| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpt clinic visit |
279,477 |
242,109 |
$15.97M |
| 99284 |
|
50,044 |
45,523 |
$9.77M |
| 99283 |
|
74,725 |
67,324 |
$8.99M |
| G0378 |
Hospital observation per hr |
14,834 |
11,868 |
$5.21M |
| 99285 |
|
12,952 |
12,214 |
$3.81M |
| 42820 |
|
1,424 |
1,421 |
$3.69M |
| 96374 |
|
35,034 |
31,562 |
$2.56M |
| Q5103 |
Injection, inflectra |
2,327 |
2,206 |
$2.36M |
| 99282 |
|
27,166 |
25,655 |
$2.18M |
| 97110 |
|
62,266 |
22,142 |
$1.82M |
| U0003 |
Cov-19 amp prb hgh thruput |
34,280 |
32,697 |
$1.70M |
| 87491 |
|
80,895 |
78,000 |
$1.38M |
| 87591 |
|
80,890 |
77,998 |
$1.38M |
| 74177 |
|
10,007 |
9,786 |
$1.36M |
| 59025 |
|
13,453 |
6,391 |
$1.22M |
| 96413 |
|
6,912 |
5,195 |
$1.18M |
| 87661 |
|
72,967 |
70,843 |
$1.17M |
| G0379 |
Direct refer hospital observ |
3,033 |
2,993 |
$1.12M |
| 96365 |
|
13,615 |
9,825 |
$1.10M |
| J3380 |
Inj vedolizumab iv 1 mg |
339 |
325 |
$1.09M |
| 87637 |
|
14,958 |
14,670 |
$1.08M |
| 93306 |
|
4,336 |
4,318 |
$1.05M |
| 43239 |
|
2,928 |
2,896 |
$991K |
| 95810 |
|
1,790 |
1,786 |
$899K |
| 96361 |
|
32,603 |
26,012 |
$889K |
| 45380 |
|
1,572 |
1,558 |
$780K |
| J7298 |
Mirena, 52 mg |
708 |
691 |
$675K |
| 96375 |
|
29,006 |
24,311 |
$672K |
| 96360 |
|
8,007 |
7,047 |
$641K |
| J0585 |
Injection,onabotulinumtoxina |
1,810 |
1,196 |
$630K |
| 78452 |
|
1,751 |
1,738 |
$609K |
| 71046 |
|
17,967 |
17,216 |
$602K |
| 99291 |
|
1,528 |
1,494 |
$598K |
| 76811 |
|
4,474 |
4,468 |
$581K |
| 71045 |
|
18,708 |
17,404 |
$577K |
| 70450 |
|
9,488 |
9,089 |
$576K |
| 69436 |
|
1,665 |
1,658 |
$576K |
| 70553 |
|
2,797 |
2,784 |
$574K |
| G0451 |
Devlopment test interpt&rep |
17,943 |
17,706 |
$503K |
| 64721 |
|
602 |
590 |
$484K |
| 86900 |
|
13,962 |
13,328 |
$466K |
| 90378 |
|
310 |
303 |
$438K |
| 84443 |
|
63,694 |
62,839 |
$436K |
| 80061 |
|
48,138 |
47,591 |
$432K |
| 90471 |
|
38,665 |
37,965 |
$428K |
| 92507 |
|
10,611 |
4,659 |
$428K |
| 76705 |
|
6,950 |
6,843 |
$418K |
| 82306 |
|
31,067 |
30,847 |
$405K |
| 36415 |
|
219,291 |
187,693 |
$394K |
| 77067 |
|
7,722 |
7,680 |
$371K |
| 80053 |
|
138,057 |
124,868 |
$367K |
| 76816 |
|
9,004 |
8,156 |
$358K |
| Q3014 |
Telehealth facility fee |
21,355 |
20,220 |
$356K |
| 93303 |
|
1,308 |
1,297 |
$347K |
| 99281 |
|
6,119 |
5,743 |
$342K |
| J1745 |
Infliximab not biosimil 10mg |
247 |
187 |
$335K |
| 96372 |
|
37,455 |
31,133 |
$331K |
| 90677 |
|
3,220 |
3,215 |
$321K |
| 20610 |
|
2,311 |
2,207 |
$317K |
| 87389 |
|
33,390 |
33,194 |
$313K |
| 70551 |
|
2,633 |
2,623 |
$307K |
| 76830 |
|
5,749 |
5,672 |
$303K |
| 76801 |
|
5,742 |
5,438 |
$302K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
20,015 |
19,914 |
$294K |
| 76856 |
|
5,542 |
5,485 |
$292K |
| 71275 |
|
3,375 |
3,333 |
$278K |
| 93304 |
|
1,037 |
1,006 |
$277K |
| 97140 |
|
19,125 |
7,252 |
$274K |
| 74176 |
|
2,947 |
2,910 |
$273K |
| 85025 |
|
171,729 |
148,635 |
$269K |
| 47562 |
|
87 |
87 |
$268K |
| J7307 |
Etonogestrel implant system |
250 |
249 |
$255K |
| 97112 |
|
10,533 |
4,881 |
$254K |
| 96366 |
|
6,513 |
4,292 |
$253K |
| 90472 |
|
13,646 |
13,593 |
$234K |
| 76805 |
|
4,054 |
4,006 |
$231K |
| 72148 |
|
2,156 |
2,148 |
$230K |
| 87624 |
|
