| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
53,042 |
49,915 |
$7.59M |
| 99284 |
|
33,763 |
31,447 |
$6.19M |
| 99285 |
|
12,498 |
11,391 |
$3.07M |
| 74177 |
|
8,046 |
7,523 |
$2.84M |
| G0378 |
Hospital observation per hr |
12,722 |
7,264 |
$2.35M |
| 70450 |
|
10,224 |
9,466 |
$1.96M |
| 93005 |
|
32,081 |
28,996 |
$1.93M |
| 80053 |
|
123,318 |
104,020 |
$1.63M |
| 99282 |
|
16,462 |
15,686 |
$1.54M |
| 71045 |
|
25,920 |
23,683 |
$1.54M |
| D2930 |
|
8,601 |
1,623 |
$1.08M |
| 74176 |
|
4,074 |
3,760 |
$1.07M |
| 85025 |
|
122,078 |
100,834 |
$918K |
| 96365 |
|
10,492 |
6,176 |
$831K |
| 87633 |
|
2,066 |
2,024 |
$767K |
| 42820 |
|
475 |
475 |
$762K |
| 43239 |
|
1,904 |
1,860 |
$735K |
| G0463 |
Hospital outpt clinic visit |
11,157 |
7,913 |
$730K |
| 93306 |
|
2,355 |
2,221 |
$661K |
| 96361 |
|
15,321 |
13,053 |
$651K |
| 96374 |
|
19,043 |
17,553 |
$601K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,209 |
1,103 |
$590K |
| 96372 |
|
18,655 |
15,410 |
$579K |
| 72125 |
|
2,571 |
2,415 |
$565K |
| 76705 |
|
5,286 |
5,001 |
$538K |
| 84443 |
|
30,844 |
29,481 |
$537K |
| 96413 |
|
4,978 |
2,544 |
$506K |
| G0480 |
Drug test def 1-7 classes |
7,405 |
6,509 |
$503K |
| 73721 |
|
1,355 |
1,275 |
$485K |
| 96375 |
|
12,693 |
11,304 |
$475K |
| 80307 |
|
10,686 |
9,891 |
$474K |
| 94640 |
|
3,261 |
2,587 |
$448K |
| 77067 |
|
4,084 |
4,060 |
$442K |
| 71275 |
|
1,445 |
1,354 |
$428K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
15,294 |
14,049 |
$389K |
| 71046 |
|
6,448 |
6,096 |
$373K |
| 93458 |
|
209 |
192 |
$314K |
| 80061 |
|
21,607 |
21,095 |
$310K |
| 71260 |
|
1,636 |
1,541 |
$306K |
| D2330 |
|
2,247 |
662 |
$301K |
| 82306 |
|
15,768 |
15,524 |
$290K |
| 96360 |
|
5,166 |
4,494 |
$288K |
| 70553 |
|
635 |
606 |
$277K |
| 76830 |
|
2,467 |
2,397 |
$259K |
| 83690 |
|
25,156 |
23,046 |
$253K |
| 70486 |
|
1,276 |
1,225 |
$252K |
| 99281 |
|
4,250 |
4,065 |
$251K |
| 72148 |
|
946 |
919 |
$245K |
| 84484 |
|
20,930 |
16,820 |
$243K |
| 81001 |
|
44,527 |
41,164 |
$235K |
| 96367 |
|
3,747 |
1,768 |
$225K |
| 69436 |
|
176 |
176 |
$219K |
| 76641 |
|
2,137 |
2,049 |
$213K |
| 73562 |
|
2,661 |
2,227 |
$210K |
| 76700 |
|
2,190 |
2,121 |
$207K |
| 77063 |
|
3,296 |
3,273 |
$197K |
| 76801 |
|
1,702 |
1,483 |
$196K |
| 88305 |
|
5,829 |
5,535 |
$195K |
| 72100 |
|
2,275 |
2,178 |
$188K |
| 73030 |
|
2,340 |
2,054 |
$186K |
| 73130 |
|
2,413 |
2,101 |
$184K |
| 73610 |
|
1,761 |
1,588 |
$176K |
| 87491 |
|
5,651 |
5,506 |
$172K |
| 87088 |
|
17,964 |
16,651 |
$169K |
| 87591 |
