| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99211 |
|
372,174 |
313,004 |
$47.32M |
| 99213 |
|
148,331 |
125,230 |
$13.69M |
| J2350 |
Injection, ocrelizumab, 1 mg |
1,223 |
1,064 |
$8.60M |
| 96361 |
|
23,167 |
20,604 |
$8.58M |
| 99283 |
|
49,924 |
45,721 |
$7.04M |
| 96365 |
|
22,689 |
19,131 |
$6.86M |
| 99284 |
|
39,413 |
36,170 |
$5.75M |
| G0463 |
Hospital outpt clinic visit |
278,056 |
219,901 |
$5.45M |
| 99285 |
|
25,930 |
23,352 |
$4.75M |
| U0003 |
Cov-19 amp prb hgh thruput |
73,136 |
64,424 |
$4.08M |
| G0378 |
Hospital observation per hr |
27,861 |
20,914 |
$3.84M |
| 70553 |
|
13,938 |
13,288 |
$3.70M |
| 97110 |
|
63,354 |
28,043 |
$3.37M |
| J1745 |
Infliximab not biosimil 10mg |
3,136 |
1,672 |
$2.97M |
| 43239 |
|
5,014 |
4,885 |
$2.77M |
| 74177 |
|
21,107 |
20,003 |
$2.56M |
| 90834 |
|
41,592 |
24,358 |
$2.56M |
| 45380 |
|
4,395 |
4,272 |
$2.50M |
| J3380 |
Inj vedolizumab iv 1 mg |
1,317 |
1,074 |
$2.39M |
| 99214 |
|
48,692 |
47,250 |
$2.20M |
| J2323 |
Natalizumab injection |
906 |
824 |
$2.13M |
| 93306 |
|
13,974 |
13,338 |
$2.02M |
| 59025 |
|
7,873 |
4,830 |
$1.94M |
| 96413 |
|
7,944 |
6,787 |
$1.84M |
| J3490 |
Drugs unclassified injection |
25,371 |
18,354 |
$1.66M |
| 96366 |
|
8,302 |
7,014 |
$1.61M |
| 78815 |
|
1,941 |
1,854 |
$1.53M |
| 76816 |
|
17,106 |
14,241 |
$1.52M |
| J2357 |
Omalizumab injection |
2,622 |
1,816 |
$1.50M |
| Q5103 |
Injection, inflectra |
1,462 |
971 |
$1.43M |
| 70450 |
|
12,087 |
11,097 |
$1.37M |
| 77063 |
|
19,800 |
19,546 |
$1.28M |
| 87491 |
|
48,954 |
46,950 |
$1.24M |
| 87591 |
|
48,981 |
46,974 |
$1.24M |
| 99203 |
|
8,684 |
8,451 |
$1.23M |
| 45385 |
|
2,085 |
2,035 |
$1.23M |
| S9485 |
Crisis intervention mental h |
2,012 |
1,439 |
$1.18M |
| 96360 |
|
8,319 |
7,787 |
$1.16M |
| 76856 |
|
11,008 |
10,673 |
$1.16M |
| J7298 |
Mirena, 52 mg |
1,014 |
985 |
$1.16M |
| 96374 |
|
29,477 |
25,936 |
$1.15M |
| 74183 |
|
4,811 |
4,620 |
$1.07M |
| 76830 |
|
10,807 |
10,392 |
$1.02M |
| 71275 |
|
6,310 |
5,956 |
$1.01M |
| 76801 |
|
9,783 |
8,801 |
$966K |
| U0005 |
Infec agen detec ampli probe |
55,380 |
48,311 |
$875K |
| 76805 |
|
6,648 |
6,459 |
$842K |
| 76819 |
|
11,453 |
7,373 |
$825K |
| 96375 |
|
24,132 |
20,863 |
$825K |
| 71046 |
|
40,870 |
37,383 |
$801K |
| 85025 |
|
190,955 |
159,931 |
$789K |
| 96415 |
|
2,913 |
2,448 |
$782K |
| J0585 |
Injection,onabotulinumtoxina |
2,388 |
1,749 |
$774K |
| 97161 |
|
13,316 |
12,802 |
$754K |
| J0485 |
Belatacept injection |
2,192 |
1,124 |
$750K |
| 93308 |
|
4,282 |
4,010 |
$728K |
| 72148 |
|
5,435 |
5,272 |
$714K |
| J7307 |
Etonogestrel implant system |
592 |
567 |
$700K |
| 20610 |
|
5,868 |
5,387 |
$695K |
| 80307 |
|
21,361 |
18,054 |
$693K |
| 71260 |
|
8,308 |
7,960 |
$681K |
| 77300 |
|
2,414 |
2,017 |
$661K |
| 73721 |
|
3,419 |
3,192 |
$651K |
| D1110 |
|
19,757 |
14,774 |
$646K |
| 99215 |
Prolong outpt/office vis |
5,922 |
5,564 |
$637K |
| 72197 |
|
2,827 |
2,712 |
$636K |
| 76700 |
|
4,852 |
4,717 |
$630K |
| 76642 |
|
7,125 |
6,268 |
$623K |
| 62323 |
|
1,730 |
1,692 |
$623K |
| 84443 |
|
69,454 |
66,899 |
$617K |
| 82306 |
|
38,740 |
37,613 |
$616K |
| 93971 |
|
4,250 |
4,059 |
$615K |
| 45378 |
|
1,023 |
984 |
$615K |
| D9450 |
|
48,440 |
30,078 |
$612K |
| 96372 |
|
23,014 |
18,381 |
$610K |
| 97140 |
|
25,885 |
11,982 |
$607K |
| 86481 |
|
11,306 |
10,881 |
$604K |
| 99282 |
|
4,905 |
4,598 |
$595K |
| 99391 |
|
9,953 |
8,859 |
$594K |
| 87631 |
|
7,596 |
7,201 |
$593K |
| 71250 |
|
9,691 |
9,305 |
$588K |
| 99392 |
|
10,549 |
9,586 |
$568K |
| 92551 |
|
10,598 |
9,350 |
$565K |
| 93970 |
|
3,155 |
3,021 |
$555K |
| 87389 |
|
33,039 |
32,070 |
$553K |
| 43235 |
|
885 |
859 |
$537K |
| 99396 |
|
11,447 |
10,958 |
$535K |
| 11102 |
|
1,282 |
1,228 |
$535K |
| 99393 |
|
10,638 |
9,687 |
$517K |
| 70551 |
|
3,153 |
3,014 |
$507K |
| J1569 |
Gammagard liquid injection |
824 |
339 |
$497K |
| 36561 |
|
473 |
452 |
$493K |
| 58300 |
|
1,897 |
1,846 |
$488K |
| 83036 |
|
98,871 |
96,199 |
$477K |
| 70496 |
|
2,415 |
2,303 |
$476K |
| 99395 |
|
9,336 |
8,890 |
$470K |
| 76813 |
|
5,644 |
5,519 |
$468K |
| 76536 |
|
5,086 |
4,962 |
$461K |
| J9312 |
Inj., rituximab, 10 mg |
285 |
255 |
$454K |
| 88305 |
|
37,438 |
25,022 |
$418K |
| 87637 |
|
3,268 |
3,063 |
$411K |
| 76705 |
|
4,264 |
4,012 |
$410K |
| 11900 |
|
2,237 |
2,125 |
$404K |
| D2751 |
|
871 |
649 |
$403K |
| 72141 |
|
3,027 |
2,920 |
$401K |
| 99394 |
|
7,909 |
7,153 |
$388K |
| 99201 |
|
3,224 |
3,087 |
$386K |
| 90837 |
|
7,519 |
4,730 |
$385K |
