| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
145,223 |
116,985 |
$20.87M |
| 99284 |
|
68,833 |
64,187 |
$14.30M |
| 99283 |
|
47,903 |
45,853 |
$10.39M |
| 99212 |
|
43,006 |
38,205 |
$5.18M |
| 99281 |
|
22,372 |
21,628 |
$4.88M |
| A0429 |
Bls-emergency |
24,849 |
23,717 |
$4.34M |
| 99214 |
|
25,507 |
23,809 |
$3.76M |
| 99203 |
|
23,276 |
22,190 |
$3.52M |
| 99282 |
|
14,988 |
14,630 |
$3.27M |
| 80053 |
|
84,652 |
75,809 |
$2.77M |
| 87635 |
|
60,590 |
57,450 |
$2.57M |
| 43239 |
|
1,905 |
1,896 |
$1.73M |
| 99204 |
|
9,557 |
9,310 |
$1.64M |
| 70450 |
|
7,410 |
7,285 |
$1.43M |
| 76856 |
|
6,534 |
6,336 |
$1.36M |
| 99391 |
|
8,928 |
8,352 |
$1.10M |
| 96365 |
|
5,516 |
3,717 |
$1.04M |
| 45380 |
|
983 |
976 |
$954K |
| 99392 |
|
7,820 |
7,413 |
$935K |
| 97110 |
|
13,303 |
6,959 |
$910K |
| 87491 |
|
24,193 |
23,675 |
$888K |
| 86850 |
|
13,717 |
13,024 |
$853K |
| A0427 |
Als1-emergency |
3,993 |
3,856 |
$824K |
| 74177 |
|
4,477 |
4,436 |
$762K |
| 99285 |
|
3,855 |
3,796 |
$760K |
| 45378 |
|
611 |
608 |
$648K |
| 76700 |
|
3,407 |
3,401 |
$639K |
| G0439 |
Ppps, subseq visit |
3,675 |
3,655 |
$628K |
| 87651 |
|
10,866 |
10,719 |
$620K |
| 36415 |
|
21,125 |
16,768 |
$576K |
| 76818 |
|
7,293 |
3,221 |
$551K |
| 77067 |
|
6,071 |
6,034 |
$543K |
| 99202 |
|
3,875 |
3,812 |
$531K |
| 99393 |
|
4,355 |
4,130 |
$525K |
| 74176 |
|
2,944 |
2,909 |
$501K |
| 92551 |
|
4,486 |
4,474 |
$460K |
| 93306 |
|
3,394 |
3,367 |
$457K |
| 90832 |
|
3,453 |
2,275 |
$443K |
| G0463 |
Hospital outpt clinic visit |
13,804 |
9,780 |
$441K |
| 97162 |
|
3,028 |
3,005 |
$403K |
| 86480 |
|
6,298 |
6,243 |
$375K |
| 97010 |
|
10,281 |
5,506 |
$345K |
| 92014 |
|
2,667 |
2,508 |
$328K |
| 96110 |
|
2,787 |
2,776 |
$326K |
| 11042 |
|
961 |
663 |
$314K |
| 80048 |
|
11,298 |
10,888 |
$297K |
| 1159F |
|
17,486 |
13,743 |
$297K |
| 99395 |
|
2,279 |
2,239 |
$293K |
| 1126F |
|
13,411 |
9,660 |
$291K |
| 99394 |
|
2,410 |
2,278 |
$289K |
| 99396 |
|
2,098 |
2,074 |
$284K |
| 93970 |
|
1,775 |
1,757 |
$277K |
| 76770 |
|
1,384 |
1,375 |
$276K |
| 92004 |
|
1,783 |
1,769 |
$267K |
| 12001 |
|
818 |
817 |
$262K |
| 99211 |
|
5,612 |
4,240 |
$248K |
| 76816 |
|
3,363 |
3,137 |
$248K |
| 88305 |
|
4,879 |
4,784 |
$240K |
| 80061 |
|
27,586 |
27,374 |
$240K |
| 90460 |
|
15,536 |
15,448 |
$235K |
| 99381 |
|
1,594 |
1,570 |
$234K |
| 92012 |
|
1,825 |
1,717 |
$225K |
| 99215 |
Prolong outpt/office vis |
1,338 |
1,283 |
$222K |
| 76000 |
|
698 |
687 |
$216K |
| 86901 |
|
13,841 |
13,177 |
$212K |
| G0438 |
Ppps, initial visit |
1,065 |
1,059 |
$212K |
| 12011 |
|
611 |
611 |
$210K |
| 86710 |
|
26,813 |
23,924 |
$206K |
| 87623 |
|
4,177 |
4,167 |
$186K |
| 82306 |
|
9,681 |
9,626 |
$185K |
| 76830 |
|
3,971 |
3,813 |
$183K |
| 76801 |
|
2,235 |
2,041 |
$181K |
| 82948 |
|
31,782 |
25,260 |
$178K |
| 76805 |
|
