| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
97,958 |
82,745 |
$50.26M |
| J2350 |
Injection, ocrelizumab, 1 mg |
1,930 |
1,645 |
$31.39M |
| 99284 |
|
80,575 |
70,824 |
$24.72M |
| G0463 |
Hospital outpt clinic visit |
196,031 |
142,510 |
$18.23M |
| J2323 |
Natalizumab injection |
4,105 |
3,489 |
$15.67M |
| 99283 |
|
74,404 |
65,407 |
$15.32M |
| 96374 |
|
70,021 |
56,701 |
$9.82M |
| 99291 |
|
6,029 |
5,357 |
$4.38M |
| J9271 |
Inj pembrolizumab |
711 |
500 |
$4.16M |
| 93458 |
|
2,364 |
2,224 |
$3.67M |
| 96413 |
|
15,990 |
9,873 |
$3.44M |
| 74177 |
|
20,541 |
18,458 |
$3.00M |
| 70450 |
|
23,781 |
21,055 |
$2.99M |
| U0003 |
Cov-19 amp prb hgh thruput |
42,011 |
36,197 |
$2.80M |
| 96365 |
|
22,600 |
17,363 |
$2.65M |
| 43239 |
|
5,256 |
4,932 |
$2.54M |
| 96361 |
|
47,697 |
38,831 |
$2.20M |
| 27447 |
|
606 |
506 |
$2.18M |
| 96360 |
|
16,007 |
13,868 |
$2.17M |
| 99282 |
|
15,945 |
13,733 |
$1.98M |
| 71046 |
|
38,419 |
34,302 |
$1.96M |
| 96375 |
|
48,366 |
38,080 |
$1.85M |
| G0390 |
Trauma respons w/hosp criti |
2,624 |
2,359 |
$1.74M |
| 45380 |
|
2,566 |
2,390 |
$1.72M |
| 59025 |
|
10,131 |
3,594 |
$1.49M |
| 77067 |
|
14,010 |
13,312 |
$1.48M |
| 76811 |
|
6,852 |
6,252 |
$1.38M |
| 78815 |
|
1,990 |
1,787 |
$1.29M |
| 93306 |
|
5,247 |
4,727 |
$1.26M |
| 77412 |
|
11,988 |
988 |
$1.18M |
| 76801 |
|
11,154 |
9,375 |
$1.13M |
| 78452 |
|
2,588 |
2,262 |
$1.11M |
| 87591 |
|
44,368 |
38,333 |
$1.04M |
| 87491 |
|
44,334 |
38,307 |
$1.04M |
| 74176 |
|
8,099 |
7,409 |
$1.03M |
| 77334 |
|
1,371 |
840 |
$892K |
| 71045 |
|
21,621 |
18,780 |
$874K |
| 45385 |
|
1,580 |
1,528 |
$828K |
| 71260 |
|
7,659 |
6,793 |
$826K |
| C8929 |
Tte w or wo fol wcon,doppler |
2,713 |
2,398 |
$761K |
| 76830 |
|
7,736 |
7,083 |
$749K |
| 76856 |
|
7,852 |
7,226 |
$737K |
| 70553 |
|
2,928 |
2,682 |
$730K |
| J0897 |
Denosumab injection |
928 |
784 |
$710K |
| 76816 |
|
10,639 |
8,259 |
$704K |
| 0202U |
|
2,433 |
2,157 |
$659K |
| 94060 |
|
3,935 |
3,624 |
$628K |
| 62323 |
|
1,597 |
1,508 |
$623K |
| U0005 |
Infec agen detec ampli probe |
29,753 |
25,911 |
$619K |
| 87637 |
|
5,850 |
5,288 |
$598K |
| 85025 |
|
282,256 |
208,106 |
$568K |
| 76805 |
|
5,484 |
5,020 |
$562K |
| 76705 |
|
7,114 |
6,547 |
$559K |
| 86900 |
|
34,378 |
26,872 |
$519K |
| 70551 |
|
4,015 |
3,537 |
$518K |
| 95810 |
|
674 |
635 |
$483K |
| 87635 |
|
13,578 |
11,617 |
$479K |
| 58558 |
|
300 |
266 |
$479K |
| 71275 |
|
4,591 |
4,156 |
$468K |
| 84443 |
|
56,385 |
46,452 |
$467K |
| 41899 |
|
987 |
670 |
$420K |
| 96415 |
|
5,238 |
3,779 |
$415K |
| 45378 |
|
731 |
694 |
$411K |
| J2505 |
Injection, pegfilgrastim 6mg |
160 |
107 |
$409K |
| 11042 |
|
1,971 |
1,131 |
$380K |
| 36430 |
|
3,167 |
1,857 |
$371K |
| 82947 |
|
198,135 |
148,089 |
$362K |
| 99281 |
|
4,923 |
4,029 |
$350K |
| 93971 |
|
5,401 |
4,864 |
$346K |
| 82306 |
|
20,418 |
16,292 |
$346K |
| 96372 |
|
47,502 |
33,791 |
$336K |
| 93970 |
|
2,807 |
2,550 |
$330K |
| 36415 |
|
375,906 |
261,044 |
$327K |
| 72148 |
|
2,341 |
2,159 |
$325K |
| 76642 |
|
5,777 |
5,169 |
$321K |
| 76825 |
|
727 |
603 |
$318K |
| 70496 |
|
2,836 |
2,531 |
$307K |
| 10061 |
|
1,053 |
982 |
$307K |
| 95811 |
|
415 |
388 |
$299K |
| 87389 |
|
23,469 |
19,723 |
$299K |
| 83036 |
|
60,793 |
51,368 |
$299K |
| 20610 |
|
1,595 |
1,324 |
$279K |
| 71250 |
|
5,169 |
4,661 |
$273K |
| J9144 |
Daratumumab, hyaluronidase |
83 |
55 |
$261K |
| 82310 |
|
199,687 |
148,952 |
$256K |
| 83718 |
|
38,685 |
33,824 |
$250K |
| 77336 |
|
3,427 |
1,218 |
$241K |
| 80307 |
|
37,915 |
28,988 |
$239K |
| J1950 |
Leuprolide acetate /3.75 mg |
164 |
142 |
