| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
98,417 |
81,790 |
$5.77M |
| 99233 |
Prolong inpt eval add15 m |
92,369 |
24,707 |
$4.57M |
| 99285 |
|
48,764 |
44,502 |
$4.48M |
| 99232 |
|
120,086 |
29,720 |
$4.11M |
| 99215 |
Prolong outpt/office vis |
44,428 |
38,821 |
$3.67M |
| 99213 |
|
75,529 |
64,683 |
$3.08M |
| 99284 |
|
39,834 |
36,990 |
$2.51M |
| 99291 |
|
18,554 |
8,336 |
$1.89M |
| 99244 |
|
16,091 |
15,101 |
$1.70M |
| 74177 |
|
22,726 |
20,415 |
$1.65M |
| 99223 |
Prolong inpt eval add15 m |
16,505 |
14,179 |
$1.61M |
| J0585 |
Injection,onabotulinumtoxina |
3,082 |
2,089 |
$1.54M |
| 99204 |
|
15,350 |
14,534 |
$1.25M |
| 99205 |
Prolong outpt/office vis |
10,591 |
9,862 |
$1.13M |
| 99231 |
|
54,522 |
16,713 |
$1.05M |
| 70553 |
|
7,130 |
6,689 |
$1.02M |
| 88305 |
|
24,094 |
17,915 |
$1.01M |
| 99222 |
|
14,193 |
11,914 |
$881K |
| 99239 |
|
14,218 |
13,234 |
$862K |
| 99211 |
|
60,620 |
53,493 |
$857K |
| 99203 |
|
16,212 |
15,451 |
$857K |
| 99243 |
|
12,364 |
11,730 |
$827K |
| U0003 |
Cov-19 amp prb hgh thruput |
8,378 |
7,562 |
$676K |
| 97110 |
|
21,259 |
13,766 |
$676K |
| 99245 |
|
4,604 |
4,404 |
$652K |
| 36415 |
|
181,316 |
151,964 |
$629K |
| 93229 |
|
1,159 |
1,130 |
$555K |
| 99212 |
|
23,621 |
20,181 |
$550K |
| 93306 |
|
13,337 |
12,495 |
$460K |
| 96413 |
|
5,988 |
3,631 |
$459K |
| 93010 |
|
107,955 |
72,013 |
$456K |
| 71046 |
|
46,489 |
41,757 |
$451K |
| 99238 |
|
12,454 |
11,685 |
$448K |
| 71260 |
|
6,595 |
6,232 |
$428K |
| 01922 |
|
2,426 |
944 |
$410K |
| 88307 |
|
4,882 |
4,138 |
$393K |
| 99242 |
|
8,324 |
7,977 |
$393K |
| 99283 |
|
11,817 |
11,235 |
$389K |
| 00731 |
|
3,414 |
2,901 |
$377K |
| 90960 |
|
4,379 |
4,236 |
$371K |
| 95812 |
|
2,018 |
1,977 |
$357K |
| 99202 |
|
9,769 |
9,428 |
$352K |
| 76816 |
|
5,068 |
4,326 |
$349K |
| 99253 |
|
4,712 |
3,786 |
$337K |
| 70450 |
|
15,353 |
13,140 |
$336K |
| 71045 |
|
68,861 |
33,339 |
$321K |
| 77067 |
|
4,317 |
4,254 |
$309K |
| A9585 |
Gadobutrol injection |
17,290 |
9,657 |
$276K |
| 71275 |
|
4,902 |
4,574 |
$272K |
| 97530 |
|
5,931 |
3,673 |
$269K |
| 71250 |
|
4,058 |
3,790 |
$263K |
| 99254 |
|
2,716 |
2,255 |
$261K |
| 92014 |
|
4,075 |
3,925 |
$256K |
| 90961 |
|
3,885 |
3,784 |
$255K |
| 99221 |
|
6,773 |
5,639 |
$250K |
| 92004 |
|
2,618 |
2,581 |
$234K |
| 85025 |
|
45,330 |
37,766 |
$229K |
| 72197 |
|
1,088 |
1,025 |
$219K |
| 99443 |
|
3,051 |
2,913 |
$209K |
| 97161 |
|
3,967 |
3,844 |
$202K |
| 99442 |
|
4,023 |
3,814 |
$191K |
| 88331 |
|
2,258 |
1,545 |
$190K |
| 93000 |
|
22,316 |
21,501 |
$186K |
| 97112 |
|
5,038 |
3,255 |
$186K |
| 84443 |
|
16,422 |
15,429 |
$172K |
| 99252 |
|
3,424 |
2,899 |
$164K |
| 67028 |
|
2,651 |
2,208 |
$157K |
| 74183 |
|
764 |
728 |
$148K |
| 99451 |
|
7,343 |
6,378 |
$147K |
| 82306 |
|
7,037 |
6,715 |
$146K |
| 97802 |
