| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
|
224,175 |
189,406 |
$24.19M |
| 99214 |
|
221,364 |
192,009 |
$23.73M |
| J2350 |
Injection, ocrelizumab, 1 mg |
483 |
458 |
$13.88M |
| J9271 |
Inj pembrolizumab |
1,391 |
1,126 |
$12.31M |
| J1745 |
Infliximab not biosimil 10mg |
3,608 |
3,253 |
$11.72M |
| 99283 |
|
50,569 |
47,716 |
$8.21M |
| 99215 |
Prolong outpt/office vis |
53,588 |
46,984 |
$7.45M |
| J9144 |
Daratumumab, hyaluronidase |
1,512 |
1,016 |
$6.27M |
| 99285 |
|
38,827 |
36,161 |
$6.03M |
| J9299 |
Injection, nivolumab |
678 |
504 |
$6.02M |
| 36415 |
|
495,218 |
234,324 |
$5.66M |
| 99284 |
|
32,899 |
31,347 |
$5.31M |
| G0378 |
Hospital observation per hr |
4,707 |
4,540 |
$5.23M |
| J3380 |
Inj vedolizumab iv 1 mg |
1,020 |
983 |
$4.93M |
| 90834 |
|
32,537 |
15,089 |
$4.61M |
| 99212 |
|
49,769 |
42,789 |
$4.28M |
| J1561 |
Gamunex-c/gammaked |
2,431 |
1,466 |
$4.02M |
| J2323 |
Natalizumab injection |
710 |
667 |
$3.61M |
| 93458 |
|
2,363 |
2,336 |
$3.57M |
| 96415 |
|
9,952 |
8,322 |
$3.56M |
| 96413 |
|
22,649 |
15,559 |
$3.33M |
| J2505 |
Injection, pegfilgrastim 6mg |
815 |
593 |
$2.99M |
| 90832 |
|
23,669 |
12,641 |
$2.86M |
| U0004 |
Cov-19 test non-cdc hgh thru |
49,089 |
45,755 |
$2.57M |
| 78452 |
|
11,356 |
5,640 |
$2.04M |
| 80053 |
|
132,109 |
109,640 |
$1.82M |
| 96365 |
|
18,409 |
12,810 |
$1.72M |
| 96361 |
|
15,521 |
13,068 |
$1.72M |
| 99204 |
|
11,735 |
11,614 |
$1.72M |
| J1930 |
Lanreotide injection |
331 |
309 |
$1.53M |
| 87536 |
|
18,465 |
18,290 |
$1.48M |
| J0485 |
Belatacept injection |
1,877 |
1,097 |
$1.46M |
| C9600 |
Perc drug-el cor stent sing |
852 |
813 |
$1.43M |
| 93306 |
|
8,342 |
8,242 |
$1.39M |
| 90460 |
|
38,517 |
31,355 |
$1.36M |
| 36475 |
|
1,732 |
1,342 |
$1.35M |
| 87491 |
|
54,144 |
45,615 |
$1.35M |
| 99203 |
|
10,427 |
10,352 |
$1.28M |
| 99391 |
|
13,735 |
13,371 |
$1.26M |
| 99392 |
|
14,066 |
13,982 |
$1.20M |
| 90945 |
|
21,946 |
1,031 |
$1.16M |
| J2506 |
Inj pegfilgrast ex bio 0.5mg |
564 |
414 |
$1.16M |
| 90836 |
|
10,380 |
4,685 |
$1.09M |
| J3357 |
Ustekinumab sub cu inj, 1 mg |
77 |
73 |
$1.08M |
| J0882 |
Darbepoetin alfa, esrd use |
21,759 |
3,150 |
$1.08M |
| J2501 |
Paricalcitol |
34,218 |
2,400 |
$1.02M |
| 99282 |
|
5,762 |
5,560 |
$947K |
| 99205 |
Prolong outpt/office vis |
5,663 |
5,522 |
$937K |
| 43239 |
|
1,683 |
1,671 |
$912K |
| 93975 |
|
4,221 |
4,026 |
$901K |
| J9217 |
Leuprolide acetate suspnsion |
1,454 |
1,368 |
$889K |
| 87591 |
|
53,207 |
45,257 |
$876K |
| J9145 |
Injection, daratumumab 10 mg |
332 |
206 |
$872K |
| 77067 |
|
11,088 |
11,070 |
$861K |
| Q0138 |
Ferumoxytol, non-esrd |
2,390 |
1,620 |
$845K |
| 86900 |
|
40,181 |
31,636 |
$831K |
| 81025 |
|
52,455 |
41,782 |
$779K |
| 96366 |
|
7,152 |
5,370 |
$779K |
| 45380 |
|
1,194 |
1,191 |
$760K |
| Q5104 |
Injection, renflexis |
612 |
422 |
$755K |
| 97110 |
|
15,801 |
7,007 |
$717K |
| 46607 |
|
916 |
896 |
$716K |
| J0897 |
Denosumab injection |
485 |
466 |
$699K |
| 80061 |
|
51,753 |
51,085 |
$687K |
| P9040 |
Rbc leukoreduced irradiated |
2,716 |
2,039 |
$686K |
| 77336 |
|
2,257 |
1,106 |
$655K |
| 99393 |
|
8,886 |
8,853 |
$631K |
| 96375 |
|
24,606 |
18,367 |
$624K |
| 99395 |
|
5,456 |
5,404 |
$604K |
| 82306 |
|
30,025 |
29,445 |
$602K |
| 86901 |
|
40,044 |
31,594 |
$590K |
| C1874 |
Stent, coated/cov w/del sys |
961 |
935 |
$586K |
| 99396 |
|
5,409 |
5,362 |
$576K |
| U0005 |
Infec agen detec ampli probe |
37,684 |
35,242 |
$569K |
| 93970 |
|
3,804 |
3,766 |
$565K |
| 70450 |
|
5,256 |
5,131 |
$559K |
| 76856 |
|
2,660 |
2,580 |
$558K |
| 90792 |
|
2,708 |
2,365 |
$558K |
| H0035 |
Mh partial hosp tx under 24h |
2,372 |
278 |
$551K |
| 86480 |
|
10,288 |
10,217 |
$540K |
| J9312 |
Inj., rituximab, 10 mg |
93 |
65 |
$527K |
| 36430 |
|
3,190 |
2,110 |
$520K |
| Q5103 |
Injection, inflectra |
870 |
567 |
$515K |
| 90677 |
|
3,557 |
3,547 |
$505K |
| G0463 |
Hospital outpt clinic visit |
18,068 |
13,675 |
$498K |
| 88305 |
|
13,551 |
10,421 |
$495K |
| 99394 |
|
6,023 |
5,976 |
$495K |
| 80048 |
|
49,051 |
44,332 |
$488K |
| 74177 |
|
4,472 |
4,397 |
$487K |
| 90853 |
|
8,118 |
3,891 |
$486K |
| 76816 |
|
7,159 |
6,449 |
$484K |
| 54161 |
|
483 |
483 |
$466K |
| J2357 |
Omalizumab injection |
244 |
174 |
$462K |
| Q5115 |
Inj truxima 10 mg |
319 |
140 |
$439K |
| 86850 |
|
39,848 |
31,437 |
$432K |
| 86361 |
|
13,737 |
13,647 |
$430K |
| 96372 |
|
35,143 |
27,298 |
$426K |
| 88185 |
|
2,721 |
2,268 |
$408K |
| 77386 |
|
1,623 |
165 |
$394K |
| Q5111 |
Injection, udenyca 0.5 mg |
258 |
177 |
$390K |
