| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
60,840 |
58,098 |
$10.35M |
| 99213 |
|
58,201 |
51,046 |
$8.85M |
| 96365 |
|
42,400 |
8,725 |
$7.04M |
| 99284 |
|
32,367 |
31,618 |
$5.48M |
| 99285 |
|
34,320 |
33,183 |
$5.45M |
| 99212 |
|
31,986 |
26,655 |
$4.74M |
| 96361 |
|
11,262 |
10,815 |
$3.14M |
| 97110 |
|
33,423 |
10,962 |
$2.58M |
| 99214 |
|
15,885 |
15,243 |
$2.51M |
| 99282 |
|
14,642 |
13,865 |
$2.44M |
| 93975 |
|
4,407 |
4,322 |
$2.25M |
| 74177 |
|
7,623 |
7,549 |
$2.16M |
| 70450 |
|
7,536 |
7,348 |
$2.03M |
| 87633 |
|
25,283 |
24,694 |
$1.94M |
| 43239 |
|
2,736 |
2,729 |
$1.71M |
| 93458 |
|
859 |
854 |
$1.54M |
| 59025 |
|
6,345 |
4,052 |
$1.37M |
| 80048 |
|
57,278 |
52,128 |
$1.29M |
| 77412 |
|
3,892 |
437 |
$1.24M |
| 99392 |
|
8,787 |
8,754 |
$1.17M |
| 76700 |
|
2,261 |
2,236 |
$1.16M |
| 99391 |
|
8,161 |
8,060 |
$1.14M |
| 45380 |
|
1,321 |
1,319 |
$1.09M |
| 87635 |
|
37,822 |
22,832 |
$1.05M |
| 76770 |
|
2,333 |
2,305 |
$1.02M |
| 87581 |
|
27,043 |
26,400 |
$1.01M |
| 93970 |
|
1,609 |
1,590 |
$985K |
| 77336 |
|
2,400 |
1,054 |
$931K |
| 99393 |
|
6,755 |
6,737 |
$928K |
| 47562 |
|
313 |
311 |
$898K |
| 92012 |
|
13,061 |
9,174 |
$881K |
| 96360 |
|
3,802 |
3,634 |
$711K |
| 86850 |
|
17,315 |
16,615 |
$710K |
| 36415 |
|
71,736 |
33,300 |
$688K |
| 76856 |
|
2,087 |
2,064 |
$648K |
| 80053 |
|
41,712 |
36,023 |
$648K |
| 99394 |
|
4,384 |
4,380 |
$643K |
| 92014 |
|
10,866 |
6,826 |
$641K |
| 12001 |
|
1,240 |
1,236 |
$623K |
| 77387 |
|
1,352 |
196 |
$614K |
| 54161 |
|
553 |
553 |
$605K |
| 86901 |
|
22,078 |
16,669 |
$593K |
| 96413 |
|
3,691 |
2,214 |
$589K |
| 87637 |
|
5,892 |
5,818 |
$557K |
| 12011 |
|
1,074 |
1,067 |
$551K |
| 87798 |
|
26,929 |
26,283 |
$549K |
| 87486 |
|
27,035 |
26,392 |
$527K |
| 87591 |
|
16,828 |
16,634 |
$526K |
| J0178 |
Aflibercept injection |
3,543 |
1,144 |
$518K |
| 96366 |
|
2,244 |
1,944 |
$510K |
| 80076 |
|
40,414 |
38,472 |
$504K |
| 86900 |
|
21,584 |
16,127 |
$499K |
| 92551 |
|
5,624 |
5,612 |
$487K |
| 67028 |
|
3,865 |
1,378 |
$466K |
| 97161 |
|
3,799 |
3,761 |
$463K |
| 99395 |
|
3,218 |
3,198 |
$454K |
| 88342 |
|
7,641 |
6,142 |
$428K |
| 99396 |
|
3,105 |
3,072 |
$414K |
| 80061 |
|
23,246 |
22,563 |
$386K |
| 87507 |
|
3,103 |
3,062 |
$383K |
| 45378 |
|
412 |
412 |
$362K |
| 99215 |
Prolong outpt/office vis |
2,307 |
2,236 |
$351K |
| 96110 |
|
2,074 |
2,067 |
$349K |
| 87491 |
|
17,006 |
16,807 |
$345K |
| 74176 |
|
1,230 |
1,222 |
$344K |
| 95004 |
|
1,165 |
1,160 |
$337K |
| 97140 |
|
12,685 |
4,722 |
$322K |
| 88305 |
|
9,007 |
8,702 |
$321K |
| 82306 |
|
11,116 |
10,252 |
$314K |
| 19281 |
|
325 |
281 |
$314K |
| 64483 |
|
565 |
411 |
$278K |
| 99291 |
|
1,816 |
1,802 |
$270K |
| 90686 |
|
14,455 |
14,421 |
$259K |
| 99381 |
|
1,828 |
1,823 |
$259K |
| 99173 |
|
5,966 |
5,950 |
$258K |
| 76815 |
|
2,483 |
1,896 |
$256K |
| 92134 |
|
4,070 |
3,397 |
$252K |
