| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
|
227,670 |
209,495 |
$48.45M |
| 99213 |
|
619,805 |
542,046 |
$21.27M |
| 99285 |
|
91,743 |
82,803 |
$19.76M |
| 99283 |
|
126,778 |
118,941 |
$16.99M |
| 99212 |
|
185,079 |
151,073 |
$5.42M |
| U0003 |
Cov-19 amp prb hgh thruput |
93,758 |
55,301 |
$5.18M |
| 87635 |
|
89,607 |
82,729 |
$3.57M |
| 99214 |
|
63,266 |
58,677 |
$3.30M |
| 87502 |
|
41,638 |
38,277 |
$2.61M |
| 96374 |
|
67,220 |
55,639 |
$1.86M |
| 87491 |
|
55,837 |
49,909 |
$1.66M |
| 87591 |
|
56,075 |
49,869 |
$1.64M |
| 99282 |
|
16,615 |
15,632 |
$1.59M |
| 81514 |
|
11,391 |
9,876 |
$1.50M |
| 80053 |
|
214,588 |
177,535 |
$1.48M |
| 93005 |
|
99,124 |
88,708 |
$1.47M |
| G0378 |
Hospital observation per hr |
8,628 |
4,068 |
$1.46M |
| 85025 |
|
233,728 |
192,323 |
$1.17M |
| 81025 |
|
147,474 |
134,045 |
$951K |
| 76816 |
|
17,091 |
15,721 |
$904K |
| 99215 |
Prolong outpt/office vis |
15,458 |
14,463 |
$824K |
| 97110 |
|
32,102 |
10,077 |
$820K |
| 96372 |
|
62,625 |
51,653 |
$741K |
| 96361 |
|
47,592 |
34,972 |
$737K |
| 87481 |
|
12,268 |
10,643 |
$721K |
| 59025 |
|
8,024 |
6,404 |
$672K |
| 69436 |
|
3,016 |
2,253 |
$616K |
| 96375 |
|
30,179 |
24,031 |
$595K |
| 93325 |
|
8,869 |
7,680 |
$583K |
| 71045 |
|
33,110 |
30,038 |
$579K |
| 88175 |
|
26,254 |
23,658 |
$536K |
| 87801 |
|
11,206 |
10,459 |
$517K |
| J0585 |
Injection,onabotulinumtoxina |
3,502 |
1,691 |
$508K |
| 93303 |
|
3,450 |
3,083 |
$507K |
| 92507 |
|
17,442 |
6,588 |
$503K |
| 93306 |
|
2,685 |
2,439 |
$477K |
| 74177 |
|
1,538 |
1,389 |
$435K |
| 87389 |
|
23,286 |
20,906 |
$420K |
| 71046 |
|
15,645 |
14,255 |
$396K |
| 36415 |
|
178,722 |
141,312 |
$392K |
| 83880 |
|
17,151 |
14,670 |
$367K |
| 87651 |
|
11,402 |
10,578 |
$362K |
| 20610 |
|
4,989 |
4,273 |
$357K |
| 87804 |
|
24,534 |
12,381 |
$333K |
| 70450 |
|
3,578 |
3,255 |
$326K |
| 96413 |
|
4,668 |
2,661 |
$323K |
| 76811 |
|
2,333 |
2,013 |
$310K |
| 87624 |
|
11,132 |
10,007 |
$309K |
| 76805 |
|
4,321 |
4,074 |
$300K |
| 87661 |
|
11,632 |
10,547 |
$288K |
| 99211 |
|
11,178 |
9,131 |
$285K |
| 84484 |
|
36,190 |
27,026 |
$267K |
| 93320 |
|
3,427 |
3,050 |
$257K |
| 64615 |
|
1,425 |
1,268 |
$236K |
| 11042 |
|
1,044 |
440 |
$234K |
| M0243 |
Casirivi and imdevi inj |
943 |
624 |
$230K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
8,156 |
7,086 |
$227K |
| 87086 |
|
32,565 |
29,356 |
$221K |
| 86803 |
|
19,879 |
17,963 |
$207K |
| 97530 |
