| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
82,378 |
76,286 |
$8.46M |
| 99283 |
|
72,366 |
65,961 |
$6.85M |
| 74177 |
|
8,772 |
8,019 |
$4.04M |
| J9271 |
Inj pembrolizumab |
1,022 |
686 |
$3.04M |
| 0202U |
|
7,006 |
6,786 |
$2.15M |
| 70450 |
|
10,948 |
9,867 |
$2.13M |
| 99285 |
|
10,670 |
9,664 |
$1.81M |
| G0378 |
Hospital observation per hr |
16,193 |
7,203 |
$1.74M |
| 96361 |
|
18,959 |
14,437 |
$1.62M |
| 96375 |
|
28,287 |
20,297 |
$1.41M |
| 96365 |
|
16,488 |
12,212 |
$1.36M |
| 99282 |
|
19,735 |
18,075 |
$1.32M |
| 99213 |
|
49,340 |
44,063 |
$1.25M |
| 74176 |
|
4,047 |
3,611 |
$1.25M |
| 42820 |
|
1,027 |
1,021 |
$1.25M |
| 36902 |
|
3,200 |
2,804 |
$1.22M |
| 93306 |
|
5,330 |
4,706 |
$1.21M |
| 99214 |
|
28,642 |
24,431 |
$1.15M |
| J0897 |
Denosumab injection |
1,744 |
1,490 |
$1.09M |
| 71260 |
|
5,448 |
4,923 |
$1.04M |
| 96374 |
|
28,663 |
23,840 |
$1.02M |
| 78452 |
|
2,440 |
2,119 |
$968K |
| 78815 |
|
1,559 |
1,353 |
$945K |
| 96372 |
|
33,274 |
24,091 |
$897K |
| 80053 |
|
110,361 |
86,174 |
$819K |
| 71045 |
|
23,963 |
19,359 |
$796K |
| D2930 |
|
1,916 |
1,666 |
$788K |
| 71046 |
|
19,622 |
17,918 |
$779K |
| 93005 |
|
38,168 |
30,841 |
$770K |
| 96413 |
|
10,508 |
5,209 |
$766K |
| 43239 |
|
4,133 |
3,852 |
$744K |
| 85025 |
|
126,062 |
95,373 |
$715K |
| 95810 |
|
1,166 |
1,088 |
$704K |
| 96366 |
|
5,984 |
4,364 |
$665K |
| 72125 |
|
3,040 |
2,799 |
$644K |
| 69436 |
|
924 |
853 |
$643K |
| 88305 |
|
11,806 |
10,657 |
$609K |
| J1439 |
Inj ferric carboxymaltos 1mg |
1,604 |
984 |
$565K |
| S9123 |
Nursing care in home rn |
10,446 |
1,819 |
$556K |
| 96367 |
|
7,699 |
3,847 |
$529K |
| 77412 |
|
6,369 |
618 |
$529K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
25,822 |
20,587 |
$485K |
| 97530 |
|
19,925 |
6,985 |
$468K |
| 80307 |
|
10,011 |
8,952 |
$446K |
| 45380 |
|
2,898 |
2,689 |
$431K |
| 70553 |
|
1,452 |
1,348 |
$399K |
| 96376 |
|
8,490 |
5,429 |
$390K |
| 99291 |
|
1,489 |
1,350 |
$389K |
| 77067 |
|
6,590 |
6,370 |
$382K |
| G0482 |
Drug test def 15-21 classes |
4,218 |
4,015 |
$378K |
| D7140 |
|
1,358 |
1,132 |
$378K |
| 70551 |
|
2,394 |
2,155 |
$369K |
| 99212 |
|
11,203 |
9,724 |
$362K |
| 96360 |
|
5,617 |
5,011 |
$362K |
| 36430 |
|
3,110 |
2,155 |
$346K |
| 99211 |
|
16,806 |
13,526 |
$345K |
| 77336 |
|
4,291 |
1,625 |
$333K |
| 90853 |
|
3,903 |
984 |
$320K |
| 87635 |
|
7,093 |
6,655 |
$316K |
| 73721 |
|
1,247 |
1,159 |
$279K |
| G0483 |
Drug test def 22+ classes |
3,969 |
2,919 |
$275K |
| 94640 |
|
8,615 |
5,283 |
$268K |
| 92507 |
|
10,463 |
3,426 |
$252K |
| 76705 |
|
3,614 |
3,332 |
$239K |
| 76801 |
|
1,720 |
1,525 |
$238K |
| 45378 |
|
840 |
785 |
$235K |
| 97110 |
|
22,213 |
6,626 |
$227K |
| 77334 |
|
1,321 |
877 |
$225K |
| 84443 |
|
16,755 |
15,292 |
$223K |
| 72148 |
|
1,550 |
1,383 |
$211K |
| 84484 |
|
22,674 |
17,584 |
$209K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,243 |
2,921 |
