| Code | Description | Claims | Beneficiaries | Total Paid |
| G0378 |
Hospital observation per hr |
18,179 |
7,478 |
$434K |
| 92507 |
|
19,771 |
7,871 |
$281K |
| 97530 |
|
26,649 |
11,331 |
$276K |
| 99283 |
|
27,217 |
23,464 |
$269K |
| 99284 |
|
16,992 |
14,710 |
$203K |
| 0202U |
|
2,594 |
2,177 |
$139K |
| 74177 |
|
8,475 |
7,392 |
$129K |
| 99282 |
|
18,617 |
16,942 |
$125K |
| 97110 |
|
39,260 |
13,829 |
$90K |
| 99285 |
|
5,255 |
4,591 |
$87K |
| 70450 |
|
8,098 |
6,818 |
$79K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,416 |
1,174 |
$79K |
| 87633 |
|
6,043 |
5,673 |
$71K |
| J3490 |
Drugs unclassified injection |
31,511 |
12,267 |
$54K |
| 96374 |
|
22,786 |
16,805 |
$41K |
| 80053 |
|
82,461 |
66,487 |
$39K |
| 71046 |
|
11,449 |
10,478 |
$37K |
| 80307 |
|
7,732 |
6,806 |
$36K |
| 70553 |
|
1,784 |
1,489 |
$35K |
| 97112 |
|
6,865 |
2,988 |
$32K |
| 72125 |
|
2,772 |
2,391 |
$30K |
| 70551 |
|
1,714 |
1,474 |
$29K |
| H0015 |
Alcohol and/or drug services |
623 |
56 |
$28K |
| 97113 |
|
3,316 |
1,447 |
$27K |
| 85025 |
|
99,212 |
76,457 |
$25K |
| 69436 |
|
136 |
115 |
$23K |
| 96375 |
|
15,110 |
11,054 |
$23K |
| 93005 |
|
26,585 |
21,771 |
$22K |
| 96365 |
|
8,437 |
5,138 |
$21K |
| 42820 |
|
26 |
25 |
$20K |
| 97140 |
|
20,899 |
7,650 |
$20K |
| 74018 |
|
2,135 |
1,917 |
$18K |
| 94640 |
|
6,840 |
4,044 |
$18K |
| 71045 |
|
12,095 |
10,222 |
$16K |
| 86003 |
|
1,404 |
772 |
$16K |
| 73721 |
|
1,423 |
1,366 |
$16K |
| G0108 |
Diab manage trn per indiv |
1,633 |
1,404 |
$15K |
| 97162 |
|
5,880 |
5,311 |
$15K |
| 96361 |
|
9,174 |
7,691 |
$14K |
| 92523 |
|
399 |
374 |
$14K |
| 71260 |
|
2,753 |
2,342 |
$14K |
| C9290 |
Inj, bupivacaine liposome |
722 |
626 |
$13K |
| 36415 |
|
102,550 |
77,177 |
$13K |
| 90791 |
|
3,029 |
2,832 |
$13K |
| 97535 |
|
2,422 |
1,723 |
$12K |
| 71275 |
|
2,790 |
2,414 |
$12K |
| 87641 |
|
8,815 |
7,777 |
$12K |
| 87635 |
|
8,193 |
7,567 |
$12K |
| 70486 |
|
1,457 |
1,337 |
$12K |
| 80061 |
|
18,279 |
17,174 |
$11K |
| 76770 |
|
1,570 |
1,484 |
$11K |
| 96360 |
|
3,880 |
3,362 |
$11K |
| 87798 |
|
6,288 |
5,880 |
$10K |
| 73610 |
|
3,152 |
2,825 |
$10K |
| 87086 |
|
13,372 |
11,812 |
$10K |
| 90837 |
|
5,245 |
2,978 |
$10K |
| 92526 |
|
1,572 |
932 |
$10K |
| 84703 |
|
12,639 |
10,950 |
$10K |
| 72148 |
|
2,222 |
2,121 |
$10K |
| 73110 |
|
2,458 |
2,108 |
$10K |
| 81001 |
|
29,704 |
25,437 |
$9K |
| 73630 |
|
3,273 |
3,000 |
$9K |
| 82306 |
|
12,913 |
12,260 |
$8K |
| 88305 |
|
12,575 |
8,499 |
$8K |
| H2036 |
A/d tx program, per diem |
206 |
37 |
$8K |
