| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
93,572 |
86,610 |
$40.93M |
| G0463 |
Hospital outpt clinic visit |
248,995 |
223,400 |
$16.98M |
| 99284 |
|
42,860 |
41,503 |
$8.79M |
| 99283 |
|
30,917 |
29,701 |
$4.17M |
| 96374 |
|
43,290 |
40,611 |
$3.52M |
| 80061 |
|
195,525 |
194,803 |
$2.48M |
| 82306 |
|
138,326 |
137,825 |
$2.37M |
| 93306 |
|
11,333 |
11,281 |
$2.19M |
| 92507 |
|
53,893 |
16,085 |
$2.15M |
| 97110 |
|
83,291 |
23,994 |
$1.98M |
| 87491 |
|
92,684 |
90,885 |
$1.89M |
| 42820 |
|
709 |
707 |
$1.88M |
| 87591 |
|
90,686 |
88,899 |
$1.84M |
| 84443 |
|
186,587 |
184,900 |
$1.84M |
| U0003 |
Cov-19 amp prb hgh thruput |
39,714 |
38,159 |
$1.82M |
| 87633 |
|
7,054 |
6,956 |
$1.61M |
| 80053 |
|
294,975 |
278,595 |
$1.56M |
| 97530 |
|
36,080 |
13,870 |
$1.42M |
| 82947 |
|
40,182 |
28,454 |
$1.32M |
| 74177 |
|
11,731 |
11,534 |
$1.26M |
| 78452 |
|
2,635 |
2,608 |
$1.25M |
| 96361 |
|
30,061 |
24,283 |
$1.17M |
| 71046 |
|
27,394 |
26,597 |
$1.12M |
| G0378 |
Hospital observation per hr |
28,475 |
25,166 |
$1.10M |
| 93975 |
|
10,192 |
9,823 |
$1.07M |
| 85025 |
|
312,370 |
288,753 |
$1.05M |
| 78815 |
|
1,517 |
1,488 |
$1.04M |
| 99282 |
|
12,113 |
11,497 |
$944K |
| 70553 |
|
4,900 |
4,842 |
$939K |
| 83036 |
|
158,604 |
157,900 |
$904K |
| 97112 |
|
38,650 |
12,250 |
$887K |
| 43239 |
|
2,828 |
2,804 |
$886K |
| 96365 |
|
13,769 |
13,085 |
$880K |
| 96360 |
|
8,964 |
8,667 |
$825K |
| 45380 |
|
1,720 |
1,707 |
$817K |
| 82607 |
|
88,037 |
87,629 |
$765K |
| 70450 |
|
11,412 |
11,137 |
$732K |
| 59025 |
|
8,698 |
5,589 |
$721K |
| 87389 |
|
48,970 |
48,722 |
$670K |
| 97140 |
|
42,271 |
12,625 |
$665K |
| 96375 |
|
33,983 |
28,238 |
$662K |
| 20610 |
|
4,538 |
4,385 |
$656K |
| 77067 |
|
13,573 |
13,537 |
$636K |
| 87661 |
|
29,035 |
28,522 |
$616K |
| 87637 |
|
8,064 |
7,898 |
$598K |
| 80074 |
|
21,009 |
20,829 |
$593K |
| 62323 |
|
1,929 |
1,911 |
$580K |
| 41899 |
|
402 |
402 |
$571K |
| 87651 |
|
24,606 |
24,123 |
$504K |
| 71045 |
|
15,343 |
14,632 |
$495K |
| 76770 |
|
8,419 |
8,306 |
$482K |
| Q5103 |
Injection, inflectra |
557 |
465 |
$476K |
| 76816 |
|
10,377 |
9,483 |
$463K |
| 76830 |
|
8,387 |
8,279 |
$458K |
| 71260 |
|
3,434 |
3,401 |
$444K |
| 76856 |
|
9,880 |
9,749 |
$442K |
| 76705 |
|
8,270 |
7,991 |
$421K |
| 76805 |
|
6,955 |
6,938 |
$415K |
| 87086 |
|
102,053 |
98,607 |
$413K |
| 88175 |
|
26,061 |
26,040 |
$409K |
| 87480 |
|
34,348 |
33,583 |
$408K |
| U0005 |
Infec agen detec ampli probe |
24,703 |
23,813 |
$403K |
| 74183 |
|
2,154 |
2,140 |
$402K |
| 82728 |
|
52,140 |
51,481 |
$402K |
| 87660 |
|
33,809 |
33,053 |
$397K |
| 87624 |
|
18,056 |
18,032 |
$376K |
| 74176 |
|
4,386 |
4,307 |
$376K |
| 80307 |
|
21,383 |
20,384 |
$371K |
| 87510 |
|
31,981 |
31,274 |
$368K |
| 36430 |
|
2,468 |
1,877 |
$366K |
| 97162 |
|
7,744 |
7,608 |
$366K |
| 84466 |
|
49,219 |
48,743 |
$362K |
| 76801 |
|
6,407 |
5,921 |
$361K |
| 93350 |
|
1,505 |
1,494 |
$356K |
| 86003 |
|
5,467 |
5,347 |
$343K |
| G0480 |
Drug test def 1-7 classes |
18,311 |
16,137 |
$340K |
| 84439 |
|
60,855 |
60,256 |
$325K |
| 77334 |
|
918 |
714 |
$323K |
| 92587 |
|
2,372 |
2,352 |
$323K |
| 83013 |
|
7,560 |
7,541 |
$321K |
| 76700 |
|
4,957 |
4,943 |
$313K |
| 70551 |
|
2,995 |
2,979 |
$312K |
| 93303 |
|
1,139 |
1,122 |
$297K |
| 96413 |
|
1,839 |
1,435 |
$297K |
| J1745 |
Infliximab not biosimil 10mg |
167 |
157 |
$290K |
| 84481 |
|
27,165 |
26,960 |
$288K |
| 76819 |
|
4,880 |
2,364 |
$288K |
| 87636 |
|
3,833 |
3,724 |
$283K |
| 92523 |
|
2,675 |
2,648 |
$277K |
| 93970 |
|
3,131 |
3,100 |
$271K |
| 86803 |
|
29,943 |
29,835 |
$270K |
| 86900 |
|
24,049 |
22,431 |
$254K |
| 71275 |
|
3,608 |
3,542 |
$249K |
| 82746 |
|
30,481 |
30,279 |
$248K |
| 87631 |
|
14,796 |
14,565 |
$245K |
| 97116 |
|
15,754 |
6,827 |
$240K |
| 90670 |
|
4,505 |
4,497 |
$239K |
| 77066 |
Tomosynthesis, mammo |
4,278 |
4,208 |
$237K |
| 95700 |
|
1,304 |
1,295 |
$232K |
| 73721 |
|
1,849 |
1,831 |
$232K |
| 90471 |
|
23,162 |
22,809 |
