| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
89,067 |
78,015 |
$7.55M |
| 99284 |
|
70,281 |
59,431 |
$6.69M |
| 99285 |
|
34,618 |
28,035 |
$3.71M |
| 96361 |
|
21,724 |
16,662 |
$3.03M |
| 96413 |
|
12,672 |
7,285 |
$2.31M |
| 97110 |
|
40,713 |
12,134 |
$1.87M |
| 99282 |
|
21,424 |
19,688 |
$1.63M |
| 80048 |
|
73,813 |
53,619 |
$1.54M |
| 96360 |
|
8,347 |
6,991 |
$1.34M |
| Q4081 |
Epoetin alfa, 100 units esrd |
3,478 |
249 |
$1.28M |
| 96365 |
|
12,809 |
8,820 |
$1.18M |
| 82962 |
|
78,723 |
45,490 |
$1.17M |
| 96372 |
|
24,680 |
19,521 |
$1.15M |
| 90999 |
|
2,654 |
207 |
$1.14M |
| 74177 |
|
6,925 |
5,977 |
$1.07M |
| J9271 |
Inj pembrolizumab |
744 |
479 |
$1.01M |
| 93306 |
|
7,220 |
6,384 |
$984K |
| 81003 |
|
73,482 |
54,982 |
$871K |
| G0463 |
Hospital outpt clinic visit |
90,108 |
58,707 |
$865K |
| 96375 |
|
22,764 |
15,486 |
$848K |
| 84703 |
|
36,809 |
32,370 |
$824K |
| 76816 |
|
13,397 |
12,254 |
$743K |
| 96374 |
|
27,162 |
21,732 |
$728K |
| J1270 |
Injection, doxercalciferol |
2,084 |
202 |
$725K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
15,404 |
12,498 |
$638K |
| 70450 |
|
9,267 |
7,688 |
$636K |
| 85025 |
|
114,605 |
82,495 |
$620K |
| 80053 |
|
39,959 |
29,926 |
$610K |
| U0003 |
Cov-19 amp prb hgh thruput |
9,095 |
8,273 |
$599K |
| 76818 |
|
10,670 |
5,449 |
$577K |
| A4657 |
Syringe w/wo needle |
1,965 |
188 |
$551K |
| 41899 |
|
1,374 |
1,257 |
$540K |
| 96415 |
|
3,944 |
2,495 |
$516K |
| 87633 |
|
4,908 |
4,642 |
$492K |
| 95810 |
|
1,331 |
1,194 |
$484K |
| 90935 |
|
1,063 |
171 |
$483K |
| 86850 |
|
12,866 |
11,105 |
$461K |
| 20610 |
|
5,330 |
4,557 |
$443K |
| 97162 |
|
5,482 |
4,727 |
$430K |
| J0604 |
Cinacalcet, esrd on dialysis |
524 |
48 |
$386K |
| 76830 |
|
5,387 |
4,850 |
$372K |
| 67028 |
|
1,814 |
1,283 |
$369K |
| 78815 |
|
1,521 |
1,298 |
$357K |
| J2505 |
Injection, pegfilgrastim 6mg |
625 |
415 |
$352K |
| 94640 |
|
9,101 |
6,824 |
$349K |
| 76805 |
|
5,738 |
5,424 |
$338K |
| 43239 |
|
1,703 |
1,464 |
$320K |
| 97161 |
|
5,120 |
4,408 |
$303K |
| 62323 |
|
1,111 |
1,004 |
$287K |
| 70553 |
|
2,284 |
1,964 |
$284K |
| 93005 |
|
50,282 |
36,243 |
$276K |
| 74176 |
|
2,202 |
1,900 |
$274K |
| 87631 |
|
4,221 |
3,555 |
$269K |
| 76811 |
|
4,378 |
4,117 |
$267K |
| 95885 |
|
2,799 |
2,380 |
$262K |
| 59025 |
|
10,761 |
8,202 |
$261K |
| A9270 |
Non-covered item or service |
16,019 |
7,688 |
$257K |
| 87801 |
|
11,110 |
9,899 |
$252K |
| 81001 |
|
41,275 |
34,783 |
$247K |
| 01999 |
|
10,729 |
9,321 |
$244K |
| 71046 |
|
14,976 |
13,226 |
$238K |
| 88305 |
|
6,691 |
5,702 |
$232K |
| 96366 |
|
3,997 |
2,723 |
$225K |
| 45378 |
|
710 |
650 |
$207K |
| 87086 |
|
18,844 |
16,083 |
