| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 36415 |
|
150,053 |
102,087 |
$16.70M |
| 96372 |
|
27,684 |
19,038 |
$9.14M |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
19,645 |
17,898 |
$5.44M |
| 96367 |
|
8,513 |
4,413 |
$4.22M |
| 96413 |
|
13,192 |
7,094 |
$3.56M |
| 97110 |
|
50,313 |
13,665 |
$2.21M |
| 59025 |
|
16,012 |
8,623 |
$1.68M |
| 87635 |
|
13,292 |
12,165 |
$1.66M |
| A9585 |
Gadobutrol injection |
3,193 |
3,028 |
$1.65M |
| 70553 |
|
2,288 |
2,176 |
$1.54M |
| 96375 |
|
31,039 |
21,171 |
$1.50M |
| 96365 |
|
10,008 |
7,458 |
$1.45M |
| A9552 |
F18 fdg |
2,010 |
1,937 |
$1.33M |
| 99283 |
|
32,293 |
29,438 |
$1.33M |
| 0241U |
|
12,824 |
12,041 |
$1.26M |
| 96402 |
|
1,196 |
1,093 |
$1.26M |
| 80053 |
|
71,370 |
55,339 |
$1.25M |
| 36416 |
|
24,741 |
13,795 |
$1.20M |
| 92507 |
|
22,179 |
7,022 |
$1.10M |
| J7050 |
Normal saline solution infus |
15,804 |
7,383 |
$1.08M |
| 96361 |
|
19,299 |
14,352 |
$982K |
| 99284 |
|
47,186 |
42,230 |
$912K |
| 88305 |
|
11,487 |
9,319 |
$901K |
| 80048 |
|
59,296 |
45,584 |
$900K |
| 99281 |
|
7,928 |
7,325 |
$873K |
| J7030 |
Normal saline solution infus |
11,637 |
9,212 |
$780K |
| 96374 |
|
30,664 |
25,896 |
$735K |
| 81002 |
|
3,732 |
3,232 |
$731K |
| U0003 |
Cov-19 amp prb hgh thruput |
6,561 |
5,986 |
$720K |
| 72148 |
|
1,781 |
1,729 |
$672K |
| 99282 |
|
6,303 |
5,836 |
$670K |
| 97530 |
|
19,475 |
6,942 |
$641K |
| 77334 |
|
1,455 |
995 |
$635K |
| 99213 |
|
26,129 |
21,162 |
$623K |
| 81001 |
|
38,780 |
34,858 |
$576K |
| 77063 |
|
6,628 |
6,479 |
$534K |
| 96366 |
|
6,167 |
3,986 |
$532K |
| 82948 |
|
15,644 |
6,120 |
$478K |
| G0463 |
Hospital outpt clinic visit |
38,764 |
30,961 |
$466K |
| 71250 |
|
2,669 |
2,579 |
$465K |
| 99212 |
|
5,519 |
4,909 |
$437K |
| 88304 |
|
3,531 |
3,391 |
$429K |
| 70450 |
|
13,875 |
12,854 |
$411K |
| 96401 |
|
344 |
161 |
$386K |
| 77387 |
|
4,101 |
406 |
$381K |
| 99211 |
|
1,175 |
1,060 |
$377K |
| 81003 |
|
18,122 |
16,082 |
$365K |
| 87804 |
|
9,496 |
6,875 |
$330K |
| 72141 |
|
751 |
729 |
$326K |
| 70551 |
|
1,022 |
965 |
$309K |
| 71046 |
|
16,188 |
15,250 |
$307K |
| 93306 |
|
4,131 |
3,932 |
$289K |
| 77336 |
|
3,756 |
1,558 |
$277K |
| 96360 |
|
5,327 |
4,934 |
$276K |
| 81025 |
|
24,671 |
22,679 |
$267K |
| D1351 |
|
278 |
227 |
$246K |
| 96523 |
|
1,940 |
1,356 |
$241K |
| 93971 |
|
2,329 |
2,199 |
$240K |
| J1815 |
Insulin injection |
3,719 |
1,662 |
$232K |
| D2391 |
|
1,054 |
905 |
$231K |
| 76819 |
|
1,187 |
857 |
$229K |
| D2930 |
|
2,492 |
2,223 |
$223K |
| 87651 |
|
6,172 |
5,920 |
$214K |
| 71045 |
|
35,254 |
30,989 |
$207K |
| 85025 |
|
120,389 |
89,503 |
$198K |
| 77300 |
|
1,011 |
872 |
