| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0450 |
|
105,812 |
94,396 |
$64.90M |
| 99283 |
|
50,654 |
45,688 |
$36.16M |
| L8699 |
Prosthetic implant nos |
4,377 |
2,760 |
$11.70M |
| J9271 |
Inj pembrolizumab |
3,887 |
1,373 |
$10.96M |
| 70553 |
|
8,224 |
8,084 |
$5.31M |
| 78815 |
|
2,886 |
2,863 |
$4.97M |
| S5102 |
Adult day care per diem |
55,320 |
3,311 |
$4.45M |
| 90999 |
|
30,338 |
2,292 |
$4.01M |
| 0360 |
|
28,764 |
12,986 |
$3.62M |
| J9312 |
Inj., rituximab, 10 mg |
2,470 |
1,080 |
$3.40M |
| J3490 |
Drugs unclassified injection |
221,940 |
87,612 |
$2.92M |
| 87633 |
|
13,758 |
13,207 |
$2.65M |
| 96413 |
|
20,247 |
11,928 |
$2.37M |
| G0463 |
Hospital outpt clinic visit |
66,392 |
56,435 |
$2.26M |
| J2505 |
Injection, pegfilgrastim 6mg |
1,287 |
906 |
$2.18M |
| 77523 |
|
1,616 |
151 |
$2.14M |
| 93306 |
|
13,045 |
12,723 |
$2.07M |
| J9035 |
Bevacizumab injection |
1,302 |
473 |
$1.98M |
| 97110 |
|
86,501 |
17,039 |
$1.95M |
| 99284 |
|
7,509 |
6,997 |
$1.93M |
| 74177 |
|
19,716 |
19,120 |
$1.93M |
| J9355 |
Inj trastuzumab excl biosimi |
1,045 |
651 |
$1.93M |
| J1569 |
Gammagard liquid injection |
1,656 |
431 |
$1.88M |
| 99221 |
|
10,986 |
10,727 |
$1.81M |
| J7050 |
Normal saline solution infus |
96,536 |
36,060 |
$1.58M |
| J9299 |
Injection, nivolumab |
818 |
212 |
$1.52M |
| U0003 |
Cov-19 amp prb hgh thruput |
18,036 |
16,554 |
$1.50M |
| 99285 |
|
3,592 |
3,382 |
$1.41M |
| 95810 |
|
4,547 |
4,489 |
$1.38M |
| 70551 |
|
3,965 |
3,812 |
$1.35M |
| J2506 |
Inj pegfilgrast ex bio 0.5mg |
1,705 |
1,216 |
$1.28M |
| 96375 |
|
41,357 |
29,202 |
$1.17M |
| 95782 |
|
1,100 |
1,083 |
$1.05M |
| 96374 |
|
39,895 |
36,454 |
$997K |
| 99070 |
|
297,203 |
107,310 |
$979K |
| 96365 |
|
15,299 |
10,523 |
$951K |
| 80053 |
|
145,831 |
120,214 |
$941K |
| 0710 |
|
23,804 |
17,907 |
$936K |
| Q4081 |
Epoetin alfa, 100 units esrd |
17,960 |
1,764 |
$899K |
| 95713 |
|
1,082 |
1,078 |
$888K |
| P9016 |
Rbc leukocytes reduced |
2,819 |
2,086 |
$815K |
| 77334 |
|
2,891 |
1,671 |
$810K |
| 70450 |
|
15,794 |
15,062 |
$769K |
| 71260 |
|
6,033 |
5,958 |
$760K |
| J0897 |
Denosumab injection |
1,122 |
880 |
$736K |
| J3010 |
Fentanyl citrate injection |
35,006 |
27,058 |
$708K |
| G6015 |
Radiation tx delivery imrt |
1,498 |
146 |
$707K |
| 95811 |
|
2,388 |
2,355 |
$681K |
| J1100 |
Dexamethasone sodium phos |
36,819 |
29,155 |
$655K |
| 74183 |
|
2,051 |
2,027 |
$621K |
| J1745 |
Infliximab not biosimil 10mg |
699 |
483 |
$615K |
| J2704 |
Inj, propofol, 10 mg |
36,147 |
25,350 |
$612K |
| 87635 |
|
13,336 |
12,500 |
$610K |
| J7120 |
Ringers lactate infusion |
27,742 |
24,730 |
$610K |
| 77300 |
|
1,775 |
1,460 |
$600K |
| J0585 |
Injection,onabotulinumtoxina |
1,115 |
507 |
$594K |
| 72148 |
|
1,919 |
1,879 |
$588K |
| 90945 |
|
11,226 |
412 |
$587K |
| 0456 |
|
21,011 |
19,324 |
$586K |
| 97750 |
|
12,049 |
5,989 |
$583K |
| 77417 |
|
13,747 |
2,250 |
$565K |
| 99282 |
|
3,765 |
3,495 |
$538K |
| J2405 |
Ondansetron hcl injection |
44,537 |
33,992 |
$535K |
| 0510 |
|
14,272 |
11,151 |
$515K |
| 99291 |
|
1,400 |
1,366 |
$507K |
| 92507 |
|
10,628 |
3,620 |
$505K |
| 73721 |
|
1,635 |
1,497 |
$489K |
| 72141 |
|
1,393 |
1,369 |
$488K |
| 85025 |
|
114,102 |
94,674 |
$484K |
| 71250 |
|
3,710 |
3,601 |
$478K |
| 71046 |
|
38,330 |
35,992 |
$476K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
44,541 |
38,495 |
$475K |
