| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
184,504 |
158,337 |
$13.86M |
| 99284 |
|
172,425 |
147,199 |
$12.09M |
| 96361 |
|
83,728 |
66,569 |
$11.54M |
| 99285 |
|
121,652 |
100,474 |
$8.55M |
| 99211 |
|
127,585 |
108,282 |
$7.91M |
| 80053 |
|
302,198 |
212,125 |
$5.39M |
| 97110 |
|
154,376 |
60,378 |
$5.01M |
| J9271 |
Inj pembrolizumab |
3,828 |
2,743 |
$4.31M |
| 70450 |
|
46,146 |
40,370 |
$3.57M |
| 99282 |
|
43,086 |
37,563 |
$3.24M |
| 74177 |
|
32,521 |
28,979 |
$2.66M |
| 96360 |
|
25,689 |
21,083 |
$2.37M |
| U0003 |
Cov-19 amp prb hgh thruput |
27,886 |
24,893 |
$2.27M |
| 85025 |
|
375,774 |
261,206 |
$2.24M |
| 94640 |
|
54,065 |
26,521 |
$2.24M |
| 96365 |
|
33,332 |
22,876 |
$2.20M |
| 96366 |
|
21,369 |
12,339 |
$1.96M |
| 80307 |
|
36,036 |
29,506 |
$1.90M |
| 80048 |
|
90,921 |
59,816 |
$1.85M |
| 97140 |
|
84,075 |
34,934 |
$1.84M |
| 84484 |
|
131,308 |
102,674 |
$1.49M |
| 93306 |
|
14,410 |
13,038 |
$1.46M |
| 80047 |
|
47,492 |
42,181 |
$1.32M |
| 71275 |
|
14,693 |
13,100 |
$1.29M |
| 0241U |
|
32,259 |
29,131 |
$1.22M |
| 97530 |
|
58,031 |
30,204 |
$1.21M |
| 96413 |
|
26,597 |
15,468 |
$1.20M |
| 74176 |
|
14,962 |
13,476 |
$1.13M |
| 43239 |
|
5,700 |
5,249 |
$1.12M |
| 83880 |
|
38,368 |
31,610 |
$1.10M |
| 77386 |
|
8,331 |
699 |
$1.03M |
| 93356 |
|
10,936 |
9,769 |
$1.02M |
| 99212 |
|
16,851 |
12,741 |
$1.01M |
| 97112 |
|
35,199 |
16,820 |
$1.01M |
| 87635 |
|
24,876 |
21,397 |
$998K |
| 93798 |
|
15,949 |
2,907 |
$971K |
| 87491 |
|
26,948 |
24,517 |
$969K |
| 87591 |
|
26,982 |
24,554 |
$904K |
| P9016 |
Rbc leukocytes reduced |
2,863 |
1,910 |
$875K |
| J1569 |
Gammagard liquid injection |
2,836 |
1,141 |
$858K |
| 84703 |
|
53,832 |
48,218 |
$814K |
| 97162 |
|
21,796 |
20,068 |
$797K |
| 84702 |
|
45,583 |
38,602 |
$785K |
| 93458 |
|
1,796 |
1,653 |
$783K |
| 99215 |
Prolong outpt/office vis |
19,940 |
16,412 |
$761K |
| G0378 |
Hospital observation per hr |
44,538 |
36,754 |
$755K |
| 97161 |
|
19,222 |
17,357 |
$749K |
| 82962 |
|
96,099 |
45,492 |
$737K |
| 78452 |
|
4,387 |
4,016 |
$734K |
| 45380 |
|
4,010 |
3,682 |
$713K |
| 99281 |
|
8,878 |
7,845 |
$704K |
| 99214 |
|
22,723 |
19,392 |
$702K |
| G0480 |
Drug test def 1-7 classes |
12,484 |
9,863 |
$690K |
| 45378 |
|
2,758 |
2,555 |
$659K |
| 70553 |
|
5,834 |
5,356 |
$623K |
| 82077 |
|
28,981 |
22,630 |
$619K |
| 45385 |
|
3,129 |
2,877 |
$584K |
| 99213 |
|
11,216 |
8,921 |
$557K |
| 96367 |
|
10,305 |
7,106 |
$551K |
| 83690 |
|
93,899 |
78,769 |
$545K |
| J2505 |
Injection, pegfilgrastim 6mg |
902 |
630 |
$540K |
| 83735 |
|
106,760 |
68,169 |
$521K |
| 49083 |
|
3,540 |
1,581 |
$521K |
| 96415 |
|
5,963 |
4,553 |
$509K |
| 77412 |
|
4,863 |
591 |
$504K |
| 93975 |
|
10,823 |
9,906 |
$497K |
| 76856 |
|
10,589 |
9,744 |
$491K |
| 76705 |
|
13,052 |
11,811 |
$484K |
| 78815 |
|
2,471 |
2,306 |
$480K |
| 27447 |
|
282 |
250 |
$475K |
| 87086 |
|
40,990 |
36,049 |
$469K |
| 72125 |
|
14,952 |
13,290 |
$469K |
| 93308 |
|
4,171 |
3,724 |
$467K |
| 76830 |
|
11,265 |
10,351 |
$460K |
| 64493 |
|
1,881 |
1,664 |
$459K |
| 71260 |
|
6,650 |
6,082 |
$458K |
| 86850 |
|
21,995 |
18,299 |
$446K |
| 64483 |
|
2,457 |
2,256 |
$445K |
| 87661 |
|
13,721 |
12,280 |
$431K |
| 95810 |
|
2,608 |
2,466 |
$417K |
| 77067 |
|
13,400 |
12,511 |
$413K |
| 87880 |
|
14,896 |
13,750 |
$401K |
| 97597 |
|
8,915 |
5,967 |
$400K |
| 29580 |
|
7,146 |
1,983 |
$395K |
| 93321 |
|
4,249 |
3,726 |
$389K |
| 72148 |
|
5,350 |
4,975 |
$385K |
| 64494 |
|
2,455 |
1,525 |
$380K |
| 19083 |
|
1,075 |
973 |
$371K |
| 76642 |
|
9,660 |
7,518 |
$369K |
| 71046 |
|
45,900 |
41,218 |
$364K |
| 12001 |
|
3,917 |
3,573 |
$360K |
| 87651 |
|
9,512 |
8,940 |
$357K |
| 43235 |
|
1,986 |
1,832 |
$356K |
| J1745 |
Infliximab not biosimil 10mg |
1,032 |
830 |
$354K |
| 87633 |
|
1,412 |
1,208 |
$352K |
| 70496 |
|
4,019 |
3,608 |
$351K |
| 81025 |
|
32,435 |
29,058 |
$348K |
| 87502 |
|
3,412 |
3,151 |
$336K |
| 70498 |
|
4,277 |
3,855 |
$329K |
| 84443 |
|
27,691 |
23,756 |
$328K |
| 85610 |
|
66,668 |
45,272 |
$315K |
| 10060 |
|
3,436 |
3,112 |
$313K |
| 81003 |
|
65,393 |
58,003 |
$305K |
| 82803 |
|
16,251 |
13,748 |
$304K |
| G0257 |
Unsched dialysis esrd pt hos |
2,856 |
1,503 |
$301K |
| J3380 |
Inj vedolizumab iv 1 mg |
306 |
265 |
$296K |
| 97116 |
|
20,254 |
10,690 |
$296K |
| 93971 |
|
9,536 |
8,643 |
$288K |
| 70551 |
|
4,311 |
3,829 |
$286K |
| 64636 |
|
1,371 |
712 |
$286K |
| 93351 |
|
2,383 |
2,135 |
$283K |
| J2350 |
Injection, ocrelizumab, 1 mg |
98 |
89 |
$273K |
| 90715 |
|
11,037 |
10,043 |
$273K |
| P9047 |
Albumin (human), 25%, 50ml |
2,971 |
1,361 |
$272K |
| 97165 |
|
8,289 |
7,266 |
$271K |
| 96417 |
|
6,177 |
3,737 |
$270K |
| G0463 |
Hospital outpt clinic visit |
53,767 |
39,548 |
