| Code | Description | Claims | Beneficiaries | Total Paid |
| 0681 |
|
1,342 |
1,332 |
$21.63M |
| 99284 |
|
199,909 |
176,316 |
$12.94M |
| J9271 |
Inj pembrolizumab |
821 |
569 |
$11.01M |
| 99070 |
|
168,675 |
62,066 |
$5.32M |
| 99231 |
|
125,763 |
100,646 |
$5.16M |
| 74177 |
|
21,107 |
20,704 |
$4.60M |
| 70450 |
|
19,371 |
18,924 |
$3.61M |
| 99285 |
|
34,253 |
33,767 |
$3.28M |
| 71260 |
|
7,495 |
7,363 |
$2.61M |
| 96374 |
|
22,658 |
20,458 |
$2.33M |
| 99199 |
|
28,256 |
23,973 |
$2.32M |
| 93306 |
|
16,192 |
16,061 |
$2.20M |
| J3490 |
Drugs unclassified injection |
79,368 |
40,377 |
$2.17M |
| 93005 |
|
50,154 |
45,430 |
$2.14M |
| 99283 |
|
51,423 |
50,828 |
$2.03M |
| 72125 |
|
4,949 |
4,857 |
$2.00M |
| 80053 |
|
176,318 |
160,411 |
$1.97M |
| 70553 |
|
2,347 |
2,294 |
$1.83M |
| 99232 |
|
21,090 |
11,615 |
$1.65M |
| Z7502 |
|
41,250 |
40,847 |
$1.53M |
| J1459 |
Inj ivig privigen 500 mg |
354 |
91 |
$1.39M |
| 77067 |
|
17,799 |
17,702 |
$1.37M |
| 0450 |
|
20,055 |
17,325 |
$1.36M |
| 96365 |
|
10,344 |
8,176 |
$1.35M |
| 99233 |
Prolong inpt eval add15 m |
20,954 |
8,794 |
$1.31M |
| 72148 |
|
1,870 |
1,846 |
$1.23M |
| 93308 |
|
7,962 |
7,617 |
$1.22M |
| 96375 |
|
17,550 |
14,765 |
$1.17M |
| 85025 |
|
152,740 |
137,223 |
$1.15M |
| 99221 |
|
1,276 |
626 |
$1.14M |
| 86480 |
|
21,078 |
20,813 |
$1.12M |
| U0003 |
Cov-19 amp prb hgh thruput |
13,680 |
13,071 |
$1.10M |
| 87491 |
|
33,263 |
32,396 |
$1.10M |
| 87591 |
|
33,256 |
32,392 |
$1.09M |
| 84443 |
|
65,491 |
63,861 |
$1.06M |
| 0761 |
|
23,682 |
18,801 |
$1.03M |
| J1756 |
Iron sucrose injection |
1,661 |
866 |
$1.02M |
| 86703 |
|
79,862 |
78,318 |
$991K |
| J2182 |
Injection, mepolizumab, 1mg |
209 |
195 |
$969K |
| 97139 |
|
46,598 |
13,188 |
$962K |
| 99213 |
|
41,722 |
39,925 |
$941K |
| 76705 |
|
14,616 |
14,089 |
$933K |
| Q5103 |
Injection, inflectra |
522 |
357 |
$928K |
| 99214 |
|
27,611 |
26,713 |
$920K |
| J3357 |
Ustekinumab sub cu inj, 1 mg |
53 |
52 |
$865K |
| 82306 |
|
36,567 |
36,083 |
$859K |
| 70551 |
|
1,629 |
1,620 |
$802K |
| 83036 |
|
96,152 |
94,768 |
$800K |
| 80061 |
|
64,038 |
63,280 |
$781K |
| 70486 |
|
2,269 |
2,230 |
$757K |
| G0480 |
Drug test def 1-7 classes |
11,879 |
11,096 |
$754K |
| 80307 |
|
14,282 |
13,432 |
$739K |
| 71046 |
|
37,941 |
37,002 |
$735K |
| 96361 |
|
14,534 |
12,832 |
$717K |
| 86803 |
|
53,017 |
51,909 |
$699K |
| 72141 |
|
1,024 |
1,016 |
$698K |
| 88305 |
|
27,218 |
18,598 |
$682K |
| 71250 |
|
2,037 |
2,005 |
$678K |
| 71045 |
|
62,936 |
56,639 |
$633K |
| 96372 |
|
15,823 |
14,155 |
$609K |
| 76856 |
|
9,745 |
9,622 |
$583K |
| 76830 |
|
9,262 |
9,138 |
$564K |
| 74176 |
|
3,762 |
3,690 |
$544K |
| 81220 |
|
3,039 |
3,010 |
$530K |
| D7140 |
|
9,549 |
5,179 |
$526K |
| 96360 |
|
5,558 |
5,007 |
$504K |
| J9035 |
Bevacizumab injection |
317 |
264 |
$501K |
| 85027 |
|
69,876 |
67,755 |
$463K |
| 73721 |
|
1,266 |
1,223 |
$460K |
| 87490 |
|
23,091 |
21,867 |
$455K |
| 86900 |
|
13,643 |
13,101 |
$431K |
| 93010 |
|
73,784 |
62,517 |
$423K |
| 72131 |
|
1,058 |
1,046 |
$418K |
| 70498 |
|
1,382 |
1,361 |
$417K |
| 96413 |
|
10,451 |
6,183 |
$413K |
| 77066 |
Tomosynthesis, mammo |
3,539 |
3,501 |
$407K |
| 77063 |
|
12,836 |
12,778 |
$396K |
