| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
18,764 |
16,027 |
$6.93M |
| 99284 |
|
34,392 |
30,163 |
$5.74M |
| 99212 |
|
178,054 |
155,995 |
$4.34M |
| J9271 |
Inj pembrolizumab |
791 |
519 |
$4.16M |
| 99283 |
|
29,725 |
27,178 |
$2.78M |
| 85025 |
|
153,553 |
112,684 |
$2.72M |
| J0585 |
Injection,onabotulinumtoxina |
4,367 |
3,338 |
$2.04M |
| 80053 |
|
70,537 |
56,593 |
$1.96M |
| 74177 |
|
8,112 |
7,283 |
$1.83M |
| G0463 |
Hospital outpt clinic visit |
94,769 |
75,815 |
$1.80M |
| 80307 |
|
25,541 |
18,857 |
$1.78M |
| J7120 |
Ringers lactate infusion |
30,281 |
21,332 |
$1.62M |
| 80048 |
|
67,667 |
51,729 |
$1.58M |
| 93306 |
|
8,952 |
8,329 |
$1.53M |
| J2405 |
Ondansetron hcl injection |
33,801 |
25,865 |
$1.51M |
| G0480 |
Drug test def 1-7 classes |
16,328 |
12,088 |
$1.50M |
| J1459 |
Inj ivig privigen 500 mg |
1,870 |
893 |
$1.49M |
| 93005 |
|
53,867 |
46,034 |
$1.41M |
| 96413 |
|
12,100 |
6,617 |
$1.34M |
| J1100 |
Dexamethasone sodium phos |
27,388 |
20,938 |
$1.22M |
| 99211 |
|
73,224 |
58,228 |
$1.20M |
| G0378 |
Hospital observation per hr |
13,373 |
5,374 |
$1.08M |
| 84443 |
|
41,086 |
36,681 |
$1.03M |
| J2505 |
Injection, pegfilgrastim 6mg |
456 |
305 |
$917K |
| J2250 |
Inj midazolam hydrochloride |
17,278 |
14,069 |
$910K |
| 71260 |
|
4,370 |
3,932 |
$902K |
| 41899 |
|
620 |
497 |
$898K |
| J0131 |
Inj, acetaminophen (nos) |
9,683 |
7,977 |
$858K |
| 96375 |
|
20,734 |
14,397 |
$833K |
| 88305 |
|
11,631 |
10,205 |
$782K |
| 95810 |
|
1,097 |
1,059 |
$766K |
| 42820 |
|
491 |
378 |
$752K |
| 96365 |
|
11,994 |
8,094 |
$751K |
| J0178 |
Aflibercept injection |
1,131 |
896 |
$747K |
| 96372 |
|
17,059 |
10,380 |
$746K |
| 96374 |
|
20,939 |
17,507 |
$746K |
| 70450 |
|
7,623 |
6,774 |
$722K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
19,210 |
16,471 |
$690K |
| 81001 |
|
41,446 |
35,563 |
$669K |
| 36430 |
|
1,519 |
792 |
$667K |
| J0690 |
Cefazolin sodium injection |
10,902 |
7,396 |
$636K |
| 86850 |
|
24,329 |
20,210 |
$619K |
| J1745 |
Infliximab not biosimil 10mg |
299 |
275 |
$602K |
| 43239 |
|
2,140 |
1,783 |
$601K |
| U0004 |
Cov-19 test non-cdc hgh thru |
8,819 |
8,055 |
$585K |
| 85610 |
|
29,081 |
21,996 |
$573K |
| 96361 |
|
7,656 |
4,800 |
$566K |
| 71045 |
|
18,089 |
15,072 |
$556K |
| 83735 |
|
38,585 |
22,876 |
$549K |
| 77386 |
|
1,197 |
85 |
$544K |
| J0897 |
Denosumab injection |
555 |
485 |
$540K |
| Q3014 |
Telehealth facility fee |
23,401 |
20,876 |
$540K |
| 86900 |
|
24,027 |
19,871 |
$505K |
| 86901 |
|
23,989 |
19,839 |
$496K |
| 87086 |
|
26,213 |
22,748 |
$492K |
| 67028 |
|
4,083 |
3,234 |
$491K |
| 87491 |
|
13,124 |
11,566 |
$486K |
| 87591 |
|
13,107 |
11,551 |
$485K |
| 87637 |
|
5,325 |
4,741 |
$483K |
| 84484 |
|
20,157 |
14,778 |
$475K |
| 71046 |
|
13,979 |
12,681 |
$462K |
| 82306 |
|
14,411 |
13,357 |
$451K |
| 85027 |
|
28,138 |
24,036 |
$444K |
| 82248 |
|
31,749 |
26,204 |
$439K |
| 96417 |
|
2,804 |
1,654 |
$432K |
| 85730 |
|
15,493 |
12,567 |
$430K |
| 93325 |
|
4,570 |
4,156 |
$427K |
| 82565 |
|
21,572 |
15,067 |
$416K |
| 84460 |
|
22,076 |
15,899 |
$413K |
| 84450 |
|
22,213 |
15,934 |
$402K |
| 83036 |
|
24,693 |
22,717 |
$393K |
| 96367 |
|
6,013 |
3,563 |
$388K |
| 64615 |
|
2,736 |
2,062 |
$387K |
| J7060 |
5% dextrose/water |
9,926 |
5,761 |
$387K |
| J1885 |
Ketorolac tromethamine inj |
13,220 |
10,409 |
$377K |
| 95782 |
|
408 |
394 |
$368K |
| 80061 |
|
19,265 |
17,920 |
$366K |
| 82803 |
|
10,752 |
8,738 |
$365K |
| 84702 |
|
13,173 |
10,995 |
$356K |
| 99213 |
|
14,415 |
13,201 |
$355K |
| 72125 |
|
3,098 |
2,754 |
$354K |
| 92134 |
|
7,907 |
7,131 |
$354K |
| 95813 |
|
1,360 |
1,297 |
$353K |
| 96366 |
|
7,794 |
4,200 |
$350K |
| 84100 |
|
29,202 |
17,163 |
$349K |
| 45380 |
|
641 |
499 |
$345K |
| 83605 |
|
11,867 |
9,439 |
$344K |
| 71275 |
|
2,025 |
1,814 |
$328K |
| 64493 |
|
945 |
700 |
