| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
48,294 |
43,396 |
$14.03M |
| G0463 |
Hospital outpt clinic visit |
226,887 |
188,869 |
$13.24M |
| 99284 |
|
56,360 |
51,503 |
$10.46M |
| 99283 |
|
70,796 |
65,921 |
$8.66M |
| 96374 |
|
44,130 |
38,280 |
$4.23M |
| U0003 |
Cov-19 amp prb hgh thruput |
31,626 |
30,055 |
$1.90M |
| 99282 |
|
24,864 |
24,111 |
$1.78M |
| 74177 |
|
12,201 |
11,802 |
$1.67M |
| 71046 |
|
38,608 |
36,609 |
$1.40M |
| 97110 |
|
52,791 |
17,922 |
$1.33M |
| 43239 |
|
3,853 |
3,830 |
$1.26M |
| 70450 |
|
13,766 |
13,170 |
$1.25M |
| J3380 |
Inj vedolizumab iv 1 mg |
401 |
379 |
$1.25M |
| G0382 |
Lev 3 hosp type b ed visit |
11,957 |
11,716 |
$1.03M |
| 45380 |
|
2,061 |
2,047 |
$994K |
| 96365 |
|
10,775 |
7,921 |
$926K |
| 96375 |
|
30,913 |
26,243 |
$874K |
| 59025 |
|
9,205 |
4,748 |
$826K |
| 45385 |
|
2,055 |
2,039 |
$817K |
| J7298 |
Mirena, 52 mg |
805 |
779 |
$801K |
| 93306 |
|
3,882 |
3,822 |
$756K |
| 71045 |
|
18,734 |
17,510 |
$719K |
| 87637 |
|
7,201 |
7,104 |
$687K |
| 96361 |
|
21,988 |
19,055 |
$638K |
| G0381 |
Lev 2 hosp type b ed visit |
13,176 |
12,769 |
$633K |
| 42820 |
|
216 |
216 |
$578K |
| 78452 |
|
1,389 |
1,369 |
$575K |
| 99395 |
|
8,813 |
8,717 |
$561K |
| 87491 |
|
38,998 |
37,659 |
$536K |
| 87591 |
|
38,940 |
37,604 |
$534K |
| 96360 |
|
5,484 |
5,219 |
$525K |
| 74176 |
|
4,616 |
4,517 |
$494K |
| 80061 |
|
29,030 |
28,755 |
$435K |
| G0383 |
Lev 4 hosp type b ed visit |
3,991 |
3,881 |
$434K |
| 99396 |
|
6,851 |
6,784 |
$431K |
| 70553 |
|
2,022 |
2,016 |
$420K |
| 71275 |
|
4,496 |
4,376 |
$416K |
| 41899 |
|
127 |
127 |
$407K |
| 76705 |
|
7,320 |
7,191 |
$407K |
| 77067 |
|
8,555 |
8,535 |
$399K |
| 76830 |
|
6,978 |
6,817 |
$398K |
| 80307 |
|
33,293 |
29,432 |
$385K |
| G0480 |
Drug test def 1-7 classes |
16,019 |
13,809 |
$373K |
| 97140 |
|
21,968 |
8,655 |
$357K |
| U0005 |
Infec agen detec ampli probe |
18,815 |
18,053 |
$350K |
| 95810 |
|
718 |
717 |
$341K |
| 97161 |
|
6,542 |
6,413 |
$326K |
| 76856 |
|
5,928 |
5,804 |
$319K |
| 72148 |
|
2,889 |
2,883 |
$316K |
| J0585 |
Injection,onabotulinumtoxina |
775 |
610 |
$313K |
| 71260 |
|
3,073 |
3,042 |
$298K |
| J7307 |
Etonogestrel implant system |
278 |
276 |
$292K |
| 76801 |
|
4,658 |
4,542 |
$269K |
| 76805 |
|
4,586 |
4,491 |
$265K |
| 99281 |
|
6,655 |
6,531 |
$256K |
| 96372 |
|
39,313 |
33,807 |
$245K |
| 73721 |
|
2,014 |
1,977 |
$240K |
| 80053 |
|
130,527 |
115,288 |
$237K |
| 90471 |
|
24,040 |
23,705 |
$232K |
| 97162 |
|
5,141 |
5,106 |
$228K |
| 84443 |
|
46,142 |
44,101 |
$226K |
| 99391 |
|
3,610 |
3,347 |
$221K |
| G0378 |
Hospital observation per hr |
4,037 |
3,670 |
$218K |
| 99393 |
|
3,484 |
3,447 |
$217K |
| 76816 |
|
6,730 |
6,245 |
$215K |
| 94060 |
|
1,749 |
1,743 |
$211K |
| 82306 |
|
17,246 |
17,107 |
$211K |
| 99392 |
|
3,422 |
3,377 |
$210K |
| U0002 |
Covid-19 lab test non-cdc |
7,253 |
6,902 |
$210K |
| 86900 |
|
12,924 |
12,112 |
$194K |
| 99394 |
|
3,093 |
3,060 |
$193K |
| 72141 |
|
1,512 |
1,508 |
$192K |
| 92507 |
|
4,610 |
1,689 |
$177K |
| 87480 |
|
23,301 |
22,438 |
$175K |
| 87660 |
|
23,280 |
22,418 |
$174K |
| 87510 |
|
22,948 |
22,100 |
$169K |
| 85025 |
|
128,343 |
111,370 |
$165K |
| 69436 |
|
321 |
320 |
$165K |
| J2357 |
Omalizumab injection |
188 |
108 |
$162K |
| 10060 |
|
