| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
135,081 |
120,422 |
$17.63M |
| 99283 |
|
74,790 |
71,232 |
$13.49M |
| 99214 |
|
75,695 |
69,771 |
$11.68M |
| 99284 |
|
57,792 |
55,576 |
$11.55M |
| J1745 |
Infliximab not biosimil 10mg |
4,984 |
4,559 |
$10.36M |
| 96413 |
|
10,656 |
9,573 |
$10.01M |
| 99285 |
|
36,285 |
34,272 |
$9.70M |
| 96366 |
|
8,437 |
5,933 |
$7.73M |
| J1561 |
Gamunex-c/gammaked |
4,042 |
3,113 |
$7.55M |
| 41899 |
|
4,012 |
3,807 |
$7.22M |
| 69436 |
|
4,364 |
4,306 |
$6.99M |
| 42820 |
|
3,109 |
3,088 |
$6.79M |
| 96361 |
|
8,492 |
7,289 |
$5.54M |
| 43239 |
|
5,455 |
5,314 |
$5.27M |
| J3490 |
Drugs unclassified injection |
17,887 |
14,189 |
$4.55M |
| 70551 |
|
12,440 |
11,974 |
$4.54M |
| G0378 |
Hospital observation per hr |
34,661 |
18,650 |
$4.28M |
| 93303 |
|
14,615 |
13,659 |
$4.22M |
| 93306 |
|
13,274 |
12,465 |
$3.84M |
| 96365 |
|
14,927 |
9,793 |
$3.68M |
| 99391 |
|
30,078 |
28,257 |
$3.61M |
| Q5103 |
Injection, inflectra |
1,640 |
1,458 |
$3.57M |
| 90834 |
|
10,878 |
5,892 |
$3.41M |
| 87635 |
|
63,187 |
59,391 |
$3.26M |
| 99392 |
|
29,844 |
29,782 |
$3.18M |
| 99282 |
|
18,811 |
17,939 |
$3.18M |
| 70553 |
|
4,158 |
4,001 |
$3.13M |
| 76770 |
|
16,075 |
15,608 |
$3.10M |
| J0585 |
Injection,onabotulinumtoxina |
3,109 |
2,917 |
$3.08M |
| 49452 |
|
2,643 |
2,427 |
$2.94M |
| 99215 |
Prolong outpt/office vis |
14,452 |
12,981 |
$2.84M |
| J1569 |
Gammagard liquid injection |
1,212 |
943 |
$2.74M |
| 99393 |
|
27,851 |
27,817 |
$2.69M |
| D2930 |
|
17,246 |
4,241 |
$2.67M |
| 95810 |
|
2,165 |
2,130 |
$2.46M |
| 42830 |
|
1,128 |
1,123 |
$2.23M |
| D1120 |
|
49,812 |
42,970 |
$2.20M |
| 54161 |
|
1,087 |
1,084 |
$2.08M |
| 95782 |
|
1,739 |
1,720 |
$2.01M |
| 97803 |
|
25,407 |
24,323 |
$2.00M |
| 99394 |
|
19,849 |
19,810 |
$2.00M |
| 87637 |
|
14,881 |
14,291 |
$1.92M |
| 97110 |
|
19,937 |
9,885 |
$1.86M |
| 92567 |
|
34,355 |
33,611 |
$1.81M |
| 93325 |
|
18,820 |
17,458 |
$1.80M |
| D7140 |
|
22,293 |
7,763 |
$1.73M |
| 97530 |
|
20,651 |
10,263 |
$1.71M |
| 92587 |
|
9,292 |
9,195 |
$1.66M |
| 45380 |
|
1,056 |
1,033 |
$1.64M |
| 99212 |
|
12,459 |
12,155 |
$1.59M |
| 99219 |
|
11,764 |
6,858 |
$1.46M |
| 92610 |
|
10,554 |
10,080 |
$1.43M |
| D1206 |
|
64,475 |
55,508 |
$1.42M |
| J0131 |
Inj, acetaminophen (nos) |
34,700 |
31,940 |
$1.41M |
| 76700 |
|
7,270 |
7,053 |
$1.36M |
| D0120 |
|
53,894 |
46,235 |
$1.34M |
| 82306 |
|
50,181 |
48,687 |
$1.32M |
| 94010 |
|
11,938 |
11,171 |
$1.26M |
| 94640 |
|
17,171 |
12,469 |
$1.23M |
| 95819 |
|
3,372 |
3,269 |
$1.14M |
| D8670 |
|
7,432 |
5,687 |
$1.12M |
| 93005 |
|
59,850 |
54,478 |
$1.09M |
| 97802 |
|
13,024 |
12,767 |
$1.09M |
| 76856 |
|
5,821 |
5,611 |
$1.08M |
| 92507 |
|
7,860 |
2,918 |
$1.06M |
| 87631 |
|
9,483 |
9,257 |
$1.02M |
| 73721 |
|
3,430 |
3,251 |
$987K |
| 64640 |
|
1,092 |
836 |
$985K |
| 96375 |
|
14,917 |
12,413 |
$964K |
| 96110 |
|
11,294 |
10,214 |
$959K |
| 36430 |
|
2,176 |
1,723 |
$951K |
| 71046 |
|
29,320 |
27,012 |
$914K |
| 0241U |
|
12,034 |
11,526 |
$901K |
| 29075 |
|
3,178 |
2,847 |
$860K |
| D1351 |
|
30,184 |
8,707 |
$845K |
| 92555 |
|
11,111 |
10,896 |
$833K |
| U0002 |
Covid-19 lab test non-cdc |
17,832 |
16,521 |
$830K |
| D1110 |
|
13,844 |
12,014 |
$787K |
| 85025 |
|
114,872 |
102,822 |
$785K |
| 95708 |
|
1,624 |
1,018 |
$770K |
| 92014 |
|
5,732 |
5,644 |
$768K |
| 76705 |
|
6,112 |
5,868 |
$767K |
| 74230 |
|
4,290 |
4,192 |
$746K |
| 87591 |
|
24,534 |
23,509 |
$715K |
| 99395 |
|
7,467 |
7,422 |
$715K |
| 87491 |
|
24,737 |
23,721 |
$711K |
| 51600 |
|
1,452 |
1,422 |
$707K |
| 72082 |
|
8,591 |
8,326 |
$697K |
| D2392 |
|
7,817 |
4,298 |
$686K |
| 92579 |
|
11,702 |
11,496 |
$654K |
| 92607 |
|
5,457 |
5,277 |
$650K |
| 99173 |
|
22,921 |
22,863 |
$647K |
| 84443 |
|
44,121 |
42,805 |
$631K |
| D0272 |
|
25,570 |
22,145 |
$620K |
| 96360 |
|
3,343 |
3,197 |
$616K |
| 29065 |
|
2,229 |
1,968 |
$608K |
| 97161 |
|
