| Code | Description | Claims | Beneficiaries | Total Paid |
| 96361 |
|
25,121 |
22,354 |
$7.78M |
| 99283 |
|
43,539 |
40,840 |
$4.82M |
| G0463 |
Hospital outpt clinic visit |
63,422 |
42,501 |
$4.68M |
| 99285 |
|
52,933 |
48,553 |
$4.44M |
| 99284 |
|
50,431 |
46,650 |
$4.36M |
| 59025 |
|
23,753 |
12,062 |
$3.79M |
| 74177 |
|
12,416 |
12,009 |
$2.03M |
| 96365 |
|
16,104 |
10,246 |
$1.98M |
| 70450 |
|
12,900 |
12,244 |
$1.62M |
| 96366 |
|
5,998 |
4,540 |
$1.60M |
| 93306 |
|
5,201 |
5,113 |
$1.25M |
| 78452 |
|
2,158 |
2,125 |
$940K |
| 80307 |
|
28,937 |
24,708 |
$915K |
| 95810 |
|
1,703 |
1,678 |
$855K |
| 96360 |
|
8,299 |
7,677 |
$845K |
| 77412 |
|
1,568 |
153 |
$765K |
| 76805 |
|
10,389 |
10,281 |
$699K |
| 71275 |
|
4,323 |
4,176 |
$643K |
| 76705 |
|
6,987 |
6,753 |
$628K |
| 29581 |
|
3,687 |
1,140 |
$570K |
| 76830 |
|
6,506 |
6,367 |
$560K |
| 70496 |
|
3,218 |
3,103 |
$553K |
| 74176 |
|
3,249 |
3,179 |
$539K |
| 76642 |
|
6,538 |
5,818 |
$535K |
| 76801 |
|
8,505 |
7,718 |
$525K |
| U0003 |
Cov-19 amp prb hgh thruput |
7,702 |
6,987 |
$521K |
| 70553 |
|
1,884 |
1,853 |
$451K |
| 99281 |
|
3,557 |
3,398 |
$446K |
| 99282 |
|
5,376 |
5,209 |
$410K |
| 80053 |
|
87,722 |
76,405 |
$398K |
| D2930 |
|
266 |
264 |
$383K |
| 76815 |
|
6,094 |
4,485 |
$347K |
| 76816 |
|
6,175 |
5,603 |
$345K |
| 93971 |
|
3,696 |
3,528 |
$343K |
| 70551 |
|
1,941 |
1,884 |
$328K |
| G0378 |
Hospital observation per hr |
31,533 |
10,743 |
$327K |
| 72148 |
|
2,082 |
2,052 |
$325K |
| 71046 |
|
13,054 |
12,653 |
$314K |
| 77067 |
|
6,945 |
6,898 |
$302K |
| 76819 |
|
6,492 |
3,248 |
$294K |
| 76856 |
|
6,342 |
6,216 |
$292K |
| 93017 |
|
3,011 |
2,944 |
$287K |
| 76700 |
|
2,728 |
2,695 |
$279K |
| 76811 |
|
4,208 |
4,176 |
$267K |
| 12001 |
|
1,156 |
1,140 |
$222K |
| 76770 |
|
2,349 |
2,317 |
$219K |
| 76817 |
|
6,262 |
5,379 |
$198K |
| 76536 |
|
2,205 |
2,178 |
$196K |
| 93970 |
|
1,767 |
1,717 |
$165K |
| 84484 |
|
32,149 |
24,562 |
$160K |
| 77386 |
|
387 |
38 |
$159K |
| 87635 |
|
9,110 |
8,518 |
$152K |
| 99291 |
|
2,584 |
2,499 |
$148K |
| 97110 |
|
6,168 |
2,794 |
$138K |
| 76813 |
|
2,963 |
2,937 |
$133K |
| 41010 |
|
142 |
136 |
$131K |
| 77336 |
|
2,407 |
1,100 |
$131K |
| 97530 |
|
5,602 |
3,009 |
$130K |
| 10061 |
|
671 |
644 |
$128K |
| 77066 |
Tomosynthesis, mammo |
