| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
107,631 |
95,063 |
$7.94M |
| 99283 |
|
108,318 |
97,391 |
$5.95M |
| 74177 |
|
6,829 |
6,182 |
$4.03M |
| U0003 |
Cov-19 amp prb hgh thruput |
39,486 |
34,808 |
$3.39M |
| 99285 |
|
27,863 |
24,184 |
$2.54M |
| 0241U |
|
13,682 |
12,518 |
$2.08M |
| 96361 |
|
34,597 |
28,995 |
$2.07M |
| 70450 |
|
9,182 |
8,252 |
$1.74M |
| 96374 |
|
46,544 |
40,501 |
$1.64M |
| 96375 |
|
30,535 |
24,883 |
$1.56M |
| 71046 |
|
26,589 |
23,844 |
$1.30M |
| 0240U |
|
6,831 |
6,550 |
$1.11M |
| 74176 |
|
2,792 |
2,525 |
$978K |
| 96372 |
|
22,823 |
18,695 |
$878K |
| 80053 |
|
95,364 |
82,138 |
$842K |
| 11042 |
|
15,585 |
7,106 |
$820K |
| 85025 |
|
118,290 |
99,936 |
$805K |
| 93005 |
|
50,158 |
43,019 |
$710K |
| 87635 |
|
9,354 |
8,973 |
$603K |
| 87491 |
|
20,935 |
17,561 |
$561K |
| 87591 |
|
20,935 |
17,560 |
$548K |
| G0378 |
Hospital observation per hr |
9,327 |
3,892 |
$529K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
16,979 |
15,066 |
$488K |
| 11045 |
|
3,174 |
1,473 |
$485K |
| 71045 |
|
15,098 |
13,437 |
$481K |
| 76816 |
|
4,232 |
3,242 |
$473K |
| 80307 |
|
9,249 |
8,006 |
$470K |
| 71275 |
|
1,551 |
1,433 |
$449K |
| 76811 |
|
2,418 |
2,043 |
$440K |
| 36415 |
|
171,155 |
138,283 |
$421K |
| 72148 |
|
1,784 |
1,672 |
$415K |
| G0463 |
Hospital outpt clinic visit |
35,206 |
29,419 |
$401K |
| 96365 |
|
7,313 |
6,073 |
$395K |
| J7030 |
Normal saline solution infus |
47,017 |
37,899 |
$357K |
| U0005 |
Infec agen detec ampli probe |
11,304 |
10,390 |
$353K |
| J3490 |
Drugs unclassified injection |
34,315 |
18,278 |
$317K |
| 81025 |
|
38,978 |
33,714 |
$293K |
| 96360 |
|
4,913 |
4,440 |
$290K |
| 78452 |
|
912 |
826 |
$256K |
| 87070 |
|
21,381 |
19,910 |
$253K |
| 80069 |
|
38,684 |
32,041 |
$243K |
| 72100 |
|
2,141 |
1,960 |
$234K |
| 72125 |
|
864 |
787 |
$232K |
| 87804 |
|
8,632 |
7,904 |
$225K |
| 93306 |
|
1,531 |
1,449 |
$221K |
| 70551 |
|
868 |
798 |
$216K |
| 80061 |
|
15,367 |
14,316 |
$212K |
| 87389 |
|
8,625 |
7,181 |
$211K |
| 99282 |
|
7,096 |
6,618 |
$207K |
| 81001 |
|
57,157 |
50,512 |
$197K |
| 71260 |
|
955 |
877 |
$194K |
| 84484 |
|
28,983 |
22,029 |
$192K |
| 88305 |
|
3,916 |
3,192 |
$189K |
| 84443 |
|
12,104 |
11,075 |
$186K |
| 72141 |
|
775 |
727 |
$171K |
| 82306 |
|