|
5,694 |
5,545 |
$167K |
| D1206 |
|
1,360 |
1,355 |
$165K |
| 77336 |
|
1,537 |
627 |
$165K |
| 83036 |
|
20,840 |
20,358 |
$164K |
| 87804 |
|
8,162 |
7,307 |
$155K |
| 36415 |
|
43,328 |
38,923 |
$152K |
| 66984 |
|
268 |
228 |
$149K |
| 76856 |
|
1,498 |
1,464 |
$145K |
| 73630 |
|
2,024 |
1,759 |
$144K |
| 84703 |
|
9,708 |
9,135 |
$140K |
| 87426 |
|
5,838 |
5,589 |
$139K |
| 73221 |
|
454 |
431 |
$139K |
| 84145 |
|
4,677 |
4,310 |
$136K |
| 74178 |
|
560 |
540 |
$136K |
| 87040 |
|
9,795 |
7,497 |
$136K |
| 78452 |
|
332 |
319 |
$136K |
| 59025 |
|
1,386 |
1,136 |
$134K |
| 70496 |
|
463 |
431 |
$131K |
| C9803 |
Hopd covid-19 spec collect |
7,621 |
7,263 |
$129K |
| D1208 |
|
1,003 |
1,003 |
$123K |
| 96366 |
|
2,209 |
1,647 |
$122K |
| 77386 |
|
320 |
24 |
$121K |
| 87798 |
|
2,134 |
2,055 |
$120K |
| 88312 |
|
1,687 |
1,637 |
$116K |
| 74018 |
|
1,925 |
1,830 |
$113K |
| 71250 |
|
896 |
824 |
$111K |
| 93971 |
|
1,364 |
1,290 |
$108K |
| 99152 |
|
2,099 |
1,971 |
$106K |
| 86703 |
|
6,134 |
6,026 |
$104K |
| 84702 |
|
5,342 |
4,338 |
$104K |
| J9271 |
Inj pembrolizumab |
15 |
12 |
$103K |
| 80074 |
|
2,248 |
2,212 |
$102K |
| 85610 |
|
26,218 |
21,777 |
$98K |
| 88304 |
|
2,982 |
2,870 |
$98K |
| 73110 |
|
1,262 |
1,127 |
$97K |
| 83880 |
|
4,656 |
4,189 |
$96K |
| J2505 |
Injection, pegfilgrastim 6mg |
39 |
27 |
$96K |
| 77334 |
|
254 |
185 |
$95K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,563 |
1,491 |
$95K |
| 72131 |
|
551 |
527 |
$94K |
| 74246 |
|
1,022 |
1,001 |
$92K |
| 87070 |
|
8,186 |
7,840 |
$89K |
| 76536 |
|
971 |
933 |
$89K |
| 82728 |
|
5,938 |
5,804 |
$87K |
| G0379 |
Direct refer hospital observ |
1,025 |
855 |
$87K |
| 76770 |
|
1,019 |
960 |
$86K |
| 70491 |
|
304 |
299 |
$85K |
| 47563 |
|
38 |
38 |
$84K |
| 87430 |
|
5,238 |
5,131 |
$82K |
| 70498 |
|
416 |
381 |
$81K |
| J7030 |
Normal saline solution infus |
8,717 |
6,763 |
$81K |
| 85027 |
|
10,410 |
9,609 |
$80K |
| 47562 |
|
25 |
24 |
$79K |
| 11042 |
|
842 |
473 |
$79K |
| 86780 |
|
5,079 |
5,008 |
$76K |
| 83605 |
|
7,724 |
6,489 |
$74K |
| C1776 |
Joint device (implantable) |
87 |
79 |
$72K |
| 78815 |
|
115 |
112 |
$70K |
| 80048 |
|
7,022 |
6,179 |
$70K |
| 87186 |
|
8,127 |
7,125 |
$70K |
| 77080 |
|
1,085 |
1,058 |
$69K |
| 84439 |
|
6,019 |
5,825 |
$68K |
| 49083 |
|
281 |
134 |
$65K |
| 0002A |
|
1,407 |
1,399 |
$62K |
| 86140 |
|
7,737 |
7,060 |
$61K |
| 82962 |
|
24,639 |
15,904 |
$61K |
| 91200 |
|
490 |
485 |
$61K |
| 82607 |
|
4,951 |
4,880 |
$58K |
| 72040 |
|
728 |
714 |
$58K |
| D1120 |
