| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
459,556 |
387,479 |
$61.67M |
| 99212 |
|
206,128 |
173,700 |
$29.23M |
| 99285 |
|
139,913 |
126,219 |
$25.99M |
| 96361 |
|
62,693 |
52,867 |
$22.97M |
| 99213 |
|
145,633 |
125,633 |
$18.47M |
| 99283 |
|
93,042 |
86,497 |
$14.84M |
| 99284 |
|
91,168 |
84,143 |
$14.71M |
| A0429 |
Bls-emergency |
59,418 |
49,097 |
$12.84M |
| G0463 |
Hospital outpt clinic visit |
385,542 |
279,658 |
$10.44M |
| 99211 |
|
67,301 |
61,637 |
$9.49M |
| 96413 |
|
27,304 |
17,801 |
$8.62M |
| J2350 |
Injection, ocrelizumab, 1 mg |
1,025 |
956 |
$8.48M |
| A0427 |
Als1-emergency |
34,956 |
32,428 |
$7.29M |
| 87637 |
|
54,300 |
51,087 |
$6.54M |
| J1745 |
Infliximab not biosimil 10mg |
4,374 |
3,337 |
$6.10M |
| 96415 |
|
10,630 |
8,782 |
$5.60M |
| U0004 |
Cov-19 test non-cdc hgh thru |
78,308 |
69,922 |
$5.13M |
| 96110 |
|
29,086 |
27,977 |
$4.94M |
| 74177 |
|
32,691 |
31,016 |
$4.59M |
| 43239 |
|
7,013 |
6,867 |
$4.56M |
| G0378 |
Hospital observation per hr |
36,263 |
28,141 |
$4.29M |
| 96365 |
|
26,056 |
20,795 |
$4.28M |
| 99282 |
|
25,295 |
24,196 |
$3.91M |
| S9485 |
Crisis intervention mental h |
6,871 |
4,684 |
$3.59M |
| 45385 |
|
4,726 |
4,646 |
$3.55M |
| 77386 |
|
15,645 |
1,411 |
$3.55M |
| 96366 |
|
11,181 |
8,350 |
$3.30M |
| 96360 |
|
26,880 |
22,441 |
$3.21M |
| 45380 |
|
4,785 |
4,694 |
$3.12M |
| 70450 |
|
23,396 |
21,594 |
$2.96M |
| 93306 |
|
16,962 |
16,333 |
$2.81M |
| 20610 |
|
17,169 |
14,701 |
$2.48M |
| 99204 |
|
18,626 |
18,041 |
$2.47M |
| 92014 |
|
32,644 |
31,699 |
$2.47M |
| J9271 |
Inj pembrolizumab |
569 |
455 |
$2.36M |
| 43235 |
|
2,973 |
2,888 |
$2.01M |
| 76770 |
|
12,251 |
11,935 |
$1.94M |
| J2357 |
Omalizumab injection |
2,342 |
1,433 |
$1.88M |
| 76856 |
|
14,312 |
13,840 |
$1.87M |
| 77412 |
|
12,356 |
1,274 |
$1.84M |
| J0585 |
Injection,onabotulinumtoxina |
4,133 |
3,416 |
$1.83M |
| 76705 |
|
18,757 |
17,735 |
$1.82M |
| 76816 |
|
15,565 |
13,655 |
$1.74M |
| 36430 |
|
5,530 |
3,423 |
$1.64M |
| J9312 |
Inj., rituximab, 10 mg |
834 |
456 |
$1.60M |
| 76830 |
|
16,023 |
15,445 |
$1.58M |
| 77067 |
|
32,814 |
32,504 |
$1.53M |
| 92587 |
|
12,308 |
12,176 |
$1.49M |
| 97803 |
|
19,349 |
18,274 |
$1.45M |
| 52000 |
|
2,474 |
2,396 |
$1.42M |
| J7298 |
Mirena, 52 mg |
1,500 |
1,472 |
$1.40M |
| 85025 |
|
314,861 |
246,060 |
$1.38M |
| 71260 |
|
15,391 |
14,659 |
$1.38M |
| 62323 |
|
2,830 |
2,747 |
$1.32M |
| 76819 |
|
17,817 |
10,259 |
$1.30M |
| 99391 |
|
12,530 |
11,802 |
$1.29M |
| 31575 |
|
7,143 |
6,868 |
$1.28M |
| 93971 |
|
8,270 |
7,686 |
$1.27M |
| 96402 |
|
2,091 |
1,942 |
$1.27M |
| J2505 |
Injection, pegfilgrastim 6mg |
905 |
659 |
$1.25M |
| 99291 |
|
5,663 |
5,369 |
$1.22M |
| 20611 |
|
3,936 |
3,294 |
$1.21M |
| 42820 |
|
654 |
640 |
$1.20M |
| 99203 |
|
8,479 |
8,237 |
$1.19M |
| 59025 |
|
4,208 |
2,693 |
$1.17M |
| 64493 |
|
2,026 |
1,915 |
$1.16M |
| 99392 |
|
12,488 |
12,346 |
$1.16M |
| 44970 |
|
356 |
349 |
$1.16M |
| 67028 |
|
7,003 |
5,501 |
$1.15M |
| 80307 |
|
34,831 |
28,788 |
$1.14M |
| 94640 |
|
22,740 |
14,368 |
$1.12M |
| 45378 |
|
1,758 |
1,722 |
$1.09M |
| 69436 |
|
990 |
974 |
$1.08M |
| 70496 |
|
5,374 |
5,113 |
$1.05M |
| 77063 |
|
17,902 |
17,725 |
$1.04M |
| 11102 |
|
2,756 |
2,608 |
$1.04M |
| U0005 |
Infec agen detec ampli probe |
58,713 |
51,649 |
$1.03M |
| 78452 |
|
2,759 |
2,643 |
$1.03M |
| 97110 |
|
16,734 |
8,782 |
$1.02M |
| 87591 |
|
38,633 |
37,241 |
$1.01M |
| 87491 |
|
38,624 |
37,233 |
$1.01M |
| 76642 |
|
11,238 |
9,819 |
$1.00M |
| J7307 |
Etonogestrel implant system |
877 |
865 |
$997K |
| 71046 |
|
75,597 |
70,587 |
$984K |
| 99393 |
|
11,228 |
11,016 |
$981K |
| 93975 |
|
10,812 |
10,327 |
$978K |
| 95886 |
|
4,882 |
4,652 |
$951K |
| 99395 |
|
11,292 |
11,047 |
$913K |
| 11042 |
|
3,923 |
2,686 |
$903K |
| A0425 |
Ground mileage |
95,320 |
79,078 |
$894K |
| 99215 |
Prolong outpt/office vis |
6,294 |
5,899 |
$882K |
| 96367 |
|
4,895 |
3,707 |
$859K |
| 66984 |
|
1,207 |
1,061 |
$846K |
| U0003 |
Cov-19 amp prb hgh thruput |
16,059 |
14,160 |
$843K |
| 76811 |
|
6,300 |
6,240 |
$839K |
| 93308 |
|
4,326 |
4,090 |
$818K |
| 64483 |
|
1,638 |
1,601 |
$808K |
| 99394 |
|
8,929 |
8,771 |
$793K |
| G0121 |
Colon ca scrn not hi rsk ind |
1,522 |
1,492 |
$790K |
| 76817 |
|
9,938 |
8,095 |
$781K |
| Q5119 |
Inj ruxience, 10 mg |
619 |
222 |
$769K |
| 81420 |
|
1,549 |
1,498 |
$759K |
| 99396 |
|
9,845 |
9,653 |
$753K |
| 76536 |
|
7,381 |
7,219 |
$748K |
| G2023 |
Specimen collect covid-19 |
44,891 |
40,576 |
$748K |
| V5261 |
Hearing aid, digit, bin, bte |
795 |
777 |
$731K |
| 29075 |
|
3,293 |
2,799 |
$723K |
| 97802 |
|
9,523 |
9,301 |
$721K |
| 99202 |
|
5,191 |
5,083 |
$705K |
| J1459 |
Inj ivig privigen 500 mg |
1,405 |
454 |
$702K |
| 52356 |
|
264 |
249 |
$702K |
| J3380 |
Inj vedolizumab iv 1 mg |
175 |
168 |
$702K |
| 76700 |
|
4,089 |
4,006 |
$660K |
| ATP14 |
|
73,415 |
58,164 |
$635K |
| 76815 |
|
5,871 |
5,383 |
$626K |
| 92557 |
|
10,684 |
10,525 |
$614K |
| 84443 |
|
64,613 |
62,167 |
$606K |
| 93325 |
|
6,843 |
6,539 |
$597K |
| J2506 |
Inj pegfilgrast ex bio 0.5mg |
592 |
422 |
$592K |
| 92567 |
|
19,984 |
19,605 |
$586K |
| 97165 |
|
7,824 |
7,453 |
$568K |
| G0108 |
Diab manage trn per indiv |
8,403 |
7,668 |
$559K |
| 76801 |
|
5,826 |
5,509 |
$556K |
| 71250 |
|
7,735 |
7,505 |
$555K |
| J0185 |
Inj., aprepitant, 1 mg |
2,985 |
1,931 |
$553K |
| 31231 |
|
2,960 |
2,836 |
$550K |
| 82306 |
|
33,625 |
32,787 |
$545K |
| 93017 |
|
6,509 |
6,321 |
$541K |
| ATP08 |
|
76,734 |
60,181 |
$540K |
| 87635 |
|
11,669 |
10,770 |
$540K |
| 77336 |
|
8,332 |
3,575 |
$537K |
| 74176 |
|
3,989 |