$228K |
| 76825 |
|
827 |
790 |
$221K |
| 36415 |
|
151,009 |
131,052 |
$216K |
| 58558 |
|
178 |
175 |
$210K |
| 72148 |
|
2,780 |
2,772 |
$210K |
| 76642 |
|
5,422 |
5,382 |
$209K |
| 20680 |
|
210 |
202 |
$206K |
| 54161 |
|
647 |
645 |
$202K |
| 11042 |
|
1,309 |
930 |
$199K |
| 99291 |
|
258 |
252 |
$197K |
| 97161 |
|
3,785 |
3,735 |
$196K |
| 83540 |
|
51,951 |
51,449 |
$195K |
| 80048 |
|
82,454 |
69,707 |
$191K |
| 19083 |
|
253 |
250 |
$190K |
| 45385 |
|
436 |
432 |
$189K |
| 85027 |
|
87,995 |
78,461 |
$186K |
| 76536 |
|
3,797 |
3,784 |
$184K |
| 86780 |
|
20,688 |
20,522 |
$179K |
| 93458 |
|
132 |
132 |
$176K |
| 95004 |
|
848 |
846 |
$172K |
| 93971 |
|
3,631 |
3,520 |
$171K |
| P9016 |
Rbc leukocytes reduced |
1,630 |
1,350 |
$171K |
| 84403 |
|
10,715 |
10,616 |
$170K |
| 96366 |
|
7,735 |
5,099 |
$170K |
| 94060 |
|
1,233 |
1,229 |
$168K |
| 76811 |
|
1,428 |
1,425 |
$167K |
| 90472 |
|
9,940 |
9,874 |
$166K |
| 93017 |
|
5,801 |
5,742 |
$164K |
| 77065 |
Tomosynthesis, mammo |
3,884 |
3,610 |
$163K |
| 47562 |
|
49 |
49 |
$162K |
| 84702 |
|
56,534 |
51,619 |
$162K |
| 86769 |
|
6,687 |
6,651 |
$161K |
| 99281 |
|
3,326 |
3,191 |
$154K |
| 87635 |
|
5,656 |
5,522 |
$154K |
| 27447 |
|
28 |
28 |
$153K |
| G0379 |
Direct refer hospital observ |
195 |
188 |
$151K |
| 72141 |
|
1,424 |
1,417 |
$146K |
| 77336 |
|
2,302 |
1,032 |
$146K |
| 44970 |
|
49 |
49 |
$146K |
| C8921 |
Tte w or w/o fol w/cont, com |
420 |
408 |
$144K |
| G0103 |
Psa screening |
11,654 |
11,643 |
$144K |
| 83735 |
|
53,021 |
46,539 |
$142K |
| 69436 |
|
400 |
398 |
$142K |
| 27130 |
|
24 |
24 |
$141K |
| 87070 |
|
29,323 |
28,751 |
$138K |
| 49083 |
|
340 |
165 |
$138K |
| 97166 |
|
2,838 |
2,782 |
$135K |
| 66984 |
|
166 |
158 |
$133K |
| 97165 |
|
2,376 |
2,351 |
$132K |
| 95816 |
|
1,131 |
1,128 |
$128K |
| 83970 |
|
5,841 |
5,741 |
$125K |
| 58661 |
|
41 |
41 |
$123K |
| 71250 |
|
2,382 |
2,369 |
$120K |
| 87077 |
|
23,816 |
23,297 |
$111K |
| 87632 |
|
2,159 |
2,132 |
$111K |
| 87653 |
|
6,564 |
6,513 |
$111K |
| 87186 |
|
23,813 |
23,292 |
$111K |
| 76815 |
|
6,571 |
5,655 |
$111K |
| 75574 |
|
1,937 |
1,927 |
$109K |
| 97535 |
|
7,698 |
5,177 |
$109K |
| 86696 |
|
9,669 |
9,603 |
$109K |
| 93005 |
|
65,371 |
59,214 |
$106K |
| 73221 |
|
807 |
803 |
$103K |
| 93308 |
|
1,219 |
1,154 |
$100K |
| 86038 |
|
14,229 |
14,134 |
$99K |
| 70491 |
|
994 |
981 |
$98K |
| 84550 |
|
35,883 |
35,150 |
$98K |
| 88184 |
|
1,710 |
1,670 |
$97K |
| 77080 |
|
1,718 |
1,715 |
$95K |
| 93880 |
|
1,569 |
1,561 |
$94K |
| 72197 |
|
551 |
545 |
$91K |
| 82670 |
|
5,434 |
5,394 |
$90K |
| 83001 |
|
8,026 |
7,989 |
$89K |
| 93798 |
|
1,673 |
348 |
$89K |
| G0472 |
Hep c screen high risk/other |
5,507 |
5,489 |
$87K |
| 84153 |
|
8,313 |
8,270 |
$83K |
| 95951 |
|
221 |
153 |
$80K |
| 87340 |
|
15,118 |
15,012 |
$79K |
| 82043 |
|
22,959 |
22,850 |
$79K |
| 87147 |
|
15,876 |
15,533 |
$77K |
| 83880 |
|
9,199 |
8,789 |
$76K |
| 84146 |
|
6,524 |
6,470 |
$75K |
| 87502 |
|
1,487 |
1,474 |
$75K |
| 86695 |
|
9,670 |
9,603 |
$74K |
| 87529 |
|
3,247 |
3,212 |
$74K |
| 72110 |
|
4,168 |
4,129 |
$74K |
| 86480 |
|
2,448 |
2,436 |
$73K |
| 88305 |
|
13,949 |
13,432 |
$72K |
| 70486 |
|
1,878 |
1,865 |
$72K |
| 94640 |
|
16,425 |
9,158 |
$71K |
| 77300 |
|
462 |
424 |
$71K |
| 83002 |
|
6,392 |
6,362 |
$70K |
| 76881 |
|
1,220 |
1,207 |
$70K |
| 94726 |
|
1,405 |
1,403 |
$69K |
| 95716 |
|
183 |
140 |
$68K |
| 96372 |
|
19,233 |
12,710 |
$67K |
| 82784 |
|
8,255 |
8,085 |
$67K |
| 86235 |
|
2,614 |
2,491 |
$66K |
| 90686 |
|
5,470 |
5,445 |
$66K |
| 81003 |
|
73,735 |
70,825 |
$65K |
| 73560 |
|
7,380 |
7,111 |
$65K |
| 87634 |
|
1,553 |
1,540 |
$65K |
| 73564 |
|
4,133 |
4,044 |
$62K |
| Q0111 |
Wet mounts/ w preparations |
2,345 |
2,305 |
$62K |
| 97163 |
|
1,379 |
1,373 |
$61K |
| 87522 |
Neg quan hep c or qual rna |
2,613 |
2,552 |
$60K |
| 83021 |
|
5,822 |
5,795 |
$59K |
| 84402 |
|
4,142 |
4,119 |
$59K |
| 70544 |
|
457 |
452 |
$58K |
| 75561 |
|
296 |
296 |
$58K |
| 86140 |
|
