| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
263,113 |
214,334 |
$26.05M |
| J2350 |
Injection, ocrelizumab, 1 mg |
729 |
548 |
$15.04M |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
238,472 |
199,682 |
$13.89M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
58,138 |
49,432 |
$8.58M |
| J0741 |
Injection, cabotegravir and rilpivirine, 2mg/3mg |
1,489 |
1,236 |
$7.87M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
49,635 |
44,412 |
$5.97M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
32,076 |
25,657 |
$5.78M |
| 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 |
32,614 |
23,680 |
$5.30M |
| J9271 |
Injection, pembrolizumab, 1 mg |
735 |
505 |
$4.57M |
| Q5104 |
Injection, infliximab-abda, biosimilar, (renflexis), 10 mg |
1,332 |
801 |
$2.38M |
| J1569 |
Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg |
792 |
364 |
$2.20M |
| G0378 |
Hospital observation service, per hour |
21,699 |
10,851 |
$2.20M |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
7,276 |
4,286 |
$2.19M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
6,319 |
4,831 |
$2.13M |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
12,476 |
6,920 |
$2.03M |
| J2323 |
Injection, natalizumab, 1 mg |
408 |
323 |
$1.97M |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
3,481 |
2,464 |
$1.97M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18,946 |
15,762 |
$1.96M |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
14,266 |
9,280 |
$1.81M |
| 96361 |
Intravenous infusion, hydration; each additional hour |
6,940 |
4,459 |
$1.77M |
| 59025 |
Fetal non-stress test |
10,908 |
7,251 |
$1.74M |
| 80053 |
Comprehensive metabolic panel |
133,028 |
106,606 |
$1.56M |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
12,662 |
11,651 |
$1.51M |
| 76819 |
Fetal biophysical profile; without non-stress testing |
14,652 |
9,767 |
$1.40M |
| 70450 |
Computed tomography, head or brain; without contrast material |
6,197 |
4,875 |
$1.39M |
| 36415 |
Collection of venous blood by venipuncture |
322,978 |
245,185 |
$1.15M |
| 20610 |
|
7,208 |
5,345 |
$998K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
3,985 |
3,468 |
$989K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
8,178 |
6,596 |
$910K |
| 96415 |
|
2,891 |
1,886 |
$805K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,587 |
7,076 |
$787K |
| D7140 |
Extraction, erupted tooth or exposed root |
3,179 |
1,236 |
$663K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
24,771 |
19,795 |
$592K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
5,122 |
2,692 |
$589K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
5,209 |
4,587 |
$589K |
| 64615 |
|
2,310 |
1,992 |
$572K |
| 84443 |
Thyroid stimulating hormone (TSH) |
46,908 |
42,233 |
$560K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
1,988 |
1,671 |
$554K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
949 |
742 |
$533K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
154,253 |
121,453 |
$522K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
8,289 |
2,950 |
$521K |
| A0431 |
Ambulance service, conventional air services, transport, one way (rotary wing) |
364 |
338 |
$505K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,282 |
2,092 |
$496K |
| 93308 |
|
1,899 |
1,493 |
$475K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
61,003 |
55,692 |
$467K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,326 |
1,044 |
$462K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
7,319 |
6,586 |
$455K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
30,158 |
27,393 |
$455K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
3,598 |
3,309 |
$451K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
19,714 |
18,603 |
$444K |
| 77386 |
|
1,123 |
89 |
$443K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
577 |
531 |
$427K |
| 76801 |
|
3,304 |
2,983 |
$423K |
| 80061 |
Lipid panel |
42,451 |
38,703 |
$405K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
5,229 |
4,110 |
$404K |
| G0481 |
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; 8-14 drug class(es), including metabolite(s) if performed |
6,674 |
5,951 |
$402K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
19,707 |
18,601 |
$396K |
| 85027 |
|
70,348 |
57,698 |
$390K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
1,303 |
1,037 |
$388K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
19,075 |
12,513 |
$379K |
| U0005 |
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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
13,003 |
9,688 |
$371K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
52,116 |
42,677 |
$369K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
27,791 |
25,372 |
$368K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,557 |
5,257 |
$352K |
| 87536 |
|
8,732 |
8,029 |
$345K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
43,461 |
34,707 |
$344K |
| J1745 |
Injection, infliximab, excludes biosimilar, 10 mg |
317 |
213 |
$333K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
24,237 |
19,201 |
$332K |
| 82805 |
|
9,640 |
7,299 |
$318K |
| 93458 |
|
355 |
250 |
$317K |
| 87800 |
|
8,758 |
8,257 |
$313K |
| 70496 |
|
1,093 |
870 |
$312K |
| 90677 |
|
2,168 |
1,885 |