| J7050 |
Normal saline solution infus |
20,960 |
7,113 |
$229K |
| 76801 |
|
2,061 |
1,829 |
$224K |
| 94010 |
|
2,271 |
2,251 |
$218K |
| 29540 |
|
847 |
840 |
$216K |
| U0004 |
Cov-19 test non-cdc hgh thru |
5,079 |
4,907 |
$209K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,023 |
1,016 |
$209K |
| 93306 |
|
1,084 |
1,078 |
$208K |
| 88142 |
|
7,906 |
7,884 |
$207K |
| 99203 |
|
1,454 |
1,433 |
$207K |
| 96367 |
|
5,214 |
1,439 |
$197K |
| 92004 |
|
1,668 |
1,462 |
$192K |
| 45385 |
|
272 |
272 |
$189K |
| 19125 |
|
102 |
101 |
$187K |
| 92202 |
|
3,179 |
2,225 |
$185K |
| 97165 |
|
1,552 |
1,524 |
$184K |
| 99205 |
Prolong outpt/office vis |
1,216 |
1,208 |
$182K |
| G0463 |
Hospital outpt clinic visit |
12,972 |
9,432 |
$173K |
| 76816 |
|
2,369 |
2,104 |
$172K |
| 76705 |
|
4,521 |
4,338 |
$168K |
| 99281 |
|
877 |
760 |
$166K |
| 87624 |
|
6,323 |
6,302 |
$153K |
| 96374 |
|
19,166 |
18,352 |
$153K |
| 92133 |
|
2,195 |
1,925 |
$151K |
| 87636 |
|
2,043 |
2,028 |
$150K |
| 83880 |
|
5,029 |
4,909 |
$149K |
| 77334 |
|
378 |
326 |
$148K |
| 76817 |
|
1,326 |
1,193 |
$145K |
| 88341 |
|
3,866 |
2,881 |
$143K |
| 76098 |
|
619 |
600 |
$141K |
| 90715 |
|
6,115 |
6,099 |
$138K |
| 92526 |
|
957 |
690 |
$132K |
| 19301 |
|
56 |
52 |
$132K |
| 20610 |
|
1,331 |
566 |
$132K |
| 10E0XZZ |
|
171 |
24 |
$127K |
| 19083 |
|
82 |
78 |
$125K |
| 12002 |
|
253 |
253 |
$125K |
| 11721 |
|
2,417 |
1,866 |
$124K |
| 92083 |
|
2,013 |
1,788 |
$122K |
| 86480 |
|
3,290 |
3,270 |
$122K |
| 99385 |
|
894 |
890 |
$120K |
| 77067 |
|
1,545 |
1,540 |
$120K |
| 84443 |
|
23,023 |
22,645 |
$119K |
| 86769 |
|
3,710 |
3,695 |
$117K |
| J3490 |
Drugs unclassified injection |
805 |
692 |
$116K |
| 88307 |
|
1,581 |
1,450 |
$110K |
| 44970 |
|
40 |
40 |
$108K |
| 87631 |
|
1,627 |
1,621 |
$106K |
| J0878 |
Daptomycin injection |
2,050 |
191 |
$105K |
| 99204 |
|
731 |
730 |
$102K |
| 77300 |
|
412 |
391 |
$99K |
| 96372 |
|
8,061 |
7,372 |
$99K |
| 90460 |
|
10,529 |
10,394 |
$99K |
| 87536 |
|
1,188 |
1,153 |
$98K |
| P9040 |
Rbc leukoreduced irradiated |
187 |
162 |
$98K |
| 96161 |
|
2,518 |
2,500 |
$98K |
| 80307 |
|
1,795 |
1,759 |
$97K |
| 99202 |
|
614 |
612 |
$93K |
| 76811 |
|
1,035 |
1,029 |
$92K |
| 83655 |
|
8,822 |
8,808 |
$90K |
| 87661 |
|
2,660 |
2,558 |
$89K |
| D1110 |
|
2,700 |
2,574 |
$89K |
| D7140 |
|
2,061 |
1,510 |
$88K |
| 87502 |
|
2,829 |
2,810 |
$86K |
| 83036 |
|
16,768 |
16,574 |
$86K |
| 71275 |
|
334 |
333 |
$83K |
| 76857 |
|
1,977 |
1,949 |
$82K |
| 71260 |
|
515 |
513 |
$81K |
| 70496 |
|
284 |
281 |
$81K |
| 99386 |
|
575 |
571 |
$79K |
| 90651 |
|
2,925 |
2,920 |
$78K |
| 94060 |
|
413 |
399 |
$78K |
| 76830 |
|
2,604 |
2,564 |
$78K |
| 85025 |
|
71,715 |
65,412 |
$76K |
| 90677 |
|
1,293 |
1,292 |
$74K |
| 36430 |
|
170 |
140 |
$74K |
| 97802 |
|
1,900 |
1,840 |
$74K |
| 85610 |
|
24,590 |
23,240 |
$73K |
| 76641 |
|
1,837 |
1,169 |
$65K |
