| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
94,112 |
87,897 |
$9.02M |
| 99284 |
|
16,242 |
14,553 |
$5.28M |
| 99212 |
|
62,363 |
56,887 |
$4.59M |
| 99283 |
|
32,806 |
29,510 |
$4.07M |
| 99214 |
|
23,900 |
22,705 |
$2.34M |
| G0378 |
Hospital observation per hr |
5,201 |
4,031 |
$2.32M |
| 99211 |
|
41,289 |
36,713 |
$2.13M |
| J2426 |
Inj, invega sustenna, 1 mg |
1,341 |
1,240 |
$1.87M |
| 93005 |
|
21,820 |
17,650 |
$1.65M |
| 76816 |
|
11,792 |
11,321 |
$1.59M |
| 76815 |
|
13,481 |
8,582 |
$1.24M |
| 76819 |
|
10,038 |
6,026 |
$1.08M |
| Q3014 |
Telehealth facility fee |
40,901 |
38,341 |
$1.05M |
| 74177 |
|
3,777 |
3,539 |
$951K |
| 80307 |
|
15,595 |
13,984 |
$926K |
| 93306 |
|
1,633 |
1,591 |
$903K |
| 81513 |
|
7,651 |
6,977 |
$837K |
| 90460 |
|
178,598 |
81,446 |
$743K |
| 59025 |
|
6,679 |
4,362 |
$674K |
| 76805 |
|
4,091 |
3,951 |
$576K |
| 80053 |
|
62,774 |
53,425 |
$556K |
| 85025 |
|
84,664 |
71,619 |
$550K |
| 90471 |
|
16,349 |
15,538 |
$527K |
| 87590 |
|
20,877 |
19,099 |
$492K |
| 99203 |
|
2,119 |
2,034 |
$480K |
| 96365 |
|
2,960 |
2,507 |
$471K |
| 99285 |
|
2,012 |
1,898 |
$446K |
| 87635 |
|
6,784 |
6,405 |
$425K |
| G0463 |
Hospital outpt clinic visit |
37,063 |
28,102 |
$408K |
| 87490 |
|
20,875 |
19,120 |
$407K |
| 86703 |
|
29,450 |
27,270 |
$399K |
| 76811 |
|
1,999 |
1,942 |
$383K |
| 70450 |
|
3,995 |
3,640 |
$372K |
| 87481 |
|
14,461 |
6,961 |
$339K |
| 71260 |
|
2,329 |
2,207 |
$324K |
| J9271 |
Inj pembrolizumab |
65 |
51 |
$313K |
| 99282 |
|
5,671 |
5,121 |
$311K |
| 96372 |
|
19,162 |
14,592 |
$309K |
| 86780 |
|
21,694 |
19,938 |
$271K |
| 90686 |
|
37,922 |
37,466 |
$244K |
| 76856 |
|
2,641 |
2,493 |
$239K |
| 80061 |
|
21,344 |
20,496 |
$232K |
| 83036 |
|
28,202 |
26,478 |
$231K |
| 71045 |
|
10,639 |
9,300 |
$210K |
| 87661 |
|
7,690 |
7,016 |
$209K |
| 86850 |
|
5,662 |
4,909 |
$203K |
| J7030 |
Normal saline solution infus |
12,979 |
4,151 |
$200K |
| 84443 |
|
16,083 |
15,134 |
$194K |
| 87804 |
|
9,119 |
4,290 |
$192K |
| 76830 |
|
1,922 |
1,822 |
$192K |
| 90715 |
|
6,415 |
6,171 |
$190K |
| 87653 |
|
5,214 |
5,074 |
$189K |
| 94640 |
|
1,822 |
1,187 |
$180K |
| 96413 |
|
2,234 |
1,368 |
$174K |
| 99215 |
Prolong outpt/office vis |
1,564 |
