| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpt clinic visit |
909,870 |
749,869 |
$72.29M |
| G9001 |
Mccd, initial rate |
91,583 |
91,079 |
$31.64M |
| 99283 |
|
115,115 |
107,233 |
$16.57M |
| 95004 |
|
2,843 |
2,767 |
$12.10M |
| 99285 |
|
40,547 |
37,204 |
$10.53M |
| G0439 |
Ppps, subseq visit |
91,152 |
89,785 |
$10.52M |
| G0378 |
Hospital observation per hr |
24,139 |
21,969 |
$10.20M |
| 99284 |
|
49,773 |
45,750 |
$8.70M |
| A0430 |
Fixed wing air transport |
3,243 |
3,036 |
$6.53M |
| J1745 |
Infliximab not biosimil 10mg |
2,076 |
1,577 |
$6.41M |
| J9271 |
Inj pembrolizumab |
817 |
620 |
$6.40M |
| 74177 |
|
22,123 |
21,162 |
$5.81M |
| 70450 |
|
26,872 |
24,922 |
$5.17M |
| A0435 |
Fixed wing air mileage |
3,242 |
3,034 |
$5.03M |
| 99214 |
|
80,634 |
75,161 |
$4.10M |
| 93005 |
|
70,277 |
60,709 |
$4.04M |
| J9312 |
Inj., rituximab, 10 mg |
784 |
507 |
$3.90M |
| 80048 |
|
229,644 |
186,092 |
$3.48M |
| H2017 |
Psysoc rehab svc, per 15 min |
35,903 |
3,690 |
$3.40M |
| J0585 |
Injection,onabotulinumtoxina |
5,747 |
3,614 |
$3.28M |
| 80307 |
|
75,741 |
53,318 |
$3.05M |
| 93303 |
|
5,751 |
5,564 |
$3.04M |
| H0039 |
Asser com tx face-face/15min |
18,439 |
2,082 |
$3.00M |
| 71260 |
|
11,516 |
11,245 |
$3.00M |
| 97110 |
|
54,957 |
28,105 |
$2.86M |
| 93306 |
|
7,024 |
6,816 |
$2.85M |
| H2033 |
Multisys ther/juvenile 15min |
10,555 |
1,332 |
$2.76M |
| 70553 |
|
6,135 |
6,036 |
$2.70M |
| 97530 |
|
30,150 |
14,922 |
$2.42M |
| 99282 |
|
26,574 |
25,631 |
$2.31M |
| 99213 |
|
57,867 |
54,235 |
$2.22M |
| 96413 |
|
18,781 |
12,005 |
$2.21M |
| 71046 |
|
44,240 |
41,280 |
$2.19M |
| 87636 |
|
26,777 |
25,335 |
$2.17M |
| 72125 |
|
8,787 |
8,417 |
$2.05M |
| 71275 |
|
5,458 |
5,257 |
$1.90M |
| 87491 |
|
40,154 |
38,261 |
$1.87M |
| 76816 |
|
18,224 |
17,016 |
$1.86M |
| 70551 |
|
5,572 |
5,444 |
$1.83M |
| 43239 |
|
4,468 |
4,338 |
$1.78M |
| G0390 |
Trauma respons w/hosp criti |
1,189 |
1,152 |
$1.77M |
| 42820 |
|
1,154 |
1,143 |
$1.73M |
| U0003 |
Cov-19 amp prb hgh thruput |
21,203 |
20,393 |
$1.72M |
| 96374 |
|
41,522 |
37,302 |
$1.71M |
| 85025 |
|
139,585 |
114,808 |
$1.70M |
| 0241U |
|
12,582 |
12,347 |
$1.63M |
| J7307 |
Etonogestrel implant system |
1,716 |
1,555 |
$1.62M |
| 90837 |
|
17,241 |
10,619 |
$1.62M |
| 77386 |
|
3,746 |
374 |
$1.57M |
| 80076 |
|
118,249 |
104,431 |
$1.55M |
| 87591 |
|
40,183 |
38,283 |
$1.55M |
| 96375 |
|
36,059 |
27,349 |
$1.54M |
| 94640 |
|
9,396 |
6,422 |
$1.52M |
| 99291 |
|
4,104 |
3,955 |
$1.51M |
| 96365 |
|
17,715 |
14,318 |
$1.50M |
| 70498 |
|
4,740 |
4,557 |
$1.49M |
| J2505 |
Injection, pegfilgrastim 6mg |
484 |
380 |
$1.43M |
| 92587 |
|
12,518 |
12,298 |
$1.43M |
| J0129 |
Abatacept injection |
921 |
537 |
$1.42M |
| H2015 |
Comp comm supp svc, 15 min |
12,149 |
5,022 |
$1.39M |
| 82306 |
|
37,802 |
37,063 |
$1.38M |
| C1713 |
Anchor/screw bn/bn,tis/bn |
2,821 |
2,612 |
$1.36M |
| J1569 |
Gammagard liquid injection |
591 |
358 |
$1.33M |
| 84443 |
|
55,156 |
53,403 |
$1.33M |
| 76770 |
|
12,133 |
11,985 |
$1.31M |
| 78815 |
|
1,940 |
1,905 |
$1.30M |
| 76819 |
|
10,702 |
5,461 |
$1.26M |
| 96372 |
|
48,067 |
38,707 |
$1.24M |
| 99215 |
Prolong outpt/office vis |
16,481 |
15,598 |
$1.24M |
| 73610 |
|
13,383 |
11,588 |
$1.22M |
| 73130 |
|
18,138 |
14,835 |
$1.20M |
| C8929 |
Tte w or wo fol wcon,doppler |
3,191 |
3,127 |
$1.19M |
| 92014 |
|
24,389 |
23,035 |
$1.18M |
| Q3014 |
Telehealth facility fee |
30,532 |
27,704 |
$1.17M |
| 45380 |
|
2,849 |
2,772 |
$1.17M |
| 69436 |
|
769 |
762 |
$1.16M |
| 85027 |
|
135,027 |
114,950 |
$1.16M |
| 73562 |
|
12,739 |
11,359 |
$1.09M |
| A0431 |
Rotary wing air transport |
482 |
450 |
$1.06M |
| G0480 |
Drug test def 1-7 classes |
16,962 |
14,490 |
$1.03M |
| 93976 |
|
8,877 |
8,587 |
$1.01M |
| J9299 |
Injection, nivolumab |
132 |
102 |
$992K |
| 73721 |
|
2,891 |
2,717 |
$981K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
42,669 |
39,967 |
$976K |
| 73630 |
|
14,826 |
12,621 |
$976K |
| T1007 |
Treatment plan development |
7,446 |
7,030 |
$960K |
| 72148 |
|
3,279 |
3,230 |
$948K |
| 76811 |
|
5,205 |
5,160 |
$945K |
| 20610 |
|
9,642 |
7,573 |
$938K |
| 73110 |
|
13,571 |
11,366 |
$934K |
| 83036 |
|
67,914 |
66,229 |
$932K |
| 92012 |
|
18,899 |
15,717 |
$917K |
| 66984 |
|
1,541 |
1,404 |
$894K |
| 99232 |
|
17,060 |
8,096 |
$887K |
| 95810 |
|
1,149 |
1,136 |
$886K |
| 59025 |
|
7,882 |
5,347 |
$861K |
| 88305 |
|
19,135 |
18,537 |
$854K |
| 72170 |
|
9,549 |
9,319 |
$854K |
| 90471 |
|
43,513 |
42,996 |
$850K |
| 94010 |
|
6,418 |
6,281 |
$847K |
| 97597 |
|
12,558 |
5,441 |
$827K |
| 86003 |
|
1,730 |
1,681 |
$812K |
| 71045 |
|
18,287 |
16,591 |
$809K |
| 73030 |
|
10,113 |
9,037 |
$800K |
| J7298 |
Mirena, 52 mg |
824 |
760 |
$800K |
| 90472 |
|
24,113 |
23,944 |
$782K |
| 74183 |
|
2,016 |
1,996 |
$771K |
| J1561 |
Gamunex-c/gammaked |
354 |
226 |
$763K |
| 81513 |
|
7,478 |
7,151 |
$757K |
| 93325 |
|
8,543 |
8,253 |
$752K |
| 20553 |
|
5,536 |
4,874 |
$746K |
| 45385 |
|
2,245 |
2,196 |
$744K |
| 90870 |
|
1,943 |
680 |
$742K |
| 87086 |
|
49,556 |
45,796 |
$736K |
| 0225U |
|
3,635 |
3,555 |
$735K |
| 76700 |
|
6,090 |
5,932 |
$729K |
| 20680 |
|
460 |
447 |
$715K |
| 72082 |
|
5,905 |
5,843 |
$711K |
| J9310 |
Rituximab injection |
160 |
125 |
$699K |
| 43235 |
|
1,625 |
1,575 |
$694K |
| 99203 |
|
12,539 |
12,317 |
$691K |
| 72141 |
|
2,229 |
2,211 |