$208K |
| 87426 |
|
7,710 |
7,077 |
$207K |
| 71250 |
|
2,977 |
2,648 |
$197K |
| J2505 |
Injection, pegfilgrastim 6mg |
185 |
117 |
$192K |
| 95811 |
|
350 |
313 |
$192K |
| 96417 |
|
3,364 |
1,835 |
$189K |
| 93971 |
|
2,317 |
2,079 |
$188K |
| 96368 |
|
3,189 |
2,074 |
$187K |
| 45385 |
|
1,922 |
1,789 |
$185K |
| 76856 |
|
1,824 |
1,715 |
$177K |
| 74018 |
|
4,454 |
3,932 |
$175K |
| 93017 |
|
2,863 |
2,503 |
$169K |
| 80048 |
|
28,733 |
21,905 |
$154K |
| P9016 |
Rbc leukocytes reduced |
2,258 |
1,704 |
$151K |
| 83880 |
|
6,306 |
5,321 |
$148K |
| 87804 |
|
8,594 |
8,135 |
$148K |
| 73221 |
|
865 |
799 |
$147K |
| 36907 |
|
622 |
537 |
$143K |
| D2391 |
|
462 |
418 |
$137K |
| 77300 |
|
1,261 |
973 |
$137K |
| 73562 |
|
2,343 |
1,939 |
$132K |
| 97140 |
|
11,707 |
3,893 |
$128K |
| G0151 |
Hhcp-serv of pt,ea 15 min |
3,056 |
786 |
$123K |
| D2392 |
|
456 |
432 |
$123K |
| 81025 |
|
19,089 |
17,225 |
$119K |
| 87491 |
|
5,344 |
5,130 |
$116K |
| 11042 |
|
2,445 |
1,746 |
$116K |
| 87430 |
|
10,904 |
10,537 |
$116K |
| 83735 |
|
26,599 |
18,360 |
$115K |
| 73030 |
|
2,184 |
1,911 |
$109K |
| 86901 |
|
11,445 |
9,490 |
$108K |
| 74022 |
|
1,681 |
1,563 |
$107K |
| 76815 |
|
1,158 |
1,084 |
$106K |
| J9355 |
Inj trastuzumab excl biosimi |
57 |
39 |
$105K |
| 96415 |
|
2,120 |
1,223 |
$104K |
| 87070 |
|
13,185 |
12,528 |
$104K |
| 36905 |
|
417 |
294 |
$103K |
| 73630 |
|
1,760 |
1,556 |
$101K |
| 99281 |
|
1,802 |
1,711 |
$100K |
| 87591 |
|
5,347 |
5,133 |
$98K |
| D2934 |
|
422 |
352 |
$98K |
| Q5001 |
Hospice or home hlth in home |
93 |
38 |
$97K |
| D3220 |
|
567 |
488 |
$97K |
| D2330 |
|
369 |
359 |
$97K |
| 82306 |
|
3,565 |
3,425 |
$96K |
| 82553 |
|
11,248 |
9,331 |
$95K |
| A9500 |
Tc99m sestamibi |
2,353 |
2,033 |
$94K |
| 81001 |
|
37,401 |
32,848 |
$93K |
| 76641 |
|
1,725 |
1,424 |
$93K |
| 82948 |
|
28,062 |
17,296 |
$91K |
| 86850 |
|
9,219 |
7,753 |
$88K |
| 77295 |
|
149 |
118 |
$88K |
| 77063 |
|
6,500 |
6,282 |
$86K |
| 77290 |
|
268 |
213 |
$86K |
| 76770 |
|
1,953 |
1,809 |
$85K |
| 73610 |
|
1,369 |
1,262 |
$84K |
| 85027 |
|
20,643 |
16,401 |
$83K |
| 93970 |
|
775 |
694 |
$82K |
| 83690 |
|
14,350 |
12,547 |
$81K |
| D2140 |
|
152 |
140 |
$80K |
| 36591 |
|
14,315 |
7,984 |
$80K |
| 72100 |
|
1,618 |
1,502 |
$78K |
| 76830 |
|
1,036 |
929 |
$78K |
| 73502 |
|
1,690 |
1,490 |
$76K |
| J2270 |
Morphine sulfate injection |
19,205 |
14,769 |
$76K |
| 87086 |
|
10,540 |
9,617 |
$76K |
| 80061 |
|
10,559 |
10,043 |
$75K |
| J1453 |
Fosaprepitant injection |
971 |
475 |
$73K |
| 80320 |
|
4,281 |
3,821 |
$73K |
| 80329 |
|
1,577 |
1,438 |
$72K |
| 87040 |
|
5,765 |
5,113 |
$72K |
| 88312 |
|
2,896 |
2,696 |
$71K |
| 82728 |
|
7,821 |
7,022 |
$70K |
| 73130 |
|
1,268 |
1,069 |
$69K |
| 97162 |
|
3,419 |
3,045 |
$68K |
| 72141 |
|
430 |
380 |
$68K |
| 76817 |
|
432 |
388 |
$67K |
| 76700 |
|
937 |
860 |
$67K |
| J9035 |
Bevacizumab injection |
69 |
24 |
$66K |