| 70486 |
|
806 |
798 |
$65K |
| 97760 |
|
1,018 |
975 |
$63K |
| 92201 |
|
861 |
700 |
$62K |
| 82803 |
|
3,036 |
2,721 |
$62K |
| D0274 |
|
2,766 |
2,139 |
$61K |
| 88304 |
|
2,277 |
2,246 |
$61K |
| 84439 |
|
12,623 |
12,442 |
$61K |
| 92552 |
|
702 |
702 |
$59K |
| 83013 |
|
806 |
802 |
$59K |
| 85055 |
|
1,584 |
1,471 |
$59K |
| 85027 |
|
19,228 |
18,511 |
$57K |
| 86003 |
|
942 |
922 |
$56K |
| 96375 |
|
13,330 |
12,228 |
$56K |
| 90670 |
|
5,421 |
5,417 |
$55K |
| 87389 |
|
9,079 |
9,018 |
$53K |
| 82607 |
|
5,751 |
5,719 |
$53K |
| 96415 |
|
139 |
96 |
$53K |
| 97112 |
|
815 |
306 |
$52K |
| 88112 |
|
1,290 |
1,256 |
$52K |
| J2505 |
Injection, pegfilgrastim 6mg |
17 |
12 |
$50K |
| 90680 |
|
4,990 |
4,984 |
$49K |
| 76642 |
|
589 |
500 |
$48K |
| 96127 |
|
6,079 |
6,025 |
$47K |
| 84466 |
|
6,774 |
6,711 |
$45K |
| 93005 |
|
26,058 |
23,032 |
$45K |
| 62323 |
|
100 |
74 |
$45K |
| 92610 |
|
326 |
325 |
$44K |
| 87086 |
|
20,915 |
19,814 |
$44K |
| 81001 |
|
32,262 |
31,231 |
$43K |
| 87503 |
|
1,371 |
1,362 |
$43K |
| 92507 |
|
300 |
138 |
$42K |
| 72125 |
|
1,751 |
1,729 |
$40K |
| 58558 |
|
26 |
26 |
$39K |
| D0210 |
|
1,234 |
1,122 |
$39K |
| D0120 |
|
2,216 |
2,213 |
$39K |
| 76000 |
|
367 |
364 |
$37K |
| 71046 |
|
16,751 |
16,440 |
$36K |
| 88173 |
|
841 |
758 |
$36K |
| 90698 |
|
3,425 |
3,421 |
$36K |
| G0480 |
Drug test def 1-7 classes |
1,153 |
1,099 |
$36K |
| 82728 |
|
4,193 |
4,141 |
$36K |
| 90633 |
|
3,454 |
3,448 |
$35K |
| 99177 |
|
983 |
983 |
$35K |
| 90461 |
|
4,460 |
4,446 |
$34K |
| 88360 |
|
486 |
336 |
$34K |
| 81025 |
|
10,674 |
10,413 |
$34K |
| D0220 |
|
3,526 |
3,453 |
$33K |
| 77063 |
|
1,509 |
1,504 |
$33K |
| 93017 |
|
323 |
322 |
$32K |
| 92226 |
|
736 |
390 |
$32K |
| J1756 |
Iron sucrose injection |
652 |
346 |
$32K |
| 86803 |
|
7,109 |
7,087 |
$31K |
| 90697 |
|
1,314 |
1,301 |
$31K |
| 84146 |
|
2,044 |
2,014 |
$29K |
| 82670 |
|
1,041 |
740 |
$29K |
| 77065 |
Tomosynthesis, mammo |
369 |
361 |
$28K |
| 82805 |
|
771 |
764 |
$28K |
| G0279 |
Tomosynthesis, mammo |
275 |
274 |
$28K |
| 62321 |
|
39 |
39 |
$27K |
| 52356 |
|
12 |
12 |
$27K |
| 77386 |
|
150 |
13 |
$27K |
| J0561 |
Penicillin g benzathine inj |
412 |
398 |
$27K |
| 87340 |
|
5,722 |
5,705 |
$27K |
| Q3014 |
Telehealth facility fee |
1,765 |
1,622 |
$26K |
| D2392 |
|
515 |
441 |
$25K |
| 90619 |
|
958 |
958 |
$25K |
| 71045 |
|
5,980 |
5,767 |
$24K |
| 90707 |
|
1,847 |
1,842 |
$24K |
| 90716 |
|
1,781 |
1,777 |
$24K |
| 97116 |
|
736 |
653 |
$24K |
| 50590 |
|
13 |
12 |
$24K |
| 84153 |
|
1,727 |
1,709 |
$23K |
| 90750 |
|
180 |
180 |
$23K |
| 76813 |
|
500 |
493 |
$23K |
| 90471 |
|
9,350 |
8,931 |
$23K |
| 70551 |
|
62 |
61 |
$22K |
| 84702 |
|
6,356 |
5,603 |
$22K |
| 83540 |
|
7,274 |
7,204 |
$22K |
| 82746 |
|
2,436 |
2,417 |
$21K |
| 29125 |
|
91 |
88 |
$21K |
| 83001 |
|
1,438 |
1,281 |
$21K |
| C1819 |
Tissue localization-excision |
421 |
397 |
