| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
47,660 |
44,743 |
$17.93M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
46,873 |
44,738 |
$7.89M |
| G0378 |
Hospital observation service, per hour |
18,584 |
15,509 |
$5.82M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
39,347 |
37,897 |
$5.20M |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
38,584 |
36,106 |
$2.82M |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
38,500 |
34,555 |
$1.79M |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
2,056 |
2,002 |
$980K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
23,556 |
21,937 |
$908K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
9,467 |
9,289 |
$885K |
| 80061 |
Lipid panel |
2,527 |
2,426 |
$839K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
7,968 |
7,749 |
$767K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
7,120 |
6,957 |
$641K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
8,374 |
8,225 |
$632K |
| 71046 |
Radiologic examination, chest; 2 views |
22,525 |
21,741 |
$616K |
| 70450 |
Computed tomography, head or brain; without contrast material |
9,877 |
9,549 |
$605K |
| 82947 |
|
15,273 |
10,248 |
$541K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
21,280 |
5,038 |
$527K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
1,087 |
1,075 |
$469K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
18,835 |
18,129 |
$442K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
5,922 |
5,697 |
$408K |
| 71045 |
Radiologic examination, chest; single view |
12,911 |
12,419 |
$367K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
17,254 |
14,344 |
$350K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,830 |
2,777 |
$324K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,896 |
904 |
$309K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
844 |
823 |
$297K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
5,833 |
5,799 |
$288K |
| 59025 |
Fetal non-stress test |
3,180 |
1,351 |
$287K |
| 93975 |
|
3,513 |
3,363 |
$268K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
16,038 |
14,888 |
$249K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
724 |
717 |
$223K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,991 |
2,938 |
$215K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
385 |
385 |
$193K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
992 |
979 |
$187K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
13,247 |
3,419 |
$183K |
| 76801 |
|
4,013 |
3,707 |
$171K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
4,123 |
4,084 |
$169K |
| 95811 |
|
338 |
336 |
$168K |
| 76830 |
Ultrasound, transvaginal |
3,732 |
3,696 |
$165K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
2,978 |
2,940 |
$154K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,268 |
1,240 |
$140K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
2,754 |
2,670 |
$138K |
| 97162 |
|
2,613 |
2,539 |
$136K |
| 58558 |
|
109 |
109 |
$135K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
1,220 |
1,210 |
$135K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,818 |
5,719 |
$131K |
| 83735 |
|
50,410 |
42,943 |
$130K |
| A9270 |
Non-covered item or service |
64,569 |
49,687 |
$128K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
280 |
279 |
$117K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
1,456 |
1,446 |
$116K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
238 |
238 |
$107K |
| 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 |
911 |
903 |
$106K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
2,600 |
2,540 |
$91K |
| 72141 |
|
735 |
728 |
$89K |
| 93971 |
|
2,347 |
2,313 |
$88K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
3,804 |
917 |
$83K |
| 93458 |
|
53 |
53 |