| D2335 |
|
166 |
165 |
$65K |
| 70486 |
|
333 |
307 |
$65K |
| 76805 |
|
813 |
802 |
$64K |
| APT15 |
|
5,631 |
4,676 |
$63K |
| 88307 |
|
563 |
517 |
$63K |
| 82607 |
|
5,189 |
4,821 |
$60K |
| 83605 |
|
7,143 |
6,112 |
$60K |
| 82803 |
|
3,846 |
2,848 |
$58K |
| 88342 |
|
1,982 |
1,763 |
$57K |
| 99232 |
|
1,371 |
393 |
$56K |
| 88341 |
|
774 |
702 |
$56K |
| 85610 |
|
21,330 |
15,919 |
$56K |
| 84466 |
|
6,526 |
5,934 |
$55K |
| 77427 |
|
682 |
338 |
$52K |
| 97163 |
|
3,306 |
2,777 |
$51K |
| 93880 |
|
627 |
561 |
$51K |
| 83036 |
|
5,887 |
5,637 |
$50K |
| G0463 |
Hospital outpt clinic visit |
33,452 |
26,972 |
$50K |
| 76536 |
|
1,009 |
914 |
$48K |
| J2997 |
Alteplase recombinant |
856 |
546 |
$48K |
| 84439 |
|
6,183 |
5,754 |
$48K |
| 85730 |
|
11,724 |
10,159 |
$46K |
| 72131 |
|
205 |
195 |
$45K |
| A9577 |
Inj multihance |
2,257 |
2,096 |
$45K |
| M0243 |
Casirivi and imdevi inj |
241 |
240 |
$44K |
| 82550 |
|
14,987 |
12,448 |
$44K |
| 86900 |
|
12,626 |
9,516 |
$43K |
| 93976 |
|
251 |
238 |
$42K |
| 73560 |
|
1,002 |
812 |
$41K |
| 84702 |
|
5,559 |
4,533 |
$41K |
| 73590 |
|
744 |
643 |
$41K |
| 99202 |
|
1,459 |
1,311 |
$41K |
| 87400 |
|
4,369 |
2,147 |
$40K |
| 93356 |
|
1,164 |
1,067 |
$40K |
| D2150 |
|
135 |
117 |
$40K |
| 88304 |
|
1,563 |
1,473 |
$37K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
86 |
84 |
$35K |
| 82784 |
|
2,812 |
2,607 |
$35K |
| 92523 |
|
516 |
489 |
$35K |
| 70491 |
|
188 |
179 |
$34K |
| 77065 |
Tomosynthesis, mammo |
997 |
808 |
$34K |
| 76000 |
|
688 |
623 |
$34K |
| 76937 |
|
1,613 |
1,374 |
$33K |
| 86140 |
|
6,999 |
6,273 |
$33K |
| J1815 |
Insulin injection |
5,372 |
2,831 |
$32K |
| 83520 |
|
1,803 |
1,501 |
$32K |
| 73110 |
|
623 |
530 |
$32K |
| J2785 |
Regadenoson injection |
1,850 |
1,609 |
$32K |
| A9552 |
F18 fdg |
1,073 |
956 |
$31K |
| 97597 |
|
838 |
523 |
$31K |
| 87428 |
|
898 |
856 |
$31K |
| 83540 |
|
6,882 |
6,265 |
$30K |
| G6002 |
Stereoscopic x-ray guidance |
2,953 |
516 |
$30K |
| 90791 |
|
1,208 |
1,031 |
$30K |
| APT17 |
|
2,041 |
2,009 |
$30K |
| 97116 |
|
5,272 |
2,212 |
$30K |
| 86923 |
|
2,310 |
1,818 |
$30K |
| 97112 |
|
5,016 |
1,702 |
$30K |
| J1756 |
Iron sucrose injection |
1,361 |
588 |
$29K |
| 87077 |
|
4,093 |
3,773 |
$29K |
| 77066 |
Tomosynthesis, mammo |
572 |
446 |
$29K |
| 76942 |
|
509 |
422 |
$29K |
| 87186 |
|
3,947 |
3,630 |
$29K |
| 95813 |
|
84 |
84 |
$29K |
| 95816 |
|
248 |
235 |
$29K |
| 82565 |
|
8,588 |
7,656 |
$29K |
| 87880 |
|
1,939 |
1,927 |
$29K |
| 96411 |
|
1,344 |
730 |
$28K |
| 76775 |
|
543 |
470 |
$28K |
| 77014 |
|
1,244 |
225 |
$28K |
| 85379 |
|
3,796 |
3,412 |
$28K |
| 43249 |
|
311 |
297 |
$28K |
| 84703 |
|
3,935 |
3,711 |
$27K |
| 72040 |
|
310 |
298 |
$27K |
| 99204 |
|
608 |
578 |
$26K |
| 93458 |
|
27 |
25 |
$26K |
| 81003 |
|
14,962 |
13,611 |
$26K |
| 99201 |
|
1,221 |
1,065 |
$25K |
| 77280 |
|
152 |
123 |
$25K |
| 75710 |
|
81 |
62 |
$24K |