$183K |
| 99285 |
|
33,289 |
29,717 |
$175K |
| J7120 |
Ringers lactate infusion |
7,668 |
6,900 |
$175K |
| 69436 |
|
824 |
820 |
$173K |
| G0378 |
Hospital observation per hr |
29,362 |
15,698 |
$171K |
| 82803 |
|
4,834 |
4,131 |
$155K |
| 90378 |
|
1,324 |
1,111 |
$147K |
| J7040 |
Normal saline solution infus |
3,615 |
2,207 |
$146K |
| 73130 |
|
2,085 |
1,859 |
$144K |
| 86850 |
|
8,619 |
7,561 |
$140K |
| 96376 |
|
14,873 |
7,991 |
$139K |
| V2632 |
Post chmbr intraocular lens |
588 |
537 |
$138K |
| 93005 |
|
39,887 |
33,483 |
$137K |
| 0202U |
|
596 |
584 |
$137K |
| 94060 |
|
561 |
550 |
$136K |
| A6449 |
Lt compres band >=3" <5"/yd |
4,995 |
775 |
$132K |
| 77386 |
|
2,568 |
226 |
$131K |
| 95810 |
|
467 |
454 |
$128K |
| 74176 |
|
4,072 |
3,819 |
$127K |
| 87070 |
|
2,494 |
2,345 |
$125K |
| 76705 |
|
2,938 |
2,822 |
$124K |
| 73030 |
|
2,758 |
2,464 |
$121K |
| 73610 |
|
1,993 |
1,808 |
$119K |
| 72100 |
|
3,396 |
3,208 |
$119K |
| J0897 |
Denosumab injection |
468 |
436 |
$113K |
| A6196 |
Alginate dressing <=16 sq in |
1,619 |
695 |
$112K |
| D2330 |
|
272 |
228 |
$110K |
| 73564 |
|
2,830 |
2,425 |
$108K |
| 74018 |
|
2,839 |
2,611 |
$108K |
| 87086 |
|
9,100 |
8,335 |
$105K |
| 73630 |
|
2,521 |
2,269 |
$104K |
| 93970 |
|
1,118 |
1,053 |
$104K |
| J2704 |
Inj, propofol, 10 mg |
29,993 |
27,847 |
$102K |
| 77295 |
|
80 |
71 |
$101K |
| 43239 |
|
3,221 |
3,092 |
$99K |
| 94010 |
|
370 |
354 |
$94K |
| 11042 |
|
264 |
204 |
$90K |
| 97161 |
|
6,462 |
6,136 |
$90K |
| 80307 |
|
11,597 |
10,610 |
$88K |
| 93922 |
|
441 |
424 |
$87K |
| 78452 |
|
1,580 |
1,510 |
$85K |
| 85014 |
|
5,187 |
3,850 |
$81K |
| 96368 |
|
1,532 |
997 |
$74K |
| 42820 |
|
1,062 |
1,053 |
$74K |
| 87077 |
|
3,736 |
3,301 |
$73K |
| 87205 |
|
3,887 |
3,440 |
$72K |
| J2405 |
Ondansetron hcl injection |
44,628 |
35,427 |
$70K |
| 87491 |
|
2,936 |
2,745 |
$69K |
| 84439 |
|
5,045 |
4,587 |
$65K |
| 87426 |
|
613 |
571 |
$63K |
| 71260 |
|
3,969 |
3,804 |
$62K |
| 78815 |
|
1,990 |
1,915 |
$60K |
| 36600 |
|
3,441 |
3,030 |
$58K |
| 94640 |
|
6,479 |
3,673 |
$57K |
| 71271 |
|
391 |
388 |
$55K |
| 45378 |
|
1,413 |
1,368 |
$55K |
| 76770 |
|
785 |
750 |
$55K |
| 76700 |
|
543 |
528 |
$53K |
| 73110 |
|
925 |
842 |
$53K |
| 76642 |
|
1,266 |
1,199 |
$52K |
| 72040 |
|
1,011 |
961 |
$52K |
| 76536 |
|
664 |
644 |
$52K |
| 85610 |
|
28,915 |
25,272 |
$51K |
| 70486 |
|
1,675 |
1,600 |
$51K |
| 74177 |
|
12,094 |
11,434 |
$51K |
| 97602 |
|
1,603 |
953 |
$50K |
| A6261 |
Wound filler gel/paste /oz |
514 |
299 |
$50K |
| 77412 |
|
5,447 |
546 |
$49K |
| 99214 |
|
1,598 |
1,116 |
$48K |
| 97140 |
|
4,873 |
2,122 |
$48K |
| 77062 |
|
252 |
241 |