$306K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
2,410 |
1,584 |
$299K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,603 |
1,686 |
$298K |
| 86850 |
|
18,715 |
14,612 |
$297K |
| 93798 |
|
4,846 |
978 |
$288K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
684 |
565 |
$284K |
| 31231 |
|
1,325 |
1,172 |
$271K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
485 |
390 |
$270K |
| 36430 |
|
1,657 |
931 |
$268K |
| 77300 |
|
562 |
397 |
$261K |
| 86780 |
|
21,917 |
19,946 |
$259K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
2,881 |
2,317 |
$254K |
| 80069 |
|
31,631 |
23,003 |
$250K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
663 |
472 |
$249K |
| 77334 |
|
618 |
408 |
$243K |
| 87902 |
|
1,426 |
1,315 |
$240K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
590 |
435 |
$238K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,413 |
1,274 |
$237K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,161 |
2,006 |
$229K |
| 71045 |
Radiologic examination, chest; single view |
17,199 |
12,965 |
$218K |
| 71046 |
Radiologic examination, chest; 2 views |
13,534 |
11,590 |
$217K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
1,526 |
1,301 |
$216K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
2,324 |
1,816 |
$213K |
| 31579 |
|
925 |
787 |
$213K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
823 |
662 |
$206K |
| 99215 |
Prolong outpt/office vis |
1,913 |
1,636 |
$203K |
| 49083 |
|
581 |
237 |
$202K |
| 71271 |
|
1,213 |
1,151 |
$198K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
2,553 |
2,013 |
$198K |
| D7240 |
Removal of impacted tooth - completely bony |
1,190 |
524 |
$198K |
| C8929 |
Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography |
860 |
718 |
$195K |
| 86803 |
|
22,213 |
19,830 |
$193K |
| 71250 |
|
1,825 |
1,554 |
$190K |
| 86355 |
|
6,713 |
6,176 |
$188K |
| 82248 |
|
52,933 |
43,302 |
$185K |
| 82607 |
|
15,219 |
13,821 |
$183K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
19,877 |
14,742 |
$182K |
| D1110 |
Prophylaxis - adult |
4,939 |
4,710 |
$181K |
| 62323 |
|
446 |
406 |
$180K |
| 36512 |
|
222 |
154 |
$178K |
| J2357 |
Injection, omalizumab, 5 mg |
279 |
99 |
$177K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
24,103 |
20,284 |
$170K |
| 86900 |
|
19,526 |
15,058 |
$170K |
| P9016 |
Red blood cells, leukocytes reduced, each unit |
1,000 |
676 |
$168K |
| J9312 |
Injection, rituximab, 10 mg |
58 |
36 |
$168K |
| 82728 |
|
16,146 |
14,564 |
$167K |
| 70355 |
|
6,576 |
6,297 |
$162K |
| 70491 |
|
618 |
496 |
$161K |
| 20611 |
|
567 |
431 |
$157K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
1,018 |
896 |
$157K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
919 |
781 |
$156K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
4,536 |
1,950 |
$154K |
| 84439 |
|
14,264 |
12,750 |
$153K |
| 76820 |
|
2,687 |
1,422 |
$152K |
| 86360 |
|
6,690 |
6,164 |
$152K |
| 31575 |
|
1,076 |
908 |
$152K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
2,474 |
2,174 |
$149K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
810 |
661 |
$147K |
| 83735 |
|
43,201 |
27,093 |
$145K |
| 87340 |
|
14,659 |
13,225 |
$143K |
| 86480 |
|
4,867 |
4,393 |
$143K |
| 77336 |
|
1,166 |
482 |
$140K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
292 |
267 |
$139K |
| 95886 |
|
1,327 |
1,179 |
$135K |
| 86359 |
|
6,713 |
6,173 |
$132K |
| 77301 |
|
153 |
136 |
$132K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
557 |
502 |
$132K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,025 |
709 |
$129K |
| J0485 |
Injection, belatacept, 1 mg |
575 |
211 |
$128K |
| 96900 |
|
3,745 |
865 |
$126K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,611 |
1,555 |
$126K |
| 87522 |
Neg quan hep c or qual rna |
5,291 |
4,780 |
$126K |
| 83880 |
|
13,274 |
10,805 |
$125K |
| 91200 |
|
1,203 |
1,078 |
$123K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
471 |
380 |
$122K |
| J0897 |
Injection, denosumab, 1 mg |
259 |
189 |
$121K |
| 43235 |
|
289 |
213 |
$118K |
| 72141 |
|
757 |
650 |
$116K |
| 76642 |
|
971 |
847 |
$114K |
| 90686 |
|
8,210 |
7,309 |
$113K |
| 0002A |
|
3,523 |
3,328 |
$108K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,441 |
3,116 |
$107K |
| 92557 |
|
2,133 |
1,891 |
$105K |
| J0185 |
Injection, aprepitant, 1 mg |
827 |
437 |
$104K |
| 96416 |
|
785 |
374 |
$104K |
| 97162 |
|
2,210 |
1,652 |
$103K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,220 |
951 |
$103K |
| 93017 |
|
1,162 |
981 |
$102K |
| 93296 |
|
5,128 |
4,860 |
$101K |
| 64483 |
|
207 |
166 |
$100K |
| 11721 |
|
3,809 |
3,570 |
$99K |
| 84100 |
|
30,352 |
24,154 |
$98K |
| 86140 |
|
13,684 |
12,018 |
$96K |
| 95910 |
|
400 |
353 |
$96K |
| 76770 |
|
699 |
604 |
$96K |
| 72100 |
|
4,584 |
3,989 |
$96K |
| 82570 |
|
23,684 |
19,008 |
$95K |
| 83970 |
|
5,153 |
4,568 |
$95K |
| 90834 |
Psychotherapy, 45 minutes with patient |
902 |
698 |
$94K |
| 85610 |
|
29,832 |
22,480 |
$94K |
| 76536 |
|
1,005 |
904 |
$94K |
| 90651 |
|
687 |
615 |
$93K |
| 51798 |
|
2,435 |
1,970 |
$93K |
| 41874 |
|
118 |
92 |
$92K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
1,760 |
989 |
$92K |
| 81001 |
|
39,788 |
32,554 |
$92K |
| 86317 |
|
7,902 |
6,894 |
$92K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