| 77001 |
|
403 |
336 |
$24K |
| 84153 |
|
2,137 |
1,903 |
$24K |
| J2405 |
Ondansetron hcl injection |
40,234 |
30,143 |
$24K |
| 73090 |
|
401 |
358 |
$24K |
| 72110 |
|
369 |
331 |
$24K |
| 82570 |
|
4,931 |
4,548 |
$23K |
| 72170 |
|
521 |
474 |
$23K |
| C8929 |
Tte w or wo fol wcon,doppler |
326 |
296 |
$23K |
| 87807 |
|
2,236 |
2,173 |
$23K |
| 87899 |
|
1,830 |
1,493 |
$22K |
| J1100 |
Dexamethasone sodium phos |
23,836 |
18,236 |
$21K |
| J3010 |
Fentanyl citrate injection |
18,120 |
15,164 |
$21K |
| 36415 |
|
106,878 |
81,345 |
$21K |
| J1170 |
Hydromorphone injection |
14,098 |
8,159 |
$21K |
| 80074 |
|
463 |
431 |
$20K |
| 82746 |
|
1,863 |
1,752 |
$19K |
| J2795 |
Ropivacaine hcl injection |
2,536 |
2,247 |
$19K |
| 80076 |
|
4,238 |
3,771 |
$19K |
| G0480 |
Drug test def 1-7 classes |
488 |
449 |
$19K |
| G0390 |
Trauma respons w/hosp criti |
14 |
14 |
$18K |
| 86703 |
|
1,355 |
1,295 |
$18K |
| 86038 |
|
1,646 |
1,556 |
$18K |
| 74019 |
|
365 |
338 |
$18K |
| 76819 |
|
127 |
111 |
$18K |
| 97032 |
|
2,925 |
1,181 |
$17K |
| 95886 |
|
145 |
143 |
$17K |
| 96402 |
|
525 |
474 |
$17K |
| 76642 |
|
465 |
399 |
$17K |
| J1885 |
Ketorolac tromethamine inj |
19,246 |
16,042 |
$17K |
| 66984 |
|
99 |
78 |
$17K |
| G0379 |
Direct refer hospital observ |
717 |
668 |
$17K |
| 88112 |
|
723 |
634 |
$17K |
| 90715 |
|
784 |
701 |
$16K |
| 83970 |
|
465 |
407 |
$16K |
| J2175 |
Meperidine hydrochl /100 mg |
4,576 |
4,008 |
$16K |
| 84481 |
|
1,296 |
1,157 |
$16K |
| 85045 |
|
4,515 |
3,440 |
$15K |
| 76870 |
|
127 |
115 |
$15K |
| J2930 |
Methylprednisolone injection |
3,888 |
3,026 |
$15K |
| J0696 |
Ceftriaxone sodium injection |
8,543 |
6,913 |
$15K |
| 83615 |
|
4,798 |
4,001 |
$15K |
| 86334 |
|
1,489 |
1,361 |
$15K |
| 77301 |
|
24 |
15 |
$15K |
| J3475 |
Inj magnesium sulfate |
8,319 |
5,246 |
$14K |
| 74220 |
|
295 |
264 |
$14K |
| 88142 |
|
692 |
667 |
$14K |
| APT16 |
|
1,002 |
949 |
$14K |
| C9803 |
Hopd covid-19 spec collect |
1,430 |
1,337 |
$13K |
| 85652 |
|
5,527 |
4,997 |
$13K |
| 96401 |
|
644 |
210 |
$13K |
| J0694 |
Cefoxitin sodium injection |
2,342 |
1,940 |
$13K |
| 84550 |
|
3,865 |
3,390 |
$13K |
| 92611 |
|
127 |
118 |
$12K |
| J2060 |
Lorazepam injection |
2,564 |
1,916 |
$12K |
| 12001 |
|
136 |
135 |
$12K |
| 82378 |
|
1,296 |
1,034 |
$12K |
| L8000 |
Mastectomy bra |
1,264 |
951 |
$11K |
| 83718 |
|
998 |
978 |
$11K |
| 90471 |
|
1,416 |
1,252 |
$11K |
| 36600 |
|
1,564 |
1,186 |
$11K |
| 95911 |
|
26 |
26 |
$11K |
| 74178 |
|
53 |
53 |
$11K |
| 84156 |
|
3,003 |
2,669 |
$11K |
| J0690 |
Cefazolin sodium injection |
6,324 |
4,672 |
$11K |
| 97014 |
|
1,050 |
366 |
$10K |
| 87210 |
|
2,479 |
2,359 |
$10K |
| J9190 |
Fluorouracil injection |
1,497 |
548 |
$10K |
| 74230 |
|
128 |
119 |
$9K |
| Q3014 |
Telehealth facility fee |
446 |
432 |
$9K |
| Q0162 |
Ondansetron oral |
3,844 |
3,321 |
$9K |
| 80361 |
|
356 |
353 |
$9K |
| 85520 |
|
988 |
859 |