25,770 |
24,135 |
$58K |
| 74019 |
|
4,015 |
3,936 |
$57K |
| 82785 |
|
6,086 |
5,781 |
$57K |
| 81001 |
|
51,959 |
49,487 |
$57K |
| 73030 |
|
6,361 |
6,147 |
$56K |
| 73502 |
|
4,495 |
4,361 |
$55K |
| 90651 |
|
649 |
645 |
$55K |
| 73610 |
|
5,958 |
5,632 |
$54K |
| 31231 |
|
610 |
593 |
$54K |
| 74018 |
|
3,242 |
2,992 |
$53K |
| 29888 |
|
12 |
12 |
$51K |
| 77063 |
|
4,190 |
4,190 |
$51K |
| 83655 |
|
6,982 |
6,937 |
$49K |
| 86762 |
|
6,615 |
6,577 |
$48K |
| 81514 |
|
264 |
264 |
$48K |
| 84478 |
|
2,112 |
1,793 |
$47K |
| 83690 |
|
34,957 |
32,971 |
$47K |
| 76882 |
|
1,407 |
1,375 |
$47K |
| 80076 |
|
15,142 |
14,333 |
$47K |
| 86592 |
|
15,743 |
15,644 |
$47K |
| 88185 |
|
715 |
653 |
$46K |
| 86376 |
|
5,145 |
5,122 |
$45K |
| 71271 |
|
827 |
827 |
$44K |
| 82627 |
|
3,277 |
3,269 |
$44K |
| 82248 |
|
23,561 |
21,228 |
$44K |
| 82550 |
|
15,896 |
15,015 |
$44K |
| 84144 |
|
3,418 |
3,303 |
$43K |
| 87536 |
|
1,059 |
1,053 |
$43K |
| 84450 |
|
16,365 |
15,885 |
$43K |
| 72100 |
|
3,293 |
3,217 |
$43K |
| 86147 |
|
1,129 |
1,102 |
$42K |
| 84460 |
|
14,977 |
14,444 |
$42K |
| 73110 |
|
4,643 |
4,335 |
$42K |
| 10005 |
|
126 |
126 |
$41K |
| 19081 |
|
50 |
50 |
$41K |
| 82565 |
|
16,003 |
15,121 |
$41K |
| 85610 |
|
29,687 |
24,102 |
$41K |
| 86787 |
|
5,874 |
5,814 |
$40K |
| G0279 |
Tomosynthesis, mammo |
3,537 |
3,481 |
$40K |
| 73130 |
|
5,231 |
4,953 |
$40K |
| 93225 |
|
1,168 |
1,164 |
$39K |
| 80051 |
|
9,765 |
9,444 |
$39K |
| J7298 |
Mirena, 52 mg |
56 |
56 |
$39K |
| 86706 |
|
6,583 |
6,539 |
$39K |
| 82105 |
|
4,317 |
4,242 |
$39K |
| 82570 |
|
16,002 |
15,392 |
$39K |
| 82652 |
|
1,771 |
1,764 |
$38K |
| 86665 |
|
2,463 |
2,362 |
$38K |
| 96367 |
|
2,391 |
2,062 |
$38K |
| 72156 |
|
272 |
271 |
$37K |
| 73630 |
|
5,413 |
5,236 |
$37K |
| 85652 |
|
28,157 |
27,023 |
$36K |
| 86850 |
|
23,163 |
21,542 |
$36K |
| 93296 |
|
2,136 |
2,127 |
$36K |
| 73523 |
|
685 |
680 |
$36K |
| 80069 |
|
10,115 |
8,704 |
$35K |
| 73700 |
|
598 |
586 |
$34K |
| 92586 |
|
468 |
468 |
$33K |
| 83516 |
|
5,339 |
5,222 |
$33K |
| 82274 |
|
3,520 |
3,506 |
$33K |
| 88112 |
|
2,125 |
2,092 |
$33K |
| 62321 |
|
106 |
105 |
$32K |
| 72040 |
|
2,554 |
2,443 |
$31K |
| 84425 |
|
2,501 |
2,487 |
$30K |
| 82533 |
|
3,122 |
3,020 |
$30K |
| 86200 |
|
3,965 |
3,953 |
$30K |
| 99391 |
|
436 |
398 |
$30K |
| 84520 |
|
14,383 |
13,644 |
$30K |
| 74178 |
|
209 |
207 |
$30K |
| 86800 |
|
3,224 |
3,186 |
$29K |
| 86870 |
|
371 |
357 |
$29K |
| 80081 |
|
781 |
780 |
$29K |
| 73590 |
|
4,178 |
4,024 |
$29K |
| 86160 |
|
2,311 |
2,251 |
$29K |
| 31575 |
|
387 |
384 |
$27K |
| C8929 |
Tte w or wo fol wcon,doppler |
135 |
135 |
$27K |
| 77295 |
|
43 |
42 |
$27K |
| 84100 |
|
15,284 |
12,838 |
$27K |
| 72125 |
|
3,039 |
2,973 |
$26K |
| 86431 |
|
7,853 |
7,821 |
$26K |
| 74022 |
|
3,136 |
3,066 |
$26K |
| 88142 |
|
2,042 |
2,038 |
$25K |
| 82378 |
|
2,380 |
2,200 |
$25K |
| 72158 |
|
306 |
303 |
$24K |
| 73140 |
|
2,009 |
1,826 |
$24K |
| 82150 |
|
7,526 |
7,397 |
$24K |
| 86146 |
|
878 |
860 |
$24K |
| 10060 |
|
311 |
303 |
$23K |
| 45378 |
|
68 |
66 |
$23K |
| 88342 |
|
2,632 |
2,547 |
$23K |
| 86141 |
|
2,860 |
2,824 |
$23K |
| G0121 |
Colon ca scrn not hi rsk ind |
67 |
66 |
$23K |
| 72070 |
|
1,651 |
1,635 |
$22K |
| 52332 |
|
27 |
26 |
$22K |
| 90732 |
|
257 |
256 |
$22K |
| 92610 |
|
914 |
903 |
$22K |
| 86225 |
|
2,900 |
2,860 |
$22K |
| 99392 |
|
316 |
316 |
$22K |
| 86704 |
|
3,450 |
3,428 |
$21K |
| 90474 |
|
3,785 |
3,781 |
$21K |
| 86828 |
|
647 |
637 |
$21K |
| G0475 |
Hiv combination assay |
1,702 |
1,695 |
$21K |
| 84134 |
|
2,902 |
2,670 |
$21K |
| 84445 |
|
689 |
686 |
$21K |
| 73080 |
|
2,683 |
2,565 |
$21K |
| J0585 |
Injection,onabotulinumtoxina |
80 |
50 |
$20K |
| 80197 |
|
2,891 |
1,725 |
$20K |
| 85730 |
|
15,812 |
14,720 |
$20K |
| 94010 |
|
1,085 |
1,079 |
$20K |
| 88307 |
|
1,832 |
1,777 |
$19K |
| 73090 |
|
3,371 |
3,132 |
$19K |
| 76870 |
|
1,646 |
1,622 |
$19K |
| 80050 |
|
1,312 |
1,312 |
$19K |
| 54300 |
|
12 |
12 |
$19K |
| 92579 |
|
