| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
57,021 |
48,154 |
$9.05M |
| 96361 |
|
32,260 |
23,907 |
$9.02M |
| 99284 |
|
51,678 |
44,890 |
$8.35M |
| 99283 |
|
50,612 |
45,224 |
$8.13M |
| 74177 |
|
11,077 |
9,834 |
$2.59M |
| G0463 |
Hospital outpt clinic visit |
43,101 |
32,501 |
$2.07M |
| J9271 |
Inj pembrolizumab |
442 |
296 |
$2.00M |
| G0378 |
Hospital observation per hr |
11,452 |
9,130 |
$1.76M |
| 93306 |
|
7,268 |
6,490 |
$1.68M |
| 0241U |
|
25,244 |
23,260 |
$1.63M |
| 70450 |
|
11,523 |
10,114 |
$1.59M |
| 96365 |
|
15,142 |
10,021 |
$1.58M |
| 99213 |
|
11,345 |
10,062 |
$1.57M |
| 96360 |
|
11,044 |
8,467 |
$1.14M |
| 59025 |
|
6,077 |
4,184 |
$1.13M |
| 99282 |
|
7,425 |
6,880 |
$1.09M |
| 96413 |
|
8,632 |
4,424 |
$1.07M |
| A0425 |
Ground mileage |
30,226 |
23,330 |
$944K |
| 74176 |
|
4,276 |
3,802 |
$871K |
| 96366 |
|
4,772 |
2,913 |
$810K |
| 80307 |
|
18,562 |
15,359 |
$778K |
| 99212 |
|
5,681 |
5,023 |
$757K |
| 71275 |
|
3,258 |
2,929 |
$750K |
| 80053 |
|
119,729 |
92,624 |
$671K |
| 78452 |
|
1,175 |
1,060 |
$609K |
| 99214 |
|
5,407 |
4,770 |
$549K |
| 95810 |
|
932 |
873 |
$520K |
| 99211 |
|
3,592 |
2,992 |
$465K |
| A0429 |
Bls-emergency |
6,141 |
5,259 |
$451K |
| 43239 |
|
1,156 |
1,002 |
$443K |
| U0003 |
Cov-19 amp prb hgh thruput |
7,643 |
6,934 |
$421K |
| T2005 |
N-et; stretcher van |
1,390 |
1,267 |
$402K |
| 78815 |
|
584 |
536 |
$392K |
| 99281 |
|
2,932 |
2,641 |
$377K |
| 76641 |
|
3,117 |
2,770 |
$364K |
| A0427 |
Als1-emergency |
5,146 |
4,296 |
$356K |
| A0428 |
Bls |
15,843 |
12,208 |
$311K |
| 93971 |
|
3,840 |
3,422 |
$303K |
| 76705 |
|
3,786 |
3,400 |
$301K |
| 70496 |
|
1,330 |
1,197 |
$298K |
| 94640 |
|
6,481 |
4,404 |
$292K |
| 93320 |
|
820 |
736 |
$267K |
| A0431 |
Rotary wing air transport |
404 |
341 |
$265K |
| 87635 |
|
8,852 |
8,077 |
$260K |
| 76856 |
|
2,470 |
2,255 |
$257K |
| 36415 |
|
66,415 |
47,660 |
$256K |
| 99291 |
|
1,090 |
1,004 |
$242K |
| 77067 |
|
5,514 |
5,194 |
$202K |
| J2505 |
Injection, pegfilgrastim 6mg |
159 |
96 |
$202K |
| 93010 |
|
45,828 |
38,719 |
$199K |
| J2469 |
Palonosetron hcl |
4,682 |
2,310 |
$195K |
| 76642 |
|
1,851 |
1,721 |
$194K |
| 96415 |
|
953 |
584 |
$190K |
| 99215 |
Prolong outpt/office vis |
1,226 |
995 |
$189K |
| 71046 |
|
32,496 |
27,828 |
$185K |
| 96416 |
|
761 |
383 |
$183K |
| 93017 |
|
1,832 |
1,657 |
$173K |
| J1453 |
Fosaprepitant injection |
2,566 |
1,518 |
$168K |
| 36430 |
|
960 |
591 |
$164K |
| 12001 |
|
741 |
700 |
$156K |