$321K |
| 76770 |
|
4,950 |
4,624 |
$321K |
| 70496 |
|
1,508 |
1,357 |
$320K |
| 84075 |
|
15,017 |
9,805 |
$318K |
| J9299 |
Injection, nivolumab |
55 |
36 |
$314K |
| 92060 |
|
13,290 |
12,525 |
$299K |
| 96415 |
|
3,022 |
1,757 |
$297K |
| C1769 |
Guide wire |
3,347 |
2,783 |
$288K |
| 99282 |
|
5,140 |
4,782 |
$288K |
| 0099U |
|
686 |
557 |
$285K |
| 70498 |
|
1,370 |
1,234 |
$284K |
| 76705 |
|
4,396 |
4,026 |
$279K |
| 71250 |
|
3,016 |
2,838 |
$279K |
| 76816 |
|
4,155 |
3,780 |
$277K |
| 96376 |
|
7,877 |
4,535 |
$274K |
| 86140 |
|
19,160 |
15,557 |
$274K |
| 93303 |
|
1,286 |
1,182 |
$274K |
| 93308 |
|
2,976 |
2,592 |
$273K |
| 77067 |
|
3,675 |
3,445 |
$273K |
| U0002 |
Covid-19 lab test non-cdc |
5,836 |
5,029 |
$271K |
| 84520 |
|
14,556 |
9,791 |
$268K |
| 82247 |
|
14,446 |
8,925 |
$265K |
| 36415 |
|
57,296 |
47,758 |
$263K |
| 20610 |
|
2,993 |
2,585 |
$262K |
| 80051 |
|
10,808 |
6,902 |
$259K |
| 77334 |
|
976 |
608 |
$255K |
| 87631 |
|
2,014 |
1,803 |
$253K |
| 82805 |
|
2,265 |
1,849 |
$250K |
| 96368 |
|
2,315 |
1,401 |
$243K |
| 90471 |
|
18,861 |
17,054 |
$242K |
| 83615 |
|
15,658 |
9,141 |
$239K |
| 84439 |
|
10,590 |
9,593 |
$237K |
| J1644 |
Inj heparin sodium per 1000u |
7,216 |
3,347 |
$236K |
| 88307 |
|
1,406 |
1,101 |
$236K |
| 83690 |
|
13,508 |
11,564 |
$225K |
| 93226 |
|
954 |
887 |
$222K |
| C1725 |
Cath, translumin non-laser |
597 |
478 |
$221K |
| 84703 |
|
4,605 |
3,850 |
$216K |
| 99202 |
|
9,843 |
9,352 |
$207K |
| 74176 |
|
1,913 |
1,758 |
$205K |
| 93320 |
|
1,787 |
1,611 |
$205K |
| 84132 |
|
4,961 |
3,786 |
$203K |
| 82728 |
|
9,319 |
8,438 |
$196K |
| 77336 |
|
2,031 |
920 |
$193K |
| A9552 |
F18 fdg |
603 |
566 |
$190K |
| 88185 |
|
1,715 |
1,526 |
$189K |
| 78452 |
|
716 |
638 |
$189K |
| 88341 |
|
1,586 |
1,348 |
$188K |
| 83880 |
|
5,935 |
5,133 |
$184K |
| 76830 |
|
2,183 |
2,002 |
$184K |
| 78815 |
|
591 |
559 |
$184K |
| 85652 |
|
12,910 |
11,225 |
$183K |
| 77300 |
|
585 |
447 |
$176K |
| 31575 |
|
1,964 |
1,832 |
$176K |
| 82330 |
|
4,190 |
3,528 |
$175K |
| J0171 |
Adrenalin epinephrine inject |
3,237 |
2,586 |
$174K |
| 92507 |
|
2,732 |
1,025 |
$173K |
| 93271 |
|
781 |
726 |
$173K |
| 82607 |
|
7,374 |
6,860 |
$172K |
| 88342 |
|
3,062 |
2,606 |
$172K |
| G0379 |
Direct refer hospital observ |
707 |
589 |
$172K |
| 94640 |
|
5,395 |
3,354 |
$172K |
| 86003 |
|
2,351 |
1,958 |
$171K |
| J2370 |
Phenylephrine hcl injection |
1,107 |
806 |
$167K |
| 87389 |
|
6,941 |
6,215 |
$167K |
| J9312 |
Inj., rituximab, 10 mg |
58 |
24 |
$167K |
| 87077 |
|
8,835 |
7,854 |
$167K |
| 97112 |
|
6,235 |
1,995 |
$165K |
| J0185 |
Inj., aprepitant, 1 mg |
334 |
156 |
$164K |
| 87633 |
|
776 |
692 |
$162K |
| 82310 |
|
11,044 |
6,996 |
$162K |
| J2270 |
Morphine sulfate injection |
5,554 |
3,758 |
$161K |
| 87340 |
|
8,277 |
7,367 |
$160K |
| 84466 |
|
8,059 |
7,426 |
$158K |
| 88142 |
|
5,359 |
4,645 |
$157K |
| 87040 |
|
4,163 |
2,693 |
$155K |
| C1751 |
Cath, inf, per/cent/midline |
757 |
620 |
$154K |
| 86803 |
|
8,491 |
7,612 |
$152K |
| 76811 |
|
1,322 |
1,238 |
$151K |
| 76942 |
|
1,093 |
938 |
$150K |
| Q9957 |
Inj perflutren lip micros,ml |
2,236 |
2,023 |
$147K |
| 76642 |
|
2,147 |
1,740 |
$143K |
| J1200 |
Diphenhydramine hcl injectio |
5,674 |
3,961 |
$143K |
| J2710 |
Neostigmine methylslfte inj |
1,592 |
1,152 |
$142K |
| 80076 |
|
5,840 |
5,093 |
$142K |
| 77412 |
|
815 |
107 |
$142K |
| 97530 |
|
3,973 |
1,562 |
$141K |
| 64494 |
|
834 |
650 |
$141K |
| 94060 |
|
1,990 |
1,888 |
$141K |
| 92133 |
|
3,825 |
3,639 |
$140K |
| 88304 |
|
1,920 |
1,630 |
$140K |
| J2795 |
Ropivacaine hcl injection |
1,546 |
1,251 |
$138K |
| 83540 |
|
9,018 |
8,304 |
$137K |
| 82570 |
|
10,161 |
8,698 |
$135K |
| 96360 |
|
2,525 |
1,915 |
$131K |
| 70491 |
|
422 |
387 |
$130K |
| 95951 |
|
422 |
190 |
$129K |
| 62323 |
|
547 |
486 |
$128K |
| 76825 |
|
620 |
582 |