1,605 |
1,598 |
$19K |
| 84165 |
|
3,251 |
3,192 |
$19K |
| 76817 |
|
7,406 |
6,711 |
$19K |
| 86360 |
|
944 |
930 |
$19K |
| 42830 |
|
14 |
14 |
$18K |
| 25605 |
|
24 |
24 |
$18K |
| 82247 |
|
7,462 |
6,058 |
$18K |
| 20605 |
|
134 |
132 |
$18K |
| 87798 |
|
805 |
790 |
$18K |
| 86039 |
|
2,731 |
2,710 |
$17K |
| 87427 |
|
2,102 |
2,037 |
$17K |
| 99395 |
|
251 |
250 |
$17K |
| 95909 |
|
118 |
118 |
$17K |
| 83615 |
|
5,907 |
5,331 |
$17K |
| 92557 |
|
533 |
531 |
$17K |
| 87517 |
|
700 |
672 |
$17K |
| 87205 |
|
9,373 |
9,126 |
$17K |
| 95953 |
|
92 |
78 |
$17K |
| 99396 |
|
237 |
237 |
$16K |
| 87046 |
|
2,239 |
2,168 |
$15K |
| 90677 |
|
233 |
233 |
$15K |
| 86256 |
|
1,766 |
1,738 |
$15K |
| 76000 |
|
635 |
618 |
$15K |
| 92083 |
|
814 |
802 |
$15K |
| 86359 |
|
946 |
932 |
$15K |
| 73060 |
|
2,306 |
2,210 |
$15K |
| 83525 |
|
2,093 |
2,083 |
$15K |
| 82950 |
|
5,675 |
5,629 |
$15K |
| 99393 |
|
213 |
213 |
$15K |
| 85046 |
|
6,055 |
5,547 |
$14K |
| 67028 |
|
107 |
92 |
$14K |
| 72170 |
|
866 |
855 |
$14K |
| 86304 |
|
1,210 |
1,145 |
$14K |
| 90716 |
|
628 |
628 |
$14K |
| 92526 |
|
396 |
192 |
$14K |
| 83090 |
|
1,445 |
1,436 |
$14K |
| 86664 |
|
2,015 |
1,996 |
$14K |
| 86334 |
|
1,094 |
1,077 |
$14K |
| 77290 |
|
82 |
75 |
$13K |
| 82310 |
|
4,148 |
4,103 |
$13K |
| 84156 |
|
8,581 |
7,936 |
$13K |
| 73552 |
|
2,333 |
2,247 |
$13K |
| 87428 |
|
425 |
420 |
$13K |
| 90750 |
|
92 |
92 |
$12K |
| 86301 |
|
1,118 |
1,084 |
$12K |
| 84484 |
|
35,548 |
29,031 |
$12K |
| C8908 |
Mri w/o fol w/cont, breast, |
63 |
63 |
$12K |
| 84630 |
|
1,763 |
1,758 |
$12K |
| 86663 |
|
2,022 |
2,001 |
$12K |
| 91200 |
|
179 |
179 |
$11K |
| 88341 |
|
1,390 |
1,311 |
$11K |
| 72082 |
|
340 |
338 |
$11K |
| 73070 |
|
1,430 |
1,284 |
$11K |
| 90734 |
|
335 |
333 |
$11K |
| 81025 |
|
9,608 |
9,447 |
$11K |
| 86255 |
|
1,641 |
1,589 |
$11K |
| 82977 |
|
3,053 |
2,917 |
$11K |
| 85379 |
|
6,820 |
6,660 |
$11K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
24,820 |
23,973 |
$11K |
| 74174 |
|
81 |
81 |
$11K |
| 74230 |
|
185 |
182 |
$11K |
| 83993 |
|
1,125 |
1,114 |
$11K |
| 72146 |
|
130 |
129 |
$11K |
| 82465 |
|
4,260 |
4,159 |
$10K |
| 93923 |
|
165 |
164 |
$10K |
| 82088 |
|
462 |
458 |
$10K |
| 93299 |
|
660 |
649 |
$10K |
| 82525 |
|
1,391 |
1,388 |
$10K |
| 73562 |
|
613 |
590 |
$10K |
| 95708 |
|
50 |
48 |
$10K |
| 95910 |
|
77 |
77 |
$10K |
| 86765 |
|
1,301 |
1,286 |
$10K |
| 86901 |
|
22,667 |
21,153 |
$10K |
| 83010 |
|
1,427 |
1,404 |
$10K |
| 93270 |
|
736 |
733 |
$10K |
| 88121 |
|
55 |
55 |
$9K |
| 76506 |
|
188 |
186 |
$9K |
| 52000 |
|
40 |
38 |
$9K |
| 87880 |
|
5,740 |
5,679 |
$9K |
| 87075 |
|
2,959 |
2,877 |
$9K |
| 84432 |
|
885 |
879 |
$9K |
| 95819 |
|
110 |
110 |
$9K |
| 76885 |
|
238 |
236 |
$9K |
| 86833 |
|
94 |
92 |
$9K |
| 86832 |
|
94 |
92 |
$9K |
| 87338 |
|
1,173 |
1,169 |
$9K |
| 88304 |
|
2,444 |
2,408 |
$9K |
| 86735 |
|
1,051 |
1,041 |
$9K |
| 10022 |
|
32 |
28 |
$9K |
| U0002 |
Covid-19 lab test non-cdc |
393 |
386 |
$8K |
| 82270 |
|
117 |
114 |
$8K |
| 29881 |
|
12 |
12 |
$8K |
| 82040 |
|
3,756 |
3,535 |
$8K |
| 77072 |
|
231 |
231 |
$8K |
| 84075 |
|
2,863 |
2,788 |
$8K |
| 80164 |
|
1,604 |
1,488 |
$8K |
| 86708 |
|
1,306 |
1,292 |
$8K |
| 82103 |
|
953 |
943 |
$8K |
| 96376 |
|
20,146 |
11,746 |
$8K |
| 80177 |
|
1,517 |
1,447 |
$7K |
| 87045 |
|
2,197 |
2,168 |
$7K |
| 0241U |
|
4,159 |
4,038 |
$7K |
| 70487 |
|
89 |
86 |
$7K |
| 82330 |
|
2,057 |
1,951 |
$7K |
| 90744 |
|
909 |
908 |
$7K |
| 76641 |
|
122 |
121 |
$6K |
| 71101 |
|
411 |
409 |
$6K |
| 87081 |
|
1,938 |
1,917 |
$6K |
| 43235 |
|
16 |
16 |
$6K |
| 82805 |
|
2,479 |
2,322 |
$6K |
| 77470 |
|
37 |
36 |
$6K |
| 84305 |
|
534 |
532 |
$6K |
| 83921 |
|
509 |
505 |
$6K |
| 87209 |
|
964 |
942 |
$6K |
| 74455 |
|
54 |
53 |
$6K |
| 73100 |
|
1,006 |
927 |
$6K |
| 87449 |
|
1,738 |
1,702 |
$6K |
| G2066 |
Inter devc remote 30d |
319 |
313 |
$6K |
| 86923 |
|
1,325 |
1,123 |
$6K |
| 92134 |
|
2,032 |
1,913 |
$5K |
| 87324 |
|
1,564 |
1,545 |
$5K |
| 92611 |
