| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
145,643 |
131,689 |
$30.11M |
| 99285 |
|
73,523 |
66,977 |
$27.29M |
| 99283 |
|
154,792 |
143,786 |
$19.81M |
| G0463 |
Hospital outpt clinic visit |
242,360 |
201,656 |
$14.68M |
| 42820 |
|
3,216 |
3,202 |
$8.44M |
| 96374 |
|
83,122 |
73,708 |
$7.72M |
| U0004 |
Cov-19 test non-cdc hgh thru |
90,133 |
84,488 |
$5.40M |
| 97110 |
|
142,946 |
53,244 |
$3.93M |
| G0378 |
Hospital observation per hr |
37,600 |
21,923 |
$3.89M |
| Q5104 |
Injection, renflexis |
3,364 |
2,782 |
$3.60M |
| 74177 |
|
24,823 |
24,046 |
$3.35M |
| 43239 |
|
10,057 |
10,008 |
$3.08M |
| 93306 |
|
12,198 |
12,069 |
$2.90M |
| 87637 |
|
26,567 |
26,107 |
$2.63M |
| 99282 |
|
33,148 |
32,201 |
$2.42M |
| 41899 |
|
4,238 |
4,182 |
$2.14M |
| 47562 |
|
748 |
744 |
$2.09M |
| 93303 |
|
7,555 |
7,395 |
$1.97M |
| 96361 |
|
57,515 |
48,752 |
$1.83M |
| 70553 |
|
9,538 |
9,433 |
$1.82M |
| 45385 |
|
3,952 |
3,924 |
$1.77M |
| 95810 |
|
4,048 |
4,037 |
$1.72M |
| 44970 |
|
596 |
591 |
$1.72M |
| 71046 |
|
43,695 |
41,630 |
$1.70M |
| 96413 |
|
10,175 |
7,839 |
$1.66M |
| 45380 |
|
3,862 |
3,840 |
$1.65M |
| 96365 |
|
16,946 |
14,165 |
$1.52M |
| 69436 |
|
3,183 |
3,171 |
$1.47M |
| 96360 |
|
14,597 |
13,887 |
$1.46M |
| G0379 |
Direct refer hospital observ |
1,907 |
1,681 |
$1.46M |
| J1745 |
Infliximab not biosimil 10mg |
1,222 |
982 |
$1.44M |
| 96375 |
|
66,924 |
53,702 |
$1.44M |
| 93975 |
|
10,306 |
10,068 |
$1.20M |
| J1459 |
Inj ivig privigen 500 mg |
1,420 |
666 |
$1.18M |
| 95782 |
|
2,298 |
2,290 |
$1.16M |
| 82947 |
|
61,191 |
42,076 |
$1.13M |
| 36415 |
|
375,552 |
321,508 |
$1.12M |
| 43249 |
|
1,512 |
1,470 |
$1.12M |
| U0005 |
Infec agen detec ampli probe |
64,391 |
61,224 |
$1.12M |
| 76705 |
|
18,366 |
17,921 |
$1.09M |
| J3380 |
Inj vedolizumab iv 1 mg |
375 |
335 |
$1.05M |
| 78815 |
|
1,510 |
1,505 |
$1.05M |
| 87491 |
|
72,853 |
71,253 |
$1.00M |
| 87591 |
|
71,841 |
70,263 |
$978K |
| 59025 |
|
10,422 |
6,503 |
$953K |
| 71260 |
|
6,224 |
6,139 |
$940K |
| J2350 |
Injection, ocrelizumab, 1 mg |
64 |
59 |
$906K |
| 97140 |
|
58,009 |
23,496 |
$876K |
| G0482 |
Drug test def 15-21 classes |
15,053 |
13,173 |
$855K |
| 70551 |
|
7,879 |
7,652 |
$844K |
| 92507 |
|
21,430 |
9,031 |
$830K |
| 99391 |
|
11,412 |
10,390 |
$787K |
| 92526 |
|
17,168 |
7,056 |
$749K |
| J0585 |
Injection,onabotulinumtoxina |
1,287 |
1,182 |
$743K |
| 97530 |
|
23,256 |
11,075 |
$721K |
| 70450 |
|
17,233 |
16,348 |
$717K |
| 99392 |
|
10,311 |
10,247 |
$706K |
| 80307 |
|
40,884 |
37,382 |
$695K |
| 49452 |
|
1,589 |
1,491 |
$645K |
| 90460 |
|
23,802 |
23,684 |
$643K |
| 58661 |
|
234 |
232 |
$630K |
| C8929 |
Tte w or wo fol wcon,doppler |
2,601 |
2,527 |
$627K |
| 86900 |
|
25,719 |
24,165 |
$617K |
| 95715 |
|
3,194 |
2,255 |
$612K |
| 80050 |
|
22,056 |
21,835 |
$610K |
| 78452 |
|
1,833 |
1,809 |
$593K |
| 76830 |
|
10,413 |
10,214 |
$586K |
| 97112 |
|
19,724 |
9,233 |
$579K |
| 76770 |
|
9,880 |
9,740 |
$573K |
| 97162 |
|
12,398 |
12,163 |
$572K |
| G0472 |
Hep c screen high risk/other |
22,637 |
22,592 |
$566K |
| 80061 |
|
60,021 |
59,707 |
$560K |
| 71275 |
|
7,795 |
7,605 |
$534K |
| 95816 |
|
3,602 |
3,589 |
$528K |
| 52356 |
|
217 |
215 |
$521K |
| 80053 |
|
244,201 |
210,640 |
$510K |
| 77386 |
|
1,868 |
174 |
$509K |
| 76856 |
|
10,327 |
10,133 |
$504K |
| 74176 |
|
5,098 |
4,999 |
$498K |
| C9399 |
Unclassified drugs or biolog |
7,748 |
7,552 |
$497K |
| 36430 |
|
2,904 |
2,082 |
$492K |
| 71045 |
|
14,036 |
13,110 |
$489K |
| 97161 |
|
9,942 |
9,741 |
$483K |
| 72141 |
|
3,476 |
3,454 |
$471K |
| 77067 |
|
9,915 |
9,905 |
$450K |
| 73721 |
|
3,633 |
3,567 |
$442K |
| J2357 |
Omalizumab injection |
460 |
338 |
$436K |
| 99393 |
|
6,165 |
6,146 |
$422K |
| 42830 |
|
283 |
282 |
$413K |
| 92587 |
|
2,845 |
2,826 |
$413K |
| 96372 |
|
49,055 |
38,640 |
$409K |
| 43235 |
|
1,205 |
1,200 |
$406K |
| 72125 |
|
5,115 |
4,883 |
$401K |
| 87661 |
|
24,511 |
24,172 |
$399K |
| 72197 |
|
1,469 |
1,455 |
$393K |
| 84443 |
|
61,306 |
60,181 |
$391K |
| 76801 |
|
6,631 |
6,497 |
$383K |
| 19083 |
|
484 |
479 |
$381K |
| C9803 |
Hopd covid-19 spec collect |
45,045 |
43,131 |
$379K |
| J1439 |
Inj ferric carboxymaltos 1mg |
1,129 |
764 |
$361K |
| 72148 |
|
4,703 |
4,660 |
$350K |
| 75561 |
|
1,359 |
1,354 |
$335K |
| G0121 |
Colon ca scrn not hi rsk ind |
777 |
776 |
$323K |
| 81229 |
|
637 |
629 |
$321K |
| C8928 |
Tte w or w/o fol w/con,stres |
1,032 |
993 |
$320K |
| 20680 |
|
366 |
356 |
$312K |
| 99281 |
|
7,516 |
7,333 |
$309K |
| J7298 |
Mirena, 52 mg |
319 |
312 |
$303K |
| 45378 |
|
935 |
930 |
$302K |
| 74183 |
|
2,158 |
2,141 |
$302K |
| 70498 |
|
2,529 |
2,497 |
$295K |
| 96415 |
|
6,443 |
5,577 |
$294K |
| 58558 |
|
227 |
226 |
$293K |
| J9271 |
Inj pembrolizumab |
51 |
38 |
$293K |
| 49650 |
|
92 |
92 |
$287K |
| 96409 |
|
2,512 |
1,679 |
$287K |
| 95700 |
|
3,224 |
3,154 |
$280K |
| 85025 |
|
217,813 |
187,768 |
$279K |
| U0002 |
Covid-19 lab test non-cdc |