| 87624 |
|
13,384 |
13,358 |
$390K |
| 70496 |
|
1,435 |
1,408 |
$390K |
| 93970 |
|
3,753 |
3,583 |
$382K |
| 87590 |
|
23,087 |
21,864 |
$374K |
| 87502 |
|
4,821 |
4,723 |
$368K |
| J1050 |
Medroxyprogesterone acetate |
1,092 |
870 |
$363K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
19,199 |
18,041 |
$359K |
| 76642 |
|
6,080 |
5,574 |
$345K |
| 76700 |
|
3,668 |
3,624 |
$327K |
| 97799 |
|
17,371 |
4,219 |
$323K |
| 93971 |
|
3,945 |
3,759 |
$317K |
| 99212 |
|
19,094 |
17,662 |
$307K |
| Q5107 |
Inj mvasi 10 mg |
244 |
73 |
$307K |
| 80048 |
|
36,969 |
35,297 |
$307K |
| 76815 |
|
3,905 |
3,565 |
$307K |
| J7030 |
Normal saline solution infus |
12,879 |
10,250 |
$305K |
| 73630 |
|
13,222 |
12,239 |
$304K |
| 74178 |
|
917 |
904 |
$301K |
| D0150 |
|
5,159 |
5,049 |
$299K |
| 76770 |
|
3,595 |
3,551 |
$297K |
| 97750 |
|
7,845 |
4,768 |
$295K |
| 81329 |
|
2,508 |
2,490 |
$292K |
| 73030 |
|
11,061 |
10,457 |
$275K |
| 71275 |
|
953 |
924 |
$268K |
| J1453 |
Fosaprepitant injection |
780 |
521 |
$261K |
| 92012 |
|
4,281 |
3,838 |
$260K |
| J0640 |
Leucovorin calcium injection |
1,405 |
519 |
$257K |
| J2405 |
Ondansetron hcl injection |
11,123 |
9,162 |
$255K |
| 76775 |
|
3,019 |
2,839 |
$255K |
| 73610 |
|
10,733 |
10,168 |
$251K |
| J0131 |
Inj, acetaminophen (nos) |
1,689 |
1,498 |
$248K |
| 87536 |
|
3,093 |
2,988 |
$239K |
| 76817 |
|
2,924 |
2,447 |
$232K |
| J0561 |
Penicillin g benzathine inj |
542 |
477 |
$232K |
| 99223 |
Prolong inpt eval add15 m |
2,228 |
2,189 |
$227K |
| 73562 |
|
9,024 |
8,230 |
$225K |
| 96366 |
|
3,739 |
2,772 |
$221K |
| 84484 |
|
22,508 |
20,560 |
$219K |
| 84439 |
|
25,014 |
23,996 |
$215K |
| 76604 |
|
2,850 |
2,739 |
$209K |
| 76805 |
|
1,806 |
1,671 |
$207K |
| 99239 |
|
3,435 |
3,296 |
$203K |
| 87088 |
|
33,671 |
31,797 |
$201K |
| J1745 |
Infliximab not biosimil 10mg |
54 |
50 |
$200K |
| 73130 |
|
8,543 |
7,979 |
$199K |
| 83690 |
|
29,951 |
27,730 |
$196K |
| 96415 |
|
3,801 |
2,784 |
$192K |
| 82274 |
|
13,246 |
13,132 |
$192K |
| 90750 |
|
925 |
925 |
$188K |
| 90715 |
|
4,512 |
4,457 |
$188K |
| D7210 |
|
1,707 |
1,180 |
$187K |
| 99281 |
|
3,331 |
2,713 |
$186K |
| D9430 |
|
5,899 |
5,737 |
$186K |
| 72128 |
|
388 |
385 |
$184K |
| 88307 |
|
3,708 |
3,196 |
$178K |
| 88175 |
|
10,003 |
9,984 |
$177K |
| 59025 |
|
5,562 |
3,918 |
$177K |
| 82728 |
|
14,903 |
14,481 |
$175K |
| Z7610 |
|
31,290 |
17,224 |
$171K |
| 87341 |
|
18,939 |
18,666 |
$171K |
| 76816 |
|
2,565 |
2,339 |
$169K |
| D0330 |
|
6,100 |
6,033 |
$166K |
| 77062 |
|
513 |
511 |
$166K |
| 96417 |
|
3,438 |
2,088 |
$161K |
| 93017 |
|
1,875 |
1,844 |
$160K |
| 87811 |
|
9,479 |
8,923 |
$154K |
| 86780 |
|
11,856 |
10,688 |
$153K |
| J1642 |
Inj heparin sodium per 10 u |
5,011 |
2,477 |
$152K |
| 77065 |
Tomosynthesis, mammo |
1,776 |
1,720 |
$150K |
| 81420 |
|
259 |
256 |
$149K |
| 91200 |
|
5,545 |
5,242 |
$145K |
| J1815 |
Insulin injection |
1,437 |
1,044 |
$144K |
| 73110 |
|
5,786 |
5,309 |
$144K |
| J1885 |
Ketorolac tromethamine inj |
16,096 |
14,923 |
$144K |
| 73700 |
|
363 |
360 |
$142K |
| 90686 |
|
7,071 |
6,946 |
$141K |
| 84153 |
|
7,520 |
7,365 |
$138K |
| 94060 |
|
1,725 |
1,700 |
$138K |
| 90837 |
|
893 |
547 |
$137K |
| J7120 |