|
119 |
119 |
$5K |
| 84155 |
|
2,831 |
2,667 |
$5K |
| 87102 |
|
1,446 |
1,422 |
$5K |
| 86644 |
|
711 |
709 |
$5K |
| 73000 |
|
480 |
444 |
$5K |
| 20600 |
|
30 |
30 |
$5K |
| 93351 |
|
19 |
19 |
$5K |
| 72050 |
|
134 |
134 |
$5K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
350 |
350 |
$5K |
| 92235 |
|
56 |
53 |
$5K |
| 82985 |
|
396 |
395 |
$5K |
| 87641 |
|
472 |
460 |
$5K |
| 90671 |
|
324 |
324 |
$5K |
| 87328 |
|
698 |
691 |
$5K |
| 81002 |
|
4,533 |
4,317 |
$5K |
| 82390 |
|
756 |
749 |
$5K |
| 45384 |
|
12 |
12 |
$5K |
| 82951 |
|
581 |
574 |
$4K |
| P9040 |
Rbc leukoreduced irradiated |
16 |
13 |
$4K |
| 82671 |
|
213 |
213 |
$4K |
| 76820 |
|
2,733 |
1,348 |
$4K |
| 87329 |
|
732 |
726 |
$4K |
| 99496 |
|
67 |
67 |
$4K |
| 83721 |
|
671 |
669 |
$4K |
| 70360 |
|
287 |
284 |
$4K |
| 88313 |
|
392 |
365 |
$4K |
| 84132 |
|
3,311 |
3,207 |
$4K |
| 99394 |
|
61 |
61 |
$4K |
| 83521 |
|
230 |
208 |
$4K |
| 82024 |
|
194 |
189 |
$4K |
| 82157 |
|
283 |
279 |
$4K |
| 62270 |
|
13 |
13 |
$4K |
| 86364 |
|
637 |
633 |
$4K |
| 87640 |
|
421 |
408 |
$4K |
| 93246 |
|
228 |
228 |
$4K |
| 90688 |
|
216 |
214 |
$4K |
| 89051 |
|
2,389 |
2,132 |
$4K |
| 62328 |
|
12 |
12 |
$4K |
| 90460 |
|
136 |
136 |
$4K |
| 86352 |
|
52 |
52 |
$4K |
| G0297 |
Ldct for lung ca screen |
89 |
88 |
$3K |
| 86618 |
|
437 |
429 |
$3K |
| 82962 |
|
8,524 |
6,787 |
$3K |
| P9612 |
Catheterize for urine spec |
154 |
152 |
$3K |
| 36416 |
|
1,315 |
1,074 |
$3K |
| 90656 |
|
375 |
373 |
$3K |
| 64450 |
|
110 |
108 |
$3K |
| 51798 |
|
1,031 |
1,014 |
$3K |
| 87177 |
|
965 |
942 |
$3K |
| 87535 |
|
136 |
136 |
$3K |
| 83550 |
|
800 |
792 |
$3K |
| 82677 |
|
244 |
244 |
$3K |
| 92133 |
|
573 |
563 |
$3K |
| 70498 |
|
118 |
118 |
$3K |
| 85055 |
|
193 |
130 |
$3K |
| 97014 |
|
340 |
113 |
$2K |
| 77280 |
|
41 |
39 |
$2K |
| 72052 |
|
55 |
55 |
$2K |
| 99381 |
|
35 |
35 |
$2K |
| 84244 |
|
186 |
185 |
$2K |
| 81372 |
|
12 |
12 |
$2K |
| 83704 |
|
131 |
131 |
$2K |
| 90480 |
|
69 |
69 |
$2K |
| 87040 |
|
4,663 |
4,291 |
$2K |
| 10061 |
|
12 |
12 |
$2K |
| 84154 |
|
192 |
190 |
$2K |
| 86300 |
|
115 |
108 |
$2K |
| 82164 |
|
289 |
283 |
$2K |
| 86162 |
|
159 |
158 |
$2K |
| 86922 |
|
654 |
534 |
$2K |
| 92025 |
|
332 |
332 |
$2K |
| 73620 |
|
428 |
413 |
$2K |
| 95812 |
|
12 |
12 |
$2K |
| 86356 |
|
231 |
229 |
$2K |
| 86308 |
|
2,224 |
2,203 |
$2K |
| 86336 |
|
267 |
267 |
$2K |
| 85018 |
|
6,353 |
5,768 |
$2K |
| G0008 |
Admin influenza virus vac |
356 |
355 |
$2K |
| 96127 |
|
187 |
187 |
$2K |
| 86812 |
|
118 |
117 |
$2K |
| 91322 |
|
15 |
15 |
$2K |
| U0001 |
2019-ncov diagnostic p |
103 |
100 |
$2K |
| 93298 |
|
104 |
103 |
$2K |
| P9047 |
Albumin (human), 25%, 50ml |
21 |
12 |
$2K |
| 82787 |
|
111 |
110 |
$2K |
| 85014 |
|
4,963 |
4,528 |
$2K |
| 83498 |
|
183 |
182 |
$2K |
| 73565 |
|
4,764 |
4,733 |
$2K |
| 92524 |
|
37 |
36 |
$2K |
| 93797 |
|
23 |
13 |
$2K |
| 90473 |
|
131 |
131 |
$2K |
| 90739 |
|
12 |
12 |
$2K |
| 43762 |
|
12 |
12 |
$1K |
| 88173 |
|
432 |
426 |
$1K |
| 93297 |
|
99 |
99 |
$1K |
| 96450 |
|
13 |
12 |
$1K |
| 82140 |
|
383 |
351 |
$1K |
| 84300 |
|
1,018 |
976 |
$1K |
| 83605 |
|
7,602 |
6,814 |
$1K |
| C1725 |
Cath, translumin non-laser |
1,120 |
1,097 |
$1K |
| 72131 |
|
37 |
37 |
$1K |
| 83722 |
|
125 |
124 |
$1K |
| 90647 |
|
2,393 |
2,390 |
$1K |
| 73521 |
|
55 |
55 |
$1K |
| 87581 |
|
138 |
137 |
$1K |
| 76886 |
|
28 |
28 |
$1K |
| 59426 |
|
75 |
73 |
$1K |
| 86005 |
|
126 |
123 |
$1K |
| 76821 |
|
629 |
330 |
$1K |
| 87486 |
|
135 |
134 |
$1K |
| 86060 |
|
263 |
261 |
$1K |
| 77370 |
|
26 |
25 |
$1K |
| 87184 |
|
295 |
293 |
$1K |
| 92250 |
|
205 |
203 |
$1K |
| 84145 |
|
2,695 |
2,615 |
$1K |
| 87541 |
|
118 |
117 |
$1K |
| 84681 |
|
92 |
92 |
$1K |
| 87426 |
|
57 |
57 |
$1K |
| 93925 |
|
12 |
12 |
$1K |
| 88262 |
|
26 |
25 |
$1K |
| 85660 |
|
458 |
435 |
$1K |
| 83014 |
|
195 |
194 |
$1K |
| 76813 |
|
102 |
101 |
$1K |
| 73120 |
|
162 |
155 |
$1K |
| 57454 |
|
12 |
12 |
$1K |
| C1769 |
Guide wire |
4,081 |
3,902 |
$997.75 |
