| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
104,180 |
93,085 |
$24.10M |
| 99285 |
|
41,416 |
36,244 |
$22.83M |
| 99283 |
|
125,593 |
114,532 |
$17.14M |
| 97110 |
|
85,275 |
26,030 |
$4.82M |
| 96374 |
|
31,128 |
25,008 |
$4.35M |
| G0382 |
Lev 3 hosp type b ed visit |
26,932 |
23,935 |
$3.99M |
| G0463 |
Hospital outpt clinic visit |
37,743 |
28,016 |
$2.52M |
| 92507 |
|
25,389 |
8,537 |
$2.41M |
| G0383 |
Lev 4 hosp type b ed visit |
12,589 |
11,181 |
$2.35M |
| 74177 |
|
11,814 |
10,712 |
$2.19M |
| 99282 |
|
17,171 |
15,528 |
$2.17M |
| U0003 |
Cov-19 amp prb hgh thruput |
34,609 |
29,199 |
$2.14M |
| 97530 |
|
33,016 |
12,023 |
$1.89M |
| 99291 |
|
1,991 |
1,761 |
$1.74M |
| 71046 |
|
30,970 |
27,826 |
$1.72M |
| 93306 |
|
6,942 |
6,429 |
$1.64M |
| 96361 |
|
25,726 |
20,276 |
$1.29M |
| 95810 |
|
1,608 |
1,545 |
$1.28M |
| 96413 |
|
5,994 |
3,315 |
$1.21M |
| 96360 |
|
9,363 |
7,929 |
$1.19M |
| G0384 |
Lev 5 hosp type b ed visit |
3,744 |
3,404 |
$1.17M |
| 77067 |
|
10,263 |
9,967 |
$1.13M |
| 96375 |
|
20,270 |
15,650 |
$879K |
| 96365 |
|
6,730 |
4,624 |
$869K |
| 78452 |
|
1,954 |
1,768 |
$848K |
| 71260 |
|
3,259 |
3,038 |
$644K |
| 62323 |
|
1,341 |
1,070 |
$640K |
| 74176 |
|
4,529 |
4,145 |
$637K |
| 97140 |
|
44,798 |
15,057 |
$622K |
| 97162 |
|
11,906 |
11,094 |
$611K |
| 70553 |
|
2,878 |
2,678 |
$610K |
| 70450 |
|
12,434 |
10,979 |
$610K |
| 92587 |
|
2,577 |
2,453 |
$589K |
| 0241U |
|
5,273 |
4,880 |
$566K |
| U0005 |
Infec agen detec ampli probe |
28,281 |
23,822 |
$549K |
| 59025 |
|
3,458 |
2,380 |
$539K |
| 76705 |
|
5,187 |
4,749 |
$523K |
| 78815 |
|
847 |
795 |
$510K |
| 95911 |
|
1,289 |
1,238 |
$502K |
| 76700 |
|
4,873 |
4,598 |
$469K |
| 72148 |
|
3,240 |
3,040 |
$468K |
| 76830 |
|
4,713 |
4,345 |
$458K |
| 11042 |
|
2,769 |
1,455 |
$420K |
| 71045 |
|
8,901 |
7,811 |
$416K |
| J9271 |
Inj pembrolizumab |
62 |
53 |
$402K |
| 73721 |
|
2,139 |
1,929 |
$374K |
| G0381 |
Lev 2 hosp type b ed visit |
4,061 |
3,743 |
$350K |
| 72125 |
|
4,449 |
3,956 |
$348K |
| 72141 |
|
1,689 |
1,597 |
$348K |
| S9480 |
Intensive outpatient psychia |
3,759 |
531 |
$346K |
| 71275 |
|
2,804 |
2,548 |
$339K |
| 76856 |
|
4,033 |
3,774 |
$339K |
| 43239 |
|
841 |
791 |
$324K |
| 84443 |
|
34,185 |
31,495 |
$310K |
| 82306 |
|
16,004 |
14,980 |
$304K |
| 93976 |
|
3,245 |
2,917 |
$300K |
| 94060 |
|
1,593 |
1,502 |
$291K |
| 70498 |
|
1,589 |
1,400 |
$288K |
| 76770 |
|
3,394 |
3,171 |
$279K |
| 64493 |
|
339 |
285 |
$278K |
| 97014 |
|
3,689 |
1,595 |
$254K |
| 76801 |
|
2,533 |
2,130 |
$253K |
| 97166 |
|
4,551 |
4,103 |
$250K |
| 76811 |
|
1,227 |
1,133 |
$249K |
| 85025 |
|
147,745 |
112,623 |
$248K |
| 93798 |
|
3,706 |
528 |
$244K |
| 76816 |
|
2,870 |
2,401 |
$238K |
| 86900 |
