| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
158,449 |
145,502 |
$15.45M |
| 99284 |
|
138,151 |
115,795 |
$10.76M |
| 99285 |
|
54,233 |
43,563 |
$3.76M |
| 80053 |
|
133,770 |
109,073 |
$3.02M |
| 0202U |
|
39,686 |
37,971 |
$2.76M |
| 74177 |
|
14,919 |
12,674 |
$1.89M |
| 70450 |
|
24,119 |
19,079 |
$1.83M |
| 99282 |
|
22,708 |
21,474 |
$1.83M |
| G0257 |
Unsched dialysis esrd pt hos |
7,243 |
1,491 |
$1.72M |
| 80048 |
|
71,730 |
49,739 |
$1.64M |
| 97110 |
|
17,503 |
4,766 |
$1.40M |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
24,814 |
20,556 |
$1.15M |
| 92507 |
|
13,048 |
3,586 |
$1.01M |
| J1745 |
Infliximab not biosimil 10mg |
2,415 |
1,847 |
$917K |
| 97530 |
|
13,022 |
4,091 |
$889K |
| 41899 |
|
2,251 |
2,107 |
$834K |
| G0378 |
Hospital observation per hr |
73,977 |
31,488 |
$826K |
| U0003 |
Cov-19 amp prb hgh thruput |
19,583 |
15,943 |
$823K |
| 43239 |
|
4,683 |
4,105 |
$676K |
| 87635 |
|
28,730 |
24,773 |
$665K |
| 36415 |
|
203,957 |
143,755 |
$658K |
| 74176 |
|
6,430 |
5,408 |
$655K |
| 99281 |
|
8,034 |
7,340 |
$600K |
| 81025 |
|
52,893 |
45,598 |
$592K |
| 59899 |
|
2,866 |
2,353 |
$516K |
| 96365 |
|
4,510 |
3,220 |
$487K |
| 96360 |
|
9,509 |
8,591 |
$423K |
| 71275 |
|
3,951 |
3,372 |
$412K |
| 78452 |
|
2,109 |
1,740 |
$381K |
| 70551 |
|
3,228 |
2,862 |
$372K |
| 70553 |
|
1,884 |
1,677 |
$369K |
| 93306 |
|
6,471 |
5,402 |
$347K |
| 82948 |
|
66,970 |
32,185 |
$311K |
| 87086 |
|
44,483 |
39,791 |
$301K |
| 99291 |
|
1,541 |
1,269 |
$294K |
| 81003 |
|
86,073 |
72,962 |
$284K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,324 |
1,120 |
$281K |
| G0463 |
Hospital outpt clinic visit |
7,898 |
5,678 |
$281K |
| 90935 |
|
321 |
64 |
$266K |
| 88305 |
|
6,947 |
5,998 |
$257K |
| 44970 |
|
242 |
227 |
$241K |
| 45380 |
|
1,734 |
1,542 |
$240K |
| 96413 |
|
5,734 |
3,755 |
$237K |
| 71046 |
|
37,004 |
33,536 |
$235K |
| 94640 |
|
20,122 |
15,764 |
$215K |
| 96361 |
|
3,857 |
3,048 |
$213K |
| 72125 |
|
7,515 |
5,402 |
$195K |
| 87631 |
|
2,949 |
2,808 |
$184K |
| 87502 |
|
8,046 |
7,507 |
$179K |
| 11042 |
|
1,568 |
701 |
$166K |
| 70498 |
|
1,061 |
897 |
$160K |
| 0241U |
|
18,868 |
17,760 |
$159K |
| 85025 |
|
201,131 |
156,230 |
$157K |
| 87651 |
|
23,910 |
22,930 |
$156K |
| 97162 |
|
2,594 |
2,216 |
$155K |
| 76705 |
|
10,053 |
8,966 |
$154K |
| 93017 |
|
3,034 |
2,586 |
$132K |
| 87633 |
|
3,264 |
3,045 |
$123K |
| 96415 |
|
2,939 |
2,344 |
$122K |
| G0330 |
Facility svs dental rehab |
149 |
143 |
$120K |
| 95810 |
|
223 |
213 |
$104K |
| 80307 |
|
18,657 |
15,245 |
$101K |
| Q4081 |
Epoetin alfa, 100 units esrd |
3,763 |
706 |
$99K |
| 82306 |
|
14,573 |
12,560 |
$94K |
| 84702 |
|
