| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
|
84,769 |
75,971 |
$11.63M |
| 99284 |
|
57,260 |
50,751 |
$8.46M |
| 96361 |
|
15,896 |
12,574 |
$5.69M |
| 99282 |
|
34,203 |
31,442 |
$4.18M |
| 99285 |
|
28,910 |
24,692 |
$4.10M |
| 70450 |
|
7,837 |
6,459 |
$2.18M |
| 74177 |
|
6,714 |
5,467 |
$1.88M |
| 59025 |
|
7,183 |
3,130 |
$1.28M |
| 76816 |
|
7,777 |
6,610 |
$1.15M |
| 99213 |
|
9,683 |
8,353 |
$1.14M |
| 74176 |
|
2,986 |
2,478 |
$911K |
| C9803 |
Hopd covid-19 spec collect |
24,049 |
21,667 |
$910K |
| 80053 |
|
48,842 |
42,927 |
$859K |
| 99211 |
|
8,394 |
6,813 |
$814K |
| 99214 |
|
6,868 |
6,175 |
$785K |
| 97110 |
|
9,443 |
2,927 |
$738K |
| 99212 |
|
6,246 |
5,773 |
$673K |
| 81513 |
|
4,409 |
3,863 |
$644K |
| 71275 |
|
1,966 |
1,620 |
$566K |
| G0378 |
Hospital observation per hr |
7,560 |
3,453 |
$535K |
| 96360 |
|
2,736 |
2,151 |
$530K |
| 93306 |
|
1,955 |
1,746 |
$476K |
| 96366 |
|
1,747 |
1,101 |
$456K |
| 99281 |
|
3,752 |
3,418 |
$446K |
| 84443 |
|
24,051 |
22,451 |
$427K |
| 82306 |
|
16,518 |
15,694 |
$416K |
| 43239 |
|
881 |
771 |
$403K |
| 80061 |
|
26,697 |
25,337 |
$381K |
| 85025 |
|
108,152 |
91,262 |
$367K |
| 94640 |
|
3,408 |
2,099 |
$364K |
| 76811 |
|
2,751 |
2,531 |
$357K |
| 11042 |
|
3,281 |
1,473 |
$340K |
| 87502 |
|
15,195 |
13,196 |
$321K |
| 80048 |
|
72,868 |
60,276 |
$311K |
| 82607 |
|
13,637 |
12,845 |
$286K |
| 78452 |
|
588 |
489 |
$280K |
| 87491 |
|
11,501 |
10,332 |
$265K |
| 83036 |
|
23,869 |
22,589 |
$255K |
| 45385 |
|
392 |
330 |
$251K |
| 96365 |
|
2,788 |
1,909 |
$229K |
| 36415 |
|
144,395 |
118,816 |
$226K |
| 95886 |
|
1,027 |
534 |
$211K |
| 76642 |
|
1,459 |
1,332 |
$201K |
| 97112 |
|
3,956 |
1,272 |
$189K |
| 70496 |
|
756 |
615 |
$181K |
| 43235 |
|
319 |
276 |
$177K |
| 93975 |
|
1,138 |
948 |
$176K |
| 70553 |
|
662 |
558 |
$173K |
| 70491 |
|
517 |
425 |
$168K |
| 76705 |
|
1,945 |
1,619 |
$163K |
| 87591 |
|
11,484 |
10,319 |
$161K |
| G0463 |
Hospital outpt clinic visit |
3,143 |
2,773 |
$157K |
| 76856 |
|
865 |
755 |
$154K |
| J0561 |
Penicillin g benzathine inj |
624 |
444 |
$150K |
| 45380 |
|
248 |
219 |
$150K |
| 10060 |
|
802 |
710 |
$145K |
| 47562 |
|
62 |
48 |
$140K |
| 77063 |
|
2,673 |
2,524 |
$139K |
| 86480 |
|
2,648 |
