| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
31,286 |
29,087 |
$5.70M |
| 99285 |
|
13,089 |
12,195 |
$5.12M |
| 99283 |
|
35,682 |
33,922 |
$4.27M |
| G0463 |
Hospital outpt clinic visit |
56,117 |
49,033 |
$3.36M |
| A0425 |
Ground mileage |
19,759 |
16,292 |
$2.39M |
| A0427 |
Als1-emergency |
8,464 |
7,662 |
$1.98M |
| 96374 |
|
19,714 |
17,827 |
$1.92M |
| 42820 |
|
608 |
608 |
$1.65M |
| 97110 |
|
50,044 |
15,393 |
$1.22M |
| 99282 |
|
13,880 |
13,495 |
$1.12M |
| 74177 |
|
7,683 |
7,413 |
$1.08M |
| 59025 |
|
10,242 |
4,785 |
$947K |
| 87635 |
|
29,212 |
28,163 |
$762K |
| 96365 |
|
9,351 |
8,137 |
$751K |
| A0426 |
Als 1 |
3,203 |
3,082 |
$715K |
| A0429 |
Bls-emergency |
4,425 |
3,966 |
$694K |
| G0379 |
Direct refer hospital observ |
1,102 |
1,081 |
$650K |
| 97530 |
|
18,306 |
6,206 |
$628K |
| 96361 |
|
20,322 |
16,489 |
$616K |
| 96375 |
|
19,473 |
16,315 |
$593K |
| 70450 |
|
6,290 |
6,109 |
$571K |
| 11042 |
|
3,262 |
1,428 |
$563K |
| 96360 |
|
4,812 |
4,562 |
$474K |
| A0428 |
Bls |
3,542 |
3,273 |
$459K |
| 93306 |
|
2,441 |
2,428 |
$443K |
| 80061 |
|
17,034 |
16,877 |
$442K |
| 74176 |
|
3,899 |
3,772 |
$413K |
| 71046 |
|
12,062 |
11,591 |
$401K |
| 97140 |
|
22,437 |
8,398 |
$321K |
| 70553 |
|
1,596 |
1,573 |
$306K |
| 92507 |
|
7,067 |
2,483 |
$299K |
| 69436 |
|
623 |
621 |
$298K |
| 97112 |
|
11,825 |
4,973 |
$246K |
| 76705 |
|
3,955 |
3,879 |
$231K |
| 77067 |
|
4,535 |
4,525 |
$225K |
| 76830 |
|
3,589 |
3,522 |
$212K |
| 90472 |
|
9,945 |
9,938 |
$211K |
| 78452 |
|
612 |
606 |
$210K |
| 90471 |
|
17,495 |
17,372 |
$201K |
| G0378 |
Hospital observation per hr |
9,178 |
5,474 |
$200K |
| 64493 |
|
289 |
270 |
$193K |
| 97162 |
|
3,559 |
3,517 |
$187K |
| 71260 |
|
1,677 |
1,630 |
$186K |
| 72148 |
|
1,760 |
1,747 |
$184K |
| 71045 |
|
5,838 |
5,593 |
$182K |
| 84443 |
|
24,582 |
23,935 |
$169K |
| 76856 |
|
3,052 |
3,019 |
$165K |
| 87491 |
|
9,133 |
8,968 |
$161K |
| 20610 |
|
1,121 |
830 |
$157K |
| 96413 |
|
1,273 |
663 |
$157K |
| 87591 |
|
8,939 |
8,783 |
$156K |
| 71275 |
|
1,816 |
1,776 |
$156K |
| 95912 |
|
522 |
522 |
$151K |
| 97161 |
|
2,759 |
2,738 |
$139K |
| 80053 |
|
70,669 |
60,786 |
$138K |
| 94060 |
|
977 |
975 |
$133K |
| 78815 |
|
170 |
168 |
$128K |
| 86900 |
|
7,381 |
6,890 |
$124K |
| 36415 |
|
78,071 |
68,186 |
$118K |
| 85025 |
|
79,507 |
66,622 |
$108K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
6,613 |
6,599 |
$104K |
| 96366 |
|
4,529 |
2,996 |
$92K |
| 76816 |
|
1,620 |
1,526 |
$90K |
| 82306 |
|
6,090 |
6,052 |
$88K |
| 76817 |
|
3,444 |
2,974 |
$83K |
| 95810 |
|
182 |
177 |
$82K |
| 73721 |
|