13,254 |
13,197 |
$230K |
| 97161 |
|
4,558 |
4,529 |
$226K |
| 95716 |
|
463 |
222 |
$226K |
| 87507 |
|
1,532 |
1,518 |
$218K |
| 72100 |
|
7,481 |
7,393 |
$201K |
| 73721 |
|
1,557 |
1,549 |
$201K |
| 76819 |
|
3,581 |
2,004 |
$199K |
| 76770 |
|
3,608 |
3,577 |
$193K |
| 86003 |
|
3,907 |
3,765 |
$190K |
| 95819 |
|
1,397 |
1,390 |
$188K |
| 86780 |
|
24,860 |
24,689 |
$187K |
| 97162 |
|
3,897 |
3,871 |
$184K |
| 93975 |
|
1,809 |
1,785 |
$177K |
| 42830 |
|
113 |
113 |
$169K |
| 97530 |
|
5,801 |
3,178 |
$168K |
| 96415 |
|
3,558 |
2,958 |
$156K |
| 58661 |
|
54 |
54 |
$155K |
| 80074 |
|
6,968 |
6,922 |
$153K |
| 88305 |
|
22,604 |
15,882 |
$152K |
| 83036 |
|
37,938 |
37,672 |
$147K |
| C9803 |
Hopd covid-19 spec collect |
12,278 |
11,940 |
$146K |
| 87150 |
|
9,363 |
9,204 |
$140K |
| 90686 |
|
9,703 |
9,657 |
$134K |
| 90651 |
|
1,663 |
1,659 |
$134K |
| 93005 |
|
43,711 |
38,904 |
$133K |
| 93971 |
|
2,611 |
2,566 |
$127K |
| 94060 |
|
936 |
934 |
$124K |
| 76815 |
|
4,381 |
3,155 |
$124K |
| 95951 |
|
328 |
139 |
$122K |
| 76642 |
|
2,959 |
2,922 |
$113K |
| 83013 |
|
3,878 |
3,854 |
$113K |
| 91320 |
|
1,036 |
1,035 |
$111K |
| 10060 |
|
1,408 |
1,376 |
$109K |
| 36430 |
|
663 |
461 |
$107K |
| 72141 |
|
978 |
974 |
$105K |
| 90460 |
|
8,319 |
4,578 |
$105K |
| 90750 |
|
747 |
742 |
$104K |
| 97597 |
|
1,041 |
658 |
$102K |
| 87086 |
|
41,466 |
39,515 |
$102K |
| P9016 |
Rbc leukocytes reduced |
551 |
450 |
$100K |
| 64615 |
|
732 |
718 |
$99K |
| 93017 |
|
2,628 |
2,608 |
$96K |
| 87633 |
|
1,318 |
1,305 |
$95K |
| 74018 |
|
7,305 |
6,961 |
$95K |
| 86803 |
|
17,082 |
16,991 |
$92K |
| 92523 |
|
800 |
797 |
$91K |
| 78815 |
|
116 |
116 |
$90K |
| 93308 |
|
731 |
714 |
$89K |
| 73110 |
|
5,993 |
5,118 |
$87K |
| 95816 |
|
668 |
668 |
$84K |
| 45385 |
|
168 |
167 |
$84K |
| 76536 |
|
2,006 |
1,993 |
$82K |
| 74183 |
|
374 |
371 |
$81K |
| 77066 |
Tomosynthesis, mammo |
1,419 |
1,404 |
$81K |
| 29075 |
|
593 |
556 |
$79K |
| 73030 |
|
5,914 |
5,576 |
$77K |
| 73610 |
|
6,500 |
5,949 |
$76K |
| 80307 |
|
16,126 |
14,479 |
$76K |
| 95909 |
|
528 |
527 |
$75K |
| 82728 |
|
14,810 |
14,511 |
$75K |
| 41899 |
|
805 |
794 |
$74K |
| 90678 |
|
251 |
251 |
$71K |
| 96367 |
|
2,365 |
1,778 |
$70K |
| 73130 |
|
6,530 |
5,932 |
$70K |
| 71260 |
|
2,624 |
2,608 |
$69K |
| 71250 |
|
1,095 |
1,093 |
$68K |
| 58301 |
|
508 |
501 |
$66K |
| 73562 |
|
5,230 |
5,162 |
$66K |
| 84466 |
|
13,228 |
13,051 |
$65K |
| 84702 |
|
13,296 |
9,817 |
$65K |
| 86235 |
|
1,973 |
1,881 |
$64K |
| 73221 |
|
493 |
490 |
$64K |
| 93970 |
|
592 |
589 |
$64K |
| 95811 |
|
116 |
114 |
$60K |
| 58571 |
|
13 |
13 |
$60K |
| 90732 |
|
676 |
674 |
$60K |
| 87077 |
|
19,316 |
18,720 |
$59K |
| 73630 |
|
6,137 |
5,902 |
$59K |
| 74230 |
|
707 |
705 |
$59K |
| 97165 |
|
1,146 |
1,137 |
$58K |
| 90480 |
|
1,501 |
1,500 |
$58K |
| 84439 |
|
15,073 |
14,880 |
$58K |
| 73564 |
|
2,378 |
2,358 |
$58K |
| 11042 |
|
290 |
188 |
$58K |
| 70491 |
|
603 |
597 |
$58K |
| S4005 |
Interim labor facility globa |
519 |
453 |
$57K |
| 87081 |
|
18,040 |
17,838 |
$56K |
| 85027 |
|
23,006 |
22,285 |
$56K |
| 87522 |
Neg quan hep c or qual rna |
2,576 |
2,538 |
$54K |
| G0108 |
Diab manage trn per indiv |
914 |
833 |
$53K |
