| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
111,337 |
101,434 |
$17.69M |
| 96361 |
|
35,176 |
31,434 |
$12.57M |
| 99283 |
|
63,640 |
59,284 |
$9.59M |
| 99285 |
|
45,698 |
41,674 |
$8.46M |
| G0378 |
Hospital observation per hr |
27,317 |
20,594 |
$4.97M |
| U0003 |
Cov-19 amp prb hgh thruput |
43,249 |
38,024 |
$2.92M |
| 43239 |
|
4,633 |
4,534 |
$2.59M |
| 96365 |
|
17,985 |
14,387 |
$2.44M |
| 45385 |
|
3,464 |
3,416 |
$2.43M |
| 74177 |
|
16,951 |
16,115 |
$2.31M |
| 99211 |
|
15,211 |
13,738 |
$2.08M |
| 70450 |
|
16,652 |
15,364 |
$1.99M |
| 45380 |
|
2,647 |
2,609 |
$1.72M |
| 96360 |
|
13,528 |
12,335 |
$1.66M |
| 76856 |
|
13,133 |
12,821 |
$1.56M |
| 87637 |
|
11,950 |
11,183 |
$1.54M |
| 80307 |
|
44,659 |
36,795 |
$1.52M |
| 87491 |
|
54,912 |
53,353 |
$1.32M |
| 87591 |
|
54,755 |
53,190 |
$1.31M |
| S9485 |
Crisis intervention mental h |
2,514 |
2,161 |
$1.26M |
| 11042 |
|
8,028 |
4,008 |
$1.16M |
| 77063 |
|
18,648 |
18,498 |
$1.15M |
| 99213 |
|
10,550 |
9,685 |
$1.13M |
| 76830 |
|
11,872 |
11,604 |
$1.10M |
| 99282 |
|
7,952 |
7,465 |
$1.09M |
| 95810 |
|
1,171 |
1,114 |
$1.05M |
| 76700 |
|
7,249 |
7,125 |
$1.01M |
| 76815 |
|
7,354 |
5,854 |
$946K |
| 70553 |
|
3,353 |
3,219 |
$941K |
| 90834 |
|
33,844 |
17,074 |
$930K |
| U0002 |
Covid-19 lab test non-cdc |
26,276 |
23,160 |
$908K |
| 85025 |
|
203,981 |
167,781 |
$861K |
| 93306 |
|
5,181 |
5,050 |
$811K |
| 71046 |
|
42,086 |
39,599 |
$799K |
| 96366 |
|
3,861 |
3,344 |
$792K |
| 74176 |
|
5,210 |
5,007 |
$787K |
| 76816 |
|
5,095 |
4,687 |
$768K |
| 99291 |
|
3,600 |
3,402 |
$747K |
| 84443 |
|
84,450 |
82,231 |
$731K |
| 76801 |
|
5,281 |
4,794 |
$679K |
| 87389 |
|
41,158 |
40,583 |
$659K |
| 71275 |
|
3,760 |
3,618 |
$656K |
| 86480 |
|
15,642 |
15,436 |
$644K |
| 93971 |
|
4,197 |
4,014 |
$643K |
| 77067 |
|
22,341 |
22,139 |
$587K |
| 94640 |
|
11,068 |
7,156 |
$585K |
| 72148 |
|
3,495 |
3,358 |
$581K |
| 76705 |
|
6,201 |
5,925 |
$575K |
| 82306 |
|
37,007 |
36,387 |
$571K |
| U0005 |
Infec agen detec ampli probe |
29,092 |
25,001 |
$557K |
| 59025 |
|
2,155 |
1,855 |
$541K |
| 76642 |
|
5,731 |
5,085 |
$494K |
| 76805 |
|
2,866 |
2,847 |
$471K |
| 76770 |
|
3,239 |
3,161 |
$470K |
| 76819 |
|
5,551 |
3,140 |
$450K |
| 76536 |
|
4,626 |
4,528 |
$447K |
| 70551 |
|
2,317 |
2,210 |
$429K |
| 73721 |
|
2,076 |
1,951 |
$426K |
| 87086 |
|
83,460 |
77,489 |
$426K |
| 85027 |
|
112,111 |
105,442 |
$416K |
| 93975 |
|
6,010 |
5,843 |
$408K |
| 74183 |
|
1,933 |
1,870 |
$407K |
| G0463 |
Hospital outpt clinic visit |
17,400 |
15,983 |
$404K |
| ATP08 |
|
69,421 |
55,525 |
$401K |
| 83036 |
|
78,815 |
77,561 |
$398K |
| J3490 |
Drugs unclassified injection |
21,041 |
16,733 |
$373K |
| 99214 |
|
6,344 |
6,124 |
$372K |
| 70496 |
|
2,217 |
2,105 |
$366K |
| G0121 |
Colon ca scrn not hi rsk ind |
455 |
449 |
$356K |
| 88175 |
|
18,530 |
18,413 |
$354K |
| G2023 |
Specimen collect covid-19 |
16,705 |
14,764 |
$335K |
| 76817 |
|
5,637 |
4,811 |
$327K |
| 96374 |
|
41,175 |
36,790 |
$321K |
| ATP15 |
|