5,346 |
4,976 |
$166K |
| 70553 |
|
535 |
488 |
$160K |
| 97110 |
|
10,328 |
3,280 |
$152K |
| 96376 |
|
4,166 |
2,976 |
$151K |
| 87086 |
|
17,568 |
15,471 |
$142K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
494 |
420 |
$139K |
| 73721 |
|
625 |
426 |
$135K |
| 85027 |
|
23,934 |
19,962 |
$131K |
| G0480 |
Drug test def 1-7 classes |
3,377 |
2,928 |
$130K |
| 88142 |
|
6,029 |
5,116 |
$127K |
| 87880 |
|
9,037 |
8,463 |
$125K |
| 86780 |
|
8,103 |
6,900 |
$124K |
| 94640 |
|
10,329 |
7,595 |
$123K |
| 76705 |
|
1,825 |
1,704 |
$122K |
| 73564 |
|
2,144 |
1,957 |
$116K |
| 83690 |
|
18,446 |
16,224 |
$116K |
| 87426 |
|
3,459 |
3,138 |
$114K |
| 73610 |
|
1,852 |
1,728 |
$113K |
| 99291 |
|
756 |
689 |
$113K |
| 76801 |
|
1,026 |
892 |
$111K |
| 73630 |
|
1,855 |
1,731 |
$111K |
| 72040 |
|
1,217 |
1,128 |
$110K |
| 76817 |
|
1,399 |
1,214 |
$107K |
| 70486 |
|
653 |
623 |
$106K |
| J1885 |
Ketorolac tromethamine inj |
27,848 |
24,294 |
$106K |
| 83036 |
|
10,848 |
10,101 |
$105K |
| 76805 |
|
674 |
625 |
$95K |
| 83880 |
|
4,765 |
4,133 |
$89K |
| 73130 |
|
1,517 |
1,431 |
$87K |
| J2785 |
Regadenoson injection |
543 |
509 |
$86K |
| 76856 |
|
921 |
844 |
$85K |
| 87481 |
|
1,896 |
1,643 |
$83K |
| 76830 |
|
1,089 |
984 |
$78K |
| 96366 |
|
1,895 |
1,436 |
$76K |
| 76819 |
|
892 |
556 |
$74K |
| 95810 |
|
218 |
198 |
$74K |
| J7040 |
Normal saline solution infus |
14,497 |
8,012 |
$70K |
| 73030 |
|
1,645 |
1,532 |
$69K |
| C1725 |
Cath, translumin non-laser |
937 |
780 |
$68K |
| 96413 |
|
2,993 |
1,624 |
$67K |
| 99281 |
|
3,378 |
3,187 |
$66K |
| A9270 |
Non-covered item or service |
248,431 |
132,808 |
$65K |
| 77067 |
|
1,114 |
1,042 |
$64K |
| 74018 |
|
1,400 |
1,305 |
$62K |
| 93041 |
|
3,424 |
2,997 |
$61K |
| 36902 |
|
408 |
358 |
$61K |
| 73110 |
|
1,128 |
1,055 |
$60K |
| 81003 |
|
25,813 |
22,570 |
$60K |
| J7120 |
Ringers lactate infusion |
6,764 |
5,330 |
$59K |
| 93971 |
|
839 |
801 |
$57K |
| J2704 |
Inj, propofol, 10 mg |
6,215 |
5,289 |
$57K |
| J0561 |
Penicillin g benzathine inj |
296 |
287 |
$56K |
| 87661 |
|
1,998 |
1,702 |
$55K |
| 86850 |
|
5,044 |
4,316 |
$53K |
| 74019 |
|
961 |
900 |
$53K |
| 73221 |
|
294 |
215 |
$50K |
| J2405 |
Ondansetron hcl injection |
20,095 |
17,073 |
$49K |
| 93970 |
|
732 |
677 |
$49K |
| 73080 |
|
617 |
