| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
146,018 |
132,760 |
$13.31M |
| 99284 |
|
109,630 |
92,257 |
$8.57M |
| 99282 |
|
80,356 |
74,631 |
$8.37M |
| 92507 |
|
29,676 |
7,187 |
$3.26M |
| 97110 |
|
39,960 |
9,103 |
$2.72M |
| 41899 |
|
5,261 |
4,887 |
$2.30M |
| 97530 |
|
25,135 |
5,864 |
$2.09M |
| 80053 |
|
94,904 |
71,647 |
$1.56M |
| 96361 |
|
17,639 |
11,577 |
$1.35M |
| 70450 |
|
14,788 |
11,798 |
$1.25M |
| U0003 |
Cov-19 amp prb hgh thruput |
22,939 |
20,696 |
$1.23M |
| G0378 |
Hospital observation per hr |
50,306 |
20,240 |
$1.05M |
| 74177 |
|
7,736 |
6,463 |
$1.03M |
| 99281 |
|
10,797 |
9,670 |
$1.02M |
| 42820 |
|
1,244 |
1,196 |
$888K |
| 54161 |
|
1,653 |
1,571 |
$862K |
| 36415 |
|
57,411 |
45,565 |
$748K |
| 99285 |
|
14,408 |
11,420 |
$696K |
| 87651 |
|
22,377 |
21,482 |
$678K |
| 85025 |
|
143,564 |
106,181 |
$676K |
| 96365 |
|
12,354 |
7,988 |
$658K |
| 71046 |
|
29,103 |
26,968 |
$632K |
| 80048 |
|
53,313 |
38,440 |
$632K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
13,255 |
7,463 |
$610K |
| 87088 |
|
37,154 |
31,795 |
$609K |
| 69436 |
|
1,617 |
1,546 |
$601K |
| 96413 |
|
8,757 |
4,752 |
$519K |
| 70551 |
|
4,434 |
3,966 |
$488K |
| 99214 |
|
20,817 |
13,984 |
$457K |
| 96366 |
|
4,016 |
2,282 |
$456K |
| J9271 |
Inj pembrolizumab |
277 |
203 |
$442K |
| 74176 |
|
4,133 |
3,310 |
$423K |
| T1015 |
Clinic service |
9,076 |
7,610 |
$416K |
| 85027 |
|
16,511 |
11,800 |
$401K |
| 93306 |
|
4,178 |
3,105 |
$399K |
| 87631 |
|
7,891 |
7,254 |
$397K |
| 84702 |
|
35,833 |
29,191 |
$358K |
| 86850 |
|
10,848 |
8,264 |
$335K |
| 94640 |
|
23,465 |
15,753 |
$300K |
| 82962 |
|
27,400 |
16,480 |
$299K |
| 96360 |
|
6,353 |
5,380 |
$293K |
| A9576 |
Inj prohance multipack |
3,125 |
1,976 |
$293K |
| H2019 |
Ther behav svc, per 15 min |
5,304 |
1,625 |
$290K |
| 42830 |
|
255 |
244 |
$281K |
| 71275 |
|
2,426 |
2,007 |
$281K |
| 70553 |
|
2,303 |
2,102 |
$278K |
| 76770 |
|
3,504 |
3,248 |
$274K |
| U0002 |
Covid-19 lab test non-cdc |
15,114 |
12,062 |
$263K |
| 87591 |
|
8,398 |
7,348 |
$263K |
| 93005 |
|
40,421 |
30,706 |
$238K |
| 96375 |
|
23,875 |
13,930 |
$235K |
| 81001 |
|
50,110 |
41,507 |
$233K |
| 93303 |
|
1,626 |
1,385 |
$232K |
| 96401 |
|
2,003 |
942 |
$231K |
| 92526 |
|
3,684 |
1,016 |
$225K |
| 97161 |
|
2,681 |
2,173 |
$217K |
| 71045 |
|
31,425 |
24,770 |
$216K |
| 86900 |
|
12,515 |
9,765 |
$213K |
| J2405 |
Ondansetron hcl injection |
55,030 |
36,983 |
$212K |
| 87633 |
|
9,694 |
9,010 |
$212K |
| 80307 |
|
10,952 |
8,502 |
$191K |
| 73721 |
|
1,312 |
1,196 |
$187K |
| 96402 |
|
905 |
703 |
$182K |
| 76856 |
|
4,832 |
4,354 |
$180K |
| 76641 |
|
2,711 |
2,330 |
$180K |
| 99213 |