4,155 |
4,087 |
$118K |
| 47562 |
|
53 |
53 |
$116K |
| 72100 |
|
4,879 |
4,808 |
$112K |
| 78815 |
|
248 |
244 |
$111K |
| 12002 |
|
585 |
578 |
$110K |
| 93458 |
|
121 |
119 |
$109K |
| 76870 |
|
1,158 |
1,122 |
$107K |
| 74174 |
|
597 |
584 |
$105K |
| P9016 |
Rbc leukocytes reduced |
313 |
259 |
$105K |
| 95811 |
|
269 |
267 |
$103K |
| 73562 |
|
2,942 |
2,867 |
$103K |
| 72141 |
|
698 |
688 |
$99K |
| 87040 |
|
13,964 |
7,436 |
$91K |
| 12011 |
|
434 |
429 |
$90K |
| 80048 |
|
20,242 |
16,321 |
$88K |
| 77065 |
Tomosynthesis, mammo |
2,802 |
2,641 |
$87K |
| 76937 |
|
2,175 |
2,000 |
$87K |
| 73610 |
|
4,790 |
4,469 |
$87K |
| 73630 |
|
4,703 |
4,374 |
$85K |
| 73130 |
|
4,821 |
4,328 |
$84K |
| 73030 |
|
5,380 |
4,859 |
$84K |
| 97112 |
|
3,523 |
1,616 |
$84K |
| 72040 |
|
2,654 |
2,603 |
$71K |
| 70498 |
|
3,424 |
3,299 |
$69K |
| 72125 |
|
6,102 |
5,858 |
$69K |
| 70491 |
|
578 |
566 |
$68K |
| 74018 |
|
3,214 |
3,056 |
$68K |
| 83605 |
|
13,981 |
12,022 |
$67K |
| 76818 |
|
1,098 |
524 |
$67K |
| 19083 |
|
91 |
88 |
$65K |
| 76882 |
|
916 |
806 |
$65K |
| 58571 |
|
26 |
26 |
$64K |
| 73110 |
|
3,455 |
3,173 |
$63K |
| 70486 |
|
2,289 |
2,241 |
$62K |
| 43239 |
|
220 |
215 |
$59K |
| 71250 |
|
1,132 |
1,109 |
$57K |
| 73140 |
|
2,050 |
1,968 |
$57K |
| 97162 |
|
1,814 |
1,738 |
$55K |
| 77063 |
|
6,244 |
6,203 |
$53K |
| J1756 |
Iron sucrose injection |
2,053 |
898 |
$53K |
| 71260 |
|
3,346 |
3,263 |
$52K |
| 90715 |
|
2,818 |
2,764 |
$50K |
| 96374 |
|
40,381 |
34,610 |
$50K |
| 93005 |
|
51,098 |
45,782 |
$50K |
| 73502 |
|
2,925 |
2,833 |
$45K |
| 64483 |
|
95 |
94 |
$45K |
| 94640 |
|
6,279 |
4,380 |
$43K |
| 83880 |
|
7,847 |
7,272 |
$41K |
| G0279 |
Tomosynthesis, mammo |
6,416 |
6,213 |
$41K |
| 11042 |
|
214 |
174 |
$39K |
| 29848 |
|
28 |
28 |
$37K |
| 87502 |
|
3,314 |
3,249 |
$37K |
| 77334 |
|
123 |
96 |
$37K |
| 36415 |
|
51,096 |
37,924 |
$36K |
| 97116 |
|
2,457 |
1,431 |
$36K |
| D2330 |
|
61 |
60 |
$35K |
| 10060 |
|
159 |
155 |
$35K |
| 71045 |
|
32,719 |
30,169 |
$34K |
| G0108 |
Diab manage trn per indiv |
1,746 |
1,216 |
$34K |
| 87591 |
|
2,476 |
2,409 |
$33K |
| 73560 |
|
1,702 |
1,626 |
$32K |
| 36430 |
|
747 |
569 |
$32K |
| 87631 |
|
1,562 |
1,542 |
$31K |
| 72131 |
|
858 |
827 |
$29K |
| 85379 |
|
5,336 |
5,199 |
$28K |
| 58661 |
|