| 90651 |
|
3,620 |
3,594 |
$385K |
| 90686 |
|
29,153 |
28,746 |
$379K |
| 90471 |
|
53,313 |
52,005 |
$379K |
| 74176 |
|
3,338 |
3,166 |
$377K |
| 70544 |
|
2,512 |
2,384 |
$377K |
| 77386 |
|
1,017 |
105 |
$375K |
| 11104 |
|
762 |
727 |
$375K |
| 81513 |
|
5,897 |
5,478 |
$375K |
| 76770 |
|
2,910 |
2,824 |
$370K |
| D0120 |
|
21,929 |
17,419 |
$370K |
| 87661 |
|
15,957 |
15,165 |
$369K |
| G2023 |
Specimen collect covid-19 |
18,743 |
16,842 |
$366K |
| 77334 |
|
2,108 |
1,753 |
$365K |
| 76815 |
|
4,525 |
4,066 |
$363K |
| 93017 |
|
5,297 |
5,103 |
$359K |
| 77080 |
|
7,084 |
7,005 |
$356K |
| 87624 |
|
15,485 |
15,121 |
$355K |
| 88175 |
|
16,219 |
15,909 |
$347K |
| 64493 |
|
708 |
670 |
$341K |
| 17110 |
|
2,070 |
1,959 |
$329K |
| 76811 |
|
3,269 |
3,204 |
$327K |
| 76817 |
|
5,783 |
4,831 |
$320K |
| 99291 |
|
1,377 |
1,287 |
$315K |
| ATP15 |
|
40,826 |
31,381 |
$312K |
| 83880 |
|
17,272 |
15,680 |
$311K |
| 58100 |
|
1,132 |
1,095 |
$306K |
| 82728 |
|
37,410 |
36,142 |
$306K |
| 77301 |
|
945 |
788 |
$305K |
| 83735 |
|
85,543 |
63,452 |
$302K |
| 97112 |
|
7,393 |
3,960 |
$301K |
| 78451 |
|
1,105 |
1,071 |
$298K |
| 93005 |
|
72,973 |
64,160 |
$292K |
| 57454 |
|
962 |
913 |
$292K |
| 86780 |
|
28,168 |
27,404 |
$290K |
| 84702 |
|
22,170 |
18,197 |
$289K |
| 85027 |
|
81,529 |
70,478 |
$289K |
| D1120 |
|
5,663 |
5,604 |
$284K |
| 73221 |
|
1,788 |
1,687 |
$283K |
| 76820 |
|
7,296 |
4,311 |
$281K |
| ATP08 |
|
45,322 |
35,927 |
$260K |
| U0002 |
Covid-19 lab test non-cdc |
8,054 |
7,352 |
$259K |
| 58301 |
|
1,196 |
1,155 |
$258K |
| 90715 |
|
11,742 |
11,507 |
$255K |
| 97802 |
|
3,966 |
3,829 |
$251K |
| 84484 |
|
27,790 |
23,247 |
$246K |
| 86803 |
|
27,261 |
26,519 |
$246K |
| 94640 |
|
3,915 |
2,986 |
$246K |
| D0274 |
|
9,916 |
7,806 |
$245K |
| 97803 |
|
4,181 |
3,750 |
$244K |
| 94010 |
|
5,914 |
5,554 |
$237K |
| 80048 |
|
192,435 |
155,329 |
$235K |
| 86850 |
|
32,968 |
30,166 |
$233K |
| 20553 |
|
1,783 |
1,702 |
$230K |
| J2182 |
Injection, mepolizumab, 1mg |
271 |
235 |
$223K |
| 77062 |
|
2,465 |
2,412 |
$221K |
| 90832 |
|
7,650 |
6,317 |
$221K |
| 99173 |
|
11,741 |
11,210 |
$219K |
| 87086 |
|
41,577 |
38,096 |
$218K |
| 19083 |
|
283 |
278 |
$218K |
| 71045 |
|
10,328 |
8,811 |
$216K |
| 83970 |
|
14,120 |
13,541 |
$214K |
| 82607 |
|
27,434 |
26,639 |
$209K |
| 77067 |
|
19,882 |
19,628 |
$208K |
| 96110 |
|
22,149 |
19,514 |
$208K |
| 97165 |
|
2,754 |
2,589 |
$206K |
| Q5115 |
Inj truxima 10 mg |
68 |
55 |
$203K |
| 0001A |
|
6,659 |
6,215 |
$198K |
| 78452 |
|
708 |
678 |
$197K |
| D2392 |
|
3,652 |
2,095 |
$197K |
| ATP14 |
|
25,713 |
22,195 |
$180K |
| 10005 |
|
572 |
548 |
$180K |
| 0002A |
|
5,736 |
5,351 |
$178K |
| D2391 |
|
4,090 |
2,184 |
$172K |
| 81025 |
|
31,040 |
29,000 |
$170K |
| 72156 |
|
1,843 |
1,748 |
$170K |
| 76882 |
|
1,809 |
1,655 |
$166K |
| 77470 |
|
715 |
671 |
$164K |
| 87632 |
|
1,605 |
1,529 |
$161K |
| 77065 |
Tomosynthesis, mammo |
3,802 |
3,558 |
$161K |
| 70491 |
|
1,367 |
1,314 |
$156K |
| S0302 |
Completed epsdt |
17,763 |
17,663 |
$155K |
| J1200 |
Diphenhydramine hcl injectio |
5,435 |
4,408 |
$153K |
| 72158 |
|
1,303 |
1,235 |
$149K |
| 77061 |
|
1,444 |
1,425 |
$148K |
| D7140 |
|
3,161 |
1,283 |
$148K |
| 87536 |
|
3,647 |
3,497 |
$147K |
| 83690 |
|
32,110 |
28,954 |
$146K |
| J1050 |
Medroxyprogesterone acetate |
2,870 |
2,825 |
$146K |
| 90750 |
|
2,288 |
2,272 |
$145K |
| 93296 |
|
5,015 |
4,924 |
$142K |
| 90791 |
|
2,049 |
1,980 |
$141K |
| 73030 |
|
7,352 |
6,682 |
$139K |
| 83605 |
|
17,916 |
15,369 |
$137K |
| 73630 |
|
8,662 |
7,531 |
$136K |
| 74246 |
|
909 |
895 |
$134K |
| 83550 |
|
28,149 |
27,225 |
$133K |
| 87481 |
|
5,839 |
5,443 |
$131K |
| 88307 |
|
2,017 |
1,646 |
$127K |
| 81001 |
|
72,039 |
64,211 |
$124K |
| 86141 |
|
20,282 |
18,223 |
$123K |
| 97530 |
|
2,463 |
1,624 |
$123K |
| 10060 |
|
712 |
685 |
$123K |
| 11100 |
|
507 |
468 |
$123K |
| D0140 |
|
4,577 |
3,020 |
$122K |
| 80076 |
|
93,281 |
79,626 |
$120K |
| 85610 |
|
55,166 |
41,881 |
$118K |
| 11056 |
|
1,377 |
1,272 |
$117K |
| 73610 |
|
6,720 |
5,958 |
$116K |
| 73564 |
|
7,047 |
6,196 |
$115K |
| D2150 |
|
2,287 |
1,122 |
$113K |
| 87340 |
|
14,956 |
14,501 |
$112K |
| 88341 |
|
2,687 |
2,543 |
$111K |
| 95886 |
|
590 |
569 |
$110K |
| 77336 |
|
1,683 |
856 |
$110K |
| G0121 |
Colon ca scrn not hi rsk ind |
135 |
134 |
$108K |
| 86235 |
|
2,855 |
2,769 |
$108K |
| 87077 |
|
18,854 |
17,777 |
$108K |
| 97162 |
|
2,266 |
2,155 |
$107K |
| 73502 |
|
6,392 |
5,994 |
$107K |
| 17000 |
|
1,325 |