1,463 |
$173K |
| 84702 |
|
12,211 |
10,745 |
$150K |
| 90651 |
|
3,211 |
3,130 |
$147K |
| 76801 |
|
1,207 |
1,103 |
$140K |
| 82306 |
|
6,773 |
6,486 |
$133K |
| 72125 |
|
1,608 |
1,464 |
$133K |
| G0480 |
Drug test def 1-7 classes |
2,262 |
1,896 |
$127K |
| 87880 |
|
6,086 |
5,611 |
$126K |
| 81025 |
|
15,255 |
14,076 |
$123K |
| 90677 |
|
7,174 |
7,125 |
$122K |
| 87086 |
|
15,722 |
14,245 |
$121K |
| 97110 |
|
2,469 |
1,485 |
$119K |
| 43239 |
|
454 |
427 |
$118K |
| 86762 |
|
8,648 |
7,755 |
$118K |
| J7307 |
Etonogestrel implant system |
171 |
171 |
$116K |
| 76820 |
|
1,816 |
964 |
$114K |
| 0002A |
|
3,227 |
3,211 |
$113K |
| 86803 |
|
10,846 |
9,819 |
$110K |
| 88175 |
|
5,879 |
5,567 |
$106K |
| 85027 |
|
18,184 |
16,725 |
$105K |
| 87536 |
|
1,423 |
1,335 |
$104K |
| 96374 |
|
8,916 |
8,076 |
$102K |
| 84484 |
|
12,630 |
8,805 |
$102K |
| 76705 |
|
1,207 |
1,159 |
$94K |
| 77066 |
Tomosynthesis, mammo |
586 |
565 |
$90K |
| 87340 |
|
10,838 |
9,824 |
$86K |
| 76642 |
|
905 |
884 |
$83K |
| 83021 |
|
5,215 |
4,529 |
$81K |
| 80048 |
|
12,094 |
9,593 |
$78K |
| 83880 |
|
3,302 |
2,934 |
$78K |
| J0897 |
Denosumab injection |
143 |
132 |
$77K |
| 88305 |
|
1,314 |
908 |
$77K |
| J1050 |
Medroxyprogesterone acetate |
3,001 |
2,918 |
$76K |
| 96366 |
|
1,891 |
1,272 |
$74K |
| 82805 |
|
1,264 |
1,111 |
$69K |
| 82948 |
|
19,343 |
9,967 |
$67K |
| 0001A |
|
3,139 |
3,124 |
$67K |
| 74176 |
|
413 |
385 |
$65K |
| 96367 |
|
2,069 |
1,275 |
$65K |
| 81420 |
|
66 |
65 |
$64K |
| 87491 |
|
2,227 |
2,136 |
$64K |
| 87591 |
|
2,216 |
2,123 |
$64K |
| 76770 |
|
710 |
692 |
$57K |
| 71046 |
|
1,886 |
1,805 |
$54K |
| 99291 |
|
64 |
60 |
$51K |
| 90746 |
|
992 |
958 |
$51K |
| 83655 |
|
2,771 |
2,621 |
$50K |
| 70551 |
|
300 |
291 |
$48K |
| 82950 |
|
9,185 |
8,721 |
$46K |
| 76817 |
|
351 |
273 |
$46K |
| 81269 |
|
301 |
286 |
$43K |
| 97162 |
|
895 |
851 |
$43K |
| 90656 |
|
4,721 |
4,680 |
$43K |
| 73630 |
|
1,476 |
1,372 |
$40K |
| 90670 |
|
18,285 |
18,143 |
$38K |
| 0071A |
|
690 |
686 |
$37K |
| 87426 |
|
857 |
819 |
$37K |
| 99281 |
|
1,120 |
1,035 |
$36K |
| 72110 |
|
803 |
789 |
$35K |
| 83690 |
|
6,887 |
6,269 |
$35K |
| J7298 |
Mirena, 52 mg |
86 |
83 |
$33K |
| 87624 |
|
1,387 |
1,319 |
$33K |
| 76818 |
|
