| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
90,944 |
89,392 |
$8.19M |
| J0585 |
Injection,onabotulinumtoxina |
4,720 |
3,600 |
$5.84M |
| 0450 |
|
73,512 |
70,936 |
$5.57M |
| Z7500 |
|
159,401 |
150,251 |
$5.42M |
| 87635 |
|
100,342 |
94,233 |
$4.21M |
| 0113 |
|
1,738 |
1,711 |
$3.28M |
| 41899 |
|
1,498 |
1,455 |
$2.70M |
| 0123 |
|
1,207 |
1,193 |
$1.86M |
| 0510 |
|
40,799 |
36,534 |
$1.41M |
| 93325 |
|
9,579 |
9,259 |
$1.26M |
| 99199 |
|
10,228 |
9,370 |
$1.00M |
| 90378 |
|
529 |
489 |
$929K |
| 0360 |
|
7,776 |
6,102 |
$836K |
| G0463 |
Hospital outpt clinic visit |
20,598 |
18,954 |
$835K |
| 99284 |
|
2,389 |
2,171 |
$809K |
| J1745 |
Infliximab not biosimil 10mg |
462 |
433 |
$801K |
| 0710 |
|
8,170 |
7,822 |
$792K |
| 99285 |
|
847 |
753 |
$690K |
| 93306 |
|
3,223 |
3,168 |
$666K |
| Z7502 |
|
17,327 |
17,057 |
$661K |
| J0475 |
Baclofen 10 mg injection |
639 |
616 |
$619K |
| 87633 |
|
2,924 |
2,861 |
$600K |
| 93303 |
|
3,122 |
3,060 |
$573K |
| 85025 |
|
58,180 |
51,667 |
$506K |
| 80053 |
|
37,526 |
33,855 |
$482K |
| 93005 |
|
16,523 |
15,937 |
$439K |
| 0636 |
|
1,398 |
1,363 |
$428K |
| 95810 |
|
1,414 |
1,397 |
$400K |
| 99499 |
|
7,570 |
6,571 |
$395K |
| 99212 |
|
13,937 |
11,507 |
$384K |
| 99282 |
|
2,445 |
2,216 |
$379K |
| 0760 |
|
58,408 |
53,430 |
$364K |
| 0250 |
|
5,266 |
4,018 |
$345K |
| J1569 |
Gammagard liquid injection |
412 |
190 |
$344K |
| 93975 |
|
2,428 |
2,350 |
$342K |
| 72082 |
|
5,504 |
5,435 |
$336K |
| G9012 |
Other specified case mgmt |
661 |
613 |
$308K |
| 70553 |
|
723 |
707 |
$303K |
| 0410 |
|
914 |
903 |
$301K |
| 93320 |
|
3,551 |
3,476 |
$273K |
| G0378 |
Hospital observation per hr |
7,060 |
6,726 |
$269K |
| 0301 |
|
1,864 |
1,810 |
$261K |
| 71046 |
|
8,362 |
7,941 |
$259K |
| 76770 |
|
3,989 |
3,913 |
$254K |
| 97110 |
|
22,131 |
6,471 |
$254K |
| V5298 |
Hearing aid noc |
185 |
185 |
$242K |
| 0456 |
|
5,190 |
5,033 |
$236K |
| Z5942 |
|
1,754 |
789 |
$224K |
| 92588 |
|
4,066 |
3,990 |
$213K |
| 92507 |
|
15,458 |
6,143 |
$210K |
| 99221 |
|
2,766 |
2,639 |
$205K |
| 99213 |
|
10,724 |
9,860 |
$199K |
| 95782 |
|
273 |
269 |
$189K |
| Z4307 |
|
3,584 |
3,565 |
$184K |
| 87631 |
|
3,071 |
3,029 |
$181K |
| 92700 |
|
2,239 |