653 |
650 |
$81K |
| 92526 |
|
1,668 |
725 |
$76K |
| 72141 |
|
517 |
517 |
$75K |
| 87624 |
|
3,371 |
3,362 |
$67K |
| 93975 |
|
569 |
559 |
$66K |
| 62323 |
|
185 |
184 |
$65K |
| 76805 |
|
1,019 |
1,011 |
$62K |
| 64635 |
|
57 |
56 |
$61K |
| 49083 |
|
159 |
76 |
$61K |
| 83036 |
|
12,294 |
12,200 |
$58K |
| 99281 |
|
1,011 |
1,005 |
$58K |
| 76536 |
|
1,102 |
1,098 |
$58K |
| 93971 |
|
1,037 |
1,009 |
$57K |
| 88305 |
|
6,468 |
6,246 |
$55K |
| 72100 |
|
1,599 |
1,593 |
$52K |
| G0108 |
Diab manage trn per indiv |
1,376 |
1,213 |
$52K |
| 97163 |
|
849 |
830 |
$50K |
| 76801 |
|
844 |
775 |
$50K |
| 97116 |
|
3,983 |
1,842 |
$49K |
| 72131 |
|
1,014 |
1,005 |
$48K |
| 76857 |
|
800 |
783 |
$46K |
| G0433 |
Elisa hiv-1/hiv-2 screen |
3,725 |
3,712 |
$46K |
| 93005 |
|
20,173 |
18,117 |
$45K |
| 96372 |
|
12,727 |
10,760 |
$45K |
| 70551 |
|
352 |
347 |
$43K |
| 93225 |
|
925 |
920 |
$43K |
| 93017 |
|
1,185 |
1,173 |
$42K |
| 96367 |
|
1,419 |
928 |
$42K |
| 76642 |
|
1,041 |
1,007 |
$42K |
| 82947 |
|
1,857 |
1,827 |
$41K |
| 77063 |
|
3,086 |
3,086 |
$41K |
| 87880 |
|
4,485 |
4,394 |
$40K |
| G0476 |
Hpv combo assay ca screen |
1,976 |
1,841 |
$39K |
| 87086 |
|
17,051 |
15,855 |
$37K |
| 76770 |
|
642 |
634 |
$36K |
| 72125 |
|
1,938 |
1,899 |
$34K |
| 76815 |
|
1,614 |
1,480 |
$34K |
| 71271 |
|
573 |
573 |
$34K |
| 88342 |
|
1,385 |
1,320 |
$34K |
| 80307 |
|
4,773 |
4,552 |
$34K |
| 93296 |
|
1,908 |
1,906 |
$33K |
| 87653 |
|
2,091 |
2,075 |
$32K |
| 80048 |
|
14,606 |
12,517 |
$32K |
| 71250 |
|
561 |
559 |
$31K |
| 73564 |
|
1,966 |
1,897 |
$31K |
| 87808 |
|
4,693 |
4,626 |
$30K |
| 73030 |
|
2,242 |
2,174 |
$30K |
| 93351 |
|
140 |
140 |
$29K |
| 90474 |
|
4,229 |
4,226 |
$29K |
| 82607 |
|
4,105 |
4,072 |
$28K |
| 86803 |
|
4,325 |
4,297 |
$27K |
| 76775 |
|
726 |
713 |
$27K |
| 82728 |
|
4,018 |
3,907 |
$27K |
| 74018 |
|
1,450 |
1,393 |
$26K |
| 87070 |
|
6,907 |
6,764 |
$26K |
| 97166 |
|
486 |
484 |
$25K |
| 84439 |
|
6,093 |
5,996 |
$25K |
| 90670 |
|
3,306 |
3,304 |
$24K |
| 85027 |
|
11,058 |
9,870 |
$22K |
| 73630 |
|
2,572 |
2,498 |
$22K |
| 83970 |
|
1,118 |
1,079 |
$21K |
| 93970 |
|
208 |
207 |
$21K |
| 84702 |
|
4,419 |
3,036 |
$21K |
| 87804 |
|
2,771 |
1,427 |
$20K |
| J7030 |
Normal saline solution infus |
24,030 |
19,267 |
$19K |
| M0243 |
Casirivi and imdevi inj |
69 |
68 |
$19K |
| 70496 |
|
457 |
450 |
$18K |
| 73610 |
|
2,289 |
2,201 |
$18K |
| L4350 |
Ankle control ortho pre ots |
283 |
280 |
$17K |
| 73130 |
|
1,910 |
1,850 |
$16K |
| G0103 |
Psa screening |
1,451 |
1,445 |
$16K |
| 82746 |
|
2,243 |
2,230 |
$16K |
| 87186 |
|
5,518 |
