| Code | Description | Claims | Beneficiaries | Total Paid |
| J0135 |
Adalimumab injection |
86 |
77 |
$300K |
| J3490 |
Drugs unclassified injection |
2,255 |
1,485 |
$117K |
| 99213 |
|
52,564 |
48,300 |
$83K |
| 97010 |
|
719 |
282 |
$43K |
| 87491 |
|
7,790 |
7,631 |
$41K |
| 99214 |
|
22,089 |
20,527 |
$32K |
| 97014 |
|
3,479 |
1,540 |
$27K |
| 95810 |
|
242 |
165 |
$26K |
| U0003 |
Cov-19 amp prb hgh thruput |
261 |
210 |
$21K |
| 85025 |
|
32,760 |
23,691 |
$21K |
| 99222 |
|
266 |
237 |
$20K |
| 95811 |
|
183 |
119 |
$20K |
| 81002 |
|
6,381 |
5,478 |
$17K |
| 87591 |
|
7,763 |
7,604 |
$13K |
| 59425 |
|
3,747 |
2,302 |
$13K |
| 80053 |
|
19,704 |
16,963 |
$12K |
| 97110 |
|
4,688 |
2,003 |
$11K |
| 99204 |
|
808 |
798 |
$10K |
| 36415 |
|
6,074 |
5,605 |
$9K |
| 81025 |
|
5,711 |
5,209 |
$8K |
| 99203 |
|
2,142 |
2,115 |
$7K |
| 77067 |
|
1,284 |
1,088 |
$7K |
| 3341F |
|
49 |
49 |
$4K |
| 81001 |
|
10,569 |
9,690 |
$3K |
| 99215 |
Prolong outpt/office vis |
438 |
421 |
$3K |
| 80307 |
|
3,151 |
2,843 |
$3K |
| T4527 |
Adult size pull-on lg |
205 |
183 |
$3K |
| 81015 |
|
362 |
278 |
$2K |
| 88305 |
|
566 |
402 |
$2K |
| 92015 |
|
106 |
105 |
$2K |
| T4526 |
Adult size pull-on med |
208 |
187 |
$2K |
| 93306 |
|
407 |
384 |
$2K |
| 97530 |
|
53 |
12 |
$2K |
| 11721 |
|
114 |
114 |
$2K |
| 99212 |
|
6,223 |
5,867 |
$2K |
| 80061 |
|
13,758 |
13,583 |
$2K |
| 96160 |
|
737 |
732 |
$1K |
| A6402 |
Sterile gauze <= 16 sq in |
60 |
56 |
$1K |
| 85027 |
|
3,211 |
2,130 |
$1K |
| 84443 |
|
11,652 |
11,405 |
$1K |
| T4541 |
Large disposable underpad |
963 |
901 |
$1K |
| 83036 |
|
13,151 |
12,971 |
$1K |
| T4523 |
Adult size brief/diaper lg |
157 |
143 |
$893.18 |
| 92250 |
|
333 |
332 |
$801.05 |
| T4522 |
Adult size brief/diaper med |
114 |
101 |
$800.82 |
| T4535 |
Disposable liner/shield/pad |
498 |
452 |
$796.05 |
| 99238 |
|
214 |
185 |
$792.00 |
| 99205 |
Prolong outpt/office vis |
257 |
256 |
$746.20 |
| 99284 |
|
6,962 |
6,808 |
$735.10 |
| 85610 |
|
3,180 |
2,125 |
$655.23 |
| 71045 |
|
739 |
488 |
$650.26 |
| 82306 |
|
6,803 |
6,752 |
$638.68 |
| 82947 |
|
1,420 |
1,313 |
$598.47 |
| 80048 |
|
9,896 |
5,230 |
$554.92 |
| 84484 |
|
3,328 |
2,360 |
$532.35 |
| 82962 |
|
2,080 |
1,674 |
$512.57 |
| 80074 |
|
1,187 |
1,152 |
$504.56 |
| G0480 |
Drug test def 1-7 classes |
167 |
133 |
$496.60 |
| 99401 |
|
749 |
678 |
$470.95 |
