| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
211,494 |
190,221 |
$53.55M |
| 99285 |
|
82,315 |
73,073 |
$45.26M |
| 99283 |
|
223,006 |
205,412 |
$31.53M |
| G0463 |
Hospital outpt clinic visit |
217,964 |
159,578 |
$23.15M |
| 97110 |
|
163,580 |
44,723 |
$10.35M |
| 96374 |
|
52,056 |
44,049 |
$7.44M |
| U0003 |
Cov-19 amp prb hgh thruput |
108,493 |
92,678 |
$7.35M |
| 99291 |
|
7,982 |
7,120 |
$5.71M |
| 99282 |
|
48,728 |
42,941 |
$4.60M |
| 71046 |
|
61,080 |
55,074 |
$3.49M |
| G0381 |
Lev 2 hosp type b ed visit |
35,710 |
30,977 |
$3.29M |
| 93306 |
|
14,930 |
13,922 |
$3.11M |
| 74177 |
|
18,754 |
17,073 |
$3.05M |
| 59025 |
|
18,030 |
9,365 |
$2.94M |
| 45380 |
|
3,551 |
3,356 |
$2.85M |
| 0241U |
|
24,356 |
21,968 |
$2.70M |
| S9480 |
Intensive outpatient psychia |
22,288 |
2,577 |
$2.47M |
| 92507 |
|
25,560 |
8,136 |
$2.37M |
| 43239 |
|
4,917 |
4,592 |
$2.16M |
| 96360 |
|
13,620 |
12,207 |
$1.97M |
| 45385 |
|
3,312 |
3,136 |
$1.96M |
| 77067 |
|
17,917 |
17,304 |
$1.94M |
| 96361 |
|
36,480 |
30,464 |
$1.88M |
| U0005 |
Infec agen detec ampli probe |
85,797 |
73,368 |
$1.83M |
| 97530 |
|
29,428 |
11,625 |
$1.54M |
| 41899 |
|
2,466 |
2,253 |
$1.41M |
| 71260 |
|
6,240 |
5,744 |
$1.34M |
| 78452 |
|
2,522 |
2,351 |
$1.33M |
| 76816 |
|
19,974 |
15,294 |
$1.23M |
| 45378 |
|
1,943 |
1,861 |
$1.22M |
| 76811 |
|
5,751 |
5,201 |
$1.18M |
| 96375 |
|
29,826 |
24,611 |
$1.16M |
| 96365 |
|
9,693 |
7,261 |
$1.16M |
| 76705 |
|
9,874 |
9,014 |
$1.13M |
| 76830 |
|
11,136 |
10,368 |
$1.11M |
| 70450 |
|
21,105 |
18,770 |
$1.10M |
| 78815 |
|
1,606 |
1,494 |
$1.07M |
| 66984 |
|
978 |
749 |
$952K |
| 97140 |
|
92,592 |
29,853 |
$946K |
| 87636 |
|
7,461 |
6,877 |
$906K |
| 74176 |
|
6,266 |
5,713 |
$893K |
| 72125 |
|
10,293 |
9,169 |
$884K |
| 76801 |
|
8,113 |
7,087 |
$841K |
| 76641 |
|
8,194 |
7,769 |
$758K |
| 47562 |
|
178 |
162 |
$757K |
| 29581 |
|
7,964 |
2,220 |
$723K |
| C9803 |
Hopd covid-19 spec collect |
31,547 |
27,880 |
$716K |
| 11042 |
|
3,430 |
2,066 |
$688K |
| 97161 |
|
11,191 |
10,369 |
$685K |
| 97162 |
|
12,752 |
11,839 |
$668K |
| 99214 |
|
7,314 |
6,296 |
$657K |
| 70553 |
|
3,025 |
2,787 |
$648K |
| G0390 |
Trauma respons w/hosp criti |
1,008 |
905 |
$640K |
| 58558 |
|
317 |
291 |
$633K |
| 76770 |
|
7,038 |
6,694 |
$605K |
| 15275 |
|
637 |
254 |
$594K |
| 93976 |
|
6,132 |
5,613 |
$556K |
| 99213 |
|
16,610 |
15,442 |
$507K |
| 71275 |
|
4,210 |
3,842 |
$504K |
| 71045 |
|
13,084 |
11,454 |
$502K |
| G0330 |
Facility svs dental rehab |
1,053 |
907 |
$501K |
| 96413 |
|
2,002 |
1,499 |
$491K |
| 97112 |
|
11,386 |
3,800 |
$486K |
| 76857 |
|
5,260 |
4,908 |
$482K |
| 76856 |
|
5,399 |
4,965 |
$451K |
| 76700 |
|
4,609 |
4,361 |
$448K |
| J7307 |
Etonogestrel implant system |
1,700 |
1,373 |
$446K |
| J7298 |
Mirena, 52 mg |
1,885 |
1,466 |
$442K |
| 76805 |
|
3,978 |
3,712 |
$434K |
| 94060 |
|
2,107 |
1,989 |
$434K |
| 72148 |
|
2,566 |
2,412 |
$413K |
| 82947 |
|
148,141 |
119,593 |
$384K |
| 73721 |
|
2,010 |
1,807 |
$382K |
| 95810 |
|
486 |
463 |
$376K |
| 93971 |
|
5,296 |
4,817 |
$364K |
| 77066 |
Tomosynthesis, mammo |
3,008 |
2,862 |
$357K |
| G0380 |
Lev 1 hosp type b ed visit |
5,810 |
5,221 |
$357K |
| 70498 |
|
2,148 |
1,974 |
$356K |
| 58661 |
|
84 |
78 |
$349K |
| 76536 |
|
4,385 |
4,147 |
$344K |
| 86900 |
|
19,680 |
17,162 |
$341K |
| 71250 |
|
5,388 |
5,115 |
$333K |
| 77065 |
Tomosynthesis, mammo |
2,862 |
2,681 |
$325K |
| 87635 |