2,087 |
1,901 |
$177K |
| 76811 |
|
1,671 |
1,650 |
$177K |
| 29580 |
|
822 |
538 |
$176K |
| 96372 |
|
6,422 |
5,945 |
$172K |
| 76641 |
|
2,574 |
2,483 |
$167K |
| 81220 |
|
1,517 |
1,508 |
$166K |
| 87536 |
|
2,778 |
2,751 |
$164K |
| 87389 |
|
14,662 |
14,517 |
$163K |
| 86900 |
|
13,849 |
13,186 |
$159K |
| 84703 |
|
33,031 |
30,961 |
$156K |
| A0425 |
Ground mileage |
29,164 |
27,660 |
$154K |
| 77066 |
Tomosynthesis, mammo |
1,433 |
1,427 |
$150K |
| 76817 |
|
1,845 |
1,529 |
$148K |
| 90461 |
|
7,317 |
7,281 |
$147K |
| 85025 |
|
81,860 |
76,783 |
$143K |
| 88142 |
|
5,771 |
5,755 |
$143K |
| 99205 |
Prolong outpt/office vis |
756 |
751 |
$142K |
| J1756 |
Iron sucrose injection |
3,137 |
1,523 |
$140K |
| 1125F |
|
4,993 |
3,643 |
$127K |
| 90670 |
|
5,279 |
5,266 |
$122K |
| 96413 |
|
690 |
370 |
$121K |
| 77063 |
|
5,548 |
5,522 |
$113K |
| 90649 |
|
1,975 |
1,969 |
$112K |
| 86360 |
|
2,813 |
2,796 |
$107K |
| T1013 |
Sign lang/oral interpreter |
2,504 |
2,376 |
$105K |
| 83655 |
|
8,449 |
8,406 |
$100K |
| 76815 |
|
1,040 |
976 |
$94K |
| 29125 |
|
538 |
529 |
$93K |
| 78452 |
|
266 |
265 |
$93K |
| 0002A |
|
3,501 |
3,484 |
$91K |
| 83036 |
|
26,140 |
25,859 |
$90K |
| 99385 |
|
729 |
727 |
$90K |
| 0001A |
|
3,966 |
3,948 |
$90K |
| 76536 |
|
1,450 |
1,421 |
$89K |
| 83970 |
|
2,619 |
2,587 |
$88K |
| 71046 |
|
17,709 |
17,437 |
$88K |
| 70486 |
|
1,355 |
1,342 |
$86K |
| 84443 |
|
24,607 |
24,265 |
$84K |
| 96161 |
|
1,607 |
1,589 |
$84K |
| 10060 |
|
288 |
283 |
$83K |
| 11721 |
|
1,315 |
1,279 |
$82K |
| 90686 |
|
4,657 |
4,647 |
$82K |
| 70551 |
|
414 |
403 |
$80K |
| 86708 |
|
7,683 |
7,626 |
$73K |
| 96361 |
|
394 |
380 |
$70K |
| 97530 |
|
1,944 |
1,505 |
$68K |
| 71250 |
|
770 |
755 |
$67K |
| 81025 |
|
1,218 |
1,210 |
$67K |
| 76705 |
|
1,824 |
1,807 |
$67K |
| 84439 |
|
14,615 |
14,432 |
$66K |
| J1050 |
Medroxyprogesterone acetate |
1,176 |
1,175 |
$65K |
| 97014 |
|
4,687 |
2,607 |
$64K |
| 41899 |
|
54 |
54 |
$64K |
| 96366 |
|
375 |
365 |
$59K |
| 77065 |
Tomosynthesis, mammo |
776 |
753 |
$59K |
| 80074 |
|
2,502 |
2,486 |
$55K |
| 86780 |
|
12,815 |
12,716 |
$55K |
| 76813 |
|
798 |
782 |
$55K |
| 81001 |
|
45,672 |
43,581 |
$54K |
| 73630 |
|
4,968 |
4,554 |
$53K |
| 86706 |
|
10,564 |
10,476 |
$53K |
| 73721 |
|
222 |
215 |
$53K |
| 82803 |
|
841 |
807 |
$51K |
| 85610 |
|
17,680 |
16,743 |
$51K |
| 96160 |
|
1,045 |
1,039 |
$51K |
| 76642 |
|
1,220 |
1,207 |
$51K |
| 86803 |
|
9,710 |
9,626 |
$50K |
| 90471 |
|
6,362 |
6,292 |
$49K |
| 71260 |
|
492 |
491 |
$48K |
| 87631 |
|
1,267 |
1,226 |
$48K |
| 84702 |
|
10,048 |
9,090 |
$45K |
| 58558 |
|
39 |
39 |
$45K |
| 97140 |
|
2,227 |
1,375 |
$43K |
| 94060 |
|
1,369 |
1,350 |
$43K |
| 87086 |
|
12,279 |
11,715 |
$43K |
| 82607 |
|
5,116 |
5,064 |
$42K |
| 74240 |
|
539 |
538 |
$41K |
| 72131 |
|
336 |
335 |
$41K |