581 |
$49K |
| 93458 |
|
74 |
64 |
$48K |
| 94664 |
|
2,235 |
2,074 |
$45K |
| 77412 |
|
1,041 |
109 |
$45K |
| J0500 |
Dicyclomine injection |
636 |
570 |
$42K |
| 86803 |
|
2,483 |
2,265 |
$42K |
| 87077 |
|
4,973 |
4,333 |
$41K |
| 82607 |
|
3,126 |
2,860 |
$41K |
| J2469 |
Palonosetron hcl |
284 |
180 |
$41K |
| 43239 |
|
646 |
605 |
$41K |
| 70491 |
|
156 |
139 |
$41K |
| 97162 |
|
1,250 |
1,156 |
$41K |
| 86762 |
|
2,578 |
2,179 |
$40K |
| 77336 |
|
1,211 |
504 |
$40K |
| 76700 |
|
386 |
358 |
$38K |
| 76870 |
|
317 |
283 |
$38K |
| J0330 |
Succinycholine chloride inj |
1,970 |
1,718 |
$37K |
| 71250 |
|
440 |
404 |
$37K |
| 29125 |
|
1,074 |
1,005 |
$37K |
| 83735 |
|
8,059 |
6,026 |
$36K |
| 72131 |
|
149 |
137 |
$36K |
| 87186 |
|
4,227 |
3,726 |
$35K |
| 73590 |
|
596 |
549 |
$35K |
| 87624 |
|
1,682 |
1,238 |
$34K |
| 84702 |
|
3,760 |
2,976 |
$34K |
| 62323 |
|
289 |
253 |
$34K |
| 73140 |
|
707 |
653 |
$33K |
| 87340 |
|
3,608 |
3,036 |
$33K |
| 83605 |
|
5,084 |
4,246 |
$33K |
| 93017 |
|
1,040 |
945 |
$32K |
| 96367 |
|
1,204 |
894 |
$32K |
| 72110 |
|
263 |
249 |
$32K |
| 82948 |
|
12,379 |
6,770 |
$31K |
| A9585 |
Gadobutrol injection |
1,157 |
1,042 |
$31K |
| A9500 |
Tc99m sestamibi |
831 |
648 |
$31K |
| 73090 |
|
545 |
521 |
$31K |
| 94760 |
|
4,875 |
3,517 |
$31K |
| 76770 |
|
287 |
265 |
$30K |
| 87040 |
|
3,468 |
2,478 |
$30K |
| C1769 |
Guide wire |
1,619 |
1,378 |
$30K |
| 87660 |
|
1,614 |
1,269 |
$29K |
| 87480 |
|
1,614 |
1,269 |
$29K |
| 82105 |
|
1,448 |
1,307 |
$28K |
| J0690 |
Cefazolin sodium injection |
3,220 |
2,386 |
$27K |
| 84439 |
|
2,865 |
2,672 |
$27K |
| 72070 |
|
506 |
463 |
$26K |
| 95811 |
|
78 |
75 |
$26K |
| 86003 |
|
174 |
157 |
$26K |
| J2270 |
Morphine sulfate injection |
7,559 |
6,013 |
$26K |
| J1100 |
Dexamethasone sodium phos |
7,422 |
6,160 |
$26K |
| 88307 |
|
368 |
300 |
$25K |
| 93460 |
|
27 |
27 |
$25K |
| 97161 |
|
1,079 |
975 |
$25K |
| J2360 |
Orphenadrine injection |
1,710 |
1,554 |
$25K |
| 80048 |
|
3,778 |
3,318 |
$24K |
| 45380 |
|
287 |
265 |
$24K |
| 77334 |
|
306 |
171 |
$23K |
| 94761 |
|
4,398 |
3,816 |
$23K |
| 82728 |
|
2,002 |
1,800 |
$22K |
| 76536 |
|
237 |
222 |
$22K |
| J2930 |
Methylprednisolone injection |
2,141 |
1,845 |
$22K |
| 84466 |
|
2,104 |
1,909 |
$22K |
| 84112 |
|
299 |
