| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
275,528 |
218,857 |
$10.57M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
136,969 |
114,351 |
$7.18M |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
2,396 |
2,161 |
$3.23M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
23,046 |
19,765 |
$2.61M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
24,839 |
21,032 |
$1.92M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
23,178 |
20,407 |
$1.88M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
47,891 |
11,469 |
$1.86M |
| 99215 |
Prolong outpt/office vis |
20,348 |
17,612 |
$1.66M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
29,941 |
25,797 |
$1.65M |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
3,982 |
562 |
$1.61M |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
8,344 |
1,243 |
$1.53M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
21,665 |
19,446 |
$1.43M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
18,899 |
18,147 |
$1.27M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
32,367 |
31,546 |
$1.19M |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
7,029 |
3,263 |
$1.03M |
| 90837 |
Psychotherapy, 53 minutes with patient |
12,636 |
6,921 |
$999K |
| W0037 |
|
67,860 |
67,860 |
$975K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14,076 |
13,558 |
$960K |
| 99222 |
Initial hospital care, per day, moderate complexity |
11,899 |
8,734 |
$823K |
| 99233 |
Prolong inpt eval add15 m |
14,414 |
4,444 |
$810K |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
1,815 |
162 |
$726K |
| 99205 |
Prolong outpt/office vis |
6,176 |
5,115 |
$643K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
17,686 |
9,669 |
$630K |
| 59510 |
|
421 |
370 |
$627K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
9,077 |
8,705 |
$621K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
4,229 |
437 |
$584K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
11,141 |
10,695 |
$544K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
9,886 |
8,913 |
$529K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
12,514 |
4,099 |
$528K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
9,354 |
8,466 |
$500K |
| 99254 |
|
3,678 |
2,699 |
$481K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
5,026 |
2,991 |
$481K |
| 99223 |
Prolong inpt eval add15 m |
4,751 |
3,722 |
$415K |
| 99468 |
|
515 |
467 |
$396K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
2,481 |
2,154 |
$382K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
425 |
404 |
$356K |
| 99417 |
Prolong home eval add 15m |
5,543 |
4,304 |
$356K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
34,036 |
32,841 |
$346K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
1,431 |
1,184 |
$328K |
| 99460 |
|
4,058 |
3,826 |
$324K |
| 90834 |
Psychotherapy, 45 minutes with patient |
5,670 |
4,133 |
$299K |
| 01922 |
|
1,426 |
1,282 |
$296K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
4,733 |
4,262 |
$296K |
| 90791 |
Psychiatric diagnostic evaluation |
3,659 |
3,018 |
$290K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
5,211 |
3,071 |
$290K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
7,134 |
3,485 |