10,346 |
9,780 |
$276K |
| G0432 |
Eia hiv-1/hiv-2 screen |
25,078 |
24,948 |
$274K |
| 82306 |
|
25,608 |
25,379 |
$255K |
| 99291 |
|
391 |
388 |
$251K |
| 77334 |
|
787 |
609 |
$250K |
| 0002A |
|
7,419 |
7,396 |
$248K |
| 58571 |
|
51 |
51 |
$247K |
| 76642 |
|
6,335 |
6,227 |
$242K |
| 92523 |
|
2,489 |
2,443 |
$235K |
| 70491 |
|
2,179 |
2,125 |
$232K |
| 93971 |
|
4,629 |
4,491 |
$231K |
| 25605 |
|
304 |
302 |
$230K |
| 87506 |
|
2,452 |
2,422 |
$222K |
| 10060 |
|
2,418 |
2,343 |
$219K |
| 86780 |
|
28,135 |
27,964 |
$214K |
| 90671 |
|
988 |
987 |
$213K |
| 76805 |
|
3,463 |
3,445 |
$207K |
| 76536 |
|
4,510 |
4,474 |
$207K |
| 93458 |
|
130 |
129 |
$201K |
| J7297 |
Liletta, 52 mg |
253 |
252 |
$200K |
| G0480 |
Drug test def 1-7 classes |
13,028 |
11,853 |
$199K |
| 72158 |
|
2,013 |
1,985 |
$197K |
| 99394 |
|
2,884 |
2,877 |
$196K |
| 54161 |
|
294 |
293 |
$193K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
12,836 |
12,829 |
$192K |
| 0001A |
|
7,816 |
7,807 |
$190K |
| 87624 |
|
11,847 |
11,819 |
$189K |
| 90471 |
|
17,594 |
17,350 |
$185K |
| 77066 |
Tomosynthesis, mammo |
3,383 |
3,341 |
$184K |
| 36561 |
|
150 |
149 |
$182K |
| 96366 |
|
8,025 |
5,734 |
$181K |
| 72156 |
|
1,426 |
1,413 |
$181K |
| 99395 |
|
2,652 |
2,644 |
$181K |
| 97165 |
|
4,064 |
3,968 |
$181K |
| 87633 |
|
4,629 |
4,526 |
$179K |
| 95811 |
|
482 |
478 |
$178K |
| 73221 |
|
1,512 |
1,486 |
$177K |
| 87086 |
|
72,552 |
69,256 |
$173K |
| 49083 |
|
488 |
284 |
$173K |
| 83036 |
|
50,704 |
50,395 |
$171K |
| 86480 |
|
6,350 |
6,304 |
$170K |
| 73222 |
|
436 |
434 |
$168K |
| 82728 |
|
29,403 |
28,708 |
$162K |
| 96367 |
|
4,331 |
3,411 |
$162K |
| 93970 |
|
1,704 |
1,662 |
$160K |
| 71250 |
|
3,005 |
2,986 |
$159K |
| 94060 |
|
1,051 |
1,026 |
$159K |
| 85027 |
|
91,836 |
79,883 |
$157K |
| 87502 |
|
4,912 |
4,869 |
$154K |
| 97597 |
|
1,989 |
1,515 |
$154K |
| P9016 |
Rbc leukocytes reduced |
1,236 |
1,025 |
$153K |
| 86003 |
|
4,797 |
4,452 |
$151K |
| 77336 |
|
2,445 |
1,130 |
$151K |
| 92611 |
|
3,175 |
3,135 |
$146K |
| G0481 |
Drug test def 8-14 classes |
3,842 |
3,727 |
$141K |
| 76816 |
|
3,811 |
3,622 |
$140K |
| 88305 |
|
34,214 |
31,213 |
$140K |
| J1569 |
Gammagard liquid injection |
235 |
114 |
$137K |
| 97166 |
|
3,107 |
3,015 |
$136K |
| 64400 |
|
973 |
887 |
$133K |
| J7307 |
Etonogestrel implant system |
135 |
129 |
$132K |
| 52332 |
|
108 |
104 |
$125K |
| 77065 |
Tomosynthesis, mammo |
3,079 |
2,849 |
$125K |
| 95819 |
|
836 |
836 |
$123K |
| 86870 |
|
935 |
812 |
$123K |
| 99396 |
|
1,796 |
1,783 |
$122K |
| P9040 |
Rbc leukoreduced irradiated |
525 |
382 |
$121K |
| 19318 |
|
39 |
39 |
$120K |
| M0243 |
Casirivi and imdevi inj |
473 |
468 |
$119K |
| 84702 |
|
25,179 |
18,942 |
$117K |
| 70543 |
|
339 |
335 |
$117K |
| 80074 |
|
5,404 |
5,369 |
$114K |
| 93308 |
|
1,196 |
1,151 |
$114K |
| 92610 |
|
3,028 |
2,977 |
$114K |
| 72100 |
|
4,929 |
4,877 |
$111K |
| 96450 |
|
688 |
577 |
$110K |
| 87653 |
|
8,418 |
8,385 |
$109K |
| 97163 |
|
2,566 |
2,530 |
$109K |
| 76882 |
|
2,974 |
2,748 |
$108K |
| 64615 |
|
770 |
770 |
$105K |
| 80048 |
|
49,070 |
39,911 |
$104K |
| 64450 |
|
1,266 |
1,181 |
$101K |
| 90686 |
|
15,968 |
15,912 |
$101K |
| 96376 |
|
24,379 |
14,989 |
$100K |
| G0475 |
Hiv combination assay |
7,776 |
7,744 |
$99K |
| 87077 |
|
32,544 |
31,298 |
$98K |
| 74018 |
|
7,301 |
6,883 |
$97K |
| 70486 |
|
3,093 |
3,057 |
$96K |
| 97116 |
|
7,489 |
4,273 |
$95K |
| 83970 |
|
5,733 |
5,515 |
$94K |
| 76700 |
|
1,473 |
1,462 |
$92K |
| 90651 |
|
2,714 |
2,711 |
$91K |
| 78264 |
|
455 |
454 |
$90K |
| 77300 |
|
463 |
448 |
$89K |
| 88184 |
|
1,916 |
1,585 |
$89K |
| 77063 |
|
7,507 |
7,507 |
$89K |
| 83550 |
|
24,120 |
23,744 |
$88K |
| 90750 |
|
599 |
598 |
$87K |
| 84439 |
|
22,202 |
21,688 |
$87K |
| 72146 |
|
1,419 |
1,411 |
$87K |
| 83655 |
|
13,711 |
13,525 |
$86K |
| 90472 |
|
4,663 |
4,640 |
$86K |
| 87563 |
|
5,210 |
5,116 |
$86K |
| 10005 |
|
295 |
290 |
$84K |
| 67311 |
|
85 |
85 |
$84K |
| 84403 |
|
6,501 |
6,412 |
$83K |
| 87081 |
|
33,296 |
32,810 |
$82K |
| 74178 |
|
584 |
583 |
$79K |
| 87635 |
|
2,841 |
2,806 |
$78K |
| 93017 |
|
2,926 |
2,885 |
$78K |
| 82607 |
|
13,393 |
13,306 |
$77K |
| 93005 |
|
91,228 |
80,408 |
$77K |
| 97535 |
|
6,767 |
5,067 |
$75K |
| 73610 |
|
9,412 |
8,626 |
$74K |
| 87186 |
|
23,721 |
23,075 |
$72K |
| 97802 |
|
1,977 |
1,947 |
$69K |
| 91322 |
|
666 |
666 |
$69K |
| 88342 |
|
5,123 |
4,929 |
$69K |
| 97760 |
|
2,133 |
1,780 |
$68K |
| 83540 |
|
24,508 |
24,104 |
$67K |
| 58662 |
|
26 |
26 |
$66K |
| 73562 |
|
7,507 |
7,069 |
$66K |
| 76886 |
|
1,574 |
1,556 |
$66K |
| 87529 |
|
3,052 |
2,878 |
$66K |
| 27447 |
|
12 |
12 |
$66K |
| 74240 |
|
848 |
836 |
$65K |
| 94640 |
|
13,481 |
10,970 |
$64K |
| L4350 |
Ankle control ortho pre ots |
1,370 |
1,365 |
$63K |
| 82670 |
|
4,544 |
4,450 |
$63K |
| 74230 |
|
701 |
699 |
$63K |
| 64721 |
|
91 |
88 |
$62K |
| 90739 |
|
747 |
746 |
$62K |
| 93351 |
|
275 |
273 |
$61K |
| 73630 |
|
8,348 |