| L3908 |
Who cock-up nonmolde pre ots |
79 |
66 |
$470.28 |
| S9083 |
Urgent care center global |
47 |
36 |
$455.00 |
| 98940 |
|
94 |
72 |
$450.93 |
| 97140 |
|
3,905 |
1,634 |
$435.36 |
| 84100 |
|
2,801 |
1,022 |
$428.79 |
| 86592 |
|
2,222 |
2,134 |
$384.90 |
| 82553 |
|
65 |
51 |
$383.44 |
| 87070 |
|
1,193 |
1,029 |
$378.25 |
| 83690 |
|
3,954 |
3,266 |
$376.58 |
| T4528 |
Adult size pull-on xl |
143 |
138 |
$332.48 |
| G9920 |
Scrning perf and negative |
12 |
12 |
$319.00 |
| 92014 |
|
85 |
85 |
$268.92 |
| 99243 |
|
26 |
26 |
$257.12 |
| 87806 |
|
1,117 |
1,067 |
$251.65 |
| 87624 |
|
1,628 |
1,626 |
$232.10 |
| 83735 |
|
4,447 |
1,609 |
$230.82 |
| 3078F |
|
1,379 |
1,314 |
$200.36 |
| 99232 |
|
428 |
138 |
$200.00 |
| 82274 |
|
1,060 |
1,048 |
$196.59 |
| 87088 |
|
1,138 |
1,025 |
$186.11 |
| 86780 |
|
758 |
684 |
$181.20 |
| 84703 |
|
1,112 |
996 |
$173.29 |
| 92235 |
|
12 |
12 |
$159.74 |
| 99000 |
|
2,463 |
2,194 |
$159.56 |
| 87086 |
|
4,189 |
3,922 |
$158.73 |
| 81003 |
|
1,709 |
1,593 |
$155.52 |
| 88175 |
|
2,212 |
2,196 |
$148.56 |
| 99392 |
|
3,613 |
3,511 |
$148.46 |
| G0481 |
Drug test def 8-14 classes |
109 |
107 |
$135.92 |
| 71046 |
|
3,379 |
3,100 |
$134.06 |
| A4927 |
Non-sterile gloves |
101 |
97 |
$131.92 |
| A4351 |
Straight tip urine catheter |
33 |
27 |
$129.52 |
| 3074F |
|
1,752 |
1,661 |
$120.96 |
| A4267 |
Male condom |
937 |
808 |
$114.31 |
| S9088 |
Services provided in urgent |
15 |
15 |
$110.00 |
| H1003 |
Prenatal at risk education |
1,955 |
1,228 |
$100.92 |
| 87502 |
|
367 |
296 |
$98.60 |
| 99283 |
|
7,448 |
7,245 |
$88.75 |
| 82550 |
|
1,036 |
796 |
$87.93 |
| 99393 |
|
3,408 |
3,332 |
$79.03 |
| 80076 |
|
4,203 |
3,399 |
$55.20 |
| 76536 |
|
12 |
12 |
$54.45 |
| 99211 |
|
7,183 |
4,796 |
$53.80 |
| 90460 |
|
74 |
69 |
$52.10 |
| U0005 |
Infec agen detec ampli probe |
51 |
32 |
$50.00 |
| 00731 |
|
33 |
30 |
$49.31 |
| 86704 |
|
332 |
331 |
$40.60 |
| 86580 |
|
3,503 |
3,362 |
$39.96 |
| 87661 |
|
90 |
89 |
$37.69 |
| 86803 |
|
1,192 |
1,180 |
$37.23 |
| 92004 |
|
12 |
12 |
$36.78 |
| 90686 |
|
641 |
633 |
$34.00 |
| 84439 |
|
2,126 |
2,096 |
$31.94 |
| 87641 |
|
499 |
400 |
$29.39 |
| P9604 |
One-way allow prorated trip |
238 |
152 |
$28.12 |
| 83525 |
|
13 |
13 |
$27.99 |
| 87077 |
|
782 |
705 |
$24.70 |
| S9452 |
Nutrition class |
781 |
738 |
$24.00 |
| S0302 |
Completed epsdt |
