| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
85,118 |
70,546 |
$5.96M |
| 99213 |
|
69,076 |
57,561 |
$4.46M |
| 99215 |
Prolong outpt/office vis |
22,779 |
19,573 |
$1.89M |
| 96361 |
|
14,133 |
7,760 |
$1.52M |
| T2023 |
Targeted case mgmt per month |
3,839 |
3,561 |
$1.41M |
| 99283 |
|
16,533 |
13,917 |
$991K |
| 99244 |
|
10,773 |
9,404 |
$789K |
| 99212 |
|
13,080 |
11,297 |
$667K |
| 99284 |
|
13,964 |
11,487 |
$646K |
| 80053 |
|
36,689 |
28,869 |
$643K |
| 43239 |
|
2,700 |
2,422 |
$600K |
| 90834 |
|
9,910 |
6,690 |
$532K |
| 99391 |
|
7,800 |
6,892 |
$527K |
| 99243 |
|
7,194 |
6,395 |
$525K |
| 99203 |
|
8,450 |
7,516 |
$492K |
| 99392 |
|
7,142 |
6,606 |
$489K |
| 99393 |
|
6,794 |
6,327 |
$436K |
| 87637 |
|
3,469 |
3,081 |
$414K |
| 96365 |
|
6,202 |
4,320 |
$405K |
| 85025 |
|
48,417 |
36,427 |
$390K |
| 99245 |
|
4,893 |
4,322 |
$387K |
| U0003 |
Cov-19 amp prb hgh thruput |
5,253 |
4,569 |
$380K |
| 96139 |
|
3,284 |
2,804 |
$379K |
| 99285 |
|
9,408 |
7,836 |
$378K |
| 82306 |
|
7,621 |
6,740 |
$375K |
| 84443 |
|
13,356 |
11,678 |
$363K |
| 87491 |
|
6,646 |
5,574 |
$355K |
| G0463 |
Hospital outpt clinic visit |
61,165 |
44,981 |
$347K |
| 80048 |
|
23,873 |
18,501 |
$336K |
| 80307 |
|
5,646 |
4,718 |
$332K |
| 96138 |
|
3,442 |
2,919 |
$326K |
| 99394 |
|
4,927 |
4,559 |
$317K |
| 96133 |
|
2,530 |
2,117 |
$304K |
| 90847 |
|
2,649 |
1,900 |
$296K |
| 93306 |
|
3,416 |
2,976 |
$290K |
| 45380 |
|
1,470 |
1,331 |
$290K |
| 96366 |
|
3,744 |
1,932 |
$287K |
| 74177 |
|
4,768 |
4,101 |
$286K |
| 99282 |
|
4,342 |
3,805 |
$280K |
| 99204 |
|
5,121 |
4,497 |
$277K |
| 96360 |
|
3,649 |
2,860 |
$276K |
| 80061 |
|
14,062 |
12,378 |
$271K |
| 59025 |
|
3,383 |
1,944 |
$266K |
| 99396 |
|
4,651 |
3,875 |
$261K |
| 99395 |
|
4,133 |
3,618 |
$257K |
| 92014 |
|
4,959 |
4,642 |
$248K |
| 96132 |
|
2,592 |
2,165 |
$247K |
| 96413 |
|
4,228 |
2,613 |
$230K |
| 99205 |
Prolong outpt/office vis |
3,231 |
2,902 |
$216K |
| 70450 |
|
3,780 |
3,225 |
$212K |
| 83036 |
|
12,087 |
10,739 |
$209K |
| 81514 |
|
1,879 |
1,559 |
$208K |
| 87635 |
|
4,706 |
3,950 |
$196K |
| 87633 |
|
704 |
588 |
$193K |
| 87651 |
|
3,976 |
3,544 |
$187K |
| 87591 |
|
5,969 |
4,990 |
$182K |
| 82728 |
|
8,293 |
7,210 |
$170K |
| 81001 |
|
26,567 |
21,694 |
$164K |
| 92015 |
|
7,068 |
6,164 |
$162K |
| 95810 |
|
772 |
683 |
$158K |
| 87081 |
|
4,774 |
4,284 |
$157K |
| 90670 |
|
4,525 |
4,050 |
$144K |
| G0480 |
Drug test def 1-7 classes |
2,004 |
1,746 |
$143K |
| 94640 |
|
3,859 |
2,546 |
$140K |
| 81025 |
|
9,073 |
7,498 |
$139K |
| 96415 |
|
1,585 |
1,051 |
$135K |
| 76816 |
|
5,172 |
3,163 |
$134K |
| 70553 |
|
1,452 |
1,224 |
$132K |
| J0585 |
Injection,onabotulinumtoxina |
1,328 |
977 |
$124K |
| 87086 |
|
8,943 |
7,678 |
$123K |
| 96372 |
|
13,706 |
8,296 |
$122K |
| 95811 |
|
799 |
707 |
$120K |
| 96130 |
|
1,239 |
978 |
$119K |
| 82962 |
|
17,327 |
6,941 |
$117K |
| 99202 |
|
2,435 |
2,065 |
$116K |
| 76770 |
|
1,748 |