1,686 |
1,629 |
$154K |
| 78815 |
|
217 |
217 |
$149K |
| G0380 |
Lev 1 hosp type b ed visit |
3,521 |
3,476 |
$145K |
| 90791 |
|
2,767 |
2,474 |
$142K |
| 49083 |
|
301 |
144 |
$141K |
| 90686 |
|
10,055 |
9,976 |
$138K |
| 88305 |
|
13,584 |
13,245 |
$137K |
| 96366 |
|
5,153 |
3,117 |
$135K |
| 73221 |
|
1,152 |
1,140 |
$131K |
| 93971 |
|
2,322 |
2,228 |
$123K |
| 47562 |
|
44 |
42 |
$120K |
| 76642 |
|
3,065 |
3,045 |
$119K |
| 90651 |
|
1,600 |
1,594 |
$113K |
| 90677 |
|
675 |
674 |
$113K |
| 70551 |
|
1,007 |
1,004 |
$107K |
| 70491 |
|
1,050 |
1,029 |
$107K |
| 87636 |
|
896 |
890 |
$106K |
| Q3014 |
Telehealth facility fee |
5,615 |
5,309 |
$102K |
| G0475 |
Hiv combination assay |
7,214 |
7,189 |
$101K |
| 83036 |
|
25,291 |
25,018 |
$100K |
| 76536 |
|
1,923 |
1,921 |
$99K |
| 76817 |
|
4,404 |
3,866 |
$98K |
| Q5103 |
Injection, inflectra |
140 |
82 |
$97K |
| 36415 |
|
97,018 |
87,953 |
$96K |
| 90472 |
|
6,110 |
6,071 |
$96K |
| 97165 |
|
2,414 |
2,362 |
$93K |
| 87635 |
|
4,044 |
3,843 |
$91K |
| 72110 |
|
2,248 |
2,244 |
$89K |
| 77066 |
Tomosynthesis, mammo |
1,617 |
1,612 |
$88K |
| 87624 |
|
5,956 |
5,926 |
$88K |
| 64400 |
|
595 |
572 |
$85K |
| 62323 |
|
355 |
345 |
$85K |
| 70496 |
|
996 |
970 |
$81K |
| 71271 |
|
1,414 |
1,412 |
$80K |
| G0472 |
Hep c screen high risk/other |
3,154 |
3,136 |
$79K |
| 29581 |
|
1,133 |
335 |
$78K |
| 86003 |
|
1,917 |
1,378 |
$78K |
| 97530 |
|
3,473 |
2,089 |
$75K |
| 93017 |
|
2,126 |
2,100 |
$74K |
| 58301 |
|
543 |
529 |
$73K |
| 71250 |
|
1,471 |
1,465 |
$73K |
| 87502 |
|
6,896 |
6,712 |
$72K |
| 93005 |
|
52,186 |
45,662 |
$70K |
| 80074 |
|
3,790 |
3,744 |
$69K |
| 87086 |
|
31,150 |
29,088 |
$68K |
| 64615 |
|
514 |
513 |
$67K |
| 72100 |
|
4,816 |
4,765 |
$67K |
| 72158 |
|
402 |
401 |
$66K |
| 88175 |
|
4,704 |
4,693 |
$65K |
| 95806 |
|
845 |
840 |
$64K |
| 70486 |
|
2,297 |
2,280 |
$63K |
| 82728 |
|
11,144 |
10,934 |
$63K |
| 93798 |
|
928 |
170 |
$61K |
| C9803 |
Hopd covid-19 spec collect |
11,822 |
11,310 |
$59K |
| 11042 |
|
361 |
279 |
$57K |
| G0121 |
Colon ca scrn not hi rsk ind |
125 |
125 |
$57K |
| 87653 |
|
4,427 |
4,376 |
$55K |
| 76775 |
|
1,759 |
1,739 |
$54K |
| 82607 |
|
8,627 |
8,527 |
$54K |
| 77063 |
|
4,250 |
4,250 |
$53K |
| 0002A |
|
1,593 |
1,591 |
$52K |
| 64405 |
|
389 |
384 |
$52K |
| 45378 |
|
137 |
137 |
$51K |
| 96413 |
|
348 |
323 |
$51K |
| 87389 |
|
4,956 |
4,912 |
$50K |
| 95811 |
|
106 |
106 |
$49K |
| 93976 |
|
914 |
899 |
$48K |
| 73630 |
|
5,948 |
5,751 |
$48K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
3,160 |
3,145 |
$48K |
| 87661 |
|
3,186 |
3,154 |
$48K |
| 74018 |
|
3,321 |
3,158 |
$48K |
| 76818 |
|
812 |
492 |
$48K |
| 74019 |
|
2,264 |
2,217 |
$46K |
| 72050 |
|
1,091 |
1,088 |
$46K |
| 99406 |
|
3,479 |
3,381 |
$46K |
| 64493 |
|
110 |
108 |
$45K |
| M0243 |
Casirivi and imdevi inj |
175 |
175 |
$45K |
| 73030 |
|
4,572 |
4,396 |
$45K |
| 88342 |
|
3,019 |
2,975 |
$44K |
| 99385 |
|
664 |
659 |
$42K |
| 73562 |
|
4,253 |
4,084 |
$42K |
| 0001A |
|
1,690 |
1,690 |
$42K |
| 94726 |
|
1,799 |
1,792 |
$41K |
| 73610 |
|
4,586 |
4,487 |
$40K |
| 80048 |
|
19,149 |
15,745 |
$40K |
| 90460 |
|
1,612 |
1,607 |
$39K |
| 84702 |
|
9,063 |
6,625 |
$39K |
| 85027 |
|
24,226 |
21,817 |
$39K |
| 93970 |
|
334 |
333 |
$37K |
| 87070 |
|
