| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
74,761 |
69,328 |
$19.18M |
| 99284 |
|
48,536 |
43,545 |
$13.01M |
| 99285 |
|
22,940 |
20,821 |
$7.20M |
| G0378 |
Hospital observation per hr |
11,292 |
5,340 |
$4.16M |
| 93306 |
|
8,174 |
7,385 |
$4.05M |
| 11042 |
|
6,993 |
2,899 |
$3.66M |
| 99282 |
|
18,895 |
18,089 |
$3.34M |
| 74177 |
|
11,100 |
10,150 |
$2.79M |
| OP710 |
|
21,624 |
16,378 |
$2.50M |
| 96375 |
|
26,748 |
20,243 |
$2.41M |
| J9271 |
Inj pembrolizumab |
297 |
202 |
$2.18M |
| 0202U |
|
14,031 |
13,110 |
$2.05M |
| 97110 |
|
70,598 |
19,347 |
$2.05M |
| 96361 |
|
22,321 |
19,523 |
$1.89M |
| 70553 |
|
2,159 |
2,046 |
$1.86M |
| 96365 |
|
17,908 |
11,486 |
$1.72M |
| J1439 |
Inj ferric carboxymaltos 1mg |
2,169 |
1,454 |
$1.65M |
| 96413 |
|
9,002 |
5,412 |
$1.59M |
| 97140 |
|
44,521 |
13,358 |
$1.54M |
| 43239 |
|
1,583 |
1,398 |
$1.36M |
| 70450 |
|
11,358 |
10,019 |
$1.26M |
| 93017 |
|
4,262 |
3,776 |
$1.03M |
| 93005 |
|
33,790 |
29,316 |
$1.01M |
| 96374 |
|
29,377 |
25,887 |
$983K |
| OP270 |
|
31,720 |
20,557 |
$974K |
| OP250 |
|
212,587 |
98,515 |
$930K |
| OP272 |
|
25,609 |
17,423 |
$875K |
| 70551 |
|
1,823 |
1,682 |
$850K |
| 74176 |
|
4,195 |
3,833 |
$808K |
| 0241U |
|
14,020 |
12,704 |
$783K |
| 77067 |
|
5,797 |
5,638 |
$757K |
| 71046 |
|
19,981 |
18,786 |
$714K |
| J2505 |
Injection, pegfilgrastim 6mg |
165 |
116 |
$691K |
| 96360 |
|
8,714 |
7,535 |
$669K |
| 71275 |
|
2,898 |
2,643 |
$655K |
| U0003 |
Cov-19 amp prb hgh thruput |
9,476 |
8,671 |
$651K |
| 62323 |
|
709 |
639 |
$649K |
| 78452 |
|
2,309 |
1,996 |
$634K |
| 99213 |
|
8,928 |
7,440 |
$633K |
| 76700 |
|
5,867 |
5,576 |
$625K |
| 87633 |
|
2,893 |
2,873 |
$612K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
382 |
321 |
$585K |
| 94060 |
|
2,457 |
2,322 |
$569K |
| J2506 |
Inj pegfilgrast ex bio 0.5mg |
364 |
232 |
$568K |
| 45380 |
|
795 |
695 |
$546K |
| 85025 |
|
72,001 |
58,830 |
$544K |
| 88305 |
|
6,237 |
5,590 |
$530K |
| 76830 |
|
4,365 |
4,193 |
$525K |
| 90834 |
|
13,852 |
4,907 |
$522K |
| 96366 |
|
3,584 |
2,241 |
$489K |
| OP370 |
|
3,377 |
2,692 |
$469K |
| 96372 |
|
21,479 |
16,228 |
$459K |
| 99291 |
|
978 |
878 |
$446K |
| 76856 |
|
4,296 |
4,054 |
$439K |
| 80053 |
|
43,382 |
34,716 |
$438K |
| 71045 |
|
14,549 |
12,972 |
$425K |
| 71260 |
|
1,928 |
1,733 |
$417K |
| 96415 |
|
2,287 |
