| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpt clinic visit |
318,820 |
235,045 |
$22.73M |
| 99284 |
|
105,207 |
95,061 |
$16.59M |
| 99285 |
|
53,833 |
50,463 |
$14.09M |
| J9271 |
Inj pembrolizumab |
825 |
625 |
$5.53M |
| 99283 |
|
41,466 |
38,629 |
$4.65M |
| J1459 |
Inj ivig privigen 500 mg |
3,064 |
938 |
$2.83M |
| 96374 |
|
25,251 |
21,855 |
$2.61M |
| 77386 |
|
11,011 |
988 |
$2.57M |
| J1745 |
Infliximab not biosimil 10mg |
1,183 |
1,086 |
$2.46M |
| G0383 |
Lev 4 hosp type b ed visit |
15,027 |
14,403 |
$2.40M |
| G0382 |
Lev 3 hosp type b ed visit |
17,047 |
16,416 |
$2.15M |
| 96413 |
|
11,967 |
7,788 |
$1.90M |
| 99282 |
|
22,284 |
20,394 |
$1.82M |
| 74177 |
|
12,414 |
11,798 |
$1.56M |
| 96365 |
|
17,230 |
11,953 |
$1.50M |
| 99291 |
|
3,178 |
3,056 |
$1.46M |
| 43239 |
|
3,755 |
3,686 |
$1.40M |
| 78815 |
|
2,012 |
1,975 |
$1.26M |
| 71046 |
|
30,809 |
28,608 |
$1.19M |
| 77412 |
|
10,407 |
1,187 |
$1.17M |
| G0381 |
Lev 2 hosp type b ed visit |
15,486 |
14,754 |
$1.15M |
| 95810 |
|
1,880 |
1,815 |
$1.15M |
| J0585 |
Injection,onabotulinumtoxina |
2,871 |
1,416 |
$1.10M |
| G0330 |
Facility svs dental rehab |
467 |
460 |
$1.07M |
| 42820 |
|
216 |
207 |
$1.03M |
| Q9991 |
Buprenorph xr 100 mg or less |
625 |
556 |
$987K |
| 99213 |
|
34,489 |
30,637 |
$981K |
| 93306 |
|
5,032 |
4,513 |
$930K |
| 70553 |
|
3,608 |
3,517 |
$921K |
| Q5121 |
Inj. avsola, 10 mg |
740 |
523 |
$921K |
| U0003 |
Cov-19 amp prb hgh thruput |
22,128 |
18,454 |
$853K |
| 76819 |
|
9,984 |
5,348 |
$838K |
| 96360 |
|
7,943 |
6,507 |
$769K |
| G0008 |
Admin influenza virus vac |
25,229 |
23,579 |
$744K |
| 90870 |
|
6,651 |
3,115 |
$739K |
| 99214 |
|
14,317 |
13,343 |
$733K |
| 96375 |
|
22,111 |
16,650 |
$693K |
| 70450 |
|
12,802 |
11,796 |
$679K |
| 69436 |
|
994 |
980 |
$661K |
| 41899 |
|
3,078 |
2,889 |
$658K |
| 11042 |
|
6,113 |
3,543 |
$655K |
| 77334 |
|
1,909 |
1,471 |
$648K |
| J2350 |
Injection, ocrelizumab, 1 mg |
29 |
29 |
$644K |
| 90471 |
|
30,666 |
27,565 |
$638K |
| 90832 |
|
8,428 |
6,228 |
$631K |
| 96361 |
|
16,457 |
13,600 |
$625K |
| 71260 |
|
4,142 |
4,016 |
$605K |
| 90791 |
|
7,379 |
6,636 |
$588K |
| Q9992 |
Buprenorphine xr over 100 mg |
345 |
306 |
$585K |
| 70551 |
|
3,758 |
3,606 |
$580K |
| 99391 |
|
10,247 |
8,606 |
$580K |
| 99392 |
|
9,761 |
8,488 |
$569K |
| 76705 |
|
7,416 |
7,098 |
$557K |
| 45380 |
|
996 |
963 |
$527K |
| 71275 |
|
4,932 |
4,725 |
$498K |
| 90839 |
|
6,719 |
5,956 |
$487K |
| 70496 |
|
2,873 |
2,760 |
$479K |
| 87636 |
|
6,466 |
5,974 |
$456K |
| 74176 |
|
4,544 |
4,347 |
$423K |
| 99393 |
|
6,845 |
5,823 |
$393K |
| J2426 |
Inj, invega sustenna, 1 mg |
270 |
239 |
$377K |
| 77067 |
|
6,536 |
6,342 |
$367K |
| 99232 |
|
12,861 |
5,026 |
$362K |
| 54161 |
|
308 |
260 |
$361K |
| 36430 |
|
1,824 |
1,144 |
$358K |
| 77336 |
|
5,829 |
2,723 |
$340K |
| 93010 |
|
77,969 |
65,940 |
$331K |
| 45385 |
|
756 |
714 |
$322K |
| J2357 |
Omalizumab injection |
529 |
170 |
$293K |
| 99394 |
|
4,757 |
3,990 |
$291K |
| 76830 |
|
3,697 |
3,408 |
$283K |
| J7307 |
Etonogestrel implant system |
418 |
323 |
$274K |
| 96372 |
|
18,734 |
14,656 |
$272K |
| 76856 |
|
3,614 |
3,385 |
$267K |
| 93656 |
|
30 |
27 |
$259K |
| G0009 |
Admin pneumococcal vaccine |
8,932 |
8,112 |
$255K |
| 90834 |
|
3,081 |
2,362 |
$248K |
| 20610 |
|
2,239 |
1,790 |
$248K |
| 72148 |
|
2,406 |
2,274 |
$243K |
| 96366 |
|
7,102 |
4,578 |
$236K |
| J7298 |
Mirena, 52 mg |
327 |
265 |
$222K |
| 72141 |
|
1,765 |
1,669 |
$222K |
| 58571 |
|
40 |
38 |
$220K |
| 36902 |
|
316 |
287 |
$219K |
| 77300 |
|
1,396 |
1,358 |
$219K |
| 99395 |
|
3,627 |
2,938 |
$218K |
| 71250 |
|
4,538 |
4,373 |
$217K |
| 76770 |
|
3,089 |
2,938 |
$210K |
| 93971 |
|
4,074 |
3,828 |
$208K |
| C8929 |
Tte w or wo fol wcon,doppler |
1,482 |
1,362 |
$200K |
| 90677 |
|
4,165 |
3,403 |
$197K |
| 96415 |
|
4,224 |
3,341 |
$196K |
| 99233 |
Prolong inpt eval add15 m |
3,896 |
2,804 |
$196K |
| 97803 |
|
9,144 |
8,613 |
$195K |
| 71045 |
|
6,227 |
5,401 |
$194K |
| 10060 |
|
1,566 |
1,460 |
$191K |
| 78431 |
|
310 |
262 |
$186K |
| 70491 |
|
1,383 |
1,312 |
$185K |
| 93304 |
|
774 |
615 |
$184K |
| 78452 |
|
705 |
636 |
$165K |
| 93308 |
|
1,549 |
1,429 |
$165K |
| U0005 |
Infec agen detec ampli probe |
16,350 |
13,370 |
$160K |
| 95782 |
|
230 |
226 |
$158K |