$127K |
| 73630 |
|
4,617 |
3,855 |
$127K |
| 77063 |
|
3,623 |
3,393 |
$124K |
| 83970 |
|
3,927 |
3,430 |
$124K |
| 73564 |
|
4,108 |
3,267 |
$123K |
| 84295 |
|
3,412 |
2,553 |
$123K |
| 73610 |
|
4,143 |
3,520 |
$123K |
| J2785 |
Regadenoson injection |
652 |
580 |
$120K |
| 87653 |
|
2,488 |
2,340 |
$117K |
| 87624 |
|
3,296 |
2,946 |
$117K |
| 11042 |
|
934 |
730 |
$115K |
| 82784 |
|
5,477 |
3,473 |
$115K |
| 87522 |
Neg quan hep c or qual rna |
2,099 |
1,876 |
$115K |
| J0475 |
Baclofen 10 mg injection |
172 |
152 |
$112K |
| 81002 |
|
11,345 |
9,662 |
$111K |
| 73110 |
|
2,957 |
2,416 |
$111K |
| 84156 |
|
5,919 |
5,124 |
$110K |
| 82947 |
|
2,577 |
2,247 |
$109K |
| 45385 |
|
220 |
200 |
$109K |
| 82746 |
|
4,604 |
4,280 |
$108K |
| 70486 |
|
700 |
654 |
$107K |
| 17110 |
|
628 |
582 |
$107K |
| 76536 |
|
1,349 |
1,277 |
$107K |
| 95811 |
|
172 |
168 |
$106K |
| 82977 |
|
3,737 |
3,085 |
$105K |
| 92250 |
|
6,137 |
5,327 |
$105K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
540 |
457 |
$105K |
| 72110 |
|
2,598 |
2,357 |
$104K |
| 73130 |
|
2,792 |
2,314 |
$104K |
| 82550 |
|
5,258 |
4,102 |
$104K |
| 92014 |
|
2,224 |
2,008 |
$103K |
| 76819 |
|
1,876 |
1,114 |
$102K |
| 99203 |
|
3,541 |
3,409 |
$102K |
| 87070 |
|
5,045 |
4,463 |
$102K |
| 72082 |
|
2,624 |
2,476 |
$102K |
| 87481 |
|
1,812 |
1,603 |
$101K |
| 70553 |
|
1,129 |
1,033 |
$99K |
| 86592 |
|
4,796 |
4,249 |
$98K |
| 92082 |
|
4,357 |
4,103 |
$97K |
| 97110 |
|
4,386 |
1,895 |
$96K |
| 73030 |
|
3,972 |
3,285 |
$95K |
| 90472 |
|
6,355 |
5,807 |
$95K |
| J1650 |
Inj enoxaparin sodium |
6,657 |
2,805 |
$95K |
| J2001 |
Lidocaine injection |
7,381 |
6,062 |
$93K |
| 93321 |
|
697 |
650 |
$92K |
| 72170 |
|
2,183 |
1,898 |
$92K |
| A9502 |
Tc99m tetrofosmin |
766 |
683 |
$92K |
| 82378 |
|
2,550 |
1,907 |
$91K |
| 82435 |
|
817 |
693 |
$91K |
| 76827 |
|
619 |
581 |
$90K |
| J2930 |
Methylprednisolone injection |
1,678 |
1,350 |
$89K |
| 87186 |
|
6,529 |
5,750 |
$89K |
| 87210 |
|
4,532 |
4,070 |
$87K |
| 97161 |
|
1,479 |
1,241 |
$87K |
| 93971 |
|
1,577 |
1,422 |
$87K |
| 73590 |
|
2,855 |
2,379 |
$86K |
| 83516 |
|
3,840 |
2,727 |
$86K |
| 82040 |
|
8,475 |
5,457 |
$86K |
| 90715 |
|
3,265 |
2,977 |
$84K |
| 69436 |
|
194 |
173 |
$84K |
| 66984 |
|
311 |
259 |
$84K |
| 86762 |
|
4,233 |
3,676 |
$83K |
| J7298 |
Mirena, 52 mg |
108 |
70 |
$83K |
| 93017 |
|
1,136 |
1,034 |
$83K |
| 87205 |
|
4,822 |
4,245 |
$82K |
| 93225 |
|
959 |
891 |
$82K |
| 80050 |
|
2,120 |
2,026 |
$81K |
| 77002 |
|
282 |
238 |
$80K |
| J0330 |
Succinycholine chloride inj |
2,508 |
1,994 |
$79K |
| 94729 |
|
1,985 |
1,916 |
$79K |
| 74018 |
|
2,414 |
2,031 |
$78K |
| 97162 |
|
1,924 |
1,637 |
$78K |
| 88313 |
|
827 |
683 |
$78K |
| 74178 |
|
360 |
331 |
$78K |
| 29075 |
|
449 |
394 |
$77K |
| 20553 |
|
510 |
471 |
$76K |
| 88184 |
|
1,787 |
1,572 |
$75K |
| 93970 |
|
771 |
681 |
$75K |
| 93304 |
|
250 |
231 |
$75K |
| J3301 |
Triamcinolone acet inj nos |
2,095 |
1,799 |
$74K |
| 76805 |
|
746 |
679 |
$72K |
| 95886 |
|
1,076 |
1,030 |
$71K |
| 93270 |
|
781 |
726 |
$70K |
| 73552 |
|
2,632 |
2,234 |
$69K |
| 76801 |
|
911 |
807 |
$69K |
| 73090 |
|
1,818 |
1,484 |
$69K |
| 86923 |
|
1,189 |
878 |
$69K |
| 81025 |
|
2,310 |
2,005 |
$67K |
| 94726 |
|
1,643 |
1,584 |
$67K |
| 87661 |
|
1,811 |
1,605 |
$66K |
| C1893 |
Intro/sheath, fixed,non-peel |
406 |
306 |
$65K |
| 87081 |
|
4,589 |
4,292 |
$65K |
| 87798 |
|
828 |
714 |
$65K |
| 86706 |
|
3,305 |
3,056 |
$65K |
| 73080 |
|
1,933 |
1,641 |
$64K |
| 86480 |
|
1,222 |
1,146 |
$62K |
| 90686 |
|
4,618 |
4,068 |
$62K |
| 80069 |
|
3,046 |
2,393 |
$62K |
| 77066 |
Tomosynthesis, mammo |
560 |
521 |
$61K |
| 77065 |
Tomosynthesis, mammo |
1,018 |
942 |
$60K |
| 85379 |
|
2,034 |
1,815 |
$58K |
| 96377 |
|
624 |
385 |
$57K |
| U0005 |
Infec agen detec ampli probe |
3,206 |
3,006 |
$57K |
| 97166 |
|
1,508 |
