|
CP17660070348714867
|
CDM
|
Other Resp System O.r. Procedures W Mcc
|
3
|
3
|
$424,978.00
|
$424,978.00
|
$297,485.00
|
$424,978.00
|
$318,734.00
|
2025-11-25
|
|
CP17660070348717844
|
CDM
|
Major Chest Procedures W Mcc
|
3
|
3
|
$363,043.00
|
$363,043.00
|
$254,130.00
|
$363,043.00
|
$272,282.00
|
2025-11-25
|
|
CP17660070348719408
|
CDM
|
Infectious & Parasitic Diseases W O.r. Procedure W Mcc
|
3
|
3
|
$335,592.00
|
$335,592.00
|
$234,914.00
|
$335,592.00
|
$251,694.00
|
2025-11-25
|
|
CP17660070348718137
|
CDM
|
Other Digestive System O.r. Procedures W Mcc
|
3
|
3
|
$334,321.00
|
$334,321.00
|
$234,025.00
|
$334,321.00
|
$250,741.00
|
2025-11-25
|
|
CP17660070348716634
|
CDM
|
Non-extensive O.r. Proc Unrelated To Principal Diagnosis W Mcc
|
3
|
3
|
$306,944.00
|
$306,944.00
|
$214,861.00
|
$306,944.00
|
$230,208.00
|
2025-11-25
|
|
CP17660070348717473
|
CDM
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis W Mcc
|
3
|
3
|
$276,538.00
|
$276,538.00
|
$193,577.00
|
$276,538.00
|
$207,404.00
|
2025-11-25
|
|
CP17660070348716645
|
CDM
|
Other Skin, Subcut Tiss & Breast Proc W Mcc
|
3
|
3
|
$271,109.00
|
$271,109.00
|
$189,776.00
|
$271,109.00
|
$203,332.00
|
2025-11-25
|
|
CP17660070348711320
|
CDM
|
Respiratory System Diagnosis W Ventilator Support 96+ Hours
|
3
|
3
|
$255,706.00
|
$255,706.00
|
$178,994.00
|
$255,706.00
|
$191,780.00
|
2025-11-25
|
|
CP17660070348715938
|
CDM
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis W Cc
|
3
|
3
|
$227,261.00
|
$227,261.00
|
$159,083.00
|
$227,261.00
|
$170,446.00
|
2025-11-25
|
|
CP17660070348715768
|
CDM
|
Skin Graft &/Or Debrid For Skn Ulcer Or Cellulitis W Mcc
|
3
|
3
|
$218,957.00
|
$218,957.00
|
$153,270.00
|
$218,957.00
|
$164,218.00
|
2025-11-25
|
|
CP17660070348717272
|
CDM
|
Other Digestive System Diagnoses W Mcc
|
3
|
3
|
$218,837.00
|
$218,837.00
|
$153,186.00
|
$218,837.00
|
$164,128.00
|
2025-11-25
|
|
CP17660070348713325
|
CDM
|
Soft Tissue Procedures W Mcc
|
3
|
3
|
$217,588.00
|
$217,588.00
|
$152,312.00
|
$217,588.00
|
$163,191.00
|
2025-11-25
|
|
CP17660070348715794
|
CDM
|
Degenerative Nervous System Disorders W Mcc
|
3
|
3
|
$214,846.00
|
$214,846.00
|
$150,392.00
|
$214,846.00
|
$161,135.00
|
2025-11-25
|
|
CP17660070348713229
|
CDM
|
Skin Debridement W Cc
|
3
|
3
|
$213,034.00
|
$213,034.00
|
$149,124.00
|
$213,034.00
|
$159,776.00
|
2025-11-25
|
|
CP17660070348718267
|
CDM
|
Skin Debridement W Mcc
|
3
|
3
|
$203,421.00
|
$203,421.00
|
$142,395.00
|
$203,421.00
|
$152,566.00
|
2025-11-25
|
|
CP17660070348713798
|
CDM
|
Renal Failure W Cc
|
3
|
3
|
$197,406.00
|
$197,406.00
|
$138,184.00
|
$197,406.00
|
$148,055.00
|
2025-11-25
|
|
CP17660070348717488
|
CDM
|
Respiratory Infections & Inflammations W Mcc
|
3
|
3
|
$194,265.00
|
$194,265.00
|
$135,986.00
|
$194,265.00
|
$145,699.00
|
2025-11-25
|
|
CP17660070348711384
|
CDM
|
Other Digestive System Diagnoses W Cc
|
3
|
3
|
$186,782.00
|
$186,782.00
|
$130,747.00
|
$186,782.00
|
$140,087.00
|
2025-11-25
|
|
CP17660070348718489
|
CDM
|
Skin Ulcers W Mcc
|
3
|
3
|
$172,897.00
|
$172,897.00
|
$121,028.00
|
$172,897.00
|
$129,673.00
|
2025-11-25
|
|
CP17660070348710179
|
CDM
|
O.r. Proc W Diagnoses Of Other Contact W Health Services W Mcc
|
3
|
3
|
$171,792.00
|
$171,792.00
|
$120,254.00
|
$171,792.00
|
$128,844.00
|
2025-11-25
|
|
CP17660070348717396
|
CDM
|
Infectious & Parasitic Diseases W O.r. Procedure W Cc
|
3
|
3
|
$161,787.00
|
$161,787.00
|
$113,251.00
|
$161,787.00
|
$121,340.00
|
2025-11-25
|
|
CP17660070348711150
|
CDM
|
Viral Illness W Mcc
|
3
|
3
|
$158,033.00
|
$158,033.00
|
$110,623.00
|
$158,033.00
|
$118,525.00
|
2025-11-25
|
|
CP17660070348715587
|
CDM
|
Pulmonary Edema & Respiratory Failure
|
3
|
3
|
$155,979.00
|
$155,979.00
|
$109,185.00
|
$155,979.00
|
$116,984.00
|
2025-11-25
|
|
CP17660070348712264
|
CDM
|
Other Skin, Subcut Tiss & Breast Proc W Cc
|
3
|
3
|
$152,509.00
|
$152,509.00
|
$106,756.00
|
$152,509.00
|
$114,382.00
|
2025-11-25
|
|
CP17660070348716766
|
CDM
|
Septicemia Without Mv 96+ Hours W Mcc
|
3
|
3
|
$140,950.00
|
$140,950.00
|
$98,665.00
|
$140,950.00
|
$105,713.00
|
2025-11-25
|
|
CP17660070348718717
|
CDM
|
Skin Grafts & Wound Debrid For Endoc, Nutrit & Metab Dis W Mcc
|
3
|
3
|
$140,790.00
|
$140,790.00
|
$98,553.00
|
$140,790.00
|
$105,593.00
|
2025-11-25
|
|
CP17660070348719089
|
CDM
|
Septic Arthritis W Mcc
|
3
|
3
|
$128,579.00
|
$128,579.00
|
$90,005.00
|
$128,579.00
|
$96,434.00
|
2025-11-25
|
|
CP17660070348718697
|
CDM
|
Wnd Debrid & Skn Grft Exc Hand, For Musculo-conn Tiss Dis W Mcc
|
3
|
3
|
$127,848.00
|
$127,848.00
|
$89,494.00
|
$127,848.00
|
$95,886.00
|
2025-11-25
|
|
CP17660070348717069
|
CDM
|
Aftercare W Cc/mcc
|
3
|
3
|
$122,480.00
|
$122,480.00
|
$85,736.00
|
$122,480.00
|
$91,860.00
|
2025-11-25
|
|
CP17660070348718859
|
CDM
|
Acute & Subacute Endocarditis W Mcc
|
3
|
3
|
