| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
149,869 |
140,383 |
$11.98M |
| 99284 |
|
102,702 |
95,961 |
$9.93M |
| 99285 |
|
47,919 |
44,400 |
$6.09M |
| 96361 |
|
20,694 |
18,767 |
$4.64M |
| 97110 |
|
78,606 |
24,391 |
$2.60M |
| 99282 |
|
26,978 |
25,724 |
$2.18M |
| 74177 |
|
16,023 |
15,385 |
$1.88M |
| 99281 |
|
15,636 |
14,671 |
$1.54M |
| 96365 |
|
13,208 |
10,175 |
$1.26M |
| 70450 |
|
15,299 |
14,422 |
$1.25M |
| 77063 |
|
34,283 |
34,044 |
$1.13M |
| 95810 |
|
1,505 |
1,466 |
$1.13M |
| 59025 |
|
6,800 |
4,523 |
$1.04M |
| 97140 |
|
55,215 |
17,414 |
$1.01M |
| U0003 |
Cov-19 amp prb hgh thruput |
36,689 |
33,543 |
$963K |
| 45378 |
|
1,162 |
1,123 |
$933K |
| 76856 |
|
10,466 |
10,310 |
$913K |
| 97112 |
|
34,057 |
11,606 |
$880K |
| S9485 |
Crisis intervention mental h |
2,720 |
1,825 |
$861K |
| G0378 |
Hospital observation per hr |
17,303 |
11,245 |
$840K |
| 43239 |
|
2,144 |
2,091 |
$804K |
| 45385 |
|
917 |
893 |
$684K |
| 76705 |
|
11,677 |
11,319 |
$651K |
| 87491 |
|
57,196 |
54,778 |
$630K |
| 87591 |
|
57,186 |
54,784 |
$630K |
| 74176 |
|
5,426 |
5,217 |
$616K |
| 96360 |
|
6,760 |
6,387 |
$607K |
| 87637 |
|
5,888 |
5,588 |
$584K |
| 78452 |
|
2,224 |
2,142 |
$574K |
| 85025 |
|
216,054 |
188,484 |
$566K |
| 71046 |
|
39,272 |
37,459 |
$528K |
| 97010 |
|
24,521 |
8,433 |
$515K |
| 96366 |
|
3,565 |
2,855 |
$513K |
| 77067 |
|
34,358 |
34,129 |
$481K |
| 93306 |
|
6,514 |
6,337 |
$477K |
| 80307 |
|
23,975 |
21,256 |
$461K |
| 76801 |
|
7,352 |
6,994 |
$454K |
| ATP14 |
|
54,146 |
46,885 |
$436K |
| 76830 |
|
8,645 |
8,507 |
$413K |
| 87636 |
|
4,523 |
4,268 |
$399K |
| 76642 |
|
7,449 |
7,219 |
$394K |
| 76700 |
|
4,897 |
4,845 |
$393K |
| 45380 |
|
596 |
586 |
$391K |
| 87389 |
|
57,502 |
56,409 |
$387K |
| 76816 |
|
5,750 |
5,425 |
$366K |
| 99213 |
|
4,731 |
3,989 |
$365K |
| 97803 |
|
7,481 |
6,454 |
$333K |
| 93971 |
|
3,580 |
3,411 |
$329K |
| 86480 |
|
16,821 |
16,503 |
$325K |
| 99291 |
|
2,212 |
1,856 |
$325K |
| 76770 |
|
3,612 |
3,547 |
$324K |
| 99232 |
|
7,724 |
2,833 |
$320K |
| 97161 |
|
7,013 |
6,735 |
$307K |
| 71260 |
|
5,663 |
5,455 |
$302K |
| 82306 |
|
29,780 |
29,268 |
$301K |
| 71275 |
|
2,120 |
1,988 |
$287K |
| 83036 |
|
136,746 |
133,971 |
$285K |
| G2023 |
Specimen collect covid-19 |
37,350 |
33,462 |
$280K |
| 95811 |
|
359 |
344 |
$276K |
| 76536 |
|
4,944 |
4,877 |
$273K |
| 76805 |
|
4,530 |
4,465 |
$268K |
| 77080 |
|
6,200 |
6,122 |
$267K |
| 93017 |
|
5,001 |
4,814 |
$264K |
| 84443 |
|
68,363 |
66,827 |
$258K |