1,547 |
$115K |
| 99242 |
|
1,656 |
1,478 |
$112K |
| 88142 |
|
4,415 |
3,626 |
$111K |
| 76801 |
|
2,038 |
1,612 |
$110K |
| 87502 |
|
1,103 |
920 |
$108K |
| 76805 |
|
1,165 |
1,025 |
$106K |
| 87186 |
|
4,995 |
4,071 |
$104K |
| 96131 |
|
906 |
716 |
$103K |
| 85610 |
|
9,700 |
6,884 |
$103K |
| 90674 |
|
6,580 |
5,812 |
$102K |
| 82950 |
|
2,140 |
1,911 |
$100K |
| 97597 |
|
2,947 |
2,019 |
$98K |
| 83655 |
|
2,590 |
2,306 |
$98K |
| 92004 |
|
1,720 |
1,572 |
$97K |
| G0378 |
Hospital observation per hr |
8,529 |
5,949 |
$96K |
| 85027 |
|
10,734 |
8,906 |
$94K |
| 84484 |
|
11,783 |
7,149 |
$90K |
| 20610 |
|
1,542 |
1,224 |
$86K |
| 76811 |
|
2,200 |
1,871 |
$84K |
| 90792 |
|
1,033 |
930 |
$84K |
| 86803 |
|
3,750 |
3,193 |
$84K |
| 90651 |
|
2,238 |
1,995 |
$84K |
| 90715 |
|
3,804 |
3,257 |
$80K |
| 99001 |
|
2,400 |
1,872 |
$79K |
| 93303 |
|
513 |
407 |
$78K |
| 92587 |
|
680 |
624 |
$78K |
| 69210 |
|
1,887 |
1,685 |
$76K |
| 80050 |
|
6,528 |
5,562 |
$75K |
| 83880 |
|
3,008 |
2,574 |
$74K |
| 99211 |
|
1,291 |
1,103 |
$74K |
| 71275 |
|
1,161 |
1,011 |
$74K |
| 84702 |
|
1,937 |
1,383 |
$72K |
| 87481 |
|
2,482 |
1,461 |
$72K |
| 76856 |
|
1,432 |
1,263 |
$70K |
| 87801 |
|
1,382 |
1,247 |
$70K |
| 93296 |
|
3,174 |
2,876 |
$69K |
| 87880 |
|
2,870 |
2,611 |
$69K |
| 96118 |
|
366 |
291 |
$69K |
| 70551 |
|
941 |
723 |
$68K |
| Q5104 |
Injection, renflexis |
214 |
99 |
$65K |
| 93325 |
|
1,535 |
1,230 |
$64K |
| 96119 |
|
367 |
293 |
$62K |
| 78452 |
|
587 |
489 |
$62K |
| 76700 |
|
1,287 |
1,127 |
$61K |
| 90832 |
|
912 |
746 |
$60K |
| 83970 |
|
1,283 |
1,131 |
$60K |
| 71260 |
|
1,475 |
1,263 |
$57K |
| 77067 |
|
3,057 |
2,649 |
$57K |
| U0005 |
Infec agen detec ampli probe |
4,258 |
3,738 |
$56K |
| 90680 |
|
3,498 |
3,128 |
$55K |
| 96136 |
|
635 |
486 |
$55K |
| 81513 |
|
793 |
707 |
$55K |
| 64493 |
|
261 |
206 |
$54K |
| 82784 |
|
4,145 |
3,512 |
$54K |
| 87661 |
|
1,873 |
1,648 |
$53K |
| 67028 |
|
1,175 |
908 |
$52K |
| 86140 |
|
11,906 |
9,811 |
$50K |
| 86364 |
|
1,948 |
1,656 |
$49K |
| 76705 |
|
1,596 |
1,371 |
$48K |
| 15275 |
|
344 |
192 |
$47K |
| 84439 |
|
5,538 |
4,810 |
$46K |
| Q3014 |
Telehealth facility fee |
5,598 |
5,035 |
$46K |
| 90633 |
|
2,634 |
2,372 |
$46K |
| 84145 |
|
2,965 |
2,348 |
$45K |
| 45385 |
|
262 |
240 |
$45K |
| 83516 |
|
1,428 |
1,226 |
$44K |
| 83690 |
|
8,680 |
6,965 |
$44K |
| 76830 |
|
1,268 |
1,115 |
$42K |
| 87075 |
|
2,686 |
1,901 |
$42K |
| G0481 |
Drug test def 8-14 classes |
495 |
446 |
$42K |
| 83735 |
|
9,099 |
6,432 |
$41K |
| 84153 |
|
1,470 |
1,305 |
$40K |
| 73721 |
|
632 |
544 |
$40K |
| 17110 |
|
528 |
480 |
$40K |
| 90756 |
|
2,507 |
2,255 |
$40K |
| 87624 |
|
1,074 |
893 |
$39K |
| 93976 |
|
1,445 |
1,286 |
$39K |
| 73630 |
|
5,597 |
4,040 |
$39K |
| 72148 |
|
743 |
652 |
$38K |
| 93971 |
|
1,322 |
1,114 |
$38K |
| 93005 |
|
21,784 |
17,173 |
$38K |
| G0108 |
Diab manage trn per indiv |
2,026 |
1,620 |
$38K |
| 86762 |
|
2,067 |
1,721 |