2,531 |
$136K |
| 76805 |
|
844 |
787 |
$134K |
| 82728 |
|
7,276 |
6,673 |
$130K |
| 97140 |
|
3,649 |
1,441 |
$127K |
| 71260 |
|
871 |
734 |
$127K |
| 71046 |
|
17,369 |
15,230 |
$126K |
| 70551 |
|
777 |
641 |
$115K |
| 86850 |
|
5,354 |
4,320 |
$115K |
| U0003 |
Cov-19 amp prb hgh thruput |
1,078 |
1,005 |
$113K |
| 85055 |
|
2,402 |
2,016 |
$110K |
| 87389 |
|
4,128 |
3,935 |
$107K |
| 93970 |
|
707 |
629 |
$107K |
| 93971 |
|
1,295 |
1,159 |
$106K |
| 87661 |
|
7,851 |
6,880 |
$105K |
| C8929 |
Tte w or wo fol wcon,doppler |
749 |
599 |
$102K |
| 12001 |
|
573 |
507 |
$98K |
| 83013 |
|
2,116 |
2,047 |
$98K |
| 87086 |
|
9,372 |
8,230 |
$96K |
| 80307 |
|
4,913 |
4,170 |
$94K |
| 99291 |
|
1,165 |
874 |
$92K |
| 87481 |
|
4,397 |
3,855 |
$91K |
| 82570 |
|
7,850 |
7,094 |
$88K |
| 71250 |
|
857 |
767 |
$86K |
| 93356 |
|
2,138 |
1,872 |
$85K |
| 72148 |
|
564 |
496 |
$83K |
| 83540 |
|
8,376 |
7,840 |
$81K |
| 76817 |
|
2,470 |
1,997 |
$81K |
| 93017 |
|
978 |
849 |
$75K |
| 86803 |
|
3,303 |
3,096 |
$74K |
| 70498 |
|
880 |
692 |
$72K |
| 76801 |
|
2,073 |
1,700 |
$71K |
| 83735 |
|
14,022 |
10,835 |
$70K |
| 71271 |
|
363 |
350 |
$70K |
| 93005 |
|
36,755 |
30,992 |
$69K |
| 97161 |
|
1,607 |
1,303 |
$69K |
| 86780 |
|
4,716 |
4,364 |
$67K |
| 84439 |
|
4,245 |
3,916 |
$67K |
| 85027 |
|
12,602 |
9,816 |
$67K |
| 87635 |
|
28,977 |
25,759 |
$64K |
| 83550 |
|
6,442 |
6,038 |
$63K |
| 86900 |
|
5,464 |
4,431 |
$62K |
| 81001 |
|
38,931 |
34,458 |
$61K |
| 77067 |
|
3,266 |
3,074 |
$61K |
| G0472 |
Hep c screen high risk/other |
2,036 |
1,930 |
$60K |
| 82043 |
|
7,092 |
6,755 |
$60K |
| 87624 |
|
2,022 |
1,882 |
$58K |
| 72125 |
|
2,704 |
2,226 |
$57K |
| 76820 |
|
914 |
553 |
$57K |
| P9016 |
Rbc leukocytes reduced |
232 |
169 |
$56K |
| 72131 |
|
1,360 |
1,106 |
$55K |
| 74174 |
|
399 |
322 |
$53K |
| 72100 |
|
2,102 |
1,847 |
$52K |
| 88175 |
|
3,051 |
2,835 |
$52K |
| 82746 |
|
6,281 |
5,877 |
$51K |
| 76830 |
|
1,584 |
1,348 |
$51K |
| 76770 |
|
320 |
282 |
$49K |
| 82805 |
|
1,806 |
1,376 |
$48K |
| 97530 |
|
1,650 |
813 |
$47K |
| 99204 |
|
504 |
460 |
$47K |
| G0121 |
Colon ca scrn not hi rsk ind |
62 |
54 |
$47K |
| 94060 |
|
324 |
298 |
$46K |
| 70486 |
|
1,025 |
884 |
$44K |
| 76536 |
|
370 |
350 |
