| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
351,075 |
291,661 |
$71.13M |
| 99213 |
|
246,914 |
206,988 |
$50.68M |
| 90935 |
|
139,146 |
10,813 |
$43.00M |
| 99212 |
|
113,575 |
100,224 |
$23.79M |
| J9271 |
Inj pembrolizumab |
2,057 |
1,384 |
$12.18M |
| 90945 |
|
30,499 |
954 |
$11.34M |
| 99285 |
|
40,206 |
32,897 |
$9.97M |
| 99284 |
|
41,525 |
34,990 |
$9.88M |
| J1459 |
Inj ivig privigen 500 mg |
7,127 |
2,129 |
$9.59M |
| 99283 |
|
38,251 |
32,949 |
$9.39M |
| 96361 |
|
17,132 |
12,692 |
$7.81M |
| 99211 |
|
37,717 |
32,287 |
$7.62M |
| 93306 |
|
14,886 |
13,156 |
$7.33M |
| J2350 |
Injection, ocrelizumab, 1 mg |
286 |
237 |
$5.19M |
| G0378 |
Hospital observation per hr |
33,795 |
13,508 |
$5.01M |
| 99204 |
|
23,081 |
21,853 |
$4.70M |
| 96365 |
|
24,071 |
15,518 |
$4.49M |
| 43239 |
|
5,355 |
4,935 |
$4.41M |
| 96415 |
|
8,406 |
5,965 |
$4.32M |
| 96413 |
|
24,029 |
15,233 |
$3.91M |
| 99215 |
Prolong outpt/office vis |
21,124 |
18,540 |
$3.88M |
| 99203 |
|
17,401 |
16,392 |
$3.49M |
| Q5103 |
Injection, inflectra |
1,849 |
1,621 |
$3.26M |
| 74177 |
|
10,233 |
8,964 |
$3.23M |
| 45380 |
|
3,844 |
3,494 |
$3.03M |
| 96366 |
|
8,165 |
5,032 |
$2.98M |
| G0463 |
Hospital outpt clinic visit |
173,265 |
113,694 |
$2.74M |
| 45385 |
|
3,156 |
2,896 |
$2.68M |
| J1745 |
Infliximab not biosimil 10mg |
1,811 |
1,487 |
$2.67M |
| 59025 |
|
8,544 |
5,399 |
$2.55M |
| 78815 |
|
2,010 |
1,736 |
$2.52M |
| 99282 |
|
10,974 |
9,921 |
$2.51M |
| 80053 |
|
218,903 |
164,470 |
$2.51M |
| 99202 |
|
11,806 |
11,132 |
$2.49M |
| 93308 |
|
4,903 |
4,057 |
$2.44M |
| 80307 |
|
31,895 |
25,385 |
$2.41M |
| J9299 |
Injection, nivolumab |
700 |
403 |
$2.37M |
| 95810 |
|
2,506 |
2,327 |
$2.36M |
| 20610 |
|
9,398 |
7,531 |
$2.34M |
| J0585 |
Injection,onabotulinumtoxina |
7,517 |
3,938 |
$2.18M |
| 93303 |
|
5,141 |
4,578 |
$2.15M |
| 92507 |
|
9,085 |
4,817 |
$2.12M |
| 70450 |
|
8,529 |
7,226 |
$2.02M |
| J3380 |
Inj vedolizumab iv 1 mg |
675 |
565 |
$1.99M |
| 0241U |
|
18,415 |
16,659 |
$1.97M |
| 43235 |
|
2,289 |
2,074 |
$1.92M |
| 78452 |
|
2,168 |
1,931 |
$1.91M |
| 42820 |
|
622 |
559 |
$1.79M |
| 76770 |
|
8,233 |
7,309 |
$1.76M |
| 97163 |
|
10,264 |
9,451 |
$1.75M |
| 95812 |
|
2,374 |
2,272 |
$1.67M |
| U0003 |
Cov-19 amp prb hgh thruput |
30,378 |
27,550 |
$1.63M |
| 96112 |
|
1,916 |
1,783 |
$1.62M |
| 77386 |
|
2,767 |
246 |
$1.61M |
| Q4081 |
Epoetin alfa, 100 units esrd |
65,683 |
4,656 |
$1.59M |
| 69436 |
|
1,116 |
842 |
$1.56M |
| 92521 |
|
7,813 |
7,251 |
$1.54M |
| J3490 |
Drugs unclassified injection |
388,874 |
91,434 |
$1.47M |
| 96360 |
|
6,865 |
5,574 |
$1.39M |
| 70553 |
|
3,291 |
2,899 |
$1.39M |
| 71275 |
|
4,845 |
4,206 |
$1.36M |
| Q5105 |
Inj retacrit esrd on dialysi |
65,075 |
5,122 |
$1.36M |
| Q5115 |
Inj truxima 10 mg |
285 |
124 |
$1.34M |
| 76705 |
|
9,565 |
8,347 |
$1.22M |
| 20553 |
|
4,195 |
3,352 |
$1.21M |
| 67028 |
|
4,296 |
3,003 |
$1.18M |
| J9312 |
Inj., rituximab, 10 mg |
487 |
212 |
$1.18M |
| 70551 |
|
3,127 |
2,828 |
$1.16M |
| 99281 |
|
5,008 |
4,536 |
$1.15M |
| 92014 |
|
11,301 |
9,604 |
$1.15M |
| P9016 |
Rbc leukocytes reduced |
2,899 |
1,893 |
$1.09M |
| J0178 |
Aflibercept injection |
947 |
743 |
$1.08M |
| 97167 |
|
7,722 |
7,124 |
$1.07M |
| 90837 |
|
6,125 |
4,196 |
$1.03M |
| 93320 |
|
5,302 |
4,707 |
$1.00M |
| 31575 |
|
4,266 |
3,729 |
$970K |
| C9257 |
Bevacizumab injection |
2,130 |
1,673 |
$963K |
| 92588 |
|
4,903 |
4,647 |
$933K |
| 90791 |
|
3,305 |
2,888 |
$869K |
| 97530 |
|
12,555 |
5,702 |
$855K |
| 52000 |
|
691 |
618 |
$850K |
| 90999 |
|
29,052 |
2,091 |
$812K |
| 50435 |
|
722 |
548 |
$810K |
| 90792 |
|
2,923 |
2,640 |
$804K |
| 96040 |
|
6,002 |
5,467 |
$796K |
| 93304 |
|
1,814 |
1,603 |
$769K |
| 11102 |
|
1,567 |
1,389 |
$758K |
| J7307 |
Etonogestrel implant system |
1,119 |
1,048 |
$757K |
| 76816 |
|
8,195 |
7,067 |
$756K |
| 36430 |
|
3,281 |
1,837 |
$754K |
| 64615 |
|
1,468 |
1,292 |
$728K |
| 80048 |
|
94,665 |
68,658 |
$728K |
| 92012 |
|
7,255 |
5,668 |
$722K |
| 93325 |
|
11,147 |
9,490 |
$715K |
| J2357 |
Omalizumab injection |
1,622 |
1,134 |
$699K |
| Q3014 |
Telehealth facility fee |
37,724 |
32,109 |
$671K |
| 71260 |
|
4,781 |
4,057 |
$667K |
| J0604 |
Cinacalcet, esrd on dialysis |
2,609 |
1,970 |
$665K |
| J0897 |
Denosumab injection |
1,350 |
1,039 |
$651K |
| 87635 |
|
10,596 |
9,598 |
$646K |
| J0485 |
Belatacept injection |
1,745 |
732 |
$645K |
| 87591 |
|
23,455 |
20,140 |
$645K |
| 77412 |
|
1,213 |
149 |
$637K |
| 96367 |
|
5,806 |
3,911 |
$632K |
| 95885 |
|
2,651 |
2,386 |
$631K |
| J0606 |
Inj, etelcalcetide, 0.1 mg |
22,075 |
1,745 |
$619K |
| 97110 |
|
8,410 |
4,581 |
$614K |
| 96116 |
|
1,008 |
915 |
$613K |
| 95886 |
|
3,063 |
2,774 |
$607K |
| 31231 |
|
2,331 |
2,100 |
$607K |
| 94640 |
|
8,725 |
5,654 |
$598K |
| 76805 |
|
4,532 |
4,167 |
$587K |
| 31579 |
|
771 |
723 |
$580K |
| Q5104 |
Injection, renflexis |
258 |
222 |
$562K |
| 64721 |
|
400 |
381 |
$561K |
| 70496 |
|
1,496 |
1,319 |
$546K |
| J1453 |
Fosaprepitant injection |
