| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92507 |
|
186,498 |
59,845 |
$23.75M |
| 99283 |
|
115,764 |
106,716 |
$22.25M |
| 99213 |
|
138,790 |
129,975 |
$19.25M |
| 99214 |
|
136,700 |
126,608 |
$12.43M |
| 99284 |
|
35,496 |
32,959 |
$10.78M |
| 99212 |
|
52,600 |
49,935 |
$10.52M |
| 97110 |
|
128,004 |
36,927 |
$9.60M |
| 99285 |
|
25,947 |
24,040 |
$9.29M |
| 97530 |
|
109,758 |
36,882 |
$7.42M |
| 99282 |
|
39,787 |
36,904 |
$7.04M |
| 41899 |
|
4,087 |
3,852 |
$7.01M |
| 99211 |
|
29,828 |
27,762 |
$6.42M |
| J1745 |
Infliximab not biosimil 10mg |
2,225 |
1,997 |
$4.77M |
| 95810 |
|
4,619 |
4,490 |
$4.38M |
| 42820 |
|
2,191 |
2,054 |
$4.33M |
| 93306 |
|
6,609 |
6,433 |
$4.27M |
| 43239 |
|
4,792 |
4,534 |
$4.10M |
| 69436 |
|
3,039 |
2,784 |
$3.96M |
| 93304 |
|
8,604 |
8,089 |
$3.93M |
| 96361 |
|
10,449 |
8,609 |
$3.81M |
| 67311 |
|
1,399 |
1,286 |
$3.78M |
| G0378 |
Hospital observation per hr |
12,412 |
6,579 |
$3.58M |
| 95782 |
|
2,690 |
2,625 |
$2.86M |
| 94640 |
|
37,565 |
21,456 |
$2.64M |
| 70551 |
|
4,547 |
4,346 |
$2.53M |
| 42830 |
|
1,354 |
1,297 |
$2.52M |
| 99203 |
|
23,739 |
22,354 |
$2.44M |
| J1569 |
Gammagard liquid injection |
1,362 |
1,044 |
$2.26M |
| U0003 |
Cov-19 amp prb hgh thruput |
36,277 |
34,063 |
$2.02M |
| 76770 |
|
10,066 |
9,620 |
$1.96M |
| 96110 |
|
2,478 |
2,098 |
$1.75M |
| 92523 |
|
10,854 |
10,542 |
$1.71M |
| 70450 |
|
4,500 |
4,252 |
$1.69M |
| 70553 |
|
2,192 |
2,060 |
$1.57M |
| 99215 |
Prolong outpt/office vis |
11,610 |
11,057 |
$1.56M |
| 87631 |
|
43,812 |
40,745 |
$1.55M |
| 93303 |
|
3,050 |
2,704 |
$1.54M |
| 93325 |
|
14,774 |
13,590 |
$1.51M |
| 96413 |
|
5,854 |
4,214 |
$1.46M |
| 96365 |
|
9,061 |
7,609 |
$1.40M |
| 54161 |
|
728 |
708 |
$1.32M |
| 94010 |
|
19,291 |
18,675 |
$1.30M |
| 71046 |
|
34,915 |
32,496 |
$1.22M |
| 99391 |
|
10,064 |
7,721 |
$1.20M |
| 74177 |
|
1,987 |
1,889 |
$1.20M |
| 97161 |
|
6,545 |
6,344 |
$1.16M |
| 96360 |
|
5,729 |
5,397 |
$1.16M |
| 76705 |
|
7,086 |
6,594 |
$1.15M |
| P9016 |
Rbc leukocytes reduced |
2,097 |
1,839 |
$1.13M |
| 45380 |
|
1,547 |
1,443 |
$1.12M |
| 99217 |
|
1,902 |
1,693 |
$1.10M |
| 93308 |
|
2,914 |
2,781 |
$1.09M |
| 95819 |
|
2,747 |
2,687 |
$1.07M |
| 99218 |
|
2,482 |
2,218 |
$1.02M |
| 99202 |
|
9,992 |
9,471 |
$979K |
| 36430 |
|
2,517 |
2,061 |
$918K |
| 99392 |
|
7,177 |
6,913 |
$906K |
| 73721 |
|
1,919 |
1,862 |
$829K |
| 93005 |
|
23,916 |
22,198 |
$816K |
| 97112 |
|
25,199 |
8,926 |
$787K |
| 97162 |
|
4,409 |
4,283 |
$772K |
| 87486 |
|
44,027 |
40,908 |
$765K |
| J3490 |
Drugs unclassified injection |
105,041 |
51,303 |
$731K |
| 80053 |
|
51,129 |
44,313 |
$715K |
| J3535 |
Metered dose inhaler drug |
25,022 |
22,525 |
$703K |
| 74018 |
|
14,565 |
13,203 |
$701K |
| 97165 |
|
4,176 |
4,073 |
$696K |
| 76700 |
|
2,791 |
2,719 |
$679K |