|
7,030 |
5,255 |
$177K |
| 76705 |
|
8,604 |
7,528 |
$176K |
| 84484 |
|
29,781 |
17,512 |
$173K |
| J1459 |
Inj ivig privigen 500 mg |
482 |
301 |
$165K |
| 73610 |
|
2,836 |
2,576 |
$164K |
| 81003 |
|
23,157 |
20,080 |
$159K |
| 76819 |
|
4,170 |
3,044 |
$158K |
| 43239 |
|
1,295 |
1,191 |
$154K |
| 44970 |
|
57 |
50 |
$152K |
| 83880 |
|
4,758 |
3,597 |
$149K |
| 95819 |
|
947 |
886 |
$147K |
| 87486 |
|
9,384 |
8,700 |
$137K |
| 96374 |
|
22,632 |
15,890 |
$125K |
| 76882 |
|
2,004 |
1,903 |
$124K |
| 96367 |
|
3,397 |
2,043 |
$124K |
| 76801 |
|
6,579 |
5,085 |
$124K |
| 85610 |
|
20,733 |
14,957 |
$123K |
| 73562 |
|
4,109 |
3,501 |
$123K |
| 73130 |
|
2,336 |
2,017 |
$122K |
| G0463 |
Hospital outpt clinic visit |
9,160 |
6,351 |
$122K |
| 84443 |
|
11,230 |
9,237 |
$120K |
| J1200 |
Diphenhydramine hcl injectio |
17,507 |
9,389 |
$120K |
| 92523 |
|
857 |
810 |
$119K |
| 96415 |
|
2,523 |
1,639 |
$116K |
| J2270 |
Morphine sulfate injection |
24,906 |
11,125 |
$110K |
| 87186 |
|
6,741 |
5,285 |
$108K |
| 72125 |
|
4,244 |
3,193 |
$108K |
| 54150 |
|
287 |
274 |
$105K |
| 95810 |
|
325 |
316 |
$105K |
| H1000 |
Prenatal care atrisk assessm |
6,413 |
3,883 |
$103K |
| 0241U |
|
10,767 |
9,031 |
$103K |
| 83735 |
|
16,133 |
10,169 |
$102K |
| 83970 |
|
1,968 |
1,561 |
$101K |
| 85730 |
|
14,595 |
11,038 |
$100K |
| 73110 |
|
1,980 |
1,653 |
$100K |
| 76816 |
|
3,095 |
2,732 |
$99K |
| 72148 |
|
1,443 |
1,278 |
$99K |
| 73140 |
|
1,446 |
1,304 |
$98K |
| 97162 |
|
1,022 |
839 |
$94K |
| 95714 |
|
669 |
487 |
$94K |
| 86901 |
|
12,532 |
9,767 |
$92K |
| 86140 |
|
13,748 |
12,286 |
$90K |
| J1756 |
Iron sucrose injection |
2,495 |
995 |
$90K |
| 74021 |
|
2,053 |
1,830 |
$89K |
| 95713 |
|
516 |
500 |
$88K |
| J3010 |
Fentanyl citrate injection |
14,055 |
10,943 |
$87K |
| 83690 |
|
23,882 |
19,616 |
$87K |
| 00731 |
|
512 |
491 |
$87K |
| 95782 |
|
256 |
245 |
$86K |
| 87040 |
|
13,942 |
8,260 |
$85K |
| 73630 |
|
2,950 |
2,586 |
$85K |
| J1650 |
Inj enoxaparin sodium |
6,248 |
2,270 |
$84K |
| J1100 |
Dexamethasone sodium phos |
20,108 |
17,494 |
$83K |
| 96372 |
|
10,099 |
7,942 |
$82K |
| 74019 |
|
5,604 |
5,293 |
$82K |
| J2704 |
Inj, propofol, 10 mg |
25,195 |
19,478 |
$82K |
| 93976 |
|
3,353 |
2,954 |
$80K |
| 70486 |
|
1,402 |
1,172 |
$77K |
| 73080 |
|
1,570 |
1,326 |
$77K |
| 80197 |
|
6,507 |
3,200 |
$74K |
| 97140 |
|
2,905 |
1,045 |
$74K |
| J2250 |
Inj midazolam hydrochloride |
11,849 |
9,577 |
$73K |
| 72141 |
|
1,100 |
1,007 |
$73K |
| 86359 |
|
1,844 |
1,579 |
$71K |
| 77412 |
|
161 |
12 |
$71K |
| P9016 |
Rbc leukocytes reduced |
1,484 |
1,029 |
$71K |
| 95716 |
|
215 |
164 |
$68K |
| 82728 |
|
5,671 |
4,332 |
$68K |