7,957 |
$61K |
| 87205 |
|
48,869 |
46,345 |
$60K |
| 77072 |
|
1,278 |
1,275 |
$60K |
| G0279 |
Tomosynthesis, mammo |
5,206 |
5,161 |
$57K |
| 93798 |
|
914 |
200 |
$55K |
| 73030 |
|
5,709 |
5,315 |
$55K |
| G0257 |
Unsched dialysis esrd pt hos |
1,346 |
266 |
$54K |
| 74174 |
|
415 |
414 |
$54K |
| G0103 |
Psa screening |
5,426 |
5,414 |
$53K |
| 93225 |
|
1,833 |
1,809 |
$53K |
| 73130 |
|
6,701 |
6,432 |
$53K |
| 82784 |
|
11,616 |
10,725 |
$51K |
| 72157 |
|
735 |
733 |
$50K |
| 71271 |
|
1,051 |
1,051 |
$50K |
| 87070 |
|
17,525 |
16,450 |
$50K |
| 31575 |
|
639 |
623 |
$48K |
| 95076 |
|
245 |
240 |
$48K |
| 97763 |
|
1,456 |
982 |
$48K |
| 31624 |
|
131 |
126 |
$47K |
| 92652 |
|
349 |
348 |
$46K |
| 87340 |
|
20,810 |
20,709 |
$46K |
| 74220 |
|
616 |
610 |
$46K |
| 76881 |
|
705 |
497 |
$46K |
| 95712 |
|
680 |
666 |
$45K |
| 88307 |
|
4,168 |
3,869 |
$45K |
| 84402 |
|
3,515 |
3,473 |
$45K |
| 73110 |
|
5,190 |
4,786 |
$44K |
| 73140 |
|
3,645 |
3,554 |
$44K |
| 85610 |
|
35,506 |
25,958 |
$44K |
| 83880 |
|
11,501 |
10,695 |
$44K |
| 86235 |
|
1,517 |
1,436 |
$43K |
| C8908 |
Mri w/o fol w/cont, breast, |
220 |
218 |
$43K |
| 86140 |
|
28,828 |
26,221 |
$43K |
| 86008 |
|
976 |
959 |
$43K |
| 83735 |
|
45,689 |
34,653 |
$43K |
| 90480 |
|
1,135 |
1,135 |
$43K |
| 82746 |
|
6,714 |
6,670 |
$43K |
| 81001 |
|
132,368 |
120,131 |
$42K |
| 83001 |
|
4,762 |
4,720 |
$41K |
| 82570 |
|
23,900 |
22,106 |
$41K |
| 84146 |
|
4,392 |
4,324 |
$41K |
| G0105 |
Colorectal scrn; hi risk ind |
93 |
92 |
$40K |
| 77412 |
|
324 |
37 |
$40K |
| 76870 |
|
2,591 |
2,537 |
$40K |
| 73700 |
|
833 |
811 |
$40K |
| 70496 |
|
2,621 |
2,563 |
$39K |
| 80076 |
|
11,011 |
10,180 |
$39K |
| 86923 |
|
3,035 |
2,373 |
$39K |
| 90791 |
|
334 |
331 |
$38K |
| 86038 |
|
6,756 |
6,704 |
$38K |
| 72040 |
|
2,024 |
2,001 |
$38K |
| Q5105 |
Inj retacrit esrd on dialysi |
683 |
117 |
$38K |
| J1610 |
Glucagon hydrochloride/1 mg |
441 |
437 |
$37K |
| J1561 |
Gamunex-c/gammaked |
50 |
27 |
$36K |
| 83516 |
|
6,949 |
6,554 |
$36K |
| 96161 |
|
2,408 |
2,301 |
$36K |
| 92585 |
|
320 |
311 |
$34K |
| 42821 |
|
25 |
25 |
$34K |
| 84425 |
|
3,519 |
3,502 |
$34K |
| 58670 |
|
12 |
12 |
$33K |
| 74455 |
|
317 |
316 |
$33K |
| 58301 |
|
255 |
252 |
$33K |
| 99381 |
|
481 |
479 |
$32K |
| 85055 |
|
5,454 |
3,431 |
$32K |
| 36224 |
|
15 |
15 |
$32K |
| 87808 |
|
18,992 |
18,580 |
$31K |
| 76817 |
|
10,136 |
8,997 |
$31K |
| 76080 |
|
178 |
125 |
$30K |
| 78227 |
|
106 |
106 |
$29K |
| 87522 |
Neg quan hep c or qual rna |
1,674 |
1,633 |
$29K |
| L4360 |
Pneumat walking boot pre cst |
222 |
222 |
$29K |
| G0422 |
Intens cardiac rehab w/exerc |
503 |
114 |
$29K |
| 76819 |
|
469 |
411 |
$29K |
| 73502 |
|
2,998 |
2,924 |
$28K |
| 92586 |
|
404 |
402 |
$28K |
| 90732 |
|
302 |
301 |
$28K |
| 93246 |
|
2,161 |
2,151 |
$27K |
| 54640 |
|
15 |
15 |
$27K |
| 87799 |
|
2,868 |
1,631 |
$26K |
| 86160 |
|
3,258 |
2,985 |
$26K |
| 82950 |
|
9,649 |
9,607 |
$26K |
| 72082 |
|
806 |
803 |
$25K |
| 77338 |
|
156 |
150 |
$25K |
| G0108 |
Diab manage trn per indiv |
372 |
362 |
$25K |
| 97803 |
|
1,163 |
1,110 |
$25K |
| 93296 |
|
1,648 |
1,601 |
$25K |
| 80197 |
|
5,017 |
2,746 |
$24K |
| 93304 |
|
126 |
118 |
$24K |
| M0247 |
Sotrovimab infusion |
92 |
91 |
$24K |
| 64415 |
|
1,108 |
1,103 |
$24K |
| 95909 |
|
160 |
160 |
$24K |
| 93750 |
|
478 |
391 |
$23K |
| 87147 |
|
11,603 |
11,328 |
$23K |
| 82533 |
|
3,087 |
2,787 |
$23K |
| 86769 |
|
1,064 |
1,063 |
$23K |
| 84481 |
|
2,666 |
2,594 |
$23K |
| 73080 |
|
3,516 |
3,320 |
$23K |
| 94621 |
|
164 |
164 |
$23K |
| 90670 |
|
6,176 |
6,157 |
$22K |
| 80069 |
|
8,097 |
6,089 |
$22K |
| 64642 |
|
64 |
61 |
$22K |
| 87497 |
|
2,802 |
1,626 |
$22K |
| 84478 |
|
1,379 |
1,008 |
$22K |
| 83002 |
|
2,598 |
2,560 |
$22K |
| 97035 |
|
4,196 |
1,908 |
$22K |
| 85652 |
|
26,634 |
25,178 |
$22K |
| 49591 |
|
14 |
14 |
$22K |
| 82043 |
|
8,741 |
8,664 |
$22K |
| 43247 |
|
55 |
49 |
$22K |
| 88304 |
|
5,414 |
5,232 |
$21K |
| 0071A |
|
578 |
575 |
$21K |
| 93242 |
|
2,570 |
2,560 |
$21K |
| 83013 |
|
588 |
587 |
$20K |
| 86376 |
|
2,782 |
2,764 |
$20K |
| 96116 |
|
135 |
135 |
$20K |
| 82105 |
|
3,053 |
2,995 |
$20K |
| 78816 |
|
26 |
26 |
$20K |
| 85007 |
|
28,779 |
23,339 |
$19K |
| 88175 |
|
1,577 |
1,558 |
$19K |
| 73564 |
|
1,244 |
1,213 |
$19K |
| 92522 |
|
331 |
331 |
$19K |
| 95910 |
|
131 |
130 |
$19K |
| 72070 |
|
573 |
568 |
$18K |
| 86665 |
|
2,674 |
2,137 |
$18K |
| 73590 |
|
4,215 |
3,948 |
$18K |
| Q5103 |
Injection, inflectra |
44 |
37 |
$18K |
| 84100 |
|
19,348 |
14,185 |
$18K |
| 96127 |
|
4,803 |
4,720 |
$18K |
| 38222 |
|
12 |
12 |
$17K |
| 72131 |
|
539 |
538 |
$17K |
| 82785 |
|
2,490 |
2,464 |
$17K |
| 90746 |
|
268 |
266 |
$17K |
| M0245 |
Bamlan and etesev infusion |
63 |
63 |
$17K |
| 96411 |
|
442 |
265 |
$17K |
| 86706 |
|
3,810 |
3,763 |
$17K |
| 84305 |
|
2,085 |
2,078 |
$16K |
| 58300 |
|
986 |
962 |
$16K |
| 86200 |
|
2,582 |
2,576 |
$16K |
| 84156 |
|
15,137 |
13,569 |