2,162 |
$166K |
| 92557 |
|
2,371 |
2,306 |
$162K |
| 0370 |
|
408 |
390 |
$150K |
| 73090 |
|
5,158 |
4,190 |
$149K |
| J3490 |
Drugs unclassified injection |
10,664 |
7,276 |
$149K |
| 92567 |
|
6,699 |
6,586 |
$149K |
| 72170 |
|
5,095 |
4,994 |
$147K |
| 99244 |
|
2,985 |
2,839 |
$144K |
| 76705 |
|
2,284 |
2,191 |
$143K |
| 0258 |
|
2,398 |
2,351 |
$135K |
| 0306 |
|
1,519 |
1,486 |
$134K |
| X4300 |
|
1,322 |
1,299 |
$124K |
| 99203 |
|
4,746 |
4,536 |
$121K |
| 96360 |
|
2,259 |
2,175 |
$121K |
| 83036 |
|
13,302 |
13,183 |
$117K |
| 73630 |
|
3,954 |
3,664 |
$116K |
| 96365 |
|
1,643 |
1,469 |
$111K |
| 0320 |
|
1,441 |
1,414 |
$110K |
| 97799 |
|
8,000 |
2,992 |
$109K |
| 73610 |
|
4,100 |
3,758 |
$105K |
| 92523 |
|
1,698 |
1,641 |
$105K |
| 99202 |
|
2,663 |
2,274 |
$102K |
| 73100 |
|
4,163 |
3,687 |
$102K |
| 84443 |
|
10,697 |
10,503 |
$100K |
| 88305 |
|
1,939 |
1,898 |
$100K |
| X4304 |
|
3,842 |
1,775 |
$99K |
| Z5924 |
|
1,622 |
1,609 |
$95K |
| 97750 |
|
4,552 |
3,375 |
$92K |
| X4303 |
|
1,729 |
934 |
$91K |
| 93304 |
|
856 |
830 |
$91K |
| 70450 |
|
606 |
597 |
$88K |
| 93321 |
|
2,063 |
1,977 |
$85K |
| Z5958 |
|
449 |
428 |
$83K |
| Z7610 |
|
5,582 |
4,101 |
$81K |
| 96374 |
|
1,874 |
1,673 |
$77K |
| 80307 |
|
1,513 |
1,440 |
$77K |
| 87636 |
|
755 |
727 |
$77K |
| 0272 |
|
2,316 |
2,197 |
$74K |
| 82306 |
|
5,945 |
5,811 |
$74K |
| 94640 |
|
2,779 |
2,561 |
$70K |
| 97763 |
|
1,900 |
963 |
$69K |
| 96361 |
|
2,513 |
2,234 |
$68K |
| 0271 |
|
2,935 |
2,795 |
$68K |
| 74019 |
|
1,994 |
1,906 |
$66K |
| 73590 |
|
2,595 |
2,168 |
$66K |
| 97139 |
|
10,980 |
1,974 |
$66K |
| 73070 |
|
2,453 |
2,189 |
$65K |
| 93226 |
|
837 |
813 |
$64K |
| 80197 |
|
3,504 |
2,257 |
$64K |
| 74018 |
|
3,497 |
3,314 |
$64K |
| 87086 |
|
11,316 |
10,663 |
$63K |
| Z4308 |
|
2,204 |
2,177 |
$62K |
| 73130 |
|
2,214 |
2,054 |
$62K |
| 73080 |
|
2,031 |
1,837 |
$61K |
| 86140 |
|
10,149 |
9,654 |
$61K |
| Z5916 |
|
1,362 |
1,357 |
$59K |
| 76700 |
|
740 |
722 |
$59K |
| Z5910 |
|
1,547 |
1,501 |
$59K |
| 0402 |
|
301 |
298 |
$58K |
| 73140 |
|
3,339 |
3,022 |
$58K |
| 87799 |
|
799 |
643 |
$58K |
| 83735 |
|
7,531 |
6,049 |
$58K |
| 99211 |
|
3,607 |
3,037 |
$58K |
| 94010 |
|
3,283 |
3,211 |
$57K |