| 84100 |
|
8,961 |
5,248 |
$66K |
| 82570 |
|
7,996 |
4,833 |
$65K |
| 81025 |
|
4,639 |
4,127 |
$63K |
| 76377 |
|
997 |
905 |
$63K |
| 70491 |
|
490 |
437 |
$62K |
| 93975 |
|
664 |
617 |
$62K |
| 97166 |
|
423 |
373 |
$62K |
| 76830 |
|
2,737 |
2,429 |
$60K |
| 73090 |
|
1,337 |
1,103 |
$60K |
| 76805 |
|
844 |
792 |
$60K |
| 80061 |
|
7,973 |
6,696 |
$59K |
| 86902 |
|
1,628 |
685 |
$59K |
| 82330 |
|
4,153 |
3,026 |
$58K |
| 93970 |
|
1,501 |
1,215 |
$58K |
| 82805 |
|
2,336 |
1,844 |
$58K |
| 36430 |
|
1,415 |
1,019 |
$58K |
| J2505 |
Injection, pegfilgrastim 6mg |
131 |
81 |
$58K |
| 85045 |
|
6,211 |
4,033 |
$57K |
| 76700 |
|
638 |
594 |
$57K |
| 73030 |
|
2,401 |
1,883 |
$56K |
| 45380 |
|
157 |
144 |
$56K |
| 76000 |
|
1,985 |
1,695 |
$56K |
| 76870 |
|
1,175 |
1,100 |
$56K |
| 88305 |
|
5,189 |
3,745 |
$52K |
| J0690 |
Cefazolin sodium injection |
7,742 |
5,694 |
$52K |
| 87491 |
|
8,370 |
7,337 |
$52K |
| Q9957 |
Inj perflutren lip micros,ml |
1,381 |
856 |
$49K |
| 95951 |
|
587 |
486 |
$49K |
| J1453 |
Fosaprepitant injection |
948 |
488 |
$49K |
| 76817 |
|
5,659 |
4,371 |
$48K |
| 80076 |
|
7,656 |
6,392 |
$47K |
| 88341 |
|
1,507 |
890 |
$47K |
| 96409 |
|
1,216 |
664 |
$47K |
| 74018 |
|
3,239 |
2,938 |
$47K |
| 84156 |
|
6,332 |
3,569 |
$46K |
| 88304 |
|
2,614 |
2,304 |
$46K |
| 95812 |
|
171 |
157 |
$46K |
| 92588 |
|
1,110 |
1,050 |
$45K |
| 77072 |
|
1,091 |
1,062 |
$45K |
| 83615 |
|
7,374 |
4,739 |
$45K |
| 83550 |
|
3,716 |
2,899 |
$43K |
| 82378 |
|
2,170 |
1,353 |
$43K |
| 72146 |
|
600 |
561 |
$43K |
| 36592 |
|
535 |
297 |
$43K |
| 92550 |
|
948 |
878 |
$43K |
| 83540 |
|
3,891 |
3,015 |
$42K |
| 76885 |
|
447 |
417 |
$42K |
| 82306 |
|
5,019 |
4,271 |
$42K |
| 70544 |
|
969 |
752 |
$42K |
| 73590 |
|
1,419 |
1,236 |
$41K |
| J2060 |
Lorazepam injection |
4,070 |
2,652 |
$41K |
| 77336 |
|
1,012 |
346 |
$40K |
| 87507 |
|
1,547 |
1,389 |
$39K |
| 86923 |
|
2,252 |
1,241 |
$39K |
| 87077 |
|
7,718 |
5,821 |
$38K |
| G0257 |
Unsched dialysis esrd pt hos |
427 |
233 |
$38K |
| 93971 |
|
2,117 |
1,800 |
$37K |
| 71250 |
|
1,727 |
1,291 |
$37K |
| 77386 |
|
171 |
13 |
$37K |
| 85384 |
|
1,604 |
1,043 |
$36K |
| 83605 |
|
6,506 |
4,243 |
$36K |
| 83036 |
|
8,229 |
6,896 |
$36K |
| J0696 |
Ceftriaxone sodium injection |
9,396 |
6,979 |
$36K |
| 82784 |
|
2,277 |
1,590 |
$35K |
| 87210 |
|
4,465 |
3,966 |
$35K |
| 87581 |
|
9,377 |
8,699 |
$35K |
| 93798 |
|
593 |
117 |
$35K |
| 71260 |
|
1,819 |
1,528 |
$34K |
| 87799 |
|
4,929 |
2,201 |
$33K |
| 77067 |
|
1,852 |
1,608 |
$33K |
| 92587 |
|
672 |
633 |
$33K |
| 82607 |
|
2,357 |
1,902 |
$32K |
| C1769 |
Guide wire |
1,352 |
956 |
$32K |
| 99291 |
|
342 |
268 |
$32K |