|
9,211 |
3,483 |
$185K |
| 76801 |
|
2,759 |
2,547 |
$184K |
| 54300 |
|
581 |
394 |
$179K |
| U0005 |
Infec agen detec ampli probe |
9,267 |
7,316 |
$178K |
| 80307 |
|
4,100 |
3,607 |
$176K |
| 69210 |
|
3,351 |
3,059 |
$169K |
| 96365 |
|
4,655 |
3,343 |
$162K |
| 87811 |
|
3,972 |
3,328 |
$154K |
| 76819 |
|
2,032 |
1,618 |
$150K |
| 0002A |
|
4,341 |
3,915 |
$138K |
| 0001A |
|
4,211 |
4,117 |
$134K |
| T2101 |
Breast milk proc/store/dist |
7,903 |
1,087 |
$128K |
| 81000 |
|
45,690 |
40,742 |
$127K |
| 31575 |
|
354 |
300 |
$126K |
| 42830 |
|
260 |
222 |
$124K |
| 87880 |
|
8,546 |
8,037 |
$123K |
| 83036 |
|
17,788 |
16,350 |
$119K |
| 87510 |
|
6,429 |
5,588 |
$115K |
| 87660 |
|
6,381 |
5,543 |
$114K |
| 87480 |
|
6,371 |
5,542 |
$114K |
| G0463 |
Hospital outpt clinic visit |
37,365 |
26,728 |
$113K |
| 43239 |
|
399 |
342 |
$112K |
| 93304 |
|
1,155 |
909 |
$104K |
| 96360 |
|
3,324 |
2,691 |
$101K |
| 83690 |
|
20,102 |
17,926 |
$99K |
| 80061 |
|
10,705 |
9,774 |
$98K |
| 80050 |
|
2,678 |
2,440 |
$97K |
| G0330 |
Facility svs dental rehab |
20 |
15 |
$94K |
| 95816 |
|
682 |
655 |
$91K |
| 81003 |
|
46,397 |
39,916 |
$85K |
| G0480 |
Drug test def 1-7 classes |
1,859 |
1,499 |
$85K |
| 0071A |
|
2,197 |
1,951 |
$83K |
| J1885 |
Ketorolac tromethamine inj |
48,010 |
42,994 |
$81K |
| 64642 |
|
368 |
342 |
$81K |
| 42820 |
|
221 |
169 |
$79K |
| 93321 |
|
1,151 |
907 |
$76K |
| 76817 |
|
1,416 |
1,223 |
$74K |
| 84443 |
|
6,885 |
6,100 |
$72K |
| 86703 |
|
6,886 |
6,371 |
$72K |
| 67028 |
|
325 |
269 |
$71K |
| 0072A |
|
1,714 |
1,608 |
$68K |
| 94010 |
|
1,292 |
1,198 |
$68K |
| J7307 |
Etonogestrel implant system |
80 |
67 |
$68K |
| 92579 |
|
2,568 |
2,307 |
$66K |
| 80074 |
|
2,059 |
1,845 |
$62K |
| 92134 |
|
3,463 |
2,991 |
$58K |
| G0108 |
Diab manage trn per indiv |
2,141 |
1,813 |
$58K |
| 91200 |
|
391 |
379 |
$57K |
| 94640 |
|
1,748 |
1,479 |
$56K |
| 92060 |
|
3,613 |
3,392 |
$54K |
| 83735 |
|
15,352 |
10,742 |
$53K |
| 87081 |
|
7,922 |
7,486 |
$51K |
| 87634 |
|
796 |
711 |
$48K |
| 86003 |
|
1,452 |
640 |
$47K |
| J9271 |
Inj pembrolizumab |
53 |
24 |
$43K |
| 94618 |
|
799 |
714 |
$40K |
| J1050 |
Medroxyprogesterone acetate |
819 |
766 |
$40K |
| 92567 |
|
4,304 |
3,861 |
$39K |
| G2066 |
Inter devc remote 30d |
2,458 |
2,339 |
$39K |
| 95800 |
|
274 |
256 |
$37K |
| 81002 |
|
12,356 |
8,866 |
$37K |
| J3490 |
Drugs unclassified injection |
8,662 |
3,948 |
$36K |
| 93296 |
|
4,548 |
