| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpt clinic visit |
2,149,204 |
1,815,709 |
$233.87M |
| 99285 |
|
165,456 |
131,113 |
$30.49M |
| 99284 |
|
184,477 |
163,809 |
$27.63M |
| 99283 |
|
158,585 |
146,739 |
$20.56M |
| 96361 |
|
47,683 |
37,157 |
$15.22M |
| 99392 |
|
62,120 |
57,687 |
$7.38M |
| 99391 |
|
58,861 |
51,766 |
$6.81M |
| J9271 |
Inj pembrolizumab |
1,014 |
589 |
$6.77M |
| 97110 |
|
80,475 |
38,505 |
$6.70M |
| 90791 |
|
26,831 |
24,981 |
$6.07M |
| U0003 |
Cov-19 amp prb hgh thruput |
28,258 |
26,633 |
$5.97M |
| 99393 |
|
51,529 |
47,683 |
$5.94M |
| 92014 |
|
72,506 |
69,135 |
$5.93M |
| 80048 |
|
423,829 |
336,203 |
$4.28M |
| 74177 |
|
13,572 |
11,034 |
$4.21M |
| 95810 |
|
5,299 |
5,087 |
$4.12M |
| 99394 |
|
36,433 |
32,743 |
$4.11M |
| 90834 |
|
30,573 |
25,744 |
$4.09M |
| 93306 |
|
11,665 |
10,700 |
$3.80M |
| 99395 |
|
30,874 |
26,435 |
$3.72M |
| 94640 |
|
25,330 |
17,537 |
$3.53M |
| 70450 |
|
15,154 |
12,320 |
$3.52M |
| 96365 |
|
18,870 |
14,486 |
$3.40M |
| H0015 |
Alcohol and/or drug services |
22,250 |
4,434 |
$3.20M |
| 20610 |
|
17,754 |
13,724 |
$2.85M |
| G0378 |
Hospital observation per hr |
39,164 |
14,453 |
$2.64M |
| 90832 |
|
23,515 |
18,641 |
$2.51M |
| 92551 |
|
28,447 |
25,893 |
$2.40M |
| 99396 |
|
19,809 |
16,517 |
$2.31M |
| 99213 |
|
17,509 |
16,784 |
$2.23M |
| 76816 |
|
19,596 |
17,166 |
$2.18M |
| 90837 |
|
15,888 |
11,283 |
$2.13M |
| 96366 |
|
7,820 |
4,878 |
$2.12M |
| 90677 |
|
17,049 |
14,141 |
$1.96M |
| 99281 |
|
13,386 |
12,336 |
$1.95M |
| 43239 |
|
3,796 |
3,254 |
$1.90M |
| 80307 |
|
80,923 |
54,133 |
$1.88M |
| 96413 |
|
14,663 |
7,354 |
$1.80M |
| 99214 |
|
12,979 |
11,893 |
$1.69M |
| 99211 |
|
11,238 |
10,947 |
$1.65M |
| 76856 |
|
8,672 |
7,908 |
$1.62M |
| H2019 |
Ther behav svc, per 15 min |
20,764 |
11,132 |
$1.57M |
| 99212 |
|
10,291 |
10,037 |
$1.46M |
| 76801 |
|
10,818 |
9,239 |
$1.39M |
| 90792 |
|
5,485 |
5,101 |
$1.37M |
| D7140 |
|
1,395 |
1,067 |
$1.37M |
| 95811 |
|
2,142 |
1,996 |
$1.35M |
| 87591 |
|
146,084 |
123,541 |
$1.35M |
| G0121 |
Colon ca scrn not hi rsk ind |
1,952 |
1,616 |
$1.31M |
| 76819 |
|
14,806 |
8,642 |
$1.24M |
| 77386 |
|
3,751 |
282 |
$1.24M |
| 45385 |
|
1,969 |
1,638 |
$1.23M |
| J2315 |
Naltrexone, depot form |
986 |
757 |
$1.23M |
| J1050 |
Medroxyprogesterone acetate |
17,539 |
15,252 |
$1.22M |
| 96110 |
|
5,249 |
4,973 |
$1.19M |
| J7307 |
Etonogestrel implant system |
1,041 |
833 |
$1.17M |
| 90853 |
|
10,349 |
6,433 |
$1.17M |
| 45380 |
|
2,341 |
2,001 |
$1.15M |
| 96360 |
|
8,031 |
5,817 |
$1.13M |
| 97112 |
|
17,412 |
8,912 |
$1.10M |
| 92507 |
|
11,746 |
6,077 |
$1.10M |
| 95886 |
|
3,836 |
3,608 |
$1.09M |
| 90686 |
|
95,830 |
81,095 |
$1.08M |
| 59025 |
|
6,073 |
4,611 |
$1.06M |
| 80076 |
|
172,945 |
141,920 |
$1.05M |
| 97803 |
|
10,197 |
8,982 |
$1.04M |
| 80061 |
|
114,878 |
102,716 |
$1.01M |
| 95813 |
|
1,215 |
1,104 |
$997K |
| 74176 |
|
3,067 |
2,530 |
$977K |
| 76811 |
|
7,775 |
7,361 |
$957K |
| 11056 |
|
6,385 |
6,006 |
$947K |
| 76705 |
|
8,502 |
7,585 |
$931K |
| 92012 |
|
13,412 |
12,248 |
$882K |
| 52000 |
|
1,199 |
1,097 |
$879K |
| 77063 |
|
17,159 |
15,803 |
$868K |
| 11102 |
|
1,982 |
1,738 |
$861K |
| 97530 |
|
15,418 |
8,013 |
$832K |
| 71275 |
|
2,473 |
1,956 |
$784K |
| 64483 |
|
1,431 |
1,268 |
$780K |
| 83036 |
|
138,400 |
123,540 |
$778K |
| 90651 |
|
19,992 |
17,737 |
$773K |
| 36415 |
|
643,021 |
534,382 |
$755K |
| 96160 |
|
5,546 |
4,545 |
$749K |
| 87491 |
|
146,496 |
123,908 |
$742K |
| 31575 |
|
2,970 |
2,776 |
$731K |
| 36000 |
|
8,965 |
6,991 |
$722K |
| 87636 |
|
35,355 |
30,970 |
$670K |
| 70498 |
|
2,108 |
1,636 |
$669K |
| G0451 |
Devlopment test interpt&rep |
11,701 |
10,536 |
$661K |
| 90750 |
|
3,618 |
2,835 |
$645K |
| 90833 |
|
5,769 |
5,278 |
$638K |
| 87631 |
|
5,417 |
5,043 |
$601K |
| 11721 |
|
21,424 |
20,163 |
$600K |
| 90471 |
|
177,809 |
161,527 |
$599K |
| 78815 |
|
910 |
783 |
$584K |
| J7297 |
Liletta, 52 mg |
851 |
691 |
$574K |
| 64493 |
|
808 |
692 |
$569K |
| 82306 |
|
47,005 |
40,996 |
$569K |
| 17110 |
|
2,898 |
2,557 |
$568K |
| 78452 |
|
1,252 |
1,042 |
$567K |
| 84443 |
|
74,921 |
64,776 |
$564K |
| 76642 |
|
4,784 |
3,770 |
$560K |
| 92557 |
|
7,785 |
7,221 |
$556K |
| 95806 |
|
1,052 |
980 |
$555K |
| 66984 |
|
917 |
676 |
$551K |
| 87661 |
|
104,956 |
90,644 |
$533K |
| 96127 |
|
4,811 |
4,232 |
$523K |
| 43235 |
|
1,034 |
847 |
$502K |
| 70553 |
|
1,721 |
1,532 |
$497K |
| 96415 |
|
1,949 |
1,173 |
$494K |
| 42820 |
|
400 |
298 |
$488K |
| 97162 |
|
8,765 |
7,317 |
$484K |
| 97802 |
|
4,657 |
4,148 |
$484K |
| 86850 |
|
23,276 |
18,381 |
$475K |
| 85025 |
|
239,364 |
186,250 |
$467K |
| 77412 |
|
3,590 |
321 |
$463K |
| J0585 |
Injection,onabotulinumtoxina |
775 |
522 |
$449K |
| 27447 |
|
197 |
119 |
$444K |
| 76813 |
|
5,975 |
5,463 |
$439K |
| 67028 |
|
2,914 |
2,453 |
$432K |
| T1002 |
Rn services up to 15 minutes |
5,964 |
5,054 |
$426K |
| 71046 |
|
59,005 |
50,903 |
$419K |
| 76770 |
|
2,329 |
2,099 |
$417K |
| J0561 |
Penicillin g benzathine inj |
1,215 |
739 |
$415K |
| 76805 |
|
3,463 |
3,282 |
$411K |
| H0036 |
Comm psy face-face per 15min |
9,586 |
5,427 |
$403K |
| 81220 |
|
1,652 |
1,101 |
$388K |
| 70491 |
|
1,188 |
980 |
$383K |
| 85027 |
|
120,964 |
102,550 |
$380K |
| 71271 |
|
2,031 |
1,876 |
$380K |
| 93017 |
|
4,270 |
3,800 |
$379K |