$46K |
| 29581 |
|
7,888 |
1,262 |
$46K |
| 82565 |
|
3,314 |
3,128 |
$44K |
| 99391 |
|
490 |
427 |
$44K |
| 73502 |
|
1,776 |
1,667 |
$43K |
| 88307 |
|
1,540 |
1,298 |
$42K |
| C9113 |
Inj pantoprazole sodium, via |
3,904 |
2,183 |
$41K |
| J1642 |
Inj heparin sodium per 10 u |
8,487 |
4,432 |
$39K |
| J1650 |
Inj enoxaparin sodium |
6,969 |
3,237 |
$39K |
| 85027 |
|
16,136 |
13,486 |
$38K |
| J2270 |
Morphine sulfate injection |
15,173 |
11,736 |
$37K |
| 73090 |
|
594 |
527 |
$36K |
| 72125 |
|
4,690 |
4,422 |
$36K |
| 73721 |
|
49 |
49 |
$36K |
| J1100 |
Dexamethasone sodium phos |
31,172 |
25,286 |
$35K |
| J3490 |
Drugs unclassified injection |
10,669 |
8,414 |
$34K |
| J9271 |
Inj pembrolizumab |
1,901 |
1,279 |
$33K |
| 74022 |
|
1,410 |
1,340 |
$33K |
| 92523 |
|
395 |
381 |
$32K |
| 76830 |
|
670 |
650 |
$31K |
| 84112 |
|
95 |
89 |
$31K |
| 66984 |
|
366 |
333 |
$30K |
| 99215 |
Prolong outpt/office vis |
1,395 |
954 |
$30K |
| 76817 |
|
2,042 |
1,858 |
$27K |
| 76815 |
|
732 |
665 |
$27K |
| 97116 |
|
1,780 |
898 |
$26K |
| 97165 |
|
1,376 |
1,266 |
$26K |
| J2250 |
Inj midazolam hydrochloride |
19,090 |
17,706 |
$25K |
| 77080 |
|
233 |
227 |
$25K |
| 83735 |
|
40,761 |
28,472 |
$25K |
| 73590 |
|
1,053 |
908 |
$24K |
| J0330 |
Succinycholine chloride inj |
6,042 |
5,671 |
$23K |
| J3475 |
Inj magnesium sulfate |
7,445 |
5,688 |
$23K |
| 83036 |
|
10,114 |
9,426 |
$22K |
| 93880 |
|
275 |
260 |
$22K |
| J1170 |
Hydromorphone injection |
11,023 |
7,927 |
$22K |
| 76856 |
|
440 |
425 |
$22K |
| 71275 |
|
3,387 |
3,184 |
$22K |
| C1769 |
Guide wire |
6,403 |
5,549 |
$20K |
| 41899 |
|
191 |
186 |
$19K |
| 97533 |
|
3,048 |
1,390 |
$19K |
| 76641 |
|
234 |
231 |
$19K |
| J9045 |
Carboplatin injection |
1,952 |
1,123 |
$19K |
| 87400 |
|
358 |
334 |
$18K |
| J2997 |
Alteplase recombinant |
366 |
288 |
$17K |
| 72070 |
|
401 |
384 |
$17K |
| 76775 |
|
290 |
276 |
$17K |
| 97162 |
|
920 |
892 |
$17K |
| 87591 |
|
3,770 |
3,535 |
$16K |
| 88302 |
|
231 |
211 |
$16K |
| 73560 |
|
976 |
830 |
$16K |
| 77290 |
|
28 |
26 |
$16K |
| C1894 |
Intro/sheath, non-laser |
4,766 |
4,166 |
$16K |
| 45385 |
|
1,182 |
1,128 |
$16K |
| 73080 |
|
212 |
190 |
$15K |
| 77067 |
|
6,878 |
6,691 |
$15K |
| 93017 |
|
1,685 |
1,610 |
$15K |
| 95811 |
|
52 |
52 |
$14K |
| 85730 |
|
27,095 |
23,802 |
$14K |
| 97113 |
|
551 |
202 |
$14K |
| J0696 |
Ceftriaxone sodium injection |
7,347 |
5,629 |
$14K |
| 76801 |
|
829 |
780 |
$14K |
| Q0162 |
Ondansetron oral |
132 |
115 |
$13K |
| 49083 |
|
66 |
38 |
$13K |
| 72131 |
|
229 |
212 |
$13K |
| J3480 |
Inj potassium chloride |
2,054 |
1,409 |
$13K |
| 94762 |
|
723 |
563 |
$13K |
| 99392 |
|
174 |
162 |