$21K |
| D0150 |
|
1,176 |
1,147 |
$21K |
| 90620 |
|
1,128 |
1,122 |
$21K |
| 29530 |
|
80 |
80 |
$20K |
| 77290 |
|
49 |
49 |
$19K |
| 83002 |
|
1,292 |
1,135 |
$19K |
| 84681 |
|
840 |
839 |
$18K |
| J0897 |
Denosumab injection |
12 |
12 |
$18K |
| D0140 |
|
1,501 |
1,465 |
$18K |
| 73562 |
|
3,415 |
3,309 |
$17K |
| 83525 |
|
1,786 |
1,723 |
$17K |
| 84436 |
|
3,624 |
3,594 |
$16K |
| 77066 |
Tomosynthesis, mammo |
210 |
209 |
$16K |
| 99211 |
|
908 |
869 |
$16K |
| 90723 |
|
1,812 |
1,810 |
$16K |
| 82962 |
|
11,529 |
9,184 |
$16K |
| 86592 |
|
8,145 |
8,092 |
$16K |
| 84403 |
|
940 |
935 |
$16K |
| 51702 |
|
41 |
41 |
$16K |
| 76870 |
|
426 |
422 |
$15K |
| 87147 |
|
5,176 |
3,938 |
$15K |
| 85730 |
|
18,770 |
18,112 |
$15K |
| C1769 |
Guide wire |
1,720 |
1,681 |
$15K |
| J1050 |
Medroxyprogesterone acetate |
307 |
306 |
$15K |
| 76820 |
|
344 |
196 |
$15K |
| 84144 |
|
2,146 |
1,743 |
$15K |
| 90710 |
|
1,299 |
1,298 |
$15K |
| D7210 |
|
229 |
183 |
$14K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
9,022 |
8,395 |
$14K |
| 86359 |
|
503 |
481 |
$14K |
| J7120 |
Ringers lactate infusion |
11,024 |
10,470 |
$14K |
| D0230 |
|
2,661 |
2,593 |
$14K |
| 90648 |
|
1,535 |
1,534 |
$14K |
| 86317 |
|
2,917 |
2,887 |
$14K |
| 77280 |
|
28 |
25 |
$14K |
| 90656 |
|
1,033 |
1,032 |
$14K |
| 90696 |
|
1,256 |
1,255 |
$13K |
| 95911 |
|
131 |
128 |
$13K |
| 71250 |
|
109 |
108 |
$13K |
| 87081 |
|
9,806 |
9,668 |
$13K |
| 81003 |
|
23,789 |
20,364 |
$13K |
| 99243 |
|
85 |
85 |
$13K |
| 73030 |
|
2,517 |
2,332 |
$13K |
| 95813 |
|
47 |
47 |
$12K |
| 36410 |
|
728 |
727 |
$12K |
| 95708 |
|
33 |
33 |
$12K |
| 99244 |
|
129 |
129 |
$12K |
| A9585 |
Gadobutrol injection |
384 |
369 |
$12K |
| 90734 |
|
1,160 |
1,160 |
$12K |
| 86762 |
|
1,969 |
1,958 |
$11K |
| D0330 |
|
246 |
219 |
$11K |
| 83970 |
|
279 |
271 |
$11K |
| C1894 |
Intro/sheath, non-laser |
934 |
718 |
$11K |
| 92235 |
|
92 |
65 |
$11K |
| 86765 |
|
2,039 |
2,028 |
$11K |
| J0696 |
Ceftriaxone sodium injection |
5,546 |
2,601 |
$11K |
| G0283 |
Elec stim other than wound |
621 |
353 |
$11K |
| 86140 |
|
11,593 |
10,736 |
$11K |
| 87651 |
|
428 |
420 |
$10K |
| 82533 |
|
557 |
547 |
$10K |
| 86360 |
|
503 |
481 |
$10K |
| 76885 |
|
250 |
241 |
$10K |
| D9310 |
|
361 |
361 |
$10K |
| 82043 |
|
2,805 |
2,786 |
$9K |
| 99383 |
|
63 |
63 |
$9K |
| D2391 |
|
292 |
239 |
$9K |
| 0001A |
|
232 |
231 |
$9K |
| 77332 |
|
28 |
24 |
$9K |
| 0124A |
|
224 |
224 |
$9K |
| 73110 |
|
3,261 |
2,617 |
$9K |
| 76536 |
|
95 |
89 |
$8K |
| 29515 |
|
29 |
29 |
$8K |
| 36416 |
|
498 |
483 |
$8K |
| 94726 |
|
83 |
82 |
$8K |
| 76514 |
|
197 |
95 |
$7K |
| 84484 |
|
12,199 |
9,944 |
$7K |
| 0071A |
|
180 |
180 |
$7K |
| 86696 |
|
1,886 |
1,824 |
$7K |
| 11042 |
|
20 |
12 |
$7K |
| 99242 |
|
47 |
45 |
$7K |
| 73610 |
|
3,315 |
3,008 |
$7K |
| 84479 |
|
2,450 |
2,441 |
$7K |
| J7030 |
Normal saline solution infus |
4,988 |
4,638 |