| 99393 |
|
5,645 |
5,504 |
$660K |
| 90791 |
|
3,708 |
3,474 |
$627K |
| 96366 |
|
2,680 |
1,964 |
$603K |
| 12011 |
|
2,329 |
2,240 |
$597K |
| 0202U |
|
2,448 |
2,288 |
$555K |
| 93321 |
|
11,468 |
10,738 |
$555K |
| 87651 |
|
25,130 |
24,326 |
$552K |
| 87798 |
|
47,086 |
41,272 |
$533K |
| 93976 |
|
4,317 |
4,073 |
$511K |
| 95812 |
|
972 |
942 |
$504K |
| 87581 |
|
44,023 |
40,906 |
$491K |
| 74019 |
|
12,088 |
11,289 |
$484K |
| 87635 |
|
9,755 |
9,187 |
$474K |
| 85025 |
|
82,423 |
70,424 |
$455K |
| 72082 |
|
5,396 |
5,232 |
$451K |
| 88305 |
|
7,113 |
6,690 |
$448K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,778 |
1,574 |
$446K |
| 96161 |
|
12,980 |
12,141 |
$433K |
| 99394 |
|
3,265 |
3,194 |
$431K |
| 70360 |
|
6,460 |
6,267 |
$421K |
| 72148 |
|
883 |
859 |
$407K |
| 94060 |
|
4,286 |
4,097 |
$406K |
| 87880 |
|
43,381 |
41,342 |
$402K |
| 90834 |
|
4,407 |
2,713 |
$392K |
| 12001 |
|
1,443 |
1,382 |
$381K |
| 76856 |
|
2,362 |
2,255 |
$380K |
| 95816 |
|
1,528 |
1,426 |
$369K |
| 96374 |
|
9,863 |
8,647 |
$365K |
| 96415 |
|
905 |
580 |
$364K |
| 73564 |
|
5,421 |
4,702 |
$334K |
| U0005 |
Infec agen detec ampli probe |
32,028 |
30,269 |
$330K |
| 73610 |
|
7,319 |
6,775 |
$328K |
| 76870 |
|
2,205 |
2,062 |
$320K |
| 92551 |
|
1,818 |
1,696 |
$314K |
| 92522 |
|
1,958 |
1,926 |
$313K |
| 97803 |
|
3,365 |
3,237 |
$294K |
| 96375 |
|
9,258 |
7,095 |
$294K |
| 92526 |
|
3,836 |
1,770 |
$293K |
| A0427 |
Als1-emergency |
1,098 |
1,040 |
$290K |
| 76536 |
|
1,737 |
1,673 |
$289K |
| 70486 |
|
1,139 |
1,105 |
$275K |
| 87591 |
|
17,208 |
16,518 |
$267K |
| G0390 |
Trauma respons w/hosp criti |
362 |
347 |
$266K |
| 76885 |
|
1,502 |
1,333 |
$262K |
| 73630 |
|
6,741 |
6,003 |
$261K |
| 73100 |
|
3,969 |
3,506 |
$260K |
| 76937 |
|
2,844 |
2,448 |
$260K |
| 77072 |
|
4,088 |
3,992 |
$258K |
| 29125 |
|
2,275 |
2,105 |
$258K |
| 73090 |
|
5,259 |
4,485 |
$256K |
| 73590 |
|
5,400 |
4,567 |
$254K |
| 82306 |
|
17,670 |
16,712 |
$252K |
| 87804 |
|
20,655 |
14,912 |
$249K |
| 25600 |
|
387 |
383 |
$234K |
| 87637 |
|
10,383 |
9,991 |
$230K |
| 76882 |
|
1,634 |
1,566 |
$229K |
| 74240 |
|
1,225 |
1,183 |
$227K |
| 73140 |
|
5,606 |
5,111 |
$226K |
| 87491 |
|
17,198 |
16,505 |
$225K |
| 73521 |
|
3,699 |
3,546 |
$221K |
| 87086 |
|
35,082 |
32,247 |
$219K |
| 96127 |
|
4,978 |
4,760 |
$210K |
| 72081 |
|
3,639 |
3,552 |
$208K |
| J8499 |
Oral prescrip drug non chemo |
214,129 |
123,587 |
$206K |
| 96372 |
|
7,495 |
6,374 |
$205K |
| 43762 |
|
944 |
848 |
$204K |
| 99291 |
|
386 |
366 |
$204K |
| 97802 |
|
3,739 |
3,654 |
$203K |
| 87507 |
|
2,291 |
2,146 |
$202K |
| 99174 |
|
1,891 |
1,833 |
$192K |
| 93320 |
|
3,035 |
2,682 |
$187K |
| 29515 |
|
1,589 |
1,425 |
$186K |
| 83655 |
|
12,357 |
11,913 |
$185K |
| 84439 |
|
18,427 |
17,717 |
$184K |
| 40819 |
|
110 |
96 |
$176K |
