| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
437,342 |
381,115 |
$28.79M |
| 99213 |
|
497,277 |
448,478 |
$23.57M |
| 99233 |
Prolong inpt eval add15 m |
273,373 |
55,968 |
$14.41M |
| 99223 |
Prolong inpt eval add15 m |
65,556 |
42,065 |
$6.32M |
| 99215 |
Prolong outpt/office vis |
57,814 |
51,535 |
$4.97M |
| S0302 |
Completed epsdt |
155,974 |
152,904 |
$4.63M |
| U0003 |
Cov-19 amp prb hgh thruput |
51,256 |
48,637 |
$4.44M |
| 99203 |
|
69,274 |
65,973 |
$4.41M |
| 99204 |
|
40,964 |
38,480 |
$3.74M |
| 59400 |
|
3,696 |
3,436 |
$3.53M |
| 99291 |
|
29,467 |
8,521 |
$3.17M |
| 99392 |
|
46,775 |
45,295 |
$3.08M |
| 92014 |
|
39,026 |
38,205 |
$3.02M |
| 99232 |
|
87,406 |
26,446 |
$2.88M |
| 99310 |
Prolong nursin fac eval 15m |
46,454 |
27,623 |
$2.81M |
| 90460 |
|
102,530 |
100,240 |
$2.81M |
| 92004 |
|
29,378 |
28,797 |
$2.68M |
| T1013 |
Sign lang/oral interpreter |
82,388 |
69,038 |
$2.42M |
| 99393 |
|
37,410 |
35,749 |
$2.40M |
| 88305 |
|
34,557 |
32,773 |
$2.37M |
| 99391 |
|
40,542 |
38,249 |
$2.32M |
| X5622 |
|
69,452 |
60,903 |
$2.31M |
| 99239 |
|
38,473 |
34,317 |
$2.10M |
| 99202 |
|
39,748 |
37,919 |
$1.52M |
| 59510 |
|
1,476 |
1,341 |
$1.47M |
| 99394 |
|
21,048 |
20,092 |
$1.46M |
| 90471 |
|
108,283 |
105,061 |
$1.42M |
| 36415 |
|
378,692 |
339,115 |
$1.27M |
| 99396 |
|
14,935 |
14,302 |
$1.22M |
| 99395 |
|
16,568 |
15,932 |
$1.21M |
| 87651 |
|
35,149 |
34,342 |
$1.19M |
| V2020 |
Vision svcs frames purchases |
37,299 |
36,353 |
$1.18M |
| 99222 |
|
19,245 |
14,836 |
$1.13M |
| U0005 |
Infec agen detec ampli probe |
40,624 |
38,475 |
$1.10M |
| 99205 |
Prolong outpt/office vis |
10,218 |
9,512 |
$1.08M |
| 87491 |
|
33,670 |
32,519 |
$1.06M |
| 87591 |
|
33,134 |
31,992 |
$1.05M |
| J7307 |
Etonogestrel implant system |
1,346 |
1,312 |
$1.04M |
| 99212 |
|
33,639 |
31,917 |
$950K |
| 99309 |
|
23,822 |
18,130 |
$949K |
| 76816 |
|
12,292 |
10,881 |
$874K |
| 92015 |
|
70,049 |
68,730 |
$853K |
| 93306 |
|
19,345 |
18,151 |
$826K |
| 99211 |
|
50,688 |
47,040 |
$791K |
| J0178 |
Aflibercept injection |
369 |
359 |
$723K |
| 99385 |
|
8,650 |
8,255 |
$678K |
| 90961 |
|
5,466 |
5,082 |
$659K |
| J7298 |
Mirena, 52 mg |
857 |
827 |
$651K |
| 99220 |
|
7,237 |
6,539 |
$649K |
| 77067 |
|
8,975 |
8,746 |
$638K |
| 92340 |
|
27,114 |
26,453 |
$632K |
| 90750 |
|
5,928 |
5,737 |
$630K |
| 83036 |
|
68,691 |
67,753 |
$629K |
| G0439 |
Ppps, subseq visit |
9,262 |
8,845 |
$623K |
| 92551 |
|
97,694 |
95,685 |
$616K |
| 84443 |
|
40,568 |
39,907 |
$612K |
| 99188 |
|
73,278 |
72,017 |
$606K |
| 93010 |
|
134,894 |
105,761 |
$559K |
| 99336 |
|
10,111 |
7,940 |
$544K |
| J0585 |
Injection,onabotulinumtoxina |
943 |
551 |
$517K |
| 87389 |
|
23,405 |
23,127 |
$513K |
| 90834 |
|
11,318 |
7,786 |
$475K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
30,661 |
17,229 |
$474K |
| 90651 |
|
17,243 |
16,919 |
$467K |
| 90686 |
|
77,839 |
76,614 |
$465K |
| J1050 |
Medroxyprogesterone acetate |
6,432 |
6,315 |
$464K |
| 76805 |
|
5,039 |
4,897 |
$441K |
| 76818 |
|