$237K |
| 76641 |
|
2,671 |
2,514 |
$229K |
| 97597 |
|
2,287 |
1,325 |
$226K |
| 87624 |
|
8,961 |
8,345 |
$221K |
| 87660 |
|
15,836 |
13,339 |
$221K |
| 87510 |
|
15,846 |
13,341 |
$220K |
| 87480 |
|
15,847 |
13,342 |
$220K |
| 88305 |
|
20,284 |
18,021 |
$217K |
| 72141 |
|
2,025 |
1,833 |
$215K |
| 82607 |
|
29,073 |
22,985 |
$211K |
| 96366 |
|
7,641 |
5,072 |
$209K |
| 76770 |
|
3,128 |
2,814 |
$208K |
| 77066 |
Tomosynthesis, mammo |
1,866 |
1,697 |
$207K |
| 90791 |
|
3,778 |
3,274 |
$201K |
| 82040 |
|
81,732 |
62,905 |
$201K |
| 82247 |
|
126,544 |
100,523 |
$197K |
| Q5108 |
Injection, fulphila |
104 |
69 |
$195K |
| G0399 |
Home sleep test/type 3 porta |
1,714 |
1,601 |
$194K |
| 36561 |
|
149 |
118 |
$193K |
| 77300 |
|
468 |
377 |
$193K |
| 27130 |
|
64 |
42 |
$184K |
| 77295 |
|
283 |
228 |
$176K |
| 77290 |
|
859 |
679 |
$176K |
| 77080 |
|
1,801 |
1,660 |
$167K |
| 47562 |
|
40 |
39 |
$163K |
| 94010 |
|
2,118 |
1,947 |
$159K |
| 82728 |
|
23,859 |
20,615 |
$156K |
| 87086 |
|
50,837 |
41,124 |
$152K |
| P9016 |
Rbc leukocytes reduced |
2,173 |
1,456 |
$150K |
| 86803 |
|
19,758 |
16,238 |
$146K |
| 77063 |
|
10,488 |
9,899 |
$144K |
| 86480 |
|
3,812 |
3,138 |
$140K |
| 87536 |
|
3,406 |
2,805 |
$139K |
| Q0138 |
Ferumoxytol, non-esrd |
560 |
329 |
$137K |
| 88342 |
|
6,787 |
6,076 |
$134K |
| 96417 |
|
2,839 |
1,681 |
$132K |
| 77065 |
Tomosynthesis, mammo |
1,313 |
1,171 |
$131K |
| 96367 |
|
3,284 |
2,209 |
$129K |
| 0002A |
|
3,886 |
3,402 |
$128K |
| 93005 |
|
79,941 |
65,792 |
$126K |
| J1569 |
Gammagard liquid injection |
110 |
64 |
$123K |
| C8908 |
Mri w/o fol w/cont, breast, |
451 |
389 |
$120K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
9,572 |
9,059 |
$120K |
| 76536 |
|
1,625 |
1,517 |
$119K |
| 76815 |
|
5,938 |
3,513 |
$118K |
| 93975 |
|
675 |
619 |
$117K |
| 83550 |
|
28,243 |
22,607 |
$116K |
| 86235 |
|
2,358 |
1,590 |
$116K |
| 0001A |
|
4,064 |
3,412 |
$114K |
| 64493 |
|
118 |
104 |
$113K |
| 90677 |
|
729 |
672 |
$113K |
| 72100 |
|
6,331 |
5,676 |
$111K |
| 83013 |
|
2,402 |
2,114 |
$111K |
| 82374 |
|
198,856 |
148,370 |
$110K |
| 95816 |
|
953 |
845 |
$110K |
| J2469 |
Palonosetron hcl |
4,369 |
2,379 |
$108K |
| 87661 |
|
5,153 |
4,437 |
$107K |
| 36591 |
|
4,918 |
3,215 |
$107K |
| 64483 |
|
160 |
152 |
$105K |
| 96416 |
|
630 |
323 |
$104K |
| 82746 |
|
15,420 |
12,841 |
$104K |
| 96411 |
|
2,059 |
1,174 |
$102K |
| 72158 |
|
530 |
490 |
$101K |
| 95911 |
|
272 |
250 |
$100K |
| 73562 |
|
8,152 |
7,261 |
$99K |
| 73030 |
|
7,950 |
6,936 |
$98K |
| 97162 |
|
3,508 |
2,895 |
$97K |
| 86870 |
|
715 |
560 |
$95K |
| 95912 |
|
260 |
238 |
$93K |
| 83970 |
|
5,168 |
4,130 |
$90K |
| 72110 |
|
1,758 |
1,604 |
$88K |
| 74174 |
|
716 |
643 |
$88K |
| 83540 |
|
28,825 |
23,087 |
$88K |
| 92557 |
|
1,234 |
1,155 |
$87K |
| 70491 |
|
542 |
506 |
$83K |
| 87070 |
|
22,439 |
18,464 |
$82K |
| 80048 |
|
86,568 |
58,043 |
$77K |
| 75574 |
|
790 |
725 |
$77K |
| 10060 |
|
504 |
477 |
$75K |
| 87340 |
|
15,675 |
12,620 |
$75K |
| J0881 |
Darbepoetin alfa, non-esrd |
1,173 |
671 |
$74K |
| 87636 |
|
686 |
627 |
$72K |
| 86592 |
|
23,775 |
19,623 |
$72K |
| 71271 |
|
794 |
722 |
$72K |
| 58571 |
|
16 |
12 |
$71K |
| 86360 |
|
3,582 |
2,705 |
$71K |
| 81513 |
|
813 |
740 |
$70K |
| 15830 |
|
12 |
12 |
$69K |
| 73610 |
|
6,766 |
5,874 |
$69K |
| 85027 |
|
41,831 |
33,709 |
$69K |
| 72125 |
|
10,895 |
9,649 |
$68K |
| 80053 |
|
38,266 |
26,802 |
$68K |
| 80061 |
|
20,334 |
16,425 |
$68K |
| 96402 |
|
2,188 |
1,815 |
$66K |
| G0480 |
Drug test def 1-7 classes |
4,479 |
2,845 |
$66K |
| U0004 |
Cov-19 test non-cdc hgh thru |