$269K |
| 90686 |
|
7,467 |
6,698 |
$266K |
| 62323 |
|
2,049 |
1,922 |
$261K |
| Q5117 |
Inj., kanjinti, 10 mg |
639 |
416 |
$259K |
| 92507 |
|
6,967 |
2,988 |
$257K |
| 12011 |
|
2,808 |
2,563 |
$256K |
| 64635 |
|
884 |
758 |
$249K |
| 81001 |
|
69,365 |
60,896 |
$248K |
| 83605 |
|
25,899 |
20,759 |
$243K |
| 99202 |
|
4,334 |
3,980 |
$239K |
| 71250 |
|
6,560 |
6,077 |
$236K |
| 70486 |
|
6,702 |
6,156 |
$236K |
| 85027 |
|
50,908 |
31,966 |
$231K |
| 47563 |
|
240 |
202 |
$231K |
| G0283 |
Elec stim other than wound |
16,803 |
7,711 |
$227K |
| 70491 |
|
2,886 |
2,658 |
$223K |
| 73721 |
|
2,952 |
2,590 |
$223K |
| 82565 |
|
11,496 |
10,465 |
$222K |
| 82306 |
|
10,028 |
9,092 |
$220K |
| 83036 |
|
21,781 |
19,089 |
$219K |
| 20610 |
|
2,314 |
1,962 |
$218K |
| 0240U |
|
6,544 |
6,044 |
$217K |
| 81513 |
|
2,734 |
2,428 |
$215K |
| 87804 |
|
5,369 |
4,939 |
$214K |
| 80061 |
|
18,237 |
16,078 |
$213K |
| 85379 |
|
24,974 |
22,021 |
$203K |
| 77063 |
|
12,196 |
11,343 |
$202K |
| 52356 |
|
211 |
195 |
$202K |
| 84145 |
|
10,972 |
9,153 |
$200K |
| 96372 |
|
83,722 |
50,490 |
$200K |
| 12002 |
|
2,159 |
1,939 |
$196K |
| 86900 |
|
23,795 |
19,763 |
$194K |
| J0585 |
Injection,onabotulinumtoxina |
2,431 |
2,153 |
$192K |
| 72141 |
|
2,789 |
2,550 |
$190K |
| 96368 |
|
4,015 |
2,741 |
$189K |
| 95886 |
|
3,552 |
3,339 |
$189K |
| 95811 |
|
1,426 |
1,331 |
$188K |
| 97535 |
|
15,312 |
9,259 |
$188K |
| 94729 |
|
7,293 |
6,695 |
$186K |
| Q5107 |
Inj mvasi 10 mg |
1,014 |
431 |
$183K |
| 96416 |
|
1,607 |
911 |
$180K |
| J9312 |
Inj., rituximab, 10 mg |
414 |
161 |
$179K |
| 82728 |
|
17,394 |
15,020 |
$178K |
| 93325 |
|
4,504 |
3,939 |
$177K |
| 96374 |
|
99,073 |
76,615 |
$177K |
| C9600 |
Perc drug-el cor stent sing |
137 |
113 |
$177K |
| 93017 |
|
4,901 |
4,461 |
$177K |
| 87389 |
|
7,917 |
7,165 |
$175K |
| 78582 |
|
1,155 |
1,070 |
$175K |
| 36430 |
|
2,470 |
1,412 |
$174K |
| 94060 |
|
6,200 |
5,673 |
$172K |
| 93970 |
|
3,855 |
3,545 |
$171K |
| 97166 |
|
5,827 |
5,257 |
$170K |
| J9035 |
Bevacizumab injection |
465 |
205 |
$159K |
| 99291 |
|
1,971 |
1,709 |
$158K |
| 76770 |
|
3,255 |
3,022 |
$158K |
| 87040 |
|
12,941 |
10,046 |
$158K |
| 73221 |
|
2,194 |
1,906 |
$157K |
| 29125 |
|
3,224 |
2,911 |
$155K |
| 29581 |
|
2,939 |
746 |
$154K |
| J9299 |
Injection, nivolumab |
253 |
99 |
$152K |
| 47562 |
|
167 |
148 |
$152K |
| 66984 |
|
1,000 |
871 |
$151K |
| J0897 |
Denosumab injection |
1,796 |
1,643 |
$151K |
| Q5120 |
Inj pegfilgrastim-bmez 0.5mg |
179 |
124 |
$150K |
| 80143 |
|
12,862 |
10,269 |
$150K |
| U0005 |
Infec agen detec ampli probe |
8,172 |
7,088 |
$148K |
| Q5121 |
Inj. avsola, 10 mg |
515 |
423 |
$148K |
| 80179 |
|
12,594 |
10,075 |
$146K |
| 87077 |
|
11,933 |
10,743 |
$142K |
| 77066 |
Tomosynthesis, mammo |
5,583 |
5,012 |
$142K |
| 77336 |
|
4,760 |
2,177 |
$140K |
| 90471 |
|
21,699 |
19,135 |
$140K |
| J1756 |
Iron sucrose injection |
16,496 |
6,870 |
$138K |
| 87481 |
|
2,678 |
2,389 |
$138K |
| 87210 |
|
15,928 |
14,698 |
$135K |
| 86832 |
|
1,672 |
1,449 |
$134K |
| 74174 |
|
1,596 |
1,423 |
$132K |
| Q5115 |
Inj truxima 10 mg |
297 |
104 |
$132K |
| Q3014 |
Telehealth facility fee |
8,971 |
7,388 |
$130K |
| 74183 |
|
1,313 |
1,209 |
$128K |
| 97113 |
|
2,167 |
845 |
$127K |
| J9022 |
Inj, atezolizumab,10 mg |
117 |
83 |
$122K |
| 87641 |
|
3,325 |
2,944 |
$122K |
| 94660 |
|
2,515 |
1,167 |
$122K |
| 74170 |
|
1,574 |
1,453 |
$120K |
| 80076 |
|
13,674 |
12,240 |
$120K |
| 85730 |
|
24,862 |
20,059 |
$118K |
| 83970 |
|
4,357 |
3,950 |
$118K |
| 77065 |
Tomosynthesis, mammo |
5,294 |
4,516 |
$117K |
| 72100 |
|
14,423 |
13,240 |
$116K |
| 86833 |
|
1,743 |
1,514 |
$113K |
| J1453 |
Fosaprepitant injection |
4,326 |
2,776 |
$111K |
| 87624 |
|
3,260 |
2,817 |
$107K |
| J2506 |
Inj pegfilgrast ex bio 0.5mg |
249 |
163 |
$107K |
| 76801 |
|
9,206 |
7,879 |
$107K |
| J9202 |
Goserelin acetate implant |
339 |
322 |
$106K |
| 36561 |
|
249 |
232 |
$106K |
| 89051 |
|
4,392 |
2,592 |
$106K |
| 87186 |
|
12,862 |
11,565 |
$106K |
| 93454 |
|
284 |
253 |
$105K |
| 94618 |
|
3,223 |
2,937 |
$100K |
| 72197 |
|
956 |
855 |
$99K |
| 76536 |
|
2,169 |
2,047 |
$98K |
| 86480 |
|
1,765 |
1,584 |
$98K |
| 88175 |
|
4,283 |
3,711 |
$97K |
| 83550 |
|
15,858 |
14,063 |
$96K |
| 97035 |
|
7,638 |
3,668 |
$96K |
| 82330 |
|
5,826 |
4,308 |
$93K |
| Q5106 |
Inj retacrit non-esrd use |
1,892 |
979 |
$92K |
| 52332 |
|
376 |
342 |
$92K |
| 82607 |
|
8,414 |
7,499 |
$91K |
| 93005 |
|
164,447 |
131,558 |
$91K |
| 87070 |
|
7,339 |
5,372 |
$90K |
| 86803 |
|
6,419 |
5,788 |
$88K |
| 90935 |
|
1,014 |
477 |
$85K |
| 77080 |
|
1,872 |
1,735 |
$84K |
| G0399 |
Home sleep test/type 3 porta |
2,251 |
2,006 |
$84K |
| 83615 |
|
20,477 |
15,894 |
$82K |
| 71271 |
|
1,578 |
