| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
104,901 |
89,253 |
$10.84M |
| 99283 |
|
85,039 |
73,565 |
$9.10M |
| 96361 |
|
27,869 |
23,522 |
$6.88M |
| 99285 |
|
40,131 |
35,194 |
$6.14M |
| 99213 |
|
405,919 |
193,309 |
$4.24M |
| 87591 |
|
116,555 |
92,780 |
$2.41M |
| 87491 |
|
116,538 |
92,738 |
$2.08M |
| 80048 |
|
168,620 |
135,364 |
$1.58M |
| 41899 |
|
996 |
909 |
$1.53M |
| 93306 |
|
6,507 |
5,674 |
$1.42M |
| U0004 |
Cov-19 test non-cdc hgh thru |
50,147 |
38,602 |
$1.31M |
| 70450 |
|
7,962 |
6,611 |
$1.09M |
| 83036 |
|
126,493 |
109,585 |
$962K |
| 80053 |
|
89,671 |
74,179 |
$946K |
| 66984 |
|
1,898 |
1,425 |
$929K |
| 96413 |
|
11,736 |
7,177 |
$716K |
| 97110 |
|
46,617 |
20,657 |
$707K |
| 45385 |
|
1,874 |
1,541 |
$697K |
| 46607 |
|
1,751 |
1,474 |
$611K |
| 81003 |
|
51,921 |
44,750 |
$528K |
| 80307 |
|
14,495 |
11,423 |
$511K |
| J9035 |
Bevacizumab injection |
2,748 |
2,015 |
$509K |
| 43239 |
|
1,518 |
1,325 |
$508K |
| J0585 |
Injection,onabotulinumtoxina |
2,445 |
1,201 |
$506K |
| 92015 |
|
45,689 |
39,083 |
$501K |
| 99212 |
|
81,766 |
63,976 |
$494K |
| 85027 |
|
185,557 |
154,113 |
$492K |
| 87536 |
|
9,150 |
8,025 |
$485K |
| 87637 |
|
19,391 |
18,649 |
$483K |
| 81025 |
|
22,693 |
18,338 |
$473K |
| 99393 |
|
13,952 |
5,547 |
$436K |
| 95886 |
|
3,945 |
3,304 |
$412K |
| 80061 |
|
58,163 |
50,424 |
$410K |
| 99214 |
|
64,413 |
24,190 |
$396K |
| 67028 |
|
7,023 |
4,470 |
$386K |
| 27447 |
|
132 |
95 |
$348K |
| 45378 |
|
599 |
518 |
$345K |
| 84443 |
|
48,990 |
42,631 |
$321K |
| 81001 |
|
19,891 |
17,446 |
$300K |
| 88305 |
|
23,501 |
14,651 |
$293K |
| 92060 |
|
7,129 |
5,556 |
$290K |
| 93005 |
|
95,570 |
78,492 |
$289K |
| 84484 |
|
26,105 |
15,370 |
$285K |
| 64615 |
|
1,158 |
1,087 |
$285K |
| 87631 |
|
7,552 |
6,521 |
$281K |
| 97803 |
|
3,598 |
3,260 |
$266K |
| 71046 |
|
24,267 |
20,769 |
$261K |
| 86480 |
|
9,061 |
8,382 |
$257K |
| 96110 |
|
11,331 |
4,993 |
$256K |
| 96360 |
|
1,910 |
1,557 |
$248K |
| 87389 |
|
26,309 |
23,583 |
$240K |
| 85025 |
|
66,554 |
53,988 |
$223K |
| 36415 |
|
378,446 |
265,737 |
$220K |
| 83655 |
|
10,141 |
8,944 |
$215K |
| 86780 |
|
19,775 |
16,949 |
$215K |
| 52000 |
|
679 |
541 |
$205K |
| 74177 |
|
1,863 |
1,593 |
$204K |
| 87210 |
|
19,118 |
12,934 |
$200K |
| 80320 |
|
3,030 |
2,408 |
$195K |
| 99394 |
|
6,078 |
2,589 |
$188K |
| 92134 |
|
13,574 |
10,672 |
$187K |
| 78452 |
|
553 |
451 |
$186K |
| 73110 |
|
4,891 |
3,721 |
$182K |
| 87086 |
|
13,518 |
11,480 |
$176K |
| 92567 |
|
9,143 |
7,415 |
$172K |
| 20610 |
|
2,175 |
1,308 |
$171K |
| 70553 |
|