533 |
525 |
$22.46 |
| 84702 |
|
2,097 |
1,855 |
$21.93 |
| 87389 |
|
1,984 |
1,951 |
$19.26 |
| 84460 |
|
718 |
706 |
$17.71 |
| 87804 |
|
1,127 |
617 |
$17.28 |
| 82728 |
|
1,141 |
1,083 |
$15.00 |
| 80320 |
|
353 |
289 |
$14.62 |
| 82607 |
|
2,422 |
2,357 |
$13.20 |
| 82570 |
|
2,544 |
2,465 |
$9.67 |
| 83986 |
|
296 |
264 |
$6.84 |
| 3008F |
|
1,783 |
1,690 |
$6.65 |
| 87040 |
|
1,012 |
743 |
$5.78 |
| 87400 |
|
59 |
54 |
$5.75 |
| 82043 |
|
2,762 |
2,741 |
$5.03 |
| 93000 |
|
787 |
735 |
$3.63 |
| 85651 |
|
444 |
397 |
$2.13 |
| 85018 |
|
9,014 |
8,769 |
$1.89 |
| 87186 |
|
1,580 |
1,452 |
$1.49 |
| S4993 |
Contraceptive pills for bc |
80 |
57 |
$0.28 |
| 70450 |
|
154 |
138 |
$0.00 |
| 86765 |
|
94 |
92 |
$0.00 |
| 97161 |
|
336 |
326 |
$0.00 |
| 90715 |
|
875 |
861 |
$0.00 |
| 99072 |
|
98 |
84 |
$0.00 |
| 90670 |
|
2,812 |
2,719 |
$0.00 |
| 86480 |
|
977 |
965 |
$0.00 |
| 87798 |
|
138 |
122 |
$0.00 |
| 90648 |
|
626 |
605 |
$0.00 |
| 82172 |
|
151 |
150 |
$0.00 |
| 87880 |
|
1,264 |
1,223 |
$0.00 |
| 85045 |
|
347 |
270 |
$0.00 |
| 90734 |
|
715 |
708 |
$0.00 |
| 83970 |
|
403 |
366 |
$0.00 |
| 1159F |
|
1,298 |
1,234 |
$0.00 |
| 99173 |
|
6,688 |
6,576 |
$0.00 |
| 99391 |
|
2,158 |
2,082 |
$0.00 |
| 83516 |
|
304 |
293 |
$0.00 |
| Q0144 |
Azithromycin dihydrate, oral |
270 |
189 |
$0.00 |
| 17110 |
|
85 |
68 |
$0.00 |
| 82248 |
|
549 |
479 |
$0.00 |
| 87338 |
|
225 |
223 |
$0.00 |
| 90658 |
|
1,139 |
1,129 |
$0.00 |
| 82652 |
|
204 |
203 |
$0.00 |
| 99201 |
|
281 |
265 |
$0.00 |
| 44377 |
|
128 |
118 |
$0.00 |
| 87660 |
|
1,307 |
1,292 |
$0.00 |
| 86900 |
|
685 |
515 |
$0.00 |
| 83655 |
|
1,720 |
1,652 |
$0.00 |
| 80306 |
|
400 |
342 |
$0.00 |
| 86200 |
|
187 |
186 |
$0.00 |
| 59025 |
|
643 |
176 |
$0.00 |
| 90707 |
|
994 |
948 |
$0.00 |
| 86735 |
|
77 |
76 |
$0.00 |
| 80354 |
|
160 |
154 |
$0.00 |
| 82776 |
|
187 |
178 |
$0.00 |
| 97803 |
|
111 |
107 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
173 |
150 |
$0.00 |
| 92012 |
|
121 |
105 |
$0.00 |
| 99394 |
|
1,365 |
1,351 |
$0.00 |
| 90700 |
|
967 |
939 |
$0.00 |
| 96152 |
|
12 |
12 |
$0.00 |
| 80338 |
|
43 |
41 |
$0.00 |
| 87209 |
|
93 |
91 |
$0.00 |
| 92552 |
|
2,033 |
2,022 |
$0.00 |
| 94664 |
|
918 |
878 |
$0.00 |
| 87177 |
|
93 |
91 |
$0.00 |
| 90713 |
|
563 |
548 |
$0.00 |
| G8752 |
Sys bp less 140 |
145 |
142 |
$0.00 |
| 84481 |
|
380 |
378 |
$0.00 |
| 82565 |
