| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
559,918 |
489,568 |
$39.01M |
| 99213 |
|
606,675 |
544,764 |
$29.99M |
| S0302 |
Completed epsdt |
155,998 |
153,678 |
$8.36M |
| 99215 |
Prolong outpt/office vis |
62,679 |
56,661 |
$5.63M |
| 99203 |
|
72,064 |
68,868 |
$4.51M |
| 99204 |
|
45,848 |
43,717 |
$4.33M |
| 99392 |
|
59,521 |
57,383 |
$4.00M |
| 90834 |
|
65,240 |
39,628 |
$3.62M |
| X5622 |
|
72,359 |
67,925 |
$3.34M |
| 99391 |
|
54,510 |
51,418 |
$3.05M |
| 99393 |
|
44,702 |
42,686 |
$2.91M |
| 92014 |
|
37,798 |
36,999 |
$2.90M |
| 99233 |
Prolong inpt eval add15 m |
59,295 |
14,691 |
$2.84M |
| 97110 |
|
102,729 |
50,827 |
$2.75M |
| 92004 |
|
28,574 |
28,091 |
$2.69M |
| 90460 |
|
118,833 |
114,703 |
$2.68M |
| 59400 |
|
2,629 |
2,461 |
$2.66M |
| 99223 |
Prolong inpt eval add15 m |
22,665 |
14,613 |
$2.00M |
| 99205 |
Prolong outpt/office vis |
16,777 |
15,901 |
$1.98M |
| 92507 |
|
37,491 |
14,733 |
$1.89M |
| 88305 |
|
54,368 |
34,823 |
$1.83M |
| 77067 |
|
23,622 |
23,185 |
$1.80M |
| 97530 |
|
42,231 |
18,699 |
$1.71M |
| 90837 |
|
17,953 |
10,917 |
$1.60M |
| 99394 |
|
22,312 |
21,577 |
$1.56M |
| 87651 |
|
44,045 |
42,848 |
$1.56M |
| U0003 |
Cov-19 amp prb hgh thruput |
17,573 |
16,834 |
$1.49M |
| 99396 |
|
18,236 |
17,601 |
$1.49M |
| 74177 |
|
17,053 |
15,767 |
$1.48M |
| J0585 |
Injection,onabotulinumtoxina |
1,788 |
1,640 |
$1.48M |
| 99395 |
|
19,869 |
19,208 |
$1.48M |
| 36415 |
|
406,062 |
354,013 |
$1.44M |
| 90471 |
|
118,828 |
114,874 |
$1.41M |
| 97112 |
|
36,359 |
16,667 |
$1.15M |
| 99232 |
|
36,535 |
10,736 |
$1.14M |
| 90691 |
|
10,987 |
10,819 |
$1.09M |
| 99310 |
Prolong nursin fac eval 15m |
17,942 |
9,963 |
$1.04M |
| 90791 |
|
10,585 |
10,164 |
$1.01M |
| 99212 |
|
35,725 |
33,701 |
$990K |
| 76816 |
|
13,194 |
11,781 |
$938K |
| 99202 |
|
24,000 |
23,046 |
$933K |
| 92015 |
|
73,134 |
71,793 |
$887K |
| 71046 |
|
54,547 |
51,704 |
$858K |
| 70553 |
|
6,678 |
6,346 |
$843K |
| 99211 |
|
51,796 |
48,129 |
$842K |
| G0108 |
Diab manage trn per indiv |
14,631 |
11,504 |
$779K |
| 76801 |
|
10,375 |
9,104 |
$757K |
| 90717 |
|
5,905 |
5,830 |
$727K |
| T1013 |
Sign lang/oral interpreter |
21,857 |
18,012 |
$721K |
| 90847 |
|
10,692 |
7,367 |
$711K |
| 76815 |
|
14,494 |
9,028 |
$681K |
| 97161 |
|
11,950 |
11,443 |
$681K |
| 92551 |
|
102,703 |
99,961 |
$677K |
| 99239 |
|
13,870 |
12,122 |
$672K |
| 76830 |
|
9,807 |
9,489 |
$631K |
| 99188 |
|
55,240 |
54,160 |
$621K |
| 76856 |
|
10,344 |
10,032 |
$611K |
| 85025 |
|
93,041 |
87,134 |
$609K |
| 90750 |
|
4,892 |
4,774 |
$607K |
| 76811 |
|
5,130 |
5,009 |
$604K |
| 97140 |
|
30,706 |
16,514 |
$601K |
| J7307 |
Etonogestrel implant system |
805 |
787 |