37,634 |
30,997 |
$310K |
| 99215 |
Prolong outpt/office vis |
2,736 |
2,436 |
$308K |
| 87624 |
|
14,751 |
14,608 |
$305K |
| 87631 |
|
3,853 |
3,727 |
$300K |
| 84484 |
|
34,273 |
28,860 |
$293K |
| 71250 |
|
5,178 |
4,993 |
$291K |
| 86803 |
|
33,961 |
33,460 |
$290K |
| 12001 |
|
1,361 |
1,309 |
$287K |
| 88305 |
|
26,192 |
17,506 |
$282K |
| 87661 |
|
12,048 |
11,797 |
$281K |
| 94060 |
|
3,043 |
2,922 |
$279K |
| 97803 |
|
3,853 |
3,291 |
$279K |
| 86780 |
|
29,934 |
29,461 |
$278K |
| 93017 |
|
3,085 |
2,999 |
$275K |
| 77080 |
|
5,927 |
5,856 |
$273K |
| 45378 |
|
390 |
385 |
$271K |
| G0480 |
Drug test def 1-7 classes |
12,731 |
11,411 |
$251K |
| 83655 |
|
22,979 |
22,868 |
$237K |
| 87070 |
|
37,749 |
36,275 |
$235K |
| 72141 |
|
1,465 |
1,387 |
$232K |
| 90791 |
|
7,037 |
6,016 |
$230K |
| ATP17 |
|
33,532 |
30,881 |
$229K |
| 78452 |
|
633 |
604 |
$224K |
| 77062 |
|
3,029 |
2,987 |
$221K |
| 64493 |
|
306 |
256 |
$218K |
| 71260 |
|
3,172 |
2,996 |
$210K |
| 82728 |
|
25,709 |
25,100 |
$206K |
| 80048 |
|
200,217 |
161,222 |
$206K |
| ATP14 |
|
32,398 |
29,526 |
$203K |
| 73564 |
|
8,668 |
7,614 |
$203K |
| 83880 |
|
13,582 |
12,186 |
$202K |
| 73221 |
|
1,159 |
1,083 |
$198K |
| 84702 |
|
16,014 |
12,907 |
$196K |
| 83735 |
|
55,999 |
43,472 |
$194K |
| 82607 |
|
25,361 |
24,900 |
$183K |
| 71045 |
|
23,241 |
21,200 |
$182K |
| 83970 |
|
10,567 |
10,284 |
$182K |
| H0035 |
Mh partial hosp tx under 24h |
521 |
80 |
$171K |
| 97802 |
|
2,558 |
2,450 |
$168K |
| 80050 |
|
11,903 |
11,720 |
$167K |
| 83690 |
|
37,038 |
33,745 |
$165K |
| 72100 |
|
4,619 |
4,509 |
$162K |
| 47562 |
|
58 |
54 |
$160K |
| 77061 |
|
1,835 |
1,817 |
$156K |
| 87186 |
|
29,349 |
27,739 |
$149K |
| 73630 |
|
6,566 |
6,057 |
$148K |
| 87077 |
|
31,994 |
30,283 |
$148K |
| 96372 |
|
13,412 |
11,938 |
$148K |
| 12011 |
|
695 |
675 |
$148K |
| 93970 |
|
756 |
720 |
$146K |
| 95811 |
|
171 |
160 |
$139K |
| 0241U |
|
4,525 |
4,298 |
$139K |
| 81025 |
|
25,368 |
23,640 |
$138K |
| 87635 |
|
2,560 |
2,352 |
$137K |
| 73130 |
|
5,751 |
5,036 |
$135K |
| 73610 |
|
5,868 |
5,527 |
$132K |
| 96413 |
|
582 |
555 |
$132K |
| 84439 |
|
26,241 |
25,447 |
$128K |
| 73030 |
|
5,354 |
4,971 |
$126K |
| 77065 |
Tomosynthesis, mammo |
3,362 |
3,123 |
$125K |
| 94726 |
|
2,727 |
2,630 |
$122K |
| 76882 |
|
1,312 |
1,206 |
$121K |
| 87340 |
|
17,896 |
17,632 |
$121K |
| 80053 |
|
104,957 |
98,891 |
$119K |
| 87536 |
|
2,421 |
2,366 |
$117K |
| 86850 |
|
16,182 |
15,122 |
$114K |
| 87522 |
Neg quan hep c or qual rna |
4,142 |
4,016 |
$113K |
| 76870 |
|
1,247 |
1,209 |
$113K |
| G0297 |
Ldct for lung ca screen |
1,030 |
995 |
$111K |
| 93976 |
|
1,274 |
1,244 |
$109K |
| 83550 |
|
21,682 |
21,258 |
$109K |
| 86706 |
|
15,982 |
15,724 |
$108K |
| 94729 |
|
2,726 |
2,629 |
$106K |
| 84153 |
|
11,919 |
11,665 |
$106K |
| 10060 |
|
657 |
613 |
$101K |
| 99281 |
|
947 |
908 |
$99K |
| 19083 |
|
134 |
126 |
$97K |
| 93296 |
|
3,893 |
3,799 |
$97K |
| 86003 |
|
2,829 |
2,780 |
$96K |
| ATP03 |
|
19,777 |
18,232 |
$95K |
| 80061 |
|