| 74160 |
|
226 |
225 |
$41K |
| 72125 |
|
1,661 |
1,634 |
$40K |
| 90647 |
|
3,958 |
3,947 |
$40K |
| 90651 |
|
567 |
566 |
$40K |
| 90715 |
|
1,910 |
1,896 |
$39K |
| 97016 |
|
629 |
384 |
$38K |
| 81002 |
|
1,413 |
1,113 |
$38K |
| 99386 |
|
336 |
334 |
$38K |
| 86704 |
|
7,835 |
7,772 |
$38K |
| 82652 |
|
2,015 |
2,002 |
$37K |
| 90714 |
|
2,434 |
2,370 |
$37K |
| 29515 |
|
195 |
188 |
$36K |
| 77080 |
|
1,078 |
1,074 |
$35K |
| 83880 |
|
1,815 |
1,750 |
$34K |
| 83013 |
|
696 |
695 |
$33K |
| 94729 |
|
1,540 |
1,533 |
$33K |
| 31575 |
|
260 |
258 |
$33K |
| 72148 |
|
149 |
145 |
$32K |
| 90633 |
|
2,893 |
2,885 |
$31K |
| 82728 |
|
4,472 |
4,402 |
$31K |
| 73562 |
|
2,839 |
2,757 |
$31K |
| 12002 |
|
77 |
77 |
$31K |
| 96360 |
|
218 |
217 |
$31K |
| 0004A |
|
961 |
960 |
$30K |
| 85730 |
|
15,804 |
15,111 |
$30K |
| 92557 |
|
553 |
552 |
$30K |
| U0001 |
2019-ncov diagnostic p |
1,043 |
995 |
$29K |
| 99173 |
|
3,160 |
3,151 |
$28K |
| 92567 |
|
856 |
852 |
$28K |
| A4649 |
Surgical supplies |
5,659 |
5,201 |
$28K |
| 77062 |
|
641 |
640 |
$28K |
| J2371 |
Inj phenylephrine hcl 20 mcg |
251 |
246 |
$28K |
| 1003F |
|
1,556 |
1,258 |
$28K |
| 76870 |
|
484 |
461 |
$28K |
| 93971 |
|
382 |
376 |
$28K |
| 73610 |
|
3,178 |
2,917 |
$27K |
| 87502 |
|
1,049 |
1,043 |
$27K |
| 88304 |
|
1,222 |
1,213 |
$27K |
| 82746 |
|
3,915 |
3,875 |
$27K |
| 86769 |
|
1,097 |
1,096 |
$26K |
| 90677 |
|
984 |
984 |
$26K |
| 92250 |
|
492 |
484 |
$26K |
| 92201 |
|
517 |
511 |
$25K |
| 72100 |
|
2,138 |
2,127 |
$25K |
| 87661 |
|
289 |
289 |
$25K |
| 90681 |
|
3,123 |
3,120 |
$24K |
| 80076 |
|
2,288 |
2,225 |
$24K |
| 94727 |
|
1,026 |
1,022 |
$24K |
| G0108 |
Diab manage trn per indiv |
336 |
321 |
$24K |
| 90716 |
|
1,469 |
1,465 |
$23K |
| 73030 |
|
2,772 |
2,498 |
$23K |
| 90723 |
|
2,990 |
2,983 |
$23K |
| 1005F |
|
366 |
364 |
$23K |
| G0283 |
Elec stim other than wound |
2,627 |
1,481 |
$22K |
| 93005 |
|
4,337 |
4,250 |
$22K |
| 97597 |
|
68 |
45 |
$22K |
| 90750 |
|
141 |
141 |
$21K |
| 87480 |
|
2,442 |
2,424 |
$21K |
| 71275 |
|
115 |
115 |
$20K |
| 90734 |
|
1,219 |
1,214 |
$20K |
| 73110 |
|
2,026 |
1,764 |
$20K |
| 86762 |
|
2,391 |
2,376 |
$19K |
| 87591 |
|
1,251 |
1,240 |
$18K |
| 87807 |
|
23,613 |
22,843 |
$18K |
| 11043 |
|
54 |
36 |
$18K |
| 99244 |
|
153 |
153 |
$18K |
| 93454 |
|
12 |
12 |
$18K |
| 88312 |
|
1,587 |
1,578 |
$18K |
| 99243 |
|
168 |
167 |
$18K |
| 84481 |
|
4,709 |
4,654 |
$18K |
| 82043 |
|
5,280 |
5,238 |
$17K |
| 36600 |
|
911 |
864 |
$16K |
| 99442 |
|
417 |
410 |
$16K |
| 87660 |
|
2,432 |
2,414 |
$16K |
| 87510 |
|
2,420 |
2,402 |
$16K |
| 90707 |
|
1,498 |
1,494 |
$15K |
| 90739 |
|
199 |
195 |
$15K |
| 73130 |
|
2,626 |
2,540 |
$15K |
| A9500 |
Tc99m sestamibi |
214 |
214 |
$15K |
| 88720 |
|
250 |
208 |
$15K |
| 87340 |
|
5,327 |
5,297 |
$14K |
| 90694 |
|
301 |
300 |