$675K |
| J7323 |
Euflexxa inj per dose |
3,379 |
1,753 |
$671K |
| 95811 |
|
1,027 |
1,020 |
$670K |
| 73080 |
|
9,156 |
8,048 |
$670K |
| 73590 |
|
10,009 |
8,813 |
$666K |
| 80061 |
|
42,845 |
41,888 |
$658K |
| J0897 |
Denosumab injection |
998 |
965 |
$653K |
| 70486 |
|
3,139 |
3,040 |
$645K |
| 76817 |
|
8,573 |
7,620 |
$639K |
| 70496 |
|
2,348 |
2,229 |
$639K |
| 92557 |
|
5,825 |
5,718 |
$630K |
| 77067 |
|
5,764 |
5,738 |
$630K |
| A0436 |
Rotary wing air mileage |
482 |
450 |
$630K |
| 84702 |
|
28,913 |
25,663 |
$629K |
| 96361 |
|
9,475 |
8,058 |
$628K |
| J0178 |
Aflibercept injection |
495 |
482 |
$623K |
| 83735 |
|
76,262 |
60,777 |
$622K |
| 87536 |
|
7,051 |
6,910 |
$615K |
| 73090 |
|
8,263 |
7,221 |
$608K |
| 76856 |
|
6,151 |
5,975 |
$608K |
| J3490 |
Drugs unclassified injection |
43,115 |
30,646 |
$604K |
| 76705 |
|
5,092 |
4,900 |
$597K |
| 76801 |
|
5,857 |
5,381 |
$589K |
| 74018 |
|
8,576 |
7,943 |
$578K |
| 92567 |
|
12,901 |
12,730 |
$576K |
| 99204 |
|
5,810 |
5,688 |
$558K |
| 74176 |
|
2,955 |
2,859 |
$553K |
| 92507 |
|
7,802 |
3,884 |
$547K |
| 71250 |
|
4,094 |
4,008 |
$537K |
| 96110 |
|
10,250 |
10,095 |
$527K |
| 93975 |
|
3,713 |
3,638 |
$523K |
| 84484 |
|
34,902 |
23,262 |
$518K |
| 36415 |
|
65,241 |
60,812 |
$514K |
| 86850 |
|
25,894 |
23,043 |
$499K |
| 20552 |
|
3,725 |
3,451 |
$497K |
| 36430 |
|
2,430 |
1,605 |
$490K |
| C8930 |
Tte w or w/o contr, cont ecg |
1,357 |
1,340 |
$488K |
| 99392 |
|
5,675 |
5,618 |
$480K |
| 73564 |
|
4,415 |
4,118 |
$471K |
| 73221 |
|
1,525 |
1,444 |
$467K |
| 76830 |
|
5,186 |
5,035 |
$459K |
| 84100 |
|
81,913 |
66,309 |
$455K |
| 81001 |
|
80,304 |
73,932 |
$454K |
| 97140 |
|
11,147 |
7,264 |
$440K |
| 90832 |
|
8,064 |
6,696 |
$436K |
| 87798 |
|
5,962 |
5,822 |
$429K |
| 72100 |
|
5,283 |
5,102 |
$427K |
| U0005 |
Infec agen detec ampli probe |
9,728 |
9,280 |
$427K |
| 96376 |
|
13,236 |
9,744 |
$425K |
| 76825 |
|
810 |
762 |
$423K |
| 76000 |
|
2,977 |
2,872 |
$421K |
| 80053 |
|
51,696 |
44,420 |
$419K |
| 96366 |
|
7,306 |
5,578 |
$419K |
| 86780 |
|
20,482 |
19,958 |
$413K |
| 87481 |
|
10,424 |
9,928 |
$405K |
| 97542 |
|
2,497 |
2,443 |
$404K |
| 96416 |
|
2,403 |
1,342 |
$398K |
| 45378 |
|
964 |
941 |
$398K |
| 87637 |
|
4,054 |
3,888 |
$394K |
| 76815 |
|
4,736 |
4,082 |
$393K |
| 99281 |
|
6,777 |
6,535 |
$384K |
| 72110 |
|
4,169 |
4,090 |
$383K |
| 96415 |
|
6,047 |
4,407 |
$383K |
| 93320 |
|
5,598 |
5,413 |
$382K |
| 97602 |
|
6,509 |
3,417 |
$381K |
| 93971 |
|
4,165 |
3,995 |
$381K |
| C9803 |
Hopd covid-19 spec collect |
14,614 |
14,055 |
$379K |
| 87633 |
|
976 |
950 |
$376K |
| 96417 |
|
4,190 |
2,853 |
$376K |
| 99391 |
|
4,254 |
4,074 |
$371K |
| 83880 |
|
13,639 |
12,169 |
$370K |
| 92579 |
|
3,335 |
3,320 |
$368K |
| 96360 |
|
5,404 |
4,734 |
$364K |
| 82077 |
|
12,385 |
11,336 |
$363K |
| 72197 |
|
811 |
798 |
$363K |
| 83690 |
|
41,716 |
38,166 |
$362K |
| 87040 |
|
11,147 |
8,327 |
$360K |
| 99212 |
|
13,319 |
12,497 |
$359K |
| 87502 |
|
4,043 |
3,927 |
$358K |
| 70491 |
|
1,394 |
1,362 |
$357K |
| 54161 |
|
246 |
245 |
$357K |
| 29075 |
|
2,248 |
2,159 |
$354K |
| 87801 |
|
2,905 |
2,754 |
$353K |
| 73552 |
|
5,194 |
4,708 |
$344K |
| 84439 |
|
28,235 |
27,295 |
$343K |
| 51102 |
|
457 |
366 |
$341K |
| 77073 |
|
2,949 |
2,924 |
$337K |
| 90847 |
|
2,153 |
1,423 |
$335K |
| 96367 |
|
6,458 |
4,767 |
$335K |
| 83970 |
|
8,120 |
7,725 |
$333K |
| 90834 |
|
4,225 |
2,992 |
$332K |
| 83655 |
|
7,565 |
7,428 |
$329K |
| 90461 |
|
7,900 |
7,867 |
$323K |
| 44970 |
|
110 |
104 |
$318K |
| 90791 |
|
3,196 |
3,038 |
$318K |
| 80074 |
|
4,761 |
4,666 |
$314K |
| 29405 |
|
1,751 |
1,480 |
$312K |
| 67028 |
|
1,834 |
1,777 |
$311K |
| 82728 |
|
18,652 |
18,007 |
$310K |
| 97112 |
|
7,487 |
4,788 |
$310K |
| P9016 |
Rbc leukocytes reduced |
1,215 |
973 |
$310K |
| 87661 |
|
10,694 |
10,183 |
$309K |
| 76642 |
|
3,125 |
3,084 |
$307K |
| 77336 |
|
2,923 |
1,433 |
$298K |
| 86803 |
|
14,733 |
14,476 |
$297K |
| 93970 |
|
2,331 |
2,281 |
$296K |
| 29581 |
|
5,684 |
1,737 |
$294K |
| 90715 |
|
13,900 |
13,645 |
$288K |
| 76805 |
|
2,770 |
2,742 |
$287K |
| 72146 |
|
897 |
883 |
$287K |
| 76536 |
|
3,098 |
3,058 |
$285K |
| Q9957 |
Inj perflutren lip micros,ml |
3,455 |
3,387 |
$282K |
| 73060 |
|
4,431 |
4,073 |
$279K |
| 86480 |
|
5,650 |
5,546 |
$278K |
| 88307 |
|
2,172 |
2,108 |
$277K |
| 74181 |
|
795 |
786 |
$276K |
| 36591 |
|
7,694 |
6,120 |
$276K |
| 73502 |
|
4,909 |
4,731 |
$274K |
| 96127 |
|
6,859 |
6,700 |
$274K |
| C1769 |
Guide wire |
5,220 |
4,658 |
$274K |
| 97535 |
|
9,794 |
7,582 |
$273K |
| 82803 |
|
10,170 |
9,633 |
$273K |
| 72072 |
|
3,398 |
3,293 |
$270K |
| 94060 |
|
2,409 |
2,369 |
$268K |
| 87077 |
|
20,459 |
19,235 |
$266K |
| 92134 |
|
8,738 |
8,263 |
$265K |
| 92526 |
|
3,281 |
1,988 |
$264K |
| 99173 |
|
3,932 |
3,882 |
$264K |
| 87522 |
Neg quan hep c or qual rna |
4,298 |
4,184 |
$263K |
| 86160 |
|
6,286 |
5,850 |
$263K |
| 81025 |
|
18,165 |
17,326 |
$260K |
| 90460 |
|
12,084 |
12,017 |
$252K |
| 99393 |
|
2,894 |
2,847 |
$252K |
| 74178 |
|
1,104 |
1,083 |
$252K |
| 87624 |
|
6,619 |
6,479 |
$251K |
| G0009 |
Admin pneumococcal vaccine |
13,351 |
13,246 |
$251K |
| 86235 |
|
3,126 |
3,028 |
$250K |
| 86140 |
|
38,874 |
35,332 |
$249K |
| 72050 |
|
2,628 |
2,595 |
$248K |
| G0384 |
Lev 5 hosp type b ed visit |
1,165 |
1,141 |
$248K |
| 82570 |
|
35,861 |
32,844 |