12 |
12 |
$27K |
| 85025 |
|
82,779 |
72,259 |
$27K |
| 97165 |
|
775 |
744 |
$26K |
| 36902 |
|
39 |
38 |
$25K |
| 73721 |
|
177 |
170 |
$25K |
| 93880 |
|
495 |
487 |
$24K |
| 73590 |
|
1,990 |
1,788 |
$24K |
| J1644 |
Inj heparin sodium per 1000u |
14,294 |
6,320 |
$23K |
| 87510 |
|
3,120 |
3,003 |
$23K |
| 58671 |
|
12 |
12 |
$22K |
| 45385 |
|
37 |
37 |
$22K |
| 73080 |
|
1,673 |
1,580 |
$22K |
| 77290 |
|
89 |
71 |
$22K |
| 45380 |
|
66 |
66 |
$22K |
| 73564 |
|
3,021 |
2,674 |
$22K |
| 36561 |
|
24 |
24 |
$21K |
| 97166 |
|
777 |
745 |
$19K |
| 54161 |
|
15 |
15 |
$19K |
| 29125 |
|
86 |
86 |
$19K |
| M0243 |
Casirivi and imdevi inj |
105 |
104 |
$19K |
| 85027 |
|
26,071 |
22,451 |
$19K |
| 84112 |
|
2,473 |
2,197 |
$19K |
| 97535 |
|
1,429 |
1,083 |
$18K |
| 97140 |
|
1,005 |
584 |
$17K |
| 94770 |
|
225 |
213 |
$17K |
| 84145 |
|
1,641 |
1,549 |
$17K |
| 96367 |
|
683 |
599 |
$17K |
| G0480 |
Drug test def 1-7 classes |
1,594 |
1,511 |
$17K |
| 73090 |
|
1,431 |
1,283 |
$16K |
| 87660 |
|
3,119 |
3,002 |
$16K |
| 97161 |
|
533 |
517 |
$16K |
| 93922 |
|
325 |
320 |
$15K |
| 58558 |
|
12 |
12 |
$13K |
| 96375 |
|
27,388 |
23,490 |
$13K |
| 71271 |
|
130 |
130 |
$12K |
| D3220 |
|
200 |
198 |
$12K |
| 62323 |
|
47 |
47 |
$12K |
| 77280 |
|
65 |
56 |
$12K |
| 88307 |
|
662 |
648 |
$11K |
| 87651 |
|
1,386 |
1,364 |
$11K |
| 93325 |
|
162 |
156 |
$9K |
| 86850 |
|
5,850 |
5,494 |
$9K |
| 86900 |
|
7,791 |
6,222 |
$9K |
| 94726 |
|
327 |
324 |
$8K |
| 71101 |
|
614 |
599 |
$8K |
| 94729 |
|
414 |
409 |
$8K |
| 72072 |
|
563 |
554 |
$8K |
| 92507 |
|
248 |
106 |
$8K |
| 96372 |
|
13,637 |
10,514 |
$8K |
| 72170 |
|
1,657 |
1,588 |
$8K |
| 80061 |
|
1,761 |
1,711 |
$7K |
| 84703 |
|
18,409 |
17,352 |
$7K |
| 81001 |
|
48,358 |
44,363 |
$7K |
| 73660 |
|
257 |
249 |
$7K |
| 83036 |
|
3,085 |
3,019 |
$7K |
| D2332 |
|
14 |
14 |
$7K |
| 72070 |
|
248 |
247 |
$7K |
| 80143 |
|
710 |
662 |
$7K |
| 83735 |
|
10,655 |
9,014 |
$6K |
| 72110 |
|
172 |
170 |
$6K |
| 94060 |
|
154 |
152 |
$6K |
| C8908 |
Mri w/o fol w/cont, breast, |
25 |
25 |
$6K |
| 96413 |
|
60 |
44 |
$6K |
| 74019 |
|
230 |
228 |
$6K |
| P9047 |
Albumin (human), 25%, 50ml |
15 |
12 |
$5K |
| 99214 |
|
136 |
136 |
$5K |
| 84702 |
|
5,986 |
5,514 |
$5K |
| 86901 |
|
8,708 |
7,060 |
$5K |
| 86923 |
|
434 |
371 |