5,880 |
5,744 |
$608K |
| 81229 |
|
968 |
876 |
$575K |
| 95953 |
|
742 |
494 |
$570K |
| 90837 |
|
1,127 |
704 |
$566K |
| J2704 |
Inj, propofol, 10 mg |
44,079 |
41,787 |
$565K |
| D2391 |
|
7,957 |
4,550 |
$558K |
| D8080 |
|
715 |
516 |
$557K |
| 87632 |
|
3,607 |
3,506 |
$549K |
| S9485 |
Crisis intervention mental h |
951 |
475 |
$545K |
| 86003 |
|
9,545 |
9,222 |
$541K |
| 92004 |
|
3,969 |
3,906 |
$533K |
| 92060 |
|
7,077 |
6,844 |
$531K |
| D0140 |
|
13,684 |
11,463 |
$513K |
| 76820 |
|
4,535 |
4,129 |
$505K |
| D0330 |
|
8,910 |
7,559 |
$500K |
| 97162 |
|
3,955 |
3,855 |
$499K |
| 92523 |
|
3,743 |
3,645 |
$498K |
| 90471 |
|
87,024 |
85,605 |
$496K |
| 51741 |
|
1,947 |
1,812 |
$491K |
| D0150 |
|
9,876 |
8,690 |
$485K |
| 92552 |
|
4,608 |
4,556 |
$457K |
| 96127 |
|
9,658 |
9,611 |
$453K |
| J3380 |
Inj vedolizumab iv 1 mg |
65 |
64 |
$448K |
| 82728 |
|
37,047 |
34,679 |
$447K |
| 90791 |
|
894 |
863 |
$433K |
| 92582 |
|
8,570 |
8,385 |
$430K |
| 92558 |
|
12,308 |
12,271 |
$426K |
| 92611 |
|
3,958 |
3,868 |
$420K |
| 76886 |
|
2,587 |
2,495 |
$394K |
| 88305 |
|
9,890 |
9,566 |
$391K |
| 77072 |
|
5,957 |
5,796 |
$380K |
| 72148 |
|
2,760 |
2,684 |
$365K |
| 88307 |
|
1,185 |
1,055 |
$363K |
| 73521 |
|
6,053 |
5,858 |
$361K |
| D0274 |
|
10,487 |
9,144 |
$360K |
| 95812 |
|
623 |
612 |
$360K |
| 82784 |
|
28,397 |
26,807 |
$357K |
| 92557 |
|
3,176 |
3,101 |
$355K |
| 12011 |
|
1,239 |
1,213 |
$339K |
| 85027 |
|
57,667 |
53,921 |
$329K |
| 29405 |
|
1,146 |
901 |
$328K |
| 93976 |
|
2,056 |
1,984 |
$325K |
| 54640 |
|
196 |
196 |
$324K |
| 76536 |
|
2,224 |
2,161 |
$323K |
| 72081 |
|
4,108 |
4,008 |
$322K |
| 99222 |
|
1,938 |
1,208 |
$316K |
| 99381 |
|
3,153 |
2,955 |
$315K |
| 90847 |
|
742 |
596 |
$311K |
| 80307 |
|
6,195 |
5,637 |
$311K |
| 90651 |
|
3,246 |
3,213 |
$310K |
| 90832 |
|
1,247 |
990 |
$309K |
| D2150 |
|
3,645 |
2,077 |
$308K |
| 76882 |
|
2,160 |
2,061 |
$303K |
| 83735 |
|
53,370 |
46,143 |
$300K |
| 72141 |
|
1,575 |
1,532 |
$297K |
| 80053 |
|
35,628 |
32,422 |
$293K |
| 94618 |
|
1,898 |
1,769 |
$293K |
| 83655 |
|
26,030 |
25,871 |
$292K |
| 95715 |
|
304 |
246 |
$292K |
| 86481 |
|
4,003 |
3,947 |
$292K |
| 86923 |
|
5,237 |
4,541 |
$291K |
| 74455 |
|
1,302 |
1,278 |
$287K |
| 72197 |
|
409 |
405 |
$287K |
| 76870 |
|
2,140 |
2,067 |
$285K |
| 73610 |
|
6,870 |
6,339 |
$285K |
| 73630 |
|
6,310 |
5,962 |
$284K |
| 87880 |
|
19,679 |
18,977 |
$282K |
| 81025 |
|
30,942 |
28,463 |
$282K |
| 93017 |
|
2,054 |
1,985 |
$277K |
| 87661 |
|
9,531 |
9,149 |
$273K |
| 73590 |
|
5,297 |
4,568 |
$262K |
| 84439 |
|
33,337 |
32,145 |
$262K |
| 83970 |
|
7,586 |
7,169 |
$256K |
| 72170 |
|
3,932 |
3,803 |
$252K |
| 74018 |
|
4,177 |
3,910 |
$250K |
| D0220 |
|
16,025 |
13,267 |
$246K |
| 90686 |
|
15,529 |
15,291 |
$240K |
| 87799 |
|
5,621 |
4,796 |
$238K |
| 93975 |
|
827 |
795 |
$235K |
| 92250 |
|
5,311 |
4,972 |
$232K |
| 83036 |
|
26,817 |
26,150 |
$232K |
| 81479 |
|
685 |
592 |
$229K |
| 99441 |
|
1,539 |
1,508 |
$228K |
| 92551 |
|
1,752 |
1,751 |
$228K |
| 73090 |
|
4,929 |
3,889 |
$223K |
| 73560 |
|
4,894 |
4,631 |
$222K |
| 73100 |
|
3,113 |
2,433 |
$219K |
| 80048 |
|
30,027 |
25,028 |
$219K |
| 94060 |
|
1,250 |
1,195 |
$218K |
| A9585 |
Gadobutrol injection |
4,861 |
4,687 |
$215K |
| 90846 |
|
531 |
439 |
$215K |
| 74019 |
|
9,051 |
8,612 |
$213K |
| 92585 |
|
674 |
643 |
$213K |
| 86008 |
|
2,409 |
2,258 |
$206K |
| 76821 |
|
2,971 |
2,691 |
$203K |
| 82248 |
|
42,797 |
38,368 |
$200K |
| 86832 |
|
1,132 |
987 |
$197K |
| D2330 |
|
2,914 |
1,473 |
$196K |
| 86141 |
|
16,081 |
14,442 |
$196K |
| 90792 |
|
340 |
336 |
$191K |
| D9230 |
|
11,198 |
8,913 |
$191K |
| 92340 |
|
9,043 |
7,526 |
$189K |
| 73140 |
|
4,077 |
3,644 |
$188K |
| 94726 |
|
1,583 |
1,509 |
$188K |
| 86833 |
|
1,102 |
959 |
$186K |
| 92556 |
|
4,214 |
4,156 |
$183K |
| 93320 |
|
15,037 |
14,008 |
$183K |
| 92553 |
|
1,618 |
1,594 |
$182K |
| 86480 |
