| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
381,704 |
338,131 |
$21.41M |
| 99213 |
|
215,476 |
191,816 |
$9.05M |
| 99284 |
|
106,486 |
95,938 |
$6.68M |
| 99232 |
|
139,864 |
50,355 |
$5.23M |
| 99283 |
|
91,918 |
84,098 |
$3.60M |
| 99285 |
|
40,372 |
35,802 |
$3.55M |
| 99215 |
Prolong outpt/office vis |
33,975 |
29,879 |
$2.85M |
| 99204 |
|
23,346 |
21,045 |
$2.01M |
| 99203 |
|
30,065 |
27,176 |
$1.70M |
| 99391 |
|
37,371 |
31,375 |
$1.69M |
| 99233 |
Prolong inpt eval add15 m |
31,091 |
12,075 |
$1.63M |
| 99291 |
|
13,091 |
5,670 |
$1.51M |
| 93306 |
|
31,996 |
28,628 |
$1.39M |
| 99392 |
|
24,627 |
22,990 |
$1.38M |
| 74177 |
|
24,150 |
21,718 |
$1.37M |
| 92014 |
|
26,195 |
21,725 |
$1.23M |
| 92004 |
|
16,740 |
13,672 |
$1.10M |
| 88305 |
|
29,422 |
24,029 |
$1.04M |
| 71045 |
|
183,596 |
105,942 |
$1.00M |
| 93010 |
|
191,957 |
135,275 |
$921K |
| 90792 |
|
6,046 |
5,483 |
$852K |
| 70553 |
|
11,134 |
10,079 |
$796K |
| 01967 |
|
3,919 |
3,388 |
$743K |
| 70450 |
|
28,811 |
24,579 |
$718K |
| 99223 |
Prolong inpt eval add15 m |
7,047 |
6,103 |
$633K |
| 90837 |
|
5,949 |
3,680 |
$599K |
| 99393 |
|
10,594 |
9,804 |
$588K |
| 99238 |
|
14,116 |
12,129 |
$574K |
| 99309 |
|
21,711 |
10,438 |
$573K |
| 99479 |
|
7,593 |
1,729 |
$571K |
| G9012 |
Other specified case mgmt |
2,342 |
2,210 |
$525K |
| 99212 |
|
22,835 |
19,924 |
$523K |
| 99205 |
Prolong outpt/office vis |
4,047 |
3,679 |
$517K |
| 99472 |
|
1,922 |
419 |
$491K |
| 92012 |
|
13,282 |
11,294 |
$473K |
| 71275 |
|
8,540 |
7,631 |
$472K |
| 99231 |
|
20,858 |
9,258 |
$472K |
| 95720 |
|
3,654 |
1,882 |
$453K |
| 99222 |
|
6,552 |
5,833 |
$451K |
| 76816 |
|
11,074 |
9,729 |
$399K |
| 77067 |
|
14,267 |
13,379 |
$393K |
| 99480 |
|
5,487 |
1,276 |
$387K |
| 99460 |
|
7,257 |
6,140 |
$380K |
| 90834 |
|
6,079 |
4,095 |
$379K |
| 90832 |
|
7,373 |
3,411 |
$377K |
| 92015 |
|
31,514 |
25,865 |
$373K |
| 00170 |
|
3,079 |
2,420 |
$369K |
| 93303 |
|
5,954 |
5,069 |
$366K |
| 99469 |
|
1,833 |
417 |
$360K |
| 99394 |
|
5,731 |
5,271 |
$358K |
| 90960 |
|
4,194 |
3,767 |
$292K |
| 71260 |
|
8,503 |
7,502 |
$285K |
| 71046 |
|
40,768 |
36,235 |
$285K |
| 76805 |
|
6,454 |
5,872 |
$277K |
| 67028 |
|
4,585 |