$205K |
| 76700 |
|
2,336 |
2,131 |
$198K |
| 77063 |
|
8,766 |
8,114 |
$197K |
| 73630 |
|
9,026 |
6,831 |
$194K |
| 76705 |
|
4,585 |
4,074 |
$193K |
| 95811 |
|
560 |
504 |
$191K |
| J3301 |
Triamcinolone acet inj nos |
8,666 |
7,620 |
$183K |
| 45385 |
|
1,016 |
875 |
$180K |
| 66984 |
|
383 |
335 |
$170K |
| 36415 |
|
30,730 |
21,678 |
$160K |
| J7050 |
Normal saline solution infus |
4,413 |
1,660 |
$153K |
| J9299 |
Injection, nivolumab |
366 |
266 |
$151K |
| 73130 |
|
6,137 |
4,585 |
$150K |
| 96367 |
|
1,715 |
1,194 |
$147K |
| 71045 |
|
25,165 |
20,084 |
$147K |
| 76536 |
|
2,269 |
2,036 |
$144K |
| J2323 |
Natalizumab injection |
152 |
110 |
$143K |
| 71275 |
|
3,331 |
2,864 |
$141K |
| 73721 |
|
1,315 |
1,093 |
$140K |
| 72197 |
|
865 |
727 |
$138K |
| 84484 |
|
30,044 |
15,163 |
$138K |
| 76775 |
|
2,589 |
2,257 |
$138K |
| 84702 |
|
6,324 |
4,114 |
$133K |
| J1756 |
Iron sucrose injection |
2,971 |
1,253 |
$133K |
| 73610 |
|
5,458 |
4,529 |
$130K |
| 99281 |
|
1,693 |
1,529 |
$130K |
| 77067 |
|
8,727 |
8,093 |
$128K |
| 87635 |
|
12,923 |
10,865 |
$126K |
| 87077 |
|
7,813 |
6,788 |
$122K |
| 73030 |
|
5,450 |
4,332 |
$122K |
| J0897 |
Denosumab injection |
1,033 |
818 |
$121K |
| 45380 |
|
686 |
600 |
$116K |
| 82728 |
|
7,491 |
6,256 |
$114K |
| 95911 |
|
2,351 |
2,114 |
$113K |
| 72148 |
|
1,521 |
1,257 |
$113K |
| 76642 |
|
3,255 |
2,710 |
$111K |
| 83735 |
|
27,265 |
18,032 |
$110K |
| 70551 |
|
1,368 |
1,139 |
$110K |
| 76856 |
|
4,500 |
4,129 |
$110K |
| J2405 |
Ondansetron hcl injection |
23,494 |
16,871 |
$109K |
| 76815 |
|
4,499 |
3,983 |
$107K |
| 87340 |
|
7,490 |
6,522 |
$106K |
| 83550 |
|
5,414 |
4,403 |
$104K |
| 74183 |
|
711 |
609 |
$102K |
| 76770 |
|
1,720 |
1,545 |
$102K |
| J1644 |
Inj heparin sodium per 1000u |
9,024 |
3,368 |
$101K |
| 36591 |
|
1,382 |
900 |
$101K |
| 96401 |
|
1,536 |
865 |
$101K |
| 84443 |
|
18,527 |
15,456 |
$101K |
| 73560 |
|
4,109 |
2,685 |
$100K |
| 83970 |
|
1,755 |
1,519 |
$100K |
| 74174 |
|
497 |
433 |
$99K |
| 87081 |
|
4,337 |
4,022 |
$98K |
| J1200 |
Diphenhydramine hcl injectio |
8,937 |
5,868 |
$95K |
| 86900 |
|
13,660 |
11,775 |
$94K |
| 0241U |
|
6,862 |
6,388 |
$94K |
| 82247 |
|
1,127 |
916 |
$93K |
| 80076 |
|
21,661 |
17,756 |
$93K |
| 77062 |
|
1,192 |
1,137 |
$92K |
| J1642 |
Inj heparin sodium per 10 u |
8,042 |
4,232 |
$91K |
| 97140 |
|
5,277 |
1,988 |
$89K |
| 80307 |
|
8,080 |
6,801 |
$88K |
| 95886 |
|
613 |
554 |
$88K |
| 80061 |
|
18,512 |
15,713 |
$88K |
| 94010 |
|
2,291 |
2,053 |
$87K |
| 78451 |
|
237 |
204 |
$87K |
| 85027 |
|
14,527 |
11,295 |
$87K |
| 72141 |
|
1,143 |
978 |
$86K |
| 88307 |
|
551 |
472 |
$85K |
| 71250 |
|
2,332 |
1,959 |