$280K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
1,965 |
1,849 |
$280K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
2,286 |
1,998 |
$280K |
| 54150 |
|
2,002 |
1,850 |
$269K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
10,473 |
9,440 |
$255K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
6,395 |
5,555 |
$248K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
8,977 |
4,288 |
$235K |
| 00731 |
|
2,490 |
2,309 |
$231K |
| 00840 |
|
1,087 |
1,026 |
$231K |
| 59025 |
Fetal non-stress test |
10,653 |
2,634 |
$228K |
| 99255 |
|
1,288 |
973 |
$217K |
| 17110 |
|
3,188 |
2,859 |
$213K |
| 90651 |
|
8,472 |
8,199 |
$210K |
| 01961 |
|
954 |
909 |
$206K |
| 99188 |
|
8,307 |
8,075 |
$199K |
| 00790 |
|
936 |
855 |
$196K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
32,602 |
24,788 |
$188K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
2,197 |
1,926 |
$179K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
839 |
706 |
$172K |
| 90671 |
|
6,157 |
5,990 |
$162K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
2,237 |
1,910 |
$159K |
| 99221 |
|
3,373 |
2,812 |
$159K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
1,452 |
1,390 |
$156K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
10,342 |
9,862 |
$154K |
| 76830 |
Ultrasound, transvaginal |
3,701 |
2,005 |
$136K |
| 99253 |
|
1,453 |
1,161 |
$135K |
| 43762 |
|
758 |
723 |
$131K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,586 |
1,547 |
$127K |
| 90715 |
|
7,591 |
7,361 |
$121K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,072 |
1,825 |
$118K |
| 71046 |
Radiologic examination, chest; 2 views |
6,970 |
6,204 |
$114K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
2,875 |
2,748 |
$100K |
| 99477 |
|
306 |
285 |
$97K |
| 76825 |
|
1,399 |
810 |
$95K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
10,743 |
8,646 |
$92K |
| J7298 |
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg |
98 |
93 |
$91K |
| 92567 |
|
5,950 |
5,199 |
$89K |
| 93970 |
|
2,486 |
2,234 |
$88K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
1,291 |
1,256 |
$86K |
| 99243 |
|
995 |
862 |
$84K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
5,594 |
5,175 |
$83K |
| 99383 |
|
1,002 |
944 |
$83K |
| 90961 |
|
1,014 |
955 |
$82K |
| 91320 |
|
1,094 |
1,052 |
$80K |
| 00813 |
|
751 |
714 |
$78K |
| 90686 |
|
25,586 |
24,823 |
$77K |
| 93325 |
|
5,083 |
3,961 |
$76K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
2,312 |
781 |
$75K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
693 |
673 |
$75K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
956 |
913 |
$73K |
| 76801 |
|
1,295 |
688 |
$71K |
| 11981 |
|
803 |
723 |
$71K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
286 |
258 |
$70K |
| 12001 |
|
859 |
762 |
$70K |
| 99462 |
|
2,064 |
1,639 |
$70K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,789 |
1,389 |
$70K |
| 90739 |
|
506 |
492 |
$70K |
| 76813 |
|
1,331 |
656 |
$68K |
| 73630 |
|
4,842 |
3,386 |
$68K |
| 58300 |
|
680 |
619 |
$67K |
| 20610 |
|
2,001 |
1,747 |
$67K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,504 |
758 |
$66K |
| 94010 |
|
5,147 |
2,882 |
$65K |
| 0001A |
|
2,372 |
1,771 |
$62K |
| 99464 |
|
1,059 |
976 |
$62K |
| 76820 |