Ringers lactate infusion |
4,858 |
4,395 |
$137K |
| Z7500 |
|
3,990 |
3,597 |
$136K |
| 66984 |
|
198 |
150 |
$134K |
| 73221 |
|
417 |
406 |
$133K |
| 87661 |
|
4,382 |
4,350 |
$132K |
| 82607 |
|
11,607 |
11,445 |
$132K |
| 83605 |
|
9,261 |
8,487 |
$131K |
| 82043 |
|
22,909 |
22,615 |
$130K |
| 86704 |
|
10,583 |
10,479 |
$129K |
| 92507 |
|
2,486 |
1,074 |
$129K |
| 70491 |
|
380 |
376 |
$128K |
| J7050 |
Normal saline solution infus |
15,488 |
7,812 |
$128K |
| 99291 |
|
1,086 |
646 |
$128K |
| 81003 |
|
70,089 |
65,559 |
$127K |
| 72100 |
|
4,095 |
4,037 |
$125K |
| 73502 |
|
2,983 |
2,919 |
$124K |
| 99451 |
|
3,575 |
3,552 |
$121K |
| T1999 |
Noc retail items andsupplies |
8,467 |
5,558 |
$119K |
| 97110 |
|
4,171 |
1,130 |
$117K |
| G0279 |
Tomosynthesis, mammo |
4,609 |
4,567 |
$116K |
| 0002A |
|
2,822 |
2,822 |
$112K |
| 90832 |
|
1,748 |
1,409 |
$112K |
| 87522 |
Neg quan hep c or qual rna |
2,488 |
2,382 |
$111K |
| 83970 |
|
3,252 |
3,125 |
$110K |
| 86850 |
|
13,564 |
13,056 |
$109K |
| 76536 |
|
1,434 |
1,414 |
$109K |
| 73560 |
|
4,585 |
4,170 |
$108K |
| 93350 |
|
1,108 |
1,086 |
$108K |
| J2560 |
Phenobarbital sodium inj |
408 |
299 |
$108K |
| 87480 |
|
6,010 |
5,884 |
$107K |
| 82746 |
|
7,504 |
7,406 |
$107K |
| 93226 |
|
1,426 |
1,410 |
$106K |
| 87510 |
|
6,010 |
5,884 |
$106K |
| 90834 |
|
1,095 |
742 |
$105K |
| 81025 |
|
30,508 |
28,581 |
$105K |
| J1950 |
Leuprolide acetate /3.75 mg |
126 |
118 |
$104K |
| 83880 |
|
3,546 |
3,401 |
$104K |
| 87660 |
|
5,972 |
5,847 |
$102K |
| 73590 |
|
4,148 |
3,874 |
$102K |
| 73564 |
|
2,736 |
2,437 |
$101K |
| 87635 |
|
1,912 |
1,890 |
$100K |
| 83735 |
|
15,623 |
13,776 |
$100K |
| 96367 |
|
1,863 |
1,344 |
$98K |
| J1100 |
Dexamethasone sodium phos |
3,353 |
2,309 |
$97K |
| 86762 |
|
6,991 |
6,917 |
$94K |
| 71271 |
|
751 |
747 |
$94K |
| 0001A |
|
2,338 |
2,338 |
$92K |
| 86003 |
|
1,001 |
967 |
$92K |
| 96110 |
|
1,376 |
1,367 |
$91K |
| 94729 |
|
1,473 |
1,449 |
$91K |
| 85610 |
|
19,262 |
18,131 |
$90K |
| 74183 |
|
263 |
259 |
$89K |
| 87517 |
|
2,189 |
2,144 |
$88K |
| 86706 |
|
14,810 |
14,619 |
$88K |
| 94726 |
|
1,294 |
1,283 |
$87K |
| A9579 |
Gad-base mr contrast nos,1ml |
2,755 |
2,673 |
$86K |
| 84702 |
|
7,917 |
6,673 |
$85K |
| 82105 |
|
4,454 |
4,377 |
$85K |
| 81001 |
|
27,300 |
25,641 |
$84K |
| 84466 |
|
8,184 |
8,010 |
$83K |
| 0250 |
|
4,536 |
2,574 |
$83K |
| 87340 |
|
7,713 |
7,593 |
$81K |
| 90471 |
|
14,571 |
14,177 |
$81K |
| 94640 |
|
2,742 |
2,380 |
$78K |
| J2250 |
Inj midazolam hydrochloride |
3,655 |
3,133 |
$78K |
| 93225 |
|
1,276 |
1,261 |
$76K |
| 87086 |
|
11,043 |
10,282 |
$75K |
| 84460 |
|
14,904 |
14,613 |
$75K |
| 77061 |
|
303 |
303 |
$74K |
| 72170 |
|
2,704 |
2,653 |
$70K |
| 99215 |
Prolong outpt/office vis |
1,467 |
1,424 |
$68K |
| 72197 |
|
190 |
189 |
$68K |
| 78452 |
|
154 |
153 |
$67K |
| 82962 |
|
19,843 |
15,545 |
$67K |
| G0500 |
Mod sedat endo service >5yrs |
1,294 |
923 |
$66K |
| 86787 |
|
6,887 |
6,809 |
$65K |
| 87338 |
|
5,547 |
5,513 |
$65K |
| 76811 |
|
559 |
544 |
$65K |
| 88342 |
|
2,319 |
1,864 |
$64K |
| 73080 |
|
1,743 |
1,679 |
$63K |
| 92014 |
|
803 |
766 |
$63K |
| 86901 |
|
13,643 |
13,101 |
$62K |
| 81223 |
|
50 |
50 |
$62K |
| 87186 |
|
9,236 |