109,766 |
107,890 |
$94K |
| 74019 |
|
2,760 |
2,660 |
$92K |
| 81001 |
|
56,387 |
51,931 |
$89K |
| 97161 |
|
2,510 |
2,303 |
$88K |
| 83540 |
|
23,894 |
23,389 |
$87K |
| 88112 |
|
2,880 |
2,777 |
$87K |
| 43235 |
|
141 |
138 |
$85K |
| 86704 |
|
10,928 |
10,797 |
$83K |
| 12002 |
|
416 |
396 |
$83K |
| 73110 |
|
3,409 |
3,119 |
$82K |
| 87040 |
|
7,606 |
6,900 |
$82K |
| 84402 |
|
4,985 |
4,903 |
$80K |
| 93005 |
|
63,956 |
55,103 |
$80K |
| 81513 |
|
765 |
748 |
$79K |
| 86140 |
|
25,271 |
23,130 |
$78K |
| 72197 |
|
306 |
304 |
$78K |
| 86787 |
|
7,932 |
7,818 |
$78K |
| 86762 |
|
6,970 |
6,869 |
$78K |
| 84146 |
|
6,063 |
5,796 |
$76K |
| 85610 |
|
52,554 |
32,153 |
$75K |
| 74246 |
|
419 |
411 |
$74K |
| 74018 |
|
2,839 |
2,712 |
$73K |
| 84403 |
|
4,819 |
4,701 |
$72K |
| 82784 |
|
10,161 |
9,922 |
$72K |
| J1650 |
Inj enoxaparin sodium |
5,792 |
3,209 |
$72K |
| 78451 |
|
195 |
192 |
$70K |
| 83605 |
|
9,810 |
8,723 |
$69K |
| 86618 |
|
6,351 |
6,227 |
$68K |
| 77066 |
Tomosynthesis, mammo |
3,755 |
3,673 |
$66K |
| 87880 |
|
5,554 |
5,379 |
$66K |
| 90715 |
|
2,907 |
2,787 |
$66K |
| ATP11 |
|
11,702 |
10,757 |
$66K |
| 80076 |
|
81,141 |
72,323 |
$66K |
| 86235 |
|
1,831 |
1,790 |
$63K |
| 73502 |
|
2,753 |
2,646 |
$61K |
| 82043 |
|
25,855 |
25,250 |
$61K |
| 87081 |
|
12,858 |
12,365 |
$61K |
| 82670 |
|
3,394 |
3,266 |
$61K |
| 70486 |
|
1,342 |
1,273 |
$60K |
| 82274 |
|
7,858 |
7,755 |
$59K |
| 84703 |
|
10,333 |
9,727 |
$57K |
| J0574 |
Bupren/nal 6.1 to 10mg bupre |
1,349 |
578 |
$56K |
| 87338 |
|
6,132 |
6,066 |
$56K |
| 82803 |
|
3,592 |
3,299 |
$55K |
| 83001 |
|
4,494 |
4,391 |
$54K |
| 64483 |
|
104 |
89 |
$52K |
| 86360 |
|
2,176 |
2,132 |
$51K |
| 71271 |
|
1,560 |
1,519 |
$51K |
| 86665 |
|
1,888 |
1,844 |
$50K |
| 82746 |
|
6,790 |
6,679 |
$48K |
| 93225 |
|
694 |
676 |
$46K |
| ATP16 |
|
6,117 |
4,619 |
$45K |
| ATP18 |
|
7,656 |
6,922 |
$45K |
| 73140 |
|
1,800 |
1,726 |
$44K |
| 72125 |
|
7,071 |
6,488 |
$44K |
| 93270 |
|
821 |
811 |
$44K |
| 83516 |
|
4,535 |
4,430 |
$43K |
| 86900 |
|
15,790 |
14,786 |
$43K |
| 72050 |
|
798 |
779 |
$42K |
| ATP07 |
|
7,099 |
6,660 |
$42K |
| 83020 |
|
3,977 |
3,941 |
$42K |
| ATP09 |
|
7,753 |
5,904 |
$41K |
| 86359 |
|
2,178 |
2,134 |
$41K |
| 86038 |
|
5,974 |
5,874 |
$40K |
| 87106 |
|
4,823 |
4,702 |
$39K |
| 85379 |
|
6,102 |
5,829 |
$39K |
| 83002 |
|
3,208 |
3,132 |
$39K |
| 87517 |
|
1,518 |
1,471 |
$38K |
| 88360 |
|
611 |
580 |
$38K |
| 85652 |
|
24,679 |
22,851 |
$38K |
| J7050 |
Normal saline solution infus |
19,241 |
12,275 |
$38K |
| 93308 |
|
185 |
173 |
$37K |
| 81003 |
|
30,430 |
28,749 |
$37K |
| 70491 |
|
229 |
216 |
$36K |
| 90792 |
|
1,334 |
1,162 |
$36K |
| J2405 |
Ondansetron hcl injection |
26,497 |
21,580 |
$35K |
| 86901 |
|
15,791 |
14,781 |
$35K |
| 88342 |
|
5,868 |
5,698 |
$34K |
| 87205 |
|
12,669 |
12,112 |
$34K |
| 84480 |
|
4,722 |
4,481 |
$34K |
| 84425 |
|
2,474 |
2,455 |
$34K |
| 10005 |
|
89 |
88 |
$34K |
| G2066 |
Inter devc remote 30d |
1,236 |
1,121 |
$33K |
| 87529 |
|
1,489 |
