| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
94,833 |
86,114 |
$22.02M |
| 99285 |
|
47,276 |
42,262 |
$19.37M |
| 99283 |
|
65,535 |
60,187 |
$14.62M |
| 74177 |
|
21,018 |
19,718 |
$12.17M |
| 70553 |
|
13,230 |
12,431 |
$6.97M |
| 70450 |
|
23,145 |
21,461 |
$3.64M |
| J2350 |
Injection, ocrelizumab, 1 mg |
254 |
204 |
$3.07M |
| 74176 |
|
6,248 |
5,786 |
$2.37M |
| 71275 |
|
5,475 |
5,082 |
$2.32M |
| J2323 |
Natalizumab injection |
1,090 |
957 |
$2.30M |
| 72125 |
|
8,808 |
8,306 |
$2.27M |
| 97110 |
|
35,483 |
10,455 |
$1.85M |
| 59025 |
|
12,729 |
9,935 |
$1.53M |
| G0378 |
Hospital observation per hr |
28,996 |
14,138 |
$1.28M |
| 99282 |
|
12,991 |
12,216 |
$1.15M |
| 72131 |
|
3,984 |
3,755 |
$1.14M |
| 93306 |
|
4,611 |
4,256 |
$1.09M |
| 77386 |
|
5,060 |
456 |
$1.04M |
| 88305 |
|
10,262 |
9,374 |
$1.00M |
| 78452 |
|
881 |
791 |
$953K |
| 49083 |
|
2,757 |
1,297 |
$827K |
| 77334 |
|
1,498 |
1,062 |
$826K |
| 93458 |
|
876 |
784 |
$814K |
| 99291 |
|
875 |
798 |
$708K |
| 93970 |
|
2,848 |
2,661 |
$626K |
| 80053 |
|
155,805 |
124,436 |
$617K |
| 70498 |
|
1,772 |
1,642 |
$598K |
| J9271 |
Inj pembrolizumab |
79 |
64 |
$561K |
| 96413 |
|
8,437 |
4,828 |
$525K |
| 74183 |
|
1,819 |
1,695 |
$522K |
| 86832 |
|
1,952 |
1,449 |
$520K |
| 72148 |
|
2,424 |
2,287 |
$483K |
| 97112 |
|
16,370 |
5,806 |
$460K |
| 72157 |
|
1,142 |
1,083 |
$425K |
| 10060 |
|
1,783 |
1,693 |
$420K |
| 87633 |
|
2,395 |
2,091 |
$419K |
| 70491 |
|
1,269 |
1,211 |
$417K |
| 72156 |
|
2,058 |
1,920 |
$410K |
| 70551 |
|
3,472 |
3,231 |
$404K |
| J9035 |
Bevacizumab injection |
165 |
65 |
$377K |
| J2469 |
Palonosetron hcl |
3,028 |
1,744 |
$363K |
| 70544 |
|
1,881 |
1,770 |
$350K |
| 97140 |
|
16,580 |
5,585 |
$340K |
| 97116 |
|
7,834 |
2,920 |
$339K |
| 43239 |
|
1,704 |
1,551 |
$333K |
| 96365 |
|
16,933 |
13,543 |
$321K |
| P9047 |
Albumin (human), 25%, 50ml |
2,355 |
952 |
$294K |
| 72158 |
|
1,080 |
1,018 |
$290K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
466 |
418 |
$281K |
| 76700 |
|
3,411 |
3,317 |
$275K |
| 99212 |
|
16,492 |
12,189 |
$275K |
| 47562 |
|
83 |
69 |
$269K |
| 87798 |
|
1,920 |
1,713 |
$266K |
| 71250 |
|
3,609 |
3,363 |
$247K |
| 97535 |
|
7,533 |
3,324 |
$246K |
| 72141 |
|
2,052 |
1,912 |
$239K |
| 87497 |
|
3,857 |
2,274 |
$238K |
| 88307 |
|
1,949 |
1,804 |
$224K |
| 78815 |
|
398 |
383 |
$223K |
| 93971 |
|
5,553 |
5,171 |
$203K |
| 77067 |
|
2,784 |
2,640 |
$203K |
| 70496 |
|
2,029 |
1,875 |
$198K |
| 74174 |
|
287 |
273 |
$186K |
| 87635 |
|
10,861 |
10,096 |
$181K |
| 71260 |
|
4,015 |
3,809 |
$176K |
| 76815 |
|
1,807 |
1,671 |
$176K |
| 80197 |
|
6,625 |
2,945 |
$150K |
| 88341 |
|
2,042 |
1,830 |
$145K |
| 43235 |
|
610 |
570 |
$139K |
| 91010 |
|
582 |
523 |
$129K |
| 93005 |
|
63,852 |
54,743 |
$126K |
| J0585 |
Injection,onabotulinumtoxina |
223 |
204 |
$117K |
| 97162 |
|
4,151 |
3,920 |
$111K |
| 36430 |
|
1,616 |
1,183 |
$108K |
| 80307 |
|
30,468 |