$244K |
| 72158 |
|
551 |
538 |
$244K |
| 99172 |
|
1,845 |
1,804 |
$243K |
| 77334 |
|
1,021 |
779 |
$241K |
| 64615 |
|
2,049 |
1,941 |
$237K |
| 77063 |
|
3,980 |
3,963 |
$236K |
| 83605 |
|
16,327 |
13,711 |
$228K |
| U0002 |
Covid-19 lab test non-cdc |
4,823 |
4,666 |
$226K |
| 88185 |
|
853 |
752 |
$225K |
| 88342 |
|
5,124 |
4,914 |
$225K |
| 76870 |
|
1,870 |
1,806 |
$224K |
| 94760 |
|
14,481 |
13,758 |
$224K |
| 85610 |
|
49,515 |
42,005 |
$223K |
| 72156 |
|
502 |
493 |
$221K |
| J2704 |
Inj, propofol, 10 mg |
22,117 |
20,916 |
$220K |
| 95812 |
|
1,247 |
1,232 |
$212K |
| A9552 |
F18 fdg |
2,303 |
2,265 |
$211K |
| 58300 |
|
1,262 |
1,232 |
$211K |
| 97760 |
|
3,994 |
3,236 |
$207K |
| 67311 |
|
110 |
110 |
$206K |
| 69210 |
|
2,299 |
2,247 |
$205K |
| 52000 |
|
575 |
567 |
$202K |
| 76820 |
|
2,784 |
1,361 |
$202K |
| 87186 |
|
15,918 |
15,038 |
$202K |
| 87653 |
|
4,261 |
4,155 |
$201K |
| 29065 |
|
1,153 |
1,123 |
$198K |
| 97163 |
|
2,698 |
2,666 |
$197K |
| 43264 |
|
271 |
263 |
$194K |
| 99442 |
|
3,665 |
3,474 |
$194K |
| 84403 |
|
6,488 |
6,279 |
$193K |
| 17110 |
|
1,926 |
1,852 |
$190K |
| C1889 |
Implant/insert device, noc |
1,103 |
1,043 |
$189K |
| J2405 |
Ondansetron hcl injection |
54,967 |
44,973 |
$188K |
| 72195 |
|
469 |
463 |
$187K |
| 80305 |
|
17,008 |
15,817 |
$187K |
| 76813 |
|
2,933 |
2,898 |
$186K |
| 93226 |
|
1,638 |
1,619 |
$183K |
| 36592 |
|
5,768 |
4,201 |
$183K |
| J9355 |
Inj trastuzumab excl biosimi |
94 |
38 |
$183K |
| 97161 |
|
8,097 |
7,908 |
$178K |
| 96116 |
|
1,036 |
1,019 |
$175K |
| 94660 |
|
2,244 |
2,027 |
$175K |
| 81514 |
|
1,593 |
1,542 |
$174K |
| 92083 |
|
3,371 |
3,273 |
$174K |
| 94729 |
|
2,554 |
2,520 |
$171K |
| 92610 |
|
2,102 |
2,045 |
$170K |
| 92133 |
|
4,603 |
4,505 |
$170K |
| 97162 |
|
4,441 |
4,332 |
$169K |
| 86147 |
|
1,561 |
1,532 |
$166K |
| 86361 |
|
5,817 |
5,742 |
$164K |
| 82607 |
|
9,896 |
9,731 |
$164K |
| A9577 |
Inj multihance |
7,268 |
7,118 |
$163K |
| 31231 |
|
1,197 |
1,183 |
$163K |
| 93017 |
|
934 |
908 |
$162K |
| 64721 |
|
184 |
174 |
$160K |
| 77080 |
|
2,653 |
2,620 |
$160K |
| 82785 |
|
2,620 |
2,549 |
$159K |
| 77066 |
Tomosynthesis, mammo |
1,852 |
1,834 |
$159K |
| G0500 |
Mod sedat endo service >5yrs |
8,543 |
8,090 |
$159K |
| 74230 |
|
1,857 |
1,836 |
$158K |
| P9047 |
Albumin (human), 25%, 50ml |
941 |
444 |
$157K |
| G0475 |
Hiv combination assay |
18,776 |
18,384 |
$156K |
| L1960 |
Afo pos solid ank plastic mo |
317 |
195 |
$155K |
| 31575 |
|
1,121 |
1,097 |
$155K |
| Q0162 |
Ondansetron oral |
16,068 |
13,669 |
$154K |
| J0131 |
Inj, acetaminophen (nos) |
15,670 |
15,123 |
$153K |
| 82043 |
|
14,852 |
14,514 |
$153K |
| 94726 |
|
1,375 |
1,355 |
$153K |
| 87651 |
|
3,670 |
3,599 |
$152K |
| 96409 |
|
1,610 |
1,057 |
$151K |
| 51798 |
|
3,962 |
3,841 |
$151K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
6,292 |
6,173 |
$151K |
| 83520 |
|
5,272 |
4,099 |
$151K |
| J3010 |
Fentanyl citrate injection |
47,157 |
43,828 |
$148K |
| 83550 |
|
14,824 |
14,449 |
$148K |
| 11102 |
|
1,071 |
1,053 |
$145K |
| 36416 |
|
13,740 |
12,487 |
$144K |
| 87340 |
|
10,077 |
9,804 |
$143K |
| 49083 |
|
696 |
314 |
$142K |
| 12001 |
|
1,393 |
1,366 |
$140K |
| 77412 |
|
1,342 |
163 |
$140K |
| 77301 |
|
157 |
147 |
$138K |
| C1894 |
Intro/sheath, non-laser |
2,606 |
2,459 |
$138K |
| 86923 |
|
2,181 |
1,823 |
$137K |
| C8908 |
Mri w/o fol w/cont, breast, |
352 |
352 |
$137K |
| J1885 |
Ketorolac tromethamine inj |
30,012 |
27,011 |
$137K |
| 82784 |
|
8,528 |
8,207 |
$135K |
| 99153 |
Mod sedat endo service >5yrs |
7,637 |
7,378 |
$134K |
| 96900 |
|
4,643 |
923 |
$134K |
| 47562 |
|
56 |
54 |
$134K |
| 51701 |
|
1,732 |
1,655 |
$133K |
| J9035 |
Bevacizumab injection |
58 |
26 |
$131K |
| 80143 |
|
6,105 |
5,552 |
$130K |
| 77065 |
Tomosynthesis, mammo |
1,860 |
1,763 |
$129K |
| 12002 |
|
1,284 |
1,254 |
$129K |
| 80179 |
|
6,013 |
5,468 |
$127K |
| 83540 |
|
16,376 |
15,948 |
$127K |
| 99205 |
Prolong outpt/office vis |
980 |
972 |
$126K |
| 11981 |
|
687 |
679 |
$125K |
| 90833 |
|
4,297 |
3,781 |
$125K |
| 97116 |
|
3,898 |
2,904 |
$124K |
| 82670 |
|
3,821 |
3,754 |
$124K |
| 94761 |
|
4,455 |
3,419 |
$123K |
| 86900 |
|
28,032 |
23,541 |
$123K |
| 92555 |
|
1,152 |
1,135 |
$123K |
| 12011 |
|
1,141 |
1,112 |
$121K |
| 43259 |
|
288 |
274 |
$120K |
| 85730 |
|
16,556 |
15,685 |
$120K |
| 92611 |
|
1,501 |
1,486 |
$120K |
| 87480 |
|
4,701 |
4,507 |
$119K |
| 87510 |
|
4,702 |
4,508 |
$119K |
| 87660 |
|
4,702 |
4,508 |
$119K |
| 72040 |
|
1,332 |
1,278 |
$118K |
| 88304 |
|
3,886 |
3,764 |
$118K |
| 86901 |
|
28,073 |
23,566 |
$118K |
| 76886 |
|
1,099 |
1,043 |
$116K |
| 93923 |
|
1,549 |
1,515 |
$114K |
| H2010 |
Comprehensive med svc 15 min |
861 |
498 |
$114K |
| 83516 |
|
5,131 |
4,548 |
$114K |
| 87635 |
|
1,818 |
1,755 |
$114K |
| 85652 |
|
31,611 |
28,912 |
$114K |
| J2997 |
Alteplase recombinant |
645 |
570 |
$113K |
| G0008 |
Admin influenza virus vac |
14,366 |
14,305 |
$112K |
| 84156 |
|
23,163 |
21,097 |
$111K |
| 90670 |
|
10,775 |
10,709 |
$111K |
| 90474 |
|
5,178 |
5,141 |
$110K |
| 99394 |
|
1,269 |
1,232 |
$110K |
| 72190 |
|
1,108 |
1,056 |
$109K |
| 58301 |
|
458 |
447 |
$109K |
| 96161 |
|
2,858 |
2,829 |
$109K |
| 73000 |
|
1,550 |
1,438 |
$107K |
| J7050 |
Normal saline solution infus |
10,964 |
7,866 |
$107K |
| J2560 |
Phenobarbital sodium inj |
2,800 |
2,021 |
$107K |