| 73070 |
|
2,567 |
2,209 |
$171K |
| 80048 |
|
14,839 |
12,322 |
$171K |
| 10060 |
|
532 |
506 |
$168K |
| 36415 |
|
52,793 |
49,443 |
$164K |
| 90471 |
|
22,107 |
20,965 |
$164K |
| 80050 |
|
11,818 |
11,426 |
$163K |
| 96450 |
|
309 |
228 |
$162K |
| 73130 |
|
3,604 |
3,310 |
$156K |
| 93225 |
|
1,359 |
1,230 |
$155K |
| 86922 |
|
3,247 |
2,763 |
$153K |
| 95700 |
|
853 |
810 |
$152K |
| G0108 |
Diab manage trn per indiv |
1,999 |
1,902 |
$152K |
| 49591 |
|
29 |
29 |
$152K |
| 96409 |
|
1,220 |
713 |
$147K |
| 97140 |
|
4,323 |
1,858 |
$146K |
| 73110 |
|
3,243 |
3,031 |
$144K |
| 96367 |
|
1,350 |
925 |
$144K |
| 29105 |
|
1,225 |
1,147 |
$142K |
| 97535 |
|
3,278 |
2,031 |
$142K |
| 86140 |
|
21,191 |
19,527 |
$141K |
| 80061 |
|
18,090 |
17,431 |
$140K |
| 99173 |
|
4,749 |
4,632 |
$140K |
| 72100 |
|
1,944 |
1,898 |
$140K |
| 74230 |
|
1,026 |
966 |
$140K |
| 87506 |
|
1,379 |
1,325 |
$139K |
| 73560 |
|
2,311 |
1,871 |
$138K |
| 73080 |
|
2,976 |
2,687 |
$132K |
| S0119 |
Ondansetron 4 mg |
27,457 |
25,634 |
$132K |
| 83036 |
|
19,164 |
18,435 |
$132K |
| 95951 |
|
212 |
133 |
$131K |
| 51600 |
|
509 |
473 |
$127K |
| 73552 |
|
2,311 |
1,988 |
$127K |
| J2405 |
Ondansetron hcl injection |
34,642 |
30,870 |
$127K |
| 81025 |
|
18,005 |
16,425 |
$126K |
| J2704 |
Inj, propofol, 10 mg |
29,579 |
25,542 |
$124K |
| 53020 |
|
103 |
99 |
$122K |
| 99224 |
|
92 |
61 |
$120K |
| 90837 |
|
1,117 |
735 |
$120K |
| 87040 |
|
5,758 |
5,157 |
$120K |
| 73030 |
|
2,108 |
1,894 |
$118K |
| 94664 |
|
13,877 |
13,028 |
$116K |
| 99204 |
|
799 |
759 |
$114K |
| 73620 |
|
1,933 |
1,536 |
$109K |
| 86902 |
|
1,872 |
1,635 |
$107K |
| 73600 |
|
1,690 |
1,475 |
$106K |
| 93226 |
|
906 |
837 |
$105K |
| 97167 |
|
1,027 |
953 |
$101K |
| 74455 |
|
469 |
435 |
$100K |
| 73562 |
|
2,265 |
1,976 |
$99K |
| 84443 |
|
11,031 |
10,618 |
$98K |
| J1100 |
Dexamethasone sodium phos |
36,414 |
32,575 |
$95K |
| 99381 |
|
849 |
759 |
$94K |
| 81001 |
|
25,458 |
23,335 |
$92K |
| 96130 |
|
125 |
107 |
$90K |
| 99051 |
|
38,300 |
36,161 |
$89K |
| 82728 |
|
11,119 |
10,381 |
$89K |
| 87077 |
|
14,180 |
12,720 |
$85K |
| 70250 |
|
1,431 |
1,339 |
$85K |
| 76506 |
|
529 |
475 |
$85K |
| 36592 |
|
3,991 |
3,448 |
$81K |
| 96160 |
|
2,390 |
2,350 |
$80K |
| 90472 |
|
12,243 |
11,671 |
$79K |
| 80307 |
|
1,294 |
1,232 |
$79K |
| 90686 |
|
8,930 |
8,404 |
$79K |
| 83020 |
|
4,850 |
4,486 |
$78K |
| J2357 |
Omalizumab injection |
1,163 |
684 |
$75K |
| 99281 |
|
390 |
348 |
$74K |
| 82784 |
|
9,812 |
9,270 |
$72K |
| 70491 |
|
172 |
167 |
$72K |
| 83516 |
|
7,574 |
7,400 |
$71K |
| 73000 |
|
1,335 |
1,251 |
$70K |
| 96376 |
|
2,133 |
1,449 |
$69K |
| 77077 |
|
1,041 |
1,010 |
$67K |
| J0561 |
Penicillin g benzathine inj |
643 |
615 |
$66K |
| 90832 |
|
935 |
648 |
$66K |
| J0585 |
Injection,onabotulinumtoxina |
113 |
102 |