27,766 |
$108K |
| 96375 |
|
47,502 |
39,224 |
$106K |
| 96361 |
|
22,307 |
18,520 |
$104K |
| G0463 |
Hospital outpt clinic visit |
11,300 |
7,169 |
$99K |
| 97530 |
|
4,894 |
2,286 |
$99K |
| 77300 |
|
1,451 |
1,193 |
$95K |
| 70486 |
|
3,003 |
2,876 |
$93K |
| 96366 |
|
6,687 |
4,798 |
$91K |
| 36561 |
|
54 |
51 |
$89K |
| 76856 |
|
4,816 |
4,576 |
$89K |
| 45380 |
|
208 |
193 |
$88K |
| 99211 |
|
14,178 |
11,443 |
$85K |
| 76705 |
|
6,629 |
6,236 |
$80K |
| 97163 |
|
4,795 |
4,334 |
$80K |
| 71046 |
|
26,324 |
24,700 |
$79K |
| C9600 |
Perc drug-el cor stent sing |
15 |
12 |
$77K |
| 72197 |
|
355 |
347 |
$76K |
| 72082 |
|
1,331 |
1,278 |
$72K |
| 11042 |
|
428 |
318 |
$70K |
| J2505 |
Injection, pegfilgrastim 6mg |
20 |
12 |
$67K |
| A9576 |
Inj prohance multipack |
7,057 |
6,742 |
$67K |
| 88304 |
|
3,357 |
3,189 |
$65K |
| 84443 |
|
10,443 |
9,112 |
$65K |
| 45385 |
|
153 |
145 |
$64K |
| J3490 |
Drugs unclassified injection |
81,166 |
36,449 |
$64K |
| 72146 |
|
233 |
214 |
$63K |
| 99213 |
|
4,080 |
2,667 |
$61K |
| 93312 |
|
371 |
350 |
$59K |
| 97161 |
|
1,275 |
1,226 |
$58K |
| 77080 |
|
1,620 |
1,513 |
$56K |
| 36591 |
|
7,494 |
4,043 |
$54K |
| 94726 |
|
471 |
443 |
$53K |
| 99281 |
|
994 |
944 |
$53K |
| 87507 |
|
520 |
480 |
$52K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,337 |
2,747 |
$52K |
| 88173 |
|
1,238 |
1,146 |
$51K |
| 77012 |
|
223 |
201 |
$50K |
| 94640 |
|
13,968 |
7,878 |
$48K |
| 94010 |
|
1,661 |
1,522 |
$46K |
| 74018 |
|
5,221 |
4,782 |
$46K |
| 82378 |
|
1,628 |
1,356 |
$46K |
| 77301 |
|
17 |
15 |
$44K |
| 99153 |
Mod sedat endo service >5yrs |
4,747 |
4,171 |
$44K |
| 72100 |
|
3,633 |
3,485 |
$43K |
| 62270 |
|
334 |
310 |
$43K |
| 74220 |
|
656 |
610 |
$43K |
| 76536 |
|
754 |
730 |
$42K |
| 76805 |
|
759 |
736 |
$42K |
| 94729 |
|
1,828 |
1,714 |
$41K |
| 82533 |
|
656 |
431 |
$41K |
| C1889 |
Implant/insert device, noc |
1,283 |
1,112 |
$39K |
| 77373 |
|
41 |
12 |
$38K |
| 87522 |
Neg quan hep c or qual rna |
146 |
121 |
$36K |
| 96374 |
|
53,019 |
46,813 |
$36K |
| 96367 |
|
5,079 |
3,098 |
$35K |
| 41899 |
|
367 |
321 |
$34K |
| 76817 |
|
3,673 |
3,365 |
$33K |
| 70543 |
|
81 |
77 |
$33K |
| P9016 |
Rbc leukocytes reduced |
1,151 |
919 |
$33K |
| 77295 |
|
74 |
67 |
$32K |
| 0241U |
|
14,859 |
14,148 |
$31K |
| 96360 |
|
6,557 |
5,925 |
$30K |
| 85025 |
|
180,423 |
140,752 |
$29K |
| 73562 |
|
5,571 |
4,766 |
$29K |
| 83880 |
|
16,593 |
14,754 |
$29K |
| 72040 |
|
2,242 |
2,122 |
$28K |
| 86920 |
|
2,178 |
1,819 |
$28K |
| C1887 |
Catheter, guiding |
2,736 |
2,398 |
$28K |
| 72084 |
|
283 |
273 |
$28K |
| 73130 |
|
3,619 |
3,253 |
$27K |
| 95714 |
|
103 |
37 |
$26K |
| 76642 |
|
1,303 |
1,215 |
$26K |
| 31624 |
|
196 |
176 |
$26K |
| 72128 |
|
2,643 |
2,474 |
$26K |
| 10061 |
|
85 |
82 |
$25K |
| 97166 |
|
2,315 |
2,183 |
$25K |
| 73030 |
|
4,405 |
3,984 |
$25K |
| 87040 |
|
14,763 |
13,566 |
$24K |
| 77470 |
|
113 |
109 |
$24K |
| G0480 |