$593K |
| 76819 |
|
10,646 |
5,486 |
$567K |
| 97803 |
|
14,953 |
12,664 |
$556K |
| 99385 |
|
6,817 |
6,613 |
$548K |
| 90651 |
|
18,657 |
18,089 |
$547K |
| 90472 |
|
33,465 |
32,382 |
$536K |
| 93306 |
|
11,629 |
10,924 |
$532K |
| 73721 |
|
4,240 |
3,935 |
$512K |
| J7298 |
Mirena, 52 mg |
624 |
598 |
$480K |
| 59410 |
|
975 |
951 |
$469K |
| G0439 |
Ppps, subseq visit |
7,183 |
6,938 |
$465K |
| 96127 |
|
131,618 |
127,854 |
$460K |
| 76805 |
|
5,436 |
5,272 |
$452K |
| 90686 |
|
86,909 |
84,394 |
$440K |
| J1050 |
Medroxyprogesterone acetate |
6,376 |
6,109 |
$439K |
| 76817 |
|
7,846 |
6,620 |
$437K |
| 96110 |
|
74,250 |
64,419 |
$436K |
| 87880 |
|
41,276 |
39,386 |
$435K |
| 80061 |
|
39,419 |
38,622 |
$430K |
| 99460 |
|
7,381 |
7,149 |
$411K |
| 99238 |
|
9,603 |
9,242 |
$398K |
| 99222 |
|
6,732 |
5,208 |
$397K |
| 77063 |
|
11,172 |
10,965 |
$392K |
| 90960 |
|
3,213 |
3,121 |
$386K |
| 90832 |
|
8,438 |
6,002 |
$385K |
| 97162 |
|
7,048 |
6,703 |
$369K |
| 90715 |
|
22,659 |
22,061 |
$369K |
| 90732 |
|
4,340 |
4,203 |
$362K |
| 17110 |
|
5,828 |
5,268 |
$343K |
| U0005 |
Infec agen detec ampli probe |
13,112 |
12,537 |
$343K |
| 83036 |
|
38,801 |
37,925 |
$324K |
| 93000 |
|
37,237 |
35,181 |
$313K |
| 59025 |
|
12,993 |
6,559 |
$310K |
| 72148 |
|
2,791 |
2,700 |
$302K |
| 96413 |
|
4,250 |
2,662 |
$297K |
| 70450 |
|
11,442 |
10,001 |
$285K |
| 20610 |
|
8,209 |
7,223 |
$267K |
| 87491 |
|
8,151 |
7,676 |
$260K |
| 45385 |
|
1,578 |
1,521 |
$260K |
| 74176 |
|
3,729 |
3,485 |
$259K |
| 87591 |
|
8,072 |
7,610 |
$258K |
| 76642 |
|
4,546 |
4,406 |
$258K |
| 99402 |
|
5,821 |
5,745 |
$256K |
| 99309 |
|
6,540 |
4,375 |
$246K |
| 90734 |
|
18,342 |
17,804 |
$240K |
| 73562 |
|
10,705 |
8,814 |
$232K |
| 90677 |
|
3,138 |
2,970 |
$230K |
| 76825 |
|
1,323 |
1,216 |
$226K |
| 76705 |
|
5,850 |
5,563 |
$225K |
| 73630 |
|
12,813 |
11,262 |
$224K |
| 97802 |
|
3,554 |
3,457 |
$223K |
| J0178 |
Aflibercept injection |
117 |
104 |
$219K |
| 85027 |
|
40,621 |
39,467 |
$219K |
| 92012 |
|
4,115 |
4,034 |
$215K |
| 96372 |
|
26,634 |
21,184 |
$213K |
| S0281 |
Medical home, maintenance |
12,473 |
11,791 |
$211K |
| 99386 |
|
2,248 |
2,163 |
$204K |
| 99607 |
|
4,545 |
3,971 |
$200K |
| 0001A |
|
5,237 |
5,163 |
$200K |
| 80053 |
|
20,522 |
19,373 |
$193K |
| 81025 |
|
25,020 |
24,092 |
$182K |
| 91320 |
|
1,874 |
1,830 |
$181K |
| 99220 |
|
1,964 |
1,759 |
$177K |
| 99383 |
|
2,776 |
2,605 |
$177K |
| 59510 |
|
154 |
146 |
$174K |
| 80048 |
|
24,825 |
23,656 |
$174K |
| 71275 |
|
2,669 |
2,553 |
$169K |
| 97535 |
|
6,112 |
4,370 |
$167K |
| 90746 |
|
3,220 |
3,135 |
$167K |
| 99384 |
|
2,275 |
2,145 |
$164K |
| A9585 |
Gadobutrol injection |
10,686 |