1,586 |
832 |
$66K |
| 88184 |
|
565 |
498 |
$65K |
| 49083 |
|
112 |
77 |
$62K |
| 73502 |
|
4,917 |
4,286 |
$61K |
| 90686 |
|
8,293 |
7,612 |
$61K |
| 73564 |
|
1,252 |
1,054 |
$60K |
| 84153 |
|
6,778 |
5,894 |
$59K |
| 70486 |
|
3,249 |
3,001 |
$56K |
| 90732 |
|
921 |
832 |
$56K |
| 73721 |
|
328 |
306 |
$56K |
| 83735 |
|
55,464 |
38,223 |
$55K |
| 87186 |
|
15,060 |
12,688 |
$55K |
| 73130 |
|
6,550 |
5,883 |
$54K |
| 72050 |
|
763 |
704 |
$53K |
| 74183 |
|
252 |
237 |
$53K |
| 93017 |
|
3,202 |
2,831 |
$52K |
| 82784 |
|
6,244 |
4,709 |
$52K |
| 86706 |
|
11,005 |
8,889 |
$51K |
| 73700 |
|
868 |
744 |
$51K |
| J1453 |
Fosaprepitant injection |
1,207 |
687 |
$49K |
| 84425 |
|
4,349 |
2,873 |
$49K |
| 83880 |
|
15,645 |
13,293 |
$49K |
| 84439 |
|
10,689 |
9,095 |
$49K |
| 73630 |
|
8,281 |
7,173 |
$48K |
| 82570 |
|
18,738 |
16,149 |
$48K |
| 82652 |
|
2,463 |
1,599 |
$47K |
| 90746 |
|
956 |
862 |
$46K |
| 92587 |
|
186 |
179 |
$45K |
| 73110 |
|
3,970 |
3,477 |
$44K |
| 85610 |
|
54,991 |
40,350 |
$43K |
| G0330 |
Facility svs dental rehab |
71 |
52 |
$43K |
| 72156 |
|
201 |
188 |
$42K |
| 86618 |
|
3,332 |
2,453 |
$42K |
| 86140 |
|
19,267 |
14,652 |
$41K |
| 0241U |
|
916 |
550 |
$41K |
| 84207 |
|
3,480 |
2,041 |
$40K |
| 82043 |
|
12,273 |
10,948 |
$39K |
| 86334 |
|
4,985 |
3,842 |
$39K |
| 73590 |
|
3,623 |
3,229 |
$39K |
| 87502 |
|
1,297 |
1,140 |
$39K |
| 83655 |
|
4,187 |
3,812 |
$39K |
| 87522 |
Neg quan hep c or qual rna |
1,700 |
1,417 |
$37K |
| 80074 |
|
1,518 |
1,215 |
$37K |
| 83883 |
|
4,840 |
3,681 |
$37K |
| 82465 |
|
38,877 |
33,992 |
$37K |
| 90670 |
|
1,803 |
1,709 |
$36K |
| 88112 |
|
2,554 |
2,245 |
$35K |
| 84403 |
|
2,578 |
2,094 |
$35K |
| 86038 |
|
5,330 |
4,096 |
$35K |
| 73560 |
|
4,233 |
3,678 |
$34K |
| 84134 |
|
6,933 |
5,354 |
$34K |
| G0257 |
Unsched dialysis esrd pt hos |
473 |
323 |
$34K |
| 72131 |
|
746 |
668 |
$34K |
| 86160 |
|
2,717 |
1,876 |
$34K |
| 86704 |
|
5,749 |
4,702 |
$33K |
| 72070 |
|
1,373 |
1,247 |
$32K |
| J9395 |
Injection, fulvestrant |
133 |
105 |
$32K |
| 87633 |
|
138 |
116 |
$32K |
| J1745 |
Infliximab not biosimil 10mg |
21 |
13 |
$31K |
| 86920 |
|
4,027 |
2,583 |
$31K |
| 74018 |
|
4,150 |
3,605 |
$31K |
| 73551 |
|
2,334 |
2,101 |
$30K |
| G0379 |
Direct refer hospital observ |
34 |
27 |
$30K |
| 74241 |
|
248 |
239 |
$30K |
| J0185 |
Inj., aprepitant, 1 mg |
170 |
102 |
$30K |
| 95909 |
|
144 |
130 |
$30K |
| 87077 |
|
8,537 |
7,242 |
$29K |
| 72040 |
|
2,502 |
2,251 |
$29K |
| 78306 |
|
138 |
122 |
$28K |
| 84702 |
|
10,826 |
8,270 |
$27K |
| 93798 |
|
303 |
52 |
$27K |
| 87147 |
|
10,813 |
9,620 |
$26K |
| 19083 |
|
35 |
29 |
$26K |
| G0378 |
Hospital observation per hr |
21,285 |
17,545 |
$26K |
| 73080 |
|
2,511 |
2,208 |
$26K |
| 52332 |
|
13 |
13 |
$26K |
| 80164 |
|
3,910 |
3,159 |
$26K |
| 85652 |
|
21,837 |
16,836 |
$26K |
| 88304 |
|
2,669 |
2,425 |
$25K |
| C9803 |
Hopd covid-19 spec collect |
19,510 |
16,801 |
$25K |
| 87088 |
|
6,602 |
5,831 |
$24K |
| 76817 |
|
10,874 |
9,035 |
$23K |
| J2997 |
Alteplase recombinant |
344 |
264 |
$23K |
| 82140 |
|
3,398 |
2,403 |
$23K |
| 97166 |
|
569 |
466 |
$23K |
| 96401 |
|
1,113 |
569 |
$22K |
| 84146 |
|
2,206 |
1,776 |
$22K |
| 84165 |
|
5,751 |
4,452 |
$22K |
| 81001 |
|
33,055 |
27,525 |
$22K |
| Q5118 |
Inj., zirabev, 10 mg |
33 |
14 |
$20K |
| 76700 |
|
242 |
231 |
$20K |
| 84630 |
|
4,055 |
2,193 |
$20K |
| 73060 |
|
1,844 |
1,622 |
$20K |
| 86787 |
|
2,145 |
1,571 |
$20K |
| 74220 |
|
206 |
186 |
$20K |
| 84590 |
|
3,526 |
2,147 |
$19K |
| 70498 |
|
3,161 |
2,798 |
$19K |
| 72170 |
|
3,441 |