| J1100 |
Dexamethasone sodium phos |
8,625 |
8,083 |
$56K |
| 73110 |
|
2,057 |
1,954 |
$55K |
| 0305 |
|
1,696 |
1,665 |
$54K |
| 87581 |
|
2,854 |
2,804 |
$54K |
| 87486 |
|
2,854 |
2,804 |
$54K |
| 77073 |
|
1,436 |
1,355 |
$52K |
| 43239 |
|
313 |
305 |
$52K |
| 97802 |
|
894 |
885 |
$50K |
| 76825 |
|
305 |
299 |
$48K |
| 93225 |
|
836 |
815 |
$47K |
| T1014 |
Telehealth transmit, per min |
10,590 |
5,238 |
$46K |
| 82728 |
|
3,968 |
3,242 |
$45K |
| 74177 |
|
145 |
144 |
$44K |
| 51741 |
|
2,206 |
2,031 |
$43K |
| 92521 |
|
1,051 |
1,033 |
$43K |
| 0302 |
|
1,171 |
1,155 |
$42K |
| 96372 |
|
1,299 |
1,109 |
$42K |
| Z5936 |
|
568 |
564 |
$42K |
| X3920 |
|
824 |
824 |
$41K |
| 97530 |
|
973 |
481 |
$40K |
| 86003 |
|
1,893 |
1,765 |
$39K |
| 92508 |
|
3,436 |
1,357 |
$38K |
| 84100 |
|
6,963 |
5,572 |
$38K |
| Z4310 |
|
3,095 |
3,093 |
$37K |
| J1642 |
Inj heparin sodium per 10 u |
8,049 |
4,378 |
$37K |
| 80061 |
|
9,979 |
9,819 |
$37K |
| P9016 |
Rbc leukocytes reduced |
97 |
84 |
$36K |
| 97165 |
|
1,705 |
1,624 |
$36K |
| 99238 |
|
1,140 |
1,131 |
$35K |
| 97010 |
|
4,703 |
2,171 |
$34K |
| 76870 |
|
650 |
641 |
$34K |
| 73620 |
|
804 |
734 |
$33K |
| Z4311 |
|
2,707 |
2,690 |
$32K |
| Z5406 |
|
2,613 |
2,610 |
$32K |
| 87491 |
|
3,638 |
3,542 |
$31K |
| 96413 |
|
774 |
728 |
$31K |
| J2704 |
Inj, propofol, 10 mg |
3,605 |
2,794 |
$31K |
| 73562 |
|
1,152 |
1,108 |
$30K |
| 76827 |
|
317 |
308 |
$29K |
| 87591 |
|
3,285 |
3,200 |
$29K |
| 99214 |
|
1,754 |
1,544 |
$29K |
| Z5914 |
|
128 |
127 |
$28K |
| 82784 |
|
3,516 |
3,315 |
$28K |
| 96375 |
|
1,208 |
952 |
$28K |
| 80048 |
|
1,936 |
1,821 |
$26K |
| 85652 |
|
8,879 |
8,493 |
$26K |
| Z7506 |
|
185 |
185 |
$26K |
| 87798 |
|
1,514 |
1,436 |
$25K |
| 51784 |
|
374 |
325 |
$25K |
| 99231 |
|
439 |
416 |
$25K |
| 82977 |
|
4,373 |
4,125 |
$24K |
| 92582 |
|
667 |
663 |
$24K |
| 87186 |
|
3,562 |
3,434 |
$24K |
| 85027 |
|
6,397 |
6,206 |
$24K |
| S0119 |
Ondansetron 4 mg |
864 |
781 |
$23K |
| 92587 |
|
410 |
383 |
$23K |
| 73060 |
|
135 |
119 |
$23K |
| 92579 |
|
1,009 |
1,003 |
$23K |
| Z4312 |
|
1,881 |
1,867 |
$23K |
| 73000 |
|
1,001 |
949 |
$23K |
| 87497 |
|
370 |
308 |
$22K |
| 83690 |
|
3,119 |
2,949 |
$22K |
| 77072 |
|
1,668 |
1,645 |