| 70553 |
|
550 |
502 |
$153K |
| 85025 |
|
115,788 |
87,320 |
$146K |
| A0130 |
Noner transport wheelch van |
3,602 |
339 |
$145K |
| 93005 |
|
50,190 |
40,867 |
$145K |
| 70551 |
|
765 |
689 |
$132K |
| 77336 |
|
1,740 |
643 |
$129K |
| 93325 |
|
2,156 |
1,916 |
$126K |
| 93970 |
|
1,180 |
1,055 |
$123K |
| 49083 |
|
263 |
105 |
$122K |
| P9016 |
Rbc leukocytes reduced |
635 |
461 |
$120K |
| 77066 |
Tomosynthesis, mammo |
3,178 |
2,900 |
$117K |
| 93321 |
|
513 |
452 |
$112K |
| 72125 |
|
4,589 |
4,107 |
$106K |
| 80048 |
|
29,342 |
21,408 |
$106K |
| 82306 |
|
7,784 |
7,102 |
$101K |
| 97161 |
|
1,632 |
1,424 |
$101K |
| 99070 |
|
5,288 |
3,678 |
$100K |
| 27447 |
|
12 |
12 |
$98K |
| 77386 |
|
334 |
24 |
$97K |
| 76801 |
|
2,313 |
2,037 |
$96K |
| 93351 |
|
220 |
214 |
$93K |
| 72148 |
|
573 |
518 |
$90K |
| 70498 |
|
1,710 |
1,533 |
$89K |
| 96523 |
|
1,908 |
1,427 |
$89K |
| A0426 |
Als 1 |
2,159 |
1,932 |
$88K |
| 77063 |
|
3,160 |
3,009 |
$86K |
| A0436 |
Rotary wing air mileage |
406 |
341 |
$86K |
| 71260 |
|
2,713 |
2,411 |
$84K |
| 84443 |
|
26,057 |
22,826 |
$82K |
| Q9957 |
Inj perflutren lip micros,ml |
2,426 |
1,762 |
$82K |
| 87389 |
|
3,580 |
3,253 |
$81K |
| 87591 |
|
7,905 |
7,101 |
$80K |
| G0480 |
Drug test def 1-7 classes |
7,427 |
6,187 |
$72K |
| 10060 |
|
630 |
564 |
$70K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,424 |
1,100 |
$67K |
| 87491 |
|
8,065 |
7,124 |
$66K |
| 76770 |
|
767 |
689 |
$65K |
| 93308 |
|
253 |
228 |
$65K |
| 83880 |
|
9,692 |
8,110 |
$65K |
| 93350 |
|
191 |
167 |
$64K |
| 80061 |
|
12,555 |
11,467 |
$61K |
| 96374 |
|
35,138 |
28,603 |
$57K |
| 82962 |
|
28,593 |
14,074 |
$53K |
| 77065 |
Tomosynthesis, mammo |
1,707 |
1,480 |
$52K |
| 93246 |
|
1,984 |
1,822 |
$52K |
| 77412 |
|
187 |
13 |
$50K |
| 93976 |
|
1,124 |
1,037 |
$48K |
| 12002 |
|
254 |
237 |
$48K |
| 90715 |
|
2,787 |
2,579 |
$46K |
| 93925 |
|
454 |
433 |
$44K |
| 84484 |
|
36,063 |
26,621 |
$44K |
| Q0163 |
Diphenhydramine hcl 50mg |
4,264 |
2,790 |
$43K |
| 96372 |
|
20,231 |
14,427 |
$42K |
| 76700 |
|
290 |
274 |
$42K |
| 96367 |
|
7,597 |
3,958 |
$41K |
| 71045 |
|
8,987 |
7,729 |
$41K |
| 93000 |
|
11,808 |
9,698 |
$39K |
| 70491 |
|
176 |
168 |
$39K |
| 93458 |
|
29 |
26 |
$36K |
| 12011 |
|
199 |
184 |
$36K |
| 85027 |
|
36,242 |
29,359 |
$35K |
| 80320 |
|
6,092 |
5,131 |
$35K |
| 97530 |
|
1,670 |
853 |
$34K |
| 71250 |
|
737 |
690 |
$34K |
| 80329 |
|
4,051 |
2,576 |
$34K |
| 81001 |
|
61,556 |
51,707 |
$33K |