$122,248.00
|
$122,248.00
|
$85,574.00
|
$122,248.00
|
$91,686.00
|
2025-11-25
|
|
CP17660070348719473
|
CDM
|
Septic Arthritis Without Cc/mcc
|
3
|
3
|
$120,344.00
|
$120,344.00
|
$84,241.00
|
$120,344.00
|
$90,258.00
|
2025-11-25
|
|
CP17660070348710416
|
CDM
|
Postoperative & Post-traumatic Infections W Mcc
|
3
|
3
|
$119,511.00
|
$119,511.00
|
$83,658.00
|
$119,511.00
|
$89,633.00
|
2025-11-25
|
|
CP17660070348710270
|
CDM
|
Diabetes W Mcc
|
3
|
3
|
$119,106.00
|
$119,106.00
|
$83,374.00
|
$119,106.00
|
$89,330.00
|
2025-11-25
|
|
CP17660070348710609
|
CDM
|
Respiratory System Diagnosis W Ventilator Support <96 Hours
|
3
|
3
|
$114,485.00
|
$114,485.00
|
$80,140.00
|
$114,485.00
|
$85,864.00
|
2025-11-25
|
|
CP17660070348713843
|
CDM
|
Degenerative Nervous System Disorders Without Mcc
|
3
|
3
|
$113,893.00
|
$113,893.00
|
$79,725.00
|
$113,893.00
|
$85,420.00
|
2025-11-25
|
|
163
|
OTHER
|
Major Chest Procedures W Mcc
|
9
|
9
|
$703,225.09
|
$703,225.09
|
$79,400.22
|
$527,418.82
|
$111,438.91
|
2026-07-30
|
|
CP17660070348714246
|
CDM
|
Aftercare, Musculoskeletal System & Connective Tissue W Mcc
|
3
|
3
|
$113,327.00
|
$113,327.00
|
$79,329.00
|
$113,327.00
|
$84,995.00
|
2025-11-25
|
|
CP17660070348718493
|
CDM
|
Esophagitis, Gastroent & Misc Digest Disorders W Mcc
|
3
|
3
|
$111,372.00
|
$111,372.00
|
$77,960.00
|
$111,372.00
|
$83,529.00
|
2025-11-25
|
|
CP17660070348710233
|
CDM
|
Nutritional & Misc Metabolic Disorders W Mcc
|
3
|
3
|
$109,617.00
|
$109,617.00
|
$76,732.00
|
$109,617.00
|
$82,213.00
|
2025-11-25
|
|
CP17660070348717516
|
CDM
|
HIV W Major Related Condition W Mcc
|
3
|
3
|
$109,169.00
|
$109,169.00
|
$76,418.00
|
$109,169.00
|
$81,877.00
|
2025-11-25
|
|
CP17660070348718424
|
CDM
|
Non-extensive O.r. Proc Unrelated To Principal Diagnosis W Cc
|
3
|
3
|
$99,683.00
|
$99,683.00
|
$69,778.00
|
$99,683.00
|
$74,762.00
|
2025-11-25
|
|
CP17660070348712006
|
CDM
|
Complications Of Treatment W Cc
|
3
|
3
|
$92,690.00
|
$92,690.00
|
$64,883.00
|
$92,690.00
|
$69,518.00
|
2025-11-25
|
|
166
|
OTHER
|
Other Resp System O.r. Procedures W Mcc
|
9
|
9
|
$286,487.61
|
$286,487.61
|
$64,500.84
|
$214,865.71
|
$90,527.49
|
2026-07-30
|
|
CP17660070348710106
|
CDM
|
Osteomyelitis W Mcc
|
3
|
3
|
$91,360.00
|
$91,360.00
|
$63,952.00
|
$91,360.00
|
$68,520.00
|
2025-11-25
|
|
981
|
OTHER
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis W Mcc
|
9
|
9
|
$269,114.45
|
$269,114.45
|
$62,451.62
|
$201,835.83
|
$87,651.40
|
2026-07-30
|
|
CP17660070348712780
|
CDM
|
Wnd Debrid & Skn Grft Exc Hand, For Musculo-conn Tiss Dis W Cc
|
3
|
3
|
$88,144.00
|
$88,144.00
|
$61,701.00
|
$88,144.00
|
$66,108.00
|
2025-11-25
|
|
CP17660070348713481
|
CDM
|
Inflammation Of The Male Reproductive System Without Mcc
|
3
|
3
|
$85,294.00
|
$85,294.00
|
$59,706.00
|
$85,294.00
|
$63,971.00
|
2025-11-25
|
|
CP17660070348718217
|
CDM
|
Inflammation Of The Male Reproductive System W Mcc
|
3
|
3
|
$80,469.00
|
$80,469.00
|
$56,328.00
|
$80,469.00
|
$60,352.00
|
2025-11-25
|
|
CP17660070348711184
|
CDM
|
Heart Failure & Shock W Mcc
|
3
|
3
|
$79,794.00
|
$79,794.00
|
$55,856.00
|
$79,794.00
|
$59,846.00
|
2025-11-25
|
|
CP17660070348716503
|
CDM
|
Renal Failure W Mcc
|
3
|
3
|
$74,259.00
|
$74,259.00
|
$51,981.00
|
$74,259.00
|
$55,694.00
|
2025-11-25
|
|
CP17660070348711445
|
CDM
|
Nonspecific Cerebrovascular Disorders W Mcc
|
3
|
3
|
$73,485.00
|
$73,485.00
|
$51,440.00
|
$73,485.00
|
$55,114.00
|
2025-11-25
|
|
987
|
OTHER
|
Non-extensive O.r. Proc Unrelated To Principal Diagnosis W Mcc
|
9
|
9
|
$112,590.55
|
$112,590.55
|
$50,832.08
|
$85,611.92
|
$71,343.27
|
2026-07-30
|
|
717
|
OTHER
|
Other Male Reproductive System O.r. Proc Exc Malignancy W Cc/Mcc
|
9
|
9
|
$169,182.90
|
$169,182.90
|
$48,021.96
|
$126,887.17
|
$67,399.24
|
2026-07-30
|
|
853
|
OTHER
|
Infectious & Parasitic Diseases W O.r. Procedure W Mcc
|
9
|
9
|
$101,654.35
|
$101,654.35
|
$47,178.65
|
$79,458.78
|
$66,215.65
|
2026-07-30
|
|
463
|
OTHER
|
Wnd Debrid & Skn Grft Exc Hand, For Musculo-conn Tiss Dis W Mcc
|
9
|
9
|
$179,529.87
|
$179,529.87
|
$42,725.87
|
$134,647.40
|
$59,966.13
|
2026-07-30
|
|
CP17660070348716160
|
CDM
|
Septicemia Without Mv 96+ Hours Without Mcc
|
3
|
3
|
$57,655.00
|
$57,655.00
|
$40,359.00
|
$57,655.00
|
$43,241.00
|
2025-11-25
|
|
CP17660070348717078
|
CDM
|
Other Disorders Of Nervous System W Mcc
|
3
|
3
|
$57,169.00
|
$57,169.00
|
$40,018.00
|
$57,169.00
|
$42,877.00
|
2025-11-25
|
|
167
|
OTHER
|
Other Resp System O.r. Procedures W Cc
|
9
|
9
|
$192,957.38
|
$192,957.38
|
$39,168.58
|
$144,718.04
|
$54,973.45
|
2026-07-30
|
|
856
|
OTHER
|
Postoperative Or Post-traumatic Infections W O.r. Proc W Mcc
|
9
|
9
|
$125,642.33
|
$125,642.33
|
$39,149.35
|
$94,231.75
|
$54,946.46
|
2026-07-30
|
|
673
|
OTHER
|
Other Kidney & Urinary Tract Procedures W Mcc
|
9
|
9
|
$273,984.51
|