|
7,651 |
6,356 |
$237K |
| 82947 |
|
106,586 |
83,742 |
$230K |
| 76536 |
|
3,067 |
2,878 |
$225K |
| 93971 |
|
3,179 |
2,924 |
$218K |
| 10060 |
|
1,374 |
1,243 |
$213K |
| 72100 |
|
5,863 |
5,458 |
$209K |
| C9803 |
Hopd covid-19 spec collect |
10,216 |
8,885 |
$207K |
| 97035 |
|
3,150 |
1,498 |
$201K |
| 92523 |
|
815 |
773 |
$195K |
| 97161 |
|
3,073 |
2,932 |
$195K |
| 76642 |
|
3,018 |
2,855 |
$194K |
| 95811 |
|
269 |
261 |
$194K |
| 87591 |
|
8,548 |
7,828 |
$168K |
| 87491 |
|
8,601 |
7,824 |
$167K |
| 97116 |
|
5,394 |
2,936 |
$157K |
| 71250 |
|
2,788 |
2,653 |
$156K |
| 81513 |
|
2,362 |
2,145 |
$153K |
| 77063 |
|
10,253 |
9,957 |
$151K |
| 77065 |
Tomosynthesis, mammo |
1,354 |
1,229 |
$149K |
| 74183 |
|
859 |
811 |
$149K |
| 93017 |
|
3,212 |
2,919 |
$148K |
| 93970 |
|
1,176 |
1,103 |
$146K |
| 77066 |
Tomosynthesis, mammo |
1,170 |
1,127 |
$146K |
| C8929 |
Tte w or wo fol wcon,doppler |
595 |
546 |
$139K |
| 83718 |
|
19,408 |
18,836 |
$139K |
| 86003 |
|
1,525 |
1,441 |
$138K |
| 73221 |
|
876 |
824 |
$135K |
| 82247 |
|
72,042 |
60,667 |
$134K |
| 36415 |
|
165,638 |
122,821 |
$133K |
| 70551 |
|
1,599 |
1,412 |
$128K |
| 72197 |
|
555 |
516 |
$125K |
| 82040 |
|
73,167 |
61,545 |
$116K |
| 73564 |
|
4,641 |
4,099 |
$110K |
| 83036 |
|
19,621 |
18,370 |
$104K |
| 76641 |
|
1,171 |
1,114 |
$104K |
| 92579 |
|
1,391 |
1,316 |
$104K |
| 97012 |
|
1,495 |
551 |
$98K |
| 52000 |
|
324 |
309 |
$94K |
| 87637 |
|
792 |
739 |
$92K |
| 96415 |
|
1,494 |
977 |
$89K |
| U0002 |
Covid-19 lab test non-cdc |
2,281 |
2,062 |
$89K |
| 70491 |
|
571 |
521 |
$88K |
| 71271 |
|
947 |
906 |
$87K |
| 87389 |
|
8,095 |
7,654 |
$85K |
| 87481 |
|
2,364 |
2,147 |
$85K |
| 97535 |
|
3,947 |
2,945 |
$79K |
| 96366 |
|
2,074 |
1,314 |
$79K |
| 77080 |
|
773 |
740 |
$77K |
| 82310 |
|
105,992 |
83,367 |
$77K |
| 93005 |
|
37,753 |
31,065 |
$77K |
| 82728 |
|
11,679 |
10,759 |
$76K |
| 76882 |
|
1,120 |
1,060 |
$75K |
| 93880 |
|
1,016 |
944 |
$74K |
| 36430 |
|
484 |
312 |
$72K |
| 82607 |
|
8,787 |
8,141 |
$71K |
| 96372 |
|
31,474 |
25,000 |
$70K |
| 97112 |
|
2,975 |
1,210 |
$70K |
| 92557 |
|
2,041 |
1,943 |
$68K |
| 73030 |
|
4,822 |
4,276 |
$65K |
| 87506 |
|
713 |
655 |
$62K |
| 70486 |
|
1,483 |
1,381 |
$61K |
| 84439 |
|
10,964 |
10,123 |
$61K |
| 72158 |
|
315 |
293 |
$60K |
| 87536 |
|
951 |
900 |
$59K |
| 87635 |
|
1,725 |
1,585 |
$59K |
| J2505 |
Injection, pegfilgrastim 6mg |
25 |
12 |
$58K |
| 83970 |
|
2,739 |
2,597 |
$57K |
| 83550 |
|
12,398 |
11,437 |
$53K |
| 72040 |
|
2,178 |
2,046 |
$51K |
| Q0138 |
Ferumoxytol, non-esrd |
222 |
136 |
$51K |
| 86780 |
|
4,699 |
4,406 |
$51K |
| 86803 |
|
6,215 |
5,835 |
$50K |
| 93303 |
|
101 |
94 |
$49K |
| 74018 |
|
1,434 |
1,284 |
$47K |
| 72070 |
|
