| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
800,710 |
679,877 |
$24.50M |
| 99214 |
|
499,500 |
411,957 |
$17.81M |
| U0003 |
Cov-19 amp prb hgh thruput |
152,837 |
126,724 |
$10.52M |
| 99284 |
|
49,198 |
33,119 |
$9.52M |
| 99283 |
|
61,569 |
45,006 |
$7.51M |
| 99285 |
|
35,592 |
20,042 |
$6.21M |
| G0463 |
Hospital outpt clinic visit |
358,800 |
267,474 |
$5.80M |
| 74177 |
|
9,927 |
8,389 |
$4.10M |
| 78452 |
|
9,764 |
4,913 |
$3.95M |
| 43239 |
|
10,383 |
6,478 |
$3.83M |
| 74176 |
|
11,537 |
9,223 |
$3.44M |
| 93306 |
|
11,961 |
10,666 |
$3.23M |
| 47562 |
|
1,849 |
1,139 |
$2.67M |
| 93458 |
|
3,961 |
1,627 |
$2.66M |
| G0378 |
Hospital observation per hr |
14,483 |
10,228 |
$2.23M |
| 99282 |
|
17,905 |
14,357 |
$2.18M |
| U0005 |
Infec agen detec ampli probe |
118,693 |
99,448 |
$2.16M |
| J2357 |
Omalizumab injection |
4,767 |
1,569 |
$2.14M |
| 80053 |
|
290,153 |
155,825 |
$2.07M |
| 71046 |
|
46,765 |
36,969 |
$2.01M |
| 70450 |
|
10,963 |
9,315 |
$1.82M |
| 72148 |
|
4,752 |
3,946 |
$1.75M |
| 96365 |
|
29,024 |
12,412 |
$1.73M |
| 45380 |
|
3,700 |
2,571 |
$1.72M |
| 69436 |
|
2,213 |
1,898 |
$1.52M |
| 80050 |
|
25,622 |
20,523 |
$1.43M |
| 45385 |
|
2,585 |
1,910 |
$1.43M |
| 70553 |
|
2,992 |
2,387 |
$1.29M |
| 80307 |
|
31,695 |
24,131 |
$1.28M |
| 99203 |
|
42,431 |
37,571 |
$1.28M |
| 87804 |
|
143,662 |
80,419 |
$1.22M |
| 85025 |
|
227,370 |
173,286 |
$1.20M |
| 88305 |
|
19,869 |
13,961 |
$1.18M |
| 70551 |
|
3,298 |
2,605 |
$1.15M |
| 71250 |
|
6,861 |
5,102 |
$1.15M |
| 97110 |
|
35,307 |
8,856 |
$1.12M |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
31,991 |
22,507 |
$1.12M |
| 77067 |
|
11,559 |
10,745 |
$1.09M |
| 76705 |
|
7,256 |
6,690 |
$1.07M |
| G2023 |
Specimen collect covid-19 |
49,422 |
42,609 |
$1.07M |
| 42820 |
|
918 |
828 |
$1.05M |
| 87811 |
|
50,607 |
47,514 |
$1.03M |
| 96413 |
|
11,002 |
4,561 |
$1.02M |
| 90460 |
|
29,340 |
28,342 |
$1.02M |
| 72141 |
|
2,356 |
1,936 |
$989K |
| 96361 |
|
28,092 |
19,320 |
$965K |
| 62323 |
|
2,095 |
1,237 |
$960K |
| 95811 |
|
1,459 |
1,316 |
$956K |
| 58571 |
|
423 |
177 |
$953K |
| 93017 |
|
6,003 |
5,538 |
$938K |
| 58661 |
|
524 |
388 |
$926K |
| 96374 |
|
31,653 |
22,530 |
$879K |
| 45378 |
|
1,757 |
1,319 |
$879K |
| 76536 |
|
4,460 |
4,084 |
$866K |
| 95911 |
|
1,451 |
1,336 |
$858K |
| 96372 |
|
100,465 |
82,717 |
$847K |
| 99281 |
|
14,945 |
12,547 |
$842K |
| 74018 |
|
9,543 |
8,344 |
$834K |
| 73721 |
|
1,964 |
1,731 |
$814K |
| 93005 |
|
51,853 |
42,399 |
$788K |
| 72100 |
|
8,646 |
7,321 |
$781K |
| 95810 |
|
1,191 |
1,077 |
$778K |
| 87637 |
|
11,214 |
9,441 |
$760K |
| 36415 |
|
244,515 |
145,825 |
$734K |
| 96375 |
|
26,432 |
18,776 |
$718K |
| 71045 |
|
31,401 |
23,427 |
$715K |
| 80061 |
|
71,258 |
59,465 |
$698K |
| 71260 |
|
2,920 |
2,004 |
$687K |
| 73630 |
|
11,488 |
9,583 |
$681K |
| S9128 |
Speech therapy, in the home, |
9,415 |
3,257 |
$659K |
| 71275 |
|
2,555 |
2,196 |
$656K |
| 84443 |
|
54,607 |
50,886 |
$652K |
| 99391 |
|
11,807 |
10,976 |
$645K |
| 82306 |
|
31,840 |
28,511 |
$634K |
| 73610 |
|
9,808 |
8,233 |
$620K |
| 99392 |
|
10,125 |
9,844 |
$611K |
| A9502 |
Tc99m tetrofosmin |
4,081 |
3,668 |
$609K |
| J9271 |
Inj pembrolizumab |
140 |
87 |
$608K |
| 73030 |
|
10,140 |
8,220 |
$584K |
| 93226 |
|
4,185 |
3,897 |
$577K |
| 73130 |
|
9,401 |
7,889 |
$570K |
| 87880 |
|
83,570 |
79,372 |
$563K |
| 73562 |
|
8,127 |
6,856 |
$547K |
| 96360 |
|
12,306 |
7,127 |
$530K |
| C9803 |
Hopd covid-19 spec collect |
40,826 |
31,485 |
$502K |
| 92507 |
|
14,375 |
4,692 |
$487K |
| 73110 |
|
7,899 |
6,214 |
$486K |
| 95886 |
|
3,034 |
2,650 |
$484K |
| 0223U |
|
2,246 |
2,078 |
$484K |
| 90461 |
|
14,655 |
14,169 |
$480K |
| 99212 |
|
18,068 |
15,738 |
$460K |
| 96366 |
|
8,230 |
4,239 |
$454K |
| J1569 |