$14K |
| 84153 |
|
1,804 |
1,788 |
$14K |
| 90620 |
|
610 |
605 |
$14K |
| 86609 |
|
1,478 |
1,433 |
$14K |
| 74150 |
|
85 |
84 |
$14K |
| 97161 |
|
135 |
135 |
$14K |
| 99404 |
|
162 |
159 |
$14K |
| 90657 |
|
6,407 |
6,386 |
$13K |
| 83001 |
|
1,109 |
1,099 |
$13K |
| G0279 |
Tomosynthesis, mammo |
560 |
555 |
$13K |
| 86787 |
|
2,607 |
2,590 |
$13K |
| 90698 |
|
1,492 |
1,491 |
$13K |
| G0378 |
Hospital observation per hr |
27 |
13 |
$13K |
| 90791 |
|
69 |
68 |
$13K |
| 88160 |
|
254 |
240 |
$13K |
| 84402 |
|
700 |
695 |
$12K |
| 84146 |
|
931 |
924 |
$12K |
| 97164 |
|
176 |
168 |
$12K |
| 84144 |
|
505 |
476 |
$12K |
| M0243 |
Casirivi and imdevi inj |
43 |
43 |
$12K |
| 97022 |
|
246 |
138 |
$12K |
| 76827 |
|
297 |
288 |
$12K |
| 82105 |
|
1,188 |
1,174 |
$12K |
| 29540 |
|
67 |
57 |
$12K |
| J7613 |
Albuterol non-comp unit |
954 |
832 |
$12K |
| M0247 |
Sotrovimab infusion |
48 |
47 |
$12K |
| 80305 |
|
4,077 |
4,017 |
$11K |
| 71045 |
|
6,622 |
6,351 |
$11K |
| 90792 |
|
76 |
72 |
$11K |
| 72110 |
|
649 |
647 |
$11K |
| 99201 |
|
110 |
110 |
$11K |
| 69210 |
|
175 |
171 |
$10K |
| 99496 |
|
94 |
91 |
$10K |
| A7003 |
Nebulizer administration set |
1,031 |
1,027 |
$10K |
| 72050 |
|
590 |
586 |
$10K |
| 87798 |
|
275 |
272 |
$10K |
| J3490 |
Drugs unclassified injection |
817 |
732 |
$10K |
| 99401 |
|
336 |
333 |
$10K |
| 87070 |
|
1,909 |
1,870 |
$10K |
| 70491 |
|
54 |
53 |
$9K |
| 90710 |
|
951 |
950 |
$9K |
| 92083 |
|
174 |
172 |
$9K |
| 96367 |
|
181 |
179 |
$9K |
| 96374 |
|
2,004 |
1,950 |
$9K |
| 82950 |
|
1,485 |
1,483 |
$9K |
| 96375 |
|
2,256 |
2,079 |
$9K |
| 86141 |
|
2,166 |
2,117 |
$8K |
| 90685 |
|
411 |
410 |
$8K |
| 90700 |
|
1,336 |
1,330 |
$8K |
| 83020 |
|
1,271 |
1,266 |
$8K |
| 83550 |
|
3,237 |
3,195 |
$8K |
| 76819 |
|
137 |
129 |
$8K |
| 64483 |
|
13 |
13 |
$8K |
| G0101 |
Ca screen;pelvic/breast exam |
401 |
401 |
$8K |
| 90696 |
|
811 |
809 |
$8K |
| 73502 |
|
839 |
815 |
$8K |
| 94726 |
|
294 |
293 |
$8K |
| 96127 |
|
2,805 |
2,795 |
$8K |
| 94375 |
|
372 |
371 |
$8K |
| S0028 |
Injection, famotidine, 20 mg |
1,281 |
1,061 |
$8K |
| 86709 |
|
1,736 |
1,727 |
$7K |
| 31231 |
|
52 |
52 |
$7K |
| 86696 |
|
1,070 |
1,060 |
$7K |
| 76881 |
|
139 |
135 |
$7K |
| 88313 |
|
1,613 |
1,601 |
$7K |
| 99241 |
|
78 |
76 |
$7K |
| M0239 |
Bamlanivimab-xxxx infusion |
26 |
26 |
$7K |
| 86765 |
|
853 |
849 |
$7K |
| C9290 |
Inj, bupivacaine liposome |
277 |
271 |
$7K |
| 99443 |
|
124 |
121 |
$6K |
| 74019 |
|
1,815 |
1,792 |
$6K |
| 73564 |
|
705 |
699 |
$6K |
| 90656 |
|
1,840 |
1,835 |
$6K |
| 86702 |
|
87 |
87 |
$6K |
| 73080 |
|
848 |
782 |
$6K |
| 4040F |
|
93 |
92 |
$6K |
| 90472 |
|
864 |
860 |
$6K |
| 20610 |
|
28 |
27 |
$6K |
| 86694 |
|
873 |
867 |
$6K |
| 45385 |
|
14 |
14 |
$6K |
| 29130 |
|
37 |
36 |
$6K |
| 73560 |
|
375 |
339 |
$6K |
| 87522 |