213 |
177 |
$32K |
| 84703 |
|
3,751 |
3,564 |
$32K |
| 90697 |
|
12,859 |
12,805 |
$31K |
| 82728 |
|
3,113 |
2,960 |
$31K |
| 93971 |
|
395 |
365 |
$31K |
| 73030 |
|
1,156 |
1,058 |
$30K |
| 81003 |
|
16,104 |
14,614 |
$29K |
| J1885 |
Ketorolac tromethamine inj |
5,084 |
4,552 |
$29K |
| 83970 |
|
1,471 |
1,413 |
$28K |
| 0241U |
|
2,707 |
2,537 |
$28K |
| 84439 |
|
4,060 |
3,796 |
$28K |
| 94760 |
|
1,746 |
1,049 |
$28K |
| 73130 |
|
911 |
835 |
$27K |
| 86901 |
|
11,570 |
9,821 |
$27K |
| 86900 |
|
11,589 |
9,832 |
$27K |
| J2405 |
Ondansetron hcl injection |
4,650 |
3,480 |
$27K |
| G0481 |
Drug test def 8-14 classes |
169 |
125 |
$27K |
| 93017 |
|
78 |
77 |
$27K |
| 86885 |
|
4,747 |
4,430 |
$26K |
| 93970 |
|
162 |
158 |
$25K |
| 80076 |
|
3,262 |
3,089 |
$25K |
| T2101 |
Breast milk proc/store/dist |
2,159 |
646 |
$25K |
| 84466 |
|
2,867 |
2,673 |
$25K |
| 11982 |
|
242 |
240 |
$25K |
| 0072A |
|
526 |
521 |
$24K |
| 81001 |
|
8,650 |
7,947 |
$23K |
| 73562 |
|
783 |
732 |
$23K |
| J1756 |
Iron sucrose injection |
234 |
122 |
$23K |
| 83020 |
|
1,905 |
1,775 |
$22K |
| 86140 |
|
4,444 |
4,023 |
$21K |
| 73610 |
|
752 |
694 |
$21K |
| J1644 |
Inj heparin sodium per 1000u |
2,040 |
774 |
$21K |
| 73502 |
|
505 |
471 |
$21K |
| 77065 |
Tomosynthesis, mammo |
144 |
138 |
$20K |
| 83037 |
|
4,294 |
4,152 |
$20K |
| 73564 |
|
550 |
520 |
$20K |
| 86480 |
|
447 |
428 |
$19K |
| 87210 |
|
3,391 |
3,218 |
$18K |
| G0382 |
Lev 3 hosp type b ed visit |
320 |
298 |
$18K |
| 0012A |
|
1,078 |
1,074 |
$18K |
| 85014 |
|
5,387 |
5,093 |
$18K |
| 85018 |
|
5,435 |
5,131 |
$18K |
| 84153 |
|
1,280 |
1,222 |
$18K |
| 45380 |
|
31 |
30 |
$18K |
| 96417 |
|
452 |
287 |
$17K |
| 0011A |
|
1,168 |
1,160 |
$15K |
| 82607 |
|
1,702 |
1,623 |
$15K |
| 93296 |
|
900 |
864 |
$15K |
| 70553 |
|
52 |
50 |
$15K |
| 97161 |
|
340 |
334 |
$15K |
| 83735 |
|
3,433 |
2,606 |
$14K |
| 85610 |
|
5,905 |
4,815 |
$14K |
| 86361 |
|
645 |
596 |
$14K |
| 58301 |
|
235 |
230 |
$14K |
| 20610 |
|
409 |
377 |
$14K |
| 86706 |
|
1,675 |
1,547 |
$13K |
| 82570 |
|
4,475 |
4,288 |
$13K |
| 72148 |
|
60 |
59 |
$13K |
| 71250 |
|
143 |
141 |
$13K |
| J0696 |
Ceftriaxone sodium injection |
2,221 |
1,611 |
$12K |
| 83540 |
|
2,809 |
2,683 |
$12K |