|
2,819 |
2,700 |
$143K |
| 76856 |
|
3,235 |
3,083 |
$137K |
| T1013 |
Sign lang/oral interpreter |
5,461 |
4,261 |
$134K |
| 76830 |
|
2,633 |
2,497 |
$130K |
| 94729 |
|
4,055 |
3,911 |
$130K |
| 74176 |
|
2,346 |
2,159 |
$128K |
| 43239 |
|
2,149 |
2,064 |
$128K |
| 88342 |
|
3,699 |
3,226 |
$127K |
| 77063 |
|
4,155 |
4,104 |
$121K |
| 64615 |
|
1,708 |
1,643 |
$120K |
| 78815 |
|
1,796 |
1,729 |
$119K |
| 76819 |
|
2,157 |
1,398 |
$117K |
| 90870 |
|
1,716 |
1,145 |
$115K |
| 76770 |
|
2,466 |
2,359 |
$114K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
11,685 |
8,995 |
$112K |
| 88341 |
|
1,393 |
1,091 |
$110K |
| 70551 |
|
1,561 |
1,467 |
$109K |
| 92015 |
|
9,685 |
9,478 |
$109K |
| 90471 |
|
9,076 |
8,776 |
$109K |
| 76700 |
|
1,906 |
1,839 |
$106K |
| 74018 |
|
17,507 |
11,301 |
$102K |
| 77427 |
|
902 |
391 |
$100K |
| 76705 |
|
4,759 |
4,206 |
$99K |
| 99219 |
|
1,331 |
1,255 |
$96K |
| 92060 |
|
2,523 |
2,391 |
$95K |
| 00790 |
|
324 |
186 |
$93K |
| 87491 |
|
3,207 |
3,033 |
$89K |
| 93970 |
|
2,326 |
2,045 |
$89K |
| 87591 |
|
3,180 |
3,008 |
$89K |
| 99479 |
|
1,191 |
209 |
$87K |
| 0002A |
|
4,172 |
4,130 |
$87K |
| 99217 |
|
2,211 |
2,091 |
$86K |
| 82728 |
|
8,846 |
8,469 |
$83K |
| 88332 |
|
624 |
467 |
$82K |
| 76815 |
|
1,559 |
1,134 |
$82K |
| 99480 |
|
1,193 |
257 |
$82K |
| 82565 |
|
29,640 |
25,493 |
$81K |
| 86769 |
|
2,279 |
2,163 |
$80K |
| 97162 |
|
1,330 |
1,300 |
$80K |
| 80061 |
|
10,288 |
9,861 |
$79K |
| 72125 |
|
2,624 |
2,456 |
$78K |
| 93224 |
|
1,597 |
1,552 |
$78K |
| S0302 |
Completed epsdt |
1,740 |
1,708 |
$77K |
| 0001A |
|
4,083 |
4,043 |
$77K |
| 93971 |
|
2,573 |
2,299 |
$75K |
| 83036 |
|
12,146 |
11,690 |
$75K |
| 94060 |
|
2,802 |
2,704 |
$75K |
| 96156 |
|
1,181 |
1,158 |
$75K |
| 95886 |
|
1,186 |
1,136 |
$74K |
| 92134 |
|
3,203 |
3,043 |
$73K |
| 99220 |
|
774 |
749 |
$73K |
| 80053 |
|
9,567 |
8,424 |
$72K |
| G6002 |
Stereoscopic x-ray guidance |
4,517 |
505 |
$71K |
| 73630 |
|
6,013 |
4,583 |
$71K |
| 90834 |
|
1,131 |
811 |
$71K |
| 59400 |
|
69 |
67 |
$70K |
| G0480 |
Drug test def 1-7 classes |
972 |
748 |
$69K |
| 87651 |
|
2,349 |
2,282 |
$68K |
| 74174 |
|
468 |
436 |
$67K |
| 76536 |
|
1,077 |
1,059 |
$64K |
| 00400 |
|
556 |
264 |
$64K |
| 99469 |
|
232 |
85 |
$62K |
| 36620 |
|
2,694 |
2,337 |
$62K |
| 76811 |
|
476 |
468 |
$59K |
| 90686 |
|
5,973 |
5,873 |
$57K |
| D7140 |
|
954 |
234 |
$56K |
| 90935 |
|
2,164 |
858 |
$56K |
| 92340 |
|
2,600 |
2,460 |
$56K |
| 80307 |
|
1,410 |
1,173 |
$55K |
| 92083 |
|
1,508 |
1,435 |
$55K |
| 97803 |
|
1,635 |
1,574 |
$54K |
| 96375 |
|
2,853 |
1,572 |
$53K |
| 76942 |
|
2,825 |
2,557 |
$53K |
| 45380 |
|
579 |
562 |
$53K |
| 87389 |
|
2,309 |
2,266 |
$53K |
| 84450 |
|
18,221 |
16,230 |
$52K |
| 99441 |
|
1,799 |
1,712 |
$51K |
| 90691 |
|
643 |
633 |
$51K |
