20M |
| 71260 |
|
3,746 |
3,025 |
$1.18M |
| 80053 |
|
121,801 |
83,170 |
$1.17M |
| 93005 |
|
24,305 |
17,818 |
$1.09M |
| 45385 |
|
1,896 |
1,430 |
$1.05M |
| U0004 |
Cov-19 test non-cdc hgh thru |
16,842 |
14,993 |
$1.05M |
| 70553 |
|
2,217 |
1,765 |
$993K |
| 71045 |
|
23,299 |
17,621 |
$951K |
| 45378 |
|
1,403 |
1,170 |
$917K |
| 96372 |
|
19,994 |
11,516 |
$914K |
| G0378 |
Hospital observation per hr |
1,637 |
1,387 |
$834K |
| 73721 |
|
1,947 |
1,764 |
$832K |
| 45380 |
|
1,655 |
1,308 |
$806K |
| 72148 |
|
2,167 |
1,969 |
$786K |
| 36415 |
|
165,355 |
79,140 |
$748K |
| 77067 |
|
6,186 |
5,931 |
$727K |
| 74178 |
|
773 |
628 |
$717K |
| 88305 |
|
11,358 |
6,926 |
$709K |
| 59025 |
|
5,099 |
2,708 |
$668K |
| 87637 |
|
6,212 |
5,403 |
$627K |
| 85025 |
|
96,567 |
78,191 |
$615K |
| 71250 |
|
3,111 |
2,660 |
$566K |
| J2785 |
Regadenoson injection |
784 |
706 |
$529K |
| 73221 |
|
1,273 |
1,164 |
$494K |
| 93017 |
|
1,440 |
1,333 |
$475K |
| 80307 |
|
9,743 |
8,555 |
$475K |
| 95810 |
|
453 |
402 |
$458K |
| 84443 |
|
33,541 |
30,532 |
$451K |
| 76705 |
|
4,006 |
3,654 |
$446K |
| 72141 |
|
1,163 |
1,032 |
$437K |
| 72125 |
|
1,465 |
1,279 |
$435K |
| 70551 |
|
1,222 |
1,051 |
$425K |
| 78815 |
|
674 |
468 |
$421K |
| 76830 |
|
3,364 |
3,101 |
$412K |
| 73562 |
|
3,314 |
2,893 |
$390K |
| G0463 |
Hospital outpt clinic visit |
19,687 |
14,541 |
$381K |
| 96361 |
|
6,543 |
4,283 |
$378K |
| 80061 |
|
33,250 |
29,100 |
$377K |
| 87635 |
|
8,954 |
8,256 |
$366K |
| 83880 |
|
11,230 |
9,690 |
$362K |
| 93971 |
|
1,582 |
1,447 |
$361K |
| 73630 |
|
2,760 |
2,474 |
$358K |
| 72100 |
|
3,312 |
2,910 |
$349K |
| 73030 |
|
3,376 |
2,789 |
$348K |
| 71046 |
|
7,746 |
6,754 |
$342K |
| 87491 |
|
10,899 |
10,112 |
$325K |
| 74018 |
|
3,391 |
3,024 |
$325K |
| U0003 |
Cov-19 amp prb hgh thruput |
6,275 |
5,365 |
$319K |
| 87591 |
|
10,823 |
10,092 |
$312K |
| 82306 |
|
13,055 |
11,866 |
$311K |
| 73130 |
|
2,358 |
2,026 |
$303K |
| 73610 |
|
2,437 |
2,162 |
$298K |
| 76642 |
|
2,344 |
2,175 |
$296K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
20,433 |
15,556 |
$294K |
| 96366 |
|
2,152 |
1,222 |
$282K |
| 76775 |
|
1,217 |
1,107 |
$276K |
| 70486 |
|
849 |
770 |
$269K |
| 72110 |
|
1,320 |
1,103 |
$261K |
| 96376 |
|
3,858 |
2,593 |
$246K |
| 72050 |
|
1,527 |
1,288 |
$239K |
| 73110 |
|
1,718 |
1,432 |
$229K |
| 84702 |
|
17,717 |
14,908 |
$219K |
| 76536 |
|
1,799 |
1,656 |
$219K |
| 87804 |
|
8,524 |
7,539 |
$218K |
| 80050 |
|
