| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
105,392 |
86,273 |
$55.05M |
| 99284 |
|
106,844 |
92,479 |
$31.13M |
| G0463 |
Hospital outpt clinic visit |
293,204 |
218,070 |
$25.72M |
| 97110 |
|
403,235 |
112,061 |
$21.67M |
| 99283 |
|
90,358 |
77,677 |
$18.37M |
| S9480 |
Intensive outpatient psychia |
84,832 |
9,522 |
$8.62M |
| J9271 |
Inj pembrolizumab |
1,678 |
1,081 |
$8.45M |
| 96374 |
|
52,522 |
44,001 |
$7.40M |
| 66984 |
|
6,287 |
5,012 |
$4.31M |
| 59025 |
|
20,020 |
8,713 |
$3.18M |
| 96413 |
|
17,326 |
8,572 |
$3.07M |
| A0431 |
Rotary wing air transport |
1,634 |
1,302 |
$3.05M |
| 97010 |
|
112,146 |
39,528 |
$2.98M |
| 96365 |
|
24,061 |
16,188 |
$2.87M |
| 19318 |
|
536 |
500 |
$2.81M |
| 74177 |
|
18,248 |
16,051 |
$2.73M |
| 71046 |
|
45,389 |
39,703 |
$2.49M |
| 96361 |
|
45,330 |
33,669 |
$2.28M |
| 58661 |
|
454 |
436 |
$2.24M |
| 90935 |
|
6,032 |
447 |
$2.20M |
| 43239 |
|
5,640 |
5,188 |
$2.16M |
| 93458 |
|
1,596 |
1,414 |
$2.08M |
| 45380 |
|
3,103 |
2,875 |
$2.06M |
| H0035 |
Mh partial hosp tx under 24h |
13,202 |
1,547 |
$2.04M |
| 72125 |
|
12,038 |
10,479 |
$2.03M |
| 99291 |
|
2,602 |
2,307 |
$2.00M |
| 95810 |
|
2,888 |
2,652 |
$2.00M |
| U0004 |
Cov-19 test non-cdc hgh thru |
30,136 |
23,768 |
$1.93M |
| 97161 |
|
33,865 |
31,144 |
$1.92M |
| 96360 |
|
15,069 |
11,246 |
$1.80M |
| J3380 |
Inj vedolizumab iv 1 mg |
347 |
292 |
$1.70M |
| 99282 |
|
14,005 |
12,161 |
$1.70M |
| 96375 |
|
42,558 |
31,542 |
$1.64M |
| 78815 |
|
2,247 |
2,011 |
$1.57M |
| 45385 |
|
2,743 |
2,566 |
$1.52M |
| U0003 |
Cov-19 amp prb hgh thruput |
18,642 |
15,788 |
$1.46M |
| 97112 |
|
153,178 |
51,696 |
$1.42M |
| 11042 |
|
8,103 |
3,732 |
$1.39M |
| 47562 |
|
344 |
313 |
$1.37M |
| 95811 |
|
1,948 |
1,820 |
$1.35M |
| A0436 |
Rotary wing air mileage |
1,633 |
1,302 |
$1.31M |
| 90834 |
|
24,689 |
11,753 |
$1.25M |
| 77386 |
|
6,537 |
358 |
$1.24M |
| 93306 |
|
4,504 |
4,051 |
$1.19M |
| 93798 |
|
16,874 |
2,627 |
$1.17M |
| 77412 |
|
9,359 |
880 |
$1.16M |
| 76811 |
|
5,660 |
5,221 |
$1.16M |
| 71045 |
|
23,761 |
20,352 |
$1.15M |
| 97140 |
|
255,395 |
75,732 |
$1.14M |
| 97035 |
|
17,758 |
6,204 |
$1.10M |
| 70450 |
|
24,486 |
21,090 |
$1.08M |
| 27447 |
|
455 |
396 |
$972K |
| 49083 |
|
2,205 |
932 |
$962K |
| 70553 |
|
4,284 |
3,693 |
$949K |
| 97162 |
|
20,733 |
18,810 |
$937K |
| J2505 |
Injection, pegfilgrastim 6mg |
515 |
280 |
$919K |
| 97597 |
|
10,756 |
5,234 |
$917K |
| G0121 |
Colon ca scrn not hi rsk ind |
1,308 |
1,254 |
$909K |
| 0241U |
|
8,844 |
7,816 |
$900K |
| 99214 |
|
9,820 |
8,295 |
$865K |
| J1439 |
Inj ferric carboxymaltos 1mg |
1,449 |
832 |
$859K |
| 70496 |
|
4,009 |
3,532 |
$857K |
| 77334 |
|
2,592 |
1,546 |
$856K |
| 78452 |
|
1,523 |
1,358 |
$845K |
| 74176 |
|
6,331 |
5,628 |
$836K |
| J9035 |
Bevacizumab injection |
602 |
186 |
$828K |
| 77067 |
|
7,301 |
6,986 |
$815K |
| 76801 |
|
7,505 |
6,273 |
$776K |
| 76816 |
|
10,664 |
9,067 |
$752K |
| 76830 |
|
6,785 |
6,181 |
$671K |
| D7140 |
|
14,392 |
4,276 |
$635K |
| 93975 |
|
3,272 |
2,956 |
$633K |
| J0897 |
Denosumab injection |
909 |
733 |
$629K |
| 76856 |
|
6,535 |
5,932 |
$615K |
| Q5107 |
Inj mvasi 10 mg |
578 |
199 |
$607K |
| 71260 |
|
6,192 |
5,406 |
$590K |
| 96372 |
|
26,266 |
19,635 |
$588K |
| 80307 |
|
42,736 |
29,906 |
$582K |
| 99213 |
|
10,515 |
8,362 |
$578K |
| 66982 |
|
698 |
579 |
$558K |
| 58558 |
|
276 |
258 |
$551K |
| 97530 |
|
54,793 |
27,194 |
$549K |
| 86900 |
|
41,838 |
34,947 |
$534K |
| J0585 |
Injection,onabotulinumtoxina |
2,104 |
1,412 |
$533K |
| 90791 |
|
5,913 |
5,069 |
$521K |
| 90870 |
|
3,661 |
1,081 |
$507K |
| 64450 |
|
711 |
641 |
$470K |
| 78431 |
|
664 |
570 |
$469K |
| 76705 |
|
6,185 |
5,534 |
$469K |
| 77336 |
|
6,848 |
2,382 |
$464K |
| J9299 |
Injection, nivolumab |
164 |
85 |
$460K |
| U0005 |
Infec agen detec ampli probe |
22,628 |
17,616 |
$459K |
| 94060 |
|
2,655 |
2,428 |
$456K |
| 52356 |
|
137 |
123 |
$454K |
| 87491 |
|
28,684 |
25,372 |
$449K |
| 87591 |
|
28,724 |
25,394 |
$449K |
| 36224 |
|
103 |
87 |
$440K |
| 76805 |
|
4,104 |
3,747 |
$436K |
| 97165 |
|
6,471 |
5,949 |
$425K |
| 71275 |
|
3,828 |
3,324 |
$423K |
| J0882 |
Darbepoetin alfa, esrd use |
3,780 |
887 |
$415K |
| 88184 |
|
3,715 |
2,681 |
$413K |
| 20610 |
|
1,850 |
1,568 |
$412K |
| C8929 |
Tte w or wo fol wcon,doppler |
1,140 |
1,007 |
$399K |
| 43235 |
|
936 |
882 |
$390K |
| J0185 |
Inj., aprepitant, 1 mg |
3,396 |
1,642 |
$385K |
| H0015 |
Alcohol and/or drug services |
3,124 |