1,282 |
$56K |
| J2469 |
Palonosetron hcl |
2,357 |
1,398 |
$56K |
| 86704 |
|
2,374 |
2,163 |
$56K |
| 95715 |
|
155 |
94 |
$55K |
| 64635 |
|
146 |
82 |
$55K |
| 86038 |
|
2,182 |
2,025 |
$55K |
| 82105 |
|
1,732 |
1,538 |
$54K |
| 87801 |
|
522 |
426 |
$54K |
| 73522 |
|
1,629 |
1,548 |
$53K |
| C1760 |
Closure dev, vasc |
206 |
183 |
$53K |
| J3475 |
Inj magnesium sulfate |
4,512 |
2,413 |
$52K |
| 97165 |
|
869 |
724 |
$52K |
| 92567 |
|
3,690 |
3,467 |
$52K |
| 72040 |
|
1,849 |
1,653 |
$51K |
| 74019 |
|
1,983 |
1,815 |
$51K |
| 59025 |
|
1,379 |
826 |
$51K |
| 90732 |
|
759 |
682 |
$51K |
| 90670 |
|
2,200 |
2,034 |
$50K |
| 73562 |
|
1,423 |
1,128 |
$50K |
| 86255 |
|
1,453 |
1,315 |
$50K |
| 73560 |
|
2,103 |
1,731 |
$50K |
| 76817 |
|
874 |
703 |
$49K |
| 94010 |
|
2,068 |
1,813 |
$49K |
| 84481 |
|
1,305 |
1,154 |
$49K |
| 84550 |
|
3,254 |
2,619 |
$48K |
| 99392 |
|
906 |
863 |
$48K |
| G0475 |
Hiv combination assay |
2,202 |
1,976 |
$48K |
| 72050 |
|
993 |
941 |
$47K |
| 87536 |
|
563 |
541 |
$47K |
| U0003 |
Cov-19 amp prb hgh thruput |
743 |
682 |
$47K |
| 11102 |
|
364 |
310 |
$47K |
| 92557 |
|
1,510 |
1,411 |
$46K |
| C9257 |
Bevacizumab injection |
1,704 |
1,350 |
$46K |
| J3471 |
Ovine, up to 999 usp units |
210 |
155 |
$46K |
| 90658 |
|
2,542 |
2,315 |
$45K |
| 82140 |
|
1,789 |
1,503 |
$45K |
| 81513 |
|
936 |
875 |
$45K |
| 82785 |
|
1,863 |
1,695 |
$45K |
| 99391 |
|
986 |
822 |
$45K |
| J1720 |
Hydrocortisone sodium succ i |
1,159 |
878 |
$44K |
| 73502 |
|
1,868 |
1,619 |
$44K |
| 85018 |
|
3,249 |
2,584 |
$43K |
| C9803 |
Hopd covid-19 spec collect |
3,108 |
2,606 |
$43K |
| 93296 |
|
4,424 |
4,252 |
$42K |
| 86235 |
|
737 |
650 |
$42K |
| 96411 |
|
595 |
350 |
$41K |
| 96401 |
|
205 |
96 |
$40K |
| 11100 |
|
323 |
311 |
$40K |
| 88112 |
|
895 |
732 |
$39K |
| 93880 |
|
613 |
573 |
$39K |
| J3370 |
Vancomycin hcl injection |
2,256 |
1,121 |
$39K |
| 70250 |
|
257 |
224 |
$39K |
| 95911 |
|
274 |
258 |
$39K |
| J9045 |
Carboplatin injection |
523 |
265 |
$39K |
| J0696 |
Ceftriaxone sodium injection |
2,477 |
1,687 |
$39K |
| 0202U |
|
550 |
526 |
$39K |
| 96402 |
|
408 |
353 |
$38K |
| 84146 |
|
1,189 |
1,071 |
$38K |
| 99214 |
|
1,451 |
1,295 |
$38K |
| J0780 |
Prochlorperazine injection |
2,864 |
2,184 |
$38K |
| 90651 |
|
644 |
613 |
$38K |
| 82657 |
|
375 |
280 |
$38K |
| 0064U |
|
1,073 |
928 |
$37K |
| 76815 |
|
606 |
523 |
$37K |
| 95700 |
|
316 |
300 |
$37K |
| 82043 |
|
3,827 |
3,532 |
$37K |
| 77295 |
|
127 |
81 |
$37K |
| 72100 |
|
1,467 |
1,306 |
$36K |
| 75574 |
|
217 |
206 |
$36K |
| 87880 |
|
841 |
784 |
$36K |
| J7307 |
Etonogestrel implant system |
31 |
16 |
$36K |
| 73140 |
|
718 |
600 |
$35K |
| 90853 |
|
1,489 |
810 |
$35K |
| 87486 |
|
371 |
320 |
$35K |
| 87581 |
|
370 |
319 |
$35K |
| 90750 |
|
352 |
334 |
$35K |
| 74174 |
|
335 |
303 |
$34K |
| 83520 |
|
988 |
905 |
$34K |
| 80055 |
|
870 |
803 |
$33K |
| 83001 |
|
978 |
867 |
$32K |
| 89051 |
|
916 |
743 |
$32K |
| J2765 |
Metoclopramide hcl injection |
782 |
623 |
$31K |
| J3490 |
Drugs unclassified injection |
11,335 |
2,851 |
$31K |
| J1030 |
Methylprednisolone 40 mg inj |
777 |
668 |
$31K |
| G0108 |
Diab manage trn per indiv |
365 |
306 |
$31K |
| 93923 |
|
824 |
781 |
$31K |
| 94664 |
|
569 |
458 |
$30K |
| 95885 |
|
469 |
441 |
$30K |
| 31231 |
|
294 |
279 |
$30K |
| 86300 |
|
1,501 |
1,306 |
$30K |
| 88173 |
|
247 |
192 |
$30K |
| 73060 |
|
1,144 |
957 |
$30K |
| 51798 |
|
1,810 |
1,691 |
$29K |
| 82533 |
|
660 |
536 |
$29K |
| J1453 |
Fosaprepitant injection |
922 |
618 |
$29K |
| 86790 |
|
1,456 |
1,325 |
$29K |
| J8501 |
Oral aprepitant |
476 |
359 |
$28K |
| 74230 |
|
291 |
270 |
$28K |
| 88360 |
|
184 |
139 |
$28K |
| 92611 |
|
214 |
197 |
$28K |
| 77080 |
|
503 |
486 |
$28K |
| J0744 |
Ciprofloxacin iv |
121 |
108 |
$28K |
| 86618 |
|
1,347 |
900 |
$28K |
| 36592 |
|
727 |
578 |