$78K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,180 |
3,047 |
$77K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
4,004 |
2,293 |
$66K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
5,005 |
5,000 |
$65K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,258 |
2,205 |
$61K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,080 |
2,026 |
$58K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
732 |
616 |
$57K |
| 93970 |
|
852 |
839 |
$56K |
| 70491 |
|
690 |
675 |
$53K |
| 82550 |
|
8,377 |
7,811 |
$53K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
7,898 |
7,731 |
$51K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
20,005 |
17,951 |
$46K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
7,895 |
7,728 |
$44K |
| 76642 |
|
1,703 |
1,503 |
$43K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
51 |
51 |
$42K |
| 76770 |
|
1,017 |
999 |
$41K |
| 10060 |
|
573 |
555 |
$36K |
| 70486 |
|
1,772 |
1,750 |
$34K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
4,641 |
4,548 |
$34K |
| Q3014 |
Telehealth originating site facility fee |
2,093 |
1,921 |
$34K |
| 77065 |
Tomosynthesis, mammo |
766 |
721 |
$34K |
| 84484 |
|
19,969 |
17,197 |
$33K |
| 83690 |
|
21,397 |
19,863 |
$33K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
477 |
473 |
$33K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
53 |
53 |
$30K |
| 72131 |
|
1,273 |
1,257 |
$30K |
| 72110 |
|
1,126 |
1,122 |
$28K |
| 93017 |
|
1,103 |
1,089 |
$28K |
| 83605 |
|
7,638 |
7,001 |
$28K |
| 20610 |
|
122 |
103 |
$27K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
487 |
481 |
$26K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
36,806 |
33,514 |
$26K |
| 90715 |
|
3,483 |
3,437 |
$25K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,190 |
1,157 |
$25K |
| 73564 |
|
3,802 |
3,634 |
$23K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
165 |
153 |
$23K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
225 |
225 |
$23K |
| 97163 |
|
380 |
370 |
$22K |
| 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 |
121 |
120 |
$20K |
| 90651 |
|
179 |
174 |
$19K |
| 70496 |
|
592 |
580 |
$18K |
| 97166 |
|
439 |
433 |
$18K |
| 97161 |
|
341 |
334 |
$18K |
| 50590 |
|
15 |
12 |
$17K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,741 |
2,666 |
$17K |
| 86900 |
|
9,916 |
9,470 |
$17K |
| 71271 |
|
264 |
264 |
$16K |
| 77066 |
Tomosynthesis, mammo |
253 |
249 |
$15K |
| 70487 |
|
245 |
235 |
$15K |
| 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 |
1,130 |
1,100 |
$14K |
| 90686 |
|
932 |
917 |
$14K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
853 |
819 |
$12K |
| 97035 |
|
2,129 |
586 |
$12K |
| 90732 |
|
112 |
108 |
$12K |
| 73030 |
|
2,832 |
2,737 |
$12K |
| 97116 |
|
2,018 |
1,242 |
$12K |
| 97014 |
|
1,405 |
391 |
$12K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
61,701 |
52,730 |
$11K |
| 73130 |
|
3,565 |
3,454 |
$11K |
| 19083 |
|
13 |
13 |
$11K |
| 72100 |
|
750 |
745 |
$10K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
4,986 |
4,872 |
$10K |
| 71250 |
|
213 |
212 |
$10K |
| 76536 |
|
194 |
193 |
$9K |
| 73630 |
|
4,219 |
4,057 |
$9K |
| 99385 |
|
289 |
286 |
$8K |
| 90688 |
|
502 |
486 |
$8K |
| 90674 |
|
285 |
285 |
$8K |
| 73610 |
|
3,161 |
3,041 |
$7K |
| 70498 |
|
625 |
614 |
$7K |
| 70355 |
|
1,410 |
1,392 |
$6K |
| 73502 |
|
1,144 |
1,074 |
$6K |
| 74018 |
|
691 |
663 |
$6K |
| 84443 |
Thyroid stimulating hormone (TSH) |
4,917 |
4,801 |
$6K |
| 73110 |
|
1,825 |
1,768 |
$6K |
| 70470 |
|
99 |
97 |
$6K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
459 |
455 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
84,782 |
70,856 |
$5K |
| 80053 |
Comprehensive metabolic panel |
24,637 |
22,667 |
$5K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
10,082 |