4,008 |
$36K |
| 87522 |
Neg quan hep c or qual rna |
970 |
908 |
$35K |
| 74176 |
|
217 |
203 |
$35K |
| 51798 |
|
527 |
474 |
$35K |
| 95810 |
|
79 |
74 |
$35K |
| 97162 |
|
1,044 |
682 |
$35K |
| 81220 |
|
216 |
143 |
$34K |
| 82962 |
|
14,075 |
12,122 |
$34K |
| 92523 |
|
302 |
267 |
$30K |
| 0241U |
|
322 |
269 |
$30K |
| 81001 |
|
12,246 |
10,933 |
$27K |
| 77067 |
|
544 |
516 |
$27K |
| 76830 |
|
562 |
526 |
$27K |
| 94729 |
|
822 |
756 |
$26K |
| 73630 |
|
1,097 |
1,006 |
$26K |
| 70551 |
|
72 |
62 |
$25K |
| 86592 |
|
7,069 |
6,475 |
$24K |
| 76856 |
|
526 |
485 |
$24K |
| 0004A |
|
654 |
587 |
$23K |
| J1756 |
Iron sucrose injection |
286 |
123 |
$23K |
| 85610 |
|
8,721 |
6,127 |
$21K |
| 84439 |
|
2,988 |
2,687 |
$21K |
| 87400 |
|
2,765 |
1,391 |
$21K |
| 41899 |
|
38 |
29 |
$20K |
| 95012 |
|
738 |
704 |
$20K |
| U0002 |
Covid-19 lab test non-cdc |
513 |
442 |
$20K |
| 74018 |
|
713 |
631 |
$20K |
| 80048 |
|
3,861 |
2,831 |
$20K |
| J2405 |
Ondansetron hcl injection |
21,568 |
18,106 |
$20K |
| 73610 |
|
793 |
706 |
$19K |
| 88305 |
|
1,388 |
797 |
$18K |
| 11043 |
|
110 |
42 |
$18K |
| 97166 |
|
573 |
347 |
$18K |
| 72082 |
|
248 |
231 |
$18K |
| 82306 |
|
1,087 |
965 |
$17K |
| 99281 |
|
254 |
224 |
$17K |
| 86900 |
|
2,192 |
1,831 |
$16K |
| 87340 |
|
2,002 |
1,797 |
$16K |
| 84702 |
|
1,209 |
943 |
$16K |
| 0011A |
|
482 |
472 |
$15K |
| 92587 |
|
151 |
147 |
$15K |
| J3301 |
Triamcinolone acet inj nos |
4,896 |
4,579 |
$15K |
| 96367 |
|
702 |
412 |
$15K |
| 92133 |
|
318 |
296 |
$15K |
| 96416 |
|
155 |
91 |
$15K |
| J1100 |
Dexamethasone sodium phos |
14,479 |
11,805 |
$14K |
| 86769 |
|
930 |
393 |
$14K |
| 0012A |
|
449 |
410 |
$14K |
| 94761 |
|
1,393 |
871 |
$14K |
| 86850 |
|
1,940 |
1,610 |
$14K |
| 86762 |
|
1,399 |
1,264 |
$14K |
| J0696 |
Ceftriaxone sodium injection |
3,138 |
2,822 |
$14K |
| 73564 |
|
292 |
270 |
$14K |
| 94727 |
|
283 |
269 |
$14K |
| 90686 |
|
2,038 |
1,923 |
$13K |
| 85045 |
|
4,030 |
2,842 |
$13K |
| 99291 |
|
29 |
27 |
$13K |
| 85027 |
|
3,804 |
2,633 |
$13K |
| 82728 |
|
1,348 |
1,226 |
$13K |
| 87088 |
|
2,041 |
1,870 |
$13K |
| 87186 |
|
2,002 |
1,700 |
$13K |
| 86140 |
|
3,811 |
3,273 |
$13K |
| 92610 |
|
419 |
387 |
$12K |
| 87077 |
|
2,025 |
1,717 |
$12K |
| 31231 |
|
27 |
26 |
$12K |
| 82977 |
|
1,850 |
1,569 |
$11K |
| 90715 |
|
772 |
729 |
$11K |
| 96376 |
|
1,068 |
556 |
$11K |
| 54161 |
|
633 |
382 |
$11K |
| 83655 |
|
886 |
850 |
$10K |
| 73110 |
|