$15K |
| 91010 |
|
66 |
65 |
$15K |
| 86225 |
|
2,758 |
2,707 |
$15K |
| 97022 |
|
2,549 |
1,311 |
$15K |
| 75574 |
|
227 |
227 |
$15K |
| 83993 |
|
1,573 |
1,560 |
$15K |
| 95908 |
|
101 |
100 |
$15K |
| 0054A |
|
495 |
489 |
$15K |
| 0072A |
|
403 |
401 |
$15K |
| 82951 |
|
2,043 |
2,034 |
$15K |
| 95951 |
|
113 |
85 |
$15K |
| 85240 |
|
2,217 |
2,177 |
$15K |
| 72110 |
|
402 |
401 |
$15K |
| 86696 |
|
1,554 |
1,547 |
$15K |
| 86364 |
|
2,935 |
2,926 |
$14K |
| 85246 |
|
1,904 |
1,853 |
$14K |
| 84144 |
|
1,338 |
1,195 |
$14K |
| 77080 |
|
241 |
241 |
$14K |
| 70487 |
|
182 |
181 |
$14K |
| 95117 |
|
656 |
398 |
$13K |
| 82977 |
|
4,353 |
3,908 |
$13K |
| 77301 |
|
24 |
24 |
$13K |
| 88112 |
|
1,666 |
1,607 |
$13K |
| 84590 |
|
2,396 |
2,386 |
$13K |
| 92557 |
|
246 |
246 |
$13K |
| 72072 |
|
902 |
897 |
$13K |
| G0008 |
Admin influenza virus vac |
1,979 |
1,955 |
$13K |
| 83690 |
|
43,673 |
39,763 |
$13K |
| 84630 |
|
2,525 |
2,492 |
$13K |
| 98968 |
|
750 |
686 |
$12K |
| 87517 |
|
617 |
606 |
$12K |
| 92579 |
|
923 |
907 |
$12K |
| 94010 |
|
1,201 |
1,137 |
$12K |
| 87328 |
|
1,934 |
1,918 |
$12K |
| 78999 |
|
96 |
88 |
$12K |
| 0012A |
|
371 |
371 |
$12K |
| 78830 |
|
18 |
18 |
$12K |
| 73660 |
|
861 |
850 |
$12K |
| 43242 |
|
14 |
14 |
$12K |
| 82565 |
|
35,386 |
33,808 |
$12K |
| 82627 |
|
1,112 |
1,101 |
$12K |
| 73090 |
|
3,495 |
3,156 |
$11K |
| 84703 |
|
74,130 |
69,654 |
$11K |
| 84153 |
|
1,389 |
1,370 |
$11K |
| 90656 |
|
1,454 |
1,454 |
$11K |
| 76000 |
|
2,657 |
2,562 |
$11K |
| G0109 |
Diab manage trn ind/group |
302 |
241 |
$11K |
| 85097 |
|
99 |
96 |
$11K |
| 43762 |
|
85 |
80 |
$11K |
| 85730 |
|
11,491 |
10,469 |
$11K |
| 0124A |
|
300 |
300 |
$11K |
| 92604 |
|
156 |
155 |
$11K |
| 25600 |
|
98 |
97 |
$11K |
| 90621 |
|
390 |
385 |
$10K |
| C1769 |
Guide wire |
9,058 |
8,587 |
$10K |
| 86255 |
|
1,623 |
1,570 |
$10K |
| 87329 |
|
1,920 |
1,907 |
$10K |
| 82247 |
|
4,810 |
3,429 |
$10K |
| 82550 |
|
5,872 |
5,351 |
$10K |
| 86695 |
|
1,554 |
1,547 |
$10K |
| 73552 |
|
2,323 |
2,222 |
$10K |
| 83615 |
|
9,295 |
6,800 |
$10K |
| 82248 |
|
5,295 |
4,693 |
$10K |
| 81025 |
|
11,446 |
11,158 |
$10K |
| 74019 |
|
2,019 |
1,971 |
$10K |
| 86431 |
|
3,652 |
3,636 |
$10K |
| 76815 |
|
2,839 |
2,675 |
$10K |
| J7050 |
Normal saline solution infus |
80,499 |
62,435 |
$10K |
| 86147 |
|
461 |
449 |
$10K |
| 86905 |
|
172 |
145 |
$10K |
| 80164 |
|
2,050 |
1,938 |
$10K |
| 0004A |
|
272 |
272 |
$9K |
| 90734 |
|
1,875 |
1,872 |
$9K |
| 73521 |
|
549 |
548 |
$9K |
| 84446 |
|
1,443 |
1,437 |
$9K |
| 0011A |
|
391 |
391 |
$9K |
| 0052A |
|
246 |
245 |
$9K |
| 0031A |
|
254 |
254 |
$9K |
| 29105 |
|
113 |
111 |
$9K |
| 90678 |
|
29 |
29 |
$9K |
| 85245 |
|
1,116 |
1,089 |
$9K |
| 96417 |
|
215 |
159 |
$8K |
| 20610 |
|
90 |
77 |
$8K |
| 84550 |
|
5,129 |
4,804 |
$8K |
| 85046 |
|
7,973 |
6,763 |
$8K |
| 95004 |
|
738 |
737 |
$8K |
| 86704 |
|
1,660 |
1,642 |
$8K |
| 97130 |
|
288 |
154 |
$8K |
| 86341 |
|
402 |
381 |
$8K |
| 69610 |
|
12 |
12 |
$8K |
| 73060 |
|
1,466 |
1,358 |
$8K |
| 91320 |
|
92 |
92 |
$8K |
| 43237 |
|
13 |
13 |
$8K |
| 71101 |
|
598 |
595 |
$8K |
| 0051A |
|
202 |
202 |
$7K |
| 86146 |
|
345 |
340 |
$7K |
| 99495 |
|
121 |
121 |
$7K |
| 82274 |
|
890 |
883 |
$7K |
| 78320 |
|
40 |
38 |
$7K |
| 83021 |
|
2,731 |
2,526 |
$7K |
| 85018 |
|
7,782 |
7,036 |
$7K |
| 82525 |
|
1,271 |
1,250 |
$7K |
| 84484 |
|
37,345 |
24,361 |
$7K |
| 76010 |
|
525 |
513 |
$7K |
| 76604 |
|
242 |
238 |
$7K |
| 73200 |
|
157 |
150 |
$7K |
| 87184 |
|
2,046 |
1,994 |
$7K |
| 85397 |
|
700 |
689 |
$7K |
| 72170 |
|
1,118 |
1,111 |
$7K |
| 36590 |
|
12 |
12 |
$7K |
| 40899 |
|
72 |
72 |
$7K |
| 99385 |
|
97 |
97 |
$6K |
| 70544 |
|
117 |
114 |
$6K |
| 64405 |
|
46 |
40 |
$6K |
| 73000 |
|
1,274 |
1,196 |
$6K |
| 78306 |
|
38 |
38 |
$6K |
| 73722 |
|
14 |
14 |
$6K |
| 74160 |
|
54 |
54 |
$6K |
| 84165 |
|
1,266 |
1,258 |
$6K |
| G0123 |
Screen cerv/vag thin layer |
501 |
501 |
$6K |
| C1753 |
Cath, intravas ultrasound |
403 |
373 |
$6K |
| 36416 |
|
17,523 |
14,414 |
$6K |
| 93880 |
|
65 |
65 |
$6K |
| Q0114 |
Fern test |
1,107 |
1,062 |
$6K |
| C1751 |
Cath, inf, per/cent/midline |
1,866 |
1,776 |
$6K |
| 86803 |
|
1,075 |
1,061 |
$6K |
| 64447 |
|
522 |
517 |
$6K |
| 91200 |
|
91 |
91 |
$5K |
| 86762 |
|
10,184 |
10,148 |
$5K |
| 11042 |
|
36 |
29 |
$5K |
| 84681 |
|
593 |
586 |
$5K |
| J7120 |
Ringers lactate infusion |
58,680 |
52,509 |
$5K |
| 84460 |
|
2,106 |
2,059 |
$5K |
| 87206 |
|
4,712 |
3,414 |
$5K |
| 82140 |
|
1,765 |
1,610 |
$5K |
| 86304 |
|
663 |
606 |
$5K |
| 87109 |
|
569 |
559 |
$5K |
| 87798 |
|
276 |
265 |
$5K |
| 31622 |
|
12 |
12 |
$5K |
| C8924 |
2d tte w or w/o fol w/con,fu |
37 |
37 |
$5K |
| 86787 |
|
2,663 |
2,647 |
$5K |
| 86360 |
|
280 |
263 |
$5K |
| 87338 |
|
606 |
605 |
$5K |
| 74270 |
|
51 |
51 |
$4K |
| 87102 |
|
3,159 |
2,764 |
$4K |
| 86618 |
|
641 |
638 |
$4K |
| 29515 |
|
52 |
50 |
$4K |
| 90832 |
|
56 |
52 |
$4K |
| 83921 |
|
455 |
447 |
$4K |
| 87536 |