$22K |
| 73564 |
|
879 |
867 |
$22K |
| J0690 |
Cefazolin sodium injection |
1,741 |
1,651 |
$22K |
| 83970 |
|
387 |
383 |
$21K |
| A9585 |
Gadobutrol injection |
1,326 |
1,282 |
$21K |
| 84439 |
|
5,215 |
5,142 |
$21K |
| 82570 |
|
3,251 |
2,934 |
$21K |
| 51798 |
|
1,962 |
1,785 |
$21K |
| 84305 |
|
1,070 |
1,066 |
$20K |
| 95819 |
|
292 |
281 |
$20K |
| 93308 |
|
240 |
231 |
$19K |
| 83540 |
|
3,414 |
3,321 |
$19K |
| 87081 |
|
12,917 |
12,567 |
$18K |
| 0206 |
|
12 |
12 |
$18K |
| 12011 |
|
509 |
498 |
$18K |
| Z4302 |
|
1,144 |
1,144 |
$18K |
| 86480 |
|
383 |
380 |
$18K |
| 83550 |
|
3,067 |
2,983 |
$18K |
| 85045 |
|
4,318 |
3,895 |
$18K |
| Z5822 |
|
929 |
491 |
$17K |
| 64642 |
|
1,011 |
1,004 |
$17K |
| 0270 |
|
5,382 |
4,435 |
$17K |
| 82947 |
|
5,954 |
5,676 |
$17K |
| 0300 |
|
104 |
100 |
$17K |
| 87661 |
|
2,109 |
2,049 |
$17K |
| 25600 |
|
1,127 |
1,054 |
$17K |
| X3908 |
|
659 |
232 |
$17K |
| 84436 |
|
3,227 |
3,159 |
$17K |
| V5264 |
Ear mold/insert |
337 |
336 |
$17K |
| J2405 |
Ondansetron hcl injection |
1,173 |
1,010 |
$17K |
| 99201 |
|
657 |
543 |
$16K |
| 95874 |
|
1,922 |
1,915 |
$16K |
| 87040 |
|
1,281 |
1,205 |
$16K |
| 64643 |
|
809 |
806 |
$16K |
| 81001 |
|
6,116 |
5,639 |
$16K |
| 82610 |
|
965 |
942 |
$15K |
| 87880 |
|
2,429 |
2,293 |
$15K |
| 88300 |
|
1,574 |
1,530 |
$15K |
| 97803 |
|
452 |
420 |
$15K |
| J2175 |
Meperidine hydrochl /100 mg |
1,963 |
1,885 |
$15K |
| 80076 |
|
2,257 |
2,161 |
$14K |
| 76885 |
|
172 |
170 |
$14K |
| 99218 |
|
78 |
77 |
$13K |
| 99291 |
|
13 |
13 |
$13K |
| 85610 |
|
2,971 |
2,714 |
$13K |
| 73560 |
|
464 |
427 |
$13K |
| 96409 |
|
1,543 |
1,186 |
$13K |
| 83516 |
|
1,991 |
1,917 |
$13K |
| 73721 |
|
91 |
91 |
$13K |
| 71045 |
|
674 |
661 |
$13K |
| 85730 |
|
1,964 |
1,832 |
$12K |
| Z5908 |
|
276 |
262 |
$12K |
| 86355 |
|
1,018 |
919 |
$12K |
| 86359 |
|
1,020 |
921 |
$12K |
| J9370 |
Vincristine sulfate 1 mg inj |
1,655 |
1,219 |
$12K |
| 87811 |
|
277 |
274 |
$12K |
| L4350 |
Ankle control ortho pre ots |
228 |
218 |
$11K |
| 81015 |
|
3,155 |
3,051 |
$11K |
| Z7514 |
|
193 |
158 |
$11K |
| 97116 |
|
655 |
340 |
$11K |
| 86360 |
|
996 |
899 |
$11K |
| 99243 |
|
361 |
278 |
$11K |
| Z5932 |
|
287 |
284 |
$11K |
| 96415 |
|