| 97530 |
|
12,761 |
4,723 |
$253K |
| 87086 |
|
84,940 |
76,915 |
$249K |
| U0002 |
Covid-19 lab test non-cdc |
10,377 |
9,414 |
$222K |
| 80053 |
|
199,432 |
179,536 |
$220K |
| 93010 |
|
52,947 |
46,073 |
$219K |
| 70496 |
|
1,782 |
1,675 |
$211K |
| 97162 |
|
5,664 |
5,532 |
$204K |
| 84484 |
|
30,540 |
24,948 |
$195K |
| U0005 |
Infec agen detec ampli probe |
23,058 |
21,110 |
$185K |
| 80050 |
|
23,514 |
22,530 |
$182K |
| 86803 |
|
44,747 |
43,887 |
$176K |
| 76775 |
|
2,922 |
2,866 |
$175K |
| 72100 |
|
7,247 |
7,122 |
$152K |
| 76818 |
|
3,857 |
2,044 |
$149K |
| G0480 |
Drug test def 1-7 classes |
7,798 |
6,954 |
$141K |
| 81513 |
|
2,382 |
2,291 |
$138K |
| 77066 |
Tomosynthesis, mammo |
5,781 |
5,680 |
$138K |
| 81001 |
|
112,588 |
103,617 |
$132K |
| G0279 |
Tomosynthesis, mammo |
5,206 |
5,033 |
$131K |
| 47562 |
|
46 |
45 |
$129K |
| 87661 |
|
7,502 |
7,137 |
$126K |
| 87340 |
|
42,346 |
41,434 |
$125K |
| 93005 |
|
51,012 |
44,324 |
$123K |
| 84702 |
|
18,330 |
14,198 |
$123K |
| 12001 |
|
1,150 |
1,100 |
$122K |
| 73030 |
|
7,369 |
6,777 |
$121K |
| 94060 |
|
1,676 |
1,648 |
$121K |
| 76815 |
|
2,090 |
2,004 |
$121K |
| 82607 |
|
28,826 |
28,281 |
$118K |
| 76817 |
|
3,810 |
3,333 |
$113K |
| 76811 |
|
1,537 |
1,526 |
$112K |
| 97535 |
|
4,210 |
3,512 |
$112K |
| 99223 |
Prolong inpt eval add15 m |
919 |
899 |
$110K |
| 99214 |
|
2,864 |
2,577 |
$109K |
| 93976 |
|
1,580 |
1,541 |
$109K |
| 77065 |
Tomosynthesis, mammo |
3,805 |
3,652 |
$108K |
| 87536 |
|
4,324 |
4,197 |
$106K |
| 99233 |
Prolong inpt eval add15 m |
1,506 |
707 |
$106K |
| 73562 |
|
6,913 |
6,543 |
$101K |
| 96415 |
|
583 |
535 |
$96K |
| 96374 |
|
29,583 |
27,140 |
$95K |
| ATP17 |
|
14,548 |
13,950 |
$93K |
| 76870 |
|
1,589 |
1,527 |
$93K |
| 76819 |
|
2,154 |
1,553 |
$88K |
| 83655 |
|
22,769 |
22,644 |
$88K |
| 83880 |
|
9,263 |
8,438 |
$87K |
| 71250 |
|
1,652 |
1,620 |
$86K |
| 71045 |
|
12,163 |
11,161 |
$86K |
| 82728 |
|
20,158 |
19,684 |
$85K |
| 83690 |
|
27,788 |
25,588 |
$83K |
| 74240 |
|
988 |
982 |
$82K |
| 87481 |
|
3,367 |
2,317 |
$81K |
| 99239 |
|
1,083 |
1,058 |
$80K |
| ATP08 |
|
15,034 |
13,105 |
$80K |
| 88305 |
|
10,515 |
10,136 |
$78K |
| 99211 |
|
1,980 |
1,808 |
$76K |
| 92507 |
|
717 |
243 |
$75K |
| J1745 |
Infliximab not biosimil 10mg |
221 |
211 |
$74K |
| 86850 |
|
17,414 |
16,480 |
$74K |
| 87804 |
|
7,419 |
6,998 |
$73K |
| 99222 |
|
716 |
697 |
$73K |
| 0002A |
|
3,715 |
3,609 |
$73K |
| 84466 |
|
18,466 |
18,029 |
$72K |
| 81025 |
|
19,450 |
18,389 |
$71K |