| 97166 |
|
1,173 |
1,167 |
$53K |
| 82607 |
|
9,405 |
9,307 |
$52K |
| 70486 |
|
1,761 |
1,746 |
$52K |
| 87529 |
|
2,667 |
1,755 |
$52K |
| 87631 |
|
2,419 |
2,398 |
$51K |
| 73140 |
|
3,938 |
3,510 |
$51K |
| 72040 |
|
3,229 |
3,170 |
$50K |
| 87186 |
|
15,087 |
14,613 |
$49K |
| 88342 |
|
2,188 |
2,143 |
$49K |
| 87205 |
|
25,332 |
24,451 |
$48K |
| 70498 |
|
340 |
339 |
$48K |
| 87536 |
|
1,052 |
1,027 |
$46K |
| 92557 |
|
1,507 |
1,501 |
$45K |
| 80048 |
|
37,590 |
33,094 |
$43K |
| 93225 |
|
1,200 |
1,190 |
$43K |
| 87798 |
|
3,347 |
3,299 |
$43K |
| 87340 |
|
15,516 |
15,409 |
$42K |
| 96417 |
|
966 |
645 |
$41K |
| 95700 |
|
471 |
468 |
$41K |
| 76817 |
|
4,188 |
3,702 |
$40K |
| 92587 |
|
369 |
369 |
$40K |
| 82274 |
|
4,601 |
4,575 |
$40K |
| 31575 |
|
408 |
401 |
$40K |
| 90474 |
|
5,030 |
5,019 |
$39K |
| 97116 |
|
3,163 |
1,846 |
$39K |
| 76886 |
|
920 |
911 |
$39K |
| 76882 |
|
946 |
935 |
$39K |
| 77065 |
Tomosynthesis, mammo |
963 |
917 |
$39K |
| 73560 |
|
2,285 |
2,195 |
$38K |
| 94726 |
|
1,247 |
1,246 |
$38K |
| 72158 |
|
211 |
209 |
$38K |
| 84403 |
|
3,061 |
3,015 |
$37K |
| 73502 |
|
3,232 |
3,144 |
$36K |
| 44970 |
|
12 |
12 |
$35K |
| 83880 |
|
5,306 |
4,904 |
$35K |
| 20611 |
|
344 |
337 |
$35K |
| 77063 |
|
2,810 |
2,807 |
$35K |
| 83540 |
|
13,729 |
13,532 |
$35K |
| 83970 |
|
2,152 |
2,025 |
$34K |
| 97802 |
|
2,661 |
2,639 |
$34K |
| 95910 |
|
229 |
229 |
$34K |
| 92611 |
|
707 |
705 |
$33K |
| 87070 |
|
12,393 |
11,840 |
$33K |
| 83516 |
|
7,968 |
5,048 |
$32K |
| 0001A |
|
954 |
951 |
$32K |
| G0103 |
Psa screening |
2,987 |
2,978 |
$32K |
| 72082 |
|
945 |
933 |
$32K |
| 82670 |
|
2,479 |
2,445 |
$32K |
| 97535 |
|
1,644 |
1,145 |
$31K |
| 88175 |
|
2,379 |
2,371 |
$31K |
| 81001 |
|
63,410 |
58,440 |
$30K |
| 90670 |
|
2,571 |
2,564 |
$30K |
| 97803 |
|
3,546 |
3,290 |
$30K |
| 96523 |
|
1,003 |
833 |
$30K |
| 82785 |
|
3,828 |
3,791 |
$28K |
| 0124A |
|
1,026 |
1,014 |
$28K |
| 96127 |
|
5,007 |
4,938 |
$28K |
| 0002A |
|
748 |
747 |
$27K |
| 82570 |
|
12,378 |
11,855 |
$26K |
| 86008 |
|
600 |
588 |
$26K |
| 96161 |
|
4,813 |
4,626 |
$26K |
| 84481 |
|
3,540 |
3,496 |
$25K |
| 72125 |
|
3,381 |
3,262 |
$24K |
| 86376 |
|
3,793 |
3,750 |
$23K |
| 83001 |
|
2,812 |
2,787 |
$23K |
| 82043 |
|
8,472 |
8,426 |
$23K |
| 95806 |
|
359 |
359 |
$23K |
| 73070 |
|
1,712 |
1,439 |
$23K |
| 52000 |
|
97 |
97 |
$23K |
| M0245 |
Bamlan and etesev infusion |
86 |
86 |
$23K |
| 86038 |
|
5,048 |
4,949 |
$22K |
| 64400 |
|
196 |
184 |
$22K |
| 64483 |
|
58 |
51 |
$22K |
| 82950 |
|
8,229 |
8,189 |
$22K |
| 76870 |
|
1,147 |
1,131 |
$21K |
| 85610 |
|
22,377 |
16,531 |
$21K |
| 86140 |
|
18,043 |
17,038 |
$21K |
| 73590 |
|
2,058 |
1,903 |
$21K |
| 84146 |
|
2,564 |
2,529 |
$20K |
| 87635 |
|
948 |
940 |
$20K |
| 84484 |
|
22,884 |
13,159 |
$20K |
| 0054A |
|
660 |
658 |
$20K |
| 87563 |
|
1,161 |
1,147 |
$20K |
| 72110 |
|
760 |
758 |
$20K |
| Q5102 |
Inj., infliximab biosimilar |
29 |
18 |
$20K |
| 81025 |
|
26,256 |
24,902 |
$18K |
| 80076 |
|
7,064 |
6,681 |
$18K |
| 84112 |
|
1,684 |
1,554 |
$18K |
| 86696 |
|
1,835 |
1,826 |
$18K |
| L4350 |
Ankle control ortho pre ots |
512 |
504 |
$17K |
| 82784 |
|
2,697 |
2,531 |
$17K |
| 86200 |
|
3,698 |
3,622 |