5,291 |
2,730 |
$422K |
| 80061 |
|
33,235 |
32,901 |
$418K |
| G0108 |
Diab manage trn per indiv |
7,261 |
6,557 |
$417K |
| 76830 |
|
5,618 |
5,452 |
$409K |
| 96127 |
|
111,263 |
109,434 |
$408K |
| 87480 |
|
21,447 |
20,664 |
$406K |
| 87510 |
|
21,407 |
20,629 |
$405K |
| 90732 |
|
4,692 |
4,495 |
$405K |
| 87660 |
|
21,396 |
20,610 |
$405K |
| 76819 |
|
7,936 |
4,205 |
$397K |
| 88307 |
|
3,671 |
3,428 |
$393K |
| 90837 |
|
5,324 |
3,594 |
$391K |
| 86481 |
|
3,617 |
3,558 |
$387K |
| 96110 |
|
62,137 |
54,328 |
$381K |
| 80307 |
|
7,711 |
6,572 |
$380K |
| 99384 |
|
4,794 |
4,507 |
$370K |
| 76856 |
|
5,415 |
5,286 |
$368K |
| 90715 |
|
21,525 |
21,110 |
$364K |
| 99383 |
|
5,472 |
5,121 |
$356K |
| 90472 |
|
23,524 |
22,992 |
$349K |
| 76801 |
|
4,452 |
4,286 |
$345K |
| 90691 |
|
3,762 |
3,652 |
$343K |
| 76811 |
|
2,717 |
2,670 |
$336K |
| 87624 |
|
10,082 |
9,958 |
$321K |
| 99460 |
|
5,813 |
5,548 |
$320K |
| 85025 |
|
49,157 |
46,320 |
$317K |
| 0001A |
|
8,173 |
8,128 |
$308K |
| 85027 |
|
53,337 |
52,072 |
$291K |
| 80048 |
|
38,863 |
37,384 |
$291K |
| 97802 |
|
5,253 |
5,177 |
$284K |
| 87507 |
|
660 |
658 |
$280K |
| 91320 |
|
2,504 |
2,493 |
$278K |
| V5261 |
Hearing aid, digit, bin, bte |
157 |
149 |
$276K |
| 99238 |
|
6,558 |
6,210 |
$275K |
| G0179 |
Md recertification hha pt |
14,599 |
13,865 |
$270K |
| 71046 |
|
15,627 |
14,676 |
$264K |
| 66984 |
|
619 |
504 |
$263K |
| 99386 |
|
2,913 |
2,753 |
$263K |
| 0002A |
|
6,715 |
6,682 |
$261K |
| 90746 |
|
4,742 |
4,624 |
$256K |
| 90962 |
|
3,434 |
3,205 |
$255K |
| 99231 |
|
14,635 |
6,523 |
$254K |
| 93793 |
|
33,821 |
16,315 |
$247K |
| 86780 |
|
19,702 |
19,345 |
$241K |
| 82306 |
|
12,188 |
11,995 |
$240K |
| 17110 |
|
3,885 |
3,562 |
$234K |
| 67028 |
|
2,702 |
2,605 |
$234K |
| 99381 |
|
4,303 |
4,139 |
$232K |
| 91322 |
|
1,780 |
1,770 |
$227K |
| 90677 |
|
1,990 |
1,972 |
$220K |
| 45385 |
|
1,450 |
1,397 |
$215K |
| 99217 |
|
5,846 |
5,341 |
$212K |
| 82728 |
|
16,617 |
16,280 |
$210K |
| 59025 |
|
11,199 |
6,360 |
$210K |
| 76817 |
|
3,460 |
2,872 |
$203K |
| 99337 |
|
1,571 |
1,314 |
$199K |
| 96372 |
|
24,223 |
19,573 |
$197K |
| 92012 |
|
4,076 |
3,799 |
$196K |
| 90480 |
|
6,091 |
5,886 |
$196K |
| 88342 |
|
3,339 |
2,705 |
$192K |
| G0438 |
Ppps, initial visit |
4,341 |
3,959 |
$192K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
8,599 |
4,714 |
$190K |
| G0480 |
Drug test def 1-7 classes |
2,827 |
2,523 |
$186K |
| 92060 |
|
4,546 |
4,394 |
$180K |
| G0123 |
Screen cerv/vag thin layer |
8,233 |
8,003 |
$172K |
| 92341 |
|
6,313 |
6,043 |
$171K |
| 76825 |
|
897 |
844 |
$168K |
| 99349 |
|
2,268 |
2,053 |
$167K |
| 96365 |
|
3,979 |
3,068 |
$166K |
| 80053 |
|
14,982 |
14,298 |
$166K |
| 99397 |
|
1,667 |
1,511 |
$161K |
| 0004A |
|
4,884 |
4,286 |
$154K |
| 86803 |
|
11,757 |
11,645 |
$154K |
| 80050 |
|
2,958 |
2,815 |
$152K |
| 92134 |
|
5,493 |
5,208 |
$151K |
| 99306 |
Prolong nursin fac eval 15m |
1,627 |
1,394 |
$150K |
| 90791 |
|
1,631 |
1,571 |
$149K |
| 81025 |
|
20,347 |
19,627 |
$147K |