Gammagard liquid injection |
403 |
228 |
$448K |
| 80048 |
|
68,808 |
41,264 |
$445K |
| 87633 |
|
2,031 |
1,893 |
$431K |
| 00731 |
|
4,596 |
4,026 |
$418K |
| 99393 |
|
6,952 |
6,770 |
$417K |
| D2930 |
|
764 |
133 |
$414K |
| 90833 |
|
15,506 |
13,013 |
$411K |
| 95909 |
|
1,344 |
1,206 |
$409K |
| 96367 |
|
10,425 |
3,276 |
$396K |
| 82607 |
|
34,977 |
31,379 |
$395K |
| 70486 |
|
1,679 |
1,396 |
$391K |
| 94640 |
|
11,006 |
6,369 |
$390K |
| 72125 |
|
2,350 |
1,838 |
$383K |
| 87491 |
|
13,159 |
12,050 |
$377K |
| 93971 |
|
3,659 |
3,265 |
$375K |
| 52000 |
|
1,378 |
1,012 |
$373K |
| S9129 |
Occupational therapy, in the |
5,577 |
1,808 |
$372K |
| 94060 |
|
4,468 |
2,847 |
$369K |
| 93225 |
|
3,218 |
2,786 |
$361K |
| 87591 |
|
13,064 |
12,025 |
$357K |
| 49083 |
|
1,127 |
305 |
$351K |
| 78227 |
|
752 |
558 |
$343K |
| 00813 |
|
3,682 |
3,083 |
$339K |
| 87902 |
|
1,854 |
1,479 |
$337K |
| 83036 |
|
48,453 |
45,132 |
$333K |
| 97140 |
|
14,684 |
4,986 |
$332K |
| 76775 |
|
2,417 |
2,178 |
$332K |
| 87086 |
|
52,464 |
42,550 |
$331K |
| 84484 |
|
33,612 |
22,125 |
$306K |
| 73560 |
|
7,518 |
6,095 |
$305K |
| 30140 |
|
360 |
311 |
$301K |
| 00840 |
|
2,936 |
2,240 |
$297K |
| 73221 |
|
855 |
709 |
$291K |
| 99204 |
|
16,958 |
15,581 |
$288K |
| 76830 |
|
2,867 |
2,642 |
$286K |
| 76700 |
|
1,307 |
1,189 |
$280K |
| 95885 |
|
1,763 |
1,509 |
$276K |
| 88342 |
|
4,097 |
3,333 |
$270K |
| 84439 |
|
33,164 |
30,809 |
$266K |
| 99173 |
|
10,219 |
9,953 |
$260K |
| 80074 |
|
8,160 |
7,004 |
$255K |
| J7120 |
Ringers lactate infusion |
31,968 |
26,510 |
$254K |
| 72040 |
|
4,281 |
3,583 |
$252K |
| 82947 |
|
35,170 |
17,967 |
$246K |
| 96415 |
|
3,073 |
1,647 |
$243K |
| 88341 |
|
1,842 |
1,529 |
$242K |
| 00170 |
|
2,500 |
2,214 |
$240K |
| 96376 |
|
12,388 |
6,022 |
$236K |
| 70496 |
|
831 |
635 |
$233K |
| 76642 |
|
2,407 |
2,168 |
$233K |
| 73080 |
|
3,895 |
3,193 |
$231K |
| 88175 |
|
9,871 |
9,467 |
$227K |
| 86003 |
|
3,069 |
2,407 |
$227K |
| 78816 |
|
293 |
216 |
$226K |
| 97162 |
|
6,875 |
4,166 |
$224K |
| 93975 |
|
1,462 |
1,342 |
$221K |
| 70498 |
|
782 |
691 |
$215K |
| 77066 |
Tomosynthesis, mammo |
1,794 |
1,679 |
$213K |
| 72070 |
|
3,034 |
2,528 |
$209K |
| S9131 |
Pt in the home per diem |
3,422 |
1,057 |
$209K |
| 99215 |
Prolong outpt/office vis |
6,640 |
5,715 |
$209K |
| 97530 |
|
7,554 |
2,655 |
$205K |
| 00126 |
|
1,568 |
1,498 |
$201K |
| 95816 |
|
1,063 |
982 |
$198K |
| 94010 |
|
2,331 |
1,704 |
$197K |
| 94729 |
|
3,291 |
3,154 |
$196K |
| 74183 |
|
430 |
355 |
$196K |
| J2785 |
Regadenoson injection |
3,305 |
3,012 |
$194K |
| 99394 |
|
2,768 |
2,700 |
$192K |
| 00811 |
|
1,902 |
1,709 |
$190K |
| 71101 |
|
2,987 |
2,355 |
$190K |
| 93880 |
|
1,064 |
951 |
$187K |
| 84145 |
|
12,519 |
10,143 |
$187K |
| 87522 |
Neg quan hep c or qual rna |
4,995 |
4,607 |
$186K |
| 88307 |
|
2,279 |
1,642 |
$183K |
| 90791 |
|
3,551 |
3,058 |
$180K |
| 94726 |
|
2,850 |
2,622 |
$178K |
| 43235 |
|
524 |
357 |
$177K |
| 00790 |
|
1,655 |
1,477 |
$174K |
| 99202 |
|
6,294 |
5,182 |
$174K |
| 29580 |
|
3,234 |
1,231 |
$174K |
| 76816 |
|
825 |
784 |
$173K |
| 36591 |
|
9,901 |
3,743 |
$166K |
| 77065 |
Tomosynthesis, mammo |
2,048 |
1,790 |
$159K |
| 30520 |
|
228 |
190 |
$157K |
| 97597 |
|
5,011 |
3,550 |
$153K |
| 85610 |
|
41,579 |
28,305 |
$153K |
| 82728 |
|
15,414 |
13,005 |
$151K |
| J0897 |
Denosumab injection |
585 |
337 |
$149K |
| 83880 |
|
9,063 |
7,691 |
$149K |
| 77063 |
|
13,068 |
11,049 |
$147K |
| 73502 |
|
5,390 |
4,349 |
$147K |
| 99211 |
|
8,326 |
5,660 |
$146K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
672 |
471 |
$143K |
| 73620 |
|
1,903 |
1,654 |
$143K |
| 83735 |
|
34,844 |
25,734 |
$143K |
| 93970 |
|
563 |
523 |
$142K |
| J2469 |
Palonosetron hcl |
2,418 |
1,337 |
$140K |
| 52310 |
