| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
80,379 |
68,337 |
$8.86M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36,815 |
35,591 |
$3.32M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25,840 |
24,788 |
$2.61M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
19,047 |
17,823 |
$1.98M |
| 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 |
25,713 |
22,733 |
$1.63M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
14,790 |
14,106 |
$1.62M |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
18,539 |
5,470 |
$1.53M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
10,954 |
10,382 |
$1.25M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
4,253 |
4,158 |
$1.16M |
| 96361 |
Intravenous infusion, hydration; each additional hour |
5,534 |
4,536 |
$1.12M |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,953 |
3,805 |
$1.03M |
| 80053 |
Comprehensive metabolic panel |
36,751 |
32,519 |
$736K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,701 |
5,688 |
$614K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
4,568 |
3,053 |
$566K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,604 |
6,382 |
$545K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
786 |
786 |
$455K |
| 93975 |
|
1,238 |
1,207 |
$454K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,847 |
2,685 |
$369K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
1,258 |
1,238 |
$361K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,258 |
1,236 |
$347K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12,106 |
11,621 |
$310K |
| 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 |
17,146 |
16,268 |
$306K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,407 |
1,830 |
$303K |
| 97163 |
|
2,108 |
2,108 |
$284K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,526 |
3,515 |
$273K |
| D2930 |
Prefabricated stainless steel crown - primary tooth |
1,132 |
1,132 |
$259K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,412 |
1,403 |
$256K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,160 |
2,108 |
$255K |
| G0378 |
Hospital observation service, per hour |
761 |
746 |
$242K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,104 |
1,085 |
$241K |
| 59025 |
Fetal non-stress test |
1,366 |
882 |
$240K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
1,719 |
961 |
$216K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
24,120 |
21,999 |
$198K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,588 |
1,579 |
$179K |
| 36415 |
Collection of venous blood by venipuncture |
36,680 |
30,424 |
$170K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
6,298 |
5,609 |
$167K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,466 |
1,248 |
$167K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
284 |
283 |
$161K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
3,867 |
3,773 |
$160K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,268 |
1,258 |
$130K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
328 |
327 |
$129K |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
1,304 |
1,247 |
$129K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,171 |
1,169 |
$123K |
| 51798 |
|
404 |
391 |
$122K |
| 12001 |
|
284 |
280 |
$108K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
90 |
90 |
$107K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
823 |
823 |
$105K |
| 90837 |
Psychotherapy, 53 minutes with patient |
800 |
587 |
$103K |
| 99050 |
|
8,102 |
7,793 |
$89K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
2,956 |
2,935 |
$89K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
2,213 |
2,166 |
$87K |
| 36416 |
|
4,407 |
3,507 |
$87K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
884 |
515 |
$84K |
| 99218 |
|
167 |
163 |
$83K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
3,334 |
3,283 |
$83K |
| 99215 |
Prolong outpt/office vis |