|
115 |
115 |
$4K |
| 87324 |
|
788 |
779 |
$4K |
| 51798 |
|
1,612 |
1,092 |
$4K |
| G0515 |
Cognitive skills development |
136 |
54 |
$4K |
| 84450 |
|
1,767 |
1,724 |
$4K |
| 85300 |
|
696 |
694 |
$4K |
| 90473 |
|
564 |
561 |
$4K |
| 82330 |
|
8,614 |
7,321 |
$4K |
| 86359 |
|
281 |
264 |
$4K |
| 88173 |
|
1,560 |
1,190 |
$4K |
| 82390 |
|
832 |
825 |
$4K |
| 16020 |
|
155 |
137 |
$4K |
| 87040 |
|
11,062 |
6,593 |
$4K |
| J1100 |
Dexamethasone sodium phos |
50,202 |
45,716 |
$4K |
| 72050 |
|
79 |
78 |
$4K |
| C1726 |
Cath, bal dil, non-vascular |
2,757 |
2,676 |
$4K |
| L0172 |
Cerv col sr foam 2pc pre ots |
477 |
462 |
$4K |
| C1729 |
Cath, drainage |
978 |
892 |
$4K |
| 80178 |
|
1,599 |
1,389 |
$4K |
| 87902 |
|
26 |
25 |
$4K |
| 82103 |
|
665 |
648 |
$4K |
| 83521 |
|
326 |
302 |
$4K |
| 86800 |
|
534 |
529 |
$4K |
| 86256 |
|
581 |
577 |
$4K |
| 84480 |
|
563 |
551 |
$4K |
| 83498 |
|
422 |
419 |
$4K |
| 98967 |
|
330 |
286 |
$4K |
| G0328 |
Fecal blood scrn immunoassay |
216 |
214 |
$4K |
| 87075 |
|
2,643 |
2,198 |
$4K |
| 77085 |
|
79 |
79 |
$4K |
| 93922 |
|
196 |
195 |
$4K |
| 85379 |
|
7,533 |
7,239 |
$3K |
| 86645 |
|
527 |
526 |
$3K |
| 90834 |
|
40 |
34 |
$3K |
| 82952 |
|
1,584 |
1,582 |
$3K |
| 0154A |
|
83 |
83 |
$3K |
| 97129 |
|
317 |
166 |
$3K |
| 85014 |
|
13,448 |
12,011 |
$3K |
| 92651 |
|
50 |
50 |
$3K |
| 99406 |
|
250 |
249 |
$3K |
| 87428 |
|
99 |
97 |
$3K |
| 99496 |
|
51 |
50 |
$3K |
| 86039 |
|
593 |
592 |
$3K |
| 82024 |
|
203 |
200 |
$3K |
| 84207 |
|
268 |
267 |
$3K |
| 86381 |
|
264 |
262 |
$3K |
| 83090 |
|
437 |
429 |
$3K |
| 93298 |
|
207 |
203 |
$3K |
| 86141 |
|
457 |
452 |
$3K |
| 86705 |
|
731 |
720 |
$3K |
| 83525 |
|
484 |
472 |
$3K |
| 87389 |
|
250 |
249 |
$3K |
| 82150 |
|
1,472 |
1,416 |
$3K |
| 85384 |
|
1,530 |
1,348 |
$3K |
| 73100 |
|
884 |
768 |
$3K |
| 80159 |
|
278 |
212 |
$3K |
| 92552 |
|
144 |
140 |
$3K |
| 84132 |
|
9,610 |
8,409 |
$3K |
| 82652 |
|
296 |
296 |
$3K |
| 86308 |
|
2,239 |
2,216 |
$3K |
| 88271 |
|
121 |
116 |
$3K |
| 86036 |
|
522 |
521 |
$3K |
| 86355 |
|
209 |
196 |
$3K |
| 93312 |
|
14 |
14 |
$3K |
| 86334 |
|
256 |
255 |
$3K |
| 88360 |
|
437 |
393 |
$3K |
| 70546 |
|
40 |
40 |
$3K |
| 97014 |
|
354 |
186 |
$3K |
| 62270 |
|
15 |
12 |
$2K |
| 73720 |
|
13 |
13 |
$2K |
| 85576 |
|
90 |
85 |
$2K |
| 83014 |
|
618 |
617 |
$2K |
| 77290 |
|
15 |
14 |
$2K |
| 81220 |
|
25 |
25 |
$2K |
| 87880 |
|
13,655 |
13,360 |
$2K |
| G0399 |
Home sleep test/type 3 porta |
1,088 |
1,088 |
$2K |
| 82805 |
|
773 |
689 |
$2K |
| 86812 |
|
172 |
172 |
$2K |
| 84134 |
|
371 |
346 |
$2K |
| 72126 |
|
138 |
137 |
$2K |
| 90716 |
|
2,121 |
2,117 |
$2K |
| 87252 |
|
219 |
211 |
$2K |
| 86231 |
|
366 |
365 |
$2K |
| 94726 |
|
330 |
330 |
$2K |
| 87254 |
|
236 |
231 |
$2K |
| J3475 |
Inj magnesium sulfate |
4,381 |
3,060 |
$2K |
| 90837 |
|
23 |
16 |
$2K |
| 72081 |
|
367 |
355 |
$2K |
| 73560 |
|
413 |
404 |
$2K |
| 71100 |
|
184 |
183 |
$2K |
| 88237 |
|
128 |
126 |
$2K |
| 84145 |
|
2,208 |
2,110 |
$2K |
| 85613 |
|
449 |
443 |
$2K |
| C2617 |
Stent, non-cor, tem w/o del |
1,203 |
1,161 |
$2K |
| 82310 |
|
1,023 |
973 |
$2K |
| 88264 |
|
113 |
110 |
$2K |
| 99188 |
|
2,509 |
2,496 |
$2K |
| G1004 |
Cdsm ndsc |
69,151 |
62,939 |
$2K |
| 36410 |
|
1,104 |
997 |
$2K |
| 76377 |
|
5,961 |
5,882 |
$2K |
| J7042 |
5% dextrose/normal saline |
2,396 |
1,805 |
$2K |
| C1889 |
Implant/insert device, noc |
1,714 |
1,651 |
$2K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
4,483 |
4,415 |
$2K |
| J0295 |
Ampicillin sulbactam 1.5 gm |
3,615 |
1,282 |
$2K |
| 96381 |
|
121 |
120 |
$2K |
| 90620 |
|
70 |
70 |
$2K |
| 81241 |
|
53 |
53 |
$2K |
| 86317 |
|
247 |
139 |
$2K |
| 80165 |
|
356 |
348 |
$2K |
| J0561 |
Penicillin g benzathine inj |
17 |
17 |
$2K |
| Q2036 |
Flulaval vacc, 3 yrs & >, im |
254 |
248 |
$2K |
| 90648 |
|
6,032 |
6,023 |
$2K |
| 82542 |
|
888 |
855 |
$2K |
| 77073 |
|
315 |
315 |
$2K |
| 96132 |
|
157 |
157 |
$2K |
| A9270 |
Non-covered item or service |
11,027 |
6,746 |
$2K |
| 86644 |
|
351 |
341 |
$1K |
| 86357 |
|
93 |
85 |
$1K |
| Q3014 |
Telehealth facility fee |
70 |
70 |
$1K |
| 80177 |
|
813 |
760 |
$1K |
| 82465 |
|
525 |
472 |
$1K |
| 90688 |
|
134 |
133 |
$1K |
| 80175 |
|
237 |
230 |
$1K |
| 73070 |
|
361 |
331 |
$1K |
| G0297 |
Ldct for lung ca screen |
30 |
30 |
$1K |
| 83605 |
|
16,631 |
13,133 |
$1K |
| 88300 |
|
3,737 |
3,707 |
$1K |
| 86708 |
|
205 |
202 |
$1K |
| 87116 |
|
1,857 |
1,559 |
$1K |
| 90662 |
|
59 |
55 |
$1K |
| 20553 |
|
15 |
12 |
$1K |
| 70250 |
|
235 |
223 |
$981.81 |
| 29075 |
|
12 |
12 |
$979.79 |
| 72190 |
|
127 |
121 |
$957.42 |
| 0053A |
|
28 |
28 |
$938.25 |
| G2066 |
Inter devc remote 30d |
53 |
52 |
$927.68 |
| 64999 |
|
16 |
14 |
$926.16 |
| 90694 |
|
80 |
79 |
$919.02 |
| 73600 |
|
168 |
161 |
$904.52 |
| 88344 |
|
12 |
12 |
$904.25 |
| 86850 |
|
22,973 |
21,714 |
$884.47 |
| 72220 |
|
67 |
67 |
$868.75 |
| 84075 |
|
398 |
382 |
$866.73 |
| 73620 |
|
192 |
185 |
$850.48 |