9,115 |
7,512 |
$93K |
| 70491 |
|
600 |
533 |
$92K |
| 96367 |
|
1,569 |
935 |
$91K |
| 97161 |
|
2,253 |
1,982 |
$90K |
| 84443 |
|
31,680 |
27,424 |
$90K |
| 76856 |
|
5,055 |
4,629 |
$82K |
| 71045 |
|
39,455 |
32,464 |
$81K |
| 36430 |
|
1,632 |
1,095 |
$79K |
| P9016 |
Rbc leukocytes reduced |
1,027 |
750 |
$76K |
| 93005 |
|
61,535 |
48,897 |
$72K |
| 75574 |
|
1,135 |
991 |
$71K |
| 72131 |
|
1,563 |
1,224 |
$67K |
| 87536 |
|
2,982 |
2,481 |
$66K |
| 87070 |
|
4,207 |
3,589 |
$59K |
| 73564 |
|
4,819 |
3,770 |
$56K |
| 92526 |
|
2,694 |
1,029 |
$56K |
| 87491 |
|
11,782 |
10,781 |
$55K |
| 54161 |
|
250 |
240 |
$53K |
| 73130 |
|
3,744 |
3,150 |
$50K |
| A9270 |
Non-covered item or service |
13,311 |
4,841 |
$49K |
| 84484 |
|
46,796 |
27,259 |
$47K |
| 96366 |
|
832 |
603 |
$46K |
| J2405 |
Ondansetron hcl injection |
44,811 |
35,338 |
$45K |
| 73110 |
|
2,957 |
2,427 |
$45K |
| 74018 |
|
5,882 |
5,262 |
$45K |
| 74019 |
|
5,871 |
5,507 |
$45K |
| 76377 |
|
680 |
639 |
$44K |
| 73610 |
|
4,094 |
3,542 |
$44K |
| 76825 |
|
764 |
689 |
$43K |
| 73630 |
|
4,491 |
3,913 |
$43K |
| 88304 |
|
1,976 |
1,822 |
$41K |
| 93976 |
|
4,256 |
3,897 |
$41K |
| 97140 |
|
1,959 |
584 |
$40K |
| 76817 |
|
6,036 |
5,083 |
$39K |
| 74230 |
|
455 |
404 |
$39K |
| 0100U |
|
2,077 |
1,874 |
$38K |
| 70486 |
|
1,844 |
1,472 |
$37K |
| 97802 |
|
329 |
318 |
$37K |
| 80076 |
|
7,758 |
6,734 |
$37K |
| 82657 |
|
1,919 |
1,736 |
$36K |
| 76770 |
|
2,114 |
1,937 |
$35K |
| 93970 |
|
3,215 |
2,693 |
$35K |
| 85610 |
|
24,417 |
17,814 |
$34K |
| 10061 |
|
897 |
805 |
$34K |
| 95782 |
|
75 |
73 |
$33K |
| P9040 |
Rbc leukoreduced irradiated |
633 |
491 |
$32K |
| 80061 |
|
27,177 |
22,797 |
$32K |
| 73030 |
|
4,161 |
3,121 |
$32K |
| 87641 |
|
4,676 |
3,880 |
$32K |
| 01922 |
|
1,987 |
1,860 |
$31K |
| 86003 |
|
3,206 |
2,820 |
$31K |
| J7050 |
Normal saline solution infus |
6,317 |
4,382 |
$30K |
| 73140 |
|
1,020 |
941 |
$30K |
| 95716 |
|
322 |
262 |
$30K |
| 93971 |
|
2,419 |
2,073 |
$30K |
| J3010 |
Fentanyl citrate injection |
15,427 |
13,033 |
$30K |
| J7060 |
5% dextrose/water |
3,574 |
1,966 |
$29K |
| 76815 |
|
1,712 |
1,515 |
$29K |
| 36591 |
|
2,512 |
1,559 |
$28K |
| C1769 |
Guide wire |
3,341 |
2,561 |
$28K |
| J2250 |
Inj midazolam hydrochloride |
11,948 |
10,166 |
$27K |
| 49083 |
|
149 |
75 |
$26K |
| 83880 |
|
12,420 |
9,459 |
$25K |
| 86850 |
|
6,861 |
5,598 |
$25K |
| 70250 |
|
395 |
351 |
$24K |
| 71260 |
|
1,617 |
1,186 |
$24K |
| J1644 |
Inj heparin sodium per 1000u |
8,407 |
3,137 |
$23K |
| 82805 |
|
3,970 |
1,703 |
$23K |
| 69436 |
|
194 |
187 |
$22K |
| 92610 |
|
713 |
619 |
$22K |
| 73080 |
|
2,127 |
1,768 |
$22K |
| 83735 |
|
17,451 |