|
494 |
488 |
$57K |
| 77412 |
|
496 |
53 |
$56K |
| 97597 |
|
977 |
612 |
$56K |
| 96417 |
|
1,191 |
692 |
$56K |
| 83735 |
|
8,498 |
6,171 |
$55K |
| 0241U |
|
490 |
487 |
$55K |
| J2710 |
Neostigmine methylslfte inj |
1,910 |
1,784 |
$54K |
| 76881 |
|
527 |
400 |
$52K |
| D2929 |
|
484 |
142 |
$50K |
| 0001A |
|
1,387 |
1,370 |
$49K |
| 87486 |
|
2,092 |
2,046 |
$48K |
| 87581 |
|
2,092 |
2,046 |
$48K |
| 81514 |
|
331 |
325 |
$48K |
| 88307 |
|
247 |
232 |
$46K |
| 87150 |
|
1,227 |
1,133 |
$46K |
| J3010 |
Fentanyl citrate injection |
16,605 |
15,357 |
$46K |
| 76000 |
|
271 |
262 |
$45K |
| J0690 |
Cefazolin sodium injection |
5,225 |
4,535 |
$45K |
| 85730 |
|
9,303 |
8,434 |
$44K |
| 76870 |
|
449 |
422 |
$44K |
| U0002 |
Covid-19 lab test non-cdc |
1,483 |
1,371 |
$44K |
| 93017 |
|
379 |
366 |
$43K |
| 86803 |
|
3,464 |
3,395 |
$43K |
| 73090 |
|
568 |
510 |
$43K |
| 83540 |
|
5,934 |
5,812 |
$43K |
| 75574 |
|
188 |
185 |
$42K |
| 81025 |
|
5,573 |
5,373 |
$41K |
| 70551 |
|
165 |
157 |
$40K |
| 87081 |
|
4,349 |
4,204 |
$40K |
| 84481 |
|
2,467 |
2,415 |
$38K |
| J2405 |
Ondansetron hcl injection |
20,642 |
17,031 |
$38K |
| A9579 |
Gad-base mr contrast nos,1ml |
1,653 |
1,557 |
$37K |
| 87661 |
|
1,393 |
1,382 |
$37K |
| 99153 |
Mod sedat endo service >5yrs |
790 |
732 |
$37K |
| J3480 |
Inj potassium chloride |
2,649 |
1,460 |
$36K |
| 77066 |
Tomosynthesis, mammo |
334 |
324 |
$36K |
| D7240 |
|
215 |
89 |
$35K |
| 80055 |
|
731 |
711 |
$35K |
| 76642 |
|
380 |
351 |
$35K |
| J2704 |
Inj, propofol, 10 mg |
11,858 |
11,302 |
$34K |
| D2391 |
|
294 |
128 |
$33K |
| J1885 |
Ketorolac tromethamine inj |
18,223 |
16,111 |
$33K |
| 86850 |
|
4,875 |
4,507 |
$33K |
| 88342 |
|
827 |
776 |
$33K |
| 78306 |
|
174 |
171 |
$33K |
| 73590 |
|
492 |
428 |
$32K |
| J0330 |
Succinycholine chloride inj |
3,119 |
2,938 |
$31K |
| 82803 |
|
1,246 |
991 |
$31K |
| J7120 |
Ringers lactate infusion |
2,811 |
2,450 |
$31K |
| 73120 |
|
436 |
297 |
$31K |
| 82570 |
|
5,330 |
5,047 |
$30K |
| 82746 |
|
2,831 |
2,788 |
$30K |
| U0005 |
Infec agen detec ampli probe |
1,553 |
1,487 |
$30K |
| 86787 |
|
1,635 |
1,596 |
$30K |
| 91035 |
|
125 |
120 |
$29K |
| J2785 |
Regadenoson injection |
266 |
256 |
$28K |
| 93970 |
|
266 |
253 |
$28K |
| 86920 |
|
340 |
252 |
$28K |
| J0897 |
Denosumab injection |
51 |
41 |
$27K |
| 74019 |
|
346 |
339 |
$27K |
| J1100 |
Dexamethasone sodium phos |
11,739 |
9,974 |
$27K |
| 90471 |
|
1,469 |
1,340 |
$27K |
| 86900 |
|
6,315 |
5,686 |
$27K |
| 84425 |
|
1,278 |
1,270 |
$26K |