|
211 |
164 |
$139K |
| J7030 |
Normal saline solution infus |
33,332 |
23,639 |
$139K |
| 73590 |
|
2,700 |
2,204 |
$136K |
| A9577 |
Inj multihance |
7,413 |
5,063 |
$136K |
| 86235 |
|
3,427 |
1,786 |
$132K |
| 96110 |
|
4,462 |
4,375 |
$131K |
| 64721 |
|
140 |
108 |
$131K |
| 81001 |
|
53,263 |
46,514 |
$129K |
| 74178 |
|
194 |
167 |
$128K |
| 58558 |
|
119 |
86 |
$128K |
| 97803 |
|
4,234 |
4,078 |
$126K |
| 99152 |
|
2,310 |
1,970 |
$126K |
| 86703 |
|
10,045 |
9,199 |
$126K |
| 90792 |
|
2,003 |
1,768 |
$124K |
| 87081 |
|
18,452 |
17,248 |
$123K |
| J2704 |
Inj, propofol, 10 mg |
46,125 |
24,769 |
$123K |
| 76870 |
|
1,022 |
923 |
$123K |
| 97112 |
|
4,678 |
1,647 |
$122K |
| 83550 |
|
17,480 |
16,365 |
$121K |
| 83605 |
|
16,367 |
13,786 |
$119K |
| 74022 |
|
1,273 |
1,176 |
$118K |
| 88304 |
|
3,308 |
2,857 |
$116K |
| 74450 |
|
710 |
641 |
$112K |
| 92557 |
|
3,091 |
2,561 |
$111K |
| 73140 |
|
2,186 |
1,872 |
$109K |
| 0225U |
|
569 |
534 |
$107K |
| 86803 |
|
9,558 |
8,840 |
$106K |
| 72131 |
|
926 |
664 |
$106K |
| 92551 |
|
10,179 |
9,911 |
$105K |
| 87150 |
|
3,535 |
3,325 |
$102K |
| 83690 |
|
19,179 |
16,784 |
$101K |
| 84703 |
|
21,564 |
18,899 |
$100K |
| 73090 |
|
2,050 |
1,659 |
$99K |
| 77080 |
|
2,019 |
1,426 |
$99K |
| 90471 |
|
8,120 |
7,403 |
$99K |
| D3220 |
|
189 |
56 |
$98K |
| D7140 |
|
464 |
112 |
$98K |
| 87798 |
|
3,483 |
2,909 |
$97K |
| 71271 |
|
1,944 |
1,751 |
$97K |
| 78264 |
|
439 |
284 |
$96K |
| 86850 |
|
10,182 |
8,571 |
$96K |
| 93016 |
|
7,197 |
6,786 |
$94K |
| 87505 |
|
1,103 |
1,045 |
$93K |
| 93308 |
|
561 |
483 |
$93K |
| 87186 |
|
14,508 |
12,608 |
$93K |
| 81025 |
|
11,627 |
10,043 |
$92K |
| J1100 |
Dexamethasone sodium phos |
65,027 |
51,014 |
$92K |
| 99396 |
|
1,639 |
1,566 |
$92K |
| 86140 |
|
19,484 |
16,966 |
$92K |
| 97802 |
|
2,162 |
2,066 |
$91K |
| 82746 |
|
7,858 |
7,352 |
$90K |
| 75574 |
|
358 |
282 |
$87K |
| 86780 |
|
8,515 |
7,703 |
$86K |
| 96417 |
|
1,794 |
1,008 |
$85K |
| 84702 |
|
7,029 |
5,185 |
$82K |
| 86480 |
|
1,869 |
1,717 |
$81K |
| 00910 |
|
721 |
607 |
$80K |
| D2391 |
|
161 |
26 |
$79K |
| J0585 |
Injection,onabotulinumtoxina |
260 |
136 |
$77K |
| 91200 |
|
1,344 |
1,288 |
$77K |
| 86900 |
|
12,402 |
8,820 |
$77K |
| J0131 |
Inj, acetaminophen (nos) |
9,490 |
7,256 |
$75K |
| 87624 |
|
2,891 |
2,608 |
$75K |
| 00160 |
|
611 |
543 |
$72K |
| 84153 |
|
5,439 |
5,084 |
$70K |
| 84403 |
|
3,514 |
3,235 |
$69K |
| 83970 |
|
2,587 |
2,330 |
$69K |
| 87807 |
|
10,980 |
10,407 |
$68K |
| 85730 |
|
16,892 |
14,628 |
$68K |
| 87631 |
|
590 |
558 |
$68K |
| 99442 |
|
2,533 |
2,353 |
$67K |
| 70491 |
|
314 |
237 |
$67K |
| J3010 |
Fentanyl citrate injection |
32,180 |
22,422 |
$67K |
| 87635 |
|
2,112 |
1,915 |
$67K |
| 87040 |
|
7,990 |
5,107 |
$67K |
| 64493 |
|
443 |
247 |
$66K |
| 76819 |
|
397 |
229 |
$66K |
| C1725 |
Cath, translumin non-laser |
244 |
201 |
$65K |
| 95806 |
|
676 |
622 |
$63K |
| 87340 |
|
7,076 |
6,445 |
$62K |
| 52281 |
|
141 |
75 |
$62K |
| 99441 |
|
3,674 |
3,374 |
$62K |
| 87070 |
|
8,535 |
5,952 |
$62K |
| 93018 |
|
6,456 |
6,130 |
$61K |
| J3490 |
Drugs unclassified injection |
6,553 |
4,908 |
$61K |
| 00812 |
|
550 |
508 |
$61K |
| J1756 |
Iron sucrose injection |
2,577 |
696 |
$60K |
| M0243 |
Casirivi and imdevi inj |
384 |
356 |
$60K |
| 99238 |
|
1,283 |
1,204 |
$60K |
| 99460 |
|
1,293 |
1,240 |
$60K |
| 86762 |
|
5,053 |
4,582 |
$59K |
| 85379 |
|
9,807 |
8,758 |
$59K |
| 95913 |
|
71 |
65 |
$58K |
| 93922 |
|
682 |
633 |
$58K |
| 81003 |
|
46,453 |
35,965 |
$58K |
| U0002 |
Covid-19 lab test non-cdc |
2,612 |
1,884 |
$58K |
| 74246 |
|
818 |
742 |
$57K |
| 96368 |
|
2,497 |
1,283 |
$57K |
| J1453 |
Fosaprepitant injection |
1,872 |
1,073 |
$56K |
| 73521 |
|
773 |
681 |
$56K |
| J1885 |
Ketorolac tromethamine inj |