3,169 |
1,167 |
$91K |
| 83540 |
|
15,670 |
14,212 |
$91K |
| 73030 |
|
4,429 |
3,568 |
$90K |
| 59430 |
|
1,214 |
1,091 |
$89K |
| 72197 |
|
338 |
283 |
$89K |
| 0001A |
|
3,359 |
3,195 |
$88K |
| 83550 |
|
15,273 |
13,848 |
$88K |
| 93975 |
|
730 |
620 |
$88K |
| 76830 |
Ultrasound, transvaginal |
2,161 |
1,978 |
$86K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
79 |
78 |
$86K |
| 52000 |
|
116 |
109 |
$86K |
| 0352U |
|
4,445 |
4,059 |
$85K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
22,376 |
15,296 |
$84K |
| 70498 |
|
1,134 |
883 |
$83K |
| D0120 |
Periodic oral evaluation - established patient |
4,468 |
4,285 |
$83K |
| 88307 |
|
918 |
681 |
$83K |
| 90870 |
|
241 |
81 |
$83K |
| 84484 |
|
18,897 |
13,973 |
$82K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
7,437 |
5,986 |
$81K |
| 99218 |
|
273 |
87 |
$81K |
| J9144 |
Injection, daratumumab, 10 mg and hyaluronidase-fihj |
20 |
12 |
$80K |
| 86762 |
|
5,722 |
5,217 |
$79K |
| A0425 |
Ground mileage, per statute mile |
7,031 |
5,464 |
$79K |
| 73221 |
|
346 |
308 |
$79K |
| 90715 |
|
4,675 |
3,977 |
$78K |
| 70486 |
|
958 |
789 |
$77K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,438 |
1,056 |
$76K |
| 80197 |
|
8,905 |
4,601 |
$76K |
| 81003 |
|
19,875 |
16,786 |
$76K |
| 74183 |
|
354 |
298 |
$75K |
| 94618 |
|
929 |
820 |
$75K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
1,927 |
798 |
$75K |
| 81025 |
|
16,518 |
14,172 |
$74K |
| 96376 |
|
4,423 |
2,921 |
$73K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,033 |
1,846 |
$73K |
| 73630 |
|
4,145 |
3,290 |
$72K |
| 95908 |
|
398 |
348 |
$72K |
| 93971 |
|
841 |
705 |
$72K |
| 95811 |
|
138 |
127 |
$71K |
| 57454 |
|
299 |
269 |
$71K |
| 73610 |
|
3,329 |
2,642 |
$71K |
| A0436 |
Rotary wing air mileage, per statute mile |
362 |
336 |
$70K |
| 97166 |
|
1,424 |
1,070 |
$69K |
| 87653 |
|
3,932 |
3,596 |
$69K |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
871 |
624 |
$69K |
| 95885 |
|
374 |
329 |
$68K |
| 76000 |
|
927 |
695 |
$67K |
| D9222 |
|
765 |
572 |
$67K |
| 93970 |
|
396 |
341 |
$66K |
| 96127 |
|
1,341 |
885 |
$65K |
| 84702 |
|
5,098 |
3,827 |
$64K |
| H1000 |
Prenatal care, at-risk assessment |
1,244 |
1,077 |
$63K |
| 97161 |
|
1,187 |
924 |
$63K |
| 80305 |
|
3,232 |
2,372 |
$62K |
| J9217 |
Leuprolide acetate (for depot suspension), 7.5 mg |
290 |
234 |
$62K |
| 94010 |
|
837 |
695 |
$62K |
| G0008 |
Administration of influenza virus vaccine |
11,266 |
10,078 |
$62K |
| 96417 |
|
1,840 |
912 |
$60K |
| 86901 |
|
19,488 |
15,055 |
$60K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
917 |
874 |
$59K |
| 36591 |
|
5,245 |
3,168 |
$59K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
159 |
100 |
$59K |
| 73130 |
|
3,030 |
2,366 |
$59K |
| 10060 |
|
369 |
292 |
$58K |
| 88341 |
|
1,293 |
812 |
$58K |
| J3490 |
Unclassified drugs |
3,715 |
2,253 |
$57K |
| D0330 |
Panoramic radiographic image |
1,340 |
1,279 |
$56K |
| 80306 |
|
6,808 |
4,809 |
$56K |
| 90791 |
Psychiatric diagnostic evaluation |
324 |
296 |
$56K |
| J7050 |
Infusion, normal saline solution, 250 cc |
24,013 |
10,750 |
$56K |
| 96367 |
|
1,700 |
1,125 |
$55K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
3,147 |
1,808 |
$55K |
| 73560 |
|
3,241 |
2,521 |
$54K |
| 64643 |
|
265 |
217 |
$54K |
| 97165 |
|
1,040 |
756 |
$54K |
| 80320 |
|
4,131 |
3,119 |
$53K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
74 |
56 |
$53K |
| 80076 |
|
6,363 |
5,677 |
$52K |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
4,495 |
1,911 |
$51K |
| 90734 |
|
440 |
394 |
$50K |
| J1756 |
Injection, iron sucrose, 1 mg |
1,616 |
719 |
$50K |
| 74018 |
|
2,542 |
2,108 |
$50K |
| 84403 |
|
3,108 |
2,801 |
$50K |
| 77412 |
|
298 |
40 |
$49K |
| 12001 |
|
346 |
264 |
$49K |
| D0140 |
Limited oral evaluation - problem focused |
2,086 |
1,937 |
$48K |
| 94060 |
|
851 |
746 |
$48K |
| 95909 |
|
258 |
231 |
$48K |
| 75561 |
|
180 |
144 |
$47K |
| 77080 |
|
716 |
626 |
$47K |
| D0274 |
Bitewings - four radiographic images |
2,264 |
2,159 |
$47K |
| 81420 |
Fetal chromosomal aneuploidy genomic sequence analysis panel |
397 |
372 |
$46K |
| 87077 |
|
7,099 |
5,579 |
$46K |
| 84153 |
|
4,481 |
4,018 |
$45K |
| 73590 |
|
2,386 |
1,823 |
$45K |
| 73564 |
|
2,376 |
1,984 |
$44K |
| J3032 |
Injection, eptinezumab-jjmr, 1 mg |
30 |
25 |
$44K |
| 78431 |
|
76 |
65 |
$44K |
| 86704 |
|
5,737 |
4,966 |
$43K |
| 11056 |
|
354 |
335 |
$43K |
| 93299 |
|
2,111 |
2,015 |
$43K |
| 87517 |
|
2,353 |
2,060 |
$42K |
| 36561 |
|
44 |
39 |
$42K |
| 97116 |
|
1,401 |
664 |
$41K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,677 |
1,577 |
$41K |
| 76937 |
|
1,184 |
844 |
$41K |
| 94726 |
|
999 |
868 |
$41K |
| 85652 |
|
13,309 |
11,682 |
$39K |
| 82746 |
|
5,373 |
4,796 |
$39K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
13,589 |
10,475 |
$39K |
| 73562 |
|
2,561 |
2,050 |
$39K |
| 73700 |
|
255 |
207 |
$39K |
| 99234 |
|
318 |
91 |
$39K |
| 72040 |
|
1,894 |
1,603 |
$39K |
| 82024 |
|
2,205 |
1,632 |
$39K |
| 84480 |
|
4,325 |
3,884 |
$39K |
| 82784 |
|
6,525 |
4,546 |
$38K |
| 96523 |
|
1,017 |
643 |
$38K |
| 82105 |
|
4,355 |
3,918 |
$38K |
| 95816 |
|
227 |
183 |
$38K |
| 90636 |
|
159 |
145 |
$37K |
| 64493 |
|
51 |
43 |
$36K |