| J1439 |
Inj ferric carboxymaltos 1mg |
178 |
111 |
$106K |
| 92004 |
|
1,616 |
1,585 |
$106K |
| 72157 |
|
243 |
237 |
$106K |
| J1050 |
Medroxyprogesterone acetate |
5,348 |
5,263 |
$105K |
| 82805 |
|
2,544 |
1,898 |
$104K |
| 99080 |
|
27,972 |
27,718 |
$104K |
| 64642 |
|
415 |
408 |
$103K |
| 86038 |
|
6,828 |
6,689 |
$102K |
| C1773 |
Ret dev, insertable |
2,835 |
2,774 |
$102K |
| 82378 |
|
4,263 |
3,565 |
$101K |
| 77300 |
|
437 |
400 |
$100K |
| 88312 |
|
1,642 |
1,597 |
$100K |
| 87632 |
|
432 |
425 |
$99K |
| 74174 |
|
305 |
296 |
$99K |
| J3301 |
Triamcinolone acet inj nos |
8,519 |
8,255 |
$99K |
| 92558 |
|
1,801 |
1,793 |
$99K |
| 95700 |
|
503 |
487 |
$97K |
| 87799 |
|
2,453 |
2,220 |
$96K |
| 69209 |
|
1,469 |
1,402 |
$96K |
| 97113 |
|
630 |
326 |
$95K |
| 96119 |
|
230 |
230 |
$94K |
| 90732 |
|
1,246 |
1,207 |
$94K |
| 83615 |
|
10,784 |
9,297 |
$93K |
| 90651 |
|
4,322 |
4,289 |
$92K |
| J1453 |
Fosaprepitant injection |
758 |
542 |
$92K |
| J9070 |
Cyclophosphamide 100 mg inj |
186 |
111 |
$92K |
| J8501 |
Oral aprepitant |
936 |
663 |
$92K |
| 10060 |
|
983 |
940 |
$92K |
| 25600 |
|
564 |
553 |
$91K |
| 97802 |
|
1,540 |
1,529 |
$90K |
| J0696 |
Ceftriaxone sodium injection |
7,661 |
5,984 |
$90K |
| J1100 |
Dexamethasone sodium phos |
34,037 |
28,904 |
$89K |
| 87070 |
|
5,716 |
5,421 |
$89K |
| C1887 |
Catheter, guiding |
1,126 |
1,071 |
$89K |
| G0382 |
Lev 3 hosp type b ed visit |
925 |
903 |
$89K |
| 54640 |
|
39 |
39 |
$88K |
| 81002 |
|
13,631 |
12,563 |
$88K |
| 97803 |
|
2,131 |
2,066 |
$88K |
| 86225 |
|
5,034 |
4,772 |
$87K |
| J2426 |
Inj, invega sustenna, 1 mg |
16 |
15 |
$86K |
| 36000 |
|
5,941 |
5,766 |
$86K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
2,114 |
2,070 |
$86K |
| 99152 |
|
3,905 |
3,699 |
$86K |
| 95886 |
|
1,124 |
1,106 |
$86K |
| 82550 |
|
9,921 |
9,021 |
$86K |
| G0279 |
Tomosynthesis, mammo |
1,678 |
1,602 |
$85K |
| 88313 |
|
1,555 |
1,495 |
$85K |
| 82248 |
|
8,481 |
6,708 |
$85K |
| 87902 |
|
275 |
275 |
$85K |
| 82105 |
|
4,124 |
3,907 |
$85K |
| 97167 |
|
996 |
984 |
$83K |
| 80197 |
|
6,160 |
4,201 |
$82K |
| 96401 |
|
2,076 |
1,170 |
$82K |
| 96523 |
|
2,174 |
1,825 |
$82K |
| 99443 |
|
1,192 |
1,129 |
$82K |
| 95713 |
|
212 |
203 |
$82K |
| 97165 |
|
3,437 |
3,377 |
$82K |
| 96411 |
|
1,622 |
1,128 |
$81K |
| 99606 |
|
3,237 |
2,847 |
$80K |
| 95782 |
|
86 |
85 |
$80K |
| 92652 |
|
316 |
307 |
$79K |
| 82565 |
|
14,351 |
13,730 |
$79K |
| J0561 |
Penicillin g benzathine inj |
447 |
392 |
$78K |
| 84480 |
|
4,423 |
4,135 |
$78K |
| 72081 |
|
934 |
917 |
$78K |
| 92582 |
|
612 |
600 |
$78K |
| 73560 |
|
1,182 |
1,073 |
$77K |
| 84460 |
|
9,720 |
9,429 |
$77K |
| J0690 |
Cefazolin sodium injection |
15,087 |
13,623 |
$77K |
| G0010 |
Admin hepatitis b vaccine |
3,792 |
3,761 |
$77K |
| 88175 |
|
2,895 |
2,815 |
$76K |
| 84270 |
|
4,368 |
4,230 |
$76K |
| J1631 |
Haloperidol decanoate inj |
1,183 |
1,049 |
$76K |
| 73523 |
|
591 |
584 |
$76K |
| 96118 |
|
237 |
237 |
$76K |
| 82746 |
|
4,662 |
4,595 |
$76K |
| 64483 |
|
224 |
222 |
$75K |
| Q9950 |
Inj sulf hexa lipid microsph |
890 |
866 |
$74K |
| 86762 |
|
5,083 |
4,925 |
$74K |
| J0475 |
Baclofen 10 mg injection |
285 |
275 |
$74K |
| 86146 |
|
1,526 |
1,500 |
$73K |
| 85384 |
|
6,438 |
5,924 |
$73K |
| 70543 |
|
153 |
152 |
$73K |
| 87650 |
|
1,623 |
1,606 |
$73K |
| J7040 |
Normal saline solution infus |
7,476 |
4,791 |
$72K |
| 82140 |
|
4,082 |
3,801 |
$72K |
| 84450 |
|
9,418 |
9,142 |
$72K |
| 43244 |
|
164 |
160 |
$71K |
| J2250 |
Inj midazolam hydrochloride |
35,085 |
33,095 |
$71K |
| 86787 |
|
5,503 |
5,339 |
$71K |
| 94618 |
|
803 |
781 |
$70K |
| 73140 |
|
1,003 |
956 |
$70K |
| 93225 |
|
1,345 |
1,328 |
$69K |
| 11976 |
|
162 |
158 |
$69K |
| 84153 |
|
3,632 |
3,519 |
$68K |
| 76942 |
|
941 |
916 |
$67K |
| 85379 |
|
4,756 |
4,432 |
$67K |
| 86706 |
|
4,856 |
4,766 |
$66K |
| 11900 |
|
641 |
619 |
$66K |
| 78816 |
|
70 |
68 |
$65K |
| J1815 |
Insulin injection |
3,343 |
1,970 |
$64K |
| Q0091 |
Obtaining screen pap smear |
4,645 |
4,569 |
$64K |
| 96450 |
|
265 |
202 |
$63K |
| 76827 |
|
534 |
506 |
$62K |
| 70355 |
|
1,523 |
1,472 |
$62K |
| 73700 |
|
301 |
280 |
$62K |
| G0108 |
Diab manage trn per indiv |
707 |
617 |
$62K |
| 76882 |
|
648 |
604 |
$60K |
| 83001 |
|
2,374 |
2,328 |
$59K |
| J3380 |
Inj vedolizumab iv 1 mg |
15 |
12 |
$59K |
| 11104 |
|
418 |
407 |
$58K |
| 86945 |
|
589 |
379 |
$58K |
| 70360 |
|
909 |
871 |
$58K |
| 84146 |
|
2,203 |
2,151 |
$58K |
| 11100 |
|
546 |
535 |
$57K |
| H2011 |
Crisis interven svc, 15 min |
2,094 |
1,960 |
$56K |
| 93246 |
|
1,132 |
1,116 |
$56K |
| A9579 |
Gad-base mr contrast nos,1ml |
1,941 |
1,902 |
$56K |
| 82247 |
|
4,000 |
2,609 |
$56K |
| 70487 |
|
198 |
191 |
$55K |
| J9190 |
Fluorouracil injection |
1,971 |
1,149 |
$55K |
| 85018 |
|
8,598 |
8,392 |
$53K |
| 86800 |
|
2,433 |
2,305 |
$53K |
| 87880 |
|
2,939 |
2,881 |
$53K |
| 95813 |
|
309 |
298 |
$53K |
| 11042 |
|
349 |
251 |
$53K |
| 86356 |
|
379 |
369 |
$53K |
| 86870 |
|
387 |
361 |
$52K |
| 81420 |
|
99 |
95 |
$51K |
| 26055 |
|
70 |
52 |
$51K |
| 86708 |
|
3,308 |
3,248 |
$51K |
| 99496 |
|
674 |
649 |
$51K |
| 51702 |
|
999 |
918 |
$51K |
| 86430 |
|
4,136 |
4,014 |
$50K |
| 82977 |
|
5,116 |
4,623 |
$50K |
| 86334 |
|
1,176 |
1,068 |
$49K |
| 74022 |
|
537 |
522 |
$49K |
| 86376 |
|
2,253 |
2,214 |
$49K |
| 87497 |
|
1,647 |
1,341 |
$49K |