455 |
$383K |
| U0002 |
Covid-19 lab test non-cdc |
9,914 |
8,641 |
$375K |
| 92507 |
|
6,021 |
2,162 |
$360K |
| 36430 |
|
2,291 |
1,412 |
$348K |
| 77300 |
|
1,891 |
1,350 |
$346K |
| 58571 |
|
68 |
50 |
$343K |
| 87637 |
|
3,406 |
3,177 |
$326K |
| 96366 |
|
9,753 |
5,723 |
$325K |
| 64400 |
|
1,234 |
1,090 |
$312K |
| 97014 |
|
6,007 |
2,315 |
$301K |
| 93005 |
|
106,722 |
87,932 |
$299K |
| 96367 |
|
6,409 |
3,549 |
$270K |
| 96415 |
|
4,794 |
3,035 |
$265K |
| 97113 |
|
4,727 |
1,373 |
$264K |
| J1745 |
Infliximab not biosimil 10mg |
140 |
94 |
$262K |
| 77065 |
Tomosynthesis, mammo |
2,350 |
2,089 |
$261K |
| 93971 |
|
3,712 |
3,358 |
$256K |
| G0480 |
Drug test def 1-7 classes |
31,713 |
22,934 |
$252K |
| 90651 |
|
1,022 |
967 |
$251K |
| 77066 |
Tomosynthesis, mammo |
1,990 |
1,882 |
$243K |
| 76813 |
|
2,640 |
2,435 |
$238K |
| 97166 |
|
4,242 |
3,867 |
$234K |
| 0002A |
|
7,333 |
6,854 |
$232K |
| 0001A |
|
7,730 |
7,170 |
$231K |
| J0485 |
Belatacept injection |
1,532 |
622 |
$231K |
| 99281 |
|
3,339 |
3,037 |
$231K |
| 45378 |
|
577 |
506 |
$224K |
| 64405 |
|
1,010 |
937 |
$223K |
| 88305 |
|
24,856 |
21,960 |
$221K |
| 97535 |
|
10,202 |
6,650 |
$220K |
| 93970 |
|
1,804 |
1,589 |
$218K |
| P9016 |
Rbc leukocytes reduced |
1,531 |
1,067 |
$216K |
| 99215 |
Prolong outpt/office vis |
2,129 |
1,837 |
$215K |
| 70551 |
|
1,995 |
1,799 |
$213K |
| 97012 |
|
4,142 |
1,398 |
$207K |
| 64615 |
|
987 |
918 |
$200K |
| 10060 |
|
1,248 |
1,154 |
$198K |
| 90746 |
|
3,475 |
3,177 |
$197K |
| 96417 |
|
4,669 |
2,404 |
$193K |
| J9144 |
Daratumumab, hyaluronidase |
67 |
36 |
$192K |
| 95909 |
|
806 |
771 |
$190K |
| 86780 |
|
17,806 |
15,444 |
$188K |
| G0498 |
Chemo extend iv infus w/pump |
1,105 |
604 |
$187K |
| J9217 |
Leuprolide acetate suspnsion |
839 |
698 |
$181K |
| 76642 |
|
2,629 |
2,480 |
$174K |
| 90832 |
|
7,855 |
4,552 |
$172K |
| 74174 |
|
1,275 |
1,105 |
$160K |
| G0105 |
Colorectal scrn; hi risk ind |
264 |
253 |
$156K |
| 90677 |
|
1,022 |
894 |
$155K |
| 10061 |
|
433 |
414 |
$148K |
| D7210 |
|
2,524 |
687 |
$147K |
| H2012 |
Behav hlth day treat, per hr |
2,674 |
149 |
$146K |
| C9600 |
Perc drug-el cor stent sing |
32 |
31 |
$144K |
| 87389 |
|
18,510 |
16,806 |
$143K |
| 95708 |
|
260 |
220 |
$141K |
| D1110 |
|
5,765 |
5,164 |
$140K |
| 80061 |
|
16,550 |
14,673 |
$139K |
| 85025 |
|
243,794 |
180,187 |
$136K |
| 97163 |
|
3,299 |
3,016 |
$135K |
| 87811 |
|
4,129 |
3,680 |
$135K |
| 93296 |
|
7,887 |
7,519 |
$133K |
| 90837 |
|
1,633 |
1,062 |
$129K |
| 76825 |
|
277 |
241 |
$122K |
| 74183 |
|
595 |
548 |
$122K |
| 58300 |
|
754 |
700 |
$122K |
| 77295 |
|
174 |
129 |
$119K |
| 88342 |
|
6,068 |
4,995 |
$119K |
| 90853 |
|
26,888 |
5,345 |
$117K |
| 87624 |
|
6,776 |
6,070 |
$111K |
| 71250 |
|
2,201 |
1,962 |
$108K |
| 93976 |
|
1,078 |
966 |
$108K |
| 86870 |
|
723 |
662 |
$107K |
| D0210 |
|
3,230 |
2,913 |
$107K |
| 76770 |
|
1,288 |
1,181 |
$106K |
| 93308 |
|
873 |
774 |
$106K |
| 72148 |
|
944 |
876 |
$106K |
| 77301 |
|
176 |
144 |
$105K |
| 93460 |
|
79 |
75 |
$104K |
| 74240 |
|
754 |
705 |
$104K |
| 97116 |
|
8,685 |
4,856 |
$99K |
| 92557 |
|
984 |
887 |
$98K |
| 87536 |
|
5,489 |
4,875 |
$97K |
| 91010 |
|
303 |
285 |
$96K |
| 70491 |
|
590 |
540 |
$95K |
| G0257 |
Unsched dialysis esrd pt hos |
897 |
622 |
$94K |
| 95700 |
|
599 |
548 |
$94K |
| 95816 |
|
614 |
555 |
$89K |
| 91200 |
|
1,572 |
1,465 |
$89K |
| 92610 |
|
1,079 |
955 |
$88K |
| 43259 |
|
90 |
85 |
$88K |
| 77290 |
|
428 |
354 |
$87K |
| 96411 |
|
1,718 |
956 |
$86K |
| 87798 |
|
6,834 |
6,118 |
$86K |
| 90739 |
|
754 |
724 |
$84K |
| 90686 |
|
6,094 |
5,563 |
$83K |
| D0140 |
|
3,604 |
3,262 |
$80K |
| 93505 |
|
55 |
37 |
$80K |
| 0202U |
|
364 |
321 |
$80K |
| 74220 |
|
830 |
761 |
$78K |
| 85097 |
|
494 |
288 |
$78K |
| P9047 |
Albumin (human), 25%, 50ml |
1,216 |
448 |
$77K |
| 97167 |
|
1,668 |
1,546 |
$77K |
| 90732 |
|
1,079 |
973 |
$77K |
| D0120 |
|
4,739 |
4,321 |
$76K |
| 27130 |
|
27 |
26 |
$75K |
| 0011A |
|
2,583 |
2,383 |
$72K |
| 52332 |
|
57 |
49 |
$71K |
| 76641 |
|
801 |
759 |
$71K |
| 77063 |
|
4,692 |
4,547 |
$71K |
| D0330 |
|
2,978 |
2,652 |
$68K |
| 84443 |
|
21,547 |
18,677 |
$68K |
| 58301 |
|
359 |
327 |
$67K |
| 0012A |
|
2,188 |
2,027 |
$66K |
| 97164 |
|
4,672 |
4,128 |
$66K |
| 88175 |
|
8,745 |
7,807 |
$65K |
| 72141 |
|
487 |
451 |
$64K |
| 36415 |
|
280,264 |
206,087 |
$64K |
| 80053 |
|
117,670 |
92,978 |
$64K |
| 92526 |
|
1,469 |
836 |
$64K |
| 77280 |
|
713 |
505 |
$62K |