12,367 |
11,678 |
$36K |
| 51700 |
|
270 |
164 |
$35K |
| 72072 |
|
1,493 |
1,484 |
$34K |
| 73130 |
|
5,165 |
4,968 |
$34K |
| M0245 |
Bamlan and etesev infusion |
148 |
148 |
$33K |
| 97112 |
|
1,413 |
773 |
$32K |
| 72125 |
|
5,051 |
4,877 |
$32K |
| 86780 |
|
3,808 |
3,784 |
$30K |
| 86803 |
|
4,935 |
4,919 |
$30K |
| 77080 |
|
541 |
539 |
$30K |
| 93225 |
|
715 |
713 |
$30K |
| 86235 |
|
647 |
637 |
$29K |
| 76770 |
|
513 |
509 |
$29K |
| 64483 |
|
81 |
77 |
$28K |
| 90670 |
|
1,821 |
1,803 |
$28K |
| 91200 |
|
708 |
707 |
$27K |
| 73110 |
|
2,879 |
2,808 |
$27K |
| 84439 |
|
8,559 |
8,300 |
$27K |
| 83540 |
|
9,159 |
8,980 |
$26K |
| 58558 |
|
51 |
47 |
$26K |
| 73564 |
|
1,240 |
1,194 |
$26K |
| 20553 |
|
228 |
210 |
$25K |
| 73140 |
|
2,018 |
1,983 |
$25K |
| 87522 |
Neg quan hep c or qual rna |
1,481 |
1,402 |
$25K |
| 87077 |
|
10,594 |
10,218 |
$25K |
| 76815 |
|
1,124 |
1,007 |
$24K |
| 87186 |
|
9,877 |
9,527 |
$24K |
| M0247 |
Sotrovimab infusion |
91 |
91 |
$24K |
| 87536 |
|
552 |
545 |
$23K |
| 58661 |
|
12 |
12 |
$23K |
| 77065 |
Tomosynthesis, mammo |
570 |
549 |
$23K |
| 58100 |
|
268 |
258 |
$23K |
| 73700 |
|
424 |
424 |
$23K |
| 20610 |
|
201 |
193 |
$22K |
| 17110 |
|
442 |
397 |
$22K |
| 84466 |
|
3,846 |
3,792 |
$22K |
| 73502 |
|
2,069 |
2,019 |
$21K |
| 86480 |
|
676 |
671 |
$21K |
| 87340 |
|
5,616 |
5,586 |
$21K |
| 83970 |
|
1,080 |
1,054 |
$21K |
| 58300 |
|
1,200 |
1,175 |
$20K |
| 83880 |
|
10,602 |
9,779 |
$19K |
| 72082 |
|
360 |
360 |
$19K |
| 87641 |
|
1,879 |
1,860 |
$19K |
| 90620 |
|
329 |
329 |
$19K |
| G0279 |
Tomosynthesis, mammo |
1,651 |
1,650 |
$19K |
| 62321 |
|
76 |
76 |
$19K |
| G0103 |
Psa screening |
1,821 |
1,811 |
$18K |
| 82746 |
|
2,882 |
2,849 |
$18K |
| 85610 |
|
35,521 |
29,890 |
$18K |
| 91320 |
|
159 |
157 |
$17K |
| 86850 |
|
12,278 |
11,533 |
$17K |
| 76870 |
|
965 |
939 |
$17K |
| 86762 |
|
4,047 |
4,022 |
$17K |
| 57454 |
|
114 |
111 |
$17K |
| 92523 |
|
152 |
151 |
$17K |
| 83655 |
|
2,761 |
2,747 |
$16K |
| 87081 |
|
11,940 |
11,701 |
$15K |
| 83735 |
|
35,507 |
29,745 |
$15K |
| 72040 |
|
1,483 |
1,467 |
$15K |
| 82043 |
|
5,497 |
5,453 |
$15K |
| 83550 |
|
3,875 |
3,806 |
$15K |
| 82570 |
|
7,319 |
6,745 |
$14K |
| 84403 |
|
1,247 |
1,216 |
$14K |
| 87088 |
|
7,183 |
6,924 |
$13K |
| 0124A |
|
484 |
484 |
$13K |
| 86140 |
|
12,104 |
11,135 |
$13K |
| 93246 |
|
815 |
811 |
$13K |
| 82105 |
|
1,824 |
1,783 |
$13K |
| L4350 |
Ankle control ortho pre ots |
306 |
306 |
$13K |
| 81001 |
|
47,942 |
43,594 |
$13K |
| 90734 |
|
1,078 |
1,072 |
$12K |
| 97535 |
|
1,255 |
930 |
$12K |
| 83516 |
|
1,988 |
1,178 |
$12K |
| 76819 |
|
207 |
164 |
$12K |
| 87899 |
|
1,242 |
764 |
$12K |
| 88304 |
|
2,593 |
2,570 |
$12K |
| 81220 |
|
152 |
152 |
$12K |
| 84481 |
|
2,099 |
2,046 |
$12K |
| 84146 |
|
1,302 |
1,282 |
$12K |
| 88307 |
|
609 |
592 |
$12K |
| 82784 |
|
2,152 |
2,136 |
$11K |
| 83020 |
|
2,571 |
2,560 |
$11K |
| 87640 |
|
1,029 |
1,014 |
$11K |
| 80055 |
|
434 |
433 |
$11K |
| 82950 |
|
4,015 |
4,001 |
$11K |
| C8929 |
Tte w or wo fol wcon,doppler |
39 |
39 |
$11K |
| 96415 |
|
294 |
276 |
$10K |
| 81025 |
|
5,279 |
5,141 |
$10K |
| 86039 |
|
2,096 |
2,061 |
$10K |
| 90746 |
|
150 |
150 |
$10K |
| 73080 |
|
1,507 |
1,480 |
$10K |
| 97116 |
|
1,659 |
936 |
$10K |
| 87147 |
|
7,084 |
6,803 |
$10K |