| 86704 |
|
4,109 |
4,022 |
$48K |
| 87338 |
|
2,702 |
2,667 |
$48K |
| Q0163 |
Diphenhydramine hcl 50mg |
3,253 |
2,559 |
$46K |
| J1644 |
Inj heparin sodium per 1000u |
7,673 |
4,159 |
$46K |
| 87505 |
|
1,433 |
1,340 |
$46K |
| 96160 |
|
1,222 |
1,213 |
$45K |
| 95951 |
|
91 |
59 |
$45K |
| 86200 |
|
2,880 |
2,822 |
$45K |
| 87205 |
|
6,720 |
6,293 |
$44K |
| 64493 |
|
102 |
99 |
$44K |
| 94727 |
|
518 |
511 |
$44K |
| 97166 |
|
1,490 |
1,440 |
$44K |
| 86304 |
|
1,529 |
1,405 |
$43K |
| 76937 |
|
728 |
679 |
$42K |
| 93321 |
|
1,827 |
1,797 |
$42K |
| J1650 |
Inj enoxaparin sodium |
7,942 |
3,683 |
$42K |
| J2795 |
Ropivacaine hcl injection |
2,500 |
2,422 |
$42K |
| 87075 |
|
2,540 |
1,943 |
$42K |
| 86355 |
|
1,231 |
1,159 |
$42K |
| J9263 |
Oxaliplatin |
502 |
205 |
$41K |
| 84550 |
|
7,035 |
6,316 |
$41K |
| 77077 |
|
376 |
371 |
$41K |
| 83002 |
|
1,737 |
1,700 |
$41K |
| 94664 |
|
504 |
495 |
$41K |
| 81373 |
|
193 |
193 |
$40K |
| 70544 |
|
123 |
118 |
$40K |
| 87206 |
|
2,944 |
2,377 |
$39K |
| 86255 |
|
2,000 |
1,942 |
$39K |
| 57454 |
|
184 |
182 |
$39K |
| 84481 |
|
1,889 |
1,831 |
$39K |
| Q5119 |
Inj ruxience, 10 mg |
41 |
14 |
$39K |
| 85246 |
|
1,124 |
1,018 |
$39K |
| J1642 |
Inj heparin sodium per 10 u |
10,178 |
5,322 |
$39K |
| 81375 |
|
132 |
131 |
$38K |
| 90853 |
|
1,305 |
1,060 |
$38K |
| 90677 |
|
804 |
794 |
$38K |
| 86359 |
|
589 |
559 |
$38K |
| 77295 |
|
38 |
37 |
$38K |
| 88184 |
|
935 |
805 |
$38K |
| 87529 |
|
598 |
583 |
$38K |
| 96139 |
|
300 |
299 |
$38K |
| 70250 |
|
454 |
421 |
$37K |
| 43762 |
|
184 |
180 |
$37K |
| 58661 |
|
16 |
16 |
$37K |
| C1726 |
Cath, bal dil, non-vascular |
325 |
298 |
$37K |
| 95251 |
|
1,325 |
1,312 |
$37K |
| 96402 |
|
1,597 |
1,494 |
$37K |
| C9399 |
Unclassified drugs or biolog |
976 |
943 |
$37K |
| 88112 |
|
1,576 |
1,507 |
$37K |
| 90785 |
|
4,901 |
3,010 |
$36K |
| 84305 |
|
1,143 |
1,058 |
$36K |
| J3370 |
Vancomycin hcl injection |
2,856 |
2,137 |
$36K |
| 88720 |
|
3,984 |
2,967 |
$36K |
| J2270 |
Morphine sulfate injection |
12,213 |
9,761 |
$36K |
| J3475 |
Inj magnesium sulfate |
3,121 |
2,357 |
$36K |
| 87102 |
|
2,507 |
2,395 |
$35K |
| 77338 |
|
229 |
211 |
$35K |
| 88341 |
|
2,070 |
1,918 |
$35K |
| 92523 |
|
353 |
339 |
$34K |
| L4361 |
Pneuma/vac walk boot pre ots |
254 |
243 |
$34K |
| 93880 |
|
349 |
339 |
$34K |
| 85014 |
|
9,789 |
8,496 |
$34K |
| 92250 |
|
557 |
543 |
$34K |
| 20550 |
|
253 |
242 |
$34K |
| 99395 |
|
382 |
378 |
$33K |
| 99177 |
|
2,437 |
2,422 |
$33K |
| 80164 |
|
1,540 |
1,437 |
$33K |
| 84134 |
|
1,910 |
1,767 |
$32K |
| G0328 |
Fecal blood scrn immunoassay |
1,755 |
1,726 |
$32K |
| 36593 |
|
293 |
264 |
$32K |
| 92585 |
|
132 |
127 |
$32K |
| J0694 |
Cefoxitin sodium injection |
1,571 |
1,011 |
$32K |
| 95117 |
|
1,185 |
558 |
$32K |
| 81508 |
|
1,168 |
1,130 |
$31K |
| 95956 |
|
58 |
30 |
$31K |
| 87631 |
|
230 |
227 |
$31K |
| 86256 |
|
2,103 |
1,936 |
$31K |
| J1200 |
Diphenhydramine hcl injectio |
10,676 |
8,720 |
$30K |
| 84165 |
|
2,861 |
2,589 |
$30K |
| 17000 |
|
664 |
650 |
$30K |
| 82330 |
|
1,983 |
1,570 |
$29K |
| 72052 |
|
315 |
306 |
$29K |
| 82610 |
|
2,276 |
2,194 |
$29K |
| 96132 |
|
176 |
172 |
$29K |
| 99495 |
|
509 |
505 |
$29K |
| L2840 |
Tibial length sock fx or equ |
429 |
262 |
$28K |
| 67228 |
|
70 |
58 |
$28K |
| 90792 |
|
353 |
323 |
$28K |
| 74019 |
|
255 |
245 |
$27K |
| J3480 |
Inj potassium chloride |
3,115 |
2,183 |
$27K |
| J9045 |
Carboplatin injection |
833 |
589 |
$27K |
| 83993 |
|
1,704 |
1,671 |
$26K |
| 85613 |
|
1,518 |
1,498 |
$26K |
| 77091 |
|
925 |
900 |
$26K |
| 92551 |
|
445 |
443 |
$26K |
| J1170 |
Hydromorphone injection |
6,745 |
5,167 |
$26K |
| 86360 |
|
470 |
452 |
$26K |
| 85049 |
|
4,832 |
4,650 |
$25K |
| 86665 |
|
500 |
449 |
$25K |
| 92552 |
|
227 |
227 |
$25K |
| 82075 |
|
1,016 |
969 |
$25K |
| 25605 |
|
73 |
71 |
$24K |
| 90473 |
|
1,201 |
1,197 |
$24K |
| J0171 |
Adrenalin epinephrine inject |
3,491 |
3,260 |
$24K |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
3,540 |
3,224 |
$24K |
| 86300 |
|
758 |
674 |
$24K |
| 86258 |
|
2,608 |
2,574 |
$24K |
| J0780 |
Prochlorperazine injection |
2,696 |
2,431 |
$24K |
| 84145 |
|
1,498 |
1,169 |
$23K |
| 86039 |
|
1,696 |
1,663 |
$23K |
| 84445 |
|
329 |
326 |
$23K |
| 72070 |
|
288 |
279 |
$23K |
| 77072 |
|
263 |
261 |
$23K |
| 80299 |
|
1,048 |
989 |
$23K |
| 71101 |
|
247 |
236 |
$23K |
| 86364 |
|
2,607 |
2,572 |
$23K |
| 87116 |
|
1,350 |
1,203 |
$22K |
| 80177 |
|
2,035 |
1,929 |
$22K |
| J0640 |
Leucovorin calcium injection |
420 |
248 |
$22K |
| J0330 |
Succinycholine chloride inj |
2,076 |
1,779 |
$22K |
| 99607 |
|
896 |
733 |
$21K |
| 64450 |
|
49 |
41 |
$21K |
| 90734 |
|
3,107 |
3,094 |
$21K |
| G0121 |
Colon ca scrn not hi rsk ind |
41 |
41 |
$21K |
| 99211 |
|
1,929 |
1,766 |
$21K |
| G2212 |
Prolong outpt/office vis |
248 |
243 |
$21K |
| J1953 |
Levetiracetam injection |
1,274 |
1,071 |
$21K |
| 82533 |
|
1,095 |
941 |
$21K |
| 82085 |
|
1,498 |
1,357 |
$20K |
| 88300 |
|
1,731 |
1,713 |
$20K |
| 29125 |
|
165 |
162 |
$20K |
| 89051 |
|
2,019 |
1,367 |
$20K |
| 97763 |
|
313 |
254 |
$20K |
| 92524 |
|
173 |
172 |
$19K |
| 83521 |
|
1,691 |
1,189 |
$19K |
| 82950 |
|
3,974 |
3,927 |
$19K |
| 95115 |
|
772 |
350 |
$19K |
| 20605 |
|
135 |
133 |
$19K |
| 99233 |
Prolong inpt eval add15 m |
307 |
155 |
$19K |
| 20611 |
|
116 |
109 |
$19K |
| G2211 |