11,958 |
$22K |
| 95816 |
|
699 |
588 |
$22K |
| J2001 |
Lidocaine injection |
17,661 |
15,159 |
$22K |
| 82728 |
|
8,090 |
6,871 |
$21K |
| 87081 |
|
3,497 |
3,359 |
$21K |
| J1100 |
Dexamethasone sodium phos |
26,974 |
24,214 |
$20K |
| 47562 |
|
13 |
12 |
$20K |
| 42820 |
|
123 |
105 |
$19K |
| 76801 |
|
6,233 |
5,234 |
$19K |
| 87480 |
|
6,888 |
6,341 |
$18K |
| Q0163 |
Diphenhydramine hcl 50mg |
2,369 |
1,856 |
$18K |
| 73590 |
|
2,157 |
1,751 |
$17K |
| 88341 |
|
959 |
753 |
$17K |
| 81001 |
|
22,117 |
20,647 |
$17K |
| 70496 |
|
1,004 |
843 |
$16K |
| 73090 |
|
2,434 |
2,032 |
$16K |
| 83516 |
|
2,003 |
1,905 |
$15K |
| 80069 |
|
3,820 |
1,159 |
$15K |
| 85660 |
|
1,588 |
1,448 |
$15K |
| J1815 |
Insulin injection |
9,234 |
4,640 |
$15K |
| 86140 |
|
17,002 |
14,603 |
$15K |
| 96375 |
|
7,230 |
5,348 |
$14K |
| 82274 |
|
1,093 |
1,004 |
$14K |
| C1894 |
Intro/sheath, non-laser |
2,531 |
1,978 |
$14K |
| U0002 |
Covid-19 lab test non-cdc |
775 |
587 |
$14K |
| J1200 |
Diphenhydramine hcl injectio |
9,887 |
7,328 |
$14K |
| 12001 |
|
1,631 |
1,491 |
$14K |
| 89050 |
|
556 |
478 |
$13K |
| 95819 |
|
596 |
516 |
$13K |
| 88173 |
|
278 |
206 |
$13K |
| 87591 |
|
11,786 |
10,783 |
$13K |
| 95951 |
|
173 |
122 |
$13K |
| 72100 |
|
4,333 |
3,212 |
$13K |
| 83655 |
|
3,149 |
3,053 |
$13K |
| M0243 |
Casirivi and imdevi inj |
531 |
467 |
$13K |
| 86364 |
|
1,193 |
1,144 |
$13K |
| 97165 |
|
352 |
312 |
$13K |
| J0690 |
Cefazolin sodium injection |
6,011 |
4,615 |
$12K |
| 86900 |
|
11,672 |
9,849 |
$12K |
| J2270 |
Morphine sulfate injection |
17,031 |
12,575 |
$12K |
| 87427 |
|
1,391 |
1,219 |
$12K |
| 87077 |
|
12,815 |
11,066 |
$12K |
| 96374 |
|
11,281 |
8,733 |
$12K |
| 80074 |
|
1,569 |
1,191 |
$12K |
| 85027 |
|
16,673 |
11,708 |
$12K |
| 88342 |
|
1,871 |
1,580 |
$12K |
| 81229 |
|
435 |
395 |
$12K |
| J1885 |
Ketorolac tromethamine inj |
28,284 |
22,967 |
$12K |
| 85730 |
|
10,404 |
8,419 |
$12K |
| 97597 |
|
464 |
219 |
$11K |
| 12011 |
|
1,951 |
1,781 |
$11K |
| 87186 |
|
10,579 |
9,062 |
$11K |
| J1756 |
Iron sucrose injection |
880 |
361 |
$11K |
| J7512 |
Prednisone ir or dr oral 1mg |
3,321 |
2,445 |
$11K |
| J1170 |
Hydromorphone injection |
9,287 |
6,645 |
$11K |
| 73560 |
|
859 |
698 |
$11K |
| 85014 |
|
4,904 |
2,505 |
$11K |
| 84703 |
|
6,941 |
6,140 |
$11K |
| 76010 |
|
223 |
213 |
$11K |
| P9045 |
Albumin (human), 5%, 250 ml |
685 |
579 |
$11K |
| 83036 |
|
18,603 |
15,652 |
$11K |
| 12002 |
|
1,007 |
913 |
$10K |
| 83690 |
|
27,080 |
22,875 |
$10K |
| 83970 |
|
2,265 |
1,808 |
$10K |
| 77076 |
|
334 |
317 |
$10K |
| J3490 |
Drugs unclassified injection |
1,387 |
1,179 |
$10K |
| 49465 |
|
359 |
278 |
$10K |
| 86901 |