|
7,794 |
7,102 |
$316K |
| 93351 |
|
857 |
814 |
$316K |
| 10060 |
|
2,019 |
1,761 |
$310K |
| 87637 |
|
3,227 |
3,070 |
$309K |
| 76819 |
|
3,162 |
2,017 |
$300K |
| 87491 |
|
31,581 |
28,713 |
$298K |
| 87591 |
|
31,369 |
28,715 |
$297K |
| 90792 |
|
2,776 |
2,573 |
$289K |
| 76642 |
|
4,745 |
4,423 |
$284K |
| 84443 |
|
43,058 |
39,804 |
$284K |
| 99281 |
|
3,932 |
3,534 |
$283K |
| 97035 |
|
3,716 |
1,477 |
$281K |
| U0002 |
Covid-19 lab test non-cdc |
7,001 |
6,270 |
$280K |
| 72141 |
|
1,220 |
1,142 |
$280K |
| 93970 |
|
2,157 |
1,990 |
$268K |
| 74183 |
|
1,375 |
1,263 |
$267K |
| 72100 |
|
7,474 |
7,007 |
$262K |
| 77336 |
|
3,220 |
1,304 |
$261K |
| 20610 |
|
1,064 |
953 |
$259K |
| 96372 |
|
50,457 |
41,712 |
$253K |
| 93798 |
|
3,940 |
746 |
$241K |
| 70551 |
|
2,275 |
2,085 |
$238K |
| 93017 |
|
4,019 |
3,705 |
$233K |
| 93308 |
|
2,019 |
1,778 |
$228K |
| 97018 |
|
3,283 |
1,209 |
$222K |
| 82306 |
|
13,927 |
12,894 |
$222K |
| 93458 |
|
186 |
163 |
$218K |
| 77063 |
|
15,229 |
14,671 |
$217K |
| 77334 |
|
619 |
420 |
$216K |
| 77080 |
|
2,199 |
2,099 |
$213K |
| 88305 |
|
18,620 |
17,104 |
$209K |
| 70491 |
|
1,334 |
1,220 |
$206K |
| 85025 |
|
185,705 |
147,201 |
$204K |
| 93005 |
|
76,935 |
64,730 |
$194K |
| 76817 |
|
5,289 |
3,837 |
$188K |
| 95806 |
|
1,541 |
1,491 |
$183K |
| 36561 |
|
96 |
91 |
$183K |
| 73560 |
|
11,953 |
11,091 |
$173K |
| J1726 |
Makena, 10 mg |
280 |
86 |
$169K |
| 86780 |
|
14,172 |
13,285 |
$155K |
| 83718 |
|
23,798 |
22,697 |
$150K |
| 97165 |
|
2,188 |
2,003 |
$139K |
| 90833 |
|
2,675 |
2,444 |
$137K |
| 90677 |
|
695 |
628 |
$134K |
| 36430 |
|
1,048 |
748 |
$132K |
| 73630 |
|
10,771 |
9,520 |
$129K |
| 87389 |
|
18,202 |
16,951 |
$129K |
| 96366 |
|
3,730 |
2,665 |
$127K |
| 76815 |
|
10,504 |
6,960 |
$124K |
| 73221 |
|
642 |
586 |
$123K |
| 82247 |
|
115,718 |
97,777 |
$123K |
| 83036 |
|
34,201 |
31,615 |
$121K |
| 36415 |
|
128,909 |
110,027 |
$119K |
| 99212 |
|
6,849 |
6,481 |
$116K |
| 97113 |
|
1,895 |
576 |
$115K |
| 93880 |
|
1,215 |
1,132 |
$111K |
| 72110 |
|
1,967 |
1,888 |
$111K |
| 77386 |
|
268 |
24 |
$110K |
| 19083 |
|
108 |
95 |
$108K |
| 77300 |
|
525 |
451 |
$107K |
| 73030 |
|
9,007 |
8,225 |
$107K |
| 97166 |
|
1,424 |
1,313 |
$101K |
| 82040 |
|
116,838 |
98,776 |
$100K |
| 70486 |
|
3,337 |
3,069 |
$99K |
| 93225 |
|
1,740 |
1,664 |
$97K |
| 72197 |
|
316 |
289 |
$95K |
| 86480 |
|
5,032 |
4,641 |
$91K |
| 74018 |
|
2,720 |
2,388 |
$88K |
| 76882 |
|
1,823 |
1,694 |
$84K |
| 58300 |
|
533 |
481 |
$84K |
| 97116 |
|
5,702 |
2,585 |
$83K |
| 58571 |
|
13 |
12 |
$80K |
| C9600 |
Perc drug-el cor stent sing |
18 |
12 |
$79K |
| 77412 |
|
699 |
88 |
$78K |
| 80307 |
|
19,862 |
15,956 |
$78K |
| 72070 |
|
2,097 |
1,982 |
$77K |
| G0382 |
Lev 3 hosp type b ed visit |
440 |
410 |
$76K |
| 71271 |
|
761 |
737 |
$74K |
| 42820 |
|
12 |
12 |
$74K |
| 77072 |
|
723 |
680 |
$74K |
| 82607 |
|
10,270 |
9,511 |
$73K |
| 86803 |
|
15,473 |
14,381 |
$72K |
| 83013 |
|
1,786 |
1,683 |
$70K |
| 10061 |
|
260 |
229 |
$70K |
| 88342 |
|
3,067 |
2,757 |
$69K |
| J1750 |
Inj iron dextran |
266 |
252 |
$68K |
| 82728 |
|
11,390 |
10,441 |
$66K |
| 72040 |
|
2,687 |
2,541 |
$66K |
| 92523 |
|
275 |
266 |
$66K |
| 90686 |
|
5,158 |
4,866 |
$66K |
| 96415 |
|
1,041 |
865 |
$65K |
| 87633 |
|
1,307 |
1,214 |
$65K |
| 82310 |
|
148,871 |
120,185 |
$64K |
| 72050 |
|
1,449 |
1,349 |
$64K |
| 73610 |
|
8,256 |
7,386 |
$63K |
| 58301 |
|
329 |
301 |
