| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpt clinic visit |
519,824 |
405,719 |
$34.16M |
| 99285 |
|
48,841 |
44,988 |
$16.39M |
| J9271 |
Inj pembrolizumab |
1,733 |
1,169 |
$7.29M |
| 99284 |
|
40,663 |
38,721 |
$5.15M |
| 99214 |
|
113,315 |
106,133 |
$4.08M |
| 93306 |
|
32,610 |
31,729 |
$2.96M |
| J9299 |
Injection, nivolumab |
722 |
448 |
$2.86M |
| D7140 |
|
1,118 |
921 |
$2.55M |
| J0585 |
Injection,onabotulinumtoxina |
4,315 |
3,092 |
$2.43M |
| 99283 |
|
18,997 |
17,868 |
$2.37M |
| 77386 |
|
10,910 |
930 |
$2.36M |
| 96413 |
|
18,912 |
9,946 |
$2.25M |
| 76819 |
|
38,507 |
23,343 |
$2.02M |
| J2505 |
Injection, pegfilgrastim 6mg |
1,030 |
686 |
$1.95M |
| 78815 |
|
3,491 |
3,360 |
$1.78M |
| J1745 |
Infliximab not biosimil 10mg |
1,043 |
950 |
$1.78M |
| 99213 |
|
60,960 |
56,439 |
$1.73M |
| Q5104 |
Injection, renflexis |
873 |
749 |
$1.65M |
| 43239 |
|
5,415 |
5,157 |
$1.54M |
| 90791 |
|
29,128 |
17,779 |
$1.51M |
| 99215 |
Prolong outpt/office vis |
25,149 |
23,862 |
$1.50M |
| 96374 |
|
16,656 |
13,993 |
$1.48M |
| 45380 |
|
3,085 |
2,968 |
$1.45M |
| 93303 |
|
7,020 |
6,764 |
$1.42M |
| 96365 |
|
15,768 |
11,129 |
$1.26M |
| 99291 |
|
10,359 |
5,329 |
$1.16M |
| 99233 |
Prolong inpt eval add15 m |
31,714 |
12,657 |
$1.15M |
| 95810 |
|
2,312 |
2,278 |
$1.10M |
| 99232 |
|
42,738 |
16,423 |
$1.02M |
| D0150 |
|
1,264 |
1,157 |
$971K |
| 74177 |
|
9,244 |
8,872 |
$931K |
| 90832 |
|
15,486 |
11,297 |
$923K |
| 77412 |
|
10,791 |
1,111 |
$911K |
| J0178 |
Aflibercept injection |
1,074 |
1,017 |
$880K |
| 78452 |
|
3,116 |
3,012 |
$784K |
| 70553 |
|
3,666 |
3,555 |
$781K |
| 77334 |
|
2,477 |
1,787 |
$731K |
| D2930 |
|
826 |
802 |
$728K |
| 99392 |
|
12,263 |
11,986 |
$721K |
| U0004 |
Cov-19 test non-cdc hgh thru |
15,837 |
14,624 |
$720K |
| C8929 |
Tte w or wo fol wcon,doppler |
3,708 |
3,538 |
$661K |
| 71260 |
|
5,473 |
5,292 |
$656K |
| 76811 |
|
4,948 |
4,840 |
$633K |
| 99391 |
|
10,741 |
10,063 |
$630K |
| 99204 |
|
9,495 |
9,268 |
$618K |
| 71046 |
|
16,917 |
15,977 |
$613K |
| J9312 |
Inj., rituximab, 10 mg |
204 |
116 |
$593K |
| 90471 |
|
17,376 |
16,708 |
$562K |
| 90792 |
|
8,507 |
5,336 |
$560K |
| 67028 |
|
8,275 |
7,303 |
$534K |
| 97110 |
|
22,210 |
8,390 |
$508K |
| 70450 |
|
7,351 |
6,839 |
$506K |
| J7298 |
Mirena, 52 mg |
617 |
570 |
$482K |
| 76815 |
|
21,529 |
13,523 |
$475K |
| G0008 |
Admin influenza virus vac |
18,442 |
18,122 |
$443K |
| 70551 |
|
3,311 |
3,213 |
$432K |
| 97530 |
|
9,089 |
5,390 |
$431K |
| 99393 |
|
7,201 |
6,999 |
$429K |
| 95911 |
|
2,858 |
2,788 |
$415K |
| 96375 |
|
16,157 |
12,153 |
$412K |
| J0897 |
Denosumab injection |
815 |
648 |
$406K |
| 96360 |
|
4,915 |
3,580 |
$382K |
| 77300 |
|
2,130 |
1,805 |
$367K |
| 99282 |
|
4,472 |
4,292 |
$358K |
| 76705 |
|
5,039 |
4,843 |
$357K |
| J1459 |
Inj ivig privigen 500 mg |
176 |
82 |
$356K |
| 95708 |
|
1,116 |
505 |
$350K |
| 76816 |
|
21,415 |
18,939 |
$349K |
| 45385 |
|
1,132 |
1,084 |
$341K |
| 96367 |
|
9,761 |
5,634 |
$335K |
| 96361 |
|
12,033 |
8,146 |
$319K |
| 87636 |
|
8,033 |
7,187 |
$317K |
| 92014 |
|
8,326 |
8,045 |
$316K |
| 93010 |
|
73,558 |
65,692 |
$312K |
| 52000 |
|
1,831 |
1,749 |
$306K |
| 76817 |
|
8,048 |
7,151 |
$302K |
| 99223 |
Prolong inpt eval add15 m |
4,402 |
4,268 |
$298K |
| 77336 |
|
6,419 |
2,710 |
$297K |
| G0379 |
Direct refer hospital observ |
250 |
243 |
$291K |
| 20610 |
|
2,850 |
2,520 |
$287K |
| 99205 |
Prolong outpt/office vis |
2,735 |
2,684 |
$284K |
| 43235 |
|
862 |
821 |
$283K |
| 96372 |
|
27,523 |
18,743 |
$282K |
| 95811 |
|
716 |
704 |
$281K |
| 73721 |
|
2,130 |
2,045 |
$278K |
| 72148 |
|
2,720 |
2,666 |
$277K |
| 92507 |
|
7,481 |
3,615 |
$270K |
| 99394 |
|
4,246 |
4,146 |
$266K |
| 95886 |
|
12,158 |
11,877 |
$263K |
| 76830 |
|
3,536 |
3,417 |
$261K |
| 99395 |
|
4,254 |
3,966 |
$247K |
| 96116 |
|
1,505 |
1,489 |
$244K |
| J1453 |
Fosaprepitant injection |
2,377 |
1,340 |
$240K |
| 64642 |
|
1,472 |
1,435 |
$240K |
| 92004 |
|
3,677 |
3,618 |
$233K |
| 95004 |
|
4,809 |
4,712 |
$231K |
| 74183 |
|
1,752 |
1,694 |
$224K |
| 95819 |
|
1,354 |
1,320 |
$223K |
| 76805 |
|
3,331 |
3,264 |
$222K |
| 97112 |
|
5,606 |
3,273 |
$222K |
| 77067 |
|
4,371 |
4,306 |
$215K |
| 74176 |
|
2,536 |
