| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
69,213 |
61,742 |
$29.62M |
| 99284 |
|
79,423 |
72,433 |
$20.47M |
| 74177 |
|
21,314 |
19,872 |
$14.53M |
| 99283 |
|
46,105 |
43,253 |
$11.00M |
| 74176 |
|
8,597 |
7,918 |
$3.87M |
| 58571 |
|
742 |
626 |
$3.08M |
| 47562 |
|
711 |
658 |
$2.62M |
| 70450 |
|
23,587 |
21,515 |
$2.45M |
| C1713 |
Anchor/screw bn/bn,tis/bn |
2,487 |
2,162 |
$2.28M |
| G0378 |
Hospital observation per hr |
64,568 |
30,954 |
$2.19M |
| 49083 |
|
6,987 |
2,892 |
$2.03M |
| L8699 |
Prosthetic implant nos |
796 |
687 |
$1.94M |
| 96365 |
|
40,529 |
27,306 |
$1.69M |
| 58661 |
|
551 |
513 |
$1.64M |
| C1889 |
Implant/insert device, noc |
663 |
566 |
$1.60M |
| 78452 |
|
1,361 |
1,251 |
$1.55M |
| 11042 |
|
8,845 |
5,181 |
$1.50M |
| 43239 |
|
4,263 |
4,058 |
$1.47M |
| 80053 |
|
157,151 |
122,249 |
$1.43M |
| 99282 |
|
12,981 |
12,350 |
$1.39M |
| G0277 |
Hbot, full body chamber, 30m |
4,661 |
409 |
$1.33M |
| 74174 |
|
2,749 |
2,559 |
$1.27M |
| 72125 |
|
8,328 |
7,717 |
$1.23M |
| 70496 |
|
2,784 |
2,600 |
$1.11M |
| P9047 |
Albumin (human), 25%, 50ml |
3,642 |
1,511 |
$1.09M |
| 93306 |
|
3,985 |
3,606 |
$1.07M |
| 99213 |
|
12,784 |
10,750 |
$973K |
| 43235 |
|
2,310 |
2,170 |
$905K |
| 70553 |
|
2,322 |
2,223 |
$854K |
| C8929 |
Tte w or wo fol wcon,doppler |
1,898 |
1,698 |
$786K |
| 71275 |
|
8,273 |
7,760 |
$760K |
| 58662 |
|
513 |
461 |
$720K |
| J9271 |
Inj pembrolizumab |
95 |
72 |
$675K |
| 45380 |
|
2,064 |
1,958 |
$639K |
| 45378 |
|
1,860 |
1,818 |
$624K |
| 11043 |
|
1,951 |
1,307 |
$580K |
| 11045 |
|
1,709 |
1,062 |
$553K |
| 70487 |
|
1,266 |
1,198 |
$553K |
| 93458 |
|
537 |
435 |
$541K |
| 70491 |
|
1,508 |
1,440 |
$527K |
| 95811 |
|
944 |
880 |
$487K |
| 93970 |
|
2,570 |
2,384 |
$439K |
| 45385 |
|
1,509 |
1,458 |
$403K |
| 99214 |
|
3,604 |
3,176 |
$396K |
| 96366 |
|
19,717 |
9,492 |
$375K |
| 95810 |
|
616 |
605 |
$374K |
| 99203 |
|
4,270 |
4,219 |
$370K |
| 72131 |
|
1,090 |
1,037 |
$365K |
| 74183 |
|
847 |
740 |
$356K |
| 70551 |
|
2,453 |
2,267 |
$349K |
| 93505 |
|
142 |
106 |
$349K |
| J1756 |
Iron sucrose injection |
4,390 |
2,104 |
$329K |
| 99291 |
|
345 |
315 |
$321K |
| 36224 |
|
60 |
53 |
$309K |
| 36430 |
|
2,401 |
1,907 |
$293K |
| 93798 |
|
5,030 |
928 |
$293K |
| J1439 |
Inj ferric carboxymaltos 1mg |
432 |
269 |
$271K |
| C1776 |
Joint device (implantable) |
159 |
148 |
$260K |
| C9600 |
Perc drug-el cor stent sing |
57 |
42 |
$255K |
| 71250 |
|
2,777 |
2,530 |
$249K |
| 99215 |
Prolong outpt/office vis |
2,653 |
2,234 |
$246K |
| G0463 |
Hospital outpt clinic visit |
22,125 |
14,916 |
$243K |
| 99212 |
|
7,487 |
5,787 |
$238K |
| 70486 |
|
4,056 |
3,821 |
$233K |
| 71046 |
|
16,104 |
14,673 |
$231K |
| 96360 |
|
8,170 |
6,501 |
$227K |
| 93005 |
|
81,578 |
64,441 |
$217K |
| J0897 |
Denosumab injection |
238 |
206 |
$193K |
| 74170 |
|
1,147 |
1,055 |
$186K |
| J1561 |
Gamunex-c/gammaked |
130 |
64 |
$175K |
| C1874 |
Stent, coated/cov w/del sys |
325 |
287 |
$173K |
| 88305 |