$63K |
| 70310 |
|
881 |
796 |
$63K |
| 70496 |
|
2,308 |
2,101 |
$62K |
| 73502 |
|
4,526 |
4,171 |
$61K |
| 73130 |
|
6,729 |
6,067 |
$60K |
| 76870 |
|
2,211 |
2,025 |
$54K |
| G0378 |
Hospital observation per hr |
75,495 |
62,254 |
$52K |
| 87631 |
|
10,446 |
9,725 |
$52K |
| 72081 |
|
698 |
675 |
$51K |
| 83970 |
|
3,058 |
2,599 |
$50K |
| 90732 |
|
673 |
641 |
$49K |
| 94726 |
|
1,725 |
1,629 |
$49K |
| 73120 |
|
1,051 |
978 |
$49K |
| P9016 |
Rbc leukocytes reduced |
506 |
377 |
$48K |
| J1745 |
Infliximab not biosimil 10mg |
30 |
26 |
$46K |
| 76825 |
|
102 |
81 |
$45K |
| 97163 |
|
917 |
834 |
$44K |
| 81513 |
|
2,867 |
2,634 |
$43K |
| 84439 |
|
10,832 |
9,944 |
$42K |
| 74178 |
|
241 |
218 |
$42K |
| 87506 |
|
1,121 |
1,008 |
$42K |
| 83550 |
|
10,529 |
9,711 |
$40K |
| 73110 |
|
5,104 |
4,439 |
$39K |
| 97167 |
|
592 |
532 |
$37K |
| 95816 |
|
248 |
216 |
$36K |
| 77062 |
|
2,703 |
2,574 |
$36K |
| 73522 |
|
852 |
806 |
$35K |
| 70220 |
|
674 |
627 |
$35K |
| 90746 |
|
580 |
555 |
$34K |
| 95812 |
|
171 |
153 |
$34K |
| 73700 |
|
479 |
447 |
$34K |
| 87536 |
|
1,420 |
1,281 |
$33K |
| 83540 |
|
11,211 |
10,295 |
$32K |
| 58100 |
|
226 |
202 |
$31K |
| G0103 |
Psa screening |
2,718 |
2,572 |
$31K |
| 87340 |
|
11,824 |
11,023 |
$30K |
| 81220 |
|
162 |
147 |
$30K |
| 29515 |
|
229 |
198 |
$30K |
| 76813 |
|
5,735 |
5,167 |
$29K |
| 52356 |
|
13 |
12 |
$29K |
| 0240U |
|
266 |
238 |
$29K |
| 90836 |
|
407 |
298 |
$29K |
| 74019 |
|
3,789 |
3,487 |
$29K |
| 82746 |
|
3,603 |
3,355 |
$28K |
| 87086 |
|
43,990 |
38,751 |
$28K |
| 73564 |
|
1,367 |
1,225 |
$27K |
| G0399 |
Home sleep test/type 3 porta |
261 |
250 |
$27K |
| 84403 |
|
1,728 |
1,590 |
$25K |
| 77061 |
|
2,018 |
1,881 |
$25K |
| 84702 |
|
14,636 |
11,269 |
$24K |
| 82570 |
|
13,958 |
12,254 |
$24K |
| 73140 |
|
3,260 |
2,916 |
$24K |
| 73590 |
|
3,436 |
3,049 |
$24K |
| 87481 |
|
3,056 |
2,798 |
$23K |
| 95811 |
|
29 |
27 |
$23K |
| 93975 |
|
137 |
130 |
$22K |
| 97535 |
|
475 |
391 |
$22K |
| 52332 |
|
14 |
13 |
$21K |
| 72170 |
|
3,102 |
2,817 |
$21K |
| 92526 |
|
334 |
132 |
$21K |
| 87502 |
|
12,224 |
11,420 |
$21K |
| 82374 |
|
148,339 |
119,721 |
$21K |
| 86235 |
|
721 |
666 |
$21K |
| 73562 |
|
618 |
593 |
$20K |
| 86003 |
|
348 |
311 |
$20K |
| 82043 |
|
8,543 |
7,917 |
$20K |
| 82465 |
|
23,932 |
22,815 |
$20K |
| 80061 |
|
10,409 |
9,298 |
$19K |
| 76818 |
|
197 |
125 |
$19K |
| 83735 |
|
55,045 |
44,364 |
$19K |
| 85027 |
|
18,988 |
16,253 |
$19K |
| 72131 |
|
359 |
330 |
$18K |
| C8929 |
Tte w or wo fol wcon,doppler |
86 |
78 |
$18K |
| 73090 |
|
2,885 |
2,506 |
$18K |
| 72158 |
|
70 |
69 |
$18K |
| 87070 |
|
12,694 |
11,370 |
$18K |
| 70360 |
|
356 |
332 |
$18K |
| 85610 |
|
29,777 |
23,348 |
$17K |
| G0383 |
Lev 4 hosp type b ed visit |
81 |
79 |
$17K |
| 90832 |
|
387 |
79 |
$17K |
| 80053 |
|
40,056 |
31,750 |
$17K |
| 74174 |
|
104 |
95 |
$16K |
| 87661 |
|
4,303 |
3,978 |
$16K |
| 86140 |
|
9,758 |
8,653 |
$16K |
| 73070 |
|
928 |
830 |
$16K |
| 84146 |
|
1,920 |
1,756 |
$16K |
| 86870 |
|
88 |
74 |
$16K |
| 29705 |
|
68 |
64 |
$16K |
| 73080 |
|
2,895 |
2,603 |
$16K |
| 73552 |
|
1,928 |
1,754 |
$15K |
| 87077 |
|
12,804 |
11,671 |
$15K |
| 90853 |
|
1,549 |
400 |
$15K |
| 74220 |
|
97 |
95 |
$14K |
| 86038 |
|
2,934 |
2,730 |
$14K |
| 99203 |
|
321 |
318 |
$14K |
| 84480 |
|
1,841 |
1,677 |
$14K |
| 73620 |
|
652 |
601 |
$14K |
| 86706 |
|
3,811 |
3,449 |
$14K |
| 87653 |
|
2,491 |
2,343 |
$14K |
| 81001 |
