| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0299 |
Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes |
13,136 |
3,826 |
$1.72M |
| 0112 |
|
3,175 |
2,839 |
$1.14M |
| G0151 |
Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes |
6,786 |
2,658 |
$982K |
| G0300 |
Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes |
7,156 |
1,834 |
$947K |
| G0155 |
Services of clinical social worker in home health or hospice settings, each 15 minutes |
3,346 |
1,320 |
$468K |
| 0206 |
|
357 |
347 |
$225K |
| G0156 |
Services of home health/hospice aide in home health or hospice settings, each 15 minutes |
2,617 |
620 |
$176K |
| 0111 |
|
1,288 |
1,229 |
$164K |
| G0152 |
Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes |
995 |
563 |
$139K |
| G0157 |
Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes |
1,130 |
677 |
$129K |
| 0200 |
|
328 |
314 |
$89K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
12,002 |
11,087 |
$80K |
| G0162 |
Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that essential non-skilled care achieves its purpose in the home health or hospice setting) |
487 |
291 |
$66K |
| 81220 |
CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants |
316 |
312 |
$44K |
| Q5001 |
Hospice or home health care provided in patient's home/residence |
2,263 |
2,065 |
$38K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,664 |
1,585 |
$27K |
| 0113 |
|
184 |
165 |
$23K |
| G0493 |
Skilled services of a registered nurse (rn) for the observation and assessment of the patient's condition, each 15 minutes (the change in the patient's condition requires skilled nursing personnel to identify and evaluate the patient's need for possible modification of treatment in the home health or hospice setting) |
137 |
90 |
$21K |
| 36902 |
|
14 |
14 |
$14K |
| 0122 |
|
1,081 |
766 |
$13K |
| G2168 |
Services performed by a physical therapist assistant in the home health setting in the delivery of a safe and effective physical therapy maintenance program, each 15 minutes |
105 |
78 |
$8K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,299 |
1,265 |
$8K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
320 |
306 |
$7K |
| G0378 |
Hospital observation service, per hour |
808 |
558 |
$6K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
129 |
129 |
$4K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,249 |
914 |
$4K |
| 86003 |
|
342 |
336 |
$3K |
| 86885 |
|
771 |
713 |
$3K |
| 0637 |
|
1,772 |
1,004 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,304 |
1,282 |
$2K |
| 86900 |
|
1,513 |
1,309 |
$2K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
290 |
281 |
$2K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
326 |
314 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
677 |
669 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,514 |
1,457 |
$2K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
303 |
301 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
10,265 |
9,285 |
$1K |
| 86480 |
|
151 |
144 |
$1K |
| 0121 |
|
854 |
820 |
$1K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
208 |
200 |
$1K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
62 |
62 |
$1K |
| 85027 |
|
12,986 |
12,396 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