2,587 |
1,566 |
$544K |
| 76801 |
|
4,429 |
3,826 |
$538K |
| 93005 |
|
83,636 |
64,557 |
$536K |
| 90686 |
|
35,506 |
33,444 |
$516K |
| 74176 |
|
1,790 |
1,533 |
$509K |
| 20611 |
|
869 |
771 |
$505K |
| J9035 |
Bevacizumab injection |
261 |
82 |
$499K |
| 76642 |
|
3,157 |
2,749 |
$494K |
| 76819 |
|
5,462 |
2,834 |
$490K |
| 95782 |
|
454 |
423 |
$489K |
| 90834 |
|
2,974 |
2,062 |
$477K |
| 45378 |
|
475 |
439 |
$473K |
| 93017 |
|
3,151 |
2,809 |
$467K |
| 92004 |
|
3,922 |
3,533 |
$460K |
| 82306 |
|
28,910 |
25,109 |
$459K |
| 17110 |
|
2,014 |
1,855 |
$457K |
| 93970 |
|
2,778 |
2,311 |
$446K |
| 74174 |
|
1,257 |
1,049 |
$439K |
| 96132 |
|
1,559 |
1,361 |
$432K |
| 93971 |
|
3,339 |
2,820 |
$428K |
| 41899 |
|
208 |
194 |
$421K |
| 93321 |
|
5,571 |
4,620 |
$420K |
| C8929 |
Tte w or wo fol wcon,doppler |
870 |
781 |
$413K |
| 66984 |
|
408 |
311 |
$405K |
| 81229 |
|
1,653 |
1,407 |
$403K |
| 54161 |
|
132 |
129 |
$399K |
| 87536 |
|
5,748 |
4,854 |
$397K |
| 90651 |
|
6,996 |
6,643 |
$396K |
| 76856 |
|
2,780 |
2,498 |
$394K |
| 94618 |
|
3,676 |
3,196 |
$391K |
| 36415 |
|
287,506 |
217,700 |
$390K |
| 58100 |
|
866 |
771 |
$386K |
| 58300 |
|
1,579 |
1,416 |
$385K |
| 92557 |
|
3,837 |
3,379 |
$376K |
| 96372 |
|
30,693 |
24,504 |
$374K |
| 97803 |
|
1,547 |
1,300 |
$374K |
| 77336 |
|
3,659 |
1,649 |
$372K |
| 43762 |
|
1,273 |
1,133 |
$363K |
| 84443 |
|
68,969 |
59,988 |
$359K |
| 20550 |
|
1,312 |
1,099 |
$356K |
| 88305 |
|
25,367 |
21,901 |
$355K |
| 77334 |
|
2,003 |
1,178 |
$351K |
| 93922 |
|
3,477 |
2,944 |
$350K |
| 74183 |
|
945 |
845 |
$349K |
| 85025 |
|
160,953 |
121,285 |
$344K |
| 49083 |
|
496 |
273 |
$343K |
| 77063 |
|
5,282 |
4,819 |
$334K |
| 90832 |
|
2,335 |
1,696 |
$334K |
| 90471 |
|
61,171 |
57,415 |
$332K |
| 11900 |
|
1,165 |
1,065 |
$329K |
| 76775 |
|
1,945 |
1,652 |
$321K |
| 76811 |
|
2,627 |
2,395 |
$321K |
| J7298 |
Mirena, 52 mg |
430 |
403 |
$315K |
| 83036 |
|
72,040 |
62,998 |
$309K |
| 87637 |
|
8,056 |
7,757 |
$304K |
| 92579 |
|
2,616 |
2,484 |
$303K |
| 94010 |
|
13,309 |
11,602 |
$301K |
| 85027 |
|
165,085 |
123,349 |
$299K |
| 80061 |
|
48,593 |
43,011 |
$299K |
| 64642 |
|
1,083 |
804 |
$293K |
| 58661 |
|
49 |
38 |
$292K |
| 95811 |
|
426 |
368 |
$292K |
| J2323 |
Natalizumab injection |
210 |
162 |
$285K |
| 11981 |
|
699 |
655 |
$283K |
| 87624 |
|
12,184 |
10,632 |
$282K |
| 20605 |
|
1,183 |
972 |
$282K |
| 76830 |
|
2,255 |
2,026 |
$282K |
| 76815 |
|
1,736 |
1,488 |
$277K |
| 62323 |
|
361 |
332 |
$272K |
| 71250 |
|
2,438 |
2,116 |
$271K |
| 71046 |
|
19,751 |
16,427 |
$269K |
| 11104 |
|
431 |
396 |
$269K |
| J2506 |
Inj pegfilgrast ex bio 0.5mg |
124 |
76 |
$268K |
| 83970 |
|
14,178 |
11,824 |
$263K |
| 64493 |
|
294 |
217 |
$263K |
| 77067 |
|
7,088 |
6,422 |
$262K |
| 20552 |
|
948 |
844 |
$260K |
| 76937 |
|
3,960 |
3,384 |
$254K |
| 83880 |
|
15,440 |
12,351 |
$254K |
| 29075 |
|
859 |
671 |
$253K |
| 20680 |
|
184 |
160 |
$252K |
| 90677 |
|
3,414 |
3,202 |
$251K |
| 75574 |
|
553 |
508 |
$250K |
| 99205 |
Prolong outpt/office vis |
1,458 |
1,377 |
$243K |
| 93296 |
|
6,853 |
6,208 |
$242K |
| Q0138 |
Ferumoxytol, non-esrd |
983 |
647 |
$235K |
| 70491 |
|
970 |
831 |
$235K |
| 87389 |
|
22,725 |
20,679 |
$234K |
| 87086 |
|
38,053 |
31,882 |
$233K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
4,601 |
4,138 |
$231K |
| 86923 |
|
7,421 |
5,395 |
$228K |
| 90715 |
|
10,423 |
9,713 |
$227K |
| J0475 |
Baclofen 10 mg injection |
905 |
607 |
$226K |
| 92551 |
|
2,349 |
2,245 |
$223K |
| 93880 |
|
1,834 |
1,497 |
$218K |
| 76820 |
|
3,418 |
2,123 |
$216K |
| 51728 |
|
623 |
521 |
$216K |
| 88142 |
|
12,536 |
11,054 |
$216K |
| 51600 |
|
926 |
743 |
$214K |
| 10005 |
|
440 |
410 |
$213K |
| 95816 |
|
802 |
728 |
$212K |
| 95700 |
|
722 |
669 |
$210K |
| 51741 |
|
1,399 |
1,120 |
$208K |
| 86780 |
|
19,400 |
17,441 |
$205K |
| 90670 |
|
11,790 |
11,087 |
$204K |
| 52356 |
|
30 |
25 |
$204K |
| 76536 |
|
1,253 |
1,133 |
$204K |
| 64643 |
|
521 |
389 |
$203K |
| 43264 |
|
144 |
132 |
$197K |
| 77300 |
|
1,395 |
1,064 |
$192K |
| 92567 |
|
8,946 |
8,172 |
$188K |
| 42830 |
|
64 |
55 |
$184K |
| 96416 |
|
735 |
405 |
$184K |
| 97802 |
|
1,158 |
1,072 |
$183K |
| A0425 |
Ground mileage |
1,897 |
1,551 |
$183K |
| 92083 |
|
4,226 |
3,694 |
$182K |
| 51784 |
|
944 |
756 |
$182K |
| 87081 |
|
20,546 |
19,368 |
$180K |
| 76942 |
|
2,861 |
2,380 |
$180K |
| 80076 |
|
15,822 |
13,485 |
$177K |
| 92134 |
|
8,740 |
7,242 |
$171K |
| 77470 |
|
222 |
189 |
$170K |
| 88185 |
|
2,562 |
1,849 |
$170K |
| J1756 |
Iron sucrose injection |
5,404 |
2,150 |
$168K |
| 87491 |
|
23,440 |
20,125 |
$167K |
| J0882 |
Darbepoetin alfa, esrd use |
267 |
105 |
$166K |
| 97162 |
|
1,648 |
1,417 |
$166K |
| 86803 |
|
21,052 |
18,759 |
$165K |
| J2505 |
Injection, pegfilgrastim 6mg |
72 |
50 |
$164K |
| 20600 |
|
612 |
490 |
$164K |
| 76512 |
|
1,027 |
771 |
$160K |
| 38222 |
|
139 |
107 |
$158K |
| 97166 |
|
1,848 |
1,613 |
$156K |
| 77295 |
|
161 |
139 |
$152K |
| 93925 |
|
1,096 |
883 |
$150K |
| 87507 |