153 |
145 |
$11K |
| 87071 |
|
2,615 |
2,551 |
$11K |
| 96366 |
|
155 |
130 |
$11K |
| 86357 |
|
980 |
884 |
$11K |
| J3010 |
Fentanyl citrate injection |
564 |
491 |
$10K |
| 84460 |
|
6,445 |
6,001 |
$10K |
| J1885 |
Ketorolac tromethamine inj |
542 |
497 |
$10K |
| 87046 |
|
1,122 |
1,088 |
$10K |
| 0730 |
|
84 |
83 |
$10K |
| 87496 |
|
204 |
179 |
$9K |
| 87804 |
|
901 |
865 |
$9K |
| X4542 |
|
196 |
194 |
$9K |
| 85384 |
|
856 |
800 |
$9K |
| 82670 |
|
229 |
227 |
$9K |
| 84156 |
|
2,445 |
2,129 |
$9K |
| X3910 |
|
545 |
192 |
$9K |
| 99204 |
|
471 |
450 |
$9K |
| 99070 |
|
836 |
594 |
$9K |
| Z5956 |
|
326 |
324 |
$8K |
| 82785 |
|
1,271 |
1,255 |
$8K |
| 81000 |
|
2,633 |
2,484 |
$8K |
| 0307 |
|
302 |
294 |
$8K |
| 84450 |
|
5,011 |
4,825 |
$8K |
| 73030 |
|
345 |
333 |
$7K |
| 73660 |
|
429 |
392 |
$7K |
| 0761 |
|
11,747 |
11,001 |
$7K |
| X4100 |
|
147 |
147 |
$7K |
| 17110 |
|
1,470 |
1,434 |
$7K |
| 81025 |
|
2,203 |
2,114 |
$7K |
| 86923 |
|
145 |
117 |
$7K |
| 99215 |
Prolong outpt/office vis |
219 |
164 |
$7K |
| 88304 |
|
652 |
635 |
$7K |
| 12001 |
|
242 |
239 |
$7K |
| T4534 |
Youth size pull-on |
39 |
39 |
$6K |
| X4110 |
|
272 |
155 |
$6K |
| 99460 |
|
91 |
91 |
$6K |
| 73551 |
|
198 |
189 |
$6K |
| 64644 |
|
41 |
41 |
$6K |
| G9920 |
Scrning perf and negative |
381 |
381 |
$6K |
| 25605 |
|
159 |
154 |
$6K |
| 83615 |
|
885 |
710 |
$6K |
| 94060 |
|
195 |
193 |
$6K |
| 83002 |
|
716 |
713 |
$6K |
| X4500 |
|
68 |
68 |
$6K |
| 74455 |
|
79 |
79 |
$6K |
| Z5928 |
|
144 |
142 |
$5K |
| 87045 |
|
1,125 |
1,090 |
$5K |
| 29075 |
|
677 |
652 |
$5K |
| 87205 |
|
1,583 |
1,534 |
$5K |
| 86850 |
|
654 |
561 |
$5K |
| 42820 |
|
61 |
61 |
$5K |
| 92555 |
|
266 |
264 |
$5K |
| 83880 |
|
211 |
189 |
$5K |
| 86225 |
|
656 |
602 |
$5K |
| J7354 |
Cantharidin top, applicator |
13 |
13 |
$5K |
| 87400 |
|
209 |
197 |
$5K |
| T4541 |
Large disposable underpad |
170 |
168 |
$5K |
| V5267 |
Hearing aid sup/access/dev |
148 |
147 |
$5K |
| 99281 |
|
69 |
60 |
$5K |
| 80180 |
|
287 |
208 |
$5K |
| 82139 |
|
190 |
167 |
$5K |
| L3260 |
Ambulatory surgical boot eac |
96 |
96 |
$4K |
| 82550 |
|
679 |
653 |
$4K |
| Z5930 |
|
164 |
160 |
$4K |
| 82248 |
|
1,137 |
978 |
$4K |
| 93786 |
|
158 |
157 |
$4K |