$273,984.51
|
$39,130.12
|
$205,488.38
|
$54,919.47
|
2026-07-30
|
|
570
|
OTHER
|
Skin Debridement W Mcc
|
9
|
9
|
$164,969.35
|
$164,969.35
|
$38,891.14
|
$123,727.01
|
$54,584.06
|
2026-07-30
|
|
CP17660070348712962
|
CDM
|
Acute & Subacute Endocarditis W Cc
|
3
|
3
|
$54,445.00
|
$54,445.00
|
$38,112.00
|
$54,445.00
|
$40,834.00
|
2025-11-25
|
|
622
|
OTHER
|
Skin Grafts & Wound Debrid For Endoc, Nutrit & Metab Dis W Mcc
|
9
|
9
|
$152,118.14
|
$152,118.14
|
$37,391.31
|
$114,088.61
|
$52,479.03
|
2026-07-30
|
|
264
|
OTHER
|
Other Circulatory System O.r. Procedures
|
9
|
9
|
$180,658.23
|
$180,658.23
|
$37,100.14
|
$135,493.67
|
$52,070.37
|
2026-07-30
|
|
982
|
OTHER
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis W Cc
|
9
|
9
|
$206,713.83
|
$206,713.83
|
$35,550.86
|
$155,035.37
|
$49,895.95
|
2026-07-30
|
|
464
|
OTHER
|
Wnd Debrid & Skn Grft Exc Hand, For Musculo-conn Tiss Dis W Cc
|
9
|
9
|
$148,983.04
|
$148,983.04
|
$32,306.73
|
$111,737.28
|
$45,342.78
|
2026-07-30
|
|
919
|
OTHER
|
Complications Of Treatment W Mcc
|
9
|
9
|
$146,798.26
|
$146,798.26
|
$31,952.38
|
$110,098.69
|
$44,845.44
|
2026-07-30
|
|
551
|
OTHER
|
Medical Back Problems W Mcc
|
9
|
9
|
$51,728.03
|
$51,728.03
|
$31,694.17
|
$53,379.65
|
$44,483.04
|
2026-07-30
|
|
288
|
OTHER
|
Acute & Subacute Endocarditis W Mcc
|
9
|
9
|
$114,535.83
|
$114,535.83
|
$31,405.74
|
$85,901.87
|
$44,078.23
|
2026-07-30
|
|
393
|
OTHER
|
Other Digestive System Diagnoses W Mcc
|
9
|
9
|
$332,650.43
|
$332,650.43
|
$30,787.67
|
$249,487.82
|
$43,210.77
|
2026-07-30
|
|
539
|
OTHER
|
Osteomyelitis W Mcc
|
9
|
9
|
$113,266.71
|
$113,266.71
|
$29,850.97
|
$84,950.03
|
$41,896.10
|
2026-07-30
|
|
314
|
OTHER
|
Other Circulatory System Diagnoses W Mcc
|
9
|
9
|
$111,206.68
|
$111,206.68
|
$29,296.09
|
$83,405.01
|
$41,117.32
|
2026-07-30
|
|
94
|
OTHER
|
Bacterial & Tuberculous Infections Of Nervous System W Mcc
|
9
|
9
|
$206,849.00
|
$206,849.00
|
$29,293.34
|
$155,136.75
|
$41,113.46
|
2026-07-30
|
|
623
|
OTHER
|
Skin Grafts & Wound Debrid For Endoc, Nutrit & Metab Dis W Cc
|
9
|
9
|
$99,560.07
|
$99,560.07
|
$28,664.30
|
$74,670.05
|
$40,230.59
|
2026-07-30
|
|
557
|
OTHER
|
Tendonitis, Myositis & Bursitis W Mcc
|
9
|
9
|
$204,627.24
|
$204,627.24
|
$27,831.97
|
$153,470.43
|
$39,062.41
|
2026-07-30
|
|
592
|
OTHER
|
Skin Ulcers W Mcc
|
9
|
9
|
$60,863.57
|
$60,863.57
|
$26,590.36
|
$45,647.68
|
$37,319.80
|
2026-07-30
|
|
97
|
OTHER
|
Non-bacterial Infect Of Nervous Sys Exc Viral Meningitis W Mcc
|
9
|
9
|
$125,158.22
|
$125,158.22
|
$26,373.34
|
$93,868.67
|
$37,015.22
|
2026-07-30
|
|
371
|
OTHER
|
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc
|
9
|
9
|
$201,465.24
|
$201,465.24
|
$26,038.22
|
$151,098.93
|
$36,544.87
|
2026-07-30
|
|
189
|
OTHER
|
Pulmonary Edema & Respiratory Failure
|
9
|
9
|
$117,486.73
|
$117,486.73
|
$25,953.06
|
$88,115.05
|
$36,425.35
|
2026-07-30
|
|
388
|
OTHER
|
G.i. Obstruction W Mcc
|
9
|
9
|
$67,449.26
|
$67,449.26
|
$25,920.10
|
$50,586.94
|
$36,379.09
|
2026-07-30
|
|
CP17660070348714224
|
CDM
|
Disorders Of Pancreas Except Malignancy W Mcc
|
3
|
3
|
$36,939.00
|
$36,939.00
|
$25,857.00
|
$36,939.00
|
$27,704.00
|
2025-11-25
|
|
871
|
OTHER
|
Septicemia Without Mv 96+ Hours W Mcc
|
9
|
9
|
$85,172.19
|
$85,172.19
|
$25,601.46
|
$63,879.14
|
$35,931.87
|
2026-07-30
|
|
386
|
OTHER
|
Inflammatory Bowel Disease W Cc
|
9
|
9
|
$130,343.31
|
$130,343.31
|
$25,205.90
|
$97,757.48
|
$35,376.70
|
2026-07-30
|
|
559
|
OTHER
|
Aftercare, Musculoskeletal System & Connective Tissue W Mcc
|
9
|
9
|
$87,401.11
|
$87,401.11
|
$25,060.31
|
$65,550.83
|
$35,172.37
|
2026-07-30
|
|
682
|
OTHER
|
Renal Failure W Mcc
|
9
|
9
|
$41,409.96
|
$41,409.96
|
$24,942.20
|
$42,007.91
|
$35,006.59
|
2026-07-30
|
|
280
|
OTHER
|
Acute Myocardial Infarction, Discharged Alive W Mcc
|
9
|
9
|
$167,760.71
|
$167,760.71
|
$24,714.20
|
$125,820.53
|
$34,686.59
|
2026-07-30
|
|
698
|
OTHER
|
Other Kidney & Urinary Tract Diagnoses W Mcc
|
9
|
9
|
$62,488.89
|
$62,488.89
|
$24,296.66
|
$46,866.67
|
$34,100.58
|
2026-07-30
|
|
291
|
OTHER
|
Heart Failure & Shock W Mcc
|
9
|
9
|
$107,729.24
|
$107,729.24
|
$23,511.04
|
$80,796.93
|
$32,997.95
|
2026-07-30
|
|
146
|
OTHER
|
Ear, Nose, Mouth & Throat Malignancy W Mcc
|
9
|
9
|
$179,279.60
|
$179,279.60
|
$23,480.82
|
$134,459.70
|
$32,955.54
|
2026-07-30
|
|
540
|
OTHER
|
Osteomyelitis W Cc
|
9
|
9
|
$83,535.55
|
$83,535.55
|
$23,431.37
|
$62,651.66
|
$32,886.14
|
2026-07-30
|
|
56
|
OTHER
|
Degenerative Nervous System Disorders W Mcc
|
9
|
9
|
$223,651.68
|
$223,651.68
|
$23,153.93
|
$167,738.76
|
$32,496.75
|
2026-07-30
|
|
177
|
OTHER
|
Respiratory Infections & Inflammations W Mcc
|
9
|
9
|
$123,420.45
|
$123,420.45
|
$22,876.49
|
$92,565.34
|
$32,107.36
|
2026-07-30
|
|
377
|
OTHER
|
G.i. Hemorrhage W Mcc
|
9
|
9
|
$143,799.85
|
$143,799.85