3,794 |
$526K |
| J0248 |
Inj, remdesivir, 1 mg |
1,649 |
466 |
$506K |
| J2469 |
Palonosetron hcl |
7,160 |
4,184 |
$500K |
| 96372 |
|
48,470 |
38,559 |
$498K |
| 17110 |
|
3,094 |
2,871 |
$496K |
| 95816 |
|
2,200 |
2,067 |
$487K |
| 76805 |
|
3,186 |
3,154 |
$487K |
| 83036 |
|
97,886 |
94,561 |
$480K |
| V5160 |
Dispensing fee binaural |
980 |
957 |
$461K |
| 96374 |
|
66,048 |
56,185 |
$460K |
| 12001 |
|
2,110 |
2,037 |
$453K |
| 84484 |
|
67,838 |
44,087 |
$445K |
| 76882 |
|
4,795 |
4,387 |
$441K |
| 81220 |
|
1,005 |
997 |
$433K |
| 99281 |
|
3,134 |
2,860 |
$413K |
| J1756 |
Iron sucrose injection |
7,345 |
2,898 |
$404K |
| J0178 |
Aflibercept injection |
462 |
360 |
$402K |
| 58300 |
|
2,016 |
1,966 |
$400K |
| 87389 |
|
21,441 |
20,934 |
$399K |
| 76813 |
|
3,531 |
3,492 |
$392K |
| 80053 |
|
190,235 |
153,839 |
$388K |
| 90686 |
|
35,913 |
34,810 |
$384K |
| J3490 |
Drugs unclassified injection |
5,489 |
3,809 |
$382K |
| 11104 |
|
863 |
827 |
$365K |
| J7323 |
Euflexxa inj per dose |
1,924 |
932 |
$359K |
| 87086 |
|
68,062 |
62,516 |
$356K |
| 47562 |
|
131 |
122 |
$355K |
| 12011 |
|
1,594 |
1,556 |
$350K |
| 96411 |
|
1,759 |
1,144 |
$346K |
| 19083 |
|
431 |
401 |
$344K |
| 58100 |
|
1,612 |
1,563 |
$343K |
| 10060 |
|
1,955 |
1,843 |
$343K |
| 93970 |
|
1,873 |
1,779 |
$339K |
| 86480 |
|
8,441 |
8,185 |
$337K |
| 70491 |
|
2,473 |
2,379 |
$337K |
| D1208 |
|
15,286 |
14,610 |
$336K |
| 93005 |
|
140,859 |
123,432 |
$334K |
| A0433 |
Als 2 |
794 |
776 |
$331K |
| 90471 |
|
76,285 |
73,269 |
$330K |
| 88185 |
|
1,769 |
1,597 |
$330K |
| 93271 |
|
4,707 |
4,603 |
$321K |
| 93321 |
|
2,710 |
2,654 |
$319K |
| 95819 |
|
1,168 |
1,115 |
$311K |
| 29700 |
|
1,470 |
1,443 |
$310K |
| 73564 |
|
21,123 |
16,561 |
$307K |
| 11900 |
|
1,626 |
1,559 |
$306K |
| J1050 |
Medroxyprogesterone acetate |
6,795 |
6,697 |
$306K |
| 80048 |
|
196,136 |
156,381 |
$303K |
| 83735 |
|
87,266 |
58,831 |
$302K |
| 77300 |
|
2,205 |
1,984 |
$300K |
| 81025 |
|
54,049 |
49,485 |
$299K |
| 86850 |
|
46,927 |
38,596 |
$296K |
| 87631 |
|
2,954 |
2,817 |
$290K |
| 77062 |
|
3,795 |
3,749 |
$288K |
| G0480 |
Drug test def 1-7 classes |
20,800 |
17,507 |
$287K |
| 85027 |
|
73,677 |
62,851 |
$286K |
| 96900 |
|
5,897 |
1,033 |
$282K |
| 92012 |
|
3,677 |
3,490 |
$282K |
| 93303 |
|
1,206 |
1,178 |
$281K |
| J1642 |
Inj heparin sodium per 10 u |
22,782 |
9,650 |
$277K |
| 84702 |
|
21,977 |
17,365 |
$274K |
| 76870 |
|
3,192 |
3,060 |
$272K |
| 29405 |
|
1,498 |
1,141 |
$272K |
| 95070 |
|
756 |
738 |
$271K |
| 92004 |
|
4,551 |
4,457 |
$270K |
| 90651 |
|
4,428 |
4,272 |
$270K |
| 87536 |
|
6,004 |
5,783 |
$267K |
| J1650 |
Inj enoxaparin sodium |
25,710 |
10,026 |
$267K |
| J0897 |
Denosumab injection |
567 |
539 |
$264K |
| Q0222 |
Bebtelovimab 175 mg |
309 |
268 |
$263K |
| J1950 |
Leuprolide acetate /3.75 mg |
215 |
207 |
$262K |
| 87088 |
|
48,199 |
44,727 |
$261K |
| 87624 |
|
12,135 |
11,878 |
$259K |
| 49083 |
|
735 |
372 |
$257K |
| J1200 |
Diphenhydramine hcl injectio |
26,074 |
20,698 |
$255K |
| D1351 |
|
22,475 |
3,279 |
$255K |
| 82728 |
|
31,197 |
29,696 |
$254K |
| 96416 |
|
1,713 |
969 |
$254K |
| J1100 |
Dexamethasone sodium phos |
44,785 |
35,988 |
$253K |
| 90715 |
|
13,194 |
12,862 |
$252K |
| Q5108 |
Injection, fulphila |
115 |
86 |
$251K |
| 77065 |
Tomosynthesis, mammo |
5,872 |
5,474 |
$251K |
| 64615 |
|
1,001 |
978 |
$251K |
| 77080 |
|
4,649 |
4,533 |
$249K |
| 58558 |
|
216 |
212 |
$248K |
| 73630 |
|
27,160 |
22,097 |
$247K |
| 93880 |
|
3,056 |
2,944 |
$245K |
| J1453 |
Fosaprepitant injection |
624 |
397 |
$241K |
| 96127 |
|
4,872 |
4,858 |
$240K |
| 97161 |
|
4,815 |
4,395 |
$237K |
| 86003 |
|
3,158 |
3,023 |
$229K |
| 83690 |
|
49,317 |
44,171 |
$225K |
| J9310 |
Rituximab injection |
346 |
214 |
$224K |
| 73610 |
|
21,187 |
18,028 |
$223K |
| 95813 |
|
478 |
468 |
$222K |
| 94060 |
|
3,146 |
3,041 |
$216K |
| 77061 |
|
2,690 |
2,641 |
$215K |
| 96409 |
|
1,434 |
854 |
$212K |
| 58661 |
|
102 |
92 |
$210K |
| 83880 |
|
12,969 |
11,916 |
$208K |
| 86803 |
|
22,966 |
22,320 |
$207K |
| 87480 |
|
13,320 |
12,815 |
$204K |
| 87510 |
|
13,321 |
12,818 |
$204K |
| 87660 |
|
13,299 |
12,796 |
$203K |
| G0105 |
Colorectal scrn; hi risk ind |
421 |
409 |
$202K |
| 73030 |
|
19,158 |
16,753 |
$202K |
| ATP15 |
|
27,171 |
20,518 |
$202K |
| 77072 |
|
1,797 |
1,754 |
$202K |
| 94010 |
|
5,501 |
5,233 |
$201K |
| 74178 |
|
1,350 |
1,321 |
$201K |
| 10005 |
|
779 |
742 |
$199K |
| 73130 |
|
21,968 |
16,027 |
$194K |
| 70498 |
|
5,071 |
4,827 |
$193K |
| 81513 |
|
1,847 |
1,794 |
$188K |
| 58301 |
|
1,032 |
1,006 |
$184K |
| 80050 |
|
11,960 |
11,399 |
$184K |
| 72100 |
|
14,364 |
13,933 |
$183K |
| 92579 |
|
3,964 |
3,928 |
$183K |
| 83605 |
|
25,507 |
17,689 |
$181K |
| 84466 |
|
24,438 |
23,079 |
$179K |
| 76820 |
|
4,160 |
1,879 |
$178K |
| 11981 |
|
559 |
545 |
$176K |
| 93296 |
|
6,214 |
5,961 |
$174K |
| 82607 |
|
22,418 |
21,703 |
$173K |
| 12002 |
|
840 |
819 |
$173K |
| 71275 |
|
1,173 |
1,131 |
$172K |
| J3010 |
Fentanyl citrate injection |
69,722 |
57,007 |
$171K |
| 87880 |
|
13,853 |
13,397 |
$167K |
| 77334 |
|
1,423 |
1,171 |
$166K |
| 93922 |
|
3,469 |
3,359 |
$166K |
| 87522 |
Neg quan hep c or qual rna |
5,980 |
5,628 |
$166K |
| 29705 |
|
800 |
771 |
$164K |
| J2405 |
Ondansetron hcl injection |
76,872 |
61,134 |
$164K |
| 77066 |
Tomosynthesis, mammo |
5,514 |
5,409 |
$160K |
| 81001 |
|
79,062 |
72,335 |
$160K |
| 73110 |
|
17,315 |
13,410 |
$160K |
| 85610 |
|
84,844 |
52,169 |
$158K |
| V5266 |
Battery for hearing device |
1,860 |
1,755 |
$156K |
| 69210 |
|
3,433 |
3,250 |
$156K |
| 96368 |
|
2,730 |
1,866 |