1,405 |
$81K |
| 77062 |
|
4,572 |
4,156 |
$80K |
| 0399T |
|
3,727 |
3,381 |
$80K |
| 93451 |
|
257 |
234 |
$79K |
| 19318 |
|
35 |
26 |
$77K |
| 29130 |
|
1,738 |
1,594 |
$77K |
| 64484 |
|
546 |
459 |
$77K |
| M0243 |
Casirivi and imdevi inj |
243 |
217 |
$76K |
| 92523 |
|
827 |
736 |
$76K |
| 83540 |
|
16,425 |
14,539 |
$76K |
| 84132 |
|
10,094 |
8,122 |
$73K |
| 82105 |
|
4,044 |
3,609 |
$71K |
| 82746 |
|
7,158 |
6,327 |
$71K |
| 87081 |
|
3,511 |
3,304 |
$70K |
| 80197 |
|
7,051 |
3,839 |
$69K |
| 92610 |
|
2,148 |
1,884 |
$69K |
| 97163 |
|
2,129 |
2,003 |
$69K |
| 93307 |
|
613 |
563 |
$68K |
| 95819 |
|
1,022 |
910 |
$67K |
| 87340 |
|
7,970 |
7,013 |
$67K |
| J9305 |
Inj. pemetrexed nos 10mg |
121 |
51 |
$65K |
| 73562 |
|
14,785 |
12,451 |
$65K |
| 86140 |
|
14,042 |
10,588 |
$64K |
| 87563 |
|
2,586 |
2,305 |
$64K |
| 74018 |
|
6,203 |
5,221 |
$64K |
| G0297 |
Ldct for lung ca screen |
978 |
909 |
$63K |
| 76870 |
|
1,892 |
1,710 |
$62K |
| 19081 |
|
197 |
181 |
$60K |
| 58558 |
|
93 |
78 |
$58K |
| 82784 |
|
4,224 |
3,650 |
$58K |
| 77002 |
|
2,365 |
2,012 |
$57K |
| 36000 |
|
21,441 |
19,422 |
$57K |
| 77300 |
|
1,342 |
1,137 |
$56K |
| 58661 |
|
69 |
50 |
$56K |
| 86901 |
|
23,778 |
19,759 |
$56K |
| 58100 |
|
295 |
264 |
$55K |
| 99201 |
|
958 |
865 |
$55K |
| 72040 |
|
3,404 |
3,163 |
$55K |
| J2469 |
Palonosetron hcl |
3,721 |
2,803 |
$55K |
| 77061 |
|
3,701 |
3,241 |
$54K |
| 87522 |
Neg quan hep c or qual rna |
1,345 |
1,174 |
$54K |
| 73030 |
|
12,127 |
10,705 |
$53K |
| 94726 |
|
6,600 |
6,047 |
$53K |
| 72110 |
|
2,318 |
2,185 |
$52K |
| 82550 |
|
10,121 |
8,038 |
$52K |
| 10160 |
|
536 |
493 |
$52K |
| 82570 |
|
9,204 |
8,204 |
$51K |
| 27130 |
|
29 |
26 |
$51K |
| 77334 |
|
2,151 |
1,447 |
$50K |
| 76882 |
|
1,213 |
1,080 |
$50K |
| 87529 |
|
761 |
719 |
$50K |
| 93010 |
|
9,399 |
7,411 |
$49K |
| 77301 |
|
303 |
258 |
$48K |
| 90651 |
|
840 |
805 |
$48K |
| 87088 |
|
6,806 |
6,208 |
$48K |
| 77290 |
|
677 |
610 |
$47K |
| H2012 |
Behav hlth day treat, per hr |
609 |
91 |
$46K |
| 71045 |
|
96,403 |
81,928 |
$46K |
| J0885 |
Epoetin alfa, non-esrd |
670 |
350 |
$46K |
| 97016 |
|
2,820 |
1,158 |
$46K |
| 85014 |
|
18,728 |
16,324 |
$45K |
| 86592 |
|
7,805 |
7,062 |
$45K |
| 90670 |
|
1,037 |
1,012 |
$45K |
| 96112 |
|
158 |
142 |
$45K |
| 86706 |
|
4,794 |
4,205 |
$45K |
| 73130 |
|
11,617 |
9,891 |
$44K |
| 27096 |
|
191 |
172 |
$44K |
| 64615 |
|
463 |
440 |
$44K |
| 29515 |
|
1,051 |
933 |
$43K |
| 97803 |
|
2,090 |
1,711 |
$43K |
| J0881 |
Darbepoetin alfa, non-esrd |
1,366 |
972 |
$43K |
| 95913 |
|
688 |
654 |
$41K |
| 73630 |
|
11,614 |
10,173 |
$41K |
| 84100 |
|
13,021 |
8,061 |
$40K |
| 92526 |
|
1,781 |
997 |
$40K |
| 95910 |
|
615 |
583 |
$40K |
| 84439 |
|
4,909 |
4,243 |
$40K |
| 86704 |
|
3,668 |
3,185 |
$40K |
| 82378 |
|
2,972 |
2,394 |
$39K |
| 90680 |
|
1,350 |
1,262 |
$39K |
| 76817 |
|
7,225 |
6,158 |
$38K |
| 76937 |
|
4,612 |
4,006 |
$38K |
| 84112 |
|
427 |
375 |
$37K |
| 87497 |
|
1,392 |
878 |
$36K |
| 84153 |
|
2,897 |
2,527 |
$36K |
| 90648 |
|
1,637 |
1,543 |
$36K |
| 82247 |
|
800 |
524 |
$36K |
| 51705 |
|
536 |
483 |
$35K |
| 74230 |
|
763 |
703 |
$35K |
| 74178 |
|
479 |
438 |
$35K |
| 87507 |
|
102 |
93 |
$35K |
| 41899 |
|
87 |
77 |
$35K |
| 94010 |
|
1,740 |
1,610 |
$34K |
| J9355 |
Inj trastuzumab excl biosimi |
93 |
39 |
$34K |
| 86334 |
|
2,779 |
2,387 |
$33K |
| 86923 |
|
3,201 |
2,237 |
$33K |
| 73502 |
|
6,609 |
6,021 |
$33K |
| J9263 |
Oxaliplatin |
1,757 |
501 |
$33K |
| 87075 |
|
4,979 |
3,377 |
$32K |
| 93653 |
|
14 |
12 |
$32K |
| 75561 |
|
314 |
293 |
$32K |
| 72050 |
|
1,261 |
1,175 |
$31K |
| 29827 |
|
27 |
27 |
$31K |
| J3471 |
Ovine, up to 999 usp units |
1,125 |
963 |
$31K |
| 73700 |
|
839 |
747 |
$31K |
| 80164 |
|
2,803 |
2,288 |
$31K |
| 87799 |
|
1,093 |
740 |
$31K |
| 63650 |
|
25 |
12 |
$30K |
| 73610 |
|
9,854 |
8,849 |
$30K |
| 76700 |
|
503 |
456 |
$29K |
| 82075 |
|
1,040 |
882 |
$29K |
| 82140 |
|
2,765 |
1,973 |
$29K |
| J1459 |
Inj ivig privigen 500 mg |
101 |
57 |
$29K |
| 82043 |
|
3,651 |
3,331 |
$29K |
| 80074 |
|
678 |
589 |
$28K |
| 87205 |
|
9,232 |
6,834 |
$28K |
| J2357 |
Omalizumab injection |
138 |
51 |
$28K |
| 90732 |
|
1,256 |
1,061 |
$27K |
| 96523 |
|
1,351 |
1,154 |
$27K |
| 43264 |
|
42 |
37 |
$27K |
| 87493 |
|
999 |
898 |
$27K |
| 86038 |
|
2,422 |
2,142 |
$27K |
| 92611 |
|
554 |
523 |
$26K |
| 62321 |
|
214 |
198 |
$26K |
| 93880 |
|
745 |
656 |
$26K |
| 90746 |
|
1,311 |
1,122 |
$26K |
| 95874 |
|
990 |
927 |
$26K |
| 97012 |
|
1,422 |
713 |
$26K |
| 90677 |
|
2,352 |
1,977 |
$25K |
| 84481 |
|
2,137 |
1,849 |
$25K |
| 86762 |
|
2,089 |
1,872 |
$25K |
| 84550 |
|
6,760 |
5,416 |
$25K |
| 72146 |
|
411 |
368 |
$25K |
| 72156 |
|
248 |
223 |
$24K |
| 72158 |
|
315 |
294 |