1,286 |
$106K |
| D1206 |
|
3,941 |
3,906 |
$105K |
| G0480 |
Drug test def 1-7 classes |
8,404 |
7,308 |
$104K |
| 73130 |
|
6,683 |
5,314 |
$104K |
| 83540 |
|
28,959 |
27,987 |
$102K |
| 91065 |
|
633 |
603 |
$102K |
| 72100 |
|
5,308 |
5,171 |
$101K |
| 82784 |
|
11,079 |
10,537 |
$101K |
| 82803 |
|
6,659 |
5,568 |
$100K |
| 77290 |
|
189 |
172 |
$98K |
| 82746 |
|
12,222 |
11,896 |
$97K |
| 80050 |
|
6,482 |
6,311 |
$96K |
| D0210 |
|
2,432 |
1,700 |
$96K |
| 73562 |
|
6,439 |
5,631 |
$95K |
| 78431 |
|
221 |
214 |
$95K |
| J1650 |
Inj enoxaparin sodium |
6,538 |
2,943 |
$95K |
| 86762 |
|
8,403 |
8,165 |
$95K |
| ATP03 |
|
31,074 |
26,532 |
$95K |
| 88342 |
|
5,106 |
4,869 |
$94K |
| 77002 |
|
2,488 |
2,311 |
$93K |
| 86003 |
|
2,128 |
2,076 |
$90K |
| J7999 |
Compounded drug, noc |
7,711 |
5,125 |
$89K |
| 86900 |
|
33,467 |
30,620 |
$89K |
| 95117 |
|
4,185 |
2,479 |
$88K |
| 72157 |
|
1,620 |
1,544 |
$88K |
| 77295 |
|
171 |
166 |
$87K |
| 0124A |
|
3,420 |
3,340 |
$87K |
| 72125 |
|
3,384 |
3,136 |
$87K |
| 92587 |
|
452 |
441 |
$85K |
| 70498 |
|
1,829 |
1,736 |
$82K |
| 84439 |
|
16,954 |
16,163 |
$82K |
| 87070 |
|
14,744 |
13,660 |
$82K |
| ATP17 |
|
11,566 |
10,067 |
$82K |
| 74178 |
|
595 |
581 |
$81K |
| J0131 |
Inj, acetaminophen (nos) |
3,261 |
2,830 |
$81K |
| 87088 |
|
15,016 |
14,163 |
$81K |
| 91200 |
|
1,091 |
1,070 |
$81K |
| 77338 |
|
1,075 |
859 |
$80K |
| 94060 |
|
1,428 |
1,346 |
$78K |
| 90460 |
|
9,198 |
9,068 |
$77K |
| 87081 |
|
19,633 |
18,372 |
$77K |
| 11981 |
|
268 |
260 |
$76K |
| 88185 |
|
384 |
354 |
$74K |
| 86901 |
|
33,275 |
30,442 |
$74K |
| D1208 |
|
2,554 |
2,538 |
$74K |
| G0481 |
Drug test def 8-14 classes |
986 |
686 |
$73K |
| J1644 |
Inj heparin sodium per 1000u |
10,519 |
5,463 |
$72K |
| 99385 |
|
1,007 |
986 |
$72K |
| ATP11 |
|
12,249 |
10,613 |
$72K |
| 70486 |
|
1,126 |
1,058 |
$70K |
| ATP16 |
|
9,041 |
6,447 |
$70K |
| 64615 |
|
369 |
363 |
$69K |
| G0105 |
Colorectal scrn; hi risk ind |
89 |
88 |
$68K |
| 82570 |
|
33,537 |
30,251 |
$68K |
| 76942 |
|
1,025 |
970 |
$67K |
| 87040 |
|
6,087 |
5,077 |
$67K |
| 80053 |
|
83,591 |
73,899 |
$66K |
| J3010 |
Fentanyl citrate injection |
35,133 |
29,649 |
$66K |
| 94726 |
|
1,610 |
1,539 |
$65K |
| J9310 |
Rituximab injection |
102 |
88 |
$64K |
| 84146 |
|
5,237 |
4,965 |
$64K |
| 74174 |
|
1,167 |
1,101 |
$64K |
| 86787 |
|
6,410 |
6,194 |
$64K |
| 82670 |
|
3,474 |
3,044 |
$62K |
| 87799 |
|
6,622 |
4,617 |
$62K |
| 0004A |
|
2,630 |
2,446 |
$61K |
| 88173 |
|
958 |
915 |
$61K |
| 99381 |
|
795 |
788 |
$61K |
| 84403 |
|
4,267 |
4,128 |
$60K |
| 87880 |
|
5,833 |
5,585 |
$60K |
| 62370 |
|
1,853 |
1,687 |
$60K |
| 95885 |
|
320 |
308 |
$60K |
| 87186 |
|
12,438 |
11,663 |
$59K |
| 84153 |
|
6,323 |
6,126 |
$59K |
| 96367 |
|
490 |
440 |
$59K |
| J2405 |
Ondansetron hcl injection |
31,193 |
25,631 |
$59K |
| 86355 |
|
4,468 |
4,253 |
$59K |
| 93321 |
|
714 |
688 |
$58K |
| J9999 |
Chemotherapy drug |
2,216 |
1,477 |
$57K |
| ATP18 |
|
8,099 |
6,924 |
$57K |
| 83001 |
|
4,746 |
4,541 |
$56K |
| 73110 |
|
3,549 |
3,039 |
$56K |
| 77001 |
|
1,385 |
1,319 |
$56K |
| 77066 |
Tomosynthesis, mammo |
3,814 |
3,717 |
$56K |
| G2066 |
Inter devc remote 30d |
1,274 |
1,071 |
$56K |
| 76775 |
|
684 |
662 |
$56K |
| 87653 |
|
1,959 |
1,927 |
$55K |
| 81003 |
|
38,128 |
34,323 |
$55K |
| 99281 |
|
423 |
392 |
$55K |
| 86706 |
|
8,159 |
7,835 |
$53K |
| 87522 |
Neg quan hep c or qual rna |
2,419 |
2,290 |
$52K |
| D2331 |
|
1,251 |
571 |
$52K |
| 85730 |
|
9,912 |
8,732 |
$52K |
| 83516 |
|
5,927 |
5,644 |
$51K |
| 92610 |
|
403 |
379 |
$51K |
| 82043 |
|
24,418 |
23,591 |
$50K |
| 86140 |
|
19,273 |
18,025 |
$49K |
| 90847 |
|
540 |
322 |
$49K |
| 84425 |
|
4,125 |
4,039 |
$48K |
| 86360 |
|
2,670 |
2,571 |
$48K |
| D0150 |
|
2,146 |
1,597 |
$48K |
| 85379 |
|
7,283 |
6,900 |
$48K |
| J7050 |
Normal saline solution infus |
23,852 |
17,702 |
$47K |
| D0220 |
|
4,729 |
3,083 |
$47K |
| 73560 |
|
3,177 |
2,799 |
$47K |
| 0241U |
|
3,023 |
2,868 |
$47K |
| 11982 |
|
241 |
238 |
$47K |
| 76937 |
|
1,944 |
1,833 |
$47K |
| 73080 |
|
1,866 |
1,717 |
$46K |
| 94729 |
|
2,331 |
2,238 |
$46K |
| 90677 |
|
2,039 |
1,994 |
$46K |
| 75574 |
|
390 |
383 |
$45K |
| 93325 |
|
1,181 |
1,127 |
$45K |
| 86160 |
|
3,974 |
3,805 |
$45K |
| J2250 |
Inj midazolam hydrochloride |
29,239 |
25,295 |
$45K |
| 76857 |
|
708 |
635 |
$45K |
| 64483 |
|
132 |
125 |
$44K |
| J1170 |
Hydromorphone injection |
14,303 |
9,846 |
$43K |
| 95165 |
|
3,541 |
2,059 |
$43K |
| 80061 |
|
83,173 |