| 87086 |
|
24,235 |
21,061 |
$31K |
| 51798 |
|
1,773 |
1,407 |
$30K |
| 29125 |
|
497 |
447 |
$30K |
| 86900 |
|
8,503 |
7,181 |
$29K |
| 81003 |
|
2,315 |
1,816 |
$29K |
| 87040 |
|
5,686 |
3,999 |
$28K |
| G0279 |
Tomosynthesis, mammo |
1,997 |
1,868 |
$27K |
| 97165 |
|
485 |
419 |
$26K |
| J7040 |
Normal saline solution infus |
34,337 |
22,215 |
$26K |
| 74018 |
|
2,702 |
2,325 |
$25K |
| 83036 |
|
10,690 |
9,688 |
$24K |
| J3490 |
Drugs unclassified injection |
19,328 |
9,856 |
$24K |
| 97116 |
|
999 |
613 |
$24K |
| 85610 |
|
17,166 |
12,865 |
$23K |
| 77001 |
|
367 |
301 |
$23K |
| 82607 |
|
4,955 |
4,448 |
$23K |
| 99203 |
|
232 |
209 |
$22K |
| 72100 |
|
3,104 |
2,797 |
$21K |
| 86850 |
|
7,233 |
6,102 |
$21K |
| 76870 |
|
265 |
240 |
$21K |
| J0185 |
Inj., aprepitant, 1 mg |
417 |
217 |
$21K |
| 80047 |
|
5,640 |
4,800 |
$21K |
| 93880 |
|
238 |
215 |
$20K |
| 76830 |
|
301 |
280 |
$20K |
| 85380 |
|
5,526 |
4,940 |
$19K |
| 87081 |
|
11,451 |
10,653 |
$19K |
| 84439 |
|
4,802 |
4,332 |
$18K |
| 66984 |
|
56 |
36 |
$17K |
| 73030 |
|
3,015 |
2,660 |
$16K |
| 93304 |
|
102 |
89 |
$16K |
| 80361 |
|
935 |
858 |
$16K |
| 82728 |
|
3,587 |
3,201 |
$16K |
| 70486 |
|
714 |
654 |
$16K |
| C1776 |
Joint device (implantable) |
170 |
132 |
$15K |
| 83970 |
|
1,124 |
1,037 |
$15K |
| 93303 |
|
432 |
394 |
$15K |
| 84702 |
|
5,909 |
4,826 |
$15K |
| 19083 |
|
13 |
12 |
$14K |
| 86780 |
|
2,126 |
1,952 |
$13K |
| 95811 |
|
28 |
27 |
$13K |
| 81025 |
|
10,217 |
8,947 |
$13K |
| 77061 |
|
237 |
229 |
$13K |
| 86803 |
|
2,804 |
2,543 |
$12K |
| 93975 |
|
80 |
69 |
$12K |
| 73130 |
|
2,238 |
1,945 |
$12K |
| 76815 |
|
268 |
230 |
$12K |
| 82570 |
|
3,553 |
3,034 |
$12K |
| 95806 |
|
160 |
145 |
$12K |
| A4649 |
Surgical supplies |
768 |
671 |
$12K |
| 77334 |
|
90 |
49 |
$11K |
| 93242 |
|
325 |
300 |
$11K |
| 97535 |
|
904 |
586 |
$11K |
| 45385 |
|
44 |
37 |
$11K |
| 36561 |
|
12 |
12 |
$11K |
| 73564 |
|
2,773 |
2,350 |
$11K |
| 73610 |
|
2,643 |
2,380 |
$10K |
| 96375 |
|
30,158 |
22,063 |
$10K |
| A4216 |
Sterile water/saline, 10 ml |
12,451 |
4,720 |
$10K |
| 74174 |
|
56 |
49 |
$10K |
| 83605 |
|
10,997 |
8,884 |
$10K |
| 73630 |
|
2,849 |
2,511 |
$10K |
| 0296T |
|
966 |
815 |
$9K |
| 93922 |
|
124 |
112 |
$9K |
| G2066 |
Inter devc remote 30d |
490 |
472 |
$9K |
| 86901 |
|
8,548 |
7,224 |
$9K |
| 85347 |
|
237 |
172 |
$9K |
| Q0138 |
Ferumoxytol, non-esrd |
24 |
14 |
$9K |
| 90471 |
|
3,468 |
3,032 |
$9K |
| 83550 |
|
3,267 |
2,962 |
$8K |
| 80050 |
|
