| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
89,448 |
80,404 |
$36.07M |
| G0378 |
Hospital observation service, per hour |
11,605 |
7,164 |
$7.27M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
12,126 |
11,521 |
$7.12M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
10,072 |
9,771 |
$2.67M |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
2,846 |
2,779 |
$2.65M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
8,280 |
8,072 |
$2.00M |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
600 |
583 |
$1.68M |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
28,802 |
21,095 |
$1.21M |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
1,924 |
1,911 |
$1.08M |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
3,254 |
3,210 |
$1.01M |
| 70450 |
Computed tomography, head or brain; without contrast material |
9,971 |
9,559 |
$895K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
1,017 |
1,007 |
$878K |
| 0450 |
Emergency room services |
13,688 |
12,195 |
$799K |
| 84443 |
Thyroid stimulating hormone (TSH) |
50,811 |
49,844 |
$722K |
| 71045 |
Radiologic examination, chest; single view |
17,633 |
16,419 |
$721K |
| 71046 |
Radiologic examination, chest; 2 views |
14,333 |
13,802 |
$713K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
141,607 |
118,769 |
$627K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
7,474 |
7,267 |
$622K |
| 86900 |
|
11,192 |
10,404 |
$616K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
21,901 |
21,142 |
$572K |
| 99499 |
|
2,663 |
2,399 |
$508K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
2,819 |
2,779 |
$504K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
17,995 |
17,822 |
$489K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
5,151 |
5,065 |
$468K |
| 82565 |
|
151,237 |
125,322 |
$460K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,881 |
2,824 |
$454K |
| 86885 |
|
6,309 |
5,985 |
$448K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,771 |
3,756 |
$446K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
55,292 |
54,516 |
$432K |
| 80061 |
Lipid panel |
37,063 |
36,707 |
$432K |
| 76830 |
Ultrasound, transvaginal |
4,668 |
4,589 |
$426K |
| 85027 |
|
77,629 |
75,082 |
$423K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
13,337 |
12,350 |
$421K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
13,347 |
12,358 |
$420K |
| 80051 |
|
118,786 |
95,857 |
$395K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
2,101 |
2,086 |
$391K |
| 86480 |
|
6,028 |
5,948 |
$355K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
1,588 |
1,518 |
$346K |
| 84460 |
|
89,965 |
80,838 |
$325K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
8,281 |
6,740 |
$293K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
19,914 |
17,556 |
$288K |
| 73630 |
|
4,632 |
4,411 |
$257K |
| 83970 |
|
7,367 |
7,209 |
$237K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
10,293 |
10,175 |
$230K |
| 87505 |
|
2,654 |
2,618 |
$230K |
| 82728 |
|
20,022 |
19,635 |
$229K |
| 76770 |
|
2,650 |
2,593 |
$226K |
| 83880 |
|
15,573 |
13,549 |
$221K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
1,417 |
1,404 |
$215K |
| 81220 |
CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants |
793 |
790 |
$208K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,895 |
1,885 |
$208K |
| 84702 |
|
30,106 |
26,976 |
$207K |
| 73562 |