|
1,875 |
1,713 |
$150K |
| 75561 |
|
252 |
235 |
$150K |
| C1776 |
Joint device (implantable) |
488 |
438 |
$149K |
| 76817 |
|
2,307 |
1,837 |
$148K |
| 86481 |
|
5,960 |
5,445 |
$145K |
| 87799 |
|
6,491 |
4,514 |
$142K |
| 87510 |
|
8,650 |
7,681 |
$140K |
| 74018 |
|
7,968 |
6,526 |
$138K |
| 94729 |
|
7,294 |
6,392 |
$138K |
| 90682 |
|
8,030 |
7,164 |
$137K |
| 86832 |
|
4,556 |
3,742 |
$136K |
| 87497 |
|
7,451 |
4,746 |
$136K |
| 95806 |
|
484 |
444 |
$134K |
| 76885 |
|
640 |
600 |
$133K |
| 87522 |
Neg quan hep c or qual rna |
3,945 |
3,495 |
$129K |
| 0225U |
|
757 |
703 |
$128K |
| 96138 |
|
1,597 |
1,455 |
$128K |
| 92585 |
|
276 |
258 |
$127K |
| 11982 |
|
343 |
302 |
$125K |
| 17000 |
|
1,040 |
906 |
$124K |
| J1439 |
Inj ferric carboxymaltos 1mg |
772 |
458 |
$123K |
| 74455 |
|
678 |
552 |
$121K |
| 99291 |
|
493 |
443 |
$120K |
| 77001 |
|
936 |
721 |
$117K |
| 92524 |
|
422 |
398 |
$116K |
| 93975 |
|
1,120 |
1,006 |
$116K |
| 72082 |
|
5,101 |
4,399 |
$115K |
| 58301 |
|
460 |
418 |
$115K |
| 80197 |
|
13,410 |
7,378 |
$113K |
| 82728 |
|
30,059 |
25,880 |
$111K |
| J9263 |
Oxaliplatin |
265 |
75 |
$111K |
| 72125 |
|
2,927 |
2,570 |
$109K |
| 76882 |
|
812 |
711 |
$109K |
| J9310 |
Rituximab injection |
68 |
12 |
$108K |
| 91320 |
|
1,872 |
1,749 |
$108K |
| 92060 |
|
1,919 |
1,755 |
$107K |
| 84439 |
|
27,075 |
23,123 |
$107K |
| 92020 |
|
661 |
543 |
$106K |
| 95910 |
|
1,589 |
1,434 |
$105K |
| 83655 |
|
1,709 |
1,544 |
$105K |
| J7120 |
Ringers lactate infusion |
62,216 |
51,440 |
$103K |
| 84403 |
|
5,997 |
5,381 |
$103K |
| 90833 |
|
1,114 |
970 |
$102K |
| 0001A |
|
2,727 |
2,448 |
$101K |
| 74230 |
|
896 |
797 |
$101K |
| 83735 |
|
59,200 |
36,776 |
$99K |
| 90648 |
|
13,073 |
12,431 |
$98K |
| 0002A |
|
2,428 |
2,240 |
$97K |
| 92025 |
|
449 |
413 |
$97K |
| 72110 |
|
3,394 |
2,919 |
$96K |
| 95117 |
|
2,301 |
1,204 |
$96K |
| 19083 |
|
45 |
40 |
$95K |
| 76870 |
|
581 |
515 |
$91K |
| 71045 |
|
21,168 |
17,438 |
$90K |
| 72141 |
|
393 |
349 |
$89K |
| 77062 |
|
1,101 |
1,050 |
$88K |
| 36902 |
|
75 |
48 |
$87K |
| 72170 |
|
5,047 |
4,533 |
$87K |
| 20526 |
|
296 |
241 |
$87K |
| 85610 |
|
49,604 |
35,695 |
$86K |
| 91200 |
|
597 |
554 |
$86K |
| 76825 |
|
795 |
727 |
$85K |
| 73130 |
|
3,733 |
2,980 |
$85K |
| 87660 |
|
8,650 |
7,680 |
$84K |
| 99173 |
|
2,739 |
2,629 |
$83K |
| 94726 |
|
3,580 |
3,114 |
$82K |
| 90853 |
|
466 |
184 |
$82K |
| J2997 |
Alteplase recombinant |
1,447 |
803 |
$82K |
| G0480 |
Drug test def 1-7 classes |
7,261 |
5,671 |
$81K |
| 70498 |
|
1,327 |
1,171 |
$81K |
| 93225 |
|
1,632 |
1,417 |
$81K |
| 90460 |
|
17,152 |
16,172 |
$78K |
| 90734 |
|
4,938 |
4,644 |
$77K |
| 95951 |
|
217 |
85 |
$77K |
| G0108 |
Diab manage trn per indiv |
1,601 |
1,416 |
$77K |
| 88307 |
|
3,607 |
3,041 |
$76K |
| 87430 |
|
7,145 |
6,657 |
$76K |
| 86833 |
|
4,538 |
3,725 |
$75K |
| C1769 |
Guide wire |
14,291 |
11,896 |
$75K |
| 88341 |
|
3,206 |
2,738 |
$75K |
| 82607 |
|
13,674 |
12,021 |
$74K |
| 77290 |
|
206 |
157 |
$74K |
| 11719 |
|
2,812 |
2,293 |
$74K |
| 92133 |
|
4,164 |
3,704 |
$73K |
| 92552 |
|
951 |
881 |
$72K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
40,697 |
28,373 |
$72K |
| 29405 |
|
226 |
180 |
$70K |
| 90723 |
|
9,833 |
9,365 |
$70K |
| 77061 |
|
947 |
895 |
$70K |
| 74240 |
|
443 |
418 |
$69K |
| 43760 |
|
255 |
208 |
$68K |
| 90480 |
|
2,951 |
2,809 |
$68K |
| 82962 |
|
62,033 |
28,844 |
$66K |
| 82784 |
|
9,916 |
8,461 |
$66K |
| 73100 |
|
1,841 |
1,364 |
$65K |
| 92250 |
|
4,180 |
3,589 |
$65K |
| 81003 |
|
48,899 |
40,905 |
$65K |
| 72148 |
|
475 |
421 |
$64K |
| C1758 |
Catheter, ureteral |
2,310 |
1,884 |
$64K |
| 82670 |
|
2,526 |
2,280 |
$63K |
| 97165 |
|
540 |
494 |
$63K |
| 93505 |
|
94 |
73 |
$61K |
| 94060 |
|
1,514 |
1,231 |
$61K |
| 29827 |
|
15 |
13 |
$60K |
| 93976 |
|
329 |
307 |
$60K |
| J2501 |
Paricalcitol |
81,547 |
6,783 |
$60K |
| 81025 |
|
28,992 |
25,413 |
$59K |
| 17250 |
|
213 |
179 |
$59K |
| 72100 |
|
3,585 |
3,005 |
$59K |
| 36591 |
|
11,165 |
6,539 |
$58K |
| 10060 |
|
330 |
274 |
$58K |
| 85018 |
|
26,272 |
21,090 |
$58K |
| 31624 |
|
54 |
49 |
$58K |
| 64635 |
|
62 |
48 |
$58K |
| 51798 |
|
2,944 |
2,588 |
$57K |
| 90633 |
|
7,862 |
7,475 |
$57K |
| 62370 |
|
546 |
380 |
$57K |
| 87480 |
|
8,644 |
7,673 |
$57K |
| 86140 |
|
26,449 |
22,353 |
$56K |
| 77066 |
Tomosynthesis, mammo |
1,806 |
1,608 |
$55K |
| C1725 |
Cath, translumin non-laser |
1,730 |
1,357 |
$55K |
| 95908 |
|
826 |
760 |
$55K |
| 84100 |
|
51,201 |
34,943 |
$55K |
| 83516 |
|
5,679 |
3,199 |
$54K |
| 31615 |
|
29 |
25 |
$54K |
| 72040 |
|
2,511 |
2,074 |
$54K |
| P9047 |
Albumin (human), 25%, 50ml |
199 |
72 |
$54K |
| J0881 |
Darbepoetin alfa, non-esrd |
854 |
438 |
$54K |
| 96374 |
|
30,604 |
24,244 |
$53K |
| 84466 |
|
29,566 |
25,695 |
$53K |
| 86360 |
|
5,723 |
4,852 |
$53K |
| 87040 |
|
5,072 |
3,005 |
$53K |
| 77065 |
Tomosynthesis, mammo |
1,450 |
1,292 |
$53K |
| 73110 |
|
2,261 |
1,832 |
$52K |
| 90716 |
|
3,739 |
3,494 |
$51K |
| 94660 |
|
135 |
66 |
$50K |
| 87147 |