| 11900 |
|
1,836 |
1,654 |
$370K |
| 92567 |
|
13,001 |
12,081 |
$369K |
| 95117 |
|
10,453 |
5,797 |
$366K |
| 83655 |
|
25,361 |
22,198 |
$365K |
| 27130 |
|
83 |
52 |
$362K |
| 91200 |
|
2,940 |
2,815 |
$358K |
| 77336 |
|
3,657 |
1,320 |
$354K |
| 97140 |
|
12,022 |
6,417 |
$353K |
| 11104 |
|
798 |
660 |
$345K |
| 11055 |
|
2,427 |
2,242 |
$342K |
| 57454 |
|
1,069 |
913 |
$339K |
| 76821 |
|
5,657 |
2,938 |
$336K |
| 59430 |
|
3,282 |
2,941 |
$334K |
| 41899 |
|
594 |
495 |
$334K |
| 76820 |
|
5,618 |
2,912 |
$332K |
| D2930 |
|
414 |
355 |
$328K |
| 20611 |
|
956 |
825 |
$327K |
| 90620 |
|
8,603 |
7,093 |
$327K |
| 86900 |
|
27,106 |
18,647 |
$324K |
| J0475 |
Baclofen 10 mg injection |
460 |
388 |
$319K |
| 92134 |
|
8,452 |
7,742 |
$319K |
| 69436 |
|
227 |
170 |
$318K |
| J9173 |
Inj., durvalumab, 10 mg |
125 |
37 |
$317K |
| 93005 |
|
149,169 |
110,561 |
$316K |
| 82607 |
|
33,838 |
29,392 |
$309K |
| 90648 |
|
36,592 |
33,248 |
$308K |
| J0897 |
Denosumab injection |
339 |
243 |
$308K |
| 97166 |
|
4,281 |
3,270 |
$306K |
| 95004 |
|
4,149 |
3,831 |
$303K |
| 97116 |
|
7,489 |
3,462 |
$301K |
| 20550 |
|
1,691 |
1,389 |
$301K |
| 76536 |
|
2,503 |
2,323 |
$300K |
| 93320 |
|
1,800 |
1,602 |
$300K |
| J2357 |
Omalizumab injection |
301 |
209 |
$299K |
| 72148 |
|
1,785 |
1,624 |
$293K |
| 71260 |
|
5,799 |
4,868 |
$292K |
| 11042 |
|
1,867 |
1,161 |
$289K |
| 90670 |
|
35,373 |
32,250 |
$279K |
| 94060 |
|
7,463 |
6,944 |
$272K |
| 19083 |
|
317 |
253 |
$272K |
| H0005 |
Alcohol and/or drug services |
4,603 |
1,411 |
$271K |
| 93970 |
|
1,662 |
1,411 |
$270K |
| G0476 |
Hpv combo assay ca screen |
29,410 |
23,467 |
$267K |
| 71250 |
|
2,533 |
2,240 |
$266K |
| 66982 |
|
360 |
260 |
$262K |
| 76830 |
|
5,918 |
5,337 |
$258K |
| 58661 |
|
103 |
70 |
$251K |
| 62323 |
|
570 |
483 |
$250K |
| 77290 |
|
481 |
368 |
$246K |
| 74183 |
|
956 |
865 |
$246K |
| 93923 |
|
2,389 |
2,278 |
$240K |
| 86701 |
|
42,788 |
35,668 |
$237K |
| 90715 |
|
17,430 |
14,361 |
$236K |
| 96112 |
|
754 |
672 |
$235K |
| 0001A |
|
5,834 |
5,762 |
$231K |
| 36430 |
|
1,129 |
690 |
$229K |
| P9016 |
Rbc leukocytes reduced |
809 |
534 |
$228K |
| 86780 |
|
32,063 |
26,301 |
$228K |
| 84484 |
|
55,107 |
34,491 |
$228K |
| 94010 |
|
2,587 |
2,437 |
$227K |
| 96372 |
|
112,090 |
83,028 |
$225K |
| 64415 |
|
569 |
392 |
$224K |
| 73560 |
|
9,773 |
6,595 |
$221K |
| 93303 |
|
545 |
509 |
$218K |
| 64721 |
|
333 |
257 |
$218K |
| J0741 |
Inj, cabote rilpivir 2mg 3mg |
226 |
178 |
$217K |
| 93971 |
|
2,697 |
2,264 |
$215K |
| 11750 |
|
487 |
357 |
$214K |
| 73721 |
|
847 |
770 |
$213K |
| 93325 |
|
2,308 |
2,041 |
$206K |
| C1776 |
Joint device (implantable) |
708 |
489 |
$205K |
| 12001 |
|
1,126 |
975 |
$204K |
| 97165 |
|
2,301 |
1,915 |
$204K |
| 90633 |
|
21,841 |
19,553 |
$202K |
| 93308 |
|
631 |
483 |
$199K |
| 11100 |
|
521 |
476 |
$199K |
| 82728 |
|
21,265 |
18,194 |
$195K |
| 97535 |
|
5,489 |
3,649 |
$195K |
| 58558 |
|
147 |
105 |
$194K |
| 92523 |
|
2,295 |
1,882 |
$191K |
| 87536 |
|
8,739 |
7,561 |
$190K |
| 70551 |
|
973 |
842 |
$189K |
| 76817 |
|
3,333 |
2,653 |
$189K |
| 0002A |
|
4,639 |
4,605 |
$188K |
| J9217 |
Leuprolide acetate suspnsion |
467 |
332 |
$188K |
| 72141 |
|
1,484 |
1,336 |
$185K |
| 87390 |
|
42,558 |
35,622 |
$183K |
| 77067 |
|
17,152 |
15,802 |
$180K |
| 86803 |
|
24,193 |
20,067 |
$177K |
| 93975 |
|
1,228 |
1,017 |
$176K |
| 62321 |
|
415 |
344 |
$176K |
| 94729 |
|
6,671 |
6,220 |
$169K |
| 88142 |
|
18,737 |
16,574 |
$169K |
| 94618 |
|
1,872 |
1,712 |
$168K |
| 73630 |
|
10,556 |
8,268 |
$164K |
| 86702 |
|
42,811 |
35,668 |
$164K |
| 85610 |
|
49,247 |
37,959 |
$161K |
| 84439 |
|
12,772 |
11,099 |
$161K |
| 92083 |
|
4,415 |
4,143 |
$160K |
| 72197 |
|
509 |
461 |
$156K |
| 73610 |
|
8,823 |
7,170 |
$154K |
| 76641 |
|
1,778 |
865 |
$154K |
| 99406 |
|
6,646 |
5,939 |
$154K |
| 70486 |
|
2,679 |
2,197 |
$154K |
| 10005 |
|
369 |
325 |
$153K |
| 94726 |
|
4,791 |
4,460 |
$152K |
| 92133 |
|
5,277 |
4,915 |
$151K |
| 96910 |
|
3,059 |
537 |
$150K |
| 96367 |
|
2,310 |
1,378 |
$148K |
| 90723 |
|
30,431 |
27,658 |
$146K |
| 20526 |
|
727 |
605 |
$146K |
| 97161 |
|
2,597 |
2,219 |
$145K |
| 82274 |
|
5,623 |
5,169 |
$144K |
| 87522 |
Neg quan hep c or qual rna |
5,080 |
4,584 |
$143K |
| 87902 |
|
1,059 |
932 |
$140K |
| 99385 |
|
1,171 |
982 |
$140K |
| 0124A |
|
4,537 |
3,003 |
$139K |
| 10060 |
|
716 |
609 |
$138K |
| 20680 |
|
185 |
110 |
$138K |
| 73030 |
|
8,007 |
6,153 |
$138K |
| 74018 |
|
3,502 |
2,933 |
$134K |
| 12011 |
|
708 |
605 |
$133K |
| 99384 |
|
1,266 |
1,041 |
$133K |
| 11981 |
|
600 |
501 |
$132K |
| 11720 |
|
4,262 |
4,009 |
$130K |
| 90734 |
|
15,240 |
12,931 |
$128K |
| 92020 |
|
1,843 |
1,725 |
$127K |
| 74178 |
|
457 |
412 |
$127K |
| 99215 |
Prolong outpt/office vis |
777 |
714 |
$126K |
| 87086 |
|
39,269 |
32,566 |
$126K |
| 58100 |
|
799 |
656 |
$125K |
| 87798 |
|
9,796 |
8,542 |
$124K |
| 99383 |
|
1,210 |
1,033 |
$124K |
| 10061 |
|
722 |
587 |
$123K |
| 95885 |
|
398 |
354 |
$122K |
| 93270 |
|
1,440 |
1,272 |
$121K |
| 73221 |
|
516 |
465 |
$121K |
| 64566 |
|
239 |
129 |
$120K |
| 87210 |
|
110,381 |
52,709 |
$116K |
| 97163 |
|
1,762 |
1,555 |
$115K |
| 83540 |
|
21,878 |
18,765 |
$114K |
| 73130 |
|
7,905 |
6,044 |
$112K |
| 90460 |
|
71,431 |
58,384 |
$112K |
| 11982 |
|
559 |
485 |
$111K |