|
$22,651.24
|
$107,849.89
|
$31,791.22
|
2026-07-30
|
|
186
|
OTHER
|
Pleural Effusion W Mcc
|
9
|
9
|
$134,227.98
|
$134,227.98
|
$22,538.62
|
$100,670.99
|
$31,633.15
|
2026-07-30
|
|
638
|
OTHER
|
Diabetes W Cc
|
9
|
9
|
$74,882.09
|
$74,882.09
|
$22,524.89
|
$56,161.57
|
$31,613.88
|
2026-07-30
|
|
949
|
OTHER
|
Aftercare W Cc/Mcc
|
9
|
9
|
$85,174.38
|
$85,174.38
|
$20,761.35
|
$63,880.79
|
$29,138.74
|
2026-07-30
|
|
560
|
OTHER
|
Aftercare, Musculoskeletal System & Connective Tissue W Cc
|
9
|
9
|
$116,344.33
|
$116,344.33
|
$20,739.38
|
$87,258.25
|
$29,107.90
|
2026-07-30
|
|
CP17660070348715408
|
CDM
|
Major Skin Disorders Without Mcc
|
3
|
3
|
$29,407.00
|
$29,407.00
|
$20,585.00
|
$29,407.00
|
$22,055.00
|
2025-11-25
|
|
863
|
OTHER
|
Postoperative & Post-traumatic Infections Without Mcc
|
9
|
9
|
$48,742.92
|
$48,742.92
|
$20,069.12
|
$36,557.19
|
$28,167.19
|
2026-07-30
|
|
175
|
OTHER
|
Pulmonary Embolism W Mcc
|
9
|
9
|
$133,150.38
|
$133,150.38
|
$19,907.06
|
$99,862.78
|
$27,939.73
|
2026-07-30
|
|
549
|
OTHER
|
Septic Arthritis W Cc
|
9
|
9
|
$97,130.88
|
$97,130.88
|
$19,876.84
|
$72,848.16
|
$27,897.32
|
2026-07-30
|
|
100
|
OTHER
|
Seizures W Mcc
|
9
|
9
|
$122,661.36
|
$122,661.36
|
$19,871.35
|
$91,996.02
|
$27,889.61
|
2026-07-30
|
|
641
|
OTHER
|
Nutritional & Misc Metabolic Disorders Without Mcc
|
9
|
9
|
$105,465.93
|
$105,465.93
|
$17,904.54
|
$79,099.45
|
$25,129.18
|
2026-07-30
|
|
561
|
OTHER
|
Aftercare, Musculoskeletal System & Connective Tissue Without Cc/Mcc
|
9
|
9
|
$86,489.08
|
$86,489.08
|
$17,508.98
|
$64,866.81
|
$24,574.01
|
2026-07-30
|
|
147
|
OTHER
|
Ear, Nose, Mouth & Throat Malignancy W Cc
|
9
|
9
|
$93,812.48
|
$93,812.48
|
$17,508.98
|
$70,359.36
|
$24,574.01
|
2026-07-30
|
|
194
|
OTHER
|
Simple Pneumonia & Pleurisy W Cc
|
9
|
9
|
$88,698.84
|
$88,698.84
|
$16,915.64
|
$66,524.13
|
$23,741.25
|
2026-07-30
|
|
603
|
OTHER
|
Cellulitis Without Mcc
|
9
|
9
|
$81,838.67
|
$81,838.67
|
$15,226.27
|
$61,379.00
|
$21,370.21
|
2026-07-30
|
|
383
|
OTHER
|
Uncomplicated Peptic Ulcer W Mcc
|
9
|
9
|
$79,207.89
|
$79,207.89
|
$14,264.85
|
$59,405.92
|
$20,020.84
|
2026-07-30
|
|
307
|
OTHER
|
Cardiac Congenital & Valvular Disorders Without Mcc
|
9
|
9
|
$64,143.11
|
$64,143.11
|
$14,264.85
|
$48,107.33
|
$20,020.84
|
2026-07-30
|
|
281
|
OTHER
|
Acute Myocardial Infarction, Discharged Alive W Cc
|
9
|
9
|
$85,346.65
|
$85,346.65
|
$14,264.85
|
$64,009.99
|
$20,020.84
|
2026-07-30
|
|
300
|
OTHER
|
Peripheral Vascular Disorders W Cc
|
9
|
9
|
$49,016.30
|
$49,016.30
|
$13,503.94
|
$36,762.23
|
$18,952.90
|
2026-07-30
|
|
950
|
OTHER
|
Aftercare Without Cc/Mcc
|
9
|
9
|
$23,945.52
|
$23,945.52
|
$11,537.13
|
$19,430.96
|
$16,192.47
|
2026-07-30
|
|
593
|
OTHER
|
Skin Ulcers W Cc
|
9
|
9
|
$10,600.74
|
$10,600.74
|
$7,420.52
|
$33,324.11
|
$27,770.09
|
2026-07-30
|
|
1000001
|
CDM
|
Intensive Care/high Acuity
|
1
|
1
|
$3,683.00
|
$3,683.00
|
$3,683.00
|
$3,683.00
|
$3,683.00
|
2025-11-25
|
|
31600
|
CPT
|
Tracheostomy Planned
|
2
|
2
|
$4,087.00
|
$4,087.00
|
$3,371.00
|
$4,087.00
|
$3,729.00
|
2025-11-25
|
|
36571
|
CPT
|
Picc Line Insert W Pump
|
2
|
2
|
$4,696.00
|
$4,696.00
|
$3,210.00
|
$4,696.00
|
$3,953.00
|
2025-11-25
|
|
1000002
|
CDM
|
Intermediate Care
|
1
|
1
|
$3,197.00
|
$3,197.00
|
$3,197.00
|
$3,197.00
|
$3,197.00
|
2025-11-25
|
|
CP17660070348716834
|
CDM
|
Other Infectious & Parasitic Diseases Diagnoses W Mcc
|
3
|
3
|
$4,537.00
|
$4,537.00
|
$3,176.00
|
$4,537.00
|
$3,403.00
|
2025-11-25
|
|
55180
|
CPT
|
Revision Of Scrotum
|
4
|
4
|
$4,407.50
|
$4,407.50
|
$3,010.00
|
$5,451.00
|
$3,870.00
|
2026-07-30
|
|
2
|
CDM
|
Semi Private Room
|
1
|
1
|
$2,589.00
|
$2,589.00
|
$2,589.00
|
$2,589.00
|
$2,589.00
|
2025-11-25
|
|
1
|
CDM
|
Private Room
|
1
|
1
|
$2,589.00
|
$2,589.00
|
$2,589.00
|
$2,589.00
|
$2,589.00
|
2025-11-25
|
|
36558
|
CPT
|
Insert Central Line Without Port
|
2
|
2
|
$2,492.00
|
$2,492.00
|
$2,492.00
|
$3,210.00
|
$2,851.00
|
2025-11-25
|
|
15120
|
CPT
|
Splt Thck Gft Face 1st 100sq
|
4
|
4
|
$3,094.50
|
$3,094.50
|
$2,113.30
|
$3,603.00
|
$2,717.12
|
2026-07-30
|
|
43246
|
CPT
|
Peg Placement
|
2
|
2
|
$2,236.00
|
$2,236.00
|
$1,951.00
|
$2,236.00
|
$2,093.50
|
2025-11-25
|
|
3
|
OTHER
|
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.r.
|
11
|
11
|
$441,662.60
|
$441,662.60
|
$1,803.53
|
$331,246.95
|
$141,930.88
|
2026-07-30
|
|
4
|
OTHER
|
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck Without Maj O.r.
|
11
|
11
|
$283,433.66
|
$283,433.66
|
$1,803.53
|
$212,575.24
|
$107,838.02
|
2026-07-30
|
|
870
|
OTHER
|
Septicemia W Mv 96+ Hours
|
11
|
11
|
$296,241.70
|
$296,241.70
|
$1,803.53
|
$222,181.28
|
$75,067.54
|
2026-07-30
|
|
207
|
OTHER
|
Respiratory System Diagnosis W Ventilator Support 96+ Hours
|
11
|
11
|
$284,185.91
|
$284,185.91
|
$1,803.53
|
$213,139.43
|