$37K |
| 71046 |
|
10,249 |
8,627 |
$37K |
| 93320 |
|
384 |
293 |
$37K |
| 87070 |
|
3,955 |
2,985 |
$37K |
| 90471 |
|
5,672 |
4,666 |
$37K |
| 86850 |
|
4,398 |
3,503 |
$36K |
| 74176 |
|
573 |
494 |
$36K |
| 87634 |
|
717 |
596 |
$35K |
| 82248 |
|
2,770 |
1,986 |
$34K |
| 74018 |
|
2,810 |
2,359 |
$34K |
| 73610 |
|
3,775 |
3,039 |
$34K |
| 82565 |
|
4,262 |
3,529 |
$34K |
| 85018 |
|
6,702 |
5,587 |
$34K |
| 64494 |
|
227 |
176 |
$33K |
| 11721 |
|
1,500 |
1,381 |
$33K |
| 84703 |
|
2,804 |
2,388 |
$33K |
| M0243 |
Casirivi and imdevi inj |
94 |
89 |
$32K |
| 82607 |
|
2,318 |
2,068 |
$32K |
| 90716 |
|
1,112 |
1,022 |
$32K |
| 87340 |
|
3,826 |
3,194 |
$32K |
| 90619 |
|
693 |
624 |
$31K |
| 96374 |
|
12,743 |
9,602 |
$31K |
| 86780 |
|
3,542 |
2,955 |
$31K |
| 64635 |
|
209 |
142 |
$31K |
| 90791 |
|
4,645 |
3,670 |
$30K |
| 90686 |
|
1,705 |
1,557 |
$30K |
| 87389 |
|
1,444 |
1,218 |
$30K |
| 99281 |
|
379 |
321 |
$30K |
| 15271 |
|
183 |
108 |
$29K |
| 41899 |
|
80 |
68 |
$29K |
| 76817 |
|
2,758 |
2,022 |
$29K |
| 83605 |
|
4,091 |
3,115 |
$29K |
| 82657 |
|
618 |
557 |
$27K |
| 82570 |
|
3,675 |
3,013 |
$27K |
| J0178 |
Aflibercept injection |
156 |
126 |
$27K |
| 88305 |
|
10,603 |
8,025 |
$27K |
| 64636 |
|
222 |
140 |
$27K |
| 69436 |
|
40 |
38 |
$26K |
| 90734 |
|
1,372 |
1,221 |
$26K |
| G2066 |
Inter devc remote 30d |
508 |
455 |
$26K |
| 96120 |
|
157 |
133 |
$26K |
| 86708 |
|
786 |
690 |
$25K |
| 92341 |
|
235 |
217 |
$25K |
| 90846 |
|
247 |
182 |
$25K |
| 83550 |
|
3,633 |
3,162 |
$25K |
| 87506 |
|
119 |
111 |
$25K |
| 92340 |
|
1,394 |
1,256 |
$24K |
| 82803 |
|
809 |
619 |
$23K |
| 87088 |
|
1,688 |
1,507 |
$23K |
| 85379 |
|
3,021 |
2,578 |
$23K |
| 82105 |
|
875 |
757 |
$23K |
| 87040 |
|
2,778 |
1,408 |
$23K |
| 94010 |
|
2,059 |
1,521 |
$21K |
| 90870 |
|
168 |
51 |
$21K |
| 86703 |
|
1,893 |
1,565 |
$21K |
| 87077 |
|
3,181 |
2,509 |
$21K |
| 91322 |
|
427 |
371 |
$20K |
| 90837 |
|
247 |
152 |
$20K |
| 11042 |
|
553 |
402 |
$20K |
| 76818 |
|
1,728 |
787 |
$20K |
| 80306 |
|
1,125 |
965 |
$20K |
| 90698 |
|
3,370 |
3,053 |
$20K |
| 11102 |
|
180 |
173 |
$19K |
| 80069 |
|
1,586 |
1,377 |
$19K |
| 73502 |
|
1,808 |
1,548 |
$19K |
| 93017 |
|
804 |
649 |
$19K |
| 96101 |
|
117 |
92 |
$19K |
| 87653 |
|
290 |
277 |
$18K |
| 91065 |
|
348 |
245 |
$18K |
| 93226 |
|
874 |
788 |
$17K |
| 95819 |
|
141 |
126 |
$17K |
| 85730 |
|
3,378 |
2,568 |
$17K |
| 86618 |
|
834 |
725 |
$17K |
| 80164 |
|
268 |
227 |
$16K |
| 83540 |
|
3,766 |
3,273 |
$16K |
| J7307 |
Etonogestrel implant system |
87 |
79 |
$16K |
| 84402 |
|
450 |
375 |
$16K |
| 82150 |
|
3,209 |
2,660 |
$16K |
| 72125 |
|
712 |
622 |
$15K |
| 96367 |
|
297 |
222 |
$15K |
| 88720 |
|
265 |
184 |
$15K |
| 73590 |
|
971 |
770 |
$15K |
| 72082 |
|
563 |
488 |
$15K |
| 90744 |
|
1,795 |
1,633 |
$14K |
| 64483 |
|
102 |
95 |
$14K |
| 94060 |
|
996 |
731 |
$14K |
| 85652 |
|
6,665 |
5,675 |
$14K |
| D0330 |
|
166 |
75 |
$14K |
| G0506 |