262 |
$21K |
| C1887 |
Catheter, guiding |
759 |
650 |
$21K |
| 82677 |
|
792 |
715 |
$20K |
| 88304 |
|
703 |
647 |
$20K |
| J1170 |
Hydromorphone injection |
4,737 |
3,226 |
$20K |
| J0780 |
Prochlorperazine injection |
892 |
800 |
$19K |
| J7050 |
Normal saline solution infus |
2,772 |
1,641 |
$19K |
| 10060 |
|
654 |
607 |
$18K |
| 0012A |
|
358 |
335 |
$18K |
| 12001 |
|
525 |
501 |
$18K |
| 0002A |
|
343 |
311 |
$18K |
| 87641 |
|
875 |
823 |
$18K |
| 36591 |
|
2,406 |
1,544 |
$17K |
| C1894 |
Intro/sheath, non-laser |
1,746 |
1,501 |
$16K |
| 86901 |
|
5,749 |
4,894 |
$16K |
| 86900 |
|
5,748 |
4,894 |
$16K |
| 82746 |
|
1,331 |
1,235 |
$16K |
| 85379 |
|
2,201 |
1,984 |
$16K |
| 87210 |
|
3,628 |
3,344 |
$15K |
| 87807 |
|
1,224 |
1,168 |
$15K |
| 90715 |
|
904 |
858 |
$15K |
| 87640 |
|
671 |
646 |
$15K |
| 12011 |
|
449 |
420 |
$15K |
| 0001A |
|
367 |
325 |
$15K |
| 99152 |
|
1,064 |
948 |
$14K |
| 73502 |
|
1,098 |
1,017 |
$14K |
| 86336 |
|
791 |
713 |
$14K |
| J1650 |
Inj enoxaparin sodium |
1,877 |
1,057 |
$14K |
| 97010 |
|
1,913 |
813 |
$14K |
| 90471 |
|
1,060 |
921 |
$14K |
| 83540 |
|
2,440 |
2,232 |
$13K |
| 87046 |
|
529 |
437 |
$13K |
| 87081 |
|
2,166 |
1,903 |
$13K |
| J1453 |
Fosaprepitant injection |
74 |
42 |
$13K |
| 82570 |
|
2,475 |
2,213 |
$13K |
| 76642 |
|
436 |
363 |
$12K |
| 99153 |
Mod sedat endo service >5yrs |
815 |
729 |
$12K |
| J7620 |
Albuterol ipratrop non-comp |
4,770 |
3,855 |
$12K |
| J3010 |
Fentanyl citrate injection |
5,510 |
4,625 |
$12K |
| 97140 |
|
3,333 |
1,203 |
$12K |
| J2800 |
Methocarbamol injection |
314 |
284 |
$11K |
| 80074 |
|
292 |
248 |
$11K |
| 82950 |
|
1,884 |
1,659 |
$11K |
| 87798 |
|
465 |
388 |
$11K |
| 88342 |
|
539 |
478 |
$11K |
| J2250 |
Inj midazolam hydrochloride |
4,674 |
4,034 |
$11K |
| 80305 |
|
892 |
810 |
$10K |
| 36430 |
|
178 |
146 |
$10K |
| 29505 |
|
299 |
287 |
$10K |
| 0011A |
|
405 |
378 |
$10K |
| J3475 |
Inj magnesium sulfate |
941 |
668 |
$10K |
| 82077 |
|
897 |
769 |
$10K |
| C9803 |
Hopd covid-19 spec collect |
1,585 |
1,544 |
$10K |
| 77280 |
|
188 |
127 |
$10K |
| 85610 |
|
3,847 |
3,088 |
$9K |
| 73560 |
|
252 |
226 |
$9K |
| J0696 |
Ceftriaxone sodium injection |
3,389 |
2,822 |
$9K |
| 84153 |
|
585 |
551 |
$9K |
| J1626 |
Granisetron hcl injection |
891 |
391 |