| 96415 |
|
8,474 |
5,405 |
$461K |
| 77295 |
|
756 |
708 |
$450K |
| 99231 |
|
6,948 |
6,866 |
$447K |
| 0516 |
|
13,777 |
12,258 |
$446K |
| 99238 |
|
13,423 |
11,472 |
$440K |
| 72197 |
|
1,495 |
1,485 |
$427K |
| 96417 |
|
6,141 |
3,847 |
$417K |
| 93325 |
|
4,851 |
4,743 |
$399K |
| 95700 |
|
1,327 |
1,325 |
$390K |
| 54161 |
|
2,361 |
2,269 |
$389K |
| 86923 |
|
4,894 |
3,303 |
$383K |
| 77336 |
|
5,348 |
2,313 |
$369K |
| J2250 |
Inj midazolam hydrochloride |
25,239 |
22,559 |
$360K |
| 72156 |
|
571 |
571 |
$354K |
| 97799 |
|
13,857 |
4,016 |
$331K |
| A9552 |
F18 fdg |
2,136 |
2,116 |
$326K |
| 77412 |
|
4,990 |
615 |
$323K |
| 77290 |
|
2,101 |
1,530 |
$322K |
| 93005 |
|
43,299 |
39,455 |
$310K |
| 74176 |
|
4,682 |
4,559 |
$304K |
| A9577 |
Inj multihance |
12,556 |
12,382 |
$301K |
| 95806 |
|
2,276 |
2,263 |
$300K |
| 85027 |
|
59,218 |
50,769 |
$293K |
| 96361 |
|
20,738 |
17,603 |
$293K |
| 93976 |
|
5,148 |
4,905 |
$291K |
| 70491 |
|
1,963 |
1,931 |
$284K |
| 76700 |
|
7,569 |
7,269 |
$283K |
| J0185 |
Inj., aprepitant, 1 mg |
3,512 |
1,465 |
$282K |
| 96360 |
|
8,118 |
7,361 |
$278K |
| 96372 |
|
24,528 |
20,165 |
$275K |
| 0750 |
|
3,390 |
1,382 |
$268K |
| 93303 |
|
1,887 |
1,866 |
$267K |
| 66984 |
|
1,058 |
1,037 |
$266K |
| J0131 |
Inj, acetaminophen (nos) |
14,937 |
10,742 |
$260K |
| 86922 |
|
369 |
221 |
$259K |
| 99218 |
|
1,444 |
1,419 |
$257K |
| 96366 |
|
7,258 |
4,251 |
$255K |
| 71275 |
|
4,043 |
3,952 |
$253K |
| 99232 |
|
3,880 |
3,843 |
$250K |
| V2632 |
Post chmbr intraocular lens |
1,375 |
1,360 |
$249K |
| 76856 |
|
6,870 |
6,662 |
$244K |
| J9202 |
Goserelin acetate implant |
379 |
351 |
$244K |
| 93351 |
|
1,928 |
1,901 |
$237K |
| 88341 |
|
1,574 |
1,490 |
$237K |
| 93975 |
|
3,427 |
3,293 |
$234K |
| 76830 |
|
6,250 |
6,066 |
$232K |
| 97763 |
|
6,555 |
2,324 |
$231K |
| J0690 |
Cefazolin sodium injection |
15,415 |
13,740 |
$231K |
| 72158 |
|
350 |
350 |
$230K |
| 70496 |
|
2,442 |
2,376 |
$227K |
| 93320 |
|
4,188 |
4,124 |
$227K |
| J2350 |
Injection, ocrelizumab, 1 mg |
13 |
12 |
$225K |
| 0370 |
|
3,049 |
2,879 |
$221K |
| J7060 |
5% dextrose/water |
11,912 |
5,052 |
$214K |
| 70498 |
|
2,866 |
2,798 |
$210K |
| J9310 |
Rituximab injection |
187 |
70 |
$206K |
| 80048 |
|
26,889 |
22,501 |
$205K |
| 93970 |
|
2,674 |
2,584 |
$205K |
| 88305 |
|
6,444 |
6,255 |
$203K |
| 76770 |
|
4,394 |
4,267 |
$203K |
| 93247 |
|
1,882 |
1,867 |
$202K |
| 70543 |
|
770 |
760 |
$197K |
| J1453 |
Fosaprepitant injection |
1,880 |
1,163 |
$197K |
| 97139 |
|
8,742 |
1,783 |
$194K |
| C9290 |
Inj, bupivacaine liposome |
1,116 |
667 |
$193K |
| J1170 |
Hydromorphone injection |
12,171 |
8,924 |
$191K |
| 49083 |
|
1,972 |
1,064 |
$189K |
| J0485 |
Belatacept injection |
991 |
275 |
$188K |
| J9306 |
Injection, pertuzumab, 1 mg |
291 |
54 |
$186K |
| J1885 |
Ketorolac tromethamine inj |
28,338 |
25,499 |
$185K |
| 70486 |
|
2,765 |
2,699 |
$183K |
| 77067 |
|
1,536 |
1,534 |
$183K |
| 71045 |
|
20,020 |
18,932 |
$182K |
| 72125 |
|
5,358 |
5,231 |
$173K |
| 95819 |
|
1,776 |
1,760 |
$171K |
| 93971 |
|
4,092 |
3,925 |
$157K |
| 84703 |
|
46,833 |
43,165 |
$155K |
| A4657 |
Syringe w/wo needle |
6,371 |
701 |
$155K |
| 76705 |
|
5,790 |
5,619 |
$154K |
| J1200 |
Diphenhydramine hcl injectio |
13,358 |
9,513 |
$153K |
| 82962 |
|
41,087 |
26,742 |
$152K |
| 77301 |
|
133 |
132 |
$152K |
| 67113 |
|
266 |
258 |