|
20,011 |
13,708 |
$173K |
| C1767 |
Generator, neuro non-recharg |
15 |
14 |
$168K |
| 93971 |
|
4,792 |
4,483 |
$166K |
| 88185 |
|
192 |
173 |
$152K |
| 59200 |
|
783 |
736 |
$150K |
| 86920 |
|
3,508 |
1,866 |
$141K |
| C1887 |
Catheter, guiding |
2,468 |
2,057 |
$140K |
| C1769 |
Guide wire |
7,833 |
6,604 |
$138K |
| 91010 |
|
438 |
422 |
$137K |
| 96375 |
|
66,823 |
48,634 |
$135K |
| 76700 |
|
1,843 |
1,734 |
$133K |
| 97110 |
|
4,913 |
3,254 |
$131K |
| 80307 |
|
21,966 |
17,874 |
$129K |
| 99205 |
Prolong outpt/office vis |
1,442 |
1,403 |
$129K |
| 70498 |
|
3,144 |
2,924 |
$127K |
| 72146 |
|
346 |
320 |
$121K |
| 88341 |
|
2,849 |
1,661 |
$118K |
| 94621 |
|
553 |
492 |
$114K |
| 71260 |
|
3,600 |
3,362 |
$112K |
| M0247 |
Sotrovimab infusion |
135 |
131 |
$110K |
| 29581 |
|
11,681 |
3,696 |
$108K |
| 93975 |
|
1,108 |
996 |
$105K |
| G0257 |
Unsched dialysis esrd pt hos |
3,423 |
1,842 |
$100K |
| 10060 |
|
1,419 |
1,374 |
$98K |
| 99211 |
|
12,005 |
7,216 |
$97K |
| 76705 |
|
7,539 |
6,961 |
$96K |
| 72148 |
|
1,396 |
1,246 |
$94K |
| 77334 |
|
133 |
98 |
$94K |
| Q5111 |
Injection, udenyca 0.5 mg |
41 |
29 |
$93K |
| 75574 |
|
980 |
909 |
$89K |
| 78815 |
|
81 |
80 |
$87K |
| M0243 |
Casirivi and imdevi inj |
372 |
361 |
$87K |
| 99204 |
|
703 |
690 |
$85K |
| 71045 |
|
54,453 |
46,183 |
$79K |
| 11046 |
|
219 |
144 |
$78K |
| 97112 |
|
4,114 |
2,538 |
$78K |
| C1726 |
Cath, bal dil, non-vascular |
461 |
442 |
$66K |
| 50200 |
|
131 |
111 |
$61K |
| 72141 |
|
1,214 |
1,109 |
$57K |
| 80320 |
|
17,970 |
16,471 |
$57K |
| 93976 |
|
8,127 |
7,592 |
$55K |
| 58558 |
|
55 |
55 |
$54K |
| J7298 |
Mirena, 52 mg |
90 |
90 |
$54K |
| 97140 |
|
4,344 |
2,465 |
$51K |
| 77067 |
|
1,231 |
1,194 |
$50K |
| 44970 |
|
12 |
12 |
$50K |
| U0003 |
Cov-19 amp prb hgh thruput |
5,332 |
5,032 |
$48K |
| 93451 |
|
30 |
28 |
$44K |
| 74018 |
|
2,929 |
2,569 |
$44K |
| 41899 |
|
436 |
397 |
$41K |
| 86923 |
|
3,341 |
1,824 |
$40K |
| C1781 |
Mesh (implantable) |
494 |
446 |
$38K |
| 75561 |
|
172 |
170 |
$38K |
| 96374 |
|
67,533 |
59,563 |
$36K |
| 96413 |
|
6,828 |
3,922 |
$36K |
| 76642 |
|
686 |
667 |
$34K |
| Q9956 |
Inj octafluoropropane mic,ml |
225 |
202 |
$34K |
| 76942 |
|
1,284 |
1,169 |
$33K |
| 77336 |
|
674 |
291 |
$32K |
| 20680 |
|
15 |
14 |
$32K |
| 58670 |
|
12 |
12 |
$31K |
| 70355 |
|
4,694 |
4,137 |
$31K |
| J3240 |
Thyrotropin injection |
33 |
15 |
$29K |
| J3490 |
Drugs unclassified injection |
141,672 |
50,480 |
$26K |
| 96361 |
|
18,553 |
15,211 |
$26K |
| 88348 |
|
50 |
40 |
$25K |
| 95800 |
|
266 |
264 |
$25K |
| 73700 |
|
271 |
247 |
$24K |
| 43264 |
|
57 |
52 |
$24K |
| 76856 |
|
4,123 |
3,932 |
$23K |
| 77066 |
Tomosynthesis, mammo |
371 |
359 |
$23K |
| 76805 |
|
1,940 |
1,866 |
$22K |
| C1894 |
Intro/sheath, non-laser |
6,241 |
5,351 |
$22K |
| 99281 |
|
430 |
410 |
$22K |
| 74178 |
|
77 |
68 |
$22K |
| 96372 |
|
33,173 |
22,764 |
$22K |
| 97162 |
|
151 |
142 |
$22K |
| Q4186 |
Epifix 1 sq cm |
22 |
12 |
$22K |
| 96376 |
|