| 0054A |
|
288 |
287 |
$9K |
| 0004A |
|
284 |
284 |
$9K |
| 86592 |
|
4,127 |
4,093 |
$9K |
| 88341 |
|
320 |
310 |
$9K |
| 86769 |
|
444 |
436 |
$9K |
| 83001 |
|
987 |
982 |
$9K |
| 72170 |
|
1,324 |
1,304 |
$9K |
| 86364 |
|
1,045 |
911 |
$9K |
| 78830 |
|
12 |
12 |
$9K |
| 84425 |
|
820 |
813 |
$9K |
| 90732 |
|
130 |
128 |
$8K |
| 99496 |
|
141 |
141 |
$8K |
| 99495 |
|
141 |
141 |
$8K |
| 73590 |
|
1,720 |
1,668 |
$8K |
| 76882 |
|
153 |
145 |
$7K |
| 78451 |
|
14 |
14 |
$7K |
| 84703 |
|
35,167 |
32,732 |
$7K |
| 80076 |
|
2,770 |
2,530 |
$7K |
| G0101 |
Ca screen;pelvic/breast exam |
172 |
171 |
$7K |
| 97035 |
|
1,311 |
471 |
$7K |
| 96127 |
|
1,766 |
1,751 |
$7K |
| 86225 |
|
1,003 |
985 |
$7K |
| 71101 |
|
472 |
469 |
$6K |
| 90656 |
|
461 |
459 |
$6K |
| 99214 |
|
411 |
389 |
$6K |
| 85730 |
|
19,702 |
18,285 |
$6K |
| 99213 |
|
1,172 |
1,061 |
$6K |
| 97166 |
|
183 |
177 |
$6K |
| 70498 |
|
909 |
891 |
$6K |
| 90480 |
|
171 |
170 |
$6K |
| 86038 |
|
1,087 |
1,082 |
$6K |
| 85652 |
|
7,905 |
7,599 |
$6K |
| 87880 |
|
8,957 |
8,785 |
$6K |
| 11982 |
|
53 |
52 |
$6K |
| 86376 |
|
810 |
803 |
$6K |
| 82565 |
|
2,435 |
2,060 |
$6K |
| 86258 |
|
500 |
499 |
$6K |
| 99000 |
|
449 |
443 |
$5K |
| 0012A |
|
183 |
183 |
$5K |
| 93296 |
|
353 |
352 |
$5K |
| 43450 |
|
51 |
48 |
$5K |
| 84156 |
|
4,661 |
4,139 |
$5K |
| 87529 |
|
414 |
248 |
$5K |
| 73090 |
|
1,247 |
1,180 |
$5K |
| 72131 |
|
101 |
101 |
$5K |
| 94640 |
|
10,603 |
9,195 |
$5K |
| 86901 |
|
12,886 |
12,077 |
$5K |
| 84590 |
|
831 |
821 |
$5K |
| 84550 |
|
3,736 |
3,406 |
$5K |
| 86706 |
|
1,065 |
1,052 |
$5K |
| 82670 |
|
322 |
319 |
$5K |
| 82652 |
|
318 |
317 |
$5K |
| 86200 |
|
755 |
750 |
$5K |
| 95819 |
|
34 |
34 |
$5K |
| 82785 |
|
561 |
552 |
$5K |
| P9047 |
Albumin (human), 25%, 50ml |
42 |
24 |
$4K |
| 93226 |
|
699 |
697 |
$4K |
| 86593 |
|
1,707 |
1,702 |
$4K |
| 99383 |
|
66 |
66 |
$4K |
| 83690 |
|
32,140 |
28,766 |
$4K |
| 11981 |
|
123 |
123 |
$4K |
| 94010 |
|
287 |
287 |
$4K |
| G0297 |
Ldct for lung ca screen |
139 |
138 |
$4K |
| 36430 |
|
21 |
14 |
$4K |
| 86696 |
|
442 |
434 |
$4K |
| 81003 |
|
23,069 |
21,767 |
$4K |
| 84100 |
|
12,747 |
11,051 |
$4K |
| 97163 |
|
110 |
110 |
$4K |
| 84630 |
|
770 |
759 |
$4K |
| 87625 |
|
244 |
243 |
$4K |
| 84207 |
|
282 |
273 |
$4K |
| 82180 |
|
867 |
855 |
$4K |
| 0011A |
|
206 |
206 |
$4K |
| 84134 |
|
445 |
402 |
$3K |
| 82248 |
|
2,285 |
1,990 |
$3K |
| 88300 |
|
496 |
491 |
$3K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
2,174 |
2,133 |
$3K |
| 93880 |
|
38 |
38 |
$3K |
| 84520 |
|
1,780 |
1,497 |
$3K |
| 90474 |
|
676 |
674 |
$3K |
| 82951 |
|
436 |
431 |
$3K |
| 97012 |
|
537 |
197 |
$3K |
| 82550 |
|
5,730 |
5,049 |
$3K |
| 78227 |
|
12 |
12 |
$3K |
| 87633 |
|
266 |
265 |
$3K |
| 83615 |
|
3,854 |
3,462 |
$3K |
| 87045 |
|
803 |
794 |
$3K |
| 87205 |
|
3,943 |
3,464 |
$3K |
| 86695 |
|
442 |
434 |
$3K |
| 95816 |
|
24 |
24 |
$3K |
| 81002 |
|
7,087 |
6,739 |
$3K |
| P9016 |
Rbc leukocytes reduced |
34 |
25 |
$3K |
| 80164 |
|
789 |
697 |
$3K |
| 85048 |
|
1,854 |
1,300 |
$3K |
| 78264 |
|
12 |
12 |
$2K |
| 73560 |
|
239 |
220 |
$2K |
| M0222 |
Bebtelovimab injection |
13 |
13 |
$2K |
| 72197 |
|
12 |
12 |
$2K |
| 85007 |
|
3,943 |
3,624 |
$2K |
| 83002 |
|
255 |
254 |
$2K |
| 97802 |
|
67 |
67 |
$2K |