$5K |
| 0001A |
|
138 |
131 |
$5K |
| 97597 |
|
104 |
92 |
$5K |
| 99213 |
|
115 |
99 |
$5K |
| 95819 |
|
39 |
39 |
$5K |
| 93308 |
|
31 |
28 |
$5K |
| 83690 |
|
25,496 |
23,513 |
$4K |
| 80179 |
|
2,066 |
1,970 |
$4K |
| 85610 |
|
43,178 |
31,356 |
$4K |
| 84443 |
|
4,717 |
4,525 |
$4K |
| 74183 |
|
13 |
13 |
$4K |
| G0249 |
Provide inr test mater/equip |
148 |
136 |
$4K |
| C8929 |
Tte w or wo fol wcon,doppler |
12 |
12 |
$4K |
| 93990 |
|
93 |
89 |
$4K |
| 80164 |
|
500 |
440 |
$3K |
| 77049 |
|
16 |
15 |
$3K |
| 73552 |
|
343 |
312 |
$3K |
| 87081 |
|
2,115 |
1,852 |
$3K |
| 70487 |
|
25 |
25 |
$3K |
| 83050 |
|
491 |
454 |
$3K |
| 82075 |
|
5,596 |
4,942 |
$3K |
| 93925 |
|
39 |
38 |
$3K |
| 72158 |
|
27 |
26 |
$3K |
| 72197 |
|
12 |
12 |
$3K |
| 86140 |
|
3,941 |
3,422 |
$3K |
| 82565 |
|
3,043 |
2,758 |
$3K |
| 96376 |
|
10,330 |
8,512 |
$3K |
| 29515 |
|
12 |
12 |
$3K |
| J1750 |
Inj iron dextran |
73 |
38 |
$3K |
| 75574 |
|
12 |
12 |
$3K |
| 82247 |
|
5,263 |
4,162 |
$3K |
| 84163 |
|
216 |
216 |
$2K |
| 87491 |
|
2,476 |
2,409 |
$2K |
| 87086 |
|
6,808 |
6,457 |
$2K |
| 82962 |
|
12,031 |
6,558 |
$2K |
| 77307 |
|
12 |
12 |
$2K |
| 77002 |
|
17 |
17 |
$2K |
| 72128 |
|
179 |
171 |
$2K |
| Q3014 |
Telehealth facility fee |
86 |
84 |
$2K |
| 77300 |
|
53 |
50 |
$2K |
| 73120 |
|
71 |
58 |
$2K |
| 82550 |
|
2,857 |
2,232 |
$2K |
| 0241U |
|
8,205 |
7,949 |
$2K |
| 80050 |
|
575 |
567 |
$2K |
| 96368 |
|
14 |
12 |
$2K |
| 73620 |
|
71 |
64 |
$2K |
| 90471 |
|
3,195 |
3,127 |
$2K |
| J2405 |
Ondansetron hcl injection |
34,507 |
27,645 |
$2K |
| 87070 |
|
2,874 |
2,612 |
$2K |
| J7050 |
Normal saline solution infus |
31,441 |
17,885 |
$2K |
| 93926 |
|
26 |
25 |
$2K |
| 82077 |
|
4,505 |
4,083 |
$2K |
| 81025 |
|
6,364 |
6,161 |
$2K |
| 85014 |
|
4,027 |
3,168 |
$2K |
| 99381 |
|
24 |
24 |
$2K |
| 93321 |
|
13 |
13 |
$2K |
| 97163 |
|
57 |
52 |
$2K |
| 82570 |
|
1,910 |
1,697 |
$2K |
| 76820 |
|
63 |
37 |
$2K |
| 87480 |
|
3,120 |
3,003 |
$2K |
| 73070 |
|
69 |
64 |
$1K |
| 93797 |
|
180 |
26 |
$1K |
| 76942 |
|
53 |
50 |
$1K |
| C1894 |
Intro/sheath, non-laser |
3,086 |
2,937 |
$1K |
| 87075 |
|
1,265 |
1,114 |
$1K |
| 73522 |
|
64 |
64 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
22,421 |
18,788 |
$1K |
| 84466 |
|
583 |
563 |
$1K |
| 97035 |
|
252 |
130 |