29,732 |
16,978 |
$20K |
| 99202 |
|
672 |
665 |
$19K |
| 76536 |
|
363 |
347 |
$18K |
| 83880 |
|
13,616 |
11,645 |
$18K |
| 77012 |
|
34 |
30 |
$18K |
| 73630 |
|
4,717 |
4,228 |
$17K |
| Q5107 |
Inj mvasi 10 mg |
38 |
13 |
$16K |
| 15275 |
|
186 |
114 |
$16K |
| 36591 |
|
3,292 |
1,942 |
$15K |
| 95806 |
|
155 |
148 |
$15K |
| 77386 |
|
150 |
12 |
$14K |
| 80048 |
|
48,335 |
35,115 |
$14K |
| 74246 |
|
71 |
71 |
$14K |
| 73562 |
|
6,206 |
5,356 |
$14K |
| C1729 |
Cath, drainage |
4,151 |
2,441 |
$14K |
| 73130 |
|
4,295 |
3,855 |
$14K |
| 76819 |
|
1,195 |
1,058 |
$14K |
| J2405 |
Ondansetron hcl injection |
62,466 |
48,978 |
$13K |
| 72156 |
|
51 |
51 |
$13K |
| M0222 |
Bebtelovimab injection |
59 |
58 |
$12K |
| 72193 |
|
26 |
26 |
$12K |
| 97530 |
|
13,076 |
6,908 |
$12K |
| M0239 |
Bamlanivimab-xxxx infusion |
53 |
51 |
$12K |
| J7307 |
Etonogestrel implant system |
12 |
12 |
$12K |
| P9016 |
Rbc leukocytes reduced |
2,762 |
2,148 |
$11K |
| 97535 |
|
6,259 |
4,612 |
$11K |
| 72157 |
|
12 |
12 |
$11K |
| 85025 |
|
167,221 |
129,106 |
$10K |
| 77080 |
|
320 |
277 |
$10K |
| 12002 |
|
962 |
912 |
$10K |
| 73030 |
|
5,140 |
4,455 |
$10K |
| J9263 |
Oxaliplatin |
192 |
66 |
$10K |
| 72100 |
|
2,361 |
2,204 |
$9K |
| 96367 |
|
6,361 |
4,580 |
$9K |
| 73701 |
|
26 |
25 |
$9K |
| 74230 |
|
89 |
82 |
$9K |
| 73610 |
|
3,714 |
3,279 |
$9K |
| J0696 |
Ceftriaxone sodium injection |
16,762 |
13,157 |
$8K |
| 93017 |
|
1,581 |
1,446 |
$8K |
| 87636 |
|
11,254 |
10,504 |
$8K |
| 93312 |
|
49 |
37 |
$8K |
| 99201 |
|
127 |
124 |
$8K |
| 12001 |
|
1,159 |
1,115 |
$8K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
44,973 |
40,759 |
$8K |
| 10061 |
|
14 |
12 |
$7K |
| 12011 |
|
386 |
363 |
$7K |
| 81025 |
|
33,060 |
30,299 |
$7K |
| 72128 |
|
282 |
273 |
$7K |
| 73721 |
|
61 |
55 |
$6K |
| 59025 |
|
250 |
199 |
$6K |
| 76801 |
|
5,622 |
5,157 |
$6K |
| 76770 |
|
871 |
806 |
$6K |
| 76815 |
|
1,952 |
1,799 |
$6K |
| 29445 |
|
107 |
27 |
$6K |
| 73502 |
|
2,377 |
2,158 |
$5K |
| 72197 |
|
25 |
24 |
$5K |
| 76817 |
|
4,896 |
4,485 |
$5K |
| 87631 |
|
1,894 |
1,806 |
$5K |
| 87633 |
|
223 |
202 |
$5K |
| 80329 |
|
1,645 |
1,478 |
$5K |
| 87086 |
|
24,309 |
22,494 |
$4K |
| 84484 |
|
52,213 |
30,945 |
$4K |
| 84702 |
|
15,673 |
14,486 |
$4K |
| 87116 |
|
1,774 |
1,331 |
$4K |
| 97161 |
|
10,204 |
9,103 |
$4K |
| C1725 |
Cath, translumin non-laser |
863 |
730 |
$4K |
| 77065 |
Tomosynthesis, mammo |
343 |
310 |
$4K |
| 76830 |
|
3,687 |
3,516 |
$4K |
| 87491 |
|
4,840 |
4,647 |
$4K |
| 83690 |
|
41,072 |
36,473 |
$3K |
| 41800 |
|
33 |
33 |
$3K |
| 84443 |
|
12,890 |
11,596 |
$3K |
| M0245 |
Bamlan and etesev infusion |
18 |
18 |
$3K |
| C1751 |
Cath, inf, per/cent/midline |
1,543 |
1,309 |
$3K |
| 82803 |
|
6,285 |
5,403 |
$3K |
| 73080 |
|
1,429 |
1,311 |
$3K |
| G0480 |
Drug test def 1-7 classes |
2,352 |
2,088 |
$3K |
| 86850 |
|
17,292 |
15,317 |
$3K |
| 87591 |
|
4,865 |
4,670 |
$3K |
| J1170 |
Hydromorphone injection |
23,007 |
11,533 |
$3K |
| 73110 |
|
2,522 |