|
11,671 |
9,848 |
$10K |
| 92588 |
|
96 |
92 |
$10K |
| 73502 |
|
1,954 |
1,498 |
$10K |
| 86008 |
|
928 |
859 |
$9K |
| 76870 |
|
793 |
716 |
$9K |
| 87624 |
|
357 |
330 |
$9K |
| 96372 |
|
3,100 |
2,377 |
$9K |
| 87040 |
|
8,348 |
7,343 |
$9K |
| J1650 |
Inj enoxaparin sodium |
7,524 |
2,948 |
$9K |
| 73070 |
|
73 |
62 |
$8K |
| 29125 |
|
2,119 |
1,883 |
$8K |
| 84145 |
|
6,062 |
4,834 |
$8K |
| 87640 |
|
1,927 |
1,563 |
$8K |
| 86923 |
|
2,212 |
1,753 |
$8K |
| 71101 |
|
936 |
740 |
$7K |
| 85380 |
|
5,867 |
5,056 |
$7K |
| 76830 |
|
3,905 |
3,578 |
$7K |
| 70360 |
|
871 |
792 |
$7K |
| 86359 |
|
3,124 |
2,613 |
$7K |
| 82247 |
|
1,481 |
1,002 |
$7K |
| 85018 |
|
3,511 |
2,208 |
$7K |
| J0696 |
Ceftriaxone sodium injection |
12,577 |
8,855 |
$7K |
| 82330 |
|
3,077 |
1,721 |
$7K |
| 86480 |
|
1,690 |
1,434 |
$7K |
| 83021 |
|
1,152 |
1,039 |
$6K |
| 83993 |
|
820 |
795 |
$6K |
| 78264 |
|
44 |
36 |
$6K |
| 83605 |
|
5,218 |
4,098 |
$6K |
| 73060 |
|
1,039 |
811 |
$6K |
| 97163 |
|
72 |
67 |
$6K |
| 82607 |
|
7,689 |
6,245 |
$6K |
| 96409 |
|
694 |
428 |
$6K |
| J0330 |
Succinycholine chloride inj |
2,548 |
2,194 |
$6K |
| 86780 |
|
1,436 |
1,283 |
$6K |
| 82785 |
|
3,726 |
3,454 |
$6K |
| 72072 |
|
1,559 |
1,039 |
$6K |
| 84480 |
|
1,675 |
1,444 |
$6K |
| 87506 |
|
463 |
424 |
$6K |
| 82150 |
|
1,578 |
1,477 |
$5K |
| 82378 |
|
1,049 |
778 |
$5K |
| J2930 |
Methylprednisolone injection |
3,986 |
3,143 |
$5K |
| G8978 |
Mobility current status |
197 |
159 |
$5K |
| G8979 |
Mobility goal status |
199 |
162 |
$5K |
| 84439 |
|
13,122 |
11,599 |
$5K |
| 47563 |
|
12 |
12 |
$5K |
| 85045 |
|
3,895 |
3,043 |
$5K |
| 93880 |
|
925 |
712 |
$5K |
| 87510 |
|
6,888 |
6,340 |
$5K |
| 87340 |
|
2,271 |
1,882 |
$5K |
| 72170 |
|
1,381 |
1,041 |
$5K |
| 72040 |
|
1,106 |
805 |
$5K |
| 87660 |
|
6,947 |
6,394 |
$5K |
| 29515 |
|
1,047 |
965 |
$5K |
| L4350 |
Ankle control ortho pre ots |
208 |
189 |
$5K |
| 86038 |
|
1,635 |
1,456 |
$5K |
| 97116 |
|
978 |
617 |
$5K |
| 88312 |
|
3,678 |
3,320 |
$5K |
| 83540 |
|
7,925 |
6,927 |
$5K |
| C8929 |
Tte w or wo fol wcon,doppler |
233 |
189 |
$5K |
| J2710 |
Neostigmine methylslfte inj |
1,973 |
1,701 |
$5K |
| 82670 |
|
297 |
260 |
$4K |
| 71250 |
|
211 |
162 |
$4K |
| 82784 |
|
3,229 |
2,975 |
$4K |
| 82550 |
|
4,409 |
3,545 |
$4K |
| J2765 |
Metoclopramide hcl injection |
7,693 |
6,414 |
$4K |
| 99151 |
|
837 |
770 |
$4K |
| 73552 |
|
1,346 |
1,021 |
$4K |
| 74022 |
|
944 |
856 |
$4K |
| 45385 |
|
49 |
36 |
$4K |
| 85576 |
|
896 |
689 |
$4K |
| 0240U |
|
580 |
474 |
$4K |
| 29530 |
|
860 |
786 |
$4K |
| 87493 |
|
789 |
672 |
$4K |
| 86258 |
|
303 |
291 |
$4K |
| 84481 |
|
1,443 |
1,189 |
$4K |
| J0360 |