$9K |
| C1729 |
Cath, drainage |
642 |
588 |
$9K |
| 82550 |
|
2,024 |
1,710 |
$9K |
| 82803 |
|
602 |
518 |
$9K |
| 83021 |
|
513 |
435 |
$9K |
| 73660 |
|
136 |
128 |
$8K |
| 76942 |
|
277 |
229 |
$8K |
| 74022 |
|
99 |
85 |
$8K |
| 93880 |
|
143 |
130 |
$8K |
| J1200 |
Diphenhydramine hcl injectio |
3,759 |
3,056 |
$8K |
| 85730 |
|
2,248 |
1,978 |
$8K |
| 82565 |
|
1,268 |
1,054 |
$8K |
| 80047 |
|
1,174 |
1,045 |
$8K |
| 77300 |
|
245 |
163 |
$8K |
| 82043 |
|
1,360 |
1,309 |
$8K |
| 73060 |
|
187 |
173 |
$8K |
| C1776 |
Joint device (implantable) |
12 |
12 |
$8K |
| 29130 |
|
198 |
187 |
$7K |
| 85007 |
|
2,679 |
2,225 |
$7K |
| Q3014 |
Telehealth facility fee |
587 |
492 |
$7K |
| J2710 |
Neostigmine methylslfte inj |
251 |
231 |
$7K |
| 87899 |
|
648 |
578 |
$7K |
| P9016 |
Rbc leukocytes reduced |
124 |
96 |
$7K |
| 81513 |
|
1,372 |
1,233 |
$7K |
| 84703 |
|
940 |
867 |
$7K |
| 83001 |
|
382 |
335 |
$7K |
| 71101 |
|
177 |
158 |
$6K |
| 80076 |
|
876 |
759 |
$6K |
| 86140 |
|
1,542 |
1,378 |
$6K |
| 82248 |
|
2,289 |
1,930 |
$6K |
| 80164 |
|
541 |
449 |
$6K |
| J2550 |
Promethazine hcl injection |
2,637 |
2,103 |
$6K |
| J1040 |
Methylprednisolone 80 mg inj |
400 |
358 |
$6K |
| 77387 |
|
76 |
12 |
$6K |
| 84146 |
|
313 |
285 |
$6K |
| 97597 |
|
523 |
405 |
$6K |
| 87502 |
|
237 |
196 |
$6K |
| 82784 |
|
521 |
410 |
$5K |
| 88341 |
|
109 |
82 |
$5K |
| 96417 |
|
360 |
205 |
$5K |
| 96411 |
|
196 |
125 |
$5K |
| 87205 |
|
1,845 |
1,544 |
$5K |
| 76775 |
|
105 |
91 |
$5K |
| J2001 |
Lidocaine injection |
1,603 |
1,379 |
$5K |
| J3480 |
Inj potassium chloride |
701 |
443 |
$5K |
| A9502 |
Tc99m tetrofosmin |
72 |
64 |
$5K |
| 12002 |
|
131 |
123 |
$5K |
| 84156 |
|
1,227 |
973 |
$4K |
| 82951 |
|
317 |
304 |
$4K |
| 87045 |
|
493 |
437 |
$4K |
| J1940 |
Furosemide injection |
807 |
591 |
$4K |
| 82805 |
|
269 |
225 |
$4K |
| J1756 |
Iron sucrose injection |
35 |
12 |
$4K |
| 85652 |
|
1,858 |
1,655 |
$4K |
| 84100 |
|
2,434 |
1,885 |
$4K |
| J7070 |
D5w infusion |
1,051 |
396 |
$4K |
| G0108 |
Diab manage trn per indiv |
180 |
175 |
$4K |
| J1644 |
Inj heparin sodium per 1000u |
1,876 |
1,222 |
$4K |
| 87147 |
|
928 |
795 |
$4K |
| 85045 |
|
1,273 |
926 |
$4K |
| J3301 |
Triamcinolone acet inj nos |
442 |
415 |
$4K |
| U0002 |
Covid-19 lab test non-cdc |