$43K |
| 86706 |
|
2,182 |
2,010 |
$43K |
| 99203 |
|
537 |
463 |
$42K |
| 12002 |
|
271 |
238 |
$42K |
| 12011 |
|
266 |
226 |
$42K |
| 71045 |
|
14,131 |
11,929 |
$40K |
| 83970 |
|
1,154 |
1,074 |
$40K |
| 72141 |
|
285 |
237 |
$39K |
| 87340 |
|
3,303 |
3,075 |
$39K |
| 84146 |
|
1,165 |
1,116 |
$37K |
| 94726 |
|
476 |
439 |
$36K |
| 93880 |
|
506 |
439 |
$36K |
| 99215 |
Prolong outpt/office vis |
381 |
332 |
$35K |
| 94729 |
|
542 |
500 |
$35K |
| 76815 |
|
702 |
599 |
$33K |
| 90715 |
|
2,100 |
1,760 |
$33K |
| 73030 |
|
2,406 |
2,032 |
$33K |
| 78815 |
|
47 |
40 |
$33K |
| 84484 |
|
21,171 |
16,120 |
$33K |
| 78264 |
|
129 |
123 |
$33K |
| 86039 |
|
990 |
956 |
$31K |
| 93922 |
|
383 |
349 |
$30K |
| 83880 |
|
4,348 |
3,571 |
$28K |
| 86038 |
|
1,101 |
1,024 |
$28K |
| 82248 |
|
11,283 |
9,137 |
$28K |
| 97165 |
|
679 |
529 |
$27K |
| 73560 |
|
788 |
673 |
$27K |
| 84702 |
|
3,808 |
2,884 |
$26K |
| 94762 |
|
651 |
363 |
$26K |
| 97162 |
|
691 |
593 |
$26K |
| 0042T |
|
137 |
100 |
$25K |
| 87077 |
|
2,979 |
2,576 |
$25K |
| 99202 |
|
294 |
251 |
$25K |
| 96372 |
|
18,282 |
14,088 |
$24K |
| 77062 |
|
641 |
586 |
$24K |
| 86140 |
|
2,869 |
2,380 |
$24K |
| 96374 |
|
32,617 |
26,839 |
$24K |
| 80069 |
|
1,014 |
819 |
$23K |
| 72040 |
|
488 |
408 |
$22K |
| 73630 |
|
2,740 |
2,351 |
$22K |
| 84207 |
|
1,326 |
1,273 |
$21K |
| 84153 |
|
1,336 |
1,256 |
$21K |
| 74183 |
|
79 |
69 |
$21K |
| 62323 |
|
43 |
41 |
$20K |
| 97535 |
|
695 |
492 |
$20K |
| 73130 |
|
2,649 |
2,201 |
$20K |
| 36430 |
|
157 |
111 |
$19K |
| 86762 |
|
1,142 |
1,067 |
$19K |
| 97116 |
|
745 |
331 |
$18K |
| 72128 |
|
850 |
690 |
$18K |
| 77061 |
|
548 |
485 |
$17K |
| 88307 |
|
148 |
97 |
$17K |
| 74018 |
|
1,065 |
883 |
$17K |
| 11045 |
|
56 |
24 |
$16K |
| 73610 |
|
2,764 |
2,287 |
$15K |
| 84425 |
|
1,081 |
1,016 |
$15K |
| 86901 |
|
5,465 |
4,430 |
$15K |
| 85652 |
|
3,334 |
2,898 |
$15K |
| 88305 |
|
3,268 |
2,747 |
$15K |
| 90471 |
|
3,267 |
2,757 |
$15K |
| 80076 |
|
2,658 |
2,424 |
$14K |
| 85610 |
|
7,112 |
5,391 |
$14K |
| 73502 |
|
1,286 |
1,086 |
$14K |
| 72050 |
|
341 |
307 |
$13K |
| 84403 |
|
613 |
576 |
$13K |
| 73564 |
|
2,342 |
1,991 |
$12K |
| U0005 |
Infec agen detec ampli probe |
440 |
425 |
$12K |
| 84480 |
|
1,028 |
951 |