3,075 |
$19K |
| 84446 |
|
2,583 |
1,445 |
$18K |
| 86762 |
|
5,692 |
4,212 |
$18K |
| 90651 |
|
1,021 |
954 |
$18K |
| 96523 |
|
877 |
701 |
$17K |
| 87625 |
|
704 |
659 |
$17K |
| 83001 |
|
1,567 |
1,182 |
$17K |
| J9217 |
Leuprolide acetate suspnsion |
88 |
76 |
$17K |
| 90734 |
|
876 |
821 |
$17K |
| 0031A |
|
867 |
453 |
$17K |
| 88173 |
|
1,250 |
986 |
$17K |
| 36593 |
|
95 |
79 |
$16K |
| 80202 |
|
1,398 |
479 |
$16K |
| 86200 |
|
2,333 |
1,721 |
$16K |
| 85730 |
|
22,427 |
18,734 |
$15K |
| 86147 |
|
463 |
300 |
$15K |
| 73140 |
|
1,490 |
1,349 |
$15K |
| 73090 |
|
2,076 |
1,827 |
$15K |
| 95910 |
|
62 |
60 |
$15K |
| 90471 |
|
18,377 |
16,839 |
$15K |
| 95913 |
|
38 |
36 |
$15K |
| 77062 |
|
1,182 |
1,063 |
$15K |
| 84252 |
|
1,892 |
1,278 |
$13K |
| 87081 |
|
4,576 |
3,773 |
$13K |
| 88175 |
|
1,290 |
1,197 |
$13K |
| 87493 |
|
618 |
492 |
$13K |
| 0004A |
|
397 |
332 |
$13K |
| 82180 |
|
2,831 |
1,428 |
$13K |
| 86431 |
|
4,286 |
3,141 |
$12K |
| 83516 |
|
1,160 |
883 |
$12K |
| 92551 |
|
1,979 |
1,858 |
$11K |
| 83690 |
|
54,706 |
47,263 |
$11K |
| 83021 |
|
2,786 |
2,246 |
$11K |
| 43235 |
|
41 |
39 |
$11K |
| 84255 |
|
694 |
465 |
$11K |
| 80076 |
|
7,429 |
6,069 |
$10K |
| 82378 |
|
3,166 |
2,302 |
$10K |
| 82105 |
|
1,302 |
1,037 |
$10K |
| M0243 |
Casirivi and imdevi inj |
44 |
42 |
$10K |
| 82950 |
|
2,510 |
2,307 |
$10K |
| 83002 |
|
905 |
656 |
$10K |
| 74019 |
|
2,121 |
1,971 |
$10K |
| 84156 |
|
6,752 |
5,452 |
$10K |
| 82565 |
|
206,188 |
153,981 |
$10K |
| 86765 |
|
1,281 |
894 |
$9K |
| 80177 |
|
1,401 |
1,196 |
$9K |
| 20680 |
|
12 |
12 |
$9K |
| 86003 |
|
164 |
120 |
$9K |
| 86735 |
|
1,154 |
807 |
$9K |
| 0012A |
|
679 |
375 |
$9K |
| 87205 |
|
7,460 |
5,605 |
$9K |
| 76000 |
|
411 |
377 |
$8K |
| 84480 |
|
960 |
811 |
$8K |
| 83020 |
|
2,788 |
2,247 |
$8K |
| 86703 |
|
1,330 |
1,094 |
$8K |
| 86696 |
|
614 |
545 |
$8K |
| 81003 |
|
21,316 |
18,709 |
$8K |
| 72190 |
|
101 |
88 |
$8K |
| 87529 |
|
230 |
188 |
$7K |
| 84597 |
|
1,373 |
815 |
$7K |
| 84481 |
|
841 |
701 |
$7K |
| 86255 |
|
937 |
649 |
$7K |
| 88307 |
|
2,225 |
1,921 |
$7K |
| 31629 |
|
15 |
14 |
$7K |
| 20605 |
|
33 |
28 |
$7K |
| 94640 |
|
11,860 |
10,402 |
$7K |
| 82248 |
|
64,887 |
54,759 |
$7K |
| 95250 |
|
87 |
80 |
$6K |
| 87040 |
|
8,719 |
7,330 |
$6K |
| 86376 |
|
786 |
590 |
$6K |
| 85045 |
|
4,098 |
3,348 |
$6K |
| 0064A |
|
181 |
154 |
$6K |
| 93880 |
|
122 |
107 |
$6K |
| 87150 |
|
420 |
370 |
$6K |
| 93270 |
|
406 |
336 |
$6K |
| 74240 |
|
56 |
52 |
$6K |
| 86695 |
|
614 |
545 |
$5K |
| 84478 |
|
38,861 |
33,939 |
$5K |
| 77280 |
|
96 |
65 |
$5K |
| 74178 |
|
25 |
24 |
$5K |
| 86300 |
|
2,028 |
1,436 |
$5K |
| 80185 |
|
816 |
561 |
$5K |
| 86304 |
|
863 |
636 |
$5K |
| 86708 |
|
853 |
575 |
$5K |
| 72197 |
|
14 |
12 |
$5K |
| 83615 |
|
58,412 |
49,447 |
$5K |
| 86812 |
|
277 |
214 |
$5K |
| 82525 |
|
838 |
426 |
$5K |
| 86769 |
|
124 |
116 |
$5K |
| 85379 |
|
8,083 |
7,253 |
$5K |
| 82670 |
|
274 |
205 |
$4K |
| J1610 |
Glucagon hydrochloride/1 mg |
43 |
37 |
$4K |
| 31624 |
|
55 |
48 |
$4K |
| 87184 |
|
1,575 |
1,362 |
$4K |
| 86880 |
|
1,553 |
1,030 |
$4K |
| 82550 |
|
13,546 |
10,300 |
$4K |
| 83010 |
|
1,188 |
948 |
$4K |
| 0011A |
|
669 |
313 |
$4K |
| 97110 |
|
288 |
129 |
$4K |
| 36589 |
|
15 |
13 |
$4K |
| 82164 |
|
540 |
356 |
$4K |
| 86800 |
|
448 |
337 |
$4K |
| 86146 |
|
133 |
84 |
$4K |
| 77470 |
|
16 |
13 |
$4K |
| 87798 |
|
112 |
69 |
$4K |
| 86225 |
|
507 |
371 |
$4K |
| 82150 |
|
41,683 |
36,468 |
$4K |
| 84550 |
|
9,248 |
7,399 |
$4K |
| 77307 |
|
17 |
12 |
$4K |
| 90832 |
|
93 |
83 |
$3K |
| G0123 |
Screen cerv/vag thin layer |
