| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
31,589 |
27,629 |
$1.74M |
| 99282 |
|
24,018 |
21,288 |
$1.59M |
| 99284 |
|
28,363 |
23,740 |
$1.31M |
| 80053 |
|
65,100 |
50,772 |
$1.28M |
| 87633 |
|
3,786 |
3,343 |
$1.13M |
| 87635 |
|
22,990 |
20,213 |
$998K |
| 96365 |
|
15,764 |
12,080 |
$934K |
| 96361 |
|
9,129 |
6,180 |
$896K |
| 99214 |
|
15,336 |
13,693 |
$797K |
| U0003 |
Cov-19 amp prb hgh thruput |
12,923 |
11,349 |
$773K |
| 80307 |
|
14,779 |
11,916 |
$682K |
| 74177 |
|
8,867 |
7,735 |
$589K |
| 87491 |
|
18,484 |
16,971 |
$577K |
| 87591 |
|
18,489 |
16,978 |
$503K |
| 87631 |
|
4,509 |
4,030 |
$497K |
| 70450 |
|
7,531 |
6,499 |
$449K |
| 96366 |
|
5,964 |
3,219 |
$439K |
| G0378 |
Hospital observation per hr |
18,024 |
7,067 |
$438K |
| 43239 |
|
2,210 |
2,052 |
$432K |
| 85025 |
|
65,660 |
48,088 |
$413K |
| 99213 |
|
9,221 |
6,854 |
$392K |
| 82306 |
|
16,693 |
15,711 |
$352K |
| 93306 |
|
4,072 |
3,615 |
$310K |
| 45380 |
|
1,422 |
1,323 |
$282K |
| 88175 |
|
11,621 |
10,964 |
$277K |
| 99285 |
|
4,875 |
4,129 |
$277K |
| 87811 |
|
6,691 |
5,054 |
$264K |
| 87086 |
|
23,148 |
20,587 |
$247K |
| 87624 |
|
8,083 |
7,639 |
$245K |
| 99211 |
|
3,645 |
3,086 |
$231K |
| 80048 |
|
15,905 |
11,166 |
$228K |
| 71260 |
|
4,117 |
3,588 |
$225K |
| 99281 |
|
3,026 |
2,751 |
$221K |
| 87507 |
|
764 |
681 |
$219K |
| U0005 |
Infec agen detec ampli probe |
12,829 |
11,161 |
$216K |
| 87081 |
|
17,750 |
16,428 |
$197K |
| 94640 |
|
6,966 |
3,732 |
$194K |
| 82962 |
|
22,808 |
7,889 |
$192K |
| 43248 |
|
1,058 |
1,005 |
$181K |
| 74176 |
|
2,746 |
2,400 |
$169K |
| G0480 |
Drug test def 1-7 classes |
3,912 |
3,234 |
$166K |
| 96360 |
|
2,628 |
2,259 |
$158K |
| 78452 |
|
1,157 |
1,039 |
$157K |
| 87389 |
|
7,353 |
6,732 |
$150K |
| 43235 |
|
774 |
710 |
$148K |
| 80061 |
|
13,054 |
12,111 |
$147K |
| 81025 |
|
13,230 |
11,347 |
$141K |
| 80050 |
|
5,282 |
4,665 |
$140K |
| 82607 |
|
11,591 |
10,902 |
$132K |
| 84443 |
|
10,710 |
9,798 |
$129K |
| 99204 |
|
2,131 |
1,891 |
$128K |
| 84484 |
|
16,383 |
10,638 |
$126K |
| 87651 |
|
3,121 |
2,790 |
$122K |
| 81001 |
|
29,919 |
24,899 |
$122K |
| G0379 |
Direct refer hospital observ |
2,043 |
1,632 |
$119K |
| 42820 |
|
172 |
167 |
$119K |
| 69436 |
|
305 |
272 |
$119K |
| 88305 |
|
10,224 |
8,057 |
$118K |
| 77067 |
|
5,160 |
4,774 |
$118K |
| 87661 |
|
4,456 |
4,118 |
$116K |
| 71275 |
|
1,385 |
1,247 |
$112K |
| 62323 |
|
846 |
786 |
$111K |
| 58661 |
|
68 |
59 |
$109K |
| 76705 |
|