1,541 |
$416K |
| 97161 |
|
7,391 |
6,614 |
$414K |
| 93970 |
|
2,232 |
2,002 |
$399K |
| 96376 |
|
6,164 |
3,913 |
$390K |
| J1756 |
Iron sucrose injection |
6,075 |
2,691 |
$387K |
| 96417 |
|
1,784 |
1,015 |
$379K |
| 76819 |
|
3,904 |
2,263 |
$373K |
| OP278 |
|
940 |
769 |
$359K |
| 71250 |
|
1,988 |
1,729 |
$325K |
| 97530 |
|
9,508 |
3,577 |
$312K |
| 76536 |
|
2,762 |
2,603 |
$301K |
| J0897 |
Denosumab injection |
225 |
199 |
$299K |
| 72148 |
|
660 |
583 |
$295K |
| 76641 |
|
2,406 |
1,824 |
$281K |
| 76811 |
|
1,085 |
1,050 |
$279K |
| 45378 |
|
340 |
300 |
$273K |
| 99214 |
|
4,828 |
3,751 |
$266K |
| 76816 |
|
3,783 |
3,493 |
$260K |
| 77063 |
|
5,288 |
5,131 |
$258K |
| 76817 |
|
3,545 |
3,008 |
$254K |
| 72125 |
|
2,842 |
2,436 |
$252K |
| 76801 |
|
3,535 |
3,264 |
$235K |
| 97162 |
|
3,377 |
3,104 |
$217K |
| 78815 |
|
197 |
162 |
$216K |
| J1437 |
Inj. fe derisomaltose 10 mg |
132 |
117 |
$212K |
| 92557 |
|
2,033 |
1,842 |
$207K |
| 76642 |
|
2,376 |
2,142 |
$206K |
| 93971 |
|
1,945 |
1,756 |
$202K |
| 70486 |
|
1,209 |
1,104 |
$187K |
| 96367 |
|
3,201 |
2,195 |
$183K |
| 74183 |
|
249 |
224 |
$177K |
| 94640 |
|
6,925 |
6,208 |
$173K |
| 00731 |
|
944 |
890 |
$166K |
| 77065 |
Tomosynthesis, mammo |
1,541 |
1,434 |
$159K |
| 76770 |
|
1,272 |
1,189 |
$158K |
| 73630 |
|
4,408 |
4,055 |
$157K |
| 92507 |
|
2,524 |
1,086 |
$157K |
| U0005 |
Infec agen detec ampli probe |
7,992 |
7,265 |
$152K |
| J0129 |
Abatacept injection |
143 |
102 |
$149K |
| G0480 |
Drug test def 1-7 classes |
4,444 |
3,914 |
$148K |
| 80307 |
|
5,316 |
4,884 |
$147K |
| 87651 |
|
8,642 |
8,324 |
$146K |
| 77066 |
Tomosynthesis, mammo |
961 |
923 |
$145K |
| 73721 |
|
261 |
232 |
$142K |
| 77080 |
|
1,612 |
1,556 |
$141K |
| C1776 |
Joint device (implantable) |
117 |
83 |
$140K |
| 94726 |
|
1,154 |
1,048 |
$135K |
| 80047 |
|
26,899 |
24,170 |
$132K |
| C9399 |
Unclassified drugs or biolog |
1,890 |
1,747 |
$128K |
| 72197 |
|
166 |
151 |
$125K |
| 00811 |
|
625 |
564 |
$120K |
| 73560 |
|
3,794 |
3,357 |
$120K |
| J2785 |
Regadenoson injection |
1,117 |
1,077 |
$120K |
| 84484 |
|
18,281 |
15,216 |
$119K |
| 36415 |
|
74,003 |
62,585 |
$117K |
| 92588 |
|
1,076 |
1,026 |
$113K |
| 20610 |
|
173 |
132 |
$113K |
| 93325 |
|
458 |
432 |
$113K |
| 73030 |
|
3,642 |
3,303 |
$112K |
| 73610 |
|
3,859 |
3,561 |
$111K |
| 99215 |