36,195 |
29,166 |
$56K |
| 82077 |
|
6,566 |
5,541 |
$55K |
| 86376 |
|
4,553 |
4,303 |
$55K |
| 27096 |
|
100 |
86 |
$55K |
| 86901 |
|
9,968 |
8,586 |
$53K |
| 88300 |
|
2,174 |
2,002 |
$52K |
| J0690 |
Cefazolin sodium injection |
10,711 |
7,929 |
$52K |
| 82043 |
|
11,166 |
10,087 |
$51K |
| J1644 |
Inj heparin sodium per 1000u |
11,404 |
4,910 |
$51K |
| 62321 |
|
96 |
70 |
$51K |
| 99308 |
|
10,284 |
7,491 |
$51K |
| 76817 |
|
819 |
707 |
$51K |
| J1439 |
Inj ferric carboxymaltos 1mg |
151 |
84 |
$48K |
| J7050 |
Normal saline solution infus |
10,615 |
5,877 |
$47K |
| 86038 |
|
4,647 |
4,204 |
$47K |
| J2405 |
Ondansetron hcl injection |
45,031 |
30,720 |
$47K |
| 97166 |
|
1,373 |
1,166 |
$47K |
| 97161 |
|
1,453 |
1,050 |
$47K |
| 36430 |
|
336 |
204 |
$46K |
| 86160 |
|
4,267 |
2,227 |
$45K |
| 10060 |
|
676 |
553 |
$45K |
| 96411 |
|
767 |
413 |
$44K |
| 85652 |
|
17,680 |
15,686 |
$44K |
| 82803 |
|
3,870 |
3,274 |
$44K |
| J2710 |
Neostigmine methylslfte inj |
4,076 |
2,574 |
$43K |
| P9047 |
Albumin (human), 25%, 50ml |
388 |
154 |
$43K |
| 73120 |
|
661 |
544 |
$43K |
| 99395 |
|
839 |
815 |
$42K |
| 92567 |
|
2,294 |
2,211 |
$42K |
| 72158 |
|
99 |
74 |
$42K |
| 58662 |
|
25 |
24 |
$41K |
| 83655 |
|
3,484 |
3,388 |
$41K |
| P9016 |
Rbc leukocytes reduced |
898 |
326 |
$40K |
| 83525 |
|
4,121 |
3,889 |
$40K |
| 36561 |
|
51 |
26 |
$40K |
| 87077 |
|
6,317 |
4,718 |
$39K |
| 82140 |
|
3,736 |
2,787 |
$39K |
| 82785 |
|
2,352 |
2,031 |
$38K |
| 20610 |
|
825 |
408 |
$38K |
| J7040 |
Normal saline solution infus |
9,599 |
7,599 |
$38K |
| A9552 |
F18 fdg |
82 |
76 |
$37K |
| 86800 |
|
2,908 |
2,743 |
$37K |
| 95910 |
|
92 |
85 |
$37K |
| C1769 |
Guide wire |
710 |
573 |
$37K |
| 00952 |
|
316 |
284 |
$36K |
| 87493 |
|
1,493 |
1,330 |
$36K |
| 80076 |
|
5,182 |
3,889 |
$36K |
| 96523 |
|
1,272 |
1,070 |
$36K |
| 74019 |
|
684 |
643 |
$35K |
| 88313 |
|
249 |
220 |
$35K |
| 83516 |
|
2,591 |
1,506 |
$34K |
| A9537 |
Tc99m mebrofenin |
562 |
518 |
$34K |
| 80069 |
|
6,507 |
4,042 |
$33K |
| 00300 |
|
379 |
330 |
$32K |
| 74174 |
|
90 |
68 |
$31K |
| 90688 |
|
3,203 |
3,063 |
$31K |
| 64494 |
|
193 |
154 |
$31K |
| G1004 |
Cdsm ndsc |
6,098 |
2,612 |
$31K |
| Q5111 |
Injection, udenyca 0.5 mg |
24 |
13 |
$30K |
| 83001 |
|
1,945 |
1,808 |
$30K |
| J2370 |
Phenylephrine hcl injection |
4,055 |
2,059 |
$30K |
| 84481 |
|
2,151 |
2,026 |
$30K |
| M0245 |
Bamlan and etesev infusion |
172 |
167 |
$29K |
| 72146 |
|
66 |
58 |
$29K |
| 72156 |
|
42 |
37 |
$29K |
| J1437 |
Inj. fe derisomaltose 10 mg |
29 |
28 |
$28K |
| C1781 |
Mesh (implantable) |
302 |
228 |
$28K |
| 87427 |
|
2,648 |
1,283 |
$28K |
| 54150 |
|
402 |
383 |
$27K |
| 84270 |
|
1,653 |
1,514 |
$27K |
| 90756 |
|
1,997 |
1,921 |
$27K |
| 84146 |
|
1,603 |
1,515 |
$26K |
| 58563 |
|
13 |
13 |
$26K |
| Q0138 |
Ferumoxytol, non-esrd |
135 |
87 |
$25K |
| 87636 |
|
712 |
609 |
$25K |
| 10005 |
|
85 |
66 |
$25K |
| 82550 |
|
4,178 |
3,214 |
$24K |
| 82784 |
|
3,954 |
3,081 |
$24K |
| J3370 |
Vancomycin hcl injection |
2,905 |
1,381 |
$24K |
| 97804 |
|
708 |
695 |
$24K |
| 87430 |
|
4,137 |
3,787 |
$23K |
| 77062 |
|
1,798 |
1,537 |
$23K |
| 84436 |
|
3,884 |
3,638 |
$23K |
| 93660 |
|
202 |
170 |
$22K |
| 87205 |
|
5,582 |
5,077 |
$22K |
| 11042 |
|
234 |
146 |
$22K |
| 43249 |
|
83 |
39 |
$22K |
| J2930 |
Methylprednisolone injection |
4,501 |
3,767 |
$21K |
| 82570 |
|
5,239 |
4,470 |
$21K |
| 76882 |
|
273 |
249 |
$21K |
| 84550 |
|
5,315 |
4,357 |
$21K |
| 73060 |
|
496 |
404 |
$21K |
| 96416 |
|
372 |
213 |
$21K |
| 82274 |
|
1,879 |
1,456 |
$21K |
| 00400 |
|
272 |
223 |
$21K |
| 84100 |
|
5,570 |
4,267 |
$21K |
| 86706 |
|
2,292 |
2,108 |
$21K |
| 99309 |
|
2,715 |
2,011 |
$20K |
| 76811 |
|
120 |
110 |
$20K |
| 70470 |
|
143 |
129 |
$20K |
| 84132 |
|