| 72125 |
|
5,399 |
5,118 |
$68K |
| 80061 |
|
101,372 |
99,250 |
$68K |
| 87563 |
|
3,284 |
3,177 |
$67K |
| 74178 |
|
718 |
704 |
$67K |
| 85027 |
|
39,341 |
37,472 |
$67K |
| 99212 |
|
1,396 |
1,255 |
$64K |
| 80074 |
|
4,460 |
4,328 |
$64K |
| 96375 |
|
20,609 |
18,600 |
$64K |
| 0001A |
|
4,930 |
4,647 |
$63K |
| 84703 |
|
19,842 |
18,989 |
$63K |
| 94727 |
|
1,462 |
1,437 |
$63K |
| 77062 |
|
2,198 |
2,161 |
$62K |
| 87186 |
|
17,699 |
16,660 |
$62K |
| 84153 |
|
14,708 |
14,364 |
$61K |
| 84439 |
|
22,520 |
21,921 |
$61K |
| 83021 |
|
7,561 |
7,385 |
$60K |
| 82948 |
|
27,340 |
14,688 |
$59K |
| 83970 |
|
5,079 |
4,938 |
$58K |
| 74018 |
|
3,123 |
2,998 |
$57K |
| 73610 |
|
5,951 |
5,453 |
$56K |
| 87880 |
|
7,261 |
6,931 |
$56K |
| 86592 |
|
43,102 |
42,224 |
$56K |
| 83735 |
|
21,849 |
18,592 |
$55K |
| 86706 |
|
17,489 |
17,156 |
$53K |
| 97166 |
|
976 |
941 |
$53K |
| 73130 |
|
5,372 |
4,640 |
$52K |
| G0463 |
Hospital outpt clinic visit |
2,004 |
1,915 |
$52K |
| 73630 |
|
5,546 |
5,148 |
$52K |
| 12002 |
|
413 |
398 |
$50K |
| 87040 |
|
8,589 |
6,768 |
$50K |
| J7120 |
Ringers lactate infusion |
16,979 |
14,156 |
$50K |
| 87081 |
|
18,874 |
18,375 |
$49K |
| 99221 |
|
612 |
580 |
$47K |
| 99238 |
|
870 |
840 |
$47K |
| ATP03 |
|
9,298 |
8,910 |
$47K |
| 96413 |
|
660 |
605 |
$46K |
| 87338 |
|
8,193 |
8,085 |
$46K |
| 80048 |
|
61,346 |
55,457 |
$45K |
| 86762 |
|
7,873 |
7,736 |
$45K |
| 82746 |
|
10,684 |
10,457 |
$45K |
| 82570 |
|
35,836 |
34,358 |
$44K |
| 90715 |
|
3,212 |
3,045 |
$44K |
| 83605 |
|
8,777 |
7,141 |
$42K |
| 77061 |
|
1,282 |
1,249 |
$42K |
| 94640 |
|
2,983 |
1,913 |
$41K |
| 82043 |
|
34,819 |
34,117 |
$41K |
| C9803 |
Hopd covid-19 spec collect |
10,643 |
9,464 |
$40K |
| 83540 |
|
20,028 |
19,540 |
$39K |
| 70491 |
|
319 |
295 |
$38K |
| 73501 |
|
2,470 |
2,407 |
$38K |
| 85610 |
|
27,790 |
23,122 |
$37K |
| 85730 |
|
15,118 |
13,912 |
$37K |
| 43235 |
|
55 |
51 |
$36K |
| 76882 |
|
705 |
656 |
$36K |
| 12011 |
|
408 |
392 |
$36K |
| 99219 |
|
687 |
604 |
$35K |
| 87070 |
|
9,793 |
9,278 |
$34K |
| 94729 |
|
1,559 |
1,534 |
$34K |
| 80055 |
|
905 |
872 |
$33K |
| 72050 |
|
934 |
922 |
$32K |
| J7030 |
Normal saline solution infus |
40,581 |
33,268 |
$32K |
| 73110 |
|
3,180 |
2,975 |
$32K |
| 88342 |
|
2,858 |
2,755 |
$31K |
| 86780 |
|
9,814 |
9,708 |
$31K |
| ATP15 |
|
4,897 |
4,281 |
$31K |
| J2704 |
Inj, propofol, 10 mg |
18,790 |
17,345 |
$30K |
| G0399 |
Home sleep test/type 3 porta |
199 |
154 |
$30K |
| 87522 |
Neg quan hep c or qual rna |