Prolong outpt/office vis |
1,241 |
1,060 |
$110K |
| G0279 |
Tomosynthesis, mammo |
2,283 |
2,178 |
$109K |
| 76813 |
|
1,006 |
973 |
$109K |
| 81025 |
|
36,763 |
33,986 |
$108K |
| 76805 |
|
1,116 |
1,071 |
$108K |
| 90791 |
|
2,603 |
1,599 |
$106K |
| 86850 |
|
9,573 |
8,218 |
$104K |
| 47562 |
|
70 |
65 |
$95K |
| 76705 |
|
1,291 |
1,247 |
$94K |
| 72100 |
|
2,665 |
2,509 |
$93K |
| 45385 |
|
289 |
246 |
$91K |
| 87631 |
|
1,428 |
1,420 |
$90K |
| 12001 |
|
1,002 |
965 |
$86K |
| 93976 |
|
488 |
465 |
$85K |
| 99391 |
|
2,036 |
1,875 |
$83K |
| 97112 |
|
2,619 |
1,073 |
$82K |
| 86900 |
|
10,515 |
8,689 |
$81K |
| 94010 |
|
618 |
569 |
$81K |
| 73110 |
|
2,289 |
2,140 |
$80K |
| 74018 |
|
2,333 |
2,188 |
$80K |
| 90832 |
|
2,282 |
1,135 |
$77K |
| 73130 |
|
2,717 |
2,485 |
$77K |
| 87798 |
|
3,370 |
3,318 |
$76K |
| 86901 |
|
10,555 |
8,692 |
$76K |
| 87491 |
|
3,991 |
3,856 |
$75K |
| OP258 |
|
41,439 |
22,548 |
$72K |
| 00840 |
|
275 |
245 |
$71K |
| 83880 |
|
5,024 |
4,305 |
$71K |
| 73502 |
|
1,789 |
1,597 |
$71K |
| G0108 |
Diab manage trn per indiv |
765 |
583 |
$70K |
| 96416 |
|
344 |
190 |
$70K |
| 59426 |
|
1,602 |
847 |
$68K |
| 90471 |
|
8,024 |
7,645 |
$66K |
| 72131 |
|
669 |
565 |
$66K |
| 96401 |
|
838 |
576 |
$66K |
| 96411 |
|
239 |
151 |
$65K |
| 88304 |
|
2,136 |
1,993 |
$64K |
| 87486 |
|
2,894 |
2,874 |
$63K |
| 99392 |
|
1,300 |
1,287 |
$63K |
| 88341 |
|
528 |
432 |
$62K |
| 70491 |
|
282 |
251 |
$62K |
| 87428 |
|
3,840 |
3,586 |
$60K |
| 87591 |
|
3,989 |
3,854 |
$58K |
| 84443 |
|
5,229 |
4,678 |
$57K |
| 87581 |
|
2,892 |
2,872 |
$56K |
| 80048 |
|
9,867 |
7,770 |
$55K |
| 94729 |
|
1,178 |
1,075 |
$55K |
| 93320 |
|
200 |
186 |
$55K |
| 99212 |
|
1,028 |
939 |
$55K |
| 00813 |
|
210 |
195 |
$55K |
| 84702 |
|
5,603 |
4,754 |
$53K |
| 87880 |
|
6,407 |
6,341 |
$51K |
| 10060 |
|
591 |
554 |
$51K |
| 97802 |
|
616 |
587 |
$49K |
| 97165 |
|
1,340 |
1,110 |
$49K |
| J2704 |
Inj, propofol, 10 mg |
11,560 |
10,597 |
$47K |
| 12011 |
|
601 |
574 |
$47K |
| 90715 |
|
2,481 |
2,328 |
$46K |
| 96523 |
|
766 |
497 |
$46K |
| 72110 |
|
620 |
583 |
$45K |
| 81001 |
|
15,712 |
14,274 |
$45K |
| G0463 |
Hospital outpt clinic visit |
2,482 |
1,698 |
$45K |
| 99393 |
|
1,039 |
1,031 |
$43K |
| C9290 |
Inj, bupivacaine liposome |
695 |
530 |
$43K |
| 59425 |
|
1,087 |
763 |
$43K |
| 76857 |
|
678 |
675 |
$43K |