| 77066 |
Tomosynthesis, mammo |
946 |
776 |
$31K |
| 87184 |
|
1,051 |
811 |
$30K |
| 73522 |
|
862 |
788 |
$29K |
| 84132 |
|
3,595 |
2,737 |
$27K |
| 77387 |
|
43 |
12 |
$26K |
| 72040 |
|
785 |
698 |
$26K |
| 72131 |
|
690 |
536 |
$25K |
| 76815 |
|
1,193 |
1,067 |
$25K |
| 84550 |
|
2,180 |
1,718 |
$25K |
| 86403 |
|
1,437 |
1,145 |
$25K |
| 75561 |
|
102 |
99 |
$25K |
| 74230 |
|
451 |
424 |
$24K |
| 84439 |
|
5,086 |
4,230 |
$24K |
| 96411 |
|
1,171 |
675 |
$24K |
| 10060 |
|
1,102 |
981 |
$23K |
| 92567 |
|
1,515 |
1,455 |
$23K |
| 82550 |
|
3,821 |
3,054 |
$23K |
| 87522 |
Neg quan hep c or qual rna |
1,622 |
1,405 |
$23K |
| 96417 |
|
1,348 |
724 |
$23K |
| 83020 |
|
4,419 |
1,898 |
$23K |
| 87340 |
|
3,106 |
2,376 |
$22K |
| J0561 |
Penicillin g benzathine inj |
478 |
457 |
$22K |
| 87636 |
|
11,109 |
10,707 |
$22K |
| 80069 |
|
1,355 |
1,040 |
$22K |
| J2469 |
Palonosetron hcl |
537 |
279 |
$22K |
| 88342 |
|
2,785 |
2,158 |
$21K |
| 88307 |
|
1,004 |
763 |
$21K |
| 89051 |
|
783 |
671 |
$21K |
| 87070 |
|
3,461 |
2,846 |
$21K |
| 73620 |
|
504 |
471 |
$20K |
| 72100 |
|
1,658 |
1,428 |
$20K |
| 82803 |
|
962 |
740 |
$19K |
| 94010 |
|
1,661 |
1,265 |
$19K |
| 87497 |
|
3,665 |
2,274 |
$19K |
| 99212 |
|
498 |
397 |
$19K |
| 85379 |
|
3,009 |
2,529 |
$19K |
| 92557 |
|
203 |
198 |
$19K |
| 82247 |
|
917 |
523 |
$18K |
| 97535 |
|
630 |
393 |
$18K |
| J2765 |
Metoclopramide hcl injection |
4,105 |
3,224 |
$18K |
| 93325 |
|
2,003 |
1,640 |
$17K |
| 84112 |
|
395 |
359 |
$17K |
| 82610 |
|
1,416 |
1,151 |
$16K |
| 84295 |
|
2,775 |
2,187 |
$16K |
| 85651 |
|
6,784 |
5,879 |
$15K |
| 86780 |
|
2,632 |
2,014 |
$15K |
| 99215 |
Prolong outpt/office vis |
530 |
278 |
$15K |
| C9113 |
Inj pantoprazole sodium, via |
3,184 |
1,999 |
$15K |
| J2543 |
Piperacillin/tazobactam |
4,468 |
1,699 |
$15K |
| 97803 |
|
170 |
163 |
$15K |
| 92652 |
|
263 |
247 |
$14K |
| G1010 |
Cdsm stanson |
17,928 |
11,747 |
$14K |
| 00813 |
|
90 |
88 |
$14K |
| 94760 |
|
5,397 |
2,310 |
$13K |
| J1170 |
Hydromorphone injection |
8,083 |
5,765 |
$13K |
| J7512 |
Prednisone ir or dr oral 1mg |
2,953 |
1,902 |
$13K |
| 86300 |
|
411 |
203 |
$13K |
| 82947 |
|
2,023 |
1,634 |
$13K |
| T1030 |
Rn home care per diem |
494 |
65 |
$13K |
| 72170 |
|
1,849 |
1,315 |
$13K |
| 97802 |
|
136 |
131 |
$13K |
| 36591 |
|
2,793 |
1,783 |
$12K |
| 80074 |
|
381 |
334 |
$12K |
| 82435 |
|
1,992 |
1,609 |
$12K |
| 01922 |
|
335 |
322 |
$12K |
| 82272 |
|
637 |
508 |
$12K |
| 12011 |
|
1,920 |
1,758 |
$11K |
| 73502 |
|
1,113 |
858 |
$11K |
| 70250 |
|
171 |
156 |
$11K |
| 85014 |
|
2,683 |
1,696 |
$11K |
| 70547 |
|
271 |
208 |
$10K |
| J3370 |
Vancomycin hcl injection |
2,154 |