3,808 |
$267K |
| 99282 |
|
10,285 |
9,461 |
$267K |
| 74018 |
|
45,051 |
25,608 |
$263K |
| 76770 |
|
9,076 |
8,327 |
$239K |
| 93970 |
|
11,925 |
9,928 |
$238K |
| 88307 |
|
3,497 |
2,927 |
$233K |
| 70498 |
|
4,401 |
3,888 |
$229K |
| 95951 |
|
1,236 |
652 |
$218K |
| 01922 |
|
1,965 |
1,270 |
$213K |
| 90935 |
|
8,927 |
4,171 |
$207K |
| 99239 |
|
3,688 |
3,282 |
$193K |
| 87811 |
|
6,144 |
5,487 |
$190K |
| J0585 |
Injection,onabotulinumtoxina |
570 |
253 |
$190K |
| 76705 |
|
9,842 |
8,855 |
$189K |
| 97803 |
|
5,343 |
4,743 |
$176K |
| 92134 |
|
11,788 |
9,936 |
$174K |
| 71250 |
|
5,895 |
5,222 |
$171K |
| 76819 |
|
5,182 |
3,968 |
$171K |
| 20610 |
|
4,743 |
3,912 |
$166K |
| G2211 |
Complex e/m visit add on |
21,271 |
19,875 |
$160K |
| 74183 |
|
2,283 |
2,080 |
$149K |
| 70551 |
|
3,035 |
2,745 |
$140K |
| 78815 |
|
2,042 |
1,843 |
$139K |
| 64483 |
|
863 |
678 |
$137K |
| 92567 |
|
11,042 |
10,204 |
$134K |
| 93975 |
|
3,019 |
2,621 |
$133K |
| 72125 |
|
4,134 |
3,617 |
$129K |
| 74176 |
|
2,652 |
2,343 |
$128K |
| 69436 |
|
824 |
707 |
$125K |
| 73630 |
|
15,792 |
11,801 |
$125K |
| 99462 |
|
5,445 |
4,160 |
$120K |
| 99202 |
|
2,972 |
2,660 |
$120K |
| 64615 |
|
1,725 |
1,521 |
$120K |
| 77063 |
|
5,191 |
4,875 |
$115K |
| 93971 |
|
8,790 |
7,745 |
$115K |
| 87804 |
|
8,590 |
4,842 |
$113K |
| 99221 |
|
2,308 |
2,042 |
$113K |
| 90833 |
|
2,106 |
1,952 |
$112K |
| 42820 |
|
486 |
438 |
$108K |
| 92060 |
|
3,585 |
2,827 |
$104K |
| 99417 |
Prolong home eval add 15m |
1,537 |
1,321 |
$98K |
| 99349 |
|
4,137 |
2,809 |
$94K |
| 64642 |
|
1,307 |
1,162 |
$93K |
| 93320 |
|
5,496 |
4,662 |
$92K |
| 00731 |
|
1,829 |
1,140 |
$90K |
| 90961 |
|
1,431 |
1,290 |
$90K |
| 73030 |
|
11,126 |
8,931 |
$89K |
| 92579 |
|
2,366 |
2,223 |
$87K |
| 76830 |
|
2,860 |
2,593 |
$86K |
| 73610 |
|
10,455 |
8,590 |
$85K |
| 43239 |
|
957 |
842 |
$85K |
| 87880 |
|
7,375 |
6,528 |
$83K |
| 90945 |
|
1,786 |
526 |
$81K |
| 93295 |
|
4,310 |
3,861 |
$79K |
| 76642 |
|
3,554 |
2,807 |
$78K |
| 99217 |
|
2,066 |
1,869 |
$76K |
| 31575 |
|
1,487 |
1,332 |
$75K |
| 90791 |
|
621 |
557 |
$74K |
| 73721 |
|
1,594 |
1,415 |
$73K |
| 54161 |
|
647 |
558 |
$71K |
| 92587 |
|
4,141 |
3,809 |
$69K |
| 95886 |
|