$85K |
| J1100 |
Dexamethasone sodium phos |
15,298 |
10,775 |
$84K |
| 10060 |
|
1,174 |
1,051 |
$83K |
| 97530 |
|
4,423 |
1,907 |
$81K |
| 73110 |
|
3,350 |
2,680 |
$81K |
| 83036 |
|
21,448 |
18,342 |
$79K |
| G0378 |
Hospital observation per hr |
8,719 |
4,097 |
$79K |
| 87636 |
|
2,942 |
2,590 |
$78K |
| 43235 |
|
398 |
354 |
$78K |
| 85610 |
|
13,642 |
10,202 |
$77K |
| 78452 |
|
296 |
251 |
$75K |
| 87491 |
|
4,203 |
3,669 |
$74K |
| 72100 |
|
3,153 |
2,803 |
$74K |
| 93308 |
|
1,482 |
1,254 |
$74K |
| 84100 |
|
17,519 |
11,734 |
$73K |
| 87210 |
|
5,955 |
5,223 |
$72K |
| 73562 |
|
3,578 |
2,478 |
$71K |
| 70496 |
|
652 |
555 |
$71K |
| 93970 |
|
2,146 |
1,861 |
$71K |
| J3010 |
Fentanyl citrate injection |
12,381 |
9,806 |
$66K |
| 96523 |
|
2,018 |
1,424 |
$66K |
| 58100 |
|
347 |
332 |
$64K |
| 70491 |
|
797 |
700 |
$61K |
| 96402 |
|
973 |
744 |
$60K |
| 36592 |
|
1,958 |
1,659 |
$59K |
| 86901 |
|
14,106 |
12,155 |
$59K |
| 93017 |
|
1,479 |
1,304 |
$58K |
| 64493 |
|
187 |
179 |
$58K |
| 73564 |
|
3,570 |
2,829 |
$58K |
| J3490 |
Drugs unclassified injection |
20,380 |
12,670 |
$57K |
| 81025 |
|
14,856 |
13,277 |
$57K |
| 73502 |
|
2,748 |
2,343 |
$57K |
| 93923 |
|
1,088 |
938 |
$56K |
| 93971 |
|
2,025 |
1,709 |
$55K |
| J1650 |
Inj enoxaparin sodium |
10,389 |
3,546 |
$54K |
| 72110 |
|
1,319 |
1,216 |
$54K |
| 76817 |
|
4,059 |
3,205 |
$54K |
| J1439 |
Inj ferric carboxymaltos 1mg |
499 |
294 |
$54K |
| 86780 |
|
7,576 |
6,519 |
$53K |
| 83690 |
|
14,223 |
11,776 |
$53K |
| 73221 |
|
627 |
485 |
$53K |
| 87486 |
|
3,804 |
3,552 |
$52K |
| 72040 |
|
1,471 |
1,297 |
$52K |
| 88184 |
|
2,624 |
2,094 |
$50K |
| J2250 |
Inj midazolam hydrochloride |
10,495 |
8,728 |
$50K |
| 86803 |
|
6,948 |
6,016 |
$50K |
| 97116 |
|
2,882 |
1,605 |
$50K |
| J2704 |
Inj, propofol, 10 mg |
13,992 |
11,111 |
$50K |
| 77080 |
|
1,666 |
1,475 |
$49K |
| 83605 |
|
8,686 |
6,529 |
$48K |
| 12011 |
|
504 |
471 |
$47K |
| 73590 |
|
2,628 |
2,147 |
$47K |
| 72125 |
|
3,368 |
2,781 |
$46K |
| 86403 |
|
719 |
696 |
$46K |
| J1745 |
Infliximab not biosimil 10mg |
80 |
57 |
$44K |
| 12001 |
|
570 |
523 |
$44K |
| 87591 |
|
4,220 |
3,688 |
$43K |
| J2001 |
Lidocaine injection |
11,392 |
9,454 |
$42K |
| 87070 |
|
1,422 |
1,177 |
$42K |
| 73080 |
|
1,949 |
1,641 |
$41K |
| 93798 |
|
828 |
115 |
$41K |
| 84439 |
|
4,906 |
4,033 |
$40K |
| 92507 |
|
771 |
245 |
$40K |
| 74018 |
|
1,886 |
1,579 |
$39K |
| 70486 |
|
872 |
766 |
$39K |
| 71260 |
|
1,304 |
1,132 |
$39K |
| 85730 |
|
7,128 |
5,877 |
$39K |
| J0561 |
Penicillin g benzathine inj |
1,289 |
1,033 |
$38K |
| 97165 |
|
2,301 |
1,904 |
$38K |
| 82306 |
|
4,506 |
3,844 |
$38K |
| 87205 |
|
5,161 |
4,381 |