6,304 |
5,535 |
$215K |
| 76817 |
|
1,585 |
1,385 |
$204K |
| J3490 |
Drugs unclassified injection |
2,088 |
1,678 |
$203K |
| 96367 |
|
2,187 |
849 |
$202K |
| 47562 |
|
144 |
90 |
$200K |
| 94060 |
|
1,601 |
1,236 |
$199K |
| 84484 |
|
18,883 |
12,712 |
$198K |
| 97140 |
|
3,893 |
1,155 |
$194K |
| C1769 |
Guide wire |
1,528 |
1,198 |
$194K |
| 72072 |
|
1,421 |
1,220 |
$191K |
| 96360 |
|
1,702 |
1,029 |
$189K |
| 71275 |
|
320 |
290 |
$188K |
| C1776 |
Joint device (implantable) |
124 |
39 |
$188K |
| 87480 |
|
9,006 |
8,040 |
$174K |
| 77066 |
Tomosynthesis, mammo |
1,662 |
1,311 |
$170K |
| 73502 |
|
2,116 |
1,686 |
$168K |
| 74022 |
|
938 |
872 |
$167K |
| 70491 |
|
473 |
378 |
$162K |
| 83036 |
|
21,884 |
20,077 |
$157K |
| 94640 |
|
3,676 |
3,174 |
$157K |
| C1889 |
Implant/insert device, noc |
1,473 |
1,018 |
$150K |
| 74183 |
|
364 |
303 |
$146K |
| 87086 |
|
19,712 |
17,454 |
$145K |
| 84439 |
|
19,020 |
17,145 |
$144K |
| 87660 |
|
8,500 |
7,938 |
$143K |
| 87510 |
|
8,501 |
7,939 |
$141K |
| 82607 |
|
11,476 |
10,243 |
$141K |
| 83690 |
|
24,721 |
21,501 |
$140K |
| 47563 |
|
196 |
92 |
$138K |
| 71271 |
|
1,637 |
1,486 |
$131K |
| A9552 |
F18 fdg |
805 |
574 |
$131K |
| 95806 |
|
650 |
602 |
$129K |
| 76856 |
|
1,030 |
980 |
$128K |
| 95886 |
|
316 |
280 |
$127K |
| 78264 |
|
237 |
170 |
$126K |
| 87506 |
|
609 |
578 |
$125K |
| 69436 |
|
145 |
131 |
$124K |
| 87880 |
|
8,715 |
8,292 |
$120K |
| 74019 |
|
1,219 |
1,129 |
$118K |
| 87081 |
|
18,023 |
16,815 |
$117K |
| 86803 |
|
9,665 |
8,969 |
$115K |
| 72040 |
|
826 |
706 |
$114K |
| 77065 |
Tomosynthesis, mammo |
1,381 |
1,044 |
$113K |
| 84466 |
|
10,988 |
9,988 |
$113K |
| A9577 |
Inj multihance |
3,085 |
2,885 |
$112K |
| 58661 |
|
113 |
100 |
$109K |
| 87624 |
|
3,543 |
3,313 |
$105K |
| 82746 |
|
8,719 |
8,064 |
$102K |
| 97110 |
|
4,795 |
1,705 |
$101K |
| 93880 |
|
521 |
469 |
$101K |
| 78227 |
|
174 |
144 |
$98K |
| 99211 |
|
5,410 |
3,761 |
$98K |
| 82728 |
|
8,492 |
7,513 |
$96K |
| 83735 |
|
16,986 |
13,276 |
$96K |
| 80074 |
|
2,950 |
2,536 |
$95K |
| C1781 |
Mesh (implantable) |
124 |
99 |
$95K |
| 95816 |
|
235 |
222 |
$94K |
| 73590 |
|
838 |
730 |
$94K |
| 71101 |
|
773 |
621 |
$93K |
| J7050 |
Normal saline solution infus |
3,813 |
1,266 |
$93K |
| 73560 |
|
929 |
793 |
$93K |
| 97161 |
|
3,066 |
1,738 |
$92K |
| 76870 |
|
795 |
716 |
$91K |
| 73090 |
|
798 |
676 |
$91K |
| C1894 |
Intro/sheath, non-laser |
979 |
862 |
$90K |
| 77080 |
|
1,615 |
1,235 |