Drug test def 1-7 classes |
9,059 |
7,321 |
$23K |
| 62328 |
|
85 |
77 |
$23K |
| 97597 |
|
488 |
340 |
$22K |
| 76801 |
|
5,611 |
5,097 |
$22K |
| 93976 |
|
2,193 |
2,079 |
$22K |
| 96372 |
|
34,550 |
28,332 |
$22K |
| 58662 |
|
14 |
14 |
$21K |
| 70250 |
|
2,133 |
1,814 |
$20K |
| 77412 |
|
318 |
49 |
$19K |
| 99152 |
|
6,063 |
5,389 |
$18K |
| 87086 |
|
30,579 |
27,938 |
$18K |
| 93017 |
|
1,004 |
907 |
$18K |
| 96417 |
|
2,735 |
1,654 |
$17K |
| 77338 |
|
57 |
52 |
$17K |
| 70487 |
|
42 |
37 |
$17K |
| 76775 |
|
661 |
606 |
$17K |
| 71045 |
|
46,958 |
41,759 |
$17K |
| 93975 |
|
42 |
38 |
$16K |
| 95812 |
|
135 |
124 |
$16K |
| 90935 |
|
145 |
79 |
$16K |
| 73721 |
|
103 |
95 |
$16K |
| 70470 |
|
29 |
27 |
$15K |
| 12002 |
|
750 |
727 |
$15K |
| C1874 |
Stent, coated/cov w/del sys |
60 |
51 |
$14K |
| C1751 |
Cath, inf, per/cent/midline |
800 |
678 |
$14K |
| 99214 |
|
737 |
511 |
$14K |
| 52332 |
|
19 |
16 |
$13K |
| G0257 |
Unsched dialysis esrd pt hos |
279 |
179 |
$13K |
| 97167 |
|
3,541 |
3,154 |
$13K |
| 77066 |
Tomosynthesis, mammo |
134 |
118 |
$12K |
| C1769 |
Guide wire |
5,829 |
5,084 |
$12K |
| C8929 |
Tte w or wo fol wcon,doppler |
89 |
87 |
$12K |
| 96376 |
|
16,400 |
11,938 |
$12K |
| 87075 |
|
3,768 |
2,794 |
$12K |
| J1756 |
Iron sucrose injection |
745 |
363 |
$12K |
| C1729 |
Cath, drainage |
1,470 |
960 |
$12K |
| 87210 |
|
4,824 |
4,580 |
$11K |
| 83690 |
|
37,355 |
33,751 |
$11K |
| 92507 |
|
845 |
240 |
$11K |
| 95816 |
|
99 |
93 |
$10K |
| 72193 |
|
24 |
24 |
$10K |
| C1894 |
Intro/sheath, non-laser |
4,538 |
3,998 |
$10K |
| 86833 |
|
1,962 |
1,448 |
$9K |
| 83735 |
|
38,551 |
29,016 |
$9K |
| 97113 |
|
53 |
24 |
$9K |
| 73630 |
|
4,017 |
3,582 |
$9K |
| 70545 |
|
3,168 |
2,946 |
$8K |
| 80061 |
|
2,484 |
2,240 |
$8K |
| 78264 |
|
40 |
39 |
$8K |
| 96415 |
|
2,572 |
1,816 |
$8K |
| 12001 |
|
1,060 |
1,025 |
$8K |
| 97130 |
|
845 |
212 |
$7K |
| 73610 |
|
2,958 |
2,739 |
$7K |
| 82803 |
|
1,428 |
1,270 |
$7K |
| 80048 |
|
44,351 |
35,765 |
$7K |
| 73590 |
|
2,511 |
2,193 |
$7K |
| 86645 |
|
49 |
38 |
$7K |
| 70552 |
|
168 |
154 |
$7K |
| 73700 |
|
147 |
139 |
$7K |
| 76830 |
|
3,808 |
3,627 |
$6K |
| 80050 |
|
175 |
156 |
$6K |
| 84100 |
|
12,510 |
8,066 |
$6K |
| 87149 |
|
246 |
153 |
$6K |
| 94060 |
|
30 |
29 |
$6K |
| 86900 |
|
20,830 |
18,494 |
$6K |
| 87186 |
|
8,577 |
7,944 |
$6K |
| 85379 |
|
11,407 |
10,623 |
$6K |
| C1726 |
Cath, bal dil, non-vascular |
279 |
257 |
$6K |
| 99201 |
|
1,672 |
1,598 |
$6K |
| 96125 |
|
81 |
77 |
$6K |
| 80074 |
|
676 |
617 |
$6K |
| 84484 |
|
32,807 |
26,596 |
$5K |
| J2785 |
Regadenoson injection |
762 |
672 |
$5K |
| 36415 |
|
178,557 |
131,334 |
$5K |
| 73502 |
|
2,215 |
2,078 |
$5K |
| 0450 |
|
135 |
122 |
$5K |
| 95953 |
|
31 |
12 |
$5K |
| A9270 |
Non-covered item or service |
10,398 |
4,579 |
$5K |
| J0561 |
Penicillin g benzathine inj |
129 |
124 |
$5K |
| 80320 |
|
9,362 |
8,411 |
$5K |
| 81025 |
|
36,049 |
33,143 |
$5K |
| 86850 |