Comp asses care plan ccm svc |
12 |
12 |
$14K |
| 29405 |
|
113 |
78 |
$13K |
| 73030 |
|
2,557 |
2,089 |
$13K |
| 31575 |
|
223 |
194 |
$13K |
| 86038 |
|
1,242 |
997 |
$13K |
| 76536 |
|
311 |
283 |
$13K |
| 90688 |
|
725 |
673 |
$12K |
| 92134 |
|
3,225 |
2,777 |
$12K |
| 84146 |
|
215 |
190 |
$12K |
| 96137 |
|
155 |
110 |
$12K |
| 90696 |
|
962 |
853 |
$12K |
| 82043 |
|
2,335 |
2,064 |
$12K |
| 99385 |
|
205 |
177 |
$12K |
| 66984 |
|
92 |
69 |
$12K |
| 80076 |
|
653 |
561 |
$12K |
| 92567 |
|
501 |
466 |
$12K |
| 86900 |
|
4,278 |
3,395 |
$11K |
| 73562 |
|
2,459 |
1,926 |
$11K |
| M0247 |
Sotrovimab infusion |
26 |
24 |
$11K |
| 90714 |
|
468 |
375 |
$11K |
| J7298 |
Mirena, 52 mg |
50 |
42 |
$11K |
| 86706 |
|
1,322 |
1,137 |
$11K |
| 93922 |
|
883 |
755 |
$10K |
| J9035 |
Bevacizumab injection |
66 |
48 |
$10K |
| 86704 |
|
996 |
867 |
$10K |
| 92083 |
|
733 |
656 |
$10K |
| 87102 |
|
1,110 |
793 |
$10K |
| G0008 |
Admin influenza virus vac |
5,919 |
5,141 |
$9K |
| 87205 |
|
3,779 |
2,786 |
$9K |
| 84460 |
|
2,224 |
1,737 |
$9K |
| G0101 |
Ca screen;pelvic/breast exam |
1,875 |
1,239 |
$9K |
| 82746 |
|
864 |
757 |
$9K |
| 86901 |
|
4,202 |
3,333 |
$9K |
| D7240 |
|
16 |
16 |
$9K |
| 96375 |
|
11,107 |
7,605 |
$9K |
| 84450 |
|
1,601 |
1,361 |
$8K |
| 87480 |
|
207 |
183 |
$8K |
| 86480 |
|
135 |
122 |
$8K |
| 82947 |
|
1,745 |
1,532 |
$8K |
| 73560 |
|
693 |
505 |
$8K |
| 51702 |
|
442 |
370 |
$8K |
| 83993 |
|
264 |
245 |
$8K |
| 84100 |
|
1,896 |
1,355 |
$8K |
| 72100 |
|
1,608 |
1,442 |
$7K |
| 73130 |
|
1,960 |
1,375 |
$7K |
| 93297 |
|
280 |
267 |
$7K |
| 97110 |
|
2,314 |
1,071 |
$7K |
| 76642 |
|
274 |
213 |
$7K |
| 72170 |
|
444 |
385 |
$7K |
| 87505 |
|
72 |
63 |
$7K |
| 93308 |
|
71 |
66 |
$7K |
| 84156 |
|
2,382 |
1,859 |
$7K |
| 93351 |
|
58 |
50 |
$7K |
| 92557 |
|
390 |
360 |
$7K |
| 0001A |
|
343 |
337 |
$7K |
| 82550 |
|
1,061 |
878 |
$7K |
| 90707 |
|
1,194 |
1,066 |
$6K |
| 92012 |
|
166 |
138 |
$6K |
| 82247 |
|
922 |
586 |
$6K |
| 88342 |
|
2,056 |
1,696 |
$6K |
| 84132 |
|
1,119 |
931 |
$6K |
| 76942 |
|
1,173 |
1,005 |
$6K |
| 95886 |
|
102 |
99 |
$6K |
| 0002A |
|
322 |
310 |
$6K |
| 87493 |
|
247 |
231 |
$6K |
| 64495 |
|
41 |
30 |
$6K |
| 83001 |
|
336 |
276 |
$6K |
| 70355 |
|
265 |
243 |
$6K |
| 82977 |
|
714 |
544 |
$5K |
| 92579 |
|
137 |
121 |
$5K |
| 94664 |
|
437 |
337 |
$5K |
| 86376 |
|
193 |
169 |
$5K |
| 83615 |
|
1,620 |
1,261 |
$5K |
| 84295 |
|
1,230 |
1,030 |
$5K |
| 73110 |
|
1,201 |
962 |
$5K |
| 87468 |
|
170 |
144 |
$5K |
| 90480 |
|
304 |
270 |
$5K |
| 95816 |
|
39 |
37 |
$5K |
| 73090 |
|
377 |
293 |
$5K |
| 86003 |
|
107 |
80 |
$5K |
| 76937 |
|
785 |
609 |
$5K |
| 93970 |
|
155 |
128 |
$5K |
| 51798 |
|
2,126 |
1,778 |
$5K |
| 77063 |
|
1,698 |
1,478 |
$5K |
| 96376 |
|
6,189 |
3,347 |
$5K |
| 76815 |
|
214 |
111 |
$5K |
| 87660 |
|
206 |
183 |
$5K |
| 85049 |
|
936 |
667 |
$5K |
| 77080 |
|
171 |
154 |
$5K |
| 87510 |
|
213 |
189 |
$4K |
| 87469 |
|
170 |
144 |