3,169 |
2,795 |
$109K |
| 83880 |
|
4,807 |
3,934 |
$100K |
| 97597 |
|
2,222 |
1,270 |
$94K |
| 86803 |
|
7,804 |
7,287 |
$91K |
| 87502 |
|
931 |
841 |
$87K |
| 99215 |
Prolong outpt/office vis |
1,616 |
1,420 |
$83K |
| 96367 |
|
2,230 |
1,575 |
$80K |
| 82728 |
|
8,058 |
7,393 |
$80K |
| 83690 |
|
14,474 |
12,005 |
$79K |
| 84702 |
|
4,340 |
2,937 |
$72K |
| 83655 |
|
5,986 |
5,712 |
$72K |
| 0241U |
|
1,777 |
1,634 |
$72K |
| 83036 |
|
5,364 |
4,860 |
$70K |
| 86618 |
|
5,010 |
2,646 |
$68K |
| 76642 |
|
1,734 |
1,538 |
$67K |
| 58571 |
|
39 |
28 |
$67K |
| G0121 |
Colon ca scrn not hi rsk ind |
202 |
189 |
$65K |
| 77063 |
|
5,023 |
4,641 |
$64K |
| 86780 |
|
6,962 |
6,301 |
$64K |
| 93971 |
|
2,139 |
1,877 |
$63K |
| 84439 |
|
7,853 |
7,316 |
$62K |
| 82746 |
|
5,785 |
5,426 |
$61K |
| G0463 |
Hospital outpt clinic visit |
8,395 |
6,466 |
$58K |
| 87186 |
|
8,556 |
7,619 |
$56K |
| 76856 |
|
1,258 |
1,143 |
$56K |
| 45385 |
|
231 |
210 |
$55K |
| 86900 |
|
4,956 |
4,362 |
$54K |
| 76830 |
|
1,415 |
1,261 |
$53K |
| 93017 |
|
1,512 |
1,356 |
$53K |
| 84403 |
|
2,372 |
2,195 |
$53K |
| 86480 |
|
995 |
930 |
$52K |
| 84466 |
|
5,920 |
5,448 |
$52K |
| 87340 |
|
6,286 |
5,736 |
$52K |
| 85610 |
|
10,202 |
6,926 |
$51K |
| 87880 |
|
2,756 |
2,478 |
$50K |
| 95806 |
|
560 |
520 |
$50K |
| 87150 |
|
1,701 |
1,598 |
$49K |
| 87798 |
|
1,542 |
924 |
$47K |
| 85379 |
|
6,409 |
5,456 |
$45K |
| 88341 |
|
3,094 |
2,017 |
$44K |
| 87077 |
|
3,878 |
3,505 |
$44K |
| 93296 |
|
2,488 |
2,332 |
$43K |
| 86850 |
|
4,718 |
4,168 |
$43K |
| 86762 |
|
3,373 |
3,081 |
$43K |
| 30140 |
|
39 |
36 |
$43K |
| 72125 |
|
1,934 |
1,749 |
$42K |
| 71046 |
|
11,972 |
10,561 |
$42K |
| 83516 |
|
3,434 |
1,872 |
$41K |
| 87641 |
|
1,328 |
1,192 |
$39K |
| 85027 |
|
6,549 |
5,159 |
$39K |
| 86140 |
|
8,180 |
6,430 |
$38K |
| 83735 |
|
9,921 |
5,964 |
$38K |
| 99291 |
|
623 |
501 |
$37K |
| 87088 |
|
3,787 |
3,485 |
$37K |
| 83605 |
|
5,327 |
3,915 |
$36K |
| 87070 |
|
3,506 |
3,116 |
$36K |
| 76770 |
|
598 |
546 |
$35K |
| 99203 |
|
597 |
524 |
$32K |
| 83540 |
|
6,729 |
6,221 |
$31K |
| 82565 |
|
2,661 |
2,091 |
$30K |
| 71250 |
|
957 |
863 |
$30K |
| 83970 |
|
1,027 |
952 |
$29K |
| 86038 |
|
3,039 |
2,776 |
$29K |
| 84703 |
|
2,872 |
2,563 |
$28K |
| 82784 |
|
2,137 |
1,853 |
$28K |
| 45378 |
|
164 |
157 |
$28K |
| 87210 |
|
3,251 |
2,854 |
$26K |
| 80164 |
|
1,317 |
1,158 |
$26K |
| 94060 |
|
1,002 |
917 |
$25K |
| 20553 |
|
463 |
432 |
$25K |
| 74018 |
|
2,520 |
2,139 |