$149K |
| 84443 |
|
18,338 |
15,476 |
$146K |
| 76536 |
|
3,037 |
2,964 |
$144K |
| 74178 |
|
883 |
860 |
$144K |
| 80307 |
|
19,370 |
14,768 |
$142K |
| 83735 |
|
31,227 |
22,580 |
$138K |
| 83970 |
|
3,187 |
2,647 |
$137K |
| 80197 |
|
7,349 |
3,355 |
$137K |
| J0490 |
Belimumab injection |
160 |
73 |
$136K |
| 0250 |
|
7,954 |
4,381 |
$134K |
| 0361 |
|
833 |
632 |
$133K |
| 76937 |
|
2,765 |
2,647 |
$133K |
| 90837 |
|
1,471 |
736 |
$133K |
| G0382 |
Lev 3 hosp type b ed visit |
2,174 |
2,073 |
$133K |
| 94060 |
|
3,160 |
3,104 |
$132K |
| 99499 |
|
1,178 |
1,010 |
$131K |
| 86850 |
|
21,696 |
19,349 |
$130K |
| 96367 |
|
3,880 |
2,548 |
$128K |
| 73221 |
|
542 |
492 |
$128K |
| 75574 |
|
509 |
507 |
$128K |
| 97165 |
|
2,871 |
2,445 |
$128K |
| 93623 |
|
40 |
40 |
$125K |
| 81001 |
|
79,176 |
69,929 |
$121K |
| J1642 |
Inj heparin sodium per 10 u |
9,580 |
4,214 |
$119K |
| 43239 |
|
2,335 |
2,239 |
$118K |
| 86900 |
|
28,386 |
19,874 |
$113K |
| 92522 |
|
988 |
980 |
$106K |
| 72157 |
|
268 |
267 |
$105K |
| J2469 |
Palonosetron hcl |
4,040 |
2,472 |
$105K |
| J1756 |
Iron sucrose injection |
4,166 |
794 |
$105K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
66 |
66 |
$104K |
| 74174 |
|
774 |
766 |
$104K |
| 87491 |
|
5,479 |
5,264 |
$101K |
| G0498 |
Chemo extend iv infus w/pump |
569 |
328 |
$101K |
| G0383 |
Lev 4 hosp type b ed visit |
1,153 |
1,115 |
$100K |
| 84484 |
|
48,333 |
28,588 |
$100K |
| 82378 |
|
4,345 |
3,291 |
$100K |
| 97140 |
|
7,583 |
2,936 |
$99K |
| 76642 |
|
1,918 |
1,814 |
$98K |
| 88307 |
|
1,895 |
1,823 |
$98K |
| 54640 |
|
303 |
284 |
$96K |
| J2370 |
Phenylephrine hcl injection |
7,395 |
5,506 |
$95K |
| 86901 |
|
25,737 |
19,722 |
$94K |
| 97802 |
|
637 |
637 |
$94K |
| 95708 |
|
274 |
149 |
$93K |
| 0762 |
|
5,157 |
2,922 |
$93K |
| 96411 |
|
1,953 |
1,237 |
$92K |
| 94729 |
|
2,328 |
2,279 |
$92K |
| 86999 |
|
2,595 |
1,731 |
$91K |
| 87591 |
|
5,134 |
4,941 |
$90K |
| 36415 |
|
31,687 |
24,777 |
$89K |
| 14040 |
|
794 |
783 |
$88K |
| 78452 |
|
308 |
304 |
$88K |
| 95816 |
|
903 |
899 |
$87K |
| 87077 |
|
21,126 |
11,027 |
$87K |
| 87088 |
|
27,421 |
25,040 |
$85K |
| S0020 |
Injection, bupivicaine hydro |
4,372 |
4,204 |
$84K |
| 93017 |
|
1,536 |
1,500 |
$83K |
| 99217 |
|
2,414 |
1,667 |
$83K |
| 83690 |
|
38,024 |
34,818 |
$83K |
| 93451 |
|
77 |
70 |
$80K |
| 87799 |
|
1,502 |
1,202 |
$79K |
| J1644 |
Inj heparin sodium per 1000u |
6,660 |
4,302 |
$78K |
| 92523 |
|
847 |
706 |
$78K |
| 93308 |
|
2,096 |
2,004 |
$77K |
| 88342 |
|
2,752 |
2,619 |
$77K |
| J9267 |
Paclitaxel injection |
4,237 |
1,004 |
$77K |
| 93225 |
|
1,829 |
1,790 |
$77K |
| 88185 |
|
352 |
269 |
$77K |
| 76801 |
|
2,722 |
2,443 |
$77K |
| J9263 |
Oxaliplatin |
4,864 |
1,069 |
$76K |
| J2323 |
Natalizumab injection |
154 |
61 |
$74K |
| J7030 |
Normal saline solution infus |
4,676 |
2,949 |
$74K |
| 87070 |
|
9,301 |
8,492 |
$74K |
| 84100 |
|
24,738 |
17,682 |
$73K |
| 77066 |
Tomosynthesis, mammo |
545 |
543 |
$71K |
| 70487 |
|
1,015 |
1,004 |
$70K |
| 45385 |
|
701 |
694 |
$70K |
| 0761 |
|
1,929 |
1,739 |
$70K |
| 96523 |
|
875 |
772 |
$69K |
| 77065 |
Tomosynthesis, mammo |
661 |
634 |
$69K |
| G0480 |
Drug test def 1-7 classes |
12,163 |
8,444 |
$68K |
| A9562 |
Tc99m mertiatide |
106 |
102 |
$68K |
| J9045 |
Carboplatin injection |
2,442 |
1,186 |
$68K |
| 70546 |
|
182 |
181 |
$68K |
| 74160 |
|
317 |
316 |
$67K |