| 87581 |
|
6,071 |
5,695 |
$8K |
| 73130 |
|
2,713 |
2,415 |
$8K |
| 87486 |
|
6,064 |
5,689 |
$8K |
| 83690 |
|
13,954 |
11,767 |
$7K |
| 93306 |
|
3,493 |
3,172 |
$7K |
| 76705 |
|
2,668 |
2,471 |
$7K |
| 96376 |
|
5,026 |
3,482 |
$7K |
| 0241U |
|
887 |
849 |
$6K |
| 87591 |
|
7,054 |
6,574 |
$6K |
| 87491 |
|
7,057 |
6,577 |
$6K |
| 97166 |
|
1,271 |
1,120 |
$6K |
| 74019 |
|
780 |
730 |
$6K |
| 43239 |
|
2,708 |
2,503 |
$6K |
| 76856 |
|
2,712 |
2,569 |
$6K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
15,653 |
13,166 |
$6K |
| 62323 |
|
1,143 |
996 |
$6K |
| 88304 |
|
2,055 |
1,707 |
$5K |
| 74176 |
|
2,078 |
1,913 |
$5K |
| 84443 |
|
28,475 |
26,276 |
$5K |
| 87502 |
|
479 |
462 |
$5K |
| 83036 |
|
19,314 |
18,181 |
$5K |
| C1769 |
Guide wire |
1,436 |
1,122 |
$5K |
| 72141 |
|
1,034 |
962 |
$5K |
| D1206 |
|
161 |
138 |
$5K |
| 87081 |
|
3,086 |
2,869 |
$5K |
| 87040 |
|
3,548 |
1,941 |
$4K |
| 73030 |
|
3,087 |
2,761 |
$4K |
| 97116 |
|
3,799 |
1,947 |
$4K |
| 73562 |
|
2,095 |
1,965 |
$4K |
| 87186 |
|
7,603 |
6,209 |
$4K |
| 76536 |
|
1,472 |
1,390 |
$4K |
| 87077 |
|
6,735 |
5,716 |
$4K |
| 96372 |
|
12,901 |
8,497 |
$4K |
| 80048 |
|
19,753 |
15,885 |
$4K |
| J0690 |
Cefazolin sodium injection |
6,129 |
4,323 |
$4K |
| J0694 |
Cefoxitin sodium injection |
1,625 |
1,161 |
$4K |
| 73140 |
|
1,067 |
935 |
$4K |
| 12001 |
|
230 |
223 |
$4K |
| 83605 |
|
5,841 |
4,789 |
$4K |
| 84145 |
|
2,898 |
2,524 |
$4K |
| 84484 |
|
16,684 |
10,775 |
$3K |
| 93976 |
|
532 |
454 |
$3K |
| 73560 |
|
1,450 |
1,312 |
$3K |
| 88342 |
|
3,343 |
3,035 |
$3K |
| J2704 |
Inj, propofol, 10 mg |
12,788 |
10,810 |
$3K |
| 97161 |
|
329 |
286 |
$3K |
| 97163 |
|
1,504 |
1,379 |
$3K |
| 11042 |
|
2,194 |
1,113 |
$3K |
| 73090 |
|
325 |
276 |
$3K |
| 73590 |
|
803 |
704 |
$3K |
| 95819 |
|
111 |
105 |
$3K |
| 86140 |
|
9,070 |
7,919 |
$3K |
| 90715 |
|
1,129 |
1,079 |
$3K |
| 73564 |
|
840 |
816 |
$3K |
| 84439 |
|
6,289 |
5,842 |
$2K |
| 73221 |
|
766 |
715 |
$2K |
| J0171 |
Adrenalin epinephrine inject |
1,598 |
1,330 |
$2K |
| J0131 |
Inj, acetaminophen (nos) |
1,265 |
1,074 |
$2K |
| 82803 |
|
1,560 |
1,293 |
$2K |
| 73502 |
|
1,740 |
1,609 |
$2K |
| 82784 |
|
2,285 |
1,762 |
$2K |
| 86900 |
|
3,166 |
2,622 |
$2K |
| 85730 |
|
11,115 |
9,303 |
$2K |
| 86780 |
|
4,374 |
3,950 |
$2K |
| A9576 |
Inj prohance multipack |
2,377 |
2,150 |
$2K |
| 83516 |
|
1,605 |
1,209 |
$2K |
| 82728 |
|
4,671 |
4,246 |
$2K |
| 76830 |
|
2,478 |
2,348 |
$2K |
| 87147 |
|
1,453 |
1,283 |
$2K |
| D1120 |
|
110 |
100 |
$2K |
| J0696 |