| 92602 |
|
12 |
12 |
$832.68 |
| 83520 |
|
2,039 |
1,903 |
$812.41 |
| 82378 |
|
126 |
122 |
$806.60 |
| 86592 |
|
347 |
342 |
$805.34 |
| 98966 |
|
119 |
106 |
$789.51 |
| G8978 |
Mobility current status |
285 |
247 |
$787.44 |
| J1611 |
Inj glucagon hcl, fresenius |
24 |
24 |
$783.06 |
| J2997 |
Alteplase recombinant |
15 |
13 |
$780.07 |
| 70480 |
|
13 |
13 |
$778.08 |
| 82010 |
|
3,280 |
2,898 |
$775.65 |
| 88313 |
|
816 |
713 |
$760.61 |
| 87210 |
|
4,220 |
2,376 |
$734.75 |
| 0074A |
|
32 |
32 |
$730.26 |
| 89230 |
|
24 |
24 |
$681.91 |
| 84520 |
|
368 |
327 |
$665.34 |
| 97167 |
|
14 |
13 |
$645.02 |
| 0073A |
|
17 |
17 |
$638.01 |
| 92524 |
|
12 |
12 |
$633.40 |
| 84244 |
|
66 |
66 |
$632.31 |
| 92567 |
|
3,204 |
3,142 |
$625.73 |
| 86258 |
|
50 |
49 |
$620.01 |
| 0241U |
|
1,041 |
1,019 |
$612.50 |
| 87015 |
|
1,842 |
1,523 |
$610.99 |
| 69210 |
|
107 |
105 |
$604.38 |
| 87521 |
Neg quan hep c or qual rna |
42 |
39 |
$603.04 |
| 77075 |
|
13 |
12 |
$599.19 |
| 87209 |
|
68 |
65 |
$594.19 |
| 96138 |
|
158 |
156 |
$587.19 |
| 83930 |
|
973 |
905 |
$578.68 |
| C1894 |
Intro/sheath, non-laser |
4,492 |
4,358 |
$559.18 |
| 82139 |
|
77 |
77 |
$553.44 |
| 87106 |
|
133 |
129 |
$552.95 |
| 85045 |
|
749 |
595 |
$533.47 |
| 0064A |
|
14 |
14 |
$529.90 |
| J7030 |
Normal saline solution infus |
92,604 |
76,878 |
$521.16 |
| 86709 |
|
188 |
183 |
$518.84 |
| 82164 |
|
88 |
88 |
$512.62 |
| 84154 |
|
55 |
55 |
$510.41 |
| U0003 |
Cov-19 amp prb hgh thruput |
12 |
12 |
$483.00 |
| 0003A |
|
13 |
13 |
$478.00 |
| 62322 |
|
12 |
12 |
$475.52 |
| 81003 |
|
3,306 |
3,238 |
$469.73 |
| 82365 |
|
431 |
423 |
$458.52 |
| 76506 |
|
12 |
12 |
$458.40 |
| 81479 |
|
25 |
25 |
$456.05 |
| S9442 |
Birthing class |
14 |
14 |
$453.74 |
| 84295 |
|
8,410 |
7,675 |
$435.48 |
| 90744 |
|
1,781 |
1,776 |
$433.92 |
| 85660 |
|
225 |
223 |
$430.24 |
| 86698 |
|
126 |
86 |
$416.36 |
| 96402 |
|
14 |
13 |
$403.81 |
| 69209 |
|
202 |
199 |
$392.61 |
| 12011 |
|
2,651 |
2,621 |
$368.24 |
| 86922 |
|
71 |
53 |
$359.54 |
| 94618 |
|
126 |
125 |
$355.63 |
| 84080 |
|
47 |
47 |
$354.65 |
| G0499 |
Hepb screen high risk indiv |
25 |
19 |
$350.24 |
| 89051 |
|
3,515 |
2,813 |
$348.85 |
| 82379 |
|
64 |
62 |
$342.21 |
| 92551 |
|
44 |
44 |
$339.78 |
| 86060 |
|
106 |
102 |
$337.35 |
| 30901 |
|
12 |
12 |
$333.05 |
| 96136 |
|
111 |
111 |
$332.90 |
| 83835 |
|
44 |
42 |
$332.89 |
| 87101 |
|
78 |
75 |
$321.44 |
| 87177 |
|
68 |
65 |
$294.35 |
| 88312 |
|
1,031 |
962 |
$292.57 |
| 83051 |
|
144 |
111 |
$286.65 |
| 82077 |
|
4,711 |
4,421 |
$285.45 |
| 46600 |
|
72 |
69 |
$264.53 |
| 86880 |
|
360 |
342 |
$257.66 |
| 76775 |
|
110 |
110 |
$254.79 |
| 99213 |
|
69 |
62 |
$247.95 |
| 80305 |
|
1,015 |
983 |
$236.22 |
| 83721 |
|
42 |
39 |
$228.54 |
| 86765 |
|
76 |
75 |
$224.28 |
| 87385 |
|
72 |
49 |
$220.06 |
| 93290 |
|
695 |
649 |
$211.67 |
| 82955 |
|
58 |
58 |
$209.90 |
| 0296T |
|
660 |
651 |
$208.01 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
53,391 |
50,348 |
$205.52 |
| 90653 |
|
17 |
17 |
$199.39 |
| 82731 |
|
67 |
64 |
$197.02 |
| 87449 |
|
62 |
60 |
$184.21 |
| 82803 |
|
8,667 |
7,740 |
$170.67 |
| 76942 |
|
3,263 |
3,195 |
$162.37 |
| 92582 |
|
12 |
12 |
$162.30 |
| 36591 |
|
14 |
12 |
$161.97 |
| 84432 |
|
27 |
27 |
$161.22 |
| J3010 |
Fentanyl citrate injection |
66,798 |
53,731 |
$153.28 |
| 93325 |
|
11,914 |
11,450 |
$152.04 |
| C9113 |
Inj pantoprazole sodium, via |
3,564 |
2,051 |
$149.35 |
| 86682 |
|
28 |
28 |
$144.59 |
| 85303 |
|
25 |
25 |
$144.06 |
| 99214 |
|
37 |
36 |
$142.50 |
| 84300 |
|
118 |
112 |
$138.12 |
| J8501 |
Oral aprepitant |
2,677 |
2,634 |
$137.74 |
| 96040 |
|
654 |
651 |
$134.92 |
| 88302 |
|
109 |
109 |
$131.79 |
| 86337 |
|
12 |
12 |
$131.45 |
| J2250 |
Inj midazolam hydrochloride |
51,271 |
46,633 |
$129.69 |
| 82085 |
|
40 |
37 |
$120.11 |
| 88275 |
|
13 |
12 |
$119.01 |
| 88341 |
|
2,323 |
2,117 |
$115.73 |
| 87305 |
|
66 |
52 |
$112.36 |
| 84112 |
|
140 |
134 |
$111.16 |
| 83935 |
|
46 |
45 |
$108.80 |
| 85049 |
|
66 |
63 |
$107.77 |
| 83010 |
|
149 |
116 |
$105.51 |
| 12001 |
|
2,739 |
2,714 |
$104.34 |
| 70360 |
|
42 |
42 |
$102.17 |
| 88142 |
|
13 |
13 |
$101.84 |
| 86707 |
|
16 |
16 |
$101.70 |
| 12002 |
|
1,266 |
1,253 |
$100.76 |
| 87807 |
|
15 |
15 |
$99.58 |
| 76380 |
|
31 |
24 |
$95.84 |
| 83695 |
|
16 |
16 |
$93.96 |
| J1885 |
Ketorolac tromethamine inj |
72,368 |
64,501 |
$91.85 |
| 85306 |
|
13 |
13 |
$91.20 |
| 86593 |
|
38 |
37 |
$90.82 |
| 86985 |
|
58 |
51 |
$88.75 |
| 77001 |
|
318 |
317 |
$86.71 |
| 82272 |
|
573 |
560 |
$84.12 |
| 87350 |
|
13 |
13 |
$80.21 |
| 86735 |
|
15 |
14 |
$80.08 |
| 49424 |
|
182 |
123 |
$75.16 |
| 80143 |
|
3,526 |
3,357 |
$74.48 |
| L3808 |
Whfo, rigid w/o joints |
83 |
83 |
$68.41 |
| J2405 |
Ondansetron hcl injection |
90,447 |
76,943 |
$67.80 |
| 93321 |
|
1,727 |
1,631 |
$61.21 |
| 76937 |
|
1,663 |
1,616 |
$54.78 |
| 99152 |
|
4,202 |
4,168 |
$45.14 |
| 80183 |
|
14 |
13 |
$44.41 |
| 82157 |
|
12 |
12 |
$41.68 |
| J7040 |