368 |
235 |
$3K |
| 88360 |
|
599 |
503 |
$3K |
| 84703 |
|
5,736 |
5,231 |
$3K |
| 84145 |
|
8,296 |
7,357 |
$3K |
| 85018 |
|
4,058 |
2,960 |
$3K |
| 85014 |
|
5,177 |
3,920 |
$3K |
| 83525 |
|
411 |
303 |
$3K |
| 86364 |
|
237 |
204 |
$3K |
| 87486 |
|
138 |
116 |
$3K |
| 87581 |
|
138 |
116 |
$3K |
| 73521 |
|
87 |
80 |
$3K |
| 93308 |
|
16 |
16 |
$3K |
| 71100 |
|
1,010 |
924 |
$3K |
| 87046 |
|
771 |
610 |
$3K |
| 87324 |
|
581 |
450 |
$3K |
| 84436 |
|
740 |
641 |
$3K |
| 87045 |
|
768 |
608 |
$2K |
| 0054A |
|
102 |
69 |
$2K |
| 36600 |
|
448 |
391 |
$2K |
| 95249 |
|
56 |
56 |
$2K |
| 84100 |
|
13,974 |
10,298 |
$2K |
| 84466 |
|
358 |
288 |
$2K |
| 86694 |
|
214 |
188 |
$2K |
| 87449 |
|
489 |
375 |
$2K |
| 84132 |
|
201,246 |
149,940 |
$2K |
| 84484 |
|
45,035 |
35,706 |
$2K |
| G0297 |
Ldct for lung ca screen |
28 |
26 |
$2K |
| 86850 |
|
34,217 |
26,766 |
$2K |
| 73221 |
|
12 |
12 |
$2K |
| 12001 |
|
1,557 |
1,466 |
$2K |
| 73552 |
|
157 |
143 |
$2K |
| 82330 |
|
1,308 |
1,025 |
$2K |
| 82951 |
|
167 |
161 |
$2K |
| 21310 |
|
14 |
12 |
$2K |
| 84450 |
|
129,608 |
103,015 |
$2K |
| 31623 |
|
20 |
16 |
$2K |
| 90656 |
|
130 |
126 |
$2K |
| 20552 |
|
13 |
12 |
$2K |
| 81025 |
|
28,669 |
25,799 |
$2K |
| 87075 |
|
1,839 |
1,377 |
$1K |
| 93923 |
|
14 |
14 |
$1K |
| 80178 |
|
521 |
403 |
$1K |
| 82962 |
|
73,880 |
48,994 |
$1K |
| 73600 |
|
141 |
122 |
$1K |
| 86617 |
|
101 |
72 |
$1K |
| 92950 |
|
13 |
12 |
$1K |
| 85613 |
|
295 |
150 |
$1K |
| 84075 |
|
128,376 |
101,879 |
$1K |
| 86901 |
|
34,374 |
26,871 |
$1K |
| 82533 |
|
152 |
120 |
$1K |
| 86141 |
|
197 |
164 |
$1K |
| 81050 |
|
515 |
419 |
$1K |
| 74230 |
|
12 |
12 |
$1K |
| 86780 |
|
114 |
90 |
$1K |
| 87517 |
|
35 |
25 |
$981.84 |
| 73000 |
|
32 |
27 |
$942.03 |
| 83605 |
|
19,483 |
16,526 |
$915.55 |
| 82435 |
|
199,037 |
148,521 |
$913.81 |
| 83721 |
|
190 |
167 |
$896.43 |
| 92611 |
|
12 |
12 |
$848.64 |
| 84460 |
|
129,574 |
103,081 |
$842.79 |
| 87255 |
|
51 |
42 |
$842.00 |
| 94727 |
|
4,953 |
4,572 |
$821.53 |
| 82803 |
|
5,581 |
4,740 |
$819.69 |
| 83993 |
|
65 |
51 |
$807.42 |
| G0103 |
Psa screening |
151 |
134 |
$799.85 |
| 86301 |
|
210 |
153 |
$797.31 |
| 97116 |
|
45 |
27 |
$789.48 |
| 73200 |
|
13 |
12 |
$788.66 |
| 31628 |
|
23 |
19 |
$742.50 |
| 87269 |
|
131 |
110 |
$740.88 |
| 87272 |
|
131 |
110 |
$730.42 |
| 84270 |
|
56 |
42 |
$730.33 |
| 80162 |
|
163 |
122 |
$717.85 |
| 93225 |
|
13 |
12 |
$713.02 |
| 87503 |
|
514 |
442 |
$710.26 |
| 89050 |
|
1,448 |
1,104 |
$706.75 |
| 12011 |
|
572 |
530 |
$681.11 |
| 77061 |
|
51 |
50 |
$672.40 |
| 76813 |
|
5,922 |
5,310 |
$611.87 |
| 97161 |
|
25 |
24 |
$605.46 |
| 84520 |
|
201,762 |
150,665 |
$557.61 |
| 82785 |
|
53 |
43 |
$543.90 |
| 84155 |
|
79,273 |
60,967 |
$526.14 |
| 87338 |
|
56 |
51 |
$524.47 |
| 86039 |
|
93 |
76 |
$521.02 |
| 88300 |
|
257 |
227 |
$518.09 |
| 72020 |
|
142 |
127 |
$484.90 |
| 82952 |
|
139 |
133 |
$474.98 |
| 92567 |
|
1,521 |
1,415 |
$465.91 |
| 83921 |
|
59 |
51 |
$455.00 |
| 86705 |
|
62 |
52 |
$450.00 |
| 86611 |
|
20 |
12 |
$437.40 |
| J2310 |
Inj naloxone hydrochloride |
266 |
227 |
$413.90 |
| 90715 |
|
8,300 |
7,579 |
$413.56 |
| 86308 |
|
188 |
165 |
$405.08 |
| 73620 |
|
59 |
52 |
$394.04 |
| 12002 |
|
713 |
659 |
$337.58 |
| 87427 |
|
35 |
27 |
$329.03 |
| G2066 |
Inter devc remote 30d |
26 |
26 |
$326.60 |
| 96376 |
|
14,847 |
10,003 |
$312.91 |
| 86665 |
|
19 |
13 |
$311.76 |
| 82553 |
|
6,314 |
4,700 |
$307.45 |
| 87209 |
|
32 |
29 |
$305.50 |
| Q0114 |
Fern test |
43 |
42 |
$273.20 |
| 90621 |
|
13 |
13 |
$265.74 |
| 80156 |
|
82 |
64 |
$256.87 |
| 82077 |
|
12,137 |
