| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
100,033 |
89,779 |
$37.02M |
| G0378 |
Hospital observation per hr |
39,941 |
31,067 |
$32.08M |
| 99284 |
|
79,293 |
70,245 |
$31.87M |
| 99285 |
|
56,159 |
49,239 |
$30.05M |
| A0429 |
Bls-emergency |
99,120 |
75,341 |
$29.65M |
| H0035 |
Mh partial hosp tx under 24h |
77,767 |
7,206 |
$21.01M |
| A0427 |
Als1-emergency |
27,763 |
24,062 |
$12.45M |
| S9480 |
Intensive outpatient psychia |
10,266 |
8,226 |
$7.77M |
| 99282 |
|
28,613 |
26,271 |
$7.38M |
| J2426 |
Inj, invega sustenna, 1 mg |
7,522 |
6,681 |
$5.72M |
| OP250 |
|
190,005 |
119,624 |
$4.76M |
| 43239 |
|
2,957 |
2,806 |
$4.54M |
| 93306 |
|
5,264 |
5,108 |
$3.67M |
| T2034 |
Crisis interven waiver/diem |
4,091 |
3,696 |
$3.50M |
| 45380 |
|
2,187 |
2,092 |
$3.10M |
| 74177 |
|
13,796 |
13,076 |
$2.85M |
| 93017 |
|
5,311 |
5,073 |
$2.47M |
| G0379 |
Direct refer hospital observ |
6,794 |
5,449 |
$2.34M |
| OP370 |
|
19,558 |
17,813 |
$2.14M |
| OP710 |
|
21,313 |
19,323 |
$2.07M |
| A0425 |
Ground mileage |
120,662 |
87,040 |
$1.98M |
| 99211 |
|
35,872 |
31,106 |
$1.86M |
| 76818 |
|
9,613 |
4,536 |
$1.85M |
| 70450 |
|
16,728 |
15,487 |
$1.83M |
| 97530 |
|
51,752 |
15,337 |
$1.82M |
| 96361 |
|
29,329 |
25,615 |
$1.80M |
| 92507 |
|
27,184 |
8,076 |
$1.79M |
| 96372 |
|
43,054 |
36,554 |
$1.71M |
| 97110 |
|
71,436 |
19,025 |
$1.70M |
| 93458 |
|
922 |
867 |
$1.69M |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,869 |
1,679 |
$1.58M |
| 96375 |
|
30,761 |
25,666 |
$1.53M |
| 93975 |
|
5,928 |
5,404 |
$1.50M |
| A0998 |
Ambulance response/treatment |
10,100 |
8,859 |
$1.42M |
| 76816 |
|
17,222 |
14,560 |
$1.41M |
| 76817 |
|
12,108 |
10,285 |
$1.40M |
| 96413 |
|
3,871 |
2,513 |
$1.40M |
| 78452 |
|
3,713 |
3,561 |
$1.37M |
| 45378 |
|
773 |
754 |
$1.34M |
| 90832 |
|
25,386 |
16,550 |
$1.33M |
| 76819 |
|
7,967 |
6,789 |
$1.32M |
| 87636 |
|
36,064 |
33,355 |
$1.27M |
| 99213 |
|
17,221 |
15,935 |
$1.26M |
| 97010 |
|
50,622 |
14,080 |
$1.24M |
| 99291 |
|
2,147 |
2,023 |
$1.21M |
| OP272 |
|
21,942 |
17,036 |
$1.21M |
| 96374 |
|
42,382 |
37,379 |
$1.20M |
| 93005 |
|
51,624 |
43,891 |
$1.18M |
| 71046 |
|
30,851 |
29,364 |
$1.13M |
| C1776 |
Joint device (implantable) |
439 |
379 |
$964K |
| G0463 |
Hospital outpt clinic visit |
22,250 |
17,882 |
$964K |
| 45385 |
|
1,026 |
946 |
$937K |
| 80053 |
|
82,778 |
69,172 |
$922K |
| 77067 |
|
9,657 |
9,566 |
$890K |
| 96365 |
|
10,823 |
9,629 |
$860K |
| 76811 |
|
3,972 |
3,894 |
$857K |
| 90791 |
|
6,350 |
5,953 |
$835K |
| 97140 |
|
36,762 |
10,174 |
$832K |
| 90834 |
|
14,742 |
9,732 |
$827K |
| 93970 |
|
3,113 |
2,969 |
$803K |
| 90837 |
|
10,623 |
5,790 |
$798K |
| 97112 |
|
27,304 |
8,668 |
$765K |
| 71275 |
|
4,066 |
3,873 |
$734K |
| 74176 |
|
4,206 |
4,047 |
$706K |
| 85025 |
|
96,375 |
80,509 |
$696K |
| A0434 |
Specialty care transport |
625 |
599 |
$644K |
| J0401 |
Inj, abilify maintena, 1 mg |