$37K |
| 93296 |
|
2,917 |
2,468 |
$37K |
| J1815 |
Insulin injection |
3,590 |
1,332 |
$37K |
| 82565 |
|
2,224 |
1,905 |
$37K |
| 96417 |
|
2,249 |
1,393 |
$36K |
| 87389 |
|
8,393 |
7,352 |
$36K |
| 27096 |
|
94 |
93 |
$36K |
| 77065 |
Tomosynthesis, mammo |
1,588 |
1,379 |
$35K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
541 |
435 |
$34K |
| 36430 |
|
834 |
620 |
$34K |
| J1885 |
Ketorolac tromethamine inj |
14,719 |
11,769 |
$34K |
| 93458 |
|
85 |
67 |
$33K |
| 80069 |
|
2,135 |
1,605 |
$33K |
| J0585 |
Injection,onabotulinumtoxina |
243 |
154 |
$31K |
| 73552 |
|
1,775 |
1,420 |
$31K |
| P9016 |
Rbc leukocytes reduced |
817 |
619 |
$31K |
| 82550 |
|
4,231 |
3,088 |
$30K |
| 72170 |
|
1,894 |
1,565 |
$30K |
| 94726 |
|
1,062 |
958 |
$29K |
| 76882 |
|
575 |
490 |
$29K |
| 88142 |
|
2,672 |
2,399 |
$29K |
| 82607 |
|
4,958 |
4,122 |
$28K |
| 73090 |
|
1,591 |
1,332 |
$28K |
| 96377 |
|
190 |
117 |
$28K |
| 76825 |
|
242 |
227 |
$28K |
| 87536 |
|
2,342 |
1,921 |
$28K |
| 84112 |
|
224 |
197 |
$28K |
| 86762 |
|
4,623 |
4,073 |
$28K |
| 73522 |
|
1,282 |
1,138 |
$27K |
| 57454 |
|
147 |
136 |
$27K |
| 83020 |
|
4,019 |
3,581 |
$27K |
| J0690 |
Cefazolin sodium injection |
5,869 |
4,207 |
$27K |
| 99214 |
|
903 |
705 |
$26K |
| J2550 |
Promethazine hcl injection |
3,495 |
2,094 |
$26K |
| 82950 |
|
2,283 |
2,040 |
$26K |
| 94762 |
|
2,544 |
1,128 |
$25K |
| 20611 |
|
114 |
104 |
$25K |
| 87088 |
|
8,974 |
7,776 |
$25K |
| 71271 |
|
519 |
478 |
$25K |
| J2270 |
Morphine sulfate injection |
7,763 |
5,219 |
$25K |
| 97166 |
|
1,108 |
869 |
$24K |
| J7030 |
Normal saline solution infus |
711 |
332 |
$24K |
| C9257 |
Bevacizumab injection |
799 |
547 |
$24K |
| 76801 |
|
2,223 |
1,801 |
$24K |
| 82553 |
|
2,186 |
1,211 |
$23K |
| 99153 |
Mod sedat endo service >5yrs |
1,909 |
1,623 |
$23K |
| J7298 |
Mirena, 52 mg |
54 |
51 |
$23K |
| 93880 |
|
719 |
589 |
$22K |
| 73060 |
|
1,207 |
990 |
$22K |
| 83880 |
|
4,128 |
3,397 |
$22K |
| 99152 |
|
2,058 |
1,750 |
$22K |
| 96368 |
|
402 |
309 |
$22K |
| 20550 |
|
314 |
232 |
$21K |
| G0297 |
Ldct for lung ca screen |
466 |
440 |
$21K |
| 93975 |
|
555 |
483 |
$21K |
| 94060 |
|
294 |
259 |
$21K |
| 74178 |
|
308 |
246 |
$20K |
| 84481 |
|
1,839 |
1,405 |
$20K |
| 72131 |
|
778 |
655 |
$20K |
| G1004 |
Cdsm ndsc |
5,369 |
3,666 |
$20K |
| 86706 |
|
1,009 |
843 |
$20K |
| J0696 |
Ceftriaxone sodium injection |
7,354 |
5,919 |
$20K |
| J7060 |
5% dextrose/water |
136 |
41 |
$20K |
| 77061 |
|
566 |
535 |
$19K |
| 87624 |
|
1,036 |
943 |
$19K |
| 97535 |
|
2,764 |
1,514 |
$19K |
| J1453 |
Fosaprepitant injection |
320 |
165 |
$19K |
| J1170 |
Hydromorphone injection |
6,140 |
3,820 |
$18K |
| 83615 |