| 12002 |
|
637 |
519 |
$110K |
| 88307 |
|
1,326 |
855 |
$109K |
| 72125 |
|
6,302 |
5,032 |
$108K |
| 84466 |
|
21,762 |
18,650 |
$108K |
| 86140 |
|
17,442 |
14,716 |
$107K |
| 90472 |
|
81,969 |
75,001 |
$107K |
| 76882 |
|
1,056 |
905 |
$105K |
| J9022 |
Inj, atezolizumab,10 mg |
27 |
12 |
$104K |
| 81025 |
|
145,710 |
126,976 |
$103K |
| 86359 |
|
6,085 |
5,238 |
$102K |
| 76815 |
|
2,134 |
1,642 |
$102K |
| 87637 |
|
1,910 |
1,666 |
$102K |
| 88305 |
|
32,898 |
20,619 |
$101K |
| 58300 |
|
933 |
739 |
$100K |
| 97129 |
|
2,019 |
721 |
$99K |
| 86481 |
|
3,916 |
3,408 |
$99K |
| 51700 |
|
582 |
433 |
$98K |
| J1750 |
Inj iron dextran |
1,237 |
375 |
$98K |
| 31231 |
|
471 |
420 |
$97K |
| 11057 |
|
655 |
607 |
$97K |
| 76831 |
|
430 |
392 |
$96K |
| 94664 |
|
9,151 |
8,346 |
$96K |
| 29075 |
|
593 |
523 |
$94K |
| 82570 |
|
22,229 |
18,706 |
$94K |
| 51741 |
|
2,695 |
2,354 |
$92K |
| G0480 |
Drug test def 1-7 classes |
7,377 |
6,094 |
$92K |
| H2017 |
Psysoc rehab svc, per 15 min |
1,418 |
644 |
$91K |
| 73700 |
|
688 |
539 |
$91K |
| D7240 |
|
121 |
91 |
$91K |
| 96130 |
|
433 |
396 |
$90K |
| 20600 |
|
516 |
419 |
$90K |
| 72100 |
|
3,100 |
2,714 |
$89K |
| 73110 |
|
5,704 |
4,418 |
$89K |
| 0003A |
|
2,483 |
2,328 |
$89K |
| 84403 |
|
6,936 |
5,941 |
$89K |
| 93296 |
|
4,019 |
3,776 |
$89K |
| 90636 |
|
2,229 |
2,082 |
$88K |
| 83735 |
|
59,658 |
41,105 |
$88K |
| 92587 |
|
995 |
916 |
$87K |
| 73502 |
|
4,633 |
3,952 |
$86K |
| 77080 |
|
1,315 |
1,184 |
$85K |
| 86355 |
|
3,240 |
2,926 |
$84K |
| 84153 |
|
10,709 |
9,441 |
$84K |
| 91320 |
|
3,238 |
2,757 |
$83K |
| 97597 |
|
726 |
568 |
$83K |
| 51798 |
|
3,765 |
3,358 |
$82K |
| 20605 |
|
512 |
436 |
$82K |
| 47562 |
|
38 |
27 |
$82K |
| Q5107 |
Inj mvasi 10 mg |
136 |
38 |
$81K |
| 72110 |
|
3,043 |
2,700 |
$81K |
| 90680 |
|
17,969 |
16,264 |
$81K |
| 72040 |
|
2,484 |
2,183 |
$80K |
| 95700 |
|
574 |
490 |
$80K |
| 87340 |
|
13,748 |
11,226 |
$79K |
| 95782 |
|
101 |
92 |
$79K |
| 77066 |
Tomosynthesis, mammo |
1,800 |
1,628 |
$78K |
| 81003 |
|
142,151 |
113,284 |
$78K |
| 99397 |
|
974 |
777 |
$77K |
| 74230 |
|
600 |
515 |
$77K |
| 76870 |
|
897 |
785 |
$77K |
| 77334 |
|
268 |
180 |
$76K |
| 51784 |
|
459 |
414 |
$76K |
| 84702 |
|
9,271 |
6,639 |
$76K |
| 17250 |
|
489 |
423 |
$76K |
| 64450 |
|
508 |
398 |
$76K |
| 81001 |
|
96,180 |
83,534 |
$75K |
| 72146 |
|
346 |
300 |
$74K |
| 80348 |
|
3,256 |
1,688 |
$74K |
| 86360 |
|
6,097 |
5,250 |
$73K |
| 25600 |
|
230 |
202 |
$73K |
| 0011A |
|
2,139 |
2,049 |
$72K |
| J2506 |
Inj pegfilgrast ex bio 0.5mg |
145 |
76 |
$72K |
| 87633 |
|
860 |
742 |
$72K |
| 26600 |
|
232 |
189 |
$72K |
| 96374 |
|
66,794 |
54,524 |
$71K |
| G0127 |
Trim nail(s) |
3,843 |
3,612 |
$71K |
| 83970 |
|
5,169 |
4,504 |
$70K |
| V5261 |
Hearing aid, digit, bin, bte |
189 |
136 |
$69K |
| 76857 |
|
885 |
640 |
$69K |
| 86901 |
|
27,231 |
18,650 |
$69K |
| 99386 |
|
545 |
464 |
$68K |
| 93880 |
|
713 |
644 |
$68K |
| 95714 |
|
94 |
60 |
$67K |
| 72131 |
|
1,715 |
1,355 |
$67K |
| 88341 |
|
1,369 |
642 |
$66K |
| 58301 |
|
735 |
602 |
$65K |
| 77065 |
Tomosynthesis, mammo |
1,508 |
1,369 |
$65K |
| 0012A |
|
1,639 |
1,601 |
$64K |
| 77280 |
|
433 |
334 |
$64K |
| 70487 |
|
209 |
161 |
$64K |
| 72050 |
|
1,862 |
1,649 |
$64K |
| 92526 |
|
949 |
650 |
$64K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
2,715 |
1,896 |
$64K |
| 17311 |
|
130 |
110 |
$62K |
| 87081 |
|
29,822 |
26,688 |
$60K |
| 90716 |
|
4,392 |
3,746 |
$60K |
| Q3014 |
Telehealth facility fee |
10,554 |
9,629 |
$60K |
| 36561 |
|
68 |
53 |
$59K |
| 97130 |
|
1,961 |
694 |
$59K |
| 99382 |
|
547 |
511 |
$58K |
| J0178 |
Aflibercept injection |
59 |
41 |
$58K |
| 82948 |
|
38,552 |
21,600 |
$57K |
| 90656 |
|
6,145 |
6,115 |
$56K |
| 70496 |
|
1,882 |
1,468 |
$56K |
| 64615 |
|
208 |
179 |
$55K |
| V5160 |
Dispensing fee binaural |
315 |
243 |
$54K |
| 99152 |
|
7,236 |
6,309 |
$53K |
| 72082 |
|
1,237 |
1,113 |
$53K |
| 86706 |
|
5,974 |
5,106 |
$53K |
| 93246 |
|
577 |
510 |
$53K |
| 73562 |
|
2,606 |
1,744 |
$53K |
| 96416 |
|
305 |
116 |
$51K |
| 82670 |
|
3,445 |
2,996 |
$51K |
| 81329 |
|
1,032 |
867 |
$50K |
| 71045 |
|
9,452 |
7,584 |
$50K |
| 70480 |
|
315 |
274 |
$50K |
| 26720 |
|
165 |
130 |
$49K |
| 29085 |
|
364 |
325 |
$49K |
| 95708 |
|
71 |
63 |
$48K |
| H0006 |
Alcohol and/or drug services |
1,521 |
708 |
$48K |
| J1756 |
Iron sucrose injection |
873 |
386 |
$48K |
| 90480 |
|
3,423 |
3,096 |
$47K |
| 92579 |
|
828 |
762 |
$47K |
| 0071A |
|
1,661 |
1,167 |
$47K |
| 62370 |
|
624 |
504 |
$46K |
| 86580 |
|
2,133 |
1,788 |
$46K |
| 0004A |
|
1,466 |
1,378 |
$46K |
| 17000 |
|
399 |
365 |
$46K |
| 96132 |
|
208 |
186 |
$45K |
| G0109 |
Diab manage trn ind/group |
523 |
312 |
$45K |
| 95913 |
|
606 |
542 |
$45K |
| 27096 |
|
106 |
90 |
$44K |
| 83880 |
|
8,954 |
7,264 |
$44K |
| G0279 |
Tomosynthesis, mammo |
3,277 |
2,980 |
$43K |
| 64418 |
|
182 |
153 |
$43K |
| Q9991 |
Buprenorph xr 100 mg or less |
79 |
62 |
$43K |
| 77385 |
|
346 |
26 |
$43K |
| 86357 |
|
3,240 |
2,926 |
$43K |
| 97750 |
|
576 |
468 |
$43K |
| 97763 |
|
642 |
437 |
$42K |
| 99381 |
|
374 |
338 |
$42K |
| 74170 |
|
160 |
135 |
$42K |
| 87880 |
|
52,158 |
47,326 |
$40K |
| 82105 |
|
5,123 |
4,550 |
$40K |
| 82043 |
|
14,205 |
12,264 |
$40K |
| 90696 |
|
5,395 |
4,686 |
$39K |
| 86235 |
|
7,031 |
2,970 |
$39K |