5,458 |
$164K |
| 96365 |
|
3,678 |
2,306 |
$161K |
| 0002A |
|
3,897 |
3,875 |
$158K |
| 99397 |
|
1,732 |
1,645 |
$156K |
| 93793 |
|
22,662 |
9,831 |
$153K |
| 67028 |
|
2,102 |
1,888 |
$152K |
| 84443 |
|
10,220 |
9,934 |
$151K |
| 99401 |
|
5,950 |
5,871 |
$146K |
| G0179 |
Md recertification hha pt |
6,728 |
6,191 |
$146K |
| 90961 |
|
1,399 |
1,342 |
$143K |
| 93971 |
|
3,696 |
3,417 |
$141K |
| 90632 |
|
2,997 |
2,919 |
$139K |
| G0438 |
Ppps, initial visit |
2,775 |
2,703 |
$135K |
| 43239 |
|
1,630 |
1,584 |
$135K |
| 59426 |
|
390 |
377 |
$133K |
| 87389 |
|
5,904 |
5,779 |
$132K |
| 99173 |
|
85,597 |
83,551 |
$132K |
| 92002 |
|
2,673 |
2,639 |
$132K |
| 92134 |
|
5,505 |
5,098 |
$129K |
| 99381 |
|
2,829 |
2,725 |
$127K |
| 0071A |
|
2,975 |
2,950 |
$125K |
| 81001 |
|
45,094 |
42,816 |
$124K |
| 58300 |
|
2,278 |
2,179 |
$119K |
| 95004 |
|
2,810 |
2,741 |
$116K |
| 99605 |
|
2,251 |
2,188 |
$116K |
| 71045 |
|
23,677 |
16,974 |
$114K |
| 82565 |
|
28,184 |
26,867 |
$112K |
| 77065 |
Tomosynthesis, mammo |
1,475 |
1,318 |
$112K |
| 45380 |
|
1,228 |
1,188 |
$111K |
| 71250 |
|
1,767 |
1,630 |
$111K |
| 0004A |
|
3,284 |
2,920 |
$109K |
| 76818 |
|
1,357 |
808 |
$108K |
| 0072A |
|
2,539 |
2,529 |
$108K |
| 64615 |
|
1,236 |
1,195 |
$107K |
| 97165 |
|
1,769 |
1,712 |
$106K |
| 76821 |
|
1,688 |
952 |
$104K |
| 90792 |
|
570 |
551 |
$99K |
| 73610 |
|
5,328 |
4,789 |
$98K |
| 99417 |
Prolong home eval add 15m |
1,906 |
1,752 |
$97K |
| 90670 |
|
36,893 |
35,274 |
$94K |
| 74018 |
|
6,697 |
5,833 |
$93K |
| 99462 |
|
4,039 |
3,003 |
$93K |
| 92523 |
|
746 |
729 |
$92K |
| 87210 |
|
17,605 |
16,935 |
$91K |
| 90480 |
|
3,584 |
3,513 |
$90K |
| 76536 |
|
1,340 |
1,299 |
$87K |
| 73110 |
|
4,193 |
3,609 |
$87K |
| 82306 |
|
3,433 |
3,354 |
$85K |
| 99217 |
|
2,314 |
2,119 |
$85K |
| 88307 |
|
1,136 |
869 |
$85K |
| 88342 |
|
2,238 |
2,010 |
$84K |
| 73030 |
|
4,859 |
4,343 |
$82K |
| 93010 |
|
19,762 |
14,985 |
$82K |
| 80307 |
|
1,484 |
1,395 |
$82K |
| G0279 |
Tomosynthesis, mammo |
2,511 |
2,456 |
$80K |
| 99221 |
|
1,604 |
1,350 |
$79K |
| 87480 |
|
4,342 |
4,189 |
$77K |
| 87660 |
|
4,338 |
4,179 |
$77K |
| 87510 |
|
4,322 |
4,174 |
$77K |
| 58301 |
|
1,347 |
1,299 |
$77K |
| 71260 |
|
1,250 |
1,176 |
$73K |
| 92567 |
|
7,554 |
7,374 |
$72K |
| 0064A |
|
1,972 |
1,957 |
$71K |
| Q5103 |
Injection, inflectra |
44 |
38 |
$70K |
| 85018 |
|
32,472 |
31,883 |
$70K |
| 99606 |
|
2,195 |
1,789 |
$68K |
| 87804 |
|
5,792 |
2,803 |
$68K |
| 80051 |
|
11,843 |
11,393 |
$68K |
| 84460 |
|
16,021 |
15,487 |
$67K |
| 95251 |
|
2,958 |
2,868 |
$66K |
| 73140 |
|
3,325 |
2,990 |
$65K |
| 94375 |
|
3,261 |
3,147 |
$65K |
| 99291 |
|
456 |
153 |
$64K |