|
463 |
364 |
$0.00 |
| 76856 |
|
279 |
259 |
$0.00 |
| 86696 |
|
594 |
584 |
$0.00 |
| 90633 |
|
1,465 |
1,422 |
$0.00 |
| 83540 |
|
1,222 |
1,158 |
$0.00 |
| 99336 |
|
14 |
13 |
$0.00 |
| 83721 |
|
307 |
306 |
$0.00 |
| 96103 |
|
904 |
791 |
$0.00 |
| 94150 |
|
162 |
144 |
$0.00 |
| 80372 |
|
54 |
52 |
$0.00 |
| 86003 |
|
508 |
490 |
$0.00 |
| 93010 |
|
910 |
820 |
$0.00 |
| 86787 |
|
202 |
201 |
$0.00 |
| 86038 |
|
742 |
735 |
$0.00 |
| 87075 |
|
360 |
259 |
$0.00 |
| 84403 |
|
447 |
444 |
$0.00 |
| 3077F |
|
154 |
146 |
$0.00 |
| 80305 |
|
56 |
53 |
$0.00 |
| 3720F |
|
130 |
130 |
$0.00 |
| 84450 |
|
665 |
658 |
$0.00 |
| 80373 |
|
54 |
52 |
$0.00 |
| 80326 |
|
43 |
41 |
$0.00 |
| 87210 |
|
667 |
616 |
$0.00 |
| 95144 |
|
910 |
451 |
$0.00 |
| 3725F |
|
129 |
128 |
$0.00 |
| 84550 |
|
1,554 |
1,469 |
$0.00 |
| 00170 |
|
161 |
159 |
$0.00 |
| 3288F |
|
145 |
144 |
$0.00 |
| 86708 |
|
580 |
572 |
$0.00 |
| 82627 |
|
15 |
15 |
$0.00 |
| 1158F |
|
94 |
91 |
$0.00 |
| 99223 |
Prolong inpt eval add15 m |
77 |
73 |
$0.00 |
| 90472 |
|
462 |
443 |
$0.00 |
| 86709 |
|
117 |
115 |
$0.00 |
| 72100 |
|
169 |
167 |
$0.00 |
| 82977 |
|
246 |
238 |
$0.00 |
| 85007 |
|
368 |
280 |
$0.00 |
| 82785 |
|
192 |
189 |
$0.00 |
| 99490 |
Ccm add 20min |
187 |
172 |
$0.00 |
| 84156 |
|
376 |
341 |
$0.00 |
| A6250 |
Skin seal protect moisturizr |
87 |
85 |
$0.00 |
| 84520 |
|
104 |
70 |
$0.00 |
| 87633 |
|
156 |
154 |
$0.00 |
| 90685 |
|
574 |
565 |
$0.00 |
| 84146 |
|
193 |
192 |
$0.00 |
| 80164 |
|
41 |
41 |
$0.00 |
| 90649 |
|
712 |
700 |
$0.00 |
| 43239 |
|
213 |
200 |
$0.00 |
| 84295 |
|
182 |
148 |
$0.00 |
| 82140 |
|
395 |
266 |
$0.00 |
| 80361 |
|
150 |
145 |
$0.00 |
| 93015 |
|
113 |
104 |
$0.00 |
| 87653 |
|
73 |
64 |
$0.00 |
| 80346 |
|
145 |
140 |
$0.00 |
| 80366 |
|
43 |
41 |
$0.00 |
| G9899 |
Scrn mam perf rslts doc |
20 |
20 |
$0.00 |
| 99396 |
|
31 |
31 |
$0.00 |
| 82465 |
|
49 |
48 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
187 |
159 |
$0.00 |
| 80377 |
|
43 |
41 |
$0.00 |
| G8730 |
Pain doc pos and plan |
202 |
167 |
$0.00 |
| 92134 |
|
205 |
181 |
$0.00 |
| 73030 |
|
80 |
70 |
$0.00 |
| 86431 |
|
593 |
587 |
$0.00 |
| 90746 |
|
321 |
318 |
$0.00 |
| 90710 |
|
157 |
157 |
$0.00 |
| G0483 |
Drug test def 22+ classes |
605 |
577 |
$0.00 |
| G8753 |
Sys bp > or = 140 |
84 |
74 |
$0.00 |
| 86703 |
|
194 |
194 |
$0.00 |
| G0101 |
