| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
165,979 |
146,936 |
$33.52M |
| 99284 |
|
93,180 |
81,522 |
$20.09M |
| 96361 |
|
40,258 |
30,590 |
$12.20M |
| G0378 |
Hospital observation per hr |
29,404 |
24,666 |
$8.98M |
| G0463 |
Hospital outpt clinic visit |
62,975 |
50,384 |
$8.64M |
| 99285 |
|
31,597 |
28,321 |
$6.96M |
| J9271 |
Inj pembrolizumab |
1,433 |
1,099 |
$6.87M |
| 44970 |
|
1,311 |
1,273 |
$6.19M |
| 99282 |
|
28,893 |
26,487 |
$5.01M |
| 70450 |
|
18,295 |
16,144 |
$3.21M |
| 93306 |
|
9,082 |
8,216 |
$2.85M |
| 96366 |
|
10,703 |
6,430 |
$2.60M |
| 96413 |
|
16,216 |
8,741 |
$2.34M |
| 96365 |
|
19,993 |
15,364 |
$2.33M |
| 74177 |
|
13,245 |
11,994 |
$2.13M |
| 43239 |
|
3,924 |
3,527 |
$2.05M |
| 96360 |
|
14,878 |
12,503 |
$1.95M |
| 92507 |
|
9,940 |
3,975 |
$1.71M |
| 96415 |
|
4,378 |
2,643 |
$1.69M |
| 78452 |
|
2,237 |
1,979 |
$1.26M |
| 76705 |
|
13,794 |
12,705 |
$1.21M |
| 71275 |
|
4,769 |
4,398 |
$1.08M |
| 94640 |
|
17,168 |
13,451 |
$974K |
| 99291 |
|
2,767 |
2,599 |
$893K |
| 76770 |
|
5,942 |
5,672 |
$885K |
| 80307 |
|
17,275 |
14,586 |
$882K |
| 36430 |
|
3,420 |
2,326 |
$879K |
| 45380 |
|
1,540 |
1,399 |
$872K |
| 97110 |
|
17,380 |
7,127 |
$853K |
| 0241U |
|
10,820 |
10,479 |
$837K |
| J1459 |
Inj ivig privigen 500 mg |
811 |
261 |
$824K |
| G0379 |
Direct refer hospital observ |
6,520 |
5,845 |
$808K |
| 66984 |
|
928 |
804 |
$804K |
| 47562 |
|
189 |
185 |
$790K |
| H0015 |
Alcohol and/or drug services |
3,542 |
490 |
$735K |
| 0202U |
|
4,919 |
4,689 |
$732K |
| 70553 |
|
2,183 |
1,975 |
$727K |
| 76816 |
|
7,573 |
6,489 |
$692K |
| 74176 |
|
4,453 |
3,965 |
$656K |
| 76856 |
|
6,854 |
6,463 |
$647K |
| 95810 |
|
756 |
733 |
$615K |
| 58661 |
|
296 |
235 |
$612K |
| 97530 |
|
14,190 |
5,891 |
$599K |
| J0485 |
Belatacept injection |
1,666 |
757 |
$598K |
| 59025 |
|
3,493 |
1,741 |
$588K |
| 96367 |
|
6,370 |
4,537 |
$522K |
| Q5111 |
Injection, udenyca 0.5 mg |
213 |
149 |
$515K |
| 70551 |
|
2,160 |
1,980 |
$508K |
| 80053 |
|
115,005 |
86,640 |
$505K |
| 93976 |
|
6,047 |
5,648 |
$435K |
| 96416 |
|
1,601 |
898 |
$427K |
| J0897 |
Denosumab injection |
1,019 |
872 |
$414K |
| J0185 |
Inj., aprepitant, 1 mg |
4,533 |
2,478 |
$414K |
| 93458 |
|
264 |
242 |
$409K |
| 76700 |
|
2,700 |
2,590 |
$408K |
| 76815 |
|
5,340 |
4,413 |
$408K |
| 12001 |
|
1,698 |
1,617 |
$384K |
| 76819 |
|
4,767 |
2,727 |
$377K |
| 76805 |
|
3,823 |
3,638 |
$376K |
| 45378 |
|
470 |
446 |
$374K |
| 76830 |
|
4,037 |
3,823 |
$358K |
| P9016 |
Rbc leukocytes reduced |
1,986 |
1,539 |
$354K |
| 76811 |
|
3,386 |
3,272 |
$353K |
| 12011 |
|
1,580 |
1,497 |
$353K |
| 76536 |
|
2,310 |
2,202 |
$286K |
| J9202 |
Goserelin acetate implant |
381 |
339 |
$280K |
| 71046 |
|
35,228 |
32,298 |
$277K |
| 76642 |
|
2,244 |
1,809 |
$256K |
| 64483 |
|
282 |
270 |
$254K |
| 97161 |
|
3,962 |
3,384 |
$252K |
| 93971 |
|
2,692 |
2,419 |
$241K |
| J0585 |
Injection,onabotulinumtoxina |
748 |
664 |
$239K |
| 76801 |
|
5,556 |
4,900 |
$238K |
| 71260 |
|
2,296 |
2,156 |
$238K |
| 92526 |
|
4,772 |
2,998 |
$236K |
| 96450 |
|
528 |
413 |
$235K |
| 97165 |
|
3,753 |
3,235 |
$235K |
| 42820 |
|
94 |
94 |
$228K |
| 93798 |
|
2,436 |
399 |
$218K |
| 76870 |
|
2,207 |
2,061 |
$216K |
| 99281 |
|
1,257 |
1,175 |
$216K |
| 64615 |
|
479 |