| 99234 |
|
90 |
82 |
$4K |
| 85007 |
|
1,972 |
1,886 |
$4K |
| 87806 |
|
319 |
313 |
$4K |
| 82247 |
|
1,945 |
1,523 |
$4K |
| 72100 |
|
160 |
160 |
$4K |
| J0136 |
Inj, acetaminophen (b braun) |
571 |
562 |
$4K |
| Z5906 |
|
77 |
72 |
$4K |
| 83655 |
|
6,911 |
6,824 |
$4K |
| 99462 |
|
106 |
86 |
$4K |
| 85048 |
|
995 |
896 |
$4K |
| Z7512 |
|
137 |
137 |
$4K |
| 99217 |
|
113 |
112 |
$3K |
| 73600 |
|
127 |
115 |
$3K |
| J2250 |
Inj midazolam hydrochloride |
478 |
435 |
$3K |
| 76819 |
|
38 |
36 |
$3K |
| X4112 |
|
219 |
118 |
$3K |
| 97161 |
|
409 |
283 |
$3K |
| 76820 |
|
98 |
91 |
$3K |
| 86376 |
|
249 |
246 |
$3K |
| 84478 |
|
772 |
737 |
$3K |
| 86901 |
|
1,021 |
902 |
$3K |
| 82465 |
|
1,124 |
1,089 |
$3K |
| 95117 |
|
213 |
89 |
$3K |
| 86900 |
|
1,022 |
902 |
$3K |
| 83993 |
|
400 |
391 |
$3K |
| J7611 |
Albuterol non-comp con |
1,009 |
861 |
$3K |
| J2930 |
Methylprednisolone injection |
246 |
187 |
$3K |
| 84630 |
|
279 |
277 |
$3K |
| 83519 |
|
162 |
162 |
$3K |
| 82043 |
|
395 |
385 |
$3K |
| 83525 |
|
1,049 |
1,029 |
$3K |
| 84145 |
|
101 |
97 |
$3K |
| 93017 |
|
27 |
27 |
$3K |
| 86769 |
|
174 |
173 |
$3K |
| 26720 |
|
237 |
214 |
$3K |
| 99157 |
|
46 |
44 |
$3K |
| J0131 |
Inj, acetaminophen (nos) |
64 |
46 |
$2K |
| 84403 |
|
466 |
466 |
$2K |
| 96367 |
|
51 |
46 |
$2K |
| 84446 |
|
149 |
148 |
$2K |
| 84550 |
|
515 |
474 |
$2K |
| 83021 |
|
357 |
326 |
$2K |
| 83001 |
|
332 |
312 |
$2K |
| E0570 |
Nebulizer with compression |
53 |
51 |
$2K |
| 29425 |
|
233 |
179 |
$2K |
| 29125 |
|
152 |
142 |
$2K |
| 94664 |
|
176 |
169 |
$2K |
| 00000 |
|
82 |
39 |
$2K |
| G0480 |
Drug test def 1-7 classes |
31 |
27 |
$2K |
| 82330 |
|
117 |
110 |
$2K |
| 76010 |
|
54 |
54 |
$2K |
| 84484 |
|
143 |
141 |
$2K |
| X4540 |
|
64 |
64 |
$2K |
| 86160 |
|
56 |
54 |
$2K |
| X4532 |
|
67 |
65 |
$2K |
| J1170 |
Hydromorphone injection |
254 |
234 |
$2K |
| 80230 |
|
53 |
53 |
$2K |
| C9290 |
Inj, bupivacaine liposome |
13 |
13 |
$2K |
| 84590 |
|
107 |
107 |
$2K |
| 80299 |
|
80 |
77 |
$2K |
| 74230 |
|
26 |
26 |
$2K |
| 76377 |
|
15 |
15 |
$2K |
| 94680 |
|
29 |
29 |
$2K |
| 82565 |
|
1,450 |
1,128 |
$2K |
| 86665 |
|
110 |
108 |
$2K |
| J1200 |
Diphenhydramine hcl injectio |
274 |
198 |
$1K |
| 95115 |