2,827 |
2,749 |
$29K |
| 73560 |
|
2,526 |
1,653 |
$29K |
| 86900 |
|
19,193 |
17,826 |
$29K |
| 71271 |
|
661 |
654 |
$28K |
| 97802 |
|
1,078 |
1,049 |
$28K |
| J2405 |
Ondansetron hcl injection |
25,956 |
22,270 |
$27K |
| 86140 |
|
13,891 |
12,830 |
$26K |
| 85379 |
|
6,425 |
6,097 |
$26K |
| 84403 |
|
3,231 |
3,170 |
$26K |
| 96372 |
|
11,201 |
10,323 |
$26K |
| 86901 |
|
19,206 |
17,842 |
$25K |
| 87590 |
|
8,151 |
7,968 |
$25K |
| 84146 |
|
4,405 |
4,306 |
$24K |
| 84112 |
|
415 |
381 |
$24K |
| 84144 |
|
2,791 |
2,604 |
$24K |
| 36902 |
|
42 |
40 |
$23K |
| 86787 |
|
3,234 |
3,139 |
$23K |
| 95806 |
|
86 |
86 |
$23K |
| 87490 |
|
8,154 |
7,971 |
$23K |
| 10060 |
|
210 |
200 |
$22K |
| 86360 |
|
1,487 |
1,452 |
$22K |
| 95816 |
|
455 |
426 |
$21K |
| 99217 |
|
398 |
396 |
$21K |
| J1650 |
Inj enoxaparin sodium |
4,580 |
2,118 |
$21K |
| 82652 |
|
1,500 |
1,467 |
$21K |
| 70486 |
|
543 |
518 |
$21K |
| 97163 |
|
565 |
546 |
$20K |
| 84425 |
|
2,484 |
2,449 |
$19K |
| 93016 |
|
1,655 |
1,646 |
$19K |
| 84154 |
|
4,461 |
4,363 |
$19K |
| 83001 |
|
3,272 |
3,223 |
$18K |
| J3010 |
Fentanyl citrate injection |
13,038 |
11,952 |
$18K |
| 86038 |
|
6,001 |
5,809 |
$18K |
| 87807 |
|
3,609 |
3,380 |
$18K |
| 70498 |
|
1,331 |
1,241 |
$18K |
| 85007 |
|
10,891 |
9,802 |
$17K |
| J1100 |
Dexamethasone sodium phos |
11,634 |
10,784 |
$17K |
| J2250 |
Inj midazolam hydrochloride |
13,335 |
12,620 |
$17K |
| 87624 |
|
4,092 |
3,915 |
$16K |
| 99231 |
|
533 |
346 |
$16K |
| 99220 |
|
256 |
247 |
$16K |
| 93970 |
|
290 |
267 |
$16K |
| 97113 |
|
608 |
173 |
$15K |
| J1885 |
Ketorolac tromethamine inj |
19,397 |
16,895 |
$14K |
| 86704 |
|
2,756 |
2,659 |
$14K |
| 82747 |
|
2,259 |
2,243 |
$14K |
| 87635 |
|
670 |
611 |
$14K |
| 85652 |
|
16,102 |
15,151 |
$13K |
| 82274 |
|
3,034 |
2,942 |
$13K |
| ATP18 |
|
2,290 |
2,138 |
$13K |
| 73080 |
|
1,378 |
1,281 |
$13K |
| ATP11 |
|
2,442 |
2,311 |
$13K |
| 72072 |
|
426 |
422 |
$12K |
| 83002 |
|
2,217 |
2,182 |
$12K |
| 88304 |
|
3,526 |
3,434 |
$12K |
| G0297 |
Ldct for lung ca screen |
190 |
188 |
$12K |
| J1170 |
Hydromorphone injection |
6,439 |
4,893 |
$12K |
| 72040 |
|
521 |
512 |
$12K |
| J7040 |
Normal saline solution infus |
5,369 |
5,077 |
$11K |
| 76857 |
|
220 |
216 |
$11K |
| 85018 |
|
14,837 |
14,564 |
$11K |
| 0012A |
|
618 |
609 |
$11K |
| 86618 |
|
2,186 |
2,129 |
$11K |
| 87328 |
|
3,880 |
3,793 |
$11K |
| 82784 |
|
2,481 |
2,410 |
$11K |
| 82670 |
|
1,262 |
1,239 |
$11K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