8,665 |
$62K |
| 80074 |
|
1,368 |
1,345 |
$61K |
| 99460 |
|
966 |
961 |
$61K |
| 74170 |
|
179 |
173 |
$61K |
| 86140 |
|
12,362 |
11,971 |
$61K |
| J2785 |
Regadenoson injection |
174 |
174 |
$61K |
| 92553 |
|
1,525 |
1,393 |
$60K |
| A9500 |
Tc99m sestamibi |
250 |
237 |
$60K |
| 84450 |
|
12,243 |
12,020 |
$59K |
| 86682 |
|
2,432 |
2,426 |
$58K |
| 83020 |
|
4,572 |
4,501 |
$57K |
| 82570 |
|
11,654 |
10,942 |
$57K |
| 73552 |
|
1,613 |
1,547 |
$56K |
| J3486 |
Ziprasidone mesylate |
1,238 |
1,073 |
$54K |
| 76870 |
|
660 |
650 |
$54K |
| 59409 |
|
103 |
103 |
$54K |
| 86708 |
|
4,283 |
4,252 |
$54K |
| 83540 |
|
8,929 |
8,814 |
$54K |
| J2001 |
Lidocaine injection |
4,173 |
4,032 |
$53K |
| 87040 |
|
3,257 |
3,020 |
$52K |
| J2704 |
Inj, propofol, 10 mg |
1,579 |
1,506 |
$51K |
| 87070 |
|
6,210 |
6,080 |
$51K |
| G0108 |
Diab manage trn per indiv |
1,094 |
1,048 |
$51K |
| 76000 |
|
3,437 |
3,316 |
$51K |
| 99238 |
|
1,092 |
1,078 |
$49K |
| 86361 |
|
2,515 |
2,465 |
$49K |
| 72040 |
|
1,375 |
1,363 |
$48K |
| 83013 |
|
869 |
866 |
$48K |
| 43239 |
|
526 |
299 |
$46K |
| 31231 |
|
841 |
682 |
$45K |
| 74174 |
|
124 |
117 |
$45K |
| 99254 |
|
492 |
453 |
$45K |
| 73090 |
|
1,422 |
1,355 |
$45K |
| A9576 |
Inj prohance multipack |
298 |
291 |
$45K |
| J7298 |
Mirena, 52 mg |
63 |
63 |
$45K |
| 86038 |
|
3,939 |
3,918 |
$44K |
| 99202 |
|
1,503 |
1,487 |
$44K |
| 67028 |
|
442 |
340 |
$44K |
| 83921 |
|
2,911 |
2,892 |
$43K |
| 92557 |
|
391 |
382 |
$43K |
| 96411 |
|
1,584 |
893 |
$42K |
| 91322 |
|
379 |
379 |
$42K |
| 87529 |
|
717 |
689 |
$42K |
| J0696 |
Ceftriaxone sodium injection |
5,377 |
5,128 |
$42K |
| 93922 |
|
1,087 |
1,055 |
$41K |
| 88341 |
|
1,408 |
663 |
$41K |
| 94618 |
|
737 |
727 |
$41K |
| 82947 |
|
10,419 |
10,238 |
$41K |
| D7230 |
|
230 |
116 |
$41K |
| 86705 |
|
3,091 |
3,073 |
$40K |
| 11042 |
|
680 |
493 |
$40K |
| 87625 |
|
1,190 |
1,178 |
$40K |
| 85730 |
|
6,804 |
6,627 |
$40K |
| 80179 |
|
1,616 |
1,579 |
$40K |
| J9263 |
Oxaliplatin |
214 |
125 |
$39K |
| 92567 |
|
975 |
966 |
$39K |
| 93247 |
|
319 |
316 |
$39K |
| 80143 |
|
1,673 |
1,620 |
$39K |
| 86765 |
|
2,787 |
2,477 |
$39K |
| 86160 |
|
1,978 |
1,912 |
$38K |
| J2270 |
Morphine sulfate injection |
3,388 |
2,896 |
$38K |
| 85652 |
|
14,877 |
14,407 |
$37K |
| 99203 |
|
1,077 |
1,073 |
$37K |
| 80076 |
|
4,961 |
4,839 |
$36K |
| 82950 |
|
6,624 |
4,342 |
$36K |
| 84156 |
|
10,967 |
10,286 |
$36K |
| 90670 |
|
775 |
770 |
$36K |
| 83655 |
|
8,272 |
8,227 |
$35K |
| 82565 |
|
6,910 |
6,594 |
$35K |
| 73120 |
|
917 |
865 |
$34K |
| 74018 |
|
2,418 |
2,221 |
$34K |
| 82803 |
|
1,177 |
1,088 |
$34K |
| 99255 |
|
286 |
275 |
$34K |
| D9220 |
|
160 |
160 |
$34K |
| 80069 |
|
3,962 |
3,803 |
$34K |
| 90746 |
|
558 |
543 |
$33K |
| D9223 |
|
249 |
175 |
$33K |
| 87077 |
|
4,913 |
4,698 |
$33K |
| 82550 |
|
4,961 |
4,753 |
$33K |
| J1200 |
Diphenhydramine hcl injectio |
5,100 |
4,039 |
$33K |
| 73060 |
|
939 |
885 |
$32K |
| 45380 |
|
273 |
152 |
$32K |
| 31575 |
|
602 |
558 |
$32K |
| 36415 |
|
1,861 |
1,660 |
$32K |
| 84550 |
|
7,507 |
7,251 |
$32K |
| 88304 |
|
2,111 |
1,899 |
$32K |
| J3010 |
Fentanyl citrate injection |
4,181 |
3,561 |
$31K |
| 87177 |
|
4,275 |
3,088 |
$31K |
| 45378 |