6,062 |
5,842 |
$1K |
| 86901 |
|
1,516 |
1,312 |
$1K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
2,430 |
2,405 |
$1K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
1,253 |
1,113 |
$1K |
| 76770 |
|
281 |
279 |
$929.20 |
| 86235 |
|
64 |
63 |
$920.00 |
| 74183 |
|
120 |
115 |
$878.00 |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
78 |
75 |
$720.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
5,014 |
4,909 |
$711.00 |
| 86762 |
|
802 |
646 |
$694.00 |
| 83880 |
|
690 |
599 |
$667.00 |
| 83655 |
|
1,408 |
1,347 |
$651.00 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
274 |
263 |
$620.00 |
| 80051 |
|
8,138 |
7,507 |
$618.00 |
| 86787 |
|
817 |
663 |
$611.00 |
| 82728 |
|
1,465 |
1,440 |
$577.80 |
| 72141 |
|
160 |
160 |
$546.00 |
| 71046 |
Radiologic examination, chest; 2 views |
946 |
905 |
$518.31 |
| 82565 |
|
10,459 |
9,680 |
$503.20 |
| 85610 |
|
5,272 |
3,914 |
$500.00 |
| 87340 |
|
1,146 |
1,003 |
$466.00 |
| 83970 |
|
772 |
762 |
$456.00 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
748 |
733 |
$446.18 |
| 93970 |
|
55 |
40 |
$437.52 |
| 84702 |
|
1,856 |
1,599 |
$432.00 |
| 72156 |
|
19 |
18 |
$430.00 |
| 83021 |
|
627 |
486 |
$412.00 |
| 84460 |
|
7,596 |
7,136 |
$375.20 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
573 |
566 |
$372.00 |
| 82607 |
|
1,017 |
998 |
$340.40 |
| 76830 |
Ultrasound, transvaginal |
652 |
638 |
$336.18 |
| 72158 |
|
27 |
25 |
$315.00 |
| 86160 |
|
140 |
138 |
$312.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
512 |
297 |
$312.00 |
| 82785 |
|
80 |
70 |
$311.00 |
| 70544 |
|
69 |
68 |
$298.00 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
236 |
232 |
$290.00 |
| 80061 |
Lipid panel |
3,637 |
3,593 |
$254.00 |
| 87522 |
Neg quan hep c or qual rna |
79 |
75 |
$243.00 |
| 73562 |
|
243 |
228 |
$240.48 |
| 84163 |
|
85 |
75 |
$232.00 |
| 83550 |
|
1,540 |
1,507 |
$231.20 |
| 86038 |
|
359 |
334 |
$227.20 |
| 86147 |
|
29 |
28 |
$220.00 |
| 71045 |
Radiologic examination, chest; single view |
700 |
653 |
$211.26 |
| 76801 |
|
323 |
271 |
$210.60 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
213 |
176 |
$210.60 |
| 88342 |
|
71 |
71 |
$202.00 |
| 83540 |
|
1,537 |
1,481 |
$198.80 |
| 85652 |
|
2,324 |
2,233 |
$190.40 |
| 84075 |
|
3,933 |
3,617 |
$182.00 |
| 82784 |
|
165 |
165 |
$180.00 |
| 76536 |
|
164 |
158 |
$170.00 |
| 82247 |
|
4,287 |
3,839 |
$167.00 |
| 87046 |
|
113 |
111 |
$160.00 |
| 87088 |
|
1,243 |
1,195 |
$153.00 |
| 83735 |
|
1,407 |
1,179 |
$152.80 |
| 74170 |
|
17 |
17 |
$145.00 |
| 86803 |
|
517 |
497 |
$142.00 |
| 73610 |
|
267 |
253 |
$136.74 |
| 84439 |
|
722 |
689 |
$132.00 |
| 83520 |
|
405 |
272 |
$131.00 |
| 70360 |
|
13 |
13 |
$131.00 |
| 86140 |
|
1,459 |
1,388 |
$130.40 |
| 82105 |
|
172 |
169 |
$126.00 |
| 73221 |
|
119 |
114 |
$124.00 |
| 74240 |
|
12 |
12 |
$124.00 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
212 |
208 |
$123.50 |
| 81003 |
|
4,679 |
4,440 |
$118.00 |
| 84450 |
|
2,875 |
2,596 |
$117.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,536 |
1,496 |
$114.00 |
| 82670 |
|
72 |
69 |
$114.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,510 |
1,471 |
$114.00 |
| 84403 |
|
205 |
199 |
$112.00 |
| 84520 |
|
4,335 |
3,889 |
$110.00 |