$17K |
| 83735 |
|
14,044 |
11,524 |
$16K |
| 16020 |
|
415 |
273 |
$16K |
| 90656 |
|
1,753 |
1,753 |
$16K |
| 90791 |
|
532 |
530 |
$16K |
| 93226 |
|
461 |
456 |
$16K |
| 82746 |
|
3,067 |
3,033 |
$16K |
| G0279 |
Tomosynthesis, mammo |
1,350 |
1,349 |
$16K |
| J2357 |
Omalizumab injection |
20 |
12 |
$16K |
| 58300 |
|
990 |
976 |
$15K |
| J1750 |
Inj iron dextran |
91 |
83 |
$15K |
| 73090 |
|
2,051 |
1,674 |
$15K |
| 95782 |
|
28 |
28 |
$14K |
| 83002 |
|
1,622 |
1,612 |
$13K |
| 74022 |
|
1,055 |
1,035 |
$13K |
| 72072 |
|
435 |
433 |
$13K |
| 96411 |
|
325 |
212 |
$13K |
| 82951 |
|
1,786 |
1,783 |
$13K |
| 88304 |
|
3,993 |
3,669 |
$13K |
| 95911 |
|
49 |
49 |
$13K |
| 97163 |
|
270 |
269 |
$13K |
| 83014 |
|
3,775 |
3,753 |
$13K |
| 0004A |
|
410 |
410 |
$13K |
| 57454 |
|
83 |
81 |
$13K |
| 96416 |
|
72 |
43 |
$13K |
| 54150 |
|
13 |
13 |
$12K |
| 81003 |
|
26,484 |
23,286 |
$12K |
| 19083 |
|
13 |
13 |
$12K |
| 86695 |
|
1,834 |
1,825 |
$12K |
| 86706 |
|
2,683 |
2,663 |
$12K |
| 71271 |
|
205 |
204 |
$11K |
| 88307 |
|
1,910 |
1,620 |
$11K |
| 95800 |
|
204 |
202 |
$11K |
| 80069 |
|
3,123 |
2,783 |
$11K |
| 90620 |
|
397 |
395 |
$11K |
| 93660 |
|
42 |
42 |
$11K |
| 73552 |
|
820 |
755 |
$11K |
| 17250 |
|
266 |
222 |
$11K |
| 86769 |
|
324 |
322 |
$11K |
| 95908 |
|
73 |
73 |
$11K |
| 84153 |
|
1,421 |
1,402 |
$11K |
| 86160 |
|
1,803 |
1,745 |
$10K |
| 85652 |
|
15,574 |
14,703 |
$10K |
| 45378 |
|
25 |
25 |
$10K |
| 90688 |
|
921 |
915 |
$10K |
| 92579 |
|
479 |
479 |
$10K |
| 77080 |
|
180 |
179 |
$10K |
| G0109 |
Diab manage trn ind/group |
335 |
289 |
$9K |
| 87220 |
|
8,648 |
8,514 |
$9K |
| 17110 |
|
441 |
407 |
$9K |
| 93880 |
|
90 |
90 |
$9K |
| 86225 |
|
2,112 |
2,044 |
$9K |
| 0071A |
|
286 |
285 |
$9K |
| 87486 |
|
1,332 |
1,319 |
$9K |
| 87581 |
|
1,332 |
1,319 |
$9K |
| 86039 |
|
2,137 |
2,103 |
$9K |
| 90675 |
|
51 |
19 |
$9K |
| 73080 |
|
1,181 |
1,119 |
$9K |
| J1726 |
Makena, 10 mg |
38 |
12 |
$9K |
| 82627 |
|
858 |
844 |
$9K |
| 71101 |
|
693 |
686 |
$9K |
| 20680 |
|
12 |
12 |
$8K |
| 0081A |
|
239 |
237 |
$8K |
| 76820 |
|
3,264 |
1,389 |
$8K |
| 72197 |
|
53 |
52 |
$8K |
| 83690 |
|
21,971 |
20,054 |
$8K |
| 90837 |
|
266 |
158 |
$8K |
| 82565 |
|
4,016 |
3,905 |
$8K |
| 70496 |
|
428 |
427 |
$7K |
| 80164 |
|
1,616 |
1,521 |
$7K |
| 72156 |
|
55 |
55 |
$7K |
| 99496 |
|
136 |
136 |
$7K |
| 76700 |
|
107 |
107 |
$7K |
| 0241U |
|
808 |
796 |
$7K |
| 0072A |
|
184 |
184 |
$6K |
| 58100 |
|
77 |
77 |
$6K |
| 84100 |
|
5,972 |
4,941 |
$6K |
| 82533 |
|
903 |
848 |
$6K |
| 82248 |
|
3,011 |
2,520 |
$6K |
| 93922 |
|
313 |
312 |
$6K |
| 87209 |
|
806 |
800 |
$6K |
| Q9969 |
Non-heu tc-99m add-on/dose |
1,064 |
1,055 |
$6K |
| 76881 |
|
107 |
104 |
$5K |
| 83525 |
|
1,048 |
1,032 |
$5K |
| 72050 |
|
192 |
190 |
$5K |
| 73000 |
|
436 |
357 |
$5K |
| 36591 |
|
222 |
148 |
$5K |
| 84703 |
|
4,373 |
4,246 |
$5K |
| 51702 |
|
145 |
131 |
$5K |
| 86431 |
|
2,573 |
2,530 |
$5K |
| 82247 |
|
2,070 |
1,321 |
$5K |
| 85730 |
|
6,734 |
6,410 |
$5K |
| 84156 |
|
4,640 |
4,020 |
$5K |
| M0247 |
Sotrovimab infusion |
18 |
18 |
$5K |
| 72170 |
|
321 |
317 |
$5K |
| 69210 |
|
419 |
413 |
$5K |
| 94640 |
|
9,192 |
7,754 |
$5K |
| 90662 |
|
237 |
237 |
$5K |
| 0082A |