|
262 |
143 |
$31K |
| 0004A |
|
764 |
764 |
$30K |
| 73620 |
|
1,016 |
977 |
$30K |
| 87634 |
|
472 |
471 |
$30K |
| J9267 |
Paclitaxel injection |
130 |
67 |
$30K |
| 99282 |
|
1,275 |
1,267 |
$30K |
| 86735 |
|
1,965 |
1,964 |
$29K |
| 96368 |
|
1,061 |
713 |
$29K |
| J3475 |
Inj magnesium sulfate |
1,480 |
1,071 |
$29K |
| 90732 |
|
414 |
407 |
$29K |
| 99464 |
|
409 |
408 |
$28K |
| 52000 |
|
288 |
266 |
$27K |
| 95812 |
|
534 |
449 |
$27K |
| 82784 |
|
2,432 |
2,394 |
$27K |
| 59425 |
|
414 |
326 |
$26K |
| 72050 |
|
446 |
443 |
$26K |
| 86235 |
|
1,032 |
995 |
$26K |
| 82670 |
|
1,100 |
1,082 |
$25K |
| J9190 |
Fluorouracil injection |
1,464 |
544 |
$25K |
| J0134 |
Inj acetaminophen -fresenius |
442 |
401 |
$25K |
| 99204 |
|
1,367 |
1,364 |
$25K |
| 72158 |
|
24 |
24 |
$24K |
| 86225 |
|
2,055 |
1,991 |
$24K |
| Q0144 |
Azithromycin dihydrate, oral |
3,317 |
869 |
$24K |
| 72110 |
|
411 |
402 |
$24K |
| 73140 |
|
1,100 |
1,054 |
$24K |
| 86141 |
|
2,111 |
2,048 |
$24K |
| 87081 |
|
3,979 |
3,883 |
$24K |
| 84100 |
|
5,731 |
5,194 |
$23K |
| 99218 |
|
95 |
72 |
$23K |
| 99222 |
|
316 |
310 |
$22K |
| 85379 |
|
2,347 |
2,299 |
$22K |
| 99152 |
|
628 |
545 |
$22K |
| 90677 |
|
610 |
609 |
$22K |
| 82378 |
|
1,108 |
971 |
$22K |
| 86359 |
|
582 |
573 |
$22K |
| J2765 |
Metoclopramide hcl injection |
3,064 |
2,803 |
$22K |
| J7040 |
Normal saline solution infus |
1,619 |
1,125 |
$22K |
| 88142 |
|
1,145 |
1,038 |
$22K |
| 87209 |
|
4,266 |
3,087 |
$22K |
| 90636 |
|
197 |
196 |
$21K |
| E0114 |
Crutch underarm pair no wood |
398 |
389 |
$21K |
| J2916 |
Na ferric gluconate complex |
404 |
172 |
$21K |
| 82040 |
|
4,995 |
4,770 |
$21K |
| 83521 |
|
670 |
642 |
$21K |
| J9045 |
Carboplatin injection |
259 |
174 |
$20K |
| 97140 |
|
604 |
341 |
$20K |
| 86334 |
|
991 |
977 |
$20K |
| 94760 |
|
1,495 |
1,205 |
$20K |
| Q5117 |
Inj., kanjinti, 10 mg |
27 |
12 |
$19K |
| 71020 |
|
602 |
423 |
$19K |
| 83525 |
|
1,925 |
1,915 |
$19K |
| D9222 |
|
188 |
184 |
$19K |
| 90853 |
|
1,914 |
635 |
$19K |
| 86593 |
|
3,983 |
3,888 |
$18K |
| 92134 |
|
553 |
545 |
$18K |
| 99391 |
|
473 |
420 |
$18K |
| 83721 |
|
2,018 |
1,989 |
$17K |
| D7240 |
|
75 |
37 |
$17K |
| 84425 |
|
867 |
864 |
$17K |
| 90651 |
|
528 |
524 |
$17K |
| 84165 |
|
1,818 |
1,787 |
$17K |
| 82785 |
|
1,331 |
1,271 |
$17K |
| 76801 |
|
234 |
219 |
$17K |
| 81002 |
|
7,420 |
4,688 |
$16K |
| 99243 |
|
209 |
208 |
$16K |
| 0270 |
|
4,446 |
1,582 |
$16K |
| J1170 |
Hydromorphone injection |
1,073 |
839 |
$16K |
| 87427 |
|
863 |
855 |
$15K |
| 73600 |
|
383 |
371 |
$15K |
| 87902 |
|
96 |
89 |
$15K |
| 83001 |
|
1,865 |
1,852 |
$15K |
| 99462 |
|
522 |
497 |
$15K |
| 0914 |
|
379 |
211 |
$15K |
| 82247 |
|
2,906 |
2,577 |
$15K |
| D9221 |
|
152 |
127 |
$15K |
| 85007 |
|
4,392 |
4,263 |
$14K |
| 83615 |
|
2,497 |
2,324 |
$14K |
| 45385 |
|
90 |
48 |
$14K |
| 82627 |
|
705 |
703 |
$14K |
| J1953 |
Levetiracetam injection |
94 |
81 |
$14K |
| 83516 |
|
1,493 |
1,436 |
$14K |
| 92083 |
|
294 |
290 |
$14K |
| 76882 |
|
811 |
784 |
$13K |
| 82310 |
|
2,525 |
2,445 |
$13K |
| 84481 |
|
1,089 |
1,062 |
$13K |
| J3301 |
Triamcinolone acet inj nos |
1,168 |
1,116 |
$13K |
| 86592 |
|
3,057 |
2,990 |
$13K |
| 86200 |
|
1,772 |
1,755 |