5,286 |
$16K |
| 87081 |
|
9,794 |
9,562 |
$15K |
| 77065 |
Tomosynthesis, mammo |
343 |
326 |
$15K |
| 70491 |
|
142 |
138 |
$15K |
| G0480 |
Drug test def 1-7 classes |
7,255 |
6,548 |
$15K |
| 81001 |
|
38,462 |
34,774 |
$14K |
| 70486 |
|
419 |
412 |
$14K |
| 87088 |
|
5,041 |
4,836 |
$14K |
| 83550 |
|
3,216 |
3,176 |
$14K |
| 81025 |
|
15,083 |
14,368 |
$13K |
| 45380 |
|
24 |
24 |
$13K |
| 45385 |
|
25 |
24 |
$13K |
| 82043 |
|
3,900 |
3,871 |
$12K |
| G2066 |
Inter devc remote 30d |
632 |
632 |
$12K |
| Q0091 |
Obtaining screen pap smear |
881 |
874 |
$12K |
| 73110 |
|
1,443 |
1,394 |
$12K |
| 90480 |
|
276 |
274 |
$12K |
| 90686 |
|
4,277 |
4,275 |
$12K |
| 88307 |
|
1,241 |
1,207 |
$12K |
| 73502 |
|
876 |
859 |
$11K |
| 87077 |
|
4,274 |
4,148 |
$11K |
| 83880 |
|
3,748 |
3,528 |
$11K |
| 83540 |
|
3,526 |
3,476 |
$11K |
| 73221 |
|
93 |
92 |
$11K |
| 74019 |
|
633 |
626 |
$11K |
| 20611 |
|
86 |
84 |
$11K |
| 84481 |
|
1,176 |
1,164 |
$10K |
| 86038 |
|
1,754 |
1,741 |
$10K |
| 87426 |
|
499 |
493 |
$10K |
| 86140 |
|
12,855 |
11,655 |
$10K |
| 86592 |
|
2,606 |
2,578 |
$10K |
| 77336 |
|
190 |
71 |
$9K |
| 84146 |
|
1,378 |
1,321 |
$9K |
| 83735 |
|
15,536 |
13,093 |
$8K |
| 80306 |
|
4,986 |
4,671 |
$8K |
| 73562 |
|
340 |
337 |
$8K |
| 80076 |
|
2,246 |
1,957 |
$8K |
| 87340 |
|
2,635 |
2,608 |
$8K |
| 84403 |
|
544 |
524 |
$7K |
| 97165 |
|
155 |
153 |
$7K |
| 88304 |
|
3,057 |
3,035 |
$7K |
| 77080 |
|
110 |
110 |
$7K |
| 97535 |
|
611 |
467 |
$7K |
| M0245 |
Bamlan and etesev infusion |
22 |
22 |
$6K |
| 81002 |
|
2,819 |
2,760 |
$6K |
| 87075 |
|
2,391 |
2,296 |
$6K |
| 76870 |
|
273 |
268 |
$6K |
| 95811 |
|
14 |
12 |
$6K |
| 88112 |
|
309 |
296 |
$5K |
| C8929 |
Tte w or wo fol wcon,doppler |
25 |
25 |
$5K |
| 85652 |
|
5,644 |
5,294 |
$5K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
9,943 |
9,471 |
$5K |
| 82570 |
|
2,385 |
2,209 |
$5K |
| 77334 |
|
20 |
12 |
$5K |
| 87276 |
|
13,225 |
12,941 |
$5K |
| 85610 |
|
12,128 |
9,805 |
$5K |
| 52000 |
|
24 |
24 |
$4K |
| 86481 |
|
89 |
89 |
$4K |
| 72040 |
|
186 |
185 |
$4K |
| 84153 |
|
432 |
425 |
$4K |
| 97035 |
|
772 |
354 |
$4K |
| 77300 |
|
44 |
39 |
$4K |
| 76700 |
|
53 |
53 |
$4K |
| 84460 |
|
1,437 |
1,414 |
$4K |
| 86703 |
|
714 |
707 |
$4K |
| 87275 |
|
13,225 |
12,941 |
$4K |
| 84450 |
|
1,410 |
1,387 |
$4K |
| 83001 |
|
365 |
361 |
$4K |
| 93298 |
|
187 |
187 |
$3K |
| 73080 |
|
457 |
449 |
$3K |
| 77066 |
Tomosynthesis, mammo |
64 |
63 |
$3K |
| 83690 |
|
13,607 |
12,303 |
$3K |
| 94640 |
|
4,526 |
3,426 |
$3K |
| 95806 |
|
39 |
39 |
$3K |
| 80074 |
|
186 |
184 |
$3K |
| 87807 |
|