878 |
742 |
$642K |
| 95810 |
|
388 |
380 |
$637K |
| 72125 |
|
4,063 |
3,763 |
$607K |
| 76830 |
|
6,097 |
5,884 |
$576K |
| 76805 |
|
3,961 |
3,897 |
$572K |
| 71045 |
|
21,369 |
19,443 |
$566K |
| 96360 |
|
9,995 |
9,385 |
$563K |
| 76856 |
|
6,580 |
6,312 |
$544K |
| 99214 |
|
7,469 |
7,218 |
$540K |
| OP278 |
|
905 |
840 |
$539K |
| 76801 |
|
7,351 |
6,599 |
$529K |
| 88305 |
|
9,231 |
8,457 |
$502K |
| A0433 |
Als 2 |
1,029 |
903 |
$468K |
| 70486 |
|
3,458 |
3,239 |
$444K |
| 90792 |
|
4,290 |
4,040 |
$428K |
| 93971 |
|
3,372 |
3,201 |
$404K |
| 73564 |
|
7,759 |
7,333 |
$402K |
| 71260 |
|
2,036 |
1,900 |
$379K |
| 73130 |
|
9,274 |
8,221 |
$369K |
| S9484 |
Crisis intervention per hour |
527 |
521 |
$360K |
| 90853 |
|
10,080 |
2,184 |
$351K |
| OP258 |
|
64,140 |
47,855 |
$343K |
| 70551 |
|
1,596 |
1,514 |
$340K |
| 76642 |
|
3,303 |
3,217 |
$339K |
| 76820 |
|
3,033 |
1,462 |
$337K |
| 84484 |
|
32,764 |
26,137 |
$321K |
| 73630 |
|
8,559 |
7,923 |
$314K |
| 73610 |
|
9,183 |
8,250 |
$312K |
| 80307 |
|
8,202 |
6,751 |
$311K |
| 76705 |
|
6,040 |
5,770 |
$303K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
13,739 |
12,627 |
$296K |
| 99281 |
|
1,805 |
1,656 |
$284K |
| 73110 |
|
7,378 |
6,189 |
$282K |
| 73030 |
|
6,459 |
5,974 |
$281K |
| 77066 |
Tomosynthesis, mammo |
2,248 |
2,184 |
$279K |
| 94060 |
|
1,089 |
1,061 |
$272K |
| 76813 |
|
2,322 |
2,287 |
$263K |
| S2900 |
Robotic surgical system |
146 |
139 |
$254K |
| 92579 |
|
865 |
857 |
$252K |
| 82948 |
|
19,773 |
14,480 |
$239K |
| 94640 |
|
7,181 |
5,031 |
$236K |
| U0004 |
Cov-19 test non-cdc hgh thru |
4,562 |
4,421 |
$226K |
| 92567 |
|
3,169 |
3,105 |
$226K |
| G0390 |
Trauma respons w/hosp criti |
302 |
272 |
$218K |
| 80048 |
|
22,956 |
20,558 |
$206K |
| 86850 |
|
14,557 |
13,071 |
$205K |
| 96376 |
|
7,570 |
5,965 |
$200K |
| 14301 |
|
152 |
136 |
$196K |
| 77412 |
|
317 |
27 |
$192K |
| 73590 |
|
5,300 |
4,813 |
$190K |
| J1745 |
Infliximab not biosimil 10mg |
40 |
37 |
$188K |
| 77065 |
Tomosynthesis, mammo |
2,135 |
2,011 |
$187K |
| 73562 |
|
4,234 |
4,035 |
$185K |
| 87633 |
|
1,626 |
1,533 |
$183K |
| 76700 |
|
2,065 |
2,011 |
$183K |
| 90785 |
|
3,577 |
2,745 |
$183K |
| 64483 |
|
112 |
111 |
$181K |
| 92014 |
|
4,332 |
4,116 |
$181K |
| 97161 |
|
5,051 |
4,848 |
$180K |
| 97162 |
|
4,701 |
4,441 |
$178K |
| A9270 |
Non-covered item or service |
48,234 |
20,339 |
$177K |
| 20610 |
|
473 |
416 |
$168K |
| 70496 |
|
1,006 |
928 |
$166K |
| 0241U |
|
2,951 |
2,821 |
$166K |
| 99212 |
|
2,249 |
2,132 |
$164K |
| 77080 |
|
1,938 |
1,897 |
$162K |
| 70498 |
|
1,025 |
950 |
$161K |
| 96415 |
|
943 |
697 |
$161K |
| 62323 |
|
116 |
116 |
$160K |
| 96366 |
|
1,885 |
1,585 |
$159K |
| 73080 |
|
4,491 |
3,876 |
$157K |
| 97535 |
|
4,468 |
3,729 |
$156K |
| 92004 |
|
3,126 |
3,075 |
$150K |
| 72110 |
|
2,518 |
2,467 |
$149K |
| 73090 |
|
4,125 |
3,592 |
$146K |
| 36430 |
|
753 |
564 |
$145K |