1,452 |
$33K |
| J1885 |
Ketorolac tromethamine inj |
27,711 |
23,880 |
$33K |
| 88173 |
|
531 |
495 |
$32K |
| 88307 |
|
367 |
316 |
$32K |
| ATP10 |
|
7,016 |
6,080 |
$30K |
| 73080 |
|
1,688 |
1,580 |
$30K |
| 96118 |
|
28 |
28 |
$29K |
| 95816 |
|
125 |
114 |
$29K |
| G0105 |
Colorectal scrn; hi risk ind |
56 |
56 |
$29K |
| 87046 |
|
4,314 |
4,171 |
$28K |
| 41899 |
|
33 |
26 |
$28K |
| 96367 |
|
1,024 |
930 |
$27K |
| 72070 |
|
836 |
817 |
$26K |
| 70498 |
|
2,021 |
1,907 |
$26K |
| 86160 |
|
2,114 |
2,066 |
$25K |
| J7999 |
Compounded drug, noc |
2,372 |
1,791 |
$25K |
| 49083 |
|
43 |
26 |
$25K |
| J9999 |
Chemotherapy drug |
1,740 |
959 |
$24K |
| 87045 |
|
4,228 |
4,093 |
$24K |
| 70544 |
|
138 |
130 |
$23K |
| 83993 |
|
1,905 |
1,874 |
$23K |
| 87481 |
|
767 |
751 |
$23K |
| 72170 |
|
2,292 |
2,138 |
$22K |
| J1644 |
Inj heparin sodium per 1000u |
7,508 |
3,917 |
$22K |
| 87430 |
|
2,172 |
2,086 |
$22K |
| 80164 |
|
4,646 |
4,267 |
$22K |
| 86664 |
|
1,880 |
1,844 |
$22K |
| 86696 |
|
1,357 |
1,336 |
$22K |
| 96375 |
|
25,716 |
22,666 |
$22K |
| 83013 |
|
562 |
561 |
$22K |
| 88304 |
|
1,831 |
1,726 |
$21K |
| 86200 |
|
2,822 |
2,776 |
$21K |
| 93226 |
|
652 |
636 |
$21K |
| 82627 |
|
1,349 |
1,330 |
$21K |
| 86695 |
|
1,940 |
1,913 |
$20K |
| J0696 |
Ceftriaxone sodium injection |
7,817 |
5,481 |
$20K |
| 86334 |
|
2,111 |
2,069 |
$20K |
| J2543 |
Piperacillin/tazobactam |
1,104 |
645 |
$20K |
| 99395 |
|
159 |
159 |
$20K |
| 83498 |
|
957 |
943 |
$20K |
| 83520 |
|
2,193 |
2,147 |
$19K |
| 82947 |
|
8,212 |
8,095 |
$19K |
| 99443 |
|
1,781 |
1,745 |
$19K |
| 85730 |
|
5,217 |
4,806 |
$19K |
| ATP02 |
|
4,530 |
3,610 |
$19K |
| 82951 |
|
1,613 |
1,604 |
$19K |
| 82533 |
|
2,076 |
1,785 |
$19K |
| 73590 |
|
1,204 |
1,096 |
$19K |
| 99396 |
|
240 |
240 |
$19K |
| 82785 |
|
1,846 |
1,817 |
$19K |
| 86735 |
|
2,265 |
2,213 |
$18K |
| 86677 |
|
1,730 |
1,694 |
$18K |
| 87798 |
|
787 |
770 |
$18K |
| 36415 |
|
108,636 |
82,183 |
$18K |
| 82024 |
|
987 |
960 |
$18K |
| 82105 |
|
1,852 |
1,793 |
$18K |
| 84165 |
|
4,118 |
4,041 |
$18K |
| 87902 |
|
240 |
228 |
$18K |
| 86376 |
|
2,100 |
2,064 |
$18K |
| 80197 |
|
4,957 |
3,114 |
$17K |
| 58558 |
|
13 |
13 |
$17K |
| 86039 |
|
2,367 |
2,304 |
$16K |
| J3010 |
Fentanyl citrate injection |
16,945 |
14,425 |
$16K |
| 87300 |
|
1,911 |
1,862 |
$16K |
| J1170 |
Hydromorphone injection |
6,427 |
4,128 |
$15K |
| J2270 |
Morphine sulfate injection |
10,382 |
8,224 |
$15K |
| G0279 |
Tomosynthesis, mammo |
906 |
884 |
$15K |
| 86765 |
|
1,912 |
1,865 |
$14K |
| 86708 |
|
1,966 |
1,943 |
$14K |
| J2250 |
Inj midazolam hydrochloride |
13,828 |
12,516 |
$14K |
| 82570 |
|
5,603 |
5,051 |
$14K |
| 83721 |
|
3,960 |
3,889 |
$14K |
| 95819 |
|
68 |
53 |
$13K |
| J0131 |
Inj, acetaminophen (nos) |
622 |
560 |
$13K |
| J0690 |
Cefazolin sodium injection |
5,125 |
3,894 |
$13K |
| 99201 |
|
115 |
108 |
$13K |
| 86225 |
|
1,586 |
1,564 |
$13K |
| 83883 |
|
1,159 |
1,129 |
$13K |
| J2704 |
Inj, propofol, 10 mg |
19,097 |
16,907 |
$12K |
| 36430 |
|
49 |
26 |