794 |
782 |
$82K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
343 |
341 |
$79K |
| 92060 |
|
1,249 |
1,200 |
$79K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
6,292 |
5,556 |
$77K |
| 76000 |
|
409 |
406 |
$75K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
277 |
151 |
$73K |
| 90686 |
|
2,726 |
2,718 |
$71K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
10,404 |
9,590 |
$69K |
| 76830 |
Ultrasound, transvaginal |
1,966 |
1,911 |
$69K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
3,341 |
3,286 |
$66K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
660 |
655 |
$66K |
| D3220 |
Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction |
807 |
807 |
$59K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
477 |
477 |
$57K |
| 92567 |
|
832 |
800 |
$57K |
| 90715 |
|
1,989 |
1,985 |
$55K |
| 86850 |
|
2,379 |
2,300 |
$54K |
| 88142 |
|
2,527 |
2,521 |
$53K |
| 84443 |
Thyroid stimulating hormone (TSH) |
8,300 |
8,162 |
$53K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
1,830 |
1,825 |
$50K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,702 |
1,673 |
$50K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
3,213 |
2,902 |
$47K |
| 80061 |
Lipid panel |
6,405 |
6,352 |
$46K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
445 |
444 |
$45K |
| 97161 |
|
525 |
512 |
$45K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
132 |
132 |
$45K |
| 93971 |
|
830 |
812 |
$43K |
| 70496 |
|
188 |
187 |
$43K |
| 64615 |
|
125 |
125 |
$43K |
| 82728 |
|
3,492 |
3,437 |
$42K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
532 |
530 |
$42K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
1,277 |
1,265 |
$41K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
113 |
113 |
$40K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
6,408 |
6,352 |
$40K |
| 92557 |
|
677 |
664 |
$38K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
3,524 |
3,513 |
$37K |
| 86901 |
|
2,470 |
2,363 |
$37K |
| 76801 |
|
672 |
587 |
$37K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
33,227 |
29,096 |
$37K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
25 |
25 |
$36K |
| 71271 |
|
867 |
867 |
$33K |
| 86900 |
|
2,469 |
2,362 |
$32K |
| 88342 |
|
817 |
809 |
$31K |
| 93017 |
|
259 |
259 |
$30K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
858 |
826 |
$29K |
| 99152 |
|
2,772 |
956 |
$29K |
| 71250 |
|
275 |
274 |
$29K |
| 62323 |
|
70 |
53 |
$28K |
| 84439 |
|
3,913 |
3,832 |
$27K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
160 |
160 |
$25K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
475 |
404 |
$25K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
1,895 |
1,884 |
$25K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
43 |
43 |
$24K |
| 88304 |
|
942 |
938 |
$23K |
| 81025 |
|
6,946 |
6,740 |
$22K |
| 76642 |
|
953 |
927 |
$22K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
4,190 |
4,083 |
$21K |
| 83880 |
|
812 |
769 |
$21K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
16,467 |
14,583 |
$21K |
| 94010 |
|
870 |
859 |
$21K |
| 71046 |
Radiologic examination, chest; 2 views |
6,070 |
5,933 |
$20K |
| 92133 |
|
249 |
249 |
$20K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
679 |
388 |
$20K |
| 96160 |
|
379 |
376 |
$19K |
| 82607 |
|
1,713 |
1,700 |
$18K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,615 |
1,555 |
$17K |
| 93970 |
|
43 |
42 |
$17K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
898 |
859 |
$17K |
| 12011 |
|
41 |
40 |
$16K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
5,486 |
5,272 |
$16K |
| J1756 |
Injection, iron sucrose, 1 mg |
307 |
155 |
$16K |
| 11721 |
|
382 |
382 |
$16K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
344 |
341 |
$16K |
| 76536 |
|
534 |
527 |
$15K |
| H0001 |
Alcohol and/or drug assessment |
115 |
84 |
$15K |
| 92250 |
|
210 |