288 |
234 |
$10K |
| 76705 |
|
211 |
194 |
$10K |
| 93298 |
|
678 |
637 |
$10K |
| M0239 |
Bamlanivimab-xxxx infusion |
135 |
78 |
$10K |
| 94060 |
|
161 |
154 |
$10K |
| 93242 |
|
135 |
118 |
$10K |
| 99203 |
|
238 |
231 |
$9K |
| 95886 |
|
405 |
386 |
$9K |
| 0003A |
|
247 |
216 |
$9K |
| 95004 |
|
39 |
38 |
$9K |
| 97161 |
|
141 |
129 |
$8K |
| 82105 |
|
900 |
793 |
$8K |
| 86901 |
|
2,243 |
1,815 |
$8K |
| 87633 |
|
61 |
49 |
$8K |
| 01922 |
|
25 |
24 |
$8K |
| 97803 |
|
882 |
826 |
$8K |
| 93299 |
|
522 |
508 |
$8K |
| 86593 |
|
2,038 |
1,855 |
$8K |
| 54360 |
|
127 |
79 |
$8K |
| 73562 |
|
285 |
262 |
$8K |
| 80197 |
|
1,386 |
759 |
$7K |
| J7030 |
Normal saline solution infus |
4,715 |
4,098 |
$7K |
| 77072 |
|
280 |
249 |
$7K |
| 84466 |
|
751 |
685 |
$7K |
| 82784 |
|
817 |
487 |
$7K |
| 73521 |
|
147 |
134 |
$6K |
| 91321 |
|
202 |
181 |
$6K |
| 76820 |
|
90 |
52 |
$6K |
| 87807 |
|
472 |
456 |
$6K |
| 92511 |
|
93 |
90 |
$6K |
| M0222 |
Bebtelovimab injection |
21 |
21 |
$6K |
| 73130 |
|
247 |
218 |
$6K |
| 97802 |
|
1,375 |
1,231 |
$6K |
| 76815 |
|
82 |
65 |
$6K |
| 72100 |
|
192 |
183 |
$6K |
| 77063 |
|
512 |
488 |
$6K |
| 96366 |
|
391 |
168 |
$5K |
| 97165 |
|
154 |
126 |
$5K |
| 84100 |
|
2,155 |
1,414 |
$5K |
| 0064A |
|
171 |
146 |
$5K |
| C1894 |
Intro/sheath, non-laser |
72 |
53 |
$5K |
| J2704 |
Inj, propofol, 10 mg |
13,932 |
10,285 |
$5K |
| 96113 |
|
429 |
363 |
$5K |
| 87210 |
|
1,149 |
1,008 |
$5K |
| J7318 |
Inj, durolane 1 mg |
14 |
13 |
$5K |
| 82607 |
|
536 |
481 |
$5K |
| 80076 |
|
690 |
588 |
$5K |
| 80055 |
|
242 |
216 |
$5K |
| 80047 |
|
623 |
581 |
$5K |
| 92083 |
|
163 |
158 |
$5K |
| 96112 |
|
527 |
453 |
$5K |
| 72125 |
|
26 |
24 |
$4K |
| J1040 |
Methylprednisolone 80 mg inj |
1,197 |
1,037 |
$4K |
| J9190 |
Fluorouracil injection |
197 |
102 |
$4K |
| 82150 |
|
837 |
763 |
$4K |
| 92557 |
|
108 |
94 |
$4K |
| J0500 |
Dicyclomine injection |
122 |
107 |
$4K |
| 83615 |
|
1,186 |
904 |
$4K |
| 83605 |
|
528 |
430 |
$4K |
| 57454 |
|
13 |
12 |
$4K |
| 83540 |
|
810 |
736 |
$4K |
| J7120 |
Ringers lactate infusion |
7,221 |
5,976 |
$3K |
| 82950 |
|
769 |
730 |
$3K |
| 87426 |
|
81 |
77 |
$3K |
| 73100 |
|
111 |
100 |
$3K |
| C1769 |
Guide wire |
50 |
40 |
$3K |
| 76770 |
|
30 |
29 |
$3K |
| J3010 |
Fentanyl citrate injection |
12,019 |
9,402 |
$3K |
| 92285 |
|
289 |
250 |
$3K |
| 83516 |
|
283 |
130 |
$3K |
| J2469 |
Palonosetron hcl |
102 |
63 |
$3K |
| M0220 |
Tixagev and cilgav inj |