$155K |
| 70486 |
|
2,292 |
2,199 |
$154K |
| 64721 |
|
195 |
193 |
$153K |
| 17000 |
|
1,532 |
1,442 |
$150K |
| 77295 |
|
347 |
321 |
$147K |
| 76604 |
|
1,974 |
1,883 |
$147K |
| 78451 |
|
456 |
444 |
$146K |
| 82803 |
|
9,660 |
8,305 |
$144K |
| 83970 |
|
8,849 |
8,474 |
$144K |
| M0222 |
Bebtelovimab injection |
859 |
803 |
$143K |
| 92134 |
|
16,738 |
16,026 |
$143K |
| 81511 |
|
1,572 |
1,552 |
$143K |
| 92585 |
|
462 |
451 |
$143K |
| 88307 |
|
3,195 |
2,995 |
$142K |
| 94070 |
|
826 |
800 |
$142K |
| 87040 |
|
19,793 |
10,656 |
$141K |
| J2543 |
Piperacillin/tazobactam |
7,323 |
2,888 |
$140K |
| 52310 |
|
251 |
237 |
$139K |
| 36224 |
|
60 |
60 |
$139K |
| 74230 |
|
1,096 |
1,057 |
$139K |
| D0120 |
|
4,739 |
4,671 |
$135K |
| 86317 |
|
13,464 |
12,650 |
$134K |
| 84439 |
|
23,798 |
22,701 |
$134K |
| 97804 |
|
1,648 |
1,593 |
$133K |
| 87340 |
|
18,081 |
17,464 |
$126K |
| 93458 |
|
117 |
106 |
$125K |
| 96375 |
|
57,394 |
45,248 |
$124K |
| 72125 |
|
9,458 |
8,845 |
$123K |
| J3111 |
Inj. romosozumab-aqqg 1 mg |
285 |
266 |
$123K |
| 92555 |
|
3,315 |
3,275 |
$122K |
| 99385 |
|
1,581 |
1,537 |
$122K |
| 86900 |
|
46,831 |
38,687 |
$121K |
| J2250 |
Inj midazolam hydrochloride |
50,772 |
45,615 |
$120K |
| 92015 |
|
9,921 |
9,809 |
$119K |
| J9217 |
Leuprolide acetate suspnsion |
363 |
349 |
$119K |
| M0243 |
Casirivi and imdevi inj |
466 |
440 |
$118K |
| 76942 |
|
2,807 |
2,641 |
$117K |
| 90714 |
|
5,283 |
5,087 |
$115K |
| 73502 |
|
11,199 |
10,527 |
$115K |
| 88341 |
|
6,015 |
5,407 |
$114K |
| 97140 |
|
6,200 |
3,383 |
$111K |
| J2704 |
Inj, propofol, 10 mg |
65,540 |
51,118 |
$110K |
| 82746 |
|
15,074 |
14,464 |
$110K |
| 87633 |
|
874 |
788 |
$110K |
| 87077 |
|
21,314 |
19,996 |
$107K |
| J1815 |
Insulin injection |
21,454 |
6,615 |
$106K |
| 76857 |
|
1,381 |
1,340 |
$106K |
| 76886 |
|
854 |
826 |
$106K |
| 87661 |
|
4,098 |
3,990 |
$105K |
| 84403 |
|
6,418 |
6,072 |
$105K |
| J1885 |
Ketorolac tromethamine inj |
49,135 |
40,197 |
$105K |
| 86360 |
|
4,809 |
4,644 |
$104K |
| 74018 |
|
5,416 |
4,904 |
$104K |
| 88142 |
|
7,043 |
6,954 |
$103K |
| 88305 |
|
39,226 |
36,310 |
$103K |
| 17311 |
|
319 |
264 |
$103K |
| 93351 |
|
1,579 |
1,543 |
$102K |
| 83655 |
|
9,322 |
9,150 |
$102K |
| 83540 |
|
27,130 |
25,877 |
$102K |
| 81329 |
|
933 |
925 |
$102K |
| 71271 |
|
2,622 |
2,566 |
$101K |
| 97530 |
|
4,599 |
2,830 |
$101K |
| 0001A |
|
3,332 |
3,070 |
$100K |
| 86140 |
|
32,229 |
30,224 |
$100K |
| G2066 |
Inter devc remote 30d |
2,473 |
2,128 |
$100K |
| 88173 |
|
2,513 |
2,148 |
$99K |
| 11100 |
|
414 |
392 |
$99K |
| 88112 |
|
3,510 |
3,233 |
$99K |
| G0297 |
Ldct for lung ca screen |
816 |
794 |
$99K |
| 84703 |
|
17,358 |
16,438 |
$98K |
| 87186 |
|
17,665 |
16,534 |
$98K |
| 82784 |
|
11,824 |
11,159 |
$97K |
| 82570 |
|
34,777 |
32,644 |
$95K |
| 71045 |
|
28,712 |
26,132 |
$94K |
| 76775 |
|
1,282 |
1,230 |
$93K |
| 76937 |
|
3,266 |
3,128 |
$92K |
| 82105 |
|
8,611 |
8,320 |
$92K |
| 86901 |
|
46,685 |
38,628 |
$91K |
| 0002A |
|
2,942 |
2,726 |
$91K |
| 72050 |
|
3,538 |
3,452 |
$90K |
| 51700 |
|
455 |
398 |
$89K |
| 94727 |
|
2,683 |
2,590 |
$89K |
| 62321 |
|
165 |
160 |
$89K |
| 73700 |
|
962 |
880 |
$88K |
| 74019 |
|
6,440 |
6,097 |
$86K |
| 92611 |
|
1,215 |
1,175 |
$86K |
| 86762 |
|
6,915 |
6,802 |
$85K |
| 81003 |
|
55,746 |
50,401 |
$84K |
| 74174 |
|
1,211 |
1,152 |
$84K |
| 36415 |
|
483,825 |
379,844 |
$84K |
| 86359 |
|
4,809 |
4,644 |
$84K |
| C9257 |
Bevacizumab injection |
5,399 |
3,936 |
$83K |
| 87081 |
|
14,436 |
14,110 |
$83K |
| 58340 |
|
137 |
134 |
$82K |
| J1644 |
Inj heparin sodium per 1000u |
14,777 |
7,243 |
$81K |
| 87497 |
|
6,110 |
2,885 |
$81K |
| 97162 |
|
2,158 |
1,950 |
$81K |
| 94729 |
|
3,835 |
3,710 |
$80K |
| Q5107 |
Inj mvasi 10 mg |
150 |
61 |
$80K |
| 90834 |
|
914 |
541 |
$80K |
| 75574 |
|
498 |
479 |
$79K |
| 77002 |
|
1,339 |
1,283 |
$78K |
| 62270 |
|
176 |
169 |
$77K |
| 73140 |
|
7,989 |
6,684 |
$77K |
| 86787 |
|
7,177 |
7,037 |
$77K |
| 93226 |
|
2,010 |
1,973 |
$77K |
| ATP17 |
|
10,280 |
8,799 |
$76K |
| 90677 |
|
1,846 |
1,817 |
$76K |
| 80061 |
|
56,929 |
55,428 |
$75K |
| 93225 |
|
1,435 |
1,410 |
$75K |
| 95911 |
|
1,222 |
1,157 |
$75K |
| V5264 |
Ear mold/insert |
1,018 |
978 |
$75K |
| 93926 |
|
541 |
509 |
$74K |
| 84153 |
|
9,883 |
9,457 |
$73K |
| 82670 |
|
3,859 |
3,521 |
$73K |
| 87481 |
|
1,865 |
1,812 |
$73K |
| 73080 |
|
7,135 |
6,360 |
$73K |
| 64415 |
|
408 |
396 |
$73K |
| 95117 |
|
3,356 |
1,937 |
$71K |
| 87070 |
|
13,050 |
11,468 |
$71K |
| 73590 |
|
8,984 |
7,639 |
$71K |
| M0247 |
Sotrovimab infusion |
301 |
295 |
$70K |
| 72082 |
|
2,031 |
1,983 |
$69K |
| 72110 |
|
2,583 |
2,524 |
$66K |
| 87502 |
|
1,065 |
1,023 |
$66K |
| 92595 |
|
1,204 |
1,168 |
$64K |
| 87641 |
|
4,553 |
3,310 |
$64K |
| 80074 |
|
2,156 |
2,014 |
$64K |
| 43237 |
|
121 |
120 |
$64K |
| 95912 |
|
910 |
868 |
$64K |
| 86235 |
|
2,047 |
1,897 |
$63K |
| 77387 |
|
4,018 |
429 |
$63K |
| 84146 |
|
4,841 |
4,671 |
$63K |
| 83001 |
|
5,029 |
4,796 |
$63K |
| 43264 |
|
58 |
53 |
$63K |
| 20550 |
|
432 |
396 |
$63K |
| J0885 |
Epoetin alfa, non-esrd |
55 |
12 |
$62K |
| 86592 |
|
18,700 |
18,217 |
$61K |
| 92582 |
|
1,556 |
1,542 |
$61K |
| ATP03 |
|
21,643 |
18,367 |
$60K |
| 86780 |
|
5,835 |
5,716 |
$60K |
| J1170 |
Hydromorphone injection |
13,290 |
8,653 |
$59K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
68,658 |
62,450 |
$59K |
| 26055 |
|
114 |
84 |
$59K |
| 83516 |
|
5,126 |
4,140 |
$58K |
| J2997 |
Alteplase recombinant |
732 |
623 |
$58K |
| 29125 |
|
617 |
568 |
$58K |
| 82043 |
|
21,962 |
21,406 |
$58K |
| 87636 |
|
514 |
499 |
$58K |
| 92553 |