| 82310 |
|
2,245 |
2,041 |
$100.20 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
142 |
142 |
$100.00 |
| 73502 |
|
143 |
139 |
$99.00 |
| 76380 |
|
85 |
85 |
$99.00 |
| 84134 |
|
194 |
190 |
$96.20 |
| J3480 |
Injection, potassium chloride, per 2 meq |
43 |
25 |
$90.40 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
75 |
74 |
$89.50 |
| 83001 |
|
153 |
149 |
$89.00 |
| 70486 |
|
166 |
164 |
$88.18 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
582 |
567 |
$88.14 |
| 86780 |
|
530 |
489 |
$84.00 |
| 83615 |
|
578 |
523 |
$84.00 |
| 84165 |
|
233 |
224 |
$84.00 |
| 82746 |
|
444 |
435 |
$83.00 |
| 84550 |
|
620 |
589 |
$82.00 |
| 87040 |
|
306 |
200 |
$80.00 |
| 84132 |
|
576 |
553 |
$72.60 |
| 80197 |
|
116 |
101 |
$71.00 |
| 83690 |
|
1,405 |
1,354 |
$70.00 |
| 86256 |
|
32 |
31 |
$70.00 |
| 86431 |
|
215 |
204 |
$68.40 |
| 87505 |
|
44 |
44 |
$68.00 |
| 82570 |
|
1,483 |
1,328 |
$67.00 |
| 82043 |
|
1,456 |
1,443 |
$65.40 |
| 85730 |
|
490 |
470 |
$64.00 |
| 74018 |
|
96 |
95 |
$62.75 |
| 76870 |
|
107 |
104 |
$62.00 |
| 73200 |
|
13 |
13 |
$62.00 |
| 72100 |
|
157 |
157 |
$62.00 |
| 84146 |
|
139 |
135 |
$61.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
354 |
268 |
$60.50 |
| 44970 |
|
43 |
43 |
$60.00 |
| 82947 |
|
3,763 |
3,525 |
$60.00 |
| 86039 |
|
74 |
69 |
$60.00 |
| 88341 |
|
32 |
32 |
$59.63 |
| 74178 |
|
68 |
68 |
$57.79 |
| 86376 |
|
40 |
40 |
$56.00 |
| 85379 |
|
210 |
205 |
$54.00 |
| 86665 |
|
163 |
83 |
$54.00 |
| 84156 |
|
1,390 |
1,249 |
$52.00 |
| 82248 |
|
684 |
614 |
$52.00 |
| 78306 |
|
32 |
32 |
$50.00 |
| 86360 |
|
323 |
315 |
$50.00 |
| 87045 |
|
160 |
149 |
$50.00 |
| 84295 |
|
346 |
335 |
$50.00 |
| 86225 |
|
111 |
101 |
$49.00 |
| 87210 |
|
1,620 |
1,585 |
$49.00 |
| 82550 |
|
248 |
236 |
$48.80 |
| 82950 |
|
742 |
677 |
$47.00 |
| 84100 |
|
1,175 |
1,042 |
$46.00 |
| 82040 |
|
1,511 |
1,416 |
$43.00 |
| 85014 |
|
1,128 |
1,056 |
$42.00 |
| 86357 |
|
47 |
45 |
$40.00 |
| 86355 |
|
47 |
45 |
$40.00 |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
12 |
12 |
$40.00 |
| 86359 |
|
323 |
315 |
$40.00 |
| 87324 |
|
197 |
190 |
$40.00 |
| 84153 |
|
294 |
292 |
$39.00 |
| 82677 |
|
43 |
42 |
$39.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,108 |
1,077 |
$37.73 |
| 87449 |
|
176 |
167 |
$35.00 |
| 73110 |
|
153 |
151 |
$33.00 |
| 73590 |
|
79 |
76 |
$33.00 |
| 73030 |
|
244 |
233 |
$33.00 |
| 80185 |
|
54 |
46 |
$32.00 |
| 86317 |
|
198 |
193 |
$32.00 |
| 83002 |
|
82 |
82 |
$30.00 |
| 89051 |
|
69 |
57 |
$30.00 |
| 80164 |
|
144 |
139 |
$30.00 |
| 86704 |
|
158 |
152 |
$28.00 |
| 82977 |
|
108 |
106 |
$28.00 |
| 87186 |
|
133 |
129 |
$25.00 |
| 86664 |
|
83 |
83 |
$24.00 |
| 86336 |
|
43 |
42 |
$24.00 |
| 86677 |
|
347 |
340 |
$22.20 |
| 88312 |
|
39 |
38 |
$22.00 |
| 82330 |
|
157 |
147 |
$21.00 |
| 86708 |
|
57 |
54 |
$21.00 |
| 85613 |
|
34 |
28 |
$20.00 |
| 82390 |
|
51 |
48 |
$18.00 |
| 85046 |
|
381 |
363 |
$18.00 |
| 80306 |
|
66 |
61 |
$16.00 |
| 85018 |
|
419 |
387 |
$15.00 |
| 83721 |
|
488 |
483 |
$15.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
71 |
65 |
$14.80 |
| 83935 |
|
12 |
12 |
$12.00 |
| 84270 |
|
16 |
15 |
$12.00 |
| 87205 |
|
376 |
353 |
$12.00 |
| 82150 |
|
109 |
103 |
$12.00 |
| 82627 |
|
51 |
51 |
$12.00 |