463 |
$212K |
| 97112 |
|
7,886 |
2,930 |
$206K |
| 77336 |
|
2,235 |
971 |
$205K |
| 97535 |
|
5,580 |
3,502 |
$200K |
| G0480 |
Drug test def 1-7 classes |
17,770 |
14,558 |
$196K |
| 93017 |
|
2,246 |
1,984 |
$193K |
| 92610 |
|
1,993 |
1,757 |
$188K |
| 93970 |
|
1,540 |
1,389 |
$188K |
| 97116 |
|
7,372 |
4,061 |
$179K |
| 97162 |
|
2,629 |
2,256 |
$175K |
| 87491 |
|
9,270 |
8,541 |
$172K |
| 96374 |
|
49,718 |
41,159 |
$167K |
| 76817 |
|
7,079 |
5,898 |
$166K |
| 76885 |
|
1,130 |
1,049 |
$160K |
| P9040 |
Rbc leukoreduced irradiated |
752 |
510 |
$158K |
| 76820 |
|
3,579 |
1,382 |
$156K |
| 95782 |
|
191 |
188 |
$154K |
| 77523 |
|
151 |
13 |
$153K |
| 92523 |
|
769 |
729 |
$148K |
| 75574 |
|
452 |
433 |
$146K |
| 80048 |
|
38,892 |
29,429 |
$144K |
| P9045 |
Albumin (human), 5%, 250 ml |
699 |
540 |
$144K |
| 87636 |
|
19,416 |
18,385 |
$142K |
| 71250 |
|
2,270 |
2,081 |
$136K |
| 96375 |
|
45,134 |
30,735 |
$135K |
| 94618 |
|
1,589 |
1,465 |
$130K |
| 70496 |
|
624 |
583 |
$127K |
| 93325 |
|
1,547 |
1,372 |
$124K |
| 93656 |
|
15 |
14 |
$122K |
| 87591 |
|
9,320 |
8,591 |
$120K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
2,343 |
2,098 |
$120K |
| G0410 |
Grp psych php/iop 45-50 |
758 |
122 |
$118K |
| 93005 |
|
64,915 |
51,658 |
$116K |
| J7307 |
Etonogestrel implant system |
105 |
100 |
$113K |
| 87400 |
|
10,739 |
6,698 |
$106K |
| 76821 |
|
2,788 |
1,056 |
$105K |
| 56820 |
|
563 |
472 |
$103K |
| 87040 |
|
15,741 |
9,784 |
$102K |
| J2506 |
Inj pegfilgrast ex bio 0.5mg |
60 |
43 |
$102K |
| 77063 |
|
1,801 |
1,697 |
$98K |
| 70491 |
|
510 |
481 |
$95K |
| 77067 |
|
2,846 |
2,713 |
$95K |
| 72125 |
|
4,423 |
3,937 |
$94K |
| 85025 |
|
142,980 |
106,680 |
$93K |
| 77300 |
|
668 |
582 |
$90K |
| 97166 |
|
1,462 |
1,250 |
$89K |
| 31624 |
|
164 |
140 |
$88K |
| 70498 |
|
937 |
871 |
$88K |
| U0003 |
Cov-19 amp prb hgh thruput |
4,116 |
3,730 |
$86K |
| 29125 |
|
612 |
583 |
$85K |
| J3490 |
Drugs unclassified injection |
62,208 |
32,452 |
$81K |
| 86923 |
|
3,602 |
2,481 |
$77K |
| J9299 |
Injection, nivolumab |
28 |
12 |
$74K |
| J9306 |
Injection, pertuzumab, 1 mg |
38 |
24 |
$74K |
| 70544 |
|
377 |
343 |
$74K |
| 77334 |
|
624 |
481 |
$73K |
| 95886 |
|
552 |
537 |
$72K |
| 95885 |
|
509 |
487 |
$72K |
| 94010 |
|
2,730 |
2,366 |
$71K |
| 96402 |
|
2,443 |
2,047 |
$70K |
| C1889 |
Implant/insert device, noc |
866 |
801 |
$69K |
| 77412 |
|
93 |
12 |
$69K |
| 12002 |
|
340 |
324 |
$67K |
| 29105 |
|
650 |
613 |
$67K |
| 83880 |
|
8,742 |
7,506 |
$65K |
| 45385 |
|
145 |
135 |
$64K |
| 74174 |
|
348 |
336 |
$64K |
| 70486 |
|
1,578 |
1,444 |
$64K |
| 74018 |
|
8,127 |
7,249 |
$63K |
| J8540 |
Oral dexamethasone |
4,552 |
3,794 |
$63K |
| 71045 |
|
21,907 |
18,806 |
$63K |
| Q5118 |
Inj., zirabev, 10 mg |
267 |
88 |
$62K |
| 58558 |
|
27 |
27 |
$62K |
| 96372 |
|
31,562 |
18,447 |
$61K |
| 82247 |
|
8,246 |
4,520 |
$59K |
| J9355 |
Inj trastuzumab excl biosimi |
69 |
25 |
$56K |
| 85027 |
|
22,692 |
16,205 |
$55K |
| 96409 |
|
2,789 |
1,496 |
$54K |
| J9217 |
Leuprolide acetate suspnsion |
272 |
240 |
$53K |
| 88307 |
|
3,528 |
2,098 |
$53K |
| J1756 |
Iron sucrose injection |
4,004 |
1,751 |
$52K |
| 77066 |
Tomosynthesis, mammo |
1,024 |
998 |
$52K |
| 72131 |
|
1,341 |
1,232 |
$51K |
| 93308 |
|
179 |
158 |
$50K |