$4K |
| 87798 |
|
127 |
53 |
$4K |
| 90710 |
|
1,043 |
929 |
$4K |
| 72040 |
|
546 |
464 |
$4K |
| 87484 |
|
170 |
144 |
$4K |
| 82670 |
|
174 |
156 |
$4K |
| 0241U |
|
123 |
118 |
$4K |
| 84481 |
|
194 |
171 |
$4K |
| 76819 |
|
313 |
165 |
$4K |
| 84403 |
|
115 |
100 |
$4K |
| 95004 |
|
306 |
256 |
$4K |
| C9257 |
Bevacizumab injection |
29 |
24 |
$4K |
| 36415 |
|
93,627 |
69,633 |
$4K |
| 82077 |
|
423 |
342 |
$4K |
| 58300 |
|
67 |
54 |
$4K |
| 73564 |
|
695 |
497 |
$4K |
| 52000 |
|
14 |
13 |
$3K |
| 12001 |
|
39 |
37 |
$3K |
| 86200 |
|
233 |
202 |
$3K |
| 87176 |
|
1,272 |
917 |
$3K |
| 71045 |
|
3,941 |
3,317 |
$3K |
| 94729 |
|
787 |
616 |
$3K |
| G0127 |
Trim nail(s) |
218 |
199 |
$3K |
| 0004A |
|
59 |
46 |
$3K |
| 11750 |
|
26 |
13 |
$3K |
| 84550 |
|
691 |
554 |
$3K |
| 95700 |
|
18 |
13 |
$3K |
| 71250 |
|
92 |
80 |
$3K |
| 74230 |
|
38 |
37 |
$3K |
| G0379 |
Direct refer hospital observ |
100 |
69 |
$3K |
| 99401 |
|
61 |
50 |
$3K |
| 59426 |
|
28 |
27 |
$2K |
| 73522 |
|
102 |
90 |
$2K |
| 73080 |
|
256 |
221 |
$2K |
| 86709 |
|
224 |
200 |
$2K |
| 62323 |
|
12 |
12 |
$2K |
| 86231 |
|
262 |
230 |
$2K |
| 82785 |
|
178 |
130 |
$2K |
| 73140 |
|
481 |
411 |
$2K |
| 88304 |
|
1,105 |
931 |
$2K |
| 73070 |
|
107 |
79 |
$2K |
| 85007 |
|
647 |
441 |
$2K |
| 77002 |
|
154 |
140 |
$2K |
| 64642 |
|
14 |
12 |
$2K |
| 86481 |
|
34 |
28 |
$2K |
| 90381 |
|
37 |
36 |
$2K |
| 86431 |
|
496 |
426 |
$2K |
| 73552 |
|
202 |
150 |
$2K |
| 70486 |
|
56 |
49 |
$2K |
| 84630 |
|
132 |
119 |
$2K |
| 95812 |
|
17 |
14 |
$2K |
| 43235 |
|
13 |
12 |
$2K |
| 90661 |
|
288 |
278 |
$2K |
| 87209 |
|
12 |
12 |
$2K |
| 77072 |
|
158 |
134 |
$2K |
| 36591 |
|
1,037 |
629 |
$2K |
| 59425 |
|
17 |
16 |
$2K |
| 86160 |
|
152 |
95 |
$2K |
| 99402 |
|
57 |
43 |
$2K |
| J0475 |
Baclofen 10 mg injection |
13 |
12 |
$2K |
| 94726 |
|
399 |
257 |
$2K |
| G0123 |
Screen cerv/vag thin layer |
288 |
226 |
$2K |
| 92133 |
|
879 |
805 |
$2K |
| 81003 |
|
202 |
161 |
$2K |
| 73100 |
|
49 |
40 |
$2K |
| 83002 |
|
126 |
105 |
$2K |
| 11100 |
|
15 |
13 |
$2K |
| 97803 |
|
955 |
771 |
$2K |
| 90656 |
|
301 |
286 |
$2K |
| 82951 |
|
16 |
12 |
$2K |
| 96156 |
|
29 |
26 |
$2K |
| 92556 |
|
16 |
13 |
$2K |
| 87529 |
|
26 |
25 |
$2K |
| 73120 |
|
288 |
180 |
$2K |
| 90380 |
|
75 |
51 |
$2K |
| 90677 |
|
647 |
579 |
$1K |
| 36592 |
|
7,112 |
5,875 |
$1K |
| Q0091 |
Obtaining screen pap smear |
1,220 |
778 |
$1K |
| 82533 |
|
59 |
56 |
$1K |
| 99241 |
|
33 |
27 |
$1K |
| 89051 |
|
81 |
56 |
$1K |
| 87106 |
|
36 |
24 |
$1K |
| 72141 |
|
18 |
15 |
$1K |
| 73620 |
|
91 |
63 |
$1K |
| 92507 |
|
88 |
42 |
$1K |
| 83718 |
|
40 |
39 |
$1K |
| 93990 |
|
59 |
51 |
$1K |
| 90662 |
|
360 |
311 |
$990.02 |
| J2777 |
Inj, faricimab-svoa, 0.1mg |
18 |
12 |
$983.07 |
| 93880 |
|
73 |
66 |
$939.82 |
| 80197 |
|
29 |
16 |
$931.43 |
| 11981 |
|
16 |
13 |
$849.84 |
| G0103 |
Psa screening |
129 |
89 |
$810.63 |
| 80177 |
|
46 |
40 |
$776.26 |
| 95909 |
|
17 |
13 |
$744.95 |