|
374 |
174 |
$1K |
| 82150 |
|
185 |
181 |
$1K |
| 96450 |
|
423 |
380 |
$1K |
| 98960 |
|
29 |
28 |
$1K |
| 86780 |
|
229 |
224 |
$1K |
| 69436 |
|
28 |
28 |
$1K |
| 87899 |
|
748 |
368 |
$1K |
| Z5922 |
|
25 |
25 |
$1K |
| Z5934 |
|
19 |
19 |
$1K |
| 29065 |
|
193 |
187 |
$1K |
| A4927 |
Non-sterile gloves |
182 |
180 |
$1K |
| 64640 |
|
17 |
17 |
$1K |
| 51600 |
|
78 |
78 |
$1K |
| J9260 |
Inj methotrexate sodium 50mg |
733 |
468 |
$1K |
| Q0162 |
Ondansetron oral |
866 |
579 |
$1K |
| 84480 |
|
101 |
101 |
$1K |
| J2001 |
Lidocaine injection |
64 |
55 |
$1K |
| 72070 |
|
27 |
24 |
$997.75 |
| 71020 |
|
102 |
66 |
$983.87 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
186 |
185 |
$979.50 |
| 92012 |
|
354 |
338 |
$897.75 |
| 24530 |
|
15 |
14 |
$887.93 |
| 70360 |
|
91 |
90 |
$880.46 |
| 86800 |
|
64 |
64 |
$862.61 |
| 82607 |
|
164 |
158 |
$853.66 |
| Z5968 |
|
26 |
26 |
$849.94 |
| 99232 |
|
12 |
12 |
$836.40 |
| 93788 |
|
158 |
157 |
$828.41 |
| 85379 |
|
48 |
48 |
$799.29 |
| 94644 |
|
51 |
50 |
$776.95 |
| Z7508 |
|
13 |
13 |
$760.11 |
| Z4314 |
|
39 |
36 |
$748.02 |
| 80074 |
|
26 |
25 |
$741.40 |
| 92004 |
|
219 |
219 |
$719.99 |
| 51701 |
|
17 |
13 |
$718.29 |
| 82803 |
|
30 |
30 |
$691.38 |
| 92014 |
|
262 |
260 |
$655.04 |
| 90471 |
|
315 |
309 |
$647.81 |
| 12002 |
|
25 |
25 |
$632.80 |
| 86664 |
|
109 |
107 |
$631.28 |
| J0696 |
Ceftriaxone sodium injection |
92 |
84 |
$631.26 |
| Z4301 |
|
26 |
26 |
$626.60 |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$545.85 |
| 95816 |
|
12 |
12 |
$533.17 |
| 87015 |
|
387 |
380 |
$519.06 |
| 80069 |
|
86 |
78 |
$514.02 |
| 82310 |
|
94 |
85 |
$509.32 |
| 76000 |
|
36 |
36 |
$474.15 |
| 76536 |
|
16 |
16 |
$470.85 |
| 82525 |
|
39 |
39 |
$468.67 |
| 84295 |
|
101 |
98 |
$463.87 |
| 97014 |
|
29 |
16 |
$445.70 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
44 |
41 |
$437.69 |
| 76856 |
|
15 |
13 |
$433.50 |
| V5014 |
Hearing aid repair/modifying |
28 |
28 |
$426.40 |
| S9470 |
Nutritional counseling, diet |
65 |
64 |
$416.00 |
| 88342 |
|
41 |
39 |
$415.11 |
| 84702 |
|
41 |
39 |
$395.90 |
| 77080 |
|
14 |
14 |
$384.58 |
| 11900 |
|
119 |
118 |
$380.28 |
| 84132 |
|
62 |
61 |
$377.62 |
| 92015 |
|
817 |
816 |
$352.42 |
| 72040 |