| 92012 |
|
4,640 |
3,862 |
$144K |
| 70491 |
|
687 |
656 |
$142K |
| 36415 |
|
58,014 |
49,904 |
$139K |
| 86900 |
|
14,900 |
13,456 |
$136K |
| 87635 |
|
3,907 |
3,687 |
$131K |
| Q3014 |
Telehealth facility fee |
6,553 |
5,424 |
$130K |
| 0223U |
|
1,293 |
1,227 |
$127K |
| J2785 |
Regadenoson injection |
1,868 |
1,779 |
$126K |
| 96367 |
|
1,849 |
1,485 |
$126K |
| 86803 |
|
20,802 |
19,970 |
$126K |
| 70553 |
|
192 |
183 |
$123K |
| 95811 |
|
41 |
40 |
$122K |
| 12001 |
|
1,535 |
1,473 |
$120K |
| 76641 |
|
630 |
616 |
$119K |
| 62322 |
|
80 |
80 |
$118K |
| A9500 |
Tc99m sestamibi |
504 |
504 |
$118K |
| 87651 |
|
8,466 |
7,849 |
$115K |
| 74174 |
|
465 |
429 |
$115K |
| C1781 |
Mesh (implantable) |
239 |
226 |
$113K |
| 10060 |
|
752 |
710 |
$112K |
| 47562 |
|
71 |
64 |
$112K |
| 97166 |
|
2,657 |
2,479 |
$112K |
| 96417 |
|
575 |
314 |
$104K |
| 90471 |
|
7,205 |
6,610 |
$103K |
| 72131 |
|
979 |
909 |
$101K |
| 90847 |
|
1,816 |
1,585 |
$99K |
| 95800 |
|
163 |
156 |
$99K |
| 85730 |
|
24,000 |
20,303 |
$95K |
| 12011 |
|
1,231 |
1,134 |
$95K |
| 97150 |
|
3,368 |
965 |
$94K |
| J0131 |
Inj, acetaminophen (nos) |
11,467 |
9,758 |
$91K |
| 81025 |
|
23,870 |
21,757 |
$90K |
| 73502 |
|
3,970 |
3,692 |
$90K |
| 86901 |
|
14,944 |
13,464 |
$90K |
| 94726 |
|
919 |
899 |
$90K |
| 85610 |
|
25,006 |
21,149 |
$88K |
| 82962 |
|
21,308 |
15,347 |
$87K |
| 92557 |
|
479 |
465 |
$87K |
| 27447 |
|
59 |
52 |
$87K |
| A0428 |
Bls |
1,280 |
1,202 |
$86K |
| 73060 |
|
2,515 |
2,276 |
$85K |
| 76536 |
|
688 |
674 |
$84K |
| 81001 |
|
26,880 |
24,568 |
$82K |
| 71250 |
|
595 |
567 |
$82K |
| 77336 |
|
742 |
308 |
$82K |
| G0279 |
Tomosynthesis, mammo |
1,606 |
1,546 |
$82K |
| 83735 |
|
17,648 |
14,023 |
$81K |
| 77063 |
|
2,015 |
1,975 |
$79K |
| 73552 |
|
2,832 |
2,610 |
$78K |
| 92587 |
|
481 |
469 |
$76K |
| 97014 |
|
2,895 |
898 |
$75K |
| 72148 |
|
346 |
338 |
$74K |
| 83690 |
|
22,306 |
20,368 |
$74K |
| 85027 |
|
15,170 |
13,469 |
$73K |
| 84443 |
|
5,983 |
5,528 |
$72K |
| 93356 |
|
312 |
294 |
$71K |
| 76815 |
|
704 |
653 |
$67K |
| 87591 |
|
4,306 |
4,159 |
$67K |
| 94729 |
|
543 |
528 |
$67K |
| J1885 |
Ketorolac tromethamine inj |
26,424 |
23,272 |
$67K |
| 83880 |
|
6,693 |
6,173 |
$67K |
| 73140 |
|
2,421 |
2,208 |
$66K |
| 87491 |
|
4,307 |
4,161 |
$66K |
| 87389 |
|
5,242 |
5,052 |
$62K |
| 97116 |
|
3,346 |
1,439 |
$61K |
| 58558 |
|
40 |
40 |
$60K |
| 77334 |
|
134 |
105 |
$59K |
| 88312 |
|
2,853 |
2,739 |
$58K |
| J1631 |
Haloperidol decanoate inj |
2,707 |
2,458 |
$58K |
| 80320 |
|
3,892 |
3,520 |
$57K |
| 81003 |
|
21,338 |
20,107 |
$56K |
| 88304 |
|
3,126 |
2,997 |
$55K |
| 97168 |
|
1,045 |
1,032 |
$53K |
| J1756 |
Iron sucrose injection |
1,865 |
763 |
$53K |
| 0202U |
|
519 |
461 |
$52K |
| 74018 |
|
1,869 |
1,776 |
$51K |
| 80061 |
|
4,659 |
4,398 |
$51K |
| OP379 |
|
458 |
458 |
$50K |
| 92523 |
|
642 |
631 |
$49K |
| U0005 |
Infec agen detec ampli probe |