|
3,134 |
773 |
$61K |
| 93971 |
|
1,850 |
1,687 |
$61K |
| 00126 |
|
618 |
606 |
$61K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,551 |
6,338 |
$61K |
| 92587 |
|
3,234 |
1,828 |
$60K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,389 |
862 |
$59K |
| 99381 |
|
648 |
611 |
$59K |
| 99152 |
|
3,400 |
2,736 |
$58K |
| 59514 |
|
137 |
103 |
$58K |
| 95720 |
|
357 |
180 |
$58K |
| 94060 |
|
3,193 |
2,129 |
$57K |
| 00300 |
|
421 |
383 |
$57K |
| 0002A |
|
1,645 |
1,499 |
$56K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
2,734 |
2,308 |
$55K |
| 76642 |
|
1,582 |
834 |
$55K |
| 73610 |
|
4,024 |
2,803 |
$54K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
569 |
446 |
$54K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
305 |
303 |
$53K |
| 76827 |
|
1,314 |
769 |
$52K |
| 73110 |
|
3,740 |
2,374 |
$49K |
| 99384 |
|
570 |
524 |
$49K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
114 |
54 |
$48K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
191 |
154 |
$48K |
| 74018 |
|
3,275 |
2,863 |
$46K |
| 93226 |
|
1,243 |
1,038 |
$45K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,153 |
1,790 |
$44K |
| 90480 |
|
1,930 |
1,879 |
$41K |
| 90621 |
|
2,976 |
2,866 |
$40K |
| 00400 |
|
337 |
269 |
$38K |
| 0071A |
|
1,046 |
1,007 |
$38K |
| 59410 |
|
41 |
39 |
$38K |
| 00811 |
|
542 |
506 |
$37K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,501 |
753 |
$36K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
4,535 |
4,029 |
$36K |
| 99382 |
|
452 |
409 |
$36K |
| 12011 |
|
368 |
341 |
$35K |
| 99173 |
|
2,860 |
2,748 |
$35K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
985 |
652 |
$35K |
| 93304 |
|
750 |
588 |
$34K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
617 |
595 |
$34K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,583 |
1,456 |
$34K |
| 92551 |
|
2,602 |
2,501 |
$32K |
| 93308 |
|
1,337 |
1,201 |
$32K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
568 |
265 |
$32K |
| 73130 |
|
2,462 |
1,544 |
$32K |
| 94729 |
|
1,868 |
1,329 |
$31K |
| 95886 |
|
512 |
241 |
$31K |
| 95251 |
|
1,479 |
1,343 |
$30K |
| 93227 |
|
2,152 |
1,831 |
$29K |
| 90678 |
|
243 |
230 |
$29K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
3,165 |
2,336 |
$29K |
| 73560 |
|
2,177 |
1,346 |
$28K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
743 |
401 |
$28K |
| 0072A |
|
725 |
708 |
$27K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
749 |
285 |
$27K |
| 99219 |
|
329 |
263 |
$26K |
| 73562 |
|
1,765 |
1,297 |
$26K |
| 36620 |
|
596 |
486 |
$25K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,291 |
2,879 |
$25K |
| 0124A |
|
834 |
793 |
$24K |
| 73030 |
|
1,772 |
1,286 |
$24K |
| 93925 |
|
874 |
859 |
$23K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
2,348 |
2,097 |
$23K |
| 90619 |
|
2,762 |
2,531 |
$22K |
| 73140 |
|
2,140 |
1,375 |
$22K |
| 90670 |
|
10,593 |
10,156 |
$21K |
| 96137 |
|
332 |
210 |
$21K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,011 |
1,598 |
$21K |
| 95816 |
|
268 |
260 |
$21K |
| 92552 |
|
1,144 |
1,038 |
$21K |
| 73080 |
|
1,421 |
881 |
$20K |
| 11721 |
|
1,173 |
1,108 |
$20K |
| 93016 |
|
1,795 |
1,606 |
$20K |
| 99217 |
|
393 |
323 |
$19K |
| 93295 |
|