| 90833 |
|
5,880 |
4,956 |
$390K |
| 90651 |
|
5,128 |
5,107 |
$382K |
| 90686 |
|
31,606 |
31,434 |
$381K |
| 90935 |
|
6,258 |
1,336 |
$373K |
| J0791 |
Inj crizanlizumab-tmca 5mg |
100 |
76 |
$372K |
| 90846 |
|
2,886 |
2,161 |
$371K |
| C9803 |
Hopd covid-19 spec collect |
52,285 |
47,288 |
$367K |
| 93017 |
|
4,880 |
4,852 |
$363K |
| 96367 |
|
5,704 |
4,022 |
$363K |
| 99281 |
|
2,206 |
2,087 |
$362K |
| 59025 |
|
3,373 |
2,086 |
$345K |
| J9999 |
Chemotherapy drug |
40 |
27 |
$342K |
| 99202 |
|
3,131 |
3,117 |
$321K |
| 87633 |
|
3,590 |
3,505 |
$318K |
| 92014 |
|
3,721 |
3,425 |
$308K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
26,326 |
13,541 |
$307K |
| J9355 |
Inj trastuzumab excl biosimi |
86 |
52 |
$302K |
| 97140 |
|
9,960 |
4,624 |
$300K |
| 80050 |
|
12,366 |
12,089 |
$295K |
| 96360 |
|
4,755 |
4,373 |
$294K |
| 90847 |
|
1,235 |
934 |
$292K |
| 96374 |
|
20,748 |
17,961 |
$287K |
| C9062 |
Daratumumab hyaluronidase |
63 |
39 |
$285K |
| J9022 |
Inj, atezolizumab,10 mg |
30 |
25 |
$282K |
| 38222 |
|
1,010 |
995 |
$279K |
| 83880 |
|
15,894 |
13,722 |
$277K |
| 49082 |
|
546 |
314 |
$273K |
| 87389 |
|
27,105 |
26,805 |
$269K |
| 97162 |
|
2,669 |
2,655 |
$265K |
| 71275 |
|
2,157 |
2,131 |
$264K |
| G0008 |
Admin influenza virus vac |
13,195 |
13,182 |
$263K |
| 90791 |
|
1,287 |
1,077 |
$260K |
| A9500 |
Tc99m sestamibi |
3,557 |
3,535 |
$260K |
| 82040 |
|
44,880 |
7,111 |
$259K |
| 92004 |
|
2,375 |
2,339 |
$251K |
| 77412 |
|
806 |
92 |
$249K |
| 92012 |
|
3,484 |
3,187 |
$245K |
| 0241U |
|
12,908 |
12,519 |
$243K |
| 92134 |
|
4,141 |
2,866 |
$240K |
| C1760 |
Closure dev, vasc |
2,423 |
2,363 |
$239K |
| 88307 |
|
2,133 |
1,811 |
$235K |
| J1050 |
Medroxyprogesterone acetate |
3,986 |
3,891 |
$235K |
| 87631 |
|
6,576 |
6,467 |
$233K |
| 85025 |
|
150,745 |
120,056 |
$231K |
| 76641 |
|
4,028 |
3,339 |
$227K |
| 49083 |
|
388 |
243 |
$221K |
| 95819 |
|
688 |
683 |
$220K |
| 77063 |
|
10,457 |
10,438 |
$216K |
| 99385 |
|
1,869 |
1,857 |
$212K |
| 99381 |
|
2,762 |
2,731 |
$211K |
| Q5121 |
Inj. avsola, 10 mg |
466 |
238 |
$207K |
| J2785 |
Regadenoson injection |
2,412 |
2,393 |
$206K |
| C1888 |
Endovas non-cardiac abl cath |
1,926 |
1,098 |
$199K |
| 75574 |
|
1,284 |
1,283 |
$199K |
| J1453 |
Fosaprepitant injection |
2,496 |
1,662 |
$194K |
| C1769 |
Guide wire |
5,672 |
5,266 |
$192K |
| 90715 |
|
8,482 |
8,457 |
$190K |
| 76819 |
|
3,970 |
3,294 |
$189K |
| Q5107 |
Inj mvasi 10 mg |
242 |
85 |
$188K |
| 76805 |
|
2,466 |
2,383 |
$185K |
| 90671 |
|
1,102 |
1,102 |
$184K |
| 76700 |
|
713 |
696 |
$183K |
| T2022 |
Case management, per month |
1,596 |
1,589 |
$181K |
| J7307 |
Etonogestrel implant system |
268 |
261 |
$180K |
| 99443 |
|
2,969 |
2,723 |
$178K |
| C8929 |
Tte w or wo fol wcon,doppler |
1,689 |
1,681 |
$178K |
| 93976 |
|
933 |
915 |
$175K |
| 96401 |
|
3,698 |
1,744 |
$175K |
| 93971 |
|
3,496 |
3,327 |
$174K |
| 88341 |
|
2,114 |
2,014 |
$171K |
| 87624 |
|
6,432 |
6,376 |
$171K |
| 77300 |
|
589 |
578 |
$169K |
| G0123 |
Screen cerv/vag thin layer |
8,422 |
8,330 |
$168K |
| 76770 |
|
1,209 |
1,199 |
$168K |
| 88342 |
|
5,096 |
4,437 |
$166K |
| 94375 |
|
2,310 |
2,119 |
$165K |
| 19083 |
|
154 |
152 |
$165K |
| 96417 |
|
3,776 |
2,216 |
$162K |
| J0561 |
Penicillin g benzathine inj |
1,399 |
1,192 |
$161K |
| 76705 |
|
4,595 |
4,451 |
$159K |
| 93356 |
|
1,381 |
1,374 |
$159K |
| 95004 |
|
1,088 |
1,086 |
$158K |
| 97802 |
|
3,300 |
3,265 |
$158K |
| 87522 |
Neg quan hep c or qual rna |
5,051 |
4,911 |
$156K |
| 77334 |
|
679 |
576 |
$155K |
| 99291 |
|
1,021 |
1,001 |
$154K |
| 77066 |
Tomosynthesis, mammo |
1,628 |
1,614 |
$153K |
| 90670 |
|
8,519 |
8,494 |
$152K |
| 0002A |
|
3,997 |
3,971 |
$149K |
| 11900 |
|
994 |
970 |
$143K |
| 82728 |
|
19,065 |
17,720 |
$140K |
| 17380 |
|
495 |
470 |
$139K |
| 96416 |
|
432 |
240 |
$139K |
| 99386 |
|
1,247 |
1,237 |
$138K |
| 82784 |
|
17,121 |
8,739 |
$138K |
| 45378 |
|
227 |
225 |
$137K |
| J9173 |
Inj., durvalumab, 10 mg |
14 |
12 |
$137K |
| C1725 |
Cath, translumin non-laser |
1,570 |
1,535 |
$136K |
| 83036 |
|
52,627 |
51,579 |
$136K |
| C1887 |
Catheter, guiding |
3,463 |
3,116 |
$134K |
| J9070 |
Cyclophosphamide 100 mg inj |
529 |
331 |
$132K |
| 36000 |
|
11,250 |
10,898 |
$129K |
| 86769 |
|
4,354 |
4,107 |
$128K |
| 77065 |
Tomosynthesis, mammo |
1,913 |
1,778 |
$127K |
| 99442 |
|
3,158 |
3,006 |
$127K |
| 0001A |
|
3,494 |
3,463 |
$125K |
| 88112 |
|
2,896 |
2,814 |
$124K |
| 76815 |
|
2,485 |
2,239 |
$123K |
| 97112 |
|
3,134 |
1,699 |
$123K |
| Q9957 |