|
48,114 |
42,484 |
$13K |
| 90662 |
|
1,188 |
1,104 |
$13K |
| 83880 |
|
9,051 |
7,767 |
$13K |
| 43235 |
|
29 |
28 |
$13K |
| 86618 |
|
2,435 |
2,251 |
$13K |
| 86360 |
|
1,028 |
930 |
$13K |
| 84153 |
|
1,450 |
1,372 |
$13K |
| 84478 |
|
24,056 |
22,900 |
$12K |
| 80197 |
|
1,490 |
1,043 |
$12K |
| 92610 |
|
114 |
102 |
$12K |
| 90791 |
|
1,411 |
1,115 |
$12K |
| 87186 |
|
11,741 |
10,613 |
$12K |
| 82784 |
|
1,711 |
1,514 |
$12K |
| G0396 |
Alcohol/subs interv 15-30mn |
495 |
409 |
$12K |
| 83001 |
|
1,221 |
1,121 |
$12K |
| 70544 |
|
54 |
52 |
$11K |
| 76999 |
|
352 |
328 |
$11K |
| 71101 |
|
1,544 |
1,395 |
$11K |
| 90651 |
|
39 |
39 |
$11K |
| 86160 |
|
917 |
845 |
$11K |
| 87522 |
Neg quan hep c or qual rna |
715 |
653 |
$11K |
| 57454 |
|
47 |
41 |
$10K |
| 83002 |
|
1,100 |
1,009 |
$10K |
| J0585 |
Injection,onabotulinumtoxina |
27 |
12 |
$10K |
| 94640 |
|
19,589 |
13,841 |
$10K |
| 87651 |
|
9,885 |
9,243 |
$10K |
| 82950 |
|
2,520 |
2,399 |
$10K |
| 83655 |
|
981 |
953 |
$10K |
| 82670 |
|
694 |
630 |
$10K |
| 84270 |
|
808 |
723 |
$10K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
1,165 |
1,086 |
$10K |
| 86225 |
|
1,662 |
1,539 |
$10K |
| 12001 |
|
2,647 |
2,453 |
$9K |
| 84445 |
|
294 |
269 |
$9K |
| 93010 |
|
8,287 |
6,639 |
$9K |
| 73060 |
|
1,780 |
1,587 |
$9K |
| 0124A |
|
388 |
345 |
$9K |
| J0561 |
Penicillin g benzathine inj |
60 |
55 |
$9K |
| 82105 |
|
1,695 |
1,605 |
$9K |
| 86705 |
|
1,689 |
1,571 |
$9K |
| 81003 |
|
28,140 |
25,497 |
$9K |
| 85055 |
|
2,351 |
1,548 |
$8K |
| 75574 |
|
104 |
100 |
$8K |
| 83014 |
|
1,758 |
1,655 |
$8K |
| G0480 |
Drug test def 1-7 classes |
7,902 |
6,978 |
$8K |
| 86376 |
|
1,186 |
1,103 |
$8K |
| 86704 |
|
2,482 |
2,275 |
$8K |
| 74420 |
|
640 |
566 |
$8K |
| 86762 |
|
3,429 |
3,105 |
$7K |
| 80048 |
|
17,420 |
13,112 |
$7K |
| Q3014 |
Telehealth facility fee |
1,124 |
890 |
$7K |
| 87205 |
|
18,663 |
16,699 |
$7K |
| 86787 |
|
3,290 |
2,989 |
$7K |
| 85730 |
|
6,616 |
5,814 |
$7K |
| 11721 |
|
561 |
541 |
$7K |
| 11043 |
|
34 |
13 |
$7K |
| 72156 |
|
12 |
12 |
$7K |
| 83921 |
|
1,554 |
1,450 |
$7K |
| 73100 |
|
333 |
292 |
$7K |
| 73600 |
|
320 |
291 |
$6K |
| 96367 |
|
156 |
113 |
$6K |
| M0222 |
Bebtelovimab injection |
35 |
34 |
$6K |
| 82088 |
|
377 |
325 |
$6K |
| 91322 |
|
255 |
200 |
$6K |
| 77301 |
|
12 |
12 |
$6K |
| 72146 |
|
54 |
49 |
$6K |
| 86200 |
|
1,334 |
1,255 |
$6K |
| 85652 |
|
5,690 |
5,184 |
$6K |
| 72082 |
|
59 |
54 |
$6K |
| 73660 |
|
773 |
710 |
$6K |
| 82533 |
|
750 |
643 |
$6K |
| 12011 |
|
2,162 |
2,010 |
$6K |
| 0054A |
|
306 |
251 |
$6K |
| 81025 |
|
53,485 |
47,375 |
$6K |
| 88304 |
|
3,222 |
2,998 |
$6K |
| 88307 |
|
1,886 |
1,687 |
$5K |
| 94010 |
|
139 |
135 |
$5K |
| 99215 |
Prolong outpt/office vis |
71 |
54 |
$5K |
| 83690 |
|
32,514 |
28,248 |
$5K |
| 90834 |
|
123 |
40 |
$5K |
| 83721 |
|
1,400 |
1,296 |
$5K |
| 85007 |
|
10,827 |
9,325 |
$5K |
| 77280 |
|
46 |
39 |
$5K |
| 97597 |
|
44 |
36 |
$5K |
| 74170 |
|
34 |
30 |
$5K |
| 86709 |
|
961 |
909 |
$5K |
| 86431 |
|
2,117 |
1,987 |
$5K |
| 86039 |
|
1,002 |
943 |
$4K |
| 80164 |
|
1,730 |
1,500 |
$4K |
| 82627 |
|
382 |
346 |
$4K |
| 84156 |
|
5,235 |
4,219 |
$4K |
| 87075 |
|
3,298 |
2,697 |
$4K |
| 93246 |
|
146 |
138 |
$4K |
| 99204 |
|
63 |
63 |
$4K |
| 83021 |
|
2,218 |
2,043 |
$4K |
| 86364 |
|
654 |
618 |
$4K |
| 90480 |
|
243 |
188 |
$4K |
| 83516 |
|
362 |
314 |
$4K |
| 84425 |
|
311 |
295 |
$4K |
| 86359 |
|
1,026 |
929 |
$4K |