967 |
760 |
$170K |
| 73630 |
|
5,542 |
3,652 |
$169K |
| 94060 |
|
3,842 |
3,232 |
$168K |
| 97010 |
|
9,570 |
4,932 |
$160K |
| Q5104 |
Injection, renflexis |
186 |
167 |
$157K |
| 76816 |
|
2,025 |
1,729 |
$155K |
| 87651 |
|
6,951 |
6,635 |
$143K |
| 31575 |
|
1,361 |
1,225 |
$141K |
| 99392 |
|
15,856 |
6,490 |
$135K |
| 62323 |
|
981 |
771 |
$134K |
| 97112 |
|
8,150 |
4,212 |
$130K |
| 11042 |
|
932 |
727 |
$129K |
| G0399 |
Home sleep test/type 3 porta |
1,522 |
1,342 |
$116K |
| 51798 |
|
2,785 |
2,349 |
$116K |
| 80076 |
|
24,276 |
21,005 |
$114K |
| 71260 |
|
828 |
747 |
$109K |
| 97165 |
|
3,115 |
2,511 |
$107K |
| G0378 |
Hospital observation per hr |
3,002 |
1,414 |
$102K |
| 82306 |
|
6,576 |
5,859 |
$100K |
| 92014 |
|
10,923 |
9,183 |
$96K |
| 76942 |
|
2,254 |
1,893 |
$95K |
| G0463 |
Hospital outpt clinic visit |
13,205 |
9,858 |
$94K |
| 87880 |
|
6,765 |
5,723 |
$93K |
| 86803 |
|
16,166 |
15,010 |
$88K |
| 0002A |
|
6,090 |
4,226 |
$87K |
| 45380 |
|
166 |
158 |
$86K |
| 73130 |
|
2,315 |
1,778 |
$86K |
| 87635 |
|
1,759 |
1,527 |
$84K |
| 87522 |
Neg quan hep c or qual rna |
2,339 |
2,051 |
$83K |
| 86592 |
|
6,066 |
4,551 |
$83K |
| 92558 |
|
7,046 |
5,860 |
$81K |
| 93970 |
|
823 |
664 |
$80K |
| 77067 |
|
3,760 |
3,324 |
$78K |
| 92507 |
|
2,923 |
1,195 |
$75K |
| 71045 |
|
13,181 |
10,638 |
$75K |
| 0001A |
|
5,436 |
3,738 |
$73K |
| 73610 |
|
2,321 |
1,750 |
$73K |
| 20611 |
|
335 |
262 |
$71K |
| 86361 |
|
4,885 |
4,260 |
$70K |
| 90471 |
|
95,028 |
37,845 |
$68K |
| 97161 |
|
3,922 |
3,072 |
$66K |
| 94726 |
|
2,367 |
1,990 |
$66K |
| 96415 |
|
477 |
319 |
$65K |
| 93017 |
|
1,438 |
1,146 |
$63K |
| 90832 |
|
7,195 |
2,342 |
$62K |
| 99282 |
|
990 |
814 |
$62K |
| 97802 |
|
537 |
502 |
$62K |
| 97140 |
|
16,513 |
7,730 |
$61K |
| 96367 |
|
762 |
476 |
$61K |
| 90833 |
|
1,880 |
756 |
$60K |
| 86703 |
|
4,053 |
3,624 |
$57K |
| Q5115 |
Inj truxima 10 mg |
29 |
25 |
$57K |
| 93922 |
|
1,284 |
974 |
$57K |
| 29848 |
|
44 |
43 |
$56K |
| 86140 |
|
6,326 |
5,455 |
$54K |
| 87624 |
|
3,102 |
2,684 |
$54K |
| 95957 |
|
779 |
649 |
$51K |
| 92083 |
|
1,284 |
1,072 |
$51K |
| 77063 |
|
1,145 |
1,104 |
$50K |
| 99203 |
|
4,124 |
1,624 |
$49K |
| 73562 |
|
1,477 |
970 |
$49K |
| 59025 |
|
445 |
361 |
$45K |
| 97162 |
|
3,501 |
2,756 |
$44K |
| 72148 |
|
290 |
273 |
$43K |
| J0178 |
Aflibercept injection |
104 |
82 |
$43K |
| 81002 |
|
6,107 |
4,003 |
$42K |
| 92133 |
|
2,212 |
1,853 |
$40K |
| 92557 |
|
1,932 |
1,482 |
$40K |
| 76805 |
|
672 |
602 |
$39K |
| 90834 |
|
820 |
376 |
$39K |
| 83986 |
|
4,373 |
3,474 |
$38K |