Complex e/m visit add on |
1,899 |
1,733 |
$19K |
| H0033 |
Oral med adm direct observe |
68 |
68 |
$19K |
| J3489 |
Zoledronic acid 1mg |
361 |
345 |
$19K |
| 87015 |
|
1,841 |
1,548 |
$19K |
| P9045 |
Albumin (human), 5%, 250 ml |
88 |
52 |
$18K |
| 64566 |
|
216 |
112 |
$18K |
| J2930 |
Methylprednisolone injection |
2,113 |
1,573 |
$18K |
| J9171 |
Docetaxel injection |
76 |
41 |
$18K |
| 81003 |
|
3,333 |
3,193 |
$18K |
| 82040 |
|
4,009 |
3,738 |
$18K |
| 11721 |
|
511 |
504 |
$18K |
| 80180 |
|
1,848 |
1,560 |
$17K |
| 83721 |
|
1,418 |
1,372 |
$17K |
| J9370 |
Vincristine sulfate 1 mg inj |
1,178 |
729 |
$17K |
| 86828 |
|
883 |
842 |
$17K |
| A0427 |
Als1-emergency |
114 |
113 |
$17K |
| J7120 |
Ringers lactate infusion |
2,244 |
1,934 |
$17K |
| 45381 |
|
60 |
56 |
$16K |
| 93798 |
|
455 |
127 |
$16K |
| 93271 |
|
157 |
144 |
$16K |
| J2710 |
Neostigmine methylslfte inj |
3,865 |
3,722 |
$16K |
| J2001 |
Lidocaine injection |
6,150 |
5,877 |
$16K |
| 43760 |
|
93 |
86 |
$16K |
| 78452 |
|
36 |
36 |
$16K |
| 82951 |
|
1,063 |
1,051 |
$15K |
| 93296 |
|
721 |
711 |
$15K |
| H0020 |
Alcohol and/or drug services |
3,016 |
101 |
$15K |
| J2060 |
Lorazepam injection |
6,135 |
5,036 |
$15K |
| J1950 |
Leuprolide acetate /3.75 mg |
13 |
12 |
$15K |
| 74455 |
|
97 |
94 |
$15K |
| 87641 |
|
671 |
553 |
$15K |
| C1874 |
Stent, coated/cov w/del sys |
27 |
27 |
$15K |
| 82150 |
|
1,565 |
1,481 |
$15K |
| 85048 |
|
4,191 |
4,047 |
$15K |
| J7030 |
Normal saline solution infus |
1,720 |
1,237 |
$15K |
| 81511 |
|
398 |
389 |
$14K |
| J0295 |
Ampicillin sulbactam 1.5 gm |
748 |
455 |
$14K |
| 90686 |
|
8,420 |
8,387 |
$14K |
| J7300 |
Intra copp contra (paragard) |
13 |
13 |
$14K |
| 74021 |
|
160 |
139 |
$14K |
| 86357 |
|
514 |
495 |
$14K |
| 95991 |
|
181 |
174 |
$13K |
| 93299 |
|
467 |
459 |
$13K |
| 92025 |
|
318 |
313 |
$13K |
| J3411 |
Thiamine hcl 100 mg |
1,076 |
820 |
$13K |
| 90746 |
|
194 |
190 |
$13K |
| 92081 |
|
287 |
278 |
$13K |
| 93356 |
|
113 |
104 |
$13K |
| 93308 |
|
64 |
60 |
$13K |
| 74241 |
|
115 |
115 |
$12K |
| 92553 |
|
98 |
97 |
$12K |
| 64643 |
|
128 |
123 |
$12K |
| 99406 |
|
744 |
731 |
$12K |
| 17003 |
|
170 |
169 |
$12K |
| J9201 |
In gemcitabine hcl nos 200mg |
335 |
142 |
$12K |
| 29515 |
|
140 |
133 |
$12K |
| 95911 |
|
106 |
106 |
$12K |
| 87901 |
|
45 |
44 |
$12K |
| 91320 |
|
314 |
307 |
$12K |
| C9257 |
Bevacizumab injection |
537 |
532 |
$12K |
| 90480 |
|
1,050 |
1,036 |
$11K |
| 64494 |
|
67 |
64 |
$11K |
| 88173 |
|
265 |
240 |
$11K |
| 86592 |
|
1,966 |
1,917 |
$11K |
| 51700 |
|
121 |
94 |
$11K |
| 31579 |
|
50 |
50 |
$11K |
| 99441 |
|
376 |
353 |
$11K |
| 80175 |
|
765 |
737 |
$11K |
| 11982 |
|
40 |
40 |
$11K |
| 87486 |
|
303 |
298 |
$11K |
| 70480 |
|
66 |
64 |
$11K |
| J2550 |
Promethazine hcl injection |
3,162 |
2,630 |
$11K |
| J1790 |
Droperidol injection |
2,384 |
2,175 |
$11K |
| C2617 |
Stent, non-cor, tem w/o del |
247 |
233 |
$10K |
| 58100 |
|
110 |
108 |
$10K |
| 84466 |
|
744 |
734 |
$10K |
| A0434 |
Specialty care transport |
81 |
81 |
$10K |
| D1208 |
|
104 |
103 |
$10K |
| 86301 |
|
453 |
398 |
$10K |
| 43273 |
|
16 |
15 |
$10K |
| 90688 |
|
710 |
705 |
$10K |
| 87581 |
|
305 |
300 |
$10K |
| 84432 |
|
548 |
487 |
$10K |
| 88108 |
|
296 |
242 |
$10K |
| J9267 |
Paclitaxel injection |
600 |
316 |
$10K |
| 87449 |
|
921 |
897 |
$10K |
| 87324 |
|
571 |
559 |
$10K |
| 52287 |
|
12 |
12 |
$10K |
| 92609 |
|
278 |
146 |
$9K |
| 92504 |
|
649 |
635 |
$9K |
| 95250 |
|
76 |
75 |
$9K |
| J3420 |
Vitamin b12 injection |
2,032 |
1,824 |
$9K |
| A0425 |
Ground mileage |
610 |
598 |
$9K |
| 49082 |
|
37 |
26 |
$9K |
| 84436 |
|
978 |
962 |
$9K |
| 51741 |
|
171 |
168 |
$9K |
| J7060 |
5% dextrose/water |
1,147 |
786 |
$9K |
| 82390 |
|
723 |
715 |
$9K |
| C9113 |
Inj pantoprazole sodium, via |
1,739 |
1,075 |
$9K |
| 87081 |
|
658 |
641 |
$9K |
| 36561 |
|
14 |
12 |
$9K |
| 90685 |
|
4,552 |
4,528 |
$9K |
| J2800 |
Methocarbamol injection |
578 |
384 |
$8K |
| 26720 |
|
57 |
56 |
$8K |
| 84112 |
|
210 |
202 |
$8K |
| J2920 |
Methylprednisolone injection |
922 |
645 |
$8K |
| 91065 |
|
57 |
54 |
$8K |
| 77001 |
|
231 |
219 |
$8K |
| 84520 |
|
1,794 |
1,737 |
$8K |
| 95819 |
|
49 |
49 |
$8K |
| 99383 |
|
72 |
71 |
$8K |
| 92588 |
|
90 |
90 |
$8K |
| 97164 |
|
384 |
380 |
$8K |
| J2543 |
Piperacillin/tazobactam |
453 |
252 |
$8K |
| C1725 |
Cath, translumin non-laser |
72 |
69 |
$8K |
| 88360 |
|
67 |
65 |
$8K |
| 97598 |
|
195 |
107 |
$7K |
| M0239 |
Bamlanivimab-xxxx infusion |
26 |
26 |
$7K |
| 99195 |
|
116 |
100 |
$7K |
| G2066 |
Inter devc remote 30d |
806 |
789 |
$7K |
| 92228 |
|
118 |
118 |
$7K |
| 11056 |
|
110 |
108 |
$7K |
| 64616 |
|
56 |
51 |
$7K |
| 92560 |
|
1,118 |
1,113 |
$7K |
| T1502 |
Medication admin visit |
2,394 |
2,047 |
$7K |
| 96138 |
|
336 |
330 |
$7K |
| 82947 |
|
1,069 |
1,051 |
$7K |
| 76519 |
|
163 |
160 |
$7K |
| T1016 |
Case management |
136,468 |
76,376 |
$7K |
| 76821 |
|
77 |
62 |
$7K |
| 82397 |
|
460 |
445 |
$7K |
| 26600 |
|
42 |
41 |
$6K |
| M0245 |
Bamlan and etesev infusion |
19 |
19 |
$6K |
| L3807 |
Whfo w/o joints pre cst |
88 |
87 |
$6K |
| 87328 |
|
328 |
317 |
$6K |
| J1580 |
Garamycin gentamicin inj |
1,591 |
1,455 |
$6K |
| J3111 |
Inj. romosozumab-aqqg 1 mg |
12 |
12 |
$6K |
| 94626 |
|
124 |
39 |
$6K |
| 80195 |
|
331 |
272 |
$6K |
| 89220 |
|
194 |
191 |
$6K |
| H0038 |
Self-help/peer svc per 15min |
277 |
233 |