$7K |
| 25605 |
|
12 |
12 |
$7K |
| 94729 |
|
149 |
148 |
$7K |
| 87660 |
|
626 |
624 |
$7K |
| 87480 |
|
608 |
606 |
$7K |
| 92225 |
|
57 |
57 |
$7K |
| 96402 |
|
133 |
129 |
$7K |
| 87493 |
|
255 |
245 |
$7K |
| 77080 |
|
79 |
79 |
$6K |
| 87510 |
|
594 |
592 |
$6K |
| D1120 |
|
237 |
237 |
$6K |
| 86800 |
|
571 |
563 |
$6K |
| 73564 |
|
374 |
369 |
$6K |
| 87186 |
|
4,209 |
3,891 |
$6K |
| 73130 |
|
3,419 |
2,964 |
$6K |
| 77295 |
|
40 |
38 |
$6K |
| 82785 |
|
654 |
637 |
$6K |
| 82784 |
|
814 |
730 |
$6K |
| 83690 |
|
16,824 |
16,339 |
$6K |
| C1887 |
Catheter, guiding |
887 |
873 |
$6K |
| 29130 |
|
24 |
24 |
$6K |
| 86376 |
|
651 |
643 |
$6K |
| 72193 |
|
43 |
43 |
$6K |
| 96376 |
|
1,682 |
1,656 |
$6K |
| 84703 |
|
13,340 |
12,903 |
$6K |
| U0001 |
2019-ncov diagnostic p |
1,469 |
848 |
$6K |
| 10060 |
|
15 |
14 |
$6K |
| 83020 |
|
1,111 |
1,107 |
$6K |
| 86704 |
|
1,641 |
1,638 |
$6K |
| 92250 |
|
66 |
65 |
$6K |
| 0072A |
|
138 |
138 |
$6K |
| 86709 |
|
660 |
659 |
$6K |
| D9430 |
|
427 |
388 |
$5K |
| 73630 |
|
3,068 |
2,897 |
$5K |
| 84550 |
|
1,745 |
1,716 |
$5K |
| 70553 |
|
12 |
12 |
$5K |
| 72100 |
|
998 |
995 |
$5K |
| 82947 |
|
1,996 |
1,972 |
$5K |
| 85651 |
|
4,096 |
3,989 |
$5K |
| 78452 |
|
13 |
13 |
$5K |
| 93971 |
|
65 |
64 |
$5K |
| 51701 |
|
41 |
40 |
$5K |
| J0131 |
Inj, acetaminophen (nos) |
4,911 |
4,836 |
$5K |
| D9995 |
|
202 |
192 |
$5K |
| 99382 |
|
27 |
27 |
$5K |
| 84481 |
|
655 |
641 |
$5K |
| 86735 |
|
1,295 |
1,290 |
$5K |
| 73080 |
|
1,804 |
1,527 |
$5K |
| J1100 |
Dexamethasone sodium phos |
11,810 |
11,313 |
$4K |
| J0185 |
Inj., aprepitant, 1 mg |
32 |
24 |
$4K |
| 93325 |
|
78 |
75 |
$4K |
| 86235 |
|
261 |
256 |
$4K |
| 86787 |
|
1,035 |
1,019 |
$4K |
| J1335 |
Ertapenem injection |
3,713 |
424 |
$4K |
| 88300 |
|
854 |
799 |
$4K |
| 0002A |
|
105 |
105 |
$4K |
| J7040 |
Normal saline solution infus |
2,970 |
1,500 |
$4K |
| 99241 |
|
27 |
26 |
$4K |
| 86160 |
|
240 |
238 |
$4K |
| 0154A |
|
105 |
105 |
$4K |
| 82985 |
|
760 |
760 |
$4K |
| 83550 |
|
7,004 |
6,932 |
$4K |
| 86038 |
|
978 |
975 |
$4K |
| 36406 |
|
241 |
241 |
$4K |
| 83993 |
|
540 |
512 |
$4K |
| 84402 |
|
336 |
335 |
$4K |
| 70498 |
|
217 |
217 |
$4K |
| 82627 |
|
515 |
514 |
$4K |
| Q9963 |
Hocm 350-399mg/ml iodine,1ml |
573 |
564 |
$4K |
| 84145 |
|
4,360 |
4,254 |
$4K |
| 74420 |
|
15 |
14 |
$4K |
| 95886 |
|
108 |
101 |
$4K |
| 94640 |
|
4,790 |
4,630 |
$4K |
| 0003A |
|
87 |
87 |
$4K |
| J2469 |
Palonosetron hcl |
675 |
413 |
$4K |
| 82550 |
|
2,987 |
2,477 |
$4K |
| 96368 |
|
231 |
187 |
$4K |
| 90675 |
|
59 |
26 |
$4K |
| 88321 |
|
53 |
53 |
$3K |
| 83735 |
|
6,496 |
6,021 |
$3K |
| 87070 |
|
1,974 |
1,864 |
$3K |
| 86695 |
|
1,059 |
1,004 |
$3K |
| 90744 |
|
321 |
321 |
$3K |
| 96417 |
|
845 |
562 |
$3K |
| 82977 |
|
812 |
801 |
$3K |
| 87806 |
|
168 |
168 |
$3K |
| 83605 |
|
8,682 |
7,899 |
$3K |
| 87040 |
|
4,951 |
3,667 |
$3K |
| 90746 |
|