$12K |
| 99152 |
|
577 |
441 |
$12K |
| 75574 |
|
26 |
25 |
$11K |
| 86705 |
|
502 |
467 |
$11K |
| 86696 |
|
701 |
656 |
$11K |
| 87186 |
|
2,220 |
1,911 |
$11K |
| 83001 |
|
532 |
500 |
$11K |
| 96367 |
|
264 |
192 |
$10K |
| 86431 |
|
676 |
637 |
$10K |
| 86695 |
|
675 |
632 |
$10K |
| 87081 |
|
1,067 |
970 |
$10K |
| 86003 |
|
239 |
224 |
$10K |
| 96376 |
|
4,683 |
2,514 |
$9K |
| 73110 |
|
1,704 |
1,386 |
$9K |
| 83721 |
|
793 |
698 |
$9K |
| 96413 |
|
151 |
80 |
$9K |
| 87070 |
|
1,389 |
1,131 |
$9K |
| 84100 |
|
2,399 |
1,581 |
$9K |
| 81025 |
|
15,948 |
14,140 |
$9K |
| 77065 |
Tomosynthesis, mammo |
635 |
554 |
$8K |
| 73700 |
|
71 |
59 |
$8K |
| 80197 |
|
298 |
178 |
$8K |
| 86235 |
|
283 |
253 |
$8K |
| 82947 |
|
829 |
774 |
$8K |
| 77066 |
Tomosynthesis, mammo |
696 |
632 |
$8K |
| 82550 |
|
1,253 |
951 |
$8K |
| S9445 |
Pt education noc individ |
175 |
166 |
$8K |
| 81003 |
|
11,124 |
9,357 |
$8K |
| 96375 |
|
17,535 |
13,379 |
$7K |
| 76819 |
|
123 |
98 |
$7K |
| 73562 |
|
226 |
198 |
$7K |
| 83690 |
|
9,550 |
7,786 |
$7K |
| 84550 |
|
1,174 |
1,038 |
$7K |
| 82077 |
|
3,807 |
3,021 |
$7K |
| 82330 |
|
603 |
476 |
$7K |
| 90686 |
|
315 |
266 |
$7K |
| 84156 |
|
1,663 |
1,344 |
$6K |
| 87522 |
Neg quan hep c or qual rna |
182 |
156 |
$6K |
| 84460 |
|
3,892 |
3,177 |
$6K |
| 86787 |
|
796 |
735 |
$6K |
| 88341 |
|
109 |
86 |
$6K |
| 73590 |
|
1,007 |
840 |
$6K |
| 87651 |
|
6,916 |
5,968 |
$6K |
| 83002 |
|
339 |
316 |
$6K |
| 20610 |
|
29 |
26 |
$6K |
| 72072 |
|
242 |
223 |
$6K |
| 76818 |
|
43 |
25 |
$5K |
| 82950 |
|
656 |
623 |
$5K |
| 85730 |
|
3,192 |
2,399 |
$5K |
| 95816 |
|
37 |
24 |
$5K |
| 82670 |
|
191 |
175 |
$5K |
| 86360 |
|
102 |
96 |
$5K |
| 92610 |
|
167 |
132 |
$5K |
| J1170 |
Hydromorphone injection |
8,780 |
5,044 |
$5K |
| 85379 |
|
3,427 |
2,849 |
$5K |
| J7030 |
Normal saline solution infus |
25,147 |
18,898 |
$4K |
| 84450 |
|
3,628 |
2,927 |
$4K |
| 93325 |
|
38 |
30 |
$4K |
| G0480 |
Drug test def 1-7 classes |
87 |
68 |
$4K |
| 86225 |
|
282 |
255 |
$4K |
| 76870 |
|
186 |
153 |
$4K |
| 82565 |
|
817 |
658 |
$4K |
| 87536 |
|
72 |
69 |
$4K |
| 73080 |
|
775 |
656 |
$4K |
| 72170 |
|
849 |
674 |
$4K |
| 84703 |
|
2,466 |
2,042 |
$4K |
| 71101 |
|
558 |
495 |
$4K |
| 82977 |
|