$72,480.59
|
2026-07-30
|
|
208
|
OTHER
|
Respiratory System Diagnosis W Ventilator Support <96 Hours
|
11
|
11
|
$111,043.53
|
$111,043.53
|
$1,803.53
|
$83,282.65
|
$43,958.71
|
2026-07-30
|
|
11047
|
CPT
|
Debr Bone Ea Addl <=20 Sq
|
3
|
3
|
$2,219.75
|
$2,219.75
|
$1,553.82
|
$1,998.00
|
$1,664.81
|
2026-07-30
|
|
31624
|
CPT
|
Bronchoscopy W Lavage
|
4
|
4
|
$2,163.12
|
$2,163.12
|
$1,477.17
|
$2,216.00
|
$1,696.35
|
2026-07-30
|
|
31645
|
CPT
|
Bronchoscopy W Aspiration Init
|
4
|
4
|
$2,163.12
|
$2,163.12
|
$1,477.17
|
$2,216.00
|
$1,696.35
|
2026-07-30
|
|
31603
|
CPT
|
Tracheostomy Emergent
|
2
|
2
|
$1,358.00
|
$1,358.00
|
$1,358.00
|
$1,577.00
|
$1,467.50
|
2025-11-25
|
|
36569
|
CPT
|
Picc Line Insert Without Pump
|
4
|
4
|
$1,729.00
|
$1,729.00
|
$1,180.90
|
$1,771.00
|
$1,432.62
|
2026-07-30
|
|
36584
|
CPT
|
Picc Line Replacement Without Pump
|
4
|
4
|
$1,729.00
|
$1,729.00
|
$1,180.90
|
$1,771.00
|
$1,432.62
|
2026-07-30
|
|
11044
|
CPT
|
Debr Bone 1st <= 20 Sq Cm
|
4
|
4
|
$1,692.88
|
$1,692.88
|
$1,156.22
|
$1,734.00
|
$1,458.90
|
2026-07-30
|
|
13160
|
CPT
|
Secondary Wound Closure Simple
|
4
|
4
|
$1,662.50
|
$1,662.50
|
$1,135.40
|
$3,603.00
|
$1,459.75
|
2026-07-30
|
|
11046
|
CPT
|
Debr Musl/Fas Ea Addl <=20 Sq
|
3
|
3
|
$1,205.50
|
$1,205.50
|
$843.85
|
$1,085.00
|
$904.13
|
2026-07-30
|
|
43000046
|
CDM
|
Daily Heated High Flow O2
|
1
|
1
|
$793.00
|
$793.00
|
$793.00
|
$793.00
|
$793.00
|
2025-11-25
|
|
31622
|
CPT
|
Bronchoscopy Dx W/wo Cell Wash
|
4
|
4
|
$1,200.00
|
$1,200.00
|
$721.00
|
$1,810.00
|
$1,217.28
|
2026-07-30
|
|
90935
|
CPT
|
Hemodialysis
|
4
|
4
|
$974.50
|
$974.50
|
$698.00
|
$901.00
|
$759.80
|
2026-07-30
|
|
32551
|
CPT
|
Chest Tube Insertion
|
4
|
4
|
$1,003.38
|
$1,003.38
|
$685.13
|
$1,600.00
|
$881.03
|
2026-07-30
|
|
32555
|
CPT
|
Thoracentesis With Imaging
|
2
|
2
|
$1,233.00
|
$1,233.00
|
$638.00
|
$1,233.00
|
$935.50
|
2025-11-25
|
|
32554
|
CPT
|
Thoracentesis W/out Imaging
|
2
|
2
|
$1,028.00
|
$1,028.00
|
$638.00
|
$1,028.00
|
$833.00
|
2025-11-25
|
|
94002
|
CPT
|
Ventilation Mgmt 1st Day
|
4
|
4
|
$3,176.50
|
$3,176.50
|
$628.00
|
$3,254.00
|
$2,246.78
|
2026-07-30
|
|
94003
|
CPT
|
Ventilation Mgmt Ea Subsq Day
|
4
|
4
|
$2,248.25
|
$2,248.25
|
$628.00
|
$2,303.00
|
$1,590.29
|
2026-07-30
|
|
PH002921
|
CDM
|
Filgrastim
|
3
|
3
|
$797.00
|
$797.00
|
$558.00
|
$797.00
|
$598.00
|
2025-11-25
|
|
31615
|
CPT
|
Tracheobronchoscopy Thru Incis
|
4
|
4
|
$1,325.62
|
$1,325.62
|
$548.00
|
$1,358.00
|
$937.61
|
2026-07-30
|
|
43000039
|
CDM
|
Daily O2 Charge
|
1
|
1
|
$528.00
|
$528.00
|
$528.00
|
$528.00
|
$528.00
|
2025-11-25
|
|
93000001
|
CDM
|
Respite Care
|
1
|
1
|
$500.00
|
$500.00
|
$500.00
|
$500.00
|
$500.00
|
2025-11-25
|
|
36410
|
CPT
|
Midline Insertion Venipuncture
|
3
|
3
|
$700.00
|
$700.00
|
$490.00
|
$630.00
|
$525.00
|
2026-07-30
|
|
J0878
|
HCPCS
|
Cubicin
|
2
|
2
|
$668.24
|
$668.24
|
$467.77
|
$501.18
|
$484.48
|
2026-07-30
|
|
11043
|
CPT
|
Debr Musl/fas 1st <= 20 Sqcm
|
4
|
4
|
$663.88
|
$663.88
|
$453.42
|
$751.00
|
$582.90
|
2026-07-30
|
|
11045
|
CPT
|
Debr Sq Tis Ea Add <=20 Sq
|
3
|
3
|
$647.75
|
$647.75
|
$453.42
|
$680.00
|
$485.81
|
2026-07-30
|
|
36430
|
CPT
|
Adm Bld Transfusion Per Visit
|
2
|
2
|
$869.00
|
$869.00
|
$449.00
|
$869.00
|
$659.00
|
2025-11-25
|
|
92004467
|
CDM
|
Broncoflex 5.6/2.8mm
|
1
|
1
|
$447.00
|
$447.00
|
$447.00
|
$447.00
|
$447.00
|
2025-11-25
|
|
J1442
|
HCPCS
|
Neupogen
|
2
|
2
|
$612.13
|
$612.13
|
$428.49
|
$459.09
|
$443.79
|
2026-07-30
|
|
90945
|
CPT
|
Peritoneal Dialysis
|
2
|
2
|
$451.00
|
$451.00
|
$424.00
|
$451.00
|
$437.50
|
2025-11-25
|
|
11042
|
CPT
|
Debr Sq Tis 1st <= 20 Sqcm
|
4
|
4
|
$663.88
|
$663.88
|
$413.00
|
$680.00
|
$469.62
|
2026-07-30
|
|
12034
|
CPT
|
Lac. Rep Intermed 7.6-12.5 Trn
|
4
|
4
|
$615.00
|
$615.00
|
$413.00
|
$630.00
|
$435.00
|
2026-07-30
|
|
12032
|
CPT
|
Lac. Rep Intermed 2.6-7.5cm Tr
|
4
|
4
|
$605.00
|
$605.00
|
$413.00
|
$620.00
|
$427.75
|
2026-07-30
|
|
93365
|
CPT
|
Buprenorphine 20mcg/hr Patch
|
1
|
1
|
$406.00
|
$406.00
|
$406.00
|
$406.00
|
$406.00
|
2025-11-25
|
|
31646
|
CPT
|
Bronchoscopy W Aspiration Subs
|
4
|
4
|
$2,004.62
|
$2,004.62
|
$398.00
|
$1,899.00
|
$1,529.93
|
2026-07-30
|
|
82803
|
CPT
|
Blood Gases - Analysis
|
2
|
2
|
$486.25
|
$486.25
|
$340.38
|
$364.69
|
$352.53
|
2026-07-30
|
|
J0289
|
HCPCS
|
Ambisome
|
2
|
2
|
$424.58
|
$424.58
|
$297.21
|
$318.44
|
$307.82
|
2026-07-30
|
|
J1335
|
HCPCS
|
Ertapenem Sodium
|
2
|
2
|
$421.44
|
$421.44
|
$295.01
|
$316.08
|
$305.54
|
2026-07-30
|
|
PH001775
|
CDM
|
Buprenorphine 10mcg/hr
|
3
|
3
|
$375.00
|
$375.00
|
$263.00
|
$375.00
|
$281.00
|
2025-11-25
|
|
J2248
|
HCPCS
|
Mycamine 100mg
|
2
|
2
|
$374.00
|
$374.00
|
$261.80
|
$280.50
|
$271.15
|
2026-07-30
|
|
PH002931
|
CDM
|
Perflutren Lipid Microspheres
|
3
|
3
|
$357.00
|
$357.00
|