$25K |
| 84146 |
|
1,363 |
1,246 |
$24K |
| 87040 |
|
3,360 |
2,046 |
$24K |
| 88342 |
|
3,216 |
2,550 |
$24K |
| 80143 |
|
1,690 |
1,437 |
$23K |
| 82550 |
|
3,493 |
2,652 |
$23K |
| 86704 |
|
2,594 |
2,346 |
$23K |
| 86225 |
|
2,147 |
2,014 |
$22K |
| 82570 |
|
5,186 |
4,550 |
$22K |
| 76536 |
|
575 |
537 |
$22K |
| 80076 |
|
1,882 |
1,437 |
$21K |
| 86706 |
|
2,753 |
2,502 |
$21K |
| 88307 |
|
1,756 |
1,491 |
$21K |
| 83001 |
|
1,394 |
1,300 |
$21K |
| 78815 |
|
104 |
91 |
$20K |
| 87426 |
|
823 |
685 |
$20K |
| 93010 |
|
3,453 |
2,746 |
$20K |
| M0243 |
Casirivi and imdevi inj |
53 |
48 |
$19K |
| 82805 |
|
873 |
675 |
$19K |
| 96374 |
|
19,021 |
15,787 |
$18K |
| 80179 |
|
1,627 |
1,394 |
$17K |
| 12001 |
|
196 |
179 |
$17K |
| 87522 |
Neg quan hep c or qual rna |
553 |
515 |
$17K |
| 86708 |
|
1,949 |
1,780 |
$17K |
| 84270 |
|
1,097 |
1,007 |
$17K |
| 86235 |
|
1,036 |
304 |
$16K |
| 93242 |
|
868 |
768 |
$15K |
| 73610 |
|
1,875 |
1,604 |
$15K |
| 70486 |
|
455 |
401 |
$15K |
| 87529 |
|
549 |
288 |
$15K |
| 82043 |
|
2,897 |
2,716 |
$15K |
| 82670 |
|
684 |
631 |
$15K |
| 86200 |
|
1,271 |
1,126 |
$15K |
| 85730 |
|
3,792 |
3,072 |
$14K |
| 87205 |
|
3,845 |
3,417 |
$13K |
| 93005 |
|
23,494 |
17,254 |
$12K |
| 86481 |
|
169 |
150 |
$12K |
| 80178 |
|
974 |
839 |
$12K |
| 73110 |
|
988 |
830 |
$12K |
| 41899 |
|
12 |
12 |
$12K |
| 73630 |
|
1,712 |
1,503 |
$12K |
| 86901 |
|
4,934 |
4,341 |
$12K |
| 93325 |
|
500 |
455 |
$12K |
| 0240U |
|
372 |
330 |
$11K |
| 93308 |
|
123 |
106 |
$11K |
| 72100 |
|
1,536 |
1,421 |
$11K |
| 86431 |
|
2,336 |
2,163 |
$11K |
| 83520 |
|
656 |
556 |
$11K |
| 82950 |
|
2,113 |
2,008 |
$10K |
| 97140 |
|
1,306 |
536 |
$10K |
| 73560 |
|
1,713 |
1,493 |
$10K |
| 70491 |
|
116 |
93 |
$10K |
| 77066 |
Tomosynthesis, mammo |
600 |
545 |
$10K |
| 84132 |
|
1,917 |
1,305 |
$10K |
| 84481 |
|
801 |
732 |
$9K |
| 73030 |
|
1,440 |
1,206 |
$9K |
| 83525 |
|
997 |
950 |
$9K |
| 84156 |
|
2,291 |
1,830 |
$9K |
| 80074 |
|
224 |
191 |
$8K |
| G0103 |
Psa screening |
540 |
522 |
$8K |
| 84100 |
|
2,788 |
1,916 |
$8K |
| 77062 |
|
352 |
321 |
$8K |
| 96372 |
|
8,105 |
4,507 |
$7K |
| 96375 |
|
19,858 |
14,823 |
$7K |
| 94726 |
|
1,315 |
1,200 |
$7K |
| 84145 |
|
557 |
463 |
$7K |
| 85018 |
|
2,205 |
1,680 |
$7K |
| 86709 |
|
801 |
752 |
$7K |
| 87484 |
|
277 |
257 |
$6K |
| 87468 |
|
277 |
257 |
$6K |
| 97110 |
|
2,279 |
770 |
$6K |
| 87469 |
|
276 |
256 |
$6K |
| 83002 |
|
424 |
402 |
$6K |
| 99244 |
|
92 |
91 |
$6K |
| 80177 |