2,220 |
$2K |
| 92507 |
|
237 |
67 |
$2K |
| 87040 |
|
21,069 |
10,308 |
$2K |
| 71101 |
|
1,169 |
1,109 |
$2K |
| 82728 |
|
4,713 |
3,676 |
$2K |
| 73090 |
|
2,232 |
1,902 |
$2K |
| 97597 |
|
51 |
37 |
$2K |
| 94640 |
|
10,757 |
6,486 |
$2K |
| 96417 |
|
2,076 |
1,250 |
$2K |
| 81001 |
|
48,636 |
44,141 |
$2K |
| J9190 |
Fluorouracil injection |
500 |
278 |
$2K |
| 97165 |
|
5,485 |
4,839 |
$2K |
| 73590 |
|
3,130 |
2,628 |
$2K |
| 82947 |
|
92,943 |
44,253 |
$2K |
| J8499 |
Oral prescrip drug non chemo |
139,663 |
41,069 |
$2K |
| 15271 |
|
97 |
59 |
$2K |
| J2270 |
Morphine sulfate injection |
31,976 |
22,333 |
$2K |
| 72158 |
|
13 |
12 |
$2K |
| 73120 |
|
638 |
559 |
$2K |
| G0379 |
Direct refer hospital observ |
853 |
786 |
$2K |
| 92611 |
|
88 |
81 |
$2K |
| C9733 |
Non-ophthalmic fva |
42 |
24 |
$2K |
| 76376 |
|
2,110 |
1,995 |
$1K |
| 83605 |
|
32,058 |
23,655 |
$1K |
| 73552 |
|
1,185 |
1,055 |
$1K |
| 17250 |
|
33 |
26 |
$1K |
| 76377 |
|
4,829 |
4,504 |
$1K |
| 88342 |
|
3,960 |
3,350 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
45,255 |
36,907 |
$1K |
| 95819 |
|
40 |
38 |
$1K |
| 82565 |
|
21,832 |
20,019 |
$1K |
| 96411 |
|
30 |
24 |
$1K |
| J1650 |
Inj enoxaparin sodium |
10,074 |
5,204 |
$1K |
| 76870 |
|
850 |
814 |
$1K |
| J2704 |
Inj, propofol, 10 mg |
37,404 |
30,740 |
$1K |
| J8597 |
Antiemetic drug oral nos |
11,581 |
6,906 |
$1K |
| A9500 |
Tc99m sestamibi |
1,549 |
1,410 |
$1K |
| 85610 |
|
45,945 |
36,563 |
$1K |
| 74181 |
|
13 |
13 |
$1K |
| 90715 |
|
5,871 |
5,586 |
$1K |
| 87651 |
|
831 |
821 |
$1K |
| J8540 |
Oral dexamethasone |
2,977 |
2,005 |
$1K |
| 36247 |
|
31 |
24 |
$991.69 |
| 83735 |
|
41,871 |
28,973 |
$930.06 |
| 88313 |
|
2,479 |
1,271 |
$926.28 |
| 85027 |
|
41,699 |
31,000 |
$912.73 |
| C1760 |
Closure dev, vasc |
1,759 |
1,497 |
$827.50 |
| 72040 |
|
608 |
532 |
$821.85 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
6,556 |
3,817 |
$816.57 |
| 99152 |
|
5,559 |
4,875 |
$802.76 |
| 86870 |
|
196 |
142 |
$735.86 |
| 87635 |
|
1,997 |
1,941 |
$726.14 |
| A9270 |
Non-covered item or service |
168,960 |
21,380 |
$712.90 |
| 87070 |
|
9,951 |
5,664 |
$712.66 |
| 85055 |
|
8,284 |
4,592 |
$696.11 |
| J7030 |
Normal saline solution infus |
34,214 |
27,612 |
$695.34 |
| 87075 |
|
5,382 |
3,591 |
$672.28 |
| 87088 |
|
18,558 |
16,624 |
$665.05 |
| 72170 |
|
1,317 |
1,214 |
$661.37 |
| 87880 |
|
3,118 |
3,017 |
$653.41 |
| 81003 |
|
20,851 |
19,407 |
$652.97 |
| 85730 |
|
16,607 |
14,295 |
$639.77 |
| 80051 |
|
3,435 |
3,136 |
$605.27 |
| 86635 |
|
1,438 |
712 |
$580.30 |
| 73560 |
|
747 |
589 |
$555.51 |
| J2785 |
Regadenoson injection |
1,427 |
1,299 |
$538.33 |
| 73060 |
|
909 |
736 |
$525.64 |
| 73620 |
|
386 |
325 |
$522.12 |
| J3010 |
Fentanyl citrate injection |
41,978 |
35,107 |
$520.72 |
| 84703 |
|
11,928 |
11,270 |
$505.76 |
| 97116 |
|
9,055 |
6,651 |
$502.60 |
| J2710 |
Neostigmine methylslfte inj |
5,641 |
5,028 |
$464.80 |
| J3360 |
Diazepam injection |
516 |
458 |
$461.99 |
| J1100 |