| G2066 |
Inter devc remote 30d |
2,532 |
2,079 |
$37K |
| 88142 |
|
3,954 |
3,338 |
$36K |
| 99391 |
|
13,015 |
5,354 |
$36K |
| 87340 |
|
6,046 |
5,470 |
$36K |
| 94729 |
|
2,584 |
2,123 |
$35K |
| 87390 |
|
4,136 |
3,697 |
$34K |
| 95813 |
|
112 |
102 |
$32K |
| 52356 |
|
12 |
12 |
$31K |
| 42820 |
|
15 |
14 |
$30K |
| 80348 |
|
660 |
393 |
$30K |
| 19083 |
|
70 |
59 |
$29K |
| 92136 |
|
1,357 |
1,066 |
$28K |
| 92012 |
|
4,762 |
3,576 |
$28K |
| 86682 |
|
2,016 |
1,678 |
$27K |
| 84439 |
|
3,323 |
2,889 |
$26K |
| 97530 |
|
3,949 |
2,113 |
$26K |
| 95812 |
|
119 |
104 |
$26K |
| 46615 |
|
34 |
28 |
$25K |
| H0004 |
Alcohol and/or drug services |
362 |
148 |
$25K |
| 93296 |
|
1,633 |
1,276 |
$25K |
| 64415 |
|
237 |
195 |
$25K |
| 83020 |
|
1,402 |
1,317 |
$24K |
| 76705 |
|
347 |
288 |
$24K |
| 87070 |
|
1,388 |
1,189 |
$23K |
| 76700 |
|
277 |
233 |
$22K |
| 67228 |
|
27 |
25 |
$22K |
| 73030 |
|
416 |
331 |
$21K |
| 43235 |
|
84 |
75 |
$21K |
| 87081 |
|
1,325 |
1,103 |
$21K |
| 97535 |
|
1,070 |
682 |
$21K |
| 80361 |
|
709 |
421 |
$20K |
| 96372 |
|
1,627 |
1,111 |
$20K |
| 86359 |
|
1,368 |
1,166 |
$19K |
| 76642 |
|
252 |
218 |
$18K |
| 87804 |
|
1,206 |
639 |
$18K |
| 86360 |
|
1,368 |
1,166 |
$17K |
| 93926 |
|
248 |
219 |
$17K |
| 82565 |
|
1,905 |
1,631 |
$17K |
| J9312 |
Inj., rituximab, 10 mg |
18 |
12 |
$17K |
| J3301 |
Triamcinolone acet inj nos |
2,725 |
2,189 |
$17K |
| 92523 |
|
275 |
222 |
$16K |
| 84460 |
|
5,636 |
4,584 |
$16K |
| 83498 |
|
1,421 |
1,335 |
$16K |
| 70551 |
|
54 |
52 |
$15K |
| 87661 |
|
1,613 |
1,328 |
$15K |
| 86704 |
|
1,945 |
1,837 |
$15K |
| 23430 |
|
12 |
12 |
$14K |
| 49083 |
|
23 |
13 |
$14K |
| 96374 |
|
50,447 |
43,205 |
$14K |
| G0480 |
Drug test def 1-7 classes |
951 |
760 |
$14K |
| 88112 |
|
2,264 |
1,887 |
$14K |
| 83605 |
|
703 |
482 |
$14K |
| 93299 |
|
1,227 |
949 |
$13K |
| 92025 |
|
735 |
687 |
$13K |
| 82728 |
|
1,795 |
1,537 |
$13K |
| 90688 |
|
7,731 |
4,005 |
$12K |
| 97760 |
|
1,987 |
1,530 |
$11K |
| 84703 |
|
6,358 |
5,664 |
$11K |
| 73564 |
|
265 |
210 |
$11K |
| 86762 |
|
1,002 |
914 |
$11K |
| 95885 |
|
94 |
80 |
$11K |
| 76830 |
|
102 |
96 |
$11K |
| 85652 |
|
5,279 |
4,638 |
$11K |
| 86706 |
|
1,834 |
1,704 |
$11K |
| 80365 |
|
709 |
421 |
$10K |
| C1776 |
Joint device (implantable) |
264 |
212 |
$10K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
752 |
675 |
$10K |
| 84030 |
|
1,401 |
1,316 |
$10K |
| 90686 |
|
553 |
487 |
$10K |
| 92555 |
|
1,129 |
920 |
$10K |
| 73590 |
|
254 |
192 |
$9K |
| 84437 |
|
1,401 |
1,316 |
$9K |
| 94664 |
|
275 |
250 |
$9K |
| 73140 |
|