| 72131 |
|
1,502 |
1,426 |
$50K |
| 99392 |
|
588 |
584 |
$49K |
| 70496 |
|
824 |
788 |
$49K |
| 90460 |
|
2,105 |
2,035 |
$49K |
| 31575 |
|
768 |
748 |
$49K |
| 93976 |
|
1,060 |
1,013 |
$48K |
| 73610 |
|
4,403 |
3,373 |
$47K |
| 94726 |
|
1,466 |
1,416 |
$47K |
| 0004A |
|
1,626 |
1,546 |
$47K |
| 92567 |
|
5,128 |
5,014 |
$46K |
| 20611 |
|
805 |
734 |
$46K |
| 86481 |
|
485 |
477 |
$45K |
| 99152 |
|
8,117 |
7,106 |
$45K |
| 0764T |
|
2,532 |
2,179 |
$44K |
| 76642 |
|
865 |
704 |
$43K |
| 80048 |
|
7,480 |
6,622 |
$43K |
| 90750 |
|
339 |
328 |
$43K |
| 97165 |
|
790 |
769 |
$43K |
| 00840 |
|
207 |
117 |
$43K |
| 76805 |
|
567 |
546 |
$43K |
| 94762 |
|
2,981 |
2,870 |
$43K |
| 92012 |
|
1,016 |
909 |
$42K |
| 97597 |
|
1,229 |
976 |
$41K |
| X5622 |
|
306 |
262 |
$41K |
| 72148 |
|
369 |
367 |
$41K |
| 93975 |
|
459 |
399 |
$41K |
| 70498 |
|
682 |
658 |
$40K |
| 99241 |
|
1,632 |
1,568 |
$40K |
| 93296 |
|
2,736 |
2,659 |
$40K |
| 85610 |
|
15,858 |
9,906 |
$40K |
| 77334 |
|
395 |
312 |
$39K |
| 00811 |
|
325 |
298 |
$38K |
| 87631 |
|
440 |
419 |
$38K |
| 73030 |
|
3,244 |
2,643 |
$38K |
| 80050 |
|
858 |
822 |
$38K |
| 73130 |
|
3,141 |
2,276 |
$38K |
| 82784 |
|
3,892 |
3,261 |
$37K |
| D8080 |
|
633 |
570 |
$37K |
| 85027 |
|
8,705 |
7,853 |
$37K |
| 97140 |
|
1,939 |
1,173 |
$36K |
| 87635 |
|
686 |
662 |
$35K |
| 92523 |
|
233 |
225 |
$34K |
| 74230 |
|
737 |
679 |
$34K |
| 84460 |
|
11,845 |
10,580 |
$33K |
| 83516 |
|
3,876 |
2,781 |
$33K |
| 0072A |
|
870 |
869 |
$33K |
| 70486 |
|
539 |
519 |
$32K |
| 45385 |
|
223 |
212 |
$32K |
| 99354 |
|
527 |
485 |
$32K |
| 84439 |
|
4,829 |
4,499 |
$31K |
| 77263 |
|
323 |
303 |
$31K |
| 87086 |
|
5,839 |
5,469 |
$31K |
| 97810 |
|
1,537 |
1,224 |
$31K |
| 95004 |
|
441 |
435 |
$31K |
| 95720 |
|
277 |
140 |
$31K |
| 90472 |
|
2,383 |
2,188 |
$30K |
| 83880 |
|
1,299 |
1,191 |
$30K |
| 0071A |
|
810 |
809 |
$30K |
| 84132 |
|
13,393 |
11,219 |
$29K |
| 88173 |
|
395 |
336 |
$29K |
| 95951 |
|
212 |
112 |
$29K |
| 99393 |
|
361 |
359 |
$29K |
| 90715 |
|
1,225 |
1,207 |
$29K |
| 82607 |
|
2,926 |
2,797 |
$29K |
| 80197 |
|
4,646 |
2,799 |
$29K |
| 73564 |
|
2,070 |
1,592 |
$28K |
| 86780 |
|
2,697 |
2,602 |
$28K |
| 96167 |
|
669 |
607 |
$28K |
| 86140 |
|
8,147 |
7,677 |
$28K |
| 73502 |
|
1,982 |
1,727 |
$28K |
| 99391 |
|
399 |
389 |
$28K |
| 82947 |
|
11,938 |
10,704 |
$27K |
| 92133 |
|
1,236 |
1,198 |
$27K |
| 93303 |
|
805 |
760 |
$27K |
| 93271 |
|
298 |
290 |
$27K |
| 93923 |
|
512 |
481 |
$26K |
| 82247 |
|
9,619 |
8,092 |
$26K |
| 72100 |
|
1,542 |
1,437 |
$26K |
| 96158 |
|
696 |
592 |
$26K |
| 72128 |
|
874 |
838 |
$26K |
| 83735 |
|
6,170 |
4,766 |
$26K |
| 97811 |
|
1,544 |
1,233 |
$25K |
| 83970 |
|
951 |
900 |
$25K |
| 73721 |
|
192 |
177 |
$25K |
| 86833 |
|
156 |
139 |
$25K |
| 76376 |
|
2,101 |
1,964 |