$27K |
| 87902 |
|
146 |
122 |
$27K |
| 86160 |
|
734 |
688 |
$27K |
| C1874 |
Stent, coated/cov w/del sys |
12 |
12 |
$27K |
| 82950 |
|
2,908 |
2,719 |
$27K |
| 76882 |
|
646 |
565 |
$27K |
| 95806 |
|
448 |
418 |
$26K |
| 95874 |
|
337 |
286 |
$26K |
| 36561 |
|
32 |
25 |
$25K |
| V2632 |
Post chmbr intraocular lens |
539 |
464 |
$25K |
| 80197 |
|
2,451 |
1,017 |
$25K |
| J0702 |
Betamethasone acet&sod phosp |
516 |
421 |
$24K |
| P9016 |
Rbc leukocytes reduced |
184 |
141 |
$24K |
| 95910 |
|
294 |
274 |
$24K |
| 86780 |
|
2,744 |
2,556 |
$24K |
| 85046 |
|
1,808 |
1,582 |
$24K |
| 82670 |
|
587 |
540 |
$24K |
| 83883 |
|
674 |
584 |
$23K |
| 87804 |
|
338 |
312 |
$23K |
| 84403 |
|
872 |
803 |
$23K |
| 72072 |
|
642 |
586 |
$23K |
| 87147 |
|
826 |
769 |
$22K |
| J2060 |
Lorazepam injection |
1,273 |
944 |
$22K |
| 84165 |
|
1,225 |
1,094 |
$22K |
| 87015 |
|
756 |
622 |
$22K |
| 99201 |
|
1,499 |
1,294 |
$22K |
| 76813 |
|
357 |
320 |
$22K |
| J2704 |
Inj, propofol, 10 mg |
13,599 |
11,151 |
$22K |
| 86334 |
|
545 |
483 |
$22K |
| 87651 |
|
635 |
576 |
$21K |
| 52000 |
|
115 |
106 |
$21K |
| J1642 |
Inj heparin sodium per 10 u |
2,035 |
855 |
$21K |
| 62369 |
|
200 |
192 |
$21K |
| 86376 |
|
775 |
710 |
$21K |
| 80164 |
|
1,279 |
1,129 |
$20K |
| 99495 |
|
478 |
456 |
$20K |
| 86431 |
|
1,090 |
1,000 |
$20K |
| J2506 |
Inj pegfilgrast ex bio 0.5mg |
64 |
50 |
$20K |
| 96112 |
|
238 |
207 |
$20K |
| 93925 |
|
316 |
298 |
$20K |
| 99393 |
|
367 |
364 |
$20K |
| 11104 |
|
136 |
102 |
$20K |
| G0279 |
Tomosynthesis, mammo |
500 |
467 |
$20K |
| 72131 |
|
143 |
132 |
$20K |
| 90671 |
|
381 |
364 |
$20K |
| 74022 |
|
368 |
328 |
$19K |
| 95819 |
|
87 |
77 |
$19K |
| 36591 |
|
1,977 |
1,505 |
$19K |
| 77387 |
|
95 |
12 |
$19K |
| 99395 |
|
295 |
284 |
$19K |
| 76937 |
|
449 |
388 |
$19K |
| 29425 |
|
137 |
118 |
$19K |
| 92587 |
|
726 |
671 |
$18K |
| 0065U |
|
2,381 |
2,192 |
$18K |
| Q9960 |
Hocm 200-249mg/ml iodine,1ml |
214 |
177 |
$18K |
| 77001 |
|
224 |
185 |
$18K |
| 58300 |
|
136 |
108 |
$18K |
| 10060 |
|
182 |
165 |
$18K |
| 86200 |
|
791 |
725 |
$17K |
| 83655 |
|
1,237 |
1,161 |
$17K |
| 87075 |
|
439 |
368 |
$17K |
| 88312 |
|
209 |
178 |
$17K |
| 73501 |
|
671 |
623 |
$17K |
| 87799 |
|
472 |
280 |
$17K |
| 87102 |
|
620 |
503 |
$17K |
| 84153 |
|
1,011 |
950 |
$17K |
| 64642 |
|
103 |
85 |
$17K |
| 88275 |
|
36 |
25 |
$16K |
| 64483 |
|
62 |
55 |
$16K |
| 51600 |
|
63 |
57 |
$16K |
| 84155 |
|
1,775 |
1,391 |
$16K |
| 64490 |
|
32 |
28 |
$16K |
| 92579 |
|
536 |
504 |
$16K |
| 64491 |
|
32 |
28 |
$16K |
| 94762 |
|
161 |
108 |
$16K |
| J9070 |
Cyclophosphamide 100 mg inj |
37 |
12 |
$15K |
| 86147 |
|
233 |
204 |
$15K |
| 95115 |
|
1,829 |
1,107 |
$15K |
| 73100 |
|
316 |
225 |
$15K |
| 88175 |
|
772 |
705 |
$15K |
| 95004 |
|
285 |
249 |
$15K |
| 73700 |
|
147 |
129 |
$15K |
| 20611 |
|
148 |
125 |
$15K |
| J0295 |
Ampicillin sulbactam 1.5 gm |
550 |
224 |
$15K |
| 92504 |
|
804 |
758 |
$14K |
| 87184 |
|
846 |
764 |
$14K |
| 84425 |
|
703 |
656 |
$14K |
| 86317 |
|
953 |
707 |
$14K |
| 86304 |
|
571 |
480 |
$14K |
| 87324 |
|
536 |
499 |
$14K |
| 96132 |
|
457 |
400 |
$14K |
| 86870 |
|
430 |
333 |
$14K |
| 78999 |
|
130 |
97 |
$14K |
| 71271 |
|
337 |
325 |
$14K |
| G8987 |
Self care current status |
86 |
68 |
$13K |
| G8988 |
Self care goal status |
87 |
68 |
$13K |
| 81514 |
|
175 |
121 |
$13K |
| J3300 |
Triamcinolone a inj prs-free |
18 |
12 |
$13K |
| G0008 |
Admin influenza virus vac |
639 |
597 |
$13K |
| 88311 |
|
418 |
325 |
$13K |
| 77280 |
|
36 |
24 |
$13K |
| 83002 |
|
400 |
368 |
$13K |
| 84145 |
|
807 |
544 |
$13K |
| 90791 |
|
372 |
352 |
$13K |
| 64636 |
|
79 |
32 |
$13K |
| 82150 |
|
491 |
422 |
$13K |
| Q4038 |
Cast sup shrt leg fiberglass |
172 |
140 |
$12K |
| 85049 |
|
678 |
415 |
$12K |
| 88271 |
|
36 |
25 |
$12K |
| J2997 |
Alteplase recombinant |
92 |
62 |
$11K |