29,969 |
28,312 |
$11K |
| 87529 |
|
785 |
755 |
$11K |
| 87517 |
|
787 |
758 |
$11K |
| 88142 |
|
4,158 |
3,978 |
$10K |
| J2270 |
Morphine sulfate injection |
11,505 |
9,042 |
$10K |
| 87205 |
|
6,420 |
5,972 |
$10K |
| J0690 |
Cefazolin sodium injection |
6,700 |
5,749 |
$10K |
| 87502 |
|
131 |
131 |
$10K |
| A9500 |
Tc99m sestamibi |
1,869 |
1,789 |
$10K |
| 0011A |
|
912 |
858 |
$10K |
| 84156 |
|
7,015 |
6,250 |
$9K |
| 87329 |
|
3,570 |
3,491 |
$9K |
| 87088 |
|
3,322 |
3,156 |
$9K |
| 64415 |
|
43 |
42 |
$9K |
| 86765 |
|
1,678 |
1,632 |
$9K |
| 96376 |
|
4,145 |
3,724 |
$9K |
| J0696 |
Ceftriaxone sodium injection |
6,944 |
5,301 |
$8K |
| 73140 |
|
903 |
869 |
$8K |
| 83516 |
|
1,861 |
1,819 |
$8K |
| 82803 |
|
585 |
494 |
$8K |
| 87046 |
|
1,352 |
1,308 |
$8K |
| 90471 |
|
3,668 |
3,303 |
$7K |
| 82565 |
|
8,676 |
8,345 |
$7K |
| 82270 |
|
7,942 |
7,803 |
$7K |
| 82951 |
|
1,658 |
1,642 |
$7K |
| 36415 |
|
70,118 |
59,853 |
$7K |
| 97035 |
|
516 |
209 |
$7K |
| 85014 |
|
8,552 |
8,334 |
$7K |
| 82947 |
|
6,648 |
6,528 |
$7K |
| J1644 |
Inj heparin sodium per 1000u |
4,433 |
2,995 |
$7K |
| 86708 |
|
1,860 |
1,810 |
$7K |
| 80076 |
|
13,325 |
12,856 |
$7K |
| ATP02 |
|
1,739 |
1,616 |
$6K |
| 84481 |
|
1,055 |
1,019 |
$6K |
| 86617 |
|
1,092 |
1,049 |
$6K |
| 87210 |
|
3,067 |
2,886 |
$6K |
| 84270 |
|
758 |
738 |
$6K |
| 86431 |
|
4,213 |
4,109 |
$6K |
| 86735 |
|
1,091 |
1,067 |
$6K |
| 73590 |
|
910 |
812 |
$6K |
| 82950 |
|
2,426 |
2,409 |
$6K |
| ATP07 |
|
1,144 |
1,081 |
$6K |
| 96367 |
|
92 |
83 |
$6K |
| 71100 |
|
248 |
240 |
$6K |
| 70360 |
|
225 |
224 |
$6K |
| 86603 |
|
2,483 |
2,444 |
$6K |
| 72170 |
|
304 |
279 |
$5K |
| ATP10 |
|
1,217 |
1,139 |
$5K |
| 74241 |
|
250 |
250 |
$5K |
| J1200 |
Diphenhydramine hcl injectio |
7,698 |
6,511 |
$5K |
| 93880 |
|
80 |
79 |
$5K |
| J7050 |
Normal saline solution infus |
3,109 |
2,812 |
$5K |
| 82150 |
|
1,844 |
1,789 |
$5K |
| 87634 |
|
79 |
79 |
$4K |
| 87045 |
|
1,333 |
1,291 |
$4K |
| 84436 |
|
2,067 |
2,040 |
$4K |
| 86804 |
|
1,901 |
1,870 |
$4K |
| J2930 |
Methylprednisolone injection |
1,680 |
1,324 |
$4K |
| 87147 |
|
2,029 |
1,962 |
$4K |
| 73090 |
|
322 |
300 |
$4K |
| 0031A |
|
227 |
199 |
$4K |
| A9270 |
Non-covered item or service |
31,908 |
16,135 |
$4K |
| 83498 |
|
248 |
241 |
$4K |
| ATP04 |
|
873 |
833 |
$4K |
| 82550 |
|
5,120 |
4,753 |
$4K |
| 84520 |
|
5,235 |
5,001 |
$4K |
| G0121 |
Colon ca scrn not hi rsk ind |
13 |
12 |
$3K |
| 86696 |
|
517 |
501 |
$3K |
| 93242 |
|
1,220 |
1,199 |
$3K |