| 73221 |
|
503 |
468 |
$64K |
| 90853 |
|
3,726 |
548 |
$63K |
| 76820 |
|
2,262 |
1,134 |
$63K |
| J3301 |
Triamcinolone acet inj nos |
12,866 |
11,255 |
$62K |
| 82947 |
|
19,217 |
18,601 |
$62K |
| 74183 |
|
339 |
318 |
$62K |
| 87624 |
|
2,010 |
1,969 |
$61K |
| 99382 |
|
1,060 |
992 |
$61K |
| 90716 |
|
11,594 |
11,215 |
$60K |
| 73502 |
|
2,747 |
2,563 |
$59K |
| 0011A |
|
1,895 |
1,880 |
$58K |
| 87635 |
|
1,087 |
1,075 |
$58K |
| 45378 |
|
478 |
476 |
$57K |
| 85610 |
|
18,461 |
10,042 |
$57K |
| 94729 |
|
1,847 |
1,780 |
$57K |
| 92083 |
|
1,550 |
1,466 |
$57K |
| 69210 |
|
2,601 |
2,506 |
$56K |
| 92557 |
|
2,503 |
2,429 |
$56K |
| 91322 |
|
495 |
479 |
$55K |
| 90713 |
|
5,002 |
4,934 |
$55K |
| 86780 |
|
4,514 |
4,381 |
$55K |
| 72100 |
|
2,811 |
2,737 |
$54K |
| 0054A |
|
1,402 |
1,365 |
$54K |
| G0008 |
Admin influenza virus vac |
8,188 |
7,900 |
$54K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
7,708 |
5,132 |
$54K |
| 93970 |
|
1,133 |
1,060 |
$53K |
| 0012A |
|
1,590 |
1,582 |
$53K |
| 0124A |
|
1,576 |
1,492 |
$53K |
| 64483 |
|
316 |
291 |
$52K |
| 83655 |
|
2,347 |
2,322 |
$51K |
| 74019 |
|
2,800 |
2,678 |
$51K |
| 70486 |
|
651 |
639 |
$50K |
| 84450 |
|
11,896 |
11,183 |
$50K |
| 90707 |
|
9,791 |
9,496 |
$49K |
| G0123 |
Screen cerv/vag thin layer |
2,745 |
2,690 |
$49K |
| 96130 |
|
456 |
449 |
$49K |
| 80076 |
|
7,367 |
6,994 |
$48K |
| 73130 |
|
2,668 |
2,337 |
$48K |
| G0500 |
Mod sedat endo service >5yrs |
4,662 |
4,425 |
$47K |
| G0124 |
Screen c/v thin layer by md |
2,322 |
2,259 |
$47K |
| 36416 |
|
15,791 |
15,332 |
$46K |
| 90846 |
|
663 |
581 |
$45K |
| 99231 |
|
2,520 |
1,259 |
$45K |
| 59425 |
|
177 |
170 |
$45K |
| 77066 |
Tomosynthesis, mammo |
443 |
429 |
$44K |
| J1756 |
Iron sucrose injection |
734 |
428 |
$44K |
| J9035 |
Bevacizumab injection |
457 |
413 |
$43K |
| 54150 |
|
582 |
576 |
$43K |
| 81003 |
|
22,855 |
22,089 |
$42K |
| 96137 |
|
385 |
378 |
$42K |
| 82043 |
|
8,446 |
8,299 |
$41K |
| 82570 |
|
9,553 |
9,292 |
$41K |
| 93325 |
|
3,796 |
3,536 |
$40K |
| 0051A |
|
932 |
917 |
$38K |
| 86140 |
|
8,082 |
7,732 |
$38K |
| 87086 |
|
5,281 |
4,985 |
$37K |
| 90833 |
|
626 |
597 |
$37K |
| 92060 |
|
865 |
835 |
$37K |
| 96161 |
|
27,611 |
26,221 |
$37K |
| 86803 |
|
2,727 |
2,657 |
$36K |
| 90674 |
|
7,639 |
7,188 |
$36K |
| G0180 |
Md certification hha patient |
1,609 |
1,497 |
$36K |
| 52000 |
|
257 |
246 |
$34K |
| 82728 |
|
2,758 |
2,694 |
$34K |
| 90739 |
|
237 |
230 |
$34K |
| 96131 |
|
331 |
325 |
$33K |
| 99443 |
|
3,800 |
2,954 |
$33K |
| 90785 |
|
3,351 |
2,372 |
$30K |
| 92133 |
|
1,298 |
1,239 |
$30K |
| 31575 |
|
439 |
400 |
$30K |
| 90694 |
|
2,391 |
2,302 |
$30K |
| 94640 |
|
3,715 |