| 86480 |
|
4,275 |
3,795 |
$62K |
| 57454 |
|
244 |
222 |
$61K |
| D9310 |
|
3,993 |
3,581 |
$60K |
| 88360 |
|
1,374 |
1,115 |
$60K |
| 36591 |
|
3,180 |
2,048 |
$56K |
| 86832 |
|
1,035 |
834 |
$56K |
| 93017 |
|
4,091 |
3,598 |
$56K |
| 20553 |
|
578 |
522 |
$55K |
| 73564 |
|
9,754 |
8,792 |
$55K |
| 95806 |
|
450 |
427 |
$53K |
| 86833 |
|
1,018 |
832 |
$53K |
| J3032 |
Inj. eptinezumab-jjmr 1 mg |
14 |
14 |
$51K |
| 0004A |
|
1,575 |
1,459 |
$51K |
| 70486 |
|
2,939 |
2,633 |
$51K |
| 76815 |
|
16,766 |
10,869 |
$51K |
| J7298 |
Mirena, 52 mg |
171 |
156 |
$49K |
| 36821 |
|
29 |
26 |
$49K |
| 73700 |
|
871 |
770 |
$49K |
| C9803 |
Hopd covid-19 spec collect |
55,430 |
45,476 |
$47K |
| 77338 |
|
284 |
229 |
$46K |
| 95911 |
|
107 |
107 |
$46K |
| 83036 |
|
37,090 |
32,619 |
$46K |
| D0274 |
|
1,756 |
1,652 |
$45K |
| 87635 |
|
1,320 |
1,223 |
$43K |
| 94010 |
|
556 |
502 |
$42K |
| 75561 |
|
170 |
155 |
$42K |
| 43237 |
|
41 |
36 |
$41K |
| J2469 |
Palonosetron hcl |
637 |
210 |
$41K |
| 97760 |
|
1,130 |
970 |
$41K |
| 90792 |
|
777 |
579 |
$40K |
| 90670 |
|
588 |
505 |
$39K |
| 95910 |
|
166 |
161 |
$39K |
| 81455 |
|
413 |
270 |
$37K |
| 36561 |
|
12 |
12 |
$36K |
| 86803 |
|
10,393 |
9,181 |
$36K |
| 76817 |
|
3,415 |
2,918 |
$34K |
| 96402 |
|
1,847 |
1,393 |
$34K |
| 82306 |
|
4,909 |
4,364 |
$33K |
| 64721 |
|
28 |
26 |
$33K |
| 20552 |
|
271 |
261 |
$32K |
| D2392 |
|
571 |
414 |
$32K |
| D9223 |
|
455 |
260 |
$31K |
| 0031A |
|
1,435 |
1,032 |
$31K |
| 95912 |
|
67 |
66 |
$31K |
| 76536 |
|
482 |
454 |
$30K |
| 83880 |
|
19,575 |
15,878 |
$30K |
| 72110 |
|
1,051 |
969 |
$30K |
| 0064A |
|
936 |
865 |
$29K |
| 11982 |
|
186 |
176 |
$29K |
| 20600 |
|
140 |
102 |
$29K |
| Q5114 |
Inj ogivri 10 mg |
23 |
12 |
$29K |
| 80048 |
|
100,241 |
79,668 |
$28K |
| 86361 |
|
4,814 |
4,246 |
$28K |
| 78451 |
|
81 |
62 |
$28K |
| 81003 |
|
109,369 |
79,772 |
$28K |
| 72197 |
|
88 |
84 |
$28K |
| 96116 |
|
583 |
512 |
$27K |
| Q0138 |
Ferumoxytol, non-esrd |
146 |
82 |
$27K |
| 99212 |
|
804 |
573 |
$26K |
| 88173 |
|
1,707 |
1,364 |
$26K |
| 73130 |
|
7,474 |
6,347 |
$26K |
| 81025 |
|
76,749 |
66,263 |
$25K |
| 29405 |
|
108 |
86 |
$25K |
| J1453 |
Fosaprepitant injection |
206 |
79 |
$25K |
| 82947 |
|
8,254 |
6,456 |
$25K |
| 70498 |
|
4,046 |
3,565 |
$24K |
| 73030 |
|
8,022 |
6,913 |
$24K |
| 98968 |
|
1,134 |
479 |
$23K |
| 72100 |
|
4,479 |
3,984 |
$21K |
| D9222 |
|
424 |
258 |
$21K |
| J7307 |
Etonogestrel implant system |
53 |
51 |
$21K |
| 31575 |
|
202 |
171 |
$21K |
| 76700 |
|
267 |
251 |
$20K |
| 51702 |
|
965 |
748 |
$20K |
| 99205 |
Prolong outpt/office vis |
147 |
137 |
$20K |
| Q0222 |
Bebtelovimab 175 mg |
45 |
44 |
$20K |
| 96133 |
|
308 |
267 |
$19K |
| 85027 |
|
23,895 |
19,213 |
$19K |
| 98967 |
|
708 |
267 |
$19K |
| 96137 |
|
304 |
262 |
$19K |
| 87340 |
|
10,542 |
9,287 |
$18K |
| 84702 |
|
10,691 |
8,061 |
$18K |
| 87086 |
|
28,058 |
24,020 |
$18K |
| 78816 |
|
14 |
14 |
$18K |
| 11043 |
|
56 |
40 |
$17K |
| 73630 |
|
6,714 |
6,009 |
$17K |
| 95715 |
|
30 |
12 |
$17K |
| 80164 |
|
3,446 |
2,687 |
$17K |
| 19083 |
|
14 |
14 |
$17K |
| G0378 |
Hospital observation per hr |
33,026 |
18,640 |
$17K |
| 29125 |
|
736 |
619 |
$16K |
| 92523 |
|
100 |
93 |
$16K |
| 20561 |
|
1,163 |
356 |
$16K |
| 73610 |
|
9,016 |
7,107 |
$16K |
| 90734 |
|
131 |
127 |
$16K |
| 93312 |
|
71 |
67 |
$16K |
| 19081 |
|
13 |
13 |
$16K |
| 19301 |
|
14 |
12 |
$15K |
| D0150 |
|
616 |
572 |
$15K |
| M0245 |
Bamlan and etesev infusion |
42 |
40 |
$15K |
| 76818 |
|
123 |
81 |
$15K |
| 95819 |
|
168 |
150 |
$15K |
| 96132 |
|
424 |
373 |
$15K |
| 73110 |
|
5,479 |
4,421 |
$15K |
| 97168 |
|
840 |
766 |
$14K |
| D0220 |
|
1,489 |
1,343 |
$14K |
| 74420 |
|
990 |
854 |
$14K |
| 90674 |
|
811 |
729 |
$14K |
| 58100 |
|
98 |
84 |
$14K |
| 97124 |
|
483 |
253 |
$14K |
| 93280 |
|
1,114 |
1,050 |
$14K |
| D2391 |
|
299 |
187 |
$14K |
| 82607 |
|
5,411 |
4,795 |
$13K |
| 78492 |
|
17 |
14 |
$13K |
| 72158 |
|
47 |
39 |
$13K |
| 0054A |
|
432 |
374 |
$13K |
| 84146 |
|
1,249 |
1,075 |
$12K |
| D1206 |
|
636 |
606 |
$12K |
| M0222 |
Bebtelovimab injection |
45 |
44 |
$12K |
| 0003A |
|
364 |
342 |
$12K |
| 77080 |
|
121 |
116 |
$12K |
| 73502 |
|
4,253 |
3,755 |
$12K |
| 80159 |
|
934 |
645 |
$11K |
| 74230 |
|
138 |
124 |
$11K |
| 72156 |
|
68 |
65 |
$11K |
| 51701 |
|
278 |
229 |
$10K |
| 95953 |
|
25 |
25 |
$10K |
| G2066 |
Inter devc remote 30d |
1,555 |
1,455 |
$10K |
| 73562 |
|
1,642 |
1,485 |
$10K |
| 75574 |
|
87 |
83 |