|
209 |
193 |
$6K |
| 88304 |
|
1,922 |
1,676 |
$6K |
| 83721 |
|
755 |
720 |
$6K |
| 64493 |
|
27 |
24 |
$6K |
| 99212 |
|
76 |
65 |
$5K |
| 85652 |
|
2,325 |
1,975 |
$5K |
| 62321 |
|
34 |
29 |
$5K |
| 36415 |
|
42,163 |
30,348 |
$5K |
| 80175 |
|
360 |
332 |
$5K |
| 85014 |
|
1,401 |
1,109 |
$5K |
| 88720 |
|
56 |
51 |
$4K |
| 82553 |
|
996 |
770 |
$4K |
| 84550 |
|
1,236 |
1,101 |
$4K |
| 94729 |
|
1,555 |
1,430 |
$4K |
| 74019 |
|
299 |
278 |
$4K |
| 86376 |
|
386 |
349 |
$4K |
| 70496 |
|
73 |
62 |
$4K |
| 82010 |
|
677 |
495 |
$4K |
| 84480 |
|
371 |
359 |
$4K |
| P9604 |
One-way allow prorated trip |
3,545 |
2,126 |
$4K |
| 76801 |
|
342 |
291 |
$4K |
| 83921 |
|
231 |
213 |
$3K |
| 74178 |
|
56 |
55 |
$3K |
| 82247 |
|
142 |
96 |
$3K |
| 82533 |
|
249 |
184 |
$3K |
| 90715 |
|
544 |
476 |
$3K |
| 73130 |
|
796 |
697 |
$3K |
| 93970 |
|
76 |
67 |
$3K |
| 77065 |
Tomosynthesis, mammo |
229 |
186 |
$3K |
| 84144 |
|
135 |
117 |
$3K |
| 80069 |
|
378 |
338 |
$3K |
| 99232 |
|
123 |
38 |
$3K |
| 82140 |
|
212 |
153 |
$3K |
| 86617 |
|
238 |
116 |
$2K |
| 71045 |
|
3,509 |
2,977 |
$2K |
| 70553 |
|
40 |
36 |
$2K |
| 86787 |
|
364 |
333 |
$2K |
| 93321 |
|
28 |
25 |
$2K |
| 73070 |
|
184 |
147 |
$2K |
| 86160 |
|
306 |
170 |
$2K |
| 76700 |
|
28 |
25 |
$2K |
| 87653 |
|
72 |
62 |
$2K |
| 85048 |
|
830 |
589 |
$2K |
| 73502 |
|
514 |
460 |
$2K |
| 12011 |
|
28 |
26 |
$2K |
| 76942 |
|
734 |
648 |
$2K |
| 97112 |
|
147 |
52 |
$2K |
| G0260 |
Inj for sacroiliac jt anesth |
14 |
12 |
$2K |
| 97162 |
|
320 |
259 |
$2K |
| 86666 |
|
269 |
151 |
$2K |
| 0296T |
|
135 |
115 |
$2K |
| 87804 |
|
33 |
30 |
$2K |
| 93976 |
|
43 |
43 |
$2K |
| 94770 |
|
57 |
41 |
$2K |
| 86255 |
|
97 |
45 |
$2K |
| 84165 |
|
202 |
182 |
$2K |
| 70498 |
|
28 |
25 |
$2K |
| 95811 |
|
15 |
14 |
$1K |
| 86696 |
|
66 |
64 |
$1K |
| 86003 |
|
259 |
71 |
$1K |
| 81015 |
|
498 |
472 |
$1K |
| 82977 |
|
271 |
235 |
$1K |
| 86800 |
|
116 |
106 |
$1K |
| 82627 |
|
71 |
65 |
$1K |
| 86364 |
|
141 |
114 |
$1K |
| 70551 |
|
26 |
24 |
$1K |
| 76870 |
|
38 |
38 |
$1K |
| 96413 |
|
92 |
63 |
$1K |
| 93880 |
|
41 |
39 |
$1K |
| 82248 |
|
183 |
133 |
$1K |
| 85007 |
|
210 |
183 |
$982.60 |
| 86695 |
|
66 |
64 |
$950.59 |
| 86753 |
|
131 |
125 |
$880.15 |
| 73590 |
|
62 |
51 |
$873.07 |
| 77061 |
|
42 |
36 |
$819.42 |
| 84155 |
|
208 |
189 |
$780.78 |
| 82105 |
|
70 |
64 |
$699.60 |
| 82947 |
|
143 |
119 |
$672.94 |
| 93225 |
|
28 |
26 |
$641.94 |
| 72040 |
|
12 |
12 |
$637.32 |
| 83498 |
|