$6K |
| 78306 |
|
25 |
25 |
$6K |
| 96368 |
|
243 |
181 |
$6K |
| 84681 |
|
193 |
191 |
$6K |
| 80178 |
|
558 |
521 |
$6K |
| 73720 |
|
14 |
12 |
$5K |
| 29105 |
|
62 |
61 |
$5K |
| J0574 |
Bupren/nal 6.1 to 10mg bupre |
866 |
410 |
$5K |
| 73600 |
|
59 |
54 |
$5K |
| J1630 |
Haloperidol injection |
1,434 |
1,302 |
$5K |
| J1940 |
Furosemide injection |
1,618 |
1,069 |
$5K |
| 97010 |
|
608 |
408 |
$5K |
| 86880 |
|
553 |
528 |
$5K |
| 86036 |
|
739 |
719 |
$5K |
| J1040 |
Methylprednisolone 80 mg inj |
459 |
450 |
$5K |
| 92227 |
|
145 |
145 |
$5K |
| J0670 |
Inj mepivacaine hcl/10 ml |
1,080 |
1,049 |
$5K |
| 64644 |
|
25 |
25 |
$5K |
| 11719 |
|
111 |
111 |
$5K |
| M0247 |
Sotrovimab infusion |
12 |
12 |
$5K |
| 90716 |
|
2,580 |
2,563 |
$5K |
| 92136 |
|
106 |
103 |
$5K |
| 72202 |
|
57 |
56 |
$5K |
| 93280 |
|
202 |
200 |
$5K |
| 77290 |
|
14 |
12 |
$5K |
| 99231 |
|
171 |
109 |
$5K |
| 99201 |
|
209 |
205 |
$5K |
| 49450 |
|
13 |
13 |
$5K |
| 11101 |
|
77 |
75 |
$5K |
| 72114 |
|
47 |
46 |
$5K |
| 99384 |
|
43 |
41 |
$5K |
| 87906 |
|
45 |
44 |
$5K |
| 84157 |
|
821 |
746 |
$5K |
| 84590 |
|
273 |
268 |
$5K |
| 90621 |
|
614 |
613 |
$5K |
| 86352 |
|
25 |
24 |
$5K |
| 64405 |
|
29 |
25 |
$5K |
| 87517 |
|
119 |
118 |
$4K |
| 77075 |
|
28 |
27 |
$4K |
| 88377 |
|
15 |
12 |
$4K |
| 86593 |
|
1,107 |
1,087 |
$4K |
| J8499 |
Oral prescrip drug non chemo |
3,860 |
1,975 |
$4K |
| 87329 |
|
364 |
355 |
$4K |
| 82945 |
|
707 |
649 |
$4K |
| 84425 |
|
282 |
277 |
$4K |
| 72131 |
|
26 |
25 |
$4K |
| 94668 |
|
100 |
77 |
$4K |
| 84155 |
|
1,313 |
1,190 |
$4K |
| 85240 |
|
142 |
130 |
$4K |
| 73070 |
|
57 |
51 |
$4K |
| 83498 |
|
137 |
129 |
$4K |
| 84446 |
|
297 |
291 |
$4K |
| 75635 |
|
12 |
12 |
$4K |
| 80156 |
|
180 |
174 |
$4K |
| J0613 |
Calcium glucon (wg critical) |
309 |
180 |
$4K |
| 88311 |
|
515 |
485 |
$4K |
| 92556 |
|
68 |
68 |
$4K |
| 77076 |
|
39 |
39 |
$4K |
| 97032 |
|
110 |
74 |
$4K |
| 87900 |
|
40 |
38 |
$4K |
| 76512 |
|
52 |
49 |
$4K |
| 84132 |
|
515 |
466 |
$4K |
| J8540 |
Oral dexamethasone |
1,950 |
1,475 |
$4K |
| 85520 |
|
157 |
95 |
$4K |
| G0381 |
Lev 2 hosp type b ed visit |
54 |
54 |
$3K |
| 85651 |
|
541 |
515 |
$3K |
| 51600 |
|
85 |
84 |
$3K |
| 74240 |
|
37 |
37 |
$3K |
| 82627 |
|
126 |
122 |
$3K |
| 80069 |
|
483 |
445 |
$3K |
| 82164 |
|
138 |
135 |
$3K |
| G0444 |
Depression screen annual |
256 |
249 |
$3K |
| 80185 |
|
155 |
133 |
$3K |
| 85046 |
|
1,446 |
1,288 |
$3K |
| 90707 |
|
2,560 |
2,543 |
$3K |
| Q2039 |
Influenza virus vaccine, nos |
214 |
214 |
$3K |
| 86381 |
|
226 |
223 |
$3K |
| 85045 |
|
510 |
418 |
$3K |
| 90846 |
|
18 |
13 |
$3K |
| G0123 |
Screen cerv/vag thin layer |
117 |
114 |
$3K |
| 80230 |
|
189 |
181 |
$3K |
| J2919 |
Inj, methylpred sod succ 5mg |
371 |
282 |
$3K |
| 78264 |
|
13 |
12 |
$3K |
| 29345 |
|
13 |
12 |
$3K |
| D7140 |
|
14 |
13 |
$3K |
| 86015 |
|
416 |
409 |
$3K |
| 89050 |
|
629 |
554 |
$3K |
| 12053 |
|
12 |
12 |
$3K |
| J2765 |
Metoclopramide hcl injection |
1,130 |
1,027 |
$3K |
| U0001 |
2019-ncov diagnostic p |
59 |
59 |
$3K |
| C2628 |
Catheter, occlusion |
42 |
40 |
$3K |
| 92520 |
|
38 |
38 |
$3K |
| 95910 |
|
38 |
38 |
$3K |
| 92225 |
|
70 |
69 |
$3K |
| J0744 |
Ciprofloxacin iv |
371 |
296 |
$3K |
| 95873 |
|
40 |
38 |
$3K |
| 90636 |
|
44 |
44 |
$3K |
| 71271 |
|
28 |
28 |
$3K |
| 77081 |
|
271 |
260 |
$3K |
| 29126 |
|
48 |
46 |
$3K |
| 82340 |
|
272 |
263 |
$2K |
| J7512 |
Prednisone ir or dr oral 1mg |
2,677 |
2,015 |
$2K |
| 72220 |
|
40 |
40 |
$2K |
| P9040 |
Rbc leukoreduced irradiated |
18 |
14 |
$2K |
| J2400 |
Chloroprocaine hcl injection |
132 |
126 |
$2K |
| 96381 |
|
148 |
147 |
$2K |
| 93926 |
|
27 |
26 |
$2K |
| 86148 |
|
84 |
83 |
$2K |
| 74170 |
|
12 |
12 |
$2K |
| 82104 |
|
138 |
136 |
$2K |
| 73620 |
|
32 |
27 |
$2K |
| J0885 |
Epoetin alfa, non-esrd |
31 |
12 |
$2K |
| 87899 |
|
95 |
93 |
$2K |
| 99202 |
|
50 |
49 |
$2K |
| 76514 |
|
83 |
79 |
$2K |
| J0461 |
Atropine sulfate injection |
378 |
296 |
$2K |
| 11720 |
|
56 |
56 |
$2K |
| 85245 |
|
43 |
38 |
$2K |
| 72080 |
|
26 |
26 |
$2K |
| 82952 |
|
821 |
815 |
$2K |
| 85004 |
|
276 |
264 |
$2K |
| 86141 |
|
111 |
110 |
$2K |
| J2370 |
Phenylephrine hcl injection |
512 |
488 |
$2K |
| J1805 |
Inj, esmolol hcl, 10mg |
307 |
280 |
$2K |
| 88172 |
|
75 |
65 |
$2K |
| A6211 |
Foam drg > 48 sq in w/o brdr |
31 |
27 |
$2K |
| 86341 |
|
82 |
80 |
$2K |
| 77280 |
|
12 |
12 |
$2K |
| J9250 |
Methotrexate sodium inj |
270 |
173 |
$2K |
| C1729 |
Cath, drainage |
33 |
29 |
$2K |
| 76885 |
|
13 |
13 |
$2K |
| 95977 |
|
13 |
13 |
$2K |
| 93985 |
|
13 |
13 |
$2K |
| 27750 |
|
12 |
12 |
$2K |
| 84478 |
|
232 |
183 |
$2K |
| C1780 |
Lens, intraocular (new tech) |
1,480 |
1,347 |
$2K |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
421 |
407 |
$2K |
| 64612 |
|
14 |
14 |
$2K |
| 90632 |
|
29 |
29 |
$2K |
| 82310 |
|
264 |
246 |
$2K |
| 87184 |
|
77 |
72 |
$2K |
| 86008 |
|
13 |
13 |
$2K |
| 86645 |
|
76 |
74 |
$2K |
| 82232 |
|
144 |
127 |
$2K |
| 72192 |
|
12 |
12 |
$2K |
| 74220 |
|
24 |
24 |
$2K |
| C1781 |
Mesh (implantable) |
15 |
13 |
$2K |
| 86316 |
|
83 |
79 |
$1K |
| 86777 |
|
67 |
66 |
$1K |
| 12013 |
|
16 |
16 |
$1K |
| J1756 |
Iron sucrose injection |
63 |
29 |
$1K |
| 99396 |
|
155 |
150 |
$1K |
| 85130 |
|
132 |
129 |
$1K |
| L0984 |
Protect body sock ea pre ots |
27 |
12 |
$1K |
| 95909 |
|
25 |
25 |
$1K |
| 96136 |
|
65 |
65 |
$1K |