| 72072 |
|
329 |
323 |
$26K |
| G0279 |
Tomosynthesis, mammo |
641 |
615 |
$26K |
| 36430 |
|
198 |
171 |
$25K |
| 76815 |
|
351 |
320 |
$25K |
| 86901 |
|
6,309 |
5,681 |
$24K |
| 84403 |
|
981 |
944 |
$23K |
| 77065 |
Tomosynthesis, mammo |
309 |
298 |
$23K |
| 82105 |
|
1,267 |
1,230 |
$23K |
| 72141 |
|
94 |
91 |
$23K |
| 96415 |
|
476 |
293 |
$22K |
| P9016 |
Rbc leukocytes reduced |
145 |
120 |
$22K |
| 73502 |
|
758 |
689 |
$22K |
| 86038 |
|
1,666 |
1,629 |
$22K |
| 41899 |
|
285 |
285 |
$22K |
| 29125 |
|
213 |
203 |
$22K |
| J0696 |
Ceftriaxone sodium injection |
5,230 |
3,928 |
$21K |
| 85651 |
|
5,544 |
4,954 |
$21K |
| 84597 |
|
1,202 |
1,193 |
$21K |
| 77300 |
|
132 |
111 |
$20K |
| 84436 |
|
2,086 |
2,046 |
$20K |
| M0245 |
Bamlan and etesev infusion |
44 |
44 |
$19K |
| 87340 |
|
2,371 |
2,334 |
$19K |
| 86003 |
|
122 |
109 |
$18K |
| 84153 |
|
1,919 |
1,819 |
$18K |
| 73070 |
|
350 |
327 |
$18K |
| 91010 |
|
51 |
51 |
$17K |
| 83001 |
|
850 |
834 |
$17K |
| 86762 |
|
1,282 |
1,255 |
$17K |
| 87205 |
|
3,377 |
3,077 |
$17K |
| J2250 |
Inj midazolam hydrochloride |
11,121 |
10,430 |
$17K |
| A9502 |
Tc99m tetrofosmin |
336 |
323 |
$17K |
| 87653 |
|
468 |
453 |
$17K |
| 84446 |
|
1,225 |
1,216 |
$17K |
| 82043 |
|
3,176 |
3,110 |
$17K |
| 87522 |
Neg quan hep c or qual rna |
306 |
302 |
$17K |
| 36591 |
|
555 |
410 |
$17K |
| 84100 |
|
3,495 |
2,947 |
$17K |
| J2795 |
Ropivacaine hcl injection |
1,332 |
1,249 |
$16K |
| 83615 |
|
2,026 |
1,711 |
$16K |
| D1351 |
|
179 |
78 |
$16K |
| 96376 |
|
1,485 |
1,356 |
$16K |
| 83970 |
|
589 |
554 |
$15K |
| 83520 |
|
408 |
370 |
$15K |
| 73620 |
|
290 |
215 |
$15K |
| C1762 |
Conn tiss, human(inc fascia) |
41 |
40 |
$14K |
| 72170 |
|
238 |
223 |
$14K |
| J2001 |
Lidocaine injection |
7,360 |
5,946 |
$14K |
| 80076 |
|
1,276 |
1,232 |
$13K |
| 87490 |
|
579 |
570 |
$13K |
| D2392 |
|
101 |
41 |
$13K |
| 73560 |
|
261 |
201 |
$13K |
| 87590 |
|
579 |
570 |
$13K |
| J7050 |
Normal saline solution infus |
1,608 |
960 |
$13K |
| 87641 |
|
753 |
710 |
$13K |
| 73100 |
|
231 |
175 |
$13K |
| 84156 |
|
2,273 |
2,067 |
$12K |
| J0171 |
Adrenalin epinephrine inject |
1,420 |
1,311 |
$12K |
| 97535 |
|
773 |
498 |
$12K |
| 82784 |
|
794 |
671 |
$12K |
| 74220 |
|
110 |
110 |
$12K |
| 85378 |
|
1,803 |
1,695 |
$11K |
| 83525 |
|
1,038 |
1,020 |
$11K |
| 82550 |
|
1,560 |
1,321 |
$11K |
| J1644 |
Inj heparin sodium per 1000u |
2,068 |
1,674 |
$11K |
| J0500 |
Dicyclomine injection |
796 |
756 |
$11K |
| J2270 |
Morphine sulfate injection |
6,377 |
4,820 |
$11K |