Ceftriaxone sodium injection |
3,081 |
2,077 |
$2K |
| 83735 |
|
9,744 |
7,700 |
$2K |
| 72100 |
|
2,217 |
2,088 |
$2K |
| M0243 |
Casirivi and imdevi inj |
72 |
72 |
$2K |
| M0245 |
Bamlan and etesev infusion |
215 |
207 |
$2K |
| 85379 |
|
3,653 |
3,343 |
$2K |
| 87205 |
|
3,923 |
3,452 |
$1K |
| 87651 |
|
439 |
379 |
$1K |
| 87070 |
|
3,838 |
3,384 |
$1K |
| 71250 |
|
1,631 |
1,535 |
$1K |
| 90471 |
|
1,513 |
1,389 |
$1K |
| 83630 |
|
1,302 |
1,166 |
$1K |
| 85652 |
|
8,242 |
7,277 |
$1K |
| 83880 |
|
3,463 |
3,012 |
$1K |
| 97168 |
|
157 |
157 |
$1K |
| 87811 |
|
1,039 |
952 |
$1K |
| 87389 |
|
3,419 |
3,268 |
$1K |
| 86850 |
|
2,627 |
2,201 |
$1K |
| 96366 |
|
866 |
533 |
$1K |
| 80074 |
|
1,773 |
1,668 |
$1K |
| 87880 |
|
489 |
475 |
$1K |
| 84702 |
|
2,497 |
1,802 |
$1K |
| G0463 |
Hospital outpt clinic visit |
50,499 |
34,009 |
$1K |
| 85610 |
|
16,802 |
12,947 |
$1K |
| 92522 |
|
75 |
69 |
$1K |
| 84100 |
|
3,087 |
2,537 |
$1K |
| 93971 |
|
1,570 |
1,473 |
$1K |
| 82375 |
|
1,502 |
1,254 |
$1K |
| 73080 |
|
263 |
254 |
$1K |
| 97167 |
|
279 |
255 |
$1K |
| 84403 |
|
789 |
725 |
$1K |
| 82948 |
|
11,531 |
5,357 |
$1K |
| 90834 |
|
2,526 |
1,761 |
$1K |
| 82607 |
|
6,396 |
6,021 |
$974.45 |
| D2930 |
|
473 |
87 |
$952.30 |
| 86901 |
|
3,125 |
2,591 |
$939.14 |
| 76870 |
|
98 |
94 |
$897.11 |
| A9579 |
Gad-base mr contrast nos,1ml |
262 |
172 |
$882.68 |
| 94729 |
|
584 |
523 |
$876.16 |
| 83550 |
|
4,813 |
4,425 |
$869.32 |
| J3480 |
Inj potassium chloride |
1,106 |
618 |
$842.12 |
| 94375 |
|
302 |
288 |
$835.55 |
| 80076 |
|
2,817 |
2,558 |
$822.61 |
| 94726 |
|
572 |
509 |
$818.51 |
| 85027 |
|
5,052 |
4,241 |
$803.75 |
| 83970 |
|
2,151 |
1,964 |
$799.84 |
| J1885 |
Ketorolac tromethamine inj |
10,789 |
8,717 |
$792.64 |
| J2710 |
Neostigmine methylslfte inj |
442 |
396 |
$741.44 |
| 72110 |
|
1,041 |
1,012 |
$732.73 |
| 73070 |
|
139 |
121 |
$712.50 |
| J7120 |
Ringers lactate infusion |
1,758 |
1,186 |
$706.78 |
| J2270 |
Morphine sulfate injection |
6,007 |
4,059 |
$705.67 |
| 78452 |
|
689 |
542 |
$700.99 |
| 93350 |
|
658 |
636 |
$652.82 |
| 12011 |
|
13 |
12 |
$649.39 |
| 82746 |
|
4,958 |
4,672 |
$636.60 |
| 88300 |
|
111 |
101 |
$636.06 |
| 90832 |
|
2,125 |
1,520 |
$635.14 |
| J2001 |
Lidocaine injection |
7,158 |
5,628 |
$609.30 |
| 93226 |
|
462 |
435 |
$600.57 |
| G0480 |
Drug test def 1-7 classes |
15,556 |
12,694 |
$582.93 |
| 86891 |
|
12 |
12 |
$581.39 |
| 81025 |
|
1,273 |
1,214 |
$556.61 |
| J1040 |
Methylprednisolone 80 mg inj |
1,460 |
1,275 |
$552.81 |
| 72040 |
|
704 |
657 |