| 86200 |
|
877 |
847 |
$3K |
| 84450 |
|
5,596 |
5,310 |
$3K |
| 72082 |
|
51 |
51 |
$3K |
| 82627 |
|
312 |
304 |
$3K |
| 82955 |
|
1,173 |
1,161 |
$3K |
| ATP09 |
|
552 |
484 |
$3K |
| 84460 |
|
5,863 |
5,657 |
$3K |
| 84165 |
|
1,163 |
1,135 |
$3K |
| 95819 |
|
26 |
26 |
$3K |
| J1569 |
Gammagard liquid injection |
19 |
12 |
$3K |
| 97022 |
|
98 |
30 |
$3K |
| 97116 |
|
237 |
116 |
$3K |
| 84100 |
|
6,539 |
5,281 |
$3K |
| 76820 |
|
85 |
58 |
$3K |
| 88141 |
|
1,045 |
1,014 |
$3K |
| 86039 |
|
683 |
662 |
$2K |
| J3370 |
Vancomycin hcl injection |
1,866 |
1,094 |
$2K |
| 86695 |
|
525 |
487 |
$2K |
| 73521 |
|
115 |
114 |
$2K |
| 84145 |
|
2,643 |
2,360 |
$2K |
| 86141 |
|
547 |
510 |
$2K |
| 84550 |
|
4,407 |
4,186 |
$2K |
| 99218 |
|
28 |
28 |
$2K |
| 86361 |
|
667 |
657 |
$2K |
| 82952 |
|
1,421 |
1,405 |
$2K |
| J2060 |
Lorazepam injection |
4,041 |
3,193 |
$2K |
| J3475 |
Inj magnesium sulfate |
301 |
224 |
$2K |
| 86376 |
|
425 |
416 |
$2K |
| 86309 |
|
517 |
493 |
$2K |
| J1815 |
Insulin injection |
265 |
153 |
$2K |
| 82247 |
|
1,509 |
1,155 |
$2K |
| 85046 |
|
722 |
666 |
$2K |
| 72131 |
|
36 |
36 |
$2K |
| 73060 |
|
101 |
95 |
$2K |
| 83993 |
|
125 |
122 |
$2K |
| 80164 |
|
308 |
274 |
$2K |
| 76937 |
|
161 |
154 |
$2K |
| ATP16 |
|
189 |
164 |
$1K |
| 99203 |
|
31 |
31 |
$1K |
| 82105 |
|
324 |
318 |
$1K |
| 86225 |
|
210 |
203 |
$1K |
| J3490 |
Drugs unclassified injection |
2,204 |
1,768 |
$1K |
| 99225 |
|
22 |
12 |
$1K |
| 82010 |
|
276 |
247 |
$1K |
| 74220 |
|
74 |
74 |
$1K |
| 86235 |
|
90 |
82 |
$1K |
| 87902 |
|
137 |
136 |
$1K |
| J2274 |
Inj morphine pf epid ithc |
216 |
205 |
$1K |
| 83718 |
|
1,488 |
1,473 |
$1K |
| 86147 |
|
24 |
24 |
$1K |
| 83721 |
|
1,031 |
1,026 |
$1K |
| 82977 |
|
2,270 |
2,174 |
$1K |
| 82330 |
|
165 |
160 |
$1K |
| 72070 |
|
54 |
53 |
$1K |
| 82248 |
|
2,257 |
1,964 |
$1K |
| J2001 |
Lidocaine injection |
5,149 |
4,922 |
$1K |
| J2795 |
Ropivacaine hcl injection |
294 |
279 |
$996.46 |
| 84630 |
|
151 |
146 |
$987.03 |
| 88307 |
|
144 |
139 |
$983.93 |
| 93225 |
|
120 |
118 |
$982.05 |
| 85660 |
|
375 |
369 |
$962.60 |
| 86334 |
|
159 |
155 |
$911.00 |
| 88341 |
|
168 |
157 |
$903.03 |
| 82465 |
|
2,168 |
2,143 |
$884.30 |
| 87209 |
|
148 |
140 |
$875.09 |
| 99442 |
|
60 |
60 |
$848.11 |
| 86707 |
|
560 |
553 |
$830.08 |
| A0425 |
Ground mileage |
27 |
24 |
$824.85 |
| 73565 |
|
222 |
221 |
$817.81 |
| C9113 |
Inj pantoprazole sodium, via |
2,440 |
1,676 |
$800.61 |
| 83525 |
|
301 |
298 |
$790.74 |
| 73700 |
|
14 |
12 |
$788.12 |