$1K |
| J1170 |
Hydromorphone injection |
13,121 |
9,553 |
$1K |
| 99152 |
|
3,408 |
3,237 |
$1K |
| G0297 |
Ldct for lung ca screen |
12 |
12 |
$1K |
| J3490 |
Drugs unclassified injection |
3,155 |
2,927 |
$1K |
| 73100 |
|
32 |
30 |
$1K |
| 82607 |
|
398 |
390 |
$1K |
| J3010 |
Fentanyl citrate injection |
20,662 |
16,665 |
$1K |
| 85018 |
|
3,780 |
3,004 |
$1K |
| 80178 |
|
151 |
133 |
$1K |
| 82731 |
|
98 |
94 |
$1K |
| 93350 |
|
14 |
13 |
$1K |
| J2001 |
Lidocaine injection |
14,714 |
12,314 |
$1K |
| 84156 |
|
2,063 |
1,647 |
$1K |
| A9270 |
Non-covered item or service |
23,762 |
4,555 |
$1K |
| 90686 |
|
122 |
122 |
$998.20 |
| 87186 |
|
3,100 |
2,977 |
$998.05 |
| J2704 |
Inj, propofol, 10 mg |
12,783 |
12,182 |
$966.27 |
| 73060 |
|
135 |
126 |
$958.59 |
| 93976 |
|
12 |
12 |
$955.19 |
| 80076 |
|
268 |
257 |
$942.24 |
| 87077 |
|
3,096 |
2,961 |
$880.18 |
| 99204 |
|
12 |
12 |
$875.83 |
| 74022 |
|
243 |
236 |
$865.16 |
| 99153 |
Mod sedat endo service >5yrs |
3,251 |
3,087 |
$861.39 |
| J1100 |
Dexamethasone sodium phos |
8,811 |
8,272 |
$859.99 |
| J7030 |
Normal saline solution infus |
24,443 |
20,874 |
$843.94 |
| J0696 |
Ceftriaxone sodium injection |
11,855 |
7,638 |
$798.30 |
| 87506 |
|
12 |
12 |
$793.94 |
| 87798 |
|
359 |
334 |
$788.77 |
| G0379 |
Direct refer hospital observ |
105 |
103 |
$783.17 |
| 87205 |
|
3,197 |
2,826 |
$777.18 |
| 73600 |
|
27 |
26 |
$756.62 |
| J2250 |
Inj midazolam hydrochloride |
13,731 |
12,741 |
$742.89 |
| 88305 |
|
3,530 |
3,354 |
$725.13 |
| 87147 |
|
1,394 |
1,322 |
$691.37 |
| 73700 |
|
14 |
12 |
$642.33 |
| A9500 |
Tc99m sestamibi |
2,511 |
2,249 |
$633.75 |
| 83540 |
|
655 |
626 |
$631.71 |
| 36591 |
|
381 |
308 |
$626.67 |
| 85651 |
|
1,665 |
1,450 |
$622.09 |
| 84439 |
|
549 |
517 |
$621.10 |
| C1769 |
Guide wire |
3,625 |
3,415 |
$574.59 |
| 82728 |
|
339 |
329 |
$569.16 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
26,153 |
24,834 |
$568.14 |
| 84550 |
|
1,285 |
1,074 |
$560.78 |
| J2270 |
Morphine sulfate injection |
12,840 |
10,269 |
$550.94 |
| J2785 |
Regadenoson injection |
1,549 |
1,519 |
$539.00 |
| 85049 |
|
964 |
795 |
$514.67 |
| 77012 |
|
12 |
12 |
$453.78 |
| 85652 |
|
1,096 |
936 |
$444.27 |
| 85730 |
|
2,965 |
2,791 |
$442.46 |
| 81003 |
|
3,710 |
3,610 |
$439.18 |
| 87426 |
|
3,087 |
2,747 |