$10K |
| 96409 |
|
117 |
50 |
$10K |
| 84439 |
|
4,468 |
3,868 |
$10K |
| 64644 |
|
41 |
37 |
$10K |
| M0247 |
Sotrovimab infusion |
28 |
23 |
$9K |
| 78803 |
|
13 |
12 |
$9K |
| 88307 |
|
4,107 |
3,399 |
$9K |
| 76970 |
|
114 |
99 |
$9K |
| 72131 |
|
687 |
556 |
$9K |
| 97763 |
|
644 |
402 |
$9K |
| 71271 |
|
91 |
88 |
$9K |
| 94660 |
|
2,692 |
1,661 |
$9K |
| 51798 |
|
424 |
357 |
$9K |
| 77470 |
|
53 |
27 |
$9K |
| 91320 |
|
173 |
143 |
$9K |
| Q5103 |
Injection, inflectra |
18 |
14 |
$8K |
| 96523 |
|
436 |
335 |
$8K |
| 82746 |
|
3,549 |
3,122 |
$8K |
| 0124A |
|
306 |
282 |
$8K |
| J7297 |
Liletta, 52 mg |
96 |
93 |
$8K |
| D1120 |
|
202 |
194 |
$8K |
| 87077 |
|
12,979 |
11,398 |
$8K |
| 97032 |
|
183 |
75 |
$8K |
| 95250 |
|
124 |
93 |
$8K |
| 74018 |
|
2,064 |
1,767 |
$8K |
| 86923 |
|
1,607 |
1,148 |
$8K |
| 82728 |
|
4,947 |
4,273 |
$7K |
| 0071A |
|
203 |
201 |
$7K |
| 43264 |
|
12 |
12 |
$7K |
| J0561 |
Penicillin g benzathine inj |
17 |
13 |
$7K |
| 94618 |
|
193 |
174 |
$7K |
| 73140 |
|
2,388 |
1,911 |
$7K |
| 87522 |
Neg quan hep c or qual rna |
954 |
854 |
$7K |
| 80074 |
|
722 |
644 |
$7K |
| 78306 |
|
34 |
30 |
$7K |
| 0072A |
|
201 |
182 |
$7K |
| 86706 |
|
6,123 |
5,407 |
$6K |
| 80178 |
|
2,166 |
1,680 |
$6K |
| 74019 |
|
1,004 |
892 |
$6K |
| 80076 |
|
22,978 |
19,708 |
$6K |
| 88344 |
|
30 |
30 |
$6K |
| 94640 |
|
13,654 |
9,728 |
$6K |
| D5110 |
|
17 |
13 |
$6K |
| 97018 |
|
138 |
50 |
$6K |
| 93298 |
|
283 |
266 |
$6K |
| 90747 |
|
60 |
48 |
$6K |
| 87502 |
|
3,831 |
3,412 |
$6K |
| 73552 |
|
2,691 |
2,346 |
$6K |
| 73590 |
|
4,482 |
3,901 |
$6K |
| 73080 |
|
2,222 |
1,962 |
$6K |
| 90847 |
|
82 |
56 |
$5K |
| 87205 |
|
12,500 |
10,147 |
$5K |
| 90694 |
|
285 |
279 |
$5K |
| 87210 |
|
6,999 |
5,117 |
$5K |
| 93282 |
|
318 |
296 |
$5K |
| 72070 |
|
499 |
447 |
$5K |
| 12001 |
|
1,830 |
1,662 |
$5K |
| 20560 |
|
563 |
138 |
$5K |
| J0885 |
Epoetin alfa, non-esrd |
69 |
37 |
$5K |
| 10022 |
|
17 |
13 |
$5K |
| 83550 |
|
4,618 |
4,047 |
$5K |
| 72170 |
|
2,270 |
2,020 |
$5K |
| 83735 |
|
54,792 |
39,407 |
$5K |
| M0243 |
Casirivi and imdevi inj |
12 |
12 |
$5K |
| 87186 |
|
8,177 |
7,137 |
$4K |
| 84484 |
|
67,269 |
40,246 |
$4K |
| 95992 |
|
757 |
385 |
$4K |
| 92611 |
|
44 |
42 |
$4K |
| J2405 |
Ondansetron hcl injection |
56,435 |
43,629 |
$4K |
| 52000 |
|
12 |
12 |
$4K |
| 73560 |
|
685 |
586 |
$4K |
| D9243 |
|
73 |
39 |
$4K |
| 96136 |
|
310 |
266 |
$4K |
| 76882 |
|
135 |
127 |
$4K |
| Q3014 |
Telehealth facility fee |
2,296 |
2,021 |
$4K |
| 86318 |
|
896 |
798 |
$4K |
| J2506 |
Inj pegfilgrast ex bio 0.5mg |
15 |
12 |
$4K |
| 82374 |
|
4,968 |
3,488 |
$4K |
| 83540 |
|
5,075 |
4,424 |
$4K |
| 82962 |
|
147,472 |
74,165 |
$4K |
| 87081 |
|
5,395 |
4,968 |
$4K |
| 72040 |
|
785 |
645 |
$4K |
| 20550 |
|
18 |
12 |
$4K |
| 76870 |
|
561 |
508 |
$4K |
| 78264 |
|
18 |
13 |
$3K |
| 82570 |
|
5,334 |
4,403 |
$3K |
| 93270 |
|
563 |
430 |
$3K |
| 36592 |
|
87 |
66 |
$3K |
| 86787 |
|
4,854 |
4,366 |
$3K |
| 99204 |
|
32 |
32 |
$3K |
| 86704 |
|
1,941 |
1,741 |
$3K |
| 12002 |
|
1,181 |
1,071 |
$3K |
| 51729 |
|
12 |
12 |
$3K |
| 97799 |
|
797 |
205 |
$3K |
| 97810 |
|
905 |
236 |
$3K |
| 93926 |
|
66 |
55 |
$3K |
| 92004 |
|
29 |
28 |
$3K |
| J3300 |
Triamcinolone a inj prs-free |
23 |
16 |
$3K |
| 41899 |
|
26 |
16 |
$3K |
| 51784 |
|
40 |
38 |
$3K |
| G0101 |
Ca screen;pelvic/breast exam |
80 |
44 |
$3K |
| 93283 |
|
168 |
161 |
$3K |
| 86317 |
|
1,916 |
1,685 |
$3K |
| L1830 |
Ko immob canvas long pre ots |
130 |
117 |
$3K |
| 85610 |
|
53,763 |
40,931 |
$3K |
| 73060 |
|
1,925 |
1,566 |
$3K |
| 77307 |
|
12 |
12 |
$3K |
| 86762 |
|
4,579 |
4,119 |
$3K |
| 73090 |
|
2,405 |
2,007 |
$3K |
| J9395 |
Injection, fulvestrant |
31 |
26 |
$2K |
| 73120 |
|
110 |
106 |
$2K |
| 73721 |
|
15 |
12 |
$2K |
| 77085 |
|
26 |
26 |
$2K |
| D2150 |
|
44 |
40 |
$2K |
| 82435 |
|
4,962 |
3,496 |
$2K |
| 0034A |
|
64 |
63 |
$2K |
| 96401 |
|
363 |
131 |
$2K |
| 82565 |
|
10,839 |
8,303 |
$2K |
| 84703 |
|
4,658 |
4,116 |
$2K |
| 83690 |
|
47,904 |
40,569 |
$2K |
| 83615 |
|
7,922 |
5,464 |
$2K |
| 84156 |
|
3,918 |
3,126 |
$2K |
| 86593 |
|
647 |
570 |
$2K |
| 82140 |
|
1,677 |
1,363 |
$2K |
| 86140 |
|
7,955 |
6,730 |
$2K |
| 91122 |
|
13 |
12 |
$2K |
| 70546 |
|
19 |
16 |
$2K |
| 90715 |
|
14,134 |
12,814 |
$2K |
| G0283 |
Elec stim other than wound |
347 |
134 |
$2K |
| G0279 |
Tomosynthesis, mammo |
1,975 |
1,888 |
$2K |
| J0136 |
Inj, acetaminophen (b braun) |
1,125 |
872 |
$2K |
| 99407 |
|
938 |
645 |