72 |
71 |
$4K |
| 72158 |
|
12 |
12 |
$4K |
| J2060 |
Lorazepam injection |
1,381 |
1,136 |
$4K |
| J3370 |
Vancomycin hcl injection |
592 |
410 |
$4K |
| 94762 |
|
937 |
443 |
$4K |
| 86038 |
|
322 |
281 |
$3K |
| 97530 |
|
609 |
327 |
$3K |
| J0881 |
Darbepoetin alfa, non-esrd |
22 |
12 |
$3K |
| 73552 |
|
203 |
185 |
$3K |
| 85014 |
|
2,336 |
1,987 |
$3K |
| 87536 |
|
141 |
123 |
$3K |
| 81220 |
|
28 |
14 |
$3K |
| 82553 |
|
452 |
333 |
$3K |
| 87510 |
|
1,614 |
1,269 |
$3K |
| 97163 |
|
70 |
63 |
$3K |
| 84403 |
|
107 |
98 |
$3K |
| 45385 |
|
50 |
49 |
$3K |
| J2765 |
Metoclopramide hcl injection |
1,057 |
936 |
$3K |
| 84550 |
|
997 |
881 |
$3K |
| 77014 |
|
39 |
12 |
$3K |
| 82040 |
|
564 |
511 |
$3K |
| 69436 |
|
13 |
12 |
$3K |
| 66984 |
|
16 |
13 |
$3K |
| 82247 |
|
407 |
321 |
$3K |
| 83525 |
|
182 |
178 |
$2K |
| 51798 |
|
234 |
212 |
$2K |
| 87631 |
|
30 |
26 |
$2K |
| 83615 |
|
635 |
550 |
$2K |
| J7613 |
Albuterol non-comp unit |
1,152 |
973 |
$2K |
| 83883 |
|
211 |
171 |
$2K |
| 77066 |
Tomosynthesis, mammo |
95 |
77 |
$2K |
| 86923 |
|
48 |
26 |
$2K |
| 83721 |
|
257 |
233 |
$2K |
| 84165 |
|
451 |
369 |
$2K |
| 97112 |
|
381 |
122 |
$2K |
| U0004 |
Cov-19 test non-cdc hgh thru |
33 |
32 |
$2K |
| C9113 |
Inj pantoprazole sodium, via |
346 |
252 |
$2K |
| 36600 |
|
307 |
262 |
$2K |
| 20610 |
|
67 |
65 |
$2K |
| 73700 |
|
16 |
12 |
$2K |
| 87075 |
|
308 |
259 |
$2K |
| J0360 |
Hydralazine hcl injection |
717 |
599 |
$2K |
| 82150 |
|
397 |
359 |
$2K |
| 86592 |
|
475 |
412 |
$2K |
| J2370 |
Phenylephrine hcl injection |
505 |
442 |
$2K |
| 80320 |
|
268 |
252 |
$2K |
| 29515 |
|
49 |
46 |
$2K |
| 82947 |
|
684 |
606 |
$2K |
| 82378 |
|
170 |
142 |
$2K |
| 59025 |
|
34 |
26 |
$2K |
| 82375 |
|
270 |
226 |
$2K |
| 72170 |
|
110 |
103 |
$2K |
| J2543 |
Piperacillin/tazobactam |
240 |
98 |
$2K |
| 84436 |
|
344 |
303 |
$2K |
| C1892 |
Intro/sheath,fixed,peel-away |
353 |
295 |
$2K |
| 72050 |
|
13 |
13 |
$2K |
| J1642 |
Inj heparin sodium per 10 u |
5,207 |
2,711 |
$1K |
| 77417 |
|
128 |
62 |
$1K |
| 90686 |
|
173 |
162 |
$1K |
| 82272 |
|
746 |
662 |
$1K |
| 76815 |
|
24 |
14 |
$1K |
| 84481 |
|
75 |
71 |
$1K |
| 51702 |
|
136 |
126 |
$1K |
| 84480 |
|
121 |
113 |
$1K |
| L1930 |
Afo plastic |
101 |
96 |
$1K |
| 72082 |
|
16 |
13 |
$1K |
| J7614 |