| 99441 |
|
88 |
88 |
$713.37 |
| J2765 |
Metoclopramide hcl injection |
5,629 |
4,980 |
$697.68 |
| 82040 |
|
1,496 |
1,411 |
$681.88 |
| J2785 |
Regadenoson injection |
743 |
698 |
$680.78 |
| J2543 |
Piperacillin/tazobactam |
211 |
113 |
$675.90 |
| 83520 |
|
213 |
205 |
$673.53 |
| 85041 |
|
565 |
554 |
$648.64 |
| 93308 |
|
25 |
25 |
$629.66 |
| 83615 |
|
1,273 |
1,165 |
$570.61 |
| 86226 |
|
116 |
113 |
$554.59 |
| 93246 |
|
210 |
197 |
$540.67 |
| 99072 |
|
12 |
12 |
$517.53 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
69 |
68 |
$504.29 |
| 86682 |
|
50 |
49 |
$493.21 |
| 86255 |
|
179 |
176 |
$473.45 |
| 86709 |
|
357 |
352 |
$471.95 |
| 97165 |
|
27 |
27 |
$470.96 |
| 84590 |
|
60 |
56 |
$460.80 |
| J1630 |
Haloperidol injection |
1,356 |
1,076 |
$452.84 |
| 87177 |
|
148 |
140 |
$430.91 |
| 86215 |
|
365 |
361 |
$425.51 |
| 80178 |
|
131 |
116 |
$420.60 |
| 83020 |
|
43 |
43 |
$408.60 |
| 86161 |
|
82 |
70 |
$400.36 |
| 86622 |
|
95 |
94 |
$395.19 |
| 82533 |
|
62 |
56 |
$388.66 |
| 82525 |
|
44 |
41 |
$372.19 |
| 84080 |
|
53 |
51 |
$365.08 |
| 84480 |
|
69 |
68 |
$352.68 |
| 29515 |
|
13 |
12 |
$349.83 |
| 86705 |
|
166 |
159 |
$342.62 |
| A9502 |
Tc99m tetrofosmin |
241 |
234 |
$311.86 |
| U0001 |
2019-ncov diagnostic p |
192 |
187 |
$303.62 |
| 77072 |
|
12 |
12 |
$297.12 |
| 29125 |
|
28 |
26 |
$278.67 |
| J2916 |
Na ferric gluconate complex |
1,434 |
437 |
$270.36 |
| 72110 |
|
61 |
61 |
$261.95 |
| J0171 |
Adrenalin epinephrine inject |
159 |
144 |
$259.78 |
| 86316 |
|
28 |
28 |
$256.90 |
| 82272 |
|
121 |
117 |
$245.28 |
| 86768 |
|
59 |
58 |
$237.67 |
| 74175 |
|
14 |
14 |
$232.48 |
| C1769 |
Guide wire |
2,210 |
2,023 |
$219.46 |
| 86800 |
|
60 |
57 |
$211.41 |
| 80069 |
|
230 |
212 |
$198.42 |
| 86256 |
|
204 |
201 |
$187.02 |
| 83883 |
|
70 |
67 |
$184.37 |
| 93226 |
|
106 |
104 |
$176.44 |
| 83921 |
|
158 |
155 |
$172.34 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
36 |
36 |
$170.00 |
| 73552 |
|
16 |
13 |
$164.11 |
| 86382 |
|
67 |
66 |
$159.20 |
| 74022 |
|
12 |
12 |
$155.71 |
| J0694 |
Cefoxitin sodium injection |
29 |
16 |
$146.78 |
| 84155 |
|
212 |
209 |
$136.73 |
| 82140 |
|
17 |
15 |
$135.27 |
| 86341 |
|
17 |
14 |
$124.74 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
343 |
185 |
$120.79 |
| 87799 |
|
14 |
14 |
$117.21 |
| 86337 |
|
14 |
13 |
$113.28 |
| 93018 |
|
30 |
29 |
$112.30 |
| 86335 |
|
37 |
37 |
$110.90 |
| 86308 |
|
83 |
81 |
$96.41 |
| 85384 |
|
31 |
25 |
$94.65 |
| 84166 |
|
13 |
12 |
$94.38 |
| 84075 |
|
134 |