$2K |
| 84152 |
|
693 |
617 |
$2K |
| 82043 |
|
3,237 |
2,942 |
$2K |
| 86850 |
|
39,392 |
33,125 |
$2K |
| D2332 |
|
23 |
12 |
$2K |
| 93284 |
|
124 |
117 |
$2K |
| 80051 |
|
1,821 |
1,530 |
$2K |
| J0881 |
Darbepoetin alfa, non-esrd |
19 |
12 |
$2K |
| 88237 |
|
420 |
259 |
$2K |
| 97130 |
|
50 |
12 |
$2K |
| 86304 |
|
1,356 |
1,168 |
$1K |
| 0052A |
|
41 |
38 |
$1K |
| 87070 |
|
7,191 |
5,448 |
$1K |
| 72128 |
|
611 |
485 |
$1K |
| 82105 |
|
764 |
674 |
$1K |
| D2331 |
|
25 |
16 |
$1K |
| 82652 |
|
68 |
64 |
$1K |
| D0230 |
|
133 |
86 |
$1K |
| 71101 |
|
797 |
728 |
$1K |
| 85014 |
|
11,247 |
8,288 |
$1K |
| 12011 |
|
931 |
867 |
$1K |
| 90846 |
|
14 |
12 |
$1K |
| 85730 |
|
5,634 |
4,889 |
$1K |
| 87641 |
|
3,168 |
2,917 |
$1K |
| 87651 |
|
2,150 |
2,014 |
$1K |
| 88313 |
|
2,247 |
1,642 |
$999.89 |
| 82550 |
|
22,708 |
17,964 |
$998.67 |
| 84100 |
|
15,470 |
10,436 |
$975.13 |
| J2310 |
Inj naloxone hydrochloride |
463 |
380 |
$968.67 |
| G0297 |
Ldct for lung ca screen |
13 |
12 |
$965.69 |
| 73070 |
|
626 |
542 |
$958.05 |
| 92552 |
|
314 |
304 |
$920.88 |
| 86901 |
|
41,661 |
34,794 |
$911.14 |
| 82803 |
|
4,864 |
3,940 |
$896.65 |
| 90833 |
|
21 |
13 |
$889.72 |
| 88112 |
|
727 |
573 |
$875.53 |
| 82677 |
|
340 |
298 |
$854.33 |
| 82150 |
|
2,992 |
2,543 |
$851.78 |
| 85018 |
|
8,266 |
5,955 |
$847.68 |
| 90471 |
|
10,602 |
9,401 |
$835.95 |
| 88264 |
|
361 |
215 |
$833.21 |
| 87507 |
|
87 |
81 |
$796.04 |
| 88304 |
|
3,305 |
2,977 |
$791.29 |
| 83605 |
|
16,011 |
10,640 |
$786.22 |
| 84403 |
|
225 |
185 |
$772.57 |
| 86709 |
|
123 |
112 |
$763.25 |
| 73000 |
|
222 |
175 |
$739.36 |
| 86696 |
|
79 |
66 |
$702.24 |
| 86708 |
|
108 |
98 |
$688.78 |
| 81001 |
|
15,105 |
13,020 |
$677.73 |
| 84134 |
|
3,117 |
2,920 |
$630.69 |
| 95012 |
|
248 |
239 |
$618.92 |
| 84466 |
|
3,203 |
2,996 |
$600.63 |
| 82330 |
|
2,820 |
1,967 |
$580.21 |
| 86695 |
|
94 |
78 |
$579.60 |
| 97150 |
|
651 |
568 |
$559.63 |
| 86336 |
|
341 |
299 |
$550.56 |
| 85652 |
|
7,071 |
6,089 |
$544.69 |
| 70355 |
|
1,972 |
1,804 |
$532.55 |
| 0051A |
|
13 |
13 |
$520.00 |
| 83970 |
|
1,282 |
1,051 |
$519.52 |
| 20611 |
|
15 |
12 |
$512.60 |
| 87040 |
|
13,092 |
5,814 |
$492.94 |
| 88142 |
|
63 |
57 |
$489.26 |
| 73523 |
|
16 |
12 |
$483.33 |
| 0013A |
|
14 |
14 |
$480.00 |
| 83721 |
|
207 |
177 |
$446.39 |
| 83021 |
|
486 |
468 |
$413.76 |
| 84704 |
|
340 |
298 |
$412.18 |
| 81050 |
|
2,166 |
1,464 |
$408.05 |
| 82553 |
|
8,302 |
6,917 |
$405.02 |
| 87633 |
|
104 |
80 |
$398.02 |
| 93880 |
|
12 |
12 |
$393.80 |
| 84550 |
|
3,982 |
3,092 |
$391.95 |
| 92567 |
|
1,152 |
1,030 |
$379.07 |
| 85660 |
|
2,681 |
2,333 |
$362.75 |
| 76775 |
|
80 |
73 |
$355.27 |
| J7120 |
Ringers lactate infusion |
50,133 |
40,343 |
$353.24 |
| 86920 |
|
57 |
43 |
$321.28 |
| 84450 |
|
3,106 |
2,529 |
$319.66 |
| 94727 |
|
2,315 |
2,122 |
$307.06 |
| 87493 |
|
109 |
93 |
$301.59 |
| 76000 |
|
28 |
24 |
$300.44 |
| 86922 |
|
333 |
263 |
$274.63 |
| 76820 |
|
807 |
377 |
$272.91 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
39,961 |
34,387 |
$265.67 |
| 88280 |
|
445 |
264 |
$263.67 |
| 80197 |
|
1,123 |
625 |
$262.20 |
| 87075 |
|
2,453 |
1,390 |
$261.59 |
| 84132 |
|
9,527 |
6,870 |
$250.69 |
| 84478 |
|
68 |
43 |
$246.54 |
| 85379 |
|
5,074 |
4,489 |
$242.00 |
| 82248 |
|
159 |
137 |
$210.47 |
| 96377 |
|
290 |
158 |
$210.12 |
| 82040 |
|
1,547 |
1,300 |
$206.31 |
| 85045 |
|
958 |
759 |
$205.82 |
| 70360 |
|
100 |
91 |
$203.96 |
| 84145 |
|
5,223 |
4,513 |
$202.16 |
| J2272 |
Inj, morphine (fresenius) |
75 |
68 |
$188.72 |
| 99406 |
|
265 |
215 |
$182.32 |
| 73600 |
|
108 |
96 |
$182.18 |
| 76937 |
|
1,090 |
889 |
$178.12 |
| 87184 |
|
677 |
615 |
$172.42 |
| J0613 |
Calcium glucon (wg critical) |
23 |
12 |
$170.80 |
| J7030 |
Normal saline solution infus |
91,039 |
59,422 |
$166.56 |
| 99211 |
|
13 |
13 |
$166.00 |
| 86618 |
|
253 |
219 |
$163.01 |
| 82977 |
|
62 |
58 |
$161.00 |
| 87015 |
|
1,441 |
861 |
$159.50 |
| 82010 |
|
3,951 |
3,253 |
$155.31 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
1,223 |
584 |
$155.20 |
| A9552 |
F18 fdg |
2,572 |
2,311 |
$154.50 |
| J1170 |
Hydromorphone injection |
19,565 |
13,127 |
$154.35 |
| 85007 |
|
335 |
295 |
$149.71 |
| 87206 |
|
1,550 |
732 |
$145.41 |
| 81002 |
|
8,226 |
6,676 |
$145.15 |
| 82784 |
|
69 |
65 |
$142.08 |
| 82375 |
|
291 |
249 |
$141.24 |
| 87102 |
|
1,001 |
674 |
$136.34 |
| 87529 |
|
15 |
13 |
$134.04 |
| 96368 |
|
1,474 |
933 |
$129.59 |
| J1644 |
Inj heparin sodium per 1000u |
33,327 |