| 86357 |
|
1,879 |
1,720 |
$36K |
| 83921 |
|
3,175 |
2,950 |
$36K |
| 86038 |
|
3,389 |
2,878 |
$36K |
| 12002 |
|
231 |
190 |
$36K |
| J2704 |
Injection, propofol, 10 mg |
26,139 |
13,025 |
$36K |
| 84550 |
|
7,799 |
6,260 |
$35K |
| 84156 |
|
15,715 |
12,115 |
$35K |
| G0297 |
Low dose ct scan (ldct) for lung cancer screening |
232 |
229 |
$35K |
| J7297 |
Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg |
61 |
52 |
$35K |
| 72156 |
|
292 |
250 |
$34K |
| 86235 |
|
3,415 |
1,689 |
$34K |
| 82670 |
|
2,061 |
1,861 |
$34K |
| 94729 |
|
1,257 |
1,096 |
$34K |
| 77338 |
|
125 |
112 |
$33K |
| 77290 |
|
77 |
39 |
$33K |
| 95911 |
|
128 |
114 |
$33K |
| 82043 |
|
8,054 |
7,421 |
$33K |
| 12011 |
|
237 |
189 |
$33K |
| 20550 |
|
245 |
172 |
$32K |
| 83605 |
|
8,974 |
6,325 |
$32K |
| 74178 |
|
120 |
110 |
$32K |
| 93270 |
|
534 |
482 |
$32K |
| 17250 |
|
243 |
187 |
$32K |
| 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 |
8,625 |
3,903 |
$31K |
| 86160 |
|
2,964 |
1,888 |
$31K |
| 88184 |
|
796 |
591 |
$31K |
| 86790 |
|
3,440 |
3,086 |
$30K |
| 73110 |
|
1,770 |
1,363 |
$30K |
| 87070 |
|
3,831 |
3,112 |
$30K |
| 83090 |
|
2,799 |
2,598 |
$30K |
| 92550 |
|
335 |
288 |
$29K |
| 95700 |
|
194 |
129 |
$29K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
2,468 |
2,220 |
$29K |
| 84146 |
|
1,998 |
1,822 |
$29K |
| 92083 |
|
644 |
598 |
$29K |
| 81220 |
CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants |
69 |
56 |
$29K |
| 76818 |
|
394 |
285 |
$28K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
567 |
471 |
$28K |
| 82565 |
|
4,672 |
3,802 |
$27K |
| 87497 |
|
1,548 |
891 |
$26K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
20,604 |
12,778 |
$26K |
| 29580 |
|
288 |
106 |
$26K |
| 86592 |
|
3,275 |
2,900 |
$26K |
| 73502 |
|
1,797 |
1,558 |
$26K |
| 97535 |
Self-care/home management training, each 15 minutes |
871 |
481 |
$25K |
| 92134 |
|
1,101 |
957 |
$25K |
| 83690 |
|
15,832 |
12,772 |
$25K |
| 93922 |
|
490 |
420 |
$24K |
| 83001 |
|
1,775 |
1,624 |
$24K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
262 |
239 |
$24K |
| 87186 |
|
5,280 |
4,308 |
$24K |
| 73552 |
|
1,428 |
1,156 |
$24K |
| 87506 |
|
179 |
143 |
$24K |
| 72131 |
|
331 |
271 |
$23K |
| J0475 |
Injection, baclofen, 10 mg |
47 |
43 |
$23K |
| 97802 |
|
245 |
224 |
$23K |
| 64642 |
|
514 |
336 |
$23K |
| 64400 |
|
79 |
62 |
$23K |
| 93242 |
|
261 |
229 |
$23K |
| Q5107 |
Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg |
34 |
12 |
$22K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
12,310 |
6,121 |
$22K |
| 72170 |
|
1,475 |
1,158 |
$22K |
| 88185 |
|
729 |
556 |
$22K |
| 82950 |
|
4,623 |
4,356 |
$22K |
| J1750 |
Injection, iron dextran, 50 mg |
345 |
122 |
$22K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
1,604 |
1,209 |
$22K |
| 86147 |
|
1,333 |
927 |
$22K |
| 19083 |
|
26 |
25 |
$22K |
| 97811 |
|
1,352 |
697 |
$22K |
| 92526 |
|
485 |
247 |
$22K |
| 86923 |
|
824 |
517 |
$22K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
12,580 |
8,493 |
$22K |
| 83020 |
|
2,660 |
2,184 |
$21K |
| 83883 |
|
2,230 |
1,426 |
$21K |
| 94762 |
|
513 |
324 |
$21K |
| 77065 |
Tomosynthesis, mammo |
977 |
795 |
$20K |
| 81373 |
|
292 |
231 |
$20K |
| J0129 |
Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) |
24 |
12 |
$20K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
332 |
268 |
$20K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,898 |
5,982 |
$20K |
| 01999 |
|
1,692 |
1,489 |
$19K |
| 0124A |
|
793 |
508 |
$19K |
| 91320 |
|
918 |
699 |
$19K |
| 86225 |
|
1,727 |
1,562 |
$19K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
8,256 |
5,412 |
$18K |
| 72082 |
|
959 |
830 |
$18K |
| 82533 |
|
2,078 |
1,632 |
$18K |
| 83615 |
|
5,869 |
3,872 |
$18K |
| 86146 |
|
1,671 |
825 |
$18K |
| 64721 |
|
24 |
16 |
$18K |
| 82550 |
|
4,202 |
3,370 |
$18K |
| 0004A |
|
553 |
526 |
$17K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
808 |
722 |
$17K |
| 77062 |
|
612 |
540 |
$17K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
371 |
335 |
$17K |
| 76882 |
|
147 |
125 |
$17K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,533 |
3,038 |
$17K |
| 92523 |
|
393 |
306 |
$17K |
| 95976 |
|
193 |
166 |
$17K |
| J2315 |
Injection, naltrexone, depot form, 1 mg |
14 |
13 |
$17K |
| G2066 |
Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results |
1,748 |
1,628 |
$17K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
6,959 |
4,189 |
$17K |
| 86200 |
|
1,416 |
1,312 |
$17K |
| 58661 |
|
51 |
12 |
$16K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
12,618 |
8,868 |
$16K |
| 73090 |
|
1,042 |
792 |
$16K |
| D0220 |
Intraoral - periapical first radiographic image |
2,995 |
2,802 |
$16K |
| 77295 |
|
16 |
13 |
$16K |
| 97810 |
|
737 |
368 |
$16K |
| D7220 |
|
101 |
79 |
$16K |
| 31624 |
|
111 |
90 |
$15K |
| 36416 |
|
4,675 |
3,348 |
$15K |
| 76813 |
|
232 |
223 |
$15K |
| 84402 |
|
817 |
762 |
$15K |
| 82330 |
|
3,189 |
2,353 |
$15K |
| 77061 |
|
660 |
558 |
$15K |
| 11900 |
|
85 |
74 |
$15K |
| 73070 |
|
988 |
755 |
$15K |
| 72070 |
|
584 |
465 |
$15K |
| 83520 |
|
1,885 |
1,214 |
$15K |
| 83655 |
|
1,526 |
1,419 |
$15K |
| D7230 |
|
35 |
33 |
$14K |
| 96132 |
|
195 |
160 |
$14K |
| 86787 |
|
1,690 |
1,447 |
$14K |
| 84703 |