| 71100 |
|
199 |
179 |
$11K |
| 87536 |
|
126 |
122 |
$10K |
| 45378 |
|
25 |
25 |
$10K |
| 81002 |
|
1,845 |
1,519 |
$10K |
| Q0162 |
Ondansetron oral |
3,185 |
3,024 |
$10K |
| 84550 |
|
1,946 |
1,799 |
$10K |
| J2543 |
Piperacillin/tazobactam |
939 |
599 |
$10K |
| J7040 |
Normal saline solution infus |
1,693 |
1,222 |
$10K |
| 87075 |
|
1,203 |
1,106 |
$10K |
| 88142 |
|
594 |
592 |
$10K |
| 83002 |
|
488 |
477 |
$10K |
| 84402 |
|
415 |
406 |
$10K |
| 84146 |
|
447 |
441 |
$9K |
| 12002 |
|
119 |
111 |
$9K |
| D2331 |
|
83 |
45 |
$9K |
| 84466 |
|
911 |
897 |
$9K |
| A9270 |
Non-covered item or service |
5,157 |
3,106 |
$9K |
| 82150 |
|
1,162 |
1,102 |
$9K |
| 73080 |
|
124 |
114 |
$8K |
| 97530 |
|
573 |
405 |
$8K |
| 86235 |
|
126 |
116 |
$8K |
| 88300 |
|
715 |
682 |
$8K |
| 12001 |
|
75 |
74 |
$8K |
| 87635 |
|
165 |
164 |
$8K |
| 43235 |
|
13 |
13 |
$7K |
| J2930 |
Methylprednisolone injection |
1,412 |
1,239 |
$7K |
| 86431 |
|
926 |
908 |
$7K |
| 90715 |
|
371 |
357 |
$7K |
| 96402 |
|
277 |
244 |
$7K |
| 90714 |
|
497 |
471 |
$7K |
| 84560 |
|
1,253 |
1,243 |
$7K |
| J1642 |
Inj heparin sodium per 10 u |
3,644 |
1,524 |
$7K |
| 84479 |
|
820 |
811 |
$6K |
| 10060 |
|
61 |
58 |
$6K |
| J0360 |
Hydralazine hcl injection |
1,473 |
1,177 |
$6K |
| 82248 |
|
1,049 |
832 |
$6K |
| 84144 |
|
366 |
357 |
$6K |
| J1447 |
Inj tbo filgrastim 1 microg |
52 |
12 |
$6K |
| 19083 |
|
15 |
12 |
$6K |
| 85007 |
|
2,564 |
2,366 |
$6K |
| 84480 |
|
472 |
467 |
$6K |
| 73700 |
|
24 |
24 |
$6K |
| C9113 |
Inj pantoprazole sodium, via |
1,357 |
1,015 |
$6K |
| 83655 |
|
363 |
359 |
$6K |
| 86200 |
|
373 |
368 |
$6K |
| 82140 |
|
514 |
455 |
$5K |
| 96523 |
|
236 |
173 |
$5K |
| J1200 |
Diphenhydramine hcl injectio |
3,484 |
3,147 |
$5K |
| J2060 |
Lorazepam injection |
2,320 |
1,939 |
$5K |
| 97116 |
|
583 |
425 |
$5K |
| 88341 |
|
328 |
304 |
$5K |
| J2916 |
Na ferric gluconate complex |
173 |
72 |
$5K |
| 72128 |
|
30 |
25 |
$5K |
| 99156 |
|
233 |
206 |
$5K |
| 99213 |
|
323 |
248 |
$5K |
| 82950 |
|
781 |
774 |
$4K |
| 82330 |
|
505 |
380 |
$4K |
| 97162 |
|
191 |
160 |
$4K |
| 82247 |
|
635 |
424 |
$4K |
| 84207 |
|
189 |
188 |
$4K |
| M0243 |
Casirivi and imdevi inj |
14 |
12 |
$4K |
| 76937 |
|
125 |
110 |
$4K |
| 97161 |
|
267 |
246 |
$4K |
| 45380 |
|
13 |
13 |
$4K |
| 82553 |
|
434 |
379 |
$4K |
| J1453 |
Fosaprepitant injection |
41 |
24 |
$4K |
| 83516 |
|
158 |
148 |
$4K |
| 84030 |
|
650 |
640 |
$4K |
| 82274 |
|
363 |
338 |
$4K |
| 73060 |
|
66 |
56 |
$3K |
| 31575 |
|
26 |
25 |
$3K |
| 0240U |
|