1,034 |
910 |
$69K |
| 45385 |
|
432 |
380 |
$68K |
| 31231 |
|
1,042 |
939 |
$68K |
| 76801 |
|
1,596 |
1,441 |
$68K |
| 90966 |
|
1,093 |
938 |
$65K |
| 73560 |
|
8,102 |
5,855 |
$63K |
| 73564 |
|
5,921 |
4,769 |
$60K |
| 77066 |
Tomosynthesis, mammo |
1,656 |
1,518 |
$60K |
| 76815 |
|
2,176 |
1,861 |
$60K |
| 73502 |
|
6,529 |
5,641 |
$59K |
| 92551 |
|
5,818 |
5,455 |
$56K |
| 76811 |
|
713 |
644 |
$55K |
| 54150 |
|
905 |
699 |
$54K |
| 90870 |
|
752 |
285 |
$53K |
| 78452 |
|
1,057 |
976 |
$52K |
| 43762 |
|
546 |
507 |
$51K |
| 59400 |
|
26 |
24 |
$51K |
| 90853 |
|
2,840 |
1,392 |
$50K |
| 64643 |
|
872 |
778 |
$49K |
| 17110 |
|
613 |
544 |
$49K |
| 92133 |
|
3,890 |
3,052 |
$49K |
| 45378 |
|
383 |
329 |
$48K |
| 88342 |
|
2,359 |
1,938 |
$47K |
| 43235 |
|
653 |
566 |
$46K |
| 72100 |
|
4,719 |
4,259 |
$45K |
| 70496 |
|
949 |
836 |
$44K |
| 76775 |
|
2,040 |
1,832 |
$44K |
| 93458 |
|
256 |
234 |
$43K |
| 95816 |
|
880 |
704 |
$43K |
| 64493 |
|
310 |
236 |
$42K |
| 93325 |
|
10,103 |
8,327 |
$42K |
| 95004 |
|
430 |
402 |
$40K |
| 94010 |
|
6,494 |
5,748 |
$40K |
| G0108 |
Diab manage trn per indiv |
1,150 |
982 |
$40K |
| 72148 |
|
841 |
790 |
$40K |
| 93000 |
|
4,329 |
3,860 |
$39K |
| 92083 |
|
2,631 |
2,089 |
$38K |
| 73562 |
|
4,488 |
3,545 |
$37K |
| 99395 |
|
606 |
562 |
$37K |
| 97597 |
|
1,603 |
911 |
$36K |
| 72110 |
|
2,014 |
1,766 |
$36K |
| 77080 |
|
2,468 |
2,201 |
$35K |
| 99234 |
|
423 |
369 |
$34K |
| 99384 |
|
519 |
448 |
$34K |
| 77427 |
|
309 |
164 |
$33K |
| 84165 |
|
4,712 |
3,994 |
$33K |
| 93272 |
|
2,100 |
1,921 |
$33K |
| 93297 |
|
2,770 |
2,435 |
$33K |
| 88108 |
|
2,350 |
1,938 |
$32K |
| 86334 |
|
3,475 |
3,007 |
$32K |
| 73130 |
|
3,780 |
2,705 |
$31K |
| 99152 |
|
3,384 |
2,974 |
$30K |
| 92557 |
|
1,168 |
1,061 |
$28K |
| 95251 |
|
1,047 |
975 |
$28K |
| 00811 |
|
534 |
337 |
$26K |
| 76536 |
|
1,392 |
1,277 |
$25K |
| 85060 |
|
1,668 |
1,465 |
$25K |
| 72040 |
|
2,678 |
2,403 |
$25K |
| 76827 |
|
968 |
755 |
$24K |
| 90686 |
|
2,006 |
1,873 |
$24K |
| 99220 |
|
327 |
273 |
$23K |
| 72082 |
|
1,606 |
1,461 |
$22K |
| 73110 |
|
2,297 |
1,832 |
$22K |
| 99350 |
Prolong home eval add 15m |
383 |
296 |
$21K |
| 70491 |
|
514 |
450 |
$21K |