| 86800 |
|
476 |
442 |
$4K |
| 84402 |
|
303 |
278 |
$4K |
| 82951 |
|
357 |
336 |
$4K |
| 86850 |
|
17,747 |
15,606 |
$4K |
| 86923 |
|
696 |
534 |
$4K |
| 85651 |
|
3,555 |
3,159 |
$4K |
| 99211 |
|
983 |
893 |
$4K |
| 84450 |
|
115,473 |
98,167 |
$3K |
| 82248 |
|
10,692 |
9,289 |
$3K |
| J7300 |
Intra copp contra (paragard) |
17 |
13 |
$3K |
| 90670 |
|
40 |
39 |
$3K |
| 95886 |
|
224 |
221 |
$3K |
| 84244 |
|
354 |
327 |
$3K |
| 83525 |
|
391 |
364 |
$3K |
| 88184 |
|
70 |
65 |
$3K |
| 86765 |
|
393 |
318 |
$3K |
| 88112 |
|
111 |
105 |
$3K |
| 87808 |
|
15,776 |
14,634 |
$3K |
| 29065 |
|
12 |
12 |
$3K |
| 29125 |
|
954 |
873 |
$3K |
| 17250 |
|
280 |
160 |
$3K |
| 80177 |
|
1,232 |
1,081 |
$3K |
| 87088 |
|
3,773 |
3,430 |
$3K |
| 0001A |
|
78 |
72 |
$3K |
| 84165 |
|
599 |
555 |
$3K |
| Q0111 |
Wet mounts/ w preparations |
670 |
637 |
$2K |
| 85046 |
|
1,955 |
1,649 |
$2K |
| 86696 |
|
227 |
218 |
$2K |
| G0397 |
Alcohol/subs interv >30 min |
37 |
33 |
$2K |
| 73000 |
|
154 |
136 |
$2K |
| 76820 |
|
3,549 |
1,499 |
$2K |
| 93271 |
|
26 |
26 |
$2K |
| 85379 |
|
6,547 |
5,833 |
$2K |
| 87081 |
|
2,575 |
2,432 |
$2K |
| 86735 |
|
296 |
227 |
$2K |
| 87632 |
|
614 |
567 |
$2K |
| 0004A |
|
124 |
70 |
$2K |
| 88360 |
|
341 |
301 |
$2K |
| 0031A |
|
70 |
62 |
$2K |
| 90847 |
|
24 |
12 |
$2K |
| 86769 |
|
56 |
52 |
$2K |
| 82024 |
|
91 |
82 |
$2K |
| 86695 |
|
227 |
218 |
$2K |
| J3490 |
Drugs unclassified injection |
389,679 |
138,415 |
$2K |
| 77338 |
|
12 |
12 |
$2K |
| 82785 |
|
249 |
219 |
$2K |
| 93242 |
|
95 |
94 |
$2K |
| 82140 |
|
705 |
569 |
$2K |
| 88344 |
|
61 |
52 |
$2K |
| 83993 |
|
136 |
126 |
$2K |
| 87449 |
|
921 |
806 |
$2K |
| 77332 |
|
31 |
26 |
$1K |
| 82550 |
|
5,042 |
4,242 |
$1K |
| 86901 |
|
19,619 |
17,125 |
$1K |
| 91200 |
|
13 |
13 |
$1K |
| 86147 |
|
43 |
36 |
$1K |
| 0002A |
|
34 |
34 |
$1K |
| 87040 |
|
7,372 |
4,051 |
$1K |
| 83519 |
|
179 |
167 |
$1K |
| 84484 |
|
44,252 |
25,781 |
$1K |
| 84703 |
|
346 |
286 |
$1K |
| 12002 |
|
1,131 |
1,013 |
$1K |
| 97760 |
|
34 |
24 |
$1K |
| 86256 |
|
211 |
195 |
$1K |
| 31500 |
|
17 |
12 |
$1K |
| 70480 |
|
14 |
14 |
$1K |
| 82962 |
|
38,906 |
25,759 |
$1K |
| 81596 |
|
29 |
29 |
$1K |
| 84520 |
|
150,956 |
121,896 |
$1K |
| 84145 |
|
3,685 |
3,106 |
$1K |
| 87324 |
|
488 |
435 |
$1K |
| 83520 |
|
131 |
121 |
$1K |
| 83521 |
|
75 |
70 |
$951.72 |
| 84460 |
|
116,747 |
99,058 |
$918.56 |
| 84681 |
|
98 |
89 |
$895.24 |
| J2272 |
Inj, morphine (fresenius) |
1,090 |
856 |
$859.71 |
| G0297 |
Ldct for lung ca screen |
13 |
12 |
$835.55 |
| 82803 |
|
3,110 |
2,577 |
$823.26 |
| 94618 |
|
98 |
93 |
$793.44 |
| 82565 |
|
151,021 |
122,005 |
$793.35 |
| 72080 |
|
13 |
13 |
$769.44 |
| 81002 |
|
30,833 |
23,121 |
$731.27 |
| 86255 |
|
122 |
105 |
$690.60 |
| J2310 |
Inj naloxone hydrochloride |
178 |
138 |
$688.99 |
| 90715 |
|
5,753 |
5,212 |
$681.43 |
| 87529 |
|
549 |
502 |
$677.80 |
| 82652 |
|
29 |
25 |
$661.86 |
| 86334 |
|
59 |
56 |
$661.54 |
| 11056 |
|
13 |
13 |
$614.64 |
| 82435 |
|
148,569 |
119,860 |
$607.38 |
| 16020 |
|
40 |
37 |
$601.23 |
| 84550 |
|
3,746 |
3,217 |
$585.70 |
| 71100 |
|
55 |
54 |
$585.16 |
| 0051A |
|
19 |
16 |
$560.00 |
| 87102 |
|
139 |
128 |
$553.38 |
| 88302 |
|
465 |
438 |
$549.53 |
| 99442 |
|
20 |
15 |
$540.96 |
| 82952 |
|
197 |
187 |
$538.56 |
| 72202 |
|
13 |
13 |
$501.72 |
| 83615 |
|
2,818 |
2,316 |
$483.81 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
39,879 |
31,753 |
$479.59 |