3,239 |
3,123 |
$47K |
| 29125 |
|
807 |
737 |
$47K |
| 87040 |
|
4,040 |
3,576 |
$45K |
| G0480 |
Drug test def 1-7 classes |
2,337 |
2,075 |
$45K |
| 76870 |
|
813 |
775 |
$44K |
| G0269 |
Occlusive device in vein art |
359 |
354 |
$43K |
| 97165 |
|
880 |
860 |
$43K |
| A9502 |
Tc99m tetrofosmin |
3,079 |
2,773 |
$43K |
| 73000 |
|
551 |
462 |
$43K |
| C1769 |
Guide wire |
2,266 |
1,972 |
$43K |
| 99202 |
|
1,142 |
1,103 |
$42K |
| 98971 |
|
1,667 |
1,566 |
$41K |
| 84702 |
|
5,720 |
4,590 |
$40K |
| 87086 |
|
8,001 |
7,538 |
$38K |
| OP402 |
|
45 |
33 |
$36K |
| 95806 |
|
117 |
114 |
$36K |
| J1650 |
Inj enoxaparin sodium |
2,269 |
1,673 |
$35K |
| OP637 |
|
8,972 |
5,736 |
$35K |
| C9290 |
Inj, bupivacaine liposome |
736 |
655 |
$35K |
| 82805 |
|
2,635 |
2,383 |
$34K |
| J2405 |
Ondansetron hcl injection |
18,699 |
16,340 |
$34K |
| 93976 |
|
670 |
663 |
$34K |
| 83605 |
|
3,983 |
3,591 |
$34K |
| J2704 |
Inj, propofol, 10 mg |
11,481 |
9,595 |
$34K |
| 76821 |
|
229 |
116 |
$33K |
| 87428 |
|
431 |
417 |
$33K |
| J0690 |
Cefazolin sodium injection |
4,662 |
3,347 |
$33K |
| A9577 |
Inj multihance |
599 |
559 |
$30K |
| 72170 |
|
1,254 |
1,205 |
$30K |
| J2270 |
Morphine sulfate injection |
5,092 |
3,964 |
$29K |
| 84100 |
|
4,944 |
3,527 |
$29K |
| 83036 |
|
5,112 |
4,750 |
$29K |
| 12002 |
|
329 |
319 |
$29K |
| G0382 |
Lev 3 hosp type b ed visit |
587 |
573 |
$29K |
| 29705 |
|
310 |
291 |
$29K |
| J1100 |
Dexamethasone sodium phos |
10,212 |
8,896 |
$27K |
| P9016 |
Rbc leukocytes reduced |
466 |
366 |
$26K |
| C1887 |
Catheter, guiding |
781 |
718 |
$26K |
| 44970 |
|
14 |
13 |
$26K |
| 76770 |
|
328 |
308 |
$25K |
| 73560 |
|
535 |
481 |
$25K |
| 87902 |
|
231 |
223 |
$25K |
| OP255 |
|
4,188 |
4,083 |
$24K |
| G0008 |
Admin influenza virus vac |
1,343 |
1,317 |
$24K |
| J2250 |
Inj midazolam hydrochloride |
7,111 |
6,669 |
$24K |
| 90715 |
|
2,522 |
2,400 |
$24K |
| J3010 |
Fentanyl citrate injection |
10,306 |
9,300 |
$23K |
| 72100 |
|
536 |
500 |
$23K |
| J0696 |
Ceftriaxone sodium injection |
4,274 |
3,747 |
$22K |
| OP270 |
|
2,130 |
1,965 |
$22K |
| 93880 |
|
109 |
103 |
$22K |
| 87631 |
|
539 |
529 |
$22K |
| 72050 |
|
342 |
340 |
$22K |
| 85007 |
|
6,205 |
5,578 |
$21K |
| 87340 |
|
5,448 |
4,847 |
$21K |
| C1894 |
Intro/sheath, non-laser |
1,798 |
1,658 |
$21K |
| J0561 |
Penicillin g benzathine inj |
218 |
198 |
$20K |
| 73721 |
|
40 |
40 |
$20K |
| 97164 |
|
551 |
534 |
$20K |
| J1644 |
Inj heparin sodium per 1000u |
1,931 |
1,419 |
$20K |
| 80076 |
|
2,356 |
2,164 |
$20K |
| 84550 |
|
479 |
424 |
$20K |
| 76775 |
|
248 |
246 |
$20K |
| C1760 |
Closure dev, vasc |
648 |
597 |
$19K |
| 88307 |
|
329 |
298 |
$19K |
| 87522 |
Neg quan hep c or qual rna |
585 |
563 |
$18K |
| 87430 |
|
2,884 |
2,837 |
$18K |
| 90750 |
|
178 |
172 |
$18K |
| 92553 |
|
265 |
258 |
$17K |
| 15853 |
|
329 |
279 |
$17K |
| 71101 |
|
370 |
348 |
$17K |
| 86920 |
|
449 |
421 |
$16K |