1,349 |
1,255 |
$47K |
| 73630 |
|
5,030 |
4,465 |
$45K |
| 29581 |
|
602 |
247 |
$45K |
| 87086 |
|
25,781 |
22,600 |
$45K |
| 93225 |
|
754 |
708 |
$44K |
| 87661 |
|
2,442 |
2,214 |
$43K |
| 73502 |
|
2,920 |
2,663 |
$41K |
| 96417 |
|
1,030 |
592 |
$40K |
| 83540 |
|
12,473 |
11,508 |
$40K |
| 95910 |
|
208 |
203 |
$40K |
| 72131 |
|
760 |
695 |
$39K |
| 45380 |
|
70 |
64 |
$39K |
| G0260 |
Inj for sacroiliac jt anesth |
157 |
64 |
$38K |
| 86480 |
|
944 |
862 |
$38K |
| 97597 |
|
471 |
276 |
$37K |
| 80307 |
|
16,330 |
13,310 |
$37K |
| 73610 |
|
4,942 |
4,429 |
$34K |
| 82746 |
|
4,012 |
3,741 |
$33K |
| 84403 |
|
1,980 |
1,808 |
$33K |
| J0185 |
Inj., aprepitant, 1 mg |
274 |
165 |
$31K |
| 66984 |
|
46 |
36 |
$31K |
| J2469 |
Palonosetron hcl |
2,320 |
1,238 |
$31K |
| 83880 |
|
4,613 |
3,703 |
$30K |
| 73130 |
|
3,491 |
3,088 |
$30K |
| 76805 |
|
285 |
261 |
$30K |
| 87651 |
|
6,997 |
6,472 |
$29K |
| 86618 |
|
5,126 |
4,769 |
$29K |
| 82374 |
|
105,819 |
83,087 |
$29K |
| 73560 |
|
2,620 |
2,280 |
$28K |
| 97163 |
|
593 |
535 |
$27K |
| 77336 |
|
490 |
174 |
$26K |
| 87633 |
|
601 |
564 |
$23K |
| 86360 |
|
677 |
650 |
$23K |
| 87636 |
|
192 |
181 |
$23K |
| 73110 |
|
2,740 |
2,461 |
$22K |
| 87480 |
|
1,833 |
1,697 |
$22K |
| 87660 |
|
1,832 |
1,696 |
$22K |
| 87510 |
|
1,832 |
1,696 |
$22K |
| 87150 |
|
1,194 |
1,134 |
$21K |
| 84702 |
|
5,862 |
4,104 |
$21K |
| 90791 |
|
240 |
205 |
$21K |
| G0103 |
Psa screening |
1,812 |
1,685 |
$21K |
| 84153 |
|
2,507 |
2,330 |
$20K |
| 86038 |
|
2,802 |
2,593 |
$20K |
| 85027 |
|
12,167 |
9,785 |
$20K |
| 99281 |
|
278 |
253 |
$19K |
| 82570 |
|
7,152 |
6,505 |
$19K |
| 81001 |
|
43,044 |
37,444 |
$19K |
| 62322 |
|
41 |
28 |
$19K |
| 87502 |
|
6,156 |
5,722 |
$19K |
| 29580 |
|
322 |
120 |
$18K |
| 86140 |
|
9,476 |
7,968 |
$18K |
| 82784 |
|
2,854 |
2,473 |
$17K |
| 85610 |
|
13,611 |
8,097 |
$17K |
| 87186 |
|
8,451 |
7,661 |
$17K |
| 96411 |
|
279 |
170 |
$17K |
| 87340 |
|
4,224 |
3,917 |
$16K |
| 83735 |
|
17,799 |
14,167 |
$16K |
| 97165 |
|
304 |
291 |
$16K |
| 87077 |
|
8,105 |
7,372 |
$16K |
| 70496 |
|
1,618 |
1,429 |
$15K |
| J0881 |
Darbepoetin alfa, non-esrd |
125 |
78 |
$15K |
| 84480 |
|
1,437 |
1,313 |
$15K |
| 73140 |
|
2,365 |
2,095 |
$15K |
| 97167 |
|
216 |
193 |
$15K |
| 84146 |
|
1,146 |
1,054 |
$15K |
| 82042 |
|
5,126 |
4,752 |
$14K |
| 80061 |
|
6,850 |
6,039 |
$14K |
| 70544 |
|
55 |
53 |
$14K |
| 52310 |
|
12 |
12 |
$14K |
| 85055 |
|
2,689 |
1,591 |
$13K |
| 82785 |
|
1,082 |
1,016 |
$13K |
| 74178 |
|
70 |
66 |
$13K |
| 77062 |
|
939 |
918 |
$13K |
| 83001 |
|
985 |
921 |
$13K |
| 86617 |
|
951 |
846 |
$12K |
| 83516 |
|
864 |
729 |
$12K |
| V5264 |
Ear mold/insert |
310 |
258 |
$12K |
| 94010 |
|
102 |
96 |
$12K |
| 87070 |
|