126 |
$90.84 |
| J0702 |
Betamethasone acet&sod phosp |
16 |
12 |
$88.10 |
| 71101 |
|
12 |
12 |
$86.30 |
| 80051 |
|
99 |
89 |
$73.83 |
| J2370 |
Phenylephrine hcl injection |
1,727 |
1,663 |
$72.02 |
| 84132 |
|
130 |
122 |
$70.95 |
| 86665 |
|
12 |
12 |
$64.00 |
| 87184 |
|
14 |
14 |
$63.99 |
| 87341 |
|
39 |
39 |
$63.96 |
| 82310 |
|
81 |
77 |
$58.68 |
| 86160 |
|
16 |
12 |
$55.33 |
| 83519 |
|
32 |
31 |
$54.36 |
| 80197 |
|
27 |
26 |
$52.64 |
| 84479 |
|
12 |
12 |
$51.39 |
| 81050 |
|
49 |
49 |
$44.70 |
| 86738 |
|
28 |
27 |
$44.35 |
| 82677 |
|
29 |
29 |
$44.10 |
| 87427 |
|
17 |
12 |
$42.24 |
| 82378 |
|
27 |
27 |
$40.63 |
| 87512 |
|
14 |
14 |
$38.09 |
| 87625 |
|
115 |
111 |
$37.42 |
| 90686 |
|
25 |
25 |
$34.39 |
| 80320 |
|
345 |
314 |
$33.48 |
| 86788 |
|
29 |
28 |
$29.44 |
| 86664 |
|
12 |
12 |
$26.98 |
| J0330 |
Succinycholine chloride inj |
923 |
871 |
$26.88 |
| 84207 |
|
18 |
12 |
$23.07 |
| 87102 |
|
27 |
27 |
$23.01 |
| J2710 |
Neostigmine methylslfte inj |
315 |
304 |
$12.09 |
| 87493 |
|
40 |
40 |
$7.83 |
| 87150 |
|
60 |
57 |
$7.02 |
| 88300 |
|
15 |
13 |
$6.59 |
| 86381 |
|
97 |
92 |
$5.09 |
| C1894 |
Intro/sheath, non-laser |
963 |
899 |
$1.68 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
521 |
486 |
$1.30 |
| J0744 |
Ciprofloxacin iv |
94 |
81 |
$0.77 |
| C1751 |
Cath, inf, per/cent/midline |
364 |
347 |
$0.00 |
| G8978 |
Mobility current status |
219 |
213 |
$0.00 |
| 91300 |
|
3,218 |
2,565 |
$0.00 |
| 86015 |
|
197 |
187 |
$0.00 |
| G8985 |
Carry goal status |
26 |
24 |
$0.00 |
| G8979 |
Mobility goal status |
268 |
255 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
126 |
77 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
84 |
55 |
$0.00 |
| 88313 |
|
14 |
12 |
$0.00 |
| G0328 |
Fecal blood scrn immunoassay |
440 |
439 |
$0.00 |
| 91301 |
|
478 |
446 |
$0.00 |
| G8987 |
Self care current status |
97 |
88 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
392 |
363 |
$0.00 |
| 99406 |
|
43 |
40 |
$0.00 |
| J7042 |
5% dextrose/normal saline |
214 |
120 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
647 |
560 |
$0.00 |
| 91303 |
|
112 |
89 |
$0.00 |
| G8988 |
Self care goal status |
137 |
122 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
98 |
64 |
$0.00 |
| J8540 |
Oral dexamethasone |
135 |
128 |
$0.00 |
| G8982 |
Body pos goal status |
15 |
13 |
$0.00 |
| J1836 |
Inj, metronidazole, 10 mg |
27 |
15 |
$0.00 |
| 94760 |
|
13 |
12 |
$0.00 |
| 83010 |
|
17 |
17 |
$0.00 |
| G8981 |
Body pos current status |
14 |
13 |
$0.00 |