365 |
363 |
$8K |
| 76811 |
|
85 |
77 |
$8K |
| 80076 |
|
3,001 |
2,551 |
$8K |
| 83540 |
|
3,745 |
3,392 |
$8K |
| J8501 |
Oral aprepitant |
824 |
706 |
$8K |
| 83735 |
|
15,956 |
11,973 |
$8K |
| 87070 |
|
3,651 |
3,190 |
$8K |
| 76819 |
|
173 |
116 |
$8K |
| 82803 |
|
7,262 |
5,866 |
$8K |
| 82565 |
|
3,472 |
3,033 |
$8K |
| 93296 |
|
650 |
556 |
$8K |
| J9263 |
Oxaliplatin |
146 |
64 |
$7K |
| J0897 |
Denosumab injection |
15 |
13 |
$7K |
| 76817 |
|
473 |
418 |
$7K |
| 83690 |
|
23,239 |
19,481 |
$7K |
| 93798 |
|
61 |
12 |
$7K |
| C1769 |
Guide wire |
4,330 |
3,405 |
$7K |
| 87186 |
|
7,561 |
6,698 |
$7K |
| 99204 |
|
63 |
58 |
$7K |
| 76937 |
|
199 |
166 |
$7K |
| 64483 |
|
13 |
12 |
$6K |
| 87077 |
|
4,765 |
4,136 |
$6K |
| 76536 |
|
67 |
65 |
$6K |
| 97597 |
|
325 |
226 |
$6K |
| 72070 |
|
803 |
725 |
$6K |
| 80164 |
|
1,296 |
1,087 |
$6K |
| 45380 |
|
13 |
12 |
$6K |
| 72131 |
|
84 |
77 |
$6K |
| J7030 |
Normal saline solution infus |
11,933 |
8,854 |
$6K |
| 86140 |
|
4,660 |
3,898 |
$6K |
| 87880 |
|
15,676 |
14,598 |
$6K |
| 51702 |
|
627 |
472 |
$6K |
| 87340 |
|
2,511 |
2,263 |
$6K |
| 87088 |
|
5,655 |
4,891 |
$6K |
| 86762 |
|
1,251 |
1,125 |
$6K |
| 0002A |
|
172 |
169 |
$6K |
| 73502 |
|
2,052 |
1,763 |
$5K |
| J2405 |
Ondansetron hcl injection |
33,439 |
24,999 |
$5K |
| 10061 |
|
32 |
30 |
$5K |
| 77300 |
|
71 |
61 |
$5K |
| 80074 |
|
339 |
312 |
$5K |
| 0001A |
|
179 |
179 |
$5K |
| 81015 |
|
1,568 |
1,329 |
$5K |
| 75574 |
|
15 |
14 |
$5K |
| 82247 |
|
1,835 |
1,051 |
$5K |
| J0561 |
Penicillin g benzathine inj |
148 |
144 |
$5K |
| 96411 |
|
696 |
391 |
$4K |
| 87804 |
|
5,725 |
5,057 |
$4K |
| 96417 |
|
2,745 |
1,490 |
$4K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
18,036 |
14,963 |
$4K |
| J1170 |
Hydromorphone injection |
11,482 |
7,564 |
$4K |
| 87807 |
|
1,764 |
1,566 |
$4K |
| 96376 |
|
9,166 |
6,222 |
$4K |
| J0640 |
Leucovorin calcium injection |
742 |
361 |
$4K |
| 73718 |
|
15 |
13 |
$4K |
| J7120 |
Ringers lactate infusion |
20,773 |
15,570 |
$4K |
| U0005 |
Infec agen detec ampli probe |
1,194 |
1,048 |
$4K |
| 71271 |
|
37 |
37 |
$4K |
| 90686 |
|
249 |
234 |
$4K |
| 96401 |
|
85 |
38 |
$4K |
| J7050 |
Normal saline solution infus |
3,002 |
1,542 |
$4K |
| J2250 |
Inj midazolam hydrochloride |
13,109 |
11,068 |
$4K |
| 73110 |
|
1,309 |
1,152 |
$4K |
| 74022 |
|
1,403 |
1,247 |
$3K |
| 87147 |
|
4,371 |
4,000 |
$3K |
| 83020 |
|
363 |
339 |
$3K |
| 80069 |
|
1,108 |
894 |
$3K |
| 86592 |
|
1,632 |
1,449 |
$3K |