| 76811 |
|
938 |
713 |
$157K |
| 74174 |
|
1,361 |
1,313 |
$156K |
| 74183 |
|
966 |
940 |
$155K |
| 77063 |
|
6,515 |
6,321 |
$150K |
| 95816 |
|
720 |
697 |
$147K |
| J0897 |
Denosumab injection |
241 |
231 |
$146K |
| 99396 |
|
2,371 |
1,837 |
$144K |
| 97802 |
|
3,334 |
3,148 |
$143K |
| J0741 |
Inj, cabote rilpivir 2mg 3mg |
48 |
38 |
$140K |
| 64642 |
|
502 |
385 |
$140K |
| 59025 |
|
906 |
682 |
$140K |
| 76801 |
|
1,654 |
1,455 |
$138K |
| 47562 |
|
48 |
41 |
$131K |
| 64483 |
|
391 |
271 |
$130K |
| 90739 |
|
1,093 |
983 |
$130K |
| 97110 |
|
13,915 |
4,699 |
$123K |
| 90686 |
|
17,038 |
15,936 |
$120K |
| 93458 |
|
123 |
118 |
$120K |
| 94060 |
|
797 |
724 |
$120K |
| 77290 |
|
824 |
792 |
$116K |
| 73721 |
|
808 |
641 |
$116K |
| 77066 |
Tomosynthesis, mammo |
1,690 |
1,627 |
$115K |
| 64493 |
|
325 |
234 |
$114K |
| 67311 |
|
89 |
89 |
$114K |
| G0378 |
Hospital observation per hr |
11,440 |
9,944 |
$114K |
| 70486 |
|
1,111 |
1,066 |
$114K |
| 52356 |
|
64 |
51 |
$112K |
| 76642 |
|
2,469 |
2,370 |
$106K |
| 76536 |
|
2,061 |
1,963 |
$104K |
| 43235 |
|
297 |
281 |
$103K |
| 90792 |
|
1,129 |
1,023 |
$100K |
| 59430 |
|
668 |
573 |
$97K |
| 64635 |
|
130 |
95 |
$96K |
| 90853 |
|
3,302 |
1,681 |
$96K |
| 90480 |
|
4,571 |
3,722 |
$94K |
| 90651 |
|
4,450 |
3,849 |
$94K |
| 96417 |
|
2,425 |
1,636 |
$91K |
| 87591 |
|
11,975 |
10,847 |
$91K |
| 87491 |
|
11,984 |
10,855 |
$91K |
| J1439 |
Inj ferric carboxymaltos 1mg |
206 |
136 |
$90K |
| 62323 |
|
336 |
241 |
$89K |
| 64615 |
|
738 |
518 |
$89K |
| 95819 |
|
397 |
383 |
$84K |
| 86900 |
|
10,923 |
9,796 |
$82K |
| 97162 |
|
4,150 |
3,907 |
$81K |
| 93005 |
|
59,794 |
50,347 |
$81K |
| 27130 |
|
15 |
12 |
$80K |
| 76700 |
|
1,000 |
975 |
$77K |
| 96409 |
|
598 |
453 |
$77K |
| 96367 |
|
2,262 |
1,710 |
$77K |
| 93970 |
|
761 |
708 |
$75K |
| 99188 |
|
3,476 |
2,968 |
$74K |
| 75561 |
|
233 |
230 |
$70K |
| Q5108 |
Injection, fulphila |
53 |
39 |
$69K |
| J0185 |
Inj., aprepitant, 1 mg |
503 |
294 |
$68K |
| 72197 |
|
264 |
253 |
$66K |
| 77295 |
|
154 |
145 |
$65K |
| 76805 |
|
843 |
650 |
$64K |
| 76817 |
|
3,240 |
2,606 |
$63K |
| 77065 |
Tomosynthesis, mammo |
1,196 |
1,126 |
$63K |
| 87635 |
|
2,888 |
2,536 |
$63K |
| 91320 |
|
1,770 |
1,378 |
$63K |
| 74230 |
|
727 |
710 |
$61K |
| Q3014 |
Telehealth facility fee |
4,802 |
4,021 |
$60K |
| 72100 |
|
3,440 |
3,280 |
$59K |
| 93798 |
|
980 |
183 |
$59K |
| 97166 |
|
2,863 |
2,739 |
$58K |
| J2469 |
Palonosetron hcl |
3,558 |
2,278 |
$58K |
| 92587 |
|
274 |
218 |
$57K |
| G0108 |
Diab manage trn per indiv |
2,017 |
1,763 |
$57K |
| 97161 |
|
1,741 |
1,399 |
$56K |
| 76816 |
|
6,432 |
5,025 |
$56K |
| 93880 |
|
754 |
708 |
$54K |
| 99239 |
|
769 |
758 |
$53K |
| G0279 |
Tomosynthesis, mammo |
2,456 |
2,367 |
$52K |
| 99222 |
|
826 |
800 |
$52K |
| 80061 |
|
7,618 |
6,572 |
$52K |
| Q5107 |
Inj mvasi 10 mg |
44 |
25 |
$50K |
| 93303 |
|
195 |
166 |
$49K |
| 76825 |
|
158 |
111 |
$49K |
| 77301 |
|
101 |
93 |
$48K |
| 80053 |
|
85,997 |
70,081 |
$48K |
| 72158 |
|
386 |
360 |
$48K |
| 96411 |
|
1,160 |
801 |
$48K |
| 94010 |
|
1,910 |
1,785 |
$47K |
| C8930 |
Tte w or w/o contr, cont ecg |
174 |
134 |
$47K |
| 27447 |
|
19 |
16 |
$47K |
| 99402 |
|
1,886 |
1,447 |
$47K |
| 91322 |
|
1,062 |
951 |
$46K |
| 96158 |
|
1,214 |
1,042 |
$46K |
| 29581 |
|
666 |
309 |
$46K |
| 58301 |
|
239 |
178 |
$45K |
| G0379 |
Direct refer hospital observ |
41 |
41 |
$45K |
| 31575 |
|
409 |
310 |
$44K |
| 99215 |
Prolong outpt/office vis |
570 |
535 |
$43K |
| 20611 |
|
420 |
281 |
$43K |
| 93296 |
|
2,705 |
2,178 |
$42K |
| 95811 |
|
67 |
65 |
$40K |
| 74018 |
|
3,086 |
2,715 |
$40K |
| P9016 |
Rbc leukocytes reduced |
391 |
325 |
$40K |
| 19083 |
|
37 |
36 |
$39K |
| 85025 |
|
92,474 |
75,551 |
$39K |
| J1610 |
Glucagon hydrochloride/1 mg |
587 |
567 |
$38K |
| G0390 |
Trauma respons w/hosp criti |
87 |
85 |
$37K |
| 73221 |
|
247 |
202 |
$37K |
| 71271 |
|
662 |
636 |
$36K |
| 77470 |
|
184 |
181 |
$36K |
| 42830 |
|
15 |
15 |
$34K |
| 92557 |
|
1,984 |
1,876 |
$34K |
| 90670 |
|
4,154 |
4,097 |
$33K |
| 84443 |
|
11,300 |
10,112 |
$33K |
| J9305 |
Inj. pemetrexed nos 10mg |
73 |
38 |
$32K |
| 72125 |
|
5,919 |
5,547 |
$31K |
| 90656 |
|
5,470 |
4,962 |
$31K |
| 87481 |
|
9,921 |
4,739 |
$31K |
| 73030 |
|
5,058 |
4,398 |
$30K |
| 94726 |
|
507 |