Inj perflutren lip micros,ml |
2,414 |
2,290 |
$122K |
| 93005 |
|
51,052 |
44,349 |
$121K |
| 90837 |
|
653 |
347 |
$120K |
| 90750 |
|
1,034 |
1,029 |
$120K |
| 80069 |
|
9,026 |
6,476 |
$118K |
| 83655 |
|
9,709 |
9,672 |
$117K |
| 74176 |
|
1,121 |
1,097 |
$116K |
| 43235 |
|
179 |
178 |
$116K |
| 31575 |
|
524 |
521 |
$116K |
| 76817 |
|
3,340 |
2,942 |
$114K |
| P9047 |
Albumin (human), 25%, 50ml |
748 |
433 |
$111K |
| 96376 |
|
5,458 |
4,347 |
$111K |
| 93320 |
|
1,074 |
1,062 |
$110K |
| 76937 |
|
1,371 |
1,278 |
$109K |
| 91200 |
|
3,054 |
3,026 |
$107K |
| J2469 |
Palonosetron hcl |
3,849 |
2,439 |
$106K |
| 87507 |
|
895 |
887 |
$105K |
| 76642 |
|
2,207 |
2,123 |
$105K |
| 94060 |
|
928 |
904 |
$104K |
| 86803 |
|
23,259 |
23,019 |
$104K |
| 97530 |
|
2,569 |
1,303 |
$102K |
| 87799 |
|
2,702 |
1,894 |
$102K |
| 90471 |
|
19,711 |
19,204 |
$102K |
| 17110 |
|
512 |
499 |
$101K |
| 93880 |
|
682 |
675 |
$101K |
| 99211 |
|
7,735 |
6,939 |
$100K |
| 52000 |
|
176 |
176 |
$100K |
| 87497 |
|
3,471 |
2,269 |
$99K |
| 96110 |
|
2,260 |
2,250 |
$98K |
| 92083 |
|
2,299 |
2,246 |
$98K |
| 90674 |
|
3,829 |
3,824 |
$98K |
| 97165 |
|
1,065 |
1,061 |
$97K |
| 99384 |
|
666 |
630 |
$97K |
| 76811 |
|
1,253 |
1,244 |
$97K |
| 90732 |
|
1,633 |
1,624 |
$96K |
| 90746 |
|
2,167 |
2,128 |
$95K |
| 83615 |
|
32,725 |
21,914 |
$95K |
| 87517 |
|
2,728 |
2,618 |
$93K |
| 80076 |
|
9,000 |
8,750 |
$93K |
| 76801 |
|
1,525 |
1,440 |
$93K |
| 76813 |
|
1,495 |
1,469 |
$92K |
| 83021 |
|
5,505 |
5,129 |
$92K |
| 88275 |
|
685 |
661 |
$91K |
| 88271 |
|
735 |
708 |
$91K |
| 97803 |
|
2,169 |
2,029 |
$90K |
| 96402 |
|
2,311 |
1,927 |
$90K |
| 76536 |
|
1,196 |
1,183 |
$90K |
| 87428 |
|
4,722 |
4,610 |
$89K |
| G0480 |
Drug test def 1-7 classes |
5,739 |
5,130 |
$89K |
| 83883 |
|
10,960 |
4,780 |
$86K |
| 91320 |
|
1,159 |
1,159 |
$86K |
| U0002 |
Covid-19 lab test non-cdc |
2,439 |
2,163 |
$85K |
| 92060 |
|
1,796 |
1,774 |
$84K |
| G0447 |
Behavior counsel obesity 15m |
1,316 |
1,304 |
$82K |
| 85610 |
|
38,158 |
33,395 |
$82K |
| 83735 |
|
32,000 |
21,854 |
$81K |
| C1889 |
Implant/insert device, noc |
1,919 |
1,856 |
$81K |
| 96411 |
|
1,568 |
1,096 |
$80K |
| G0108 |
Diab manage trn per indiv |
2,073 |
1,991 |
$79K |
| 83970 |
|
2,521 |
2,431 |
$79K |
| 82248 |
|
45,362 |
36,752 |
$78K |
| 11721 |
|
2,415 |
2,081 |
$78K |
| 93225 |
|
1,191 |
980 |
$78K |
| 82607 |
|
10,609 |
10,236 |
$77K |
| 58100 |
|
341 |
339 |
$75K |
| J0583 |
Bivalirudin |
832 |
812 |
$75K |
| C1894 |
Intro/sheath, non-laser |
6,418 |
6,048 |
$75K |
| 90734 |
|
3,868 |
3,855 |
$74K |
| 84443 |
|
22,562 |
21,859 |
$73K |
| 87661 |
|
3,795 |
3,732 |
$73K |
| G0009 |
Admin pneumococcal vaccine |
3,388 |
3,385 |
$72K |
| 36591 |
|
1,996 |
1,375 |
$72K |
| J3490 |
Drugs unclassified injection |
2,637 |
2,362 |
$72K |
| 99402 |
|
1,495 |
1,457 |
$72K |
| 86706 |
|
15,009 |
14,221 |
$71K |
| 92250 |
|
1,818 |
1,797 |
$69K |
| G0446 |
Intens behave ther cardio dx |
2,165 |
2,145 |
$67K |
| 90739 |
|
816 |
812 |
$65K |
| 57454 |
|
220 |
219 |
$65K |
| 82670 |
|
3,702 |
3,649 |
$64K |
| 84403 |
|
4,711 |
4,599 |
$64K |
| 86923 |
|
4,165 |
2,415 |
$61K |
| 97116 |
|
1,854 |
1,041 |
$61K |
| 71046 |
|
17,545 |
16,986 |
$61K |
| 94729 |
|
1,586 |
1,565 |
$61K |
| 99051 |
|
6,445 |
6,276 |
$60K |
| J0585 |
Injection,onabotulinumtoxina |
653 |
434 |
$60K |
| 92133 |
|
1,818 |
1,714 |
$59K |
| 80307 |
|
4,011 |
3,704 |
$59K |
| 86780 |
|
24,579 |
24,341 |
$58K |
| 82977 |
|
35,186 |
27,931 |
$57K |
| 88184 |
|
2,171 |
1,939 |
$57K |
| 41899 |
|
46 |
46 |
$56K |
| 70496 |
|
629 |
623 |
$56K |
| 84100 |
|
22,786 |
16,164 |
$55K |
| 99441 |
|
3,180 |
3,029 |
$55K |
| J2796 |
Romiplostim injection |
26 |
13 |
$55K |
| 93925 |
|
380 |
367 |
$55K |
| J9263 |
Oxaliplatin |
404 |
238 |
$55K |
| 59430 |
|
292 |
291 |
$54K |
| 45385 |
|
137 |
137 |
$53K |
| 86334 |
|
4,743 |
3,903 |
$52K |
| 0124A |
|
1,470 |
1,469 |
$51K |
| 10060 |
|
298 |
295 |
$51K |
| 81002 |
|
46,154 |
35,059 |
$51K |
| 90716 |
|
2,815 |
2,808 |
$51K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
84 |
82 |
$50K |
| 87340 |
|
18,690 |
18,418 |
$50K |
| J7298 |
Mirena, 52 mg |
66 |
65 |
$50K |
| 82570 |
|
17,237 |
15,246 |
$50K |
| G2211 |
Complex e/m visit add on |
4,039 |
3,882 |
$50K |
| 84550 |
|
19,715 |
11,897 |
$48K |
| 88237 |
|
593 |
585 |
$48K |
| 90620 |
|
1,088 |
1,080 |
$48K |
| 83540 |
|
17,751 |
16,823 |
$48K |
| 77301 |
|
90 |
89 |
$48K |
| 92567 |
|
1,361 |
1,358 |
$47K |
| 94726 |
|
742 |
735 |
$47K |
| 83550 |
|
17,224 |
16,328 |
$47K |
| 11102 |
|