| 85007 |
|
5,677 |
4,211 |
$3K |
| 94664 |
|
1,578 |
1,278 |
$3K |
| 86618 |
|
562 |
508 |
$3K |
| 85018 |
|
1,500 |
1,058 |
$3K |
| 85651 |
|
3,052 |
2,597 |
$3K |
| 73140 |
|
580 |
532 |
$3K |
| J2270 |
Morphine sulfate injection |
12,560 |
8,846 |
$3K |
| 73090 |
|
818 |
734 |
$3K |
| 86008 |
|
371 |
330 |
$3K |
| 72170 |
|
974 |
863 |
$3K |
| 94375 |
|
25 |
25 |
$3K |
| 76805 |
|
72 |
64 |
$3K |
| 84703 |
|
2,254 |
2,020 |
$3K |
| 73590 |
|
1,105 |
983 |
$3K |
| J1100 |
Dexamethasone sodium phos |
22,603 |
16,527 |
$3K |
| 82784 |
|
268 |
234 |
$3K |
| 84550 |
|
2,958 |
2,410 |
$2K |
| 84145 |
|
1,259 |
1,103 |
$2K |
| 87205 |
|
3,421 |
2,958 |
$2K |
| 83615 |
|
10,032 |
6,897 |
$2K |
| 85014 |
|
5,302 |
4,501 |
$2K |
| 80349 |
|
237 |
211 |
$2K |
| T2049 |
N-et; stretcher van, mileage |
1,390 |
1,267 |
$2K |
| 85730 |
|
5,571 |
4,758 |
$2K |
| J2770 |
Quinupristin/dalfopristin |
57 |
45 |
$2K |
| S0028 |
Injection, famotidine, 20 mg |
1,180 |
616 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
24,061 |
19,340 |
$2K |
| 86923 |
|
240 |
185 |
$2K |
| 84156 |
|
2,671 |
2,254 |
$2K |
| 86038 |
|
375 |
340 |
$2K |
| 86757 |
|
226 |
191 |
$2K |
| Q3014 |
Telehealth facility fee |
283 |
263 |
$2K |
| 83655 |
|
139 |
131 |
$2K |
| 72141 |
|
13 |
12 |
$2K |
| J2550 |
Promethazine hcl injection |
4,488 |
3,324 |
$2K |
| 76857 |
|
16 |
14 |
$2K |
| 99152 |
|
2,105 |
1,697 |
$2K |
| 72110 |
|
108 |
95 |
$2K |
| J0881 |
Darbepoetin alfa, non-esrd |
23 |
12 |
$2K |
| 86787 |
|
344 |
316 |
$2K |
| 87493 |
|
194 |
175 |
$2K |
| 87210 |
|
4,369 |
3,890 |
$2K |
| 71101 |
|
245 |
235 |
$2K |
| G0008 |
Admin influenza virus vac |
372 |
333 |
$1K |
| J7613 |
Albuterol non-comp unit |
956 |
752 |
$1K |
| 73560 |
|
260 |
222 |
$1K |
| J1815 |
Insulin injection |
5,847 |
2,313 |
$1K |
| 82550 |
|
2,761 |
2,264 |
$1K |
| 86706 |
|
481 |
438 |
$1K |
| 82746 |
|
492 |
422 |
$1K |
| 84152 |
|
115 |
110 |
$1K |
| 84481 |
|
182 |
163 |
$1K |
| 88305 |
|
1,931 |
1,579 |
$1K |
| J0690 |
Cefazolin sodium injection |
8,627 |
6,445 |
$1K |
| 86704 |
|
308 |
283 |
$1K |
| 87811 |
|
1,395 |
1,185 |
$1K |
| 99202 |
|
16 |
14 |
$1K |
| J1650 |
Inj enoxaparin sodium |
4,056 |
1,775 |
$1K |
| 84100 |
|
3,033 |
2,225 |
$1K |
| J2704 |
Inj, propofol, 10 mg |
14,843 |
12,262 |
$1K |
| J2916 |
Na ferric gluconate complex |
356 |
184 |
$1K |
| Q0162 |
Ondansetron oral |
2,603 |
2,163 |
$1K |
| 87661 |
|
329 |
318 |
$1K |
| J3010 |
Fentanyl citrate injection |
19,666 |
15,088 |
$1K |