80,785 |
$43K |
| 76604 |
|
538 |
508 |
$42K |
| 99496 |
|
675 |
647 |
$42K |
| 74018 |
|
1,328 |
1,178 |
$42K |
| 72040 |
|
2,036 |
1,968 |
$41K |
| J1885 |
Ketorolac tromethamine inj |
17,787 |
14,740 |
$41K |
| 85652 |
|
29,975 |
27,746 |
$40K |
| 86038 |
|
6,114 |
5,939 |
$40K |
| 90746 |
|
1,832 |
1,806 |
$39K |
| 83520 |
|
4,358 |
4,069 |
$39K |
| 90853 |
|
2,079 |
980 |
$39K |
| 83021 |
|
2,320 |
2,261 |
$38K |
| 86359 |
|
2,672 |
2,574 |
$38K |
| 99386 |
|
651 |
629 |
$38K |
| 86832 |
|
572 |
541 |
$38K |
| 87635 |
|
938 |
894 |
$38K |
| 80197 |
|
13,502 |
8,643 |
$37K |
| 90472 |
|
12,911 |
12,735 |
$37K |
| D1351 |
|
1,015 |
404 |
$37K |
| 83655 |
|
3,474 |
3,433 |
$37K |
| 99205 |
Prolong outpt/office vis |
226 |
221 |
$37K |
| 0054A |
|
1,830 |
1,704 |
$37K |
| 99212 |
|
1,598 |
1,535 |
$36K |
| 90732 |
|
2,613 |
2,551 |
$35K |
| 84402 |
|
2,390 |
2,315 |
$35K |
| J2704 |
Inj, propofol, 10 mg |
25,393 |
21,670 |
$34K |
| 87497 |
|
3,786 |
2,689 |
$34K |
| 87184 |
|
7,981 |
7,518 |
$34K |
| 86357 |
|
2,245 |
2,162 |
$34K |
| 0071A |
|
786 |
754 |
$34K |
| 94621 |
|
303 |
290 |
$33K |
| 76870 |
|
332 |
314 |
$33K |
| ATP07 |
|
5,627 |
4,916 |
$33K |
| 86833 |
|
541 |
514 |
$32K |
| J3475 |
Inj magnesium sulfate |
9,492 |
8,240 |
$32K |
| 86334 |
|
3,859 |
3,711 |
$32K |
| 86704 |
|
4,657 |
4,480 |
$32K |
| 95816 |
|
156 |
150 |
$31K |
| J0696 |
Ceftriaxone sodium injection |
6,423 |
5,228 |
$31K |
| ATP09 |
|
5,569 |
4,161 |
$31K |
| J2791 |
Rhophylac injection |
138 |
125 |
$31K |
| 72146 |
|
875 |
829 |
$31K |
| 87636 |
|
312 |
265 |
$30K |
| J2930 |
Methylprednisolone injection |
3,962 |
3,192 |
$30K |
| 93975 |
|
321 |
310 |
$30K |
| 86147 |
|
1,138 |
1,098 |
$30K |
| 86765 |
|
3,473 |
3,351 |
$30K |
| D0272 |
|
1,089 |
1,028 |
$30K |
| 83002 |
|
2,428 |
2,173 |
$29K |
| 72170 |
|
1,559 |
1,485 |
$29K |
| 88304 |
|
1,614 |
1,464 |
$29K |
| 70548 |
|
176 |
169 |
$28K |
| 73552 |
|
1,340 |
1,219 |
$28K |
| 86225 |
|
4,269 |
4,107 |
$28K |
| 86769 |
|
1,282 |
1,247 |
$27K |
| G0279 |
Tomosynthesis, mammo |
1,705 |
1,673 |
$27K |
| 93880 |
|
435 |
423 |
$26K |
| 20550 |
|
173 |
153 |
$26K |
| 73700 |
|
535 |
504 |
$25K |
| 84590 |
|
3,874 |
3,779 |
$25K |
| 88360 |
|
478 |
460 |
$25K |
| 11042 |
|
181 |
161 |
$25K |
| 84480 |
|
2,982 |
2,825 |
$25K |
| 90662 |
|
8,001 |
7,841 |
$25K |
| 87338 |
|
2,823 |
2,768 |
$24K |
| 20552 |
|
193 |
185 |
$24K |
| 91320 |
|
1,725 |
1,697 |
$24K |
| Q0139 |
Ferumoxytol, esrd use |
62 |
42 |
$24K |
| 90670 |
|
5,734 |
5,638 |
$24K |
| 99443 |
|
4,447 |
4,269 |
$24K |
| 83020 |
|
2,244 |
2,133 |
$23K |
| D2160 |
|
495 |
280 |
$23K |
| 75561 |
|
116 |
112 |
$23K |
| 84156 |
|
14,463 |
11,798 |
$23K |
| 49083 |
|
73 |
37 |
$23K |
| 82950 |
|
5,407 |
5,338 |
$22K |
| 73140 |
|
964 |
890 |
$22K |
| 86618 |
|
2,229 |
2,156 |
$22K |
| Q0138 |
Ferumoxytol, non-esrd |
80 |
52 |
$22K |
| 90480 |
|
2,259 |
2,230 |
$22K |
| 90714 |
|
891 |
886 |
$22K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
42,619 |
39,433 |
$21K |
| 72070 |
|
738 |
709 |
$21K |
| 99495 |
|
544 |
526 |
$21K |
| 71271 |
|
881 |
874 |
$21K |
| 0072A |
|
461 |
460 |
$21K |
| 87517 |
|
1,079 |
1,039 |
$21K |
| 86677 |
|
1,988 |
1,950 |
$21K |
| D2140 |
|
570 |
322 |
$20K |
| 82330 |
|
3,107 |
2,438 |
$20K |
| Q3014 |
Telehealth facility fee |
13,432 |
12,415 |
$20K |
| ATP10 |
|
3,844 |
3,261 |
$20K |
| A9585 |
Gadobutrol injection |
26,979 |
25,379 |
$20K |
| 82533 |
|
2,301 |
2,058 |
$19K |
| D2393 |
|
469 |
253 |
$19K |
| 19081 |
|
28 |
27 |
$19K |
| 99397 |
|
927 |
827 |
$19K |
| 86923 |
|
1,283 |
1,030 |
$19K |
| 73590 |
|
2,077 |
1,850 |
$19K |
| 96409 |
|
36 |
35 |
$19K |
| 72131 |
|
635 |
592 |
$19K |
| J1100 |
Dexamethasone sodium phos |
11,642 |
10,458 |
$18K |
| J0690 |
Cefazolin sodium injection |
9,670 |
8,312 |
$18K |
| 96900 |
|
433 |
60 |
$18K |
| 84165 |
|
4,533 |
4,335 |
$18K |
| ATP23 |
|
1,992 |
1,375 |
$18K |
| 87625 |
|
992 |
967 |
$18K |
| 87798 |
|
914 |
853 |
$18K |
| 87102 |
|
3,415 |
3,235 |
$18K |
| 80179 |
|
1,425 |
1,338 |
$17K |
| 64494 |
|
563 |
536 |
$17K |
| 88108 |
|
661 |
644 |
$17K |
| J1756 |
Iron sucrose injection |
409 |
250 |
$17K |
| 86708 |
|
2,581 |
2,488 |
$16K |
| 93976 |
|
174 |
167 |
$16K |
| 84100 |
|
35,003 |
25,881 |
$16K |
| 86200 |
|
2,357 |
2,301 |
$16K |
| 94664 |
|
487 |
461 |
$16K |
| 86735 |
|
1,926 |
1,846 |
$15K |
| J7512 |
Prednisone ir or dr oral 1mg |
4,845 |
2,676 |
$15K |
| 82088 |
|
778 |
739 |
$15K |
| 82105 |
|
1,879 |
1,829 |
$15K |
| 95004 |
|
169 |
167 |
$15K |
| 73060 |
|