| 99382 |
|
2,428 |
2,267 |
$144K |
| 83655 |
|
12,825 |
12,711 |
$142K |
| 90717 |
|
1,254 |
1,194 |
$137K |
| 86003 |
|
24,790 |
2,231 |
$136K |
| 83970 |
|
3,440 |
3,372 |
$136K |
| 90670 |
|
28,873 |
28,418 |
$133K |
| 45380 |
|
1,798 |
1,720 |
$133K |
| 99173 |
|
89,534 |
88,349 |
$129K |
| 99402 |
|
3,523 |
3,416 |
$129K |
| J9035 |
Bevacizumab injection |
1,619 |
1,551 |
$128K |
| 99221 |
|
2,393 |
2,174 |
$126K |
| 93000 |
|
15,268 |
14,545 |
$125K |
| 43239 |
|
2,032 |
1,965 |
$124K |
| 77063 |
|
3,460 |
3,425 |
$123K |
| 97803 |
|
3,143 |
2,837 |
$122K |
| 0071A |
|
2,962 |
2,831 |
$120K |
| 90792 |
|
977 |
948 |
$120K |
| 82607 |
|
8,386 |
8,275 |
$118K |
| 87086 |
|
15,764 |
15,088 |
$118K |
| 84466 |
|
8,327 |
8,236 |
$116K |
| 76815 |
|
2,520 |
2,266 |
$115K |
| 73630 |
|
6,278 |
5,492 |
$112K |
| J7300 |
Intra copp contra (paragard) |
170 |
166 |
$108K |
| 0072A |
|
2,570 |
2,522 |
$106K |
| 31575 |
|
1,761 |
1,633 |
$106K |
| 96413 |
|
1,366 |
1,155 |
$105K |
| 76813 |
|
1,362 |
1,309 |
$105K |
| 90734 |
|
14,039 |
13,739 |
$104K |
| 87502 |
|
1,197 |
1,180 |
$102K |
| 76700 |
|
1,424 |
1,387 |
$102K |
| 58300 |
|
2,105 |
2,024 |
$100K |
| 83020 |
|
6,641 |
5,245 |
$100K |
| 95886 |
|
1,240 |
1,210 |
$98K |
| 87340 |
|
10,169 |
10,018 |
$95K |
| 0064A |
|
2,659 |
2,633 |
$95K |
| 81001 |
|
37,276 |
35,213 |
$94K |
| 90832 |
|
2,243 |
1,711 |
$93K |
| 20610 |
|
2,591 |
2,137 |
$93K |
| 99350 |
Prolong home eval add 15m |
992 |
823 |
$92K |
| 88142 |
|
6,105 |
5,915 |
$88K |
| 82565 |
|
18,330 |
17,661 |
$87K |
| V2100 |
Lens spher single plano 4.00 |
5,599 |
3,801 |
$87K |
| 87506 |
|
515 |
507 |
$87K |
| G0124 |
Screen c/v thin layer by md |
3,142 |
3,128 |
$87K |
| 84460 |
|
17,090 |
16,618 |
$84K |
| 84403 |
|
3,386 |
3,299 |
$83K |
| 69210 |
|
3,012 |
2,804 |
$82K |
| V5160 |
Dispensing fee binaural |
271 |
248 |
$82K |
| 58301 |
|
1,412 |
1,348 |
$80K |
| G0180 |
Md certification hha patient |
3,091 |
2,949 |
$80K |
| 99219 |
|
1,094 |
1,030 |
$78K |
| 92557 |
|
3,368 |
3,255 |
$77K |
| 76820 |
|
2,426 |
1,101 |
$76K |
| S0281 |
Medical home, maintenance |
10,177 |
9,642 |
$74K |
| 90632 |
|
1,635 |
1,596 |
$73K |
| 0011A |
|
2,035 |
2,022 |
$72K |
| 92567 |
|
7,762 |
7,497 |
$71K |
| 82570 |
|
14,249 |
13,527 |
$70K |
| 92083 |
|
1,685 |
1,609 |
$70K |
| 11981 |
|
1,092 |
1,060 |
$69K |
| 80076 |
|
10,921 |
10,472 |
$68K |
| G0008 |
Admin influenza virus vac |
10,271 |
9,699 |
$68K |
| 86235 |
|
1,977 |
852 |
$67K |
| 85018 |
|
30,773 |
30,000 |
$67K |
| 84702 |
|
4,865 |
3,292 |
$67K |
| 88341 |
|
682 |
615 |
$66K |
| 73610 |
|
3,440 |
3,137 |
$66K |
| 83540 |
|
10,690 |
10,541 |
$65K |
| 85060 |
|
3,408 |
3,221 |
$65K |
| 0124A |
|
1,847 |
1,815 |
$64K |
| 0012A |
|
1,697 |
1,684 |
$63K |
| 87536 |
|
881 |
854 |
$63K |
| 99462 |
|
2,626 |
1,904 |
$63K |
| 45378 |
|
641 |
614 |
$62K |
| 85610 |
|
20,532 |
13,439 |
$61K |
| 99443 |
|
4,916 |
4,003 |
$61K |
| 95004 |
|
1,064 |
1,040 |
$61K |
| 0054A |
|
1,617 |
1,585 |
$59K |
| 84439 |
|
7,279 |
7,102 |
$59K |
| 90674 |
|
6,619 |