27 |
26 |
$3K |
| 64643 |
|
148 |
109 |
$3K |
| 11750 |
|
14 |
13 |
$3K |
| 62323 |
|
24 |
24 |
$3K |
| V2632 |
Post chmbr intraocular lens |
30 |
28 |
$3K |
| 85652 |
|
1,520 |
1,376 |
$3K |
| 86364 |
|
453 |
216 |
$3K |
| 66984 |
|
34 |
24 |
$3K |
| 82785 |
|
206 |
183 |
$3K |
| 31579 |
|
14 |
12 |
$3K |
| 82803 |
|
602 |
540 |
$3K |
| 11765 |
|
19 |
19 |
$3K |
| 82570 |
|
774 |
691 |
$3K |
| 82378 |
|
174 |
126 |
$3K |
| M0245 |
Bamlan and etesev infusion |
20 |
13 |
$2K |
| 0352U |
|
821 |
728 |
$2K |
| 87798 |
|
118 |
49 |
$2K |
| J1200 |
Diphenhydramine hcl injectio |
1,500 |
1,309 |
$2K |
| 95913 |
|
26 |
25 |
$2K |
| 85379 |
|
307 |
281 |
$2K |
| 85018 |
|
961 |
933 |
$2K |
| 90661 |
|
302 |
281 |
$2K |
| 86787 |
|
195 |
182 |
$2K |
| J2270 |
Morphine sulfate injection |
1,337 |
1,139 |
$2K |
| J0702 |
Betamethasone acet&sod phosp |
394 |
355 |
$2K |
| 92201 |
|
114 |
104 |
$2K |
| 82746 |
|
167 |
141 |
$2K |
| 0031A |
|
82 |
77 |
$2K |
| 74019 |
|
55 |
51 |
$2K |
| 87653 |
|
54 |
54 |
$2K |
| 80069 |
|
746 |
438 |
$2K |
| 0124A |
|
94 |
63 |
$2K |
| 71260 |
|
24 |
24 |
$2K |
| 83021 |
|
109 |
101 |
$2K |
| 87070 |
|
253 |
230 |
$2K |
| 0054A |
|
49 |
49 |
$2K |
| 90656 |
|
408 |
347 |
$2K |
| 87486 |
|
58 |
49 |
$2K |
| 87581 |
|
58 |
49 |
$2K |
| 86317 |
|
52 |
24 |
$2K |
| J1642 |
Inj heparin sodium per 10 u |
1,208 |
725 |
$2K |
| J1170 |
Hydromorphone injection |
1,134 |
905 |
$2K |
| 83020 |
|
158 |
102 |
$2K |
| 11721 |
|
165 |
145 |
$1K |
| J1010 |
Inj, methylpred acetate 1 mg |
207 |
148 |
$1K |
| 82248 |
|
478 |
332 |
$1K |
| 86704 |
|
125 |
115 |
$1K |
| 86790 |
|
109 |
101 |
$1K |
| 80320 |
|
123 |
107 |
$1K |
| A9585 |
Gadobutrol injection |
60 |
51 |
$1K |
| 86334 |
|
127 |
109 |
$1K |
| J0561 |
Penicillin g benzathine inj |
17 |
12 |
$1K |
| 77014 |
|
36 |
13 |
$1K |
| 90833 |
|
174 |
137 |
$1K |
| 97602 |
|
18 |
12 |
$1K |
| 90480 |
|
293 |
245 |
$1K |
| 85660 |
|
279 |
254 |
$1K |
| 20550 |
|
12 |
12 |
$1K |
| 93356 |
|
13 |
12 |
$1K |
| 83521 |
|
174 |
81 |
$1K |
| J3420 |
Vitamin b12 injection |
983 |
899 |
$1K |
| 82330 |
|
111 |
98 |
$1K |
| 86706 |
|
109 |
73 |
$989.25 |
| 90677 |
|
28 |
12 |
$989.19 |
| 96401 |
|
30 |
13 |
$955.81 |
| 86258 |
|
144 |
65 |
$929.56 |
| 93017 |
|
13 |
13 |
$903.00 |
| 11730 |
|
15 |
12 |
$804.25 |
| 92226 |
|
162 |
120 |
$802.73 |
| 83993 |
|
44 |
41 |
$757.29 |
| 72040 |
|
26 |
25 |
$745.27 |
| 94726 |
|
12 |
12 |
$735.17 |
| 00170 |
|
1,514 |