427 |
379 |
$14K |
| 82785 |
|
1,637 |
1,587 |
$14K |
| 99188 |
|
1,139 |
1,119 |
$14K |
| 86376 |
|
1,472 |
1,423 |
$14K |
| 82024 |
|
664 |
636 |
$14K |
| 82627 |
|
849 |
829 |
$14K |
| 90691 |
|
590 |
579 |
$13K |
| 29581 |
|
142 |
61 |
$13K |
| 87529 |
|
569 |
551 |
$13K |
| 88184 |
|
493 |
457 |
$13K |
| 87210 |
|
4,951 |
3,320 |
$13K |
| 90696 |
|
866 |
861 |
$13K |
| 83993 |
|
1,188 |
1,149 |
$13K |
| 0031A |
|
405 |
349 |
$13K |
| 86146 |
|
814 |
791 |
$13K |
| 86255 |
|
1,740 |
1,558 |
$13K |
| 81229 |
|
13 |
12 |
$12K |
| 70543 |
|
40 |
38 |
$12K |
| 85045 |
|
6,468 |
5,120 |
$12K |
| ATP04 |
|
2,197 |
1,889 |
$12K |
| 90734 |
|
2,468 |
2,458 |
$12K |
| J0248 |
Inj, remdesivir, 1 mg |
31 |
17 |
$12K |
| 82610 |
|
3,135 |
2,838 |
$12K |
| 64450 |
|
58 |
50 |
$12K |
| 87252 |
|
595 |
558 |
$11K |
| 95076 |
|
12 |
12 |
$11K |
| 86431 |
|
3,769 |
3,680 |
$11K |
| 80299 |
|
982 |
856 |
$11K |
| G0008 |
Admin influenza virus vac |
11,182 |
11,060 |
$11K |
| J3370 |
Vancomycin hcl injection |
2,872 |
1,929 |
$11K |
| 96376 |
|
7,136 |
5,934 |
$11K |
| 90461 |
|
3,383 |
3,347 |
$11K |
| 87106 |
|
1,468 |
1,405 |
$11K |
| 36415 |
|
131,369 |
108,738 |
$11K |
| 87400 |
|
747 |
730 |
$11K |
| J1726 |
Makena, 10 mg |
217 |
76 |
$11K |
| 88112 |
|
370 |
351 |
$11K |
| C1769 |
Guide wire |
2,760 |
2,552 |
$11K |
| 93923 |
|
186 |
181 |
$11K |
| 77081 |
|
448 |
442 |
$11K |
| 11901 |
|
70 |
69 |
$11K |
| 11721 |
|
459 |
429 |
$11K |
| 0051A |
|
287 |
287 |
$10K |
| 80143 |
|
1,321 |
1,234 |
$10K |
| 87205 |
|
4,452 |
3,961 |
$10K |
| 87177 |
|
2,044 |
1,743 |
$10K |
| 84134 |
|
1,805 |
1,420 |
$10K |
| 83921 |
|
1,178 |
1,160 |
$10K |
| 80164 |
|
1,836 |
1,655 |
$10K |
| 87046 |
|
1,640 |
1,563 |
$10K |
| 81450 |
|
111 |
104 |
$10K |
| 82550 |
|
8,970 |
7,988 |
$10K |
| 0081A |
|
224 |
224 |
$10K |
| 87209 |
|
1,043 |
872 |
$9K |
| 86800 |
|
1,105 |
1,072 |
$9K |
| J1030 |
Methylprednisolone 40 mg inj |
5,274 |
5,029 |
$9K |
| G0439 |
Ppps, subseq visit |
2,293 |
2,230 |
$9K |
| ATP12 |
|
1,449 |
1,241 |
$9K |
| 87811 |
|
454 |
449 |
$9K |
| D0330 |
|
227 |
153 |
$9K |
| 82274 |
|
1,208 |
1,180 |
$9K |
| 84244 |
|
838 |
800 |
$9K |
| 87045 |
|
1,593 |
1,522 |
$8K |
| 73523 |
|
741 |
695 |
$8K |
| 88313 |
|
361 |
352 |
$8K |
| J3262 |
Tocilizumab injection |
53 |
36 |
$8K |
| 90716 |
|
1,509 |
1,499 |
$8K |
| D2330 |
|
227 |
104 |
$8K |
| 77332 |
|
79 |
66 |
$8K |
| 82565 |
|
9,137 |
8,533 |
$8K |
| J2270 |
Morphine sulfate injection |
7,192 |
5,973 |
$8K |
| 83721 |
|
2,379 |
2,311 |
$8K |
| 92083 |
|
214 |
202 |
$8K |
| 97116 |
|
351 |
238 |
$8K |
| 80175 |
|
1,747 |
1,634 |
$8K |
| 82951 |
|
658 |
650 |
$8K |
| 95913 |
|
88 |
83 |
$8K |
| 90792 |
|
887 |
872 |
$8K |
| 87324 |
|
1,433 |
1,350 |
$7K |
| 80177 |
|
1,334 |
1,240 |
$7K |
| 64650 |
|
24 |
24 |
$7K |
| J7300 |
Intra copp contra (paragard) |
129 |
127 |
$7K |
| 0154A |
|
211 |
204 |
$7K |
| 20605 |
|
53 |
50 |
$7K |
| J7120 |
Ringers lactate infusion |
4,453 |
4,072 |
$7K |
| C1894 |
Intro/sheath, non-laser |
2,858 |
2,639 |
$7K |
| C9803 |
Hopd covid-19 spec collect |
9,054 |
8,233 |
$7K |
| 83615 |
|
6,991 |
5,358 |
$7K |
| 76376 |
|
646 |
617 |
$7K |
| 78264 |
|
38 |
38 |
$7K |
| 73720 |
|
31 |
29 |
$7K |
| 84445 |
|
181 |
177 |
$7K |
| ATP05 |
|
1,088 |
954 |
$7K |
| 0082A |
|
147 |
145 |
$7K |
| 90707 |
|
1,685 |
1,673 |
$7K |
| J3489 |
Zoledronic acid 1mg |
205 |
192 |
$7K |
| 72195 |
|
53 |
52 |
$6K |
| 85007 |
|
3,598 |
2,870 |
$6K |
| 93299 |
|
169 |
166 |
$6K |
| 93298 |
|
288 |
282 |
$6K |
| 84144 |
|
421 |
314 |
$6K |
| 86039 |
|
1,021 |
1,002 |
$6K |
| 94618 |
|
161 |
161 |
$6K |
| 84550 |
|
8,958 |
8,072 |
$6K |
| 82010 |
|
1,185 |
1,043 |
$6K |
| D0145 |
|
227 |
224 |
$6K |
| G0127 |
Trim nail(s) |
2,968 |
2,799 |
$6K |
| 85613 |
|
1,018 |
981 |
$6K |
| 74221 |
|
51 |
51 |
$6K |
| 90656 |
|
625 |
595 |
$6K |
| 84630 |
|
631 |
618 |
$6K |
| 86694 |
|
538 |
515 |
$6K |
| 58558 |
|
13 |
12 |
$6K |
| ATP02 |
|
1,445 |
1,230 |
$6K |
| J2060 |
Lorazepam injection |
4,097 |
3,112 |
$6K |
| 85597 |
|
535 |
522 |
$5K |
| 90632 |
|
314 |
301 |
$5K |
| 86665 |
|
318 |
294 |
$5K |
| 85018 |
|
2,744 |
2,708 |
$5K |
| 84432 |
|
643 |
623 |
$5K |
| 69209 |
|
43 |
39 |
$5K |
| 87641 |
|
206 |
198 |
$5K |
| M0243 |
Casirivi and imdevi inj |
19 |
17 |
$5K |
| S0020 |
Injection, bupivicaine hydro |
269 |
246 |
$5K |
| C7900 |
Hopd mntl hlt, 15-29 min |
731 |
538 |
$5K |
| 84681 |
|
462 |
438 |
$5K |
| 86828 |
|
459 |
435 |
$5K |
| 83718 |
|
798 |
786 |
$5K |
| 87116 |
|
868 |
760 |
$5K |
| 93356 |
|