| 81015 |
|
352 |
325 |
$11K |
| 87635 |
|
186 |
134 |
$11K |
| C1887 |
Catheter, guiding |
456 |
415 |
$11K |
| J3480 |
Inj potassium chloride |
784 |
389 |
$11K |
| G8989 |
Self care d/c status |
62 |
52 |
$11K |
| 77072 |
|
364 |
349 |
$11K |
| 87181 |
|
394 |
365 |
$11K |
| 81003 |
|
419 |
366 |
$11K |
| 86146 |
|
126 |
106 |
$11K |
| G0297 |
Ldct for lung ca screen |
96 |
90 |
$11K |
| J1569 |
Gammagard liquid injection |
12 |
12 |
$10K |
| C1729 |
Cath, drainage |
254 |
172 |
$10K |
| J1940 |
Furosemide injection |
679 |
463 |
$10K |
| 99394 |
|
180 |
175 |
$10K |
| 87497 |
|
338 |
168 |
$10K |
| 84590 |
|
749 |
713 |
$10K |
| 82172 |
|
215 |
191 |
$10K |
| J1050 |
Medroxyprogesterone acetate |
135 |
130 |
$10K |
| 96110 |
|
1,270 |
1,177 |
$10K |
| 77470 |
|
31 |
27 |
$10K |
| 83010 |
|
229 |
201 |
$10K |
| 82374 |
|
14 |
12 |
$10K |
| 86709 |
|
554 |
491 |
$10K |
| 82390 |
|
309 |
299 |
$10K |
| 74220 |
|
113 |
100 |
$9K |
| 95117 |
|
646 |
300 |
$9K |
| 74455 |
|
45 |
40 |
$9K |
| 86920 |
|
266 |
179 |
$9K |
| 92136 |
|
580 |
557 |
$9K |
| 83721 |
|
555 |
487 |
$9K |
| 69210 |
|
55 |
53 |
$8K |
| A9541 |
Tc99m sulfur colloid |
28 |
27 |
$8K |
| 12001 |
|
87 |
76 |
$8K |
| 87502 |
|
67 |
60 |
$8K |
| 82103 |
|
373 |
359 |
$8K |
| 85613 |
|
123 |
104 |
$8K |
| 72190 |
|
188 |
168 |
$8K |
| 64405 |
|
32 |
12 |
$8K |
| J1040 |
Methylprednisolone 80 mg inj |
300 |
259 |
$8K |
| 78264 |
|
39 |
38 |
$8K |
| 86665 |
|
341 |
194 |
$7K |
| 84402 |
|
399 |
368 |
$7K |
| 99204 |
|
368 |
354 |
$7K |
| 83525 |
|
325 |
307 |
$7K |
| 93298 |
|
535 |
511 |
$7K |
| 82010 |
|
487 |
423 |
$7K |
| 86301 |
|
224 |
180 |
$7K |
| 77073 |
|
211 |
177 |
$7K |
| 87209 |
|
160 |
152 |
$7K |
| J3473 |
Hyaluronidase recombinant |
260 |
218 |
$7K |
| 86833 |
|
31 |
28 |
$7K |
| 80175 |
|
275 |
256 |
$7K |
| 94618 |
|
33 |
28 |
$7K |
| 76870 |
|
80 |
68 |
$6K |
| 86832 |
|
30 |
27 |
$6K |
| 29125 |
|
41 |
40 |
$6K |
| 86364 |
|
613 |
574 |
$6K |
| 76820 |
|
346 |
168 |
$6K |
| 87177 |
|
160 |
152 |
$6K |
| 82542 |
|
169 |
154 |
$6K |
| 73070 |
|
172 |
135 |
$6K |
| 78832 |
|
20 |
17 |
$6K |
| 17000 |
|
52 |
40 |
$6K |
| 99396 |
|
89 |
88 |
$6K |
| 84446 |
|
175 |
163 |
$6K |
| 0241U |
|
1,433 |
1,348 |
$6K |
| 72148 |
|
186 |
174 |
$6K |
| 87045 |
|
136 |
127 |
$6K |
| 88237 |
|
17 |
13 |
$6K |
| 92020 |
|
396 |
368 |
$6K |
| 80177 |
|
500 |
462 |
$6K |
| 76775 |
|
104 |
96 |
$6K |
| 88264 |
|
16 |
12 |
$6K |
| J2920 |
Methylprednisolone injection |
428 |
295 |
$6K |
| 90474 |
|
723 |
665 |
$6K |
| 82232 |
|
303 |
266 |
$6K |
| 81508 |
|
88 |
79 |
$6K |
| 70480 |
|
43 |
42 |
$6K |
| 87046 |
|
136 |
127 |
$5K |
| 80143 |
|
473 |
425 |
$5K |
| J1815 |
Insulin injection |
1,306 |
521 |
$5K |
| J1630 |
Haloperidol injection |
242 |
195 |
$5K |
| 74221 |
|
19 |
12 |
$5K |
| 77370 |
|
15 |
12 |
$5K |
| 84157 |
|
193 |
158 |
$5K |
| 90832 |
|
113 |
95 |
$5K |
| 99281 |
|
252 |
242 |
$5K |
| 93799 |
|
1,004 |
951 |
$5K |
| 90636 |
|
67 |
62 |
$5K |
| 99215 |
Prolong outpt/office vis |
228 |
200 |
$5K |
| 92285 |
|
106 |
99 |
$5K |
| 74183 |
|
66 |
65 |
$4K |
| 86696 |
|
250 |
238 |
$4K |
| 93288 |
|
306 |
297 |
$4K |
| 80179 |
|
390 |
356 |
$4K |
| 51728 |
|
47 |
40 |
$4K |
| G8978 |
Mobility current status |
146 |
104 |
$4K |
| G8979 |
Mobility goal status |
146 |
104 |
$4K |
| 83930 |
|
83 |
72 |
$4K |
| 84300 |
|
213 |
178 |
$4K |
| J2550 |
Promethazine hcl injection |
94 |
71 |
$4K |
| 77061 |
|
335 |
329 |
$4K |
| 92004 |
|
91 |
84 |
$4K |
| 90648 |
|
2,202 |
2,053 |
$4K |
| 90723 |
|
1,587 |
1,495 |
$4K |
| 86308 |
|
77 |
70 |
$4K |
| 87529 |
|
82 |
72 |
$4K |
| 93458 |
|
26 |
26 |
$4K |
| 95971 |
|
83 |
79 |
$4K |
| 0097U |
|
72 |
66 |
$4K |
| 90734 |
|
431 |
398 |
$4K |
| 83521 |
|
245 |
227 |
$3K |
| 76856 |
|
42 |
40 |
$3K |
| J9267 |
Paclitaxel injection |
83 |
40 |
$3K |
| 91320 |
|
133 |
128 |
$3K |
| 86664 |
|
211 |
194 |