3,772 |
3,709 |
$3K |
| 92523 |
|
25 |
25 |
$3K |
| 86431 |
|
1,105 |
1,094 |
$3K |
| 82784 |
|
379 |
359 |
$3K |
| 84410 |
|
128 |
127 |
$3K |
| 90473 |
|
316 |
316 |
$3K |
| 86762 |
|
1,327 |
1,312 |
$3K |
| J7323 |
Euflexxa inj per dose |
26 |
12 |
$3K |
| 82950 |
|
928 |
920 |
$3K |
| 85730 |
|
4,552 |
4,083 |
$2K |
| 86706 |
|
496 |
488 |
$2K |
| 74183 |
|
12 |
12 |
$2K |
| 97014 |
|
312 |
128 |
$2K |
| G0279 |
Tomosynthesis, mammo |
191 |
191 |
$2K |
| 82951 |
|
314 |
292 |
$2K |
| 82105 |
|
328 |
326 |
$2K |
| 82550 |
|
1,304 |
1,087 |
$2K |
| 29515 |
|
27 |
26 |
$2K |
| 84550 |
|
1,501 |
1,389 |
$2K |
| 93922 |
|
81 |
80 |
$2K |
| 73590 |
|
423 |
414 |
$2K |
| 90834 |
|
55 |
39 |
$2K |
| G0101 |
Ca screen;pelvic/breast exam |
43 |
43 |
$2K |
| 58301 |
|
12 |
12 |
$2K |
| 77290 |
|
17 |
14 |
$2K |
| 83516 |
|
332 |
291 |
$2K |
| 81000 |
|
720 |
707 |
$2K |
| 90651 |
|
612 |
612 |
$2K |
| 72128 |
|
43 |
43 |
$2K |
| 73140 |
|
248 |
240 |
$2K |
| 80069 |
|
509 |
476 |
$2K |
| 93880 |
|
24 |
24 |
$2K |
| 87427 |
|
419 |
307 |
$2K |
| 84100 |
|
1,860 |
1,579 |
$2K |
| 95819 |
|
13 |
13 |
$2K |
| 85379 |
|
4,773 |
4,647 |
$2K |
| J7040 |
Normal saline solution infus |
1,877 |
1,643 |
$2K |
| 36591 |
|
90 |
53 |
$2K |
| 93226 |
|
1,033 |
1,028 |
$2K |
| 84703 |
|
4,902 |
4,763 |
$2K |
| 82565 |
|
686 |
623 |
$1K |
| 85018 |
|
1,785 |
1,519 |
$1K |
| 97167 |
|
36 |
36 |
$1K |
| 95816 |
|
12 |
12 |
$1K |
| 72110 |
|
63 |
61 |
$1K |
| 73523 |
|
26 |
26 |
$1K |
| 20605 |
|
13 |
13 |
$1K |
| 72050 |
|
28 |
28 |
$1K |
| 0001A |
|
34 |
34 |
$1K |
| 82248 |
|
544 |
396 |
$1K |
| 82670 |
|
83 |
82 |
$1K |
| 85014 |
|
1,493 |
1,287 |
$1K |
| 10060 |
|
12 |
12 |
$1K |
| Q3014 |
Telehealth facility fee |
104 |
98 |
$1K |
| 90656 |
|
96 |
96 |
$1K |
| 75574 |
|
13 |
13 |
$1K |
| 72072 |
|
24 |
24 |
$1K |
| 51798 |
|
380 |
376 |
$1K |
| 71101 |
|
115 |
115 |
$1K |
| 83655 |
|
149 |
148 |
$1K |
| 90792 |
|
13 |
13 |
$1K |
| 70498 |
|
451 |
445 |
$971.00 |
| 83615 |
|
830 |
726 |
$967.17 |
| 84156 |
|
1,128 |
922 |
$941.76 |
| 87046 |
|
314 |
309 |
$922.94 |
| 87045 |
|
313 |
309 |
$919.95 |
| 73090 |
|
425 |
399 |
$918.64 |
| 90734 |
|
717 |
717 |
$901.95 |
| 84402 |
|
69 |
68 |
$866.73 |
| 84484 |
|
12,585 |
10,496 |
$827.88 |
| 88173 |
|
49 |
49 |
$767.47 |
| 64494 |
|
257 |
238 |
$745.43 |
| 76641 |
|
12 |
12 |
$733.58 |
| 86704 |
|
152 |
149 |
$732.93 |
| 83002 |
|
78 |
75 |
$725.34 |
| 86200 |
|
129 |
128 |
$718.12 |
| 74022 |
|
389 |
385 |
$647.98 |
| 86308 |
|
784 |
769 |
$618.33 |
| 87661 |
|
51 |
51 |
$613.80 |
| 0002A |
|
16 |
16 |
$605.60 |
| 76882 |
|
14 |
14 |
$605.35 |
| G0297 |