|
3,815 |
3,578 |
$203K |
| 86901 |
|
11,225 |
10,433 |
$198K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
1,243 |
1,232 |
$194K |
| 73610 |
|
3,562 |
3,375 |
$192K |
| 70544 |
|
1,037 |
1,019 |
$190K |
| 76801 |
|
1,909 |
1,670 |
$189K |
| 72141 |
|
966 |
957 |
$189K |
| 86780 |
|
14,117 |
13,956 |
$189K |
| 82247 |
|
63,857 |
55,603 |
$184K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,844 |
1,617 |
$184K |
| 84075 |
|
61,725 |
53,921 |
$181K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
9,017 |
8,254 |
$179K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
3,485 |
3,188 |
$170K |
| 73221 |
|
745 |
710 |
$165K |
| 72100 |
|
1,917 |
1,886 |
$160K |
| 73030 |
|
2,938 |
2,791 |
$160K |
| 84520 |
|
98,151 |
78,676 |
$155K |
| 82607 |
|
12,154 |
12,041 |
$152K |
| 86141 |
|
16,482 |
15,564 |
$152K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,496 |
1,465 |
$147K |
| 93971 |
|
947 |
925 |
$147K |
| 83550 |
|
19,847 |
19,602 |
$146K |
| 73130 |
|
2,608 |
2,442 |
$142K |
| 84450 |
|
50,050 |
44,082 |
$138K |
| 83735 |
|
35,539 |
29,231 |
$133K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,225 |
1,199 |
$133K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
13,334 |
11,791 |
$132K |
| 82947 |
|
82,935 |
72,061 |
$131K |
| 73110 |
|
2,236 |
2,119 |
$121K |
| 93970 |
|
512 |
495 |
$119K |
| 86803 |
|
8,904 |
8,804 |
$118K |
| 93017 |
|
871 |
869 |
$112K |
| 83540 |
|
20,206 |
19,958 |
$107K |
| 88342 |
|
806 |
794 |
$107K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
140 |
137 |
$105K |
| 83690 |
|
34,266 |
31,342 |
$103K |
| 74183 |
|
306 |
304 |
$96K |
| 87536 |
|
1,246 |
1,234 |
$96K |
| 77080 |
|
879 |
856 |
$93K |
| 85610 |
|
39,487 |
28,999 |
$91K |
| 87088 |
|
20,037 |
19,122 |
$91K |
| 82310 |
|
28,478 |
25,393 |
$90K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
601 |
597 |
$89K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
2,435 |
2,335 |
$89K |
| 70486 |
|
833 |
827 |
$88K |
| 76536 |
|
960 |
955 |
$87K |
| 62323 |
|
152 |
150 |
$87K |
| 76870 |
|
1,002 |
983 |
$86K |
| 86923 |
|
890 |
793 |
$86K |
| 87340 |
|
9,562 |
9,427 |
$86K |
| 73502 |
|
1,586 |
1,520 |
$84K |
| 74018 |
|
1,424 |
1,315 |
$84K |
| 82746 |
|
6,806 |
6,752 |
$82K |
| 93880 |
|
194 |
191 |
$82K |
| 0710 |
|
1,529 |
1,499 |
$80K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
1,460 |
1,364 |
$79K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
6,285 |
5,647 |
$77K |
| J2785 |
Injection, regadenoson, 0.1 mg |
1,010 |
999 |
$77K |
| 84132 |
|
18,701 |
17,907 |
$77K |
| 88304 |
|
2,051 |
1,901 |
$76K |
| 73140 |
|
1,340 |
1,249 |
$76K |
| 81003 |
|
57,069 |
52,663 |
$74K |
| 84484 |
|
27,190 |
20,238 |
$72K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
34,121 |
27,626 |
$71K |
| 81513 |
|
914 |
898 |
$69K |
| 83655 |
|
6,059 |
6,034 |
$67K |
| 84295 |
|
15,405 |
15,006 |
$67K |
| 83520 |
|
5,417 |
3,517 |
$66K |
| 84403 |
|
2,614 |
2,589 |
$63K |
| 82043 |
|
13,596 |
13,343 |
$62K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
11,020 |
10,514 |
$62K |
| 73564 |
|
527 |
488 |
$61K |
| 84439 |
|
8,416 |
7,989 |
$59K |
| 82040 |
|
16,069 |
15,449 |
$57K |
| 86762 |
|
3,823 |
3,766 |
$57K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
6,961 |
6,285 |
$57K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
1,324 |
1,310 |