Neg quan hep c or qual rna |
170 |
168 |
$6K |
| 0072A |
|
140 |
139 |
$6K |
| 92588 |
|
72 |
72 |
$6K |
| 73090 |
|
864 |
794 |
$6K |
| 73590 |
|
1,043 |
1,003 |
$6K |
| 86376 |
|
504 |
500 |
$5K |
| 97018 |
|
59 |
39 |
$5K |
| 96368 |
|
137 |
135 |
$5K |
| 92226 |
|
99 |
92 |
$5K |
| 94010 |
|
545 |
544 |
$5K |
| 86695 |
|
857 |
850 |
$5K |
| 36591 |
|
180 |
98 |
$5K |
| G0008 |
Admin influenza virus vac |
515 |
514 |
$5K |
| 0124A |
|
129 |
129 |
$5K |
| 83735 |
|
3,889 |
3,712 |
$5K |
| 82248 |
|
1,231 |
1,134 |
$5K |
| 90697 |
|
459 |
459 |
$5K |
| 93925 |
|
51 |
51 |
$5K |
| 99242 |
|
87 |
85 |
$5K |
| 86800 |
|
437 |
435 |
$4K |
| 86735 |
|
858 |
852 |
$4K |
| 0003A |
|
136 |
136 |
$4K |
| 92202 |
|
141 |
139 |
$4K |
| 92134 |
|
90 |
89 |
$4K |
| 29581 |
|
36 |
24 |
$4K |
| 70496 |
|
24 |
24 |
$4K |
| J2704 |
Inj, propofol, 10 mg |
4,787 |
4,618 |
$4K |
| 87081 |
|
1,492 |
1,454 |
$4K |
| 86038 |
|
963 |
956 |
$4K |
| 85379 |
|
1,035 |
1,020 |
$4K |
| 88162 |
|
84 |
84 |
$4K |
| Q3014 |
Telehealth facility fee |
145 |
144 |
$4K |
| J0131 |
Inj, acetaminophen (nos) |
4,080 |
3,853 |
$4K |
| J3010 |
Fentanyl citrate injection |
4,332 |
4,213 |
$4K |
| 82677 |
|
559 |
558 |
$4K |
| 68761 |
|
62 |
51 |
$4K |
| 83525 |
|
401 |
400 |
$3K |
| 92015 |
|
301 |
301 |
$3K |
| 20550 |
|
14 |
13 |
$3K |
| 87186 |
|
2,011 |
1,953 |
$3K |
| 82274 |
|
564 |
562 |
$3K |
| 72141 |
|
16 |
15 |
$3K |
| 0064A |
|
98 |
98 |
$3K |
| 0071A |
|
80 |
80 |
$3K |
| 99219 |
|
53 |
52 |
$3K |
| 1111F |
|
376 |
361 |
$3K |
| C9803 |
Hopd covid-19 spec collect |
780 |
741 |
$3K |
| 3008F |
|
2,151 |
2,109 |
$3K |
| 84100 |
|
3,261 |
3,148 |
$3K |
| 94664 |
|
226 |
211 |
$3K |
| 91320 |
|
60 |
59 |
$3K |
| C1769 |
Guide wire |
191 |
185 |
$3K |
| 90662 |
|
134 |
134 |
$3K |
| 84425 |
|
326 |
323 |
$3K |
| 72193 |
|
184 |
183 |
$3K |
| 85651 |
|
2,775 |
2,723 |
$3K |
| 72081 |
|
136 |
136 |
$3K |
| 74246 |
|
24 |
24 |
$3K |
| 1036F |
|
418 |
413 |
$3K |
| 84156 |
|
1,292 |
1,243 |
$3K |
| 94760 |
|
1,404 |
1,393 |
$3K |
| 87800 |
|
199 |
198 |
$3K |
| 99406 |
|
68 |
68 |
$2K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
134 |
132 |
$2K |
| 92225 |
|
37 |
37 |
$2K |
| 82627 |
|
178 |
177 |
$2K |
| 92133 |
|
63 |
63 |
$2K |
| 90746 |
|
55 |
55 |
$2K |
| 82270 |
|
665 |
659 |
$2K |
| 87633 |
|
27 |
27 |
$2K |
| 90671 |
|
149 |
149 |
$2K |
| 1160F |
|
14,661 |
12,874 |
$2K |
| 87205 |
|
2,240 |
2,169 |
$2K |
| 84484 |
|
7,556 |
6,858 |
$2K |
| 87624 |
|
68 |
68 |
$2K |
| 71270 |
|
12 |
12 |
$2K |
| 84590 |
|
269 |
266 |
$2K |
| J7120 |
Ringers lactate infusion |
5,153 |
4,885 |
$2K |
| S0020 |
Injection, bupivicaine hydro |
474 |
469 |
$2K |
| 84480 |
|
429 |
425 |
$2K |
| 83690 |
|
8,756 |
8,390 |
$2K |
| 84550 |
|
805 |
769 |
$2K |
| 87350 |
|
351 |
351 |
$2K |
| 59430 |
|
12 |
12 |
$2K |
| 94200 |
|
343 |
343 |
$2K |
| 73620 |
|