$24K |
| 83520 |
|
1,439 |
1,252 |
$24K |
| 36592 |
|
2,273 |
1,813 |
$24K |
| Q5103 |
Injection, inflectra |
14 |
12 |
$23K |
| 80177 |
|
1,926 |
1,607 |
$23K |
| 96375 |
|
87,378 |
63,586 |
$23K |
| 84165 |
|
3,789 |
3,269 |
$23K |
| 93312 |
|
277 |
247 |
$23K |
| J9306 |
Injection, pertuzumab, 1 mg |
33 |
24 |
$23K |
| 85046 |
|
6,207 |
4,957 |
$22K |
| 90674 |
|
630 |
555 |
$22K |
| 85652 |
|
10,856 |
9,179 |
$22K |
| 87517 |
|
571 |
516 |
$22K |
| J1439 |
Inj ferric carboxymaltos 1mg |
453 |
296 |
$22K |
| 78306 |
|
285 |
280 |
$22K |
| 86300 |
|
1,899 |
1,590 |
$21K |
| 84156 |
|
6,686 |
5,786 |
$21K |
| 72131 |
|
622 |
557 |
$21K |
| 86787 |
|
2,689 |
2,408 |
$21K |
| 73110 |
|
6,188 |
5,542 |
$21K |
| J9144 |
Daratumumab, hyaluronidase |
44 |
25 |
$21K |
| 88307 |
|
3,517 |
3,021 |
$21K |
| 20611 |
|
139 |
112 |
$20K |
| 59025 |
|
273 |
254 |
$20K |
| 82375 |
|
774 |
671 |
$19K |
| 86235 |
|
151 |
138 |
$19K |
| P9045 |
Albumin (human), 5%, 250 ml |
171 |
126 |
$18K |
| 72070 |
|
3,445 |
3,163 |
$18K |
| 97167 |
|
588 |
545 |
$18K |
| 91200 |
|
2,159 |
1,895 |
$17K |
| 90716 |
|
479 |
458 |
$17K |
| 88185 |
|
1,119 |
957 |
$17K |
| 86301 |
|
1,103 |
864 |
$17K |
| 93320 |
|
196 |
168 |
$17K |
| 82805 |
|
451 |
377 |
$17K |
| 73140 |
|
4,282 |
3,880 |
$17K |
| 93922 |
|
585 |
550 |
$17K |
| 83516 |
|
980 |
861 |
$17K |
| 77001 |
|
1,265 |
1,136 |
$17K |
| 12013 |
|
189 |
172 |
$16K |
| 85347 |
|
2,223 |
1,962 |
$16K |
| 90633 |
|
870 |
820 |
$16K |
| G0277 |
Hbot, full body chamber, 30m |
114 |
13 |
$16K |
| 78830 |
|
113 |
95 |
$16K |
| 93925 |
|
485 |
448 |
$16K |
| 77387 |
|
1,784 |
204 |
$15K |
| 36591 |
|
2,351 |
1,887 |
$15K |
| 84146 |
|
825 |
747 |
$15K |
| 83655 |
|
949 |
898 |
$15K |
| 90472 |
|
2,259 |
2,040 |
$15K |
| 83521 |
|
1,243 |
1,054 |
$15K |
| 92012 |
|
313 |
277 |
$14K |
| 96402 |
|
3,028 |
2,676 |
$14K |
| Q5101 |
Injection, zarxio |
680 |
227 |
$14K |
| V5266 |
Battery for hearing device |
1,314 |
1,163 |
$14K |
| 87902 |
|
67 |
51 |
$13K |
| 82670 |
|
499 |
454 |
$13K |
| 76815 |
|
1,155 |
1,040 |
$13K |
| 38222 |
|
69 |
64 |
$13K |
| 92557 |
|
365 |
262 |
$13K |
| J9217 |
Leuprolide acetate suspnsion |
412 |
381 |
$13K |
| 83883 |
|
932 |
825 |
$12K |
| 87811 |
|
310 |
284 |
$12K |
| J2997 |
Alteplase recombinant |
509 |
425 |
$12K |
| J7298 |
Mirena, 52 mg |
68 |
56 |
$12K |
| 73080 |
|
3,618 |
3,298 |
$12K |
| 77338 |
|
289 |
245 |
$12K |
| 76775 |
|
413 |
383 |
$12K |
| 64721 |
|
57 |
50 |
$12K |
| 29105 |
|
134 |
120 |
$11K |
| 94644 |
|
1,999 |
1,701 |
$11K |
| 87102 |
|
1,460 |
1,257 |
$11K |
| 82950 |
|
1,468 |
1,386 |
$11K |
| 88360 |
|
1,501 |
1,300 |
$11K |
| 83020 |
|
1,642 |
1,450 |
$11K |
| 75716 |
|
31 |
29 |
$11K |
| 94621 |
|
243 |
221 |
$11K |
| 97802 |
|
550 |
443 |
$11K |
| 75565 |
|
194 |
175 |
$11K |
| 97018 |
|
947 |
527 |
$11K |
| 88305 |
|
21,830 |
19,624 |
$11K |
| 87015 |
|
2,408 |
1,701 |
$10K |
| 87147 |
|
1,888 |
1,649 |
$10K |
| 58301 |
|
74 |
69 |
$9K |
| J9041 |
Injection, bortezomib, 0.1mg |
60 |
12 |
$9K |
| 90739 |
|
447 |
416 |
$9K |
| 73560 |
|
1,749 |
1,426 |
$9K |
| A9609 |
F18 fdg, 15 millicuries |
173 |
163 |
$9K |
| J9171 |
Docetaxel injection |
190 |
137 |
$9K |
| 90750 |
|
1,146 |
996 |
$9K |
| 87449 |
|
974 |
719 |
$9K |
| 83001 |
|
483 |
446 |
$9K |
| 90723 |
|
1,606 |
1,512 |
$9K |
| 86708 |
|
804 |
699 |
$9K |
| 86147 |
|
476 |
419 |
$9K |
| 43249 |
|
70 |
54 |
$9K |
| 93296 |
|
1,779 |
1,654 |
$9K |
| J3489 |
Zoledronic acid 1mg |
1,020 |
888 |
$8K |
| 84403 |
|
402 |
364 |
$8K |
| 90656 |
|
1,015 |
979 |
$8K |
| 64490 |
|
39 |
37 |
$8K |
| 88184 |
|
1,126 |
957 |
$8K |
| U0002 |
Covid-19 lab test non-cdc |
206 |
176 |
$8K |
| 36821 |
|
14 |
12 |
$8K |
| 97542 |
|
524 |
482 |
$8K |
| J7030 |
Normal saline solution infus |
136,015 |
98,586 |
$8K |
| Q5111 |
Injection, udenyca 0.5 mg |
18 |
12 |
$8K |
| 36415 |
|
73,539 |
45,914 |
$8K |
| J0561 |
Penicillin g benzathine inj |
225 |
193 |
$8K |
| 58300 |
|
146 |
125 |
$8K |
| 86160 |
|
385 |
356 |
$8K |
| J9173 |
Inj., durvalumab, 10 mg |
39 |
12 |
$8K |
| 82103 |
|
571 |
499 |
$8K |
| 85018 |
|
3,412 |
2,429 |
$7K |
| 62369 |
|
151 |
143 |
$7K |
| 90662 |
|
708 |
625 |
$7K |
| A6196 |
Alginate dressing <=16 sq in |
4,549 |
1,821 |
$7K |
| 73090 |
|
3,196 |
2,905 |
$7K |
| Q0138 |
Ferumoxytol, non-esrd |
86 |
65 |
$7K |
| J2785 |
Regadenoson injection |
3,881 |
3,538 |
$7K |
| J9070 |
Cyclophosphamide 100 mg inj |
318 |
78 |
$7K |
| 64644 |
|
158 |
144 |
$7K |
| 82150 |
|
652 |
518 |
$7K |
| 82010 |
|
1,065 |
851 |
$7K |
| 73590 |
|
4,558 |
3,989 |
$7K |
| 93299 |
|
138 |
131 |
$7K |
| 76942 |
|
1,628 |
1,476 |
$7K |
| 86780 |
|
655 |
585 |
$7K |
| 95912 |
|
124 |
120 |
$6K |
| 97605 |
|
112 |
37 |
$6K |
| 41800 |
|
83 |
75 |
$6K |
| 86308 |
|
750 |
685 |