119 |
118 |
$46K |
| 86003 |
|
2,648 |
1,448 |
$46K |
| 0224U |
|
1,201 |
1,197 |
$46K |
| 76830 |
|
2,073 |
2,025 |
$45K |
| 92557 |
|
1,112 |
1,103 |
$45K |
| 70553 |
|
221 |
215 |
$45K |
| 95700 |
|
285 |
282 |
$44K |
| 92015 |
|
1,637 |
1,633 |
$44K |
| G0279 |
Tomosynthesis, mammo |
1,910 |
1,902 |
$43K |
| G0010 |
Admin hepatitis b vaccine |
2,398 |
2,364 |
$43K |
| 84439 |
|
9,785 |
9,274 |
$43K |
| 90461 |
|
2,246 |
2,240 |
$43K |
| 87635 |
|
1,651 |
1,614 |
$43K |
| 90707 |
|
2,974 |
2,967 |
$42K |
| J7304 |
Contraceptive hormone patch |
321 |
318 |
$42K |
| 85027 |
|
27,246 |
24,944 |
$42K |
| 83520 |
|
4,437 |
4,127 |
$42K |
| 85730 |
|
26,109 |
23,256 |
$41K |
| 58300 |
|
404 |
400 |
$40K |
| 88304 |
|
2,822 |
2,608 |
$40K |
| 90694 |
|
1,827 |
1,629 |
$40K |
| 87086 |
|
19,089 |
18,138 |
$40K |
| 0004A |
|
1,070 |
1,069 |
$40K |
| 12001 |
|
190 |
190 |
$39K |
| 95810 |
|
58 |
58 |
$38K |
| 82378 |
|
3,715 |
3,046 |
$37K |
| 83001 |
|
2,730 |
2,704 |
$37K |
| 93308 |
|
294 |
287 |
$37K |
| 90472 |
|
3,069 |
3,013 |
$37K |
| 99401 |
|
915 |
900 |
$37K |
| 76942 |
|
368 |
361 |
$37K |
| S4993 |
Contraceptive pills for bc |
4,690 |
4,358 |
$37K |
| 86360 |
|
1,259 |
1,206 |
$37K |
| 86704 |
|
8,455 |
8,266 |
$36K |
| 93226 |
|
626 |
625 |
$36K |
| 82107 |
|
856 |
852 |
$35K |
| 90680 |
|
6,855 |
6,838 |
$35K |
| 90480 |
|
1,186 |
1,184 |
$35K |
| 99417 |
Prolong home eval add 15m |
1,331 |
1,299 |
$35K |
| 88313 |
|
2,667 |
1,990 |
$35K |
| 83002 |
|
2,565 |
2,539 |
$35K |
| 92579 |
|
615 |
612 |
$34K |
| 82043 |
|
11,880 |
11,627 |
$34K |
| 84270 |
|
2,909 |
2,876 |
$34K |
| 84460 |
|
14,653 |
12,090 |
$33K |
| 82150 |
|
8,879 |
6,315 |
$33K |
| 86762 |
|
3,978 |
3,946 |
$33K |
| 86765 |
|
4,081 |
4,058 |
$33K |
| 90678 |
|
167 |
167 |
$33K |
| T1013 |
Sign lang/oral interpreter |
2,147 |
2,096 |
$33K |
| 84702 |
|
11,901 |
10,474 |
$32K |
| 92550 |
|
631 |
625 |
$31K |
| 86870 |
|
1,307 |
1,082 |
$29K |
| 86922 |
|
1,625 |
827 |
$29K |
| 86140 |
|
14,755 |
14,072 |
$28K |
| 95708 |
|
105 |
105 |
$28K |
| 70551 |
|
212 |
211 |
$28K |
| 93242 |
|
470 |
467 |
$27K |
| 93325 |
|
927 |
912 |
$27K |
| 95800 |
|
307 |
306 |
$27K |
| 84146 |
|
1,976 |
1,941 |
$27K |
| 64615 |
|
37 |
37 |
$27K |
| J0741 |
Inj, cabote rilpivir 2mg 3mg |
29 |
28 |
$26K |
| 84165 |
|
6,631 |
5,213 |
$26K |
| 82803 |
|
4,132 |
3,434 |
$26K |
| 86141 |
|
4,096 |
3,820 |
$26K |
| 97542 |
|
434 |
420 |
$26K |
| Q0091 |
Obtaining screen pap smear |
7,090 |
6,962 |
$26K |
| C9399 |
Unclassified drugs or biolog |
16 |
12 |
$25K |
| 81001 |
|
25,492 |
24,128 |
$25K |
| 90648 |
|
4,795 |
4,791 |
$24K |
| 73562 |
|
2,350 |
2,263 |
$24K |
| 90698 |
|
4,908 |
4,897 |
$24K |
| 90633 |
|
4,683 |
4,679 |
$24K |
| 81206 |
|
194 |
163 |
$24K |
| 80197 |
|
4,191 |
2,513 |
$23K |
| J0640 |
Leucovorin calcium injection |
783 |
315 |
$23K |
| 73630 |
|
3,142 |
2,930 |
$23K |
| 87070 |
|
5,959 |
5,218 |
$23K |
| 96409 |
|
288 |
180 |
$23K |
| 87480 |
|
2,257 |
2,231 |
$23K |
| 92551 |
|
538 |
477 |
$23K |
| 99383 |
|
245 |
243 |
$23K |
| 87510 |
|
2,246 |
2,223 |
$22K |
| 85045 |
|
11,357 |
8,759 |
$22K |
| 72125 |
|
1,160 |
1,146 |
$22K |
| J1720 |
Hydrocortisone sodium succ i |
1,931 |
1,424 |
$22K |
| 87660 |
|
2,207 |
2,186 |
$22K |
| 82533 |
|
2,599 |
2,213 |
$22K |
| 45190 |
|
13 |
13 |
$22K |
| 80051 |
|
2,179 |
2,026 |
$22K |
| 96377 |
|
980 |
720 |
$22K |
| 90656 |
|
2,359 |
2,359 |
$21K |
| 86355 |
|
938 |
916 |
$21K |
| 81003 |
|
21,228 |
20,128 |
$21K |
| 84075 |
|
10,623 |
8,218 |
$21K |
| 73610 |
|
2,496 |
2,208 |
$20K |
| 86787 |
|
3,916 |
3,735 |
$20K |
| 86300 |
|
1,627 |
1,191 |
$19K |
| 59841 |
|
25 |
25 |
$19K |
| 0072A |
|
465 |
465 |
$19K |
| J9045 |
Carboplatin injection |
615 |
380 |
$19K |
| 87651 |
|
1,430 |
1,401 |
$19K |
| J1439 |
Inj ferric carboxymaltos 1mg |
28 |
24 |
$18K |
| 54640 |
|
12 |
12 |
$18K |
| J1750 |
Inj iron dextran |
101 |
72 |
$18K |
| 92202 |
|
607 |
344 |
$18K |
| 77338 |
|
90 |
89 |
$18K |
| 88173 |
|
480 |
409 |
$18K |
| 73130 |
|
2,644 |
2,405 |
$18K |
| Q9950 |
Inj sulf hexa lipid microsph |
342 |
340 |
$18K |
| 73110 |
|
1,996 |
1,692 |
$17K |
| 85651 |
|
14,808 |
14,056 |
$17K |
| 84402 |
|
1,066 |
1,061 |
$17K |
| 0003A |
|
470 |
470 |
$17K |
| 82105 |
|
4,762 |
4,472 |
$17K |
| 84156 |
|
7,257 |
6,272 |
$16K |
| 84484 |
|
24,696 |
18,001 |
$16K |
| 0071A |
|
423 |
422 |
$16K |
| 99245 |
|
87 |
84 |
$16K |
| 12011 |
|
118 |
118 |
$16K |
| 86160 |
|
2,334 |
1,239 |
$16K |
| 86357 |
|
956 |
932 |
$15K |
| 86359 |
|
864 |
829 |
$15K |
| 96127 |
|
2,622 |
2,590 |
$15K |