1,130 |
$10K |
| 87205 |
|
2,959 |
2,391 |
$10K |
| 74246 |
|
179 |
176 |
$10K |
| 96523 |
|
748 |
498 |
$10K |
| 76536 |
|
156 |
140 |
$10K |
| 92585 |
|
171 |
165 |
$10K |
| 12001 |
|
1,213 |
1,082 |
$10K |
| 82105 |
|
667 |
519 |
$10K |
| 87389 |
|
2,692 |
2,254 |
$10K |
| G0390 |
Trauma respons w/hosp criti |
64 |
51 |
$10K |
| 77063 |
|
1,834 |
1,598 |
$10K |
| 77062 |
|
566 |
532 |
$10K |
| 86663 |
|
218 |
199 |
$9K |
| 49585 |
|
14 |
14 |
$9K |
| 77080 |
|
348 |
280 |
$9K |
| 99157 |
|
1,356 |
1,292 |
$9K |
| 96377 |
|
71 |
50 |
$9K |
| 73660 |
|
134 |
124 |
$9K |
| 82951 |
|
479 |
382 |
$8K |
| 82248 |
|
2,347 |
1,566 |
$8K |
| 84145 |
|
1,760 |
1,440 |
$8K |
| 80299 |
|
2,279 |
1,760 |
$8K |
| 92579 |
|
830 |
792 |
$8K |
| 59025 |
|
117 |
107 |
$8K |
| J1953 |
Levetiracetam injection |
771 |
536 |
$8K |
| 82140 |
|
566 |
409 |
$8K |
| 97112 |
|
628 |
164 |
$8K |
| G0328 |
Fecal blood scrn immunoassay |
612 |
547 |
$7K |
| 97163 |
|
56 |
52 |
$7K |
| J0360 |
Hydralazine hcl injection |
1,369 |
826 |
$7K |
| J2997 |
Alteplase recombinant |
266 |
154 |
$7K |
| J1630 |
Haloperidol injection |
1,274 |
864 |
$7K |
| 73552 |
|
427 |
366 |
$7K |
| 96376 |
|
4,244 |
1,451 |
$7K |
| 93886 |
|
63 |
60 |
$7K |
| 86360 |
|
1,811 |
1,548 |
$7K |
| 85018 |
|
1,769 |
1,057 |
$7K |
| 70496 |
|
36 |
27 |
$6K |
| 92610 |
|
74 |
67 |
$6K |
| 62270 |
|
167 |
146 |
$6K |
| 86922 |
|
1,177 |
471 |
$6K |
| H2000 |
Comp multidisipln evaluation |
34 |
33 |
$6K |
| J1745 |
Infliximab not biosimil 10mg |
35 |
24 |
$6K |
| 36600 |
|
698 |
480 |
$6K |
| 87075 |
|
730 |
579 |
$6K |
| J0330 |
Succinycholine chloride inj |
1,216 |
974 |
$6K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
423 |
395 |
$6K |
| 86021 |
|
1,367 |
1,123 |
$6K |
| 82746 |
|
1,383 |
1,061 |
$6K |
| 87536 |
|
1,461 |
1,207 |
$6K |
| 86003 |
|
382 |
257 |
$5K |
| 36416 |
|
205 |
163 |
$5K |
| J0897 |
Denosumab injection |
37 |
26 |
$5K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
56 |
29 |
$5K |
| 85660 |
|
995 |
446 |
$5K |
| 88313 |
|
633 |
433 |
$5K |
| 12002 |
|
276 |
232 |
$5K |
| 83516 |
|
656 |
395 |
$5K |
| 00300 |
|
503 |
466 |
$5K |
| 86870 |
|
144 |
86 |
$5K |
| 00400 |
|
544 |
513 |
$5K |
| G1004 |
Cdsm ndsc |
4,741 |
2,829 |
$5K |
| 76010 |
|
109 |
100 |
$5K |
| 77334 |
|
65 |
48 |
$5K |
| J1940 |
Furosemide injection |
1,491 |
738 |
$5K |
| 80165 |
|
651 |
427 |
$5K |
| 86787 |
|
525 |
403 |
$4K |
| 29125 |
|
1,229 |
1,114 |
$4K |
| 86301 |
|
68 |
40 |
$4K |
| 90715 |
|
1,685 |
1,283 |
$4K |
| 81002 |
|
6,512 |
3,786 |
$4K |
| 70260 |
|
73 |
73 |
$4K |
| 86762 |
|
570 |
425 |
$4K |
| 72070 |
|
257 |
229 |
$4K |
| 74174 |
|
14 |
13 |
$4K |
| 85347 |
|
747 |
438 |
$4K |