2,433 |
$211K |
| 95909 |
|
2,324 |
2,278 |
$209K |
| J1439 |
Inj ferric carboxymaltos 1mg |
652 |
541 |
$207K |
| 92587 |
|
1,021 |
1,000 |
$206K |
| J9305 |
Inj. pemetrexed nos 10mg |
86 |
52 |
$203K |
| 93454 |
|
230 |
221 |
$202K |
| 72141 |
|
1,591 |
1,550 |
$202K |
| 99203 |
|
4,690 |
4,554 |
$201K |
| 99396 |
|
3,772 |
3,420 |
$199K |
| 96416 |
|
1,517 |
794 |
$196K |
| 77301 |
|
419 |
392 |
$193K |
| J1950 |
Leuprolide acetate /3.75 mg |
159 |
140 |
$186K |
| 96158 |
|
3,993 |
2,989 |
$184K |
| 71250 |
|
3,516 |
3,427 |
$184K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,946 |
2,853 |
$180K |
| 97140 |
|
8,329 |
3,475 |
$175K |
| 95812 |
|
1,050 |
1,027 |
$174K |
| 90834 |
|
3,018 |
2,291 |
$171K |
| 71275 |
|
2,020 |
1,961 |
$171K |
| 90837 |
|
2,333 |
1,603 |
$165K |
| 93971 |
|
3,400 |
3,207 |
$161K |
| 93924 |
|
2,479 |
2,401 |
$161K |
| 92012 |
|
4,986 |
4,789 |
$159K |
| Q0138 |
Ferumoxytol, non-esrd |
834 |
617 |
$157K |
| J0185 |
Inj., aprepitant, 1 mg |
1,219 |
720 |
$156K |
| U0002 |
Covid-19 lab test non-cdc |
6,707 |
6,299 |
$155K |
| 76770 |
|
2,554 |
2,503 |
$153K |
| 96415 |
|
4,499 |
2,899 |
$149K |
| 72197 |
|
450 |
436 |
$147K |
| 95910 |
|
1,777 |
1,728 |
$142K |
| 96132 |
|
1,158 |
1,138 |
$142K |
| 31575 |
|
1,905 |
1,818 |
$141K |
| 93296 |
|
11,754 |
11,570 |
$141K |
| 73221 |
|
1,188 |
1,156 |
$139K |
| 45378 |
|
405 |
388 |
$138K |
| U0005 |
Infec agen detec ampli probe |
12,316 |
11,255 |
$137K |
| 0002A |
|
5,840 |
5,655 |
$137K |
| 90473 |
|
3,106 |
3,075 |
$136K |
| 96366 |
|
4,676 |
3,068 |
$136K |
| J2469 |
Palonosetron hcl |
7,081 |
3,846 |
$133K |
| 36561 |
|
126 |
121 |
$132K |
| 96130 |
|
3,225 |
3,179 |
$130K |
| 96417 |
|
4,682 |
2,696 |
$129K |
| 93970 |
|
1,432 |
1,368 |
$128K |
| 0001A |
|
6,093 |
5,950 |
$125K |
| 97803 |
|
5,693 |
5,350 |
$123K |
| 92557 |
|
2,140 |
2,069 |
$123K |
| J9217 |
Leuprolide acetate suspnsion |
668 |
613 |
$120K |
| 76801 |
|
1,542 |
1,455 |
$119K |
| J0475 |
Baclofen 10 mg injection |
727 |
689 |
$115K |
| 71045 |
|
5,104 |
4,487 |
$115K |
| 87591 |
|
10,395 |
10,099 |
$115K |
| 93880 |
|
2,159 |
2,085 |
$115K |
| 87491 |
|
10,405 |
10,108 |
$114K |
| G0260 |
Inj for sacroiliac jt anesth |
460 |
383 |
$114K |
| 77338 |
|
967 |
821 |
$114K |
| 97161 |
|
2,730 |
2,655 |
$112K |
| 77295 |
|
248 |
224 |
$111K |
| 42820 |
|
27 |
26 |
$108K |
| 90686 |
|
12,567 |
12,338 |
$108K |
| 00170 |
|
1,023 |
992 |
$107K |
| Q5118 |
Inj., zirabev, 10 mg |
58 |
38 |
$106K |
| 58661 |
|
29 |
26 |
$104K |
| J7307 |
Etonogestrel implant system |
113 |
109 |
$98K |
| 94010 |
|
4,073 |
3,909 |
$94K |
| J2997 |
Alteplase recombinant |
883 |
658 |
$91K |
| 93923 |
|
2,709 |
2,604 |
$91K |
| J2777 |
Inj, faricimab-svoa, 0.1mg |
166 |
82 |
$89K |
| 64615 |
|
880 |
851 |
$88K |
| 77290 |
|
721 |
605 |
$88K |
| 99239 |
|
2,133 |
2,061 |
$87K |
| 43249 |
|
156 |
149 |
$85K |
| 51705 |
|
1,320 |
1,094 |
$83K |
| 94726 |
|
1,344 |
1,308 |
$82K |
| 76536 |
|
1,456 |
1,419 |
$81K |
| J2506 |
Inj pegfilgrast ex bio 0.5mg |
76 |
54 |
$81K |
| 77066 |
Tomosynthesis, mammo |
1,172 |
1,141 |
$79K |
| 76642 |
|
2,383 |
2,228 |
$78K |
| 99220 |
|
1,016 |
983 |
$77K |
| 96101 |
|
763 |
755 |
$77K |
| 69436 |
|
98 |
97 |
$74K |
| 95700 |
|
590 |
583 |
$74K |
| 62369 |
|
1,068 |
1,004 |
$74K |
| Q3014 |
Telehealth facility fee |
5,753 |
5,174 |
$74K |
| 97162 |
|
2,226 |
2,151 |
$73K |
| 93225 |
|
1,856 |
1,808 |
$72K |
| 77063 |
|
2,933 |
2,888 |
$70K |
| 95953 |
|
263 |
125 |
$70K |
| J0881 |
Darbepoetin alfa, non-esrd |
654 |
430 |
$69K |
| 96411 |
|
2,084 |
1,290 |
$69K |
| 93005 |
|
48,130 |
43,628 |
$67K |
| 93017 |
|
3,702 |
3,551 |
$67K |
| 72100 |
|
3,299 |
3,216 |
$66K |
| 93798 |
|
1,430 |
261 |
$66K |
| 90677 |
|
1,431 |
1,403 |
$66K |
| G0108 |
Diab manage trn per indiv |
2,387 |
2,114 |
$65K |
| D2929 |
|
71 |
71 |
$65K |
| 96131 |
|
3,173 |
3,126 |
$63K |
| 97163 |
|
2,340 |
2,244 |
$63K |
| C9803 |
Hopd covid-19 spec collect |
14,423 |
13,204 |
$62K |
| 84443 |
|
19,578 |
18,086 |
$61K |
| G2212 |
Prolong outpt/office vis |
1,525 |
1,483 |
$61K |
| 92523 |
|
514 |
504 |
$59K |
| 80053 |
|
97,512 |
76,151 |
$59K |
| 87661 |
|
8,309 |
8,079 |
$58K |
| 64493 |
|
130 |
119 |
$58K |
| 70491 |
|
441 |
428 |
$58K |
| 99222 |
|