| 87077 |
|
5,041 |
4,144 |
$15K |
| J9190 |
Fluorouracil injection |
705 |
384 |
$15K |
| J1756 |
Iron sucrose injection |
446 |
187 |
$15K |
| 0358T |
|
505 |
505 |
$15K |
| 96368 |
|
1,173 |
861 |
$15K |
| 73030 |
|
2,147 |
2,029 |
$15K |
| 88360 |
|
335 |
244 |
$15K |
| 84153 |
|
2,882 |
2,757 |
$14K |
| 87902 |
|
54 |
48 |
$14K |
| 36465 |
|
47 |
38 |
$14K |
| 74174 |
|
194 |
189 |
$14K |
| 72100 |
|
1,022 |
1,019 |
$14K |
| 85384 |
|
2,943 |
2,415 |
$14K |
| J2250 |
Inj midazolam hydrochloride |
9,505 |
9,194 |
$14K |
| 11982 |
|
66 |
66 |
$14K |
| 86592 |
|
13,805 |
13,611 |
$13K |
| J2001 |
Lidocaine injection |
10,522 |
9,943 |
$13K |
| 46601 |
|
38 |
37 |
$13K |
| C1751 |
Cath, inf, per/cent/midline |
1,728 |
1,688 |
$13K |
| 84450 |
|
8,820 |
6,467 |
$13K |
| 90744 |
|
2,894 |
2,889 |
$13K |
| 90723 |
|
2,918 |
2,914 |
$13K |
| 82962 |
|
18,512 |
12,843 |
$12K |
| 70486 |
|
312 |
308 |
$12K |
| 76870 |
|
334 |
328 |
$12K |
| 73560 |
|
1,438 |
1,353 |
$12K |
| D0140 |
|
300 |
229 |
$12K |
| J2930 |
Methylprednisolone injection |
1,695 |
1,420 |
$12K |
| 87186 |
|
5,351 |
4,739 |
$12K |
| 82565 |
|
9,440 |
8,625 |
$12K |
| 73502 |
|
1,036 |
1,001 |
$12K |
| 86376 |
|
1,259 |
1,251 |
$12K |
| 95012 |
|
955 |
945 |
$11K |
| 82746 |
|
2,050 |
1,961 |
$11K |
| 97166 |
|
134 |
132 |
$11K |
| 0064A |
|
274 |
274 |
$11K |
| 82950 |
|
2,914 |
2,758 |
$11K |
| 82232 |
|
1,335 |
1,203 |
$11K |
| 86708 |
|
2,478 |
2,460 |
$11K |
| 83010 |
|
1,672 |
1,287 |
$11K |
| 93798 |
|
665 |
141 |
$11K |
| 83690 |
|
19,801 |
18,157 |
$11K |
| 94640 |
|
6,778 |
5,940 |
$11K |
| 90662 |
|
714 |
626 |
$11K |
| 92555 |
|
193 |
191 |
$10K |
| 85018 |
|
6,831 |
6,642 |
$10K |
| J2704 |
Inj, propofol, 10 mg |
17,845 |
11,697 |
$10K |
| 20610 |
|
78 |
78 |
$10K |
| 87640 |
|
553 |
535 |
$10K |
| 82627 |
|
582 |
580 |
$10K |
| 90710 |
|
1,815 |
1,815 |
$9K |
| 88142 |
|
450 |
447 |
$9K |
| 85378 |
|
3,945 |
3,684 |
$9K |
| 90661 |
|
288 |
288 |
$9K |
| 86200 |
|
1,107 |
1,103 |
$9K |
| 86039 |
|
2,686 |
2,188 |
$9K |
| 86880 |
|
606 |
410 |
$9K |
| 86301 |
|
1,177 |
1,059 |
$9K |
| 82550 |
|
4,020 |
3,675 |
$9K |
| 86735 |
|
1,683 |
1,670 |
$9K |
| 82785 |
|
1,043 |
1,010 |
$8K |
| 87081 |
|
2,254 |
2,237 |
$8K |
| 90378 |
|
28 |
27 |
$8K |
| 82247 |
|
11,688 |
8,934 |
$8K |
| 95249 |
|
146 |
145 |
$8K |
| 0081A |
|
183 |
183 |
$8K |
| 71045 |
|
3,853 |
3,697 |
$8K |
| 73590 |
|
1,526 |
1,410 |
$8K |
| 99201 |
|
93 |
93 |
$8K |
| J8540 |
Oral dexamethasone |
6,062 |
4,195 |
$8K |
| 11720 |
|
269 |
269 |
$8K |
| 86800 |
|
884 |
816 |
$7K |
| 0082A |
|
162 |
161 |
$7K |
| 86235 |
|
1,457 |
838 |
$7K |
| 87641 |
|
424 |
412 |
$7K |
| 0054A |
|
182 |
182 |
$7K |
| 90700 |
|
1,849 |
1,849 |
$7K |
| 90632 |
|
154 |
154 |
$7K |
| 90696 |
|
1,792 |
1,792 |
$7K |
| J1642 |
Inj heparin sodium per 10 u |
6,105 |
3,308 |
$7K |
| 87653 |
|
291 |
287 |
$7K |
| 88311 |
|
910 |
854 |
$7K |
| 87210 |
|
3,046 |
2,910 |
$7K |
| 0154A |
|
152 |
152 |
$7K |
| G9012 |
Other specified case mgmt |
76 |
73 |
$7K |
| 81420 |
|
38 |
38 |
$7K |
| J9075 |
Inj, cyclophosphamide, nos |
42 |
26 |
$7K |
| 36246 |
|
14 |
13 |
$6K |
| 93750 |
|
168 |
155 |
$6K |
| Q5101 |
Injection, zarxio |
69 |
44 |
$6K |
| 92507 |
|
72 |
27 |
$6K |
| 67028 |
|
97 |
90 |
$6K |
| 72082 |
|
117 |
116 |
$6K |
| 76775 |
|
133 |
132 |
$6K |
| 80074 |
|
434 |
429 |
$6K |
| J1170 |
Hydromorphone injection |
3,323 |
2,358 |
$6K |
| 84305 |
|
360 |
355 |
$6K |
| 82542 |
|
400 |
385 |
$6K |
| 87040 |
|
7,224 |
4,487 |
$6K |
| 70498 |
|
451 |
447 |
$6K |
| J0131 |
Inj, acetaminophen (nos) |
2,389 |
2,324 |
$6K |
| 86905 |
|
262 |
157 |
$6K |
| 76882 |
|
202 |
198 |
$6K |
| 81267 |
|
47 |
37 |
$6K |
| C1781 |
Mesh (implantable) |
98 |
97 |
$5K |
| C1876 |
Stent, non-coa/non-cov w/del |
12 |
12 |
$5K |
| J2371 |
Inj phenylephrine hcl 20 mcg |
1,168 |
949 |
$5K |
| 76857 |
|
263 |
258 |
$5K |
| 88108 |
|
153 |
133 |
$5K |
| 86701 |
|
803 |
790 |
$5K |
| 82677 |
|
408 |
408 |
$5K |
| 93922 |
|
129 |
128 |
$5K |
| 99153 |
Mod sedat endo service >5yrs |
2,679 |
2,623 |
$5K |
| 81207 |
|
61 |
38 |
$5K |
| 85245 |
|
356 |
284 |
$5K |
| D9223 |
|
29 |
29 |
$5K |
| 84425 |
|
579 |
567 |
$5K |
| 92020 |
|
124 |
124 |
$5K |
| 73090 |
|
1,191 |
1,042 |
$5K |
| 92201 |
|
116 |
88 |
$5K |
| 75716 |
|
78 |
76 |
$5K |
| 84480 |
|
1,303 |
1,263 |
$5K |
| 81374 |
|
91 |
91 |
$5K |
| 86665 |
|
384 |
304 |
$5K |
| 82397 |
|
659 |
632 |
$5K |
| 88160 |
|
237 |
226 |
$5K |
| 92002 |
|
51 |
51 |
$5K |
| 11981 |
|
27 |
27 |
$5K |
| 86644 |
|
530 |
497 |
$5K |
| 72170 |
|
513 |
507 |
$5K |