| 96368 |
|
2,606 |
1,629 |
$67K |
| 85730 |
|
32,591 |
30,313 |
$65K |
| J0640 |
Leucovorin calcium injection |
2,543 |
788 |
$65K |
| 94640 |
|
9,142 |
8,137 |
$65K |
| 94726 |
|
1,749 |
1,712 |
$65K |
| 87497 |
|
1,175 |
904 |
$63K |
| 99281 |
|
797 |
759 |
$62K |
| J3473 |
Hyaluronidase recombinant |
1,759 |
1,279 |
$62K |
| 93656 |
|
26 |
26 |
$62K |
| J3475 |
Inj magnesium sulfate |
6,200 |
3,762 |
$61K |
| 82805 |
|
3,686 |
3,330 |
$60K |
| 73630 |
|
6,149 |
5,400 |
$60K |
| 87430 |
|
6,588 |
6,257 |
$59K |
| 83880 |
|
8,814 |
8,173 |
$59K |
| 72131 |
|
973 |
964 |
$58K |
| A9270 |
Non-covered item or service |
42,761 |
8,951 |
$58K |
| 99224 |
|
826 |
824 |
$58K |
| 78306 |
|
481 |
472 |
$58K |
| 85610 |
|
36,214 |
32,926 |
$58K |
| J0171 |
Adrenalin epinephrine inject |
4,089 |
3,779 |
$57K |
| 97803 |
|
801 |
794 |
$57K |
| 72146 |
|
235 |
235 |
$56K |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
3,718 |
2,731 |
$55K |
| 73610 |
|
5,222 |
4,691 |
$54K |
| 73130 |
|
5,677 |
5,010 |
$54K |
| 78264 |
|
238 |
229 |
$54K |
| G0381 |
Lev 2 hosp type b ed visit |
1,500 |
1,407 |
$53K |
| 86945 |
|
875 |
444 |
$50K |
| A9541 |
Tc99m sulfur colloid |
344 |
333 |
$50K |
| 93243 |
|
439 |
439 |
$49K |
| 74170 |
|
294 |
291 |
$48K |
| 76942 |
|
742 |
727 |
$47K |
| 75561 |
|
146 |
146 |
$46K |
| 97166 |
|
1,122 |
957 |
$46K |
| 76641 |
|
659 |
466 |
$45K |
| 96402 |
|
1,608 |
1,511 |
$45K |
| 73564 |
|
4,336 |
3,747 |
$44K |
| 93880 |
|
442 |
429 |
$43K |
| 74018 |
|
6,309 |
5,941 |
$43K |
| 83615 |
|
6,182 |
4,320 |
$43K |
| 93312 |
|
407 |
403 |
$42K |
| J3480 |
Inj potassium chloride |
4,226 |
2,182 |
$42K |
| J9201 |
In gemcitabine hcl nos 200mg |
1,118 |
330 |
$41K |
| J9070 |
Cyclophosphamide 100 mg inj |
142 |
62 |
$41K |
| J2997 |
Alteplase recombinant |
484 |
383 |
$40K |
| 96377 |
|
1,786 |
1,278 |
$40K |
| G0378 |
Hospital observation per hr |
5,133 |
3,094 |
$39K |
| C9399 |
Unclassified drugs or biolog |
321 |
315 |
$38K |
| 82728 |
|
3,971 |
3,592 |
$38K |
| 77338 |
|
135 |
132 |
$38K |
| 77062 |
|
203 |
203 |
$37K |
| 45378 |
|
390 |
384 |
$37K |
| 36561 |
|
154 |
147 |
$37K |
| J2916 |
Na ferric gluconate complex |
4,215 |
1,114 |
$36K |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
1,451 |
1,006 |
$35K |
| 84702 |
|
5,535 |
4,729 |
$35K |
| 86833 |
|
1,066 |
1,013 |
$35K |
| 73030 |
|
4,250 |
3,829 |
$35K |
| 73110 |
|
3,599 |
3,261 |
$34K |
| J2710 |
Neostigmine methylslfte inj |
3,891 |
3,598 |
$34K |
| 83605 |
|
13,439 |
11,241 |
$34K |
| 83036 |
|
6,164 |
6,015 |
$33K |
| 72100 |
|
2,963 |
2,832 |
$33K |
| J0696 |
Ceftriaxone sodium injection |
6,888 |
6,385 |
$33K |
| 86832 |
|
1,087 |
1,026 |
$33K |
| J2920 |
Methylprednisolone injection |
1,955 |
1,222 |
$33K |
| 93454 |
|
53 |
52 |
$33K |
| J2270 |
Morphine sulfate injection |
11,856 |
10,133 |
$32K |
| 82330 |
|
4,413 |
3,943 |
$31K |
| 76776 |
|
739 |
688 |
$31K |
| 76813 |
|
470 |
463 |
$31K |
| 99225 |
|
451 |
450 |
$31K |
| 84439 |
|
4,552 |
4,024 |
$31K |
| J2785 |
Regadenoson injection |
339 |
336 |
$30K |
| 74240 |
|
398 |
379 |
$30K |
| J2930 |
Methylprednisolone injection |
2,096 |
1,540 |
$30K |
| 45380 |
|
507 |
475 |
$29K |
| 76817 |
|
940 |
882 |
$29K |
| G0277 |
Hbot, full body chamber, 30m |
230 |
13 |
$29K |
| 93246 |
|
1,885 |
1,870 |
$29K |
| J2765 |
Metoclopramide hcl injection |
3,722 |
3,505 |
$28K |
| J3370 |
Vancomycin hcl injection |