| 72156 |
|
12 |
12 |
$2K |
| 74174 |
|
12 |
12 |
$2K |
| 86360 |
|
90 |
90 |
$2K |
| 82962 |
|
2,126 |
2,009 |
$2K |
| 86141 |
|
436 |
431 |
$2K |
| 80081 |
|
93 |
93 |
$2K |
| 86430 |
|
769 |
756 |
$2K |
| 29515 |
|
26 |
25 |
$2K |
| 73552 |
|
785 |
765 |
$2K |
| 86431 |
|
779 |
775 |
$2K |
| 99386 |
|
29 |
29 |
$2K |
| 93922 |
|
61 |
61 |
$2K |
| 93975 |
|
14 |
14 |
$2K |
| 77336 |
|
24 |
12 |
$2K |
| 87328 |
|
290 |
289 |
$2K |
| 90694 |
|
164 |
163 |
$2K |
| 74183 |
|
13 |
13 |
$2K |
| 82247 |
|
648 |
440 |
$2K |
| 85379 |
|
9,150 |
8,816 |
$2K |
| 87329 |
|
311 |
310 |
$2K |
| 87040 |
|
6,873 |
4,440 |
$2K |
| P9612 |
Catheterize for urine spec |
1,052 |
1,031 |
$2K |
| 90744 |
|
729 |
715 |
$2K |
| 95910 |
|
12 |
12 |
$2K |
| 99381 |
|
25 |
24 |
$2K |
| 84153 |
|
163 |
160 |
$1K |
| 82805 |
|
3,508 |
3,193 |
$1K |
| 87210 |
|
8,758 |
8,334 |
$1K |
| 87807 |
|
2,037 |
1,986 |
$1K |
| 86800 |
|
167 |
166 |
$1K |
| 82140 |
|
1,440 |
1,330 |
$1K |
| 86160 |
|
117 |
115 |
$1K |
| 83993 |
|
120 |
119 |
$1K |
| 83013 |
|
39 |
39 |
$1K |
| 89051 |
|
695 |
420 |
$1K |
| 90716 |
|
134 |
133 |
$1K |
| 83605 |
|
17,460 |
15,017 |
$1K |
| G0008 |
Admin influenza virus vac |
1,009 |
971 |
$1K |
| G2066 |
Inter devc remote 30d |
65 |
65 |
$1K |
| 86147 |
|
39 |
39 |
$1K |
| 84484 |
|
31,068 |
25,746 |
$998.79 |
| 84165 |
|
195 |
192 |
$947.20 |
| 85018 |
|
1,132 |
958 |
$943.47 |
| 87798 |
|
78 |
32 |
$936.55 |
| 86308 |
|
1,532 |
1,513 |
$925.78 |
| 86694 |
|
146 |
145 |
$917.73 |
| 85045 |
|
677 |
627 |
$883.87 |
| 73660 |
|
41 |
40 |
$883.22 |
| 87015 |
|
363 |
355 |
$862.18 |
| 90837 |
|
16 |
13 |
$847.37 |
| 82947 |
|
387 |
373 |
$817.57 |
| 99204 |
|
32 |
32 |
$763.44 |
| 73060 |
|
179 |
175 |
$755.15 |
| 96367 |
|
32 |
28 |
$749.43 |
| 83014 |
|
249 |
247 |
$740.02 |
| 83525 |
|
150 |
145 |
$737.09 |
| 80305 |
|
199 |
180 |
$732.10 |
| 84450 |
|
288 |
176 |
$722.31 |
| 87046 |
|
239 |
235 |
$715.74 |
| 70480 |
|
12 |
12 |
$662.19 |
| 93271 |
|
12 |
12 |
$661.26 |
| 69209 |
|
457 |
448 |
$658.48 |
| 86677 |
|
303 |
297 |
$655.22 |
| 93298 |
|
55 |
54 |
$653.57 |
| 84446 |
|
95 |
93 |
$651.16 |
| 82952 |
|
289 |
285 |
$646.48 |
| 0031A |
|
37 |
37 |
$632.39 |
| 84144 |
|
70 |
65 |
$628.72 |
| 93289 |
|
79 |
78 |
$628.00 |
| 84460 |
|
244 |
152 |
$625.90 |
| 82150 |
|
375 |
358 |
$621.79 |
| 31500 |
|
32 |
29 |
$618.71 |
| 88142 |
|
72 |
72 |
$549.07 |
| 90834 |
|
13 |
12 |
$525.88 |
| 84681 |
|
75 |
75 |
$521.71 |
| 0051A |
|
14 |
14 |
$489.39 |
| 0071A |
|
26 |
26 |
$457.23 |
| 94618 |
|
28 |
27 |
$456.12 |
| 76820 |
|
409 |
241 |
$454.98 |
| 12001 |
|
2,410 |
2,398 |
$450.83 |
| J7030 |
Normal saline solution infus |
40,793 |
34,356 |
$446.82 |
| 29125 |
|
222 |
221 |
$443.41 |
| 72220 |
|
24 |
24 |
$432.80 |
| 83520 |
|
2,060 |
1,374 |
$429.44 |
| 99203 |
|
20 |
20 |
$428.07 |
| 0003A |
|
19 |
19 |
$424.65 |
| 90674 |
|
15 |
15 |
$420.96 |
| 86708 |
|
63 |
62 |
$418.65 |
| 12011 |
|
1,188 |
1,180 |
$413.18 |
| 82533 |
|
55 |
52 |
$404.74 |
| 73522 |
|
13 |
13 |
$401.10 |
| 82677 |
|
28 |
28 |
$396.79 |
| 82945 |
|
283 |
279 |
$396.42 |
| 12002 |
|
983 |
977 |
$385.23 |
| 90662 |
|
108 |
101 |
$377.91 |
| 0241U |
|
768 |
757 |
$358.23 |
| A9270 |
Non-covered item or service |
3,557 |
1,596 |
$353.00 |
| 92610 |
|
12 |
12 |
$347.27 |
| 98960 |
|
16 |
13 |