$439.18 |
| J2310 |
Inj naloxone hydrochloride |
77 |
52 |
$416.67 |
| 72220 |
|
24 |
24 |
$409.44 |
| 97803 |
|
30 |
20 |
$403.78 |
| J7120 |
Ringers lactate infusion |
10,444 |
8,619 |
$403.29 |
| 90839 |
|
3,872 |
3,585 |
$400.17 |
| A9585 |
Gadobutrol injection |
4,531 |
4,390 |
$399.40 |
| 0004A |
|
12 |
12 |
$376.80 |
| J0690 |
Cefazolin sodium injection |
10,595 |
7,537 |
$365.57 |
| 84100 |
|
1,174 |
1,054 |
$362.73 |
| M0222 |
Bebtelovimab injection |
51 |
51 |
$357.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
517 |
504 |
$356.37 |
| U0005 |
Infec agen detec ampli probe |
5,792 |
5,244 |
$298.12 |
| 80069 |
|
79 |
70 |
$294.20 |
| A4648 |
Implantable tissue marker |
650 |
551 |
$293.25 |
| 82805 |
|
728 |
682 |
$291.38 |
| J1650 |
Inj enoxaparin sodium |
7,640 |
3,008 |
$287.84 |
| 87389 |
|
239 |
234 |
$286.70 |
| 84450 |
|
1,035 |
850 |
$284.21 |
| 94644 |
|
123 |
119 |
$280.87 |
| J1200 |
Diphenhydramine hcl injectio |
5,109 |
4,575 |
$271.55 |
| J3370 |
Vancomycin hcl injection |
5,008 |
2,639 |
$268.11 |
| 94150 |
|
29 |
27 |
$266.83 |
| 88304 |
|
689 |
681 |
$265.14 |
| J2550 |
Promethazine hcl injection |
1,923 |
1,705 |
$258.93 |
| 72020 |
|
32 |
27 |
$247.72 |
| C1887 |
Catheter, guiding |
1,130 |
997 |
$223.71 |
| 88342 |
|
1,198 |
1,159 |
$209.82 |
| 89051 |
|
571 |
458 |
$209.71 |
| J2765 |
Metoclopramide hcl injection |
4,563 |
4,004 |
$169.44 |
| 87340 |
|
143 |
137 |
$162.67 |
| 86336 |
|
255 |
255 |
$151.05 |
| 82553 |
|
30 |
28 |
$143.63 |
| 82272 |
|
794 |
772 |
$128.29 |
| 0353U |
|
530 |
511 |
$127.14 |
| J0330 |
Succinycholine chloride inj |
5,309 |
5,039 |
$115.03 |
| 70360 |
|
13 |
12 |
$112.74 |
| J2710 |
Neostigmine methylslfte inj |
3,661 |
3,580 |
$111.44 |
| J7040 |
Normal saline solution infus |
2,518 |
2,300 |
$106.49 |
| 81005 |
|
192 |
186 |
$105.15 |
| 88341 |
|
575 |
560 |
$97.78 |
| J1815 |
Insulin injection |
9,494 |
3,942 |
$96.11 |
| J1790 |
Droperidol injection |
1,375 |
1,236 |
$94.22 |
| J2795 |
Ropivacaine hcl injection |
221 |
170 |
$82.27 |
| 87880 |
|
326 |
322 |
$81.37 |
| 82010 |
|
1,459 |
1,356 |
$81.18 |
| 83986 |
|
183 |
162 |
$80.31 |
| 85576 |
|
180 |
170 |
$77.28 |
| J1953 |
Levetiracetam injection |
126 |
101 |
$74.21 |
| 82248 |
|
97 |
88 |
$66.26 |
| J2370 |
Phenylephrine hcl injection |
3,983 |
3,449 |