| J0702 |
Betamethasone acet&sod phosp |
361 |
202 |
$4K |
| 97116 |
|
581 |
174 |
$4K |
| J0171 |
Adrenalin epinephrine inject |
963 |
790 |
$4K |
| 96368 |
|
17 |
13 |
$4K |
| J1642 |
Inj heparin sodium per 10 u |
277 |
150 |
$4K |
| 82150 |
|
1,746 |
1,553 |
$4K |
| C1887 |
Catheter, guiding |
188 |
133 |
$4K |
| 43762 |
|
222 |
172 |
$4K |
| P9047 |
Albumin (human), 25%, 50ml |
147 |
65 |
$3K |
| 82043 |
|
1,486 |
1,290 |
$3K |
| 49083 |
|
62 |
25 |
$3K |
| J8540 |
Oral dexamethasone |
11,202 |
10,449 |
$3K |
| 76942 |
|
384 |
234 |
$3K |
| H0031 |
Mh health assess by non-md |
69 |
67 |
$3K |
| J2790 |
Rho d immune globulin inj |
72 |
68 |
$3K |
| 84146 |
|
235 |
222 |
$3K |
| 77300 |
|
70 |
49 |
$3K |
| 84153 |
|
563 |
472 |
$3K |
| 86038 |
|
377 |
312 |
$3K |
| 95700 |
|
356 |
342 |
$3K |
| 97165 |
|
50 |
41 |
$3K |
| G8978 |
Mobility current status |
144 |
113 |
$3K |
| 86376 |
|
149 |
132 |
$3K |
| 86336 |
|
122 |
104 |
$3K |
| G8979 |
Mobility goal status |
167 |
133 |
$3K |
| C8908 |
Mri w/o fol w/cont, breast, |
12 |
12 |
$3K |
| 93320 |
|
1,913 |
1,563 |
$3K |
| 70360 |
|
85 |
80 |
$3K |
| 72156 |
|
13 |
12 |
$3K |
| 73000 |
|
42 |
39 |
$3K |
| 88185 |
|
153 |
93 |
$2K |
| J2360 |
Orphenadrine injection |
1,227 |
1,055 |
$2K |
| 95712 |
|
14 |
14 |
$2K |
| 86160 |
|
322 |
264 |
$2K |
| 73060 |
|
155 |
123 |
$2K |
| 94667 |
|
77 |
71 |
$2K |
| 29515 |
|
1,089 |
1,020 |
$2K |
| 86833 |
|
1,118 |
819 |
$2K |
| 88344 |
|
80 |
51 |
$2K |
| 82677 |
|
122 |
104 |
$2K |
| J0585 |
Injection,onabotulinumtoxina |
19 |
17 |
$2K |
| 86665 |
|
386 |
199 |
$2K |
| 86308 |
|
277 |
262 |
$2K |
| 86832 |
|
1,117 |
818 |
$2K |
| 72082 |
|
26 |
25 |
$2K |
| 87449 |
|
115 |
97 |
$1K |
| 86480 |
|
257 |
222 |
$1K |
| 70480 |
|
13 |
12 |
$1K |
| 80305 |
|
157 |
64 |
$1K |
| 86706 |
|
148 |
130 |
$1K |
| 73700 |
|
32 |
26 |
$1K |
| 99442 |
|
79 |
73 |
$1K |
| G0279 |
Tomosynthesis, mammo |
87 |
64 |
$1K |
| 84157 |
|
701 |
599 |
$1K |
| 78306 |
|
12 |
12 |
$1K |
| 82530 |
|
108 |
85 |
$1K |
| 99155 |
|
1,178 |
1,114 |
$1K |
| 87324 |
|
51 |
42 |
$998.99 |
| 84481 |
|
145 |
123 |
$997.70 |
| 80195 |
|
901 |
542 |
$990.94 |
| 76506 |
|
12 |
12 |
$916.06 |
| 90471 |
|
135 |
85 |
$891.35 |
| 71100 |
|
30 |
25 |
$871.14 |
| 82945 |
|
647 |
554 |
$861.27 |
| 88108 |
|
419 |
264 |
$855.45 |
| H0032 |
Mh svc plan dev by non-md |
12 |
12 |
$851.60 |
| 29130 |
|
369 |
346 |
$840.58 |
| 94621 |
|
13 |
12 |
$830.82 |
| 82010 |
|
572 |
479 |
$816.93 |
| 77065 |
Tomosynthesis, mammo |
33 |
26 |
$815.81 |
| 51701 |
|
2,003 |
1,857 |
$808.69 |
| 88184 |
|
137 |
106 |
$803.25 |
| 87147 |
|
15 |
13 |
$796.05 |
| 99211 |
|
18 |
17 |
$762.35 |
| H1001 |
Antepartum management |