2,391 |
1,901 |
$20K |
| 86200 |
|
2,019 |
1,863 |
$20K |
| 84681 |
|
1,209 |
1,125 |
$20K |
| 76856 |
|
84 |
81 |
$20K |
| 86430 |
|
4,021 |
3,752 |
$20K |
| 72170 |
|
707 |
539 |
$20K |
| C1887 |
Catheter, guiding |
343 |
286 |
$20K |
| 86225 |
|
1,853 |
1,718 |
$19K |
| 87899 |
|
1,466 |
1,312 |
$19K |
| 86696 |
|
1,242 |
1,142 |
$19K |
| 90832 |
|
575 |
455 |
$19K |
| G0121 |
Colon ca scrn not hi rsk ind |
28 |
27 |
$19K |
| 86665 |
|
1,102 |
606 |
$18K |
| 87328 |
|
1,562 |
1,425 |
$18K |
| 80143 |
|
2,264 |
2,030 |
$18K |
| C1729 |
Cath, drainage |
1,201 |
464 |
$18K |
| 84144 |
|
1,054 |
914 |
$18K |
| 92523 |
|
343 |
299 |
$18K |
| 93312 |
|
70 |
55 |
$18K |
| J3475 |
Inj magnesium sulfate |
3,375 |
1,972 |
$18K |
| 77061 |
|
1,712 |
1,378 |
$17K |
| 82150 |
|
2,990 |
2,759 |
$17K |
| G0399 |
Home sleep test/type 3 porta |
221 |
207 |
$17K |
| 80047 |
|
1,679 |
877 |
$17K |
| 99205 |
Prolong outpt/office vis |
1,195 |
1,070 |
$17K |
| 12001 |
|
356 |
303 |
$17K |
| 84156 |
|
5,338 |
4,649 |
$17K |
| 82950 |
|
3,936 |
3,661 |
$17K |
| 80179 |
|
2,167 |
1,954 |
$17K |
| 90686 |
|
7,105 |
6,906 |
$16K |
| 76937 |
|
94 |
78 |
$16K |
| J2250 |
Inj midazolam hydrochloride |
26,625 |
20,014 |
$16K |
| 86695 |
|
1,426 |
1,171 |
$16K |
| 88185 |
|
65 |
58 |
$16K |
| 86364 |
|
1,548 |
1,261 |
$16K |
| 86258 |
|
1,423 |
1,091 |
$16K |
| 74230 |
|
152 |
111 |
$16K |
| 99443 |
|
346 |
321 |
$16K |
| 83883 |
|
1,015 |
770 |
$16K |
| 86255 |
|
1,688 |
1,515 |
$15K |
| 82131 |
|
862 |
607 |
$15K |
| 84480 |
|
1,323 |
1,264 |
$15K |
| 80305 |
|
1,301 |
855 |
$15K |
| 92587 |
|
340 |
319 |
$15K |
| 87641 |
|
710 |
602 |
$15K |
| 51701 |
|
784 |
423 |
$15K |
| 72220 |
|
265 |
232 |
$14K |
| 73700 |
|
100 |
81 |
$14K |
| 87338 |
|
1,248 |
1,031 |
$14K |
| 86708 |
|
1,488 |
1,384 |
$14K |
| 80339 |
|
620 |
361 |
$14K |
| 77002 |
|
69 |
65 |
$14K |
| Q9957 |
Inj perflutren lip micros,ml |
622 |
436 |
$14K |
| 99406 |
|
2,114 |
2,002 |
$13K |
| 87045 |
|
1,708 |
1,392 |
$13K |
| 84207 |
|
698 |
641 |
$13K |
| 87329 |
|
1,464 |
1,399 |
$13K |
| J0696 |
Ceftriaxone sodium injection |
10,207 |
6,415 |
$13K |
| 70360 |
|
181 |
165 |
$13K |
| J1040 |
Methylprednisolone 80 mg inj |
2,123 |
1,839 |
$13K |
| 72050 |
|
162 |
139 |
$13K |
| 86141 |
|
1,252 |
1,043 |
$13K |
| 01810 |
|
138 |
126 |
$12K |
| 86618 |
|
888 |
782 |
$12K |
| 83002 |
|
878 |
833 |
$12K |
| J0640 |
Leucovorin calcium injection |
857 |
233 |
$12K |
| 90670 |
|
5,713 |
5,547 |
$12K |
| 86757 |
|
706 |
386 |
$12K |
| 88112 |
|
309 |
253 |
$12K |
| 82565 |
|
1,464 |
992 |
$12K |
| J3480 |
Inj potassium chloride |
2,172 |
1,223 |
$12K |
| 90715 |
|
2,143 |
1,978 |
$12K |
| 96127 |
|
3,854 |
3,633 |
$12K |
| C1760 |
Closure dev, vasc |
293 |
259 |
$11K |
| 99305 |
|
599 |
486 |
$11K |
| 80164 |
|
1,208 |
1,038 |
$11K |
| 12002 |
|
233 |
199 |
$11K |
| Q9950 |
Inj sulf hexa lipid microsph |
1,484 |
784 |
$11K |
| 84425 |
|
597 |
560 |
$11K |
| 86704 |
|
1,135 |
1,016 |
$11K |
| 76010 |
|
780 |
721 |
$11K |
| 73551 |
|
596 |
502 |
$10K |
| 83615 |
|
2,385 |
2,039 |
$10K |
| G0480 |
Drug test def 1-7 classes |
245 |
155 |
$10K |
| 85027 |
|
1,563 |
1,472 |
$10K |
| 83993 |
|
606 |
525 |
$10K |
| 80334 |
|
322 |
313 |
$10K |
| 80337 |
|
321 |
312 |
$10K |
| 88302 |
|
443 |
323 |
$10K |
| 72128 |
|
52 |
50 |
$9K |
| 42830 |
|
26 |
13 |
$9K |
| 73000 |
|
175 |
145 |
$9K |
| 72202 |
|
156 |
140 |
$9K |
| J0171 |
Adrenalin epinephrine inject |
929 |
643 |
$9K |
| J1170 |
Hydromorphone injection |
3,812 |
2,474 |
$9K |
| 77001 |
|
62 |
52 |
$9K |
| 86664 |
|
666 |
619 |
$9K |
| 82533 |
|
633 |
542 |
$9K |
| 82977 |
|
1,432 |
1,233 |
$8K |
| J2795 |
Ropivacaine hcl injection |
2,831 |
2,151 |
$8K |
| C9046 |
Cocaine hcl nasal (goprelto) |
109 |
94 |
$8K |
| 76942 |
|
40 |
38 |
$8K |
| J3420 |