$13K |
| 92568 |
|
748 |
674 |
$12K |
| G9012 |
Other specified case mgmt |
10,805 |
3,393 |
$12K |
| 84520 |
|
2,978 |
2,867 |
$12K |
| 0054A |
|
300 |
300 |
$12K |
| 87147 |
|
1,821 |
1,431 |
$12K |
| 82533 |
|
1,473 |
1,293 |
$12K |
| 84403 |
|
1,179 |
1,162 |
$11K |
| 73070 |
|
249 |
245 |
$11K |
| 72070 |
|
260 |
257 |
$11K |
| 84075 |
|
2,146 |
2,083 |
$11K |
| J3489 |
Zoledronic acid 1mg |
214 |
206 |
$11K |
| 93925 |
|
155 |
150 |
$11K |
| 82248 |
|
2,287 |
2,226 |
$11K |
| 84295 |
|
2,211 |
2,135 |
$11K |
| 87880 |
|
1,356 |
1,323 |
$11K |
| 73100 |
|
252 |
242 |
$10K |
| 83550 |
|
1,437 |
1,392 |
$10K |
| 97803 |
|
308 |
295 |
$10K |
| 96376 |
|
529 |
472 |
$10K |
| J2060 |
Lorazepam injection |
1,480 |
1,330 |
$10K |
| 90656 |
|
605 |
587 |
$10K |
| 90707 |
|
519 |
509 |
$10K |
| 87045 |
|
1,120 |
1,104 |
$10K |
| 86146 |
|
281 |
277 |
$10K |
| 90658 |
|
472 |
434 |
$9K |
| 97802 |
|
156 |
140 |
$9K |
| H1003 |
Prenatal at risk education |
620 |
471 |
$9K |
| 84155 |
|
2,904 |
2,833 |
$9K |
| 90688 |
|
1,160 |
1,157 |
$9K |
| 86147 |
|
339 |
326 |
$9K |
| J7060 |
5% dextrose/water |
963 |
430 |
$9K |
| 99156 |
|
102 |
101 |
$9K |
| 96158 |
|
195 |
165 |
$9K |
| 87210 |
|
2,149 |
2,098 |
$8K |
| 86709 |
|
752 |
741 |
$8K |
| D0230 |
|
1,913 |
738 |
$8K |
| 83520 |
|
449 |
440 |
$8K |
| 90716 |
|
461 |
451 |
$8K |
| J1940 |
Furosemide injection |
696 |
543 |
$8K |
| 99236 |
Prolong inpt eval add15 m |
52 |
52 |
$8K |
| 93289 |
|
247 |
244 |
$7K |
| 83090 |
|
475 |
475 |
$7K |
| 80177 |
|
601 |
581 |
$7K |
| 86364 |
|
569 |
569 |
$7K |
| 85045 |
|
1,800 |
1,744 |
$7K |
| 82375 |
|
517 |
490 |
$7K |
| 87205 |
|
1,752 |
1,715 |
$7K |
| J0780 |
Prochlorperazine injection |
588 |
559 |
$7K |
| 83498 |
|
278 |
278 |
$7K |
| 92551 |
|
619 |
612 |
$7K |
| 85018 |
|
3,005 |
2,981 |
$6K |
| 84402 |
|
257 |
257 |
$6K |
| 82652 |
|
202 |
200 |
$6K |
| 86376 |
|
639 |
638 |
$6K |
| 82374 |
|
1,993 |
1,928 |
$6K |
| 84146 |
|
1,692 |
1,679 |
$6K |
| E0100 |
Cane adjust/fixed with tip |
229 |
222 |
$6K |
| 83993 |
|
333 |
332 |
$6K |
| 0052A |
|
144 |
144 |
$6K |
| 83002 |
|
707 |
699 |
$6K |
| 99392 |
|
119 |
119 |
$6K |
| 84166 |
|
350 |
345 |
$6K |
| 0003A |
|
138 |
138 |
$6K |
| 84132 |
|
1,495 |
1,388 |
$5K |
| 20610 |
|
247 |
224 |
$5K |
| 82435 |
|
1,275 |
1,242 |
$5K |
| 86255 |
|
451 |
433 |
$5K |
| 96402 |
|
252 |
243 |
$5K |
| 93880 |
|
111 |
109 |
$5K |
| 86431 |
|
2,500 |
2,477 |
$5K |
| J2930 |
Methylprednisolone injection |
341 |
281 |
$5K |
| 01967 |
|
112 |
112 |
$5K |
| 90647 |
|
830 |
813 |
$5K |
| 93018 |
|
388 |
386 |
$5K |
| 99153 |
Mod sedat endo service >5yrs |
362 |
252 |
$5K |
| J7611 |
Albuterol non-comp con |
251 |
210 |
$5K |
| 90723 |
|
766 |
749 |
$5K |
| 90633 |
|
882 |
863 |
$5K |
| 51798 |
|
653 |
649 |
$5K |
| 93351 |
|
14 |
14 |
$5K |
| 90680 |
|
722 |
708 |
$5K |
| 98960 |
|
100 |
99 |
$5K |
| 95816 |
|
76 |
76 |
$5K |
| 87400 |
|
375 |
329 |
$5K |
| G0202 |
Scr mammo bi incl cad |
54 |
39 |
$4K |
| 90792 |
|
45 |
42 |
$4K |
| 90734 |
|
257 |
250 |
$4K |
| 87798 |
|
62 |
54 |
$4K |
| 82024 |
|
122 |
119 |
$4K |
| 00731 |
|
40 |
40 |
$4K |
| 82397 |
|
298 |
295 |
$4K |
| 80197 |
|
324 |
247 |
$4K |
| 87449 |
|
242 |
239 |
$4K |
| 84630 |
|
394 |