| 64447 |
|
348 |
201 |
$39K |
| 93225 |
|
479 |
439 |
$39K |
| 95816 |
|
349 |
336 |
$39K |
| 93242 |
|
437 |
416 |
$39K |
| J1745 |
Infliximab not biosimil 10mg |
40 |
27 |
$39K |
| 88360 |
|
462 |
226 |
$38K |
| 97760 |
|
616 |
488 |
$38K |
| 64643 |
|
100 |
83 |
$37K |
| 97032 |
|
620 |
357 |
$37K |
| 73080 |
|
3,081 |
2,408 |
$37K |
| 72128 |
|
1,210 |
946 |
$36K |
| 77300 |
|
114 |
72 |
$36K |
| C8929 |
Tte w or wo fol wcon,doppler |
1,222 |
1,116 |
$36K |
| 86923 |
|
1,339 |
603 |
$36K |
| 88175 |
|
11,501 |
10,134 |
$35K |
| 00170 |
|
4,491 |
3,529 |
$35K |
| 73590 |
|
3,081 |
2,341 |
$35K |
| 86038 |
|
4,023 |
3,299 |
$35K |
| 74174 |
|
482 |
392 |
$34K |
| 92611 |
|
540 |
472 |
$34K |
| V5266 |
Battery for hearing device |
6,138 |
5,679 |
$34K |
| 58340 |
|
304 |
276 |
$34K |
| 90710 |
|
7,442 |
6,495 |
$34K |
| 90746 |
|
2,326 |
1,890 |
$33K |
| 97167 |
|
390 |
316 |
$33K |
| J9202 |
Goserelin acetate implant |
67 |
48 |
$33K |
| S9472 |
Cardiac rehabilitation progr |
492 |
88 |
$33K |
| 58662 |
|
26 |
14 |
$33K |
| 86592 |
|
4,004 |
3,402 |
$32K |
| 0072A |
|
959 |
813 |
$32K |
| 95910 |
|
348 |
319 |
$32K |
| 90785 |
|
3,044 |
2,574 |
$31K |
| 64490 |
|
49 |
41 |
$31K |
| 73140 |
|
2,117 |
1,732 |
$31K |
| 11983 |
|
68 |
47 |
$31K |
| 96101 |
|
206 |
162 |
$30K |
| 81002 |
|
52,945 |
39,157 |
$30K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
38,410 |
30,363 |
$30K |
| 90714 |
|
1,689 |
1,331 |
$29K |
| 86704 |
|
3,264 |
2,797 |
$28K |
| 85652 |
|
15,166 |
12,989 |
$28K |
| 83718 |
|
11,083 |
9,462 |
$28K |
| 36589 |
|
45 |
43 |
$27K |
| 96375 |
|
39,964 |
29,056 |
$27K |
| 96368 |
|
1,369 |
872 |
$27K |
| 82465 |
|
11,157 |
9,523 |
$26K |
| 11730 |
|
284 |
255 |
$26K |
| 77077 |
|
878 |
791 |
$25K |
| 85018 |
|
5,109 |
4,377 |
$25K |
| 73564 |
|
4,965 |
3,555 |
$25K |
| 78264 |
|
113 |
96 |
$25K |
| 90700 |
|
4,872 |
4,211 |
$24K |
| 86225 |
|
4,050 |
3,384 |
$24K |
| 83883 |
|
1,699 |
1,292 |
$24K |
| 90707 |
|
4,237 |
3,640 |
$24K |
| C9257 |
Bevacizumab injection |
1,223 |
818 |
$24K |
| 83020 |
|
3,411 |
2,305 |
$24K |
| 95912 |
|
270 |
249 |
$23K |
| 72070 |
|
886 |
730 |
$22K |
| 77301 |
|
20 |
14 |
$22K |
| J3145 |
Testosterone undecanoate 1mg |
20 |
12 |
$22K |
| 83615 |
|
6,193 |
4,316 |
$21K |
| 92610 |
|
566 |
460 |
$21K |
| 94727 |
|
767 |
693 |
$21K |
| 95911 |
|
319 |
279 |
$21K |
| 94660 |
|
215 |
85 |
$21K |
| 90662 |
|
2,975 |
2,404 |
$21K |
| 87077 |
|
7,021 |
5,166 |
$21K |
| 96136 |
|
661 |
602 |
$21K |
| 26055 |
|
34 |
14 |
$20K |
| 87502 |
|
870 |
702 |
$20K |
| 87186 |
|
9,621 |
7,202 |
$20K |
| J2790 |
Rho d immune globulin inj |
276 |
189 |
$20K |
| 82040 |
|
5,500 |
4,583 |
$19K |
| J2791 |
Rhophylac injection |
314 |
233 |
$19K |
| U0005 |
Infec agen detec ampli probe |
18,580 |
17,361 |
$19K |
| 73552 |
|
1,861 |
1,413 |
$19K |
| 82565 |
|
3,039 |
2,376 |
$19K |
| 84460 |
|
7,684 |
6,597 |
$19K |
| 83721 |
|
6,394 |
5,710 |
$19K |
| 86870 |
|
566 |
292 |
$19K |
| J7323 |
Euflexxa inj per dose |
146 |
54 |
$19K |
| 84100 |
|
9,340 |
7,142 |
$19K |
| 86708 |
|
2,902 |
2,593 |
$19K |
| 73522 |
|
772 |
688 |
$18K |
| 77072 |
|
413 |
358 |
$18K |
| 86160 |
|
3,745 |
1,574 |
$18K |
| 82784 |
|
3,933 |
2,347 |
$18K |
| 0154A |
|
437 |
328 |
$18K |
| 93922 |
|
270 |
242 |
$18K |
| J7300 |
Intra copp contra (paragard) |
15 |
12 |
$18K |
| 86003 |
|
2,314 |
1,306 |
$18K |
| 55700 |
|
19 |
12 |
$18K |
| 0013A |
|
640 |
563 |
$18K |
| 83001 |
|
2,257 |
1,902 |
$18K |
| 28470 |
|
57 |
48 |
$18K |
| 64642 |
|
201 |
178 |
$17K |
| 84156 |
|
7,303 |
5,804 |
$17K |
| 29405 |
|
126 |
98 |
$17K |
| 73200 |
|
147 |
129 |
$17K |
| 84146 |
|
1,939 |
1,624 |
$17K |
| 82746 |
|
4,114 |
3,394 |
$17K |
| 86762 |
|
2,863 |
2,147 |
$16K |
| 90647 |
|
1,666 |
1,579 |
$16K |
| 38222 |
|
17 |
12 |
$16K |
| 72170 |
|
1,536 |
1,214 |
$16K |
| 83516 |
|
1,501 |
940 |
$16K |
| 27786 |
|
48 |
43 |
$16K |
| 82533 |
|
940 |
734 |
$16K |
| 80349 |
|
828 |
525 |
$15K |
| 92250 |
|
829 |
779 |
$15K |
| 97542 |
|
245 |
214 |
$15K |
| 96376 |
|
5,530 |
3,133 |
$15K |
| 87493 |
|
606 |
465 |
$15K |
| D7230 |
|
30 |
19 |
$15K |
| 84481 |
|
2,132 |
1,847 |
$15K |
| 96125 |
|
72 |
66 |
$15K |
| 69210 |
|
1,566 |
1,424 |
$15K |
| 87338 |
|
797 |
718 |
$15K |
| 84450 |
|
4,606 |
4,024 |
$14K |
| 77002 |
|
1,615 |
1,351 |
$14K |
| D0150 |
|
153 |
113 |
$14K |
| 49083 |
|
32 |
12 |
$14K |
| 0111A |
|
527 |
305 |
$14K |
| 76514 |
|
627 |
581 |
$14K |
| 84550 |
|
4,765 |
3,539 |
$14K |
| 83690 |
|
25,058 |
20,541 |
$14K |
| 99282 |
|
101 |
94 |
$14K |
| 83605 |
|
10,372 |
6,817 |
$14K |
| 0054A |
|
898 |
342 |
$14K |
| 73090 |
|
2,080 |
1,551 |
$14K |
| 0051A |
|
610 |
301 |
$13K |
| 97035 |
|
151 |
83 |
$13K |
| 84480 |
|
1,762 |
1,554 |
$13K |
| 82077 |
|
11,916 |
9,312 |
$13K |
| 0134A |
|
499 |
356 |
$13K |
| 64635 |
|
16 |
13 |
$13K |
| 96131 |
|
231 |
212 |
$13K |
| J9045 |
Carboplatin injection |
844 |
419 |
$13K |
| 72156 |
|
75 |
64 |
$13K |
| 90632 |
|
1,099 |
1,018 |
$13K |
| 87635 |
|
2,289 |
1,972 |
$12K |
| 87088 |
|
6,217 |
5,181 |
$12K |
| 82951 |
|
515 |
473 |
$12K |
| 73620 |
|
558 |
393 |
$12K |
| 75635 |
|
44 |
38 |
$12K |
| 19081 |
|
13 |
13 |
$12K |
| 82950 |
|
3,278 |
2,815 |
$12K |
| 99153 |
Mod sedat endo service >5yrs |
1,689 |
1,375 |
$12K |
| 82550 |
|
4,992 |
3,546 |
$12K |
| 93350 |
|
785 |
681 |
$11K |
| 86735 |
|
877 |