$9K |
| 83883 |
|
849 |
780 |
$9K |
| 82043 |
|
1,965 |
1,865 |
$9K |
| 97166 |
|
817 |
716 |
$9K |
| 97535 |
|
2,236 |
1,294 |
$9K |
| 80363 |
|
356 |
353 |
$9K |
| 97035 |
|
1,149 |
462 |
$9K |
| 83655 |
|
785 |
778 |
$8K |
| Q5106 |
Inj retacrit non-esrd use |
299 |
212 |
$8K |
| 80346 |
|
358 |
354 |
$8K |
| 73552 |
|
167 |
150 |
$8K |
| 92588 |
|
112 |
108 |
$8K |
| 84450 |
|
2,345 |
2,042 |
$8K |
| J3370 |
Vancomycin hcl injection |
2,838 |
1,918 |
$8K |
| 90792 |
|
67 |
67 |
$8K |
| 36589 |
|
82 |
68 |
$7K |
| 84145 |
|
947 |
795 |
$7K |
| 80358 |
|
357 |
354 |
$7K |
| 36561 |
|
20 |
13 |
$7K |
| 99215 |
Prolong outpt/office vis |
96 |
92 |
$7K |
| 29125 |
|
67 |
66 |
$7K |
| 77080 |
|
350 |
334 |
$7K |
| 96416 |
|
78 |
37 |
$7K |
| 92585 |
|
34 |
34 |
$7K |
| 83992 |
|
366 |
361 |
$7K |
| C1889 |
Implant/insert device, noc |
359 |
337 |
$7K |
| 87205 |
|
3,368 |
3,033 |
$7K |
| 90837 |
|
59 |
46 |
$6K |
| 86803 |
|
992 |
904 |
$6K |
| J1650 |
Inj enoxaparin sodium |
1,365 |
545 |
$6K |
| 84166 |
|
786 |
695 |
$6K |
| 86235 |
|
83 |
80 |
$6K |
| 94644 |
|
548 |
480 |
$6K |
| 80369 |
|
245 |
243 |
$5K |
| 51702 |
|
184 |
158 |
$5K |
| 12011 |
|
57 |
53 |
$5K |
| 92587 |
|
116 |
109 |
$5K |
| 82248 |
|
1,212 |
971 |
$5K |
| 86480 |
|
80 |
78 |
$5K |
| J2250 |
Inj midazolam hydrochloride |
21,323 |
16,578 |
$5K |
| 87147 |
|
1,197 |
1,122 |
$5K |
| 84100 |
|
4,139 |
2,568 |
$5K |
| 36593 |
|
43 |
24 |
$5K |
| 82274 |
|
373 |
329 |
$5K |
| J9045 |
Carboplatin injection |
439 |
235 |
$5K |
| 80324 |
|
236 |
236 |
$5K |
| J0360 |
Hydralazine hcl injection |
2,858 |
2,133 |
$5K |
| 82140 |
|
743 |
478 |
$5K |
| 97161 |
|
395 |
361 |
$5K |
| J1953 |
Levetiracetam injection |
557 |
346 |
$5K |
| 80353 |
|
357 |
354 |
$4K |
| 86160 |
|
262 |
253 |
$4K |
| 87806 |
|
214 |
202 |
$4K |
| J0881 |
Darbepoetin alfa, non-esrd |
30 |
25 |
$4K |
| 87340 |
|
459 |
438 |
$4K |
| 90686 |
|
341 |
298 |
$4K |
| 71271 |
|
96 |
96 |
$4K |
| 12002 |
|
29 |
28 |
$4K |
| D2332 |
|
29 |
27 |
$4K |
| J9217 |
Leuprolide acetate suspnsion |
48 |
41 |
$4K |
| 36558 |
|
17 |
12 |
$4K |
| J9171 |
Docetaxel injection |
55 |
28 |
$4K |
| J0500 |
Dicyclomine injection |
47 |
37 |
$4K |
| J7510 |
Prednisolone oral per 5 mg |
566 |
521 |
$3K |
| G0279 |
Tomosynthesis, mammo |
654 |
562 |
$3K |
| 95909 |
|
12 |
12 |
$3K |
| 92650 |
|
26 |
25 |
$3K |
| 86592 |
|
952 |
892 |
$3K |
| 83516 |
|
268 |
257 |
$3K |
| 84112 |
|
59 |
52 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
82 |
30 |
$3K |
| 82785 |
|
178 |
164 |
$3K |
| 82247 |
|
745 |
600 |
$3K |
| 51701 |
|
78 |
70 |
$3K |
| J1644 |
Inj heparin sodium per 1000u |
10,014 |
4,699 |
$3K |
| 84520 |
|
1,743 |
1,533 |
$3K |
| 86902 |
|
318 |
229 |
$3K |
| Q9950 |
Inj sulf hexa lipid microsph |
575 |
499 |
$3K |
| 87522 |
Neg quan hep c or qual rna |
97 |
91 |
$3K |
| 87075 |
|
402 |
360 |
$3K |
| J1642 |
Inj heparin sodium per 10 u |
17,217 |
7,116 |
$3K |