1,118 |
1,080 |
$54K |
| 96152 |
|
649 |
481 |
$53K |
| 99495 |
|
999 |
978 |
$53K |
| 36593 |
|
431 |
318 |
$52K |
| 93295 |
|
3,265 |
3,222 |
$52K |
| 59025 |
|
421 |
344 |
$52K |
| 80307 |
|
6,396 |
6,079 |
$51K |
| 93312 |
|
482 |
462 |
$51K |
| 52310 |
|
73 |
66 |
$51K |
| 77080 |
|
1,218 |
1,189 |
$50K |
| 72158 |
|
422 |
402 |
$49K |
| 73564 |
|
4,966 |
4,111 |
$49K |
| 96110 |
|
6,064 |
5,729 |
$49K |
| 77065 |
Tomosynthesis, mammo |
1,070 |
1,027 |
$48K |
| 86900 |
|
4,773 |
4,041 |
$48K |
| 93320 |
|
7,886 |
7,607 |
$48K |
| 85025 |
|
105,873 |
78,969 |
$47K |
| 74018 |
|
2,760 |
2,566 |
$46K |
| Q5122 |
Inj, nyvepria |
14 |
12 |
$46K |
| 92134 |
|
10,734 |
10,261 |
$46K |
| C8930 |
Tte w or w/o contr, cont ecg |
152 |
144 |
$45K |
| 36430 |
|
275 |
160 |
$45K |
| 80061 |
|
6,453 |
6,244 |
$45K |
| 96118 |
|
337 |
333 |
$44K |
| 80055 |
|
1,814 |
1,770 |
$44K |
| 97802 |
|
1,476 |
1,447 |
$43K |
| 90732 |
|
730 |
712 |
$41K |
| J2778 |
Ranibizumab injection |
210 |
166 |
$40K |
| 94060 |
|
299 |
294 |
$38K |
| 99238 |
|
940 |
917 |
$37K |
| 99406 |
|
2,598 |
2,500 |
$37K |
| 87637 |
|
454 |
444 |
$37K |
| D1120 |
|
1,001 |
978 |
$37K |
| Q5108 |
Injection, fulphila |
38 |
28 |
$36K |
| G0279 |
Tomosynthesis, mammo |
1,511 |
1,473 |
$34K |
| 97167 |
|
1,242 |
1,192 |
$34K |
| 90853 |
|
705 |
449 |
$34K |
| 73630 |
|
5,393 |
4,686 |
$32K |
| 99309 |
|
1,863 |
1,304 |
$32K |
| 51702 |
|
1,483 |
1,329 |
$32K |
| 31231 |
|
363 |
352 |
$32K |
| 97166 |
|
765 |
748 |
$31K |
| 82306 |
|
4,973 |
4,804 |
$31K |
| 00731 |
|
949 |
893 |
$30K |
| 72050 |
|
927 |
900 |
$30K |
| D3240 |
|
103 |
103 |
$30K |
| 96137 |
|
2,903 |
2,865 |
$30K |
| 36415 |
|
69,566 |
57,354 |
$30K |
| 19083 |
|
53 |
50 |
$29K |
| 70486 |
|
696 |
673 |
$29K |
| 88184 |
|
728 |
668 |
$29K |
| 76000 |
|
2,582 |
2,446 |
$29K |
| 62323 |
|
123 |
120 |
$28K |
| 64721 |
|
41 |
36 |
$28K |
| 97035 |
|
5,281 |
2,084 |
$27K |
| 73030 |
|
5,771 |
5,135 |
$27K |
| 93294 |
|
3,132 |
3,072 |
$27K |
| 87086 |
|
16,917 |
15,639 |
$26K |
| 72125 |
|
2,203 |
2,082 |
$25K |
| 73130 |
|
3,241 |
2,621 |
$25K |
| 90670 |
|
3,507 |
3,457 |
$24K |
| 84702 |
|
4,197 |
3,523 |
$23K |
| 93226 |
|
1,905 |
1,848 |
$23K |
| 87081 |
|
13,401 |
12,885 |
$23K |
| 73610 |
|
4,704 |
4,292 |
$23K |
| 95806 |
|
532 |
507 |
$23K |
| 76820 |
|
3,463 |
1,364 |
$22K |
| 99281 |
|
471 |
452 |
$22K |
| 01922 |
|
554 |
542 |
$22K |
| 96136 |
|
3,245 |
3,204 |
$22K |
| 95251 |
|
1,081 |
1,049 |
$22K |
| 77470 |
|
114 |
104 |
$21K |
| 57454 |
|
107 |
103 |
$21K |
| 99226 |
|
333 |
199 |
$20K |
| 73502 |
|
3,505 |
3,344 |
$20K |
| 92060 |
|
1,649 |
1,626 |
$20K |
| 82728 |
|
9,977 |
9,187 |
$20K |
| 99490 |
Ccm add 20min |
657 |
643 |
$20K |
| 83036 |
|
18,493 |
17,897 |
$19K |
| D1206 |
|
1,929 |
1,846 |
$19K |
| M0245 |
Bamlan and etesev infusion |
83 |
82 |
$19K |
| 73110 |
|
2,271 |
2,098 |
$19K |
| 49083 |
|
67 |
25 |
$19K |
| 74174 |
|
227 |
224 |
$19K |
| 96150 |
|
177 |
169 |
$19K |
| 58300 |
|
310 |
278 |
$19K |
| 70544 |
|
149 |
142 |
$18K |
| 64643 |
|
1,041 |
1,009 |
$18K |
| 96138 |
|
1,241 |
1,218 |
$18K |
| D1351 |
|
183 |
167 |
$18K |
| 95908 |
|
162 |
158 |
$18K |
| 96409 |
|
242 |
137 |
$18K |
| 93975 |
|
161 |
154 |
$18K |
| 66984 |
|
53 |
44 |
$17K |
| 51700 |
|
190 |
119 |
$17K |
| 93271 |
|
328 |
320 |
$17K |
| 93280 |
|
1,881 |
1,832 |
$17K |
| 10060 |
|
132 |
125 |
$16K |
| 98927 |
|
3,054 |
2,801 |
$16K |
| 78306 |
|
115 |
112 |
$16K |
| 87390 |
|
2,231 |
2,176 |
$16K |
| 64483 |
|
52 |
50 |
$16K |
| 58301 |
|
85 |
77 |
$16K |
| G0480 |
Drug test def 1-7 classes |
4,423 |
4,041 |
$16K |
| 73560 |
|
5,217 |
4,280 |
$16K |
| 87631 |
|
6,287 |
6,037 |
$16K |
| 99212 |
|
900 |
851 |
$16K |
| 76870 |
|
395 |
380 |
$16K |
| 95816 |
|
283 |
260 |
$15K |
| 99188 |
|
1,050 |
1,031 |
$15K |
| 99460 |
|
279 |
273 |
$15K |
| 90651 |
|
1,359 |
1,323 |
$15K |
| 93456 |
|
13 |
12 |
$14K |
| 95874 |
|
2,834 |
2,732 |
$14K |
| 92579 |
|
433 |
426 |
$14K |
| 99496 |
|
247 |
242 |
$14K |
| 72070 |
|
633 |
608 |
$14K |
| 81025 |
|
15,398 |
14,380 |
$13K |
| 99479 |
|
196 |
37 |
$13K |
| D2391 |
|
26 |
24 |
$13K |
| 99308 |
|
855 |
733 |
$13K |
| 78431 |
|
28 |
25 |
$13K |
| 99443 |
|
425 |
421 |
$13K |
| P9047 |
Albumin (human), 25%, 50ml |