27 |
24 |
$624.95 |
| 82150 |
|
98 |
80 |
$545.95 |
| 88360 |
|
12 |
12 |
$542.04 |
| 77080 |
|
16 |
13 |
$534.36 |
| 76882 |
|
14 |
13 |
$527.50 |
| 84425 |
|
25 |
24 |
$469.46 |
| 93295 |
|
26 |
26 |
$469.01 |
| 93922 |
|
15 |
12 |
$457.92 |
| 82330 |
|
45 |
38 |
$450.06 |
| 87147 |
|
112 |
95 |
$438.10 |
| 17250 |
|
16 |
12 |
$411.54 |
| 83993 |
|
25 |
25 |
$409.30 |
| 87252 |
|
15 |
13 |
$406.65 |
| 76937 |
|
133 |
116 |
$405.54 |
| 71271 |
|
14 |
14 |
$389.78 |
| 85045 |
|
143 |
130 |
$381.73 |
| 87338 |
|
29 |
29 |
$372.01 |
| J1100 |
Dexamethasone sodium phos |
10,852 |
9,237 |
$345.76 |
| P9612 |
Catheterize for urine spec |
882 |
755 |
$319.71 |
| 11721 |
|
31 |
30 |
$315.68 |
| 93298 |
|
44 |
44 |
$310.57 |
| 87625 |
|
27 |
25 |
$309.80 |
| 83615 |
|
104 |
72 |
$303.02 |
| 85049 |
|
158 |
111 |
$299.45 |
| 93280 |
|
15 |
13 |
$295.25 |
| 93016 |
|
13 |
13 |
$282.84 |
| 87075 |
|
47 |
39 |
$276.07 |
| 76000 |
|
34 |
29 |
$270.07 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
14,462 |
12,410 |
$268.60 |
| 96376 |
|
6,517 |
3,381 |
$259.65 |
| 90471 |
|
841 |
727 |
$257.82 |
| 86812 |
|
13 |
13 |
$246.53 |
| J7613 |
Albuterol non-comp unit |
320 |
259 |
$238.32 |
| 94010 |
|
43 |
41 |
$237.06 |
| 90686 |
|
40 |
38 |
$223.52 |
| 93018 |
|
13 |
13 |
$192.51 |
| 80197 |
|
19 |
12 |
$182.11 |
| 87493 |
|
12 |
12 |
$175.48 |
| 73140 |
|
84 |
78 |
$161.93 |
| J0690 |
Cefazolin sodium injection |
7,847 |
5,984 |
$161.58 |
| 82951 |
|
12 |
12 |
$148.23 |
| J0694 |
Cefoxitin sodium injection |
234 |
186 |
$144.00 |
| 88302 |
|
94 |
67 |
$137.36 |
| 93246 |
|
16 |
12 |
$136.23 |
| U0002 |
Covid-19 lab test non-cdc |
91 |
86 |
$128.53 |
| J7030 |
Normal saline solution infus |
21,258 |
15,871 |
$126.73 |
| 36416 |
|
2,608 |
2,131 |
$125.83 |
| 82800 |
|
24 |
13 |
$125.07 |
| 93294 |
|
31 |
26 |
$121.65 |
| J1642 |
Inj heparin sodium per 10 u |
2,495 |
1,283 |
$119.47 |
| J2765 |
Metoclopramide hcl injection |
4,743 |
3,821 |
$112.72 |
| 88173 |
|
53 |
38 |
$104.01 |
| 82274 |
|
12 |
12 |
$101.88 |
| A9270 |
Non-covered item or service |
23,849 |
12,307 |
$99.89 |
| 85613 |
|
16 |
13 |
$99.89 |
| G0500 |
Mod sedat endo service >5yrs |
246 |
228 |
$98.32 |
| 99152 |
|
1,291 |
1,132 |
$77.85 |
| J0330 |
Succinycholine chloride inj |
5,825 |
4,920 |
$75.22 |
| J1200 |
Diphenhydramine hcl injectio |
4,301 |
3,526 |
$74.09 |
| J1885 |
Ketorolac tromethamine inj |
15,898 |
12,517 |
$70.22 |
| 86039 |
|
12 |
12 |
$63.54 |
| Q0244 |
Casirivi and imdevi 1200 mg |