|
11,548 |
10,518 |
$50K |
| 73590 |
|
3,006 |
2,362 |
$50K |
| 86235 |
|
1,677 |
1,464 |
$50K |
| G2066 |
Inter devc remote 30d |
903 |
862 |
$49K |
| 86003 |
|
4,465 |
3,993 |
$49K |
| 90381 |
|
152 |
137 |
$49K |
| 87070 |
|
9,976 |
8,311 |
$48K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
2,192 |
1,729 |
$47K |
| 84146 |
|
3,075 |
2,758 |
$46K |
| 93923 |
|
648 |
431 |
$46K |
| 73140 |
|
1,422 |
1,130 |
$45K |
| 27096 |
|
70 |
61 |
$45K |
| 95909 |
|
742 |
696 |
$44K |
| 84702 |
|
5,131 |
3,976 |
$44K |
| 73630 |
|
3,305 |
2,802 |
$44K |
| 88112 |
|
2,574 |
2,109 |
$44K |
| 72050 |
|
1,961 |
1,616 |
$44K |
| 90681 |
|
6,275 |
5,937 |
$44K |
| 90472 |
|
19,373 |
18,393 |
$43K |
| 84484 |
|
28,669 |
17,431 |
$43K |
| Q5107 |
Inj mvasi 10 mg |
43 |
16 |
$43K |
| 73090 |
|
2,284 |
1,678 |
$43K |
| 64450 |
|
147 |
120 |
$42K |
| 92523 |
|
222 |
211 |
$41K |
| 82570 |
|
29,304 |
24,341 |
$40K |
| 86359 |
|
5,724 |
4,852 |
$40K |
| 83001 |
|
3,199 |
2,875 |
$40K |
| 77072 |
|
1,790 |
1,631 |
$40K |
| J1050 |
Medroxyprogesterone acetate |
7,507 |
7,047 |
$40K |
| 90656 |
|
2,429 |
2,378 |
$39K |
| 81001 |
|
45,423 |
37,158 |
$39K |
| 81243 |
|
930 |
669 |
$39K |
| 58558 |
|
16 |
12 |
$39K |
| 92235 |
|
125 |
115 |
$38K |
| 72197 |
|
74 |
66 |
$38K |
| 77080 |
|
406 |
358 |
$38K |
| 73564 |
|
3,300 |
2,783 |
$37K |
| 99453 |
|
474 |
447 |
$37K |
| 83540 |
|
29,813 |
25,900 |
$37K |
| 90378 |
|
204 |
126 |
$36K |
| 73610 |
|
3,066 |
2,568 |
$36K |
| 99201 |
|
277 |
255 |
$36K |
| 88184 |
|
2,579 |
1,873 |
$36K |
| 90710 |
|
2,745 |
2,648 |
$36K |
| 90380 |
|
86 |
71 |
$35K |
| 80348 |
|
3,834 |
2,170 |
$35K |
| 85007 |
|
19,085 |
12,520 |
$35K |
| 86850 |
|
24,506 |
18,936 |
$35K |
| 92555 |
|
876 |
795 |
$35K |
| 76000 |
|
3,881 |
3,444 |
$35K |
| 82533 |
|
2,711 |
2,224 |
$34K |
| 88342 |
|
6,105 |
5,283 |
$34K |
| J0690 |
Cefazolin sodium injection |
26,412 |
19,573 |
$34K |
| 95819 |
|
105 |
93 |
$33K |
| 87340 |
|
17,889 |
15,924 |
$33K |
| 86317 |
|
2,924 |
2,543 |
$33K |
| 96409 |
|
635 |
336 |
$32K |
| 92610 |
|
211 |
189 |
$32K |
| 0399T |
|
204 |
149 |
$32K |
| 36592 |
|
2,466 |
771 |
$32K |
| 87517 |
|
1,234 |
1,116 |
$31K |
| A0428 |
Bls |
1,130 |
902 |
$31K |
| J2916 |
Na ferric gluconate complex |
22,895 |
6,509 |
$30K |
| 92504 |
|
258 |
237 |
$30K |
| 83020 |
|
3,673 |
2,992 |
$30K |
| 86665 |
|
2,456 |
1,538 |
$29K |
| J8540 |
Oral dexamethasone |
8,164 |
4,117 |
$28K |
| 36589 |
|
60 |
50 |
$28K |
| 17311 |
|
31 |
26 |
$28K |
| 82043 |
|
18,838 |
16,099 |
$28K |
| 82105 |
|
4,330 |
3,614 |
$28K |
| 97161 |
|
302 |
261 |
$28K |
| 70486 |
|
276 |
256 |
$27K |
| 95004 |
|
597 |
533 |
$27K |
| 47000 |
|
30 |
25 |
$27K |
| 90707 |
|
3,522 |
3,290 |
$27K |
| 87077 |
|
9,978 |
8,467 |
$27K |
| 87633 |
|
676 |
548 |
$27K |
| 77002 |
|
538 |
490 |
$27K |
| 73030 |
|
2,751 |
2,318 |
$27K |
| 90747 |
|
840 |
688 |
$26K |
| Q0162 |
Ondansetron oral |
15,050 |
9,802 |
$26K |
| C1894 |
Intro/sheath, non-laser |
6,455 |
5,343 |
$26K |
| 85379 |
|
4,232 |
3,755 |
$26K |
| 90732 |
|
2,014 |
1,714 |
$26K |
| 64612 |
|
194 |
116 |
$26K |
| 90700 |
|
3,598 |
3,441 |
$25K |
| 12001 |
|
109 |
100 |
$25K |
| J7050 |
Normal saline solution infus |
28,177 |
16,652 |
$25K |
| 86304 |
|
1,703 |
1,350 |
$25K |
| 77003 |
|
150 |
120 |
$25K |
| 38525 |
|
14 |
12 |
$25K |
| 82024 |
|
932 |
794 |
$25K |
| 76827 |
|
439 |
403 |
$24K |
| A4657 |
Syringe w/wo needle |
62,249 |
5,440 |
$24K |
| 86480 |
|
724 |
579 |
$24K |
| Q5118 |
Inj., zirabev, 10 mg |
56 |
25 |
$24K |
| 83605 |
|
15,085 |
10,741 |
$24K |
| 29125 |
|
139 |
122 |
$24K |
| 64644 |
|
135 |
112 |
$24K |
| 0072A |
|
499 |
493 |
$24K |
| 86900 |
|
25,304 |
19,433 |
$24K |
| C1887 |
Catheter, guiding |
2,389 |
2,065 |
$23K |
| 80320 |
|
6,071 |
4,883 |
$23K |
| 86706 |
|
9,984 |
8,813 |
$23K |
| 82785 |
|
5,251 |
4,657 |
$23K |
| 77280 |
|
81 |
64 |
$23K |
| 90746 |
|
1,227 |
1,106 |
$23K |
| 57454 |
|
43 |
37 |
$23K |
| 95714 |
|
38 |
19 |
$23K |
| 99152 |
|
9,313 |
7,777 |
$23K |
| 85652 |
|
25,436 |
21,567 |
$23K |
| 97597 |
|
104 |
79 |
$22K |
| 83883 |
|
3,148 |
2,546 |
$21K |
| 87186 |
|
12,443 |
10,517 |
$21K |
| 86704 |
|
7,755 |
6,886 |
$21K |
| 0071A |
|
615 |
594 |
$21K |
| 87116 |
|
1,760 |
1,386 |
$21K |
| L3908 |
Who cock-up nonmolde pre ots |
1,943 |
1,794 |
$21K |
| 0352U |
|
2,913 |
2,669 |
$21K |
| 90461 |
|
8,677 |
8,148 |
$21K |
| 87804 |
|
1,357 |
1,236 |
$21K |
| 88313 |
|
2,712 |
2,213 |
$20K |
| 96376 |
|
8,860 |
6,450 |
$20K |
| 76978 |
|
123 |
113 |
$20K |
| 96136 |
|
341 |
308 |
$20K |
| 86787 |
|
5,952 |
5,322 |
$20K |
| 86038 |
|
4,675 |
4,157 |
$20K |
| 90673 |
|
1,141 |
1,060 |
$19K |
| G0121 |
Colon ca scrn not hi rsk ind |
32 |
27 |
$19K |
| P9073 |
Platelets pheresis path redu |
29 |
14 |
$19K |
| J7030 |
Normal saline solution infus |
29,382 |
20,750 |
$19K |
| 84153 |
|
3,030 |
2,496 |
$19K |
| M0243 |
Casirivi and imdevi inj |
45 |
44 |
$19K |
| 73502 |
|
1,775 |
1,533 |
$19K |
| 86901 |
|
25,124 |
19,297 |
$18K |
| 87502 |
|
945 |
832 |
$18K |
| J7297 |
Liletta, 52 mg |