159 |
71 |
$13K |
| 96402 |
|
2,274 |
1,992 |
$13K |
| 72082 |
|
440 |
430 |
$13K |
| G0433 |
Elisa hiv-1/hiv-2 screen |
1,364 |
1,340 |
$13K |
| 90734 |
|
990 |
933 |
$12K |
| 99231 |
|
705 |
427 |
$12K |
| 93016 |
|
1,248 |
1,216 |
$12K |
| 76825 |
|
24 |
24 |
$12K |
| 88307 |
|
2,385 |
2,213 |
$12K |
| 83550 |
|
9,130 |
8,412 |
$11K |
| J1750 |
Inj iron dextran |
82 |
78 |
$11K |
| 29075 |
|
65 |
56 |
$11K |
| 80305 |
|
17,372 |
13,874 |
$11K |
| 70496 |
|
131 |
120 |
$11K |
| 99202 |
|
385 |
376 |
$11K |
| 93325 |
|
8,565 |
8,213 |
$11K |
| 64644 |
|
63 |
60 |
$11K |
| 83970 |
|
910 |
881 |
$11K |
| 85027 |
|
12,072 |
9,759 |
$11K |
| 72156 |
|
73 |
68 |
$11K |
| 82950 |
|
2,435 |
2,385 |
$11K |
| 0124A |
|
836 |
797 |
$10K |
| 73140 |
|
985 |
920 |
$10K |
| 50435 |
|
27 |
25 |
$10K |
| 82105 |
|
1,594 |
1,542 |
$10K |
| 88342 |
|
4,346 |
4,093 |
$10K |
| 86702 |
|
2,242 |
2,187 |
$10K |
| 87205 |
|
12,448 |
11,861 |
$9K |
| 83540 |
|
9,805 |
9,044 |
$9K |
| 0004A |
|
598 |
569 |
$9K |
| 72146 |
|
115 |
111 |
$9K |
| 86747 |
|
1,029 |
726 |
$9K |
| 58100 |
|
87 |
87 |
$9K |
| 72170 |
|
1,322 |
1,269 |
$9K |
| 91010 |
|
32 |
31 |
$9K |
| 90480 |
|
555 |
547 |
$9K |
| 78264 |
|
44 |
42 |
$9K |
| 82607 |
|
4,446 |
4,240 |
$9K |
| 87635 |
|
325 |
302 |
$9K |
| 67210 |
|
34 |
27 |
$8K |
| 20553 |
|
58 |
54 |
$8K |
| 0054A |
|
536 |
516 |
$8K |
| 99385 |
|
120 |
117 |
$8K |
| 86701 |
|
2,245 |
2,186 |
$8K |
| 20611 |
|
115 |
110 |
$8K |
| 98926 |
|
1,519 |
1,425 |
$8K |
| 86803 |
|
3,493 |
3,411 |
$8K |
| 98928 |
|
1,672 |
1,592 |
$8K |
| 27096 |
|
151 |
147 |
$8K |
| 73521 |
|
408 |
397 |
$8K |
| 73080 |
|
964 |
883 |
$8K |
| 93018 |
|
1,249 |
1,217 |
$8K |
| 74178 |
|
54 |
53 |
$8K |
| C9257 |
Bevacizumab injection |
2,561 |
2,216 |
$7K |
| 83655 |
|
1,520 |
1,453 |
$7K |
| 74230 |
|
112 |
107 |
$7K |
| 87522 |
Neg quan hep c or qual rna |
1,019 |
1,004 |
$7K |
| 99221 |
|
293 |
274 |
$7K |
| 73590 |
|
1,828 |
1,636 |
$7K |
| 80502 |
|
288 |
274 |
$7K |
| 73562 |
|
2,088 |
1,780 |
$7K |
| 93000 |
|
504 |
477 |
$7K |
| 95822 |
|
160 |
144 |
$7K |
| 93926 |
|
148 |
144 |
$7K |
| 80048 |
|
15,742 |
9,812 |
$7K |
| 87077 |
|
8,852 |
8,407 |
$6K |
| 86850 |
|
5,176 |
4,422 |
$6K |
| 84439 |
|
3,985 |
3,648 |
$6K |
| 95913 |
|
40 |
39 |
$6K |
| 92250 |
|
1,695 |
1,654 |
$6K |
| 95951 |
|
51 |
24 |
$6K |
| 99217 |
|
173 |
167 |
$6K |
| 95938 |
|
62 |
56 |
$6K |
| 90656 |
|
893 |
886 |
$6K |
| 95941 |
|
40 |
39 |
$6K |
| G0009 |
Admin pneumococcal vaccine |
1,151 |
1,127 |
$6K |
| 81003 |
|
28,288 |
25,581 |
$6K |
| 88360 |
|
739 |
691 |
$6K |
| 82677 |
|
319 |
314 |
$6K |
| G0378 |
Hospital observation per hr |
17,710 |
12,227 |
$6K |
| 72110 |
|
468 |
459 |
$5K |
| 92610 |
|
181 |
176 |
$5K |
| 97165 |
|
169 |
159 |
$5K |
| 96156 |
|
109 |
108 |
$5K |
| 93978 |
|
109 |
102 |
$5K |
| 86592 |
|
1,672 |
1,635 |
$5K |
| 93308 |
|
132 |
118 |
$5K |
| 87536 |
|
1,212 |
1,183 |
$5K |
| 73600 |
|
990 |
872 |
$5K |
| 73090 |
|
1,341 |
1,135 |
$5K |
| 99480 |
|
66 |
26 |
$5K |
| 86580 |
|
655 |
587 |
$5K |
| 88305 |
|
12,635 |
12,027 |
$5K |
| 86140 |
|
11,306 |
10,525 |
$5K |
| 0071A |
|
232 |
158 |
$5K |
| 83735 |
|
30,231 |
21,586 |
$5K |
| 74019 |
|
430 |
414 |
$5K |
| 0072A |
|
233 |
139 |
$5K |
| 91320 |
|
230 |
227 |
$5K |
| J3010 |
Fentanyl citrate injection |
14,302 |
13,118 |
$5K |
| 92511 |
|
66 |
64 |
$5K |
| 93283 |
|
433 |
420 |
$5K |
| 86480 |
|
289 |
285 |
$5K |
| 75635 |
|
63 |
62 |
$5K |
| 76885 |
|
82 |
79 |
$5K |
| 99152 |
|
6,869 |
6,449 |
$4K |
| 81001 |
|
14,880 |
13,025 |
$4K |
| 94729 |
|
3,044 |
2,929 |
$4K |
| 96133 |
|
1,229 |
1,192 |
$4K |
| 93351 |
|
29 |
27 |
$4K |
| 69209 |
|
978 |
932 |
$4K |
| 93298 |
|
152 |
144 |
$4K |
| 82948 |
|
28,377 |
15,815 |
$4K |
| 96127 |
|
486 |
485 |
$4K |
| 76827 |
|
355 |
347 |
$4K |
| 99454 |
|
191 |
190 |
$4K |
| 97116 |
|
403 |
218 |
$4K |
| 86336 |
|
322 |
317 |
$4K |
| 90662 |
|
1,810 |
1,735 |
$4K |
| 90678 |
|
14 |
14 |
$4K |
| 87186 |
|
5,084 |
4,852 |
$4K |
| 76775 |
|
89 |
84 |
$4K |
| 74221 |
|
37 |
37 |
$4K |
| 90716 |
|
1,355 |
1,341 |
$4K |
| 82746 |
|
1,965 |
1,878 |
$4K |
| 96146 |
|
823 |
801 |
$3K |
| 91322 |
|
106 |
105 |
$3K |
| P9040 |
Rbc leukoreduced irradiated |
17 |
12 |
$3K |
| 92235 |
|
42 |
42 |