|
5,965 |
4,804 |
$14K |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
10,541 |
5,767 |
$14K |
| 86870 |
|
441 |
306 |
$14K |
| 86376 |
|
972 |
894 |
$14K |
| 72110 |
|
809 |
718 |
$14K |
| 73120 |
|
433 |
305 |
$14K |
| A4648 |
Tissue marker, implantable, any type, each |
256 |
182 |
$14K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
88 |
88 |
$13K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
4,956 |
3,396 |
$13K |
| 72157 |
|
136 |
120 |
$13K |
| 86920 |
|
608 |
356 |
$13K |
| 73620 |
|
741 |
573 |
$13K |
| 86255 |
|
1,358 |
1,233 |
$13K |
| J2997 |
Injection, alteplase recombinant, 1 mg |
182 |
122 |
$12K |
| 96402 |
|
682 |
547 |
$12K |
| 83002 |
|
1,026 |
923 |
$12K |
| 81376 |
|
310 |
228 |
$12K |
| 93451 |
|
15 |
12 |
$12K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
199 |
132 |
$12K |
| 92250 |
|
381 |
330 |
$12K |
| 87799 |
|
1,407 |
875 |
$12K |
| 72050 |
|
520 |
463 |
$12K |
| 86431 |
|
1,757 |
1,630 |
$12K |
| 82627 |
|
491 |
450 |
$11K |
| C8908 |
Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral |
30 |
26 |
$11K |
| 85730 |
|
4,479 |
3,560 |
$11K |
| 83516 |
|
1,576 |
1,070 |
$11K |
| 84425 |
|
1,104 |
971 |
$11K |
| 92610 |
|
285 |
208 |
$11K |
| 88342 |
|
2,755 |
2,178 |
$11K |
| 86003 |
|
1,123 |
364 |
$11K |
| 29581 |
|
62 |
24 |
$10K |
| 90480 |
|
1,374 |
1,122 |
$10K |
| 31615 |
|
15 |
13 |
$10K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
9,727 |
6,684 |
$10K |
| G0123 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision |
1,327 |
1,271 |
$10K |
| 73060 |
|
755 |
567 |
$10K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
11,954 |
8,338 |
$10K |
| 90670 |
|
865 |
717 |
$10K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
247 |
216 |
$10K |
| D0210 |
Intraoral - complete series of radiographic images |
215 |
186 |
$10K |
| 92552 |
|
219 |
197 |
$10K |
| 73600 |
|
488 |
366 |
$9K |
| 90656 |
|
1,274 |
1,212 |
$9K |
| 80164 |
|
1,208 |
952 |
$9K |
| 64635 |
|
15 |
14 |
$9K |
| 93325 |
|
135 |
91 |
$9K |
| J1644 |
Injection, heparin sodium, per 1000 units |
9,301 |
3,554 |
$9K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
424 |
359 |
$9K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
2,462 |
1,171 |
$9K |
| 86364 |
|
1,007 |
914 |
$9K |
| 86832 |
|
267 |
227 |
$9K |
| 80175 |
|
957 |
848 |
$9K |
| 87040 |
|
1,905 |
1,133 |
$9K |
| 83013 |
|
197 |
194 |
$9K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
57 |
24 |
$9K |
| 83521 |
|
1,507 |
1,114 |
$9K |
| 87210 |
|
3,750 |
3,211 |
$9K |
| 72190 |
|
454 |
382 |
$9K |
| 64494 |
|
69 |
42 |
$9K |
| 86334 |
|
1,170 |
982 |
$9K |
| 72146 |
|
90 |
83 |
$9K |
| 90648 |
|
1,375 |
1,176 |
$9K |
| 84520 |
|
1,550 |
1,215 |
$9K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
3,553 |
2,244 |
$9K |
| 77066 |
Tomosynthesis, mammo |
642 |
566 |
$9K |
| 86709 |
|
1,162 |
984 |
$8K |
| 86922 |
|
495 |
288 |
$8K |
| 80321 |
|
902 |
792 |
$8K |
| 80074 |
|
571 |
507 |
$8K |
| 72128 |
|
146 |
120 |
$8K |
| 86800 |
|
746 |
634 |
$8K |
| 85014 |
|
3,513 |
2,842 |
$8K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
767 |
663 |
$8K |
| 87205 |
|
2,790 |
2,230 |
$8K |
| P9047 |
Infusion, albumin (human), 25%, 50 ml |
47 |
25 |
$8K |
| J3486 |
Injection, ziprasidone mesylate, 10 mg |
638 |
403 |
$8K |
| 20553 |
|
45 |
38 |
$8K |
| 84163 |
|
687 |
659 |
$8K |
| J9045 |
Injection, carboplatin, 50 mg |
685 |
314 |
$8K |
| 87900 |
|
76 |
72 |
$8K |
| 84704 |
|
687 |
659 |
$8K |
| 11055 |
|
79 |
69 |
$8K |
| 51705 |
|
172 |
145 |
$7K |
| 69210 |
|
179 |
150 |
$7K |
| 00731 |
|
1,037 |
796 |
$7K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
3,819 |
3,247 |
$7K |
| 84134 |
|
807 |
678 |
$7K |
| 86825 |
|
270 |
228 |
$7K |
| J0640 |
Injection, leucovorin calcium, per 50 mg |
508 |
229 |
$7K |
| 84165 |
|
1,369 |
1,205 |
$7K |
| 86735 |
|
712 |
641 |
$7K |
| 93356 |
|
115 |
92 |
$7K |
| 31622 |
|
15 |
13 |
$7K |
| 36410 |
|
479 |
357 |
$7K |
| 83993 |
|
476 |
437 |
$7K |
| J3489 |
Injection, zoledronic acid, 1 mg |
562 |
423 |
$7K |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
3,743 |
1,544 |
$7K |
| 87901 |
|
64 |
60 |
$7K |
| 82951 |
|
433 |
401 |
$7K |
| 97129 |
|
90 |
26 |
$7K |
| 86833 |
|
267 |
227 |
$7K |
| 86677 |
|
731 |
667 |
$7K |
| 00300 |
|
307 |
215 |
$7K |
| 85576 |
|
854 |
656 |
$7K |
| 76827 |
|
209 |
168 |
$7K |
| 84630 |
|
582 |
525 |
$7K |
| 80361 |
|
354 |
338 |
$6K |
| 95970 |
|
225 |
195 |
$6K |
| 64447 |
|
40 |
28 |
$6K |
| 11102 |
|
14 |
12 |
$6K |
| 93880 |
|
71 |
66 |
$6K |
| 86765 |
|
732 |
658 |
$6K |
| 90739 |
|
392 |
342 |
$6K |
| 82378 |
|
1,087 |
798 |
$6K |
| 73140 |
|
527 |
432 |
$6K |
| 90632 |
|
297 |
256 |
$6K |
| 86880 |
|
602 |
411 |
$6K |
| 97813 |
|
369 |
203 |
$6K |
| 84436 |
|
1,007 |
922 |
$6K |
| 80050 |
General health panel |
711 |
655 |
$6K |
| 80178 |
|
456 |
363 |
$6K |
| 82525 |
|
500 |
445 |
$6K |
| 77387 |
|
170 |
25 |
$6K |
| 76942 |
|
433 |
322 |
$6K |
| 86644 |
|
844 |
708 |
$6K |
| 86231 |
|
485 |
441 |
$6K |
| 86015 |
|
410 |
352 |
$6K |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
4,568 |
1,250 |
$6K |
| 93321 |
|
53 |
38 |
$6K |
| 92567 |
|
860 |
746 |
$6K |
| 80177 |
|
994 |
816 |
$5K |
| 88738 |
|
828 |
700 |
$5K |
| 74430 |
|
68 |
51 |
$5K |
| 87906 |
|
58 |