|
121 |
120 |
$5K |
| 83020 |
|
1,342 |
1,274 |
$4K |
| 11982 |
|
51 |
49 |
$4K |
| 86665 |
|
737 |
385 |
$4K |
| 83615 |
|
3,753 |
3,243 |
$4K |
| 74019 |
|
396 |
388 |
$4K |
| 90716 |
|
1,544 |
1,542 |
$4K |
| 72070 |
|
291 |
289 |
$4K |
| 84550 |
|
2,923 |
2,742 |
$4K |
| 85046 |
|
4,152 |
3,437 |
$4K |
| 70360 |
|
240 |
239 |
$4K |
| 82550 |
|
3,192 |
2,907 |
$4K |
| 74174 |
|
26 |
26 |
$4K |
| 73660 |
|
353 |
334 |
$4K |
| 87641 |
|
1,191 |
1,180 |
$4K |
| 11981 |
|
91 |
91 |
$4K |
| 82952 |
|
1,768 |
1,765 |
$4K |
| 87328 |
|
728 |
723 |
$4K |
| 76825 |
|
13 |
13 |
$4K |
| 82977 |
|
1,456 |
1,338 |
$4K |
| G0008 |
Admin influenza virus vac |
1,060 |
1,054 |
$3K |
| 87426 |
|
163 |
162 |
$3K |
| 20550 |
|
29 |
25 |
$3K |
| 87329 |
|
728 |
723 |
$3K |
| 0052A |
|
97 |
97 |
$3K |
| 29125 |
|
606 |
566 |
$3K |
| 87899 |
|
580 |
570 |
$3K |
| 86850 |
|
13,252 |
12,725 |
$3K |
| 86147 |
|
312 |
301 |
$3K |
| 51798 |
|
1,111 |
1,075 |
$3K |
| 0051A |
|
96 |
96 |
$3K |
| 84145 |
|
2,525 |
2,403 |
$3K |
| 86787 |
|
843 |
839 |
$3K |
| 86618 |
|
648 |
639 |
$3K |
| 84460 |
|
1,305 |
1,282 |
$3K |
| 83721 |
|
558 |
483 |
$3K |
| 72146 |
|
51 |
51 |
$3K |
| 85380 |
|
3,932 |
3,861 |
$3K |
| 87177 |
|
793 |
787 |
$3K |
| 84144 |
|
284 |
268 |
$3K |
| 84450 |
|
1,221 |
1,187 |
$3K |
| 80178 |
|
851 |
773 |
$2K |
| 0121A |
|
103 |
103 |
$2K |
| 31231 |
|
29 |
27 |
$2K |
| 82150 |
|
1,124 |
1,068 |
$2K |
| 84165 |
|
823 |
788 |
$2K |
| 82947 |
|
297 |
293 |
$2K |
| 88112 |
|
276 |
271 |
$2K |
| 99495 |
|
65 |
65 |
$2K |
| 82140 |
|
877 |
788 |
$2K |
| 0012A |
|
68 |
68 |
$2K |
| 86762 |
|
1,220 |
1,213 |
$2K |
| 0202U |
|
927 |
920 |
$2K |
| 82731 |
|
679 |
642 |
$2K |
| 0154A |
|
92 |
92 |
$2K |
| 96380 |
|
129 |
129 |
$2K |
| 87106 |
|
666 |
651 |
$2K |
| 83521 |
|
281 |
232 |
$2K |
| 87640 |
|
419 |
414 |
$2K |
| 29105 |
|
38 |
38 |
$2K |
| 93270 |
|
188 |
185 |
$2K |
| 73521 |
|
89 |
89 |
$2K |
| 73060 |
|
229 |
220 |
$2K |
| 87075 |
|
1,339 |
1,238 |
$2K |
| 86592 |
|
760 |
752 |
$2K |
| 0074A |
|
82 |
81 |
$2K |
| 87102 |
|
602 |
578 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
30,001 |
20,676 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
47,999 |
26,491 |
$2K |
| 99406 |
|
115 |
114 |
$2K |
| 83993 |
|
181 |
179 |
$2K |
| 85018 |
|
3,936 |
3,747 |
$1K |
| 86664 |
|
298 |
297 |
$1K |
| 86146 |
|
314 |
212 |
$1K |
| 77091 |
|
35 |
34 |
$1K |
| 82962 |
|
1,606 |
1,229 |
$1K |
| 88312 |
|
190 |
146 |
$1K |
| 86870 |
|
14 |
12 |
$1K |
| 88300 |
|
2,950 |
2,872 |
$1K |
| 0011A |
|
69 |
69 |
$1K |
| 86663 |
|
298 |
297 |
$1K |
| 84134 |
|
537 |
511 |
$1K |
| 86800 |
|
178 |
176 |
$1K |
| 86923 |
|
230 |
173 |
$1K |
| 82310 |
|
581 |
550 |
$1K |
| 87207 |
|
521 |
514 |
$1K |
| 87040 |
|
5,921 |
3,392 |
$1K |
| 90734 |
|
19 |
18 |
$1K |
| 88302 |
|
636 |
479 |
$1K |
| 72131 |
|
25 |
25 |
$1K |
| 81002 |
|
683 |
620 |
$937.19 |
| 86480 |
|
33 |
32 |
$934.80 |
| 76813 |
|
27 |
27 |
$916.83 |
| 94010 |
|
135 |
134 |
$909.24 |
| 97035 |
|
170 |
81 |
$898.80 |
| 0003A |
|
36 |
36 |
$885.75 |
| 86308 |
|
1,066 |
1,054 |
$880.18 |
| 97167 |
|
16 |
16 |
$867.45 |
| 96381 |
|
57 |
57 |
$852.30 |
| 90746 |
|
13 |
13 |
$812.83 |
| 90619 |
|
971 |
968 |
$802.98 |
| 85660 |
|