| G0177 |
Opps/php/iop; train & educ |
1,197 |
203 |
$50K |
| 93303 |
|
128 |
126 |
$49K |
| 87505 |
|
1,013 |
925 |
$49K |
| 77386 |
|
123 |
13 |
$49K |
| U0002 |
Covid-19 lab test non-cdc |
16,115 |
13,734 |
$49K |
| 96523 |
|
886 |
763 |
$47K |
| 86850 |
|
16,645 |
14,025 |
$45K |
| S0201 |
Partial hospitalization serv |
87 |
12 |
$44K |
| 90715 |
|
2,058 |
1,949 |
$43K |
| 87389 |
|
4,312 |
4,028 |
$43K |
| 77387 |
|
686 |
73 |
$42K |
| 97140 |
|
1,764 |
636 |
$41K |
| 64447 |
|
110 |
106 |
$41K |
| 77080 |
|
555 |
526 |
$40K |
| 86780 |
|
4,173 |
3,941 |
$39K |
| 80143 |
|
9,746 |
8,247 |
$38K |
| 87420 |
|
2,739 |
2,569 |
$36K |
| 88305 |
|
16,093 |
9,845 |
$36K |
| 84484 |
|
28,781 |
21,872 |
$35K |
| 95816 |
|
146 |
135 |
$34K |
| 74230 |
|
335 |
311 |
$33K |
| 72100 |
|
1,868 |
1,720 |
$33K |
| 87624 |
|
579 |
562 |
$32K |
| 87086 |
|
28,943 |
26,042 |
$32K |
| 77065 |
Tomosynthesis, mammo |
615 |
585 |
$32K |
| 76942 |
|
518 |
473 |
$31K |
| 72040 |
|
1,056 |
995 |
$31K |
| J0881 |
Darbepoetin alfa, non-esrd |
270 |
166 |
$31K |
| 54161 |
|
14 |
13 |
$31K |
| 10060 |
|
245 |
231 |
$31K |
| C8929 |
Tte w or wo fol wcon,doppler |
82 |
78 |
$30K |
| 87081 |
|
18,980 |
16,662 |
$29K |
| 76882 |
|
304 |
283 |
$29K |
| 88341 |
|
2,555 |
1,606 |
$29K |
| M0247 |
Sotrovimab infusion |
96 |
93 |
$28K |
| 82248 |
|
18,470 |
12,983 |
$28K |
| 95700 |
|
168 |
161 |
$27K |
| 36591 |
|
2,884 |
1,754 |
$27K |
| G0257 |
Unsched dialysis esrd pt hos |
189 |
107 |
$26K |
| 84443 |
|
18,103 |
15,809 |
$26K |
| 85379 |
|
4,958 |
4,484 |
$25K |
| J9263 |
Oxaliplatin |
1,266 |
338 |
$25K |
| 87635 |
|
1,488 |
1,315 |
$24K |
| 86900 |
|
19,519 |
15,446 |
$24K |
| 73564 |
|
2,591 |
2,210 |
$24K |
| 73030 |
|
3,098 |
2,687 |
$23K |
| 83735 |
|
31,456 |
21,894 |
$23K |
| 76813 |
|
558 |
541 |
$23K |
| J9070 |
Cyclophosphamide 100 mg inj |
287 |
106 |
$22K |
| 96401 |
|
617 |
223 |
$22K |
| 94729 |
|
815 |
762 |
$22K |
| 82306 |
|
2,271 |
2,034 |
$21K |
| S0028 |
Injection, famotidine, 20 mg |
18,665 |
14,667 |
$19K |
| 80179 |
|
9,592 |
8,136 |
$19K |
| 77301 |
|
24 |
24 |
$19K |
| 74019 |
|
5,100 |
4,669 |
$19K |
| 73560 |
|
1,637 |
1,278 |
$18K |
| G0279 |
Tomosynthesis, mammo |
926 |
902 |
$18K |
| 72110 |
|
767 |
712 |
$18K |
| J7050 |
Normal saline solution infus |
10,226 |
4,072 |
$18K |
| 25605 |
|
41 |
41 |
$17K |
| 94726 |
|
358 |
338 |
$17K |
| 36415 |
|
16,544 |
13,235 |
$17K |
| 77295 |
|
26 |
25 |
$17K |
| 64493 |
|
13 |
12 |
$16K |
| 77470 |
|
39 |
38 |
$16K |
| 87497 |
|
1,843 |
1,293 |
$16K |
| 83605 |
|
12,650 |
10,214 |
$16K |
| 78306 |
|
53 |
51 |
$16K |
| 73610 |
|
4,211 |
3,760 |
$16K |
| C1887 |
Catheter, guiding |
2,092 |
1,769 |
$15K |
| J1453 |
Fosaprepitant injection |
198 |
90 |
$15K |
| 95811 |
|
25 |
25 |
$15K |
| 43235 |
|
27 |
27 |
$15K |
| J2405 |
Ondansetron hcl injection |
51,731 |
38,173 |
$15K |
| 90471 |
|
3,017 |
2,591 |
$15K |
| 81001 |
|
42,324 |
36,479 |
$15K |
| 84702 |
|
12,170 |
10,234 |
$15K |
| 73130 |
|
2,381 |
2,041 |
$15K |
| M0243 |
Casirivi and imdevi inj |
50 |
49 |
$15K |
| 85610 |
|
18,346 |
14,646 |
$15K |
| 83036 |
|
6,736 |
5,906 |
$15K |
| 80197 |
|
3,262 |
1,757 |
$15K |
| 73630 |
|
3,772 |
3,289 |
$14K |
| 29515 |
|
235 |
226 |
$14K |
| 88185 |
|
442 |
200 |
$14K |
| 82105 |
|
1,475 |
1,367 |
$14K |