|
3,485 |
3,432 |
$182K |
| 87086 |
|
25,632 |
24,147 |
$179K |
| 88185 |
|
746 |
685 |
$178K |
| 76825 |
|
2,829 |
2,690 |
$177K |
| 44970 |
|
39 |
39 |
$177K |
| 92015 |
|
9,530 |
9,270 |
$176K |
| D3220 |
|
2,043 |
1,283 |
$176K |
| D2331 |
|
2,249 |
1,079 |
$175K |
| 87081 |
|
30,489 |
29,561 |
$174K |
| J2405 |
Ondansetron hcl injection |
43,499 |
39,299 |
$174K |
| 92608 |
|
3,677 |
3,560 |
$173K |
| 83540 |
|
30,612 |
29,133 |
$167K |
| 83550 |
|
22,599 |
21,634 |
$166K |
| 0001A |
|
3,841 |
3,782 |
$161K |
| 0002A |
|
3,616 |
3,569 |
$160K |
| 93225 |
|
2,095 |
2,032 |
$160K |
| 97165 |
|
1,250 |
1,233 |
$157K |
| 80051 |
|
26,896 |
24,907 |
$157K |
| 51728 |
|
290 |
278 |
$156K |
| 86850 |
|
13,069 |
11,551 |
$155K |
| 70486 |
|
893 |
837 |
$152K |
| 77077 |
|
2,678 |
2,592 |
$152K |
| T2023 |
Targeted case mgmt per month |
631 |
630 |
$152K |
| 86140 |
|
34,055 |
31,471 |
$152K |
| 88184 |
|
1,779 |
1,390 |
$150K |
| 87389 |
|
7,621 |
7,472 |
$150K |
| 83516 |
|
11,977 |
11,237 |
$149K |
| 91200 |
|
1,130 |
1,106 |
$147K |
| 82785 |
|
9,764 |
9,411 |
$147K |
| C1769 |
Guide wire |
3,118 |
2,666 |
$147K |
| 73080 |
|
3,287 |
2,892 |
$144K |
| 76811 |
|
895 |
868 |
$143K |
| 83001 |
|
6,527 |
6,369 |
$142K |
| 92285 |
|
2,676 |
2,570 |
$139K |
| 20680 |
|
42 |
36 |
$136K |
| 84403 |
|
6,189 |
6,067 |
$134K |
| J7120 |
Ringers lactate infusion |
2,460 |
2,306 |
$133K |
| 80076 |
|
25,381 |
23,815 |
$130K |
| J1642 |
Inj heparin sodium per 10 u |
6,036 |
3,578 |
$129K |
| 31526 |
|
215 |
200 |
$126K |
| 87077 |
|
15,166 |
14,365 |
$123K |
| 76827 |
|
2,829 |
2,690 |
$121K |
| J2250 |
Inj midazolam hydrochloride |
17,766 |
16,784 |
$120K |
| 0071A |
|
2,657 |
2,625 |
$120K |
| 86317 |
|
3,660 |
2,240 |
$119K |
| 73552 |
|
2,089 |
1,871 |
$116K |
| 86355 |
|
4,005 |
3,682 |
$116K |
| 0399T |
|
923 |
874 |
$115K |
| J1720 |
Hydrocortisone sodium succ i |
5,158 |
4,737 |
$115K |
| 0072A |
|
2,527 |
2,510 |
$114K |
| 92609 |
|
1,246 |
944 |
$114K |
| 74183 |
|
374 |
373 |
$114K |
| 73110 |
|
3,183 |
2,916 |
$113K |
| J2997 |
Alteplase recombinant |
691 |
109 |
$112K |
| 99383 |
|
1,115 |
1,112 |
$112K |
| 86356 |
|
1,526 |
891 |
$112K |
| 96415 |
|
182 |
162 |
$111K |
| 49500 |
|
29 |
29 |
$109K |
| J1050 |
Medroxyprogesterone acetate |
2,485 |
2,476 |
$108K |
| 99442 |
|
703 |
700 |
$107K |
| 82565 |
|
38,193 |
35,030 |
$107K |
| 73130 |
|
2,760 |
2,529 |
$107K |
| 87798 |
|
1,442 |
1,393 |
$106K |
| 82805 |
|
1,676 |
1,565 |
$105K |
| 80061 |
|
19,956 |
18,868 |
$104K |
| 92083 |
|
1,596 |
1,509 |
$103K |
| 83002 |
|
6,500 |
6,342 |
$103K |
| 99382 |
|
942 |
940 |
$103K |
| 85045 |
|
29,147 |
25,377 |
$102K |
| 74240 |
|
474 |
472 |
$99K |
| 80050 |
|
4,930 |
4,766 |
$99K |
| 85652 |
|
41,606 |
38,529 |
$98K |
| 90472 |
|
40,220 |
39,865 |
$96K |
| 92018 |
|
173 |
160 |
$96K |
| 84466 |
|
9,006 |
8,540 |
$95K |
| 80197 |
|
9,159 |
5,752 |
$93K |
| 24538 |
|
26 |
26 |
$93K |
| 82627 |
|
4,682 |
4,580 |
$90K |
| D2335 |
|
714 |
316 |
$88K |
| 92133 |
|
1,789 |
1,710 |
$88K |
| 96401 |
|
14 |
12 |
$88K |
| 73070 |
|
1,320 |
1,150 |
$88K |
| 74712 |
|
354 |
339 |
$87K |
| 97804 |
|
953 |
948 |
$87K |
| 86360 |
|
3,550 |
3,325 |
$86K |
| 83718 |
|
11,774 |
11,627 |
$86K |
| 83690 |
|
14,992 |
14,166 |
$86K |
| 85246 |
|
4,358 |
3,973 |
$86K |
| 93226 |
|
2,097 |
2,033 |
$83K |
| D2140 |
|
1,218 |
781 |
$83K |
| 87070 |
|
11,479 |
10,954 |
$83K |
| 83021 |
|
4,909 |
4,655 |
$82K |
| 84305 |
|
4,766 |
4,642 |
$82K |
| J1644 |
Inj heparin sodium per 1000u |
5,945 |
1,928 |
$81K |
| J1885 |
Ketorolac tromethamine inj |
30,137 |
23,217 |
$81K |
| 64643 |
|
438 |
428 |
$80K |
| 83520 |
|
2,611 |
2,282 |
$80K |
| 87186 |
|
10,447 |
9,833 |
$79K |
| 90378 |
|
194 |
187 |
$78K |
| D0230 |
|
7,862 |
4,442 |
$77K |
| 96374 |
|
15,353 |
13,453 |
$77K |
| D0210 |
|
1,810 |
1,442 |
$74K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,053 |
997 |
$73K |
| 76857 |
|
396 |
384 |
$73K |