5,930 |
5,210 |
$11K |
| 93923 |
|
148 |
136 |
$11K |
| V5011 |
Hearing aid fitting/checking |
312 |
267 |
$10K |
| 92526 |
|
173 |
93 |
$10K |
| 82465 |
|
19,511 |
18,927 |
$10K |
| 76817 |
|
3,019 |
2,521 |
$10K |
| 71101 |
|
1,256 |
1,154 |
$9K |
| V5266 |
Battery for hearing device |
656 |
581 |
$9K |
| 62321 |
|
18 |
12 |
$9K |
| 85652 |
|
6,609 |
5,853 |
$9K |
| 86850 |
|
7,004 |
5,829 |
$9K |
| 80048 |
|
19,479 |
13,653 |
$9K |
| 73590 |
|
1,164 |
1,010 |
$8K |
| 96367 |
|
269 |
187 |
$8K |
| 74174 |
|
63 |
54 |
$8K |
| 85007 |
|
9,429 |
7,624 |
$8K |
| 80053 |
|
29,574 |
22,673 |
$8K |
| 84270 |
|
505 |
453 |
$8K |
| 77334 |
|
59 |
36 |
$8K |
| 73080 |
|
1,555 |
1,392 |
$8K |
| 72110 |
|
135 |
132 |
$7K |
| 95909 |
|
39 |
38 |
$7K |
| 86359 |
|
676 |
649 |
$7K |
| 80164 |
|
1,552 |
1,280 |
$7K |
| 73522 |
|
201 |
188 |
$7K |
| 83002 |
|
512 |
480 |
$7K |
| 86706 |
|
1,144 |
1,038 |
$7K |
| 77061 |
|
521 |
497 |
$7K |
| M0243 |
Casirivi and imdevi inj |
17 |
15 |
$6K |
| 84425 |
|
440 |
411 |
$6K |
| G0378 |
Hospital observation per hr |
26,127 |
20,873 |
$6K |
| 77300 |
|
46 |
36 |
$6K |
| 82140 |
|
1,427 |
1,098 |
$6K |
| 86709 |
|
877 |
827 |
$6K |
| 86705 |
|
859 |
809 |
$6K |
| 86364 |
|
742 |
693 |
$6K |
| 87522 |
Neg quan hep c or qual rna |
195 |
181 |
$6K |
| 74019 |
|
1,776 |
1,629 |
$6K |
| 84478 |
|
19,908 |
19,140 |
$6K |
| 83690 |
|
20,720 |
17,684 |
$6K |
| 82950 |
|
1,349 |
1,290 |
$5K |
| 87640 |
|
264 |
251 |
$5K |
| 29515 |
|
43 |
39 |
$5K |
| 83655 |
|
502 |
489 |
$5K |
| 86431 |
|
1,552 |
1,470 |
$5K |
| Q9950 |
Inj sulf hexa lipid microsph |
1,472 |
1,108 |
$5K |
| 82105 |
|
635 |
587 |
$5K |
| V5160 |
Dispensing fee binaural |
12 |
12 |
$5K |
| 86762 |
|
1,812 |
1,697 |
$5K |
| 85730 |
|
2,883 |
2,414 |
$4K |
| 87653 |
|
194 |
182 |
$4K |
| Q3014 |
Telehealth facility fee |
524 |
389 |
$4K |
| 96402 |
|
708 |
456 |
$4K |
| 73562 |
|
108 |
90 |
$4K |
| 84156 |
|
2,834 |
2,435 |
$4K |
| 86800 |
|
405 |
382 |
$4K |
| 51798 |
|
2,418 |
2,230 |
$4K |
| 87624 |
|
152 |
150 |
$4K |
| 95819 |
|
31 |
27 |
$4K |
| 0240U |
|
38 |
35 |
$4K |
| 83721 |
|
933 |
845 |
$4K |
| 82670 |
|
198 |
189 |
$4K |
| 87798 |
|
289 |
273 |
$4K |
| 84165 |
|
1,221 |
1,098 |
$3K |
| 86787 |
|
1,189 |
1,115 |
$3K |
| 87484 |
|
388 |
358 |
$3K |
| 87468 |
|
384 |
354 |
$3K |
| 92567 |
|
4,122 |
3,914 |
$3K |
| G0480 |
Drug test def 1-7 classes |
241 |
206 |
$3K |
| 84703 |
|
25,685 |
21,865 |
$3K |
| 86334 |
|
498 |
449 |
$3K |
| 86376 |
|
350 |
315 |
$3K |
| 87493 |
|
201 |
172 |
$3K |
| 82565 |
|
110,284 |
85,614 |
$3K |
| G0380 |
Lev 1 hosp type b ed visit |
40 |
38 |
$3K |
| 87205 |
|
3,563 |
2,998 |
$3K |
| 87631 |
|
1,323 |
1,225 |
$3K |
| 88142 |
|
219 |
217 |
$3K |
| 73660 |
|
376 |
346 |
$3K |
| G0297 |