| 99241 |
|
796 |
616 |
$43K |
| 92567 |
|
1,084 |
972 |
$43K |
| 73700 |
|
327 |
259 |
$42K |
| 74021 |
|
1,140 |
1,107 |
$40K |
| 90472 |
|
2,488 |
2,449 |
$40K |
| 93225 |
|
214 |
208 |
$40K |
| 83690 |
|
12,675 |
11,349 |
$40K |
| 93226 |
|
187 |
181 |
$40K |
| 76870 |
|
486 |
463 |
$40K |
| 87086 |
|
9,084 |
8,481 |
$39K |
| A9500 |
Tc99m sestamibi |
2,312 |
1,890 |
$38K |
| A9585 |
Gadobutrol injection |
1,191 |
1,151 |
$38K |
| 72141 |
|
92 |
80 |
$38K |
| 72040 |
|
1,170 |
1,099 |
$38K |
| 85610 |
|
11,486 |
10,015 |
$38K |
| 00812 |
|
148 |
131 |
$37K |
| 82962 |
|
12,830 |
8,785 |
$36K |
| 29125 |
|
958 |
906 |
$36K |
| 93303 |
|
110 |
100 |
$36K |
| 19083 |
|
26 |
25 |
$35K |
| 87040 |
|
3,571 |
3,208 |
$35K |
| 83605 |
|
4,685 |
4,053 |
$35K |
| 83735 |
|
9,491 |
7,381 |
$34K |
| 85730 |
|
9,979 |
8,799 |
$34K |
| 87635 |
|
1,328 |
1,289 |
$33K |
| 64447 |
|
90 |
69 |
$33K |
| 73120 |
|
576 |
543 |
$33K |
| P9016 |
Rbc leukocytes reduced |
384 |
249 |
$33K |
| J1885 |
Ketorolac tromethamine inj |
21,836 |
18,901 |
$32K |
| 71271 |
|
210 |
205 |
$32K |
| J1453 |
Fosaprepitant injection |
874 |
547 |
$31K |
| 77336 |
|
286 |
120 |
$31K |
| 70496 |
|
192 |
155 |
$29K |
| 85027 |
|
6,245 |
4,653 |
$29K |
| 00170 |
|
109 |
102 |
$29K |
| 0002A |
|
870 |
866 |
$28K |
| 92550 |
|
1,302 |
1,204 |
$28K |
| 11045 |
|
206 |
102 |
$28K |
| 81003 |
|
11,964 |
11,329 |
$27K |
| C1769 |
Guide wire |
1,004 |
789 |
$27K |
| 97113 |
|
584 |
174 |
$26K |
| 88342 |
|
995 |
836 |
$26K |
| 36430 |
|
457 |
311 |
$25K |
| 73140 |
|
878 |
844 |
$25K |
| 73562 |
|
809 |
699 |
$25K |
| 84145 |
|
1,967 |
1,664 |
$25K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
3,103 |
2,769 |
$25K |
| 73590 |
|
845 |
753 |
$23K |
| 87507 |
|
178 |
159 |
$23K |
| 0001A |
|
768 |
767 |
$23K |
| 80076 |
|
5,220 |
4,704 |
$23K |
| 81002 |
|
20,190 |
18,518 |
$22K |
| 99281 |
|
125 |
125 |
$22K |
| 77334 |
|
38 |
26 |
$22K |
| J0585 |
Injection,onabotulinumtoxina |
47 |
40 |
$21K |
| 87186 |
|
3,159 |
2,927 |
$21K |
| 99242 |
|
582 |
393 |
$21K |
| C2625 |
Stent, non-cor, tem w/del sy |
39 |
28 |
$21K |
| H0035 |
Mh partial hosp tx under 24h |
413 |
54 |
$20K |
| OP251 |
|
1,353 |
738 |
$19K |
| 73080 |
|
702 |
632 |
$19K |
| 87077 |
|
3,555 |
3,299 |
$19K |
| 72070 |
|
495 |
458 |
$19K |
| 77011 |
|
89 |
75 |
$19K |
| 90853 |
|
777 |
128 |
$18K |
| J0690 |