| 76825 |
|
111 |
103 |
$14K |
| 62323 |
|
14 |
14 |
$13K |
| 86803 |
|
2,714 |
2,461 |
$13K |
| 73700 |
|
180 |
160 |
$13K |
| 80061 |
|
4,176 |
3,668 |
$13K |
| 72070 |
|
714 |
664 |
$13K |
| S0020 |
Injection, bupivicaine hydro |
2,663 |
2,208 |
$13K |
| 95910 |
|
155 |
150 |
$12K |
| 80047 |
|
1,664 |
1,228 |
$12K |
| 92611 |
|
307 |
284 |
$12K |
| 86901 |
|
19,511 |
15,441 |
$12K |
| 87633 |
|
279 |
211 |
$11K |
| 84439 |
|
5,079 |
4,379 |
$11K |
| 86830 |
|
667 |
536 |
$11K |
| 76776 |
|
226 |
196 |
$11K |
| 73502 |
|
1,149 |
1,043 |
$11K |
| 82728 |
|
4,243 |
3,788 |
$10K |
| 82533 |
|
1,482 |
1,271 |
$10K |
| S0119 |
Ondansetron 4 mg |
34,320 |
30,842 |
$10K |
| 96376 |
|
17,571 |
9,951 |
$10K |
| 95911 |
|
140 |
134 |
$10K |
| 90834 |
|
68 |
37 |
$10K |
| 72148 |
|
89 |
87 |
$10K |
| J2997 |
Alteplase recombinant |
134 |
121 |
$10K |
| 73620 |
|
845 |
689 |
$10K |
| 73110 |
|
2,165 |
1,916 |
$10K |
| 96411 |
|
2,399 |
1,461 |
$10K |
| 84100 |
|
14,240 |
10,508 |
$10K |
| J1650 |
Inj enoxaparin sodium |
8,989 |
4,560 |
$10K |
| C1769 |
Guide wire |
4,965 |
4,140 |
$9K |
| J9075 |
Inj, cyclophosphamide, nos |
129 |
51 |
$9K |
| 73140 |
|
1,763 |
1,637 |
$9K |
| 73120 |
|
541 |
410 |
$9K |
| 73590 |
|
2,495 |
2,132 |
$9K |
| 96368 |
|
1,783 |
1,073 |
$9K |
| 73070 |
|
772 |
702 |
$8K |
| 43762 |
|
51 |
49 |
$8K |
| M0245 |
Bamlan and etesev infusion |
24 |
24 |
$8K |
| J7120 |
Ringers lactate infusion |
10,250 |
7,832 |
$8K |
| C1894 |
Intro/sheath, non-laser |
5,046 |
4,275 |
$8K |
| G0144 |
Scr c/v cyto,thinlayer,rescr |
477 |
464 |
$8K |
| 86828 |
|
670 |
536 |
$8K |
| 93880 |
|
201 |
159 |
$8K |
| 82950 |
|
2,630 |
2,550 |
$8K |
| 87116 |
|
1,357 |
1,033 |
$8K |
| 86831 |
|
667 |
536 |
$8K |
| 87799 |
|
1,002 |
486 |
$8K |
| 88342 |
|
3,847 |
3,134 |
$8K |
| 80076 |
|
2,070 |
1,744 |
$7K |
| 83970 |
|
666 |
437 |
$7K |
| 86762 |
|
2,026 |
1,946 |
$7K |
| 94060 |
|
87 |
83 |
$7K |
| 87798 |
|
789 |
536 |
$7K |
| 86140 |
|
7,100 |
6,310 |
$7K |
| G0390 |
Trauma respons w/hosp criti |
14 |
14 |
$7K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
25,952 |
22,732 |
$7K |
| 50200 |
|
35 |
26 |
$7K |
| 87077 |
|
9,786 |
8,557 |
$7K |
| 73562 |
|
905 |
785 |
$6K |
| 82607 |
|
2,328 |
2,114 |
$6K |
| 74455 |
|
12 |
12 |
$6K |
| 87340 |
|
3,963 |
3,724 |
$6K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
385 |
362 |
$6K |
| 87661 |
|
2,025 |
1,781 |
$6K |
| 81370 |
|
21 |
17 |
$6K |
| 77290 |
|
12 |
12 |
$6K |
| 82951 |
|
491 |
483 |
$6K |
| 83690 |
|
22,694 |
19,767 |
$6K |
| 86317 |
|
1,194 |
1,085 |
$6K |
| 84145 |
|
1,403 |
1,223 |
$6K |
| 86480 |
|
190 |
179 |
$6K |
| 83615 |
|
6,178 |
4,894 |
$6K |
| 84132 |
|
2,946 |
2,549 |
$5K |
| 81003 |
|
31,075 |
27,628 |
$5K |
| 77332 |
|
54 |
42 |
$5K |
| 82570 |
|
4,257 |
3,274 |
$5K |
| 86301 |
|
454 |
338 |
$5K |
| 93320 |
|
397 |
363 |
$5K |
| U0005 |
Infec agen detec ampli probe |
3,393 |
3,060 |
$5K |
| J7030 |
Normal saline solution infus |
11,306 |
8,404 |
$5K |
| 83550 |
|
3,519 |
3,190 |
$5K |
| 73090 |
|
2,027 |
1,814 |
$5K |
| 81514 |
|
46 |
46 |
$5K |
| 76827 |
|
97 |
89 |
$5K |
| 90686 |
|
373 |
323 |
$5K |
| 70480 |
|
64 |
61 |
$5K |
| 83021 |
|
1,114 |
808 |
$5K |
| 87186 |
|
8,431 |
6,892 |
$5K |
| G0008 |
Admin influenza virus vac |
550 |
473 |
$5K |
| J2270 |