755 |
$11K |
| G0008 |
Admin influenza virus vac |
5,320 |
4,433 |
$11K |
| 36902 |
|
15 |
13 |
$11K |
| 80164 |
|
1,221 |
971 |
$11K |
| J3471 |
Ovine, up to 999 usp units |
226 |
123 |
$11K |
| 93978 |
|
89 |
79 |
$11K |
| 93926 |
|
138 |
121 |
$11K |
| 86431 |
|
1,752 |
1,492 |
$11K |
| 87070 |
|
4,266 |
3,272 |
$11K |
| D1120 |
|
213 |
165 |
$11K |
| 84144 |
|
703 |
503 |
$11K |
| 97533 |
|
164 |
117 |
$11K |
| 96138 |
|
206 |
183 |
$10K |
| 73660 |
|
807 |
682 |
$10K |
| 84445 |
|
524 |
479 |
$10K |
| 11103 |
|
189 |
167 |
$10K |
| 51728 |
|
80 |
71 |
$10K |
| 87517 |
|
585 |
511 |
$10K |
| 80320 |
|
1,022 |
895 |
$10K |
| 80365 |
|
645 |
563 |
$10K |
| 72114 |
|
275 |
252 |
$10K |
| 99407 |
|
385 |
344 |
$10K |
| 87045 |
|
654 |
533 |
$10K |
| 87046 |
|
1,307 |
533 |
$10K |
| 85730 |
|
13,631 |
10,385 |
$10K |
| 90739 |
|
788 |
704 |
$10K |
| 92553 |
|
138 |
119 |
$10K |
| 84165 |
|
1,950 |
1,605 |
$10K |
| 87529 |
|
3,153 |
1,350 |
$10K |
| 90681 |
|
1,209 |
1,025 |
$9K |
| 76883 |
|
104 |
88 |
$9K |
| 73060 |
|
1,260 |
997 |
$9K |
| 86787 |
|
1,266 |
994 |
$9K |
| 26750 |
|
27 |
24 |
$9K |
| C1889 |
Implant/insert device, noc |
6,669 |
5,693 |
$9K |
| J2426 |
Inj, invega sustenna, 1 mg |
56 |
39 |
$9K |
| 90685 |
|
1,069 |
992 |
$9K |
| 84630 |
|
955 |
832 |
$9K |
| 91010 |
|
41 |
40 |
$9K |
| 87389 |
|
3,619 |
2,836 |
$9K |
| 86376 |
|
984 |
850 |
$9K |
| 82378 |
|
757 |
520 |
$9K |
| Q0162 |
Ondansetron oral |
6,788 |
5,255 |
$9K |
| 72190 |
|
325 |
267 |
$9K |
| 82947 |
|
3,037 |
2,535 |
$9K |
| J1885 |
Ketorolac tromethamine inj |
68,774 |
53,213 |
$8K |
| 77333 |
|
78 |
60 |
$8K |
| 95012 |
|
772 |
690 |
$8K |
| 0052A |
|
239 |
193 |
$8K |
| 86765 |
|
876 |
755 |
$8K |
| 87427 |
|
1,211 |
489 |
$8K |
| J8501 |
Oral aprepitant |
752 |
504 |
$8K |
| J7120 |
Ringers lactate infusion |
36,738 |
24,609 |
$8K |
| C9153 |
Inj, amisulpride, 1 mg |
67 |
49 |
$8K |
| Q9957 |
Inj perflutren lip micros,ml |
3,713 |
3,068 |
$8K |
| J2704 |
Inj, propofol, 10 mg |
60,192 |
26,288 |
$8K |
| 12032 |
|
202 |
173 |
$8K |
| 83002 |
|
1,189 |
1,008 |
$8K |
| 12013 |
|
46 |
40 |
$8K |
| 87147 |
|
6,191 |
3,673 |
$8K |
| 73000 |
|
536 |
430 |
$8K |
| 82952 |
|
495 |
455 |
$8K |
| 83520 |
|
747 |
616 |
$7K |
| 0112A |
|
215 |
162 |
$7K |
| 85045 |
|
3,306 |
2,635 |
$7K |
| 29065 |
|
43 |
38 |
$7K |
| 92136 |
|
282 |
271 |
$7K |
| 82627 |
|
711 |
598 |
$7K |
| 82247 |
|
1,742 |
1,267 |
$7K |
| J0185 |
Inj., aprepitant, 1 mg |
72 |
26 |
$7K |
| 90678 |
|
769 |
658 |
$7K |
| 82525 |
|
749 |
637 |
$7K |
| 86304 |
|
600 |
452 |
$7K |
| 93299 |
|
296 |
269 |
$7K |
| 77338 |
|
20 |
14 |
$7K |
| 70360 |
|
317 |
279 |
$7K |
| 83986 |
|
839 |
514 |
$7K |
| 84270 |
|
888 |
764 |
$7K |
| D7210 |
|
18 |
12 |
$7K |
| 36591 |
|
936 |
550 |
$6K |
| 86695 |
|
912 |
783 |
$6K |
| 94770 |
|
82 |
81 |
$6K |
| 93298 |
|
289 |
270 |
$6K |
| 84425 |
|
993 |
865 |
$6K |
| J7030 |
Normal saline solution infus |
58,518 |
42,033 |
$6K |
| J7321 |
Hyalgan supartz visco-3 dose |
94 |
51 |
$6K |
| 92582 |
|
153 |
135 |
$6K |
| 86334 |
|
875 |
696 |
$6K |
| 82677 |
|
748 |
622 |
$6K |
| 87486 |
|
1,209 |
1,005 |
$6K |
| 83993 |
|
344 |
300 |
$6K |
| 84681 |
|
833 |
690 |
$6K |
| 70250 |
|
108 |
95 |
$6K |
| 88304 |
|
2,818 |
2,029 |
$6K |
| 80177 |
|
1,214 |
926 |
$6K |
| 86593 |
|
828 |
691 |
$6K |
| J0574 |
Bupren/nal 6.1 to 10mg bupre |
960 |
507 |
$6K |
| J1170 |
Hydromorphone injection |
10,238 |
4,367 |
$6K |
| 51729 |
|
128 |
117 |
$6K |
| 86255 |
|
798 |
516 |
$6K |
| 86200 |
|
1,001 |
865 |
$6K |
| 83010 |
|
1,113 |
890 |
$5K |
| 74019 |
|
251 |
223 |
$5K |
| 87205 |
|
4,154 |
3,182 |
$5K |
| 92950 |
|
15 |
12 |
$5K |
| 0164A |
|
134 |
116 |
$5K |
| 87328 |
|
507 |
430 |
$5K |
| 86696 |
|
912 |
783 |
$5K |
| 72158 |
|
52 |
41 |
$5K |
| 82977 |
|
1,133 |
963 |
$5K |
| 71101 |
|
419 |
353 |
$5K |
| 86341 |
|
583 |
312 |
$5K |
| 87449 |
|
709 |
555 |
$5K |
| 85378 |
|
2,810 |
2,279 |
$5K |
| D0120 |
|
125 |
91 |
$5K |
| J7325 |
Synvisc or synvisc-one |
85 |
42 |
$5K |
| 82172 |
|
597 |
514 |
$5K |
| 64454 |
|
23 |
14 |
$5K |
| 36592 |
|
4,740 |
3,837 |
$5K |
| 96402 |
|
1,107 |
846 |
$5K |
| 86709 |
|
543 |
463 |
$5K |
| 82785 |
|
828 |
720 |
$5K |
| 65855 |
|
46 |
40 |
$5K |
| 80178 |
|
378 |
304 |
$5K |
| 73650 |
|
382 |
300 |
$4K |
| 77073 |
|
252 |
237 |
$4K |
| 31579 |
|
13 |
13 |
$4K |
| 82310 |
|
642 |
479 |
$4K |
| 96133 |
|
201 |
180 |
$4K |
| Q0114 |
Fern test |
773 |
475 |
$4K |
| 88112 |
|
847 |
696 |
$4K |
| 84155 |
|
1,977 |
1,629 |
$4K |
| 87634 |
|
1,001 |
879 |
$4K |
| 90732 |
|
399 |
265 |
$4K |
| 87329 |
|
507 |
430 |
$4K |
| A7034 |
Nasal application device |
81 |
78 |
$4K |
| J1650 |
Inj enoxaparin sodium |
6,056 |
1,759 |
$4K |
| 72072 |
|
231 |
222 |
$4K |
| J2543 |
Piperacillin/tazobactam |
1,348 |
542 |
$4K |
| 86364 |
|
419 |
390 |
$4K |
| J0696 |
Ceftriaxone sodium injection |
6,449 |
4,253 |
$4K |
| 99457 |
|
40 |
40 |
$4K |
| 86800 |
|
364 |
322 |
$4K |
| 83013 |
|
79 |
44 |
$4K |
| 93925 |
|
54 |
49 |
$4K |
| 64445 |
|
14 |
13 |
$4K |
| 84132 |
|
1,984 |
1,448 |
$4K |
| 87040 |
|
2,479 |
1,049 |
$4K |
| A4648 |
Implantable tissue marker |
648 |
537 |
$3K |
| 83921 |
|
630 |
512 |
$3K |
| 86705 |
|
413 |
338 |
$3K |
| J3490 |
Drugs unclassified injection |
548 |
317 |
$3K |
| J3260 |
Tobramycin sulfate injection |
189 |
107 |
$3K |
| 00731 |
|
2,671 |
2,167 |