3,493 |
$29K |
| 73600 |
|
1,681 |
1,540 |
$29K |
| 11981 |
|
390 |
380 |
$29K |
| 69209 |
|
3,179 |
3,057 |
$29K |
| 86481 |
|
292 |
275 |
$29K |
| 95012 |
|
2,640 |
2,565 |
$28K |
| 11900 |
|
1,012 |
914 |
$28K |
| 99201 |
|
1,229 |
1,193 |
$28K |
| 76770 |
|
494 |
471 |
$28K |
| 82248 |
|
5,842 |
4,976 |
$28K |
| 93248 |
|
1,584 |
1,535 |
$26K |
| 99442 |
|
3,980 |
3,202 |
$26K |
| 80050 |
|
527 |
509 |
$26K |
| 90636 |
|
342 |
333 |
$26K |
| 73560 |
|
1,836 |
1,685 |
$25K |
| 72156 |
|
135 |
134 |
$25K |
| 94060 |
|
935 |
900 |
$24K |
| 88304 |
|
2,222 |
1,875 |
$24K |
| 83690 |
|
3,762 |
3,633 |
$24K |
| 72141 |
|
197 |
189 |
$23K |
| 95810 |
|
309 |
299 |
$23K |
| 87084 |
|
2,364 |
2,210 |
$22K |
| 92579 |
|
759 |
741 |
$22K |
| 90714 |
|
1,647 |
1,599 |
$22K |
| 85379 |
|
2,231 |
2,189 |
$22K |
| G2211 |
Complex e/m visit add on |
11,540 |
11,030 |
$22K |
| 94726 |
|
699 |
677 |
$21K |
| 76827 |
|
455 |
414 |
$21K |
| 72125 |
|
539 |
492 |
$21K |
| 84403 |
|
923 |
871 |
$20K |
| 84466 |
|
1,702 |
1,661 |
$20K |
| 90661 |
|
3,465 |
3,445 |
$19K |
| 72040 |
|
922 |
891 |
$19K |
| 90662 |
|
2,268 |
2,235 |
$19K |
| 87801 |
|
246 |
239 |
$19K |
| 85652 |
|
8,118 |
7,894 |
$19K |
| 93016 |
|
1,446 |
1,368 |
$18K |
| 59515 |
|
42 |
37 |
$18K |
| 87340 |
|
1,917 |
1,866 |
$18K |
| 0052A |
|
425 |
411 |
$18K |
| 84702 |
|
1,245 |
894 |
$17K |
| 93296 |
|
1,147 |
1,097 |
$17K |
| 73080 |
|
992 |
892 |
$16K |
| 87088 |
|
2,260 |
2,162 |
$16K |
| 0031A |
|
420 |
405 |
$16K |
| 96136 |
|
398 |
392 |
$16K |
| 82607 |
|
1,158 |
1,142 |
$16K |
| 87636 |
|
101 |
101 |
$15K |
| 70491 |
|
153 |
144 |
$15K |
| 82247 |
|
3,811 |
2,746 |
$15K |
| 96415 |
|
692 |
514 |
$15K |
| 0134A |
|
428 |
418 |
$15K |
| 98941 |
|
977 |
531 |
$15K |
| 10060 |
|
247 |
236 |
$15K |
| 84439 |
|
1,856 |
1,803 |
$15K |
| 43235 |
|
202 |
190 |
$14K |
| 57454 |
|
213 |
207 |
$14K |
| 92552 |
|
750 |
733 |
$14K |
| 97116 |
|
638 |
349 |
$14K |
| 87661 |
|
365 |
356 |
$14K |
| 29125 |
|
335 |
303 |
$14K |
| 77072 |
|
795 |
784 |
$14K |
| 81513 |
|
89 |
87 |
$13K |
| 0082A |
|
352 |
347 |
$13K |
| 83735 |
|
2,272 |
2,077 |
$13K |
| 87481 |
|
340 |
331 |
$13K |
| 96160 |
|
10,604 |
10,358 |
$13K |
| 95886 |
|
163 |
161 |
$13K |
| 70544 |
|
148 |
130 |
$12K |
| 87077 |
|
1,547 |
1,463 |
$12K |
| 93018 |
|
1,447 |
1,371 |
$12K |
| 82950 |
|
2,807 |
2,722 |
$12K |
| 87081 |
|
1,678 |
1,613 |
$12K |
| 84270 |
|
648 |
610 |
$12K |
| 96366 |
|
704 |
461 |
$12K |
| 11102 |
|
150 |
147 |
$11K |
| 90653 |
|
144 |
144 |
$11K |
| 87070 |
|
1,503 |
1,457 |
$11K |
| 97166 |
|
226 |
217 |
$11K |
| V5266 |
Battery for hearing device |
492 |
396 |
$11K |
| 86762 |
|
850 |
821 |
$11K |
| 99306 |
Prolong nursin fac eval 15m |