| 84146 |
|
4,489 |
4,361 |
$72K |
| 85007 |
|
22,604 |
19,710 |
$71K |
| 94729 |
|
1,287 |
1,212 |
$71K |
| 86357 |
|
3,382 |
3,154 |
$70K |
| 0054A |
|
1,631 |
1,594 |
$70K |
| 83880 |
|
2,565 |
2,294 |
$69K |
| 87497 |
|
2,148 |
1,900 |
$68K |
| 90480 |
|
1,916 |
1,887 |
$68K |
| 85610 |
|
19,307 |
17,477 |
$68K |
| 85730 |
|
12,898 |
12,031 |
$67K |
| 84100 |
|
54,954 |
46,941 |
$67K |
| 88342 |
|
2,181 |
1,974 |
$67K |
| 99384 |
|
603 |
601 |
$66K |
| 82150 |
|
10,411 |
9,911 |
$66K |
| 92134 |
|
1,213 |
1,141 |
$65K |
| 87040 |
|
7,379 |
6,794 |
$65K |
| 92604 |
|
53 |
41 |
$63K |
| 93356 |
|
6,855 |
6,335 |
$63K |
| 93304 |
|
138 |
128 |
$63K |
| 97112 |
|
949 |
508 |
$62K |
| 86160 |
|
3,329 |
3,002 |
$62K |
| 82607 |
|
4,850 |
4,679 |
$62K |
| 90691 |
|
2,469 |
2,465 |
$61K |
| 86803 |
|
4,826 |
4,721 |
$61K |
| 71250 |
|
294 |
284 |
$60K |
| 82040 |
|
8,360 |
7,628 |
$59K |
| D8660 |
|
2,780 |
2,461 |
$59K |
| 70360 |
|
1,434 |
1,383 |
$58K |
| 92652 |
|
862 |
841 |
$58K |
| 77080 |
|
494 |
473 |
$57K |
| 95816 |
|
161 |
159 |
$56K |
| D2393 |
|
592 |
386 |
$56K |
| 71555 |
|
217 |
210 |
$56K |
| 70450 |
|
249 |
245 |
$56K |
| 90670 |
|
4,690 |
4,616 |
$55K |
| 99211 |
|
492 |
455 |
$55K |
| D0145 |
|
2,192 |
2,078 |
$55K |
| 64642 |
|
312 |
302 |
$54K |
| 85055 |
|
1,822 |
1,633 |
$54K |
| 81003 |
|
26,820 |
25,204 |
$54K |
| 12001 |
|
193 |
190 |
$53K |
| 82570 |
|
10,977 |
9,780 |
$52K |
| 87496 |
|
1,943 |
1,707 |
$52K |
| 72195 |
|
251 |
249 |
$52K |
| D2332 |
|
449 |
266 |
$52K |
| 82247 |
|
12,429 |
10,620 |
$51K |
| 86665 |
|
1,808 |
1,735 |
$51K |
| ATP16 |
|
6,303 |
5,141 |
$51K |
| 72146 |
|
1,123 |
1,093 |
$51K |
| 87184 |
|
5,463 |
5,190 |
$50K |
| ATP09 |
|
7,802 |
5,781 |
$50K |
| 86900 |
|
13,599 |
12,021 |
$49K |
| 87205 |
|
9,614 |
9,234 |
$49K |
| 96372 |
|
6,105 |
5,676 |
$49K |
| 82139 |
|
3,683 |
2,694 |
$48K |
| A0434 |
Specialty care transport |
71 |
68 |
$47K |
| S0020 |
Injection, bupivicaine hydro |
1,902 |
1,801 |
$46K |
| 73564 |
|
647 |
638 |
$46K |
| 84270 |
|
2,360 |
2,326 |
$46K |
| D9920 |
|
1,229 |
775 |
$46K |
| 84702 |
|
3,646 |
3,394 |
$46K |
| ATP07 |
|
6,856 |
5,826 |
$46K |
| 86901 |
|
13,165 |
11,676 |
$45K |
| 83498 |
|
1,941 |
1,905 |
$45K |
| 82465 |
|
14,047 |
13,819 |
$44K |
| C1725 |
Cath, translumin non-laser |
328 |
258 |
$44K |
| 87046 |
|
2,273 |
2,153 |
$44K |
| 71045 |
|
1,956 |
1,806 |
$44K |
| 67311 |
|
12 |
12 |
$44K |
| 76776 |
|
250 |
248 |
$43K |
| 86376 |
|
3,319 |
3,232 |
$42K |
| 29345 |
|
156 |
126 |
$42K |
| 64644 |
|
369 |
354 |
$42K |
| J0690 |
Cefazolin sodium injection |
11,137 |
8,590 |
$42K |
| 81001 |
|
15,188 |
14,252 |
$41K |
| 74177 |
|
179 |
178 |
$41K |
| 82397 |
|
3,011 |
2,888 |
$40K |
| 73000 |
|
724 |
660 |
$39K |
| 90715 |
|
2,248 |
2,229 |
$39K |
| J3010 |
Fentanyl citrate injection |
11,770 |
11,384 |
$39K |
| 82379 |
|
2,908 |
2,731 |
$39K |
| 86038 |
|
3,696 |
3,556 |
$38K |
| 70544 |
|
321 |
304 |
$38K |
| ATP14 |
|
4,458 |
3,855 |
$38K |
| 87467 |
|
1,249 |
1,214 |
$38K |
| 80069 |
|
6,588 |
5,478 |
$38K |
| 84134 |
|
3,188 |
2,991 |
$38K |
| 86618 |
|
1,994 |
1,902 |
$37K |
| 84460 |
|
35,309 |
32,440 |
$37K |
| D0340 |
|
1,311 |
1,165 |
$37K |
| 82533 |
|
2,168 |
2,001 |
$36K |
| 82610 |
|
2,586 |
2,467 |
$36K |
| J7644 |
Ipratropium bromide non-comp |
8,371 |
7,452 |
$36K |
| 82670 |
|
1,439 |
1,403 |
$36K |
| 97164 |
|
398 |
389 |
$35K |
| 87502 |
|
433 |
429 |
$34K |
| 84446 |
|
3,004 |
2,881 |
$34K |
| 86706 |
|
3,632 |
3,531 |
$34K |
| D0240 |
|
2,564 |
1,930 |
$34K |
| ATP08 |
|
4,677 |
4,041 |
$33K |
| 95700 |
|
2,113 |
1,835 |
$33K |
| 83525 |
|
3,280 |
3,177 |
$33K |
| 86364 |
|
5,632 |
5,457 |
$32K |
| 86255 |
|
1,883 |
1,786 |
$32K |
| 82105 |
|
2,011 |
1,933 |
$32K |
| 84590 |
|
3,489 |
3,339 |
$32K |
| 82746 |
|
2,515 |
2,435 |
$32K |
| 93308 |
|
168 |
166 |
$31K |
| 94680 |
|
615 |
595 |
$31K |
| 86834 |
|
109 |
91 |
$31K |
| 90734 |
|
1,053 |
1,046 |
$30K |