461 |
370 |
$800.12 |
| 90673 |
|
12 |
12 |
$799.88 |
| 87210 |
|
638 |
617 |
$786.19 |
| 97014 |
|
98 |
41 |
$766.72 |
| 82378 |
|
265 |
230 |
$758.92 |
| 0064U |
|
2,355 |
2,324 |
$757.50 |
| 12001 |
|
1,550 |
1,535 |
$750.00 |
| 85613 |
|
329 |
295 |
$732.85 |
| 84480 |
|
117 |
116 |
$730.76 |
| L3908 |
Who cock-up nonmolde pre ots |
423 |
420 |
$695.05 |
| 87651 |
|
4,207 |
4,164 |
$689.96 |
| 84132 |
|
673 |
579 |
$682.99 |
| 92551 |
|
91 |
91 |
$625.22 |
| G0480 |
Drug test def 1-7 classes |
4,771 |
4,393 |
$622.55 |
| 89230 |
|
24 |
24 |
$606.65 |
| 87880 |
|
3,968 |
3,903 |
$598.23 |
| G0297 |
Ldct for lung ca screen |
12 |
12 |
$572.68 |
| 73700 |
|
14 |
14 |
$536.76 |
| 0083A |
|
15 |
15 |
$529.93 |
| 0151A |
|
17 |
17 |
$484.46 |
| 12002 |
|
707 |
704 |
$482.29 |
| 82330 |
|
264 |
175 |
$477.83 |
| J2250 |
Inj midazolam hydrochloride |
23,459 |
17,164 |
$467.12 |
| 86580 |
|
61 |
56 |
$462.02 |
| 73620 |
|
55 |
52 |
$429.86 |
| L1830 |
Ko immob canvas long pre ots |
378 |
372 |
$425.06 |
| 0064A |
|
18 |
18 |
$412.05 |
| 86593 |
|
160 |
158 |
$366.20 |
| 83605 |
|
8,441 |
6,916 |
$348.28 |
| 87088 |
|
89 |
87 |
$323.57 |
| 89051 |
|
1,043 |
820 |
$319.56 |
| 83010 |
|
156 |
142 |
$312.74 |
| 82010 |
|
1,673 |
1,506 |
$282.92 |
| 87338 |
|
31 |
31 |
$281.08 |
| 87015 |
|
340 |
232 |
$250.03 |
| 85670 |
|
200 |
195 |
$249.29 |
| 82040 |
|
147 |
144 |
$235.22 |
| 84681 |
|
26 |
26 |
$231.61 |
| 86705 |
|
37 |
37 |
$206.24 |
| 86901 |
|
14,366 |
13,634 |
$176.49 |
| 88142 |
|
16 |
16 |
$176.31 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
3,221 |
2,198 |
$146.51 |
| G0009 |
Admin pneumococcal vaccine |
115 |
114 |
$145.52 |
| 86765 |
|
24 |
24 |
$140.84 |
| 86141 |
|
24 |
24 |
$138.78 |
| 92567 |
|
2,201 |
2,186 |
$126.33 |
| 12011 |
|
890 |
883 |
$125.00 |
| 76981 |
|
413 |
413 |
$124.48 |
| 82800 |
|
1,581 |
1,443 |
$121.16 |
| 80143 |
|
2,445 |
2,285 |
$116.76 |
| 72202 |
|
14 |
14 |
$114.60 |
| 87147 |
|
40 |
39 |
$112.91 |
| 83655 |
|
161 |
161 |
$94.33 |
| 86704 |
|
22 |
22 |
$93.58 |
| 96156 |
|
12 |
12 |
$89.10 |
| 92555 |
|
13 |
13 |
$75.80 |
| 88720 |
|
51 |
39 |
$69.84 |
| 88108 |
|
17 |
12 |
$65.94 |
| 80179 |
|
2,313 |
2,196 |
$63.58 |
| 95886 |
|
2,213 |
2,206 |
$61.47 |
| J1756 |
Iron sucrose injection |
2,222 |
1,193 |
$50.47 |
| 91319 |
|
182 |
182 |
$48.02 |
| 84478 |
|
15 |
12 |
$47.64 |
| 82805 |
|
56 |
50 |
$45.24 |
| J7030 |
Normal saline solution infus |
34,175 |
27,241 |
$43.95 |
| 86301 |
|
15 |
13 |
$43.07 |
| A9552 |
F18 fdg |
160 |
160 |
$42.84 |
| 85384 |
|
28 |
25 |
$37.94 |
| 90461 |
|
2,927 |
2,904 |
$37.61 |
| 91318 |
|
260 |
260 |
$35.86 |
| 86703 |
|
14 |
13 |
$34.44 |
| 93325 |
|
3,978 |
3,907 |
$33.07 |
| 96376 |
|
9,506 |
6,800 |
$30.69 |
| J1885 |
Ketorolac tromethamine inj |
39,374 |
28,276 |
$29.26 |
| J2270 |
Morphine sulfate injection |
7,615 |
6,442 |
$27.18 |
| 69209 |
|
15 |
15 |
$25.66 |
| 93321 |
|
1,975 |
1,933 |
$25.42 |
| J7120 |
Ringers lactate infusion |
39,580 |
33,519 |
$22.02 |
| 87804 |
|
138 |
78 |
$19.36 |
| J2405 |
Ondansetron hcl injection |
44,231 |
34,286 |
$16.29 |
| J1170 |
Hydromorphone injection |
10,528 |
7,491 |
$15.03 |
| J1836 |
Inj, metronidazole, 10 mg |
261 |
181 |
$12.74 |
| J1100 |