Hydralazine hcl injection |
1,825 |
1,170 |
$3K |
| 90715 |
|
3,367 |
2,712 |
$3K |
| 80164 |
|
2,048 |
1,597 |
$3K |
| 93356 |
|
1,228 |
992 |
$3K |
| A9502 |
Tc99m tetrofosmin |
2,075 |
1,701 |
$3K |
| 84156 |
|
2,001 |
1,702 |
$3K |
| 82803 |
|
231 |
204 |
$3K |
| 76376 |
|
1,312 |
1,037 |
$3K |
| 84100 |
|
5,400 |
3,751 |
$3K |
| J7040 |
Normal saline solution infus |
384 |
233 |
$3K |
| G0123 |
Screen cerv/vag thin layer |
712 |
669 |
$3K |
| 82270 |
|
329 |
299 |
$3K |
| J2060 |
Lorazepam injection |
6,400 |
4,768 |
$3K |
| 88185 |
|
67 |
54 |
$3K |
| 86665 |
|
639 |
598 |
$3K |
| 84132 |
|
2,268 |
1,499 |
$3K |
| 83550 |
|
4,751 |
4,082 |
$3K |
| 97535 |
|
362 |
236 |
$3K |
| J2785 |
Regadenoson injection |
1,861 |
1,512 |
$3K |
| 86592 |
|
1,149 |
997 |
$3K |
| 84403 |
|
1,253 |
1,095 |
$3K |
| 00170 |
|
2,956 |
2,803 |
$3K |
| 51798 |
|
868 |
597 |
$3K |
| 78226 |
|
15 |
13 |
$3K |
| 87205 |
|
4,544 |
3,870 |
$3K |
| 86360 |
|
3,122 |
2,612 |
$3K |
| P9603 |
One-way allow prorated miles |
6,548 |
3,501 |
$3K |
| 99152 |
|
903 |
823 |
$3K |
| 86356 |
|
3,119 |
2,609 |
$2K |
| 85652 |
|
12,362 |
10,670 |
$2K |
| 73523 |
|
263 |
206 |
$2K |
| 82105 |
|
723 |
612 |
$2K |
| 83615 |
|
2,989 |
2,297 |
$2K |
| 84550 |
|
2,094 |
1,681 |
$2K |
| 86308 |
|
1,052 |
995 |
$2K |
| C9113 |
Inj pantoprazole sodium, via |
2,540 |
1,515 |
$2K |
| 87798 |
|
3,345 |
3,087 |
$2K |
| 72128 |
|
371 |
281 |
$2K |
| 87209 |
|
727 |
604 |
$2K |
| J1453 |
Fosaprepitant injection |
17 |
12 |
$2K |
| 82077 |
|
1,024 |
891 |
$2K |
| 80197 |
|
150 |
111 |
$2K |
| 84295 |
|
1,447 |
837 |
$2K |
| 10060 |
|
133 |
117 |
$2K |
| 86803 |
|
998 |
842 |
$2K |
| 84153 |
|
1,280 |
958 |
$2K |
| 87338 |
|
631 |
609 |
$2K |
| 87075 |
|
1,870 |
1,519 |
$2K |
| 73660 |
|
68 |
60 |
$2K |
| 82140 |
|
1,717 |
1,284 |
$2K |
| 84146 |
|
248 |
231 |
$2K |
| 72050 |
|
339 |
252 |
$2K |
| 86769 |
|
338 |
301 |
$2K |
| 92579 |
|
31 |
27 |
$2K |
| J1953 |
Levetiracetam injection |
1,104 |
735 |
$2K |
| 73000 |
|
82 |
68 |
$2K |
| 92523 |
|
14 |
13 |
$2K |
| 12013 |
|
153 |
139 |
$2K |
| 93458 |
|
21 |
16 |
$2K |
| 82746 |
|
5,070 |
4,085 |
$2K |
| C1751 |
Cath, inf, per/cent/midline |
14 |
13 |
$2K |
| 96417 |
|
202 |
118 |
$2K |
| G0108 |
Diab manage trn per indiv |
59 |
54 |
$2K |
| 0399T |
|
480 |
394 |
$2K |
| 87015 |
|
1,512 |
1,283 |
$1K |
| 99153 |
Mod sedat endo service >5yrs |
1,546 |
1,414 |
$1K |
| G0471 |
Ven blood coll snf/hha |
2,873 |
1,174 |
$1K |
| 43762 |
|
149 |
119 |
$1K |
| 97803 |
|
12 |
12 |
$1K |
| 94770 |
|
102 |
93 |
$1K |
| J3475 |
Inj magnesium sulfate |
2,224 |
1,805 |
$1K |
| 87486 |
|
3,273 |
3,055 |
$1K |
| 87581 |
|
3,274 |
3,056 |
$1K |
| 84305 |