$3K |
| 87150 |
|
254 |
250 |
$3K |
| 69210 |
|
1,635 |
1,563 |
$3K |
| 82784 |
|
3,812 |
3,417 |
$3K |
| C8924 |
2d tte w or w/o fol w/con,fu |
30 |
28 |
$3K |
| 36591 |
|
382 |
278 |
$3K |
| M0243 |
Casirivi and imdevi inj |
14 |
14 |
$3K |
| 51798 |
|
4,787 |
4,539 |
$3K |
| 85610 |
|
21,441 |
13,408 |
$3K |
| 92611 |
|
96 |
92 |
$3K |
| 82570 |
|
2,504 |
2,264 |
$3K |
| 82947 |
|
1,174 |
1,132 |
$3K |
| 11982 |
|
12 |
12 |
$3K |
| 84153 |
|
2,082 |
1,887 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
9,904 |
8,575 |
$3K |
| 73552 |
|
1,079 |
977 |
$3K |
| 99381 |
|
43 |
43 |
$3K |
| 87340 |
|
2,878 |
2,798 |
$3K |
| 86706 |
|
2,531 |
2,466 |
$3K |
| 85652 |
|
10,725 |
10,073 |
$3K |
| 84156 |
|
2,546 |
2,254 |
$3K |
| 72157 |
|
35 |
32 |
$3K |
| 29065 |
|
14 |
13 |
$3K |
| 96119 |
|
302 |
298 |
$2K |
| 93284 |
|
247 |
244 |
$2K |
| 93299 |
|
147 |
146 |
$2K |
| 80076 |
|
1,338 |
1,171 |
$2K |
| 84100 |
|
4,189 |
2,528 |
$2K |
| 82977 |
|
2,280 |
2,112 |
$2K |
| J0131 |
Inj, acetaminophen (nos) |
6,119 |
5,555 |
$2K |
| 0052A |
|
90 |
75 |
$2K |
| 70498 |
|
159 |
150 |
$2K |
| 86481 |
|
455 |
440 |
$2K |
| 72040 |
|
859 |
824 |
$2K |
| 76882 |
|
41 |
40 |
$2K |
| 95115 |
|
227 |
86 |
$2K |
| 76981 |
|
139 |
134 |
$2K |
| 73700 |
|
40 |
37 |
$2K |
| 98929 |
|
376 |
353 |
$2K |
| 83516 |
|
1,373 |
1,201 |
$2K |
| 0031A |
|
112 |
108 |
$2K |
| 86704 |
|
1,932 |
1,887 |
$2K |
| 83690 |
|
10,250 |
9,372 |
$2K |
| 73100 |
|
1,270 |
1,080 |
$2K |
| 95117 |
|
133 |
62 |
$2K |
| 70355 |
|
567 |
528 |
$2K |
| 74220 |
|
25 |
25 |
$2K |
| 11981 |
|
28 |
25 |
$2K |
| 86038 |
|
1,220 |
1,188 |
$2K |
| 96401 |
|
698 |
405 |
$2K |
| 94070 |
|
12 |
12 |
$2K |
| 96160 |
|
103 |
103 |
$2K |
| 92002 |
|
44 |
43 |
$2K |
| 92015 |
|
2,560 |
2,512 |
$2K |
| 87880 |
|
4,865 |
4,725 |
$2K |
| 96161 |
|
70 |
70 |
$2K |
| 83993 |
|
178 |
172 |
$2K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
2,106 |
1,958 |
$2K |
| 85730 |
|
2,166 |
1,974 |
$2K |
| 71271 |
|
237 |
236 |
$2K |
| 00811 |
|
42 |
42 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,552 |
4,353 |
$2K |
| 90746 |
|
32 |
32 |
$2K |
| 85018 |
|
3,883 |
3,090 |
$2K |
| 95937 |
|
30 |
29 |
$2K |
| 84403 |
|
138 |
134 |
$1K |
| 84600 |
|
253 |
246 |
$1K |
| 84163 |
|
611 |
600 |
$1K |
| 0051A |
|
59 |
54 |
$1K |
| 17110 |
|
38 |
37 |
$1K |
| 62370 |
|
16 |
13 |
$1K |
| 74160 |
|
12 |
12 |
$1K |
| 82803 |
|
2,053 |
1,741 |
$1K |
| 99397 |
|
122 |
111 |
$1K |
| 83880 |
|
2,810 |
2,595 |
$1K |
| 82565 |
|
3,602 |
3,409 |
$1K |
| 95955 |
|
13 |
12 |
$1K |
| 92083 |
|
220 |
212 |
$1K |
| 86618 |
|
838 |
818 |
$1K |
| 87070 |
|
2,781 |
2,666 |
$1K |
| 92133 |
|
254 |
247 |
$1K |
| 76821 |
|
202 |
117 |
$1K |
| 94640 |
|
4,892 |
3,349 |
$1K |
| J2785 |
Regadenoson injection |
2,458 |
2,368 |
$1K |
| 86360 |
|
847 |
832 |
$1K |
| 87798 |
|
393 |
383 |
$1K |
| J2272 |
Inj, morphine (fresenius) |
788 |
646 |
$1K |
| 85046 |
|
2,442 |
1,909 |
$1K |
| J2250 |
Inj midazolam hydrochloride |
10,625 |
9,910 |
$1K |
| 82951 |
|
84 |
84 |
$1K |
| 0081A |
|
39 |
28 |
$1K |
| 82043 |
|
1,706 |
1,639 |
$986.98 |
| 86359 |
|
935 |
917 |
$981.47 |
| 88304 |
|
1,541 |
1,486 |
$978.59 |
| 90710 |
|
693 |
676 |
$973.08 |
| 0011A |
|
208 |
199 |
$968.88 |
| 92567 |
|
3,233 |
3,125 |
$957.18 |
| 84550 |
|
2,088 |
1,853 |
$945.86 |
| 77072 |
|
26 |
25 |
$917.35 |
| 83615 |
|
4,530 |
3,716 |
$915.28 |
| 82550 |
|
2,055 |
1,855 |
$914.65 |
| 0012A |
|
110 |
103 |
$893.38 |
| 90620 |
|
313 |
305 |
$884.22 |
| 90681 |
|
649 |
637 |
$869.20 |
| 86160 |
|
322 |
297 |
$831.40 |
| 83001 |
|
141 |
133 |
$831.11 |
| 97597 |
|
21 |
12 |
$788.69 |
| 84460 |
|
809 |
790 |
$785.40 |
| 76856 |
|
13 |
13 |
$783.55 |
| J8501 |
Oral aprepitant |
2,330 |
2,123 |
$779.52 |
| 84165 |
|
1,522 |
1,365 |
$778.06 |
| 77280 |
|
15 |
13 |
$765.78 |
| 74420 |
|
393 |
365 |
$755.65 |
| 92285 |
|
426 |
405 |
$754.48 |
| 0053A |
|
51 |
44 |
$731.41 |
| 87040 |
|
2,090 |
1,882 |
$693.66 |
| 84450 |
|
747 |
729 |
$692.23 |
| 72131 |
|
14 |
13 |
$680.82 |
| 82378 |
|
2,785 |
2,096 |
$668.01 |
| 0003A |
|
49 |
49 |
$665.76 |
| 84484 |
|
11,813 |
9,869 |
$653.28 |
| 92526 |
|
15 |
13 |
$643.61 |
| 73070 |
|
650 |
547 |
$642.39 |
| 71101 |
|
94 |
91 |
$632.80 |
| 84146 |
|
63 |
62 |
$631.27 |