3,445 |
2,770 |
$4K |
| 73140 |
|
431 |
374 |
$4K |
| 83605 |
|
3,194 |
2,361 |
$4K |
| 72070 |
|
187 |
170 |
$4K |
| 82040 |
|
3,802 |
3,155 |
$4K |
| 86923 |
|
167 |
121 |
$4K |
| G0475 |
Hiv combination assay |
1,186 |
1,061 |
$3K |
| 73090 |
|
769 |
622 |
$3K |
| 94010 |
|
18 |
18 |
$3K |
| 84165 |
|
303 |
288 |
$3K |
| 99396 |
|
40 |
37 |
$3K |
| 82247 |
|
3,333 |
2,661 |
$3K |
| 82525 |
|
143 |
135 |
$3K |
| 43259 |
|
15 |
14 |
$3K |
| 85014 |
|
703 |
423 |
$3K |
| 99153 |
Mod sedat endo service >5yrs |
249 |
186 |
$3K |
| 86704 |
|
124 |
112 |
$3K |
| U0002 |
Covid-19 lab test non-cdc |
2,706 |
2,544 |
$3K |
| 76700 |
|
12 |
12 |
$3K |
| 86701 |
|
156 |
151 |
$3K |
| 76937 |
|
172 |
126 |
$3K |
| 82784 |
|
212 |
188 |
$3K |
| 0004A |
|
87 |
75 |
$3K |
| J1815 |
Insulin injection |
3,207 |
1,026 |
$3K |
| 99395 |
|
29 |
25 |
$3K |
| 87040 |
|
1,659 |
1,061 |
$3K |
| 87205 |
|
1,344 |
1,061 |
$3K |
| 84270 |
|
144 |
132 |
$2K |
| 80143 |
|
1,005 |
828 |
$2K |
| 88304 |
|
587 |
459 |
$2K |
| 73060 |
|
468 |
384 |
$2K |
| 82150 |
|
3,521 |
2,861 |
$2K |
| 82140 |
|
578 |
443 |
$2K |
| 78492 |
|
14 |
13 |
$2K |
| 77080 |
|
30 |
26 |
$2K |
| J7120 |
Ringers lactate infusion |
9,840 |
6,370 |
$2K |
| 84145 |
|
825 |
604 |
$2K |
| 92507 |
|
32 |
13 |
$2K |
| 76981 |
|
27 |
25 |
$2K |
| 86364 |
|
92 |
84 |
$2K |
| J2543 |
Piperacillin/tazobactam |
815 |
264 |
$2K |
| 86376 |
|
105 |
101 |
$2K |
| 88174 |
|
81 |
80 |
$2K |
| 85018 |
|
731 |
444 |
$2K |
| 88142 |
|
84 |
81 |
$2K |
| J1650 |
Inj enoxaparin sodium |
2,398 |
952 |
$2K |
| 73552 |
|
578 |
489 |
$2K |
| 93320 |
|
13 |
12 |
$2K |
| 00731 |
|
1,175 |
1,003 |
$2K |
| 80050 |
|
159 |
159 |
$2K |
| 99454 |
|
14 |
13 |
$2K |
| 84630 |
|
110 |
107 |
$2K |
| 86200 |
|
71 |
68 |
$2K |
| 80051 |
|
58 |
46 |
$2K |
| 97166 |
|
36 |
27 |
$1K |
| 86708 |
|
115 |
111 |
$1K |
| 84075 |
|
3,357 |
2,681 |
$1K |
| 87338 |
|
68 |
67 |
$1K |
| 95819 |
|
17 |
12 |
$1K |
| 82652 |
|
139 |
135 |
$1K |
| 83615 |
|
381 |
273 |
$1K |
| 82785 |
|
126 |
120 |
$1K |
| 90656 |
|
134 |
132 |
$1K |
| 84446 |
|
94 |
90 |
$1K |
| 80179 |
|
974 |
808 |
$1K |
| 84466 |
|
176 |
157 |
$1K |
| 88342 |
|
712 |
606 |
$1K |
| J1953 |
Levetiracetam injection |
232 |
129 |
$1K |
| 00840 |
|
208 |
133 |
$1K |