Cefazolin sodium injection |
5,418 |
4,403 |
$17K |
| 99152 |
|
426 |
389 |
$17K |
| J1100 |
Dexamethasone sodium phos |
14,115 |
11,426 |
$17K |
| 96368 |
|
405 |
243 |
$17K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
1,131 |
1,091 |
$16K |
| 99394 |
|
398 |
396 |
$16K |
| J0696 |
Ceftriaxone sodium injection |
3,752 |
3,133 |
$15K |
| J1642 |
Inj heparin sodium per 10 u |
2,990 |
1,635 |
$15K |
| G0283 |
Elec stim other than wound |
547 |
215 |
$15K |
| 88307 |
|
244 |
207 |
$15K |
| 59025 |
|
130 |
124 |
$14K |
| J9190 |
Fluorouracil injection |
865 |
322 |
$14K |
| J1170 |
Hydromorphone injection |
7,074 |
4,617 |
$14K |
| J7050 |
Normal saline solution infus |
7,326 |
4,207 |
$14K |
| 11043 |
|
61 |
27 |
$14K |
| J2405 |
Ondansetron hcl injection |
20,699 |
16,553 |
$14K |
| C8929 |
Tte w or wo fol wcon,doppler |
25 |
25 |
$13K |
| 84100 |
|
4,254 |
3,262 |
$13K |
| 85378 |
|
3,229 |
3,024 |
$13K |
| 97164 |
|
266 |
244 |
$12K |
| 73090 |
|
426 |
394 |
$12K |
| 76818 |
|
126 |
63 |
$12K |
| J7030 |
Normal saline solution infus |
15,137 |
12,758 |
$12K |
| J0131 |
Inj, acetaminophen (nos) |
1,391 |
1,126 |
$12K |
| 80061 |
|
1,769 |
1,570 |
$12K |
| 83036 |
|
3,162 |
2,763 |
$11K |
| 92579 |
|
78 |
76 |
$11K |
| 0004A |
|
229 |
229 |
$10K |
| 87426 |
|
619 |
599 |
$10K |
| 92523 |
|
104 |
96 |
$10K |
| 73564 |
|
351 |
303 |
$10K |
| J2270 |
Morphine sulfate injection |
4,548 |
3,387 |
$9K |
| 86140 |
|
3,683 |
3,251 |
$9K |
| 76815 |
|
107 |
92 |
$9K |
| 77049 |
|
13 |
13 |
$8K |
| J3010 |
Fentanyl citrate injection |
10,933 |
9,322 |
$8K |
| 00160 |
|
24 |
24 |
$8K |
| 70498 |
|
50 |
44 |
$8K |
| 99202 |
|
232 |
204 |
$8K |
| 10005 |
|
56 |
50 |
$8K |
| 77002 |
|
144 |
102 |
$8K |
| 87801 |
|
411 |
386 |
$8K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
1,238 |
1,146 |
$8K |
| A4648 |
Implantable tissue marker |
127 |
116 |
$8K |
| J2930 |
Methylprednisolone injection |
1,630 |
1,417 |
$8K |
| 82728 |
|
1,156 |
961 |
$7K |
| 72050 |
|
100 |
92 |
$7K |
| 29130 |
|
225 |
219 |
$7K |
| 97803 |
|
166 |
153 |
$7K |
| A9552 |
F18 fdg |
259 |
197 |
$7K |
| 99203 |
|
204 |
181 |
$7K |
| 00402 |
|
15 |
12 |
$7K |
| J2916 |
Na ferric gluconate complex |
302 |
144 |
$7K |
| 99211 |
|
135 |
129 |
$7K |
| 82550 |
|
1,611 |
1,423 |
$7K |
| J2250 |
Inj midazolam hydrochloride |
8,280 |
7,683 |
$6K |
| 95886 |
|