|
13,110 |
11,722 |
$5K |
| 84702 |
|
11,075 |
10,050 |
$5K |
| 97165 |
|
223 |
207 |
$5K |
| 73110 |
|
1,719 |
1,580 |
$4K |
| 74019 |
|
1,507 |
1,432 |
$4K |
| M0243 |
Casirivi and imdevi inj |
217 |
182 |
$4K |
| S2900 |
Robotic surgical system |
111 |
101 |
$4K |
| 94618 |
|
436 |
415 |
$4K |
| 87491 |
|
7,208 |
6,921 |
$4K |
| 12011 |
|
266 |
261 |
$4K |
| 31628 |
|
13 |
13 |
$4K |
| 73120 |
|
366 |
305 |
$4K |
| 76870 |
|
820 |
784 |
$4K |
| 87591 |
|
7,317 |
7,017 |
$4K |
| 73620 |
|
698 |
592 |
$4K |
| 51798 |
|
787 |
731 |
$4K |
| 87070 |
|
6,533 |
5,384 |
$4K |
| J2710 |
Neostigmine methylslfte inj |
2,489 |
2,256 |
$4K |
| 72050 |
|
55 |
53 |
$3K |
| C9399 |
Unclassified drugs or biolog |
1,795 |
1,576 |
$3K |
| 83605 |
|
43,621 |
38,273 |
$3K |
| 77065 |
Tomosynthesis, mammo |
41 |
32 |
$3K |
| 87799 |
|
578 |
413 |
$3K |
| 73080 |
|
1,117 |
1,049 |
$3K |
| 82728 |
|
2,326 |
2,083 |
$3K |
| J1815 |
Insulin injection |
11,247 |
5,271 |
$3K |
| 70548 |
|
3,761 |
3,521 |
$3K |
| 36600 |
|
399 |
367 |
$3K |
| 85576 |
|
671 |
633 |
$3K |
| 84145 |
|
18,110 |
16,757 |
$3K |
| 82247 |
|
530 |
362 |
$3K |
| 81001 |
|
66,137 |
59,523 |
$3K |
| 73090 |
|
1,586 |
1,446 |
$2K |
| J3475 |
Inj magnesium sulfate |
5,535 |
4,396 |
$2K |
| 97542 |
|
86 |
62 |
$2K |
| 82306 |
|
1,706 |
1,547 |
$2K |
| 72170 |
|
1,669 |
1,549 |
$2K |
| 73560 |
|
347 |
271 |
$2K |
| 88360 |
|
208 |
193 |
$2K |
| 51702 |
|
55 |
50 |
$2K |
| 76942 |
|
91 |
80 |
$2K |
| 80329 |
|
4,686 |
3,746 |
$2K |
| 70547 |
|
91 |
85 |
$2K |
| 87116 |
|
1,348 |
1,181 |
$2K |
| 77336 |
|
3,513 |
1,747 |
$2K |
| 84703 |
|
8,030 |
7,596 |
$2K |
| 95819 |
|
14 |
14 |
$2K |
| 83970 |
|
37 |
25 |
$2K |
| 82248 |
|
592 |
454 |
$2K |
| 88342 |
|
3,312 |
3,027 |
$2K |
| 86901 |
|
20,829 |
18,492 |
$2K |
| 85027 |
|
19,969 |
16,324 |
$2K |
| 17250 |
|
18 |
15 |
$2K |
| 77001 |
|
417 |
375 |
$2K |
| 85610 |
|
43,916 |
37,043 |
$2K |
| 86141 |
|
12,188 |
11,274 |
$2K |
| 87631 |
|
2,691 |
2,597 |
$1K |
| 72110 |
|
25 |
24 |
$1K |
| 76770 |
|
25 |
24 |
$1K |
| 87651 |
|
3,796 |
3,696 |
$1K |
| 87102 |
|
1,566 |
1,397 |
$1K |
| 71101 |
|
735 |
705 |
$1K |
| 89051 |
|
4,280 |
2,797 |
$1K |
| 86870 |
|
15 |
14 |
$1K |
| 86635 |
|
785 |
651 |
$1K |
| 97129 |
|
860 |
215 |
$1K |
| 85460 |
|
669 |
622 |
$1K |
| J2405 |
Ondansetron hcl injection |
49,773 |
40,334 |
$1K |
| J1644 |
Inj heparin sodium per 1000u |
15,446 |
7,195 |
$1K |
| 87081 |
|
4,305 |
4,087 |
$1K |
| 85730 |
|
24,172 |
20,711 |
$1K |
| 82962 |
|
35,535 |
22,048 |
$1K |
| 90715 |
|
4,312 |
4,110 |
$1K |
| 82784 |
|
374 |
343 |
$1K |
| 88185 |
|
12 |
12 |
$1K |
| M0222 |
Bebtelovimab injection |
55 |
53 |
$1K |
| 87502 |
|
2,706 |
2,596 |
$1K |
| J7040 |
Normal saline solution infus |
5,065 |
3,567 |
$1K |
| 76641 |
|
12 |
12 |
$1K |
| 87205 |
|
5,876 |
4,720 |
$1K |
| 88312 |
|
481 |
449 |
$1K |
| J2270 |
Morphine sulfate injection |
30,465 |
22,320 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