$12K |
| 86431 |
|
3,637 |
3,568 |
$12K |
| 87641 |
|
455 |
443 |
$12K |
| 84445 |
|
361 |
359 |
$12K |
| J0561 |
Penicillin g benzathine inj |
82 |
79 |
$12K |
| 99308 |
|
1,016 |
755 |
$12K |
| 74221 |
|
98 |
97 |
$12K |
| 80177 |
|
1,699 |
1,537 |
$11K |
| 80178 |
|
3,622 |
3,237 |
$11K |
| ATP04 |
|
2,055 |
1,848 |
$11K |
| 86255 |
|
1,389 |
1,317 |
$11K |
| J3475 |
Inj magnesium sulfate |
5,144 |
4,217 |
$11K |
| 76942 |
|
65 |
65 |
$10K |
| 84100 |
|
20,710 |
15,779 |
$10K |
| 83525 |
|
1,543 |
1,517 |
$10K |
| 87502 |
|
314 |
297 |
$10K |
| 85045 |
|
4,473 |
3,891 |
$10K |
| J2060 |
Lorazepam injection |
8,110 |
6,624 |
$10K |
| 82150 |
|
2,132 |
2,019 |
$10K |
| 84270 |
|
618 |
610 |
$10K |
| 86141 |
|
1,795 |
1,682 |
$10K |
| 73700 |
|
66 |
64 |
$9K |
| 84144 |
|
726 |
672 |
$9K |
| 81002 |
|
4,281 |
4,119 |
$9K |
| 90471 |
|
4,187 |
3,858 |
$9K |
| 85397 |
|
459 |
454 |
$9K |
| 31500 |
|
20 |
20 |
$9K |
| 72158 |
|
82 |
80 |
$9K |
| 87177 |
|
1,514 |
1,469 |
$9K |
| ATP05 |
|
1,382 |
1,281 |
$9K |
| J1100 |
Dexamethasone sodium phos |
7,245 |
6,675 |
$9K |
| 87449 |
|
1,330 |
1,228 |
$9K |
| 93280 |
|
379 |
373 |
$9K |
| 88172 |
|
408 |
381 |
$9K |
| 84156 |
|
4,261 |
3,696 |
$8K |
| ATP13 |
|
1,566 |
1,424 |
$8K |
| 86769 |
|
274 |
269 |
$8K |
| 82330 |
|
1,653 |
1,561 |
$8K |
| 74178 |
|
61 |
61 |
$8K |
| ATP06 |
|
1,117 |
1,056 |
$8K |
| 82565 |
|
9,311 |
8,366 |
$8K |
| 85246 |
|
459 |
454 |
$8K |
| 82610 |
|
1,265 |
1,175 |
$7K |
| 94002 |
|
14 |
12 |
$7K |
| 72082 |
|
100 |
98 |
$7K |
| J1200 |
Diphenhydramine hcl injectio |
6,792 |
5,521 |
$7K |
| 97530 |
|
159 |
90 |
$7K |
| 84432 |
|
693 |
670 |
$6K |
| J3370 |
Vancomycin hcl injection |
1,977 |
1,227 |
$6K |
| C9803 |
Hopd covid-19 spec collect |
4,644 |
4,068 |
$6K |
| 80074 |
|
174 |
168 |
$6K |
| ATP23 |
|
648 |
500 |
$6K |
| 82088 |
|
312 |
294 |
$6K |
| 85240 |
|
474 |
466 |
$6K |
| 82948 |
|
2,441 |
1,683 |
$6K |
| 71101 |
|
126 |
124 |
$6K |
| 84436 |
|
1,430 |
1,406 |
$6K |
| 80159 |
|
1,114 |
866 |
$6K |
| 62323 |
|
12 |
12 |
$6K |
| 90686 |
|
472 |
460 |
$6K |
| 82140 |
|
846 |
744 |
$6K |
| 82550 |
|
7,179 |
6,461 |
$6K |
| 86147 |
|
158 |
156 |
$6K |
| 86364 |
|
4,266 |
4,211 |
$5K |
| 86341 |
|
520 |
512 |
$5K |
| 82952 |
|
1,610 |
1,601 |
$5K |
| 86800 |
|
766 |
746 |
$5K |
| 90847 |
|
48 |
35 |
$5K |
| 87076 |
|
1,939 |
1,823 |
$5K |
| J1756 |
Iron sucrose injection |
372 |
165 |
$5K |
| ATP12 |
|
1,225 |
1,100 |
$5K |
| 86308 |
|
1,278 |
1,249 |
$5K |
| 87324 |
|
799 |
744 |
$5K |
| 82985 |
|
831 |
820 |
$5K |
| 84460 |
|
9,010 |
8,719 |
$5K |
| 84681 |
|
509 |
495 |
$5K |
| 93880 |
|
56 |
53 |
$5K |
| J0295 |
Ampicillin sulbactam 1.5 gm |
1,148 |
594 |
$5K |
| 99203 |
|
48 |
47 |
$5K |
| 87799 |
|
412 |
307 |
$5K |
| 74181 |
|
26 |
26 |
$5K |
| 73090 |
|
442 |
430 |
$5K |
| P9604 |
One-way allow prorated trip |
14,540 |
7,930 |
$5K |
| 84550 |
|
6,769 |
6,408 |
$4K |
| 84166 |
|
414 |
407 |
$4K |
| 90853 |
|
167 |
63 |
$4K |
| 86592 |
|
1,452 |
1,429 |
$4K |
| J0780 |
Prochlorperazine injection |
1,155 |