| 86704 |
|
1,385 |
1,259 |
$12K |
| 74018 |
|
572 |
513 |
$12K |
| J1100 |
Dexamethasone sodium phos |
2,522 |
1,804 |
$12K |
| 86160 |
|
808 |
398 |
$12K |
| 41899 |
|
73 |
58 |
$12K |
| 94729 |
|
207 |
203 |
$11K |
| 86003 |
|
129 |
74 |
$11K |
| 86708 |
|
1,264 |
1,162 |
$11K |
| 83605 |
|
1,398 |
1,123 |
$11K |
| 73110 |
|
288 |
256 |
$11K |
| J1940 |
Furosemide injection |
1,322 |
702 |
$10K |
| 87040 |
|
1,020 |
576 |
$10K |
| 58300 |
|
151 |
146 |
$10K |
| 92557 |
|
215 |
204 |
$9K |
| 82024 |
|
306 |
234 |
$9K |
| 93225 |
|
50 |
50 |
$9K |
| 96375 |
|
4,792 |
3,690 |
$9K |
| 90472 |
|
639 |
567 |
$9K |
| 82746 |
|
920 |
881 |
$9K |
| J1200 |
Diphenhydramine hcl injectio |
1,553 |
1,167 |
$9K |
| 85652 |
|
3,490 |
3,207 |
$8K |
| 82043 |
|
2,846 |
2,782 |
$8K |
| 85730 |
|
2,131 |
1,923 |
$8K |
| 80069 |
|
1,387 |
1,192 |
$8K |
| 82565 |
|
1,385 |
1,325 |
$8K |
| 70491 |
|
42 |
41 |
$8K |
| 90633 |
|
6,877 |
6,827 |
$7K |
| 93880 |
|
68 |
65 |
$7K |
| J2270 |
Morphine sulfate injection |
1,008 |
814 |
$7K |
| 0004A |
|
832 |
832 |
$7K |
| 97166 |
|
140 |
130 |
$7K |
| J1650 |
Inj enoxaparin sodium |
2,163 |
803 |
$7K |
| 82274 |
|
762 |
752 |
$7K |
| 82947 |
|
1,232 |
1,202 |
$7K |
| 94726 |
|
160 |
156 |
$7K |
| 77080 |
|
477 |
456 |
$7K |
| 96415 |
|
389 |
248 |
$7K |
| 90694 |
|
1,155 |
1,127 |
$7K |
| 87522 |
Neg quan hep c or qual rna |
219 |
205 |
$7K |
| 90837 |
|
48 |
39 |
$7K |
| 96110 |
|
806 |
710 |
$7K |
| 82105 |
|
601 |
583 |
$6K |
| C8929 |
Tte w or wo fol wcon,doppler |
13 |
13 |
$6K |
| 0124A |
|
257 |
252 |
$6K |
| 0064A |
|
514 |
509 |
$6K |
| 84145 |
|
356 |
319 |
$6K |
| G0433 |
Elisa hiv-1/hiv-2 screen |
5,383 |
4,965 |
$6K |
| 82550 |
|
1,240 |
1,057 |
$6K |
| 80074 |
|
164 |
151 |
$6K |
| 70498 |
|
37 |
36 |
$5K |
| J2060 |
Lorazepam injection |
843 |
617 |
$5K |
| 87186 |
|
1,088 |
975 |
$5K |
| J3010 |
Fentanyl citrate injection |
1,336 |
1,216 |
$5K |
| 92567 |
|
203 |
193 |
$5K |
| 84156 |
|
2,063 |
1,855 |
$5K |
| 71271 |
|
54 |
53 |
$5K |
| 82247 |
|
1,506 |
1,111 |
$5K |
| 88342 |
|
96 |
82 |
$5K |
| 11042 |
|
36 |
27 |
$5K |
| 82784 |
|
681 |
355 |
$5K |
| J3475 |
Inj magnesium sulfate |
221 |
139 |
$5K |
| 0054A |
|
205 |
202 |
$5K |
| 73590 |
|
208 |
194 |
$5K |
| 95886 |