Normal saline solution infus |
7,988 |
6,216 |
$41.22 |
| 82044 |
|
138 |
138 |
$40.92 |
| 81002 |
|
216 |
204 |
$40.33 |
| A9577 |
Inj multihance |
10,024 |
9,864 |
$39.60 |
| J2704 |
Inj, propofol, 10 mg |
60,835 |
54,427 |
$35.93 |
| 83986 |
|
442 |
431 |
$35.73 |
| 81000 |
|
298 |
298 |
$33.00 |
| 99212 |
|
60 |
56 |
$30.80 |
| 88720 |
|
30 |
26 |
$30.40 |
| 92650 |
|
147 |
146 |
$29.79 |
| 82270 |
|
13 |
12 |
$29.28 |
| 90715 |
|
7,748 |
7,692 |
$28.97 |
| 82075 |
|
5,502 |
3,709 |
$28.62 |
| J1644 |
Inj heparin sodium per 1000u |
8,894 |
5,000 |
$27.41 |
| 87185 |
|
33 |
28 |
$26.00 |
| J2765 |
Metoclopramide hcl injection |
11,677 |
10,628 |
$25.49 |
| 82945 |
|
156 |
154 |
$25.34 |
| 87181 |
|
16 |
13 |
$23.39 |
| 82375 |
|
66 |
58 |
$21.63 |
| 80179 |
|
3,272 |
3,163 |
$20.60 |
| 87804 |
|
79 |
58 |
$19.36 |
| J1642 |
Inj heparin sodium per 10 u |
12,203 |
6,667 |
$18.64 |
| 87899 |
|
39 |
34 |
$17.58 |
| J1170 |
Hydromorphone injection |
22,780 |
16,604 |
$17.14 |
| 92555 |
|
97 |
97 |
$16.28 |
| 91303 |
|
127 |
127 |
$16.00 |
| 93320 |
|
9,951 |
9,693 |
$14.99 |
| 82800 |
|
1,083 |
996 |
$12.99 |
| J1200 |
Diphenhydramine hcl injectio |
32,173 |
27,982 |
$10.84 |
| 87071 |
|
209 |
193 |
$10.29 |
| J0360 |
Hydralazine hcl injection |
2,887 |
2,443 |
$9.81 |
| J2270 |
Morphine sulfate injection |
28,420 |
23,888 |
$9.08 |
| A9502 |
Tc99m tetrofosmin |
1,868 |
1,833 |
$8.90 |
| 86703 |
|
19 |
19 |
$8.61 |
| G0283 |
Elec stim other than wound |
1,467 |
738 |
$8.06 |
| J0171 |
Adrenalin epinephrine inject |
3,467 |
3,311 |
$7.26 |
| J2800 |
Methocarbamol injection |
328 |
302 |
$7.25 |
| J1790 |
Droperidol injection |
2,080 |
1,947 |
$7.01 |
| 84157 |
|
487 |
385 |
$6.95 |
| J0780 |
Prochlorperazine injection |
12,192 |
10,813 |
$5.51 |
| J1836 |
Inj, metronidazole, 10 mg |
12 |
12 |
$2.13 |
| 82962 |
|
13 |
12 |
$1.95 |
| J2060 |
Lorazepam injection |
7,000 |
5,857 |
$1.70 |
| J3480 |
Inj potassium chloride |
4,843 |
3,369 |
$1.10 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
69 |
69 |
$0.84 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
657 |
410 |
$0.09 |
| J2920 |
Methylprednisolone injection |
690 |
507 |
$0.00 |
| J1720 |
Hydrocortisone sodium succ i |
553 |
489 |
$0.00 |
| 90723 |
|
4,820 |
4,816 |
$0.00 |
| J7060 |
5% dextrose/water |
5,112 |
2,374 |
$0.00 |
| 95886 |
|
464 |
444 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
3,200 |
3,082 |
$0.00 |
| J2360 |
Orphenadrine injection |
4,823 |
4,599 |
$0.00 |
| 90680 |
|
6,146 |
6,136 |
$0.00 |
| 88311 |
|
953 |
864 |
$0.00 |
| 90696 |
|
1,699 |
1,698 |
$0.00 |
| J1940 |
Furosemide injection |
2,208 |
1,510 |
$0.00 |
| 88185 |
|
1,683 |
1,478 |
$0.00 |
| 90698 |
|
3,063 |
3,053 |
$0.00 |
| J1250 |
Inj dobutamine hcl/250 mg |
134 |
122 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
12,951 |
10,983 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
1,650 |
879 |
$0.00 |
| A9503 |
Tc99m medronate |
758 |
755 |
$0.00 |
| J7121 |
5% dextrose in lac ringers |
10,120 |
9,950 |
$0.00 |
| C9290 |
Inj, bupivacaine liposome |
776 |
766 |
$0.00 |
| J1630 |
Haloperidol injection |
7,150 |
6,019 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
4,966 |
4,687 |
$0.00 |
| J0500 |
Dicyclomine injection |
882 |
839 |
$0.00 |
| 94644 |
|
861 |
847 |
$0.00 |
| 91301 |
|
797 |
760 |
$0.00 |
| 90632 |
|
280 |
279 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
1,219 |
1,190 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
22,753 |
19,750 |
$0.00 |
| J9250 |
Methotrexate sodium inj |
757 |
565 |
$0.00 |
| J7999 |
Compounded drug, noc |
341 |
337 |
$0.00 |
| 91307 |
|
1,034 |
979 |
$0.00 |
| 86901 |
|
1,390 |
1,276 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
2,235 |
2,147 |
$0.00 |
| C1886 |
Catheter, ablation |
106 |
106 |
$0.00 |
| J2785 |
Regadenoson injection |
1,912 |
1,888 |
$0.00 |
| 96368 |
|
134 |
117 |
$0.00 |
| A4217 |
Sterile water/saline, 500 ml |
58 |
57 |
$0.00 |
| L8699 |
Prosthetic implant nos |
572 |
572 |
$0.00 |
| 87176 |
|
417 |
361 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
1,677 |
1,660 |
$0.00 |
| A9579 |
Gad-base mr contrast nos,1ml |
5,053 |
4,894 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
233 |
230 |
$0.00 |
| J2790 |
Rho d immune globulin inj |
108 |
107 |
$0.00 |
| 96110 |
|
567 |
566 |
$0.00 |
| A9585 |
Gadobutrol injection |
723 |
683 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
51 |
49 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
202 |
199 |
$0.00 |
| C1893 |
Intro/sheath, fixed,non-peel |
275 |
257 |
$0.00 |
| J2469 |
Palonosetron hcl |
292 |
182 |
$0.00 |
| A9573 |
Inj, gadopiclenol, 1 ml |
2,199 |
2,163 |
$0.00 |
| Q0240 |
Casirivi and imdevi 600 mg |
119 |
63 |
$0.00 |
| A4648 |
Implantable tissue marker |
420 |
407 |
$0.00 |
| 94660 |
|
59 |
28 |
$0.00 |
| 95885 |
|
97 |
93 |
$0.00 |
| J0280 |
Aminophyllin 250 mg inj |
67 |
67 |
$0.00 |
| J0610 |
Calcium glucon (fresenius) |
200 |
140 |
$0.00 |
| 82438 |
|
24 |
24 |
$0.00 |