1,471 |
1,413 |
$5K |
| 87075 |
|
1,023 |
948 |
$5K |
| 0064A |
|
217 |
207 |
$4K |
| 0012A |
|
207 |
200 |
$4K |
| 57456 |
|
14 |
13 |
$4K |
| 86580 |
|
628 |
599 |
$4K |
| 85384 |
|
773 |
622 |
$4K |
| 10061 |
|
28 |
26 |
$4K |
| J0171 |
Adrenalin epinephrine inject |
654 |
570 |
$4K |
| J2795 |
Ropivacaine hcl injection |
3,257 |
2,964 |
$4K |
| J0134 |
Inj acetaminophen -fresenius |
1,164 |
1,006 |
$4K |
| 85014 |
|
2,032 |
1,989 |
$4K |
| 97166 |
|
51 |
51 |
$4K |
| 88312 |
|
521 |
500 |
$4K |
| 86162 |
|
390 |
380 |
$4K |
| J2001 |
Lidocaine injection |
28,218 |
24,059 |
$4K |
| 83519 |
|
441 |
423 |
$4K |
| 84305 |
|
357 |
345 |
$4K |
| 83525 |
|
567 |
557 |
$4K |
| J0780 |
Prochlorperazine injection |
1,023 |
788 |
$4K |
| M0220 |
Tixagev and cilgav inj |
95 |
89 |
$4K |
| 86352 |
|
105 |
96 |
$4K |
| 99153 |
Mod sedat endo service >5yrs |
7,868 |
7,374 |
$4K |
| 99204 |
|
39 |
37 |
$4K |
| C7901 |
Hopd mntl hlt, 30-60 min |
2,951 |
1,761 |
$4K |
| 80074 |
|
106 |
102 |
$4K |
| 81206 |
|
260 |
241 |
$4K |
| 73090 |
|
326 |
294 |
$4K |
| 86356 |
|
439 |
425 |
$4K |
| 0011A |
|
211 |
203 |
$4K |
| 89051 |
|
1,192 |
1,030 |
$4K |
| J0692 |
Cefepime hcl for injection |
512 |
336 |
$3K |
| 86644 |
|
433 |
400 |
$3K |
| 96127 |
|
336 |
324 |
$3K |
| 0003A |
|
181 |
180 |
$3K |
| 86870 |
|
240 |
209 |
$3K |
| 84132 |
|
4,253 |
3,835 |
$3K |
| ATP19 |
|
471 |
367 |
$3K |
| 88346 |
|
152 |
146 |
$3K |
| 0074A |
|
80 |
80 |
$3K |
| 90682 |
|
170 |
163 |
$3K |
| ATP13 |
|
376 |
350 |
$3K |
| 88350 |
|
61 |
60 |
$3K |
| Q0091 |
Obtaining screen pap smear |
14,436 |
13,709 |
$3K |
| 82947 |
|
2,832 |
2,527 |
$3K |
| 87015 |
|
848 |
743 |
$3K |
| D0270 |
|
374 |
230 |
$3K |
| 0052A |
|
62 |
62 |
$3K |
| 86682 |
|
436 |
417 |
$3K |
| 80178 |
|
920 |
838 |
$3K |
| 83498 |
|
130 |
127 |
$3K |
| D0230 |
|
446 |
219 |
$3K |
| 87206 |
|
882 |
772 |
$2K |
| 82150 |
|
577 |
524 |
$2K |
| 77370 |
|
19 |
13 |
$2K |
| 99152 |
|
5,751 |
5,334 |
$2K |
| A9552 |
F18 fdg |
2,062 |
1,954 |
$2K |
| 72110 |
|
192 |
190 |
$2K |
| J1020 |
Methylprednisolone 20 mg inj |
2,784 |
2,644 |
$2K |
| 99442 |
|
884 |
852 |
$2K |
| 89343 |
|
65 |
62 |
$2K |
| 93225 |
|
52 |
52 |
$2K |
| 83930 |
|
707 |
635 |
$2K |
| 82390 |
|
363 |
352 |
$2K |
| 84300 |
|
1,107 |
978 |
$2K |
| 82952 |
|
657 |
649 |
$2K |
| 98940 |
|
368 |
193 |
$2K |
| 87150 |
|
186 |
178 |
$2K |
| J7030 |
Normal saline solution infus |
1,243 |
969 |
$2K |
| J7040 |
Normal saline solution infus |
1,421 |
1,328 |
$2K |
| 84163 |
|
133 |
133 |
$2K |
| 93280 |
|
259 |
250 |
$2K |
| 90620 |
|
38 |
38 |
$2K |
| 82140 |
|
306 |
284 |
$2K |
| 77012 |
|
208 |
189 |
$2K |
| 17003 |
|
420 |
411 |
$2K |
| 86593 |
|
724 |
690 |
$2K |
| 82725 |
|
189 |
186 |
$2K |
| 83835 |
|
187 |
180 |
$2K |
| 84154 |
|
268 |
260 |
$2K |
| 36430 |
|
12 |
12 |
$2K |
| 84270 |
|
146 |
143 |
$2K |
| 84460 |
|
6,892 |
6,575 |
$2K |
| 86941 |
|
205 |
177 |
$2K |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
1,621 |
1,123 |
$2K |
| 82248 |
|
4,742 |
4,080 |
$2K |
| 83010 |
|
348 |
287 |
$2K |
| 73718 |
|
12 |
12 |
$2K |
| 82525 |
|
169 |
167 |
$2K |
| 73218 |
|
14 |
13 |
$2K |
| 87563 |
|
69 |
66 |
$2K |
| 94727 |
|
42 |
41 |
$2K |
| J3301 |
Triamcinolone acet inj nos |
3,577 |
3,377 |
$2K |
| 82465 |
|
910 |
894 |
$2K |
| D2335 |
|
30 |
14 |
$2K |
| 82787 |
|
112 |
109 |
$2K |
| 82103 |
|
221 |
215 |
$2K |
| 82085 |
|
291 |
266 |
$2K |
| D2332 |
|
27 |
13 |
$2K |
| 86705 |
|
211 |
205 |
$1K |
| C1887 |
Catheter, guiding |
541 |
508 |
$1K |
| 86341 |
|
123 |
120 |
$1K |
| D9110 |
|
63 |
37 |
$1K |
| 93350 |
|
79 |
78 |
$1K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
3,491 |
3,318 |
$1K |
| 95018 |
|
12 |
12 |
$1K |
| 95911 |
|
12 |
12 |
$1K |
| D7111 |
|
18 |
13 |
$1K |
| 92133 |
|
71 |
69 |
$1K |
| 82310 |
|
1,254 |
1,171 |
$1K |
| 90474 |
|
1,972 |
1,952 |
$1K |
| 86805 |
|
14 |
14 |
$1K |
| G0009 |
Admin pneumococcal vaccine |
2,584 |
2,548 |
$1K |
| J0897 |
Denosumab injection |
15 |
13 |
$1K |
| 95250 |
|
83 |
80 |
$1K |
| 99202 |
|
27 |
27 |
$1K |
| J1630 |
Haloperidol injection |
1,021 |
892 |
$1K |
| 87640 |
|
206 |
198 |
$1K |
| 72050 |
|
97 |
96 |
$1K |
| G0103 |
Psa screening |
1,511 |
1,487 |
$1K |
| 88348 |
|
39 |
39 |
$1K |
| 84207 |
|
64 |
64 |
$1K |
| J2543 |
Piperacillin/tazobactam |
17 |
13 |
$1K |
| 86317 |
|
96 |
95 |
$984.13 |
| P9040 |
Rbc leukoreduced irradiated |
573 |
477 |
$980.10 |
| 95024 |
|
37 |
37 |
$972.43 |
| 83935 |
|
397 |
361 |
$959.13 |
| J2370 |
Phenylephrine hcl injection |
2,627 |
2,442 |
$957.91 |