Ldct for lung ca screen |
34 |
33 |
$3K |
| 92611 |
|
27 |
24 |
$3K |
| 94640 |
|
11,102 |
7,303 |
$3K |
| 95812 |
|
13 |
13 |
$3K |
| 81003 |
|
10,361 |
8,763 |
$3K |
| 73090 |
|
582 |
506 |
$3K |
| 73700 |
|
43 |
39 |
$3K |
| 82248 |
|
8,992 |
7,747 |
$3K |
| 86258 |
|
181 |
171 |
$2K |
| 76857 |
|
42 |
39 |
$2K |
| 72050 |
|
25 |
25 |
$2K |
| 85379 |
|
5,520 |
4,920 |
$2K |
| 86665 |
|
132 |
117 |
$2K |
| 74230 |
|
27 |
24 |
$2K |
| 83013 |
|
37 |
36 |
$2K |
| 93308 |
|
13 |
13 |
$2K |
| 72081 |
|
28 |
27 |
$2K |
| 87075 |
|
1,846 |
1,510 |
$2K |
| 82533 |
|
176 |
159 |
$2K |
| 86235 |
|
61 |
54 |
$2K |
| 87040 |
|
6,800 |
3,344 |
$2K |
| 83525 |
|
212 |
188 |
$2K |
| 93271 |
|
24 |
24 |
$2K |
| 83521 |
|
483 |
425 |
$2K |
| 84145 |
|
994 |
794 |
$2K |
| 85046 |
|
1,520 |
1,155 |
$2K |
| 87207 |
|
1,059 |
943 |
$1K |
| 76978 |
|
13 |
13 |
$1K |
| 86696 |
|
125 |
113 |
$1K |
| 72170 |
|
241 |
218 |
$1K |
| 86200 |
|
146 |
136 |
$1K |
| 76775 |
|
57 |
54 |
$1K |
| 84550 |
|
3,327 |
3,058 |
$1K |
| 84132 |
|
106,552 |
83,476 |
$1K |
| 84402 |
|
54 |
53 |
$1K |
| 86308 |
|
1,124 |
1,019 |
$1K |
| 85014 |
|
1,939 |
1,511 |
$1K |
| 51702 |
|
44 |
38 |
$1K |
| 86695 |
|
125 |
113 |
$982.80 |
| 82550 |
|
8,044 |
6,905 |
$951.94 |
| 86664 |
|
129 |
117 |
$949.65 |
| 92582 |
|
28 |
25 |
$949.12 |
| 84450 |
|
73,418 |
62,028 |
$903.59 |
| 73552 |
|
108 |
98 |
$891.95 |
| 12002 |
|
437 |
395 |
$880.33 |
| 88305 |
|
4,065 |
3,734 |
$857.04 |
| 82951 |
|
78 |
77 |
$848.01 |
| 86039 |
|
132 |
129 |
$836.91 |
| 83883 |
|
179 |
138 |
$780.00 |
| P9604 |
One-way allow prorated trip |
836 |
534 |
$709.65 |
| 84436 |
|
155 |
150 |
$692.69 |
| 12011 |
|
1,080 |
961 |
$673.20 |
| 86160 |
|
64 |
62 |
$653.79 |
| 92555 |
|
1,943 |
1,848 |
$632.19 |
| 84484 |
|
28,879 |
16,214 |
$629.64 |
| 84520 |
|
107,067 |
84,148 |
$622.65 |
| 82435 |
|
105,795 |
83,077 |
$594.94 |
| 82378 |
|
394 |
337 |
$587.45 |
| 85018 |
|
541 |
333 |
$565.45 |
| 84410 |
|
14 |
13 |
$507.90 |
| 12001 |
|
2,033 |
1,848 |
$493.84 |
| 83615 |
|
2,077 |
1,721 |
$486.20 |
| 84460 |
|
71,767 |
60,679 |
$481.92 |
| 0031A |
|
16 |
15 |
$480.00 |
| 83520 |
|
63 |
59 |
$469.68 |
| 86769 |
|
13 |
13 |
$463.43 |
| 94618 |
|
38 |
36 |
$453.19 |
| 94664 |
|
1,782 |
1,561 |
$415.79 |
| 87632 |
|
102 |
94 |
$407.66 |
| 82962 |
|
29,650 |
18,179 |
$381.36 |
| 90686 |
|
77 |
72 |
$380.60 |
| 86225 |
|
52 |
49 |
$380.48 |
| 86255 |
|
27 |
26 |
$379.83 |
| 83021 |
|
49 |
39 |
$379.28 |
| 82150 |
|
133 |
120 |
$370.16 |
| 86704 |
|
78 |
70 |
$368.32 |
| 84630 |
|
42 |
40 |
$347.84 |
| 81025 |
|
3,100 |
2,668 |
$338.24 |
| 88342 |
|
443 |
406 |
$335.92 |
| 87081 |
|
75 |
75 |
$329.68 |
| 86920 |
|
82 |
64 |
$315.68 |
| 76870 |
|
1,031 |
937 |
$294.25 |
| 83605 |
|
5,313 |