|
1,069 |
1,047 |
$56K |
| 84402 |
|
3,169 |
3,040 |
$56K |
| 88184 |
|
1,800 |
1,605 |
$56K |
| 86704 |
|
7,750 |
7,493 |
$55K |
| 80197 |
|
14,010 |
8,021 |
$55K |
| 96401 |
|
492 |
351 |
$55K |
| 77301 |
|
183 |
175 |
$55K |
| 0124A |
|
2,326 |
2,270 |
$54K |
| 85730 |
|
14,707 |
13,485 |
$53K |
| 90480 |
|
1,519 |
1,513 |
$53K |
| 86038 |
|
7,387 |
6,576 |
$52K |
| 74170 |
|
232 |
226 |
$52K |
| 52332 |
|
141 |
133 |
$52K |
| C9803 |
Hopd covid-19 spec collect |
13,019 |
11,810 |
$52K |
| 99386 |
|
709 |
681 |
$51K |
| J0574 |
Bupren/nal 6.1 to 10mg bupre |
2,075 |
994 |
$51K |
| 90670 |
|
8,921 |
8,669 |
$50K |
| 93270 |
|
1,103 |
1,083 |
$50K |
| 85379 |
|
7,315 |
6,933 |
$50K |
| Q3014 |
Telehealth facility fee |
25,690 |
23,101 |
$50K |
| J0690 |
Cefazolin sodium injection |
19,301 |
14,821 |
$50K |
| J0696 |
Ceftriaxone sodium injection |
18,686 |
13,079 |
$50K |
| 87902 |
|
435 |
422 |
$50K |
| ATP16 |
|
5,912 |
3,799 |
$48K |
| J2270 |
Morphine sulfate injection |
21,410 |
15,782 |
$48K |
| ATP10 |
|
7,111 |
6,075 |
$48K |
| 77290 |
|
216 |
185 |
$48K |
| 77280 |
|
298 |
261 |
$47K |
| 83002 |
|
3,596 |
3,331 |
$47K |
| 73090 |
|
7,163 |
5,992 |
$47K |
| 85652 |
|
29,133 |
27,563 |
$47K |
| 99152 |
|
11,263 |
10,616 |
$46K |
| 73562 |
|
6,572 |
5,167 |
$45K |
| 29065 |
|
186 |
156 |
$45K |
| 92133 |
|
5,124 |
5,001 |
$45K |
| 87799 |
|
3,816 |
1,840 |
$44K |
| ATP09 |
|
6,150 |
4,718 |
$44K |
| 81002 |
|
18,241 |
13,567 |
$44K |
| J2930 |
Methylprednisolone injection |
5,718 |
4,205 |
$42K |
| 86618 |
|
4,068 |
3,877 |
$42K |
| 86160 |
|
3,330 |
3,115 |
$42K |
| 87804 |
|
3,716 |
2,231 |
$42K |
| 76825 |
|
474 |
448 |
$41K |
| 92083 |
|
4,087 |
3,983 |
$41K |
| 97535 |
|
951 |
775 |
$40K |
| 82962 |
|
125,147 |
67,187 |
$40K |
| 72070 |
|
2,936 |
2,842 |
$40K |
| V5014 |
Hearing aid repair/modifying |
744 |
705 |
$40K |
| 47563 |
|
13 |
13 |
$40K |
| 64635 |
|
63 |
61 |
$40K |
| 97035 |
|
696 |
433 |
$40K |
| 93923 |
|
702 |
675 |
$40K |
| 95812 |
|
96 |
93 |
$40K |
| 82652 |
|
1,666 |
1,625 |
$39K |
| 73560 |
|
6,784 |
5,719 |
$39K |
| 90846 |
|
466 |
461 |
$39K |
| 11056 |
|
446 |
428 |
$39K |
| 20553 |
|
277 |
262 |
$39K |
| 11721 |
|
3,647 |
3,567 |
$39K |
| U0002 |
Covid-19 lab test non-cdc |
2,566 |
2,370 |
$39K |
| 88342 |
|
9,292 |
8,614 |
$38K |
| 95165 |
|
3,654 |
2,060 |
$38K |
| 92652 |
|
676 |
657 |
$38K |
| J1439 |
Inj ferric carboxymaltos 1mg |
95 |
67 |
$38K |
| ATP11 |
|
6,228 |
5,422 |
$38K |
| 73552 |
|
5,745 |
5,111 |
$38K |
| 66982 |
|
63 |
59 |
$37K |
| 87517 |
|
1,589 |
1,515 |
$37K |
| 72040 |
|
3,287 |
3,139 |
$36K |
| 83020 |
|
3,472 |
3,305 |
$36K |
| 90739 |
|
1,735 |
1,693 |
$36K |
| 86833 |
|
1,189 |
1,070 |
$36K |
| A9270 |
Non-covered item or service |
30,154 |
13,038 |
$35K |
| 0003A |
|
974 |
948 |
$35K |
| 86923 |
|
3,162 |
2,168 |
$35K |
| 92250 |
|
4,299 |
4,140 |
$35K |
| 88360 |
|
1,488 |
1,339 |
$34K |
| 90691 |
|
1,770 |
1,687 |
$34K |
| 86832 |
|
804 |
732 |
$33K |
| 36902 |
|
12 |
12 |
$33K |
| 11982 |
|
202 |
198 |
$33K |
| 90472 |
|
27,081 |
26,322 |
$33K |
| 82785 |
|
2,966 |
2,813 |
$33K |
| P9016 |
Rbc leukocytes reduced |
2,606 |
2,115 |
$33K |
| 90656 |
|
1,756 |
1,743 |
$33K |
| 86800 |
|
3,447 |
3,330 |
$33K |
| 57454 |
|
108 |
105 |
$32K |
| 87205 |
|
11,505 |
9,742 |
$32K |
| C8929 |
Tte w or wo fol wcon,doppler |
365 |
364 |
$32K |
| 0071A |
|
706 |
704 |
$32K |
| 85018 |
|
17,957 |
16,165 |
$31K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
2,161 |
2,055 |
$31K |
| 82951 |
|
2,608 |
2,332 |
$31K |
| J9263 |
Oxaliplatin |
151 |
74 |
$30K |
| 72170 |
|
4,189 |
3,991 |
$30K |
| 87075 |
|
5,734 |
4,692 |
$30K |
| 85045 |
|
9,803 |
8,159 |
$30K |
| 92591 |
|
950 |
948 |
$29K |
| 90717 |
|
669 |
634 |
$29K |
| 84480 |
|
3,063 |
2,944 |
$29K |
| ATP07 |
|
4,399 |
3,921 |
$29K |
| 74221 |
|
265 |
257 |
$29K |
| 99153 |
Mod sedat endo service >5yrs |
8,950 |
8,464 |
$29K |
| 86376 |
|
2,994 |
2,907 |
$29K |
| 42830 |
|
15 |
15 |
$29K |
| 90732 |
|
2,405 |
2,326 |
$28K |
| 82627 |
|
1,728 |
1,687 |
$28K |
| 76519 |
|
622 |
599 |
$28K |
| 57455 |
|
102 |
96 |
$27K |
| 92594 |
|
1,216 |
865 |
$27K |
| 64450 |
|
146 |
140 |
$27K |
| 0053A |
|
868 |
859 |
$27K |
| 84156 |
|
11,662 |
10,453 |
$27K |
| C1769 |
Guide wire |
8,353 |
7,638 |
$27K |
| J3475 |
Inj magnesium sulfate |
10,351 |
7,183 |
$26K |
| J0689 |
Inj cefazolin sodium, baxter |
4,755 |
3,778 |
$26K |
| 84165 |
|
5,760 |
5,523 |
$26K |
| 83520 |
|
2,151 |
1,981 |
$26K |
| 76827 |
|
516 |
488 |
$26K |
| 0072A |
|
564 |
561 |
$26K |
| 90746 |
|
1,211 |
1,137 |
$25K |
| 10061 |
|
164 |
150 |
$25K |
| 20552 |
|
148 |
144 |
$25K |
| G0279 |
Tomosynthesis, mammo |
1,725 |
1,697 |
$25K |
| 82378 |
|
2,743 |
2,326 |
$25K |
| 81508 |
|
961 |
951 |
$25K |
| 86708 |
|
3,409 |
3,316 |
$25K |
| J0171 |
Adrenalin epinephrine inject |
4,897 |
4,097 |
$25K |
| 36600 |
|
1,835 |
1,650 |
$25K |
| 90847 |
|
290 |
256 |
$25K |
| 80076 |
|
39,033 |
35,435 |
$24K |
| 99201 |
|
268 |
264 |
$24K |
| 95913 |
|
504 |
471 |
$24K |
| 72081 |
|
1,296 |
1,268 |
$24K |
| 99383 |
|
398 |
368 |
$24K |
| 72131 |
|
734 |
698 |
$24K |
| 76885 |
|
101 |
94 |
$24K |
| 69200 |
|
313 |
300 |
$23K |
| J1720 |
Hydrocortisone sodium succ i |
3,485 |
2,944 |
$23K |
| J1071 |
Inj testosterone cypionate |
1,511 |
713 |
$23K |
| 90832 |
|
541 |
397 |
$23K |
| 86304 |
|
2,349 |
2,057 |
$23K |
| 41899 |
|
26 |
26 |
$23K |
| Q0162 |
Ondansetron oral |
18,697 |
16,671 |
$23K |
| 99381 |
|
288 |
270 |
$23K |
| 96910 |
|
598 |
106 |
$22K |
| 71101 |
|
1,198 |
1,172 |
$22K |
| 84134 |
|
3,593 |
3,432 |
$22K |
| 74246 |
|
135 |
134 |
$22K |
| 86200 |
|
3,028 |
2,974 |