10,208 |
$248.39 |
| 93041 |
|
17,687 |
15,988 |
$247.84 |
| 76827 |
|
738 |
618 |
$244.28 |
| A9500 |
Tc99m sestamibi |
2,770 |
2,417 |
$243.40 |
| 86258 |
|
12 |
12 |
$242.44 |
| 82085 |
|
46 |
28 |
$231.75 |
| 86335 |
|
16 |
12 |
$229.26 |
| 84295 |
|
200,164 |
149,349 |
$223.17 |
| 87177 |
|
32 |
29 |
$222.45 |
| 86682 |
|
17 |
12 |
$211.14 |
| 86593 |
|
75 |
54 |
$189.75 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
41,183 |
36,556 |
$181.57 |
| 51701 |
|
1,613 |
1,465 |
$173.00 |
| 89060 |
|
99 |
89 |
$171.99 |
| 84402 |
|
17 |
12 |
$170.24 |
| 84300 |
|
222 |
199 |
$163.63 |
| 82731 |
|
34 |
25 |
$157.64 |
| 82375 |
|
524 |
456 |
$153.01 |
| 87420 |
|
13 |
12 |
$148.85 |
| 80051 |
|
35 |
32 |
$147.40 |
| 96368 |
|
1,004 |
641 |
$144.35 |
| 82009 |
|
2,899 |
2,559 |
$139.59 |
| 81002 |
|
14,080 |
12,979 |
$136.17 |
| 36592 |
|
177 |
155 |
$135.02 |
| 87481 |
|
148 |
146 |
$134.04 |
| 86664 |
|
19 |
13 |
$131.49 |
| 83930 |
|
353 |
317 |
$126.20 |
| 83520 |
|
20 |
12 |
$123.60 |
| 83090 |
|
28 |
20 |
$118.48 |
| 86663 |
|
19 |
13 |
$112.77 |
| 84154 |
|
13 |
12 |
$105.36 |
| 87102 |
|
22 |
14 |
$104.26 |
| 90460 |
|
101 |
101 |
$100.35 |
| 85660 |
|
63 |
49 |
$84.49 |
| 76870 |
|
536 |
491 |
$79.99 |
| 70360 |
|
44 |
43 |
$69.15 |
| 73660 |
|
15 |
15 |
$69.15 |
| 87511 |
|
148 |
146 |
$67.02 |
| 82800 |
|
1,523 |
1,348 |
$64.90 |
| 88313 |
|
2,896 |
2,636 |
$64.65 |
| C1760 |
Closure dev, vasc |
757 |
710 |
$62.25 |
| 51702 |
|
342 |
293 |
$58.97 |
| 87207 |
|
30 |
15 |
$55.02 |
| 82977 |
|
37 |
25 |
$54.45 |
| 82960 |
|
14 |
12 |
$53.55 |
| J3010 |
Fentanyl citrate injection |
29,976 |
26,369 |
$50.34 |
| 87400 |
|
959 |
820 |
$49.07 |
| J2250 |
Inj midazolam hydrochloride |
23,426 |
20,753 |
$46.61 |
| 81015 |
|
2,156 |
1,938 |
$43.16 |
| 87653 |
|
51 |
49 |
$33.51 |
| J1650 |
Inj enoxaparin sodium |
8,542 |
5,209 |
$29.61 |
| 86777 |
|
14 |
13 |
$27.50 |
| J0571 |
Buprenorphine oral 1mg |
70 |
48 |
$25.81 |
| 87880 |
|
1,641 |
1,548 |
$25.38 |
| 99157 |
|
589 |
562 |
$20.75 |
| 99156 |
|
589 |
562 |
$20.75 |
| J1815 |
Insulin injection |
8,492 |
3,965 |
$19.41 |
| J1885 |
Ketorolac tromethamine inj |
39,032 |
33,664 |
$18.17 |
| J1836 |
Inj, metronidazole, 10 mg |
569 |
318 |
$16.00 |
| J2270 |
Morphine sulfate injection |
9,794 |
7,691 |
$15.33 |
| 82945 |
|
31 |
25 |
$15.00 |
| J0736 |
Inj, clindamycin phosp 300mg |
94 |
77 |
$13.62 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
2,064 |
1,851 |
$13.58 |
| J3490 |
Drugs unclassified injection |
132,041 |
61,472 |
$12.27 |
| J1644 |
Inj heparin sodium per 1000u |
15,329 |
8,210 |
$12.14 |
| J1170 |
Hydromorphone injection |
27,439 |
16,825 |
$11.85 |
| J2405 |
Ondansetron hcl injection |
45,863 |
38,070 |
$10.45 |
| J0696 |
Ceftriaxone sodium injection |
10,048 |
8,115 |
$10.36 |
| C1729 |
Cath, drainage |
881 |
664 |
$9.55 |
| 82272 |
|
2,171 |
2,016 |
$9.45 |
| J2765 |
Metoclopramide hcl injection |
10,182 |
8,720 |
$7.96 |
| C9113 |
Inj pantoprazole sodium, via |
3,501 |
2,215 |
$7.85 |
| 85362 |
|
15 |
12 |
$6.58 |
| 83935 |
|
12 |
12 |
$6.51 |
| 90472 |
|
282 |
245 |
$6.09 |
| J7512 |
Prednisone ir or dr oral 1mg |
9,652 |
7,431 |
$4.84 |
| G0279 |
Tomosynthesis, mammo |
37 |
36 |
$4.21 |
| J3370 |
Vancomycin hcl injection |
4,216 |
2,620 |
$3.38 |
| C1894 |
Intro/sheath, non-laser |
6,095 |
5,439 |
$2.45 |
| J7120 |
Ringers lactate infusion |
569 |
503 |
$2.42 |
| G0008 |
Admin influenza virus vac |
3,565 |
3,174 |
$2.04 |
| J1200 |
Diphenhydramine hcl injectio |
9,828 |
8,012 |
$1.91 |
| C1769 |
Guide wire |
7,241 |
6,362 |
$1.41 |
| J1100 |
Dexamethasone sodium phos |