486 |
$30K |
| 73562 |
|
2,866 |
2,601 |
$29K |
| 93017 |
|
1,829 |
1,656 |
$29K |
| 73502 |
|
4,718 |
4,438 |
$28K |
| 92579 |
|
891 |
794 |
$28K |
| 99381 |
|
451 |
422 |
$28K |
| 86780 |
|
2,708 |
2,446 |
$28K |
| 82306 |
|
3,707 |
3,262 |
$27K |
| 52000 |
|
158 |
117 |
$27K |
| 76870 |
|
907 |
856 |
$26K |
| 74178 |
|
157 |
147 |
$26K |
| 97140 |
|
5,692 |
1,711 |
$26K |
| 76885 |
|
366 |
350 |
$25K |
| 58300 |
|
651 |
556 |
$25K |
| 90847 |
|
208 |
142 |
$25K |
| 90678 |
|
90 |
85 |
$25K |
| 80307 |
|
9,220 |
7,945 |
$25K |
| 73630 |
|
4,938 |
4,314 |
$25K |
| G0480 |
Drug test def 1-7 classes |
7,653 |
6,866 |
$24K |
| 87624 |
|
3,745 |
3,356 |
$24K |
| 76882 |
|
1,445 |
1,333 |
$24K |
| 97530 |
|
9,150 |
3,242 |
$24K |
| 99221 |
|
548 |
526 |
$24K |
| 96110 |
|
3,203 |
2,775 |
$23K |
| 77280 |
|
391 |
357 |
$23K |
| 72146 |
|
301 |
266 |
$23K |
| 97167 |
|
1,569 |
1,498 |
$22K |
| J1437 |
Inj. fe derisomaltose 10 mg |
13 |
12 |
$22K |
| J0485 |
Belatacept injection |
54 |
24 |
$22K |
| 73564 |
|
3,902 |
3,579 |
$22K |
| 99401 |
|
1,705 |
1,127 |
$22K |
| 99223 |
Prolong inpt eval add15 m |
221 |
216 |
$22K |
| 92611 |
|
509 |
500 |
$22K |
| 90732 |
|
698 |
691 |
$21K |
| 62321 |
|
92 |
62 |
$21K |
| 36415 |
|
46,797 |
35,800 |
$21K |
| 20680 |
|
13 |
12 |
$21K |
| 83036 |
|
16,506 |
14,705 |
$20K |
| 17110 |
|
424 |
289 |
$19K |
| 0124A |
|
1,078 |
1,062 |
$19K |
| 97163 |
|
1,176 |
1,105 |
$19K |
| 90734 |
|
1,804 |
1,756 |
$19K |
| 29405 |
|
128 |
87 |
$18K |
| 70498 |
|
2,809 |
2,699 |
$18K |
| 11102 |
|
340 |
240 |
$18K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
2,580 |
2,473 |
$18K |
| 80305 |
|
8,121 |
5,288 |
$17K |
| 93923 |
|
300 |
263 |
$17K |
| G0498 |
Chemo extend iv infus w/pump |
91 |
66 |
$17K |
| 93797 |
|
300 |
44 |
$17K |
| 99406 |
|
2,784 |
2,655 |
$17K |
| 73610 |
|
4,381 |
3,916 |
$17K |
| 72040 |
|
1,567 |
1,490 |
$16K |
| 20550 |
|
104 |
82 |
$16K |
| 90662 |
|
2,124 |
2,064 |
$16K |
| D0145 |
|
879 |
851 |
$16K |
| 80048 |
|
27,439 |
18,758 |
$16K |
| 87511 |
|
5,355 |
4,745 |
$16K |
| 52332 |
|
13 |
12 |
$15K |
| 87661 |
|
5,425 |
4,801 |
$15K |
| 36591 |
|
2,452 |
1,509 |
$15K |
| 97165 |
|
566 |
500 |
$15K |
| 97112 |
|
1,661 |
554 |
$15K |
| 93456 |
|
12 |
12 |
$14K |
| 94664 |
|
262 |
204 |
$14K |
| 64633 |
|
19 |
12 |
$14K |
| 43249 |
|
27 |
26 |
$14K |
| 90619 |
|
1,510 |
1,102 |
$14K |
| 72082 |
|
828 |
748 |
$14K |
| 95700 |
|
103 |
97 |
$14K |
| 99385 |
|
195 |
160 |
$14K |
| C9803 |
Hopd covid-19 spec collect |
26,094 |
22,103 |
$14K |
| 73110 |
|
3,590 |
3,045 |
$14K |
| 92610 |
|
593 |
559 |
$13K |
| 43264 |
|
12 |
12 |
$13K |
| D1206 |
|
1,091 |
1,067 |
$13K |
| 87389 |
|
3,715 |
3,374 |
$13K |
| 73130 |
|
2,850 |
2,480 |
$13K |
| 99212 |
|
682 |
659 |
$13K |
| 72070 |
|
695 |
667 |
$13K |
| 29075 |
|
71 |
52 |
$13K |
| 90837 |
|
139 |
101 |
$13K |
| 87522 |
Neg quan hep c or qual rna |
1,006 |
896 |
$12K |
| 77080 |
|
246 |
191 |
$12K |
| 0001A |
|
387 |
372 |
$12K |
| 17250 |
|
147 |
91 |
$12K |
| 0054A |
|
551 |
540 |
$12K |
| 93975 |
|
79 |
73 |
$11K |
| 87536 |
|
500 |
488 |
$11K |
| 77338 |
|
88 |
81 |
$11K |
| 90746 |
|
458 |
402 |
$11K |
| 88142 |
|
2,260 |
2,211 |
$11K |
| 94640 |
|
7,632 |
5,789 |
$11K |
| G0260 |
Inj for sacroiliac jt anesth |
39 |
32 |
$11K |
| 88305 |
|
13,062 |
12,063 |
$10K |
| 73590 |
|
1,784 |
1,560 |
$10K |
| 99495 |
|
130 |
113 |
$10K |
| 82728 |
|
3,979 |
3,466 |
$10K |
| 77072 |
|
161 |
157 |
$10K |
| 96127 |
|
1,563 |
1,340 |
$9K |
| 96401 |
|
413 |
274 |
$9K |
| 88175 |
|
1,075 |
869 |
$9K |
| G0384 |
Lev 5 hosp type b ed visit |
43 |
43 |
$9K |
| P9040 |
Rbc leukoreduced irradiated |
48 |
28 |
$9K |
| 95714 |
|
15 |
13 |
$9K |
| C1769 |
Guide wire |
7,236 |
6,799 |
$9K |
| 83655 |
|
3,090 |
2,670 |
$9K |
| 73560 |
|
1,443 |
1,289 |
$9K |
| 86870 |
|
65 |
53 |
$8K |
| 85027 |
|
21,567 |
14,961 |
$8K |
| 45378 |
|
26 |
24 |
$8K |
| 96152 |
|
141 |
134 |
$8K |
| 87426 |
|
420 |
321 |
$8K |
| 73552 |
|
1,445 |
1,279 |
$8K |
| 82607 |
|
3,093 |
2,782 |
$8K |
| J2704 |
Inj, propofol, 10 mg |
44,655 |
37,109 |
$8K |
| 99403 |
|
168 |
123 |
$8K |
| 86480 |
|
382 |
305 |
$8K |
| 92582 |
|
154 |
126 |
$8K |
| 99383 |
|
120 |
96 |
$8K |
| 76881 |
|
121 |
95 |
$8K |
| 0002A |
|
223 |
220 |
$8K |
| 90716 |
|
2,492 |
2,212 |
$8K |
| 99407 |
|
742 |
711 |
$8K |
| 99404 |