|
4,540 |
3,527 |
$17K |
| 87186 |
|
4,668 |
3,972 |
$17K |
| 93325 |
|
1,048 |
936 |
$17K |
| 82043 |
|
4,783 |
4,055 |
$17K |
| Q0138 |
Ferumoxytol, non-esrd |
290 |
163 |
$17K |
| 95912 |
|
422 |
387 |
$17K |
| 58661 |
|
12 |
12 |
$17K |
| 88185 |
|
2,635 |
2,100 |
$17K |
| 77386 |
|
141 |
12 |
$17K |
| 54160 |
|
22 |
15 |
$16K |
| J7512 |
Prednisone ir or dr oral 1mg |
3,975 |
1,971 |
$16K |
| 88342 |
|
1,772 |
1,445 |
$16K |
| 80074 |
|
1,766 |
1,486 |
$16K |
| 96376 |
|
3,638 |
2,764 |
$16K |
| 94727 |
|
742 |
659 |
$16K |
| 77002 |
|
406 |
344 |
$16K |
| 72070 |
|
787 |
695 |
$16K |
| 86140 |
|
4,038 |
3,385 |
$15K |
| J0885 |
Epoetin alfa, non-esrd |
422 |
128 |
$15K |
| 82330 |
|
3,038 |
2,406 |
$15K |
| G8978 |
Mobility current status |
576 |
540 |
$15K |
| 82378 |
|
1,771 |
1,355 |
$14K |
| 85018 |
|
1,229 |
1,095 |
$14K |
| G8979 |
Mobility goal status |
681 |
621 |
$14K |
| 82746 |
|
2,868 |
2,382 |
$14K |
| 90686 |
|
3,427 |
2,978 |
$14K |
| 64635 |
|
30 |
27 |
$13K |
| 72052 |
|
330 |
299 |
$13K |
| 77336 |
|
66 |
24 |
$13K |
| 88304 |
|
490 |
425 |
$13K |
| 85379 |
|
2,929 |
2,455 |
$13K |
| 87040 |
|
3,043 |
1,710 |
$13K |
| 70498 |
|
467 |
395 |
$12K |
| 83930 |
|
1,940 |
1,631 |
$12K |
| J1630 |
Haloperidol injection |
2,397 |
1,837 |
$12K |
| 95816 |
|
122 |
105 |
$11K |
| 85651 |
|
3,703 |
3,150 |
$11K |
| C1894 |
Intro/sheath, non-laser |
164 |
139 |
$11K |
| C1769 |
Guide wire |
319 |
284 |
$11K |
| 76820 |
|
725 |
396 |
$11K |
| J1050 |
Medroxyprogesterone acetate |
1,739 |
1,613 |
$11K |
| 93321 |
|
178 |
155 |
$11K |
| J3475 |
Inj magnesium sulfate |
2,742 |
1,925 |
$11K |
| G0121 |
Colon ca scrn not hi rsk ind |
33 |
30 |
$11K |
| 90715 |
|
3,619 |
3,185 |
$11K |
| 82570 |
|
2,662 |
2,208 |
$11K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
4,268 |
3,567 |
$10K |
| 20526 |
|
58 |
52 |
$10K |
| 84156 |
|
4,039 |
3,156 |
$10K |
| 88341 |
|
330 |
248 |
$9K |
| 94729 |
|
2,396 |
2,154 |
$9K |
| J2506 |
Inj pegfilgrast ex bio 0.5mg |
15 |
12 |
$9K |
| J7999 |
Compounded drug, noc |
722 |
541 |
$9K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
1,626 |
1,481 |
$9K |
| 82272 |
|
456 |
409 |
$9K |
| 99232 |
|
195 |
55 |
$9K |
| 93289 |
|
392 |
344 |
$9K |
| J2790 |
Rho d immune globulin inj |
389 |
359 |
$8K |
| J0881 |
Darbepoetin alfa, non-esrd |
374 |
217 |
$8K |
| 76604 |
|
365 |
313 |
$8K |
| 72050 |
|
117 |
109 |
$8K |
| J2765 |
Metoclopramide hcl injection |
3,448 |
2,737 |
$8K |
| 72114 |
|
283 |
263 |
$8K |
| 87563 |
|
1,143 |
990 |
$7K |
| J9190 |
Fluorouracil injection |
923 |
309 |
$7K |
| 87661 |
|
1,144 |
991 |
$7K |
| 76870 |
|
242 |
222 |
$7K |
| J3420 |
Vitamin b12 injection |
2,659 |
1,956 |