48 |
42 |
$18K |
| C1751 |
Cath, inf, per/cent/midline |
2,292 |
1,851 |
$18K |
| 0124A |
|
1,491 |
1,376 |
$18K |
| 96411 |
|
1,667 |
1,045 |
$18K |
| 0115U |
|
699 |
642 |
$18K |
| 73070 |
|
1,100 |
872 |
$18K |
| 64494 |
|
225 |
184 |
$18K |
| 80329 |
|
1,647 |
1,269 |
$18K |
| 96139 |
|
1,523 |
1,387 |
$18K |
| 90696 |
|
2,315 |
2,238 |
$17K |
| 11100 |
|
226 |
147 |
$17K |
| 93926 |
|
173 |
131 |
$17K |
| 93298 |
|
318 |
305 |
$17K |
| 73080 |
|
1,060 |
895 |
$17K |
| 86762 |
|
5,458 |
4,949 |
$17K |
| 86258 |
|
3,144 |
2,914 |
$17K |
| 83002 |
|
1,939 |
1,740 |
$16K |
| 96381 |
|
256 |
221 |
$16K |
| 91318 |
|
694 |
682 |
$16K |
| 90662 |
|
1,966 |
1,622 |
$16K |
| G0008 |
Admin influenza virus vac |
7,636 |
6,430 |
$16K |
| 64405 |
|
54 |
38 |
$16K |
| 86376 |
|
932 |
848 |
$16K |
| 91010 |
|
26 |
25 |
$16K |
| 90636 |
|
144 |
127 |
$16K |
| J2790 |
Rho d immune globulin inj |
148 |
134 |
$16K |
| J0131 |
Inj, acetaminophen (nos) |
12,930 |
11,225 |
$15K |
| 86160 |
|
2,984 |
2,539 |
$15K |
| S9342 |
Hit enteral pump diem |
82 |
53 |
$15K |
| 80164 |
|
1,894 |
1,545 |
$15K |
| 84481 |
|
2,413 |
2,036 |
$15K |
| 80324 |
|
1,172 |
1,015 |
$15K |
| 84270 |
|
3,016 |
2,691 |
$14K |
| 0082A |
|
275 |
271 |
$14K |
| U0005 |
Infec agen detec ampli probe |
3,896 |
3,394 |
$14K |
| 74221 |
|
142 |
133 |
$14K |
| 72158 |
|
59 |
52 |
$14K |
| 93280 |
|
1,329 |
1,058 |
$14K |
| 78264 |
|
27 |
25 |
$14K |
| J1750 |
Inj iron dextran |
126 |
115 |
$14K |
| 88323 |
|
370 |
348 |
$14K |
| 83690 |
|
21,053 |
17,108 |
$14K |
| 82746 |
|
6,155 |
5,406 |
$14K |
| G0103 |
Psa screening |
2,196 |
2,030 |
$14K |
| 49180 |
|
44 |
26 |
$13K |
| 78816 |
|
17 |
14 |
$13K |
| 12011 |
|
63 |
53 |
$13K |
| 71271 |
|
102 |
97 |
$13K |
| 86664 |
|
1,813 |
1,537 |
$13K |
| 70250 |
|
553 |
445 |
$13K |
| 80179 |
|
2,461 |
2,216 |
$13K |
| 72080 |
|
642 |
558 |
$13K |
| 86255 |
|
1,088 |
948 |
$13K |
| 86301 |
|
816 |
587 |
$13K |
| 93282 |
|
776 |
672 |
$13K |
| 78306 |
|
39 |
37 |
$13K |
| 91319 |
|
378 |
371 |
$13K |
| J1650 |
Inj enoxaparin sodium |
11,565 |
4,676 |
$13K |
| 83050 |
|
10,413 |
8,097 |
$13K |
| 73560 |
|
1,379 |
1,138 |
$13K |
| 82803 |
|
11,560 |
8,788 |
$12K |
| 99153 |
Mod sedat endo service >5yrs |
8,057 |
6,675 |
$12K |
| J1950 |
Leuprolide acetate /3.75 mg |
12 |
12 |
$12K |
| 87529 |
|
462 |
407 |
$12K |
| 62305 |
|
28 |
25 |
$12K |
| 96375 |
|
26,626 |
19,316 |
$12K |
| 96133 |
|
1,367 |
1,222 |
$11K |
| 92604 |
|
91 |
86 |
$11K |
| 82565 |
|
12,803 |
9,889 |
$11K |
| 80349 |
|
3,463 |
2,940 |
$11K |
| 82274 |
|
848 |
806 |
$11K |
| 88360 |
|
613 |
508 |
$11K |
| 84132 |
|
13,468 |
10,263 |
$11K |
| 73552 |
|
872 |
712 |
$11K |
| 29515 |
|
32 |
27 |
$11K |
| 87798 |
|
267 |
248 |
$11K |
| 29826 |
|
13 |
12 |
$11K |
| 88304 |
|
2,817 |
2,534 |
$10K |
| 95911 |
|
133 |
124 |
$10K |
| 86695 |
|
1,086 |
931 |
$10K |
| 82951 |
|
552 |
524 |
$10K |
| 84703 |
|
3,475 |
2,987 |
$10K |
| C1729 |
Cath, drainage |
2,447 |
1,658 |
$10K |
| 80050 |
|
570 |
564 |
$10K |
| 72132 |
|
155 |
138 |
$10K |
| J3301 |
Triamcinolone acet inj nos |
14,538 |
12,573 |
$10K |
| 82550 |
|
7,568 |
5,907 |
$10K |
| 96402 |
|
764 |
628 |
$10K |
| 87102 |
|
2,809 |
2,209 |
$10K |
| 93297 |
|
333 |
312 |
$10K |
| 92582 |
|
110 |
108 |
$10K |
| 62270 |
|
13 |
12 |
$9K |
| 64447 |
|
16 |
16 |
$9K |
| C1889 |
Implant/insert device, noc |
1,250 |
1,157 |
$9K |
| J1885 |
Ketorolac tromethamine inj |
31,303 |
21,565 |
$9K |
| 86663 |
|
1,001 |
857 |
$9K |
| 84156 |
|
11,916 |
9,710 |
$9K |
| 86364 |
|
3,146 |
2,916 |
$9K |
| 88720 |
|
1,247 |
927 |
$9K |
| 86308 |
|
1,929 |
1,681 |
$9K |
| 88312 |
|
1,356 |
1,186 |
$9K |
| 92002 |
|
93 |
82 |
$9K |
| 83615 |
|
10,160 |
7,185 |
$9K |
| 29065 |
|
34 |
24 |
$9K |
| 72081 |
|
215 |
198 |
$8K |
| 80178 |
|
869 |
699 |
$8K |
| 87210 |
|
1,802 |
968 |
$8K |
| 0081A |
|
385 |
362 |
$8K |
| 95874 |
|
1,197 |
886 |
$8K |
| A9500 |
Tc99m sestamibi |
2,422 |
2,095 |
$8K |
| 82248 |
|
2,913 |
2,409 |
$8K |
| 90713 |
|
1,082 |
1,016 |
$8K |
| J3010 |
Fentanyl citrate injection |
24,232 |
19,624 |
$8K |
| J2704 |
Inj, propofol, 10 mg |
60,966 |
41,532 |
$8K |
| 85730 |
|
19,455 |
15,803 |
$8K |
| 88365 |
|
651 |
568 |
$8K |
| 75572 |
|
27 |
24 |
$8K |
| 84550 |
|
8,788 |
6,730 |
$8K |
| 80346 |
|
604 |
482 |
$8K |
| 87902 |
|
145 |
136 |
$8K |
| C1726 |
Cath, bal dil, non-vascular |
867 |
789 |
$8K |
| 12002 |
|
28 |
25 |
$8K |
| 82330 |
|
11,520 |
8,453 |
$8K |
| 82247 |
|
1,128 |
704 |
$8K |
| 96368 |
|
1,508 |
971 |
$8K |
| Q0139 |
Ferumoxytol, esrd use |
76 |
41 |
$8K |
| 93270 |
|
227 |
192 |
$8K |
| 67228 |
|
18 |
13 |
$8K |
| 88350 |
|
195 |
169 |
$8K |
| 96450 |
|
15 |
12 |
$8K |
| 83921 |
|
2,239 |
1,924 |
$8K |
| J2405 |
Ondansetron hcl injection |
53,930 |
40,748 |
$7K |
| 86300 |
|
1,155 |
840 |
$7K |
| 96401 |
|
374 |
174 |
$7K |
| 96118 |
|
230 |
160 |
$7K |
| 68761 |
|
18 |
12 |
$7K |
| 90870 |
|
61 |
25 |
$7K |
| 95711 |
|
51 |
38 |
$7K |
| A4648 |
Implantable tissue marker |
770 |
681 |
$7K |
| 86644 |
|
762 |
612 |
$7K |
| J1100 |