Ca screen;pelvic/breast exam |
12 |
12 |
$0.00 |
| 77080 |
|
24 |
24 |
$0.00 |
| 99395 |
|
28 |
28 |
$0.00 |
| 80331 |
|
43 |
41 |
$0.00 |
| 99242 |
|
75 |
74 |
$0.00 |
| 85014 |
|
106 |
105 |
$0.00 |
| 94060 |
|
13 |
13 |
$0.00 |
| T4524 |
Adult size brief/diaper xl |
42 |
42 |
$0.00 |
| 83013 |
|
352 |
351 |
$0.00 |
| 76642 |
|
105 |
79 |
$0.00 |
| 72110 |
|
13 |
13 |
$0.00 |
| 86677 |
|
172 |
172 |
$0.00 |
| 76813 |
|
136 |
131 |
$0.00 |
| 82247 |
|
243 |
161 |
$0.00 |
| 1160F |
|
183 |
178 |
$0.00 |
| G9578 |
Doc opioid tx 1x during ther |
214 |
181 |
$0.00 |
| 20552 |
|
21 |
17 |
$0.00 |
| 69210 |
|
44 |
43 |
$0.00 |
| 81220 |
|
30 |
30 |
$0.00 |
| 83992 |
|
43 |
41 |
$0.00 |
| 86235 |
|
68 |
68 |
$0.00 |
| 93970 |
|
13 |
13 |
$0.00 |
| 80364 |
|
43 |
41 |
$0.00 |
| 73562 |
|
13 |
12 |
$0.00 |
| 84466 |
|
288 |
237 |
$0.00 |
| 80365 |
|
56 |
54 |
$0.00 |
| 95004 |
|
22 |
21 |
$0.00 |
| 67028 |
|
134 |
78 |
$0.00 |
| 82310 |
|
52 |
43 |
$0.00 |
| 99244 |
|
28 |
28 |
$0.00 |
| 99152 |
|
125 |
110 |
$0.00 |
| 87045 |
|
12 |
12 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
237 |
212 |
$0.00 |
| 80202 |
|
240 |
134 |
$0.00 |
| 80355 |
|
43 |
41 |
$0.00 |
| S0191 |
Misoprostol, oral, 200 mcg |
19 |
15 |
$0.00 |
| 80370 |
|
43 |
41 |
$0.00 |
| 74018 |
|
58 |
57 |
$0.00 |
| 86644 |
|
13 |
13 |
$0.00 |
| 99053 |
|
14 |
14 |
$0.00 |
| 80344 |
|
43 |
41 |
$0.00 |
| 85041 |
|
16 |
15 |
$0.00 |
| S0190 |
Mifepristone, oral, 200 mg |
16 |
14 |
$0.00 |
| 85048 |
|
13 |
12 |
$0.00 |
| 82542 |
|
80 |
79 |
$0.00 |
| 89051 |
|
79 |
55 |
$0.00 |
| Q0091 |
Obtaining screen pap smear |
12 |
12 |
$0.00 |
| 80348 |
|
54 |
52 |
$0.00 |
| 86694 |
|
12 |
12 |
$0.00 |
| 80334 |
|
43 |
41 |
$0.00 |
| 80360 |
|
43 |
41 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
15 |
12 |
$0.00 |
| 99233 |
Prolong inpt eval add15 m |
107 |
44 |
$0.00 |
| 88164 |
|
17 |
17 |
$0.00 |
| 84681 |
|
13 |
13 |
$0.00 |
| 86665 |
|
32 |
32 |
$0.00 |
| 59409 |
|
15 |
15 |
$0.00 |
| 87902 |
|
14 |
14 |
$0.00 |
| 80337 |
|
43 |
41 |
$0.00 |
| 93224 |
|
12 |
12 |
$0.00 |
| G9622 |
No unheal etoh user |
34 |
30 |
$0.00 |
| 77066 |
Tomosynthesis, mammo |
13 |
12 |
$0.00 |
| 85250 |
|
16 |
16 |
$0.00 |
| 77065 |
Tomosynthesis, mammo |
13 |
13 |
$0.00 |
| S0199 |
Med abortion inc all ex drug |
18 |
16 |
$0.00 |
| 74177 |
|
13 |
12 |
$0.00 |
| G8783 |
Bp scrn perf rec interval |