$12K |
| 86900 |
|
10,965 |
9,687 |
$12K |
| 10060 |
|
81 |
78 |
$12K |
| 99203 |
|
555 |
517 |
$11K |
| J3010 |
Fentanyl citrate injection |
23,379 |
21,535 |
$11K |
| J2550 |
Promethazine hcl injection |
4,446 |
3,320 |
$11K |
| 80076 |
|
13,812 |
12,714 |
$10K |
| 83690 |
|
23,265 |
20,681 |
$10K |
| J0360 |
Hydralazine hcl injection |
4,621 |
3,676 |
$10K |
| J7121 |
5% dextrose in lac ringers |
97 |
76 |
$10K |
| 76937 |
|
1,040 |
965 |
$10K |
| 62323 |
|
131 |
117 |
$9K |
| J1940 |
Furosemide injection |
2,071 |
1,283 |
$9K |
| 97535 |
|
2,969 |
1,701 |
$9K |
| 82570 |
|
2,062 |
1,824 |
$9K |
| 77066 |
Tomosynthesis, mammo |
874 |
836 |
$9K |
| 84702 |
|
5,128 |
4,503 |
$8K |
| C1751 |
Cath, inf, per/cent/midline |
978 |
818 |
$8K |
| 72170 |
|
570 |
522 |
$7K |
| 88342 |
|
2,706 |
2,531 |
$7K |
| 86140 |
|
4,358 |
3,957 |
$7K |
| 89051 |
|
118 |
115 |
$7K |
| 84443 |
|
13,904 |
12,547 |
$7K |
| M0243 |
Casirivi and imdevi inj |
145 |
144 |
$7K |
| J1885 |
Ketorolac tromethamine inj |
19,950 |
17,537 |
$7K |
| 87807 |
|
1,817 |
1,717 |
$7K |
| 97014 |
|
53 |
25 |
$7K |
| 97164 |
|
577 |
546 |
$7K |
| 36902 |
|
1,136 |
1,056 |
$7K |
| 71101 |
|
72 |
67 |
$7K |
| G0379 |
Direct refer hospital observ |
919 |
867 |
$6K |
| 77280 |
|
88 |
72 |
$6K |
| 87186 |
|
4,190 |
3,648 |
$6K |
| J7060 |
5% dextrose/water |
2,885 |
1,424 |
$6K |
| J0690 |
Cefazolin sodium injection |
15,138 |
12,330 |
$6K |
| 92609 |
|
282 |
120 |
$6K |
| 87640 |
|
1,736 |
1,651 |
$6K |
| J0692 |
Cefepime hcl for injection |
1,058 |
629 |
$6K |
| 82607 |
|
2,178 |
2,028 |
$5K |
| 80061 |
|
6,186 |
5,707 |
$5K |
| 76870 |
|
55 |
50 |
$5K |
| 82330 |
|
959 |
831 |
$5K |
| J2543 |
Piperacillin/tazobactam |
755 |
390 |
$5K |
| 73552 |
|
304 |
265 |
$5K |
| 95951 |
|
15 |
14 |
$5K |
| C9803 |
Hopd covid-19 spec collect |
7,316 |
6,716 |
$5K |
| J1200 |
Diphenhydramine hcl injectio |
9,762 |
5,909 |
$5K |
| 12001 |
|
43 |
43 |
$5K |
| J1644 |
Inj heparin sodium per 1000u |
7,342 |
5,468 |
$5K |
| Q5107 |
Inj mvasi 10 mg |
88 |
38 |
$5K |
| 90686 |
|
1,238 |
1,144 |
$5K |
| 94644 |
|
4,302 |
3,888 |
$5K |
| 86592 |
|
2,072 |
1,954 |
$5K |
| 93458 |
|
120 |
119 |
$5K |
| D2392 |
|
25 |
25 |
$5K |
| 83615 |
|
1,932 |
1,730 |
$5K |
| J1756 |
Iron sucrose injection |
3,373 |
1,739 |
$5K |
| 77065 |
Tomosynthesis, mammo |
375 |
350 |
$5K |
| 85018 |
|
4,940 |
3,593 |
$5K |
| 77072 |
|
126 |
125 |
$5K |
| 88112 |
|
97 |
96 |
$4K |
| 72158 |
|
40 |
40 |
$4K |
| J2060 |
Lorazepam injection |
3,733 |
2,613 |
$4K |
| 43235 |
|
153 |
148 |
$4K |
| A4351 |
Straight tip urine catheter |
217 |
216 |
$4K |
| J7512 |
Prednisone ir or dr oral 1mg |
2,831 |
1,846 |
$4K |