| J2550 |
Promethazine hcl injection |
1,750 |
1,450 |
$3K |
| 85018 |
|
1,648 |
1,352 |
$3K |
| 62323 |
|
99 |
81 |
$3K |
| 84165 |
|
564 |
542 |
$3K |
| 99203 |
|
69 |
66 |
$3K |
| 80336 |
|
120 |
116 |
$3K |
| J3480 |
Inj potassium chloride |
3,715 |
2,148 |
$3K |
| 80370 |
|
120 |
116 |
$3K |
| 80164 |
|
251 |
212 |
$3K |
| 92567 |
|
143 |
135 |
$3K |
| 82747 |
|
241 |
211 |
$3K |
| J0702 |
Betamethasone acet&sod phosp |
420 |
362 |
$3K |
| 74160 |
|
35 |
29 |
$3K |
| 93225 |
|
30 |
27 |
$2K |
| 93226 |
|
32 |
30 |
$2K |
| J0640 |
Leucovorin calcium injection |
932 |
426 |
$2K |
| 85014 |
|
1,994 |
1,607 |
$2K |
| 82009 |
|
893 |
761 |
$2K |
| J3420 |
Vitamin b12 injection |
3,749 |
3,104 |
$2K |
| 82731 |
|
32 |
29 |
$2K |
| 88720 |
|
593 |
501 |
$2K |
| 43235 |
|
15 |
14 |
$2K |
| 31500 |
|
24 |
17 |
$2K |
| J0171 |
Adrenalin epinephrine inject |
2,477 |
1,794 |
$2K |
| 80325 |
|
117 |
114 |
$2K |
| J1040 |
Methylprednisolone 80 mg inj |
446 |
382 |
$2K |
| 77003 |
|
15 |
15 |
$2K |
| 86300 |
|
150 |
131 |
$2K |
| 97802 |
|
59 |
57 |
$2K |
| 80342 |
|
120 |
116 |
$2K |
| 77338 |
|
29 |
15 |
$2K |
| J2919 |
Inj, methylpred sod succ 5mg |
314 |
257 |
$2K |
| 64415 |
|
223 |
189 |
$2K |
| 70496 |
|
13 |
13 |
$2K |
| 87102 |
|
276 |
239 |
$2K |
| J1580 |
Garamycin gentamicin inj |
1,368 |
1,128 |
$2K |
| J2543 |
Piperacillin/tazobactam |
460 |
220 |
$2K |
| 0241U |
|
12 |
12 |
$2K |
| 77417 |
|
54 |
27 |
$2K |
| 85660 |
|
315 |
261 |
$2K |
| 90834 |
|
21 |
16 |
$2K |
| J3360 |
Diazepam injection |
425 |
372 |
$2K |
| 86317 |
|
15 |
15 |
$1K |
| J9263 |
Oxaliplatin |
76 |
25 |
$1K |
| 73060 |
|
26 |
24 |
$1K |
| 87624 |
|
94 |
92 |
$1K |
| J1200 |
Diphenhydramine hcl injectio |
3,884 |
2,610 |
$1K |
| 77387 |
|
844 |
94 |
$1K |
| 36416 |
|
3,150 |
1,753 |
$1K |
| 71101 |
|
13 |
13 |
$1K |
| 82465 |
|
400 |
387 |
$1K |
| 82330 |
|
167 |
144 |
$1K |
| 94002 |
|
19 |
16 |
$1K |
| 92950 |
|
21 |
13 |
$1K |
| 94729 |
|
40 |
40 |
$1K |
| 0399T |
|
158 |
139 |
$1K |
| 29581 |
|
63 |
39 |
$1K |
| J0780 |
Prochlorperazine injection |
281 |
266 |
$1K |
| J9267 |
Paclitaxel injection |
87 |
38 |
$1K |
| 36215 |
|
15 |
12 |
$1K |
| 87420 |
|
165 |
164 |
$1K |
| J2916 |
Na ferric gluconate complex |
199 |
88 |
$1K |
| 94726 |
|
27 |
27 |
$1K |
| 86376 |
|
69 |
69 |
$1K |
| 85384 |
|
143 |
120 |
$1K |
| J2920 |
Methylprednisolone injection |
231 |
124 |
$1K |
| 36901 |
|
14 |
13 |
$1K |
| 84460 |
|
844 |
787 |
$1K |
| 84132 |
|
800 |
656 |
$1K |
| 86225 |
|
78 |
76 |
$998.48 |
| J2790 |
Rho d immune globulin inj |
12 |
12 |
$981.55 |
| 86200 |
|
80 |
78 |
$980.62 |
| 80356 |
|
351 |
349 |
$969.88 |
| 82040 |
|
713 |
646 |
$955.22 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
348 |
149 |
$920.57 |
| 82533 |
|
72 |
68 |
$913.77 |
| A9579 |
Gad-base mr contrast nos,1ml |
47 |
46 |
$908.97 |
| 94060 |
|
12 |
12 |
$870.16 |
| 73100 |
|
16 |
12 |
$867.84 |
| 87081 |
|
175 |
165 |
$864.28 |