94 |
94 |
$3K |
| 82157 |
|
167 |
167 |
$3K |
| 90688 |
|
373 |
372 |
$3K |
| J8540 |
Oral dexamethasone |
1,406 |
760 |
$3K |
| 73502 |
|
582 |
561 |
$3K |
| 97803 |
|
79 |
74 |
$3K |
| 87641 |
|
277 |
275 |
$3K |
| 87077 |
|
1,355 |
1,203 |
$3K |
| 86431 |
|
635 |
631 |
$3K |
| 90381 |
|
73 |
73 |
$3K |
| 73590 |
|
1,408 |
1,301 |
$3K |
| C2617 |
Stent, non-cor, tem w/o del |
70 |
65 |
$3K |
| 93798 |
|
79 |
12 |
$3K |
| 84480 |
|
598 |
581 |
$3K |
| 77012 |
|
16 |
16 |
$3K |
| 82105 |
|
613 |
605 |
$3K |
| 84112 |
|
67 |
66 |
$3K |
| 82950 |
|
1,016 |
1,016 |
$3K |
| 73700 |
|
13 |
13 |
$2K |
| 86923 |
|
93 |
70 |
$2K |
| 82677 |
|
239 |
235 |
$2K |
| 82248 |
|
1,267 |
1,112 |
$2K |
| 73560 |
|
598 |
562 |
$2K |
| 97530 |
|
42 |
25 |
$2K |
| 90472 |
|
817 |
813 |
$2K |
| 80050 |
|
396 |
391 |
$2K |
| 80329 |
|
1,260 |
1,226 |
$2K |
| 83516 |
|
743 |
593 |
$2K |
| 99384 |
|
13 |
13 |
$2K |
| 84432 |
|
151 |
150 |
$2K |
| 90732 |
|
54 |
54 |
$2K |
| 76999 |
|
26 |
26 |
$2K |
| 84305 |
|
120 |
119 |
$2K |
| J7060 |
5% dextrose/water |
2,646 |
1,743 |
$2K |
| G0328 |
Fecal blood scrn immunoassay |
727 |
70 |
$2K |
| 76821 |
|
50 |
45 |
$2K |
| 72170 |
|
826 |
814 |
$2K |
| J2704 |
Inj, propofol, 10 mg |
15,698 |
12,789 |
$2K |
| 96411 |
|
61 |
40 |
$2K |
| 85379 |
|
2,377 |
2,331 |
$2K |
| 86255 |
|
337 |
335 |
$2K |
| 99245 |
|
12 |
12 |
$2K |
| 94760 |
|
264 |
245 |
$2K |
| 86304 |
|
75 |
72 |
$2K |
| 84445 |
|
71 |
70 |
$2K |
| 86200 |
|
307 |
305 |
$2K |
| 82465 |
|
606 |
605 |
$2K |
| 86225 |
|
344 |
342 |
$2K |
| 83615 |
|
1,236 |
1,188 |
$2K |
| 0081A |
|
43 |
43 |
$2K |
| 82570 |
|
1,841 |
1,686 |
$2K |
| D4341 |
|
14 |
12 |
$2K |
| 77072 |
|
156 |
156 |
$1K |
| 82150 |
|
596 |
593 |
$1K |
| 74018 |
|
1,517 |
1,480 |
$1K |
| C1776 |
Joint device (implantable) |
15 |
14 |
$1K |
| 84100 |
|
3,549 |
3,260 |
$1K |
| 88312 |
|
40 |
40 |
$1K |
| 83631 |
|
219 |
208 |
$1K |
| C1874 |
Stent, coated/cov w/del sys |
80 |
79 |
$1K |
| 84156 |
|
1,661 |
1,493 |
$1K |
| J2405 |
Ondansetron hcl injection |
15,059 |
14,003 |
$1K |
| 82247 |
|
415 |
321 |
$1K |
| 90647 |
|
158 |
158 |
$1K |
| 82378 |
|
69 |
69 |
$1K |
| D1206 |
|
62 |
62 |
$1K |
| 82565 |
|
1,034 |
1,020 |
$1K |
| J7042 |
5% dextrose/normal saline |
508 |
456 |
$1K |
| 73090 |
|
1,380 |
1,220 |
$1K |
| 99429 |
|
97 |
82 |
$1K |
| 72110 |
|
388 |
386 |
$1K |
| 72081 |
|
148 |
148 |
$1K |
| 76805 |
|
15 |
15 |
$1K |
| J0690 |
Cefazolin sodium injection |
5,667 |
5,368 |
$1K |
| D9210 |
|
278 |
271 |
$1K |
| 87205 |
|
1,736 |
1,634 |
$1K |
| 82330 |
|
2,131 |
1,973 |
$1K |
| 88311 |
|
39 |
36 |
$984.80 |
| D9110 |
|
78 |
78 |
$953.89 |
| 73140 |
|
1,362 |
1,212 |
$953.69 |
| C1781 |
Mesh (implantable) |
50 |
50 |
$944.30 |
| 72083 |
|
78 |
77 |
$931.39 |
| 86039 |
|
225 |
225 |
$914.19 |
| 97763 |
|
13 |
13 |
$880.70 |
| 84704 |
|
239 |
235 |
$871.04 |
| J1741 |
Ibuprofen injection |
438 |
434 |
$833.60 |
| C1758 |