13,076 |
$123.75 |
| 82247 |
|
49 |
47 |
$122.74 |
| 83930 |
|
2,221 |
1,860 |
$120.56 |
| J2060 |
Lorazepam injection |
5,370 |
4,125 |
$116.04 |
| 87116 |
|
641 |
421 |
$113.52 |
| 86038 |
|
75 |
66 |
$108.66 |
| 89051 |
|
2,641 |
1,211 |
$107.25 |
| 80177 |
|
440 |
364 |
$98.09 |
| 82378 |
|
21 |
19 |
$93.85 |
| 90472 |
|
1,790 |
1,585 |
$90.47 |
| 80179 |
|
284 |
268 |
$82.20 |
| J2359 |
Inj. olanzapine, 0.5mg |
19 |
16 |
$81.58 |
| 94729 |
|
2,655 |
2,433 |
$81.08 |
| G0010 |
Admin hepatitis b vaccine |
1,797 |
1,655 |
$80.00 |
| 86703 |
|
43 |
39 |
$78.54 |
| 82310 |
|
1,874 |
996 |
$75.32 |
| J1953 |
Levetiracetam injection |
520 |
407 |
$72.53 |
| 84165 |
|
40 |
38 |
$71.82 |
| 84520 |
|
10,107 |
6,607 |
$71.02 |
| 73650 |
|
32 |
26 |
$69.15 |
| 87106 |
|
26 |
25 |
$69.02 |
| 86705 |
|
12 |
12 |
$67.50 |
| 84075 |
|
1,918 |
1,555 |
$67.21 |
| 84295 |
|
5,663 |
3,995 |
$66.65 |
| 85041 |
|
487 |
469 |
$66.00 |
| 80143 |
|
298 |
279 |
$65.76 |
| 96376 |
|
13,545 |
9,005 |
$63.95 |
| 82077 |
|
1,225 |
1,139 |
$60.92 |
| 85520 |
|
157 |
96 |
$58.45 |
| 87088 |
|
84 |
77 |
$54.18 |
| 88185 |
|
3,698 |
2,681 |
$53.61 |
| J3010 |
Fentanyl citrate injection |
45,469 |
36,113 |
$53.44 |
| J2250 |
Inj midazolam hydrochloride |
25,997 |
22,215 |
$50.88 |
| 84460 |
|
3,116 |
2,533 |
$42.02 |
| 87799 |
|
31 |
27 |
$40.91 |
| 87581 |
|
104 |
80 |
$33.51 |
| 87486 |
|
104 |
80 |
$33.51 |
| 95851 |
|
154 |
139 |
$32.65 |
| 83050 |
|
100 |
81 |
$31.68 |
| 85347 |
|
2,050 |
1,251 |
$28.49 |
| 86431 |
|
44 |
42 |
$27.10 |
| 82670 |
|
14 |
14 |
$26.68 |
| J1836 |
Inj, metronidazole, 10 mg |
684 |
470 |
$26.52 |
| 82800 |
|
329 |
277 |
$25.01 |
| 86200 |
|
28 |
25 |
$24.72 |
| J1885 |
Ketorolac tromethamine inj |
39,709 |
32,900 |
$21.00 |
| G0009 |
Admin pneumococcal vaccine |
1,749 |
1,580 |
$20.00 |
| J3486 |
Ziprasidone mesylate |
106 |
80 |
$18.58 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
4,944 |
3,921 |
$18.46 |
| J2270 |
Morphine sulfate injection |
6,817 |
5,491 |
$17.60 |
| 80069 |
|
63 |
40 |
$16.60 |
| J0171 |
Adrenalin epinephrine inject |
3,666 |
3,082 |
$15.93 |
| 82075 |
|
317 |
284 |
$15.84 |
| 85049 |
|
101 |
82 |
$11.22 |
| J2765 |
Metoclopramide hcl injection |
11,245 |
9,340 |
$11.12 |
| J3490 |
Drugs unclassified injection |
830,512 |
176,255 |
$10.92 |
| J1200 |
Diphenhydramine hcl injectio |
9,778 |
6,728 |
$10.88 |
| G8979 |
Mobility goal status |
1,806 |
1,509 |
$10.83 |
| J2930 |
Methylprednisolone injection |
1,832 |
1,409 |
$10.49 |
| J1921 |
Inj labetalol hcl hikma, 5mg |
302 |
282 |
$10.36 |
| G8978 |
Mobility current status |
1,670 |
1,409 |
$9.60 |
| J1100 |
Dexamethasone sodium phos |
31,278 |
24,259 |
$8.23 |
| 85384 |
|
45 |
41 |
$8.11 |
| Q0162 |
Ondansetron oral |
22,212 |
15,939 |
$7.23 |
| 84155 |
|
14 |
12 |
$7.00 |
| J1940 |
Furosemide injection |
4,809 |
2,436 |
$6.87 |
| P9612 |
Catheterize for urine spec |
22 |
14 |
$6.30 |
| G0008 |
Admin influenza virus vac |
5,459 |
4,980 |
$6.18 |
| J7050 |
Normal saline solution infus |
26,134 |
14,789 |
$5.92 |
| 86308 |
|
142 |
121 |
$5.34 |
| J1790 |
Droperidol injection |
2,672 |
2,148 |
$5.33 |
| J1920 |
Inj, labetalol hcl, 5mg |
512 |
343 |
$4.83 |
| 82945 |
|
30 |
25 |
$3.75 |
| 90656 |
|
48 |
43 |
$3.60 |
| 84157 |
|
71 |
57 |
$3.50 |
| A9585 |
Gadobutrol injection |
8,494 |
7,309 |
$3.04 |
| 93325 |
|
1,021 |
930 |
$2.32 |
| G8985 |
Carry goal status |
282 |
247 |
$2.19 |
| J2001 |
Lidocaine injection |
59,945 |
45,292 |
$2.19 |
| G8984 |
Carry current status |
239 |
215 |
$1.92 |
| J0741 |
Inj, cabote rilpivir 2mg 3mg |
261 |
242 |
$1.86 |
| J0780 |
Prochlorperazine injection |
2,212 |
1,828 |
$1.78 |
| G8980 |
Mobility d/c status |
216 |
192 |
$1.76 |
| J0690 |
Cefazolin sodium injection |
28,938 |
18,525 |
$1.72 |
| J1650 |
Inj enoxaparin sodium |
7,620 |
3,785 |
$1.53 |
| J0696 |
Ceftriaxone sodium injection |
10,364 |
7,749 |
$1.08 |
| G8988 |
Self care goal status |
260 |
212 |
$0.95 |
| G8987 |
Self care current status |
241 |
203 |
$0.88 |
| G8982 |
Body pos goal status |
122 |
108 |
$0.86 |
| J1630 |
Haloperidol injection |
9,825 |
8,196 |
$0.71 |
| J3475 |
Inj magnesium sulfate |
5,706 |
3,407 |
$0.69 |
| J8540 |
Oral dexamethasone |
9,772 |
4,370 |
$0.62 |
| G8981 |
Body pos current status |
84 |
77 |
$0.60 |
| J2550 |
Promethazine hcl injection |
426 |
290 |
$0.46 |
| G8997 |
Swallow goal status |
203 |
162 |
$0.38 |
| G8996 |
Swallow current status |
203 |
162 |
$0.38 |
| J7512 |
Prednisone ir or dr oral 1mg |
9,684 |