281 |
273 |
$2K |
| 84436 |
|
566 |
563 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,007 |
991 |
$2K |
| 73521 |
|
129 |
129 |
$2K |
| 94150 |
|
474 |
471 |
$2K |
| 11730 |
|
19 |
17 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
17,554 |
16,232 |
$2K |
| 1000F |
|
575 |
486 |
$2K |
| 71271 |
|
55 |
55 |
$2K |
| 99495 |
|
25 |
25 |
$2K |
| 86617 |
|
137 |
137 |
$1K |
| 86336 |
|
588 |
587 |
$1K |
| 92553 |
|
14 |
14 |
$1K |
| 87338 |
|
183 |
183 |
$1K |
| 2022F |
|
227 |
221 |
$1K |
| 0031A |
|
58 |
58 |
$1K |
| 73140 |
|
247 |
236 |
$1K |
| 90675 |
|
29 |
12 |
$1K |
| 84446 |
|
171 |
168 |
$1K |
| Q0163 |
Diphenhydramine hcl 50mg |
557 |
484 |
$1K |
| 93923 |
|
25 |
25 |
$1K |
| J7030 |
Normal saline solution infus |
5,301 |
5,097 |
$1K |
| 86592 |
|
887 |
874 |
$1K |
| 99441 |
|
61 |
59 |
$1K |
| 86403 |
|
406 |
404 |
$1K |
| 73120 |
|
112 |
96 |
$1K |
| 74241 |
|
13 |
13 |
$1K |
| 1220F |
|
1,038 |
1,023 |
$1K |
| 92579 |
|
24 |
24 |
$1K |
| 82550 |
|
764 |
755 |
$1K |
| 86705 |
|
328 |
325 |
$1K |
| J1100 |
Dexamethasone sodium phos |
6,705 |
6,143 |
$1K |
| 88307 |
|
28 |
28 |
$1K |
| 83615 |
|
668 |
636 |
$1K |
| 90732 |
|
146 |
144 |
$999.52 |
| 83498 |
|
56 |
56 |
$992.82 |
| J7050 |
Normal saline solution infus |
387 |
303 |
$973.38 |
| 90480 |
|
36 |
35 |
$970.12 |
| 80329 |
|
401 |
223 |
$940.73 |
| 94640 |
|
108 |
108 |
$928.46 |
| J2250 |
Inj midazolam hydrochloride |
4,603 |
4,432 |
$920.69 |
| 73600 |
|
28 |
28 |
$905.79 |
| Q2039 |
Influenza virus vaccine, nos |
91 |
90 |
$904.79 |
| 72072 |
|
92 |
92 |
$885.32 |
| 87328 |
|
59 |
54 |
$884.09 |
| J2405 |
Ondansetron hcl injection |
8,886 |
8,265 |
$870.48 |
| 80050 |
|
41 |
41 |
$868.04 |
| 84466 |
|
157 |
154 |
$859.19 |
| J1817 |
Insulin for insulin pump use |
26 |
25 |
$836.78 |
| 97803 |
|
30 |
30 |
$828.31 |
| 90674 |
|
43 |
43 |
$824.46 |
| 88300 |
|
279 |
278 |
$795.70 |
| 83540 |
|
333 |
329 |
$758.89 |
| J1170 |
Hydromorphone injection |
2,148 |
1,888 |
$752.73 |
| 0012A |
|
63 |
63 |
$739.98 |
| 73100 |
|
74 |
55 |
$737.81 |
| 81003 |
|
770 |
762 |
$731.83 |
| 87040 |
|
2,542 |
2,480 |
$697.86 |
| 0011A |
|
39 |
39 |
$678.47 |
| 90473 |
|
246 |
246 |
$644.27 |
| 84235 |
|
17 |
17 |
$629.81 |
| 87329 |
|
58 |
53 |
$628.46 |
| 87045 |
|
89 |
84 |
$622.20 |
| 82465 |
|
348 |
348 |
$616.47 |
| J2765 |
Metoclopramide hcl injection |
4,321 |
3,444 |
$604.76 |
| J7040 |
Normal saline solution infus |
1,338 |
968 |
$603.25 |
| 0054A |
|
16 |
16 |
$603.02 |
| 36410 |
|
30 |
30 |
$601.74 |
| 87209 |
|
74 |
68 |
$592.50 |
| 3017F |
|
101 |
79 |
$579.29 |
| 0502F |
|
87 |
70 |
$579.26 |
| 87184 |
|
295 |
291 |
$575.27 |
| 84207 |
|
27 |
27 |
$570.73 |
| 71101 |
|
66 |
66 |
$561.14 |
| Q0091 |
Obtaining screen pap smear |
1,088 |
1,086 |
$550.04 |
| 83002 |
|
46 |
45 |
$524.42 |
| J0696 |
Ceftriaxone sodium injection |