919 |
$4K |
| J7512 |
Prednisone ir or dr oral 1mg |
3,847 |
2,857 |
$4K |
| 80069 |
|
6,993 |
6,168 |
$4K |
| 80175 |
|
629 |
589 |
$4K |
| 84207 |
|
269 |
268 |
$4K |
| 90832 |
|
1,175 |
424 |
$4K |
| 87625 |
|
158 |
158 |
$4K |
| 10022 |
|
26 |
24 |
$4K |
| 74174 |
|
100 |
99 |
$4K |
| 80299 |
|
351 |
326 |
$4K |
| J0171 |
Adrenalin epinephrine inject |
326 |
294 |
$4K |
| 83521 |
|
1,305 |
1,279 |
$4K |
| 84450 |
|
7,521 |
7,208 |
$4K |
| 84305 |
|
269 |
262 |
$4K |
| 84630 |
|
415 |
415 |
$4K |
| 90656 |
|
211 |
206 |
$4K |
| J0694 |
Cefoxitin sodium injection |
250 |
127 |
$4K |
| 76981 |
|
46 |
46 |
$4K |
| 88346 |
|
52 |
50 |
$4K |
| 86705 |
|
449 |
441 |
$4K |
| 93297 |
|
316 |
305 |
$3K |
| 84132 |
|
4,265 |
3,945 |
$3K |
| 74220 |
|
58 |
54 |
$3K |
| 20610 |
|
24 |
24 |
$3K |
| 84154 |
|
447 |
436 |
$3K |
| 82248 |
|
7,005 |
5,622 |
$3K |
| 82010 |
|
534 |
487 |
$3K |
| 82390 |
|
433 |
421 |
$3K |
| 99442 |
|
818 |
805 |
$3K |
| 82977 |
|
2,571 |
2,476 |
$3K |
| J2001 |
Lidocaine injection |
16,168 |
13,793 |
$3K |
| C7901 |
Hopd mntl hlt, 30-60 min |
584 |
298 |
$3K |
| 82465 |
|
1,387 |
1,369 |
$3K |
| 85018 |
|
2,243 |
1,894 |
$3K |
| 84244 |
|
228 |
223 |
$3K |
| 82103 |
|
317 |
312 |
$3K |
| 86617 |
|
268 |
256 |
$2K |
| 82962 |
|
17,055 |
12,806 |
$2K |
| 85014 |
|
2,108 |
1,770 |
$2K |
| J1630 |
Haloperidol injection |
2,693 |
2,339 |
$2K |
| J7120 |
Ringers lactate infusion |
2,363 |
2,148 |
$2K |
| 82626 |
|
117 |
115 |
$2K |
| 83010 |
|
325 |
307 |
$2K |
| 85048 |
|
2,191 |
1,800 |
$2K |
| 82310 |
|
2,291 |
2,171 |
$2K |
| 99385 |
|
13 |
13 |
$2K |
| 0002A |
|
55 |
51 |
$2K |
| 72156 |
|
25 |
25 |
$2K |
| J1642 |
Inj heparin sodium per 10 u |
342 |
201 |
$2K |
| 97165 |
|
31 |
27 |
$2K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
3,141 |
3,060 |
$2K |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
835 |
698 |
$2K |
| 89051 |
|
479 |
417 |
$2K |
| 84590 |
|
249 |
247 |
$2K |
| 81050 |
|
1,035 |
1,006 |
$2K |
| 93298 |
|
152 |
141 |
$2K |
| 84300 |
|
597 |
473 |
$2K |
| 93797 |
|
37 |
14 |
$2K |
| J0134 |
Inj acetaminophen -fresenius |
630 |
592 |
$2K |
| 88312 |
|
131 |
129 |
$2K |
| 87640 |
|
219 |
212 |
$2K |
| 80156 |
|
371 |
351 |
$2K |
| 96376 |
|
5,583 |
4,654 |
$2K |
| 87103 |
|
162 |
152 |
$2K |
| S0119 |
Ondansetron 4 mg |
8,903 |
8,255 |
$2K |
| 86920 |
|
127 |
92 |
$2K |
| 82652 |
|
49 |
48 |
$1K |
| 82677 |
|
80 |
80 |
$1K |
| J7060 |
5% dextrose/water |
62 |
12 |
$1K |
| 83615 |
|
2,669 |
2,342 |
$1K |
| 86694 |
|
120 |
115 |
$1K |
| 73560 |
|
43 |
40 |
$1K |
| 86812 |
|
57 |
56 |
$1K |
| 82525 |
|
131 |
130 |
$1K |
| 87804 |
|
150 |
148 |
$1K |
| Q3014 |
Telehealth facility fee |
976 |
935 |
$1K |
| 99202 |
|
25 |
25 |
$1K |
| 87107 |
|
195 |
178 |
$1K |
| 87651 |
|
84 |
76 |
$1K |
| 0001A |
|
51 |
48 |
$1K |
| 86146 |
|
71 |
68 |
$1K |
| 83835 |
|
103 |
92 |
$1K |
| 76937 |
|
64 |
62 |
$1K |
| 82239 |
|
77 |
64 |
$1K |
| 90677 |
|
14 |
14 |
$1K |
| 83921 |
|
89 |
89 |
$1K |
| 86703 |
|
158 |
150 |
$1K |
| 72040 |
|
25 |
24 |
$1K |
| ATP19 |