51 |
26 |
$752.00 |
| M0243 |
Casirivi and imdevi inj |
155 |
141 |
$741.23 |
| 76775 |
|
13 |
12 |
$717.07 |
| 84165 |
|
42 |
26 |
$694.03 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
303 |
166 |
$669.45 |
| 96450 |
|
31 |
24 |
$660.42 |
| 86592 |
|
144 |
126 |
$656.00 |
| 83789 |
|
33 |
31 |
$653.42 |
| 92611 |
|
312 |
299 |
$621.08 |
| 92582 |
|
40 |
38 |
$592.43 |
| 76881 |
|
12 |
12 |
$550.30 |
| 87081 |
|
862 |
829 |
$546.85 |
| J0461 |
Atropine sulfate injection |
43 |
25 |
$508.37 |
| J0744 |
Ciprofloxacin iv |
112 |
51 |
$499.96 |
| 70498 |
|
33 |
25 |
$491.82 |
| J9206 |
Irinotecan injection |
33 |
12 |
$485.65 |
| 80143 |
|
679 |
598 |
$478.22 |
| 99202 |
|
15 |
13 |
$463.60 |
| J7510 |
Prednisolone oral per 5 mg |
1,486 |
1,288 |
$459.19 |
| 00170 |
|
6,733 |
6,447 |
$448.32 |
| 43760 |
|
15 |
12 |
$430.76 |
| 99201 |
|
17 |
15 |
$421.34 |
| J2795 |
Ropivacaine hcl injection |
142 |
112 |
$416.86 |
| 72193 |
|
43 |
39 |
$413.57 |
| 70487 |
|
13 |
13 |
$403.54 |
| 80184 |
|
13 |
12 |
$392.78 |
| J1720 |
Hydrocortisone sodium succ i |
163 |
119 |
$365.95 |
| 80164 |
|
401 |
329 |
$361.74 |
| 83930 |
|
137 |
129 |
$338.50 |
| 86334 |
|
17 |
13 |
$337.48 |
| 83001 |
|
144 |
131 |
$332.21 |
| 81401 |
|
15 |
13 |
$326.78 |
| 86769 |
|
38 |
31 |
$307.23 |
| 84134 |
|
67 |
56 |
$305.40 |
| J9267 |
Paclitaxel injection |
39 |
12 |
$295.35 |
| 24640 |
|
81 |
75 |
$285.34 |
| 74247 |
|
50 |
47 |
$280.95 |
| 73600 |
|
14 |
13 |
$275.33 |
| U0001 |
2019-ncov diagnostic p |
76 |
44 |
$270.14 |
| 29105 |
|
292 |
273 |
$259.55 |
| 94727 |
|
29 |
25 |
$257.51 |
| 82525 |
|
84 |
81 |
$257.32 |
| 86704 |
|
138 |
117 |
$256.67 |
| 29505 |
|
118 |
103 |
$236.17 |
| 84311 |
|
341 |
323 |
$235.98 |
| J9370 |
Vincristine sulfate 1 mg inj |
684 |
451 |
$235.27 |
| 84403 |
|
180 |
156 |
$232.38 |
| Q0243 |
Casirivimab and imdevimab |
25 |
19 |
$216.23 |
| 91300 |
|
46 |
41 |
$207.79 |
| 82670 |
|
29 |
28 |
$199.35 |
| J9250 |
Methotrexate sodium inj |
72 |
51 |
$190.32 |
| 82785 |
|
101 |
98 |
$176.52 |
| J3301 |
Triamcinolone acet inj nos |
189 |
169 |
$172.14 |
| J2780 |
Ranitidine hydrochloride inj |
60 |
30 |
$165.71 |
| 83010 |
|
35 |
26 |
$138.63 |
| 82977 |
|
621 |
541 |
$133.83 |
| 84300 |
|
14 |
12 |
$133.16 |
| 90658 |
|
53 |
49 |
$127.65 |
| 83655 |
|
89 |
89 |
$127.13 |
| 94729 |
|
14 |
12 |
$125.00 |
| J0881 |
Darbepoetin alfa, non-esrd |
19 |
12 |
$116.38 |
| 84480 |
|
104 |
85 |
$115.82 |
| 81220 |
|
23 |
17 |
$112.25 |
| 86664 |
|
217 |
198 |
$104.32 |
| 92555 |
|
62 |
59 |
$103.62 |
| Q9950 |
Inj sulf hexa lipid microsph |
28 |
21 |
$103.15 |
| G8980 |
Mobility d/c status |
13 |
13 |
$97.98 |
| 85046 |
|
250 |
150 |
$97.39 |