$66K |
| 97163 |
|
1,184 |
1,117 |
$66K |
| 73660 |
|
1,674 |
1,553 |
$65K |
| J1885 |
Ketorolac tromethamine inj |
18,406 |
15,830 |
$64K |
| 82247 |
|
9,229 |
6,247 |
$64K |
| 87070 |
|
7,426 |
6,804 |
$62K |
| 83690 |
|
7,816 |
7,251 |
$62K |
| 90651 |
|
2,591 |
2,548 |
$62K |
| 80306 |
|
5,404 |
5,106 |
$61K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,072 |
3,613 |
$61K |
| 93788 |
|
581 |
568 |
$60K |
| 71045 |
|
2,179 |
1,970 |
$58K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
4,062 |
3,683 |
$58K |
| P9040 |
Rbc leukoreduced irradiated |
115 |
91 |
$56K |
| 81003 |
|
26,504 |
24,562 |
$56K |
| 72040 |
|
1,133 |
1,077 |
$55K |
| 87186 |
|
8,969 |
8,254 |
$55K |
| J3010 |
Fentanyl citrate injection |
15,401 |
14,142 |
$54K |
| 82570 |
|
10,408 |
9,811 |
$53K |
| J2270 |
Morphine sulfate injection |
12,983 |
10,266 |
$53K |
| 72125 |
|
256 |
248 |
$52K |
| 85652 |
|
17,922 |
16,701 |
$52K |
| 97010 |
|
2,931 |
1,404 |
$51K |
| 72141 |
|
132 |
127 |
$51K |
| C1889 |
Implant/insert device, noc |
489 |
471 |
$51K |
| J0690 |
Cefazolin sodium injection |
8,978 |
6,937 |
$51K |
| 90670 |
|
4,471 |
4,201 |
$51K |
| J7611 |
Albuterol non-comp con |
11,890 |
10,025 |
$50K |
| 97116 |
|
1,425 |
749 |
$50K |
| 92610 |
|
170 |
165 |
$50K |
| J1050 |
Medroxyprogesterone acetate |
1,696 |
1,595 |
$50K |
| 99195 |
|
815 |
740 |
$49K |
| 93886 |
|
221 |
210 |
$49K |
| 82248 |
|
14,109 |
10,665 |
$48K |
| 90633 |
|
3,250 |
3,133 |
$48K |
| 92611 |
|
859 |
807 |
$47K |
| 80047 |
|
2,650 |
2,479 |
$47K |
| 85045 |
|
14,045 |
11,479 |
$46K |
| 87633 |
|
1,802 |
1,651 |
$46K |
| 49452 |
|
118 |
100 |
$46K |
| 97016 |
|
1,411 |
545 |
$45K |
| 97014 |
|
1,414 |
487 |
$45K |
| 76642 |
|
285 |
273 |
$44K |
| 80076 |
|
4,085 |
3,797 |
$44K |
| J1815 |
Insulin injection |
491 |
251 |
$44K |
| 97760 |
|
523 |
496 |
$43K |
| 72070 |
|
685 |
668 |
$42K |
| 82803 |
|
3,442 |
3,126 |
$42K |
| J0131 |
Inj, acetaminophen (nos) |
3,387 |
2,852 |
$41K |
| 86003 |
|
2,870 |
2,714 |
$40K |
| 82948 |
|
4,428 |
3,137 |
$40K |
| A0425 |
Ground mileage |
1,779 |
1,564 |
$40K |
| 97542 |
|
480 |
457 |
$39K |
| 64643 |
|
43 |
39 |
$39K |
| 93786 |
|
382 |
380 |
$39K |
| 73060 |
|
912 |
834 |
$38K |
| 82977 |
|
9,672 |
8,797 |
$37K |
| 72170 |
|
1,015 |
975 |
$37K |
| 90698 |
|
4,525 |
4,276 |
$36K |
| 99201 |
|
336 |
305 |
$36K |
| S9083 |
Urgent care center global |
465 |
461 |
$36K |
| J1439 |
Inj ferric carboxymaltos 1mg |
64 |
37 |
$36K |
| J8540 |
Oral dexamethasone |
10,065 |
9,471 |
$35K |
| 73502 |
|
522 |
485 |
$35K |
| 90680 |
|
4,130 |
3,842 |
$35K |
| J7644 |
Ipratropium bromide non-comp |
9,301 |
8,259 |
$34K |
| 54640 |
|
37 |
37 |
$34K |
| 87510 |
|
2,583 |
2,492 |
$34K |
| 83735 |
|
10,538 |
7,627 |
$34K |
| 87389 |
|
4,710 |
4,483 |
$34K |
| 88312 |
|
4,731 |
4,486 |
$33K |
| Q5104 |
Injection, renflexis |