|
127 |
91 |
$7K |
| 75574 |
|
82 |
82 |
$7K |
| 88342 |
|
3,618 |
3,354 |
$7K |
| 93242 |
|
615 |
494 |
$7K |
| 95911 |
|
15 |
15 |
$7K |
| 81025 |
|
8,920 |
8,039 |
$7K |
| C8908 |
Mri w/o fol w/cont, breast, |
26 |
26 |
$7K |
| 29065 |
|
34 |
25 |
$7K |
| 99205 |
Prolong outpt/office vis |
68 |
68 |
$7K |
| 76604 |
|
494 |
473 |
$7K |
| 87086 |
|
15,537 |
13,805 |
$7K |
| 92552 |
|
167 |
153 |
$6K |
| 85610 |
|
13,478 |
9,577 |
$6K |
| 95909 |
|
65 |
37 |
$6K |
| 82746 |
|
2,416 |
2,183 |
$6K |
| 92507 |
|
244 |
90 |
$6K |
| 86803 |
|
2,533 |
2,208 |
$6K |
| 76775 |
|
633 |
612 |
$6K |
| 72170 |
|
1,003 |
866 |
$6K |
| 86481 |
|
180 |
175 |
$6K |
| 11981 |
|
94 |
69 |
$6K |
| 76815 |
|
5,192 |
2,971 |
$6K |
| 97116 |
|
3,098 |
1,669 |
$6K |
| U0002 |
Covid-19 lab test non-cdc |
239 |
228 |
$6K |
| 84702 |
|
3,401 |
2,799 |
$6K |
| 12001 |
|
1,079 |
1,029 |
$6K |
| 93225 |
|
214 |
182 |
$5K |
| 99203 |
|
121 |
109 |
$5K |
| 88184 |
|
80 |
65 |
$5K |
| 11104 |
|
48 |
34 |
$5K |
| 90673 |
|
78 |
66 |
$5K |
| 86706 |
|
1,634 |
1,471 |
$5K |
| 69210 |
|
318 |
243 |
$5K |
| 97535 |
|
3,048 |
1,906 |
$5K |
| 81220 |
|
13 |
13 |
$5K |
| 73140 |
|
1,387 |
1,215 |
$5K |
| D1208 |
|
410 |
409 |
$5K |
| J0131 |
Inj, acetaminophen (nos) |
5,109 |
4,237 |
$5K |
| G0010 |
Admin hepatitis b vaccine |
251 |
237 |
$5K |
| 83735 |
|
17,743 |
12,131 |
$5K |
| 57454 |
|
15 |
15 |
$5K |
| 96150 |
|
79 |
76 |
$5K |
| 93298 |
|
210 |
151 |
$5K |
| 83550 |
|
3,132 |
2,715 |
$5K |
| J1750 |
Inj iron dextran |
17 |
17 |
$5K |
| 72156 |
|
14 |
14 |
$4K |
| 70544 |
|
42 |
38 |
$4K |
| C1887 |
Catheter, guiding |
1,932 |
1,833 |
$4K |
| 86704 |
|
1,331 |
1,209 |
$4K |
| 73521 |
|
229 |
212 |
$4K |
| 58100 |
|
42 |
33 |
$4K |
| 99204 |
|
57 |
57 |
$4K |
| 87340 |
|
2,659 |
2,446 |
$4K |
| 74240 |
|
29 |
25 |
$4K |
| C1725 |
Cath, translumin non-laser |
2,418 |
2,253 |
$4K |
| 93246 |
|
393 |
321 |
$4K |
| 73080 |
|
1,172 |
1,059 |
$4K |
| 30140 |
|
20 |
13 |
$4K |
| 82950 |
|
896 |
846 |
$4K |
| 72131 |
|
149 |
134 |
$4K |
| 0081A |
|
147 |
147 |
$4K |
| 96156 |
|
74 |
71 |
$4K |
| 86850 |
|
10,860 |
9,838 |
$4K |
| 83970 |
|
387 |
325 |
$4K |
| 96402 |
|
256 |
223 |
$4K |
| 83540 |
|
3,299 |
2,849 |
$4K |
| 84439 |
|
1,842 |
1,615 |
$4K |
| 93922 |
|
548 |
499 |
$4K |
| 87502 |
|
4,349 |
4,122 |
$4K |
| 0072A |
|
186 |
179 |
$4K |
| 64400 |
|
23 |
16 |
$4K |
| 51700 |
|
57 |
24 |
$3K |
| C1894 |
Intro/sheath, non-laser |
4,016 |
3,791 |
$3K |
| G0101 |
Ca screen;pelvic/breast exam |
67 |
67 |
$3K |
| J3010 |
Fentanyl citrate injection |
43,385 |
34,793 |
$3K |
| 73070 |
|
592 |
496 |
$3K |
| 69209 |
|
274 |
225 |
$3K |
| 95910 |
|
16 |
14 |
$3K |
| 72081 |
|
129 |
107 |
$3K |
| 73700 |
|
55 |
50 |
$3K |
| G0399 |
Home sleep test/type 3 porta |
32 |
28 |
$3K |
| G0297 |
Ldct for lung ca screen |
120 |
120 |
$3K |
| 11982 |
|
15 |
12 |
$3K |
| 90473 |
|
132 |
112 |
$3K |
| 17311 |
|
16 |
13 |
$3K |
| 88341 |
|
2,152 |
1,909 |
$3K |
| 84703 |
|
15,085 |
14,009 |
$3K |
| 99238 |
|
63 |
63 |
$3K |
| 96523 |
|
146 |
124 |
$3K |
| 87070 |
|
11,788 |
10,757 |
$3K |
| 96376 |
|
5,529 |
4,565 |
$3K |
| 0052A |
|
86 |
86 |
$3K |
| 92652 |
|
20 |
12 |
$3K |
| 88307 |
|
2,514 |
2,413 |
$3K |
| 86003 |
|
106 |
81 |
$3K |
| 73600 |
|
766 |
674 |
$3K |
| 87186 |
|
6,206 |
5,568 |
$3K |
| J1756 |
Iron sucrose injection |
3,450 |
1,475 |
$3K |
| 0082A |
|
86 |
86 |
$3K |
| 97760 |
|
448 |
393 |
$3K |
| 86787 |
|
652 |
603 |
$3K |
| M0243 |
Casirivi and imdevi inj |
16 |
16 |
$3K |
| 93926 |
|
104 |
88 |
$3K |
| 0071A |
|
167 |
162 |
$3K |
| 86901 |
|
11,110 |
9,977 |
$3K |
| 81001 |
|
18,358 |
16,483 |
$3K |
| 83880 |
|
5,965 |
5,395 |
$3K |
| 84403 |
|
233 |
166 |
$3K |
| 86923 |
|
829 |
610 |
$2K |
| 73090 |
|
866 |
740 |
$2K |
| 83021 |
|
361 |
356 |
$2K |
| G0103 |
Psa screening |
336 |
265 |
$2K |
| J1644 |
Inj heparin sodium per 1000u |
18,712 |
8,922 |
$2K |
| J0690 |
Cefazolin sodium injection |
17,097 |
13,359 |
$2K |
| 86140 |
|
7,691 |
6,681 |
$2K |
| 96381 |
|
174 |
163 |
$2K |
| 72110 |
|
144 |
127 |
$2K |
| 87077 |
|
7,360 |
6,629 |
$2K |
| 31231 |
|
23 |
17 |
$2K |
| 83690 |
|
17,025 |
15,309 |
$2K |
| 90715 |
|
9,305 |
8,569 |
$2K |
| 98929 |
|
128 |
114 |
$2K |
| A9552 |
F18 fdg |
2,147 |
2,101 |
$2K |
| 84484 |
|
23,568 |
14,131 |
$2K |
| Q9957 |
Inj perflutren lip micros,ml |