| 95819 |
|
25 |
25 |
$16K |
| 82375 |
|
2,535 |
2,292 |
$16K |
| 92083 |
|
607 |
573 |
$16K |
| 73700 |
|
142 |
138 |
$15K |
| C8929 |
Tte w or wo fol wcon,doppler |
46 |
40 |
$15K |
| 49083 |
|
23 |
12 |
$15K |
| Q9957 |
Inj perflutren lip micros,ml |
382 |
335 |
$15K |
| 87400 |
|
3,456 |
3,417 |
$15K |
| 92133 |
|
929 |
868 |
$15K |
| 72128 |
|
103 |
96 |
$15K |
| 64484 |
|
51 |
50 |
$14K |
| 86140 |
|
4,620 |
4,295 |
$13K |
| 29075 |
|
88 |
80 |
$13K |
| 90846 |
|
208 |
186 |
$13K |
| 0240U |
|
295 |
256 |
$13K |
| J1170 |
Hydromorphone injection |
4,989 |
3,592 |
$13K |
| 87081 |
|
3,571 |
3,512 |
$13K |
| 87880 |
|
2,505 |
2,457 |
$13K |
| J2765 |
Metoclopramide hcl injection |
4,417 |
4,018 |
$12K |
| J7510 |
Prednisolone oral per 5 mg |
752 |
725 |
$12K |
| 85378 |
|
3,277 |
3,166 |
$12K |
| J1815 |
Insulin injection |
1,777 |
1,332 |
$11K |
| 77300 |
|
62 |
51 |
$11K |
| 20553 |
|
14 |
13 |
$11K |
| 87807 |
|
2,317 |
2,261 |
$11K |
| 97802 |
|
664 |
616 |
$11K |
| 93226 |
|
28 |
26 |
$11K |
| 95913 |
|
12 |
12 |
$11K |
| 94760 |
|
194 |
193 |
$10K |
| 82728 |
|
1,227 |
1,094 |
$10K |
| 83050 |
|
2,586 |
2,334 |
$10K |
| J2930 |
Methylprednisolone injection |
1,837 |
1,662 |
$10K |
| 85380 |
|
1,111 |
1,052 |
$10K |
| 99215 |
Prolong outpt/office vis |
72 |
72 |
$10K |
| J1200 |
Diphenhydramine hcl injectio |
3,978 |
3,361 |
$10K |
| 99201 |
|
122 |
121 |
$10K |
| J2060 |
Lorazepam injection |
2,843 |
2,360 |
$9K |
| 99203 |
|
238 |
228 |
$9K |
| 72020 |
|
392 |
385 |
$9K |
| 80164 |
|
334 |
296 |
$9K |
| 80047 |
|
3,077 |
2,954 |
$8K |
| 36591 |
|
157 |
121 |
$8K |
| J2710 |
Neostigmine methylslfte inj |
287 |
277 |
$8K |
| 93225 |
|
28 |
26 |
$8K |
| 92134 |
|
477 |
426 |
$8K |
| 82542 |
|
713 |
701 |
$8K |
| 82550 |
|
2,243 |
1,961 |
$7K |
| 87186 |
|
1,088 |
1,017 |
$7K |
| 71100 |
|
260 |
258 |
$7K |
| J1630 |
Haloperidol injection |
1,501 |
1,270 |
$7K |
| 87804 |
|
1,335 |
1,317 |
$7K |
| M0244 |
Casirivi and imdevi inj hm |
65 |
65 |
$7K |
| J0741 |
Inj, cabote rilpivir 2mg 3mg |
275 |
261 |
$6K |
| 99422 |
|
448 |
421 |
$6K |
| 80051 |
|
1,979 |
1,786 |
$6K |
| 77290 |
|
12 |
12 |
$6K |
| 85651 |
|
2,247 |
2,111 |
$6K |
| 14302 |
|
97 |
87 |
$6K |
| 29130 |
|
211 |
182 |
$6K |
| 93925 |
|
30 |
24 |
$6K |
| G0257 |
Unsched dialysis esrd pt hos |
84 |
63 |
$6K |
| J3370 |
Vancomycin hcl injection |
473 |
432 |
$6K |
| 87088 |
|
1,942 |
1,863 |
$6K |
| 90686 |
|
620 |
611 |
$5K |
| 90677 |
|
186 |
179 |
$5K |
| 83550 |
|
1,034 |
930 |
$5K |
| 86592 |
|
1,458 |
1,392 |
$5K |
| 98972 |
|
128 |
124 |
$5K |
| 88313 |
|
233 |
227 |
$5K |
| 90472 |
|
465 |
447 |
$5K |
| 91200 |
|
25 |
25 |
$5K |
| 85055 |
|
260 |
200 |
$5K |
| 87070 |
|
777 |
735 |
$5K |
| 82607 |
|
863 |
773 |
$5K |
| 95886 |
|
12 |
12 |
$5K |
| 82731 |
|
111 |
107 |
$5K |
| 82746 |
|
716 |
643 |
$5K |
| 92555 |
|
77 |
76 |
$5K |
| 90651 |
|
25 |
24 |
$5K |
| 76882 |
|
48 |
41 |
$5K |
| 87205 |
|
965 |
904 |