| A9576 |
Inj prohance multipack |
30 |
30 |
$859.66 |
| 87206 |
|
189 |
159 |
$851.23 |
| 82951 |
|
52 |
51 |
$849.19 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,465 |
1,115 |
$843.92 |
| J1940 |
Furosemide injection |
2,256 |
1,304 |
$843.80 |
| 80069 |
|
273 |
119 |
$840.25 |
| C1819 |
Tissue localization-excision |
212 |
205 |
$835.62 |
| J3301 |
Triamcinolone acet inj nos |
445 |
408 |
$832.73 |
| 17250 |
|
90 |
62 |
$818.91 |
| 84155 |
|
1,007 |
895 |
$810.19 |
| 86762 |
|
43 |
42 |
$803.55 |
| 83021 |
|
138 |
134 |
$796.06 |
| 77263 |
|
14 |
12 |
$780.67 |
| 43450 |
|
15 |
13 |
$755.68 |
| APT18 |
|
53 |
50 |
$730.00 |
| 87389 |
|
33 |
32 |
$714.45 |
| 73070 |
|
14 |
13 |
$694.58 |
| 87015 |
|
182 |
146 |
$687.85 |
| APT14 |
|
60 |
52 |
$686.34 |
| 99231 |
|
24 |
12 |
$667.06 |
| 97033 |
|
64 |
27 |
$648.33 |
| 29515 |
|
14 |
13 |
$642.11 |
| 86920 |
|
86 |
68 |
$633.23 |
| 92526 |
|
94 |
26 |
$619.84 |
| 80354 |
|
352 |
350 |
$579.30 |
| 80373 |
|
347 |
344 |
$559.33 |
| 80348 |
|
350 |
348 |
$535.34 |
| 82164 |
|
41 |
41 |
$518.97 |
| J0595 |
Butorphanol tartrate 1 mg |
108 |
93 |
$514.82 |
| 80365 |
|
350 |
348 |
$514.43 |
| 86704 |
|
39 |
39 |
$511.83 |
| 80368 |
|
112 |
110 |
$503.16 |
| 86706 |
|
60 |
52 |
$502.23 |
| 80349 |
|
350 |
348 |
$496.53 |
| 97016 |
|
53 |
12 |
$488.54 |
| APT02 |
|
71 |
66 |
$468.61 |
| 43760 |
|
12 |
12 |
$466.36 |
| 97167 |
|
32 |
29 |
$466.27 |
| 80355 |
|
347 |
345 |
$457.22 |
| 80366 |
|
346 |
344 |
$454.90 |
| 80359 |
|
353 |
351 |
$445.73 |
| 87046 |
|
62 |
56 |
$440.02 |
| 80372 |
|
346 |
344 |
$429.71 |
| 80367 |
|
347 |
345 |
$429.71 |
| 86696 |
|
13 |
12 |
$398.00 |
| 87045 |
|
50 |
44 |
$395.54 |
| G0105 |
Colorectal scrn; hi risk ind |
28 |
25 |
$391.90 |
| 82232 |
|
30 |
30 |
$390.59 |
| 86255 |
|
29 |
28 |
$379.31 |
| 80202 |
|
57 |
24 |
$377.43 |
| 76998 |
|
18 |
16 |
$360.28 |
| 81002 |
|
170 |
157 |
$357.05 |
| J3105 |
Terbutaline sulfate inj |
129 |
113 |
$354.42 |
| J0330 |
Succinycholine chloride inj |
55 |
43 |
$349.48 |
| J1630 |
Haloperidol injection |
522 |
427 |
$343.06 |
| 93922 |
|
13 |
13 |
$339.74 |
| APT09 |
|
43 |
26 |
$321.57 |
| 96523 |
|
91 |
78 |
$317.09 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
98 |
83 |
$315.83 |
| 84403 |
|
13 |
13 |
$315.16 |
| 0011A |
|
43 |
37 |
$287.30 |
| 94200 |
|
25 |
25 |
$283.15 |
| 82977 |
|
117 |
107 |
$272.65 |
| 86695 |
|
13 |
12 |
$268.13 |
| 86708 |
|
25 |
25 |
$263.93 |
| 87209 |
|
13 |
13 |
$262.21 |
| 82310 |
|
62 |
50 |
$249.75 |
| 0012A |
|
14 |
13 |
$248.01 |
| J1790 |
Droperidol injection |
113 |
104 |
$243.14 |
| 51798 |
|
25 |
25 |
$237.10 |
| 80360 |
|
114 |
112 |
$234.92 |
| 80357 |
|
113 |
111 |
$234.92 |
| 80333 |
|
112 |
110 |
$234.92 |
| 86705 |
|
29 |
27 |
$231.59 |
| 87653 |
|
13 |
12 |
$222.18 |
| 86922 |
|
38 |
26 |
$208.46 |
| 82952 |
|
51 |
51 |
$171.74 |
| 82947 |
|
87 |
62 |
$162.66 |
| 76001 |
|
83 |
71 |
$154.01 |