6,535 |
$59K |
| 57454 |
|
678 |
668 |
$58K |
| 82043 |
|
10,533 |
10,410 |
$58K |
| 90716 |
|
9,037 |
8,889 |
$57K |
| 86706 |
|
4,648 |
4,594 |
$55K |
| 84450 |
|
11,571 |
11,070 |
$55K |
| 87088 |
|
7,279 |
7,090 |
$54K |
| 84270 |
|
2,634 |
2,548 |
$54K |
| 90739 |
|
339 |
335 |
$54K |
| 86762 |
|
3,928 |
3,882 |
$54K |
| 90694 |
|
3,750 |
3,584 |
$53K |
| 31231 |
|
464 |
423 |
$53K |
| G0103 |
Psa screening |
2,819 |
2,801 |
$52K |
| Q5103 |
Injection, inflectra |
28 |
26 |
$52K |
| G0328 |
Fecal blood scrn immunoassay |
3,218 |
3,195 |
$52K |
| 82248 |
|
9,741 |
9,220 |
$52K |
| 87517 |
|
1,245 |
1,226 |
$51K |
| 36416 |
|
17,092 |
16,355 |
$51K |
| 87529 |
|
1,128 |
1,045 |
$48K |
| 82274 |
|
2,849 |
2,838 |
$48K |
| 0134A |
|
1,355 |
1,330 |
$48K |
| 87077 |
|
6,070 |
5,590 |
$47K |
| 92133 |
|
1,958 |
1,880 |
$47K |
| 90461 |
|
11,704 |
10,920 |
$46K |
| 87070 |
|
5,978 |
5,800 |
$46K |
| 87635 |
|
848 |
831 |
$46K |
| 76536 |
|
626 |
622 |
$45K |
| 86140 |
|
9,379 |
8,958 |
$45K |
| 82105 |
|
2,864 |
2,787 |
$44K |
| 73562 |
|
1,815 |
1,304 |
$44K |
| 84146 |
|
2,414 |
2,350 |
$44K |
| J1756 |
Iron sucrose injection |
825 |
542 |
$44K |
| 87338 |
|
3,275 |
3,238 |
$44K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
2,981 |
1,923 |
$44K |
| 83516 |
|
3,899 |
2,793 |
$44K |
| 87798 |
|
1,126 |
864 |
$41K |
| 99226 |
|
657 |
429 |
$41K |
| 83735 |
|
6,411 |
6,196 |
$41K |
| 11982 |
|
625 |
604 |
$40K |
| 97110 |
|
1,908 |
1,034 |
$40K |
| 99316 |
|
763 |
692 |
$40K |
| 94010 |
|
2,996 |
2,782 |
$39K |
| 88304 |
|
1,863 |
1,803 |
$38K |
| 86850 |
|
4,412 |
4,307 |
$38K |
| 87186 |
|
4,770 |
4,422 |
$38K |
| 73030 |
|
2,012 |
1,790 |
$38K |
| 83880 |
|
986 |
950 |
$38K |
| 81003 |
|
20,903 |
20,419 |
$38K |
| 87661 |
|
1,034 |
983 |
$37K |
| 73564 |
|
1,418 |
1,375 |
$37K |
| 99442 |
|
4,508 |
3,770 |
$37K |
| 83001 |
|
2,121 |
2,086 |
$37K |
| G0402 |
Initial preventive exam |
319 |
296 |
$36K |
| 90675 |
|
98 |
55 |
$36K |
| 10060 |
|
497 |
475 |
$35K |
| 69209 |
|
3,732 |
3,504 |
$35K |
| 90661 |
|
4,440 |
4,434 |
$34K |
| 86480 |
|
1,504 |
1,470 |
$34K |
| V2107 |
Spherocylinder 4.25d/12-2d |
2,097 |
1,285 |
$34K |
| V5266 |
Battery for hearing device |
1,700 |
1,630 |
$34K |
| 93294 |
|
1,515 |
1,470 |
$34K |
| 85049 |
|
8,517 |
8,171 |
$34K |
| 73502 |
|
1,245 |
1,203 |
$33K |
| 88141 |
|
1,933 |
1,877 |
$33K |
| 92136 |
|
968 |
895 |
$33K |
| 72100 |
|
1,536 |
1,482 |
$33K |
| 96161 |
|
21,297 |
20,511 |
$32K |
| 0051A |
|
845 |
832 |
$32K |
| 83718 |
|
4,385 |
4,353 |
$32K |
| 86160 |
|
2,830 |
1,317 |
$32K |
| 78452 |
|
633 |
613 |
$32K |
| V5020 |
Conformity evaluation |
445 |
405 |
$32K |
| 90707 |
|
7,394 |
7,266 |
$31K |
| 87209 |
|
1,592 |
893 |
$31K |
| 84481 |
|
2,019 |
1,981 |
$30K |
| 81220 |
|
121 |
115 |
$30K |
| 82784 |
|
2,923 |
2,406 |
$29K |
| V2200 |
Lens spher bifoc plano 4.00d |
1,484 |
1,092 |
$29K |
| 99417 |
Prolong home eval add 15m |
786 |
752 |
$29K |
| 82947 |
|
8,172 |
7,915 |
$29K |
| 86360 |
|
678 |
631 |
$29K |
| 93971 |
|
487 |
475 |
$28K |
| 84153 |