| 84590 |
|
79 |
76 |
$1K |
| J1885 |
Ketorolac tromethamine inj |
15,580 |
12,318 |
$1K |
| 00811 |
|
407 |
339 |
$1K |
| 72110 |
|
13 |
12 |
$1K |
| 93990 |
|
12 |
12 |
$1K |
| 86141 |
|
43 |
40 |
$1K |
| 84436 |
|
197 |
174 |
$994.60 |
| J2791 |
Rhophylac injection |
14 |
14 |
$989.73 |
| 86592 |
|
129 |
116 |
$988.69 |
| J3475 |
Inj magnesium sulfate |
1,537 |
943 |
$985.53 |
| 84132 |
|
202 |
160 |
$975.85 |
| 90677 |
|
66 |
65 |
$958.80 |
| 80305 |
|
419 |
354 |
$932.91 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
12,128 |
9,832 |
$922.91 |
| J2704 |
Inj, propofol, 10 mg |
7,219 |
5,303 |
$888.30 |
| 84155 |
|
3,203 |
2,595 |
$844.98 |
| 00790 |
|
140 |
105 |
$825.26 |
| J2270 |
Morphine sulfate injection |
2,244 |
1,627 |
$810.66 |
| 87210 |
|
344 |
281 |
$798.21 |
| 84481 |
|
50 |
44 |
$785.73 |
| J3370 |
Vancomycin hcl injection |
926 |
433 |
$744.65 |
| 84520 |
|
302 |
265 |
$722.53 |
| 80164 |
|
73 |
58 |
$661.96 |
| J0780 |
Prochlorperazine injection |
1,459 |
1,107 |
$655.33 |
| 85046 |
|
223 |
188 |
$644.24 |
| J1644 |
Inj heparin sodium per 1000u |
2,269 |
958 |
$609.51 |
| 72192 |
|
14 |
14 |
$606.87 |
| J0696 |
Ceftriaxone sodium injection |
3,824 |
2,548 |
$603.28 |
| J2272 |
Inj, morphine (fresenius) |
401 |
255 |
$581.29 |
| 84402 |
|
26 |
24 |
$578.23 |
| 87480 |
|
25 |
24 |
$517.96 |
| 82533 |
|
27 |
25 |
$516.98 |
| 97750 |
|
12 |
12 |
$510.66 |
| A9541 |
Tc99m sulfur colloid |
166 |
156 |
$495.70 |
| C9113 |
Inj pantoprazole sodium, via |
335 |
131 |
$478.62 |
| 85007 |
|
152 |
112 |
$454.35 |
| J0690 |
Cefazolin sodium injection |
3,116 |
1,970 |
$448.59 |
| J2405 |
Ondansetron hcl injection |
15,607 |
11,480 |
$440.62 |
| 86258 |
|
14 |
12 |
$425.22 |
| 76376 |
|
1,945 |
1,701 |
$423.50 |
| 36410 |
|
36 |
26 |
$422.74 |
| 87529 |
|
26 |
24 |
$394.73 |
| 87510 |
|
25 |
24 |
$391.43 |
| 86870 |
|
23 |
14 |
$390.77 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
1,332 |
1,146 |
$385.08 |
| J2930 |
Methylprednisolone injection |
764 |
504 |
$381.48 |
| 82310 |
|
213 |
199 |
$378.55 |
| 87625 |
|
55 |
53 |
$378.53 |
| 83921 |
|
30 |
26 |
$375.35 |
| 00812 |
|
398 |
345 |
$368.36 |
| 87660 |
|
25 |
24 |
$356.70 |
| 87045 |
|
13 |
12 |
$338.43 |
| J1200 |
Diphenhydramine hcl injectio |