|
217 |
210 |
$1K |
| 93303 |
|
129 |
118 |
$1K |
| J0780 |
Prochlorperazine injection |
2,088 |
1,735 |
$1K |
| J0692 |
Cefepime hcl for injection |
1,049 |
586 |
$1K |
| 87389 |
|
2,001 |
1,832 |
$1K |
| 86902 |
|
314 |
249 |
$1K |
| 82248 |
|
2,257 |
1,726 |
$1K |
| 82043 |
|
3,780 |
3,094 |
$1K |
| 77001 |
|
119 |
98 |
$1K |
| 83520 |
|
237 |
226 |
$1K |
| J1940 |
Furosemide injection |
1,682 |
1,034 |
$1K |
| 94660 |
|
24 |
13 |
$1K |
| J1630 |
Haloperidol injection |
1,162 |
927 |
$1K |
| 92550 |
|
310 |
275 |
$1K |
| U0005 |
Infec agen detec ampli probe |
14,769 |
11,941 |
$1K |
| A9585 |
Gadobutrol injection |
2,208 |
1,915 |
$1K |
| 95700 |
|
579 |
549 |
$1K |
| J2543 |
Piperacillin/tazobactam |
2,355 |
1,177 |
$1K |
| 92585 |
|
28 |
27 |
$1K |
| 92587 |
|
26 |
15 |
$1K |
| 74240 |
|
29 |
27 |
$991.45 |
| 29130 |
|
360 |
332 |
$968.62 |
| J3370 |
Vancomycin hcl injection |
1,314 |
811 |
$947.78 |
| J0171 |
Adrenalin epinephrine inject |
723 |
620 |
$908.90 |
| 59025 |
|
12 |
12 |
$901.48 |
| 97166 |
|
34 |
26 |
$900.26 |
| 00731 |
|
2,752 |
2,505 |
$896.41 |
| 87045 |
|
1,380 |
1,248 |
$896.36 |
| J2920 |
Methylprednisolone injection |
2,194 |
1,132 |
$894.90 |
| J1720 |
Hydrocortisone sodium succ i |
1,250 |
1,044 |
$887.62 |
| 95715 |
|
37 |
26 |
$885.86 |
| 73700 |
|
24 |
14 |
$865.43 |
| C1887 |
Catheter, guiding |
348 |
262 |
$842.59 |
| J2795 |
Ropivacaine hcl injection |
1,262 |
1,099 |
$810.45 |
| 83519 |
|
330 |
305 |
$809.04 |
| 86160 |
|
348 |
315 |
$795.16 |
| 84436 |
|
2,506 |
2,293 |
$787.64 |
| J2370 |
Phenylephrine hcl injection |
466 |
340 |
$776.08 |
| 95957 |
|
188 |
136 |
$747.31 |
| J0561 |
Penicillin g benzathine inj |
523 |
480 |
$740.20 |
| 62270 |
|
94 |
69 |
$737.98 |
| 85245 |
|
31 |
29 |
$724.60 |
| 92611 |
|
329 |
301 |
$707.30 |
| 87102 |
|
214 |
163 |
$673.26 |
| 84144 |
|
113 |
95 |
$666.31 |
| 85347 |
|
498 |
424 |
$661.57 |
| 36416 |
|
130 |
116 |
$653.21 |
| 81243 |
|
227 |
202 |
$646.74 |
| 00635 |
|
67 |
56 |
$604.09 |
| 87328 |
|
1,433 |
1,311 |
$603.84 |
| 89051 |
|
19 |
12 |
$599.72 |
| 94760 |
|
51 |
41 |
$590.19 |
| 82375 |
|
819 |
309 |
$576.44 |
| 83050 |
|
816 |
307 |
$576.44 |
| G0328 |
Fecal blood scrn immunoassay |
185 |
173 |
$575.09 |
| J0461 |
Atropine sulfate injection |
1,614 |
1,381 |
$546.27 |
| 73620 |
|
34 |
30 |
$546.26 |
| J0744 |
Ciprofloxacin iv |
40 |
25 |
$529.22 |
| 0042T |
|
75 |
65 |
$528.47 |
| 96376 |
|
1,462 |
1,105 |
$525.66 |
| 82947 |
|
358 |
319 |
$503.20 |
| 87400 |
|
189 |
151 |
$502.91 |
| 70210 |
|
66 |
63 |
$495.86 |
| J0610 |
Calcium glucon (fresenius) |
483 |
340 |
$486.76 |
| 87329 |
|
1,421 |
1,299 |
$482.52 |
| 83525 |
|
997 |
970 |
$476.80 |
| 81376 |