Dexamethasone sodium phos |
40,038 |
32,229 |
$7K |
| 93283 |
|
492 |
420 |
$7K |
| 64400 |
|
27 |
24 |
$7K |
| 93284 |
|
526 |
414 |
$7K |
| 87205 |
|
6,582 |
5,368 |
$7K |
| 80361 |
|
561 |
464 |
$6K |
| 86431 |
|
2,421 |
2,164 |
$6K |
| 88271 |
|
179 |
148 |
$6K |
| 99454 |
|
92 |
88 |
$6K |
| 85045 |
|
6,059 |
4,774 |
$6K |
| 88173 |
|
1,826 |
1,433 |
$6K |
| 51702 |
|
306 |
237 |
$6K |
| 88237 |
|
177 |
145 |
$6K |
| 87631 |
|
150 |
113 |
$6K |
| 92556 |
|
417 |
397 |
$6K |
| 82977 |
|
3,831 |
2,914 |
$6K |
| 92136 |
|
242 |
206 |
$6K |
| J9217 |
Leuprolide acetate suspnsion |
17 |
14 |
$6K |
| 76506 |
|
32 |
27 |
$6K |
| 86696 |
|
1,085 |
930 |
$6K |
| 89051 |
|
3,564 |
2,474 |
$6K |
| 96417 |
|
4,353 |
2,713 |
$6K |
| 87486 |
|
219 |
186 |
$5K |
| 96121 |
|
197 |
189 |
$5K |
| 88262 |
|
156 |
126 |
$5K |
| 97535 |
|
371 |
223 |
$5K |
| 74178 |
|
15 |
13 |
$5K |
| J1815 |
Insulin injection |
11,625 |
4,269 |
$5K |
| J0171 |
Adrenalin epinephrine inject |
5,047 |
4,405 |
$5K |
| 80202 |
|
597 |
275 |
$5K |
| 84165 |
|
3,576 |
2,920 |
$5K |
| J2785 |
Regadenoson injection |
2,032 |
1,791 |
$5K |
| 29085 |
|
16 |
12 |
$5K |
| 82627 |
|
452 |
426 |
$5K |
| 76813 |
|
26 |
24 |
$5K |
| J2250 |
Inj midazolam hydrochloride |
36,930 |
30,331 |
$5K |
| 86945 |
|
3,303 |
2,007 |
$5K |
| 86580 |
|
780 |
669 |
$5K |
| 93299 |
|
133 |
124 |
$5K |
| 95115 |
|
187 |
73 |
$5K |
| 74019 |
|
624 |
506 |
$5K |
| 90474 |
|
3,838 |
3,653 |
$5K |
| 85097 |
|
206 |
149 |
$5K |
| 72126 |
|
71 |
64 |
$5K |
| 0004A |
|
156 |
152 |
$5K |
| S8101 |
Spacer with mask |
553 |
519 |
$5K |
| 81455 |
|
27 |
25 |
$5K |
| 76604 |
|
29 |
26 |
$5K |
| 73060 |
|
608 |
501 |
$4K |
| 0154A |
|
167 |
157 |
$4K |
| 82150 |
|
3,306 |
2,666 |
$4K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
4,670 |
2,834 |
$4K |
| 90836 |
|
16 |
12 |
$4K |
| 0054A |
|
389 |
364 |
$4K |
| J1644 |
Inj heparin sodium per 1000u |
37,581 |
8,902 |
$4K |
| J9045 |
Carboplatin injection |
1,367 |
854 |
$4K |
| 90847 |
|
30 |
30 |
$4K |
| 64636 |
|
48 |
36 |
$4K |
| 92285 |
|
172 |
141 |
$4K |
| 87581 |
|
232 |
195 |
$4K |
| J7040 |
Normal saline solution infus |
10,228 |
7,122 |
$4K |
| J9070 |
Cyclophosphamide 100 mg inj |
18 |
12 |
$4K |
| 83010 |
|
1,294 |
1,037 |
$4K |
| 72146 |
|
57 |
50 |
$4K |
| J3473 |
Hyaluronidase recombinant |
86 |
78 |
$4K |
| 93243 |
|
87 |
83 |
$4K |
| 84520 |
|
8,466 |
6,356 |
$4K |
| 51797 |
|
769 |
644 |
$4K |
| 90620 |
|
90 |
84 |
$4K |
| 74220 |
|
137 |
109 |
$4K |
| 91038 |
|
25 |
24 |
$4K |
| J0330 |
Succinycholine chloride inj |
5,710 |
4,517 |
$4K |
| 86225 |
|
2,598 |
2,223 |
$4K |
| 10022 |
|
33 |
25 |
$4K |
| 51701 |
|
200 |
168 |
$4K |
| 70360 |
|
276 |
266 |
$4K |
| 82375 |
|
10,214 |
7,950 |
$4K |
| 0173A |
|
102 |
96 |
$4K |
| 82310 |
|
2,264 |
1,633 |
$4K |
| 82810 |
|
2,001 |
1,164 |
$4K |
| 11200 |
|
27 |
24 |
$3K |
| 74328 |
|
13 |
12 |
$3K |
| J7620 |
Albuterol ipratrop non-comp |
2,172 |
1,485 |
$3K |
| 80359 |
|
1,171 |
1,015 |
$3K |
| 82950 |
|
3,812 |
3,529 |
$3K |
| 80175 |
|
462 |
392 |
$3K |
| J3475 |
Inj magnesium sulfate |
5,624 |
3,818 |
$3K |
| C1773 |
Ret dev, insertable |
399 |
367 |
$3K |
| 90678 |
|
88 |
87 |
$3K |
| L3807 |
Whfo w/o joints pre cst |
155 |
131 |
$3K |
| 88300 |
|
969 |
850 |
$3K |
| J1170 |
Hydromorphone injection |
21,211 |
13,534 |
$3K |
| 82952 |
|
479 |
463 |
$3K |
| 94770 |
|
21 |
13 |
$3K |
| 82378 |
|
2,864 |
2,158 |
$3K |
| 72131 |
|
69 |
63 |
$3K |
| 77012 |
|
93 |
81 |
$3K |
| J3471 |
Ovine, up to 999 usp units |
71 |
57 |
$3K |
| M0220 |
Tixagev and cilgav inj |
272 |
237 |
$3K |
| 81206 |
|
26 |
26 |
$3K |
| 72070 |
|
127 |
106 |
$3K |
| 0003A |
|
116 |
107 |
$3K |
| 86039 |
|
734 |
652 |
$3K |
| 86200 |
|
1,368 |
1,198 |
$3K |
| L3933 |
Fo w/o joints cf |
71 |
66 |
$3K |
| J1720 |
Hydrocortisone sodium succ i |
1,318 |
987 |
$3K |
| 84480 |
|
503 |
453 |
$3K |
| 94664 |
|
291 |
280 |
$3K |
| 82947 |
|
10,288 |
8,443 |
$3K |
| 72120 |
|
203 |
173 |
$3K |
| 93290 |
|
444 |
387 |
$2K |
| 0052A |
|
68 |
67 |
$2K |
| 74210 |
|
86 |
65 |
$2K |
| 90744 |
|
318 |
296 |
$2K |
| 82103 |
|
450 |
398 |
$2K |
| A4215 |
Sterile needle |
4,481 |
3,735 |
$2K |
| 73551 |
|
216 |
176 |
$2K |
| 92082 |
|
38 |
37 |
$2K |
| 86677 |
|
102 |
78 |
$2K |
| 84295 |
|
9,733 |
7,948 |
$2K |
| 80358 |
|
505 |
424 |
$2K |
| 72128 |
|
41 |
39 |
$2K |
| L3913 |
Hfo w/o joints cf |
118 |
109 |
$2K |
| 0083A |
|
41 |
41 |
$2K |
| 86800 |
|
258 |
217 |
$2K |
| 82610 |
|
473 |
418 |
$2K |
| 92553 |
|
24 |
24 |
$2K |
| 72083 |
|
58 |
57 |
$2K |
| 96119 |
|
175 |
133 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
7,931 |
5,624 |
$2K |
| 82435 |
|
9,442 |
7,798 |
$2K |
| 86618 |
|
384 |
346 |
$2K |
| 86147 |
|
149 |
139 |
$2K |
| 0121A |
|
116 |
104 |
$2K |
| A9585 |
Gadobutrol injection |
3,939 |
2,712 |
$2K |
| 87506 |
|
14 |
12 |
$2K |
| 86593 |
|
848 |
735 |
$2K |
| 76514 |
|
57 |
44 |
$2K |
| 86036 |
|
356 |
327 |
$2K |
| J2795 |
Ropivacaine hcl injection |
8,930 |
7,370 |
$2K |
| 81404 |
|
21 |
15 |
$2K |
| 82390 |
|
410 |
379 |