Dexamethasone sodium phos |
24,225 |
19,363 |
$456.16 |
| 87798 |
|
23 |
18 |
$455.86 |
| 88307 |
|
4,456 |
3,500 |
$434.17 |
| 85379 |
|
5,568 |
5,077 |
$419.32 |
| J0690 |
Cefazolin sodium injection |
18,362 |
13,142 |
$395.88 |
| Q9957 |
Inj perflutren lip micros,ml |
2,684 |
2,401 |
$387.34 |
| 82550 |
|
12,569 |
10,487 |
$376.01 |
| 86901 |
|
19,850 |
17,768 |
$374.74 |
| 0042T |
|
545 |
516 |
$371.66 |
| 73140 |
|
192 |
187 |
$365.61 |
| 99153 |
Mod sedat endo service >5yrs |
4,527 |
3,933 |
$362.54 |
| 84145 |
|
3,153 |
2,879 |
$360.38 |
| A9552 |
F18 fdg |
101 |
97 |
$355.38 |
| 85384 |
|
1,607 |
1,429 |
$340.80 |
| 94664 |
|
738 |
676 |
$320.91 |
| 87661 |
|
1,078 |
1,042 |
$316.44 |
| 90471 |
|
6,043 |
5,736 |
$310.90 |
| J2930 |
Methylprednisolone injection |
3,184 |
2,546 |
$310.06 |
| J1644 |
Inj heparin sodium per 1000u |
10,355 |
5,458 |
$294.85 |
| 87186 |
|
7,665 |
6,806 |
$284.60 |
| J7120 |
Ringers lactate infusion |
13,540 |
11,151 |
$275.25 |
| 86828 |
|
128 |
116 |
$274.89 |
| 87210 |
|
5,440 |
5,186 |
$272.84 |
| 86140 |
|
11,042 |
9,383 |
$271.48 |
| 73600 |
|
634 |
472 |
$266.15 |
| 82378 |
|
693 |
564 |
$261.48 |
| 82330 |
|
5,699 |
4,758 |
$243.50 |
| 15853 |
|
75 |
74 |
$229.03 |
| J1200 |
Diphenhydramine hcl injectio |
14,786 |
11,693 |
$228.85 |
| J1815 |
Insulin injection |
19,148 |
8,311 |
$222.84 |
| 72072 |
|
12 |
12 |
$219.84 |
| U0005 |
Infec agen detec ampli probe |
2,966 |
2,783 |
$208.50 |
| 80061 |
|
2,610 |
2,337 |
$200.85 |
| 86900 |
|
17,907 |
16,041 |
$199.44 |
| 84100 |
|
15,772 |
11,038 |
$197.66 |
| 84550 |
|
2,745 |
2,364 |
$186.62 |
| J0780 |
Prochlorperazine injection |
3,814 |
3,248 |
$178.53 |
| 87077 |
|
9,322 |
7,863 |
$177.00 |
| 85014 |
|
8,367 |
7,229 |
$174.74 |
| J3370 |
Vancomycin hcl injection |
6,595 |
3,756 |
$148.82 |
| 83036 |
|
5,959 |
5,446 |
$132.85 |
| J1953 |
Levetiracetam injection |
1,281 |
871 |
$130.76 |
| A9578 |
Inj multihance multipack |
3,436 |
3,230 |
$129.08 |
| 20610 |
|
30 |
24 |
$126.43 |
| J3475 |
Inj magnesium sulfate |
5,650 |
4,516 |
$125.17 |
| J0500 |
Dicyclomine injection |
856 |
768 |
$124.59 |
| 82607 |
|
1,869 |
1,668 |
$122.25 |
| 85018 |
|
8,992 |
7,629 |
$120.40 |
| J3480 |
Inj potassium chloride |
3,253 |
2,313 |
$118.45 |
| 77001 |
|
116 |
108 |
$113.15 |
| 87205 |
|
10,365 |
6,002 |
$109.79 |
| 88304 |
|
2,505 |
2,218 |
$103.47 |
| 72192 |
|
13 |
12 |
$99.92 |
| 82784 |
|
1,398 |
725 |
$95.21 |
| 84439 |
|
3,986 |
3,563 |
$94.55 |
| J2250 |
Inj midazolam hydrochloride |
24,807 |
21,817 |
$91.33 |
| J2765 |
Metoclopramide hcl injection |
9,628 |
8,541 |
$91.05 |
| 89051 |
|
7,772 |
3,704 |
$87.42 |
| 87206 |
|
2,545 |
1,514 |
$87.18 |
| 92610 |
|
44 |
40 |
$86.80 |
| J2060 |
Lorazepam injection |
6,342 |
5,267 |
$86.05 |
| 87102 |
|
2,071 |
1,592 |
$85.72 |
| 83615 |
|
4,037 |
2,668 |
$85.43 |
| 96368 |
|
3,085 |
2,252 |
$81.50 |
| 76937 |
|
1,482 |
1,282 |
$80.92 |
| 82010 |
|
3,416 |
2,997 |
$80.44 |
| 82746 |
|
1,183 |
1,067 |
$77.95 |
| 87081 |
|
1,051 |