| 87468 |
|
90 |
87 |
$474.30 |
| 83037 |
|
3,862 |
3,690 |
$462.64 |
| 87484 |
|
90 |
87 |
$454.97 |
| 86015 |
|
88 |
82 |
$451.82 |
| 83605 |
|
6,952 |
5,078 |
$444.04 |
| 96376 |
|
11,057 |
7,435 |
$444.00 |
| 87493 |
|
140 |
129 |
$435.63 |
| G0279 |
Tomosynthesis, mammo |
12 |
12 |
$418.69 |
| 84100 |
|
9,071 |
7,125 |
$414.47 |
| 84134 |
|
77 |
68 |
$389.76 |
| 80178 |
|
274 |
222 |
$356.67 |
| 83835 |
|
25 |
24 |
$355.96 |
| 84630 |
|
54 |
50 |
$326.10 |
| 84075 |
|
115,008 |
97,359 |
$325.64 |
| 0053A |
|
16 |
15 |
$320.00 |
| 86258 |
|
30 |
29 |
$319.58 |
| 86592 |
|
99 |
95 |
$317.46 |
| 84132 |
|
147,258 |
118,927 |
$304.80 |
| 88300 |
|
647 |
586 |
$293.53 |
| 82075 |
|
3,291 |
2,411 |
$276.24 |
| J7512 |
Prednisone ir or dr oral 1mg |
8,743 |
6,432 |
$265.46 |
| 86308 |
|
765 |
705 |
$256.88 |
| 82010 |
|
1,531 |
1,294 |
$244.77 |
| 87880 |
|
4,001 |
3,723 |
$236.87 |
| 86708 |
|
66 |
63 |
$224.77 |
| J0500 |
Dicyclomine injection |
781 |
726 |
$205.90 |
| 86381 |
|
14 |
13 |
$193.23 |
| 93000 |
|
143 |
116 |
$191.87 |
| J7120 |
Ringers lactate infusion |
45,861 |
37,844 |
$191.56 |
| 82977 |
|
892 |
713 |
$189.74 |
| 84436 |
|
91 |
68 |
$184.43 |
| 83498 |
|
13 |
12 |
$181.65 |
| 87015 |
|
445 |
365 |
$165.88 |
| 85018 |
|
297 |
211 |
$163.61 |
| 81000 |
|
2,461 |
2,108 |
$161.67 |
| 83883 |
|
14 |
12 |
$155.76 |
| 86880 |
|
126 |
107 |
$127.58 |
| 85014 |
|
239 |
173 |
$126.30 |
| 36591 |
|
15 |
14 |
$122.96 |
| 84295 |
|
148,385 |
119,764 |
$122.31 |
| 89051 |
|
261 |
174 |
$101.69 |
| 86580 |
|
13 |
13 |
$100.10 |
| 95012 |
|
205 |
196 |
$80.14 |
| 82150 |
|
55 |
52 |
$74.28 |
| J1885 |
Ketorolac tromethamine inj |
48,966 |
40,728 |
$71.17 |
| 84155 |
|
114,362 |
96,829 |
$69.61 |
| 72220 |
|
25 |
24 |
$69.46 |
| 86036 |
|
13 |
13 |
$69.06 |
| 84479 |
|
35 |
21 |
$67.98 |
| 87184 |
|
93 |
75 |
$65.90 |
| 88142 |
|
362 |
330 |
$57.56 |
| 93325 |
|
2,051 |
1,844 |
$56.00 |
| J2270 |
Morphine sulfate injection |
23,956 |
17,731 |
$55.71 |
| 87207 |
|
106 |
95 |
$55.02 |
| 87147 |
|
73 |
70 |
$54.34 |
| J1836 |
Inj, metronidazole, 10 mg |
445 |
297 |
$50.84 |
| 90471 |
|
1,758 |
1,526 |
$50.64 |
| 93321 |
|
214 |
197 |
$49.20 |
| 82330 |
|
363 |
267 |
$48.91 |
| 84300 |
|
72 |
65 |
$46.50 |
| J1100 |
Dexamethasone sodium phos |
29,429 |
23,907 |
$43.26 |
| J0696 |
Ceftriaxone sodium injection |
11,364 |
7,960 |
$42.48 |
| J3360 |
Diazepam injection |
315 |
251 |
$41.46 |
| J0131 |
Inj, acetaminophen (nos) |
7,498 |
6,708 |
$41.35 |
| 90460 |
|
21 |
19 |
$38.76 |
| 80076 |
|
33 |
27 |
$36.62 |
| 87798 |
|
26 |
26 |
$33.51 |
| J1650 |
Inj enoxaparin sodium |
7,759 |
3,927 |
$32.79 |
| 93226 |
|
1,710 |
1,638 |
$32.38 |
| 87624 |
|
119 |
108 |
$30.98 |
| J3480 |
Inj potassium chloride |
660 |
499 |
$23.30 |
| 85048 |
|
14 |
14 |
$21.78 |
| J2405 |
Ondansetron hcl injection |
43,691 |
35,651 |
$19.24 |
| 82945 |
|
588 |
380 |
$18.75 |
| J1790 |
Droperidol injection |
1,899 |
1,599 |
$16.32 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
1,994 |
1,308 |
$15.11 |
| 82948 |
|
2,205 |
1,009 |
$13.44 |
| J2765 |
Metoclopramide hcl injection |
10,145 |
8,751 |
$12.52 |
| 84133 |
|
13 |
12 |
$12.33 |
| 82375 |
|
36 |
25 |
$11.77 |
| 87804 |
|
403 |
370 |
$11.45 |
| 87430 |
|
626 |
570 |
$11.45 |
| J2930 |
Methylprednisolone injection |
2,592 |
2,119 |
$10.20 |
| J1920 |
Inj, labetalol hcl, 5mg |
293 |
257 |
$9.52 |
| C9113 |
Inj pantoprazole sodium, via |
1,729 |
899 |
$8.65 |
| 85384 |