2,975 |
2,841 |
$518.56 |
| 97802 |
|
12 |
12 |
$514.65 |
| 72192 |
|
67 |
65 |
$492.85 |
| 82670 |
|
28 |
28 |
$472.18 |
| 77061 |
|
13 |
13 |
$471.43 |
| 82180 |
|
113 |
110 |
$455.12 |
| 84403 |
|
26 |
26 |
$438.77 |
| J0690 |
Cefazolin sodium injection |
1,515 |
1,435 |
$434.91 |
| 82784 |
|
88 |
84 |
$433.87 |
| 86593 |
|
372 |
367 |
$429.00 |
| 93017 |
|
12 |
12 |
$424.38 |
| 90660 |
|
18 |
18 |
$391.98 |
| 70498 |
|
14 |
14 |
$390.54 |
| 86320 |
|
15 |
15 |
$379.65 |
| J1200 |
Diphenhydramine hcl injectio |
2,052 |
1,746 |
$374.05 |
| 84134 |
|
64 |
63 |
$360.91 |
| 84154 |
|
29 |
29 |
$356.60 |
| 82150 |
|
449 |
442 |
$341.66 |
| J2270 |
Morphine sulfate injection |
1,491 |
1,366 |
$339.13 |
| J3420 |
Vitamin b12 injection |
331 |
263 |
$333.81 |
| 83605 |
|
1,201 |
1,149 |
$333.09 |
| 80320 |
|
1,685 |
1,613 |
$321.82 |
| 74018 |
|
70 |
69 |
$320.39 |
| 4035F |
|
247 |
247 |
$300.96 |
| 86580 |
|
40 |
39 |
$295.09 |
| 82525 |
|
37 |
37 |
$274.54 |
| 82951 |
|
42 |
42 |
$271.33 |
| J2274 |
Inj morphine pf epid ithc |
265 |
254 |
$269.59 |
| 90653 |
|
35 |
33 |
$242.60 |
| 82533 |
|
26 |
25 |
$240.45 |
| 87430 |
|
254 |
251 |
$231.61 |
| J0171 |
Adrenalin epinephrine inject |
211 |
196 |
$226.92 |
| J7510 |
Prednisolone oral per 5 mg |
276 |
269 |
$225.83 |
| J7644 |
Ipratropium bromide non-comp |
1,071 |
956 |
$218.47 |
| 91312 |
|
103 |
103 |
$212.43 |
| J1644 |
Inj heparin sodium per 1000u |
626 |
470 |
$201.98 |
| A4216 |
Sterile water/saline, 10 ml |
126 |
76 |
$199.67 |
| Q0247 |
Sotrovimab |
43 |
42 |
$198.99 |
| C1894 |
Intro/sheath, non-laser |
52 |
52 |
$195.55 |
| 86225 |
|
69 |
65 |
$193.79 |
| 84630 |
|
39 |
39 |
$193.16 |
| 88311 |
|
66 |
65 |
$192.45 |
| 86160 |
|
28 |
28 |
$190.45 |
| 85044 |
|
220 |
209 |
$190.35 |
| 92552 |
|
19 |
12 |
$178.58 |
| 3046F |
|
309 |
297 |
$177.00 |
| 1170F |
|
694 |
677 |
$177.00 |
| 1006F |
|
107 |
104 |
$177.00 |
| 71048 |
|
14 |
14 |
$176.58 |
| 90381 |
|
15 |
15 |
$175.77 |
| J2001 |
Lidocaine injection |
5,959 |
5,141 |
$172.20 |
| 72040 |
|
28 |
28 |
$164.16 |
| 86430 |
|
57 |
56 |
$160.43 |
| 72070 |
|
12 |
12 |
$159.72 |
| 73552 |
|
25 |
24 |
$143.25 |
| C1887 |
Catheter, guiding |
38 |
38 |
$130.00 |
| 73060 |
|
15 |
14 |
$124.60 |
| 85660 |
|
49 |
49 |
$124.32 |
| J3475 |
Inj magnesium sulfate |
325 |
295 |
$122.41 |
| J0330 |
Succinycholine chloride inj |
338 |
337 |
$122.35 |
| J7512 |
Prednisone ir or dr oral 1mg |
2,239 |
1,428 |
$114.50 |
| 83519 |
|
12 |
12 |
$99.12 |
| 88302 |
|
71 |
53 |
$89.64 |
| 82552 |
|
65 |
65 |
$81.06 |
| J2272 |
Inj, morphine (fresenius) |
40 |
39 |
$78.53 |
| J1815 |
Insulin injection |
47 |
39 |
$78.30 |
| 93000 |
|
57 |
57 |
$76.20 |
| J2930 |
Methylprednisolone injection |
126 |
114 |
$67.91 |
| 87210 |
|
34 |
34 |
$66.62 |
| Q0162 |
Ondansetron oral |
1,279 |
1,190 |
$59.80 |
| J2060 |
Lorazepam injection |