$342.08 |
| 85660 |
|
126 |
126 |
$324.44 |
| 84445 |
|
12 |
12 |
$319.60 |
| 87563 |
|
31 |
31 |
$319.43 |
| 87804 |
|
829 |
525 |
$308.18 |
| 84145 |
|
1,667 |
1,582 |
$306.71 |
| 82010 |
|
2,635 |
2,341 |
$303.55 |
| 90653 |
|
19 |
19 |
$288.41 |
| 98926 |
|
1,840 |
1,669 |
$282.28 |
| A9502 |
Tc99m tetrofosmin |
1,624 |
1,511 |
$273.60 |
| 88112 |
|
28 |
24 |
$258.67 |
| 87521 |
Neg quan hep c or qual rna |
12 |
12 |
$256.16 |
| 82731 |
|
54 |
54 |
$255.42 |
| 86336 |
|
28 |
28 |
$254.51 |
| 94729 |
|
1,885 |
1,878 |
$252.00 |
| 86337 |
|
27 |
27 |
$245.26 |
| J2765 |
Metoclopramide hcl injection |
7,333 |
6,505 |
$239.55 |
| 88312 |
|
189 |
187 |
$224.38 |
| 84132 |
|
429 |
388 |
$217.65 |
| 82040 |
|
189 |
183 |
$213.96 |
| 86618 |
|
25 |
25 |
$205.77 |
| 80178 |
|
86 |
78 |
$201.20 |
| J1885 |
Ketorolac tromethamine inj |
36,187 |
32,004 |
$200.21 |
| 82525 |
|
26 |
26 |
$177.17 |
| 84436 |
|
99 |
98 |
$176.05 |
| 86036 |
|
14 |
13 |
$146.65 |
| 86920 |
|
27 |
25 |
$146.59 |
| 73000 |
|
15 |
13 |
$145.44 |
| 82627 |
|
15 |
15 |
$135.86 |
| 98927 |
|
2,265 |
2,026 |
$135.53 |
| 98928 |
|
1,150 |
1,047 |
$134.47 |
| 51798 |
|
240 |
239 |
$134.08 |
| 82553 |
|
2,276 |
1,949 |
$126.90 |
| 86231 |
|
25 |
25 |
$125.55 |
| Q0114 |
Fern test |
25 |
25 |
$119.00 |
| 73620 |
|
14 |
13 |
$118.34 |
| 80197 |
|
22 |
15 |
$113.08 |
| 87324 |
|
36 |
36 |
$110.19 |
| J2405 |
Ondansetron hcl injection |
38,636 |
33,372 |
$109.23 |
| 88311 |
|
152 |
148 |
$100.68 |
| 97018 |
|
41 |
13 |
$96.66 |
| G0010 |
Admin hepatitis b vaccine |
14 |
14 |
$91.98 |
| 90473 |
|
50 |
48 |
$87.84 |
| 86787 |
|
14 |
12 |
$87.12 |
| 97113 |
|
108 |
43 |
$86.62 |
| J7120 |
Ringers lactate infusion |
22,139 |
18,306 |
$85.27 |
| 0202U |
|
2,057 |
2,036 |
$82.32 |
| 98925 |
|
198 |
188 |
$81.07 |
| 70360 |
|
38 |
38 |
$76.39 |
| 76937 |
|
1,308 |
1,214 |
$76.30 |
| 86015 |
|
14 |
14 |
$71.79 |
| J1200 |
Diphenhydramine hcl injectio |
12,862 |
11,319 |
$69.95 |
| 70030 |
|
12 |
12 |
$67.98 |
| 80069 |
|
19 |
14 |
$62.79 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
13,833 |
13,210 |
$62.62 |
| J2250 |
Inj midazolam hydrochloride |
13,127 |
12,374 |
$61.56 |
| 90715 |
|
7,913 |
7,846 |
$61.07 |
| J1170 |
Hydromorphone injection |
14,357 |
10,670 |
$58.77 |
| 87106 |
|
15 |
15 |
$57.79 |
| J2360 |
Orphenadrine injection |
8,322 |
7,666 |
$56.60 |
| 87101 |
|
30 |
25 |
$54.53 |
| 87075 |
|
62 |
50 |
$53.71 |
| 85014 |
|
58 |
50 |
$43.47 |
| J0690 |
Cefazolin sodium injection |
8,934 |
7,609 |
$41.59 |
| 87220 |
|
31 |
25 |
$36.71 |
| 88302 |
|
41 |
38 |
$32.38 |
| J2550 |
Promethazine hcl injection |
3,242 |
2,818 |
$32.25 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
585 |
534 |
$31.22 |
| 96376 |
|
6,827 |
5,372 |
$24.80 |
| J3480 |
Inj potassium chloride |
1,299 |
788 |
$23.82 |
| J1644 |
Inj heparin sodium per 1000u |
3,089 |
1,863 |
$23.01 |
| J1790 |
Droperidol injection |
546 |
482 |
$22.36 |
| J3360 |
Diazepam injection |
1,000 |
926 |
$17.21 |
| 80177 |
|
12 |
12 |
$16.12 |
| J2795 |
Ropivacaine hcl injection |
1,456 |
1,265 |
$15.56 |
| 94664 |
|
544 |
515 |
$15.32 |
| J2704 |
Inj, propofol, 10 mg |
25,485 |
22,745 |
$13.58 |
| J0696 |
Ceftriaxone sodium injection |
9,224 |
8,257 |
$12.76 |
| 85384 |
|
13 |
13 |
$12.10 |
| J2272 |
Inj, morphine (fresenius) |
16 |