| 83520 |
|
339 |
305 |
$625.06 |
| 99497 |
|
29 |
28 |
$613.87 |
| 0082A |
|
32 |
16 |
$612.32 |
| 81002 |
|
763 |
649 |
$590.97 |
| 01400 |
|
12 |
12 |
$578.44 |
| 99462 |
|
29 |
25 |
$568.75 |
| 83883 |
|
678 |
617 |
$563.84 |
| 80164 |
|
257 |
227 |
$556.56 |
| 93270 |
|
345 |
337 |
$553.41 |
| 86708 |
|
524 |
516 |
$548.84 |
| 88377 |
|
379 |
345 |
$539.11 |
| 81015 |
|
820 |
755 |
$531.21 |
| 82140 |
|
435 |
391 |
$513.90 |
| G0010 |
Admin hepatitis b vaccine |
30 |
30 |
$507.50 |
| C2617 |
Stent, non-cor, tem w/o del |
508 |
483 |
$505.20 |
| 0074A |
|
17 |
14 |
$498.34 |
| 93227 |
|
45 |
41 |
$496.41 |
| 99307 |
|
42 |
36 |
$494.59 |
| 77075 |
|
17 |
13 |
$491.67 |
| 90723 |
|
904 |
893 |
$489.92 |
| 84703 |
|
2,087 |
2,012 |
$482.49 |
| 90619 |
|
333 |
325 |
$472.35 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
500 |
460 |
$470.88 |
| 73060 |
|
141 |
127 |
$461.16 |
| 87075 |
|
2,534 |
2,365 |
$450.61 |
| 84466 |
|
122 |
118 |
$425.97 |
| 94690 |
|
26 |
26 |
$421.62 |
| 90744 |
|
808 |
795 |
$419.69 |
| 82248 |
|
363 |
333 |
$415.42 |
| 99356 |
|
12 |
12 |
$409.56 |
| A9502 |
Tc99m tetrofosmin |
1,921 |
1,844 |
$401.19 |
| 83521 |
|
610 |
526 |
$398.57 |
| 83605 |
|
3,741 |
3,395 |
$395.73 |
| G0316 |
Prolong inpt eval add15 m |
25 |
22 |
$394.99 |
| 99336 |
|
18 |
15 |
$390.98 |
| 88344 |
|
284 |
271 |
$390.47 |
| 87651 |
|
204 |
199 |
$379.93 |
| 87427 |
|
65 |
65 |
$367.96 |
| 85049 |
|
1,253 |
1,146 |
$362.12 |
| 85014 |
|
1,987 |
1,612 |
$354.95 |
| 87329 |
|
67 |
66 |
$345.05 |
| 87328 |
|
67 |
66 |
$343.01 |
| 94664 |
|
1,455 |
1,164 |
$338.64 |
| 80178 |
|
277 |
234 |
$336.73 |
| 72081 |
|
70 |
68 |
$336.44 |
| 87902 |
|
28 |
25 |
$336.32 |
| 93282 |
|
12 |
12 |
$318.53 |
| 86364 |
|
248 |
243 |
$318.28 |
| 86901 |
|
4,989 |
4,237 |
$318.28 |
| 84112 |
|
107 |
94 |
$317.25 |
| 87493 |
|
42 |
38 |
$313.44 |
| 86300 |
|
653 |
529 |
$310.50 |
| 84520 |
|
830 |
785 |
$310.44 |
| 87046 |
|
70 |
68 |
$306.68 |
| 12001 |
|
146 |
143 |
$296.69 |
| J1756 |
Iron sucrose injection |
2,427 |
1,046 |
$290.81 |
| 46600 |
|
79 |
77 |
$290.06 |
| 87045 |
|
69 |
68 |
$287.80 |
| 82670 |
|
31 |
27 |
$285.43 |
| 86430 |
|
456 |
441 |
$276.54 |
| 87641 |
|
49 |
41 |
$268.70 |
| L8000 |
Mastectomy bra |
28 |
24 |
$268.26 |
| 90674 |
|
12 |
12 |
$264.55 |
| 86923 |
|
95 |
68 |
$252.48 |
| 93882 |
|
13 |
12 |
$249.59 |
| C1769 |
Guide wire |
6,084 |
5,110 |
$245.47 |
| 86225 |
|
179 |
170 |
$242.14 |
| 90653 |
|
387 |
367 |
$242.05 |
| 86200 |
|
319 |
308 |
$242.03 |
| 96159 |
|
727 |
535 |
$231.56 |
| 86304 |
|
174 |
143 |
$230.60 |
| 93293 |
|
13 |
13 |
$226.33 |
| 85379 |
|
2,209 |
2,045 |
$213.40 |
| 86235 |
|
140 |
132 |
$205.65 |
| 87389 |
|
16 |
16 |
$200.70 |
| 86334 |
|
375 |
340 |
$198.45 |
| 99100 |
|
156 |
141 |
$186.78 |
| 29125 |
|
109 |
104 |
$184.46 |
| 82952 |
|
72 |
72 |
$175.48 |
| 86762 |
|
181 |
177 |
$173.47 |
| 87640 |
|
43 |
40 |
$169.38 |
| 80504 |
|
127 |
121 |
$167.98 |
| 96381 |
|
12 |
12 |
$159.36 |
| J9196 |
Inj gemcitabine hcl (accord) |
25 |
12 |
$159.13 |
| 95165 |
|
18 |
14 |
$158.95 |
| G0439 |
Ppps, subseq visit |
2,602 |
2,538 |
$157.29 |
| 87468 |
|
103 |
102 |
$154.52 |
| 87484 |
|
103 |
102 |
$154.52 |
| 87469 |
|
103 |
102 |
$154.52 |
| 84132 |
|
2,140 |
1,720 |
$153.78 |
| 99457 |
|
45 |
39 |
$151.70 |
| J1040 |
Methylprednisolone 80 mg inj |
315 |
297 |
$135.14 |
| J7620 |
Albuterol ipratrop non-comp |
859 |
765 |
$134.56 |
| 87517 |
|
39 |
38 |
$129.46 |
| J3301 |
Triamcinolone acet inj nos |
3,646 |
3,369 |
$124.10 |
| J0736 |
Inj, clindamycin phosp 300mg |
65 |
55 |
$122.68 |
| 73565 |
|
770 |
757 |
$120.06 |
| 93228 |
|
12 |
12 |
$116.76 |
| 96120 |
|
113 |
113 |
$115.42 |
| 51741 |
|
87 |
84 |
$115.42 |
| J7613 |
Albuterol non-comp unit |
666 |
550 |
$110.86 |
| 90715 |
|
5,718 |
5,452 |
$103.67 |
| 87478 |
|
55 |
55 |
$98.24 |
| 86255 |
|
25 |
25 |
$96.94 |
| 80197 |
|
20 |
12 |
$96.58 |
| 80069 |
|
35 |
30 |
$95.31 |
| 88302 |
|
85 |
75 |
$94.71 |
| 87430 |
|
485 |
470 |
$93.48 |
| A6212 |
Foam drg <=16 sq in w/border |
26 |
26 |
$90.00 |
| 88173 |
|
319 |
303 |
$85.09 |
| 76376 |
|
1,188 |
1,146 |
$82.02 |
| 90680 |
|
1,659 |
1,642 |
$79.18 |
| 92504 |
|
13 |
13 |
$77.93 |
| J2930 |
Methylprednisolone injection |
1,058 |