$545.81 |
| 82150 |
|
1,254 |
1,176 |
$540.60 |
| 87210 |
|
2,647 |
2,450 |
$536.48 |
| 71101 |
|
152 |
139 |
$536.35 |
| 83655 |
|
437 |
396 |
$534.74 |
| 94760 |
|
5,273 |
3,487 |
$527.09 |
| J2250 |
Inj midazolam hydrochloride |
8,684 |
7,109 |
$526.13 |
| 86665 |
|
188 |
96 |
$514.72 |
| 72070 |
|
314 |
299 |
$509.61 |
| 82550 |
|
1,454 |
1,196 |
$497.20 |
| 86364 |
|
408 |
344 |
$485.94 |
| 97016 |
|
1,240 |
452 |
$482.25 |
| 97802 |
|
13 |
13 |
$479.40 |
| D7140 |
|
112 |
30 |
$474.30 |
| 97164 |
|
43 |
42 |
$473.68 |
| 83540 |
|
4,273 |
4,020 |
$471.02 |
| 88321 |
|
84 |
79 |
$461.04 |
| 86803 |
|
2,968 |
2,803 |
$457.67 |
| 83520 |
|
549 |
461 |
$450.42 |
| 97035 |
|
3,471 |
1,520 |
$437.80 |
| 76700 |
|
116 |
111 |
$434.69 |
| 86038 |
|
1,688 |
1,593 |
$427.84 |
| 76817 |
|
967 |
838 |
$416.50 |
| 97760 |
|
27 |
25 |
$410.98 |
| 93225 |
|
443 |
417 |
$410.04 |
| 85007 |
|
584 |
425 |
$405.70 |
| 76801 |
|
546 |
497 |
$402.90 |
| J7030 |
Normal saline solution infus |
1,457 |
828 |
$392.77 |
| 86592 |
|
918 |
851 |
$391.88 |
| J1200 |
Diphenhydramine hcl injectio |
3,395 |
2,752 |
$380.50 |
| 97803 |
|
41 |
39 |
$364.65 |
| 96413 |
|
3,842 |
1,923 |
$358.80 |
| J2930 |
Methylprednisolone injection |
1,781 |
1,415 |
$340.62 |
| 93017 |
|
2,237 |
1,985 |
$339.76 |
| 88341 |
|
316 |
274 |
$335.48 |
| J3010 |
Fentanyl citrate injection |
17,469 |
12,198 |
$328.24 |
| J7050 |
Normal saline solution infus |
5,051 |
2,333 |
$315.64 |
| 74022 |
|
147 |
143 |
$312.63 |
| 76816 |
|
2,006 |
1,716 |
$285.52 |
| 87075 |
|
384 |
311 |
$280.90 |
| 90686 |
|
596 |
570 |
$272.34 |
| 95886 |
|
491 |
480 |
$272.10 |
| D0272 |
|
70 |
65 |
$265.79 |
| J1170 |
Hydromorphone injection |
6,548 |
4,269 |
$264.60 |
| 90839 |
|
89 |
84 |
$254.15 |
| 86480 |
|
252 |
231 |
$248.27 |
| J1630 |
Haloperidol injection |
400 |
318 |
$247.04 |
| J1100 |
Dexamethasone sodium phos |
11,847 |
8,703 |
$245.09 |
| 82105 |
|
925 |
862 |
$236.41 |
| J8499 |
Oral prescrip drug non chemo |
202 |
116 |
$229.61 |
| 84146 |
|
204 |
188 |
$226.02 |
| 72170 |
|
157 |
148 |
$223.15 |
| 80320 |
|
26 |
22 |
$217.95 |
| 87522 |
Neg quan hep c or qual rna |
1,334 |
1,257 |
$215.37 |
| 94060 |
|
1,379 |
1,129 |
$213.18 |
| G0008 |
Admin influenza virus vac |
1,150 |
1,060 |
$204.00 |
| 83001 |
|
219 |
201 |
$189.63 |
| 76642 |
|
456 |
452 |
$188.99 |
| 80050 |
|
187 |
183 |
$184.95 |
| 77067 |
|
5,095 |
5,003 |
$182.56 |
| 87340 |
|
1,853 |
1,730 |
$178.15 |
| 86200 |
|
711 |
659 |
$175.60 |
| 84550 |
|
2,077 |
1,868 |
$175.44 |
| 82248 |
|
612 |