$24K |
| 90853 |
|
2,678 |
358 |
$24K |
| 84075 |
|
8,817 |
7,741 |
$24K |
| 43235 |
|
403 |
390 |
$24K |
| 90791 |
|
396 |
377 |
$24K |
| 81001 |
|
11,475 |
10,751 |
$23K |
| 87624 |
|
680 |
664 |
$23K |
| 96164 |
|
1,519 |
542 |
$23K |
| 00104 |
|
424 |
368 |
$23K |
| G0123 |
Screen cerv/vag thin layer |
1,415 |
1,381 |
$23K |
| 99468 |
|
47 |
40 |
$23K |
| 84295 |
|
10,445 |
9,062 |
$23K |
| 86832 |
|
143 |
127 |
$22K |
| 96417 |
|
551 |
325 |
$22K |
| 92557 |
|
1,029 |
998 |
$22K |
| 73110 |
|
1,623 |
1,294 |
$22K |
| 86850 |
|
3,222 |
2,804 |
$22K |
| 90651 |
|
291 |
287 |
$21K |
| 95810 |
|
261 |
261 |
$21K |
| 96165 |
|
1,114 |
441 |
$21K |
| G0279 |
Tomosynthesis, mammo |
662 |
643 |
$20K |
| 99201 |
|
892 |
856 |
$20K |
| 99251 |
|
590 |
536 |
$20K |
| 77300 |
|
277 |
247 |
$20K |
| 0064A |
|
692 |
689 |
$20K |
| 0054A |
|
519 |
516 |
$20K |
| G0472 |
Hep c screen high risk/other |
1,004 |
966 |
$20K |
| 96372 |
|
2,785 |
2,470 |
$20K |
| 77301 |
|
49 |
40 |
$19K |
| 73562 |
|
861 |
654 |
$19K |
| 92002 |
|
316 |
315 |
$19K |
| 96112 |
|
250 |
247 |
$19K |
| 82248 |
|
6,277 |
5,265 |
$19K |
| 76801 |
|
243 |
232 |
$18K |
| 76377 |
|
482 |
459 |
$18K |
| 92579 |
|
622 |
615 |
$18K |
| 76937 |
|
3,203 |
2,478 |
$18K |
| 59025 |
|
903 |
603 |
$18K |
| 51798 |
|
2,902 |
2,739 |
$18K |
| 97535 |
|
481 |
297 |
$18K |
| 74178 |
|
95 |
93 |
$17K |
| 95885 |
|
354 |
325 |
$17K |
| 87340 |
|
2,228 |
2,157 |
$17K |
| 82310 |
|
6,993 |
6,230 |
$17K |
| 88313 |
|
826 |
682 |
$16K |
| 99358 |
Prolong nursin fac eval 15m |
284 |
241 |
$16K |
| 93320 |
|
1,555 |
1,404 |
$16K |
| 93325 |
|
7,706 |
6,528 |
$16K |
| 87636 |
|
114 |
114 |
$16K |
| 73560 |
|
1,469 |
1,087 |
$16K |
| 82570 |
|
4,153 |
3,673 |
$16K |
| D0140 |
|
399 |
387 |
$15K |
| 77387 |
|
374 |
36 |
$15K |
| 82533 |
|
1,130 |
1,005 |
$15K |
| 96139 |
|
67 |
66 |
$15K |
| 75574 |
|
152 |
148 |
$15K |
| 62326 |
|
307 |
298 |
$15K |
| 43762 |
|
132 |
132 |
$15K |
| 87077 |
|
2,592 |
2,138 |
$14K |
| 90837 |
|
136 |
106 |
$14K |
| J1610 |
Glucagon hydrochloride/1 mg |
87 |
85 |
$14K |
| 72082 |
|
371 |
352 |
$14K |
| 90717 |
|
135 |
133 |
$13K |
| 94010 |
|
730 |
707 |
$13K |
| 99457 |
|
519 |
498 |
$13K |
| 88112 |
|
513 |
457 |
$13K |
| 90732 |
|
143 |
142 |
$13K |
| D1120 |
|
407 |
396 |
$13K |
| 92341 |
|
546 |
503 |
$13K |
| 99417 |
Prolong home eval add 15m |
193 |
166 |
$13K |
| 84403 |
|
654 |
623 |
$13K |
| 92610 |
|
225 |
220 |
$13K |
| 99255 |
|
136 |
123 |
$12K |
| D1206 |
|
614 |
597 |
$12K |
| 93308 |
|
681 |
592 |
$12K |
| 99606 |
|
432 |
371 |
$12K |
| 99460 |
|
247 |
236 |
$12K |
| 84702 |
|
928 |
790 |
$11K |
| 95923 |
|
189 |
177 |
$11K |
| 87536 |
|
195 |
184 |
$11K |
| 0124A |
|
343 |
342 |
$11K |
| 99225 |
|
278 |
167 |
$11K |
| 90670 |
|
477 |
475 |
$11K |
| 99394 |
|
118 |
118 |
$11K |
| 93294 |
|
552 |