6,815 |
$5K |
| 11043 |
|
15 |
12 |
$5K |
| 29515 |
|
93 |
86 |
$4K |
| 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 |
215 |
212 |
$4K |
| 93798 |
|
82 |
14 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
6,117 |
5,778 |
$4K |
| 99406 |
|
290 |
271 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
182 |
180 |
$4K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
70 |
68 |
$4K |
| 96160 |
|
408 |
376 |
$4K |
| 77336 |
|
60 |
25 |
$4K |
| 82728 |
|
804 |
769 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
157 |
157 |
$4K |
| 97022 |
|
516 |
140 |
$3K |
| 82565 |
|
3,066 |
2,803 |
$3K |
| 95819 |
|
64 |
62 |
$3K |
| 72128 |
|
125 |
125 |
$2K |
| 94726 |
|
53 |
53 |
$2K |
| 74178 |
|
15 |
15 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
177 |
176 |
$2K |
| 82805 |
|
981 |
924 |
$2K |
| 74022 |
|
4,042 |
3,945 |
$2K |
| 81025 |
|
39,049 |
37,012 |
$2K |
| 94010 |
|
78 |
74 |
$2K |
| 83880 |
|
3,505 |
3,405 |
$2K |
| 85730 |
|
19,492 |
18,208 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
12,358 |
12,130 |
$2K |
| 90656 |
|
12 |
12 |
$2K |
| 72170 |
|
1,655 |
1,630 |
$2K |
| 90661 |
|
110 |
110 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
8,073 |
6,262 |
$2K |
| 12001 |
|
1,092 |
1,077 |
$2K |
| 93351 |
|
12 |
12 |
$2K |
| 74183 |
|
12 |
12 |
$2K |
| 73590 |
|
1,035 |
1,001 |
$2K |
| 88304 |
|
1,399 |
1,361 |
$2K |
| 77080 |
|
24 |
24 |
$1K |
| 85610 |
|
21,699 |
20,282 |
$1K |
| 73080 |
|
811 |
800 |
$1K |
| G8978 |
Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals |
187 |
177 |
$1K |
| 84702 |
|
7,259 |
6,631 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
140 |
134 |
$1K |
| 93880 |
|
19 |
19 |
$1K |
| 84520 |
|
2,601 |
2,371 |
$1K |
| 88342 |
|
387 |
381 |
$1K |
| 90654 |
|
49 |
48 |
$950.89 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
3,466 |
3,215 |
$943.11 |
| 86850 |
|
9,355 |
8,948 |
$896.74 |
| 88300 |
|
1,306 |
1,284 |
$873.69 |
| 12002 |
|
377 |
371 |
$835.00 |
| 99495 |
|
12 |
12 |
$819.54 |
| 82247 |
|
1,214 |
1,157 |
$775.11 |
| 90658 |
|
66 |
66 |
$755.00 |
| G0297 |
Low dose ct scan (ldct) for lung cancer screening |
24 |
24 |
$750.27 |
| 82248 |
|
1,506 |
1,447 |
$745.02 |
| 87428 |
|
27 |
27 |
$737.94 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
563 |
529 |
$709.14 |
| 73090 |
|
709 |
688 |
$674.17 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
137 |
126 |
$664.49 |
| 80051 |
|
1,780 |
1,647 |
$655.93 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
7,411 |
7,256 |
$652.22 |
| 83037 |
|
156 |
155 |
$631.50 |
| 73702 |
|
13 |
13 |
$608.81 |
| 81000 |
|
349 |
341 |
$592.50 |
| 72050 |
|
12 |
12 |
$569.99 |
| 98927 |
|
60 |
52 |
$540.98 |
| 99386 |
|
14 |
14 |
$504.00 |
| 81001 |
|
39,577 |
37,242 |
$493.96 |
| 96367 |
|
25 |
24 |
$489.45 |
| 74019 |
|
68 |
67 |
$479.26 |
| 0011A |
|
13 |
13 |
$466.33 |
| 73140 |
|
96 |
95 |
$451.93 |
| J2359 |
Injection, olanzapine, 0.5 mg |
86 |
59 |
$445.58 |
| 71101 |
|
149 |
148 |
$443.88 |
| 81003 |
|
9,932 |
9,662 |
$423.76 |
| 84439 |
|
475 |
465 |
$420.17 |
| 85027 |
|
3,872 |
3,366 |
$415.81 |
| 0064A |
|
12 |
12 |
$411.00 |
| 86901 |
|
9,908 |
9,463 |
$408.82 |
| 94799 |
|
1,296 |
1,136 |
$387.45 |
| 73560 |
|
14 |
14 |
$386.64 |
| 97165 |
|
14 |
12 |
$376.36 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
3,231 |
3,197 |
$364.29 |
| 86140 |
|
1,977 |
1,901 |
$301.04 |
| G0008 |
Administration of influenza virus vaccine |
76 |
75 |
$293.31 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
7,442 |
7,177 |
$269.01 |
| 85651 |
|
1,080 |
1,050 |
$266.21 |
| 84460 |
|
1,747 |
1,674 |
$265.65 |
| 80076 |
|
12,191 |
11,213 |
$234.51 |
| 93296 |
|
12 |
12 |
$233.71 |
| 81002 |
|
884 |
798 |
$226.18 |
| 84450 |
|
1,687 |
1,615 |
$208.11 |
| 83615 |
|
1,085 |