|
239 |
188 |
$1K |
| 90662 |
|
257 |
254 |
$1K |
| 91320 |
|
12 |
12 |
$1K |
| 83718 |
|
307 |
303 |
$1K |
| 82747 |
|
81 |
79 |
$1K |
| 82040 |
|
2,453 |
2,335 |
$1K |
| 70360 |
|
12 |
12 |
$1K |
| 84520 |
|
4,292 |
3,717 |
$994.47 |
| 97597 |
|
40 |
25 |
$964.42 |
| J2930 |
Methylprednisolone injection |
1,921 |
1,640 |
$959.68 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
30,639 |
28,375 |
$952.53 |
| 80179 |
|
135 |
131 |
$884.96 |
| J2272 |
Inj, morphine (fresenius) |
765 |
699 |
$874.30 |
| J3411 |
Thiamine hcl 100 mg |
587 |
428 |
$858.41 |
| 82247 |
|
3,656 |
2,736 |
$854.04 |
| 83935 |
|
218 |
154 |
$790.54 |
| 82530 |
|
94 |
63 |
$788.48 |
| 86684 |
|
194 |
185 |
$758.67 |
| J7030 |
Normal saline solution infus |
750 |
683 |
$741.44 |
| 93290 |
|
70 |
66 |
$740.88 |
| 83090 |
|
138 |
137 |
$688.59 |
| 99212 |
|
41 |
40 |
$683.84 |
| 73552 |
|
68 |
62 |
$683.77 |
| 76857 |
|
14 |
12 |
$671.72 |
| 80185 |
|
180 |
154 |
$653.71 |
| J2765 |
Metoclopramide hcl injection |
4,301 |
3,807 |
$622.75 |
| 83021 |
|
55 |
55 |
$605.34 |
| J1020 |
Methylprednisolone 20 mg inj |
906 |
722 |
$599.22 |
| 90837 |
|
208 |
114 |
$593.84 |
| J3301 |
Triamcinolone acet inj nos |
353 |
344 |
$564.28 |
| 93282 |
|
26 |
25 |
$558.98 |
| 70548 |
|
14 |
13 |
$552.56 |
| 84479 |
|
240 |
236 |
$552.05 |
| 85613 |
|
79 |
76 |
$547.43 |
| J0689 |
Inj cefazolin sodium, baxter |
1,348 |
1,271 |
$543.86 |
| 97162 |
|
14 |
14 |
$543.46 |
| 86880 |
|
142 |
122 |
$527.37 |
| 87807 |
|
54 |
54 |
$497.20 |
| 86021 |
|
57 |
55 |
$494.01 |
| 82340 |
|
179 |
172 |
$454.84 |
| 84155 |
|
629 |
614 |
$446.48 |
| 82378 |
|
52 |
51 |
$420.79 |
| 84134 |
|
83 |
67 |
$414.34 |
| 64494 |
|
252 |
207 |
$406.45 |
| 99307 |
|
112 |
102 |
$395.10 |
| J7510 |
Prednisolone oral per 5 mg |
465 |
417 |
$377.93 |
| 86709 |
|
42 |
42 |
$369.96 |
| 73522 |
|
12 |
12 |
$367.75 |
| 73060 |
|
39 |
38 |
$367.06 |
| 90480 |
|
12 |
12 |
$366.96 |
| 80162 |
|
75 |
66 |
$356.99 |
| 85651 |
|
198 |
170 |
$354.01 |
| 88302 |
|
13 |
12 |
$352.70 |
| J1836 |
Inj, metronidazole, 10 mg |
90 |
62 |
$340.98 |
| 80143 |
|
154 |
148 |
$311.81 |
| 82172 |
|
24 |
24 |
$284.88 |
| 84295 |
|
416 |
379 |
$274.01 |
| 83930 |
|
81 |
75 |
$267.67 |
| 86430 |
|
115 |
109 |
$264.40 |
| 86381 |
|
258 |
255 |
$246.95 |
| 93923 |
|
18 |
18 |
$241.68 |
| G0008 |
Admin influenza virus vac |
359 |
358 |
$237.25 |
| 86304 |
|
13 |
13 |
$227.88 |
| J2920 |
Methylprednisolone injection |
62 |
40 |
$227.32 |
| 86870 |
|
13 |
12 |
$219.02 |
| 84080 |
|
32 |
31 |
$215.68 |
| 85390 |
|
27 |
26 |
$205.92 |
| 84466 |
|
25 |
25 |
$202.50 |
| 86300 |
|
54 |
41 |
$201.85 |
| A9585 |
Gadobutrol injection |
9,234 |
8,701 |
$192.18 |
| J2919 |
Inj, methylpred sod succ 5mg |
241 |
166 |
$149.40 |
| 82164 |
|
12 |
12 |
$133.20 |
| 86645 |
|
12 |
12 |
$127.82 |
| 84075 |
|
415 |
394 |
$126.91 |
| J1790 |
Droperidol injection |
361 |
306 |
$113.66 |
| 83695 |
|
13 |
13 |
$101.04 |
| G0103 |
Psa screening |
1,976 |
1,961 |
$95.84 |
| 87350 |
|
12 |
12 |
$94.59 |
| 36600 |
|
190 |