| 51600 |
|
173 |
172 |
$0.00 |
| J8540 |
Oral dexamethasone |
1,057 |
1,012 |
$0.00 |
| A9540 |
Tc99m maa |
84 |
84 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
1,389 |
455 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
59 |
59 |
$0.00 |
| 96139 |
|
135 |
134 |
$0.00 |
| 76998 |
|
136 |
136 |
$0.00 |
| 85008 |
|
70 |
70 |
$0.00 |
| 81511 |
|
58 |
58 |
$0.00 |
| 80320 |
|
15 |
13 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
321 |
199 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
1,298 |
1,143 |
$0.00 |
| J0461 |
Atropine sulfate injection |
13 |
12 |
$0.00 |
| C1730 |
Cath, ep, 19 or few elect |
12 |
12 |
$0.00 |
| C1781 |
Mesh (implantable) |
107 |
106 |
$0.00 |
| 84270 |
|
53 |
50 |
$0.00 |
| 91306 |
|
12 |
12 |
$0.00 |
| 82657 |
|
16 |
15 |
$0.00 |
| C1778 |
Lead, neurostimulator |
12 |
12 |
$0.00 |
| J2805 |
Sincalide injection |
25 |
25 |
$0.00 |
| 30300 |
|
13 |
13 |
$0.00 |
| C1892 |
Intro/sheath,fixed,peel-away |
13 |
13 |
$0.00 |
| G0288 |
Recon, cta for surg plan |
15 |
15 |
$0.00 |
| 83883 |
|
14 |
14 |
$0.00 |
| C1887 |
Catheter, guiding |
831 |
810 |
$0.00 |
| Q9958 |
Hocm <=149 mg/ml iodine, 1ml |
772 |
769 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
2,323 |
2,294 |
$0.00 |
| 90700 |
|
1,503 |
1,499 |
$0.00 |
| A9576 |
Inj prohance multipack |
1,230 |
1,216 |
$0.00 |
| L1830 |
Ko immob canvas long pre ots |
575 |
567 |
$0.00 |
| 90461 |
|
13,271 |
13,236 |
$0.00 |
| 29125 |
|
1,027 |
1,009 |
$0.00 |
| 90710 |
|
1,753 |
1,752 |
$0.00 |
| 85347 |
|
1,312 |
833 |
$0.00 |
| J2930 |
Methylprednisolone injection |
5,210 |
4,376 |
$0.00 |
| 82397 |
|
406 |
396 |
$0.00 |
| 82610 |
|
1,230 |
1,042 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
4,169 |
4,022 |
$0.00 |
| 75565 |
|
543 |
541 |
$0.00 |
| 90380 |
|
100 |
99 |
$0.00 |
| 0042T |
|
330 |
326 |
$0.00 |
| J9370 |
Vincristine sulfate 1 mg inj |
2,255 |
1,485 |
$0.00 |
| A9552 |
F18 fdg |
1,947 |
1,938 |
$0.00 |
| 95874 |
|
12 |
12 |
$0.00 |
| J1580 |
Garamycin gentamicin inj |
131 |
114 |
$0.00 |
| 93226 |
|
1,496 |
1,475 |
$0.00 |
| J1953 |
Levetiracetam injection |
367 |
261 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
310 |
304 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
1,042 |
1,008 |
$0.00 |
| A9537 |
Tc99m mebrofenin |
192 |
192 |
$0.00 |
| 77002 |
|
1,084 |
1,058 |
$0.00 |
| 76376 |
|
79 |
79 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
4,853 |
2,108 |
$0.00 |
| 90707 |
|
2,117 |
2,113 |
$0.00 |
| J0694 |
Cefoxitin sodium injection |
704 |
476 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
2,841 |
1,453 |
$0.00 |
| J2916 |
Na ferric gluconate complex |
224 |
83 |
$0.00 |
| 90633 |
|
4,379 |
4,370 |
$0.00 |
| C8937 |
Cad breast mri |
176 |
175 |
$0.00 |
| 77012 |
|
493 |
483 |
$0.00 |
| 91321 |
|
376 |
376 |
$0.00 |
| 0722T |
|
45 |
44 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
157 |
88 |
$0.00 |
| C1760 |
Closure dev, vasc |
466 |
459 |
$0.00 |
| C1776 |
Joint device (implantable) |
311 |
311 |
$0.00 |
| A9541 |
Tc99m sulfur colloid |
418 |
417 |
$0.00 |
| J2550 |
Promethazine hcl injection |
518 |
416 |
$0.00 |
| 90685 |
|
170 |
165 |
$0.00 |
| 94729 |
|
634 |
632 |
$0.00 |
| 93356 |
|
1,317 |
1,306 |
$0.00 |
| 23350 |
|
163 |
162 |
$0.00 |
| 90714 |
|
108 |
108 |
$0.00 |
| 27093 |
|
15 |
14 |
$0.00 |
| Q0244 |
Casirivi and imdevi 1200 mg |
456 |
307 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
313 |
293 |
$0.00 |
| C1788 |
Port, indwelling, imp |
510 |
486 |
$0.00 |
| 91300 |
|
15,078 |
13,426 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
737 |
621 |
$0.00 |
| J2274 |
Inj morphine pf epid ithc |
102 |
101 |
$0.00 |
| Q0243 |
Casirivimab and imdevimab |
80 |
41 |
$0.00 |
| 82523 |
|
31 |
27 |
$0.00 |
| J7070 |
D5w infusion |
70 |
48 |
$0.00 |
| J0744 |
Ciprofloxacin iv |
44 |
42 |
$0.00 |
| 91312 |
|
630 |
630 |
$0.00 |
| J1453 |
Fosaprepitant injection |
147 |
99 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
43 |
39 |
$0.00 |
| L3913 |
Hfo w/o joints cf |
68 |
68 |
$0.00 |
| 51701 |
|
88 |
85 |
$0.00 |
| G8985 |
Carry goal status |
31 |
27 |
$0.00 |
| Q0245 |
Bamlanivimab and etesevima |
114 |
58 |
$0.00 |
| G8979 |
Mobility goal status |
315 |
272 |
$0.00 |
| J1756 |
Iron sucrose injection |
105 |
49 |
$0.00 |
| 64643 |
|
79 |
69 |
$0.00 |
| 0159T |
|
30 |
29 |
$0.00 |
| 96133 |
|
116 |
116 |
$0.00 |
| J0692 |
Cefepime hcl for injection |
19 |
12 |
$0.00 |
| C1874 |
Stent, coated/cov w/del sys |
14 |
14 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
153 |
152 |
$0.00 |
| J9260 |
Inj methotrexate sodium 50mg |
58 |
39 |
$0.00 |
| 15853 |
|
28 |
28 |
$0.00 |
| 96137 |
|
25 |
25 |
$0.00 |
| J3250 |
Trimethobenzamide hcl inj |
51 |
43 |
$0.00 |
| G8984 |
Carry current status |
57 |
51 |
$0.00 |
| J2310 |
Inj naloxone hydrochloride |
28 |
24 |
$0.00 |
| J2720 |
Inj protamine sulfate/10 mg |
12 |
12 |
$0.00 |
| 41800 |
|
38 |
38 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
17 |
17 |
$0.00 |