1,802 |
1,613 |
$2K |
| M0220 |
Tixagev and cilgav inj |
73 |
71 |
$2K |
| 76981 |
|
24 |
24 |
$2K |
| 77387 |
|
163 |
24 |
$2K |
| 0004A |
|
657 |
650 |
$2K |
| 87517 |
|
96 |
94 |
$2K |
| 90688 |
|
405 |
387 |
$2K |
| 82947 |
|
663 |
580 |
$2K |
| 99234 |
|
52 |
12 |
$2K |
| 90620 |
|
47 |
39 |
$2K |
| Q0138 |
Ferumoxytol, non-esrd |
22 |
13 |
$2K |
| 80178 |
|
1,016 |
900 |
$2K |
| 64447 |
|
186 |
176 |
$2K |
| 96112 |
|
20 |
14 |
$2K |
| 0051A |
|
58 |
54 |
$2K |
| 80076 |
|
904 |
784 |
$2K |
| J2250 |
Inj midazolam hydrochloride |
24,750 |
22,890 |
$2K |
| 76376 |
|
2,130 |
1,835 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,424 |
3,729 |
$2K |
| J7325 |
Synvisc or synvisc-one |
59 |
39 |
$2K |
| J2405 |
Ondansetron hcl injection |
42,125 |
37,348 |
$2K |
| 72157 |
|
27 |
25 |
$2K |
| S9441 |
Asthma education |
167 |
122 |
$2K |
| D0330 |
|
49 |
48 |
$2K |
| 81003 |
|
22,088 |
18,556 |
$2K |
| 11900 |
|
50 |
36 |
$2K |
| 87798 |
|
381 |
365 |
$2K |
| 87468 |
|
733 |
641 |
$2K |
| 93356 |
|
1,631 |
1,369 |
$2K |
| 87469 |
|
732 |
641 |
$2K |
| J1170 |
Hydromorphone injection |
21,279 |
12,965 |
$2K |
| 82043 |
|
2,373 |
2,128 |
$1K |
| C1776 |
Joint device (implantable) |
475 |
450 |
$1K |
| C1726 |
Cath, bal dil, non-vascular |
1,380 |
1,335 |
$1K |
| 00170 |
|
13 |
13 |
$1K |
| 87040 |
|
5,048 |
4,211 |
$1K |
| 98928 |
|
364 |
243 |
$1K |
| 82784 |
|
533 |
388 |
$1K |
| C1729 |
Cath, drainage |
453 |
415 |
$1K |
| 86618 |
|
1,246 |
1,126 |
$1K |
| J1100 |
Dexamethasone sodium phos |
31,945 |
28,739 |
$1K |
| 99231 |
|
58 |
36 |
$1K |
| 93312 |
|
15 |
14 |
$1K |
| 92551 |
|
169 |
160 |
$1K |
| 81000 |
|
5,501 |
5,210 |
$1K |
| 29515 |
|
13 |
13 |
$1K |
| 84402 |
|
128 |
88 |
$1K |
| 64415 |
|
105 |
94 |
$1K |
| 73000 |
|
138 |
115 |
$1K |
| 99386 |
|
17 |
13 |
$1K |
| 73060 |
|
304 |
244 |
$1K |
| 74221 |
|
18 |
15 |
$1K |
| 90681 |
|
3,921 |
3,554 |
$1K |
| 77332 |
|
28 |
26 |
$1K |
| 93280 |
|
65 |
57 |
$1K |
| 72050 |
|
18 |
12 |
$1K |
| 92201 |
|
83 |
57 |
$1K |
| 86902 |
|
13 |
13 |
$1K |
| 51702 |
|
78 |
64 |
$1K |
| 71101 |
|
82 |
67 |
$1K |
| 85730 |
|
3,863 |
2,682 |
$1K |
| 84425 |
|
127 |
93 |
$1K |
| J1815 |
Insulin injection |
7,160 |
3,919 |
$1K |
| 74220 |
|
16 |
16 |
$1K |
| 12002 |
|
330 |
309 |
$1K |
| 85018 |
|
2,613 |
2,172 |
$1K |
| 76641 |
|
13 |
12 |
$1K |
| 99202 |
|
25 |
25 |
$1K |
| 51798 |
|
1,189 |
901 |
$1K |
| 92553 |
|
35 |
27 |
$998.72 |
| 96154 |
|
80 |
76 |
$972.93 |
| 83993 |
|
105 |
79 |
$964.98 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
5,621 |
3,595 |
$955.53 |
| J0171 |
Adrenalin epinephrine inject |
1,578 |
1,491 |
$954.63 |
| 80074 |
|
184 |
155 |
$946.63 |
| G0328 |
Fecal blood scrn immunoassay |
126 |
124 |
$943.50 |
| 99460 |
|
15 |
15 |
$941.95 |
| 80164 |
|
484 |
429 |
$941.67 |
| 99382 |
|
15 |
12 |
$935.64 |
| 82670 |
|
80 |
55 |
$927.39 |
| 84100 |
|
3,914 |
2,329 |
$926.51 |
| 0031A |
|
33 |
33 |
$925.16 |
| 88112 |
|
595 |
522 |
$907.45 |
| 95800 |
|
12 |
12 |
$889.37 |
| J3370 |
Vancomycin hcl injection |
5,020 |
2,894 |
$882.47 |
| 86360 |
|
156 |
152 |
$878.03 |
| 73100 |
|
144 |
81 |
$874.52 |
| 98926 |
|
312 |
197 |
$869.35 |
| J0330 |
Succinycholine chloride inj |
4,251 |
3,289 |
$868.68 |
| 90658 |
|
44 |
44 |
$855.66 |
| 74330 |
|
424 |
407 |
$852.38 |
| 87880 |
|
5,347 |
4,734 |
$828.24 |
| 99384 |
|
13 |
13 |
$819.09 |
| 88304 |
|
2,435 |
2,364 |
$810.18 |
| C9399 |
Unclassified drugs or biolog |
1,185 |
1,132 |
$809.93 |
| J2270 |
Morphine sulfate injection |
7,358 |
6,205 |
$780.44 |
| 82570 |
|
1,626 |
1,426 |
$778.73 |
| 84460 |
|
521 |
495 |
$778.66 |
| 99397 |
|
41 |
29 |
$774.56 |
| 85660 |
|
398 |
388 |
$772.18 |
| 92567 |
|
4,147 |
3,880 |
$769.15 |
| 99173 |
|
399 |
365 |
$766.12 |
| J7120 |
Ringers lactate infusion |
2,369 |
2,171 |
$757.79 |
| 80069 |
|
241 |
213 |
$731.27 |
| 76000 |
|
122 |
121 |
$722.67 |
| 86359 |
|
156 |
152 |
$722.60 |
| 83001 |
|
112 |
84 |
$712.55 |
| 90710 |
|
1,605 |
1,342 |
$701.00 |
| 84153 |
|
142 |
121 |
$693.18 |
| 0154A |
|
54 |
54 |
$692.30 |
| 86762 |
|
892 |
803 |
$687.39 |
| C2617 |
Stent, non-cor, tem w/o del |
1,236 |
1,157 |
$682.15 |
| J1885 |
Ketorolac tromethamine inj |
20,012 |
17,132 |
$666.87 |
| 70355 |
|
138 |
129 |
$666.07 |
| 83605 |
|
5,747 |
4,721 |
$663.00 |
| 93750 |
|
13 |
12 |
$661.17 |