Morphine sulfate injection |
14,848 |
11,440 |
$4K |
| J7613 |
Albuterol non-comp unit |
4,960 |
3,977 |
$4K |
| 85730 |
|
13,280 |
11,069 |
$4K |
| 72128 |
|
225 |
212 |
$4K |
| 83540 |
|
3,646 |
3,286 |
$4K |
| 87486 |
|
358 |
277 |
$4K |
| 84156 |
|
3,326 |
2,663 |
$4K |
| 64494 |
|
18 |
12 |
$4K |
| J0696 |
Ceftriaxone sodium injection |
8,856 |
6,838 |
$4K |
| 73080 |
|
1,322 |
1,196 |
$4K |
| 82565 |
|
2,280 |
1,921 |
$4K |
| 82805 |
|
138 |
119 |
$4K |
| 73552 |
|
999 |
857 |
$4K |
| 20553 |
|
12 |
12 |
$4K |
| 96417 |
|
5,262 |
2,989 |
$4K |
| 31645 |
|
13 |
13 |
$3K |
| Q9961 |
Hocm 250-299mg/ml iodine,1ml |
56 |
50 |
$3K |
| J2250 |
Inj midazolam hydrochloride |
20,634 |
18,397 |
$3K |
| 86592 |
|
1,244 |
1,138 |
$3K |
| 51600 |
|
12 |
12 |
$3K |
| 89051 |
|
2,208 |
1,714 |
$3K |
| J9370 |
Vincristine sulfate 1 mg inj |
2,036 |
1,338 |
$3K |
| 95913 |
|
39 |
38 |
$3K |
| 87070 |
|
4,128 |
3,426 |
$3K |
| 84450 |
|
2,234 |
1,862 |
$3K |
| 72141 |
|
26 |
25 |
$3K |
| J3535 |
Metered dose inhaler drug |
3,418 |
3,006 |
$3K |
| S3620 |
Newborn metabolic screening |
156 |
148 |
$3K |
| 84550 |
|
3,707 |
3,053 |
$3K |
| 73100 |
|
295 |
258 |
$3K |
| 85014 |
|
4,368 |
3,596 |
$3K |
| 87581 |
|
374 |
291 |
$3K |
| 76000 |
|
1,870 |
1,698 |
$3K |
| 70549 |
|
16 |
15 |
$3K |
| J1885 |
Ketorolac tromethamine inj |
27,072 |
22,533 |
$3K |
| 84460 |
|
2,255 |
1,880 |
$3K |
| J1439 |
Inj ferric carboxymaltos 1mg |
22 |
12 |
$3K |
| 29130 |
|
44 |
43 |
$3K |
| 76857 |
|
54 |
50 |
$3K |
| 94727 |
|
102 |
90 |
$3K |
| J2704 |
Inj, propofol, 10 mg |
13,198 |
11,202 |
$2K |
| C9463 |
Injection, aprepitant |
171 |
67 |
$2K |
| 88184 |
|
253 |
218 |
$2K |
| 82378 |
|
1,451 |
1,136 |
$2K |
| J3010 |
Fentanyl citrate injection |
14,980 |
10,892 |
$2K |
| 76937 |
|
85 |
76 |
$2K |
| J0690 |
Cefazolin sodium injection |
12,095 |
9,059 |
$2K |
| 73060 |
|
712 |
634 |
$2K |
| 82784 |
|
1,645 |
856 |
$2K |
| 80164 |
|
407 |
334 |
$2K |
| 30300 |
|
17 |
15 |
$2K |
| 82952 |
|
491 |
483 |
$2K |
| 95912 |
|
25 |
25 |
$2K |
| J1644 |
Inj heparin sodium per 1000u |
5,092 |
2,408 |
$2K |
| J0694 |
Cefoxitin sodium injection |
1,331 |
672 |
$2K |
| J7042 |
5% dextrose/normal saline |
1,268 |
915 |
$2K |
| 88112 |
|
353 |
296 |
$2K |
| 71101 |
|
303 |
285 |
$2K |
| 82550 |
|
3,009 |
2,446 |
$2K |
| 82800 |
|
4,236 |
3,303 |
$2K |
| 85045 |
|
2,779 |
2,146 |
$2K |
| 87205 |
|
4,212 |
3,433 |
$2K |
| 97167 |
|
30 |
25 |
$2K |
| 73501 |
|
450 |
382 |
$2K |
| J7060 |
5% dextrose/water |
2,848 |
1,195 |
$2K |
| 74240 |
|
14 |
14 |
$2K |
| 72082 |
|
30 |
27 |
$2K |
| 70360 |
|
257 |
249 |
$2K |
| Q3014 |
Telehealth facility fee |
131 |
114 |
$2K |
| 86704 |
|
928 |
844 |
$2K |
| G0123 |
Screen cerv/vag thin layer |
118 |
112 |
$1K |
| 87430 |
|
6,008 |
5,645 |
$1K |
| 88304 |
|
3,626 |
3,245 |
$1K |
| 85651 |
|
4,312 |
3,831 |
$1K |
| 77280 |
|
12 |
12 |
$1K |
| 84153 |
|
736 |
632 |
$1K |
| 82746 |
|
965 |
876 |
$1K |
| 85007 |
|
969 |
845 |
$1K |
| 88313 |
|
310 |
170 |
$1K |
| 73000 |
|
231 |
222 |
$1K |
| J3489 |
Zoledronic acid 1mg |
540 |
497 |
$1K |
| J1170 |
Hydromorphone injection |
8,858 |
5,527 |
$1K |
| J2543 |
Piperacillin/tazobactam |
3,556 |
1,382 |
$1K |
| 36416 |
|
2,575 |
1,944 |
$1K |
| 81025 |
|
2,728 |
2,451 |
$1K |
| 95909 |
|
14 |
14 |
$1K |
| 87147 |
|