| 11103 |
|
12 |
12 |
$937.60 |
| 90688 |
|
61 |
61 |
$916.27 |
| 82962 |
|
10,201 |
8,868 |
$909.95 |
| 73200 |
|
26 |
25 |
$886.15 |
| 86664 |
|
100 |
91 |
$821.89 |
| 90678 |
|
46 |
43 |
$821.64 |
| 82542 |
|
83 |
78 |
$814.25 |
| 82731 |
|
15 |
13 |
$797.04 |
| 87505 |
|
16 |
15 |
$792.05 |
| 94761 |
|
319 |
192 |
$785.50 |
| G2211 |
Complex e/m visit add on |
314 |
294 |
$759.43 |
| 90636 |
|
12 |
12 |
$744.45 |
| 87329 |
|
105 |
102 |
$739.46 |
| 84450 |
|
4,116 |
3,868 |
$738.97 |
| 93926 |
|
13 |
12 |
$732.47 |
| 82270 |
|
363 |
338 |
$732.12 |
| 83695 |
|
154 |
151 |
$718.11 |
| J0561 |
Penicillin g benzathine inj |
17 |
13 |
$679.68 |
| G0438 |
Ppps, initial visit |
561 |
546 |
$679.65 |
| J0688 |
Inj cefazolin sodium, hikma |
1,007 |
848 |
$646.36 |
| 83521 |
|
930 |
888 |
$642.95 |
| 84446 |
|
86 |
81 |
$630.62 |
| 82247 |
|
1,093 |
938 |
$618.79 |
| 11720 |
|
15 |
12 |
$615.92 |
| 84166 |
|
68 |
67 |
$605.45 |
| 90836 |
|
253 |
248 |
$597.94 |
| 88302 |
|
54 |
51 |
$572.90 |
| 80069 |
|
2,642 |
2,414 |
$569.71 |
| 87181 |
|
206 |
196 |
$563.72 |
| 99493 |
|
29 |
29 |
$559.18 |
| 83090 |
|
58 |
53 |
$551.88 |
| 97750 |
|
62 |
55 |
$538.15 |
| 90833 |
|
863 |
849 |
$533.47 |
| G0297 |
Ldct for lung ca screen |
17 |
17 |
$508.32 |
| 82985 |
|
56 |
56 |
$481.25 |
| 74220 |
|
27 |
26 |
$470.86 |
| 84080 |
|
84 |
82 |
$466.34 |
| 84466 |
|
50 |
50 |
$464.94 |
| 0053A |
|
14 |
14 |
$458.70 |
| 82378 |
|
50 |
49 |
$454.20 |
| A9500 |
Tc99m sestamibi |
2,428 |
2,312 |
$452.39 |
| 84145 |
|
2,615 |
2,199 |
$438.51 |
| 90674 |
|
13 |
13 |
$435.24 |
| 74175 |
|
42 |
39 |
$432.22 |
| S0028 |
Injection, famotidine, 20 mg |
462 |
431 |
$416.82 |
| 85347 |
|
132 |
95 |
$388.09 |
| 73000 |
|
14 |
13 |
$380.35 |
| 0034A |
|
15 |
15 |
$366.96 |
| 84436 |
|
142 |
136 |
$341.85 |
| 85240 |
|
26 |
26 |
$326.60 |
| J1836 |
Inj, metronidazole, 10 mg |
268 |
214 |
$317.78 |
| ATP06 |
|
78 |
69 |
$315.12 |
| 96158 |
|
19 |
12 |
$312.97 |
| 71100 |
|
29 |
25 |
$312.22 |
| 86645 |
|
27 |
26 |
$295.80 |
| J2765 |
Metoclopramide hcl injection |
5,779 |
4,939 |
$290.27 |
| 99383 |
|
15 |
13 |
$289.13 |
| J2920 |
Methylprednisolone injection |
407 |
258 |
$279.98 |
| 82040 |
|
1,811 |
1,725 |
$279.55 |
| 62368 |
|
14 |
12 |
$278.30 |
| J1920 |
Inj, labetalol hcl, 5mg |
120 |
70 |
$275.06 |
| 84295 |
|
1,297 |
1,140 |
$266.04 |
| 93283 |
|
12 |
12 |
$254.22 |
| 82166 |
|
18 |
12 |
$238.42 |
| 87502 |
|
29 |
29 |
$231.88 |
| 0013A |
|
12 |
12 |
$229.35 |
| 82977 |
|
887 |
847 |
$224.80 |
| 86308 |
|
58 |
57 |
$221.32 |
| 99177 |
|
128 |
72 |
$218.05 |
| 84478 |
|
940 |
669 |
$205.15 |
| J1720 |
Hydrocortisone sodium succ i |
114 |
89 |
$199.25 |
| 87147 |
|
50 |
45 |
$197.58 |
| 72128 |
|
26 |
25 |
$196.75 |
| 86663 |
|
29 |
27 |
$177.15 |
| 84075 |
|
890 |
851 |
$153.12 |
| 73503 |
|
48 |
47 |
$150.82 |
| G0500 |
Mod sedat endo service >5yrs |
5,733 |
5,549 |
$149.41 |
| 82340 |
|
52 |
52 |
$148.50 |
| 90633 |
|
3,055 |
3,024 |
$139.50 |
| 96368 |
|
16 |
12 |
$134.50 |
| 86304 |
|
13 |
12 |
$132.93 |
| 80183 |
|
26 |
25 |
$130.19 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
1,700 |
1,540 |
$118.15 |
| J1040 |
Methylprednisolone 80 mg inj |
19 |
18 |
$115.16 |
| 74019 |
|
27 |
24 |
$114.10 |
| 82180 |
|
28 |
27 |
$106.67 |
| 87299 |
|
26 |
24 |
$106.29 |
| 82131 |
|
12 |
12 |
$104.34 |
| 86709 |
|
12 |
12 |
$102.70 |
| 96040 |
|
1,635 |
1,551 |
$102.00 |
| J1642 |
Inj heparin sodium per 10 u |
118 |
115 |
$99.03 |
| 80235 |
|
40 |
38 |
$95.64 |
| 93786 |
|
31 |
30 |
$93.52 |
| G0447 |
Behavior counsel obesity 15m |
307 |
277 |
$85.06 |
| J2710 |
Neostigmine methylslfte inj |
2,478 |
2,302 |
$79.19 |
| 80201 |
|
15 |
14 |
$73.57 |
| J1940 |
Furosemide injection |
747 |
519 |
$66.01 |
| J0610 |
Calcium glucon (fresenius) |
417 |
301 |
$63.79 |
| J1956 |
Levofloxacin injection |
30 |
24 |
$62.14 |
| 80156 |
|
13 |
13 |
$60.12 |
| G0101 |
Ca screen;pelvic/breast exam |
164 |
162 |
$57.26 |
| G0442 |
Annual alcohol screen 15 min |
49 |
48 |
$55.10 |
| 99494 |
|
15 |
15 |
$55.03 |
| J0670 |
Inj mepivacaine hcl/10 ml |
306 |
291 |
$48.65 |
| J0330 |
Succinycholine chloride inj |
752 |
676 |
$47.43 |
| J8540 |
Oral dexamethasone |
325 |
197 |
$45.76 |
| 89060 |
|
14 |
13 |
$39.12 |
| 80158 |
|
12 |
12 |
$37.24 |
| 51701 |
|
57 |
56 |
$35.97 |
| 90713 |
|
171 |
170 |
$35.37 |
| 90710 |
|
1,153 |
1,140 |
$32.65 |
| 86036 |
|
476 |
455 |
$29.85 |
| 87185 |
|
14 |
14 |
$29.34 |
| 36410 |
|
326 |
298 |
$28.98 |
| 85598 |
|
13 |
13 |
$28.86 |
| 84520 |
|
1,644 |
1,474 |