2,629 |
1,970 |
$28K |
| 82570 |
|
5,018 |
2,851 |
$28K |
| J0461 |
Atropine sulfate injection |
1,976 |
1,231 |
$27K |
| 88304 |
|
1,865 |
1,848 |
$27K |
| 76870 |
|
1,537 |
1,448 |
$27K |
| J0780 |
Prochlorperazine injection |
4,832 |
4,549 |
$27K |
| 85007 |
|
11,751 |
9,397 |
$26K |
| 67042 |
|
26 |
26 |
$25K |
| 73700 |
|
313 |
296 |
$25K |
| 0272 |
|
11,954 |
9,628 |
$24K |
| 73590 |
|
4,090 |
3,536 |
$24K |
| 82306 |
|
1,494 |
1,421 |
$23K |
| J1720 |
Hydrocortisone sodium succ i |
1,413 |
896 |
$23K |
| J0137 |
Inj, acetaminophen (hikma) |
2,102 |
1,211 |
$23K |
| 84550 |
|
4,601 |
3,116 |
$23K |
| 90715 |
|
2,466 |
2,392 |
$23K |
| 90791 |
|
138 |
137 |
$23K |
| 94618 |
|
940 |
922 |
$22K |
| 72128 |
|
477 |
474 |
$22K |
| 90832 |
|
363 |
330 |
$22K |
| T1024 |
Team evaluation & management |
186 |
159 |
$21K |
| 74220 |
|
671 |
642 |
$21K |
| 43762 |
|
530 |
508 |
$21K |
| 73090 |
|
3,895 |
3,432 |
$21K |
| 96401 |
|
245 |
90 |
$21K |
| C1769 |
Guide wire |
1,067 |
930 |
$21K |
| J2371 |
Inj phenylephrine hcl 20 mcg |
10,814 |
2,397 |
$21K |
| 73080 |
|
2,800 |
2,587 |
$20K |
| 87536 |
|
398 |
393 |
$20K |
| 87147 |
|
7,401 |
2,466 |
$20K |
| 73562 |
|
2,269 |
1,889 |
$20K |
| 10060 |
|
975 |
931 |
$20K |
| 86300 |
|
1,477 |
729 |
$20K |
| 74328 |
|
103 |
102 |
$19K |
| 95813 |
|
235 |
226 |
$19K |
| 87040 |
|
8,082 |
4,958 |
$19K |
| 30140 |
|
237 |
138 |
$19K |
| 85347 |
|
1,479 |
844 |
$19K |
| 97530 |
|
1,788 |
944 |
$18K |
| 77470 |
|
162 |
154 |
$18K |
| 86301 |
|
1,037 |
798 |
$18K |
| 78709 |
|
83 |
83 |
$18K |
| 80061 |
|
2,369 |
2,250 |
$18K |
| 88184 |
|
361 |
282 |
$18K |
| 83550 |
|
3,090 |
2,846 |
$18K |
| 86803 |
|
1,379 |
1,279 |
$17K |
| A9500 |
Tc99m sestamibi |
195 |
169 |
$17K |
| 97161 |
|
948 |
892 |
$17K |
| 86304 |
|
918 |
779 |
$17K |
| J9190 |
Fluorouracil injection |
714 |
377 |
$17K |
| 87636 |
|
132 |
131 |
$16K |
| J0129 |
Abatacept injection |
28 |
24 |
$16K |
| J9060 |
Cisplatin 10 mg injection |
480 |
210 |
$16K |
| G0109 |
Diab manage trn ind/group |
342 |
188 |
$16K |
| 84132 |
|
6,421 |
5,540 |
$16K |
| P9041 |
Albumin (human),5%, 50ml |
89 |
51 |
$16K |
| J1580 |
Garamycin gentamicin inj |
1,016 |
931 |
$16K |
| 0681 |
|
21 |
21 |
$16K |
| C1771 |
Rep dev, urinary, w/sling |
12 |
12 |
$15K |
| 73502 |
|
1,252 |
1,202 |
$15K |
| 87340 |
|
1,921 |
1,754 |
$15K |
| 97112 |
|
3,143 |
1,326 |
$15K |
| 30520 |
|
210 |
189 |
$15K |
| 87205 |
|
4,465 |
3,773 |
$14K |
| C1874 |
Stent, coated/cov w/del sys |
12 |
12 |
$14K |
| A4913 |
Misc dialysis supplies noc |
877 |
204 |
$14K |
| 0459 |
|
1,174 |
1,123 |
$14K |
| 84156 |
|
3,963 |
2,083 |
$14K |
| J9075 |
Inj, cyclophosphamide, nos |
324 |
63 |
$14K |
| 76604 |
|
1,263 |
1,214 |
$14K |
| 77321 |
|
142 |
127 |
$13K |
| 87186 |
|
2,370 |
2,063 |
$13K |
| J0360 |
Hydralazine hcl injection |
1,153 |
1,040 |
$13K |
| 72070 |
|
1,137 |
1,082 |
$13K |
| 77063 |
|
416 |
415 |
$13K |
| J3301 |
Triamcinolone acet inj nos |
696 |
676 |
$12K |
| 87390 |
|
960 |
945 |
$12K |
| 73552 |
|
2,105 |
1,864 |
$12K |
| 96376 |
|
2,727 |
2,071 |
$12K |
| 85018 |
|
6,170 |
5,544 |
$12K |
| U0005 |
Infec agen detec ampli probe |
2,332 |
2,240 |
$12K |
| 77001 |
|
148 |
148 |
$12K |
| 86140 |
|
7,371 |
6,806 |
$12K |
| 43235 |
|
163 |
155 |
$12K |
| 97116 |
|
2,479 |
1,137 |
$11K |
| J1940 |
Furosemide injection |
2,042 |
1,589 |
$11K |
| 93505 |
|
31 |
29 |
$11K |