Ldct for lung ca screen |
13 |
13 |
$590.40 |
| 92611 |
|
14 |
14 |
$583.84 |
| 82962 |
|
20,752 |
13,610 |
$583.31 |
| 0071A |
|
19 |
19 |
$581.40 |
| 87040 |
|
3,259 |
2,763 |
$549.77 |
| 90716 |
|
611 |
611 |
$519.78 |
| 87522 |
Neg quan hep c or qual rna |
27 |
27 |
$517.68 |
| 88720 |
|
185 |
177 |
$507.26 |
| 97760 |
|
14 |
12 |
$502.51 |
| 94726 |
|
729 |
727 |
$466.61 |
| 0072A |
|
12 |
12 |
$455.99 |
| 93299 |
|
24 |
24 |
$453.55 |
| 96417 |
|
20 |
13 |
$433.17 |
| 86003 |
|
25 |
24 |
$406.27 |
| 87449 |
|
125 |
124 |
$396.54 |
| 72170 |
|
252 |
251 |
$380.83 |
| J2469 |
Palonosetron hcl |
21 |
12 |
$367.02 |
| 87220 |
|
822 |
815 |
$348.04 |
| 87324 |
|
97 |
96 |
$327.59 |
| 90833 |
|
305 |
296 |
$318.40 |
| 84145 |
|
1,258 |
1,184 |
$304.58 |
| 86850 |
|
6,954 |
6,524 |
$301.80 |
| 93325 |
|
453 |
447 |
$280.75 |
| 87563 |
|
27 |
27 |
$276.88 |
| 87430 |
|
6,466 |
6,378 |
$275.68 |
| 83605 |
|
6,161 |
5,471 |
$256.70 |
| 86318 |
|
27 |
27 |
$252.40 |
| 83721 |
|
41 |
40 |
$224.40 |
| 84112 |
|
843 |
718 |
$192.95 |
| 87205 |
|
450 |
436 |
$191.44 |
| 86800 |
|
25 |
25 |
$181.39 |
| 86708 |
|
36 |
35 |
$172.33 |
| 82140 |
|
112 |
80 |
$170.91 |
| 86580 |
|
12 |
12 |
$170.24 |
| 73060 |
|
43 |
41 |
$158.69 |
| 80164 |
|
42 |
39 |
$154.92 |
| 83993 |
|
14 |
14 |
$148.91 |
| 88142 |
|
13 |
13 |
$133.48 |
| J0131 |
Inj, acetaminophen (nos) |
8,625 |
8,190 |
$120.30 |
| G0008 |
Admin influenza virus vac |
28 |
27 |
$112.00 |
| 82533 |
|
13 |
13 |
$111.92 |
| 82247 |
|
42 |
25 |
$96.00 |
| 82010 |
|
539 |
467 |
$87.92 |
| 84132 |
|
74 |
71 |
$77.24 |
| 83525 |
|
13 |
13 |
$56.25 |
| 84165 |
|
13 |
13 |
$50.91 |
| 88302 |
|
64 |
63 |
$49.32 |
| 87147 |
|
27 |
26 |
$45.42 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
672 |
529 |
$44.00 |
| 85046 |
|
13 |
13 |
$40.59 |
| 86225 |
|
12 |
12 |
$39.50 |
| J0136 |
Inj, acetaminophen (b braun) |
21 |
17 |
$39.15 |
| 85049 |
|
271 |
260 |
$36.14 |
| J1885 |
Ketorolac tromethamine inj |
17,372 |
14,783 |
$31.72 |
| 82310 |
|
12 |
12 |
$31.55 |
| 12001 |
|
528 |
526 |
$27.68 |
| 90672 |
|
268 |
268 |
$26.88 |
| J1170 |
Hydromorphone injection |
12,393 |
8,633 |
$15.10 |
| 82803 |
|
234 |
219 |
$14.55 |
| 82800 |
|
114 |
100 |
$12.28 |
| J2405 |
Ondansetron hcl injection |
26,092 |
21,551 |
$11.42 |
| J2270 |
Morphine sulfate injection |
6,650 |
5,026 |
$8.64 |
| 86901 |
|
7,378 |
6,888 |
$8.31 |
| J3010 |
Fentanyl citrate injection |
13,203 |
12,443 |
$4.20 |
| J2765 |
Metoclopramide hcl injection |
3,638 |
3,085 |
$3.33 |
| J7050 |
Normal saline solution infus |
3,081 |
2,217 |
$3.00 |
| J1100 |
Dexamethasone sodium phos |