| 86431 |
|
1,516 |
1,508 |
$4K |
| 73070 |
|
764 |
681 |
$4K |
| S0028 |
Injection, famotidine, 20 mg |
7,346 |
6,284 |
$4K |
| J1100 |
Dexamethasone sodium phos |
11,366 |
9,576 |
$4K |
| D9222 |
|
29 |
29 |
$4K |
| 88300 |
|
561 |
541 |
$4K |
| 85240 |
|
411 |
328 |
$4K |
| 82310 |
|
3,221 |
3,132 |
$4K |
| D0330 |
|
134 |
134 |
$4K |
| 58301 |
|
40 |
40 |
$4K |
| 95816 |
|
14 |
14 |
$4K |
| 95886 |
|
53 |
53 |
$4K |
| 86696 |
|
522 |
505 |
$4K |
| A4648 |
Implantable tissue marker |
432 |
416 |
$4K |
| 85246 |
|
358 |
286 |
$4K |
| 72131 |
|
106 |
106 |
$4K |
| J9370 |
Vincristine sulfate 1 mg inj |
402 |
272 |
$4K |
| 83605 |
|
6,963 |
5,742 |
$4K |
| J0696 |
Ceftriaxone sodium injection |
4,959 |
4,465 |
$4K |
| 10005 |
|
16 |
15 |
$3K |
| D0150 |
|
119 |
93 |
$3K |
| 82024 |
|
105 |
104 |
$3K |
| 92587 |
|
154 |
154 |
$3K |
| 87338 |
|
600 |
593 |
$3K |
| J1644 |
Inj heparin sodium per 1000u |
5,704 |
3,933 |
$3K |
| J1200 |
Diphenhydramine hcl injectio |
5,949 |
4,768 |
$3K |
| J0690 |
Cefazolin sodium injection |
6,501 |
6,027 |
$3K |
| J9171 |
Docetaxel injection |
35 |
24 |
$3K |
| 87205 |
|
4,088 |
2,625 |
$3K |
| 99152 |
|
3,056 |
2,993 |
$3K |
| 83519 |
|
343 |
326 |
$3K |
| 88262 |
|
36 |
36 |
$3K |
| 96523 |
|
71 |
58 |
$3K |
| 86225 |
|
919 |
905 |
$3K |
| J0610 |
Calcium glucon (fresenius) |
589 |
329 |
$3K |
| 88720 |
|
1,383 |
987 |
$3K |
| 76514 |
|
98 |
97 |
$3K |
| 84166 |
|
581 |
516 |
$3K |
| 86580 |
|
347 |
336 |
$3K |
| C1893 |
Intro/sheath, fixed,non-peel |
70 |
69 |
$3K |
| 84163 |
|
277 |
271 |
$3K |
| 73700 |
|
27 |
26 |
$3K |
| 84520 |
|
8,707 |
7,887 |
$3K |
| J3010 |
Fentanyl citrate injection |
13,683 |
13,277 |
$3K |
| J1380 |
Estradiol valerate 10 mg inj |
709 |
443 |
$3K |
| J2405 |
Ondansetron hcl injection |
17,803 |
15,530 |
$3K |
| 76820 |
|
131 |
59 |
$3K |
| J2370 |
Phenylephrine hcl injection |
2,967 |
2,533 |
$3K |
| M0239 |
Bamlanivimab-xxxx infusion |
15 |
15 |
$3K |
| 87798 |
|
106 |
68 |
$3K |
| 82947 |
|
5,781 |
5,209 |
$3K |
| 84132 |
|
4,753 |
4,116 |
$3K |
| 86147 |
|
271 |
141 |
$3K |
| J2710 |
Neostigmine methylslfte inj |
2,791 |
2,739 |
$3K |
| 86255 |
|
900 |
873 |
$3K |
| 86593 |
|
6,787 |
6,539 |
$3K |
| 84295 |
|
6,432 |
5,708 |
$3K |
| 76604 |
|
148 |
144 |
$2K |
| 86777 |
|
339 |
327 |
$2K |
| 88172 |
|
62 |
59 |
$2K |
| D1110 |
|
58 |
58 |
$2K |
| 88312 |
|
124 |
97 |
$2K |
| 96380 |
|
111 |
111 |
$2K |
| 92582 |
|
25 |
25 |
$2K |
| J2919 |
Inj, methylpred sod succ 5mg |
360 |
279 |
$2K |
| 62270 |
|
14 |
12 |
$2K |
| 82108 |
|
65 |
15 |
$2K |
| 83695 |
|
247 |
247 |
$2K |
| 74018 |
|
477 |
457 |
$2K |
| 82985 |
|
438 |
435 |
$2K |
| M0243 |
Casirivi and imdevi inj |
15 |
15 |
$2K |
| 91318 |
|
39 |
39 |
$2K |
| 97167 |
|
25 |
25 |
$2K |
| C1753 |
Cath, intravas ultrasound |
26 |
25 |
$2K |
| A9585 |
Gadobutrol injection |
545 |
531 |
$2K |
| 82103 |
|
282 |
280 |
$2K |
| 82610 |
|
208 |
201 |
$2K |
| 82553 |
|
1,708 |
1,179 |
$2K |
| 99244 |
|
13 |
13 |
$2K |
| 99173 |
|
449 |
448 |
$2K |
| J0330 |
Succinycholine chloride inj |
2,515 |
2,454 |
$2K |
| Q5106 |
Inj retacrit non-esrd use |
24 |
13 |
$2K |
| G0439 |
Ppps, subseq visit |
286 |
285 |
$2K |
| J1885 |
Ketorolac tromethamine inj |
14,695 |
13,046 |
$2K |
| 86336 |
|
423 |
423 |
$2K |
| J1815 |
Insulin injection |
1,558 |
1,141 |
$2K |
| J3420 |
Vitamin b12 injection |
1,724 |
1,468 |
$2K |
| 90381 |
|
75 |
75 |
$2K |
| 86304 |
|
182 |
155 |
$2K |
| 97161 |
|
28 |
28 |
$2K |
| 75625 |
|
52 |
51 |
$2K |
| 87880 |
|
1,303 |
1,287 |
$2K |
| 0012A |
|
44 |
44 |
$2K |
| 99421 |
|
24 |
24 |
$2K |
| 89051 |
|
1,890 |
1,378 |
$2K |
| 92611 |
|
12 |
12 |
$2K |
| 90653 |
|
158 |
158 |
$2K |
| 95957 |
|
14 |
12 |
$2K |
| 82330 |
|
1,668 |
1,437 |
$2K |
| J2270 |
Morphine sulfate injection |
4,729 |
3,446 |
$2K |
| 70491 |
|
14 |
14 |
$2K |
| 1036F |
|
39,793 |
35,407 |
$2K |
| 84481 |
|
293 |
265 |
$2K |
| 86707 |
|
319 |
319 |
$1K |
| 82435 |
|
5,982 |
5,551 |
$1K |
| 51701 |
|
13 |
13 |
$1K |
| J3475 |
Inj magnesium sulfate |
1,267 |
859 |
$1K |
| 77062 |
|
12 |
12 |
$1K |
| 77061 |
|
12 |
12 |
$1K |
| C1773 |
Ret dev, insertable |
38 |
37 |
$1K |
| 91321 |
|
37 |
37 |
$1K |
| 84445 |
|
30 |
30 |
$1K |
| 90474 |
|
111 |
110 |
$1K |
| 73060 |
|
259 |
243 |
$1K |
| J2916 |
Na ferric gluconate complex |
153 |
59 |
$1K |
| 87350 |
|
298 |
298 |
$1K |
| J9000 |
Doxorubicin hcl injection |
58 |
39 |
$1K |
| 97163 |
|
13 |
13 |
$1K |
| 82374 |
|
3,993 |
3,741 |
$1K |
| J3370 |
Vancomycin hcl injection |
1,592 |
1,158 |
$1K |
| 85597 |
|
79 |
79 |
$1K |
| 71260 |
|
15 |
14 |