678 |
540 |
$1K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
1,460 |
1,364 |
$1K |
| 83655 |
|
55 |
55 |
$1K |
| A9502 |
Tc99m tetrofosmin |
2,254 |
1,941 |
$1K |
| 99152 |
|
1,604 |
1,468 |
$1K |
| 77012 |
|
14 |
13 |
$1K |
| G0237 |
Therapeutic procd strg endur |
33 |
12 |
$1K |
| J0131 |
Inj, acetaminophen (nos) |
127 |
121 |
$939.46 |
| J1100 |
Dexamethasone sodium phos |
9,618 |
7,672 |
$934.90 |
| 82330 |
|
2,777 |
2,363 |
$931.99 |
| J7040 |
Normal saline solution infus |
2,597 |
1,903 |
$930.71 |
| J8597 |
Antiemetic drug oral nos |
1,196 |
921 |
$889.35 |
| P9047 |
Albumin (human), 25%, 50ml |
16 |
12 |
$864.51 |
| 87206 |
|
1,981 |
1,119 |
$853.46 |
| J9190 |
Fluorouracil injection |
2,799 |
1,056 |
$845.65 |
| 97163 |
|
39 |
38 |
$840.36 |
| 83521 |
|
387 |
165 |
$832.28 |
| 86665 |
|
598 |
342 |
$830.77 |
| 82043 |
|
739 |
491 |
$812.79 |
| 72170 |
|
121 |
117 |
$812.61 |
| J7620 |
Albuterol ipratrop non-comp |
1,600 |
1,344 |
$812.39 |
| M0222 |
Bebtelovimab injection |
114 |
108 |
$794.40 |
| 99153 |
Mod sedat endo service >5yrs |
1,181 |
1,078 |
$765.13 |
| J7644 |
Ipratropium bromide non-comp |
2,608 |
2,355 |
$764.05 |
| 81050 |
|
268 |
259 |
$758.15 |
| 84403 |
|
412 |
365 |
$728.49 |
| J0702 |
Betamethasone acet&sod phosp |
276 |
163 |
$725.69 |
| 73660 |
|
205 |
193 |
$719.85 |
| S0080 |
Injection, pentamidine iseth |
1,028 |
901 |
$708.11 |
| 72192 |
|
24 |
24 |
$688.56 |
| 93356 |
|
164 |
161 |
$687.16 |
| Q9968 |
Visualization adjunct |
69 |
36 |
$658.44 |
| 82947 |
|
186 |
178 |
$622.98 |
| 94664 |
|
747 |
690 |
$619.02 |
| 86304 |
|
237 |
187 |
$609.98 |
| 76010 |
|
238 |
226 |
$599.36 |
| 85018 |
|
1,076 |
789 |
$532.06 |
| 93321 |
|
163 |
141 |
$527.10 |
| C9290 |
Inj, bupivacaine liposome |
137 |
115 |
$523.14 |
| S0077 |
Injection, clindamycin phosp |
540 |
367 |
$522.73 |
| J0171 |
Adrenalin epinephrine inject |
997 |
809 |
$518.30 |
| 85652 |
|
1,096 |
1,019 |
$512.77 |
| C1751 |
Cath, inf, per/cent/midline |
141 |
129 |
$504.61 |
| 86664 |
|
266 |
250 |
$494.25 |
| 86870 |
|
65 |
40 |
$464.65 |
| 84481 |
|
293 |
263 |
$464.62 |
| 74175 |
|
26 |
26 |
$455.52 |
| A9585 |
Gadobutrol injection |
1,596 |
1,388 |
$439.80 |
| 86902 |
|
54 |
50 |
$411.12 |
| Q9950 |
Inj sulf hexa lipid microsph |
143 |
133 |
$409.94 |
| 86038 |
|
268 |
246 |
$398.17 |
| M0220 |
Tixagev and cilgav inj |
63 |
59 |
$387.29 |
| V2632 |
Post chmbr intraocular lens |
1,018 |
888 |
$383.07 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
1,377 |
1,002 |
$381.60 |
| J1642 |
Inj heparin sodium per 10 u |
1,969 |
990 |
$368.66 |
| 84165 |
|
324 |
261 |
$362.36 |
| 74022 |
|
65 |
61 |
$347.08 |
| 76098 |
|
12 |
12 |
$333.25 |
| J2060 |
Lorazepam injection |
1,678 |
1,255 |
$319.88 |
| 87015 |
|
590 |
514 |
$315.91 |
| J3475 |
Inj magnesium sulfate |
4,157 |
2,711 |
$313.74 |
| 92567 |
|
12 |
12 |
$302.30 |
| J9267 |
Paclitaxel injection |
1,336 |
569 |
$299.72 |
| 86235 |
|
24 |
12 |
$298.14 |
| J1940 |
Furosemide injection |
1,381 |
776 |
$296.89 |
| J2710 |
Neostigmine methylslfte inj |
1,750 |
1,542 |
$274.30 |
| J2765 |
Metoclopramide hcl injection |
2,907 |
2,544 |
$233.12 |
| 87522 |
Neg quan hep c or qual rna |
74 |
60 |
$228.98 |
| J9250 |
Methotrexate sodium inj |
744 |
553 |
$222.92 |
| 84295 |
|
2,234 |
1,990 |
$220.83 |