$3K |
| J3420 |
Vitamin b12 injection |
5,640 |
4,142 |
$3K |
| 90381 |
|
463 |
442 |
$3K |
| 93280 |
|
230 |
213 |
$3K |
| 82610 |
|
360 |
309 |
$3K |
| 00902 |
|
239 |
176 |
$3K |
| 82803 |
|
2,377 |
1,489 |
$3K |
| J0476 |
Baclofen intrathecal trial |
53 |
36 |
$3K |
| 20553 |
|
30 |
25 |
$3K |
| 92285 |
|
40 |
38 |
$3K |
| 00840 |
|
1,049 |
744 |
$3K |
| 90380 |
|
416 |
384 |
$3K |
| J1642 |
Inj heparin sodium per 10 u |
3,676 |
1,919 |
$3K |
| 0031A |
|
82 |
78 |
$3K |
| 85660 |
|
948 |
608 |
$3K |
| 82010 |
|
1,786 |
1,191 |
$3K |
| 86336 |
|
777 |
643 |
$3K |
| 96113 |
|
304 |
275 |
$3K |
| 96417 |
|
1,651 |
824 |
$3K |
| 78306 |
|
12 |
12 |
$3K |
| 98926 |
|
58 |
54 |
$3K |
| 88342 |
|
2,722 |
2,002 |
$3K |
| J3489 |
Zoledronic acid 1mg |
226 |
179 |
$3K |
| 87581 |
|
1,214 |
1,008 |
$3K |
| 86308 |
|
558 |
464 |
$3K |
| J3475 |
Inj magnesium sulfate |
6,787 |
4,162 |
$3K |
| 69209 |
|
2,413 |
2,098 |
$3K |
| 90474 |
|
7,283 |
6,950 |
$3K |
| 82330 |
|
857 |
518 |
$3K |
| 72220 |
|
155 |
125 |
$3K |
| 76512 |
|
18 |
13 |
$3K |
| 99201 |
|
15 |
14 |
$3K |
| 94761 |
|
52,244 |
44,044 |
$3K |
| 87206 |
|
1,170 |
706 |
$3K |
| 90672 |
|
295 |
262 |
$3K |
| 29705 |
|
14 |
12 |
$3K |
| 92004 |
|
26 |
26 |
$3K |
| 97804 |
|
20 |
13 |
$3K |
| 92550 |
|
118 |
111 |
$3K |
| 87563 |
|
951 |
856 |
$3K |
| J9171 |
Docetaxel injection |
44 |
24 |
$3K |
| 01992 |
|
847 |
719 |
$2K |
| 81050 |
|
310 |
273 |
$2K |
| 87109 |
|
542 |
465 |
$2K |
| 84166 |
|
341 |
295 |
$2K |
| J7040 |
Normal saline solution infus |
25,179 |
13,077 |
$2K |
| 90744 |
|
453 |
381 |
$2K |
| 72192 |
|
33 |
25 |
$2K |
| 29580 |
|
21 |
14 |
$2K |
| 86147 |
|
292 |
125 |
$2K |
| 90713 |
|
446 |
400 |
$2K |
| 17003 |
|
107 |
104 |
$2K |
| 83521 |
|
435 |
384 |
$2K |
| J0881 |
Darbepoetin alfa, non-esrd |
29 |
26 |
$2K |
| J3372 |
Inj, vancomycin hcl (xellia) |
1,064 |
528 |
$2K |
| 29515 |
|
803 |
669 |
$2K |
| 00940 |
|
95 |
68 |
$2K |
| J0703 |
Inj, cefepime hcl (b braun) |
511 |
219 |
$2K |
| 20552 |
|
20 |
14 |
$2K |
| 00400 |
|
703 |
514 |
$2K |
| 96156 |
|
14 |
14 |
$2K |
| 96401 |
|
225 |
126 |
$2K |
| 86665 |
|
345 |
147 |
$2K |
| 97164 |
|
21 |
18 |
$2K |
| 96523 |
|
85 |
53 |
$2K |
| 00811 |
|
1,389 |
1,124 |
$2K |
| V5014 |
Hearing aid repair/modifying |
57 |
55 |
$2K |
| 94760 |
|
41,581 |
36,488 |
$2K |
| 90698 |
|
247 |
199 |
$2K |
| 83525 |
|
122 |
106 |
$2K |
| 87015 |
|
334 |
214 |
$2K |
| J1953 |
Levetiracetam injection |
198 |
105 |
$2K |
| 64494 |
|
971 |
660 |
$2K |
| 72120 |
|
61 |
53 |
$2K |
| 86301 |
|
167 |
122 |
$2K |
| 76937 |
|
403 |
281 |
$2K |
| 84432 |
|
75 |
65 |
$2K |
| 90688 |
|
162 |
155 |
$2K |
| J0295 |
Ampicillin sulbactam 1.5 gm |
1,090 |
498 |
$2K |
| 80143 |
|
691 |
497 |
$2K |
| 84305 |
|
164 |
144 |
$2K |
| 82150 |
|
782 |
634 |
$2K |
| 99454 |
|
16 |
16 |
$2K |
| 82024 |
|
69 |
64 |
$2K |
| 99204 |
|
28 |
28 |
$2K |
| 36620 |
|
80 |
52 |
$2K |
| 76706 |
|
15 |
12 |
$2K |
| 91321 |
|
744 |
621 |
$2K |
| 92588 |
|
17 |
12 |
$1K |
| J1790 |
Droperidol injection |
2,454 |
1,890 |
$1K |
| 92556 |
|
15 |
14 |
$1K |
| 85014 |
|
1,009 |
754 |
$1K |
| J2930 |
Methylprednisolone injection |
1,310 |
895 |
$1K |
| J2270 |
Morphine sulfate injection |
3,616 |
2,479 |
$1K |
| J3301 |
Triamcinolone acet inj nos |
19,656 |
16,043 |
$1K |
| J2272 |
Inj, morphine (fresenius) |
1,608 |
1,069 |
$1K |
| 82232 |
|
141 |
111 |
$1K |
| 00142 |
|
1,869 |
1,347 |
$1K |
| 85384 |
|
275 |
209 |
$1K |
| 76825 |
|
45 |
37 |
$1K |
| 80175 |
|
170 |
145 |
$1K |
| 85613 |
|
517 |
217 |
$1K |
| D1110 |
|
13 |
13 |
$1K |
| 82140 |
|
357 |
226 |
$1K |
| 86663 |
|
130 |
107 |
$1K |
| Q2039 |
Influenza virus vaccine, nos |
1,458 |
1,276 |
$1K |
| 82088 |
|
58 |
54 |
$1K |
| J1644 |
Inj heparin sodium per 1000u |
6,580 |
2,474 |
$1K |
| 76827 |
|
45 |
37 |
$1K |
| 84145 |
|
303 |
255 |
$1K |
| 84207 |
|
193 |
164 |
$1K |
| 84202 |
|
350 |
233 |
$1K |
| J1100 |
Dexamethasone sodium phos |
28,503 |
19,376 |
$1K |
| 92552 |
|
163 |
152 |
$1K |
| 83519 |
|
213 |
158 |
$1K |
| J3010 |
Fentanyl citrate injection |
38,099 |
28,965 |
$1K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
4,248 |
3,752 |
$1K |
| 74220 |
|
19 |
17 |
$1K |
| 82270 |
|
501 |
414 |
$1K |
| 29125 |
|
1,154 |
967 |
$1K |
| 86618 |
|
183 |
157 |
$1K |
| 96137 |
|
552 |
504 |
$1K |
| 92652 |
|
19 |
12 |
$1K |
| 82103 |
|
132 |
118 |
$1K |
| 82390 |
|
222 |
178 |
$1K |
| J0690 |
Cefazolin sodium injection |
11,924 |
7,966 |
$1K |
| 64636 |
|
24 |
13 |
$1K |
| 00320 |
|
141 |
93 |
$1K |
| A4627 |
Spacer bag/reservoir |
369 |
283 |
$1K |
| J0171 |
Adrenalin epinephrine inject |
4,753 |
2,075 |
$1K |
| J2405 |
Ondansetron hcl injection |
45,139 |
31,279 |
$1K |
| 97016 |
|
28 |
14 |
$1K |
| G0481 |
Drug test def 8-14 classes |
14 |
14 |
$988.81 |
| J1071 |
Inj testosterone cypionate |
1,186 |
321 |
$968.91 |
| 82085 |
|
172 |
141 |
$966.59 |
| 83498 |
|
250 |
207 |
$961.91 |
| 86480 |
|
34 |
32 |
$927.08 |
| 80353 |
|
67 |
41 |
$922.05 |
| 87625 |
|
308 |
263 |
$919.58 |
| H0048 |
Spec coll non-blood:a/d test |
60 |
45 |
$902.64 |
| 84075 |
|
409 |
322 |
$896.47 |
| 00300 |
|
422 |
318 |
$890.35 |
| 0073A |
|
61 |
21 |
$883.14 |
| 00140 |
|
70 |
52 |
$877.19 |
| 86664 |
|
130 |
107 |
$874.99 |
| 82164 |
|
94 |
83 |
$862.66 |
| G0108 |
Diab manage trn per indiv |
13 |
12 |
$842.20 |
| J3411 |
Thiamine hcl 100 mg |
1,154 |