14,022 |
13,058 |
$3.00 |
| A9270 |
Non-covered item or service |
3,772 |
2,813 |
$1.22 |
| J2370 |
Phenylephrine hcl injection |
2,575 |
2,305 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
11,948 |
11,283 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
128 |
107 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
5,210 |
4,091 |
$0.00 |
| J1790 |
Droperidol injection |
291 |
256 |
$0.00 |
| 96376 |
|
6,970 |
4,623 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,455 |
1,163 |
$0.00 |
| 90647 |
|
3,381 |
3,379 |
$0.00 |
| 90680 |
|
3,117 |
3,115 |
$0.00 |
| G0471 |
Ven blood coll snf/hha |
67 |
51 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
704 |
629 |
$0.00 |
| 90723 |
|
3,419 |
3,417 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
3,068 |
2,958 |
$0.00 |
| A9500 |
Tc99m sestamibi |
514 |
507 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
4,137 |
4,065 |
$0.00 |
| J2060 |
Lorazepam injection |
2,787 |
2,267 |
$0.00 |
| J2360 |
Orphenadrine injection |
1,083 |
1,017 |
$0.00 |
| J3480 |
Inj potassium chloride |
479 |
329 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
3,899 |
3,029 |
$0.00 |
| Q0162 |
Ondansetron oral |
1,899 |
1,775 |
$0.00 |
| 90696 |
|
826 |
826 |
$0.00 |
| C1769 |
Guide wire |
2,181 |
2,042 |
$0.00 |
| J1815 |
Insulin injection |
766 |
572 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
2,367 |
2,298 |
$0.00 |
| 95886 |
|
1,280 |
1,280 |
$0.00 |
| 96368 |
|
221 |
182 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
20 |
13 |
$0.00 |
| J2785 |
Regadenoson injection |
321 |
317 |
$0.00 |
| 88341 |
|
263 |
254 |
$0.00 |
| J7121 |
5% dextrose in lac ringers |
196 |
193 |
$0.00 |
| J3360 |
Diazepam injection |
129 |
103 |
$0.00 |
| J8501 |
Oral aprepitant |
562 |
550 |
$0.00 |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
211 |
207 |
$0.00 |
| 74420 |
|
283 |
272 |
$0.00 |
| J1630 |
Haloperidol injection |
347 |
286 |
$0.00 |
| C9290 |
Inj, bupivacaine liposome |
223 |
217 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
147 |
74 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
124 |
55 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
60 |
59 |
$0.00 |
| C2617 |
Stent, non-cor, tem w/o del |
58 |
52 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
63 |
55 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
13 |
13 |
$0.00 |
| J0500 |
Dicyclomine injection |
129 |
128 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
33 |
27 |
$0.00 |
| J2920 |
Methylprednisolone injection |
20 |
12 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
80 |
80 |
$0.00 |
| 0241U |