256 |
198 |
$9K |
| J3010 |
Fentanyl citrate injection |
28,875 |
22,735 |
$9K |
| 95816 |
|
90 |
82 |
$9K |
| 96402 |
|
247 |
182 |
$8K |
| 92586 |
|
38 |
38 |
$8K |
| 51741 |
|
201 |
180 |
$8K |
| 95819 |
|
70 |
63 |
$8K |
| 97163 |
|
1,159 |
890 |
$8K |
| 93298 |
|
256 |
254 |
$8K |
| 82465 |
|
1,662 |
1,412 |
$8K |
| 81220 |
|
197 |
174 |
$7K |
| 94010 |
|
288 |
221 |
$7K |
| 82570 |
|
1,547 |
1,344 |
$7K |
| 97129 |
|
270 |
148 |
$7K |
| J9217 |
Leuprolide acetate suspnsion |
86 |
61 |
$7K |
| 97116 |
|
1,209 |
702 |
$7K |
| 82607 |
|
1,001 |
848 |
$7K |
| 11750 |
|
40 |
28 |
$7K |
| 96365 |
|
109 |
73 |
$7K |
| 82043 |
|
324 |
285 |
$7K |
| 86708 |
|
1,362 |
1,260 |
$7K |
| 80305 |
|
544 |
452 |
$7K |
| 94640 |
|
106 |
68 |
$7K |
| J2405 |
Ondansetron hcl injection |
16,422 |
12,510 |
$6K |
| 77065 |
Tomosynthesis, mammo |
333 |
293 |
$6K |
| 86850 |
|
651 |
571 |
$6K |
| 86300 |
|
389 |
287 |
$6K |
| 92579 |
|
324 |
276 |
$6K |
| J7120 |
Ringers lactate infusion |
21,131 |
18,119 |
$6K |
| 85610 |
|
3,979 |
3,277 |
$6K |
| 97033 |
|
841 |
449 |
$6K |
| 97014 |
|
1,069 |
606 |
$6K |
| J0690 |
Cefazolin sodium injection |
8,292 |
5,784 |
$6K |
| 11721 |
|
494 |
443 |
$6K |
| 94618 |
|
82 |
77 |
$5K |
| 11045 |
|
13 |
12 |
$5K |
| 72120 |
|
160 |
152 |
$5K |
| 86160 |
|
984 |
483 |
$5K |
| 74183 |
|
28 |
27 |
$5K |
| 99215 |
Prolong outpt/office vis |
93 |
58 |
$5K |
| 11057 |
|
134 |
127 |
$5K |
| 99202 |
|
1,044 |
432 |
$5K |
| J1885 |
Ketorolac tromethamine inj |
6,184 |
5,288 |
$5K |
| 97542 |
|
704 |
333 |
$4K |
| 72040 |
|
107 |
98 |
$4K |
| 87507 |
|
43 |
42 |
$4K |
| 83540 |
|
1,457 |
1,261 |
$4K |
| 81401 |
|
206 |
182 |
$4K |
| J2250 |
Inj midazolam hydrochloride |
24,646 |
21,066 |
$4K |
| 31231 |
|
27 |
27 |
$4K |
| 20550 |
|
32 |
25 |
$4K |
| 85014 |
|
631 |
549 |
$4K |
| J1100 |
Dexamethasone sodium phos |
10,186 |
7,898 |
$4K |
| 83615 |
|
2,828 |
2,207 |
$4K |
| 10005 |
|
14 |
14 |
$3K |
| 83550 |
|
906 |
759 |
$3K |
| 95909 |
|
224 |
180 |
$3K |
| 83690 |
|
11,102 |
9,662 |
$3K |
| 84450 |
|
1,298 |
1,177 |
$3K |
| 82247 |
|
138 |
101 |
$3K |
| 76813 |
|
86 |
65 |
$3K |
| 83880 |
|
229 |
181 |
$3K |
| 93798 |
|
57 |
37 |
$3K |
| 80329 |
|
89 |
41 |
$3K |
| 93308 |
|
27 |
24 |
$3K |
| H0031 |
Mh health assess by non-md |
210 |
69 |
$3K |
| 70491 |
|
12 |
12 |
$3K |
| J2795 |
Ropivacaine hcl injection |
746 |
647 |
$3K |
| 87116 |
|
248 |
115 |
$3K |
| J0171 |
Adrenalin epinephrine inject |
5,943 |
3,939 |
$3K |
| 92504 |
|
43 |
38 |
$3K |
| 93225 |
|
155 |
93 |
$2K |
| 96375 |
|
17,832 |
14,434 |
$2K |
| 87015 |
|
246 |
115 |