$88K |
| 88304 |
|
2,450 |
1,971 |
$86K |
| J2704 |
Inj, propofol, 10 mg |
17,222 |
13,515 |
$83K |
| C9803 |
Hopd covid-19 spec collect |
7,348 |
6,359 |
$81K |
| 82077 |
|
6,091 |
4,899 |
$81K |
| A9502 |
Tc99m tetrofosmin |
984 |
855 |
$80K |
| 94726 |
|
1,329 |
1,227 |
$79K |
| 70498 |
|
280 |
235 |
$79K |
| 70496 |
|
236 |
195 |
$79K |
| 88307 |
|
841 |
575 |
$78K |
| 73080 |
|
763 |
649 |
$77K |
| G0480 |
Drug test def 1-7 classes |
872 |
746 |
$76K |
| 92507 |
|
1,272 |
447 |
$76K |
| 12001 |
|
621 |
538 |
$75K |
| 96415 |
|
332 |
239 |
$72K |
| 88142 |
|
3,906 |
3,711 |
$72K |
| G0432 |
Eia hiv-1/hiv-2 screen |
4,747 |
4,186 |
$70K |
| G0330 |
Facility svs dental rehab |
28 |
28 |
$67K |
| 81001 |
|
24,181 |
20,345 |
$66K |
| 86003 |
|
1,130 |
1,009 |
$65K |
| 80143 |
|
4,116 |
3,568 |
$65K |
| 80048 |
|
8,932 |
6,127 |
$64K |
| 99291 |
|
150 |
143 |
$62K |
| 94729 |
|
1,204 |
1,162 |
$62K |
| 42820 |
|
56 |
54 |
$62K |
| 83540 |
|
11,649 |
10,554 |
$62K |
| 81220 |
|
158 |
153 |
$61K |
| 80179 |
|
4,083 |
3,563 |
$59K |
| 83605 |
|
6,187 |
4,852 |
$57K |
| 97530 |
|
1,905 |
675 |
$56K |
| 77063 |
|
6,820 |
6,106 |
$53K |
| 99281 |
|
827 |
742 |
$53K |
| 87661 |
|
1,960 |
1,844 |
$52K |
| 87040 |
|
6,094 |
3,284 |
$52K |
| 82948 |
|
8,158 |
4,168 |
$52K |
| 82805 |
|
879 |
745 |
$52K |
| 97535 |
|
1,614 |
932 |
$51K |
| 10060 |
|
153 |
121 |
$51K |
| 88342 |
|
1,088 |
795 |
$50K |
| 85027 |
|
9,172 |
7,914 |
$50K |
| 76815 |
|
380 |
340 |
$49K |
| 87186 |
|
6,782 |
5,933 |
$49K |
| J0500 |
Dicyclomine injection |
691 |
649 |
$47K |
| 87522 |
Neg quan hep c or qual rna |
1,411 |
1,235 |
$47K |
| 77336 |
|
430 |
80 |
$42K |
| 84403 |
|
2,017 |
1,812 |
$42K |
| 64447 |
|
30 |
26 |
$41K |
| 87070 |
|
5,748 |
4,218 |
$40K |
| 95811 |
|
29 |
26 |
$40K |
| 36591 |
|
1,833 |
704 |
$40K |
| 83013 |
|
689 |
639 |
$38K |
| 76801 |
|
363 |
335 |
$38K |
| 87077 |
|
5,451 |
4,314 |
$38K |
| 97165 |
|
1,011 |
782 |
$38K |
| 76000 |
|
385 |
324 |
$37K |
| 80055 |
|
706 |
633 |
$37K |
| J1170 |
Hydromorphone injection |
8,802 |
6,590 |
$37K |
| 86850 |
|
4,031 |
3,410 |
$35K |
| 91200 |
|
330 |
302 |
$35K |
| 11042 |
|
190 |
129 |
$34K |
| 73140 |
|
394 |
340 |
$34K |
| G0123 |
Screen cerv/vag thin layer |
2,258 |
2,147 |
$33K |
| J7120 |
Ringers lactate infusion |
6,377 |
5,376 |
$32K |
| C1726 |
Cath, bal dil, non-vascular |
165 |
133 |
$32K |
| J7030 |
Normal saline solution infus |
8,749 |
5,647 |
$32K |
| 82962 |
|
8,326 |
4,227 |
$32K |