392 |
$170.45 |
| 82670 |
|
119 |
112 |
$162.65 |
| J1105 |
Dexmedetomidine film, 1 mcg |
371 |
174 |
$162.24 |
| Q2036 |
Flulaval vacc, 3 yrs & >, im |
132 |
124 |
$161.18 |
| 76805 |
|
408 |
377 |
$153.46 |
| J2405 |
Ondansetron hcl injection |
19,863 |
13,927 |
$148.72 |
| 82140 |
|
661 |
550 |
$147.01 |
| 87634 |
|
15 |
15 |
$135.71 |
| 96367 |
|
3,036 |
1,499 |
$134.89 |
| 82043 |
|
1,358 |
1,291 |
$134.47 |
| J7060 |
5% dextrose/water |
1,354 |
775 |
$132.78 |
| 88312 |
|
28 |
25 |
$125.36 |
| 84480 |
|
127 |
123 |
$124.02 |
| 99152 |
|
346 |
285 |
$122.49 |
| 73660 |
|
18 |
13 |
$115.86 |
| 84402 |
|
73 |
68 |
$111.39 |
| 86376 |
|
209 |
189 |
$105.90 |
| 80305 |
|
3,858 |
2,682 |
$102.70 |
| 84460 |
|
155 |
148 |
$102.20 |
| 77066 |
Tomosynthesis, mammo |
64 |
63 |
$99.58 |
| 45385 |
|
675 |
658 |
$97.98 |
| 82570 |
|
1,929 |
1,695 |
$94.19 |
| 87015 |
|
958 |
896 |
$93.74 |
| 83615 |
|
793 |
665 |
$92.43 |
| A9270 |
Non-covered item or service |
9,198 |
3,833 |
$92.30 |
| 82977 |
|
523 |
435 |
$90.29 |
| J3370 |
Vancomycin hcl injection |
143 |
95 |
$84.48 |
| J1650 |
Inj enoxaparin sodium |
2,663 |
1,232 |
$84.28 |
| 86431 |
|
1,025 |
971 |
$79.74 |
| 80069 |
|
2,137 |
1,811 |
$75.82 |
| 82565 |
|
1,162 |
1,045 |
$75.79 |
| 84481 |
|
234 |
205 |
$73.92 |
| J2765 |
Metoclopramide hcl injection |
4,690 |
3,770 |
$72.94 |
| 82785 |
|
154 |
140 |
$72.02 |
| 86762 |
|
451 |
434 |
$69.79 |
| 84156 |
|
2,168 |
1,785 |
$68.25 |
| J0780 |
Prochlorperazine injection |
79 |
66 |
$63.81 |
| 87653 |
|
863 |
781 |
$61.04 |
| 80299 |
|
46 |
41 |
$60.89 |
| 86308 |
|
44 |
42 |
$58.35 |
| J2370 |
Phenylephrine hcl injection |
463 |
378 |
$56.40 |
| 29581 |
|
2,346 |
553 |
$55.23 |
| 72050 |
|
203 |
200 |
$52.54 |
| 87661 |
|
52 |
52 |
$51.16 |
| 99281 |
|
86 |
57 |
$49.60 |
| 82533 |
|
192 |
129 |
$47.54 |
| 77063 |
|
5,060 |
4,968 |
$47.46 |
| 82274 |
|
13 |
13 |
$46.43 |
| G0144 |
Scr c/v cyto,thinlayer,rescr |
3,295 |
3,203 |
$43.97 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
296 |
169 |
$37.04 |
| 73620 |
|
14 |
12 |
$32.92 |
| 95012 |
|
243 |
189 |
$32.37 |
| 82077 |
|
307 |
282 |
$29.75 |
| 83993 |
|
13 |
13 |
$28.62 |
| Q0162 |
Ondansetron oral |
180 |
119 |
$26.98 |
| 85018 |
|
470 |
366 |
$25.44 |
| 85014 |
|
548 |
422 |
$23.57 |
| 86800 |
|
70 |
66 |
$23.20 |
| G0447 |
Behavior counsel obesity 15m |
1,986 |
1,602 |
$22.26 |
| J1644 |
Inj heparin sodium per 1000u |
3,944 |
1,911 |
$21.57 |
| G0279 |
Tomosynthesis, mammo |
489 |
471 |
$21.47 |
| 87338 |
|
66 |
65 |
$20.96 |
| 81003 |
|
646 |
572 |