$250.00
|
$357.00
|
$268.00
|
2025-11-25
|
|
94761
|
CPT
|
Pulse Ox Multiple Det
|
3
|
3
|
$347.50
|
$347.50
|
$243.25
|
$365.00
|
$260.63
|
2026-07-30
|
|
33810
|
CPT
|
Clinimix5/15-2l
|
1
|
1
|
$241.00
|
$241.00
|
$241.00
|
$241.00
|
$241.00
|
2025-11-25
|
|
J1610
|
HCPCS
|
Glucagen
|
2
|
2
|
$343.20
|
$343.20
|
$240.24
|
$257.40
|
$248.82
|
2026-07-30
|
|
97598
|
CPT
|
Rmvl Devital Tis Addl 20 Cm<
|
3
|
3
|
$343.00
|
$343.00
|
$240.10
|
$268.00
|
$257.25
|
2026-07-30
|
|
97606
|
CPT
|
Vaccuum Therapy >50cm
|
4
|
4
|
$349.62
|
$349.62
|
$238.87
|
$413.00
|
$306.97
|
2026-07-30
|
|
94660
|
CPT
|
Cpap/bipap Initiation & Mgmt
|
4
|
4
|
$2,141.50
|
$2,141.50
|
$223.00
|
$2,194.00
|
$1,514.53
|
2026-07-30
|
|
94669
|
CPT
|
Mech Chest Wall Oscill
|
4
|
4
|
$396.05
|
$396.05
|
$223.00
|
$406.00
|
$279.92
|
2026-07-30
|
|
J3243
|
HCPCS
|
Tygacil
|
2
|
2
|
$317.72
|
$317.72
|
$222.40
|
$238.29
|
$230.34
|
2026-07-30
|
|
92950
|
CPT
|
Cpr (Code Blue)
|
4
|
4
|
$605.00
|
$605.00
|
$220.00
|
$620.00
|
$427.75
|
2026-07-30
|
|
92523
|
CPT
|
Eval Speech Sound Prod W Lang
|
2
|
2
|
$328.00
|
$328.00
|
$216.00
|
$328.00
|
$272.00
|
2025-11-25
|
|
J2997
|
HCPCS
|
Activase
|
4
|
2
|
$3,453.20
|
$3,453.20
|
$214.28
|
$4,950.20
|
$2,424.89
|
2026-07-30
|
|
16025
|
CPT
|
Dress/debrid P-thick Burn Med
|
4
|
4
|
$684.12
|
$684.12
|
$204.00
|
$648.00
|
$522.18
|
2026-07-30
|
|
10060
|
CPT
|
I&d Abscesssimple/single
|
4
|
4
|
$376.75
|
$376.75
|
$204.00
|
$386.00
|
$266.44
|
2026-07-30
|
|
97597
|
CPT
|
Rmvl Devital Tis 20 Cm/<
|
4
|
4
|
$336.50
|
$336.50
|
$204.00
|
$330.00
|
$248.68
|
2026-07-30
|
|
31575
|
CPT
|
Laryngoscopy Flex Dx
|
4
|
4
|
$482.00
|
$482.00
|
$203.00
|
$494.00
|
$340.75
|
2026-07-30
|
|
PH002825
|
CDM
|
Norepinephrine Bit/0.9 % Nacl
|
3
|
3
|
$284.00
|
$284.00
|
$199.00
|
$284.00
|
$213.00
|
2025-11-25
|
|
94770
|
CPT
|
End Tidal Co2 Detection By Ir
|
2
|
2
|
$283.00
|
$283.00
|
$198.10
|
$212.25
|
$205.18
|
2026-07-30
|
|
PH000352
|
CDM
|
Clinimix
|
1
|
1
|
$192.00
|
$192.00
|
$192.00
|
$192.00
|
$192.00
|
2025-11-25
|
|
92612
|
CPT
|
Stfees Procedure
|
2
|
2
|
$630.00
|
$630.00
|
$182.00
|
$630.00
|
$406.00
|
2025-11-25
|
|
31500
|
CPT
|
Endotrachael Intubation
|
7
|
4
|
$612.00
|
$612.00
|
$181.65
|
$643.00
|
$428.40
|
2026-07-30
|
|
31502
|
CPT
|
Tracheotomy Tube Change
|
4
|
4
|
$266.25
|
$266.25
|
$181.65
|
$273.00
|
$217.81
|
2026-07-30
|
|
97605
|
CPT
|
Vaccuum Therapy <50cm
|
4
|
4
|
$261.62
|
$261.62
|
$178.67
|
$268.00
|
$197.72
|
2026-07-30
|
|
J1364
|
HCPCS
|
Erythrocin Lactobionate
|
2
|
2
|
$253.61
|
$253.61
|
$177.53
|
$190.21
|
$183.87
|
2026-07-30
|
|
74909
|
CPT
|
Fentanyl 50mcg/ml 50ml
|
1
|
1
|
$160.00
|
$160.00
|
$160.00
|
$160.00
|
$160.00
|
2025-11-25
|
|
78172
|
CPT
|
Fentanyl 100mcg Patch
|
1
|
1
|
$160.00
|
$160.00
|
$160.00
|
$160.00
|
$160.00
|
2025-11-25
|
|
33811
|
CPT
|
Clinimix E
|
14
|
1
|
$185.50
|
$185.50
|
$154.00
|
$261.00
|
$185.50
|
2025-11-25
|
|
94760
|
CPT
|
Pulse Ox Single Det
|
3
|
3
|
$212.50
|
$212.50
|
$148.75
|
$223.00
|
$159.38
|
2026-07-30
|
|
P9047
|
HCPCS
|
Buminate
|
2
|
2
|
$207.90
|
$207.90
|
$145.53
|
$155.93
|
$150.73
|
2026-07-30
|
|
P9045
|
HCPCS
|
Albumin Human
|
2
|
2
|
$207.90
|
$207.90
|
$145.53
|
$155.93
|
$150.73
|
2026-07-30
|
|
94664
|
CPT
|
Demo/eval Pt Inhal/neb/ippb
|
4
|
4
|
$211.88
|
$211.88
|
$144.72
|
$223.00
|
$186.03
|
2026-07-30
|
|
J0278
|
HCPCS
|
Amikin
|
2
|
2
|
$203.13
|
$203.13
|
$142.19
|
$152.35
|
$147.27
|
2026-07-30
|
|
51701
|
CPT
|
Straight Cath Insert
|
2
|
2
|
$366.00
|
$366.00
|
$135.00
|
$366.00
|
$250.50
|
2025-11-25
|
|
94667
|
CPT
|
Manip Chest Wall (Cpt) Initial
|
4
|
4
|
$225.25
|
$225.25
|
$135.00
|
$231.00
|
$159.14
|
2026-07-30
|
|
94668
|
CPT
|
Manip Chest Wall (Cpt) Subseq
|
4
|
4
|
$203.75
|
$203.75
|
$135.00
|
$209.00
|
$143.91
|
2026-07-30
|
|
33801
|
CPT
|
Insulin Regular In 0.9 % Nacl
|
2
|
1
|
$136.50
|
$136.50
|
$133.00
|
$140.00
|
$136.50
|
2025-11-25
|
|
J0131
|
HCPCS
|
Ofirmev
|
2
|
2
|
$189.48
|
$189.48
|
$132.64
|
$142.11
|
$137.38
|
2026-07-30
|
|
94762
|
CPT
|
Pulse Ox Continuous/overnight
|
4
|
4
|
$1,900.12
|
$1,900.12
|
$131.00
|
$1,800.00
|
$1,450.18
|
2026-07-30
|
|
J0696
|
HCPCS
|
Ceftriaxone Sodium 1000mg
|
4
|
2
|
$228.86
|
$228.86
|
$128.66
|
$205.44
|
$164.80
|
2026-07-30
|
|
92521
|
CPT
|
Eval Of Speech Fluency
|
2
|
2
|
$236.00
|
$236.00
|
$127.00
|
$236.00
|
$181.50
|
2025-11-25
|
|
PH000675
|
CDM
|
Fentanyl 75mcg Patch
|
3
|
3
|
$178.00
|
$178.00
|
$125.00
|
$178.00
|
$134.00
|
2025-11-25
|
|
PH001999
|
CDM
|
Epinephrine 1mg/ml 30ml
|
3
|
3
|
$177.00
|
$177.00
|
$124.00
|
$177.00
|
$133.00
|
2025-11-25
|
|
J1756
|
HCPCS
|
Venofer
|
2
|
2
|
$173.25
|
$173.25
|
$121.27
|
$129.94
|
$125.60
|
2026-07-30
|
|
J3430
|
HCPCS
|
Phytonadione 10mg/ml
|
2
|
2
|
$171.07
|
$171.07
|
$119.75
|
$128.30
|
$124.03
|
2026-07-30
|
|
J0770
|
HCPCS
|