| 86039 |
|
19 |
14 |
$151.15 |
| 80185 |
|
12 |
12 |
$142.75 |
| 87177 |
|
13 |
13 |
$129.82 |
| 86921 |
|
38 |
26 |
$128.34 |
| 87449 |
|
13 |
12 |
$127.12 |
| 82955 |
|
12 |
12 |
$115.21 |
| 82105 |
|
14 |
12 |
$111.05 |
| 86880 |
|
25 |
25 |
$110.72 |
| 84436 |
|
31 |
25 |
$109.81 |
| 86870 |
|
25 |
25 |
$104.94 |
| J0461 |
Atropine sulfate injection |
21 |
12 |
$103.06 |
| 85651 |
|
23 |
22 |
$102.21 |
| 87324 |
|
14 |
13 |
$96.81 |
| 82150 |
|
13 |
12 |
$94.96 |
| 80177 |
|
13 |
12 |
$77.19 |
| 84295 |
|
94 |
79 |
$75.31 |
| 86304 |
|
15 |
12 |
$69.39 |
| 83010 |
|
33 |
29 |
$67.71 |
| J3411 |
Thiamine hcl 100 mg |
30 |
25 |
$63.94 |
| J1956 |
Levofloxacin injection |
34 |
26 |
$62.82 |
| G0328 |
Fecal blood scrn immunoassay |
21 |
18 |
$62.62 |
| J0744 |
Ciprofloxacin iv |
61 |
40 |
$59.46 |
| 83986 |
|
19 |
17 |
$53.80 |
| 82272 |
|
13 |
12 |
$43.46 |
| J1030 |
Methylprednisolone 40 mg inj |
12 |
12 |
$41.15 |
| 89055 |
|
16 |
16 |
$36.16 |
| 82542 |
|
12 |
12 |
$34.89 |
| J7030 |
Normal saline solution infus |
74 |
62 |
$30.21 |
| 96377 |
|
19 |
12 |
$29.50 |
| 99406 |
|
22 |
16 |
$26.52 |
| J7120 |
Ringers lactate infusion |
32 |
25 |
$18.19 |
| C1894 |
Intro/sheath, non-laser |
3,273 |
2,895 |
$17.52 |
| J0456 |
Azithromycin |
15 |
14 |
$14.55 |
| Q0163 |
Diphenhydramine hcl 50mg |
234 |
177 |
$5.89 |
| L3908 |
Who cock-up nonmolde pre ots |
53 |
50 |
$5.42 |
| A4649 |
Surgical supplies |
928 |
830 |
$2.24 |
| A9270 |
Non-covered item or service |
12,832 |
7,269 |
$1.76 |
| A9150 |
Misc/exper non-prescript dru |
12 |
12 |
$0.30 |
| J2001 |
Lidocaine injection |
46 |
36 |
$0.11 |
| G8978 |
Mobility current status |
818 |
718 |
$0.02 |
| G8979 |
Mobility goal status |
855 |
744 |
$0.02 |
| G8980 |
Mobility d/c status |
73 |
62 |
$0.01 |
| G8988 |
Self care goal status |
207 |
170 |
$0.01 |
| G8987 |
Self care current status |
204 |
167 |
$0.01 |
| C1757 |
Cath, thrombectomy/embolect |
1,395 |
1,070 |
$0.00 |
| G1004 |
Cdsm ndsc |
950 |
745 |
$0.00 |
| 80338 |
|
112 |
110 |
$0.00 |
| G8985 |
Carry goal status |
13 |
12 |
$0.00 |
| C1760 |
Closure dev, vasc |
15 |
12 |
$0.00 |
| C1874 |
Stent, coated/cov w/del sys |
48 |
38 |
$0.00 |
| 90662 |
|
17 |
14 |
$0.00 |
| 99053 |
|
73 |
71 |
$0.00 |
| 99442 |
|
17 |
15 |
$0.00 |
| G0008 |
Admin influenza virus vac |
121 |
112 |
$0.00 |
| G0257 |
Unsched dialysis esrd pt hos |
401 |
261 |
$0.00 |
| G0283 |
Elec stim other than wound |
56 |
24 |
$0.00 |
| G8950 |
Pre-htn or htn doc, f/u indc |
89 |
86 |
$0.00 |
| C1769 |
Guide wire |
3,600 |
3,189 |
$0.00 |
| A4215 |
Sterile needle |
797 |
716 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
3,784 |
3,286 |
$0.00 |
| 90935 |
|
31 |
15 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
48 |
39 |
$0.00 |
| C1726 |
Cath, bal dil, non-vascular |
51 |
50 |
$0.00 |
| 90654 |
|
21 |
16 |
$0.00 |
| 74174 |
|
15 |
13 |
$0.00 |
| A6213 |
Foam drg >16<=48 sq in w/bdr |
15 |
14 |
$0.00 |