43 |
40 |
$0.00 |
| 86705 |
|
16 |
16 |
$0.00 |
| 85652 |
|
1,087 |
1,050 |
$0.00 |
| 86060 |
|
98 |
98 |
$0.00 |
| 87015 |
|
33 |
32 |
$0.00 |
| 90698 |
|
1,661 |
1,604 |
$0.00 |
| 95117 |
|
4,851 |
1,833 |
$0.00 |
| 94010 |
|
925 |
862 |
$0.00 |
| 90744 |
|
1,111 |
1,071 |
$0.00 |
| 86850 |
|
837 |
600 |
$0.00 |
| 90657 |
|
553 |
541 |
$0.00 |
| 80329 |
|
148 |
118 |
$0.00 |
| 92551 |
|
4,710 |
4,584 |
$0.00 |
| 83021 |
|
203 |
190 |
$0.00 |
| 99285 |
|
1,276 |
1,055 |
$0.00 |
| 86140 |
|
801 |
702 |
$0.00 |
| D1206 |
|
2,455 |
2,424 |
$0.00 |
| A4335 |
Incontinence supply |
73 |
69 |
$0.00 |
| 96151 |
|
360 |
248 |
$0.00 |
| H0049 |
Alcohol/drug screening |
187 |
187 |
$0.00 |
| 90651 |
|
865 |
853 |
$0.00 |
| 94200 |
|
4,637 |
1,895 |
$0.00 |
| 87430 |
|
67 |
61 |
$0.00 |
| H1001 |
Antepartum management |
435 |
342 |
$0.00 |
| 87797 |
|
185 |
185 |
$0.00 |
| 85013 |
|
536 |
533 |
$0.00 |
| 84436 |
|
1,521 |
1,516 |
$0.00 |
| 94640 |
|
343 |
332 |
$0.00 |
| J2001 |
Lidocaine injection |
109 |
95 |
$0.00 |
| 88141 |
|
245 |
245 |
$0.00 |
| 96150 |
|
216 |
213 |
$0.00 |
| Q0111 |
Wet mounts/ w preparations |
383 |
337 |
$0.00 |
| 86160 |
|
68 |
68 |
$0.00 |
| 83550 |
|
735 |
725 |
$0.00 |
| 94760 |
|
3,655 |
3,034 |
$0.00 |
| 86762 |
|
298 |
297 |
$0.00 |
| 84479 |
|
1,176 |
1,174 |
$0.00 |
| 97802 |
|
299 |
288 |
$0.00 |
| 96372 |
|
578 |
537 |
$0.00 |
| G9008 |
Mccd,phys coor-care ovrsght |
5,752 |
3,184 |
$0.00 |
| 85730 |
|
941 |
589 |
$0.00 |
| 80069 |
|
245 |
205 |
$0.00 |
| 1170F |
|
165 |
165 |
$0.00 |
| 82746 |
|
1,891 |
1,872 |
$0.00 |
| 99202 |
|
565 |
562 |
$0.00 |
| 86901 |
|
1,047 |
761 |
$0.00 |
| 90680 |
|
1,191 |
1,140 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
190 |
190 |
$0.00 |
| 82670 |
|
100 |
99 |
$0.00 |
| 88304 |
|
12 |
12 |
$0.00 |
| 86695 |
|
419 |
413 |
$0.00 |
| 97112 |
|
1,037 |
414 |
$0.00 |
| 3075F |
|
215 |
213 |
$0.00 |
| 90471 |
|
2,092 |
2,046 |
$0.00 |
| 86317 |
|
358 |
350 |
$0.00 |
| 7025F |
|
138 |
138 |
$0.00 |
| 87340 |
|
1,071 |
1,055 |
$0.00 |
| G8754 |
Dias bp less 90 |
144 |
140 |
$0.00 |
| 80367 |
|
43 |
41 |
$0.00 |
| 88142 |
|
943 |
942 |
$0.00 |
| 90620 |
|
314 |
308 |
$0.00 |
| 87503 |
|
306 |
249 |
$0.00 |
| 86141 |
|
714 |
712 |
$0.00 |
| 83605 |
|
1,623 |
1,110 |
$0.00 |
| 78452 |
|
80 |
74 |
$0.00 |
| 87486 |
|
156 |
154 |
$0.00 |
| 83921 |
|
46 |
46 |
$0.00 |