| 86645 |
|
99 |
98 |
$977.88 |
| 92567 |
|
3,089 |
3,071 |
$968.75 |
| 14040 |
|
12 |
12 |
$963.03 |
| 80178 |
|
309 |
280 |
$955.19 |
| G0109 |
Diab manage trn ind/group |
22 |
14 |
$901.33 |
| 99382 |
|
14 |
14 |
$880.27 |
| 82952 |
|
378 |
377 |
$866.45 |
| 83930 |
|
1,038 |
983 |
$809.58 |
| 70480 |
|
13 |
13 |
$805.38 |
| 83520 |
|
539 |
525 |
$786.04 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
2,651 |
2,620 |
$771.54 |
| J7042 |
5% dextrose/normal saline |
8,431 |
5,945 |
$759.87 |
| 86905 |
|
16 |
15 |
$755.20 |
| 84703 |
|
3,683 |
3,592 |
$749.34 |
| 88312 |
|
244 |
239 |
$747.39 |
| 84295 |
|
1,289 |
1,256 |
$739.65 |
| 83718 |
|
148 |
146 |
$734.59 |
| 85045 |
|
333 |
333 |
$729.56 |
| 96415 |
|
15 |
13 |
$715.69 |
| 12001 |
|
401 |
397 |
$706.80 |
| 86593 |
|
264 |
263 |
$700.52 |
| 0173A |
|
17 |
17 |
$662.89 |
| 85384 |
|
266 |
250 |
$620.69 |
| 80202 |
|
124 |
75 |
$592.62 |
| 90685 |
|
754 |
748 |
$586.35 |
| 83695 |
|
72 |
71 |
$580.46 |
| 82945 |
|
470 |
467 |
$553.46 |
| 84157 |
|
461 |
455 |
$530.41 |
| 85245 |
|
46 |
40 |
$525.58 |
| 73600 |
|
286 |
270 |
$517.41 |
| 86340 |
|
47 |
46 |
$484.67 |
| 85240 |
|
50 |
44 |
$474.58 |
| 85303 |
|
68 |
67 |
$469.21 |
| 82010 |
|
1,908 |
1,708 |
$467.11 |
| A9500 |
Tc99m sestamibi |
2,386 |
2,360 |
$464.99 |
| 87015 |
|
348 |
329 |
$456.11 |
| 90658 |
|
26 |
26 |
$444.42 |
| 96381 |
|
29 |
29 |
$435.51 |
| 0071A |
|
12 |
12 |
$427.61 |
| 82575 |
|
135 |
132 |
$415.21 |
| 90633 |
|
2,300 |
2,295 |
$414.66 |
| 93976 |
|
12 |
12 |
$407.82 |
| 85306 |
|
51 |
51 |
$405.59 |
| 82668 |
|
38 |
38 |
$402.27 |
| 82435 |
|
230 |
230 |
$394.15 |
| C1889 |
Implant/insert device, noc |
1,808 |
1,778 |
$386.00 |
| 94644 |
|
68 |
67 |
$386.00 |
| 83630 |
|
38 |
37 |
$385.53 |
| 87109 |
|
40 |
40 |
$369.74 |
| 94760 |
|
2,844 |
2,510 |
$360.85 |
| 64447 |
|
39 |
39 |
$360.42 |
| 0124A |
|
12 |
12 |
$359.82 |
| 85244 |
|
34 |
28 |
$350.79 |
| 82626 |
|
24 |
24 |
$345.32 |
| 85300 |
|
52 |
52 |
$341.72 |
| 82340 |
|
110 |
107 |
$339.19 |
| 94664 |
|
26 |
26 |
$336.90 |
| 86705 |
|
56 |
56 |
$313.65 |
| 86357 |
|
13 |
13 |
$313.25 |
| 86355 |
|
13 |
13 |
$313.25 |
| 82374 |
|
109 |
109 |
$305.51 |
| 88720 |
|
155 |
102 |
$299.77 |
| 97022 |
|
40 |
12 |
$278.00 |
| 82955 |
|
49 |
49 |
$276.67 |
| 86747 |
|
13 |
13 |
$244.19 |
| J2785 |
Regadenoson injection |
1,798 |
1,778 |
$235.54 |
| 93280 |
|
32 |
31 |
$231.44 |
| 12011 |
|
328 |
325 |
$227.61 |
| C1894 |
Intro/sheath, non-laser |
2,849 |
2,623 |
$225.75 |
| 83835 |
|
26 |
24 |
$221.28 |
| J1644 |
Inj heparin sodium per 1000u |
19,959 |
9,216 |
$219.32 |
| J0690 |
Cefazolin sodium injection |
12,658 |
10,531 |
$213.60 |
| 58300 |
|
12 |
12 |
$209.76 |
| 82542 |
|
180 |
180 |
$209.76 |
| 86317 |
|
28 |
12 |
$209.01 |
| 84163 |
|
38 |
38 |
$206.76 |
| 86702 |
|
24 |
24 |
$201.80 |
| 84133 |
|
164 |
157 |
$193.15 |
| 36000 |
|
44 |
44 |
$193.00 |
| 80175 |
|
52 |
48 |
$188.56 |
| 85007 |
|
93 |
91 |
$185.39 |
| 87076 |
|
54 |
54 |
$173.22 |
| 85613 |
|
38 |
38 |
$172.40 |
| J0689 |
Inj cefazolin sodium, baxter |
2,654 |
2,314 |
$160.39 |
| 82077 |
|
614 |
563 |
$150.19 |
| 87210 |
|
4,104 |
3,958 |
$145.78 |
| 85597 |
|
14 |
14 |
$141.48 |
| 86701 |
|
25 |
25 |
$139.96 |
| 84080 |
|
12 |
12 |
$121.17 |
| 76827 |
|
761 |
728 |
$117.57 |
| 73522 |
|
13 |
13 |
$114.60 |
| 97012 |
|
40 |
12 |
$114.55 |
| 84590 |
|
14 |
14 |
$104.38 |
| 87341 |
|
16 |
16 |
$102.03 |
| 87808 |
|
2,246 |
2,207 |
$101.39 |
| 82365 |
|
79 |
78 |
$99.60 |
| 99358 |
Prolong nursin fac eval 15m |
431 |
411 |
$99.00 |
| 86709 |
|
15 |
15 |
$89.23 |
| 90723 |
|
2,391 |
2,389 |
$82.64 |
| 93242 |
|
12 |
12 |
$81.78 |
| 84255 |
|
12 |
12 |
$79.35 |
| 36591 |
|
13 |
12 |
$66.58 |
| 99177 |
|
181 |
181 |
$66.50 |
| 87493 |
|
13 |
13 |
$66.15 |
| 86902 |
|
28 |
25 |
$63.88 |
| 69210 |
|
28 |
27 |
$63.76 |
| 77073 |
|
12 |
12 |
$57.04 |
| 88311 |
|
142 |
137 |
$56.78 |
| 92136 |
|
12 |
12 |
$55.61 |
| 82948 |
|
258 |
249 |
$55.61 |
| 90662 |
|
15 |
15 |
$53.37 |
| 90715 |
|
4,801 |