847 |
768 |
$19K |
| 94726 |
|
1,092 |
744 |
$19K |
| 64615 |
|
277 |
255 |
$19K |
| 36415 |
Collection of venous blood by venipuncture |
6,503 |
5,301 |
$19K |
| 92555 |
|
1,401 |
1,263 |
$19K |
| 93922 |
|
1,509 |
1,473 |
$18K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
323 |
264 |
$18K |
| 93225 |
|
940 |
772 |
$18K |
| 31575 |
|
277 |
235 |
$18K |
| 93321 |
|
2,201 |
1,860 |
$18K |
| 0054A |
|
552 |
484 |
$18K |
| 92015 |
Determination of refractive state |
1,955 |
1,603 |
$18K |
| 99177 |
|
3,226 |
3,100 |
$17K |
| 93320 |
|
962 |
919 |
$17K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
184 |
178 |
$17K |
| 74019 |
|
1,087 |
980 |
$16K |
| 99421 |
|
1,669 |
1,493 |
$16K |
| 43235 |
|
93 |
84 |
$16K |
| 93294 |
|
1,392 |
1,327 |
$16K |
| 93018 |
|
1,931 |
1,869 |
$16K |
| 77066 |
Tomosynthesis, mammo |
365 |
195 |
$15K |
| 90656 |
|
3,685 |
3,643 |
$15K |
| 96133 |
|
110 |
72 |
$15K |
| 92134 |
|
881 |
559 |
$14K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,225 |
2,505 |
$14K |
| 99418 |
Prolong nursin fac eval 15m |
194 |
115 |
$14K |
| 95811 |
|
83 |
82 |
$14K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
334 |
293 |
$13K |
| 90732 |
|
240 |
233 |
$13K |
| 99252 |
|
174 |
152 |
$13K |
| 95117 |
|
1,323 |
603 |
$12K |
| 10061 |
|
84 |
82 |
$12K |
| 77062 |
|
86 |
37 |
$12K |
| 96132 |
|
248 |
153 |
$12K |
| 0081A |
|
399 |
356 |
$11K |
| 72100 |
|
607 |
554 |
$11K |
| 73502 |
|
662 |
556 |
$11K |
| 99471 |
|
16 |
14 |
$11K |
| 69210 |
|
409 |
374 |
$11K |
| 31500 |
|
119 |
94 |
$11K |
| 01480 |
|
88 |
78 |
$11K |
| 95819 |
|
141 |
134 |
$11K |
| 73590 |
|
743 |
441 |
$11K |
| 99385 |
|
122 |
113 |
$11K |
| 93000 |
|
785 |
730 |
$10K |
| 99459 |
|
627 |
569 |
$10K |
| 81025 |
|
1,675 |
1,474 |
$10K |
| 90380 |
|
322 |
303 |
$10K |
| 90620 |
|
281 |
275 |
$10K |
| 0004A |
|
372 |
258 |
$10K |
| 90474 |
|
987 |
958 |
$10K |
| 72170 |
|
795 |
553 |
$10K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,127 |
890 |
$10K |
| 69209 |
|
760 |
702 |
$10K |
| 80053 |
Comprehensive metabolic panel |
1,519 |
1,202 |
$9K |
| 76821 |
|
257 |
129 |
$9K |
| 0500F |
|
1,086 |
1,040 |
$9K |
| 0051A |
|
264 |
258 |
$9K |
| 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) |
2,321 |
2,103 |
$9K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
130 |
111 |
$9K |
| 0052A |
|
241 |
238 |
$9K |
| 93880 |
|
279 |
276 |
$9K |
| 10060 |
|
137 |
123 |
$9K |
| 92002 |
|
138 |
135 |
$8K |
| 90750 |
|
64 |
60 |
$8K |
| 94664 |
|
736 |
647 |
$8K |
| 73090 |
|
608 |
400 |
$8K |
| 90381 |
|
444 |
430 |
$8K |
| 96381 |
|
757 |
539 |
$8K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
230 |
190 |
$8K |
| 97803 |
|
317 |
245 |
$7K |
| 00920 |
|
62 |
55 |
$7K |
| 0154A |
|
242 |
229 |
$7K |
| 92557 |
|
188 |
177 |
$7K |
| 80050 |
General health panel |
186 |
159 |
$7K |
| 96136 |
|
351 |
225 |
$7K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
251 |
229 |
$7K |
| 96161 |
|
748 |
634 |
$7K |
| 73564 |
|
389 |
235 |
$7K |
| 96127 |
|
827 |
727 |
$6K |
| 77065 |
Tomosynthesis, mammo |
168 |
95 |
$6K |
| 76818 |
|
138 |
75 |
$6K |
| V5266 |
Battery for use in hearing device |
576 |
548 |
$6K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
310 |