| 85652 |
|
3,128 |
2,691 |
$656.30 |
| 86364 |
|
225 |
166 |
$649.35 |
| 0003A |
|
54 |
54 |
$642.66 |
| 12011 |
|
439 |
414 |
$640.78 |
| 87081 |
|
6,366 |
5,127 |
$640.52 |
| 82805 |
|
2,456 |
1,913 |
$639.04 |
| 29125 |
|
190 |
178 |
$626.30 |
| 81002 |
|
11,499 |
9,521 |
$624.64 |
| C8928 |
Tte w or w/o fol w/con,stres |
14 |
14 |
$618.33 |
| 17000 |
|
160 |
126 |
$614.50 |
| 76937 |
|
879 |
813 |
$603.81 |
| 98925 |
|
184 |
98 |
$598.91 |
| 73620 |
|
74 |
54 |
$590.30 |
| 87205 |
|
4,341 |
3,888 |
$585.71 |
| 86334 |
|
124 |
102 |
$580.45 |
| 84146 |
|
66 |
47 |
$571.54 |
| 83037 |
|
3,326 |
3,280 |
$514.92 |
| 86038 |
|
147 |
113 |
$500.06 |
| 87801 |
|
132 |
119 |
$498.31 |
| 85379 |
|
3,464 |
3,277 |
$495.83 |
| 84156 |
|
1,366 |
1,178 |
$495.75 |
| 90380 |
|
37 |
31 |
$494.55 |
| J2359 |
Inj. olanzapine, 0.5mg |
23 |
14 |
$485.68 |
| Q0091 |
Obtaining screen pap smear |
36 |
36 |
$484.44 |
| 90744 |
|
2,036 |
1,933 |
$483.20 |
| 70360 |
|
26 |
25 |
$472.90 |
| J7060 |
5% dextrose/water |
562 |
373 |
$451.73 |
| 82550 |
|
2,279 |
1,913 |
$445.99 |
| 99443 |
|
19 |
16 |
$430.80 |
| J3475 |
Inj magnesium sulfate |
4,007 |
2,115 |
$413.49 |
| 93325 |
|
2,266 |
1,942 |
$395.23 |
| 92555 |
|
323 |
283 |
$386.53 |
| 97810 |
|
180 |
165 |
$381.99 |
| 83615 |
|
1,100 |
758 |
$377.56 |
| 83921 |
|
115 |
115 |
$377.17 |
| 95970 |
|
81 |
56 |
$366.01 |
| A4648 |
Implantable tissue marker |
252 |
238 |
$364.03 |
| J2785 |
Regadenoson injection |
927 |
829 |
$357.80 |
| 82948 |
|
5,309 |
1,962 |
$355.96 |
| 92550 |
|
58 |
53 |
$354.71 |
| J7042 |
5% dextrose/normal saline |
17 |
12 |
$333.89 |
| 72190 |
|
14 |
13 |
$326.83 |
| 72020 |
|
178 |
164 |
$326.68 |
| C1732 |
Cath, ep, diag/abl, 3d/vect |
46 |
42 |
$316.54 |
| J2001 |
Lidocaine injection |
7,087 |
6,372 |
$314.36 |
| 87209 |
|
55 |
37 |
$312.80 |
| J3480 |
Inj potassium chloride |
3,447 |
1,792 |
$307.95 |
| J0780 |
Prochlorperazine injection |
1,958 |
1,517 |
$307.74 |
| 36600 |
|
47 |
39 |
$307.45 |
| 85045 |
|
836 |
625 |
$307.30 |
| 76942 |
|
836 |
749 |
$298.68 |
| C1758 |
Catheter, ureteral |
1,692 |
1,582 |
$297.78 |
| 72192 |
|
15 |
14 |
$294.21 |
| 83020 |
|
152 |
114 |
$283.14 |
| 84165 |
|
123 |
101 |
$279.08 |
| 87206 |
|
711 |
521 |
$278.48 |
| 82248 |
|
203 |
157 |
$277.25 |
| 96167 |
|
34 |
29 |
$276.66 |
| J0696 |
Ceftriaxone sodium injection |
6,001 |
4,167 |
$275.65 |
| 73565 |
|
23 |
14 |
$274.51 |
| 98927 |
|
67 |
49 |
$267.92 |
| 82533 |
|
46 |
34 |
$263.20 |
| 80197 |
|
145 |
108 |
$263.03 |
| 82785 |
|
50 |
38 |
$256.83 |
| 86708 |
|
52 |
51 |
$251.26 |
| 91200 |
|
17 |
12 |
$249.68 |
| 97014 |
|
237 |
86 |
$249.41 |
| 46600 |
|
92 |
71 |
$240.93 |
| 73660 |
|
87 |
75 |
$234.11 |
| J1630 |
Haloperidol injection |
4,209 |
3,744 |
$231.48 |
| C1730 |
Cath, ep, 19 or few elect |
67 |
60 |
$216.80 |
| 87505 |
|
39 |
27 |
$216.51 |
| 85651 |
|
1,025 |
947 |
$209.51 |
| J1650 |
Inj enoxaparin sodium |
5,523 |
1,660 |
$202.14 |
| 85007 |
|
1,412 |
1,271 |
$197.13 |
| J2930 |
Methylprednisolone injection |
1,191 |
965 |
$190.86 |
| P9612 |
Catheterize for urine spec |
189 |
161 |
$189.28 |
| 87529 |
|
153 |
69 |
$186.34 |
| J2060 |
Lorazepam injection |
5,376 |
4,064 |
$182.51 |
| 87804 |
|
440 |
180 |
$182.27 |
| 87634 |
|
145 |
144 |
$181.98 |
| 96040 |
|
12 |
12 |
$181.74 |
| C1727 |
Cath, bal tis dis, non-vas |
466 |
446 |
$181.16 |
| J2720 |
Inj protamine sulfate/10 mg |
187 |
178 |
$178.18 |
| 82105 |
|
54 |
43 |
$174.44 |
| 93613 |
|
14 |
13 |
$172.66 |
| 87210 |
|
1,642 |
1,390 |
$171.76 |
| 96165 |
|
26 |
15 |
$163.71 |
| G0296 |
Visit to determ ldct elig |
13 |
13 |
$163.08 |
| 86431 |
|
117 |
88 |
$161.02 |
| J1790 |
Droperidol injection |
4,227 |
3,619 |
$159.42 |
| 87177 |
|
55 |
37 |
$154.31 |
| 77073 |
|
66 |
50 |
$153.22 |
| 83002 |
|
20 |
12 |
$148.16 |
| 99152 |
|
1,658 |
1,605 |
$143.44 |
| 83521 |
|
50 |
39 |
$138.25 |
| 94729 |
|
1,055 |
1,015 |
$134.99 |
| 88173 |
|
123 |
100 |
$133.16 |
| 96164 |
|
26 |
15 |
$130.15 |
| J1642 |
Inj heparin sodium per 10 u |
275 |
196 |
$129.46 |
| A9555 |
Rb82 rubidium |
328 |
277 |
$127.92 |
| 82330 |
|
50 |
39 |
$124.54 |
| 82140 |
|
254 |
224 |
$121.22 |
| J2543 |
Piperacillin/tazobactam |
2,313 |
786 |
$120.46 |
| 77417 |
|
367 |
199 |
$117.92 |
| 83721 |
|
53 |
45 |
$116.78 |
| 87075 |
|
990 |
899 |
$113.98 |