55 |
$5K |
| C8930 |
Transthoracic echocardiography, with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with physician supervision |
28 |
25 |
$5K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
46 |
44 |
$5K |
| 93225 |
|
51 |
43 |
$5K |
| 90633 |
|
779 |
661 |
$5K |
| 84154 |
|
493 |
425 |
$5K |
| J2800 |
Injection, methocarbamol, up to 10 ml |
1,414 |
926 |
$5K |
| 86645 |
|
589 |
508 |
$5K |
| J7328 |
Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg |
210 |
94 |
$5K |
| 87529 |
|
233 |
189 |
$5K |
| 93298 |
|
351 |
324 |
$5K |
| Q5121 |
Injection, infliximab-axxq, biosimilar, (avsola), 10 mg |
25 |
14 |
$5K |
| 85046 |
|
2,388 |
1,908 |
$5K |
| 84132 |
|
3,121 |
2,414 |
$5K |
| 0003A |
|
135 |
131 |
$5K |
| 70250 |
|
147 |
111 |
$5K |
| 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 |
1,647 |
1,450 |
$5K |
| 80365 |
|
705 |
463 |
$5K |
| G0239 |
Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring) |
604 |
136 |
$5K |
| 86593 |
|
752 |
655 |
$5K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,808 |
1,101 |
$5K |
| 74174 |
|
66 |
52 |
$5K |
| 90662 |
|
619 |
526 |
$5K |
| 83010 |
|
891 |
669 |
$4K |
| 84155 |
|
1,911 |
1,512 |
$4K |
| 96411 |
|
274 |
153 |
$4K |
| 82977 |
|
871 |
758 |
$4K |
| 88304 |
|
842 |
675 |
$4K |
| 85732 |
|
1,239 |
749 |
$4K |
| 97130 |
|
90 |
26 |
$4K |
| 80346 |
|
228 |
215 |
$4K |
| 88312 |
|
554 |
436 |
$4K |
| 73100 |
|
149 |
111 |
$4K |
| 58300 |
|
97 |
90 |
$4K |
| 82103 |
|
566 |
516 |
$4K |
| 84460 |
|
968 |
855 |
$4K |
| 96401 |
|
137 |
74 |
$4K |
| 76821 |
|
116 |
61 |
$4K |
| 84450 |
|
576 |
504 |
$4K |
| 82947 |
|
2,597 |
1,953 |
$4K |
| 86258 |
|
517 |
461 |
$4K |
| 86037 |
|
289 |
259 |
$4K |
| 82390 |
|
555 |
497 |
$4K |
| G0009 |
Administration of pneumococcal vaccine |
2,962 |
2,535 |
$4K |
| 80329 |
|
1,964 |
1,481 |
$4K |
| 85379 |
|
1,314 |
1,092 |
$4K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
1,562 |
988 |
$4K |
| 73000 |
|
161 |
119 |
$4K |
| 82140 |
|
658 |
493 |
$4K |
| 82785 |
|
299 |
269 |
$3K |
| 76775 |
|
29 |
24 |
$3K |
| J2370 |
Injection, phenylephrine hcl, up to 1 ml |
1,715 |
1,050 |
$3K |
| 80193 |
|
288 |
259 |
$3K |
| 86826 |
|
310 |
228 |
$3K |
| 72158 |
|
14 |
12 |
$3K |
| 75565 |
|
114 |
103 |
$3K |
| 84590 |
|
333 |
310 |
$3K |
| 62370 |
|
61 |
52 |
$3K |
| 90746 |
|
184 |
161 |
$3K |
| 86256 |
|
421 |
154 |
$3K |
| 90723 |
|
880 |
745 |
$3K |
| 97803 |
|
31 |
27 |
$3K |
| 88313 |
|
471 |
350 |
$3K |
| 85613 |
|
720 |
653 |
$3K |
| 82088 |
|
205 |
178 |
$3K |
| 84446 |
|
370 |
333 |
$3K |
| 93290 |
|
806 |
652 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
468 |
268 |
$3K |
| 77399 |
|
39 |
25 |
$3K |
| 51702 |
|
138 |
103 |
$3K |
| 90716 |
|
338 |
285 |
$3K |
| G0010 |
Administration of hepatitis b vaccine |
858 |
769 |
$3K |
| 87493 |
|
122 |
116 |
$3K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
67 |
63 |
$3K |
| 82150 |
|
887 |
724 |
$3K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
4,863 |
4,149 |
$3K |
| 64415 |
|
21 |
13 |
$3K |
| 78434 |
|
61 |
53 |
$3K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
774 |
518 |
$3K |
| 36592 |
|
143 |
100 |
$3K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
35 |
31 |
$3K |
| 86777 |
|
406 |
344 |
$3K |
| 58100 |
|
14 |
13 |
$3K |
| 84295 |
|
2,154 |
1,691 |
$3K |
| 85670 |
|
769 |
691 |
$3K |
| 86381 |
|
332 |
289 |
$3K |
| 88112 |
|
527 |
422 |
$3K |
| 93923 |
|
32 |
24 |
$3K |
| G0257 |
Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility |
35 |
17 |
$3K |
| 80349 |
|
378 |
293 |
$3K |
| 85018 |
|
3,022 |
2,346 |
$3K |
| D2331 |
|
21 |
12 |
$3K |
| 86665 |
|
369 |
309 |
$3K |
| 82172 |
|
264 |
229 |
$3K |
| 84432 |
|
175 |
157 |
$2K |
| 76377 |
|
292 |
253 |
$2K |
| 96138 |
|
156 |
126 |
$2K |
| 90707 |
|
389 |
321 |
$2K |
| 92504 |
|
993 |
811 |
$2K |
| 97602 |
|
25 |
14 |
$2K |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
2,815 |
1,617 |
$2K |
| J1815 |
Injection, insulin, per 5 units |
1,253 |
582 |
$2K |
| 82247 |
|
386 |
312 |
$2K |
| J9190 |
Injection, fluorouracil, 500 mg |
959 |
372 |
$2K |
| J2785 |
Injection, regadenoson, 0.1 mg |
684 |
559 |
$2K |
| 77077 |
|
205 |
178 |
$2K |
| 84300 |
|
769 |
623 |
$2K |
| 82952 |
|
224 |
217 |
$2K |
| 90681 |
|
578 |
474 |
$2K |
| G0296 |
Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) |
27 |
27 |
$2K |
| 89051 |
|
1,008 |
699 |
$2K |
| 86902 |
|
253 |
177 |
$2K |
| Q3014 |
Telehealth originating site facility fee |
1,569 |
1,126 |
$2K |
| 94727 |
|
53 |
42 |
$2K |
| 85384 |
|
1,326 |
825 |
$2K |
| 82164 |
|
187 |
174 |
$2K |
| J3370 |
Injection, vancomycin hcl, 500 mg |
1,262 |
586 |
$2K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
367 |
234 |
$2K |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
2,276 |
1,576 |
$2K |
| 82436 |
|
445 |
353 |
$2K |
| 76604 |
|
19 |
15 |
$2K |
| 86304 |
|
528 |
396 |
$2K |
| 85520 |
|
702 |
500 |
$2K |
| 86301 |
|
258 |
187 |
$2K |
| 83525 |
|
150 |
143 |
$2K |
| 0134A |
|
52 |
28 |
$2K |
| 88237 |
|
17 |
13 |
$2K |
| J0295 |
Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm |
1,189 |
401 |
$2K |
| J3480 |
Injection, potassium chloride, per 2 meq |
1,624 |
679 |
$2K |
| 74019 |
|
42 |
40 |
$2K |
| 75984 |
|
114 |
73 |
$2K |
| 87015 |
|
896 |
615 |
$1K |