| 71271 |
|
614 |
557 |
$20K |
| 69210 |
|
664 |
600 |
$20K |
| 74230 |
|
1,182 |
1,075 |
$20K |
| 59025 |
|
795 |
579 |
$20K |
| 95810 |
|
194 |
170 |
$20K |
| 87807 |
|
1,583 |
1,293 |
$20K |
| 11102 |
|
318 |
272 |
$19K |
| 76813 |
|
388 |
346 |
$19K |
| 72141 |
|
400 |
364 |
$18K |
| 77073 |
|
1,697 |
1,551 |
$18K |
| 93922 |
|
2,438 |
2,161 |
$18K |
| 76942 |
|
891 |
772 |
$18K |
| 95718 |
|
214 |
172 |
$18K |
| 77014 |
|
650 |
264 |
$18K |
| 99218 |
|
329 |
305 |
$17K |
| 97804 |
|
1,081 |
876 |
$17K |
| 77065 |
Tomosynthesis, mammo |
577 |
518 |
$17K |
| 88173 |
|
274 |
241 |
$16K |
| J0178 |
Aflibercept injection |
18 |
12 |
$16K |
| 93304 |
|
406 |
306 |
$15K |
| 94729 |
|
2,656 |
2,338 |
$15K |
| 11042 |
|
396 |
241 |
$15K |
| 73590 |
|
2,347 |
1,883 |
$14K |
| 88141 |
|
1,132 |
997 |
$14K |
| 88304 |
|
1,665 |
1,493 |
$14K |
| 99442 |
|
623 |
540 |
$14K |
| 99308 |
|
787 |
444 |
$14K |
| 97802 |
|
425 |
398 |
$14K |
| 59410 |
|
14 |
14 |
$14K |
| 76506 |
|
590 |
409 |
$14K |
| 72050 |
|
703 |
628 |
$14K |
| 94726 |
|
1,717 |
1,536 |
$13K |
| J0702 |
Betamethasone acet&sod phosp |
1,684 |
1,429 |
$13K |
| 93294 |
|
1,072 |
993 |
$13K |
| 76820 |
|
607 |
426 |
$13K |
| 77062 |
|
340 |
308 |
$12K |
| 99306 |
Prolong nursin fac eval 15m |
226 |
203 |
$12K |
| 92586 |
|
718 |
650 |
$12K |
| 84166 |
|
1,118 |
969 |
$11K |
| 96111 |
|
111 |
102 |
$11K |
| 15004 |
|
82 |
51 |
$11K |
| 36415 |
|
5,903 |
5,202 |
$11K |
| 93880 |
|
534 |
455 |
$11K |
| 96110 |
|
1,218 |
1,092 |
$10K |
| 42830 |
|
90 |
82 |
$10K |
| 77002 |
|
648 |
586 |
$10K |
| 90937 |
|
292 |
181 |
$10K |
| 88312 |
|
476 |
381 |
$10K |
| 95819 |
|
166 |
131 |
$10K |
| 99281 |
|
743 |
659 |
$10K |
| 73552 |
|
1,327 |
1,104 |
$10K |
| 72170 |
|
1,302 |
1,217 |
$9K |
| 95913 |
|
70 |
66 |
$9K |
| 77001 |
|
994 |
838 |
$9K |
| 93016 |
|
727 |
672 |
$9K |
| 99468 |
|
27 |
17 |
$9K |
| J1030 |
Methylprednisolone 40 mg inj |
1,345 |
1,181 |
$8K |
| 76825 |
|
128 |
102 |
$8K |
| 99211 |
|
1,380 |
1,108 |
$8K |
| 92504 |
|
687 |
640 |
$8K |
| 54360 |
|
13 |
13 |
$8K |
| 99310 |
Prolong nursin fac eval 15m |
191 |
158 |
$8K |
| 11981 |
|
143 |
129 |
$7K |
| 73221 |
|
173 |
159 |
$7K |
| 0001A |
|
247 |
232 |
$7K |
| 92558 |
|
397 |