Colistin (Colistimethate Na)
|
2
|
2
|
$171.00
|
$171.00
|
$119.70
|
$128.25
|
$123.97
|
2026-07-30
|
|
J0885
|
HCPCS
|
Epogen
|
6
|
2
|
$331.60
|
$331.60
|
$116.06
|
$751.64
|
$240.41
|
2026-07-30
|
|
92607
|
CPT
|
Eval Rx Speech Device 1st Hr
|
2
|
2
|
$315.00
|
$315.00
|
$116.00
|
$315.00
|
$215.50
|
2025-11-25
|
|
J1652
|
HCPCS
|
Arixtra 2.5mg
|
2
|
2
|
$159.39
|
$159.39
|
$111.57
|
$119.54
|
$115.56
|
2026-07-30
|
|
PH002932
|
CDM
|
Revefenacinud 175mcg/3ml
|
3
|
3
|
$158.00
|
$158.00
|
$111.00
|
$158.00
|
$119.00
|
2025-11-25
|
|
57470
|
CPT
|
Opium/belladonna Alkaloids
|
1
|
1
|
$110.00
|
$110.00
|
$110.00
|
$110.00
|
$110.00
|
2025-11-25
|
|
PH000585
|
CDM
|
Fentanyl 50mcg Patch
|
3
|
3
|
$156.00
|
$156.00
|
$109.00
|
$156.00
|
$117.00
|
2025-11-25
|
|
92522
|
CPT
|
Eval Speech Sound Production
|
2
|
2
|
$236.00
|
$236.00
|
$107.00
|
$236.00
|
$171.50
|
2025-11-25
|
|
92524
|
CPT
|
Behav/qual Analysis Voice/res
|
2
|
2
|
$184.00
|
$184.00
|
$105.00
|
$184.00
|
$144.50
|
2025-11-25
|
|
94640
|
CPT
|
Inhalation Treatment
|
4
|
4
|
$148.25
|
$148.25
|
$101.15
|
$223.00
|
$130.19
|
2026-07-30
|
|
92609
|
CPT
|
Speech Generating Device Svc
|
2
|
2
|
$289.00
|
$289.00
|
$97.00
|
$289.00
|
$193.00
|
2025-11-25
|
|
97167
|
CPT
|
Ot Eval High Complexity
|
4
|
4
|
$356.38
|
$356.38
|
$95.00
|
$365.00
|
$252.12
|
2026-07-30
|
|
97166
|
CPT
|
Ot Eval Mod Complexity
|
4
|
4
|
$296.88
|
$296.88
|
$95.00
|
$304.00
|
$210.06
|
2026-07-30
|
|
97165
|
CPT
|
Ot Eval Low Complexity
|
4
|
4
|
$237.38
|
$237.38
|
$95.00
|
$243.00
|
$168.01
|
2026-07-30
|
|
97010
|
CPT
|
Appl Hot/cold Packs
|
1
|
1
|
$95.00
|
$95.00
|
$95.00
|
$95.00
|
$95.00
|
2025-11-25
|
|
97163
|
CPT
|
Pt Eval High Complexity
|
4
|
4
|
$356.38
|
$356.38
|
$93.00
|
$365.00
|
$252.12
|
2026-07-30
|
|
97162
|
CPT
|
Pt Eval Mod Complexity
|
4
|
4
|
$296.88
|
$296.88
|
$93.00
|
$304.00
|
$210.06
|
2026-07-30
|
|
96105
|
CPT
|
Assessment Of Aphasia
|
2
|
2
|
$324.00
|
$324.00
|
$93.00
|
$324.00
|
$208.50
|
2025-11-25
|
|
97161
|
CPT
|
Pt Eval Low Complexity
|
4
|
4
|
$237.38
|
$237.38
|
$93.00
|
$243.00
|
$168.01
|
2026-07-30
|
|
J3230
|
HCPCS
|
Chlorpromazine Hcl 25mg/ml
|
2
|
2
|
$132.40
|
$132.40
|
$92.68
|
$99.30
|
$95.99
|
2026-07-30
|
|
J2916
|
HCPCS
|
Ferrlecit
|
2
|
2
|
$127.20
|
$127.20
|
$89.04
|
$95.40
|
$92.22
|
2026-07-30
|
|
92611
|
CPT
|
Swallowing Eval By Cine/video
|
2
|
2
|
$489.00
|
$489.00
|
$86.00
|
$489.00
|
$287.50
|
2025-11-25
|
|
31720
|
CPT
|
Catheter Aspiration Nasotrache
|
4
|
4
|
$124.00
|
$124.00
|
$84.70
|
$223.00
|
$108.88
|
2026-07-30
|
|
92610
|
CPT
|
Swallowing/oral Function Eval
|
2
|
2
|
$328.00
|
$328.00
|
$80.00
|
$328.00
|
$204.00
|
2025-11-25
|
|
92526
|
CPT
|
Tx Swallow Function 60m
|
6
|
2
|
$215.50
|
$215.50
|
$80.00
|
$284.00
|
$180.50
|
2025-11-25
|
|
92507
|
CPT
|
Tx Speech/lang/voice
|
2
|
2
|
$184.00
|
$184.00
|
$73.00
|
$184.00
|
$128.50
|
2025-11-25
|
|
PH002925
|
CDM
|
Hydrocortisone 100mg/60ml Rect
|
3
|
3
|
$103.00
|
$103.00
|
$72.00
|
$103.00
|
$77.00
|
2025-11-25
|
|
97014
|
CPT
|
E Stim (Unattended)
|
1
|
1
|
$72.00
|
$72.00
|
$72.00
|
$72.00
|
$72.00
|
2025-11-25
|
|
92597
|
CPT
|
Eval Fitting Pros Device
|
2
|
2
|
$315.00
|
$315.00
|
$68.00
|
$315.00
|
$191.50
|
2025-11-25
|
|
PH002675
|
CDM
|
Fentanyl/ns 100ml Premix
|
3
|
3
|
$97.00
|
$97.00
|
$68.00
|
$97.00
|
$73.00
|
2025-11-25
|
|
97168
|
CPT
|
Occupational Therapy Re-eval
|
2
|
2
|
$336.00
|
$336.00
|
$64.00
|
$336.00
|
$200.00
|
2025-11-25
|
|
97164
|
CPT
|
Physical Therapy Re-eval
|
2
|
2
|
$250.00
|
$250.00
|
$64.00
|
$250.00
|
$157.00
|
2025-11-25
|
|
93005
|
CPT
|
ECG 12 Lead Tracing Only
|
4
|
4
|
$161.00
|
$161.00
|
$60.00
|
$165.00
|
$113.83
|
2026-07-30
|
|
51798
|
CPT
|
Bladder Scan
|
4
|
4
|
$107.38
|
$107.38
|
$60.00
|
$110.00
|
$75.94
|
2026-07-30
|
|
89220
|
CPT
|
Sputum Collection - Aerosol
|
2
|
2
|
$84.50
|
$84.50
|
$59.15
|
$63.38
|
$61.27
|
2026-07-30
|
|
PH000183
|
CDM
|
Fentanyl 25mcg Patch
|
3
|
3
|
$85.00
|
$85.00
|
$59.00
|
$85.00
|
$64.00
|
2025-11-25
|
|
25410
|
CPT
|
Posaconazole 200 Mg/5 Ml Oral
|
1
|
1
|
$59.00
|
$59.00
|
$59.00
|
$59.00
|
$59.00
|
2025-11-25
|
|
J1080
|
HCPCS
|
Depo-testosterone
|
2
|
2
|
$84.00
|
$84.00
|
$58.80
|
$63.00
|
$60.90
|
2026-07-30
|
|
PH000815
|
CDM
|
Duragesic 12mcg Patch
|
3
|
3
|
$81.00
|
$81.00
|
$57.00
|
$81.00
|
$61.00
|
2025-11-25
|
|
PH002922
|
CDM
|
Flu Vacc Ts2025-26(6mos Up)/pf
|
3
|
3
|
$81.00
|
$81.00
|
$57.00
|
$81.00
|
$61.00
|
2025-11-25
|
|
97533
|
CPT
|
Sensory Integration
|
2
|
2
|
$147.00
|
$147.00
|
$56.00
|
$147.00
|
$101.50
|
2025-11-25
|
|
26495
|
CPT
|
Heparin 20k Units/500ml D5w
|
2
|
1
|
$61.00
|
$61.00
|
$56.00
|
$66.00
|
$61.00
|
2025-11-25
|
|
J0330
|
HCPCS
|
Anectine
|
2
|
2
|
$77.48
|
$77.48
|
$54.24
|
$58.11
|
$56.17
|
2026-07-30
|
|
J0456
|
HCPCS
|
Azithromycin
|
2
|
2
|
$75.92
|
$75.92
|
$53.14
|
$56.94
|