$22K |
| 86147 |
|
545 |
521 |
$22K |
| 86665 |
|
1,649 |
872 |
$22K |
| 92285 |
|
1,412 |
1,316 |
$21K |
| 73523 |
|
1,234 |
1,204 |
$21K |
| J3489 |
Zoledronic acid 1mg |
1,328 |
1,255 |
$21K |
| 82677 |
|
1,071 |
1,061 |
$21K |
| 83498 |
|
937 |
910 |
$21K |
| V5267 |
Hearing aid sup/access/dev |
840 |
757 |
$21K |
| 93304 |
|
55 |
53 |
$20K |
| 77338 |
|
194 |
186 |
$20K |
| 73060 |
|
3,759 |
3,323 |
$20K |
| 83721 |
|
4,183 |
4,096 |
$20K |
| 90632 |
|
1,190 |
1,124 |
$20K |
| 90662 |
|
2,382 |
2,328 |
$20K |
| 77001 |
|
358 |
342 |
$19K |
| 64494 |
|
1,951 |
1,759 |
$19K |
| 84681 |
|
1,595 |
1,509 |
$19K |
| 99397 |
|
604 |
593 |
$19K |
| 70360 |
|
1,059 |
1,028 |
$19K |
| 86225 |
|
2,912 |
2,478 |
$19K |
| 87798 |
|
958 |
811 |
$19K |
| G0008 |
Admin influenza virus vac |
9,027 |
8,781 |
$19K |
| J7512 |
Prednisone ir or dr oral 1mg |
8,143 |
4,497 |
$19K |
| 73000 |
|
1,724 |
1,518 |
$19K |
| ATP02 |
|
4,625 |
4,086 |
$18K |
| ATP18 |
|
2,724 |
2,382 |
$18K |
| ATP04 |
|
3,214 |
2,762 |
$18K |
| J2790 |
Rho d immune globulin inj |
121 |
116 |
$18K |
| 95910 |
|
242 |
229 |
$18K |
| 64490 |
|
25 |
25 |
$18K |
| 43762 |
|
98 |
89 |
$18K |
| 10022 |
|
127 |
111 |
$18K |
| 73070 |
|
2,812 |
2,340 |
$18K |
| 12032 |
|
269 |
258 |
$17K |
| D1110 |
|
824 |
552 |
$17K |
| 80177 |
|
2,251 |
2,106 |
$17K |
| 82533 |
|
1,916 |
1,760 |
$17K |
| 97166 |
|
293 |
257 |
$17K |
| 84163 |
|
1,234 |
1,213 |
$17K |
| 91200 |
|
200 |
196 |
$17K |
| 72072 |
|
1,129 |
1,096 |
$17K |
| 99406 |
|
1,464 |
1,399 |
$17K |
| 93280 |
|
850 |
828 |
$17K |
| 90734 |
|
4,018 |
3,884 |
$17K |
| 93298 |
|
766 |
728 |
$17K |
| 85014 |
|
9,376 |
8,198 |
$16K |
| 95004 |
|
306 |
282 |
$16K |
| 93299 |
|
412 |
380 |
$16K |
| J7050 |
Normal saline solution infus |
35,454 |
20,490 |
$16K |
| 86336 |
|
1,093 |
1,081 |
$16K |
| 51798 |
|
10,411 |
10,084 |
$16K |
| 51728 |
|
78 |
76 |
$16K |
| 80164 |
|
2,650 |
2,388 |
$16K |
| 86077 |
|
576 |
500 |
$16K |
| 0012A |
|
1,033 |
783 |
$16K |
| 87449 |
|
2,220 |
1,937 |
$16K |
| 84450 |
|
12,840 |
12,054 |
$16K |
| 87338 |
|
1,566 |
1,527 |
$15K |
| 84481 |
|
1,325 |
1,257 |
$15K |
| 82274 |
|
1,553 |
1,532 |
$15K |
| 80069 |
|
12,952 |
11,436 |
$15K |
| 20605 |
|
89 |
84 |
$15K |
| 91322 |
|
442 |
436 |
$15K |
| 86870 |
|
807 |
655 |
$15K |
| 97760 |
|
321 |
246 |
$15K |
| 86920 |
|
1,362 |
1,089 |
$14K |
| 0011A |
|
1,056 |
800 |
$14K |
| 82950 |
|
3,491 |
3,463 |
$14K |
| 0111A |
|
327 |
327 |
$14K |
| 86334 |
|
1,723 |
1,636 |
$14K |
| 83883 |
|
1,312 |
1,219 |
$14K |
| 86431 |
|
3,981 |
3,886 |
$14K |
| 86146 |
|
422 |
405 |
$13K |
| 84305 |
|
937 |
901 |
$13K |
| 82150 |
|
3,259 |
3,013 |
$13K |
| 82330 |
|
1,931 |
1,713 |
$13K |
| 73521 |
|
694 |
681 |
$13K |
| 38222 |
|
45 |
40 |
$13K |
| 74220 |
|
203 |
197 |
$13K |
| 92504 |
|
1,340 |
1,235 |
$12K |
| 25605 |
|
25 |
25 |
$12K |
| 64644 |
|
146 |
142 |
$12K |
| V5275 |
Ear impression |
954 |
948 |
$12K |
| 83013 |
|
236 |
231 |
$12K |
| 93978 |
|
150 |
146 |
$12K |
| 95250 |
|
386 |
361 |
$12K |
| 84100 |
|
35,959 |
24,689 |
$12K |
| 0052A |
|
305 |
303 |
$12K |
| 87147 |
|
2,632 |
2,499 |
$12K |
| 99218 |
|
1,662 |
785 |
$12K |
| 97116 |
|
480 |
263 |
$11K |
| J0131 |
Inj, acetaminophen (nos) |
2,166 |
1,743 |
$11K |
| 88304 |
|
9,279 |
8,879 |
$11K |
| 78264 |
|
44 |
43 |
$11K |
| J9355 |
Inj trastuzumab excl biosimi |
45 |
24 |
$11K |
| 70480 |
|
199 |
194 |
$11K |
| M0220 |
Tixagev and cilgav inj |
199 |
183 |
$11K |
| 82565 |
|
18,594 |
17,390 |
$11K |
| 82088 |
|
489 |
449 |
$11K |
| 0112A |
|
233 |
233 |
$11K |
| 64405 |
|
37 |
36 |
$11K |
| 67840 |
|
14 |
12 |
$11K |
| 19081 |
|
13 |
12 |
$11K |
| 92626 |
|
147 |
133 |
$11K |
| 87427 |
|
1,415 |
1,327 |
$11K |
| 89051 |
|
3,099 |
2,483 |
$10K |
| 0031A |
|
379 |
353 |
$10K |
| J0461 |
Atropine sulfate injection |
571 |
379 |
$10K |
| 64495 |
|
763 |
729 |
$10K |
| J2785 |
Regadenoson injection |
3,391 |
3,268 |
$10K |
| 86301 |
|
1,066 |
929 |
$10K |
| J3370 |
Vancomycin hcl injection |
4,473 |
2,544 |
$10K |
| 36901 |
|
12 |
12 |
$10K |
| 82550 |
|
10,216 |
9,010 |
$10K |
| 11730 |
|
148 |
145 |
$10K |
| 91010 |
|
13 |
13 |
$10K |
| 86765 |
|
1,003 |
977 |
$10K |
| 87206 |
|
2,486 |
1,853 |
$10K |
| 86735 |
|
981 |
955 |
$9K |
| 83615 |
|
16,126 |
10,721 |
$9K |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
4,543 |
4,266 |
$9K |
| 93320 |
|
1,396 |
1,366 |
$9K |
| 87651 |
|
305 |
294 |
$9K |
| 84445 |
|
307 |
301 |
$9K |
| 83521 |
|
1,737 |
1,650 |
$9K |
| 88175 |
|
1,661 |
1,576 |
$9K |
| 96376 |
|
11,076 |
9,177 |
$9K |
| 74328 |
|
287 |
270 |
$9K |
| 0051A |
|
224 |
222 |
$9K |
| 99384 |
|
241 |
227 |
$9K |
| 87045 |
|
1,441 |
1,353 |
$9K |
| 87102 |
|
1,715 |
1,467 |
$9K |
| 94664 |
|
4,537 |
3,538 |
$9K |
| 80179 |
|
2,268 |
2,145 |
$9K |
| J0295 |
Ampicillin sulbactam 1.5 gm |
2,150 |
722 |
$9K |
| 92002 |
|
104 |
103 |
$8K |
| 51705 |
|
38 |
36 |
$8K |
| ATP13 |
|
1,197 |
1,030 |
$8K |
| 74160 |
|
101 |
100 |
$8K |
| 99205 |
Prolong outpt/office vis |
72 |
71 |
$8K |
| 86258 |
|
1,348 |
1,169 |
$8K |
| 90716 |
|
2,164 |
2,116 |
$8K |
| 88302 |
|
1,662 |
1,442 |
$8K |
| 55700 |
|
16 |
16 |
$8K |
| 90633 |
|
4,929 |
4,824 |
$8K |
| 76831 |
|
59 |
58 |
$8K |
| 82140 |
|
959 |
838 |
$8K |
| 87801 |
|
203 |
193 |
$8K |
| 84270 |
|
571 |
558 |
$8K |
| 92610 |
|
66 |
65 |
$8K |
| 90999 |
|
156 |
73 |
$7K |
| 86021 |
|
1,151 |
777 |
$7K |
| J2060 |
Lorazepam injection |
8,046 |
6,327 |
$7K |
| 83993 |
|
617 |
585 |
$7K |
| 83921 |
|
774 |
755 |
$7K |
| 51600 |
|
26 |
24 |
$7K |
| 84244 |
|
559 |
526 |
$7K |
| J1030 |
Methylprednisolone 40 mg inj |
9,524 |
9,196 |
$7K |
| 82610 |
|
666 |
635 |
$7K |
| 36593 |