4,779 |
$48.75 |
| J2405 |
Ondansetron hcl injection |
53,031 |
43,376 |
$48.40 |
| 88302 |
|
42 |
39 |
$43.93 |
| J7120 |
Ringers lactate infusion |
42,309 |
37,409 |
$38.87 |
| J1885 |
Ketorolac tromethamine inj |
35,885 |
30,620 |
$33.61 |
| 85347 |
|
1,089 |
1,021 |
$33.40 |
| A9577 |
Inj multihance |
8,695 |
8,474 |
$33.35 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
1,084 |
1,066 |
$31.84 |
| J1170 |
Hydromorphone injection |
21,051 |
13,342 |
$29.66 |
| J1100 |
Dexamethasone sodium phos |
26,778 |
25,226 |
$18.40 |
| J2704 |
Inj, propofol, 10 mg |
32,732 |
31,143 |
$18.09 |
| 81000 |
|
15 |
15 |
$16.77 |
| 86880 |
|
24 |
24 |
$16.28 |
| 83935 |
|
14 |
13 |
$13.19 |
| J0696 |
Ceftriaxone sodium injection |
7,269 |
5,650 |
$12.88 |
| J2272 |
Inj, morphine (fresenius) |
183 |
165 |
$12.12 |
| J7030 |
Normal saline solution infus |
2,458 |
2,111 |
$10.98 |
| J0134 |
Inj acetaminophen -fresenius |
855 |
808 |
$10.53 |
| J2270 |
Morphine sulfate injection |
7,890 |
5,814 |
$10.17 |
| J3010 |
Fentanyl citrate injection |
34,582 |
27,737 |
$9.07 |
| J3370 |
Vancomycin hcl injection |
3,479 |
2,088 |
$9.06 |
| 82800 |
|
297 |
281 |
$8.39 |
| J2250 |
Inj midazolam hydrochloride |
26,756 |
24,872 |
$7.95 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
2,845 |
1,148 |
$7.83 |
| J3301 |
Triamcinolone acet inj nos |
6,158 |
6,022 |
$7.10 |
| J0780 |
Prochlorperazine injection |
2,861 |
2,376 |
$6.72 |
| 99188 |
|
48 |
48 |
$6.48 |
| J0736 |
Inj, clindamycin phosp 300mg |
200 |
163 |
$5.60 |
| J1940 |
Furosemide injection |
645 |
370 |
$4.89 |
| C9113 |
Inj pantoprazole sodium, via |
4,511 |
2,194 |
$4.28 |
| J2765 |
Metoclopramide hcl injection |
4,773 |
4,210 |
$3.19 |
| J2550 |
Promethazine hcl injection |
2,784 |
1,626 |
$2.05 |
| J2060 |
Lorazepam injection |
7,542 |
4,617 |
$1.95 |
| J2795 |
Ropivacaine hcl injection |
7,382 |
6,639 |
$1.44 |
| J1200 |
Diphenhydramine hcl injectio |
14,828 |
12,753 |
$1.21 |
| J7613 |
Albuterol non-comp unit |
27 |
25 |
$0.24 |
| J7040 |
Normal saline solution infus |
457 |
430 |
$0.24 |
| 90696 |
|
445 |
444 |
$0.02 |
| G8979 |
Mobility goal status |
256 |
227 |
$0.02 |
| C1887 |
Catheter, guiding |
1,080 |
1,051 |
$0.02 |
| G8978 |
Mobility current status |
203 |
189 |
$0.02 |
| 90680 |
|
3,381 |
3,379 |
$0.01 |
| G8980 |
Mobility d/c status |
115 |
110 |
$0.01 |
| G1004 |
Cdsm ndsc |
2,058 |
1,947 |
$0.01 |
| J2710 |
Neostigmine methylslfte inj |
2,908 |
2,845 |
$0.01 |
| J3480 |
Inj potassium chloride |
1,572 |
1,101 |
$0.00 |
| J0461 |
Atropine sulfate injection |
1,219 |
1,180 |
$0.00 |
| 95886 |
|
1,328 |
1,323 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
3,005 |
2,953 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
858 |
841 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
1,773 |
1,754 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
2,670 |
1,681 |
$0.00 |
| J7060 |
5% dextrose/water |
6,028 |
3,830 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
764 |
595 |
$0.00 |
| A9270 |
Non-covered item or service |
4,313 |
565 |
$0.00 |
| 93320 |
|
1,910 |
1,874 |
$0.00 |
| 90632 |
|
338 |
336 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
1,829 |
821 |
$0.00 |
| 90698 |
|
1,384 |
1,383 |
$0.00 |
| A4648 |
Implantable tissue marker |
1,145 |
1,114 |
$0.00 |
| G8988 |
Self care goal status |
46 |
43 |
$0.00 |
| 97010 |
|
93 |
52 |
$0.00 |
| J1630 |
Haloperidol injection |
3,207 |
2,333 |
$0.00 |
| J2790 |
Rho d immune globulin inj |
96 |
88 |
$0.00 |
| J1720 |
Hydrocortisone sodium succ i |
142 |
96 |
$0.00 |
| G0283 |
Elec stim other than wound |
225 |
75 |
$0.00 |
| J7050 |
Normal saline solution infus |
854 |
615 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
1,458 |
720 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
981 |
824 |
$0.00 |
| J3360 |
Diazepam injection |
90 |
81 |
$0.00 |
| J2920 |
Methylprednisolone injection |
636 |
351 |
$0.00 |
| J2360 |
Orphenadrine injection |
341 |
226 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