$6K |
| 88344 |
|
1,463 |
1,270 |
$6K |
| 76376 |
|
5,362 |
4,746 |
$6K |
| 85461 |
|
744 |
689 |
$6K |
| 80185 |
|
538 |
395 |
$6K |
| 10005 |
|
39 |
39 |
$6K |
| 90734 |
|
163 |
157 |
$6K |
| 86920 |
|
1,173 |
763 |
$6K |
| 71101 |
|
3,263 |
2,990 |
$6K |
| 77049 |
|
48 |
41 |
$6K |
| C8929 |
Tte w or wo fol wcon,doppler |
1,133 |
996 |
$5K |
| 70487 |
|
58 |
54 |
$5K |
| 73660 |
|
1,308 |
1,191 |
$5K |
| 74022 |
|
3,347 |
3,008 |
$5K |
| 78580 |
|
31 |
27 |
$5K |
| 86870 |
|
584 |
426 |
$5K |
| 87636 |
|
156 |
139 |
$5K |
| 74181 |
|
45 |
41 |
$5K |
| 82271 |
|
1,231 |
1,115 |
$5K |
| 96401 |
|
1,526 |
621 |
$5K |
| 80329 |
|
1,176 |
1,021 |
$5K |
| 78264 |
|
59 |
53 |
$5K |
| 64643 |
|
68 |
63 |
$5K |
| 86304 |
|
453 |
338 |
$5K |
| 86431 |
|
894 |
804 |
$5K |
| 82248 |
|
1,140 |
949 |
$5K |
| C1874 |
Stent, coated/cov w/del sys |
713 |
644 |
$5K |
| 85613 |
|
453 |
413 |
$5K |
| 87116 |
|
601 |
493 |
$5K |
| 72170 |
|
2,264 |
2,067 |
$5K |
| 83037 |
|
961 |
886 |
$5K |
| 97022 |
|
254 |
101 |
$4K |
| 93926 |
|
180 |
164 |
$4K |
| 86200 |
|
408 |
360 |
$4K |
| 85576 |
|
109 |
93 |
$4K |
| 96409 |
|
1,623 |
955 |
$4K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
74,859 |
62,752 |
$4K |
| 87899 |
|
234 |
186 |
$4K |
| 74019 |
|
800 |
745 |
$4K |
| 73060 |
|
1,993 |
1,806 |
$4K |
| 73552 |
|
2,181 |
1,907 |
$4K |
| 82104 |
|
329 |
286 |
$4K |
| 95909 |
|
49 |
49 |
$4K |
| 84295 |
|
829 |
766 |
$4K |
| 87045 |
|
423 |
397 |
$4K |
| 88142 |
|
192 |
164 |
$4K |
| 86225 |
|
335 |
304 |
$4K |
| P9040 |
Rbc leukoreduced irradiated |
25 |
15 |
$4K |
| 31720 |
|
260 |
248 |
$4K |
| 88237 |
|
83 |
76 |
$4K |
| J7120 |
Ringers lactate infusion |
62,415 |
49,487 |
$3K |
| 82977 |
|
557 |
482 |
$3K |
| Q0243 |
Casirivimab and imdevimab |
179 |
111 |
$3K |
| G0379 |
Direct refer hospital observ |
808 |
658 |
$3K |
| 31231 |
|
71 |
66 |
$3K |
| 84425 |
|
190 |
175 |
$3K |
| 73564 |
|
1,195 |
1,036 |
$3K |
| 64491 |
|
16 |
12 |
$3K |
| 31624 |
|
25 |
24 |
$3K |
| 87521 |
Neg quan hep c or qual rna |
115 |
103 |
$3K |
| 77280 |
|
41 |
38 |
$3K |
| 90700 |
|
458 |
440 |
$3K |
| 83010 |
|
407 |
351 |
$3K |
| 87427 |
|
341 |
319 |
$3K |
| A6197 |
Alginate drsg >16 <=48 sq in |
1,606 |
603 |
$3K |
| 94625 |
|
395 |
109 |
$3K |
| 36902 |
|
14 |
12 |
$3K |
| 82947 |
|
830 |
758 |
$3K |
| 84300 |
|
936 |
773 |
$3K |
| 86665 |
|
133 |
114 |
$3K |
| 75574 |
|
31 |
28 |
$3K |
| 86015 |
|
275 |
242 |
$3K |
| 80050 |
|
2,386 |
2,163 |
$3K |
| 72120 |
|
132 |
125 |
$3K |
| 82533 |
|
201 |
178 |
$3K |
| 88112 |
|
727 |
624 |
$3K |
| G1004 |
Cdsm ndsc |
9,427 |
7,706 |
$3K |
| C1729 |
Cath, drainage |
2,984 |
1,916 |
$3K |
| 90707 |
|
458 |
438 |
$3K |
| J1610 |
Glucagon hydrochloride/1 mg |
66 |
62 |
$3K |
| 92014 |
|
84 |
80 |
$3K |
| 72082 |
|
76 |
75 |
$3K |
| 51702 |
|
779 |
648 |
$3K |
| 85390 |
|
455 |
414 |
$3K |
| 83013 |
|
42 |
41 |
$3K |
| 77012 |
|
271 |
232 |
$3K |
| J9395 |
Injection, fulvestrant |
40 |
36 |
$3K |
| 64495 |
|
20 |
12 |
$3K |
| 72157 |
|
27 |
24 |
$2K |
| Q0114 |
Fern test |
346 |
297 |
$2K |
| Q9957 |
Inj perflutren lip micros,ml |
9,183 |
8,169 |
$2K |
| 86146 |
|
123 |
121 |
$2K |
| 86381 |
|
261 |
230 |
$2K |
| 77295 |
|
13 |
12 |
$2K |
| 29826 |
|
13 |
13 |
$2K |
| J7307 |
Etonogestrel implant system |
17 |
13 |
$2K |
| 86922 |
|
647 |
404 |
$2K |
| J2270 |
Morphine sulfate injection |
30,458 |
20,861 |
$2K |
| J2405 |
Ondansetron hcl injection |
78,234 |
56,002 |
$2K |
| J3010 |
Fentanyl citrate injection |
34,102 |
26,070 |
$2K |
| 81002 |
|
94 |
93 |
$2K |
| J3370 |
Vancomycin hcl injection |
10,742 |
5,074 |
$2K |
| 36593 |
|
40 |
37 |
$2K |
| J9201 |
In gemcitabine hcl nos 200mg |
625 |
187 |
$2K |
| G0279 |
Tomosynthesis, mammo |
1,390 |
1,162 |
$2K |
| 88304 |
|
4,053 |
3,640 |
$2K |
| J7050 |
Normal saline solution infus |
72,523 |
30,702 |
$2K |
| 86364 |
|
192 |
178 |
$2K |
| 57454 |
|
14 |
12 |
$2K |
| 36589 |
|
29 |
25 |
$2K |
| C1769 |
Guide wire |
14,849 |
12,984 |
$2K |
| 87206 |
|
510 |
428 |
$2K |
| 86705 |
|
250 |
215 |
$2K |
| J1644 |
Inj heparin sodium per 1000u |
35,740 |
13,836 |
$2K |
| 96376 |
|
31,852 |
18,546 |
$2K |
| 95700 |
|
29 |
27 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
58,618 |
45,955 |
$2K |
| 87350 |
|
155 |
139 |
$2K |
| 87176 |
|
379 |
328 |
$2K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
3,805 |
3,372 |
$2K |
| J2272 |
Inj, morphine (fresenius) |
2,131 |
1,503 |
$2K |
| J2791 |
Rhophylac injection |
25 |
25 |
$2K |
| 90696 |
|
72 |
65 |
$2K |
| 36600 |
|
415 |
367 |
$2K |
| 86709 |
|
156 |
144 |
$1K |
| G2211 |
Complex e/m visit add on |
684 |
610 |
$1K |
| 80175 |
|
95 |
87 |
$1K |
| 70549 |
|
13 |
12 |
$1K |
| 87076 |
|
179 |
143 |
$1K |
| 78227 |
|
13 |
13 |
$1K |
| 84157 |
|
443 |
358 |
$1K |
| J7040 |