35,749 |
31,381 |
$981.52 |
| 84439 |
|
2,171 |
1,964 |
$975.14 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
38,342 |
34,401 |
$973.96 |
| 74170 |
|
14 |
13 |
$964.23 |
| 73600 |
|
215 |
179 |
$960.75 |
| J7030 |
Normal saline solution infus |
20,527 |
14,800 |
$944.66 |
| 96523 |
|
90 |
70 |
$923.83 |
| 76937 |
|
1,502 |
1,324 |
$923.73 |
| 80321 |
|
62 |
55 |
$918.46 |
| 95813 |
|
13 |
12 |
$917.35 |
| 83036 |
|
4,852 |
4,386 |
$885.34 |
| 99202 |
|
73 |
71 |
$865.61 |
| G8996 |
Swallow current status |
72 |
63 |
$849.10 |
| 93225 |
|
12 |
12 |
$825.00 |
| 82024 |
|
106 |
101 |
$819.23 |
| 87880 |
|
3,634 |
3,510 |
$782.08 |
| 73060 |
|
527 |
496 |
$763.26 |
| C1760 |
Closure dev, vasc |
864 |
740 |
$699.00 |
| J0696 |
Ceftriaxone sodium injection |
15,408 |
12,995 |
$697.85 |
| J1650 |
Inj enoxaparin sodium |
6,453 |
3,659 |
$674.13 |
| J2370 |
Phenylephrine hcl injection |
2,594 |
2,237 |
$642.30 |
| 81003 |
|
26,570 |
24,356 |
$641.81 |
| 82550 |
|
14,377 |
12,827 |
$627.34 |
| 84112 |
|
171 |
155 |
$554.36 |
| 82553 |
|
6,231 |
5,551 |
$540.33 |
| 84512 |
|
15,054 |
12,443 |
$535.62 |
| 87389 |
|
4,486 |
4,305 |
$525.54 |
| 87340 |
|
1,261 |
1,121 |
$517.01 |
| 99203 |
|
29 |
29 |
$509.88 |
| 83615 |
|
5,230 |
4,124 |
$489.48 |
| 85652 |
|
11,475 |
10,663 |
$468.78 |
| 73140 |
|
193 |
188 |
$466.90 |
| 73070 |
|
171 |
156 |
$454.62 |
| 85384 |
|
2,657 |
2,402 |
$417.70 |
| 90686 |
|
893 |
810 |
$403.22 |
| J1100 |
Dexamethasone sodium phos |
20,290 |
16,439 |
$402.48 |
| 87077 |
|
10,820 |
10,050 |
$399.94 |
| 87206 |
|
1,315 |
1,153 |
$385.67 |
| 74022 |
|
1,048 |
990 |
$382.34 |
| 84153 |
|
761 |
648 |
$379.07 |
| 82150 |
|
3,090 |
2,791 |
$350.33 |
| 88112 |
|
293 |
254 |
$349.25 |
| J2997 |
Alteplase recombinant |
60 |
25 |
$347.71 |
| J2704 |
Inj, propofol, 10 mg |
18,891 |
15,909 |
$347.11 |
| 87486 |
|
1,216 |
1,105 |
$343.73 |
| 72070 |
|
42 |
41 |
$337.68 |
| 90471 |
|
5,438 |
5,171 |
$334.17 |
| 87581 |
|
1,216 |
1,105 |
$328.33 |
| J0360 |
Hydralazine hcl injection |
3,042 |
2,251 |
$305.38 |
| 87015 |
|
1,738 |
1,533 |
$301.99 |
| 76377 |
|
402 |
363 |
$301.08 |
| 86308 |
|
2,240 |
2,175 |
$298.27 |
| J3010 |
Fentanyl citrate injection |
30,085 |
24,241 |
$296.89 |
| 86706 |
|
969 |
832 |
$295.54 |
| 82607 |
|
1,701 |
1,528 |
$292.05 |
| 92610 |
|
41 |
37 |
$287.12 |
| J2274 |
Inj morphine pf epid ithc |
2,254 |
944 |
$286.00 |
| 29125 |
|
252 |
238 |
$285.21 |
| 77290 |
|
13 |
13 |
$283.15 |
| Q9957 |
Inj perflutren lip micros,ml |
349 |
340 |
$283.04 |
| J0690 |
Cefazolin sodium injection |
9,408 |
7,574 |
$278.31 |
| 87449 |
|
211 |
195 |
$273.40 |
| A9502 |
Tc99m tetrofosmin |
879 |
789 |
$268.06 |
| 84157 |
|
1,808 |
1,578 |
$250.45 |
| 73100 |
|
53 |
45 |
$242.09 |
| 82945 |
|
1,060 |
991 |
$226.22 |
| 83930 |
|
13 |
12 |
$223.66 |
| 85007 |
|
7,536 |
5,862 |
$222.68 |
| 85018 |
|
2,438 |
2,064 |
$220.32 |
| 87804 |
|
1,758 |
1,620 |
$219.01 |
| 80164 |