| 87522 |
Neg quan hep c or qual rna |
233 |
228 |
$11K |
| 73060 |
|
2,349 |
2,148 |
$11K |
| J2795 |
Ropivacaine hcl injection |
711 |
413 |
$11K |
| J9217 |
Leuprolide acetate suspnsion |
51 |
51 |
$11K |
| J1805 |
Inj, esmolol hcl, 10mg |
579 |
468 |
$11K |
| J2720 |
Inj protamine sulfate/10 mg |
602 |
467 |
$11K |
| J7040 |
Normal saline solution infus |
819 |
518 |
$10K |
| 94010 |
|
551 |
544 |
$10K |
| 36591 |
|
614 |
371 |
$10K |
| 93356 |
|
234 |
233 |
$10K |
| Q9968 |
Visualization adjunct |
90 |
86 |
$10K |
| 72040 |
|
1,095 |
1,035 |
$10K |
| J2919 |
Inj, methylpred sod succ 5mg |
723 |
426 |
$10K |
| 82810 |
|
765 |
525 |
$9K |
| 82105 |
|
197 |
173 |
$9K |
| 41899 |
|
209 |
198 |
$9K |
| J0330 |
Succinycholine chloride inj |
1,520 |
1,469 |
$9K |
| 87210 |
|
3,882 |
3,748 |
$9K |
| 86706 |
|
999 |
906 |
$9K |
| 86702 |
|
990 |
974 |
$9K |
| 30465 |
|
20 |
14 |
$9K |
| 87517 |
|
159 |
155 |
$9K |
| J2060 |
Lorazepam injection |
2,413 |
2,019 |
$9K |
| 0760 |
|
392 |
355 |
$9K |
| 85379 |
|
2,491 |
2,361 |
$9K |
| 82550 |
|
5,222 |
4,279 |
$8K |
| C1894 |
Intro/sheath, non-laser |
1,219 |
907 |
$8K |
| 87102 |
|
841 |
689 |
$8K |
| 76882 |
|
983 |
921 |
$8K |
| 0270 |
|
8,321 |
6,891 |
$8K |
| 73140 |
|
591 |
558 |
$8K |
| 82248 |
|
1,393 |
1,234 |
$8K |
| 82607 |
|
655 |
619 |
$8K |
| J1250 |
Inj dobutamine hcl/250 mg |
503 |
483 |
$8K |
| 75572 |
|
53 |
53 |
$8K |
| 69436 |
|
56 |
56 |
$7K |
| J2800 |
Methocarbamol injection |
1,186 |
991 |
$7K |
| 88313 |
|
193 |
186 |
$7K |
| 89051 |
|
1,065 |
965 |
$7K |
| 84520 |
|
2,776 |
2,212 |
$7K |
| 74022 |
|
1,338 |
1,293 |
$7K |
| 82784 |
|
984 |
494 |
$7K |
| J9206 |
Irinotecan injection |
289 |
103 |
$7K |
| J1171 |
Inj, hydromorphone, 0.1 mg |
328 |
182 |
$7K |
| 72170 |
|
1,730 |
1,685 |
$7K |
| 87075 |
|
568 |
503 |
$7K |
| 86701 |
|
990 |
974 |
$7K |
| 82435 |
|
3,575 |
3,264 |
$6K |
| 93242 |
|
439 |
439 |
$6K |
| 84145 |
|
1,980 |
1,864 |
$6K |
| 85652 |
|
6,392 |
6,017 |
$6K |
| S0077 |
Injection, clindamycin phosp |
753 |
639 |
$6K |
| 71270 |
|
161 |
150 |
$6K |
| J0153 |
Adenosine inj 1mg |
119 |
108 |
$6K |
| 84295 |
|
3,695 |
3,360 |
$6K |
| J0612 |
Inj, calcium gluconate, nos |
714 |
192 |
$6K |
| J9000 |
Doxorubicin hcl injection |
174 |
105 |
$6K |
| 36430 |
|
136 |
98 |
$6K |
| 78451 |
|
15 |
15 |
$6K |
| J1040 |
Methylprednisolone 80 mg inj |
326 |
256 |
$6K |
| 76000 |
|
24 |
24 |
$6K |
| 88331 |
|
232 |
227 |
$5K |
| 82247 |
|
732 |
635 |
$5K |
| 92610 |
|
274 |
271 |
$5K |
| 88350 |
|
13 |
12 |
$5K |
| A9579 |
Gad-base mr contrast nos,1ml |
508 |
490 |
$5K |
| 0259 |
|
10,143 |
5,118 |
$5K |
| A4315 |
Cath w/drainage 2-way silcne |
92 |
91 |
$5K |
| 86704 |
|
626 |
548 |
$5K |
| 77075 |
|
491 |
476 |
$5K |
| A4216 |
Sterile water/saline, 10 ml |
61 |
53 |
$5K |
| 82274 |
|
1,141 |
1,099 |
$5K |
| 76816 |
|
100 |
90 |
$5K |
| 62270 |
|
120 |
107 |
$5K |
| 70480 |
|
42 |
42 |
$5K |
| A6258 |
Transparent film >16<=48 in |
420 |
413 |
$5K |
| 92526 |
|
75 |
40 |
$5K |
| 87880 |
|
1,160 |
1,035 |
$5K |
| 93321 |
|
207 |
197 |
$5K |
| 97162 |
|
255 |
245 |
$5K |
| 12001 |
|
661 |
643 |
$4K |
| 90471 |
|
2,556 |
2,415 |
$4K |
| 70481 |
|
44 |
43 |
$4K |
| 86593 |
|
1,479 |
1,452 |
$4K |
| 90839 |
|
941 |
895 |
$4K |
| J8540 |
Oral dexamethasone |
348 |
236 |
$4K |
| 73100 |
|
773 |
697 |
$4K |
| 82553 |
|
2,318 |
1,568 |
$4K |
| 73560 |
|
569 |
492 |
$4K |
| A4217 |