546 |
$11K |
| 72156 |
|
72 |
65 |
$11K |
| 96132 |
|
107 |
103 |
$11K |
| 73140 |
|
820 |
685 |
$11K |
| V2020 |
Vision svcs frames purchases |
336 |
307 |
$10K |
| 70355 |
|
1,139 |
1,098 |
$10K |
| 83883 |
|
566 |
448 |
$10K |
| 84100 |
|
4,290 |
3,533 |
$10K |
| D0120 |
|
319 |
316 |
$10K |
| 90739 |
|
97 |
95 |
$10K |
| 49083 |
|
129 |
69 |
$10K |
| 86038 |
|
1,103 |
1,063 |
$10K |
| 82040 |
|
4,303 |
3,895 |
$9K |
| 76817 |
|
138 |
126 |
$9K |
| 31231 |
|
67 |
66 |
$9K |
| 86480 |
|
363 |
343 |
$9K |
| 90662 |
|
247 |
243 |
$9K |
| 96150 |
|
292 |
275 |
$9K |
| 99472 |
|
29 |
15 |
$9K |
| 70491 |
|
131 |
117 |
$9K |
| 77080 |
|
1,670 |
1,628 |
$9K |
| 87186 |
|
1,639 |
1,374 |
$9K |
| 99607 |
|
257 |
230 |
$9K |
| 86200 |
|
857 |
819 |
$9K |
| 36556 |
|
201 |
162 |
$8K |
| 77066 |
Tomosynthesis, mammo |
79 |
78 |
$8K |
| 82043 |
|
2,537 |
2,429 |
$8K |
| 87661 |
|
265 |
263 |
$8K |
| 99463 |
|
124 |
118 |
$8K |
| 95908 |
|
112 |
108 |
$8K |
| 90734 |
|
300 |
284 |
$8K |
| 72141 |
|
102 |
99 |
$8K |
| 83550 |
|
1,304 |
1,246 |
$8K |
| 95782 |
|
57 |
57 |
$8K |
| 99282 |
|
400 |
375 |
$8K |
| 84520 |
|
4,512 |
3,857 |
$7K |
| 85651 |
|
3,739 |
3,490 |
$7K |
| 95924 |
|
83 |
83 |
$7K |
| 81025 |
|
1,096 |
1,070 |
$7K |
| 92582 |
|
166 |
164 |
$7K |
| 86706 |
|
1,004 |
965 |
$7K |
| 88304 |
|
699 |
651 |
$7K |
| 83615 |
|
1,777 |
1,521 |
$7K |
| 0011A |
|
538 |
537 |
$7K |
| 86376 |
|
736 |
689 |
$7K |
| 84153 |
|
466 |
446 |
$7K |
| 81050 |
|
1,831 |
1,623 |
$7K |
| 77338 |
|
44 |
38 |
$7K |
| 0012A |
|
547 |
545 |
$7K |
| 86360 |
|
225 |
218 |
$7K |
| 45378 |
|
64 |
64 |
$7K |
| 83655 |
|
708 |
696 |
$7K |
| V5266 |
Battery for hearing device |
379 |
323 |
$7K |
| D0150 |
|
187 |
181 |
$7K |
| 86235 |
|
70 |
67 |
$7K |
| 83540 |
|
1,529 |
1,450 |
$7K |
| 99462 |
|
303 |
229 |
$7K |
| 96367 |
|
198 |
129 |
$7K |
| 99199 |
|
220 |
194 |
$7K |
| 0003A |
|
231 |
229 |
$7K |
| 92611 |
|
127 |
124 |
$7K |
| 90632 |
|
120 |
119 |
$6K |
| 84165 |
|
972 |
904 |
$6K |
| 73590 |
|
831 |
689 |
$6K |
| 93321 |
|
1,541 |
1,345 |
$6K |
| 86900 |
|
2,779 |
2,336 |
$6K |
| 36416 |
|
2,181 |
1,378 |
$6K |
| 72040 |
|
343 |
328 |
$6K |
| 86901 |
|
2,800 |
2,353 |
$6K |
| 0031A |
|
293 |
239 |
$6K |
| 93016 |
|
481 |
465 |
$6K |
| 51741 |
|
749 |
715 |
$6K |
| 11104 |
|
98 |
95 |
$6K |
| 88312 |
|
121 |
115 |
$6K |
| 93351 |
|
122 |
119 |
$6K |
| 86359 |
|
229 |
219 |
$5K |
| 00320 |
|
23 |
15 |
$5K |
| 84550 |
|
2,079 |
1,866 |
$5K |
| 86704 |
|
659 |
640 |
$5K |
| 93295 |
|
246 |
245 |
$5K |
| 84155 |
|
2,472 |
2,244 |
$5K |
| 87798 |
|
137 |
110 |
$5K |
| 96153 |
|
639 |
177 |
$5K |
| 77290 |
|
48 |
43 |
$5K |
| 76775 |
|
153 |
150 |
$5K |
| 82610 |
|
368 |
353 |
$5K |
| 81003 |
|
2,569 |
2,497 |
$5K |
| 76882 |
|
128 |
117 |
$4K |
| 96138 |
|
98 |
96 |
$4K |
| 95909 |
|
51 |
49 |
$4K |