374 |
$7K |
| 17000 |
|
240 |
183 |
$7K |
| 88112 |
|
373 |
327 |
$7K |
| 99173 |
|
2,948 |
2,764 |
$7K |
| 54300 |
|
15 |
12 |
$7K |
| 93926 |
|
479 |
408 |
$7K |
| 86335 |
|
717 |
615 |
$7K |
| 95885 |
|
316 |
263 |
$7K |
| 73700 |
|
217 |
195 |
$7K |
| 88160 |
|
365 |
302 |
$7K |
| 88291 |
|
306 |
262 |
$7K |
| 72197 |
|
105 |
103 |
$7K |
| 95811 |
|
35 |
30 |
$7K |
| 99443 |
|
163 |
134 |
$7K |
| 86077 |
|
248 |
207 |
$7K |
| 93321 |
|
881 |
717 |
$6K |
| 93750 |
|
403 |
180 |
$6K |
| 99177 |
|
1,676 |
1,581 |
$6K |
| 90723 |
|
633 |
580 |
$6K |
| 96167 |
|
159 |
68 |
$6K |
| 76700 |
|
215 |
196 |
$6K |
| 16020 |
|
138 |
63 |
$6K |
| H0005 |
Alcohol and/or drug services |
249 |
145 |
$6K |
| 95806 |
|
143 |
125 |
$6K |
| 93018 |
|
667 |
618 |
$6K |
| 77334 |
|
58 |
45 |
$6K |
| 88189 |
|
93 |
80 |
$6K |
| 01996 |
|
129 |
68 |
$6K |
| 88341 |
|
129 |
93 |
$6K |
| 90670 |
|
589 |
532 |
$6K |
| 20550 |
|
264 |
163 |
$5K |
| 90671 |
|
400 |
380 |
$5K |
| 74022 |
|
595 |
503 |
$5K |
| 90647 |
|
527 |
483 |
$5K |
| 93228 |
|
489 |
452 |
$5K |
| 99358 |
Prolong nursin fac eval 15m |
140 |
121 |
$5K |
| 95909 |
|
60 |
52 |
$5K |
| 77263 |
|
44 |
40 |
$5K |
| 93925 |
|
219 |
193 |
$5K |
| 95714 |
|
22 |
13 |
$5K |
| G0452 |
Molecular pathology interpr |
694 |
454 |
$5K |
| 94621 |
|
93 |
89 |
$5K |
| 90656 |
|
362 |
356 |
$5K |
| 85018 |
|
2,791 |
2,490 |
$5K |
| 96168 |
|
137 |
66 |
$4K |
| 99219 |
|
60 |
53 |
$4K |
| 43760 |
|
30 |
26 |
$4K |
| 90633 |
|
460 |
428 |
$4K |
| 90651 |
|
229 |
213 |
$4K |
| 99478 |
|
47 |
13 |
$4K |
| 92604 |
|
62 |
61 |
$4K |
| 99348 |
|
178 |
135 |
$4K |
| 73140 |
|
438 |
381 |
$4K |
| 00142 |
|
84 |
51 |
$4K |
| 51798 |
|
704 |
576 |
$4K |
| 74178 |
|
82 |
71 |
$4K |
| G0297 |
Ldct for lung ca screen |
112 |
95 |
$4K |
| 91200 |
|
363 |
320 |
$4K |
| 73080 |
|
432 |
378 |
$4K |
| 49083 |
|
51 |
39 |
$3K |
| 77072 |
|
498 |
460 |
$3K |
| 94060 |
|
502 |
426 |
$3K |
| 64635 |
|
16 |
13 |
$3K |
| 17311 |
|
15 |
12 |
$3K |
| 73090 |
|
445 |
344 |
$3K |
| 92002 |
|
97 |
77 |
$3K |
| 76818 |
|
95 |
69 |
$3K |
| 11721 |
|
374 |
314 |
$3K |
| 92202 |
|
343 |
226 |
$3K |
| 92552 |
|
113 |
106 |
$3K |
| 64494 |
|
35 |
26 |
$3K |
| 76817 |
|
100 |
88 |
$3K |
| 99383 |