21,788 |
18,642 |
$1.40 |
| J1920 |
Inj, labetalol hcl, 5mg |
207 |
155 |
$1.24 |
| J2930 |
Methylprednisolone injection |
6,194 |
5,052 |
$1.01 |
| J0690 |
Cefazolin sodium injection |
14,692 |
11,933 |
$1.00 |
| J3480 |
Inj potassium chloride |
2,741 |
1,771 |
$1.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
534 |
366 |
$0.45 |
| J2060 |
Lorazepam injection |
8,281 |
6,742 |
$0.39 |
| G8979 |
Mobility goal status |
101 |
83 |
$0.36 |
| G8978 |
Mobility current status |
98 |
83 |
$0.34 |
| J2001 |
Lidocaine injection |
4,509 |
3,927 |
$0.10 |
| C1758 |
Catheter, ureteral |
847 |
740 |
$0.00 |
| J0640 |
Leucovorin calcium injection |
385 |
186 |
$0.00 |
| 93325 |
|
1,509 |
1,273 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
2,548 |
2,130 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
811 |
568 |
$0.00 |
| J1580 |
Garamycin gentamicin inj |
462 |
385 |
$0.00 |
| A9552 |
F18 fdg |
1,946 |
1,789 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
2,809 |
2,481 |
$0.00 |
| 91300 |
|
7,762 |
6,366 |
$0.00 |
| J1756 |
Iron sucrose injection |
9,538 |
3,790 |
$0.00 |
| 90681 |
|
271 |
266 |
$0.00 |
| C1887 |
Catheter, guiding |
1,574 |
1,369 |
$0.00 |
| Q0163 |
Diphenhydramine hcl 50mg |
5,405 |
3,987 |
$0.00 |
| 76376 |
|
455 |
403 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
7,042 |
5,042 |
$0.00 |
| 90714 |
|
301 |
283 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
970 |
770 |
$0.00 |
| 76937 |
|
878 |
742 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
2,496 |
2,199 |
$0.00 |
| 99152 |
|
3,309 |
3,037 |
$0.00 |
| 80143 |
|
651 |
584 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
4,497 |
4,067 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
1,098 |
955 |
$0.00 |
| J9190 |
Fluorouracil injection |
1,351 |
376 |
$0.00 |
| 94729 |
|
5,533 |
5,095 |
$0.00 |
| J1953 |
Levetiracetam injection |
1,147 |
888 |
$0.00 |
| J1240 |
Dimenhydrinate injection |
2,777 |
2,537 |
$0.00 |
| 87210 |
|
220 |
202 |
$0.00 |
| 90633 |
|
456 |
445 |
$0.00 |
| 80179 |
|
555 |
502 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
2,476 |
2,266 |
$0.00 |
| 90713 |
|
272 |
268 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
192 |
159 |
$0.00 |
| 90648 |
|
669 |
653 |
$0.00 |
| J0692 |
Cefepime hcl for injection |
611 |
426 |
$0.00 |
| C1776 |
Joint device (implantable) |
1,473 |
1,181 |
$0.00 |
| S0077 |
Injection, clindamycin phosp |
78 |
64 |
$0.00 |
| J3489 |
Zoledronic acid 1mg |
177 |
155 |
$0.00 |
| J9263 |
Oxaliplatin |
329 |
91 |
$0.00 |
| 93356 |
|
523 |
467 |
$0.00 |
| 90671 |
|
70 |
70 |
$0.00 |
| 95251 |
|
37 |
30 |
$0.00 |
| 29125 |
|
137 |
130 |
$0.00 |
| J2550 |
Promethazine hcl injection |
142 |
118 |
$0.00 |
| 90710 |
|
215 |
211 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
329 |
302 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| 76942 |
|
74 |
63 |
$0.00 |
| C1788 |
Port, indwelling, imp |
134 |
104 |
$0.00 |
| J7040 |
Normal saline solution infus |
90 |
80 |
$0.00 |
| 90685 |
|
272 |
266 |
$0.00 |
| J0780 |
Prochlorperazine injection |
333 |
283 |
$0.00 |
| J0744 |
Ciprofloxacin iv |
110 |
85 |
$0.00 |
| J7030 |
Normal saline solution infus |
627 |
577 |
$0.00 |
| M1145 |
Mfn drug add-on, per dose |
16 |
16 |
$0.00 |
| J2916 |
Na ferric gluconate complex |
24 |
12 |
$0.00 |
| 97803 |
|
65 |
65 |
$0.00 |
| C1874 |
Stent, coated/cov w/del sys |
63 |
60 |
$0.00 |
| 77012 |
|
40 |
36 |
$0.00 |
| 82805 |
|
56 |
55 |
$0.00 |
| J2272 |
Inj, morphine (fresenius) |
32 |
27 |
$0.00 |
| A9541 |
Tc99m sulfur colloid |
13 |
12 |
$0.00 |
| 88312 |
|
13 |
12 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