1,004 |
$76.43 |
| J2543 |
Piperacillin/tazobactam |
5,094 |
2,870 |
$75.54 |
| 93041 |
|
2,862 |
2,641 |
$71.54 |
| 84132 |
|
6,475 |
5,157 |
$70.66 |
| J0360 |
Hydralazine hcl injection |
4,668 |
3,362 |
$69.02 |
| J7512 |
Prednisone ir or dr oral 1mg |
5,261 |
3,840 |
$66.52 |
| 85652 |
|
5,522 |
4,969 |
$65.81 |
| J1790 |
Droperidol injection |
2,819 |
2,592 |
$65.36 |
| J7040 |
Normal saline solution infus |
6,538 |
5,559 |
$62.46 |
| 84466 |
|
2,452 |
2,235 |
$60.20 |
| 73100 |
|
391 |
304 |
$59.66 |
| 73070 |
|
450 |
356 |
$59.62 |
| 86803 |
|
492 |
466 |
$59.44 |
| 84520 |
|
5,797 |
5,180 |
$55.25 |
| 94760 |
|
3,975 |
2,615 |
$54.84 |
| 96523 |
|
38 |
26 |
$53.46 |
| A9581 |
Gadoxetate disodium inj |
296 |
272 |
$52.32 |
| 95957 |
|
101 |
92 |
$50.80 |
| 87497 |
|
45 |
26 |
$43.58 |
| 86769 |
|
385 |
362 |
$42.75 |
| 87389 |
|
703 |
650 |
$39.52 |
| C9113 |
Inj pantoprazole sodium, via |
4,854 |
2,964 |
$38.49 |
| 80197 |
|
2,011 |
919 |
$35.42 |
| J0330 |
Succinycholine chloride inj |
3,153 |
2,858 |
$33.13 |
| 87015 |
|
769 |
636 |
$32.39 |
| J2550 |
Promethazine hcl injection |
2,732 |
2,177 |
$31.66 |
| 85460 |
|
725 |
688 |
$30.68 |
| J0171 |
Adrenalin epinephrine inject |
1,637 |
1,343 |
$28.50 |
| J7999 |
Compounded drug, noc |
2,646 |
2,406 |
$28.32 |
| 88112 |
|
1,266 |
764 |
$27.27 |
| 36410 |
|
19 |
17 |
$26.88 |
| 90686 |
|
1,064 |
956 |
$23.09 |
| 82945 |
|
1,251 |
817 |
$22.70 |
| J1642 |
Inj heparin sodium per 10 u |
5,836 |
1,837 |
$21.81 |
| 74328 |
|
142 |
130 |
$21.49 |
| 83540 |
|
2,531 |
2,301 |
$20.55 |
| 84157 |
|
2,385 |
1,361 |
$19.75 |
| 87340 |
|
1,439 |
1,307 |
$19.26 |
| J1940 |
Furosemide injection |
4,849 |
2,876 |
$18.86 |
| J2919 |
Inj, methylpred sod succ 5mg |
347 |
253 |
$18.39 |
| A9577 |
Inj multihance |
1,295 |
1,265 |
$18.03 |
| 84156 |
|
2,983 |
2,514 |
$17.98 |
| 93356 |
|
855 |
796 |
$17.60 |
| J3411 |
Thiamine hcl 100 mg |
951 |
641 |
$17.56 |
| 85046 |
|
3,760 |
2,475 |
$16.75 |
| J7050 |
Normal saline solution infus |
1,657 |
1,065 |
$16.74 |
| 84460 |
|
2,074 |
1,829 |
$16.57 |
| G0008 |
Admin influenza virus vac |
1,001 |
908 |
$16.24 |
| 82310 |
|
339 |
243 |
$15.11 |
| J2795 |
Ropivacaine hcl injection |
2,955 |
2,628 |
$14.13 |
| 82042 |
|
1,027 |
532 |
$12.53 |
| 86592 |
|
872 |
817 |
$12.32 |
| 84450 |
|
1,746 |
1,532 |
$12.28 |
| 80305 |
|
13 |
13 |
$11.97 |
| J1630 |
Haloperidol injection |
2,037 |
1,741 |
$11.46 |
| 87807 |
|
34 |
34 |
$8.57 |
| 85007 |
|
1,222 |
923 |
$8.45 |
| 84295 |
|
1,840 |
1,555 |
$6.71 |
| J2370 |
Phenylephrine hcl injection |
4,015 |
3,393 |
$6.70 |
| J2920 |
Methylprednisolone injection |
937 |
452 |
$6.16 |
| 87147 |
|
1,173 |
1,064 |
$5.74 |
| 84300 |
|
262 |
232 |
$5.23 |
| J7060 |
5% dextrose/water |
615 |
377 |
$3.49 |
| J0744 |
Ciprofloxacin iv |
808 |
522 |
$1.71 |
| 80076 |
|
748 |
445 |
$1.56 |
| S0028 |
Injection, famotidine, 20 mg |
2,048 |
1,722 |
$0.45 |
| 85347 |
|
1,888 |
1,118 |
$0.00 |
| 82140 |
|
1,894 |
1,657 |
$0.00 |
| 51702 |
|
173 |
151 |