$3K |
| 99490 |
Ccm add 20min |
659 |
632 |
$3K |
| A9585 |
Gadobutrol injection |
1,281 |
1,116 |
$3K |
| C8929 |
Tte w or wo fol wcon,doppler |
164 |
159 |
$3K |
| 83835 |
|
28 |
25 |
$3K |
| 86800 |
|
101 |
87 |
$3K |
| 87427 |
|
129 |
117 |
$3K |
| 86695 |
|
250 |
238 |
$3K |
| 82787 |
|
209 |
189 |
$3K |
| 90680 |
|
1,110 |
1,020 |
$3K |
| 87329 |
|
25 |
25 |
$3K |
| 87328 |
|
25 |
25 |
$3K |
| Q4010 |
Cast sup sht arm adult fbrgl |
27 |
24 |
$3K |
| 12011 |
|
40 |
40 |
$3K |
| J9370 |
Vincristine sulfate 1 mg inj |
239 |
143 |
$3K |
| 0001A |
|
129 |
121 |
$3K |
| J0640 |
Leucovorin calcium injection |
92 |
52 |
$3K |
| 96156 |
|
64 |
62 |
$3K |
| 83519 |
|
32 |
26 |
$3K |
| 82139 |
|
95 |
90 |
$3K |
| J7609 |
Albuterol comp unit |
26 |
20 |
$3K |
| 73523 |
|
46 |
43 |
$3K |
| 97140 |
|
107 |
51 |
$3K |
| 83921 |
|
121 |
112 |
$3K |
| 86617 |
|
140 |
105 |
$3K |
| 90633 |
|
917 |
860 |
$3K |
| 73000 |
|
113 |
99 |
$3K |
| 84305 |
|
86 |
85 |
$3K |
| 83935 |
|
63 |
58 |
$2K |
| 70551 |
|
101 |
93 |
$2K |
| 87116 |
|
75 |
66 |
$2K |
| 77290 |
|
15 |
14 |
$2K |
| 0124A |
|
207 |
194 |
$2K |
| 0002A |
|
100 |
86 |
$2K |
| 80074 |
|
49 |
49 |
$2K |
| 78830 |
|
28 |
24 |
$2K |
| J1170 |
Hydromorphone injection |
1,843 |
1,246 |
$2K |
| 82525 |
|
121 |
116 |
$2K |
| 88720 |
|
244 |
184 |
$2K |
| 96133 |
|
161 |
156 |
$2K |
| 49083 |
|
24 |
12 |
$2K |
| 76981 |
|
30 |
26 |
$2K |
| 99205 |
Prolong outpt/office vis |
96 |
93 |
$2K |
| 93289 |
|
97 |
91 |
$2K |
| 45378 |
|
14 |
13 |
$2K |
| 93922 |
|
37 |
37 |
$2K |
| 78306 |
|
22 |
17 |
$2K |
| 92015 |
|
903 |
864 |
$2K |
| 11730 |
|
13 |
12 |
$2K |
| 29065 |
|
17 |
13 |
$2K |
| 84445 |
|
28 |
25 |
$2K |
| 93242 |
|
363 |
344 |
$2K |
| 82340 |
|
52 |
44 |
$2K |
| 90707 |
|
288 |
268 |
$2K |
| 72141 |
|
43 |
43 |
$2K |
| 86141 |
|
114 |
108 |
$2K |
| A6204 |
Composite drsg >16<=48 sq in |
48 |
37 |
$2K |
| 86644 |
|
77 |
66 |
$2K |
| G8980 |
Mobility d/c status |
58 |
41 |
$2K |
| 82164 |
|
86 |
72 |
$2K |
| 86774 |
|
158 |
139 |
$2K |
| 88300 |
|
113 |
96 |
$2K |
| 90716 |
|
244 |
234 |
$2K |
| J3010 |
Fentanyl citrate injection |
9,030 |
7,041 |
$2K |
| 73120 |
|
40 |
40 |
$2K |
| 86787 |
|
107 |
92 |
$2K |
| G2066 |
Inter devc remote 30d |
276 |
233 |
$2K |
| 95909 |
|
40 |
38 |
$2K |
| Q0162 |
Ondansetron oral |
3,160 |
1,734 |
$1K |
| 70030 |
|
48 |
40 |
$1K |
| 84134 |
|
136 |
118 |
$1K |
| 97535 |
|
439 |
220 |
$1K |
| 81596 |
|
17 |
12 |
$1K |
| 83021 |
|
13 |
12 |
$1K |
| 85384 |
|
42 |
36 |
$1K |
| 77003 |
|
16 |
12 |
$1K |
| 58301 |
|
14 |
14 |
$1K |
| 12002 |
|
12 |
12 |
$1K |
| 87206 |
|
72 |
64 |
$1K |
| 99173 |
|
175 |
172 |
$1K |
| 80178 |
|
153 |
135 |
$1K |
| 93299 |
|
70 |
67 |
$1K |
| 0004A |
|
123 |
96 |
$1K |
| 86645 |
|
82 |
77 |
$1K |
| 88230 |
|
15 |
13 |
$1K |
| 95970 |
|
14 |
13 |
$1K |
| 92551 |
|
127 |
127 |
$1K |
| 99406 |
|
69 |
65 |
$1K |
| 90480 |
|
192 |
186 |
$1K |
| 90656 |
|
370 |
354 |
$1K |
| 84166 |
|
13 |
13 |
$1K |
| 64643 |
|
16 |
13 |
$1K |
| 90700 |
|
290 |
273 |
$994.38 |
| Q0177 |
Hydroxyzine pamoate 25mg |
698 |
412 |
$986.22 |
| 80081 |
|
15 |
14 |
$943.18 |
| 99443 |
|
44 |
44 |
$938.60 |
| 99487 |
Ccm add 20min |
168 |
163 |
$926.53 |
| 0054A |
|
70 |
64 |
$923.19 |
| 84630 |
|
100 |
93 |
$903.72 |
| J3420 |
Vitamin b12 injection |
244 |
221 |
$889.26 |
| 88302 |
|
45 |
41 |
$867.29 |
| 99496 |
|
13 |
13 |
$859.16 |
| 84207 |
|
41 |
39 |
$855.10 |
| 83993 |
|
57 |
50 |
$844.26 |
| 82945 |
|
115 |
92 |
$839.46 |
| 43235 |
|
12 |
12 |
$837.00 |
| J0692 |
Cefepime hcl for injection |
132 |
68 |
$836.25 |
| 83986 |
|
14 |
14 |
$834.18 |
| 72156 |
|
26 |
24 |
$826.92 |
| 90657 |
|
152 |
145 |
$822.66 |
| 96127 |
|
322 |
304 |
$821.24 |
| 90694 |
|
228 |
224 |
$811.57 |
| 86769 |
|
15 |
15 |
$802.35 |
| 82962 |
|
642 |
603 |
$784.64 |
| 92555 |
|
40 |
39 |
$774.03 |
| 76885 |
|
18 |
14 |
$751.33 |
| 51705 |
|