Levalbuterol non-comp unit |
242 |
215 |
$1K |
| 82952 |
|
293 |
281 |
$1K |
| J3486 |
Ziprasidone mesylate |
24 |
12 |
$1K |
| 86334 |
|
130 |
106 |
$1K |
| 83050 |
|
269 |
225 |
$1K |
| 36000 |
|
356 |
342 |
$1K |
| 96415 |
|
70 |
48 |
$1K |
| 77290 |
|
14 |
12 |
$1K |
| 77001 |
|
39 |
36 |
$1K |
| 72114 |
|
14 |
13 |
$1K |
| 93226 |
|
16 |
12 |
$1K |
| 97035 |
|
156 |
84 |
$998.31 |
| 93225 |
|
16 |
12 |
$994.32 |
| 76937 |
|
26 |
25 |
$988.13 |
| 97165 |
|
46 |
41 |
$974.73 |
| 85018 |
|
717 |
566 |
$967.05 |
| 87625 |
|
45 |
37 |
$921.34 |
| 86376 |
|
63 |
59 |
$906.98 |
| 11043 |
|
12 |
12 |
$904.75 |
| 96523 |
|
384 |
256 |
$890.44 |
| 87522 |
Neg quan hep c or qual rna |
31 |
25 |
$856.29 |
| J1010 |
Inj, methylpred acetate 1 mg |
30 |
28 |
$850.68 |
| J3420 |
Vitamin b12 injection |
200 |
126 |
$821.86 |
| P9612 |
Catheterize for urine spec |
350 |
312 |
$819.50 |
| 83516 |
|
57 |
53 |
$805.41 |
| G1004 |
Cdsm ndsc |
16,911 |
13,159 |
$798.47 |
| J0171 |
Adrenalin epinephrine inject |
219 |
197 |
$752.13 |
| 0003A |
|
16 |
16 |
$745.17 |
| 73562 |
|
16 |
13 |
$744.51 |
| 73620 |
|
21 |
15 |
$715.28 |
| 87449 |
|
94 |
82 |
$714.00 |
| 96368 |
|
52 |
39 |
$693.06 |
| 80185 |
|
104 |
83 |
$691.08 |
| J2919 |
Inj, methylpred sod succ 5mg |
45 |
39 |
$678.30 |
| 87324 |
|
79 |
67 |
$658.36 |
| 88173 |
|
16 |
14 |
$643.81 |
| L4386 |
Non-pneum walk boot pre cst |
44 |
41 |
$636.22 |
| 84155 |
|
493 |
406 |
$634.65 |
| J7999 |
Compounded drug, noc |
1,295 |
1,036 |
$618.61 |
| 97750 |
|
278 |
231 |
$604.49 |
| 83520 |
|
65 |
56 |
$603.00 |
| 77333 |
|
12 |
12 |
$586.52 |
| 70360 |
|
12 |
12 |
$568.72 |
| 74220 |
|
15 |
14 |
$521.58 |
| 84132 |
|
759 |
618 |
$515.93 |
| J0744 |
Ciprofloxacin iv |
80 |
65 |
$503.04 |
| 86308 |
|
81 |
78 |
$486.08 |
| J7603 |
|
277 |
242 |
$479.63 |
| E0110 |
Crutch forearm pair |
1,086 |
1,043 |
$447.10 |
| 83970 |
|
16 |
13 |
$421.63 |
| 81002 |
|
151 |
141 |
$420.62 |
| A4217 |
Sterile water/saline, 500 ml |
63 |
55 |
$403.44 |
| J1630 |
Haloperidol injection |
122 |
113 |
$403.30 |
| 86361 |
|
13 |
12 |
$400.32 |
| 0031A |
|
18 |
16 |
$375.98 |
| 10061 |
|
15 |
13 |
$368.91 |
| A4216 |
Sterile water/saline, 10 ml |
431 |
302 |
$350.11 |
| 88333 |
|
31 |
25 |
$338.84 |
| G0008 |
Admin influenza virus vac |
197 |
186 |
$335.17 |