| 93018 |
|
481 |
465 |
$4K |
| 98940 |
|
535 |
442 |
$4K |
| 93228 |
|
293 |
287 |
$4K |
| 82542 |
|
227 |
177 |
$4K |
| 92136 |
|
271 |
225 |
$4K |
| 82805 |
|
68 |
65 |
$4K |
| 72157 |
|
28 |
26 |
$4K |
| V2784 |
Lens polycarb or equal |
347 |
183 |
$4K |
| 99458 |
|
275 |
250 |
$4K |
| 85652 |
|
1,673 |
1,591 |
$4K |
| 99407 |
|
219 |
193 |
$4K |
| 99188 |
|
282 |
278 |
$4K |
| 80076 |
|
538 |
501 |
$4K |
| 82550 |
|
860 |
785 |
$4K |
| 99499 |
|
12 |
12 |
$4K |
| 96415 |
|
185 |
124 |
$4K |
| 99444 |
|
145 |
138 |
$3K |
| G2212 |
Prolong outpt/office vis |
81 |
74 |
$3K |
| G0008 |
Admin influenza virus vac |
716 |
706 |
$3K |
| 73090 |
|
381 |
306 |
$3K |
| 77065 |
Tomosynthesis, mammo |
46 |
41 |
$3K |
| 0134A |
|
130 |
129 |
$3K |
| 90832 |
|
64 |
52 |
$3K |
| 80069 |
|
473 |
417 |
$3K |
| 0052A |
|
84 |
84 |
$3K |
| 83014 |
|
422 |
414 |
$3K |
| 72158 |
|
26 |
25 |
$3K |
| 31624 |
|
39 |
39 |
$3K |
| 91322 |
|
33 |
33 |
$3K |
| 87205 |
|
1,255 |
1,157 |
$3K |
| 87081 |
|
577 |
561 |
$3K |
| 0074A |
|
84 |
84 |
$3K |
| 00902 |
|
17 |
12 |
$3K |
| 92229 |
|
101 |
99 |
$3K |
| 73700 |
|
57 |
47 |
$3K |
| J1030 |
Methylprednisolone 40 mg inj |
565 |
445 |
$3K |
| 99422 |
|
209 |
161 |
$3K |
| D9420 |
|
171 |
158 |
$3K |
| 88321 |
|
87 |
61 |
$3K |
| 81376 |
|
20 |
15 |
$3K |
| 96154 |
|
105 |
87 |
$3K |
| 99396 |
|
27 |
27 |
$3K |
| 92551 |
|
385 |
375 |
$3K |
| 83520 |
|
202 |
184 |
$3K |
| 83001 |
|
169 |
158 |
$3K |
| 86787 |
|
268 |
227 |
$3K |
| 73552 |
|
248 |
212 |
$3K |
| 36591 |
|
187 |
148 |
$3K |
| 52000 |
|
18 |
18 |
$3K |
| 84156 |
|
861 |
787 |
$3K |
| J1100 |
Dexamethasone sodium phos |
3,625 |
1,824 |
$3K |
| 99218 |
|
58 |
57 |
$2K |
| 82670 |
|
87 |
82 |
$2K |
| D0210 |
|
69 |
65 |
$2K |
| 86160 |
|
143 |
123 |
$2K |
| 99395 |
|
28 |
28 |
$2K |
| G0475 |
Hiv combination assay |
524 |
496 |
$2K |
| 90962 |
|
35 |
30 |
$2K |
| 31500 |
|
29 |
25 |
$2K |
| 86803 |
|
336 |
323 |
$2K |
| 72170 |
|
185 |
177 |
$2K |
| 86431 |
|
450 |
436 |
$2K |
| 77072 |
|
154 |
154 |
$2K |
| 82746 |
|
274 |
261 |
$2K |
| 87799 |
|
357 |
255 |
$2K |
| 95251 |
|
99 |
99 |
$2K |
| 93270 |
|
291 |
284 |
$2K |
| 90713 |
|
138 |
136 |
$2K |
| 80051 |
|
1,053 |
939 |
$2K |
| 96040 |
|
65 |
65 |
$2K |
| 85730 |
|
511 |
459 |
$2K |
| 00813 |
|
13 |
12 |
$2K |
| 95910 |
|
14 |
14 |
$2K |
| 83690 |
|
415 |
381 |
$2K |
| 96116 |
|
41 |
41 |
$2K |
| 0082A |
|
48 |
48 |
$2K |
| 93312 |
|
25 |
24 |
$2K |
| 84146 |
|
115 |
107 |
$2K |
| 98941 |
|
144 |
123 |
$2K |
| 82105 |
|
147 |
141 |
$2K |
| 00170 |
|
17 |
12 |
$2K |
| 97116 |
|
95 |
76 |
$2K |
| 87640 |
|
40 |
37 |
$2K |
| 76881 |
|
43 |
38 |
$2K |
| 82948 |
|
671 |
510 |
$1K |
| 87070 |
|
315 |
290 |
$1K |
| 88350 |
|
14 |
13 |
$1K |
| 99226 |
|
21 |
13 |
$1K |
| 77092 |
|
122 |
115 |
$1K |
| 73100 |
|
252 |
155 |
$1K |
| J2405 |