145 |
139 |
$3K |
| 51702 |
|
71 |
62 |
$3K |
| 74160 |
|
13 |
12 |
$3K |
| 87210 |
|
449 |
414 |
$3K |
| 82677 |
|
115 |
114 |
$3K |
| 83021 |
|
198 |
195 |
$3K |
| 86706 |
|
219 |
216 |
$3K |
| C1889 |
Implant/insert device, noc |
78 |
78 |
$3K |
| J0561 |
Penicillin g benzathine inj |
25 |
25 |
$3K |
| 74230 |
|
40 |
40 |
$3K |
| J1650 |
Inj enoxaparin sodium |
378 |
219 |
$3K |
| 86360 |
|
58 |
56 |
$3K |
| 91037 |
|
24 |
24 |
$3K |
| 86225 |
|
159 |
158 |
$3K |
| 73552 |
|
86 |
67 |
$3K |
| 86336 |
|
140 |
139 |
$3K |
| 80179 |
|
144 |
133 |
$2K |
| 76805 |
|
26 |
26 |
$2K |
| 80143 |
|
144 |
133 |
$2K |
| 80164 |
|
148 |
138 |
$2K |
| 83020 |
|
233 |
228 |
$2K |
| 82785 |
|
130 |
125 |
$2K |
| 99212 |
|
338 |
271 |
$2K |
| 74170 |
|
12 |
12 |
$2K |
| 78227 |
|
12 |
12 |
$2K |
| C2617 |
Stent, non-cor, tem w/o del |
27 |
26 |
$2K |
| 86255 |
|
170 |
165 |
$2K |
| 86376 |
|
159 |
156 |
$2K |
| 92611 |
|
40 |
40 |
$2K |
| 99214 |
|
42 |
30 |
$2K |
| 82670 |
|
76 |
76 |
$2K |
| 84132 |
|
483 |
431 |
$2K |
| 87899 |
|
55 |
50 |
$2K |
| C1760 |
Closure dev, vasc |
37 |
31 |
$2K |
| 82951 |
|
122 |
121 |
$2K |
| J1815 |
Insulin injection |
1,654 |
1,015 |
$2K |
| 86696 |
|
56 |
55 |
$2K |
| 87507 |
|
273 |
258 |
$2K |
| 86695 |
|
112 |
111 |
$2K |
| 82310 |
|
491 |
421 |
$2K |
| 88313 |
|
29 |
26 |
$2K |
| J3370 |
Vancomycin hcl injection |
210 |
174 |
$2K |
| 87631 |
|
64 |
60 |
$2K |
| J1170 |
Hydromorphone injection |
1,111 |
985 |
$2K |
| 97165 |
|
97 |
84 |
$2K |
| 82010 |
|
234 |
212 |
$2K |
| 82652 |
|
49 |
49 |
$2K |
| 90656 |
|
138 |
126 |
$2K |
| 80069 |
|
233 |
226 |
$1K |
| 85014 |
|
750 |
663 |
$1K |
| J2550 |
Promethazine hcl injection |
1,013 |
828 |
$1K |
| 85660 |
|
198 |
195 |
$1K |
| A9537 |
Tc99m mebrofenin |
14 |
13 |
$1K |
| 99188 |
|
122 |
121 |
$1K |
| 87624 |
|
208 |
207 |
$1K |
| 86592 |
|
213 |
209 |
$1K |
| 91040 |
|
12 |
12 |
$1K |
| 96368 |
|
89 |
76 |
$1K |
| 97166 |
|
28 |
24 |
$1K |
| 94060 |
|
17 |
16 |
$1K |
| 84134 |
|
141 |
130 |
$1K |
| J2765 |
Metoclopramide hcl injection |
2,483 |
2,259 |
$1K |
| 12011 |
|
15 |
14 |
$1K |
| 76942 |
|
15 |
15 |
$1K |
| 84295 |
|
302 |
272 |
$1K |
| 73600 |
|
16 |
15 |
$1K |
| 94729 |
|
17 |
16 |
$1K |
| 99157 |
|
82 |
72 |
$1K |
| 97110 |
|
138 |
97 |
$1K |
| 82565 |
|
156 |
154 |
$1K |
| 87338 |
|
80 |
80 |
$987.45 |
| 99211 |
|
165 |
127 |
$944.61 |
| 70360 |
|
16 |
16 |
$913.96 |
| 85652 |
|
568 |
522 |
$878.92 |
| A9503 |
Tc99m medronate |
134 |
131 |
$868.93 |
| 87045 |
|
67 |
67 |
$852.31 |
| 84112 |
|
14 |
14 |
$847.20 |
| J7042 |