$20.20 |
| J2060 |
Lorazepam injection |
2,552 |
1,800 |
$18.59 |
| 84520 |
|
587 |
548 |
$17.88 |
| J1815 |
Insulin injection |
1,046 |
395 |
$15.24 |
| 82247 |
|
334 |
219 |
$14.64 |
| 87046 |
|
12 |
12 |
$13.76 |
| 87045 |
|
12 |
12 |
$13.76 |
| 84436 |
|
25 |
25 |
$13.28 |
| 82947 |
|
1,098 |
543 |
$11.46 |
| J7040 |
Normal saline solution infus |
1,019 |
625 |
$7.91 |
| J2550 |
Promethazine hcl injection |
1,430 |
1,188 |
$7.85 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
51 |
34 |
$7.65 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
406 |
208 |
$6.49 |
| 82465 |
|
38 |
38 |
$6.30 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
481 |
243 |
$6.24 |
| 84425 |
|
57 |
56 |
$2.87 |
| J7512 |
Prednisone ir or dr oral 1mg |
213 |
160 |
$0.22 |
| G0103 |
Psa screening |
2,126 |
2,069 |
$0.00 |
| 36591 |
|
2,575 |
1,386 |
$0.00 |
| G0396 |
Alcohol/subs interv 15-30mn |
254 |
211 |
$0.00 |
| H0035 |
Mh partial hosp tx under 24h |
2,184 |
304 |
$0.00 |
| 84153 |
|
1,278 |
1,142 |
$0.00 |
| 20610 |
|
1,421 |
1,178 |
$0.00 |
| 86160 |
|
20 |
12 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
1,399 |
1,265 |
$0.00 |
| 36416 |
|
1,664 |
975 |
$0.00 |
| 76811 |
|
260 |
255 |
$0.00 |
| G8980 |
Mobility d/c status |
128 |
116 |
$0.00 |
| 72146 |
|
13 |
13 |
$0.00 |
| 96415 |
|
389 |
210 |
$0.00 |
| 82950 |
|
225 |
219 |
$0.00 |
| 87624 |
|
2,518 |
2,425 |
$0.00 |
| 80349 |
|
74 |
72 |
$0.00 |
| 45380 |
|
731 |
638 |
$0.00 |
| 93922 |
|
364 |
343 |
$0.00 |
| J0185 |
Inj., aprepitant, 1 mg |
43 |
25 |
$0.00 |
| 83883 |
|
83 |
64 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
127 |
102 |
$0.00 |
| 82378 |
|
621 |
479 |
$0.00 |
| 86706 |
|
284 |
252 |
$0.00 |
| 96127 |
|
297 |
270 |
$0.00 |
| Q3014 |
Telehealth facility fee |
88 |
58 |
$0.00 |
| 93246 |
|
25 |
24 |
$0.00 |
| 70491 |
|
84 |
81 |
$0.00 |
| J2785 |
Regadenoson injection |
404 |
342 |
$0.00 |
| C1726 |
Cath, bal dil, non-vascular |
287 |
273 |
$0.00 |
| G8988 |
Self care goal status |
175 |
146 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
46 |
44 |
$0.00 |
| 99495 |
|
12 |
12 |
$0.00 |
| 86704 |
|
68 |
62 |
$0.00 |
| 80359 |
|
73 |
71 |
$0.00 |
| J2360 |
Orphenadrine injection |
147 |
139 |
$0.00 |
| 80353 |
|
64 |
63 |
$0.00 |
| 82164 |
|
128 |
43 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
361 |
234 |
$0.00 |
| 80178 |
|
13 |
12 |
$0.00 |
| 87529 |
|
152 |
94 |
$0.00 |
| 17000 |
|
16 |
14 |
$0.00 |
| 36000 |
|
226 |
142 |
$0.00 |
| 80357 |
|
114 |
55 |
$0.00 |
| J2469 |
Palonosetron hcl |
469 |
239 |