| 76820 |
|
19 |
13 |
$1K |
| J9045 |
Carboplatin injection |
68 |
44 |
$1K |
| 82043 |
|
659 |
615 |
$1K |
| 97110 |
|
38 |
27 |
$1K |
| 87798 |
|
42 |
42 |
$1K |
| 51701 |
|
64 |
49 |
$1K |
| 83516 |
|
198 |
183 |
$1K |
| 82947 |
|
1,311 |
1,161 |
$1K |
| J1756 |
Iron sucrose injection |
386 |
187 |
$996.37 |
| 29515 |
|
33 |
27 |
$988.98 |
| 86666 |
|
319 |
217 |
$979.01 |
| 73080 |
|
425 |
389 |
$961.99 |
| J3475 |
Inj magnesium sulfate |
2,771 |
2,010 |
$925.48 |
| 85652 |
|
1,460 |
1,289 |
$924.31 |
| J2001 |
Lidocaine injection |
7,280 |
5,900 |
$924.12 |
| 72040 |
|
68 |
64 |
$921.54 |
| J2060 |
Lorazepam injection |
5,032 |
3,104 |
$871.42 |
| 80321 |
|
29 |
26 |
$804.69 |
| 84146 |
|
46 |
39 |
$794.36 |
| J0696 |
Ceftriaxone sodium injection |
7,243 |
4,944 |
$791.47 |
| 75571 |
|
16 |
15 |
$784.15 |
| 77062 |
|
32 |
30 |
$781.50 |
| J9267 |
Paclitaxel injection |
74 |
25 |
$774.56 |
| 80178 |
|
163 |
143 |
$745.08 |
| S0020 |
Injection, bupivicaine hydro |
145 |
118 |
$721.88 |
| 36600 |
|
188 |
164 |
$716.89 |
| 84403 |
|
43 |
42 |
$676.54 |
| J2765 |
Metoclopramide hcl injection |
2,913 |
2,385 |
$667.48 |
| J1200 |
Diphenhydramine hcl injectio |
5,581 |
4,475 |
$636.49 |
| 87045 |
|
400 |
360 |
$625.95 |
| 93226 |
|
19 |
13 |
$623.91 |
| 82785 |
|
47 |
45 |
$606.98 |
| 93290 |
|
48 |
42 |
$590.92 |
| 89055 |
|
302 |
272 |
$578.26 |
| 86431 |
|
135 |
124 |
$569.45 |
| S0164 |
Injection pantroprazole |
356 |
245 |
$548.89 |
| J9190 |
Fluorouracil injection |
937 |
456 |
$504.66 |
| 87641 |
|
29 |
24 |
$491.31 |
| 87184 |
|
1,386 |
1,165 |
$487.28 |
| 84132 |
|
2,059 |
1,705 |
$445.58 |
| 93270 |
|
13 |
12 |
$408.90 |
| 90656 |
|
16 |
16 |
$398.09 |
| C9290 |
Inj, bupivacaine liposome |
1,452 |
1,284 |
$395.47 |
| 96368 |
|
1,387 |
884 |
$366.95 |
| 73562 |
|
80 |
69 |
$348.62 |
| 76000 |
|
165 |
127 |
$331.91 |
| J2930 |
Methylprednisolone injection |
2,329 |
1,876 |
$323.47 |
| 87046 |
|
400 |
360 |
$311.10 |
| 73100 |
|
116 |
103 |
$305.31 |
| J0171 |
Adrenalin epinephrine inject |
1,108 |
930 |
$285.38 |
| J1644 |
Inj heparin sodium per 1000u |
5,005 |
2,533 |
$264.58 |
| A9502 |
Tc99m tetrofosmin |
1,164 |
1,048 |
$252.04 |
| 83631 |
|
13 |
12 |
$249.93 |
| J7620 |
Albuterol ipratrop non-comp |
262 |
221 |
$242.56 |
| 94644 |
|
57 |
55 |
$224.02 |
| 90472 |
|
17 |
14 |
$217.95 |
| 85045 |
|
351 |
258 |
$215.41 |
| J1642 |
Inj heparin sodium per 10 u |
1,046 |
492 |
$214.57 |
| 80143 |
|
488 |
451 |
$207.80 |
| 82378 |
|
77 |
53 |
$197.27 |