| 80158 |
|
194 |
82 |
$1K |
| 96133 |
|
107 |
87 |
$1K |
| 82610 |
|
274 |
248 |
$1K |
| 91322 |
|
405 |
365 |
$1K |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
1,467 |
829 |
$1K |
| 0054A |
|
147 |
137 |
$1K |
| 01400 |
|
17 |
15 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
3,575 |
2,475 |
$1K |
| J0612 |
Injection, calcium gluconate, not otherwise specified, 10 mg |
1,018 |
580 |
$1K |
| 94621 |
|
14 |
12 |
$1K |
| 96139 |
|
136 |
110 |
$1K |
| 82040 |
|
486 |
290 |
$1K |
| 82010 |
|
543 |
401 |
$1K |
| J9267 |
Injection, paclitaxel, 1 mg |
477 |
167 |
$1K |
| 95874 |
|
586 |
478 |
$1K |
| 20552 |
|
17 |
13 |
$1K |
| J1720 |
Injection, hydrocortisone sodium succinate, up to 100 mg |
1,415 |
1,179 |
$1K |
| 0013A |
|
43 |
40 |
$1K |
| 84144 |
|
72 |
63 |
$1K |
| 73501 |
|
88 |
69 |
$1K |
| 73080 |
|
67 |
58 |
$1K |
| 90700 |
|
303 |
245 |
$1K |
| J9206 |
Injection, irinotecan, 20 mg |
80 |
24 |
$1K |
| J8540 |
Dexamethasone, oral, 0.25 mg |
3,368 |
1,564 |
$1K |
| 0071A |
|
32 |
32 |
$1K |
| 92133 |
|
183 |
172 |
$1K |
| 84207 |
|
160 |
138 |
$1K |
| 84681 |
|
219 |
196 |
$1K |
| 82310 |
|
152 |
128 |
$1K |
| 97163 |
|
35 |
30 |
$1K |
| 82085 |
|
122 |
110 |
$1K |
| 0064A |
|
41 |
35 |
$1K |
| 87503 |
|
73 |
67 |
$1K |
| Q9956 |
Injection, octafluoropropane microspheres, per ml |
633 |
524 |
$1K |
| 82104 |
|
115 |
110 |
$1K |
| 88173 |
|
225 |
197 |
$1K |
| C1769 |
Guide wire |
525 |
396 |
$1K |
| J1953 |
Injection, levetiracetam, 10 mg |
126 |
75 |
$1K |
| 84133 |
|
422 |
333 |
$1K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
16 |
16 |
$1K |
| 00190 |
|
91 |
57 |
$1K |
| 85347 |
|
1,184 |
851 |
$1K |
| C9113 |
Injection, pantoprazole sodium, per vial |
299 |
107 |
$996.81 |
| J3411 |
Injection, thiamine hcl, 100 mg |
598 |
290 |
$984.12 |
| 87102 |
|
364 |
305 |
$974.28 |
| 87350 |
|
172 |
155 |
$956.17 |
| 82232 |
|
214 |
175 |
$945.20 |
| 81329 |
|
15 |
12 |
$875.75 |
| 90696 |
|
135 |
116 |
$856.90 |
| 16020 |
|
56 |
40 |
$850.41 |
| 82397 |
|
71 |
65 |
$845.81 |
| 83519 |
|
110 |
97 |
$845.80 |
| 90653 |
|
216 |
188 |
$845.10 |
| 81002 |
|
423 |
372 |
$837.67 |
| 76376 |
|
72 |
52 |
$833.76 |
| 92235 |
|
13 |
13 |
$825.53 |
| 86807 |
|
14 |
13 |
$824.15 |
| 99201 |
|
41 |
38 |
$794.86 |
| J1817 |
Insulin for administration through dme (i.e., insulin pump) per 50 units |
138 |
83 |
$770.44 |
| 86696 |
|
47 |
45 |
$766.53 |
| 80183 |
|
76 |
58 |
$752.23 |
| 85240 |
|
41 |
36 |
$751.16 |
| 51701 |
|
116 |
106 |
$748.93 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
949 |
822 |
$739.02 |
| 85660 |
|
617 |
428 |
$734.82 |
| 0031A |
|
177 |
163 |
$718.32 |
| 87075 |
|
634 |
403 |
$706.84 |
| 00840 |
|
282 |
181 |
$702.70 |
| 77001 |
|
169 |
137 |
$693.99 |
| 85390 |
|
628 |
476 |
$686.28 |
| 0072A |
|
18 |
18 |
$685.54 |
| 87338 |
|
61 |
61 |
$671.58 |
| 64644 |
|
18 |
12 |
$652.34 |
| 00320 |
|
92 |
68 |
$649.40 |
| 87206 |
|
467 |
346 |
$630.27 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
1,176 |
840 |
$621.68 |
| J1790 |
Injection, droperidol, up to 5 mg |
1,233 |
939 |
$611.59 |
| 90710 |
|
164 |
142 |
$611.15 |
| 80299 |
|
139 |
124 |
$604.19 |
| 87328 |
|
54 |
50 |
$599.91 |
| 86707 |
|
78 |
69 |
$590.27 |
| C1830 |
Powered bone marrow biopsy needle |
95 |
81 |
$588.02 |
| 82652 |
|
54 |
42 |
$587.70 |
| 90473 |
|
497 |
406 |
$576.63 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
4,384 |
3,606 |
$572.19 |
| 0051A |
|
34 |
31 |
$561.12 |
| 82542 |
|
38 |
37 |
$546.64 |
| 94664 |
|
26 |
26 |
$539.95 |
| 87329 |
|
54 |
50 |
$539.04 |
| 96368 |
|
87 |
57 |
$515.05 |
| 81015 |
|
241 |
230 |
$512.24 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
875 |
593 |
$509.94 |
| J0610 |
Injection, calcium gluconate (fresenius kabi), per 10 ml |
161 |
115 |
$508.53 |
| 86695 |
|
44 |
43 |
$499.34 |
| 0012A |
|
38 |
21 |
$497.52 |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
405 |
352 |
$497.20 |
| 92081 |
|
13 |
12 |
$496.67 |
| 0052A |
|
51 |
49 |
$483.92 |
| J2060 |
Injection, lorazepam, 2 mg |
1,244 |
788 |
$478.12 |
| U0001 |
Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel |
18 |
17 |
$474.12 |
| J1453 |
Injection, fosaprepitant, 1 mg |
21 |
12 |
$468.35 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
394 |
252 |
$466.16 |
| C1726 |
Catheter, balloon dilatation, non-vascular |
53 |
41 |
$463.90 |
| 87116 |
|
376 |
271 |
$452.73 |
| 36593 |
|
14 |
12 |
$450.05 |
| Q9957 |
Injection, perflutren lipid microspheres, per ml |
89 |
79 |
$445.04 |
| 87177 |
|
30 |
25 |
$434.37 |
| C1894 |
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser |
462 |
342 |
$417.63 |
| 77012 |
|
18 |
12 |
$413.38 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
1,674 |
1,482 |
$411.83 |
| 83935 |
|
110 |
87 |
$410.52 |
| J2371 |
Injection, phenylephrine hydrochloride, 20 micrograms |
4,124 |
1,613 |
$409.71 |
| 0053A |
|
16 |
15 |
$393.16 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
1,102 |
698 |
$389.11 |
| 00790 |
|
76 |
51 |
$385.29 |
| 87209 |
|
30 |
25 |
$361.44 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
17 |
12 |
$355.18 |
| 73521 |
|
12 |
12 |
$354.02 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
26 |
22 |
$353.35 |
| J0692 |
Injection, cefepime hydrochloride, 500 mg |