147 |
129 |
$11K |
| 77002 |
|
166 |
148 |
$11K |
| 11104 |
|
118 |
116 |
$11K |
| 82310 |
|
2,597 |
2,388 |
$11K |
| 83540 |
|
1,783 |
1,745 |
$10K |
| 97035 |
|
1,285 |
658 |
$10K |
| 83516 |
|
864 |
772 |
$10K |
| 84703 |
|
1,483 |
1,448 |
$10K |
| 90473 |
|
870 |
850 |
$10K |
| 11982 |
|
133 |
127 |
$10K |
| 90474 |
|
1,224 |
1,150 |
$10K |
| 11750 |
|
99 |
74 |
$10K |
| 99464 |
|
271 |
262 |
$10K |
| 95117 |
|
1,730 |
916 |
$10K |
| 73590 |
|
627 |
553 |
$10K |
| 88312 |
|
352 |
253 |
$9K |
| 17000 |
|
239 |
235 |
$9K |
| 93976 |
|
89 |
88 |
$9K |
| 93320 |
|
649 |
625 |
$9K |
| 84132 |
|
2,282 |
2,153 |
$9K |
| 86850 |
|
1,022 |
983 |
$9K |
| 88341 |
|
157 |
126 |
$9K |
| 87186 |
|
1,088 |
1,010 |
$8K |
| 93350 |
|
193 |
188 |
$8K |
| G0328 |
Fecal blood scrn immunoassay |
416 |
411 |
$8K |
| 86308 |
|
1,819 |
1,762 |
$8K |
| 84520 |
|
2,361 |
2,249 |
$8K |
| 71101 |
|
360 |
348 |
$7K |
| 0081A |
|
253 |
249 |
$7K |
| 88112 |
|
295 |
266 |
$7K |
| 73660 |
|
468 |
433 |
$7K |
| 93294 |
|
377 |
360 |
$7K |
| 72158 |
|
51 |
50 |
$7K |
| 83721 |
|
773 |
760 |
$7K |
| 96374 |
|
303 |
265 |
$7K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
8,207 |
3,878 |
$7K |
| G0103 |
Psa screening |
363 |
359 |
$7K |
| 31231 |
|
56 |
53 |
$7K |
| 92556 |
|
378 |
367 |
$7K |
| 88141 |
|
187 |
186 |
$7K |
| 95806 |
|
147 |
142 |
$6K |
| 82465 |
|
1,731 |
1,697 |
$6K |
| 76870 |
|
87 |
86 |
$6K |
| 99218 |
|
114 |
103 |
$6K |
| 84146 |
|
354 |
338 |
$6K |
| 20550 |
|
216 |
171 |
$6K |
| 71271 |
|
51 |
49 |
$6K |
| 70551 |
|
80 |
75 |
$6K |
| 86580 |
|
1,067 |
974 |
$6K |
| 82784 |
|
508 |
493 |
$6K |
| 20611 |
|
79 |
76 |
$6K |
| 0154A |
|
188 |
169 |
$5K |
| 99349 |
|
74 |
69 |
$5K |
| 84550 |
|
1,457 |
1,384 |
$5K |
| J1642 |
Inj heparin sodium per 10 u |
787 |
482 |
$5K |
| 96101 |
|
88 |
85 |
$5K |
| 86706 |
|
518 |
496 |
$5K |
| 83001 |
|
280 |
267 |
$5K |
| 96375 |
|
380 |
277 |
$5K |
| 97163 |
|
132 |
126 |
$5K |
| 90672 |
|
6,161 |
5,985 |
$5K |
| 82274 |
|
742 |
727 |
$4K |
| 82550 |
|
656 |
614 |
$4K |
| 85060 |
|
313 |
304 |
$4K |
| 87209 |
|
1,235 |
1,165 |
$4K |
| 99219 |
|
82 |
75 |
$4K |
| 98968 |
|
414 |
294 |
$4K |
| 82681 |
|
135 |
132 |
$4K |
| 99152 |
|
551 |
493 |
$4K |
| 99350 |
Prolong home eval add 15m |
29 |
29 |
$4K |
| 96112 |
|
45 |
43 |
$4K |
| U0002 |
Covid-19 lab test non-cdc |
67 |
67 |
$4K |
| 0112A |
|
90 |
89 |
$4K |
| 99316 |
|
85 |
77 |
$4K |
| 11100 |
|
545 |
512 |
$4K |
| 99441 |
|
831 |
783 |
$4K |
| 92587 |
|
216 |
213 |
$3K |
| 51798 |
|
539 |
517 |
$3K |
| 87338 |
|
237 |
237 |
$3K |
| G0009 |
Admin pneumococcal vaccine |
916 |
873 |
$3K |
| 90935 |
|
66 |
37 |
$3K |
| 84100 |
|
742 |
675 |
$3K |
| 94618 |
|