Catheter, ureteral |
107 |
103 |
$832.97 |
| 73521 |
|
138 |
136 |
$822.96 |
| 80320 |
|
3,067 |
2,935 |
$803.79 |
| 77061 |
|
14 |
13 |
$769.52 |
| 84460 |
|
954 |
951 |
$760.84 |
| D9990 |
|
41 |
40 |
$759.27 |
| 90743 |
|
46 |
46 |
$752.58 |
| 85652 |
|
4,927 |
4,526 |
$743.96 |
| 95885 |
|
33 |
31 |
$716.92 |
| 85045 |
|
504 |
487 |
$697.27 |
| 0054A |
|
19 |
19 |
$668.13 |
| 84450 |
|
841 |
839 |
$663.89 |
| Q9957 |
Inj perflutren lip micros,ml |
14 |
14 |
$636.43 |
| 86336 |
|
186 |
183 |
$623.53 |
| 99406 |
|
12 |
12 |
$619.36 |
| 73000 |
|
79 |
74 |
$585.05 |
| 82270 |
|
699 |
685 |
$580.65 |
| D1208 |
|
56 |
56 |
$546.15 |
| 87640 |
|
238 |
236 |
$521.34 |
| 87338 |
|
98 |
92 |
$519.61 |
| 0082A |
|
12 |
12 |
$516.00 |
| 72040 |
|
51 |
51 |
$515.10 |
| 75574 |
|
30 |
12 |
$486.94 |
| 84132 |
|
1,105 |
1,085 |
$468.08 |
| 85660 |
|
1,025 |
988 |
$462.10 |
| 80179 |
|
966 |
942 |
$456.74 |
| 82652 |
|
47 |
47 |
$448.60 |
| 0074A |
|
12 |
12 |
$436.00 |
| 76825 |
|
13 |
13 |
$418.22 |
| 84520 |
|
519 |
493 |
$417.77 |
| 76827 |
|
13 |
13 |
$412.74 |
| J1885 |
Ketorolac tromethamine inj |
15,469 |
14,701 |
$392.90 |
| 87185 |
|
226 |
222 |
$390.01 |
| 90694 |
|
31 |
31 |
$372.07 |
| C1760 |
Closure dev, vasc |
283 |
273 |
$362.99 |
| 73552 |
|
135 |
131 |
$361.81 |
| J3010 |
Fentanyl citrate injection |
10,950 |
10,210 |
$346.42 |
| 82272 |
|
233 |
223 |
$333.41 |
| 83037 |
|
102 |
102 |
$320.68 |
| 82390 |
|
42 |
42 |
$318.93 |
| J2795 |
Ropivacaine hcl injection |
891 |
768 |
$314.10 |
| 82103 |
|
27 |
27 |
$309.25 |
| A9500 |
Tc99m sestamibi |
13 |
13 |
$299.51 |
| J0171 |
Adrenalin epinephrine inject |
768 |
741 |
$296.83 |
| 90685 |
|
16 |
16 |
$289.62 |
| J1170 |
Hydromorphone injection |
1,655 |
1,538 |
$286.75 |
| 87880 |
|
765 |
727 |
$280.91 |
| 85014 |
|
2,115 |
1,979 |
$268.98 |
| 90380 |
|
13 |
13 |
$262.32 |
| 83498 |
|
14 |
14 |
$258.47 |
| 86301 |
|
13 |
12 |
$255.48 |
| 91319 |
|
16 |
16 |
$252.56 |
| 72082 |
|
15 |
15 |
$250.17 |
| 90672 |
|
12 |
12 |
$234.68 |
| 82172 |
|
14 |
14 |
$232.34 |
| D0170 |
|
27 |
26 |
$231.81 |
| 86618 |
|
15 |
15 |
$226.49 |
| 90653 |
|
37 |
37 |
$220.50 |
| J1644 |
Inj heparin sodium per 1000u |
1,452 |
1,220 |
$208.11 |
| 73070 |
|
211 |
193 |
$201.78 |
| 86694 |
|
248 |
165 |
$199.17 |
| 86300 |
|
13 |
13 |
$196.78 |
| 86021 |
|
12 |
12 |
$186.91 |
| 86060 |
|
40 |
40 |
$174.72 |
| 72070 |
|
25 |
24 |
$143.85 |
| 82104 |
|
13 |
13 |
$141.52 |
| 84295 |
|
785 |
770 |
$141.02 |
| J2270 |
Morphine sulfate injection |
1,100 |
1,019 |
$139.06 |
| 82435 |
|
777 |
765 |
$128.67 |
| J2250 |
Inj midazolam hydrochloride |
10,624 |
10,451 |
$127.61 |
| 86644 |
|
26 |
26 |
$123.71 |
| 85384 |
|
215 |
212 |
$119.93 |
| 84165 |
|
15 |
15 |
$117.93 |
| 86141 |
|
29 |
29 |
$117.68 |
| 94664 |
|
642 |
640 |
$115.84 |
| 73060 |
|
301 |
282 |
$112.25 |
| U0002 |
Covid-19 lab test non-cdc |
75 |
61 |
$109.80 |
| 71101 |
|