$26.19 |
| Q9969 |
Non-heu tc-99m add-on/dose |
652 |
628 |
$24.56 |
| 95991 |
|
17 |
14 |
$18.20 |
| 86381 |
|
154 |
149 |
$17.82 |
| G0444 |
Depression screen annual |
12 |
12 |
$8.32 |
| J0613 |
Calcium glucon (wg critical) |
111 |
93 |
$6.96 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
135 |
94 |
$4.35 |
| 90685 |
|
301 |
295 |
$2.36 |
| J0744 |
Ciprofloxacin iv |
659 |
504 |
$1.59 |
| S0119 |
Ondansetron 4 mg |
1,747 |
1,445 |
$1.47 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
958 |
915 |
$0.39 |
| G0010 |
Admin hepatitis b vaccine |
101 |
100 |
$0.09 |
| 90749 |
|
14 |
14 |
$0.05 |
| 90698 |
|
2,859 |
2,826 |
$0.00 |
| J3480 |
Inj potassium chloride |
418 |
303 |
$0.00 |
| J3420 |
Vitamin b12 injection |
3,449 |
3,004 |
$0.00 |
| 90744 |
|
1,872 |
1,843 |
$0.00 |
| G8980 |
Mobility d/c status |
222 |
208 |
$0.00 |
| 82435 |
|
552 |
497 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
474 |
436 |
$0.00 |
| L4360 |
Pneumat walking boot pre cst |
349 |
331 |
$0.00 |
| G8987 |
Self care current status |
165 |
152 |
$0.00 |
| 90680 |
|
3,180 |
3,149 |
$0.00 |
| D1330 |
|
387 |
247 |
$0.00 |
| 91301 |
|
138 |
125 |
$0.00 |
| G0123 |
Screen cerv/vag thin layer |
159 |
154 |
$0.00 |
| J2785 |
Regadenoson injection |
453 |
432 |
$0.00 |
| 90697 |
|
110 |
109 |
$0.00 |
| A9555 |
Rb82 rubidium |
213 |
205 |
$0.00 |
| G8982 |
Body pos goal status |
116 |
113 |
$0.00 |
| 88300 |
|
12 |
12 |
$0.00 |
| 81596 |
|
268 |
264 |
$0.00 |
| 91303 |
|
283 |
229 |
$0.00 |
| 95012 |
|
314 |
304 |
$0.00 |
| 93246 |
|
39 |
38 |
$0.00 |
| G8988 |
Self care goal status |
207 |
188 |
$0.00 |
| 90723 |
|
336 |
335 |
$0.00 |
| 96139 |
|
13 |
13 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
40 |
28 |
$0.00 |
| G8981 |
Body pos current status |
96 |
93 |
$0.00 |
| 89322 |
|
25 |
24 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
12 |
12 |
$0.00 |
| 87484 |
|
14 |
12 |
$0.00 |
| J1790 |
Droperidol injection |
68 |
55 |
$0.00 |
| J0611 |
Calcium glucon (wg critical) |
52 |
43 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
54 |
50 |
$0.00 |
| 96132 |
|
28 |
27 |
$0.00 |
| 93788 |
|
31 |
30 |
$0.00 |
| L1810 |
Ko elastic with joints |
13 |
13 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
17 |
13 |
$0.00 |
| G8986 |
Carry d/c status |
12 |
12 |
$0.00 |
| J0461 |
Atropine sulfate injection |
43 |
35 |
$0.00 |
| 81370 |
|
13 |
13 |
$0.00 |
| A9503 |
Tc99m medronate |
14 |
12 |
$0.00 |
| D2750 |
|
19 |
12 |
$0.00 |
| 88331 |
|
14 |
14 |
$0.00 |
| C1819 |
Tissue localization-excision |
13 |
13 |
$0.00 |
| Q0111 |
Wet mounts/ w preparations |
18 |
18 |
$0.00 |
| 95874 |
|
13 |
12 |
$0.00 |
| 90648 |
|
1,518 |
1,505 |
$0.00 |
| L3908 |
Who cock-up nonmolde pre ots |
789 |
583 |
$0.00 |
| C1758 |
Catheter, ureteral |
40 |
38 |
$0.00 |
| L0626 |
Lo sag rig pnl stays pre cst |
284 |
268 |
$0.00 |
| 91300 |
|
10,320 |
8,662 |
$0.00 |
| G8978 |
Mobility current status |
1,048 |
974 |
$0.00 |
| 90700 |
|
1,063 |
1,052 |
$0.00 |
| A9577 |
Inj multihance |
27 |
27 |
$0.00 |
| G8979 |
Mobility goal status |
1,152 |
1,059 |
$0.00 |
| 80348 |
|
478 |
345 |
$0.00 |
| 86015 |
|
139 |
136 |
$0.00 |
| G8985 |
Carry goal status |
309 |
294 |
$0.00 |
| G1004 |
Cdsm ndsc |
7,160 |
5,986 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
363 |
278 |
$0.00 |
| 80361 |
|
403 |
313 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
199 |
131 |
$0.00 |
| Q9956 |
Inj octafluoropropane mic,ml |
767 |
736 |
$0.00 |
| G8984 |
Carry current status |
283 |
273 |
$0.00 |
| 91312 |
|
867 |
847 |
$0.00 |
| 90672 |
|
76 |
76 |
$0.00 |
| C1729 |
Cath, drainage |
214 |
187 |
$0.00 |
| 96133 |
|
28 |
27 |
$0.00 |
| C8929 |
Tte w or wo fol wcon,doppler |
105 |
101 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
306 |
188 |
$0.00 |
| 80346 |
|
480 |
347 |
$0.00 |
| L1820 |
Ko elas w/ condyle pads & jo |
16 |
13 |
$0.00 |
| 78434 |
|
120 |
116 |
$0.00 |
| 80362 |
|
403 |
313 |
$0.00 |
| A9541 |
Tc99m sulfur colloid |
92 |
91 |
$0.00 |
| D0160 |
|
16 |
14 |
$0.00 |
| 84155 |
|
29 |
27 |
$0.00 |
| 81220 |
|
24 |
24 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
62 |
56 |
$0.00 |
| 80365 |
|
478 |
345 |
$0.00 |
| G8989 |
Self care d/c status |
13 |
12 |
$0.00 |
| 96136 |
|
12 |
12 |
$0.00 |
| 0121A |
|
16 |
16 |
$0.00 |
| Q0220 |
Tixagev and cilgav, 300mg |
18 |
16 |
$0.00 |
| A9526 |
Nitrogen n-13 ammonia |
12 |
12 |
$0.00 |
| 11101 |
|
12 |
12 |
$0.00 |
| C1788 |
Port, indwelling, imp |
12 |
12 |
$0.00 |
| 96138 |
|
13 |
13 |
$0.00 |
| 86008 |
|
12 |
12 |
$0.00 |