4,073 |
$277.43 |
| 29125 |
|
686 |
618 |
$249.79 |
| 83014 |
|
37 |
36 |
$240.32 |
| 82627 |
|
13 |
12 |
$233.53 |
| 88304 |
|
1,106 |
990 |
$229.39 |
| 87252 |
|
13 |
12 |
$224.01 |
| 87209 |
|
27 |
24 |
$223.25 |
| 84295 |
|
106,064 |
83,236 |
$222.06 |
| 87449 |
|
94 |
88 |
$196.52 |
| 86923 |
|
49 |
40 |
$174.30 |
| 83921 |
|
26 |
25 |
$172.92 |
| A9500 |
Tc99m sestamibi |
2,206 |
1,743 |
$172.56 |
| 80178 |
|
62 |
56 |
$170.37 |
| 84075 |
|
71,040 |
60,101 |
$165.22 |
| 84100 |
|
3,629 |
2,883 |
$163.79 |
| 87177 |
|
26 |
24 |
$161.50 |
| 82803 |
|
1,606 |
1,274 |
$149.28 |
| J2785 |
Regadenoson injection |
1,404 |
1,270 |
$144.48 |
| 87324 |
|
65 |
61 |
$139.27 |
| 36591 |
|
38 |
25 |
$137.02 |
| 73060 |
|
102 |
93 |
$130.19 |
| J3490 |
Drugs unclassified injection |
204,315 |
70,004 |
$119.40 |
| 90715 |
|
2,946 |
2,673 |
$102.14 |
| 82977 |
|
333 |
295 |
$97.47 |
| 87807 |
|
378 |
365 |
$91.60 |
| 84155 |
|
70,870 |
59,969 |
$72.86 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
28,705 |
22,029 |
$58.79 |
| 88112 |
|
28 |
27 |
$57.27 |
| 87430 |
|
1,416 |
1,255 |
$57.25 |
| 88312 |
|
575 |
538 |
$55.57 |
| 81002 |
|
222 |
183 |
$53.68 |
| 80177 |
|
22 |
19 |
$50.64 |
| G0659 |
Drug test def simple all cl |
1,049 |
883 |
$43.60 |
| 81000 |
|
81 |
75 |
$43.52 |
| 94726 |
|
41 |
38 |
$42.50 |
| 86300 |
|
192 |
153 |
$39.74 |
| 95012 |
|
191 |
175 |
$36.77 |
| 83010 |
|
27 |
25 |
$36.03 |
| 82952 |
|
12 |
12 |
$33.66 |
| 87184 |
|
41 |
37 |
$32.95 |
| 80050 |
|
25 |
16 |
$30.96 |
| J7120 |
Ringers lactate infusion |
13,250 |
10,264 |
$20.14 |
| J1836 |
Inj, metronidazole, 10 mg |
135 |
75 |
$20.00 |
| 86304 |
|
19 |
14 |
$19.87 |
| 96376 |
|
5,591 |
3,350 |
$18.59 |
| 80051 |
|
100 |
84 |
$16.02 |
| 80076 |
|
31 |
30 |
$15.60 |
| 97164 |
|
13 |
13 |
$15.17 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
1,364 |
851 |
$14.93 |
| 90471 |
|
169 |
151 |
$13.23 |
| J7030 |
Normal saline solution infus |
6,686 |
5,170 |
$12.09 |
| J3535 |
Metered dose inhaler drug |
722 |
639 |
$11.22 |
| J1790 |
Droperidol injection |
2,502 |
2,008 |
$10.02 |
| J7050 |
Normal saline solution infus |
2,264 |
1,174 |
$7.60 |
| J3475 |
Inj magnesium sulfate |
1,654 |
1,030 |
$7.22 |
| J1885 |
Ketorolac tromethamine inj |
30,327 |
24,750 |
$4.96 |
| 87210 |
|
726 |
670 |
$4.07 |
| J7040 |
Normal saline solution infus |
1,299 |
805 |
$3.22 |
| 86901 |
|
7,643 |
6,349 |
$2.64 |
| G8979 |
Mobility goal status |
361 |
315 |
$2.62 |
| J8540 |
Oral dexamethasone |
2,257 |
1,161 |
$2.27 |
| G8978 |
Mobility current status |
314 |
280 |
$2.25 |
| J2405 |
Ondansetron hcl injection |
18,575 |
15,222 |
$1.96 |
| J1630 |
Haloperidol injection |
1,020 |
797 |
$1.47 |
| J2765 |
Metoclopramide hcl injection |
4,933 |
4,171 |
$1.27 |