3,744 |
2,766 |
$331.26 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
454 |
137 |
$328.49 |
| J2310 |
Inj naloxone hydrochloride |
15 |
12 |
$325.67 |
| 84144 |
|
15 |
15 |
$324.64 |
| 29125 |
|
455 |
390 |
$313.10 |
| 86334 |
|
12 |
12 |
$312.08 |
| 92523 |
|
16 |
13 |
$304.38 |
| J0360 |
Hydralazine hcl injection |
382 |
236 |
$299.13 |
| 82106 |
|
15 |
12 |
$295.14 |
| 80320 |
|
12 |
12 |
$287.01 |
| 73070 |
|
17 |
14 |
$266.86 |
| 86765 |
|
14 |
12 |
$261.50 |
| 92611 |
|
13 |
13 |
$256.62 |
| J1100 |
Dexamethasone sodium phos |
5,562 |
4,004 |
$255.70 |
| 82951 |
|
13 |
13 |
$254.70 |
| J2060 |
Lorazepam injection |
2,019 |
1,452 |
$252.44 |
| 83020 |
|
17 |
17 |
$250.24 |
| J3480 |
Inj potassium chloride |
852 |
428 |
$245.03 |
| 84295 |
|
135 |
122 |
$213.49 |
| J1940 |
Furosemide injection |
736 |
373 |
$202.57 |
| J3010 |
Fentanyl citrate injection |
4,628 |
3,143 |
$202.00 |
| J7040 |
Normal saline solution infus |
1,974 |
1,429 |
$199.87 |
| 82803 |
|
123 |
87 |
$192.42 |
| J2765 |
Metoclopramide hcl injection |
2,224 |
1,702 |
$189.23 |
| 82435 |
|
192 |
181 |
$181.07 |
| J7050 |
Normal saline solution infus |
1,940 |
980 |
$176.94 |
| J2919 |
Inj, methylpred sod succ 5mg |
334 |
214 |
$167.44 |
| 90472 |
|
185 |
159 |
$161.90 |
| 80074 |
|
19 |
15 |
$151.33 |
| 80177 |
|
17 |
14 |
$136.89 |
| 82952 |
|
12 |
12 |
$133.41 |
| J1630 |
Haloperidol injection |
1,517 |
1,129 |
$131.11 |
| 82374 |
|
143 |
139 |
$129.98 |
| 70360 |
|
18 |
13 |
$114.97 |
| Q9957 |
Inj perflutren lip micros,ml |
607 |
513 |
$103.03 |
| J7512 |
Prednisone ir or dr oral 1mg |
3,092 |
2,268 |
$95.37 |
| 80377 |
|
14 |
13 |
$95.16 |
| 85049 |
|
47 |
39 |
$83.83 |
| J0171 |
Adrenalin epinephrine inject |
278 |
217 |
$83.28 |
| 87176 |
|
245 |
196 |
$79.82 |
| 86703 |
|
15 |
12 |
$78.56 |
| J2795 |
Ropivacaine hcl injection |
166 |
112 |
$77.39 |
| 87449 |
|
31 |
25 |
$69.88 |
| 86709 |
|
21 |
12 |
$64.65 |
| G0008 |
Admin influenza virus vac |
15 |
14 |
$62.89 |
| 95909 |
|
34 |
32 |
$62.37 |
| J1642 |
Inj heparin sodium per 10 u |
530 |
279 |
$60.72 |
| J0736 |
Inj, clindamycin phosp 300mg |
16 |
12 |
$55.02 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
1,612 |
966 |
$54.70 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