13 |
12 |
$32K |
| 83001 |
|
2,046 |
1,973 |
$32K |
| J8597 |
Antiemetic drug oral nos |
884 |
803 |
$31K |
| 82330 |
|
3,986 |
3,430 |
$31K |
| 88300 |
|
3,250 |
3,046 |
$30K |
| 77073 |
|
411 |
394 |
$29K |
| 69209 |
|
405 |
394 |
$29K |
| J0696 |
Ceftriaxone sodium injection |
5,176 |
4,257 |
$29K |
| 85027 |
|
6,392 |
5,533 |
$29K |
| 88304 |
|
2,073 |
1,954 |
$28K |
| 90792 |
|
58 |
58 |
$28K |
| J0171 |
Adrenalin epinephrine inject |
2,320 |
2,047 |
$27K |
| C1769 |
Guide wire |
913 |
780 |
$27K |
| 97763 |
|
529 |
503 |
$26K |
| 84146 |
|
1,840 |
1,768 |
$25K |
| 86901 |
|
4,967 |
4,179 |
$24K |
| 69210 |
|
163 |
148 |
$24K |
| 87660 |
|
2,581 |
2,490 |
$24K |
| 29075 |
|
92 |
92 |
$23K |
| 86592 |
|
4,061 |
3,880 |
$23K |
| J7613 |
Albuterol non-comp unit |
9,880 |
8,640 |
$23K |
| 83880 |
|
1,021 |
906 |
$22K |
| J1644 |
Inj heparin sodium per 1000u |
7,290 |
901 |
$22K |
| J2250 |
Inj midazolam hydrochloride |
7,729 |
6,733 |
$22K |
| 84100 |
|
13,961 |
8,505 |
$22K |
| 86850 |
|
4,463 |
3,868 |
$21K |
| 83550 |
|
5,542 |
5,034 |
$21K |
| 85007 |
|
5,276 |
4,500 |
$21K |
| 86038 |
|
2,785 |
2,665 |
$21K |
| 86900 |
|
4,968 |
4,179 |
$21K |
| 92609 |
|
499 |
218 |
$20K |
| 96112 |
|
20 |
20 |
$20K |
| 29405 |
|
92 |
26 |
$20K |
| 82785 |
|
2,150 |
2,052 |
$20K |
| S0077 |
Injection, clindamycin phosp |
1,684 |
1,187 |
$20K |
| 90671 |
|
865 |
824 |
$20K |
| 83540 |
|
6,167 |
5,589 |
$19K |
| 80197 |
|
2,300 |
1,431 |
$19K |
| 76942 |
|
233 |
189 |
$19K |
| 80143 |
|
672 |
645 |
$19K |
| 85018 |
|
5,745 |
3,833 |
$19K |
| J7342 |
Ciprofloxacin otic susp 6 mg |
914 |
863 |
$19K |
| 82150 |
|
2,658 |
2,503 |
$18K |
| 90677 |
|
1,290 |
1,208 |
$18K |
| 90715 |
|
1,790 |
1,745 |
$18K |
| 36591 |
|
630 |
489 |
$18K |
| 72197 |
|
28 |
25 |
$18K |
| 87480 |
|
2,565 |
2,475 |
$18K |
| 82947 |
|
3,843 |
3,497 |
$18K |
| 95805 |
|
27 |
27 |
$17K |
| 90744 |
|
2,295 |
2,113 |
$17K |
| 85610 |
|
5,505 |
4,641 |
$17K |
| 90696 |
|
1,294 |
1,273 |
$17K |
| 82043 |
|
6,140 |
5,905 |
$16K |
| 80179 |
|
642 |
621 |
$16K |
| 97755 |
|
72 |
65 |
$16K |
| A4580 |
Cast supplies (plaster) |
623 |
601 |
$15K |
| 85660 |
|
2,201 |
1,958 |
$15K |
| 90619 |
|
1,050 |
1,042 |
$15K |
| 87205 |
|
4,214 |
3,808 |
$15K |
| 90697 |
|
2,052 |
1,915 |
$15K |
| 95811 |
|
12 |
12 |
$15K |
| 82550 |
|
2,629 |
2,363 |
$14K |
| C1729 |
Cath, drainage |
2,003 |
1,842 |
$14K |
| 87101 |
|
1,705 |
1,672 |
$14K |
| 90710 |
|
1,464 |
1,438 |
$14K |
| J7620 |
Albuterol ipratrop non-comp |
4,668 |
4,421 |
$13K |
| J2795 |
Ropivacaine hcl injection |
2,702 |
2,488 |
$13K |
| 84156 |
|
4,724 |
4,321 |
$12K |
| 82657 |
|
797 |
386 |
$12K |
| 80299 |
|
586 |
527 |
$12K |
| 85730 |
|
4,319 |
3,915 |
$12K |
| 86308 |
|
1,856 |
1,796 |
$12K |
| 97033 |
|
418 |
152 |
$12K |
| 85014 |
|
7,766 |
5,543 |
$12K |
| 82565 |
|