$7K |
| 89051 |
|
278 |
177 |
$7K |
| 97167 |
|
141 |
116 |
$7K |
| 82803 |
|
2,730 |
2,121 |
$7K |
| 96411 |
|
711 |
455 |
$7K |
| J1940 |
Furosemide injection |
1,588 |
867 |
$7K |
| J2795 |
Ropivacaine hcl injection |
741 |
594 |
$7K |
| 84520 |
|
1,403 |
1,115 |
$7K |
| 87147 |
|
2,794 |
2,561 |
$7K |
| 77049 |
|
28 |
26 |
$7K |
| 99213 |
|
428 |
340 |
$7K |
| 82010 |
|
1,724 |
1,402 |
$7K |
| 82140 |
|
1,018 |
793 |
$7K |
| 84153 |
|
1,023 |
894 |
$6K |
| 93976 |
|
81 |
73 |
$6K |
| A4648 |
Implantable tissue marker |
45 |
38 |
$6K |
| 90471 |
|
1,112 |
830 |
$6K |
| 84550 |
|
2,695 |
2,098 |
$6K |
| 93246 |
|
402 |
355 |
$6K |
| 72156 |
|
31 |
30 |
$6K |
| 12002 |
|
123 |
113 |
$6K |
| 82274 |
|
894 |
823 |
$6K |
| 91200 |
|
135 |
124 |
$6K |
| J0780 |
Prochlorperazine injection |
1,342 |
1,130 |
$6K |
| J3370 |
Vancomycin hcl injection |
1,767 |
931 |
$6K |
| 99291 |
|
48 |
40 |
$5K |
| 77066 |
Tomosynthesis, mammo |
1,521 |
1,365 |
$5K |
| 73700 |
|
144 |
133 |
$5K |
| J2930 |
Methylprednisolone injection |
1,742 |
1,256 |
$5K |
| 58300 |
|
112 |
107 |
$5K |
| G2066 |
Inter devc remote 30d |
358 |
294 |
$5K |
| 85045 |
|
1,362 |
1,012 |
$5K |
| 86705 |
|
15 |
12 |
$5K |
| J2060 |
Lorazepam injection |
1,764 |
1,352 |
$5K |
| 84165 |
|
908 |
734 |
$4K |
| 99203 |
|
236 |
171 |
$4K |
| 82248 |
|
171 |
153 |
$4K |
| 70487 |
|
13 |
13 |
$4K |
| J9045 |
Carboplatin injection |
604 |
342 |
$4K |
| 97163 |
|
76 |
69 |
$4K |
| J1953 |
Levetiracetam injection |
1,066 |
657 |
$4K |
| G8980 |
Mobility d/c status |
237 |
223 |
$4K |
| J0475 |
Baclofen 10 mg injection |
15 |
12 |
$4K |
| 72158 |
|
29 |
25 |
$4K |
| J0360 |
Hydralazine hcl injection |
893 |
619 |
$4K |
| G8985 |
Carry goal status |
118 |
103 |
$4K |
| 76981 |
|
40 |
35 |
$4K |
| J0640 |
Leucovorin calcium injection |
525 |
226 |
$4K |
| 86038 |
|
829 |
698 |
$4K |
| 72128 |
|
165 |
135 |
$4K |
| 82270 |
|
542 |
454 |
$4K |
| 87522 |
Neg quan hep c or qual rna |
275 |
239 |
$4K |
| Q9957 |
Inj perflutren lip micros,ml |
1,983 |
1,666 |
$4K |
| J7297 |
Liletta, 52 mg |
12 |
12 |
$3K |
| J0171 |
Adrenalin epinephrine inject |
1,375 |
1,104 |
$3K |
| 93299 |
|
133 |
123 |
$3K |
| 86300 |
|
354 |
286 |
$3K |
| J9263 |
Oxaliplatin |
101 |
52 |
$3K |
| A9552 |
F18 fdg |
1,280 |
1,096 |
$3K |
| J0131 |
Inj, acetaminophen (nos) |
207 |
171 |
$3K |
| 76827 |
|
241 |
198 |
$3K |
| 29125 |
|
274 |
243 |
$3K |
| 78264 |
|
15 |
14 |
$3K |
| J3480 |
Inj potassium chloride |
543 |
353 |
$3K |
| 84450 |
|
1,166 |
960 |
$3K |
| 76819 |
|
45 |
36 |
$3K |
| G0008 |
Admin influenza virus vac |
1,171 |
953 |
$3K |
| 94664 |
|
27 |
25 |
$3K |
| 86334 |
|
445 |
340 |
$3K |
| 87651 |
|
284 |
200 |
$2K |