| 85610 |
|
8,877 |
7,000 |
$32K |
| 76770 |
|
165 |
126 |
$31K |
| 76942 |
|
274 |
226 |
$31K |
| G0103 |
Psa screening |
3,569 |
2,028 |
$31K |
| 87801 |
|
587 |
492 |
$30K |
| J0561 |
Penicillin g benzathine inj |
137 |
128 |
$30K |
| 76811 |
|
273 |
260 |
$30K |
| 81003 |
|
14,477 |
12,957 |
$30K |
| 86038 |
|
2,893 |
2,586 |
$29K |
| C2617 |
Stent, non-cor, tem w/o del |
444 |
382 |
$29K |
| 82784 |
|
1,865 |
1,612 |
$29K |
| 84112 |
|
355 |
303 |
$29K |
| 84146 |
|
1,770 |
1,565 |
$28K |
| M0243 |
Casirivi and imdevi inj |
85 |
78 |
$28K |
| 83970 |
|
893 |
753 |
$28K |
| 82043 |
|
5,788 |
5,267 |
$28K |
| C9776 |
Fluo bile duct imaging w/icg |
32 |
27 |
$27K |
| 87147 |
|
3,088 |
2,064 |
$27K |
| 0001A |
|
890 |
849 |
$27K |
| J1885 |
Ketorolac tromethamine inj |
21,239 |
17,978 |
$26K |
| 90715 |
|
779 |
736 |
$26K |
| 0002A |
|
811 |
776 |
$25K |
| 82550 |
|
4,471 |
3,816 |
$25K |
| 87807 |
|
2,242 |
2,120 |
$25K |
| 81025 |
|
3,934 |
3,460 |
$25K |
| 36430 |
|
49 |
37 |
$25K |
| 83001 |
|
1,604 |
1,448 |
$25K |
| 82570 |
|
5,773 |
5,087 |
$25K |
| 87653 |
|
761 |
735 |
$25K |
| 97112 |
|
738 |
294 |
$24K |
| 12011 |
|
213 |
199 |
$24K |
| 0202U |
|
69 |
67 |
$24K |
| 84402 |
|
1,141 |
1,034 |
$24K |
| 87493 |
|
1,170 |
1,046 |
$24K |
| 86480 |
|
459 |
428 |
$24K |
| 87088 |
|
3,604 |
3,128 |
$23K |
| 82274 |
|
1,717 |
1,377 |
$23K |
| 84481 |
|
1,644 |
1,531 |
$22K |
| 82553 |
|
2,533 |
2,288 |
$22K |
| 87505 |
|
230 |
192 |
$21K |
| 87340 |
|
2,520 |
2,307 |
$21K |
| 86696 |
|
1,325 |
1,094 |
$21K |
| 12002 |
|
153 |
146 |
$21K |
| 87800 |
|
615 |
515 |
$20K |
| 86780 |
|
1,815 |
1,622 |
$20K |
| 76700 |
|
154 |
142 |
$20K |
| 86140 |
|
4,462 |
3,820 |
$19K |
| 95911 |
|
34 |
28 |
$19K |
| 74420 |
|
42 |
37 |
$19K |
| 86665 |
|
696 |
584 |
$18K |
| 86235 |
|
251 |
190 |
$18K |
| 90471 |
|
883 |
788 |
$18K |
| J0696 |
Ceftriaxone sodium injection |
4,288 |
3,537 |
$17K |
| 83002 |
|
1,151 |
1,036 |
$17K |
| 86225 |
|
1,566 |
1,359 |
$17K |
| G0279 |
Tomosynthesis, mammo |
2,520 |
2,140 |
$16K |
| 76805 |
|
326 |
300 |
$16K |
| 85379 |
|
1,929 |
1,790 |
$16K |
| 85730 |
|
3,636 |
3,065 |
$16K |
| 86677 |
|
684 |
635 |
$16K |
| J1100 |
Dexamethasone sodium phos |
13,707 |
11,538 |
$16K |
| 72146 |
|
40 |
31 |
$15K |
| 86695 |
|
1,224 |
1,080 |
$15K |
| 78226 |
|
37 |
27 |
$15K |
| 64721 |
|
36 |
16 |
$15K |
| 86376 |
|
1,254 |
1,122 |
$14K |
| 76999 |
|
195 |
142 |
$14K |
| J2916 |
Na ferric gluconate complex |
211 |
93 |
$14K |