|
43 |
29 |
$8.11 |
| G8979 |
Mobility goal status |
799 |
711 |
$6.60 |
| J1200 |
Diphenhydramine hcl injectio |
9,771 |
8,298 |
$6.52 |
| G8978 |
Mobility current status |
760 |
678 |
$6.24 |
| J8597 |
Antiemetic drug oral nos |
4,629 |
4,129 |
$5.49 |
| J3010 |
Fentanyl citrate injection |
34,358 |
27,304 |
$5.00 |
| J3475 |
Inj magnesium sulfate |
3,273 |
2,792 |
$4.71 |
| J3370 |
Vancomycin hcl injection |
1,595 |
833 |
$4.48 |
| J1805 |
Inj, esmolol hcl, 10mg |
40 |
25 |
$4.40 |
| 85347 |
|
110 |
80 |
$4.07 |
| J8540 |
Oral dexamethasone |
2,673 |
1,594 |
$2.87 |
| J1644 |
Inj heparin sodium per 1000u |
10,584 |
4,688 |
$2.82 |
| J1815 |
Insulin injection |
6,574 |
2,754 |
$2.63 |
| J2060 |
Lorazepam injection |
4,639 |
3,878 |
$2.25 |
| J0690 |
Cefazolin sodium injection |
14,496 |
11,607 |
$2.14 |
| G0008 |
Admin influenza virus vac |
426 |
421 |
$2.04 |
| J1953 |
Levetiracetam injection |
263 |
215 |
$1.84 |
| Q0162 |
Ondansetron oral |
99 |
55 |
$1.50 |
| J2250 |
Inj midazolam hydrochloride |
23,278 |
19,860 |
$1.44 |
| J1170 |
Hydromorphone injection |
4,135 |
3,014 |
$1.37 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
6,931 |
6,278 |
$1.00 |
| G8980 |
Mobility d/c status |
56 |
50 |
$0.40 |
| G8985 |
Carry goal status |
49 |
44 |
$0.35 |
| G8984 |
Carry current status |
45 |
40 |
$0.31 |
| G8988 |
Self care goal status |
52 |
42 |
$0.23 |
| G8987 |
Self care current status |
48 |
40 |
$0.21 |
| Q9954 |
Oral mr contrast, 100 ml |
1,478 |
1,341 |
$0.00 |
| 88313 |
|
28 |
26 |
$0.00 |
| 94729 |
|
1,890 |
1,787 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
4,024 |
3,917 |
$0.00 |
| 88312 |
|
356 |
313 |
$0.00 |
| G1004 |
Cdsm ndsc |
9,418 |
5,614 |
$0.00 |
| J1596 |
Inj, glycopyrrolate, 0.1 mg |
386 |
354 |
$0.00 |
| 76376 |
|
904 |
833 |
$0.00 |
| C1894 |
Intro/sheath, non-laser |
627 |
565 |
$0.00 |
| 93356 |
|
1,169 |
1,101 |
$0.00 |
| 64447 |
|
25 |
25 |
$0.00 |
| C1729 |
Cath, drainage |
349 |
283 |
$0.00 |
| 99152 |
|
2,701 |
2,390 |
$0.00 |
| A9502 |
Tc99m tetrofosmin |
1,959 |
1,818 |
$0.00 |
| A9552 |
F18 fdg |
1,777 |
1,651 |
$0.00 |
| J3301 |
Triamcinolone acet inj nos |
1,224 |
1,126 |
$0.00 |
| C1887 |
Catheter, guiding |
419 |
368 |
$0.00 |
| J7030 |
Normal saline solution infus |
15,482 |
13,242 |
$0.00 |
| J0780 |
Prochlorperazine injection |
956 |
850 |
$0.00 |
| 76827 |
|
102 |
81 |
$0.00 |
| J7510 |
Prednisolone oral per 5 mg |
727 |
690 |
$0.00 |
| Q0091 |
Obtaining screen pap smear |
1,216 |
1,149 |
$0.00 |
| 76937 |
|
361 |
327 |
$0.00 |
| J0295 |
Ampicillin sulbactam 1.5 gm |
606 |
239 |
$0.00 |
| 69209 |
|
20 |
12 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
2,782 |
2,261 |
$0.00 |
| T1017 |
Targeted case management |
79 |
33 |
$0.00 |
| J7040 |
Normal saline solution infus |
2,132 |
1,766 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
392 |
294 |
$0.00 |
| 76942 |
|
56 |
50 |
$0.00 |
| 81401 |
|
131 |
122 |
$0.00 |
| C1788 |
Port, indwelling, imp |
80 |
76 |
$0.00 |
| Q9957 |
Inj perflutren lip micros,ml |
145 |
138 |
$0.00 |
| J1756 |
Iron sucrose injection |
324 |
145 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
176 |
137 |
$0.00 |
| 91312 |
|
366 |
324 |
$0.00 |
| J0744 |
Ciprofloxacin iv |
33 |
27 |
$0.00 |
| J2004 |
Inj, lidocaine w epinephrine |
135 |
119 |
$0.00 |
| 80179 |
|
24 |
17 |
$0.00 |
| 87634 |
|
12 |
12 |
$0.00 |
| 91300 |
|
264 |
194 |
$0.00 |
| 92978 |
|
15 |
12 |
$0.00 |
| 94799 |
|
46 |
31 |
$0.00 |