|
105 |
91 |
$7K |
| 82365 |
|
899 |
857 |
$7K |
| 82390 |
|
934 |
903 |
$7K |
| 96523 |
|
449 |
347 |
$7K |
| 87521 |
Neg quan hep c or qual rna |
335 |
320 |
$7K |
| 86580 |
|
1,218 |
1,001 |
$7K |
| 36561 |
|
13 |
13 |
$7K |
| 36589 |
|
25 |
25 |
$7K |
| 27096 |
|
13 |
13 |
$7K |
| 85041 |
|
2,627 |
2,587 |
$6K |
| 94726 |
|
137 |
134 |
$6K |
| 86664 |
|
551 |
536 |
$6K |
| 11103 |
|
210 |
197 |
$6K |
| J1726 |
Makena, 10 mg |
80 |
24 |
$6K |
| 51702 |
|
2,743 |
2,502 |
$6K |
| 95909 |
|
92 |
82 |
$6K |
| 94761 |
|
6,367 |
6,036 |
$6K |
| ATP05 |
|
988 |
893 |
$6K |
| 99402 |
|
681 |
611 |
$6K |
| 81229 |
|
221 |
180 |
$6K |
| J7030 |
Normal saline solution infus |
19,314 |
11,746 |
$6K |
| J7120 |
Ringers lactate infusion |
15,808 |
12,908 |
$6K |
| 83021 |
|
408 |
376 |
$6K |
| 86039 |
|
860 |
827 |
$6K |
| 0054A |
|
307 |
306 |
$6K |
| 84432 |
|
783 |
745 |
$6K |
| 86255 |
|
901 |
797 |
$6K |
| J3301 |
Triamcinolone acet inj nos |
10,558 |
9,732 |
$6K |
| 88300 |
|
2,060 |
1,991 |
$6K |
| 96112 |
|
252 |
196 |
$6K |
| 74022 |
|
805 |
779 |
$6K |
| 86341 |
|
655 |
349 |
$5K |
| 80175 |
|
910 |
854 |
$5K |
| 84300 |
|
1,665 |
1,519 |
$5K |
| 97112 |
|
281 |
206 |
$5K |
| 84550 |
|
12,490 |
8,810 |
$5K |
| 83525 |
|
544 |
480 |
$5K |
| 84132 |
|
4,712 |
3,951 |
$5K |
| 77091 |
|
816 |
802 |
$5K |
| 90707 |
|
2,488 |
2,404 |
$5K |
| 84460 |
|
14,270 |
13,399 |
$5K |
| J0640 |
Leucovorin calcium injection |
2,048 |
788 |
$5K |
| 0073A |
|
108 |
108 |
$5K |
| 99382 |
|
126 |
122 |
$5K |
| J1750 |
Inj iron dextran |
182 |
94 |
$5K |
| 51784 |
|
24 |
24 |
$5K |
| J0330 |
Succinycholine chloride inj |
9,802 |
9,145 |
$5K |
| 87116 |
|
788 |
560 |
$5K |
| 86008 |
|
36 |
35 |
$5K |
| J1630 |
Haloperidol injection |
2,623 |
2,244 |
$5K |
| 92588 |
|
27 |
27 |
$5K |
| 90685 |
|
1,065 |
1,000 |
$5K |
| 80183 |
|
590 |
560 |
$4K |
| C1894 |
Intro/sheath, non-laser |
5,235 |
4,858 |
$4K |
| 88720 |
|
986 |
634 |
$4K |
| 17312 |
|
39 |
25 |
$4K |
| 87046 |
|
616 |
581 |
$4K |
| 86705 |
|
511 |
490 |
$4K |
| 43259 |
|
16 |
16 |
$4K |
| 88237 |
|
88 |
80 |
$4K |
| 82103 |
|
475 |
455 |
$4K |
| J0702 |
Betamethasone acet&sod phosp |
78 |
41 |
$4K |
| 82040 |
|
6,600 |
6,018 |
$4K |
| 92511 |
|
14 |
12 |
$4K |
| 85347 |
|
1,431 |
1,093 |
$4K |
| 29580 |
|
28 |
13 |
$4K |
| 52005 |
|
26 |
25 |
$4K |
| 29823 |
|
12 |
12 |
$4K |
| 0064A |
|
247 |
239 |
$4K |
| 90648 |
|
1,291 |
1,247 |
$4K |
| 82024 |
|
191 |
181 |
$4K |
| 87324 |
|
626 |
602 |
$4K |
| ATP23 |
|
377 |
302 |
$4K |
| 84425 |
|
332 |
319 |
$4K |
| 80047 |
|
4,015 |
3,702 |
$4K |
| 96417 |
|
4,519 |
2,830 |
$4K |
| 86696 |
|
248 |
233 |
$4K |
| 87015 |
|
997 |
709 |
$4K |
| 83010 |
|
460 |
424 |
$4K |
| 82340 |
|
903 |
866 |
$4K |
| 51741 |
|
151 |
145 |
$4K |
| 73660 |
|
229 |
215 |
$3K |
| 95885 |
|
39 |
36 |
$3K |
| J1040 |
Methylprednisolone 80 mg inj |
5,196 |
4,888 |
$3K |
| 87209 |
|
283 |
263 |
$3K |
| J0780 |
Prochlorperazine injection |
1,149 |
847 |
$3K |
| 90653 |
|
245 |
242 |
$3K |
| 80178 |
|
881 |
762 |
$3K |
| P9040 |
Rbc leukoreduced irradiated |
606 |
304 |
$3K |
| 82077 |
|
3,367 |
3,143 |
$3K |
| J2272 |
Inj, morphine (fresenius) |
2,194 |
1,782 |
$3K |
| 82397 |
|
339 |
329 |
$3K |
| 83519 |
|
329 |
288 |
$3K |
| J2920 |
Methylprednisolone injection |
975 |
771 |
$3K |
| 90696 |
|
1,612 |
1,567 |
$3K |
| 0154A |
|
90 |
85 |
$3K |
| 82947 |
|
3,798 |
3,450 |
$3K |
| 92700 |
|
27 |
27 |
$3K |
| 82310 |
|
5,237 |
4,640 |
$3K |
| 84520 |
|
7,429 |
6,835 |
$3K |
| 90673 |
|
115 |
115 |
$3K |
| 20600 |
|
13 |
13 |
$3K |
| 17003 |
|
317 |
305 |
$3K |
| 72220 |
|
222 |
216 |
$3K |
| 94760 |
|
3,033 |
2,374 |
$3K |
| J0561 |
Penicillin g benzathine inj |
18 |
14 |
$3K |
| 92604 |
|
96 |
76 |
$3K |
| 84144 |
|
208 |
132 |
$3K |
| 80165 |
|
434 |
405 |
$3K |
| 88264 |
|
41 |
38 |
$3K |
| 83550 |
|
710 |
679 |
$2K |
| 86695 |
|
244 |
231 |
$2K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
1,889 |
1,843 |
$2K |
| 36591 |
|
2,577 |
1,520 |
$2K |
| 86644 |
|
245 |
229 |
$2K |
| 86364 |
|
2,981 |
2,779 |
$2K |
| 84155 |
|
5,342 |
5,110 |
$2K |
| 87210 |
|
569 |
543 |
$2K |
| 73565 |
|
742 |
731 |
$2K |
| 82172 |
|
205 |
201 |
$2K |
| 90473 |
|
4,560 |
4,535 |
$2K |
| 86308 |
|
527 |
503 |
$2K |
| G0475 |
Hiv combination assay |
2,098 |
2,066 |
$2K |
| J0572 |
Bupren/nal up to 3mg bupreno |
55 |
26 |
$2K |
| 90791 |
|
89 |
87 |
$2K |
| H0035 |
Mh partial hosp tx under 24h |
14 |
14 |
$2K |
| J8499 |
Oral prescrip drug non chemo |
2,826 |
941 |
$2K |
| 85576 |
|
132 |
93 |
$2K |
| 88312 |
|
2,048 |
1,932 |
$2K |
| 84157 |
|
907 |
808 |
$2K |
| 78306 |
|
19 |
19 |
$2K |
| 82945 |
|
832 |
746 |
$2K |
| 82248 |
|
4,082 |
3,625 |
$2K |
| 70487 |
|
26 |
24 |
$2K |
| 92540 |
|
54 |
54 |
$2K |
| 0164A |
|
42 |
42 |
$2K |
| 69209 |
|
12 |
12 |
$2K |
| A9505 |
Tl201 thallium |
1,210 |
1,134 |
$2K |
| 80143 |
|
2,021 |
1,859 |
$2K |
| 88313 |
|
801 |
729 |
$2K |
| 83718 |
|
301 |
301 |
$2K |
| J9045 |
Carboplatin injection |
1,368 |
864 |
$2K |
| 80156 |
|
339 |
315 |
$2K |
| 87177 |
|
282 |
262 |
$2K |
| 86141 |
|
278 |
263 |
$2K |
| J2310 |
Inj naloxone hydrochloride |
53 |
41 |
$2K |
| G0009 |
Admin pneumococcal vaccine |
2,468 |
2,385 |
$2K |
| 90620 |
|
70 |
68 |
$2K |
| 76706 |
|
43 |
39 |
$2K |
| 87650 |
|
155 |
152 |
$2K |
| 82247 |
|
1,616 |
1,223 |
$2K |
| D1120 |
|
30 |
29 |
$1K |
| 92593 |
|
67 |
67 |
$1K |
| V5020 |
Conformity evaluation |
24 |
24 |
$1K |
| 92551 |
|
12 |
12 |
$1K |
| J1790 |
Droperidol injection |
2,222 |
1,943 |
$1K |
| 80203 |
|
205 |
190 |
$1K |
| 92556 |
|
26 |
25 |
$1K |
| 85613 |
|
231 |
215 |
$1K |
| 72190 |
|
224 |
215 |
$1K |
| J0694 |
Cefoxitin sodium injection |