629 |
596 |
$59.40 |
| 83516 |
|
17 |
16 |
$58.79 |
| J1741 |
Ibuprofen injection |
14 |
13 |
$57.69 |
| 84132 |
|
324 |
313 |
$53.99 |
| J1953 |
Levetiracetam injection |
31 |
24 |
$49.00 |
| 85384 |
|
40 |
38 |
$48.30 |
| J1040 |
Methylprednisolone 80 mg inj |
27 |
27 |
$47.60 |
| 90658 |
|
119 |
119 |
$46.28 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
198 |
193 |
$40.69 |
| 73070 |
|
12 |
12 |
$39.86 |
| J3370 |
Vancomycin hcl injection |
48 |
46 |
$37.89 |
| J1630 |
Haloperidol injection |
181 |
159 |
$24.85 |
| S0077 |
Injection, clindamycin phosp |
13 |
13 |
$20.68 |
| A6223 |
Gauze >16<=48 no w/sal w/o b |
97 |
96 |
$15.51 |
| J2370 |
Phenylephrine hcl injection |
27 |
27 |
$13.82 |
| J1030 |
Methylprednisolone 40 mg inj |
27 |
27 |
$12.58 |
| 70360 |
|
39 |
39 |
$12.00 |
| J3301 |
Triamcinolone acet inj nos |
12 |
12 |
$11.06 |
| J0780 |
Prochlorperazine injection |
13 |
12 |
$10.36 |
| A4606 |
Oxygen probe used w oximeter |
137 |
137 |
$10.00 |
| J0736 |
Inj, clindamycin phosp 300mg |
15 |
13 |
$9.60 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
41 |
41 |
$6.50 |
| 91300 |
|
6,793 |
5,912 |
$6.24 |
| 82009 |
|
41 |
39 |
$6.11 |
| J1836 |
Inj, metronidazole, 10 mg |
12 |
12 |
$3.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
17 |
16 |
$1.80 |
| 91307 |
|
90 |
85 |
$0.66 |
| 91305 |
|
17 |
17 |
$0.15 |
| 91301 |
|
118 |
118 |
$0.14 |
| Q0243 |
Casirivimab and imdevimab |
35 |
23 |
$0.09 |
| 91306 |
|
44 |
43 |
$0.07 |
| 3079F |
|
755 |
743 |
$0.06 |
| 3074F |
|
1,293 |
1,273 |
$0.05 |
| 3075F |
|
485 |
476 |
$0.05 |
| 3078F |
|
1,431 |
1,407 |
$0.04 |
| 3051F |
|
99 |
98 |
$0.02 |
| 4004F |
|
130 |
55 |
$0.00 |
| G8482 |
Flu immunize order/admin |
5,683 |
5,600 |
$0.00 |
| 3288F |
|
429 |
415 |
$0.00 |
| 3077F |
|
381 |
375 |
$0.00 |
| 3016F |
|
66 |
66 |
$0.00 |
| 99499 |
|
38 |
25 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
10,452 |
9,889 |
$0.00 |
| 3023F |
|
253 |
253 |
$0.00 |
| A4550 |
Surgical trays |
76 |
76 |
$0.00 |
| 73000 |
|
12 |
12 |
$0.00 |
| 3045F |
|
31 |
30 |
$0.00 |
| A4246 |
Betadine/phisohex solution |
12 |
12 |
$0.00 |
| 99080 |
|
42 |
12 |
$0.00 |
| S1015 |
Iv tubing extension set |
27 |
27 |
$0.00 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
18 |
12 |
$0.00 |
| A4320 |
Irrigation tray |
36 |
36 |
$0.00 |
| 3048F |
|
244 |
241 |
$0.00 |
| 2015F |
|
279 |
279 |
$0.00 |
| 3080F |
|
42 |
42 |
$0.00 |
| 3044F |
|
822 |
794 |
$0.00 |
| 3052F |
|
16 |
16 |
$0.00 |
| A4461 |
Surgicl dress hold non-reuse |
274 |
274 |
$0.00 |
| 99429 |
|
776 |
464 |
$0.00 |
| 99024 |
|
15 |
15 |
$0.00 |
| 2016F |
|
318 |
318 |
$0.00 |
| 4037F |
|
457 |
455 |
$0.00 |
| 3049F |
|
128 |
127 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
98 |
94 |
$0.00 |
| S2900 |
Robotic surgical system |
12 |
12 |
$0.00 |
| 91303 |
|
42 |
42 |
$0.00 |