198 |
$6K |
| 0074A |
|
154 |
152 |
$6K |
| 93926 |
|
310 |
276 |
$6K |
| 0082A |
|
177 |
175 |
$6K |
| 84439 |
|
1,088 |
856 |
$5K |
| 42830 |
|
34 |
32 |
$5K |
| 98967 |
|
240 |
190 |
$5K |
| 20611 |
|
79 |
65 |
$4K |
| 97802 |
|
124 |
96 |
$4K |
| 93458 |
|
25 |
25 |
$4K |
| 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 |
225 |
197 |
$4K |
| 99242 |
|
63 |
54 |
$4K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
16 |
12 |
$4K |
| 90716 |
|
4,335 |
4,184 |
$4K |
| 80061 |
Lipid panel |
471 |
394 |
$4K |
| 11982 |
|
38 |
37 |
$4K |
| 31622 |
|
16 |
13 |
$4K |
| 96380 |
|
312 |
225 |
$3K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
911 |
726 |
$3K |
| 90710 |
|
4,104 |
3,964 |
$3K |
| 96409 |
|
33 |
26 |
$3K |
| G9151 |
Mapcp demonstration - state provided services |
18 |
17 |
$3K |
| 93296 |
|
172 |
146 |
$3K |
| 90707 |
|
4,301 |
4,138 |
$3K |
| 90734 |
|
3,134 |
3,016 |
$3K |
| 0173A |
|
102 |
98 |
$3K |
| 98968 |
|
144 |
118 |
$3K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
144 |
111 |
$3K |
| 73552 |
|
165 |
123 |
$3K |
| 81003 |
|
1,638 |
1,366 |
$3K |
| 76937 |
|
304 |
251 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
56 |
55 |
$3K |
| 93454 |
|
18 |
16 |
$3K |
| 92652 |
|
90 |
24 |
$3K |
| 12002 |
|
26 |
25 |
$3K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
65 |
61 |
$2K |
| 93271 |
|
20 |
18 |
$2K |
| 92553 |
|
77 |
75 |
$2K |
| 0121A |
|
82 |
65 |
$2K |
| 91319 |
|
437 |
427 |
$2K |
| 99235 |
|
14 |
14 |
$2K |
| 99245 |
|
13 |
12 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
88 |
74 |
$2K |
| 64721 |
|
14 |
12 |
$2K |
| 36416 |
|
3,089 |
2,707 |
$2K |
| 90633 |
|
9,332 |
9,022 |
$2K |
| 81001 |
|
1,095 |
860 |
$2K |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
20 |
18 |
$2K |
| 99225 |
|
32 |
26 |
$2K |
| 11055 |
|
73 |
62 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
366 |
304 |
$2K |
| 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 |
252 |
201 |
$2K |
| 72040 |
|
74 |
71 |
$2K |
| 91318 |
|
383 |
375 |
$1K |
| 99422 |
|
46 |
43 |
$1K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
37 |
36 |
$1K |
| 92579 |
|
42 |
40 |
$1K |
| 58301 |
|
25 |
24 |
$1K |
| 85027 |
|
346 |
292 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,096 |
702 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
41 |
40 |
$1K |
| 98966 |
|
109 |
94 |
$1K |
| 92585 |
|
15 |
13 |
$1K |
| 99466 |
|
12 |
12 |
$1K |
| 11056 |
|
85 |
78 |
$1K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
66 |
57 |
$1K |
| 87210 |
|
366 |
313 |
$1K |
| 90473 |
|
111 |
110 |
$1K |
| 78431 |
|
18 |
18 |
$1K |
| 82728 |
|
131 |
114 |
$983.99 |
| 00910 |
|
15 |
14 |
$949.41 |
| 29065 |
|
20 |
12 |
$922.66 |
| 90685 |
|
389 |
373 |
$922.22 |
| 93298 |
|
28 |
15 |
$902.42 |
| 67028 |
Intravitreal injection of a pharmacologic agent |
12 |
12 |
$887.77 |
| 93272 |
|
64 |
58 |
$873.60 |
| 0083A |
|
26 |
24 |
$857.82 |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
19 |
18 |
$850.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
32 |
14 |
$826.40 |
| 99442 |
|
161 |
155 |
$795.31 |
| 90696 |
|
3,910 |
3,779 |
$710.39 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
103 |
87 |
$648.98 |
| 83550 |
|
124 |
106 |