147 |
143 |
$3K |
| 96040 |
|
89 |
87 |
$3K |
| 0074A |
|
159 |
150 |
$3K |
| J1100 |
Dexamethasone sodium phos |
3,367 |
2,771 |
$3K |
| 78452 |
|
72 |
64 |
$3K |
| 99177 |
|
433 |
431 |
$3K |
| 97113 |
|
107 |
53 |
$3K |
| J1030 |
Methylprednisolone 40 mg inj |
351 |
329 |
$3K |
| J0696 |
Ceftriaxone sodium injection |
2,952 |
2,243 |
$3K |
| 0083A |
|
66 |
66 |
$3K |
| 90620 |
|
74 |
67 |
$3K |
| 77085 |
|
82 |
80 |
$3K |
| 0298T |
|
151 |
147 |
$2K |
| 84075 |
|
685 |
602 |
$2K |
| 11301 |
|
34 |
26 |
$2K |
| 72197 |
|
12 |
12 |
$2K |
| 96361 |
|
226 |
190 |
$2K |
| 99403 |
|
32 |
32 |
$2K |
| 84295 |
|
554 |
538 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
2,894 |
2,312 |
$2K |
| J7030 |
Normal saline solution infus |
838 |
706 |
$2K |
| M0220 |
Tixagev and cilgav inj |
14 |
14 |
$2K |
| 76519 |
|
95 |
85 |
$2K |
| 86900 |
|
724 |
680 |
$2K |
| 86901 |
|
703 |
660 |
$2K |
| 87798 |
|
46 |
45 |
$2K |
| 0034A |
|
102 |
57 |
$2K |
| 92285 |
|
114 |
113 |
$2K |
| 90710 |
|
6,993 |
6,696 |
$2K |
| 92591 |
|
30 |
26 |
$2K |
| 96360 |
|
58 |
39 |
$2K |
| 70496 |
|
29 |
26 |
$2K |
| 99421 |
|
226 |
217 |
$2K |
| 93352 |
|
86 |
84 |
$2K |
| 99000 |
|
405 |
381 |
$2K |
| 98940 |
|
80 |
42 |
$2K |
| 0003A |
|
125 |
96 |
$1K |
| 87502 |
|
14 |
14 |
$1K |
| 0111A |
|
33 |
33 |
$1K |
| 73090 |
|
89 |
76 |
$1K |
| 51702 |
|
41 |
36 |
$1K |
| 51701 |
|
49 |
48 |
$1K |
| J8540 |
Oral dexamethasone |
1,066 |
770 |
$1K |
| 0173A |
|
35 |
34 |
$1K |
| 70498 |
|
27 |
24 |
$1K |
| 78815 |
|
25 |
24 |
$1K |
| 82670 |
|
69 |
66 |
$1K |
| 73552 |
|
72 |
65 |
$1K |
| 99451 |
|
51 |
50 |
$1K |
| 87147 |
|
370 |
364 |
$1K |
| 99226 |
|
20 |
12 |
$1K |
| 90962 |
|
14 |
12 |
$1K |
| 82962 |
|
976 |
932 |
$1K |
| 73700 |
|
15 |
14 |
$1K |
| 90723 |
|
29,443 |
28,019 |
$1K |
| 96417 |
|
23 |
12 |
$1K |
| 56820 |
|
13 |
12 |
$1K |
| J1010 |
Inj, methylpred acetate 1 mg |
73 |
72 |
$980.90 |
| 85049 |
|
211 |
193 |
$975.58 |
| 96367 |
|
39 |
25 |
$946.54 |
| 87634 |
|
12 |
12 |
$916.89 |
| 11200 |
|
16 |
15 |
$912.91 |
| 90647 |
|
28,771 |
27,363 |
$854.63 |
| 46600 |
|
12 |
12 |
$851.35 |
| 58100 |
|
12 |
12 |
$842.11 |
| 96402 |
|
40 |
36 |
$835.90 |
| 11300 |
|
17 |
12 |
$829.13 |
| 90633 |
|
21,579 |
20,834 |
$822.38 |
| 93922 |
|
38 |
37 |
$702.45 |
| 99153 |
Mod sedat endo service >5yrs |
97 |
89 |
$690.96 |
| 82951 |
|
50 |
49 |
$667.65 |
| 90680 |
|
22,927 |
21,802 |
$664.90 |
| J8499 |
Oral prescrip drug non chemo |
2,137 |
2,092 |
$661.31 |
| 76700 |
|
13 |
12 |
$660.01 |
| 77092 |
|
92 |
89 |
$618.72 |
| 96381 |
|
49 |
46 |
$604.40 |
| J0702 |
Betamethasone acet&sod phosp |
76 |
65 |
$591.46 |
| 84156 |
|
151 |
143 |
$581.60 |
| 92593 |
|
15 |
13 |
$577.77 |
| 92235 |