| 88173 |
|
62 |
40 |
$4K |
| P9016 |
Rbc leukocytes reduced |
1,708 |
1,268 |
$4K |
| J7042 |
5% dextrose/normal saline |
408 |
326 |
$4K |
| 87081 |
|
35 |
30 |
$4K |
| G8978 |
Mobility current status |
280 |
258 |
$4K |
| 78227 |
|
13 |
13 |
$4K |
| 82728 |
|
4,003 |
3,636 |
$4K |
| D7140 |
|
1,373 |
1,202 |
$4K |
| 94760 |
|
883 |
548 |
$4K |
| 96377 |
|
155 |
110 |
$4K |
| 73060 |
|
121 |
106 |
$4K |
| 45380 |
|
1,017 |
991 |
$4K |
| 90670 |
|
539 |
485 |
$4K |
| 95816 |
|
41 |
41 |
$4K |
| 87798 |
|
2,412 |
2,286 |
$4K |
| 77001 |
|
807 |
702 |
$3K |
| 73562 |
|
76 |
70 |
$3K |
| 77061 |
|
29 |
29 |
$3K |
| 93798 |
|
60 |
12 |
$3K |
| 83550 |
|
3,932 |
3,631 |
$3K |
| 87430 |
|
657 |
631 |
$3K |
| 86901 |
|
10,978 |
9,688 |
$3K |
| J2930 |
Methylprednisolone injection |
2,236 |
1,770 |
$3K |
| 86703 |
|
1,518 |
1,424 |
$3K |
| 84156 |
|
1,235 |
1,041 |
$3K |
| 85046 |
|
3,480 |
2,585 |
$3K |
| 99393 |
|
31 |
29 |
$3K |
| 72197 |
|
42 |
36 |
$3K |
| J2710 |
Neostigmine methylslfte inj |
3,645 |
3,442 |
$3K |
| 99291 |
|
200 |
179 |
$3K |
| 96411 |
|
1,533 |
907 |
$3K |
| J2785 |
Regadenoson injection |
1,382 |
1,316 |
$3K |
| 97166 |
|
57 |
57 |
$2K |
| A9500 |
Tc99m sestamibi |
1,401 |
1,336 |
$2K |
| J0185 |
Inj., aprepitant, 1 mg |
183 |
91 |
$2K |
| J3370 |
Vancomycin hcl injection |
1,779 |
1,272 |
$2K |
| J0881 |
Darbepoetin alfa, non-esrd |
510 |
338 |
$2K |
| 99201 |
|
27 |
27 |
$2K |
| J1950 |
Leuprolide acetate /3.75 mg |
28 |
25 |
$2K |
| J2765 |
Metoclopramide hcl injection |
1,337 |
1,110 |
$2K |
| 93454 |
|
15 |
13 |
$2K |
| 84132 |
|
2,208 |
1,918 |
$2K |
| 74220 |
|
50 |
50 |
$2K |
| 85379 |
|
4,549 |
4,229 |
$2K |
| 73700 |
|
15 |
15 |
$2K |
| 74221 |
|
13 |
13 |
$2K |
| 87040 |
|
8,437 |
5,410 |
$2K |
| 83880 |
|
10,590 |
9,276 |
$2K |
| C1725 |
Cath, translumin non-laser |
3,000 |
2,613 |
$2K |
| 84484 |
|
30,390 |
20,760 |
$2K |
| J1790 |
Droperidol injection |
743 |
688 |
$2K |
| J1953 |
Levetiracetam injection |
413 |
259 |
$2K |
| G0257 |
Unsched dialysis esrd pt hos |
1,047 |
558 |
$2K |
| 36581 |
|
16 |
12 |
$1K |
| M0245 |
Bamlan and etesev infusion |
44 |
42 |
$1K |
| 82375 |
|
12 |
12 |
$1K |
| J2920 |
Methylprednisolone injection |
646 |
326 |
$1K |
| J0780 |
Prochlorperazine injection |
125 |
118 |
$1K |
| 82550 |
|
1,875 |
1,638 |
$1K |
| 74174 |
|
41 |
39 |
$1K |
| A9270 |
Non-covered item or service |
11,184 |
5,900 |
$1K |
| 87210 |
|
1,796 |
1,724 |
$1K |
| 70496 |
|
76 |
74 |
$1K |
| 83540 |
|
3,960 |
3,594 |
$1K |
| 84100 |
|
4,509 |
3,457 |
$985.32 |
| 70491 |
|
229 |
218 |
$970.52 |
| 82306 |
|
799 |
768 |
$861.28 |
| 84145 |
|
2,668 |
2,397 |
$840.82 |
| C9290 |
Inj, bupivacaine liposome |