1,313 |
$727.95 |
| 83520 |
|
114 |
42 |
$708.89 |
| 95819 |
|
14 |
13 |
$708.40 |
| 73030 |
|
27 |
26 |
$680.57 |
| 85651 |
|
293 |
235 |
$679.37 |
| 99459 |
|
1,071 |
828 |
$677.04 |
| 76700 |
|
12 |
12 |
$667.58 |
| 84134 |
|
260 |
193 |
$663.23 |
| 82040 |
|
198 |
169 |
$661.18 |
| 99204 |
|
14 |
14 |
$651.90 |
| J2250 |
Inj midazolam hydrochloride |
4,635 |
3,734 |
$642.35 |
| 93990 |
|
100 |
86 |
$636.65 |
| 93970 |
|
14 |
12 |
$618.12 |
| 84165 |
|
127 |
109 |
$605.97 |
| 96417 |
|
18 |
12 |
$595.23 |
| 72110 |
|
46 |
42 |
$529.61 |
| 72081 |
|
12 |
12 |
$510.10 |
| 91320 |
|
33 |
31 |
$497.27 |
| Q3014 |
Telehealth facility fee |
181 |
174 |
$476.60 |
| 96127 |
|
176 |
149 |
$473.94 |
| J2930 |
Methylprednisolone injection |
121 |
104 |
$451.79 |
| 92604 |
|
16 |
13 |
$448.39 |
| J2360 |
Orphenadrine injection |
43 |
41 |
$437.75 |
| 83001 |
|
28 |
26 |
$434.77 |
| 86696 |
|
26 |
24 |
$433.86 |
| 84144 |
|
35 |
29 |
$425.71 |
| 82550 |
|
91 |
80 |
$423.70 |
| 84156 |
|
136 |
121 |
$417.21 |
| 82565 |
|
130 |
112 |
$375.26 |
| 84403 |
|
14 |
14 |
$368.83 |
| 84402 |
|
14 |
14 |
$363.95 |
| 82043 |
|
113 |
106 |
$349.78 |
| 96111 |
|
15 |
14 |
$343.38 |
| J2272 |
Inj, morphine (fresenius) |
195 |
128 |
$338.06 |
| 91305 |
|
134 |
130 |
$333.58 |
| 84132 |
|
115 |
101 |
$326.75 |
| 90714 |
|
56 |
56 |
$326.56 |
| 86694 |
|
26 |
24 |
$322.64 |
| 0053A |
|
17 |
13 |
$298.30 |
| 76818 |
|
15 |
12 |
$296.88 |
| 86695 |
|
26 |
24 |
$295.70 |
| 84295 |
|
99 |
88 |
$289.30 |
| 90732 |
|
16 |
14 |
$279.67 |
| C1729 |
Cath, drainage |
19 |
13 |
$273.23 |
| 87147 |
|
71 |
65 |
$267.92 |
| 83002 |
|
14 |
14 |
$264.67 |
| J2060 |
Lorazepam injection |
177 |
146 |
$256.11 |
| 73590 |
|
14 |
13 |
$253.56 |
| 86300 |
|
13 |
13 |
$253.50 |
| 91307 |
|
3,916 |
3,313 |
$250.22 |
| 80329 |
|
29 |
24 |
$223.44 |
| 82274 |
|
13 |
13 |
$214.67 |
| J8499 |
Oral prescrip drug non chemo |
6,718 |
1,455 |
$203.38 |
| J2550 |
Promethazine hcl injection |
206 |
174 |
$198.64 |
| 88142 |
|
12 |
12 |
$194.28 |
| 0052A |
|
34 |
26 |
$186.12 |
| 82805 |
|
19 |
15 |
$178.46 |
| A4550 |
Surgical trays |
31 |
25 |
$175.23 |
| 85730 |
|
53 |
46 |
$171.15 |
| 94760 |
|
78 |
67 |
$168.28 |
| J0131 |
Inj, acetaminophen (nos) |
2,543 |
2,184 |
$161.14 |
| 84153 |
|
12 |
12 |
$130.57 |
| Q0091 |
Obtaining screen pap smear |
14 |
13 |
$120.01 |
| 85014 |
|
117 |
87 |
$115.72 |
| J0690 |
Cefazolin sodium injection |
1,371 |
1,055 |
$114.84 |
| 87040 |
|