961 |
$204.47 |
| 84100 |
|
6,963 |
5,383 |
$198.46 |
| 88307 |
|
41 |
41 |
$187.34 |
| 29125 |
|
402 |
394 |
$167.00 |
| 12011 |
|
344 |
340 |
$167.00 |
| J2272 |
Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg |
616 |
457 |
$158.64 |
| 82962 |
|
86 |
25 |
$151.58 |
| 83550 |
|
296 |
285 |
$136.70 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
17,510 |
16,916 |
$127.99 |
| 82077 |
|
11,021 |
9,660 |
$119.33 |
| 87186 |
|
1,848 |
1,810 |
$117.19 |
| 85018 |
|
3,392 |
3,227 |
$114.35 |
| 82607 |
|
62 |
57 |
$111.98 |
| 83540 |
|
293 |
281 |
$111.12 |
| 85014 |
|
3,374 |
3,213 |
$109.14 |
| 87088 |
|
2,163 |
2,116 |
$107.73 |
| 84075 |
|
478 |
470 |
$103.38 |
| 70360 |
|
51 |
50 |
$101.87 |
| 87040 |
|
2,747 |
2,576 |
$98.64 |
| 87070 |
|
757 |
732 |
$95.45 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,584 |
3,539 |
$93.51 |
| 87077 |
|
1,437 |
1,400 |
$75.80 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
2,247 |
2,017 |
$72.70 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
8,719 |
8,292 |
$69.68 |
| 82150 |
|
1,548 |
1,523 |
$68.74 |
| 82553 |
|
3,353 |
3,226 |
$68.05 |
| 84145 |
|
484 |
466 |
$67.12 |
| 94644 |
|
280 |
271 |
$66.58 |
| 76870 |
|
133 |
129 |
$59.64 |
| J2060 |
Injection, lorazepam, 2 mg |
7,343 |
5,539 |
$59.10 |
| 82570 |
|
239 |
202 |
$53.61 |
| 85379 |
|
2,999 |
2,941 |
$49.70 |
| 73552 |
|
28 |
26 |
$48.48 |
| 73060 |
|
38 |
38 |
$48.14 |
| 87205 |
|
755 |
727 |
$41.70 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
24,928 |
21,801 |
$41.06 |
| 80143 |
|
4,110 |
3,918 |
$39.93 |
| 80179 |
|
3,917 |
3,756 |
$39.93 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22 |
21 |
$38.77 |
| 87081 |
|
13 |
13 |
$38.21 |
| 84550 |
|
303 |
255 |
$33.40 |
| J3490 |
Unclassified drugs |
11,938 |
10,287 |
$27.32 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
6,860 |
3,632 |
$25.68 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
31,188 |
27,387 |
$25.09 |
| J1643 |
Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units |
202 |
168 |
$25.05 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
9,787 |
9,307 |
$23.85 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
8,119 |
7,233 |
$23.49 |
| 84156 |
|
189 |
157 |
$21.50 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
5,028 |
4,476 |
$21.24 |
| 82140 |
|
110 |
102 |
$20.19 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
398 |
393 |
$19.44 |
| 86592 |
|
13 |
13 |
$19.21 |
| 87340 |
|
12 |
12 |
$14.28 |
| J1836 |
Injection, metronidazole, 10 mg |
143 |
94 |
$12.63 |
| 85652 |
|
190 |
186 |
$12.11 |
| 86308 |
|
311 |
306 |
$11.85 |
| 80164 |
|
334 |
295 |
$10.33 |
| 80177 |
|
109 |
96 |
$7.25 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
4,469 |
3,689 |
$6.76 |
| 84703 |
|
72 |
72 |
$5.70 |
| 36416 |
|
187 |
187 |
$5.00 |
| 85347 |
|
123 |
119 |
$4.60 |
| J1630 |
Injection, haloperidol, up to 5 mg |
3,452 |
2,895 |
$4.26 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
895 |
716 |
$4.00 |
| J1920 |
Injection, labetalol hydrochloride, 5 mg |
137 |
126 |
$3.69 |
| 85045 |
|
28 |
26 |
$2.70 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
4,403 |
3,911 |
$1.81 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
3,423 |
3,084 |
$0.11 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
10,615 |
8,305 |
$0.03 |
| J1815 |
Injection, insulin, per 5 units |
2,437 |
1,316 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
8,067 |
7,828 |
$0.00 |
| J0500 |
Injection, dicyclomine hcl, up to 20 mg |
1,629 |
1,531 |
$0.00 |
| J3480 |
Injection, potassium chloride, per 2 meq |
1,433 |
1,155 |
$0.00 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
1,207 |
1,175 |
$0.00 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
1,434 |
1,395 |
$0.00 |
| J3360 |