|
202 |
177 |
$202.15 |
| J2930 |
Methylprednisolone injection |
4,514 |
3,721 |
$200.32 |
| 95700 |
|
248 |
237 |
$195.51 |
| C1788 |
Port, indwelling, imp |
42 |
40 |
$193.73 |
| 86480 |
|
97 |
81 |
$188.38 |
| Q0144 |
Azithromycin dihydrate, oral |
1,564 |
1,383 |
$186.29 |
| A9579 |
Gad-base mr contrast nos,1ml |
10,817 |
9,861 |
$183.25 |
| J0780 |
Prochlorperazine injection |
3,914 |
3,465 |
$178.11 |
| 80047 |
|
1,319 |
1,154 |
$171.57 |
| 96402 |
|
404 |
356 |
$164.96 |
| J1200 |
Diphenhydramine hcl injectio |
13,433 |
10,801 |
$163.15 |
| 87324 |
|
143 |
134 |
$162.56 |
| J1953 |
Levetiracetam injection |
1,248 |
1,027 |
$154.32 |
| 73552 |
|
135 |
117 |
$152.36 |
| J2250 |
Inj midazolam hydrochloride |
17,874 |
15,859 |
$143.42 |
| 82105 |
|
191 |
168 |
$128.27 |
| 87428 |
|
469 |
451 |
$127.18 |
| 82565 |
|
5,618 |
5,150 |
$123.70 |
| J3480 |
Inj potassium chloride |
4,164 |
2,801 |
$117.83 |
| 90732 |
|
241 |
219 |
$112.21 |
| 86304 |
|
478 |
391 |
$111.04 |
| J0330 |
Succinycholine chloride inj |
3,879 |
3,566 |
$108.04 |
| J1642 |
Inj heparin sodium per 10 u |
5,132 |
2,382 |
$107.27 |
| J2765 |
Metoclopramide hcl injection |
7,934 |
7,103 |
$103.11 |
| U0005 |
Infec agen detec ampli probe |
1,989 |
1,782 |
$100.39 |
| J2060 |
Lorazepam injection |
7,427 |
6,361 |
$95.75 |
| 82140 |
|
2,701 |
2,438 |
$95.16 |
| 86592 |
|
2,010 |
1,862 |
$94.81 |
| 82570 |
|
5,764 |
3,587 |
$89.89 |
| 84156 |
|
5,445 |
3,260 |
$86.86 |
| 93926 |
|
16 |
14 |
$80.36 |
| J0500 |
Dicyclomine injection |
39 |
39 |
$79.68 |
| J2001 |
Lidocaine injection |
11,580 |
8,371 |
$77.35 |
| J2550 |
Promethazine hcl injection |
5,074 |
4,214 |
$75.62 |
| J3370 |
Vancomycin hcl injection |
3,561 |
2,283 |
$73.39 |
| J7512 |
Prednisone ir or dr oral 1mg |
4,235 |
3,388 |
$72.80 |
| 82009 |
|
2,852 |
2,608 |
$71.62 |
| 93356 |
|
67 |
64 |
$70.96 |
| 82670 |
|
15 |
14 |
$69.81 |
| Q0114 |
Fern test |
1,446 |
1,356 |
$68.38 |
| 84466 |
|
1,727 |
1,563 |
$66.44 |
| 85390 |
|
602 |
571 |
$63.75 |
| 86300 |
|
56 |
50 |
$61.13 |
| 87147 |
|
2,226 |
2,116 |
$57.49 |
| J1956 |
Levofloxacin injection |
865 |
682 |
$54.00 |
| J2175 |
Meperidine hydrochl /100 mg |
2,841 |
2,582 |
$53.13 |
| J7050 |
Normal saline solution infus |
9,334 |
5,174 |
$45.99 |
| 84132 |
|
1,879 |
1,549 |
$44.03 |
| J2800 |
Methocarbamol injection |
451 |
357 |
$36.10 |
| 96368 |
|
1,592 |
1,142 |
$35.92 |
| J8540 |
Oral dexamethasone |
2,766 |
2,428 |
$32.68 |
| 83540 |
|
1,809 |
1,640 |
$32.17 |
| G8978 |
Mobility current status |
1,289 |
1,127 |
$30.02 |
| 84550 |
|
2,403 |
1,974 |
$29.02 |
| 85347 |
|
1,271 |
1,169 |
$28.48 |
| J0702 |
Betamethasone acet&sod phosp |
275 |
176 |
$27.11 |
| 88313 |
|
208 |
195 |
$25.02 |
| 82746 |
|
1,250 |
1,131 |
$14.32 |
| C9113 |
Inj pantoprazole sodium, via |
3,910 |
2,538 |
$13.89 |
| J7120 |
Ringers lactate infusion |
532 |
423 |
$13.86 |
| 86803 |
|
270 |
247 |
$13.41 |
| J1630 |
Haloperidol injection |
412 |
355 |