$5K |
| 83615 |
|
1,115 |
973 |
$4K |
| 97163 |
|
120 |
116 |
$4K |
| 87798 |
|
348 |
314 |
$4K |
| 0001A |
|
126 |
126 |
$4K |
| 85018 |
|
2,330 |
2,108 |
$4K |
| 0002A |
|
124 |
124 |
$4K |
| G0009 |
Admin pneumococcal vaccine |
341 |
318 |
$4K |
| 87077 |
|
715 |
695 |
$4K |
| J1030 |
Methylprednisolone 40 mg inj |
397 |
393 |
$4K |
| 87536 |
|
43 |
43 |
$4K |
| G8978 |
Mobility current status |
712 |
693 |
$4K |
| 90662 |
|
133 |
129 |
$4K |
| 98970 |
|
365 |
351 |
$4K |
| G8979 |
Mobility goal status |
719 |
699 |
$4K |
| 82985 |
|
457 |
407 |
$4K |
| 83540 |
|
1,043 |
939 |
$4K |
| A0422 |
Ambulance 02 life sustaining |
401 |
358 |
$3K |
| 87426 |
|
107 |
106 |
$3K |
| C1725 |
Cath, translumin non-laser |
71 |
69 |
$3K |
| 84134 |
|
623 |
560 |
$3K |
| M0222 |
Bebtelovimab injection |
54 |
53 |
$3K |
| 96523 |
|
46 |
37 |
$3K |
| 72141 |
|
13 |
12 |
$3K |
| J1940 |
Furosemide injection |
271 |
183 |
$3K |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
1,801 |
1,681 |
$3K |
| 93923 |
|
16 |
13 |
$3K |
| 88341 |
|
45 |
43 |
$3K |
| 88342 |
|
162 |
148 |
$3K |
| 84156 |
|
614 |
504 |
$3K |
| 84439 |
|
483 |
405 |
$3K |
| A0426 |
Als 1 |
25 |
25 |
$3K |
| 99204 |
|
33 |
29 |
$3K |
| 73523 |
|
40 |
39 |
$3K |
| J2469 |
Palonosetron hcl |
386 |
206 |
$3K |
| J7613 |
Albuterol non-comp unit |
2,097 |
1,868 |
$3K |
| J0360 |
Hydralazine hcl injection |
484 |
415 |
$2K |
| 72040 |
|
36 |
35 |
$2K |
| G0383 |
Lev 4 hosp type b ed visit |
27 |
26 |
$2K |
| 82947 |
|
517 |
427 |
$2K |
| 82248 |
|
881 |
798 |
$2K |
| 92610 |
|
12 |
12 |
$2K |
| 85652 |
|
1,108 |
1,005 |
$2K |
| 82330 |
|
391 |
356 |
$2K |
| 82652 |
|
104 |
99 |
$2K |
| G0381 |
Lev 2 hosp type b ed visit |
53 |
52 |
$2K |
| 87486 |
|
154 |
141 |
$2K |
| 84520 |
|
466 |
462 |
$2K |
| 87150 |
|
256 |
229 |
$2K |
| 70544 |
|
14 |
12 |
$2K |
| 87581 |
|
154 |
141 |
$2K |
| J7626 |
Budesonide non-comp unit |
215 |
141 |
$2K |
| 73522 |
|
30 |
28 |
$2K |
| 82378 |
|
159 |
109 |
$2K |
| 59025 |
|
13 |
13 |
$2K |
| 0004A |
|
59 |
58 |
$2K |
| 90836 |
|
29 |
28 |
$2K |
| J0694 |
Cefoxitin sodium injection |
357 |
316 |
$2K |
| J3475 |
Inj magnesium sulfate |
1,285 |
1,071 |
$2K |
| 99421 |
|
255 |
251 |
$2K |
| T1017 |
Targeted case management |
17 |
17 |
$2K |
| OP510 |
|
37 |
35 |
$2K |
| J2370 |
Phenylephrine hcl injection |
197 |
166 |
$2K |
| 82150 |
|
228 |
214 |
$2K |
| J1453 |
Fosaprepitant injection |
29 |
13 |
$2K |
| A4648 |
Implantable tissue marker |
52 |
49 |
$2K |
| 82803 |
|
105 |
101 |
$2K |
| 82570 |
|
496 |
436 |
$2K |
| G8987 |
Self care current status |
135 |
132 |
$2K |
| 94660 |
|
50 |
42 |
$1K |
| 93922 |
|
24 |
24 |
$1K |
| 92225 |
|
28 |
28 |
$1K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
373 |
349 |
$1K |
| 84703 |
|
494 |
455 |
$1K |
| G8980 |
Mobility d/c status |
41 |
41 |
$1K |
| 80329 |
|
110 |
94 |
$1K |
| G8988 |
Self care goal status |
134 |
131 |
$1K |
| 96368 |
|
38 |
27 |
$1K |