$2K |
| 86900 |
|
678 |
595 |
$2K |
| 80069 |
|
413 |
376 |
$2K |
| 88342 |
|
2,238 |
1,561 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
14,760 |
12,062 |
$2K |
| 93924 |
|
26 |
24 |
$2K |
| 73221 |
|
14 |
13 |
$2K |
| J7030 |
Normal saline solution infus |
10,845 |
9,055 |
$2K |
| 90837 |
|
72 |
14 |
$2K |
| 86787 |
|
563 |
543 |
$2K |
| 87205 |
|
87 |
70 |
$2K |
| 73560 |
|
265 |
195 |
$2K |
| 78451 |
|
25 |
12 |
$2K |
| 93971 |
|
13 |
12 |
$2K |
| 83883 |
|
154 |
92 |
$2K |
| J1642 |
Inj heparin sodium per 10 u |
1,586 |
966 |
$2K |
| 73070 |
|
27 |
24 |
$2K |
| 82378 |
|
343 |
261 |
$2K |
| 72125 |
|
385 |
331 |
$1K |
| 97026 |
|
110 |
39 |
$1K |
| 73502 |
|
47 |
29 |
$1K |
| 88173 |
|
82 |
55 |
$1K |
| J7040 |
Normal saline solution infus |
3,798 |
2,623 |
$1K |
| 81508 |
|
57 |
41 |
$1K |
| 90472 |
|
32,981 |
12,872 |
$1K |
| 87088 |
|
189 |
121 |
$1K |
| 82784 |
|
272 |
153 |
$1K |
| 95910 |
|
79 |
64 |
$1K |
| 69210 |
|
49 |
24 |
$1K |
| 82977 |
|
422 |
408 |
$1K |
| 76770 |
|
12 |
12 |
$1K |
| 82105 |
|
64 |
61 |
$1K |
| 95912 |
|
37 |
26 |
$1K |
| 84156 |
|
690 |
602 |
$1K |
| 83970 |
|
90 |
78 |
$1K |
| J1200 |
Diphenhydramine hcl injectio |
11,759 |
9,889 |
$1K |
| J1030 |
Methylprednisolone 40 mg inj |
814 |
685 |
$1K |
| 87556 |
|
48 |
36 |
$1K |
| 11056 |
|
20 |
12 |
$1K |
| 11055 |
|
12 |
12 |
$1K |
| 86735 |
|
360 |
356 |
$1K |
| 86901 |
|
678 |
595 |
$1K |
| 86765 |
|
360 |
356 |
$983.14 |
| 95913 |
|
12 |
12 |
$981.06 |
| 93226 |
|
153 |
92 |
$946.48 |
| 84153 |
|
138 |
101 |
$911.95 |
| 88304 |
|
381 |
223 |
$892.96 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
894 |
800 |
$889.86 |
| 82950 |
|
248 |
225 |
$889.34 |
| 29075 |
|
21 |
12 |
$869.98 |
| 82274 |
|
86 |
85 |
$862.69 |
| 76519 |
|
14 |
14 |
$804.42 |
| G0500 |
Mod sedat endo service >5yrs |
7,026 |
5,502 |
$788.31 |
| Q9957 |
Inj perflutren lip micros,ml |
507 |
469 |
$767.58 |
| 97799 |
|
568 |
319 |
$765.12 |
| 87206 |
|
226 |
115 |
$761.44 |
| C8929 |
Tte w or wo fol wcon,doppler |
19 |
15 |
$746.40 |
| 84134 |
|
280 |
243 |
$729.63 |
| 72190 |
|
14 |
12 |
$724.42 |
| 99406 |
|
53 |
52 |
$723.24 |
| 90847 |
|
58 |
13 |
$702.99 |
| D0145 |
|
1,848 |
810 |
$702.99 |
| 84403 |
|
203 |
105 |
$696.20 |
| 82962 |
|
10,021 |
6,605 |
$694.10 |
| 71250 |
|
17 |
13 |
$678.92 |
| J1650 |
Inj enoxaparin sodium |
116 |
39 |
$668.55 |
| 90656 |
|
36 |
35 |
$648.01 |
| 77080 |
|
19 |
17 |
$647.91 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,868 |
5,490 |
$639.83 |
| 96368 |
|
28 |
12 |
$618.13 |
| 0012A |
|
86 |
50 |
$616.52 |
| Q0162 |
Ondansetron oral |