73 |
67 |
$6K |
| 90674 |
|
357 |
351 |
$6K |
| 90792 |
|
147 |
84 |
$6K |
| 36591 |
|
106 |
76 |
$6K |
| 87420 |
|
1,273 |
1,187 |
$6K |
| 84466 |
|
1,031 |
855 |
$6K |
| 73620 |
|
156 |
145 |
$6K |
| 82077 |
|
1,059 |
917 |
$6K |
| G1004 |
Cdsm ndsc |
29,694 |
21,862 |
$6K |
| 0071A |
|
124 |
124 |
$6K |
| 97150 |
|
201 |
129 |
$5K |
| 87070 |
|
844 |
779 |
$5K |
| 95800 |
|
62 |
62 |
$5K |
| J1200 |
Diphenhydramine hcl injectio |
6,295 |
4,657 |
$5K |
| J1650 |
Inj enoxaparin sodium |
2,639 |
1,428 |
$5K |
| 80143 |
|
859 |
746 |
$5K |
| U0002 |
Covid-19 lab test non-cdc |
204 |
197 |
$5K |
| 0072A |
|
114 |
114 |
$5K |
| 90714 |
|
361 |
361 |
$5K |
| OP255 |
|
1,942 |
1,589 |
$5K |
| 90686 |
|
2,259 |
2,249 |
$5K |
| 85652 |
|
2,307 |
2,006 |
$5K |
| 97014 |
|
787 |
323 |
$5K |
| 90670 |
|
982 |
967 |
$5K |
| 80179 |
|
808 |
704 |
$5K |
| 99153 |
Mod sedat endo service >5yrs |
84 |
76 |
$5K |
| J1040 |
Methylprednisolone 80 mg inj |
546 |
528 |
$5K |
| 00790 |
|
15 |
13 |
$5K |
| 00920 |
|
12 |
12 |
$5K |
| 71101 |
|
142 |
126 |
$5K |
| J3370 |
Vancomycin hcl injection |
534 |
382 |
$5K |
| 93880 |
|
35 |
27 |
$4K |
| J1644 |
Inj heparin sodium per 1000u |
2,999 |
1,639 |
$4K |
| Q0162 |
Ondansetron oral |
5,165 |
4,837 |
$4K |
| 90474 |
|
598 |
597 |
$4K |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
2,103 |
1,733 |
$4K |
| 73070 |
|
97 |
93 |
$4K |
| J2469 |
Palonosetron hcl |
680 |
371 |
$4K |
| 77300 |
|
15 |
13 |
$4K |
| 97535 |
|
451 |
309 |
$4K |
| 87641 |
|
524 |
397 |
$4K |
| 80320 |
|
75 |
60 |
$4K |
| 64415 |
|
15 |
12 |
$3K |
| 82607 |
|
587 |
480 |
$3K |
| Q0163 |
Diphenhydramine hcl 50mg |
3,566 |
2,875 |
$3K |
| J3490 |
Drugs unclassified injection |
26,963 |
15,856 |
$3K |
| OP279 |
|
644 |
542 |
$3K |
| 84439 |
|
682 |
577 |
$3K |
| 97035 |
|
292 |
93 |
$3K |
| 0064A |
|
72 |
71 |
$3K |
| J2765 |
Metoclopramide hcl injection |
3,740 |
3,434 |
$3K |
| 88173 |
|
191 |
157 |
$3K |
| 59430 |
|
114 |
97 |
$3K |
| J0689 |
Inj cefazolin sodium, baxter |
909 |
610 |
$3K |
| 82150 |
|
563 |
533 |
$3K |
| 0011A |
|
80 |
80 |
$3K |
| 76820 |
|
48 |
25 |
$2K |
| J3480 |
Inj potassium chloride |
1,017 |
680 |
$2K |
| 0012A |
|
71 |
71 |
$2K |
| 87205 |
|
851 |
766 |
$2K |
| 87661 |
|
395 |
375 |
$2K |
| 87640 |
|
422 |
309 |
$2K |
| 82746 |
|
436 |
351 |
$2K |
| 29515 |
|
67 |
63 |
$2K |
| 74022 |
|
46 |