Ondansetron hcl injection |
2,136 |
1,148 |
$1K |
| 96152 |
|
58 |
48 |
$1K |
| 76870 |
|
32 |
28 |
$1K |
| 90707 |
|
106 |
105 |
$1K |
| 77001 |
|
261 |
221 |
$1K |
| 0051A |
|
33 |
33 |
$1K |
| 86255 |
|
86 |
50 |
$1K |
| 90480 |
|
46 |
46 |
$1K |
| 73200 |
|
14 |
12 |
$1K |
| 87517 |
|
25 |
25 |
$1K |
| 96159 |
|
81 |
68 |
$1K |
| 17110 |
|
27 |
26 |
$1K |
| 0013A |
|
53 |
52 |
$1K |
| 95012 |
|
98 |
96 |
$1K |
| 96365 |
|
30 |
27 |
$1K |
| 83921 |
|
64 |
64 |
$1K |
| 86762 |
|
66 |
64 |
$1K |
| 99464 |
|
26 |
26 |
$981.25 |
| 92558 |
|
259 |
257 |
$940.88 |
| 0112A |
|
23 |
23 |
$924.09 |
| 0154A |
|
25 |
25 |
$916.45 |
| 90698 |
|
410 |
408 |
$891.81 |
| 92526 |
|
14 |
12 |
$861.62 |
| 73070 |
|
86 |
65 |
$844.60 |
| 77073 |
|
44 |
37 |
$839.93 |
| G2211 |
Complex e/m visit add on |
363 |
351 |
$837.14 |
| 90746 |
|
14 |
14 |
$830.62 |
| 85097 |
|
12 |
12 |
$807.90 |
| 99401 |
|
31 |
31 |
$807.04 |
| 90656 |
|
59 |
56 |
$806.34 |
| Q9958 |
Hocm <=149 mg/ml iodine, 1ml |
663 |
636 |
$786.85 |
| 76820 |
|
38 |
24 |
$772.55 |
| D1351 |
|
141 |
26 |
$763.32 |
| 92650 |
|
43 |
41 |
$735.56 |
| 0111A |
|
19 |
18 |
$722.92 |
| 88291 |
|
31 |
27 |
$722.42 |
| 84305 |
|
42 |
41 |
$706.56 |
| 84410 |
|
14 |
14 |
$696.47 |
| 97542 |
|
15 |
12 |
$674.10 |
| 58300 |
|
13 |
13 |
$663.21 |
| 87522 |
Neg quan hep c or qual rna |
26 |
25 |
$636.02 |
| 99605 |
|
12 |
12 |
$634.92 |
| 90461 |
|
27 |
27 |
$616.19 |
| 96127 |
|
158 |
153 |
$589.39 |
| 0034A |
|
23 |
23 |
$576.00 |
| 92586 |
|
129 |
123 |
$567.81 |
| 72070 |
|
37 |
37 |
$561.62 |
| 91122 |
|
13 |
12 |
$560.76 |
| 90716 |
|
42 |
40 |
$560.46 |
| 88346 |
|
14 |
13 |
$553.55 |
| 95874 |
|
29 |
25 |
$551.86 |
| 87102 |
|
121 |
114 |
$541.31 |
| 99446 |
|
491 |
460 |
$513.67 |
| 92587 |
|
89 |
89 |
$505.93 |
| 11100 |
|
68 |
66 |
$504.91 |
| 93227 |
|
51 |
51 |
$503.10 |
| 99402 |
|
12 |
12 |
$481.01 |
| 86225 |
|
68 |
67 |
$480.28 |
| 0077U |
|
281 |
245 |
$479.34 |
| J3301 |
Triamcinolone acet inj nos |
118 |
103 |
$471.47 |
| 85045 |
|
179 |
166 |
$458.44 |
| 92555 |
|
24 |
24 |
$453.65 |
| 92556 |
|
14 |
14 |
$450.62 |
| 87338 |
|
52 |
51 |
$433.66 |
| 84484 |
|
65 |
60 |
$418.96 |
| P9603 |
One-way allow prorated miles |
825 |
527 |
$414.56 |
| 86580 |
|
43 |
42 |
$399.02 |
| 94681 |
|
67 |
66 |
$389.63 |
| 82627 |
|
13 |
13 |
$385.66 |
| 99173 |
|
230 |
227 |
$368.80 |
| 87206 |
|
117 |
102 |
$366.69 |
| Q9965 |
Locm 100-199mg/ml iodine,1ml |
190 |
185 |
$350.98 |
| 74019 |
|
77 |
68 |
$347.91 |
| 88311 |
|
26 |
24 |
$338.72 |
| 95938 |
|
12 |
12 |
$329.90 |
| 73060 |
|
58 |
44 |
$293.53 |
| 91200 |
|
26 |
26 |
$293.01 |
| 96168 |
|
15 |
14 |
$287.13 |
| 88142 |
|
14 |
14 |
$285.03 |
| Q3014 |
Telehealth facility fee |
41 |
27 |
$278.82 |
| J0702 |
Betamethasone acet&sod phosp |
37 |
36 |
$277.00 |
| D0230 |
|
20 |
13 |
$267.28 |
| 80195 |