836 |
$76.65 |
| G0101 |
Ca screen;pelvic/breast exam |
14 |
12 |
$76.00 |
| Q9957 |
Inj perflutren lip micros,ml |
4,763 |
4,493 |
$75.84 |
| 87624 |
|
100 |
98 |
$74.46 |
| 84155 |
|
346 |
323 |
$71.51 |
| 72080 |
|
42 |
42 |
$69.75 |
| 73000 |
|
30 |
29 |
$67.34 |
| 98925 |
|
17 |
16 |
$62.72 |
| 88142 |
|
134 |
132 |
$62.13 |
| 99173 |
|
32 |
32 |
$62.06 |
| G2012 |
Brief check in by md/qhp |
17 |
16 |
$61.13 |
| 82150 |
|
125 |
118 |
$56.04 |
| G0297 |
Ldct for lung ca screen |
285 |
285 |
$52.60 |
| J1200 |
Diphenhydramine hcl injectio |
3,315 |
2,737 |
$51.51 |
| 99442 |
|
14 |
14 |
$50.05 |
| 77387 |
|
6,147 |
603 |
$48.68 |
| J2405 |
Ondansetron hcl injection |
9,609 |
7,508 |
$46.79 |
| 51701 |
|
62 |
58 |
$45.98 |
| C1894 |
Intro/sheath, non-laser |
1,047 |
982 |
$43.05 |
| J1030 |
Methylprednisolone 40 mg inj |
1,343 |
1,266 |
$40.42 |
| 80051 |
|
26 |
25 |
$35.85 |
| 85384 |
|
95 |
69 |
$34.72 |
| J1644 |
Inj heparin sodium per 1000u |
8,083 |
4,261 |
$31.82 |
| G2211 |
Complex e/m visit add on |
423 |
415 |
$30.10 |
| J2765 |
Metoclopramide hcl injection |
2,465 |
2,102 |
$29.90 |
| 87184 |
|
14 |
14 |
$29.73 |
| 89051 |
|
609 |
492 |
$29.00 |
| J1170 |
Hydromorphone injection |
4,621 |
3,394 |
$27.42 |
| 86765 |
|
13 |
13 |
$26.19 |
| 94760 |
|
3,621 |
3,360 |
$19.98 |
| J0689 |
Inj cefazolin sodium, baxter |
119 |
85 |
$19.76 |
| 82657 |
|
55 |
53 |
$18.46 |
| J2270 |
Morphine sulfate injection |
2,539 |
1,999 |
$18.32 |
| 86308 |
|
53 |
50 |
$17.57 |
| 83921 |
|
13 |
13 |
$16.83 |
| 82330 |
|
107 |
95 |
$16.42 |
| 87529 |
|
12 |
12 |
$15.91 |
| J2060 |
Lorazepam injection |
2,526 |
1,977 |
$15.72 |
| 88185 |
|
709 |
651 |
$14.63 |
| J0696 |
Ceftriaxone sodium injection |
3,527 |
2,511 |
$13.62 |
| 86039 |
|
30 |
27 |
$11.16 |
| 87280 |
|
34 |
32 |
$10.94 |
| 77002 |
|
983 |
906 |
$8.85 |
| 86015 |
|
13 |
13 |
$8.07 |
| G8978 |
Mobility current status |
451 |
435 |
$7.60 |
| G8979 |
Mobility goal status |
489 |
457 |
$7.60 |
| 84157 |
|
346 |
296 |
$7.53 |
| J3420 |
Vitamin b12 injection |
2,148 |
1,704 |
$6.45 |
| 96368 |
|
2,362 |
1,479 |
$5.67 |
| J1650 |
Inj enoxaparin sodium |
2,839 |
787 |
$5.67 |
| J0640 |
Leucovorin calcium injection |
1,097 |
570 |
$5.67 |
| J9190 |
Fluorouracil injection |
1,498 |
795 |
$5.67 |
| J1630 |
Haloperidol injection |
3,115 |
2,744 |
$5.24 |
| 96121 |
|
1,169 |
1,156 |
$5.00 |
| 85347 |
|
454 |
421 |
$4.28 |
| 82945 |
|
219 |
191 |
$3.93 |
| 84295 |
|
246 |
223 |
$3.00 |
| 88112 |
|
43 |
39 |
$2.39 |
| 96376 |
|
4,934 |
3,227 |
$1.67 |
| 99153 |
Mod sedat endo service >5yrs |
2,411 |
2,253 |
$0.00 |
| J8540 |
Oral dexamethasone |
3,160 |
1,655 |
$0.00 |
| C1726 |
Cath, bal dil, non-vascular |
852 |
787 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
5,415 |
4,274 |
$0.00 |
| G0269 |
Occlusive device in vein art |
219 |
214 |
$0.00 |
| 77001 |
|
606 |
577 |
$0.00 |
| 96377 |
|
766 |
528 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
2,857 |
2,642 |
$0.00 |
| 90474 |
|
378 |
374 |
$0.00 |
| 36416 |
|
199 |
195 |
$0.00 |
| J1940 |
Furosemide injection |
178 |
95 |
$0.00 |
| Q0162 |
Ondansetron oral |
5,452 |
2,348 |
$0.00 |
| J1790 |
Droperidol injection |
262 |
250 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
1,989 |
1,428 |
$0.00 |
| J9045 |
Carboplatin injection |
1,761 |
1,039 |
$0.00 |
| J9267 |
Paclitaxel injection |
1,149 |
484 |
$0.00 |
| 90697 |
|
634 |
630 |
$0.00 |
| A9500 |
Tc99m sestamibi |
637 |
629 |
$0.00 |
| 99439 |
|
494 |
372 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
171 |
160 |
$0.00 |
| 90696 |
|
887 |
871 |
$0.00 |
| 91301 |
|
428 |
260 |
$0.00 |
| 96139 |
|
1,250 |
1,216 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
2,021 |
1,530 |
$0.00 |
| J2920 |
Methylprednisolone injection |
120 |
78 |
$0.00 |
| 88341 |
|
1,907 |
1,738 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
144 |
102 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
609 |
538 |
$0.00 |
| J1815 |
Insulin injection |
883 |
589 |
$0.00 |
| 90698 |
|
1,508 |
1,488 |
$0.00 |
| A9503 |
Tc99m medronate |
117 |
115 |
$0.00 |
| 88300 |
|
252 |
238 |
$0.00 |
| 91315 |
|
30 |
30 |
$0.00 |
| 91305 |
|
637 |
573 |
$0.00 |
| G8980 |
Mobility d/c status |
274 |
262 |
$0.00 |
| G8988 |
Self care goal status |