$12.97 |
| J7060 |
5% dextrose/water |
2,295 |
985 |
$11.44 |
| 87281 |
|
33 |
28 |
$11.26 |
| J2543 |
Piperacillin/tazobactam |
1,425 |
913 |
$10.29 |
| J1170 |
Hydromorphone injection |
1,905 |
1,637 |
$7.20 |
| J1940 |
Furosemide injection |
2,152 |
1,466 |
$6.38 |
| 87420 |
|
338 |
330 |
$4.19 |
| J7999 |
Compounded drug, noc |
746 |
596 |
$3.85 |
| J1580 |
Garamycin gentamicin inj |
706 |
616 |
$2.30 |
| G8979 |
Mobility goal status |
1,523 |
1,298 |
$0.04 |
| G8997 |
Swallow goal status |
90 |
77 |
$0.02 |
| G8980 |
Mobility d/c status |
471 |
423 |
$0.01 |
| G8990 |
Other pt/ot current status |
14 |
12 |
$0.01 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
341 |
327 |
$0.00 |
| J9045 |
Carboplatin injection |
222 |
139 |
$0.00 |
| 77063 |
|
2,777 |
2,632 |
$0.00 |
| P9612 |
Catheterize for urine spec |
42 |
41 |
$0.00 |
| 99406 |
|
306 |
296 |
$0.00 |
| 88311 |
|
823 |
773 |
$0.00 |
| 87176 |
|
116 |
110 |
$0.00 |
| 84300 |
|
77 |
67 |
$0.00 |
| C2617 |
Stent, non-cor, tem w/o del |
191 |
174 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
106 |
90 |
$0.00 |
| 64646 |
|
12 |
12 |
$0.00 |
| J3360 |
Diazepam injection |
535 |
498 |
$0.00 |
| J2795 |
Ropivacaine hcl injection |
123 |
115 |
$0.00 |
| G8988 |
Self care goal status |
847 |
695 |
$0.00 |
| 80185 |
|
25 |
25 |
$0.00 |
| 64488 |
|
87 |
82 |
$0.00 |
| G0008 |
Admin influenza virus vac |
30 |
26 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
605 |
512 |
$0.00 |
| J0185 |
Inj., aprepitant, 1 mg |
159 |
98 |
$0.00 |
| J2305 |
Inj, nitroglycerin, 5 mg |
109 |
100 |
$0.00 |
| C1781 |
Mesh (implantable) |
98 |
89 |
$0.00 |
| 99407 |
|
37 |
36 |
$0.00 |
| 86704 |
|
61 |
52 |
$0.00 |
| 64430 |
|
83 |
77 |
$0.00 |
| J0697 |
Sterile cefuroxime injection |
46 |
36 |
$0.00 |
| 88331 |
|
125 |
116 |
$0.00 |
| 0346T |
|
101 |
95 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
196 |
139 |
$0.00 |
| J2780 |
Ranitidine hydrochloride inj |
28 |
13 |
$0.00 |
| J1836 |
Inj, metronidazole, 10 mg |
266 |
189 |
$0.00 |
| J2920 |
Methylprednisolone injection |
56 |
32 |
$0.00 |
| G8991 |
Other pt/ot goal status |
29 |
24 |
$0.00 |
| 90632 |
|
212 |
206 |
$0.00 |
| 97016 |
|
120 |
37 |
$0.00 |
| G8981 |
Body pos current status |
153 |
143 |
$0.00 |
| G8982 |
Body pos goal status |
215 |
196 |
$0.00 |
| J1720 |
Hydrocortisone sodium succ i |
31 |
26 |
$0.00 |
| J0456 |
Azithromycin |
132 |
108 |
$0.00 |
| C1753 |
Cath, intravas ultrasound |
17 |
14 |
$0.00 |
| 90656 |
|
13 |
13 |
$0.00 |
| A9540 |
Tc99m maa |
17 |
12 |
$0.00 |
| G8987 |
Self care current status |
788 |
647 |
$0.00 |
| C1730 |
Cath, ep, 19 or few elect |
24 |
24 |
$0.00 |
| J2560 |
Phenobarbital sodium inj |
20 |
14 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
137 |
110 |
$0.00 |
| J1790 |
Droperidol injection |
14 |
13 |
$0.00 |
| 88300 |
|
32 |
27 |
$0.00 |
| 77370 |
|
71 |
62 |
$0.00 |
| J9267 |
Paclitaxel injection |
130 |
67 |
$0.00 |
| Q0247 |
Sotrovimab |