209 |
$15K |
| 80362 |
|
1,585 |
1,263 |
$15K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
1,205 |
1,180 |
$14K |
| 90791 |
Psychiatric diagnostic evaluation |
88 |
88 |
$14K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
550 |
533 |
$14K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
4,581 |
4,417 |
$13K |
| 99051 |
|
1,315 |
1,255 |
$13K |
| 99205 |
Prolong outpt/office vis |
110 |
108 |
$13K |
| 97165 |
|
229 |
224 |
$12K |
| 84153 |
|
773 |
766 |
$12K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
882 |
872 |
$12K |
| 70486 |
|
309 |
305 |
$12K |
| 76775 |
|
269 |
264 |
$12K |
| 90750 |
|
83 |
83 |
$12K |
| 76641 |
|
390 |
379 |
$11K |
| 99493 |
|
322 |
321 |
$11K |
| 85027 |
|
3,830 |
3,755 |
$11K |
| 64493 |
|
111 |
30 |
$11K |
| 86803 |
|
1,307 |
1,298 |
$11K |
| D2394 |
|
117 |
117 |
$11K |
| 84702 |
|
1,786 |
1,406 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
96 |
96 |
$10K |
| 58300 |
|
96 |
95 |
$10K |
| 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 |
137 |
137 |
$10K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
7,455 |
6,068 |
$8K |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
13 |
$8K |
| 64635 |
|
16 |
13 |
$8K |
| 97803 |
|
334 |
327 |
$8K |
| 76770 |
|
40 |
39 |
$8K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
215 |
213 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
75 |
72 |
$8K |
| G0297 |
Low dose ct scan (ldct) for lung cancer screening |
80 |
80 |
$7K |
| 83540 |
|
1,784 |
1,770 |
$7K |
| 86618 |
|
1,014 |
1,006 |
$7K |
| J1439 |
Injection, ferric carboxymaltose, 1 mg |
17 |
13 |
$7K |
| 83735 |
|
9,415 |
8,497 |
$7K |
| 87468 |
|
222 |
218 |
$7K |
| 80305 |
|
5,335 |
4,649 |
$7K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
15 |
14 |
$7K |
| 83655 |
|
532 |
530 |
$7K |
| 83550 |
|
1,698 |
1,685 |
$7K |
| 87631 |
|
129 |
127 |
$7K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
8,295 |
7,539 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,127 |
4,744 |
$6K |
| 96367 |
|
88 |
57 |
$6K |
| 70491 |
|
24 |
24 |
$6K |
| 88307 |
|
64 |
63 |
$5K |
| 82570 |
|
1,165 |
1,145 |
$5K |
| 86140 |
|
2,047 |
1,937 |
$5K |
| 81003 |
|
11,433 |
10,927 |
$5K |
| 82043 |
|
1,093 |
1,084 |
$5K |
| 12002 |
|
12 |
12 |
$4K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
97 |
93 |
$4K |
| 97010 |
|
221 |
100 |
$4K |
| 76882 |
|
98 |
95 |
$4K |
| 85610 |
|
1,840 |
1,685 |
$4K |
| 87484 |
|
222 |
218 |
$4K |
| 81001 |
|
8,370 |
7,956 |
$4K |
| 72141 |
|
12 |
12 |
$4K |
| 70498 |
|
142 |
142 |
$4K |
| 80323 |
|
1,514 |
1,266 |
$4K |
| 87340 |
|
627 |
620 |
$4K |
| 87077 |
|
1,581 |
1,540 |
$4K |
| 31231 |
|
30 |
30 |
$3K |
| 86592 |
|
1,410 |
1,403 |
$3K |
| 86769 |
|
92 |
88 |
$3K |
| 90677 |
|
68 |
68 |
$3K |
| 74018 |
|
883 |
861 |
$3K |
| 97802 |
|
146 |
144 |
$3K |
| 64483 |
|
16 |
13 |
$3K |
| 87088 |
|
3,561 |
3,464 |
$3K |
| 72110 |
|
524 |
520 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,381 |
5,233 |
$3K |
| 77066 |
Tomosynthesis, mammo |
38 |
38 |
$3K |
| 73630 |
|
2,299 |
2,171 |
$3K |
| 87081 |
|
669 |
669 |
$3K |
| 80299 |
|
3,691 |
3,033 |
$3K |
| 87469 |
|
153 |
151 |
$3K |
| 86747 |
|
177 |
174 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
29 |
25 |
$3K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
15 |
15 |
$2K |
| 85652 |
|
1,977 |
1,923 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
5,392 |
5,162 |
$2K |
| 73030 |
|
840 |
828 |
$2K |
| 99406 |
|
394 |
368 |
$2K |
| 80348 |
|
1,648 |
1,323 |
$2K |
| 84100 |
|
1,030 |
944 |
$2K |
| 83690 |
|
6,078 |
5,603 |
$2K |
| 77065 |
Tomosynthesis, mammo |
25 |
25 |
$2K |
| 85730 |
|
729 |
701 |
$2K |
| 87186 |
|
1,208 |
1,179 |
$2K |
| 99407 |
|
49 |
49 |
$2K |
| 82784 |
|
157 |
152 |
$2K |
| J3490 |
Unclassified drugs |
62 |
62 |
$2K |
| 76857 |
|
144 |
142 |
$2K |
| 91322 |
|
18 |
12 |
$2K |
| 77080 |
|
28 |