| 84134 |
|
34 |
25 |
$321.71 |
| G0257 |
Unsched dialysis esrd pt hos |
67 |
36 |
$320.65 |
| 86430 |
|
66 |
57 |
$314.19 |
| 82977 |
|
80 |
56 |
$311.21 |
| J7042 |
5% dextrose/normal saline |
32 |
28 |
$302.26 |
| 84450 |
|
84 |
82 |
$295.32 |
| 82785 |
|
15 |
13 |
$292.68 |
| 84460 |
|
125 |
122 |
$291.41 |
| 87184 |
|
29 |
27 |
$290.58 |
| 84302 |
|
264 |
222 |
$277.65 |
| 82140 |
|
34 |
29 |
$277.54 |
| 83002 |
|
12 |
12 |
$276.96 |
| J7121 |
5% dextrose in lac ringers |
42 |
26 |
$249.03 |
| 89051 |
|
42 |
37 |
$233.64 |
| A9503 |
Tc99m medronate |
61 |
51 |
$231.03 |
| C1780 |
Lens, intraocular (new tech) |
30 |
29 |
$190.29 |
| 86304 |
|
13 |
12 |
$188.67 |
| 88172 |
|
13 |
12 |
$187.24 |
| 77065 |
Tomosynthesis, mammo |
16 |
14 |
$187.10 |
| 90674 |
|
13 |
13 |
$160.97 |
| 86706 |
|
13 |
13 |
$160.68 |
| A9541 |
Tc99m sulfur colloid |
13 |
13 |
$143.38 |
| 36416 |
|
177 |
166 |
$137.05 |
| 97150 |
|
86 |
25 |
$132.17 |
| G8978 |
Mobility current status |
787 |
688 |
$131.01 |
| L1830 |
Ko immob canvas long pre ots |
109 |
104 |
$119.40 |
| 83550 |
|
16 |
15 |
$118.44 |
| J8540 |
Oral dexamethasone |
247 |
216 |
$117.83 |
| 43450 |
|
15 |
14 |
$113.88 |
| J0461 |
Atropine sulfate injection |
18 |
12 |
$109.96 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
25 |
25 |
$98.63 |
| 77063 |
|
15 |
15 |
$92.12 |
| J1956 |
Levofloxacin injection |
13 |
12 |
$92.11 |
| Q9961 |
Hocm 250-299mg/ml iodine,1ml |
14 |
13 |
$79.75 |
| 97116 |
|
25 |
12 |
$59.55 |
| 51701 |
|
341 |
325 |
$56.43 |
| C1758 |
Catheter, ureteral |
13 |
12 |
$52.21 |
| G0283 |
Elec stim other than wound |
25 |
12 |
$32.28 |
| 36592 |
|
13 |
12 |
$28.37 |
| 84520 |
|
67 |
54 |
$11.65 |
| 91300 |
|
733 |
562 |
$1.80 |
| 91301 |
|
763 |
693 |
$1.68 |
| 91303 |
|
18 |
16 |
$0.12 |
| 81511 |
|
274 |
191 |
$0.00 |
| G8980 |
Mobility d/c status |
243 |
219 |
$0.00 |
| A0426 |
Als 1 |
283 |
132 |
$0.00 |
| G0123 |
Screen cerv/vag thin layer |
374 |
345 |
$0.00 |
| A0427 |
Als1-emergency |
16 |
13 |
$0.00 |
| 99241 |
|
13 |
12 |
$0.00 |
| G8985 |
Carry goal status |
207 |
181 |
$0.00 |
| G8979 |
Mobility goal status |
789 |
687 |
$0.00 |
| G8984 |
Carry current status |
180 |
155 |
$0.00 |
| A0425 |
Ground mileage |
431 |
202 |
$0.00 |
| 0598T |
|
17 |
14 |
$0.00 |
| 99001 |
|
59 |
39 |
$0.00 |