$0.00 |
| 80345 |
|
175 |
58 |
$0.00 |
| 86255 |
|
28 |
25 |
$0.00 |
| 64494 |
|
24 |
24 |
$0.00 |
| 80197 |
|
20 |
12 |
$0.00 |
| 88307 |
|
194 |
130 |
$0.00 |
| 73060 |
|
14 |
13 |
$0.00 |
| 87640 |
|
672 |
494 |
$0.00 |
| 64493 |
|
24 |
24 |
$0.00 |
| D1351 |
|
41 |
16 |
$0.00 |
| 76377 |
|
12 |
12 |
$0.00 |
| J2505 |
Injection, pegfilgrastim 6mg |
17 |
12 |
$0.00 |
| D0240 |
|
34 |
15 |
$0.00 |
| J3360 |
Diazepam injection |
33 |
25 |
$0.00 |
| G8987 |
Self care current status |
165 |
138 |
$0.00 |
| 80371 |
|
85 |
48 |
$0.00 |
| 83002 |
|
58 |
56 |
$0.00 |
| 45378 |
|
85 |
84 |
$0.00 |
| 88323 |
|
16 |
16 |
$0.00 |
| 81596 |
|
101 |
98 |
$0.00 |
| J1790 |
Droperidol injection |
31 |
26 |
$0.00 |
| 94010 |
|
47 |
38 |
$0.00 |
| 95911 |
|
40 |
40 |
$0.00 |
| 93458 |
|
12 |
12 |
$0.00 |
| 87507 |
|
13 |
12 |
$0.00 |
| 80358 |
|
73 |
71 |
$0.00 |
| 76819 |
|
61 |
27 |
$0.00 |
| 86812 |
|
36 |
24 |
$0.00 |
| 80352 |
|
48 |
47 |
$0.00 |
| 80368 |
|
57 |
55 |
$0.00 |
| 90694 |
|
34 |
34 |
$0.00 |
| 97597 |
|
42 |
14 |
$0.00 |
| 82962 |
|
27 |
24 |
$0.00 |
| 76815 |
|
13 |
12 |
$0.00 |
| C1781 |
Mesh (implantable) |
55 |
46 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
43 |
27 |
$0.00 |
| 83521 |
|
20 |
12 |
$0.00 |
| 73120 |
|
14 |
14 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
15 |
15 |
$0.00 |
| 94761 |
|
26 |
16 |
$0.00 |
| 97165 |
|
13 |
12 |
$0.00 |
| 86920 |
|
19 |
14 |
$0.00 |
| 80329 |
|
21 |
13 |
$0.00 |
| 73700 |
|
14 |
13 |
$0.00 |
| 99291 |
|
40 |
16 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
21 |
12 |
$0.00 |
| 17250 |
|
25 |
12 |
$0.00 |
| 74221 |
|
13 |
13 |
$0.00 |
| 51798 |
|
32 |
29 |
$0.00 |
| 64635 |
|
14 |
12 |
$0.00 |
| 83789 |
|
12 |
12 |
$0.00 |
| 90853 |
|
4,800 |
1,520 |
$0.00 |
| 80364 |
|
71 |
69 |
$0.00 |
| 86235 |
|
135 |
73 |
$0.00 |
| 81002 |
|
253 |
219 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
358 |
314 |
$0.00 |
| 36592 |
|
140 |
67 |
$0.00 |
| 43249 |
|
63 |
63 |
$0.00 |
| 11721 |
|
809 |
744 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
83 |
60 |
$0.00 |
| 77080 |
|
352 |
349 |
$0.00 |
| 77065 |
Tomosynthesis, mammo |
12 |
12 |
$0.00 |
| G0483 |
Drug test def 22+ classes |
1,360 |
1,137 |
$0.00 |
| 29848 |
|
89 |
87 |
$0.00 |
| J1453 |
Fosaprepitant injection |
118 |
57 |
$0.00 |
| 80365 |
|
146 |
71 |
$0.00 |
| G0500 |
Mod sedat endo service >5yrs |
1,297 |
1,217 |
$0.00 |
| 90653 |
|
117 |
113 |
$0.00 |
| 99490 |
Ccm add 20min |
128 |
124 |
$0.00 |
| 74178 |
|
29 |
27 |
$0.00 |
| 80361 |
|
214 |
71 |
$0.00 |
| 86705 |
|