Normal saline solution infus |
19,822 |
13,759 |
$1K |
| 97129 |
|
138 |
79 |
$1K |
| 82951 |
|
24 |
24 |
$1K |
| 86769 |
|
29 |
27 |
$1K |
| 87536 |
|
13 |
13 |
$1K |
| 51798 |
|
2,804 |
2,448 |
$1K |
| A4648 |
Implantable tissue marker |
2,097 |
1,893 |
$1K |
| A9502 |
Tc99m tetrofosmin |
4,550 |
4,040 |
$1K |
| 84134 |
|
201 |
167 |
$1K |
| 72220 |
|
360 |
330 |
$1K |
| 70490 |
|
36 |
36 |
$1K |
| C1760 |
Closure dev, vasc |
1,217 |
1,057 |
$1K |
| 92567 |
|
35 |
25 |
$1K |
| 76816 |
|
41 |
37 |
$1K |
| 72193 |
|
14 |
12 |
$1K |
| J2250 |
Inj midazolam hydrochloride |
40,908 |
35,804 |
$1K |
| 73120 |
|
219 |
136 |
$1K |
| 83498 |
|
54 |
49 |
$1K |
| 95012 |
|
167 |
150 |
$1K |
| 73100 |
|
334 |
204 |
$1K |
| J3475 |
Inj magnesium sulfate |
17,287 |
10,507 |
$1K |
| 87046 |
|
488 |
455 |
$1K |
| C1894 |
Intro/sheath, non-laser |
9,477 |
8,372 |
$1K |
| 82272 |
|
303 |
263 |
$1K |
| 99245 |
|
13 |
13 |
$1K |
| 84155 |
|
315 |
268 |
$1K |
| 82945 |
|
227 |
195 |
$1K |
| J1642 |
Inj heparin sodium per 10 u |
36,914 |
14,924 |
$1K |
| 92083 |
|
387 |
347 |
$1K |
| 93976 |
|
29 |
24 |
$1K |
| A6212 |
Foam drg <=16 sq in w/border |
4,095 |
2,096 |
$990.82 |
| 82365 |
|
44 |
42 |
$986.92 |
| 93282 |
|
173 |
162 |
$969.57 |
| G0260 |
Inj for sacroiliac jt anesth |
27 |
27 |
$957.79 |
| 73620 |
|
223 |
188 |
$954.19 |
| 88342 |
|
2,893 |
2,634 |
$952.22 |
| 74160 |
|
12 |
12 |
$948.44 |
| 90678 |
|
66 |
59 |
$935.71 |
| 82668 |
|
87 |
65 |
$907.94 |
| 82390 |
|
102 |
92 |
$902.70 |
| 85732 |
|
149 |
140 |
$897.43 |
| J2704 |
Inj, propofol, 10 mg |
57,944 |
37,640 |
$879.90 |
| 56405 |
|
13 |
12 |
$862.60 |
| 90480 |
|
26 |
25 |
$857.85 |
| 90381 |
|
18 |
18 |
$852.18 |
| 87480 |
|
42 |
39 |
$843.31 |
| J1200 |
Diphenhydramine hcl injectio |
32,508 |
25,050 |
$842.06 |
| J9190 |
Fluorouracil injection |
3,761 |
1,234 |
$839.73 |
| J2930 |
Methylprednisolone injection |
6,428 |
5,056 |
$829.48 |
| 94150 |
|
1,378 |
712 |
$829.37 |
| 95911 |
|
26 |
26 |
$827.80 |
| 0202U |
|
391 |
360 |
$821.95 |
| C1887 |
Catheter, guiding |
4,311 |
3,796 |
$817.39 |
| J1815 |
Insulin injection |
41,644 |
12,923 |
$812.88 |
| G2066 |
Inter devc remote 30d |
12 |
12 |
$809.21 |
| 87510 |
|
42 |
39 |
$781.15 |
| J2765 |
Metoclopramide hcl injection |
26,062 |
21,278 |
$767.59 |
| 0031A |
|
22 |
21 |
$754.05 |
| 77399 |
|
54 |
38 |
$750.91 |
| J1170 |
Hydromorphone injection |
33,617 |
20,921 |
$746.93 |
| 82627 |
|
12 |
12 |
$744.75 |
| 87154 |
|
87 |
78 |
$730.95 |
| 86707 |
|
70 |
65 |
$723.92 |
| J9206 |
Irinotecan injection |
98 |
49 |
$723.44 |
| C1725 |
Cath, translumin non-laser |
2,058 |
1,845 |
$717.28 |
| 85049 |
|
24 |
16 |
$710.79 |
| A6222 |
Gauze <=16 in no w/sal w/o b |
3,157 |
1,824 |
$699.13 |
| 70360 |
|
337 |
310 |
$691.44 |
| C1747 |
Endo, single, urinary tract |
63 |
56 |
$667.08 |
| 99205 |
Prolong outpt/office vis |
15 |
12 |
$643.91 |
| 83930 |
|
144 |
118 |
$639.55 |
| J1456 |
Inj, fosaprepitant (teva) |
29 |
22 |
$632.28 |
| 73521 |
|
73 |
71 |
$628.76 |
| 90710 |
|
94 |
81 |
$626.28 |
| Q0239 |
Bamlanivimab-xxxx |
24 |
18 |
$601.48 |
| 86593 |
|
155 |
146 |
$589.32 |
| Q0247 |
Sotrovimab |
22 |
17 |
$579.04 |
| 80178 |
|
111 |
94 |
$578.08 |
| 80320 |
|
4,203 |
3,459 |
$568.48 |
| 95712 |
|
15 |
13 |
$554.61 |
| 96381 |
|
56 |
52 |
$551.21 |
| 96411 |
|
3,440 |
2,236 |
$544.89 |
| 85384 |
|
59 |
49 |
$539.21 |
| 88173 |
|
1,012 |
904 |
$530.56 |
| G0008 |
Admin influenza virus vac |
1,214 |
1,067 |
$522.66 |
| 97130 |
|
24 |
13 |
$506.58 |
| M0239 |
Bamlanivimab-xxxx infusion |
18 |
14 |
$493.06 |
| J1100 |
Dexamethasone sodium phos |
40,979 |
30,787 |
$489.76 |
| J0690 |
Cefazolin sodium injection |
21,500 |
16,526 |
$482.16 |
| 74220 |
|
28 |
25 |
$479.03 |
| 99443 |
|
33 |
28 |
$469.18 |
| 95992 |
|
23 |
12 |
$457.48 |
| 90380 |
|
35 |
33 |
$426.09 |
| 86039 |
|
40 |
37 |
$383.25 |
| 88271 |
|
13 |
12 |
$375.24 |
| A9552 |
F18 fdg |
2,329 |
2,194 |
$367.19 |
| C1751 |
Cath, inf, per/cent/midline |
756 |
646 |
$363.43 |
| 36410 |
|
17 |
16 |
$362.66 |
| 92133 |
|
410 |
365 |
$349.05 |
| A6021 |
Collagen dressing <=16 sq in |
1,775 |
999 |
$346.17 |
| 73600 |
|
26 |
24 |
$340.07 |
| 73070 |
|
58 |
56 |
$338.94 |
| 98966 |
|
20 |
12 |
$338.85 |
| 84166 |
|
27 |
25 |
$337.20 |
| U0001 |
2019-ncov diagnostic p |
16 |
13 |
$322.76 |
| 86361 |
|
12 |
12 |
$316.82 |
| 72072 |
|
136 |
123 |
$309.85 |
| 83789 |
|
16 |
13 |
$300.33 |
| J2543 |
Piperacillin/tazobactam |
6,756 |
1,809 |
$300.05 |
| 76819 |
|
14 |
13 |
$297.94 |
| A9585 |
Gadobutrol injection |
13,104 |
11,741 |
$291.51 |
| J0360 |
Hydralazine hcl injection |
10,959 |
7,767 |
$285.59 |
| 84450 |
|
55 |
53 |
$272.13 |
| 0124A |
|
12 |
12 |
$270.94 |
| 86644 |
|
17 |
12 |
$266.94 |
| 88313 |
|
1,072 |
967 |
$258.34 |
| 36247 |
|
19 |
12 |