| J0280 |
Aminophyllin 250 mg inj |
464 |
417 |
$1.20 |
| J1200 |
Diphenhydramine hcl injectio |
7,736 |
6,094 |
$1.09 |
| J2270 |
Morphine sulfate injection |
10,873 |
7,697 |
$0.97 |
| J0696 |
Ceftriaxone sodium injection |
5,485 |
3,612 |
$0.54 |
| J2001 |
Lidocaine injection |
4,778 |
3,994 |
$0.47 |
| J7512 |
Prednisone ir or dr oral 1mg |
6,594 |
3,478 |
$0.28 |
| G8987 |
Self care current status |
18 |
15 |
$0.06 |
| G8988 |
Self care goal status |
18 |
15 |
$0.06 |
| G1004 |
Cdsm ndsc |
7,531 |
5,259 |
$0.02 |
| A9552 |
F18 fdg |
818 |
778 |
$0.00 |
| 99152 |
|
5,160 |
4,241 |
$0.00 |
| 80143 |
|
251 |
216 |
$0.00 |
| J2930 |
Methylprednisolone injection |
1,614 |
1,357 |
$0.00 |
| Q9954 |
Oral mr contrast, 100 ml |
1,403 |
1,098 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
170 |
155 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
4,423 |
1,724 |
$0.00 |
| J0137 |
Inj, acetaminophen (hikma) |
53 |
44 |
$0.00 |
| 94729 |
|
1,418 |
1,344 |
$0.00 |
| J2550 |
Promethazine hcl injection |
299 |
267 |
$0.00 |
| 93325 |
|
893 |
843 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
483 |
439 |
$0.00 |
| 93226 |
|
738 |
692 |
$0.00 |
| 76376 |
|
751 |
706 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
6,715 |
6,141 |
$0.00 |
| 94727 |
|
857 |
810 |
$0.00 |
| J0780 |
Prochlorperazine injection |
2,951 |
2,470 |
$0.00 |
| 76937 |
|
719 |
629 |
$0.00 |
| 93321 |
|
29 |
25 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
2,254 |
1,036 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
295 |
277 |
$0.00 |
| 77012 |
|
27 |
27 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
217 |
167 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
101 |
95 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
238 |
213 |
$0.00 |
| J1756 |
Iron sucrose injection |
1,449 |
633 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
297 |
233 |
$0.00 |
| Q0144 |
Azithromycin dihydrate, oral |
87 |
80 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
70 |
57 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
109 |
76 |
$0.00 |
| J0134 |
Inj acetaminophen -fresenius |
48 |
40 |
$0.00 |
| C1887 |
Catheter, guiding |
59 |
55 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
47 |
25 |
$0.00 |
| 77002 |
|
12 |
12 |
$0.00 |
| 93356 |
|
85 |
83 |
$0.00 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
58 |
46 |
$0.00 |
| J0670 |
Inj mepivacaine hcl/10 ml |
53 |
38 |
$0.00 |
| 97602 |
|
25 |
18 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
69 |
48 |
$0.00 |
| C1729 |
Cath, drainage |
20 |
12 |
$0.00 |
| G0500 |
Mod sedat endo service >5yrs |
13 |
12 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
54 |
49 |
$0.00 |
| 64495 |
|
107 |
73 |
$0.00 |
| C1758 |
Catheter, ureteral |