| 96158 |
|
31 |
24 |
$739.29 |
| 82310 |
|
172 |
155 |
$734.41 |
| 84134 |
|
176 |
129 |
$714.50 |
| 87147 |
|
194 |
167 |
$713.08 |
| 90697 |
|
917 |
826 |
$692.08 |
| 76820 |
|
86 |
29 |
$658.84 |
| 93660 |
|
13 |
12 |
$596.58 |
| 97162 |
|
155 |
146 |
$585.69 |
| 97161 |
|
119 |
97 |
$579.34 |
| 93926 |
|
18 |
17 |
$555.72 |
| 94375 |
|
58 |
39 |
$546.84 |
| G0279 |
Tomosynthesis, mammo |
97 |
86 |
$522.68 |
| 96116 |
|
14 |
12 |
$508.52 |
| 0031A |
|
23 |
22 |
$470.44 |
| 84165 |
|
70 |
67 |
$465.17 |
| 76882 |
|
14 |
12 |
$461.91 |
| 93225 |
|
92 |
83 |
$455.26 |
| 88307 |
|
159 |
117 |
$442.55 |
| J8501 |
Oral aprepitant |
75 |
66 |
$440.62 |
| 90750 |
|
186 |
138 |
$411.15 |
| 0011A |
|
37 |
33 |
$397.72 |
| G0476 |
Hpv combo assay ca screen |
348 |
300 |
$396.73 |
| 94762 |
|
70 |
30 |
$387.57 |
| G0439 |
Ppps, subseq visit |
187 |
169 |
$383.20 |
| 86880 |
|
26 |
13 |
$355.57 |
| 90472 |
|
184 |
158 |
$352.50 |
| 82330 |
|
36 |
26 |
$345.34 |
| 97530 |
|
171 |
91 |
$326.11 |
| 82465 |
|
71 |
68 |
$325.06 |
| 83520 |
|
15 |
12 |
$319.76 |
| 82378 |
|
15 |
13 |
$318.13 |
| 90678 |
|
38 |
34 |
$307.06 |
| 0012A |
|
20 |
20 |
$295.48 |
| 73700 |
|
13 |
12 |
$294.66 |
| 91321 |
|
87 |
82 |
$280.59 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
10,716 |
8,501 |
$262.18 |
| 97165 |
|
44 |
37 |
$247.95 |
| 90687 |
|
39 |
36 |
$231.49 |
| 82610 |
|
16 |
14 |
$231.04 |
| 93271 |
|
14 |
14 |
$201.90 |
| 86255 |
|
16 |
13 |
$199.84 |
| 97802 |
|
96 |
79 |
$181.07 |
| 76813 |
|
26 |
24 |
$179.80 |
| 82040 |
|
50 |
43 |
$177.67 |
| 76825 |
|
16 |
12 |
$173.89 |
| 17000 |
|
12 |
12 |
$173.64 |
| 87185 |
|
47 |
43 |
$161.25 |
| U0002 |
Covid-19 lab test non-cdc |
714 |
648 |
$160.62 |
| J7030 |
Normal saline solution infus |
4,015 |
2,919 |
$156.20 |
| 93280 |
|
18 |
12 |
$145.48 |
| 86225 |
|
12 |
12 |
$144.80 |
| 97140 |
|
49 |
25 |
$143.61 |
| 84520 |
|
46 |
36 |
$136.78 |
| 83525 |
|
12 |
12 |
$134.01 |
| 0124A |
|
218 |
191 |
$132.64 |
| 88341 |
|
79 |
53 |
$125.38 |
| 86705 |
|
26 |
14 |
$122.08 |
| 87177 |
|
12 |
12 |
$110.58 |
| 99386 |
|
19 |
12 |
$96.70 |
| 87206 |
|
18 |
14 |
$95.68 |
| C1769 |
Guide wire |
3,330 |
2,743 |
$93.94 |
| 99153 |
Mod sedat endo service >5yrs |
353 |
181 |
$93.29 |
| 90732 |
|
21 |
16 |
$93.24 |
| 76827 |
|
16 |
12 |
$91.11 |
| 86308 |
|
13 |
13 |
$87.40 |
| 82010 |
|
15 |
12 |
$85.76 |
| 0072A |
|
61 |
59 |
$67.56 |
| 74019 |
|
123 |
105 |
$67.36 |
| 99354 |
|
460 |
418 |
$65.31 |
| 87207 |
|
25 |
14 |
$61.90 |
| J3490 |
Drugs unclassified injection |
6,177 |
4,238 |
$55.75 |
| 88312 |
|
36 |
29 |
$47.96 |
| Q2039 |
Influenza virus vaccine, nos |
15 |
12 |
$46.62 |
| 99152 |
|
206 |
129 |
$37.11 |
| 87210 |
|
14 |
12 |
$36.48 |
| 99151 |
|
70 |
39 |
$31.48 |
| J1100 |
Dexamethasone sodium phos |
8,779 |
7,328 |
$29.06 |
| J2704 |
Inj, propofol, 10 mg |
11,643 |
9,955 |
$28.10 |
| 0071A |
|
40 |
40 |
$27.24 |
| J1815 |
Insulin injection |
2,657 |
1,038 |
$20.72 |
| 73600 |