762 |
722 |
$815.78 |
| J8540 |
Oral dexamethasone |
510 |
262 |
$815.78 |
| 96417 |
|
3,910 |
2,239 |
$804.25 |
| 82947 |
|
1,100 |
973 |
$786.39 |
| J0885 |
Epoetin alfa, non-esrd |
79 |
48 |
$778.33 |
| 90715 |
|
1,974 |
1,868 |
$746.22 |
| 97035 |
|
23 |
12 |
$740.29 |
| 93976 |
|
25 |
25 |
$740.18 |
| A4314 |
Cath w/drainage 2-way latex |
222 |
199 |
$713.91 |
| G0480 |
Drug test def 1-7 classes |
1,681 |
1,544 |
$711.53 |
| 83605 |
|
7,990 |
6,530 |
$678.99 |
| 90471 |
|
2,072 |
1,909 |
$661.42 |
| 80143 |
|
2,557 |
2,303 |
$656.63 |
| 78306 |
|
12 |
12 |
$643.31 |
| 97112 |
|
20 |
12 |
$623.14 |
| 96415 |
|
2,789 |
1,843 |
$622.17 |
| 74230 |
|
13 |
13 |
$575.84 |
| 94729 |
|
1,051 |
1,022 |
$546.96 |
| J0702 |
Betamethasone acet&sod phosp |
110 |
69 |
$516.59 |
| 87147 |
|
563 |
508 |
$496.10 |
| 82043 |
|
1,159 |
1,075 |
$489.04 |
| J0171 |
Adrenalin epinephrine inject |
2,169 |
2,024 |
$479.99 |
| 75574 |
|
81 |
76 |
$473.68 |
| Q3014 |
Telehealth facility fee |
682 |
604 |
$445.95 |
| 86738 |
|
334 |
315 |
$429.79 |
| 94726 |
|
910 |
887 |
$425.78 |
| J2470 |
Inj pantoprazole sodium 40mg |
159 |
127 |
$407.89 |
| J1050 |
Medroxyprogesterone acetate |
408 |
396 |
$358.74 |
| J2175 |
Meperidine hydrochl /100 mg |
720 |
688 |
$355.81 |
| J9190 |
Fluorouracil injection |
859 |
428 |
$335.93 |
| 36430 |
|
1,994 |
1,406 |
$326.28 |
| 84550 |
|
1,575 |
1,351 |
$320.90 |
| 43249 |
|
90 |
77 |
$261.92 |
| 85652 |
|
4,790 |
4,463 |
$235.37 |
| M0247 |
Sotrovimab infusion |
31 |
29 |
$201.91 |
| 82784 |
|
691 |
363 |
$201.06 |
| J3301 |
Triamcinolone acet inj nos |
347 |
311 |
$199.01 |
| 87140 |
|
594 |
515 |
$191.48 |
| 76816 |
|
27 |
25 |
$185.14 |
| 88341 |
|
232 |
173 |
$164.36 |
| J0640 |
Leucovorin calcium injection |
561 |
222 |
$146.18 |
| 90677 |
|
95 |
90 |
$145.99 |
| 83655 |
|
13 |
12 |
$145.95 |
| 90460 |
|
1,435 |
1,323 |
$134.88 |
| M0222 |
Bebtelovimab injection |
13 |
12 |
$132.76 |
| 87880 |
|
107 |
103 |
$116.23 |
| 82077 |
|
4,126 |
3,735 |
$112.86 |
| 70360 |
|
12 |
12 |
$112.06 |
| 82247 |
|
168 |
100 |
$110.66 |
| 82378 |
|
957 |
865 |
$108.63 |
| 86038 |
|
151 |
140 |
$103.75 |
| G8984 |
Carry current status |
19 |
17 |
$96.99 |
| 80329 |
|
195 |
138 |
$88.00 |
| 87641 |
|
1,963 |
1,865 |
$71.44 |
| 74178 |
|
29 |
27 |
$66.89 |
| 99152 |
|
1,472 |
1,297 |
$59.92 |
| G0283 |
Elec stim other than wound |
79 |
26 |
$55.22 |
| U0005 |
Infec agen detec ampli probe |
4,554 |
4,204 |
$50.58 |
| 80164 |
|
275 |
239 |
$45.95 |
| 73070 |
|
17 |
15 |
$44.87 |
| 87340 |
|
1,601 |
1,488 |
$40.64 |
| 90698 |
|
130 |
118 |
$39.82 |
| 80179 |
|
2,510 |
2,263 |
$38.59 |
| 90461 |
|
719 |
669 |
$38.22 |
| 90680 |
|