13 |
12 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
21 |
14 |
$0.00 |
| J0136 |
Inj, acetaminophen (b braun) |
12 |
12 |
$0.00 |
| 36592 |
|
12 |
12 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
17 |
15 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
12,103 |
9,516 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
1,105 |
956 |
$0.00 |
| J3420 |
Vitamin b12 injection |
346 |
253 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
6,457 |
4,478 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
12,275 |
10,283 |
$0.00 |
| 95886 |
|
1,422 |
1,322 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
1,752 |
1,321 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
1,036 |
935 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
76 |
62 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
2,002 |
1,482 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
2,580 |
2,206 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
11,058 |
8,975 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
101 |
92 |
$0.00 |
| J2060 |
Lorazepam injection |
2,915 |
2,253 |
$0.00 |
| 95885 |
|
657 |
620 |
$0.00 |
| C1889 |
Implant/insert device, noc |
560 |
507 |
$0.00 |
| J3480 |
Inj potassium chloride |
233 |
164 |
$0.00 |
| 88341 |
|
162 |
152 |
$0.00 |
| J1170 |
Hydromorphone injection |
3,905 |
2,445 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
4,335 |
2,348 |
$0.00 |
| J7999 |
Compounded drug, noc |
1,569 |
1,229 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
575 |
490 |
$0.00 |
| C1781 |
Mesh (implantable) |
13 |
13 |
$0.00 |
| 88307 |
|
84 |
75 |
$0.00 |
| J1815 |
Insulin injection |
2,511 |
1,112 |
$0.00 |
| J3360 |
Diazepam injection |
150 |
121 |
$0.00 |
| A9698 |
Non-rad contrast materialnoc |
100 |
96 |
$0.00 |
| 87808 |
|
581 |
537 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
411 |
397 |
$0.00 |
| J0500 |
Dicyclomine injection |
224 |
189 |
$0.00 |
| 93320 |
|
195 |
187 |
$0.00 |
| J8597 |
Antiemetic drug oral nos |
2,519 |
2,221 |
$0.00 |
| 64494 |
|
288 |
194 |
$0.00 |
| C1769 |
Guide wire |
518 |
465 |
$0.00 |
| 91303 |
|
14 |
13 |
$0.00 |
| 80069 |
|
20 |
17 |
$0.00 |
| J7042 |
5% dextrose/normal saline |
24 |
13 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
32 |
12 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
36 |
33 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
377 |
310 |
$0.00 |
| 96368 |
|
19 |
13 |
$0.00 |
| A4648 |
Implantable tissue marker |
15 |
15 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
29 |
18 |
$0.00 |
| 87015 |
|
22 |
13 |
$0.00 |
| 88108 |
|
13 |
12 |
$0.00 |
| C9290 |
Inj, bupivacaine liposome |
31 |
27 |
$0.00 |
| J9045 |
Carboplatin injection |
64 |
24 |
$0.00 |
| 77001 |
|
13 |
13 |
$0.00 |