|
1,680 |
1,653 |
$28K |
| 90653 |
|
342 |
341 |
$27K |
| 99201 |
|
1,198 |
1,143 |
$27K |
| 84132 |
|
6,491 |
6,278 |
$27K |
| 82746 |
|
1,876 |
1,850 |
$26K |
| 92587 |
|
2,143 |
2,077 |
$26K |
| L3908 |
Who cock-up nonmolde pre ots |
1,449 |
1,271 |
$26K |
| 99285 |
|
213 |
200 |
$25K |
| 90473 |
|
1,901 |
1,896 |
$25K |
| 88312 |
|
266 |
237 |
$25K |
| G2211 |
Complex e/m visit add on |
9,022 |
8,668 |
$25K |
| 73110 |
|
1,105 |
1,015 |
$25K |
| 88112 |
|
657 |
598 |
$25K |
| 83721 |
|
2,675 |
2,648 |
$25K |
| 87522 |
Neg quan hep c or qual rna |
719 |
701 |
$25K |
| 90662 |
|
3,224 |
3,069 |
$25K |
| 90714 |
|
1,676 |
1,619 |
$24K |
| 74019 |
|
1,259 |
1,187 |
$24K |
| 99308 |
|
743 |
647 |
$23K |
| G0659 |
Drug test def simple all cl |
640 |
614 |
$23K |
| 76821 |
|
333 |
127 |
$23K |
| 86704 |
|
2,039 |
2,006 |
$23K |
| 86359 |
|
673 |
630 |
$23K |
| 87801 |
|
310 |
298 |
$23K |
| 73140 |
|
1,126 |
1,067 |
$23K |
| 94640 |
|
2,759 |
2,434 |
$23K |
| 92579 |
|
820 |
808 |
$22K |
| 77080 |
|
2,452 |
1,991 |
$22K |
| 95806 |
|
389 |
358 |
$21K |
| 52000 |
|
202 |
192 |
$20K |
| G0500 |
Mod sedat endo service >5yrs |
7,965 |
7,362 |
$20K |
| 92591 |
|
339 |
326 |
$20K |
| 84402 |
|
750 |
746 |
$20K |
| 99284 |
|
245 |
232 |
$20K |
| 83690 |
|
3,156 |
3,083 |
$20K |
| 46600 |
|
312 |
299 |
$20K |
| 83520 |
|
1,513 |
1,407 |
$20K |
| 82465 |
|
4,937 |
4,891 |
$19K |
| 87636 |
|
135 |
126 |
$19K |
| 93325 |
|
1,327 |
1,241 |
$18K |
| 96415 |
|
701 |
613 |
$18K |
| 92552 |
|
1,026 |
978 |
$18K |
| 92002 |
|
460 |
449 |
$18K |
| 82681 |
|
604 |
593 |
$18K |
| 95117 |
|
2,993 |
1,469 |
$18K |
| 86038 |
|
1,833 |
1,746 |
$18K |
| 11102 |
|
245 |
239 |
$18K |
| J3301 |
Triamcinolone acet inj nos |
4,183 |
3,834 |
$18K |
| 82950 |
|
4,113 |
4,042 |
$17K |
| 84295 |
|
4,000 |
3,921 |
$17K |
| 87177 |
|
2,246 |
1,223 |
$17K |
| 82670 |
|
680 |
662 |
$17K |
| 98941 |
|
1,086 |
618 |
$17K |
| 73130 |
|
824 |
766 |
$16K |
| 0052A |
|
408 |
392 |
$16K |
| 85652 |
|
6,811 |
6,568 |
$16K |
| 86317 |
|
2,328 |
2,153 |
$16K |
| 84207 |
|
559 |
551 |
$16K |
| 87637 |
|
108 |
104 |
$16K |
| 82951 |
|
1,317 |
1,301 |
$16K |
| 82627 |
|
734 |
725 |
$15K |
| 86618 |
|
1,002 |
997 |
$15K |
| 84425 |
|
704 |
697 |
$15K |
| 83002 |
|
864 |
854 |
$15K |
| 86787 |
|
1,283 |
1,273 |
$15K |
| 82550 |
|
2,548 |
2,442 |
$15K |
| 82247 |
|
3,303 |
2,368 |
$15K |
| 93976 |
|
137 |
136 |
$14K |
| 81329 |
|
119 |
95 |
$14K |
| 11900 |
|
511 |
478 |
$14K |
| A4627 |
Spacer bag/reservoir |
982 |
929 |
$14K |
| 86039 |
|
1,324 |
1,261 |
$14K |
| 0082A |
|
417 |
405 |
$14K |
| 96160 |
|
8,128 |
7,800 |
$13K |
| 99292 |
|
163 |
110 |
$13K |
| 99497 |
|
324 |
280 |
$13K |
| 20550 |
|
529 |
397 |
$13K |
| 84550 |
|
3,169 |
3,061 |
$13K |
| 87481 |
|
348 |
336 |
$13K |
| 86696 |
|
669 |
663 |
$13K |
| 99177 |
|
1,470 |
1,465 |
$12K |
| 87210 |
|
3,820 |
3,628 |
$12K |
| 11104 |
|
111 |
110 |
$12K |
| 84156 |
|
3,464 |
3,080 |
$12K |
| 86900 |
|
4,164 |
4,068 |
$12K |
| 86901 |
|
4,129 |
4,042 |
$12K |
| 90847 |
|
202 |
155 |
$11K |