| 73060 |
|
140 |
130 |
$192.39 |
| C1894 |
Intro/sheath, non-laser |
2,763 |
2,035 |
$192.19 |
| 84165 |
|
75 |
69 |
$185.48 |
| 83001 |
|
14 |
14 |
$176.94 |
| P9612 |
Catheterize for urine spec |
447 |
366 |
$173.73 |
| 86003 |
|
26 |
13 |
$172.46 |
| 82150 |
|
45 |
38 |
$167.81 |
| 90662 |
|
48 |
39 |
$167.45 |
| J7609 |
Albuterol comp unit |
55 |
46 |
$165.55 |
| 82140 |
|
191 |
159 |
$163.51 |
| 99153 |
Mod sedat endo service >5yrs |
681 |
595 |
$155.53 |
| 84425 |
|
26 |
25 |
$147.41 |
| J3480 |
Inj potassium chloride |
2,991 |
1,379 |
$146.01 |
| J7512 |
Prednisone ir or dr oral 1mg |
4,317 |
3,354 |
$137.59 |
| J2785 |
Regadenoson injection |
744 |
660 |
$134.21 |
| J0330 |
Succinycholine chloride inj |
2,153 |
1,608 |
$133.67 |
| 82248 |
|
114 |
98 |
$130.03 |
| 86308 |
|
87 |
82 |
$128.00 |
| C1725 |
Cath, translumin non-laser |
891 |
717 |
$125.72 |
| 87328 |
|
26 |
24 |
$123.13 |
| 86753 |
|
106 |
100 |
$119.11 |
| 80179 |
|
475 |
441 |
$118.92 |
| 80197 |
|
28 |
17 |
$117.28 |
| J2370 |
Phenylephrine hcl injection |
1,695 |
1,384 |
$110.50 |
| 82330 |
|
185 |
158 |
$107.22 |
| 80373 |
|
17 |
15 |
$96.83 |
| 72050 |
|
27 |
24 |
$91.85 |
| 87329 |
|
26 |
24 |
$91.62 |
| J0780 |
Prochlorperazine injection |
1,729 |
1,521 |
$90.54 |
| 93282 |
|
20 |
13 |
$85.56 |
| 84153 |
|
16 |
14 |
$83.54 |
| 84295 |
|
187 |
163 |
$76.18 |
| 83721 |
|
15 |
13 |
$72.66 |
| 73552 |
|
150 |
133 |
$71.37 |
| J2543 |
Piperacillin/tazobactam |
680 |
395 |
$67.22 |
| J3370 |
Vancomycin hcl injection |
1,950 |
1,291 |
$61.53 |
| J2795 |
Ropivacaine hcl injection |
1,358 |
1,170 |
$55.32 |
| 83021 |
|
58 |
54 |
$47.01 |
| J1940 |
Furosemide injection |
1,639 |
1,165 |
$46.84 |
| J1630 |
Haloperidol injection |
706 |
566 |
$44.98 |
| 93280 |
|
15 |
15 |
$40.36 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
1,121 |
997 |
$40.07 |
| A6197 |
Alginate drsg >16 <=48 sq in |
1,139 |
780 |
$39.58 |
| A9585 |
Gadobutrol injection |
1,986 |
1,784 |
$37.08 |
| 73600 |
|
17 |
15 |
$36.76 |
| C9113 |
Inj pantoprazole sodium, via |
1,531 |
969 |
$31.91 |
| S0119 |
Ondansetron 4 mg |
18 |
18 |
$29.94 |
| J7799 |
Non-inhalation drug for dme |
625 |
431 |
$29.24 |
| J0360 |
Hydralazine hcl injection |
527 |
429 |
$25.98 |
| 87075 |
|
13 |
13 |
$25.79 |
| J1790 |
Droperidol injection |
1,783 |
1,528 |
$22.43 |
| A6457 |
Tubular dressing |
1,060 |
723 |
$19.78 |
| 89051 |
|
74 |
61 |
$18.69 |
| J7510 |
Prednisolone oral per 5 mg |
766 |
681 |
$15.03 |
| 93299 |
|
14 |
14 |
$12.40 |