| 31624 |
|
25 |
25 |
$30K |
| 82977 |
|
20,109 |
17,859 |
$30K |
| 84132 |
|
2,710 |
1,988 |
$30K |
| 84450 |
|
25,820 |
23,076 |
$30K |
| 83631 |
|
1,936 |
1,847 |
$29K |
| 84520 |
|
37,122 |
33,838 |
$29K |
| 86774 |
|
2,173 |
2,093 |
$29K |
| 99188 |
|
1,118 |
1,093 |
$29K |
| 88304 |
|
2,129 |
2,097 |
$29K |
| 84630 |
|
3,106 |
2,972 |
$29K |
| G0480 |
Drug test def 1-7 classes |
602 |
572 |
$29K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
5,896 |
5,184 |
$29K |
| 31622 |
|
24 |
24 |
$28K |
| J1100 |
Dexamethasone sodium phos |
11,171 |
9,911 |
$28K |
| 51798 |
|
1,572 |
1,451 |
$28K |
| J0696 |
Ceftriaxone sodium injection |
5,918 |
4,908 |
$27K |
| J2270 |
Morphine sulfate injection |
15,906 |
13,182 |
$27K |
| 86800 |
|
2,037 |
1,866 |
$27K |
| 85240 |
|
1,627 |
1,556 |
$27K |
| 0004A |
|
659 |
636 |
$27K |
| 86835 |
|
111 |
92 |
$27K |
| 36000 |
|
592 |
543 |
$27K |
| 80164 |
|
2,463 |
2,271 |
$26K |
| 84156 |
|
8,490 |
7,427 |
$26K |
| 82043 |
|
5,442 |
4,983 |
$25K |
| Q0162 |
Ondansetron oral |
20,128 |
18,722 |
$25K |
| 0052A |
|
566 |
553 |
$25K |
| 85245 |
|
1,229 |
1,200 |
$25K |
| 87209 |
|
1,291 |
1,179 |
$25K |
| 72100 |
|
606 |
600 |
$24K |
| P9040 |
Rbc leukoreduced irradiated |
1,036 |
840 |
$24K |
| ATP17 |
|
3,029 |
2,428 |
$24K |
| 10060 |
|
108 |
106 |
$24K |
| 93321 |
|
394 |
374 |
$24K |
| 91322 |
|
906 |
883 |
$23K |
| 90716 |
|
1,865 |
1,857 |
$23K |
| 54163 |
|
12 |
12 |
$23K |
| 86592 |
|
5,651 |
5,522 |
$22K |
| 86352 |
|
280 |
245 |
$22K |
| ATP15 |
|
2,597 |
2,213 |
$22K |
| 73030 |
|
611 |
580 |
$22K |
| 83993 |
|
1,494 |
1,416 |
$22K |
| 95951 |
|
39 |
25 |
$21K |
| 0051A |
|
471 |
464 |
$21K |
| 80177 |
|
1,950 |
1,841 |
$21K |
| 82525 |
|
2,015 |
1,928 |
$21K |
| 82947 |
|
24,614 |
23,024 |
$21K |
| D9310 |
|
384 |
372 |
$21K |
| C1893 |
Intro/sheath, fixed,non-peel |
411 |
322 |
$21K |
| 83605 |
|
2,203 |
1,961 |
$20K |
| 85379 |
|
2,322 |
2,084 |
$20K |
| 87106 |
|
2,076 |
2,015 |
$20K |
| 84480 |
|
1,598 |
1,511 |
$20K |
| G0008 |
Admin influenza virus vac |
11,386 |
11,350 |
$20K |
| 85384 |
|
2,548 |
2,357 |
$20K |
| 0111A |
|
440 |
433 |
$20K |
| 90685 |
|
1,781 |
1,777 |
$20K |
| D1354 |
|
1,646 |
654 |
$19K |
| 82542 |
|
861 |
792 |
$19K |
| G0483 |
Drug test def 22+ classes |
373 |
353 |
$19K |
| V5264 |
Ear mold/insert |
441 |
387 |
$19K |
| ATP03 |
|
3,490 |
2,914 |
$19K |
| 82652 |
|
559 |
544 |
$18K |
| 82550 |
|
8,253 |
7,523 |
$18K |
| J0295 |
Ampicillin sulbactam 1.5 gm |
2,130 |
1,311 |
$18K |
| 90633 |
|
3,679 |
3,639 |
$18K |
| 90680 |
|
5,299 |
5,202 |
$18K |
| 70543 |
|
66 |
64 |
$18K |
| 0112A |
|
391 |
389 |
$18K |
| J2795 |
Ropivacaine hcl injection |
2,310 |
1,551 |
$17K |
| 88313 |
|
634 |
585 |
$17K |
| 86341 |
|
530 |
322 |
$17K |
| 87529 |
|
294 |
287 |
$17K |
| 87340 |
|
1,882 |
1,824 |
$17K |
| 82010 |
|
2,271 |
1,886 |
$17K |
| ATP02 |
|
4,050 |
3,388 |
$17K |
| 87501 |
|
375 |
191 |
$17K |
| 83615 |
|
13,067 |
11,384 |
$17K |
| 83789 |
|
744 |
676 |
$17K |
| ATP04 |
|
3,036 |
2,497 |
$17K |
| 88161 |
|
435 |
375 |
$17K |
| 83721 |
|
3,531 |
3,389 |
$16K |
| J7030 |
Normal saline solution infus |
2,332 |
1,948 |
$16K |
| 86769 |
|
405 |
396 |
$16K |
| 82803 |
|
971 |
858 |
$16K |
| 99203 |
|
141 |
139 |
$16K |
| 73060 |
|
338 |
306 |
$16K |
| 73522 |
|
180 |
173 |
$15K |
| 75573 |
|
30 |
28 |
$15K |
| 80195 |
|
1,350 |
1,001 |
$15K |
| 81002 |
|
6,891 |
6,687 |
$15K |
| 90677 |
|
3,304 |
3,262 |
$15K |
| 88341 |
|
217 |
180 |
$15K |
| 87427 |
|
1,294 |
1,265 |
$14K |
| 90707 |
|
1,791 |
1,784 |
$14K |
| 81228 |
|
99 |
86 |
$14K |
| 82681 |
|
1,350 |
1,311 |
$14K |
| D2390 |
|
108 |
52 |
$14K |
| A0425 |
Ground mileage |
70 |
67 |
$14K |
| 87634 |
|
257 |
257 |
$14K |
| 82310 |
|
7,491 |
6,832 |
$13K |
| 84436 |
|
2,813 |
2,728 |
$13K |
| 73700 |
|
86 |
80 |
$13K |
| 73718 |
|
53 |
52 |
$13K |
| 73562 |
|
176 |
172 |
$12K |
| G0463 |
Hospital outpt clinic visit |
428 |
358 |
$12K |
| 51785 |
|
65 |