| 85670 |
|
33 |
27 |
$12.00 |
| 86709 |
|
52 |
51 |
$12.00 |
| 86304 |
|
13 |
12 |
$11.00 |
| 80162 |
|
47 |
43 |
$10.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
230 |
115 |
$10.00 |
| 0250 |
|
1,872 |
712 |
$9.68 |
| 82533 |
|
14 |
13 |
$9.00 |
| 0258 |
|
856 |
728 |
$8.92 |
| J2060 |
Injection, lorazepam, 2 mg |
29 |
25 |
$8.46 |
| 80178 |
|
79 |
74 |
$8.00 |
| 84480 |
|
109 |
105 |
$8.00 |
| 80156 |
|
35 |
35 |
$8.00 |
| 84155 |
|
176 |
162 |
$8.00 |
| 83718 |
|
281 |
278 |
$8.00 |
| 82140 |
|
78 |
69 |
$8.00 |
| 82103 |
|
13 |
12 |
$7.00 |
| J1815 |
Injection, insulin, per 5 units |
60 |
28 |
$6.16 |
| 86308 |
|
147 |
145 |
$6.00 |
| 82272 |
|
97 |
95 |
$6.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
282 |
279 |
$5.56 |
| 87070 |
|
37 |
33 |
$5.00 |
| 84484 |
|
346 |
289 |
$5.00 |
| 83930 |
|
13 |
13 |
$4.00 |
| 80076 |
|
35 |
31 |
$4.00 |
| 82465 |
|
322 |
318 |
$4.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
322 |
316 |
$3.93 |
| 86300 |
|
108 |
104 |
$2.00 |
| 81015 |
|
94 |
94 |
$2.00 |
| 73564 |
|
12 |
12 |
$0.00 |
| 73700 |
|
27 |
25 |
$0.00 |
| 73090 |
|
75 |
72 |
$0.00 |
| 74181 |
|
33 |
33 |
$0.00 |
| 72170 |
|
48 |
47 |
$0.00 |
| 87081 |
|
49 |
48 |
$0.00 |
| 72040 |
|
65 |
64 |
$0.00 |
| 0410 |
|
42 |
42 |
$0.00 |
| 93971 |
|
193 |
181 |
$0.00 |
| 72081 |
|
42 |
42 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
92 |
92 |
$0.00 |
| 83605 |
|
174 |
154 |
$0.00 |
| 82951 |
|
122 |
122 |
$0.00 |
| J2280 |
Injection, moxifloxacin, 100 mg |
31 |
30 |
$0.00 |
| 74022 |
|
129 |
129 |
$0.00 |
| 87536 |
|
127 |
125 |
$0.00 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
101 |
96 |
$0.00 |
| 0305 |
|
383 |
376 |
$0.00 |
| 88304 |
|
48 |
42 |
$0.00 |
| 0171 |
Inj, epinephrine (belcher) |
74 |
71 |
$0.00 |
| 86335 |
|
12 |
12 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
59 |
59 |
$0.00 |
| 0370 |
|
291 |
288 |
$0.00 |
| 82378 |
|
128 |
107 |
$0.00 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
52 |
50 |
$0.00 |
| 0306 |
|
138 |
133 |
$0.00 |
| 73560 |
|
53 |
49 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
46 |
45 |
$0.00 |
| 0324 |
|
38 |
38 |
$0.00 |
| 73060 |
|
14 |
14 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
31 |
23 |
$0.00 |
| 84478 |
|
45 |
44 |
$0.00 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
18 |
15 |
$0.00 |
| 12001 |
|
14 |
14 |
$0.00 |
| 0023 |
Pin srv add 30 min pr m |
27 |
27 |
$0.00 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
47 |
45 |
$0.00 |
| 0307 |
|
113 |
111 |
$0.00 |
| 70491 |
|
81 |
79 |
$0.00 |
| 0301 |
|
245 |
237 |
$0.00 |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
15 |
15 |
$0.00 |
| 72157 |
|
12 |
12 |
$0.00 |
| 70543 |
|
26 |
24 |
$0.00 |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
55 |
51 |
$0.00 |
| 84157 |
|
13 |
12 |
$0.00 |
| J7060 |
5% dextrose/water (500 ml = 1 unit) |
28 |
24 |
$0.00 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
112 |
76 |
$0.00 |
| 88307 |
|
18 |
15 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
128 |
127 |
$0.00 |
| 0352 |
|
15 |
15 |
$0.00 |
| 0420 |
|
27 |
27 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
79 |
72 |
$0.00 |
| 0471 |
|
12 |
12 |
$0.00 |
| 90688 |
|
30 |
29 |
$0.00 |
| 0350 |
|
23 |
23 |