46 |
$2K |
| 85046 |
|
388 |
225 |
$2K |
| 82803 |
|
174 |
153 |
$2K |
| 72170 |
|
58 |
51 |
$2K |
| 87389 |
|
123 |
120 |
$2K |
| 82306 |
|
253 |
211 |
$2K |
| 83540 |
|
1,033 |
856 |
$2K |
| 86923 |
|
158 |
122 |
$2K |
| 83615 |
|
537 |
422 |
$2K |
| J2920 |
Methylprednisolone injection |
586 |
462 |
$2K |
| 85055 |
|
125 |
107 |
$2K |
| J2060 |
Lorazepam injection |
1,539 |
1,156 |
$1K |
| 82378 |
|
86 |
51 |
$1K |
| J7512 |
Prednisone ir or dr oral 1mg |
2,926 |
2,593 |
$1K |
| 87430 |
|
259 |
245 |
$1K |
| 0054A |
|
32 |
31 |
$1K |
| 92587 |
|
12 |
12 |
$1K |
| J0136 |
Inj, acetaminophen (b braun) |
445 |
362 |
$1K |
| 73060 |
|
50 |
43 |
$1K |
| J1815 |
Insulin injection |
2,404 |
1,037 |
$1K |
| J0330 |
Succinycholine chloride inj |
594 |
355 |
$1K |
| 99156 |
|
15 |
14 |
$1K |
| 76000 |
|
15 |
15 |
$995.08 |
| J2543 |
Piperacillin/tazobactam |
126 |
79 |
$948.92 |
| 76821 |
|
17 |
12 |
$936.27 |
| C9113 |
Inj pantoprazole sodium, via |
803 |
477 |
$926.79 |
| 86308 |
|
268 |
250 |
$914.36 |
| 84156 |
|
226 |
189 |
$896.43 |
| 88300 |
|
91 |
89 |
$883.96 |
| 86592 |
|
428 |
408 |
$882.80 |
| C1894 |
Intro/sheath, non-laser |
77 |
55 |
$793.40 |
| 86803 |
|
86 |
76 |
$761.39 |
| 82565 |
|
499 |
449 |
$745.84 |
| J3475 |
Inj magnesium sulfate |
353 |
260 |
$698.36 |
| J0702 |
Betamethasone acet&sod phosp |
63 |
44 |
$629.13 |
| 82553 |
|
88 |
86 |
$624.77 |
| OP259 |
|
87 |
41 |
$620.60 |
| 0003A |
|
20 |
20 |
$614.80 |
| 73552 |
|
18 |
17 |
$610.67 |
| 90661 |
|
109 |
109 |
$579.72 |
| L4350 |
Ankle control ortho pre ots |
90 |
89 |
$556.12 |
| G8978 |
Mobility current status |
182 |
173 |
$549.04 |
| G8979 |
Mobility goal status |
188 |
176 |
$549.04 |
| 00902 |
|
14 |
13 |
$518.06 |
| 87076 |
|
104 |
104 |
$504.16 |
| 87075 |
|
67 |
57 |
$495.91 |
| 99381 |
|
12 |
12 |
$478.14 |
| J2272 |
Inj, morphine (fresenius) |
285 |
229 |
$468.07 |
| J7120 |
Ringers lactate infusion |
28 |
19 |
$438.62 |
| J2919 |
Inj, methylpred sod succ 5mg |
322 |
275 |
$438.00 |
| 82272 |
|
90 |
80 |
$432.57 |
| 94760 |
|
15 |
15 |
$423.43 |
| J1630 |
Haloperidol injection |
453 |
359 |
$417.57 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
285 |
264 |
$390.81 |
| 82570 |
|
244 |
206 |
$383.62 |
| 90682 |
|
13 |
12 |
$381.72 |
| J9263 |
Oxaliplatin |
37 |
12 |
$376.54 |
| 97750 |
|
47 |
42 |
$365.59 |
| J3301 |
Triamcinolone acet inj nos |