|
16 |
12 |
$20.27 |
| J8499 |
Oral prescrip drug non chemo |
5,975 |
3,995 |
$14.85 |
| G0009 |
Admin pneumococcal vaccine |
226 |
193 |
$14.10 |
| J2060 |
Lorazepam injection |
465 |
340 |
$12.82 |
| 36416 |
|
510 |
352 |
$12.54 |
| 88112 |
|
14 |
12 |
$12.33 |
| J0136 |
Inj, acetaminophen (b braun) |
499 |
426 |
$5.75 |
| J2405 |
Ondansetron hcl injection |
14,338 |
10,899 |
$3.97 |
| J3010 |
Fentanyl citrate injection |
19,036 |
15,199 |
$3.72 |
| J1885 |
Ketorolac tromethamine inj |
8,341 |
6,478 |
$3.70 |
| J2765 |
Metoclopramide hcl injection |
752 |
597 |
$3.51 |
| J0171 |
Adrenalin epinephrine inject |
2,676 |
2,309 |
$3.41 |
| J3301 |
Triamcinolone acet inj nos |
3,274 |
2,655 |
$2.81 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
162 |
150 |
$1.99 |
| J7620 |
Albuterol ipratrop non-comp |
1,223 |
926 |
$1.96 |
| J7120 |
Ringers lactate infusion |
4,159 |
3,042 |
$1.59 |
| J2001 |
Lidocaine injection |
10,939 |
9,247 |
$1.46 |
| J2250 |
Inj midazolam hydrochloride |
13,646 |
11,581 |
$1.19 |
| J2930 |
Methylprednisolone injection |
839 |
659 |
$0.67 |
| J0690 |
Cefazolin sodium injection |
5,169 |
4,024 |
$0.52 |
| Q0112 |
Potassium hydroxide preps |
18 |
12 |
$0.52 |
| C1758 |
Catheter, ureteral |
108 |
76 |
$0.50 |
| J3535 |
Metered dose inhaler drug |
659 |
467 |
$0.35 |
| J1170 |
Hydromorphone injection |
4,147 |
3,053 |
$0.32 |
| J1644 |
Inj heparin sodium per 1000u |
5,428 |
3,277 |
$0.11 |
| J7613 |
Albuterol non-comp unit |
852 |
559 |
$0.08 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
504 |
443 |
$0.05 |
| J3475 |
Inj magnesium sulfate |
828 |
514 |
$0.04 |
| J2370 |
Phenylephrine hcl injection |
1,405 |
1,232 |
$0.03 |
| C1894 |
Intro/sheath, non-laser |
2,232 |
1,819 |
$0.01 |
| C1887 |
Catheter, guiding |
1,234 |
1,020 |
$0.01 |
| Q9969 |
Non-heu tc-99m add-on/dose |
1,478 |
1,281 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
856 |
471 |
$0.00 |
| Q0162 |
Ondansetron oral |
249 |
196 |
$0.00 |
| J3480 |
Inj potassium chloride |
895 |
556 |
$0.00 |
| 96411 |
|
26 |
12 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
1,353 |
842 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
1,084 |
672 |
$0.00 |
| A9270 |
Non-covered item or service |
7,613 |
4,341 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
1,886 |
1,524 |
$0.00 |
| J0461 |
Atropine sulfate injection |
396 |
320 |
$0.00 |
| 94761 |
|
979 |
565 |
$0.00 |
| A9500 |
Tc99m sestamibi |
704 |
591 |
$0.00 |
| J7050 |
Normal saline solution infus |
66 |
47 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
657 |
556 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
199 |
186 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
296 |
248 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
1,444 |
1,292 |
$0.00 |
| J8540 |
Oral dexamethasone |
16 |
12 |
$0.00 |
| C1755 |
Catheter, intraspinal |
294 |
267 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
181 |
163 |
$0.00 |
| D9223 |
|
13 |
13 |