$57K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
4,785 |
4,225 |
$56K |
| 73080 |
|
1,088 |
1,028 |
$56K |
| 0637 |
|
141,731 |
35,808 |
$56K |
| 84153 |
|
3,883 |
3,822 |
$54K |
| 82570 |
|
10,886 |
9,772 |
$53K |
| 72197 |
|
151 |
151 |
$52K |
| 73590 |
|
964 |
906 |
$52K |
| 86787 |
|
3,968 |
3,908 |
$52K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,008 |
996 |
$51K |
| 88312 |
|
822 |
819 |
$48K |
| 90686 |
|
4,187 |
4,153 |
$47K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
2,065 |
1,991 |
$47K |
| 77066 |
Tomosynthesis, mammo |
297 |
297 |
$46K |
| 85652 |
|
20,655 |
19,909 |
$46K |
| 87040 |
|
16,563 |
8,531 |
$45K |
| 82670 |
|
1,583 |
1,554 |
$45K |
| 99199 |
Unlisted special service, procedure or report |
2,179 |
1,997 |
$44K |
| 84100 |
|
17,353 |
14,720 |
$41K |
| 87497 |
|
1,143 |
971 |
$40K |
| 70491 |
|
204 |
204 |
$39K |
| 86665 |
|
2,334 |
1,163 |
$39K |
| 82105 |
|
2,887 |
2,799 |
$39K |
| 71101 |
|
394 |
387 |
$38K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,593 |
4,062 |
$37K |
| 72050 |
|
327 |
323 |
$37K |
| 84156 |
|
10,531 |
9,291 |
$36K |
| 86038 |
|
3,460 |
3,405 |
$36K |
| 83001 |
|
1,844 |
1,826 |
$35K |
| 76641 |
|
336 |
334 |
$34K |
| 87481 |
|
1,073 |
1,050 |
$34K |
| 82248 |
|
10,747 |
10,106 |
$33K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
914 |
898 |
$33K |
| 80197 |
|
2,972 |
2,419 |
$33K |
| 86003 |
|
737 |
635 |
$33K |
| 87210 |
|
7,672 |
7,443 |
$32K |
| 72156 |
|
113 |
113 |
$32K |
| 84146 |
|
1,662 |
1,654 |
$31K |
| 73090 |
|
595 |
552 |
$31K |
| 72158 |
|
99 |
99 |
$31K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
3,769 |
3,278 |
$30K |
| 87449 |
|
3,083 |
2,966 |
$30K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
3,392 |
2,121 |
$29K |
| 83021 |
|
1,510 |
1,491 |
$29K |
| 81420 |
Fetal chromosomal aneuploidy genomic sequence analysis panel |
74 |
72 |
$28K |
| 71250 |
|
245 |
244 |
$28K |
| 83721 |
|
3,117 |
3,099 |
$27K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
16,292 |
14,028 |
$27K |
| 73100 |
|
426 |
335 |
$27K |
| 83605 |
|
10,619 |
8,453 |
$26K |
| 84550 |
|
7,218 |
6,887 |
$26K |
| 84134 |
|
2,458 |
2,392 |
$26K |
| 85730 |
|
6,831 |
6,153 |
$26K |
| 84165 |
|
3,037 |
2,964 |
$26K |
| 70498 |
|
179 |
177 |
$25K |
| 88341 |
|
421 |
414 |
$25K |
| 82784 |
|
1,333 |
1,270 |
$25K |
| 70496 |
|
167 |
165 |
$24K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
2,015 |
1,888 |
$24K |
| 73660 |
|
384 |
369 |
$24K |
| P9021 |
Red blood cells, each unit |
594 |
486 |
$24K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
3,545 |
3,385 |
$24K |
| 72070 |
|
229 |
228 |
$24K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
11,986 |
11,051 |
$23K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
1,416 |
1,207 |
$22K |
| 85379 |
|
5,530 |
5,335 |
$22K |
| 80076 |
|
3,915 |
3,643 |
$22K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
706 |
703 |
$22K |
| 86704 |
|
2,248 |
2,225 |
$21K |
| 87324 |
|
2,642 |
2,579 |
$20K |
| 73522 |
|
179 |
177 |
$20K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
7,247 |
6,159 |
$19K |
| 82330 |
|
2,077 |
1,884 |
$18K |
| 88307 |
|
168 |
134 |
$18K |
| 80164 |
|
1,939 |
1,819 |
$18K |
| 82950 |
|
3,776 |
3,753 |
$18K |
| 86317 |
|
1,386 |
1,363 |
$18K |
| 83615 |
|
3,921 |
3,485 |
$17K |
| 85014 |
|
9,132 |
8,670 |
$17K |
| 82077 |
|
3,038 |
2,752 |
$17K |
| 86225 |
|
1,387 |