| 64615 |
|
129 |
127 |
$11K |
| 82310 |
|
2,265 |
2,198 |
$11K |
| 93351 |
|
240 |
228 |
$11K |
| 83013 |
|
148 |
146 |
$11K |
| 81401 |
|
113 |
110 |
$11K |
| 11200 |
|
226 |
216 |
$10K |
| 86225 |
|
898 |
795 |
$10K |
| 90713 |
|
2,279 |
2,243 |
$10K |
| 0031A |
|
269 |
268 |
$10K |
| 64483 |
|
133 |
129 |
$10K |
| 84165 |
|
1,006 |
981 |
$10K |
| 92556 |
|
535 |
508 |
$10K |
| J0881 |
Darbepoetin alfa, non-esrd |
43 |
26 |
$10K |
| 86200 |
|
861 |
834 |
$10K |
| 80069 |
|
1,174 |
1,114 |
$10K |
| 86708 |
|
905 |
891 |
$10K |
| 11750 |
|
105 |
83 |
$10K |
| 87493 |
|
399 |
389 |
$10K |
| 74018 |
|
549 |
526 |
$9K |
| 72050 |
|
356 |
342 |
$9K |
| 93227 |
|
691 |
666 |
$9K |
| 85730 |
|
1,609 |
1,254 |
$9K |
| 90672 |
|
8,047 |
7,992 |
$9K |
| 86431 |
|
1,760 |
1,705 |
$9K |
| 0154A |
|
218 |
208 |
$9K |
| 86769 |
|
198 |
194 |
$9K |
| 51798 |
|
1,321 |
1,226 |
$9K |
| G0009 |
Admin pneumococcal vaccine |
1,507 |
1,398 |
$9K |
| 84703 |
|
1,277 |
1,233 |
$8K |
| 97140 |
|
477 |
215 |
$8K |
| 86695 |
|
638 |
633 |
$8K |
| 95720 |
|
69 |
45 |
$8K |
| 87205 |
|
2,077 |
1,966 |
$8K |
| 95012 |
|
732 |
690 |
$8K |
| 86255 |
|
630 |
396 |
$8K |
| 99401 |
|
439 |
417 |
$8K |
| 86376 |
|
645 |
623 |
$7K |
| E0114 |
Crutch underarm pair no wood |
284 |
272 |
$7K |
| V2784 |
Lens polycarb or equal |
1,038 |
522 |
$7K |
| 87631 |
|
47 |
47 |
$7K |
| 90474 |
|
788 |
778 |
$7K |
| 87880 |
|
4,570 |
4,326 |
$7K |
| 93016 |
|
588 |
564 |
$7K |
| 69436 |
|
61 |
60 |
$7K |
| 99152 |
|
1,003 |
906 |
$7K |
| 76770 |
|
89 |
87 |
$7K |
| 99174 |
|
2,219 |
2,167 |
$7K |
| 86256 |
|
593 |
539 |
$7K |
| 86336 |
|
444 |
428 |
$7K |
| 0081A |
|
292 |
273 |
$6K |
| 84520 |
|
1,835 |
1,769 |
$6K |
| 99441 |
|
1,272 |
1,179 |
$6K |
| 93018 |
|
775 |
744 |
$6K |
| 99403 |
|
147 |
147 |
$6K |
| 84100 |
|
1,387 |
1,346 |
$6K |
| 94726 |
|
828 |
808 |
$6K |
| 64493 |
|
88 |
76 |
$6K |
| 95251 |
|
287 |
283 |
$6K |
| 58100 |
|
77 |
74 |
$5K |
| 76376 |
|
663 |
652 |
$5K |
| 93308 |
|
330 |
306 |
$5K |
| 93295 |
|
259 |
241 |
$5K |
| L0621 |
Sio flex pelvic/sacr pre ots |
420 |
406 |
$5K |
| J0561 |
Penicillin g benzathine inj |
16 |
12 |
$5K |
| 94729 |
|
890 |
870 |
$5K |
| 11042 |
|
74 |
54 |
$5K |
| 82533 |
|
274 |
248 |
$5K |
| 84704 |
|
311 |
298 |
$5K |
| 84163 |
|
312 |
299 |
$5K |
| 80306 |
|
458 |
326 |
$5K |
| 11100 |
|
381 |
344 |
$4K |
| 95811 |
|
108 |
101 |
$4K |
| 85045 |
|
1,153 |
1,110 |
$4K |
| 82040 |
|
920 |
889 |
$4K |
| 94060 |
|
380 |
362 |
$4K |
| 81513 |
|
28 |
28 |
$4K |
| 0112A |
|
105 |
103 |
$4K |
| 93005 |
|
835 |
826 |
$4K |
| 87634 |
|
57 |
57 |
$4K |
| 71101 |
|
174 |
165 |
$4K |
| 92250 |
|
141 |
130 |
$4K |
| 88173 |
|
52 |
49 |
$4K |
| 0003A |
|
253 |
223 |
$4K |
| 43235 |
|
86 |
80 |
$4K |
| 83525 |
|
321 |
318 |
$4K |
| 92511 |
|
51 |
49 |
$4K |
| 86308 |
|
891 |
870 |
$4K |
| 84075 |
|
800 |
764 |
$4K |
| 87206 |
|
760 |
679 |
$4K |
| 96040 |
|
103 |
100 |
$4K |
| 83498 |
|
127 |
124 |
$4K |
| 82150 |
|
672 |
656 |
$4K |
| 99607 |
|
64 |
64 |
$4K |
| 86765 |
|
282 |
280 |
$3K |
| 76705 |
|