Vitamin b12 injection |
6,063 |
4,361 |
$8K |
| 82103 |
|
662 |
498 |
$8K |
| 87640 |
|
722 |
591 |
$8K |
| 82172 |
|
473 |
428 |
$8K |
| 72110 |
|
70 |
63 |
$8K |
| 82248 |
|
1,850 |
1,525 |
$8K |
| 97032 |
|
394 |
126 |
$8K |
| J2805 |
Sincalide injection |
202 |
186 |
$8K |
| J7060 |
5% dextrose/water |
2,868 |
899 |
$7K |
| 83520 |
|
762 |
463 |
$7K |
| J1642 |
Inj heparin sodium per 10 u |
9,050 |
5,325 |
$7K |
| J2790 |
Rho d immune globulin inj |
225 |
207 |
$7K |
| 97116 |
|
369 |
160 |
$7K |
| 84165 |
|
988 |
907 |
$7K |
| M0247 |
Sotrovimab infusion |
32 |
31 |
$7K |
| A9585 |
Gadobutrol injection |
229 |
192 |
$7K |
| 86812 |
|
330 |
307 |
$7K |
| 83010 |
|
686 |
616 |
$7K |
| 72082 |
|
35 |
32 |
$7K |
| A9541 |
Tc99m sulfur colloid |
130 |
128 |
$7K |
| 84112 |
|
222 |
194 |
$7K |
| 97012 |
|
548 |
179 |
$7K |
| 64495 |
|
52 |
44 |
$7K |
| C1776 |
Joint device (implantable) |
13 |
13 |
$6K |
| 86769 |
|
212 |
187 |
$6K |
| J3301 |
Triamcinolone acet inj nos |
1,575 |
1,386 |
$6K |
| 93798 |
|
258 |
25 |
$6K |
| 82105 |
|
554 |
513 |
$6K |
| 92526 |
|
246 |
78 |
$6K |
| J1815 |
Insulin injection |
2,816 |
1,352 |
$6K |
| J0692 |
Cefepime hcl for injection |
2,981 |
910 |
$6K |
| Q9958 |
Hocm <=149 mg/ml iodine, 1ml |
40 |
37 |
$6K |
| 87426 |
|
400 |
346 |
$6K |
| J2270 |
Morphine sulfate injection |
8,789 |
6,619 |
$6K |
| 82247 |
|
1,155 |
893 |
$6K |
| 88173 |
|
85 |
64 |
$6K |
| 97035 |
|
186 |
82 |
$6K |
| 87210 |
|
996 |
926 |
$5K |
| 98960 |
|
181 |
166 |
$5K |
| 86147 |
|
210 |
104 |
$5K |
| 41899 |
|
15 |
12 |
$5K |
| 99307 |
|
1,539 |
836 |
$5K |
| 72072 |
|
62 |
59 |
$5K |
| J1200 |
Diphenhydramine hcl injectio |
6,529 |
4,873 |
$5K |
| 94727 |
|
154 |
148 |
$5K |
| 86039 |
|
482 |
465 |
$5K |
| 82525 |
|
546 |
469 |
$5K |
| 82378 |
|
374 |
329 |
$5K |
| 73718 |
|
14 |
12 |
$5K |
| J0248 |
Inj, remdesivir, 1 mg |
32 |
12 |
$5K |
| 82670 |
|
218 |
201 |
$5K |
| 64615 |
|
52 |
52 |
$4K |
| 96160 |
|
2,393 |
2,324 |
$4K |
| 82024 |
|
176 |
146 |
$4K |
| J0780 |
Prochlorperazine injection |
1,406 |
1,107 |
$4K |
| J9190 |
Fluorouracil injection |
858 |
291 |
$4K |
| J2543 |
Piperacillin/tazobactam |
1,787 |
589 |
$4K |
| 80370 |
|
112 |
98 |
$4K |
| 84432 |
|
359 |
308 |
$4K |
| 72120 |
|
93 |
78 |
$4K |
| 82010 |
|
902 |
691 |
$4K |
| C2617 |
Stent, non-cor, tem w/o del |
134 |
115 |
$4K |
| G0297 |
Ldct for lung ca screen |
143 |
119 |
$4K |
| 99291 |
|
14 |
13 |
$4K |
| 90837 |
|
95 |
25 |
$4K |
| 86923 |
|
523 |
249 |
$4K |
| 29515 |
|
243 |
210 |
$4K |
| 87581 |
|
209 |
196 |
$4K |
| 90733 |
|
51 |
49 |
$4K |
| 99201 |
|
84 |
67 |
$4K |
| J0134 |
Inj acetaminophen -fresenius |
1,036 |
824 |
$4K |
| G0179 |
Md recertification hha pt |
539 |
513 |
$4K |
| 86308 |
|
961 |
907 |
$4K |
| 00902 |
|
46 |
40 |
$4K |
| 90853 |
|
184 |
156 |
$4K |
| J0702 |
Betamethasone acet&sod phosp |
266 |
184 |
$4K |
| 90651 |
|
726 |
712 |
$4K |
| 82627 |
|
170 |
158 |
$3K |
| 01400 |
|
42 |
28 |
$3K |
| 85018 |
|
1,639 |
1,164 |
$3K |
| J1940 |
Furosemide injection |
1,998 |
1,164 |
$3K |
| 83521 |
|
304 |
201 |
$3K |
| 87502 |
|
125 |
112 |
$3K |
| 73552 |
|
107 |
91 |
$3K |
| 84630 |
|
409 |
365 |
$3K |
| 83540 |
|
542 |
513 |
$3K |
| 87661 |
|
188 |
150 |
$3K |
| 86787 |
|
352 |
308 |
$3K |
| 84520 |
|
782 |
723 |
$3K |
| 99177 |
|
834 |
819 |
$3K |
| 51702 |
|
57 |
52 |
$3K |
| 90632 |
|
84 |
80 |
$3K |
| J0360 |
Hydralazine hcl injection |
906 |
681 |
$3K |
| 72052 |
|
32 |
27 |
$3K |
| 81511 |
|
29 |
27 |
$3K |
| 84460 |
|
881 |
780 |
$3K |
| 86617 |
|
256 |
128 |
$3K |
| 82330 |
|
475 |
314 |
$3K |
| 97163 |
|
38 |
36 |
$3K |
| 80177 |
|
261 |
223 |
$3K |
| G0279 |
Tomosynthesis, mammo |
403 |
332 |
$3K |
| 94664 |
|
236 |
217 |
$3K |
| A9270 |
Non-covered item or service |
5,083 |
1,877 |
$2K |
| 86334 |
|
172 |
169 |