$1K |
| 76885 |
|
13 |
13 |
$1K |
| 71250 |
|
16 |
16 |
$1K |
| 73140 |
|
203 |
186 |
$1K |
| 73600 |
|
140 |
133 |
$1K |
| 90611 |
|
201 |
201 |
$1K |
| 91319 |
|
15 |
15 |
$1K |
| 85347 |
|
1,852 |
1,586 |
$1K |
| 73552 |
|
177 |
168 |
$1K |
| 10061 |
|
12 |
12 |
$1K |
| 87652 |
|
66 |
64 |
$1K |
| 99397 |
|
12 |
12 |
$1K |
| 93799 |
|
490 |
363 |
$1K |
| 84681 |
|
68 |
58 |
$994.72 |
| 84155 |
|
4,757 |
4,626 |
$983.12 |
| D1120 |
|
28 |
28 |
$981.08 |
| S0020 |
Injection, bupivicaine hydro |
2,805 |
2,733 |
$957.31 |
| J2920 |
Methylprednisolone injection |
379 |
286 |
$954.27 |
| 85670 |
|
263 |
251 |
$948.81 |
| D0274 |
|
40 |
40 |
$940.68 |
| 87899 |
|
237 |
211 |
$930.25 |
| 99382 |
|
12 |
12 |
$928.76 |
| 88302 |
|
111 |
108 |
$924.18 |
| OP250 |
|
471 |
282 |
$919.54 |
| J3301 |
Triamcinolone acet inj nos |
330 |
328 |
$900.39 |
| 83921 |
|
78 |
77 |
$897.22 |
| 0011A |
|
21 |
21 |
$881.80 |
| 92025 |
|
14 |
14 |
$828.35 |
| J3480 |
Inj potassium chloride |
799 |
458 |
$817.91 |
| 83498 |
|
40 |
37 |
$815.10 |
| J9206 |
Irinotecan injection |
43 |
24 |
$771.92 |
| 80177 |
|
224 |
214 |
$735.95 |
| 86038 |
|
279 |
247 |
$735.89 |
| 95885 |
|
12 |
12 |
$718.26 |
| 82960 |
|
401 |
392 |
$712.28 |
| 83051 |
|
297 |
254 |
$704.62 |
| 86356 |
|
90 |
50 |
$701.33 |
| 84466 |
|
95 |
94 |
$692.33 |
| 82390 |
|
140 |
138 |
$674.52 |
| 91308 |
|
401 |
387 |
$665.67 |
| 69210 |
|
12 |
12 |
$646.99 |
| 90380 |
|
51 |
51 |
$641.48 |
| C1819 |
Tissue localization-excision |
41 |
40 |
$635.36 |
| 0052A |
|
15 |
15 |
$634.46 |
| 84145 |
|
360 |
342 |
$622.97 |
| 99188 |
|
106 |
106 |
$615.77 |
| 80145 |
|
63 |
61 |
$614.05 |
| D0120 |
|
18 |
12 |
$600.33 |
| 86705 |
|
150 |
148 |
$595.19 |
| 76818 |
|
15 |
14 |
$587.44 |
| 76812 |
|
13 |
13 |
$586.87 |
| J9267 |
Paclitaxel injection |
34 |
12 |
$581.92 |
| D9430 |
|
33 |
29 |
$557.60 |
| 86828 |
|
13 |
12 |
$554.28 |
| 87535 |
|
30 |
30 |
$552.49 |
| 73080 |
|
51 |
45 |
$545.89 |
| 72110 |
|
25 |
25 |
$544.07 |
| J7512 |
Prednisone ir or dr oral 1mg |
3,660 |
2,870 |
$539.66 |
| 84154 |
|
121 |
120 |
$520.30 |
| C8930 |
Tte w or w/o contr, cont ecg |
24 |
24 |
$510.89 |
| J2765 |
Metoclopramide hcl injection |
3,890 |
3,550 |
$508.12 |
| 93351 |
|
14 |
14 |
$503.45 |
| J9060 |
Cisplatin 10 mg injection |
28 |
13 |
$501.06 |
| 83525 |
|
49 |
37 |
$491.49 |
| 90682 |
|
22 |
22 |
$478.49 |
| 11056 |
|
12 |
12 |
$474.41 |
| 86778 |
|
57 |
55 |
$471.07 |
| 87102 |
|
198 |
175 |
$464.19 |
| 51702 |
|
15 |
14 |
$458.94 |
| 83516 |
|
20 |
12 |
$458.50 |
| 86688 |
|
67 |
64 |
$454.72 |
| 85613 |
|
85 |
78 |
$451.51 |
| Q0162 |
Ondansetron oral |
7,117 |
5,975 |
$438.50 |
| 86146 |
|
50 |
26 |
$438.08 |
| 82172 |
|
40 |
40 |
$427.31 |
| 99406 |
|
12 |
12 |
$399.12 |
| 73564 |
|
12 |
12 |
$397.69 |
| G0101 |
Ca screen;pelvic/breast exam |
12 |
12 |
$396.12 |
| 86645 |
|
78 |
75 |
$383.07 |
| 87206 |
|
357 |
239 |
$382.30 |
| 86695 |
|
56 |
56 |
$381.67 |
| 76810 |
|
33 |
33 |
$381.12 |
| J0780 |
Prochlorperazine injection |
268 |
220 |
$372.00 |
| 82810 |
|
293 |
274 |
$365.29 |
| D0220 |
|
43 |
42 |
$362.24 |
| 94010 |
|
13 |
13 |
$357.28 |
| 82955 |
|
67 |
67 |
$347.05 |
| 80164 |
|
93 |
91 |
$342.70 |
| 99415 |
Prolong outpt/office vis |
88 |
82 |
$338.24 |
| 80321 |
|
81 |
77 |
$330.75 |
| 87324 |
|
105 |
104 |
$328.97 |
| 87075 |
|
179 |
171 |
$301.92 |
| 4004F |
|
11,378 |
10,271 |
$290.98 |
| 86687 |
|
67 |
64 |
$286.16 |
| 92136 |
|
12 |
12 |
$271.76 |
| 90647 |
|
55 |
55 |
$268.29 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
904 |
878 |
$264.39 |
| 84260 |
|
14 |
13 |
$264.15 |
| 91312 |
|
1,166 |
1,163 |
$256.99 |
| 81268 |
|
48 |
37 |
$250.36 |
| A0425 |
Ground mileage |
31 |
29 |
$243.89 |
| J7613 |
Albuterol non-comp unit |
5,630 |
4,789 |
$236.39 |
| 80195 |
|
39 |
24 |
$230.19 |
| 84157 |
|
140 |
124 |
$227.96 |
| 86709 |
|
54 |
53 |
$227.77 |
| J7509 |
Methylprednisolone oral |
88 |
55 |
$221.75 |
| 76814 |
|
17 |
16 |
$209.89 |
| 99408 |
|
14 |
14 |
$209.70 |
| 87116 |
|
133 |
119 |
$209.47 |
| 82085 |
|
30 |
29 |
$203.40 |
| 84300 |
|
203 |
196 |
$199.94 |
| 82575 |
|
68 |
55 |
$195.02 |
| 90713 |
|
12 |
12 |
$194.02 |
| 84207 |
|
12 |
12 |
$191.00 |
| 87449 |
|
228 |
222 |
$185.52 |
| 90685 |
|
24 |
24 |
$177.11 |
| J0153 |
Adenosine inj 1mg |
15 |
12 |
$164.56 |
| 86328 |
|
24 |
24 |
$162.95 |
| 72070 |
|
17 |
17 |
$158.96 |
| 76512 |
|
14 |
13 |
$156.45 |
| 86682 |
|
26 |
26 |
$156.17 |
| 82951 |
|
25 |
25 |
$150.48 |
| 87220 |
|
126 |
113 |
$147.73 |
| 82945 |
|
87 |
77 |
$137.55 |
| D0230 |
|
26 |
26 |
$133.72 |
| C1729 |