|
51 |
48 |
$3K |
| 70486 |
|
113 |
99 |
$3K |
| 99244 |
|
27 |
27 |
$3K |
| 16030 |
|
29 |
14 |
$3K |
| 90471 |
|
1,306 |
1,156 |
$3K |
| 0042T |
|
78 |
64 |
$3K |
| 99235 |
|
27 |
25 |
$3K |
| 92556 |
|
84 |
80 |
$3K |
| 93308 |
|
148 |
132 |
$3K |
| 92020 |
|
221 |
196 |
$3K |
| 00797 |
|
21 |
12 |
$3K |
| 80305 |
|
339 |
282 |
$3K |
| 99243 |
|
35 |
35 |
$3K |
| 0002A |
|
64 |
64 |
$3K |
| 73100 |
|
363 |
295 |
$3K |
| 17250 |
|
69 |
65 |
$3K |
| 95782 |
|
27 |
27 |
$3K |
| 74174 |
|
43 |
41 |
$2K |
| 99224 |
|
174 |
70 |
$2K |
| 01961 |
|
16 |
12 |
$2K |
| 81025 |
|
441 |
394 |
$2K |
| 92652 |
|
26 |
26 |
$2K |
| 86328 |
|
53 |
52 |
$2K |
| 90947 |
|
32 |
12 |
$2K |
| J2785 |
Regadenoson injection |
15 |
14 |
$2K |
| G2212 |
Prolong outpt/office vis |
145 |
98 |
$2K |
| 36224 |
|
17 |
13 |
$2K |
| 96112 |
|
16 |
15 |
$2K |
| 00920 |
|
38 |
25 |
$2K |
| 72156 |
|
28 |
25 |
$2K |
| 99153 |
Mod sedat endo service >5yrs |
263 |
213 |
$2K |
| 99385 |
|
26 |
25 |
$2K |
| 95874 |
|
215 |
180 |
$2K |
| 88311 |
|
225 |
187 |
$2K |
| 36245 |
|
39 |
26 |
$2K |
| 73070 |
|
257 |
225 |
$2K |
| J9035 |
Bevacizumab injection |
49 |
36 |
$2K |
| 81003 |
|
1,032 |
863 |
$2K |
| 31237 |
|
12 |
12 |
$2K |
| 71270 |
|
43 |
39 |
$2K |
| 46600 |
|
30 |
27 |
$2K |
| 74220 |
|
108 |
95 |
$2K |
| J1100 |
Dexamethasone sodium phos |
1,881 |
1,540 |
$2K |
| 88313 |
|
145 |
79 |
$2K |
| 90734 |
|
152 |
142 |
$2K |
| 93793 |
|
718 |
504 |
$2K |
| 96137 |
|
18 |
17 |
$2K |
| 11056 |
|
63 |
52 |
$2K |
| 36558 |
|
19 |
13 |
$2K |
| 96130 |
|
18 |
17 |
$2K |
| 0071A |
|
40 |
40 |
$2K |
| 36226 |
|
20 |
12 |
$2K |
| 90962 |
|
22 |
19 |
$2K |
| 94640 |
|
209 |
136 |
$2K |
| 99366 |
|
124 |
86 |
$2K |
| 0003A |
|
45 |
42 |
$2K |
| 90648 |
|
176 |
164 |
$2K |
| 95974 |
|
12 |
12 |
$2K |
| 20611 |
|
28 |
24 |
$1K |
| 00812 |
|
19 |
14 |
$1K |
| 62370 |
|
61 |
53 |
$1K |
| 90847 |
|
23 |
13 |
$1K |
| 99458 |
|
72 |
53 |
$1K |
| 52000 |
|
31 |
26 |
$1K |
| 78264 |
|
53 |
46 |
$1K |
| 96161 |
|
1,572 |
1,132 |
$1K |
| 75710 |
|
30 |
26 |
$1K |
| 90677 |
|
131 |
124 |
$1K |
| 0072A |
|
31 |
31 |
$1K |
| 0479T |
|
12 |
12 |
$1K |
| 85097 |
|
41 |
36 |
$1K |
| 76937 |
|
184 |
155 |
$1K |
| 11900 |
|
31 |
26 |
$1K |
| 93290 |