$2K |
| 98966 |
|
1,035 |
470 |
$2K |
| J9263 |
Oxaliplatin |
150 |
41 |
$2K |
| 86381 |
|
156 |
149 |
$2K |
| 87486 |
|
161 |
129 |
$2K |
| J0330 |
Succinycholine chloride inj |
1,121 |
871 |
$2K |
| 74220 |
|
13 |
12 |
$2K |
| 77012 |
|
13 |
12 |
$2K |
| 80202 |
|
185 |
113 |
$2K |
| 86682 |
|
205 |
190 |
$2K |
| J2550 |
Promethazine hcl injection |
2,856 |
2,308 |
$2K |
| 90633 |
|
2,537 |
2,480 |
$2K |
| 92611 |
|
28 |
28 |
$2K |
| 82652 |
|
58 |
58 |
$2K |
| 85520 |
|
138 |
66 |
$2K |
| 76805 |
|
12 |
12 |
$2K |
| 86666 |
|
207 |
130 |
$2K |
| 80171 |
|
92 |
81 |
$2K |
| 80346 |
|
180 |
176 |
$2K |
| 91322 |
|
42 |
38 |
$2K |
| C9113 |
Inj pantoprazole sodium, via |
1,132 |
597 |
$2K |
| 80361 |
|
187 |
180 |
$2K |
| Q3014 |
Telehealth facility fee |
3,485 |
2,613 |
$2K |
| 80349 |
|
112 |
106 |
$2K |
| 73100 |
|
28 |
15 |
$2K |
| J1953 |
Levetiracetam injection |
372 |
273 |
$2K |
| 88184 |
|
90 |
59 |
$2K |
| 87517 |
|
61 |
61 |
$2K |
| 90480 |
|
68 |
66 |
$2K |
| 98941 |
|
126 |
42 |
$2K |
| 90723 |
|
3,013 |
2,927 |
$2K |
| 92610 |
|
46 |
38 |
$2K |
| 73600 |
|
32 |
25 |
$2K |
| 85384 |
|
376 |
340 |
$2K |
| J2919 |
Inj, methylpred sod succ 5mg |
756 |
445 |
$2K |
| M0222 |
Bebtelovimab injection |
19 |
17 |
$2K |
| 99381 |
|
41 |
37 |
$2K |
| 87536 |
|
31 |
26 |
$1K |
| 90697 |
|
1,533 |
1,502 |
$1K |
| 88142 |
|
90 |
89 |
$1K |
| 99195 |
|
46 |
39 |
$1K |
| 88312 |
|
26 |
24 |
$1K |
| 90658 |
|
293 |
286 |
$1K |
| 81241 |
|
57 |
50 |
$1K |
| 85014 |
|
510 |
290 |
$1K |
| 89051 |
|
323 |
213 |
$1K |
| J2920 |
Methylprednisolone injection |
637 |
215 |
$1K |
| 97164 |
|
52 |
51 |
$1K |
| 86015 |
|
140 |
132 |
$1K |
| 90734 |
|
700 |
681 |
$1K |
| 87449 |
|
84 |
67 |
$1K |
| 90648 |
|
3,049 |
2,957 |
$1K |
| 96161 |
|
702 |
657 |
$1K |
| 99336 |
|
37 |
32 |
$1K |
| 86359 |
|
48 |
39 |
$1K |
| 96401 |
|
82 |
27 |
$1K |
| 90677 |
|
1,417 |
1,397 |
$1K |
| 90681 |
|
834 |
807 |
$1K |
| 82390 |
|
138 |
124 |
$1K |
| J1643 |
Inj heparin, pfizer, 1000u |
1,422 |
506 |
$1K |
| 99462 |
|
43 |
37 |
$1K |
| 70150 |
|
13 |
12 |
$1K |
| 73660 |
|
32 |
26 |
$1K |
| 92579 |
|
15 |
15 |
$1K |
| 82951 |
|
108 |
99 |
$1K |
| 97165 |
|
39 |
38 |
$1K |
| 82365 |
|
123 |
110 |
$1K |
| 80197 |
|
125 |
88 |
$999.52 |
| C1788 |
Port, indwelling, imp |
18 |
12 |
$992.72 |
| 82653 |
|
13 |
13 |
$955.10 |
| 86694 |
|
75 |
58 |
$946.49 |
| 82672 |
|
71 |
60 |
$946.00 |
| 90674 |
|
90 |
85 |
$925.05 |
| 93010 |
|
105 |
98 |
$907.09 |
| M0239 |
Bamlanivimab-xxxx infusion |
38 |
35 |
$904.86 |
| 82671 |
|
37 |
37 |
$890.27 |
| 98940 |
|
92 |
33 |
$881.59 |
| 85613 |
|
139 |
115 |
$838.48 |
| 86318 |
|
53 |
51 |
$828.37 |
| J1650 |
Inj enoxaparin sodium |
134 |
65 |
$827.94 |
| 76815 |
|
12 |
12 |
$824.23 |
| 97010 |
|
169 |
55 |
$815.29 |
| G2012 |
Brief check in by md/qhp |
116 |
106 |
$799.88 |
| 90710 |
|
423 |
418 |
$788.20 |
| 12011 |
|
28 |
27 |
$729.43 |
| J7620 |
Albuterol ipratrop non-comp |
218 |
208 |
$710.40 |
| 80051 |
|
213 |
99 |
$699.08 |
| 99407 |
|
42 |
41 |
$690.86 |
| 85390 |
|
88 |
77 |
$675.86 |
| 80364 |
|
17 |
17 |
$672.40 |
| J1030 |
Methylprednisolone 40 mg inj |
138 |
127 |
$664.06 |
| J3360 |
Diazepam injection |
187 |
94 |
$655.89 |
| J2765 |
Metoclopramide hcl injection |
1,753 |
1,441 |
$651.82 |
| 97014 |
|
77 |
28 |
$649.14 |
| J2060 |
Lorazepam injection |
1,674 |
1,134 |
$635.57 |
| 90682 |
|
12 |
12 |
$627.15 |
| 99221 |
|
32 |
25 |
$623.12 |
| 86709 |
|
48 |
48 |
$616.20 |
| J1010 |
Inj, methylpred acetate 1 mg |
176 |
165 |
$601.88 |
| 96402 |
|
23 |
13 |
$570.56 |
| 86705 |
|
54 |
54 |
$566.08 |
| 86360 |
|
32 |
27 |
$555.27 |
| 80324 |
|
19 |
18 |
$508.25 |
| 84479 |
|
101 |
99 |
$506.36 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
1,333 |
986 |
$503.70 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