275 |
$841.01 |
| 76818 |
|
18 |
15 |
$829.24 |
| 76942 |
|
1,713 |
1,236 |
$803.58 |
| 98927 |
|
13 |
12 |
$800.90 |
| 88173 |
|
770 |
506 |
$797.58 |
| J2469 |
Palonosetron hcl |
372 |
209 |
$790.83 |
| 96161 |
|
16 |
16 |
$779.03 |
| A9500 |
Tc99m sestamibi |
1,213 |
1,024 |
$776.00 |
| 88184 |
|
26 |
19 |
$761.32 |
| 82397 |
|
125 |
107 |
$745.66 |
| 82375 |
|
398 |
290 |
$743.48 |
| 00812 |
|
819 |
700 |
$736.17 |
| J7060 |
5% dextrose/water |
4,503 |
1,986 |
$721.59 |
| 87102 |
|
83 |
54 |
$717.43 |
| 88185 |
|
49 |
18 |
$709.82 |
| J2250 |
Inj midazolam hydrochloride |
44,711 |
31,720 |
$683.44 |
| J8540 |
Oral dexamethasone |
1,919 |
822 |
$665.66 |
| A9552 |
F18 fdg |
781 |
690 |
$657.00 |
| 72157 |
|
16 |
13 |
$647.14 |
| J7510 |
Prednisolone oral per 5 mg |
493 |
443 |
$611.59 |
| 51702 |
|
404 |
319 |
$608.96 |
| Q4010 |
Cast sup sht arm adult fbrgl |
406 |
329 |
$605.96 |
| H1003 |
Prenatal at risk education |
2,037 |
1,755 |
$593.63 |
| 84244 |
|
54 |
52 |
$587.49 |
| 80179 |
|
564 |
412 |
$574.67 |
| J7050 |
Normal saline solution infus |
7,496 |
4,191 |
$565.03 |
| 86902 |
|
109 |
40 |
$564.73 |
| 83014 |
|
50 |
44 |
$559.59 |
| J7512 |
Prednisone ir or dr oral 1mg |
7,510 |
4,399 |
$540.97 |
| 82668 |
|
65 |
53 |
$518.64 |
| 80074 |
|
47 |
39 |
$495.59 |
| J2310 |
Inj naloxone hydrochloride |
85 |
55 |
$494.19 |
| 83050 |
|
398 |
290 |
$470.75 |
| 86677 |
|
31 |
31 |
$463.83 |
| 84520 |
|
113 |
92 |
$463.38 |
| G0009 |
Admin pneumococcal vaccine |
1,536 |
1,249 |
$461.86 |
| 64491 |
|
54 |
40 |
$453.43 |
| J1805 |
Inj, esmolol hcl, 10mg |
1,833 |
730 |
$442.35 |
| G0103 |
Psa screening |
365 |
353 |
$427.55 |
| J2765 |
Metoclopramide hcl injection |
2,850 |
2,145 |
$419.12 |
| 96409 |
|
79 |
54 |
$409.74 |
| 85651 |
|
595 |
473 |
$403.42 |
| J7620 |
Albuterol ipratrop non-comp |
7,132 |
4,841 |
$398.73 |
| 72020 |
|
18 |
16 |
$393.39 |
| 86335 |
|
20 |
19 |
$383.12 |
| J2175 |
Meperidine hydrochl /100 mg |
4,622 |
2,897 |
$378.93 |
| J0184 |
Inj, amisulpride, 1 mg |
344 |
311 |
$377.51 |
| A4614 |
Hand-held pefr meter |
431 |
322 |
$377.00 |
| 84300 |
|
142 |
108 |
$372.80 |
| 90660 |
|
39 |
39 |
$359.72 |
| 87075 |
|
379 |
210 |
$358.44 |
| J2370 |
Phenylephrine hcl injection |
2,505 |
1,454 |
$350.43 |
| J3250 |
Trimethobenzamide hcl inj |
57 |
40 |
$349.27 |
| 81240 |
|
18 |
13 |
$346.90 |
| 86146 |
|
68 |
28 |
$345.77 |
| 86317 |
|
34 |
13 |
$341.87 |
| 80299 |
|
26 |
24 |
$336.83 |
| J0360 |
Hydralazine hcl injection |
724 |
477 |
$334.73 |
| 80202 |
|
40 |
26 |
$333.67 |
| J3360 |
Diazepam injection |
491 |
199 |
$309.34 |
| 84590 |
|
49 |
39 |
$303.29 |
| 85007 |
|
508 |
367 |
$291.72 |
| J1200 |
Diphenhydramine hcl injectio |
4,461 |
2,845 |
$289.88 |
| 80156 |
|
76 |
67 |
$286.08 |
| 00790 |
|
323 |
233 |
$278.39 |
| J0780 |
Prochlorperazine injection |
1,103 |
827 |
$276.29 |
| 46600 |
|
223 |
211 |
$273.54 |
| 91319 |
|
262 |
215 |
$273.25 |
| 89051 |
|
454 |
296 |
$266.62 |
| 93284 |
|
18 |
14 |
$266.31 |
| J2919 |
Inj, methylpred sod succ 5mg |
651 |
537 |
$263.53 |
| 83835 |
|
16 |
13 |
$256.89 |
| 73100 |
|
48 |
24 |
$256.28 |
| 87101 |
|
70 |
66 |
$252.40 |
| C1760 |
Closure dev, vasc |
235 |
166 |
$252.12 |
| 29130 |
|
412 |
355 |
$251.02 |
| 86777 |
|
20 |
12 |
$250.74 |
| J3370 |
Vancomycin hcl injection |
1,022 |
591 |
$247.99 |
| 88302 |
|
211 |
157 |
$235.47 |
| 95874 |
|
36 |
33 |
$231.99 |
| 80183 |
|
19 |
13 |
$215.17 |
| 69200 |
|
63 |
57 |
$213.83 |
| A9541 |
Tc99m sulfur colloid |
109 |
94 |
$210.28 |
| J2001 |
Lidocaine injection |
26,121 |
12,208 |
$208.39 |
| 0144A |
|
22 |
18 |
$208.26 |
| 99368 |
|
137 |
108 |
$205.00 |
| 88312 |
|
130 |
95 |
$204.80 |
| 88313 |
|
133 |
76 |
$204.53 |
| 87116 |
|
48 |
25 |
$203.95 |
| 87106 |
|
20 |
12 |
$201.00 |
| J2360 |
Orphenadrine injection |
607 |
476 |
$181.40 |
| 80185 |
|
36 |
16 |
$176.22 |
| 12031 |
|
13 |
12 |
$175.32 |
| 81241 |
|
18 |
13 |
$173.40 |
| J1250 |
Inj dobutamine hcl/250 mg |
33 |
25 |
$170.48 |
| G0268 |
Removal of impacted wax md |
163 |
155 |
$165.89 |
| 90649 |
|
16 |
12 |
$165.70 |
| J3480 |
Inj potassium chloride |
1,359 |
693 |
$164.47 |
| 86880 |
|
39 |
27 |
$162.10 |
| G0010 |
Admin hepatitis b vaccine |
465 |
368 |
$160.89 |
| J1940 |
Furosemide injection |
1,347 |
682 |
$156.86 |
| J0461 |
Atropine sulfate injection |
224 |
99 |
$141.59 |
| 90473 |
|
255 |
204 |
$138.38 |
| 91300 |
|
14,213 |
13,271 |
$136.31 |
| A6213 |
Foam drg >16<=48 sq in w/bdr |
717 |
486 |
$135.96 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
9,149 |
3,511 |
$129.25 |
| 82747 |
|
126 |
119 |
$122.75 |
| 98967 |
|
74 |
68 |
$119.80 |
| 90653 |
|
27 |
22 |
$118.29 |
| J1631 |
Haloperidol decanoate inj |
67 |
50 |
$116.61 |
| 80051 |
|
89 |
53 |
$114.58 |
| 36600 |
|
36 |
26 |
$114.58 |
| J2060 |
Lorazepam injection |
884 |
619 |
$107.83 |
| J1030 |
Methylprednisolone 40 mg inj |
690 |
632 |
$105.71 |
| 29505 |
|
302 |
243 |
$105.64 |
| 95909 |
|
32 |
25 |
$103.86 |
| 80047 |
|
74 |
68 |
$101.56 |
| 77417 |
|
120 |
51 |
$93.54 |
| J1836 |
Inj, metronidazole, 10 mg |
522 |
252 |
$88.76 |
| J9190 |
Fluorouracil injection |
498 |
127 |
$80.60 |
| 87184 |
|
21 |
18 |
$80.18 |
| J7613 |
Albuterol non-comp unit |
5,062 |
3,239 |
$79.89 |
| C2617 |
Stent, non-cor, tem w/o del |
115 |
93 |
$79.54 |
| 94799 |
|
157 |
129 |
$79.20 |
| 96411 |
|
734 |
367 |
$77.34 |