3,776 |
3,538 |
$12K |
| 90661 |
|
1,435 |
1,430 |
$12K |
| 71260 |
|
67 |
63 |
$11K |
| 84145 |
|
1,014 |
905 |
$11K |
| 95715 |
|
16 |
13 |
$11K |
| 83605 |
|
1,261 |
1,183 |
$11K |
| 86160 |
|
1,420 |
1,325 |
$11K |
| 90716 |
|
1,382 |
1,333 |
$11K |
| 99395 |
|
92 |
90 |
$11K |
| 95708 |
|
15 |
15 |
$11K |
| 97113 |
|
199 |
82 |
$11K |
| 90707 |
|
1,357 |
1,309 |
$11K |
| 77080 |
|
83 |
77 |
$11K |
| 92652 |
|
76 |
63 |
$10K |
| 83615 |
|
4,904 |
4,049 |
$10K |
| 84295 |
|
2,740 |
2,498 |
$10K |
| 90620 |
|
937 |
919 |
$10K |
| 12002 |
|
37 |
37 |
$10K |
| 90380 |
|
53 |
36 |
$10K |
| 97750 |
|
234 |
214 |
$10K |
| 96139 |
|
87 |
40 |
$9K |
| 90480 |
|
237 |
234 |
$9K |
| J0290 |
Ampicillin 500 mg inj |
1,339 |
910 |
$8K |
| 71250 |
|
26 |
26 |
$8K |
| 84132 |
|
3,868 |
2,933 |
$8K |
| 90853 |
|
65 |
29 |
$8K |
| 84450 |
|
3,019 |
2,822 |
$8K |
| 72110 |
|
97 |
91 |
$8K |
| 84550 |
|
5,296 |
4,411 |
$8K |
| J1200 |
Diphenhydramine hcl injectio |
2,514 |
1,824 |
$8K |
| 51701 |
|
1,235 |
1,162 |
$8K |
| 86480 |
|
739 |
718 |
$8K |
| 84460 |
|
3,133 |
2,922 |
$8K |
| 87075 |
|
314 |
295 |
$7K |
| 90734 |
|
714 |
695 |
$7K |
| 73120 |
|
126 |
107 |
$7K |
| J1642 |
Inj heparin sodium per 10 u |
3,376 |
1,726 |
$7K |
| 76800 |
|
42 |
37 |
$7K |
| 92607 |
|
27 |
25 |
$7K |
| 84484 |
|
488 |
454 |
$7K |
| J2930 |
Methylprednisolone injection |
1,747 |
1,422 |
$7K |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
445 |
402 |
$7K |
| 77076 |
|
109 |
101 |
$7K |
| J0330 |
Succinycholine chloride inj |
784 |
714 |
$6K |
| 86430 |
|
1,409 |
1,352 |
$6K |
| 99205 |
Prolong outpt/office vis |
46 |
39 |
$6K |
| 16020 |
|
27 |
25 |
$6K |
| 88302 |
|
991 |
929 |
$6K |
| S0020 |
Injection, bupivicaine hydro |
1,021 |
942 |
$6K |
| J1756 |
Iron sucrose injection |
350 |
139 |
$6K |
| 89051 |
|
1,438 |
1,145 |
$6K |
| 64642 |
|
56 |
50 |
$6K |
| 36416 |
|
4,613 |
3,397 |
$5K |
| J0134 |
Inj acetaminophen -fresenius |
1,030 |
854 |
$5K |
| 97166 |
|
41 |
40 |
$5K |
| 96132 |
|
60 |
47 |
$5K |
| 93975 |
|
12 |
12 |
$5K |
| 82465 |
|
2,560 |
2,044 |
$5K |
| 74270 |
|
25 |
25 |
$5K |
| 82272 |
|
1,329 |
1,252 |
$5K |
| 24640 |
|
12 |
12 |
$5K |
| 87807 |
|
456 |
439 |
$5K |
| 83993 |
|
538 |
523 |
$5K |
| 86008 |
|
464 |
439 |
$5K |
| 17250 |
|
12 |
12 |
$4K |
| 90672 |
|
328 |
328 |
$4K |
| J9370 |
Vincristine sulfate 1 mg inj |
893 |
606 |
$4K |
| Q9958 |
Hocm <=149 mg/ml iodine, 1ml |
461 |
425 |
$4K |
| 86665 |
|
371 |
355 |
$4K |
| 87102 |
|
315 |
297 |
$4K |
| 92585 |
|
27 |
26 |
$4K |
| J2182 |
Injection, mepolizumab, 1mg |
26 |
24 |
$4K |
| J0737 |
Inj, clindamycin (baxter) |
446 |
321 |
$4K |
| J2710 |
Neostigmine methylslfte inj |
669 |
601 |
$4K |
| L1830 |
Ko immob canvas long pre ots |
130 |
125 |
$3K |
| 29130 |
|
58 |
54 |
$3K |
| 12051 |
|
13 |
12 |
$3K |
| J0694 |
Cefoxitin sodium injection |