14 |
13 |
$62.36 |
| 84460 |
|
15 |
15 |
$54.48 |
| 73565 |
|
25 |
25 |
$53.56 |
| 36591 |
|
89 |
56 |
$40.41 |
| 85651 |
|
12 |
12 |
$39.32 |
| 73090 |
|
16 |
14 |
$37.78 |
| J7120 |
Ringers lactate infusion |
15,773 |
11,981 |
$37.49 |
| J2704 |
Inj, propofol, 10 mg |
16,822 |
14,513 |
$36.12 |
| J2360 |
Orphenadrine injection |
446 |
376 |
$34.45 |
| Q9957 |
Inj perflutren lip micros,ml |
259 |
232 |
$34.37 |
| G1004 |
Cdsm ndsc |
16,230 |
12,748 |
$26.12 |
| J0171 |
Adrenalin epinephrine inject |
786 |
682 |
$20.60 |
| 72070 |
|
15 |
12 |
$18.62 |
| J2930 |
Methylprednisolone injection |
2,115 |
1,593 |
$16.65 |
| J7050 |
Normal saline solution infus |
14,605 |
7,783 |
$16.43 |
| J3010 |
Fentanyl citrate injection |
16,790 |
13,432 |
$13.35 |
| 97161 |
|
13 |
13 |
$11.38 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
1,268 |
1,102 |
$10.90 |
| A9579 |
Gad-base mr contrast nos,1ml |
14 |
12 |
$10.09 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
337 |
285 |
$9.80 |
| J2405 |
Ondansetron hcl injection |
23,924 |
18,582 |
$8.85 |
| 99153 |
Mod sedat endo service >5yrs |
193 |
174 |
$7.64 |
| J3480 |
Inj potassium chloride |
486 |
247 |
$7.20 |
| J2250 |
Inj midazolam hydrochloride |
13,409 |
10,689 |
$6.89 |
| J2710 |
Neostigmine methylslfte inj |
1,849 |
1,562 |
$6.48 |
| J1170 |
Hydromorphone injection |
10,146 |
6,954 |
$5.51 |
| J0689 |
Inj cefazolin sodium, baxter |
52 |
37 |
$1.39 |
| C1769 |
Guide wire |
1,971 |
1,561 |
$0.80 |
| J1030 |
Methylprednisolone 40 mg inj |
1,965 |
1,756 |
$0.80 |
| J3370 |
Vancomycin hcl injection |
1,096 |
718 |
$0.36 |
| J1644 |
Inj heparin sodium per 1000u |
2,957 |
1,477 |
$0.31 |
| J1940 |
Furosemide injection |
247 |
127 |
$0.16 |
| J3490 |
Drugs unclassified injection |
2,667 |
1,875 |
$0.11 |
| J1815 |
Insulin injection |
4,203 |
1,994 |
$0.11 |
| J2270 |
Morphine sulfate injection |
3,957 |
3,068 |
$0.08 |
| J1920 |
Inj, labetalol hcl, 5mg |
50 |
41 |
$0.02 |
| J7620 |
Albuterol ipratrop non-comp |
2,402 |
1,814 |
$0.02 |
| J3411 |
Thiamine hcl 100 mg |
1,683 |
1,221 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
1,018 |
906 |
$0.00 |
| A9500 |
Tc99m sestamibi |
1,184 |
1,065 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
1,148 |
1,045 |
$0.00 |
| G8991 |
Other pt/ot goal status |
513 |
412 |
$0.00 |
| J2060 |
Lorazepam injection |
1,920 |
1,471 |
$0.00 |
| 76817 |
|
95 |
82 |
$0.00 |
| J2785 |
Regadenoson injection |
491 |
460 |
$0.00 |
| J7060 |
5% dextrose/water |