$0.00 |
| 36600 |
|
117 |
112 |
$0.00 |
| 82731 |
|
100 |
93 |
$0.00 |
| Q0114 |
Fern test |
471 |
437 |
$0.00 |
| J1453 |
Fosaprepitant injection |
664 |
416 |
$0.00 |
| J1580 |
Garamycin gentamicin inj |
1,410 |
1,201 |
$0.00 |
| 88302 |
|
896 |
625 |
$0.00 |
| 96416 |
|
407 |
240 |
$0.00 |
| J0640 |
Leucovorin calcium injection |
451 |
253 |
$0.00 |
| J3105 |
Terbutaline sulfate inj |
29 |
29 |
$0.00 |
| G0279 |
Tomosynthesis, mammo |
944 |
913 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
1,497 |
1,190 |
$0.00 |
| 87324 |
|
69 |
65 |
$0.00 |
| J0692 |
Cefepime hcl for injection |
2,176 |
1,270 |
$0.00 |
| 80164 |
|
296 |
232 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
36 |
24 |
$0.00 |
| 87076 |
|
17 |
12 |
$0.00 |
| 86922 |
|
172 |
87 |
$0.00 |
| 93325 |
|
105 |
86 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
94 |
79 |
$0.00 |
| J1956 |
Levofloxacin injection |
388 |
252 |
$0.00 |
| J3489 |
Zoledronic acid 1mg |
103 |
82 |
$0.00 |
| G8978 |
Mobility current status |
289 |
238 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
672 |
652 |
$0.00 |
| 84165 |
|
64 |
56 |
$0.00 |
| A9541 |
Tc99m sulfur colloid |
25 |
24 |
$0.00 |
| 87804 |
|
3,366 |
1,708 |
$0.00 |
| 88173 |
|
142 |
100 |
$0.00 |
| C1758 |
Catheter, ureteral |
40 |
36 |
$0.00 |
| 88312 |
|
206 |
96 |
$0.00 |
| Q0239 |
Bamlanivimab-xxxx |
53 |
51 |
$0.00 |
| 84112 |
|
14 |
12 |
$0.00 |
| J3371 |
Inj, vancomycin hcl (mylan) |
192 |
119 |
$0.00 |
| 86334 |
|
142 |
126 |
$0.00 |
| 82570 |
|
522 |
465 |
$0.00 |
| 88346 |
|
114 |
96 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
346 |
336 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
90 |
88 |
$0.00 |
| 84155 |
|
32 |
27 |
$0.00 |
| J0694 |
Cefoxitin sodium injection |
147 |
98 |
$0.00 |
| 80202 |
|
179 |
144 |
$0.00 |
| G8979 |
Mobility goal status |
293 |
239 |
$0.00 |
| 80074 |
|
39 |
37 |
$0.00 |
| J7517 |
Mycophenolate mofetil oral |
37 |
12 |
$0.00 |
| 83970 |
|
72 |
52 |
$0.00 |
| J0736 |
Inj, clindamycin phosp 300mg |
52 |
39 |
$0.00 |
| C2625 |
Stent, non-cor, tem w/del sy |
25 |
24 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
322 |
225 |
$0.00 |
| J2310 |
Inj naloxone hydrochloride |
67 |
61 |
$0.00 |
| 87045 |
|
36 |
36 |
$0.00 |
| J2916 |
Na ferric gluconate complex |
64 |
22 |
$0.00 |
| 78018 |
|
40 |
37 |
$0.00 |
| 71270 |
|
18 |
15 |
$0.00 |
| 93321 |
|
12 |
12 |
$0.00 |
| 92950 |
|
20 |
13 |
$0.00 |
| 85041 |
|
18 |
16 |
$0.00 |
| Q0245 |
Bamlanivimab and etesevima |
18 |
18 |
$0.00 |
| Q9961 |
Hocm 250-299mg/ml iodine,1ml |
32 |
27 |
$0.00 |
| 90714 |
|
14 |
14 |
$0.00 |
| 92978 |
|
12 |
12 |
$0.00 |
| 72070 |
|
16 |
14 |
$0.00 |
| 82553 |
|
51 |
40 |
$0.00 |
| 80177 |
|
550 |
470 |
$0.00 |
| 36415 |
|
309 |
230 |
$0.00 |
| 87449 |
|
444 |
328 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
2,102 |
1,908 |
$0.00 |
| 83021 |
|
52 |
48 |
$0.00 |
| 96415 |
|
3,046 |
1,943 |
$0.00 |
| 88184 |
|
192 |
173 |
$0.00 |
| C2617 |
Stent, non-cor, tem w/o del |
169 |
145 |
$0.00 |