|
13 |
13 |
$352.04 |
| 84402 |
|
81 |
81 |
$346.57 |
| 88108 |
|
485 |
428 |
$344.65 |
| 89051 |
|
499 |
443 |
$335.69 |
| 84134 |
|
15 |
15 |
$309.75 |
| A4335 |
Incontinence supply |
174 |
174 |
$308.89 |
| 82105 |
|
16 |
15 |
$298.08 |
| 84520 |
|
815 |
606 |
$294.15 |
| Q0163 |
Diphenhydramine hcl 50mg |
198 |
192 |
$285.88 |
| J7644 |
Ipratropium bromide non-comp |
257 |
227 |
$285.60 |
| S0020 |
Injection, bupivicaine hydro |
14 |
13 |
$284.76 |
| 86747 |
|
13 |
13 |
$276.90 |
| T1024 |
Team evaluation & management |
14 |
14 |
$261.80 |
| 98967 |
|
227 |
221 |
$258.48 |
| J0688 |
Inj cefazolin sodium, hikma |
99 |
99 |
$255.90 |
| 86628 |
|
15 |
15 |
$251.31 |
| 99366 |
|
149 |
143 |
$248.97 |
| 85240 |
|
12 |
12 |
$236.58 |
| 29450 |
|
20 |
12 |
$229.60 |
| 87328 |
|
148 |
136 |
$226.46 |
| A6250 |
Skin seal protect moisturizr |
186 |
186 |
$226.35 |
| 93246 |
|
14 |
13 |
$215.91 |
| 87338 |
|
86 |
86 |
$215.16 |
| 85014 |
|
76 |
74 |
$208.88 |
| 29130 |
|
64 |
63 |
$207.88 |
| 93356 |
|
13 |
13 |
$207.05 |
| A0429 |
Bls-emergency |
32 |
16 |
$201.50 |
| 87389 |
|
12 |
12 |
$197.28 |
| 87329 |
|
147 |
135 |
$192.35 |
| 82945 |
|
498 |
440 |
$162.47 |
| 87181 |
|
148 |
139 |
$158.36 |
| 82085 |
|
25 |
24 |
$150.00 |
| 86038 |
|
27 |
27 |
$149.58 |
| J1720 |
Hydrocortisone sodium succ i |
14 |
13 |
$140.78 |
| A7015 |
Aerosol mask used w nebulize |
27 |
26 |
$140.45 |
| 82746 |
|
25 |
25 |
$139.26 |
| 82390 |
|
12 |
12 |
$138.00 |
| 84157 |
|
481 |
425 |
$137.14 |
| 86308 |
|
69 |
68 |
$127.11 |
| A0425 |
Ground mileage |
156 |
152 |
$124.91 |
| J8540 |
Oral dexamethasone |
180 |
137 |
$122.44 |
| 90686 |
|
53 |
53 |
$115.70 |
| J3535 |
Metered dose inhaler drug |
39 |
36 |
$66.63 |
| 85018 |
|
100 |
96 |
$62.79 |
| 92060 |
|
32 |
31 |
$58.03 |
| 82272 |
|
13 |
12 |
$47.23 |
| 82533 |
|
12 |
12 |
$41.87 |
| 84681 |
|
12 |
12 |
$39.64 |
| 74000 |
|
27 |
18 |
$25.00 |
| 82627 |
|
13 |
13 |
$14.40 |
| S0302 |
Completed epsdt |
17 |
17 |
$8.00 |
| 36415 |
|
22 |
21 |
$0.00 |
| J9250 |
Methotrexate sodium inj |
14 |
12 |
$0.00 |
| A0999 |
Unlisted ambulance service |
198 |
55 |
$0.00 |
| 36591 |
|
78 |
57 |
$0.00 |
| 0310 |
|
12 |
12 |
$0.00 |
| T4531 |
Ped size pull-on sm/med |
25 |
24 |
$0.00 |