| 85384 |
|
29 |
14 |
$11.34 |
| 86320 |
|
15 |
14 |
$8.75 |
| 81000 |
|
12 |
12 |
$3.69 |
| J3411 |
Thiamine hcl 100 mg |
301 |
190 |
$1.92 |
| J7999 |
Compounded drug, noc |
748 |
662 |
$1.26 |
| Q0177 |
Hydroxyzine pamoate 25mg |
120 |
74 |
$0.98 |
| J1030 |
Methylprednisolone 40 mg inj |
33 |
26 |
$0.44 |
| J0461 |
Atropine sulfate injection |
17 |
12 |
$0.26 |
| C1887 |
Catheter, guiding |
325 |
287 |
$0.24 |
| J3301 |
Triamcinolone acet inj nos |
33 |
24 |
$0.23 |
| 88342 |
|
47 |
37 |
$0.00 |
| 74420 |
|
59 |
52 |
$0.00 |
| 36416 |
|
242 |
174 |
$0.00 |
| 94760 |
|
60 |
54 |
$0.00 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
212 |
195 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
445 |
385 |
$0.00 |
| J3420 |
Vitamin b12 injection |
46 |
37 |
$0.00 |
| A9503 |
Tc99m medronate |
28 |
25 |
$0.00 |
| 73660 |
|
15 |
12 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
101 |
82 |
$0.00 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
237 |
195 |
$0.00 |
| J8540 |
Oral dexamethasone |
34 |
25 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
111 |
75 |
$0.00 |
| 71020 |
|
17 |
12 |
$0.00 |
| C1781 |
Mesh (implantable) |
16 |
14 |
$0.00 |
| 94660 |
|
105 |
51 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
33 |
33 |
$0.00 |
| J0456 |
Azithromycin |
39 |
30 |
$0.00 |
| J7121 |
5% dextrose in lac ringers |
15 |
12 |
$0.00 |
| G1011 |
Cdsm qualified nos |
78 |
72 |
$0.00 |
| 96377 |
|
35 |
25 |
$0.00 |
| C1889 |
Implant/insert device, noc |
33 |
29 |
$0.00 |
| 73620 |
|
16 |
13 |
$0.00 |
| J2920 |
Methylprednisolone injection |
22 |
12 |
$0.00 |
| C1760 |
Closure dev, vasc |
449 |
393 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
1,702 |
1,426 |
$0.00 |
| Q9961 |
Hocm 250-299mg/ml iodine,1ml |
178 |
147 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
268 |
207 |
$0.00 |
| G1004 |
Cdsm ndsc |
15 |
15 |
$0.00 |
| A9552 |
F18 fdg |
608 |
562 |
$0.00 |
| A6212 |
Foam drg <=16 sq in w/border |
177 |
106 |
$0.00 |
| Q0144 |
Azithromycin dihydrate, oral |
142 |
107 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
306 |
242 |
$0.00 |
| J1953 |
Levetiracetam injection |
54 |
39 |
$0.00 |
| 73070 |
|
14 |
13 |
$0.00 |
| 96402 |
|
30 |
25 |
$0.00 |
| A9577 |
Inj multihance |
26 |
21 |
$0.00 |
| A6198 |
Alginate dressing > 48 sq in |
14 |
12 |
$0.00 |
| C1788 |
Port, indwelling, imp |
12 |
12 |
$0.00 |
| J2720 |
Inj protamine sulfate/10 mg |
14 |
13 |
$0.00 |
| C1876 |
Stent, non-coa/non-cov w/del |
22 |
21 |
$0.00 |