15 |
$8.30 |
| J1100 |
Dexamethasone sodium phos |
15,046 |
14,101 |
$8.22 |
| J1920 |
Inj, labetalol hcl, 5mg |
108 |
69 |
$7.42 |
| J3010 |
Fentanyl citrate injection |
21,452 |
18,564 |
$7.08 |
| 82800 |
|
162 |
155 |
$6.14 |
| J7040 |
Normal saline solution infus |
2,365 |
2,149 |
$5.75 |
| J2270 |
Morphine sulfate injection |
5,989 |
5,043 |
$5.47 |
| C1751 |
Cath, inf, per/cent/midline |
2,756 |
2,494 |
$4.49 |
| J8540 |
Oral dexamethasone |
373 |
320 |
$3.55 |
| J7613 |
Albuterol non-comp unit |
182 |
134 |
$3.16 |
| 82272 |
|
24 |
24 |
$2.15 |
| J1836 |
Inj, metronidazole, 10 mg |
52 |
40 |
$2.03 |
| J7050 |
Normal saline solution infus |
5,603 |
4,545 |
$0.54 |
| 36416 |
|
287 |
245 |
$0.04 |
| J3490 |
Drugs unclassified injection |
5,064 |
3,665 |
$0.01 |
| 90710 |
|
222 |
222 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
769 |
603 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
3,098 |
1,355 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
2,639 |
1,580 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
3,298 |
3,280 |
$0.00 |
| J2930 |
Methylprednisolone injection |
2,456 |
2,224 |
$0.00 |
| 90700 |
|
314 |
314 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
774 |
739 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
861 |
762 |
$0.00 |
| 90648 |
|
474 |
474 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
902 |
877 |
$0.00 |
| 77062 |
|
84 |
84 |
$0.00 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
59 |
41 |
$0.00 |
| L3908 |
Who cock-up nonmolde pre ots |
371 |
367 |
$0.00 |
| C1758 |
Catheter, ureteral |
699 |
685 |
$0.00 |
| 98929 |
|
308 |
288 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
3,162 |
3,037 |
$0.00 |
| 90633 |
|
1,246 |
1,237 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
997 |
961 |
$0.00 |
| C1887 |
Catheter, guiding |
41 |
40 |
$0.00 |
| J0780 |
Prochlorperazine injection |
2,273 |
2,094 |
$0.00 |
| G8978 |
Mobility current status |
339 |
303 |
$0.00 |
| 36600 |
|
141 |
136 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
289 |
193 |
$0.00 |
| 99152 |
|
394 |
381 |
$0.00 |
| Q0163 |
Diphenhydramine hcl 50mg |
38 |
38 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
508 |
483 |
$0.00 |
| J1953 |
Levetiracetam injection |
293 |
251 |
$0.00 |
| G8979 |
Mobility goal status |
383 |
328 |
$0.00 |
| J1756 |
Iron sucrose injection |
613 |
321 |
$0.00 |
| A9552 |
F18 fdg |
192 |
192 |
$0.00 |
| A4312 |
Cath w/o bag 2-way silicone |
66 |
66 |
$0.00 |
| 90681 |
|
153 |
153 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
141 |
81 |
$0.00 |
| 90685 |
|
94 |
94 |
$0.00 |
| J2310 |
Inj naloxone hydrochloride |
93 |
82 |
$0.00 |
| Q0177 |
Hydroxyzine pamoate 25mg |
451 |
379 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
312 |
311 |
$0.00 |
| L1830 |
Ko immob canvas long pre ots |
137 |
136 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
133 |
130 |
$0.00 |
| C1729 |
Cath, drainage |
81 |
65 |
$0.00 |
| 64495 |
|
102 |
101 |
$0.00 |
| 76000 |
|
29 |
29 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
193 |
184 |
$0.00 |
| 82075 |
|
96 |
84 |
$0.00 |
| C1776 |
Joint device (implantable) |
93 |
93 |
$0.00 |
| 76942 |
|
14 |
12 |
$0.00 |
| 90707 |
|
136 |
136 |
$0.00 |
| 64447 |
|
25 |
25 |
$0.00 |
| 90461 |
|
45 |
45 |
$0.00 |
| 77002 |
|
12 |
12 |