55 |
55 |
$3K |
| 73660 |
|
166 |
157 |
$3K |
| 99451 |
|
141 |
139 |
$3K |
| 17000 |
|
103 |
101 |
$3K |
| 99404 |
|
43 |
43 |
$3K |
| 86592 |
|
758 |
745 |
$3K |
| 99356 |
|
87 |
70 |
$3K |
| 93352 |
|
136 |
131 |
$3K |
| V2105 |
Spherocylinder 4.00d/4.25-6d |
187 |
130 |
$3K |
| 99605 |
|
55 |
55 |
$3K |
| 83993 |
|
156 |
156 |
$3K |
| 0111A |
|
76 |
76 |
$3K |
| 0083A |
|
73 |
73 |
$3K |
| 84144 |
|
163 |
159 |
$3K |
| 86147 |
|
76 |
65 |
$3K |
| 82397 |
|
203 |
202 |
$3K |
| 99421 |
|
354 |
337 |
$3K |
| G0472 |
Hep c screen high risk/other |
67 |
65 |
$3K |
| 86735 |
|
218 |
215 |
$3K |
| 0074A |
|
269 |
269 |
$3K |
| 84155 |
|
762 |
738 |
$3K |
| 72040 |
|
173 |
159 |
$3K |
| 73560 |
|
112 |
99 |
$3K |
| J3420 |
Vitamin b12 injection |
1,891 |
1,560 |
$3K |
| 95909 |
|
38 |
37 |
$3K |
| 58340 |
|
13 |
13 |
$3K |
| 11983 |
|
24 |
24 |
$3K |
| 99335 |
|
213 |
173 |
$3K |
| 87081 |
|
2,603 |
2,478 |
$2K |
| 87101 |
|
361 |
352 |
$2K |
| 0144A |
|
59 |
59 |
$2K |
| 82785 |
|
123 |
122 |
$2K |
| 90785 |
|
215 |
182 |
$2K |
| 73590 |
|
179 |
163 |
$2K |
| 90935 |
|
55 |
25 |
$2K |
| 87563 |
|
57 |
56 |
$2K |
| L4360 |
Pneumat walking boot pre cst |
46 |
43 |
$2K |
| 92523 |
|
13 |
13 |
$2K |
| 92593 |
|
55 |
50 |
$2K |
| 85379 |
|
183 |
182 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
1,727 |
1,478 |
$2K |
| 90710 |
|
6,117 |
5,981 |
$2K |
| 86682 |
|
159 |
118 |
$2K |
| 87220 |
|
555 |
540 |
$2K |
| 76377 |
|
53 |
52 |
$2K |
| 92553 |
|
149 |
138 |
$2K |
| 87505 |
|
12 |
12 |
$2K |
| 92020 |
|
92 |
92 |
$2K |
| 93272 |
|
102 |
101 |
$2K |
| 82962 |
|
1,224 |
1,091 |
$2K |
| 87184 |
|
204 |
196 |
$2K |
| 17250 |
|
39 |
38 |
$2K |
| 99406 |
|
138 |
131 |
$1K |
| 84112 |
|
30 |
29 |
$1K |
| 96375 |
|
110 |
98 |
$1K |
| 80164 |
|
111 |
107 |
$1K |
| 97161 |
|
25 |
25 |
$1K |
| 90744 |
|
1,693 |
1,671 |
$1K |
| U0002 |
Covid-19 lab test non-cdc |
28 |
28 |
$1K |
| 96366 |
|
133 |
97 |
$1K |
| L4350 |
Ankle control ortho pre ots |
43 |
40 |
$1K |
| 64494 |
|
26 |
24 |
$1K |
| 73523 |
|
39 |
39 |
$1K |
| G2012 |
Brief check in by md/qhp |
436 |
401 |
$1K |
| 80074 |
|
25 |
25 |
$1K |
| 98940 |
|
220 |
134 |
$1K |
| J2790 |
Rho d immune globulin inj |
14 |
14 |
$1K |
| L2999 |
Lower extremity orthosis nos |
208 |
194 |
$1K |
| 76514 |
|
154 |
151 |
$1K |
| 92285 |
|
76 |
74 |
$1K |
| 80051 |
|
151 |
150 |
$1K |
| 92550 |
|
67 |
67 |
$1K |
| J1040 |
Methylprednisolone 80 mg inj |
153 |
146 |
$1K |
| 76831 |
|
13 |
13 |
$1K |
| 82977 |
|
193 |
192 |
$1K |
| 92555 |
|
100 |
95 |
$1K |
| 86665 |
|
49 |
25 |
$1K |
| 82952 |
|
386 |
377 |
$1K |
| 84134 |
|
56 |
53 |
$973.32 |
| 76870 |
|
12 |
12 |
$948.42 |
| J1885 |
Ketorolac tromethamine inj |
918 |
695 |
$942.38 |
| 72110 |
|
40 |
37 |
$938.19 |
| 12001 |
|
14 |
14 |
$922.92 |
| 93280 |
|
42 |
37 |
$863.52 |
| 92583 |
|
24 |
24 |
$845.23 |
| 91200 |
|
136 |
134 |
$828.95 |
| 27096 |
|
15 |
12 |
$803.87 |
| 90723 |
|
22,596 |
22,292 |
$777.50 |
| 51702 |
|
16 |
12 |
$774.62 |
| 0034A |
|
42 |
25 |
$765.00 |
| 90647 |
|
21,863 |
21,545 |
$750.20 |