|
16 |
12 |
$245.72 |
| 92504 |
|
13 |
12 |
$244.87 |
| 99309 |
|
291 |
246 |
$237.50 |
| 73080 |
|
33 |
32 |
$224.08 |
| D0220 |
|
13 |
13 |
$215.67 |
| 84446 |
|
15 |
15 |
$215.60 |
| 11102 |
|
14 |
14 |
$215.16 |
| 82977 |
|
78 |
68 |
$189.50 |
| 85613 |
|
12 |
12 |
$177.43 |
| 86708 |
|
14 |
12 |
$164.12 |
| 84590 |
|
14 |
14 |
$163.93 |
| 84080 |
|
12 |
12 |
$161.10 |
| 80164 |
|
13 |
13 |
$150.30 |
| 83002 |
|
28 |
27 |
$149.37 |
| 84630 |
|
12 |
12 |
$135.02 |
| G1004 |
Cdsm ndsc |
8,510 |
5,403 |
$120.78 |
| 80180 |
|
13 |
13 |
$116.40 |
| 82150 |
|
31 |
28 |
$105.60 |
| 95800 |
|
41 |
29 |
$99.44 |
| G0476 |
Hpv combo assay ca screen |
201 |
194 |
$92.24 |
| 94618 |
|
12 |
12 |
$79.27 |
| 98968 |
|
37 |
31 |
$78.81 |
| Q9961 |
Hocm 250-299mg/ml iodine,1ml |
57 |
57 |
$78.12 |
| 99308 |
|
260 |
185 |
$77.63 |
| J7120 |
Ringers lactate infusion |
27 |
25 |
$55.70 |
| J3490 |
Drugs unclassified injection |
48 |
28 |
$55.69 |
| J2704 |
Inj, propofol, 10 mg |
46 |
25 |
$47.50 |
| 90672 |
|
14 |
14 |
$45.75 |
| 73120 |
|
68 |
27 |
$39.18 |
| Q0091 |
Obtaining screen pap smear |
25 |
25 |
$32.50 |
| G0500 |
Mod sedat endo service >5yrs |
40 |
40 |
$31.13 |
| 99070 |
|
124 |
77 |
$13.73 |
| 3078F |
|
10,377 |
9,364 |
$0.00 |
| 91300 |
|
8,700 |
7,932 |
$0.00 |
| 3077F |
|
1,813 |
1,696 |
$0.00 |
| 3051F |
|
420 |
284 |
$0.00 |
| 0502F |
|
566 |
461 |
$0.00 |
| 90633 |
|
280 |
273 |
$0.00 |
| 91311 |
|
66 |
65 |
$0.00 |
| 3046F |
|
287 |
195 |
$0.00 |
| 91313 |
|
62 |
62 |
$0.00 |
| G8978 |
Mobility current status |
123 |
114 |
$0.00 |
| G8979 |
Mobility goal status |
168 |
151 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 91308 |
|
93 |
92 |
$0.00 |
| 91312 |
|
235 |
234 |
$0.00 |
| 93005 |
|
79 |
65 |
$0.00 |
| 82374 |
|
31 |
30 |
$0.00 |
| 86334 |
|
28 |
26 |
$0.00 |
| 54150 |
|
26 |
26 |
$0.00 |
| 90680 |
|
93 |
92 |
$0.00 |
| 3074F |
|
11,632 |
10,456 |
$0.00 |
| G9717 |
Doc pt dx bipol |
18,616 |
12,757 |
$0.00 |
| 91307 |
|
1,855 |
1,724 |
$0.00 |
| 1123F |
|
1,430 |
1,041 |
$0.00 |
| 3044F |
|
1,773 |
1,351 |
$0.00 |
| 99024 |
|
18,017 |
12,753 |
$0.00 |
| 91301 |
|
1,046 |
1,041 |
$0.00 |
| 3079F |
|
3,044 |
2,874 |
$0.00 |
| 91303 |
|
260 |
206 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
706 |
686 |
$0.00 |
| 3075F |
|
1,687 |
1,623 |
$0.00 |
| 90744 |
|
60 |
59 |
$0.00 |
| 1111F |
|
1,359 |
828 |
$0.00 |
| G8432 |
Dep scr not doc, rng |
1,960 |
1,464 |
$0.00 |
| 92250 |
|
29 |
25 |
$0.00 |
| 3080F |
|
834 |
792 |
$0.00 |
| 3052F |
|
351 |
208 |
$0.00 |
| 91305 |
|
717 |
707 |
$0.00 |
| 84402 |
|
15 |
14 |
$0.00 |
| 91306 |
|
456 |
455 |
$0.00 |
| 94761 |
|
31 |
28 |
$0.00 |
| 73503 |
|
17 |
13 |
$0.00 |
| 91315 |
|
25 |
25 |
$0.00 |
| 82378 |
|
13 |
12 |
$0.00 |
| Q9969 |
Non-heu tc-99m add-on/dose |
14 |
12 |
$0.00 |
| 99493 |
|
12 |
12 |
$0.00 |