Injection, diazepam, up to 5 mg |
727 |
621 |
$0.00 |
| J2371 |
Injection, phenylephrine hydrochloride, 20 micrograms |
292 |
289 |
$0.00 |
| J2370 |
Injection, phenylephrine hcl, up to 1 ml |
408 |
402 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
5,310 |
4,785 |
$0.00 |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
609 |
602 |
$0.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
1,526 |
1,047 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
9,297 |
8,851 |
$0.00 |
| J2785 |
Injection, regadenoson, 0.1 mg |
96 |
96 |
$0.00 |
| 94761 |
|
1,121 |
1,054 |
$0.00 |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
644 |
189 |
$0.00 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
3,252 |
3,055 |
$0.00 |
| 96376 |
|
1,844 |
1,734 |
$0.00 |
| G8980 |
Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting |
129 |
124 |
$0.00 |
| 94760 |
|
413 |
391 |
$0.00 |
| 91301 |
|
47 |
47 |
$0.00 |
| J1790 |
Injection, droperidol, up to 5 mg |
89 |
84 |
$0.00 |
| 96127 |
|
103 |
99 |
$0.00 |
| J1940 |
Injection, furosemide, up to 20 mg |
362 |
232 |
$0.00 |
| 76377 |
|
227 |
225 |
$0.00 |
| J0360 |
Injection, hydralazine hcl, up to 20 mg |
247 |
221 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
223 |
220 |
$0.00 |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
129 |
64 |
$0.00 |
| J3411 |
Injection, thiamine hcl, 100 mg |
125 |
79 |
$0.00 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
52 |
52 |
$0.00 |
| 88311 |
|
24 |
24 |
$0.00 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
41 |
40 |
$0.00 |
| A4648 |
Tissue marker, implantable, any type, each |
12 |
12 |
$0.00 |
| 64415 |
|
13 |
12 |
$0.00 |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
326 |
321 |
$0.00 |
| 76942 |
|
348 |
337 |
$0.00 |
| Q9957 |
Injection, perflutren lipid microspheres, per ml |
2,054 |
1,987 |
$0.00 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
109 |
95 |
$0.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
4,653 |
2,874 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,021 |
879 |
$0.00 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
904 |
618 |
$0.00 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
860 |
851 |
$0.00 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
2,385 |
2,227 |
$0.00 |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
38 |
38 |
$0.00 |
| 90461 |
|
61 |
58 |
$0.00 |
| C9113 |
Injection, pantoprazole sodium, per vial |
297 |
179 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
929 |
908 |
$0.00 |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
871 |
819 |
$0.00 |
| 87075 |
|
31 |
29 |
$0.00 |
| J0295 |
Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm |
881 |
622 |
$0.00 |
| J2310 |
Injection, naloxone hydrochloride, per 1 mg |
407 |
385 |
$0.00 |
| G8979 |
Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
203 |
191 |
$0.00 |
| J1953 |
Injection, levetiracetam, 10 mg |
219 |
200 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
40 |
36 |
$0.00 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
256 |
218 |
$0.00 |
| J1596 |
Injection, glycopyrrolate, 0.1 mg |
161 |
160 |
$0.00 |
| J1245 |
Injection, dipyridamole, per 10 mg |
77 |
75 |
$0.00 |
| J2004 |
Injection, lidocaine hcl with epinephrine, 1 mg |
38 |
37 |
$0.00 |
| 0042T |
|
41 |
40 |
$0.00 |
| 80074 |
|
38 |
38 |
$0.00 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
42 |
28 |
$0.00 |
| 94729 |
|
54 |
54 |
$0.00 |
| J0692 |
Injection, cefepime hydrochloride, 500 mg |
28 |
27 |
$0.00 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
28 |
24 |
$0.00 |
| J7510 |
Prednisolone oral, per 5 mg |
28 |
28 |
$0.00 |
| J1756 |
Injection, iron sucrose, 1 mg |
23 |
13 |
$0.00 |
| J2274 |
Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg |
94 |
84 |
$0.00 |