|
95 |
89 |
$5K |
| 51798 |
|
135 |
109 |
$4K |
| 84100 |
|
2,060 |
1,770 |
$4K |
| 64493 |
|
13 |
13 |
$4K |
| 86038 |
|
538 |
457 |
$4K |
| 90791 |
|
20 |
20 |
$4K |
| 85007 |
|
1,556 |
1,148 |
$4K |
| 78452 |
|
13 |
12 |
$4K |
| 87637 |
|
34 |
34 |
$4K |
| 36415 |
|
196,982 |
170,803 |
$4K |
| 82248 |
|
1,321 |
1,049 |
$4K |
| 80164 |
|
465 |
400 |
$4K |
| 96368 |
|
191 |
113 |
$3K |
| A9502 |
Tc99m tetrofosmin |
13 |
12 |
$3K |
| 77336 |
|
66 |
28 |
$3K |
| J3301 |
Triamcinolone acet inj nos |
648 |
608 |
$3K |
| J1642 |
Inj heparin sodium per 10 u |
2,358 |
1,585 |
$3K |
| J1726 |
Makena, 10 mg |
115 |
63 |
$3K |
| J2250 |
Inj midazolam hydrochloride |
976 |
911 |
$3K |
| 76641 |
|
17 |
17 |
$3K |
| 80320 |
|
295 |
262 |
$3K |
| 0134A |
|
102 |
99 |
$3K |
| 85379 |
|
404 |
370 |
$3K |
| 82378 |
|
246 |
229 |
$3K |
| 80329 |
|
220 |
153 |
$3K |
| 86334 |
|
184 |
168 |
$3K |
| J3480 |
Inj potassium chloride |
141 |
79 |
$3K |
| 11981 |
|
26 |
26 |
$3K |
| 84460 |
|
356 |
350 |
$3K |
| Q0091 |
Obtaining screen pap smear |
2,699 |
2,322 |
$3K |
| J3370 |
Vancomycin hcl injection |
143 |
62 |
$2K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
6,803 |
6,251 |
$2K |
| 90734 |
|
1,191 |
1,182 |
$2K |
| J1790 |
Droperidol injection |
306 |
278 |
$2K |
| 76536 |
|
28 |
28 |
$2K |
| S3620 |
Newborn metabolic screening |
789 |
778 |
$2K |
| 95816 |
|
16 |
16 |
$2K |
| 86592 |
|
713 |
656 |
$2K |
| 92134 |
|
687 |
668 |
$2K |
| 83615 |
|
534 |
465 |
$2K |
| 73560 |
|
64 |
52 |
$2K |
| 96376 |
|
2,893 |
1,552 |
$2K |
| 82951 |
|
196 |
188 |
$2K |
| J0360 |
Hydralazine hcl injection |
178 |
142 |
$2K |
| 90710 |
|
851 |
851 |
$2K |
| 72200 |
|
40 |
39 |
$2K |
| J0690 |
Cefazolin sodium injection |
435 |
334 |
$2K |
| 84480 |
|
206 |
188 |
$2K |
| 70496 |
|
13 |
12 |
$2K |
| 84550 |
|
636 |
591 |
$2K |
| 84450 |
|
311 |
300 |
$2K |
| 64615 |
|
12 |
12 |
$2K |
| 90834 |
|
15 |
12 |
$2K |
| 82785 |
|
84 |
74 |
$2K |
| 88720 |
|
387 |
315 |
$2K |
| 82140 |
|
174 |
142 |
$2K |
| 83521 |
|
336 |
158 |
$1K |
| J2785 |
Regadenoson injection |
13 |
12 |
$1K |
| 81511 |
|
197 |
184 |
$1K |
| 87077 |
|
299 |
280 |
$1K |
| 96523 |
|
202 |
165 |
$1K |
| 70486 |
|
29 |
28 |
$1K |
| 85660 |
|
230 |
218 |
$1K |
| 86300 |
|
77 |