Sterile water/saline, 500 ml |
969 |
773 |
$4K |
| 86334 |
|
186 |
166 |
$4K |
| 82746 |
|
319 |
307 |
$4K |
| 82150 |
|
1,567 |
1,384 |
$4K |
| 58571 |
|
13 |
13 |
$4K |
| 61782 |
|
41 |
39 |
$4K |
| A9503 |
Tc99m medronate |
368 |
360 |
$4K |
| J3489 |
Zoledronic acid 1mg |
139 |
129 |
$4K |
| 82310 |
|
434 |
304 |
$4K |
| 0296T |
|
404 |
390 |
$4K |
| L2112 |
Afo tibial fracture soft |
25 |
25 |
$4K |
| 73720 |
|
12 |
12 |
$3K |
| 84153 |
|
300 |
285 |
$3K |
| 87184 |
|
1,234 |
1,121 |
$3K |
| 78018 |
|
14 |
14 |
$3K |
| 83521 |
|
302 |
138 |
$3K |
| A9573 |
Inj, gadopiclenol, 1 ml |
150 |
147 |
$3K |
| 31267 |
|
18 |
12 |
$3K |
| 86480 |
|
185 |
178 |
$3K |
| J0134 |
Inj acetaminophen -fresenius |
283 |
153 |
$3K |
| 86902 |
|
55 |
40 |
$3K |
| 83520 |
|
259 |
133 |
$3K |
| 87637 |
|
19 |
19 |
$3K |
| 85046 |
|
852 |
667 |
$3K |
| J7512 |
Prednisone ir or dr oral 1mg |
672 |
466 |
$3K |
| 10005 |
|
58 |
58 |
$3K |
| 82108 |
|
331 |
264 |
$3K |
| 90853 |
|
78 |
15 |
$3K |
| J7042 |
5% dextrose/normal saline |
2,070 |
1,944 |
$3K |
| 82010 |
|
1,355 |
1,227 |
$3K |
| 93662 |
|
24 |
24 |
$3K |
| 73501 |
|
537 |
512 |
$2K |
| 64642 |
|
38 |
38 |
$2K |
| 73070 |
|
807 |
705 |
$2K |
| 91010 |
|
56 |
56 |
$2K |
| 54360 |
|
24 |
24 |
$2K |
| J1630 |
Haloperidol injection |
1,372 |
1,215 |
$2K |
| J1650 |
Inj enoxaparin sodium |
957 |
628 |
$2K |
| 93613 |
|
27 |
27 |
$2K |
| J0736 |
Inj, clindamycin phosp 300mg |
168 |
154 |
$2K |
| 86769 |
|
51 |
48 |
$2K |
| J2252 |
Inj midazolam in 0.8% nacl |
116 |
111 |
$2K |
| 51702 |
|
312 |
289 |
$2K |
| 12011 |
|
355 |
339 |
$2K |
| 80299 |
|
243 |
215 |
$2K |
| 85384 |
|
317 |
289 |
$2K |
| J1836 |
Inj, metronidazole, 10 mg |
161 |
143 |
$2K |
| 51701 |
|
142 |
137 |
$2K |
| 58661 |
|
13 |
13 |
$2K |
| 64643 |
|
85 |
81 |
$2K |
| J9171 |
Docetaxel injection |
61 |
25 |
$2K |
| 88300 |
|
450 |
435 |
$2K |
| 87624 |
|
59 |
58 |
$2K |
| Q0144 |
Azithromycin dihydrate, oral |
607 |
561 |
$2K |
| 86308 |
|
852 |
783 |
$2K |
| 86762 |
|
135 |
105 |
$2K |
| 84165 |
|
181 |
163 |
$2K |
| 80143 |
|
1,886 |
1,786 |
$2K |
| 43760 |
|
63 |
60 |
$2K |
| 70355 |
|
312 |
306 |
$2K |
| 57288 |
|
24 |
24 |
$2K |
| J1953 |
Levetiracetam injection |
187 |
146 |
$1K |
| A0429 |
Bls-emergency |
96 |
51 |
$1K |
| 77080 |
|
40 |
40 |
$1K |
| J1920 |
Inj, labetalol hcl, 5mg |
196 |
185 |
$1K |
| J2543 |
Piperacillin/tazobactam |
599 |
498 |
$1K |
| 86592 |
|
477 |
460 |
$1K |
| 70250 |
|
156 |
140 |
$1K |
| 74019 |
|
564 |
542 |
$1K |
| 87389 |
|
135 |
125 |
$1K |
| 87116 |
|
126 |
95 |
$1K |
| 71100 |
|
54 |
53 |
$1K |
| J0136 |
Inj, acetaminophen (b braun) |
166 |
88 |
$1K |
| P9047 |
Albumin (human), 25%, 50ml |
15 |
12 |
$1K |
| 93923 |
|
13 |
13 |
$1K |
| 49500 |
|
17 |
12 |
$1K |
| 88112 |
|
26 |
25 |
$1K |
| 73521 |
|
84 |
84 |
$1K |
| 86870 |
|
42 |
37 |
$1K |
| G0384 |
Lev 5 hosp type b ed visit |
13 |
12 |
$1K |
| 86235 |
|
77 |
77 |
$1K |
| 82140 |
|
377 |
341 |
$1K |
| 90686 |
|
105 |
103 |
$1K |
| 0258 |
|
1,675 |
1,059 |
$994.47 |
| 74230 |
|
26 |
26 |
$993.50 |
| 62328 |
|
12 |
12 |
$983.12 |
| 50200 |
|
27 |
27 |
$943.39 |
| 0271 |
|
1,673 |
1,419 |
$935.63 |
| G0283 |
Elec stim other than wound |
353 |
117 |
$928.93 |
| 88173 |
|
38 |
38 |
$926.34 |
| 97003 |
|
23 |
12 |
$906.62 |
| 93924 |
|
12 |
12 |
$825.71 |
| J2175 |
Meperidine hydrochl /100 mg |
46 |
42 |
$818.28 |
| 20680 |
|
15 |
12 |
$812.00 |
| 83020 |