| 96417 |
|
118 |
79 |
$14K |
| 82785 |
|
926 |
826 |
$14K |
| 84703 |
|
2,211 |
2,012 |
$13K |
| 86901 |
|
4,461 |
3,918 |
$13K |
| 86900 |
|
4,315 |
3,770 |
$13K |
| J1756 |
Iron sucrose injection |
137 |
55 |
$13K |
| C1758 |
Catheter, ureteral |
367 |
310 |
$12K |
| 99152 |
|
174 |
154 |
$12K |
| 84100 |
|
3,121 |
1,857 |
$12K |
| 87205 |
|
3,272 |
2,719 |
$12K |
| 86618 |
|
698 |
612 |
$11K |
| 80081 |
|
132 |
129 |
$11K |
| 83020 |
|
978 |
912 |
$11K |
| J2405 |
Ondansetron hcl injection |
22,915 |
18,667 |
$11K |
| 36600 |
|
328 |
290 |
$11K |
| J3010 |
Fentanyl citrate injection |
9,604 |
8,469 |
$11K |
| 86592 |
|
2,450 |
2,178 |
$11K |
| 84153 |
|
697 |
638 |
$10K |
| 85652 |
|
4,469 |
3,802 |
$10K |
| G0399 |
Home sleep test/type 3 porta |
76 |
67 |
$10K |
| 86757 |
|
307 |
267 |
$10K |
| J0689 |
Inj cefazolin sodium, baxter |
1,520 |
1,180 |
$10K |
| 80076 |
|
1,334 |
1,129 |
$10K |
| 86334 |
|
507 |
468 |
$9K |
| J2930 |
Methylprednisolone injection |
1,778 |
1,522 |
$9K |
| A9541 |
Tc99m sulfur colloid |
99 |
91 |
$9K |
| J0690 |
Cefazolin sodium injection |
2,063 |
1,559 |
$9K |
| 82103 |
|
745 |
629 |
$9K |
| 93798 |
|
332 |
60 |
$9K |
| 86431 |
|
1,809 |
1,639 |
$9K |
| 83655 |
|
774 |
741 |
$9K |
| 82565 |
|
881 |
541 |
$9K |
| 82105 |
|
582 |
540 |
$9K |
| 84156 |
|
2,765 |
2,245 |
$9K |
| 86200 |
|
760 |
690 |
$8K |
| 82627 |
|
438 |
358 |
$8K |
| 83630 |
|
485 |
401 |
$8K |
| 87798 |
|
560 |
273 |
$8K |
| J2360 |
Orphenadrine injection |
1,480 |
1,385 |
$8K |
| 96523 |
|
307 |
251 |
$8K |
| 82950 |
|
1,724 |
1,628 |
$8K |
| 86381 |
|
415 |
385 |
$8K |
| J0688 |
Inj cefazolin sodium, hikma |
706 |
609 |
$8K |
| 82150 |
|
1,422 |
1,234 |
$8K |
| 99153 |
Mod sedat endo service >5yrs |
57 |
52 |
$8K |
| 94010 |
|
112 |
104 |
$8K |
| A9500 |
Tc99m sestamibi |
117 |
112 |
$8K |
| 73552 |
|
72 |
66 |
$8K |
| 80069 |
|
1,024 |
708 |
$8K |
| 83525 |
|
835 |
755 |
$8K |
| J2272 |
Inj, morphine (fresenius) |
2,242 |
1,648 |
$8K |
| 64415 |
|
16 |
12 |
$8K |
| 84550 |
|
1,971 |
1,771 |
$8K |
| 86364 |
|
600 |
567 |
$7K |
| 94761 |
|
567 |
344 |
$7K |
| 84436 |
|
1,304 |
1,160 |
$7K |
| 49083 |
|
25 |
12 |
$7K |
| 74230 |
|
67 |
43 |
$7K |
| A9537 |
Tc99m mebrofenin |
174 |
158 |
$7K |
| 86762 |
|
532 |
490 |
$7K |
| 77002 |
|
37 |
36 |
$7K |
| 86664 |
|
510 |
481 |
$7K |
| 0012A |
|
269 |
264 |
$6K |
| 86800 |
|
513 |
480 |
$6K |
| M0245 |
Bamlan and etesev infusion |
19 |
19 |
$6K |
| 93923 |
|
71 |
66 |
$6K |
| 82670 |
|
268 |