|
57 |
53 |
$472.87 |
| G0103 |
Psa screening |
529 |
411 |
$436.72 |
| 88313 |
|
555 |
476 |
$420.12 |
| M0239 |
Bamlanivimab-xxxx infusion |
120 |
94 |
$415.62 |
| 82656 |
|
46 |
43 |
$412.17 |
| 82653 |
|
42 |
39 |
$411.13 |
| 72110 |
|
46 |
37 |
$405.22 |
| 82533 |
|
121 |
110 |
$362.07 |
| 82945 |
|
33 |
27 |
$359.29 |
| 86376 |
|
1,456 |
1,328 |
$331.90 |
| 86800 |
|
482 |
452 |
$302.71 |
| 93315 |
|
13 |
13 |
$302.60 |
| 90471 |
|
299 |
261 |
$299.44 |
| 82570 |
|
2,438 |
2,090 |
$281.40 |
| 86431 |
|
959 |
860 |
$276.54 |
| 83001 |
|
360 |
316 |
$256.26 |
| 86200 |
|
46 |
40 |
$244.72 |
| 83013 |
|
17 |
15 |
$234.53 |
| 45378 |
|
13 |
12 |
$232.74 |
| 87430 |
|
442 |
402 |
$217.90 |
| C1725 |
Cath, translumin non-laser |
126 |
96 |
$215.27 |
| 83721 |
|
259 |
193 |
$208.79 |
| 83002 |
|
247 |
220 |
$202.11 |
| 82139 |
|
155 |
135 |
$201.64 |
| 82950 |
|
146 |
141 |
$190.38 |
| 0352U |
|
139 |
138 |
$180.92 |
| 86255 |
|
1,812 |
1,728 |
$178.56 |
| 73600 |
|
35 |
28 |
$175.18 |
| 69200 |
|
53 |
52 |
$166.44 |
| 87481 |
|
319 |
220 |
$160.58 |
| 86762 |
|
73 |
67 |
$159.22 |
| 86706 |
|
254 |
196 |
$158.13 |
| 72148 |
|
16 |
12 |
$157.14 |
| 00813 |
|
1,147 |
1,026 |
$154.99 |
| 84466 |
|
14 |
13 |
$149.44 |
| M0222 |
Bebtelovimab injection |
19 |
17 |
$142.13 |
| 83020 |
|
1,153 |
1,040 |
$139.32 |
| 84402 |
|
373 |
341 |
$138.87 |
| 88108 |
|
400 |
322 |
$137.11 |
| 87449 |
|
1,467 |
1,336 |
$126.38 |
| 90686 |
|
1,153 |
952 |
$125.53 |
| 76937 |
|
118 |
94 |
$123.05 |
| 84165 |
|
151 |
124 |
$119.27 |
| 73562 |
|
194 |
179 |
$116.08 |
| 86039 |
|
304 |
263 |
$115.10 |
| 00811 |
|
301 |
276 |
$110.16 |
| J3480 |
Inj potassium chloride |
860 |
585 |
$108.62 |
| Q0244 |
Casirivi and imdevi 1200 mg |
73 |
66 |
$107.60 |
| 87116 |
|
63 |
57 |
$100.09 |
| 00300 |
|
57 |
53 |
$96.34 |
| 86225 |
|
141 |
122 |
$92.93 |
| 82379 |
|
186 |
168 |
$90.74 |
| 85379 |
|
516 |
402 |
$86.66 |
| 87206 |
|
62 |
56 |
$86.17 |
| 86317 |
|
208 |
177 |
$83.56 |
| 82652 |
|
204 |
176 |
$72.52 |
| 85240 |
|
93 |
81 |
$71.50 |
| 87661 |
|
106 |
99 |
$67.96 |
| 82565 |
|
85 |
77 |
$66.92 |
| 86709 |
|
243 |
194 |
$64.69 |
| J8540 |
Oral dexamethasone |
1,264 |
712 |
$52.99 |
| 87046 |
|
1,382 |
1,249 |
$52.51 |
| 86235 |
|
42 |
37 |
$50.37 |
| 85384 |
|
72 |
67 |
$49.74 |
| 88184 |
|
69 |
54 |
$48.87 |
| G0008 |
Admin influenza virus vac |
371 |
306 |
$47.11 |
| 69210 |
|
67 |
66 |
$46.61 |
| 86663 |
|
618 |
580 |
$43.10 |
| 82977 |
|
1,062 |
877 |
$40.30 |
| 82010 |
|
381 |
309 |
$38.19 |
| 86256 |
|
670 |
650 |
$38.18 |
| 00320 |
|
14 |
12 |
$37.59 |
| 84479 |
|
193 |
181 |
$32.38 |
| 86664 |
|
618 |
581 |
$27.33 |
| 84134 |
|
25 |
25 |
$26.39 |
| J0500 |