63 |
60 |
$365.57 |
| 90677 |
|
267 |
262 |
$315.94 |
| J0134 |
Inj acetaminophen -fresenius |
96 |
92 |
$308.34 |
| 87081 |
|
62 |
60 |
$295.74 |
| J7040 |
Normal saline solution infus |
149 |
124 |
$292.56 |
| 73600 |
|
14 |
12 |
$281.27 |
| 90651 |
|
12 |
12 |
$280.61 |
| 90680 |
|
247 |
247 |
$276.08 |
| 96377 |
|
14 |
12 |
$274.75 |
| 97116 |
|
19 |
12 |
$242.96 |
| 75571 |
|
103 |
91 |
$238.50 |
| J0137 |
Inj, acetaminophen (hikma) |
114 |
91 |
$238.31 |
| J7510 |
Prednisolone oral per 5 mg |
574 |
547 |
$227.70 |
| J2001 |
Lidocaine injection |
414 |
363 |
$222.99 |
| A9577 |
Inj multihance |
14 |
14 |
$212.55 |
| 87340 |
|
29 |
28 |
$203.92 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
550 |
483 |
$195.89 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
251 |
235 |
$186.98 |
| 87593 |
|
14 |
14 |
$185.57 |
| 90698 |
|
251 |
250 |
$164.85 |
| C7901 |
Hopd mntl hlt, 30-60 min |
23 |
14 |
$162.50 |
| 86701 |
|
13 |
13 |
$160.20 |
| 0124A |
|
15 |
13 |
$142.20 |
| J1010 |
Inj, methylpred acetate 1 mg |
49 |
49 |
$127.72 |
| J1836 |
Inj, metronidazole, 10 mg |
162 |
102 |
$126.38 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
104 |
62 |
$126.05 |
| 90633 |
|
135 |
128 |
$122.03 |
| 86780 |
|
13 |
12 |
$111.20 |
| 84703 |
|
16 |
16 |
$98.34 |
| 84132 |
|
29 |
26 |
$83.03 |
| C7900 |
Hopd mntl hlt, 15-29 min |
18 |
12 |
$82.02 |
| J2470 |
Inj pantoprazole sodium 40mg |
94 |
64 |
$75.10 |
| J0360 |
Hydralazine hcl injection |
43 |
38 |
$68.98 |
| 86480 |
|
15 |
12 |
$56.83 |
| J0780 |
Prochlorperazine injection |
49 |
42 |
$47.15 |
| 84295 |
|
12 |
12 |
$45.51 |
| 86762 |
|
16 |
14 |
$41.20 |
| 90647 |
|
126 |
124 |
$39.00 |
| 86880 |
|
14 |
12 |
$38.53 |
| 85014 |
|
15 |
12 |
$25.61 |
| 85018 |
|
15 |
12 |
$24.62 |
| 90723 |
|
42 |
42 |
$22.08 |
| 90671 |
|
65 |
64 |
$22.00 |
| J2795 |
Ropivacaine hcl injection |
14 |
12 |
$19.90 |
| 90648 |
|
13 |
13 |
$14.31 |
| 90681 |
|
284 |
283 |
$14.00 |
| J0280 |
Aminophyllin 250 mg inj |
16 |
14 |
$12.36 |
| 90632 |
|
13 |
13 |
$7.00 |
| 90716 |
|
17 |
16 |
$6.00 |
| J0687 |
Inj cefazolin (wg crit care) |
193 |
162 |
$5.22 |
| J2305 |
Inj, nitroglycerin, 5 mg |
16 |
12 |
$3.10 |
| 90744 |
|
12 |
12 |
$3.00 |
| J1920 |
Inj, labetalol hcl, 5mg |
17 |
12 |
$2.00 |
| 90687 |
|
22 |
22 |
$0.00 |
| 90707 |
|
17 |
16 |
$0.00 |
| 90697 |
|
169 |
169 |
$0.00 |