31 |
29 |
$0.00 |
| C1893 |
Intro/sheath, fixed,non-peel |
127 |
124 |
$0.00 |
| A9555 |
Rb82 rubidium |
28 |
25 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
78 |
65 |
$0.00 |
| 82553 |
|
16 |
14 |
$0.00 |
| 64494 |
|
101 |
93 |
$0.00 |
| 82077 |
|
302 |
284 |
$0.00 |
| 95012 |
|
77 |
77 |
$0.00 |
| J2790 |
Rho d immune globulin inj |
165 |
161 |
$0.00 |
| A9270 |
Non-covered item or service |
504 |
459 |
$0.00 |
| C1889 |
Implant/insert device, noc |
13 |
12 |
$0.00 |
| 00813 |
|
12 |
12 |
$0.00 |
| 82435 |
|
17 |
16 |
$0.00 |
| 91319 |
|
34 |
33 |
$0.00 |
| 82533 |
|
49 |
38 |
$0.00 |
| A4648 |
Implantable tissue marker |
192 |
185 |
$0.00 |
| 99417 |
Prolong home eval add 15m |
28 |
27 |
$0.00 |
| 88311 |
|
53 |
52 |
$0.00 |
| G8987 |
Self care current status |
30 |
29 |
$0.00 |
| A9585 |
Gadobutrol injection |
54 |
53 |
$0.00 |
| 99459 |
|
67 |
67 |
$0.00 |
| 91317 |
|
24 |
24 |
$0.00 |
| 12002 |
|
12 |
12 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
31 |
29 |
$0.00 |
| 86301 |
|
34 |
28 |
$0.00 |
| 82103 |
|
13 |
13 |
$0.00 |
| C1778 |
Lead, neurostimulator |
13 |
12 |
$0.00 |
| 77417 |
|
54 |
25 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
240 |
219 |
$0.00 |
| J3480 |
Inj potassium chloride |
70 |
41 |
$0.00 |
| 90381 |
|
16 |
15 |
$0.00 |
| 0154A |
|
15 |
15 |
$0.00 |
| 82360 |
|
37 |
37 |
$0.00 |
| 17250 |
|
16 |
12 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
13 |
12 |
$0.00 |
| 91307 |
|
55 |
36 |
$0.00 |
| 90636 |
|
12 |
12 |
$0.00 |
| C1781 |
Mesh (implantable) |
12 |
12 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
3,026 |
2,950 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
4,809 |
2,749 |
$0.00 |
| A6196 |
Alginate dressing <=16 sq in |
764 |
529 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
1,157 |
871 |
$0.00 |
| A9552 |
F18 fdg |
3,673 |
3,544 |
$0.00 |
| 90707 |
|
1,394 |
1,378 |
$0.00 |
| 90472 |
|
13,368 |
13,146 |
$0.00 |
| 90648 |
|
1,894 |
1,868 |
$0.00 |
| 90633 |
|
2,233 |
2,201 |
$0.00 |
| 90700 |
|
1,145 |
1,123 |
$0.00 |
| 76942 |
|
1,297 |
1,115 |
$0.00 |
| J7030 |
Normal saline solution infus |
5,517 |
2,350 |
$0.00 |
| J3489 |
Zoledronic acid 1mg |
565 |
529 |
$0.00 |
| 91300 |
|
8,280 |
7,196 |
$0.00 |
| C1760 |
Closure dev, vasc |
467 |
451 |
$0.00 |
| J1956 |
Levofloxacin injection |
245 |
212 |
$0.00 |
| 88312 |
|
30 |
28 |
$0.00 |
| C1887 |
Catheter, guiding |
371 |
350 |
$0.00 |
| J1071 |
Inj testosterone cypionate |
844 |
442 |
$0.00 |
| U0001 |
2019-ncov diagnostic p |
222 |
198 |
$0.00 |
| 88313 |
|
295 |
274 |
$0.00 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
181 |
134 |
$0.00 |
| 91312 |
|
522 |
498 |
$0.00 |
| 76937 |
|
13 |
12 |
$0.00 |
| 91308 |
|
175 |
117 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
30 |
30 |
$0.00 |
| C1788 |
Port, indwelling, imp |
195 |
188 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
97 |
71 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
766 |
485 |
$0.00 |
| 78434 |
|
28 |
25 |
$0.00 |
| Q0245 |
Bamlanivimab and etesevima |
53 |
53 |
$0.00 |
| 93356 |
|
128 |
125 |
$0.00 |
| 90671 |
|
46 |
46 |
$0.00 |
| C1729 |
Cath, drainage |
263 |
232 |
$0.00 |
| J0744 |
Ciprofloxacin iv |
47 |
38 |
$0.00 |
| 94727 |
|
84 |
77 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
1,216 |
1,174 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
171 |
130 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
108 |
105 |
$0.00 |
| J9263 |
Oxaliplatin |
204 |
111 |
$0.00 |
| 91311 |
|
59 |
56 |
$0.00 |
| C1874 |
Stent, coated/cov w/del sys |
43 |
39 |
$0.00 |
| 69220 |
|
12 |
12 |
$0.00 |
| J9060 |
Cisplatin 10 mg injection |
48 |
24 |
$0.00 |
| 85613 |
|
13 |
12 |
$0.00 |
| J9206 |
Irinotecan injection |
110 |
50 |
$0.00 |
| J9370 |
Vincristine sulfate 1 mg inj |
32 |
24 |
$0.00 |
| A9541 |
Tc99m sulfur colloid |
44 |
42 |
$0.00 |
| 93321 |
|
13 |
13 |
$0.00 |
| G8989 |
Self care d/c status |
29 |
28 |
$0.00 |
| 91321 |
|
68 |
68 |
$0.00 |
| 80179 |
|
29 |
28 |
$0.00 |
| J0780 |
Prochlorperazine injection |
35 |
25 |
$0.00 |
| 80143 |
|
18 |
17 |
$0.00 |
| 86146 |
|
27 |
26 |
$0.00 |
| G8985 |
Carry goal status |
13 |
13 |
$0.00 |
| 86147 |
|
26 |
25 |
$0.00 |
| 89050 |
|
36 |
30 |
$0.00 |
| 76813 |
|
12 |
12 |
$0.00 |