| J1580 |
Garamycin gentamicin inj |
131 |
82 |
$73.97 |
| Q0163 |
Diphenhydramine hcl 50mg |
3,164 |
2,006 |
$71.31 |
| Q4012 |
Cast sup sht arm ped fbrglas |
110 |
89 |
$67.56 |
| J7042 |
5% dextrose/normal saline |
165 |
109 |
$67.13 |
| J0612 |
Inj, calcium gluconate, nos |
31 |
13 |
$61.74 |
| J2785 |
Regadenoson injection |
994 |
808 |
$61.15 |
| J1020 |
Methylprednisolone 20 mg inj |
2,078 |
1,740 |
$60.89 |
| J2359 |
Inj. olanzapine, 0.5mg |
16 |
12 |
$59.47 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
7,790 |
6,039 |
$56.77 |
| 83930 |
|
19 |
12 |
$54.86 |
| J1040 |
Methylprednisolone 80 mg inj |
59 |
42 |
$54.76 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
2,782 |
2,029 |
$54.25 |
| 87350 |
|
13 |
12 |
$53.22 |
| J2470 |
Inj pantoprazole sodium 40mg |
252 |
178 |
$52.57 |
| 96139 |
|
128 |
113 |
$49.74 |
| J0330 |
Succinycholine chloride inj |
1,495 |
630 |
$49.34 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
2,623 |
1,955 |
$47.61 |
| Q4038 |
Cast sup shrt leg fiberglass |
55 |
44 |
$46.00 |
| J9267 |
Paclitaxel injection |
661 |
226 |
$45.81 |
| J7644 |
Ipratropium bromide non-comp |
436 |
211 |
$44.58 |
| 91318 |
|
15 |
14 |
$43.75 |
| 73010 |
|
12 |
12 |
$41.63 |
| 91301 |
|
4,300 |
4,108 |
$40.06 |
| 98968 |
|
14 |
14 |
$39.54 |
| J1630 |
Haloperidol injection |
243 |
161 |
$39.42 |
| 88311 |
|
70 |
49 |
$37.14 |
| 86707 |
|
13 |
12 |
$36.34 |
| J1920 |
Inj, labetalol hcl, 5mg |
859 |
636 |
$34.94 |
| 51797 |
|
413 |
374 |
$33.23 |
| 84134 |
|
12 |
12 |
$29.11 |
| J0689 |
Inj cefazolin sodium, baxter |
831 |
584 |
$28.24 |
| J0744 |
Ciprofloxacin iv |
198 |
111 |
$25.88 |
| J0280 |
Aminophyllin 250 mg inj |
15 |
15 |
$25.25 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
573 |
349 |
$24.59 |
| 91312 |
|
3,885 |
2,456 |
$24.40 |
| J2920 |
Methylprednisolone injection |
73 |
42 |
$22.85 |
| 91307 |
|
3,048 |
2,226 |
$22.09 |
| J2004 |
Inj, lidocaine w epinephrine |
384 |
364 |
$20.84 |
| D0272 |
|
132 |
100 |
$18.78 |
| J1010 |
Inj, methylpred acetate 1 mg |
381 |
326 |
$18.28 |
| A4620 |
Variable concentration mask |
2,579 |
2,097 |
$16.11 |
| 89060 |
|
14 |
12 |
$14.62 |
| J0456 |
Azithromycin |
98 |
54 |
$13.33 |
| 91305 |
|
2,016 |
959 |
$10.09 |
| 83935 |
|
12 |
12 |
$9.74 |
| 90611 |
|
185 |
171 |
$8.53 |
| J2300 |
Inj nalbuphine hydrochloride |
14 |
13 |
$7.17 |
| A6219 |
Gauze <= 16 sq in w/border |
1,271 |
882 |
$7.07 |
| 91311 |
|
841 |
556 |
$6.24 |
| J2305 |
Inj, nitroglycerin, 5 mg |
132 |
95 |
$5.92 |
| J2795 |
Ropivacaine hcl injection |
1,133 |
626 |
$4.62 |
| 91315 |
|
435 |
326 |
$3.72 |
| C1769 |
Guide wire |
1,761 |
1,309 |
$3.16 |
| 92025 |
|
27 |
27 |
$2.65 |
| A6222 |
Gauze <=16 in no w/sal w/o b |
2,087 |
1,539 |
$2.33 |
| 92060 |
|
127 |
127 |
$2.29 |
| 91313 |
|
300 |
187 |
$1.91 |
| 91316 |
|
130 |
112 |
$1.24 |
| 91303 |
|
81 |
77 |
$0.76 |
| 91314 |
|
35 |
30 |
$0.06 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
879 |
761 |
$0.04 |
| G1003 |
Cdsm medicalis |
815 |
633 |
$0.03 |
| 00813 |
|
736 |
579 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
613 |
425 |
$0.00 |
| 01214 |
|
108 |
76 |
$0.00 |
| G0432 |
Eia hiv-1/hiv-2 screen |
43 |
33 |
$0.00 |
| C1819 |
Tissue localization-excision |
386 |
279 |
$0.00 |
| 00952 |
|
245 |
186 |
$0.00 |
| 77001 |
|
278 |
220 |
$0.00 |
| 00126 |
|
14 |
14 |
$0.00 |
| 01480 |
|
492 |
343 |
$0.00 |
| A6223 |
Gauze >16<=48 no w/sal w/o b |
42 |
28 |
$0.00 |
| 36410 |
|
28 |
27 |
$0.00 |
| 96377 |
|
69 |
39 |
$0.00 |
| 29540 |
|
161 |
142 |
$0.00 |
| 01400 |
|
46 |
26 |
$0.00 |
| 00160 |
|
12 |
12 |
$0.00 |
| C1726 |
Cath, bal dil, non-vascular |
61 |
49 |
$0.00 |
| A9503 |
Tc99m medronate |
25 |
25 |
$0.00 |
| D0240 |
|
62 |
44 |
$0.00 |
| C1781 |
Mesh (implantable) |
111 |
67 |
$0.00 |
| 00190 |
|
16 |
12 |
$0.00 |
| 86812 |
|
13 |
12 |
$0.00 |
| 64484 |
|
12 |
12 |
$0.00 |
| C1729 |
Cath, drainage |
462 |
323 |
$0.00 |
| 77387 |
|
93 |
13 |
$0.00 |
| 29530 |
|
386 |
308 |
$0.00 |
| 00910 |
|
236 |
184 |
$0.00 |
| 01810 |
|
770 |
609 |
$0.00 |
| 00732 |
|
16 |
12 |
$0.00 |
| C1751 |
Cath, inf, per/cent/midline |
288 |
238 |
$0.00 |
| C1887 |
Catheter, guiding |
653 |
463 |
$0.00 |
| 01830 |
|
365 |
279 |
$0.00 |
| 01402 |
|
224 |
137 |
$0.00 |
| 86703 |
|
106 |
97 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
1,407 |
1,067 |
$0.00 |
| C1758 |
Catheter, ureteral |
86 |
70 |
$0.00 |
| 96381 |
|
15 |
15 |
$0.00 |
| Q0144 |
Azithromycin dihydrate, oral |
167 |
129 |
$0.00 |
| 99001 |
|
12 |
12 |
$0.00 |
| G8978 |
Mobility current status |
33 |
30 |
$0.00 |
| G0500 |
Mod sedat endo service >5yrs |
56 |
48 |
$0.00 |
| 76376 |
|
99 |
95 |
$0.00 |
| 92100 |
|
42 |
30 |
$0.00 |
| H1002 |
Carecoordination prenatal |
1,279 |
1,241 |
$0.00 |
| G8979 |
Mobility goal status |
80 |
75 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
18 |
12 |
$0.00 |
| 75565 |
|
16 |
12 |
$0.00 |
| J7614 |
Levalbuterol non-comp unit |
12 |
12 |
$0.00 |
| 01844 |
|
19 |
15 |
$0.00 |
| 00920 |
|
39 |
26 |
$0.00 |
| C1788 |
Port, indwelling, imp |
17 |
12 |
$0.00 |
| J3473 |
Hyaluronidase recombinant |
14 |
12 |
$0.00 |
| J2720 |
Inj protamine sulfate/10 mg |
46 |
14 |
$0.00 |
| 00402 |
|
13 |
12 |
$0.00 |
| 0141A |
|
12 |
12 |
$0.00 |
| L3908 |
Who cock-up nonmolde pre ots |
16 |
14 |
$0.00 |
| 93321 |
|
31 |
26 |
$0.00 |
| 51703 |
|
12 |
12 |
$0.00 |