385 |
297 |
$485.75 |
| 90656 |
|
596 |
592 |
$478.37 |
| 86146 |
|
25 |
12 |
$442.78 |
| 84300 |
|
148 |
133 |
$440.05 |
| 86580 |
|
99 |
94 |
$434.30 |
| J2272 |
Inj, morphine (fresenius) |
463 |
319 |
$423.19 |
| 80359 |
|
13 |
13 |
$413.52 |
| 94667 |
|
29 |
25 |
$401.27 |
| 87625 |
|
37 |
36 |
$396.14 |
| 84450 |
|
131 |
108 |
$387.22 |
| J2360 |
Orphenadrine injection |
161 |
143 |
$378.69 |
| 86738 |
|
56 |
55 |
$374.73 |
| 85347 |
|
48 |
41 |
$367.37 |
| D1206 |
|
29 |
26 |
$360.00 |
| 84157 |
|
92 |
77 |
$346.48 |
| 84155 |
|
172 |
169 |
$345.72 |
| 99318 |
|
89 |
69 |
$344.35 |
| 90732 |
|
12 |
12 |
$342.40 |
| 82952 |
|
107 |
97 |
$337.76 |
| J2806 |
Inj sincalide, maia, 5 mcg |
12 |
12 |
$301.49 |
| 72020 |
|
15 |
12 |
$299.12 |
| 82595 |
|
49 |
39 |
$287.70 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
1,065 |
719 |
$275.58 |
| 87324 |
|
63 |
56 |
$273.95 |
| 85246 |
|
12 |
12 |
$271.84 |
| J0735 |
Clonidine hydrochloride |
94 |
69 |
$262.67 |
| 80368 |
|
13 |
12 |
$250.44 |
| J2470 |
Inj pantoprazole sodium 40mg |
218 |
101 |
$249.79 |
| 85240 |
|
15 |
14 |
$230.02 |
| G0296 |
Visit to determ ldct elig |
14 |
14 |
$205.75 |
| 85045 |
|
79 |
70 |
$201.56 |
| 82787 |
|
21 |
12 |
$190.28 |
| J7042 |
5% dextrose/normal saline |
29 |
27 |
$170.60 |
| 83630 |
|
21 |
12 |
$170.18 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
70 |
25 |
$164.43 |
| J2310 |
Inj naloxone hydrochloride |
28 |
25 |
$162.63 |
| 90680 |
|
865 |
847 |
$160.90 |
| 90716 |
|
40 |
39 |
$154.61 |
| 80365 |
|
27 |
27 |
$144.90 |
| 90696 |
|
157 |
156 |
$144.00 |
| 85397 |
|
12 |
12 |
$142.94 |
| 90472 |
|
12 |
12 |
$141.50 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
134 |
90 |
$134.51 |
| J7512 |
Prednisone ir or dr oral 1mg |
515 |
348 |
$132.61 |
| 99232 |
|
32 |
12 |
$122.82 |
| G8978 |
Mobility current status |
95 |
12 |
$116.92 |
| 86431 |
|
31 |
25 |
$114.97 |
| 86316 |
|
13 |
12 |
$111.44 |
| 86735 |
|
13 |
12 |
$100.48 |
| 80178 |
|
26 |
25 |
$99.36 |
| 84311 |
|
48 |
44 |
$97.69 |
| 80175 |
|
13 |
13 |
$97.59 |
| 90647 |
|
464 |
456 |
$96.89 |
| 90707 |
|
40 |
39 |
$90.94 |
| J0592 |
Buprenorphine hydrochloride |
49 |
26 |
$90.25 |
| A9284 |
Non-electronic spirometer |
28 |
24 |
$83.76 |
| J0744 |
Ciprofloxacin iv |
20 |
12 |
$83.32 |
| 29126 |
|
15 |
13 |
$81.62 |
| J0500 |
Dicyclomine injection |
13 |
13 |
$81.20 |
| 83721 |
|
18 |
12 |
$76.69 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
33 |
28 |
$75.16 |
| J1630 |
Haloperidol injection |
278 |
229 |
$72.53 |
| J0595 |
Butorphanol tartrate 1 mg |
123 |
98 |
$70.91 |
| S2900 |
Robotic surgical system |
651 |
424 |
$66.79 |
| J2175 |
Meperidine hydrochl /100 mg |
115 |
112 |
$65.13 |
| 81002 |
|
56 |
52 |
$57.78 |
| 83935 |
|
13 |
13 |
$57.60 |
| Q0244 |
Casirivi and imdevi 1200 mg |
459 |
368 |
$54.65 |
| 90687 |
|
78 |
75 |
$50.36 |
| G0103 |
Psa screening |
129 |
25 |
$49.22 |
| 94760 |
|
25 |
25 |
$47.44 |
| 99348 |
|
15 |
12 |
$47.32 |
| 94644 |
|
17 |
15 |
$46.21 |
| 36416 |
|
60 |
55 |
$37.21 |
| Q0245 |
Bamlanivimab and etesevima |
189 |
172 |
$17.39 |
| J2004 |
Inj, lidocaine w epinephrine |
49 |
47 |
$14.90 |
| G0008 |
Admin influenza virus vac |
308 |
289 |
$11.93 |
| Q0247 |
Sotrovimab |
41 |
33 |
$4.91 |
| 90700 |
|
62 |
58 |
$3.64 |
| Q0222 |
Bebtelovimab 175 mg |
34 |
29 |
$3.07 |
| 3078F |
|
4,746 |
4,528 |
$0.00 |
| 3077F |
|
610 |
572 |
$0.00 |
| 3725F |
|
26 |
26 |
$0.00 |
| 90380 |
|
12 |
12 |
$0.00 |
| 3074F |
|
5,386 |
5,080 |
$0.00 |
| 3079F |
|
4,481 |
4,264 |
$0.00 |
| 3080F |
|
126 |
124 |
$0.00 |
| 1126F |
|
54 |
47 |
$0.00 |
| 3075F |
|
2,094 |
1,986 |
$0.00 |
| 1111F |
|
32 |
31 |
$0.00 |
| G0439 |
Ppps, subseq visit |
14 |
13 |
$0.00 |
| 90381 |
|
28 |
27 |
$0.00 |
| 99335 |
|
53 |
52 |
$0.00 |
| 95115 |
|
53 |
24 |
$0.00 |