Dexamethasone sodium phos |
36,675 |
21,529 |
$10.83 |
| J0136 |
Inj, acetaminophen (b braun) |
86 |
80 |
$10.09 |
| J7040 |
Normal saline solution infus |
20,286 |
11,875 |
$9.93 |
| 85460 |
|
16 |
15 |
$8.72 |
| J0696 |
Ceftriaxone sodium injection |
7,104 |
5,735 |
$8.14 |
| J2060 |
Lorazepam injection |
4,058 |
3,394 |
$7.39 |
| J2930 |
Methylprednisolone injection |
2,222 |
1,905 |
$7.21 |
| J3010 |
Fentanyl citrate injection |
33,526 |
27,741 |
$6.56 |
| J1644 |
Inj heparin sodium per 1000u |
5,469 |
3,057 |
$6.24 |
| J0690 |
Cefazolin sodium injection |
11,180 |
9,802 |
$3.28 |
| J3475 |
Inj magnesium sulfate |
1,171 |
815 |
$2.56 |
| J1650 |
Inj enoxaparin sodium |
2,784 |
1,667 |
$1.84 |
| J2765 |
Metoclopramide hcl injection |
4,587 |
4,256 |
$1.45 |
| J1200 |
Diphenhydramine hcl injectio |
8,417 |
7,119 |
$1.29 |
| A9577 |
Inj multihance |
5,528 |
5,136 |
$1.07 |
| J7512 |
Prednisone ir or dr oral 1mg |
3,505 |
2,961 |
$0.68 |
| J2370 |
Phenylephrine hcl injection |
4,592 |
4,149 |
$0.09 |
| J2919 |
Inj, methylpred sod succ 5mg |
424 |
300 |
$0.00 |
| A9578 |
Inj multihance multipack |
459 |
458 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
3,083 |
2,926 |
$0.00 |
| 90715 |
|
8,477 |
8,446 |
$0.00 |
| 99173 |
|
660 |
659 |
$0.00 |
| 76942 |
|
233 |
231 |
$0.00 |
| 90633 |
|
2,409 |
2,408 |
$0.00 |
| J2550 |
Promethazine hcl injection |
4,838 |
3,969 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
4,501 |
4,482 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
1,539 |
1,331 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
2,777 |
2,754 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
422 |
301 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
924 |
789 |
$0.00 |
| 94729 |
|
1,222 |
1,221 |
$0.00 |
| 90700 |
|
177 |
177 |
$0.00 |
| J0670 |
Inj mepivacaine hcl/10 ml |
1,078 |
584 |
$0.00 |
| G2212 |
Prolong outpt/office vis |
568 |
564 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
1,911 |
1,886 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
38 |
38 |
$0.00 |
| 90707 |
|
1,505 |
1,503 |
$0.00 |
| J0780 |
Prochlorperazine injection |
1,189 |
1,098 |
$0.00 |
| 80305 |
|
108 |
106 |
$0.00 |
| Q0163 |
Diphenhydramine hcl 50mg |
820 |
770 |
$0.00 |
| 90710 |
|
461 |
461 |
$0.00 |
| J1453 |
Fosaprepitant injection |
601 |
377 |
$0.00 |
| J9190 |
Fluorouracil injection |
88 |
43 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
246 |
166 |
$0.00 |
| 99188 |
|
595 |
594 |
$0.00 |
| J0737 |
Inj, clindamycin (baxter) |
36 |
32 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
98 |
96 |
$0.00 |
| J1071 |
Inj testosterone cypionate |
36 |
12 |
$0.00 |
| J1240 |
Dimenhydrinate injection |
94 |
93 |
$0.00 |
| 90687 |
|
243 |
241 |
$0.00 |
| C1887 |
Catheter, guiding |
24 |
24 |
$0.00 |
| J9263 |
Oxaliplatin |
42 |
12 |
$0.00 |
| J0640 |
Leucovorin calcium injection |
125 |
42 |
$0.00 |
| J1953 |
Levetiracetam injection |
66 |
50 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
99 |
81 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
243 |
119 |
$0.00 |
| 88173 |
|
34 |
25 |
$0.00 |
| 90380 |
|
36 |
36 |
$0.00 |
| 77002 |
|
53 |
53 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
15 |
12 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