6,802 |
$0.28 |
| J2305 |
Inj, nitroglycerin, 5 mg |
590 |
539 |
$0.26 |
| J1805 |
Inj, esmolol hcl, 10mg |
54 |
48 |
$0.20 |
| J0670 |
Inj mepivacaine hcl/10 ml |
3,074 |
2,677 |
$0.00 |
| C1729 |
Cath, drainage |
3,331 |
1,793 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
5,324 |
3,245 |
$0.00 |
| C1760 |
Closure dev, vasc |
806 |
682 |
$0.00 |
| C1776 |
Joint device (implantable) |
1,409 |
1,255 |
$0.00 |
| C1751 |
Cath, inf, per/cent/midline |
99 |
79 |
$0.00 |
| 78434 |
|
339 |
302 |
$0.00 |
| C1887 |
Catheter, guiding |
4,787 |
4,091 |
$0.00 |
| 76942 |
|
1,069 |
974 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
2,509 |
2,086 |
$0.00 |
| 99173 |
|
270 |
256 |
$0.00 |
| 88302 |
|
529 |
472 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
2,258 |
2,009 |
$0.00 |
| Q0163 |
Diphenhydramine hcl 50mg |
7,327 |
4,838 |
$0.00 |
| 99396 |
|
837 |
736 |
$0.00 |
| 77012 |
|
84 |
67 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
3,131 |
2,721 |
$0.00 |
| 93356 |
|
1,362 |
1,242 |
$0.00 |
| 99395 |
|
1,728 |
1,511 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
8,400 |
7,143 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
4,624 |
4,444 |
$0.00 |
| J7040 |
Normal saline solution infus |
10,598 |
6,792 |
$0.00 |
| 90999 |
|
6,497 |
538 |
$0.00 |
| J9190 |
Fluorouracil injection |
2,028 |
704 |
$0.00 |
| 99152 |
|
5,933 |
4,933 |
$0.00 |
| 86849 |
|
224 |
176 |
$0.00 |
| 76827 |
|
221 |
198 |
$0.00 |
| J1756 |
Iron sucrose injection |
4,040 |
1,763 |
$0.00 |
| C1874 |
Stent, coated/cov w/del sys |
513 |
429 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
1,354 |
1,182 |
$0.00 |
| Q0508 |
Mis sup/acc imp vad |
29 |
14 |
$0.00 |
| 82365 |
|
331 |
285 |
$0.00 |
| 82272 |
|
277 |
238 |
$0.00 |
| G0271 |
Group mnt 2 or more 30 mins |
413 |
291 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
341 |
316 |
$0.00 |
| J9263 |
Oxaliplatin |
86 |
38 |
$0.00 |
| 90750 |
|
2,215 |
1,725 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
284 |
224 |
$0.00 |
| J2916 |
Na ferric gluconate complex |
1,478 |
299 |
$0.00 |
| 19281 |
|
13 |
12 |
$0.00 |
| V2630 |
Anter chamber intraocul lens |
129 |
86 |
$0.00 |
| C1758 |
Catheter, ureteral |
1,468 |
1,275 |
$0.00 |
| J1580 |
Garamycin gentamicin inj |
71 |
63 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
145 |
144 |
$0.00 |
| 95874 |
|
256 |
245 |
$0.00 |
| J3260 |
Tobramycin sulfate injection |
780 |
628 |
$0.00 |
| J0640 |
Leucovorin calcium injection |
1,027 |
284 |
$0.00 |
| G0109 |
Diab manage trn ind/group |
42 |
35 |
$0.00 |
| 93319 |
|
17 |
15 |
$0.00 |
| J1956 |
Levofloxacin injection |
28 |
26 |
$0.00 |
| S0190 |
Mifepristone, oral, 200 mg |
56 |
42 |
$0.00 |
| C1757 |
Cath, thrombectomy/embolect |
29 |
24 |
$0.00 |
| 87497 |
|
16 |
12 |
$0.00 |
| 97598 |
|
668 |
356 |
$0.00 |
| 97811 |
|
265 |
82 |
$0.00 |
| 91300 |
|
16,081 |
13,477 |
$0.00 |
| A9541 |
Tc99m sulfur colloid |
265 |
236 |
$0.00 |
| 82805 |
|
168 |
153 |
$0.00 |
| 91312 |
|
285 |
261 |
$0.00 |
| J9171 |
Docetaxel injection |
53 |
36 |
$0.00 |
| 76376 |
|
210 |
195 |
$0.00 |
| 92978 |
|
95 |
83 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
376 |
295 |
$0.00 |
| 90678 |
|
87 |
86 |
$0.00 |
| J9206 |
Irinotecan injection |
150 |
64 |
$0.00 |
| 73100 |
|
15 |
12 |
$0.00 |
| 76098 |
|
48 |
38 |
$0.00 |
| L3913 |
Hfo w/o joints cf |
31 |
27 |
$0.00 |
| 77387 |
|
161 |
27 |
$0.00 |
| 90840 |
|
118 |
103 |
$0.00 |
| 88312 |
|
31 |
26 |
$0.00 |
| Q4038 |
Cast sup shrt leg fiberglass |
13 |
12 |
$0.00 |
| Q0245 |
Bamlanivimab and etesevima |
41 |
39 |
$0.00 |
| 85670 |
|
15 |
15 |
$0.00 |
| J9000 |
Doxorubicin hcl injection |
31 |
13 |
$0.00 |
| 98966 |
|
38 |
18 |
$0.00 |
| A4566 |
Should sling/vest/abrestrain |
27 |
27 |
$0.00 |
| J1643 |
Inj heparin, pfizer, 1000u |
14 |
13 |
$0.00 |
| J9201 |
In gemcitabine hcl nos 200mg |
187 |
49 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
12 |
12 |
$0.00 |
| J2720 |
Inj protamine sulfate/10 mg |
44 |
40 |
$0.00 |
| J3371 |
Inj, vancomycin hcl (mylan) |
42 |
29 |
$0.00 |
| 90653 |
|
172 |
152 |
$0.00 |
| 64643 |
|
41 |
40 |
$0.00 |
| 95957 |
|
13 |
12 |
$0.00 |
| 58340 |
|
12 |
12 |
$0.00 |
| J3489 |
Zoledronic acid 1mg |
12 |
12 |
$0.00 |
| 86235 |
|
21 |
12 |
$0.00 |
| 82108 |
|
359 |
294 |
$0.00 |
| 59841 |
|
39 |
26 |
$0.00 |
| G0270 |
Mnt subs tx for change dx |
43 |
35 |
$0.00 |
| 87400 |
|
88 |
79 |
$0.00 |
| 73020 |
|
13 |
12 |
$0.00 |
| 99495 |
|
120 |
91 |
$0.00 |
| 95886 |
|
2,070 |