$0.00 |
| J7042 |
5% dextrose/normal saline |
405 |
250 |
$0.00 |
| 72072 |
|
12 |
12 |
$0.00 |
| J1940 |
Furosemide injection |
48 |
25 |
$0.00 |
| J2920 |
Methylprednisolone injection |
113 |
74 |
$0.00 |
| 96409 |
|
145 |
81 |
$0.00 |
| C1889 |
Implant/insert device, noc |
200 |
180 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
107 |
55 |
$0.00 |
| P9612 |
Catheterize for urine spec |
50 |
38 |
$0.00 |
| A7037 |
Pos airway pressure tubing |
30 |
30 |
$0.00 |
| 96154 |
|
19 |
15 |
$0.00 |
| J2785 |
Regadenoson injection |
203 |
183 |
$0.00 |
| 3044F |
|
32 |
31 |
$0.00 |
| L8699 |
Prosthetic implant nos |
16 |
13 |
$0.00 |
| G8980 |
Mobility d/c status |
12 |
12 |
$0.00 |
| J1040 |
Methylprednisolone 80 mg inj |
78 |
65 |
$0.00 |
| 0081A |
|
20 |
18 |
$0.00 |
| D9222 |
|
19 |
19 |
$0.00 |
| J1650 |
Inj enoxaparin sodium |
816 |
307 |
$0.00 |
| J2550 |
Promethazine hcl injection |
919 |
847 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
4,244 |
3,151 |
$0.00 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
17 |
14 |
$0.00 |
| G8979 |
Mobility goal status |
150 |
106 |
$0.00 |
| A9578 |
Inj multihance multipack |
985 |
829 |
$0.00 |
| J2270 |
Morphine sulfate injection |
780 |
616 |
$0.00 |
| J0780 |
Prochlorperazine injection |
373 |
273 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,377 |
1,188 |
$0.00 |
| A9577 |
Inj multihance |
1,396 |
775 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
2,017 |
1,774 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
209 |
166 |
$0.00 |
| C1729 |
Cath, drainage |
76 |
64 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
366 |
313 |
$0.00 |
| A7038 |
Pos airway pressure filter |
62 |
60 |
$0.00 |
| J3370 |
Vancomycin hcl injection |
320 |
244 |
$0.00 |
| J7070 |
D5w infusion |
197 |
185 |
$0.00 |
| J0134 |
Inj acetaminophen -fresenius |
190 |
158 |
$0.00 |
| G0438 |
Ppps, initial visit |
55 |
51 |
$0.00 |
| Q4133 |
Grafix stravix prime pl sqcm |
91 |
51 |
$0.00 |
| Q4038 |
Cast sup shrt leg fiberglass |
47 |
28 |
$0.00 |
| J7040 |
Normal saline solution infus |
552 |
351 |
$0.00 |
| G8978 |
Mobility current status |
125 |
93 |
$0.00 |
| G2212 |
Prolong outpt/office vis |
183 |
161 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
110 |
100 |
$0.00 |
| A7031 |
Replacement facemask interfa |
48 |
45 |
$0.00 |
| 99199 |
|
36 |
33 |
$0.00 |
| C1760 |
Closure dev, vasc |
31 |
28 |
$0.00 |
| V5266 |
Battery for hearing device |
42 |
42 |
$0.00 |
| 36600 |
|
18 |
12 |
$0.00 |
| 90785 |
|
121 |
70 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
184 |
128 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
53 |
47 |
$0.00 |
| 77003 |
|
13 |
12 |
$0.00 |
| A9552 |
F18 fdg |
15 |
13 |
$0.00 |
| A4216 |
Sterile water/saline, 10 ml |
43 |
42 |
$0.00 |
| A7035 |
Pos airway press headgear |
15 |
14 |
$0.00 |
| 72110 |
|
15 |
14 |
$0.00 |
| J1756 |
Iron sucrose injection |
40 |
13 |
$0.00 |
| J7643 |
Glycopyrrolate comp unit |
22 |
16 |
$0.00 |