$0.00 |
| V2632 |
Posterior chamber intraocular lens |
33 |
32 |
$0.00 |
| 82952 |
|
76 |
76 |
$0.00 |
| 86301 |
|
20 |
14 |
$0.00 |
| 72146 |
|
45 |
45 |
$0.00 |
| 80320 |
|
35 |
33 |
$0.00 |
| 82945 |
|
13 |
12 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
108 |
103 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
78 |
74 |
$0.00 |
| J3490 |
Unclassified drugs |
141 |
120 |
$0.00 |
| 90656 |
|
22 |
22 |
$0.00 |
| 86635 |
|
34 |
17 |
$0.00 |
| 80329 |
|
47 |
25 |
$0.00 |
| 86880 |
|
20 |
17 |
$0.00 |
| 0710 |
|
220 |
218 |
$0.00 |
| 86695 |
|
18 |
17 |
$0.00 |
| 0255 |
|
29 |
26 |
$0.00 |
| 84425 |
|
29 |
29 |
$0.00 |
| 73130 |
|
201 |
192 |
$0.00 |
| 0300 |
|
288 |
259 |
$0.00 |
| 86923 |
|
67 |
57 |
$0.00 |
| 82274 |
|
54 |
53 |
$0.00 |
| 0302 |
|
60 |
59 |
$0.00 |
| 0320 |
|
91 |
88 |
$0.00 |
| 73630 |
|
366 |
351 |
$0.00 |
| 77002 |
|
18 |
16 |
$0.00 |
| 86735 |
|
12 |
12 |
$0.00 |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
72 |
72 |
$0.00 |
| 71250 |
|
69 |
69 |
$0.00 |
| 47562 |
|
49 |
49 |
$0.00 |
| 0390 |
|
15 |
15 |
$0.00 |
| 0272 |
|
21 |
21 |
$0.00 |
| 88313 |
|
15 |
13 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
199 |
190 |
$0.00 |
| 77080 |
|
101 |
101 |
$0.00 |
| 0351 |
|
13 |
13 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
34 |
31 |
$0.00 |
| 76881 |
|
49 |
49 |
$0.00 |
| G0297 |
Low dose ct scan (ldct) for lung cancer screening |
71 |
71 |
$0.00 |
| 73100 |
|
13 |
12 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
272 |
254 |
$0.00 |
| 0312 |
|
46 |
46 |
$0.00 |
| 73140 |
|
103 |
96 |
$0.00 |
| 82705 |
|
14 |
13 |
$0.00 |
| 86696 |
|
18 |
17 |
$0.00 |
| 0722 |
|
178 |
178 |
$0.00 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
17 |
17 |
$0.00 |
| 73080 |
|
77 |
75 |
$0.00 |
| 0483 |
|
24 |
24 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
105 |
97 |
$0.00 |
| 72197 |
|
13 |
12 |
$0.00 |
| 0360 |
|
130 |
126 |
$0.00 |
| 72131 |
|
39 |
38 |
$0.00 |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
27 |
27 |
$0.00 |
| 74220 |
|
12 |
12 |
$0.00 |
| 86334 |
|
18 |
17 |
$0.00 |
| 93880 |
|
49 |
45 |
$0.00 |
| 78472 |
|
12 |
12 |
$0.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
28 |
27 |
$0.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
54 |
37 |
$0.00 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
145 |
144 |
$0.00 |
| 86765 |
|
15 |
15 |
$0.00 |
| 88173 |
|
29 |
27 |
$0.00 |
| J7510 |
Prednisolone oral, per 5 mg |
19 |
19 |
$0.00 |
| 0203 |
|
30 |
26 |
$0.00 |
| 0730 |
|
24 |
24 |
$0.00 |
| 73718 |
|
14 |
14 |
$0.00 |
| 0309 |
|
21 |
21 |
$0.00 |
| 0450 |
Emergency room services |
99 |
97 |
$0.00 |
| 83525 |
|
12 |
12 |
$0.00 |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
13 |
13 |
$0.00 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
19 |
15 |
$0.00 |
| 0424 |
|
38 |
38 |
$0.00 |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
15 |
15 |
$0.00 |
| 0278 |
|
18 |
18 |
$0.00 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
12 |
12 |
$0.00 |
| 76706 |
|
13 |
13 |
$0.00 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
19 |
15 |
$0.00 |
| 0361 |
|
13 |
13 |
$0.00 |
| 76857 |
|
12 |
12 |
$0.00 |
| 72070 |
|
12 |
12 |
$0.00 |
| 0762 |
|
52 |
52 |
$0.00 |
| 0402 |
|
36 |
36 |
$0.00 |