62 |
$12K |
| 82272 |
|
3,624 |
3,474 |
$12K |
| 97763 |
|
157 |
128 |
$12K |
| 87177 |
|
1,284 |
1,173 |
$12K |
| 87045 |
|
1,417 |
1,389 |
$12K |
| J1170 |
Hydromorphone injection |
6,169 |
5,462 |
$12K |
| 0154A |
|
270 |
258 |
$12K |
| 82340 |
|
1,857 |
1,766 |
$12K |
| 90853 |
|
110 |
53 |
$11K |
| 81243 |
|
699 |
521 |
$11K |
| 76376 |
|
1,602 |
1,495 |
$11K |
| 82787 |
|
498 |
484 |
$11K |
| 80183 |
|
959 |
900 |
$11K |
| 73660 |
|
220 |
203 |
$11K |
| 84145 |
|
1,220 |
1,140 |
$11K |
| 88108 |
|
363 |
327 |
$11K |
| 75557 |
|
129 |
120 |
$10K |
| ATP10 |
|
1,543 |
1,296 |
$10K |
| 99281 |
|
51 |
51 |
$10K |
| ATP06 |
|
1,700 |
1,412 |
$10K |
| J1200 |
Diphenhydramine hcl injectio |
1,557 |
1,216 |
$10K |
| 85018 |
|
4,777 |
4,725 |
$10K |
| 99204 |
|
65 |
65 |
$10K |
| 90620 |
|
224 |
223 |
$10K |
| 71260 |
|
79 |
78 |
$10K |
| 69210 |
|
135 |
134 |
$10K |
| 83883 |
|
899 |
876 |
$10K |
| 84484 |
|
905 |
828 |
$10K |
| 94760 |
|
7,985 |
7,371 |
$10K |
| 84075 |
|
8,524 |
7,384 |
$10K |
| 86231 |
|
1,191 |
1,161 |
$10K |
| 86258 |
|
1,111 |
1,104 |
$9K |
| 76000 |
|
495 |
467 |
$9K |
| 94681 |
|
61 |
61 |
$9K |
| 89230 |
|
193 |
192 |
$9K |
| 87449 |
|
938 |
898 |
$9K |
| 87338 |
|
675 |
674 |
$9K |
| 86905 |
|
707 |
664 |
$9K |
| 82103 |
|
719 |
701 |
$9K |
| 88262 |
|
83 |
78 |
$9K |
| 43762 |
|
39 |
37 |
$9K |
| 0074A |
|
190 |
190 |
$9K |
| ATP05 |
|
1,384 |
1,187 |
$9K |
| 92524 |
|
63 |
63 |
$8K |
| 90474 |
|
11,865 |
11,788 |
$8K |
| 86235 |
|
118 |
104 |
$8K |
| J7050 |
Normal saline solution infus |
677 |
545 |
$8K |
| V5275 |
Ear impression |
577 |
561 |
$8K |
| 73502 |
|
98 |
92 |
$8K |
| 82017 |
|
575 |
534 |
$8K |
| 87324 |
|
762 |
725 |
$8K |
| 82085 |
|
974 |
845 |
$8K |
| 73620 |
|
87 |
84 |
$8K |
| 99157 |
|
89 |
88 |
$8K |
| 72142 |
|
99 |
99 |
$7K |
| 76506 |
|
61 |
61 |
$7K |
| 73221 |
|
29 |
28 |
$7K |
| 93243 |
|
471 |
458 |
$7K |
| 86787 |
|
597 |
581 |
$7K |
| 80180 |
|
404 |
249 |
$7K |
| 93242 |
|
472 |
458 |
$7K |
| 86664 |
|
369 |
364 |
$7K |
| 90696 |
|
1,294 |
1,288 |
$7K |
| 76642 |
|
67 |
63 |
$7K |
| J2001 |
Lidocaine injection |
12,180 |
10,469 |
$7K |
| 86580 |
|
332 |
325 |
$7K |
| 96367 |
|
27 |
24 |
$7K |
| 51797 |
|
375 |
359 |
$7K |
| 84255 |
|
380 |
369 |
$7K |
| 90710 |
|
1,089 |
1,085 |
$7K |
| J0136 |
Inj, acetaminophen (b braun) |
1,397 |
1,217 |
$7K |
| 91122 |
|
12 |
12 |
$7K |
| 82330 |
|
729 |
647 |
$6K |
| 80175 |
|
665 |
625 |
$6K |
| 92593 |
|
89 |
85 |
$6K |
| 93788 |
|
66 |
66 |
$6K |
| M0247 |
Sotrovimab infusion |
14 |
14 |
$6K |
| 93971 |
|
87 |
82 |
$6K |
| 82390 |
|
677 |
659 |
$6K |
| 72040 |
|
222 |
217 |
$6K |
| 88142 |
|
340 |
336 |
$6K |
| V5160 |
Dispensing fee binaural |
12 |
12 |
$6K |
| 99443 |
|
35 |
35 |
$6K |
| 86039 |
|
609 |
550 |
$6K |
| 58300 |
|
12 |
12 |
$6K |
| J3360 |
Diazepam injection |
1,334 |
1,236 |
$6K |
| D0270 |
|
412 |
371 |
$6K |
| 76819 |
|
70 |
61 |
$6K |
| D1208 |
|
196 |
187 |
$6K |
| 82657 |
|
210 |
149 |
$5K |
| D9248 |
|
134 |
123 |
$5K |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
2,559 |
2,477 |
$5K |
| 97166 |
|
36 |
36 |
$5K |
| 99402 |
|
46 |
46 |
$5K |
| ATP11 |
|
710 |
623 |
$5K |
| G0379 |
Direct refer hospital observ |
79 |
78 |
$5K |
| 97168 |
|
44 |
44 |
$5K |
| D8999 |
|
126 |
104 |
$5K |
| 97116 |
|
124 |
70 |
$5K |
| 80502 |
|
287 |
181 |
$5K |
| 86225 |
|
402 |
395 |
$5K |
| 87536 |
|
77 |
73 |
$4K |
| 90656 |
|
2,658 |
2,644 |
$4K |
| 82960 |
|
779 |
775 |
$4K |
| J7611 |
Albuterol non-comp con |
9,826 |
8,090 |
$4K |
| 93886 |
|
24 |
24 |
$4K |
| 75565 |
|
393 |
378 |
$4K |
| 84478 |
|
3,023 |
2,820 |
$4K |
| 82140 |
|
309 |
267 |
$4K |
| D1510 |
|
20 |
13 |
$4K |
| 86644 |
|
330 |
310 |
$4K |
| 84550 |
|
3,524 |
3,293 |
$4K |
| 86682 |
|
317 |
314 |
$4K |
| 86308 |
|
809 |
797 |
$4K |
| 86337 |
|
198 |
196 |
$4K |
| 70250 |
|
139 |
130 |
$4K |
| ATP12 |
|
588 |
483 |
$4K |
| 51701 |
|
4,290 |
4,182 |
$4K |
| 82157 |
|
137 |
137 |
$4K |
| 81405 |