213 |
116 |
$3K |
| 86663 |
|
341 |
329 |
$3K |
| J0780 |
Prochlorperazine injection |
418 |
382 |
$3K |
| 96137 |
|
43 |
37 |
$3K |
| L3260 |
Ambulatory surgical boot eac |
166 |
155 |
$3K |
| 0071A |
|
61 |
61 |
$3K |
| 91322 |
|
98 |
97 |
$3K |
| 74022 |
|
40 |
40 |
$3K |
| 84480 |
|
450 |
416 |
$3K |
| 86039 |
|
505 |
483 |
$2K |
| 29540 |
|
13 |
13 |
$2K |
| Q4081 |
Epoetin alfa, 100 units esrd |
104 |
12 |
$2K |
| 94726 |
|
25 |
24 |
$2K |
| 0072A |
|
53 |
53 |
$2K |
| 94729 |
|
41 |
37 |
$2K |
| 74183 |
|
14 |
12 |
$2K |
| 31720 |
|
26 |
25 |
$2K |
| 0002A |
|
59 |
59 |
$2K |
| 96131 |
|
44 |
39 |
$2K |
| 90833 |
|
45 |
37 |
$2K |
| 86664 |
|
361 |
349 |
$2K |
| 93971 |
|
14 |
12 |
$2K |
| J1170 |
Hydromorphone injection |
265 |
235 |
$2K |
| 90474 |
|
3,617 |
3,362 |
$2K |
| 83970 |
|
532 |
452 |
$2K |
| J2469 |
Palonosetron hcl |
109 |
54 |
$2K |
| 94761 |
|
1,581 |
1,436 |
$2K |
| 0001A |
|
60 |
59 |
$2K |
| 82270 |
|
488 |
446 |
$2K |
| 85245 |
|
169 |
161 |
$2K |
| 85384 |
|
464 |
400 |
$2K |
| 96411 |
|
15 |
12 |
$2K |
| 87529 |
|
105 |
94 |
$2K |
| 88342 |
|
154 |
142 |
$2K |
| 96381 |
|
199 |
157 |
$2K |
| J7510 |
Prednisolone oral per 5 mg |
816 |
676 |
$2K |
| J7999 |
Compounded drug, noc |
509 |
487 |
$1K |
| 87081 |
|
352 |
327 |
$1K |
| 96138 |
|
47 |
40 |
$1K |
| 80164 |
|
131 |
118 |
$1K |
| J7699 |
Inhalation solution for dme |
511 |
426 |
$1K |
| J2550 |
Promethazine hcl injection |
441 |
290 |
$1K |
| A4565 |
Slings |
196 |
186 |
$1K |
| 83986 |
|
450 |
389 |
$1K |
| B4088 |
Gastro/jejuno tube, low-pro |
55 |
54 |
$1K |
| 85246 |
|
201 |
191 |
$1K |
| J3489 |
Zoledronic acid 1mg |
13 |
12 |
$1K |
| 85240 |
|
98 |
91 |
$992.82 |
| 94760 |
|
1,470 |
1,334 |
$956.09 |
| 91321 |
|
110 |
110 |
$923.63 |
| 84478 |
|
302 |
263 |
$891.21 |
| 64448 |
|
18 |
14 |
$829.95 |
| 85379 |
|
57 |
55 |
$745.21 |
| 88313 |
|
48 |
44 |
$717.84 |
| 80349 |
|
106 |
103 |
$714.87 |
| 82010 |
|
103 |
92 |
$710.58 |
| J3475 |
Inj magnesium sulfate |
189 |
162 |
$697.08 |
| J7512 |
Prednisone ir or dr oral 1mg |
321 |
238 |
$686.05 |
| 90381 |
|
82 |
78 |
$628.02 |
| 93296 |
|
19 |
15 |
$561.46 |
| G0463 |
Hospital outpt clinic visit |
50 |
43 |
$523.03 |
| 0124A |
|
17 |
14 |
$518.59 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
76 |
54 |
$507.83 |
| J2919 |
Inj, methylpred sod succ 5mg |
252 |
205 |
$487.92 |
| 82533 |
|
26 |
25 |
$475.71 |
| J3370 |
Vancomycin hcl injection |
63 |
51 |
$469.01 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
162 |
158 |
$460.03 |
| 87252 |
|
13 |
12 |
$440.11 |
| 85055 |
|
75 |
43 |
$429.99 |
| 80069 |
|
78 |
68 |
$420.76 |
| 90473 |
|
178 |
178 |
$415.35 |
| 87496 |
|
14 |
13 |
$398.06 |
| 82310 |
|
579 |
194 |
$381.48 |
| 86769 |
|
64 |
38 |
$349.76 |
| 84157 |
|
360 |
304 |
$339.34 |
| 83718 |
|
27 |
27 |
$329.68 |
| 90732 |
|
13 |
12 |