| 87075 |
|
214 |
196 |
$1K |
| 87147 |
|
304 |
295 |
$1K |
| M0239 |
Bamlanivimab-xxxx infusion |
32 |
32 |
$1K |
| 82784 |
|
48 |
41 |
$1K |
| J0330 |
Succinycholine chloride inj |
616 |
580 |
$1K |
| 93990 |
|
14 |
12 |
$1K |
| 80074 |
|
79 |
75 |
$1K |
| 92526 |
|
28 |
12 |
$1K |
| 0054A |
|
35 |
35 |
$1K |
| J0780 |
Prochlorperazine injection |
63 |
63 |
$1K |
| 90674 |
|
167 |
167 |
$994.45 |
| M0247 |
Sotrovimab infusion |
26 |
21 |
$993.63 |
| J2272 |
Inj, morphine (fresenius) |
1,124 |
893 |
$986.25 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,093 |
892 |
$934.18 |
| 73200 |
|
12 |
12 |
$912.63 |
| 0064A |
|
27 |
27 |
$896.91 |
| J0136 |
Inj, acetaminophen (b braun) |
574 |
542 |
$861.72 |
| L3908 |
Who cock-up nonmolde pre ots |
86 |
82 |
$861.50 |
| 97032 |
|
27 |
13 |
$855.65 |
| 80143 |
|
182 |
174 |
$837.07 |
| J0171 |
Adrenalin epinephrine inject |
755 |
553 |
$831.51 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
1,361 |
1,235 |
$805.20 |
| 85384 |
|
146 |
129 |
$791.18 |
| J0456 |
Azithromycin |
49 |
38 |
$790.24 |
| 0031A |
|
62 |
59 |
$789.40 |
| 86308 |
|
220 |
195 |
$765.12 |
| J2920 |
Methylprednisolone injection |
392 |
287 |
$723.23 |
| 80179 |
|
114 |
111 |
$684.98 |
| 36600 |
|
71 |
65 |
$677.91 |
| J2919 |
Inj, methylpred sod succ 5mg |
478 |
400 |
$652.45 |
| 73070 |
|
46 |
42 |
$609.34 |
| A9552 |
F18 fdg |
27 |
26 |
$601.02 |
| 86359 |
|
15 |
15 |
$590.00 |
| 90656 |
|
70 |
70 |
$586.89 |
| J0280 |
Aminophyllin 250 mg inj |
124 |
120 |
$569.27 |
| 74022 |
|
32 |
31 |
$534.06 |
| J0134 |
Inj acetaminophen -fresenius |
373 |
321 |
$523.71 |
| 86703 |
|
36 |
36 |
$497.60 |
| 0071A |
|
12 |
12 |
$485.60 |
| 84145 |
|
40 |
38 |
$482.52 |
| 86780 |
|
61 |
61 |
$470.80 |
| 86923 |
|
61 |
49 |
$455.64 |
| 72070 |
|
12 |
12 |
$453.14 |
| 86334 |
|
28 |
27 |
$438.10 |
| 86300 |
|
35 |
26 |
$436.97 |
| 92020 |
|
12 |
12 |
$436.90 |
| J3480 |
Inj potassium chloride |
372 |
272 |
$432.91 |
| 73660 |
|
40 |
37 |
$402.29 |
| 93463 |
|
13 |
13 |
$345.58 |
| 29505 |
|
15 |
12 |
$342.21 |
| 88311 |
|
26 |
25 |
$325.17 |
| 85045 |
|
231 |
164 |
$324.32 |
| 92060 |
|
15 |
15 |
$315.00 |
| C7900 |
Hopd mntl hlt, 15-29 min |
462 |
296 |
$300.05 |
| J1020 |
Methylprednisolone 20 mg inj |
187 |
168 |
$274.38 |
| 90671 |
|
16 |
16 |
$253.20 |
| 85044 |
|
191 |
159 |
$249.45 |
| 86706 |
|
49 |
39 |
$245.13 |
| 86038 |
|
47 |
42 |
$240.30 |
| J3301 |
Triamcinolone acet inj nos |
30 |
29 |
$230.32 |
| 87641 |
|
45 |
29 |
$225.21 |
| 84165 |
|
49 |
44 |
$207.67 |
| J7605 |
Arformoterol non-comp unit |
33 |
24 |
$201.64 |
| 86160 |
|
15 |
13 |
$196.38 |
| 86200 |
|
15 |
13 |
$194.34 |
| 80185 |
|
15 |
12 |
$192.40 |
| J2310 |
Inj naloxone hydrochloride |
81 |
63 |
$189.40 |
| 90697 |
|
171 |
158 |
$178.59 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
385 |
362 |
$171.30 |
| J7030 |
Normal saline solution infus |
223 |
185 |
$168.96 |
| 92002 |
|
12 |
12 |