28 |
$2K |
| 84484 |
|
7,131 |
5,746 |
$2K |
| 73130 |
|
950 |
941 |
$2K |
| 92015 |
Determination of refractive state |
419 |
419 |
$2K |
| 95806 |
|
556 |
500 |
$2K |
| 72100 |
|
166 |
166 |
$2K |
| 82962 |
|
2,990 |
2,059 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,292 |
5,213 |
$2K |
| 86762 |
|
215 |
211 |
$1K |
| 82105 |
|
235 |
234 |
$1K |
| 80076 |
|
147 |
146 |
$1K |
| 73564 |
|
765 |
753 |
$1K |
| 73610 |
|
1,295 |
1,279 |
$1K |
| 99385 |
|
12 |
12 |
$1K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
44 |
38 |
$1K |
| 82746 |
|
121 |
121 |
$1K |
| 73110 |
|
537 |
532 |
$1K |
| 94729 |
|
92 |
91 |
$1K |
| 94727 |
|
115 |
114 |
$1K |
| 87625 |
|
40 |
40 |
$1K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
9,042 |
8,539 |
$999.78 |
| 74246 |
|
17 |
17 |
$987.78 |
| 90734 |
|
49 |
49 |
$918.52 |
| 82950 |
|
177 |
177 |
$846.34 |
| 87070 |
|
435 |
418 |
$823.13 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
65 |
65 |
$820.41 |
| 84403 |
|
36 |
36 |
$818.27 |
| 87205 |
|
826 |
771 |
$799.48 |
| 87641 |
|
38 |
37 |
$798.77 |
| 85379 |
|
1,165 |
1,154 |
$777.46 |
| 70310 |
|
930 |
928 |
$771.70 |
| 73502 |
|
269 |
265 |
$769.97 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
5,061 |
4,834 |
$739.93 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
858 |
830 |
$739.53 |
| 76818 |
|
27 |
26 |
$738.15 |
| 82947 |
|
1,926 |
1,483 |
$730.86 |
| T2022 |
Case management, per month |
13 |
13 |
$719.72 |
| 80349 |
|
501 |
390 |
$687.71 |
| 85007 |
|
463 |
451 |
$685.78 |
| 90656 |
|
54 |
54 |
$675.86 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
34 |
29 |
$640.00 |
| 84480 |
|
242 |
242 |
$637.61 |
| 97035 |
|
36 |
13 |
$623.15 |
| 90480 |
|
18 |
13 |
$584.05 |
| 84703 |
|
2,614 |
2,547 |
$582.13 |
| 87040 |
|
1,645 |
1,162 |
$550.51 |
| 84146 |
|
28 |
28 |
$536.83 |
| 87210 |
|
281 |
272 |
$503.65 |
| 84436 |
|
159 |
159 |
$476.64 |
| 90732 |
|
12 |
12 |
$475.75 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
412 |
399 |
$462.46 |
| 86308 |
|
603 |
599 |
$459.15 |
| 82550 |
|
279 |
264 |
$417.99 |
| 82803 |
|
12 |
12 |
$406.68 |
| 86039 |
|
79 |
77 |
$385.08 |
| 76870 |
|
40 |
40 |
$355.44 |
| G0008 |
Administration of influenza virus vaccine |
37 |
37 |
$334.00 |
| 84156 |
|
120 |
110 |
$329.33 |
| 72040 |
|
55 |
54 |
$321.63 |
| 85014 |
|
144 |
135 |
$320.92 |
| 86787 |
|
39 |
39 |
$318.75 |
| 80320 |
|
4,916 |
4,350 |
$312.09 |
| 82747 |
|
40 |
40 |
$307.20 |
| 86038 |
|
57 |
57 |
$288.82 |
| 11719 |
|
27 |
27 |
$285.39 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
302 |
288 |
$280.80 |
| 86704 |
|
52 |
50 |
$276.27 |
| 82150 |
|
73 |
70 |
$271.42 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
491 |
439 |
$266.33 |
| 94060 |
|
13 |
13 |
$261.60 |
| 80324 |
|
145 |
120 |
$250.00 |
| 84550 |
|
73 |
66 |
$241.63 |
| 80346 |
|
228 |
183 |
$235.00 |
| 73140 |
|
294 |
287 |
$227.11 |
| 83605 |
|
902 |
821 |
$213.95 |
| 84481 |
|
25 |
25 |
$207.99 |
| 86706 |
|
38 |
38 |
$191.90 |
| 84425 |
|
24 |
24 |
$186.79 |
| 96376 |
|
1,832 |
1,254 |
$172.34 |
| 73620 |
|
163 |
127 |
$168.93 |
| 97535 |
Self-care/home management training, each 15 minutes |
17 |
15 |
$149.59 |
| 90662 |
|
12 |
12 |
$144.85 |
| 86430 |
|
27 |
27 |
$122.00 |
| 90461 |
|
103 |
101 |
$120.24 |
| 73080 |
|
70 |
70 |
$115.92 |
| 73562 |
|
25 |
25 |
$102.27 |
| 72050 |
|
18 |
18 |
$100.24 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
30 |
30 |
$99.84 |
| 80321 |
|
172 |
144 |
$96.86 |
| 87807 |
|
83 |
83 |
$94.32 |
| 94760 |
|
3,621 |
3,491 |
$90.79 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
7,869 |
7,299 |
$82.44 |
| 86708 |
|
24 |
24 |
$80.00 |
| 71101 |
|
27 |
27 |
$66.50 |
| 82565 |
|
14 |
14 |
$65.39 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
237 |
199 |
$63.84 |
| 86580 |
|
12 |
12 |
$60.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