100 |
97 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
567 |
340 |
$0.00 |
| G8979 |
Mobility goal status |
458 |
396 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
455 |
311 |
$0.00 |
| A9552 |
F18 fdg |
122 |
115 |
$0.00 |
| G0141 |
Scr c/v cyto,autosys and md |
102 |
78 |
$0.00 |
| G0260 |
Inj for sacroiliac jt anesth |
215 |
197 |
$0.00 |
| 92610 |
|
31 |
26 |
$0.00 |
| G0482 |
Drug test def 15-21 classes |
223 |
206 |
$0.00 |
| 80348 |
|
145 |
71 |
$0.00 |
| 84165 |
|
87 |
84 |
$0.00 |
| 80321 |
|
148 |
77 |
$0.00 |
| 71271 |
|
146 |
127 |
$0.00 |
| 80355 |
|
60 |
58 |
$0.00 |
| 89051 |
|
56 |
50 |
$0.00 |
| 80370 |
|
29 |
29 |
$0.00 |
| 83992 |
|
31 |
30 |
$0.00 |
| 80354 |
|
215 |
71 |
$0.00 |
| J1580 |
Garamycin gentamicin inj |
63 |
50 |
$0.00 |
| C1729 |
Cath, drainage |
79 |
40 |
$0.00 |
| 86708 |
|
12 |
12 |
$0.00 |
| 80346 |
|
73 |
71 |
$0.00 |
| G8978 |
Mobility current status |
422 |
377 |
$0.00 |
| J0585 |
Injection,onabotulinumtoxina |
20 |
13 |
$0.00 |
| 77085 |
|
153 |
152 |
$0.00 |
| 36600 |
|
81 |
66 |
$0.00 |
| 43235 |
|
66 |
64 |
$0.00 |
| 93798 |
|
101 |
12 |
$0.00 |
| 77336 |
|
132 |
62 |
$0.00 |
| 96417 |
|
98 |
49 |
$0.00 |
| 80338 |
|
89 |
30 |
$0.00 |
| 95816 |
|
26 |
26 |
$0.00 |
| 84166 |
|
36 |
28 |
$0.00 |
| 97542 |
|
73 |
65 |
$0.00 |
| 78815 |
|
228 |
201 |
$0.00 |
| 80366 |
|
58 |
57 |
$0.00 |
| 47562 |
|
32 |
27 |
$0.00 |
| 64636 |
|
14 |
12 |
$0.00 |
| 84155 |
|
32 |
32 |
$0.00 |
| 95913 |
|
87 |
79 |
$0.00 |
| 93296 |
|
121 |
112 |
$0.00 |
| 80323 |
|
133 |
67 |
$0.00 |
| 88112 |
|
13 |
12 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
205 |
131 |
$0.00 |
| 80339 |
|
30 |
30 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
31 |
30 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
120 |
93 |
$0.00 |
| 99408 |
|
14 |
12 |
$0.00 |
| 82010 |
|
35 |
28 |
$0.00 |
| 93880 |
|
55 |
53 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
17 |
17 |
$0.00 |
| 93356 |
|
70 |
63 |
$0.00 |
| 80360 |
|
120 |
58 |
$0.00 |
| 80344 |
|
30 |
30 |
$0.00 |
| 80356 |
|
73 |
71 |
$0.00 |
| 80373 |
|
75 |
34 |
$0.00 |
| 74220 |
|
15 |
15 |
$0.00 |
| Q0163 |
Diphenhydramine hcl 50mg |
49 |
43 |
$0.00 |
| 80325 |
|
12 |
12 |
$0.00 |
| 80164 |
|
45 |
40 |
$0.00 |
| 86703 |
|
36 |
34 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
39 |
39 |
$0.00 |
| 76818 |
|
54 |
29 |
$0.00 |
| J9271 |
Inj pembrolizumab |
14 |
12 |
$0.00 |
| 0077U |
|
13 |
13 |
$0.00 |
| 80372 |
|
12 |
12 |
$0.00 |
| 87220 |
|
14 |
14 |
$0.00 |
| A4649 |
Surgical supplies |
25 |
16 |
$0.00 |