1,350 |
$17K |
| 0370 |
|
2,245 |
2,201 |
$17K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
4,630 |
3,443 |
$17K |
| 76380 |
|
244 |
242 |
$17K |
| 64483 |
|
13 |
13 |
$17K |
| 86664 |
|
1,170 |
1,163 |
$16K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,556 |
1,528 |
$16K |
| 82977 |
|
2,342 |
2,246 |
$16K |
| 74170 |
|
68 |
68 |
$16K |
| 82550 |
|
4,581 |
4,222 |
$15K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
7,782 |
6,254 |
$15K |
| 83993 |
|
729 |
723 |
$14K |
| 83002 |
|
742 |
740 |
$14K |
| 83718 |
|
1,984 |
1,966 |
$13K |
| 84163 |
|
856 |
841 |
$13K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
695 |
680 |
$13K |
| 86431 |
|
2,256 |
2,223 |
$12K |
| 87081 |
|
2,766 |
2,650 |
$12K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
951 |
934 |
$12K |
| 80306 |
|
1,786 |
1,708 |
$12K |
| 73552 |
|
195 |
185 |
$12K |
| 86160 |
|
447 |
422 |
$10K |
| 85046 |
|
2,065 |
1,999 |
$10K |
| 70543 |
|
27 |
27 |
$10K |
| 82150 |
|
1,848 |
1,797 |
$10K |
| 85018 |
|
5,751 |
5,455 |
$10K |
| 86360 |
|
362 |
354 |
$10K |
| 86677 |
|
908 |
899 |
$10K |
| A9609 |
Fludeoxyglucose f18 up to 15 millicuries |
211 |
210 |
$10K |
| G0008 |
Administration of influenza virus vaccine |
3,436 |
3,406 |
$10K |
| 82951 |
|
653 |
649 |
$10K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
514 |
493 |
$10K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
387 |
203 |
$9K |
| 84480 |
|
843 |
821 |
$9K |
| 73560 |
|
140 |
117 |
$9K |
| 87070 |
|
2,239 |
1,891 |
$9K |
| 76813 |
|
93 |
93 |
$9K |
| 73700 |
|
93 |
91 |
$9K |
| 87205 |
|
3,439 |
3,107 |
$9K |
| 80179 |
|
1,505 |
1,433 |
$8K |
| 84155 |
|
2,167 |
2,126 |
$8K |
| 82465 |
|
2,275 |
2,258 |
$8K |
| 86359 |
|
362 |
354 |
$8K |
| 74174 |
|
27 |
27 |
$8K |
| 87186 |
|
2,336 |
2,272 |
$8K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,666 |
1,613 |
$8K |
| 0250 |
|
13,582 |
8,139 |
$7K |
| 82627 |
|
305 |
305 |
$7K |
| 84270 |
|
341 |
329 |
$7K |
| 74022 |
|
80 |
76 |
$7K |
| 96367 |
|
870 |
791 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,511 |
748 |
$7K |
| 86308 |
|
1,497 |
1,486 |
$7K |
| J3490 |
Unclassified drugs |
8,186 |
6,283 |
$7K |
| Z7502 |
|
598 |
563 |
$6K |
| 86765 |
|
519 |
518 |
$6K |
| 72110 |
|
52 |
50 |
$6K |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
2,967 |
2,651 |
$6K |
| J1815 |
Injection, insulin, per 5 units |
5,497 |
2,278 |
$6K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
634 |
610 |
$6K |
| 82785 |
|
371 |
359 |
$6K |
| 73060 |
|
115 |
109 |
$6K |
| 72170 |
|
57 |
55 |
$6K |
| 77072 |
|
59 |
59 |
$6K |
| 86140 |
|
2,064 |
1,979 |
$6K |
| J3360 |
Injection, diazepam, up to 5 mg |
930 |
839 |
$6K |
| 82378 |
|
488 |
452 |
$6K |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
2,129 |
1,283 |
$6K |
| 87522 |
Neg quan hep c or qual rna |
208 |
203 |
$6K |
| 82805 |
|
865 |
766 |
$6K |
| 72040 |
|
94 |
90 |
$6K |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
3,719 |
3,277 |
$5K |
| 86769 |
|
256 |
252 |
$5K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
4,174 |
3,670 |
$5K |
| 74178 |
|
13 |
12 |
$5K |
| C1769 |
Guide wire |
277 |
264 |
$5K |
| J1644 |
Injection, heparin sodium, per 1000 units |
3,834 |
1,895 |
$5K |
| 97161 |
|
587 |
584 |
$5K |
| V2632 |
Posterior chamber intraocular lens |
297 |
294 |
$4K |
| 80321 |
|
108 |
102 |
$4K |
| 80178 |
|
929 |
837 |
$4K |