$65.81 |
| J2060 |
Lorazepam injection |
7,459 |
6,079 |
$64.62 |
| J3486 |
Ziprasidone mesylate |
630 |
572 |
$64.50 |
| J2930 |
Methylprednisolone injection |
2,420 |
1,995 |
$60.07 |
| 82803 |
|
326 |
269 |
$57.17 |
| J0780 |
Prochlorperazine injection |
2,712 |
2,514 |
$55.16 |
| 87493 |
|
98 |
92 |
$50.03 |
| 85384 |
|
455 |
422 |
$49.39 |
| C1788 |
Port, indwelling, imp |
24 |
24 |
$43.14 |
| 84132 |
|
171 |
147 |
$42.03 |
| 86780 |
|
37 |
37 |
$41.03 |
| 82375 |
|
318 |
296 |
$34.03 |
| 88108 |
|
209 |
158 |
$33.87 |
| J1642 |
Inj heparin sodium per 10 u |
3,995 |
1,499 |
$31.74 |
| 87088 |
|
221 |
208 |
$31.41 |
| J3475 |
Inj magnesium sulfate |
2,319 |
1,900 |
$26.47 |
| 82140 |
|
144 |
135 |
$24.38 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
893 |
368 |
$19.28 |
| 96040 |
|
1,140 |
1,128 |
$18.54 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
1,223 |
1,187 |
$17.05 |
| J0688 |
Inj cefazolin sodium, hikma |
446 |
335 |
$16.14 |
| 87149 |
|
84 |
50 |
$14.57 |
| C1725 |
Cath, translumin non-laser |
1,041 |
870 |
$12.64 |
| J3480 |
Inj potassium chloride |
1,531 |
1,217 |
$12.40 |
| J0171 |
Adrenalin epinephrine inject |
343 |
314 |
$11.59 |
| 86706 |
|
14 |
13 |
$11.20 |
| 87899 |
|
17 |
15 |
$10.95 |
| J1630 |
Haloperidol injection |
1,930 |
1,699 |
$9.55 |
| C9113 |
Inj pantoprazole sodium, via |
1,524 |
911 |
$8.93 |
| 87045 |
|
15 |
15 |
$8.82 |
| 36600 |
|
117 |
111 |
$8.21 |
| G0500 |
Mod sedat endo service >5yrs |
593 |
569 |
$7.73 |
| J1940 |
Furosemide injection |
1,596 |
1,078 |
$6.78 |
| J3411 |
Thiamine hcl 100 mg |
985 |
747 |
$5.88 |
| J2175 |
Meperidine hydrochl /100 mg |
97 |
95 |
$5.39 |
| 85347 |
|
595 |
465 |
$5.06 |
| 87046 |
|
15 |
15 |
$4.41 |
| J7512 |
Prednisone ir or dr oral 1mg |
3,378 |
2,376 |
$3.63 |
| 88311 |
|
13 |
13 |
$2.43 |
| Q0163 |
Diphenhydramine hcl 50mg |
2,182 |
1,561 |
$1.18 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
437 |
411 |
$1.08 |
| J0692 |
Cefepime hcl for injection |
754 |
402 |
$1.02 |
| J3415 |
Pyridoxine hcl 100 mg |
83 |
78 |
$0.56 |
| J0456 |
Azithromycin |
37 |
27 |
$0.49 |
| G1004 |
Cdsm ndsc |
22,986 |
20,624 |
$0.01 |
| C1729 |
Cath, drainage |
51 |
44 |
$0.00 |
| 84295 |
|
30 |
28 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
176 |
155 |
$0.00 |
| D1120 |
|
273 |
266 |
$0.00 |