87 |
86 |
$0.00 |
| 74420 |
|
113 |
108 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
63 |
63 |
$0.00 |
| 84270 |
|
799 |
782 |
$0.00 |
| J1836 |
Inj, metronidazole, 10 mg |
23 |
14 |
$0.00 |
| 94761 |
|
193 |
171 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
96 |
94 |
$0.00 |
| J3490 |
Drugs unclassified injection |
4,505 |
4,359 |
$0.00 |
| 80320 |
|
117 |
105 |
$0.00 |
| J7999 |
Compounded drug, noc |
361 |
324 |
$0.00 |
| C2617 |
Stent, non-cor, tem w/o del |
444 |
419 |
$0.00 |
| 91305 |
|
28 |
28 |
$0.00 |
| J0280 |
Aminophyllin 250 mg inj |
82 |
82 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
126 |
120 |
$0.00 |
| 51600 |
|
105 |
104 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
231 |
149 |
$0.00 |
| G8987 |
Self care current status |
32 |
31 |
$0.00 |
| A9573 |
Inj, gadopiclenol, 1 ml |
461 |
451 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
65 |
65 |
$0.00 |
| 36410 |
|
27 |
24 |
$0.00 |
| J3420 |
Vitamin b12 injection |
95 |
67 |
$0.00 |
| C1781 |
Mesh (implantable) |
26 |
25 |
$0.00 |
| 90619 |
|
41 |
41 |
$0.00 |
| 29826 |
|
12 |
12 |
$0.00 |
| 91317 |
|
17 |
17 |
$0.00 |
| J8501 |
Oral aprepitant |
14 |
14 |
$0.00 |
| 77417 |
|
19 |
15 |
$0.00 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
12 |
12 |
$0.00 |
| 83883 |
|
46 |
46 |
$0.00 |
| J7121 |
5% dextrose in lac ringers |
52 |
40 |
$0.00 |
| 91307 |
|
15 |
12 |
$0.00 |
| L8699 |
Prosthetic implant nos |
15 |
15 |
$0.00 |
| 94618 |
|
13 |
13 |
$0.00 |
| 58340 |
|
16 |
16 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
3,062 |
2,924 |
$0.00 |
| 94729 |
|
1,768 |
1,766 |
$0.00 |
| A9552 |
F18 fdg |
1,511 |
1,487 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
279 |
279 |
$0.00 |
| 76937 |
|
247 |
240 |
$0.00 |
| J2930 |
Methylprednisolone injection |
1,997 |
1,737 |
$0.00 |
| C1776 |
Joint device (implantable) |
483 |
480 |
$0.00 |
| 93325 |
|
3,706 |
3,598 |
$0.00 |
| C1729 |
Cath, drainage |
423 |
290 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
345 |
342 |
$0.00 |
| 77002 |
|
170 |
169 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
3,852 |
3,309 |
$0.00 |
| 76942 |
|
1,760 |
1,715 |
$0.00 |
| J1580 |
Garamycin gentamicin inj |
224 |
209 |
$0.00 |
| 80143 |
|
204 |
197 |
$0.00 |
| 99354 |
|
101 |
99 |
$0.00 |
| J2800 |
Methocarbamol injection |
882 |
520 |
$0.00 |
| C1762 |
Conn tiss, human(inc fascia) |
125 |
122 |
$0.00 |
| 82610 |
|
221 |
208 |
$0.00 |
| J0735 |
Clonidine hydrochloride |
664 |
653 |
$0.00 |
| C1758 |
Catheter, ureteral |
66 |
65 |
$0.00 |
| 90707 |
|
605 |
605 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
1,997 |
859 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
1,526 |
1,513 |
$0.00 |
| 90700 |
|
572 |
571 |
$0.00 |
| 95957 |
|
385 |
270 |
$0.00 |
| C8937 |
Cad breast mri |
26 |
26 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
664 |
624 |
$0.00 |
| Q9958 |
Hocm <=149 mg/ml iodine, 1ml |
96 |
95 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
298 |
223 |
$0.00 |
| C1760 |
Closure dev, vasc |
110 |
105 |
$0.00 |
| C1780 |
Lens, intraocular (new tech) |
87 |
83 |
$0.00 |
| 76125 |
|
149 |
146 |
$0.00 |
| J0744 |
Ciprofloxacin iv |
360 |
213 |
$0.00 |
| J2916 |
Na ferric gluconate complex |
43 |
26 |
$0.00 |
| 76001 |
|
84 |
83 |
$0.00 |
| 80179 |
|
193 |
187 |
$0.00 |
| 99152 |
|
71 |
71 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
418 |
289 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| A9537 |
Tc99m mebrofenin |
25 |
25 |
$0.00 |
| J1953 |
Levetiracetam injection |
30 |
25 |
$0.00 |
| 95251 |
|
14 |
14 |
$0.00 |
| 90461 |
|
61 |
61 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
115 |
111 |
$0.00 |
| C1788 |
Port, indwelling, imp |
12 |
12 |
$0.00 |
| 91312 |
|
12 |
12 |
$0.00 |
| 93321 |
|
46 |
45 |
$0.00 |
| 77387 |
|
319 |
30 |
$0.00 |
| J0136 |
Inj, acetaminophen (b braun) |
25 |
25 |
$0.00 |
| 82731 |
|
12 |
12 |
$0.00 |
| 77003 |
|
13 |
12 |
$0.00 |
| 90710 |
|
19 |
19 |
$0.00 |
| G8989 |
Self care d/c status |
14 |
14 |
$0.00 |