175 |
$93.21 |
| 82787 |
|
14 |
14 |
$87.72 |
| S0028 |
Injection, famotidine, 20 mg |
394 |
382 |
$86.43 |
| 86707 |
|
12 |
12 |
$83.51 |
| 82950 |
|
19 |
19 |
$79.61 |
| 88341 |
|
13 |
12 |
$70.94 |
| 87075 |
|
12 |
12 |
$69.12 |
| 87400 |
|
35 |
35 |
$65.64 |
| 85384 |
|
13 |
13 |
$62.00 |
| 80165 |
|
16 |
14 |
$55.08 |
| 82523 |
|
25 |
24 |
$32.96 |
| P9040 |
Rbc leukoreduced irradiated |
92 |
54 |
$28.23 |
| 84478 |
|
18 |
12 |
$25.30 |
| 87210 |
|
13 |
13 |
$22.00 |
| J3360 |
Diazepam injection |
103 |
73 |
$16.83 |
| 99441 |
|
14 |
12 |
$9.88 |
| 99152 |
|
3,458 |
3,346 |
$1.09 |
| 99153 |
Mod sedat endo service >5yrs |
3,213 |
3,112 |
$0.54 |
| Q9969 |
Non-heu tc-99m add-on/dose |
446 |
412 |
$0.20 |
| 84145 |
|
324 |
288 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
313 |
298 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
1,658 |
1,311 |
$0.00 |
| G0500 |
Mod sedat endo service >5yrs |
912 |
897 |
$0.00 |
| 51702 |
|
79 |
76 |
$0.00 |
| G8979 |
Mobility goal status |
212 |
197 |
$0.00 |
| 80364 |
|
196 |
172 |
$0.00 |
| 86015 |
|
257 |
255 |
$0.00 |
| J1953 |
Levetiracetam injection |
320 |
253 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
705 |
642 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
723 |
447 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
89 |
67 |
$0.00 |
| 77002 |
|
13 |
13 |
$0.00 |
| J0688 |
Inj cefazolin sodium, hikma |
22 |
14 |
$0.00 |
| 76376 |
|
27 |
25 |
$0.00 |
| G8978 |
Mobility current status |
208 |
196 |
$0.00 |
| U0001 |
2019-ncov diagnostic p |
19 |
19 |
$0.00 |
| A9577 |
Inj multihance |
36 |
35 |
$0.00 |
| C1887 |
Catheter, guiding |
24 |
24 |
$0.00 |
| 91300 |
|
55 |
52 |
$0.00 |
| 80348 |
|
51 |
40 |
$0.00 |
| 82653 |
|
55 |
53 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
14 |
13 |
$0.00 |
| 86036 |
|
13 |
13 |
$0.00 |
| J0137 |
Inj, acetaminophen (hikma) |
13 |
13 |
$0.00 |
| 98968 |
|
17 |
12 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
1,763 |
1,592 |
$0.00 |
| 80349 |
|
17 |
15 |
$0.00 |
| J8540 |
Oral dexamethasone |
1,588 |
1,444 |
$0.00 |
| J3480 |
Inj potassium chloride |
2,148 |
1,542 |
$0.00 |
| S0020 |
Injection, bupivicaine hydro |
61 |
60 |
$0.00 |
| C1769 |
Guide wire |
1,147 |
1,052 |
$0.00 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
328 |
275 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
796 |
753 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
210 |
166 |
$0.00 |
| J1940 |
Furosemide injection |
188 |
144 |
$0.00 |
| J2785 |
Regadenoson injection |
385 |
374 |
$0.00 |
| 99292 |
|
109 |
106 |
$0.00 |
| 80320 |
|
396 |
323 |
$0.00 |
| G0123 |
Screen cerv/vag thin layer |
396 |
382 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
13 |
13 |
$0.00 |
| 80329 |
|
61 |
58 |
$0.00 |
| G8980 |
Mobility d/c status |
60 |
55 |
$0.00 |
| 74175 |
|
73 |
72 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
47 |
41 |
$0.00 |
| A9503 |
Tc99m medronate |
26 |
25 |
$0.00 |
| 76377 |
|
19 |
18 |
$0.00 |
| 80359 |
|
13 |
12 |
$0.00 |
| 80324 |
|
20 |
16 |
$0.00 |