7,087 |
6,886 |
$58.09 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
5,782 |
5,451 |
$51.15 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
2,651 |
2,546 |
$48.35 |
| 87420 |
|
28 |
28 |
$47.24 |
| 83615 |
|
41 |
38 |
$43.58 |
| 81015 |
|
40 |
39 |
$34.45 |
| 74019 |
|
12 |
12 |
$30.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
311 |
311 |
$27.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
2,896 |
2,549 |
$26.74 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
73 |
64 |
$26.46 |
| 73590 |
|
25 |
25 |
$25.45 |
| 73090 |
|
29 |
28 |
$25.32 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,460 |
1,320 |
$25.18 |
| 87400 |
|
342 |
192 |
$22.91 |
| 83930 |
|
378 |
357 |
$20.64 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
6,625 |
6,409 |
$18.06 |
| 86617 |
|
12 |
12 |
$15.49 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,723 |
1,538 |
$15.45 |
| 82553 |
|
28 |
28 |
$12.12 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
31 |
31 |
$11.50 |
| J2060 |
Injection, lorazepam, 2 mg |
951 |
838 |
$8.41 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
132 |
70 |
$7.38 |
| 87071 |
|
246 |
225 |
$6.92 |
| J1644 |
Injection, heparin sodium, per 1000 units |
187 |
180 |
$3.75 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
97 |
93 |
$2.09 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
278 |
263 |
$1.58 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
188 |
147 |
$0.98 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
1,440 |
1,295 |
$0.89 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
930 |
888 |
$0.35 |
| J1815 |
Injection, insulin, per 5 units |
23 |
13 |
$0.00 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
285 |
264 |
$0.00 |
| Q9963 |
High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml |
159 |
157 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
366 |
345 |
$0.00 |
| 99496 |
|
43 |
43 |
$0.00 |
| C9290 |
Injection, bupivacaine liposome, 1 mg |
40 |
39 |
$0.00 |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
14 |
13 |
$0.00 |
| 3075F |
|
25 |
25 |
$0.00 |
| 99492 |
|
12 |
12 |
$0.00 |
| 96127 |
|
67 |
63 |
$0.00 |
| J1630 |
Injection, haloperidol, up to 5 mg |
29 |
24 |
$0.00 |
| J3360 |
Injection, diazepam, up to 5 mg |
40 |
37 |
$0.00 |
| J2470 |
Injection, pantoprazole sodium, 40 mg |
20 |
13 |
$0.00 |
| 99494 |
|
50 |
50 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
40 |
40 |
$0.00 |
| 64494 |
|
24 |
13 |
$0.00 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
99 |
99 |
$0.00 |
| J7999 |
Compounded drug, not otherwise classified |
15 |
15 |
$0.00 |
| 1036F |
|
38 |
38 |
$0.00 |
| C1769 |
Guide wire |
25 |
25 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
76 |
76 |
$0.00 |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
150 |
150 |
$0.00 |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
166 |
165 |
$0.00 |
| 3085F |
|
702 |
681 |
$0.00 |
| C1776 |
Joint device (implantable) |
144 |
142 |
$0.00 |
| 1159F |
|
343 |
329 |
$0.00 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
127 |
66 |
$0.00 |
| C1894 |
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser |
40 |
39 |
$0.00 |
| C9113 |
Injection, pantoprazole sodium, per vial |
16 |
12 |
$0.00 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
101 |
101 |
$0.00 |
| 69209 |
|
15 |
15 |
$0.00 |
| 1124F |
|
12 |
12 |
$0.00 |
| 81002 |
|
24 |
24 |
$0.00 |
| 64636 |
|
15 |
12 |
$0.00 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
26 |
14 |
$0.00 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
25 |
20 |
$0.00 |
| 84145 |
|
14 |
12 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
69 |
69 |
$0.00 |
| 3078F |
|
25 |
25 |
$0.00 |
| J0137 |
Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg |
33 |
33 |
$0.00 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
21 |
14 |
$0.00 |