5% dextrose/normal saline |
47 |
37 |
$833.04 |
| J0694 |
Cefoxitin sodium injection |
134 |
121 |
$804.49 |
| 82378 |
|
65 |
63 |
$776.08 |
| 86160 |
|
27 |
26 |
$759.98 |
| 80178 |
|
94 |
89 |
$748.55 |
| 73521 |
|
12 |
12 |
$738.49 |
| 82533 |
|
29 |
26 |
$721.35 |
| J2370 |
Phenylephrine hcl injection |
286 |
256 |
$714.01 |
| 86147 |
|
12 |
12 |
$699.65 |
| 36600 |
|
67 |
56 |
$680.45 |
| P9612 |
Catheterize for urine spec |
249 |
235 |
$666.79 |
| 94727 |
|
17 |
16 |
$665.06 |
| 86665 |
|
16 |
15 |
$636.18 |
| 84154 |
|
74 |
74 |
$600.86 |
| 74021 |
|
12 |
12 |
$587.91 |
| G0008 |
Admin influenza virus vac |
44 |
41 |
$584.86 |
| J7510 |
Prednisolone oral per 5 mg |
288 |
282 |
$575.36 |
| J2360 |
Orphenadrine injection |
147 |
141 |
$531.01 |
| 77081 |
|
25 |
25 |
$524.80 |
| Q9957 |
Inj perflutren lip micros,ml |
59 |
53 |
$515.79 |
| 86308 |
|
65 |
65 |
$511.82 |
| A9552 |
F18 fdg |
62 |
55 |
$496.35 |
| J3360 |
Diazepam injection |
63 |
62 |
$440.80 |
| 82947 |
|
79 |
78 |
$432.50 |
| 84165 |
|
38 |
36 |
$417.10 |
| J1580 |
Garamycin gentamicin inj |
92 |
88 |
$368.17 |
| 87807 |
|
37 |
36 |
$333.59 |
| V2632 |
Post chmbr intraocular lens |
205 |
173 |
$309.37 |
| J7512 |
Prednisone ir or dr oral 1mg |
502 |
421 |
$302.27 |
| 84442 |
|
25 |
25 |
$294.80 |
| 82977 |
|
38 |
38 |
$286.05 |
| 86664 |
|
15 |
15 |
$284.86 |
| J2175 |
Meperidine hydrochl /100 mg |
76 |
73 |
$267.07 |
| J1920 |
Inj, labetalol hcl, 5mg |
33 |
27 |
$260.55 |
| 85046 |
|
60 |
52 |
$254.99 |
| 82365 |
|
26 |
24 |
$242.76 |
| 83883 |
|
17 |
12 |
$232.98 |
| 86704 |
|
15 |
15 |
$199.63 |
| J2919 |
Inj, methylpred sod succ 5mg |
241 |
223 |
$198.80 |
| C9088 |
Instill, bupivac and meloxic |
14 |
12 |
$190.35 |
| J1940 |
Furosemide injection |
134 |
106 |
$166.57 |
| 86800 |
|
13 |
12 |
$163.35 |
| J0687 |
Inj cefazolin (wg crit care) |
19 |
19 |
$162.63 |
| J1953 |
Levetiracetam injection |
16 |
14 |
$151.72 |
| J0461 |
Atropine sulfate injection |
87 |
68 |
$144.10 |
| J3475 |
Inj magnesium sulfate |
46 |
38 |
$139.83 |
| 83550 |
|
15 |
15 |
$127.64 |
| 85018 |
|
69 |
60 |
$121.10 |
| J3411 |
Thiamine hcl 100 mg |
32 |
28 |
$111.28 |
| 88311 |
|
12 |
12 |
$89.36 |
| J2470 |
Inj pantoprazole sodium 40mg |
62 |
58 |
$88.39 |
| J3371 |
Inj, vancomycin hcl (mylan) |
32 |
27 |
$76.81 |
| J7060 |
5% dextrose/water |
23 |
12 |
$61.17 |
| J8540 |
Oral dexamethasone |
57 |
47 |
$52.57 |
| Q0245 |
Bamlanivimab and etesevima |
59 |
59 |
$0.00 |
| 91300 |
|
22 |
22 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
16 |
14 |
$0.00 |