$2K |
| 86141 |
|
525 |
447 |
$2K |
| 86870 |
|
131 |
106 |
$2K |
| 81401 |
|
15 |
12 |
$2K |
| 80353 |
|
688 |
596 |
$2K |
| 80365 |
|
560 |
464 |
$2K |
| 88275 |
|
96 |
64 |
$2K |
| 76001 |
|
232 |
184 |
$2K |
| 83525 |
|
192 |
176 |
$2K |
| 88364 |
|
159 |
136 |
$2K |
| 85049 |
|
878 |
718 |
$2K |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
3,949 |
3,591 |
$2K |
| J7613 |
Albuterol non-comp unit |
505 |
371 |
$2K |
| 90632 |
|
148 |
136 |
$2K |
| 87075 |
|
2,537 |
2,012 |
$2K |
| 86334 |
|
556 |
476 |
$1K |
| 72072 |
|
135 |
115 |
$1K |
| 86777 |
|
228 |
199 |
$1K |
| 87015 |
|
1,560 |
1,044 |
$1K |
| 85520 |
|
118 |
79 |
$1K |
| 0172A |
|
36 |
33 |
$1K |
| 85347 |
|
2,548 |
1,256 |
$1K |
| 85384 |
|
723 |
542 |
$1K |
| 86885 |
|
2,528 |
2,344 |
$1K |
| 74022 |
|
318 |
263 |
$1K |
| 88311 |
|
584 |
453 |
$1K |
| 0051A |
|
74 |
68 |
$1K |
| 75580 |
|
16 |
14 |
$1K |
| 85597 |
|
237 |
214 |
$1K |
| 51736 |
|
91 |
70 |
$1K |
| L3809 |
Whfo w/o joints pre ots |
102 |
91 |
$1K |
| J1200 |
Diphenhydramine hcl injectio |
9,943 |
7,220 |
$1K |
| G0297 |
Ldct for lung ca screen |
13 |
13 |
$1K |
| 84166 |
|
267 |
234 |
$1K |
| 85240 |
|
197 |
158 |
$1K |
| J1940 |
Furosemide injection |
2,150 |
1,454 |
$1K |
| 86008 |
|
230 |
225 |
$1K |
| L4386 |
Non-pneum walk boot pre cst |
15 |
15 |
$1K |
| 82040 |
|
408 |
358 |
$1K |
| 84300 |
|
1,396 |
1,132 |
$1K |
| J2543 |
Piperacillin/tazobactam |
1,293 |
605 |
$1K |
| G0009 |
Admin pneumococcal vaccine |
1,679 |
1,325 |
$1K |
| 87206 |
|
1,928 |
1,485 |
$1K |
| 93247 |
|
18 |
15 |
$963.63 |
| 86357 |
|
160 |
141 |
$961.02 |
| 70355 |
|
14 |
14 |
$958.03 |
| J3370 |
Vancomycin hcl injection |
4,539 |
2,694 |
$941.93 |
| 81406 |
|
21 |
14 |
$933.45 |
| 85014 |
|
342 |
321 |
$927.56 |
| 0074A |
|
38 |
37 |
$925.53 |
| J1610 |
Glucagon hydrochloride/1 mg |
13 |
13 |
$914.86 |
| 82945 |
|
682 |
572 |
$909.93 |
| 85612 |
|
237 |
214 |
$903.16 |
| 0171A |
|
50 |
48 |
$901.38 |
| 11720 |
|
63 |
49 |
$895.60 |
| 36600 |
|
56 |
52 |
$881.79 |
| J0780 |
Prochlorperazine injection |
5,053 |
3,903 |
$876.77 |
| A9552 |
F18 fdg |
2,561 |
2,216 |
$869.12 |
| 80195 |
|
134 |
100 |
$867.53 |
| J1097 |
Phenylep ketorolac opth soln |
32 |
26 |
$865.83 |
| 87999 |
|
105 |
96 |
$859.05 |
| 84681 |
|
81 |
75 |
$842.81 |
| 72156 |
|
13 |
12 |
$823.52 |
| A4565 |
Slings |
31 |
27 |
$816.00 |
| 85245 |
|
99 |
87 |
$796.45 |
| 0012A |
|
21 |
19 |
$790.29 |
| 11721 |
|
124 |
105 |
$787.75 |
| 86769 |
|
241 |
220 |
$768.04 |
| J2270 |
Morphine sulfate injection |
4,408 |
3,297 |
$751.52 |
| U0002 |
Covid-19 lab test non-cdc |
49 |
43 |
$749.71 |
| 87493 |
|
170 |
157 |
$746.33 |
| 0011A |
|
21 |
20 |
$687.69 |
| 82652 |
|
140 |
98 |
$672.64 |
| Q9956 |
Inj octafluoropropane mic,ml |
823 |
612 |
$658.28 |
| 87426 |
|
1,104 |
1,021 |
$652.16 |
| J7042 |
5% dextrose/normal saline |
975 |
704 |
$636.13 |
| C2617 |
Stent, non-cor, tem w/o del |
982 |
866 |
$628.69 |
| J3489 |
Zoledronic acid 1mg |
65 |
45 |
$608.16 |
| 93242 |
|
15 |
15 |
$586.79 |
| 89230 |
|
15 |
14 |
$586.07 |
| 0064A |
|
13 |
12 |
$576.94 |
| 86355 |
|
174 |
153 |
$576.26 |
| 0053A |
|
31 |
29 |
$567.11 |
| 84460 |
|
666 |
610 |
$553.65 |
| 0151A |
|
41 |
40 |
$537.82 |
| 86146 |
|
149 |
139 |
$531.04 |
| 84450 |
|
592 |
531 |
$509.13 |
| 90691 |
|
55 |
54 |
$497.48 |
| J9267 |
Paclitaxel injection |
634 |
332 |
$485.23 |
| 84157 |
|
783 |
642 |
$480.66 |
| G0279 |
Tomosynthesis, mammo |
134 |
119 |
$473.86 |
| J2060 |
Lorazepam injection |
3,355 |
2,351 |
$451.31 |
| A0426 |
Als 1 |
16 |
14 |
$441.65 |
| 87106 |
|
41 |
38 |
$441.19 |
| 84155 |
|
582 |
497 |
$432.50 |
| 83013 |
|
31 |
25 |
$430.37 |
| J7512 |
Prednisone ir or dr oral 1mg |
5,200 |
2,463 |
$411.14 |
| C9447 |
Inj, phenylephrine ketorolac |
17 |
13 |
$407.38 |
| 92132 |
|
19 |
15 |
$400.85 |
| 0073A |
|
12 |
12 |
$394.61 |
| 86381 |
|
150 |
142 |
$381.55 |
| 81302 |
|
20 |
14 |
$379.91 |
| 83090 |
|
80 |
78 |
$362.22 |
| 93356 |
|
851 |
769 |
$348.41 |
| 95165 |
|
13 |
12 |
$347.50 |
| J2930 |
Methylprednisolone injection |
2,965 |
2,116 |
$344.97 |
| C1760 |
Closure dev, vasc |
30 |
26 |
$339.28 |
| 84478 |
|
297 |
252 |
$324.34 |
| J3480 |
Inj potassium chloride |
2,125 |
1,244 |
$322.88 |
| 86902 |
|
108 |
80 |
$322.07 |
| 88302 |
|
60 |
55 |
$321.48 |
| J9370 |
Vincristine sulfate 1 mg inj |
725 |
451 |
$320.12 |
| 85246 |
|
47 |
41 |
$317.24 |
| G0390 |
Trauma respons w/hosp criti |
38 |
37 |
$315.01 |
| C2625 |
Stent, non-cor, tem w/del sy |
27 |
24 |
$314.41 |
| 84540 |
|
423 |
352 |
$302.01 |
| 88346 |
|
253 |
211 |
$289.96 |
| 82139 |
|
14 |
12 |
$279.70 |
| J3420 |
Vitamin b12 injection |
2,400 |
1,910 |
$232.64 |
| 86709 |
|
116 |
108 |
$229.23 |
| 86880 |
|
81 |
65 |
$221.03 |
| 96137 |
|
44 |
39 |
$221.00 |
| J2370 |
Phenylephrine hcl injection |
2,935 |
2,489 |
$216.75 |
| 88377 |
|
13 |
13 |
$215.46 |
| Q0177 |
Hydroxyzine pamoate 25mg |
3,965 |
2,289 |
$213.95 |
| 83935 |
|
164 |
145 |
$204.35 |
| J3411 |
Thiamine hcl 100 mg |
2,055 |
1,377 |
$204.14 |
| 81405 |
|
21 |
15 |
$189.95 |