16 |
12 |
$35.74 |
| 75635 |
|
49 |
49 |
$28.52 |
| 86923 |
|
529 |
372 |
$21.60 |
| J2919 |
Inj, methylpred sod succ 5mg |
302 |
223 |
$15.45 |
| 82746 |
|
1,274 |
1,183 |
$12.76 |
| G8979 |
Mobility goal status |
326 |
295 |
$10.84 |
| J7510 |
Prednisolone oral per 5 mg |
1,308 |
1,168 |
$10.46 |
| J2370 |
Phenylephrine hcl injection |
2,751 |
2,524 |
$8.44 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
343 |
321 |
$7.86 |
| 84295 |
|
734 |
638 |
$7.53 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
378 |
340 |
$7.29 |
| 80320 |
|
1,070 |
968 |
$7.17 |
| D3220 |
|
1,511 |
1,348 |
$0.00 |
| C1726 |
Cath, bal dil, non-vascular |
286 |
256 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
446 |
411 |
$0.00 |
| J9267 |
Paclitaxel injection |
1,093 |
413 |
$0.00 |
| 84703 |
|
400 |
385 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
590 |
517 |
$0.00 |
| J0456 |
Azithromycin |
416 |
294 |
$0.00 |
| 94660 |
|
155 |
55 |
$0.00 |
| 87449 |
|
183 |
164 |
$0.00 |
| A6550 |
Neg pres wound ther drsg set |
59 |
55 |
$0.00 |
| J1630 |
Haloperidol injection |
823 |
525 |
$0.00 |
| D3310 |
|
111 |
103 |
$0.00 |
| 86803 |
|
258 |
246 |
$0.00 |
| 84153 |
|
164 |
158 |
$0.00 |
| 87088 |
|
48 |
44 |
$0.00 |
| 77417 |
|
25 |
12 |
$0.00 |
| 82985 |
|
226 |
220 |
$0.00 |
| 96409 |
|
23 |
12 |
$0.00 |
| 83521 |
|
417 |
188 |
$0.00 |
| A4648 |
Implantable tissue marker |
216 |
197 |
$0.00 |
| J2505 |
Injection, pegfilgrastim 6mg |
241 |
170 |
$0.00 |
| 64721 |
|
67 |
67 |
$0.00 |
| C1750 |
Cath, hemodialysis,long-term |
172 |
151 |
$0.00 |
| 90634 |
|
17 |
15 |
$0.00 |
| C1768 |
Graft, vascular |
45 |
44 |
$0.00 |
| J1805 |
Inj, esmolol hcl, 10mg |
14 |
12 |
$0.00 |
| J0461 |
Atropine sulfate injection |
54 |
36 |
$0.00 |
| D1208 |
|
73 |
69 |
$0.00 |
| G0008 |
Admin influenza virus vac |
376 |
342 |
$0.00 |
| 72020 |
|
39 |
37 |
$0.00 |
| 86920 |
|
63 |
53 |
$0.00 |
| J2469 |
Palonosetron hcl |
208 |
105 |
$0.00 |
| 70498 |
|
77 |
76 |
$0.00 |
| 74420 |
|
12 |
12 |
$0.00 |
| J2001 |
Lidocaine injection |
96 |
94 |
$0.00 |
| 85660 |
|
28 |
25 |
$0.00 |
| J1920 |
Inj, labetalol hcl, 5mg |
56 |
44 |
$0.00 |
| G0108 |
Diab manage trn per indiv |
23 |
15 |
$0.00 |
| 83883 |
|
26 |
15 |
$0.00 |
| 19083 |
|
13 |
13 |
$0.00 |
| A9503 |
Tc99m medronate |
40 |
39 |
$0.00 |
| J2404 |
Inj, nicardipine 0.1 mg |
16 |
15 |
$0.00 |
| 12002 |
|
15 |
14 |
$0.00 |
| 90656 |
|
12 |
12 |
$0.00 |
| 90651 |
|
15 |
12 |
$0.00 |
| C9463 |
Injection, aprepitant |
28 |
13 |
$0.00 |
| 80050 |
|
30 |
27 |
$0.00 |
| 90744 |
|
31 |
26 |
$0.00 |
| J3420 |
Vitamin b12 injection |
20 |
15 |
$0.00 |
| A9540 |
Tc99m maa |
18 |
13 |
$0.00 |
| J9035 |