|
107 |
104 |
$1K |
| 4450F |
|
283 |
151 |
$1K |
| 0555F |
|
289 |
152 |
$1K |
| 93289 |
|
55 |
51 |
$1K |
| J2704 |
Inj, propofol, 10 mg |
456 |
393 |
$1K |
| 90681 |
|
147 |
127 |
$1K |
| 11100 |
|
18 |
15 |
$1K |
| 78582 |
|
42 |
38 |
$1K |
| 0503F |
|
171 |
150 |
$1K |
| 51728 |
|
14 |
14 |
$1K |
| 95911 |
|
13 |
12 |
$1K |
| 73620 |
|
191 |
139 |
$1K |
| 95117 |
|
161 |
120 |
$1K |
| 73522 |
|
71 |
67 |
$1K |
| 99354 |
|
15 |
13 |
$1K |
| 96156 |
|
16 |
12 |
$1K |
| 92585 |
|
14 |
13 |
$1K |
| 72157 |
|
20 |
12 |
$1K |
| 93451 |
|
15 |
14 |
$997.07 |
| J3490 |
Drugs unclassified injection |
352 |
285 |
$966.68 |
| 3210F |
|
503 |
467 |
$925.00 |
| 1157F |
|
885 |
670 |
$900.00 |
| 93296 |
|
85 |
80 |
$893.83 |
| A9500 |
Tc99m sestamibi |
14 |
13 |
$871.15 |
| 77300 |
|
27 |
24 |
$853.77 |
| 99305 |
|
16 |
13 |
$850.32 |
| 99457 |
|
80 |
67 |
$840.41 |
| 72190 |
|
86 |
83 |
$792.78 |
| 83036 |
|
117 |
105 |
$778.74 |
| 3115F |
|
191 |
132 |
$775.00 |
| 99382 |
|
14 |
12 |
$756.04 |
| 92582 |
|
13 |
12 |
$745.52 |
| 99381 |
|
13 |
13 |
$732.95 |
| 88302 |
|
108 |
95 |
$722.17 |
| 93248 |
|
65 |
62 |
$698.96 |
| G0427 |
Inpt/ed teleconsult70 |
19 |
13 |
$698.50 |
| 4325F |
|
292 |
155 |
$675.00 |
| 62323 |
|
14 |
13 |
$671.39 |
| 20552 |
|
32 |
28 |
$670.99 |
| 96136 |
|
18 |
17 |
$662.67 |
| 90970 |
|
171 |
104 |
$656.56 |
| 72070 |
|
55 |
52 |
$628.11 |
| 99454 |
|
72 |
52 |
$623.10 |
| 76856 |
|
24 |
24 |
$622.16 |
| 96372 |
|
47 |
44 |
$611.14 |
| 92136 |
|
36 |
27 |
$594.82 |
| 0012A |
|
30 |
25 |
$579.20 |
| 92555 |
|
31 |
26 |
$572.44 |
| 51701 |
|
29 |
26 |
$567.02 |
| 90460 |
|
250 |
205 |
$556.16 |
| 1200F |
|
141 |
114 |
$550.00 |
| 96127 |
|
269 |
234 |
$548.33 |
| 0052A |
|
14 |
14 |
$538.02 |
| J7120 |
Ringers lactate infusion |
406 |
343 |
$507.81 |
| 1159F |
|
104 |
96 |
$500.00 |
| 0154A |
|
27 |
24 |
$494.22 |
| 76776 |
|
27 |
24 |
$479.85 |
| 51797 |
|
14 |
14 |
$451.93 |
| 90620 |
|
42 |
41 |
$451.00 |
| 93923 |
|
41 |
31 |
$437.38 |
| 98967 |
|
20 |
17 |
$414.17 |
| 76514 |
|
79 |
67 |
$406.74 |
| 20600 |
|
14 |
12 |
$402.74 |
| 74019 |
|
56 |
39 |
$385.09 |
| 88300 |
|
122 |
104 |
$379.97 |
| G2023 |
Specimen collect covid-19 |
24 |
24 |
$371.84 |
| 73600 |
|