136 |
93 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
726 |
375 |
$0.00 |
| A9573 |
Inj, gadopiclenol, 1 ml |
35 |
32 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
3,926 |
2,632 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
14 |
12 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
506 |
434 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
91 |
64 |
$0.00 |
| Q9969 |
Non-heu tc-99m add-on/dose |
58 |
58 |
$0.00 |
| J2002 |
Inj, lidocaine in d5w, 1 mg |
306 |
264 |
$0.00 |
| C1781 |
Mesh (implantable) |
13 |
12 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
57 |
44 |
$0.00 |
| G0472 |
Hep c screen high risk/other |
13 |
13 |
$0.00 |
| C9290 |
Inj, bupivacaine liposome |
75 |
56 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
50 |
25 |
$0.00 |
| G8992 |
Other pt/ot d/c status |
19 |
15 |
$0.00 |
| G8980 |
Mobility d/c status |
15 |
12 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
47 |
42 |
$0.00 |
| 51798 |
|
14 |
12 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
36 |
30 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
1,626 |
1,500 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
896 |
781 |
$0.00 |
| J7040 |
Normal saline solution infus |
2,448 |
1,794 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
2,061 |
770 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
170 |
142 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
2,786 |
1,964 |
$0.00 |
| G1010 |
Cdsm stanson |
2,064 |
1,679 |
$0.00 |
| A9577 |
Inj multihance |
126 |
98 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
1,178 |
951 |
$0.00 |
| J0780 |
Prochlorperazine injection |
445 |
334 |
$0.00 |
| G8990 |
Other pt/ot current status |
433 |
351 |
$0.00 |
| G8979 |
Mobility goal status |
142 |
101 |
$0.00 |
| C1887 |
Catheter, guiding |
393 |
344 |
$0.00 |
| A9552 |
F18 fdg |
68 |
64 |
$0.00 |
| A4216 |
Sterile water/saline, 10 ml |
1,247 |
730 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
17 |
12 |
$0.00 |
| 88313 |
|
47 |
41 |
$0.00 |
| Q0163 |
Diphenhydramine hcl 50mg |
17 |
12 |
$0.00 |
| J0134 |
Inj acetaminophen -fresenius |
241 |
188 |
$0.00 |
| G8978 |
Mobility current status |
104 |
73 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
237 |
162 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
167 |
121 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
16 |
16 |
$0.00 |
| J1580 |
Garamycin gentamicin inj |
13 |
12 |
$0.00 |
| C1776 |
Joint device (implantable) |
12 |
12 |
$0.00 |