394 |
$4K |
| V2632 |
Post chmbr intraocular lens |
14 |
13 |
$4K |
| 90697 |
|
428 |
401 |
$4K |
| J1790 |
Droperidol injection |
211 |
182 |
$4K |
| D1110 |
|
54 |
54 |
$4K |
| 0360 |
|
25 |
16 |
$4K |
| 92025 |
|
107 |
106 |
$4K |
| 92136 |
|
76 |
75 |
$4K |
| 96401 |
|
204 |
78 |
$4K |
| G9920 |
Scrning perf and negative |
121 |
118 |
$4K |
| S0164 |
Injection pantroprazole |
230 |
185 |
$4K |
| 99157 |
|
29 |
29 |
$4K |
| S9445 |
Pt education noc individ |
248 |
171 |
$4K |
| 90480 |
|
173 |
173 |
$3K |
| 11721 |
|
182 |
172 |
$3K |
| 93248 |
|
155 |
155 |
$3K |
| 82010 |
|
454 |
422 |
$3K |
| 86015 |
|
293 |
292 |
$3K |
| 84445 |
|
274 |
272 |
$3K |
| 87329 |
|
200 |
187 |
$3K |
| 92229 |
|
58 |
58 |
$3K |
| 82977 |
|
1,261 |
1,234 |
$3K |
| 82088 |
|
93 |
92 |
$3K |
| 83519 |
|
229 |
228 |
$3K |
| J0690 |
Cefazolin sodium injection |
238 |
222 |
$3K |
| 86800 |
|
354 |
323 |
$3K |
| 93975 |
|
73 |
71 |
$3K |
| 92522 |
|
52 |
52 |
$3K |
| 78306 |
|
26 |
25 |
$3K |
| 84145 |
|
136 |
133 |
$3K |
| 93016 |
|
129 |
129 |
$3K |
| 87206 |
|
498 |
332 |
$3K |
| 99393 |
|
174 |
170 |
$3K |
| 82390 |
|
313 |
312 |
$3K |
| G0297 |
Ldct for lung ca screen |
12 |
12 |
$3K |
| 96156 |
|
245 |
245 |
$3K |
| 81401 |
|
17 |
17 |
$3K |
| 99245 |
|
17 |
17 |
$3K |
| 0051A |
|
69 |
69 |
$3K |
| 73000 |
|
97 |
92 |
$3K |
| 31500 |
|
44 |
44 |
$3K |
| 92133 |
|
99 |
98 |
$3K |
| D0220 |
|
225 |
225 |
$3K |
| 0760 |
|
58 |
54 |
$3K |
| 87592 |
|
56 |
56 |
$3K |
| 84590 |
|
249 |
249 |
$3K |
| 99417 |
Prolong home eval add 15m |
73 |
73 |
$3K |
| J2003 |
Inj, lidocaine hcl, 1 mg |
94 |
93 |
$3K |
| 97530 |
|
101 |
71 |
$3K |
| 95717 |
|
25 |
18 |
$2K |
| G0204 |
Dx mammo incl cad bi |
24 |
16 |
$2K |
| 84681 |
|
159 |
157 |
$2K |
| 92004 |
|
71 |
68 |
$2K |
| L4350 |
Ankle control ortho pre ots |
12 |
12 |
$2K |
| 82525 |
|
210 |
210 |
$2K |
| 85613 |
|
230 |
228 |
$2K |
| 91318 |
|
184 |
180 |
$2K |
| 82542 |
|
120 |
106 |
$2K |
| 82103 |
|
169 |
169 |
$2K |
| 95070 |
|
20 |
20 |
$2K |
| 84244 |
|
101 |
100 |
$2K |
| 91319 |
|
83 |
83 |
$2K |
| 72082 |
|
27 |
27 |
$2K |
| 82166 |
|
181 |
181 |
$2K |
| 00813 |
|
12 |
12 |
$2K |
| 93227 |
|
97 |
97 |
$2K |
| 0510 |
|
557 |
509 |
$2K |
| X3908 |
|
56 |
26 |
$2K |
| J2920 |
Methylprednisolone injection |
67 |
62 |
$2K |
| 73200 |
|
12 |
12 |
$2K |
| 99396 |
|
33 |
33 |
$2K |
| 87046 |
|
638 |
633 |
$2K |
| 82610 |
|
110 |
107 |
$2K |
| D0274 |
|
75 |
75 |
$2K |
| 87350 |
|
155 |
149 |
$2K |
| J2919 |
Inj, methylpred sod succ 5mg |
212 |
180 |
$2K |
| 87116 |
|
142 |
76 |
$2K |
| 87324 |
|
162 |
161 |
$2K |
| 90700 |
|
300 |
291 |
$1K |
| 99244 |
|
19 |
19 |
$1K |
| 76857 |
|
26 |
25 |
$1K |
| 86304 |
|
140 |
132 |
$1K |
| 93356 |
|
118 |
118 |
$1K |
| 99401 |
|
118 |
117 |
$1K |
| 84703 |
|
280 |
264 |
$1K |
| 95718 |
|
12 |
12 |
$1K |
| 82330 |
|
109 |
108 |
$1K |
| Q0163 |
Diphenhydramine hcl 50mg |
527 |
347 |
$1K |
| 82140 |
|
91 |
91 |
$1K |
| 90685 |
|
197 |
197 |
$1K |
| 95813 |
|
15 |
14 |
$1K |
| G0109 |
Diab manage trn ind/group |
95 |
91 |
$1K |
| 97018 |
|
87 |
56 |
$1K |
| J1171 |
Inj, hydromorphone, 0.1 mg |
37 |
34 |
$1K |
| 76813 |
|
15 |
15 |
$1K |
| 99253 |
|
12 |
12 |
$1K |
| 96409 |
|
40 |
37 |
$1K |
| J1650 |
Inj enoxaparin sodium |