225 |
$6K |
| 88302 |
|
402 |
205 |
$6K |
| J7040 |
Normal saline solution infus |
1,555 |
753 |
$6K |
| 82947 |
|
1,653 |
1,038 |
$6K |
| 88300 |
|
403 |
354 |
$6K |
| 82375 |
|
488 |
368 |
$6K |
| 83516 |
|
550 |
279 |
$6K |
| 31624 |
|
28 |
12 |
$6K |
| 43249 |
|
52 |
24 |
$6K |
| 81002 |
|
1,162 |
982 |
$6K |
| J1790 |
Droperidol injection |
817 |
769 |
$6K |
| J1453 |
Fosaprepitant injection |
117 |
78 |
$6K |
| 72114 |
|
28 |
25 |
$5K |
| 99202 |
|
690 |
608 |
$5K |
| 88175 |
|
279 |
235 |
$5K |
| J2250 |
Inj midazolam hydrochloride |
9,181 |
7,929 |
$5K |
| 87389 |
|
278 |
251 |
$5K |
| J2791 |
Rhophylac injection |
118 |
105 |
$5K |
| 93225 |
|
63 |
57 |
$5K |
| 84144 |
|
303 |
271 |
$5K |
| 88312 |
|
118 |
77 |
$5K |
| J1650 |
Inj enoxaparin sodium |
1,182 |
520 |
$5K |
| 88341 |
|
43 |
36 |
$5K |
| 93970 |
|
34 |
30 |
$5K |
| 87071 |
|
661 |
474 |
$5K |
| J0171 |
Adrenalin epinephrine inject |
395 |
338 |
$5K |
| 82803 |
|
204 |
184 |
$5K |
| 84145 |
|
229 |
183 |
$5K |
| 29580 |
|
59 |
25 |
$4K |
| 73070 |
|
32 |
25 |
$4K |
| J1644 |
Inj heparin sodium per 1000u |
1,696 |
952 |
$4K |
| 95909 |
|
12 |
12 |
$4K |
| 86706 |
|
525 |
470 |
$4K |
| 72158 |
|
19 |
13 |
$4K |
| 73060 |
|
72 |
65 |
$4K |
| 97116 |
|
274 |
160 |
$4K |
| 0011A |
|
243 |
235 |
$4K |
| J2270 |
Morphine sulfate injection |
2,349 |
1,822 |
$4K |
| 84479 |
|
826 |
741 |
$4K |
| 82140 |
|
320 |
258 |
$4K |
| J1642 |
Inj heparin sodium per 10 u |
4,245 |
2,151 |
$4K |
| 86008 |
|
382 |
361 |
$4K |
| 86015 |
|
391 |
363 |
$4K |
| 86256 |
|
179 |
148 |
$4K |
| 86704 |
|
381 |
328 |
$4K |
| A4648 |
Implantable tissue marker |
85 |
37 |
$4K |
| J2543 |
Piperacillin/tazobactam |
480 |
315 |
$3K |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
1,160 |
1,040 |
$3K |
| 95819 |
|
37 |
32 |
$3K |
| 86308 |
|
761 |
723 |
$3K |
| G0148 |
Scr c/v cyto, autosys, rescr |
136 |
127 |
$3K |
| Q9969 |
Non-heu tc-99m add-on/dose |
1,964 |
1,755 |
$3K |
| 97802 |
|
250 |
236 |
$3K |
| 82533 |
|
226 |
200 |
$3K |
| 85014 |
|
735 |
399 |
$3K |
| 82672 |
|
169 |
160 |
$3K |
| 82390 |
|
350 |
329 |
$3K |
| 82248 |
|
826 |
596 |
$3K |
| 88108 |
|
133 |
81 |
$3K |
| J0780 |
Prochlorperazine injection |
687 |
580 |
$3K |
| J1200 |
Diphenhydramine hcl injectio |
4,265 |
3,485 |
$3K |
| 86701 |
|
384 |
320 |
$3K |
| 31500 |
|
29 |
24 |
$3K |
| 87902 |
|
14 |
12 |
$3K |
| 83050 |
|
389 |
337 |
$3K |
| Q9968 |
Visualization adjunct |
112 |
62 |
$3K |
| P9612 |
Catheterize for urine spec |