Bevacizumab injection |
28 |
13 |
$0.00 |
| 84155 |
|
331 |
298 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
2,412 |
2,183 |
$0.00 |
| Q0163 |
Diphenhydramine hcl 50mg |
92 |
81 |
$0.00 |
| 96416 |
|
433 |
348 |
$0.00 |
| 36905 |
|
207 |
168 |
$0.00 |
| J9217 |
Leuprolide acetate suspnsion |
57 |
51 |
$0.00 |
| C1887 |
Catheter, guiding |
926 |
863 |
$0.00 |
| G0279 |
Tomosynthesis, mammo |
267 |
258 |
$0.00 |
| 82248 |
|
263 |
173 |
$0.00 |
| J1956 |
Levofloxacin injection |
157 |
134 |
$0.00 |
| 86334 |
|
261 |
237 |
$0.00 |
| C1757 |
Cath, thrombectomy/embolect |
736 |
594 |
$0.00 |
| 83970 |
|
28 |
24 |
$0.00 |
| 87075 |
|
89 |
78 |
$0.00 |
| Q5106 |
Inj retacrit non-esrd use |
784 |
503 |
$0.00 |
| 84165 |
|
397 |
356 |
$0.00 |
| C1776 |
Joint device (implantable) |
346 |
334 |
$0.00 |
| J1580 |
Garamycin gentamicin inj |
87 |
82 |
$0.00 |
| C1729 |
Cath, drainage |
15 |
14 |
$0.00 |
| 84520 |
|
41 |
36 |
$0.00 |
| 36830 |
|
38 |
37 |
$0.00 |
| C8929 |
Tte w or wo fol wcon,doppler |
78 |
70 |
$0.00 |
| G0121 |
Colon ca scrn not hi rsk ind |
12 |
12 |
$0.00 |
| J3489 |
Zoledronic acid 1mg |
152 |
132 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
839 |
778 |
$0.00 |
| 77012 |
|
12 |
12 |
$0.00 |
| 27447 |
|
24 |
24 |
$0.00 |
| 94645 |
|
41 |
38 |
$0.00 |
| 90472 |
|
29 |
28 |
$0.00 |
| 82140 |
|
78 |
66 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
91 |
85 |
$0.00 |
| J9263 |
Oxaliplatin |
168 |
60 |
$0.00 |
| C9088 |
Instill, bupivac and meloxic |
13 |
13 |
$0.00 |
| 36558 |
|
14 |
14 |
$0.00 |
| C1874 |
Stent, coated/cov w/del sys |
15 |
13 |
$0.00 |
| 85347 |
|
20 |
12 |
$0.00 |
| 90633 |
|
15 |
15 |
$0.00 |
| J0694 |
Cefoxitin sodium injection |
31 |
27 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
16 |
14 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
50 |
49 |
$0.00 |
| J2506 |
Inj pegfilgrast ex bio 0.5mg |
57 |
37 |
$0.00 |
| 97168 |
|
70 |
59 |
$0.00 |
| P9045 |
Albumin (human), 5%, 250 ml |
14 |
12 |
$0.00 |
| J3105 |
Terbutaline sulfate inj |
36 |
32 |
$0.00 |
| G8985 |
Carry goal status |
33 |
29 |
$0.00 |
| J0595 |
Butorphanol tartrate 1 mg |
13 |
12 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
24 |
23 |
$0.00 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
15 |
13 |
$0.00 |
| J0736 |
Inj, clindamycin phosp 300mg |
15 |
13 |
$0.00 |
| J9355 |
Inj trastuzumab excl biosimi |
27 |
12 |
$0.00 |
| D2932 |
|
13 |
12 |
$0.00 |
| 77301 |
|
15 |
13 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
31 |
28 |
$0.00 |
| C1760 |
Closure dev, vasc |
38 |
38 |
$0.00 |
| 92611 |
|
13 |
13 |
$0.00 |
| J1453 |
Fosaprepitant injection |
23 |
12 |
$0.00 |
| 77338 |
|
17 |
15 |
$0.00 |