13 |
12 |
$0.00 |
| 84436 |
|
91 |
55 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
55 |
51 |
$0.00 |
| 87305 |
|
16 |
14 |
$0.00 |
| J0461 |
Atropine sulfate injection |
28 |
24 |
$0.00 |
| Q0222 |
Bebtelovimab 175 mg |
55 |
53 |
$0.00 |
| 36416 |
|
14 |
13 |
$0.00 |
| 87593 |
|
40 |
40 |
$0.00 |
| J0610 |
Calcium glucon (fresenius) |
60 |
27 |
$0.00 |
| 86301 |
|
18 |
14 |
$0.00 |
| 86664 |
|
30 |
25 |
$0.00 |
| 86880 |
|
13 |
12 |
$0.00 |
| 88184 |
|
12 |
12 |
$0.00 |
| 80051 |
|
14 |
14 |
$0.00 |
| 82330 |
|
26 |
12 |
$0.00 |
| 93320 |
|
25 |
25 |
$0.00 |
| 87493 |
|
13 |
13 |
$0.00 |
| J2310 |
Inj naloxone hydrochloride |
35 |
26 |
$0.00 |
| J1453 |
Fosaprepitant injection |
1,128 |
742 |
$0.00 |
| 70360 |
|
14 |
13 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
661 |
560 |
$0.00 |
| A9552 |
F18 fdg |
685 |
660 |
$0.00 |
| G8989 |
Self care d/c status |
256 |
228 |
$0.00 |
| 86038 |
|
25 |
24 |
$0.00 |
| J0640 |
Leucovorin calcium injection |
211 |
77 |
$0.00 |
| Q0243 |
Casirivimab and imdevimab |
234 |
173 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
263 |
256 |
$0.00 |
| 85014 |
|
128 |
105 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
319 |
287 |
$0.00 |
| 77003 |
|
301 |
266 |
$0.00 |
| 86644 |
|
48 |
38 |
$0.00 |
| G8984 |
Carry current status |
194 |
180 |
$0.00 |
| 90658 |
|
41 |
39 |
$0.00 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
313 |
208 |
$0.00 |
| 77073 |
|
115 |
115 |
$0.00 |
| 96416 |
|
197 |
117 |
$0.00 |
| 93325 |
|
38 |
36 |
$0.00 |
| 87634 |
|
605 |
572 |
$0.00 |
| 80076 |
|
78 |
72 |
$0.00 |
| J9263 |
Oxaliplatin |
55 |
26 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
372 |
347 |
$0.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
15 |
12 |
$0.00 |
| J9190 |
Fluorouracil injection |
200 |
91 |
$0.00 |
| G8985 |
Carry goal status |
248 |
224 |
$0.00 |
| 82010 |
|
178 |
170 |
$0.00 |
| 77062 |
|
26 |
25 |
$0.00 |
| 84481 |
|
174 |
116 |
$0.00 |
| 86663 |
|
30 |
25 |
$0.00 |
| 76981 |
|
155 |
152 |
$0.00 |
| 88333 |
|
40 |
37 |
$0.00 |
| A9541 |
Tc99m sulfur colloid |
78 |
77 |
$0.00 |
| 82977 |
|
37 |
13 |
$0.00 |
| Q0239 |
Bamlanivimab-xxxx |
13 |
12 |
$0.00 |
| 86665 |
|
30 |
25 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
14 |
14 |
$0.00 |
| J2916 |
Na ferric gluconate complex |
20 |
12 |
$0.00 |
| 84146 |
|
28 |
26 |
$0.00 |
| J0834 |
Inj., cosyntropin, 0.25 mg |
13 |
12 |
$0.00 |
| 83516 |
|
16 |
12 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
29 |
26 |
$0.00 |
| 85045 |
|
50 |
49 |
$0.00 |
| Q0245 |
Bamlanivimab and etesevima |
21 |
20 |
$0.00 |
| 92978 |
|
18 |
14 |
$0.00 |
| M0245 |
Bamlan and etesev infusion |
32 |
30 |
$0.00 |
| J2359 |
Inj. olanzapine, 0.5mg |
24 |
14 |
$0.00 |
| M0239 |
Bamlanivimab-xxxx infusion |
17 |
14 |
$0.00 |
| 84165 |
|
16 |
15 |
$0.00 |
| M0247 |
Sotrovimab infusion |
21 |
19 |
$0.00 |
| C1758 |
Catheter, ureteral |
14 |
12 |
$0.00 |
| 77061 |
|
13 |
13 |
$0.00 |