67 |
49 |
$347.29 |
| 94375 |
|
74 |
64 |
$331.19 |
| 88344 |
|
15 |
14 |
$329.04 |
| G0127 |
Trim nail(s) |
62 |
56 |
$313.19 |
| Q0091 |
Obtaining screen pap smear |
33 |
31 |
$308.09 |
| 99453 |
|
89 |
72 |
$304.25 |
| G0179 |
Md recertification hha pt |
49 |
37 |
$301.72 |
| 92310 |
|
20 |
15 |
$291.14 |
| 73565 |
|
16 |
14 |
$281.03 |
| 17003 |
|
25 |
24 |
$277.46 |
| J3301 |
Triamcinolone acet inj nos |
88 |
84 |
$276.62 |
| 90710 |
|
27 |
25 |
$275.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
325 |
302 |
$274.20 |
| 99441 |
|
27 |
27 |
$255.92 |
| 99367 |
|
19 |
13 |
$245.63 |
| J1010 |
Inj, methylpred acetate 1 mg |
52 |
49 |
$242.28 |
| 73060 |
|
38 |
28 |
$228.66 |
| 72081 |
|
16 |
13 |
$226.16 |
| 3324F |
|
48 |
45 |
$225.00 |
| 51784 |
|
19 |
14 |
$214.48 |
| 70250 |
|
24 |
24 |
$209.43 |
| H0033 |
Oral med adm direct observe |
53 |
48 |
$200.10 |
| 90715 |
|
17 |
15 |
$165.00 |
| 95970 |
|
13 |
13 |
$163.22 |
| 99140 |
|
17 |
12 |
$154.90 |
| 99412 |
|
31 |
24 |
$152.25 |
| 90696 |
|
14 |
13 |
$143.00 |
| 99459 |
|
12 |
12 |
$142.61 |
| 90716 |
|
14 |
12 |
$132.00 |
| 90707 |
|
14 |
12 |
$132.00 |
| 1205F |
|
33 |
30 |
$125.00 |
| 96160 |
|
76 |
72 |
$114.50 |
| 90700 |
|
14 |
13 |
$110.00 |
| 0011A |
|
12 |
12 |
$93.60 |
| 0501F |
|
25 |
12 |
$90.00 |
| 81002 |
|
42 |
40 |
$70.15 |
| 87210 |
|
12 |
12 |
$60.44 |
| 93005 |
|
16 |
12 |
$60.12 |
| 51741 |
|
19 |
14 |
$46.54 |
| 82962 |
|
71 |
52 |
$46.52 |
| 90461 |
|
40 |
37 |
$43.24 |
| G0008 |
Admin influenza virus vac |
72 |
68 |
$43.20 |
| G0500 |
Mod sedat endo service >5yrs |
55 |
39 |
$39.44 |
| 36416 |
|
167 |
154 |
$34.50 |
| 90472 |
|
235 |
208 |
$27.20 |
| 91300 |
|
576 |
533 |
$4.21 |
| J7613 |
Albuterol non-comp unit |
19 |
16 |
$3.11 |
| J2001 |
Lidocaine injection |
44 |
38 |
$3.06 |
| 91307 |
|
149 |
138 |
$1.22 |
| 91301 |
|
52 |
48 |
$0.41 |
| 1005F |
|
70 |
66 |
$0.40 |
| 91305 |
|
29 |
29 |
$0.09 |
| 91315 |
|
26 |
24 |
$0.09 |
| 0500F |
|
29 |
29 |
$0.00 |
| 3075F |
|
38 |
37 |
$0.00 |
| 90474 |
|
15 |
13 |
$0.00 |
| 3074F |
|
17 |
17 |
$0.00 |
| 99080 |
|
53 |
42 |
$0.00 |
| 0502F |
|
2,111 |
1,742 |
$0.00 |
| C9803 |
Hopd covid-19 spec collect |
13 |
13 |
$0.00 |
| 3078F |
|
15 |
15 |
$0.00 |