|
98 |
96 |
$0.00 |
| 90620 |
|
26 |
26 |
$0.00 |
| J2175 |
Meperidine hydrochl /100 mg |
58 |
53 |
$0.00 |
| 12002 |
|
15 |
15 |
$0.00 |
| 80320 |
|
14 |
13 |
$0.00 |
| J0687 |
Inj cefazolin (wg crit care) |
14 |
14 |
$0.00 |
| U0002 |
Covid-19 lab test non-cdc |
14 |
13 |
$0.00 |
| A0888 |
Noncovered ambulance mileage |
12 |
12 |
$0.00 |
| J0780 |
Prochlorperazine injection |
891 |
808 |
$0.00 |
| J2930 |
Methylprednisolone injection |
1,996 |
1,716 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
2,077 |
2,015 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
3,624 |
3,034 |
$0.00 |
| 93321 |
|
232 |
231 |
$0.00 |
| 90710 |
|
1,169 |
1,169 |
$0.00 |
| G1004 |
Cdsm ndsc |
993 |
766 |
$0.00 |
| C1887 |
Catheter, guiding |
579 |
569 |
$0.00 |
| Q0177 |
Hydroxyzine pamoate 25mg |
634 |
419 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
501 |
494 |
$0.00 |
| 90707 |
|
666 |
666 |
$0.00 |
| 90633 |
|
2,209 |
2,209 |
$0.00 |
| J7120 |
Ringers lactate infusion |
7,298 |
6,721 |
$0.00 |
| 94729 |
|
919 |
916 |
$0.00 |
| 90700 |
|
1,019 |
1,019 |
$0.00 |
| J1956 |
Levofloxacin injection |
537 |
441 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
10,144 |
9,123 |
$0.00 |
| 90715 |
|
2,574 |
2,568 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
1,600 |
1,510 |
$0.00 |
| J2550 |
Promethazine hcl injection |
1,257 |
942 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
4,910 |
2,527 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
504 |
504 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
643 |
320 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
1,518 |
933 |
$0.00 |
| 29125 |
|
183 |
178 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
501 |
491 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
98 |
41 |
$0.00 |
| J1580 |
Garamycin gentamicin inj |
144 |
124 |
$0.00 |
| G8978 |
Mobility current status |
126 |
114 |
$0.00 |
| A9552 |
F18 fdg |
139 |
138 |
$0.00 |
| G8979 |
Mobility goal status |
153 |
136 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
228 |
174 |
$0.00 |
| 76942 |
|
15 |
13 |
$0.00 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
58 |
26 |
$0.00 |
| 12011 |
|
12 |
12 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
105 |
104 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
238 |
216 |
$0.00 |
| L1830 |
Ko immob canvas long pre ots |
110 |
108 |
$0.00 |
| L3908 |
Who cock-up nonmolde pre ots |
40 |
39 |
$0.00 |
| 91300 |
|
49 |
49 |
$0.00 |
| 64636 |
|
56 |
55 |
$0.00 |
| Q9956 |
Inj octafluoropropane mic,ml |
15 |
15 |
$0.00 |
| 76937 |
|
53 |
51 |
$0.00 |
| 64495 |
|
27 |
26 |
$0.00 |