168 |
89 |
$0.00 |
| L4387 |
Non-pneum walk boot pre ots |
61 |
57 |
$0.00 |
| 64447 |
|
25 |
25 |
$0.00 |
| J2274 |
Inj morphine pf epid ithc |
37 |
36 |
$0.00 |
| 90685 |
|
47 |
47 |
$0.00 |
| G1004 |
Cdsm ndsc |
28 |
28 |
$0.00 |
| 76827 |
|
13 |
13 |
$0.00 |
| J1643 |
Inj heparin, pfizer, 1000u |
41 |
37 |
$0.00 |
| 94664 |
|
27 |
27 |
$0.00 |
| 90713 |
|
29 |
29 |
$0.00 |
| C1769 |
Guide wire |
1,179 |
1,123 |
$0.00 |
| 88341 |
|
446 |
400 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
8,702 |
3,799 |
$0.00 |
| J1630 |
Haloperidol injection |
2,857 |
2,449 |
$0.00 |
| J7060 |
5% dextrose/water |
2,253 |
947 |
$0.00 |
| J2790 |
Rho d immune globulin inj |
604 |
602 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
2,206 |
2,161 |
$0.00 |
| J7050 |
Normal saline solution infus |
10,619 |
8,036 |
$0.00 |
| J0500 |
Dicyclomine injection |
617 |
583 |
$0.00 |
| J2469 |
Palonosetron hcl |
1,648 |
982 |
$0.00 |
| 81050 |
|
198 |
194 |
$0.00 |
| J3480 |
Inj potassium chloride |
308 |
239 |
$0.00 |
| 90697 |
|
3,391 |
3,388 |
$0.00 |
| A9500 |
Tc99m sestamibi |
1,827 |
1,802 |
$0.00 |
| 90696 |
|
712 |
711 |
$0.00 |
| A9270 |
Non-covered item or service |
360 |
257 |
$0.00 |
| 88311 |
|
285 |
254 |
$0.00 |
| J0461 |
Atropine sulfate injection |
475 |
236 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
1,973 |
1,302 |
$0.00 |
| 93320 |
|
1,226 |
1,216 |
$0.00 |
| J2920 |
Methylprednisolone injection |
847 |
752 |
$0.00 |
| 90381 |
|
109 |
109 |
$0.00 |
| 90698 |
|
1,247 |
1,239 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
735 |
697 |
$0.00 |
| A4648 |
Implantable tissue marker |
58 |
58 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
136 |
121 |
$0.00 |
| 96368 |
|
532 |
383 |
$0.00 |
| 90680 |
|
3,221 |
3,217 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
890 |
620 |
$0.00 |
| J3490 |
Drugs unclassified injection |
426 |
390 |
$0.00 |
| 36416 |
|
1,405 |
1,289 |
$0.00 |
| J2785 |
Regadenoson injection |
1,066 |
1,059 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
174 |
160 |
$0.00 |
| 83883 |
|
41 |
38 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
193 |
174 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
421 |
412 |
$0.00 |
| J1940 |
Furosemide injection |
126 |
95 |
$0.00 |
| 95885 |
|
91 |
87 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
163 |
125 |
$0.00 |
| 90632 |
|
29 |
29 |
$0.00 |
| 99174 |
|
186 |
186 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
12 |
12 |
$0.00 |
| J3420 |
Vitamin b12 injection |
46 |
39 |
$0.00 |
| C1781 |
Mesh (implantable) |
27 |
25 |
$0.00 |
| 0346T |
|
71 |
71 |
$0.00 |
| 64488 |
|
15 |
15 |
$0.00 |
| 82657 |
|
13 |
13 |
$0.00 |
| G0296 |
Visit to determ ldct elig |
12 |
12 |
$0.00 |
| C9290 |
Inj, bupivacaine liposome |
14 |
14 |
$0.00 |
| 64415 |
|
15 |
15 |
$0.00 |
| A9585 |
Gadobutrol injection |
22 |
12 |
$0.00 |
| 77001 |
|
15 |
12 |
$0.00 |
| J1790 |
Droperidol injection |
25 |
24 |
$0.00 |
| 74420 |
|
13 |
12 |
$0.00 |
| C1893 |
Intro/sheath, fixed,non-peel |
26 |
26 |
$0.00 |
| 87176 |
|
12 |
12 |
$0.00 |
| 87807 |
|
17 |
17 |
$0.00 |
| J2360 |
Orphenadrine injection |
13 |
13 |
$0.00 |
| 82438 |
|
12 |
12 |
$0.00 |
| 99459 |
|
14 |
13 |
$0.00 |