607 |
347 |
$3K |
| 87529 |
|
43 |
41 |
$3K |
| 92523 |
|
27 |
27 |
$3K |
| 86923 |
|
56 |
36 |
$3K |
| J2060 |
Lorazepam injection |
1,769 |
1,434 |
$3K |
| J2765 |
Metoclopramide hcl injection |
2,808 |
2,500 |
$3K |
| 94618 |
|
54 |
45 |
$3K |
| 82009 |
|
669 |
584 |
$2K |
| 93325 |
|
13 |
13 |
$2K |
| J2469 |
Palonosetron hcl |
334 |
207 |
$2K |
| 86231 |
|
247 |
235 |
$2K |
| J2795 |
Ropivacaine hcl injection |
402 |
320 |
$2K |
| 83498 |
|
98 |
80 |
$2K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
153 |
131 |
$2K |
| 82652 |
|
83 |
64 |
$2K |
| 92609 |
|
32 |
12 |
$2K |
| 97022 |
|
377 |
70 |
$2K |
| 84165 |
|
201 |
191 |
$2K |
| 86666 |
|
62 |
56 |
$2K |
| 83615 |
|
307 |
284 |
$2K |
| 80164 |
|
159 |
141 |
$2K |
| J3475 |
Inj magnesium sulfate |
544 |
349 |
$2K |
| J2919 |
Inj, methylpred sod succ 5mg |
340 |
282 |
$2K |
| 73523 |
|
16 |
14 |
$2K |
| J3370 |
Vancomycin hcl injection |
198 |
108 |
$2K |
| 70360 |
|
14 |
14 |
$2K |
| J1956 |
Levofloxacin injection |
662 |
571 |
$1K |
| 82820 |
|
162 |
136 |
$1K |
| 86258 |
|
117 |
110 |
$1K |
| 82977 |
|
233 |
201 |
$1K |
| J0360 |
Hydralazine hcl injection |
108 |
93 |
$1K |
| 87899 |
|
248 |
94 |
$1K |
| 73620 |
|
16 |
13 |
$1K |
| 82951 |
|
123 |
115 |
$1K |
| 83921 |
|
64 |
61 |
$1K |
| J2175 |
Meperidine hydrochl /100 mg |
466 |
403 |
$1K |
| 92610 |
|
15 |
13 |
$1K |
| 94664 |
|
46 |
26 |
$1K |
| 85018 |
|
437 |
307 |
$1K |
| 82365 |
|
79 |
71 |
$1K |
| 86769 |
|
60 |
30 |
$1K |
| G0283 |
Elec stim other than wound |
111 |
29 |
$1K |
| J1940 |
Furosemide injection |
298 |
188 |
$969.49 |
| 85045 |
|
281 |
262 |
$914.43 |
| 87449 |
|
126 |
96 |
$908.08 |
| 84460 |
|
187 |
173 |
$906.79 |
| 87484 |
|
27 |
27 |
$871.66 |
| J3480 |
Inj potassium chloride |
86 |
53 |
$834.84 |
| 64450 |
|
16 |
14 |
$828.93 |
| 87045 |
|
111 |
85 |
$812.25 |
| 87593 |
|
12 |
12 |
$796.07 |
| 0004A |
|
22 |
22 |
$784.48 |
| 87116 |
|
88 |
51 |
$766.80 |
| 88173 |
|
23 |
14 |
$750.76 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
192 |
167 |
$739.90 |
| J0330 |
Succinycholine chloride inj |
144 |
123 |
$724.67 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
512 |
467 |
$724.53 |
| 86060 |
|
130 |
120 |
$722.56 |
| 86694 |
|
58 |
47 |
$718.54 |
| 87046 |
|
111 |
85 |
$714.10 |
| 97162 |
|
13 |
13 |
$710.06 |
| 85007 |
|
279 |
225 |
$682.99 |
| 97014 |
|
41 |
13 |
$666.16 |
| G0108 |
Diab manage trn per indiv |
37 |
33 |
$656.90 |
| 82247 |
|
192 |
115 |
$655.40 |
| 86663 |