$324.30 |
| 82040 |
|
69 |
69 |
$323.48 |
| 84703 |
|
37 |
36 |
$321.83 |
| S0080 |
Injection, pentamidine iseth |
12 |
12 |
$317.04 |
| J2060 |
Lorazepam injection |
56 |
52 |
$306.20 |
| 82670 |
|
174 |
163 |
$299.65 |
| J7626 |
Budesonide non-comp unit |
150 |
71 |
$280.23 |
| 82945 |
|
256 |
218 |
$275.46 |
| 87220 |
|
74 |
72 |
$246.69 |
| 82607 |
|
58 |
56 |
$222.54 |
| 84520 |
|
245 |
147 |
$222.10 |
| J2920 |
Methylprednisolone injection |
75 |
61 |
$217.31 |
| J2370 |
Phenylephrine hcl injection |
28 |
25 |
$198.46 |
| 85670 |
|
21 |
12 |
$194.04 |
| J7610 |
Albuterol comp con |
17 |
14 |
$173.75 |
| 99199 |
|
22 |
22 |
$169.40 |
| 86803 |
|
199 |
198 |
$161.98 |
| J0610 |
Calcium glucon (fresenius) |
33 |
26 |
$152.12 |
| 95004 |
|
14 |
12 |
$149.88 |
| 86706 |
|
224 |
218 |
$146.66 |
| 86880 |
|
41 |
39 |
$146.15 |
| 87118 |
|
14 |
14 |
$143.15 |
| 90785 |
|
14 |
14 |
$140.92 |
| 29505 |
|
13 |
12 |
$136.22 |
| 87206 |
|
14 |
14 |
$131.90 |
| 83002 |
|
352 |
336 |
$130.13 |
| 82438 |
|
13 |
13 |
$118.82 |
| S0164 |
Injection pantroprazole |
16 |
12 |
$115.68 |
| 89055 |
|
31 |
27 |
$109.97 |
| 83519 |
|
240 |
231 |
$107.41 |
| 84134 |
|
12 |
12 |
$99.09 |
| 82340 |
|
39 |
37 |
$98.12 |
| 86225 |
|
104 |
100 |
$73.70 |
| 82140 |
|
15 |
14 |
$73.58 |
| 85651 |
|
15 |
14 |
$71.52 |
| 84402 |
|
217 |
209 |
$71.33 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
13 |
12 |
$54.01 |
| 87184 |
|
16 |
15 |
$46.13 |
| 87340 |
|
292 |
280 |
$40.65 |
| 87147 |
|
14 |
13 |
$34.24 |
| 82435 |
|
69 |
59 |
$32.88 |
| J1626 |
Granisetron hcl injection |
92 |
80 |
$29.37 |
| 86255 |
|
24 |
24 |
$28.00 |
| 87497 |
|
14 |
13 |
$24.01 |
| 82610 |
|
145 |
130 |
$8.31 |
| J9250 |
Methotrexate sodium inj |
14 |
13 |
$6.66 |
| Q0144 |
Azithromycin dihydrate, oral |
402 |
362 |
$5.45 |
| A4606 |
Oxygen probe used w oximeter |
617 |
551 |
$5.33 |
| 91312 |
|
17 |
14 |
$5.09 |
| J2765 |
Metoclopramide hcl injection |
28 |
14 |
$2.46 |
| A4550 |
Surgical trays |
40 |
37 |
$0.00 |
| G9920 |
Scrning perf and negative |
3,719 |
3,673 |
$0.00 |
| 82627 |
|
26 |
26 |
$0.00 |
| 84030 |
|
49 |
44 |
$0.00 |
| 86235 |
|
14 |
14 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
436 |
389 |
$0.00 |
| A4218 |
Sterile saline or water |
18 |
17 |
$0.00 |
| 96136 |
|
14 |
13 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
118 |
117 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
40 |
37 |
$0.00 |
| 87799 |
|
39 |
36 |
$0.00 |
| G9919 |
Scrn nd pos nd prov of rec |
809 |
798 |
$0.00 |
| 90685 |
|
29 |
24 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
518 |
508 |
$0.00 |
| 86352 |
|
41 |
41 |
$0.00 |
| Q0162 |
Ondansetron oral |
364 |
359 |
$0.00 |
| A4627 |
Spacer bag/reservoir |
473 |
443 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
2,866 |
2,551 |
$0.00 |
| 83498 |
|
13 |
13 |
$0.00 |