72 |
$1K |
| 90732 |
|
283 |
276 |
$1K |
| 84165 |
|
196 |
174 |
$1K |
| 90648 |
|
3,695 |
3,661 |
$1K |
| 73552 |
|
58 |
57 |
$1K |
| 82652 |
|
50 |
50 |
$1K |
| 99490 |
Ccm add 20min |
234 |
234 |
$1K |
| G0279 |
Tomosynthesis, mammo |
351 |
326 |
$1K |
| 67028 |
|
48 |
39 |
$1K |
| J9045 |
Carboplatin injection |
35 |
25 |
$1K |
| 0052A |
|
31 |
30 |
$1K |
| 94618 |
|
13 |
13 |
$1K |
| 87205 |
|
416 |
361 |
$1K |
| 73080 |
|
42 |
39 |
$1K |
| J8499 |
Oral prescrip drug non chemo |
16,649 |
4,565 |
$1K |
| J1630 |
Haloperidol injection |
136 |
94 |
$1K |
| 0051A |
|
40 |
37 |
$1K |
| 73522 |
|
41 |
41 |
$996.13 |
| 90688 |
|
39 |
39 |
$984.64 |
| 76886 |
|
12 |
12 |
$970.80 |
| 94060 |
|
13 |
13 |
$959.15 |
| 77062 |
|
715 |
697 |
$942.25 |
| J1170 |
Hydromorphone injection |
86 |
55 |
$922.07 |
| 83516 |
|
112 |
72 |
$879.41 |
| J2930 |
Methylprednisolone injection |
83 |
66 |
$869.93 |
| 87338 |
|
111 |
110 |
$869.48 |
| 90681 |
|
7,376 |
7,336 |
$846.70 |
| Q0177 |
Hydroxyzine pamoate 25mg |
854 |
587 |
$845.07 |
| 0111A |
|
20 |
19 |
$830.77 |
| 95885 |
|
13 |
12 |
$779.59 |
| 86705 |
|
89 |
86 |
$754.92 |
| 87070 |
|
154 |
129 |
$715.78 |
| 90707 |
|
1,310 |
1,291 |
$712.86 |
| 0003A |
|
217 |
217 |
$705.03 |
| J2765 |
Metoclopramide hcl injection |
96 |
89 |
$688.48 |
| 97116 |
|
28 |
14 |
$670.47 |
| 84403 |
|
43 |
42 |
$664.84 |
| 92083 |
|
13 |
12 |
$636.94 |
| 90716 |
|
1,379 |
1,359 |
$635.32 |
| C9803 |
Hopd covid-19 spec collect |
29 |
27 |
$633.42 |
| 82040 |
|
97 |
96 |
$625.55 |
| 86431 |
|
94 |
91 |
$604.83 |
| 0013A |
|
291 |
291 |
$566.88 |
| 90700 |
|
1,007 |
1,003 |
$566.80 |
| 82977 |
|
113 |
102 |
$561.95 |
| 73060 |
|
29 |
24 |
$525.96 |
| J0500 |
Dicyclomine injection |
13 |
12 |
$505.40 |
| 96401 |
|
22 |
13 |
$482.16 |
| J2704 |
Inj, propofol, 10 mg |
1,225 |
1,130 |
$481.49 |
| J1953 |
Levetiracetam injection |
18 |
12 |
$474.48 |
| 82952 |
|
150 |
144 |
$415.35 |
| J2919 |
Inj, methylpred sod succ 5mg |
39 |
33 |
$400.19 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
229 |
215 |
$390.57 |
| 90696 |
|
371 |
370 |
$374.91 |
| J1720 |
Hydrocortisone sodium succ i |
20 |
12 |
$357.80 |
| 72070 |
|
12 |
12 |
$316.39 |
| S0028 |
Injection, famotidine, 20 mg |
83 |
58 |
$291.00 |