| J1815 |
Insulin injection |
1,228 |
459 |
$214.70 |
| J1200 |
Diphenhydramine hcl injectio |
4,468 |
3,411 |
$212.91 |
| J7611 |
Albuterol non-comp con |
2,517 |
2,120 |
$199.97 |
| 90674 |
|
32 |
28 |
$185.88 |
| J3370 |
Vancomycin hcl injection |
1,806 |
1,187 |
$182.59 |
| 86156 |
|
49 |
38 |
$180.16 |
| 82239 |
|
18 |
16 |
$178.46 |
| 76001 |
|
12 |
12 |
$171.22 |
| 80069 |
|
41 |
29 |
$165.25 |
| 87517 |
|
25 |
24 |
$155.34 |
| 84703 |
|
625 |
592 |
$153.08 |
| 83516 |
|
55 |
40 |
$151.74 |
| 87808 |
|
122 |
118 |
$143.30 |
| J2785 |
Regadenoson injection |
528 |
498 |
$138.56 |
| 87102 |
|
774 |
591 |
$126.37 |
| J2370 |
Phenylephrine hcl injection |
1,119 |
890 |
$124.34 |
| C1725 |
Cath, translumin non-laser |
535 |
437 |
$113.97 |
| J7512 |
Prednisone ir or dr oral 1mg |
686 |
513 |
$106.19 |
| 72158 |
|
12 |
12 |
$100.00 |
| C9113 |
Inj pantoprazole sodium, via |
1,505 |
768 |
$97.28 |
| J0330 |
Succinycholine chloride inj |
1,210 |
1,071 |
$96.41 |
| 83520 |
|
51 |
25 |
$95.54 |
| 86146 |
|
24 |
12 |
$93.66 |
| 99000 |
|
676 |
545 |
$83.93 |
| J2795 |
Ropivacaine hcl injection |
1,221 |
881 |
$80.88 |
| 88300 |
|
459 |
407 |
$79.05 |
| 88302 |
|
45 |
27 |
$78.69 |
| J2550 |
Promethazine hcl injection |
527 |
408 |
$69.92 |
| 87088 |
|
397 |
350 |
$68.61 |
| 82977 |
|
78 |
76 |
$67.90 |
| 85384 |
|
247 |
203 |
$60.67 |
| J3480 |
Inj potassium chloride |
1,482 |
871 |
$59.57 |
| 87071 |
|
16 |
14 |
$58.20 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
1,710 |
1,581 |
$54.94 |
| 86308 |
|
336 |
322 |
$54.60 |
| Q9969 |
Non-heu tc-99m add-on/dose |
1,961 |
1,746 |
$51.75 |
| 86696 |
|
12 |
12 |
$47.82 |
| 86644 |
|
12 |
12 |
$44.77 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
573 |
496 |
$40.50 |
| J0360 |
Hydralazine hcl injection |
663 |
514 |
$39.65 |
| J9045 |
Carboplatin injection |
1,358 |
713 |
$39.40 |
| 82140 |
|
44 |
37 |
$38.52 |
| 86225 |
|
25 |
25 |
$36.94 |
| 83020 |
|
113 |
91 |
$35.93 |
| 86695 |
|
12 |
12 |
$35.05 |
| 86787 |
|
12 |
12 |
$33.16 |
| J2930 |
Methylprednisolone injection |
628 |
530 |
$30.14 |
| J9260 |
Inj methotrexate sodium 50mg |
198 |
134 |
$28.63 |
| 82040 |
|
64 |
46 |
$25.25 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
306 |
198 |
$20.88 |
| J0687 |
Inj cefazolin (wg crit care) |
375 |
345 |
$19.35 |
| 87184 |
|
117 |
98 |
$18.94 |
| J7999 |
Compounded drug, noc |
1,434 |
1,254 |
$18.94 |
| J7510 |
Prednisolone oral per 5 mg |
124 |
96 |
$18.43 |
| 83010 |
|
102 |
88 |
$15.95 |
| 99080 |
|
898 |
712 |
$14.46 |
| 84075 |
|
60 |
42 |
$13.92 |
| A9152 |
Single vitamin nos |
440 |
203 |
$13.52 |
| 84155 |
|
60 |
42 |
$13.29 |
| J0780 |
Prochlorperazine injection |
696 |
540 |
$11.95 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
572 |
215 |
$11.36 |
| 87075 |
|
109 |
78 |
$9.82 |
| A4216 |
Sterile water/saline, 10 ml |
1,592 |
909 |
$9.12 |
| 87529 |
|
27 |
17 |
$8.29 |
| J0456 |
Azithromycin |
109 |
91 |
$7.03 |
| J1836 |
Inj, metronidazole, 10 mg |
394 |
261 |
$5.95 |
| 82525 |
|
19 |
16 |
$5.90 |
| 84630 |
|
15 |
12 |
$5.70 |
| J0134 |
Inj acetaminophen -fresenius |
1,672 |
1,535 |
$5.33 |
| 86880 |
|
31 |
16 |
$3.11 |
| J7699 |
Inhalation solution for dme |
603 |
529 |
$2.80 |
| J1030 |
Methylprednisolone 40 mg inj |
233 |
214 |
$0.00 |
| J0613 |
Calcium glucon (wg critical) |