| A4221 |
Supp non-insulin inf cath/wk |
122 |
84 |
$0.00 |
| 96523 |
|
14 |
13 |
$0.00 |
| Q0163 |
Diphenhydramine hcl 50mg |
14 |
14 |
$0.00 |
| 51702 |
|
13 |
13 |
$0.00 |
| J1580 |
Garamycin gentamicin inj |
17 |
15 |
$0.00 |
| 80143 |
|
25 |
18 |
$0.00 |
| C1782 |
Morcellator |
33 |
28 |
$0.00 |
| C1776 |
Joint device (implantable) |
13 |
13 |
$0.00 |
| C1874 |
Stent, coated/cov w/del sys |
15 |
12 |
$0.00 |
| 00170 |
|
16 |
15 |
$0.00 |
| J3473 |
Hyaluronidase recombinant |
45 |
40 |
$0.00 |
| 90653 |
|
89 |
89 |
$0.00 |
| C1758 |
Catheter, ureteral |
12 |
12 |
$0.00 |
| 70320 |
|
32 |
26 |
$0.00 |
| 93320 |
|
1,234 |
1,153 |
$0.00 |
| V2632 |
Post chmbr intraocular lens |
1,586 |
1,194 |
$0.00 |
| Q4196 |
Puraply am 1 sq cm |
295 |
109 |
$0.00 |
| J7999 |
Compounded drug, noc |
4,422 |
3,553 |
$0.00 |
| A9500 |
Tc99m sestamibi |
499 |
465 |
$0.00 |
| 88341 |
|
1,165 |
1,032 |
$0.00 |
| 77001 |
|
174 |
154 |
$0.00 |
| J1940 |
Furosemide injection |
882 |
603 |
$0.00 |
| J7050 |
Normal saline solution infus |
1,263 |
1,016 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
1,593 |
1,443 |
$0.00 |
| 91305 |
|
424 |
349 |
$0.00 |
| 64488 |
|
55 |
50 |
$0.00 |
| 51798 |
|
88 |
81 |
$0.00 |
| C9290 |
Inj, bupivacaine liposome |
142 |
131 |
$0.00 |
| 36416 |
|
7,136 |
2,438 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
2,276 |
2,014 |
$0.00 |
| J1630 |
Haloperidol injection |
2,541 |
2,083 |
$0.00 |
| S5553 |
Insulin long acting 5 u |
538 |
294 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
2,380 |
1,131 |
$0.00 |
| C1781 |
Mesh (implantable) |
316 |
293 |
$0.00 |
| J0697 |
Sterile cefuroxime injection |
49 |
38 |
$0.00 |
| J2001 |
Lidocaine injection |
13,847 |
11,907 |
$0.00 |
| J2785 |
Regadenoson injection |
1,703 |
1,582 |
$0.00 |
| A4648 |
Implantable tissue marker |
904 |
790 |
$0.00 |
| 80349 |
|
68 |
34 |
$0.00 |
| C2617 |
Stent, non-cor, tem w/o del |
491 |
441 |
$0.00 |
| C1753 |
Cath, intravas ultrasound |
15 |
12 |
$0.00 |
| J3411 |
Thiamine hcl 100 mg |
967 |
567 |
$0.00 |
| C1769 |
Guide wire |
1,081 |
956 |
$0.00 |
| J0360 |
Hydralazine hcl injection |
508 |
427 |
$0.00 |
| J2370 |
Phenylephrine hcl injection |
2,719 |
2,199 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
425 |
295 |
$0.00 |
| J2920 |
Methylprednisolone injection |
102 |
66 |
$0.00 |
| J1010 |
Inj, methylpred acetate 1 mg |
104 |
95 |
$0.00 |
| J3535 |
Metered dose inhaler drug |
422 |
401 |
$0.00 |
| H2019 |
Ther behav svc, per 15 min |
78 |
35 |
$0.00 |
| C1889 |
Implant/insert device, noc |
1,364 |
1,267 |
$0.00 |
| J7042 |
5% dextrose/normal saline |
77 |
55 |
$0.00 |
| J2470 |
Inj pantoprazole sodium 40mg |
65 |
41 |
$0.00 |
| 80050 |
|
101 |
80 |
$0.00 |
| 83930 |
|
16 |
12 |
$0.00 |
| J2790 |
Rho d immune globulin inj |
15 |
13 |
$0.00 |
| 90656 |
|
57 |
53 |
$0.00 |
| 12013 |
|
13 |
12 |
$0.00 |
| C1819 |
Tissue localization-excision |
138 |
127 |
$0.00 |
| 74175 |
|
13 |
13 |
$0.00 |
| A9698 |
Non-rad contrast materialnoc |
41 |
41 |
$0.00 |
| J0280 |
Aminophyllin 250 mg inj |
29 |
24 |
$0.00 |
| 94660 |
|
54 |
26 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
103 |
93 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
1,074 |
962 |
$0.00 |
| 91303 |
|
66 |
56 |
$0.00 |
| 88185 |
|
70 |
65 |
$0.00 |
| C1725 |
Cath, translumin non-laser |
15 |
12 |
$0.00 |
| J1030 |
Methylprednisolone 40 mg inj |
44 |
42 |
$0.00 |
| J7620 |
Albuterol ipratrop non-comp |
19 |
14 |
$0.00 |