164 |
163 |
$101.46 |
| 86705 |
|
12 |
12 |
$100.45 |
| 84155 |
|
42 |
42 |
$89.21 |
| 85347 |
|
38 |
26 |
$85.34 |
| 86645 |
|
36 |
36 |
$84.79 |
| 86580 |
|
15 |
14 |
$83.42 |
| 87075 |
|
39 |
39 |
$80.14 |
| 82951 |
|
13 |
13 |
$79.75 |
| J7644 |
Ipratropium bromide non-comp |
2,020 |
1,620 |
$77.82 |
| J2765 |
Metoclopramide hcl injection |
2,143 |
2,095 |
$75.77 |
| J2001 |
Lidocaine injection |
4,333 |
4,171 |
$71.62 |
| 82657 |
|
66 |
66 |
$69.24 |
| 86777 |
|
20 |
15 |
$62.33 |
| A4648 |
Implantable tissue marker |
13 |
13 |
$59.48 |
| J7642 |
Glycopyrrolate comp con |
322 |
322 |
$58.40 |
| 82656 |
|
14 |
14 |
$52.91 |
| 91312 |
|
16 |
16 |
$45.72 |
| Q0162 |
Ondansetron oral |
6,394 |
5,985 |
$44.98 |
| J1650 |
Inj enoxaparin sodium |
1,042 |
739 |
$40.60 |
| J1200 |
Diphenhydramine hcl injectio |
1,632 |
1,461 |
$39.87 |
| J2930 |
Methylprednisolone injection |
224 |
206 |
$39.75 |
| J3475 |
Inj magnesium sulfate |
126 |
119 |
$33.86 |
| J1094 |
Inj dexamethasone acetate |
633 |
601 |
$30.41 |
| J2272 |
Inj, morphine (fresenius) |
225 |
209 |
$26.86 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
1,254 |
1,236 |
$26.04 |
| C9399 |
Unclassified drugs or biolog |
1,298 |
1,192 |
$20.70 |
| J2370 |
Phenylephrine hcl injection |
210 |
203 |
$19.80 |
| J7613 |
Albuterol non-comp unit |
2,573 |
2,061 |
$16.37 |
| 84478 |
|
12 |
12 |
$16.09 |
| J0330 |
Succinycholine chloride inj |
36 |
36 |
$14.16 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
16 |
14 |
$13.74 |
| 83930 |
|
30 |
30 |
$12.08 |
| 83021 |
|
54 |
54 |
$11.73 |
| G0008 |
Admin influenza virus vac |
62 |
62 |
$11.67 |
| 86708 |
|
24 |
24 |
$10.10 |
| 82010 |
|
69 |
65 |
$7.20 |
| J1642 |
Inj heparin sodium per 10 u |
283 |
211 |
$5.51 |
| 88720 |
|
68 |
55 |
$5.02 |
| J7512 |
Prednisone ir or dr oral 1mg |
452 |
395 |
$3.74 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
295 |
279 |
$3.10 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
120 |
120 |
$2.13 |
| Q0163 |
Diphenhydramine hcl 50mg |
1,858 |
1,450 |
$2.12 |
| J2004 |
Inj, lidocaine w epinephrine |
19 |
19 |
$1.99 |
| J3370 |
Vancomycin hcl injection |
55 |
52 |
$1.01 |
| J2060 |
Lorazepam injection |
81 |
76 |
$0.84 |
| Q0144 |
Azithromycin dihydrate, oral |
240 |
237 |
$0.10 |
| 99080 |
|
5,700 |
1,280 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
63 |
63 |
$0.00 |
| A4649 |
Surgical supplies |
38 |
38 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
40 |
39 |
$0.00 |
| 69210 |
|
29 |
27 |
$0.00 |
| 3E03329 |
|
61 |
13 |
$0.00 |
| J1630 |
Haloperidol injection |
31 |
27 |
$0.00 |
| J1815 |
Insulin injection |
19 |
15 |
$0.00 |
| J1920 |
Inj, labetalol hcl, 5mg |
12 |
12 |
$0.00 |
| 29826 |
|
12 |
12 |
$0.00 |
| 87206 |
|
12 |
12 |
$0.00 |
| 87449 |
|
26 |
26 |
$0.00 |
| J2543 |
Piperacillin/tazobactam |
18 |
13 |
$0.00 |
| J2305 |
Inj, nitroglycerin, 5 mg |
30 |
29 |
$0.00 |
| 77417 |
|
44 |
14 |
$0.00 |