91 |
38 |
$1K |
| 84154 |
|
75 |
73 |
$1K |
| 94375 |
|
19 |
19 |
$1K |
| 99241 |
|
27 |
27 |
$1K |
| 80164 |
|
79 |
74 |
$1K |
| 77080 |
|
104 |
104 |
$1K |
| 96523 |
|
28 |
25 |
$1K |
| 71010 |
|
50 |
36 |
$1K |
| D0270 |
|
204 |
204 |
$1K |
| 86340 |
|
68 |
68 |
$994.73 |
| 82150 |
|
168 |
164 |
$987.98 |
| 99252 |
|
29 |
24 |
$987.81 |
| 86021 |
|
70 |
67 |
$978.85 |
| 72190 |
|
25 |
25 |
$974.36 |
| 88173 |
|
13 |
13 |
$949.05 |
| J1630 |
Haloperidol injection |
146 |
130 |
$945.71 |
| 93288 |
|
36 |
36 |
$927.46 |
| 90791 |
|
13 |
12 |
$914.42 |
| 84300 |
|
200 |
197 |
$896.92 |
| 71101 |
|
14 |
14 |
$879.07 |
| 73660 |
|
41 |
40 |
$874.55 |
| 94200 |
|
23 |
21 |
$874.50 |
| 85014 |
|
389 |
383 |
$874.02 |
| 51705 |
|
31 |
17 |
$861.19 |
| 91320 |
|
58 |
58 |
$812.00 |
| 97032 |
|
32 |
26 |
$784.21 |
| 82465 |
|
188 |
180 |
$758.07 |
| J3370 |
Vancomycin hcl injection |
35 |
28 |
$757.10 |
| 84480 |
|
250 |
244 |
$750.88 |
| 99211 |
|
78 |
77 |
$713.52 |
| 74220 |
|
12 |
12 |
$711.96 |
| 99188 |
|
35 |
35 |
$693.00 |
| 90710 |
|
208 |
202 |
$675.00 |
| 88720 |
|
186 |
163 |
$658.34 |
| 85060 |
|
56 |
56 |
$644.13 |
| 86301 |
|
52 |
50 |
$613.02 |
| D0210 |
|
14 |
14 |
$612.00 |
| 51701 |
|
30 |
28 |
$587.25 |
| 90714 |
|
43 |
43 |
$553.36 |
| 86812 |
|
25 |
25 |
$544.00 |
| G9008 |
Mccd,phys coor-care ovrsght |
14,692 |
3,658 |
$542.92 |
| 86036 |
|
69 |
66 |
$541.52 |
| 87109 |
|
39 |
39 |
$533.52 |
| 84144 |
|
35 |
34 |
$516.25 |
| 94644 |
|
14 |
13 |
$499.52 |
| 0720 |
|
13 |
12 |
$497.61 |
| 81015 |
|
216 |
196 |
$486.13 |
| 92504 |
|
31 |
26 |
$471.74 |
| 87101 |
|
64 |
64 |
$452.10 |
| 87255 |
|
28 |
26 |
$441.38 |
| 90696 |
|
120 |
119 |
$420.00 |
| J3420 |
Vitamin b12 injection |
92 |
66 |
$408.42 |
| A9503 |
Tc99m medronate |
27 |
26 |
$400.99 |
| Q0162 |
Ondansetron oral |
298 |
217 |
$379.81 |
| 97035 |
|
42 |
27 |
$373.28 |
| 88112 |
|
24 |
24 |
$343.75 |
| 84207 |
|
15 |
15 |
$334.88 |
| 10060 |
|
26 |
25 |
$329.24 |
| 73565 |
|
13 |
13 |
$309.20 |
| 90619 |
|
30 |
30 |
$300.00 |
| 86300 |
|
15 |
12 |
$292.86 |
| 96159 |
|
22 |
15 |
$261.43 |
| 84305 |
|
12 |
12 |
$232.56 |
| 86039 |
|
39 |
39 |
$231.66 |
| 84270 |
|
18 |
18 |
$225.72 |
| 92015 |
|
27 |
27 |
$216.27 |
| 99173 |
|
143 |
143 |
$183.84 |
| 83835 |
|
12 |
12 |
$180.72 |
| 76942 |
|
18 |
14 |
$180.24 |
| 82164 |
|
13 |
13 |
$168.74 |
| 82085 |
|
25 |
25 |
$161.52 |
| J7613 |
Albuterol non-comp unit |
495 |
427 |
$144.56 |
| 11043 |
|
18 |
15 |
$138.30 |
| 86317 |
|
28 |
28 |
$133.00 |
| 97161 |
|
516 |
295 |
$130.61 |
| 82985 |
|
122 |
122 |
$86.62 |
| 88300 |
|
26 |
25 |
$83.14 |
| 84432 |
|
13 |
12 |
$75.14 |
| G0463 |
Hospital outpt clinic visit |
161 |
154 |
$71.50 |
| Q0164 |
Prochlorperazine maleate 5mg |
18 |
12 |
$60.97 |
| 84133 |
|
12 |
12 |
$53.94 |
| 90472 |
|
96 |
93 |
$40.76 |
| J7512 |
Prednisone ir or dr oral 1mg |
79 |
61 |
$32.78 |
| 86308 |
|
12 |
12 |
$29.88 |
| J8540 |
Oral dexamethasone |
50 |
25 |
$16.00 |
| D9995 |
|
54 |
54 |
$12.96 |
| J7620 |
Albuterol ipratrop non-comp |
113 |
99 |
$1.83 |
| J7644 |
Ipratropium bromide non-comp |
13 |
12 |
$0.22 |
| D0160 |
|
218 |
218 |
$0.00 |
| 0516 |
|
15 |
15 |
$0.00 |
| D0140 |
|
613 |
597 |
$0.00 |
| 99443 |
|
13 |
12 |
$0.00 |