| 84550 |
|
297 |
196 |
$112.47 |
| 84450 |
|
88 |
88 |
$110.59 |
| 86682 |
|
14 |
12 |
$109.78 |
| 82977 |
|
48 |
42 |
$109.60 |
| 88313 |
|
187 |
175 |
$108.51 |
| 87493 |
|
26 |
26 |
$104.48 |
| 84134 |
|
44 |
40 |
$102.13 |
| 84132 |
|
814 |
698 |
$101.54 |
| J9045 |
Carboplatin injection |
1,311 |
930 |
$101.46 |
| J1920 |
Inj, labetalol hcl, 5mg |
203 |
176 |
$100.07 |
| 87102 |
|
279 |
224 |
$97.53 |
| J1050 |
Medroxyprogesterone acetate |
2,388 |
2,067 |
$97.50 |
| 90691 |
|
779 |
761 |
$95.83 |
| J3490 |
Drugs unclassified injection |
5,025 |
4,492 |
$90.97 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
1,647 |
891 |
$89.22 |
| 99153 |
Mod sedat endo service >5yrs |
1,384 |
1,347 |
$88.99 |
| 80175 |
|
104 |
82 |
$88.62 |
| 82365 |
|
201 |
174 |
$87.86 |
| J1580 |
Garamycin gentamicin inj |
824 |
762 |
$83.88 |
| 90723 |
|
87 |
87 |
$82.03 |
| 88309 |
|
42 |
41 |
$78.24 |
| 80177 |
|
90 |
79 |
$77.41 |
| 43273 |
|
43 |
39 |
$73.37 |
| 83516 |
|
17 |
14 |
$70.26 |
| 90472 |
|
16,266 |
14,337 |
$68.88 |
| J2795 |
Ropivacaine hcl injection |
830 |
709 |
$65.30 |
| 87116 |
|
170 |
156 |
$64.80 |
| J1200 |
Diphenhydramine hcl injectio |
6,668 |
4,641 |
$64.01 |
| 82378 |
|
72 |
63 |
$59.88 |
| C9290 |
Inj, bupivacaine liposome |
792 |
754 |
$58.88 |
| J7070 |
D5w infusion |
420 |
290 |
$58.80 |
| J1720 |
Hydrocortisone sodium succ i |
1,717 |
1,267 |
$57.03 |
| 90632 |
|
852 |
816 |
$55.06 |
| G1004 |
Cdsm ndsc |
4,716 |
3,817 |
$50.18 |
| 82565 |
|
50 |
41 |
$49.65 |
| 87484 |
|
38 |
25 |
$49.12 |
| 86663 |
|
15 |
12 |
$46.53 |
| 87420 |
|
1,214 |
1,180 |
$45.60 |
| J2370 |
Phenylephrine hcl injection |
335 |
323 |
$45.49 |
| A9500 |
Tc99m sestamibi |
800 |
725 |
$44.44 |
| J0360 |
Hydralazine hcl injection |
195 |
153 |
$43.45 |
| J2274 |
Inj morphine pf epid ithc |
587 |
574 |
$41.50 |
| 89051 |
|
508 |
468 |
$40.78 |
| J1940 |
Furosemide injection |
2,675 |
1,656 |
$40.70 |
| G8987 |
Self care current status |
892 |
392 |
$37.86 |
| G8988 |
Self care goal status |
893 |
393 |
$37.86 |
| G8989 |
Self care d/c status |
887 |
389 |
$37.86 |
| 87400 |
|
192 |
183 |
$37.80 |
| 77002 |
|
171 |
157 |
$37.36 |
| 88331 |
|
410 |
397 |
$36.80 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
917 |
837 |
$34.42 |
| 84155 |
|
48 |
38 |
$33.76 |
| 97804 |
|
153 |
148 |
$32.30 |
| Q9961 |
Hocm 250-299mg/ml iodine,1ml |
266 |
249 |
$30.68 |
| J1836 |
Inj, metronidazole, 10 mg |
566 |
467 |
$27.14 |
| 82272 |
|
409 |
387 |
$26.64 |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
1,394 |
1,172 |
$26.35 |
| 82009 |
|
678 |
597 |
$26.19 |
| 82150 |
|
15 |
12 |
$25.92 |
| 86308 |
|
228 |
204 |
$25.90 |
| 83883 |
|
12 |
12 |
$23.20 |
| J1010 |
Inj, methylpred acetate 1 mg |
1,275 |
1,038 |
$23.04 |
| 82247 |
|
13 |
12 |
$20.52 |
| J9267 |
Paclitaxel injection |
563 |
309 |
$19.83 |
| 82044 |
|
353 |
338 |
$17.61 |
| 82962 |
|
170 |
63 |
$16.73 |
| 36416 |
|
14,808 |
12,170 |
$16.38 |
| 85014 |
|
16 |
12 |
$12.80 |
| 87207 |
|
12 |
12 |
$12.26 |
| 80306 |
|
194 |
132 |
$11.22 |
| J1805 |
Inj, esmolol hcl, 10mg |
55 |
39 |
$9.74 |
| J3420 |
Vitamin b12 injection |
1,114 |
876 |
$9.54 |
| 89050 |
|
13 |
12 |
$9.44 |
| 85384 |
|
103 |
100 |
$8.68 |
| 82040 |
|
15 |
13 |
$7.90 |
| J0736 |
Inj, clindamycin phosp 300mg |
20 |
15 |
$7.41 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
1,460 |
1,277 |
$6.46 |
| J8540 |
Oral dexamethasone |
4,657 |
3,128 |
$6.03 |
| 84157 |
|
13 |
12 |
$4.25 |
| J2765 |
Metoclopramide hcl injection |
365 |
298 |
$3.76 |
| J3260 |
Tobramycin sulfate injection |
194 |
178 |
$2.50 |
| C1760 |
Closure dev, vasc |
370 |
358 |
$2.00 |
| 93321 |
|
782 |
634 |
$1.52 |
| J7512 |
Prednisone ir or dr oral 1mg |
2,564 |
1,811 |
$0.36 |
| J2305 |
Inj, nitroglycerin, 5 mg |
129 |
109 |
$0.05 |
| 90697 |
|
2,632 |
2,212 |
$0.00 |
| 90698 |
|
3,960 |
3,704 |
$0.00 |
| 90717 |
|
59 |
58 |
$0.00 |
| 91317 |
|
56 |
56 |
$0.00 |
| 76820 |
|
1,095 |
359 |
$0.00 |
| C1759 |
Cath, intra echocardiography |
65 |
59 |
$0.00 |
| 92556 |
|
100 |
97 |
$0.00 |
| G8980 |
Mobility d/c status |
1,250 |
551 |
$0.00 |
| 90474 |
|
3,815 |
3,461 |
$0.00 |
| 95886 |
|
275 |
202 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
157 |
119 |
$0.00 |
| 90696 |
|
1,550 |
1,305 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
1,000 |
800 |
$0.00 |