1,976 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
5,952 |
3,386 |
$0.00 |
| C1781 |
Mesh (implantable) |
440 |
401 |
$0.00 |
| C1753 |
Cath, intravas ultrasound |
145 |
129 |
$0.00 |
| C1769 |
Guide wire |
11,794 |
9,239 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
63,265 |
43,357 |
$0.00 |
| 95885 |
|
771 |
743 |
$0.00 |
| 36000 |
|
1,391 |
1,179 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
8,173 |
6,447 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
1,555 |
1,265 |
$0.00 |
| J3420 |
Vitamin b12 injection |
1,927 |
1,464 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
7,613 |
6,074 |
$0.00 |
| J2785 |
Regadenoson injection |
2,782 |
2,439 |
$0.00 |
| J1815 |
Insulin injection |
15,361 |
5,962 |
$0.00 |
| J7060 |
5% dextrose/water |
5,043 |
2,284 |
$0.00 |
| 91301 |
|
4,583 |
4,241 |
$0.00 |
| 91305 |
|
563 |
488 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
1,863 |
1,635 |
$0.00 |
| A6213 |
Foam drg >16<=48 sq in w/bdr |
446 |
383 |
$0.00 |
| 88300 |
|
14 |
13 |
$0.00 |
| 88341 |
|
3,635 |
2,853 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
1,387 |
1,249 |
$0.00 |
| 91307 |
|
403 |
382 |
$0.00 |
| 36416 |
|
23,484 |
19,844 |
$0.00 |
| C2617 |
Stent, non-cor, tem w/o del |
1,715 |
1,469 |
$0.00 |
| 80185 |
|
14 |
12 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
1,558 |
1,133 |
$0.00 |
| J3480 |
Inj potassium chloride |
3,886 |
1,797 |
$0.00 |
| J7042 |
5% dextrose/normal saline |
1,010 |
730 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
1,514 |
1,251 |
$0.00 |
| 90480 |
|
173 |
143 |
$0.00 |
| J7121 |
5% dextrose in lac ringers |
229 |
171 |
$0.00 |
| J0461 |
Atropine sulfate injection |
350 |
199 |
$0.00 |
| C1783 |
Ocular imp, aqueous drain de |
53 |
38 |
$0.00 |
| 74330 |
|
324 |
288 |
$0.00 |
| A9538 |
Tc99m pyrophosphate |
12 |
12 |
$0.00 |
| A9555 |
Rb82 rubidium |
804 |
690 |
$0.00 |
| 88331 |
|
329 |
232 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
4,547 |
3,818 |
$0.00 |
| C1889 |
Implant/insert device, noc |
471 |
404 |
$0.00 |
| A6022 |
Collagen drsg>16<=48 sq in |
690 |
387 |
$0.00 |
| A4648 |
Implantable tissue marker |
1,131 |
999 |
$0.00 |
| C1726 |
Cath, bal dil, non-vascular |
1,071 |
965 |
$0.00 |
| A9503 |
Tc99m medronate |
35 |
31 |
$0.00 |
| J9267 |
Paclitaxel injection |
1,487 |
598 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
174 |
151 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
6,751 |
2,802 |
$0.00 |
| Q0164 |
Prochlorperazine maleate 5mg |
72 |
38 |
$0.00 |
| A6214 |
Foam drg > 48 sq in w/border |
568 |
439 |
$0.00 |
| 11045 |
|
1,738 |
819 |
$0.00 |
| 96127 |
|
395 |
365 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
261 |
190 |
$0.00 |
| J2920 |
Methylprednisolone injection |
283 |
165 |
$0.00 |
| 88311 |
|
1,008 |
632 |
$0.00 |
| J2790 |
Rho d immune globulin inj |
28 |
27 |
$0.00 |
| 93320 |
|
14 |
12 |
$0.00 |
| J2501 |
Paricalcitol |
9,160 |
722 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
172 |
95 |
$0.00 |
| J9045 |
Carboplatin injection |
1,444 |
733 |
$0.00 |
| 91303 |
|
890 |
821 |
$0.00 |
| 90839 |
|
481 |
384 |
$0.00 |
| J0706 |
Caffeine citrate injection |
527 |
460 |
$0.00 |
| 91306 |
|
890 |
822 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
2,280 |
1,877 |
$0.00 |
| 0352U |
|
992 |
942 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
290 |
238 |
$0.00 |
| A4217 |
Sterile water/saline, 500 ml |
753 |
597 |
$0.00 |
| 94760 |
|
15 |
13 |
$0.00 |
| 99496 |
|
553 |
424 |
$0.00 |
| L8699 |
Prosthetic implant nos |
112 |
88 |
$0.00 |
| J0280 |
Aminophyllin 250 mg inj |
123 |
97 |
$0.00 |
| 77001 |
|
153 |
134 |
$0.00 |
| 72190 |
|
71 |
69 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
40 |
38 |
$0.00 |
| J0610 |
Calcium glucon (fresenius) |
62 |
38 |
$0.00 |
| 76377 |
|
53 |
50 |
$0.00 |
| 97804 |
|
15 |
12 |
$0.00 |
| 89060 |
|
21 |
17 |
$0.00 |
| 36226 |
|
31 |
27 |
$0.00 |
| 99386 |
|
15 |
14 |
$0.00 |
| J0456 |
Azithromycin |
59 |
41 |
$0.00 |
| C1768 |
Graft, vascular |
27 |
24 |
$0.00 |
| 86160 |
|
32 |
27 |
$0.00 |
| J3360 |
Diazepam injection |
21 |
15 |
$0.00 |
| J7999 |
Compounded drug, noc |
14 |
13 |
$0.00 |
| J0697 |
Sterile cefuroxime injection |
329 |
229 |
$0.00 |
| 84300 |
|
12 |
12 |
$0.00 |
| Q2039 |
Influenza virus vaccine, nos |
28 |
27 |
$0.00 |
| 86777 |
|
16 |
12 |
$0.00 |
| 99385 |
|
17 |
13 |
$0.00 |
| Q0247 |
Sotrovimab |
28 |
23 |
$0.00 |
| G0108 |
Diab manage trn per indiv |
26 |
26 |
$0.00 |
| L3906 |
Who w/o joints cf |
15 |
12 |
$0.00 |