|
16 |
12 |
$4K |
| 92012 |
|
32 |
29 |
$3K |
| 90713 |
|
295 |
293 |
$3K |
| 0003A |
|
92 |
91 |
$3K |
| 72070 |
|
99 |
98 |
$3K |
| 72083 |
|
37 |
37 |
$3K |
| 82507 |
|
143 |
139 |
$3K |
| J2710 |
Neostigmine methylslfte inj |
3,180 |
2,904 |
$3K |
| 86147 |
|
52 |
51 |
$3K |
| 77073 |
|
55 |
53 |
$3K |
| 74181 |
|
19 |
13 |
$3K |
| 83986 |
|
912 |
880 |
$3K |
| 86902 |
|
42 |
37 |
$3K |
| 99385 |
|
27 |
27 |
$3K |
| ATP18 |
|
393 |
300 |
$3K |
| 90675 |
|
28 |
14 |
$3K |
| 92025 |
|
33 |
33 |
$3K |
| 83010 |
|
223 |
174 |
$3K |
| 88300 |
|
699 |
672 |
$3K |
| J7510 |
Prednisolone oral per 5 mg |
569 |
460 |
$2K |
| 95012 |
|
1,703 |
1,645 |
$2K |
| 72147 |
|
87 |
87 |
$2K |
| 86704 |
|
221 |
218 |
$2K |
| A4215 |
Sterile needle |
243 |
233 |
$2K |
| A4627 |
Spacer bag/reservoir |
1,453 |
1,353 |
$2K |
| 80230 |
|
44 |
41 |
$2K |
| 86015 |
|
235 |
228 |
$2K |
| 87269 |
|
148 |
141 |
$2K |
| J1265 |
Dopamine injection |
840 |
658 |
$2K |
| 92588 |
|
29 |
29 |
$2K |
| 96376 |
|
722 |
581 |
$2K |
| 89051 |
|
347 |
302 |
$2K |
| 94664 |
|
26 |
25 |
$2K |
| 76816 |
|
19 |
12 |
$2K |
| 88230 |
|
30 |
30 |
$2K |
| 82024 |
|
65 |
64 |
$2K |
| 86431 |
|
431 |
418 |
$2K |
| 86256 |
|
192 |
183 |
$2K |
| 92595 |
|
26 |
25 |
$2K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| J1756 |
Iron sucrose injection |
675 |
199 |
$2K |
| 69209 |
|
68 |
68 |
$2K |
| 90460 |
|
63 |
48 |
$2K |
| 76010 |
|
47 |
47 |
$2K |
| 90714 |
|
28 |
28 |
$2K |
| V5266 |
Battery for hearing device |
731 |
698 |
$2K |
| 82725 |
|
115 |
108 |
$2K |
| 93568 |
|
26 |
24 |
$2K |
| 99177 |
|
13,551 |
13,518 |
$2K |
| J2920 |
Methylprednisolone injection |
1,113 |
789 |
$2K |
| G0009 |
Admin pneumococcal vaccine |
3,984 |
3,979 |
$2K |
| 84295 |
|
2,115 |
1,870 |
$2K |
| J3535 |
Metered dose inhaler drug |
79 |
67 |
$2K |
| 84155 |
|
2,506 |
2,366 |
$2K |
| J8540 |
Oral dexamethasone |
7,646 |
7,002 |
$2K |
| 92370 |
|
35 |
25 |
$2K |
| S0077 |
Injection, clindamycin phosp |
41 |
27 |
$2K |
| 76604 |
|
27 |
27 |
$2K |
| 83919 |
|
140 |
126 |
$2K |
| 82180 |
|
209 |
206 |
$2K |
| 94727 |
|
32 |
28 |
$2K |
| 84681 |
|
100 |
97 |
$2K |
| 87210 |
|
780 |
758 |
$2K |
| 90381 |
|
179 |
178 |
$2K |
| 83930 |
|
265 |
253 |
$2K |
| 83090 |
|
146 |
141 |
$2K |
| 85014 |
|
763 |
631 |
$1K |
| A6250 |
Skin seal protect moisturizr |
853 |
801 |
$1K |
| 87522 |
Neg quan hep c or qual rna |
38 |
38 |
$1K |
| 99417 |
Prolong home eval add 15m |
367 |
357 |
$1K |
| 51792 |
|
51 |
51 |
$1K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
1,119 |
991 |
$1K |
| L4360 |
Pneumat walking boot pre cst |
1,204 |
1,170 |
$1K |
| L1830 |
Ko immob canvas long pre ots |
510 |
478 |
$1K |
| G0010 |
Admin hepatitis b vaccine |
2,424 |
2,422 |
$1K |
| 87220 |
|
312 |
306 |
$1K |
| 87101 |
|
164 |
155 |
$1K |
| 0296T |
|
65 |
56 |
$1K |
| 82435 |
|
1,307 |
1,179 |
$1K |
| 90717 |
|
13 |
13 |
$1K |
| 64645 |
|
100 |
97 |
$1K |
| 82820 |
|
97 |
90 |
$1K |
| 86880 |
|
136 |
121 |
$1K |
| J7040 |
Normal saline solution infus |
76 |
69 |
$1K |
| J0330 |
Succinycholine chloride inj |
683 |
647 |
$969.08 |
| 0297T |
|
65 |
56 |
$967.74 |
| 87254 |
|
24 |
24 |
$912.89 |
| ATP13 |
|
140 |
115 |
$903.87 |
| 83921 |
|
53 |
52 |
$869.37 |
| 88312 |
|
66 |
63 |
$863.99 |
| 86146 |
|
26 |
26 |
$853.10 |
| 86359 |
|
781 |
716 |
$851.51 |
| 88311 |
|
52 |
51 |
$844.02 |
| 90632 |
|
40 |
40 |
$822.90 |
| 70355 |
|
12 |
12 |
$806.60 |
| 82962 |
|
1,962 |
1,777 |
$795.09 |
| 84202 |
|
61 |
61 |
$791.44 |
| 84207 |
|
38 |
38 |
$788.00 |
| 99156 |
|
84 |
79 |
$771.55 |
| 0141A |
|
35 |
35 |
$769.27 |
| 92341 |
|
63 |
54 |
$765.60 |
| 83020 |
|
59 |
57 |
$743.12 |
| J1815 |
Insulin injection |
59 |
38 |
$743.10 |
| V5020 |
Conformity evaluation |
28 |
27 |
$727.52 |
| 80235 |
|
31 |
27 |
$696.59 |
| 85008 |
|
598 |
509 |
$693.54 |
| 86162 |
|
46 |
43 |
$692.78 |
| 85670 |
|
111 |
102 |
$681.21 |
| 76377 |
|
85 |
82 |
$679.55 |
| Q0144 |
Azithromycin dihydrate, oral |