94 |
78 |
$0.00 |
| J3420 |
Vitamin b12 injection |
229 |
195 |
$0.00 |
| J7121 |
5% dextrose in lac ringers |
216 |
150 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
127 |
56 |
$0.00 |
| 86341 |
|
14 |
12 |
$0.00 |
| J1790 |
Droperidol injection |
157 |
136 |
$0.00 |
| C1730 |
Cath, ep, 19 or few elect |
48 |
46 |
$0.00 |
| C2617 |
Stent, non-cor, tem w/o del |
190 |
168 |
$0.00 |
| G8988 |
Self care goal status |
343 |
201 |
$0.00 |
| A9561 |
Tc99m oxidronate |
93 |
89 |
$0.00 |
| J1630 |
Haloperidol injection |
197 |
164 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
191 |
117 |
$0.00 |
| G8987 |
Self care current status |
334 |
200 |
$0.00 |
| 80177 |
|
49 |
41 |
$0.00 |
| 99292 |
|
92 |
85 |
$0.00 |
| J3360 |
Diazepam injection |
181 |
162 |
$0.00 |
| C1732 |
Cath, ep, diag/abl, 3d/vect |
17 |
16 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
82 |
81 |
$0.00 |
| J2920 |
Methylprednisolone injection |
192 |
132 |
$0.00 |
| 87493 |
|
60 |
55 |
$0.00 |
| J2280 |
Inj, moxifloxacin 100 mg |
101 |
93 |
$0.00 |
| C1759 |
Cath, intra echocardiography |
16 |
15 |
$0.00 |
| G8980 |
Mobility d/c status |
132 |
74 |
$0.00 |
| J0611 |
Calcium glucon (wg critical) |
17 |
12 |
$0.00 |
| J0610 |
Calcium glucon (fresenius) |
39 |
32 |
$0.00 |
| C1893 |
Intro/sheath, fixed,non-peel |
16 |
15 |
$0.00 |
| 82435 |
|
13 |
12 |
$0.00 |
| C1781 |
Mesh (implantable) |
15 |
13 |
$0.00 |
| 82150 |
|
13 |
13 |
$0.00 |
| 88331 |
|
16 |
12 |
$0.00 |
| C1766 |
Intro/sheath,strble,non-peel |
13 |
12 |
$0.00 |
| 99156 |
|
16 |
16 |
$0.00 |
| 0259 |
|
41 |
13 |
$0.00 |
| 87637 |
|
64 |
62 |
$0.00 |
| G8979 |
Mobility goal status |
500 |
280 |
$0.00 |
| C1760 |
Closure dev, vasc |
481 |
420 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
580 |
536 |
$0.00 |
| J9201 |
In gemcitabine hcl nos 200mg |
118 |
38 |
$0.00 |
| 86618 |
|
13 |
13 |
$0.00 |
| J0737 |
Inj, clindamycin (baxter) |
34 |
24 |
$0.00 |
| J1953 |
Levetiracetam injection |
520 |
381 |
$0.00 |
| C1758 |
Catheter, ureteral |
157 |
133 |
$0.00 |
| J2590 |
Oxytocin injection |
14 |
12 |
$0.00 |
| G1004 |
Cdsm ndsc |
4,689 |
3,148 |
$0.00 |
| 88173 |
|
401 |
244 |
$0.00 |
| C1874 |
Stent, coated/cov w/del sys |
66 |
62 |
$0.00 |
| 88333 |
|
144 |
129 |
$0.00 |
| G8978 |
Mobility current status |
483 |
278 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
485 |
374 |
$0.00 |
| S0030 |
Injection, metronidazole |
259 |
162 |
$0.00 |
| J9000 |
Doxorubicin hcl injection |
142 |
89 |
$0.00 |
| A9541 |
Tc99m sulfur colloid |
12 |
12 |
$0.00 |
| J0640 |
Leucovorin calcium injection |
323 |
175 |
$0.00 |
| S5010 |
5% dextrose and 0.45% saline |
413 |
273 |
$0.00 |
| Q9958 |
Hocm <=149 mg/ml iodine, 1ml |
33 |
33 |
$0.00 |
| J0688 |
Inj cefazolin sodium, hikma |
120 |
66 |
$0.00 |
| J1580 |
Garamycin gentamicin inj |
17 |
12 |
$0.00 |
| J2720 |
Inj protamine sulfate/10 mg |
24 |
24 |
$0.00 |
| 95874 |
|
12 |
12 |
$0.00 |
| J0736 |
Inj, clindamycin phosp 300mg |
17 |
12 |
$0.00 |
| G8989 |
Self care d/c status |
46 |
26 |
$0.00 |
| J3260 |
Tobramycin sulfate injection |
17 |
12 |
$0.00 |
| J2916 |
Na ferric gluconate complex |
16 |
13 |
$0.00 |
| 87328 |
|
61 |
54 |
$0.00 |
| C1729 |
Cath, drainage |
14 |
12 |
$0.00 |
| 86334 |
|
15 |
13 |
$0.00 |
| A4565 |
Slings |
18 |
16 |
$0.00 |