|
48 |
45 |
$640.20 |
| J3411 |
Thiamine hcl 100 mg |
120 |
91 |
$613.17 |
| 97010 |
|
373 |
124 |
$610.83 |
| 83883 |
|
31 |
28 |
$610.18 |
| 86141 |
|
73 |
55 |
$603.49 |
| J2001 |
Lidocaine injection |
725 |
659 |
$595.24 |
| 80178 |
|
100 |
87 |
$588.36 |
| 82330 |
|
53 |
50 |
$587.96 |
| 0031A |
|
24 |
23 |
$567.04 |
| 84410 |
|
13 |
12 |
$564.08 |
| 84480 |
|
66 |
51 |
$558.68 |
| 87350 |
|
74 |
57 |
$552.29 |
| G0475 |
Hiv combination assay |
25 |
24 |
$545.48 |
| 82175 |
|
20 |
14 |
$541.46 |
| 84450 |
|
115 |
104 |
$535.15 |
| 86707 |
|
70 |
55 |
$531.06 |
| 82040 |
|
42 |
40 |
$515.26 |
| 86255 |
|
66 |
40 |
$482.00 |
| 82378 |
|
33 |
25 |
$474.00 |
| 86705 |
|
69 |
54 |
$457.85 |
| 83014 |
|
82 |
69 |
$433.11 |
| 99212 |
|
26 |
16 |
$416.68 |
| 94760 |
|
57 |
39 |
$409.60 |
| J2370 |
Phenylephrine hcl injection |
116 |
95 |
$384.24 |
| 82104 |
|
28 |
28 |
$349.50 |
| 87102 |
|
46 |
27 |
$344.81 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
316 |
283 |
$338.50 |
| 86403 |
|
34 |
29 |
$337.52 |
| 97012 |
|
46 |
13 |
$336.12 |
| 86063 |
|
87 |
77 |
$326.07 |
| 87338 |
|
28 |
24 |
$317.58 |
| 82525 |
|
28 |
27 |
$297.84 |
| 82952 |
|
93 |
86 |
$288.89 |
| 82397 |
|
13 |
13 |
$280.29 |
| 84681 |
|
13 |
13 |
$270.53 |
| 83721 |
|
87 |
80 |
$260.48 |
| 89051 |
|
56 |
45 |
$257.60 |
| 86160 |
|
12 |
12 |
$256.08 |
| 36416 |
|
63 |
39 |
$221.30 |
| 83993 |
|
12 |
12 |
$217.98 |
| J1953 |
Levetiracetam injection |
29 |
26 |
$215.50 |
| 87206 |
|
51 |
27 |
$204.82 |
| 86645 |
|
12 |
12 |
$199.67 |
| 84520 |
|
54 |
45 |
$196.09 |
| 86644 |
|
12 |
12 |
$170.52 |
| 87328 |
|
19 |
13 |
$164.46 |
| 82310 |
|
19 |
12 |
$159.51 |
| J2004 |
Inj, lidocaine w epinephrine |
72 |
71 |
$157.36 |
| 83010 |
|
12 |
12 |
$149.07 |
| 87329 |
|
19 |
13 |
$142.56 |
| C9113 |
Inj pantoprazole sodium, via |
53 |
39 |
$140.05 |
| 83527 |
|
12 |
12 |
$129.50 |
| J0736 |
Inj, clindamycin phosp 300mg |
19 |
12 |
$106.19 |
| J1630 |
Haloperidol injection |
68 |
68 |
$101.92 |
| 86593 |
|
26 |
24 |
$96.80 |
| J2710 |
Neostigmine methylslfte inj |
88 |
74 |
$87.51 |
| J2920 |
Methylprednisolone injection |
14 |
13 |
$77.56 |
| J0592 |
Buprenorphine hydrochloride |
12 |
12 |
$70.11 |
| J7620 |
Albuterol ipratrop non-comp |
199 |
175 |
$65.70 |
| J1580 |
Garamycin gentamicin inj |
30 |
25 |
$63.60 |
| 81050 |
|
13 |
12 |
$50.99 |
| J0456 |
Azithromycin |
12 |
12 |
$30.15 |
| 84155 |
|
13 |
12 |
$29.36 |
| J7613 |
Albuterol non-comp unit |
86 |
79 |
$16.28 |