| 82150 |
|
581 |
512 |
$0.00 |
| 90716 |
|
1,039 |
997 |
$0.00 |
| 84478 |
|
158 |
153 |
$0.00 |
| 83883 |
|
92 |
84 |
$0.00 |
| J3420 |
Vitamin b12 injection |
201 |
160 |
$0.00 |
| 83880 |
|
1,393 |
949 |
$0.00 |
| 1126F |
|
63 |
63 |
$0.00 |
| 80050 |
|
1,107 |
1,107 |
$0.00 |
| 76811 |
|
250 |
235 |
$0.00 |
| 20553 |
|
158 |
144 |
$0.00 |
| 59430 |
|
106 |
85 |
$0.00 |
| 45380 |
|
81 |
73 |
$0.00 |
| 95886 |
|
110 |
105 |
$0.00 |
| 86706 |
|
757 |
752 |
$0.00 |
| 76700 |
|
122 |
114 |
$0.00 |
| S9451 |
Exercise class |
753 |
711 |
$0.00 |
| 86225 |
|
81 |
81 |
$0.00 |
| 82533 |
|
12 |
12 |
$0.00 |
| 84480 |
|
795 |
792 |
$0.00 |
| 87510 |
|
1,505 |
1,490 |
$0.00 |
| 84153 |
|
1,016 |
1,009 |
$0.00 |
| 90688 |
|
1,001 |
997 |
$0.00 |
| 87480 |
|
1,506 |
1,491 |
$0.00 |
| 90723 |
|
24 |
24 |
$0.00 |
| 3079F |
|
532 |
513 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
58 |
54 |
$0.00 |
| 82951 |
|
109 |
104 |
$0.00 |
| 17000 |
|
40 |
38 |
$0.00 |
| 83789 |
|
251 |
241 |
$0.00 |
| S9445 |
Pt education noc individ |
244 |
214 |
$0.00 |
| 85379 |
|
234 |
185 |
$0.00 |
| 86800 |
|
69 |
67 |
$0.00 |
| S0020 |
Injection, bupivicaine hydro |
82 |
72 |
$0.00 |
| 80357 |
|
43 |
41 |
$0.00 |
| 84132 |
|
466 |
244 |
$0.00 |
| G8755 |
Dias bp > or = 90 |
85 |
75 |
$0.00 |
| 80055 |
|
262 |
255 |
$0.00 |
| 86255 |
|
49 |
49 |
$0.00 |
| 96110 |
|
1,232 |
1,069 |
$0.00 |
| 83520 |
|
223 |
174 |
$0.00 |
| 80358 |
|
144 |
139 |
$0.00 |
| 84154 |
|
63 |
63 |
$0.00 |
| 99444 |
|
126 |
123 |
$0.00 |
| 99406 |
|
165 |
157 |
$0.00 |
| 76816 |
|
555 |
485 |
$0.00 |
| 87081 |
|
445 |
434 |
$0.00 |
| 90474 |
|
146 |
142 |
$0.00 |
| 3017F |
|
74 |
65 |
$0.00 |
| 87205 |
|
626 |
452 |
$0.00 |
| 84270 |
|
88 |
88 |
$0.00 |
| 80371 |
|
43 |
41 |
$0.00 |
| 86376 |
|
104 |
104 |
$0.00 |
| 96374 |
|
46 |
43 |
$0.00 |
| 99460 |
|
132 |
121 |
$0.00 |
| 76815 |
|
661 |
348 |
$0.00 |
| T1014 |
Telehealth transmit, per min |
322 |
291 |
$0.00 |
| 1000F |
|
30 |
30 |
$0.00 |
| 87581 |
|
193 |
184 |
$0.00 |
| 1125F |
|
33 |
32 |
$0.00 |
| 95115 |
|
122 |
53 |
$0.00 |
| A9500 |
Tc99m sestamibi |
80 |
74 |
$0.00 |
| 84144 |
|
16 |
16 |
$0.00 |
| 76830 |
|
156 |
145 |
$0.00 |
| 82270 |
|
75 |
73 |
$0.00 |
| 83001 |
|
259 |
258 |
$0.00 |
| 80178 |
|
29 |
28 |
$0.00 |
| 73560 |
|
138 |
102 |
$0.00 |
| 81000 |
|
644 |
624 |
$0.00 |
| 82261 |
|
185 |
176 |
$0.00 |
| 3044F |