| G8987 |
Self care current status |
43 |
41 |
$2K |
| 76813 |
|
51 |
42 |
$2K |
| G8988 |
Self care goal status |
44 |
41 |
$2K |
| 64400 |
|
13 |
12 |
$2K |
| J7040 |
Normal saline solution infus |
143 |
66 |
$2K |
| 82105 |
|
234 |
195 |
$2K |
| G0103 |
Psa screening |
1,014 |
843 |
$2K |
| 84134 |
|
413 |
335 |
$2K |
| 73100 |
|
83 |
71 |
$2K |
| 87798 |
|
160 |
146 |
$2K |
| 87106 |
|
927 |
775 |
$2K |
| 83883 |
|
250 |
202 |
$2K |
| 82340 |
|
106 |
98 |
$2K |
| 99204 |
|
20 |
18 |
$2K |
| G0498 |
Chemo extend iv infus w/pump |
124 |
75 |
$2K |
| 73140 |
|
43 |
41 |
$2K |
| 74230 |
|
66 |
56 |
$2K |
| 19083 |
|
13 |
12 |
$2K |
| 69200 |
|
12 |
12 |
$2K |
| 73718 |
|
18 |
13 |
$2K |
| 95819 |
|
28 |
26 |
$2K |
| 82375 |
|
15 |
12 |
$2K |
| 92523 |
|
42 |
38 |
$2K |
| 78306 |
|
12 |
12 |
$2K |
| 70360 |
|
30 |
27 |
$2K |
| 74022 |
|
133 |
121 |
$2K |
| 82951 |
|
150 |
142 |
$2K |
| Q3014 |
Telehealth facility fee |
2,510 |
1,885 |
$1K |
| Q5106 |
Inj retacrit non-esrd use |
24 |
12 |
$1K |
| 31500 |
|
30 |
24 |
$1K |
| 86592 |
|
380 |
344 |
$1K |
| 94760 |
|
217 |
169 |
$1K |
| 93225 |
|
27 |
24 |
$1K |
| 92611 |
|
33 |
29 |
$1K |
| 86923 |
|
349 |
285 |
$1K |
| 85660 |
|
195 |
159 |
$1K |
| 99215 |
Prolong outpt/office vis |
65 |
37 |
$1K |
| A9500 |
Tc99m sestamibi |
908 |
771 |
$1K |
| G0480 |
Drug test def 1-7 classes |
389 |
328 |
$1K |
| Q0162 |
Ondansetron oral |
970 |
674 |
$1K |
| G8984 |
Carry current status |
31 |
28 |
$1K |
| 84145 |
|
459 |
390 |
$1K |
| 90662 |
|
572 |
476 |
$1K |
| 87581 |
|
3,097 |
2,898 |
$1K |
| 80164 |
|
85 |
71 |
$1K |
| C1889 |
Implant/insert device, noc |
142 |
112 |
$996.96 |
| 76857 |
|
14 |
13 |
$994.01 |
| 86160 |
|
339 |
279 |
$863.60 |
| 87529 |
|
12 |
12 |
$817.08 |
| 84132 |
|
360 |
291 |
$755.11 |
| 92610 |
|
56 |
43 |
$742.63 |
| 70480 |
|
18 |
15 |
$728.24 |
| 93288 |
|
19 |
16 |
$720.33 |
| 64615 |
|
15 |
14 |
$703.57 |
| 51702 |
|
151 |
106 |
$695.56 |
| J2785 |
Regadenoson injection |
590 |
494 |
$666.16 |
| 83520 |
|
297 |
246 |
$624.95 |
| 81002 |
|
46 |
43 |
$592.70 |
| 97112 |
|
22 |
13 |
$573.03 |
| 86430 |
|
174 |
143 |
$565.54 |
| C9113 |
Inj pantoprazole sodium, via |
1,119 |
569 |
$540.61 |
| 70490 |
|
14 |
12 |
$536.77 |
| 84460 |
|
452 |
387 |
$535.02 |
| J7120 |
Ringers lactate infusion |
173 |
164 |
$512.11 |
| 72157 |
|
14 |
13 |
$500.94 |
| 73620 |
|
57 |
41 |
$488.62 |
| J9267 |
Paclitaxel injection |
251 |
127 |
$488.11 |
| 85014 |
|
47 |
39 |
$480.02 |
| 73000 |
|
13 |
12 |
$441.78 |
| 87505 |
|
34 |
27 |
$435.96 |
| 77076 |
|
14 |
12 |
$406.22 |
| 84436 |
|
129 |
103 |
$356.84 |
| 99212 |
|
64 |
53 |
$321.94 |
| 93270 |
|
12 |
12 |
$262.25 |
| 94660 |
|
16 |
12 |
$254.11 |