Dicyclomine injection |
949 |
832 |
$26.05 |
| J3360 |
Diazepam injection |
113 |
90 |
$25.11 |
| 87177 |
|
701 |
580 |
$24.80 |
| 29105 |
|
258 |
239 |
$24.58 |
| 00920 |
|
289 |
276 |
$22.46 |
| 80177 |
|
94 |
80 |
$20.46 |
| 88307 |
|
32 |
24 |
$15.19 |
| 81382 |
|
57 |
53 |
$13.95 |
| 82787 |
|
24 |
24 |
$13.70 |
| 86334 |
|
46 |
38 |
$10.47 |
| 86696 |
|
29 |
26 |
$9.91 |
| J0456 |
Azithromycin |
213 |
140 |
$8.78 |
| J7510 |
Prednisolone oral per 5 mg |
1,268 |
802 |
$7.99 |
| 00840 |
|
485 |
458 |
$7.29 |
| 85246 |
|
30 |
28 |
$6.85 |
| 86695 |
|
29 |
27 |
$6.60 |
| J2175 |
Meperidine hydrochl /100 mg |
208 |
174 |
$4.63 |
| 80178 |
|
14 |
12 |
$4.58 |
| 82103 |
|
33 |
27 |
$3.62 |
| 86231 |
|
34 |
32 |
$3.36 |
| 82705 |
|
28 |
26 |
$3.31 |
| J1790 |
Droperidol injection |
503 |
444 |
$2.14 |
| 00790 |
|
246 |
225 |
$2.00 |
| A9537 |
Tc99m mebrofenin |
133 |
109 |
$1.76 |
| 82465 |
|
125 |
120 |
$1.57 |
| J9370 |
Vincristine sulfate 1 mg inj |
343 |
246 |
$1.49 |
| J7030 |
Normal saline solution infus |
78 |
55 |
$1.24 |
| 51702 |
|
18 |
13 |
$1.18 |
| 88300 |
|
15 |
13 |
$0.87 |
| C1758 |
Catheter, ureteral |
55 |
41 |
$0.31 |
| 84157 |
|
36 |
29 |
$0.29 |
| 87529 |
|
13 |
12 |
$0.29 |
| 94761 |
|
14 |
13 |
$0.29 |
| 83918 |
|
32 |
24 |
$0.00 |
| 93567 |
|
40 |
39 |
$0.00 |
| 86774 |
|
12 |
12 |
$0.00 |
| J0153 |
Adenosine inj 1mg |
12 |
12 |
$0.00 |
| 00812 |
|
13 |
12 |
$0.00 |
| Q9950 |
Inj sulf hexa lipid microsph |
180 |
84 |
$0.00 |
| J1580 |
Garamycin gentamicin inj |
36 |
26 |
$0.00 |
| 24640 |
|
53 |
51 |
$0.00 |
| 0353U |
|
314 |
307 |
$0.00 |
| 88230 |
|
44 |
37 |
$0.00 |
| 00140 |
|
36 |
36 |
$0.00 |
| 01920 |
|
15 |
14 |
$0.00 |
| 92950 |
|
15 |
12 |
$0.00 |
| 88262 |
|
63 |
50 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
14 |
12 |
$0.00 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
49 |
28 |
$0.00 |
| 90791 |
|
219 |
181 |
$0.00 |
| 93568 |
|
15 |
13 |
$0.00 |
| C1760 |
Closure dev, vasc |
17 |
14 |
$0.00 |
| 73100 |
|
13 |
12 |
$0.00 |
| A9541 |
Tc99m sulfur colloid |
30 |
24 |
$0.00 |
| 90670 |
|
14 |
12 |
$0.00 |
| J9260 |
Inj methotrexate sodium 50mg |
38 |
26 |
$0.00 |
| 86922 |
|
21 |
13 |
$0.00 |
| 88311 |
|
17 |
13 |
$0.00 |
| 84210 |
|
80 |
67 |
$0.00 |
| 83935 |
|
40 |
34 |
$0.00 |
| 87425 |
|
101 |
89 |
$0.00 |
| 00126 |
|
26 |
26 |
$0.00 |
| 01400 |
|
48 |
37 |
$0.00 |
| C2617 |
Stent, non-cor, tem w/o del |
32 |
24 |
$0.00 |
| J7999 |
Compounded drug, noc |
36 |
27 |
$0.00 |
| 01480 |
|
40 |
36 |
$0.00 |
| 96411 |
|
51 |
28 |
$0.00 |
| 93531 |
|
70 |
66 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
20 |
13 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
14 |
12 |
$0.00 |