3,224 |
2,955 |
$0.00 |
| J2785 |
Regadenoson injection |
2,070 |
1,820 |
$0.00 |
| J3420 |
Vitamin b12 injection |
6,589 |
4,383 |
$0.00 |
| A4648 |
Implantable tissue marker |
380 |
339 |
$0.00 |
| 95885 |
|
44 |
42 |
$0.00 |
| 88341 |
|
2,933 |
2,488 |
$0.00 |
| J9267 |
Paclitaxel injection |
639 |
266 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
423 |
394 |
$0.00 |
| J1630 |
Haloperidol injection |
3,967 |
3,287 |
$0.00 |
| J1940 |
Furosemide injection |
2,770 |
1,915 |
$0.00 |
| J2360 |
Orphenadrine injection |
5,625 |
5,012 |
$0.00 |
| J8540 |
Oral dexamethasone |
9,980 |
5,135 |
$0.00 |
| J2920 |
Methylprednisolone injection |
1,882 |
1,170 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
587 |
476 |
$0.00 |
| 88311 |
|
546 |
353 |
$0.00 |
| 77001 |
|
661 |
566 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
1,353 |
1,202 |
$0.00 |
| 76820 |
|
2,396 |
1,022 |
$0.00 |
| C1781 |
Mesh (implantable) |
230 |
211 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
482 |
402 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
278 |
146 |
$0.00 |
| Q3014 |
Telehealth facility fee |
920 |
763 |
$0.00 |
| 95886 |
|
2,439 |
2,243 |
$0.00 |
| J1720 |
Hydrocortisone sodium succ i |
237 |
166 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
37,985 |
28,513 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
263 |
205 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
1,391 |
1,155 |
$0.00 |
| G0010 |
Admin hepatitis b vaccine |
244 |
225 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
2,496 |
2,314 |
$0.00 |
| 94660 |
|
528 |
304 |
$0.00 |
| 88185 |
|
568 |
498 |
$0.00 |
| J9045 |
Carboplatin injection |
566 |
301 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
884 |
776 |
$0.00 |
| J1790 |
Droperidol injection |
1,716 |
1,435 |
$0.00 |
| J0280 |
Aminophyllin 250 mg inj |
634 |
561 |
$0.00 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
259 |
231 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
723 |
603 |
$0.00 |
| 91305 |
|
198 |
126 |
$0.00 |
| J0456 |
Azithromycin |
214 |
158 |
$0.00 |
| 94761 |
|
200 |
183 |
$0.00 |
| 91301 |
|
875 |
726 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
445 |
397 |
$0.00 |
| 90619 |
|
96 |
86 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
218 |
202 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
1,508 |
1,329 |
$0.00 |
| G0108 |
Diab manage trn per indiv |
229 |
188 |
$0.00 |
| 0399T |
|
119 |
108 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
33 |
27 |
$0.00 |
| C2617 |
Stent, non-cor, tem w/o del |
64 |
56 |
$0.00 |
| 91303 |
|
864 |
450 |
$0.00 |
| A9503 |
Tc99m medronate |
274 |
252 |
$0.00 |
| 51798 |
|
139 |
120 |
$0.00 |
| 90696 |
|
67 |
65 |
$0.00 |
| 91306 |
|
159 |
134 |
$0.00 |
| 12013 |
|
28 |
27 |
$0.00 |
| C2627 |
Cath, suprapubic/cystoscopic |
205 |
171 |
$0.00 |
| J7050 |
Normal saline solution infus |
135 |
104 |
$0.00 |
| 64494 |
|
72 |
62 |
$0.00 |
| G0475 |
Hiv combination assay |
175 |
174 |
$0.00 |
| G0472 |
Hep c screen high risk/other |
95 |
94 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
316 |
278 |
$0.00 |
| J1805 |
Inj, esmolol hcl, 10mg |
17 |
15 |
$0.00 |
| 86905 |
|
19 |
12 |
$0.00 |
| C1726 |
Cath, bal dil, non-vascular |
28 |
26 |
$0.00 |
| 77417 |
|
29 |
14 |
$0.00 |
| G0499 |
Hepb screen high risk indiv |
14 |
14 |
$0.00 |
| J3360 |
Diazepam injection |
67 |
56 |
$0.00 |
| 76377 |
|
27 |
27 |
$0.00 |
| 11045 |
|
18 |
12 |
$0.00 |
| 96377 |
|
17 |
12 |
$0.00 |
| 95012 |
|
12 |
12 |
$0.00 |
| 99292 |
|
13 |
12 |
$0.00 |
| 97802 |
|
21 |
21 |
$0.00 |
| 31654 |
|
15 |
12 |
$0.00 |