712 |
548 |
$49.18 |
| J2250 |
Inj midazolam hydrochloride |
2,588 |
1,915 |
$48.70 |
| J3360 |
Diazepam injection |
13 |
12 |
$45.72 |
| 0002A |
|
52 |
47 |
$37.98 |
| 82010 |
|
14 |
12 |
$33.08 |
| Q0114 |
Fern test |
211 |
188 |
$31.45 |
| J0330 |
Succinycholine chloride inj |
233 |
168 |
$27.84 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
500 |
326 |
$26.35 |
| J1790 |
Droperidol injection |
246 |
202 |
$22.78 |
| J1836 |
Inj, metronidazole, 10 mg |
96 |
37 |
$21.99 |
| J2370 |
Phenylephrine hcl injection |
241 |
157 |
$19.84 |
| J1030 |
Methylprednisolone 40 mg inj |
259 |
209 |
$18.42 |
| C1894 |
Intro/sheath, non-laser |
756 |
570 |
$16.69 |
| J0456 |
Azithromycin |
111 |
52 |
$14.18 |
| J2470 |
Inj pantoprazole sodium 40mg |
93 |
58 |
$12.73 |
| 81002 |
|
291 |
260 |
$12.21 |
| J3301 |
Triamcinolone acet inj nos |
277 |
240 |
$9.65 |
| J3490 |
Drugs unclassified injection |
27 |
20 |
$7.49 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
391 |
331 |
$6.45 |
| J8597 |
Antiemetic drug oral nos |
78 |
72 |
$4.89 |
| 36416 |
|
26 |
17 |
$0.22 |
| C1887 |
Catheter, guiding |
392 |
284 |
$0.00 |
| 69209 |
|
13 |
13 |
$0.00 |
| G0390 |
Trauma respons w/hosp criti |
204 |
155 |
$0.00 |
| H1000 |
Prenatal care atrisk assessm |
111 |
106 |
$0.00 |
| 29515 |
|
57 |
49 |
$0.00 |
| 73000 |
|
18 |
14 |
$0.00 |
| 85384 |
|
20 |
12 |
$0.00 |
| C1729 |
Cath, drainage |
138 |
86 |
$0.00 |
| C1713 |
Anchor/screw bn/bn,tis/bn |
36 |
27 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
43 |
31 |
$0.00 |
| C1751 |
Cath, inf, per/cent/midline |
15 |
12 |
$0.00 |
| A9552 |
F18 fdg |
13 |
12 |
$0.00 |
| 51702 |
|
25 |
12 |
$0.00 |
| C1758 |
Catheter, ureteral |
21 |
13 |
$0.00 |
| C1769 |
Guide wire |
888 |
663 |
$0.00 |
| J2785 |
Regadenoson injection |
576 |
489 |
$0.00 |
| A9500 |
Tc99m sestamibi |
598 |
497 |
$0.00 |
| A9270 |
Non-covered item or service |
287 |
85 |
$0.00 |
| A9555 |
Rb82 rubidium |
14 |
13 |
$0.00 |
| A4648 |
Implantable tissue marker |
96 |
85 |
$0.00 |
| C1726 |
Cath, bal dil, non-vascular |
15 |
13 |
$0.00 |
| 94644 |
|
15 |
13 |
$0.00 |
| 51798 |
|
54 |
47 |
$0.00 |
| 74022 |
|
17 |
13 |
$0.00 |
| 96368 |
|
15 |
13 |
$0.00 |
| 0001A |
|
14 |
14 |
$0.00 |
| 00952 |
|
22 |
13 |
$0.00 |