128 |
76 |
$1K |
| J2001 |
Lidocaine injection |
15,862 |
14,411 |
$1K |
| 82104 |
|
153 |
152 |
$1K |
| 83935 |
|
369 |
320 |
$1K |
| 95874 |
|
541 |
523 |
$1K |
| 86381 |
|
357 |
334 |
$1K |
| 87640 |
|
661 |
373 |
$1K |
| 36592 |
|
2,086 |
1,270 |
$1K |
| 90678 |
|
47 |
47 |
$1K |
| 89060 |
|
348 |
329 |
$1K |
| J2710 |
Neostigmine methylslfte inj |
6,640 |
6,152 |
$1K |
| J2765 |
Metoclopramide hcl injection |
10,379 |
8,785 |
$1K |
| J3360 |
Diazepam injection |
680 |
535 |
$1K |
| 88262 |
|
12 |
12 |
$1K |
| 83835 |
|
117 |
97 |
$1K |
| 82977 |
|
2,259 |
2,101 |
$1K |
| 87625 |
|
153 |
149 |
$1K |
| 93976 |
|
12 |
12 |
$1K |
| 77073 |
|
45 |
41 |
$1K |
| 72080 |
|
43 |
41 |
$1K |
| 84166 |
|
158 |
143 |
$1K |
| J0456 |
Azithromycin |
228 |
155 |
$1K |
| 88230 |
|
12 |
12 |
$1K |
| 73200 |
|
25 |
24 |
$1K |
| C1887 |
Catheter, guiding |
1,577 |
1,486 |
$1K |
| 88311 |
|
1,386 |
1,258 |
$992.05 |
| 76098 |
|
13 |
12 |
$973.30 |
| 88172 |
|
54 |
51 |
$950.16 |
| 76872 |
|
16 |
16 |
$936.46 |
| 84590 |
|
120 |
119 |
$935.06 |
| 51701 |
|
1,905 |
1,835 |
$907.62 |
| 64643 |
|
14 |
12 |
$900.62 |
| 82952 |
|
281 |
279 |
$896.82 |
| 86593 |
|
303 |
290 |
$895.94 |
| 72202 |
|
93 |
93 |
$847.04 |
| 82731 |
|
14 |
14 |
$822.50 |
| 86617 |
|
182 |
84 |
$816.00 |
| 92537 |
|
14 |
14 |
$815.68 |
| 82465 |
|
906 |
870 |
$779.34 |
| J1580 |
Garamycin gentamicin inj |
241 |
192 |
$771.17 |
| 12051 |
|
13 |
13 |
$765.21 |
| 98926 |
|
15 |
13 |
$757.35 |
| 75625 |
|
12 |
12 |
$750.57 |
| 81206 |
|
13 |
12 |
$747.80 |
| 86812 |
|
40 |
40 |
$746.26 |
| 86015 |
|
529 |
472 |
$668.41 |
| 90744 |
|
3,151 |
3,041 |
$649.10 |
| 71100 |
|
26 |
26 |
$630.64 |
| 96111 |
|
467 |
294 |
$629.87 |
| 86922 |
|
54 |
36 |
$624.96 |
| 80185 |
|
128 |
112 |
$624.78 |
| 93312 |
|
12 |
12 |
$612.60 |
| 87255 |
|
27 |
24 |
$583.11 |
| 84446 |
|
65 |
64 |
$582.61 |
| J3411 |
Thiamine hcl 100 mg |
164 |
94 |
$564.28 |
| V5011 |
Hearing aid fitting/checking |
25 |
25 |
$562.16 |
| A9500 |
Tc99m sestamibi |
2,593 |
2,489 |
$557.57 |
| 77081 |
|
12 |
12 |
$540.77 |
| 73100 |
|
104 |
86 |
$531.85 |
| 93229 |
|
12 |
12 |
$522.00 |
| 82507 |
|
26 |
25 |
$507.40 |
| 90636 |
|
74 |
73 |
$504.53 |
| 95249 |
|
12 |
12 |
$487.85 |
| 87329 |
|
53 |
49 |
$474.33 |
| 70250 |
|
41 |
37 |
$472.98 |
| J9267 |
Paclitaxel injection |
1,317 |
647 |
$471.35 |
| C1760 |
Closure dev, vasc |
692 |
657 |
$455.54 |
| 86355 |
|
43 |
40 |
$451.50 |
| 82010 |
|
75 |
64 |
$428.14 |
| 64484 |
|
158 |
157 |
$411.30 |
| S0119 |
Ondansetron 4 mg |
941 |
917 |
$411.01 |
| C2617 |
Stent, non-cor, tem w/o del |
1,758 |
1,620 |
$407.34 |
| 82375 |
|
52 |
49 |
$406.98 |
| 86357 |
|
27 |
26 |
$404.26 |
| 82553 |
|
53 |
50 |
$377.57 |
| 90661 |
|
28 |
28 |
$362.00 |
| A4648 |
Implantable tissue marker |
1,072 |
972 |
$347.94 |
| 83930 |
|
75 |
68 |
$347.74 |
| C1726 |
Cath, bal dil, non-vascular |
372 |
356 |
$345.56 |
| 80202 |
|
71 |
27 |
$340.88 |
| 82166 |
|
14 |
14 |
$340.60 |
| 87220 |
|
121 |
117 |
$338.83 |
| 90682 |
|
219 |
216 |
$337.79 |
| J0692 |
Cefepime hcl for injection |
246 |
48 |
$336.96 |
| 98927 |
|
14 |
12 |
$328.01 |
| 75710 |
|
12 |
12 |
$321.67 |
| 80195 |
|
53 |
14 |
$313.25 |
| 82272 |
|
185 |
176 |
$312.99 |
| 82157 |
|
12 |
12 |
$309.84 |
| 92517 |
|
12 |
12 |
$298.21 |
| J2795 |
Ropivacaine hcl injection |
1,820 |
1,457 |
$297.28 |
| 76376 |
|
3,282 |
3,108 |
$296.61 |
| V2632 |
Post chmbr intraocular lens |
1,664 |
1,449 |
$286.97 |
| 96377 |
|
803 |
614 |
$274.97 |
| P9047 |
Albumin (human), 25%, 50ml |
53 |
27 |
$267.98 |
| 76514 |
|
14 |
14 |
$262.36 |
| 82787 |
|
15 |
14 |
$254.52 |
| 82085 |
|
41 |
41 |
$254.18 |
| C1725 |
Cath, translumin non-laser |
919 |
874 |
$254.02 |
| 86769 |
|
14 |
13 |
$252.78 |
| ATP06 |
|
44 |
39 |
$250.48 |
| 87593 |
|
13 |
12 |
$247.60 |
| 83945 |
|
27 |
26 |
$246.54 |
| 92136 |
|
14 |
14 |
$241.20 |
| 82164 |
|
26 |
26 |
$234.92 |
| 80299 |
|
27 |
24 |
$222.77 |
| 93282 |
|
14 |
13 |
$208.25 |
| 80158 |
|
23 |
12 |
$204.82 |
| A4217 |
Sterile water/saline, 500 ml |
829 |
709 |
$201.51 |
| 82232 |
|
28 |
27 |
$199.97 |
| 36416 |
|
4,935 |
4,572 |
$196.80 |
| 84295 |
|
1,597 |
1,378 |
$185.41 |
| J7510 |
Prednisolone oral per 5 mg |
193 |
176 |
$182.40 |
| 84206 |
|
12 |
12 |
$177.48 |
| J1010 |
Inj, methylpred acetate 1 mg |
1,073 |
981 |
$172.46 |
| 80184 |
|
41 |
38 |
$165.34 |
| 85384 |
|
24 |
24 |
$163.20 |
| 73650 |
|
27 |
25 |
$157.66 |
| 86777 |
|
13 |
12 |
$157.56 |
| 84133 |
|
53 |
51 |
$157.20 |
| J2919 |
Inj, methylpred sod succ 5mg |
542 |
327 |
$155.11 |
| J2471 |
Inj pantoprazole(hikma) 40mg |
125 |
70 |
$155.11 |
| 83090 |
|
12 |
12 |
$153.90 |
| 85660 |
|
48 |
36 |
$140.94 |
| 84630 |
|
13 |
13 |
$130.65 |
| 73010 |
|
15 |
14 |
$128.71 |
| J0670 |
Inj mepivacaine hcl/10 ml |
269 |
157 |
$128.36 |
| J1956 |
Levofloxacin injection |
226 |
193 |
$128.36 |
| 90713 |
|
87 |
80 |
$125.08 |
| 83986 |
|
57 |
52 |
$120.00 |
| 87807 |
|
13 |
12 |
$118.10 |
| 86709 |
|
14 |
13 |
$116.20 |
| J2370 |
Phenylephrine hcl injection |
1,654 |
1,524 |
$116.01 |
| J9190 |
Fluorouracil injection |
2,746 |
1,024 |
$109.08 |
| 84105 |
|
27 |
26 |
$99.12 |
| 84075 |
|
753 |
670 |
$97.80 |
| 99195 |
|
29 |
25 |
$86.80 |
| 84392 |
|
26 |
25 |
$86.60 |
| 84560 |
|
26 |
25 |
$86.60 |
| 90474 |
|
689 |
663 |
$82.39 |
| 90688 |
|
40 |
40 |
$79.40 |
| Q0163 |
Diphenhydramine hcl 50mg |
6,374 |
4,431 |
$78.96 |
| 92025 |
|
46 |
44 |
$78.58 |
| 86880 |
|
27 |
26 |
$76.00 |
| 77417 |
|
47 |
29 |
$75.61 |
| 90619 |
|
112 |
104 |
$68.89 |
| J2550 |
Promethazine hcl injection |
41 |
34 |
$54.04 |
| 84436 |
|
16 |
16 |
$49.56 |
| 91305 |
|
1,294 |
1,251 |