| 86364 |
|
361 |
361 |
$4K |
| 87517 |
|
106 |
102 |
$4K |
| 86708 |
|
391 |
387 |
$4K |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
1,929 |
1,820 |
$4K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
1,372 |
1,245 |
$4K |
| 76706 |
|
242 |
242 |
$3K |
| 72081 |
|
61 |
61 |
$3K |
| 73718 |
|
12 |
12 |
$3K |
| 87631 |
|
151 |
147 |
$3K |
| J2060 |
Injection, lorazepam, 2 mg |
2,408 |
2,008 |
$3K |
| 82962 |
|
4,232 |
2,851 |
$3K |
| 84145 |
|
1,415 |
1,289 |
$3K |
| 90749 |
|
185 |
183 |
$3K |
| 86709 |
|
381 |
375 |
$3K |
| 86256 |
|
193 |
186 |
$3K |
| 82952 |
|
623 |
619 |
$3K |
| 82140 |
|
605 |
543 |
$3K |
| 89051 |
|
713 |
513 |
$3K |
| 90656 |
|
715 |
715 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
13 |
13 |
$3K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
25 |
24 |
$2K |
| 82272 |
|
599 |
595 |
$2K |
| 86376 |
|
170 |
167 |
$2K |
| 80156 |
|
237 |
213 |
$2K |
| 73000 |
|
29 |
28 |
$2K |
| 90688 |
|
170 |
170 |
$2K |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
237 |
232 |
$2K |
| 82533 |
|
127 |
124 |
$2K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
286 |
192 |
$2K |
| 80162 |
|
129 |
122 |
$2K |
| 82677 |
|
55 |
55 |
$2K |
| 84425 |
|
81 |
79 |
$2K |
| 81015 |
|
513 |
507 |
$1K |
| 86635 |
|
148 |
73 |
$1K |
| 73070 |
|
25 |
24 |
$1K |
| 90791 |
Psychiatric diagnostic evaluation |
77 |
75 |
$1K |
| 88184 |
|
12 |
12 |
$1K |
| J3480 |
Injection, potassium chloride, per 2 meq |
1,921 |
1,322 |
$1K |
| 80359 |
|
142 |
133 |
$1K |
| 85045 |
|
424 |
410 |
$1K |
| 86039 |
|
166 |
158 |
$1K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
62 |
62 |
$1K |
| 80324 |
|
142 |
133 |
$1K |
| 0258 |
|
2,572 |
2,141 |
$1K |
| 74230 |
|
13 |
13 |
$1K |
| 86235 |
|
27 |
27 |
$1K |
| J1940 |
Injection, furosemide, up to 20 mg |
2,334 |
1,367 |
$1K |
| 86336 |
|
55 |
55 |
$973.00 |
| 86335 |
|
25 |
25 |
$805.57 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,173 |
1,169 |
$803.21 |
| 83935 |
|
275 |
260 |
$721.30 |
| 72220 |
|
13 |
13 |
$712.90 |
| 90662 |
|
424 |
423 |
$689.31 |
| 87102 |
|
107 |
96 |
$688.30 |
| 83930 |
|
297 |
284 |
$676.54 |
| 86334 |
|
57 |
57 |
$641.07 |
| 86735 |
|
57 |
56 |
$634.21 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
24 |
24 |
$621.37 |
| 87807 |
|
262 |
254 |
$575.12 |
| 84478 |
|
125 |
114 |
$567.00 |
| 74240 |
|
13 |
13 |
$558.00 |
| 85613 |
|
65 |
63 |
$535.66 |
| 0255 |
|
174 |
116 |
$532.14 |
| J7060 |
5% dextrose/water (500 ml = 1 unit) |
147 |
108 |
$493.42 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
88 |
87 |
$480.43 |
| 97162 |
|
128 |
127 |
$470.81 |
| J1836 |
Injection, metronidazole, 10 mg |
451 |
293 |
$469.49 |
| 87116 |
|
51 |
37 |
$449.76 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
362 |
301 |
$437.54 |
| 87075 |
|
88 |
66 |
$406.00 |
| 87045 |
|
62 |
62 |
$404.50 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
281 |
204 |
$404.09 |
| 80185 |
|
28 |
26 |
$395.39 |
| 0272 |
|
237 |
232 |
$386.31 |
| C1894 |
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser |
60 |
59 |
$362.08 |
| J1630 |
Injection, haloperidol, up to 5 mg |
195 |
155 |
$350.57 |
| Q9957 |
Injection, perflutren lipid microspheres, per ml |
37 |
30 |
$342.66 |
| 85384 |
|
111 |
90 |
$339.42 |
| 90674 |
|
15 |
15 |
$325.90 |
| 86880 |
|
13 |
12 |
$306.99 |
| 90715 |
|
42 |
40 |
$304.44 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