| 82150 |
|
448 |
383 |
$250.93 |
| 81225 |
|
96 |
84 |
$228.93 |
| 84295 |
|
153 |
124 |
$218.46 |
| 86593 |
|
85 |
67 |
$215.27 |
| 64494 |
|
77 |
72 |
$197.38 |
| C1725 |
Cath, translumin non-laser |
17 |
14 |
$195.88 |
| J0456 |
Azithromycin |
14 |
12 |
$195.78 |
| 84480 |
|
44 |
41 |
$194.17 |
| J2780 |
Ranitidine hydrochloride inj |
51 |
46 |
$188.20 |
| C9399 |
Unclassified drugs or biolog |
34 |
26 |
$167.62 |
| 86480 |
|
17 |
14 |
$145.12 |
| 93242 |
|
13 |
13 |
$141.52 |
| 84155 |
|
31 |
26 |
$136.88 |
| 93226 |
|
13 |
12 |
$130.20 |
| 95012 |
|
16 |
12 |
$124.56 |
| 87206 |
|
80 |
36 |
$123.25 |
| J1643 |
Inj heparin, pfizer, 1000u |
40 |
27 |
$112.13 |
| 87880 |
|
226 |
215 |
$109.09 |
| J3489 |
Zoledronic acid 1mg |
19 |
15 |
$96.87 |
| 83721 |
|
29 |
26 |
$86.95 |
| J2272 |
Inj, morphine (fresenius) |
62 |
46 |
$76.77 |
| 88312 |
|
17 |
13 |
$68.06 |
| 83010 |
|
70 |
57 |
$61.25 |
| G0279 |
Tomosynthesis, mammo |
37 |
25 |
$49.18 |
| 64495 |
|
59 |
57 |
$48.52 |
| 88300 |
|
28 |
24 |
$48.52 |
| 86870 |
|
21 |
12 |
$47.82 |
| P9612 |
Catheterize for urine spec |
14 |
14 |
$39.40 |
| J1790 |
Droperidol injection |
364 |
304 |
$38.57 |
| J2800 |
Methocarbamol injection |
72 |
52 |
$36.00 |
| 82947 |
|
43 |
36 |
$24.26 |
| 82945 |
|
28 |
25 |
$24.26 |
| C8929 |
Tte w or wo fol wcon,doppler |
49 |
38 |
$21.35 |
| 82533 |
|
21 |
13 |
$20.11 |
| 92526 |
|
32 |
12 |
$16.98 |
| 87181 |
|
15 |
12 |
$14.72 |
| 84300 |
|
41 |
37 |
$13.24 |
| 85384 |
|
33 |
27 |
$11.77 |
| 82131 |
|
16 |
12 |
$11.04 |
| 84466 |
|
86 |
70 |
$5.30 |
| 82784 |
|
14 |
12 |
$4.69 |
| 83540 |
|
59 |
54 |
$1.56 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
874 |
577 |
$0.16 |
| J9060 |
Cisplatin 10 mg injection |
25 |
12 |
$0.00 |
| 82805 |
|
15 |
12 |
$0.00 |
| A9541 |
Tc99m sulfur colloid |
15 |
14 |
$0.00 |
| J0692 |
Cefepime hcl for injection |
23 |
13 |
$0.00 |
| J1580 |
Garamycin gentamicin inj |
72 |
38 |
$0.00 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
20 |
12 |
$0.00 |
| J8499 |
Oral prescrip drug non chemo |
60 |
24 |
$0.00 |
| 87150 |
|
28 |
12 |
$0.00 |
| J2310 |
Inj naloxone hydrochloride |
21 |
13 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
13 |
12 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
64 |
63 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
101 |
83 |
$0.00 |
| 82435 |
|
130 |
107 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
479 |
133 |
$0.00 |
| 90677 |
|
17 |
17 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
46 |
44 |
$0.00 |
| 90656 |
|
40 |
40 |
$0.00 |
| J2150 |
Mannitol injection |
25 |
12 |
$0.00 |
| J8540 |
Oral dexamethasone |
14 |
13 |
$0.00 |
| 90732 |
|
13 |
13 |
$0.00 |