| G8979 |
Mobility goal status |
431 |
368 |
$0.00 |
| A9552 |
F18 fdg |
304 |
300 |
$0.00 |
| G8978 |
Mobility current status |
420 |
357 |
$0.00 |
| 0042T |
|
80 |
78 |
$0.00 |
| C1760 |
Closure dev, vasc |
45 |
40 |
$0.00 |
| C1876 |
Stent, non-coa/non-cov w/del |
30 |
30 |
$0.00 |
| 51702 |
|
29 |
26 |
$0.00 |
| C1758 |
Catheter, ureteral |
50 |
49 |
$0.00 |
| G0390 |
Trauma respons w/hosp criti |
13 |
13 |
$0.00 |
| J0744 |
Ciprofloxacin iv |
13 |
12 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
24 |
24 |
$0.00 |
| 82947 |
|
27 |
26 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
49 |
48 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
236 |
169 |
$0.00 |
| 87641 |
|
26 |
25 |
$0.00 |
| C1776 |
Joint device (implantable) |
12 |
12 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
154 |
126 |
$0.00 |
| 85390 |
|
178 |
168 |
$0.00 |
| C1889 |
Implant/insert device, noc |
154 |
152 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
791 |
708 |
$0.00 |
| S2900 |
Robotic surgical system |
161 |
160 |
$0.00 |
| G8988 |
Self care goal status |
119 |
109 |
$0.00 |
| D0240 |
|
295 |
288 |
$0.00 |
| D0272 |
|
297 |
290 |
$0.00 |
| 0240U |
|
740 |
720 |
$0.00 |
| J7999 |
Compounded drug, noc |
1,527 |
1,098 |
$0.00 |
| J1836 |
Inj, metronidazole, 10 mg |
536 |
397 |
$0.00 |
| J1920 |
Inj, labetalol hcl, 5mg |
14 |
12 |
$0.00 |
| J3360 |
Diazepam injection |
15 |
15 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
124 |
86 |
$0.00 |
| S9981 |
Med record copy admin |
15 |
15 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
25 |
25 |
$0.00 |
| G8980 |
Mobility d/c status |
221 |
209 |
$0.00 |
| G8987 |
Self care current status |
101 |
94 |
$0.00 |
| D0150 |
|
95 |
94 |
$0.00 |
| C1781 |
Mesh (implantable) |
127 |
126 |
$0.00 |
| 82435 |
|
29 |
28 |
$0.00 |
| L8699 |
Prosthetic implant nos |
16 |
15 |
$0.00 |
| J8540 |
Oral dexamethasone |
35 |
26 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
29 |
29 |
$0.00 |
| J0280 |
Aminophyllin 250 mg inj |
29 |
29 |
$0.00 |
| S9982 |
Med record copy per page |
15 |
15 |
$0.00 |
| J7042 |
5% dextrose/normal saline |
40 |
25 |
$0.00 |
| 82330 |
|
30 |
28 |
$0.00 |
| J2305 |
Inj, nitroglycerin, 5 mg |
15 |
14 |
$0.00 |
| 51798 |
|
13 |
13 |
$0.00 |
| J2560 |
Phenobarbital sodium inj |
17 |
12 |
$0.00 |