| 81321 |
|
20 |
14 |
$189.95 |
| 87324 |
|
52 |
51 |
$182.88 |
| 81241 |
|
15 |
13 |
$182.83 |
| V2632 |
Post chmbr intraocular lens |
557 |
433 |
$173.25 |
| J0640 |
Leucovorin calcium injection |
529 |
169 |
$154.70 |
| J2001 |
Lidocaine injection |
2,289 |
1,943 |
$153.02 |
| 80165 |
|
35 |
27 |
$136.92 |
| J8501 |
Oral aprepitant |
15 |
12 |
$134.01 |
| 82340 |
|
68 |
59 |
$132.80 |
| J1630 |
Haloperidol injection |
1,697 |
1,314 |
$129.36 |
| G1004 |
Cdsm ndsc |
7,602 |
5,175 |
$121.34 |
| 87176 |
|
259 |
190 |
$117.20 |
| J0360 |
Hydralazine hcl injection |
710 |
505 |
$113.44 |
| 86705 |
|
64 |
59 |
$113.07 |
| 82088 |
|
18 |
15 |
$110.51 |
| C9113 |
Inj pantoprazole sodium, via |
538 |
269 |
$106.73 |
| 83520 |
|
55 |
42 |
$96.64 |
| J2765 |
Metoclopramide hcl injection |
1,165 |
863 |
$93.10 |
| 83930 |
|
91 |
76 |
$88.37 |
| C9290 |
Inj, bupivacaine liposome |
295 |
272 |
$87.94 |
| 72084 |
|
13 |
13 |
$87.59 |
| 86765 |
|
42 |
36 |
$83.94 |
| J1580 |
Garamycin gentamicin inj |
485 |
333 |
$81.51 |
| 85300 |
|
31 |
24 |
$76.39 |
| 88331 |
|
41 |
27 |
$73.64 |
| J1030 |
Methylprednisolone 40 mg inj |
528 |
479 |
$72.80 |
| 82438 |
|
28 |
24 |
$68.60 |
| 84133 |
|
87 |
77 |
$66.42 |
| 84436 |
|
29 |
27 |
$62.30 |
| Q4038 |
Cast sup shrt leg fiberglass |
88 |
68 |
$60.76 |
| 80354 |
|
17 |
12 |
$60.53 |
| 90473 |
|
203 |
202 |
$59.66 |
| J2272 |
Inj, morphine (fresenius) |
2,058 |
1,703 |
$57.86 |
| 17003 |
|
253 |
215 |
$57.04 |
| J2919 |
Inj, methylpred sod succ 5mg |
404 |
342 |
$55.98 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
356 |
305 |
$46.07 |
| 96377 |
|
61 |
39 |
$44.17 |
| J0744 |
Ciprofloxacin iv |
489 |
359 |
$44.02 |
| J0670 |
Inj mepivacaine hcl/10 ml |
293 |
237 |
$38.27 |
| J3250 |
Trimethobenzamide hcl inj |
268 |
206 |
$35.67 |
| 99156 |
|
73 |
57 |
$34.73 |
| J2710 |
Neostigmine methylslfte inj |
83 |
75 |
$32.92 |
| A9541 |
Tc99m sulfur colloid |
310 |
282 |
$32.24 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
1,591 |
1,415 |
$30.27 |
| J0461 |
Atropine sulfate injection |
248 |
162 |
$30.16 |
| Q0169 |
Promethazine hcl 12.5mg oral |
447 |
352 |
$27.30 |
| J0280 |
Aminophyllin 250 mg inj |
140 |
130 |
$25.90 |
| J0610 |
Calcium glucon (fresenius) |
99 |
66 |
$25.71 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
357 |
341 |
$22.04 |
| 82010 |
|
29 |
27 |
$19.60 |
| 94760 |
|
82 |
78 |
$19.30 |
| J1790 |
Droperidol injection |
356 |
322 |
$14.98 |
| 87184 |
|
15 |
12 |
$12.90 |
| 83021 |
|
13 |
13 |
$11.24 |
| J1010 |
Inj, methylpred acetate 1 mg |
70 |
65 |
$11.02 |
| J2720 |
Inj protamine sulfate/10 mg |
142 |
123 |
$10.33 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
241 |
135 |
$8.22 |
| Q4010 |
Cast sup sht arm adult fbrgl |
161 |
135 |
$7.40 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
2,288 |
1,959 |
$6.62 |
| J1836 |
Inj, metronidazole, 10 mg |
283 |
237 |
$4.88 |
| J7060 |
5% dextrose/water |
102 |
74 |
$2.20 |
| J1805 |
Inj, esmolol hcl, 10mg |
309 |
292 |
$1.33 |
| J0613 |
Calcium glucon (wg critical) |
20 |
13 |
$0.00 |
| C1781 |
Mesh (implantable) |
208 |
182 |
$0.00 |
| Q4012 |
Cast sup sht arm ped fbrglas |
43 |
37 |
$0.00 |
| A9503 |
Tc99m medronate |
98 |
90 |
$0.00 |
| 81407 |
|
17 |
14 |
$0.00 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
56 |
50 |
$0.00 |
| J7644 |
Ipratropium bromide non-comp |
100 |
56 |
$0.00 |
| S8096 |
Portable peak flow meter |
29 |
28 |
$0.00 |
| 38900 |
|
14 |
12 |
$0.00 |
| J2002 |
Inj, lidocaine in d5w, 1 mg |
14 |
14 |
$0.00 |
| C1893 |
Intro/sheath, fixed,non-peel |
15 |
13 |
$0.00 |
| J1921 |
Inj labetalol hcl hikma, 5mg |
103 |
85 |
$0.00 |
| J1920 |
Inj, labetalol hcl, 5mg |
35 |
34 |
$0.00 |
| G8988 |
Self care goal status |
43 |
25 |
$0.00 |
| 88108 |
|
57 |
47 |
$0.00 |
| Q4008 |
Cast sup long arm ped fbrgls |
37 |
29 |
$0.00 |
| G8980 |
Mobility d/c status |
62 |
36 |
$0.00 |
| G8987 |
Self care current status |
43 |
25 |
$0.00 |
| J0611 |
Calcium glucon (wg critical) |
24 |
19 |
$0.00 |
| C1750 |
Cath, hemodialysis,long-term |
23 |
12 |
$0.00 |
| J0694 |
Cefoxitin sodium injection |
43 |
37 |
$0.00 |
| Q9950 |
Inj sulf hexa lipid microsph |
256 |
236 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
993 |
421 |
$0.00 |
| J8499 |
Oral prescrip drug non chemo |
51 |
49 |
$0.00 |
| G8978 |
Mobility current status |
162 |
91 |
$0.00 |
| Q9958 |
Hocm <=149 mg/ml iodine, 1ml |
13 |
12 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
35 |
33 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
167 |
158 |
$0.00 |
| Q9962 |
Hocm 300-349mg/ml iodine,1ml |
26 |
19 |
$0.00 |
| A4550 |
Surgical trays |
51 |
41 |
$0.00 |
| J0612 |
Inj, calcium gluconate, nos |
14 |
13 |
$0.00 |
| G0500 |
Mod sedat endo service >5yrs |
73 |
58 |
$0.00 |
| G8979 |
Mobility goal status |
161 |
90 |
$0.00 |
| G8989 |
Self care d/c status |
43 |
25 |
$0.00 |
| G8997 |
Swallow goal status |
15 |
12 |
$0.00 |
| G8996 |
Swallow current status |
15 |
12 |
$0.00 |
| 81408 |
|
15 |
14 |
$0.00 |
| C1788 |
Port, indwelling, imp |
15 |
12 |
$0.00 |