208 |
62 |
$348.63 |
| 90688 |
|
29 |
27 |
$334.69 |
| 82810 |
|
292 |
208 |
$329.87 |
| J0689 |
Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg |
283 |
174 |
$323.15 |
| J1580 |
Injection, garamycin, gentamicin, up to 80 mg |
511 |
358 |
$314.47 |
| J1940 |
Injection, furosemide, up to 20 mg |
775 |
370 |
$293.32 |
| J1596 |
Injection, glycopyrrolate, 0.1 mg |
1,640 |
883 |
$287.55 |
| 84166 |
|
29 |
25 |
$286.84 |
| J0360 |
Injection, hydralazine hcl, up to 20 mg |
344 |
190 |
$283.32 |
| 95250 |
|
48 |
38 |
$275.76 |
| 93799 |
|
15 |
13 |
$257.06 |
| 84244 |
|
45 |
37 |
$246.33 |
| 29125 |
|
17 |
14 |
$244.20 |
| 80335 |
|
19 |
16 |
$236.02 |
| 87147 |
|
59 |
55 |
$234.16 |
| Q0114 |
Fern test |
137 |
112 |
$230.04 |
| 76870 |
|
28 |
25 |
$225.94 |
| J7121 |
5% dextrose in lactated ringers infusion, up to 1000 cc |
145 |
88 |
$225.05 |
| 58301 |
|
40 |
40 |
$216.56 |
| 80235 |
|
49 |
43 |
$203.56 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
511 |
351 |
$202.71 |
| S0028 |
Injection, famotidine, 20 mg |
499 |
391 |
$202.58 |
| 82239 |
|
15 |
12 |
$201.62 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
18 |
16 |
$190.53 |
| 98960 |
|
14 |
14 |
$188.70 |
| 83930 |
|
41 |
26 |
$185.39 |
| 87449 |
|
75 |
54 |
$184.65 |
| J7060 |
5% dextrose/water (500 ml = 1 unit) |
250 |
87 |
$176.14 |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
158 |
139 |
$172.59 |
| J0735 |
Injection, clonidine hydrochloride, 1 mg |
20 |
14 |
$167.58 |
| C9257 |
Injection, bevacizumab, 0.25 mg |
42 |
39 |
$166.44 |
| J1920 |
Injection, labetalol hydrochloride, 5 mg |
387 |
251 |
$150.60 |
| 84305 |
|
17 |
12 |
$150.07 |
| 80354 |
|
17 |
12 |
$149.60 |
| 87184 |
|
43 |
38 |
$145.31 |
| J1630 |
Injection, haloperidol, up to 5 mg |
795 |
588 |
$142.49 |
| 80201 |
|
14 |
13 |
$141.21 |
| 92025 |
|
17 |
14 |
$140.26 |
| 74021 |
|
26 |
24 |
$136.27 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
54 |
45 |
$135.41 |
| 83498 |
|
13 |
12 |
$133.42 |
| 84157 |
|
283 |
237 |
$130.65 |
| 86705 |
|
22 |
14 |
$120.86 |
| J0736 |
Injection, clindamycin phosphate, 300 mg |
122 |
97 |
$116.81 |
| J3473 |
Injection, hyaluronidase, recombinant, 1 usp unit |
52 |
40 |
$113.40 |
| 86706 |
|
38 |
26 |
$110.89 |
| 88302 |
|
27 |
12 |
$108.90 |
| J3590 |
Unclassified biologics |
24 |
24 |
$108.75 |
| 86308 |
|
23 |
16 |
$108.02 |
| 88311 |
|
69 |
50 |
$106.95 |
| J0706 |
Injection, caffeine citrate, 5 mg |
40 |
34 |
$104.22 |
| 82985 |
|
17 |
13 |
$102.87 |
| 82945 |
|
240 |
200 |
$98.11 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
300 |
209 |
$95.18 |
| J1836 |
Injection, metronidazole, 10 mg |
147 |
78 |
$94.04 |
| J9263 |
Injection, oxaliplatin, 0.5 mg |
123 |
52 |
$85.14 |
| 84478 |
|
15 |
13 |
$77.06 |
| 0011A |
|
15 |
14 |
$72.93 |
| J0461 |
Injection, atropine sulfate, 0.01 mg |
72 |
30 |
$70.77 |
| 87305 |
|
42 |
26 |
$70.37 |
| J0280 |
Injection, aminophyllin, up to 250 mg |
18 |
15 |
$63.94 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
552 |
405 |
$57.49 |
| 94760 |
|
237 |
116 |
$53.90 |
| 86701 |
|
17 |
14 |
$52.07 |
| 86702 |
|
17 |
14 |
$52.07 |
| 91300 |
|
6,452 |
5,271 |
$50.55 |
| 80203 |
|
14 |
13 |
$41.71 |
| J0688 |
Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg |
162 |
123 |
$38.63 |
| 89060 |
|
32 |
25 |
$35.25 |
| J1805 |
Injection, esmolol hydrochloride, 10 mg |
203 |
182 |
$28.17 |
| 91312 |
|
778 |
498 |
$26.01 |
| 82042 |
|
30 |
26 |
$24.24 |
| 73565 |
|
16 |
16 |
$21.36 |
| 90685 |
|
13 |
12 |
$18.58 |
| 87071 |
|
98 |
78 |
$18.19 |
| 87176 |
|
28 |
24 |
$14.70 |
| J2470 |
Injection, pantoprazole sodium, 40 mg |
17 |
12 |
$6.21 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
68 |
58 |
$5.71 |
| 91301 |
|
132 |
110 |
$0.81 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
307 |
282 |
$0.77 |
| 91305 |
|
288 |
267 |
$0.71 |
| 91307 |
|
69 |
64 |
$0.66 |
| 91303 |
|
198 |
184 |
$0.25 |
| 91313 |
|
52 |
28 |
$0.20 |
| C1725 |
Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) |
38 |
24 |
$0.00 |
| A9555 |
Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries |
116 |
102 |
$0.00 |
| 00813 |
|
173 |
121 |
$0.00 |
| 0866T |
|
14 |
13 |
$0.00 |
| 64484 |
|
46 |
36 |
$0.00 |
| J2002 |
Injection, lidocaine hcl in 5% dextrose, 1 mg |
22 |
20 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
52 |
38 |
$0.00 |
| 00160 |
|
12 |
12 |
$0.00 |
| 00142 |
|
18 |
12 |
$0.00 |
| 00811 |
|
869 |
659 |
$0.00 |
| C1780 |
Lens, intraocular (new technology) |
98 |
71 |
$0.00 |
| S0013 |
Esketamine, nasal spray, 1 mg |
29 |
12 |
$0.00 |
| C1714 |
Catheter, transluminal atherectomy, directional |
126 |
76 |
$0.00 |
| C1874 |
Stent, coated/covered, with delivery system |
13 |
12 |
$0.00 |
| 00532 |
|
16 |
12 |
$0.00 |
| C1788 |
Port, indwelling (implantable) |
30 |
26 |
$0.00 |
| 00812 |
|
114 |
84 |
$0.00 |
| C1776 |
Joint device (implantable) |
55 |
38 |
$0.00 |
| J2004 |
Injection, lidocaine hcl with epinephrine, 1 mg |
49 |
49 |
$0.00 |
| 00520 |
|
186 |
134 |
$0.00 |
| 64636 |
|
27 |
14 |
$0.00 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
67 |
65 |
$0.00 |
| 90671 |
|
76 |
60 |
$0.00 |
| D1999 |
|
14 |
14 |
$0.00 |
| 00910 |
|
36 |
28 |
$0.00 |
| C1760 |
Closure device, vascular (implantable/insertable) |
46 |
37 |
$0.00 |