582 |
324 |
$602.68 |
| 85018 |
|
99 |
90 |
$600.00 |
| 87798 |
|
48 |
36 |
$551.29 |
| 0011A |
|
116 |
71 |
$529.92 |
| 83993 |
|
58 |
56 |
$519.97 |
| 97164 |
|
89 |
62 |
$513.76 |
| 99152 |
|
6,228 |
5,894 |
$512.78 |
| 84480 |
|
142 |
131 |
$511.57 |
| 0202U |
|
13 |
12 |
$477.33 |
| D0190 |
|
1,373 |
577 |
$460.44 |
| 97166 |
|
19 |
12 |
$460.11 |
| 74210 |
|
12 |
12 |
$443.32 |
| 80050 |
|
39 |
38 |
$441.96 |
| 86677 |
|
39 |
38 |
$438.03 |
| 99153 |
Mod sedat endo service >5yrs |
7,270 |
6,258 |
$413.82 |
| 82365 |
|
17 |
15 |
$409.06 |
| 88311 |
|
248 |
201 |
$367.64 |
| 77066 |
Tomosynthesis, mammo |
14 |
14 |
$366.88 |
| 87517 |
|
13 |
13 |
$329.50 |
| 84425 |
|
92 |
91 |
$320.71 |
| 87902 |
|
15 |
13 |
$319.47 |
| 84478 |
|
66 |
66 |
$318.03 |
| 93325 |
|
32 |
26 |
$316.12 |
| 86593 |
|
64 |
54 |
$311.66 |
| 82550 |
|
32 |
29 |
$282.14 |
| A4648 |
Implantable tissue marker |
283 |
256 |
$275.06 |
| 85049 |
|
99 |
78 |
$266.41 |
| 92650 |
|
14 |
14 |
$261.00 |
| 84702 |
|
44 |
39 |
$260.22 |
| 92526 |
|
161 |
100 |
$247.77 |
| J7070 |
D5w infusion |
1,177 |
595 |
$222.67 |
| 93289 |
|
12 |
12 |
$212.82 |
| 82525 |
|
20 |
19 |
$210.33 |
| J1644 |
Inj heparin sodium per 1000u |
56 |
37 |
$202.93 |
| 82310 |
|
57 |
55 |
$192.79 |
| 95908 |
|
93 |
74 |
$182.53 |
| 90480 |
|
13 |
13 |
$173.41 |
| 86225 |
|
89 |
83 |
$152.69 |
| 85007 |
|
46 |
38 |
$145.10 |
| 81329 |
|
13 |
12 |
$141.52 |
| J0702 |
Betamethasone acet&sod phosp |
15 |
13 |
$134.22 |
| 92004 |
|
43 |
38 |
$132.16 |
| 84402 |
|
18 |
13 |
$117.47 |
| 84146 |
|
13 |
13 |
$116.58 |
| J8540 |
Oral dexamethasone |
204 |
43 |
$107.02 |
| 84630 |
|
20 |
19 |
$105.26 |
| 90674 |
|
222 |
39 |
$103.98 |
| 36591 |
|
314 |
155 |
$101.58 |
| 90853 |
|
79 |
30 |
$96.96 |
| 97130 |
|
218 |
116 |
$89.05 |
| 92553 |
|
23 |
12 |
$84.54 |
| 20560 |
|
615 |
309 |
$82.76 |
| 0072A |
|
12 |
12 |
$82.36 |
| 87338 |
|
13 |
13 |
$76.40 |
| 82040 |
|
40 |
40 |
$66.97 |
| 82746 |
|
21 |
20 |
$61.40 |
| 93288 |
|
25 |
12 |
$55.75 |
| 87077 |
|
15 |
14 |
$48.91 |
| 96401 |
|
17 |
12 |
$44.62 |
| 20561 |
|
441 |
231 |
$41.38 |
| 85730 |
|
39 |
38 |
$39.53 |
| 36416 |
|
1,792 |
769 |
$31.85 |
| 84520 |
|
29 |
29 |
$19.08 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
451 |
417 |
$15.60 |
| 85048 |
|
13 |
12 |
$14.62 |
| 99499 |
|
40 |
26 |
$7.92 |
| 83735 |
|
487 |
372 |
$7.41 |
| J7050 |
Normal saline solution infus |
5,882 |
3,106 |
$4.41 |
| G1004 |
Cdsm ndsc |
3,032 |
1,275 |
$0.13 |
| A9579 |
Gad-base mr contrast nos,1ml |
314 |
289 |
$0.00 |
| G0467 |
Fqhc visit, estab pt |
7,520 |