| 99407 |
|
95 |
92 |
$1K |
| J9000 |
Doxorubicin hcl injection |
46 |
26 |
$1K |
| 87088 |
|
190 |
184 |
$1K |
| 73503 |
|
12 |
12 |
$1K |
| 82024 |
|
40 |
39 |
$1K |
| 82274 |
|
82 |
79 |
$1K |
| J2598 |
Inj, vasopressin, 1 unit |
91 |
82 |
$1K |
| 88302 |
|
56 |
55 |
$1K |
| 80145 |
|
55 |
52 |
$1K |
| 95874 |
|
42 |
39 |
$1K |
| J0610 |
Calcium glucon (fresenius) |
98 |
64 |
$1K |
| 0296T |
|
28 |
27 |
$1K |
| 99156 |
|
25 |
25 |
$1K |
| 88740 |
|
103 |
103 |
$1K |
| Q9968 |
Visualization adjunct |
12 |
12 |
$1K |
| 95012 |
|
28 |
28 |
$1K |
| A4315 |
Cath w/drainage 2-way silcne |
43 |
43 |
$1K |
| 76604 |
|
13 |
13 |
$1K |
| 86644 |
|
49 |
49 |
$1K |
| 88237 |
|
13 |
13 |
$1K |
| 83020 |
|
46 |
41 |
$1K |
| 82103 |
|
63 |
63 |
$1K |
| 87176 |
|
171 |
158 |
$987.53 |
| 84075 |
|
176 |
172 |
$981.28 |
| 17250 |
|
50 |
41 |
$962.99 |
| 90700 |
|
809 |
803 |
$918.18 |
| 90648 |
|
3,074 |
3,065 |
$903.04 |
| 97018 |
|
50 |
32 |
$884.68 |
| 99151 |
|
41 |
40 |
$880.30 |
| J7999 |
Compounded drug, noc |
40 |
38 |
$859.96 |
| J0692 |
Cefepime hcl for injection |
64 |
45 |
$842.78 |
| 0141U |
|
104 |
101 |
$839.02 |
| 74270 |
|
12 |
12 |
$830.83 |
| 86696 |
|
28 |
24 |
$804.09 |
| J1030 |
Methylprednisolone 40 mg inj |
134 |
133 |
$791.03 |
| 80183 |
|
90 |
87 |
$784.31 |
| J9260 |
Inj methotrexate sodium 50mg |
57 |
37 |
$774.34 |
| 46600 |
|
12 |
12 |
$748.57 |
| 88350 |
|
12 |
12 |
$746.44 |
| 77012 |
|
12 |
12 |
$724.71 |
| J2471 |
Inj pantoprazole(hikma) 40mg |
185 |
128 |
$718.63 |
| A9541 |
Tc99m sulfur colloid |
16 |
15 |
$699.36 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
247 |
203 |
$698.67 |
| 84300 |
|
148 |
141 |
$694.15 |
| J1720 |
Hydrocortisone sodium succ i |
132 |
99 |
$687.72 |
| 91200 |
|
41 |
41 |
$685.64 |
| 0552T |
|
14 |
14 |
$682.89 |
| 77002 |
|
38 |
37 |
$620.91 |
| 82955 |
|
44 |
44 |
$617.04 |
| Q5106 |
Inj retacrit non-esrd use |
23 |
13 |
$590.22 |
| 86663 |
|
28 |
28 |
$574.06 |
| 95908 |
|
13 |
13 |
$570.40 |
| A9502 |
Tc99m tetrofosmin |
12 |
12 |
$566.10 |
| J1836 |
Inj, metronidazole, 10 mg |
74 |
58 |
$566.08 |
| 92082 |
|
16 |
16 |
$549.41 |
| 82365 |
|
27 |
27 |
$549.14 |
| 86695 |
|
28 |
24 |
$526.42 |
| 93298 |
|
98 |
97 |
$522.26 |
| 84244 |
|
25 |
24 |
$505.52 |
| 86308 |
|
52 |
51 |
$504.15 |
| Q0177 |
Hydroxyzine pamoate 25mg |
395 |
302 |
$486.35 |
| 86337 |
|
26 |
25 |
$464.74 |
| 77417 |
|
41 |
28 |
$447.50 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
204 |
181 |
$444.34 |
| 84154 |
|
25 |
25 |
$441.49 |
| G1004 |
Cdsm ndsc |
12,846 |
11,687 |
$437.20 |
| J9060 |
Cisplatin 10 mg injection |
33 |
12 |
$433.83 |
| 96137 |
|
13 |
13 |
$432.25 |
| 92060 |
|
15 |
15 |
$431.01 |
| G0380 |
Lev 1 hosp type b ed visit |
12 |
12 |
$423.73 |
| 88346 |
|
12 |
12 |
$416.63 |
| 86618 |
|
13 |
13 |
$408.18 |
| 86664 |
|
16 |
16 |
$403.38 |
| 80203 |
|
52 |
51 |
$387.22 |
| 82139 |
|
12 |
12 |
$363.22 |
| S0280 |
Medical home, initial plan |
9,124 |
7,979 |
$348.01 |
| 80202 |
|
19 |
12 |
$343.81 |
| 83921 |
|
14 |
14 |
$339.58 |
| 86580 |
|
36 |
35 |
$338.64 |
| 88142 |
|
12 |
12 |
$337.87 |
| 82465 |
|
53 |
38 |
$331.17 |
| 86705 |
|
26 |
26 |
$328.11 |
| 80235 |
|
26 |
26 |
$320.13 |
| 86735 |
|
28 |
27 |
$307.67 |
| 82525 |
|
25 |
25 |
$304.95 |
| 92020 |
|
14 |
13 |
$303.67 |
| 80201 |
|
13 |
12 |
$301.65 |
| 83010 |
|
16 |
15 |
$281.17 |
| 88331 |
|
15 |
12 |
$280.31 |
| 82653 |
|
24 |
24 |
$276.88 |
| 84144 |
|
12 |
12 |
$272.89 |
| J1626 |
Granisetron hcl injection |
43 |
43 |
$265.82 |
| 82375 |
|
12 |
12 |
$265.28 |
| 90698 |
|
6,827 |
6,784 |
$263.05 |
| Q9958 |
Hocm <=149 mg/ml iodine, 1ml |
28 |
28 |
$244.96 |
| 97016 |
|
25 |
14 |
$239.41 |
| J0173 |
Inj, epinephrine (belcher) |
92 |
84 |
$230.80 |
| J1010 |
Inj, methylpred acetate 1 mg |
31 |
30 |
$218.49 |
| 86060 |
|
17 |
17 |
$215.86 |
| 83006 |
|
56 |
55 |
$197.41 |
| A9503 |
Tc99m medronate |
12 |
12 |
$186.82 |
| 83937 |
|
12 |
12 |
$180.60 |
| 82523 |
|
32 |
32 |
$165.70 |
| 90713 |
|
84 |
83 |
$157.68 |
| 82962 |
|
42 |
42 |
$148.80 |
| 82010 |
|
12 |
12 |
$144.98 |
| 86765 |
|
13 |
12 |
$141.06 |
| J0360 |
Hydralazine hcl injection |
42 |
40 |
$138.46 |
| 87147 |
|
14 |
13 |
$131.27 |
| 90633 |
|
5,346 |
5,315 |
$119.27 |
| 98960 |
|
12 |
12 |
$118.80 |
| 90744 |
|
3,017 |
2,979 |
$107.18 |
| A6260 |
Wound cleanser any type/size |
13 |
12 |
$97.26 |
| 83930 |
|
12 |
12 |
$83.77 |
| G8979 |
Mobility goal status |
360 |
345 |
$80.00 |
| J3430 |
Vitamin k phytonadione inj |
16 |
16 |
$79.98 |
| 84133 |
|
18 |
17 |
$76.57 |
| G0127 |
Trim nail(s) |
27 |
27 |
$70.92 |
| J0290 |
Ampicillin 500 mg inj |
28 |
25 |
$67.22 |
| J2720 |
Inj protamine sulfate/10 mg |
15 |
15 |
$64.21 |
| 90696 |
|
2,085 |
2,079 |
$42.54 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
13 |
13 |
$42.49 |
| 81015 |
|
16 |
15 |
$34.53 |
| 90680 |
|
6,636 |
6,610 |
$32.25 |
| G8987 |
Self care current status |
130 |
121 |
$28.06 |
| V2632 |
Post chmbr intraocular lens |
250 |
226 |
$19.33 |
| 90723 |
|
2,655 |
2,647 |
$0.97 |
| 90710 |
|
2,396 |
2,389 |
$0.86 |
| 90647 |
|
44 |
44 |
$0.04 |
| G8978 |
Mobility current status |
339 |
324 |
$0.00 |
| J2590 |
Oxytocin injection |
32 |
28 |
$0.00 |
| 90681 |
|
14 |
14 |
$0.00 |
| 0159T |
|
13 |
13 |
$0.00 |
| T2030 |
Assist living waiver/month |
48 |
48 |
$0.00 |
| G8985 |
Carry goal status |
24 |
24 |
$0.00 |
| G8988 |
Self care goal status |
99 |
92 |
$0.00 |