|
12 |
12 |
$576.80 |
| 93244 |
|
43 |
42 |
$575.68 |
| 87205 |
|
173 |
167 |
$575.53 |
| 86480 |
|
31 |
30 |
$575.09 |
| 80069 |
|
73 |
71 |
$572.05 |
| 83970 |
|
12 |
12 |
$520.86 |
| 20600 |
|
14 |
12 |
$509.38 |
| 83520 |
|
32 |
28 |
$502.67 |
| 98967 |
|
65 |
60 |
$484.32 |
| 0092A |
|
14 |
12 |
$443.61 |
| 92553 |
|
16 |
16 |
$432.61 |
| 83718 |
|
63 |
63 |
$430.44 |
| 77080 |
|
12 |
12 |
$428.54 |
| 92136 |
|
12 |
12 |
$422.74 |
| 82746 |
|
51 |
50 |
$412.52 |
| 86003 |
|
13 |
12 |
$373.96 |
| 90696 |
|
8,639 |
8,250 |
$365.78 |
| 84402 |
|
12 |
12 |
$329.39 |
| J1040 |
Methylprednisolone 80 mg inj |
42 |
41 |
$305.30 |
| G2012 |
Brief check in by md/qhp |
179 |
170 |
$291.72 |
| 86039 |
|
25 |
25 |
$290.17 |
| 97012 |
|
50 |
24 |
$285.43 |
| 96900 |
|
17 |
12 |
$275.18 |
| 72070 |
|
13 |
12 |
$253.65 |
| 93005 |
|
52 |
52 |
$253.07 |
| 82374 |
|
52 |
51 |
$243.17 |
| 83002 |
|
12 |
12 |
$242.16 |
| 92555 |
|
14 |
14 |
$239.88 |
| J3010 |
Fentanyl citrate injection |
388 |
353 |
$239.24 |
| J7613 |
Albuterol non-comp unit |
3,214 |
3,051 |
$234.82 |
| 82435 |
|
53 |
52 |
$228.91 |
| 86618 |
|
13 |
13 |
$223.53 |
| 84481 |
|
53 |
51 |
$220.80 |
| J3420 |
Vitamin b12 injection |
140 |
116 |
$218.68 |
| 72220 |
|
12 |
12 |
$213.02 |
| 93295 |
|
14 |
13 |
$196.32 |
| 92550 |
|
13 |
13 |
$158.35 |
| Q4051 |
Splint supplies misc |
16 |
13 |
$139.62 |
| 97010 |
|
64 |
53 |
$127.59 |
| J2250 |
Inj midazolam hydrochloride |
506 |
345 |
$127.56 |
| 87220 |
|
26 |
25 |
$118.83 |
| 90744 |
|
836 |
809 |
$105.80 |
| 90700 |
|
8,157 |
7,856 |
$90.66 |
| J2405 |
Ondansetron hcl injection |
258 |
193 |
$78.94 |
| 86431 |
|
12 |
12 |
$78.72 |
| 91318 |
|
158 |
145 |
$74.44 |
| Q0162 |
Ondansetron oral |
193 |
90 |
$66.81 |
| 82040 |
|
12 |
12 |
$62.03 |
| S0119 |
Ondansetron 4 mg |
1,277 |
1,246 |
$61.02 |
| 81015 |
|
178 |
171 |
$51.86 |
| 94010 |
|
37 |
36 |
$49.27 |
| 90660 |
|
146 |
145 |
$43.34 |
| 86038 |
|
14 |
14 |
$15.53 |
| J1200 |
Diphenhydramine hcl injectio |
17 |
14 |
$10.48 |
| 99336 |
|
31 |
25 |
$8.42 |
| 91305 |
|
134 |
133 |
$0.00 |
| 91319 |
|
346 |
333 |
$0.00 |
| 80047 |
|
201 |
140 |
$0.00 |
| 91301 |
|
130 |
124 |
$0.00 |
| 91307 |
|
332 |
295 |
$0.00 |
| 91303 |
|
13 |
13 |
$0.00 |
| 91306 |
|
66 |
65 |
$0.00 |
| 82150 |
|
18 |
17 |
$0.00 |
| 90381 |
|
14 |
13 |
$0.00 |
| G1004 |
Cdsm ndsc |
16,255 |
11,380 |
$0.00 |
| 81002 |
|
70 |
55 |
$0.00 |
| G8979 |
Mobility goal status |
318 |
242 |
$0.00 |
| 90685 |
|
1,343 |
1,275 |
$0.00 |
| 91300 |
|
693 |
630 |
$0.00 |
| 99404 |
|
16 |
16 |
$0.00 |
| G8978 |
Mobility current status |
271 |
204 |
$0.00 |
| 91312 |
|
18 |
18 |
$0.00 |
| 76942 |
|
14 |
12 |
$0.00 |
| 90611 |
|
15 |
14 |
$0.00 |