Cath, drainage |
28 |
28 |
$131.87 |
| J0171 |
Adrenalin epinephrine inject |
108 |
104 |
$131.84 |
| 85520 |
|
16 |
13 |
$129.28 |
| J1940 |
Furosemide injection |
639 |
472 |
$127.88 |
| J1245 |
Dipyridamole injection |
24 |
24 |
$127.86 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
309 |
296 |
$126.80 |
| J0692 |
Cefepime hcl for injection |
155 |
142 |
$120.69 |
| 84134 |
|
25 |
25 |
$118.24 |
| Q0163 |
Diphenhydramine hcl 50mg |
6,126 |
4,687 |
$118.23 |
| S0030 |
Injection, metronidazole |
389 |
326 |
$117.30 |
| 71100 |
|
98 |
97 |
$112.57 |
| 85014 |
|
651 |
575 |
$112.25 |
| 84311 |
|
195 |
173 |
$103.93 |
| J9250 |
Methotrexate sodium inj |
72 |
54 |
$103.57 |
| 80143 |
|
162 |
155 |
$102.89 |
| J0461 |
Atropine sulfate injection |
35 |
28 |
$90.42 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
165 |
124 |
$90.24 |
| 82952 |
|
104 |
100 |
$88.11 |
| J2060 |
Lorazepam injection |
606 |
533 |
$86.16 |
| J1630 |
Haloperidol injection |
858 |
766 |
$84.91 |
| J0360 |
Hydralazine hcl injection |
167 |
160 |
$83.78 |
| D9310 |
|
13 |
12 |
$83.59 |
| 74019 |
|
12 |
12 |
$82.20 |
| 80179 |
|
134 |
130 |
$82.05 |
| J7644 |
Ipratropium bromide non-comp |
2,508 |
2,180 |
$81.50 |
| J2550 |
Promethazine hcl injection |
195 |
191 |
$81.11 |
| H0049 |
Alcohol/drug screening |
15 |
15 |
$72.72 |
| 73620 |
|
28 |
26 |
$61.99 |
| 81257 |
|
15 |
15 |
$61.36 |
| 83993 |
|
14 |
14 |
$56.40 |
| 84133 |
|
38 |
38 |
$56.19 |
| J0280 |
Aminophyllin 250 mg inj |
12 |
12 |
$53.08 |
| 87430 |
|
13 |
12 |
$52.00 |
| J1650 |
Inj enoxaparin sodium |
155 |
95 |
$51.52 |
| 91307 |
|
860 |
793 |
$51.14 |
| S0077 |
Injection, clindamycin phosp |
26 |
24 |
$51.02 |
| 83050 |
|
62 |
52 |
$50.57 |
| 80320 |
|
377 |
364 |
$47.54 |
| 87254 |
|
12 |
12 |
$47.32 |
| 82375 |
|
39 |
38 |
$42.63 |
| 82465 |
|
12 |
12 |
$35.21 |
| 84436 |
|
12 |
12 |
$34.20 |
| J1030 |
Methylprednisolone 40 mg inj |
13 |
13 |
$28.70 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
19 |
14 |
$28.17 |
| 84478 |
|
13 |
13 |
$25.15 |
| 83935 |
|
12 |
12 |
$21.39 |
| 91305 |
|
183 |
180 |
$20.19 |
| 91306 |
|
120 |
119 |
$19.04 |
| 82948 |
|
131 |
125 |
$19.00 |
| 80329 |
|
134 |
68 |
$17.98 |
| G9902 |
Pt scrn tbco and id as user |
5,710 |
4,939 |
$16.98 |
| 91300 |
|
3,593 |
3,291 |
$14.01 |
| J1836 |
Inj, metronidazole, 10 mg |
70 |
65 |
$9.85 |
| J2272 |
Inj, morphine (fresenius) |
17 |
16 |
$9.53 |
| 82436 |
|
12 |
12 |
$7.43 |
| 87176 |
|
21 |
12 |
$6.40 |
| J1598 |
Inj glycopyrrolate fres kabi |
87 |
83 |
$6.14 |
| J1580 |
Garamycin gentamicin inj |
12 |
12 |
$3.11 |
| J7510 |
Prednisolone oral per 5 mg |
63 |
62 |
$2.98 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
115 |
108 |
$2.59 |
| 91317 |
|
15 |
15 |
$2.00 |
| J1920 |
Inj, labetalol hcl, 5mg |
38 |
37 |
$1.98 |
| J0688 |
Inj cefazolin sodium, hikma |
103 |
102 |
$0.64 |
| C9113 |
Inj pantoprazole sodium, via |
20 |
16 |
$0.57 |
| G9740 |
Hosp srv to pt dur msmt per |
193 |
158 |
$0.46 |
| G9687 |
Hospice anytime msmt per |
306 |
281 |
$0.43 |
| G9903 |
Pt scrn tbco id as non user |
20 |
20 |
$0.17 |
| 3078F |
|
4,043 |
3,862 |
$0.11 |
| G9691 |
Pt hosp dur msmt period |
24 |
20 |
$0.10 |
| 3074F |
|
3,373 |
3,249 |
$0.09 |
| 3077F |
|
1,047 |
1,002 |
$0.08 |
| 3080F |
|
244 |
235 |
$0.04 |
| 3079F |
|
584 |
563 |
$0.02 |
| 3044F |
|
1,206 |
1,181 |
$0.01 |
| 3048F |
|
1,507 |
1,452 |
$0.01 |
| 3049F |
|
436 |
415 |
$0.00 |
| G8754 |
Dias bp less 90 |
1,546 |
1,360 |
$0.00 |
| 91315 |
|
130 |
130 |
$0.00 |
| 99429 |
|
3,433 |
2,049 |
$0.00 |
| 3075F |
|
467 |
455 |
$0.00 |
| 1111F |
|
165 |
139 |
$0.00 |
| G8756 |
No bp measure doc |
279 |
267 |
$0.00 |
| G8755 |
Dias bp > or = 90 |
129 |
118 |
$0.00 |
| D1310 |
|
17 |
17 |
$0.00 |
| 1123F |
|
416 |
346 |
$0.00 |
| G9231 |
Doc esrd dia trans preg |
153 |
128 |
$0.00 |
| 0503F |
|
17 |
17 |
$0.00 |
| C2617 |
Stent, non-cor, tem w/o del |
12 |
12 |
$0.00 |
| C1726 |
Cath, bal dil, non-vascular |
12 |
12 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
16 |
12 |
$0.00 |
| 81599 |
|
15 |
15 |
$0.00 |
| 91301 |
|
12 |
12 |
$0.00 |
| 3051F |
|
52 |
52 |
$0.00 |
| 99080 |
|
10,720 |
1,674 |
$0.00 |
| G8753 |
Sys bp > or = 140 |
523 |
487 |
$0.00 |
| G8938 |
Bmi doc onl fup nt doc |
1,790 |
1,381 |
$0.00 |
| 3050F |
|
484 |
472 |
$0.00 |
| G8752 |
Sys bp less 140 |
1,177 |
1,055 |
$0.00 |
| 3046F |
|
53 |
52 |
$0.00 |
| 4040F |
|
82 |
75 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
13 |
13 |
$0.00 |
| 93571 |
|
24 |
24 |
$0.00 |
| 3725F |
|
12 |
12 |
$0.00 |
| 3045F |
|
36 |
35 |
$0.00 |