$638.06 |
| 76536 |
|
14 |
13 |
$599.54 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
34 |
28 |
$597.92 |
| 83540 |
|
144 |
124 |
$564.07 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
232 |
229 |
$561.10 |
| 0151A |
|
14 |
14 |
$553.48 |
| 73070 |
|
46 |
26 |
$543.24 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
13 |
12 |
$532.37 |
| 93248 |
|
43 |
38 |
$522.34 |
| 0003A |
|
21 |
13 |
$511.74 |
| 86803 |
|
52 |
42 |
$488.03 |
| 92083 |
|
21 |
12 |
$472.71 |
| 0011A |
|
35 |
14 |
$472.04 |
| 87077 |
|
88 |
74 |
$467.98 |
| 29125 |
|
17 |
13 |
$438.73 |
| 73660 |
|
31 |
25 |
$404.43 |
| 77077 |
|
17 |
12 |
$371.11 |
| 76857 |
|
22 |
13 |
$364.70 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
2,949 |
2,646 |
$355.22 |
| 71045 |
Radiologic examination, chest; single view |
27 |
27 |
$351.74 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
14 |
12 |
$350.90 |
| 99292 |
|
25 |
14 |
$332.03 |
| 78434 |
|
17 |
17 |
$329.42 |
| 99443 |
|
42 |
40 |
$312.84 |
| 92550 |
|
18 |
15 |
$312.30 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
21 |
19 |
$311.19 |
| 92556 |
|
15 |
15 |
$309.54 |
| 17340 |
|
13 |
12 |
$261.97 |
| J9370 |
Vincristine sulfate, 1 mg |
15 |
12 |
$253.00 |
| 85018 |
|
136 |
117 |
$239.74 |
| 99441 |
|
86 |
86 |
$236.65 |
| 36410 |
|
16 |
14 |
$226.25 |
| 82570 |
|
76 |
55 |
$215.42 |
| 86780 |
|
21 |
20 |
$214.48 |
| 87340 |
|
38 |
28 |
$199.87 |
| 93244 |
|
14 |
14 |
$186.66 |
| 84702 |
|
24 |
14 |
$165.50 |
| 86140 |
|
47 |
42 |
$163.14 |
| 73600 |
|
20 |
12 |
$158.54 |
| 90672 |
|
169 |
158 |
$145.56 |
| 96116 |
|
25 |
12 |
$131.20 |
| 80076 |
|
21 |
16 |
$114.38 |
| 90717 |
|
23 |
12 |
$113.84 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
49 |
38 |
$107.82 |
| 87186 |
|
16 |
12 |
$97.30 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
352 |
209 |
$90.43 |
| 83735 |
|
20 |
14 |
$88.44 |
| 83690 |
|
13 |
13 |
$82.68 |
| 86762 |
|
12 |
12 |
$79.13 |
| 83516 |
|
20 |
13 |
$74.42 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
14 |
12 |
$67.50 |
| 82565 |
|
19 |
14 |
$52.22 |
| 84156 |
|
18 |
14 |
$38.70 |
| 82043 |
|
15 |
12 |
$35.84 |
| 90660 |
|
53 |
53 |
$34.21 |
| 99406 |
|
14 |
12 |
$27.22 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
18 |
14 |
$20.14 |
| J7614 |
Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg |
32 |
29 |
$16.42 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
93 |
83 |
$15.39 |
| 90674 |
|
264 |
232 |
$14.00 |
| 90785 |
|
379 |
309 |
$8.40 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
44 |
44 |
$0.00 |
| 91300 |
|
4,886 |
3,585 |
$0.00 |
| 90461 |
|
12,934 |
12,494 |
$0.00 |
| 90700 |
|
287 |
270 |
$0.00 |
| 91308 |
|
656 |
589 |
$0.00 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
25 |
21 |
$0.00 |
| 91312 |
|
886 |
842 |
$0.00 |
| 90713 |
|
13 |
13 |
$0.00 |
| 90648 |
|
28 |
27 |
$0.00 |
| 90680 |
|
10,615 |
10,228 |
$0.00 |
| 91315 |
|
276 |
261 |
$0.00 |
| 90744 |
|
5,567 |
5,303 |
$0.00 |
| 90698 |
|
10,975 |
10,568 |
$0.00 |
| 90697 |
|
4,926 |
4,774 |
$0.00 |
| 91305 |
|
1,328 |
1,227 |
$0.00 |
| 91307 |
|
2,113 |
1,891 |
$0.00 |
| 91317 |
|
160 |
146 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |
| 91301 |
|
53 |
19 |
$0.00 |