|
46 |
44 |
$0.00 |
| H2000 |
Comp multidisipln evaluation |
29 |
28 |
$0.00 |
| 1036F |
|
29 |
29 |
$0.00 |
| 82803 |
|
626 |
246 |
$0.00 |
| 82105 |
|
106 |
105 |
$0.00 |
| 83498 |
|
182 |
172 |
$0.00 |
| 99239 |
|
26 |
26 |
$0.00 |
| 80359 |
|
54 |
52 |
$0.00 |
| 80081 |
|
56 |
55 |
$0.00 |
| 82950 |
|
515 |
499 |
$0.00 |
| G8950 |
Pre-htn or htn doc, f/u indc |
85 |
76 |
$0.00 |
| 80047 |
|
166 |
160 |
$0.00 |
| 77063 |
|
134 |
104 |
$0.00 |
| 83615 |
|
179 |
104 |
$0.00 |
| 84402 |
|
16 |
16 |
$0.00 |
| 80341 |
|
43 |
41 |
$0.00 |
| 90696 |
|
190 |
187 |
$0.00 |
| 80349 |
|
51 |
49 |
$0.00 |
| Q3014 |
Telehealth facility fee |
322 |
291 |
$0.00 |
| 80353 |
|
143 |
138 |
$0.00 |
| 1123F |
|
174 |
144 |
$0.00 |
| A4322 |
Irrigation syringe |
48 |
43 |
$0.00 |
| 83002 |
|
201 |
200 |
$0.00 |
| 1111F |
|
65 |
62 |
$0.00 |
| 51798 |
|
107 |
98 |
$0.00 |
| 80368 |
|
43 |
41 |
$0.00 |
| 3014F |
|
20 |
20 |
$0.00 |
| 99070 |
|
42 |
41 |
$0.00 |
| 82952 |
|
41 |
37 |
$0.00 |
| 96111 |
|
120 |
94 |
$0.00 |
| 80324 |
|
91 |
88 |
$0.00 |
| 3080F |
|
41 |
41 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
88 |
77 |
$0.00 |
| 96127 |
|
25 |
24 |
$0.00 |
| 87632 |
|
60 |
49 |
$0.00 |
| 80345 |
|
82 |
79 |
$0.00 |
| 11976 |
|
24 |
12 |
$0.00 |
| 84300 |
|
35 |
25 |
$0.00 |
| 98961 |
|
15 |
14 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
40 |
38 |
$0.00 |
| 82378 |
|
44 |
43 |
$0.00 |
| J2785 |
Regadenoson injection |
30 |
28 |
$0.00 |
| 83010 |
|
36 |
34 |
$0.00 |
| 71020 |
|
113 |
62 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
127 |
126 |
$0.00 |
| A4253 |
Blood glucose/reagent strips |
24 |
24 |
$0.00 |
| 90674 |
|
12 |
12 |
$0.00 |
| 85008 |
|
38 |
38 |
$0.00 |
| G0447 |
Behavior counsel obesity 15m |
690 |
467 |
$0.00 |
| 82784 |
|
13 |
12 |
$0.00 |
| 87147 |
|
30 |
29 |
$0.00 |
| 99462 |
|
94 |
69 |
$0.00 |
| 95911 |
|
54 |
52 |
$0.00 |
| 96156 |
|
12 |
12 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
14 |
14 |
$0.00 |
| 90732 |
|
13 |
13 |
$0.00 |
| L3660 |
So 8 ab rstr can/web pre ots |
28 |
28 |
$0.00 |
| 29075 |
|
13 |
13 |
$0.00 |
| 10040 |
|
15 |
12 |
$0.00 |
| 96910 |
|
52 |
12 |
$0.00 |
| 73620 |
|
13 |
12 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
18 |
17 |
$0.00 |
| 87449 |
|
18 |
16 |
$0.00 |
| 87506 |
|
14 |
13 |
$0.00 |
| 83930 |
|
15 |
12 |
$0.00 |
| 72148 |
|
14 |
13 |
$0.00 |