| 64494 |
|
388 |
161 |
$0.00 |
| 76377 |
|
85 |
79 |
$0.00 |
| 90647 |
|
309 |
292 |
$0.00 |
| 77001 |
|
131 |
128 |
$0.00 |
| 90660 |
|
29 |
25 |
$0.00 |
| C1781 |
Mesh (implantable) |
229 |
212 |
$0.00 |
| J8501 |
Oral aprepitant |
449 |
425 |
$0.00 |
| 93320 |
|
306 |
250 |
$0.00 |
| 90381 |
|
121 |
116 |
$0.00 |
| 96368 |
|
780 |
593 |
$0.00 |
| 91307 |
|
505 |
468 |
$0.00 |
| 91315 |
|
45 |
45 |
$0.00 |
| C1766 |
Intro/sheath,strble,non-peel |
95 |
87 |
$0.00 |
| 11045 |
|
109 |
62 |
$0.00 |
| J2372 |
Inj, biorphen, 20 micrograms |
86 |
30 |
$0.00 |
| C1893 |
Intro/sheath, fixed,non-peel |
38 |
35 |
$0.00 |
| C1889 |
Implant/insert device, noc |
55 |
53 |
$0.00 |
| A9503 |
Tc99m medronate |
26 |
25 |
$0.00 |
| 88185 |
|
70 |
58 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
158 |
125 |
$0.00 |
| 91319 |
|
55 |
34 |
$0.00 |
| Q2036 |
Flulaval vacc, 3 yrs & >, im |
27 |
27 |
$0.00 |
| 97010 |
|
585 |
189 |
$0.00 |
| 91305 |
|
627 |
602 |
$0.00 |
| J7050 |
Normal saline solution infus |
20 |
13 |
$0.00 |
| 73120 |
|
20 |
12 |
$0.00 |
| G8998 |
Swallow d/c status |
14 |
13 |
$0.00 |
| C1892 |
Intro/sheath,fixed,peel-away |
12 |
12 |
$0.00 |
| A4627 |
Spacer bag/reservoir |
44 |
39 |
$0.00 |
| 99174 |
|
66 |
61 |
$0.00 |
| 2000F |
|
28 |
25 |
$0.00 |
| 91303 |
|
32 |
32 |
$0.00 |
| 91318 |
|
105 |
63 |
$0.00 |
| 95885 |
|
82 |
46 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
23 |
13 |
$0.00 |
| C1733 |
Cath, ep, othr than cool-tip |
15 |
13 |
$0.00 |
| 88311 |
|
13 |
13 |
$0.00 |
| J0456 |
Azithromycin |
20 |
13 |
$0.00 |
| J2358 |
Olanzapine long-acting inj |
16 |
13 |
$0.00 |
| 64636 |
|
159 |
90 |
$0.00 |
| 90700 |
|
1,691 |
1,479 |
$0.00 |
| 95874 |
|
359 |
253 |
$0.00 |
| 90633 |
|
5,161 |
4,645 |
$0.00 |
| 17003 |
|
67 |
51 |
$0.00 |
| J0744 |
Ciprofloxacin iv |
61 |
53 |
$0.00 |
| 78434 |
|
193 |
170 |
$0.00 |
| G8979 |
Mobility goal status |
1,274 |
560 |
$0.00 |
| 90671 |
|
1,775 |
1,539 |
$0.00 |
| 90707 |
|
2,908 |
2,620 |
$0.00 |
| 97799 |
|
1,306 |
460 |
$0.00 |
| A9541 |
Tc99m sulfur colloid |
61 |
52 |
$0.00 |
| 91321 |
|
1,502 |
1,227 |
$0.00 |
| J0688 |
Inj cefazolin sodium, hikma |
104 |
94 |
$0.00 |
| J1953 |
Levetiracetam injection |
30 |
24 |
$0.00 |
| 90713 |
|
1,005 |
911 |
$0.00 |
| G0500 |
Mod sedat endo service >5yrs |
251 |
246 |
$0.00 |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
154 |
153 |
$0.00 |
| J0670 |
Inj mepivacaine hcl/10 ml |
36 |
28 |
$0.00 |
| J3489 |
Zoledronic acid 1mg |
628 |
565 |
$0.00 |
| J0692 |
Cefepime hcl for injection |
100 |
50 |
$0.00 |
| 64999 |
|
43 |
43 |
$0.00 |
| 96159 |
|
106 |
79 |
$0.00 |
| J0290 |
Ampicillin 500 mg inj |
455 |
309 |
$0.00 |
| 76999 |
|
12 |
12 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
283 |
182 |
$0.00 |
| G8978 |
Mobility current status |
1,269 |
559 |
$0.00 |
| 90648 |
|
1,003 |
862 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
864 |
607 |
$0.00 |
| 64643 |
|
381 |
296 |
$0.00 |
| J9190 |
Fluorouracil injection |
274 |
152 |
$0.00 |
| J2550 |
Promethazine hcl injection |
373 |
138 |
$0.00 |
| 90714 |
|
126 |
126 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
706 |
463 |
$0.00 |
| 91300 |
|
1,027 |
976 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
349 |
266 |
$0.00 |
| 91312 |
|
694 |
683 |
$0.00 |
| J2401 |
Chloroprocaine hcl injection |
42 |
15 |
$0.00 |
| C1874 |
Stent, coated/cov w/del sys |
155 |
152 |
$0.00 |
| 91308 |
|
283 |
278 |
$0.00 |
| 80348 |
|
138 |
83 |
$0.00 |
| J9263 |
Oxaliplatin |
39 |
24 |
$0.00 |
| 90685 |
|
238 |
229 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
14 |
14 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
307 |
291 |
$0.00 |
| Q0220 |
Tixagev and cilgav, 300mg |
13 |
12 |
$0.00 |
| G2212 |
Prolong outpt/office vis |
56 |
54 |
$0.00 |
| 92504 |
|
43 |
34 |
$0.00 |
| G8997 |
Swallow goal status |
15 |
13 |
$0.00 |
| G8996 |
Swallow current status |
14 |
13 |
$0.00 |
| J0153 |
Adenosine inj 1mg |
12 |
12 |
$0.00 |
| J0640 |
Leucovorin calcium injection |
90 |
50 |
$0.00 |
| 85049 |
|
12 |
12 |
$0.00 |
| 96113 |
|
18 |
12 |
$0.00 |
| T1013 |
Sign lang/oral interpreter |
14 |
14 |
$0.00 |
| 64634 |
|
19 |
12 |
$0.00 |
| 90687 |
|
14 |
13 |
$0.00 |
| 88312 |
|
19 |
16 |
$0.00 |
| 80326 |
|
16 |
14 |
$0.00 |
| C2625 |
Stent, non-cor, tem w/del sy |
18 |
13 |
$0.00 |