$55.04
|
2026-07-30
|
|
Q0144
|
HCPCS
|
Azithromycin
|
2
|
2
|
$75.92
|
$75.92
|
$53.14
|
$56.94
|
$55.04
|
2026-07-30
|
|
P9060
|
HCPCS
|
Ffp Donor Retest Ea Unit
|
4
|
4
|
$154.00
|
$154.00
|
$53.00
|
$158.00
|
$108.75
|
2026-07-30
|
|
J7606
|
HCPCS
|
Perforomist
|
2
|
2
|
$74.36
|
$74.36
|
$52.05
|
$55.77
|
$53.91
|
2026-07-30
|
|
J1040
|
HCPCS
|
Depo-medrol 80mg
|
2
|
2
|
$73.72
|
$73.72
|
$51.60
|
$55.29
|
$53.45
|
2026-07-30
|
|
J0743
|
HCPCS
|
Primaxin
|
2
|
2
|
$73.42
|
$73.42
|
$51.39
|
$55.06
|
$53.23
|
2026-07-30
|
|
36600
|
CPT
|
Arterial Puncture
|
4
|
4
|
$72.12
|
$72.12
|
$49.17
|
$135.00
|
$63.34
|
2026-07-30
|
|
PH000470
|
CDM
|
Epinephrine 1mg/1ml Sdv
|
3
|
3
|
$70.00
|
$70.00
|
$49.00
|
$70.00
|
$53.00
|
2025-11-25
|
|
J2185
|
HCPCS
|
Meropenem 1000mg
|
4
|
2
|
$106.92
|
$106.92
|
$48.89
|
$108.00
|
$76.59
|
2026-07-30
|
|
97763
|
CPT
|
Orthotic Mgmt 1st Enc Ea 15m
|
3
|
2
|
$181.00
|
$181.00
|
$46.00
|
$181.00
|
$120.00
|
2025-11-25
|
|
J2310
|
HCPCS
|
Naloxone Hcl
|
2
|
2
|
$65.56
|
$65.56
|
$45.89
|
$49.17
|
$47.53
|
2026-07-30
|
|
J0133
|
HCPCS
|
Acyclovir Sodium
|
2
|
2
|
$64.00
|
$64.00
|
$44.80
|
$48.00
|
$46.40
|
2026-07-30
|
|
97760
|
CPT
|
Orthotic Mgmt 1st Enc Ea 15m
|
2
|
2
|
$137.00
|
$137.00
|
$43.00
|
$137.00
|
$90.00
|
2025-11-25
|
|
PH002929
|
CDM
|
Ephedrine Sulfate 50mg/ml
|
3
|
3
|
$62.00
|
$62.00
|
$43.00
|
$62.00
|
$47.00
|
2025-11-25
|
|
54018
|
CPT
|
Buprenorphine Hcl/naloxone Hcl
|
1
|
1
|
$42.00
|
$42.00
|
$42.00
|
$42.00
|
$42.00
|
2025-11-25
|
|
Q2009
|
HCPCS
|
Fosphenytoin Sodium
|
2
|
2
|
$59.20
|
$59.20
|
$41.44
|
$44.40
|
$42.92
|
2026-07-30
|
|
J0360
|
HCPCS
|
Hydralazine Hcl 20mg/ml
|
2
|
2
|
$57.28
|
$57.28
|
$40.10
|
$42.96
|
$41.53
|
2026-07-30
|
|
PH002223
|
CDM
|
Voriconazole 40mg/ml 75ml
|
3
|
3
|
$56.00
|
$56.00
|
$39.00
|
$56.00
|
$42.00
|
2025-11-25
|
|
97761
|
CPT
|
Prosthetic Trn 1st Enc Ea 15m
|
2
|
2
|
$95.00
|
$95.00
|
$38.00
|
$95.00
|
$66.50
|
2025-11-25
|
|
40977
|
CPT
|
Heparin Sodium 25000unit/250ml
|
1
|
1
|
$38.00
|
$38.00
|
$38.00
|
$38.00
|
$38.00
|
2025-11-25
|
|
40976
|
CPT
|
Heparin 25000unit/250ml 0.45%
|
2
|
1
|
$46.00
|
$46.00
|
$35.00
|
$57.00
|
$46.00
|
2025-11-25
|
|
J7608
|
HCPCS
|
Acetylcyst20%-30ml
|
6
|
2
|
$66.68
|
$66.68
|
$34.02
|
$62.52
|
$48.34
|
2026-07-30
|
|
97530
|
CPT
|
Ther Act For Func Perf Ea 15m
|
2
|
2
|
$124.00
|
$124.00
|
$33.00
|
$124.00
|
$78.50
|
2025-11-25
|
|
J2543
|
HCPCS
|
Piperacillin Sodium/Tazobactam
|
6
|
2
|
$55.76
|
$55.76
|
$32.05
|
$51.53
|
$40.42
|
2026-07-30
|
|
PH002918
|
CDM
|
Desvenlafaxine Succinate Tab E
|
3
|
3
|
$46.00
|
$46.00
|
$32.00
|
$46.00
|
$35.00
|
2025-11-25
|
|
97112
|
CPT
|
Neuromusc Reed Ea 15m
|
2
|
2
|
$120.00
|
$120.00
|
$31.00
|
$120.00
|
$75.50
|
2025-11-25
|
|
97535
|
CPT
|
Adl Training Ea 15 Min
|
4
|
4
|
$120.88
|
$120.88
|
$30.00
|
$124.00
|
$85.37
|
2026-07-30
|
|
97542
|
CPT
|
Wheelchair Management Ea 15m
|
2
|
2
|
$137.00
|
$137.00
|
$29.00
|
$137.00
|
$83.00
|
2025-11-25
|
|
J2597
|
HCPCS
|
Desmopressin Acetate 4mcg/ml 1
|
2
|
2
|
$41.12
|
$41.12
|
$28.78
|
$30.84
|
$29.81
|
2026-07-30
|
|
J0610
|
HCPCS
|
Calcium Gluconate
|
2
|
2
|
$40.08
|
$40.08
|
$28.06
|
$30.06
|
$29.06
|
2026-07-30
|
|
97110
|
CPT
|
Physical Therapy, Therapeutic Exercise
|
2
|
2
|
$148.00
|
$148.00
|
$28.00
|
$148.00
|
$88.00
|
2025-11-25
|
|
97116
|
CPT
|
Gait Training Ea 15m
|
2
|
2
|
$121.00
|
$121.00
|
$28.00
|
$121.00
|
$74.50
|
2025-11-25
|
|
97124
|
CPT
|
Massage Therapy Ea 15m
|
2
|
2
|
$121.00
|
$121.00
|
$28.00
|
$121.00
|
$74.50
|
2025-11-25
|
|
J7626
|
HCPCS
|
Budesonide
|
4
|
2
|
$39.47
|
$39.47
|
$26.57
|
$30.74
|
$28.58
|
2026-07-30
|
|
97140
|
CPT
|
Manual Therapy Ea 15m
|
2
|
2
|
$132.00
|
$132.00
|
$26.00
|
$132.00
|
$79.00
|
2025-11-25
|
|
97150
|
CPT
|
Therapeutic Procedures (Group)
|
2
|
2
|
$169.00
|
$169.00
|
$17.00
|
$169.00
|
$93.00
|
2025-11-25
|
|
J0171
|
HCPCS
|
Epinephrine 1mg/10ml
|
4
|
2
|
$45.48
|
$45.48
|
$14.67
|
$52.50
|
$32.36
|
2026-07-30
|
|
97032
|
CPT
|
E Stim (Manual) Ea 15m
|
3
|
2
|
$120.00
|
$120.00
|
$14.00
|
$120.00
|
$102.00
|
2025-11-25
|
|
97035
|
CPT
|
Ultrasound Ea 15m
|
2
|
2
|
$116.00
|
$116.00
|
$14.00
|
$116.00
|
$65.00
|
2025-11-25
|
|
J2930
|
HCPCS
|
Methylprednisolone Sod Succ 12
|
4
|
2
|
$106.35
|
$106.35
|
$13.63
|
$144.92
|
$74.93
|
2026-07-30
|
|
J1650
|
HCPCS
|
Enoxaparin Sodium 100mg Syr
|
14
|
2
|
$48.00
|
$48.00
|
$12.60
|
$274.42
|
$34.80
|
2026-07-30
|
|
J1265
|
HCPCS
|
Dopamine Hcl 40000mcg/ml-5ml
|
6
|
2
|
$42.72
|
$42.72
|
$11.17
|
$39.45
|
$30.97
|
2026-07-30
|
|
J0290
|
HCPCS
|
Ampicillin Sodium 1000mg
|
6
|
2
|
$63.68
|
$63.68
|
$6.54
|
$53.74
|
$46.17
|
2026-07-30
|
|
J1815
|
HCPCS
|
humuLIN R
|
6
|
2
|
$123.24
|
$123.24
|
$4.90
|
$309.83
|
$89.35
|
2026-07-30
|
|
40933
|
CPT
|
Hydromorphone 2mg Inj
|
2
|
1
|
$46.50
|
$46.50
|
$3.00
|
$90.00
|
$46.50
|
2025-11-25
|