$242.27 |
| P9612 |
Catheterize for urine spec |
3,504 |
3,098 |
$237.83 |
| 36416 |
|
8,907 |
4,172 |
$227.56 |
| A4565 |
Slings |
4,695 |
4,350 |
$223.94 |
| 88333 |
|
463 |
399 |
$212.16 |
| Q0244 |
Casirivi and imdevi 1200 mg |
94 |
79 |
$205.41 |
| C9113 |
Inj pantoprazole sodium, via |
9,715 |
5,239 |
$205.02 |
| 80202 |
|
21 |
13 |
$186.91 |
| 94727 |
|
70 |
63 |
$186.05 |
| 69200 |
|
14 |
12 |
$180.00 |
| J0461 |
Atropine sulfate injection |
1,327 |
1,016 |
$164.36 |
| J3420 |
Vitamin b12 injection |
4,378 |
3,132 |
$163.58 |
| C1781 |
Mesh (implantable) |
1,045 |
948 |
$154.63 |
| 81050 |
|
46 |
38 |
$153.63 |
| A4212 |
Non coring needle or stylet |
13,180 |
6,268 |
$149.38 |
| J7512 |
Prednisone ir or dr oral 1mg |
29,021 |
13,769 |
$147.27 |
| 86902 |
|
18 |
13 |
$141.77 |
| 87807 |
|
13 |
13 |
$141.49 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
3,377 |
3,063 |
$140.12 |
| G0472 |
Hep c screen high risk/other |
129 |
102 |
$133.93 |
| A6248 |
Hydrogel drsg gel filler |
925 |
646 |
$132.72 |
| 73523 |
|
12 |
12 |
$132.40 |
| 71100 |
|
17 |
12 |
$123.03 |
| L3908 |
Who cock-up nonmolde pre ots |
24 |
24 |
$116.09 |
| J0330 |
Succinycholine chloride inj |
4,744 |
4,098 |
$115.19 |
| 83921 |
|
13 |
12 |
$111.35 |
| 82232 |
|
14 |
13 |
$110.19 |
| 80162 |
|
16 |
12 |
$109.76 |
| J0131 |
Inj, acetaminophen (nos) |
2,171 |
1,975 |
$108.84 |
| J7121 |
5% dextrose in lac ringers |
955 |
565 |
$106.36 |
| A9270 |
Non-covered item or service |
41,995 |
3,152 |
$101.90 |
| J2310 |
Inj naloxone hydrochloride |
2,082 |
1,547 |
$96.95 |
| 99152 |
|
3,389 |
3,068 |
$93.14 |
| 82042 |
|
15 |
12 |
$92.97 |
| 86880 |
|
18 |
17 |
$90.80 |
| G8984 |
Carry current status |
272 |
247 |
$89.74 |
| J1650 |
Inj enoxaparin sodium |
37,203 |
13,928 |
$86.35 |
| J0696 |
Ceftriaxone sodium injection |
22,773 |
15,321 |
$77.26 |
| 85670 |
|
414 |
380 |
$75.29 |
| J2370 |
Phenylephrine hcl injection |
4,658 |
4,031 |
$73.88 |
| 97810 |
|
30 |
30 |
$72.87 |
| 88302 |
|
489 |
412 |
$71.72 |
| 88312 |
|
1,272 |
1,094 |
$71.07 |
| 93041 |
|
640 |
592 |
$70.76 |
| 90713 |
|
14 |
14 |
$66.25 |
| J0780 |
Prochlorperazine injection |
6,753 |
5,068 |
$65.45 |
| 70355 |
|
16 |
12 |
$57.65 |
| J2060 |
Lorazepam injection |
15,482 |
11,254 |
$55.09 |
| J1940 |
Furosemide injection |
9,189 |
4,405 |
$54.94 |
| J0500 |
Dicyclomine injection |
2,630 |
2,301 |
$54.42 |
| 93280 |
|
25 |
25 |
$49.53 |
| 83050 |
|
14 |
12 |
$46.55 |
| J7999 |
Compounded drug, noc |
2,313 |
1,860 |
$43.40 |
| J3301 |
Triamcinolone acet inj nos |
4,621 |
4,227 |
$38.30 |
| 73000 |
|
12 |
12 |
$37.48 |
| 88311 |
|
610 |
552 |
$36.52 |
| 97811 |
|
29 |
29 |
$33.59 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
4,212 |
1,350 |
$30.27 |
| 92060 |
|
52 |
48 |
$26.93 |
| J3480 |
Inj potassium chloride |
11,902 |
6,509 |
$25.65 |
| J0692 |
Cefepime hcl for injection |
7,105 |
1,841 |
$24.11 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
689 |
597 |
$22.97 |
| 93225 |
|
15 |
12 |
$22.38 |
| A6209 |
Foam drsg <=16 sq in w/o bdr |
787 |
409 |
$21.52 |
| C1758 |
Catheter, ureteral |
2,299 |
2,042 |
$18.57 |
| 99153 |
Mod sedat endo service >5yrs |
1,253 |
1,141 |
$18.49 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
713 |
625 |
$15.46 |
| J1630 |
Haloperidol injection |
6,025 |
4,876 |
$13.56 |
| 88341 |
|
50 |
37 |
$12.86 |
| J3590 |
Unclassified biologics |
2,827 |
767 |
$11.99 |
| J1956 |
Levofloxacin injection |
1,520 |
1,258 |
$10.66 |
| J2795 |
Ropivacaine hcl injection |
1,306 |
1,108 |
$10.50 |
| J1626 |
Granisetron hcl injection |
1,325 |
558 |
$10.44 |
| J1790 |
Droperidol injection |
1,459 |
1,252 |
$8.90 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
3,180 |
2,864 |
$8.62 |
| J0702 |
Betamethasone acet&sod phosp |
152 |
97 |
$7.64 |
| J9045 |
Carboplatin injection |
2,853 |
1,755 |
$6.66 |
| J2175 |
Meperidine hydrochl /100 mg |
413 |
363 |
$6.42 |
| J0640 |
Leucovorin calcium injection |
1,682 |
833 |
$6.13 |
| J3411 |
Thiamine hcl 100 mg |
2,570 |
1,644 |
$5.58 |
| J0456 |
Azithromycin |
2,160 |
1,108 |
$5.58 |
| J1250 |
Inj dobutamine hcl/250 mg |
1,083 |
950 |
$5.18 |
| J2710 |
Neostigmine methylslfte inj |
1,189 |
1,045 |
$3.38 |
| A4467 |
Belt strap sleev grmnt cover |
296 |
252 |
$2.04 |
| J0610 |
Calcium glucon (fresenius) |
17 |
13 |
$1.83 |
| A6207 |
Contact layer >16<= 48 sq in |
1,004 |
481 |
$1.70 |
| J0171 |
Adrenalin epinephrine inject |
5,092 |
4,338 |
$1.00 |
| J1040 |
Methylprednisolone 80 mg inj |
438 |
401 |
$0.79 |
| J1030 |
Methylprednisolone 40 mg inj |
621 |
580 |
$0.76 |
| C2625 |
Stent, non-cor, tem w/del sy |
819 |
739 |
$0.46 |
| J2920 |
Methylprednisolone injection |
1,225 |
583 |
$0.44 |
| 91312 |
|
13 |
13 |
$0.03 |
| 91303 |
|
22 |
21 |
$0.01 |
| A6206 |
Contact layer <= 16 sq in |