| 87798 |
|
14 |
12 |
$94.41 |
| 81243 |
|
23 |
17 |
$89.08 |
| 84305 |
|
309 |
297 |
$84.77 |
| 93356 |
|
688 |
529 |
$84.34 |
| C1889 |
Implant/insert device, noc |
33 |
32 |
$70.59 |
| 77001 |
|
107 |
80 |
$70.14 |
| 90686 |
|
161 |
130 |
$68.88 |
| 87181 |
|
227 |
165 |
$68.56 |
| 88311 |
|
144 |
112 |
$56.63 |
| 00840 |
|
410 |
361 |
$46.76 |
| 83002 |
|
154 |
143 |
$43.50 |
| 83519 |
|
62 |
54 |
$38.72 |
| 85576 |
|
15 |
12 |
$38.58 |
| J0780 |
Prochlorperazine injection |
97 |
90 |
$35.07 |
| 29530 |
|
27 |
25 |
$35.07 |
| 00126 |
|
464 |
441 |
$23.79 |
| 77061 |
|
12 |
12 |
$23.46 |
| 72128 |
|
29 |
24 |
$23.38 |
| 86317 |
|
39 |
39 |
$20.53 |
| 3044F |
|
778 |
485 |
$20.00 |
| 82340 |
|
13 |
13 |
$16.74 |
| G2211 |
Complex e/m visit add on |
124 |
114 |
$16.47 |
| 00920 |
|
1,361 |
1,307 |
$16.12 |
| 86800 |
|
31 |
26 |
$15.82 |
| 80179 |
|
596 |
534 |
$14.65 |
| J0290 |
Ampicillin 500 mg inj |
53 |
12 |
$11.69 |
| J3105 |
Terbutaline sulfate inj |
32 |
27 |
$11.69 |
| 88312 |
|
13 |
12 |
$11.64 |
| 82652 |
|
41 |
39 |
$8.49 |
| 0002A |
|
57 |
48 |
$3.36 |
| 87102 |
|
35 |
27 |
$2.28 |
| G8510 |
Scr dep neg, no plan reqd |
11,678 |
7,468 |
$0.00 |
| 3008F |
|
4,808 |
2,991 |
$0.00 |
| 1126F |
|
4,113 |
2,796 |
$0.00 |
| L8699 |
Prosthetic implant nos |
361 |
351 |
$0.00 |
| G0299 |
Hhs/hospice of rn ea 15 min |
434 |
166 |
$0.00 |
| 3351F |
|
9,021 |
5,840 |
$0.00 |
| 1170F |
|
740 |
643 |
$0.00 |
| 3074F |
|
1,357 |
821 |
$0.00 |
| Q5001 |
Hospice or home hlth in home |
337 |
247 |
$0.00 |
| G0151 |
Hhcp-serv of pt,ea 15 min |
240 |
123 |
$0.00 |
| 1123F |
|
13 |
13 |
$0.00 |
| G0108 |
Diab manage trn per indiv |
16 |
13 |
$0.00 |
| 1111F |
|
429 |
243 |
$0.00 |
| 0001A |
|
42 |
39 |
$0.00 |
| G0300 |
Hhs/hospice of lpn ea 15 min |
321 |
125 |
$0.00 |
| P9040 |
Rbc leukoreduced irradiated |
13 |
12 |
$0.00 |
| 00120 |
|
12 |
12 |
$0.00 |
| 1125F |
|
273 |
220 |
$0.00 |
| G0157 |
Hhc pt assistant ea 15 |
283 |
70 |
$0.00 |
| 01400 |
|
30 |
30 |
$0.00 |
| G0152 |
Hhcp-serv of ot,ea 15 min |
59 |
28 |
$0.00 |
| 97010 |
|
26 |
12 |
$0.00 |
| 00790 |
|
13 |
13 |
$0.00 |
| 83825 |
|
12 |
12 |
$0.00 |
| 3079F |
|
15 |
14 |
$0.00 |
| G0008 |
Admin influenza virus vac |
16 |
12 |
$0.00 |
| 3075F |
|
12 |
12 |
$0.00 |
| J9045 |
Carboplatin injection |
25 |
12 |
$0.00 |
| 3725F |
|
14,203 |
9,166 |
$0.00 |
| 3078F |
|
1,585 |
969 |
$0.00 |
| 1159F |
|
306 |
263 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
650 |
391 |
$0.00 |
| 82175 |
|
12 |
12 |
$0.00 |
| 01926 |
|
12 |
12 |
$0.00 |
| 1160F |
|
290 |
248 |
$0.00 |
| 99080 |
|
25 |
24 |
$0.00 |
| 69200 |
|
40 |
39 |
$0.00 |
| 76376 |
|
17 |
12 |
$0.00 |
| 76857 |
|
13 |
12 |
$0.00 |