| 77300 |
|
127 |
117 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
1,575 |
1,408 |
$0.00 |
| 82306 |
|
171 |
148 |
$0.00 |
| 86706 |
|
407 |
362 |
$0.00 |
| J0456 |
Azithromycin |
1,262 |
933 |
$0.00 |
| J0561 |
Penicillin g benzathine inj |
39 |
39 |
$0.00 |
| G8988 |
Self care goal status |
42 |
37 |
$0.00 |
| 87176 |
|
385 |
253 |
$0.00 |
| J0610 |
Calcium glucon (fresenius) |
1,153 |
524 |
$0.00 |
| C9399 |
Unclassified drugs or biolog |
415 |
383 |
$0.00 |
| 82105 |
|
388 |
308 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
369 |
249 |
$0.00 |
| 77063 |
|
1,204 |
1,170 |
$0.00 |
| J1920 |
Inj, labetalol hcl, 5mg |
455 |
278 |
$0.00 |
| 74021 |
|
98 |
88 |
$0.00 |
| J2001 |
Lidocaine injection |
353 |
317 |
$0.00 |
| 90732 |
|
28 |
28 |
$0.00 |
| 88311 |
|
266 |
217 |
$0.00 |
| J0613 |
Calcium glucon (wg critical) |
81 |
71 |
$0.00 |
| 86704 |
|
199 |
177 |
$0.00 |
| J0461 |
Atropine sulfate injection |
100 |
65 |
$0.00 |
| 82040 |
|
30 |
27 |
$0.00 |
| 83010 |
|
44 |
37 |
$0.00 |
| J1836 |
Inj, metronidazole, 10 mg |
412 |
260 |
$0.00 |
| J2599 |
Inj vasopressin (am reg) 1 u |
53 |
41 |
$0.00 |
| 83521 |
|
116 |
53 |
$0.00 |
| J2469 |
Palonosetron hcl |
848 |
502 |
$0.00 |
| 94762 |
|
41 |
39 |
$0.00 |
| G8987 |
Self care current status |
42 |
37 |
$0.00 |
| 84134 |
|
73 |
67 |
$0.00 |
| Q0247 |
Sotrovimab |
135 |
131 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
28 |
28 |
$0.00 |
| 88331 |
|
78 |
55 |
$0.00 |
| C1893 |
Intro/sheath, fixed,non-peel |
79 |
69 |
$0.00 |
| 86780 |
|
173 |
158 |
$0.00 |
| J7507 |
Tacrolimus imme rel oral 1mg |
83 |
26 |
$0.00 |
| 88350 |
|
159 |
84 |
$0.00 |
| J3590 |
Unclassified biologics |
18 |
15 |
$0.00 |
| 83883 |
|
246 |
109 |
$0.00 |
| 72020 |
|
17 |
13 |
$0.00 |
| C1759 |
Cath, intra echocardiography |
29 |
27 |
$0.00 |
| 83930 |
|
31 |
28 |
$0.00 |
| 83935 |
|
30 |
26 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
597 |
559 |
$0.00 |
| 74420 |
|
12 |
12 |
$0.00 |
| 97166 |
|
20 |
14 |
$0.00 |
| G8982 |
Body pos goal status |
35 |
27 |
$0.00 |
| 97010 |
|
698 |
274 |
$0.00 |
| C1730 |
Cath, ep, 19 or few elect |
62 |
54 |
$0.00 |
| G8981 |
Body pos current status |
35 |
27 |
$0.00 |
| Q0222 |
Bebtelovimab 175 mg |
60 |
58 |
$0.00 |
| 87184 |
|
47 |
40 |
$0.00 |
| A9540 |
Tc99m maa |
13 |
12 |
$0.00 |
| 86320 |
|
59 |
54 |
$0.00 |
| J9045 |
Carboplatin injection |
35 |
26 |
$0.00 |
| J0611 |
Calcium glucon (wg critical) |
20 |
15 |
$0.00 |
| Q9964 |
Hocm>= 400mg/ml iodine, 1ml |
15 |
14 |
$0.00 |
| C1732 |
Cath, ep, diag/abl, 3d/vect |
25 |
24 |
$0.00 |
| U0002 |
Covid-19 lab test non-cdc |
17 |
16 |
$0.00 |
| J1805 |
Inj, esmolol hcl, 10mg |
105 |
88 |
$0.00 |
| C1753 |
Cath, intravas ultrasound |
13 |
13 |
$0.00 |
| J7042 |
5% dextrose/normal saline |
18 |
13 |
$0.00 |
| G8980 |
Mobility d/c status |
18 |
12 |
$0.00 |
| 82525 |
|
12 |
12 |
$0.00 |
| J3535 |
Metered dose inhaler drug |
12 |
12 |
$0.00 |
| A9585 |
Gadobutrol injection |
15 |
13 |
$0.00 |
| 82150 |
|
13 |
13 |
$0.00 |