|
74 |
51 |
$807.04 |
| 93319 |
|
15 |
15 |
$781.14 |
| J1010 |
Inj, methylpred acetate 1 mg |
46 |
42 |
$775.94 |
| 87206 |
|
162 |
130 |
$771.24 |
| 73200 |
|
15 |
15 |
$771.01 |
| 71020 |
|
168 |
164 |
$724.45 |
| 97018 |
|
303 |
119 |
$704.39 |
| G8978 |
Mobility current status |
35 |
14 |
$689.15 |
| 84460 |
|
358 |
351 |
$653.72 |
| 88360 |
|
28 |
25 |
$647.72 |
| 84450 |
|
360 |
354 |
$639.62 |
| S0164 |
Injection pantroprazole |
106 |
96 |
$632.49 |
| 99195 |
|
32 |
24 |
$630.35 |
| 82977 |
|
45 |
45 |
$624.51 |
| 80074 |
|
12 |
12 |
$536.08 |
| 93797 |
|
24 |
13 |
$535.04 |
| 84403 |
|
28 |
27 |
$513.13 |
| 82945 |
|
282 |
267 |
$508.29 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
175 |
114 |
$502.12 |
| 88311 |
|
193 |
192 |
$501.16 |
| 80076 |
|
130 |
123 |
$498.05 |
| 84157 |
|
294 |
281 |
$484.36 |
| 86780 |
|
83 |
81 |
$406.46 |
| 36224 |
|
13 |
12 |
$403.13 |
| 82525 |
|
29 |
26 |
$309.19 |
| 84478 |
|
72 |
62 |
$288.81 |
| 84630 |
|
33 |
28 |
$279.91 |
| 84255 |
|
16 |
12 |
$256.20 |
| 64644 |
|
21 |
18 |
$240.00 |
| 86318 |
|
105 |
104 |
$230.01 |
| 94760 |
|
27 |
26 |
$228.27 |
| 86787 |
|
24 |
14 |
$227.58 |
| P9612 |
Catheterize for urine spec |
1,142 |
1,034 |
$225.53 |
| 94770 |
|
37 |
36 |
$224.37 |
| 97026 |
|
140 |
54 |
$223.16 |
| G0380 |
Lev 1 hosp type b ed visit |
13 |
12 |
$222.80 |
| 88346 |
|
12 |
12 |
$222.00 |
| 88302 |
|
27 |
27 |
$208.57 |
| 87106 |
|
27 |
27 |
$201.00 |
| 0042T |
|
88 |
88 |
$197.85 |
| J1120 |
Acetazolamid sodium injectio |
12 |
12 |
$193.19 |
| 12002 |
|
126 |
119 |
$186.80 |
| G1010 |
Cdsm stanson |
1,807 |
1,622 |
$183.29 |
| 82365 |
|
14 |
12 |
$182.93 |
| 86735 |
|
14 |
14 |
$176.48 |
| 86765 |
|
14 |
14 |
$174.30 |
| 86665 |
|
27 |
13 |
$154.80 |
| 73620 |
|
13 |
13 |
$154.38 |
| 87045 |
|
42 |
40 |
$150.34 |
| J2470 |
Inj pantoprazole sodium 40mg |
39 |
29 |
$148.67 |
| 73660 |
|
14 |
12 |
$130.80 |
| J2359 |
Inj. olanzapine, 0.5mg |
37 |
28 |
$123.78 |
| J0694 |
Cefoxitin sodium injection |
13 |
13 |
$123.41 |
| 86777 |
|
12 |
12 |
$121.62 |
| 86644 |
|
12 |
12 |
$117.72 |
| 70360 |
|
40 |
39 |
$108.35 |
| 74000 |
|
52 |
48 |
$108.03 |
| 73000 |
|
33 |
31 |
$98.17 |
| 99213 |
|
15 |
12 |
$92.86 |
| 87427 |
|
27 |
26 |
$92.70 |
| 81003 |
|
337 |
319 |
$92.14 |
| 31720 |
|
114 |
97 |
$85.12 |
| 82043 |
|
12 |
12 |
$75.42 |
| 71010 |
|
28 |
24 |
$74.45 |
| 36600 |
|
14 |
14 |
$73.69 |
| 0621 |
|
16 |
13 |
$71.75 |
| 86664 |
|
13 |
12 |
$68.22 |
| 85651 |
|
157 |
153 |
$67.31 |
| 87324 |
|
12 |
12 |
$66.16 |
| 87449 |
|
12 |
12 |
$66.16 |
| 86663 |
|
13 |
12 |
$60.31 |
| 0100U |
|
91 |
90 |
$55.12 |
| 80164 |
|
57 |
53 |
$43.27 |
| 87185 |
|
28 |
25 |
$37.99 |
| 90833 |
|
16 |
16 |
$34.49 |
| 76010 |
|
14 |
14 |
$25.40 |
| A6453 |
Self-adher band w <3"/yd |
192 |
152 |
$2.62 |
| G8979 |
Mobility goal status |
101 |
53 |
$0.01 |
| 0637 |
|
1,070 |
521 |
$0.00 |
| C1758 |
Catheter, ureteral |
30 |
26 |
$0.00 |
| C1887 |
Catheter, guiding |
14 |
12 |
$0.00 |
| 77076 |
|
12 |
12 |
$0.00 |
| 94664 |
|
17 |
12 |
$0.00 |
| 85396 |
|
12 |
12 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
20 |
13 |
$0.00 |
| A6449 |
Lt compres band >=3" <5"/yd |
55 |
49 |
$0.00 |
| 80320 |
|
78 |
77 |
$0.00 |
| 0636 |
|
37 |
34 |
$0.00 |
| Q0247 |
Sotrovimab |
20 |
20 |
$0.00 |
| A6222 |
Gauze <=16 in no w/sal w/o b |
12 |
12 |
$0.00 |
| G0008 |
Admin influenza virus vac |
17 |
17 |
$0.00 |