222 |
205 |
$638.55 |
| 84999 |
|
131 |
127 |
$636.45 |
| Q0163 |
Diphenhydramine hcl 50mg |
2,650 |
2,251 |
$617.14 |
| D3120 |
|
18 |
12 |
$600.00 |
| 88346 |
|
14 |
13 |
$588.43 |
| 86765 |
|
40 |
39 |
$578.81 |
| 86945 |
|
30 |
26 |
$555.60 |
| 82626 |
|
24 |
24 |
$547.06 |
| J0610 |
Calcium glucon (fresenius) |
80 |
70 |
$526.11 |
| J2919 |
Inj, methylpred sod succ 5mg |
226 |
196 |
$518.22 |
| 86735 |
|
38 |
38 |
$496.50 |
| L3906 |
Who w/o joints cf |
1,483 |
1,430 |
$473.50 |
| Q9958 |
Hocm <=149 mg/ml iodine, 1ml |
478 |
463 |
$456.20 |
| 90658 |
|
554 |
543 |
$402.06 |
| J3475 |
Inj magnesium sulfate |
225 |
224 |
$390.22 |
| ATP19 |
|
43 |
37 |
$389.70 |
| J0171 |
Adrenalin epinephrine inject |
53 |
50 |
$386.09 |
| 0164A |
|
12 |
12 |
$383.73 |
| 80203 |
|
42 |
40 |
$372.67 |
| 85660 |
|
78 |
78 |
$359.96 |
| 82232 |
|
28 |
25 |
$348.21 |
| 86645 |
|
25 |
25 |
$341.78 |
| 86663 |
|
29 |
28 |
$296.87 |
| 90473 |
|
640 |
638 |
$276.40 |
| 86200 |
|
29 |
25 |
$251.24 |
| J2370 |
Phenylephrine hcl injection |
771 |
698 |
$244.86 |
| 84425 |
|
13 |
13 |
$243.36 |
| D9420 |
|
5,027 |
3,985 |
$240.00 |
| 84210 |
|
28 |
24 |
$233.87 |
| 84157 |
|
53 |
51 |
$209.73 |
| 86684 |
|
14 |
14 |
$195.58 |
| C1894 |
Intro/sheath, non-laser |
13 |
12 |
$191.75 |
| 82945 |
|
41 |
39 |
$181.63 |
| 86694 |
|
13 |
13 |
$171.95 |
| 80143 |
|
12 |
12 |
$164.40 |
| 51784 |
|
55 |
51 |
$161.74 |
| 86762 |
|
12 |
12 |
$160.08 |
| 80201 |
|
13 |
12 |
$159.90 |
| 86708 |
|
13 |
12 |
$135.21 |
| 81015 |
|
474 |
441 |
$129.40 |
| 86777 |
|
15 |
13 |
$127.34 |
| 83529 |
|
12 |
12 |
$123.88 |
| J2305 |
Inj, nitroglycerin, 5 mg |
14 |
13 |
$119.45 |
| 83051 |
|
27 |
16 |
$109.65 |
| 91305 |
|
848 |
776 |
$101.26 |
| 85732 |
|
15 |
15 |
$85.65 |
| 85049 |
|
17 |
12 |
$68.20 |
| 93288 |
|
14 |
13 |
$55.26 |
| 99411 |
|
16 |
16 |
$53.91 |
| 87299 |
|
14 |
12 |
$38.59 |
| J2060 |
Lorazepam injection |
28 |
26 |
$38.10 |
| 91300 |
|
2,502 |
2,063 |
$37.18 |
| J7613 |
Albuterol non-comp unit |
1,222 |
1,038 |
$35.78 |
| J1250 |
Inj dobutamine hcl/250 mg |
297 |
282 |
$35.06 |
| J0735 |
Clonidine hydrochloride |
231 |
228 |
$28.96 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
17 |
14 |
$27.02 |
| J7512 |
Prednisone ir or dr oral 1mg |
87 |
69 |
$26.35 |
| J0780 |
Prochlorperazine injection |
178 |
171 |
$20.74 |
| A4344 |
Cath indw foley 2 way silicn |
25 |
24 |
$18.85 |
| 95873 |
|
218 |
208 |
$9.81 |
| J7042 |
5% dextrose/normal saline |
448 |
389 |
$4.70 |
| 91321 |
|
601 |
600 |
$4.65 |
| 82374 |
|
46 |
38 |
$4.30 |
| 96381 |
|
48 |
48 |
$1.81 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
50 |
44 |
$1.76 |
| 90619 |
|
2,613 |
2,602 |
$1.00 |
| 90744 |
|
2,422 |
2,375 |
$0.26 |
| 90648 |
|
1,498 |
1,489 |
$0.00 |
| D0350 |
|
2,284 |
2,023 |
$0.00 |
| D2940 |
|
279 |
185 |
$0.00 |
| 91311 |
|
147 |
137 |
$0.00 |
| 90700 |
|
1,525 |
1,517 |
$0.00 |
| D9996 |
|
1,293 |
1,280 |
$0.00 |
| 72149 |
|
73 |
73 |
$0.00 |
| J8499 |
Oral prescrip drug non chemo |
69 |
49 |
$0.00 |
| 90380 |
|
32 |
30 |
$0.00 |
| 80339 |
|
26 |
25 |
$0.00 |
| 76001 |
|
25 |
25 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
25 |
14 |
$0.00 |
| J1643 |
Inj heparin, pfizer, 1000u |
66 |
13 |
$0.00 |
| 90661 |
|
73 |
73 |
$0.00 |
| D0470 |
|
1,277 |
1,031 |
$0.00 |
| 90657 |
|
267 |
265 |
$0.00 |
| 90698 |
|
2,953 |
2,905 |
$0.00 |
| 91307 |
|
958 |
854 |
$0.00 |
| 90697 |
|
2,801 |
2,744 |
$0.00 |
| D1330 |
|
2,110 |
1,983 |
$0.00 |
| D1353 |
|
596 |
273 |
$0.00 |
| D9995 |
|
2,842 |
2,648 |
$0.00 |
| 90634 |
|
436 |
435 |
$0.00 |
| L4350 |
Ankle control ortho pre ots |
59 |
57 |
$0.00 |
| 80352 |
|
60 |
52 |
$0.00 |
| J1940 |
Furosemide injection |
19 |
14 |
$0.00 |
| 93246 |
|
13 |
13 |
$0.00 |
| J1836 |
Inj, metronidazole, 10 mg |
65 |
53 |
$0.00 |
| 90723 |
|
67 |
67 |
$0.00 |
| 93247 |
|
13 |
13 |
$0.00 |
| C9285 |
Patch, lidocaine/tetracaine |
16 |
16 |
$0.00 |
| 91315 |
|
30 |
18 |
$0.00 |