12 |
12 |
$749.63 |
| J9000 |
Doxorubicin hcl injection |
31 |
12 |
$747.26 |
| 11721 |
|
12 |
12 |
$742.84 |
| 82017 |
|
13 |
12 |
$713.59 |
| 72128 |
|
13 |
13 |
$637.42 |
| 93312 |
|
13 |
13 |
$631.06 |
| 89230 |
|
13 |
13 |
$564.92 |
| 99441 |
|
57 |
57 |
$546.84 |
| 10005 |
|
17 |
12 |
$533.06 |
| 90662 |
|
27 |
18 |
$530.65 |
| 86812 |
|
26 |
24 |
$494.48 |
| 99442 |
|
46 |
46 |
$490.00 |
| Q9961 |
Hocm 250-299mg/ml iodine,1ml |
93 |
80 |
$489.87 |
| 86922 |
|
18 |
13 |
$464.15 |
| 86705 |
|
45 |
43 |
$448.17 |
| 90746 |
|
12 |
12 |
$443.33 |
| 93246 |
|
80 |
79 |
$437.26 |
| Q0163 |
Diphenhydramine hcl 50mg |
142 |
79 |
$412.94 |
| P9603 |
One-way allow prorated miles |
3,066 |
2,240 |
$383.96 |
| 92610 |
|
13 |
12 |
$382.78 |
| 82627 |
|
19 |
16 |
$372.35 |
| 83090 |
|
13 |
12 |
$347.90 |
| J7512 |
Prednisone ir or dr oral 1mg |
863 |
460 |
$344.40 |
| 90834 |
|
12 |
12 |
$325.60 |
| 97803 |
|
12 |
12 |
$323.48 |
| 80306 |
|
30 |
28 |
$307.43 |
| 86039 |
|
30 |
28 |
$303.51 |
| 83498 |
|
12 |
12 |
$302.42 |
| 80202 |
|
24 |
12 |
$293.92 |
| 36416 |
|
63 |
56 |
$293.67 |
| 76604 |
|
13 |
12 |
$278.44 |
| J2919 |
Inj, methylpred sod succ 5mg |
257 |
219 |
$270.20 |
| 99024 |
|
41 |
35 |
$268.09 |
| 82085 |
|
29 |
26 |
$258.99 |
| 84270 |
|
16 |
16 |
$257.13 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
1,087 |
888 |
$252.06 |
| 76512 |
|
27 |
24 |
$243.80 |
| 87338 |
|
18 |
15 |
$232.36 |
| A9561 |
Tc99m oxidronate |
21 |
16 |
$232.10 |
| Q2038 |
Fluzone vacc, 3 yrs & >, im |
168 |
156 |
$231.57 |
| 74420 |
|
12 |
12 |
$229.83 |
| 92025 |
|
30 |
27 |
$228.79 |
| 72081 |
|
14 |
13 |
$222.58 |
| 90710 |
|
73 |
70 |
$201.79 |
| 86316 |
|
12 |
12 |
$200.09 |
| 96416 |
|
21 |
12 |
$192.65 |
| 99177 |
|
75 |
74 |
$182.55 |
| 90696 |
|
53 |
52 |
$181.94 |
| 93243 |
|
20 |
16 |
$164.66 |
| 90655 |
|
51 |
43 |
$164.08 |
| 90653 |
|
45 |
45 |
$151.63 |
| C1726 |
Cath, bal dil, non-vascular |
181 |
152 |
$151.40 |
| 80047 |
|
17 |
12 |
$148.32 |
| 97804 |
|
54 |
54 |
$140.79 |
| 83020 |
|
13 |
12 |
$133.88 |
| 85306 |
|
14 |
12 |
$130.77 |
| J1010 |
Inj, methylpred acetate 1 mg |
91 |
84 |
$125.73 |
| 0134A |
|
16 |
15 |
$123.68 |
| G2012 |
Brief check in by md/qhp |
25 |
25 |
$120.61 |
| C1894 |
Intro/sheath, non-laser |
1,195 |
981 |
$114.70 |
| A4648 |
Implantable tissue marker |
66 |
55 |
$113.98 |
| 96040 |
|
16 |
12 |
$99.81 |
| 87088 |
|
14 |
14 |
$98.92 |
| 86849 |
|
12 |
12 |
$98.72 |
| 80156 |
|
14 |
12 |
$95.94 |
| 82365 |
|
16 |
14 |
$95.76 |
| 83695 |
|
12 |
12 |
$81.06 |
| G1010 |
Cdsm stanson |
1,995 |
1,654 |
$73.87 |
| J2272 |
Inj, morphine (fresenius) |
294 |
242 |
$67.33 |
| 84436 |
|
16 |
14 |
$55.62 |
| J9190 |
Fluorouracil injection |
18 |
12 |
$50.47 |
| 99152 |
|
116 |
112 |
$43.19 |
| 85347 |
|
12 |
12 |
$41.25 |
| 94760 |
|
41 |
29 |
$40.30 |
| 96139 |
|
67 |
62 |
$35.46 |
| 96138 |
|
69 |
64 |
$34.69 |
| A9573 |
Inj, gadopiclenol, 1 ml |
386 |
376 |
$30.54 |
| 99153 |
Mod sedat endo service >5yrs |
75 |
71 |
$24.59 |
| G0103 |
Psa screening |
26 |
24 |
$20.65 |
| 91312 |
|
31 |
31 |
$19.24 |
| C1889 |
Implant/insert device, noc |
58 |
55 |
$15.47 |
| V2788 |
Presbyopia-correct function |
16 |
13 |
$7.76 |
| 93356 |
|
123 |
117 |
$6.50 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
77 |
58 |
$4.50 |
| A9579 |
Gad-base mr contrast nos,1ml |
16 |
16 |
$4.08 |
| 91300 |
|
127 |
102 |
$0.00 |
| 80360 |
|
13 |
13 |
$0.00 |
| 80355 |
|
70 |
67 |
$0.00 |
| A4649 |
Surgical supplies |
30 |
29 |
$0.00 |
| 80323 |
|
14 |
13 |
$0.00 |
| P9045 |
Albumin (human), 5%, 250 ml |
12 |
12 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
29 |
26 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
264 |
244 |
$0.00 |
| J1790 |
Droperidol injection |
14 |
13 |
$0.00 |
| 80349 |
|
15 |
12 |
$0.00 |
| 91305 |
|
17 |
17 |
$0.00 |
| C2617 |
Stent, non-cor, tem w/o del |
32 |
24 |
$0.00 |