1,962 |
876 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
3,718 |
3,532 |
$0.00 |
| G8985 |
Carry goal status |
342 |
307 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
1,377 |
1,272 |
$0.00 |
| G8996 |
Swallow current status |
223 |
177 |
$0.00 |
| J1953 |
Levetiracetam injection |
2,126 |
1,552 |
$0.00 |
| A6210 |
Foam drg >16<=48 sq in w/o b |
625 |
334 |
$0.00 |
| J1580 |
Garamycin gentamicin inj |
766 |
574 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
1,025 |
813 |
$0.00 |
| G8978 |
Mobility current status |
1,814 |
1,620 |
$0.00 |
| J9060 |
Cisplatin 10 mg injection |
506 |
232 |
$0.00 |
| C1776 |
Joint device (implantable) |
1,119 |
1,022 |
$0.00 |
| A6010 |
Collagen based wound filler |
197 |
105 |
$0.00 |
| J3250 |
Trimethobenzamide hcl inj |
134 |
81 |
$0.00 |
| G8989 |
Self care d/c status |
159 |
144 |
$0.00 |
| A6403 |
Sterile gauze>16 <= 48 sq in |
1,023 |
915 |
$0.00 |
| G8979 |
Mobility goal status |
2,117 |
1,830 |
$0.00 |
| J9000 |
Doxorubicin hcl injection |
334 |
203 |
$0.00 |
| C1788 |
Port, indwelling, imp |
168 |
157 |
$0.00 |
| J3473 |
Hyaluronidase recombinant |
73 |
68 |
$0.00 |
| J0744 |
Ciprofloxacin iv |
200 |
133 |
$0.00 |
| G8997 |
Swallow goal status |
234 |
181 |
$0.00 |
| A9537 |
Tc99m mebrofenin |
68 |
65 |
$0.00 |
| A9541 |
Tc99m sulfur colloid |
46 |
40 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
447 |
296 |
$0.00 |
| J2720 |
Inj protamine sulfate/10 mg |
62 |
60 |
$0.00 |
| C1876 |
Stent, non-coa/non-cov w/del |
31 |
24 |
$0.00 |
| J7070 |
D5w infusion |
38 |
24 |
$0.00 |
| J0736 |
Inj, clindamycin phosp 300mg |
16 |
12 |
$0.00 |
| 69210 |
|
12 |
12 |
$0.00 |
| J2916 |
Na ferric gluconate complex |
43 |
15 |
$0.00 |
| J1800 |
Propranolol injection |
14 |
12 |
$0.00 |
| J3415 |
Pyridoxine hcl 100 mg |
27 |
14 |
$0.00 |
| 92978 |
|
13 |
12 |
$0.00 |
| 82610 |
|
13 |
12 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
1,249 |
1,077 |
$0.00 |
| J0574 |
Bupren/nal 6.1 to 10mg bupre |
130 |
50 |
$0.00 |
| C1726 |
Cath, bal dil, non-vascular |
844 |
742 |
$0.00 |
| G8980 |
Mobility d/c status |
625 |
576 |
$0.00 |
| J9267 |
Paclitaxel injection |
2,920 |
1,253 |
$0.00 |
| A9540 |
Tc99m maa |
1,610 |
1,483 |
$0.00 |
| J8540 |
Oral dexamethasone |
3,519 |
1,365 |
$0.00 |
| J7042 |
5% dextrose/normal saline |
289 |
192 |
$0.00 |
| A9567 |
Technetium tc-99m aerosol |
1,067 |
982 |
$0.00 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
3,344 |
2,979 |
$0.00 |
| C2617 |
Stent, non-cor, tem w/o del |
317 |
278 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
434 |
390 |
$0.00 |
| G8982 |
Body pos goal status |
105 |
101 |
$0.00 |
| J1805 |
Inj, esmolol hcl, 10mg |
386 |
357 |
$0.00 |
| J1920 |
Inj, labetalol hcl, 5mg |
1,472 |
1,161 |
$0.00 |
| 88300 |
|
18 |
16 |
$0.00 |
| A6223 |
Gauze >16<=48 no w/sal w/o b |
103 |
68 |
$0.00 |
| C1730 |
Cath, ep, 19 or few elect |
34 |
31 |
$0.00 |
| J2150 |
Mannitol injection |
67 |
29 |
$0.00 |
| A9503 |
Tc99m medronate |
611 |
581 |
$0.00 |
| A4364 |
Adhesive, liquid or equal |
198 |
162 |
$0.00 |
| G8987 |
Self care current status |
613 |
536 |
$0.00 |
| C9290 |
Inj, bupivacaine liposome |
186 |
174 |
$0.00 |
| J3360 |
Diazepam injection |
454 |
405 |
$0.00 |
| Q9969 |
Non-heu tc-99m add-on/dose |
304 |
291 |
$0.00 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
125 |
115 |
$0.00 |
| G8981 |
Body pos current status |
44 |
44 |
$0.00 |
| G8988 |
Self care goal status |
669 |
572 |
$0.00 |
| J1720 |
Hydrocortisone sodium succ i |
55 |
40 |
$0.00 |
| G8998 |
Swallow d/c status |
56 |
52 |
$0.00 |
| C1778 |
Lead, neurostimulator |
14 |
14 |
$0.00 |
| J0613 |
Calcium glucon (wg critical) |
99 |
65 |
$0.00 |
| 76377 |
|
28 |
25 |
$0.00 |
| J9181 |
Etoposide injection |
50 |
12 |
$0.00 |
| C2623 |
Cath, translumin, drug-coat |
58 |
52 |
$0.00 |
| C1892 |
Intro/sheath,fixed,peel-away |
83 |
77 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
551 |
346 |
$0.00 |
| J0173 |
Inj, epinephrine (belcher) |
184 |
169 |
$0.00 |
| Q0162 |
Ondansetron oral |
78 |
60 |
$0.00 |
| A9500 |
Tc99m sestamibi |
103 |
93 |
$0.00 |
| 88331 |
|
28 |
28 |
$0.00 |
| C2618 |
Probe/needle, cryo |
28 |
24 |
$0.00 |
| J3410 |
Hydroxyzine hcl injection |
25 |
20 |
$0.00 |
| G0010 |
Admin hepatitis b vaccine |
34 |
28 |
$0.00 |
| A6022 |
Collagen drsg>16<=48 sq in |
94 |
72 |
$0.00 |
| J0697 |
Sterile cefuroxime injection |
36 |
34 |
$0.00 |
| L0150 |
Cerv semi-rig adj molded chn |
28 |
27 |
$0.00 |
| C9399 |
Unclassified drugs or biolog |
366 |
110 |
$0.00 |
| 87593 |
|
34 |
29 |
$0.00 |
| C1889 |
Implant/insert device, noc |
51 |
44 |
$0.00 |
| J1270 |
Injection, doxercalciferol |
17 |
12 |
$0.00 |
| 88334 |
|
18 |
12 |
$0.00 |
| J7507 |
Tacrolimus imme rel oral 1mg |
76 |
14 |
$0.00 |