| 86039 |
|
30 |
25 |
$256.08 |
| 90723 |
|
1,730 |
1,721 |
$248.68 |
| 83883 |
|
13 |
13 |
$236.48 |
| 73090 |
|
13 |
12 |
$233.28 |
| 84436 |
|
42 |
29 |
$230.54 |
| 90480 |
|
19 |
17 |
$228.83 |
| 96402 |
|
12 |
12 |
$218.96 |
| 86682 |
|
22 |
20 |
$218.60 |
| 84146 |
|
31 |
28 |
$201.62 |
| 86376 |
|
26 |
26 |
$185.80 |
| 83520 |
|
24 |
12 |
$169.06 |
| 86787 |
|
15 |
14 |
$151.48 |
| J0780 |
Prochlorperazine injection |
14 |
13 |
$142.84 |
| 90653 |
|
313 |
299 |
$141.93 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
75 |
70 |
$112.47 |
| 81050 |
|
40 |
38 |
$111.06 |
| 84155 |
|
48 |
39 |
$109.89 |
| 80177 |
|
13 |
12 |
$107.94 |
| A6213 |
Foam drg >16<=48 sq in w/bdr |
18 |
12 |
$102.60 |
| 90620 |
|
131 |
128 |
$98.47 |
| Q9957 |
Inj perflutren lip micros,ml |
58 |
57 |
$96.54 |
| 84425 |
|
13 |
13 |
$89.58 |
| 84132 |
|
46 |
42 |
$67.63 |
| 82150 |
|
13 |
12 |
$61.70 |
| 84590 |
|
13 |
13 |
$56.35 |
| 36592 |
|
855 |
723 |
$47.24 |
| A9585 |
Gadobutrol injection |
428 |
414 |
$35.89 |
| Q0162 |
Ondansetron oral |
1,508 |
1,242 |
$30.74 |
| 90461 |
|
214 |
123 |
$14.58 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
42 |
40 |
$13.86 |
| J7512 |
Prednisone ir or dr oral 1mg |
270 |
158 |
$6.60 |
| 36416 |
|
5,914 |
5,139 |
$2.65 |
| G0009 |
Admin pneumococcal vaccine |
568 |
565 |
$0.66 |
| 90680 |
|
1,176 |
1,172 |
$0.09 |
| 90743 |
|
606 |
598 |
$0.05 |
| 91301 |
|
1,195 |
1,165 |
$0.02 |
| G0008 |
Admin influenza virus vac |
2,902 |
2,834 |
$0.00 |
| 91307 |
|
1,606 |
1,458 |
$0.00 |
| 90698 |
|
1,457 |
1,435 |
$0.00 |
| 91305 |
|
471 |
440 |
$0.00 |
| G0103 |
Psa screening |
242 |
242 |
$0.00 |
| J1815 |
Insulin injection |
151 |
61 |
$0.00 |
| J7060 |
5% dextrose/water |
56 |
24 |
$0.00 |
| G0010 |
Admin hepatitis b vaccine |
52 |
52 |
$0.00 |
| 90381 |
|
61 |
61 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
134 |
115 |
$0.00 |
| 91306 |
|
39 |
38 |
$0.00 |
| G0499 |
Hepb screen high risk indiv |
14 |
14 |
$0.00 |
| G0101 |
Ca screen;pelvic/breast exam |
762 |
654 |
$0.00 |
| 91300 |
|
4,486 |
4,082 |
$0.00 |
| 91312 |
|
96 |
95 |
$0.00 |
| 91313 |
|
52 |
52 |
$0.00 |
| M1145 |
Mfn drug add-on, per dose |
22 |
21 |
$0.00 |
| 90380 |
|
76 |
75 |
$0.00 |
| 91311 |
|
58 |
57 |
$0.00 |