$167.51 |
| D0330 |
|
66 |
66 |
$155.71 |
| 88112 |
|
15 |
15 |
$147.16 |
| G0283 |
Elec stim other than wound |
157 |
59 |
$136.40 |
| 81002 |
|
40 |
39 |
$135.38 |
| J3360 |
Diazepam injection |
91 |
71 |
$124.96 |
| G8985 |
Carry goal status |
39 |
37 |
$123.32 |
| G8984 |
Carry current status |
26 |
25 |
$122.32 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
192 |
115 |
$117.43 |
| 90680 |
|
170 |
157 |
$108.79 |
| 90688 |
|
12 |
12 |
$107.28 |
| J1953 |
Levetiracetam injection |
46 |
36 |
$105.40 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
47 |
42 |
$104.32 |
| 85347 |
|
13 |
13 |
$103.24 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
475 |
427 |
$102.86 |
| J3420 |
Vitamin b12 injection |
78 |
64 |
$97.32 |
| G0472 |
Hep c screen high risk/other |
54 |
46 |
$97.13 |
| J3371 |
Inj, vancomycin hcl (mylan) |
437 |
366 |
$94.60 |
| J1836 |
Inj, metronidazole, 10 mg |
213 |
157 |
$91.03 |
| 80177 |
|
25 |
25 |
$90.30 |
| 82565 |
|
35 |
32 |
$71.71 |
| J8540 |
Oral dexamethasone |
13 |
13 |
$70.99 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
167 |
97 |
$70.76 |
| 83010 |
|
15 |
12 |
$70.48 |
| S0028 |
Injection, famotidine, 20 mg |
26 |
25 |
$59.49 |
| J3490 |
Drugs unclassified injection |
13 |
13 |
$58.09 |
| 84300 |
|
25 |
24 |
$54.49 |
| 90673 |
|
14 |
14 |
$49.94 |
| J1790 |
Droperidol injection |
51 |
40 |
$47.36 |
| J7620 |
Albuterol ipratrop non-comp |
171 |
115 |
$46.71 |
| J1010 |
Inj, methylpred acetate 1 mg |
61 |
51 |
$46.11 |
| J2471 |
Inj pantoprazole(hikma) 40mg |
82 |
69 |
$45.91 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
842 |
668 |
$37.96 |
| J7120 |
Ringers lactate infusion |
38 |
33 |
$37.26 |
| U0002 |
Covid-19 lab test non-cdc |
87 |
84 |
$35.44 |
| J1643 |
Inj heparin, pfizer, 1000u |
400 |
288 |
$34.27 |
| G2062 |
Qual nonmd est pt 11-20m |
17 |
14 |
$33.02 |
| 86880 |
|
14 |
12 |
$31.20 |
| D0150 |
|
25 |
25 |
$30.00 |
| D0140 |
|
76 |
72 |
$28.20 |
| 88300 |
|
12 |
12 |
$27.52 |
| J2004 |
Inj, lidocaine w epinephrine |
46 |
45 |
$26.58 |
| J2543 |
Piperacillin/tazobactam |
23 |
13 |
$15.67 |
| 91300 |
|
263 |
236 |
$13.81 |
| J0500 |
Dicyclomine injection |
12 |
12 |
$11.77 |
| J2470 |
Inj pantoprazole sodium 40mg |
16 |
14 |
$10.64 |
| J7040 |
Normal saline solution infus |
19 |
17 |
$9.91 |
| J3411 |
Thiamine hcl 100 mg |
20 |
15 |
$7.00 |
| 91303 |
|
40 |
39 |
$7.00 |
| J0697 |
Sterile cefuroxime injection |
17 |
17 |
$6.00 |
| J0736 |
Inj, clindamycin phosp 300mg |
15 |
13 |
$5.79 |
| Q0245 |
Bamlanivimab and etesevima |
15 |
15 |
$5.00 |
| J0687 |
Inj cefazolin (wg crit care) |
417 |
370 |
$4.93 |
| 85014 |
|
13 |
13 |
$4.61 |
| Q0244 |
Casirivi and imdevi 1200 mg |
12 |
12 |
$3.00 |
| Q0239 |
Bamlanivimab-xxxx |
14 |
14 |
$2.00 |
| J2372 |
Inj, biorphen, 20 micrograms |
45 |
37 |
$1.00 |
| 91307 |
|
12 |
12 |
$1.00 |
| 82810 |
|
15 |
12 |
$0.00 |
| 88160 |
|
15 |
15 |
$0.00 |
| 99080 |
|
79 |
14 |
$0.00 |