21 |
13 |
$114.35 |
| C1725 |
Cath, translumin non-laser |
20 |
12 |
$111.66 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
322 |
247 |
$109.55 |
| J2765 |
Metoclopramide hcl injection |
67 |
63 |
$104.15 |
| 99490 |
Ccm add 20min |
219 |
218 |
$103.28 |
| 84480 |
|
12 |
12 |
$102.08 |
| 83525 |
|
14 |
14 |
$93.26 |
| 97810 |
|
107 |
44 |
$92.50 |
| J7512 |
Prednisone ir or dr oral 1mg |
252 |
215 |
$84.92 |
| 85347 |
|
17 |
14 |
$81.41 |
| 97811 |
|
103 |
42 |
$77.10 |
| J2001 |
Lidocaine injection |
1,181 |
840 |
$74.46 |
| 91300 |
|
8,911 |
8,089 |
$63.02 |
| J7050 |
Normal saline solution infus |
365 |
83 |
$58.79 |
| 84550 |
|
26 |
24 |
$49.99 |
| 99497 |
|
36 |
27 |
$44.32 |
| 84460 |
|
15 |
12 |
$43.98 |
| J0360 |
Hydralazine hcl injection |
13 |
13 |
$43.50 |
| 84425 |
|
24 |
24 |
$43.04 |
| 84075 |
|
16 |
13 |
$42.96 |
| 82947 |
|
15 |
12 |
$39.54 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
309 |
271 |
$39.53 |
| 88720 |
|
15 |
13 |
$37.67 |
| 84450 |
|
15 |
12 |
$37.62 |
| 85007 |
|
25 |
12 |
$36.45 |
| 82247 |
|
15 |
13 |
$35.17 |
| J1644 |
Inj heparin sodium per 1000u |
56 |
40 |
$34.52 |
| 96380 |
|
12 |
12 |
$31.02 |
| C9113 |
Inj pantoprazole sodium, via |
12 |
12 |
$27.13 |
| 84155 |
|
15 |
13 |
$26.65 |
| J0134 |
Inj acetaminophen -fresenius |
163 |
128 |
$6.51 |
| 91312 |
|
116 |
63 |
$0.34 |
| 91306 |
|
145 |
121 |
$0.00 |
| 55175 |
|
674 |
368 |
$0.00 |
| 00126 |
|
387 |
355 |
$0.00 |
| 81511 |
|
84 |
78 |
$0.00 |
| 91301 |
|
830 |
789 |
$0.00 |
| Q0222 |
Bebtelovimab 175 mg |
22 |
21 |
$0.00 |
| G0008 |
Admin influenza virus vac |
52 |
46 |
$0.00 |
| J7999 |
Compounded drug, noc |
15 |
12 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
22 |
12 |
$0.00 |
| 91303 |
|
60 |
59 |
$0.00 |
| 82657 |
|
12 |
12 |
$0.00 |
| J1597 |
Inj glycopyrrolate, glyrx-pf |
16 |
13 |
$0.00 |
| 00731 |
|
31 |
29 |
$0.00 |
| 00920 |
|
585 |
476 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
614 |
500 |
$0.00 |
| 95874 |
|
27 |
26 |
$0.00 |
| Q0220 |
Tixagev and cilgav, 300mg |
26 |
25 |
$0.00 |
| J0290 |
Ampicillin 500 mg inj |
23 |
12 |
$0.00 |
| 76942 |
|
15 |
14 |
$0.00 |
| 87075 |
|
14 |
12 |
$0.00 |
| 90662 |
|
12 |
12 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
28 |
26 |
$0.00 |
| 11056 |
|
12 |
12 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
34 |
29 |
$0.00 |
| J7040 |
Normal saline solution infus |
14 |
12 |
$0.00 |
| Q0239 |
Bamlanivimab-xxxx |
14 |
14 |
$0.00 |