$47.76 |
| C8930 |
Tte w or w/o contr, cont ecg |
146 |
143 |
$39.20 |
| 89055 |
|
13 |
12 |
$35.20 |
| J2359 |
Inj. olanzapine, 0.5mg |
194 |
112 |
$27.94 |
| 90710 |
|
1,747 |
1,700 |
$23.88 |
| 81596 |
|
567 |
552 |
$20.00 |
| 84478 |
|
178 |
142 |
$15.54 |
| 73600 |
|
33 |
28 |
$15.11 |
| C9399 |
Unclassified drugs or biolog |
820 |
312 |
$13.65 |
| J3480 |
Inj potassium chloride |
2,893 |
1,826 |
$6.26 |
| G0101 |
Ca screen;pelvic/breast exam |
128 |
126 |
$5.76 |
| 90700 |
|
165 |
154 |
$3.37 |
| P9612 |
Catheterize for urine spec |
467 |
450 |
$3.15 |
| Q0164 |
Prochlorperazine maleate 5mg |
2,050 |
1,124 |
$2.58 |
| 81005 |
|
15 |
15 |
$2.24 |
| G0010 |
Admin hepatitis b vaccine |
454 |
433 |
$1.61 |
| G8978 |
Mobility current status |
820 |
719 |
$0.01 |
| G8979 |
Mobility goal status |
824 |
728 |
$0.01 |
| Q9950 |
Inj sulf hexa lipid microsph |
892 |
705 |
$0.00 |
| C1776 |
Joint device (implantable) |
57 |
56 |
$0.00 |
| 93356 |
|
750 |
729 |
$0.00 |
| L3913 |
Hfo w/o joints cf |
329 |
312 |
$0.00 |
| J7070 |
D5w infusion |
1,784 |
854 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
168 |
166 |
$0.00 |
| 81479 |
|
316 |
288 |
$0.00 |
| A9541 |
Tc99m sulfur colloid |
235 |
226 |
$0.00 |
| S0164 |
Injection pantroprazole |
3,034 |
1,436 |
$0.00 |
| C1758 |
Catheter, ureteral |
90 |
87 |
$0.00 |
| 81336 |
|
28 |
27 |
$0.00 |
| G0500 |
Mod sedat endo service >5yrs |
1,075 |
1,063 |
$0.00 |
| J3473 |
Hyaluronidase recombinant |
131 |
119 |
$0.00 |
| G8989 |
Self care d/c status |
125 |
123 |
$0.00 |
| G0390 |
Trauma respons w/hosp criti |
28 |
28 |
$0.00 |
| G8985 |
Carry goal status |
84 |
79 |
$0.00 |
| Q9956 |
Inj octafluoropropane mic,ml |
182 |
129 |
$0.00 |
| 99188 |
|
97 |
97 |
$0.00 |
| 64491 |
|
25 |
25 |
$0.00 |
| 91300 |
|
5,371 |
4,664 |
$0.00 |
| L3908 |
Who cock-up nonmolde pre ots |
57 |
51 |
$0.00 |
| 91312 |
|
2,116 |
2,058 |
$0.00 |
| J1953 |
Levetiracetam injection |
501 |
358 |
$0.00 |
| J0736 |
Inj, clindamycin phosp 300mg |
82 |
66 |
$0.00 |
| G8997 |
Swallow goal status |
26 |
26 |
$0.00 |
| Q9958 |
Hocm <=149 mg/ml iodine, 1ml |
55 |
53 |
$0.00 |
| 80361 |
|
99 |
84 |
$0.00 |
| G8996 |
Swallow current status |
26 |
26 |
$0.00 |
| 11101 |
|
31 |
26 |
$0.00 |
| J1245 |
Dipyridamole injection |
100 |
59 |
$0.00 |
| J2720 |
Inj protamine sulfate/10 mg |
15 |
13 |
$0.00 |
| 80356 |
|
32 |
25 |
$0.00 |
| G8984 |
Carry current status |
47 |
45 |
$0.00 |
| 90687 |
|
19 |
19 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
252 |
117 |
$0.00 |
| 74300 |
|
13 |
13 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
156 |
97 |
$0.00 |
| 87469 |
|
156 |
146 |
$0.00 |
| 99157 |
|
28 |
28 |
$0.00 |
| 91321 |
|
18 |
18 |
$0.00 |
| C1729 |
Cath, drainage |
181 |
159 |
$0.00 |
| 91311 |
|
580 |
572 |
$0.00 |
| 64636 |
|
38 |
37 |
$0.00 |
| 86036 |
|
23 |
21 |
$0.00 |
| C1751 |
Cath, inf, per/cent/midline |
70 |
65 |
$0.00 |
| J0744 |
Ciprofloxacin iv |
16 |
14 |
$0.00 |
| J7040 |
Normal saline solution infus |
23 |
23 |
$0.00 |
| 81450 |
|
16 |
12 |
$0.00 |
| L8613 |
Ossicular implant |
26 |
26 |
$0.00 |
| C1874 |
Stent, coated/cov w/del sys |
42 |
40 |
$0.00 |
| 99411 |
|
28 |
27 |
$0.00 |
| J9201 |
In gemcitabine hcl nos 200mg |
37 |
12 |
$0.00 |
| 0042T |
|
15 |
15 |
$0.00 |
| 90698 |
|
5,605 |
5,455 |
$0.00 |
| 90680 |
|
5,122 |
5,002 |
$0.00 |
| 87493 |
|
341 |
310 |
$0.00 |
| 90723 |
|
593 |
575 |
$0.00 |
| A9503 |
Tc99m medronate |
100 |
96 |
$0.00 |
| J1940 |
Furosemide injection |
2,796 |
1,615 |
$0.00 |
| J3420 |
Vitamin b12 injection |
3,753 |
2,955 |
$0.00 |
| C9290 |
Inj, bupivacaine liposome |
583 |
549 |
$0.00 |
| G8987 |
Self care current status |
303 |
286 |
$0.00 |
| 91303 |
|
228 |
206 |
$0.00 |
| 96040 |
|
1,290 |
1,255 |
$0.00 |
| C2627 |
Cath, suprapubic/cystoscopic |
290 |
265 |
$0.00 |
| J1250 |
Inj dobutamine hcl/250 mg |
290 |
286 |
$0.00 |
| G0328 |
Fecal blood scrn immunoassay |
405 |
403 |
$0.00 |
| C1781 |
Mesh (implantable) |
476 |
453 |
$0.00 |
| L3906 |
Who w/o joints cf |
325 |
309 |
$0.00 |
| G8980 |
Mobility d/c status |
480 |
428 |
$0.00 |
| 87468 |
|
132 |
125 |
$0.00 |
| J8540 |
Oral dexamethasone |
1,081 |
685 |
$0.00 |
| 91307 |
|
1,426 |
1,327 |
$0.00 |
| 89322 |
|
109 |
104 |
$0.00 |
| 91306 |
|
68 |
68 |
$0.00 |
| 87478 |
|
114 |
107 |
$0.00 |
| 91301 |
|
1,231 |
737 |
$0.00 |
| 99156 |
|
41 |
41 |
$0.00 |
| 90697 |
|
645 |
645 |
$0.00 |
| J3535 |
Metered dose inhaler drug |
18 |
13 |
$0.00 |
| G0268 |
Removal of impacted wax md |
114 |
108 |
$0.00 |
| C1889 |
Implant/insert device, noc |
578 |
566 |
$0.00 |
| L3933 |
Fo w/o joints cf |
67 |
64 |
$0.00 |
| J8501 |
Oral aprepitant |
27 |
26 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
113 |
86 |
$0.00 |
| G8988 |
Self care goal status |
346 |
316 |
$0.00 |
| 80051 |
|
18 |
14 |
$0.00 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
13 |
12 |
$0.00 |
| 88309 |
|
13 |
12 |
$0.00 |
| 51797 |
|
43 |
42 |
$0.00 |
| 82435 |
|
61 |
51 |
$0.00 |
| 94644 |
|
119 |
114 |
$0.00 |
| 87484 |
|
131 |
124 |
$0.00 |
| L3808 |
Whfo, rigid w/o joints |
32 |
29 |
$0.00 |
| J7060 |
5% dextrose/water |
35 |
16 |
$0.00 |
| 91315 |
|
45 |
40 |
$0.00 |
| 94660 |
|
18 |
14 |
$0.00 |
| J0280 |
Aminophyllin 250 mg inj |
41 |
41 |
$0.00 |
| L3927 |
Fo pip dip no jt spr pre ots |
24 |
24 |
$0.00 |
| 95012 |
|
14 |
12 |
$0.00 |
| 49465 |
|
17 |
13 |
$0.00 |
| 0361U |
|
26 |
26 |
$0.00 |
| 72052 |
|
15 |
12 |
$0.00 |
| 64492 |
|
12 |
12 |
$0.00 |
| G8998 |
Swallow d/c status |
26 |
26 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
20 |
15 |
$0.00 |
| C1730 |
Cath, ep, 19 or few elect |
26 |
26 |
$0.00 |
| 99292 |
|
16 |
15 |
$0.00 |