| V2108 |
Spherocylinder 4.25d/2.12-4d |
35 |
25 |
$729.54 |
| 95810 |
|
12 |
12 |
$711.22 |
| 20553 |
|
27 |
25 |
$690.44 |
| 73070 |
|
49 |
43 |
$686.72 |
| 72072 |
|
26 |
26 |
$684.87 |
| 90680 |
|
17,312 |
17,081 |
$661.34 |
| A6448 |
Lt compres band <3"/yd |
652 |
626 |
$658.93 |
| 82435 |
|
133 |
125 |
$655.56 |
| 73090 |
|
28 |
27 |
$649.01 |
| 92582 |
|
13 |
13 |
$648.48 |
| 93321 |
|
151 |
142 |
$603.21 |
| L3260 |
Ambulatory surgical boot eac |
101 |
96 |
$597.62 |
| 82610 |
|
38 |
37 |
$596.40 |
| 84445 |
|
12 |
12 |
$594.77 |
| 85670 |
|
91 |
90 |
$575.30 |
| V2204 |
Lens sphcy bifocal 4.00d/2.1 |
36 |
25 |
$558.15 |
| 92504 |
|
25 |
25 |
$526.72 |
| 76519 |
|
13 |
13 |
$518.53 |
| 96381 |
|
33 |
33 |
$515.25 |
| 87147 |
|
311 |
282 |
$509.66 |
| 92082 |
|
14 |
13 |
$491.22 |
| 98968 |
|
44 |
40 |
$481.33 |
| 84630 |
|
40 |
39 |
$473.68 |
| 36620 |
|
13 |
12 |
$472.64 |
| 86664 |
|
25 |
25 |
$424.12 |
| 99606 |
|
13 |
12 |
$407.40 |
| 96374 |
|
14 |
13 |
$404.16 |
| 80178 |
|
76 |
72 |
$403.98 |
| 80177 |
|
27 |
27 |
$393.42 |
| 97535 |
|
21 |
13 |
$376.33 |
| V2101 |
Single visn sphere 4.12-7.00 |
19 |
13 |
$366.70 |
| 86663 |
|
25 |
25 |
$363.86 |
| 82677 |
|
12 |
12 |
$360.48 |
| 73552 |
|
12 |
12 |
$347.76 |
| 95816 |
|
17 |
13 |
$332.11 |
| 85048 |
|
151 |
149 |
$330.80 |
| 73080 |
|
14 |
13 |
$322.60 |
| 99498 |
|
13 |
12 |
$319.57 |
| 90660 |
|
591 |
591 |
$301.21 |
| 83615 |
|
78 |
76 |
$279.51 |
| 90633 |
|
18,051 |
17,758 |
$274.05 |
| 92025 |
|
12 |
12 |
$264.64 |
| 86364 |
|
13 |
12 |
$258.66 |
| 86709 |
|
43 |
41 |
$248.64 |
| A4570 |
Splint |
64 |
63 |
$230.26 |
| 70355 |
|
26 |
25 |
$221.90 |
| 86141 |
|
12 |
12 |
$213.00 |
| A4565 |
Slings |
74 |
68 |
$212.71 |
| 88302 |
|
12 |
12 |
$205.55 |
| 84480 |
|
12 |
12 |
$188.30 |
| 84478 |
|
28 |
26 |
$179.20 |
| 93790 |
|
12 |
12 |
$168.74 |
| 85660 |
|
24 |
24 |
$155.76 |
| J7613 |
Albuterol non-comp unit |
1,569 |
1,477 |
$155.08 |
| 87107 |
|
13 |
13 |
$154.08 |
| 86707 |
|
12 |
12 |
$148.96 |
| 87350 |
|
12 |
12 |
$146.66 |
| 86580 |
|
46 |
39 |
$142.26 |
| 90696 |
|
6,593 |
6,441 |
$119.26 |
| 45381 |
|
12 |
12 |
$108.70 |
| 82340 |
|
13 |
12 |
$80.36 |
| J7620 |
Albuterol ipratrop non-comp |
647 |
620 |
$58.04 |
| A7003 |
Nebulizer administration set |
15 |
15 |
$44.70 |
| G0010 |
Admin hepatitis b vaccine |
25 |
24 |
$37.33 |
| J1100 |
Dexamethasone sodium phos |
19 |
16 |
$22.02 |
| 90700 |
|
6,424 |
6,332 |
$18.73 |
| J1071 |
Inj testosterone cypionate |
104 |
63 |
$3.00 |
| 91319 |
|
329 |
329 |
$0.00 |
| 91318 |
|
160 |
159 |
$0.00 |
| 95910 |
|
13 |
12 |
$0.00 |
| 57455 |
|
13 |
12 |
$0.00 |
| 88738 |
|
34 |
29 |
$0.00 |
| 90381 |
|
29 |
29 |
$0.00 |
| S0280 |
Medical home, initial plan |
27 |
27 |
$0.00 |
| 99444 |
|
28 |
26 |
$0.00 |
| 91300 |
|
59 |
57 |
$0.00 |
| 90685 |
|
925 |
872 |
$0.00 |
| Q0091 |
Obtaining screen pap smear |
165 |
160 |
$0.00 |
| 91321 |
|
186 |
186 |
$0.00 |
| 99307 |
|
24 |
12 |
$0.00 |
| G1004 |
Cdsm ndsc |
13 |
13 |
$0.00 |
| J1745 |
Infliximab not biosimil 10mg |
17 |
12 |
$0.00 |