$0.00 |
| 90714 |
|
12 |
12 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
190 |
159 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
13 |
13 |
$0.00 |
| Q0169 |
Promethazine hcl 12.5mg oral |
22 |
17 |
$0.00 |
| 90713 |
|
15 |
15 |
$0.00 |
| A9541 |
Tc99m sulfur colloid |
12 |
12 |
$0.00 |
| 16020 |
|
27 |
26 |
$0.00 |
| 94645 |
|
15 |
14 |
$0.00 |
| 91300 |
|
14 |
14 |
$0.00 |
| A9537 |
Tc99m mebrofenin |
25 |
25 |
$0.00 |
| A6219 |
Gauze <= 16 sq in w/border |
12 |
12 |
$0.00 |
| J1580 |
Garamycin gentamicin inj |
19 |
13 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
630 |
262 |
$0.00 |
| J1630 |
Haloperidol injection |
2,800 |
2,247 |
$0.00 |
| 90698 |
|
1,163 |
1,145 |
$0.00 |
| C1889 |
Implant/insert device, noc |
12 |
12 |
$0.00 |
| C1769 |
Guide wire |
1,664 |
1,585 |
$0.00 |
| J3420 |
Vitamin b12 injection |
1,286 |
1,088 |
$0.00 |
| 90680 |
|
878 |
868 |
$0.00 |
| A6223 |
Gauze >16<=48 no w/sal w/o b |
134 |
132 |
$0.00 |
| Q0162 |
Ondansetron oral |
1,727 |
1,554 |
$0.00 |
| J1815 |
Insulin injection |
1,241 |
563 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
1,596 |
1,548 |
$0.00 |
| J2001 |
Lidocaine injection |
1,503 |
1,015 |
$0.00 |
| J2060 |
Lorazepam injection |
4,769 |
3,835 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
111 |
98 |
$0.00 |
| G0283 |
Elec stim other than wound |
205 |
89 |
$0.00 |
| A4338 |
Indwelling catheter latex |
420 |
417 |
$0.00 |
| 83986 |
|
44 |
43 |
$0.00 |
| 95886 |
|
363 |
253 |
$0.00 |
| L3927 |
Fo pip dip no jt spr pre ots |
54 |
53 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
219 |
212 |
$0.00 |
| J2791 |
Rhophylac injection |
164 |
162 |
$0.00 |
| J2785 |
Regadenoson injection |
649 |
635 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
1,039 |
1,016 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
1,738 |
1,588 |
$0.00 |
| A9585 |
Gadobutrol injection |
569 |
562 |
$0.00 |
| 90723 |
|
258 |
258 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
1,336 |
1,236 |
$0.00 |
| 84270 |
|
30 |
30 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
192 |
189 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,789 |
1,383 |
$0.00 |
| A9503 |
Tc99m medronate |
52 |
52 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
164 |
158 |
$0.00 |
| G8987 |
Self care current status |
70 |
65 |
$0.00 |
| 90632 |
|
311 |
309 |
$0.00 |
| A4344 |
Cath indw foley 2 way silicn |
224 |
222 |
$0.00 |
| G8988 |
Self care goal status |
72 |
67 |
$0.00 |
| 94760 |
|
201 |
159 |
$0.00 |
| 64484 |
|
66 |
62 |
$0.00 |
| A4648 |
Implantable tissue marker |
26 |
24 |
$0.00 |
| G0453 |
Cont intraop neuro monitor |
13 |
13 |
$0.00 |
| 64415 |
|
38 |
38 |
$0.00 |
| 94644 |
|
83 |
80 |
$0.00 |
| J1940 |
Furosemide injection |
137 |
117 |
$0.00 |
| 64494 |
|
104 |
103 |
$0.00 |
| A4351 |
Straight tip urine catheter |
74 |
73 |
$0.00 |
| 95870 |
|
13 |
13 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
76 |
38 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
154 |
113 |
$0.00 |
| 74420 |
|
15 |
15 |
$0.00 |
| 80320 |
|
17 |
16 |
$0.00 |
| 80359 |
|
30 |
27 |
$0.00 |
| A6455 |
Self-adher band >=5"/yd |
14 |
14 |
$0.00 |
| 96368 |
|
13 |
12 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |
| C1781 |
Mesh (implantable) |
26 |
26 |
$0.00 |
| 93270 |
|
12 |
12 |
$0.00 |