193 |
118 |
$298.31 |
| 84590 |
|
54 |
54 |
$282.69 |
| J2272 |
Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg |
223 |
201 |
$279.35 |
| C9113 |
Injection, pantoprazole sodium, per vial |
805 |
539 |
$269.70 |
| 97116 |
|
182 |
156 |
$267.37 |
| J0360 |
Injection, hydralazine hcl, up to 20 mg |
139 |
116 |
$256.68 |
| J2175 |
Injection, meperidine hydrochloride, per 100 mg |
71 |
68 |
$251.42 |
| C1729 |
Catheter, drainage |
27 |
26 |
$237.91 |
| C1725 |
Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) |
88 |
84 |
$225.57 |
| 87327 |
|
17 |
15 |
$213.13 |
| 85049 |
|
52 |
52 |
$206.86 |
| 87046 |
|
13 |
13 |
$200.00 |
| 87206 |
|
43 |
37 |
$185.87 |
| 87149 |
|
113 |
110 |
$174.41 |
| 83525 |
|
13 |
13 |
$158.00 |
| 83010 |
|
12 |
12 |
$148.00 |
| 82705 |
|
26 |
26 |
$141.00 |
| J3371 |
Injection, vancomycin hcl (mylan), not therapeutically equivalent to j3370, 500 mg |
42 |
27 |
$140.28 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
18 |
16 |
$138.50 |
| 12001 |
|
30 |
30 |
$134.69 |
| 82390 |
|
12 |
12 |
$120.00 |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
48 |
42 |
$112.00 |
| 87338 |
|
12 |
12 |
$88.00 |
| 80175 |
|
13 |
12 |
$83.72 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
1,627 |
1,143 |
$72.32 |
| 85670 |
|
14 |
12 |
$70.00 |
| J1335 |
Injection, ertapenem sodium, 500 mg |
28 |
15 |
$56.52 |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
30 |
27 |
$45.07 |
| J2470 |
Injection, pantoprazole sodium, 40 mg |
190 |
138 |
$40.26 |
| J3411 |
Injection, thiamine hcl, 100 mg |
44 |
36 |
$34.75 |
| J7042 |
5% dextrose/normal saline (500 ml = 1 unit) |
67 |
51 |
$34.10 |
| 80320 |
|
49 |
44 |
$33.00 |
| 87184 |
|
17 |
17 |
$32.85 |
| J0456 |
Injection, azithromycin, 500 mg |
65 |
53 |
$20.47 |
| 29125 |
|
28 |
27 |
$17.17 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
29 |
26 |
$5.81 |
| C1758 |
Catheter, ureteral |
60 |
58 |
$4.97 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
28 |
25 |
$1.53 |
| 3052F |
|
175 |
172 |
$0.01 |
| 3046F |
|
362 |
358 |
$0.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
166 |
165 |
$0.00 |
| 3051F |
|
384 |
383 |
$0.00 |
| 3078F |
|
120 |
118 |
$0.00 |
| 76942 |
|
12 |
12 |
$0.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
38 |
38 |
$0.00 |
| 11721 |
|
55 |
55 |
$0.00 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
177 |
126 |
$0.00 |
| 92134 |
|
47 |
25 |
$0.00 |
| 82274 |
|
364 |
363 |
$0.00 |
| 92015 |
Determination of refractive state |
29 |
29 |
$0.00 |
| J0692 |
Injection, cefepime hydrochloride, 500 mg |
24 |
13 |
$0.00 |
| 92610 |
|
15 |
14 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$0.00 |
| 87255 |
|
14 |
14 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
257 |
254 |
$0.00 |
| 86592 |
|
12 |
12 |
$0.00 |
| 3044F |
|
6,547 |
6,514 |
$0.00 |
| J2280 |
Injection, moxifloxacin, 100 mg |
160 |
159 |
$0.00 |
| 88185 |
|
12 |
12 |
$0.00 |
| 11055 |
|
14 |
14 |
$0.00 |
| 3074F |
|
149 |
147 |
$0.00 |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
38 |
26 |
$0.00 |
| 83921 |
|
27 |
27 |
$0.00 |
| G0145 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision |
62 |
62 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
54 |
53 |
$0.00 |
| 92227 |
|
208 |
208 |
$0.00 |
| J8501 |
Aprepitant, oral, 5 mg |
13 |
13 |
$0.00 |
| 80329 |
|
37 |
19 |
$0.00 |