2,286 |
$0.00 |
| 90474 |
|
2,810 |
1,097 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
945 |
646 |
$0.00 |
| C1769 |
Guide wire |
184 |
145 |
$0.00 |
| A9500 |
Tc99m sestamibi |
829 |
618 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
103 |
99 |
$0.00 |
| 76815 |
|
26 |
25 |
$0.00 |
| C1889 |
Implant/insert device, noc |
674 |
629 |
$0.00 |
| J7060 |
5% dextrose/water |
237 |
144 |
$0.00 |
| J1170 |
Hydromorphone injection |
230 |
154 |
$0.00 |
| 96376 |
|
165 |
129 |
$0.00 |
| 92551 |
|
384 |
109 |
$0.00 |
| 97035 |
|
78 |
46 |
$0.00 |
| C2617 |
Stent, non-cor, tem w/o del |
79 |
70 |
$0.00 |
| 92556 |
|
12 |
12 |
$0.00 |
| G8980 |
Mobility d/c status |
141 |
83 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
15 |
12 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
21 |
15 |
$0.00 |
| 76377 |
|
24 |
24 |
$0.00 |
| H0025 |
Alcohol and/or drug preventi |
29 |
29 |
$0.00 |
| J1790 |
Droperidol injection |
13 |
13 |
$0.00 |
| 99239 |
|
33 |
26 |
$0.00 |
| G0008 |
Admin influenza virus vac |
50 |
29 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
14 |
13 |
$0.00 |
| J2930 |
Methylprednisolone injection |
47 |
37 |
$0.00 |
| J2270 |
Morphine sulfate injection |
235 |
188 |
$0.00 |
| 99211 |
|
358 |
302 |
$0.00 |
| G8979 |
Mobility goal status |
570 |
307 |
$0.00 |
| 76376 |
|
86 |
81 |
$0.00 |
| Q0163 |
Diphenhydramine hcl 50mg |
1,959 |
1,516 |
$0.00 |
| Q9960 |
Hocm 200-249mg/ml iodine,1ml |
94 |
84 |
$0.00 |
| C1758 |
Catheter, ureteral |
85 |
77 |
$0.00 |
| G8978 |
Mobility current status |
573 |
306 |
$0.00 |
| 90648 |
|
221 |
46 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
190 |
170 |
$0.00 |
| 0003A |
|
32 |
31 |
$0.00 |
| G8984 |
Carry current status |
104 |
77 |
$0.00 |
| 0013A |
|
92 |
90 |
$0.00 |
| 99204 |
|
695 |
241 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
61 |
54 |
$0.00 |
| J1245 |
Dipyridamole injection |
231 |
175 |
$0.00 |
| 84100 |
|
36 |
13 |
$0.00 |
| V2630 |
Anter chamber intraocul lens |
76 |
64 |
$0.00 |
| 96417 |
|
245 |
163 |
$0.00 |
| 99173 |
|
725 |
200 |
$0.00 |
| J2550 |
Promethazine hcl injection |
109 |
109 |
$0.00 |
| 82075 |
|
54 |
38 |
$0.00 |
| C1887 |
Catheter, guiding |
12 |
12 |
$0.00 |
| 95004 |
|
13 |
13 |
$0.00 |
| G8985 |
Carry goal status |
82 |
64 |
$0.00 |
| 90633 |
|
47 |
15 |
$0.00 |
| 93321 |
|
27 |
25 |
$0.00 |
| C1760 |
Closure dev, vasc |
12 |
12 |
$0.00 |
| 99442 |
|
13 |
13 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
12 |
12 |
$0.00 |
| 92552 |
|
12 |
12 |
$0.00 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
51 |
25 |
$0.00 |